Community Health Feb 2013

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mid ameerica

CARTERVILLE WALLK CELEBRATES HEART DIS SEASE SURVIVORS

ANATOMY OF A

HEART

HOW TO NOTICE THE SUBTLE SIGNS THAT MIGHT SAVE YOUR LIFE IS YOUR JOB JACKING UP YOUR LOVE LIFE? Go to our website: cmghealth.net

Story ideas, email: editor@cmghealth.net PRSRT STD U.S. POSTAGE PAID ST. JOSEPH, MI PERMIT NO. 335

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LEARN FROM YOUR LITTLE ONES

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mid america

CONTENTS VOLUME 5 | ISSUE 2

On the big screen, someone having a heart attack might stagger and clutch their chest. But few people in the real world experience this classic Hollywood scene. For many heart attack sufferers, the signs and symptoms aren’t always obvious. We may not even realize when we’re in cardiac arrest. Knowing what happens before and during a heart attack could help you live through one.

D E PA RTMEN T S 6 Editor’s Letter 11 Local Focus 17 News+Notes 21 Q+A 23 Well Said 48 Picture of Good Health

M ON ITO R S 26 WOMEN 28 MEN 30 FAMILY 32 SENIORS 36 PETS

BY PAIGE FUMO FOX

ON THE COVER Our February cover story artwork is inspired by the artwork of Saul Bass for Otto Preminger's famous 1959 film “Anatomy of a Murder.”

11

38

ILLUSTRATIONS BY BRET FIGURA

44 NOW YOU SEE IT

It’s easy to notice how diseases like breast cancer and Alzheimer’s affect people in our lives. Yet some live their day-to-day dealing with the effects of serious conditions no one can see. They may look healthy on the outside. But those who suffer from conditions like lupus and epilepsy may be in a silent struggle for their health. BY LAURIE BAILEY

HEART TROOPERS John A. Logan College recently hosted the 2012 Southern Illinois Heart Walk, raising $202,942, and bringing more than 2,000 Southern Illinoisans to support the fight against heart disease. BY DANETTE M. WATT

4

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CHAIRMAN

Larry Perrotto MANAGING DIRECTOR

[ A note from the medical editor ]

Mark Hornung EDITOR-IN-CHIEF

Carole Sharwarko

Some thoughts during this time of tragedy

ART DIRECTOR

Bret Figura ASSOCIATE EDITOR

Jackson A. Thomas LOCAL EDITOR

Danette M. Watt AD TRAFFIC MANAGER

Joseph Krystofiak MEDICAL EDITOR

Janis Mendelsohn, M.D.

Again, our peace has been shattered by a

SALES DIRECTOR

senseless act of violence on a massive scale.

Liz Latta

Not war, not natural disaster, but a massacre of horrific proportions. This time, as we have seen too often, the victims were young children and teachers thought to be safe in school. How can we answer when our children ask, “Why?” Are there any words to explain this kind of violent act? Can an act of this magnitude upset the world of a child who doesn’t even live near the incident? Children can experience post-traumatic

LOOK FOR ANY OF THESE WARNING SIGNS ³ Fear of or refusal to participate in normal activities—school, sports, parties ³ Excessive concerns about death ³ Sadness or anger different from the norm ³ Poor school performance

tragedy occurs at any school, such as the violent

³ Are there guns of any sort in your house for any reason? ³ Do you condone or watch media violence?

Guns and violence unfortunately are part of a child’s everyday experience today, and both

death of a child or a teacher, they may be afraid

are out of control. If you answer “yes” to either

to return to their own school. And school is cer-

of my questions, you should stop and think

tainly a big part of their world.

how you might set an example for your child by refusing to buy guns or condone media violence.

WHAT CAN YOU DO? ³ Provide emotional support. You do this anyway, but they may need some extra support during this time. ³ Answer all questions honestly. There usually is no right answer. ³ Keep the discussion ongoing. ³ Seek counseling support if needed.

Call Liz Latta at (312) 504-3555. LETTERS TO THE EDITOR Send comments, letters, story suggestions and photos relating to your local health news to editor@cmghealth.net.

ANSWER THESE QUESTIONS

stress disorder if something happens to destroy their trust in the stability of their world. If a

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1550 S. Indiana Ave., 2nd Floor Chicago, IL 60605 (312) 880-0370 (312) 880-0371 fax editor@cmghealth.net This magazine and its contents are for general consumer educational use only. Nothing contained in this magazine is or should be considered or used as a substitute for medical advice, diagnosis or treatment by a licensed medical practitioner. Community Health magazine content is published to educate consumers about health care and medical issues that might affect their daily lives. As always, please consult your physician. Community Health magazine is a publication of Community Magazine Group Inc. Copyright ©2013 Community Magazine Group. All rights reserved. Community Health magazine is published 12 times per year monthly and four times per year quarterly. Postmaster: Send address changes to Community Magazine Group, 1550 S. Indiana Avenue, 2nd Floor, Chicago, IL 60605.

and making the world safer for our children. CMGHealth.net

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6

FEBRUARY 2013

C O M M U N I T Y H E A LT H

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MID AMERICA

Walk Warriors

Heart walk event brings together two survivors from different walks of life BY DANETTE M. WATT

Ben Hill, 7, and Jim Beers, 61, have never met. But they share a connection. When Beers suffered a heart attack in February 2012, he went to the Cardio Pulmonary Rehabilitation clinic at St. Joseph’s Memorial Hospital in Murphysboro. Ben’s mom, Stephanie Hill, works as a technician at that clinic. Several months later, Ben and Beers—along with more than 2,300 Southern Illinoisans—participated in the 2012 Southern Illinois Heart Walk at John A. Logan College in Carterville. These annual American Heart Association walks happen in cities all across the country, and raise money for research toward the fight against cardiovascular disease and congenital cardiovascular defects in infants. The Sept. 29 event raised $202,942. “The Heart Walk is a significant fundraiser event nationally,” says Beth Walker, corporate events director for the American Heart Association’s Southern Illinois and Southeast Missouri region. “It’s a day to celebrate fundraising success, to inspire people to make a difference, or just recognize someone who is ready to make a lifestyle change.”

SUPPLIED PHOTOS

EVERY MOMENT COUNTS Ben had a good reason to be part of the walk. He was born with a transposition of the great arteries, which is a heart defect present at birth. When he was just 6 days old, Ben had open heart surgeries to switch the vessels and repair the two holes he had in his heart. “The surgeries helped keep him alive,” says mom Stephanie Hill. Because she and her husband knew before his birth that he had this condition, “the first six days were doubly precious.” After spending three weeks at Cardinal Glennon Children’s Medical Center in St. Louis, Ben was able to go home. “It was like taking care of a little egg,” Hill says. Up until he was about 6, the Hills took Ben in for a checkup every six months. In August 2012, their doctor told them not to return for a full year. “It was wonderful news, very exciting,” she says. NO JOKING AROUND Beers thought he was fairly fit before he had his heart attack. He doesn’t drink, smoke or overeat. But, he says, stress and heredity caught up with him. “I’d been feeling tired, but thought it was because I was getting older,” Beers says. “I went for a run, and felt a tightness in my chest and achy in my

Jim Beers, of Chester, shared his story at 2012 Southern Illinois Heart Walk.

arm. But it went away. I joked at choir practice later that night that I thought I was having a heart attack.” Three days later, he had the same symptoms after another run. But this time, they didn’t go away. “I was in denial. I didn’t contact the doctor until the next day,” Beers says. He had an angioplasty done, which widened his coronary arteries, and a stent was placed in his heart. Successful rehab followed. POSITIVE OUTCOMES During the opening ceremonies, Beers shared his story with the crowd. He says he was very thankful to be alive, and stressed how the money raised is going to help others with heart disease. Awards were also given to the top fundraising company, rookie fundraising company, large medical facility, small medical facility, and community college—which John A. Logan College won. Ben and his team brought in $1,400 in private donations. His team also won an award for their creative T-shirts. Team member shirts were decorated with “I love a special little heart” on the back. Ben’s shirt read “I have a special little heart.” Hill says her family has been active in the walk since Ben was about 2. “He thinks the walk is for him,” she says. For more information, call the American Heart Association at (618) 983-3234, or visit SouthernIllinoisHeartWalk.org.

Ben Hill was just 6 days old when he had open heart surgeries. He was born with a transposition of the great arteries.

C O M M U N I T Y H E A LT H

FEBRUARY 2013

11

Join us for the Christian Hospital Annual Heart Fair! Featuring physician and comedian, Brad Nieder! There is no substitute for a healthy heart, but there are substitutions you can make to your diet and attitude to help make your heart healthy and happy! Come and learn health tips, cooking tips and how laughter may be the best medicine. Free screenings are offered and so much more. This FREE event is made possible by the Christian Hospital Foundation.

