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November 2009 - FREE Volume 1, Darke County Edition 2

My

MAGAZINE

a guide to healthy living

Special Feature Inside: Dealing with EB: A young boy’s story of fighting a rare disease

Knowing the signs of COPD Winter fitness made easy

Sarah’s cows A story of a family dealing with their

daughter’s suicide


meet Dr. Kuhn and his reasons for choosing Reid. Dr. Kuhn could have practiced medicine anywhere. As a cardiovascular surgeon, his skills are definitely in high demand. But Dr. Kuhn chose to practice at a hospital known for its exceptional team — a team that has helped Reid Heart Center gain a reputation as one of the best heart programs in the region. Yes, Dr. Kuhn could have been a surgeon anywhere. And he chose Reid. Dr. John Kuhn Heart Surgeon

reid heart center | 1100 Reid Parkway | Richmond, IN 47374 765.983.3042 | www.eaton.md

www.ReidHospital.org


O h io D e pa r t me n t o f He a l t h p re p a r i n g t o s h i p H 1 N 1 v a c c i n e H1N1 VACCINE AVAILABILITY The Centers for Disease Control and Prevention (CDC) recommends certain priority groups receive the H1N1 vaccine as soon as it becomes available. Right now, health care and emergency medical services personnel are able to receive available vaccine. As more vaccine becomes available, others in the priority groups outlined below will be able to receive the vaccine. Once enough pandemic H1N1 vaccine becomes available, others will be able to receive it. Ohio placed its first order was for 61,500 doses of H1N1 vaccine from the CDC last Oct. 2. While many different forms of H1N1 vaccine are being produced, the initial shipment of FluMist is intended for use in healthy people ages 2 to 49. On Oct. 9, ODH submitted an order for more than 152,000 doses of H1N1 flu vaccine to the Centers for Disease Control and Prevention (CDC). The order includes 58,300 doses of nasal-spray vaccine and 94,400 shots of H1N1 flu vaccine. Because of the first doses are in mist form, they will be made available to health care and EMS workers who provide direct patient care. The vaccine will be provided through hospitals and local health departments. Nasal-spray vaccine is approved for use only in healthy people ages 2 to 49, while the shots will be given to high-risk individuals including pregnant women; people who live with or care for children less than 6 months; all people 6 months to 24 years; and people 25 to 64 yearswith chronic medical conditions. The vaccine will be shipped directly to providers and could arrive by Oct. 20, according to CDC. To find out when H1N1 vaccine will be available in your community, contact your local health department, call the ODH H1N1 Information line at 1-866-800-1404 or visit the online local clinic finder.

- VACCINE CURRENTLY AVAILABLE FOR THIS GROUP Health care and emergency medical services personnel because infections among health care workers have been reported and this can be a potential source of infection for vulnerable patients. Also, increased absenteeism among health care professionals could reduce health care system capacity. Children 6 months through 18 years of age because there have been many cases of pandemic H1N1 flu in children and they are in close contact with one another in school and day care settings, which increases the likelihood of disease spread. Young adults 19 through 24 years of age because there have been many cases of pandemic H1N1 flu in these healthy young adults and they often live, work and study in close proximity, and they are a frequently mobile population. Persons aged 25 through 64 years who have health conditions associated with higher risk of medical complications from influenza. SEASONAL FLU VACCINE Seasonal flu viruses circulate each year from fall through spring. Seasonal flu vaccine is available. The Ohio Department of Health (ODH) urges everyone who would like to protect themselves from the flu to receive a seasonal flu vaccination. The seasonal flu vaccine will not protect you from pandemic H1N1 virus, but it will help you fight infection from other seasonal flu viruses.


COVER STORY

Table of

Contents

Feature stories: Dealing with EB: A young boy’s story of fighting a rare skin disease

Maxx Gregg

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Healthy eating during the holidays Nutritious guidelines for the family

Sarah Whittaker

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A family struggles after sixteen year old Sarah Whittaker takes her own life. Now a year later, the family has began to move on and do positive things to help other kids who face depression.

My Life Magazine Volume 1, Darke County Edition 2

Published by The Brown Publishing Company Publisher: David Compton Editors Christina Chalmers, Eddie Mowen Lead Graphic Designer Darci Ditmer

Contributing staff Amanda Rodeheffer, Linda Moody, Marc Saluk, Lisa Mehaffie, Clinton Randel, Ryan Peverly, Ruth Williams, Gina Waddle, Kyle Akers

Women and cholesterol risks What to pay attention to for a healthier life

New booster seat law Will your child be riding safely? Suicide warning signs Signs your teen may need help

COPD sufferer reaches out Knowing the signs

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19 26 28

Winter fitness made easy Staying in shape during the holidays

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Send story ideas or submissions to cchalmers@dailyadvocate.com. To advertise in MyLife, contact Aaron Hoblit at (937) 548-3151.

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My Life Magazine


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Special Feature

A family coping daughter’s with their suicide

By Christina Chalmers

“All it takes is one bad moment,” said Allen Whittaker, a father who lost his daughter Sarah to suicide. “If the situation is right and the tools are there - that’s all it takes.” “If she could have waited another 10 or 15 seconds,” he said as he sighed with a somber look on his face.

It was Sunday, Jan. 6, 2008, when 16-year-old Sarah Ann Whitaker, a junior at Greenville High School, took her own life in the barn on her family’s farm. Stepmother, Karen Whittaker recalls the day.

“Sarah had been caught sneaking out of her room two days before [Friday] and was grounded because of it. On Sunday morning around 8:30 a.m., I opened the door to her room and said ‘Sarah you need to do your chores [take care of the cows]’ and then I left to go scrap booking,” Karen said. Allen is a semi-truck driver by profession and was out on the road at the time.

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“When I came home, I couldn’t find Sarah. She was not in the house. I hollered at Jacob [Sarah’s then 17-year-old brother] to see if he knew where she was. He said that she never came back from the barn. I told him to go check on her. I remember thinking that it was strange because it was cold outside, it was winter time,” she continued. What happened next would change her family’s life forever.

“Jacob came running out of the barn screaming down the lane that she was hanging there. All I could say was ‘Get her down, get her down’ as I ran towards the barn. I was there right after and frantically calling 911 on my cell phone. The reception was bad; it took me several attempts to get through,” she said. When Karen’s call finally did get through to EMS responders, they walked her through several steps to check out Sarah.

“I knew Sarah was gone,” said Karen with tears streaming down

My Life Magazine


Special Feature

“ When you had seen what I had to see, you can only imagine. I knew Sarah was gone... her face. “When you had seen what I had to see, you can only imagine. I’ll never get that out of my head.”

“She had put the hay in the manger [for the cows] and started the water,” said Allen. The water was still running when they found Sarah. She had used the twine from the hay to hang herself.

“Kids don’t think of the finality of the situation [suicide],” said Allen. “The first thing I did when I came home was go out to the barn.”

Karen said it’s hard for her to talk about that day. Some days are harder than others for her as she struggles to keep the vivid memory from her mind.

Sarah was not selfish. She just wasn’t thinking.”

“This was a surprise for everybody that knew her,” Karen continued. “She was a beautiful girl - she was so good. She had a heart of gold. She loved her family, she loved her friends.” “There wasn’t anything she wouldn’t do for you. She was the first one to volunteer,” said Allen. “She loved kids. She wanted to be a school teacher.”

After her death, the Whittakers received overwhelming support from her friends, the administration at her school and her 4-H family. Over the past year and a half, several events have been held in her memory. Sarah was a well-loved teenage girl, who had lots of friends and was an avid 4-Her, said her parents. She volunteered her time at the

Brethren Retirement Community in Greenville. She had been very involved with the 4-H Beef Club, raising and showing Charolais cattle at the Darke County Fair.

“She forked manure, drove the skid loader she was a hard worker,” said Allen. “She could get a halter on every one of those cows. She had a knack for it.” “She loved to mow the yard with her Ipod on. She wasn’t afraid of work, she liked to have a good time. Everyone loved her,” recalled Karen.

For the past two years, her brother Jacob and some of her friends have continued to show Sarah’s cows at the Darke County Fair. This year, a cow named “Angel” won as the champion Charolais heifer.

Allen has been taking care of Sarah’s cows since they day she passed. He has 11 cows on

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“Sometimes you think you’re not going to make it through the day,” she said.” It’s [suicide] the most selfish thing you can do, but

I’ll never get that out of my head.”

My Life Magazine

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Special Feature

his farm today.

“When I’m out in the barn, I’m spending time with Sarah. That was her and me. That was us,” said Allen.

Since his daughter’s death, Allen has become a spokesperson on the topic of suicide. He has met with students from both Tri-Village in New Madison and Greenville High School in Greenville, teaching them about suicide.

“You’ve got to make a positive out of a negative,” he said. “Grieving only keeps you in the moment. If you help someone, it’s more worthwhile. Do positive things. You’ve got to move on a little bit.” “Just talk to your kids,” offered Allen. “You’re not going to get everything out of them, but just be there for them to listen.”

“Sarah wanted to be a teacher, we just have to help her out,” said Allen.

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You’ve got to make a positive out of a negative, grieving only keeps you in the moment. If you help someone, it’s more worthwhile. Do positive things. You’ve got to move on a little bit.”

Allen said that signs of depression is often a precursor to suicide. He said watch for any change in a person’s behavior. It could be eating, sleeping, hanging around different friends, lying, being withdrawn, not hanging around friends, he said.

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My Life Magazine


Special Feature Her Memories Still Live On

The Sarah Whittaker Memorial Scholarship

Allen Whittaker decided that his daughter should be remembered with a scholarship fund through the HOPE Foundation of Darke County that would help out kids just like her, and in raising funds to support the scholarship, he’s also raising awareness of teen suicide and reaching out to those who need help. For the past two summers, the Sarah Run, a poker motorcycle run, has been held to raise money for the fund in the hope that it exceeds $25,000. It then becomes a permanent endowment fund and remains in place forever. Applicants must have a background in 4H or FFA and no higher that a B grade point average.

Sarah’s scholarship fund, established in her loving memory, is focused on assisting other Darke County students who desire to become teachers, as Sarah did.

For more information go to http://www.hopedarkecounty.com or call (937) 548-HOPE.

WHEN IT COMES TO YOUR TO-DO LIST, PUT YOUR FUTURE FIRST.

Decisions made in the past may no longer be what’s best for the future. So, to keep everything up to date, we offer a financial review. A complimentary service to all our clients, the financial review is a great opportunity to sit face-to-face with your investment representative and develop strategies to keep your finances in line with your short- and long-term goals. To find out how to get your financial goals on track, call or visit today. www.edwardjones.com Member SIPC

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Aaron Ward Steve Litchfield Todd Subler Bill Wolke 515 S. Broadway 1113 E. Main St. Ste. 2 234 E. Main 300 W. Main Greenville Greenville Greenville Greenville 548-5198 548-9981 548-3917 548-6253

My Life Magazine

Mark Howard 205 E. Main St. Eaton 456-0470

John Lee 1101 N. Barron St. Eaton 456-1155

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Family Life Healthy eating for the holidays

With the holidays approaching and many parties in the making, guests are going to be tempted to overindulge when it comes to partaking of the food.

It is okay to have some holiday treats, but people should spend their calories wisely and then enjoy the right food.

