Community Health May 2013

BRIGHT IDEAS FOR SUMMER EXPLORATION

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MID AMERICA

Story ideas, email: editor@cmghealth.net

Cape Girardeau career camp builds future doctors and nurses

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SoutheastHEALTH – the Large

When you need us From when you’re first expecting to those unexpected accidents, SoutheastHEALTH is here for you. We promise to always treat patients like family and families like old friends.

WHEN YOU NEED U

SoutheastHEALTH is your partner in healthy rehabilitation. No matter where you are in nearby you can turn to for quality, compassi people who care. We’re SoutheastHEALTH

Our Services Our SoutheastHEALTH facilities work together to treat whatever life brings – from skinned knees to major surgery. Here are just a few of the health services our network offers: 4 Brain & Spine Center

4 Emergency Services

4 Breast Care & Diagnostic Center

4 HealthPoint Fitness

4 Cancer Center

4 Heart Center

4 Diabetes Center

4 Home Health

4 Digestive Health Center

4 Hospice

4 HealthWorks

4 Imaging 4 Lab Services 4 Orthopedics & Joint Replacement Center 4 Pharmacy 4 Sleep Diagnostic Center 4 Weight Management Center 4 Women's and Children's Center & Rehab 4 Wound Care & Hyperbaric Medicine

WIN

a One-Year Memb to HealthPoint Fit

est Provider of Healthcare in the Region

S. WHERE YOU NEED US.

Where you need us

y living – from prevention and diagnosis to treatment and life, or in the region, there’s a SoutheastHEALTH facility ionate treatment. We’re more than a system of care. We’re H.

bership tness

Jackson

55

Cape Girardeau Ellington Bloomfield

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Poplar Bluff

Bernie

Doniphan Malden

SoutheastHEALTH Locations: Bernie Bloomfield Cape Girardeau Dexter Doniphan

Ellington Jackson Malden Poplar Bluff Van Buren

Additional specialized services provided in Fredericktown, Perryville and Sikeston

For more information call the Southeast HealthLine:

1.800.800.5123 or visit SEhealth.org

Courtesy of SoutheastHEALTH. Like us on Facebook for more information and to enter for your chance to win.

The Difference is How You’re Treated

30-MINUTES-OR-LESS E.R. Service Pledge at Gateway Regional Emergency medicine is about three things: compassion, skilled care and speed. You’ll find these at Gateway Regional. The experienced E.R. physicians and the entire team are committed to working diligently to have you initially seen by a clinical professional* within 30 minutes of your arrival.

If you need an E.R. fast, try our fast E.R. Once you do, you won’t want to go anywhere else. For more information, visit GatewayRegional.net.

Scan with a QR code reader on your smartphone to view our average E.R. wait time.

GRANITE CITY

*Clinical professional is defined as a physician, physician assistant or nurse practitioner. If you are experiencing a medical emergency, call 911.

mid america

CREATE YOUR OWN

CLASSROOM 42

CONTENTS VOLUME 5 | ISSUE 5

D E PA RTMEN T S 6 Editor’s Letter 9 Local Focus 15 News+Notes 19 Q+A 23 Well Said 56 Picture of Good Health

M ON ITO R S 26 WOMEN 28 MEN 30 FAMILY 32 SENIORS 36 PETS 38 EATS

When school lets out for summer, parents worry kids will spend three months slacking off, and put learning on the backburner.

Well, we’ve got you covered. Discover 20 smart ways to have fun with your kids while engaging their brains. BY CLARE WALTERS

48

SYSTEM MAINTENANCE

Your ears, nose and throat operate on their own. They also share an intimate connection to one another, and your entire body. Nasal congestion could lead to a sore throat. A sore throat may give you earaches. Spot common problems, prevent infections and keep your system clear. BY JENNA MAKOWSKI

52

TOO GOOD TO BE TRUE?

Some doctors swear by probiotics, while others dismiss their supposed health benefits.

Found in food and supplements, these microorganisms may help regulate digestion and improve immunity. BY JENNIFER MIFFLIN

HER HEAD’S HELD HIGH

Pat Edsall didn’t let her struggle with fibromyalgia take control of her life.

She created a monthly local support group, to connect with other sufferers.

BY DANETTE M. WATT

4

MAY 2013

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

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CHAIRMAN

Larry Perrotto MANAGING DIRECTOR

[ A note from the medical editor ]

Mark Hornung EDITOR-IN-CHIEF

Carole Sharwarko ART DIRECTOR

Bret Figura ASSOCIATE EDITOR

Stay on top of your game

Jackson A. Thomas LOCAL EDITOR

Danette M. Watt AD TRAFFIC MANAGER

Joseph Krystofiak MEDICAL EDITOR

Janis Mendelsohn, M.D.

You’re ready. Your kids are ready. School

SALES DIRECTOR

is almost out for summer. It’s time to plan

Liz Latta

weeklong getaways. And eventually down ADVERTISING

the road, you’ll have to help them prepare

PLAN FOR SCHOOL

for a new school year come August.

Before you leave on that car trip, remember

This month, let’s talk about summer car trip

that summer is all too short, and school

health and getting ready to go back to school.

will start before you know it. So plan ahead,

Have a great summer, and don’t forget to plan

and be prepared.

ahead! You will be glad you did.

PLAN FOR CAR TRIPS

It’s been quite a cold winter filled with snow and more snow! But spring is here, school is almost

³ Know what your children need for the next school year. ³ Arrange medical appointments for needed immunizations and forms before you leave for vacation. ³ Know the deadlines for completing and submitting required school forms.

out, and it’s time to plan your summer vacation.

If you are taking a family car trip this summer, check out some tips to keep it safe, fun and hassle-free. ³ Be sure you have appropriate car seats. ³ Keep those seat belts fastened. ³ Plan entertainment for the kids, such as DVDs. ³ Bring along healthy snacks. ³ Look online for rest stops—either to use the bathroom or to eat a meal. ³ Don’t try to reach a distant destination too quickly. Plan stops carefully, and share driving with another adult.

Remember: Car trips can be fun for the whole family with good advanced planning. There are a lot of kid-friendly places to visit in the United States. Take advantage of it.

Generally, this is what is required: ³ Additional immunizations at ages 4 and 11 years. This varies. ³ Updated physical examination and immunization forms for students starting a new school, or an established student entering preschool, kindergarten, first and sixth grades, and high school.

This varies by state. ³ Sports participation approval and examination form.

And don’t forget your college student.

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.

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.

Requirements vary by school, but you can usually find them online. If there is a required form, print it, complete it, and bring it to the doctor’s

CMGHealth.net

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appointment. Doctors’ offices—including my own—expect you to provide the appropriate forms.

2010 Silver Ozzie (Folio Awards) Custom Publishing

Dr. Janis Mendelsohn medical editor 2009 Gold Ozzie (Folio Awards) Best Feature Design/Custom Publishing 2009 Silver Ozzie (Folio Awards) Custom Publishing

2008 First Place Advertising Section/ Special Supplement

6

MAY 2013

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

Knee Pain

Med + Plus takes pride in their treatment of knee pain. After the evaluation and x-rays, the staff gets to work on reducing the pain as quickly as possible. One of the treatments is Sarapin; a plant based homeopathic injection for the knee. Sarapin is an antiinflammatory medication which will start working to reduce pain and swelling around the knee. A second knee injection containing hyaluronic acid is then given which helps maintain the soft tissues of the knee. Hyaluronic acid is naturally found inside the knee joints, but the fluid decreases with the normal aging process.

Med + Plus also offers two Medicare approved knee braces. The first brace makes walking less painful by relieving pressure from the narrowed joint space. This is an Unloader Brace that helps stabilize the knee joint. The other brace is the BioniCare and this one helps to reproduce a normal and healthy knee joint. BioniCare is the only FDA approved device that is capable of rebuilding knee cartilage.

Patients will also be able to avoid dependency on pain medication.

Patients wear this brace during the day or at night when they are not active. In fact, BioniCare pads can be worn at bedtime so that the knee is repairing itself while the patient sleeps. Best of all, the greatest benefit of the brace is that total knee replacement may be prevented. Both of these braces are Medicare approved.

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METRO EAST: BELLEVILLE, IL

MID AMERICA

MAY 12 NATIONAL FIBROMYALGIA AWARENESS DAY

Shared Struggle Woman spins personal pain into monthly local support group

BY DANETTE M. WATT

Pat Edsall’s journey of living with chronic pain began one morning in 1986. She woke up with arm, neck and shoulder pain. She thought it would go away after a day or two. But it didn’t. The pain increased, and with it came “crushing fatigue.”

When she visited her doctor, he diagnosed her with fibromyalgia, common condition in which a person experiences long-term, body-wide pain and tenderness in their joints, muscles and tendons.

“Back then, it was called ‘fibrositis,’” says Edsall, 62, who works in real estate in Troy, Ill. “I went looking for information, and found only one sentence in a book under arthritis calling it muscle pain. I thought, ‘It can’t be that bad.’”

NOT SUFFERING ALONE Edsall searched for others experiencing the same pain. In 1993, she started a monthly support group at Belleville Memorial Hospital. More than 450 people have joined, sharing every story imaginable.

“It’s a life-changing illness. It ruins relationships,” she says.

“I’ve known people who have gotten divorced. I’ve known people who have committed suicide, because they couldn’t take the pain anymore. I see people come in with walkers, canes and crutches.

And they’re in the prime of life, not in their 80s.”

Edsall sorts group members into three categories: those whose fibromyalgia is moderate, “really just an annoyance in their life. There are others, like me, with days I can function and days I can’t get out of bed. Then there are people who have it so bad that they are bed- and home-bound. That’s their whole life.”

The group offers people a way to share information, and support one another. “We are here to learn to live the best life we can, in spite of having a diagnosis of fibromyalgia,” she says.

She knows living with fibromyalgia is not an easy task. Edsall credits her husband, Phillip, in helping her live the most normal life possible.

“The pain never goes away. It affects your mind, body, your view of the world,” she says. “He is my support group, cheerleader, love and witness to my life. He knows the real me before fibromyalgia took over my life.”

It’s a life-changing illness.

I’ve known people who have committed suicide, because they couldn’t take the pain anymore.

PAT EDSALL

FAST FACT

PHOTO BY DANETTE M. WATT

THE EARLY STAGES But Edsall couldn’t have been more wrong. She was bedridden the first three months following the diagnosis, because her pain was so severe.

“I did get out of bed a little at a time, but the pain was overwhelming,” she says. “I only had over-the-counter pills.”

The pain that comes with fibromyalgia “waxes and wanes, mutates, changes and goes in cycles,” she says. In the beginning, the pain lingered in her neck and shoulders for a while, then moved to her hip, then her knee. “It’s enough to make you crazy.”

Doctors didn’t know much about fibromyalgia when Edsall started experiencing her pain. Symptoms resemble many other conditions, making diagnosis difficult. Common symptoms include sleepiness, headaches, fatigue and depression. There is no test for it, nor is there any physical way to trace the disease, according to the National Fibromyalgia Research Association.

Edsall was at a loss for relief. She began a quest to gain knowledge about her illness. Her search to fight fibromyalgia led her to enroll at Southern Illinois University Edwardsville at age 40. She also co-authored and published a research study about the common threads among people with fibromyalgia.

Fibromyalgia affects about 5.8 million Americans, and it hits women more than men.

The Belleville Memorial Hospital Fybromyalgia Support Group meets the third Tuesday of every month, except in November and December. For more information, call Pat Edsall at (618) 667-7361.

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

MAY 2013

9

Christian is

Committed

Dr. Sehizadeh, Interventional Radiologist (left) and Dr. Menendez, Breast Surgeon (right)

Our Breast Health Center delivers the finest comprehensive breast care in our community.

