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I am so happy with the results, my legs feel and

look great ... I am enjoying outdoor activities again!

Say Goodbye to Varicose and Spider Veins Don’t let varicose or spider veins slow you down! Performed at our state-of-the-art vein center, treatment time is less than 1 hour and most patients are able to return to work the next day. Schedule a consultation with Dr.’s Bohn & Nielsen and learn more about our effective treatment options. Illinois Vein Specialists accept all major insurance plans, including MEDICARE, as most vein treatments are covered by health insurance.

Before

After

Call today and start feeling better about the appearance of your legs!

Kathryn Bohn, MD

Better Care. Better Results.

Thomas Nielsen, MD

328 Susan Drive, Suite 300, Normal, IL 61761

www.IVSveins.com (309) 862-4000 BARRINGTON • BLOOMINGTON/NORMAL • ELGIN • GLENVIEW

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 3


DECEMBER 7 8 10 12 14 16 19 23 24 26 28 29 30 32 34 36 38 40 42 44 45 46 48

P. R. I. C. E. Therapy: When a Fall on the Ice Isn't a Simple Fall! Feeling Overwhelmed: Managing Holiday Stress Physical: Testosterone

This Month’s Cover Story:

2011 Volume 6, Issue 12

Mid-Illinois Hematology and Oncology Associates Providing Personal, Individualized Cancer Care

page 20

Emotional: Caregiving for the Cancer Patient Nutritional: Eat Well, Lose Weight Limb Loss: What to Expect Colonoscopy: Colon Prep Dos and Don'ts Board Certification: What It Means and Why You Should Care Covering the Map: Orthopedic Oncology and the Fight Against Cancer More Than Just Sound: Untreated Hearing Loss Linked with Depression and Dementia Brain Attack: 5 Things Everyone Should Know About Strokes Healthy Skin: Tips for Clear Skin Macular Degeneration (AMD): Leading Cause of Vision Loss Anxiety: Affected By the Rat Race? Healthy Habits: Tis the Season to be Happy AND Healthy Fitness: De-stressing While Exercising Rural Health Care Facilities: Serving in Spite of Challenges Mental Health: Depression and Teens Faith Matters: Prayer and Patient Care Bariatric Surgery: Putting a Patient's Life Back on Track Vocational Assistance: You Must Have Courage to Be Willing to Live Your Dream Hip Resurfacing: An Alternative to Total Hip Replacement End of Life Care: What is a Hospice Home?

From L to R: Dr. John J. Migas, Dr. Pramern Sriratana, Dr. Hwan Gon Jeong Feature story photos by PICS for a Cure

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@gmail.com Healthy Cells Magazine and Pastelle Magazine are both a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

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


Experience the Difference. “It’s comforting to know OSF will always be there for me.” Pat Easton — Bloomington, Illinois

In November of 2009, Pat Easton joined the 17.6 million people currently living with cardiovascular disease. After experiencing difficulty breathing, she was taken to the Emergency Department at OSF St. Joseph Medical Center. Pat’s doctors discovered she needed triple bypass surgery. Following surgery, Pat was determined to manage her heart health and started cardiac rehabilitation. Rehab staff noticed one day Pat did not look well and suggested she visit her physician. Due to their insight, Pat’s warning signs were caught in time. A stent was repaired, pacemaker implanted, and she returned to rehab. “The staff at OSF Cardiac Rehabilitation is wonderful. It’s comforting to know OSF St. Joseph’s talented physicians and nursing staff will always be there for me,” Pat said.

It’s the little things we do that make the biggest difference. At OSF St. Joseph Medical Center, we prepare every day for patients like Pat. The compassionate care, a gentle touch, and the feeling of family…at the hands of expert medical teams using specialized technologies and treatments – to care for you and your family.

Experience the Difference at OSF St. Joseph Medical Center. For more patient stories, visit us at www.osfstjoseph.org. 2200 E. Washington St., Bloomington, IL 61701 (309) 662-3311 www.osfstjoseph.org December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 5


Our CUREageous event was a huge success and we want to thank all of those who joined us in our CUREageous mission to find a cure!

Very special thanks to

and all our sponsors.

Congratulations to the 2011 Rock Doc Award Winners Barry Clemson, M.D. Lynne Jalovec, M.D. Sachdev Thomas, M.D.

David Wang, M.D. Pat Whitten, M.D.

Docs that Rock in the Field of Research

www.illinoiscancer.com/cure Page 6 — Healthy Cells Magazine — Bloomington ­— December 2011


p.r.i.c.e. therapy

When A Fall On The Ice ISN’T A Simple Fall! By Melissa Lockwood, DPM, Heartland Foot and Ankle Associates, P.C.

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elcome to winter Central Illinois! Thinking back on the Blizzard 2011, I was especially concerned for my patients who had to shovel out their driveways and sidewalks with all the ice underneath the snow. Although winter time falls are common, here are some tips to help brave those cold winter months injury free! •M  ake sure that sidewalks and outdoor spaces have been salted or have had a de-icing treatment on them to prevent falls in the first place! • W hen you injure something (ankle, foot, wrist, etc) in a fall, it is very important to perform PRICE therapy to the area: • P - protect. For feet and ankles, I recommend either a walking boot, ace bandage, or BOTH • R – rest. In order for an injury to fully heal, you need to stay off of it and REST for a minimum 24-48 hours….soft tissue injuries sometimes take up to 8-10 weeks to fully heal, so it is very important to rest them right away! • I – ice. Placing an ice pack to an affected area for 10-15 minutes each hour will decrease the swelling to the area and can help speed up healing! • C – compress. You need to wrap the area with an ace bandage or some sort of slight compressive device to minimize swelling. • E – elevate. Elevation is especially important for FEET and ANKLES because it allows all that extra fluid to head back up to the heart and will minimize swelling and inflammation as well.

If you suspect a break of ANY kind (can’t move an area easily, doesn’t look/feel like it is lined up, cannot bear weight/put pressure to the area), it is very important to see a doctor immediately! For my foot and ankle injuries, we offer same day appointments and digital xray to quickly check for any broken bones. We even have diagnostic ultrasound to check for ligament and tendon injuries as well! No matter what the issue, if you fall and are not able to get up and perform the above PRICE therapy easily at home right away, head straight to Prompt Care/ER or your physician’s office!! For more information about preventing falls and foot/ankle issues, please contact Dr. Lockwood at 309-661-9975 or www.heartlandfootandankle.com.

Hip Joint Resurfacing

An alternative to Total Hip Replacement Surgery

Brian Sipe, DO

OSF Medical Group ~ Pontiac Board Certified Orthopedic Surgeon

Anti-inflammatory medication can be very helpful but you will want to check with your doctor prior to beginning any treatments that may interact with other medications!

For more information, call (815) 844-4062 or go to www. osforthospine-pontiac.org •

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Has the potential to return you to more physical activity than total hip replacement

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 7


feeling overwhelmed

Managing Holiday Stress By Darren Love, Psy.D., Psychology Specialists

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he holidays are supposed to be a time for joy, happiness, family and friends. In reality, it often becomes a stressful time with all of the hustle and bustle of preparation. In an effort to be the perfect parent, spouse, or family member, we often tend to overextend ourselves by attending parties, shopping, baking, cleaning, and entertaining on top of doing the normal activities of working full-time, cooking, and caring for our children. Feeling overextended may cause us to dread the holidays instead of looking forward to them. Too much stress at any time can cause physical problems (headaches, back pain, stomachaches, and sleep issues) and psychological problems (depression, anxiety or increased substance Page 8 — Healthy Cells Magazine — Bloomington ­— December 2011

use). Stress during the holidays can cause us to have less tolerance for those around us, especially our children, which can take away from the sheer joy and happiness of the holidays. Although stress may be impossible to remove completely from one’s life, there are ways to effectively manage it, and decrease its effects. Stay Organized The majority of the stress that people feel around the holidays is due to feeling overwhelmed and feeling as though we do not have enough time to accomplish what we want or need to get done. Start early! The holidays occur at the same time each year so start prepar-


ing for them earlier in the year. Make sure that you have enough time to complete the tasks that you need to with some time to spare. Try not to wait until the last minute to do things such as purchasing gifts or getting food for the holiday dinner. Try to make a list of items that you will need to purchase before or at the beginning of the holiday season and then purchase them.

Be Realistic The holidays do not have to be perfect or better than last year. Every year families tend to change and grow, as do our family traditions. Look at your traditions and determine which ones you want to keep, while being open to creating new traditions and rituals or letting go of some that add stress.

Take Care of Yourself The holiday season becomes even more chaotic if you start to become sick or run-down. The holiday season is usually filled with foods that are higher in fat, sugar, and calorie content, which tends to make people more tired, sluggish or even sick. Avoiding the temptations of these foods may not be feasible, but the goal is to enjoy these foods in moderation, as well as adding in healthier options to meals you choose for yourself and others. Getting 7-9 hours of sleep, exercising daily, and finding time for relaxation can help prevent stress and maintain your energy.

Acknowledge Your Feelings If you have lost someone close to you, or you cannot be with your loved ones, you need to understand that what you are feeling is a normal emotion and it is appropriate to experience sadness and grief. Let yourself cry or express your emotions. You cannot force yourself to be happy just because it is the holidays. Do, however, try to find positive ways to remember loved ones during these times. It is also important avoid isolation, so try and stay involved with others.

Learn to Say No! Oftentimes people have a hard time setting boundaries during the holiday season. You need to know that it is okay to decline an invitation or request. Remember to take on only what you know you can handle. Save time to breathe and relax. This is a particularly important lesson for parents who want to provide everything for their children. Remember, making them happy at the expense of your emotional, physical or financial well-being does not help anybody in the long run. Remember the spirit of the holidays, and try to model your actions accordingly. Spending time with family, friends or volunteering is an excellent way to do this.

Ask For Help Unless you were involved in some wild research and cloned yourself, you cannot be everywhere at every moment. The best way to obtain some relief is to ask others for help or delegate responsibilities to others. You do not have to make the holiday dinner by yourself, it is okay, in fact it is healthy, to ask for assistance. Try and get your children and other family members involved in the process of cooking, buying gifts and decorating. Psychology Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain. For more information, contact Psychology Specialists at 888-706-3190 or visit www.psychologyspecialists.com.

Specializing in minimally invasive surgical procedures to treat bone and joint problems, including arthroscopic rotator cuff repair, and knee and shoulder instabilities.

