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Oct. 21, 2009 Vol. 5, No. 1


Publisher

Dennis M. DeRossett Executive Editor

Gary Metro Editor

Cara Recine Advertising Director

Abby Hatfield

618-351-5024 • abby.hatfield@thesouthern.com Marketing

Brian Flath

618-351-5027 • brian.flath@thesouthern.com Art Direction/Design/Production

Rhonda M. Ethridge

rhonda.ethridge@thesouthern.com Circulation/Database Marketing Coordinator

Kathy Kelton 618-351-5049

Online Coordinator

J. C. Dart

jennifer.dart@thesouthern.com

INDEX OF Advertisers

The Southern Health Magazine is a monthly publication of The Southern Illinoisan. Contact us via mail at 710 N. Illinois Ave., Carbondale, IL 62901, or at PO Box 2108, Carbondale, IL 62902. Copyright 2008 by The Southern Illinoisan. The Southern Illinoisan (USPS 258-980) is owned by Lee Enterprises, Inc. of Davenport, Iowa. All rights reserved. For more information call 618-5295454 or 618-997-3356, or visit us online.

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COVER STORY EVERY ISSUE Cover Story Every Issue

710 N. Illinois Ave. Carbondale, Illinois 62901 618-529-5454 • 800-228-0429 fax 618-529-3774 www.thesouthern.com/health

OCT. 21, 2009 In This Issue Nutrition prescription Tasty ways to keep cancer, other diseases at bay

SI Health News Upcoming Events Getting Results Health News Kids Health Pet Health Senior Health Her Health His Health

Welcome!

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We live in an age when prescription medicines are very often seen as a way to get quick or easy results without making any real changes in the way we do things. Of course, some medicines are absolutely essential for certain illnesses or medical conditions, so I am in no way advocating that no one ever take prescribed medicines. But very often, making changes in our diet can make a difference. Metro In our cover story, Nutrition Prescription, Jodi Hawkins talked to local nutritionists and dietitians and has come up with some advice for people who are fighting cancer or other diseases and for people who wish to prevent those illnesses. For instance, avoiding processed meats and eating food without chemical additives is among the advice. Jodi also did research with the American Cancer Society and shares with us recipes that promote natural healing and good health. For quick reference, Recine check out the list of powerful cancer-prevention foods and quick and easy snacks for cancer patients. Anyone can benefit from reading this story. It begins on Page 7. In another story this month, writer Joanna Gray delves into the success of chiropractic medicine. For some people, chiropractors aren’t considered “mainsteam” or “real” doctors. But in this story, one woman said she avoided back surgery as a result of her chiropractic visits, and a local neurosurgeon backs up the results. Read it on Page 10. And take the time to visit our other health departments: News for women, men, children, seniors and pets. Plus, we’ve got an extensive calendar of seminars, event and workshops. One of them might be right for you. – Cara Recine

Comments and suggestions?

We look forward to hearing from you. Send an e-mail to HEAltH@thesouthern.com For the latest health and fitness news, pick up Tuesday’s Southern Illinoisan for Mind & Body news. Check out www.thesouthern.com/lifestyles for more features.

tell your story and ask your questions at www. thesouthern.com/SIForums.

Carterville Chiropractic ______________6 618-985-9555

Graham Family Medicine _____________6 618-998-9200

McGuire Chiropractic Clinic ___________5 618-435-2500

Dr. Daniel Brown _________________11 618-988-6034

Health Alliance ___________________3 www.healthalliance.org • 800-851-3379

Rehab & Care of Jackson County ________9 618-684-2136

Family Foot & Ankle Center __________14 618-942-3334

Hughes Dental Arts Centre __________11 www.southernilsmilecenter.com • 618-993-3100

Southern Illinois Psychiatry___________9 618-998-0888

Fifth Season Residential ____________16 www.fifthseasonassistedliving.com • 618-993-2800

Liberty Village of Carbondale _________5 www.simplythefinest.com • 618-351-6557

Vivatek Treatment Center ___________12 618-997-5727

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SI health news Breast Center recognized

The Breast Center in Carbondale has been designated a Breast Imaging Center of Excellence by the American College of Radiology. By awarding the COE status, the ACR recognizes the Breast Center among the nation’s top 4 percent of like medical facilities. The Breast Center is the only COE facility in Illinois south of Springfield.

Kupferer achieves recertification

Dr. Valerie Ann Kupferer of De Soto has achieved recertification by the American Board of Family Medicine. To achieve recertification by the ABFM, a family physician must verify the competition of 300 hours of acceptable continuing medical education during the last six years, posses a full and unrestricted license to practice medicine in the United States, and complete a one-day, written examination of cognitive knowledge and problem-solving skills.

Bailie receives service award

Wendy Bailie, director of Substance Abuse Services at The H Group in West Frankfort, was honored with the Illinois Alcoholism and Drug Dependence Association’s George Schwab Distinguished Service Award Sept. 30 at the association’s annual awards luncheon. The award is provided to those who symbolize the sacrifice and commitment of professionals in the addiction health care field and recognizes significant personal contributions to IADDA, to the addiction health care field and those who have contributed leadership and expertise in the development of public policy. Bailie has been employed by The H Group, formerly Franklin-Williamson Human Services, since 1979. She has led the Substance Abuse Services division for the agency since November 1993.

Hospital receives third award

Western Baptist Hospital in Paducah has received its third consecutive quality award from the American Heart Association — the Gold Performance Achievement Award for coronary artery disease treatment in AHA’s Get With the Guidelines program. The hospital has received silver and bronze performance awards in the two previous years.

O’Bryan joins Western Baptist staff Dr. Joseph O’Bryan, a family practice physician, recently joined the medical staff at Western Baptist Hospital in Paducah. He is accepting new patients at O’Bryan Family Medicine, Suite 103, 5120 Village Square Drive in Paducah. For an appointment, call 270-442-0240.

Hospital a ‘best place to work’

Saint Francis Medical Center in Cape Girardeau once again has been named one of Modern Healthcare magazine’s Best Places to Work in Healthcare. Only three healthcare organizations in Missouri have made the 2009 list.

Withrow appointed to panel

Dr. Patrick Withrow, a cardiologist and vice president and chief medical officer of Western Baptist Hospital in Paducah, has been named to the American Heart Association’s Quality Improvement Expert Panel for the five-state Great Rivers Affiliate. The panel met recently in Columbus, Ohio, to identify, prioritize and develop strategies to enhance quality improvement efforts through the Great Rivers Affiliate, which serves Kentucky, Pennsylvania, Ohio, West Virginia and Delaware.

