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It’s our commitment. To the community and to you. A community thrives when people get involved, people who care, people who are dedicated to their neighborhoods and their city. At First Merchants, our actions within the community are inspired by our ethic of service. It’s the same strong ethic that makes us equally enthusiastic about rolling up our sleeves and putting our skills and knowledge to work for you, to ensure your financial interests are protected and thriving. At First Merchants, we invest our skills, knowledge, experience, and dedication in service to you and our community.
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In This Issue
FEATURES
7 The Bird Flu Pandemic What You Must Know
8 Start Your Fitness Journey to Wellness The Holidays are a Perfect Time to Begin
10 Mouth Makeovers: The Price of a Perfect Smile
13 14 16 17 21
(It’s All) About Face Acid Reflex Relief Eye Rejuvenation Healthy Looking Contest Winner Financial and Physical Wellness Are They Related
22 Why Bother with Estate Planning any more? 26 Finally, a Simple and Inexpensive
Approach to Back Pain 28 The Definitive Guide to American Pie, Part 1
DEPARTMENTS 5 Teresa’s Thoughts 24 Healthy Relationships 30 Spiritual Health
32 Ask the Aesthetician 34 Publisher’s Point
ADVERTISER INDEX 25....Mary and Martha’s Exceedingly Chic Boutique 31 ........................................................VacuPractor 33 .....................................................Great Lengths 35.................................Hancock Regional Hospital Back Cover......................................Clark Appliance
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2.....................................................First Merchants 7 .........................................................Fitwize4Kids 12 ............................................................Mona Vie 12.............................................Migun Indianapolis 21........................................................Dr. Ratzman 25..........................................Bear Chase Golf Club
HealthyLiving 3
Letters to the Editor Cartera Media, Inc. Indianapolis Staff Teresa Tanoos, Editor-in-Chief Steve Carlock, Features Editor Susie Wade, Marketing and Sales Shawn Oertel, Advertising Business Manager Debbie Neibold, Circulation Manager Eduardo Francisco, Online Managing Editor IBJ Custom Publishing, Design & Layout
Contributors John C. Lowe, DDS Catherine Winslow, MD, FACS Jon D. Gabrielson, MD Kathy Berlin Steve Waldo Carol Juergenson-Sheets, ACSW, LCSW Kylelynn Ballard, LMA Diane S. Renforth Eric A. Manterfield, JD
HealthyLiving Magazine Suite A 5999 West Memory Lane Greenfield, IN 46140 317.891.3248 ph 317.891.3250 fx editor@healthylivinginfo.com
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HealthyLiving © 2006 Cartera Media, Inc. All information provided in this magazine is intended for your general knowledge only and is not a substitute for medical advice or treatment for specific conditions. You should seek prompt medical care for any specific health issues and consult your physician before starting any new fitness program.
4 HealthyLiving
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Teresa’s Thoughts
I
love the holiday season with its bright lights, music, traditions, family, friends, gifts, the celebration of Christ and the New Year and so much more. But for some people, the cold and darkness of winter can bring on the blues. If you are feeling lethargic, require more sleep, experience difficulty concentrating, have trouble performing simple tasks, or crave carbohydrates, you may have the winter blues or, more correctly, Seasonal Affective Disorder (SAD).
Fortunately, according to a recent study at Cornell University, 85% of those who have the winter blues can overcome these symptoms. Proven strategies include the following: •
Use a “light box” that emits high intensities of light of 2,500 to 10,000 lux (as compared to a normal light fixture that emits 250 to 500 lux). Most pharmacies sell them. The high intensities of light improve the mood of those suffering from the winter blues because they restrict the secretion of melatonin in the brain.
•
Exercise: walk, run, ski, sled or have a snow ball fight — get the juices flowing. One hour doing aerobic exercise outside (even with cloudy skies overhead) has the same benefits as 2.5 hours of light treatment indoors. Aerobic exercise rids winter blues sufferers from feelings of depression because it increases serotonin levels.
•
Eat larger portions of complex carbohydrates like pasta and rice, and healthy simple carbohydrates like fruits and fruit juices during meals. Carbohydrates are effective in increasing serotonin levels in the brain.
•
Sleep no more than 8 hours and expose yourself to sunlight in the early morning. Oversleeping can cause increases in levels of melatonin which can contribute to feelings of depression.
•
Consult with your physician about taking a medication such as Paxil, Prozac, or Zoloft, which increase levels “ of serotonin in the brain.
•
Read this magazine as it contains a variety of helpful information to make you look and feel better.
Kathy Berlin with Sports of all Sorts tells us how to regulate our diet and stay fit (pages 8-9); Dr. Catherine Winslow gives us tips on how to keep our eyes and our face looking young in two separate articles (pages 13 and 16), and Diane Renforth with First Merchants Bank provides insight on managing our money and staying financially fit (pages 18-20). This is especially important over the holiday season when financial pressures can be more extreme than at other times of the year. Carol the Coach helps us prioritize for the holidays (page 24) and Eric Manterfield with the law firm of Krieg DeVault provides tips on estate planning for life (pages 22-23). For those with back problems Russell Notestine introduces us to the VacuPractor, an easy to use and inexpensive device that helps many back pain sufferers (pages 26-27). Steve Waldo shares not only some Christmas thoughts (page 30) but also provides insight on the classic American tune, American Pie (pages 28-29). Of course, you must read our cover story about Dr. Lowe (pages 18-19). If you need a dentist, are contemplating cosmetic dental work, or, for that matter, have the winter blues, Dr. Lowe is the man to see. He is not only a skilled dentist, but a kind and charming individual who makes you feel better every time you see him. With dental chairs that massage your back, a refreshing water fall in every patient room, and the opportunity to indulge in free gourmet coffee and cookies during your visit you will not think of Dr. Lowe as a dentist, you will think of him as a friend. I do. Teresa Tanoos is a former news anchor and health reporter for NBC/WTHR-13, as well as a 25 year cancer survivor. Ms. Tanoos hosts the television series “Healthy Living with Teresa Tanoos™”. Ms. Tanoos is passionate in her quest to educate the public about the importance of being better informed about healthcare. To contact Ms. Tanoos e-mail teresa@healthylivinginfo.com.
WINTER 06
HealthyLiving 5
Bird Flu
THE BIRD FLU PANDEMIC W H A T
Y O U
K N O W
of taking care of an ill family member, simply not show up for work. The impact of a pandemic on America’s health care system will be overwhelming. Hospitals, managing their budgets more closely than ever before in history, consistently operate at 90% of capacity. When a pandemic occurs hospital hallways and nearby schools will be full of patients. Medical students, nursing students, and retired health care workers will be pressed into service. Similarly, only 105,000 mechanical ventilators are available in the United States. Approximately 80,000 of those are in use every day for routine medical care. In a pandemic, sufficient ventilators will not be available for individuals suffering from lung crippling influenza. Additionally, the economic implications of a pandemic are enormous. Factories will come to a halt as workers fall ill or refuse to leave home and expose themselves to the influenza virus. The United States relies on the exchange and supply of goods and services from all over the world, but with a pandemic borders will be shut, certain food supplies will be cut off, and a wide variety of medicines and pharmaceuticals will be unavailable or in short supply. Moreover, because the nation’s supply of chlorine could likely be cut off, water processing plants will not be able to fully function and city water will be unsafe. All the money in the world will not be able to purchase surgical masks and flu vaccine. For these reasons, you need to prepare now for the coming flu pandemic. At a minimum you should do the following: • Set aside a 4 to 5 week supply of nonperishable food in your home; • Stock up on a 2 month supply of water; • Purchase a 4 to 5 week supply of surgical masks (the sides need to be sealed, cloth across the face will not work); • Talk with family members about what to do in the event of a pandemic.
