Health&Wellness, March 2016

HORMONES AND WEIGHT: Finding the Right Balance

FEELING PULLED

Between Your PARENTS and Your KIDS?

5 DIABETES TIPS! BEYOND THE FLIP-FLOP

NUTRITION FOR

OLDER PERSONS

Create a HOUSE CLEANING TIMETABLE

www.kchealthandwellness.com

Feeling pulled between your parents and your kids?

Tallgrass Creek has your back.

With our dedicated memory care, you can focus on making every moment with Mom and Dad count.

• Feel confident in our dependable and caring team.

• Spend less time coordinating care. We’ll handle the details and scheduling.

• Enjoy the expertise of Erickson Living,® a network of communities with 30-plus years of experience in senior living and health.

Learn how Tallgrass Creek can help. Call 913-752-9547 for your FREE brochure. We’ll also include 6 Tips to Avoid Caregiver Burnout.

Overland Park EricksonLiving.com 11323898

Independent Living | Assisted Living | Memory Care | Post-Acute Rehabilitation and Nursing Care

www.kchealthandwellness.com

www.kchealthandwellness.com

contents 6

Hormones and Weight: Finding the Right Balance

8

MidAmerica Rehabilitation Hospital: Leaders in Brain Injury Rehabilitation

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March 2016 20

Let 2016 Be the Year You Take Control of Your Sleep Health!

21

Bringing Health & Wellness to the Local Community

23

Latest Advances in Minimally Invasive Gallbladder Surgery Just Got Smaller!

24

March is Colon Cancer Awareness Month.

The Basic Facts About Colorectal Cancer

Feeling Pulled Between Your Parents and Your Kids?

13

Ingrown Toenails Causes and Treatments

14

Helping Clients Win Social Security Disability Cases

25

Nutrition for Older Persons

26

March is National Kidney Disease Awareness Month

Beyond the Flip-Flop Stylish Sandals that are Actually Good for Your Feet

28

How to Create a House Cleaning TimeTable

30

Changing the “Shame and Blame� Game

31

Drawing Closer: The Meaning of Lent

15 16 18 19

Non-Surgical Root Canal Therapy Relieves Pain Try These 5 Diabetes Tips!

Traction Alopecia: How to Fix Those Edges!

We can help you regain control of your own health. Through daily telehealth monitoring of vital signs, such as blood pressure, weight and oxygen levels, we can address changes quickly, and get you back on track.

Shorter hospital stays.

Fewer emergency room visits.

Helpful for patients with chronic health conditions like Congestive Heart Failure or Diabetes.

Conducted in partnership with your physician.

Call today to learn about our exceptional results.

Kansas Office: 913-403-8343 Missouri Office: 816-524-1133 A John Knox Village service in your community. www.jkvhealthservices.org www.kchealthandwellness.com

6 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y

Hormones and Weight: Finding the Right Balance

By Betsy Stander, APRN

A

re you struggling to lose weight even when you’re doing everything ‘right’? Are you suddenly gaining weight although your diet and exercise have remained the same? Your hormones could be to blame!

Hormones are important to all body functions and play a significant role in your ability to lose weight and maintain a healthy weight. There are many hormonal imbalances that can occur in the body including, but not limited to: elevated insulin, elevated cortisol, elevated or low estrogen, low testosterone, low DHEA, and hypothyroidism. It is important to recognize possible imbalances that may be occurring in the body and correct them in order to reach your weight loss goals.

Insulin – the fat storage hormone

Insulin has an important job. It processes the sugar in the blood stream and carries it to your cells – it’s then used for energy or stored for later use in the form of fat.

Elevated levels of insulin can be caused by excess consumption of carbohydrates. A diet high in carbohydrates, such as processed foods and sugary beverages, in combination with a low protein and low fiber intake, can lead to the storage of fat, weight gain and high insulin levels. Poor diet along with lack of exercise, alcohol consumption, stress and high blood pressure can lead to chronically high levels of insulin and the development of Type 2 diabetes.

Cortisol – the stress hormone

High levels of cortisol can be harmful to your health. Studies indicate that a high stress level can contribute to the accumulation of belly fat.

Cortisol levels are higher in people who suffer from conditions such as anxiety, depression, PTSD, and excessive fatigue. Not only does elevated cortisol lead to belly fat, it also increases appetite and cravings. This is why people turn to www.kchealthandwellness.com

“comfort foods” when feeling significant amounts of stress! Other harmful effects of high cortisol include decreased bone density, memory loss and depression. What is the best way to combat high cortisol? Get some sleep! At least 7 hours a night. It is also important to eat a high protein breakfast and find an outlet for all that stress.

Activities such as yoga, meditation or even taking a long walk can help decrease stress.

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

Estrogen – the reproductive hormone

Both men and women naturally produce estrogen. In men, an excess of belly fat can cause testosterone to be converted to estrogen.

As a man’s estrogen level rises, so does the fat accumulation. In addition, high levels of estrogen in men can contribute to prostate cancer and heart disease. In women, both excess estrogen and low estrogen contribute to weight gain and difficulty maintaining a healthy weight. Estrogen levels fluctuate as a woman goes through phases of her reproductive life.

What can be done if you suspect an estrogen imbalance? Get your hormones tested. Testing can identify if an estrogen imbalance exists and what methods of treatment would be best. Also, it is important to eat a healthy diet including green tea, flax seed and chia seeds.

All of these products can assist the body in processing extra estrogen.

Your thyroid gland

The thyroid gland is responsible for producing hormones that regulate the body’s metabolic rate, heart and digestive function, muscle control, brain development and bone maintenance. The thyroid gland can become overactive (hyperthyroidism) or underactive (hypothyroidism). Thyroid conditions can be quite dangerous and cause many unpleasant symptoms. For patients suffering from hypothyroidism, weight gain is a common side effect. Thyroid conditions can be safely treated with medication.

DHEA – the mother of all hormones

There is much talk these days about DHEA, but what exactly is it? DHEA is a precursor hormone secreted by the adrenal glands that can be converted into testosterone or estrogen in the body. DHEA levels typically hit their peak in our 20’s and then naturally decline as we age. DHEA is responsible for many important functions including the body’s ability to burn fat and keep it off. Low DHEA levels can be detected in hormone testing. Correcting an imbalance can improve libido, energy and weight loss.