Dr. Joseph Norris

Specialist in Arthroscopic Surgery 2502 East Empire, Bloomington

(309) 663-6461 December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 9


physical

By Dr. Tom Rohde, Renew Total Body Wellness Center

T

estosterone is one of our sex hormones and is produced in both men and women. In men the testes produce the majority but a small amount is produced in the adrenal glands. In women a small amount is produced in both the ovaries and the adrenal glands. While women have lower levels, their body’s tissues are more sensitive to it. Hormone Function • Hormones are the body’s chemical messengers that transport information from the brain to the glands, from the glands to the cells and from the cells to the brain. • Hormones rejuvenate, regenerate and restore our bodies. • Hormones are considered at their peak from age 25-30 years, the same period when the body is at its strongest and healthiest. • As doctors, we were taught that as we age, our hormones decline. This was once accepted as normal. It is now clear that as our hormones decline, we age – and this is not the best option for optimal health into our later years! Page 10 — Healthy Cells Magazine — Bloomington ­— December 2011

• Diet and exercise intertwine with T hormone levels. Poor diet and no exercise cause low T levels. Low T levels adversely affect metabolism hence your diet will not be as effective if your hormones are not correct. All of our hormones begin with cholesterol as the primary ingredient. One reason we’re hearing so much about “low T” (and low hormones in general), is that so many people are on cholesterol lowering medications, which can then naturally interfere with hormone production! Most of us think of sex when we hear the “T” word and Testosterone is regarded as important for libido in both women and men. However, the sex part is what I consider “icing on the cake” as testosterone contributes to hundreds of other vital functions in the body - all vital to good health. The importance of Testosterone starts in the womb. T levels help differentiate into male or female. In puberty, T helps men develop their deeper voice, develop facial hair, start genital maturation, and is important for sperm production. T is anabolic. It helps “build” the body, and indeed it is important for metabolism, especially in men. It is vital in tissue healing and repair in both men and women. T helps


keep the male’s mood balanced. It is important for attention, memory and spatial relationships in both men and women. Why Hormones Decline Hormones decline as we age beginning at age 30. The human race has never lived as long as we are living today. Just 100 years ago it was not uncommon for people to pass away in their 50's and 60's! Advances in healthcare, sanitation and food have dramatically increased life span! I now have patients in their 90's that travel, engage in sports, and enjoy sex; although not necessarily in that order. 50 is now just "middle age". Menopause and andropause have always occurred around age 50, and the glands that produce our hormones do not regenerate. Therefore, they continue to decline, producing fewer hormones with each passing year. As we age, it becomes increasingly important for both men and women to keep their hormones balanced to protect against fatigue, loss of muscle strength, mood swings, disease, obesity and to enjoy an overall healthier sense of well being. Male Menopause Andropause, also known as the male menopause or “MANopause”, is a real condition for men. But, unlike menopause in women in which the body halts production of estrogen, men experience a gradual loss of sex hormones starting around 30. By the age of 80, about half of men have low testosterone levels, although testosterone production never completely stops. Symptoms of low T manifest in a number of ways including physical, emotional, psychological and behavioral changes. Men frequently notice male andropause symptoms as a gradual loss of energy, muscle,

Dental Implants • Aesthetic

mental focus, stamina and libido. We directly relate low testosterone to causes of low sex drive in men. Although a decline in hormone levels will occur in virtually all men with age, there is no way of predicting whose symptoms will reach the severity of seeking medical help. The only way to know is to test. As I have said many times before – If You’re Not Testing – You’re Guessing! Low Libido I want to briefly address low libido in women because it is a frequent concern I hear in the office. Men and women are different – if you haven’t noticed! Oprah popularized T for women who have a low libido. I wish women were as simple to “fix” as men, however there are multiple factors that affect libido in women, and most women that I measure have plenty of testosterone – so what’s the libido problem? Many years of clinical experience have taught me that women require multiple things to function normally. These include hormonal BALANCE, not just more T. More importantly, women require normal adrenal function which is addressed with 7- 8 hours of uninterrupted restful sleep that leads to a normal energy level. If energy is low so is libido and T won’t “fix” it. Women also require a secure stress free relationship in which they feel valued to have a normal libido. Remember that, “Sex begins in the Kitchen”! Like I said - women are complex! Check back next month for the conclusion of Dr. Rohde’s article, “How to Fix your Testosterone Levels” Dr. Rohde is available to help you Look, Feel, and Be Your Best. You may reach him at 217-864-2700, or check his web site at www.DrRohde.com.

Dentistry • Sedation Dentistry

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

309•662•8448 Member International Team of Implantology

Happy Holidays

New Patients Welcome www.mcleancountydental. c o m All services provided in the comfort and convenience of one location. December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 11


emotional

Caregiving for the Cancer Patient By Rev. Dr. Andrea E. Andrews Weyhrich Chaplain, Community Cancer Center

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he role of the ‘cancer patient caregiver’ is extensive and includes spouses, family members, friends and professional healthcare workers, who care for the patient on a daily basis. Many caregivers experience stressful times, as they seek to minister to the physical, emotional, and even spiritual needs of their loved ones. This is no easy task. Although many caregivers I have Page 12 — Healthy Cells Magazine — Bloomington ­— December 2011

met would NEVER have it any other way, their role is tiring and sometimes frustrating. In addition to patient needs, many care givers also have to take on more family and/or child care responsibilities. Additional loads… additional stress. Many caregivers simply feel that they can never really do enough. Whether it is limited knowledge, limited resources, or a matter of limited energy, they often struggle


on, bravely facing each new day, with hope and love. And whether their loved one has been newly diagnosed, or is in the end stages of their lives, their commitment and selflessness is amazing. For those of you who wear the hat of “Caregiver” so well the following are some suggestions to help you through this time. Take care of yourself. Self care will ensure that you do not burnout and end up emotionally or physically depleted. It is critical that you also have rest and time to get away for a little while. You need to have some activities that ‘fill you up’, and enable you to feel refreshed when returning home to care for your loved one. You will also be amazed at how you can face the more difficult challenges of caring with a calmer, less anxious, or less edgy attitude, if you have taken some well needed breaks. Ask for help from other family or friends, or even members of your faith communities. So often such folks are more than ready to help, and may be waiting for an indication from you that such help would be well received. You will actually be giving them a gift by allowing them to use their time and talents to serve God and their neighbors. However you need to be specific as to how they may help. Suggestions include: stay with the patient for a couple of hours, prepare certain recipes, help with the yard work or house work, or run certain errands for you. If you find that you may have a limited number of people to call on for help, check with your patient’s doctor, or seek out the services of a social worker from your loved one’s treatment facilities. The most important thing about self care is that you don’t feel guilty! It is far better for you to eat well, rest well and care for yourself, so that you may be able to continue caring for your loved one in the way you would wish. Make sure you keep up with your

own routine health visits to your personal medical providers. Don’t forget to take your prescribed medication and make time for those blood tests, mammograms, check ups, flu shots etc. Watch for those signs of high stress in yourself. How are you coping emotionally? Are you feeling overwhelmed, ‘down’, anxious, tense or have a “short fuse”? Are you feeling less able to make decisions, or feel that it is difficult to concentrate? Are you having problems sleeping, or notice changes in your appetite? If you have answered ‘yes’ to these symptoms, and increased self care and rest have not improved things, please seek professional help as you may be experiencing a clinical depression that will need medical intervention. Make sure that your self care also includes attention to your spiritual needs. At such stressful times it is natural to have questions about spiritual issues. I encourage you to seek out a time to talk with your faith leader, or a chaplain at your treatment center, or the hospice chaplain if your patient is nearing the end of their journey with this disease. They are trained to listen and have experience walking with those who struggle with such questions. Yes, care giving can be a lonely task, however you need not be alone and using the resources of friends, family and professionals will ease the burdens. In turn this will enable you to be refreshed and have energy to enjoy, treasure and celebrate the time you have with your loved one. Take courage, step out, bury the pride, and ask for help. You, your family AND your care receiver will thank you. For more information you may call the chaplain at the Community Cancer Center at 309-451-8500.

• Only 3T MRI scanner in

• Windows allow natural light in

Bloomington-Normal

scanner room to help reduce incidence of claustrophobia

• 99% of our patients said they would recommend Advanced MRI to a friend

• Riverscape mural creates soothing atmosphere

or family • Enhance relaxation with your • CLEAREST images in the FASTEST time • All scans are read only by Subspecialty trained radiologists

choice of Satellite radio or bring your own CD • Private & quiet setting, just steps from the parking lot to the scanner

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 13


nutritional

Eat Well, Lose Weight By Karen Tucker

W

ouldn’t it be nice if there were a magic bullet to lose weight without changing our eating habits? Despite the advertisements, none exists. We eat on the run, stopping by the drive through or grabbing a pre-measured 100-calorie pack. Isn’t counting calories enough? It’s not. Experts now know it’s not just how much we eat— what we consume counts too. People who are overweight generally have insulin levels that are out of whack from too many refined sugars and starches. Breads, pasta, salty snacks, and sweet treats can overwork the pancreas, which must constantly pump out insulin to take care of all the sugar in the blood. A high protein diet with low carbohydrates and fat will regulate the pancreas and blood sugar levels, which helps to burn fat and Page 14 — Healthy Cells Magazine — Bloomington ­— December 2011

maintain muscle. But, we’re busier than ever. Who has time to count calories, let alone breaking them down into carbohydrates, fat, and protein while measuring out portions plus planning, preparing, and shopping for healthy meals? Perhaps that’s why a number of diet systems offering prepackaged meal replacements has skyrocketed over the last several years, helping to overcome this obstacle. Marie Osmond and Jennifer Hudson have sung praises to the benefits. But do they work? People often have initial success with such controlled weight loss programs. Buying pre-packaged food that you just heat and eat offers a clear plan for weight loss so you don’t have to think about it. Which is the major drawback – you don’t have to think about it! People learn nothing about food choices, eating habits,


preparation, and nutrition. So after they “finish” their program, they usually revert to their old eating habits, gain the weight back, join another program, and the cycle continues. Joen Lane, a certified trained weight control professional with Ideal Protein, a medically based weight loss plan, emphasizes that it is important for people to, “discover their weight gain story while they are going through a program. This helps them replace bad habits with good habits for when they are eating regular food again.” People don’t buy pre-packaged food the rest of their lives, which is why the Ideal Protein program includes healthy recipe books to help people learn to prepare new dishes and not get bored with the same things each week. “Our whole goal is to put them back in the kitchen preparing healthy dishes, and keep them away from prepared foods with additives and preservatives that cause disease and weight gain.” Having someone who will give you support and encouragement is a crucial element to successfully losing weight and to keeping it off. With many programs, people get a “high 5” for reaching their goal and the dieter goes out the door, not sure what to do from there. Joen shares that, “for us, phase 4 (the maintenance phase) is truly where the work begins. Because they are eating real food again, we have to teach them to eat right. This is where the journal truly starts to help them understand how to eat right for the rest of their lives. Most dieters continue to come in weekly until they feel they have their lives in control.” Weight loss plans work if you use them as a starting point for long-term weight loss…and don’t cheat! The process must include re-educating yourself about your eating habits so that you keep the weight off forever.

For more information on “Your Last Diet”, the Ideal Protein Weight Loss method, you may call Joen Lane at 309-662-8418 or e-mail her at idealweightlossofbmg.nor@gmail.com . Educational seminars are held every Tuesday at 6:30 pm at the Wellness Foundation, 2406 E. Washington St. in Bloomington. Joen also offers a complimentary initial consultation so you can decide if Ideal Protein is right for you.

Mid-Illinois Hematology & Oncology Associates, LTD. Our team provides

Dr. Pramern Sriratana

CANCER treatment,

Diplomate in Internal Medicine, Hematology, Medical Oncology, Hospice & Palliative Medicine

support & follow-up care.

We offer patients advanced

TECHNOLOGY

for detection, diagnosis & treatment. Dr. John Migas

We provide personalized COMPASSIONATE

Diplomate in Internal Medicine, Medical Oncology

care in a private & comfortable setting.

