February Peoria Healthy Cells 2011

FEBRUARY 2011 FREE

HealthyCellsM A G A Z I N Ewww.healthycellsmagazine.com

TM

Comfort of Home… and “Therapy, Too!” page12

areaPromotingHealthier Living in Your Community

• Physical

• Emotional

• Nutritional

GREATER PEORIA

Doubting your Diagnosis?Headaches and Oral Facial Pain Revealedpage 22

Managing Parental Stresspage 26

Varicose and Spider Veins Misconceptions & Factspage 33

February 2011 — Peoria — Healthy Cells Magazine — Page 3

letter from the owner

EversinceIcanremember,chocolatesandflowersseemtobethegiftofchoicewhenitcomestoValentine’sDay.Actually,botharelovelygifts,especiallythechocolateifitisdarkandalreadyinaportioncontrolledbox.Inthismonth’sissue,thearticle“WakeUpYourBrain”challengesustodothingsdifferentlythanwehavedonepreviouslyandencouragesustotrynewthingstokeepusstimulated. Hereisanideato“WakeUpYourBrain”thisValentine’sDay:ReachouttosomeonethatyounormallywouldnotcontactonValentine’sDay–alostfriend,ashutin,anelderlyrelativeorsomeonewhohasrecentlybeendi-vorcedorhaslostalovedone.Thispersonwouldgreatlyappreciatesome“sweetattention”onthisspecialday.Infact,itmaybethebestValentine’sDaygiftyouhaveevergiven.

Sincerely,

KimBrooks-Miller,Owner,HealthyCellsMagazine,GreaterPeoriaAreaEdition.Comments or questions call: 309-681-4418 or e-mail: [email protected]

HappyValentine’sDay!

Photo Courtesy of Photography by Jill

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For a ComprehensiveEvaluation

Children & Adults Welcome

Peoria Ear, Nose & Throat Group7301 N. Knoxville Ave., Peoria, IL

Julie C. Klemens M.D.Board Certified

Allergy Asthma &Immunology

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Forty to Fifty Million Americans suffer from seasonal allergies.

Anyone with allergies or asthma should be able to feel good, be active all day and sleep well at night. You

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My staff and I are trained to work with you to determine what causes your problems and to develop a tailored plan that matches your lifestyle and provides

the most effective treatment.

ThisMonth’sCoverStory:

Comfort of Home and “Therapy, Too!”page12

Volume 13, Issue 2

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26

28

30

32

33

Physical:UnderstandingLowBackPain

Nutritional:Avocados…FriendorFoe?

Emotional:AdvocatingforYourChild’sEducationalNeeds

Fitness:TipsforGettingActive

TobaccoQuitline:

QuitWhileYouCan

HeadachesandOralFacialPain:DoubtingYourDiagnosis?

ElectromagneticRadiation:CellPhoneProtectionPlanforYourBodyandBrain

EffectiveParenting:Stress—ANecessaryPartofLife

ExploringAging:FighttheFluwithFacebook

MentalExercise:WakeUpYourBrain

CommunityNews:CentralIllinoisHeart777CardiacNetwork

VascularDefects:VaricoseandSpiderVeinsMisconceptionsandFacts

February

HealthyCellsMagazineisintendedtoheightenawarenessofhealthandfitnessinformationanddoesnotsug-gestdiagnosisortreatment.Thisinformationisnotasubstituteformedicalattention.Seeyourhealthcarepro-fessionalformedicaladviceandtreatment.Theopinions,statements,andclaimsexpressedbythecolumnists,advertisers,andcontributorstoHealthyCellsMagazinearenotnecessarilythoseoftheeditorsorpublisher.

HealthyCellsMagazineisavailableFREEatover600locations,includingmajorgrocerystoresthroughoutcentral Illinoisaswellashospitals,physicians’offices,pharmacies,andhealthclubs.12,000copiesarepublishedmonthly.HealthyCellsMagazinewelcomescontributionspertainingtohealthier living incentralIllinois.LimelightCommunications,Inc.assumesnoresponsibilityfortheirpublicationorreturn.Solicitationsforarticlesshallpertaintophysical,emotional,andnutritionalhealthonly.

Mission:TheobjectiveofHealthyCellsMagazineistopromoteastrongerhealth-consciouscommunitybymeansofofferingeducationandsupportthroughthecooperativeeffortsamongesteemedhealthandfitnessprofessionalsincentralIllinois.

2011

Foradvertisinginformation,contactKimBrooks-Miller

309-681-4418email:[email protected]

HealthyCellsMagazineisadivisionof:

1711W.DetweillerDr.,Peoria,IL61615Ph:309-681-4418Fax:309-691-2187

[email protected]

HeritageManor-Chillicothe


JUSTINAHLMAN,M.D.,MS.DABPM

Page 6 — Healthy Cells Magazine — Peoria — February 2011

physical

Understanding Low Back Pain and the treatment options that are available

By Robert L. McCary, Prairie Spine & Pain Institute

Accordingtothe2007AmericanPainSociety’sclinicalguidelinesfortheevaluationandmanagementoflowbackpain,present-ingtoyourphysician’sofficewiththecomplaintsofbackpain

isextremelycommon.Thoughestimatesvarywidely,studiesinde-velopedcountriesreportpointprevalencesof12%to33%,one-yearprevalencesof22%to65%,andlifetimeprevalencesof11%to84%.In theU.S.,nonspecificmechanical lowbackpain is the fifthmost

commonreasonforallphysicianvisits,andthesecondmostcommonsymptomaticreason,accountingforapproximately2.3%ofallphysi-cianvisits(ChouandHuffman,2007&Rundell,Davenport,&Wagner,2009,p.1-2). Sohowdoesyourhealthcareproviderdifferentiateyourpainfromacute (sudden)versuschronic (long-term)painandwhatdoes this

meanforyou?Acutepainisdefinedaspainexperiencedfor12weeks(3months),whilechronicpainisexperiencedformorethan12weeks(ChouandHuffman,2007).Whenyoupresenttoyourhealthcarepro-viderdifferentiatingthetypeofpainisveryimportantalongwithinfor-mationobtainedduringtheinterviewprocess.Manyexpertssuggestthatthetreatmentofacuteandchronicpainbeginswithidentifyingthesourceofthepain.Thisisthereasonwhyprovidingaccuratedetails

of your backpain is extremely importantandtheacquisitionofsuch information isessential in establishing an individualizedtreatmentplanforyou. Regardless of the type of pain, beinginpaincanbedevastatingtoyourwayoflife. Itaffectsbothyourmoodandemo-tional state, your physical activity levels,yoursleeppatterns,youractivitiesofdailyliving(ADLs),andalsoyourpaincanhaveanimpactonthosearoundyou.Whenpre-sentingtoyourhealthcareprovider,theseconsiderationsaretakenintoaccountandmeasuresare implementedtotryandre-storesomeequilibriumbackintoyourlife. AtPrairiePain&SpineInstituteinPeoria,oneofthemostreliableandvalidatedqual-itypainassessmenttoolsthatweuseistheOwestryDisabilityIndex(ODI).Dr.RichardA. Kube II, M.D., FACSS, the practice’sCEOanddoubleboardcertifiedspinesur-geon,chosethisparticulartoolasameansforthepatientstoprovideapreandpostobjectivemeasurementofyourpainexperi-ence. The treatmentplan for chronic and/oracutelowbackpainbeginswiththeinitialvisit toyourhealthcareprovider. Atthattime,theprovider’sevaluationwill involveobtaining a detailed history, performingaspecificphysicalexamination,andthenestablishing a treatment plan specificallytailoredtoyourindividualneeds.Theplanof care and interventions that are imple-mentedtotreatyourpainarebaseduponseveralitemssuchas:1.evidenced-basedstandards of care; 2. current treatmentguidelines;3.yourprior levelof function-ing;and4.establishingrealisticoutcomes

baseduponyourassessmentfindings. Thetreatmentofpain ismostlyastep-wiseprocessthatbeginswith the least invasive, cost effective, and the leastdebilitatingofmedications.Eachinterventionisreassessedforitseffectivenessandthenadjustmentsofthetreatmentplanaremadebaseduponthesenewfindings.Forexample,iftheanti-inflammatorymedications,rest,