Betsy Stander, APRN

Betsy received her Bachelor of Science in Nursing from Washington Adventist University located in Maryland and went on to complete her Masters of Science from University of Missouri in Kansas City. Betsy has worked in women's health care for over 15 years including labor and delivery and gynecological surgery. As a nurse practitioner for Mirabile M.D. Beauty, Health & Wellness, Betsy provides gynecological services, bioidentical hormone replacement therapy and medically supervised weight loss counseling (Medi-Weightloss®).

Testosterone – the sex hormone

Increased stress (high cortisol levels), abdominal fat and aging all contribute to low testosterone levels. Low levels of testosterone can lead to conditions such as depression, obesity, heart disease, loss of muscle tone, decreased stamina and decreased libido.

Simple hormone testing can identify a low level of testosterone. When levels are corrected, it has been shown to decrease body fat and improve stamina, muscle mass and libido. A healthy diet in lean protein, as well as weightbearing exercise can help naturally increase testosterone levels.

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Get your levels checked

Hormones play a significant role in your health, including weight loss and weight management.

A simple blood test is the first step in understanding your hormonal health. At Mirabile M.D. Beauty, Health & Wellness, we are experts in the field of bio-identical hormone replacement therapy. We offer safe, natural and effective methods for both men and women. In addition, we offer MediWeightloss, a supervised weight loss program that has helped Kansas City area patients lose over 30,000 pounds! We understand how hormones impact your health and that weight gain and hormonal imbalance are often interrelated. Call to schedule your appointment: 913.888.7546. www.kchealthandwellness.com

4550 W 109th Street, Suite 130 Overland Park, KS 66211

913.888.7546 www.MirabileMD.com Mirabile M.D. combines MedCosmetic, Medi-Weightloss, gynecology and bio-identical hormone replacement therapy. We are your one-stop shop for total wellness.

8 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y MARCH IS NATIONAL BRAIN INJURY AWARENESS MONTH

MidAmerica Rehabilitation Hospital

LEADERS

IN BRAIN INJURY REHABILITATION

A

s a leader in brain injury rehabilitation, MidAmerica Rehabilitation Hospital will join the Brain Injury Association of America and its partners this month in recognizing National Brain Injury Awareness Month.

Throughout March, the hospital is taking a closer look at brain injury rehabilitation and the healing power it can offer to patients with head injuries.

www.kchealthandwellness.com

Smart Choices for Brain Injury Prevention

The Brain Injury Association of America cites the most common causes of brain injury as vehicle crashes, falls, sports injuries and violence. To prevent injury, MidAmerica Rehabilitation Hospital encourages its community to think ahead and make the following smart choices for brain injury prevention: • Wear a seat belt every time you drive or ride in a motor vehicle; • Buckle your child into a child safety seat, booster seat, or seat belt in the car; • Never drive or engage in physical activity while under the influence of alcohol or drugs; • Wear a helmet and make sure your children wear helmets during appropriate activities; • Use safe guards to avoid falls; • Check first the depth of the water when swimming or diving;

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

• Make sure the surface on your child's playground is made of shock-absorbing material, such as hardwood, mulch and sand; and • Keep firearms stored unloaded in a locked cabinet or safe. Store bullets in a separate secured location

Awarded Disease-Specific Care Certification

MidAmerica Rehabilitation Hospital affirms that it has maintained the highest standards to address these conditions by achieving DiseaseSpecific Care Certification for its brain injury rehabilitation program through The Joint Commission. To help restore the brain’s function following an event that results in a brain injury, MidAmerica Rehabilitation Hospital engages individualized treatment programs, state-ofthe-art technology and dedicated rehabilitation teams to work with patients one-to-one for a welcomed return home. Daily physician* visits, ‘round-the-clock certified nursing care and experienced therapists guide patients in reaching their goals for a faster return home.

Specialized Expertise in Caring for Rehabilitation Patients

MidAmerica Rehabilitation Hospital also has nurses with the CRRN® designation (Certified Rehabilitation Registered Nurse). CRRN indicates that a registered nurse has attained specialized expertise in caring for rehabilitation patients. This important quality, along with enhanced skills as a rehabilitation nurse, helps CRRNs provide a more targeted path leading to a patient’s faster return home and back into the community.

FOR MORE INFORMATION ON BRAIN INJURy, rehabilitation or prevention, visit www.healthsouth.com or the Brain Injury Association of America at www.biausa.org.

To request a copy of “Living With Brain Injury,” contact Juanelle Cooper at 913.491.2455 or Juanelle.Cooper@HealthSouth.com. * The hospital provides access to independent physicians.

SUPPORT GROUP MEETING 5:30-7 p.m.• March 9, 2016 MidAmerica Rehabilitation Hospital

Dr. Sushma Lueder, brain injury program director, will speak on mood and personality changes after brain injury.

March Is Brain Injury Awareness Month

Other meetings scheduled for: June 7 • September 6 • December 6 For more information, call 913 491-2400

Join us to learn more about the latest news in brain injury rehabilitation, advancements and

A Higher Level of Care ®

prevention. Our rehabilitation experts will be on hand to support you and walk you through the complexities and

5701 West 110th Street • Overland Park, KS 66211 913 491-2400

questions related to brain injury.

midamericarehabhospital.com

www.kchealthandwellness.com

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10 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y

Feeling PULLED BETWEEN Your Parents and Your Kids?

Continuing care at Tallgrass Creek may be the solution.

T

oday’s generation of 40 to 60 year olds find themselves in an unprecedented situation.

Many members of this so-called “sandwich generation” are pulled between the needs of their children and their aging parents for whom they’re often providing full-time care.

While caring for Mom or Dad can be a reward, it can also take a heavy emotional toll. As a result of their “double duty,” more and more adult caregivers report increased feelings of stress, particularly as their loved one’s needs become more complex.

One solution is to research the numerous care options available, including Tallgrass Creek. Located in Overland Park, this 65-acre senior living community offers independent living, plus dedicated assisted living, memory care, nursing care, and post-acute rehabilitation.

