Vol. 13 No. 9 | SEPTEMBER 2012 | Complimentary
of Greater Milwaukee
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Eastern Wisconsin’s most advanced care for cancer is nearby. The Froedtert & The Medical College of Wisconsin Cancer Network offers an expanded array of cancer treatments and services at your own community hospital. New specialties, technologies and enhanced facilities are key to our continuous emphasis on excellence in cancer care. Our affiliation with eastern Wisconsin’s only academic medical center means nationally recognized Medical College of Wisconsin specialists work closely with physicians in your community to ensure the highest quality care experience for adult cancers. As members of the Cancer Network, Froedtert Health Community Memorial Hospital in Menomonee Falls and Froedtert Health St. Joseph’s Hospital in West Bend provide peace of mind through easy access to advanced care for cancer at locations close to you. Call the Cancer Network at 1-800-DOCTORS to schedule an appointment. Visit our website for more information about the outstanding community and patientcentered benefits of the Cancer Network.
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1-800-DOCTORS 8/16/12 8:09 AM
Ed SEPTEMBER/2012 www.mymilwaukeelife.com
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Dr. Patricia Thompson Women’s Health Forever Young Taking Care of Your Parents
Publishers Maureen & Tom Slattery Editor Cynthia Strayer Contributing Writers Judith Berger Kim K. Seidel Advertising Margo Lehmann Saran Piehl Art Director Nicole Hesse Graphic Designer Peggy Duffy Office Manager Paulette Koeppen To place a display ad Please contact our office at: 262-367-5303 Plus Publications 128 Cottonwood Ave. Hartland, WI 53029 Phone: 262.367.5303 Fax: 262.367.9517 www.mymilwaukeelife.com follow us on facebook at wisconsinwomanmagazine
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Sue ann says Susan Marshall
Recipes Book of the Month pets in fashion
From the Editor The month of September is here, and soon it will be the season of fall. And just like the changing seasons, our lives go through various changes, too. With each stage of our lives, from our childhood to teens, to adulthood, to parenting and beyond, there is change happening. All of these life changes are, or seem, to be related to age. Some examples, turning 16 and being able to drive, turning 18 and being able to vote, etc. It seems when we are young we can’t wait to grow up, and when we are older we long to be young again. Whatever the case may be for the life changes in your life, both aging and change are curious and sometimes uncomfortable parts of life. In this issue, our cover story features Dr. Patricia Thompson, an oncologist with the Cancer Treatment Center of America in Zion, Illinois. Dr. Thompson lives her life with “hope” as a close companion, a philosophy she shares with her patients. Born in Argentina, she grew up wanting to be a doctor. Then, in 1980, her parents moved her and her brothers to America to escape the military rule of terror from Jorge Rafael Videla. It would be a new beginning for all of them. That was Dr. Thompson’s first big change in her life, others would follow later—one that included her dream of becoming a doctor, a dream she pursued as a mother of four young children. Her story is truly inspirational. This month’s magazine also features a section dedicated to “Taking Care of Your Parents.” One of the main articles in this section deals with being part of the “Sandwich Generation.” As people live longer and others start their families later in life, there seems to be an increase in the number of people caught up in the Sandwich Generation, a group of people taking care of both their own families and their parents. This section also looks at some of the other aspects of being an adult with aging parents, including what discussions you should have, caregiving and more. Another aspect of aging is the change in our appearance. In this issue, we also feature a special advertising section that addresses the topics of staying “Forever Young.” One article I thoroughly enjoyed reading is on how attitude can affect the way we age. It discusses how those who remain positive tend to remain healthier and live longer, possibly because they tend to take better care of themselves and socialize more. I am sure you, too, will find the results of this article interesting. Our health focus this month is on “Women’s Health Below the Belt.” In this issue, we look at incontinence, gynecological cancers and women’s health and hysterectomies. We may not want to always discuss these matters, but they are extremely important to the health of women. We cannot ignore these issues as our lives may depend on it. Whatever stage of life you may be in, try to enjoy each moment making memories for yourself and your loved ones to always cherish.
Happy Reading! -Cyndi Strayer
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Led to Hope and Greater Meaning for Life By Judith Berger
r. Patricia Thompson travels the 40 minutes from her home in Salem, Wisconsin to work each day. She enjoys the drive. The quiet and the bucolic farmlands she passes by are perfect for reflection that brings perspective. At 61, she has a career she loves and a life she appreciates. After living in Florida for more than 25 years, she moved to Wisconsin in 2006 and took a position at the Cancer Treatment Center of America in Zion, Illinois She was starting a new life -- for the second time. As an oncologist, Dr. Thompson diagnoses and treats cancer -- specifically lung cancer and sarcomas. She has a unique philosophy when it comes to her patients. “I’m always focused on quantity and quality -- longer life versus better life. It’s a balance you try to achieve,” she said. She dedicates more than half her day to administering treatment, care and hope to her patients, and knows, better than most, “You have to make time for life.” A lung cancer diagnosis is not what a patient wants to hear. “Yes, but stage one is highly curable,” she said. “I’m here to care for my patients. They need to have hope. Hope comes in many forms. Hope for a cure. Hope for a better life. Hope not to be in pain. Hope to breathe more easily.” Hope has been Dr. Thompson’s close companion throughout her life. Born and raised in Argentina, she wanted to be a doctor from the time she was 15 years old. As a little girl, she didn’t want dolls, she wanted a microscope. Her mother was a schoolteacher who fostered her
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daughter’s curiosity; her father instilled a purpose to serve. “My dad was a renaissance man,” she said. “He would go with my uncle, who was a doctor, into the slums at night and vaccinate the poor.” Dr. Thompson remembers her childhood as happy and hopeful. She loved science, but she loved to dance, too. She was a student at the National Academy of Dance. She applied for medical school when she graduated from high school. “That’s how the system worked in Argentina.” But it all changed when, in 1980, Dr. Thompson’s parents decided to leave Argentina and move her and her two brothers to the United States. “Terrorist activity was so intense, we had armed guards protecting us at school,” Dr. Thompson said. She grew up amid Argentina’s Dirty War, as it was called. It spread violence throughout the late 1970s and mid-1980s. Conducted under the military rule of Jorge Rafael Videla, his reign of terror included kidnapped citizens who were drugged, interrogated, tortured and murdered, or sent to concentration camps to die. Children were particular targets of the regime. As her family settled in Florida, she entered the University of South Florida. “I wanted to go into medicine, but my college counselor discouraged me,” Dr. Thompson remembered.
Without exception, time moves on.
Dr. Thompson could not quell her desire to go into medicine and began volunteering in an emergency room at a local hospital. The doctors and staff saw she was a natural and encouraged her to enroll in medical school. At 35 years old, married with three little boys and a six-month-old daughter, Dr. Thompson started medical school at the University of Miami Medical School. “That first semester was make it or break it for me. I sacrificed a lot,” she said. That sacrifice would eventually include her marriage. Dr. Thompson did her residency in internal medicine at Jackson Memorial Hospital in Miami. She chose oncology as her specialty. “Or rather, it chose me,” she said. “One of my first studies in med school was a child with leukemia; and I had mentors who specialized in oncology.”
The choice had far greater meaning in the years to come.
Divorced after 24 years of marriage, Dr. Thompson needed a real change. She considered redirecting her career to go into research, but in 2006 Cancer Treatment Centers of America contacted her. “I knew I’d be able to take care of my patients my way,” she said. “That was very important to me.” When Dr. Thompson left her home in Argentina and came to America, she felt like she didn’t belong here. “Then I felt like I was in limbo,” she said. “Now I feel like I belong.” Wisconsin has a way of doing that to people. Dr. Thompson settled into her 12-plus-hour days arriving at the hospital at 5 a.m. She reviews cases with her staff that includes nurses, nutritionists and a case-care manager. “Then I see patients at the clinic. We are always looking to be proactive with our patients with their treatment, diet and medications.” She finishes her day with hospital rounds. “You can’t go into medicine unless you have a deep commitment for it. Otherwise, it will burn you out.” Family is important to Dr. Thompson. After all, motherhood was her first calling. She is the sole parent to her children. Although, other than her 16-year-old daughter, Alexandra, her
“I love and appreciate America,” she said. “I saw what life is like not having certain freedoms. I’m lucky my kids were born, raised and educated here.” sons, William, 24, who is a graphic designer and George, 28, who is in computer science, are on their own. Three years ago, Dr. Thompson’s other son, Phillip, became ill while attending law school in Florida. He was initially diagnosed with anemia. “I asked the doctor to read me his blood count,” she recalled the phone consult. Her son didn’t have anemia. His bone marrow was failing. Phillip had leukemia. Dr. Thompson flew to Florida and admitted him to Moffitt Cancer Center where she had done a fellowship years earlier. He went through various treatments and bone marrow transplants, but sometimes no amount of mother’s love or medical science can save. “When treatment failed, I brought him home and took care of him.” Phillip died in 2009. He was 26 years old. “He was a beautiful young man. He would have made a good lawyer,” she said with lightness in her voice. “The experience made me a better doctor -- a better oncologist.” In a specialty where prognosis can be grim, she has a unique perspective of treating cancer while knowing the pain of being touched by the disease. In reflection, Dr. Thompson has the benefit of a long lens. “I love and appreciate America,” she said. “I saw what life is like not having certain freedoms. I’m lucky my kids were born, raised and educated here.” Today, Dr. Thompson is in a relationship with a wonderful man. She also enjoys her garden and being with family and friends. Dr. Thompson came to her career a bit late, but she’s philosophical about that, too. “When you have a dream, it’s worth trying no matter how old you are.” And never lose hope.