WINTER 06
An influenza pandemic will happen in the United States within the next few years according to infectious disease expert, Dr. Michael Osterholm. It is not a question of if a pandemic will occur, but of when a pandemic will occur. (A pandemic is an epidemic which spreads over a large region.) If Dr. Osterholm is right, America is destined for a devastating encounter with the influenza virus. Scientists are especially concerned about the bird flu because it is mutating in a manner similar to the virus that caused the 1918 Spanish flu which killed more than 40 million individuals worldwide. So far people have only contracted the bird flu through contact with infected birds. However, with 15 billion chickens in China alone, the odds are that a mutant virus of bird flu that can be contracted by humans will occur. Experts fear that the longer the virus circulates, the greater the odds that it will mutate to a strain that easily passes to humans. According to the U. S. Secretary of Health and Human Services, Michael Leavitt, it is anticipated that up to 90 million individuals in the United States will contract the flu and over 45 million will require medical attention. It is quite possible that over 2 million people will die during the 9 to 18 month duration of the pandemic. Some individuals estimate that the death toll will be significantly higher as more than 50% of those who have contracted bird flu elsewhere in the world have passed away. Influenza is especially contagious because individuals become infected with the flu virus a day before they feel sick. During that period of time the infected individual unwittingly spreads the virus on everyone with whom he comes in contact usually by coughing, sneezing, or shaking hands. Health care workers treating those who are ill will be repeatedly exposed to the virus. Many will become sick themselves or, in the interest
M U S T
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Start Your Fitness Journey to Wellness: The Holidays are a Perfect Time to Begin During the holiday season it is especially difficult to stay in shape—our regular exercise and diet habits typically get put “on hold” for gift shopping, movie watching, and attending holiday parties where scrumptious meals and unhealthy snacks are ours for the taking. Yet, in order to stay healthy we need to stay focused on both our diet and our fitness routine. We recently talked with Kathy Berlin, Sports Performance Director at Sports of All Sorts on the Northeast side of Indianapolis, to find out how her sports performance programs can help people reach their fitness goals: HL: How do you recommend individuals regulate their diet over the holiday season?
WINTER 06
KB: Watch what you eat and eat smaller portions. Preferably, eat healthy, but if you must have pecan pie, make it a very small piece. As a personal trainer, I help those that I work with understand a healthy diet. I send them information on nutrition. Food is the greatest medicine an individual can put in his or her body. And, it’s not just what you eat that day that affects your energy and stamina. It is also when you eat it. For example, what an athlete eats the week before can drastically affect how they perform during a practice or competition. Unfortunately, nutrition is a constant struggle as we have to combat fast food, busy schedules and poor eating habits. The better you eat, the better you will feel.
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HL: For those of us who are interested in just getting into shape and avoiding the extra pounds during the holiday season, what do you recommend? KB: As Nike says, “Just do it.” That is the best comment that can ever be made about exercise. And, with the holidays coming up, get out and do something. On average, most Americans gain one pound during the holiday season (not the five or six they think). The problem is, they don’t take that pound off afterwards so it adds up. If people just got out and walked for thirty minutes 5 to 6 times during this holiday season, they could avoid adding that single pound. My experience is that people struggle with the “too” syndrome: too busy, too tired, too cold, too hot, too expensive, too far, too stressed. Quit finding reasons to not do something. Too many fitness “experts” sugar coat the truth and tell Americans that they can lose weight by exercising 2 to 3 times a week for 20 minutes. If you want to lose weight, it takes 5 to 6 times a week; maintaining your weight and achieving HEART benefits takes 2 to 3 times a week. The consensus is that if you tell people to exercise 5 to 6 times a week, they’ll be discouraged and not do anything. However, people need to know the truth and the truth is the vast majority of Americans need to exercise. It does not have to be an elaborate weight or cardio program lasting 45 to 60 minutes. Take your dog for a walk 5 to 6 times a week. Too cold? Bundle up. Too stressed? Exercise is excellent for relieving stress. Too busy? This is your health – your life —we are talking about. You need, you must, make time for yourself and you need to do it now!
HL: With respect to your particular expertise, what is the difference between sports performance training and regular training/exercise? KB: Sports performance is geared toward making an individual more athletic. We focus on improving an athlete’s speed, power, agility, strength, balance and flexibility.
HL: What kind of programs do you offer and are there different levels of difficulty to accommodate varying skill levels? Do you offer personal training as well? KB: We offer speed and agility classes, weight training classes, power classes, and circuit training classes. Each class is geared toward a different goal and is often set up to accommodate a particular age, say 9 to 10 year olds or 15 to 16 year olds. We also have both a women’s and a men’s group, average age of 50 for the women and 45 for the men, who perform speed and agility drills as well as weight training. We also work with individuals one-on-one for both strength training and sports performance training. Many of my adult clients like the fact that they are “committed” to a workout by hiring a trainer.
HL: Do you recommend that only athletes enroll in your training sessions? KB: I consider every individual who performs an activity an athlete--the woman who is walking 2 miles a day, someone participating in a cardio class, the older adult who still plays soccer. These are not what people typically think of when they envision “athletes”. However, from the moment we learn to walk, we are working on “athletic” skills of balance, stabilization, and movement. Our program is unique in that we treat individuals as athletes, which means that we focus on functional training that helps with everyday life. Our 70-year old “athletes” (men and women) use free weights and bench, squat and deadlift, along with performing core and other functional training. In our philosophy, “there is a great athlete inside each of us.”
HL: What does it cost to enroll in one of your training programs? KB: Our training programs vary in cost, depending on the number of people in a group. If you are doing one-onone training, the cost is $55 per session (for 12 sessions). The group prices are categorized by athlete and adult programs. The prices for athlete group sessions are as follows: for 4 to 6 athletes, it is $200 per athlete, or $16 per session; for 11 to 15 athletes, it is $125 per athlete, or $10.40 per session. The athlete group sessions meet twice a week, for 60 minutes, for a six-week period. This gives the athletes 12 total hours of training. For adults, the cost is lower, as we usually focus more on resistance training and don’t do as much speed training. Therefore, for 6 adults the price is $120 per adult; for 8 adults the price is $100 per adult and for 10 adults the price is $85 per adult. In both types of group sessions, you get a break in the per-session price as you increase the number in your group.
HL: What is the most rewarding aspect of your job? KB: I love working with the athletes, regardless of his or her age. I have athletes who have been with me since 7th grade and are now juniors in high school. I have literally watched them grow as athletes and individuals. I enjoy going to their events and seeing them compete. I work with high school athletes who are in college and they email and send me pictures of their college events. I have adults who have worked with me for years that I consider to be good friends. This job is all about people and helping them achieve goals. My clients are wonderful people and I enjoy seeing each of them work toward their goals and being a part of that process.
WINTER 06
Kathy Berlin is the Sports Performance Director at Sports of All Sorts, located at 6002 Sunnyside Road, Indianapolis. With over 14 years experience in training and coaching, Kathy is dedicated to helping athletes of all ages maximize their potential by improving performance, decreasing injury risk, and educating athletes on nutrition and training. For more information about Kathy’s sports performance classes and other programs offered by Sports of All Sorts, please call 317.823.9555 or visit the company’s website at www.soasindy.com.
HealthyLiving 9
Mouth Makeovers
Mouth Makeovers: The Price of a Perfect Smile
A
By Dr. John C. Lowe, DDS re you embarrassed to smile in public? Do you grin with your lips together when your picture is taken? Have you caught people staring at your twisted coffee stained teeth?
Many reasons exist to want straight white teeth. You feel more confident. You are not afraid or embarrassed to smile in public. And, it is easier to chew your food when your teeth are configured properly. Put simply, a perfect smile is good for you and your health. Americans are more focused on dental hygiene and the appearance of their teeth than any culture or nationality. Consequently, it is increasingly less common to see someone’s “natural” smile. Consumers, inspired by celebrity ivories on television, the silver screen, and in magazines, have become less tolerant of discolored, twisted, or chipped choppers. In response, Dentists have become more aesthetically aware of patient interest in pursuing the perfect smile. For these reasons, cosmetic dental procedures requested in the U.S. have grown substantially over the last ten years. The American Academy of Cosmetic Dentistry estimates that athome whitening products have become a $300-million-plus market,. Of course, the inlays that result in a perfect smile often require substantial financial outlays. Depending on how major a change a person seeks in their smile (and the condition of the teeth to begin with), terrific teeth can cost anywhere from $300 for basic brightening to nearly $100,000 for a complete restructuring of your mouth including some plastic surgery. Fortunately, such a complete restructuring is seldom necessary, and rarely suggested. Common cosmetic dental procedures and their typical costs include the following:
Bleaching:
WINTER 06
The most requested cosmetic dental procedure by far is teeth bleaching. According to the American Academy of Cosmetic Dentistry, it is the “biggest bang for the buck” at $400 to $1,200, depending on your needs and the procedure used. Whitening can cause sensitivity or inflammation of the gums. Also, creating a uniform color for all your teeth can be a problem as whitening is ineffective in bleaching prior dental work such as crowns, veneers, or fillings. If overdone, teeth can become unnaturally, “glow in the dark” white — you don’t want that.