Space is limited, please call 314-747-WELL and register today! & FREE screenings - Cholesterol - Glucose - Blood Pressure & Guided tour of the CH Surgery Center & Informational displays

Februa r

y 9, 201 3

8:30 a.m .-

n

oon Screen i ngs an Infor ma tional B d ooths

Christi 9:30 a.m a n Hos .-1 p i t a l Detr ick L e c tu r e p.m. Buildin s g Atrium

& Ask the experts & Informative lectures & Refreshments and much more ‌

Make plans to attend our FREE Heart Fair!

The CH Atrium is accessible to persons using wheelchairs and others with mobility impairments. If you need other special accommodation, such as an American Sign Language interpreter, please contact 314-747-9355 at least seventy-two (72) hours in advance. Christian Hospital will make all reasonable efforts to accommodate such requests.

CHN14381 12/2012

www.ChristianCares.org

METRO EAST: ST. LOUIS

MID AMERICA

Keep it in Check

Program helps people take control of their heart health through cooking and online quizzes

SUPPLIED PHOTOS

BY DANETTE M. WATT

How healthy are you? If you’re like many people, you may think you’re healthier than you actually are. A 2010 American Heart Association survey revealed that 39% of people thought they were in ideal cardiovascular health, when in reality, only 1% were. Those stats are enough to make anyone get off their couch and start exercising. The disconnect between our perception and reality may not be entirely our fault. According to Mary Ellen Beindorff, a registered dietitian at Barnes-Jewish Hospital in St. Louis, this detachment can happen because many of us are just not informed. “I attribute the disconnect to the fact that people are unaware,” Beindorff says. “Many health problems, like high blood pressure, are invisible. There are no symptoms.” To get people more in tune with their health, Barnes-Jewish and Washington University Heart and Vascular Center teamed up with the AHA in September 2011 to create the “My Heart. My Life.” program. It’s the AHA’s new initiative designed to change how we think about our well-being. The program’s goal is to promote healthy eating, and encourage people to exercise more, so they can lower their likelihood for heart disease and stroke. Beindorff says some people don’t know how much they’re at risk for a heart attack and stroke, and they don’t realize how healthy—or unhealthy—they are until after a heart attack happens. “I see it with patients who come in to see me,” she says. “They’ll say, ‘I was perfectly healthy before this (heart attack or stroke) happened,’ when in reality they weren’t. We want to think that we do all the right things. My job is to help people learn a new way of eating.” According to Beindorff, “My Heart. My Life.” focuses on heart disease prevention and awareness through community classes and lectures, a heart walk sponsorship, a health assessment test called My Life Check, and heart-healthy recipes. Barnes-Jewish and Washington University doctors crafted a cookbook called Cook Your Way to a Healthy Heart. It’s filled with 24 recipes ranging from snacks and salads to poultry, meats and seafood. The free booklet also serves up tips and nutrition analysis for each recipe. Beindorff’s favorite recipes are ones that don’t use unusual ingredients, such as couscous or quinoa, which can turn some

People can assess their own health by taking the My Life Check quiz.

HEART OF THE MATTER

The amount of improvement in American 20% cardiovascular health the AHA hopes to achieve with the “My Heart. My Life.” program by 2020. of U.S. children are overweight or obese, putting ⅓ them at higher risk of heart disease and stroke. Killers of Americans

No. 1 killer = HEART DISEASE No. 3 killer = STROKE SOURCE: AMERICAN HEART ASSOCIATION

The Cook Your Way to a Healthy Heart cookbook offers tips and nutrition analysis for its 24 recipes. To download a free copy, visit BarnesJewish.org/myheartmylife-cookbook. To take your own health assessment test, visit MyLifeCheck.heart.org.

people off. “I like the more common recipes, such as oven-fried chicken,” she says. For those looking to get their daily amount of fruits and vegetables, but want to go the unfamiliar route, Beindorff says the cookbook can help you get comfortable cooking foods such as kale, kohlrabi, fennel and turnips. “You could start out by just roasting or grilling them, which bring out a vegetable’s flavor. Or you could puree them and add them to soups, or mix them in with your meatloaf. Instead of having mashed potatoes, you could use half mashed potatoes and half mashed cauliflower,” she says. “It’s a learning process.”

C O M M U N I T Y H E A LT H

FEBRUARY 2013

13

Back on the Farm

Inpatient Rehab Therapy Helps Oak Ridge Man Recover from Stroke porch he front .� t n o x y ela og, “Abb ife Jan r nd his w o., with their d a r e b u John H Oak Ridge, M urvivor r Stroke s rm house nea fa of their

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stroke left Oak Ridge, Mo., area farmer John Huber unconscious for four weeks. He survived and recovered thanks in large part to the caring, dedicated staff in Southeast Hospital’s Inpatient Rehabilitation Unit. Today, John is not only walking and talking, he’s able to tackle chores on the farm, everything from driving the tractor to feeding the cows. “It was just a miracle,” says John’s wife Jan.

John suffered a stroke on Aug. 4, 2011. Jan found her husband collapsed on the living room floor when she arrived home from work. She called 911.

A Month in Intensive Care An ambulance took him to a hospital where he spent a month in ICU. Initially, John was partially paralyzed. “He could not lift his right arm or leg,” she recalls. Doctors at that medical center told Jan that her husband might have to spend the rest of his life in a Matthew nursing home, unable to walk or talk. Karshner, MD “They prepared me for the worst.” But after first being moved to a longterm care hospital, John recovered to the point that he could be moved to an Inpatient Rehab facility.

Welcome Feeling Jan says she decided to place her husband in Inpatient Rehab at Southeast Hospital after personally touring the unit. “I just liked the atmosphere at Southeast. It was bright and cheerful. The nurses there were just so friendly,” she notes. “They just immediately acted like we were friends. They made me feel welcome. It was just so heartwarming to be in that kind of atmosphere.” The therapists began working with John as soon as he was admitted to the Rehab unit on Sept. 13, 2011. “The therapists were great,” recalls Jan. “They were very gentle with him.” Jan says the staff was “so patient” with her husband who initially displayed confusion regarding his situation. “He had no idea what happened,” she recalls. “He still does not remember what happened that day. It’s a total blur.”

Extraordinary Case Rehab Care Coordinator Erica Morgan, RN, CRRN, says, “John was an extraordinary case. We didn’t know if he would ever walk or talk again.” Morgan notes that John’s determination and his family’s support helped with his recovery. “His family was always at his side, encouraging him. Although John couldn’t initially talk, you could still see the determination in his eyes. John showed his determination every day by pushing himself to do a little more than the day before.” Morgan adds that John’s “personality really shone” when his speech improved. “He joked with staff and his family and told us stories as well.” Matthew W. Karshner, MD, medical director of Inpatient Rehabilitation at Southeast, credits the recovery to John’s can-do attitude and the efforts of the dedicated Rehab therapists. “We have a great staff,” says Dr. Karshner.

Amazing Recovery By the time John left Rehab on Oct. 28, 2011, he could walk short distances on his own, Jan says. He continues to improve. The Hubers have returned to the Hospital a few times to visit with John’s former caregivers. “When we go up there to visit, they can hardly believe the progress he has made,” Jan says. Morgan says, “John and his family captured all of our hearts at Southeast Inpatient Rehab. We are very proud of him.” John and Jan say they appreciate the tireless efforts of the Rehab staff. “They bent over backwards trying to help us,” Jan says. “Our gratefulness is just beyond words.”

View a video interview of John and Jan Huber at SEhealth.org/stories. To learn more about Southeast Hospital’s rehabilitation services, go online to SEhealth.org/InpatientRehab.

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SOIL NEWS+NOTES

MID AMERICA

Child development center breaks ground MT. VERNON ~ Hospital and local officials recently got help from some kids to break ground at a ceremony announcing the addition of a $1.8 million child development center on the campus of the new Good Samaritan Regional Health Center. The Good Samaritan Child Development Center is located just south of the new hospital off Veterans Memorial Drive. The 10,000-square-foot child development center was constructed by Shores Builders, which wrapped up construction in January. It includes eight classrooms, a gymnasium, a playground and a safe room to protect children from extreme storms. “Because safety is of utmost concern in our hospital and in the development center, the facility will include a tornado-resistant room,” says Good Samaritan Regional Health Center president Mike Warren. “Constructed with reinforced masonry walls and precast concrete walls, the room can resist the wind and debris associated with a tornado.” Sister Andrea Chudzik blessed the new facility, while St. Mary’s Good Samaritan CEO Phil Gustafson talked about the center’s importance to the mission of St. Mary’s Good Samaritan. Warren thanked those who worked to make the new child development center a reality, and reiterated the hospital administration’s commitment to continue providing child care at Good Samaritan. Officials from Good Samaritan Regional Health Center, Shores Builders, BSA LifeStructures, the city of Mt. Vernon, local tourism and the Jefferson County Development Corp. received help turning dirt from a few development center children.