At Christian Hospital’s Breast Health Center, we coordinate leading specialists in radiology, surgery, oncology, radiation oncology and plastic surgery – along with the most advanced technology and diagnostic techniques – to provide you the best care in the region. In fact, our breast specialist is the only surgeon in North County who focuses solely on breast health.

That kind of commitment to our community is what you should expect, because Christian’s not only one of the founding

hospitals of the BJC HealthCare organization, we’re one of its top performers, too.

See for yourself what we’re talking about. Take a virtual tour of our Breast Health Center at Northwest HealthCare by visiting ChristianCares.org or calling 747-WELL (9355) or 1-877-747-WELL today.

SEMO: CAPE GIRARDEAU

From Pupil to Pro

MID AMERICA

Career camp teaches high-schoolers what it’s like to work in the medical field

BY DANETTE M. WATT

An email from his high school last year caught Andrew Hobeck’s eye. The email mentioned a camp that encourages students to explore careers in medicine. Hobeck jumped at the chance.

“I’ve always been interested in the medical field, and thought it would be a good idea to explore it,” says the 16-yearold Friedheim, Mo., resident. Andrew says he’s interested in studying radiology.

“The bone structure is interesting, and I think it’s a job I could do.”

In summer 2012, Andrew participated in the Healthcare Professionals Camp.

SoutheastHEALTH’s College of Nursing and Health Sciences campus hosts the three-day camp for students in junior high and high school.

It addresses the region’s growing need for nurses and other health care professionals, and career opportunities these areas provide.

A PEEK AT THE REAL WORLD The campers stay in dorms, and get a firsthand look at how students work to become professionals.

Andrew says he and other classmates visited medical-surgical and obstetrics

Healthcare Professionals camper Chatez Robinson tries his hand at surgery with help from Jill Stroud, director of the Surgical Technician Program at SoutheastHEALTH’s College of Nursing and Health Sciences.

units, the lab and X-ray departments, and the hyperbaric chamber clinic. They learned how to take vital signs, and discovered how it feels to walk on crutches and manipulate a wheelchair.

A visit to the intensive care unit made an impression on Andrew, as he considered how confusing it might be to keep track of all the patients.

“There were about 15 or 20 people,” he says. “They were looked after by just three or four doctors, and there were a lot of machines. I think that would be hard.”

SoutheastHEALTH started the camp seven years ago, with the goal of introducing high school students to the nursing field. The college currently directs the camp, through a partnership with the hospital, the SoutheastHEALTH Foundation, and The Missouri Foundation for Health.

SUPPLIED PHOTO

MAKE ROOM FOR MORE The health care industry is projected to have tremendous job growth through 2020, according to the U.S. Bureau of Labor Statistics. Interest in the Healthcare Professionals Camp is following suit, with the camp filling up quickly the past two years. “It has a good reputation, and has been so successful in the past because of the people who have put it together,” says camp director Jeanne Hill. “Some kids had to be put on a list for 2013, because we ran out of room last year.”

CLOSING GENDER GAPS According to Jeanne Hill, camp director and assistant professor of nursing at the college, the camp encompasses many aspects of health care. Male students often perceive nursing as a woman’s job, and aren’t aware of other job roles.

“Health care still has a connotation of nursing. That’s why we changed the name to Healthcare Professionals,” Hill says. “We expanded it to include technical fields such as lab, surgery and X-ray, so we could get more boys involved.”

Students also attend a panel discussion, where they can ask medical professionals about their on-the-job experiences.

“We always have a lot of good questions from them,” Hill says. “Last year, one young man interested in pharmacy asked how long he’d be in school, and the classes required in high school to prepare to him for the program. He was thinking ahead.”

Andrew has a plan in place, too. He’s finishing his junior year, and knows he’ll be taking anatomy, advanced chemistry and advanced biology as a senior. “These should help me in my career,” he says.

He says he definitely would recommend the camp. “Going to this camp helped solidify my decision to go into radiology,” he says.

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

MAY 2013

11

Ophthalmologist Driven by Passion to Help Others

Monica Abernot, MD, visits with a patient at the Southeast Cozean Eye Institute.

M

onica Abernot, MD, knew since childhood that she wanted to use her life to help others. “I grew up watching my parents and my church family volunteer their time to care for others,” she says. “Their influence left a real impact on me.”

Following in their footsteps, she spent time as a hospital and a hospice volunteer while attending college at the University of South Carolina Honors College in her hometown of Columbia, S.C. This experience, combined with her passion for helping others and a strong interest in biology and chemistry led her to choose a career in medicine.

Realizing Her Vision As a medical student at the Medical University of South Carolina in Charleston, Dr. Abernot was drawn to the field of ophthalmology. “I was intrigued by the complexity of the human visual system and the opportunity to help improve a patient’s vision and quality Donna Pry, OD of life,” she notes. During this time, she volunteered to help with community glaucoma screenings, which she says solidified her decision to become an ophthalmologist. “There were many opportunities to help people maintain or improve their vision and I realized that was what I wanted to devote my professional life to doing.”

After earning her medical degree, Dr. Abernot completed an internship at Saint Raphael Hospital, affiliated with the Yale School of Medicine, and finished her residency in ophthalmology at Wake Forest University School of Medicine in Winston-Salem, N.C. She practiced in Amarillo, Texas, before recently joining the Southeast Cozean Eye Institute and assuming the ophthalmology practice founded by Charles H. Cozean, Jr., MD.

no-shot cataract surgery.” Dr. Abernot specializes in cataract surgery and comprehensive ophthalmology, including diagnosis and management of glaucoma, macular degeneration and diabetic retinopathy.

Comprehensive optometry services, provided by Donna Pry, OD, also are available at the Eye Institute.

A Beautiful City Dr. Abernot says she and her husband Daniel, an ordained minister and hospital chaplain, were drawn to Cape Girardeau. “Cape is a beautiful, small city. We enjoy walking together and appreciate the number of beautiful parks that Cape Girardeau has to offer. We also like Cape’s proximity to larger metropolitan areas. It’s an excellent location and we are happy to settle here,” she adds.

In her spare time, Dr. Abernot enjoys a variety of activities, including participating in church events, reading, cooking and baking, knitting and playing the piano, as well as athletic pursuits.

Convenience of Knitting “I started learning piano when I was 10 years old, and it continues to be one of my favorite hobbies,” Dr. Abernot says. “Some of my favorite composers include Chopin and Brahms.” She enjoys the convenience of knitting, which she learned in college. “It’s a portable hobby, and I enjoy making hats, scarves, mittens and sweaters for friends and family.”

Dr. Abernot also likes to keep active. “In college, I rowed crew,” she notes of being on the rowing team.

“I liked the challenge of learning a new sport that involved teamwork and coordination, and I enjoyed the early morning practices before class.” She also enjoys running and completed the Charleston Cooper River Bridge Run, a 5K race in Charleston, S.C., while she was in medical school.

Commitment to Excellence Dr. Abernot says SoutheastHEALTH’s “commitment to excellence in healthcare” appealed to her. “Here, I have the opportunity to serve patients’ ocular health needs with the most advanced technology and surgical procedures, including no-patch, no-stitch,

To learn more about the Southeast Cozean Eye Institute, 56 Doctors’ Park in Cape Girardeau, call 573-334-4401 or visit SEhealth.org.

Great BJC Doctors,

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The Team of BJC Sports Medicine and Orthopedic Specialists got us back in the game.

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SOIL NEWS+NOTES

MID AMERICA

Health center teams up with SilverSneakers Belleville Memorial Hospital’s Health and Sports Center has partnered with Healthways SilverSneakers Fitness Program. SilverSneakers is the nation’s leading exercise program designed for older adults. This program is available at no additional cost to members eligible through their insurance, Medicare health plan or group retiree program. “In addition to helping our members stay physically healthy, SilverSneakers also offers a great way for them to socialize, meet new friends, and have fun,” says Jessica Marshall, SilverSneakers field manager. Many sites provide fitness equipment, treadmills, free weights and fitness classes. The Health and Sports Center offers the SilverSneakers Muscular Strength and Range of Movement classes. “I am so excited to be able to offer SilverSneakers to our members,” says Micki Classen, manager at the Health and Sports Center. “This is an incredible program for seniors, and I would like to welcome all our new and soon-to-be new SilverSneakers members to the sports center.” For more information, call (618) 398-2778, or visit SilverSneakers.com.

BELLEVILLE ~

Game on for breast health education At a recent high school basketball game, Rob Schwartz (from left), of The Bank of Edwardsville, and Fran Shirrell, a longtime Alton High School employee and a cancer survivor, presented a $1,000 check to Dr. Chris Aldridge. Aldridge is a 1998 Alton High School graduate and now a general surgeon on staff at Alton Memorial Hospital. The money will go toward breast health education at the hospital.

Longtime hospital worker steps up as new CEO

Nursing care center earns 5 stars for fifth consecutive year Memorial Care Center has received the highest possible overall rating of five stars in U.S. News & World Report’s fifth annual Best Nursing Homes. Best Nursing Homes 2013 ratings highlight the top nursing homes in each city and state, out of about 16,000 facilities nationwide. U.S. News & World Report’s goal is to help users find a facility with a strong track record of good care. Best Nursing Homes collects data from the Centers for Medicare & Medicaid Services, a federal agency that assesses nursing homes in three categories: health inspections, level of nurse staffing and quality of care. It also gives each nursing home an overall rating. “Fewer than one out of every five nursing homes got an overall rating of five stars,” says Avery Comarow, U.S. News & World Report health rankings editor. “All seniors deserve the best nursing care available, and these are homes that merit their consideration by demonstrating such high quality.”

BELLEVILLE ~

SUPPLIED PHOTOS

Hospital opens new heart center HERRIN ~ Herrin Hospital recently opened its new Cardiac Management Center. The center’s staff of mid-level providers and specialty nurses work with recently discharged congestive heart failure patients. They ensure patients follow prescribed protocols, and get the medications and follow-up appointments necessary. More than 2,500 patients were treated at Southern Illinois Healthcare facilities for heart failure in the last 11 months. Many of those patients made repeated visits to area hospitals. Cardiologist Dr. Nabil Al Sharif says treatments for congestive heart failure nationwide total about $40 billion each year. He says 500,000 new heart failures will be diagnosed this year. He hopes the efforts of the Cardiac Management Center drastically reduce that number across all SIH hospitals. For more information, visit SIH.net.

GR ANITE CIT Y ~ Hospital executive Ed Cunningham recently was appointed chief executive officer at Gateway Regional Medical Center.

Cunningham has more than 30 years of experience, serving in leadership positions at several hospitals and a number of health care companies. For the past fiveand-a-half years, he has served as CEO of Crossroads Community Hospital in Mt. Vernon. At Crossroads, Cunningham oversaw the development and construction of a new three-story patient tower, and recruited 20 new doctors during his tenure. He also implemented a 30-minute time pledge within the Emergency Department, which increased patient satisfaction and visits. “Ed offers a deep level of health care management expertise to guide the hospital thoughtfully into the future,” says Rosemarie Brown, chairwoman of the Board of Trustees for Gateway Regional Medical Center.

Do you have an item for News+Notes? Email dwatt@cmghealth.net.

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

MAY 2013

15

provides exceptional medical and surgical retina care Marion Eye Centers is pleased to announce the addition of two new highly trained physicians Omar Ahmad, MD

Faisel Ahmad, MD

M. Ahmad, MD

Retina Surgery Specialist

Retina Medical/ Cataract Specialist

Cataract/ Retina Specialist

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SEMO NEWS+NOTES

MID AMERICA

Volunteer recognized for donating 8,000 hours

Oncologist brings cancer expertise to hospital

GIR ARDEAU ~ Local volunteer Bob Matthews (left) was recognized for his service as SoutheastHEALTH Auxiliary treasurer for 2011 and 2012 at a recent Auxiliary luncheon. He and his wife, Alene, received the Auxiliary’s Ilena Aslin Service Award in 2010. Matthews has volunteered more than 8,300 hours at Southeast Hospital over the past 20 years. He has served as front-door greeter and patient transporter, and volunteered in the hospital’s waiting rooms. He also has assisted with hospital blood drives and other events. Pictured with Matthews is Don Fisher, director of SoutheastHEALTH’s Volunteer Services.

