Community Health June 2013

JUNE 2013

THE WEDDING ISSUE

NATURAL NUPTIALS

Carbondale newlyweds Dirk and Leslie Kessler let their love ourish at a Makanda vineyard.

Discover how you can celebrate your big day in a healthy, eco-friendly way

Go to our website: cmghealth.net

MID AMERICA

Story ideas, email: editor@cmghealth.net

Swansea couple sprint toward love after meeting at running club

PRSRT STD U.S. POSTAGE PAID ST. JOSEPH, MI PERMIT NO. 335

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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.

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: • Brain & Spine Center

• Emergency Services

• Breast Care & Diagnostic Center

• HealthPoint Fitness and Rehab

• Cancer Center

• HealthWorks

• Diabetes Center

• Heart Center

• Digestive Health Center

• Home Health • Hospice • Imaging • Lab Services • Orthopedics & Joint Replacement Center • Pharmacy • Sleep Diagnostic Center • Weight Management Center • Women's and Children's Center • Wound Care & Hyperbaric Medicine

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

est Provider of Healthcare in the Region

US. 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.

55

Perryville Fredericktown

Jackson Cape Girardeau

Ellington Bloomfield

60

Sikeston

Van Buren 60

Poplar Bluff

Dexter Bernie

55

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

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

CONTENTS VOLUME 5 | ISSUE 6

SERENE LOVE SCENE On a day meant to be uplifting, brides, grooms and their families may get dragged down by stress and calories. Instead of feeling overworked and overspent, give your extravagant occasion a healthy makeover. Eat well, feel happy, and save some green. Your guests will appreciate it—and the Earth will, too.

BY TREMENE TRIPLETT

42

Good Health

M ON ITO R S 22 WOMEN 26 MEN 28 FAMILY 30 SENIORS

36

32 PETS 34 EATS

9

GETAWAY GUIDE

Looking for a honeymoon where you can bond among nature?

We have plenty of ideas to make your trip healthier. Read how one woman’s voyage across the states opened her eyes to healthy experiences on the road. It’s just the thing to help you plan your own getaway. BY ANNE SCHUHLE

THEIR FINISH LINE TO LOVE

On the cover

The Blue Sky Vineyards in Makanda is located on the eastern end of the Shawnee Hills Wine Trail.

Photos by Brad Rankin

4

JUNE 2013

D E PA RTMEN T S 6 Editor’s Letter 9 Local Focus 15 News+Notes 19 Q+A 21 Well Said 48 Picture of

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

Bet you never thought exercise could lead to a wedding. Find out how one couple saw their passion for running spark a love for each other.

BY DANETTE M. WATT

NOW YOU SEE IT.

NOW YOU DON’T.

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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

Teenagers and risky behaviors

Jackson A. Thomas LOCAL EDITOR

Danette M. Watt AD TRAFFIC MANAGER

Joseph Krystofiak MEDICAL EDITOR

Janis Mendelsohn, M.D.

Summer is finally here. Do you know

SALES DIRECTOR

where your teenagers are, and what they are

Liz Latta

up to? Summer means freedom for teens and preteens, and they often think that

Although this list is not inclusive, these are

because school is out, they can flirt with a few

important indicators. You must protect your

forbidden things they normally wouldn’t. These

teenager from drug use, because the conse-

risky behaviors include experimenting with

quences down the road could be serious.

drugs, alcohol, cigarettes and marijuana.

According to the Substance Abuse and Mental Health Services Administration, kids ages 12 to 17 are about 50% more likely to start using these substances during the summer.

How can you spot indicators of substance abuse in your teenager? Here are some tips. ³ Have you checked your medicine cabinet lately? Is anything missing? ³ Look for mood swings and angry outbursts ³ Bloodshot eyes and frequent use of eye drops ³ Sudden changes in appetite or weight ³ Decline in personal appearance ³ Unusual smell on their body or clothing ³ Sudden change in friends ³ Lying about interests and activities ³ Locking doors and sneaking around

Here are some suggestions for parents offered by the Drug Free Communities Support Program. ³ Know where they are, who they are with, and what they are doing ³ Encourage supervised activities ³ Fill unsupervised time with required household chores ³ Set rules about friends’ visits ³ Define call-in policies when out of the home, and enforce curfews ³ Stay involved. Talk to your teens openly about risks of substance abuse. ³ Realize the likelihood of experimentation ³ Monitor their use of social media

Remember, summer is the time for freedom and fun for your teens. They want to hang out with friends, and will likely want to try new experiences, such as drugs. To protect them, stay involved and just strike up a conversation. As

ADVERTISING

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.

parents, you have the most important role to play in their future.

CMGHealth.net

Dr. Janis Mendelsohn

Facebook.com/CommunityHealthMagazine

medical editor 2010 Silver Ozzie (Folio Awards) Custom Publishing

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

JUNE 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: SWANSEA, IL

MID AMERICA

‘I Made Him Chase Me’ Passion for running leads couple to walk down the aisle

BY DANETTE M. WATT

It’s May 2008, and Maria Baran has just finished her first 5K in a respectable 31:18. In a post-race photograph, she strikes a confident pose and smiles for the camera.

“I was so proud of myself,” she says about her first race.

Take a closer look at that picture, and you’ll see a man wearing a ball cap standing behind her. He ran in the race, too.

Fast-forward four years. In 2012, she and this man married.

Who would have known that their love of running could eventually lead them to walk down the aisle years later?

CAN’T FIGHT FATE Maria, now 32, formally met her husband, Patrick Hasenstab, when she joined the Belleville Running Club in 2009. She won an entry for another half marathon race, and needed some training.

“I just showed up, and Patrick was the first one to say hi to me,” says Maria, a journalist. “We ran the same pace—a 10-minute mile—so he offered to help me train. We’d run our long runs together. He also helped train me for my first half marathon.”

Patrick, 45, started a running routine after realizing he needed to lose weight. He joined Belleville Running Club as a way to part with the extra pounds.

Shortly after the Swansea couple met, Patrick came across the post-race photo Maria had posted on Facebook, and he noticed he was standing in the background.

“Seeing that picture with me in the background was surreal,” says Patrick, a math teacher at O’Fallon Township High School.

They knew something bigger was at work, and the two soon began dating. “I made him chase me,” Maria laughs.

A FAIRYTALE ENDING In February 2012, Maria and Patrick traveled to Orlando, Fla., to see a friend marry. They jumped at the chance to run in a Disney Princess 5K happening the next day, “because it was a once-in-a-lifetime opportunity,” Maria says.

Staying with the princess theme, Maria wore a purple T-shirt and a tiara. But she had no idea she was about to get her own magical moment.

“Patrick pulled me across the finish line, then went down on one knee to propose,” she says. “A Disney camera crew interviewed us, and I must have been wide-eyed and speechless.

I remember turning and looking up at him, after running a race wearing a tiara, and saying, ‘I guess he’s my Prince Charming.’”

They tied the knot that November. Now the couple look forward to the day they can buy a running stroller, and make running a family activity.

The Hasenstabs don’t plan to stop running any time soon.

Patrick says it’s changed his life—he met and married his wife, and he is living a healthier existence.

“I lost quite a bit of weight. I’ve been able to keep it off because I’ve kept this lifestyle. I’m eating better and training,” he says.

As for Maria, you’ll find her running right next to her husband—through thick and thin, for better or for worse.

“Running makes me feel good,” she says.

He pulled me across the finish line, then went down on one knee to propose.

MARIA HASENSTAB

SUPPLIED PHOTOS

Maria and Patrick Hasenstab at the 2012 St. Louis Rock ‘n’ Roll Half Marathon.

Maria shows off her wedding veil at the Great River Road Run in Alton in November 2012.

She her Patrick married the weekend before the race, at Holy Trinity Catholic Church in Fairview Heights.

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

JUNE 2013

9

SEMO: STE. GENEVIEVE

MID AMERICA

A Country Couple Husband and wife stay true to their outdoor selves with vineyard wedding

BY DANETTE M. WATT

For Kasey Ferguson, 24, a typical indoor wedding was just not an option. She always pictured the setting for her wedding to be in nature—more specifically, an “antique-chic country wedding with a barn.” She searched and searched, and when she couldn’t find the right venue, she scratched the idea.

But the Sikeston, Mo., resident didn’t have time to dilly-dally.

With her wedding date quickly approaching, Ferguson kicked her search into high gear. She remembered her love for nature— and a spot she and her husband, Adam, would visit. She thought a familiar place they enjoyed, filled with wine and vineyards, might make for a perfect place to wed.

The major perk for Ferguson and her husband? They celebrated their love in the environment they enjoyed and were accustomed to.

“Adam and I love anything outdoors. In the summer, you can find us canoeing, kayaking, camping, hiking. We’re pretty active people,” Ferguson says. “It’s so peaceful and tranquil in nature.

Being out of the busyness of the world and in God’s creation frees the spirit.”

Ferguson says they also like to visit the region’s wineries.

“We had been to Chaumette, but didn’t know about the barn,” she says.

PLACE OF PEACE, LOVE AND NATURE Overlooking the Saline Creek River Valley sits Chaumette Vineyards and Winery, 310 acres of rich soil perfect for growing a variety of grapes.

The Ste. Genevieve winery has turned into a popular destination wedding spot, with a spa, luxury villas, restaurants and four wedding venues on site, including a historic chapel and a renovated barn. Couples can stay for the weekend, and enjoy calming scenery while celebrating with friends and family.

WHERE THERE’S A WILL The couple became familiar with the facility in December 2011, the month they decided to marry. They chose it as the new location, because their original plans to wed at a local church fell through. Ferguson says she was both anxious and thrilled about the change. With only 13 weeks to go, this didn’t leave a lot of room to re-strategize.

“We had everything booked—the party bus, the reception hall. I had deposits everywhere,” she says.

But the discovery of the venue rekindled the possibility of her dream wedding.

Ferguson says her sister, Lynda, played a big part in coordinating her wedding. Her sister found out that the barn was being renovated, so the timing had to be just right.

“She saw that the barn was going to be ready the last Saturday in May. It was going to be really close because our wedding was the first Saturday in June,” Ferguson says.