heat/coldpacks,andlimitedphysicalactivityareineffectiveinreducingyoursymptoms,theproviderwill,inastep-wisefashion,addadditionaltreatmentoptions. Thecourseoftreatementsthatyourprovidermaychoosetoimple-mentedcanbeeitherinvasive,none-invasive,orboth.Non-invasiveinterventions include,butarenot limitedto,rest, ice/heat,medica-tions,andresumingphysicalactivityassoonaspossible.Medicationsthataretypicallyprescribedinthetreatmentoflowbackpainareanti-inflammatories,narcotics,ormusclerelaxants.Theuseofanti-inflam-matoriesare importantbecausetheyservetwopurposes-first theyreduceinflammationandsecond,providepainrelief.Strongerpainmedications,suchasanopiodornon-opiodbasednarcotic,areuti-lizedonlywhenthepainisunrelievedbyaprescribedanti-inflammatorymedicationorotheroverthecounterpainmedicationssuchasTyle-nolorAleve.Adjunctivetherapiesthatmayhaveanaddedbenefittoyourtreatmentplaninvolvetheuseofanti-depressants,topicalcreamsorgels,oranti-seizuremedications.Also,theAgencyforHealthcarePolicyandResearchguidelineshavedeterminedthatagradualreturntonormalactivitiesismoreeffectivethanprolongedbedrestfortreat-ingacute lowbackproblems. Prolongedbedrest formorethan4daysmayleadtofurtherdebilitation.Thisiswhyphysicaltherapyisimportantinthetreatmentregimen. OneconcernIhearmostoftenisapatient’sconcernfordevelopinganaddictiontoanarcoticpainmedication.Whilebeingtreatedbyyourprovider,takeyourmedicationsasprescibedandwhenyouneedit.Thisistheonlywayyoucanevergetbetterandeffectivelymanageyourpainwhileyourbodyishealing.Thereislittletonoriskfordevelopinganaddictionfromyourpainmedicationsifyoutakethemappropriately.Takingyourpainmedicationstorelieveyoupainisverydifferentthan

takingthemwiththesolepurposeofgetting“high”.Yourhealthcareprovidedisalsoavailabletoansweranyofyourquestionsorconcernsaboutthisatanytime. Invasivetreatmentoptionscome intoplaydependinguponeachindividualpatient’sspecificcircumstances.Forexample,apatientwithaseverlyunstablebackfracturewillrequiresurgicalinterventionastheinitialtreatmentplan,asopposedto,astep-wiseapproachforapatientwithaherniateddisc.Invasivetreatmentoptionscanincludespinalblocksorsteriodinjectionstorelievethepainandinflammation.AlsoavailablearetheuseofdevicessuchasaTENS(transcutaneouselec-tricalnervestimulation)deviceinsertedbyapainspecialist.Whatevertreatmentregimineyouandyourhealthcareproviderchooses,ensurethatyouareactivelyengagedintheplanofcarebyaskingquestions,adheringtotheplanofcare,andstayingthecourse-despiteanyset-backs.Theroadtorecoveryislongandnotalwayseasy.Alsokeepinmindthatthereisno“onesizefitsall”treatmentcourseforeverypatient.Whatworkedforyourfriend,familymember,orassociatemaynotprovideyouwiththesameresults.So,alwaysfollowtheprofes-sionaladviceofyourhealthcareprovider.

For more information, please contact the Prairie Spine & PainInstitute at (309) 691-7774 or visit www.prairiespine.com.

ReferencesChou,R.&Huffman,L.H.(2007).Guidelinesfortheevaluationandmanage-mentoflowbackpain:EvidenceReview.Glenview,IL:AmericanPainSociety.Rundell,S.D.,Davenport,T.E.,&Wagner,T.(2009,January).PhysicalThera-pistManagementofAcuteandChronicLowBackPainUsingtheWorldHealthOrganization’sInternationalClassificationofFunctioning,DisabilityandHealth.PhysicalTherapy,89(1),82-90.

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nutritional

Inthepast,avocadoswerea“fruit”(yes,theyareactuallyafruit,notavegetable),notallowedonmanyweightlossprograms,chieflyduetothefatcontent.Howeveravo-cadoscontainawealthofnutrients;includingdietaryfiber,vitaminsCandK,copper,

sodium,potassiumandfolate.Thepotassiuminavocadosregulatesbloodpressureandavocadosarevirtuallytheonlyfruitthatcontainsmonounsaturatedfat,whichistheessentialfatthatwegetfromolives,oliveoilandflaxseeds.Thesefatsareessentialtoforallofoursystemstorunattheirbest! TheAmericanHeartAssociationclaimsthatthesefatshelpreducebloodcholesterollevelsanddecreasetheriskforheartdisease.Also,avocadosarerichincarotenoids,which

actasantioxidants.Thesecarotenoidshavebeenlinkedtoenhancingtheimmunesystemandprotectingoursystemfromfreeradicals.Atoxinfoundinavocadoshasactuallybeenshowntokillcancercells.Nutrientsinavocadoshavealsoprovenverybeneficialinimprovingconditionsconcerningskindisorders,sexualfunction,digestiveandcirculatoryproblems. Thereareseveralwaystoutilizethisnutritiousfruit.Braziliansuseittomakeicecreamand

inthePhilippines,it’susedtomakeacreamyavocadoshake.Whenpurchasingavocados…ifyouarelookingforripechoices,theyshouldyieldtoagentle

squeeze.Iftheyarestillveryfirm,simplyputtheminabrownpaperbagwithanappleonyourkitchencountertoptoripen.Avocadoscan

bemashedtomakeguacamole,ordicethemoveryoursoupsorsalads.Iamincludingmyfavoriteavocadorecipe…ENJOY!!

Marianne’sAvocadoSaladCombinethefollowinginamediumsizedbowl:1Mediumavocado-cubed1Romatomato-cubedEnoughsweetoniontotaste,chopped1handfulofsprouts(Iprefermungbeansprouts,butalfalfawouldbegreataswell!)¼cuptabouliorquinoa1(small)handfulofrawsunflowerseeds

Simplycombinealloftheaboveinabowlandenjoy! Thiscanbeoneofyour five“mini-meals”throughoutyourday…Itcontainsahealthydoseofdietaryfiber,Omega3fattyacidsandboundsofenzymes,vitaminsandminerals. Quinoa isacompleteprotein,sothisisalsoaperfectprotein/carbohydratebalance. Byeatingmore “whole” foods…in the formoffreshfruitsandveggies…rawwhenpossible,wearefeedingour7millioncellsthenutrientstheyneed. Byeatingmorewhole foods,andavoid-

ingprocessed(garbage!)foods,yourbodywillbefedthenutrientsitneedstohavemoreenergyandvitality…andachieveyouridealbodyweightaswell.Goodluck!

For additional information, please contact Marianne Miller at Club Fitness: [email protected] or call 309-689-1400.

Avocados…Friend or Foe?

Submitted by Marianne Miller, Club Fitness


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Comethistimeofyearbothteachersandparentsstarttonoticesomeoftheirchildrenperformingbelowtheirpotential,whetherrelatedtoacademic,emotionalorbehavioralproblems.Some-

timesschoolstaketheinitiativetoassessthechild’sneedswhileothertimestheissuesgoignoredorpostponed.Manyparentsfindthemselveslostinthedarkwhenitcomestotheeducationalsystem;theywanttohelptheirchildrengettheservicesneededyetdonotknowwheretogoorwhattodo.

Wordstoknow:Americans with Disabilities Act—Noonewithadisabilitycanbeexcludedfromparticipatinginfederallyfundedprogramsoractivities,includingelementary,secondaryorpostsecondaryschooling.IndividualswithDisabilitiesEducationAct(IDEA)-Includesmandatesforappropriateinstruction,necessaryadaptations,modificationsofcur-riculum,andprotectionsagainstexpulsion.

Disability—Whenachildcannotperforminschoolduetoaphysical,learning,behavioral,oremotionalproblem.

IEP—IndividualEducationPlan,underIDEA,isonlygiventostudentswithspecificclassificationsandisfocusedonmeetingtheeducationalneedsofthestudent.

504 Plan—The504thsectionofTheAmericanswithDisabilitiesActwhichprovidesaccommodationstohelpallstudentstohaveanop-portunityperformatthesamelevelastheirpeers.

OHI—OtherHealthImpairment,usedtodescribesdisabilitiessuchasADHD.

Psychological testing—isnotonlyamentalhealthassessment,butalso includes intelligence testing,anddevelopmentalassessments.Thistypeoftestingallowsthepsychologisttolookatthewholepersonandintegrateallinformationintotheirreport.

emotional

Advocating for Your Child’sEducational Needs

By Amanda Kopp, Ph.D.


CommonMyths:Parentsandstudentsdon’thaverightsiftheyarenotprotectedundertheIndividu-alswithDisabilitiesEducationAct (IDEA);howevertheyaremoreprotectedifthereisevidenceofadisability.

•ChildrencannotbeassessediftheydonothaveanIndividualEducationPlan(IEP).

•TheneedsofachildcanonlybemetifachildhasanIEP.

•If theschoolwillnottestmychildheorshecannotbetested.