PERRY VILLE ~ Dr. Justin D. Floyd, medical oncologist and hematologist, is accepting patients at Perry County Memorial Hospital. Cancer patients have increased access to the technological advances and clinical expertise of the PCMH oncology team. Floyd’s services include administrating chemotherapy and outpatient consultations for hematologic and oncologic disorders. He has clinical expertise and a special interest in toxicities of chemotherapy, non-Hodgkin’s lymphoma and male breast cancer. Visit PCHMO.org for more information.

CAPE

Executive earns top health care management credential

Skeet shoot raises more than $10,000 for children services

Lavah Lowe, chief operating officer of Poplar Bluff Regional Medical Center, recently became a fellow of the American College of Healthcare Executives. ACHE is the nation’s leading professional society for health care leaders. “Because health care management affects people in our communities, it is critically important to have a standard of excellence promoted by a professional organization,” says Thomas C. Dolan, CEO of ACHE. “Health care leaders can show they are committed to providing high-quality service to patients and the community.” Candidates must pass a comprehensive examination, meet academic criteria, earn continuing education credits, and demonstrate professional and community involvement.

PERRY VILLE ~ Perry County Health System organized a skeet shoot, to provide support and funding to the newly established Children’s Healthcare Fund. The fund benefits local families under significant financial strain. The event raised $10,800. “Everyone involved has been extremely dedicated to making the event and Children’s Healthcare Fund a success, which has set the foundation for the years ahead,” says Patrick Carron, president of Perry County Memorial Hospital. First place went to the Robinson Construction Team, which includes Andy Robinson (from left), Stefan Besand, Mark Taylor, Landon Besand and Jason Elliot. First place in the flag competition went to The Bank of Missouri. The top individual score went to Jason Blandford, who competed on the Zoellner Construction Team.

POPLAR BLUFF ~

Hockey tournament raises $40,000 for cancer patients The Cancer Care Foundation, a nonprofit organization, recently raised $40,000 for Siteman Cancer Center patients at Barnes-Jewish Hospital and Washington University School of Medicine. The foundation raised the money through its annual Steinberg Winter Classic hockey tournament. Joe Fresta Jr. (far right), a twotime testicular cancer survivor, founded the Steinberg Winter Classic, a three-on-three tournament. Donations will be used for those who need assistance with treatment-related expenses. “The Siteman Cancer Center is thankful for these funds, which help patients concentrate less on finances and more on improving their health and overall well-being,” says Siteman director Dr. Timothy Eberlein.

SUPPLIED PHOTOS

ST. LOUIS ~

Social worker Anne Rihanek (from left) and researcher Dr. Greg Longmore, of the Siteman Cancer Center, accept a donation from chairman Darren Pang and Fresta.

Do you have an item for News+Notes? Email dwatt@cmghealth.net.

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

MAY 2013

17

Q+A

MID AMERICA

Ear infections are one of the most common health problems in young children.

The American Academy of Pediatrics recently issued new guidelines to diagnose and treat ear infections. Their goal was to cut back on antibiotic overuse and resistance. Dr. Katie Drake works at Bemis Chiropractic in Alton, Ill. She focuses on chiropractic care for many health conditions, including ear infections. She recommends natural and noninvasive treatments for children.

Ear infections and chiropractic care How can chiropractic care help kids with ear infections?

Let our family care for yours!

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Children have small Eustachian tubes. If the tube is not functioning, bacteria grow and an infection can start. The nervous system controls everything in the body. Nerves in the bone that connect to the ear, eye, nose and throat area get irritated. They prevent drainage in the tubes. An adjustment relieves pressure, and improves nerve and tube function.

What is an adjustment?

A bone in the cervical spine, called the Atlas or C-1, can get out of place from multiple falls or contractions during birth. This partial dislocation interferes with proper nerve function. An adjustment removes the dislocation. Children are more flexible than adults, so thereâ&#x20AC;&#x2122;s no twisting of the neck. With the child on his back or side, I use my fingers to wiggle or tap the Atlas bone. This lets me inspect, manipulate and loosen the area.

What risks come with chiropractic care?

There are no risks. Iâ&#x20AC;&#x2122;ve been a patient in this office since I was 2 years old, and have had chiropractic all my life. It works, and itâ&#x20AC;&#x2122;s inexpensive.

How can parents help treat or prevent ear infections?

I tell parents to get rid of cowâ&#x20AC;&#x2122;s milk. The way itâ&#x20AC;&#x2122;s processed promotes the production of mucus, and mucus creates a breeding ground for ear infections. Choose another source of calcium, such as yogurt, cheese, almond milk, soy milk, supplements or leafy vegetables.

Caring for those... who cared for us. t 4IPSU 5FSN 3FIBCJMJUBUJPO t 4LJMMFE /VSTJOH t $VTUPEJBM .BOBHFE $BSF t 3FTQJUF )PTQJDF -POH 5FSN $BSF t .FEJDBSF 1BSU " t .FEJDBJE

Located at 702 Highway 34 West Marble Hill, MO 63674 Minutes from Cape Girardeau & Jackson!

Why is chiropractic for kids gaining more attention?

Chiropractic is becoming more mainstream. More parents realize itâ&#x20AC;&#x2122;s better not to have their kids on a lot of medicines. They want their kids to have a more natural healing, and to increase their natural immunity.

Please Call

573-238-2614 to Schedule a Tour

www.woodlandhills-stonebridge.com C O M M U N I T Y H E A LT H

MAY 2013

19

Check out the new

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Heart Drugs Given to Millions Donâ&#x20AC;&#x2122;t Save Lives...

And May Be Harmful!

by Dr. Tomasita A. Lahue, D.C. â&#x20AC;&#x153;A new study is turning decades of medical dogma on its head. A panel of independent experts reports this week that drugs used to treat mild cases of high blood pressure have not been shown to reduce heart attacks, strokes, or overall deaths.â&#x20AC;?

Says reporter Keanne Lenzer.

68 million patients in the United States with high blood pressure have mild, or Stage 1, hypertension, meaning a systolic (top number) value of 140-159 or a diastolic (bottom number) value of 90-99. This review suggests that many patients with hypertension are overtreatedâ&#x20AC;&#x201D;they are subjected to the possible harms of drug treatment without any EHQHĂ&#x20AC;W 7KLV LV KXJH because the effects of beta-blockers may be severe including nightmares, dizziness, diarrhea, headaches, sex problems, insomnia, etc., and lead to more escalating drug treatments with even more side-effects.

The study of 44,708 patients which found no benHĂ&#x20AC;W DW DOO IRU SDWLHQWV ZLWK K\SHUWHQVLRQ DQG RWKHU risk factors for heart disease was conducted by the widely respected Cochrane Collaboration, which provides independent analyses of medical data.

Donâ&#x20AC;&#x2122;t Take Yourself Off of These Meds And if youâ&#x20AC;&#x2122;re on these drugs now, donâ&#x20AC;&#x2122;t cut yourself off just yet â&#x20AC;&#x201D; because they pack one other risk: Patients who stop taking them suddenly actually have a higher risk of heart attacks says Dr. Douglass, MD. Fifteen years ago, a BP reading of 150/95 would not have been a cause of particular concern (the threshold then was 160/100). From the Douglass Report. Maybe the threshold was right and should be just considered an indicator for lifestyle changes.

Lifestyle and Emotions ,I \RX VXIIHU IURP D Ă XVKLQJ UHG IDFH RU KHDW ZLWK emotional upset, stressful events, or if you are worried about your blood pressure, there are several natural non-invasive treatments that may help. The phenomenon known as â&#x20AC;&#x153;white coat syndromeâ&#x20AC;? attests, the mere fact of having oneâ&#x20AC;&#x2122;s blood pressure WDNHQ E\ D PHGLFDO SURIHVVLRQDO LV VXIĂ&#x20AC;FLHQW WR send some peopleâ&#x20AC;&#x2122;s readings soaring. First of all, reduce tension and stress with regular meditation, yogic breathing, tai chi, qi gong or prayer. JournalLQJ LQ VSHFLĂ&#x20AC;F ZD\V WR UHOHDVH WKH HPRWLRQ DQG let it go is also very effective to decrease tension.

Count to ten before reacting, this is also good for

displacing irritability. Get plenty of rest, as this can also trigger short tempers.

Holistic Alternative Treatments Also seek holistic care that doesnâ&#x20AC;&#x2122;t attempt to DUWLĂ&#x20AC;FLDOO\ UHGXFH WKH QXPEHUV EXW DFWXDOO\ JHWV to the root cause of the undue stress on your health: Chiropractic care has been demonstrated to reduce blood pressure with regular adjustments as it affects the entire nervous system. Remember chiropractors are really functional neurologists as each adjustment impacts every system (cardiovascular, circulatory, respiratory, endocrine, etc.) and has a synergistic effect on your overall health by reducing dis-ease. Acupuncture balances your energy throughout your meridians and reduces pain, anxiety, improves circulation and promotes a sense of wellEHLQJ /DVHU WKHUDS\ UHGXFHV SDLQ DQG LQĂ DPPDtion, speeds up healing, reducing stress linked to pain. Hyperbaric Oxygen treatment perfuses oxygen into your blood vessels allowing it to awaken dormant cells, improving your ability to cope, heal, and regenerate. This therapy is a must if you have already suffered a stroke or heart attack. Individualized nutritional assessments provide your body the nutrients it needs to support your heart, blood vessels, liver, kidneys, nerves, and brain to optimize their function, revitalizing your health.

Healthy Eating Habits Learning to eat a biochemically balanced diet will help you regain your vitality and vigor and prevent continued degeneration of your organ systems.

Our SAD (standard American diet) and chemically-contaminated water supply are responsible for 90 percent of chronic disease I see in patients, including arthritis, alzheimerâ&#x20AC;&#x2122;s, diabetes, heart disease and obesity. Low-fat is not the answer. A balanced diet includes healthy fats (from grass fed EHHI IUHH UDQJH FKLFNHQV ZLOG FDXJKW Ă&#x20AC;VK RUJDQLF eggs) and organic vegetables and a few fruits. Salt is an ingredient of contention. Table salt should be avoided at all costs. You should eat sea salt only and you will see for yourself it doesnâ&#x20AC;&#x2122;t cause WKH Ă XLG UHWHQWLRQ DQG WKH LQĂ DPPDWLRQ WDEOH VDOW causes. Read the book Your Bodyâ&#x20AC;&#x2122;s Many Cries for Water, by Dr. F. Batmanghelidj, MD. He â&#x20AC;&#x153;curedâ&#x20AC;? many ailments including hypertension (high blood pressure) with sea salt and water. Not all sea salts are the same. Get a high quality pink sea salt; it is tasty and cleansing to your health. Limit or avoid processed foods as the majority contain table salt and many other unhealthy ingredients.

Exercise Regular easy exercise, like a stroll out in fresh air, cycling, gentle movement or vibration therapy (Power Plate) is important to maintain health.

Remember to check with your doctor to make sure you are healthy enough to exercise. A heart monitor is important to ensure you stay within the aerobic range. Overworking yourself at anaerobic levels may actually damage your heart. Start very slowly, gradually increasing intensity of workouts.

If you walk there is no need to walk fast. Walking a normal pace is extremely healthy.

To get more information on these therapies and lifestyle recommendations check out my website: www.MyHolistic-Health.com.

If you are ready to get the individualized care you need to maximize your health potential, call and make your appointment today at 618-624-9384.

We are ready to help you reclaim your health.

@V\Y /LHSPUN HUK -VYL]LY >LSSULZZ 7SHJL

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, Oâ&#x20AC;&#x2122;Fallon, IL 62269.