The revamps could have set back their plans. But with a bit of preparation, she says everything worked out as planned.

“It was a godsend. With some adjustments, it all fell into place,” she says. “The barn was perfect for us, because Adam isn’t a city boy, either. It reflected who we are. We utilized everything on that property.”

The couple spent their wedding night in one of the villas.

Ferguson says her wedding party sipped on wine in the winetasting room while waiting for everyone to get ready. The barn was the site of the ceremony and reception. Ferguson says she definitely made the right choice with Chaumette Vineyards and Winery.

“The weather was perfect,” she says. “It was 83 degrees with big white fluffy clouds in a baby blue sky. When I look at my pictures, I think, ‘Did someone paint that?’”

PHOTO COURTESY OF HARPER & BROTHERS IMAGES

Kasey and Adam Ferguson dance on the patio of the barn at Chaumette Vineyards and Winery in Ste. Genevieve.

Kasey says she always wanted an “antique-chic country wedding.”

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

JUNE 2013

11

Answers on Allergies: Q & A with Dr. Tim Duke

Tim Duke, MD, PsyD Southeast Primary Care

Q A

What are seasonal allergies?

Seasonal allergies are your bodyâ&#x20AC;&#x2122;s response to allergens such as pollen and mold. If you have allergies, your body releases histamines as a chemical response. The histamines cause your symptoms, which can include runny nose, congestion, sneezing, rashes or hives, and itchy eyes and throat. The symptoms are particularly severe during high pollen months in the spring and early fall.

Q A

Why are some people more allergic to some allergens than others?

People inherit a tendency to be allergic to one or more allergens. Children are much more likely to develop allergies if at least one of their parents has allergies.

Exposure to allergies at certain times when the bodyâ&#x20AC;&#x2122;s defenses are lowered or weakened, such as after a viral infection or during pregnancy, also seems to contribute to the development of allergies.

Q A

Is there a cure for seasonal allergies?

No. But you can suppress the symptoms with proper medication and treatments. You don’t have to live in misery for a month or two a year.

Q A

How do you treat seasonal allergies?

I recommend over-the-counter antihistamines. That is the starting point. If that doesn’t work, I move to prescribing nasal steroids which are designed to decrease inflammation.

I recommend use of nasal washes such as saline sprays, especially for kids. It helps to clean out the nasal passages, which is particularly beneficial since young children often do a poor job of nose blowing. Use distilled water or saline solution for nasal washes.

Q A

Why was last summer’s drought so hard on allergy sufferers?

The drought created a lot of dust, irritating nasal passages and adding to the misery of allergy sufferers.

Q A

How do seasonal allergies affect asthma?

Allergies can induce asthma in some cases.

Individuals with such a condition will become very short of breath. It’s important to control allergy symptoms in order to better manage the asthma.

Q A

How do you tell the difference between the common cold and seasonal allergies?

In general, allergies tend to start more with watery eyes, irritated eyes, a little bit of an itching sensation or a clogging in the ear, and some nasal congestion, or maybe even a sore or slightly scratchy throat. Colds tend to have more severe symptoms at least at first, ranging from sore

throats and earaches to fatigue and thicker mucus. But the more prolonged the allergy symptoms, the worse it can be for allergy sufferers. At that point, it’s advisable to see a doctor. A higher fever, a more severe headache and a lot of thicker or yellow or green mucus are signs of an infection, which may be a virus or even bacteria. In such cases, you should see a doctor.

Q A

What kind of testing is available to identify the allergens to which you are allergic?

There are two general types of allergy tests: skin and blood. Allergy skin test is considered more accurate. The results are very rapid and it’s generally more cost effective when testing for a large panel of allergens.

Q A

What impact does the weather have on seasonal allergies?

Weather clearly has an impact on the growth of plants and the release of pollen. Rain tends to wash out the pollen from the air, reducing the amount of pollen dispersed. But the humidity and warm temperatures that may exist after the rain could boost pollen production and lead to worse allergy symptoms a few days later.

Southeast Primary Care has three locations to serve you: 1723 Broadway, Ste. 205 / 573-331-7930 1723 Broadway, Ste. 120 / 573-334-7194 817 S. Mount Auburn Rd., Ste. 100 / 573-519-4500

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SOIL NEWS+NOTES

MID AMERICA

Fourth Duck Plucker ambulance debuts Members of the Duck Pluckers, Deer Skinners & Fish Hookers Ball planning committee were among the first to see the newest Duck Plucker ambulance at Alton Memorial Hospital. Ambulance No. 64 is the fourth vehicle created through funds from the 2012 event and the generosity of local sportsmen. Since the first Duck Pluckers Ball in 2009, more than 15,000 local people have benefited from these state-of-the-art vehicles. The newest addition to the fleet features camouflaged doors. “People outside of our area might wonder why the doors are done in camo,” says Nancy Simpson, co-chairwoman of the Duck Pluckers Ball.

“But our supporters will know that the doors are a tribute to their generosity.” Pictured are Mark Maggos (from left), Marlene Lewis, co-chairwoman Nancy Simpson, Jeanne Truckey, Joanne Adams and EMS supervisor Jason Bowman. Not pictured are committee members Gay Bryant, Mike Farrell, Gaye and Barry Julian, cochairwoman Mary Lou Cousley and Steve Cousley.

ALTON ~

American Heart Association finds hospital ‘Fit-Friendly’ For the third consecutive year, Memorial Hospital of Belleville has been recognized as a Platinum Level Fit-Friendly Worksite by the American Heart Association, for helping employees eat better and move more. The Fit-Friendly Worksites program helps companies make employee health and wellness a priority. Platinum-level employers promote wellness through offering employees physical activity and healthy eating options.

“We’re committed to providing the best workplace environment possible. This will benefit our employees’ health and produce even more positive results for our worksite overall,” says hospital president Mark Turner. For more information about the Fit-Friendly Worksites program, visit StartWalkingNow.org.

BELLEVILLE ~

Wound care enter honored with distinction Healogics Inc., the nation’s largest provider of advanced wound care services, recently presented the Center of Distinction Award to physicians, leaders and clinicians at Alton Memorial Hospital’s Center for Wound Care and Hyperbaric Medicine. The center achieved outstanding patient outcomes for 12 consecutive months, including patient satisfaction of more than 92%, a 91% wound healing rate within 30 median days to heal, and other quality outcomes. “We’re honored,” says Dr. Valinda Allen, medical director for the Wound Care Center. “It’s a privilege to be part of a great collaborative effort between the hospital, physicians and Healogics.

Together, we are able to heal patients in our community, getting them get back to living happy, healthy lives.”

SUPPLIED PHOTOS

ALTON ~

College student earns health care career scholarship St. Mary’s Hospital president Bruce Merrell recently awarded Sabyl Whitelow the 2013 Minority Health Care Career Education Scholarship. Whitelow attends Kaskaskia College, and is pursuing a degree in nursing. She plans to graduate as a registered nurse in fall 2015. Each year, St. Mary’s Hospital selects a recipient for its Minority Health Care Career Education Scholarship based upon several qualifications. The scholarship is granted to a student from a diverse background who is enrolled or plans to enroll in a health care-related degree program. “We are excited to provide this opportunity, and to help increase community awareness regarding careers in the health care field,” says Tom Blythe, regional vice president of human resources at St. Mary’s Good Samaritan.

CENTR ALIA ~

3-D mammography improves breast cancer detection

Telemedicine program provides quick access to stroke care

The Breast Center at Memorial Hospital of Carbondale is among the first in the region to offer patients 3-D mammography.

Digital breast tomosynthesis is a breakthrough technology that improves how breast cancer is detected today. When combined with standard digital mammography, tomosynthesis provides a 3-D mammogram that offers the radiologist improved overall breast cancer detection by 27%, as well as a 40% increase in the detection of invasive breast cancers. With 3-D mammography, false positive rates have decreased by 15%, especially in women with dense breast tissue. Patients have a better peace of mind and reduced anxiety. For more information, visit SIH.net, or call (618) 549-0721.

St. Elizabeth’s Hospital is now a remote site for a stroke telemedicine program, in collaboration with St. John’s Hospital in Springfield. Within a month since starting, the STAT Stroke program provided care to seven potential stroke victims consulted at the hospital. Telemedicine technology electronically transmits medical information via remote devices to maximize resources, increase efficiency and maintain high levels of care. Doctors and medical staff use video and audio technology, so they can evaluate and interact directly with the patient remotely.

This technology gives patients in the Metro East immediate access to neurology specialists at St. John’s CONNECT Stroke network. “This realtime access to the neurologist allows patients to receive advanced stroke treatment and interventions when time is most critical, as time is brain,” says Patty Gillen, stroke coordinator at St. Elizabeth’s Hospital.

CARBONDALE ~

BELLEVILLE ~

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

JUNE 2013

15

U Counseling for Adults and Children U Community Support Services U Residential and Housing Options U 24-Hour Crisis Services for Adults and Children U Medication Assisted Recovery Services U Psychiatric Services U Senior/Caregiver Services U DUI Assessment and Treatment

2615 Edwards Street, Alton, IL 62002 220 E. County Rd., Jerseyville, IL 62052 OfďŹ ce: (618) 462-2331 Fax: (618) 462-2504 24-Hour Crisis Line: (618) 465-4388

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SEMO NEWS+NOTES

MID AMERICA

Physical therapist improves employee work environments Ryan Buchheit, certified hand therapist and ergonomic assessment specialist, recently returned to Mid America Rehab’s Perryville location after a sixyear hiatus. Buchheit was director at the Ste. Genevieve location since May 2007. Buchheit specializes in outpatient rehab, sports medicine, and work conditioning programs. He also works closely with local businesses to help ensure their employees work in a safe and effective manner. Buchheit regularly visits local industries to assess their workstations and update their job analysis for the WorkSTEPS employment testing program. He plans to work with a wide variety of patients, including orthopedics, sports, neurological, and acute care. Mid America Rehab is a partner of Perry County Memorial Hospital.