Doctor, nurse practitioner offer weekly women’s health clinics

Doctor receives Physician Excellence Award

Dr. Frank M. Walker and his nurse practitioner, Kellie Lustenberger, have joined the Marshall Browning Hospital medical staff in the Specialty Clinic service. Walker is a board-certified obstetrician/gynecologist. His nurse practitioner, Kellie Lustenberger, is also board-certified. They come from New Horizons Obstetrics and Gynecology in Carbondale. They specialize in women’s health, obstetrics and gynecology. They alternate weekly clinics at Marshall Browning Hospital every Friday from 8:30 to 11:30 a.m. New patients are welcome. For an appointment, call (618) 457-0404. Visit MarshallBrowningHospital.com for more information.

Dr. Duk Kim recently received the 2012 Matthew B. Eisele, M.D. Physician Excellence Award, presented at Belleville Memorial Hospital’s medical staff dinner. The award was established to recognize a physician on Memorial’s medical staff who exemplifies dedication to medicine, delivery of quality care, and a commitment to the community. Kim, an internist, has been a member of Memorial’s medical staff for more than 36 years. He was nominated for this award each of the six years it has been given, and has been a member of several committees, including intensive care, cardiovascular, restorative/rehab and utilization review. Kim was described as “an outstanding physician who consistently cares deeply for his patients. He understands the calling that we have in our profession to provide care for your patients no matter what.” The Matthew B. Eisele, M.D. Physician Excellence Award is named for Memorial’s first medical director. Eisele was instrumental in shaping the medical director’s role into the key position it is today—a liaison between the board of directors, medical staff and administration.

DUQUOIN ~

Hospital ranks first in state, third nationally in safety Alton Memorial Hospital was rated as one of the safest hospital in Illinois, and ranked third nationally in the August 2012 edition of Consumer Reports. The article focused on patient safety rankings collected from government and independent sources on 1,159 hospitals in 44 states. The authors also interviewed patients, doctors, hospital administrators and safety experts; reviewed medical literature; and looked at hospital inspections and investigations. “Consumer Reports is known for setting the gold standard of rating different things that consumers purchase,” says Rusty Ingram, director of Business Development for AMH. The rankings are the first time that Consumer Reports rated hospitals for safety, using the most current data available at the time of the analysis. The study focused on six categories in its safety ratings: infections, readmissions, communication, CT scanning, complications and mortality. “The safety score gives patients a way to compare hospitals on patient safety before selecting where to go for their care,” AMH president Dave Braasch says. “Our top ranking is validation of the efforts put forth each day by our physicians and staff to ensure our patients receive excellent care.”

ALTON ~

BELLEVILLE ~

Hospital welcomes new director of Surgical Services St. Elizabeth’s Hospital has recently announced the addition of registered nurse Brian Johnson as the new director of Surgical Services. Johnson received his bachelor’s degree from University of Illinois and master’s degree from University of St. Francis. He has 29 years of experience as a registered nurse, and 22 years in leadership roles, including executive director of Surgical Services at St. Louis University Hospital, director of Surgical Services at Galesburg Cottage Hospital in Galesburg, Ill., and director of the Ambulatory Surgical Center at the Orthopedic Institute of Illinois in Peoria. Johnson will oversee Surgical Services, Prep Clinic, surgery and endoscopy at St. Elizabeth’s.

SUPPLIED PHOTOS

BELLEVILLE ~

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SEMO NEWS+NOTES

MID AMERICA

Medical center moves to new building Poplar Bluff Regional Medical Center has officially moved into its new $173 million hospital facility at 3100 Oak Grove Road. PBRMC hosted a ribbon cutting Jan. 18, followed by a Community Grand Opening event Jan. 19. This event provided community members guided tours of the new facility. “This is truly an exciting time for PBRMC, the community of Poplar Bluff and the entire region we serve,” says Charles Stewart, CEO of PBRMC. “Just 15 months ago, we broke ground to start the construction process, and now we open the doors to the future of health care for this region. This has truly been the most well-organized project I have ever been involved with.” The week after grand opening events, PBRMC began moving all hospital departments from the North Campus to the new facility. Moving wrapped up Jan. 26, which was also the patient move day. “This new hospital campus is not only a demonstration of PBRMC’s commitment to bring the very best health care close to home, but also of our dedication and commitment to the future of our community, and the long-term growth and success for the region,” Stewart says. The new hospital has been fully operational since Jan. 26, with the Emergency Department opening at 6 a.m. PBRMC has already worked with area law enforcement and EMS services to ensure a smooth transition for patients and their families. “We are very grateful for the generous and dedicated support of our local EMS and law enforcement units during this transition,” Stewart says. The new Poplar Bluff Regional Medical Center is a state-of-the-art seven-story hospital, offering 250 private patient rooms, advanced medical technology, easier accessibility and an expansion of health care services. POPLAR BLUFF ~

Medical center begins expansion project CAPE GIR ARDEAU ~ Saint Francis Medical Center broke ground on Nov. 28, 2012, on its expansion and renovation project Building on Excellence. Plans for the $127 million project, which is slated for completion in 2016, include a five-story patient tower with dedicated areas for orthopedics, neurosciences, rehabilitation, surgical and medical services; the transition to all private patient rooms to help control infection and promote patient comfort; updated patient elevators and patient-only corridors; renovation of the hospital’s northeast side; expansion of the Pain Management Center and Family BirthPlace; and private NICU rooms. The plan promotes greater efficiencies and a more comfortable patient experience. “At a time when many health care organizations have been battered by the economy and health care reform, Saint Francis has maintained its strength and its commitment to growth,” says Steven C. Bjelich, Saint Francis president. “This expansion project is a significant achievement that ushers in a new era for both Saint Francis and the patients we serve, and sets new benchmarks for patient care.”

Saint Francis facilities management staff (bottom photo) remove the historic statue of St. Francis of Assisi from the center of the fountain outside the main lobby entrance. Once the Building on Excellence project is complete, the statue will again take its place of honor, welcoming patients, visitors and employees.

High school, sports care center raise $3,600 to fight cancer Southeast SportsCare and Jackson High School fall sports teams partnered for Champions Against Cancer Week, to raise money for the fight against cancer, and help fund the school’s fall sports programs. It ran from Sept. 14 to 22, 2012. They raised more than $3,600 from selling Champions Against Cancer T-shirts and other fundraisers. Of that amount, more than $1,800 has been donated to the SoutheastHEALTH Foundation for funding of cancer programs. Pictured are Southeast SportsCare field representatives Hillarie Mueller (from left) and Matthew Carter; Mary Burton-Hitt, Foundation executive director; Jackson High School athletic director John Martin; and SportsCare athletic trainer Katie Niles. CAPE GIR ARDEAU ~

Plans for convenient care clinic underway SoutheastHEALTH has announced plans for a new convenient care clinic in Jackson. The clinic will be located at 2432 E. Main St., and is scheduled to open in April. Southeast Convenient Care will help those who need additional, unscheduled, extended-hour medical care. “This is another opportunity for SoutheastHEALTH to offer area residents high-quality health care at a low cost, close to home, and is in keeping with continued expansion of our services throughout the region,” says SoutheastHEALTH executive vice president Jim Limbaugh. The clinic will provide an alternative to emergency room visits for patients who do not require complete hospital facility services. It will eliminate the wait times often associated with an emergency room visit. For patients’ convenience, clinic hours are scheduled to be from 8 a.m. to 8 p.m., seven days per week. Services provided include adult and pediatric care, sports and school physicals, pre-employment physicians, sports injuries, work-related injuries, and more. Imaging and lab services will be available on-site. Doctors, advanced practice registered nurses and appropriate support staff will initially staff the clinic.

SUPPLIED PHOTOS

JACKSON ~

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Q+A

MID AMERICA

Heart disease is the No. 1 killer of American women. More than 200,000 women die each year from heart attacks—five times as many women as breast cancer. Dr. Linda Stronach has been a cardiologist since 1983, and practices at Missouri Baptist Medical Center in St. Louis. She says many women can reduce their risk for heart disease if they recognize the symptoms, and its relation to other health factors.

Heart disease in women What heart attack signs and symptoms should women watch for?

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When we think of a textbook heart attack, we think of a feeling of tightness in the chest that travels to the neck or arm. Women’s heart attack symptoms differ from men’s symptoms in that they are more likely to be atypical, a feeling of shortness of breath or a sharp pain—rather than tightness—in the chest, a general sense of illness or discomfort. There might also be a change in energy level. Symptoms might also include breaking out into a cold sweat or vomiting. It’s important to know your body and what’s normal for you, so if something feels different, you should check it out with a doctor.

How does hormone replacement therapy play a part in a woman’s chance for a heart attack? In the early stages of my career, we thought HRT would be beneficial (for heart health), but in fact, large studies have since disproved that, and we now generally advise against HRT, or limit its duration.

What is the relationship between heart disease and other health factors? Cigarette smoking is the No. 1 risk factor for anyone when it comes to heart disease. High blood pressure, cholesterol, diabetes and family history also come into play. Some things you can modify, and it’s important to take control of those. You can quit smoking, or exercise to reduce blood pressure.