Dr. Hwan Gon Jeong

Diplomate in Internal Medicine, Hematology, Medical Oncology

309-452-9701 | 407 E. Vernon, Normal, IL 61761 | www.mihoaonline.org December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 15


limb loss

What to Expect By Robin McRae, CP, LP, Comprehensive Prosthetics and Orthotics

A

ccording to the National Limb Loss Information Center, in the United States there are approximately 1.7 million people living with limb loss. It is estimated that one out of every 200 people in the U.S. has had an amputation. The most common reasons for amputation are vascular complications (mainly diabetes), cancer and trauma. Regardless of the reason for an amputation, every individual’s personal experience of limb loss is unique; many amputees have successfully overcome the loss or absence of a limb and regained function and a positive outlook. When faced with amputation there are many questions and concerns that go through one’s mind. The more information a person has prior to surgery the better the outcome can be. There will be many questions along the way as one prepares for amputation and the best course to take is to communicate with those who will be a part of the rehabilitation team. A physician, physical therapist, occupational therapist and prosthetist are those who will help an individual become a successful wearer of a prosthetic device but it is ultimately up to the individual to take charge of his/her care and their life as an amputee. Once surgery has been completed there are several methods of post-operative care a surgeon may use, depending mostly on current health status, condition of the residual limb and the potential one has Page 16 — Healthy Cells Magazine — Bloomington ­— December 2011

to become a prosthetic candidate. After the initial surgical dressing is removed, a person may receive a device that is intended to control edema, protect the limb, provide a way of early gait-training during therapy; or a combination of all three. Rehabilitation begins soon after surgery. Physical therapy begins in the hospital and usually continues once discharged home. Once a person has been fit with their first prosthesis, usually 6-8 weeks after surgery, depending on the individual; therapy is then continued in an out-patient therapy setting. When the physician has given clearance to begin the process of obtaining a prosthesis, the prosthetist will take a cast or scan of the residual limb. This will provide him/her with a model to make the prosthesis. Prior to this appointment he/she will have assessed the individual needs and goals of the amputee. This includes but is not limited to the current or expected activity level of the amputee, weight, occupation or leisure activities, current health status, and the condition of the residual limb. This information is extremely important when determining the components and which type of prosthetic device is most suitable. A clear plastic diagnostic socket is made from the model; this is used for the initial fitting. The diagnostic socket allows the prosthetist to make


changes to the fit of the prosthesis or to change the alignment as the amputee begins to walk in therapy. Typically the diagnostic socket is utilized for one to two weeks during physical therapy or until an appropriate fit has been established. Once the fit of the prosthesis has been determined and no immediate changes are needed, a definitive (permanent) prosthesis will be made. A definitive prosthesis is a much stronger and more durable version of the diagnostic socket that was used in the fitting process. This socket is constructed of carbon fiber, nylon, resin and other materials that give it its strength. The look of the prosthesis can be as original as the individual or it can be made to resemble the other leg by adding a soft foam shaped cover. To become a successful wearer of a prosthesis it is best to follow the recommendations of the physician, prosthetist and physical therapist and it is imperative to follow through with all appointments and call when there are any questions or concerns. Facing limb loss can be a very challenging and stressful time in a person’s life and being as prepared as possible by talking to the professionals who will assist after amputation or even other amputees is a positive way to begin the process. Robin McRae is a Certified/Licensed Prosthetist at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides patients in Central Illinois with prosthetic and orthotic devices and care, and also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888-676-2276. Visit the website at www.cpousa.com.

Immediate Post-Operative Cast

Diagnostic Socket

Two locations to serve seniors & their families.

BLOOMINGTON & NORMAL Contact Colette Gourley to learn more: 825-1409

HeritageOfCare.com December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 17


Family Oriented Practice State-of-the-Art Technology Over 25 Years of Service Chiropractic & Massage Services

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Page 18 — Healthy Cells Magazine — Bloomington ­— December 2011

Chris Hoelscher, D.C. Steve Gagliano, D.C.


colonoscopy

Colon Prep

DOs and DON’Ts By Vijaya Misra, M.D., Digestive Disease Consultants

• Make sure the colon prep is consumed over two hours. In some cases, it can be extended over a period of 3 to 4 hours but extending it beyond that actually defeats the purpose of cleansing as mucous collects in the colon in the meantime. • Make sure that the prep is all gone at least four hours but no more than six hours before the procedure to provide an adequate cleanse and reduce the risk of aspiration. • Make sure that the regimen that you have been prescribed is a split dose regimen as it is the standard of care. • Make sure you are adequately hydrated when you do the prep. DON’Ts: • Don’t consume a high fiber diet at least 3-4 days before the procedure. • Don’t eat a big meal for the breakfast. • Don’t try to alter the prep without prior consultation with your physician. • Don’t forget to stop taking medications that make your blood thin like aspirin, ibuprofen or Advil. Consult with your primary care physician or consulting physician prior to stopping any blood thinners. • Don’t consume any alcoholic beverages with prep as alcohol is flammable and can cause mucosal injury when cautery is used during colonoscopy. • Don’t use any red colored liquids for prep as it can confuse findings and increase number of tests that you need to undergo. With these tips and a positive attitude, you can have a great prep for your colonoscopy. For more information please contact Dr. Misra or any of the physiHealthy Cells Ad - Disease Donna Adams 2_Layout 1 10/12/11 4:11 PM Page 1 (Black cians at Digestive Consultants, 309-454-5900.

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olon cancer is one of the most preventable common cancers. The absolute positive thing about it is that it is very preventable with simple screening procedures. Almost all societies recommend a colonoscopy as a standard for screening and prevention. The colonoscopy though requires a prior preparation which involves cleansing of the colon. The colon cleansing is usually performed using different types of electrolyte solutions which generally are not very palatable. Before you go for a colonoscopy, it is very important that a colon cleansing solution is taken properly and adequately to have the maximum benefit of the colonoscopy procedure. Here are a few tips when you are getting ready to do your colonoscopy prep. DOs: • Make sure that you read all the instructions very carefully. Do not rely on the memory of previous procedures. • Consider flavoring the solution with flavoring agents like Crystal Light. • Consider refrigerating the solution as the cold temperature masks the taste of the solution. • Consider using a straw a it reduces the contact time with the tongue and reduces gag reflux in many sensitive people.

drs.illinois.gov/success Printed by authority of the State of Illinois 10/11

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 19


feature story

Mid-Illinois Hematology and Oncology Associates: Providing Personal, Individualized Cancer Care By Linda Hankemeier

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alk up to the front desk and you’re greeted with a happy “Hi! How are you?” On the way to an exam room, you hear a doctor whistling as he walks by. Stroll through the treatment area, and you can see a nurse catching up with a patient about their pets and another staff member greeting a patient who used to be his high school teacher. Page 20 — Healthy Cells Magazine — Bloomington ­— December 2011

It’s hard to believe this upbeat place is an oncology practice. Most of the patients around you have cancer, a disease that was once believed to be an automatic death sentence. “The treatment of cancer today is highly personalized and very individual, with advances in technology and treatment always being discovered,” shares Dr. Pramern Sriratana, Founder of Mid-Illinois


Hematology & Oncology Associates, Ltd. “But, in our practice, we don’t just treat a disease. We treat the whole patient through a multidisciplinary team approach which includes the patient – with their needs and wishes – as a key member of the team.” While cancer is commonly thought of as just “one” disease, there are actually more than 100 types of cancer. Dr. Sriratana says no two cancer patients are exactly alike, and neither are their diseases, diagnoses or treatment plans. The three doctors that comprise the MIHOA practice – Dr. Sriratana, Dr. Hwan Gon Jeong, and Dr. John J. Migas – focus extensively on treating each patient as an individual. The doctors start by gathering information: from the patient, from medical records and other physicians, as well as from various medical tests. They review all data and test results and then consult with one another plus a wide variety of medical professionals such as radiation oncologists, surgeons, specialists, medical or social service professionals, and the patient, to tailor a treatment plan designed for the individual. “Quality care is more than just finding the right combination of drugs for treatment; you have to also be able to support your patient throughout treatment and after,” advises Dr. Sriratana. He is passionate about the critical role the top-notch nursing staff at MIHOA makes in the experience of their patients. “Our nurses play a critical role in administering the treatment patients need, but also helping them manage side effects and understand the resources available to them,” shares Sabrina Petersen, RN, OCN, Nurse Manager for the MIHOA practice. Having worked as an oncology-certified nurse for 19 years, Petersen has worked alongside Dr. Sriratana for 17 years in his practice. She regularly sees the concern patients have during treatment regarding the fear of side effects or their ability to manage their medications at home – after they leave the doctor’s office. “Our nurses know our patients and try to make sure each patient is comfortable with what they need to do to treat their condition at home, and that they know how to reach us if they need anything,” adds Petersen. Location, location, location A multidisciplinary team approach is used by the MIHOA doctors to achieve this tailored, individualized treatment and planning. MIHOA is the only medical oncology/hematology practice located within the Community Cancer Center, located at 407 E. Vernon Avenue in Normal. MIHOA staff feel that their location at the Community Cancer Center is advantageous for their patients due to the Community Cancer Center’s patient friendly environment and wide offering of community resources. Their patients benefit greatly from the convenience of having other cutting-edge cancer-related services within the same facility including a radiation oncology practice, treatment facilities, a PET/CT scanner for imaging, CyberKnife Radiosurgery technology, support groups, and a resource library. In addition, they benefit from the variety of specialized staff available such as a social worker, chaplain, breast health navigator, genetic counselor, dietician, and other key staff.

“In the past, a cancer patient undergoing treatment may have had to drive to the lab for their blood work, then drive to the oncologist’s office for medical results and treatment, and then drive to another medical facility for a radiation treatment – sometimes all in the same day,” shares Dr. John Migas, a Medical Oncologist with MIHOA since 1997. “Our patients benefit greatly from the convenience of having all these services and advanced technology within one facility, which helps them manage their overall condition more effectively during a very chaotic time. Our location allows us to collaborate easily with other doctors and auxiliary staff to ensure comprehensive treatment plans are designed for our patients.” Dr. Sriratana also emphasizes, especially in these challenging economic times, that all patients of MIHOA receive the care they need. Sarah Whelan, Office Coordinator who oversees billing, medical records and front-desk staff, said, “We pride ourselves on treating each patient as an individual and not a number or an account.” And, for patients needing additional support, the Community Cancer Center’s social work staff are located in the same facility and have extensive experience in working with patients to explore programs for reducedcost medications or treatments. Research enhances patient care One of the many options MIHOA can also offer their patients is the opportunity to have access to clinical trials, especially for patients who have advanced or unusual forms of cancer for which traditional treatment methods might not be effective. “The pace of technology in the field of medical research is astronomical,” states Dr. Migas, who also serves as Research Director for the practice. “Many years ago, patients who lived outside of major metropolitan cities didn’t have easy access to clinical trials or experimental research for cancer treatments. If they wanted to participate, it typically meant being away from home and family for an extended period of time or regular trips to another location. We can allow them to participate in the study or trial that is best suited for them, but work with doctors and staff they know and be able to sleep in their own bed at night.” The MIHOA practice has participated in or made available to their patients over one hundred studies or clinical trials through the years. December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 21


feature story

continued

They are participating in anywhere from 8 to 20 clinical trials at any given time. Sometimes they have trials they are made aware of through the National Cancer Institute or another organization which appear to have a benefit for a large number of their current patients. Other times, they may have a patient with an unusual form of cancer and they work with the researching organization to open the study to their patient, having treatment and monitoring handled locally by their staff. But, as much as he enjoys being a part of finding new solutions for cancer, even research about cancer is all about helping his patients. “Cancer treatment is a process. People are here to live, not die. When I’m talking to a patient, I’m talking to a person first. I do this because I enjoy helping people.” Jennifer Peterson, Research Coordinator at MIHOA, shared that most clinical trials available through their practice are Phase 3, which are considered later-phase studies usually conducted prior to a new drug being released for use or evaluating an existing drug for new possible uses in treatment. “Sometimes there are preconceived notions on the part of patients that make them hesitant to participate in medical studies,” shares Peterson. “There’s a fear that they’ll feel like they’re a number. However, at our practice, patients have access to cutting-edge studies and treatments, and are still treated as an individual by our doctors and nurses,” adds Peterson. A shoulder to cry on Last May, after weeks of unexplained hip pain, I learned my breast cancer had reappeared. Yes, that’s right … at age 39, with a husband, two young children, a career and all kinds of life going on, I learned I had Stage 4 metastatic breast cancer. With no family history or genetic disposition to breast cancer, I can tell you the first diagnosis was not in my life plans, and this advanced diagnosis was most certainly not on my radar screen. In fact, it was truly my worst nightmare. I’ve been told I’m a strong person with a positive outlook on life. But, last August, the gravity of my situation just became too much. At the end of a long day, I found myself again sitting in the exam room during my monthly appointment, shaking and obsessing inside about my children’s fate if I was to die. Would they be okay? Would my husband’s ‘new wife’ love them like I do? Would our financial plans allow my husband and boys to have the life we always planned? Just then, Dr. Migas walked in. I was crying – ready to break down completely - convinced I was going to die and soon at that. I was getting ready to “lose it.” Dr. Migas sat and listened to everything I had to say. He acknowledged all my feelings, allowed me to vent, and reassured me my feelings were very normal and a part of the process of dealing with cancer. And, even though it was 4:30 pm, he treated me like I was the first patient of the day and he had all the time I needed. Dr. Migas made no guarantees of miracle recoveries but demonstrated a compassion and professionalism that reminded me we were on the best path with treatment. He empathized with my pain, but didn’t allow me to wallow in pity. Almost like a coach, he refocused my thoughts on how we were going to handle the situation rather than all the things that could go wrong. That day, he may not have saved me from cancer, but he saved me from total fear and showed me how the right doctor can make all the difference.