PERRY VILLE ~

Kohl’s cares for diabetic kids Kohl’s department store in Cape Girardeau recently donated $21,973 to the Kohl’s Youth Diabetes Care Network, a service of the Southeast Diabetes Center. The presentation happened at the Osage Centre as part of Sign Up Saturday, an event to register children for summer sports and other activities. Dr. Darren M. Allcock, of Southeast Endocrinology, presented the check to David Bortner, local store manager for Kohl’s, along with Mary Burton-Hitt, SoutheastHEALTH Foundation executive director, and Southeast Diabetes Center’s Janet Stewart. With them are kids from Camp DAY Break, the center’s summer camp for children with diabetes. Pictured are Connor Missey (from left), Landon Backfisch, Carson Shearer and Kaylee Backfisch.

2 hospital leaders move up the ranks

Orthopedic surgeon retires after 35 years

Larry Tracy, chief operating officer at BarnesJewish West County Hospital, has been named president of Barnes-Jewish St. Peters Hospital and Progress West HealthCare Center. Tracy joined BJC in 2008. As chief operating officer at Barnes-Jewish West County, he led the opening of the new Siteman Cancer Center satellite facility. Under his leadership, Barnes-Jewish West County Hospital achieved hospital-wide patient satisfaction ratings and clinical quality scores in the top 10%. Succeeding Tracy to lead BarnesJewish West County Hospital in the role of president is Doug Black, who has served as vice president of operations and strategy at Missouri Baptist Medical Center since 2006. During his tenure at Missouri Baptist Medical Center, Black led the implementation of the strategic campus plan. He focused on physician engagement resulting in scores in the top 3% nationally, and added several physicians and practices at Missouri Baptist Medical Center.

CAPE GIR ARDEAU ~ Dr. Michael C. Trueblood, orthopedic surgeon and Saint Francis Medical Center board member, recently retired after 35 years of practice. In 1978, Trueblood started his career as an orthopedic surgeon at Saint Francis, after completing his medical degree, internship and residency at the Vanderbilt University School of Medicine in Nashville, Tenn. “When I arrived, it was the beginning of a new era in Cape Girardeau,” Trueblood says. “It was a shock to be as busy as I was, but it was such a wonderful opportunity.” He joined the Saint Francis Board in 1987, and was instrumental in expanding the hospital. “Being a board member has been a rich experience for me,” he says. “I’ve enjoyed the people, enjoyed the effort. It’s been a great privilege.”

ST. LOUIS ~

Hospital expands administrative team Lauren Keith Heuring recently joined the Referral Services team at Saint Francis Medical Center as a referral services manager. She and other referral services managers develop positive relationships with area referring physicians by addressing issues, answering questions and providing timely information about new services at the center. Her responsibilities include primary care, neurosciences and surgery.

“We are thrilled to have Lauren as part of the Saint Francis team,” says Barbara W. Thompson, vice president of Marketing and Referral Services. “She is very talented, and will be a tremendous asset to the Medical Center.” Danielle Liley has joined the staff of the Saint Francis Medical Center Foundation as a development officer. She supports Saint Francis’ mission by securing financial support for hospital programs and initiatives. “Danielle’s passion and experience will be invaluable to our foundation,” says Linda Decker, foundation executive director. “She is a wonderful addition to our team.”

SUPPLIED PHOTOS

CAPE GIR ARDEAU ~

Hospital auxiliary donates $30,000 SoutheastHEALTH Auxiliary recently donated $30,000 to SoutheastHEALTH. The Auxiliary presented the check to Southeast officials at a luncheon.

Pictured are Don Fisher (from left), SoutheastHEALTH Volunteer Services director; Jim Limbaugh, executive vice president of Planning and Business Development; Julia Cook, Auxiliary treasurer; Wayne Smith, president and CEO; and Judy Brown, Auxiliary president.

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

JUNE 2013

17

AMBULATORY SURGERY CENTERS

Ask the

Expert

A PROGRESSIVE MODEL FOR SURGICAL CENTERS

Question: My wrist has been hurting for the past few months.

I work at a desk job and use the computer daily. ,W LV GLIĂ&#x20AC;FXOW IRU PH WR W\SH due to the pain in my wrist.

What should I do?

Lindley Wall, M.D.

Answer: Pain in the wrist can be caused by a number of different problems.

Very often wrist pain, associated with repetitive use of the hands, such as computer or mouse use, can result from compression of a nerve in the wrist. The median nerve travels down the arm and crosses from the forearm into the hand under a ligament (the carpal ligament) and can become compressed in this area, this is called carpal tunnel syndrome.

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Carpal tunnel syndrome is very common and can occur in both men and women. Not only can the nerve compression cause pain LQ WKH ZULVW LW FDQ DOVR FDXVH QXPEQHVV DQG WLQJOLQJ LQ WKH ÂżQJHUV 7KH QXPEQHVV XVXDOO\ DIIHFWV WKH WKXPE LQGH[ DQG PLGGOH ÂżQJHUV predominantly. Many times patients will also have symptoms at night that wake them up and they have to shake out their hands to get the feeling back.

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MID AMERICA

If youâ&#x20AC;&#x2122;re looking for healthy food to serve at your wedding, youâ&#x20AC;&#x2122;re in luck.

The local food movement has picked up steam in the Metro East area, with more brides and grooms choosing fresh, local food for their special day.

Rebecca Osborne is catering manager for Local Harvest Cafe and Catering in St. Louis. Osborne shares her thoughts on why the local food movement is growing, and what options Local Harvest offers couples.

Choose local food for your wedding Why is the local food movement becoming popular?

Wedding couples are waking up to the fact that there is so much fresh, seasonal food available in this area. Theyâ&#x20AC;&#x2122;re more conscious of what they eat, and want their food to be organic and locally sourced.

Let our family care for yours!

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Why are more wedding couples choosing local food?

Bridal couples who want to serve real, delicious food come to us. Our reputation from our cafĂŠs follows us. People like what they get at our cafĂŠs, and know they will get that same food for their receptions.

What options do brides and grooms have?

We get produce from local farmers, and the meat we serve is locally sourced. We serve pasteurized pork, grass-fed beef and free-range chickens. We also have package deals, which include a couple of sides and entrees, which can be replaced with a vegetarian entree.

For example, a summer package includes beef tenderloin that you can switch out with a mushroom risotto or seasonal vegetable gratin for vegetarian guests. Weâ&#x20AC;&#x2122;re always happy to work with people.

How can couples accommodate special dietary needs?

The request for gluten-free food has gone up over the last year. Much of our food is naturally gluten-free because of how we prepare it. We donâ&#x20AC;&#x2122;t add wheat fillers or bread to our foods. We can easily tweak one or two items.

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What should couples remember when deciding?

Remember seasonality, because some foods arenâ&#x20AC;&#x2122;t available in certain weather. Decide what you envisionâ&#x20AC;&#x201D;whether thatâ&#x20AC;&#x2122;s a buffet, a plated dinner, cocktails or appetizers. Consider where the setting will be. Many couples choose to marry in a park or at a farm, so that might make a difference. Look over the menus and package deals we have on our website, LocalHarvestCafe.com/catering.

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JUNE 2013

19

ADVERTORIAL

Why Bother with Natural Therapies?

by Dr. Tomasita A. Lahue, D.C.

Bad News

Alternative Health

Television and other media have brain-washed many Americans to believe dis-ease is natural and taking medications for life is natural. NOTHING is further from the truth.

Really? Should healing the body naturally be the alternative? In my opinion, meds and surgery should be the last resort for chronic conditions.

Acute conditions are another matter. If youâ&#x20AC;&#x2122;re bleeding from a car accident, please get emergency treatment, and get the bleeding stopped by your surgeon. Then hurry in to see a holistic practitioner to engage the healing process to restore your well-being.

-It is un-natural for half of our population to be on the verge of diabetes or diabetic. Per CDC (Centers for Disease Control) it is estimated that 25 million adults and children have diabetes and 79 million adults aged 20 and older have prediabetes.

-It is un-natural to have 1 in 4 of our adult population facing cancer. (Per CDC 19 million adults have been diagnosed with cancer).

-It is un-natural to have half the adult population on cholesterol lowering and high blood pressure meds. (National Research Center for Women and Children) -It is un-natural to have children taking asthma, allergy, meds and mind/mood altering drugs.

Per Lee Gerdes, over seven million children are on ADHD drugs, with more than a million on antidepressants, a million and a third on antipsychotics, and almost two million on high blood pressure medication. Another 17 million teens are on ADHD drugs. (Children and Brainwave Optimization) -It is un-natural to prescribe 4,000,000,000 meds a year. May 4, 2010 â&#x20AC;&#x201C; The number of prescriptions dispensed in the US in 2009 increased 2.1% from 3.8 billion to 3.9 billion (KFF.ORG). Thatâ&#x20AC;&#x2122;s an average of 13 medications per American citizen!

-It is un-natural to take prescription meds which may cause side-effects worse than the symptoms.

The sad truth is prescription medicines taken as prescribed is the number two cause of death in the US. â&#x20AC;&#x153;Every day 290 people are killed by FDAapproved prescription drugs,â&#x20AC;? and thatâ&#x20AC;&#x2122;s the conservative number published by the Journal of the American Medical Association.

