November Peoria Healthy Cells 2012 by Healthy Cells Magazine

GREATER PEORIA

NOVEMBER 2012

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HealthyCells

area

Promoting Healthier Living in Your Community

• Physical

www.healthycellsmagazine.com

• Emotional

M A G A Z I N E

• Nutritional

Proctor Hospital

Raising the Bar for Behavioral Health Care pg. 20

What We're Eating is Making Us Fat Float Therapy

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pg. 24

Rejuv — Be Aware of Heart Disease pg. 36

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Winter is Allergy & Asthma Season Asthma

Asthma is a chronic disease that affects about 20 million americans. Its primary cause is inflamed airways in the lungs. Asthma is the most common serious disease among children. Many people may think winter is better for children with asthma since pollen, a common asthma trigger is low, but the cold dry air can present a challenge. Winter months signal an increase in sinus infections and upper respiratory viral infections that can trigger or worsen asthma. Faster breathing from activities such as sledding can really spell trouble since the air we breathe doesn’t have a chance to warm up. Dry cold air alone can present a challenge. Additionally, many people suffer from “allergic asthma” which means allergens such as dust mites, mold and animal dander make their symptoms worse.

Indoor Allergens

Millions of people suffer from allergy symptoms caused by indoor allergens like house dust mite droppings, animal dander, cockroach droppings and molds. Since we generally spend more time indoors during the cold winter months people with these allergies can be faced with a long miserable winter season.

Dust Mites

Dust mite allergens are one of the most common triggers of allergy and asthma symptoms. Just count the daily hours spent in the bedroom and lounging in nice soft furnishings (especially in the winter) and you can see how this allergen can really affect us during the winter.

Pet Allergens

People are not allergic to an animal’s hair, but to an allergen found in the saliva and dander (dead skin flakes) from their pets. Just like people, our pet’s skin can become drier in the winter thus causing more dander. Also, our pets generally spend more time indoors in the cold weather.

Indoor Molds

Indoor molds and mildew need dampness and warmth. As the snow around our homes thaws and melts, some of that moisture can make its way into our basements. Or maybe you like to take nice long, warm showers in the winter which creates steam that can find it’s way into nooks and crannies in the bathroom. Anyone with allergies or asthma should be able to feel good, be active all day and sleep well at night. You don’t need to accept less. An allergist can help you find relief so you can enjoy life again. My staff and i are trained to help you identify things in your home, workplace or school that may be making your asthma or allergies worse. We can develop a tailored plan that matches your lifestyle and provides the most effective treatment.

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November 2012 — Peoria — Healthy Cells Magazine — Page 3

NOVEMBER 8

Fall Safety: Tips to Prevent Slips and Trips

Nutritional: What We're Eating is Making Us Fat!

Physical: Are You at Risk for Sudden Cardiac Arrest?

Emotional: What is Obsessive Compulsive Disorder (OCD)?

Plastic Surgery: Facial Rejuvenation without Surgery

Addressing Change: The Other Facts of Life

Float Therapy: Learning to Float

Temporomandibular Joint Disorder (TMD): Is Your Jaw Giving You a Headache?

Fitness: Really Get Your Heart Pumping

Bleeding Disorders: Exercises for Children and Adults with Bleeding Disorders

Healthy Pets: Dogs with Separation Anxiety

Men's Health: Erectile Dysfunction– When Medication Isn't the Answer

Rejuv Integrative Medical Offices: Be Aware of Heart Disease

Community News: Quality Quest For Health of Illinois Awarded $2.24 Million Grant

Personal Response Systems: Peace of Mind for Older Adults

This Month’s Cover Story:

2012 Volume 14, Issue 11

Proctor Hospital

Raising the Bar for Behavioral Health Care page 20

Cover and feature story photos by Daryl Wilson Photography Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in central Illinois.

For advertising information, contact Kim Brooks-Miller 309-681-4418 email: peoria.healthycells@hotmail.com Visit Us On Face Book Healthy Cells Magazine is a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

letter from the owner

Remembering Our Unsung Heroes… R

emembering our unsung heroes is always important. Learning about them is even more amazing—even if their heroism was 100 years ago. Have you ever heard of John Harper? He was a widower with a 6-year-old daughter and a passenger on the Titanic. His destiny was to be a part of Moody Church in Chicago, IL. When disaster hit, he shouted “Women, children, and the unsaved, into the lifeboats.” He placed his daughter on a lifeboat and started helping other passengers on deck while the ship was sinking. Harper was also seen helping others in the freezing waters. One young man, who was near shock, was not interested in what Harper had to say about his message of faith. With this, Harper took off his life vest and said, “Then you will need this more than me.” Harper then swam off to help others. The young man did survive and told the story of his encounter with John Harper at a survivors meeting. He shared how John, a perfect stranger, gave him his lifejacket, which saved his life and shared Acts 16:31 with him, which changed his life. Would you ever think of laying down your life for someone else, especially a perfect stranger? This is what is so amazing to me about this story. Maybe there is an unsung hero you know or remember. Be sure to tell that person “thank you” or share their memory with someone else. We are the fortunate to know and remember. Have a blessed Thanksgiving! Sincerely,

Photo Courtesy of Photography by Jill

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Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questions call: 309-681-4418 or e-mail: peoria.healthycells@hotmail.com Healthy Cells Ad - Daniel_Layout 1 12/1/11 12:06 PM Page 1

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fall safety

Tips to Prevent Slips and Trips By Lori Draeger, CRTT, ProCare

o one ever plans to fall. Falls have happened to all of us at one time or another. A little trip on a rug or a missed step can cause something as minor as a bruise, or as major as a broken bone. There are many steps that can be taken to help prevent falls from happening in the home. Let’s start with a few inexpensive fall safety tips. Make sure there is adequate lightening in all rooms of your house, especially in the entrances. It is important to see any obstacles that you may encounter. Remove all unnecessary rugs to prevent tripping. Place items that you use most frequently towards the front of your cupboards so you won’t have to reach in as far, which can cause you to become unbalanced. Place non-skid, bathroom mats in front of the shower or tub to absorb water after bathing to prevent slipping. There are many products on the market that can be purchased to help prevent someone from falling. Grab bars not only can be used in bathrooms, but can be placed near doorways or where someone needs assistance getting up. They come in many styles, lengths, and colors. There are also grab bars on the market with suction cups to attach to smooth walls and/or ceramic. Most of these grab bars have an indicator on them so you know when they need to be reattached. Shower chairs, bath stools, and benches can give one a sense of comfort and safety while bathing. The height is adjustable to fit everyone’s needs. When shopping for bathroom safety items keep in mind how much space you have in your bathroom. Bathroom aids take up space and you want to make sure they are going to fit with your existing fixtures. They also have weight guidelines for your safety. If you have questions on the restrictions of a product be sure to discuss them with the retail associate before you purchase. If a fall has already occurred to you or a loved one and is being treated in a hospital or a rehab facility, talk with the therapy department to see what they would recommend to make your home environment Page 8 — Healthy Cells Magazine — Peoria — November 2012

safer. Fall screenings and balance screenings are great ways to assess your balance and provide great tips to keep you safe in your home. Get your vision checked regularly also. There are many different insurance plans out there, but generally speaking, bathroom aids, such as grab bars, toilet raisers, bath benches, and other bathroom items are not covered by insurance, even with a doctor’s prescription. You should always discuss with your physician any changes in your health including dizziness, vision loss, blood pressure, weakness, or if you do not feel safe in your home. For more information on durable home medical equipment, contact ProCare Home Health Services at 309-347-4663 or visit us online at www.procareillinois.com. Visit our showroom at 1416 N. 8th Street, Pekin, Illinois.

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nutritional

What We’re Eating is Making Us Fat!