10 HealthyLiving
Braces or Invisalign: Braces are frequently seen in high school corridors and, increasingly, in corporate boardrooms. According to the American Academy of Cosmetic Dentistry, braces are the second most requested cosmetic service in America. Patients can either wear braces or use a less noticeable system such as Invisalign— clear plastic trays worn over teeth that gradually shift them. Invisalign costs more than traditional braces, but the trays can be taken off in social circumstances. Braces often cause discomfort and gum tenderness when they are applied or tightened. At a cost of $1000 to $5000 per mouth, braces are not cheap, but affordable financing is usually available.
White Fillings: Filings no longer need to be silver or gold. White fillings last longer, don’t conduct heat or cold, are relatively easy to repair (metal fillings must be replaced), bond to the tooth (metal is just a filler) and add strength to the tooth (metal weakens it). White fillings also expand at about the same rate as a tooth when heated, while metal expands faster and can cause cracked teeth. Plus, white fillings look better. At $150 to $700 per tooth, white fillings are relatively inexpensive, but are not always covered by insurance.
Tooth Reshaping: Reshaping is a very simple and fairly common procedure in which a dentist uses sandpapered discs or a drill to change the shape of the tooth by making it smaller, rounder or smoother. When used to smooth out a chip, it often prevents a tooth from rechipping. At $100 to $500 per tooth, reshaping is relatively inexpensive.
Bonding: At $500 to $1000 per tooth, bonding is a less expensive and less permanent alternative to veneers. Bonding can be used to change the color and shape of teeth, close gaps, cover chips and fix other flaws. Bonds are typically made from resins that match the color of existing teeth. You should know that to affect the bond, a small portion of tooth structure must be removed. Bonds can chip, discolor and wear over time, and may need to be touched up from time to time.
Veneers: Thin porcelain coverings (veneers) are placed on the tooth to correct discoloring, chips, abnormal shape, and other flaws. Veneers may be used to close spaces between the teeth or fix a large gap between front teeth. They do require some removal of tooth structure. Veneers cost $1,000 to $2,000 per tooth and may need to be replaced over time.
Crowns (Caps): A crown, like a hat or cap, is placed over a tooth to change the shape or color of a tooth, or to cover broken teeth or chips. Crowns can be made of gold, porcelain or a combination of both. Crowns cost $1,000 to $3,000 per tooth. As with bonding, crowns require part of the underlying tooth structure be removed. Crowns can break, chip, or come loose unexpectedly. Also, gold crowns conduct heat and cold and, through expansion, have been known to crack teeth nearby.
Bridges: Similar to a bridge over a river or highway, bridges may be used in your mouth to close gaps or replace existing teeth. For example, if a front tooth is knocked out, a crown can be placed on each tooth on either side, and a third crown (or bridge) is fixed in between to fill the space. Bridges typically cost $1,000 to $3,000 per tooth. If problems with your bridge work arise, the entire bridge often must be replaced.
Implants: Implants are a very drastic and invasive procedure used for lost or severely damaged teeth. The implant procedure requires surgery to place the implant in the jawbone. The implant is then connected to a metal anchor, and a crown is placed over it. An advantage over bridgework is that neighboring teeth are not affected. At $3,000 to $5,000 per tooth with abutment and crown, implants are expensive. A small percentage of implants fail and must be removed especially if you are a smoker, diabetic, or have osteoporosis. With all these advances in cosmetic dentistry, a perfect smile is available for anyone. Of course, the price of the perfect smile depends on the current condition of your teeth.
WINTER 06
To learn more about Dr. Lowe and his practice, Contemporary Dental Concepts (CDC), visit www.indycdc.com or e-mail dr.lowe@healthylivinginfo.com.
HealthyLiving 11
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12 HealthyLiving
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What women are talking about
(IT’S ALL) ABOUT FACE By Catherine Winslow, M.D., F.A.C.S.
N
atural restoration of beauty in the face is the most common request from patients seeking to look as good as they feel. Today, rejuvenation does not require a general anesthetic, post-operative nausea, pain and significant time off work. Many options exist to achieve personal goals depending on time, financial constraints and objectives. When is the right time to get started? Basically, when you start looking older than you feel. The younger the process starts, the less the face needs to look refreshed, and the longer the results will last. It is never too early to start good skin care and sun protection to protect and maintain your look. You may be surprised at the little things that make huge improvements for you! Before/after chin implant
The standard facelift has seen some refinements over the years as well. A more natural look, and one that ages well, is achieved by pulling upward on the jowl, restoring volume to the cheeks and rejuvenating the face and neck. Incisions are well hidden, and the down-time in my practice has been minimized to about 10 days. I use the Aesthera PPx on all patients after one week to “zap” bruises. This has made a tremendous difference in getting patients back to work sooner. Herbal supplements and dietary changes are used to minimize down-time as well. Procedures can be combined- I offer Threadlifting with blepharoplasty, for example, to maximize results. My experience as an expert in plastic surgery of the face and neck has allowed me to perfect techniques for a natural rejuvenated look that keeps people guessing. I take great pride in knowing most of my clients are asked what they did to their hair, not who their surgeon is. That is the perfect scenario for successful enhancement, not gross alteration.
Before/immediately after Juvederm Everyone is seeking a minimally invasive, minimal downtime fountain of youth. That is possible today, with several options: 1. Botox. This is wonderful for minimizing forehead furrows and crows feet. 2. Injectable fillers. A variety of filler options exists, with the key differences being cost and longevity. Fillers restore volume to the lips, smile lines and folds with no down-time. The newest filler, Juvederm, offers wonderful results and may be longer lasting than comparable treatments, with less swelling and lumpiness.
About the author: Catherine Winslow, MD, FACS, is one of the most qualified surgeons in the nation to give cosmetic options and results to clients. A fellowship trained facial plastic surgeon, Dr. Winslow is a former Consultant to The White House and Chief of Facial Plastic Surgery at Walter Reed Army Medical Center. She serves as a Board Examiner after achieving the highest board score in the nation. She recently was awarded the TorchBearer Award by the State of Indiana. She.is an Assistant Professor at Indiana University School of Medicine, and has a private practice in Carmel, Indiana.
Winslow Facial
Plastic Surgery 755 West Carmel Drive, Suite 116 Carmel, Indiana 46032 • 317.814.1104
WINTER 06
3. Skin treatments. Chemical peels, dermabrasion and laser resurfacing can take years off the face with minimal downtime and little pain. 4. Contour Threadlift. A minimally invasive suture with barbs in one direction, this “mini-lift with a string” is done in the office under local anesthesia. 5. Chin, lip and cheek implants. Implants allow for permanent volume restoration and are placed under local or light sedation. Chin implants greatly improve neck contour as well. 6. Neck liposuction. Also performed under local or light sedation, fat removal in the neck leads to significant improvement in neck contour (making the turkey gobbler quiet!). 7. Mini-lift. A modification of the facelift, the down-time is about one week, and it can be done in the office under sedation.
Actual pre and post-operative views after mini-lift For more before and after photos, visit www.indyface.com
HealthyLiving 13
Acid Reflex Relief
Acid Reflex Relief More Americans suffer from Acid Reflux at this time of year than any other. According to the American Gastroenterological Association, roughly 10 percent of the population experiences heartburn or acid reflux symptoms at least once a week. The reason for this pattern of suffering is simple; we eat more at this time of year than any other. We eat because of the holidays. We eat because we are cold. We eat because we are depressed. And we eat because we have nothing better to do. For whatever the reason, we eat and we experience heartburn and acid reflux. To provide our readers with insight on how to secure relief from this common problem, the editors of Healthy Living Magazine talked with Dr. Jon Gabrielsen, MD (Dr. JG) at Hancock Regional Hospital and Tom Franceschini (TF), the Clinical Director of the Heartburn and Swallowing Disorders Center at Hancock Regional Hospital.
