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A March 16, 2011 supplement of: and


HEALTH Heart disease is the leading cause of death in the United States.Learn how you can better protect yourself against cardiovascular disease and stroke. Help out your heart with these healthy lifestyle tips for any age. • Don’t smoke, and stay away from secondhand smoke. • Avoid excessive alcohol consumption. • Eat plenty of fruits and vegetables. • Consume fiber-rich whole grains. • Stick with lean meat, fish or skinless chicken. • Opt for low-fat dairy products. • Broil, bake, grill, steam or poach whenever possible. • Avoid processed and pre-packaged foods that are often high in transfats, sodium and added sugars. • Get moving with at least 30 minutes of physical activity each day. • Find ways to minimize stress and get adequate amounts of sleep. • Talk to your doctor about your blood pressure, cholesterol, heart rate, blood sugar and weight.



HEALTH Back row l-r:Gay Melby, Julie Florian, Paula Greene, Teresa McCandless, Denise Dobbs, BJ Abrams. Front row l-r: Tabitha Melby, Kandice Wallis, Kristi Rife, Diane Meeker, Nicole Carritt. Not pictured: Dawn Brewer, Sherri Webb, Donas Charbonneau

Harrison County Home and Public Health 116 North 2nd Avenue, Courthouse Annex - Logan, IA (712) 644-2220 (office)

Administrator: Nicole Carritt Hours: 8:00 - 4:30 p.m. M-F

Offering Skilled Nursing Services in the Home, instruction and evaluation of medication or treatment, Health Promotion Services including blood pressure screenings and flu shots, family planning and Well Woman Clinics, maternal-child health, immunizations, lead level screening, tobacco prevention, Learning for Life parent education and Public Health Emergency Preparedness.

Harrison County Homemaker Agency 111 North 2nd Avenue, Courthouse - Logan, IA (712) 644-3437 (800) 300-4422

Program Director: Kathy Baer Hours: 8:00 - 4:30 p.m. M-F

Offering quality care in the home, personal cares, bathing skin care, light housekeeping, meal preparation and transportation for medical appointments and essential errands. Our Agency offers In-Home Health, Respite, Elderly, Ill and Handicapped and the Physical Disabilities Waivers. Back Row- From left: Linda Stueve, C.N.A.; Sue Corrin, C.N.A.; Sandy Dickman, Case Management C.N.A. Middle Row- From left:Kathy Baer, Program Director; Stacy Salter, C.N.A.; Carrie Montanez, C.N.A. Front Row- From left: Rhonda Sears, C.N.A.; Reanna Gochenour, C.N.A.; Elaine Jensen, office manager. Not Pictured: Patty Booher, Shirley Sigler, Elizabeth Block Harrison County Homemaker Agency

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HEALTH& WELLNESS March labeled Colorectal Cancer Awareness

Colorectal cancer is cancer that occurs in the colon or rectum. Sometimes it is called colon cancer, for short. The colon is the large intestine or large bowel. The rectum is the passageway that connects the colon to the anus. Colorectal cancer affects men and women of all racial and ethnic groups, and is most often found in people aged 50 years or older. In the United States, it is the third most common cancer for men and women. Of cancers that affect both men and women, colorectal cancer is the second leading cancer killer in the United States, but it doesn’t have to be. If everybody aged 50 or older had regular screening tests, as many as 60 percent of deaths from colorectal cancer could be prevented. Colorectal cancer screening saves lives. Screening can find precancerous polyps—abnormal growths in the colon or rectum—so that they can be removed before turning into cancer. Screening also helps find colorectal cancer at an early stage, when treatment often leads to a cure. About nine out of every 10 people whose colorectal cancer is found early and treated are still alive five years later.

Month Of cancers that affect both men and women, colorectal cancer cancer of the colon or rectum - is the second leading cause of cancer-related deaths in the United States. In 2007, 53,219 people in the United States died of colorectal cancer (27,004 men and 26,215 women). Colorectal cancer also is one of the most commonly diagnosed cancers in the United States. In 2007, 142,672 people in the United States were diagnosed with colorectal cancer (72,755 men and 69,917 women), making it the third most common cancer in men and in women. A Center for Disease Control and Prevention study demonstrated that: • About 41.8 million average-risk people aged 50 or older have not been screened for colorectal cancer according to national guidelines. • The U.S. health care system has enough capacity to conduct widespread screening of the unscreened population, using FOBT and diagnostic colonoscopy for those with a positive FOBT. • Widespread screening with flexible sigmoidoscopy or colonoscopy may take up to 10 years, depending on the proportion of available capacity used for colorectal cancer screening.

