Promoting Healthier Living in Central Illinois • Physical • Emotional • Nutritional October 2010
Service First Because We Care page 22
Rocks in My Ears! page 8 Diet and Cancer, Is There a Connection? page 12 Lift It or Lose It page 26
Helping You Get Back to the Things You Love ACCEPTING ALL INSURANCES AND SELF-REFERRALS
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October 2010 • Healthy Cells Magazine • Bloomington • Page 3
M A G A Z I N E
Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.
October 2010 Issue Volume 5, Issue 10
This Month’s Cover Story:
Ob-Gyn Care Associates Service First Because We Care page 22 Cover story photos by Gloria Faith Photography
For information about this publication, contact
Cheryl Eash, owner 309-664-2524 email@example.com
www.healthycellsmagazine.com Healthy Cells Magazine is a division of:
The friendly caring staff at Ob-Gyn Care.
1711 W. Detweiller Dr. Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. 8,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the BloomingtonNormal area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in Bloomington-Normal.
Infant Health: The Art of Swaddling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 6 Physical: Rocks in My Ears!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 8 Emotional: Addiction and College Students - What Parents Need to Know. . . . . . . . . . Page 10 Nutritional: Diet and Cancer - Is There a Connection?. . . . . . . . . . . . . . . . . . Page 12 Cosmetic Surgery: Rejuvenating Lives One Patient at a Time. . . . . . . . . . . . Page 14 Child Development: Why Preschool?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 16 Women’s Health: Pink PartnersTM of the Community Cancer Center. . . . . . Page 18 Musculoskeletal Imaging: Joint Pain and MRI. . . . . . . . . . . . . . . . . . . . . . . . . . Page 20 Pet Adoption: Dreaming of a Happy Home. . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 25 Weight Loss: Lift It or Lose It. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 26 Healthy Finance: How Can I Upgrade My Insurance Tax Free?. . . . . . . . . . Page 28 Hormone Therapy: Bio-Identical Hormones 101 . . . . . . . . . . . . . . . . . . . . . . . . Page 30 Healthy Families: The Parent Trap Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 32 Raw Foods: Moving Beyond Sushi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 34 Healthy Feet: Show Me Those Toes!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 36 Sleep Quiz: How Tired Are You?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Page 38 Adult Education: Accelerated Degree Program for Adult Learners. . . . . . . Page 40 “I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Cheryl Eash
Page 4 • Healthy Cells Magazine • Bloomington • October 2010
October 2010 • Healthy Cells Magazine • Bloomington • Page 5
The Art of Swaddling:
Keeping Your Baby Warm and Secure By Rachel Perva, OSF St. Joseph Medical Center
waddling newborns is a common, but sometimes harder than it looks, resource for new mothers. Swaddling keeps babies warm and secure in a blanket or swaddle sack in order to protect them from their startle reflex and keep them warm. Swaddling can also keep your baby calm as he or she experiences all the things this new life has to offer. Most parents say the biggest benefit of swaddling is that it helps their babies get to sleep, stay asleep, and get comforted quickly. A properly-swaddled baby feels warm and secure, and the wrap can help prevent a baby from throwing his arms up and startling himself, or even scratching his face. Safe practices, such as swaddling an infant, can also help prevent SIDS. SIDS is the unexpected death of an infant, one month to one year old, where the cause of death remains undetermined. Usually, the hospital where you give birth will teach you how to swaddle your baby. But this is no easy task. Sometimes it can take practice before you get it right. Today, you can purchase a swaddle sack, which can make swaddling your baby easier, but if you only have a blanket, here are some tips:
• The first step in swaddling is to lay a blanket on a flat surface and fold down the top-right corner about six inches. • Place your baby on his or her back with his or her head on the fold. • Pull the corner near your baby’s left hand across his or her body, and tuck the edge under his or her back on the right side, under the arm. • Pull the bottom corner up under your baby’s chin. • Bring the loose corner over your baby’s right arm and tuck it under the back on his or her left side. At approximately two months of age, or when your baby is able to turn over on his or her own, you may want to stop swaddling your baby. This allows your baby to move more freely and aids in his or her development. You can continue to swaddle during naps and nighttime if you find he or she sleeps better. A good rule of thumb: Your baby will let you know by crying or kicking when swaddling is no longer needed. For more information on swaddling or swaddle sacks, please contact OSF St. Joseph Medical Center’s Birthing Center at (309) 665-4704 or visit www.osfstjoseph.org/birth. Page 6 • Healthy Cells Magazine • Bloomington • October 2010
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McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest
freestanding surgery center in central Illinois and the only one certified for overnight stay. Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services. Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 7
Rocks in My Ears! By Poonam McAllister, Vestibular Physical Therapist, Central Illinois Institute of Balance
es, there is such a thing as “rocks” in your ears! You may have even heard people talk about having rocks in their ears that literally made their world spin. The inner ear is the farthest part of the ear. It is housed deep inside the skull bone and is not visible from the outside. The inner ear is made of two parts. The first part is a snail like part called the cochlea and the other part looks like a sac with three rings
Page 8 • Healthy Cells Magazine • Bloomington • October 2010
that come out of it. This second part is called the labyrinth. The cochlea is the hearing organ and the labyrinth is the balance organ or sensor. The labyrinth is what houses the rocks. The labyrinth is made of two sacs called the utricle and saccule and three semicircular canals. The utricle is what houses the rocks, often described as crystals in the inner ear. The medical term for the ear rocks is oto-
conia. These rocks or crystals are made of calcium carbonate and have a very important job to do. These crystals are normally present in both inner ears and help us sense where we are in space. They are extremely small and are not seen on any X-Ray or MRI. Sometimes, for no given reason or following a head injury, a car accident or a fall, these rocks move out of place. They now float freely in one of the semi- circular canals. So when a person with rocks that have moved out of place moves their head up or down or bends over, they feel the room spin. Simple daily tasks like washing or blow drying their hair makes them sick to their stomach. Often people with this problem complain of the room spinning when they roll in bed or first get out of bed in the morning. The medical term for the displaced rocks is Benign Paroxysmal Positional Vertigo or in short BPPV. The symptoms of rocks being out of place include room spinning dizziness, nausea and a feeling of falling or being thrown back in bed upon rising. Often these symptoms last only for seconds and stop once the head or body movement has stopped. People often feel unsteady, veer to one side or feel unsteady when they make quick turns. Many people are afraid to leave the house alone and sometimes have to miss work or social activities. You can be tested for BPPV by your physician or by a referral to a Vestibular Physical Therapist or an Audiologist. It is an outpatient procedure and the treatment is very simple. The rocks are tested by performing a procedure called the Dix- Hallpike procedure or Roll Test. It is not recommended that people try to do this by themselves. A specific treatment procedure is performed after determining where the rocks have dislodged. People are often symptom free after the first treatment. Some complex cases need repeated sessions and a home exercise program.
“The symptoms of rocks being out of place include room spinning dizziness, nausea and a feeling of falling or being thrown back in bed upon rising.” There are other causes of dizziness besides displaced rocks. If you experience any form of dizziness you must mention it to your physician to rule out any other causes. Treatments have documented benefit and are covered by insurance companies. So, if the room is spinning, don’t just sing the song “ I’m so dizzy my head is spinnin………..” Call your doctor for a referral to check out those ear rocks. For more information, you may contact Central Illinois Institute of Balance at 309-663-4900. They are located at 1404 Eastland Drive in Bloomington and specialize in treating balance and dizzy disorders.