Meg Kinsella

Dr. Robert S. Kinsella

By Meg Kinsella, President, Sustain Weight Loss Solution and Dr. Robert S. Kinsella, Weight Management Expert and Chief Medical Officer of Sustain Weight Loss Solution

f we are what we eat, Americans should be breaded, deepfried, and sugar-coated. While our parents and grandparents may have been the greatest generation, our generation may be remembered as the widest generation. It is plainly obvious that something fundamental has changed to cause more and more of us to become overweight and obese. We believe the evidence is currently compelling that for many of us, carbohydrates are not our friends and are, in fact, the key to the obesity epidemic. The old paradigm of calories-in vs. caloriesout fails to account for the ways our bodies respond to different foods. A calorie is not a calorie! Page 10 — Healthy Cells Magazine — Peoria — November 2012

Our bodies respond differently depending on where a calorie is coming from. Proteins and fats do not cause the extreme insulin response that carbohydrates do. Both simple (sugar, high-fructose corn syrup) and complex carbohydrates (potatoes, crackers, chips, bread, cereal, rice, pasta) cause radical increases in insulin levels. This phenomenon is particularly marked in those of us who have the “propensity to fatten.” Insulin causes more fat to be stored in fat cells and prevents muscle cells from using fat as energy. Despite the above being widely accepted and non-controversial, the debate rages on. Many trial balloons of theory have been

floated only to be popped by a pointed fact or two. Let’s review these approaches: ”Just diet and exercise.” Doctors have been telling people since the 1950s to simply diet and exercise. This is obviously ineffective. Just look around you at any mall. While these well-meaning healthcare providers have been giving this well-worn advice, Americans have been getting fatter, and fatter, and yet again, fatter. This calorie-in/calorie-out approach ignored the underlying physiological dysfunction that is at the root of the “propensity to fatten.” ”Our sedentary lifestyles have caused us to fatten. ” It may surprise some to learn that exercise, while healthy, has been found to be largely weight neutral: it does not result in weight loss without a change in diet. According to several studies, exercise may in fact, cause weight gain when not coupled with dietary changes, as it tends to increase appetite and increase consumption. Despite what the infomercials on TV may say, exercise does not “burn fat.” Exercise burns whatever fuel your body gives to the muscle to burn: if you eat enough carbohydrates this usually means burning blood sugar (glucose) not fat. ”We need to eat less fat and calories in our diet.” According to surveys conducted by the Centers for Disease Control and Prevention, we have as a country consistently decreased the amount of fat we consume over the last four decades. However, we have continued to become ever more over-

weight and obese. Eating less fat but not decreasing overall intake (i.e. carbohydrates) will not result in either weight loss or, indeed, weight maintenance for most of us. Studies have also found that simple calorie restriction may result in initial weight loss but is seldom maintained over time. While it is counter-intuitive, we must eat to lose weight and maintain weight loss long-term but change the sources of nutrition. We believe that for most of us, the solution is to eat less simple and complex carbohydrates on an ongoing basis. This makes physiologic sense. These foods cause us to be in fat storage mode and encourage our bodies to become dependent on continuing to consume these foods in order to function. Only by withdrawing from this dependency completely, can we change our bodies from a fat-storing machine to a fat-burning machine. It is time we view the “propensity to fatten” like we view other diseases like asthma. We do not blame the asthmatic for having their disease so why do we blame obesity on the individual. Those of us with the “propensity to fatten” need to be taught how to manage their disease just as an asthmatic learns to manage her disease. Management must start with the root cause and the root cause is high insulin levels caused by high carbohydrate intake. Educating those, like us, with the “propensity to fatten” about how to manage their disease will help us combat the obesity epidemic one person at a time. Ready to start losing weight and keep it off? We have the answer at Sustain Weight Loss Solution. Call today at 888-940-diet (3438) or visit us on-line at www.sustainweightlosssolution.com.

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physical

Are You at Risk for Sudden Cardiac Arrest?

Dr.Timir Baman

By Sara Browning

ne local hospital is launching an awareness campaign designed to inform individuals regarding their potential risk for sudden cardiac arrest. It touches an estimated 325,000 people each year and claims a life every two minutes, taking more lives annually than breast or lung cancer alone. Individuals who are unfamiliar with the risk factors are more likely to become victims of this serious health condition. Fortunately, OSF Saint Francis Heart Hospital and HeartCare Midwest have teamed together to educate Central Illinois residents on the risk factors and dangers associated with sudden cardiac arrest (SCA). “The public wasn’t being educated about how to decrease their risk for sudden cardiac arrest,” says Timir Baman, MD, Cardiac Electrophysiologist at HeartCare Midwest and OSF Saint Francis Heart Hospital. “This awareness campaign educates people on how they can evaluate themselves to see if they are at increased risk.” Page 12 — Healthy Cells Magazine — Peoria — November 2012

Understanding SCA flow to the heart is severely limited, causing the heart to spasm. During sudden cardiac arrest, abnormal heart rhythms known as arrhythmias interfere with the electrical signals in the heart that synchronize heart function, causing the heart to stop completely and without warning. In the absence of an effective heartbeat, SCA deprives the brain and other organs of blood flow leading to death in 90 percent of SCA cases. Individuals facing the highest risk are those who have experienced a heart attack, congestive heart failure, and those who have undergone heart surgery. Are You Under 35? A person’s ejection fraction (EF) score can help determine their risk of SCA by revealing how strong their heart is pumping or how much blood the heart pushes out when it beats. The ejection

fraction is the percentage of blood pumped out of a ventricle with each heartbeat. The left and right ventricles compose the bottom chambers of the heart. Individuals facing a high risk for SCA due to a previous heart attack, heart failure, or heart surgery should consult their physician regarding a simple test they can take to determine their EF score and whether or not they require treatment. Physicians can use an echocardiogram, cardiac MRI, cardiac catheterization, or nuclear imaging to measure EF. Ejection fraction scores between 55 and 75 percent are considered normal for the left ventricle. However, a lower EF score, such as an EF of 20 percent, indicates that 80 percent of the blood remains in the ventricle rather than traveling to areas of the body where it is needed. A score below 35 percent places an individual at risk for sudden cardiac arrest. Treatment & Prevention One treatment option recommended for individuals who are at very high risk for cardiac arrest involves a surgical procedure to place a cardioverter defibrillator under the skin of the chest. The defibrillator delivers electrical shocks to the heart when an arrhythmia is detected in order to restore a heart’s normal rhythm. “A person can qualify for a defibrillator if he has an EF score below 35 percent,” says Dr. Baman. “About half of individuals who need a defibrillator have one, and the survival rate is slim for those without one. This is why it’s really important to raise awareness of sudden cardiac arrest prevention.” Dr. Baman says individuals at high risk for SCA due to heart attack, heart surgery, or heart failure can also reduce their risk by

“It touches an estimated 325,000 people each year and claims a life every two minutes, taking more lives annually than breast or lung cancer alone.” maintaining a healthy lifestyle encompassing a nutritious diet and exercise. “The more educated patients are, the better care they receive,” he says. “We give the public a very simple message they can understand to help them improve their healthcare.” For more information on sudden cardiac arrest and OSF Saint Francis Heart Hospital and HeartCare Midwest’s sudden cardiac arrest awareness campaign, visit www.heartcaremw.com/EF. Timir Baman, MD, graduated from Pennsylvania State College of Medicine and received his cardiology fellowship and his electrophysiology fellowship from the University of Michigan Hospital, located in Ann Arbor, Michigan. He specializes in cardiac electrophysiology, radiofrequency ablation, including atrial fibrillation ablation, arrhythmia management, and pacemaker and defibrillator implant and management.

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emotional

What is Obsessive Compulsive Disorder (OCD)?