How does stress contribute to heart disease? Stress contributes to heart disease, but it’s hard to measure. We usually think of a male executive having stress, but the real stress is a single mom working two jobs, being a caregiver to her parents, and trying to make ends meet. If you’re able to reduce stress in your life—whether it’s through exercise or meditation—you should.

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Hyperbaric Oxygen Therapy for AUTISM and Other Brain Injuries j by Dr. Tomasita A. Lahue, D.C.

Alternative Treatments for Autism

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What is Autism Spectrum Disorder (ASD)? According to the Autism Disorder Foundation website, Autism directly affects 1 in 88 children including 1 in 54 boys. More children will be diagnosed with autism this year than with AIDS, diabetes and cancer combined. Autism is the fastest growing developmental disorder in the United States. ASDs are “spectrum disorders.â€? This means ASDs affect each person in different ways, and can range from very mild to severe. People with ASD share some similar symptoms. The National Institute of Mental Health states that symptoms of autism spectrum disorder vary from one child to the next, but all demonstrate GHĂ€FLWV LQ WKUHH DUHDV 1. Social interaction 2. Verbal and nonverbal communication 3. Repetitive behaviors or interests Each of these symptoms runs the gamut from mild to severe. They will present in each individual child differently. For instance, a child may have little trouble learning to read but exhibit extremely poor social interaction. Each child will display communication, social, and behavioral SDWWHUQV WKDW DUH LQGLYLGXDO EXW Ă€W LQWR WKH RYHUDOO diagnosis of ASD.

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Dr. Tomasita A. Lahue is a Doctor of Chiropractic and Health Director of Holistic Health & Wellness, a licensed NRCT facility, located at 4965 Stone Falls Center, O’Fallon, IL 62269. She can be reached at www.MyHolistic-Health.com, MyHolisticHealthNow@gmail.com, or 618-624-9384.

WELL SAID

DANETTE M. WATT

Take your history to heart Our family history influences our lifestyles, for good or ill. And when we leave home, it’s up to us to decide which habits we take with us. We might embrace the good, taking up the family torch of sports. Sometimes we have to make a 180 degree turn, running from bad habits passed down through generations. We try our best to delay these inherited health conditions. If we’re lucky, our own children will do things even better. My family’s history is mixed. When I was growing up, we had salad almost daily, and there was often fresh fruit on the kitchen table. But Mom also relied on canned soups to create sauces for a number of dishes. When money was tight, she served her family creamed tuna on toast for dinner. Mom was also a heavy smoker who had a heart attack when she was just 50 years old. Shortly after that, she was diagnosed with emphysema, and years later, with lung cancer. She died in 2003. Dad followed soon after, and died of a heart attack in 2009.

Like Mom, I took up smoking when I was 16. My dad, an exsmoker, begged me to quit. I finally did when I was 32. By then, I had a 4-year-old son, and was choosing chicken instead of red meat, and exercising in an effort to model better behavior. There are some things I’ll never be able to change. Blood pressure runs high on my dad’s side of the family, and mine has been creeping up these past few years. So far, I’ve been able to control it through diet and exercise. But I know there will come a day when I’ll have to take medicine. It will be a bitter pill to swallow when I do. February is National Heart Health Month. Eating healthier and being physically active are just two of the seven simple steps the American Heart Association recommends people take on the path to better health. I enc ou rage you t o a sse ss you r ow n life st yle at MyLifeCheck.heart.org. You can see where you stand on the recommended areas of focus, and create an action plan customized to your lifestyle. And don’t forget to check out the heart-healthy recipe included in our feature story. You’ll be cooking your way to a stronger heart.

There will come a day when I’ll have to take blood pressure medicine. It will be a bitter pill to swallow when I do.

C O M M U N I T Y H E A LT H

FEBRUARY 2013

23

H.K. REDDY, M.D., FACC RUBINA MIRZA, M.D., FACC, FCSAI STANLEY ZIOMEK, M.D., FACS JAHAN ZEB, M.D. GIRISH BHATT, M.D., FACC, FACP

HEART CARE

Q&A

CARDIOLOGY EXPERTS DISCUSS THE ADVANCED HEART CARE AVAILABLE LOCALLY AT POPLAR BLUFF REGIONAL MEDICAL CENTER’S ACCREDITED CHEST PAIN CENTER.

Taking good care of you—especially your heart—is first and foremost at Poplar Bluff Regional Medical Center. As an Accredited Chest Pain Center, PBRMC offers the latest in cardiology services, technologies and expertise right here at home. Q. Why is it important to have a Cardiovascular Intensive Care Unit? Dr. Bhatt: Our CVICU provides care for patients with critical congenital and acquired heart ailments. The nurses who staff the unit are expert practitioners and have been trained in meeting the specific needs of our cardiac patients. Q. What is the impact of PBRMC being an Accredited Chest Pain Center? Dr. Mirza: It’s more than a distinction. It means that our cardiology team can perform the latest procedures, is trained in the newest technologies, and can meet the highest quality and performance levels available in heart care. That is a remarkable advantage to every patient. Q. How does living near an Accredited Chest Pain Center benefit patients? Dr. Reddy: To earn this distinction, a hospital has to meet the highest quality and performance levels available in heart care. Poplar Bluff Regional is one of them. We give patients access to a cardiology team that can perform the latest procedures and is trained in the newest technologies.

Q. What are some of the advantages of the cardiac catheterization program at PBRMC? Dr. Zeb: We offer the latest equipment, including special catheters with ultrasound, to diagnose and treat various heart and vascular conditions. And our laboratory is on 24/7 standby to immediately treat patients suffering heart attacks. Those are just two of the reasons we are one of the region’s busiest laboratories. Q. Why does PBRMC have one of the best survival rates in the state for heart bypass? Dr. Ziomek: We have an exceptionally skilled team of surgeons and CVICU-trained nurses. Our experience and training is a large part of the reason we consistently beat national standards for fast treatment with life-saving balloon angioplasty and coronary intervention.

Care for our future. Schedule an appointment with one of our cardiologists today. Call 855-444-PBRMC.

PoplarBluffRegional.com

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Boundary Lines

Don’t let work stress cross over into your personal relationships BY ERIN GOLDEN

Researchers at Radford University in Virginia found dancers Whether you’re a lawyer, a chef, a small business owner or a bank teller, your job most likely comes with stress. As much and choreographers have the highest divorce rate among proas you try to avoid them, annoying co-workers, difficult projects fessional women—43.1%. Bartenders were close behind, with a 38.4% rate, as were massage therapists, with a 38.2% rate. and endless meetings influence your behavior. Eventually, that stress can trickle down to your relationships in ways that might Nurses and home health aides were also more prone to divorce, with a 29% rate. lead to trouble. On the flip side, engineers, optometrists and clergy members Rob Scuka is a therapist and executive director of the had some of the lowest divorce rates. National Institute of Relationship Enhancement in Maryland. According to Scuka, work-related angst may have more to When pressures and deadlines become too much to handle, do with a woman’s particular role on the job than the type of Scuka says some women respond by zoning out in front of the job itself. television or computer. Others may turn to “The more responsibility a woman has in her alcohol. Some lose interest in their relationjob, the higher the level of stress is likely to be, ships with close family and friends. and therefore, the more stress is going to poten“It can manifest as short-temperedness, irritially impact things at home,” he says. tability, or not really being present, not tuned Work stress might be inevitable, but Scuka in to your spouse,” he says. “It’s kind of being says it doesn’t have to hurt your relationships. trapped in one’s own mental world, because It’s crucial to set good boundaries with work. one is so preoccupied by stress at work.” Decide when to turn off your phone and email, Being out of sync and losing your temper and stick to it. Keep lines of communication can lead to arguments, tension and a longwith your partner open. Talk about why you’re term crack in your relationship. “At minimum, distracted or irritated, and try to work together it’s going to lead to a sense of disconnection,” to find solutions. Scuka says. “Over time, it can lead to bigger “If the partner has concerns about the stress issues. Sexual intimacy may decline.” and the impact it’s having on the woman and the And while these problems can pop up for relationship and the family, it’s really crucial that women in any profession, some jobs are more THERAPIST ROB SCUKA the woman be open to hearing that,” Scuka says. prone to relationship dilemmas than others. If that’s a challenge, try enlisting expert help. A good therapist or a workshop on relationship issues could provide some ideas on communication, problem-solving and behavior skills. “It can jump-start the process of making changes,” he says.

The more responsibility a woman has in her job ... the more stress is going to potentially impact things at home.

CAREERS AND DIVORCE RATES

43% Dancers and choreographers 38% Bartenders 38% Massage therapists 29% Nurses and home health aides

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FEBRUARY 2013

C O M M U N I T Y H E A LT H

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MEN

MONITOR

Watch Out

The truth about the male biological clock BY ERNST LAMOTHE JR.

A man will often joke about a woman’s biological clock, worried she is sizing up his husband-and-father potential from across the restaurant table even on their first date. But as men start moving out of their 30s, the ticking is no longer coming from only one side of the table.