Disease versus Health Some people have concerns over not understanding optimal levels of health versus disease levels treated with modern medicine. For instance if your cholesterol is above a certain level, then a cholesterol-lowering drug is prescribed. While in functional medicine or alternative medicine we look at the optimal levels of cholesterol in conjunction with other metabolic indicators to determine the â&#x20AC;&#x153;dysfunctionâ&#x20AC;? and correct that (rootcause) with natural substances like homeopathic remedies and lifestyle changes. Real health is about bringing you back to the optimal side of the continuum of health:

Health Continuum Natural Care

Modern Medicine

(Root-Cause)

(Symptom-Based)

Optimal

Disease

BioMeridian Health Scan

What if there is a way to determine all the systems in your body that need help objectively? Well there isâ&#x20AC;Śthe BioMeridian Health Scan. This evaluation takes electromagnetic readings from your hands and feet to precisely pinpoint areas RI ORZ HQHUJ\ RU KLJK HQHUJ\ LQGLFDWLQJ GHĂ&#x20AC;FLHQW As no one seems to believe these numbers are real, or excess energy centers. It also provides the Iâ&#x20AC;&#x2122;ll quote the source: The Journal of the American recommended acupuncture points to balance those Medical Association (JAMA) Vol 284, No 4, July WK DXWKRUHG E\ 'U %DUEDUD 6WDUĂ&#x20AC;HOG 0' energy pathways and gives a list of recommended nutritional support to assist the body in the healing MPH, of the Johns Hopkins School of Hygiene process. Couple that with a complete exam by a and Public Health. caring physician who is focused on your individual That study, which is twelve years old -- and drug needs for your deaths have risen considerably since optimal health then -- documents 106,000 deaths status. This can per year from the â&#x20AC;&#x153;adverse effectsâ&#x20AC;? mean the differof FDA-approved prescription medience between cations. (naturalnews.com) facing declining health with a life-sentence of Good News )PV4LYPKPHU 4HJOPUL drugs and their debilitating The good news is that you donâ&#x20AC;&#x2122;t have effects or taking control of your health to improve to fall into the sickness trap of managed disease. your quality of life and sense of well-being. Itâ&#x20AC;&#x2122;s Your body has an innate ability to heal. All it your choice, reclaim your health or continue status needs is a little help and guidance. quo with management of dis-ease.

As a chiropractic physician, I can attest to the remarkable healing power within. I have seen Mental/Emotional Quotient patients with little hope and sent home to die from Alternative methods also address your attitude and medical clinics and hospitals, come back to life mental readiness to accept the healing process. with vigor and vitality in a matter of monthsâ&#x20AC;Ś Even a glimmer of hope can open the door to the all with the help of â&#x20AC;&#x153;alternativeâ&#x20AC;? health care.

hall of health. Simple chiropractic techniques can address the injury and trauma to unlock emotion trapped in your tissues. Acupuncture is also amazing for reducing chronic pain, anxiety, depression, hopelessness and grief. The right nutritional, homeopathic and/or herbal support can alleviate years of suffering. Other simple techniques like journaling, breathing exercises, visualization, writing health goals, releasing anger and resentment are just a few of the tools you will learn to let go of worries and anxieties and become more focused on your state of wellness.

It is possible to get better and restore your health.

All you need is an open mind to give something new a chance. It doesnâ&#x20AC;&#x2122;t happen overnight. Neither did your disease process. But once you start to feel like a person again, enjoying life again, what a thrill. If you are ready to let go of misery and are interested in preventing your health from further decline, call us now at 618-624-9384.

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Dr. Tomasita A. Lahue is a Doctor of Chiropractic and Health Director of Holistic Health & Wellness, a licensed NRCT facility, located at 4965 Stone Falls Center, Oâ&#x20AC;&#x2122;Fallon, IL 62269.

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

WELL SAID

Deeper than the seeds we sow La Vista Farm is an 11-year-old community-supported agriculture located just minutes from where I live in Alton. Itâ&#x20AC;&#x2122;s a farm many Southern Illinoisans proudly visit for local fruits and vegetables. Although they arenâ&#x20AC;&#x2122;t certified organic, you wonâ&#x20AC;&#x2122;t find genetically modified veggies growing here.

St. Louis and surrounding counties in Missouri and Illinois house many CSAs, farmers markets and small family farms. But they donâ&#x20AC;&#x2122;t all use organic seeds and sustainable growing methods like La Vista Farm. St. Louis also houses the biotech-agriculture company Monsanto. I sometimes wonder how manufacturing modified produce can really improve agriculture.

Maybe itâ&#x20AC;&#x2122;s the company I keep, but I donâ&#x20AC;&#x2122;t know anyone who likes Monsanto. Itâ&#x20AC;&#x2122;s the nemesis of family farmers and health-conscious consumers.

Monsanto has committed countless sins, including intimidating farmers into buying their patented genetically modified seeds each year. If farmers donâ&#x20AC;&#x2122;t use the seeds, Monsanto argues farmers

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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DANETTE M. WATT

overstep its intellectual property rights by saving them. But how far do those rights go?

Earlier this year, the Supreme Court heard oral arguments in the case of Monsanto Company v. Vernon Hugh Bowman, an Indiana soybean farmer. The company sued Bowman for patent infringement. Bowman replanted second-generation seeds, which were the product of seeds bought from a Monsanto technology distributor.

Monsanto representatives argued that Bowman violated the patent when he planted the second-generation seeds to make more soybeansâ&#x20AC;&#x201D;as opposed to buying new seeds. Regardless of the seedâ&#x20AC;&#x2122;s generation, the company says, their patent holds.

Saving seeds is also a concern of the Svalbard Global Seed Vault, located on the coast of Norway. They collect seeds from countries around the world as a hedge against climate change, food insecurity and biodiversity (think replanting the Earth post-Armageddon).

It sounds noble and like such a worthwhile endeavor. And it is.

But a closer look at who is donating money (and presumably seeds) include at least three giant agribusinesses: DuPont, Monsanto and Syngentaâ&#x20AC;&#x201D;companies whose first priority is profits.

We donâ&#x20AC;&#x2122;t know the biodiversity, health and environmental risks posed by genetically modified seeds. But we should be concerned that profit-driven companies are some of the major seed depositors for our future.

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JUNE 2013

21

MONITOR

WOMEN

Prenups: Do I? What brides-to-be need to know in case their I-dos turn into I-don’ts

BY ERIN GOLDEN

Tom Cruise and Katie Holmes had one. So do Beyoncé and Jay-Z. Page through a couple of celebrity gossip magazines and it seems like prenuptial agreements have become a regular part of getting married, sandwiched somewhere between accepting the proposal and picking out the wedding cake.

But are celebrity marriage needs different from those of regular brides and grooms? Before you uncap your pen, understand why you’re putting down your Jane Hancock, and consider whether you really need a prenup. Despite the buzz, they’re not for everyone.

YOUNGER LOVES Debra Pogrund Stark is a law professor at The John Marshall Law School in Chicago. She says these pre-wedding agreements don’t make much sense for younger couples in the early stages of their lives and careers. In most cases, neither the bride nor groom has had time to sock away a significant amount of cash.

“It’s very rare (for younger people) to do a prenup. The idea is that each person is going to contribute to the marriage, with time and effort raising kids, or going to work,” she says.

If a marriage ends in divorce after just a few years, Stark says couples often split their money and belongings 50-50, following most states’ “equitable distribution” laws.

ESTABLISHED AND ON GUARD The situation gets stickier for women with more significant assets—cars, 401(k)s, real estate and even children. Would your husband or the kids get the money if you die? If you get divorced, is it fair for your husband to get a big share of your money if you’ve earned more than him?

In situations like these, Stark says, a prenup absolutely makes sense. It’s important to cover all the details.

“When you’re first marrying somebody, you love each other and have all these high hopes for the future, so you may not treat the prenup with the seriousness it deserves,” she says.

22

JUNE 2013

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

PRENUP AND AT ’EM First, enlist the help of an attorney who can explain your options. Be ready to divulge, and be honest. It’s essential for you and your beau to be upfront about your assets, including bank accounts and property. Stark says some women think they’ll be better off by not telling their partner exactly how much money they have. But an inaccurate prenup will only lead to more legal battles down the road.

“Without full disclosure, (the agreement) is going to be unenforceable,” she says.

Women who want a prenup or get presented with one should make sure they

negotiate a fair agreement. Stark says if you come to a compromise with your husband in which you end up with nothing, you need to renegotiate that agreement.

With any luck, you’ll never have to sort out the messy details. But just in case, Stark says it pays to have done it right the first time around.

“A lawyer’s job is to think through the uncomfortable what-ifs that the client doesn’t want to hear or see,” she says.

NOW & LATER 4% of married Americans have a prenup 15% of divorced Americans regretted not having a prenup SOURCE: HARRIS INTERACTIVE POLL, FEBRUARY 2010, LEGALZOOM.COM

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A healing ministry of the Sisters of St. Francis of the Martyr St. George

Itâ&#x20AC;&#x2122;s a new day at Saint Anthonyâ&#x20AC;&#x2122;s

Thereâ&#x20AC;&#x2122;s HOPE. And itâ&#x20AC;&#x2122;s HERE. Kevin T. Palka, M.D. Medical Oncologist

At Saint Anthonyâ&#x20AC;&#x2122;s, itâ&#x20AC;&#x2122;s the depth of our Cancer Care Teamâ&#x20AC;&#x2122;s experience that instills conďŹ dence and great hope in our patients. An Oncology Team whose depth of experience is unparalleled in the region. Investments in the most advanced technology available this side of the river. And a collaborative approach where the entire team â&#x20AC;&#x201C; Medical and Radiation Oncologists, specialists, nurses and your Patient Navigator â&#x20AC;&#x201C; are with you every step of the way.

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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

MEN

Ready for Knot?

WHAT’S YOUR EXCUSE?

Find out what’s holding you back from getting married

BY KEVIN CARLSON

I’M TOO YOUNG TO GET MARRIED. I’M NOT READY. I GOT MARRIED BEFORE, AND IT DIDN’T WORK OUT. Yes, past failures can be daunting, but you can’t let that stop you. “A lot of people get into their 30s and 40s, and they’ve already been married once or twice.

They found out it is a lot harder than they thought it was going to be,” says Alexa Elkington, marriage and relationship counselor in Las Vegas. It’s OK to be cautious.

But you’re older now, smarter, and better able to assess the risks that marriage presents.

Kids? You? “There is a historical male gender role that emphasizes autonomy and independence,” Summers says. A child is an obligation, and also a blessing. But if you definitely don’t want one, you’d better figure that out now.

Try living together, to better understand what it will be like to be married. “Avoid the starter marriage.

Live together first and really get to know someone,” says Las Vegas marriage and family therapist D’Arcy Vanderpool.

The thought of a lifetime of Thanksgiving dinners with the in-laws scares the stuffing out of you. But when you marry someone, you marry their family.

No family is perfect. Can you deal with this one?

FINANCES

You grimace at the thought of sharing your income, or taking on another person’s debts.

Getting married means sharing everything—for better or worse. Think about your priorities.

What’s more important: having money or being happily married?