October 2010 • Healthy Cells Magazine • Bloomington • Page 9
Emotional Addiction and College Students
What Parents Need to Know Submitted by Sandra Beecher, Corporate Service Clinician, Illinois Institute for Addiction Recovery
n a previous articles, we defined addiction as “devoting or surrendering oneself to something habitually or obsessively; behavior that impairs the performance of a vital function, a harmful development.” These addictions manifest themselves in two categories: substance addictions, such as alcohol, illegal or prescription drugs, nicotine or caffeine; and behavioral addictions, like gambling, food, internet/video gaming, shopping or pornography. While many individuals may be predisposed to the temptations of addiction, one group seems to have a greater propensity: college students. Why college students? Students face a limbo of sorts when they go off to college. Freedom from parental control and peer pressure can play havoc with common sensibilities that may otherwise remain intact. Addiction can result from a number of challenges including fitting in, socializing, handling stress, financial concerns, coping with responsibilities, academic pressures, family expectations, loneliness, mental health conditions, anxiety, depression and eat-
ing disorders. Many scientists and health professionals also believe a leading precursor to addiction can be biological, such as genetics, gender and a history of mental disorders. What are the most common addictions? When most people think of addiction and college students, they think of drinking. And certainly alcohol abuse is still very prevalent around campus. In 2008, The National Survey on Drug Use and Health (NSDUH) reported young adults aged 18 to 22 enrolled full-time in college were more likely than their peers not enrolled full-time to use alcohol, drink heavily and binge drink. NSDUH also reported that among full-time college students, 61% were current drinkers, 40.5% binge drank, and 16.3% were considered heavy drinkers. Also in 2008, The National Institute on Drug Abuse (NIDA) reported the percentage of illicit drug use was higher in young adults aged 18 to 25 at 19.6% than any other age group. According to the Office of National Drug Control Policy, surveys taken at colleges and universities across the United States showed that the percentage of students who used drugs other than alcohol
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Page 10 • Healthy Cells Magazine • Bloomington • October 2010
within the past year broke out as follows: marijuana, 32%; amphetamines, 6.5%; hallucinogens, 7.5%; cocaine, 3.7%; and designer drugs, 3.6%. Interestingly, a recent study by researchers at the University of Maryland shows that college students are also becoming hooked on cell phones, social media, video games and the Internet to the extent that they are showing symptoms similar to drug and alcohol addiction. After asking 200 students to give up all media for one full day, they found that after 24 hours many showed signs of withdrawal, craving and anxiety along with an inability to function well without their media and social links. Susan Moeller, the study’s project director and a journalism professor at the university, said many students wrote about how they hated losing their media connections, which some equated to going without friends and family. “I clearly am addicted and the dependency is sickening,” said one student. Said another, “Texting and IM-ing my friends gives me a constant feeling of comfort.” “When I did not have those two luxuries, I felt quite alone and secluded from my life.” When do parents step in? “An ounce of prevention is worth a pound of cure.” While this may not guarantee that a child won’t succumb to addiction, discussing the risk factors and concerns with your student well before they go off to college can help make them more aware of the challenges and temptations they may face. If you have suspicions that your student may have an addiction, you can first try talking with them. Preface your conversation by voicing your concern and steer the discussion toward what’s going on around them and how they feel about what others are doing. In the process you’ll be hearing what they feel, which may make them more likely to transition to what’s going on in their own lives. Be prepared for your student to react in anger or denial – these are common emotions. From many students’ viewpoint, admitting they have a problem is similar to admitting failure. Whether or not your child admits a problem, if you suspect there is one, seek outside help. Outside help can www.healthycellsmagazine.com
be the college health center, your family doctor, a clergy member or perhaps a sibling or trusted friend. What help is available? If it is determined that the student needs treatment for the addiction, there are a number of program choices depending on the facility and the individual and family needs: • Early Intervention programs designed for those who may be engaging in at-risk behaviors, such as chemical, gambling, Internet, video gaming or shopping. • Inpatient/Residential Treatment programs that provide around-the-clock structure and safety, allowing the individual to return to comfortable, productive living. • Addiction Day Treatment for those who are physically and emotionally stable enough to remain abstinent in the evening without peer support. • Outpatient Rehabilitation consisting of meetings throughout the week and including lectures and group therapy • Continuing Care, a critical part of the recovery process, in which individuals attend individual and group counseling at a less intense level. Above all, remember that you may be your college student’s biggest advocate. It’s tough to admit that your child has an addiction, but by being proactive you can be a catalyst for getting the help they need to get back on track and on with their life. For more information or questions on any type of addiction, contact the Illinois Institute for Addiction Recovery at 309-888-0993 or visit their website at www.addictionrecov.org. Their Bloomington office is located at the Advocate BroMenn Medical Center and they provide free assessments anytime. October 2010 • Healthy Cells Magazine • Bloomington • Page 11
Diet and Cancer Is There a Connection? Submitted By Illinois CancerCare
es, much more than you think. Research data suggests that diet choices and sedentary lifestyles do in fact increase cancer risk. Furthermore, an active lifestyle together with a low fat or low calorie diet may reduce the risk of recurrence in some cancer patients. With the exception of quitting smoking, the best way to cut your risk of cancer is to achieve and maintain a healthy weight, to be physically active on a regular basis, and to make healthy food choices. The evidence for this is strong. Each year, about 550,000 Americans die of cancer and fully one-third of these deaths are linked to poor diet, physical inactivity, and carrying excess weight Control Your Weight Maintaining a healthy weight is important to reducing the risk of cancer and other chronic diseases, such as heart disease and diabetes. In addition, being overweight or obese increases the risk of several cancers, including cancers of the breast (among
Page 12 • Healthy Cells Magazine • Bloomington • October 2010
women past menopause), colon, endometrial, esophagus, kidney, and other organs. Excess body weight likely works through multiple mechanisms to increase cancer risk. Leading candidates are: excess hormones, estrogen and insulin, which can stimulate cancer growth Diet and Breast Cancer Recurrence A promising study linked the benefits of a low-fat diet to decreased breast cancer recurrence (with hormone-negative cancers being most benefited). Evidence has long suggested that eating a low-fat diet helps the heart, but now there’s also evidence that it may have a positive effect on certain types of breast cancer. Researchers say that breast cancer patients who stick to this type of eating plan have a lower risk of their cancer returning. The WINS (Women’s’ Interventional Nutrition Study) study, lead by researcher Rowan Chlebowski, MD, PhD of the Los Ange-
“Maintaining a healthy weight is important to reducing the risk of cancer and other chronic diseases, such as heart disease and diabetes.” les Biomedical Research Institute at Harbor-UCLA Medical Center and sponsored by the National Cancer Institute, represents the first lifestyle change that can have a favorable impact on breast cancer recurrence and outcome. For the study, he and his colleagues recruited nearly 2,500 postmenopausal women (ages 48-79) who had been treated for early-stage breast cancer with surgery and standard follow-up care (such as radiation, tamoxifen, or chemotherapy). Of this group, they randomly assigned 975 women to eat an extremely low-fat diet—about 33 grams of fat daily. Crucial to the conduct of this trial were regular follow-up sessions with trained dieticians. This type of diet required the participants to remove essentially all of the added fat in their diet, including fried foods, oily salad dressings, animal fats, and even spreads on breads. The women were motivated to participate and compliance was good. The remaining 1,462 women followed their normal diets, with only brief counseling about getting adequate nutrition. On average, these women consumed about 51 grams of fat each day. Weight loss was not a goal of this intervention, but the low fat group lost about 4-5 pounds of weight. After about five years of follow-up, the low-fat diet reduced the risk of breast cancer recurrence. Interestingly and somewhat unexpectedly, those with estrogen-negative tumors gained the greatest benefit, lowering their risk of recurrence by 42%. ER Negative tumors (Estrogen Receptor Negative) are tumors that do not have estrogen receptors on them, and therefore they do not respond to hormonal treatments like tamoxifen or aromatase inhibitors. This makes them more difficult to treat than hormonesensitive tumors (also called ER-positive tumors), which makes the benefit from diet all the more important. The magnitude of the benefit is similar to chemotherapy. Importantly, all of the ER negative women had chemotherapy in addition to the low-fat diet. At this stage of follow-up it is not clear if the low-fat diet increases the effectiveness of chemotherapy or just adds another effective therapy. While the low fat diet may have been a fundamental part of the intervention, epidemiology studies comparing countries with higher and lower rates of breast cancer, suggest that some of the benefits may have simply come from the calorie restriction and weight loss.