Dr. Ryan Finkenbine

By Ryan Finkenbine, MD

bsessive compulsive disorder (OCD), a form of anxiety, occurs in up to four percent of Americans. The average age of onset of the disorder is around 20. Males and females are affected about equally. Hallmark symptoms of the disorder are obsessions (recurrent unwanted thoughts, images, or impulses that trigger significant distress) and compulsions (repetitive behaviors or thoughts that attempt to neutralize the distress). Although mild forms are most common, in severe cases the symptoms consume a person’s life and cause debilitating emotion and dysfunction. Page 14 — Healthy Cells Magazine — Peoria — November 2012

Unwanted recurring fears associated with OCD tend to follow themes such as contamination, scrupulosity (fear of committing a sin), fear of unintentionally causing harm to self or others, superstitious fears, discomfort with lack of symmetry, or fear of not having done something “just right.” Compulsive behaviors attempt to reduce the distress caused by the obsessions. For example, a person with a contamination obsession will wash his hands many times per day; a person obsessed with symmetry will spend hours aligning and re-aligning objects in the room. Other examples of

obsessions include: belief that something is wrong with the body, that a person will “blurt out” a curse word in public, that the stove or other appliance has been left on, or that doors have been left unlocked. Compulsions include the need to check to “be sure”, to count to a certain number, to repeat a behavior until it is “perfect”, or to hoard items. Most persons with OCD have both obsessions and compulsions. Some persons have several of each. The symptoms are recognized by individuals as unreasonable, unpleasant, and problematic, yet they feel little control over them. Family members are frequently distressed by the symptoms and can become antagonistic toward the sufferer, or alternatively, may try to reduce distress by actively participating in the compulsions, unknowingly reinforcing the troublesome behaviors. Genetics play a role in the development of OCD. The probability of developing the illness is up to five times higher if a parent has the disorder. Although the exact cause is not known, a brain chemical called serotonin seems to be associated. There’s not much scientific evidence that parenting or childhood upbringing has a role in the onset of the problem, but social stressors may worsen symptoms once OCD develops. The severity of OCD symptoms vary among individuals and can even change within an individual over time. Fortunately, most persons have mild symptoms, sometimes which end on their own without treatment. Others encounter more severe symptoms that can be gravely debilitating. Occasionally a person is so engulfed in obsessions and compulsions that they cannot leave the home, function at work, or maintain relationships. Sadly, the persons most in need of care are often unable to seek it.

Medications and specific psychological treatments form the mainstay of treatment for OCD. Research has shown that medications that regulate serotonin in the brain will lead to improvement in the majority of OCD sufferers. Although some family medicine doctors feel comfortable treating OCD, most believe a psychiatrist is better positioned to manage the illness. Exposure and response prevention, a form of cognitive behavioral therapy, has shown superior efficacy and can result in significant improvement in daily functioning. Expert guidelines suggest that persons with OCD should seek care from a therapist who has specialized training and skill in cognitive behavioral therapy and OCD-specific techniques to achieve optimum outcomes. The stigma associated with OCD remains an important social challenge. Because the obsessive thoughts and compulsive behaviors seem so foreign to persons without the illness, a lack of understanding broadens the distance needed for empathy. The media plays a role through movies and television by highlighting the most unusual of symptoms, however unlikely or rare. Persons with the disease may take solace in knowing that OCD is relatively common and, with professional help, it can be treated and managed. For more information, contact the NAMI office at 309-6930541and/or visit our website at www.namitri-county.org. Dr. Finkenbine is Professor and Chair, Department of Psychiatry and Behavioral Medicine at the University of Illinois College of Medicine at Peoria.

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on-surgical facial rejuvenation is the most common plastic surgery procedure done in the world today. According to the American Society for Aesthetic Plastic Surgery statistical data, in the United Sates, almost 7.5 million nonsurgical cosmetic procedures were performed in 2011. The population is accepting their advancing age by taking better care of themselves—living longer and healthier lives. They do, however, want to look as good on the outside as they feel on the inside. The best recommendation for looking your best is good skin care. Applying a good sunscreen with UV-A and UV-B protection every day is essential. This will help prevent many of the fine lines and wrinkles that sun damage and aging can create. Some patients will require topical treatment to correct the damage the sun and sands of time have made. Combining glycolic acids, bleaching agents, and retin-A, under the care of your plastic surgeon, can provide significant improvement in the texture of your skin, remove unwanted age spots, and firm up the fine lines that prevent aging from looking graceful. Dermesse skin care products combine prescription medications in a convenient form. Even more aggressive treatments can include chemical peels and laser treatments. Everyone has heard of BOTOX ®. Now there are two additional botulinum toxin agents that act similarly. While Botox injections do limit muscle action, in well-trained hands it is performed in a very limited area of treatment, being able to fine-

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Are your medications causing nutritional deficiencies? Many common prescription medications can cause serious long-term health deficiencies. Come join this informative discussion about how these medications affect your body and what supplements you can take to help. 1:00pm and 6:30pm, Wed. Nov. 28th Joy Miller and Associates, 7617 N Villa Wood Lane, off Pioneer Parkway

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www.essentialwellnesspharmacy.com Page 16 — Healthy Cells Magazine — Peoria — November 2012

tune the results to the patient’s desires. The results in alleviating eyelid wrinkles and frown lines are impressive. Foreheads filled with worry are made smooth. And low eyebrows can be lifted by injecting between the eyes and in the smile lines next to the eyes. Newer uses include very small doses to the upper lip to battle lip lines, injections to the sides of the nose to prevent the bunny lines and even treatment of the vertical bands of the neck to make the “turkey gobbler” smaller. A few units of Botox near the chin can help raise the drooping corners of the mouth. A cobbled chin on extremes of expression can be smoothed out with Botox. When a patient has deep lines and wrinkles, filler may be needed to soften those lines and smooth the deeper wrinkles. What is even more exciting is the combination of Botox with the filler JUVEDERM® in the area between the eyes, which can prolong the effect beyond the anticipated 12 months. The most promising new, nonsurgical use of filler is injection of the tear trough, that indentation between the lower eyelid and cheek. Small amounts, placed at the right level, provide significant improvement in the appearance of the eyes hiding a baggy lower lid and dark circle, many times making surgery unnecessary. Juvederm is also used to enhance the upper and lower lips, as full or as subtle as each patient desires. The vertical lines of the lips can be significantly reduced with Juvederm. Acne scars, facial imperfections, and scars from trauma can be improved with fillers. Temple indentions and hollowing out of the cheeks are treatable with fillers. Mild nasal imperfections can be camouflaged and modest chin augmentation is performed by trained, board-certified plastic surgeons. The future continues to provide enhancements for facial rejuvenation. Coupling the latest in topical and injectable therapies will

provide significant improvements in correcting, concealing, and accepting the signs of our advancing age. Dr. Poulter was a member of the Botox Cosmetic National Educator Faculty, training physicians in techniques for Botox injections and was a clinical investigator in the Juvederm Experience Trials prior to FDA approval of its release. Dr. Poulter is an EXPERTINJECTOR™. Visit www.expertinjector.org to look him up and learn more about non-surgical facial injections and the qualifications of the expert injector. For more information, you may contact Dr. Jeffrey Poulter at 309-692-6869 in Peoria or 309-663-1222 in Bloomington, or call toll free 888-841-4108. Dr. Poulter’s offices are at Senara Health and Healing Center and Senara Spa in Peoria and at Eastland Suites in Bloomington. You may prefer to email info@drpoulter. com. Visit www.drpoulter.com for additional information, before and after photos and videos of various procedures. Resources for this article: The American Society for Aesthetic Plastic Surgery (www.surgery.org) American Society for Aesthetic Plastic Surgery, Cosmetic Surgery National Data Bank Statistics 2011 Technique Issues in Nonsurgical Filling of the Periorbital Hollows. Klein AW, Aesthetic Surgery Journal May/June 2007 www.InjectableSafety.org www.Expertinjectors.org

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HeritageOfCare.com/chillicothe November 2012 — Peoria — Healthy Cells Magazine — Page 17

addressing change

The Other Facts of Life Starting the Conversation About Your Parents’ Changing Needs Submitted by Lutheran Hillside Village

he hardest conversations always seem to center around the facts of life, don’t they? When you were growing up, chances are one of your parents sat you down for The Big Talk. Now it’s your turn to come to your parents for a Big Talk of your own. The Other Facts of Life are that everyone ages, and that, at some point, everyone’s needs change. This could mean giving up the car keys, looking into in-home help, or even deciding that living at home is no longer the best option. Whatever form this change takes, talking about it can be difficult… but it doesn't have to be. Here are six tips on how to open the lines of communication. 1. Keep an eye out for the signs of need. When it comes to your parents, changes are happening, but they’re so slow and gradual that it can be hard to tell. It’s helpful to have a few things to look out for when you visit your mom and dad that can serve as “red flags.”