For more information, you may contact Mid-Illinois Hematology & Oncology Associates, Ltd. They are located inside the Community Cancer Center at 407 E. Vernon Avenue in Normal. 309-452-9701. Page 22 — Healthy Cells Magazine — Bloomington ­— December 2011

Plans Underway for MIHOA Expansion

A

s research and treatment options continue to advance, so does the need for local facilities and services. And soon, MIHOA patients, doctors and staff will also have a café, new conference rooms and a chapel available to them as a part of the planned expansion of the Community Cancer Center. Construction is scheduled to begin in 2012 which will more than double the physical size of the cancer center. The complete expansion and renovation of existing spaces may take up to two years, but the results will be worth the wait. “The Center is ‘bursting at the seams’ so much of our expansion will address the increase needed for current departments and services,” shares Barb Nathan, Executive Director of the Community Cancer Center. “Increased comfort and privacy for patients and families is a goal.” The Community Cancer Center is the only cancer program in Central Illinois awarded the Outstanding Achievement Award by the Commission on Cancer. Currently the Center is in the early stages of a capital campaign to raise approximately $8 to $11 million for the expansion project. “Twelve years ago, the Center opened its doors without debt due to the generosity of many donors,” highlights Nathan. “Over the years, an additional $14 million has been spent to upgrade technology and the facility to benefit our patients. The current campaign and expansion will ensure comprehensive, cutting-edge services will be available for patients for years to come.”

Pramern Sriratana, M.D.

• Founded MIHOA in 1979 • Board Certified in Internal Medicine, Hematology and Medical Oncology • Medical degree from Ramthibodi Hospital Mahidol University, Bangkok, Thailand • Internship and residency in Internal Medicine and fellowship in Hematology/Oncology at St. Francis Hospital, Evanston, IL

Hwan Gon Jeong, M.D.

• Joined MIHOA in 1990 • Board Certified in Internal Medicine, Hematology and Medical Oncology • Medical degree from Kyungpook National University, School of Medicine, Taegu, Korea • Internship at Maryknoll General Hospital, Pusan, Korea; residency in Internal Medicine at St. Elizabeth Hospital Medical Center, Youngstown, OH; fellowship in Hematology/Oncology at Cleveland Clinic Foundation Hospital, Cleveland, OH, and University of California, Los Angeles

John J. Migas, M.D.

• Joined MIHOA in 1997 • Board Certified in Internal Medicine and Medical Oncology • Medical degree from Rush Presbyterian St. Luke’s Medical Center, Chicago. • Internship and residency at University of Minnesota Hospitals & Clinics, Minneapolis, MN; fellowship at University of Iowa Hospitals & Clinics, Iowa City, IA


board certification

What It Means and Why You Should Care By Amy Kennard

T

he majority of people seeking a physician, no matter for what reason, assume that the man or woman they select is qualified to practice medicine. But what exactly does that mean? In order to practice medicine in the United States, physicians must be licensed in the state in which they work. In order to become licensed, they must have attended medical school, performed a post graduate residency, and passed an exam. However, most physicians today are considered specialists, even if the specialty is something that seems general such as family practice. Because of the increase in specialization, board certification was developed to set practice standards and to ensure that doctors were well qualified to provide care in their chosen specialty.

There are currently 24 ABMS board certificates which also include many subspecialty certificates. For example, the American Board of Internal Medicine includes 19 subspecialties, ranging from cardiology to oncology to sports medicine. The number of Board subspecialties will continue to increase due to the ever evolving advancements in medicine. One of the newest board certifications is Interventional Pain Management, formed in 2005. The need for pain management – either from chronic or acute pain – is on the rise. Treating chronic pain is often very complex and physicians without the extra training in this specialty are less likely to have positive results. They may even compromise patient safety by not addressing possible side effects or complications; or by using questionable treatments.

What is Board Certification? According to the American Board of Medical Specialties (ABMS), Board Certified physicians voluntarily meet additional stringent standards beyond basic licensing. It’s a four-part process that focuses on life-long learning by physicians in the specialty they choose. The four parts include: licensure and professional standing, lifelong learning and self-assessment, cognitive expertise and practice performance assessment. To maintain Board Certification, a physician must remain active in the latest advances in his or her specialty and demonstrate best practices for patient safety, communications and ethics. Board Certification is independent of the government and does not change from state to state.

How do I find out if my physician is Board Certified? The American Board of Medical Specialties lists four ways to determine if a physician is board certified: • Check online by going to www.certificationmatters.com and entering the name, city, state, zip code and specialty of the physician. • Call the ABMS toll-free at 1-866-ASK-ABMS • Request a written verification of a physician’s Board Certification by contacting the Member Board in the doctors’ specialty at www.certificationmatters.org/abms-member-boards. • Check the latest edition of “The Official ABMS Directory of Board Certified Medical Specialists”, available in many medical and public libraries.

What does Board Certification mean to me? Board Certification is one way to protect you – the patient. People may not realize that most states, including Illinois, do not have any laws that prevent doctors from practicing outside of their field. In addition, anyone who has a medical license can call themselves a surgeon – even with no formal training in surgery. Plastic Surgery is one specialty that has recently had a lot of media coverage with reports of damaged facial muscles, botched surgeries, unnecessary complications and even deaths from procedures being performed by physicians who do not have the proper training. While these examples may be extreme, even seemingly simple procedures such as Botox can have disastrous results when done by a physician that perhaps only took a weekend training class.

Just as you select a physician based on who accepts your medical plan, recommendations from friends, office location and reputation, so must you select him or her based on their qualifications – and “M.D.” at the end of their name doesn’t automatically mean they’re qualified to treat you for your specific condition. Some physicians choose to not pursue board certification and this does not necessarily mean they are less qualified. So do your homework. Ask questions. Do research. Check your physician’s qualifications. A physician who is Board Certified in the specialty you’re seeking is your best assurance that he or she has the knowledge, experience and skills to provide quality healthcare within a given specialty.

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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 23


Covering the Map

Orthopedic Oncology And the Fight Against Cancer By Alexander A. Germanis

T

he human body, like the earth on which we live, is replete with variety. While there are areas of each that are better understood than others, the body and the globe have, nevertheless, both been completely mapped and are relatively well understood. But regardless of where one looks on the earth, there is evidence of nature turning on itself—signs of upheaval and natural devastation. The human body is no different; but instead of earthquakes and volcanoes, cancer is the self-destructive bane of our physical frames. Cancer results from mutations in the DNA in a cell. Abnormal or mutated cells are then produced and do not die the way normal cells are meant to. These cells can then invade other tissues in the human body. Cancer is, quite literally, the body attacking itself from the inside out. And there are almost as many different types of cancers as there are parts of the body—over a hundred different types, broken down into categories of carcinomas, sarcomas, leukemia, lymphomas, myelomas and central nervous system cancers. And in these categories are subcategories, further varying the forms that can assault us. In fact—according to McLean County Orthopedics’ [MCO] Doctor Nikhil Chokshi, “sarcomas make up less than one percent of all malignant tumors; but there are more varieties of sarcomas than all other malignancies combined.” Dr. Chokshi is MCO’s newly acquired orthopedic oncologist and reconstructive specialist, an expert on the “treatment of benign and malignant tumors of the musculoskeletal system.” Born and raised in Illinois, Dr. Chokshi attended undergraduate, medical school, and surgical internship at Washington University in St. Louis. From there, he moved on to the University of Utah for a year of training in general surgery. But cancer is a mercurial enemy and the discipline of oncology is one that requires extra training. So after his clinical year in Utah, five years of orthopedic residency at Seton Hall University, six months in the Harvard program at Massachusetts General and even a month practicing medicine for the military at Ft. Hood, Texas, Dr. Chokshi secured a tumor and joint reconstruction fellowship at the Royal Prince Alfred Hospital in Sydney, Australia. For an adversary such as cancer—an adversary that can assault any location on the map of the human body—it seems only fitting Page 24 — Healthy Cells Magazine — Bloomington ­— December 2011

that cancer’s new nemesis also covered the map, gathering the necessary knowledge and experience to better combat it before settling in central Illinois. But why come here? The answer is simple: as “one of the only fellowship–trained orthopedic total joint surgeons in Bloomington and the only orthopedic oncologist in central Illinois,” Dr. Chokshi came here to combat not only cancer but a myth as well. “There’s the perception that because we’re in Bloomington we don’t have the latest and greatest… We can do everything they do in Chicago,” the doctor says. “There’s a perception that to get the best you need to go to somewhere else, but that’s just not true.” One can surmise by the titles of his specialties that simply removing tumors is only part of the picture. In orthopedic oncology, the skills must be there to deal with the often devastating issue of bone and tissue loss resulting from tumor removal. But the doctor’s extensive training in joint replacement works hand-inhand with the oncological side of things. “Whether I’m removing a failed implant and treating the resultant bone loss, or whether I’m performing a wide resection of a tumor and excising some bone, there will be a defect. The reconstructive techniques dovetail nicely, and in fact, the skill set can be very similar.” Where to find those skills necessary to combat the map-covering villain known as cancer is as important to Dr. Chokshi as the skills themselves. “There are a lot of people who would prefer to stay close to home while they are confronting the diagnosis of cancer and its accompanying treatment. It can become very difficult to travel back and forth,” he sympathizes. “Our goal is to be able to deliver excellent quality of care, equivalent to or better than what you may receive in Chicago or St. Louis, or for that matter, anywhere else.” For more information, you may contact Dr. Chokshi at McLean County Orthopedics, 309-663-6461 or www.mcleancountyorthopedics.com. Their office is located at 2502 E. Empire in Bloomington. Alexander Germanis is a freelance writer living in central Illinois. He can be contacted by email at cycoproductions@hotmail.com.