Kadyrov joins faculty

Farid A. Kadyrov has joined the faculty at Southern Illinois University School of Medicine in Carbondale as an assistant professor of biochemistry and molecular biology. Kadyrov comes to SIU from Duke University in Durham, N.C., where he was a senior research associate in biochemistry. He previously was a researcher in the genetic enzymology laboratory at the Institute of Biochemistry and Physiology of Microorganisms in Russia. He completed a five-year fellowship in molecular genetics at National Institute of Environmental Health Science in Triangle Park, N.C. He earned his doctoral degree at the Institute of Biochemistry and Physiology of Microorganisms of the Russian Academy of Science and his bachelor’s in biochemistry at Kazan State University, both in Russia. He has had more than 15 journal articles published about his research interest in DNA repair, replication and recombination.

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upcoming events

goodies. For more information call 618-997-1777 or visit preeves@arthritis.org.

FOR A GOOD CAUSE American Red Cross blood drives

Oct. 21: 2- 6:30 p.m., Dix Community Center. Oct. 21: 2-6 p.m., Faith Lutheran Church, Mount Vernon. Oct. 21: 11 a.m.-6 p.m., Salem Community Center. Oct. 22: 11 a.m.-4 p.m., St. Mary’s Good Samaritan Hospital. Oct. 22: 2-7 p.m., Prince of Peace Lutheran Church, Mount Vernon. Oct. 23: 11 a.m.-3 p.m., Orthopedic Center of Southern Illinois, Mount Vernon. Oct. 23: 11 a.m.-3 p.m., Bryan Manor, Centralia Oct. 25: 9 a.m.-1 p.m., John A. Logan College, Carterville. Oct. 26: 9 a.m.-1 p.m. John A. Logan College, Carterville. Oct. 26: 9 a.m.-2 p.m., Kaskaskia State College, Centralia. Oct 26: 1-5 p.m., Marshall Browing Hospital, DuQuoin. Oct. 26: 2-7 p.m., St. Pauls UCC - Pinckneyville Oct. 27: 9 a.m.-2 p.m., Kaskaskia State College, Centralia. Oct. 28: 11 a.m.-4 p.m., Sandoval High School. Oct. 29: 3-7 p.m. Central City Elementary School. Nov. 27: 2:30-6:30 p.m., First United Methodist Church, Sesser. Nov. 29: 2-6 p.m., Heartland Christian Church, Marion.

the unholy trinity: ADHA, Oppositional and Conduct Disorder Conference

When: 8:30 a.m.-4:30 p.m. Wednesday, Oct. 21 Where: John A. Logan College tickets: $75 ($65 per person for groups of four or more from one agency – all must register at the same time.) Includes breakfast, lunch and 6.0 continuing education units. Registration begins at 7:45 a.m. For more information contact Heather Hartung by e-mailing hhartung@siu.edu.

Symposium for Heathcare Professionals

When: 9 a.m.-3:30 p.m. Saturday, Oct. 24 Where: Western Baptist Hospital, Paducah tickets: $30 by Oct. 21 National experts on addiction and compulsive behaviors will speak. Cardiologist Patrick Withrow, M.D., vice president and CMO of Western Baptist Hospital will moderate. Lunch is provided. Space is limited. Call 270-575-2723 for reservations or more information.

Making Strides Against Breast Cancer Kickoff luncheon

When: 12:30-3:30 p.m. Sunday, Oct. 25 Where: Murphysboro Event Center tickets: $25. Available until Oct. 20. Inspirational Speakers and Auctions. Lunch provided by Great Boars of Fire. Individual Tickets: $25 For more information call Roxanne Conley 618-998-9898 or e-mail roxane.conley@cancer.org.

Arthritis Foundation Bone Bash

When: 8 p.m.-12 a.m. Friday, Oct. 30 Where: Steel Horse Saloon, Carterville tickets: $20 in advance or $25 at the door Join the arthritis foundation for a thriller dance contest, a visiting psychic, ghastly photos, mystery box raffle, spinetingling costume contest and other games and activities. Prizes awarded for best male, female, couple, sexiest, scariest, funniest, most original and group costume categories. Tickets include appetizers and Halloween

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Southern Illinois Classes, Workshops and Seminars

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SCREENINGS Breast Self Exam training

When: 10-11 a.m. Thursday, Oct. 22 Where: Location: The Breast Center, University Mall, Carbondale Registration: Pre-registration is required. Call Valerie Baker, 618-457-5200, ext. 67128.

CLASSES, SEMINARS AND EVENTS lucky Hearts Cardiac Support Group

When: 10-11:30 a.m., Monday, Oct. 19 Where: Herrin Hospital Registration: Diane Fulbright 618-942-2171, ext. 35362 The Lucky Hearts Cardiac support meets the third Monday of every other month. If you are not a regular attendee, please call Diane Fulbright before the meeting. Regular attendees will be notified in the event of a schedule change.

Young Mothers Childbirth Class

When: 6-8 p.m. Monday Oct. 19 to Monday, Nov. 9. Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 The Young Mother’s Childbirth Class is designed specifically for the young pregnant woman. The young mother is welcome to bring her support person(s). Class content will include a tour of the birthing center, as well as a birth video. The young mother’s special needs will be addressed as well as other questions or concerns voiced by the participants. The class meets on Mondays for four weeks. Free.

Epidural Class

When: 7-8 p.m. Wednesday, Oct. 21 Where: Carbondale Memorial Hosptial Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Epidural anesthesia is a form of pain control used during labor. Because this is an invasive procedure, the Family Birthing Center feels it is important to learn the benefits and risks. A video presentation will provide expectant mothers information about the procedure, benefits and risks of epidural pain relief during childbirth. There will be an opportunity to ask questions of an anesthesia representative. Due to the size and nature of this class, we ask that children not attend. This class is required if you are planning to have the option of epidural anesthesia for childbirth.

Cancer Support Group

When: 3-4 p.m. Wednesday, Oct. 21 Where: Herrin Hospital, Conference Room C Registration: 618-942-2171, ext. 35357 Colleen Schloemann, presenter. Support group which meets on the third Wednesday of every month. Activities of the group include sharing stories and gaining knowledge with people who have had similar experiences, getting information on medical and spiritual concepts that relate to your disease, and socializing over coffee and dessert. Participants benefit from being with people who understand what they are going through, reaching out to others, having a reason to get away and take care of yourself, and getting a break from your many responsibilities and problems.

Oct. 21, 2009

Grandmother’s Coffee Break

When: 7-8:30 p.m. Thursday, Oct. 22 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 This special class is for the proud grandmother-tobe. This class is meant to provide some of the latest recommendations for infant safety, feeding, sleeping and more.

Mended little Hearts

When: 6 p.m. Thursday, Oct. 22 Where: Memorial Hospital of Carbondale, Conference Room C Registration: Stephanie Hill 618-318-2863 Mended Little Hearts, a new support program for parents of children with heart defects and heart disease, is dedicated to inspiring hope in those who care for the littlest heart patients of all. Mended Little Hearts connects families in crisis with other parents who have survived the shock of learning a child has a heart problem, navigated the maze of medical decisions and procedures, and mapped out a plan for the future. Meets the 4th Thursday of every month at 6 p.m. Free.

lunch & learn: Aging Skin

When: Noon-1:30 p.m. Thursday, Oct. 22 Where: Southern Illinois Healthcare, rooms 101 A-D Registration: 1-877-480-4040 Fee: $3, includes lunch Come meet Dr. W. Sean Burke, a new dermatologist in Southern Illinois, and learn what is considered normal and what to be concerned about when it comes to your skin.