Nowthatyouknow,whatcanbedone? Always keep a line of communicationopenwithyourchild’steacher,youcanaskforservicesatanytime;Howevertheymaynotbegivenwithouttheproperdocumen-tation(IEP,504-Plan) Oneyounotice there isaproblem,setupameetingwithyourchild’steacherandask thecrucialquestions:Whatdoes theteacherseeatschool,howistheproblemaffectingthechildandistherearestepstheschoolorfamilycantaketohelpatthistime If the teacherwill notmake changesorthose changes were not successful, askto speak with the school psychologist orcounselor.Thisisthepersonwhowillpro-videthetesting.Moreoftenthannotyouwillhavetorequestthatseveraltestsbedoneto investigateanddiagnose theproblem.Thediagnosisiswhathelpsyourchildgeteithera504-planoranIEP Theschoolmaydenythetestingandifthisoccursthenitisbesttofindapsychologistwhospecializesintestingchildrenandado-lescents.Thispersonwilldoaninterviewwithyouandyourchild,determinewhich testsneedtobedoneandcreateareportofalltheinformationwhichcanbetakenbacktotheschoolasevidenceofneedforservices.

Onceyouhavetheevidence,whetheritcamefromtheschooloran independentpsychologist,requesttohaveameetingforeligibil-ity.HavethePsychologist,whodidthetestingattendthismeetingtodiscusstheresultsoftheirtestingandgivetheirrecommendationsforservices. Beforethemeetingisovermakesurethatyoufeelalltheservicesgiventoyourchildareadequate.Youmayrequestfuturemeetingsatanytimeifyoubelievetheplanneedstobemodified.Itisrarebutifafteralloftheseeffortstheschoolwillstillnotprovideservices,consultwithalawyerwhospecializesineducationlaw.

Dr. Kopp is an employee of Psychology Specialists, Ltd. She is completing her Post Doctoral Resident in Clinical Psychology. Dr. Kopp sees patients in Canton and Peoria by appointment. She welcomes the opportunity to work with you! Her professional interests are working with adults, children and families. She can be reached at 309.648-0782.

Advocating for Your Child’sEducational Needs

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heritage manor-chillicothe

Comfort of Home…and “Therapy, Too!”

Offering Quality Rehab-to-Home Services at an Affordable PriceBy Mary Hilbert

Since1997theskillednurs-ingstaffofHeritageManorin Chillicothe has served

CentralIllinois’residentswiththecomfort and quality care theyneedtoadjusttotheagingpro-cess and rehabilitate followingtrauma or illness. The facility’sservices include therapy, respitecare, hospice care and skillednursingat anaffordable cost toresidentsandtheirfamilies. Rehab-to-homeorshort-termrehabisoneofthecentralgoalsofHeritageManor inChillicothe.In-house speech, physical, oc-cupational therapy and rehabili-tativeservicesareavailableatalllocations. Theprimarypurposeofrehab-to-homecareistoreturnresidentswhoareabletoundergotherapy home as soon as pos-sible,accordingtoLoriNewberry,thefacility’sDirectorofNursing.

HeritageManor-Chillicothehasacapacityof110residentsandprovidesa pleasant environment designed torecreatethecomfortsofhome.Regen-erating a sense of independence forseniorswhoneedtherapyafteranacci-dentorsurgeryisimportant.Forhigher-functioning residents thereare roomsdedicatedspecificallyforMedicareandshort-termstayresidentswhicharelo-catednearadiningroomwheremealsareservedrestaurant-style. Although nursing homes areoften negatively stereotyped as serv-ingseniors“endoflife”,thisissimplynotthecase,accordingtoBradRum-mel,OTR/L,thefacility’sleadtherapist.Whilemanyresidentsreturnhomefol-lowing rehabilitation services, othersenjoythefamilialatmosphereandsenseofcommunitywithpeers.“Someresi-dentscomebacktoseeus.Somehavechosentocomehereeventhoughtheyknowtheycanstillbeoutthere,”Rum-melsaid.Weeklyentertainment,bingogames, pastoral and church services

Newest addition to therapy services at Heritage Manor-Chillicothe: Therapy, Too!

Lead Therapist, Brad Rummel, works one-on-one with a resident.


heritage manor-chillicothe

areavailableonsiteforbothlowerandhigherfunctioningresidents,andduringthewarmermonthsagardenarea,includingagazebowithwalk-ways,makesforawelcomingenvironment. Highly-trainedlicensedpracticalnurses(LPNs)andregisterednurses(RNs)overseetheindividualizedcareofbothlong-andshort-termresi-dentsatHeritageManor24hoursaday.Certifiednursingassistants(CNAs)alsoadministercaretoallresidentsinmanyareas,includingdress-ing,eatingandbathing.

RehabilitationTherapyServices Inthecaseofrehab-to-homeservices,anindividualizedlevelofcareisanextremelyimportantpartoftheprocessaseachseniorhashisorherownmedicalhistory,needs,andlengthofrecovery.Rehabilitationtherapyisofferedinthreemajorareas: physical, occupational and speech. PhysicaltherapistsatHeritageManorassistresidentsinimprov-ingoverallmobility,strengthandenduranceaswellasinhelpingseniorstodecreasetheirlevelofpainwhenac-complishingthesetasks.Improvingjoint,muscle,boneandnervefunctionthathassufferedduetoinjury,illnessoragingisakeypartofthisprocess. Occupationaltherapyentailsre-teachingseniorshowtoperformday-to-dayactivitiessuchasdressing,bathingandansweringthephone,allimportantfunctionsforlivingindependently.Teachingpatientsstrategiesonwaystoconductday-to-dayactivitieshelpstoimproveself-imageandreducethefearofisolation.Espousingineachrehab-to-homeresidentasenseof independenceandconfi-denceneededtoreturntotheirhomeandfamilyisatoppriorityforHeritageManor’scaregivers.“Thedischargeplanbeginsthemomenttheywalkinthedoor,”Newberrysaid. Finally,formanyseniors,speech,languageandswal-lowingdisordersalso takeastressful tollon theabilitytocommunicate.SpeechtherapistsatHeritageManor-Chillicothework to improve theverbal functioningandmemoryofresidentsthroughanassessmentofdisordersandtherapy.

“Therapy,Too!” The“Therapy,Too!” room isaspecial rehabilitationroomthatenablestherapistsandnursestoworkdirectlywithresidentsinwhatisessentiallyareplicateofthebasichomeenvironment.Theroomiscompletewitharefrig-erator,stove,washer,dryer,bedandbathroom.Nurses

andtherapistsworkwiththesefeaturestoensurethatseniorsareabletoperformnecessarymaneuversinthehomesuchasbending,stand-ing,andusingthestove.Accomplishingthesetaskssafelywithwalkersorothersupportivedevicesasneededisespeciallyimportant.HeritageManor-ChillicotheisoneofthreeHeritageManorlocationsinthestatethatprovidesa“Therapy,Too!”roomforresidents.ThetwootherlocationsincludeHeritageManor-BloomingtonandHeritageManor-GibsonCity. BettyCrose,arehab-to-homeresident,spenttwo-and-a-halfmonthsundergoingtreatmentwiththerapistsatHeritageManor-Chillicotheandisnowlookingforwardtoregainingherindependence.“Itisgreattherapy,”Crosesaid,“Itreallyhelpedmealot.”AccordingtoCrose,herexperience

Therapy, Too! training room affords rehab-to-home residents a place to safely practice various daily living tasks before returning home.

Physical therapy programs are customized to each resident’s individual needs.


ofanaginglovedoneisanumberonepriorityandonewhichrequiresastrongcommitment.However,caretakingonafull-timebasisforanex-tendedperiodmaytakeafinancial,emotionalandphysicaltollonsome.Thereareanestimated48.9millionadultcaregiversintheUnitedStatestoday,accordingtotheNationalAllianceforCaregiving.“Itgivescaregivingfamiliesaperiodofrelief,”saidDaveHarper,CarePlanCoordinator.

While for somecaregiversplacinga familymemberinanursinghomeisnotanidealoption,aperiodofrespitecarecanprovebeneficialtoboththecaregiverandtheaging lovedone. ACom-monwealthFundstudy found that three-fifthsoffamilycaretakersbetweentheagesof19and64reportedfair-to-poorhealthandstrugglewithoneormorechronicillnessescomparedtoonlyone-thirdofnon-caregivers.Elderlyspousalcaretakersbetween theagesof66and96whounderwentcaregiving-relatedstresswerefoundtohavea63percenthighermortalityratethannon-caregiversofthesameage.Lengthofstayforrespitecareresi-dentscanrangefromafewdaystoafewweeks,dependingontheneedsof those involved. “It’sabout what’s important to you, what’s going tomatter,” Harper said. Daycare services of up toeighthoursadayarealsoavailableforcaretakersthroughthefacility.Long-termandshort-termcareresidentadmis-sion is available24hoursdaily andsevendaysaweekatHeritageManor-Chillicothe.HeritageManor-Chillicothe isamemberof the IllinoisHealthCareAssociationandasupporteroftheAlzheimer’sAs-sociation.