“Watch your portion sizes,” advised Carolyn Doenges, MS, RDLD, registered dietitian at Wayne Hospital in Greenville. “You will see a lot of extra foods that you don’t usually eat. Just watch how much you eat.”

Doenges said studies have shown that a person gains 5 pounds on the average over the holidays.

“Once you do that, you are prone to keep on gaining,” she said. “Overindulging is the wrong way of thinking. When you’re thinking about watching your intake, it’s a lifetime commitment.”

She advises people to eat something light before going to a party.

“If you have one bad day, fit in extra exercise by walking around,” she said. Carolyn Doenges, registered dietitian at Wayne Hospital (Greenville)

At the party, she encourages guests to focus on talking with the people instead of the food. “Chew on a piece of gum,” she suggested.

Doenges also warns people to think about what they’re drinking as well, because beverages, too, have calories. She suggests those who are going to a party and making a dish to make something healthy, such as fruits and vegetables.

“Make sure you make something you can eat, especially if you’re diabetic,” she said.

For those having cholesterol issues, she advises to substitute cholesterol-free products for certain ingredients.

“Make more things with reduced fat,” she said. “Avoid sticks of margarine and anything fried. Pick something broiled, baked or grilled when it comes to entrees. Avoid anything in white sauces; a tomato base is much better.” People having heart problems would be wise to stay away from sodium and any processed foods.

“Stick more with fresh foods,” she said. “And, keep an eye on how much liquid you drink. Stay away from salty snacks, such as chips.” Those dieting during the holidays are encouraged by Doenges to focus on small, obtainable goals. “Start out small,” she said. “The same with exercise.”

More tips from Doenges: • Survey the entire table before taking any food. Decide what foods are worth eating and what can be ignored, and then stick to that decision. Why waste calories on food that don’t bring pleasure?

The Food Pyramid, A balanced diet is one that includes all the food groups. In other words, have foods from every box, every day.

• Eat your calories instead of drinking them. Stick to lower calorie or calorie-free drinks diet sodas, water, light beer or wine spritzer) instead of punches, eggnog and mixed drinks that can have up to 500 calories per cup. • Sip a large glass of water between every alcoholic drink or nonalcoholic punch or eggnog. This will keep a person hydrated and he/she will drink fewer calories by the end of the night. • Hosts or hostesses should include nutritious and lowercalorie foods like fruits, vegetables and lean meats on the menu. • Try not to hang out near the food. Find a comfortable spot across the room and focus on people instead of eating.

Guidelines for healthy eating How do you maintain your healthy eating habits during a family feast? How can you make sure that the turkey is the only one stuffed during the holiday season? Here are some guidelines to help make healthy food choices and limit tempting, high-calorie foods during the holidays.

Holiday food choices Choose more often: Turkey breast, chicken breast, mineral water, plain potatoes, tossed salad, steamed vegetables, fresh fruit and plain rice. Choose less often: Beef prime rib, pie, cake, stuffing, sugar-sweetened beverages, highcalorie alcoholic beverages, gravy, bread pudding, candy and eggnog.

Here’s how to modify holiday recipes Fruit puree Substitute an equal amount of fruit puree (for example, applesauce) for oil in cake, brownie, bread or muffin mixes. The fruit adds flavor, moisture and tenderness to baked goods when the oil is omitted. Egg whites or egg substitutes Replace some of the whole eggs in a recipe with egg whites or a commercial egg substitute. One egg equals two egg whites or 1/4 cup of egg substitute. Cocoa powder Use 2 tablespoons cocoa powder plus 1 tablespoon regular or diet margarine in place of every 1 ounce of unsweetened baking chocolate. Fat-free milk, yogurt, sour cream or cream cheese Use these in place of the whole-fat products. A dollop of vanilla fat-free yogurt makes a nice substitute for whipped cream on some desserts.

• Don’t cover your plate completely with food. • Drop out of the “clean plate club.” Leave a few bites behind every time you eat, especially if you are eating something you don’t really care for. • Enjoy the favorite holiday treats but take a small portion, eat slowly and savor the taste and texture of the foods of the season.

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Light or diet margarines Be careful when using light or diet margarines to replace regular margarine or butter. These substitutes have a higher water content and can change the texture of baked goods. Experiment — you may need to reduce some of the liquid in a recipe when using light or diet margarine.

My Life Magazine


Family Life

Stop Now! It Is Never Too Late It is never too late to stop smoking, according to Shelly Acker, director of the Cardiopulmonary Department at Wayne Hospital. Stopping smoking still has health benefits regardless of how long a person has smoked.

“During the Great American Smokeout, we encourage all Ohio smokers to put out their cigarettes for at least one day - and perhaps for a lifetime,” she said. “Within 20 minutes after you smoke that last cigarette, your body begins a series of changes that continue for years.” Acker listed statistics provided by the American Cancer Society that show the benefits of quitting:

20 Minutes After Quitting Your heart rate drops. -----

12 Hours After Quitting The amount of carbon monoxide in your blood drops to normal. -----

2 Weeks to 3 Months After Quitting Your heart attack risk begins to drop. Your lungs begin to work better. -----

1 to 9 Months After Quitting Your coughing and shortness of breath decrease. -----

1 Year After Quitting Your risk of heart disease is half that of a smoker’s. -----

5 Years After Quitting Your stroke risk is reduced to that of a nonsmoker’s 5-15 years after quitting. -----

10 Years After Quitting Your lung cancer death rate is half that of a smoker’s. Your risk of cancers of the mouth, throat, esophagus, bladder, kidney, and pancreas decreases.

----15 Years After Quitting

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Your risk of heart disease is like you never smoked.

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Family Life Wound healing services at Reid Hospital

By Robert Imler

Radiation — radiological therapy — for cancer can save lives, but applied to neck and jaw cancers, radiation can set up problems for the future.

“Extracting a tooth or teeth from a previously radiated jaw accounts for nearly nine out of 10 cases of trauma-induced mandibular osteoradionecrosis,” said Dr. Robert Bartlett, senior medical advisor for National Healing Corporation’s Wound Healing Centers around the nation.

“Mandibular osteoradionecrosis” is the term given the progressing damage that can be done to a jaw by a course of radiation treatment. While cancer survivors measure success in the passage of time, there is more risk of mandibular osteoradionecrosis, ORN, after five years than after one, Dr. Bartlett explained.

“It seems counter-intuitive, but the degenerative process triggered by the radiation is progressing beneath the surface without any

outward sign,” he said, adding, “Micro-organisms begin to attack the surface of irradiated bone in the mouth. This makes ORN a matter of wound healing rather than infection, and these problematic wounds do not require the same type of topical management.”

The doctor might ask for radiation therapy records to determine exact location and dose of radiation received.

Patients recline on a bed encased in a large, see-through plastic shell, which maintains a 100-percent oxygen atmosphere at slightly higher-than-normal pressure.

Quit smoking. Radiation is successfully used to treat many head and neck cancers caused by tobacco use. The jawbone is the most common site of ORN because teeth and bone density mean low blood flow.

Complications from ORN can include intractable pain, difficulty opening the mouth, bone fractures, nutritional deficiencies caused by difficulty eating, chronic wounds and the loss of large amounts of soft bone and tissue.

Patients on chemotherapy must have a thorough review by a hyperbaric physician before treatment; some drugs could have adverse affects.

Reid Wound Healing and Hyperbaric Medicine Center, a National Healing Corporation Wound Healing Center, uses leading edge hyperbaric oxygen therapy to treat ORN, and dentist chairs have no role.

Patients relax and watch movies during treatment. The therapy saturates the blood with oxygen, which allows more oxygen molecules to pass through plasma to tissue and bone, speeding healing.

Reid Wound Healing experts recommend these precautions for preventing, identifying and treating ORN:

ORN is often not visible and may be diagnosed by X-ray, CT scans, MRI or biopsy.

Patients considering head or neck radiation therapy should consider a pre-radiation dental consultation to guard oral health.

ORN risk factors include inadequate healing time between undergoing oral surgery and starting radiation therapy, extractions within irradiated bone, alcohol and tobacco use and nutritional factors.

The most common symptom of ORN is bone pain. Hyperbaric oxygen therapy can help manage pain if it is due to ORN and not to recurring cancer or other causes.

For more information about ORN and treating and preventing chronic wounds, contact Reid Wound Healing and Hyperbaric Medicine Center at 1380 Chester Boulevard, across from the old Reid Hospital site. Call (765) 983-3306

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My Life Magazine


Women’s Life CHOLESTEROL RISKS

Susan Brooker thought she was doing all she could to take care of herself. The 60-year-old exercised, ate healthy, and stayed active. As an avid softball player, she spent months training to play in the August 2009 National Senior Games. In preparation for the competition, Susan went to see her doctor for a routine checkup. After a thorough physical and blood tests, Susan was diagnosed with high cholesterol.

“I was really surprised. I had family members who suffered from high cholesterol, so I knew a little about the disease. My physician assistant, Ronnie Diem, PAC, took the time to explain that because of my elevated cholesterol, I developed atherosclerosis, which is the buildup of plaque in the arteries.”

“Atherosclerosis can develop silently over many years and may have no symptoms,” Diem said. “Elevated cholesterol increases your chances of developing buildup of plaque in the arteries. Patients like Susan may be unaware of the problem because they can’t see or feel the disease.”

In addition to Susan’s elevated cholesterol, she had other risk factors, such as her age and family history. “My total cholesterol levels were too high — over 200 mg/dL. And since my grandfather had a history of heart disease, Ronnie explained that I was considered to be in the ‘at-risk’ category,” Susan said.

Ronnie told Susan she was going to have to make some lifestyle adjustments if she was going to be in peak condition for competing in the Senior Games. “I wanted to get Susan eating right and exercising differently,” he said. “In addition to these lifestyle changes, based on her elevated cholesterol and additional risks, I felt a cholesterol-lowering statin medication was necessary.”

The goal was to reduce her LDL (bad) cholesterol and raise her HDL (good), so Ronnie prescribed Crestor (rosuvastatin calcium). “In clinical trials, Crestor has been proven to be a highly effective cholesterol treatment option. It is the only statin approved by the FDA to slow the progression of atherosclerosis at any stage of the disease as part of a treatment plan to lower cholesterol to goal,” he said.

Atherosclerosis can develop silently over many years and may have no symptoms, elevated cholesterol increases your chances of developing buildup of plaque in the arteries.” My Life Magazine

Since Susan was diagnosed, her total cholesterol has dropped, and her LDL and HDL levels are where they should be. “My experience has taught me that even if you think you’re healthy, you should exercise regularly, eat a healthy diet, and get your cholesterol checked.”

Susan recommends finding support from others working to maintain their target cholesterol goal and joining programs that help you set and achieve these important goals. “I joined the Crestor 360 support program, which showed me how to prepare healthy foods low in cholesterol and saturated fats, gave me tools to stay physically active, coupons for my Crestor prescription, and great advice on how to meet the cholesterol goal my doctor set.”