Insulin: Not as bad as it sounds

When: 6-7 p.m. Tuesday, Oct. 27 Where: Herrin Hospital, Conference Room B - C Registration: 877-480-4040 Amy Stout, BSN, RN, CDE, presenter. If you use insulin or have been told that you may need it, this update is for you. Learn the benefits as well as new techniques for administering insulin. Free.

Epidural Class

When: 2-3 p.m. Wednesday, Oct. 28 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Epidural anesthesia is a form of pain control used during labor. Because this is an invasive procedure, the Family Birthing Center feels it is important to learn the benefits and risks. A video presentation will provide expectant mothers information about the procedure, benefits and risks of epidural pain relief during childbirth. There will be an opportunity to ask questions of an anesthesia representative. Due to the size and nature of this class, we ask that children not attend. This class is required if you are planning to have the option of epidural anesthesia for childbirth. Free.

lunch & learn: GERD

When: Noon-1:30 p.m. Wednesday, Oct. 28 Where: Southern Illinois Healthcare, rooms 101 A-D Registration: 1-877-480-4040 Fee: $3, includes lunch Gastroesophageal Reflux Disease (GERD) is a condition where food and liquid travels backward from the stomach to the esophagus. The result can be an irritated esophagus, heartburn and other symptoms.

Breastfeeding Basics Class

When: 6-8:30 p.m. Thursday, Oct. 29 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Breastfeeding is more than just a way to feed a baby! Learn the benefits that breastfeeding provides to both baby and mother. A certified Lactation Consultant will share information and give suggestions to help get breastfeeding off on a good start. Following the basics class, mothers have the option of staying for an additional session designed to help them to continue breastfeeding after returning to work, including tips on incorporating breastfeeding in their daily life and learning helpful hints when using a breast pump. Free.

Southern Illinois Parkinson Support Group

When: 1 p.m. Friday, Oct. 30 Where: Carbondale Community High School Auditorium Information: Bob Kiriakos 618-549-3360 or Tom Hippensteel 618-684-4282 Dr. Elble, Chair of the Neurology Department of Southern Illinois University School of Medicine and Director of the Movement Study Research Group will speak in layman’s terms about the disease and its treatment.

Prepared Childbirth Course

When: 6-8:30 p.m. Tuesday, Nov. 3 to Tuesday, Nov. 4 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Mothers and fathers will prepare both mentally and physically for participation, sharing, and individual satisfaction in pregnancy, labor, birth and introduction to parenthood. The four-session classes meet on Tuesdays and Thursdays, with a one-day version of the class available on Saturdays. Due to the limited size of the classes it is important to make reservations.

Epidural Class

When: 7-8 p.m. Wednesday, Nov. 4 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Epidural anesthesia is a form of pain control used during labor. Because this is an invasive procedure, the Family Birthing Center feels it is important to learn the benefits and risks. A video presentation will provide expectant mothers information about the procedure, benefits and risks of epidural pain relief during childbirth. There will be an opportunity to ask questions of an anesthesia representative. Due to the size and nature of this class, we ask that children not attend. This class is required if you are planning to have the option of epidural anesthesia for childbirth. Free.

Breastfeeding Basics Class

When: 6-8:30 p.m. Thursday, Nov. 5 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Breastfeeding is more than just a way to feed a baby! Learn the benefits that breastfeeding provides to both baby and mother. A certified lactation consultant will share information and give suggestions to help get breastfeeding off on a good start. Following the basics class, mothers have the option of staying for an additional session designed to help them to continue breastfeeding after returning to work, including


tips on incorporating breastfeeding their daily life and learning helpful hints when using a breast pump. Free.

tips on incorporating breastfeeding their daily life and learning helpful hints when using a breast pump. Free.

Stroke/Brain Injury Support Group

Prepared Childbirth Refresher Class

When: 2-3:30 p.m. Thursday, Nov. 5 Where: Herrin Hospital, conference room 1C Registration: 618-942-2171, ext. 35312 If you or someone you care for has been affected by a stroke or head injury, you are encouraged to attend a monthly gathering of friends and family. Learn how to accept a changed life by sharing feelings, experiences and coping strategies with others. Professional guests frequently attend to help clarify misconceptions and provide help in identifying resources.

Prepared Childbirth Course

When: 9 a.m.-4:30 p.m. Saturday, Nov. 7 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Mothers and fathers will prepare both mentally and physically for participation, sharing, and individual satisfaction in pregnancy, labor, birth and introduction to parenthood. This is the condensed, one-day version of the four-session classes that meet on Tuesdays and Thursdays. Due to the limited size of the classes it is important to make reservations.

Epidural Class

When: 2-3 p.m. Wednesday, Nov. 11 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Epidural anesthesia is a form of pain control used during labor. Because this is an invasive procedure, the Family Birthing Center feels it is important to learn the benefits and risks. A video presentation will provide expectant mothers information about the procedure, benefits and risks of epidural pain relief during childbirth. There will be an opportunity to ask questions of an anesthesia representative. Due to the size and nature of this class, we ask that children not attend. This class is required if you are planning to have the option of epidural anesthesia for childbirth. Free.

Breastfeeding Basics Class

When: 3-5:30 p.m. Wednesday, Nov. 11 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Breastfeeding is more than just a way to feed a baby! Learn the benefits that breastfeeding provides to both baby and mother. A certified Lactation Consultant will share information and give suggestions to help get breastfeeding off on a good start. Following the basics class, mothers have the option of staying for an additional session designed to help them to continue breastfeeding after returning to work, including

When: 6-9 p.m. Thursday, Nov. 12 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 For mothers and fathers that already have children, but would like to brush up on their pregnancy and birthing skills.

Ostomy Support Group

When: 3-4 p.m. Thursday, Nov. 12 Where: Herrin Hospital, conference room 1-C Registration: Amy Stout, 618-988-6106 Ostomy Support group meets the second Thursday of every month. Anyone with a gastrostomy, colostomy, ileostomy, urostomy and/or their family members are welcome to attend. No pre-registration required.

Big Kids and Babies Sibling Class

When: 10-11 a.m. Saturday, Nov. 14 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Designed for children 3-7 years old, this class offers upbeat information on becoming a big sister or brother. Children develop an understanding of the special needs their new sibling will have. They are encouraged to bring a stuffed animal or doll so they can practice holding, diapering and being a good helper to mommy and daddy. Parents will want to bring a camera as the children have fun dressing up as a doctor or nurse.