FormoreinformationonHeritageManorlocationsandservices,visit

www.heritageofcare.com/chillicotheorcontactHeritageManor-Chillicothe

309-274-2194.

with“Therapy,Too!”includedspendingalmosttwohourseachdayprac-ticingdailyhabitssuchasgettinginandoutofbedandputtingclothesinandoutofadryer.Theseareallthingsthatmanypeopletakeforgranted,butwiththeagingprocessordiminishedphysicalabilityrequiremoreat-tentionandcare.

Medicalconditionsthatmaybenefitfromtherapy Aside from the basic wear-and-tear process the aging bodyundergoes, thereareawidenumberofmedical conditions thatmaybenefitfromvariousformsofrehabilitationtherapy.Forexample,inthecase of physical therapy, the National Institute of Health (NIH) iden-tifies stroke as the number one cause of serious disability amongseniors. By undergoing physical therapy, an individual who hassuffered a stroke can relearn how to perform basic motor activi-ties such as standing, sitting, walking, lying down and transitioningbetweenvariouspositions.Manipulationofthepatient’sbodyalongsiderepeatedexercisesandtrainingcanbringbackbalanceandcoordination.Occupationaltherapyusesvariousexercisestoassistthestrokevictiminre-learningactivitieslikedressing,bathing,eatingandswallowing,readingandwriting,whilespeechtherapyhelpswithre-learninglanguageandcommunicationskills. Otherconditionsthatbenefitfromphysical,occupationalandspeechtherapy in seniors include neurological disorders, cardiovascular andpulmonarydiseasesaswellasorthopedicproblems.Hipandjointre-placement, arthritis, Alzheimer’s disease and osteoporosis are just afewexamplesofspecificconditionsthathaveadebilitatingeffectonthehumanbody’sabilitytofunction.

RespiteCare Anotherformofshort-termcareofferedtoseniorsbyHeritageManor-Chillicotheiscalledrespitecare.Formanyprimarycaregivers,takingcare

feature story continued

The caregivers develop close relationships with residents.

The therapy team at Heritage Manor-Chillicothe provides a comprehensive approach to therapy.



fitness

Smallstepsthatgetyourfamilytomovemorecanhelpallofyoumain-tainahealthyweight.Chooseadifferenttipeachweekforyouandyourfamilytotry.Seeifyouortheycanaddtothelist.Hereareafew:

WalkWheneverPossible •Walkinsteadofdrive,wheneveryoucan •Walkyourchildrentoschool •Takethestairsinsteadoftheescalatororelevator •Takeafamilywalkafterdinner •ReplaceaSundaydrivewithaSundaywalk •Goforahalf-hourwalkinsteadofwatchingTV •Getoffthebusastopearly,andwalk •Parkfartherfromthestoreandwalk •MakeaSaturdaymorningwalkafamilyhabit •Walkbrisklyinthemall •Takethedogonlongerwalks •Gouphillsinsteadofaroundthem

MoveMoreinYourHome •Garden,ormakehomerepairs •Doyardwork.Getyourchildrentohelprake,weed,orplant •Work around the house. Ask your children to help with

activechores •Washthecarbyhand •Useasnowshovelinsteadofasnowblower

LiveActively •Joinanexercisegroup,andenroll yourchildren incommunity

sportsteamsorlessons •Dosit-upsinfrontoftheTV.Haveasit-upcompetitionwithyour

kids •Pacethesidelinesatkids’athleticgames •Chooseanactivitythatfitsintoyourdailylife/lives •Useanexercisevideoiftheweatherisbad •Avoidlabor-savingdevices,suchasaremotecontrolorelectric

mixers •Playwithyourkidsatleast30minutesaday •Dancetomusic…withyourkids •Chooseactivitiesyouenjoy.Askchildrenwhatactivitiestheywant

todo •Explorenewphysicalactivities •Giveyourselfagoldstarwithnon-foodrelatedrewards,suchas

afamilydayatthepark,lake,orzoo •Swimwithyourkids •BuyasetofhandweightsandplayaroundofSimonSayswith

yourkids—youdoitwiththeweight

Source: National Heart, Lung, and Blood Institute, National Institutes of Health, U.S. Department of Health and Human Services.

Tips for Getting Active

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tobacco quitline

Eachyear,manypeopleintheUnitedStatesandaroundtheworlddiefromsmoking-relateddiseases.Infact,itisknownthathalfofthepeoplewhosmokewilldiedirectlyfromthisharmfuladdiction

andmanyofthesedeathswilloccurwhenpeoplearemiddle-aged.Cigarettesand thechemicals included in tobaccoandnicotineareknowntobelinkedtovarioustypesofcancers.Thisisbecausecar-bonmonoxideandnicotineworkagainstyourheart.Itspeedsupyourheartrateaswellasyourbloodpressure.Smokingcanalsoincreaseyourriskofhavingastrokeandamputation,whichisduetodecreasedspeedofyourbloodflow,whichdecreasestheoxygeninyourhandsandfeet.Ifthisisnotcorrected,thiscouldeasilyleadtoamputation.Smokingincreasestheamountoftarinyourlungs,whichcanleadtothroatandlungcancer.Smokingalsotakesoxygenawayfromthetis-suesinyourbody,includingyourbrainandyourmuscles,whichmakeseverythinginyourbodyworkmuchharder.Afterawhile,ifyoucon-tinuetosmoke,theairwaysdecrease,anditismoredifficulttogetairinyourlungs.Emphysemaandbronchitisarealsocommondiseasesthateffectindividualswhosmoke. Therearemanygoodreasonsnot tosmoke. Smokingposesagreathealthrisktoindividualswhosmokeandtothosearoundyou.Subsequently,itisveryimportantthatyoutakestepstoquitandsafe-guardnotonlyyourownbodyandhealth,butalsothosearoundyou.Ifsomeonedecidestostopsmokingcoldturkey,thebenefitsofquittingbeginwithintwentyminutes.Someofthosebenefitsinclude:

•20minutesafterquitting:yourbloodpressureandpulseratereturntonormal

•12hoursafterquitting:yourbloodoxygenlevelwillincreasetonormal

Quit While You CanIt Just Might Save Your Life

By Jennifer Lareau, B.S., Health Educator, Peoria City/County Health Department

•48hoursafterquitting:yoursenseofsmellandtastebegintobecomenormal

•2weeksto3monthafterquitting:yourheartattackriskhasstartedtodrop

•5-15yearsafterquitting:yourriskofstrokehasdeclinedtothatofanon-smoker

•10yearsafterquitting:yourriskofdeathfromlungcancerhasdeclinedbyalmosthalfifyouwereanaveragesmoker(onepackperday)

Asawaytohelpthosesmokerscopewiththethoughtofquitting,thePeoriaCity/CountyHealthDepartmentworksinconjunctionwiththeAmericanLungAssociation’s(ALA)CallCenter(IllinoisTobaccoQuitline)toprovidetelephonecounselingservicesforresidentsofPeo-riaCounty.TheALA’sCallCenter(IllinoisTobaccoQuitline)willofferfreetelephonecounselingasanadditiontoPeoriaCity/CountyHealthDepartment’stobaccocessationprogram.PeoriaCountyresidentscancalltheIllinoisTobaccoQuitlineat1-866-QUIT-YES(1-866-784-8937)7am-9pmMondaythroughFridayorvisitatwww.quityes.orgfor informationoncounselingandimmediatehelp inquitting. If theindividualproceedswithphonecounseling,theywillbeabletoaccesssix(6)weeksoffreenicotinereplacementpatches(NRT’s)asprovidedby thePeoriaCity/CountyHealthDepartmentas longas fundsareavailablefromtheIllinoisDepartmentofPublicHealth.

For more information about the smoking cessation program, the Illinois Tobacco Quitline, or how to receive these services, please call the Peoria City/County Health Department at (309) 679-6131 or visit www.pcchd.org.