You should know statins aren’t right for all patients with high cholesterol. For instance, Crestor is not right for anyone who has had an allergic reaction to it, or those with liver problems, women who are nursing, pregnant, or who may become pregnant. Doctors perform blood tests before and during treatment to monitor liver function. Crestor has not been approved to prevent heart disease, heart attacks, or strokes. As with any medications, you should always monitor side effects. Unexplained muscle pain and weakness could be a sign of rare but serious side effects and should be reported to your doctor right away. Some other side effects can include headache, muscle aches, abdominal pain, weakness, and nausea.

Remember to talk to your doctor about your cholesterol. For more information about Crestor, the full prescribing information and the Crestor 360 support program, call 1-800-CRESTOR, or visit Crestor.com.

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Women’s Life Trim some fat from your daily diet

Eating healthy is a goal for many people. Regardless of a person’s age, the trend toward adopting a more healthy lifestyle is here to stay, and it often begins with altering our diets. But what are some ways we can tinker with our diets without having to completely remove the foods we love? Fortunately, there are several easy ways to trim some fat from a daily diet without having to say goodbye to our favorite foods.

You can still eat meat, just choose wisely. Lots of people, particularly when they get a little older, are quick to assume a diet void of red meat is a healthy diet. However, red meat can still be enjoyed, but it’s best to choose extra-lean cuts of red meat and to eat meat in moderation. Even when you purchase extra-lean cuts, it’s still a good idea to trim all visible fat from both meat and poultry.

Supplement soups without adding fat. Particularly in the colder months, soup is an appetizer and even an entree of choice. However, garnishing soups with bacon, high-fat creams or fried croutons can make an otherwise healthy soup a lot less so. In lieu of the traditional garnishes, choose enhancements like fresh herbs or salad leaves. They’ll add extra flavor but won’t add any fat.

Use marmalade or jam instead of butter. Fat can be trimmed from your morning breakfast as well. Instead of buttering your muffin or toast, choose healthier options such marmalade or jam. It’s also a good idea to avoid adding butter to snacks. Make desserts healthier as well. Eating healthier doesn’t have to involve deserting dessert either. Desserts can still be enjoyed by just changing some ingredients. For example, fat can be reduced in most cake recipes

Use egg whites instead of whole eggs 14

simply by cutting the amount of butter in the recipe. Use half the amount of recommended butter, and replace the other half with a dried fruit puree, which can be purchased at most grocery stores. The cake will stay just as delicious and you’ll be able to enjoy it, confident that it’s better for you.

Use egg whites instead of whole eggs. Most cooking recipes include whole eggs. However, replace whole eggs with egg whites, which have no fat and can be whisked into most recipes. You won’t notice a difference in the taste, but you’ll be healthier for having made the change.

My Life Magazine


Women’s Life

Preble County General Health District: Heart Attacks

By Jennifer Combs

If you are like most people, you think that heart disease is a problem for other folks. But heart disease is the leading cause of death in the United States and is a major cause of disability. Almost 652,091 people die of heart disease in the U.S. each year. That is about 27 percent of all U.S. deaths.

There are many different forms of heart disease. The most common heart disease in the United States is coronary heart disease, which can lead to heart attack. Coronary heart disease occurs when the coronary arteries, that supply blood to the heart muscle, become hardened and

Major risk factors that can not be changed include increasing age, gender, race and heredity.

Age - Over 83 percent of people who die of coronary heart disease are 65 or older. At older ages, women who have heart attacks are more likely than men are to die from them within a few weeks.

Gender - Men have a greater risk of heart attack than women do, and they have attacks earlier in life. Even after menopause, when women’s death rate from heart disease increases, it’s not as great as men’s.

Race - African Americans have more severe high blood pressure than Caucasians and a higher risk of heart disease. Heart disease risk is also higher among Mexican Americans, American Indians, native Hawaiians and some Asian Americans. This is partly due to higher rates of obesity and diabetes.

Heredity - Children of parents with heart disease are more likely to develop it themselves. Most people with a strong family history of heart disease have one or more other risk factors. Just as you can’t control your age, sex and race, you can’t control your family history.

narrowed due to the plaque buildup. The plaque buildup and the narrowing and hardening of the arteries is called atherosclerosis. Plaques are a mixture of fatty substances including cholesterol and other lipids. Blood flow and oxygen supply to the heart can be reduced or even fully blocked with a growing plaque. Plaques may also rupture and cause blood clots that block arteries.

Some conditions as well as some lifestyle factors can put people at a higher risk for developing heart disease. Some risk factors can be modified, treated or controlled, and some can not. The more risk factors you have, the greater your chance of developing heart disease.

Behavior factors include:

Tobacco Use - Tobacco use increases the risk of heart disease and heart attack. Exposure to other people’s smoke can increase the risk of heart disease even for nonsmokers.

Diet - Several aspects of peoples’ dietary patterns have been linked to heart disease and related conditions. These include diets high in saturated fats and cholesterol and high salt or sodium.

Physical Inactivity - Physical inactivity is related to the development of heart disease. It also can impact other risk factors, including obesity, high blood pressure, high cholesterol, and diabetes.

Obesity - Obesity is excess body fat. It is linked to higher cholesterol, high blood pressure, and diabetes.

Alcohol - Excessive alcohol use leads to an increase in blood pressure, and increases the risk for heart disease. Additional information regarding heart disease can be found on the Centers for Disease Control and Prevention and the American Heart Association websites at www.cdc.gov and www.americanheart.org.

Migraines - allergies or teeth?

Most people tend to think sudden migraines are caused by seasonal allergies; however, the problem could very well be your teeth. Many people, especially those over the age of 40, suffer from headaches caused by worn-down teeth and bad alignment. Grinding and clenching make the wear of our teeth even worse but age alone will deteriorate our mouths and can be a leading cause for severe migraines. Since people tend to be far more petrified to see a dentist, they’ll consider other concerns such as asthma, allergies, etc. According to the American Dental Association, one-third of the population in the U.S. does not see a dentist whatsoever. What’s worse is there are 78 million people in the U.S. over the age of 50 with missing teeth, yet over 30 percent of them do not see a dentist.

The poor economy doesn’t help - studies show people over the age of 40 are the biggest worriers and people are grinding their teeth, clenching their jaws, etc. For many, teeth might not seem like a necessary health concern but what they don’t understand is that neglecting their teeth can snowball bigger, painful problems. Aside from the fear of pain, many people especially seniors can’t afford to see a dentist despite how painful their headaches may be.

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Women’s Life

Pampering yourself on a budget

In tough times some of the first things to get cut from personal budgets are those little luxuries and pampering. Some of us eliminate expensive coffee drinks, while others cut out spa treatments or expensive outings.

But everybody needs to spend some time taking care of themselves. Here some creative ways to pamper yourself on a budget:

While spa treatments, bath beads and lotions can be costly, you can use inexpensive replacements — such as Epsom Salt and petroleum jelly — to create at-home pamperings.

Create an At-Home Spa

For a relaxing soak add two cups of Epsom Salt to water in a standard-sized bathtub and soak for at least 12 minutes. Add a few drops of eucalyptus oil for a refreshing scent. Your favorite soft music and a scented candle can make the experience truly relaxing. For a foot scrub, mix a quarter cup of petroleum jelly with two cups of Epsom Salt and a few drops of essential oil. For an inexpensive exfoliating facial, combine common cleansing cream with Epsom Salt.

This can mean many things. Plan a day to spend at your favorite museum, park or landmark. Or, clear out the kids and the chores so you can spend quiet time alone with a favorite book or movie. Consider making it permanent by getting a subscription to a favorite magazine and putting aside time alone each month to enjoy reading it. work well here. It helps seeds germinate, makes plants grow bushier, produces more flowers and deters pests. When preparing the garden, sprinkle Make a Special Garden Pack Flowers and plants can do wonders to soothe and relax. Make one cup per 100 square feet before planting.

Give Yourself the Gift of Time

yourself an inexpensive gardening basket with packs of your faTaking good care of yourself doesn’t have to mean dipping deeply into vorite flower seeds or tasty herbs. Don’t forget to include plant your wallet; with a little planning and some wise choices, you can spoil food or fertilizer. Inexpensive options like Epsom Salt also will yourself on a budget. (Source: Statepoint)

It’s just like your mother always told you... YOU NEED YOUR REST

Individuals who get less than seven hours of sleep per night appear about three times as likely to develop respiratory illness following exposure to a cold virus as those who sleep eight hours or more, according to research recently reported in the “Archives of Internal Medicine” journal.

sleep and colds for four years. Not only is less sleep linked to increased likelihood of getting a cold, the more efficiently you sleep helps. People who spend less than 92 percent of their time in bed asleep are five and a half times more likely to become ill than those whose efficiency is 98 percent or more.

Previous research indicated that those who sleep approximately seven to eight hours per night have the lowest rates of heart disease illness and death. However, there had been little direct evidence that poor sleep increases susceptibility to the common cold.

“A possible explanation for this finding is that sleep disturbance influences the regulation of pro-inflammatory cytokines, histamines and other symptom mediators that are released in response to infection,” suggest the authors of the study.

Researchers at Carnegie Mellon University now have found this link after studying

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The results of the study indicate that seven to eight hours of sleep per night is a reasonable target.

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Kids’ Life Protect yourself and your children against the flu

According to the Centers for Disease Control and Prevention, each year in the United States more than 200,000 people, on average, are hospitalized from flu complications. Twenty thousand of those hospitalized are children younger than 5 years old. In southwest Ohio peak flu season is November through April.

The pediatric experts at Dayton Children’s provide the following accurate, up-todate information on both H1N1 and the seasonal flu. Young children may not have typical symptoms, but may have trouble breathing or not be as active as usual. Children younger than 5 years are more likely to have serious illness than older children. Flu infections can be severe in children with a chronic medical condition.

What are the symptoms?

Symptoms of the seasonal flu and H1N1 include:

• Rapid onset of fever • Headache • Body aches • Chills and fatigue • Cough • Sometimes vomiting and diarrhea

Is it the flu or the common cold?

FLU: High fever, chills, muscle aches, headache, cough (sometimes severe), exhaustion, loss of appetite and sore throat

COMMON COLD: Low fever if any, runny nose, little coughing; child’s appetite and energy level are usually not affected.

The “stomach flu” is not the flu. You may hear people use “stomach flu” to describe a gastrointestinal illness with nausea, vomiting or diarrhea. These symptoms can be caused by other viruses, bacteria or even parasites.

Who should be vaccinated for the flu?

All children who are 6 months to 18 years old, with an emphasis on vaccinating those aged 6 to 59 months.

The seasonal flu vaccine is available now. Check with your pediatrician, family doctor to determine if the flu vaccine is appropriate for you and your child. Children younger than 6 months cannot receive the flu vaccination. Those in close contact with children younger than 6 months of age should be vaccinated.

This includes older children and adolescents, child care providers, household members, etc.

How is the flu spread?

Seasonal flu and H1N1 s is spread person to person by direct contact, through the air or by a person with the flu contaminating objects with the virus. A respiratory illness normally causes the flu or influenza. The virus is spread by coughing, sharing of personal items and contamination of the hands. It is normally spread within the first several days of the illness.

How do you treat the flu?

Go to your pediatrician, family doctor or urgent care if you have concerns about the flu. Children typically run a mild fever between 100 and 102 degrees. Lots of rest and fluids is the best treatment. Keep your children home from school and day care at least 24 hours after they havenot had a fever to reduce the spread of infection.