Wisconsin Woman Magazine September 2012 WISCONSIN WOMAN | 5
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Women’s Health below the belt
Inside Knowledge About
et the facts about the signs, symptoms and risk factors of gynecologic cancers. When gynecologic cancers are found early, treatment is most effective.
What Are Gynecologic Cancers?
Gynecologic cancers are cancers that start in a woman’s reproductive organs. There are five main types of gynecologic cancers: · Cervical cancer · Ovarian cancer · Uterine cancer · Vaginal cancer. · Vulvar cancer Each gynecologic cancer is unique, with different signs, symptoms, risk factors (things that may increase your chance of getting a disease) and prevention strategies.
There is no way to know for sure which women will get a gynecologic cancer. That’s why it is important to pay attention to your body and know what is normal for you, so you can recognize the warning signs or symptoms of gynecologic cancer. Each gynecologic cancer is unique, with different signs and symptoms, different risk factors (things that may increase your chance of getting a disease) and different prevention strategies. All women are at risk for gynecologic cancers, and risk increases with age. When gynecologic cancers are found early, treatment is most effective. Some unexplained signs or symptoms of gynecologic cancers include: abnormal vaginal bleeding or discharge; pelvic pain or pressure; abdominal or back pain; bloating; changes in bathroom habits; itching or burning of the vulva; changes in the vulva color or skin, such as rash, sores or warts. If you experience any abnormal vaginal bleeding or any of the other symptoms listed above for two weeks or longer, and they are not normal for you, you should talk to your doctor, nurse or other health care provider right away. It may be nothing to worry about as these symptoms may be caused by something other than cancer, but the only way to know is to see a doctor. September 2012 WISCONSIN WOMAN | 7
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below the belt
Bladders can affect young women
By Amy Norton
ladder control problems may be seen as a problem of older people, but a good percentage of college-age women have symptoms, too, a study published recently suggests. In a survey of 1,000 young Australian women, researchers found that 13 percent said they’d had urinary incontinence in the past month. That meant problems like leaking urine when they exercised, or often having to rush to the bathroom to avert an accident. “The traditional belief has been that incontinence really occurs as a consequence of pregnancy and aging,” said Susan R. Davis, senior researcher of Monash University in Melbourne. “What prompted us to undertake this study was the fact that nobody had actually looked at incontinence in younger women who had never been pregnant,” said Davis, whose work was supported by Australian state and federal funds. The study “contributes significantly to current knowledge about urinary incontinence in young women,” said Mary K. Townsend, an epidemiologist at Brigham and Women’s Hospital and Harvard Medical School in Boston. Townsend, who was not involved in the research, has studied the prevalence of urinary incontinence and possible risk factors for it. “Overall, a key message from this study is that urinary incontinence is a significant problem for women of all ages,” Townsend said. But, she noted, the 13 percent figure could be either an underestimate or overestimate. That’s because the study participants, who were about 22 years old on average, were recruited from college campuses and health clinics. So they may not be representative of all young women. “It will be important for future studies to confirm these results in a larger, population-based sample of young women,” Townsend said.
Link to Birth Control
The study, which appears in the Annals of Internal Medicine, also tried to weed out the possible risk factors for urinary incontinence in young, never-pregnant women. It turned out that women who were sexually active and not using birth control pills had the highest risk; about 22 percent had urinary problems in the past month. That compared with rates of around 10 percent among women who had either never had sex or were sexually active and on the birth control pill. bladder cont. on page 11 8 | WISCONSIN WOMAN September 2012
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below the belt
A New Nonsurgical Treatment for Bladder Leakage
o you dribble when you cough or sneeze? Have you started wearing black exercise clothes in case you leak? Are you the one who is in a hurry to find the bathroom on a car trip or at the mall? Urinary incontinence, or bladder leakage, is never normal or an expected part of aging. It is embarrassing and often interferes with normal activities. Women keep it a secret from their friends and often donâ€™t even tell their doctor. The cost of incontinence in the United States in 2004 averaged $19.5 billion dollars. Urinary incontinence affects approximately 25 percent of young women, over 50 percent of middle-aged women, and approximately 75 percent of older women in nursing homes.
Urinary incontinence affects approximately 25 percent of young women, over 50 percent of middle-aged women, and approximately 75 percent of older women in nursing homes. In April of 2012, the Agency for Healthcare Research and Policy released the report: Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Pelvic floor muscle training was found to be effective for treating adult women with urinary incontinence without risk of side effects. While drugs may be effective, many women discontinue treatment due to side effects. Intravaginal electrical stimulation improved continence rates and, in overweight women, leaking improved with weight loss and exercise. There are different types of incontinence. Stress incontinence occurs with a cough or sneeze, laughing, exercise or even walking or changing positions. Urge incontinence or overacTreatments cont. on page 11 September 2012 WISCONSIN WOMAN | 9
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Changes By Cyndi Strayer
below the belt
or women, perimenopause and regular menopause are considered as life changing experiences. These changes are often looked upon with both dread and relief. For some women, they symbolize an end to youth. For others, menopause means freedom from the five days a month of tampons, bloating and irritability. Regardless of one’s outlook, these changes are unavoidable to any woman who reaches midlife with her reproductive system intact. Some confusion exists regarding terms used to describe this period of life. An explanation of the differences between perimenopause and actual menopause can provide some illumination. Perimenopause is an indefinite time period toward the end of a woman’s reproductive years. Basically, perimenopause begins when a woman starts to notice menopause-related changes. Women in perimenopause will have irregular periods and hormonal swings that will cause hot flashes, night sweats, sleep disruptions, vaginal dryness and mood swings. Perimenopause occurs when the ovaries have a decreased responsiveness to hormones. Therefore, some women can experience infertility during this time because of the uneven rising and falling levels of estrogen during this time. Also, your menstrual cycles may lengthen or shorten, and you may begin to have menstrual cycles in which you don’t ovulate. However, it is important to remember that you can still get pregnant during this time; therefore, it is important to use birth control if you do not want to have any more children. As women age, they tend to start experiencing more and more of the symptoms. Actual menopause affects women ages 45-55, with the average age being 51. Menopause, itself, is defined as the state of an absence of menstrual periods for 12 months. And during the menopausal transition women may experience changes in their menstrual periods, skipping periods, shorter cycle length, heavier or longer flow or shorter and lighter flow. They may also experience weight gain (which can be a reflection of small changes in eating and activity habits) and hot flashes. This in turn may result in poor sleep, moodiness and difficulty in concentration. Whatever stage a woman is going through, perimenopause and menopause are natural parts of each woman’s life. There is no single path to navigate these changes. For some women, it is a smooth transition, while others can be quite inconvenienced by the changes and symptoms. In either case, it is a very important time in our lives to take good care of ourselves. And if you are experiencing any signs or symptoms you don’t feel you can deal with on your own, discuss them with your doctor. life changes cont. on page 11
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Women’s Health bladder cont. from page 8 The link to sexual activity might be related to urinary tract infections, Townsend speculated. Sexually active women have a higher rate of UTI, and those infections can trigger incontinence. But the reasons for the birth control finding are not clear. Townsend said past studies have come to conflicting conclusions on whether birth control pills are related to higher or lower risks of urinary incontinence -- or whether there’s a relationship at all. She and Davis both said more research is needed to see whether birth control pills, themselves, have any effect on bladder control problems. There was no strong evidence that overweight young women had an increased risk of incontinence. And that’s in contrast to what’s been seen among older women. But Davis said that may be because of numbers: only 15 percent of the study participants were overweight. And as a group, they were fairly healthy and physically active. “This leaves open the possibility that the rate of incontinence we observed may in fact be an underestimate of the rate in a less Treatments cont. from page 9 tive bladder may cause women to wet themselves on the way to the bathroom. Women have to void frequently, get up at night and have increased urination with coffee, cola, alcohol or some foods. Mixed incontinence has features of any of the above. It is important to have an evaluation by a physician or other health care provider to evaluate the condition and look for other causes of incontinence such as a urinary tract infection. Nonsurgical treatment may include weight loss, limiting caffeine and alcohol, scheduled voiding or pelvic floor muscle training, often called Kegel exercises. Many women have difficulty performing these exercises correctly on their own. Pessaries are vaginal devices that are fitted by a practitioner and may stay in the vagina or be inserted as needed for activity. The new InTone device from InControl Medical, LLC, located in Brookfield, was FDA approved in March 2012. This innovative device combines biofeedback, electrical stimulation and pelvic floor muscle exercises in a personal device that is used AT HOME 6 days per week for 90 days, then as needed to maintain continence. Unlike other devices, it is sized to the patient for comfort and improved results. Patients are very excited to have a nonsurgical treatment option. Evaluation and device set up is done by a practitioner and follow up is at two weeks, one month and two months. Women listen to a voice prompted exercise session and receive visual feedback to guide the strengthening. Treatment data is stored in the device for later evaluation. In the past, women were referred to physical or occupational therapists to have sessions three times weekly for eight-10 weeks. While these conservative treatments are effective, many patients are very private, have busy schedules, and the insurance only covers a limited number of visits. When the sessions were completed, symptoms often returned. The InTone is covered by Medicare and many insurance companies. WomenCare currently has 18 patients using the InTone with significant improvement and three patients have seen almost complete continence in only three-four weeks! The patients range in age from 32 to 85 years. A clinical trial is currently underway at the Medical College of Wisconsin. If you are tired of wearing pads, having accidents and limiting your activities, ask your doctor about InTone.