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more than just sound

Untreated

Hearing Loss Linked with Depression and Dementia By Danica S. Billingsly, Au.D., Doctor of Audiology, Bloomington Normal Audiology

H

oliday memories bring images of family groups laughing and sharing stories around a table. How often do we also recall seeing a relative sitting quietly off to the side, uninvolved in conversation? We wonder if it is disinterest or a bad mood. We might even wonder if it's hearing loss or dementia, and we might be right. Recent studies have demonstrated a significant connection between hearing loss and both depression and dementia. Though the causation is not yet clear for the dementia link, researchers suspect that over years the strain of listening with hearing loss — the "cognitive load" — may itself be the link. That is, those older adults who are able to take part in conversation are more likely to remain socially and neurologically active while those who aren't face the "use it or lose it" phenomenon. What's more, researchers

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found that the more severe the untreated hearing loss, the higher the likelihood of developing dementia. Hearing loss affects more than 9 million Americans over the age of 65, and another 10 million Americans ages 45-64. Yet over half of those affected with hearing loss have not taken the necessary steps to treat the condition by using appropriately fit hearing aids. Loss of hearing in adults is usually gradual, occurring over years — even decades. Sounds are lost so slowly that it is as if the world is changing, not our ears. Our sense of trust in the validity of what we hear is so strong that we are more likely to believe our ears than our loved ones. Family members may be accused of mumbling, when the hearing loss takes away the understanding of consonants while volume may sound the same. Suggestions to see an audiologist may be

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met with exclamations like, "I can hear your car coming two blocks away, my hearing is just fine." Some older adults who live alone may pursue a hearing aid fitting to appease their family members, but are not motivated to wear the instruments when at home by themselves. This limits the effectiveness of the aids, both in terms of awareness for safety/ connectedness, and in terms of keeping the auditory processing centers of the brain active. Without consistent use, these persons do not develop the needed listening skills or the eventual sense of success and confidence in their listening abilities. The emotional effects of untreated - or undertreated - hearing loss then spread to family, friends, and even coworkers, with conversations becoming increasingly difficult. As the daily world fades to a muffle, isolation often becomes the norm. Once-engaged individuals withdraw. They cancel lunch dates, they stop going to club meetings, they let the answering machine pick up the phone call. Fear of the stigma of hearing loss, being caught bluffing, or simply not being able to follow the conversation keep them from attending social events. Not hearing the social cues that led a group to laugh may create a sense of paranoia, that, "they're laughing at me ". Even high-quality hearing aids fit by a qualified audiologist do not provide an instantaneous "cure" for the most difficult situations. It is helpful to gradually rebuild listening confidence by slowly adding more challenging social situations, rather than jumping directly into listening in a large, noisy environment. Sometimes coping strategies are still needed, such as reading a menu at home before attempting to order at a noisy restaurant. In most situations, simply maintaining positive assertiveness can help a great deal. It may take some time to get used to using hearing aids and using

"This study debunks the myth that untreated hearing loss in older persons is a harmless condition," said James Firman, EdD, president and CEO of The National Council on the Aging." active listening strategies, but the road to better hearing isn't as long or as bumpy as it might seem. We now know that delaying treatment until the loss reaches a greater degree of severity may leave the door open for development of depression and dementia. What better present can there be for loved ones this holiday season than the gift of saying, "I love you enough that I want to hear you - today AND tomorrow"? For more information about hearing loss and its treatment, you may contact Dr. Billingsly at Bloomington Normal Audiology. http://www.bloomingtonnormalaudio.com

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www.heartlandfootandankle.com December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 27


brain attack

5 Things Everyone Should Know About Strokes By Jamie Peel, OSF St. Joseph Medical Center 1. A stroke is a brain attack. A stroke is a brain attack, which occurs when the vital supply of oxygen to the brain is blocked and the brain is not getting the blood and oxygen it needs. The two main types of strokes are ischemic and hemorrhagic. Ischemic stroke develops when a blood clot blocks a blood vessel in the brain. The clot may form in the blood vessel or travel from somewhere else in the blood system. They are the most common type of stroke in older adults. A hemorrhagic stroke develops when an artery in the brain leaks or bursts. This causes bleeding inside the brain or near the surface of the brain. Hemorrhagic strokes are less common but are more deadly than ischemic strokes. 2. Act FAST if you or someone is having a stroke. The National Stroke Association uses the acronym F.A.S.T. to help people remember four important stroke symptoms. “F” is for face.

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Stroke victims often show signs of facial drooping or an uneven smile. “A” stands for arm. Victims tend to feel weakness or numbness in one or both of their arms. “S” is for speech. People who suffer a stroke commonly slur their speech, or have difficulty understanding others. “T” stands for time. It is crucial to call 9-1-1 and get to the hospital immediately if you or someone you know is experiencing the above symptoms. Quick treatment can help limit damage to the brain and increase the chance of a full recovery. 3. Most strokes don’t hurt. The biggest challenge with patients and their families is that most strokes do not hurt. People may experience numbness, weakness, and problems with speech, but experience no severe pain. Other possible symptoms include new problems with walking or balance, sudden vision changes, and a sudden, severe headache that is different from past headaches. Often, people will go lie down for a couple hours, or go to bed, and see how they feel in the morning. Unfortunately, sometimes the next morning can be too late because brain damage can begin within minutes. 4. Strokes are the fourth leading cause of death and disability. There are more than six million stroke survivors in the United States, yet stroke remains the third leading cause of death. Less than five percent of patients having a stroke seek treatment immediately. The key in stroke survival and care is to be proactive and aware of the different types of strokes and symptoms. 5. Reducing your chances of a stroke is easier than you may think. Preventive care can reduce the risk of having a stroke by 80 percent. Whether you are at risk for a stroke, or have already had one, the following lifestyle changes can reduce your risk of stroke and improve your overall health. • Don't smoke. • Eat a heart-healthy diet. • Try to do moderate activity. • Stay at a healthy weight. • Control your cholesterol and blood pressure. • Limit your alcohol intake. Although people who have a stroke are at risk for having another one, they can go on to live a full and healthy life. However, they have better outcomes when they seek immediate medical attention after first showing symptoms of a stroke. If you have any questions about stroke or stroke treatment options, contact Kelly Schuler, manager of the Comprehensive Care Center at OSF St. Joseph Medical Center, by calling 309- 661-5184.

Page 28 — Healthy Cells Magazine — Bloomington ­— December 2011


healthy skin

Tips for Clear Skin By Karen Sutcliffe, Licensed Esthetician, KSkin Spa

• • •

T

here is not a magic treatment to clear up breakouts and acne. But if you are experiencing clogged pores, blackheads, pimples or breakouts, there are some easy things to try that can help.

•T  ry not to touch your face and no picking. Your hands are full of bacteria and touching your face and picking spreads bacteria, just making your skin worse. • T ake care of your skin on a daily basis with the appropriate cleanser, toner and moisturizer. • Clean your cell phone on a regular basis, maybe once or twice a week. I see quite a few clients that clear up in the cheek area when they remember to clean their cell phones off with an alcohol wipe. • Make sure your pillowcase is clean. Most commercial fabric softeners have irritating chemicals in them so either skip the softener or try to find a natural more eco friendly fabric softener. • Avoid foods high in iodine. Iodine can irritate skin cells resulting in breakouts and eruptions. High amounts of iodine can be found in fast foods, dairy products and seafood and seaweeds, such as kelp. • Drink 6-8 glasses of purified water each day to flush toxins from your system. • E at more fresh fruits and vegetables, lean proteins and whole grains while cutting down on processed foods, sugars and refined carbohydrates. • Supplement your diet with essential fatty acids (EFA) and zinc. EFA’s can only be obtained through your diet or you can add a high quality Omega 3 and 6 supplement. Essential fatty acids help your skin to function correctly and help maintain the health of your skin. The skin barrier defense layer (acid mantle) that protects the skin is greatly enhanced by the right level of essential fatty acids. Zinc is a mineral that is healing to the skin and is needed for normal healthy skin cell functions. • Wear sunscreen. I recommend natural mineral sunscreens, titanium dioxide and zinc oxide. They are sun reflective, meaning they

keep skin cool by reflecting heat away from the skin. This is important especially for sensitive and rosacea skins. Most chemical sun screens absorb the suns rays which heat the skin. Ladies, try mineral based powder or cream foundation which will even out your skin tone and give you a light to medium coverage as well as providing natural mineral sun protection. Look for mineral powder without bismuth oxichloride, which can be a skin irritant. Mineral makeup is non-clogging and soothing to the skin. C lean your make-up brushes on a weekly basis with a mild cleanser. W atch your stress levels. When you are stressed your body releases chemicals that can be irritating to your skin. Avoid pore clogging ingredients in your skin care products. Many cosmetics, hair styling and skin care products contain irritating and pore clogging ingredients.

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macular degeneration (amd)

Leading Cause of

Vision Loss Submitted by Saba Quraishi, MD, Bond Eye Associates

M

acular degeneration, or age-related macular degeneration (AMD) is a leading cause of vision loss in Americans 60 and older. The disease destroys your sharp, central vision, which you need to see faces and objects clearly as well as to read and drive. AMD affects the macula, the part of the eye that allows you to see fine detail, but causes no pain. In some cases, AMD advances so slowly that people don’t even notice the change in their vision. In others, the disease progresses faster and may lead to a loss of vision in both eyes. The greatest risk factor for AMD is age. Although AMD may occur during middle age, studies show that people over age 60 are clearly at greater risk than other age groups. Other risk factors include: smoking, obesity, family history, and gender. Women appear to be at greater risk than men. Two Types of AMD There are two types of AMD: wet and dry. Dry AMD occurs when the light-sensitive cells in the macula slowly break down. Over time, as less of the macula functions, central vision is gradually lost in the affected eye. In the earliest stages, you will not even notice any changes in vision. As the disease progresses, the most common symptom is slightly blurred vision. You may have difficulty recognizing faces. You may need more light for reading and other tasks. Dry AMD generally affects both eyes, but vision can be lost in one eye while the other eye seems unaffected. Wet AMD, also known as advanced AMD, occurs when abnormal blood vessels behind the retina start to grow under the macula, leaking blood and fluid. Damage to the macula and loss of central vision can occur rapidly. An early symptom of wet AMD is that straight lines appear wavy. During an eye exam, you may be asked to look at an Amsler grid. The pattern of the grid resembles a checkerboard and can detect subtle changes in your central vision resulting from AMD. Ninety percent of all people with AMD have the dry type and most fortunately maintain adequate reading vision. However, in some patients, dry AMD advances either by itself or by turning into the wet form suddenly, resulting in permanently poor eye sight. Treatment Once dry AMD reaches the advanced stage, no form of treatment can prevent vision loss. However, treatment can delay and possibly prevent intermediate AMD from progressing to the advanced stage, thus saving your vision. Preventative therapy includes certain nutritional supplements as well as smoking cessation. Treatment for wet AMD has advanced tremendously in the last decade, with Page 30 — Healthy Cells Magazine — Bloomington ­— December 2011

Amsler Grid injections leading the way. These injections can not only stabilize vision once a wet episode occurs, but can even provide a return of vision for some patients. Other choices for treating wet AMD include laser surgery and photodynamic therapy. As discussed, often patients may not be aware that they have early signs of AMD. Because dry AMD can turn into wet AMD at any time, everyone should have a comprehensive eye exam at least once a year. AMD is easily detected and treatment can be started before the disease causes any vision loss. Your eye doctor can monitor your condition and check for other eye diseases. If you notice any changes in your everyday vision while reading the newspaper or watching television, see your eye doctor right away. Thanks to new treatment options, if caught early, even the formerly devastating wet AMD can now be treated with restoration of some vision. For more information or to schedule an eye exam, you may contact Dr. Quraishi, MD at Bond Eye Associates, 309-662-3937. Their office is located at 1228 N Towanda Ave, (Towanda Plaza), in Bloomington. You can also join us online at: www. bondeye.com. Dr. Quraishi specializes in Cataract Surgery, Refractive Surgery and General Ophthalmology.