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Worry about paying for a wedding is standing in your way. “Men can get so overwhelmed with the big wedding that it turns them off,” Elkington says. “They see it as a huge waste of money, and they get cold feet.” Talk about your concerns, and whether you can accept this one-time expense.

Maybe you’re a mama’s boy. “Men expect women to treat them the way their mothers did, and of course it is not like that at all,” Vanderpool says. “Know your own patterns and understand your expectations and preferences,” to figure out if you have unrealistic anticipations.

Compare your “family rulebooks.”

“You have 60% of your belief system when you reach age 5, and we take all of that into our marriages. The dating rulebook is something we learn as adults,” Vanderpool says. Discuss your idea of marriage. If it lines up with hers, maybe it’s right.

FAMILY

I’M IN CHARGE. I DON’T WANT THAT TO CHANGE. Guys are used to being in charge and, well, their wives will have wills, too. “A male may feel a loss because they know they’re going to have to power-share. It’s appropriate anxiety,” says Chuck Summers, a marriage and family therapist in Fargo, N.D. But giving up some control also results in shared responsibility, and that can feel freeing.

I LOVE MY BACHELOR LIFESTYLE

Your days of running around are about to end. “The idea that they’ll never be able to have sex with another person can be terrifying,” Elkington says. Only you can decide if you can make this commitment.

Again, prioritize. What do you want more: instant gratification from a hookup, or the satisfaction of a lifelong partnership?

FIDELITY

Are you still holding a torch for a former flame? Is she sometimes still in the picture (or in your bed)? Don’t let a past relationship infect your current one. “Men can sometimes get into a relationship too quickly (after a breakup),” Elkington says. “They marry rebound relationships, and they don’t take the time to grow up and learn how to be single in a non-20-year-old way. They bring hurt and disappointment and resentment into a relationship, and don’t take the time to work them out of their system.”

SURE, AT FIRST I WAS A LITTLE TAKEN ABACK

BY THE WHOLE PEEING STANDING UP THING. BUT I TAUGHT HIM TO THROW A STICK AND NOW HANGING OUT WITH HIM IS THE BEST PART OF MY DAY. — EINSTEIN adopted 12-09-10

MONITOR

FAMILY

Clash of the Clans

When fusing a family, make kids a priority to avoid an all-out battle

BY CLARE WALTERS

A marriage is not just a romantic coupling. It’s accepting your partner, their personal habits, their strengths and weaknesses—and, of course, their family. We’re talking about more than a meddling mother-in-law, or the uncle who always wants you to pull his finger. If bride or groom already has children, you might have some warm welcoming to do. And it could get tricky.

LET IT HAPPEN NATURALLY Merging households is no walk in the park. To make the stroll a bit easier, focus on patience and caring communication, says Karen Ruskin, a family therapist in Sharon, Mass.

“When you come into a blended family, you’ve got to know there are unique challenges that will take place,” Ruskin says.

“Overall, you need to evaluate relationship with this person you’re marrying, and their relationship with your kids.”

These couples battle many obstacles, and the first challenge, Ruskin says, is knowing your role. Just because you have a new spouse, doesn’t mean your child is ready to consider that person a parent or authority figure. They might not even get along well.

“Just because there’s a connection for you, doesn’t mean the kids feel it, too,” she says.

The relationship should evolve over time, but don’t rush it.

Kids will tell you when the time is right.

“Hear the voice of the child,” Ruskin says. “Don’t push them to have feelings before they’re ready.”

WHEN SHOULD I CALL FOR HELP? Therapists usually don’t see families until things are already in a bad place, says therapist Karen Ruskin. “It’s not until people are to a point where they feel they can no longer cope—that’s when people often come for counseling. They wait because they think they’re going to be able to make things improve.”

Ruskin says to seek help as soon as problems arise. “It’s amazing, because some of the struggles are so common. And, really, in the early stages, if you go to a family therapist, you can walk away with some great insights.”

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LIKELY SCENARIO

1 million American children experience divorce every year Remarriages are 50% more likely to divorce in the first five years compared to first marriages of children in the country go to bed each night without 40% their biological father in the home SOURCE: BLENDEDFAMILIES.NET

WALK IN THEIR SHOES As adults, we’re more equipped to handle our emotions and big life changes. But it’s not as easy for a child to accept a household overhaul. To help your whole flock better navigate common family issues, put yourself in the kid’s shoes.

“You need to understand how the child is feeling,” she says. “It’s important for adults to realize that it’s not about ‘me.’ This is the struggle of the child. This is a journey for the kids.”

Children in single-parent households parents tend to have more of a voice, Ruskin says. In a blended family, the children now have to share that voice, which can be a challenge.

“Often, the adult who is now blended (into an existing family) feels like the kids are not being respectful,” she says. “The new parent feels like they should have a bigger voice.”

Through arguments, conflicts and stress, adults might instinctively defend themselves against the children. But they simply must avoid this, Ruskin says.

“It’s not that the kid doesn’t like you or appreciate what you doing,” she says. “It’s what they’re going through. It takes special adults to really navigate through the process.”

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SENIORS

For the Long Haul Couples who marry later in life may have a better chance of sticking it out BY VANESSA RENDERMAN Instead of racing down the aisle fresh out of high school, Americans have slowed to a stroll. Studies show more men and women are waiting until they’re older to get married.

There’s no ideal age to get hitched.

But research shows marriages are likely to last longer when spouses are older, says Sara E. Timmons, a marriage therapist at Psychological Services of East Lansing in Michigan.

“There are other factors that influence (marriage duration), such as education level,” Timmons says. “But statistics generally show that couples who marry in their mid- to late-20s and older tend to stay married longer.”

PRACTICAL VS. EMOTIONAL Unlike many 20-somethings actively searching for someone to spend the rest of their lives with, seniors are willing to wait to find true companionship in the right person before making the decision to marry.

“Since most have been married previously, they tend to have a more sensible expectation of what marriage can provide,” Timmons says. “They are not so concerned about whether or not their partner is their ‘soul mate.’ They’re looking for love, compatibility and friendship.

“They want to marry someone who shares common interests with them in order to travel, engage in recreational activities, and enjoy their time together.”

FAST FACTS

27

Average marrying age for women

29

Average marrying age for men SOURCE: THE KNOT YET REPORT, NATIONAL MARRIAGE PROJECT AT UNIVERSITY OF VIRGINIA

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THE PROS AND CONS Getting married at a golden age has advantages and disadvantages. Older couples have more time to spend on their relationships, Timmons says.

“Retirement offers more freedom and flexibility that eliminates the stress careers often place on relationships,” she says.

They also don’t face the issues of child rearing. “This may reduce the amount of conflict and disconnection that often happens when couples are in the midst of raising a family,” she says.

But older spouses are more likely to struggle with health issues. The stress of chronic illness may put a strain on couples, and may limit their quality of life.

If you get married with the thought of traveling with your spouse, you may be disappointed and resentful if their mobility becomes limited.

“Also, age and illness can interfere with opportunities for physical intimacy, due to side effects of medications and overall physical health,” Timmons says.

Financial issues may work against their happiness, too. An increasing number of couples in their 50s and older choose to live together instead of get married, mainly because of the financial benefits. Living together lets the couple save on overall living expenses, but protects their retirements,

pensions, and even Social Security from being reduced or shared with their partner.

“Many will be retired and living on limited income, which could create struggles for a couple,” Timmons says.

“Marriage can actually cost couples (a lot more) financially in later life due to tax disincentives, loss of pension benefits or incurring of liability for partners’ medical expenses.”

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PETS

At the Tail End

Find common ground, so your pet won’t come between you and your partner BY CLARE WALTERS Just the sight of that cat makes your eyes water and your skin itch. But you suffer through it all because you love your girlfriend, and she loves her cat.

Or, it’s the moment when your husband arrives home after work, and greets his dog before he hugs you. That’s OK, you reason, because the dog’s been around longer than you.

But when does the animal devotion go to far? Will the beloved pet always rank higher than you?

A pet’s role in relationships is “far from neutral,” says Northport, N.Y., psychologist Suzanne B. Phillips. “Pets are really emotional connections. Something pretty powerful happens between people and pets. It creates a different dynamic than many other relationships we have.”

Given this unique relationship, it’s no wonder a couple might have trouble seeing eye to eye on the role of a pet. After counseling countless couples whose pets gave them reasons to argue, Phillips says she’s found one common denominator— it’s not about the pet at all.

“It may look like it is the pet with the problem, but it is almost always the people,” she says.

“If the couple is not good at problem solving and you have a high-maintenance pet, the pet becomes an added burden. It adds to the pile of other things the couple has trouble negotiating.”

Pet-lovers are also more apt to let their dogs and PSYCHOLOGIST SUZANNE B. PHILLIPS cats get away with acting up. When pets misbehave, owners are quick to forgive and forget. But couples often aren’t as swift to forgive each other for bad behavior, Phillips says.

“We let our pets get away with much more,” she says. “Pets are outrageous, but we accept them. We accept them in a very basic way, and they love us in a very unconditional way. A lot of times pets read people better than other people read people.”

Sometimes a person complains their partner is more affectionate with the pet than with them. Phillips says that conflict arises because the pet has become “a love object” for the owner.

“When a person says, ‘I need the attention you give the dog,’ and they ignore it, you really have a problem,” she says. “Put yourself in the shoes of the partner. We’re not thinking about replacing the partner with the pet. We need to see what we’re doing with our pets, and release that for the partner.”

When relationship needs clash, couples have to discuss it, she says. Whether it’s about the pet or just washing the dishes, don’t tiptoe around an issue.

“People can be extremely unrealistic,” Phillips says. “Just thinking it’s going to work out won’t solve it.”

It may look like it is the pet with the problem, but it is almost always the people.

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PETS AND BEDTIME When to give them the boot Some people let their dogs sleep with them at night. But it can mean big trouble when one partner wants to boot Fido from the bed. If you feel resentful about sharing your space with a pet, just speak up.

“You have to take ownership of the fact that you feel left out,” says psychologist Suzanne B. Phillips. “If you have an issue with a pet, then don’t store up resentment. Now you and the pet are at odds, and you and your partner are at odds.”

