Community Health August 2013

It’s YOUR CALL

After-school activities guide for your BEST YEAR YET! Go to our website: cmghealth.net

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MID AMERICA Above: Cheerleaders at Waterloo High School in Waterloo, Ill., get pumped for a new season

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: 5 + #( *#( (- +

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A Positive Lad

When Elaine Shirrell decided to have knee surgery, sh life, for the rest of her life. Elaine is active, to say the le having fun with her red hat club, or just keeping up wi choices. I could have the surgery and walk, or not hav

After her successful surgery at SoutheastHEALTH, El then at HealthPoint Rehab. Working hard with Amy, he walk up to two miles. Along with Clinton, her husband happy years of travel and spending time with family.

View Elaine’s Full Stor

The Largest Provider of Healthcare in the Region

Where you need us.

55

Perryville Fredericktown

Jackson Cape Girardeau

Ellington Bloomfield

I had one of two choices.

I could have the surgery and walk, or not have the surgery and be in a wheelchair.

Elaine Shirrell ( *& ' (- -# ( * #+ + .

60

Sikeston

Van Buren 60

Poplar Bluff

Dexter Bernie

55

Doniphan Malden

I chose to walk.

dy Gets Back to Living

he knew it was not just about feeling better – it was about her quality of east. Whether she’s teaching Sunday school, volunteering with the blind, ith her grandson, TJ, Elaine has a lot of living left to do. “I had one of two ve the surgery and be in a wheelchair,� said Elaine. “I chose to walk.�

laine began an intensive rehabilitation program, initially at home, and her rehabilitation therapist, Elaine is now back on her feet. She can even of 53 years, Elaine is back to being active and looking forward to many .

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

ry at SEhealth.org/stories

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 8

A LOAD OFF EVERYONE38

When the final bell rings, your child is probably heading to soccer practice, drama club or debate team—or maybe all three. Kids want to be involved in everything, but a mountain of extracurriculars could avalanche into a bad attitude and slipping grades. We’ll help you balance their schedules for an enriching and manageable year.

BY CLARE WALTERS

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 Good Health

M ON ITO R S 28 WOMEN 30 MEN 31 FAMILY 32 SENIORS 34 PETS 36 EATS

On the cover Members of the Waterloo High School cheer team. In the foreground, Rachel Magouirk. Back row, from left, Kelli Strong, Allison Sparr, Emma Meadors, Mariah Isaacs, Paige Kean, Ashton Nobbe (hidden), and Alyssa Miller. Not pictured, Melissa Roider.

Photo by Chris Malacarne

ALL THE RIGHT MOVES

BY DANETTE M. WATT

4

AUGUST 2013

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

11

Playing chess, kids get the thrill of announcing “checkmate!” Parents get the thrill of knowing kids are challenged to plan strategies and sharpen their math skills.

CUTIE PATOOTIE.

A BIRTHING CENTER FOR YOU AND YOUR BABY. When your big day arrives, you can count on the dedicated team at Heartland Family Birthing Center for family-oriented care that’s responsive to your needs and preferences. We’ll make your special moment even more memorable with a quiet private room, experienced OB nurses, comfortable amenities and a congratulatory meal. You’ll even receive a free car seat and gift basket with items for you and your little one. It’s all here, close to home, at Heartland Family Birthing Center – where families are born.

FIND A PHYSICIAN AND TAKE A VIRTUAL TOUR AT HEARTLANDREGIONAL .COM

[ A note from the medical editor ] CHAIRMAN

Larry Perrotto MANAGING DIRECTOR

Parents, you have to take the wheel

Mark Hornung EDITOR-IN-CHIEF

Carole Sharwarko ART DIRECTOR

Bret Figura ASSOCIATE EDITOR

Jackson A. Thomas LOCAL EDITOR

Danette M. Watt

Do you spend hours upon hours driving your

AD TRAFFIC MANAGER

Joseph Krystofiak

kids from activity to activity after school and on

MEDICAL EDITOR

the weekends? You must be exhausted, and you

Janis Mendelsohn, M.D.

are not alone.

SALES DIRECTOR

Liz Latta

Think about this: Maybe your kids are too involved, too competitive or too overbooked. Of course they want to do it all—they love a sport this week, a music activity the next. They just want to join their friends, and maybe make some new ones along the way.

Here’s how to spot whether they are physically and emotionally overloaded.

FREQUENT INJURIES ³ Recent evidence indicates certain activities can be hazardous to a growing body. Pitching a baseball can have long-term effects on the elbow and the shoulder joints. These young joints simply cannot handle the repeated stress of the pitching movement. ³ Concussions among young athletes have increased, often with long-term effects such as memory loss and an inability to focus on academic work. ³ ACL (knee ligament) tears have become a serious problem for young basketball players, especially girls.

EMOTIONAL SIGNALS ³ Excessive anger at a loss on the field that spills over into family and school life ³ Feelings of failure or depression.