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anxiety

Affected By the Rat Race? By Edward W. Pegg, III, MD

A

nxiety is a condition in which one is apprehensive about what may occur. This is different than fear, where one has an anxious-like episode but for a logical reason (for example, a snake in the grass or being in a motor vehicle accident). Anxiety is more of a free-floating worry that is not directed. Tight muscles and “trigger points” are the landmarks of anxiety. Reach behind you and squeeze your shoulder muscle. At the top of your shoulder you are actually squeezing the trapezius, which is a fan-shaped muscle that originates in the outer arm area and extends across to the backbone and up into the base of your skull. This muscle is very often affected in people with anxiety. If these muscles are tight, you likely suffer from excessive anxiety. As you palpate the muscle, if you also feel little bumps or lumps deep in the muscle that are very tender to touch, these are what is referred to as trigger points. Trigger points are areas of the muscle that have remained tight for so long that they have actually gone into a spasm. These tend to be very tender, as they are high in lactic acid, which is the chemical that causes the burn when you are weightlifting. Trigger points can last for a considerable period of time. The muscle is so tight that the body has a hard time getting blood into the knotted up muscle to remove the lactic acid. People with an anxiety disorder usually have symptoms of uneasiness, apprehension, or worry. They may also have nausea or butterflies, sweating, diarrhea, and frequent urination. When these symptoms escalate, one is then having an anxiety attack. An anxiety attack will usually last about 10 to 15 minutes. Following this, the person may be somewhat exhausted and even embarrassed. Although these usually first occur in the mid 20s as a result of an incident, they can later occur at almost any time, even when one is sitting and relaxing in a chair at home. Patients who suffer from severe anxiety disorders can begin to notice true physical disorders. These might include a sense of numbness or weakness in parts of the body; nonspecific abdominal pains or discomfort; or a plethora of symptoms that do not fit together with any one neat diagnosis. Having been anxious when I was younger and having had classic anxiety attacks, I know firsthand what anxious patients are going through. Anxiety is a treatable condition. Our body is made up of transmitters that turn other nerves on and off. In anxiety, norepinephrine or epinephrine levels are elevated and turn on neurons in the brain to an excessive degree. Benzodiazepines, which are chemicals that tend to turn off or reduce the amount of neuron firing, may be prescribed as they are the most rapid in onset and produce a quick, noticeable change in the way the patient feels. Anti-depressants can sometimes be a good choice if the patient also suffers from depression.

Page 32 — Healthy Cells Magazine — Bloomington ­— December 2011

One can achieve a cure from an anxiety disorder but this usually takes several years and requires commitment and effort. One of the biggest problems that physicians see is that patients are unwilling to undertake the rigorous treatments that are needed to relieve their disorder. Everyone wants a quick fix or to just take a pill because they don't have time in their life to do what is needed to ultimately rectify the disorder. Patients with anxiety need to learn about stress management tools that they are able to practice and thereby suppress the recurrence of the anxiety attacks and underlying heightened emotional state. Meditation has been found to be very effective if it is practiced on a regular basis. I feel that patients with anxiety who have a "guide" or counselor have a much better chance of achieving success. A good counselor is like a good teacher and can make sure that the patient remains on course. There are very good books on anxiety that answer all of the questions and have all of the treatment plans, but the average patient is not good at independent study, and we tend to see that these books simply gather dust. Using the stress management tools I had to learn during medical school has helped me achieve an inner calm to handle an otherwise stressful lifestyle. Having "been there, done that," I highly recommend that anybody who has scored high on the Hamilton Anxiety Scale or notes the tight muscles or trigger points talk to their primary care physician and begin treatment. For more information, you may contact Dr. Pegg at 309-661-7344. The Hamilton Anxiety Scale can be found online or from your physician.


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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 33


healthy habits

Tis the Season to be

Happy AND Healthy By Deb Hoelscher, Eastland Chiropractic & Wellness Center

O

nce again the holiday season is “just around the corner”, and if you are like 85% of the population, you vowed last year that you would adopt a healthier lifestyle. Time sure flies when we are living everyday life and for many, even those who did adopt healthy lifestyle choices, the time between October 31st and January 2nd can be a daunting one. It is estimated that 117 million people take medications for stress related issues. Unfortunately, the holidays bring on more stress related illnesses than any other time of the year. Holiday parties, extra treats, family gatherings, extra commitments, and overextending of financial resources can lead us to overindulgence and an adoption of habits that sabotage our will to lead healthy lives. These things in turn create additional stress and can ultimately interfere with our ability to truly enjoy and embrace this season. Although this time of the year can present us with many challenges, it does not have to be a losing battle in the healthy lifestyle department. Following are some suggestions to help avoid the “pitfalls” of this most joyous season. Start with a Vision. Define a clear vision of how you want the holiday season to go. Communicate with family and friends and encourage them to contribute to a shared vision for the season. Set Goals & Prioritize. Determine what is important to you and what you want to accomplish and stick to it. Write it down where you can see it every day. Allow yourself to say “NO” to activities and responsibilities that are not aligned with your vision.

Page 34 — Healthy Cells Magazine — Bloomington ­— December 2011


Organize & Simplify. First organize all that you wish to get done, and then identify ways to simplify these tasks. Assign duties to each member of your family — do not take it all on yourself. Eat Well. Establish a healthy eating plan and STICK TO IT! Increase water intake and limit alcoholic beverages. Plan your meals in advance and the times that you will eat. Stick to the schedule and have emergency “healthy snacks” available to you at all times. Stay Active. Continue to exercise, and if you currently are not, this is a great time to start! If the gym scene is not for you, find ways to stay active to help you feel better, more energized and focused for the demands of the season. Self Care. Find time to take care of yourself: physically, mentally and spiritually. Take walks, pray, get plenty of sleep, read inspiring books, meditate, listen to relaxing music, allow yourself “quiet time.” Stay Financially Fit. Decide to make financial commitments regarding gift giving and entertaining that you can keep. Stick to it. Perhaps you can decide to make homemade gifts. These really have so much more meaning and are always more personal than a store bought item.

Get Connected. Find ways to spend time with those you love and whose company you enjoy. Create meaningful traditions that can become a part of future holidays. Call old friends and have a conversation in person or by phone. No texting or emailing. Let them hear the love and joy in your voice and allow yourself to listen to theirs. Give. Donate to a charity, volunteer at a shelter, visit the elderly, donate your gently used clothes & toys. Many families are giving to a charity in the name of other family members instead of the traditional gift giving. Give away free smiles and hugs. Commit random acts of kindness every day. By adopting all or even a few of these steps, you can assure yourself of not only a physically but mentally healthier holiday. And remember to HAVE FUN! Play, laugh, share memories, create new ones, enjoy each moment. We are ultimately responsible for our own happiness and health. Whether we have a happy holiday season is a result of our decision not our conditions. Commit yourself to truly experiencing the wonder and joy of this holiday season. Eastland Chiropractic and Wellness Center offers a variety of wellness services including Chiropractic Wellness Care, Gentle Yoga, Weight Management, Massage Therapy, Nutritional Consulting, Stress Management, Healthy Cooking Classes and Life Improvement seminars all to help you adopt healthy habits and a wellness centered lifestyle. For more information, call 309-662-8418.

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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 35


fitness

De-stressing While Exercising By Brandi Kimball, Program Manager for Community Education, Heartland Community College

W

e all know that exercise is an important part of feeling good, but it is also a great way to deal with life’s challenges. Research indicates that exercise may play an important role for functioning optimally both mentally and physically. There are many health benefits to vigorous exercise and many choices to consider and incorporate into your daily schedule. The Benefits of Exercise In recent years, there has been mounting evidence supporting the effectiveness of exercise in maintaining a healthy body and mind. • Regular exercise has been found to be effective in maintaining physical and mental fitness. Exercise may reduce depression, enhance Page 36 — Healthy Cells Magazine — Bloomington ­— December 2011

self-esteem, and relieve anxiety. Regular exercise also has cardiovascular benefits. It lowers cholesterol, blood pressure, and is ideal for weight loss. • Regular exercise may be helpful if you are feeling depressed. A Surgeon General’s report stated that exercise is effective in dealing with depression. Numerous studies have shown that exercise alters mood and attitude. Both aerobic and non-aerobic exercise has been demonstrated to improve mood compared with those who did not exercise. • Exercise may reduce anxiety. Anxiety often interferes with sleep and concentration. People who exercise regularly demonstrate less anxiety than their sedentary peers. Exercise produces a relaxation effect and a sense of well-being that can last for up to four hours after a workout.


• Exercise, combined with good nutrition, can help with weight loss and maintenance. Weight loss improves physical appearance and enhances self-esteem, self-confidence and a sense of well-being. It also offers the psychological benefits of looking and feeling healthy. Exercise helps burn fat, even at rest, and allows lean muscle tissue to develop. Starting Your Exercise Program There are so many options available to increase your everyday movement. You can start simple by taking the stairs or parking further from an entrance for a longer walk. Also, breaking exercise down into doable 10 to 15 minute segments is a great way to build up slowly, get bursts of exercise and increase your energy level throughout the day. Increasing your muscular strength doesn’t always start with lifting weights. Yoga, Pilates, and Tai Chi all offer core stability, muscular development, and flexibility movements. While this resistance is done using your own body weight, it is a good start to increasing strength. Working with a fitness professional is also a great way to get started. A Wellness Coach or Personal Trainer can work with you on an individual basis to design a program based specifically on your needs, likes and dislikes. Making exercise enjoyable will increase your chances for success. Choosing the Type and Intensity of Exercise Remember, you do not need to train like an Olympic athlete or join a gym to benefit from exercise. Choose exercises or activities that you enjoy. It is much more likely that you will stick with an activity that you

"In recent years, there has been mounting evidence supporting the effectiveness of exercise in maintaining a healthy body and mind." like. Make it a social event and invite your friends to join you and workout consistently for the best results. Most studies show that moderate exercise is highly beneficial. So get to a Zumba® class, take Karate or just go for a bike ride. Ask Your Doctor Always start a fitness program slowly and progressively increase your level of activity as your body adapts. If you are over thirty or have any significant health problems get a medical check-up and tell your physician that you are planning to start a fitness program. Getting into shape can be fun. In as little as six weeks, you will notice a real difference in the way you look and feel. Have fun and enjoy being fit! For more information about fitness, health & wellness classes contact Heartland Community College Community Education at 309-268-8160

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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 37


rural health care facilities

Serving in Spite of Challenges By Becky Wiese

H

ealth care issues permeate society because people everywhere need medical attention. Rising costs, decreased revenues, and ever-increasing numbers of patients make it difficult for many health facilities to make ends meet. In spite of the burden of responsibility and the altruistic goal to provide medical care to all who need it, most hospitals are, in fact, businesses that have to pay bills, employ people, and be fiscally sound. If not, they, like other businesses faced with mounting costs and decreasing income, are forced to close their doors. And it happens at an alarming rate. Rural hospitals face unique circumstances in that the overall population they serve is not only decreasing in size (especially as younger families move to urban areas) causing their potential revenue base to shrink, but those they do serve are ageing, thus requiring more services, but are often unable to pay the full cost due to financial circumstances. Reductions and delays in Medicare reimbursements also strain a small hospital’s budget and cash flow. Challenges Facing Rural Health Centers In spite of the financial struggles rural hospitals face, they still fill a vital role in health care. Many smaller hospitals have become designated Critical Access Hospitals (CAH). This federal program, instituted in 1997, helps qualifying hospitals by reimbursing cost plus one percent for services to Medicare patients. The benefits give CAHs more financial stability, thereby decreasing hospital closures that would leave residents without health care services. Local access to emergency and primary medical care provides the critical first line of care. Dr. Brit Williams, a physician at the Rural Health Center at Dr. John Warner Hospital in Clinton, knows the value of the hospital in a small community. “We provide access to medical care to people who wouldn’t have it otherwise.” Dr. Williams is especially cognizant of the needs and limitations of the elderly in the area. “Many older patients don’t want to leave town for medical care, or may not be able to because they no longer drive.” In such cases, he takes medical care to patients by visiting them in their own home, delivering medication when needed.