Here, Mom or Dad enjoy a stimulating environment filled with friends and activities—all while receiving a higher level of care than you could provide at home.

Doing “double duty”

The Pew Research Center estimates that just over one in every eight Americans age 40 to 60 cares for a parent in addition to a child.

While the average lifespan has increased, many

seniors still find themselves in need of complex and costly care. Meanwhile, a sluggish economy and changing cultural norms have seen more young adults returning home after college or in between careers.

Members of the sandwich generation are working a double shift, providing emotional and financial support to their children as well as their parents—with few outlets for their own needs.

Factor in the demands of our 24/7 work lives, and it’s easy to see why so many caregivers feel overwhelmed.

When to consider continuing care

Mom or Dad’s health can change in an instant, so it’s smart to research the care providers in your area ahead of time. This way, you’ll be ready should your loved one need to make a quick move.

Often, however, Mom or Dad’s needs evolve over time. Eventually, you may not feel qualified to offer the level of support required. In other instances, the pressure and responsibility of caregiving can begin to affect your family, your relationships, and even your career. In any of these situations, it may be wise to consider a continuing care provider like Tallgrass Creek. www.kchealthandwellness.com

What to look for in a provider

Ultimately, you should feel confident in the team who will be providing care. At Tallgrass Creek, the dedicated team specializes in the unique needs of seniors. They take the time to get to know and care about your loved one on a personal level, providing one-on-one attention and support.

Tallgrass Creek will even coordinate the details of Mom or Dad’s care, scheduling appointments with the doctors at the on-site medical center. You won’t have to spend another morning on-hold with Mom’s medical office, or take off work to drive Dad to his follow-up.

While many continuing care providers claim to be experts, Tallgrass Creek has the experience to support those claims. The community is backed by Erickson Living®, a network of communities with more than 30 years of experience in senior living and health care.

Start your research today

By learning about your options today, you can save time and reduce your stress in the future. To find out more about assisted living, memory care, nursing care, or post-acute rehabilitation at Tallgrass Creek in Overland Park, call 913-752-9553 or visit EricksonLiving.com.

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

“I’m privileged to help families relieve the stress that comes with caregiving. I get to watch them reconnect and create lasting memories.”

– Stacie Shelman, Tallgrass Creek Health Care Sales Director “I didn’t realize the amount of time I was spending caring for my mom. Now, I get to enjoy precious mother-daughter time and let the wonderful staff take care of the rest.”

–Sherry Atkinson, Daughter of Erickson Living Resident

STATISTICS: • 65 million adults are unpaid caregivers: ¼ of the US population • 72% of caregivers are caring for an aging parent • 66% of unpaid caregivers are women • Caregivers spend 20.4 hours a week providing care • More than 1 in 4 caregivers feel emotionally stressed • 69% of caregivers struggle to balance work and caregiving • Caregivers miss 6.6 days of work per year *Data from National Center on Caregiving (caregiver.org); AARP; The National Alliance on Caregiving; Pew Research Center; and Gallup Healthways Wellbeing Survey.

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TIPS: yOU’RE CARING FOR yOUR PARENTS, BUT ARE yOU CARING ENOUGH FOR yOU? FOLLOW THESE 6 TIPS TO AvOID CAREGIvER BURNOUT: 1 Research your loved one’s condition.

Learn as much as you can about their health concerns, medications, symptoms, and how they may change. This will help you stay informed and know what to expect.

2 Consider a few home modifications.

Install grab bars, shower seats, and invest in easy grip utensils that can help your loved one remain independent and complete daily tasks.

3 Ask for help. Tell friends, family, and neighbors when you need help. Try not to criticize if they don’t care for your loved one exactly as you do—as long as your loved one’s needs are met.

4 Remember to take care of you. Eating well, exercising, and taking time to unwind are key to avoiding burnout. Familiarize yourself with the signs of depression, which can affect caregivers.

5 Don’t take it personally. Alzheimer’s, dementia, pain, and the stress of chronic conditions may cause your loved one to say hurtful things. Remember, it’s the illness talking, not your loved one.

6 Know the resources available to you.

There are a wide variety of programs and services to help you manage the challenges of caregiving. Review the following helpful resources for just a few examples.

Helpful resources

• Eldercare locator. visit www.eldercare.gov to search for services in your local area.

• Community resources. your local United Way and faith-based organizations can also help you find assistance.

• Social workers. Social workers at hospitals, clinics, and home health agencies may be able to recommend the right services.

• Tallgrass Creek. The team of health care professionals specializes in the unique needs of seniors. Call 913-752-9553 to learn more. *Compiled from “Tips for Avoiding Caregiver Burnout” at Healthinaging.org.

913-752-9553 13800 Metcalf Avenue Overland Park, Kansas 66223 www.EricksonLiving.com/Tallgrass-Creek www.kchealthandwellness.com

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K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

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14Health Health&&Wellness WellnessMay Marc h 2 0 1-6 Kansas – K a n s aCity s City 18 2015

t is a frustrating feeling to work hard your whole life to support yourself and your family only to suffer a debilitating injury or illness that cuts your career short. It's even more frustrating when Social Security, the government safety-net that you have been contributing to for years, denies your claim to collect Social Security Disability benefits.

At the Law Offices of Sharon J. Meyers, in Kansas City, Missouri, we understand how the frustration caused by not being able to go to work is compounded by the stress of facing mounting bills and not having sufficient income to pay them.

Our first message is not to panic if your initial application for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) has been denied. Some 80 percent of firsttime applicants are denied benefits by the Social Security Administration.

0VS $PNQFOTBUJPO )JOHFT 6QPO :PVS 4VDDFTT We take all SSDI and SSI cases on a contingency fee basis, which means you do not pay attorney fees unless your claim is approved.

It is common and important to appeal a denial of an initial SSDI or SSI claim. The key is to be persistent. And it helps to enlist the services of an experienced Social Security disability lawyer who understands the complex application process.

0VS FYQFSJFODFE MFHBM UFBN — and it truly is a team effort at the Law Offices of Sharon J. Meyers — has helped thousands of Missouri and Kansas residents receive the full disability benefits they deserve. We are a local firm that was established in 1981, and we are entirely focused on Social Security disability law.