each day and incorporate the following suggestions to build a healthy diet plan for yourself: Vegetables and fruits: You need to eat a minimum of 5 servings of vegetables (including legumes) and fruits each day, especially those with the most color (a sign of high nutrient content). Nine servings are optimal. Each serving is the size of one’s fist. So a meal or snack can include more than one serving. Whole grains: Aim for at least 3 servings of whole grains each day. There are easy ways to add whole grains to your diet such as eating oatmeal at breakfast, choosing wholewheat bread or wraps for your lunchtime sandwich or whipping up brown rice at dinner instead of white. Processed and red meats: Cutting back on processed meats like hot dogs, bologna, and luncheon meat as well as red meats like beef, pork and lamb may help reduce the risk of colon and prostate cancers. The Bottom Line Many common cancers such as breast, colon, endometrial and prostate cancer have risks related to diet and activity factors. Even uncommon cancers such as multiple myeloma also are increased in overweight and obese individuals. While lifestyle changes take time, we can start by increasing our physical activity—even in small amounts, making healthy food choices, and looking for ways to make our environment a healthier place to live, work, and play. For further information about this article or to have someone speak at your club, church or organization please contact Illinois CancerCare at 309.662.2102 and ask for Kollet.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 13
Rejuvenating Lives One Patient at a Time By Sara Browning
dvanced facial techniques are creating beautiful and balanced results, providing patients with increased self-esteem and a healthful outlook on life. Minimally invasive facial rejuvenation procedures enhance facial beauty with less scarring and with results that are subtle— not noticeable. Facial procedures, including brow, eyelid, ear, and nose surgery, increase confidence in men and women and provide them with a natural, refreshed appearance. Dr. Jeffrey Poulter, M.D., FACS, a board-certified plastic surgeon with Cosmetic and Laser Surgery in Peoria and Bloomington, specializes in non-invasive and invasive facial rejuvenation procedures. “Non-invasive procedures entail the use of Botox, Juvederm and skin-care products,” he says, noting the use of a vascular laser known as a versa pulse laser to remove spider veins on the face. Invasive procedures involve the use of anesthetic and are performed in both the Peoria and Bloomington office. Good Eye Individuals with sagging upper eyelids or puffiness below their eyes will benefit from blepharoplasty, or eyelid lift surgery. Blepharoplasty revitalizes the appearance of one of the most at-
tractive facial features. Dr. Poulter says the surgery removes the “redundant skin” of the upper and lower eyelids to improve appearance and vision. However, blepharoplasty doesn’t only embellish the eyes. “Bagging of the cheek bones can be improved with lower eyelid surgery,” according to Dr. Poulter. “As we age, our cheek descends, and the lower lid becomes longer. Eye surgery helps tighten the skin for a smoother, more heightened appearance.” A type of blepharoplasty known as trans-conjunctival blepharoplasty avoids scarring by approaching the lower eyelid from the inside of the skin. “It’s really somewhat of an advanced type of eye surgery. It reduces the fat pockets of the lower lid leaving no scars,” according to Dr. Poulter. Often combined with eye lifts to improve the appearance of the entire upper face, brow lifts can also help patients look younger and more youthful. Dr. Poulter says “brow lifts tighten and remove muscles and tissues that cause a sagging brow appearance. The procedure gives a lifted appearance to the eyebrows and reduces lines and furrows on the forehead.” Brow lifts encompass an incision that spans from one ear to the other. The incision is located just behind the hairline to ac-
www.cometakeapeek.com Page 14 • Healthy Cells Magazine • Bloomington • October 2010
cess facial muscle and tissue. An incision in front of the hairline reduces a large forehead. Candidates for Otoplasty While eye surgery tends to cater to the elderly population, otoplasty, or ear surgery, services both adults and children (usually between the ages of 4 and 14) with large or protruding ears that may make them the subject of mockery. Dr. Poulter says ear surgery is performed for a number of reasons. “When people have ears that stick out the upper fold of the ear never really folds. As people age, their earlobes can become longer, and they can benefit from an earlobe reduction. I also perform earlobe laceration repairs for women who have worn big, heavy earrings for much of their life,” says Dr. Poulter, adding that re-piercings often follow laceration repairs. Otoplasty can restore a more attractive ear appearance by bringing the ears closer to the head and causing them to appear smaller and more proportioned. Those with ears marred by birth defects or injury are also candidates for otoplasty. A popular choice for hundreds of thousands of Americans each year, rhinoplasty can improve the look of a patient’s nose by altering its size and shape, revising the nostrils or adjusting the area between the nose and the upper lip. But rhinoplasty doesn’t only serve to enhance appearance. “The procedure can improve breathing, correct a birth defect or restore function following an injury,” says Dr. Poulter, adding that the cartilage position may be altered to fix the tip of the nose. Skin Renewal While some plastic surgery alters facial appearance in a dramatic way, laser skin resurfacing is an excellent option for patients
seeking to revitalize the skin’s surface. Dr. Poulter says laser skin resurfacing “improves texture and overall clarity.” Skin’s clarity may be affected by several factors, including alcohol consumption, diet, smoking, environmental pollution, exposure and genetics. In addition, individuals may develop age spots over the years or have remnants of acne scarring. Laser resurfacing corrects these types of skin damage resulting in “a smoother, clearer and more youthful skin appearance,” according to Dr. Poulter. “This procedure is best for patients who desire to look younger but who aren’t ready for a facelift.” The Full Facelift The full facelift—the most complex facial rejuvenation procedure—helps fight the folds, jowls and deep-set wrinkles that settle into the face and neck over the years. Rhytidectomy, or facelift surgery, reduces the visible signs of aging, stress and exposure to the elements that wear on the skin. Tightening facial muscles, removing fat tissue and trimming excess skin combine to create a remarkable new look for patients. Patients may choose to combine facelift procedures with other facial plastic surgery options. Dr. Poulter says facial rejuvenation is “the wave of the future.” “People experience a good outcome, high patient satisfaction and little risk of complication. And that makes them both look—and feel—good.” For more information on The Center for Cosmetic and Laser Surgery, log onto www.drpoulter.com or contact his Bloomington office at 309-663-1222. Dr. Jeffrey Poulter is widely known for his professionalism and understanding of patients’ needs.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 15
Why Preschool? By Maureen Kelly, Katie’s Kids Learning Center
ow that the new school year has begun the age old question comes up yet again. Do children really benefit from “formal” schooling prior to kindergarten? Will a child who has not been exposed to preschool be behind their fellow classmates once they get to kindergarten? The answer is yes and no! There is a prevalent misconception among many parents and elementary school professionals that significant cognitive academic learning that occurs prior to kindergarten will give children a bump in general intelligence. Studies show that while early academic learning may appear to give an initial bump in general intelligence, this “advantage” disappears by second grade. However, studies have also found that preschool seems to have a very positive impact on a child’s social emotional growth, which sets the foundation for later academic learning. As the director of an early learning center, I regularly meet with parents who ask if their children are learning enough. The root of their question is really their concern as to whether their children will be prepared for kindergarten after attending a play based pre-school or daycare program. I am initially tempted to say to them, “Look at how comfortable their children are in this environment; look at their work displayed around the room, watch the amount of enjoyment and excitement they have.”
The message here is that play based activities are healthy for children. Children learn more successfully in meaningful situations, and when you leverage their interests with intentionally structured play. Children learn more, learn faster, and actually become more prepared socially to adapt to structured academic learning situations they will encounter later in their lives. A child who has been given many meaningful opportunities to learn whether in a preschool or home setting should be ready for kindergarten. Unfortunately, parents today often feel that children must be prepared to compete early, to succeed from the beginning. Due to these concerns, some parents and preschools feel the need to prepare their children by teaching them rote learning in reading, writing and math. While this is understandable, applying pressure to children to perform too early actually reduces the child’s opportunities for exploration, play, and learning that comes with experimentation. This can sometimes cause frustration or boredom, which in-turn, can set the stage for a sense of anxiety. What is important is the child’s own eagerness to learn and her self-concept. She must feel that she herself is in control of her learning. If a child has these characteristics, she will thrive at the next level.
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Page 16 • Healthy Cells Magazine • Bloomington • October 2010
All children grow and develop at different rates. It would be a fallacy to believe that all children are ready at the same time. All children deserve to grow and develop at their own pace and have this pace respected. The goal should be to build an interest in learning in the child herself. Too many times, children are pushed because they are bright enough, but not enough attention is paid to maturity, readiness and social emotional development. As a parent, YOU are your child’s first and most important teacher. Focusing on providing them a safe, enriching, loving home will truly support their future learning. Selecting a preschool that focuses on meaningful learning using a play based model will
also support future learning. A play based preschool can provide the opportunity to interact on many levels with other children to foster important social skills as well as provide a wide range of learning materials (sand, water, paint, poetry, dress-up, singing etc.) that can be difficult to provide at home. While our children grow, we are responsible for giving them the tools they will need to carry them into adulthood. We do this by providing them with a socially and emotionally sound core so that they will successfully handle the many obstacles that life will bring. Understand that a child learns a tremendous amount through play, and by playing they are learning and developing skills that will be used throughout their lives. For children enrolled in child care, it is an added benefit to them if it is a play based system. Resist the temptation to structure a child’s learning before the age of five to six years-old…let them play! The structure of today’s kindergartens may be a new concept to your children, however, rest assured, the child who has the opportunity to play and explore, whether in their home or in a play based preschool, will handle this change wonderfully. Preschool will not make your child “smarter”, but it can help set the social emotional foundation for an easier and more confident transition to kindergarten. For more information, you may contact Maureen Kelly at Katie’s Kids Learning Center, 309-663-5800 or e-mail Mo@KatiesKids.net. They have two locations, 1602 Glenbridge Rd. in Bloomington and 2003 Jacobssen Dr. in Normal which offers a part-day preschool option.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 17
Women’s Health Pink Partners™ of the Community Cancer Center Submitted by Jolene Clifford RN, OCN, CBCN
ave you heard about Pink Partners of the Community Cancer Center? It’s a program to save lives by increasing the mammography rates in McLean County. Would you be surprised to hear only 51% of the women 40 years of age or older in our community got their mammogram last year? The earlier we detect breast cancer, the better our chances are of being able to cure the disease. In fact, the five-year survival rate for an early stage breast cancer is 98%. So why aren’t women in our community getting their mammograms? The reasons are many but 51% is simply not acceptable. These alarming statistics are what led the Community Cancer Center to develop a community wide, multi-year effort to save lives by increasing mammogram rates.
What is a mammogram? • A mammogram is an x-ray of the breast. • A screening mammogram consists of two pictures of each breast. • An x-ray technologist takes the mammogram and is trained to keep you comfortable and answer any questions you may have. • The breast is compressed during the procedure, so you feel some pressure for a brief period of time. • A mammogram is read by a specially trained doctor called a radiologist. The results are sent to you and your physician.
How do I participate in the Pink Partners Program? • Select the individual(s), such as a friend, neighbor, or family member; you want to become your Pink Partner. • Commit with your partners to completing your annual mammograms in the coming year. • Encourage others to become Pink Partners • Fill out a Pink Partner postcard at the medical facility where you complete your mammogram and deposit in the specially marked Pink Partners box. You may also mail the postcard to the Community Cancer Center. These cards will be placed in a monthly drawing for a special gift.