FERTILITY FACTS ³ About 2 million American men are diagnosed with infertility. ³ The most common cause of male infertility is low sperm count. ³ Prescription drugs, antibiotics, blood pressure medication and even exposure to lead and mercury can affect a man’s quality and quantity of sperm. ³ The average male has about 14% of sperm with a normal shape, size and ability to move properly.

AVERAGE NUMBER OF CHILDREN MEN HAVE AT AGE 40-44

ɡǍፙǍग़ి 27%

31%

18%

SOURCE: CENTERS FOR DISEASE CONTROL AND PREVENTION

FEBRUARY 2013

When a man hits 40, you start seeing dramatic decreases in fertility. DR. KEVIN LEDERER, FERTILITY CENTERS OF ILLINOIS

24%

24% No children 18% One child 31% Two children 27% Three or more children

28

“That’s the dirty little secret because we think of men as being able to have kids at any age,” says Dr. Kevin Lederer, president of Fertility Centers of Illinois. “But when a man hits 40, you start seeing dramatic decreases in fertility.” Even though men can have children at much older ages than women, Father Time isn’t ageless. Several studies at Mount Sinai School of Medicine, the Archives of General Psychiatry and research done in Ireland have found that the advanced age of fathers can lead to several medical ailments in their children. Men who become fathers after age 35 have a higher likelihood of having a child with Down syndrome, and they share this risk equally with the mother. When it comes to autism, there is six times greater chance of a child being diagnosed of the ailment if their father is 40 or older. In addition, a greater risk of schizophrenia is connected to men who bore children after age 50. Doctors recommend several steps to boost sperm quantity and quality. First, a healthy lifestyle vastly improves both. Those who had lower body mass indexes and who worked out increased their testosterone levels. Obesity has an impact on male fertility because it decreases libido, and lowers testosterone. “Following a vegetarian diet would be helpful, and so would lowering the amount of carbs in your diet,” Lederer says. Smoking has been linked to 13% of infertility. Also, chronic conditions such as diabetes and liver cirrhosis can cause abnormal male ejaculation because of nerve damage. Then there are easy fixes, such as keeping

C O M M U N I T Y H E A LT H

your laptop away from your lap when working, because intense heat around that region has a negative impact, as well as taking multi-vitamins. Doctors also recommend limiting your alcohol and caffeine intake to once per day. And while you can buy a take-home fertility test at Walgreens or CVS, it will only tell you the sperm count, but not the quality, shape or percentage of fertility.

MONITOR

FAMILY

Cues From Your Kids We love to teach our children, but it’s time to see what lessons we can learn from them BY CLARE WALTERS

Children can definitely encourage us to get out of the box and learn some new things. DONNA ELDER NATIONAL CENTER FOR FAMILY LITERACY

A parent is often their child’s first and best teacher. All parents guide their children in the ways of the world, equipping them with street smarts and books smarts. But a child’s influence on his or her parent often goes unmentioned. While they certainly aren’t their first teacher, children can easily become their parents’ best teachers or, at least, their catalyst for learning. “Children can definitely encourage us to get out of the box and learn some new things,” says Donna Elder, senior literacy specialist at the National Center for Family Literacy in Louisville, Ky. TIME TO BRUSH UP As adults age, their school days become distant memories. But as soon as they send a child to school, the A, B, Cs and 1, 2, 3s snap back to prominence. Many adults discover they need a refresher or an enhancement of their own education, so they can be best equipped to foster their child’s learning, Elder says. “We should approach learning as a lifelong endeavor, and children can be an impetus for parents to return to school or further their education,” she says. “If you’re open to that, it will happen.” According to the National Center for Family Literacy, 93 million adults in the United States function at or below basic levels of literacy. Of those, 30 million are parents or primary caregivers for children who are newborns through age 8. Because children spend five times as much time outside the classroom as they do in school, the onus is on parents and caregivers to support their children’s learning. Not only can parents further their own education, they can improve their parenting skills, and increase the quality time they spend with their kids. TALK TO TEACH Elder says learning together can happen through simple conversation. “Have rich conversations where they learn about the world,” she says. “Not just the language of business, but exploring each other’s feelings and opinions.” Everyone has a story to tell, Elder says, so parents and children need to come together every day to better understand what’s going on in life, school and the world. Telling stories and reading together also will facilitate family learning. “Many families have stories to tell,” she says. “You can use a book to tell a story. You can tell the story without reading the words, and just make up the story. It’s the closeness, conversation and sharing that can really make the difference. No teacher can make up for those lost hours.” Children also can also use this time to teach their parents something. Children often have an advantage over their parents when it comes to trends, technology, patience, forgiveness and wonder. A child’s curiosity alone can provide a parent with a lifetime of learning opportunities. “I feel like I am still learning from my child even though she’s now a mother with a child of her own,” Elder says.

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C O M M U N I T Y H E A LT H

KINDERGARTEN SMARTS Amid the work and worry of adult lives, parents can pause to learn a lesson from their children. Even a kindergartener’s school schedule can inspire adults to live healthier and happier lives. OPENING EXERCISES Start your day with a smile, a friendly “hello” to your co-workers, and a moment to go over your day’s plans. SNACK TIME Take breaks to refuel and power your body and mind. RECESS Find time for fitness. Hit the gym, take a walk or play with your children. NAP TIME An afternoon or early evening rest can really refresh you for the rest of the day. FREE CHOICE Take time to do what you enjoy. Pick up a hobby, make time for friends or read a good book.

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MONITOR

SENIORS

Extend Your Stay Know when to accept help to maintain your independence and live comfortably BY CARLY A. MULLADY As we age, we feel like we lose a lot of our independence—either because of physical issues or memory loss. Our adult children only want what’s best for us as they try to help, but they might overdo it. With February designated as National Senior Independence Month, it’s the perfect time to think about maximizing our freedom while also guaranteeing safety. “Ideal senior living respects an older adult’s greatest independence capability,” says Gregory Bator, founder of Graceful Aging, a website and video network for baby boomers and older adults. “Remaining in your own home is comfortable, convenient and cost effective.” A COMPLETE EVOLUTION Some seniors who can’t do things for themselves go with the flow. When they have to move, they accept it. But there are plenty who would rather remain in their own homes, and be independent for as long as they can. After all, it’s where they feel most comfortable. If you’re determined to stay put, Bator says it’s vital that your home evolve with you. “People wait too long to improve their home setting,” he says. “While an accident is cause to make changes, it is also a sign that you waited too long.” Home improvements we make in reaction to an event—such as falling in the shower—are more difficult to accept, he says. They also are more difficult to adjust to, both physically and mentally. It’s better to feel in control of the decision, rather than react.

PUT YOUR SAFETY FIRST To keep your home functioning for your needs, Bator says to make simple fixes over time, and start them sooner than later. These include removing slip risks and trip hazards, and installing shelves to keep items within reach. “The biggest change to make is personal,” Bator says. “We need to teach ourselves to accept continual change to live well.” Bator recommends switching to motion- or time-activated lighting, only using rugs with non-skid backing, and adding light switches at the top and bottom of your stairs. Once your home is secure, he says you can function safely and easily with simple tools. Stovetop heat regulators, medical alert systems, and electronic pill dispensers can keep you protected and doing things for yourself.

LIVE ALONE LONGER?

⅔

The percentage of older adults who said if they made modifications to their home, they would have extended independence and time in their home, according to a 2010 AARP survey.

When the time comes to move, we’d like to embrace the move as our personal means to enjoy life to its fullest. GREGORY BATOR, FOUNDER OF GRACEFUL AGING

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FEBRUARY 2013

C O M M U N I T Y H E A LT H

ON YOUR TERMS Sometimes safety takes priority over what we consider independence. That may mean giving up the car keys, and letting someone else go to the grocery store for you. Bator says you should turn it around and make it a positive experience. “When the time comes to move, we’d like to embrace the move as our personal means to enjoy life to its fullest,” he says. “If it becomes too difficult for me to go to the store, buy chocolate ice cream and serve it to myself, then I want a setting where I can enjoy chocolate ice cream.” For seniors turning to assisted living facilities or community residences in order to keep their independence, Bator offers advice for finding a good fit. “A setting should foster individual competence with the activities of daily living,” he says. “Senior living that incorporates physical and aesthetic improvements like added lighting, distinguishing f loor coverings, convenient railings, visually appealing sight lines, and friendly staff make living easy and comfortable.”