We know what sort of information wins Social Security disability cases. Once you select us to represent you, we take the lead in gathering all of the medical records and additional information that is necessary to support your claim. We handle all communication with your doctors, submit all forms to the Social Security Administration and monitor every deadline for you. We present your strongest legal arguments to the decision-makers who will approve your claim, including the administrative law judge (ALJ), if your case reaches that level.

5IF *NQPSUBODF 0G 5SFBUJOH &BDI $BTF *OEJWJEVBMMZ Although we have seen every sort of situation imaginable in more than 30 years of practicing Social Security disability law, we still review each case on its own merit. We use the best practices, but we don't follow formulaic approaches.

Bringing your unique story to life for those who will review — and ultimately approve — your claim is the best way to ensure success.

It is our mission to help hard-working Kansas and Missouri residents obtain the benefits they have earned. The first step to receiving your benefits is providing us with the opportunity to review the facts of your case during a free consultation, so we can recommend the best steps to take.

To talk with a Social Security disability lawyer serving Kansas and Missouri, call 816-753-3929 and schedule a free consultation. You can also contact us online at www.SharonMeyersLaw.com and someone from our legal team will get in touch with you.

4050 Pennsylvania Avenue, Suite 210 Kansas City, MO 64111 Phone: 816-753-3929 Fax: 816-753-0274 www.SharonMeyersLaw.com

www.kchealthandwellness.com www.kchealthandwellness.com

Attorney Sharon J. Meyers Attorney Sharon J. Meyers comes from a family of successful lawyers. She received her Juris Doctorate from the University of MissouriKansas City School of Law in 1981. She has been in private law practice since 1981, specializing in the area of Social Security disability law. Ms. Meyers has firsthand personal experience with disability benefits, having battled leukemia 25 years ago and relying on disability income to help get her through that fight. She is a sustaining member of the National Organization of Social Security Claimants' Representatives, the Missouri Bar and the National Lawyers Association. She also is a member of the Kansas City Metropolitan Bar Association, and both Kansas and Missouri Federal District Courts. She serves on the board of directors of the National Chronic Fatigue Syndrome and Fibromyalgia Association.

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

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Nutrition for Older Persons Both the number and the proportion of older persons – defined as aged 60 and over – are growing in virtually all countries, and worldwide trends are likely to continue unabated.

Defining the Specific Nutritional Needs of Older Persons

Older persons are particularly vulnerable to malnutrition. Moreover, attempts to provide them with adequate nutrition encounter many practical problems. First, their nutritional requirements are not well defined. Since both lean body mass and basal metabolic rate decline with age, an older person’s energy requirement per kilogram of body weight is also reduced.

The process of ageing also affects other nutrient needs. For example, while requirements for some nutrients may be reduced, some data suggest that requirements for other essential nutrients may in fact rise in later life. There is thus an urgent need to review current recommended daily nutrient allowances for this group. There is also an increasing demand worldwide for WHO (World Health Organization) guidelines which competent national authorities can use to address the nutritional needs of their growing elderly populations.

Malnutrition and Older Persons

Many of the diseases suffered by older persons are the result of dietary factors, some of which have been operating since infancy. These factors

are then compounded by changes that naturally occur with the ageing process.

Dietary fat seems to be associated with cancer of the colon, pancreas and prostate. Atherogenic risk factors such as increased blood pressure, blood lipids and glucose intolerance, all of which are significantly affected by dietary factors, play a significant role in the development of coronary heart disease.

Eating well is important at any age. But health issues and physical limitations sometimes make it difficult for seniors, the fastest-growing segment of the U.S. population, to get the nutrients they need for a balanced diet. Poor nutrition and malnutrition occur in 15 to 50 percent of the elderly population.

But the symptoms of malnutrition (weight loss, disorientation, lightheadedness, lethargy and loss of appetite) can easily be mistaken for illness or disease.

If you are a full- or part-time caretaker for an elderly parent or grandparent, there are plenty of steps you can take to help your loved ones maintain good nutrition as they age. The best ways to find out why your loved one isn't eating well are

“WHAT WE DO BEST IS CARE!” www.kchealthandwellness.com

to pay attention, look for clues and ask questions.

Encourage him to talk openly and honestly, and reassure him that he is not a burden to you or anyone else.

Possible Causes of Poor Nutrition

Whether it’s because of physical limitations or financial hardship, many seniors don’t eat as well as they should. Arthritis can make cooking difficult, while certain medications can reduce appetite, making meals unappealing. A 1990 survey by Ross Laboratories found that 30 percent of seniors skip at least one meal a day, while another study found that 16 percent of seniors consume fewer than 1,000 calories a day, which is insufficient to maintain adequate nutrition. There are many reasons why a senior may skip a meal, from forgetfulness to financial burden, depression to dental problems, and loneliness to frailty.

Armour Oaks Meals are Delicious and Nutritious

We here at Armour Oaks strive for the proper nutritional needs for all of our elders on campus.

Our Executive Chef and Dieticians make sure our meals are not only delicious, but also nutritional.

To learn more or to schedule a tour of Armour Oaks Senior Living Community, please call us at 816-363-5141. When you’re visiting, make sure you stop and try a Parks cookie!

8100 Wornall Road Kansas City, MO 64114 816-363-5141 www.ArmourOaks.org

16 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y

Beyond the Flip-Flop Stylish Sandals That Are Actually Good For Your Feet

By Lucas Wetzel, on behalf of Comfort Plus Shoes & Footcare

THE ExERCISE SANDAL The staff at Comfort Plus believes in the science behind the “exercise sandal.” Exercise sandals usually contain a raised toe crest and contoured sole to promote healthy feet. Sandal styles worn without a back-strap encourage the wearer to use their toes to naturally grip and flex while walking.

Toe-gripping facilitates muscle growth and can be especially beneficial to anyone who might have been wearing tight, constrictive shoes during the workday or through the colder months.

FREE PEDIGRAPH READING AND FooTBED CuSTomIzATIoN oFFER RIGHT FIT Many of these sandals feature a cork footbed, allowing the shoe to naturally take the shape of the wearer’s feet over time. The shoe professionals at Comfort Plus will use their inhouse technology as well, including a pedigraph reading and footbed customization, to make sure you get the right fit every time.