What are the symptoms? Colorectal polyps and colorectal cancer don’t always cause symptoms. Someone could have polyps or colorectal cancer and not know it. If there are symptoms, they may include: • Blood in or on your stool (bowel movement). • Stomach pain, aches or cramps that don’t go away. • Losing weight and you don’t know why.

Reducing Your Risk Colorectal cancer screening saves lives. However, many people who are at risk for the disease are not being screened according to national guidelines. It is estimated that as many as 60 percent of colorectal cancer deaths could be prevented if all men and women aged 50 years or older were screened routinely. In most cases, colorectal cancer develops from precancerous polyps (abnormal growths) in the colon or rectum. Screening tests can find precancerous polyps, so that they can be removed before they turn into cancer. Screening tests also can find colorectal cancer early, when treatment works best. Some studies show that increased physical activity and maintaining a healthy weight may decrease the risk for colorectal cancer. Evidence is less clear about other ways to prevent colorectal cancer. Currently, there is no consensus on the role of diet in preventing colorectal cancer,

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but medical experts recommend a diet low in animal fats and high in fruits, vegetables and whole grain products to reduce the risk of other chronic diseases, such as coronary artery disease and diabetes. In addition, researchers are examining the role of certain medications and supplements, including aspirin, calcium, vitamin D and selenium, in preventing colorectal cancer. While these supplements may reduce the risk of colorectal cancer, the most effective way to reduce your risk is by having regular colorectal cancer screening tests beginning at age 50.

When Should You Begin to Get Screened? You should begin screening for colorectal cancer soon after turning 50, then continue getting screened at regular intervals. However, you may need to be tested earlier or more often than other people if: • You or a close relative have had colorectal polyps or colorectal cancer; or • You have inflammatory bowel disease. If you are aged 50 or older, or think you may be at increased risk for colorectal cancer, speak with your doctor about getting screened. The U.S. Preventive Services Task Force recommends screening for colorectal cancer for all people until they reach 75 years old and for some people when they are older than 75. If you are in this age group, ask your doctor if you should be screened.

What Are the Screening Tests for Colorectal Cancer? Several tests are available to screen for colorectal cancer. Some are used alone; others are used in combination with each other. Talk with your doctor about which test or tests are best for you. These screening tests are recommended by the USPSTF: • Colonoscopy (every 10 years). • High-sensitivity fecal occult blood test (FOBT) (every year). • Flexible sigmoidoscopy (every five years). In addition to these tests, some groups also recommend the double contrast barium enema as a screening test (every fove years). Other tests are being evaluated and may be recommended by the USPSTF for use in colorectal cancer screening in the future, including CT colonography (also known as “virtual colonoscopy”) and stool DNA testing.

CARROLL AREA NURSING SERVICE THE HOME HEALTH CARE PROFESSIONALS OF HARRISON COUNTY The experienced staff of the Carroll Area Nursing Service can offer a full range of home health services. If you are hospitalized or your physician orders home health care, ask for the Carroll Area Nursing Service.

CARROLL AREA NURSING SERVICE 712-263-3078 or 800-920-2267 Visit us on the web at: “Quality care with a personal touch” Office locations: Carroll, Denison, Elk Horn, Manning, Coon Rapids, Wall Lake

Dr. Thomsen is Board Certified in Chiropractic Pediatrics

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QUIT When it comes to personal health, more and more people have grown increasingly aware of how the choices they make today will have an impact for years to come. In addition to eating healthier, more people now include exercise in their weekly routines. One lifestyle change many have attempted to make, with varying degrees of success, is to quit smoking. While it’s often difficult and nerve wracking to stop smoking, it’s certainly worth it, as the potential consequences of continuing, most notably lung cancer, should prove a strong enough motivating factor even for those who are struggling mightily to stop lighting up forever. According to the National Cancer Institute, roughly 220,000 new cases of lung cancer will be diagnosed in 2009, and more than 159,000 will lose their battles with lung cancer that same year. Those statistics are especially frightening when considering many people who smoke are fully aware they are increasing their risk of lung cancer, but continue to smoke anyway. As education about lung cancer is often helpful for those attempting to quit, consider the following information if you or a loved one is attempting to make the lifestyle change that could very well someday save their life.