The Women’s Center at Advocate BroMenn (A doctor’s order may not be needed at this facility) 1304 Franklin Avenue, Normal, IL (309) 268-5705
How can I get a mammogram? There are four locations in our community to complete a mammogram:
OSF St. Joseph Medical Center 2200 East Washington Street, Bloomington, IL (309) 661-5160 Gale Keeran Center for Women 2200 Fort Jesse Road, Normal, IL (309) 452-9001 OSF SJMC College Avenue Imaging Services 1701 East College Avenue, Bloomington, IL (309) 661-5160
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www.mcleancountydental.com Page 18 • Healthy Cells Magazine • Bloomington • October 2010
To schedule a mammogram, contact your doctor for an order. If you do not have a doctor, contact the Community cancer Center (309) 451-8500 for assistance with scheduling your mammogram appointment. Financial assistance is available for women who have no insurance coverage or cannot meet the deductable. For financial assistance and help with other services that may be needed for you to complete your mammogram, please contact the Community Cancer Center at (309) 451-8500. Why should I become a Pink Partner? • To promote the health of all women in our community by raising the percentage for completed annual mammograms. • To encourage others and to motivate yourself to complete your annual screening mammograms. • To save lives, because early detection is the best protection. Choose to become a Pink Partner today! For more information about the Pink Partners Program, please visit the Community Cancer Center’s website at www.cancercenter.org. The website has an email version of a post card you can send to a friend(s) to remind them to get their mammogram. You may also visit us on Facebook at Mammograms Save Lives Pink Partners of the Community Cancer Center. It is our hope and vision that the entire community- all women, medical providers, community businesses, local organizations and church groups – will get behind this comprehensive program of support, advocacy, and education. Together we can increase the number of mammograms so breast cancer is detected early and survival rates improve.
Pink Partners has a tool kit that contains the following information: • Program introduction letter • Breast Self Examination (BSE) shower card • What if your Pink Partner says NO to a Mammogram • Frequently Asked Questions • Postcards The tool kits can be obtained either by calling the Community Cancer Center at 309-451-8500 and requesting for one to be mailed to you, or you can stop by and pick up a tool kit. The tool kits can be used to provide education and encourage others to get involved with the Pink Partners program. In addition, the program offers a speakers bureau for your next meeting or get-together to discuss the specifics of the initiative. Pink Partners promotes advocacy and supports activities in our community to raise awareness by participating in various events throughout the year. The incentive program has been well received as we have given out nine gift certificates with our monthly drawing to various winners just for getting their mammogram. To participate in the drawing you simply fill out a card at the time of your mammogram and place it in the box available in the mammography centers to be entered for the monthly drawing. You may also mail the card to the Community Cancer Center if you don’t have time to fill it out at your appointment. Please get involved and do your part by becoming a Pink Partner, it could save your life. Please see page 35 for information on a Breast Cancer Awareness event for African American women, who experience especially high death rates.
October 2010 • Healthy Cells Magazine • Bloomington • Page 19
Joint Pain and MRI By Stephen Janas MD, Musculoskeletal Radiologist, Advanced MRI
ost of us at one time or another has experienced bone or joint pain. The sprained ankle, sore shoulder, “trick” knee and painful hip are well known to many. Musculoskeletal radiology is a subspecialty of radiology that deals with the imaging of bones and joints. As a musculoskeletal radiologist, I spend most days reviewing and interpreting images of painful joints. X-rays, CT scans and ultrasound are all used to image musculoskeletal conditions and depending on the specific problem, one or more of these imaging modalities may be used. However, the indisputable star of the show in musculoskeletal imaging is magnetic resonance imaging. Magnetic resonance imaging, better known as MRI, is a noninvasive imaging technique first widely used in the early 1980’s. Instead of using ionizing radiation as CT and X-rays do, MRI uses a strong magnetic field and radio waves (radiofrequency pulses) to generate images of the human body. This technique allows clear and detailed images of the bones, muscles, tendons, ligaments, cartilage and other soft tissue structures that can be sources of pain. Once the source of the pain is identified, a targeted treatment plan can be started. These strengths have made MRI one of the most valuable imaging procedures in the field of musculoskeletal imaging.
Page 20 • Healthy Cells Magazine • Bloomington • October 2010
How will an MRI help my (knee, shoulder, wrist, ankle, hip, etc) pain? One of the most important roles of musculoskeletal imaging in general and MRI in particular is in the treatment decision-making process. Simply put, these tests can identify which conditions are likely to benefit from surgery and those conditions that are unlikely or less likely to benefit from surgery. Once a non-surgical problem is identified, treatment with physical therapy, anti-inflammatory medications, steroid injections, orthotics, braces, etc, can be started. Similarly, when a surgically correctable problem is identified, the patient can have a thoughtful discussion with their surgeon regarding the risks, benefits, alternatives and likely outcomes of surgery. As a radiologist specializing in musculoskeletal imaging, a primary goal of every MRI that I interpret is to identify, as accurately as possible, the underlying cause of the patient’s symptoms. Once that goal is accomplished, the ordering medical provider can initiate the proper treatment. How do I know if I need an MRI? In general, any patient with chronic or recurrent joint pain or dysfunction would be a candidate for MRI. An MRI is also commonly ordered following an acute injury, especially if this results in
“The indisputable star of the show in musculoskeletal imaging is magnetic resonance imaging.” severe pain and functional impairment. Other relatively common indications for an MRI exam are for patients suspected of having a mass (tumor) or infection. A medical provider, who is trained in the treatment and diagnosis of orthopedic conditions, will order an MRI after a thorough evaluation and assessment of the patient. If an MRI is so great, do I still need x-rays? In nearly all situations, radiographs (X-rays) should be performed prior to an MRI examination. X-rays provide a valuable overview of the bones and joint spaces. They are still one of the best and easiest ways to evaluate for fractures and for assessing joint alignment. X-rays remain the single best way to evaluate the aggressiveness of a bone tumor, if one is present. Small calcifications that are not well seen on MRI are well depicted on x-rays and can provide key diagnostic information. Since soft tissue detail is limited on X-rays and this is the strength of MRI, the two are best thought of as complementary examinations. What joints can be evaluated by MRI? Pretty much any joint that you can think of can be imaged with MRI including knees, shoulders, hips, ankles, elbows, wrists, hands and feet. Even the temporomandibular joint (TMJ), the joint that opens and closes the mouth has become a routine MRI ex-
amination. However, knees and shoulders are the two most commonly imaged joints. The reason is simple: these are the joints that are most often painful to patients. Knee MRI examinations can accurately diagnose many conditions, both surgical and non-surgical. Tears of the meniscus (thick fibrocartilage that cushions the knee) that result in mechanical symptoms (clicking and locking) are often treated surgically as are tears of the stabilizing ligaments of the knee, most commonly the anterior cruciate ligament (ACL). Other problems such as bursitis, cysts, muscle and tendon strains and bone bruises can be diagnosed and are more likely to result in non-surgical therapy. MRI can determine the extent of cartilage loss that occurs in osteoarthritis (“wear and tear” arthritis). When this becomes severe enough, another surgical treatment can be offered: the joint replacement. A similar decision-making process is encountered in shoulder imaging. The rotator cuff is a group of muscles and their tendons that wrap around the shoulder giving us strength and stability. A variety of problems can occur ranging from mild tendonitis to complete tearing. Depending of the degree of the injury, patients may require rest, anti-inflammatory medications, physical therapy or surgery. Some problems require all of the above. In summary, MRI is particularly well suited for evaluation of the musculoskeletal system. It is extremely safe and can accurately diagnose the musculoskeletal conditions encountered in everyday life. Once a diagnosis is made, the appropriate treatment can be initiated and recovery and symptom relief can begin. For more information, you may contact Advanced MRI at 309665-0640. They are located at 1709 Jumer Drive in Bloomington and offer the only 3T scanner in the Bloomington-Normal area.