Page 18 — Healthy Cells Magazine — Peoria — November 2012

Is unopened mail piling up? Are the walkways in their house cluttered? Is there spoiled food in the refrigerator? Are they starting to miss appointments? These are all signs that it’s getting harder for them to take care of themselves. 2. Start early. When it comes time to make a decision, no one likes being backed into a corner. But that’s just how many older adults feel when it comes time to consider finding help in their retirement years. That’s why it’s so important to begin the conversation about future living arrangements early, when the situation isn’t urgent and your family members aren’t feeling stressed. 3. Put yourself in their shoes. Everyone wants to believe that they will always be able to live independently. As the child of an aging parent, chances are you would like to believe that about your mom and dad as

well. Holding onto that belief is easier than facing up to The Other Facts of Life — that sooner or later, everyone needs to seek out assistance. The important thing to remember is that, by taking proactive steps, you can help your parents prolong their independence. 4. Gather your team. While having The Big Talk can be a daunting idea, you don’t have to handle it alone. Look to the people whose lives your parents have touched—especially their friends, your siblings, other family members, and the clergy and parishioners from your parents’ church. Chances are there are a lot of people with a vested interest in making sure your mom and dad are okay. 5. Make it your concern, not their problem. Confess your concerns to your parents. (“I’ve noticed that you seem to be having some trouble keeping the house as straight as you used to. I’m getting worried about you, Mom.”) Then, begin a conversation with a few respectful questions. (“Can we talk about what this means? What do you think about the possibility of looking into getting some help for you?”) This puts the emphasis on your concerns rather than on their problems. Sometimes the knowledge that their issues are becoming apparent to people around them is enough to spur them to action. 6. Visit senior living communities. The idea of moving to “a home” is a specter that looms large in the minds of many older adults. What they may not know is that today’s senior living communities are a far cry from the “old folks homes” that your parents remember visiting in their youth. Do some research. Find places you think your parents would like. Then, ask those communities for copies of their monthly activity calendars. Chances are there 1are10/9/12 some upcoming you 1 Healthy Cells spine ad:Layout 6:46 events AM Page

and your mom and dad could attend to help them get a taste of what life is like there. If you’re looking for a place for your Mom or Dad, Lutheran Hillside Village is a great place to start. One of Peoria’s most comprehensive senior living communities, we offer an active, engaging lifestyle for older adults of many ability levels. To learn more, call 309-692-4600 or visit LutheranHillsideVillage.org today.

Enjoy life knowing

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Protecting your world of experience with ours. November 2012 — Peoria — Healthy Cells Magazine — Page 19

feature story

Proctor Hospital

Raising the Bar for Behavioral Health Care By Sara Browning A personal message from Paul E. Macek, President & CEO, Proctor Health Care On October 30, 2012 the Center for Senior Behavioral Health opened at Proctor Hospital. This comprehensive 18-bed inpatient unit is unique to Peoria. I am excited to announce that Proctor Hospital has taken a leadership role in an area of geriatric psychiatry where the need is so pervasive. In 2010, according to the U.S. Census Bureau, there were 40.3 million Americans age 65 and older. By 2030, it is expected that number will increase to 72.1 million. Locally, that same Census Bureau report shows a high concentration of seniors in Peoria County—13.5 percent of the population is over the age of 65—compared to the rest of the State where 12.5 percent of the population is 65 and older. By 2020, the senior population in the Tri-County area will increase by 31 percent. With nearly 20 percent of individuals 55 and older experiencing behavioral health problems that are not part of normal aging, according to the American Association for Geriatric Psychiatry, the need is great and it is pressing. Since 1994, the Counseling Center at Proctor Hospital has provided comprehensive outpatient counseling services to older adults. That, along with our 33 years of experience in inpatient and outpatient addiction treatment, uniquely positions us to provide a more intensive level of mental health care for older adults and answering this growing need. “For the past 37 years I’ve practiced inpatient and outpatient psychiatric care. I am aware of the unique problems of treating psychiatric patients with severe comorbid medical problems— the Center definitely fills a void,” says Center Medical Director, Bradford Colen, MD. “Older adults have specific needs that are best addressed in programming focused on their specific stage of life. Physical illnesses, medications, and the psychological and social stresses of aging can often complicate diagnosis and treatment. Most importantly, addressing comorbid mental and medical health problems helps to decrease emotional suffering, improve physical health, lessen disability, and provide a better quality of

life for patients. You’ll also see a reduction in health care expenditures because you’ll reduce primary cares visits and likely reduce the need for additional medical procedures and medications.” In a July 7, 2012 USA Today article, Associated Press writer, Lauran Neergaard, speaks to Dr. Colen’s point saying, “…older adults with untreated depression are less likely to have their diabetes, high blood pressure, and other physical conditions under control— and consequently wind up costing a lot more to treat.” The Center for Senior Behavioral Health will provide a comprehensive continuum of care for patients that experience a number of acute or chronic psychiatric conditions such as severe depression, suicidal tendencies, anxiety, psychosis, or bipolar disorder. Patient care plans will include medical management, nursing care, psychological testing, social work, needed therapies, and nutritional support. The Center also will provide a high degree of observation, care, and safety. The Center’s primary market area includes communities within a 50 mile radius from Proctor Hospital. Among the 40 inpatient beds currently dedicated to adults for mental health care, within this primary service area, very few are designated specifically for the geropsychiatric patient. A recent Journal Star Reader Forum headline stated simply, “More Mental Health Help Needed.” I am excited that we can now provide more mental health help for the geriatric population—and continue to serve our mission to central Illinois providing unmatched healthcare experiences—every day.

Proctor Hospital is making good on its mission to provide unmatched health care experiences everyday with the introduction of the Center for Senior Behavioral Health. In the business of providing behavioral health care since it began addiction and mental health treatment in 1979, Proctor Hospital in Peoria, IL, is now taking geriatric health care to a new level. The Center for Senior Behavioral Health addresses the continuous need for behavioral health care in the Central Illinois community with a unique focus on the mental health needs of the geriatric population. “Proctor Hospital has long provided substance abuse and mental health services to patients, so the creation of this new facility has been a natural outgrowth of those services now centered Page 20 — Healthy Cells Magazine — Peoria — November 2012

entirely on senior care,” says Angie Moore, Executive Director for Behavioral Health at Proctor Hospital. “The community offers some psychiatric services, but none of these services is exclusive to the senior population,” says Angie. “There is no geriatric psychiatry unit in Peoria, only facilities that treat seniors in combination with other patients. The Center for Senior Behavioral Health provides a place for senior patients with special behavioral needs to receive one-on-one attention from professionals that specialize in treating their behavioral condition.”

Assessing Individual Needs Composed of an interdisciplinary team consisting of psychiatric nurses, social workers, psychiatrists, and physicians, the Center for Senior Behavioral Health addresses such mental health issues as depression, anxiety, psychosis, dementia with mood and behavioral issues within the framework of a short-term inpatient stabilization facility providing comprehensive individualized care to seniors 65 and older. The Center offers various services specially designed for the senior population to address its unique needs. “We offer individual counseling, group counseling, activity therapy, education and medication management,” says Heidi Sauer, Director of the Center for Senior Behavioral Health. Many patients are referred directly from the emergency department where they may present for psychiatric help. Following the initial screening process, geriatric patients participate in a consultation with their physician and a psychiatrist. “From there, we conduct a more in-depth analysis of a patient’s needs to develop an individualized treatment plan,” says Angie. Once patients have completed their stay at the Center, psychiatrists make recommendations for the patients to return home where their family is the primary support giver or to the most suitable placement. Proctor Hospital employs a Community Education Coordinator to assist with the patient referral process and with creating a smooth pathway for the patient in and out of the facility.

Angie Moore, Executive Director for Behavioral Health discusses a patient treatment plan with Rebecca Lydic, Licensed Social Worker.