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Boot Camp for New Dads

When: 2-5 p.m. Saturday, Nov. 14 Where: Memorial Hospital of Carbondale Registration: SIH Physician Referral and Event Registration Center, 866-744-2468 Men dream of the glorious days teaching their children the fine arts of throwing baseballs, casting fly’s, and standing tall and brave. They think how fine it would be to hear the word father and see their beautiful children with their hair rocking in the wind as they run to them with open arms. Then they find out they have 9 months to D-day! But wait, don’t panic. There is a place for you if you are about to become a father and you feel unprepared. First time dads learn the ins and outs of caring for babies from expert fathers. The class was developed by researchers in California and has been very successful. Facilitated by Sean Herron and Adam Benns, SIH employees, and Dan Dietz, the class helps men make the transition to fathering through activities and discussion. The free classes meet Saturdays of every other month and last three hours. Veteran dads, who have 3-12 months experience bring their babies to class and share their experience with the expectant fathers. There are activities that allow the fathers-to-be to get hands-on experience.

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• Decompression • Acupuncture • Expert in Motor Vehicle Trauma • Treatment of Spinal & Extremity Related Complaints Dr. Dennis R. McGuire Chiropractic Physician • Certified Acupuncturist 805 N. Main Street Benton, IL 62812 (618) 435-2500 Oct. 21, 2009

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Southern Illinois Psychiatry Welcomes New Doctor Julie L. Handwerk, MD will be joining our practice on November 01,

2009. She was born and raised in Southern Illinois. She obtained her medical degree from the University of Nebraska Medical Center and completed her residency in Psychiatry at Creighton University/University of Nebraska Psychiatry Program. She has been practicing at Harrisburg Medical Center since July of 2007. We are accepting new patients at our Marion office

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We are now at our new office at 112 Airway Drive Marion, Illinois 62959. This location is across from Williamson County Airport next to Pain Management Center of Paducah near the intersection of Route 13 and 148.


Nutrition prescription

Tasty ways to keep cancer, other diseases at bay

BY JODI HAWKINS

T

here’s a wise Chinese proverb that says “He that takes medicine and neglects diet wastes the skills of the physician.” As hard as it may be to imagine the world before medicine, it’s important to remember that proper eating has always been the foundation of good health. After all, countless studies have revealed several ways that nutrition can keep some of the most devastating illnesses from ever developing, particularly many forms of cancer. With thousands of people dying each year to this disease, isn’t it time to make good nutrition a permanent health habit? The American Institute for Cancer Research recommends filling two-thirds of your plate with fruits, vegetables, whole grains and beans, and one-third or less with animal protein. “Many of my clients find the plate method of meal planning

to be easy to use and visualize,” said Cynthia York-Camden, registered dietitian at Heartland Regional Medical Center in Marion. While York-Camden stresses no one particular food can be clearly linked to cancer causes, having a higher body fat level has been associated with some common forms of the illness such as breast cancer. She suggests choosing foods with certain properties to reduce the risks. “Use foods with fewer additives, colors and processing,” she said. ”Avoid energy-dense foods or foods that are high in sugar and fat and low in fiber.” “Processed meat such as ham, bacon and sausage should be avoided,” said Jeannine Hutchcraft, clinical nutrition coordinator at Herrin Hospital. “Red meat (beef, pork, veal and lamb) should be limited to 18 ounces or less per week.”

Hutchcraft said eating a diet high in plant foods is also believed to reduce cancer risks. “Plant foods include vegetables, fruits, whole grains, beans, seeds and nuts,” Hutchcraft said.

Food first

Taking vitamins and/or mineral supplements has become a popular way of getting in extra nutrients, but many people confuse their benefits for those that only come from the real deal. That’s why health-care professionals stress the need for food to be our main source of nutrition. “The phytochemicals found in whole foods, such as fruit and see nutrition / page 8

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Nutrition: Tasty ways to keep cancer, other diseases at bay from page 7 vegetables, are believed to be more protective than any found in supplements,” Hutchcraft said. “Some supplements may actually be harmful for cancer patients. For example, research suggests that a high intake of betacarotene supplements may increase the risk of lung cancer in current and former smokers.” Interestingly, a Harvard study reported in 2005 suggests that Vitamin D may improve survival rates among lung cancer patients and lower the risk of breast cancer development by up to 50 percent. Hutchcraft points out that those trying to prevent cancer may take a balanced multivitamin or mineral supplement, but should still consume a plant based diet with at least five servings of vegetables or fruits per day. She believes that, while not considered proven, adequate protein intake (at least 15 grams per meal) is also necessary, just as the AP John Institute for Cancer Research recommends. Many consumers buy organic foods because their pesticide- and herbicide-free status seems safer. But the American Cancer Society reports that no studies in humans exist to show whether such foods are better at reducing cancer risk, recurrence or progression than foods made by other farming and production methods.

Plan ahead

Cooking caution

Making a habit of healthy eating isn’t exactly effortless, but it’s no wonder so many experts promote it. Preventing cancer is priceless because once it’s diagnosed, taking in enough nutrition may not be so easy. In fact, the National Cancer Institute reports that about one third of all cancer deaths are related to malnutrition. Some forms of treatments tend to cause side effects that often make it difficult to eat. That’s when a vicious cycle of unwanted weight loss frequently begins and often results in anorexia. “Weight loss is an important aspect in response to treatment,” said Dr. Peter Graham, oncologist from Memorial Hospital of Carbondale. “In some cases you don’t even base treatment on the extent of the cancer. Instead, it’s based on how much weight the patient has lost over the past three months.” Graham said those who’ve lost more than 5 to 10 percent of their bodyweight are generally excluded from chemotherapy because they don’t respond well enough to endure it. According to the American Cancer Society, cancer patients need to take in enough nutrients to meet three main goals: prevent or reverse nutritional deficiencies, decrease side effects of cancer and its treatment and maximize quality of life. Doing so can lower infection risks, rebuild body tissue and aid in faster recovery time as well. Fortunately, there are several ways to get those nutrients in spite of a waning appetite. “You want to try to eat a balance diet with plenty of protein foods such as tofu, lean chicken, fish, cottage cheese, eggs, peanut

Food preparation methods are often overlooked as a cancer prevention measure, especially in meats. Although many prefer to cook meats by grilling, scientists often caution against it. The American Institute for Cancer Research said the substances in the muscle proteins of red meat, poultry and seafood react under high heat to form carcinogenic compounds called heterocyclic amines, which can damage the DNA of our genes and contribute to the process of cancer development (specifically stomach and colon). However, grilling vegetables and fruits doesn’t produce HCAs. The institute offers these tips on reducing the cancer risks associated with grilling meat: • Limit portion sizes and cut smaller pieces to shorten cook time. • Leaner cuts prevent dripping fat from causing flare-ups, which can deposit carcinogens on the meat. • Use a marinade; studies have shown that marinating meat before grilling can decrease HCA formation by up to 96 percent. • Flip meat frequently to reduce carcinogens that may arise. • Reduce the heat–cooking at slightly lower temperatures is enough to substantially reduce HCA formation. • It’s also recommended to limit the consumption of smoked meat, poultry, and seafood. Healthier ways to cook include baking, braising, steaming, stewing, microwaving or using a slow cooker.