FINN ComFoRT

E

very year around spring break, I pick up a new pair of cheap flip-flops in anticipation of warmer temperatures. By the time the pool opens or the trip to the beach arrives, however, one of the straps has already broken or my plantar fasciitis has flared up. If the sandals do survive that long, most of the cushioning is worn out and I might as well be walking on concrete.

Fortunately, when it comes to sandals, there is a better way. After visiting with the staff at Comfort Plus Shoes & Footcare in Leawood, I learned about half a dozen different companies that make high-quality sandals designed to provide tons of comfort and ample support, as well as style. These sandals give me the barefoot freedom I crave while also providing proper arch support.

www.kchealthandwellness.com

One popular brand is the Finnamic series by Finn Comfort, which are made in Germany. Finnamic sandals have a cork sole and often feature a backstrap, which can be better for tourists or anyone planning to do an extended amount of walking. The women’s Finnamic Sausalito, for example, features a soft cork footbed that promotes good posture and proper foot function while cradling and guiding the feet from heel to toe.

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

mEPHISTo

BIRkENSToCk

Mephisto, a brand of shoes made in France, also have a cork footbed that is heatmoldable to allow for greater adaptation to the wearer’s feet. Mephisto sandals feature a soft-air midsole that minimizes shock to the feet, creating greater protection, relief for joints and promoting better back health.

These sandals come in many different designs and also include a midsole designed to enhance air circulation in the feet.

WoLkY

Wolky is a popular brand of sporty, funky shoes made in Holland. Wolky sandals come in a range of styles, from fashionable sandals with an elevated heel to those designed for walking. Most of them feature a back-strap and robust, contoured soles built for an active lifestyle.

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NAoT

One of the most iconic sandal styles is the Arizona from Birkenstock. The Arizona features a classic two-strap look with no back-strap. The natural cork, heel cupping, and arch support make them a favorite for many. Birkenstocks are unique in that they have a flatter footbed and zero heel elevation, giving them a different feel than typical exercise sandals.

FITFLoP

FitFlop sandals combine the best of both worlds — the streamlined style, openness and lightness of a flip-flop with all the support, comfort and shape of fitness-promoting footwear. FitFlops have a wedge shape and feature a comfortable heel and an enhanced arch that reduces overpronation. FitFlop has made use of the latest technology to create pressure-reducing soles that have three times the density of other sandals, resulting in increased foot-to-midsole contact and a cushioned heel strike.

Last but not least, Naot sandals are a stylish, comfortable sandal made with natural cork and latex footbeds covered with suede, and Italian leather for the top sections. Naot has an interesting history, too, originating as a one-room workshop in 1942 and growing to become Israel’s top shoe manufacturer.

WALk A mILE IN A PAIR oF THESE! So when it comes to shopping for sandals this year, I recommend forgoing the cheap flip-flops and checking out one of these brands instead.

Chances are, once you walk a mile in a pair of these sandals – whether it's along the beach on spring break or just through your living room – you’ll never look back.

If any of these products sound like they might be beneficial to you, stop by Comfort Plus Shoes & Footcare to speak with one of their licensed foot professionals or call us at (913) 451-4494 to learn more. You can also visit us online at ComfortPlusShoes.com.

Comfort Plus is open monday through Saturday

BECAUSE WHEN YOUR FEET HURT, YOUR WHOLE BODY HURTS. www.kchealthandwellness.com

11715 Roe Avenue, Leawood, Kansas www.ComfortPlusShoes.com

18 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y

www.kchealthandwellness.com

K a n s a s C i t y – M a r c h 2 0 1 6 Health & Wellness

T ry T hese

5 D i a b etes T i p s!

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First things first – what is diabetes?

DIABETES is a condition that prevents the body from properly using energy from food. This condition occurs when the body can’t use glucose (a type of sugar) normally. Glucose is the main source of energy for the body’s cells. The levels of glucose in the blood are controlled by a hormone called insulin, which is made by the pancreas. Insulin helps glucose enter the cells.

In diabetes, the pancreas does not make enough insulin (type 1 diabetes) or the body can’t respond normally to the insulin that is made (type 2 diabetes).

This causes glucose levels in the blood to rise, leading to symptoms such as increased urination, extreme thirst, and unexplained weight loss.

What are risk factors for diabetes?

• A family history of diabetes • High waist measurement • Man: waist >35.5 inches • Woman: waist >31.5 inches • Body mass index higher than 25 • Age > 45 years • High blood pressure

Simple tips make life easier

Life with diabetes is never easy, so we’re sharing five simple tips to make life with this perplexing illness easier or better in some practical way.

These are non-medical tips; please consult your physician before changing your routine.

1. Starburst Instead of Glucose Tabs. As fast as glucose tablets, but more palatable, four Starburst candies contain 16 grams of carbohydrates – just like glucose. Make sure to take in a good source of protein such as peanut butter crackers to help stabilize blood sugar afterwards and keep it from becoming too low again.

2. my Fitness Pal. This free app is amazing for counting carbs. Their bar code scanning feature not only accurately tracks what you consume, but can provide precise nutrition information, thanks to the world’s largest nutrition and calorie database – over 5 million foods!

3. Soft Drink Cheat. If you’re not sure if a soft drink is regular or diet, test your blood sugar, then dip your finger in the drink and test again. It’s an easy way to catch a sugary soda before drinking it.

4. measure the Glasses in Your Cupboard. Learn which glasses or cups hold 3 or 4 oz only, so when your blood sugar is low, you can grab one and fill it with juice without worrying that you’re over-treating.

5. Relax. If you’ve recently been diagnosed with diabetes, seeing a high number can be alarming. Do not panic. Stressful situations can release hormones that will cause your blood sugar to go even higher.

Simple relaxation exercises and other stress management techniques can help you gain more control over blood sugar levels, according to a study conducted at Duke University. Once you’ve pinpointed your stressors and notice which ones affect your blood sugar levels, you can find a way to relax.