She can be reached at www.MyHolistic-Health.com, MyHolisticHealthNow@gmail.com, or 618-624-9384.

WELL SAID

DANETTE M. WATT

Dear readers, lend me your ears You know the drill. Your toddler starts running a fever and tugging on his ear. In pain, he canâ&#x20AC;&#x2122;t sleepâ&#x20AC;&#x201D;and neither can anyone else in the house. Your child has an ear infection.

I remember those days like it was yesterday. My two boys, especially my older son, had ear infections when they were young.

And it runs in the family, because I had earaches as a kid, too.

Family lore has it that I went deaf at age 5. My mother came to this discovery one day, when I didnâ&#x20AC;&#x2122;t respond to a question as she brushed my hair. Shortly after that, I had my tonsils and adenoids removed.

About the same time as my surgeries, I remember my parents putting drops in my right ear, and having terrible earaches. Those were the days before antibiotics and ear tubes. I suspect my parents just let nature take its course.

My hearing has returned. But to this day, that ear still gives me fits, and I donâ&#x20AC;&#x2122;t hear as

well out of it.

C.J., my older son, had many ear infections before he turned 18 months old. I begged the doctors to put tubes in. He went through four or five sets. No sooner would one set fall out then heâ&#x20AC;&#x2122;d have to get another set put in. Fortunately, my younger son made it through childhood with relatively few earaches.

My views about medicine are always changing. If I were a young mother today going through the same issues, I would look into alternative care. One approach could be chiropractic care.

Get your questions answered about this treatment method on page 19.

I hope you enjoy the rest of this monthâ&#x20AC;&#x2122;s issue, including an article about a Healthcare Professionals Camp for teenagers in Southeast Missouri on page 11, and an interview with Pat Edsall on page 9.

If you suffer from fibromyalgia like Pat does, you may know her. In her desire to help others with this debilitating illness, sheâ&#x20AC;&#x2122;s led a support group at Belleville Memorial Hospital for the past 20 years.

At the group, those telling their stories find comfort in bending the ears of others who understand their pain. Our ears are important for many reasons, not least of which is connecting with one another.

To this day, my right ear still gives me ďŹ ts, and I donâ&#x20AC;&#x2122;t hear as well out of it.

Itâ&#x20AC;&#x2122;s hard to pay attention when your vision is žE[IH

Vision is more than clarity. It is a complex combination of PIEVRIH WOMPPW MRGPYHMRK XVEGOMRK ½\EXMSR JSGYW GLERKI FMRSGYPEV JYWMSR and visualization. When all of these are well developed, children and adults can sustain attention, read and write without careless errors, give meaning to what they hear and see, and rely less on movement to stay alert. VISION THERAPY improves many skills that allow a person to pay attention. Anyone diagnosed with AD(H)D should have a complete evaluation by a behavioral optometrist.

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

Member SIPC

MAY 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 regionâ&#x20AC;&#x2122;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

MONITOR

WOMEN

The Right Frame of Mind

This Mother’s Day, put yourself back in the picture BY ERIN GOLDEN Flip through your family photo albums, and you start reminiscing about every birthday, every holiday, every school play. Page after page packs great memories of life’s important moments, both big and small.

But something is missing. You think, “Where are all the pictures of me?”

Don’t worry, moms: You’re not alone.

Corynn Good runs The Paper Boutique, a scrapbooking store in Springfield, Ill. She witnesses this unintentional absence all the time.

As a mom, she knows the situation firsthand.

In the race to keep up and capture memories, the duty often falls to her. She could ask someone else for help. But like many moms, Good figures it’s easier to just do the task herself.

“My kids are always in the pictures, and I’m always the one taking the picture,” she says.

This realization doesn’t make her feel particularly bad or good. “It’s just something that happens,” she says. But it’s clearly a fact of life for many women who come into her store.

TIME, BODY IMAGE, PRIORITIES A mom’s disappearance from photos has to do with her priorities, and how much time she has on her hands, Good says. Kids have become her main focus, and that shows in the artifacts she keeps that document her family’s life.

People taking the time to scrapbook, Good says, are usually focused on somebody else. “It’s people with children or grandchildren,” she says.

But the disappearing act chalks up to more than having a full plate. A missing-in-action mom may take herself out of a photo because she is self-conscious about her appearance.

Many women—especially new moms—struggle

26

MAY 2013

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

to feel attractive.

Lindsay Brady is a Massachusetts-based social worker who focuses on body image. She says motherhood is a change of life that can have far-reaching impacts on how women perceive themselves. Some effects are positive, while others are not.

“This new life brings a change in your body, sometimes your career choices, your finances, your marriage or partnership, your emotions, and your energy level,” Brady says. “As a mother, your central focus is on your child.

This adjustment to a more child-centered focus can have long-term impacts on self-esteem and sense of self.”

A REFLECTION OF SOMETHING MORE These shifts in thinking can cut across all parts of your life, from how you think about your body, to how you think about your finances.

If you remember feeling more confident in the camera spotlight when you were younger, it’s OK. What you value as important has changed, and that’s normal, Brady says.

Take time to check in with yourself, to consider whether your thinking has significantly shifted, she says.

If you pull away from photos, it probably means you’re pulling back emotionally from the people around you. And that creates a vicious cycle. If you avoid happy moments now, it’s going to be hard to create more meaningful family memories down the road.

“Being around people who love and care for you, and see in you what you sometimes have trouble seeing in yourself, can help remind you to practice self-love,” Brady says.

START SCRAPBOOKING Organize your ideas Decide if you want to make year-by-year scrapbooks, or create them based on big events, such as a family trip to Disneyland.

Keep the outtakes Sometimes the best photos aren’t the ones where everyone is perfectly posed and smiling. Find photos that trigger great memories.

Supply yourself If you ’re a scrapbooking newbie, start with the essentials: a paper trimmer, a good pair of sharp scissors, adhesive, and an album.

Start simple Don’t feel like you have to mimic a fancy scrapbook you saw online. Use a solid color for the page, and matte your photos for a sharp look.

Ask for help Stop in and start chatting at a local scrapbooking or craft store.

QUICK TIP Worried about how you’ll look in a photo? Relax your shoulders and don’t hunch.

Slouching makes you appear shorter, while standing tall makes you appear slimmer.

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MONITOR

MEN

Roll Up Your Sleeves Whooping cough reaches a new peak, so consider vaccination

BY KEVIN CARLSON

Jarvis Peddicord likes to think he’s proactive about his preventive health. The 49-year-old small business owner in Massachusetts is a married father of two daughters.

He has annual checkups with his doctor, and life for him was moving smoothly.

Then, during a vacation last year, he came down with what appeared to be a wicked cold, punctuated by headaches, a sore throat and a cough. The bug didn’t bite his daughters or his wife, Ginny. It was a head-scratcher, until Ginny connected the dots weeks later.

“It was hard for him to talk. He would have these coughing fits,” says Ginny, 45.

“His mom saw a story about pertussis on the news, and told him she thought he had it.

I knew that had to be it. The girls and I had all been vaccinated, and that’s why we never got it. He didn’t ask for the vaccine when he got his checkup and, sure enough, he got it.”

NOTHING TO SNEEZE AT Infectious diseases such as pertussis—also known as whooping cough—are cyclical by nature, with peaks every three to five years. The Centers for Disease Control and Prevention warns the invasive infection could reach epidemic levels this year. And cases are rising at alarming rates.

Why the uptick? One reason is a better diagnosis rate from increased awareness and improved diagnostics. Other causes trigger concern, such as higher circulation of the pertussis bacteria and weaker immune systems. And vaccines given in the 1990s are proving to be not as effective as doctors once thought.

“People think of vaccines as something for kids, not for adults,” says Alison Patti, program manager at the Atlanta-based CDC. “There is a vaccine for this, and we really want adults to get this. Especially for new and expectant dads out there, we really want those men to get vaccinated to create a circle of protection around their baby.”

BE PROACTIVE A Tdap—tetanus, diphtheria and acellular pertussis—shot is the best prevention option. A Tdap shot replaces the tetanus booster shot recommended every 10 years for adults, according to the CDC. Peddicord was not as proactive as he should have been. He didn’t request the vaccination, but his family was immunized. His illness separated him from family and friends, he says.

“It was annoying and frustrating,” Peddicord says. “I started to get lonely due to my limited contact with others.”

His doctor prescribed antibiotics after he was diagnosed.

“I recommend getting vaccinated because it greatly impacts your work and family life. It’s hard enough to play all the roles and live up to all the responsibilities without whooping cough,” he says.

USE PROPER ETIQUETTE Pertussis is highly contagious, spreading easily through coughing and sneezing, Patti says. One person with the sickness can infect up to 15 others. Infants and young kids are most prone to the dangers. In 2012, 15 of the 18 deaths from whooping cough in the United States were infants, according to the CDC. If you catch whooping cough, take antibiotics as soon as possible, Patti says.

Limit how long you’re exposed to your loved ones. It may be hard, but it will benefit everyone in the long run. Cough into a tissue or the crook of your elbow, and wash your hands frequently.

28

MAY 2013

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

DON’T MISS YOUR SHOT! Whooping cough isn’t the only vaccinepreventable disease that gets overlooked by adult men. Consider these immunizations throughout adulthood, depending on your age, health and medical history.

Human papillomavirus An underreported cause of anal cancer and genital warts in men, which spread during sex.

TREATMENT Three doses of the HPV vaccine between ages 19 and 21

Varicella Spreads easily from infected people through touching blisters on the skin or breathing in viral particles.

TREATMENT Two doses of the varicella vaccine after age 18

Hepatitis A and B Hepatitis A is caused when the mouth takes in objects, food or drinks contaminated by the feces of an infected person. Hepatitis B is exchanged through blood and other bodily fluids, primarily through sex.

TREATMENT Two doses for hepatitis A any time in adulthood. Hepatitis B requires three doses after age 18

Measles, mumps and rubella Measles causes high fever, brutal rash and deep coughing. Mumps can lead to meningitis, permanent hearing loss, or swelling of the testes, which can lead to sterility. Rubella is a bonus immunization when receiving the MMR vaccine, as it is most dangerous for babies in utero.

TREATMENT One or two doses between ages 19 to 55

FAST FACT Infectious diseases like whooping cough are cyclical by nature, peaking every 3 to 5 years.

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MONITOR

FAMILY

Bite Back!

Banish creepy-crawlies by repelling right

BY CLARE WALTERS

You’ve been doing it wrong. You might think spraying a cloud of insect repellant keeps pesky blood-sucking bugs at bay.

But just because you spray more doesn’t mean it’s going to work better, says Jonathan Day, a mosquito expert and professor of entomology at University of Florida.

“If you’re walking through the mist, it doesn’t work at all,” Day says. “The correct way to apply a repellent is to apply it to your hands, and then rub it over exposed skin.”

And it’s no wonder why people have been repelling wrong, when commercials for products often feature faulty methods.

Ignore the actors, and smear instead of spray. It works better, and it’s safer, because clouds of insect repellent can settle get in your face.

“There’s an art to applying it,” Day says. “It’s clearly stated on the labels, but nobody reads labels.”

INSECT ARMOR Before the spray even makes an appearance, Day says, you should start by layering up.

“Cover up as much of the skin as you can with protective fabrics,” he says. “The sporting industry has developed some great breathable fabrics, and mosquitoes can’t bite through them.”

When your skin is hidden, spray repellent onto your hands.

“Apply to the back of your neck because it’s one of the first places insects like to feed,” Day says. “Then apply to your arms an even layer. Usually, I wear a hat, but I also apply to the forehead, around ears and cheeks.”

Day warns not to spray the repellent around the eyes, ears, nose and mouth, because the active ingredients can be highly irritating.

WHAT WORKS BEST? Some sprays last longer than others. They all offer different levels of protection, based on the type of repellent and concentration level of the active ingredients.