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headaches & oral facial pain

Ifyou’reexperiencingfrequentheadaches,backandneckpain,dullachingfacialpain,orpoppinginyourjawyouarenotalone.Dawnhadsufferedfromconstantheadachesherwholelife.“Myhead-

achesneverseemedtogoawayandIhadtotakeaspirineverydayjusttomaskthepain,”saysDawn.Anotherpatient,Debbiealsosuf-feredfromdebilitatingmigraines.Evenwhenoneheadachesubsided,anotherwouldcomeunexpectedly.Ithitherlikeatonofbricksandshewouldbeforcedtostopallherplans,andwait.Shevisitedherprimarycaredoctor.Shevisitedherneurologist.Shetriednumerousheadachemedications.Butnothingworked forher.Thenoneday,shewasvisitingherdentist,Dr.BillCostaras,oftheIllinoisInstituteofDentalSleepMedicine.Hecouldtellshewasn’tfeelingwellandaskedherifshehadaheadache.“IwassotiredofmyheadhurtingIwantedtocry,”saysDeb.AfterascreeningforTemporomandibularJointDis-order(TMD)andSleepDisorderedBreathing(SDB),Dr.CostarasandDr.RodWilleystartedDebdownapathofanswersandyes,relieffromherheadaches. Approximately35millionpeople in theUnitedStatessuffer fromTMJproblems.WhilebothmenandwomenexperienceTMJdisorders,themajorityofthoseseekingtreatmentarewomenintheir20’sand30’s.ManybelievestressorabusylifestyleistoblamebutdonotrealizethatthesesymptomsareoftenrelatedtotheirjawmusclesandtheirjawjointknownasthetemporomandibularjointorTMJ.Yourbitecanbeafactorinmanytypesofpainorfunctionalproblemsbecauseoftheinter-relationshipoftheoverallmuscleandskeletalsystem.

WhatisTemporomandibularJointDisorder? TMDisaconditioninvolvingthetemporomandibularjoint,boneandcartiledgeresemblingaball-and-socketthatsitsrightaboveyourearcanaloneithersideofyourhead.Whenthejointslipsoutofposition,paincanresult,andTMDischaracterizedbyclickingorpoppingofthejawwhenyouopenorcloseyourmouth,persistentheadaches,andsometimeschronicpain.“Ihavemanypatientswhocometome

complainingofheadaches,jawandfacialpainaswellaspainintheears,neverrealizingthattheirpainwascausedbyamisalignmentintheirjaw,”saysCostaras.Somepeople,however,reportnopain,butstillhaveproblemsusingtheirjaws.ViewthediagramforadditionalsignsandsymptomsofTMD.

CausesofTMJDisorder ThecauseofTMDisnotclear,butdentistsbelievethatsymptomsarisefromproblemswiththemusclesofthejaworwiththepartsofthejointitself. Macrotraumatothejaw,temporomandibularjoint,ormusclesoftheheadandnecksuchasfromaheavybloworwhiplasharecommoncausesofTMD.Otherpossiblemicrotraumasinclude: •Grindingorclenchingtheteeth,whichputsalotofpressureon

theTMJ •Toothloss,misalignmentofteeth •Dislocationofthesoftcushionordiscbetweentheballandsocket •PresenceofosteoarthritisorrheumatoidarthritisintheTMJ •Stress,whichcancauseapersontotightenfacialandjawmus-

clesorclenchtheteeth •Chewinggumexcessivelyorbitingyournailscan inflameyour

temporomandibularjointandmaycauseTMD.

DentalTreatmentforTMD Until recently,mostdentistrywasbasedontheassumptionthatwhereveryourbitewasnaturallywasthecorrectposition.However,thenaturalbitemaynotbecomfortableorfunctionalforthepatient.Infact,malocclusion,ora‘bad’bitecanbeinvolvedinpainand/ordysfunctionofvariousareasofthebody,whichseemtohavenothingtodowithdentistry.ComprehensiveDentistryobjectivelyevaluatesthecomplexrelationshipbetweentheteeth,nerves,musclesandjawjoints. Dentistswhoare trained to treatTMDareable toestablishaharmoniousrelationshipbetweenthese factors, resulting ina jawpositionthatachievesoptimalocclusionandincreasedfunctionandcomfortforthepatient.

Diagnosis&Treatment “Becauseotherconditionscancausesimilarsymptomsincludingatoothache,sinusproblems,arthritis,orgumdiseasewewillconductacarefulpatienthistoryandclinicalexaminationtodeterminethecauseof thepatient’ssymptoms,”explainsCostaras. “We thenexaminethetemporomandibularjointsforpainortenderness,listenforclick-ing,poppingorgratingsoundsduringjawmovement,lookforlimitedmotionorlockingofthejawwhileopeningorclosingthemouth,andexaminebiteandfacialmusclefunction,”hecontinues. DiagnosisandtreatmentforTMD,utilizesadvancedtechnologiessuchasConeBeamVolumetricTomography(a3DCatScanoftheheadandneckwithonly10%theradiationofanormalCT). “Afterfindingtheoptimumtruerestpositionforthejawacustommadeappliancecalledanorthoticiscreatedtopromotehealingandmaintainthenew,correctedbiteposition,”saysCostaras.“Whiletheorthoticwilltemporarilystabilizethejaw,permanentstabilizationmaybenecessary,”Costarascontinues.Optionsmayincludewearingalong-termorthotic,providingorthodontictreatment,placingcrownsorveneersontheaffectedteeth,orcreatinganeuromusculardenture.

Doubting Your Diagnosis? Submitted by Illinois Institute of Dental Sleep Medicine


Tempormandibularjointdisordercancauseamyriadofotherphysi-calproblems.Toprovideoptimalcareforthepatientthedentistmayworkwithavarietyofotherspecialistsincluding:neurologists,rheuma-tologists,physicaltherapists,chiropractors,andothers. Dr.BillCostarashasteamedupwithDr.RodWilleyofthe IllinoisInstituteofDentalSleepMedicinetoprovidecomprehensivetreatmentforpatientswithTMD.TocontacttheIllinoisInstituteofDentalSleepMedicinecall309-243-8980oremailthematinfo@illinoissleepdoc.com.

For more information contact Rod Willey, DDS, D’ACSDD (General Dentist) at the Illinois Institute of Dental Sleep Medicine at 309-243-8980 email at [email protected]. Or visit their website at IllinoisSleepDoc.com

Sources: Jennifer Krahe, TMJ.org, WebMD

•Headaches •JawJointPain •ClenchingorGrinding •SensitiveTeeth •FacialPain •JawClicking •EarCongestion •LimitedMouthOpening •Dizziness

•ChewingDifficulties•LooseTeeth•PosturalProblems•NeckPain•RinginginEars•DifficultySwallowing•TinglinginFingertips•ExcessiveSnoring•SleepApnea

Signs&SymptomsofTMJDisorder


electromagnetic radiation

What’s tougher than deciphering yourwireless bill? Getting a grip on thedebateaboutcellphonesandcancer

risk,anddecidingwhethertogulpthenexttimeyouordertake-outorringMomatthemall.Thefussisallaboutelectromagneticradia-tion,whicheverycellphoneemits.Howmuchyouabsorbdependsmainlyonhowlongandhowoftenyougab,howclosethephoneistoyourbodyandhowstrongthesignalis.(Ironi-cally,thefartheryouarefromabasestation,thestrongerthesignal,becauseyourphoneusesmorepowertomaintaintheconnection.)TheradiationfromcellphonesistooweaktounravelyourDNAthewayamassivedoseofX-raysorexposuretonuclearwastecould.Butholdyourphonetoyourearfor800min-utesamonth—asmostAmericansdo—andtherayspenetrate2inchesormoreintoyourskull,wheretheymayheatupbraintissue.Ifyoucarryyourphoneonyourbelt, radiationmaypenetratebonemarrowcellsinyourhip--aplacewherestemcellsareproduced—andunleashcell-damagingfreeradicalsorcauseothertrouble. Ornot.Severallargestudiessaycellphonesdon’tcausecancer,butthecaseisn’tclear.Manystudiesweretooshorttodetectslow-growing cancers, if they were there. Somelonger research hints at a different story.Swedish researchers who reviewed 18 cellphonestudieslinkedlong-termuse(10yearsormore)toadoubledriskofcertaintumorsand neuromas, though the danger remainsverysmall.Australianresearchersalsofoundincreasedrisk. Docs will know a lot more in 20 to 30years, when a major long-term EuropeanstudycalledCOSMOSconcludes,butthat’slittlehelpnow.Sincebothofusoftenliveonourcellphones,whatwe’reabouttosayisn’teasy:Don’tkeepyourphoneglued toyourearorhip.Or toyourkids’/grandkids’earsorhips.Cellphoneradiationmaypenetrateasmuchas4inchesintothebrainofagrow-ingchild,yetnostudieshaveevaluatedtheirsafetyforteens,kidsorbabies,saysepidemi-ologistDevraLeeDavis,Ph.D.,MPH,authorof“Disconnect:TheTruthAboutCellPhoneRadiation, What the Industry Has Done toHideIt,andHowtoProtectYourFamily.”She