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To understand their individual nutritional needs, cancer patients are commonly referred to dietary specialists before treatment. Lori Trentacosti, registered dietitian with the Center for Medical Arts in Carbondale, said it’s best to have a diet plan in place incase problems arise. “Let your doctor know if your appetite is greatly changed,” she suggests. “Appetite stimulants can be effective along with diet modification.” Trentacosti works with cancer patients and their families to provide a well structured group support system for all of their possible needs. The National Cancer Institute lists these tips for treatment preparation: • Stock the pantry and freezer with favorite foods so that you won’t need to shop as often. Include foods you know you can eat even when you’re sick. • Keep foods handy that need little or no preparation like pudding, peanut butter, tuna fish, cheese, and eggs. • Do some cooking in advance and freeze in meal-sized portions. • Talk to friends or family members about helping with shopping and cooking.

Eat to tame treatment troubles

Oct. 21, 2009

Potato Soup 3 medium potatoes, peeled and cubed 2 cups reduced-sodium chicken broth 2 stalks chopped celery 1/2 small onion, peeled 1 tablespoon olive oil 1 tablespoon flour 2 cups reduced-fat milk 2 eggs, hard cooked, peeled and chopped Salt and pepper to taste Cook the potatoes in chicken broth with celery and onion until the potatoes are tender. Blend the mixture in a blender or processor. In a heavy saucepan over

low heat, stir flour into the oil to make a paste. Slowly add the milk, stirring or whisking continuously until the mixture is thoroughly blended and heated through. Add the pureed potato mixture. Add chopped eggs that have been pushed through a sieve. Mix well and season with salt and pepper as desired. Serve hot or cold. Note: This soup thickens when chilled and may need to be thinned with more chicken broth or milk.) Makes 4 servings; per serving: 240 calories, 12 grams protein.

— Source: American Cancer Society


butter, etc.,” York-Camden said. “If smells or odors are a concern, try eating foods cold or at room temperature. You may need to eat small amounts of food more often. If you’re feeling good and eating well at a meal, then go ahead and eat more at this meal. “For example, if you eat better in the morning, then make this your biggest meal. Try nutrient dense foods such as yogurt smoothies and milkshakes. Add protein powder to hot cereal, milkshakes, and applesauce,” YorkCamden said. She also encourages those dealing with dry mouth to eat more moist foods and add gravy or dressing to foods. “Avoid carbonated beverages, which may be gas forming,” Hutchcraft warns. “Cancer patients often have an aversion to sweet tasting foods. If a nutritional supplement is needed by someone who can’t tolerate sweets, try a lower carbohydrate product such as Glucerna or Pulmocare. Also, avoid drinking fluids with meals, because they can cause an early feeling of fullness.”

Hope helps

If cancer has an upside, it’s likely to be the way it generally changes people — eating habits and otherwise — for the better. “Very rarely are people going to go through cancer and all that the treatment entails without making a positive commitment to taking care

of themselves,” Graham said. “You just take a different perspective on life after that.” Graham said his philosophy is that the hope factor not be overlooked by patients and it comes at various levels. For example, how much do the patients believe in the abilities of the doctors and in what science has done to improve cancer survival odds? “That’s important, but I think the hope factor also transcends that,” Graham said. “Cancer isn’t just a physical illness, it’s a faith issue. It has ramifications psychologically, spiritually, and otherwise. Those things must be dealt with. We’re all going to die at some point, but until then we’d like to see some movement in that direction where you come to appreciate what life is all about; the real issues.”

Find more information about nutrition at thesouthern.com/ health

High-Protein Milkshake 1 cup fortified milk 2 tablespoons butterscotch, chocolate, or your favorite fruit syrup or sauce 1/2 cup ice cream 1/2 teaspoon vanilla extract

Mix all ingredients in a blender for 10 seconds. Makes one serving; per serving: Per serving: 425 calories and 17 grams of protein.

— Source: National Cancer Institute

Peanut Butter Snack Spread 1 tablespoon nonfat instant dry milk 1 tablespoon honey 1 teaspoon water 5 tablespoons smooth peanut butter 1 teaspoon vanilla extract Combine dry milk, water, and vanilla, stirring to moisten. Add honey and peanut butter, stirring slowly until liquid blends with peanut butter. Spread on crackers. Mixture can also be formed into balls, chilled, and eaten as candy. Note: Keeps well in the refrigerator, but is difficult to spread when cold. Makes 2 servings; per serving: 279 calories and 11 grams of protein.

— Source: National Cancer Institute

Powerful cancer prevention foods • Beans • Berries • Cruciferous vegetables (broccoli, cabbage, and cauliflower) • Dark green leafy vegetables • Flaxseed (ground) • Garlic • Grape juice • Green tea • Soy • Tomatoes • Whole grains — Source: American Institute for Cancer Research

Quick and easy for cancer patients • Applesauce • Bread, muffins, and crackers • Buttered popcorn • Cakes and cookies made with whole grains, fruits, nuts, wheat germ, or granola • Cereal • Cheese, hard or semisoft • Cheesecake • Chocolate milk • Crackers • Cream soups • Dips made with cheese, beans, or sour cream • Fruit (fresh, canned, dried) • Gelatin salads and desserts

• Hard-boiled eggs • Ice cream, frozen yogurt, popsicles • Juices • Milkshakes, “instant breakfast” drinks • Nuts • Peanut Butter • Pita bread and hummus • Pizza • Puddings and custards • Sandwiches • Vegetables (raw or cooked) • Whole or 2% milk • Yogurt — Source: National Cancer Institute

Visit thesouthern.com/health to find information about food & nutrition Oct. 21, 2009

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Getting

results Back surgery candidate avoids operation with her neurosurgeon’s blessing and credit to chiropractor