Having a daily snapshot allows us to identify potentially dangerous trends early, and helps you manage your diabetes at home.

To learn more about the compassionate care provided by village Home Health, please call their Kansas Office at 913-403-8343 or their Missouri Office at 816-524-1133.

BONUS TIP:

Get a Second Pair of Eyes. If your doctor has prescribed home health care, village Home Health offers telehealth services to its patients. The tablet-based application monitors you remotely in your home, tracking your diabetes-related metrics. www.kchealthandwellness.com

913-403-8343 (kS) • 816-524-1133 (mo) www.jkvhealthservices.org

20 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y Sleep Awareness Week is March 6th – March 13th

Let 2016 Be the Year You Take Control of Your Sleep Health!

By Larry Pribyl, D.D.S.

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haT doES ThaT MEaN? WE aLL kNoW WE NEEd To gET MorE SLEEp. BUT WIShINg IT To happEN aNd IMpLEMENTINg ChaNgES To MakE SUrE IT IMprovES arE TWo dIFFErENT ThINgS. STarT WITh SoME BaSICS.

Create a bedtime routine that prepares your “mind” for what is coming. Limit stimulates like computer and cell phone use the last 2 hours before bedtime. Leave those devices out of the bedroom after retiring. Unless you’re a physician on call 24 hours, it can wait until morning. Take a hot bath or shower, do some minor leg lifts after you’re in bed and clear your mind of worrisome issues. Think about things that happened awhile back that are pleasant like recalling a vacation or family event instead of thinking about what you need to do tomorrow or the next day.

Maintain a tidy bedroom. Believe it or not, the National Sleep Foundation suggests that a clean bedroom environment can help encourage sounder sleep. Spritz the room or pillows with a lavender fragrance because that scent has been shown to help people fall asleep faster and wake up less frequently during the night.

Look Into SnorIng ISSueS If you or your spouse complains about snoring issues, get it looked into. The Epworth Sleepiness Test is one method you can use to confirm your lack of restful sleep. Use the following scale to choose the most likely number in each situation.

EPWoRTH SLEEPINESS TEST • 0 – Would never doze off or fall asleep in this situation • 1 – Slight chance of dozing in this situation • 2 – Moderate chance of dozing in this situation • 3 – High chance of dozing or falling asleep in this situation Score your answers to these questions using the scale above.

1. Sitting and reading _______ 2. Watching television_______ 3. Sitting, inactive in a public place (theater, meeting, etc.)______ 4. As a passenger in a car for an hour without a break_______ 5. Lying down in the afternoon when circumstances permit_____ 6. Sitting and talking to someone______ 7. Sitting quietly after lunch without alcohol_____ 8. In a car, while stopped for a few minutes in traffic______ Total score: _______

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If your total score is 1-6, chances of Obstructive Sleep Apnea is less likely. If your total score is 7-8, you are average. If your score is 9 or higher, Obstructive Sleep Apnea is more likely.

Make an appointment with your primary care doctor who may want to schedule a sleep study.

Sleep apnea is a medical condition that needs treatment. Sleep apnea can cause a host of other conditions like high blood pressure and heart problems. Not all snoring is sleep apnea and not all persons with sleep apnea snore. oraL appLIance can Manage SLeep apnea and SnorIng dr. pribyl has a special interest in patients who wish to manage their sleep apnea and snoring with an oral appliance. This is a device made from impressions of your teeth that works by advancing your lower jaw slightly forward bringing the tongue with it. The tongue is what falls back and blocks your airway during sleep apnea. Seventyfive percent of patients who choose this method can see improvement the first night. Their snoring can either be eliminated or greatly reduced. Call our office for a consultation at (816) 795-1000.

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Bringing Health & Wellness to the Local Community

By Elizabeth Kelley

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he Health & Wellmobile, made possible by Diagnostic Imaging Centers, P.A. and several local partners, is a massive consumer health education and wellness screening program designed to promote healthier living among local community residents while providing an opportunity for consumers to receive basic health screenings, scans and education where they work, live and play. Our goal is to promote overall health and wellness; to motivate all consumers to be proactive about their health while becoming passionate regarding their overall wellness. Let's face it, everyone is guilty of not going for that annual eye exam, or perhaps getting their hearing checked or maybe never stopping to measure their bone density. Our goal is to catch all consumers where they are and give them convenient access to just stop by and have a few free health & wellness screenings.

Whether a consumer stops by the Health & Wellmobile to gain a little piece of mind or remind themselves it’s time to go seek treatment, it doesn’t matter to us, our goal is to simply achieve the mission.

our Health & Wellness Partners

The Health & Wellmobile program is made possible by Diagnostic Imaging Centers, P.A., in partnership with Rawxies Healthy Snacks, SAFEKC, McCarthy Auto Group, Lauren Wants to Know, Neighborhood Hearing Aid Centers, Athlete Testing Solutions – ATS Heart Check, Mirabile M.D. Beauty, Health & Wellness, Kansas City Pediatrics, Preps KC, Mid America Coalition on Health Care, Steel Media, Key Dynamics Chiropractic and Kansas City Health & Wellness Magazine.

The Health & Wellmobile travels daily across the Kansas City Metro, providing its services to both employers and the general public. Free and lowcost health screenings, scans, education, wellness screenings and sports physicals are provided by licensed medical sponsor partners as the Health & Wellmobile travels around the Kansas City metro. There are multiple ways to interact with the Health & Wellmobile: • Local Community Events • Sponsor Partner Locations • Charity Events • Health Fairs – at local employers and in the community • Sports Physicals (Middle school through professional athletes) If your business, event or school would like to schedule the Health & Wellmobile at your next event, please call us at 913-274-8008 or email us at info@healthwellmobile.com.

Services Offered:

• Blood Pressure Screening • Blood Glucose Screening • Biometric Screening • vision Screening • Hearing Screening • Heel Scan Bone Density Screening • Concussion Screening • Sports Injury Assessments • BMI Screening… and many more!

Local Charity Partnerships

The Health & Wellmobile has expanded its reach through partnerships with several local charities to promote and attend their events. The Health & Wellmobile most recently has partnered with the Kansas City Ronald McDonald House, Relay for Life, Heroes for Hospice, American Heart Association and American Lung Association, several local Chamber events, and many local run races benefiting a number of local charities. As the program continues to grow, building partnerships with local charities is a key area of service for the Health & Wellmobile, and we always welcome new partners.