October 2010 • Healthy Cells Magazine • Bloomington • Page 21
Ob-Gyn Care Associates
Because We Care By Jennifer Sinclair Johnson
Sara Leeper, APN, CNM, WHNP, Joe Santiago MD and Vicki Voegel, PA-C
Page 22 • Healthy Cells Magazine • Bloomington • October 2010
oday’s warp-speed doctor’s appointments typically leave little time to address all of your healthcare concerns. Yet, from the minute you walk into the Ob-Gyn Care Associates office, a genuinely-friendly greeting in a relaxing and comfortable atmosphere, lets you know that this place is different. Patient rooms reflect the personalities of the people who work there, ranging from individualized décor with lively zebra stripes, natural earth tones, or tranquil elements. It’s more like visiting the home of a good friend who just happens to have extensive medical knowledge, access to top-notch technology, and extra time whenever you need it. Pleasant with a purpose, the environment is crafted to create a warm welcome feeling for every woman in each stage of her life. Many women don’t even consider ob-gyn care until they need annual exams, face gynecological issues, or are thinking about having children. No surprise. It can be – let’s face it – uncomfortable. What’s surprising is how actively the staff at Ob-Gyn Care Associates strives to ease the experience, helping clients stay as healthy and as comfortable as possible. Dr. Joe Santiago joined the team in 1999, introducing fresh ideas and new technologies with the goal of leaving each woman thinking, “Wow! That was the best experience I’ve ever had at an ob-gyn appointment!” Since then, he’s grown the practice by building relationships on a foundation of personalized, exceptional care. “Anytime someone needs a little extra time to talk something out, we’ll be ready to listen,” said Dr. Santiago. “It’s not uncommon for an important bit of information to come to the surface in what seems like the last few moments of a conversation – we take the time to finish and find out more about what concerns the patient instead of being concerned about the clock.” Pregnancy is one of the biggest reasons women seek out an ob-gyn provider. Dr. Santiago has delivered over 1000’s of babies, providing each mom and mom-to-be with all the time, help, and education she needs to understand her pregnancy from conception through delivery. His commitment to care means his focus on the patient www.healthycellsmagazine.com
doesn’t end when labor starts - providers at OB-Gyn Care Associates make every effort to deliver their patients even when it is not their weekend on call. Getting back to patient-centered service is unique, maybe even old fashioned in today’s bustling medical world. But treating each woman with a high level of personal interest backed by modern technology enhances her comfort and confidence in the process. Making connections with people also includes creating a team of experienced professionals who can offer patients a choice in the care they receive from a wide range of services. Nurse midwifery has become a popular option with patients since Sara Leeper brought her seventeen-plus years of experience to the practice in 2008. A Certified Women’s Health Nurse Practitioner, Certified Nurse Midwife, and Registered Nurse, she provides much of the same care as a doctor, including routine exams and prenatal care, offering her patients the choice of traditional labor with optional pain meds, epidural or a more natural childbirth experience (water labor and minimal/no medication) within a hospital setting. She can provide the patient a home birth type atmosphere with the safety of a hospital delivery. With a vibrant personality teens trust, she also enjoys providing factual information for adolescents and their parents, answering the inevitable questions that arise as girls transition into adolescence. Vicki Voegel, a Certified Physician Assistant, has made her career in women’s healthcare since 1988. She joined Ob-Gyn Care in 2004, administering care for her own patients, performing some minor procedures, prescribing medication, providing prenatal services as part of a team, and helping the office to run more smoothly by supporting the other providers. Whenever Dr. Santiago and Sara Leeper are called out for a delivery or surgery, Vicki is here so those scheduled patients can still have the option to be seen without having to reschedule. Patients appreciate Vicki’s sincere dedication, kindly demeanor and the tailored approach she brings to obstetrics, general gynecology, and in communicating with all ages. The entire team at Ob-Gyn Care continually practices a “service first” philosophy “because we care.” Not just catchy phrases, but a commitment to what matters most to patients by seeking input via daily interactions, surveys and focus groups. It leads to changes, like switching from paper to cloth gowns, installing new and more comfortable exam tables, the latest in advanced electronic medical records and consolidating patient forms. Many in-office services are provided for the convenience of the patients. In-office labs, ultrasounds, fetal non-stress tests and ablations are just a few. www.healthycellsmagazine.com
Above: Dr. Santiago getting to know a new patient in his office. Left: Sara Leeper relates well with teens. Below: Not the typical sterile feeling of a doctor office.
Their commitment to care also means introducing new products, investing in state-of-the-art technology, and learning the newest surgical techniques. When Advocate BroMenn introduced the daVinci robotic assisted surgical equipment, Dr. Santiago was ready. He is fully trained on this breakthrough platform to offer more advanced and minimally invasive procedures. He continues to be the leading daVinci robotic assisted hysterectomy physician in Bloomington-Normal. Their office also employed an electronic medical record system (EMR) for quicker, more accurate, and safer record keeping and treatments even as other offices were still in transition. October 2010 • Healthy Cells Magazine • Bloomington • Page 23
Feature Story continued
Delivering miracles everyday.
Vicki Voegel greets patients with a smile.
Linda Adams, LMT “Caring Touch Spa”. Enhanced certifications, upgraded lab facilities, and cutting-edge technology have had an immediate impact on the patients’ experience, since they don’t need to leave the building for routine laboratory services and tests. Ob-Gyn Care can diagnose and treat issues like abnormal bleeding, pregnancy problems, cervical abnormalities or infections in their comfortable environment. It’s less intimidating and takes less time than in the more sterile hospital setting. Imagine having fetal non-stress testing or an ultrasound in a room with warm tones and cozy lamp lighting. View
Page 24 • Healthy Cells Magazine • Bloomington • October 2010
your baby’s image for the first time on a 52” flat screen TV. Want to see more? For an additional fee, Ob-Gyn Care offers patients (their own and those who have had a traditional sonogram as part of prenatal care from another provider) the option of even more realistic 3D and 4D images, geared to enhancing the baby-family bond and captured on what they like to call a “That’s My Baby!” take-home DVD. A woman’s pregnancy is an important time in her life. Yet, not all women have babies and a woman’s health doesn’t start and end with having children – neither should her healthcare. Ob-Gyn Care respects a patient’s individual perspective while providing information with sensitivity and wisdom. Every patient knows she’s being heard. This approach makes it easier for women to ask about disconcerting issues, like that little leak of urine when she sneezes, perplexing hormonal changes, sexual health, heavy periods, or potential surgery. When there is a problem, Ob-Gyn Care strives to make patient appointments as soon as possible, almost always on the same day. The office originally opened over thirty-five years ago with a core belief: talking about potential issues so women can make decisions that help avoid future problems in order to enjoy a longer, happier, and healthier life. Keeping current with leading research and therapies means they continue to provide the highest quality well-women services, from offering Gardasil inoculations for adolescent patients to the latest estrogen therapies for those who are young at heart yet old enough for hot flashes. Ob-Gyn Care’s proactive concept embodies holistic healthcare, which means they don’t presume a one-fits-all prescription, but embrace each woman’s individual spirit as she faces bigger health problems or daily struggles for better nutrition, weight loss, and stress reduction. To enhance patient well-being, Ob-Gyn Care recently welcomed it’s own new addition: Caring Touch Spa. Linda Adams, a Licensed Massage Therapist, works in the safety and privacy of the medical office. She’s dedicated to restoring, refreshing, and rejuvenating patients and other customers from head to toe with a variety of massages and body treatments. Find relief from Stress/Tension, Sinus and Migraine headaches with non-invasive massage of the face, scalp, neck and shoulders combined with essential oils. A pampering foot soak, scrub, masque, and rub relieves tired achy muscles and increases circulation. Paraffin Dips, Body Polishes, Seaweed and Anti-Cellulite Body Wraps, help condition the skin and leave it soft, smooth and glowing. Aroma Therapy can be added to any massage, including Deep Tissue, Hot Stone, Swedish, Chair and the Pregnancy Massage, which uses the only guaranteed safe, side-laying position to help decrease tension and swelling while increasing overall comfort. Deeply relaxing, Reiki (offered by Sara Leeper) is ideal for treating anxiety, depression, and other mood-related disorders. Regularly updated information, including “Caring Touch Spa” and “That’s My Baby!” Packages, testimonials, patient education, community events, and even a Facebook link are available on Ob-Gyn Care’s website, www.obgyncare.com, which can be viewed in their lobby via free patientaccessible Wi-Fi. Soon, in-office presentations featuring subjects like weight loss, sexual education and new medical procedures will be offered. Ob-Gyn Care Associates has invested in experienced people, advanced training, and modern technology to bring each visitor and patient the best health care services throughout her wellness journey. Professionally recognized with a nomination for 2009 Small Business of the Year (McLean County Chamber of Commerce), they’re even more honored by the relationships they’ve built with their patients and the community. You may contact Ob-Gyn Care Associates at 309-662.CARE (2273) or online at www.obgyncare.com. They are located at 1505 Eastland Drive, Suite 500 in Bloomington.
Dreaming of a Happy Home By Ashley Mitek, University of Illinois College of Veterinary Medicine
rom short and stout to long and lean, from bushy-tailed to no-tailed to blue-eyed or green, millions of dogs across the country have just one wish: someone to love. While you may not be able to make every dog’s dream come true, perhaps you might be the one to put the wag in some lucky dog’s tail. October is National Adopt-a-Shelter-Dog Month and for good reason. The Humane Society of the United States estimates that over 6 million dogs are brought to shelters across the country each year. Peter Smith, the interim director of the Vermillion County Animal Shelter in Danville, Ill., says, We have about 3,500 dogs move through the shelter each year.” Unfortunately, “our adoption rate is pretty close to the national average at around 35 percent.” The American Society for the Prevention of Cruelty to Animals, also known as the ASPCA, sites several reasons why dogs adopted from shelters are great pets. For one, many of them are more mature and house trained, thus saving new owners a lot of time and energy from having to train a puppy. Secondly, most shelters do a thorough exam and a temperament test before allowing animals to be adopted. Another added benefit is the free services offered. For example, those who adopt from the Champaign County Humane Society in Urbana, Ill., or the Vermillion County shelter receive a free check-up from a local veterinarian. And the biggest expense a new owner may face, the spay or neuter of their pet, is usually included in the adoption fee.