And ignoring your partner’s request might leave you in bed alone.

“The failure of the pet lover to see the problem is really a possible trap in that marriage,” she says. “We’ve got a bigger problem than the dog.”

FAST FACT Animals aren’t the only potential relationship deal breakers.

According to The Huffington Post, other major deal breakers include selfishness, nagging, overly controlling behavior, and lack of commitment.

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EATS

Here Goes the Bloat Banish big day puffiness with plenty of water and fiber

BY TREMENE TRIPLETT

You have the dress. He has the tux. You’ve both had the final fittings, and there’s no room for error. Though you might have lost weight for the wedding, last-minute plans and stress could cause you to sabotage yourself with quick-fix foods, leaving you swollen at the seams. To look and feel your absolute best, fuel up on food that will help you feel full. No bride or groom needs gas floating around with the butterflies in their stomach.

QUENCH YOUR THIRST Water makes up more than half our bodies, so it only makes sense that couples should up their H2O intake. Naomi Goodman is owner and creative director of At First Blush and Co., a wedding planning boutique based in San Diego. She says drinking plenty of water is an absolute necessity.

“The first thing I tell my brides six months prior is to increase their water intake to at least six bottles per day,” Goodman says. “Since water is one of the best ways to flush out your system, it’s a must. If they are OK with drinking coconut water, it’s even better than plain water for your skin— for total hydration and for its vitamins.”

And though you might get a hankering for a sip of soda, Goodman says to avoid carbonated drinks before the ceremony. You don’t want to be burping down the aisle.

“Fizzy drinks tend to leave you bloated. It’s not a good look for any bride, no matter how fit she may be,” she says.

NO NAPS, NO GAS, NO SWEAT A sleepy bride and groom don’t make for an interesting wedding. To stay energized and help your body function properly, eat food with protein—yogurt, nuts, turkey and cheese.

“It is a long, long day. Have sandwiches with protein for everyone to eat,” says Terri Carrell, owner of Celebrations Off Main, a wedding planning service in Russellville, Ky. “Fruit is also good. Nothing heavy to make them take a nap.”

Goodman says to stay away from gum chewing, too, which may lead to gas and stomach pain.

“Gum causes bloating due to the artificial sweetener many gums contain,” she says.

“Chewing gum on an empty stomach can also cause gas, in addition to stomach pains. Since your stomach is fooled due to the act of chewing, it begins to produce acid to help digest what it thinks it will receive, which leads to stomach pains.”

Food that makes you sweat is also off-limits, Goodman says.

“Spicy food and caffeine tend to do that, and if a bride wants to prevent nasty sweat stains on her QUICK TIP beautiful silk gown, then stay away,” she says.

Don’t chew gum the morning of You’ll already have the jitters, so stay away your wedding. from caffeine, which can make it worse. Opt for Your stomach decaf green tea instead. Trade out sugary breakthinks you’re fast treats, too. chewing food, “Instead of a Danish or sugary doughnut, and will produce swap it out for a bowl of oatmeal with fruit,” she acid to help digest says.

“It is higher in fiber, and will leave you feelit, which will leave you bloated. ing full longer.”

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MAJOR OFFENDERS Wedding planning exper t Naomi Goodman says you should absolutely avoid these foods.

Dairy “Dairy can cause gas, bloating and indigestion.

Eliminating dairy from your diet, sooner than later, is a benefit. You will lose a few pounds, as well.”

Beans, broccoli and Brussels sprouts “No beans or vegetables like broccoli, cabbage or Brussels sprouts— for obvious reasons. Stick to kale, spinach and other dark vegetables.”

MEDITERRANEAN WELLNESS WILL CLOWER, NUTRITIONIST

Ritual Winner It’s OK to love coffee. In moderation, it loves you back Coffee has become an anchor of sanity that for more than 150 million Americans who ring in each day with a “cup-a.” And though it has morphed from a “cup of Joe,” steaming from a ceramic mug at the local diner, to a specialty drink made in specialty cafés, the essence of coffee’s ritual comfort remains.

COFFEE, FOR RITUAL While living in France for two years, doing research on the brain, I went through the wonderful routine of eating lunch every day. In this part of the world, lunchtime is more of a lunch epoch—lingering until about 2:30—but they are not eating the entire time. It takes them about 40 minutes to finish their meal.

This is where ritual comes in. After lunch, we would amble off to “finish” the meal with a little espresso. The point wasn’t to bring a lidded Big Gulp bucket of caffeine back to your desk, but to sit with your friends and talk over this lovely drink. Within this daily ritual, coffee is a product, but more importantly it is a process of communicating.

COFFEE, FOR HEALTH The Mediterranean people have one of the healthiest diets on Earth, and they drink coffee daily. Your nutritionist may shriek in protest at this suggestion. But wake up and smell the coffee, because recent data confirms what you see in healthy cultures: Our favorite morning eye-opener is extremely good for you.

Coffee was associated with cancer some 60 years ago, but according to a massive study from the National Cancer Institute, “during almost 2 million person-years of follow-up ... consumption of caffeinated coffee ... was not associated with the incidence of colon or rectal cancer.”

It gets even better. Coffee consumption is associated with a lower risk of colon, breast and prostate cancers. So, if you’re concerned about the kinds of foods you need to eat to prevent the development of those cancers, sit down with a cup of coffee, and mull it over.

While you’re protecting your internal organs with a java jolt, you’re also doing your brain a favor. Coffee consumption improves cognitive function, so you think better. It is also associated with a reduced risk of Parkinson’s and Alzheimer’s diseases. So don’t forget to drink your morning coffee or you may forget to drink your morning coffee.

LOVE COFFEE, DON’T STALK IT All these incredibly healthy properties of coffee are available when you have it under control. If you have two to three

cups per day, you get all that brain boosting and cancer prevention. But coffee is like any other food: If a little is healthy for you, too much is no good.

If you need a rule, try this: Love your coffee. Just remember love is different from obsession—for food, drink and anything in your life. The only way to really love your coffee, and get the maximum health benefit, is to taste it. Enjoy it.

Focus on the flavor, and trade in highquantity for high-quality consumption.

If you love your coffee in this way, you end up developing a taste for it without needing sugar or other additives. Even better, when you actually love your coffee and take your time with it, you end up controlling consumption through your better behavior.

COOL BEANS Coffee is the second most traded commodity in the world, second to only oil.

There are more than 50 species of coffee worldwide, though only two—arabica and robusta—are commonly used in commercial coffee production.

Light roast coffee has more caffeine than dark roast because coffee is cooked out of the bean as it is roasted.

SOURCE: COFFEECUPNEWS.ORG

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Scrap the throwaway favors and sugary wedding cake.

Eat right, save money, help the environment and boost your attitudeâ&#x20AC;&#x201D;all while celebrating your eternal love.

In Healthy

Matrimony

By Tremene Triplett

With warm, sunshiny days and dewy nights, the summer season sparks romance. It’s swimming season, and a time when couples take the big plunge, tying the knot in front of friends and family. And what follows is the fun part—food, drink, dancing and reverie that create memories the couple will cherish through many anniversaries. It’s what every potential husband gets down on his knee for, and what every future wife says yes to.

As brides- and grooms-to-be coordinate their big day, more of them want to know they’re planning a party that doesn’t damage the environment, and presents their guests with a chance to be well with nourishing food and useful favors—all while keeping their stress level low.

If you want to join the healthy wedding movement, adjust your garter and get geared up. We’ve hopscotched the country to get the scoop on how to make the occasion great for bride, groom, guests and Mother Earth, all without sacrificing your style or making you crazy. So put the bridesmaids on speed dial, because we’re about green up your white wedding.

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TWO GREEN THUMBS UP Nothing sets the stage better for a simple, cost-conscious, venue-savvy wedding celebration than eco-friendly intentions. Research shows the appeal of conscientious weddings has steadily increased since 2009, says Kate Harrison, founder of GreenBrideGuide.com.

“Green is no longer a theme, but an approach,” says Harrison, whose website offers ideas, suppliers and vendors for eco-friendly weddings. “There are so many different styles to plan a green wedding.”

You don’t have to feel boxed in when planning a enviro-friendly wedding. Harrison describes a green wedding as “any wedding where the couple tries to decrease the impact of their event on the planet … without sacrificing style or elegance.” Incorporate just a few eco-friendly materials, such as invitations, or go all out and set a green scene for your entire wedding.

If you want to naturalize your ceremony from top to bottom, then Jane’s Saddlebag in Union, Ky., might be a prime pick. The 35-acre complex specializes in eco-friendly weddings.

According to Brett Blackmore, manager of Jane’s Saddlebag, seasons drive the wedding wish list. Most couples choose spring and fall because of the moderate weather, blooming flowers, chirping birds, and foliage changes, he says.

“Outdoor country weddings have become extremely popular, and their appeal is being married in a beautiful natural setting,” Blackmore says.

If you’re on the fence about committing to an eco-friendly ceremony, buy a starter wedding kit, like the one offered at GreenBrideGuide.com, which can help you get a taste for what your wedding could be, before you invest in the real deal. Green features that may come in a starter kit can include: Materials for recycled invitations Ideas for centerpieces and favors Where to buy recyclable canned or bottled soft drinks Where to buy potted local flowers, which guests can take home If you need more convincing, Blackmore says an eco-wedding can mean more green in your pocket. “Eco-friendly weddings are less expensive,” he says. “Why spend $30,000 on a church and reception? Why not do it for $7,000 to $10,000?”

Harrison says using recycled items for your wedding can save you about half of what you’d pay for a typical wedding.

“You can save up to 40% by green substitutions, for example, by using a once-worn gown or local plants and flowers,” she says.

Harrison offers advice to brides and grooms when selecting green wedding features.

Invitations: Try to find ones with post-consumer waste in them—paper goes into the recycling bin to be processed and re-pulped. If you don’t want to use paper, consider recycled cotton or online invitations.

Locally grown flowers: If you can’t find what you’re looking for locally, buy organic flowers or fair trade flowers. A “fair trade” label ensures the people who grew and picked the flowers were paid a decent wage, and price for their product.

Beware of “greenwashing”: When companies try to pass off conditionally produced items as eco-friendly. Look for fair trade labels and organic labels for verification.