School Partnerships – Jr. High, High School and College

Another area of focus for the Health & Wellmobile is local students and athletes. The Health & Wellmobile has successfully built partnerships with several local schools and colleges to provide low cost sports injury assessment and sports physicals. The Health & Wellmobile has also appeared at several local youth sporting events such as baseball, soccer, wrestling, softball, track meets and volleyball. Just as with our local businesses and charity partnerships, we are www.kchealthandwellness.com

always looking to welcome new student athlete organizations and school partnerships.

Steel media Radio Group Partnership – Health & Wellmobile Certification

Through our partnership with Steel Media Radio Group offering ongoing radio and online promotion of our services, calendar, partners and education, the Health & Wellmobile is a powerful force in the communities it serves. Through Steel Media, local health and wellness businesses can become officially, "Health & Wellmobile Certified." Businesses in a variety of health and wellness categories such as dental, chiropractic, vision, health club, fitness and nutrition, can apply to receive this certification.

Certifications are exclusive by category of business, and within their specific geographic trade area, while also allowing the certified business to be part of the overall Health & Wellmobile program and mission.

To learn more about this, please contact Steel Media at kjennings@steelcitymedia.com.

our Dream and mission

In the end, our dream and mission is to motivate all consumers, insured or not, to proactively take charge of their health and overall wellness in partnership with local businesses, charities, schools and local events. To find a Health & Wellmobile tour stop near you, please visit www.healthwellmobile.com.

To learn more about our services, partnership opportunities available, or to schedule the Health & Wellmobile at your next event, please call us at 913-274-8008 or email us at info@healthwellmobile.com.

www.kchealthandwellness.com

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Latest advances in Minimally Invasive gallbladder Surgery Just got Smaller!

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r. Christopher daggett with advanced Surgical associates is among the first physicians in the Kansas City area to provide micro-laparoscopic gallbladder removal surgery (cholecystectomy).

recent advances in minimally invasive surgery aimed at diminishing incision size have led to the development of micro-laparoscopic surgical instruments.

The increased level of complexity using such instruments requires a higher level of surgical skill compared to traditional laparoscopy.

having performed general Surgery in Eastern Jackson County and the kansas City Metro for more than 30 years, dr. daggett describes this procedure as a significant improvement for laparoscopic surgery. A new smaller micro-laparoscopic instrument is benefiting cholecystectomy patients and demonstrating great success. It requires a 50% smaller incision at the surgical opening versus traditional laparoscopic cholecystectomy or robotic surgeries.

CareFusion, a leading global medical technology company, recently launched its new micro-laparoscopic line, with surgical instruments as small as 2.7 mm in diameter, half that of the standard 5 mm or 10 mm. hand instrumentation is made of a proprietary ceramic titanium alloy material to provide strength comparable to standard 5 mm laparoscopic instruments.

about the gallbladder

The gallbladder is a pear-shaped organ beneath the liver. It collects and concentrates a digestive liquid called bile that is produced by the liver. Bile is released from the gallbladder into the small intestine after eating, aiding in digestion. gallbladder problems are typically caused by the formation of gallstones, which are small hard masses made up of cholesterol and bile salts that form in the gallbladder or in the bile duct. These may show up in X-rays and other imaging tests. It's uncertain why some people form gallstones and there is no known means of prevention. These stones tend to block the flow of bile out of the gallbladder causing swelling, sharp abdominal pain, vomiting, indigestion and occasionally, fever.

In the United States, there are 20-25 million newly diagnosed gallstone patients each year. however, most people with gallstones don't know they have them.

It is quite common to have stones in the gallbladder that cause no symptoms.

When they do affect your health, surgery to remove the gallbladder is usually recommended.

Less Scarring and discomfort

dr. daggett is trained in the newest techniques to treat gallbladder issues and relieve your pain. If you are a candidate for micro-laparoscopic surgery, smaller incisions provide the benefit of less patient discomfort and less scarring as they eliminate the need to close the incision site with sutures in some procedures. Better cosmetic results are achieved through incisions that do not require stitches, as scars are virtually invisible. In addition, candidates appropriate for this approach tend to have shorter hospital stays with less postoperative discomfort.

Micro-laparoscopy may not be appropriate for some patients who have had previous upper abdominal surgery causing dense scar tissue, or who have some pre-existing medical conditions such as obesity. a thorough medical evaluation by your personal physician, in consultation with a surgeon trained in micro-laparoscopy, can determine if this method of gallbladder removal is an appropriate procedure for you.

up-to-date technology

Using the most up-to-date technology, your treatment will be safe, convenient and tailored to your specific needs. Rest assured, Dr. Daggett will have you back to your normal activities as quickly as possible. To learn more or to schedule a consultation, please call advanced Surgical associates at 816-246-0800 or visit online at www.asakc.com.

Christopher Daggett, D.O.

Dr. Daggett is a board certified general surgeon who was born and raised in Kansas City. He completed his residency at Lakeside Hospital in 1983 and immediately went into a solo general surgery practice in the Kansas City area. Dr. Daggett is Program Director of the General Surgery Residency program at Kansas City University of Medicine and Biosciences (KCUMB).

Advanced Surgical Associates (ASA) is a leader in providing minimally invasive general surgery for residents in Eastern Jackson County and the Kansas City Metro. The laparoscopic techniques of Christopher Daggett, D.O., Adam Kramer, D.O. and Christie M. Brock, D.O. benefit patients by allowing for shorter recovery times and minimal scarring.

www.kchealthandwellness.com

3460 NE Ralph Powell Road Lee’s Summit, MO 64064 816-246-0800 . www.asakc.com

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Traction Alopecia: How to Fix Those Edges!

By Meena Singh, MD

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s a dermatologist with a special interest in hair conditions, it consumes me how many women I see with permanent hair loss from our own styling practices!! One common form of hair loss is called traction alopecia.