Licensed Social Worker Audrey Branter enjoys a conversation during a patient interview. November 2012 — Peoria — Healthy Cells Magazine — Page 21

feature story

continued “We make decisions based upon what is most appropriate given the patient’s individual needs,” says Angie. “An individualized treatment plan derived from intensive patient assessment assists the Center in an approach geared specifically to each patient.” Delivering Professional Care The Center for Senior Behavioral Health provides geriatric patients with the necessary staffing and structural components to allow seniors to feel secure in their new environment. The 18-bed facility has been newly renovated and consists of a dining area, lounge, a space for group therapy and offices. The interior design creates a safe and calm atmosphere. “Our patients feel safe and secure in our Center,” says Heidi. “We’ve taken steps to ensure we have qualified and professional staff on board. That is our strong suit.” Professionals at Proctor Hospital will assess behavioral outcomes in the patient population as a part of a quality improvement process to make certain seniors receive optimal care on an ongoing basis. “We take pride in our ability to provide unmatched senior behavioral healthcare,” says Angie. “There has been much attention to detail to ensure the right treatment team, the right environment, and evidence-based best practices to ensure the highest quality care.”

Amber Bowcott, AD, Activities Therapist, looks on during a game of Yatzee.

For more information on Proctor Hospital’s Center for Senior Behavioral Health, visit www.proctor.org or call 855-472-7788.

A morning staff meeting brings smiles. Heidi Sauer, MA, LCPC, standing, is Program Director for the Center. Page 22 — Healthy Cells Magazine — Peoria — November 2012

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November 2012 — Peoria — Healthy Cells Magazine — Page 23

float therapy

Learning to Float By Alma Sander-Landis, LMT

he floatation tank, invented in the 1950s, is a small, enclosed pool, eight feet long, four feet wide and four feet high containing 10 inches of water with 800 lbs of Epsom salt. Epsom salt has been used for centuries for its health benefits. The tank’s water is heated to 93 degrees, simulating skin temperature. It is triple-filtered and ozone-treated, making it cleaner than ordinary pool water. The extreme density of the water enables one to float effortlessly with their face out of the water, creating a remarkable feeling of weightlessness. Free from the resistance forged by gravity, temperature, touch, sight, and sound on the muscles, nervous system, and sense organs, the flotation tank allows the body and mind to enter deep levels of relaxation within a short period of time. Floating may also be referred to as Restricted Environmental Stimulation Therapy or REST. Much as resting the body is beneficial outside of water, REST acts like a reset button for the entire body, mind, and muscles. “I go in the tank stressed, tired, and achy, and come out relaxed, rested, alert and ready to face the world again,” says Metamorphis’s client Cara. Cara’s naturopath recommended she use a tank to help her combat stress from long work days, a decision she is pleased to have made. “Being in the tank is an experience that is hard to describe. It is a time of no light, no sound, and no sensory input. It is just you and your thoughts. I love it for the way it helps me in so many ways, physically and mentally, being relaxed and rested yet invigorated and full of energy,” Cara said. Floating is able to provide numerous health benefits to those who practice it. Floating alleviates sports injuries by decreasing pressure on athletes’ sore joints and muscles. It reduces chronic pain, anxiety, and stress, and benefits circulation. Increased circulation can speed healing. The Epsom salts in the water are beneficial for sore and aching muscles. Visualizing performance enhancement within the tank can help to optimize performance enhancement on the field. Chronic pain relief is another benefit to utilizing a floatation tank. Chronic pain patients report more short-term and long-term pain relief from floatation than from other therapeutic modalities, according to Thomas H. Fine of the Medical College of Ohio. Chronic pain also responds to the sensation of weightlessness. Near weightlessness increases circulation to compromised joints. Weightlessness, coupled with reduction in cortisol levels, aids in chronic pain relief. Floatation REST treatment has also been known to elevate participants’ optimism and reduce degrees of anxiety or depression, according the National Center for Biotechnology Information. Page 24 — Healthy Cells Magazine — Peoria — November 2012

Floating encompasses numerous other benefits, some of which include renewed energy, an improved sense of well-being, increased mental and physical resiliency, enhanced athletic performance and shorter recovery time, deeper meditation, and increased creativity and performance. “The first time I came out, my mind seemed to be whirling with creativity,” Cara said, “I loved it. I would definitely recommend the tank to anyone needing an extra boost to make it through the daily grind.” Individuals who float may create any type of environment they desire as they relax and unwind. Individuals may shut the tank door to float in complete darkness or leave the door open. While floating in darkness or silence, a person’s mind is free to contemplate without sensory distraction, which can enhance mental creative processes. Likewise, participants may float in silence or take advantage of CD stereo equipment available for audio input. A person’s body is allowed to rest and heal while the brain pumps out dopamine and endorphins associated with pain relief. Once the mind is allowed to clear, individuals are amazed at the new level of relaxation achieved with near weightlessness. Combine a one-hour float with a one-hour massage therapy session for the ultimate blissful, pain-relieving session. For more information on float sessions or make an appointment, contact Alma Sander-Landis, LMT, at 309-645-1087. Visit almasanderlandis.massagetherapy.com.

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November 2012 — Peoria — Healthy Cells Magazine — Page 25

temporomandibular joint disorder (TMD)

Is Your Jaw Giving You a Headache? Submitted by Illinois Institute of Dental Sleep Medicine

f you have a headache, your first reaction may be the medicine cabinet for pain relief or a visit to the doctor. However, if the problem persists it might be something you should mention to your dentist as the cause may actually lie in your mouth. Dental treatments for headaches are highly effective and are beginning to gain credibility within medical circles. So much credibility, in fact, that one of the nation's largest headache groups recently recognized dentists as having a role in the diagnosis and treatment of people with chronic headaches. Dr. Rod Willey of the Illinois Institute of Dental Sleep Medicine has seen a significant percentage of his patient’s benefit from a dental treatment for their headaches. “I have many patients who come to me complaining of headaches, jaw and facial pain as well as pain in the ears, never realizing that their pain was caused by a misalignment in their jaw,” says Willey.

Tension Headaches Linked to Jaw It is believed that 45 million Americans have disabling, chronic headaches, and the economic costs due to job absenteeism, lost production, and medical expenses are estimated to be as high as $50 billion annually. Approximately 35 million also suffer from TMJ problems known as Temporomandibular Joint Disorder (TMD), caused by an imbalanced bite. When the joint causes pressure to be put on the nerves, muscles, and blood vessels that pass near the head, pain can result. “If you suffer from continual headaches or migraines, especially first thing in the morning, pain behind your eyes, jaw clenching or teeth grinding, sinus pains, and pains in the neck or shoulders, you should consider visiting your dentist, as well as a doctor, as soon as possible,” says Willey. Many people have imperfect dental occlusion yet never show symptoms as they adjust to their problem. For those who do suffer, teeth and gums may be affected, and instead of headaches, you may encounter broken teeth, fillings, loose teeth, and toothache with no apparent cause. If you have any of these problems, you should see a dentist right away. Patients suffering from these symptoms usually consult their primary care physician first, and then are referred on to an ENT or Neurologist dependent upon their symptoms. If the symptoms persist, the specialists may then refer them on to a dentist to rule out jaw problems associated with TMD. More and more physicians are realizing the benefits of a dental treatment for TMD. “We have a number of ENT’s and Neurologists that have referred their patients to us when their symptoms showed signs of TMD,” says Willey. Mouthpiece May Treat Tension Headaches Simply normalizing the bite with a custom fitted mouth appliance resembling an athletic mouth guard can help many headache sufferers. These non-invasive appliances, called orthotics are created to find the true rest position for the jaw, which promotes healing and maintains the new, corrected bite position. While the orthotic will temporarily Page 26 — Healthy Cells Magazine — Peoria — November 2012

stabilize the jaw, permanent stabilization may be necessary. Options may include wearing a long-term orthotic, providing orthodontic treatment, placing crowns or veneers on the affected teeth, or creating a neuromuscular denture. For more information on treatment for headaches and TMD, contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, with a Diplomate from the Academy of Clinical Sleep Disorders Disciplines, Dr. Willey has limited his practice to the treatment of snoring, sleep apnea, and TMJ Disorders with oral appliance therapy. To contact them, call 309-565-8149 or email them at info@illinoissleepdoc.com.