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PETS

The Love of Your Life Pet affection works wonders, but don’t let it replace human contact Looking for someone who will be loveable, loyal and willing to cuddle this Valentine’s Day? Forget the dating services, matchmakers and blind dates, and consider getting a pet—so long as you don’t mind some shedding and slobber along with your unconditional love. Many singles fear being alone on Valentine’s Day. Some even seek out a relationship or delay dumping a boyfriend or girlfriend just to avoid the kind of loneliness that a day dedicated to love can bring. MAN’S BEST FRIEND For pet owners, however, the relationship they have with their pet can fulfill—at least in part—the need for companionship and unconditional love that humans fundamentally desire. “This unconditional love that our pets give us is so important,” says Tatiana Garrett, who oversees the Humane Education programs at The Anti-Cruelty Society and hosts Chicago Tails, a pet-focused Internet show. According to the Centers for Disease Control and Prevention, the companionship of a pet can help people overcome loneliness and depression, increase opportunities for socialization, and create more healthful living. “They really do enrich our lives,” Garrett says. DON’T REJECT RELATIONSHIPS But like all things in life, there can be too much of a good thing. “There are times when people turn more to animals because they are almost trying to replace the human contacts,” she says. “There are people out there who have said, ‘I have had negative experiences with people, so I’m just going to be a recluse with my animals.’” More often during her 17 years of working with pets and pet owners, however, Garrett says she sees people using pet companionship to enhance their human relationships, not to replace them. “You can take anything too far,” she says. “There’s got to be a healthy balance. I love coming home after a day at work and having that unconditional lover at the door, but it doesn’t replace a dinner out and romance in your life.” For pet owners who are dating, Garrett says it’s important to “be yourself,” and let your date know how important your pet is to you. “It’s being a responsible pet owner,” she says. If a prospective boyfriend or girlfriend doesn’t respect the relationship you have

with your pet, Garrett says it’s a deal breaker. “They shouldn’t say, ‘I’m going to like you in spite of your pets,’ but, ‘I like you because of your relationship with them,’” she says. “Ultimately what you’re looking for is someone who appreciates the pets the same way you do, and understands that’s important to you.” IT GOES BOTH WAYS Never abandon a pet for the sake of a relationship, either. “If you have this unconditional love and bond for an animal, why would you ever suggest getting rid of them because of a girlfriend or boyfriend?” Garrett says. “To me, it’s non-negotiable. My pets come with me.” Striking the balance between your affection for your pet and your human relationships might take some trial and error, particularly if you’re an animal advocate. “Whatever you’re doing to help animals, if you don’t include people in your life and spread the joy of the human-animal bond, then your efforts are sort of in vain,” she says.

I love coming home after a day at work and having that unconditional lover at the door, but it doesn’t replace romance in your life.

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FEBRUARY 2013

C O M M U N I T Y H E A LT H

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In the movies, a guy having a heart attack usually clutches his chest and falls to the floor. But just like perfect endings and special effects, that reaction is highly dramatized. If you have a heart attack, you might not even be sure what’s happening. Learn how to spot the symptoms, and know what to do if you think you’re in cardiac arrest.

ATTACK

It took Steven Cunningham more than a day to realize he was having a heart attack. An “odd sensation, a tightness,” awoke him one night. A friend took him to a nearby hospital. Doctors thought it could be acid ref lux, Cunningham says, and gave him the option of staying in the hospital or returning home. He walked home. In the morning, the O’Fallon, Mo., resident took over-the-counter medication for acid reflux, and carried on with his day. “I went about my business,” Cunningham says. “Later in the afternoon, I was continuing to not feel good.” That afternoon, he started feeling “tightness” again, and another friend drove him to a different hospital. “They determined, in fact, I had a heart attack.” By mid-evening, Cunningham underwent an angioplasty to restore function in an artery that he learned was 100% blocked. During the procedure, a catheter is inserted into an artery to feed and expand a balloon into the blocked area. It’s often propped open with a mesh stent. Cunningham, a retired high school teacher who now works as a substitute and also sells real estate, thought he was fairly active and in “OK” shape. His high cholesterol was already in check. But in hindsight, he says, he might have known he was at risk. “I have a huge family history,” he says. He was 61 years old when he suffered his heart attack in August 2011. Cunningham’s father had a major heart attack at 60. His father

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was a heavy smoker, and Cunningham never smoked. But his youngest brother suffered a heart attack at 40. And within three months of his own heart attack, Cunningham’s sister had bypass surgery, and another brother suffered a heart attack. It’s not easy for many people to tell whether they’re in cardiac arrest. Symptoms vary from person to person, and the telltale signs—chest pain and discomfort—are not always there. Often, sufferers are not besieged by severe pain centralized around their heart. Rather, most heart attacks happen with subtler symptoms. You could experience dizziness, nausea or clammy sweats. You might feel tired and have trouble breathing. Being able to recognize if you are suffering a heart attack—and knowing what to do if one hits—can help you live through it. By understanding what happens during a heart attack, you might also help prevent one, and even save someone else’s life.

STAY PUT

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Women having a heart attack are twice as likely 2x as men to be wrongly sent away from the hospital, according to the U.S. Department of Health and Human Services Office for Women.

DON’T JUST SHRUG

FIVE MINUTES If you’ve had suspected heart attack symptoms this long, you should call 9-1-1.

DOWN THE HEART ATTACK PATH Nine major factors can determine your risk for a heart attack, says Dr. Gerard Gacioch, chief cardiologist at Rochester General Hospital. And you can do something about eight of them.

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One key ingredient of a heart attack is plaque, deposits on the artery walls made up of fats, cholesterol and unabsorbed calcium. As plaque builds, arteries become thicker and harder. If a bit of plaque breaks off, a blood clot can form around it, and block the artery. When the artery can’t return enough oxygen-containing blood to the heart, parts of the heart muscle die, or are damaged, according to research from the National Center for Biotechnology Information. This is the recipe for a heart attack. Even though a major event is happening in their body, people commonly shrug off heart attack symptoms, dismissing them as heartburn or indigestion, says Dr. Richard Bach, director of the Cardiac Intensive Care Unit at Barnes-Jewish Hospital in St. Louis. “Unfortunately, the misperception is that (a heart attack) will be terrible pain and impending doom,” Bach says. That “Hollywood” heart attack—when someone feels acute pain in the chest—is just one way a heart attack presents itself, Bach says. Chest pain is often not even perceived as sharp pain, but rather as a tightness or pressure. “It may resemble acid reflux,” he says. According to Bach, heart attack symptoms include things you would expect, or the ones you’ve heard about—unexplained chest pain, a “vague oppressive feeling” in the chest, and pain radiating down the left arm. But some people get nausea, vomiting, cold sweats, shortness of breath, or a numb feeling in the arm, neck, jaw or back. Heart attack symptoms also differ between men and women. While men are more apt to have “classic” symptoms, women often experience subtler and sometimes confusing signs, including lightheadedness, fainting, upper back pressure, and pain in the arms, neck or jaw, Bach says. Women are more likely than men to experience shortness of break, nausea or vomiting, and back or jaw pain, according to the American Heart Association. Because they might not recognize these as signs of heart disease, women— especially younger women—are more likely to die from a heart attack. “We now recognize that young women are not immune from heart attacks,” Bach says. But they have a higher risk of dying—a topic of current research. One theory is that women are less likely to suspect they are experiencing a heart attack, and delay treatment, he says.

Cholesterol: Do you have enough “good” cholesterol (high-density lipoprotein)? Or too much “bad” cholesterol (low-density lipoprotein)? Too much low-density lipoprotein can cause plaque buildup in the arteries. Weight: Excessive fat, particularly around your waist, can raise bad cholesterol and triglyceride levels, lower good cholesterol levels, increase blood pressure, and induce diabetes.

Smoking: Like obesity, smoking lowers good cholesterol, raises blood pressure, makes it harder to exercise, and increases the likelihood of blood clots. High blood pressure: Also known as hypertension, high blood pressure creates too much strain on the vascular system, and makes it easier for blood clots to form. A low-sodium diet can help you avoid high blood pressure.

RUNNING AGAINST THE CLOCK Doctors today emphasize not wasting any time when investigating heart attack symptoms. The American Heart Association advises calling 9-1-1 if these types of symptoms do not go away after five minutes. Paramedics often have EKGs ready and waiting in their ambulances, to assess the patient and begin treatment. They can also relay vital information to the hospital, so a team is ready to operate upon arrival. Martin O’Keefe, an environmental technician from Rochester, N.Y., says he ignored his symptoms, hoping it was something that would pass, or wasn’t that serious. “I stupidly toughed it out,” he says. In June 2012, O’Keefe was at an all-day workshop for his new job when he felt an intense headache and nausea—but no chest pain. It was a new job, and he didn’t want to leave early. He walked around the building a bit, but still felt somewhat ill. “There was nothing in my chest. I wasn’t thinking there was any problem with (my heart),” O’Keefe says. Finally, he went home to rest, and even stepped on his home treadmill to read his heart rate. His wife insisted he get help, so O’Keefe agreed to go to the local urgent care center. Within minutes, he says a doctor told him, “Mr. O’Keefe, you’re having a heart attack,” and an ambulance took him to Rochester General Hospital. Luckily, O’Keefe received the proper care soon enough, and recovered. But if he had dug in his heels and waited any longer, he might not have been so fortunate. Timing plays a huge role in heart attack detection and recovery, says Dr. Gerard Gacioch, chief of cardiology at Rochester General Hospital. “Time is of the essence,” Gacioch says. “People still wait about two hours from the onset of symptoms, but the window to save heart muscle is about 30 minutes.” Not even an ambulance heart reading is enough to diagnose a heart attack. Dr. David Burnside, director of the Emergency Department at Alton Memorial Hospital in Alton, Ill., says an EKG can be a helpful tool, but it doesn’t catch everything. Doctors also use blood tests to detect enzymes that are released during a heart attack. “The only way to know it’s not a heart attack is to look at the enzymes that are released,” Burnside says.