Parents can give children an acetaminophen or ibuprofen for the fever and aches, but should not give their children aspirin. In some cases, it is normal for the flu to last a week or longer.

In October 2008, the Consumer Healthcare Products Association announced that children younger than 4 years old should not be treated with over-the-counter (OTC) cold and flu medicines.

How is the flu prevented?

1. Wash hands often. Use soap and water for 15-20 seconds-about as long as it takes to sing Happy Birthday twice. Alcohol-based hand cleaners are OK if soap and water are not available. 2. Cover coughs and sneezes with a tissue. If children don’t have a tissue, teach them to cough or sneeze into their shirt sleeve. 3. Keep sick children at home including out of school or day care until they are better-usually seven days after the illness starts.

4. Teach children to stay at least six feet away from people who are sick. Avoid crowds and public places.

5. Teach children not to touch their eyes, nose or mouth. Germs spread this way. 6. Eat healthy and find healthy ways to deal with stress and anxiety.

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Kids’ Life HAR DS HIP in raising children with disabilities

Submitted by Preble County DD

A recent study by the UNC School of Social Work compared experiences of material hardship, including food insecurity, housing instability, and health care access, in families raising children with and without disabilities.

According to the results, families of children with disabilities experienced significantly greater hardship than families with nondisabled children. As family income rose above the federal poverty level, hardship declined sharply for families of nondisabled children but not for families of children with disabilities. Thus, the US federal poverty level was found to be a particularly poor predictor of hardship for families whose children have disabilities.

The United States government defines poverty using an absolute income-based threshold devised in the early 1960s (the poverty level was set at three times the annual cost of a basic food budget). Except for adjustments for inflation, the federal poverty level (FPL) has remained unchanged since it was established, despite the fact that housing, child care, and health care inflation in the United States have far outpaced food-cost inflation. Thus, today’s families spend less of their income on food and a much greater proportion on housing, health care, and other necessities. Furthermore, the FPL fails to account for regional differences in the cost of living, costs of child care and transportation, or receipt of noncash benefits such as Medicaid and food assistance.

What factors affect material hardship in families raising children with disabilities?

As compared with 16% of children without disabilities, 28% of US children with disabilities live below the federal poverty threshold. Families of children with disabilities have additional financial expenses related to their child’s disabilities, such as therapy costs, specialized day care, and adaptations and modifications of the home. Financial concerns are further exacerbated by the fact that mothers frequently must reduce their work hours or quit altogether to stay home and care for their children with disabilities.

Children with disabilities and their families were significantly more likely to have experienced food insecurity. These families were nearly 2 times more likely to report that they had worried food would run out, that food bought did not last, or that they skipped meals because of lack of money. Among families with incomes up to 2 times the FPL (up to $36,200 for a family of four), children with disabilities and their families were more than twice as likely to have accessed emergency food sources than were other families.

Children with disabilities were more likely to have access to health care but less likely to receive medical services.

Children with disabilities were both significantly more likely to have a usual source of care and less likely to have been uninsured at any time in the prior year. However, despite having better potential access to health care, children with disabilities had to delay necessary medical and dental care more often. Families raising children with disabilities reported greater instability with rent and telephone payments. These families were 72% more likely than other families to have been unable to pay their rent in the prior year. Furthermore, they were 81% more likely to have had phone service disconnected for more than a day during the prior year because of nonpayment.

Home safety is everyone’s responsibility Take the time to do the following five things: Show your babysitter where to find the phones, first aid supplies and flashlights. Post emergency numbers by every phone (don’t forget poison control, 800-222-1222), along with your cell phone number and itinerary.

Each year, an average of 2,096 children, ages 14 and younger, die as a result of a home injury. Parents who have taken safety precautions around the home need to make sure their babysitters are familiar with these measures. “If you’ve installed smoke alarms and carbon monoxide detectors, practiced your fire escape plans, stocked a first aid kit and put safety latches on cabinets and toilets, that’s great — but these precautions can all go to waste if you forget to mention them to your babysitter,” says Jessica Saunders, injury prevention coordinator at The Children’s Medical Center of Dayton and Safe Kids Greater Dayton coordinator. “Even after you find the right babysitter — a reliable, experienced sitter with references, at least 13 years old, preferably trained in first aid and CPR — you need to provide a safety tour of your home,” says Saunders.

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Go over your fire escape plan and backup plan. Make sure the sitter knows what to do if the smoke alarm or CO detector goes off (get everyone out, meet at a predetermined spot and don’t let anyone go back in). Tell your sitter what areas or activities are off limits. If your children will be playing in or near a pool or playground equipment, taking a bath, cooking or doing anything else that requires active supervision, discuss your expectations; make sure the sitter understands that active supervision means keeping the child in sight and in reach at all times under undivided attention. Instruct your sitter never to leave your child alone — even for a second. There is no substitute for constant supervision. Review and discuss safety guidelines about childproofing, swimming, fire, falls and playground equipment. Make sure your babysitter knows what to do in an emergency.

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Kids’ Life New booster seat law In October, Ohio joined 47 other states which already have legislation protecting children older than four in vehicles. Ohio’s new booster seat law requires federally approved booster seats for children ages 4 to 8-years-old and who are less than 4 feet, 9 inches in height.

Will your child be riding safely?

“Children, 4 to 8-years-old, are too small to be protected adequately by the car’s seat belt system, which is designed for an adult,” Thomas Krzmarzick, MD, medical director of the Soin Pediatric Trauma and Emergency Center at The Children’s Medical Center of Dayton. “Booster seats are designed to simply lift the child up so the child fits in a vehicle seat belt system more like an adult.” In a recent six-year-period in Ohio, from 2002 through 2007, motor vehicle crashes killed 89 children ages 4 to 8years-old and injured more than 21,000 (21,327) in the same age group, according to the Ohio Department of Public Safety.

“If the seat belt doesn’t fit a child, he or she tends to move away from the vehicle seatback creating space behind the child which may allow for the child to be ejected,” says Krzmarzick. “Some children may also tuck the shoulder belt behind their back leaving no upper body protection which could result in severe injury to the abdomen, neck and head.” “In addition, without a booster seat, an adult seat belt can actually cause injury in the event of a crash rather than preventing it,” says Krzmarzick. “For instance, if the lap belt rests on your child’s stomach, which typically happens without a booster seat, your child could suffer liver, spleen, or spinal cord damage in a crash.”

Boosters are designed to keep the lap belt low across the child’s hips, and many have a shoulder harness guide to keep the shoulder belt on the center of the child’s shoulder. “A seat belt should rest on the harder parts of the skeleton – the hip and the shoulder – to spread the crash force to those areas instead of soft tissue like the abdomen,” says Krzmarzick.

What many parents don’t know is that once a child outgrows a car seat, the next step for safety isn’t the adult seat belt—it’s a booster seat. Once children outgrow their frontfacing seats (usually around age 4 and 40 pounds), they should ride in booster seats, in the back seat, until the vehicle seat belts fit properly. Seat belts fit properly when the lap belt lays across the upper thighs and the shoulder belt fits across the chest (usually at age 8 or when they at 4’9” tall).

Choosing the right kind of booster seat Booster seats come in many types and styles. Check the label for the weight limits and always follow the manufacturer’s guidelines. Combination child seat/booster seat: This seat converts from a five-point harness system to a belt-positioning booster seat. Check instruction manual or the car seat label for exact weight and height limits. No-back booster: Must be used with a lap/shoulder-style seat belt. It is best if your car’s seat back or headrests come above your child’s ears when he or she is sitting in the booster seat. This model is easy to pack up and move from car to car. High-back booster: Must be used with a lap/shoulder style seat belt. A highback booster protects against whiplash in cars with low seat backs. It can be used in cars with or without headrests. The high back also supports a sleeping child. A high-back booster may also have seat belt guides to help position the seat belt.

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Feature story

Dealing with

EB:

A

young boy’s story of fighting a rare skin disease

S

ometimes they’re called butterfly children; other times, cotton wool babies.

Some even refer to them as crystal skin children. The slang depends on where you come from and where you call home. Not sure what label they’ve been branded with in southwest Ohio, but it doesn’t much matter — just call them unlucky.

Approximately 10 in every 1 million people have epidermolysis bullosa (EB), a rare genetic skin disorder caused by a mutation in the keratin gene, a tough and insoluble protein that’s function is to toughen the skin. Those afflicted with the disease shed skin like snakes when there’s any sort of friction between the two layers of their skin, the epidermis and dermis. The result of the friction is constant blistering, open wounds and painful sores akin to third-degree burns. Maxx Gregg is six years old, and he’s a butterfly child. Instead of wings, though, he’s got blisters, wounds and sores. He’s one of the unlucky ones.

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My Life Magazine


pediatrician “The said she’d never

Feature story

seen anything like this... ..she didn’t know what to do.” By Ryan Peverly

A joyous occasion was marred somewhat when Lindsey Gregg and her husband, Jason, gave birth to Maxx. The newborn was birthed without any skin around his right eye or around the area of one of his thumbs between the back and palm of his hand.

“It looked like someone had scraped the skin off—it was real raw—and his eye was blistered on the inside,” Lindsey remembers.

“The doctor said the area of his thumb might have been affected by [Maxx] sucking his thumb in utero, and his eye could have been affected by pressure in the birth canal, so we left [the hospital] thinking it was no big deal.” What was thought not to be a big deal, however, absolutely was. Over the next two weeks, on a daily basis, Maxx would lay in his crib with blood on his sheets because the skin around his knuckles was peeling away. The Greggs were in shock at what was happening to their baby boy. “I just remember being so alarmed,” Lindsey says. “We were just so alarmed by what was happening.”

EB has only been in the public awareness since 2004, when Channel 4 in the UK aired a documentary about a man with the disease. It should come as no surprise, then, that the first doctor the Greggs took Maxx to, a pediatrician, was baffled by the boy’s condition. “[The pediatrician] said she’d never seen anything like this,” Lindsey says. “She didn’t know what to do.” Clueless, she referred to the Greggs to a dermatologist, who showed the family a picture in a book of a child with a similar condition. With a lead on what Maxx’s condition may be, the dermatologist suggested Maxx

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see a specialist at Children’s Hospital in Columbus.

By this time, Maxx’s condition had worsened. It wasn’t just the skin on his knuckles that was peeling; the rest of his hands, along with his elbows and feet, were also shedding skin. The team in Columbus had a hunch Maxx had been born with EB, but tests had to be run to find out just what exactly the baby—not even a couple of months old at this point — was suffering from.

Doctors at Children’s did an electron microscopy to make sure their hunch was correct, and after waiting three weeks for results, the Greggs learned what the doctors had al-

ready suspected — their son, not yet three months old, has one of the rarest skin diseases in the world.

To be precise, Maxx was diagnosed with epidermolysis bullosa dystrophica, or dystrophic EB (DEB). DEB is caused, more specifically, by defects or mutations in the COL7A1 gene, which encodes the alpha chain of VII collagen. DEB can either be dominant (less severe) or recessive (more). Maxx has dominant DEB, which leaves him susceptible to more severe blistering than other types of EB, as well as scarring, possible obstruction of the esophagus and possible iron-deficiency anemia.