andmanyothersworryaboutthesoaringuseofcellphonesamongteensandyoungerkids.Nobodyknowswhat’shappening. That’sone reasonwe’re takingabetter-safe-than-uh-oh-sorrystancefornow.Plentyof goofball gadgets—“protective” baseballcaps, pricey necklaces, wearable “phoneshields”—claimtoprotectagainstcell-phoneradiation.Skip‘emandgivethesecommon-sensestrategiesatry: TXTinstead.Anytimeyoucanmakeyourpointwithatextmessageinsteadofacall,doit. Itkeepsthephoneawayfromyourbrain.Of course, never textwhiledrivingordoinganythingthatrequiresyourtotalattention.Youknow,likesurgery. Hookupwithaheadset.Hands-freeunitskeep the phone at a safer distance. Wire-lesseargizmosemit less radiation thancellphones.Headsetsorearbudsthatuseold-fashioned wires keep exposure even lower.Lowestofall:“airtube”systemsthattransmitthesoundfromphonetoearviaahollowtube. Cut calls short. The longer you talk, themoreradiation.Othersimpletips:Limitphoneusewhenthesignalisweak.Usethespeakerfunction—radiationexposuredropsby75per-centat2inches. Move away from your cell phone whenyou’renotusingit.Takeitoutofyourpocketoroffyourbeltwheneveryou’llbeatyourdeskorinoneroomathomeforawhile.Whenyougetintothecar,takeitoffandturnitoff. Curb the kids. Because texting is evenmorepopularwithtweensandteensthanJus-tinBieber, kidsoftenmake fewercalls thanadults.Giveheadsets to thosewhododial,explainwhyandcreatephone-freehours(atdinner,beforebed).Allowyounger kidscellphoneuseasasafetytoolonlyandshow‘emhowtousethespeaker.As forphoneappsaimed at infants and toddlers? Don’t eventhinkaboutit.

The YOU Docs, Mehmet Oz and Mike Roi-zen, are authors of “YOU: On a Diet.” Want more? See “The Dr. Oz Show” on TV (check local listings). To submit questions, go to www.RealAge.com. (c) 2010 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.

Our Cell Phone Protection Plan for Your Body and Brain

By Michael Roizenm, M.D., and Mehmet Oz, M.D.


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Beingaparentcanbeawonderfullyrewardingexperiencethatdeepensthemeaningof life.Butweallknowthatparentingcanbeaverystressfultask,especiallyintoday’sworldwhere

lifemovesatlightingspeedthroughasluggisheconomy.Eachdaywehurrytogettowork,shuttleourkidstoschool,attendvariousmeet-ings,andbacktoshufflingthekidsfromoneactivitytoanother.Bythetimewegethome,webarelyhaveenergytopreparedinner,cleanup,andhelpthekidswithhomework.Beforethelightisout,wemayhavetodealwithsomemeltdowns,siblingspats,bedtimerefusal,andperhapsanearacheortwo.Forgetabouthavingqualitytimewithourspouse,we’llbeluckytogetafullsix-hoursleepatnight.Inthemeantime,thebillskeepcoming,work-relateddeadlinesarelooming,andthehouseholdchoresaremounting. Stress isapartofand isnecessaryfor life. Weneedacertainamountofstresstoperformwellandsurvive.However,toomuchorunmanagedstressisharmful.Beingaparentincreasesthelevelofstressinlife,puttingparentsmoreatriskforhavingthenegativeeffectsofstresssuchashealth,emotional,andrelationalproblems.Manyparentsdroptheirchildrenofftocounseling,expectingthecounselortofixtheirbehaviorissueswithoutthembeinginvolvedin

theprocess. Thetruth is,parentscan improvechildren’sbehavioriftheylearntomanagetheirownemotionandbehaviorwhenunderstress.Here’sthereason:stresscaninterferewithaparent’sabilitytostaycalmandthinkclearlyinthefaceofconflictsorcrises,communi-cateeffectively,problemsolvecreatively,empathize,expressloveinahealthymanner,andattunetotheirownneeds.Often,parentalstressleadstoatense,hostile,andunhealthyrelationshipwithchildren(lessloving,impatient,inconsistentwithdisciplinemethods,lessinvolved,etc.)Childrenmayrespondbymisbehaving(e.g.talkingback,refusingtodowhatisasked,arguing,yelling,ignoring).Itbecomesaviciouscycle:parentalstressmay leadto ineffectiveparentingstyle,whichthencausechildrentomisbehaveevenmore,whichinturnaddstoparentalstress.Asmuchaswewouldliketo,wecannoteliminatestress.Sowhatcanparentsdo?

Learntopinpointthesourceofstress Taketimetopayattentiontowhatcausesstressinyourlife.Wecannotmanage,brainstormforsolutions,andlearnnewcopingskillsifwedon’tknowwhatwearedealingwith.Somecommonsourcesof

Stress ANecessaryPartofLifeBy Wisnu Meier, NCC, LPC

effective parenting


stressare:financialconcerns,jobsecurity/satisfaction,divorce,deathofspouse,volatileorstrainedrelationshipswithothers(spouse,ex-spouse,children,stepchildren, family/relatives, friends/coworkers),lackofsupport,havingfamilymemberswithmentalorphysicalhealthproblems,andhavingnegativethinkingpatterns.

Learnnewskillsthroughworkshops,counseling,andreadingbooks Onceyouidentifythesourceofyourstress,takeaction.It’snotasignofweaknesstoadmitthatwedon’tknowitall.Infact,itisasignofcourage.Itshowsthatwewon’tsettleasmerevictims—wearewillingtodowhatisnecessarytotakechargeofourlives.Attendworkshopsorreadbookstogainnewperspectiveandlearnnewskills.Inaddition,acounselor/mentalhealthprofessionalcanhelpdeterminethebestcoursetoreduceandmanagestressandfindnew,moreef-fectivewaystoparentingchildrenwithemotional/behavioralissuesorspecialneeds,communicatingwithdifficultpeople,developingconflict-resolutionskills,changingournegativeinternaldialogues,orchang-ingthewaywelookatpeopleandevents.Somecounselorsofferacoachingprograminparentingthatdoesn’tcosttoomuchortakealotofyourtime,soitisagoodinvestment.

Learnstressreductiontechniques Thereisanabundantofresourcesonthissubject,picktheonesthatworkforyou,andpracticethemalot.Acounselorcanalsoteachyousometechniquesintheirsessionsthatyoucanpracticeunderhis/herguidance.Somecommontechniquesare:deepbreathing/bellybreathing,progressivemusclerelaxation,minimentalvacation,guidedimagery,meditation,andyoga.

Reachout,findsupport,andlearnfromothers Chancesareyouarenot theonlyparentwho isstrugglingwithtoomanyresponsibilities,havingproblemswithparenting,andfeel-ingoverwhelmed.Justbecauseotherpeopledon’ttalkaboutthem,doesn’tmeantheyarenotstruggling.Bethefirsttoreachout.Initi-ateasupportgrouporformasupportnetworkofyourownbyaskingpeopleiftheywouldbewillingtobeputonyour“peopletocall”listandofferyourselftobeontheirlist.Observehowothersmanagetheirstressoradopttheireffectiveparentingmethod.Themoreideaswegather,themoretoolswehaveatourdisposalwhenneeded.

Takecareofyourself Youarethemostimportantpersoninyourchildren’slives.Maintainyourwell-beingsoyoucanbethereforthemforaslongaspossible.Learntotakecareofyourselfbyeatinghealthymeals(learnhowtopreparethemorwheretogetthemifnecessary),exerciseregularly(exercisevideoscanbecheaperalternativestogymmembership),getenoughsleep,nurturefriendships,nurtureyourspirituality,andeachday,dosomethingenjoyable(e.g.gardening,takingawalk,attendingtoyourhobby,reading,listeningtomusic,takingarelaxingbath,play-ingwithyourpet,etc.).Remember,tobeaneffectiveparent,wemustfirstlearntoman-ageourstress.Getprofessionalhelpifnecessary.It’sthemostlovingthingwecandoforourchildren.

If you would like to learn some practical and effective parent-ing techniques as well as ways to manage your stress, please con-tact Chapin & Russell Associates at (309) 681-5850 to schedule an appointment with Wisnu Meier, NCC, LPC.

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Winterishere,butsoonitwillbeonitswayoutthedoor.It’stimetostartthinkingaboutstockingupfornextyear’scoldandfluseason.Now,that’snottosayWal-Mart’sgoingto

experiencearunonSudafedandbulkKleenexnextwinter.Infact,thekindofsuppliestoguardagainstillnessare,indeed,easiertofindinthesummermonthswhenpeopleareoutandabout.Forseniors,someofthebestguardsagainstflubugsarerelationships. In2004,theAmericanMedicalAssociationpublishedaUniversityofPittsburghstudyconductedbyadoctornamedSheldonCohen.