HL: If I have heartburn or acid reflux on a regular basis, should I be concerned? TF: Many Americans have heartburn on a regular basis. Forty-four percent experience reflux at least once per month. However, you should be concerned if you are constantly popping antacids or your symptoms are unrelenting. Twenty percent of those who experience reflux need a doctorâ&#x20AC;&#x2122;s care.
HL: How do you tell common heartburn from Gastroesophageal Reflux Disease (GERD)? Dr. JG: The three primary signs of GERD are heartburn, regurgitation, and trouble swallowing. Additional symptoms include getting full too quickly, abdominal pain or nausea after you eat, and bad breath that has the smell of sulphur. If you have one of these symptoms every now and then, you probably do not need to be concerned. If you have one or more of these symptoms on a regular basis you need to see a physician.
HL: If you do not have heartburn is it still possible that you have GERD? TF: The symptoms of GERD are not always consistent. Fifty percent of those with GERD do not experience heartburn.
HL: If I do not have heartburn, does that mean I have nothing to be concerned about? Dr. JG: No, heartburn is just one symptom. If you are experiencing some of the other acid reflux symptoms such as regurgitation, trouble swallowing, abdominal pain, or nausea on a regular basis you need to see a physician right away to address the true underlying cause of such symptoms.
WINTER 06
HL: What is GERD? Do GERD sufferers really need to be concerned?
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Dr. JG: Gastroesophageal Reflux Disease is a condition in which the liquid content of the stomach regurgitates (backs up or refluxes) into the esophagus. This liquid back up can inflame and damage the lining of the esophagus. The type of esophageal damage and health problems which may result from GERD varies but may include ulcers, asthma, larynx inflammation, lung infections, sinus infections, and sometimes cancer. Esophageal cancer is the fastest growing cancer in the United States and is of particular concern.
www.healthylivinginfo.com
HL: What causes GERD? Dr. JG: The causes of GERD are many and complex. We have seen several instances where GERD was caused by an individual wearing clothes that were too tight, but the cause of GERD is usually not that simple. Typical causes of GERD include malfunctioning of the lower esophageal sphincter (LES), hiatal hernias, defective esophageal contractions, and abnormal emptying of the stomach. The LES is a ring of muscle that surrounds the lower most end of the esophagus where it joins the stomach. A proper functioning LES muscle prevents acid from the stomach from coming into the esophagus. Malfunctions of the LES can occur for a variety of reasons and result in acid reflux.
HL: If an individual has GERD, what should they do to obtain relief? TF: If you only experience acid reflux or heartburn every now and then, over the counter antacids such as Tums or Maalox usually work. If you experience GERD on a regular basis as many Americans do, you need to see your physician. Typically a prescription medication such as Nexium or Prilosec can be helpful.
HL: Many individuals do not like to rely on prescriptions, what can be done to minimize reliance on prescription medication? TF: Where applicable we always recommend lifestyle modification. GERD symptoms can often be addressed by reducing the intake of high fat foods, alcohol, and carbonated beverages. Individuals with heartburn or acid reflux problems also should not smoke. Similarly, being physically fit reduces the chance that you will have GERD. Exceptions exist, but I have seldom seen a physically fit individual with GERD. It is no coincidence that as obesity in America has become more prevalent so has GERD and the health problems related to GERD.
HL: If lifestyle modification does not work, what can an individual with acid reflux do to obtain relief? Dr. JG: I cannot emphasize enough the importance of seeing a licensed physician. Prescription medication often will resolve the problem. More prescriptions are filled each year for acid reflux than for any other category of health problem. However, prescriptions are not always the answer, surgery may sometimes be necessary.
HL: Do the prescription medications on the market really work? Dr. JG: The short answer is yes, the prescription medications on the market work very effectively. However, individuals frequently do not take their medications as prescribed. For example, acid reflux sufferers are usually given a prescription that requires them to take their medication once or twice a day, but they often only take their medicine when they experience heartburn or an acid reflux symptom. If the medicine is not taken properly, it will not work properly. Also, some acid reflux problems simply must be addressed by surgery.
HL: What type of surgery is typically performed? Dr. JG: The type of surgery necessary depends upon the underlying problem. Sometimes an endoscope can be used to repair internal esophageal problems. On many occasions minimally invasive laparoscopic surgery is necessary. Laparoscopic surgery, for example, is frequently used to repair hiatal hernias. Such surgeries are very common and very successful. Over 75,000 GERD related surgeries are performed each year.
HL: What is a hiatal hernia? TF: A hiatal hernia occurs when your stomach pushes up through your diaphragm. When this happens the diaphragm, which was helping the lower esophageal sphincter (LES), exerts pressure either unevenly or in a different location than the LES resulting in the reflux seal being out of sync and more susceptible to leakage.
HL: What is the one thing you want our readers to know about GERD? Dr. JG: I want Healthy Living readers to know two things: 1) Eat healthy. If you eat healthy food in reasonable portions you substantially reduce the risk of GERD; 2) If you are frequently experiencing GERD symptoms see a physician as soon as possible. GERD can cause serious health problems including depression, asthma, lung infection, and cancer. Effective medications and procedures exist that can relieve your suffering.
Dr. Jon Gabrielsen, M.D., F.A.C.S., is a general surgeon in Greenfield, Indiana and the Medical Director of the Heartburn and Swallowing Disorders Center at Hancock Regional Hospital. His father, Cam, and his grandfather, Ted, are also both general surgeons at Hancock Regional Hospital. Tom Franceschini, M.S., C.C.C. is the Clinical Director of the Heartburn and Swallowing Disorders Center at Hancock Regional Hospital. WINTER 06
HealthyLiving 15
The Eyes Have It!
Eye Rejuvenation By Catherine Winslow, M.D., F.A.C.S. The eyes have it… and if “it” includes bags, wrinkles or furrows, an aged, angry, sad or tired look is the result. The eyes are the windows to the soul, and you don’t want saggy curtains around them! Rejuvenation of this region- the forehead, upper and lower eyelids and midface- is one of the most requested procedures in facial cosmetic surgery today. The benefits are enormous- from perking up one’s self-esteem to competing in the job market more effectively. My patients want a fresher, more youthful look that appears very natural and is difficult or impossible to tell that cosmetic surgery was done. With surgery around the eyes, the “wow” factor can easily be achieved, leaving friends and family guessing.
Other minimally invasive options include the Contour Threadlift for suspending the midface. This procedure is done in the office with local anesthesia, results are immediate and downtime is minimal. Surgical options can make dramatic changes to the eye and brow complex. If visual field obstruction is present from overhanging skin, some of this may be covered by insurance. A droopy brow can be lifted to restore an open, bright expression to the eyes. Incisions are usually hidden well by the hair. Eyelid skin can be removed, and fat around the eyes redraped or removed to freshen the eyes. Bags under the lower eyelids can be tightened at the same time as upper eyelid and brow surgery to restore youth to the entire complex. Restoring youth to the eyes and face is an exciting, positive experience for most clients, who feel that their appearance after surgery better matches how good they feel. Procedures are designed to produce maximum results with minimum downtime, and the youthful changes are sought by workers trying to increase their competitiveness, as well as people who simply are tired of having people ask if they are sad or angry. Surgery is surprisingly affordable and painless, and is quickly becoming overwhelmingly accepted (if not expected!) by society.