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below the blet
healthy group of young women,” Davis said. Both she and Townsend said that young women who find their urinary symptoms troublesome should seek help. In this study, women with symptoms scored lower on a measure of mood and psychological well-being. “I think the most important take-home message is that if young women experience urinary incontinence they should not feel embarrassed to seek help,” Davis said. There are different options for combating the symptoms, she noted. Sometimes all you need are lifestyle changes -- like cutting back on caffeine and alcohol, and limiting how much fluid you drink at night. Another option is “bladder training,” which involves tactics like going to the bathroom at fixed times, even if you don’t feel like you need to go. That often includes Kegel exercises to strengthen the pelvic muscles that control urination. Depending on the type of incontinence, there are also medications -- like oxybutynin (Ditropan), solifenacin (Vesicare), tolterodine (Detrol) –that may also help. But research shows that they work for only a minority of women, and they can have side effects like dry mouth, constipation and blurred vision. From the United States Department of Health and Human Services. NEW YORK (Reuters Health)
life changes cont. from page 10
What are the signs of perimenopause? • • • • • • • • • •
Hot flashes Breast tenderness Worsening of premenstrual syndrome Decreased libido (sex drive) Fatigue Irregular periods Vaginal dryness; discomfort during sex Urine leakage when coughing or sneezing Mood swings Difficulty sleeping
What are the symptoms of menopause? • Hot flashes • Sleep disturbances (insomnia) • Emotional changes, such as mood swings or irritability • A change in sexual interest or response • Problems with concentration and memory that are linked to sleep loss and fluctuating hormones • Headaches • Rapid, irregular heartbeats (heart palpitations) • Generalized itching
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It’s a Matter of Attitude and Doing What Makes You Happy
s women, we are almost always trying to look are best. Appearances are important to us. You only have to look to the sale records of skin care products, makeup and other cosmetic products and procedures to support this fact. However, as we age, our skin changes. Suddenly we start to notice creases on our faces, the laugh-lines,
the crows’ feet and the drooping eyes. All this occurs because our skin becomes thinner, loses fat and no longer looks as plump and smooth as it once did. So what can we do to slow this process down and stay “forever young?” While we may not be able to actually freeze time and stay youthful forever, we can feel and look young by eating a healthy diet, exercising, not smoking, using anti-aging products or having cosmetic procedures and surgeries done. Staying “forever young” depends on what your goals are for yourself. What you do about growing old is really up to you. You can do simply things like taking good care of your skin through good personal hygiene and moisturizing, or you can go further and try one of the many other skin options out there, such as microdermabra-
sions, injectables, peels and lifts. It really depends on the results you are looking for, how much you want to spend and how much downtime you are willing to have. Microdermabrasion uses a resurfacing technique or system to gently exfoliate the skin using diamond chips while vacuuming the dead skin cells in a sterile and controlled environment. By removing this outer layer of skin, collagen is stimulated and a smoother texture is revealed to leave the skin with a radiant glow.
forever young cont. on page 16
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special advertising section
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special advertising section
Saving Natural Teeth A specialized endodontic experience and advanced technology make today’s root canal treatments fast, comfortable and effective. At Brock Endodontics, the doctors are committed to saving teeth, so before having a painful tooth pulled, Dr. Brock says, “Consider having our specialty team evaluate it.” We practice the art of saving teeth and in many cases are able to provide an alternative to replacing a tooth. We often can provide an option of keeping your natural tooth with root canal therapy. Endodontists, doctors who specialize in performing root canal treatment, undergo advanced training in this very specialized area of dental medicine. We are able to prevent and manage pain and infections related to the nerves inside your teeth. “Our emphasis is on three things: care, comfort and communication,” says Dr. Brock. Our team has over 40 years of combined experience in endodontic specialty diagnosis, root canal therapy, root canal surgery and retreatment care of failed root canals. We at Brock Endodontics are able to achieve superior results with a focus on long-term optimal oral health. Our training, experience and technology allow us to work efficiently while maximizing patient comfort. And we are able to treat most teeth in a single short comfortable visit.
Dr. Frisbie explained, “With the tremendous advances in medicine and technology, we are able to perform tooth-saving procedures less invasively and with greater efficacy than in the past.” Among the sophisticated equipment that our doctors and staff use is cone beam computed tomography, which provides 3-D views of tooth details not visible on 2-D x-rays; fast digital imaging that uses 90 percent less radiation than traditional x-rays; and high powered oral microscopes together with fiber optic lights to allow thorough inspection and
treatment of the delicate and complex tooth anatomy. Dr. Zielinski adds “As a group, we pride ourselves on being current with the rapidly evolving field of endodontics, allowing us to provide the most modern care possible.”
At Brock Endodontics, you are offered amenities designed to make your appointment as relaxing as possible. In fact, Dr. Brock says, “Patients describe the office as spa-like.” A tranquil reception area with waterfalls and saltwater aquarium, cushy pillows and blankets for the dental chair, noise reduction headsets and a TV screen mounted above the chair all assist in maximizing your comfort. “We are also able to provide patient-specific care by catering to any level of dental anxiety,” says Dr. Frisbie. “We offer everything from nitrous oxide (laughing gas), to oral sedation (sleep dentistry), to I.V. sedation.” These services are available to those who might benefit from additional anxiety relief, if requested. Our doctors prioritize our community by taking time to also serve those with the greatest needs. Furthermore, in
continuing our dedication to endodontic excellence, our team of specialists teaches modern endodontic techniques on the national level to other dentists. “Patients are many times surprised at the ease of their experience with us and also that we will accommodate patients in the early morning or evening to minimize work disruption,” says Dr. Frisbie. With the most modern computerized technology available, treatment with our endodontic specialists continually reflects our desire to provide the highest quality care, superb communication and a comfortable experience, all while shortening treatment time. We look forward to helping you achieve a natural, healthy smile!
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special advertising section forever young cont. from page 12 Injectables and wrinkle fillers are injected into the skin to create smoother, more youthful skin. The most popular injectable is Botox, which relaxes the muscles in an area to create smoother skin. Then there are the soft tissue fillers, such as Restylane, Perlane, Juvederm and Radiesses, that are used to fill-in and create smoother and more contoured smile lines, correct acne scars and facial defects, add volume to cheeks, enhance lip definition, etc. If you want to significantly reduce the signs of wrinkles, then a chemical or laser peel can do that. The result of either peel is a youthful, healthy glow. With a peel, it is important to know the credentials of the person who is administering it be
cause even a light peel can cause burns, scarring and pigmentation problems if not done properly. For impressive, long-lasting results, you may want to consider a mini-facelift or facelift. Staying young also depends on your health, both physically and emotionally. A person seems to age faster when they are withdrawn or ill. That is why it is so important to take care of our bodies, our teeth and our brain as well as to socialize and to stay active. You need to continue to do the things you love to do.
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special advertising section
A Positive Attitude Can Affect How You Age
Researchers from the Longevity Genes Project at the Albert Einstein College of Medicine in New York, which studied 243 participants who were almost 100 years old, found that centenarians are often extroverts who embrace the world from an optimistic and carefree perspective. Study co-author Dr. Nir Barzilai, director of Einstein’s Institute for Aging Research and chair of its division of Aging Research, said that the results of the study showed: The majority of near-centenarians were found to be relaxed, friendly, conscientious and upbeat about life. Importantly, an easy laugh and an active social life were observed to be a group norm, while neuroticism was notably the exception. What’s more, feelings were more commonly shared as they arose, rather than stifled and squelched. Dr. Thomas Perls, director of the New England Centenarian Study at Boston University Medical Center, said the findings confirm several observations he and his colleagues have made in the past, such as: “those who are high in neuroticism tend to dwell on things and internalize their stress rather than let it go,” he noted. “This can translate into increased risk for cardiovascular disease. High extroversion may lead to a better ability to establish social support networks -- which are very good for older people -- and to be cognitively engaged.”
Fibromyalgia Centers of Wisconsin: Fibromyalgia: The Misunderstood Disorder Imagine having a medical condition that makes you feel 40 years older than you are in spite of the fact that you look healthy. You can’t get out of bed in the morning without feeling like you’ve been run over by a truck. You need to rest often, and you hurt all over. Even the pressure of your clothes is irritating beyond belief. Imagine you go from doctor to doctor looking for answers. You know there’s something wrong, but you’re repeatedly told there is nothing to be found, or worse yet, that it’s all in your head. Now, imagine what it’s like when the medical community can’t even decide if it believes your symptoms. Imagine how that pain and fatigue would impact your work, marital and social lives. All of these symptoms in varying degrees have been happening to over six million Americans. This condition is known as fibromyalgia syndrome (FMS). Generally, FMS is diagnosed when a person has chronic, widespread pain with at least one of 18 tender musculoskeletal points located throughout the body, according to Jeffrey B. Gorelick, MD, Board Certified in Physical Medicine & Rehabilitation. Even though the absolute cause of FMS has yet to be determined, many advancements in the diagnosis and treatment of FMS have been made in the past 20 years, says Dr. Gorelick. So while fibromyalgia can have a profound effect on a person’s life, there is now hope. For more information, or to locate one of our multiple locations in Milwaukee and Waukesha, you can contact the Fibromyalgia Centers of Wisconsin at (414) 774-3637.