BY JOANNA GRAY

A

As a certified nursing assistant, Jamie Blevens of Murphysboro was used to lifting patients who weighed at least 200 pounds or more. But nothing prepared her for the night she had to fight off an agitated male patient who had “gone crazy” and was wielding a knife. A hospital security guard disarmed and subdued the patient, but by then Blevens had already suffered severe damage to her back. “I didn’t get stabbed, but I twisted my back around pretty good trying to wrestle with a man much larger than me, Blevens said. “A few days latter, I had a lot of burning leg pain that went all the way down to my foot and pinky toe. I couldn’t bear to stand for my whole 12-hour shift at the hospital.” Blevens’ husband, Dean, suggested she see his chiropractor, Dr. John Corley, at Murphysboro Chiropractic to get relief from her unrelenting pain. X-rays showed damage to the lumbar area of Blevens’ spine, so Corley developed a diverse treatment plan that included chiropractic manipulation, stretching exercises and other rehabilitative treatments. After a few weeks, Corley referred Blevens for an MRI of her back. The news wasn’t good. “The MRI showed that the damage was more extensive than what the X-rays had shown,” Blevens said. “When Dr. Corley said he wanted me to see a neurosurgeon, I freaked out. I didn’t want surgery, but Dr. Corley said he just wanted another ‘brain’ on my case and a second opinion.” That other “brain” was Dr. Jon Taveau, a neurosurgeon at Trinity Neuroscience Institute in Carbondale. But Blevens had to wait about a month for an appointment at the busy neurosurgeon’s office. So while she waited, she remained under the care of Corley, who stepped up Blevens’ treatments into a full-fledged rehabilitation program. On the day of her appointment with Taveau, Blevens received remarkable news from the physician: She didn’t need surgery now but would have been a prime candidate for it had she come in a month before. “Dr. Taveau told me that I should go back and thank Dr. Corley because he saved me from surgery,” Blevens said. “Dr. Taveau said that if I had come here first, with the injury as it appeared on the MRI and at that level of pain, he would have scheduled surgery for me for the following week. That started me thinking, how many other people could avoid the cost and long recovery time of surgery if they sought out other options, like a chiropractor, first?”

Less invasive, less costly alternatives

Jamie Blevens’ case is just one example of how practitioners of what is popularly called alternative medicine are collaborating with traditional

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STEVE JAHNKE / THE SOUTHERN Jaime Blevens (right) was a former patient of Dr. John Corley (left) and is now a certified nurse’s assistant at Corley’s office in Murphysboro.


medicine, there has been a lingering skepticism about treatments that don’t involve prescription drugs, surgery, and high tech medical devices. That’s changing, however, as medical education programs begin to blend modern medicine and holistic practices. “I think medical doctors and chiropractors are working together more today because there is more of an awareness of our education,� Corley said. “For example, the school I went to worked closely with two medical schools on research projects and Ph.D programs. Today, there’s a higher respect for chiropractors, and the skepticism that used to be there is gone.�

A balance of holistic and modern medicine

Corley referred Blevens to Dr. Jon Taveau, a neurosurgeon who is a doctor of osteopathic medicine. Taveau is a fully licensed physician and surgeon whose additional training in osteopathic manipulative treatment gives him a unique perspective on treating his patients. “I feel that surgery is always your last option,� Taveau said. “I am very focused on treating patients conservatively. If you can help someone by using manipulation, epidural steroidal injections, physical therapy, or other techniques, that is the way to go first.� Osteopathic medicine is a holistic approach see results / page 12

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doctors and surgeons to help patients obtain care that is holistic, less invasive, and in many cases less costly. To be sure, there are times when surgery is the best and perhaps the only course of treatment. And of course, any medical treatment decisions should be discussed and made jointly with one’s physician. But in light of today’s rising healthcare and healthcare insurance costs, more people are being drawn to chiropractic and other alternative methods of care. The good news is that you probably won’t have to choose between your and your chiropractor — in many cases they can work together to help you attain a good outcome. “I think chiropractic is a great entry point in the healthcare field because we don’t use drugs or surgery,� Corley said. “We heal the body naturally through certain exercises and manipulation to the spine. I look at it like this. If I’m going to do something for my body, I’m going to try something that is going to cost less and be less invasive and less damaging to my body. If that fails, hopefully you’re at a good enough chiropractor who will refer you out. Or take the next step and go with a referral to a surgeon, because that may be the patient’s only shot.� Rooted in the philosophy that the body is a self-healing organism, chiropractic is the centuries-old science of manipulating the spine to correct misalignments that negatively impact the nervous system, and thus the health of the entire body. But because chiropractic has been less familiar to people than traditional “modern�

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Results from page 11 to treating the “whole” patient, rather than focusing only on specific symptoms. The osteopathic physician considers the relationship of the musculoskeletal system to the other organ systems to help identify and correct structural problems that affect the body’s ability for self-healing. OMT in simplest terms is “hands-on care,” as described on the web site of the American Osteopathic Association. The DO uses his or her hands to manipulate the patient’s muscles and joints through light pressure and resistance or stretching. Learn more about osteopathic medicine at www.osteopathic.org, the web site of the American Osteopathic Association. Taveau explained that osteopathic manipulative treatment is at the forefront of medicine now as people are looking to a more natural, holistic type of treatments in places where modern medicine fails or is just too aggressive. In Blevens’ case, Taveau recognized that Corley’s comprehensive chiropractic treatment plan of manipulation, ultrasound therapy, muscle energy and soft tissue techniques, and exercises helped her avoid surgery. He cautioned, however, that in some cases a patient may still need surgery, hopefully minimally invasive surgery, years down the road. “I believe 100 percent in chiropractic and OMT, because I’ve seen it work,” Taveau said. “But there are times when you really do need the aggressive treatment. Obviously, you can’t cure a brain tumor with chiropractic or OMT. But you can use these methods in conjunction with treating people with modern

For more information visit American Chiropractic Association at www.acatoday.org or American Osteopathic Association at www.osteopathic.org medical techniques.” Taveau noted that he can treat a surgical patient on a ventilator in the ICU with OMT techniques to clear pneumonia or resolve respiratory secretions faster than with medication alone. “One of the hottest topics in medicine now is using OMT to prevent venous thromboembolism or blood clots in the vein in bedridden patients,” he said. “OMT works great for increasing lymphatic flow and returning blood to the heart.”

A new career path

Blevens, 39, has continued her treatments with Corley. She still experiences muscle spasms and some pain, but now it’s “bearable” she said. “This injury will be with me for the rest of my life,” Blevens said. “Once you get a major injury like this, you can’t really fully recover. But I can walk and do normal things with some restrictions. I’m thankful for that and thankful to Dr. Corley for all he did for me.” Some of the “normal” things Blevens does includes being a

mom to 11 children, 9 of whom are still at home. In addition to husband Dean’s son and her four daughters from their previous marriages, the Blevens family includes six children they adopted through a foster care program. The youngest is 3 years old. Blevens’ nursing career, however, has been derailed by the injury. She can no longer work as a CNA, or pursue a LPN or RN degree, because she is restricted from lifting heavy weights. But Blevens’ career in healthcare has taken a unexpected and positive turn, again thanks to Corley, who hired Blevens in his practice two months ago to fill a position that had become vacant. “Dr. Corley said he could keep an eye on me here, and he knows my weight limits,” Blevens said. “Going to Dr. Corley has turned out to be a Godsend for me all the way around. This tragedy turned into a new career path for me, too.” Most of all, Blevens wants others to be aware that chiropractic can be an affordable and less invasive first line of defense in resolving many types of healthcare challenges. “I’ve seen Dr. Corley help so many patients with major injuries who couldn’t walk or straighten up,” Blevens said. “People should know that there may be other options than surgery.”