ABOUT THE AUTHOR:
Before/after brow and upper eyelift The aging process becomes noticeable as we enter our thirties and
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forties. Several changes occur that lead to “old eyes:” The tail of the eyebrow starts to drop, making extra eyelid skin noticeable. Muscular contraction causes wrinkles in the forehead, crows feet and between the brows. Eyelashes become sparse and short, and the fat pad on the cheekbone drops. This forms hollows under the eyes and allows the fat in the orbit to bulge. The skin shows signs of sun damage, to include fine lines, irregular pigmentation and loss of elasticity. Improvments can easilty be accomplished with a variety of minimally invasive techniques, or more formal surgical options. Botox works beautifully for wrinkles caused by muscular pull. These include the crows feet, forehead furrows and deep lines between the brow. I usually do not recommend a filler for the lines between the brow, due to the well-known complication of tissue necrosis (death) leading to a scar. Fillers such as Restylane and Juvederm work well for the hollows or tear trough under the eyes. Resurfacing with a chemical peel can dramatically improve fine lines and skin elasticity under the eye non-surgically with minimal down-time.
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Catherine Winslow, MD, FACS, is one of the most qualified surgeons to describe options for clients. A fellowship trained facial plastic surgeon, Dr. Winslow was asked to serve as the first Otolaryngology Consultant to The White House while she was Chief of Facial Plastic Surgery at Walter Reed Army Medical Center. She achieved the highest board score in the nation on hers ubspecialty boards, serves as a national board examiner, and is in private practice while holding an Assistant Clinical Professorship at IU School of Medicine. Recently awarded the Torchbearer Award by the State of Indiana, she is an expert in facial cosmetic and reconstructive surgery.
Actual pre and post-operative views ; lower eyelift No fat was removed but the midface was lifted
For more before and after photos visit WWW.INDYFACE.COM. .
Winslow Facial Plastic Surgery 755 West Carmel Drive, Suite 116 Carmel, Indiana 46032 • 317.814.1104
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Healthy Looking Contest Winner
T
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he winner of our Healthy Looking contest is Cynthia Nord. We had many wonderful contestants, including several that really tugged at the strings of our heart, but we could only select one winner. Cynthia, or Cindy, is a former Colts Cheerleader, tragically injured in an auto accident 11 years ago, which damaged her spinal cord and left her a quadriplegic. Due to the variety of strong medications Cindy has taken for years to manage her chronic neurological pain, her once beautiful teeth have decayed. Additionally, as a quadriplegic she cannot apply her own make-up or comb her own hair. In order to care for Cindy, her mother Sherry had to quit her high paying and time-consuming job with Anthem. To pay for their basic needs, Sherry now works as a college professor, giving her more time and flexibility to assist her paralyzed daughter. While Sherry is teaching, a home health aid helps Cindy eat, dress, groom and get out of bed. To make matters worse, Cynthia’s wheelchair accessible van was stolen, just one week after she applied to the Healthy Looking contest. At that time, her 20-year high school class reunion was coming up, and Cindy was very concerned, not only about how she would get there – especially since she had worked so hard at planning the event – but also about how her face would look with the premature wrinkling brought on by years of severe pain and anguish. Upon hearing about Cindy’s situation, many friends of Healthy Living with Teresa Tanoos™ volunteered to help her look and feel better. Dr. Catherine Winslow (Winslow Facial Plastic Surgery) provided Aesthera PPx laser treatments, as well as Restylane and Botox injections to fill in Cindy’s “laugh” lines and frown wrinkles. Ashli, one of Dr. Winslow’s aestheticians, gave Cindy semi-permanent 3-D eyelashes for the illusion of mascara-lengthened lashes. Dr. John Lowe (Contemporary Dental Concepts) provided dental veneers and a Zoom whitening treatment to give her a prettier, brighter smile. Deb Lee (Meridian Design Group) gave her a new hair color with highlights and an easier to care for hairdo. Kate Chu (Winslow Facial Plastic Surgery) added permanent eyeliner and eyebrow color to Cynthia’s face so she would no longer have to worry about her inability to apply makeup. Mary and MARTHA’s Exceedingly Chic Boutique (Carmel) donated a stylish outfit and classy accessories to Cindy to wear to her 20-year high school reunion and ABSOLU SPA & SKINCARE provided a manicure and pedicure. Furthermore, a local attorney, Robert Smith (Law Offices of Smith and Wade) negotiated on Cindy and her mother’s behalf with their auto insurance company, and was able to secure a newer replacement van for them within a few weeks. Cindy was not only able to make it to her reunion, she was able to go with a completely new look and a fresh smile. Cindy is now working endlessly on raising funds to undergo an experimental stem cell procedure, only available in Beijing, China, which has helped restore varying amounts of movement and control to others suffering from paralysis. It is Cindy’s hope and prayer that she can raise the amount of funds needed for the special operation, and that she will be able to walk again. For more information about Cindy’s story and the stem cell procedure, plus how you can contribute to her cause, go to www.cynthiashopetrustfund.com. Cartera Media and Healthy Living with Teresa Tanoos magazine wants to publicly thank the above listed individuals and businesses who contributed their valuable time, talent, products, and services to making the Healthy Living contest a success. This was an expensive, but very worthwhile undertaking. We know that Cynthia and her mother are also extremely grateful.
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By Diane S. Renforth VP Senior Wealth Advisor First Merchants
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Financial and Physical Wellness
Do attitudes toward money affect stress and your health? During the holidays, Americans tend to spend and accumulate more consumer debt than normal. Does this consumer debt affect your health and the well being of your family? That was one of the questions posed to a group of Wellness Professionals at a recent National Conference on Finance and Wellness. The group surveyed came to three significant conclusions.
Money is the number one concern of the average family. Two out of three rated personal finance issues as their number one concern, surpassing crime, drugs, national debt and health. Ninety percent of those surveyed felt they did not have enough money.
Money matters affect health. Ninety percent agreed that money and attitude toward it had a significant effect on stress. One Hundred percent agreed that worry over money could cause psychological and physical health problems.
Effect of money on health is underestimated. All (100%) of the wellness professionals surveyed considered finance a wellness issue. Yet few, if any, financial wellness programs are available. Sixty-five percent agreed it would be difficult to practice healthy lifestyles when worried about money.
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While enlightening, this survey raises a troubling question. What are the potential negative effects of stressing over finances? Although financial concerns in and of themselves cannot be directly linked to health issues, the stress caused by worrying over finances can. >>>>
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Financial and Physical Wellness In a recent study conducted by the “Center for Financial Well Being”, Hampton, Virginia, worry over money was sited as the number one cause of stress in marital problems and low self-esteem. Stress can seriously affect physical and mental wellbeing. It can decrease our quality of life by reducing feelings of pleasure and accomplishment. Stress can affect our bodies in many negative ways both physically and psychologically. Stress can cause: Heart disease, stroke, high blood pressure and, in some cases, heart attacks and death. Unstable angina—chest pain due to lack of oxygen to the heart. Psychological disorders, anxiety disorder and depression. Increased risk of infection. Chronic stress breaks down the immune system leaving people more vulnerable to colds and flu. Digestive problems, and can also predispose a person to peptic ulcers. Weight loss or gain, diabetes, lower back pain, sleeping disorders. Skin conditions such as acne, hives, psoriasis and eczema. Sexual and reproductive disturbances.
So how do we achieve good financial health? First, seek good financial council. Second, there are some fundamental principals you can follow while on your journey to financial wellness: Live within your means – Many people lack a disciplined approach to managing their household cash flow. Implementing a simple budget can help you take control of your money and lay a strong foundation toward financial security. Don’t spend money you don’t have – The misuse of credit is the number one cause for personal financial stress. Do not use credit cards to pay for common living expenses. Access a copy of your credit report through Experian, Equifax or Trans Union and learn how to read it. Financial Institutions use your report and FICO score to decide your credit worthiness. Establish an emergency fund or savings account – Savings and investments are two different things. Savings are short term rainy day funds in case something happens. A good rule of thumb is to set aside 3-6 months of your current living expenses in a reserve account. Pay for your retirement first – Do not invest for your retirement with what you have left over, after you pay everyone else. You will never retire. You should work retirement savings into your household budget. A guideline would be saving 10 – 15 % of your gross income out of each paycheck. Protect and preserve – Having a proper Estate plan in place is as important as building your financial security. An estate plan will not only ensure your desires are fulfilled at death but can provide protection (and relieve stress) for your family members, as well as possible tax benefits. Learn – Get involved with your entire financial future. Read magazines and books, take classes, seek counsel, and be informed.