FIVE SERVINGS If you eat five servings of fruits and vegetables each day, you can cut your risk of a heart attack by 30%.

Fruits and vegetables: Eating at least five servings of fruits and vegetables per day can cut your risk of a heart attack by 30%, Gacioch says. Diabetes: Long-term high glucose levels associated with diabetes can damage the heart, along with nerves, eyes and kidneys.

Stress: Chronic stress leaves your body in “high gear” for days or weeks at a time. This can cause an increase in heart rate and blood pressure that could damage the artery walls, though the link between stress and heart disease is not clear, according to the American Heart Association.

Time is of the essence. People still wait about two hours from the onset of symptoms, but the window to save heart muscle is about 30 minutes. CARDIOLOGIST DR. GERARD GACIOCH

KNOW YOUR NUMBERS Talking with your doctor about your diet and lifestyle, and consulting resources like the American Heart Association and hospital websites can empower you to improve your heart health. Dr. David Burnside, director of the Alton Memorial Hospital Emergency Department, says these sites offer risk calculators, to give you a general idea of your likelihood of having a heart attack. “You should know your numbers,” Burnside says. Visit the American Heart Association’s website at Heart.org for information. You can also check out the National Heart Lung and Blood Institute’s website at NHLBI.nih.gov.

Inactivity: “That’s a huge problem,” Gacioch says. The AHA recommends 30 minutes of exercise (walking, running, playing a sport, swimming) at least five times per day. Family history: Unfortunately, you can’t control your heredity.

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MENDING HEARTS

FIVE DAYS Walking for 10 minutes, 3 times per day, 5 days per week can go a long way toward protecting your heart.

HEART ATTACK STATS

CARDIOVASCULAR is the leading cause DISEASE of death for men and women in the United States.

EVERY 34 SECONDS

someone in the United States has a heart attack. Americans are likely 935,000 to suffer a heart attack this year. cardiovascular disease 30.6% death rates declined from 1998 to 2008.

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1 in every 4 female deaths (292,188 women) in 2009 was due to heart disease.

1 in every 4 male deaths (307,225 men) in 2009 was due to heart disease. of Americans are obese. 35% Obesity is a major risk factor for heart disease. of Americans have at least 49% one of the three risk factors for heart attacks— smoking, high blood pressure and high LDL cholesterol. SOURCES: AMERICAN HEART ASSOCIATION, CENTERS FOR DISEASE CONTROL AND PREVENTION

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The incidence of heart attacks is dropping, according to the AHA. Cardiovascular disease death rates, which include heart attacks, have dropped by about one-third. Treatment of heart attacks has improved tremendously, too, and it’s largely due to the decrease in delays. “We’ve done a remarkable job of treating heart disease in the last quarter century,” Bach says. The rate of heart attacks has dropped by about half in the 22 years he has been practicing. Smoking rates have dropped by half since 1940, and people now understand more about controlling cholesterol. Americans get mixed reviews, though, on how hard they work to prevent heart attacks and related heart disease. The average adult weight exceeds recommendations, and doctors say most people need to do a better job at avoiding heart-clogging foods. Another reason for the decrease is earlier identification of people at risk for heart attack. Burnside says he’s seen a decrease of patients suffering acute heart attacks at the Alton ER. More people are diagnosed with heart disease early enough to get stents for blocked arteries, correcting the problem before a heart disaster strikes. The bad news is obesity and diabetes are on the rise, both of which stress the heart and can contribute to a heart attack. “Diabetes is a really big risk factor. That worries me,” Burnside says. Heart attack patients usually stay in the hospital for several days, Bach says. When released, they should follow up with cardiac rehab, a 12-week program involving monitored exercise, diet counseling, and smoking cessation programs if needed. Heart medications are typically part of recovery, Bach says, to “reduce stress on the heart and help the heart heal.” For Cunningham, recovery has gone well, though he admits it’s hard to resist the temptation of his favorite milkshake from Culver’s restaurant. He bought hearthealthy cookbooks, met w ith a dietitian during cardiac rehab, and has lost 15 pounds. As for O’Keefe, he says his wife, Susan, helps him maintain his heart health by cooking nutritious dinners, encouraging him to quit smoking, and motivating him to hit the gym. “I never exercised a day in my life,” O’Keefe says. “I smoked. I drank. I ate bad food. I got away with it.” O’Keefe says quitting smoking was easy once he knew what could happen if he continued to light up. Now, he works out three days per week, and his diet is better. He says he wants to prevent a heart attack sequel. “I’m trying to make changes every day,” O’Keefe says. “It happened once. It could happen again.”

LOCAL CONNECTION ST. LOUIS DIETITIAN DISHES UP HEART-HEALTHY RECIPES BY DANETTE M. WATT

Looking to lower your cholesterol and raise your potassium level? Make your heart stronger with these recipes provided by Barnes-Jewish Hospital registered dietitian Mary Ellen Beindorff.

MAPLE-CHILI GLAZED PORK MEDALLIONS 1 teaspoon chili powder ½ teaspoon salt 1 ⁄8 teaspoon ground chipotle pepper 1 pound pork tenderloin, trimmed and cut crosswise into 1-inch-thick medallions 2 teaspoons canola oil ¼ cup apple cider 1 tablespoon maple syrup 1 teaspoon cider vinegar Mix chili powder, salt and ground chipotle in small bowl. Sprinkle over both sides of pork. Heat oil in large skillet over medium-high heat. Add pork and cook until golden, 1 to 2 minutes per side. Add cider, syrup and vinegar to pan. Bring to boil, scraping up any browned bits. Reduce heat to medium and cook, turning pork occasionally to coat, until sauce is reduced to thick glaze, 1 to 3 minutes. Serve pork drizzled with glaze. DIETITIAN’S TIP: These medallions are low in total fat and saturated fat, and reduce sodium even more by omitting the salt

NUTRITIONAL ANALYSIS PER SERVING Calories per serving 167 Total fat

5g

Saturated fat

1g

Trans fat

0g

Polyunsaturated fat

0g

Monounsaturated fat

2g

Cholesterol

74 mg

Sodium

363 mg

Carbohydrates

6g

Fiber

0g

Sugar

0g

Protein

24 g

Calcium

0g

Potassium

478 mg

KALE WITH APPLES AND MUSTARD 1 tablespoon extra-virgin olive oil 1 to 1½ pounds kale, ribs removed, coarsely chopped ⅔ cup water 2 Granny Smith apples, sliced 2 tablespoons cider vinegar 4 teaspoons whole-grain mustard 2 teaspoons brown sugar Pinch of salt Heat oil in Dutch oven over medium heat. Add kale and cook, tossing with two large spoons, until bright green, about 1 minute. Add water, cover and cook, stirring occasionally, for 3 minutes. Stir in apples; cover and cook, stirring occasionally, until kale is tender, for 8 to 10 more minutes. Meanwhile, whisk vinegar, mustard, brown sugar and salt in small bowl. Add mixture to kale, increase heat to high and boil, uncovered, until most of liquid evaporates, 3 to 4 minutes.

NUTRITIONAL ANALYSIS PER SERVING Calories per serving 129 Total fat

4g

Saturated fat

1g

Monounsaturated fat

3g

Sodium

152 mg

Carbohydrates

22 g

Fiber

3g

Sugar

2g

Protein

4g

Potassium

573 mg

COOK’S TIP A 1- to 1½-pound bunch of kale yields 16 to 24 cups of chopped leaves. When preparing kale for this recipe, remove the tough ribs, chop or tear the kale as directed, then wash it—allowing some water to cling to the leaves. The moisture helps steam the kale during the first stages of cooking. DIETITIAN’S TIP: This kale is a good source of fiber, vitamin A, vitamin C and potassium

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More Than Your friend might be in pain from swollen joints. Your pastor could be feeling bloated. And your babysitter might have a severe headache. Some of the people we see every day go through their lives dealing with serious conditions, but we may never even know.

St. Louis resident Ronya Williams is a full-time social worker who spends her spare time running and working out. She also suffers from lupus. “When I tell people, they’re surprised,” says the petite 28-year-old. “They think I’m too young, and that I look in shape.” Lupus is one type of condition that affects millions of people daily, but friends, family and co-workers may not even know they deal with diseases that aren’t obvious. Like Williams, people who suffer from invisible illnesses fight to keep their health in check, often without the rest of the world noticing. In remission for eight years, Williams now has flare-ups if she has a

cold, and when the weather changes. “The biggest thing for me is fatigue,” she says. Working full time and exercising keeps her busy, but sometimes instigate the flare-ups. “I’m going (on runs) all the time,” she says. Williams doesn’t let lupus stop her from living her life. She earned a master’s degree in social work, and now counsels kids with lupus, alongside the team that treated her at Cardinal Glennon Children’s Medical Center in St. Louis. And like Williams, millions of people go about their day—working, grocery shopping and picking up the kids from school—dealing with conditions no one knows about.