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Feature story Maxx is also at risk of acquiring squamous cell carcinoma (SCC), a type of carcinoma cancer that occurs in many different organs. Typically, those with SCC die before they reach age 30, either by the cancer or of other DEB-related complications.

For the first year of Maxx’s life, the Greggs were unaware a team of doctors had been treating and caring for people with EB at Children’s Hospital in Cincinnati. Patients from all over the United States, actually, were getting treatment at the facility. Now, every six months to a year, Maxx sees a team of 12 doctors at Children’s in Cincinnati. He sees a physical therapist, a dermatologist, a dentist, a surgeon, a dietician, a psychologist, a—well, you get the picture. The family and the doctors refer to Maxx’s trips to Children’s as “going to clinic,” aptly titled considering the circumstances.

The constant blisters, wounds and sores force Maxx into a different lifestyle than that of a normal six-year old. He has to wear special bandaging over his affected areas, similar to what a burn victim would wear, and he can’t wear sticky bandages or anything that is moist or adhesive to the skin.

He also swims in pools a lot and bathes occasionally in water filled with Clorox, suggested by his doctors because chlorine and bleach help dry the skin out and heal his blisters. If it’s humid out, Maxx tries to stay inside in the air conditioning. The Greggs always have to be prepared too.

“We definitely have to be on our toes and expect anything can happen anytime, anywhere,” Lindsey says.

“This has helped us to be a little more organized, because we have to make sure we have all the materials we need wherever we go. We’ve made kits for school, for the car, for grandma’s house, for anywhere we go.

Anything can happen, and it’s important for us to have those things ready.”

Maxx’s disease is also genetic, having been passed on from his father. The Greggs’ daughter, Anna, just missed being born with the disease herself—it’s a one-in-two shot, according to doctors, which means Maxx also has a fifty percent chance of passing it onto his kids. But Maxx, as one might expect, isn’t concerned about that just yet. After all, he’s only six years old, and he has other questions. “There’s times when he’s asked us why he has EB and why we don’t, and if he’ll have it forever,” Lindsey says.

“Those are hard questions to address, but they’re things we have to talk about as a family. But he understands it better now, as he’s gotten older. For the most part, I don’t think he knows any different, because this is something he’s lived with all his life.”

All that said, Maxx’s situation could actually be worse.

“Maxx does pretty well with his EB compared to other children. His life will be pretty normal compared to other kids [with the disease],” Lindsey says. “He just has to deal with blistering and things like that, that nor-

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Feature story

mal people don’t have to deal with on a regular basis.

“It’s just a nuisance, because he’s not able to do the things that normal kids do. We try hard to keep things as normal as possible for him and keep him in normal activities. We don’t want to hold him back. We want him to be able to enjoy those kinds of things, but he understands [his condition] better as he’s getting older, and he understands there’s certain things he just can’t do.”

As a first grade student in the Twin Valley South school district in West Alexandria—where Lindsey teaches middle school — Maxx is at the age where his peers are curious about his condition. But Lindsey knows that won’t always be the case, and any sense of normalcy they’ve tried to instill in Maxx could be for naught because of his peers.

“[Other students] are really curious why he has bandages,” Lindsey says. “They think it’s cool and want to wear them too, and they want to help him, but it makes me feel sad because I teach middle school and I know how kids can be [when they get older].” “We felt very alienated at first,” Lindsey says. “Basically every doctor we talked to didn’t know anything about [Maxx’s condition] at first. Insurance companies thought we were making it up. It was frustrating for us. We felt alone.”

Seeking support, the Greggs went online and found a community forum for families dealing with EB. They were able to talk to other parents of children with the disease and gain a better understanding of it. They also found the Dystrophic Epidermolysis Bullosa Research

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Feature story “God works in mysterious ways, and if none of this would have never happened, we wouldn’t have been able to help all the people we’ve helped.”

Lindsey will relinquish her Mrs. Ohio title in May 2010, but she won’t soon relinquish her ability to use the platform she put herself on six months ago.

“I love being able to have the opportunity to talk to people about [EB],” she says, “and I don’t think I’ll ever stop taking that opportunity.

“… In the beginning, I thought ‘why my kid.’ I don’t think that so much now. I think of it more as a blessing in disguise. God works in mysterious ways, and if none of this would have never happened, we wouldn’t have been able to help all the people we’ve helped.

Association of America, or DebRA. Finding the organization was a relief for the Greggs. They were able to further connect with other people dealing with EB, as well as lend a helping hand of their own. In fact, every time a new baby is born in the United States with EB, a DebRA representative contacts them, and the Greggs send the family a care package, full of bandages, diapers, blankets and ointments.

Faculty and students at Preble Shawnee High School, where Lindsey taught prior to Twin Valley South, also got into the act, organizing a senior talent show to raise money for EB. They coined it “Maxx Madness Talentpalooza for EB,” and to date had raised over $12,000 for DebRA. Lindsey is also using some newfound celebrity as a platform to speak out about EB. In May, she was selected as Mrs. Ohio International for 2009 at a pageant in Zanesville, where she competed to raise awareness for EB and on behalf of DebRA. “It was a feeling of accomplishment—an overwhelming feeling of accomplishment,” Lindsey says. “But I felt like I wasn’t only

speaking on behalf of my son, but on behalf of all the families who have wanted to speak up and be heard and recognized because their kids are dying due to this disease.”

“It’s terrible for Maxx, and he’s going to have to live with this the rest of life, but there is a little bit of good that’s come out of it.”

Lindsey was sponsored in the pageant by Hollister Woundcare, and in mid-October, she presented a plaque of recognition to them on behalf of DebRA at the organization’s 11th annual Mats Wilander Celebrity Tennis/Golf Classic in Rye, New York. The event was organized over a decade ago by Wilander, a former professional tennis player whose son has EB. Hundreds of celebrities have attended the event, and this year’s guests included actor Will Ferrell, tennis legend John McEnroe and broadcaster and former professional football player Ahmad Rashad. The family has also had a chance to go to Walt Disney World in Orlando with other families with EB children. The experience, according to Lindsey, was positive for Maxx.

“It was great because he got a chance to see kids who have more severe cases [of EB], she says. “It was good for him on so many different levels.”

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Teens’ Life

My brother Uriah

By Clinton Randall

My younger brother Uriah was one-of-a-kind. He was just like me in some ways, but very different in others. Since we were half brothers, I think that is where our differences came from. His mother abused alcohol and many drugs, while I lived most of my childhood in a good christian home. Uriah’s mother did not pay much attention to him, unless it was to yell or have him look after our younger brother Scott. I have always believed a combination of the verbal abuse and lack of love contributed to his low self-esteem as a teen.

When we were both in our mid-teens we began spending much more time together. He spent the night at my house more than his own. I can’t say I blame him. His mother and step-father did not like him being around any of our dad’s side of the family, including me.

He often confided in me his feelings of worthlessness, sadness of how he was treated and how he could not stand many of the kids at the high school. I gave it no thought to letting him wear, and even keep, a lot of my nice clothing. I gave him haircuts and helped clean him up a bit, in hopes of raising his confidence. I did seem to work. Uriah began feeling good about himself and even got some pretty girlfriends. One in particular was named Holly, I believe. He was in love with her very much , maybe too much.

He and I had stopped hanging out as much after he was with this new girl. He got into some trouble and ended up in home for boys. On weekends, he got to go home and visit with his mom, brother and his girlfriend. He began having problems with his mom and girlfriend.

On Sept. 29, 1991, six days shy of his 18th birthday, a mutual friend of Uriah and mine came over to my house while I was mowing the yard and asked me if I had heard the news. I had no idea what he was talking about. He informed me that my brother had died early that morning at Wayne Hospital after ingesting a lethal amount of painkillers.

I felt my stomach knot up and my heart was heavy. He went on to tell some of the details of what happened that was relayed to him from Uriah’s girlfriend, Holly. We both hugged each other and cried before I went inside to call my dad in Tennessee.

At my brother’s funeral, it seemed like the entire high school attended to show their respect. I never knew he had made so many friends and touched so many lifes. It was bitter sweet. He was a great friend, a loving brother and was nice to see all the people that got to know this side of him. My father blamed Uriah’s mother for neglecting to rush him to the hospital fast enough. I could not feel this same remorse. Though, I did know Uriah and his mother often had huge arguments and that is possibly why he decided to take the overdose of medication. I could not blame anyone, I just missed my brother!

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After burying Uriah, I had a hard time accepting things and felt like I could have done more with him towards the end and maybe he wouldn’t have ever thought about suicide. Eventually, I knew there was nothing anyone really could have done differently, it was God’s will. I do, however, still feel today it was tragic and senseless and know in my heart he did not want to die, just wanted to be loved was crying out for help. My father changed many of his bad habits not long after Uriah died. He stopped all the drinking and became close with God. He died of cancer in October of 2008 and I made sure he was laid to rest beside his son.

My younger brother Scott and I often talk about Uriah and laugh about all the crazy things he used to say and do. We both miss him and our dad, but know one day we will be with them again. My only regret is that my only daughter, Chelsea could have met her uncle Uriah. She would have loved him like I do.

This story is dedicated to all the survivors of suicide victims. Forgive that person, but never forget them!

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Teens’ Life Suicide Warning Signs Suicide notes

These are a very real sign of danger and should be taken seriously.

Threats

Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me”, “Nobody will miss me anyway”). Among teenagers, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork. Younger children and those who may have some delays in their development may not be able to express their feelings in words, but may provide indirect clues in the form of acting-out, violent behavior, often with threatening or suicidal comments.

Previous attempts

If a child or teenager has attempted suicide in the past, there is a greater likelihood that he or she will try again. Be very observant of any friends who have tried suicide before.

Depression

When symptoms of depression include strong thoughts of helplessness and hopelessness, a child or adolescent is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate that your friend is feeling overwhelmed by sadness or pessimistic views of their future.

“Masked” depression

Sometimes risk-taking behaviors can include acts of aggression, gunplay, and alcohol/substance abuse. While your friend does not acted “depressed,” their behavior suggests that they are not concerned about their own safety.

Final arrangements

This behavior may take many forms. In adolescents, it might be giving away prized possessions such as jewelry, clothing, journals or pictures.

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Efforts to hurt oneself

Self-injury behaviors are warning signs for young children as well as teenagers. Common self-destructive behaviors include running into traffic, jumping from heights, and scratching, cutting, marking the body.

Inability to concentrate or think clearly

Such problems may be reflected in classroom behavior, homework habits, academic performance, household chores, even conversation. If your friend starts skipping classes, getting poor grades, acting up in class, forgetting or poorly performing chores around the house or talking in a way that suggests they are having trouble concentrating, these might be signs of stress and risk for suicide.

Changes in physical habits and appearance

Changes include inability to sleep or sleeping all the time, sudden weight gain or loss, disinterest in appearance or hygiene.

Sudden changes in personality, friends, behaviors

Parents, teachers and friends are often the best observers of sudden changes in suicidal students. Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important, and avoiding friends.

Death and suicidal themes

These might appear in classroom drawings, work samples, journals or homework.