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Get professional help – Find a good financial counselor such as a wealth advisor, and utilize an attorney and CPA. These professionals are educated in all areas of financial wellness. They can help you navigate through what can sometimes be a very complex arena, ensuring you the greatest opportunity for financial success. For these reasons, next to physical health, financial wellness should be one of the most important goals for individuals and families. However, achieving this goal can often seem like a struggle. Why? We are living in a time in history like no other. There are more choices, tools and resources available to us than any other generation in history. But resources, choice and information alone are not enough. People are looking for sound advice. Indeed, it has been found that the lack of a financial plan is often a source of stress for those who have adequate financial resources. A survey conducted by Amex in 2002 stated that sixty-one percent of those surveyed experienced moderate to high levels of financial stress when they could access their retirement accounts but had no professional advice.
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Finally, healthy living is about achieving a healthy balance in all areas of life—mental, physical, emotional, spiritual and financial. Make time for yourself, and enjoy the journey. **Sources: Diseases and Conditions Encyclopedia, Center for Financial Wellness, article 10/94 and American Express survey 2002.
Diane Renforth is a Vice President and Senior Wealth Advisor for First Merchants Trust Company With over 18 years experience, she is an accomplished and dedicated Banking and Financial Services professional. Her diverse background spans the areas of Wealth & Investment Management, Planning, Trust, Merchant Services, Retail and Private Banking.
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Estate Planning
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The
Eric A. Manterfield is a partner in the Indianapolis law firm of Krieg DeVault LLP, where he concentrates his practice in estate planning and family business succession planning. The information in this column is not intended to be legal advice. If you would like further information, Mr. Manterfield can be reached at (317) 238-6202 or emanterfield@kdlegal.com.
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recent publicity about estate tax reform and repeal may have led you to believe that you no longer need to do estate planning. You are mistaken. No matter what your financial and family situation, estate planning is strongly advised. Even if you no longer have death tax concerns because of the large amount ($2 million currently) which you can leave tax free when you die, you still need to arrange your affairs so you can pass your assets to family members, charities and others in a thoughtful manner. Your Last Will and Testament gives your assets to those you intend to benefit when you die. You can change your will before you die as your circumstances and wishes change over time. A will is your opportunity to give specific assets to those people who would most enjoy or could most use them. Many wills include gifts of specific items of jewelry to children, in-laws, neighbors and friends. Similar gifts are made of art work, family mementoes, vehicles and so forth. Your will typically goes on to dispose of the rest of your assets, either outright or in trust. This will depend on your own situation, of course. The married couple without children may wish to leave all their assets to the other spouse at the first death. But where do their combined assets go when the surviving spouse later dies? Their wills might provide that the assets are to be divided between their two families. The married couple with young children may wish to put all their assets in trust when both parents have died. The trust can be for the benefit of all the children, to ensure they have the opportunity to complete their education. When all the children have at least had an opportunity to graduate from college, the remaining assets can be divided among them. The single parentâ&#x20AC;&#x2122;s will typically places assets in trust for the benefit of the children. While a former spouse may ultimately become the guardian of minor children, the single parent can name the trustee who will manage the assets for the benefit of the children even though the children themselves are in the custody of a former spouse. The couple in a second marriage may have children from both prior marriages. They may want the husbandâ&#x20AC;&#x2122;s assets ultimately to pass to his children, the wifeâ&#x20AC;&#x2122;s assets ultimately to pass to her children and their assets to be divided between the two families. This cannot happen without wills. Your health care power of attorney specifies who can consent to your medical care if you are unable to do so
yourself. If you give this power to your spouse, I recommend you name some back ups in case both of you are down at the same time. Your durable general power of attorney specifies who can manage your assets and pay your bills if you are incapacitated for an extended period of time and cannot do those things yourself. Once again, you should name one or more back ups in case your spouse is unable to perform this function. Your living will expresses your wish that you not be kept alive artificially if your death is otherwise imminent and there is no hope for your recovery. It is clear that thoughtful estate planning is still required for everyone, even if you no longer have any death tax considerations. See your attorney for his or her advice and for your financial health. Do it now.
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Healthy Relationships by Carol Juergenson-Sheets,ACSW, LCSW Prioritizing for the Holidays Although the holidays are meant to be a time for reflection, gratitude and family spirit, many people feel the holidays contribute to stress and remind them of the dysfunction in their life. If holidays are habitually stressful or disappointing, take a pen out and identify the stressors that interfere with your ability to enjoy the holidays. Some examples may include lack of money, traffic, loneliness, family disharmony, perfectionism, or the strain of everything that needs to be done. Now, put a check mark next to the stressors that you know you can change. Do not concern yourself with those stressors that you cannot change and develop a simple plan for those stressors you can control. Remember, much of our life experience has to do with our attitude. Imagine how your life would be different if you consciously made the choice to enjoy the moment no matter what! If you imagine yourself having a happy holiday season, it is much more likely that you will experience a happy holiday season. Typical holiday stressors that you have to purpose to enjoy include the following:
After you prioritize what you want for the holidays, you need to decide how you will organize them to achieve the goal. Regardless of what you decide to honor this holiday season, be cognizant of the following:
Create expectations that you can control. Stay aware of what you can do to contribute to your own experience.
Keep expectations realistic. If the holidays represent intimate time with your immediate family and you have teenagers enjoy the time they want to spend with their friends. If the holiday is to honor your religious convictions, set up some time for daily devotions.
Don’t overbook. The holidays can easily become overwhelming, so keep them simple so you can really enjoy the events.
Schedule plenty of down time. Allow the holidays to be a time when you reflect and replenish.
Lack of family harmony: You can’t control how others
Stay focused on your priority. You may need to
get along. Don’t allow yourself to get caught up in the family strife.
Lack of money: Make the conscious choice to spend
remind yourself daily that your main focus will be to enjoy your family. If your mother-in-law is demanding, find other things to enjoy and focus on.
less this year. Your family will get over it.
Enjoy the present…not the presents. Notice what is
Loneliness: If you are alone for the holidays,
positive in your life and take it all in. Many people find the holidays difficult because of life stressors, such as loss of a loved one, divorce, or financial insecurity. Find opportunities to count blessings. You can always find opportunities for which to be grateful.
volunteer your time to help others.
Unrealistic expectations: Keep your expectations simple. When you depend on others you can set yourself up for pain. Lack of planning: As monotonous as this may sound, it’s important to write out an agenda for your holidays. This is a simple procedure that triples your productivity.
Cut this column out of your Healthy Living Magazine and place it somewhere visible to remind you to stay in the present and enjoy the holidays. From all of us at Healthy Living…Have a wonderful holiday!
Perfectionism: Remember, it is more important to enjoy the holiday than to have a perfect holiday. In fact, if you enjoy the holiday you will find that it is more perfect.
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Because preparation for the holidays can be stressful, it is important to stay focused on the present and keep your responsibilities simple. As you plan for “the season” it might be helpful to spend 15 to 20 minutes prioritizing what you would like to accomplish and then use these priorities to orchestrate your routine. Take a moment to check in with your values and decide what you would like to emphasize. Carol Juergenson-Sheets (a.k.a. “Carol the Coach”) is a licensed psychotherapist with the Indianapolis Psychiatric Associates (Phone 329-7313) with over 20 years of counseling experience. Tune into Carol’s LIVE call-in talk show each Saturday at 6 PM on WIBC/1070-AM or watch her TV interviews on Healthy Living with Teresa Tanoos™. If you have a personal question you would like Carol the Coach to address in future issues of the Healthy Living Magazine, e-mail her confidentially at coach@healthylivinginfo.com.
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HealthyLiving 25
VacuPRACTORâ&#x201E;˘
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Americans spend billions of dollars each year on lower back pain, the most common cause of job-related disability and a leading contributor to absenteeism. Back pain is the second most common neurological ailment in the United States â&#x20AC;&#x201D; only the headache is more common.