LUPUS WHAT IT IS An autoimmune disease that causes inflammation of the major organs, skin and joints. WHO IT AFFECTS

1.5 million Americans

DAY-TO-DAY STRUGGLE “Lupus is different for every person,” says Lakricia Cox, director of patient services at the Lupus Foundation of America Heartland Chapter in St. Louis. The most common complaints include fatigue and painful joints. Sufferers may get rashes and have memory problems. The disease can also affect the nervous system. THE DANGERS Many also have Raynaud’s phenomenon, discoloration in the fingers and toes often triggered by temperature changes. Lupus can cause inflammation involving the arteries, resulting in heart disease. HOW IT’S TREATED Mainly with steroids, such as prednisone, and antimalarial drugs. In March 2012, the FDA approved Benlysta, the first drug developed specifically for lupus.

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9 out of 10 of those affected by lupus are women

Women of color are 3X as likely to have lupus.

Meets the BY LAURIE BAILEY

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CROHN’S DISEASE WHAT IT IS An inflammatory bowel condition than can affect any portion of the gastrointestinal tract, says Marianne Floriano, deputy regional director of the Crohn’s & Colitis Foundation of America at the Illinois Carol Fisher Chapter. WHO IT AFFECTS

700,000 Americans

вȌ Ǐ вȌ 150,000 are younger than 18

“We’re seeing most recently many of those being diagnosed are children,” Floriano says. DAY-TO-DAY STRUGGLE Pain, diarrhea, constipation, abdominal cramps and weight loss. Long-term effects may include bowel obstruction, abscesses and loss of appetite. THE DANGERS “Because it can affect the large intestine, there can be a risk of colon cancer,” Floriano says. HOW IT’S TREATED For mild cases, anti-inflammatory drugs have been a mainstay therapy for many years. For severe cases, more aggressive medications can be prescribed.

Many of those being diagnosed are children. MARIANNE FLORIANO CROHN’S AND COLITIS FOUNDATION OF AMERICA

EPILEPSY WHAT IT IS A chronic condition in which irregular electrical activity of the brain causes seizures that can last between a few seconds to a few minutes, says Andrea Zonneveld, of the Epilepsy Foundation of Western Pennsylvania. WHO IT AFFECTS

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2.2 million Americans

Percentage of people with epilepsy who live with uncontrollable seizures because no treatment works for them

DAY-TO-DAY STRUGGLE A lack of understanding from those close to them. “Trying to talk about their condition so they know they’re in a safe environment is difficult,” Zonneveld says. Children with epilepsy run the risk of struggling with classwork if they have seizures in school. THE DANGERS A 20-minute seizure can lead to permanent brain damage. HOW IT’S TREATED

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70% of cases are treated with anti-seizure medications.

Other approaches include brain surgery and nerve stimulation, in which a neurologist sends an electrical signal to the brain on a timed cycle.

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HEPATITIS C WHAT IT IS A virus that infects the liver, and can lead to cirrhosis, or scarring of the liver, according to Dr. David L. Thomas, of Johns Hopkins University School of Medicine.

4 million

WHO IT AFFECTS Americans, many of whom don’t know they have the virus, Thomas says. 1900

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2000

Many of the 4 million Americans who have hepatitis C don’t know they have the virus. DR. DAVID L. THOMAS, JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE

70% were born between 1945 and 1965

DAY-TO-DAY STRUGGLE Severe fatigue and fluid accumulation in the abdomen. Some people have no symptoms. THE DANGERS Drinking alcohol, which may cause increased damage to the liver. HOW IT’S TREATED Many patients receive weekly injections to fight infection. Those with hepatitis C cannot take vitamins, nutritional supplements or over-the-counter medications without consulting a doctor.

CELIAC DISEASE WHAT IT IS An autoimmune disease that primarily affects the small intestine and its response to gluten, a protein found in wheat, rye, malt and barley. WHO IT AFFECTS

3 million Americans

4 years The average length of time it takes for a symptomatic person to be diagnosed with celiac disease

THE DANGERS Damage to the villi, tiny hair-like projections in the small intestine that absorb nutrients. Osteoporosis and vitamin deficiencies may occur when the disease progresses. There is also a higher risk of lymphoma. HOW IT’S TREATED A gluten-free diet After 6 to 18 months of being on a gluten-free diet, symptoms are minimal, if not gone entirely.

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WHAT IT IS An infection caused by the bacteria borrelia burgdorferi, transmitted by a deer tick, according to Dr. Paul Auwauter, of Johns Hopkins University School of Medicine. WHO IT AFFECTS More than 20,000 cases diagnosed in the United States each year Most cases occur in the northeast mid-Atlantic states and in the upper Midwest lake regions. DAY-TO-DAY STRUGGLE Those affected may have fever, headache and other flu-like symptoms, including severe fatigue and muscle and joint pain. THE DANGERS Neurological problems, such as meningitis, can occur. The infection may also impact the musculoskeletal system. In few cases, it may also affect the heart. HOW IT’S TREATED Patients respond better to medication the earlier they are diagnosed. More than 95% of cases are cured with antibiotics.

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DAY-TO-DAY STRUGGLE It’s difficult to diagnose because sufferers have non-specific complaints. They may have vague symptoms, such as intermittent abdominal pain or bloating, says Lori Brown-Halbert, a dietitian at the Digestive Disease Center in New York.

LYME DISEASE

For the remaining 5%, Lyme disease can cause long-term complications and illness.

50 MILLION PEOPLE AFFECTED ǚ Ǎ ANNUALLY ǚ Ǎ ǚ Ǎ ǚ Ǎ ǚ

26 MILLION ώ Ǎ ǚ ǚ Ǎ

ARTHRITIS

DIABETES

SICKLE CELL ANEMIA WHAT IT IS A chronic, inherited disorder of the red blood cells, which originated in Africa and South Asia.

See how they stack up

WHO IT AFFECTS

Because celiac disease, hepatitis C and other largely unknown illnesses are not in the public eye, they may not get as much funding, research and awareness as diseases such as breast cancer and diabetes. But in some cases they affect just as many people, if not more. If you would like to learn more about these conditions, check out these resources.

100,000 Americans

Most sufferers are African-American, says Dr. Lakshmanan Krishnamurti, of Children’s Hospital of Pittsburgh of UPMC. DAY-TO-DAY STRUGGLE Daily pain that can be unpredictable and severe.

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The average life span of someone with sickle cell is the early

® Lupus Foundation of America Lupus.org

40s

THE DANGERS It affects the spleen and the immune system, and over time, can cause organ damage.

® Crohn’s & Colitis Foundation of America CCFA.org

HOW IT’S TREATED Early in life, treatments include medications that change the shape of red blood cells. Sufferers may take antibiotics to prevent bacterial infection.

® Epilepsy Foundation EpilepsyFoundation.org ® Celiac Disease Foundation Celiac.org ® American Lyme Disease Foundation ALDF.com ® Sickle Cell Disease Association of America SickleCellDisease.org

֢ 100,000 SICKLE CELL ANEMIA

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ֱ 225,000 BREAST CANCER

LYME DISEASE 20,000

֍ 700,000 CROHN'S DISEASE

Ȍ 1.5 MILLION LUPUS

ɒ 2.2 MILLION EPILEPSY

ʢ 3 MILLION CELIAC DISEASE

̆ 4 MILLION HEPATITIS C

ALZHEIMER'S DISEASE

ͪ 5 MILLION

® HCV Advocate HCVAdvocate.org

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MID AMERICA

JACKSON, MO.

PICTURE OF GOOD HEALTH

Just Drop It THE SKY IS FALLING 1,500 golf balls rained down from a helicopter over a specially made green at Bent Creek Golf Course in Jackson, Mo. Balls were numbered to correspond with an entry ticket, and dropped over the designated hole in view of the crowd who gathered for dinner, music, and an entertaining way to make a hole in one.

THIS THREESOME Bill Hinckley (inset, from left), chairman of Annual Support for SoutheastHEALTH Foundation, Volunteer Services director Don Fisher, and Foundation president Pete Poe check to see which balls made it closest to the hole at the annual 2012 Golf Ball Drop. ABOVE PAR The event raised more than $13,650. The winners of the cash prizes for landing closest were Lyle Davis, $500; Marsha Haskell, $250; and Steve Foeste, $100.

Do you have a photo you’d like to see in Picture of Good Health? Email dwatt@cmghealth.net.

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SUPPLIED PHOTOS

THE TEE OFF The SoutheastHEALTH Auxiliary and the SoutheastHEALTH Foundation hosted a unique fundraiser called Just Drop It “Fore” a Cause in October 2012, to benefit cancer patients at Southeast Cancer Center.

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