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special advertising section
It’s All About the Eyes
Your eyes are often the first things that people notice about you, and are an important aspect of your overall appearance. Unfortunately when we age, our eyes seem to be the first to show wrinkles or to lose their elasticity and appear loose, baggy or have drooping eyelids as the skin stretches and the muscles weaken. For wrinkles around the eyes, there are cosmetic fillers like Juvederm that add volume to the skin to soften or eliminate the appearance of wrinkles for a more youthful look. There is also the option of laser treatments, chemical peels and microdermabrasion treatments that remove aged, damaged skin cells to create a smoother, younger looking surface. However, if you truly are looking for a longer lasting solution, you may want to consider a cosmetic-surgical rejuvenation technique by an oculoplastic surgeon, an expert in the health, function and look of the delicate and cosmetically sensitive tissues that surround and protect the eyes.
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Cosmetic & plastic surgery sPecialists Dedication, respect, confidence, success and trust Cosmetic & Plastic Surgery Specialists boasts over 60 combined years of professional dedication to reconstructive and cosmetic surgery. Doctors Bock, Dembny and Sterkin are diplomates of The American Board of Plastic Surgery, as well as members of the American Society of Plastic Surgeons and The American Society for Aesthetic Plastic Surgery. Repeatedly voted ‘top doctors’ in plastic surgery, they have also won awards for compassionate care and outstanding customer service. Throughout the entire practice, their dedication to patient care is evident in every treatment and procedure they offer. To help you look and feel your best, they offer a comprehensive array of treatments and procedures, including cosmetic and reconstructive breast surgery, liposuction, tummy tuck, body contouring after weight loss, aesthetic facial surgery, rhinoplasty, Botox, dermal fillers, laser resurfacing, hair removal, photorejuvenation and a wide variety of advanced skin care services performed by experienced aestheticians. Although these doctors continually focus on achieving the best results for their patients, they also believe that the manner in which their patients are treated throughout the process is equally important. “We hope the trust our patients place in us is matched by our commitment and care to exceed their very best expectations.” This popular and successful practice continues to grow because these doctors help people regain confidence and experience real joy in their lives. They have performed thousands of procedures and each one provides an emotional lift and a sense of renewal. “Our patients’ uplifting stories motivate us to continually seek the latest, most effective treatments that will enhance and improve each and every one of the lives we touch.” Your decision to undergo cosmetic surgery is an important one…so your choice of cosmetic surgeon should be as well. Be sure to choose Milwaukee’s trusted and experienced plastic surgeons. Dr. Harvey Bock, Dr Kenneth Dembny, Dr Lawrence Sterkin Offices in Wauwatosa and Mequon 414-443-0033 mycpss.com
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special advertising section
In the central place of every heart there is a recording chamber. So long as it receives a message of beauty, hope, cheer, and courage - so long are you young. When the wires are all down and our heart is covered with the snow of pessimism and the ice of cynicism, then, and only then, are you grown old.
Anton’s salon & mspa Offers an array of skincare services & products At Anton’s Salon & Mspa, we offer an array of skincare services and products. And because our staff includes medical and aesthetic expertise, Anton’s Mspa is able to offer a comprehensive medical and cosmetic approach to the care of your skin in a relaxing spa atmosphere. Anton’s MSpa is staffed by medical skin care specialists, including a Facial, Plastic and Reconstructive Surgeon Medical Director, Registered Nurses, Certified Laser Technicians and Licensed Estheticians. Anton’s is the first in the state of Wisconsin to offer treatments with the Invasix, which includes the Fractora and Fractora FIRM treatments. Fractora fractional rejuvenation and resurfacing is a procedure to slow the effects of aging and restore skin by reducing fine lines, tighten, reduce red and brown spots and improve skin texture. Fractora FIRM uses technology to provide skin contraction in the deep layers of your skin improving the look and feel of skin. Fractora and Fractora FIRM can be used in combination with other esthetic services for the highest results. It is virtually pain-free and effective on most skin types. Fractora offers improvements for aging skin that would normally require two or three different technologies. Fractora FIRM can target certain areas of the face and body including arms, abdomen and other areas that may need contraction. Anton’s is now offering a special to you, the reader. You may purchase a package of Fractora or Fractora FIRM treatments for half price! All you have to do is mention this ad. Along with Fractora and Fractora FIRM, we specialize in treatments for laser hair removal, acne, mature skin, sun damage, dark spots, rosacea and injectables, including Botox, Juvaderm and Radiesse. With a complete skin care analysis, prescriptive skin care regimens and non-invasive therapies, we are able to achieve remarkable results. Let our staff devise a treatment plan just for you. Call (262) 691-9888 Pewaukee or (262) 646-9888 to schedule your complimentary consultation with one our experts. Life…Look Good in It.
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Generation Faces Increasing Challenges
A By Kim Seidel
t age 63, Noreen Holmes’ life revolves around her full-time career and taking care of her 93-year-old mother and her 34-year-old niece. Her mom resides independently five minutes from Holmes’ home, where her niece with a disability lives with her. This summer her mom fell, fracturing her pelvis. Now having decreased mobility, her mother has required extra help learning how to maneuver around her home and do everyday chores, such as cooking and dishwashing, with her walker. Holmes and her niece have assisted her in these efforts, so her mother can continue to stay in her own home, rather than live in a nursing home. Until Holmes feels totally comfortable that her mother has regained her strength, she and her niece will continue to sleep over night at her mom’s house. “You try to do the best that you can do,” Holmes says. “Some days, you take a deep breath, and you can feel grateful that it’s time to go to bed.”
Growing generation of caregivers
Holmes is part of the increasing population known as the “Sandwich Generation.” Although her three children are grown, she spends her time between her job and care giving for family members. Since the adoption of the National Family Caregiver Program in late 2000, the buzz on family caregivers has been growing. In particular, news about a group of caregivers, called the Sandwich Generation, has been gaining more popularity. These are caregivers who find themselves squeezed between caring for younger loved ones, such as their children or other relatives, and their parents or other older family members. One reason for growing interest in caregiving and the Sandwich Generation is that the older population – persons 65 or older – is increasing rapidly. Nearly 13 percent of the U.S. population – about one in eight Americans comprises this age group, according to Administration on Aging (AoA). By 2030, these numbers are expected to increase to 19 percent. As the older population swells, so do numbers of family caregivers. It’s estimated that American families provide 80 to 90 percent of all in-home, long-term care services for their aging family members, dis-
abled adult children and other loved ones, according to Today’s Caregiver (www.caregiver.com). Like Holmes’ mother, having a caregiver is the only way a person can stay in their home, usually the most desirable option as a person ages. To make this a reality, caregivers help with activities of daily living, including house and yard work and grocery shopping, as well as transportation, medical services coordination, medical supervision, administration of medications and assistance with financial, legal, spiritual and emotional concerns. These services are absolutely priceless. If these same services were provided by the national health care system, it would cost 250 billion dollars per year, states Today’s Caregiver.
caregivers need care, too
As the director of La Crosse County’s Unit on Aging, Holmes has a lot of knowledge and experience from not only her personal life but from her profession. She passes her wisdom on to others and she learns from others as well. This is the type of support – and more – that caregivers need. Holmes encourages caregivers to find the resources that help them to help their loved ones. “Many careSandwich Generation cont. on page 22
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Sandwich Generation cont. from page 20 givers are facing this huge responsibility for the first time; it can be overwhelming,” Holmes says. “Look for guidance.” Various agencies can assist with helping pay for the high costs of caregiving responsibilities. This includes time for the caregivers to take a break from their duties. Some organizations provide retreat days or offer financial assistance to help cover costs so time off is possible. It’s extremely important for caregivers to take time to relax and to renew themselves, Holmes says. Many times the thought of leaving a loved one in the hands of others is upsetting; talk it out with a professional or a trusted friend so good options become clear. Sometimes another family member would be willing to assist, a neighbor could check on the person a few times daily or other arrangements could be made to keep costs down and quality of care high. The AoA provides home and community-based services to millions of older persons through programs funded under the Federal Older Americans Act, created more than 35 years ago. For more information, visit www.aoa.gov, or the National Association of Area Agencies on Aging at www.n4a.org.
Power tools for caregivers
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On a daily basis, caregivers need to find and maintain their balance, Holmes says, and this varies for everyone. Holmes practices yoga, takes water aerobics and engages in other vigorous exercise. “Exercise makes a big difference to help keep me centered,” she says. Holmes also teaches the class, “Taking Care of You: Powerful Tools for Caregivers,” a six-week, self-care education program for family caregivers in the La Crosse area. Holmes advocates for caregivers to take care of themselves, including exercising and taking time away. She admits that’s a big challenge for her is finding more time to be with her three grandchildren; unfortunately, that’s not possible too often. In the class, Holmes covers other vital topics, such as learning how to relax and how to communicate. Specifically, she instructs caregivers in communication techniques to ask for help. Good communication is important not only for caregivers’ health, but also because anger issues can be involved. This is common when the caregiver feels that other family members aren’t helping out as much as they could, she says. Holmes recommends caregivers to start planning for the future. For example, Alzheimer’s disease is a progressive disease and eventually a person will need assistance outside of their home. “It’s much harder to make plans after a traumatic event,” says Holmes, who encourages caregivers to begin visiting nursing homes to compare facilities and costs. Holmes helps caregivers to identify and to reduce stresses. “What I see a lot of times in the older generation caring for their husband or wife is that they take those wedding vows – to care for in sickness and in health – so seriously that they end up hurting themselves. The caregiver is prone to feeling guilty and regretful,” Holmes says. ”You cannot take care of your loved one, if you are sick yourself.” For more information, visit www.powerfultoolsforcaregivers.org. Kim Seidel is the mother of two daughters and a writer who resides in Wisconsin.