“You have repellents and repelling devices that go from completely ineffective to up to several hours of complete protection time,” Day says.

DEET is the most common active ingredient in bug repellants. ³ 5% to 7% DEET products protect for 90 minutes ³ 10% to 20% DEET products protect for up to four hours ³ 100% DEET products are only for hunters and fishermen.

If you’re out for a short time, choose a lower concentration of DEET, or a botanical product.

“When a mosquito comes in close contact with a botanical, it irritates their organs, and they move away,” he says.

Essential oils such as eucalyptus, geranium, cedar and citronella produce similar effects. And most botanicals include less than 1% oil, which irritates your skin and mucous membranes, too. Re-apply it every 20 minutes for complete protection.

Even if you’re prepared for the worst, mosquitos can still ruin a perfectly decent summer evening. “It’s a losing battle when you’re dealing with a mosquito landing range of five per minute,” Day says. “Sometimes it’s just better to give up and go inside.”

THE DEET-TAILS The U.S. Army developed DEET in 1946 for soldiers in insectinfested areas. In 1957, the government approved DEET for public use. But the effects proved to be too strong on people, so it was recalled until the late 1980s. It was reintroduced, because of how greatly it can decrease the chances of contracting malaria, West Nile virus and Lyme disease. Today, about 30% of Americans use DEET each year.

SOURCES: ENVIRONMENTAL PROTECTION AGENCY; NATIONAL PESTICIDE INFORMATION CENTER

COMMON BUG BITES Mosquitoes

Flies

BITE Stinging followed by a small, red, itchy mound RELIEF Reduce itching with an antihistamine, hydrocortisone cream, baking soda paste, or apply a cold compress

BITE Painful, itchy bumps that may turn into small blisters RELIEF Reduce itching with an antihistamine, hydrocortisone cream, baking soda paste, or apply a cold compress

Fire ants

Bees and wasps

BITE Immediate pain and burning sensation followed by swelling and cloudy fluid in the area of the bite RELIEF Rub bite for 20 minutes with a cotton ball soaked in a baking soda solution, apply a cold compress, or take a pain reliever

BITES Immediate pain and rapid swelling, and could cause difficulty breathing and hives or swelling all over the body, which require a doctor’s visit RELIEF Carefully remove a stinger from the skin with tweezers, and apply a cool compress to minimize swelling and pain SOURCE: AMERICAN ACADEMY OF PEDIATRICS

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MAY 2013

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

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MONITOR

SENIORS

NATIONAL BIKE MONTH

Easy Riding As we age, achy joints and frail bones might make it harder to exercise.

Seniors looking for a realistic way to work out and explore their communities are returning to a childhood pastime. It’s just like riding a bike. Well, it is riding a bike.

Rich Moeller is executive director of the League of Michigan Bicyclists, a nonprofit organization that promotes bike riding.

Just about everyone, regardless of their age or physical condition, can hop on a bike and get going.

“Bicycle riding can be done really at any age,” Moeller says. “There’s a bike for anyone who really wants to do it.”

CONSIDER YOUR NEEDS It’s important to find a bike that fits a rider’s new needs in their older age.

“Your body changes as you get older,” Moeller says. “A young bike rider is more flexible.”

It may be harder for older riders to pedal, brake and put up the kickstand.

Back strain is one of the biggest complaints. To lessen the likelihood of back pain, look for bikes with lowered seats and raised handlebars, which keep the back in a more upright form.

Hybrid bikes are a popular choice for many older folks. Large, skinny tires and a lightweight frame make for more efficient and adaptable riding. Trikes, which have three wheels, and recumbent bikes, in which the rider leans back while pedaling, are also hot commodities, he says.

“Options are there,” Moeller says. “You can find something to fit your needs.”

FORGET THE FANCY Eager to get back on the saddle? Be practical when picking a new bike, says Pat Blackmon, owner and president of Senior Cycling, a Virginia-based bicycle touring company geared toward seniors.

“Local bike shops are usually staffed by young males,” she says. “They see an older person, and try to sell them a bike with shocks, saying it’s more secure. It’s heavier,

32

MAY 2013

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

Go basic when choosing a bike, to get the most enjoyment and best workout BY VANESSA RENDERMAN

and harder to ride. (Seniors) are not mountain biking. They don’t need that.”

Look for light, basic bike models. You don’t need flashy gizmos. Pick a bike that isn’t weighed down with all the extras.

“Get the lightest bike you can afford, for easier handling and carting around,” she says. “All you need is a water bottle holder, a rack on the back to carry rain gear.”

SOCIAL RIDING Older riders are more apt to enjoy a ride, rather than want to race. They have a

different mindset than younger riders.

“Younger riders are concerned more with how far they ride or how fast. I’m more interested in, ‘What did you see? Was it fun?’” Blackmon says.

Switch off your competitive mind. Just enjoy the ride, and the experience.

“It can be whatever you want it to be—slow, to see the world go by; fast, for exercise; with friends, or alone,” she says.

She has advice for older people considering a return to two wheels. “Like anything else—just do it,” she says. “You can.”

PICK THE RIGHT BIKE ELECTRIC BICYCLE ³ Good for riders who need help pedaling ³ Pedal for exercise and use the motor on hills, or let the motor do all the work

ADULT TRICYCLE ³ Step-through design for easy mounting and dismounting ³ Riders can put both feet on the ground comfortably when they stop ³ Upright riding position is easy on the back, bottom and hands

SEMI-RECUMBENT BICYCLE ³ Raised handlebars ³ Step-through frame design ³ Contoured seat back adjusts horizontally and vertically

RECUMBENT BICYCLE ³ Riders pedal with their feet in front of them instead of below ³ Seat allows riders to lean back and relax SOURCE: BICYCLE-RIDING-FOR-BOOMERS.COM

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MONITOR

PETS

Care or Cruel?

Kennel Club holds onto tradition, but many now reject tail and ear docking

BY CLARE WALTERS

Doberman pinschers are immediately identifiable by their cropped, pointy ears and short, thick nub of a tail.

But Dobermans aren’t made that way.

They’re cropped or “docked”—typically as newborn puppies—to conform to breed club standards. Many are considering whether the long-standing practice of ear cropping and tail docking is necessary, or just a holdover from a bygone era.

WHAT’S THE POINT? Dobermans, Yorkshire terriers, Welsh corgis and other breeds that are traditionally docked sit at the center of a “mini-revolution,” says Mark Russak, president of the American Animal Hospital Association in Colorado. The AAHA opposes ear cropping and tail docking that’s done for cosmetic reasons.

Russak says this effort positions tail and ear docking as archaic, and challenges people to consider why it’s even done.

“The rationale for doing it has been that dogs with longer, floppy ears—especially if they have anything to do with hunting—would have more of a likelihood of getting bitten in the ear, or having their tail broken or cut,” he says. “That’s the only rationale I’ve ever heard for it being done.”

Long ago, owners thought docking a dog’s tail prevented the dog from contracting rabies—a myth later debunked. They also thought the procedure increased a dog’s strength and speed—another myth.

Today, ear cropping advocates defend the practice by claiming dogs with floppy ears tend to have more infections. Tail docking advocates contend that docking prevents potential painful injuries.

According to a statement from the American Kennel Club, cropping and docking are “acceptable practices integral to defining and preserving breed character and/or enhancing good health.”

Pet owners have a hard choice to make. Avoid docking and cropping altogether? Or modify for aesthetics and potential benefits?

Many are still on the fence.

Russak says it’s all about looks, not health.

“That’s more of a rationale than a real reason,” he says. “It really boils down to cosmetics. There’s no reason to be doing it. You put them through a painful procedure and a surgery that’s unnecessary for no reason.”

36

MAY 2013

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

FAST FACT Tail docking and ear cropping became legal in the United States in the mid-1950s.

This photo shows a Doberman pinscher with its natural ears and tail.

DOG-EARED LEGISLATION Docking became legal in the United States in the mid-1950s, when kennel clubs adopted their breed club standards. They wanted alterations to “improve” or have a more “pleasing” appearance, according to the American Veterinary Medical Association.

“It’s just not a good enough reason to go along with it,” he says.

The legal status of tail and ear docking varies from country to country. It’s illegal in England, for example, with exceptions for some breeds. Some U.S. state legislatures have considered outlawing it, but the practice remains unrestricted. The American Kennel Club has actively lobbied to keep it legal.

“Owners, in close consultation with their veterinarians—not the government—should make informed decisions about their pets’ health care,” says the AKC, adding that the legislation would only penalize responsible dog owners.

The changing nature of the human-animal relationship is driving the opposition to docking and cropping, and Russak says more people are speaking out.

“We’re more in tune with animals, and we have become the voice of animals,” he says. “It’s become OK to talk about.”

Veterinarians should educate owners on the realities of docking and cropping, he adds.

“The educational effort comes from the veterinarians, and when organizations like ours come out with position statements,” he says.

There’s no reason to do it. It’s a painful procedure and surgery that’s unnecessary.

MARK RUSSAK AMERICAN ANIMAL HOSPITAL ASSOCIATION

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MONITOR

EATS

Nature’s Buffet

TRY IT!

Before you grab your boots and backpack, know how to spot what you can eat in the wild

BY TREMENE TRIPLETT

It’s time to stash your winter coat and hat back into the closet. You’re ready to hike, camp, and enjoy the outdoors again. But unforeseen circumstances could leave you stranded under the stars without one key ingredient—food. Or maybe you just walk around wondering what a grasshopper tastes like. See nature as your buffet, and dig in.

BRING THE ESSENTIALS To create your perfect wilderness plate, channel your inner explorer and do your research, says Chris Laliberte, a wilderness expert at Wilderness Awareness School near Seattle.

“You have some homework to do, because the plan for survival includes eating plants,” Laliberte says. “You have to know a non-poisonous plant when you see one. That’s a lot more work than putting six power bars in your backpack.”

Your natural meal can include plants, berries, leaves, grasses and even insects. Before you head out, study a map of your destination and grab a field guidebook, he says. When the time comes to chow down, a guidebook helps you identify edible items.

“You have to have a field guide with you to show pictures and guidelines on what to eat,” says Laliberte, who has 21 years of experience in environmental education.

DON’T TASTE-TEST You might get a feel for what’s edible based on color, texture and location, but this is tricky.

“In the summer, berries are pretty abundant,” he says. But there’s a catch. “You can never be sure whether a non-native poisonous berry has made its way into your area.”

Poisonous nightshade berries, for example, look like cherry tomatoes, with droopy, bright red berries that dangle below veiny dark green leaves. Stay away from these, and go for raspberries or blackberries instead.

“They look like salmon eggs or fish eggs, and are generally safer to eat,” he says. “Red berries, and ones found in single smooth branches, are generally poisonous. I wouldn’t put any of them into my mouth without looking at a guidebook first.”

Some food requires less of a keen eye, and is ready to eat. Just look beneath your feet.

“Grasses are actually pretty good,” Laliberte says. “Pull a new stem out of the ground, and pull the stem apart. What you’re looking for is the white part.”

Want something fresh? Make a salad. Combine weeds, dandelions and plantain leaves, and you’re set. Just remember the dish won’t taste like the one you order before dinner.

“Wild greens are very strong in comparison to what we’re used to,” he says. “Greens in salads have been dumbed down. They’re basically water. They have so much more in them.”

INSECTS ANYONE? “I haven’t heard too much about a poisonous insect to eat,” says Chris Laliberte.

“Grasshoppers tend to be the most popular.”

RULE OF 3

Make a natural salad, and add plantain leaves.

You might like it!

You can live:

3 minutes without air 3 hours without warmth 3 days without water About 30 days without food

IN A NUTSHELL If wild greens don’t make your mouth water, try a drier, crunchier snack.

“My personal passion is the hazelnuts that grow wild,” says wilderness expert Chris Laliberte.

“In the Northeast, acorns and nuts are readily available. White oaks’ are pretty dang tasty. Almost all acorns require a lot of soaking and draining to get rid of the acid. There is about a three-week window you have to grab hazelnuts before squirrels grab them.”