Dr. Williams sees firsthand the vicious cycle rural hospitals face and, he believes, will continue to face as Baby Boomers age. As the elderly population grows in number, they will put a strain on small hospitals because they are less likely to want to go to larger cities for regular check-ups or treatment. “Some elderly people are scared to death to go to a city for medical care, even if that’s where they need to be,” he says. Clinton’s Dr. John Warner Hospital/Rural Health Center Dr. John Warner Hospital and Rural Health Center in Clinton provide a good example of the Critical Access Hospital program. The hospital has approximately 20 in-patient beds, with an average census of 5-10 patients per day. The emergency room operates 24/7. The Rural Health Center is an outpatient clinic with three physicians and a nurse practitioner. Patients can make appointments to be seen by their primary care physician—regardless of their ability to pay. “We don’t turn anyone away,” says Dr. Williams. “We'll take $5 a month if that’s all they can pay.” For patients who arrive in acute situations and need more extensive care, the role of the Clinton staff is to stabilize then transfer the patient to a larger facility. Once the determination has been made that the patient needs to be transferred, the staff in Clinton is in regular communication with staff at the receiving hospital. “We do a lot of stabilizing,” says Dr. Williams, a critical role in many situations. The hospital is the only 24-hour facility in a 10-12 mile radius and serves many townships that are isolated and off the main roads. Without the first stop in Clinton, some patients would not make it due to the time in transit or the time it would take for the receiving hospital to assess and stabilize a patient. That first stop can be a lifesaver. Specialists such as oncologists, cardiologists, orthopedists from the larger cities become valuable resources for the rural hospital— part of the “network” requirement of being a critical access hospital. They come to Clinton, usually on a weekly basis, to see patients. This provides a win/win/win situation for the patient, who sees a specialist for their particular needs in a local facility; the specialist, who increases their patient base; and for the staff at the hospital, who benefit from working with the doctors as well as having the patients come through their doors instead of going elsewhere for treatment. Rural health centers play an important role in the overall health care system, and they do so in spite of ongoing and increasing challenges. Recognizing the often precarious financial balance they are forced to maintain, many rural health care facilities do everything they can to keep their doors open. Their biggest problem really has nothing to do with health care itself, but the financial stress caused by a variety of factors. As Dr. Williams states, “I hope we can stay in the ballgame.” For more information, you may contact Dr. John Warner Hospital Rural Health Center, 217-937-5284.

Page 38 — Healthy Cells Magazine — Bloomington ­— December 2011


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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 39


mental health

Depression

and Teens Submitted by Dr. Anjum Bashir

D

epression is the most common mental health disorder in the United States for both adults and teens. It cannot be emphasized enough that Clinical Depression is far more than just feeling sad or down in the dumps. For adolescents especially, it is an illness that has a serious impact on their development, not only with relationships and how they view the world and themselves, but teenagers with depression are much more likely to engage in risky behavior, develop substance abuse problems, and have trouble in school. Furthermore, untreated depression is the number one cause of suicide for young people 15-24 years old and the third leading cause of death. Depression is very treatable, Page 40 — Healthy Cells Magazine — Bloomington ­— December 2011

yet a large number of teens remain undiagnosed and less than one third of teens who are diagnosed get help and treatment. Depression in teens is different in many ways from depression in adults. Teens with depression are often angry and irritable rather than withdrawn and sad. Teenagers are usually dependent upon adults for their health care needs. They can’t just get help on their own, but must rely on their parents or teachers to recognize the signs of depression and take appropriate action. This can be a difficult task as symptoms of depression can easily be confused with normal teen moodiness and/or rebellion. Significant life events – which for a teenager could be breaking up with their boyfriend


or girlfriend - can trigger symptoms of depression. However, depression usually isn't caused by one event or reason, but is more often the result of many factors. What to look for Following are some of the more common symptoms of depression in both teens and adults. • Appetite changes — usually a loss of appetite but sometimes an increase • Difficulty concentrating and making decisions • Trouble sleeping, too much sleep, daytime fatigue • Feeling worthless, hopeless, sad • Loss of interest in activities Following are symptoms of depression that are more common in teenagers. • Hostile, irritable or angry mood rather than sadness. • Headaches or stomachaches. • Withdrawal from some, but not all friends • Problems at school, sudden drop in grades • Drug and alcohol abuse • Internet addiction or overuse • R isky, irresponsible or criminal behavior (shoplifting, missed curfews, DUI, skipping classes) • Violence • Talk or threat of suicide - NEVER ignore this Not all of the above symptoms will be present, but usually several. The important red flag is a change in behavior. What to do If you have any concerns about the mental, behavioral, or emotional symptoms in your child, it’s very important to seek help right away. Treatment usually produces better results if started early. Unfortunately, mental health still carries a stigma for many people, especially teens, so it can be difficult to convince a depressed teen that they need help. Some parents may feel that their child’s depression is somehow a reflection of their parenting ability – which is not true. Even parents who have very good communication with their teens often don’t realize that their teen is suffering from depression. A good first step is to make an appointment with your family health care provider who can rule out any physical reasons for the changes in behavior and make a referral to a specialist. Teens will often be more receptive to a suggestion from a professional rather than their parents. Treatment of adolescents can be tricky, so it’s especially important to see a psychiatrist who has experience with adolescents. A combination of medication and talk therapy is usually an effective strategy. The consequences of untreated depression in teens can be life-long, serious and indeed – life threatening. For more information about depression or any mental health issue, you may contact Anjum Bashir, MD at 309-531-0050. His office is located at 205 N. Williamsburg, Suite E in Bloomington.

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 41


faith matters

Prayer and Patient Care By Dr. Rachel M. Hatfield Dalton

I

t’s so great that you pray before your surgeries,” exclaimed one of the operating room nurses as we prepared a patient for surgery. I laughed it off and replied, “I’m not just praying for the patient, I’m praying for us too!” Actually, to me it isn’t a joke, the operating team needs prayer just as much as our surgical patient. Many physicians include prayer as an integral part of their experience with their patients. During residency training, I was reluctant to pray out loud with a patient. I often hadn’t had the time to develop a relationship where I felt the patient and her family would trust me—I was concerned that they might perceive it as a “gimmick.” But prayer is never a gimmick, it is the most important thing I can do during my day. So in the operating room, during anesthesia induction (“going to sleep”) before surgery, where no one would notice, I would pray silently for the patient’s safety and for my hands and eyes to be quick and effective. My shyness and reluctance changed during my last months of residency because of one important patient encounter: a tiny young “

woman came to the emergency room at midnight in terrible abdominal pain. She was diagnosed with a very serious condition, an ectopic pregnancy (a pregnancy that implants outside of the uterus) that would need emergency surgery. I had a special bond with her, she and I had delivered our own children hours apart in December 2010. Just before I wheeled her through the operating room doors, her husband stopped to give her a kiss and asked, “Can we three pray together, doctor?” During his prayer, a sense of peace flooded us. The surgery was completed quickly, according to plan, and without complication. I found the patient’s husband in the waiting room afterward and told him, “To God be the glory, your wife’s surgery went perfectly, she’s recovering now.”

"Consent for prayer is a must, but I have patients of every faith background and not yet has anyone declined prayer." This experience and many other experiences in residency shaped my need to now make prayer a part of every patient encounter. Whether my patient is frightened before surgery, just delivered a baby, or in the office nervous about a diagnosis, prayer is a part of my plan of care. I ask before I pray, “Would it be okay if we prayed together... ...about surgery?" ...about your situation?" ...to give thanks to God for this new life in your family?” Consent for prayer is a must, but I have patients of every faith background and not yet has anyone declined prayer. The sense of peace and calm is palpable, it washes over both the patient and myself. In medical school, one of my professors (a Family Practice physician) said to our class, “Remember as you walk into that exam room, the patient in front of you has trusted you; trusted you enough to reveal their hurt; trusted you enough to make themselves vulnerable and wear an exam gown. This is a huge responsibility, make sure you are listening.” I’m listening, so is God. Together, my hope is to truly take care of patients through prayer. If you would like prayer to be a part of your OB/Gyn care, please call 309-454-3456 to make an appointment with Dr. Rachel Dalton. She is accepting new patients, all insurances, and is located at the office of Dr. Harold Nord.

Page 42 — Healthy Cells Magazine — Bloomington ­— December 2011


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December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 43


bariatric surgery

Putting a Patient’s Life Back on Track By Michael Leathers

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hen her sister died of leukemia in 2004, Rosemary Tuetken knew it was a wake-up call for her to pay attention to her own health. “That made me stop and look at myself and say ‘You have to do something or you’re not going to be around,’” the Hillsboro, IL native said. She was only 5 feet tall but weighed 216 pounds, was diabetic and had high cholesterol. Diabetes and heart disease ran in her family. She began reading about bariatric surgery and asked her family physician about it. He agreed she was a good candidate. The following year, Rosemary had gastric bypass surgery. Today, she weighs 123 pounds, having lost 100 percent of her excess body weight. Her diabetes is gone. And almost a year after her surgery, on April 26, 2006, Rosemary ran the first of four halfmarathons, a 13.1-mile run in Nashville, Tenn., something she says she couldn’t have done before her surgery. In addition to her annual half-marathon, Rosemary has taken part in other runs, biathlons and a full marathon. She runs two or three days

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www.digesiveconsultant.com • www.pmgillinois.com Page 44 — Healthy Cells Magazine — Bloomington ­— December 2011

every week, either around town or on the treadmill. She works with a personal trainer in her hometown three days a week. Not all bariatric surgery patients run marathons, but many of their lives have seen dramatic improvements. Most of the bariatric surgery patients in the bariatric surgery program have lost at least 50 percent of their excess weight and kept it off for three or more years. And consider these results: 97 percent have seen their Type 2 diabetes resolved or substantially improved, 85 percent with high blood pressure are back to normal or greatly improved, and 70 percent have seen their sleep apnea go away or considerably reduced. Those are great results for patients who struggle with obesity, a chronic disease that affects one in four Americans. And up to 15 million are morbidly obese, which means their conditions have become so severe that they’re at great risk of other diseases, disability and premature death. But bariatric surgery can help. “I am not aware of any single line of therapy in medicine today that will resolve as many issues as significant weight loss,” said Dr. Hammer, medical director of Memorial Bariatric Services and a Springfield Clinic surgeon. “It’s been shown that people who resolve co-morbidities, such as hypertension and diabetes, see their life spans increase up to 15 years.” The bariatric surgery program provides comprehensive care to patients before and after their surgeries. Patients receive a thorough evaluation to make sure they’re ready for the lifestyle change that bariatric surgery offers, and work with a registered dietitian, physical therapist and social worker. After surgery, patients continue to receive care from staff and can attend support group meetings where they talk to other patients about their successes and challenges. That follow-up is important, Rosemary said. “If you think you’re going in the wrong direction, it just turns you around.” Now, she’s grateful to be headed in the right direction. “I have a lot to live for,” she said. “If I hadn’t had this procedure, I cannot imagine where my life would be at now.” Memorial Bariatric Services partners with Advocate BroMenn Medical Center to bring comprehensive bariatric surgery services to patients in Bloomington-Normal and surrounding communities. Although the surgical procedures are performed at Memorial Medical Center in Springfield, all pre- and post-operative care is offered on the BroMenn campus. BroMenn offers bariatric support services including: nutrition counseling, behavioral health care, physical therapy, laboratory and imaging services – all within an interdisciplinary team format led by experienced bariatric surgeons. Memorial Bariatric Services' surgeons offer a pre- and post-bariatric surgery care clinic twice monthly on the BroMenn campus for the convenience of area patients. For more information, call (toll-free) 866.205.7915 or visit www.advocatehealth.com/bromenn/bariatrics.