What is Lung Cancer? A significant majority (roughly 99 percent) of lung cancer cases fall into two categories, which are classified based on the size of the cancerous tumor. • Small cell lung cancer (SCLC). Small cell lung cancer is, as its name suggests, associated with those cancers wherein the cancer cells are smaller than typical cancer cells. Instances of SCLC are less common, affecting only about 20 percent of people diagnosed with lung cancer, but their comparatively tiny stature does not make them any less harmful. In fact, these cancer cells reproduce rapidly, forming large tumors quickly. As a result of that rapid reproduction, SCLCs, which are typically the result of smoking or exposure to secondhand smoke, have often spread to other parts of the body before they’ve even been initially diagnosed. • Non-small cell lung cancer (NSCLC). The most common type of lung cancer, nonsmall cell lung cancer accounts for roughly 80 percent of all lung cancer diagnoses. NSCLCs are actually classified into three different subcategories: - squamous cell carcinomas - adenocarcinoma - large cell carcinomas Squamous cell carcinomas originate along the respiratory tract, specifically in the thin, flat cells that line the respiratory passages. Adenocarcinoma is the most commonly diagnosed form of lung cancer, accounting for 30-40 percent of all cases. This occurs when the cells that form the lining of the lungs become cancerous. Large cell carcinomas make up about 10 percent of all cases, and are those that appear large and abnormal upon examination under a microscope.

What are the Risks for Lung Cancer? According to the Lung Cancer Alliance, a nonprofit dedicated to providing support and advocacy for those with or at risk for lung cancer, more

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Bethany Heights 11 Elliott Street Council Bluffs (712) 328-8228

Rooted in the Past, Growing into the Future Bethany Lutheran Home 7 Elliott Street Council Bluffs (712) 328-9500

than 85 percent of lung cancer cases are caused by smoking. Simply put, those who are still smoking are putting themselves at a heightened and ultimately unnecessary risk of lung cancer. Of the more than 4,000 chemicals contained in cigarette smoke, the majority have been linked to causing cancer. For those who are trying to quit, research has indicated that a person who quits smoking will have the same risk as a person who never smoked 15 years after quitting. That means a smoker who quits at 30 will, by the time he or she turns 45, have the same risk of lung cancer that a fellow 45-yearold who never smoked has. But smoking isn’t the only thing that increases a person’s risk for lung cancer. One additional risk factor is exposure to radon, a carcinogen and byproduct of radium that is present in both indoor and outdoor air. This heightens the importance of having a home routinely tested for radon, as prolonged radon exposure increases the risk for lung cancer. Other potential causes of lung cancer include exposure to asbestos (which can also lead to mesothelioma, a cancer that affects the lining of the lungs and stomach) and exposure to cancercausing agents in the environment. To learn more about lung cancer or for help with quitting smoking, visit the National Cancer Institute Web site at

EBY DRUG STORE Prescription Specialists

STORE HOURS Woodbine: 712-647-2840 8:00 a.m. - 5:30 p.m. Mon. thru Fri. 8:00 a.m. - 12 Noon - Saturday Closed Sundays We accept Medicare Part D, Visa, Mastercard

Serving Harrison County Since 1916 Please call ahead for prescription refills

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This is your healthcare New Extended Hours for Digital Mammography at Alegent Health Community Memorial Hospital Beginning March 1 Additional Evening Screenings Available 5 p.m. - 8 p.m.

Mon. - Tues. - Thurs. Evenings For Appointment Information

Call 712-642-2784 Hospital

AFTER HOURS CLINIC Evening and Saturday Hours For Your Healthcare AFTER HOURS CLINIC HOSPITAL LOCATION 631 N. 8th St., Missouri Valley HOURS: Monday- Friday 5 p.m. - 9 p.m. Saturday: 9 a.m. - 3 p.m.


This is your healthcare

Alegent Health Logan Clinic 122 West 8th St. Logan, Iowa, 51546

(712) 644-3288

Alegent Health Missouri Valley Clinic Located in Hospital Missouri Valley,Iowa 51555

(712) 642-2794

Alegent Health Woodbine Clinic

Alegent Health Dunlap Clinic

410 Ely Street Woodbine, Iowa 51579

707 Iowa Ave. Dunlap, Iowa 51529

(712) 647-2566

(712) 643-2298

Logan-Woodbine Health  

Logan-Woodbine Health 2011