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Green is no longer a theme, but an approach.

KATE HARRISON FOUNDER OF GREENBRIDEGUIDE.COM

78

%

of brides tried to make their weddings more environmentally conscious, according to What’s On Bride’s Minds, a 2011 survey from David’s Bridal, the largest bridal retailer in the United States

WHAT’S ON THE MENU It’s not unusual for couples to turn up their noses to gravy-covered red meats and starchy sides. Wedding-planning couples go for fresher, more local and healthier reception selections, says John McNabb, executive chef at Knapp Winery and Vineyard Restaurant in Upstate New York.

“People want to feel good about what they’re eating,” McNabb says. “There’s a romance with food and wine.”

The locavore movement—eating food that is locally produced—is in full swing at McNabb’s restaurant, with many brides and grooms jumping at the chance to chow down on their neighbors’ fruits and vegetables.

“Seventy-five percent to 80% of what comes into the restaurant is local,” says McNabb, referring to fresh food grown in New York state’s Finger Lakes region. Couples choose local food for their wedding because it’s fresher, and creates a more intimate atmosphere.

And guests enjoy knowing the food they’re digging into came from their community.

Fresh food presents a far more wholesome option, and seasonality plays a big part in what healthy couples serve their guests. Peter Ho is senior catering manager at the Grand Hyatt New York Hotel. He says chefs team up with local farmers to create menus that feature the freshest food during the season.

“It’s about the right flavor,” says Ho, a 24-year catering veteran. “In the fall, it’s mushrooms. In the spring, it’s strawberries.”

The once obligatory pile of starchy potatoes or pasta is a thing of the past, too.

“A lot of people are staying away from starches on the plate,” Ho says. “In its place, we’ll create something like rutabaga hash. We create another vegetable, not a starch, like a sweet potato souffle.”

Couples have also caught the gluten-free wave, McNabb says. This can be a huge relief for guests with gluten sensitivity or celiac disease, and results in healthier options for everyone. Catering companies can substitute quinoa flour for regular flour. Swap out salad croutons for walnuts or cashews, or trade your typical pasta for spaghetti squash.

Though you want your friends and family to leave content and satisfied, both Ho and McNabb say brides and grooms should focus on their choices for the day. If someone can’t eat a major main course, offer up alternative. But don’t break your back—or bank—trying to please everyone, because you can’t.

Replace your cake Couples are keeping in mind that not everyone can chow down on sugary cake—including those with diabetes or who are watching their weight. And isn’t that everyone?

Katie Andrews, co-owner of Rhapsodic Bakery in Orlando, Fla., specializes in gluten-free desserts. “Couples go gluten-free in search of healthier carbs,” Andrews says. “Anything we make as regular desserts, we can make gluten-free. Guests can’t tell the difference between glutenfree and regular desserts.”

Couples are also downsizing desserts.

Most guests don’t want to eat a huge hunk of frosting, so portioned-out treats are a great way to let people have their cake and eat it, too.

“The trend is people going smaller with mini desserts, cookies and brownies,” she says. “Unusual and unique desserts— caramelized popcorn cups and candied apples—are also trending.”

SET A TRANQUIL SCENE Y-M-C-YA, calories!

After the wedding cake, encourage guests to get up and moving. Melvin Evans Jr. is a fitness consultant based in Gary, Ind. “For 30 minutes of non-stop dancing, you will burn a minimum of 100 calories,” Evans says.

Line dances like the Electric Slide, Cupid Shuffle, and the Wobble, burn 125 to 150 calories.

Ballroom, salsa and tango will burn 150 calories or more.

When LaWanda Holmes-Williams, 42, and Derron Williams, 43, planned their August 2012 wedding, the Chicago residents tossed out the idea of a swanky venue.

Instead they chose an intimate, outdoor suburban wedding for their I-dos.

“I chose a friend’s garden,” Holmes-Williams says. The crisp, fresh air and a beautiful willow tree swayed her to a home garden instead of a more formal site.

“I always envisioned an outdoor wedding location. I grew up along Lake Michigan in Hyde Park.”

The Williamses used a picture of the garden as a backdrop for their invitation, which read, “Garden wedding, dress appropriately.”

With a budget of about $5,000, the couple tented half of the garden for the reception. The shaded area protected older family members who couldn’t take too much sunlight. They also served guests a healthy menu of salad, turkey and grilled fish, chicken kabobs and vegetables.

The Williamses are proof that a simple outdoor wedding is yours for the taking. With a bit of planning, ingenuity and creativity, you can have a wedding that is budget-friendly and health-affirming for you and your guests. Think about it: You’ll be less stressed and anxious, your guests don’t have to feel stuffy indoors, and you could save a significant amount of money.

FAVORS TO SAVE Ever wonder what happens to all the decorations and favors after a wedding? Most get thrown in the trash, and many see this as a waste of money and material. Lynne Carey is a wedding product designer based in Bowling Green, Ky. Better known as The Wreath Artist, she makes healthy wedding favors to sell all over the country. Instead of putting a piece of plastic at every place setting, many couples use favors and centerpieces as a way to include everyone in the memory, she says. Guests can take a piece of the wedding home with them. Consider these: “Plant flower seed favors, and watch them bloom—just like the love of the bride and groom,” Carey says.

Recycled paper wedding fan-programs Mason jars filled with homemade jams or jellies, or healthy trail mix A delicious apple or orange, wrapped in a little ribbon A donation in the guest’s name to a favorite charity

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STAMP OUT STRESS Wedding planners see the good, bad and ugly of out-of-control wedding parties and plans gone wrong. Terri Carrell, owner of Celebrations Off Main in Russellville, Ky., has decades of planning experience. She offers tips for stress-free planning.

“Be a guest at your own wedding,” she says. Hire a wedding planner or coordinator, so the bride and mother can enjoy the day.

Be organized. “We’ve planned a wedding in nine days!” she says.

Pay attention to details. You have a lot to consider in wedding planning.

If you consider the details, they won’t stress you out later.

Put your money toward what’s important to you. A photo booth sends your guests home with a keepsake, while the bride and groom get a memory book.

SIMPLE HELPS YOU SAVE If your budget is your first wedding concern, consider counseling from Elise Enloe, master bridal consultant with the Association of Bridal Consultants. She says money doesn’t need to be a major issue.

“People are looking to simplify more,” Enloe says. “Smaller, more intimate destination weddings are in. Destination weddings work because you don’t have to invite all 200 family members.”

Couples are starting to stray away from flashy, overpriced weddings. Enloe says they’re more focused on the personal experience rather than lavish expenses.

“In 2008, everyone wanted to spend $50,000. There are fewer weddings over $50,000 today,” she says. “What’s going on in the economy affects us. Everyone wants something personal. It’s got to reflect the couple.”

Do we marry who’s healthiest?

Married people are physically and mentally healthier than unmarried people.

Studies show marriage is linked to a lower risk of premature death. Another recent study done by Emory and Rutgers universities found married people who undergo heart surgery are three times more likely as single people to survive the following three months.

If we know being married can help us live longer, do we choose our partners based upon their health? Probably not, says psychologist Brenda Wall, based in Arlington, Texas. She thinks we might lean toward people who our primitive minds perceive as good mates, but our selection process isn’t that simple.

“We may be wired to pick the person who is a great child bearer and protector. It may be linking us to a more primitive process,” Wall says. “But I don’t think it’s as obvious as healthy people choosing healthy people. We likely choose people who have similar interests and shared values.”

While it may seem logical to pick a partner who can share a long healthy life with you, Wall says health issues don’t always tear a couple apart.

“If we’re married to someone who has a health challenge, it can draw out emotional and spiritual support that will (benefit) the individual and the couple,” she says.

LOCAL CONNECTION Cape Girardeau wedding planner breaks down ways to beat stress

BY DANETTE M. WATT

Planning a wedding may tax even the savviest hostess—never mind a busy bride-to-be. That’s when a wedding planner can help. Cape Girardeau wedding planner Nancy Moreton has these tips for a hasslefree wedding.

“The more organized you can be, the better,” Moreton says. “There are a lot of logistics to follow up on, so get some help from family and friends.”

Her most important advice? “Don’t take things too seriously. Get together with friends, and have fun.”

Smart brides should have an emergency kit for those last-minute details and disasters.

Static guard to keep dresses from hugging the legs Spray makeup finisher.

“A couple of spritzes will set your makeup.”

Small sewing kit, straight pins and safety pins Bobby pins to keep a veil in place Double-sided tape “for strapless dresses that won’t stay up. You don’t want to keep tugging at your dress.”

Black socks for the men, extra pantyhose Facial tissues Eye drops, contact lens solution, feminine products, breath mints Chalk. “You wouldn’t believe how handy chalk can be.”

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ECO LOVE GETAWAY GUIDE Community Health writer Anne Schuhle discovers eco-travel out West, and helps honeymooners connect with nature—and each other—at gorgeous natural destinations closer to home.

You’ve got the church, the food and the flowers, and you’re all set for your wedding.

Now it’s time to start planning your honeymoon. So, where do you start? Well, if you’re a duo who like to explore the outdoors and protect Mother Earth, you’re already ahead of the game. The trend toward eco-friendly honeymoons has slowly but surely been gaining momentum—especially for travel-bug couples who want to have fun while experiencing all the wonders of our natural world.

Vacations are often filled with decadent food and lazy days, but you can find plenty of opportunities to feel alive and be well, as travel experts say it’s easy to plan an ecofriendly excursion just about anywhere.

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SUPPLIED PHOTOS

HOP ON TH E HONEYMOO NT

R AI N

Travel agents who specialize in romantic getaways encourage newlyweds to use public transportation as an eco-option.

I voyaged across the country on a train trip to discover whether travel-by-rail had honeymoon potential. The answer? A big yes! The myriad new acquaintances I made on my 20-day excursion included several honeymooners.

Al and Martina Lynch f lew to the United States from Ireland to spend several weeks drinking in the landscapes of our great country from the window of an Amtrak train. Another couple boarded in Chicago for a quick destination wedding and honeymoon in Reno, Nev. The granddaddy of mass transportation, rail travel is eco-friendly and feels much less rushed than flying. Coach seating is inexpensive, but you should choose a sleeping compartment if you like having your meals included, and you value comfort and privacy. It is a honeymoon,

after all.