Plan/method/access

A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

What can you do to help a friend? Know the warning signs! Read over the list above and keep it in a safe place. Do not be afraid to talk to your friends. Listen to their feelings. Make sure they know how important they are to you, but don’t believe you can keep them from hurting themselves on your own. Preventing suicide will require adult help. Make no deals. Never keep secret a friend’s suicidal plans or thoughts. You can not promise that you will not tell— you have to tell to save your friend! Tell an adult. Talk to your parent, your friend’s parent, your school’s psychologist or counselor— a trusted adult. And don’t wait! Don’t be afraid that the adults will not believe you or take you seriously—keep talking until they listen! Even if you are not sure your friend is suicidal, talk to someone. It’s OK if you “jump the gun”—this is definitely the time to be safe and not sorry! Ask if your school has a crisis team. Many schools (elementary, middle and high schools) have organized crisis teams, which include teachers, counselors, social workers, psychologists and principals. These teams help train all staff to recognize warning signs of suicide as well as how to help in a crisis situation. These teams can also help students understand warning signs of violence and suicide. If your school does not have a crisis team, ask your Student Council or faculty advisor to look into starting a team.

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Baby’s Life

Are you at risk of delivering prematurely? Having a baby is generally one of the hap-

By Amanda Rodeheffer

piest days in any mother’s life. But that happiness can be put on hold in the case of premature birth. According to March of Dimes.com, more than half a million babies are born prematurely each year in the United States.

42 to 37 weeks of pregnancy is considered to be full-term, with anytime before that falling under the umbrella term of premature birth. Babies born before the 37 week mark are at higher risk of disabilities, including mental retardation, as well as learning or behavioral problems. Premature birth may also lead to problems later in life such as increased risk of diabetes, high blood pressure or heart disease.

Women who wish to reduce their risk for premature delivery should see a doctor as soon as possible once pregnancy is confirmed, as prenatal care is crucial for the health of an unborn child.

Beginning a daily multivitamin before conception is also a great idea for women who are trying to get pregnant according to March of Dimes.com. Women who have had previous premature births, are giving birth to multiple children at once (twins, triplets), or have uterine or cervical abnormalities are at greater risk of delivering prematurely. While there are many lifestyle factors that can lead to premature birth, in many cases, doctors cannot determine the reason a woman delivered prematurely. March of Dimes says some contributing factors in premature births include: Late or no prenatal care, smoking, drinking alcohol, use of illegal drugs, domestic violence, lack of social support, high stress levels and standing for extended periods of time while working. For more information on premature birth and prevention, contact your family doctor or visit www.marchofdimes.com.

How long should infants be left in carseats?

C

ar safety seats are one of the most effective ways to protect children from injury and death in the first years of life. For the best protection in a crash, car seats require infants to be placed in an upright position. However, this posture can partially compress the chest wall and reduce airway size, resulting in lower levels of oxygen and breathing problems, according to new research published in the medical journal, “Pediatrics.” Never use a car seat as a replacement for a crib and only keep infants in these safety devices for protection during travel.

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Researchers compared oxygen levels in 200 newborns while in a hospital crib, car bed and car seat.

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Mature Life COPD sufferer reaching out to help others

Mobbs had trouble breathing, sought medical attention and was subsequently diagnosed with Chronic Obstructive Pulmonary Disease (COPD) seven years ago. COPD is a chronic lung condition that gets worse over time.

“I have emphysema and chronic bronchitis,” she said. “And, six months ago I was diagnosed with asthma. When you can’t breathe, it’s scary.”

According to the website, the common feature of chronic bronchitis is the lungs always become narrowed when they get tight, swollen and filled with mucus, changes which limit airflow in and out of the lungs. Common features of emphysema? “The tiny air sacs (alveoli) in the lungs are damaged. Like old balloons, they get stretched out of shape and break down. Old air gets trapped in them and there’s no room for new air to get in.

She has had to learn much about her ailments via the computer, which a grandson had given her. “I found out more on computer and researching myself,” she said. “COPD primarily happens in

smokers, but that’s not just so. I started working in the fields when I was 6 or 7. There were insecticides in the fields.”

Yes, she had smoked about all of her life, and quit eight years ago. But, she also noted that she drove diesel truck for 18 years.

The former Carolyn Burden is now on oxygen 24/7 and has been for the past year and a half. Before that, she was only on it at night for four years.

“I always will be,” said the 72year-old. “I have no energy. I can’t breathe and I can’t lift. I can hardly do anything and it’s getting worse.”

That’s where she feels that a support group could help herself and others like her.

“A support group perhaps will help you through difficult times where I’ve had no one,” she said. “When I found out what it is I had, I could handle it.”

She did admit to having been depressed for three weeks because she couldn’t do anything.

“I was a pretty healthy kid,” said Mobbs, who was still working until this past February, when she quit with Red Cross. “I was taking breathing treatments twice a day, and that was it.” She has gotten help for herself through various methods.

“I got hold of Med 4 Home on TV and they send me breathing treatments,” she said. “I got hold of Lincare out of Richmond for my oxygen. They send a nurse here to me to check me overnight. Someone contacts me every week.”

She said she is taking blood pressure medications as well as Singular and Asmanex, but indicated she is on very little other medications.

These are the kinds of things that Mobbs is hoping to share with those who take part in the support group.

“You don’t know what to do and, until you find out, it will scare you to death,” she concluded.

“I’m an active person,” she said.

She has five children, three in town, who help out. She also has eight grandchildren and three great-grandchildren with another on the way.

Carolyn Mobbs, does research on the computer about her COPD. Mobbs is willing to share with others her experiences by starting up a support group.

Carolyn Mobbs is spearheading the formation of a support group so she can get help for others that was not available to her.

More facts about COPD Symptoms of COPD Cough that produces mucus (may be streaked with blood) Fatigue

Frequent respiratory infections Headaches

Shortness of breath (dyspnea) that gets worse with mild activity Swelling of the ankles, feet or legs, which affects both sides Wheezing

Tips to help improve breathing Quit smoking

Avoid tobacco smoke, including secondhand smoke.

Exercise

Helps strengthen the body. When the body is in better shape, one may be more active with less shortness of breath.

Nutrition

Eating healthy food may help one stay strong. Being overweight can put a strain on the heart and lungs, making it harder for a person to breathe. If underweight, one may have less energy and the body may be less capable of fighting off infections.

Avoid triggers

When possible, avoid conditions that make breathing difficult. Some people find hot, humid air makes it harder to breathe, while others have a hard time with the cold.

In addition to smoking, other risk factors are Exposure to certain gases or fumes in the workplace

Exposure to heavy amounts of secondhand smoke and pollution Frequent use of cooking gas without proper ventilation

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Mature Life Memory building tips

By Ron Griffitts

Remember the old saying, “If you don’t use it, you lose it?” That ‘s true for our memory and our minds. And instead of investing money in computer memory games, why not read a book. Pick something out that you like but maybe always wanted to read but never did, and that is a little bit difficult and read a little each day. Even though you may not like it at first, like listening to classical music, you will develop a taste for your subject as you continue. Start out easy. Don’t tackle War and Peace or Dickens’ longer novels - but, maybe one of Dickens’ shorter works, or a section of the King James Version of the Bible. You might even try some classical literature, poetry or history; depending on your interests.

I am reading Anthony Trollop’s “The Warden and Barchester Towers,” a Victorian novel published around 1850. Even though I have read during much of my life, I had never read Trollope. So, I decided to tackle one of his books and as that is the one I had in my library, I chose it.

Trollope starts out slowly but the book grows on you, and that is good because it is over 700 pages long. It deals with the workings of the Anglican Church between the bishop, archbishop, curates and deans; detailing the behind the scene maneuverings of the various church members. He uses the church as metaphor for society as a whole. Trollope develops characters showing their likes, dislikes, strategies and failings. His insight is remarkable, especially since he wrote before the discovery of modern psychology. He is also a good storyteller and writes in small chapters which makes for easy reading. The novel has greed, avarice, romance and virtue. It also gives the reader a feel for what life was like in 1850’s England. If you read a little each day, making sure you do some every day, you will be surprised how fast a book can be read. Read while watching TV, flip the mute on during commercials and read. You will be surprised how much you can do just by reading during commercials.

Reading good literature is good discipline, keeps your mind sharp, provides enjoyment and a sense of accomplishment. If you don’t already have a book, get one from a local library - free! They’ll even give you advice on what you might enjoy.

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Warning signs of Alzheimer’s

As persons age, many understand there are certain things that are changing and need to be accepted. Someone who was once a night owl might now realize they work better on a full night’s rest. Those who tended to spend long days at the office might realize they now need to head home at quitting time to better preserve their energy. While both of those realizations manifest themselves physically, another more troubling problem occurs mentally. Alzheimer’s disease affects as many as 5.3 million people in the United States alone, and Alzheimer’s and dementia triple

healthcare costs for Americans age 65 and older according to the 2009 Alzheimer’s Disease Facts and Figures report from the Alzheimer’s Association.

Part of the fear associated with Alzheimer’s disease is the uncertainty surrounding it. While seniors might be willing to admit they can’t burn the midnight oil like they once did, few can accept or are willing to admit they might be suffering some mental side effects of aging as well. Therefore, it’s often up to friends and family to look for the warning signs of Alzheimer’s.

If you see or suspect any of the following signs in a friend or relative, consult a physician immediately. Disruptive changes in memory

Difficulty with conversation

Particularly in its early stages, indicators of Alzheimer’s is forgetting recently learned information. Other memory disruptions that could indicate Alzheimer’s are forgetting important dates or events, routinely using memory aides such as notes or asking for information more than once.

Sometimes, people with Alzheimer’s have trouble maintaining or joining a conversation. Some people might struggle with vocabulary, such as calling things by the wrong name, while others might stop in the middle of a conversation and not be able to continue. Most typical is when a person cannot find the right word to express a given idea.

Difficulty planning or solving problems Some people begin to struggle with planning, both developing a plan for a given task or following another’s plan. This can include difficulty with daily responsibilities such as following recipes or monthly tasks like making sure the bills get paid. Tasks that once took a few moments might now take a lot longer as well.

Difficulty performing familiar tasks

Misplacing items and being unable to retrace steps Nearly everyone misplaces an item from time to time. However, this is more common among those with Alzheimer’s, who might put their car keys in the refrigerator or routinely lose items such as the remote control or their eyeglasses. When such items are misplaced, a person who could have Alzheimer’s will find it nearly impossible to retrace their steps.

Familiar tasks often seem foreign to people with Alzheimer’s. This can include driving a car, understanding a favorite game or cleaning the house.

Losing track of time or place Seniors who begin to lose track of time, forget what season it is or where they are might be suffering from Alzheimer’s. Many times, people with Alzheimer’s only understand things that are happening immediately.

Problems with vision and spatial relationships While many people are quick to assume vision loss is a standard sign of aging, such loss could also be indicative of a larger problem such as Alzheimer’s, which can make it difficult for seniors to read, judge distance or distinguish between colors. In addition, someone with Alzheimer’s might walk past a mirror and think someone else in the room, unaware the person in the mirror is their own reflection.

My Life Magazine


Mature Life Wandering

a common problem for elderly

Senior citizens are the fastest-growing segment of the U.S. population and many are healthy, vivacious individuals. However, it is estimated that 16 million elderly people in this country have Alzheimer’s Disease, a debilitating condition marked by memory loss, confusion and trouble communicating.