JUST FOR KICKS? Do people eat food in the wild just for fun? We found mixed reviews.

“Unless you’re an expert, people are probably not likely to eat wilderness food for fun because they don’t want to get sick,” says Issen Alibris, an avid hiker in Santa Monica, Calif. “People are pretty leery of eating things, and err on the side of caution.”

“It all depends,” says Satavia ManzoDillard, a camping enthusiast in El Paso, Texas. “Things that you catch and cook are fresher than the food we buy with all the additives in it. Fruits are much easier to pick up and eat and go.”

BE BERRY CAREFUL BLACK BERRIES About 90% are edible.

RED BERRIES About 50% are poisonous.

WHITE BERRIES Almost all are bad or really bad. Never eat these.

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Arthritis Can Strike at Any Age by: Dr. Fred Ginsberg, M.D.

Do your knees, hips and other joints snap, crackle and pop when you move?

Whether you’re a senior, approaching middle age or a young athlete in your prime, you may have arthritis, also known as degenerative joint disease.

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Once considered an age-related condition, it’s now known that arthritis can afflict anyone at any age. The condition can range from slight joint stiffness in the morning to a chronic, debilitating pain that can limit your mobility and reduce your quality of life.

or have had prior joint injuries, and those who put continuous, repetitive stress on their joints (i.e., a job that requires excessive lifting, bending or repetitive tasks, or high impact activities, such as running and aerobics).

More than 40 million Americans suffer from arthritis, and more than half of arthritis cases are osteoarthritis, the most common type of arthritis. Osteoarthritis is a joint disease that affects cartilage, the tissue that covers the ends of the bones in a joint. The joints most often affected by osteoarthritis are those used for bending and swiveling movements: the knees, hips, shoulders and fingers. Healthy cartilage provides padding between bones that acts as a shock absorber for high-impact activities, and helps bones to glide smoothly together at the joints for bending and rotating motions.

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In joints affected by osteoarthritis, the smooth, elastic cartilage that covers the ends of bones breaks down and wears away, leaving a rough surface where bones can rub together. Eventually, the joint can become misshapen; bits of bone and cartilage may break off and float in the joint space; or spiky growths called bone spurs can develop on the surface of the exposed bone – which can cause joint pain and decreased mobility.

Osteoarthritis Risk and Symptoms Osteoarthritis can develop over time as age-related wear and tear, or as a result of a joint injury. Those at risk of developing osteoarthritis include females, those who have a family history of osteoarthritis, those who are overweight

Symptoms of osteoarthritis include:

or examinations of fluid drawn from the joint.

Treatment options include lifestyle modifications, medications, physical therapy or surgery. Your doctor may recommend switching from high-impact to low-impact sports activities. Topical or oral pain medications such as nonsteroidal anti-inflammatory drugs, or corticosteroid injections, administered by your doctor, can help control pain and swelling.

Other non-surgical remedies may include weight loss. The AF estimates that every pound of excess weight lost reduces 4 pounds of pressure on the knees

According to the Arthritis Foundation, symptoms of osteoarthritis begin to set in 10 years after a specific cause such as an injury or obesity, so early treatment is important.

Although there is no cure for osteoarthritis, early diagnosis and treatment may help slow the development and progression of the disease, further avoiding joint damage; help relieve pain and stiffness; and preserve maximum range of motion. According to the Arthritis Foundation (AF), symptoms of osteoarthritis begin to set in 10 years after a specific cause such as an injury or obesity, so early treatment is important.

Diagnosis and Treatment Osteoarthritis is diagnosed through a combination of tests including a medical history, physical exam, x-rays or MRIs, and possibly, blood tests

and 6 pounds of pressure on the hips.

Additionally, physical therapy can help strengthen the muscles that surround and support the affected joint, and ice or heat may also help reduce swelling and pain. Regular exercise is also important, to help the affected joint stay lubricated and strong.

If other treatment methods are not effective, surgery can also help relieve pain and restore mobility. Surgical interventions range from minimally invasive arthroscopy – which removes bone spurs or smooths rough bone surfaces – to total joint replacement, in which parts of the bones are removed and an artificial joint is implanted.

LEARNING SHOULDN’T STOP just because school isn’t in session.

FUN and EASY ways to fuel your child’s brain over summer break

By Clare Walters

“School’s out for summer!”

These anthem-worthy words ignite the spark of countless kids ready to kick summer vacation into high gear. No more pencils. No more books. Nothing but carefree fun until the school bell calls them back at the end of August.

As traditional lessons fall by the wayside for a while, education experts warn that taking a complete education escape hurts a child’s ability to learn. Parents can’t see summer break as a brain break, but have to bridge the learning gap.

Helping kids learn over the summer is easier than you think, says Kate Shatzkin, spokeswoman for the National Summer Learning Association, based in Baltimore.

“The key, and the opportunity, is to marry the fun you naturally have with your kids during the summer—whether that’s hiking, swimming, visiting the library, or going on vacation—with the skills they need to build for the next year,” Shatzkin says. “In summer, creativity and curiosity are the keys to helping a child learn.”

To figure out what to teach them over the next few months, build on the lessons they learned just before school let out. Ask their teacher about what classwork spurs your child’s interest, and what skills they need to sharpen, Shatzkin says.

“Find out what seems to excite your child most in the classroom,” she says.

“Put the answers to those questions together, and you have a blueprint for where to go, and a mechanism for how to get there.”

Summer lessons are all about discovery, investigation and experimentation. Switch off the TV, and turn on some learning. Keep your kids engaged and entertained, and send them back to school smarter than when they left.

42

MAY 2013

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KITCHEN CREATIONS KIDS 6 AND OLDER Math, science, reading Every kid wants an ice-cold Popsicle or heaping scoop of ice cream on a hot summer day.

So let them make one. Whip up these treats at home to enhance their understanding of measurements, and the science behind how liquids freeze, says Abby Whitney, fifth-grade teacher at Clymer Central School in Clymer, N.Y. “Take it a step further than actually just making the recipe,” Whitney says. “Practice doubling the recipe, or cutting it in half to work with fractions.”

SMART SHOPPING KIDS 8 AND OLDER Math, health, family economics Don’t just have your child tag along to the grocery store— get them involved. Explain the family budget, and how quickly grocery costs add up. * Clip coupons for a quick math lesson. * Explore new fruits and vegetables in the produce section. * Compare nutritional information between products. * For older kids, discuss price-per-ounce calculations, to demonstrate how to get the best value.

GREEN THEIR THUMBS MAKE A STAND KIDS 6 TO 12 Business, economics, math Test your little entrepreneur’s business savvy by helping them set up a lemonade stand. They can develop a business plan, set a price, choose a location and serve customers.

Show your kid how to track revenues and expenses, and discuss whether to save or spend the profits. Older kids can sell homemade bead bracelets or car wash services.

KIDS 6 AND OLDER Botany, science Annual or perennial? Sun or shade? Planting a garden takes knowledge and good decisions. Kids can learn about plants’ scientific names, their growing habits, and what they need to thrive. They can even grow their own fruits and vegetables. Don’t have room for a garden? Get creative. “Come up with your own flower, and come up with your own name and information,” Whitney says. “Repurpose things around your house, and make a 3-D version of it.”

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CREATIVE INTERPRETATION KIDS 6 AND OLDER Reading, writing Challenge your child to respond to their environment and the people in it. Kids are used to being told what’s what, and not deciding for themselves. “We use such directional language that we do not invite a child to describe the world around them,” says Judy Cheatham, vice president of literacy services for Reading is Fundamental, in Washington, D.C. “We often don’t say, ‘Look at that,’ and ask them a question.” * When you get home from a family party, have them write a story about it. * For older kids, read a news article together and ask them their opinion.

REDECORATE A SPACE KIDS 13 AND OLDER Geometry, art, economics Does your teenager think you have bad taste? You’ll earn major points if you let them spearhead a bedroom redesign. * Measure the space and sketch a floor plan. * Work up a budget, and explore colors and patterns. * Create do-it-yourself artistic wall decor.

BUILD A KID CASTLE KIDS 4 TO 12 Engineering, math Pillow forts aren’t just fun. They’re soft, small structures that require planning. Make it a lesson by taking measurements, and deciding what weights will work. Get more elaborate by drawing up blueprints and using real building materials to create an outdoor fort.

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GAME ON! KIDS 6 TO 12 Art, writing If you’re stuck inside on a rainy day, or your kid is sick, bust out Candy Land or Chutes and Ladders to teach colors and directions. Even better, make up your own game.

Draw a board, or design your own deck of cards. And be sure to write out the rules.

CONNECT WITH A PEN PAL KIDS 8 AND OLDER Writing, communication Children may lose touch with their friends during break.

Help them stay connected by orchestrating an email or pen pal. “It can get the kids practicing asking and answering a question,” Whitney says. “That’s a good skill to have.” Written communication with out-of-town family works, too. “Choose (writing) over FaceTime or Skype,” she says. “Get them using real words instead of text language.”

SING AND TELL STORIES KIDS OF ALL AGES Music, speech Telling ghost stories at a slumber party or singing songs around a campfire are great ways to grow an imagination, Cheatham says. “Even things you would think of as play, well, they’re not play,” she says. “They are all learning opportunities.”

MUSIC MAKERS KIDS 4 TO 8 Music, art, writing Toilet paper rolls capped with wax paper.

Rubber bands pulled around a shoebox lid.

An aluminum can filled with dried beans.

Repurpose everyday items to create instruments such as kazoos, guitars and maracas.

Decorate your music makers, and have your child write an original song.

INNER EINSTEINS KIDS 8 AND OLDER Science, research A simple Internet search for “at-home science experiments” will result in hundreds of activities, says Michelle Pitts, a science teacher at Falconer Central School in Falconer, N.Y. “Science is so easy,” Pitts says. “It’s all around us, and there are so many things you can do with it.” Make your own Play-Doh, slime, bubble solution, and even a classic homemade volcano.

Marry the fun you naturally have with your kids with the skills they need to build for the next year.

KATE SHATZKIN NATIONAL SUMMER LEARNING ASSOCIATION

TOTALLY APP-LICABLE

Digital learning has its place over the summer, and kids will appreciate taking a break with a computer game.

PBS Kids offers “fun and clever games for summer learning,” says Kate Shatzkin, spokeswoman for the National Summer Learning Association. The site features games in more than 35 subject matters, including math, vocabulary, science and reading. Mobile apps are cataloged by subject, age, device and PBS show.

Visit PBSKids.org for more apps.

MATH PBS Parents Play & Learn 2 and older Free for Android, iPhone, iPad and Kindle Wild Kratts Creature Math 4 and older $1.99 for iPad The Electric Company Party Game 6 and older Free for iPad and Kindle

SCIENCE Wild Kratts Creature Power 4 and older $2.99 for iPhone Sid’s Science Fair 3 and older $2.99 for iPhone, Android and Kindle

VOCABULARY

GET CARDED KIDS 5 AND UP Reading, responsibility Let kids handle their own library card to teach responsibility, and get them excited about using the library. Then set up a time to read together, and discuss the story.

WordWorld: Fun with WordFriends 3 and older $1.99 for iPhone and iPad Martha Speaks Story Maker 4 and older $1.99 for iPad

READING Sid the Science Kid Read & Play 4 and older $3.99 for iPhone and iPad

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A WILD TIME KIDS OF ALL AGES Anatomy, natural and environmental sciences Explore your child’s animal-like tendencies during a trip to the zoo. It offers you a ready-made educational presentation of the animal kingdom and natural sciences. Winding paths and wide-open spaces let kids burn some energy. Check in advance for promotional days and discounts for students.