Before deciding to add a four-legged friend to your household, it is critical to take a hard look at your lifestyle and environment though. “Many people adopt on impulse,” says Smith. “It doesn’t do any good to have an energetic puppy in a house where the owners work all day and have no time.” But the good thing about adopting from animal shelters is that, according to the ASPCA, many have trained counselors on site that can help match the right dog with the right owner. In the past, one downside potential dog owners voiced about adopting from a shelter is the desire for a certain pure breed dog, like a Chihuahua or Maltese. Although owners of the millions of mixed breed dogs across the country would probably mention that they love their pet no matter what his size or color (or amount of trouble it gets into), the Humane Society of the United States says statistics show that 25-30 percent of dogs in animal shelters are purebred. If you would like more information on adopting a pet from a shelter, visit the ASPCA’s Web site at www.aspca.org, or the Humane Society’s at www.hsus.org. Both have extensive information for prospective dog owners. Or, you can call or visit your local animal shelter. Article reprinted with permission from the University of Illinois College of Veterinary Medicine http://vetmed.illinois.edu
October 2010 • Healthy Cells Magazine • Bloomington • Page 25
Lift It or Lose It By Drea Fecht, Bloomington-Normal Adventure Boot Camp
f you only have time for two workouts a week, skip the treadmill and pick up a dumbbell. Read on to learn why you should be lifting weights.
You lose more fat. This may be the biggest secret about strength training that isn’t widely known or utilized. Research has shown that the weight people lose from dieting alone is around 75 percent fat. This means that dieters that don’t lift are losing 25% of lean, calorie burning muscle. Here’s an example: Researchers at Penn State University put overweight people on a reduced calorie diet and divided them into three groups. One group didn’t exercise, another performed aerobic exercise 3 days a week and a third did both aerobic training and lifted weights. Each group lost almost the same amount, around 21 pounds, but when looked at more closely the composition of the 21 pound weight loss is quite different. The lifters lost 21 pounds of almost all fat! The non-lifters lost around 15 pounds of fat and 6 pounds of muscle.
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For more information call 309-665-0900 or visit www.millerurogyn.com Page 26 • Healthy Cells Magazine • Bloomington • October 2010
You burn more calories. Lifting weights increases the number of calories you burn while sitting on the couch. The reason is your muscles need energy to repair and strengthen your muscle fibers after each strength training session. Studies show that strength training, using bigger muscle groups, can elevate your metabolism for up to 24-48 hours after a workout. This is what I like to call the afterburn effect. Cardio training cannot make the same claim. You need to think of the number of calories burned as an effect of a workout not just the number calories burned during a workout session. Your body will stay younger. Research shows that as non-lifters age they can lose up to a pound of lean muscle a year which usually gets replaced by fat. The decrease in muscle over the years can make you weaker and more prone to injury. As you age your fast-twitch muscle fibers that help you generate power and speed get reduced. Think of an elderly person that has trouble getting out of a chair. Those muscle fibers have been unused and are wasted away. Lifting weights preserves your muscle
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and keeps you strong so you can live an active lifestyle at any age. Lift it or lose it. Here are some tips for making the most out of strength training. • Use free weights for strength training as opposed to machines. Free weights (dumbbells, barbells, etc) force your body to work hard throughout an exercise for a bigger calorie burn. It also activates your opposing muscles and core for a more effective workout. Think about how you body works in real life. We don’t sit and walk up stairs at the same time. It doesn’t make sense to sit and do leg presses on a machine. • Change up your strength training routine every 4-6 weeks. Keep your body guessing. Your body wants to adapt to your routine because it wants to become more efficient at performing an exercise so it can preserve energy. This may sound favorable, but if your car is more efficient at burning gas, it’s burning less of it. Okay for cars, not okay for fat loss. • Do multi joint exercises for your muscle groups.Think squats, lunges, dead lifts, Lat pull-downs and bent over rows. All call for more than one joint to be used. When we move we rarely use one joint at time, training our bodies the same way can help prevent injury. • Use the right weight. Use a weight that is challenging. A good rule of thumb is that the last two repetitions of any exercise should feel very challenging. If you feel like you can perform more repetitions than prescribed you need to increase your weight. On the other hand, if you cannot maintain good form during an exercise you probably need to decrease the weight. For more information contact, Drea Fecht, owner of Bloomington-Normal Adventure Boot Camp: email@example.com Drea is a NESTA certified boot camp instructor and an AFAA certified fitness instructor. To learn more about Adventure Boot Camp please visit: www.bnbootcamp.com
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October 2010 • Healthy Cells Magazine • Bloomington • Page 27
How Can I Upgrade My Insurance Tax Free? Submitted by Brock Westbrook, Investment Manager, First Farmers State Bank Investment Services
esponding to the changing needs of consumers, the life insurance industry has developed some alternatives that go much further in satisfying a variety of financial needs and objectives than some of the more traditional types of insurance and annuities. Advancements Modern contracts offer much more financial flexibility than traditional alternatives do. For example, universal life and variable universal life insurance policies allow policy owners to adjust premiums and death benefits to suit their financial needs. Modern contracts can also provide much more financial control. Whereas traditional vehicles, such as whole life insurance and fixed annuities, provide returns that are determined by the insurance company, newer alternatives enable clients to make choices that help determine returns. For example, variable annuities and variable universal life insurance allow
Page 28 • Healthy Cells Magazine • Bloomington • October 2010
investors to allocate premiums among a variety of investment subaccounts, which can range from conservative choices, such as fixed-interest and money market portfolios, to more aggressive, growth-oriented portfolios. Returns are based on the performance of these subaccounts. There are contract limitations, fees, and charges associated with variable annuities, which can include mortality and expense risk charges, sales and surrender charges, administrative fees, and charges for optional benefits. Withdrawals reduce annuity contract benefits and values. Variable annuities are not guaranteed by the FDIC or any other government agency; they are not deposits of, nor are they guaranteed or endorsed by, any bank or savings association. Withdrawals of annuity earnings are taxed as ordinary income and may be subject to surrender charges plus a 10 percent federal income tax penalty if made prior to age 59 ½. Any guarantees are contingent on the claims-paying ability of the issuing company.
The investment return and principal value of an investment option are not guaranteed. Because variable annuity subaccounts fluctuate with changes in market conditions, the principal may be worth more or less than the original amount invested when the annuity is surrendered. The cash value of a variable universal life insurance policy is not guaranteed. The investment return and principal value of the variable subaccounts will fluctuate. Your cash value, and perhaps the death benefit, will be determined by the performance of the chosen subaccounts. Withdrawals may be subject to surrender charges and are taxable if you withdraw more than your basis in the policy. Policy loans or withdrawals will reduce the policy’s cash value and death benefit , and may require additional premium payments to keep the policy in force. There are differences between variable- and fixed-insurance products. Variable universal life insurance offers several investment subaccounts that invest in a portfolio of securities whose principal and rates of return fluctuate. Also, there are additional fees and charges associated with a variable universal life insurance policy that are not found in a whole life policy, such as management fees. Whole life insurance offers a fixed account, generally guaranteed by the issuing insurance company. A Dilemma So what should you do if you want to cash out of your existing insurance policy or annuity contract and trade into one that better suits your financial needs, without having to pay income taxes on what you’ve accumulated? One solution is the “1035 exchange,” found in Internal Revenue Code Section 1035. This provision allows you to ex-
change an existing insurance policy or annuity contract for a newer contract without having to pay taxes on the accumulation in your old contract. This way, you gain new opportunities for flexibility and tax-deferred accumulation without paying taxes on what you’ve already built up. The rules governing 1035 exchanges are complex, and you may incur surrender charges from your old policy or contract. In addition, you may be subject to new sales and surrender charges for the new policy or contract. It may be worth your time to seek the help of a financial professional to consider your options. Brock Westbrook is Investment Manager for First Farmers State Bank Investment Services, a division of First Farmers State Bank, located at the corner of Towanda Barnes & GE Road in Bloomington. Brock can be reached by phone at 309.663.6200 or by email at firstname.lastname@example.org. Variable annuities and variable universal life insurance are sold only by prospectus. Please consider the investment objectives, risks, charges, and expenses carefully before investing. The prospectus, which contains this and other information about the investment company, can be obtained from your financial professional. Be sure to read the prospectus carefully before deciding whether to invest. The information in this article is not intended to be tax or legal advice, and it may not be relied on for the purpose of avoiding any federal tax penalties. You are encouraged to seek tax or legal advice from an independent professional advisor. This material was written and prepared by Emerald for use by Midwestern Securities Trading Company, LLC, Broker/Dealer for First Farmers State Investment Services.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 29
Bio-Identical Hormones 101 By Dr. Thomas Rhode, Total Body Wellness Center
io-identical hormones start as extracts from soy or yams and are then manufactured in the lab to have the same molecular structure as the hormones made by your own body. In contrast, pharmaceutical companies can’t patent and sell a bio-identical structure, so they invent synthetic hormones like Premarin, Prempro and Provera, the most widely used examples. Because these synthetic hormones are different in their molecular structure and are “unique”, they can be patented. Unfortunately, synthetic hormones have several problems. First, they generally come in fixed doses that are “one size fits all”, and we all know that each of our body’s are unique! Second, the problem with changing the molecular structure of a hormone is they can frequently cause unwanted, and sometimes dangerous, changes in the body. The Women’s Health Initiative study has documented increases in cancer and other negative side effects! Although bio-identical hormones have been around for years, many practitioners are unfamiliar with them. The greatest success comes with an individualized approach. It is best to use “scien-
Page 30 • Healthy Cells Magazine • Bloomington • October 2010
tific medicine” and never guess where the patient’s levels might be. This would be as useless as trying to guess your cholesterol level or your blood pressure! We begin with laboratory tests of hormone levels for thyroid and vitamin D and then evaluate female and stress hormones by testing saliva. This is more sensitive and actually measures the unbound or active hormones in the central part of your body rather than the bound or inactive hormone levels circulating in your blood. When warranted by test results, a precise dosage of bio-identical progesterone, estrogen, testosterone or DHEA can then be prescribed in amounts that are necessary and sufficient to balance the patient’s levels. Sometimes these are combined into one cream that is made at a compounding pharmacy. Each patient is then monitored carefully through regular follow-up hormone level checks to ensure symptom relief at the lowest possible dosage. In the initial stages, we will do a hormone panel every three months. Once balance is restored, we’ll do one panel a year at an annual exam.