November 2012 — Peoria — Healthy Cells Magazine — Page 27

fitness

Really Get Your Heart Pumping By Scott Gray

hat is a cardio workout? Cardio is the shortened version of cardiovascular, which means the heart is involved. A cardio workout increases your heart rate and then maintains an elevated heart rate for a specific amount of time. Cardiovascular exercises include jogging, swimming, and fast-paced walking without a break in the routine. The Benefits of Cardio Workout The list of benefits associated with cardio exercise is quite long; however, here are a few of the top reasons you should include cardio workouts in your regular fitness routine: • Quality, restful sleep • More energy • Stronger heart • Stronger, healthier lungs • Boost to your metabolism • Burn more calories • Lose weight • Relieve and reduce stress Your Target Heart Rate One of the most asked questions about cardio workout is, "How high does the heart rate have to be, and how long should it stay elevated?" A good rule of thumb to keep in mind is you should be slightly winded yet still able to talk comfortably. In order to get the most from your cardio workout, you need to determine your maximum heart rate. Simply subtract your age Page 28 — Healthy Cells Magazine — Peoria — November 2012

from the number 226 if you are a woman and from 220 if you are a man, the result is your maximum heart rate. You do not want to work out at your maximum heart rate; instead, you want to work out at your target heart rate, which is generally fifty to seventy-five percent of your maximum heart rate. When you are just starting out, aim for fifty percent and then increase to seventy-five once you are fit. To check your heart rate during your workout, gently place two fingers near the back corner of the jaw, just an inch or so down from the bone you should feel your pulse in the carotid artery. Count the beats for ten seconds, then multiply that number by six. This is the number of times your heart is beating per minute. A heart rate monitor is recommended for effective cardio workouts. The length of your cardio workout depends on your fitness level and personal goals. You need a minimum of thirty minutes per day, five days a week of cardio vascular exercise. If you can only work out three times a week, then you should do twenty minutes of vigorous cardio activity. It is important to understand that not everyone will be at these levels when they begin their programs. However, you need to focus on increasing your aerobic fitness to these minimums. In addition to cardio exercise, you also need to include strength training into your fitness plan. Scott Gray has been in the fitness industry for 25 years. He is an author and has a website: Fitness Tips 101 www.fitnesstips101.com.

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November 2012 — Peoria — Healthy Cells Magazine — Page 29

bleeding disorders

Exercises for Children and Adults with Bleeding Disorders By Kate Horst, Physical Therapist, IPMR

e have all heard about the benefits of exercise. Regular exercise reduces stress, depression, and the risk of suffering from several diseases such as heart disease, stroke, type 2 diabetes, high blood pressure, high cholesterol, obesity, arthritis, and certain types of cancer. For those with a bleeding disorder, exercise also decreases the risk of developing spontaneous joint bleeds. Bleeding disorders, including hemophilia and von Willebrand Disease, are more common than most people realize—affecting about 1 in 1,000 people. Fortunately, the availability of clotting factors greatly improves the quality of life for most individuals with a bleeding disorder. Bleeding in the joints (ankles, knees, elbows, etc.) can be a serious issue for people with bleeding disorders. Because the blood does not clot effectively, even a small internal injury can become serious and repeated bleeding into the joints can cause a painful form of arthritis. Physicians who treat bleeding disorders are able to recommend age-appropriate exercise. Physical therapists are often consulted to make sure the individual learns various exercises correctly and can safely perform the recommended regimen. Understanding how a joint works may help reduce your risk of joint bleeds. Muscles and tendons are attached to the bones at the joint. They are part of the support system of the joint capsule. The joint capsule completely encases the joint and is made up of very strong connective tissue and capsular ligaments. When considering participation in exercise or a sport, it is imperative you first condition these tissues. These tissues need to be slowly stretched and strengthened over a period of several weeks before you engage in vigorous exercise. This is especially important for those with a bleeding disorder because this is where the bleeding originates—in the tiny blood vessels of the capsule. Conditioning will greatly reduce your risk of developing spontaneous joint bleeds. For example, if you have conditioned by regu-

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larly performing a gentle stretching and walking program, you will be less likely to suffer joint trauma if you trip over a curb and fall. If your tissues are flexible and strong in a greater range of motion, they will be less likely to bleed when faced with a sudden traumatic stretch. If you want to go on a trip and spend a lot of time walking and sightseeing, you have much less chance of suffering a joint bleed if you have conditioned your body by doing regular exercise. Not only does regular exercise prepare you for everyday occurrences, but conditioning can make it possible for someone with a bleeding disorder to participate in a wide range of sports. Consult www.hemophilia.org and search “sports ratings” for a comprehensive list of sports and the risk level associated with each sport. Some of the sports best suited for people with bleeding disorders include golf, walking, hiking, swimming, biking, resistance training, and martial arts. Not only do these activities improve your health, but they can also boost self-confidence. This can be especially helpful for younger ones with a bleeding disorder who already feel different and may be self-conscious and scared. Don’t underestimate the benefits of exercise. It is powerful. We control our exercise program. We decide either to sit and watch TV or to go on a walk with our family after dinner. The key to beginning and sticking with an exercise program is to make it regular and make it reasonable. Start easy and gradually progress in frequency and intensity. Pick something you enjoy. Choose a time when you are motivated to follow through. Ask a friend to join you. Discover the benefits exercise can produce in you. Kate Horst is a physical therapist at The Institute of Physical Medicine and Rehabilitation. For more information, contact IPMR at 309-692-8110. Visit us online today to learn of our many services: www.ipmr.org.

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www.simplythefinest.net November 2012 — Peoria — Healthy Cells Magazine — Page 31

healthy pets

Dogs with Separation Anxiety

Twelve Tips From a Professional Canine Behavior Specialist By Nicole Wilde

s a certified professional dog trainer who specializes in behavior issues and has treated many cases of canine separation anxiety, I have seen first-hand how challenging the problem can be. Separation issues not only have behavioral consequences for the dog, but there is an emotional component for both dog and owner, which can make matters even more difficult. Fortunately, there are things you can do to help. Some dogs are hyper-attached to a particular person, while others simply do not like to be left alone. Anxiety levels range from mild to extreme, and may display as pacing, drooling, barking or other vocalizations, inappropriate elimination, and destruction, to name a few. In extreme cases, dogs may injure themselves trying to escape to follow their owners. It can be frustrating to come home to destruction and potty accidents day after day, and truly terrible to watch your dog suffer. So what can you do? • First, set up a video camera to record your dog’s actions when you are away. Reviewing the footage will help to you determine whether your dog seems anxious or upset, or is destroying things out of boredom. If it’s the latter, providing more exercise and mental stimulation should help. • Consider creative management solutions. If your dog remains calm as long as another dog is present, you could bring him to a doggy daycare center, or arrange for play dates with another dog. If that’s not possible, hire a petsitter, or bring your dog along when you do short errands. • Desensitize your dog to departure cues—those things that clue him in that you’re leaving. Pick up your keys and put them down immediately; put on your jacket and remove it. Do these things multiple times each day until your dog does not react. Page 32 — Healthy Cells Magazine — Peoria — November 2012

•T o prepare for a departure, choose an area your dog will feel safe, such as his crate or a gated off room; this varies by dog, as some anxious dogs may panic in a crate. • Be sure your dog is well exercised before you leave him. •P rovide a stuffed Kong or other tantalizing chew item that will last for some time. •Y ou can also place an item that smells like you (such as a t-shirt or sweatshirt you’ve been wearing, or a towel you’ve rubbed on your body) in his safe area to provide comfort. •Y ou may have to practice being physically separated but in sight first, then out of your dog’s sight but still in your home before you ever actually leave the house. Once your dog is ready for actual departures, leave for very short periods at first, starting with mere seconds. Gradually build to longer absences. Don’t push too far too fast, always making sure your dog remains calm. •C omplementary measures that can help include body wraps, psychoacoustically designed music, Dog Appeasing Pheromone (DAP), flower essences, and more. • I n severe cases, pharmacological intervention may be indicated. Consult your veterinarian or a veterinary behaviorist. •A trained professional can offer guidance and support. The Association of Pet Dog Trainers (www.apdt.com) is a good place to start. •D on’t Leave Me: Step-by-Step Help for Your Dog’s Separation Anxiety (http://bit.ly/94A8aG) is an in-depth workbook with step-by-step protocols, tips and techniques that allow you to customize a rehabilitation program for your dog. Cautious Canine (www.patriciamcconnell.com) is a shorter booklet, but has very useful information as well. Remember that progress will be made gradually. In mild cases, improvement may take only a few weeks. In moderate cases, it might take months. In extreme cases, complete recovery could take up to a year or more. The important thing is to stick with the program, seek help when necessary, and do not give up hope. Your dog is worth it! Nicole Wilde is a certified professional dog trainer and Internationally recognized author and lecturer. Her nine books include So You Want to be a Dog Trainer, Help for Your Fearful Dog, and Don’t Leave Me! Step-by-Step Help for Your Dog’s Separation Anxiety. In addition to working with dogs, Nicole has worked with wolves and wolf hybrids for over fifteen years and is considered an expert in the field. She is on the advisory board of the Companion Animal Behavior, and an advisory board member for the Association of Animal Behavior Professionals. Nicole writes an Ask the Expert column for Modern Dog Magazine, blogs for Dog Star Daily, and her own site, Wilde About Dogs (wildewmn.wordpress.com). A special thank you to Waggin’ Tails Doggy Daycare Resort of Goodfield, Illinois for sponsoring this article. For your doggy daycare, grooming, and kenneling needs, visit them today! Call 309-642-9299 or e-mail waggintailsresort@gmail.com.