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health news

kids health

Healthy neighborhoods might be associated with lower diabetes risk

Individuals living in neighborhoods conducive to physical activity and providing access to healthy foods may have a lower risk of developing type 2 diabetes in a five-year period, according to a report in the October 12 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. “The worldwide epidemic of type 2 diabetes mellitus is largely driven by the combined rise in obesity, intake of energy-dense or nutrient-poor foods and physical inactivity,” the authors write as background information in the article. Interventions to reduce risk on the individual level — including surgery, medication and behavior change — have had mixed results. Largescale change may be necessary to reverse the diabetes epidemic, but such a change is difficult to achieve and may be unsustainable if the surrounding environment is not supportive.

Foods that lower cholesterol It’s easy to eat your way to a high cholesterol level. But the reverse is true, too; changing what you eat can lower your cholesterol and improve the fats floating through your bloodstream, reports the October 2009 issue of the Harvard Heart Letter. Different foods lower cholesterol in various ways. Some deliver soluble fiber, which binds to cholesterol in the digestive system and drags it out of the body. Some give you polyunsaturated fats, which lower LDL, the “bad” cholesterol. And some contain plant sterols and stanols, which block cholesterol absorption. Here are some of the best choices: Oats, barley, other whole grains, beans, eggplant, and okra. These can lower the risk of heart disease, mainly via the soluble fiber they deliver. Nuts. Studies show that daily consumption of 2 ounces of nuts— like almonds, walnuts, and peanuts—lowers LDL around 5 percent.

Vegetable oils. Using liquid vegetable oils such as canola, sunflower, safflower, and others in place of butter, lard, or shortening helps lower LDL. Apples, grapes, strawberries, and citrus fruits. These fruits are rich in pectin, a type of soluble fiber. Food fortified with sterols and stanols. Sterols and stanols gum up the body’s ability to absorb cholesterol from food. Companies are adding them to foods ranging from margarine to orange juice and chocolate. Soy. Eating soybeans and foods made from them can lower LDL. Fatty fish. Eating fish two or three times a week can lower LDL by delivering omega-3 fats. Fiber supplements. Supplements offer a way to get soluble fiber. The Harvard Heart Letter notes that adding several foods that fight high cholesterol in different ways should work better than focusing on one or two.

Parent-teen interactions might cut teen crash risk in half Two new studies reveal that teen crashes and risky driving behaviors such as cell phone use, failure to wear seat belts and drinking and driving are strongly linked with the way teens and parents communicate and approach rules about safety. The results of the studies by The Children’s Hospital of Philadelphia and State Farm were published recently in the journal Pediatrics. The studies are based on the nationally-representative National Young Driver Survey of more than 5,500 teenagers. The first study shows that teens who said their parents set clear rules, paid attention to where they were going and whom they were with, and did so in a supportive way were: • Half as likely to crash • Twice as likely to wear seat belts • 71 percent less likely to drive while intoxicated • 30 percent less likely to use a cell phone while driving “Once they’re behind the wheel, teens have ultimate responsibility for their behavior” says Dr. Kenneth Ginsburg, co-author of the study. “But kids who said their parents set rules in a supportive way were half as likely to crash compared with teens who saw their parents as less involved.”

School bullying has long-lasting effects

Although Americans sometimes dismiss bullying in school as a childhood rite of passage, this form of aggression may have long-lasting psychological ramifications for victims as well as for bullies, reports the September 2009 issue of the Harvard Mental Health Letter. Victims of chronic childhood bullying are more likely to develop depression or think about suicide as adults compared with those who weren’t bullied, while former bullies are more likely to be convicted of criminal charges. Recognizing such long-term consequences, the American Academy of Pediatrics recently revised its policy statement about preventing youth violence to include information about how to identify and help children who are being bullied. A number of resources to prevent bullying are now available, often free of charge, to help students, parents, and administrators address this issue in schools. These prevention efforts aim at empowering victims to stand up to bullies; encouraging parents, teachers, and other bystanders to report bullying incidents; and creating a school environment that prevents or censures bullying. Many of these programs seek to instill resilience in children and adolescents and teach them techniques that will help them withstand other types of stress as they grow older. Dr. Michael Miller, editor in chief of the Harvard Mental Health Letter, notes that other bullying prevention programs focus on finding ways to reduce violence at home — by providing training to parents who may yell, hit, or otherwise act aggressively toward their children.

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pet health

senior health

Autumn safety tips

Ah, fall, thereâ&#x20AC;&#x2122;s nothing like crisp, cool air, the first months of school and luscious foliage to get you excited for the changing seasons. Your pet, too, is probably welcoming the break from hot, sticky weather. But pet parents, beware â&#x20AC;&#x201D; fall is also a time of lurking dangers for our furry friends. From household poisons to cold weather hazards, the season is a minefield! Here are some tips from the American Society for the Prevention of Cruelty to Animals to keep your pet snug and healthy. The use of rodenticides increases in the fall as rodents seek shelter from the cooler temperatures by attempting to move indoors. Rodenticides are highly toxic to pets. If ingested, the results could be fatal. Fall and spring and are mushroom seasons. While 99 percent of mushrooms have little or no toxicity, the 1 percent that are highly toxic (PDF) can cause life-threatening problems in pets. Unfortunately, most of the highly toxic mushrooms are difficult to distinguish from the nontoxic ones, so the best way to keep pets from ingesting poisonous mushrooms is to keep them away from areas where any mushrooms are growing. Contact your veterinarian or the ASPCA Animal Poison Control Center immediately if you witness your pet eating a wild mushroom. In order to generate body heat, pets who exercise heavily outdoors, or who live outdoors, should be given more food during colder seasons. Make sure horses and other outdoor animals have access to clean, fresh water that is not frozen. Snakes who are preparing for hibernation may be particularly â&#x20AC;&#x153;grumpy,â&#x20AC;? increasing the possibility of severe bites. Pet owners should know what kinds of venomous snakes may be in their environment so they can keep pets out of those areas. Many people choose fall as the time to change their carâ&#x20AC;&#x2122;s engine coolant. Ethylene glycol-based coolants are highly toxic, so spills should be cleaned up immediately. Consider switching to propylene glycol-based coolants; although they arenâ&#x20AC;&#x2122;t completely nontoxic, they are much less toxic than other engine coolants.