ALL LIVING THINGS KIDS 4 TO 12 Science, botany Long summer days lend themselves to catching ladybugs and fireflies. Examine them, and learn about their lifecycles. Explore plants and insects on a simple nature walk, Pitts says. “It’s really easy for younger kids, because they want to get out and run around and find things,” she says. “Have a scavenger hunt. Tell them to find five things that show us there was an animal around here, and they’re off and running.”

HIT THE BEACH KIDS OF ALL AGES Science, physical education, art Fly a kite (aerodynamics), build a sand castle (engineering), run up a dune (P.E.), collect shells (geology) and skip rocks (physics). A beach trip packs oodles of learning activities and prime physical fitness. * Learn about the tides and sea creatures. * “Look for the beach glass, and turn it into an art project,” Whitney says. * Bring a sketchpad, and draw beach scenes and sunsets.

BE SKYGAZERS KIDS OF ALL AGES Science, imagination, astronomy Even a cloudy summer day can be ripe for learning. Just look up. Teach your child about how clouds form, and their classifications. Or look for shapes in the clouds. Use those images to create stories. “It’s not necessarily writing all those stories down—it’s just telling them,” Whitney says. “It’s such a good strategy to be able to imagine. It’s a very important skill for kids to have.” A starry night also glows with learning possibility.

RAMP IT UP KIDS 13 AND OLDER Physics, engineering, math, planning Embrace your teenager’s adventurous side, and help them construct a reasonable bicycle or skateboard ramp. * Draw the blueprints and budget for supplies. * Measure twice, cut once. After some simple construction, you’ll have a ramp. * Strap on safety gear, and your teen will be ready to test Newton’s Laws of Motion.

MAKE A SPLASH KIDS OF ALL AGES Physical education, physics Head to the pool, and let your kids exhaust themselves in the water. Older kids can learn about buoyancy, water resistance, volume and displacement. Don’t have access to a pool? Set up a sprinkler in the yard, and let younger kids run wild. They can learn about evaporation and gravity.

TRAVEL PLANNERS KIDS 10 AND OLDER Geography, math, economics, critical thinking When they ask, “Are we there yet?” tell them to find the answer. Have kids become mini-navigators. They can map out the driving route, estimating the distance, time and speed. They can also help plan the budget and activities. “Have them come up with ideas on why it would be fun, and try to sell it to the family,” Whitney says. “They have to have a persuasive argument. If you have other kids, have a competition. Whoever has the best argument, that’s what you’re doing.”

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LEAVE TIME FOR PLAY!

Summertime learning helps kids grow into a new school year. But they need downtime, too.

“Kids will start to rebel if it’s too much,” says Judy Cheatham, of Reading is Fundamental.

“We’re not talking about learning all day long.

We’re talking about increments.”

Free time lets them develop interests, meet friends—and just be kids. The secret? Use playtime as a path to learning. It can be as simple as asking questions about what they’re up to, and helping them develop feedback.

“You’re not teaching a lesson,” Cheatham says. “You’re just calling attention to the world around you.”

Because there’s no curriculum for the summer months, it’s the perfect time for children to choose what they’d like to learn about, says Kate Shatzkin, of the National Summer Learning Association. Use their interests to guide your efforts.

“There’s nothing wrong with summer being a break from the school routine,” she says. “Kids need that variety. But that doesn’t mean it should be a break from learning.

“Think about professional athletes in the offseason. Just because they are not playing every day doesn’t mean they’re not training. They have an intentional regimen designed to keep them ready for when it’s game time again.”

LOCAL CONNECTION Area museums and camps help kids learn and play

BY DANETTE M. WATT

METRO EAST

SOUTHERN ILLINOIS

SOUTHEAST MISSOURI

College for Kids

Ft. Massac State Park and Museum

Cape River Heritage Museum

A variety of summer day camps in math, science, creative arts, technology and language.

5800 Godfrey Road, Godfrey, Ill. (618) 468-5750 LC.edu/corporate/Community/c4k

Oldest state park with a replica of the original fort built in 1794.

1308 E. 5th St., Metropolis (618) 524-9321

Exhibits on steamboats, mules and more.

538 Independence St., Cape Girardeau (573) 334-0405 CapeRiverHeritageMuseum.com

Mounds African-American Museum

Bollinger County Missouri Museum of Natural History

First Due Fire Museum Interactive stations and displays of firefighting memorabilia from the past and the present.

5555 St. Louis Mills Blvd., Hazelwood, Mo. (314) 227-5911 FirstDueFireMuseum.com

The Magic House Hands-on learning that encourages experimentation, creativity and development of problem-solving skills.

516 S. Kirkwood Road, St. Louis (314) 822-8900 MagicHouse.org

African-American history of Mounds and Pulaski Co., including artwork, music, antiques and tools.

216 N. Front St., Mounds | (618) 745-6183

Home to the Missouri Dinosaur, fossils and other Missouri artifacts.

207 Mayfield Drive, Marble Hill (573) 238-1174 | BCMNH.org

Saline Creek Pioneer Village Representation of life in the 1800s.

1600 S. Feazel St., Harrisburg (618) 253-7342 ShawneeTourism.com

The Science Center Hands-on activities for children ages 3 to 13.

1237 E. Main St., Carbondale (618) 529-5431 YourScienceCenter.org

The Nature Institute

Union County Museum

Discovery Day Camps with naturalist activities for preschool through grade six.

2213 S. Levis Lane, Godfrey, Ill. (618) 467-2521 TheNatureInstitute.org

Items from the Civil War, Indian artifacts and archeology finds.

117 N. Appleknocker Drive, Cobden (618) 893-2865 UnionCountyILMuseum.com

Poplar Bluff History Museum Sports Hall of Fame, and displays including U.S. Postal Service, Boy Scouts and Girl Scouts.

1012 N. Main St., Poplar Bluff (573) 785-2220 ButlerCountyMo.com/ poplar-bluff-history-museum

Stars and Stripes Museum and Library Collection of the Stars and Stripes newspaper from Civil War to today, plus military artifacts.

17377 Stars and Stripes Way, Bloomfield (573) 568-2055 StarsAndStripesMuseumLibrary.org

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E NT Maintenance Manual

A guide to keeping your ear, nose and throat system in tip-top shape

BY JENNA MAKOWSKI If you’ve ever felt your ears pop while blowing your nose, or had nasal mucus drip down the back of your throat, you’ve experienced the interconnectivity of the ear, nose and throat, commonly referred to as the ENT system. Otolaryngologists specialize in treating these intertwined systems. These doctors continue to unravel how the trio function as independent organs that are also intimately connected—not only to one another, but to the rest of the body.

EARS I

f your ears seem to get achy for no reason, you’re not alone. The ear often bears the symptoms of issues within the larger ENT system, says Dr. Linda Brodsky, a pediatric otolaryngologist based in Buffalo, N.Y. Conditions in the nose and throat may manifest in the ears. Congestion from nasal infections can cause earaches and pressure. More seriously, some throat cancers may result in ear pain, according to the National Cancer Institute.

The ear’s relationship to the throat is critical, Brodsky says. The most common

ear infections happen when the Eustachian tube, which connects the middle ear to the throat, gets blocked.

Fluid that drains through the throat accumulates, and can cause pain, pressure, a sore throat and even temporary hearing loss, Brodsky says. Depending on the type of infection and its severity, doctors may prescribe antibiotics, along with warm compresses and decongestants.

Every parent knows children suffer from more ear infections than adults, and Brodsky says it’s because of their smaller bodies.

FAST FACT Teachers, construction workers and salespeople all work in noisy environments, and have to raise their voices, putting them at risk of developing long-term vocal conditions, such as chronic laryngitis.

“It’s about their anatomy. K ids’ Eustachian tubes are shorter, straighter and more conducive for bacteria to travel.

And kids tend to be exposed to more viruses and bacteria that they’re not immune to yet,” she says.

A good diet, sleep and isolation from other sick kids will help you keep ear infections out of your house. And banish irritants that increase your chances for an infection.

“Irritants like secondhand smoke can cause inflammation, and that’s a good way to start an ear infection,” she says.

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Though some ear infections lead to acute hearing loss, the loss is temporary when you properly treat and manage the infection. But other types of hearing loss are more serious and permanent.

“Exposure to loud noises over time gradually erodes hearing, and hearing loss

from noise is a terrible problem today— especially in teens,” Brodsky says.

Our def inition of “loud” has gotten louder. Everyday sounds like subway

EAR INSTRUCTIONS: Avoid smoke and dust. Stay away from loud sounds, and keep the volume turned down. “If you can hear it outside the headphones, it’s too loud,” Brodsky says.

NOSE OSE Y

our nose is part of a body-wide filtration system that reacts to every breath you take, says Dr. David Kennedy, professor of rhinology at the Hospital of the University of Pennsylvania.

“The nose is the first defense against things we meet in the environment,” Kennedy says.

Dust, particles and toxins we inhale get pushed down the back of the throat to the stomach, where they meet an acidic demise.

Sinusitis plagues more than 37 million Americans each year. The cold-like symptoms—congestion, runny nose, difficulty breathing—make daily life difficult.

Time is crucial in identifying nasal infections, Kennedy says. If your runny nose and congestion last for a few days, you likely had a virus that cleared up on its own. If symptoms last longer, your blocked

trains and even the highest setting on your cell phone breach the 85-decibel threshold, where prolonged exposure can lead to hearing loss.

nasal passages create a prime environment for bacteria and mold to thrive—leading to acute sinusitis.

“The nose swells, and mucus sits behind it,” Kennedy says. “It gets contaminated with bacteria or mold, and that revs up the immune system.”

Other symptoms of nasal infections include headaches, coughing, ear pain, sore throat and swelling around the eyes. If symptoms last longer than three months, doctors may determine you have chronic sinusitis.

Nasal infections are commonly caused by a deviated septum, nasal polyps (inflamed tissue lining the nose), and a combination of

pollutants, allergens and viruses. You might even be genetically pre-disposed to these nasty infections. Doctors sometimes prescribe antibiotics—especially if they discover that bacteria caused the infection. But pinpointing the root cause is a challenge, according to Kennedy.

And antibiotics don’t always work, especially in cases of chronic sinusitis.

“It’s a multi-factorial problem involving the entire immune system,” Kennedy says.

Getting rid of nasal inf lammation is often the biggest challenge of sinusitis. Saline sprays, nasal irrigation, warm compresses, and anti-inflammatory medications all operate differently on the nose.

NOSE INSTRUCTIONS: Drink plenty of water to keep your nasal system moist. Dust more often, vacuum, avoid pet dander, and don’t stop to smell the roses. Don’t wait to treat infections. Use a nasal irrigator at the first sign of irritation.

SHOULD I USE A NETI POT?

MIND YOUR PS AND Q-TIPS

MORE THAN A SORE THROAT

Nasal irrigation involves running a warm saline solution through one nostril and out the other. Doctors suggest this treatment for some infections to remove bacteria from your nasal passages. Use 2 cups of distilled water or boiled tap water— cooled to lukewarm—and 1 teaspoon of kosher or sea salt, with no additives.

Many ear specialists consider cotton swabs dangerous. We all need some earwax—it lubricates the ear canal, and keeps dirt and bacteria from invading your inner ear. Swabs may push wax farther into the canal, causing it to build up. Visit a specialist if your wax causes pain, itching or hearing loss. Otherwise, leave it alone.

Keep a close eye on a sore throat and hoarseness, especially if it lasts for more than two weeks. These might be symptoms of something worse.

Throat cancer symptoms don’t just show up in the throat. Ear pain, nasal pain and trouble breathing can signal throat cancer, too.

THRO THROA TH RO OAT O

ur communication is woven into our ENT system, so it’s no surprise that hoarseness is one of the most common throat-related complaints.

“The minute your voice is hoarse, you realize it,” says Dr. Ahmed Soliman, professor of otolaryngology at Temple University Hospital in Philadelphia.

Acute laryngitis is an inflammation of the vocal folds. It’s the most common cause of hoarseness. The best treatment to reduce inflammation includes resting your voice, drinking fluids and inhaling steam, he says.