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November 2012 — Peoria — Healthy Cells Magazine — Page 33

men's health

Erectile Dysfunction

When Medication Isn't the Answer

Dr. Joseph J. Banno

Submitted by the Midwest Urological Group

here are other satisfying solutions for restoring sexual function besides medication. Millions of men experience erectile dysfunction (ED), the persistent inability to maintain an erection firm enough to have sexual intercourse. Diabetes, heart disease, prostate surgery, and medications for other conditions are among common causes. “The good news is that nearly every case is treatable today," says Dr. Banno of Midwest Urological. The widespread use of medications for the treatment of ED has greatly raised the public's awareness of the issue. "These medications have helped many people restore their sexual function. They are highly effective and have brought many patients to my office to discuss their use," says Dr. Banno. "Unfortunately, they're not for everyone, leaving some feeling that they may be out of options." For instance, men taking nitrites for heart disease or those taking alpha blocking agents for blood pressure or prostate problems are generally not candidates for ED medication. In addition, some medications simply do not work for certain men. "When ED medication is not the answer, there are other medical options that can provide a satisfying solution," says Dr. Banno. One solution is the penile prosthesis, or penile implant. Entirely concealed within the body, the device is designed to be simple and discreet to operate, and it does not interfere with ejaculation or orgasm. "Of course, a surgical solution like a penile implant generally is not the first course of action," says Dr. Banno. "For most patients, the benefits of ED medication cannot be understated. But for those who can't benefit from those medications, a penile prosthesis may provide a permanent, satisfying option." Just ask J.C. who suffered from ED as a result of a radical prostatectomy to cure his prostate cancer. "The other options weren't working for me, so Dr. Banno talked to me about to the idea of a penile implant," he says. J.C. has a three-piece inflatable prosthesis, which features a pair of cylinders implants in the penis, a pump implanted in the scrotum, and a reservoir implanted in the lower abdomen. When the fluid is pumped into the cylinders, it creates an erection. "It has helped me and my wife to return to an active, satisfying sex life," says J.C. "We're thankful for that." Page 34 — Healthy Cells Magazine — Peoria — November 2012

Dr. Banno finds it a particularly rewarding part of his practice to help men who had all but given up on hopes of sexual intimacy, and to hear how they are thriving once again. "It's given us back our intimacy and made me feel like a man again," says J.C. Midwest Urological Group traces its history to 1945. With eight locations, the practice is the oldest and most innovative urological medical practice in Downstate Illinois that serves both female and male conditions. For more information on low testosterone, ED, or to schedule an appointment, contact 1-888-483-1637 or 309692-9898. They are located at 7309 N. Knoxville, Peoria, IL 61614. Visit them online: www.midwesturologicalgroup.com.

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Rejuv Integrative Medical Offices

Be Aware of Heart Disease Submitted by Shawn Snider, Rejuv Integrative Medical Offices, CNP

Rejuv Integrative Medical Offices now offers a means for a complete cardiovascular assessment • We can now see the degree and type of plaque, and also predict your risk of experiencing a heart attack, stroke, or blockage. • We can measure the degree of inflammation in the arterial wall or the size of the plaque that may contribute to the most common cause of death in America-- heart disease. • W e can measure the artery compliance to determine the condition of arteries. • W e can look at the amount of thicken in the artery layers (intima and medial layers) Carotid Intima Media (CIMT) Testing CIMT is more accurate in predicting disease than any other risk factor alone. “It measures endothelial function, the most important factor to determine heart attack risk. We can visual plaques and intervene early. We can also view vascular inflammation,” says Rejuv Integrative Medical Offices CNP Shawn Snider. CIMT measurement is an independent risk factor even in the absence of any other identifiable risk factors. Page 36 — Healthy Cells Magazine — Peoria — November 2012

Studies show a high (>90%) correlation between atherosclerotic disease found in the common carotid and disease found elsewhere in the body, such as in the coronary arteries that supply the heart muscle. There is a very high correlation between the thickness of the intima media and other risk factors. Perhaps most important is CIMT’s correlation and ability to predict coronary and cerebral events. CIMT has been shown in large-scale, prospective studies, including ARIC and MESA, to be an independent predictor of heart attack and stroke. Moreover, CIMT and presence/or absence of carotid plaque provide the most incremental predictive value over traditional risk factors alone. Despite advances in patient education, cardiovascular disease remains the number one killer in our population. Estimates indicate that with the increasing incidence of Metabolic Syndrome and Diabetes, morbidity and mortality may increase over the next 20 years. Although there has been some improvement in cardiovascular disease assessment and intervention in men, there has been little progress regarding the detection and prevention of cardiovascular disease in women. One of the advantages of CIMT testing is that it is non-specific in benefit relating to gender, says Snider.

As many as 50 percent of those who die from heart attacks or strokes have no previous signs or symptoms. This test allows early intervention and prevention of disease which has the potential to catch more of these patients so they can be treated before they experience an event. In fact, some studies have shown that showing these patients their test results may help to improve their adherence to prescribed treatments. Traditional risk factors such as cholesterol and blood pressure may be misleading. As many as 50 percent of those who died from heart attacks or strokes had normal “lipid” profiles. Carotid IMT will catch more people with disease who may have been shown to be normal on other tests like stress echo, standard lipid panels, and other blood/urine screens. Carotid ultrasound scanning with CIMT measurement is a cost effective diagnostic tool which provides health value and saves lives. Measuring the thickness of the intima and media layers of the carotid artery wall (carotid intima-media thickness, or CIMT) is one way we determine the cardiovascular health of our patients. This non-invasive procedure gives us means to solve the diagnostic puzzle and helps accurately assess disease presence, risk of events, and progression of the disease long before you have symptoms. The test is done by maneuvering an ultrasound wand over the arteries in the side of one’s neck. The entire vessel is examined for plaque. The layers inside the artery are examined for thickening. These measures provide a clear picture of the endothelial function. Endopat Testing The test is done by basically examining the ability of a blood vessel to dilate after a short, 5 minute occlusion. Baseline blood flow is examined in both arms, one arm is occluded, and flow in the non-occluded arm is compared to the flow of the occluded arm. As the ultimate non-invasive diagnostic cardiac tool, the EndoPAT test has the potential to become the “heart’s mammogram” by helping diagnose early heart disease in the lining of the blood vessels—the endothelium—and alerting patients to the need to initiate preventive steps to keep it from becoming a deadly killer. Normal endothelial function protects the blood vessels from atherosclerosis, or the hardening of the arteries, and plaque buildup. The EndoPAT test, which can be performed in a doctor’s office, takes 15 minutes. Some people think that heart attacks are an inevitable part of growing older. But there’s nothing inevitable about them and they are highly preventable. Regardless of your gender or age, you can dramatically reduce your chances of having a heart attack by getting a regular EndoPAT test and incorporating the following changes:

Facts About Heart Disease That You Need To Be Aware Of • As many as 50% of those who died from CAD had no prior signs or symptoms. • Many patients suffering the early and intermediate stages of atherosclerosis show no outward signs or symptoms of the disease. • Recent studies have revealed greater than 50% of people with a normal cholesterol profile have significant heart disease and heart attacks. • Women are 4 times more likely to die from heart disease than breast cancer.