Common to Alzheimer’s Disease and other forms of dementia, plus other conditions, such as Parkinson’s Disease, is the propensity for the elderly to wander. Wandering can help relieve anxiety and restlessness and may serve as exercise when the individual can wander in a safe, contained area. However, too often confused elderly wander away from home, caregiving centers, or may leave their beds at night. A person can easily get lost or injured. According to the Alzheimer’s Association, about half of those who wander and are not found within 24 hours may suffer serious injury or even death. These statistics have led individuals to find ways to safeguard elderly loved ones who tend to wander.

Assess home security and make changes to ensure exit is difficult for seniors

Use doorknob covers that make it difficult to turn the knob. Place locks and latches on windows. Install a security system or electronic chimes on doors.

Clarify rooms of the home

To avoid confusion, put pictures on the doors to rooms, such as a toilet on a bathroom door and a bed on a bedroom door. This way the senior has a visual reminder of the purpose of each room.

Enroll in a program that will alert safety personnel if a loved one is lost

The Alzheimer’s Association has the nationwide Safe Return program, which provides an identification bracelet or necklace and toll-free phone number. Project Lifesaver is a program that enables primary caregivers to outfit their elderly relatives with a radio transmitter worn on the wrist. Police can usually track a missing person within minutes.

Petition for a “Silver Alert� program in your state

Like the Amber Alert for missing children, a Silver Alert broadcasts a media bulletin and posts notices on highway signs of a missing elderly person. Only a few states currently have Silver Alert programs, including: Colorado, Georgia, Missouri, North Carolina, Oklahoma, Texas, Illinois, Florida, and Virginia.

Alert neighbors of your loved one’s propensity to wander The more people who can keep watchful eyes on an individual the better.

Keep updated pictures and a piece of clothing available These items can help police track down your loved one more quickly.

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Keep car keys locked away

Wandering by walking is one thing, however a disoriented senior who is driving is a recipe for disaster.

  

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Mature Life It o cc urs to me... By Ruth Williams

The news of several schools in other areas hoping to enforce strict dress codes on students lets me know it has to be very difficult to purchase clothing for kids nowadays, especially when some schools forbid stripes, paisleys and designs on T-shirts, and even the “swoosh” emblem on shoes. Having seen some of the teen fashions offered in stores, I wonder how mothers deal with it.

Each generation seems to have its own styles. In my day (many, many moons ago), it was the style to wear dirty saddle oxfords — the dirtier, the better — but the shoestrings had to be clean. A friend told me her mother wanted to be nice and polished her daughter’s shoes one evening, and the daughter cried for days.

Dietary tips to keep seniors going strong When it comes to our bodies, age has no

bearing on how attentive we should be with respect to what we eat. No one is ever too young or too old to disregard their diet.

However, a healthy diet is perhaps more important for seniors than any other age group, with the exception of infants. For seniors, a healthy diet can strengthen the immune system and promote bone health, making seniors less susceptible to sickness and less likely to suffer harmful injuries should they slip and fall. The following diet tips can help seniors stay healthy, strong and comfortable.

Include fiber in your diet — Seniors commonly suffer from constipation. Though uncomfortable, this condition is often preventable. So why such a common problem? Oftentimes, foods that are high in fiber are crunchy or more difficult to chew, which is problematic for seniors with dentures. However, dentures don’t have to preclude seniors from enjoying a diet with a healthy amount of fiber. Instead, seek alternate sources of fiber, such as fresh fruit or cooked or baked vegetables.

Remember to drink fluids — As we age, we start losing our sense of thirst. However, fluids don’t become any less important simply because we’re less thirsty. Doctors recommend seniors have between six to eight glasses of fluids per day. Drinking water, for instance, helps us maintain energy while also helping the body perform a variety of functions, including transporting oxygen and nutrients to cells and building new tissue and

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cell membranes. Drinking enough can also help prevent constipation. So it’s important for seniors to remember the importance of drinking fluids each day, even if one is not feeling thirsty.

Include protein in your daily diet — Protein is integral to a healthy diet, regardless of a person’s age. But seniors can especially benefit from protein’s ability to strengthen the immune system, hence lessening their likelihood of falling victim to colds or other ailments that can act as gateways to bigger problems. Fish, poultry, eggs and lean meats are all good sources of protein.

Reduce, but don’t eliminate, fat from your diet — Because our metabolism slows as we age, it’s important to reduce the amount of fat in our diet as we age. However, reduction is not synonymous with elimination. Fat should not be eliminated from seniors’ diets, as it can still prove a valuable energy source. But seniors should reduce the amount of fat in their diet to combat their slowing metabolism.

Don’t forget about calcium— Calcium is essential to bone health, and too little calcium in a senior’s diet can increase susceptibility to osteoporosis, which weakens the bones and increases the likelihood that a fall can lead to a broken bone. For seniors with digestive problems who cannot comfortably drink milk, consider including non-fat powdered milk in recipes. Also, lactose-free milk can enable people to drink milk and get valuable calcium. If none of these options work out, consult a physician to discuss calcium supplements.

When my children went to school, pegged jeans were in style for a while, and the boys just had to have the legs of their jeans so tight it was a wonder they could get their feet through the small openings. Even though the legs came slim, mothers had to stitch them up even slimmer. But the boys were neatly dressed. In the ’70s when my daughter was in high school, it just wasn’t heard of for girls to wear jeans, or even nice slacks. I dreaded the thought of August and purchasing school clothes; every article had to be just perfect. I don’t envy the mothers of today — if school shopping with their daughters is the chore I remember.

A friend was telling me about her grandchildren and their school shopping. The granddaughter just couldn’t make up her mind — “I don’t know if I really like that.” “Maybe I’d rather have some other color.” “I don’t think that will be what others are wearing,” while the grandson, when showed the items purchased for him in his absence, was asked if he liked certain items, he never even looked up from the back seat and replied, “Whatever,” “It’s fine with me,” and “Yeah, I’ll wear that.”

But then I remembered our younger son. He always looked nice and was very neat. But one year, I begged for days for him to go shopping for clothes, and he finally agreed to go to a Dayton shopping center. I had planned to make a day of it, and even take him out for lunch.

We walked into the first store and he found the young men’s department. We hadn’t been there five minutes when he quickly sorted through the rack of shirts, pointed, and said, “I like this … this … and … this. Now, Now let’s go home!”

My Life Magazine


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Deficiency Free Survey The Ohio Department of Health has once again given Comprehensive Health Network a deficiency free survey. The state surveyor spent 4 days at CHN – reviewing patient charts, making home visits and reviewing personnel files. She had only positive things to say about the staff and the patients. It is very rare that an agency does not have any citations. Of all the agencies that this surveyor reviews, there are only about 2-3 each year that are deficiency free.

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Edward Jones Have You Built Your Investment Pyramid?

In fact, by creating an appropriate “investment pyramid,” you could address your key financial needs and goals. What might this pyramid look like? Consider the following “layers”: • Cash and cash equivalents — The “base” of your pyramid should consist of cash and cash equivalents — short-term investment vehicles that are highly liquid. Without sufficient cash available, the rest of your pyramid could crumble because you might be forced to liquidate longer- term investments to pay for short-term or emergency needs. • Income — The next level up of your pyramid might contain income- oriented investments, such as bonds and Certificates of Deposit (CDs). While these investments may not offer sizable rates of return, they can offer reliable income. • Growth and income — The middle layer of your pyramid should include investments, such as dividend-paying stocks, that offer the potential for both growth and income. (Keep in mind, though, that companies are not obligated to pay dividends and can reduce or eliminate them at any time.) • Growth — The second layer from the top of your pyramid is reserved for growth-oriented investments, such as the stocks of companies whose earnings are expected to grow at an above average rate, relative to the rest of the financial market. As you’ll note, though, the key word is “expected,” because

growth stocks can, and do, produce negative returns as well as positive ones. • Aggressive — At the very top of your pyramid are the most aggressive investments. While these investments may offer the highest growth potential, they also usually carry the greatest risk level. Your total investment mix may include investments from every part of the pyramid, but how much should go into each layer? There’s no one right answer for everyone. In filling out your investment pyramid, you’ll need to consider your risk tolerance, time horizon/ short- and long-term goals and other factors. So, if you are a fairly conservative investor, you might place fewer investment dollars in the “aggressive” layer than someone who was willing to take more chances in exchange for potentially higher returns. However, the various weightings within your investment pyramid will likely change over time. As you near retirement, for example, you may want to move some — but certainly not all — of your investments from the “growth” layer to the “growth and income” or “income” layers. An investment professional can help you review your evolving family and financial situations and make recommendations on what changes you may need to make to your pyramid. Pyramids last a long time. And if you build and maintain your investment pyramid with care, you can keep it working efficiently for many years to come. This article was provided by your Edward Jones Financial Advisor with offices in Greenville and Eaton.

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Of the “Seven Wonders of the Ancient World,” the only one still in existence is the Great Pyramid of Giza. This tells you something about the strength of the pyramid structure, but it also suggests that the pyramid may be a good metaphor for other endeavors that you wish to endure — such as your investment strategy.


Pet’s Life What a pet owner should NEVER feed their dog

Alcohol Alcohol has the same effect on a dog's liver and brain that it has on humans. But it takes far less to do its damage. Just a little can cause vomiting, diarrhea, central nervous system depression, problems with coordination, difficulty breathing, coma, even death. The smaller the dog, the greater the effect. Coffee, Tea, and Other Caffeine Caffeine in large enough quantities can be fatal for a dog. Symptoms of caffeine poisoning include restlessness, rapid breathing, heart palpitations, muscle tremors, fits, and bleeding. In addition to tea and coffee - including beans and grounds - caffeine can be found in cocoa, chocolate, colas, and stimulant drinks such as Red Bull. It's also in some cold medicines and pain killers. Milk and Other Dairy Products It may be tempting to share your ice cream cone with your dog. Milk and milk-based products can cause diarrhea and other digestive upset as well as set up food allergies (which often manifest as itchiness).

Most people know that chocolate is bad for dogs. The toxic agent in chocolate is theobromine. It's in all kinds of chocolate, even white chocolate. The most dangerous kinds are dark chocolate and unsweetened baking chocolate. Eating chocolate, even just licking out the icing bowl, can cause a dog to vomit, have diarrhea, and be excessively thirsty. It can also cause abnormal heart rhythm, tremors, seizures, and death. Chocolate

Table scraps often contain meat fat that a human didn't eat and bones. Both are dangerous for dogs. Fat trimmed from meat, both cooked and uncooked, can cause pancreatitis in dogs. It may seem natural to give a dog a bone, a dog can choke on it. Bones can also splinter and cause an obstruction or lacerations of your dog's digestive system. Fat Trimmings and Bones

Raw meat and raw fish, like raw eggs, can contain bacteria that causes food poisoning. Certain kinds of fish such as salmon, trout, shad, or sturgeon can contain a parasite that causes "fish disease." If not treated, the disease can be fatal within two weeks. The first signs of illness are vomiting, fever, and big lymph nodes. Thoroughly cooking the fish will kill the parasite and protect your dog. Raw Meat and Fish

Before it's baked, bread dough needs to rise. And, that's exactly what it would do in your dog's stomach if your dog ate it. As it swells inside, the dough can stretch the dog's abdomen and cause severe pain. In addition, when the yeast ferments the dough to make it rise, it produces alcohol that can lead to alcohol poisoning. Yeast Dough

If you are going to feed your dog ‘people food’, it’s suggested to stick to lean meats, be sure to remove all visible fat - including the skin on poultry. Also be sure that there are no bones in the meat before you give it to your dog.