Dr.Coheninfected276volunteerswiththecommoncold,andthencomparedtheirreactiontothatviruswiththecomplexityoftheirsocialnetwork.Whathefoundwas,themoretypesofrelationshipsapersonhas,themorelikelytheyaretofightoffacold. Themagicnumberofrelationshiptypesseemstobesix;peoplewithsixormoretypesofsocialconnectionsbegintoexhibitmeasur-ableresistancetodiseaseasaresult. Sotakeaminutetocountthekindsofpeopleyouassociatewithinagivenweek.Canyouincludeyourparents?Children?Siblings?Ex-

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tendedfamily?Coworkers?Friends?Fellowchurchgoers?Onlineac-quaintances?Classmates?Whenyouthinkaboutit,howmanykindsofpeopledoyoutoucheachweek?Eachday? Didyoucomeupshortofthemagicnumber?Ifso,don’tworry!Thesunisshining,andsummertimeinCentralIllinoisholdsallkindsofchancestogetoutandmeetnewpeople.

Volunteering Givingbacktothecommunityhasareallygreatsideeffect:youmeetallkindsofnewpeople.Don’tknowhowtogetstarted?CheckonlinewithFeedingAmericatofindafoodbankinyourarea.VisityourlocalchapteroftheSalvationArmy,theAlzheimer’sAssociation,ortheAmericanCancerSociety.Andofcourse,churches,schoolsandnurs-inghomesarealwaysgladtohaveanextrapairofhands. AgreatresourceforvolunteersisthePeoriaJournalStar.EveryMon-day,thepaperpublishesalistofopeningsatorganizations–hospitals,religiousinstitutions,healthcareassociations—whoneedsomeextraassistance.Arecentsurveyofthesite(whichcanbefoundatwww.pjstar.com/volunteer)revealedmorethan50groupsseekingvolunteersinthePeoriaarea.That’salotofchancestolendahelpinghand!

Education Whendidyoumakethegreatestnumberoffriends?Inschool,ofcourse.Andhere’sasecret—it’sevenmorefunwhennoone’smakingyougo. Forexample,doyouknowOLLI?TheOsherLifelongLearningIn-stituteisaneducationalprogramofferedthroughBradleyUniversity.AccordingtoOLLI’swebsite,itsparticipants“shareacommongoal:toremainvitalandactiveintheirlatecareerandpost-careerlives.”

Theprogram’s rosterofclasses is impressive,coveringabroadrangeofsubjectsfromlifesciences(“AVisittotheWorldofInsects”)tothearts(“WilliamShakespeare:TheMan,Myth,andTheatreArtist”)tohealthandwellness(“AnIntrotoBodyMapping”)topersonalfinance(“WealthPlanninginRetirement.”)OLLIclassesarespeciallytailoredtoolderadultswhowanttoindulgetheirnaturalcuriosity. Andforthosestudentswhowanttosharetheirowntreasuretroveofknowledge,OLLIalsofacilitatesstudygroups,whicharemoredis-cussion-based,welcomingpeerswhowanttosharetheirknowledgeonanynumberoftopics. Toenrollforthenewseason,tofindpricing,ortobrowseOLLI’sextensivecatalog,visitwww.bradley.edu/continue/olli.

Online Asyoumayhaveheard,thefastestgrowingsegmentofFacebookusersismadeupofpeopleover60.Andforgoodreasons:it’sagreatplacetoreconnectwithfriendsfromthepastandmeetawholeworldofnewpeople.Plus,it’saterrificplacetostayup-to-datewithfamilymembersbothnearandfar.Facebookoffersaplacetosharephotosandvideosofthegrandkids,playgameswithfriends,planevents,andtalk—privatelyorpublically—withawidevarietyofindividuals. Ifyou’renervousaboutgivingthesiteatestdrive,PCWorldpub-lishedagreatarticleonprotectingyouronlineprivacyrecently.Youcancheckitoutatthiswebsite:http://tinyurl.com/yervofg.

Looking for an easy way to meet new people? There’s a whole community of new friends waiting at Lutheran Hillside Village, a senior living community located in Peoria. To learn more, call Ellyn Book at 309.689.9605, or visit online at www.LutheranHillsideVillage.org.


mental exercise

Thisconcept comes froma story I read in the classic littlebook I Dare You.Aprofessoroncehituponagreatdiscov-erywhilebuttoninguphisvest.Or rather,hehitupon the

discoverybecausehisvestwouldn’tbuttonup.Hislittledaughterhadsewnupsomeofthebuttonholesbymistake.Hisfingersweregoingalongasusualintheirmostintricateoperationsofbuttoningabutton,whensomethinghappened.Abuttonwouldn’tbutton. Hisfingersfumbledhelplesslyforamoment,thensentoutacallforhelp.Hismindwokeup.Theeyeslookeddown...anewideawasborn,orratheranewunderstandingofanoldidea.Whattheprofessorhaddiscoveredwasthatfingerscanremember.Youknowhowautomatic things can be-come, riding a bicycle,usingakeyboard,orevendrivinghomefromtheoffice.

Thentheprofessorbeganplayingpranksonhisclasses,andhefoundthattheanswerwasalwaysthesame.As longastheycouldkeepondoingthethingstheyhadalwaysdone,theirmindswouldn’t work. It was only when he figuratively sewed up theirbuttonholes,stoletheirnotebooks, lockedthedoors,upsettheirroutine,thatanythinkingwasdone. Sohecametothegreat,andnowgenerallyaccepted,conclu-sion that themindofman is “anemergencyorgan.”That it rel-egateseverythingpossibletoautomaticfunctionsaslongasitisable,andthatitisonlywhentheoldorderofthingswon’tworkanylongerthat itgetsonthe jobandstartsworking.Keepingthingsthesamemaybekeepingyoustupid. •Maybethatjoblossisanopportunityforyourbraintowake

upanddiscovermeaningfulworkratherthanjustapaycheck. •Maybehavingthebankrefuseyourloanapplicationwill

promptyourbraintocomeupwithabettersolution. •Maybethatflattirewilltriggeragreatinventionthatwill

makeyouamillionaire. •Maybethewarningabouthighbloodpressurewillwake

youuptobetterhealthandricherrelationships.Somyadviceisthis:Sewupsomebuttonholesin

your life thisweek.Driveadifferent routehomefromwork. Read a book you would not normally read.Writeyournamewiththehandoppositeyournormaldominancetoseehowitwakesupyourbrain.Take

timetostoptohelpastrandedmotorist.Volunteertohelponacommunityproject.Andwelcometheunexpected“closedbuttonholes”thisweek.

Youmaybesurprisedathavingyourbrainturnon.Whoknowswhatcreativeideasorsolutionsyoumaydiscover.

For more information about Dan Miller and his other books, visit http://www.48days.com.

Wake Up Your BrainBy Dan Miller, Author of “48 Days to the Work You Love”


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community news

For Heart Attack Victim’s

‘Time is Tissue’Central Illinois Heart 777 Cardiac Network Partnership races the clock

By Mary Hilbert

The decision between dialing 9-1-1 and driving oneself to thehospitalcanmeanthedifferencebetweenlifeanddeathforanindividualexperiencingtheonsetofasevereheartattack.Timing

combinedwithqualitytreatment iseverything.Forthisreason,OSFSaintFrancisMedicalCenterworkswith13hospitalsacrossCentralIlli-noisthroughitsHeart777programtoensurethatnosecondiswastedfromthemomentemergencyserviceisrequestedtothemomentthepatientreachestheoperatingtable.Recognizedasbeinginthena-tion’stop10percentforresponseandtreatmenttime,theCentralIlli-noiscardiacnetworkpartnershipboastsamediantimeof102minutesforpatients,exceedingthenationalgoalof120minutes. “Itcutsdownminutes,uponminutes,uponminutes,”Dr.GeorgeHevesy,MedicalDirectorof theOSFSaintFrancisMedicalCenterEmergencyDepartmentsaidoftheCentralIllinoiscardiacnetwork’seffectiveness,“AmbulancepersonnelareeducatedandparamedicsaretaughthowtodoEKG’s.” NottobeconfusedwithOSFSaintFrancisHeartHospital’s777program,aseriesofstandardproceduresdesignedtocutresponsetimeforheartattackvictimswhohavealreadyarrivedatthehospital,Heart777extendsthemissionofcuttingtimetoacooperatedeffortamongnetworkhospitals.WhenapatientwithoneoftheHeart777networkhospitalsisdeterminedtobeexperiencingasevereheartat-tack,thephysiciandialsOSFSaintFrancisHeartHospitalatitsHeart777code.Whilethememberhospitalbeginstreatmentonthepatient,ahelicopterorambulanceispreparedtotransportthepatienttoOSFSaintFrancisHeartHospital,where thecardiologyteamawaits thepatient’sarrival.Theobjectiveofbothprogramsistoreduceoverall“door-toballoon”timeandemergencyresponsetimeforheartattackvictimsbycallingateamofmedicalprofessionalsatvariouslocationstoimmediateactiononceapatientisdeterminedtobesufferingfromaseriousheartattack.“Door-to-balloontime”referstotheperiodoftimethatpassesfromthemomentapatientarrivesatthehospitaltothemomentinwhichthepatientsarteryisopenedthroughinsertionandinflationofaballooninthehospital’sCardiacCatheterizationLab. HeartdiseaseistheleadingcauseofdeathamongAmericansac-cordingtotheCentersforDiseaseControlandPrevention(CDC),withanestimated785,000Americansexperiencinganewcoronaryattackin2009.Howeveritisnottheonlyknowncontributortoheartattacks.Smoking,genetichistory,highLDLcholesterolandlackofexercisearealsosignificantfactorsthatmayleadtohearttroublelaterinlife.