“When warranted by test results, a precise dosage of bioidentical progesterone, estrogen, testosterone or DHEA can then be prescribed in amounts that are necessary and sufficient to balance the patient’s levels.” Are bio-identical hormones better than synthetic hormones? We long ago concluded that the answer to this question is yes. But that doesn’t mean bio-identical hormones are perfect, or necessarily safer if not monitored regularly! The great appeal of bio-identical hormones is that they are natural, and our bodies can metabolize them as it was designed, thus minimizing side effects. Synthetic hormones are quite strong and often produce intolerable side effects. Moreover, the compounded bio-identical hormones can be matched individually to each woman’s needs to reach natural and thereby safe levels monitored by testing - something that’s impossible with mass-
produced products. Are bio-identical hormones safer than synthetics? With proper scientific monitoring the answer is yes! European medical studies suggest the same bio-identical hormones are safer than synthetic versions. This makes perfect sense. Unfortunately there are patients who try to manage this on their own by buying hormone creams on the Internet. This can result in side effects and unknown long term adverse outcomes of elevated hormone levels. Careful monitoring of levels is critical to long-term safety. What do I recommend? The great majority of women can rebalance their hormones without the use of drugs. We have found that about 85% can find relief through an approach that combines dietary change, regular exercise, medical-grade nutritional supplements, and gentle bio-identical hormone support, preferably in a compounded form personalized to their needs by an experienced practitioner. We recommend that every woman start with this combination approach as a foundation of health. In summary, you CAN feel like you remembered feeling—full of energy, free of depression and foggy thinking, sleeping through the night, and maintaining your target body weight. Bio-identical hormone replacement and management may be JUST what you have been searching for. For more information about bio-identical hormone replacement and a personal hormone evaluation, you may contact Dr. Rohde at 217-864-2700 or go to www.DrRohde.com.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 31
The Parent Trap – Part II By Diana Mariani, LCSW, Paul Willett, PhD. & Jody Seip, LCSW
dolescence has been depicted as a time of extreme turmoil and rebellion, but much research has not confirmed this view. Surprisingly, most adolescents remain remarkably close to their parents in terms of values and attitudes. Adolescents differ little from their parents on most basic values relating to work, self-control, saving money, competition, compromise, and legal authority. As a result, an important parenting challenge centers on parents attempting to balance their expectations for their adolescent with their adolescent’s need for autonomy and independence. When discipline comes into play, parents would be wise
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Page 32 • Healthy Cells Magazine • Bloomington • October 2010
to remember their adolescent is just beginning to use abstract concepts and to be able to “put himself or herself in someone else’s shoes.” Adolescents may seem preoccupied by concepts such as truth, justice, and the meaning of life partly because the capacity to think in such abstract terms is so new to them. Discipline, therefore, is often judged by the adolescent according to whether it is fair and “suits the crime.” As an example, Betty is a single parent who sought counseling when her discipline methods became a serious problem between her and her adolescent son. She frequently resorted to taking away his possessions in an effort to “get him to cooperate.” In reality, when she took away his i-pod because he failed to tidy up his bedroom, he felt she was just punishing him because she had more power than he did. He argued that if she failed to pick up her shoes before going to bed she wouldn’t think it “fair” that he take away her telephone for the week. And in fact, he was right. Betty was demanding of her son, but she failed to hear his complaint about her not being fair. All Betty wanted was for her son to tidy his room occasionally, and all he wanted was autonomy and independence. Eventually, Betty learned to tailor her discipline more specifically to her son’s misbehavior. She became more assertive, but less intrusive and controlling. She and her son came to an agreement on both a cleaning schedule for his room and on a set of natural consequences if he didn’t follow through on his promise. As Betty’s disciplinary methods became more supportive, she found that her adolescent became more cooperative and accountable. Parenting is a life long role we have even when our children are no longer minors in need of vigilant supervision and
guidance. Let’s look at Paul, Kathy and 19 year old daughter Shannon. Shannon is returning home from her first year at college. Paul and Kathy are experiencing anxiety about her return as they contemplate her “summer rules”. Shannon has already told her parents that she expects no curfew, no chores, full use of her car, and being allowed freedom to travel on weekends. Paul and Kathy are still the financial support of Shannon and believe it is their right to be able to expect Shannon to follow their rules of a midnight curfew, having assigned chores and seeking permission for weekends away. Knowing that they had just entered into a parental “twilight zone” Paul and Kathy sought professional help in establishing age appropriate boundaries and expectations. A proactive step on their part to ward off a looming crisis which in turn allowed them to become much less anxious about Shannon’s return home. No doubt the job of parenting is one of the hardest jobs we will ever take on and we need each other to get through it. Having a reliable, reality based support system available is essential to successful parenting. Our support is all around us in the form of family, friends, church and accredited child/family therapists. Our “port in the storm” is closer than we think and we are not alone so hang in there and ENJOY. For more information about seeking a professional child/ family therapist you may contact Psychology Specialists at 309-706-3190 or The Child and Family Wellness Institute at 309-310-4636. Please see our ad on page 38 or visit us online at www.psychologyspecialists.com.
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309-452-9701 407 E. Vernon, Normal, IL 61761 October 2010 • Healthy Cells Magazine • Bloomington • Page 33
Moving Beyond Sushi By Allison Wholf, Advocate BroMenn Women’s Center
n big cities across the nation, trendy restaurants are popping up offering raw food menus. These diners are unique, as their menus are geared towards those people who choose to lead a 100% raw food life. That is, their dishes are made only with raw food and tend to be all vegan in nature. Raw foods diets seem to be growing in popularity, spurred along by celebrity claims of feeling renewed, refreshed, and of course losing weight. Most raw foods diets are based on the premise that cooking foods destroys useful enzymes and nutrients in foods. Many supporters of this diet believe that these enzymes can increase energy, clear up skin, help improve food breakdown, result in weight loss, and reduce the risk of heart disease. While none of these claims have yet to be proven, trendy raw food books and cafes seem to popping up all over the map. The Plan Natalia Rose breaks down the raw food diet in her book, The Raw Food Detox Diet. She claims there are 5 levels of raw food
intake which allow members to progress through them, which results in a gentle detox and cleanse at a slow pace, calming the harsh symptoms often linked with detox diets. Raw fruits and veggies lay the base for any raw foods diet, and raw nuts, seeds, dried fruits, avocado, olive oil, and goat cheese are also added. The Pros & Cons But is this type of diet even safe? Yes, to a certain extent. The pros of eating a raw food diet include very little intake of saturated and trans fats, little salt, plenty of fiber, potassium, and key vitamins and minerals that can be lost during the cooking process (especially vegetables). It can be dangerous, though, if followed long-term and contains absolutely no cooked foods. “There is little evidence that raw foods have health advantages” says Walter Willett, M.D., chair of the department of nutrition at Harvard School of Public Health. Diets like this can be too low in protein, as a healthy vegan diet depends on intake of legumes (beans and peas) for protein, and many can be hard to digest if they aren’t
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Page 34 • Healthy Cells Magazine • Bloomington • October 2010
cooked at high enough temps. Very few grains, also a great source of protein, are included as they truly cannot be eaten when they aren’t cooked. Also, some foods need to be cooked for their nutrients to be absorbed by our bodies. Lycopene, for example, is a nutrient found in tomatoes that helps prevent some cancers and is enhanced when the tomatoes have been cooked. The Bottom Line Rose suggests in her book that it is healthy to include some cooked food into the diet as well, to ensure that the pleasure and delight of eating remains. The verdict? Go ahead and include raw meals in your diet every once in a while. It can be fun trying a new type of meal without taking the plunge into a new raw lifestyle. For more information, you may contact Advocate BroMenn Women’s Center at 309.268.2661 or online at www.advocatehealth.com/ bromenn.. To find a physician or register for a program, please call 800.3.ADVOCATE (800.323.8622). References available upon request.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 35
Show Me Those Toes! By Melissa J. Lockwood, DPM, Heartland Foot and Ankle Associates, P.C.
s the school year is in full swing, I would like to present some interesting ‘foot facts’ to the McLean County Healthy Cells audience. There are a lot of misconceptions about foot pain and what a podiatrist can do to help you stay active and on your feet throughout the year. FACT: There are about 10,700 doctors of podiatric (foot) medicine actively in practice in the United States, and they receive more than 55 million visits a year from people with any number of foot ailments. Yet that’s probably only a fraction of the number of foot problems. That’s because many people have the erroneous notion that their feet are supposed to hurt! FACT: Only a small percentage of the population is born with foot problems, the American Podiatric Medical Association believes. Its neglect and a lack of awareness of proper care — including ill-fitting shoes — that bring on the problems. A lifetime of wear and tear is usually the culprit for foot pain.