Train travel gives you the flexibility to tailor the honeymoon to your personality.

Outgoing couples can relax in common areas to enjoy the unique sense of community that develops among people from

all walks of life, from across the globe.

But if youâ&#x20AC;&#x2122;d rather keep to yourself in your cabin, you can.

You can also choose a rail pass, which lets you enjoy an eco-adventure along the way, and re-board days later.

The Amtrak dining car (left), complete with linen tablecloths, offers an air of elegance.

The roomette is the smallest of Amtrakâ&#x20AC;&#x2122;s sleeping accommodations. The two seats pull forward to create one bed, and a bunk pulls down from above. Below the window is a stowable tabletop.

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UTAH My first destination was Salt Lake City, where my college friend Kathy picked me up late on a Sunday night. With mountain bikes securely strapped to her car, we drove to Moab the next afternoon to spend three days visiting Dead Horse Point State Park and Arches and Canyonlands national parks.

The rail line provided breathtaking views of Donner Lake, the snow-capped Rocky Mountains and Sierra Nevada Mountains, and beautiful buttes and mesas. But it couldn’t compare to seeing these sights up close and personal, as our other senses were indulged as we traversed these landscapes.

Clear, clean air warmed our bare arms and calves as we hiked along the paths, gaping at the oranges and browns of monolithic sandstone. As we inhaled the delicate scent of sage and marveled at this rare beauty, only occasional raven caws broke a splendid silence.

I chose to travel in October to avoid the crushing heat. But that meant I missed out on rafting and some of the other adventures available non-stop from April to September.

If you choose an off-season honeymoon, do your research and call ahead to guarantee you’ll have activity options, and won’t be stuck indoors watching television.

When we returned to northern Utah, we did fit in a water adventure: swimming in a geothermal crater at The Homestead Resort in Midway. The 90-degree water, a tad stifling at the outset, felt heavenly within a minute or two. The site is open for yoga classes, snorkeling and scuba lessons. But on that Sunday afternoon, we just lounged. Gracefully, giddily and gladly, we floated in soft, soothing water heated by the Earth’s interior.

Dead Horse Point State Park (from left) towers 2,000 feet above a gooseneck in the Colorado River.

Many Utah neighborhoods offer views of the wide open sky. Arches National Park in Moab is home to more than 2,000 arches and an array of rock formations.

CENTRAL NEW YORK The Finger Lakes region spans 10 counties, so the opportunities for a green getaway are virtually endless. Pick a lake, and see what it has to offer.

At VisitFingerLakes.com, you’ll find trip planning information for every season. You can also download information about hiking, biking, fishing and kayaking. Get a taste of all four activities in a Quad-Adventure Escape to Naples, one of many small communities in this increasingly popular region.

Finger Lakes Visitors Connection also has a convenient Hiking and Biking kit you can get ahead of time—call (585) 394-3915—with dozens of individual cards mapping out specific routes, their distance and difficulty level.

You’ll have no trouble finding an environmentally friendly dining spot.

Among the newest is the Leaf Kitchen on Hamilton Street in Geneva, which features menu items created purely from locally produced ingredients.

For a full-immersion green honeymoon, consider spending a few days or more at EcoVillage in Ithaca, where dozens of people pursue an environmentally conscious lifestyle full time. Stay in a guesthouse, or a bed and breakfast.

Visits can be tailored to your needs and interests, including eating organic meals. For more information, visit EcoVillageIthaca.org.

Schuyler County—home to the world-renowned Watkins Glen International Racetrack—is also where you’ll find the Ginger Cat Bed & Breakfast, which offers vegan fare, woods and gardens within 15 minutes of wine trails, a state park and The Farm Sanctuary.

Open to visitors from May through October, the sanctuary’s New York Shelter is part of a national organization that works to promote vegan living, and protect farm animals. Stop in for a tour and a chance to feed the animals, while learning about the sanctuary’s services and mission.

For a hands-on experience, you might want to stay in the on-site cabin or bed and breakfast, which serve up a vegan breakfast and lets you help with chores or just hang out with the farm animals. For more informa- EcoVillage tion, visit FarmSanctuary.org.

It’s no secret that the train provided breathtaking views of the scenery. But it couldn’t compare to experiencing these sights up close and personal.

CALIFORNI

A

I narrowed my California priorities, which is necessary when planning a brief visit. I stayed with my niece, Suzanne, and reconnected with another college friend, Nancy. I spent a day in San Francisco, and enjoyed two days seeing Muir Woods, the cities of Monterey and Big Sur, and the Golden Gate Bridge.

Muir Woods is home to towering redwoods and natural fascinators I’d never considered—delicate curling lichen, slimy yellow banana slugs, and mammoth burls 80 feet above.

California is a great place for an ecohoneymoon because you can cut your visit’s carbon footprint everywhere you look. Suzanne and I used four types of mass transit in San Francisco, and we could have toured the city in a teeny-tiny Smart Car. Even more fun might have been the Segway scooter lessons we saw underway as our tour bus passed Golden Gate Park.

SUPPLIED PHOTOS, ECOVILLAGE PHOTO BY JAMES BOSJOLIE

MISSOURI AND ILLINOIS

Pier 39 (above) at the edge of San Francisco’s Fisherman’s Wharf is a popular tourist stop, partly because of the hundreds of sea lions that lounge there, soaking up the sun. A young couple (top photo) enjoy the view from the rocks at the edge of Monterey Bay, Calif.

Home to many of Missouri's spring-fed streams and crystal clear waters, Southeast Missouri is a haven for nature lovers. The Ozark National Scenic Riverways are also home to some of the most beautiful countryside and trails and streams in the country. Rent one of the Big Spring Cabins, rustic, yet appointed with modern amentities, and very affordably priced. Check out NPS.gov/ozar.

You can also work up a sweat climbing giant billion-year-old granite formations at Elephant Rock State Park in Bellview, Mo. A self-guiding trail winds among these geologic wonders, named for their resemblence to circus elephants standing end-to-end. Learn more at VisitMO.com.

Just south of Carbondale, Giant City State Park also offers bountiful outdoor recreation opportunities, including rappelling, horseback riding, rock climbing, picnicking, hiking, fishing and boating. Among its numerous wilderness trails are the unique Giant City Streets, where you can walk along paths flanked by huge sandstone bluffs that date back 12,000 years.

Feel like sleeping under the stars? No problem. You’ve got dozens of campsites to choose from if you want to rough it—plus historic, prairie and bluff cabins, and a rustic lodge with Michelle Winery and Vineyard a 50-foot water tower. Giant City is a on the Southern Illinois Wine Trail great place to get a feel for the history of the area and the role it played in the Civil War. Nearby you can find golf courses, the Southern Illinois Wine Trail and the Root Beer Saloon in Alto Pass. For more information, visit StateParks.com/giant_city.html.

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KENTUCKY

Land Between The Lakes

Land Between The Lakes National Recreation Area has embraced eco-living in recent years. Its Respect the Resource campaign encourages visitors to do no harm while they’re in the park. Recycling is the name of the game here, and there are trash bins at several sites for aluminum, steel and some plastics. Other resource management projects dot the park, so it’s easy to enjoy an environmentally responsible honeymoon here. One of the special features at the park is the Golden Pond Planetarium, which hosts programs throughout the year, including laser shows and an interpretive program called Skies Above.

In addition to hiking and water sports, you can ride all-terrain vehicles, mountain bike along lakeside cliffs, and explore historic Civil War sites. The recreation area’s website offers instructions and several maps for self-guided wildlife tours, too. For more information, visit LBL.org.

If you want to make your honeymoon more memorable, Mammoth Cave National Park is one must-see feature in central Kentucky. At 400-plus miles, it’s the longest known cave system in the world. Ranger-led tours are the best way to explore the huge chambers and twisting labyrinths.

Land Between The Lakes Spend the night and get a good meal at places inside or outside the park. While you’re there, you can also canoe Green River, hike, picnic, horseback ride and bicycle.

Tours of the park are available in new high-efficiency vehicles that use alternative energy sources. For more information, visit NPS.gov/ maca/index.htm.

멾꼙꽶꿙끤낳

Golden Pond Planetarium

HONEYMOON WHO, WHERE AND HOW Most leave within a day or two of the wedding

MOST POPULAR

62% Couples who pay for their honeymoon

ROMANTIC BEACH 36% CITY AND BEACH 24% OTHER 17% ACTIVITY (GOLF, SKI) 15% SAFARI 5% CRUISE 3%

$4,466 Average amount spent on the honeymoon 15% Honeymoon couples who spend more than $7,000 7Average days honeymoon length 4Howmonths far in advance the average honeymoon is booked TOP OVERSEAS DESTINATIONS

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MEXICO HAWAII JAMAICA BAHAMAS ITALY ST. LUCIA

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

TOP DOMESTIC DESTINATIONS

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FLORIDA CALIFORNIA NEVADA

63% of honeymoons are to overseas destinations 37% are to domestic destinations SOURCE: ALLABOUTHONEYMOONS.COM

PHOTOS COURTESY OF LAND BETWEEN THE LAKES AND O’NEIL ARNOLD PHOTOGRAPHY

1.4 million Couples go on a honeymoon every year

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MID AMERICA

ALTON, IL

PICTURE OF GOOD HEALTH

Four Feet Forever

LOVE AT FIRST RUN The couple met four years ago at a running club.

Patrick introduced himself to Maria while she was training, and their love for running sparked a connection.

THIS CELEBRATION SPOT The Great River Road Race stretches 10 miles, running parallel to the Mississippi River going north from Alton.

FAIRYTALE FINISH Patrick proposed to Maria in February 2012, right after they both ran the Disney Princess 5K in Orlando, Fla. When they crossed the finish line, he got down on his knee and popped the question.

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

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SUPPLIED PHOTO

RUNAWAY BRIDE AND GROOM Maria and Patrick Hasenstab, of Swansea, Ill., ran the annual Great River Road Race in Alton the weekend after they married in November 2012.

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