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You barely have time to clean your own home, much less your parents’ home, too! That’s where we can help! When your parents need some extra help at home for things like: • • • • •
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Extend Your Mother’s Life With a Healthy Diet and Exercise
nce again, research has shown that women in their 70s can extend life, even in the retirement years, by following advice they may have given their own kids and grandkids: exercise and eat your fruits and vegetables. “This is one of those findings that sounds like common sense,” said study lead author Emily Nicklett, an assistant professor of social work at the University of Michigan School of Social Work, in Ann Arbor. “But while it may seem obvious, it’s important to go back to the basics in terms of understanding that diet and exercise can strongly predict mortality among older adults,” she said. “Promoting healthy diets that include fruits and vegetables, together with some form of simple physical activity like walking, can make dramatic improvements in terms of health outcomes.” Nicklett and her colleagues published their findings in the May issue of the Journal of the American Geriatrics Society. They also noted that U.S. seniors over age 65 are the fastest-growing slice of the country’s population. In the study, Nicklett’s team focused on more than 700 women between the ages of 70 and 79 who were living independently in their communities and enrolled in two related physical disability studies. These women were asked how much they engaged in physical activities such as struc-
tured exercise (i.e., walking or strength training), household or outdoor chores, or pastimes such as bowling or dancing. Their nutrition was also measured via blood samples that measured each participant’s total level of carotenoids. These plantbased compounds are thought to be an accurate indicator of an individual’s fruit and vegetable consumption, the researchers explained. All the participants were then tracked for five years, during which time nearly 12 percent of the women died. The researchers found that the most active women had the best survival prospects, and so did the women who consumed the most fruits and vegetables. Breaking it down, the team observed that the most active women had a 71 percent lower death rate during a five-year period compared with the most sedentary women in the study. “And we’re not talking about dramatic activity when we talk about exercise,” Nicklett stressed. “We’re not talking about rugby players. We’re talking about something as simple as walking around the block, which is the way most women in our study burned the most calories.” The women with the highest carotenoid levels faced a 46 percent lower chance of dying during the five-year follow-up period versus those with the lowest fruit-and-vegetable intake. And because the study also was designed to explore the impact of exercise and nutrition together, the team found that women who were both the most physically active and the highest consumers of fruits and vegetables were eight times more likely
to be alive after the study’s five years of follow-up, compared to women who scored lowest on both counts. “In terms of public health, this finding raises the question of, ‘How do we encourage a healthy lifestyle that boosts longevity?’” Nicklett said. “And that can mean looking into whether there are enough safe places for these women to walk, or whether or not they have access to fresh fruits and vegetables. It’s really about going back to the basics.” Lona Sandon, a registered dietician and assistant professor of clinical nutrition at the University of Texas Southwestern in Dallas, agreed that although the findings were not particularly surprising, they are an important reminder that exercise and eating healthfully is good for you. “We already know in other age categories that eating well and staying active is good for us,” she said. “So it makes sense that it should then also apply to us as we get older.” As to what it is exactly about exercise and fruits and vegetables that helps women to live longer lives, Sandon cautioned, “That is not exactly clear. Maybe if you stay more physically fit you remain more functional and are less likely to fall and break a leg or hip, for example. Or perhaps exercise and good food keep your immune system healthier. Or it could be the socialization involved when exercise is done in groups. Or maybe it is all of the above.” Provided by U.S. Department of Health and Human Services
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ne of my best girlfriends asked me if losing her “readers” was a normal sign of aging. She can’t recall how many pairs of drugstore reading glasses she’s purchased and lost. She has no idea where they go, but suspects that she has left them on store counters, at restaurants after looking at the menu or thrown them out with the Sunday paper. I don’t believe that inattentiveness is all that worrisome. But, for some, times of forgetfulness could be the early stages of Alzheimer’s disease – a disease of the brain that begins slowly and gets worse over time. In the United States, an estimated 5.4 million people (one-in-eight people) are living with Alzheimer’s disease. According to the Alzheimer’s Association’s 2012 Alzheimer ’s Disease Facts and Figures report, in 2010 there were 110,000 people in Wisconsin age 65 and older with Alzheimer’s – a 10 percent increase from the year 2000. It’s estimated that by 2025, 130,000 Wisconsinites will have the disease – a 30 percent increase from 2000!
What is Alzheimer’s Disease?
Alzheimer’s disease is an illness of the brain. It causes large numbers of nerve cells in the brain to die. This affects a person’s ability to remember things, think clearly and use good judgment. Doctors don’t know what causes the disease. They do know that most of the time it begins after age 60.
Is It Alzheimer’s or Normal Aging? By Sue Ann Thompson
What happens when a person has Alzheimer’s disease?
Alzheimer’s disease often starts slowly. In fact, some people don’t know they have it. They blame their forgetfulness on old age. However, over time, their memory problems get more serious. People with Alzheimer’s disease have trouble doing everyday things like driving a car, cooking a meal or paying bills. They may get lost easily and find even simple things confusing. Some people become worried, angry or violent. As the illness gets worse, most people with Alzheimer’s disease need someone to take care of all their needs, including feeding and bathing. Some people with Alzheimer’s live at home with a caregiver. Other people with the disease live in a nursing home.
What are the signs of Alzheimer’s disease?
It’s important to know the signs of Alzheimer’s disease so that you can get help right away.
l Finding it hard to remember things l Asking the same questions over and over l Having trouble paying bills or solving simple math problems l Getting lost l Losing things or putting them in odd places
l Forgetting how to brush your teeth or comb your hair l Being confused about time, people and places l Forgetting the names of common things such as a desk or apple. l Wandering away from home
When should you see your doctor?
If you or someone in your family thinks your forgetfulness is getting in the way of your normal routine, it’s time to see your doctor. Seeing the doctor when you first start having memory problems can help you find out what’s causing your forgetfulness. If you have Alzheimer’s disease, finding the disease early gives you and your family more time to plan for your treatment and care. Your doctor or a specialist may do the following things to find out if you have Alzheimer’s disease: l Give you a medical check-up l Ask how well you can do everyday things like driving, shopping for food and paying bills l Talk with someone in your family about your memory problems
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l Test your memory, problem-solving, counting and language skills l Check your blood and urine, and do other medical tests l Conduct a brain scan to show pictures of your brain There are medicines that can treat the symptoms of Alzheimer’s disease, which help keep your memory loss from getting worse for a time; however, there is no cure. Most of these medicines work best for people in the early or middle stages of the disease.
Coping as a caregiver
If you are caring for someone with Alzheimer’s disease, you may have many different feelings. Sometimes, taking care of the person with Alzheimer’s disease makes you feel good because you are providing love and comfort. At other times, it can be overwhelming. You may see changes in the person that are hard to understand and cope with. Each day brings new challenges. The good news is that there is help for caregivers. You don’t have to do everything yourself. For ways to get help: l Find a support group l Use adult day care services l Get help from a local home health agency l Contact local and national groups about Alzheimer’s (in Wisconsin contact the Alzheimer’s Association at www.alz.org [enter your ZIP code for local chapters], the Wisconsin Alzheimer’s Institute at www.wai.wisc.edu/ and the Alzheimer’s & Dementia Alliance of Wisconsin at www.alzwisc.org/. If you or someone you love has been diagnosed with Alzheimer’s disease, know that you’re not alone. There are people who understand what you are going through and help is available. Having Alzheimer’s disease does not mean you stop taking part in life. Learn about the resources available to help you cope, remain active and plan ahead. Because it all begins with a healthy woman… Sue Ann Thompson is founder and president of the Wisconsin Women’s Health Foundation (WWHF), a statewide non-profit organization whose mission is to help Wisconsin women and their families reach their healthiest potential. WWHF provides programs and conducts forums that focus on education, prevention, and early detection; connects individuals to health resources; produces and distributes the most up-to-date health education and resource materials; and, awards grants and scholarships to women health researchers and related community non-profits. To learn more, visit wwhf.org or call 1-800-448-5148.