Despitethis,moderntechnologyandincreasingpublicawarenessontheimportanceofmaintaininghearthealtharebothimprovingchancesofsurvivalandqualityoflifefollowingmedicaltreatment. BeforethebenefitsofmoderntechnologyandprogramssuchasHeart777,whichensureamorerapidemergencyresponsetoheartattackvictims,vitaltimeforperformingtreatmentwaslost.Withthistimewentheartmuscle.“Timeistissue,”Hevesysaid.Wheremanyheartattackvictimswouldhavepreviouslybecome“cardiaccripples,”manynowhaveagreaterchanceofleadingproductivelivesfollowingsurgery,thedirectorsaid. Knowingearlywarningsignsofaheartattackandwhentocontactemergencyprofessionalscanplayakeyroleindeterminingapatient’schancesofrecovery.“Thereisusuallychestpain,discomfortorpres-sure.Thevictimdoesn’tfeelquiterightandusuallyknowsthatsome-thing iswrong,”Dr.MarcoBarzallo, InterventionalCardiologistwithOSFSaintFrancisHeartHospitalandHeartCareMidwestsaid.Asidefromchestandupper-bodypain,shortnessofbreath,nauseaandvomitingareafewsymptomstheAmericanHeartAssociationidentifiesascommonindicatorsofaheartattacktakingplace.Duringaheartattack,heartmusclesbegintodieduetosuddenblockageofacoro-naryarterybyabloodclot.Bydeprivingtheheartmuscleofbloodandoxygen,theclotinjuresthemuscleofthelife-sustainingorgan,causingchestpainandafeelingofpressureinthevictim.Iftheflowofbloodtothemuscleisnotrestoredwithin20to40minutesofblockage,deathofthetissuewillbegintooccur.“Oncethemuscleislost,it’slost,”Dr.Barzallosaid.Heartmusclecontinuestodeteriorateforseveralhoursbeforetheheartattack isconsideredcomplete.“Everysinglestudyshowsthatthefasteryouact,thebettertheoutcomeandbetterresultsthereareoverallincardiacfunction,”Dr.Barzallosaid. Whilenotallheartcomplicationsarepreventable,leadingahealthylifestyleinbothdietandexerciseisbeneficial inreducingapatient’schancesofsufferingaheartattack.Practicingadietrichinfruitsandvegetables,activelyworking-outatalevelthatissafeforyou,quittinghabitslikesmokingandtreatingpreexistingconditionssuchasdiabe-tes,highcholesterolandobesityareallpositivestepstowardprevent-ingtheonsetofaheartattack.

For more information on OSF Saint Francis Medical Center’s car-diovascular services and to learn more about the Heart 777 program, visit http://www.osfsaintfrancis.org/HeartHospital.


vascular defects

spiderveinscangrowduring thecourseofapatient’s lifetimeandthesecanbetreatedwithsclerotherapy.

Insurancedoesn’tcoverveintreatment.Thisisayesandnoan-swer.Ifveinshavebrokenvalvesleadingtovaricoseveinsandspiderveins,treatmentisusuallycoveredbyInsuranceCompanies.Ifthepatienthaspainandhasfailedatrialofsupportstockings,mostinsurancecompanieswillcovertheprocedure.Spiderveintreatmentisconsid-eredcosmeticandnotcoveredbymanyInsuranceCompanies.Afewwillallowspiderveintreatmentbutthecriteriaisverystrict.Oneshouldconferwiththeirdoctorwhenundergoingtreatmentofspiderveins.

OnlyWomenhaveVaricoseVeins.Thisisafallacy.Althoughthemajorityofpatientswithveinissuesarewomen,approximately25%to30%ofourpatientsaremen.

VaricoseandSpiderVeinTreatmentisStrictlyCosmetic.Thisisafallacy.Varicoseveinsandmanyspiderveins,areduetovalvularinsufficiencyasdemonstratedbyultrasoundduplexscanning.Symp-tomsmayconsistofpain,swelling,aching,cramping,itching,burning,andrestlesslegs.Thesesymptomsarenotcosmeticandareactuallyduetoavalvulardefect,coveredbyinsurance.

For additional information call the Illinois Vein Specialists at309-862-4000 or 866-NEW-VEIN and visit us at www.IVSveins.com.

Varicose and Spider Veins

Misconceptions and FactsSubmitted by Kathryn S. Bohn, MD, Illinois Vein Specialists

VaricoseandSpiderVeinsareconditionsthataffectmillionsofpeo-ple.Inthepastthereweretwoavailabletreatmentsforveins.Forvaricoseveins,aprocedurecalledLigationandStrippinginvolving

multipleincisionsandalongrecoverytimewasused.Forspiderveins,injectionwithsalinewasusedwhichwaspainfulandcausedsignificantcomplicationsofdiscolorationandulceration.Overthelasteightyears,bothofthesetreatmentshavebeenreplacedbystateoftheartproce-duresresultinginexcellentresultswithlittleornodowntime. VaricoseveinsaretreatedwithalasertreatmentcalledEVLA(en-dovenouslaserablation)whichclosestheincompetentveins.Varicoseveinsarecausedbybreakageofvalvesintheveins.Thisleadstobloodpooling inthe lower legveinsandultimatelyformingvaricoseveins.Spiderveinscanbeduetovalvularinsufficiencyandcanbetreatedwithsclerosingsolutionswithminimalsideeffects. DespitethefactthatthecurrenttreatmentmethodsofVaricoseandSpiderVeinshavebeenavailableforthelasteightyears,therearestillmisconceptionsassociatedwithVaricoseandSpiderVeins.

VaricoseVeinsareahereditaryproblem.ThisisnotaMyth.ThisisTrue.Thesinglemostcommoncauseofvaricoseveinsishereditary.Varicoseveinsdoruninfamilylinesandagrandmother,motheranddaughtermayallhavevaricoseveins.

VaricoseVeinsareduetopregnancies.ThisisnotaMyth.ThisisTrue.Pregnanciesdoleadtovaricoseveinsforthefollowingreason-duringpregnanciesthepressureofthebabyonthepelvicveinscausesdilationoftheveinsleadingtostretchingofthevalves.Thevalveslosetheabilitytocloseproperlyandthisresultsinvaricoseveins.Theessen-tialelementinthecauseofvaricoseveinsisvalvularinsufficiency.Bloodnormallyflowsfromthefeetupthelegsthroughaseriesofvalveswhichopenandcloseasthemusclescontract.Whenthesevalvesbecomeweakenedandoverstretched,notallofthebloodgoesthroughthem.Thisleadstotheformationofvaricositiesandspiderveins.SupportStockingswillmakeVaricoseVeinsgoaway.This isnotTrue.Supportstockingswillsymptomaticallyhelp tocompressvaricoseveinsandspiderveinsandtrytodotheworkofvalvesthathavefailed.Supportstockingsareonlyatemporarymeasure.Iftheunderlyingproblemisvalvularinsufficiency,oncethesupportstockingsareremoved,theprimarycauseofvaricoseveinscontinues.

SurgeryisnecessarytotreatVaricoseVeins.ThisisdefinitelyaMyth.Priorto2002,surgerywastheonlytreatmentforVaricoseVeins.Now,surgeryhasbeenreplacedbyEVLA(endovenouslaserablation).Treatmentisperformedinanoutpatientsettinginthedoctor’sofficeandthepatientcandrivethemselveshomeandreturntonormalactivi-tiesthefollowingday.

VaricoseVeinswillalwaysrecur.Thisisnottrue.Ingeneral,ifvari-coseveinsrecurusuallyitisduetonewmalfunctioningvalves.More


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