Progression of Heart Disease • Step One: Get A Regular EndoPAT Test. • Step Two: Eat a Healthful Diet, have a metabolic test done, nutrient and allergy assessment done. • Step Three: Increase Physical Activity, have a VO2 test completed. • Step Four: Control Your Weight. • S tep Five: Reduce Stress, clinical blood evaluation and saliva stress hormone evaluation. • S tep Six: Manage Blood Pressure, both naturally and with medication if needed. • Step Seven: Quit Smoking. Conducting an Endopat You will be asked to fast for four hours prior to the test and medications that are used for blood pressure should be avoided until the test is complete. If you have concerns about stopping any medications please contact your health care provider before testing. During the test, you will have a finger probe attached to each index finger. A blood pressure cuff will be attached to one of your arms and inflated partially for five minutes. It is then released and the flow is analyzed. Adding years to your life… Know your cholesterol particle levels, stop smoking if you do, reduce bodyweight if too heavy, maintain a healthy blood pressure, and manage stress in your life. Managing these risk factors with simple preventive measures will help you avoid or postpone heart disease.

For more information or to schedule an appointment, contact Rejuv: Morton 309-263-4673 or visit www.RejuvNow.net. November 2012 — Peoria — Healthy Cells Magazine — Page 37

community news

Quality Quest For Health of Illinois Awarded $2.4 Million Grant

uality Quest for Health of Illinois was awarded a grant of $2.4 million for reducing obesity, increasing adherence to preventive care recommendations, and decreasing death and disability due to tobacco use, heart disease, and stroke in Peoria and Tazewell Counties. Quality Quest applied for the twoyear funding on behalf of 14 collaborative partners that came together as the Partnership for a Healthy Community. Collaboration partners include the Central Illinois Wellness Council, Peoria County Health Department, Tazewell County Health Department, City of Peoria, YMCA, The George Washington Carver Association, Hult Center for Health Education, Gifts in the Moment, Family Core, Heartland Community Health Clinic, American Red Cross Central Illinois Chapter, Children’s Hospital of Illinois, University of Illinois College of Medicine at Peoria Center for Outcomes Research, and Quality Quest for Health of Illinois. In the United States, chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death, disability, and healthcare costs, accounting for 70 percent of all deaths each year and 75 percent of the $2.5 trillion spent annually on health care. In Peoria and Tazewell counties, the leading causes of death are heart disease, cancer, stroke, and chronic lower respiratory disease. Although chronic diseases are among the most common and costly health problems in the country, they are also among the most preventable. “The biggest drivers of healthcare costs are the individual choices Americans make about how they live, the food they eat, and the activities they partake in,” said Congressman Aaron Schock. “My hats off to Quality Quest for focusing their efforts on helping bring down the cost of health care and giving people the tools to live healthier and longer lives." This grant is a part of the U.S. Department of Health and Human Services’ Community Transformation Grants (CTG) to support public health efforts to reduce chronic diseases, promote healthier lifestyles, reduce health disparities, and control healthcare spending in small communities. By focusing on where people live, work, Page 38 — Healthy Cells Magazine — Peoria — November 2012

learn, and play, the CTG program is expected to improve the health of more than four out of 10 U.S. citizens—about 130 million Americans. “This grant builds on the work of Quality Quest and the Central Illinois Wellness Council (CIWC). CIWC is a merging of the Quest Healthy Lifestyles School Project and the Peoria City/County Health Department’s strategic priorities group. The grant will fund a variety of activities that CIWC collaborators have in the works and will expand on those efforts,” said Bonnie Paris, Grant Principal Investigator and Program Development Manager at Quality Quest. Awardees will conduct activities in one or more areas that contribute to the overall goals of the CTG program and help achieve positive changes in one or more of the following outcome measures: weight, proper nutrition, physical activity, tobacco use, and social and emotional well-being. “The Partnership for a Healthy Community will improve the health of more than 300,000 residents in central Illinois through a combination of efforts. People need information, tools, resources, and a supportive environment to make healthy lifestyle changes. We have interventions for youth, adults, and families, as well as healthcare providers,” Paris added. The Partnership for a Healthy Community will address nine key issues to reduce premature death and avoid disability through: • Tobacco-free living • Breastfeeding education and promotion • Proper nutrition in schools • Physical activity in schools • Proper nutrition in the community • Physical activity in the community • US Preventive Services Task Force recommendation use • School-based dental sealant program • Social and emotional wellness To learn more about Quality Quest’s prevention and wellness projects, visit www.qualityquest.org.

Because Your Healthcare Story Shouldn’t Be Told In Pieces Central Illinois healthcare providers are coming together to make healthcare better. Providers participating in the Central Illinois Health Information Exchange can now share your healthcare story with fellow participants through secure software. More efficient than faxing or mailing. Now, no matter how many providers you see, potentially life-saving information will be instantly accessible by authorized personnel.

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November 2012 — Peoria — Healthy Cells Magazine — Page 39

personal response systems

Peace of Mind for Older Adults By Neidi Mack, OSF Home Care Services

eace of mind for Collette Stewart came in the form of a small white pendant her mother wore around her neck. Stewart felt lucky to live and work so close to her mom. But even with the ability to get to her mom’s house in just a few minutes, Stewart worried. Her mother, Doris Renwick, was beginning to suffer from dementia. On her own, Renwick decided to have a personal response system installed in her home. In January, with Renwick’s dementia progressing, mother and daughter decided to upgrade from the standard service to the auto alert. So one morning in March when her mother fell and was unable to get up or call for help, the device triggered a series of events that had help at her door in minutes. “I wouldn’t have been there for probably six hours,” said Stewart, who always checked on her mother after work. “She would have laid there and suffered. We were so fortunate she had that service so she didn’t have to suffer. She had help immediately.” Page 40 — Healthy Cells Magazine — Peoria — November 2012

Renwick had been using a personal response system by Philips Lifeline that is offered by many home care agencies in Central Illinois. The standard service requires the user to push a button to call for help. The auto alert is more popular for individuals who live alone, according to Karen Schaidle, OSF personal response system sales and service coordinator. “With the auto alert, if they fall and they don’t get up within 30 seconds, the unit will automatically send a signal for help,” Schaidle said. With both services, clients get a voice on the other end with the push of a button. They’re welcome to push the button to ask questions or change their designated list of responders. A responder is someone who lives within 15 minutes travel time who can help the individual if their need doesn’t rise to the level of needing an ambulance. Some clients prefer to have a responder called before an ambulance, even for an auto alert call. The service can be tailored to the

client’s comfort. Clients also may designate people who don’t live close, such as an out-of-state child, to be notified if there is an incident. Schaidle has had clients who have pushed the button for other emergencies as well, including hearing an intruder. She’s even heard of intruders abandoning their attempt to gain entry after hearing two voices in the house. But even if no emergency response is ever needed, it provides untold reassurance for older residents and their families. Stewart had extra reassurance because her mother also used a medicine dispenser product, also made by Philips. She would load the unit with medicine and program in her mother’s prescription schedule, and the device would verbally instruct Renwick to take her medicine and release the correct dosage with the touch of a button. The medication dispenser also alerts the family members if a dose is missed, Schaidle said. The device can be programmed to remind people to take medicine that can’t be put in the unit, such as insulin, or when medicine needs to be taken with food. Renwick, Stewart, and her siblings decided it was time for Renwick to move to a nursing home after she recovered from her fall in March. However, they all appreciate that between the medicine dispenser and the Lifeline device, Renwick was able to safely remain in her own home for many more months that she would have been able to. “They just gave us so much security and relief,” Stewart said. “It made all the difference.” Personal Response systems are offered through OSF and Methodist health systems. For more information, call OSF Home Care Services at 800-673-5288 or visit osfhomecare.org. Neidi Mack is Vice President for Home Medical Equipment and Home Infusion Therapy.

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November 2012 — Peoria — Healthy Cells Magazine — Page 41

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