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More than 2 million seniors treated for falls Hospital emergency departments treated more than 2 million seniors for broken bones, head wounds, cuts and other injuries caused by falls in 2006 at a cost to hospitals of approximately $7 billion for emergency and subsequent inpatient care, according to the latest News and Numbers from the Agency for Healthcare Research and Quality. Falls are the leading cause of fatal and nonfatal injuries among Americans aged 65 and older. The cost for medical treatment, which is paid mainly by Medicare, is expected to increase as the number of older Americans grows. The federal agencyâ&#x20AC;&#x2122;s analysis of hospital emergency department data for patients age 65 and above treated for injuries caused by falls shows that: â&#x20AC;˘ One in 10 emergency department visits by seniors were for injuries related to falls. Emergency department visits related to injurious falls increases with age. Indeed, one in ten men and one in seven women over the age of 85 have an emergency department visit for an injurious fall. â&#x20AC;˘ Of the seniors who went to emergency department due to falls, 41 percent had fractures, primarily of an upper extremity or a hip. Other common injuries resulting from falls included open wounds (21 percent of visits for falls), sprains and strains (10 percent), injuries to internal organs (5 percent), and joint dislocations (1.5 percent). â&#x20AC;˘ About 63 percent of the patients who had injuries to an internal organ and 51 percent of people with fractures were hospitalized. â&#x20AC;˘ About 41 percent of patients with fractures and 33 percent of those who sustained internal organ injuries were transferred to a nursing home or other type of long-term care facility.

Myths about health care reform leave seniors in the dark

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The rumors swirling about health care reform are as sizeable as the 1,000 pages of proposed legislation. Of particular concern to George P. Sillup, Ph.D., assistant professor of pharmaceutical marketing at Saint Josephâ&#x20AC;&#x2122;s University, is the misinformation floating across the Internet, and over the airways, about how health care reform will affect Medicare. â&#x20AC;&#x153;Some are spreading a myth that health care reform will repeal Medicare,â&#x20AC;? explains Sillup. â&#x20AC;&#x153;Others have warned that Medicare may be replaced by a managed care ration, neither of which is true.â&#x20AC;? Sillup fears these kinds of rumors are igniting panic and confusion among a very vulnerable population â&#x20AC;&#x201C; seniors citizens. â&#x20AC;&#x153;Seniors will continue to receive conďŹ&#x201A;icting Medicare misinformation from talk shows, political talking heads and through hearsay,â&#x20AC;? warns Sillup. â&#x20AC;&#x153;My advice is to not overreact to information until you have an opportunity to confirm the facts.â&#x20AC;? To get educate yourself on health care reform, Sillup encourages you to visit any of the many available sources, such as www.factcheck.org.


her health

Women’s Health Care Maintaining Body and Mind Partner abuse leads to wide range of health problems

Breast tenderness during HRT linked to elevated cancer risk Women who developed new-onset breast tenderness after starting estrogen plus progestin hormone replacement therapy were at significantly higher risk for developing breast cancer than women on the combination therapy who didn’t experience such tenderness, according to a new UCLA study. The research, published in the Oct. 12 issue of the Archives of Internal Medicine, is based on data from more than 16,000 participants in the Women’s Health Initiative estrogen-plus- progestin clinical trial. This trial was abruptly halted in July 2002 when researchers found that healthy menopausal women on the combination therapy had an elevated risk for invasive breast cancer. Researchers do not know why breast tenderness indicates increased cancer risk among women on the combination therapy, said the new study’s lead researcher, Dr. Carolyn J. Crandall, a clinical professor of general internal medicine and health services research at the David Geffen School of Medicine at UCLA. “Is it because the hormone therapy is causing breast-tissue cells to multiply more rapidly, which causes breast tenderness and at the same time indicates increased cancer risk? We need to figure out what makes certain women more susceptible to developing breast tenderness during hormone therapy than other women,” Crandall said.

his health Breast cancer isn’t only a woman’s disease

Breast cancer is a disease that affects more than 200,000 women each year, but a Geisinger physician cautions that women aren’t the only ones at risk. “Breast cancer is a disease that can affect men as well as women,” said Samir Kheiri, M.D., a hematologist and medical oncologist at Geisinger Medical Center. “While women are much more likely to develop breast cancer, men also have breast tissue that can develop cancerous cells.” Approximately 2,000 men are affected by breast cancer each year, Dr. Kheiri said, and nearly 25 percent of male cases are fatal. Affected patients are usually between 60 and 70 years old, and many have a family history of breast cancer or a genetic pre-disposition that puts them at risk. Exposure to radiation, high levels of estrogen and excessive use of alcohol are also factors that can increase a man’s risk of developing the disease. “Developing breast cancer is not something most men think about, but if lumps appear in the chest region, specifically around the nipples, patients should consult with their physician,” said Dr. Kheiri.

Hormone replacement therapy (HRT) also referred to as hormone therapy (HT), is a form of treatment designed to replace one or more female hormones. HRT comes in the form of a pill, patch, spray, gel or implant.

Women abused by intimate partners suffer higher rates of a wide variety of doctor-diagnosed medical maladies compared to women who were never abused, according to a new study of more than 3,000 women. Many of these health problems are not commonly understood as being associated with violence, such as abdominal pain, chest pain, headaches, acid reflux, urinary tract infections, and menstrual disorders. “Roughly half of the diagnoses we examined were more common in abused women than in other women,” said Amy Bonomi, lead author of the study and associate professor of human development and family science at Ohio State University. “Abuse is associated with much more than cuts and bruises.” Compared with never-abused women, victims had an almost six-fold increase in clinically identified substance abuse, a more than three-fold increase in receiving a depression diagnosis, a three-fold increase in sexually transmitted diseases and a two-fold increase in lacerations. Bonomi led the study, co-authored with researchers from the Group Health Research Institute and the University of Washington in Seattle, and published in the Oct. 12 issue of Archives of Internal Medicine.

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Research suggests high blood pressure increases risk of cognitive impairment High blood pressure is hard on the heart and blood vessels. It’s also bad for the brain, reports the October 2009 issue of Harvard Men’s Health Watch. A growing body of research indicates that high blood pressure, more formally known as hypertension, takes a toll on the aging brain. Although the details vary from study to study, the weight of the evidence suggests that high blood pressure increases the risk of mild cognitive impairment, vascular dementia, and even Alzheimer’s. Treating high blood pressure can reduce the risk of these feared

Diet. Reduce your sodium intake to less than 2,300 mg a day (or 1,500 mg if you have hypertension or are middle-aged or older). Reduce your intake of animal fat and processed foods. Eat lots of fruits, vegetables, whole grains, fish, and non- or low-fat dairy products. Exercise. Moderate exercise can help control blood pressure. Weight. Shedding 20 pounds can lower blood pressure 5 to 20 points. Alcohol. One to two drinks a day is okay, but heavy drinking can boost blood pressure. Stress. Winding down helps keep pressure down.

consequences of aging. Hypertension is also the leading cause of brain-damaging strokes. According to one study, hypertension increases a man’s risk of stroke by 220 percent. The good news is that treating hypertension is extremely protective; lowering the first number of your blood pressure reading (your systolic pressure) by 10 points reduces your risk of stroke by 44 percent. The Harvard Men’s Health Watch recommends that for your head, as well as your heart, it’s important to get your blood pressure down. Try these lifestyle modifications to lower your blood pressure:

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October Health Magazine