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How to Stay
HAPPY as You Age
ife has its inevitable ups and downs, and the challenges we experience might not always seem fair. But there’s no need to let your happiness depend upon life’s uncontrollable circumstances. “What you want and what you get are not always one and the same,” says Amy Shea, author of the new book Defending Happiness and Other Acts of Bravery, a collection of short stories about her life’s journey with adversity. “The key is to find what makes you happy and defend it.” In her book, Shea details how tough circumstances have not deterred her from living life on her own terms. For example, she ultimately came to view her battle with breast cancer as a gift of opportunity. “What is possible to do in one’s life changes remarkably when one fears death more than embarrassment,” she says. Shea has experienced poverty, divorce, cancer and the daily woes of aging, parenting and being parented, but believes that come what may, she is prepared to defend her right to be happy. She offers these insights for those seeking happiness as they age: • Your emotions do not need to be an automatic reaction to what happens to you. By believing that, you abdicate choice. It is not life that is happy or not. It’s you. • Don’t forget to simply sit from time to time and do some inner wandering. Original thought happens a lot more easily this way than while texting on the treadmill. • Life is neither fair or kind -- but it is full of beauty and humor, and open to direction. happy age cont. on page 29
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happy age cont. from page 28 • When it comes to picking your battles, energy is like eye cream: expensive. So use just what you need and put it right where you want it. • Aging won’t be smooth and firm and flawless, but it is not the enemy. In fact, there are certain things about youth you won’t miss at all. • All of us have individual wiring that can get buried from time to time under habits we’ve formed. Be deeply committed toward the wiring that makes you happy. • View life as a dynamic creative disturbance and don’t forget to show up -- it’s worth whatever trouble it takes. Whether you’re experiencing adversity or simply going through the daily annoyances -- you can empower yourself by going after, and protecting your happiness. (StatePoint)
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The Courtyards at Luther Manor’s dedicated staff members and volunteers provide residents with individualized care, while respecting their desire for an independent lifestyle. Whether residents need a hand with routine activities, or require additional assistance with managing medicine or memory support, a wide range of services are available. For more information about Luther Manor’s respite opportunities for caregivers or to schedule a tour, please contact Client Relations at (414) 464-3880, ext. 334 or firstname.lastname@example.org. Ask about our Caregiver’s Support Group which meets monthly at Luther Manor.
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Don’t Forget to Take Care of You
When you are a caregiver and are constantly taking care of others, it is very common to forget to take care of yourself. Taking care of others with emotional or physical problems can be very stressful as well, which could lead to weight changes, problems sleeping, depression or even bouts of anger and resentment. The Womenshealth.gov website offers these suggestions to help relieve caregiver stress: • Seek help from friends and loved ones, and local community caregiving resources and support groups. • Don’t be afraid to say “no” to requests that will require too much of your energy and time. Be realistic when setting your goals. • Know and accept that you cannot change everything, and recognize that there is no such thing as a perfect caregiver. • Stay organized by keeping lists, and prioritizing your responsibilities. • Maintain relationships with friends and family, and take time each week to do something that you enjoy. • Do your best to maintain a sense of humor. • Find time for daily exercise, and keep regular checkups with your doctor.
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www.caregiversupportnetwork.org www.wisconsincaregiver.org www.living-options.org September 2012 WISCONSIN WOMAN | 31
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What Am I
Supposed to Say?
ouldn’t it seem likely that with so At home, the same hesitation creates distance between partmany communication tools avail- ners who settle into roles and expected patterns of behavior that able to us today, we would enjoy can be very difficult to break. How to introduce a conversation more satisfying connections than about wanting something more or different without sounding like ever before? you’re complaining? What are you supposed to say when you feel Ironically, the opposite is too of- like there is a right or expected way to speak, but it doesn’t feel like ten true. While text messages and this way will open up a meaningful conversation? postings to Facebook are fun to share and make it easy for people One way is to say that you have been thinking about the curto stay in touch, the longer explorrent state of things and wondering about atory conversations that investigate making life more interesting, fun, happier, deeper ideas and feelings seem to healthier or whatever other adjective be a thing of some remote past. As a might intrigue your partner. This opens result, people today are hungry for the door to sharing your thoughts and inmore authentic sharing and deeper vites a conversation aimed at new opporconversations. tunity, not fixing some perceived deficienAt work, these authentic concy. It doesn’t guarantee an enthusiastic by: Susan Marshall versations seem to be blocked by response, of course, but even a small start company structure and culture. can open new pathways to deeper sharing. People do not feel free to talk to Rather than wondering about what people at higher levels and are often reluctant to open up to peers. you’re supposed to say, it is wiser and more valuable to think Certainly the nature of the discussion has something to do with about what you want or need to say. Forget about the role you this—not everyone you work with wants to know what you dream play; get in touch with the person you are. Suspend your assumpabout—but even when it comes to making simple changes in the tions about what other people know, what they think of you, or way work gets done, people often feel limited. what they want from you. These assumptions create enormous A mid-level executive told me recently that while she has a barriers to open and honest conversation. If you want to know, definite point of view about a particular function that is not work- ask. ing, she has no intention of bringing it up to anyone who might Once you have decided what you want to say, request time to have authority to change it. To do so, she would have to step across talk. Don’t demand immediate attention; set a time when everylines of authority, thought to be sacrosanct. one can engage thoughtfully. After you have shared your thoughts, “What if there were no lines?” I asked. “What if you, a smart make sure you let others say what they need to say, especially if it person, could simply talk with another smart person who has a is different from what you think they are supposed to say. similar interest in making this function work well? Wouldn’t that Opening up to share your thoughts, ideas, wishes and hopes be a good thing?” takes a bit of courage, and early efforts may prove a bit awkward. She admitted it was an interesting notion, but not one she But there is a sense of satisfaction—even relief—when you open would explore anytime soon. What is she supposed to say? this door and invite others in. The richer conversations that unThink about this for a minute. Managers at higher levels are fold will satisfy you in ways technology McConnections and charged with making decisions that impact the future of the orga- role-driven throwaway dialog never could. nization, including employees, partners and friends. Withholding Susan Marshall is an author and speaker whose book, How to information handicaps their decision-making. Still, we expect Grow a Backbone: 10 Strategies for Gaining Power and Influence them to know things they can’t unless someone tells them, then at Work, has been translated into multiple languages and is espeget mad if we don’t like their decision! cially popular in Asia. Her work is dedicated to building strong leaders who create successful organizations, transform school systems and develop leaders at all levels. You can reach her at (262) 5675983 or email@example.com.
building strong WOMEN
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The arts teach us to think beyond boundaries and to inventively overcome obstacles. Basically, the arts, as a foundation of imagination, are critical to a community’s forward-thinking and change. That is why the arts are so important to our communities and our schools.
When the arts are taught in schools, our children learn:
The Arts: Important to Our Communities and Our Schools
he arts are a vital part of our community. Besides being there for entertainment purposes, the performing and visual arts unlock our imaginations and stir us to pause, think and reflect. They remind us of the power to innovate and create, which is essential to our communities and our progress as humanity. After all, imagine a world where people stopped creating—and I mean everything from the development of a new song to the implementation of a new city water system. T E A C H I N G L I F E S K I L L S T H R O U G H S T A G E S K I L L S
SCH OO L YEAR
• To make good judgments about qualitative relationships. Unlike much of the curriculum in which correct answers and rules prevail, in the arts, it is judgment rather than rules that prevail. • That problems can have more than one solution and questions can have more than one answer. • The arts celebrate multiple perspectives. One of their large lessons is that there are many ways to see and interpret the world. • The arts make vivid the fact that neither words in their literal form nor numbers exhaust what we can know. The limits of our language do not define the limits of our cognition. • That small differences can have large effects. The arts traffic in subtleties. • To think through and within a material. All art forms employ some means through which images become real. • To say what cannot be said. When children are invited to disclose what work of art helps them feel, they must reach into their poetic capacities to find the words that will do the job. Information was provided by the National Art Education Association FREE shuttlebus service from & to parking • Refreshments • Door Prizes • FREE Parking 10 am - 5 pm
on Sat., September 15th, 2012 230+ Artists / Craftsmen
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PLEASE NO PETS. ADMISSION ONLY $4 CHILDREN 12 AND UNDER FREE
CLASSES Begin September 25! The nation’s largest theater arts training program for young people ages 3 through 18! Fall, winter, and spring sessions held in Milwaukee, Brookfield, and Oconomowoc.
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s your family tired of eating the same thing for breakfast, lunch or dinner? Not sure if trying a new recipe fits into your busy schedule? It’s easier than you think to break out of the usual routine, especially when you have these quick, kid-friendly recipes that bring a taste of the tropics to your meals. Mangos make the difference in these recipes — adding a splash of color and vibrant flavor to a savory breakfast burrito, hot panini or a tasty salmon and veggie dinner. And adding mango to the menu provides plenty of good nutrition. Mangos are an excellent source of vitamins C and A. Vitamin C promotes healthy immune function, while vitamin A is important for vision and bone growth.