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www.healthylivinginfo.com
I have slept through the entire night (an unusual thing for me) and got up without the normal creaking, grinding and pain! I am going to continue to use it!?” The VacuPractor™ uses stretching to lengthen and relax muscles that are shortened through atrophy or in spasm, “The way you might treat a cramp in your calf by pulling up on the ball of your foot,” says Notestine. It’s the VacuPractor’s outward pull on the lower curvature that is unique to all other methods. Pulling out rather than lengthwise is the most effective use of pressures. Other advantages are: The user is in a comfortable, relaxed supine position. Only the area of the spine that needs change is changed. No pressure is applied to any other area. The VacuPractor™ is the only device that pulls straight out on the over-curvature in the lower spine (lordosis). These pressures working together stretch tired strained muscles allowing them to relax without medication. They also relieve pressure on the disks and nerves in this area. Patients have reported amazing pain relief and added range of motion after remarkably short term VacuPractor™ therapy. The VacuPractor™ is an excellent defense against lost time spinal injuries in the workplace. The VacuPractor™ is extremely safe but may not be appropriate for everyone. If you have advanced osteoporosis or symptoms of nerve damage, such as numbness, tingling or loss of strength in a limb, hand or foot. If you have a history of spinal surgery, check with your surgeon before using the VacuPractor™. If you have back pain accompanied by fever, chills, sweats or unintentional weight loss, see a medical doctor to rule out the possibility of an infection or tumor. If you have lower back pain, go to healthylivinginfo.com and find out more about the VacuPractor™. WINTER 06
The cause of back pain is simple: a downward, inward force is being applied to our lumbar region every time we stand. When we lift something that’s too heavy, or jump off the porch, or shovel too much snow, the extra downward forces and added shocks force the lower curvature of our spine inward. Over time disks become permanently more wedged shaped much like a piano’s hammers develop a flat side from years of striking the strings. This makes back pain progressive. Muscles behind the spine grow shorter over time because the increased spinal curve shortens the distance they need to span. As we age, less force is required to send muscles into spasm because the column becomes more curved and thus weaker. . There is never an upward outward pressure applied. Until recently, no treatment or mechanism existed to directly address the causes of lower back pain. Russell Notestine, a life long chronic back pain sufferer reasoned that no one would straighten a bent fork by pulling on the ends of the fork, much less pressure is necessary if the pressure is applied against the apex of the curve. Applying this logic Notestine came up with the idea of applying vacuum pressure against the apex of the lower spine curve from outside the body. Additionally, it occurred to Notestine that part of the prevalence of lower back pain is a result of a lack of spinal care education and maintenance. “We’ve all been taught to brush Air Pocket Sealed our teeth to stay out of a dentist’s chair. I don’t see that happening with lower back maintenance which really surprises me, it’s the second fastest growing surgery and it affects an estimated 80% of the population to some degree”. Using this logic Notestine came up with the idea of a Trapped Air Expelled revolutionary approach in spinal care. Trademarked the “VacuPractor,” the inexpensive device ($59.00) utilizes patent pending vacuum pressures and leverage to increase clearances between vertebra in the lumbar region and to stretch muscles which may be shortened or in Vacuum Pulls Spine Flat spasm relaxing them without medication. Initial test results with the product are extremely promising. Notestine has received many letters of praise. One user wrote, “… I have used the VacuPractor™ twice now. Both times it was right after I got home from work, and both times Pain Relieved
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Music Guide
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usic can tame the savage beast. It can inspire us and scare us to death. It can make us run longer and our workouts more enjoyable. The right use and dose of music can literally make us more healthy and happy. Don McLean recognized this and wrote about it in his song, American Pie. During the fall semester of 1971 (us Boomers were all in school then), Don McLean’s lament about American Rock ‘n Roll was released and eventually rocketed to the top of the charts as Boomers everywhere conversed about, conferred, and considered its meaning while they crooned its melodious tune. Opening with the death of singer Buddy Holley (1959) and ending just after the Rolling Stones concert at Altamont (1970), American Pie spans the “ten years we’ve been on our own” referenced in the third verse and speaks of McLean’s disillusion as the innocence of the 1950’s disappeared and the social experiments and excitement of the 1960’s ended without fulfillment or fruit. The meaning of American Pie’s lyrics has been debated for years. Over the course of the next three issues of Healthy Living, each verse and the chorus will be reviewed and explained. In this issue we will examine verse 1 and the chorus.
In the first verse of this autobiographical song, McLean nostalgically reflects back on the music of the late 1950’s that made him “smile,” “dance,” and “happy for a while.” This verse is punctuated by Buddy Holly’s death in 1959 which McLean read about and was touched by as a paperboy on a cold February morning (February 3, 1959). As will become clearer in the second verse, the death of Buddy Holly is correlated by McLean to the death of American music and America’s social innocence – “The day the music died.”
Verse 1:
Singing “this’ll be the day that I die,
M
A long, long time ago, I can still remember How that music used to make me smile And I knew if I had my chance That I could make those people dance And maybe they’d be happy for a while But February made me shiver With every paper I’d deliver Bad news on the doorstep I couldn’t take one more step I can’t remember if I cried When I read about his widowed bride But something touched me deep inside
Chorus: Bye, bye, Miss American Pie Drove my Chevy to the levee But the levee was dry Them good ol’ boys were drinkin’ whiskey and rye
This’ll be the day that I die.” The loss of America’s social innocence is repeatedly emphasized by the chorus. “American Pie” was not the name of the airplane that Buddy Holly died in as is often suggested (it was a no name, single engine Beechcraft Bonanza with serial number N3794N)2. “Miss American Pie” is a poetic amalgamation of being “as American as apple pie” and an allusion to the 1950’s goody two shoes image of Miss America. To McLean, Rock ‘n Roll was as American as apple pie and Miss America. “Drove my Chevy to the levee” alludes to 1950’s Chevrolet television commercials sung by Dinah Shore about driving “along a levee.” The Chevrolet itself is an iconic symbol of socially simple 1950’s America. The Chorus also conjures up the romantic image of going to a levee on a date. But McLean sees this image evaporating and the levee is dry.3 He concludes his Chorus with an echo of the Buddy Holly hit “That’ll be the Day” by lamenting, “This’ll be the day that I die.” [This is Part I of a Three Part Series. Look for “ The Definitive Explanation of American Pie, Part II” in our next issue of Healthy Living with Teresa Tanoos. ™]
The day the music died.1
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1 This article was written after an exhaustive review and study of information about American Pie at understandingamericanpie.com, songfacts.com, wikipedia.com, and rareexception.com as well as other web sites. 2 Found at fiftiesweb.com/crash. 3 It has also been suggested that the Levee was a bar in Rochelle, New York (now known as Beechmont Tavern) where McLean lived that was closed (dry), so the boys went to drink whiskey in Rye, New York a few miles South. In fact, both images work as is characteristic of this incredibly insightful poem/song.
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Waldo’s Thoughts by Steve Waldo
CHRISTMAS MEMORIES –
Or, Give Me a Comic Character Christmas We all have Christmas memories. For some it may be that red wagon or bicycle or Christmas dress that you always wanted. For others it may be sitting around the fireplace as you listened to a grandparent reading “Twas the Night Before Christmas.” For still others it may be the feast and fellowship of sitting around the table eating turkey, sweet potatoes, and pecan pie as you laughed and enjoyed the company of your cousins. For me, I remember waiting anxiously at the end of the hallway in our three bedroom home while we waited for Dad to set up his 8mm camera and all the lights it required. While he set up the camera, our mother made cinnamon rolls. With the sweet smell of cinnamon rolls enhancing our senses my two sisters and I elbowed each other for a superior starting position. At the sound of father’s “Okay” we raced down the hall at full speed before skidding to a halt on our rear ends in front of the Christmas tree. We would each shout with glee as we ripped open our presents showing each other and then the camera what we had gotten. Of course, this is not what Christmas is really about, is it? Christmas has become too much about gluttony and greed – media and marketing – Santa and Saks – mistletoe and Macy’s. We too often get so caught up in the celebration of Christmas that we forget what we are supposed to be celebrating. That brings me to my other great memory of Christmas. My parents wanted us to all watch “A Charlie Brown Christmas” together. It was 1965. I was ten and too old to be watching a cartoon on television, but I would do it to help my younger sisters sit still. My mother made popcorn (Jiffy Pop, this was before microwaves) and we all sat with our eyes glued to the black and white television (our only television set) in the living room. I still fondly remember that event. It would be politically incorrect for me to quote from the Bible at this point, so I will quote Linus from “A Charlie Brown Christmas” instead: And there were shepherds living out in the fields nearby, keeping watch over their flocks at night. An angel of the Lord appeared to them, and the glory of the Lord shone around them, and they were terrified. But the angel said to them, “Do not be afraid. I bring you good news of great joy that will be for all the people. Today in the town of David a Savior has been born to you; he is Christ the Lord.…. So they hurried off and found Mary and Joseph, and the baby, who was lying in the manger… The shepherds returned, glorifying and praising God for all the things they had heard and seen, which were just as they had been told. [Luke 2:8-20]
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Can you imagine? What a Christmas memory! That is what Christmas is really about.