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309.863.5080 kennardcommunications.com Page 36 • Healthy Cells Magazine • Bloomington • October 2010
L I ST E N U P !
Before you purchase a hearing aid, consider the following:
• Are you seeing an academically trained professional in hearing loss (an Audiologist)? • Will you be told if a hearing aid is NOT truly indicated? • Will you have choices concerning size of the instrument(s), cost and various manufacturers offerings? • Are you being “sold a hearing aid” or receiving the full range of services to help you best compensate for your hearing loss? • Is the Audiology office fully staffed to handle your follow-up needs, service or repair problems?
Bloomington-Normal Audiology 1404 Eastland Drive, Suite 203 • Bloomington, IL 61701 66A-UDIO, 662-8346 or 1-888-442-4545 (toll free) Office hours Monday - Friday 8-5, Saturday 8-12; Tuesday evening by appointment — Satellite office in Pontiac www.bloomingtonnormalaudio.com www.healthycellsmagazine.com
FACT: Corns and calluses are caused by friction and pressure from skin rubbing against bony areas when wearing shoes. If the first signs of soreness are ignored, corns and calluses rise up as nature’s way of protecting sensitive areas. FACT: There are approximately 250,000 sweat glands in a pair of feet, and they excrete as much as half a pint of moisture each day. FACT: Plantar warts are caused by a virus which may invade the sole of the foot through cuts and breaks in the skin. Walking barefoot on dirty pavements or littered ground can expose feet to this sometimes painful skin infection. FACT: About 19 percent of the US population has an average of 1.4 foot problems each year. FACT: About 5 percent of the US population has foot infections, including athlete’s foot, other fungal infections, and warts each year. FACT: About 5 percent of the US population has ingrown toenails or other toenail problems each year. Foot pain is not normal. If you or a family member is experiencing foot pain, please feel free to contact Dr. Lockwood at Heartland Foot and Ankle Associates, P.C. at 309-661-9975 or at www.heartlandfootandankle.com.
It’s never too late to get ahead! Interested in taking your healthcare or dental career to the next level? Earn a Bachelor’s degree in Health Service Administration or an online certiﬁcate in Dental Services Management at Lincoln College-Normal. Designed for busy adults, the Accelerated Bridge to Education is ﬂexible, affordable, and students attend classes just one day a week at our convenient, Bloomington-Normal campus.
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October 2010 • Healthy Cells Magazine • Bloomington • Page 37
How Tired Are You? Submitted by Midwest Center for Sleep Medicine
t is sometimes difficult to understand the difference between just feeling tired and having a sleep disorder. The answers to this simple quiz, known as the Epworth Sleepiness Scale*,will indicate your level of sleepiness, which can be used to gauge your probability of having a sleep disorder. Using this scale, choose the most appropriate answer for each situation.
Lying down to rest in the afternoon
Sitting and talking to someone
Sitting quietly after a lunch without alcohol
0 = Would never doze 1 = Slight chance of dozing 2 = Moderate chance of dozing 3 = High chance of dozing
In a car, while stopped for a few minutes in traffic
Chance of Dozing
Sitting and reading
Sitting, inactive in a public place (i.e. theater, meeting) Passenger in a car for an hour without a break
If your score is greater than 6, you are sleepy. If your score is greater than 10, you are very sleepy. If your score is greater than 16 you are dangerously sleepy. If your total score falls outside the guidelines listed above, consult your physician or a sleep specialist.
_____ For more information on better sleep, you may contact the Midwest Center for Sleep Medicine at 309-662-9997 (ZZZS). They are located at 1709 Jumer Drive in Bloomington.
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www.childandfamilywellnessinstitute.com Page 38 • Healthy Cells Magazine • Bloomington • October 2010
October 2010 • Healthy Cells Magazine • Bloomington • Page 39
Accelerated Degree Program for Adult Learners By Melissa Rohlfs
epending on the time of day or day of the week, Elizabeth Williams calls herself lots of things. Most days of the week, she’d describe herself as a working mom or wife. On Tuesday evenings she’s also a soccer coach. On any given weekend, she adds the titles of part-time chauffeur, gardener, housekeeper, and cook to her bulging resume. Like a lot of women, this Bloomington woman finds herself juggling the many demands of work and family. Still, for all of her personal and professional accomplishments, there is one thing Elizabeth has never been able to figure out. How to complete her Bachelor’s degree – and it’s frustrating. She started her college career years ago, but put it on hold to raise a family with her husband. Feeling frustrated by the economy and current career prospects, the 46-year old woman recently decided to start looking into ways to finally earn the diploma she had begun so long ago. Williams is not alone either. The entire face of higher education in America is changing as increasing numbers of adult learners – including many baby boomers - are returning to college for professional development or advanced degrees. In fact, the U.S. Dept. of Education estimates adult learners made up nearly 40% of enrolled college students in 2008. The number is approaching 50% of all higher education enrollments in 2010.
Lincoln College-Normal Launched Accelerated program for adult learners in 2007 Mention the name Lincoln College and most locals will automatically think of the private, liberal arts college in nearby Lincoln, Illinois. Founded in 1865, it holds a place in history as the only college or university to be named for Abraham Lincoln during his lifetime. It is also home to an impressive collection of Lincoln artifacts and the Lincoln College Heritage Museum. While many people know Lincoln College established a branch campus in the Bloomington-Normal community in 1979, not many realize LCN expanded its academic offerings to include Bachelor’s degrees. Recognizing a need to evolve in response to the changing needs of the community and adult-learners in particular, LCN established the Accelerated Bridge to Education or ABE program in 2007. Designed for working adults, this accelerated bachelor’s degree completion program allows students to attend class at the Bloomington-Normal campus just one day a week. The rest of their course work is completed online. As word of the ABE program grew, enrollment swelled from just 17 students to more than 300 in three years. In 2009, the college celebrated the expansion by opening the Center for Adult Learning and in 2010 the Accelerated Bridge to Education or ABE
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program was certified by the Center for Adult and Experiential Learning (CAEL) as a member of the Coalition of Adult Learning Focused Institutions. It is one of just 33 institutions in the U.S. to achieve this designation. Unique benefits of ABE program include: Some might question whether it’s necessary to have special “part-time programs” just for adult-learners. Program administrators stress the ABE program does have flexibility built in, but is anything but a free ride. Students who succeed in the accelerated format must have a certain level of maturity typically to handle the accelerated format. After exploring several online programs, talking to a few friends, her husband, and even her boss, Elizabeth Williams is confident she made the right choice by enrolling at Lincoln College-Normal. Now she’s looking forward to the day when she can add one more title to her bulging resume – college graduate, saying, “I like the fact that it was a real place with real people. Not just a Web site. LCN offered the program I wanted, with the support and flexibility I needed too!” Degree & Certificate Programs Continue to Grow “We’ve worked very hard to create a program that truly meets the needs of adult learners” said Joni Allison, Associate Dean of the Center for Adult Learning’s ABE program. She went on to add, “We are thrilled the public has responded so favorably. The growth of the program and the recognition from CAEL is a testament to that hard work.” As enrollment has grown, LCN has added several new Bachelor’s degrees and professional certificate programs including
Criminal Justice Studies, as well as two popular healthcare related programs: Online Certificate in Dental Services Management The program was developed in response to feedback from dentists – many of whom expressed a need to further develop well-qualified office managers, as well as dental professionals. Students develop skills in accounting, marketing, management, problem-solving, insurance reimbursement, human resources and communication. In only 30 weeks, the program culminates with an applied practical project where students employ skills and training in real life situations at area dental practices. Health Services Administration: Students earning a Bachelor of Science in Health Services Administration (H.S.A.) degree qualify for administrative and managerial positions in the fast-growing and ever-changing healthcare industry The H.S.A. program includes a strong foundation in general management principles. Graduates are quailed for administrative and managerial positions in: • Hospitals, Convalescent Homes, and Clinics • Law firms specializing in health-care issues • Long-term Care Facilities • Managed-Care Organizations • Health-Insurance Companies and Health-Marketing Agencies For more information on the ABE program, prior learning assessment, financial aid, and more, visit the Lincoln College-Normal Web site at www.abe.lincolncollege.edu or phone an ABE Admissions Counselor at 800.569.0558.
October 2010 • Healthy Cells Magazine • Bloomington • Page 41
Page 42 • Healthy Cells Magazine • Bloomington • October 2010
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Published on Sep 29, 2010