Fresh fruits, such as slices of apples, oranges, bananas, and watermelon. Remove any seeds first, though, seeds, stems, and leaves can cause serious problems.

Some vegetables such as carrot sticks, green beans, cucumber slices, or zucchini slices.

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It's not a good idea to share salty foods like chips or pretzels with your dog. Eating too much salt can cause excessive thirst and urination and lead to sodium ion poisoning. Symptoms of too much salt include vomiting, diarrhea, depression, tremors, elevated body temperature, and seizures. It may even cause death. Salt

Too much sugar can do the same thing to dogs that it does to humans. It can lead to obesity, dental problems, and even diabetes.

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Career Life VIOLENCE IN THE WORKPLACE

By Leslie Collins

From gunshots ringing out in a lobby of a police station to not-so-veiled threats against a coworker, violence in the workplace can take on many forms.

According to the Occupational Safety and Health Administration (OSHA), workplace violence is violence, or the threat of it, against worker. It can occur at or outside the workplace, and range from threats and verbal abuse, to actual physical assaults and homicide — one of the leading causes of job-related deaths. However it manifests itself, workplace violence is a growing concern for employees and employers nationwide. Eaton Police Chief Phil Romeo says he deals with workplace violence in two ways in his position — both as an employer and as a law enforcement officer.

His staff has consistent training and the department is “very clear” on it’s policy on harassment, whether sexual harassment or workplace violence in nature.

“They have to know what it is, what to do if they suspect it’s happening,” he said of his own staff. “As an employee, they have to know it’s not going to be tolerated.” . Threats of violence are not tolerated. “We’ve been fortunate we’ve not had any incidents,” Romeo said of the Eaton PD.

All businesses need to have such policies in place for their own employees, and according to Romeo, “It starts at the top.”

Supervisors have to make it clear it is unacceptable, he said, and it is important the policies and procedures to deal with it are in place.

“Early in my career, when I was with my former employer, someone walked into the lobby of the Reynoldsburg Police Department and shot his wife,” Romeo said. “It made a lasting impression on me.”

On the job, Romeo says the PD treats incidents in the workplace as they would those at a school. Officers are trained to respond, and take positive action.

The most common type of incidents he’s dealt with in workplaces is those that begin as a domestic disturbance.

The Preble County Sheriff’s Office works very closely with the human resource directors of Preble County employers when any violence or threat of violence takes place, according to Sheriff Mike Simpson. Luckily for Preble County, this does not happen very often Simpson notes.

“We normally find ourselves responding to the threat and investigating the crime and/or making an arrest when a situation arises.” Zero tolerance A policy of “zero tolerance” is the best protection for employers to provide their employees, according to OSHA officials. Even what seems as minimal threats should be taken seriously. Take “Ginger” for example, blindsided by written threats from a coworker on a Myspace page.

With threats of “I might just give you the back of my hand to knock a few teeth outta your face,” and “I would gladly go to jail for busting you the $%^& up,” brought to her attention, Ginger took the matter to her supervisor, who at first did not react or make any

decisions regarding the situation. After a second coworker, who was upset management had not dealt with the issue, took the matter to law enforcement officials, the local police department got involved — and the situation was resolved by the resignation of Ginger’s coworker. It is critical to ensure that all employees know the policy and understand that all claims of workplace violence will be investigated and remedied promptly, according to OSHA. The Dangerous Worker According to the US Department of Health and Human Services, National Mental Health Services, some work forces will include a worker who is truly dangerous.

This individual is the man (rarely a woman) who is both belligerent and unbalanced, who voices threats that are only too believable, and who makes managers and fellow workers uneasy. “Bringing such workers to the attention of counselors is sometimes difficult. People feel uneasy dealing with him. An anonymous call may be made to management about a worker making threats, but management may be reluctant to direct the worker to counseling,” NMH explains.

It is essential that firms have policies in place regarding treatment of potentially dangerous workers, before an event occurs. The policies should provide criteria for identifying troubled workers, and should give the firm the right to direct workers to evaluation and counseling. Although such workers may not see themselves as requiring treatment, a skillful counselor often can gain the cooperation of an initially uncooperative client, according to NMH officials.

Facts about homicide Homicide is the second leading cause of fatal occupational injury in the United States. Nearly 1,000 workers are murdered and 1.5 million are assaulted in the workplace each year. According to the Bureau of Labor Statistics (BLS) National Census of Fatal Occupational Injuries (CFOI), in additional information about workplace violence, there were 709 workplace homicides in 1998. These accounted for 12 percent of the total 6,026 fatal work injuries in the United States. Of these 709 workplace homicide victims in 1998, 80 percent were shot and nine percent were stabbed. According to the National Crime Victimization Survey (NCVS), 2 million assaults and threats of violence against Americans at work occur annually. The most common type of workplace crime was assault with an average of 1.5 million a year. There were 396,000 aggravated assaults, 51,000 rapes and sexual assaults, 84,000 robberies, and 1,000 homicides reported. These figures likely fall short of the actual number of violent acts occurring in workplaces as not all acts of workplace violence are reported.

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My Life Magazine


Men’s Life WAYS TO BEAT HOLIDAY WEIGHT GAIN

By Marc Saluk

While many nutritionists say that it is a myth that the average American gains 5 pounds during the holiday season (Weight Watchers says it is more like two), all that extra time off and those parties

can still be tricky to navigate for those looking to remain on their fitness regiment. The following is a collection of tips from Nancy Zwick, nutritionist with the American Dairy Association and from several leading men’s journals and websites.

GENERAL THINGS TO KEEP IN MIND Keep in mind, diet-busters are everywhere during the holidays.

AVOID THESE HEAVY HITTERS WHEN POSSIBLE One slice pumpkin pie = 320 calories One cup stuffing = 350 calories One cup eggnog = 342 calories. An exercise tip for shoppers: park farther away from the mall or store because the longer walk will keep your heart rate up.

HAVE A PLAN Write down your plan for maintaining your eating and exercise goals. Post the plan where you can see it every day.

DON’T WEAR ELASTIC-WAIST PANTS

KEEP IT OFF DURING THE NEW YEAR Once you’ve made it through the holidays with minimal weight gain and fitness loss, be sure to keep your guard up during the new year. Here are some general tips to a healthier lifestyle

DRINK WATER Dehydration slows metabolism. Most people confuse thirst with hunger. Drink water regularly. Do not use thirst as a gauge for when to drink water. If you feel thirsty, it is too late. You are already dehydrated. Your goal should be to drink 80 to 96 ounces per day.

EAT SMALL FREQUENT MEALS When you wait too long between meals, your blood sugar level drops too low. When that happens, you feel extremely hungry and you eat more than you should. Your body can only process about 30 grams of carbohydrates and about 40 grams of protein in one sitting. Anything over that is stored as fat.

EXERCISE IN THE MORNING Studies have shown that weight-bearing exercise can burn calories for several hours after the workout. Why not take advantage of that extra burn and allow your body to burn throughout the rest of the day?

FOCUS MORE ON THE FRIENDS AND FAMILY THAN THE FOOD Food is the fuel that your body needs to function properly. Don’t make food your friend or confidant. Change your relationship with food for healthy weight management.

MINIMIZE STRESS Stress causes your body to release chemicals that cause you to store fat. Relaxation techniques such as massage and meditation can help you minimize and manage stress and potentially keep the weight off.

Wear your “skinny” jeans to the party so you won’t feel like pigging out at the buffet line. Dress in clothing that fits properly and is not over-sized.

STAY FLEXIBLE Shorter days and a busy calendar can play havoc with your fitness routine. Be ready to substitute a brisk walk at the mall for a trip to the gym.

PICK YOUR INDULGENCES CAREFULLY Of course you are allowed your favorite splurges at the holidays. But don’t waste the calories on mindless office munching when you can use them for foods you really crave at this time of year.

REALIZE THAT ALCOHOL COUNTS Liquor, beer and wine are free of fat, but they all contain calories. And drinking alcohol can lead to overeating. Dilute wine with spritzer or alternate an alcoholic drink with a glass of water.

AVOID MINI-APPETIZERS Many of these are loaded with fat and calories. Eat a light meal of vegetable soup or a baked potato before the party. Choose two or three of your favorite items, put them on a plate and walk away from the food.

MINIMIZE ALCOHOL Alcohol stops your body from burning fat. Your body can handle 0.6 ounces of alcohol in one hour. A 12-ounce beer contains about 0.6 ounces of alcohol. If you consumed 5 of these, your body would be inhibited from fat burning for up to 6 hours. This is aside from the fact that your body will actually be storing fat during these 6 hours!

EAT PROTEIN Protein (like chicken, turkey, fish, etc.) signals the body that “the hunting is good.” This signal tells your body to release stored body fat. Protein is also the building block of muscle and muscle allows your body to burn more calories at rest.

My Life Magazine

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Men’s Life You might also consider learning a new skill. If you haven’t mastered a winter discipline, try snowshoeing or cross-country skiing. Exercise physiologists say that they’re two of winter’s best cardio activities. Either sport is a great way for runners and cyclists to maintain their conditioning. Even outdoor chores like chopping wood and shoveling snow can get that heart pumping. For those reluctant to change, consider moving your favorite summer sport inside. Take indoor tenBy Marc Saluk nis lessons, a spinning class, or try rock Winter is a tough season to maintain your climbing at an indoor facility. fitness level. Enthusiasm for outdoors fitness If you’re already a regular at the gym, try training is understandably weak and exercis- changing things up during the colder months. ing at home never seems to work out, what Hop on a cardio machine, like the elliptical, with all those chips and a nice comfy couch treadmill, or bike. To keep boredom at bay, near by. So your options boil down to this: split a 60-minute workout among three mahole up until spring and pack on some winter chines, spending 20 minutes on each. Just pudge, or get creative. Look at winter as an when you’re starting to get bored, you’re opportunity to add new twists to your regi- ready to move to a new machine. Or read a men and stay ahead of the game headed into book magazine, tune in to your iPod, or watch 2010. TV as you sweat. Fitness experts recommend mixing things Whether you run or bike, you should also up when the temperature plummets by trying consider putting strength training higher on something new that will challenge your body your to-do list during the winter months. First, in ways it’s not used to. Train for a triathlon, determine your weaknesses—core? upper perhaps. If you have strong running skills but body?—then focus on those areas. If necesare weak in one of the races other two com- sary, hire a personal trainer to help you idenponents (biking or swimming), winter is the tify those shortcomings, and then focus on ideal time to set up a program that will im- your routine, building a strong, balanced body prove your weakest link. from head to toe.

WINTER FITNESS MADE EASY

And don’t forget to continue your other healthy habits: Maintain your nutrient-rich diet, get plenty of sleep, and minimize stress. Experts say that, during the winter months, you need to be even more focused on these lifestyle habits so your body can help fight any germs it encounters. Don’t let winter force your fitness into hibernation. Fitness is year-round.

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My Life Magazine, Darke County, November 2009  

Guide to healthy living in Darke, Preble Counties.

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