Traction alopecia can be a permanent, sometimes scarring form of hair loss that typically occurs around the hairline and crown. You do not need to be a dermatologist to diagnose this. We have all seen it on girlfriends, family members, and, unfortunately, many prominent celebrities.

CAUSE

It is thought to be caused by hairstyling practices that pull hair tightly away from the scalp, such as braids, weaves, and locks. Similar to trauma that happens elsewhere on the skin, the body senses the insult, sends inflammatory cells to the site of trauma, and tries to heal it with a scarring process. This is exactly what occurs with traction alopecia. The tight pulling leads to inflammation around the hair follicle and if the inflammation remains untreated, fibrosis or scar tissue forms and the hair is permanently lost.

This condition is most common in females of African descent, but can be seen in anyone with traumatizing hairstyling practices. For example, in India, many Sikh males that wear their hair in tight buns under their turbans and can also suffer from this problem. Ballerinas that pull their hair back tightly can experience this, as well.

PREVENTION AND TREATMENT

Luckily, there are ways to prevent traction alopecia and also ways to treat it.

Most importantly, do not let allow the hair to be pulled too tight!!!! yes, we all love to see our friends flaunt a great weave down their backs, so I will never be one to restrict wearing these types of hairstyles.

HOWEvER, I cannot stress the importance of being able to recognize signs of when the hair is being pulled too tight. This includes any pain, tenderness, burning or itching.

These are signs of inflammation!!!

Secondly, see the previous paragraph‌ It’s that important. Many of my patients will tell me that they did not notice the hair loss until months to years after wearing braids or a weave. So it is very important to pick up on signs of inflammation as soon as possible, so that you have a possibility of being treated and holding onto the hair that you have.

As far as treatment options are concerned, the most important first step is seeing a dermatologist as soon as you notice any problem. The longer you wait for an evaluation, the more time for scar to form and for the hair loss to become permanent.

When you are seen, likely a biopsy will be performed to determine if there is any inflammation left to treat or if scar is already present. If there is inflammation present, treatment may include steroid injections to the scalp, topical steroids, or oral antibiotics. Even if there is scar present and the hair loss is felt to be permanent, hair transplantation is a fantastic option to help restore the hairline.

BEFORE

AFTER

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In summary, women love to experiment with a myriad of fabulous hair styles. Unfortunately, many of these styling practices can lead to permanent hair loss and deflated senses of self.

Therefore, it is of the utmost importance to recognize when the hair is being traumatized to prevent traction alopecia from occurring.

To learn more or to schedule a personal consultation, contact KMC Hair Center at 913-631-6330.

We will determine your best options and a plan to suit your personal needs.

Dr. meena Singh is a Board Certified Dermatologist and Dermatologic surgeon.

Dr. Singh attended Harvard Medical school, trained at Mayo Clinic and completed an International Society of Hair Restoration Surgery fellowship.

kmC HAIR CENTER at kmC Dermatology 6333 Long Ave. Shawnee 11301 Nall Ave. Leawood kmCHairCenter.com

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30 Health & Wellness M a r c h 2 0 1 6 – K a n s a s C i t y

Changing the “SHAME AND BLAME” Game

By Rachel Lewis

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hame and blame constantly surround us, but especially surround teenagers.

Throughout history and literature, shame has been used as a tool to keep kids and society in line.

Whether it’s Hester Prynne being made to wear a scarlet “A” in The Scarlet Letter, or the way that people attack one another online and through Twitter, shame has become something that is always present.

SHAmE vS. GuILT

We tend to think of shame as being very similar to guilt, but the subtle differences between the two are astounding. In their book, Facing Shame, Mason and Possum say that, “While guilt is a painful feeling of regret and responsibility for one’s actions, shame is a painful feeling about oneself as a person.” Brene Brown, PHD, LMSW, who gave a fantastic TED Talk on shame and is a shame and vulnerability researcher says that, “Shame is the intense painful feeling that we are unworthy of love and belonging.”

The idea that shame has become such a naturalized part of society is disturbing to how we perceive ourselves but most especially to how we teach teenagers. Teens are still incredibly impressionable and are looking to find who they are and how they fit in. Proponents of the “shame and blame” method believe that shame works because of past precedent. Shame has helped change behaviors in the past so therefore we can utilize it as a tool now. Other proponents believe that since teens are still impressionable that verbal criticism and shame can curtail bad behaviors more effectively. Unfortunately, those shaming behaviors and verbal smack downs can have an incredibly negative effect on self-esteem and self-worth.

As stated above, shame is a negative emotion about oneself. Once those negative emotions are there, all shame will do is prove that those feelings are right. Shame increases the chances of distress and alienation which continues that same shame cycle. Shame, unlike guilt, takes those negative emotions about one’s actions and turns them inward.

Rachel Lewis

Rachel Lewis graduated with honors from the University of Kansas in just three and a half years in December, 2010, and has already written a book and started her second business. She has been interviewed by the New york Times, USA Today, Fox Business and has been cited in an article in Forbes on successful businesses. She has worked with students from middle school through college helping with goal setting, confidence building, study skills, and getting ready for "the real world." She launched Success Skills Weekly with her mother and brother to assist students with critical skills that are needed for success, but not being taught anywhere. Rachel is a member of the Junior League of Kansas City, and was selected as a Belle of the American Royal in 2011 and has been an active volunteer for the BOTAR and the American Royal organizations. She is also the Head Cheer Coach at her high school alma mater.

CHANGE THE GAmE

So how do we change the “shame and blame” game? By trying to be a more wholehearted and vulnerable person. We need to be the model for the behaviors that we want teens to emulate.

When parents preach about how something is wrong but then turn around and praise stories about their high school years, teens see the hypocrisy. The things that we say and the way that we act matters. If we are shaming people through social media, then teens will learn that behavior is okay. We are the models they look to more so than anyone else.

As Gandhi says, “You must be

the change you want to see in the world,” and that applies double when we should be the change we want to see in our teens. www.kchealthandwellness.com

1-877-872-5019 www.SuccessSkillsWeekly.com If you would like more information about a success skills program for your middle school, high school or college age student, please visit www.SuccessSkillsWeekly.com, email Rachel directly at rachel@successskillsweekly.com or call 1-877-872-5019.

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