Some people—moms, teachers, salespeople—use their voices all the time, making 50

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them more prone to hoarseness. Combat vocal abuse by developing nonverbal tactics—teachers might use a whistle rather than shout, and a salesperson can try sending more emails. Take short breaks every 15 minutes during prolonged talking. Avoid caffeine and alcohol, drinks that irritate the throat.

And just as the throat works within the ENT system, it’s also connected to other systems in the body. “The throat is closely

associated with the gastrointestinal system,” Soliman says. “Acid reflux is one of the most common problems that affects the throat.”

Laryngopharyngeal reflux is a condition similar to gastroesophageal ref lux disease. Unlike GERD sufferers, LPR sufferers rarely experience heartburn. Stomach acid moves past the esophagus and into the throat and nasal cavity, causing hoarseness, ear pain, difficulty swallowing, throat clearing and postnasal drip.

THROAT INSTRUCTIONS: Use nonverbal communication, and avoid voice abuse. Limit your intake of alcohol, caffeine, citrus, fatty and fried foods, to avoid irritation and acid reflux.

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Joe Rottman couldn’t figure out why he started experiencing chronic digestive problems two years ago. For six months, he suffered bouts of abdominal pain, bloating and diarrhea. He tried over-the-counter stomach relief drugs, but they only served as a temporary fix. Not even his doctor was sure what was causing his uncomfortable symptoms.

“For months I felt bloated, and everything I ate upset my stomach,” says the semi-retired sales professional from Chicago.

Rottman’s doctor suggested his body might need a little help to relieve his bad belly—a microscopic bit of assistance, to be exact. The doctor recommended he incorporate probiotics into his diet, to restore balance to the function of his stomach and intestines.

You can’t see probiotics in your food, but these live microorganisms found in yogurt, sauerkraut and even some dark chocolate could improve your digestion. If you turn up your nose at these sour tastes, over-the-counter supplements can do the trick, too.

Some doctors are still skeptical about the benefits of probiotics. But for Rottman and many others, the results are life-changing.

“First, my doctor ruled out there wasn’t anything seriously wrong with me,” says Rottman, 65. “I started taking a supplement because I’m not a big yogurt fan. After about a week, I started feeling great. It was great to feel normal again.”

Rottman is not alone in his hunt to maintain a sound digestive system. Many of the 70 million Americans who suffer from digestive disorders are eating more foods with beneficial bacteria. Others ingest probiotic supplements to boost their immune system, prevent digestive infections, and reduce allergies and skin conditions.

In ads for yogurt and supplements, probiotics are positioned as something of a nutritional miracle, a natural panacea that can cure most gut problems—and help keep your bowels regular. So is it all hype, or are they the real deal?

Some medical professionals fully endorse probiotics, while others say there simply aren’t enough studies to quantify the benefits. It’s enough to make inquiring minds wonder if the secret to digestive health is as easy as a nibble of dark chocolate or a spoonful of Greek yogurt.

LEGIONS OF HEALING 100 trillion bacterial cells from more than 500 species live in the human gut, according to the International Probiotics Association.

THE REAL DEAL? Fermented dairy products long have been advertised as containing beneficial cultures. These cultures are what would now be considered probiotics. Other food products currently claiming to have probiotics in them include cereal, juice, frozen yogurt, granola, candy bars and cookies. There is no guarantee you will derive health benefits from them.

SOURCE: MEDICINENET.COM

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BATTLE OVER THE BELLY

ADD THESE PROBIOTIC FOODS TO YOUR DIET

YOGURT, such as Chobani Greek Yogurt, Activia and Stonyfield Organic Yogurt, is one of the best probiotics foods that contains live cultures.

SAUERKRAUT, which is basically fermented cabbage, is a good source for probiotics as long as it hasn’t been pasteurized. Pasteurization kills the active bacteria in sauerkraut to increase its shelf life. Some pickles and kimchi (a Korean pickled cabbage) may contain probiotics if they are unpasteurized and made with no vinegar.

DARK CHOCOLATE is not only good for heart health. Probiotics can be added to high-quality dark chocolate, up to four times the amount of probiotics as many forms of dairy.

PICKLES Believe it or not, the common green pickle is an excellent food source of probiotics.

FRUITS AND VEGETABLES Bananas and artichokes are good sources for probiotic compounds. For probiotic benefits, canned vegetables that have been fermented rather than pasteurized are a better option.

GARLIC AND ONIONS They’re stinky, but worth it. Alliums, especially onions and garlic, contain probiotic compounds, along with leeks.

Probiotics attract many people because they’re often touted as a natural way to better your health. The root of the word comes from the Greek word “pro,” which means “promoting,” and biotic, which means “life,” according to Dr. Marc Itskowitz, of Allegheny General Hospital in Pittsburgh.

The gastrointestional tract contains microflora—live microscopic organisms that grow inside the organs of all living creatures—and these bacteria help in optimal digestion and waste elimination. Small amounts of microflora are located in the stomach and small intestines, but the majority of these bacteria are in the colon. Microflora foster stomach functions, helping the body process vitamins, nutrients and some medications, he says.

“Probiotics can assist in maintaining the balance of microflora, which exists naturally in the body,” Itskowitz says.

Microflora also maintain the natural balance of the intestines—keeping enough good bacteria in your gastrointestinal tract to help fight harmful bacteria and germs.

“These live organisms help with digestion, and restore balance of the good bacteria, especially if someone has an infection and takes antibiotics,” Itskowitz says.

Though antibiotics get rid of the bad bacteria that cause illness, they can also eliminate too much good bacteria in our bodies. Poor diet and even lack of sleep can throw our digestive system out of whack, as well. A drop in good bacteria may lead to digestive issues, and taking probiotics may help replace the lost beneficial bacteria.

And while probiotics might not work wonders for everyone, Dr. Connie Jennings, of University of Kentucky HealthCare in Lexington, Ky., says there’s no harm in maintaining the good bacteria in your body. When the gut is healthy, it also filters and eliminates toxins, chemicals and other waste products.

“Adding probiotics to our diet or taking them as a supplement can only help, not hurt, the situation,” she says. “Taking a probiotic can be a great defense against our stressful lifestyles, and our poor diets. Those factors can all tilt your gut in the wrong direction.”

SKYROCKETING SALES U.S. sales of probiotic supplements totaled about $770 million in 2011, up about 22% from 2010, according to market research firm Euromonitor International.

GET THE BENEFITS

According to the International Probiotics Association, clinical studies have shown probiotics can offer many health benefits.

Shorter duration of antibiotic-associated diarrhea Easing of lactose intolerance symptoms Easing of food and skin allergy symptoms in children Fewer ear and bladder infections

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MAKING THE DIFFERENCE For conditions such as irritable bowel syndrome, Crohn’s disease and other digestion issues, both Itskowitz and Jennings say probiotics function as highly effective treatments. They can be especially helpful for treating illness caused by clostridium difficile colitis, a bad bacterium that can infect the gut.

“Antibiotic-associated C. diff colitis primarily occurs with antibiotic use,” Jennings says. “(Antibiotics) not only fight the bad bacteria and germs, they kill the good flora, too, and that causes an imbalance in the GI tract.”

Symptoms include fever, abdominal pains, and mild to severe diarrhea, which may be bloody. “C. diff colitis can be difficult to treat, and may even require an antibiotic,” she says. Probiotics can help a person get off the antibiotic-induced bad bacteria buildup cycle.

Rottman says he first experienced the back-and-forth effects five years ago, when he took an antibiotic to treat a severe bronchial infection. “The antibiotic worked great for treating the infection. But I got so sick from it, and developed severe stomach problems,” Rottman says. “And now, whenever I take an antibiotic, I experience the same problem.”

Though Jennings says that’s not uncommon, everyone’s body reacts differently to antibiotics. But if your system is thrown off once, it’s harder to keep it on track in the future. “Once that imbalance of flora in the GI tract occurs, you are more susceptible for the incident to reoccur,” she says.

PUTTING PROS TO THE TEST Though probiotics are natural, Itskowitz says it’s important to speak to your doctor before taking a supplement, or ramping up a probiotic-rich diet.

“They can be harmful to people who have suppressed immune systems, and make them sicker,” he says. “If you decide to take a supplement, ask your doctor or a pharmacist to recommend one.”

When you use probiotics, the goal isn’t to eliminate all the bacteria in your body. We need both the good and the bad types, Itskowitz says. When there is too much or too little of one or the other, that’s when we experience diarrhea, urinary tract infections, and even muscle pain and fatigue.

The effects of probiotics may extend past solving digestion issues. The balance they create can benefit our immune system, Jennings says, and this role may be the most important.

“We are going to be much healthier if we maintain the proper balance, and our immune system can benefit any time that balanced is restored,” she says.

“It’s never too late. I highly recommend probiotics. They can only help. After all, a healthy immune system helps us fight off germs.”

Other health professionals are still not convinced. Itskowitz says probiotics don’t seem as legitimate as medicines because they’re not FDA-approved. That leaves room for doubt, interpretation, and even fraudulent products.

“They are not regulated by the FDA, so you have to make sure you are really getting the real deal,” he says. “There need to be more clinical trials and less anecdotal evidence to support all the widespread health claims. I think it remains to be seen if probiotics are the cure-all many are claiming.”

YOUR GUT GUIDE

Probiotic products are marketed for many different uses. But scientific evidence supporting specific uses is still limited, and the FDA has not approved any health claims for probiotics. If you’re considering taking probiotics, be careful.

Before using probiotics, do research and talk to your doctor.

Probiotic products are all different, and have different effects in the human body. The effects vary from person to person.

Don’t replace traditional medical treatments with unproven products or practices.

Don’t use probiotics as a reason to avoid visiting your doctor.

SOURCES: INTERNATIONAL PROBIOTICS ASSOCIATION; NATURAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE

TOO MANY TUMS 70 million Americans have digestive disorders, which prompt about 60 million visits to doctors’ offices and hospitals each year, according to Johns Hopkins Medicine.

HARD TO SAY, EASY TO STOMACH

You’ll run into many probiotics on the market, and while you might not be able to pronounce their names, it can help to understand the different types and their potential health benefits. Check out these common ones.

LACTOBACILLUS (LAK-toe-BASS-ill-us) Naturally found in the digestive and urinary systems, and the vagina. Fermented foods and dietary supplements also contain these bacteria. Lactobacillus has been used to treat and prevent a wide variety of diseases and conditions, including colic and vaginal bacterial yeast infections.

BIFIDOBACTERIA (bye-FID-o-bacteria) They make up about 90% of the healthy bacteria in the colon. They appear in the intestinal tract within days of birth, especially in breastfed infants. They are often used to prevent infant diarrhea, traveler’s diarrhea and ulcerative colitis.

SACCHAROMYCES BOULARDII (sack-a-row-MY-sees boo-LAR-dee-eye) Also known as S. boulardii, it is the only yeast probiotic. Some studies have shown that it can treat acne, prevent and treat diarrhea, and prevent the reoccurrence of clostridium difficile colitis.

Adding probiotics to our diet or taking them as a supplement can only help, not hurt, the situation.

Dr. Connie Jennings, University of Kentucky HealthCare

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

MAY 2013

55

MID AMERICA

BELLEVILLE, IL

PICTURE OF GOOD HEALTH

Red Reflections BODY SHAKERS More than 60 women recently participated in the Zumbathon at Belleville Memorial Hospital’s Health and Sports Center.

MAKING MONEY The group of women came together to raise money and awareness for the American Heart Association’s Go Red for Women campaign, which helps fight heart disease in women. They raised $733.62.

AFTER A LONG DAY ON THE FLOOR Dancers could get a massage, and free bone density and blood pressure screenings.

FOR MORE INFO Visit GoRedForWomen.org.

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

56

MAY 2013

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

PHOTO BY ANDREW NICOLSON

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