Salmon in Foil Packets with Mangos, Carrots and Sugar Snap Peas Serves 4 4 salmon fillets (about 6 ounces each), skin removed Salt and pepper 1 large mango, peeled, pitted and diced 1 cup matchstick cut carrots 1 cup sugar snap peas, stems snapped off and strings removed 4 tablespoons low sodium soy sauce 1 tablespoon butter, cut into 4 pieces
Preheat oven to 450°F. Cut eight, 12-inch squares of heavy-duty foil. Pat salmon dry and season with salt and pepper. Place one piece of salmon on one piece of cut foil. Top each with diced mango, carrots and sugar snap peas. Pour one tablespoon soy sauce on top of salmon and veggies, top with one piece of butter. Place second piece of foil over salmon and veggies. Fold foil pieces together, sealing around all four sides, creating approximately a seven-inch square. Repeat with remaining ingredients and foil. Place on rimmed baking sheet and bake for 15 to 20 minutes, depending on desired doneness of salmon. Note: Your favorite firm white fish such as tilapia can be substituted for salmon. Just purchase same size fillets and follow recipe. Nutrition Information: Each serving (1/4 recipe) contains 439 calories, 13g carbohydrate (4% Daily Value), 2.3g fiber (9% Daily Value), 37g protein (74% Daily Value), 26g fat (40% Daily Value), 7g saturated fat (35% Daily Value), 101mg cholesterol (34% Daily Value), 868mg sodium (53% Daily Value), and 875mg potassium
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Chicken and Mango Panini Serves 4
1/2 loaf Italian bread, (8, 1/2-inch slices) 8 slices deli-sliced mozzarella cheese 1/2 cup whole basil leaves 1/2 red onion, sliced thin 1 large mango, peeled, pitted and sliced thin 2 cooked chicken breasts (about one pound total), sliced thin
Layer half of the cheese on four slices of bread; divide basil, red onion, mango, chicken and remaining cheese among bread slices. Top with second slice of bread. Heat grill pan, panini press or large non-stick skillet over medium-high heat; spray with non-stick cooking spray. Place two sandwiches in pan (close lid or weigh down sandwiches in skillet with heavy pot). Cook sandwiches until bread is golden brown and cheese is melted, about four minutes per side. Repeat with remaining sandwiches. Nutrition Information: Each serving
(1 sandwich) contains 438 calories, 40g carbohydrate (13% Daily Value), 3g fiber (11% Daily Value), 40g protein (81% Daily Value), 12g fat (19% Daily Value), 6g saturated fat (28% Daily Value), 100mg cholesterol (33% Daily Value), 746mg sodium (31% Daily Value), and 644mg potassium (18% Daily Value).
(25% Daily Value).
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The Sandcastle Girls
book of the month
By Chris Bohjallan
In his fifteenth book, The Sandcastle Girls, Bohjalian takes us to a time and place— Syria, 1915—that left haunting legacies for his Armenian heritage, making this his most personal novel to date. A sweeping historical love story, The Sandcastle Girls introduces us to Elizabeth Endicott, an adventure-seeking graduate of Mount Holyoke College who travels to Syria just as the Great War has begun to spread across Europe. With only a crash course in nursing, Elizabeth has volunteered on behalf of the Boston-based Friends of Armenia to deliver food and medical aid to refugees of the genocide. She soon befriends a striking Armenian engi-
neer. He is young, but he has already lost his wife and infant daughter to Turkish brutality. When Armen leaves Aleppo to join the British army in Egypt, he and Elizabeth begin a daring correspondence, bridging their very different worlds with words of love and hope. Interwoven with their tale is the story of Laura Petrosian, a contemporary novelist living in suburban New York. Although her grandparents’ ornate Pelham home was affectionately nicknamed “The Ottoman Annex,” Laura has never really given her Armenian heritage much thought. But when an old friend calls, claiming to have seen a newspaper photo of Laura’s grandmother promoting an exhibit at a Boston museum, Laura embarks on a journey back through her family’s history that reveals love, loss—and a wrenching secret that has been buried for generations. An epic story of love and war, The Sandcastle Girls will captivate your reading group.
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Know Your Dog
Nose to Toes
ou probably know that ticks cause Lyme disease in dogs. But did you know that removing a diseased tick in the early stages of attachment could save your dog a lifetime of pain, decreased mobility and possible damage to the heart, kidneys and nervous system? You probably know to keep your dog away from chocolate and candy. But did you know that a handful of raisins could induce kidney disease? And would you recognize the symptoms of failing kidneys? You probably know that a limping dog is an uncomfortable dog. But did you know that a dog with a “skip” to his gait might have a patellar luxation? And did you know that a consequence of patellar luxation is degenerative joint disease that causes chronic pain and lameness? You probably know that obesity leads to diabetes in dogs and humans. But do you know how diabetes presents in a dog? Would you notice the symptoms of lethargy, decreased appetite, excessive water consumption and increased urination? You probably know all about the dangers of snakes hidden in tall grass. But what about the danger of some grasses
T E P th of the mon
themselves? Foxtail barbs designed to move forward and not backward pose a serious threat of soft tissue damage and infection when left embedded in a dog’s nose, ear canal, paw or skin. A little bit of awareness is all it takes to prevent most of these scenarios from spinning dangerously out of control. Daily attention to your dog’s overall being can save you thousands of dollars -- and his life. I call it the nose-to-toes one-minute morning checkup, and it’s the best return on investment you’ll ever see. As the name suggests, start at the nose and work back. Check the nose, eyes, ears and gums. At first, you’re looking to get a feel for your dog’s norm. Once you know his norm, you’ll readily pick up on changes -- drippy nose, bad breath, inflamed gums, foul-smelling ears. From there, palpate head to tail, back to belly for lumps. As a dog ages, lumps become more common. Most of the time, they are nothing more than fatty fluid. Sometimes, though, they’re malignant and should be removed. Your vet will know the difference. Draw a map of your dog’s body, and keep track of those you’ve had checked. Check the niches of his paws for ticks, foxtails or any other foreign body. Check his paw pads to ensure they aren’t dry and cracked.
By Matthew “Uncle Matty” Margolis
Pay careful attention to your dog’s weight. Any unexplained significant weight loss or gain should be reported to his veterinarian. “Significant” varies depending on size. A one-pound loss over the course of a week is not particularly noteworthy in a Great Dane. In a Pomeranian, it’s significant. It’s also important to be familiar with your dog’s water and food habits, as well as his overall energy level. Changes in any of these behaviors are worthy of your attention. A sad dog is a sick dog, and so a sad dog will likely benefit from a visit with the vet. In addition to educating yourself about your dog’s normal, pick up a resource book of veterinary medicine for laymen. Pocket size will do. Just have something on hand that links symptoms to possible causes, and don’t be afraid to hit the vet. An ounce of prevention is worth a pound of cure.
Dog trainer Matthew “Uncle Matty” Margolis is co-author of 18 books about dogs, a behaviorist, a popular radio and television guest, and host of the PBS series “WOOF!
Fall Crazy In Love for These Kittens!
Sasha Fierce & Jay-Z Meet Sasha Fierce and Jay-Z, two kittens that were rescued from a not-so-harmonious future when they were found hiding under a deck shortly after they were born. Their place is in the spotlight, of course...and they are ready to dance into YOUR heart. Sasha is a spayed female and Jay-Z is a neutered male. Both are silver-gray tabbies and
approximately 10 weeks old. After a short stay in foster care, this super-stylish duo is hip-hop-hoping to find a home where they can stay together and make beautiful music forever. Speaking of stylish - reserve your place on the catwalk today at HAWS’ Romp the Runway on September 28th! Our very fashionable fundraiser features a show with styles from local bou-
tiques, along with a fantastic auction, raffle, cocktails and appetizers. Admission is $75 per person; VIP tables and sponsorships are available. Make it a girls’ night out and support the HAWS cause in style! Visit hawspets.org for details or call (262) 542-8851, x112. The paparazzi are waiting...
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s t o r y -
h s f d e
f r e o t a
So Shoe Me
f you feel like there’s only one thing you can work into your shopping budget this fall, it’s gotta be a pair of new shoes. These fashion accessories can instantly transform a wardrobe. Whether you’re a high-powered corporate CEO slipping on a stylish pair of oxblood suede boots or a college-bound freshman sporting funky lace-up Doc Martens, chic footwear is the fastest way to put your best foot forward this fall. Here’s a shopping list of the hottest shoe and boot styles for the season ahead: --Loafing along. Remember penny loafers? Well, this fall, shoe designers take them to new heights, adding both stacked and skinny heels to these preppy favorites. These back-to-school traditions have grown up with patent trims, lug soles and colorful velvets. Perfect for dressing up that everyday office attire.
--Sweet Mary Janes are not so sweet this fall. Instead, these baby-doll flashbacks rock with vamped-up style. Little-girl style goes glamorous with higher heels, slimmer straps and lots of sexy, suede trims. Wear them with ankle socks and flowing skirts for more of a bohemian look. --Strapping it on. For evening wear this fall, the party shoes you are going to want are strappy high heels. Think T-straps and ankle straps. These shoes are anything but plain Jane -- the more bling, the better. They sparkle with glitter and jewels. And there are lots of feathers flying out there, too. How’s that for glamming up a little black dress? --Point those toes, girls. The pointy toe pumps and mules return this fall. These are the perfect complement to the menswear trends ... and they look great with jeans, too.