vocational assistance

You Must Have Courage To

Be Willing To Live Your Dream Submitted by the Department of Rehabilitation Services

F

or many of us the weekends are a time for rest and relaxation; but for Donna Adams and her family, it's literally a celebration! Donna is the owner of a wedding and party planning business which specializes in creating themed weddings. Working out of her home allows Donna to be close to her family and they, in turn, have helped make her business a success. Donna's husband, who is skilled at carpentry, designs and build sets, backgrounds and props. Her immediate and extended family assist her in setting up the table arrangements and other specialty items for weddings and parties. This family support, coupled with the flexibility of working from home, allows Donna to have assistance on days when her Fibromyalgia and Osteoarthritis make it difficult for her to complete certain tasks. Donna had always been employed in careers where she had demonstrated the ability to be creative and help others. She started out working in restaurants and bartending. From there she worked as an Activities Associate with Alzheimer patients and then as a Certified Nursing Assistant. In 1997 she began having significant back pain and fatigue. As a result she was not able to continue working and didn't know what her future held. In 2009, Donna visited the Division of Rehabilitation and began working with Vocational Counselor, Lynn Trovillion, in the Bloomington Field Office. As the counseling relationship developed it was identified that Donna had participated in many activities through work and hobbies that were creative. One of those activities was helping to plan weddings, a hobby that Donna watched her mother do when she was younger. With the assistance and support from Lynn, Donna successfully completed all required course work to receive her certification as a wedding planner and obtain her food sanitation certificate. Lynn also referred Donna to SCORE (Counselors for America's Small Businesses). Through SCORE, Donna was able to connect with some other, more experienced wedding planners, develop a detailed business plan, and connect with a small business operator who gave her space and supplies in a craft store. Together, DRS and SCORE helped Donna design business cards, an eye catching portfolio, learn successful advertising methods and get some needed business management software. Soon after, Special Moments Wedding & Party Planning was opened for business. Donna knows that without the support of DRS and the continued support and assistance from her family, she would not be able to live her dream. She has completed several weddings already and has had

a steady stream of referrals. She loves what she does, especially building a relationship with the bride and groom as she helps them to plan their special day. She feels that she is able to assist the happy couple with designing around their idea of the perfect day and to keep the event within a budget they can afford. Donna is hopeful that someday she can expand her wedding and party planning business. Donna is thankful for the support, guidance and encouragement that she has received from DRS and her family. Donna states, "You must have courage to be willing to live your dream; age does not matter. Keep trying and become good at self-advocacy. I recommend the services that DRS offers to anyone!" If you or someone you know has a disability and is having trouble finding or keeping a job, or is interested in furthering their career goals we can help. To learn more, call 1-877-761-9780 Voice, 1-866-2642149 TTY, 1-866-588-0401 VP, or go to our website at drs.illinois.gov/ success. Please see our ad on page 31

422 W. White St, Clinton, IL

• 217.935.9571

Convenient, Quality Care Close to Home

Pulmonary Rehabilitation is a program for patients with lung disease who: • Have difficulty with breathing and day to day activities • Use Oxygen • Who want to learn more about their disease Educational sessions will include: • Breathing retraining • Medications and proper nutrition • Energy conservation • Control and alleviation of symptoms • Increase quality of life TO JOIN: Your physician’s referral is required and an evaluation by our medical doctor and pulmonary rehabilitation staff. For information, call

217-935-9571 ext. 3222 December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 45


hip resurfacing

An Alternative to Total Hip Replacement By Pamela Meiner

T

he innovative Birmingham Hip Resurfacing™ (BHR) procedure offers active patients with good bone health an alternative to total hip replacement that conserves bone, provides greater stability and ultimately increases range of motion. This approach is achieved by covering the hip joint’s surfaces with an all-metal implant that more closely resembles a tooth cap than a traditional hip implant. It reduces the post-operative risks of dislocation and inaccurate leg length. In addition, because it contains no plastic elements, the all-metal implant has the potential to last longer than traditional hip implants. “This is one of the most exciting procedures to come along in a number years for people with joint deterioration,” explains Dr. Sipe, an orthopedic surgeon with OSF Medical Group and OSF Saint James – John W. Albrecht Medical Center in Pontiac who has been performing the new Birmingham Hip Resurfacing (BHR) procedure since 2007. “Hip resurfacing is the ideal solution for many of my young, active patients who suffer from hip pain. While traditional hip replacement can do wonders for the majority of patients in terms of reducing pain and returning mobility, there is a growing population of patients that are looking for more. These patients want to regain the active lifestyles they love, whether it’s biking, running, dancing or even martial arts. The Birmingham Hip Resurfacing procedure provides an alternative that meets the needs of these patients.” Patients suffering from hip pain due to osteoarthritis, for whom total hip replacement may not be appropriate due to their increased level of physical activity, are an example of the ideal candidates for hip resurfacing. For this reason, most surgeons feel it is ideal for patients under 60 who live non-sedentary lifestyles. Page 46 — Healthy Cells Magazine — Bloomington ­— December 2011

About the Birmingham Hip Resurfacing implant Total hip replacement involves the removal of the entire femoral head and neck. The ceramic hip resurfacing technique, however, leaves the head and neck untouched. It is this neck length and angle that determines the natural length of a patient’s leg after surgery, and since it is not removed and replaced with an artificial device during the resurfacing procedure, there is a greater likelihood of maintaining accurate leg length. While the ceramic hip resurfacing implant closely matches the size of a patient’s natural femoral head (hip ball), it is substantially larger than the femoral head of a traditional total hip replacement implant. This increased size translates to greater stability in the new joint, and it decreases the chance of dislocation of the implant after surgery. Dislocation is a leading cause of implant failure after total hip replacement. The resurfacing implant is an all-metal, cobalt chrome, ball and socket joint. Traditional hip replacements use a metal ball and a plastic socket. As would be assumed, this plastic socket wears down over time, and may need to be replaced surgically. In fact, it is a leading cause of follow-up surgeries. All-metal total hip replacements reduce joint wear by 97-percent compared to total hip implants containing plastic sockets. Brian Sipe, D.O., was one of the first surgeons in the region to perform the new Birmingham Hip Resurfacing (BHR) procedure. OSF Saint James – John W. Albrecht Medical Center is located at 2500 W. Reynolds Street in Pontiac. OSF Medical Group Orthopedics & Spine Surgery is located in Suite 103 of the medical center. In addition to Dr. Sipe, the practice includes surgeon Travis Richardson, D.O., and physician assistants Rick Saylor and Lee Chang. They can be contacted at (815) 844-4062. Information is also available at www.osforthospine-pontiac.org.


December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 47


end of life care

What is a Hospice Home? By OSF Home Care Services

W

e’ve all been touched by the loss of a loved one at some point in our lives. And regardless of the situation, it’s never easy. But when confronted with the reality that a loved one is facing an illness that is beyond cure, it’s important to provide for them as compassionately as possible during their final days. This is the philosophy behind hospice. OSF Home Care Services recently broke ground to build the first hospice home in Central Illinois. The OSF Richard L. Owens Hospice Home will be fully operational by April 2013. A hospice home is a facility designed to meet the needs of terminally-ill patients who: • Have symptoms that cannot be managed at home • H ave only a short period of time left before they die and are unable to remain in their home. • Need brief respite for the primary caregiver The staff will strive to relieve suffering, enhance comfort, promote quality of life and support family altering decisions for patients with life-limiting illnesses. A Hospice Home facility provides: • 24/7 nursing care • Physician services • Social Workers • Personal Care Aides • Pastoral Care, extensive spiritual and religious support • Bereavement services to patient and family • Volunteers Page 48 — Healthy Cells Magazine — Bloomington ­— December 2011

Why patients and families choose a hospice home Facing a terminal illness is a difficult situation for anyone. While the comforts of home and family may be desired, what happens when the proper level of day to day care is unattainable in a home environment? • What happens to the 85-year-old man, dying of congestive heart failure, with no children close to home and an ailing wife? Where does he go for the support he needs and desires? • What about the 55-year old woman dying of breast cancer whose husband and parents can no longer care for her? Where can they go for support? • What is the best choice for the 42-year-old woman whose pain is so out of control that she is unable to get out of bed, nothing seems to be working, and she wants her pain controlled well enough for her to travel to visit her elderly mother who is confined to her home? How do you know if placing a loved one in hospice care is the right thing to do? • W hen there is not a family member to care for the patient at home • When the patient requires around-the-clock care • W hen the family or caregiver needs a time of respite from the care needs of the patient • When a patient requires symptom or pain control that cannot be managed at home • When a family or caregiver wants to provide the patient with the amenities of home and the clinical support needed for patients facing imminent death


If You’re Going To Be Living In Your Swimsuit On That Winter Cruise, You Deserve A New One • Carol Wior “Slimsuits” • Sunsets - mix and match • Swim Systems • T.H.E. Swimwear • Swimwear Year Round • Hard to Find Sizes (6-32W) • Chlorine Resistant Suits Available for Aqua Aerobics

•W  hen a patient experiences complex problems, their physician can admit them to the Hospice Home for care versus an Emergency Room • W hen a patient is suffering from acute symptom pain and needs short-term pain management. Designed to be the ideal home away from home, a hospice home provides patients and families the opportunity to focus on their relationship, while providing optimum medical attention in warm, comfortable surroundings with around-the-clock care. A hospice home is a place to live and accept life’s end in peace, with comfort and dignity. For more information about hospice or the OSF Richard L. Owens Hospice Home, please visit www.osfhomecare.org.

We’ve got the SECRET to a great fit

309.827.0600 416 N. Madison, Bloomington www.cometakeapeek.com Tues-Sat 11am - 7pm • Closed Sun & Mon

One More Reason to Choose CPO Robin M. McRae, CP, LP Robin McRae brings a well-rounded education and professional background to Team CPO. She is an ABC certified and licensed prosthetist with her Master’s of Education in Sports Management, her Bachelor’s in Sports Studies and a minor in Health. Robin’s patient care philosophy is driven by her holistic approach and overall function and comfort of her patients, which helps her excel in what she does. Robin is especially well suited to support athletes, children and other active individuals who have experienced limb loss. Her clinical interests include adult and pediatric upper and lower extremity prosthetics.

Comprehensive Prosthetics & Orthotics is committed to restoring mobility and quality of life for patients of all ages, with a full range of orthotic and prosthetic services and an on-site fabrication laboratory.

www.cpousa.com

Call today to schedule your appointment at

1.888.676.2276

December 2011 — Bloomington — ­ Healthy Cells Magazine — Page 49


Orthopedic Oncology

Physical Therapy

MRI

Surgery

EMG

Covering the Map:

Orthopedic Oncology and the Fight against Cancer Regardless of where one looks on the earth, there is evidence of nature turning on itself—signs of upheaval and natural devastation. The human body is no different; but instead of earthquakes and volcanoes, cancer is the self-destructive bane of our physical frames. There are over a hundred different types of cancer, broken down into the categories of: • Carcinomas • Sarcomas • Leukemia • Lymphomas • Myelomas • Central nervous system cancers Simply removing tumors is only part of the picture. In orthopedic oncology, the skills must be there to deal with the often devastating issue of bone loss resulting from tumor removal. Extensive training in joint replacement works hand-in-hand with the oncological side of things.

Dr. Nikhil Chokshi Orthopedic Oncologist

For more information, or for an appointment, call

309-663-6461

McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is one of the largest freestanding

surgery centers in central Illinois and the only one certified for overnight stay. Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services. Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.

2502 E. Empire • Bloomington • 61704 www.mcleancountyorthopedics.com

Page 50 — Healthy Cells Magazine — Bloomington ­— December 2011



December Bloomington Healthy Cells 2011