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Steve Waldo is a freelance writer and an attorney who attended Dallas Theological Seminary. He is also a Sunday school teacher and speaks regularly on topics related to the application of spirituality and faith in today’s busy world. Steve welcomes your feedback and suggestions, so feel free to e-mail him at steve@healthylivinginfo.com or send a letter to the attention of Steve Waldo at Cartera Media, 5999 West Memory Lane, Suite A; Greenfield, IN 46140.
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Ask the Aesthetician with KyleLynn Ballard, Licensed Medical Aesthetician What is the difference between facials and peels? Facials are a feel good, relaxing deep cleansing of the skin. Typically they include cleansing the face and a masque application for 10 minutes followed by massage. Benefits include increasing the blood flow to the skin and removing dead skin cells from the surface to result in a healthy glow. Peels incorporate acid, which irritate the skin cells causing them to slough off, revealing the healthy plump skin cells underneath. This also causes the skin to go into “healing mode”, which jump starts the body’s production of collagen and elastin in the dermis to thicken the skin and soften fine lines and wrinkles. Peels range in strength and can be as mild as “no down time” (meaning you can immediately put on your make up and go about all normal activities) to being red, irritated, and having your skin peel for 3-5 days. Sun damage, skin condition, lifestyle and skin objectives will determine which one is right for you. Your aesthetician can help you determine what is appropriate for you.
Why do I need a peel? Skin cells are made at the base of the epidermis (the outer layer of the skin) and take 28-30 days to reach the surface of the skin when we’re younger than 30. After the age of 30 this process slows down. The older we are, the slower the process. As our regeneration slows, we see more roughness, dullness, fine lines, and increased hyperpigmentation (brown spots). Having a peel irritates those aging skin cells that have started to lose their moisture and plumpness, allowing the younger plumper skin cells underneath to be seen at the surface of the skin. A peel also stimulates the body to create more collagen and elastin, thickening the skin to minimize fine lines.
Healthy Living Magazine invites readers to send in their own questions for KyleLynn Ballard. Mail your questions to Ask the Aesthetician, c/o Healthy Living Magazine, 5999 West Memory Lane, Suite A, Greenfield, Indiana 46140 or simply email KyleLynn at kylelynn@healthylivinginfo.com. All questions will be kept confidential and names changed if selected for publication.
Help, I have acne! What can I do to get rid of it? Fortunately, we have many treatment options available! Depending on the severity of your acne it could be as easy to clear up as having a MicroPeel once a month along with using good cosmeceutical grade products at home. For more severe acne we would include Aesthera PPx Laser treatments once a month. Aesthera PPx System is the only laser FDA approved for the treatment of mild to moderate acne, including pustular acne, comedonal acne, and mild to moderate inflammatory acne (acne vulgaris). The new technology of “Photo Pneumatic Therapy” is virtually pain free! Treatments are once a month and usually require 5-6 treatments to achieve desirable results. Consultations are free and are required to determine which treatment is right for you.
What is a MicroPeel?
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A MicroPeel is a revolutionary new process that removes a micro-thin top layer of dead skin. The benefits are improved skin clarity, tone, and texture. Suitable for all skin types and conditons, this peel removes unwanted “peach fuzz” and includes Crygenic Therapy or “dry ice”, which kills bacteria and makes pores look smaller and skin feel smoother! No down-time is required and makeup can be applied immediately after the MicroPeel.
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Heads Up
A valued advertiser endorsement “I have seldom used advertising, so I did not know what to expect when I placed a one half page ad in the Healthy Living with Teresa Tanoos™ Magazine. When the magazine came out, I could immediately hear the results as my telephone started ringing. I especially like the idea that Cartera Media does not just sell magazine advertising, they offer exposure through television, internet, and radio promotions as well. More importantly, I like the Cartera Media staff—Teresa is especially personable and kind. They were not interested in what was best for them and their budget, they listened to my needs and came up with a plan that is consistent with my budget. I also appreciate that my advertisement did not get lost in a magazine that is 70 percent advertising. My ad stood out and was not lost in 12 consecutive pages of advertising – I like that!” “I look forward to continuing to work with Cartera Media and its resourceful staff. I highly recommend advertising in the Healthy Living with Teresa Tanoos™ Magazine and using Cartera Media’s unique cross promotional services.” Deb Lee, Beautician
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HealthyLiving 33
Publishers Point by Steve Carlock
I have been trained since childhood to watch what I eat. My parents, my teachers, even special classes on health preached the food pyramid, calorie reduction, more vegetables, less sugar, and so on. Although by no means phobic, watching what I ate had become natural. Now it appears that all that training has been for naught. Just like my six weeks of piano lessons that pulled me away from my valuable time on the basketball court and probably prevented me from enjoying a career with Larry Bird, now I find that the hours I spent agonizing over learning the values of whole grains and fiber is down the tubes. You see, we do not have to worry about food issues any more because our good government is going to take care of it for us. The New York Board of Health has banned Trans Fatty Acids (Trans Fat). The Chicago City Council has similarly proposed a Trans Fat ban. More importantly, the Chicago City Council has already vanquished the threat of foi gras (that brown pasty stuff made from duck and geese livers) which is prohibited by city council edict from being served anywhere within city limits. (It is my understanding that more than one Chicago eatery is secretly serving foi gras to select, but obviously uneducated, patrons in hidden basement dining rooms.) My wife and I are already discussing the merits of moving to New York or Chicago where we know that the digestive tracts of our family and friends will forever more be safe Vanquished Foi Gras from the lure of lascivious livers and the threat of transfixion to truculent Trans Fats. Moreover, in the event that the food police in New York or Chicago shirk their duties, we can take comfort in knowing that we could sue the establishment that trafficked in Trans Fat and bring an action against the city for its negligence in protecting our health and welfare. The millions of dollars we would collect in compensation would only begin to pay for the pain and suffering our arteries suffered from the ingestion of the insipid transmogrifying Trans Fat. Come on now, Trans Fat naturally occurs in the milk and body fat of sheep, cows, and humans. Does this mean that women can no longer breast feed? Will grocers be arrested for stocking milk on their shelves? Will we no longer see commercials with white mustaches? True, the National Academy of Sciences and the New England Journal of Medicine both have expressed concern that the consumption of Trans Fatty Acids results in considerable potential harm, including cardiovascular disease, and provides no apparent benefit. But this truth does not mean that laws need to be passed. It is also true that gravity pulls any item of weight to the ground. That does not mean that laws should be passed making it illegal to pick up any object heavier than a feather. We need to use common sense. We do not need more laws that defy it. Laws are like Trans Fats: we need fewer of them. Trans Fats in small amounts such as human milk and cow milk is acceptable. Trans Fats in large amounts (Crisco is 100% Trans Fat) can be harmful and contribute to cardiovascular disease. Mind your Trans Fats and have a Happy and Healthy Holiday season.
Restaurant Review
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If you are looking for a delicious dining experience try Sullivan’s Steakhouse. Featuring succulent steaks and seafood, an incredible wine selection, and the finest foi gras and cognacs, Sullivan’s is a lively restaurant that harkens back to the 1940’s (before my time, but so I am told). Also notice the black tablecloths. The black tablecloths were first recommended by local interior designer, Barry Lantz (a friend of Healthy Living Magazine), and are now featured in all Sullivan’s restaurants across the United States. The food is first rate, the service is superb, valet parking is free, and the atmosphere animated. I highly recommend it.
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