fashion By Sharon Mosley
--Going to Oxford. The flat to have this fall is the classic oxford jazzed up with cap-toes in metallics, studs and snakeskin. Smoking loafers are also showing up in lots of colorful suede. These menswear-inspired shoes are anything but
Dark burgundy or “oxblood” is a favorite footwear color this fall. From Stuart Weitzman (www.stuartweitzman.com)
fashion cont. on page 39
” t d s
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WOMEN on the move
Cheryl L. Stucky, PhD, professor of cell biology, neurobiology and anatomy at the Medical College of Wisconsin (MCW), has been appointed to the Somatosensory and Chemosensory Systems (SCS) Study Section of the National Institutes of Health’s Center for Scientific Review. This study section reviews research on the molecular biology, anatomy, physiology and psychophysics of specialized sensory systems with emphasis on integrative systems approaches to understanding normal sensory function and sensory pathology due to injury or disease. The four-year appointment runs through June 2016. The national law firm of Quarles & Brady LLP announced that Nicole J. Druckrey, a partner in the Firm’s Milwaukee office, was elected to serve on the board of directors of Adoption Resources Wisconsin. Druckrey practices in the Firm’s Commercial Litigation Group and focuses on unfair trade practices. Druckrey also serves as president of the board of directors for Ebenezer Childcare Centers, Inc. and recently became a member of the City of Oak Creek’s Community Development Authority. Carley Sauter, M.D., has been appointed Assistant Professor of Physical Medicine and Rehabilitation at the Medical College of Wisconsin. She sees patients at the Tosa Center’s SpineCare Clinic in Wauwatosa. Board certified in Physical Medicine and Rehabilitation, Dr. Sauter’s clinical interests include back pain, neck pain, general musculoskeletal care, electrodiagnostic medicine and the rehabilitation of injuries sustained in workplace and industrial labor settings. The national law firm of Quarles & Brady LLP announced that Sarah L. Fowles, an associate in the Firm’s Milwaukee office, was elected to serve on the Milwaukee Children’s Choir (MCC) board of directors. Fowles is an attorney in the Firm’s Labor and Employment Group where she practices in all areas of employee benefits, including qualified retirement plans, welfare plans, executive compensation and equity compensation. She is a member of the Greater Milwaukee Employee Benefits Council and a former board member of InHealth Wisconsin. Elizabeth J. Cochran, M.D., professor of pathology at the Medical College of Wisconsin (MCW), has been elected vice president of the American Association of Neuropathologists (AANP). Dr. Cochran, who joined the MCW faculty in 2009, serves as the director of the neuropathology and autopsy services for the MCW department of pathology and Froedtert Hospital. She also directs the pathology course for second year medical students at MCW. The national law firm of Quarles & Brady LLP announced that Natalie R. Remington, an attorney in the firm’s Milwaukee office, was appointed to the Wisconsin Supreme Court’s Appointment Selection Committee as the designee of Dean Joseph Kearney, Marquette University Law School. The Supreme Court Appointment Selection Committee consists of 12 individuals and assists the Court in finding people of the highest integrity and commitment to serve on the various boards and committees to which the Court makes appointments. Anubha Wadhwa, M.B.B.S., has been appointed assistant professor of radiology at the Medical College of Wisconsin (MCW). She sees patients at Froedtert Hospital. Board certified in diagnostic radiology, Dr. Wadhwa specializes in the detection of breast cancer through image-guided procedures such as ultrasound, stereotactic breast biopsy, magnetic resonance imaging-guided breast biopsy and wire localization.
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September 7-8 Fall Art Walk
Downtown Delafield Free event for the entire family, 5 - 9 p.m. Enjoy a variety of artisans and musicians in the downtown district. www.visitdelafield.org.
September 8 2nd Annual Krankin’ for Kids Bike Ride
Trinity Lutheran Church 10729 W. Freistadt Rd., Mequon Bike enthusiasts of all ages and skill levels can enjoy an early autumn ride along the scenic paved roads and trails of Ozaukee and Washington counties. The event supports the students and programs of LSSES, helping children with learning and emotional challenges realize their true potential. For more information call (414) 461-8500.
September 8 Walk to End Alzeheimer’s Frame Park, Waukesha Registration begins at 8:30a.m., walk begins at 10:00 a.m. For details, visit www.alz.org.
September 10 Children’s Hospital Tee Up Fore Kids
8000 N. Range Line Rd., River Hills Benefits: Children’s Hospital and Health System Children’s Hospital Tee-Up Fore Kids will support the Newborn Progressive Care Unit opened in 2010. (414) 266-6320.
September 15 38th Annual Arts & Craft Fair Holy Hill, Hubertus From 10 a.m. - 5 p.m.
September 15 JDRF Walk to Cure Diabetes
Milwaukee County Zoo Registration 8:30 a.m. Walk Start Time: 10:00 a.m. Length of Walk 2.5 miles. Visit www2.jdrf.org.
September 15 - 16 Cedarburg Wine and Harvest Festival
Downtown Cedarburg Both the abundance of Wisconsin’s homegrown produce and artisan food products, plus the award-winning wines of Cedar Creek Winery are what initiated this free, family-oriented event. Saturday 10 a.m. - 6 p.m. and Sunday 10 a.m. - 5 p.m. www.cedarburgfestivals.org.
September 16 Pedal the Kettle
UW-Waukesha starting point A bicycle tour exploring the back roads of scenic Waukesha County. www.springcityspinners.org or (262) 370-1139.
September 19 “A Tale of Three Cities”
Italian Conference Center 631 E. Chicago St. Women’s Court & Civic Conference of the Greater Milwaukee Area, Speakers Mayors Kathy Ehley, Wauwatosa; Dan Devine, West Allis; and Jack Chiovatero, New Berlin. From 10 a.m. - 2 p.m. For luncheon reservations call Bernadette at (414) 425-5429 by Sept. 14th.
September 20 Gilda’s Club Fashion “Show of Support”
The Pfister Hotel 424 E. Wisconsin Ave., Milwaukee The evening includes a cocktail reception, dinner and a fashion show. Show models, all cancer survivors, will be accompanied on the runway by an individual who has provided critical emotional and social support during their cancer journey, 6 p.m. (414) 962-8201.
September 21 & 22 Upright Citizens Brigade Touring Company
fashion cont. from page 37
information call (414) 273-7206, 1-888-612-3500 (toll free); (414) 273-3080 (TDD) or marcuscenter. org/box_office.html.
September 23 Cheery Cherry Fall Fair
Downtown Menomonee Falls Exhibitors, food, cherry products, entertainment from 9 a.m. - 4 p.m. Proceeds from the Cheery Cherry Fall Fair will benefit the Emergency Department at Community Memorial Hospital and help to fund a new courtesy van for patients and visitors at Community Memorial Hospital. menomoneefallsdowntown.com.
September 28 - 30 HAWS “Fashionable Fundraiser”
Silver Spring Golf & Banquet Center N56 W21318 Silver Spring Dr., Menomonee Falls www.hawspets.org.
Upcoming Events October 19 November 11 Big the Musical
Todd Wehr Theater, Marcus Center The 1987 hit movie bursts onstage in this vibrant, funny and touching musical. Come see this new version of the Tony®-award nominated musical comedy, created just for our family audiences. For more information call (414) 273-7206, 1-888-612-3500 (toll free); (414) 273-3080 (TDD) or marcuscenter. org/box_office.html.
old-school. They’re perfect to wear with rolled-up skinny jeans. And they’re the ultimate in comfort! --Getting the boot. When cooler weather rolls around, it’s easy to get excited about wearing boots. Although there have been a few reported sightings of diehard fashion cowgirls roaming around in the summer donning their boots and Daisy Dukes, most of us wait until the temperature drops to pull the boots out of the closet. This year, there are more boot styles to choose from than ever before. From high-heeled lace-ups and knee-highs to flat motorcycle-inspired ankle and riding boots, there’s something for everyone. You may want to start a collection of boots. Years ago, most of us only had one basic pair, but now, boots have taken on a fashion life of their own, accessorizing everything from professional pencil skirts to floaty floral dresses. They lend a whole lot of the “cool” factor to just about anything in your wardrobe. Start your shopping engines now! Sharon Mosley is a former fashion editor of the Arkansas Gazette in Little Rock and executive director of the Fashion Editors and Reporters Association.
Marcus Center for the Performing Arts The UCB Theatre is the greatest producer of comedic talent in America today. The Upright Citizens Brigade Touring Company brings the very best improv comedy talent from their theatres in NYC and LA directly to Milwaukee. For more September 2012 WISCONSIN WOMAN | 39
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THE NEW AURORA MATERNAL METABOLIC CENTER
A Successful Balance Nurturing healthy pregnancies for women with metabolic conditions
The management of metabolic disorders before, during and
Our multidisciplinary team of specialists works together to
after pregnancy requires specific expertise. We offer prenatal
focus on risk factors, prevention and management to help
planning, a closely monitored pregnancy and delivery, as
ensure the health of women and their babies.
well as follow-up care. Our comprehensive, sensitive care
Batul Valika, MD – Medical Director Reproductive medicine and hormonal disorders
helps minimize the concern that comes with hormonerelated health issues, and maximize the joy of pregnancy and motherhood.
David Merrill, MD – Medical Director Medically-complicated obstetrics and prenatal screening Vickie Flask RD, CD, CDE – Dietitian & Diabetes Educator
Aurora Health Care introduces experienced, specialized
Candice Geyer – RN Care Coordinator
care for women with metabolic and hormonal
Kathleen Martin – RN Care Coordinator
AWP Maternal Metabolic Center_WI Women_rev.indd 1 SEPT WW PAGES.indd 40
For more information or to schedule an appointment, please call 414-855-2912.
8901 W. Lincoln Avenue | West Allis 4202 W. Oakwood Park Court | Franklin
Get Social. Join our women’s health community. facebook.com/aurorawomen
b120532 (8/12) ©AHC
• Gestational diabetes • Type 1 and type 2 diabetes • Metabolic syndrome • Maternal obesity • Thyroid disease • Polycystic ovarian syndrome
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Published on Sep 1, 2012