These feelings may come from expectations to achieve. Parents, coaches and peers can all be responsible ³ Over-stimulation and sleep deprivation ³ Distress over falling grades and an inability to complete school assignments

In my practice, I see kids who fit all these categories—the overlap is greater than you’d think. And I have a new regard for the danger of sports-related injuries, especially concussions, many of which are not benign. It’s not simply

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.

a matter of getting up and going back into the game, after all.

I am a strong advocate for childhood sports and music participation, but very concerned about overexertion, competitiveness and seri-

1550 S. Indiana Ave., 2nd Floor Chicago, IL 60605 (312) 880-0370 (312) 880-0371 fax editor@cmghealth.net

ous injury potential.

But you can protect your child, and keep life balanced for the whole family. ³ Watch for danger signals, physical, emotional and academic ³ Be supportive, but set limits—you are the parent ³ Don’t be pushy

Put down the car keys and think. You, the parent, must put on the brakes. There is time for extracurricular activities, but there are still

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.

just 24 hours in the day. School is clearly on the top of the list, and should never be jeopardized.

CMGHealth.net

Facebook.com/CommunityHealthMagazine

Dr. Janis Mendelsohn 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

AUGUST 2013

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

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METRO EAST: ALTON, IL

MID AMERICA

Handheld Improvement iPads open the door of communication for speech therapy patients

BY DANETTE M. WATT

People visit a speech therapist for help with all sorts of issues—whether they’ve suffered a stroke, have an articulation problem, or want to slow the pace of their speech.

When JoEllen Corona consults with patients at Alton Memorial Hospital, she now can tell them, “There’s an app for that!”

Corona has worked as a speech therapist for the past 19 years.

In October 2012, Alton Memorial Health Services Foundation’s Mary Alice McCarthy Fund donated two iPads for speech and occupational therapy purposes. Therapists can now help patients with articulation, pragmatic skills, syntax and comprehension—all while keeping up in the always-advancing digital world.

“They’re very user-friendly,” Corona says. “It’s really been incredible, and more apps keep coming out. In my years of practice, I’ve seen improvements in how we teach, and what we can teach.”

SCREEN SKILLS Corona got into the medical field 25 years ago, and says she never guessed how big of a role technology could play in speech therapy.

Working with an iPad has opened up a new world of communication for patients. She remembers working with one boy who quickly learned how to navigate the tablet.

“We gave an iPad to a 6-year-old boy with autism who wasn’t talking or communicating,” she says. “We didn’t expect him to know what to do, but the little guy picked up on it right away.”

Another therapist took pictures of toys around the room and uploaded them to the iPad, forcing the boy to learn to make choices. Instead of the therapist choosing something for him to do in treatment each day, the boy could now decide for himself.

“It was evident that something was behind those eyes,” Corona says. “We had to find out what, and how to best tap into it. He was able to push icons on the iPad, which established a communication system—not only in therapy, but at home and in the school setting.”

VISUAL CUES Children with articulation problems improve in about six to eight weeks of in-office therapy. And concurrently working with an iPad at home can speed up the process tremendously, Corona says.

“We see kids usually 45 minutes, one time weekly. The iPads are mobile, so parents download a suggested app that complements

Laura Vinyard, a speech language pathologist at Alton Memorial Hospital, works with 4-year-old Jay Robeen on an iPad.

what we are doing in therapy. A child can do practice drills in the car, or while waiting for appointments,” she says.

They can play videos demonstrating how the lips, mouth and tongue should be positioned, while providing visual and audio feedback. This gives kids the opportunity for quicker improvements.

“Everyone’s mouth is a different size and shape. Using the visual app on the iPad shows placement of the tongue to make the sound correctly. The high quality of the picture and the movement of the mouth help with the modeling process,” Corona says.

People who’ve suffered a stroke often have to learn to swallow again, and they can use an app to show them how. Apps can also teach social language skills, such as conversing and taking turns when talking to someone.

“This is especially important for stroke patients,” she says.

“These skills are ingrained in the brain, but have to be retaught.”

SUPPLIED PHOTOS

We gave an iPad to a 6-year-old boy with autism, and didn’t expect him to know what to do. But the little guy picked up on it right away.

SPEECH THERAPIST JOELLEN CORONA

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

AUGUST 2013

9

Count on Christian To Make Medicine Better.

Laura Gruen, MD Interventional Cardiologist

The area’s first open heart surgery. St. Louis’ first robotic lung lobectomy.

And coming soon, a cutting-edge hybrid OR. As a proud, founding member of BJC HealthCare, Christian Hospital is driven to achieve ever-higher levels of patient care and clinical excellence. Just imagine what the future will bring.

Learn all the ways Christian Hospital is committed to providing Care for Life.

Visit ChristianCares.org today, or call 1.877.747.WELL (9355).

METRO EAST: ST. LOUIS

Plan and Execute

MID AMERICA

Grandmaster Yasser Seirawan contemplates his next move in round 10 of the 2012 U.S. Chess Championship.

Chess challenges kids to learn strategy and algebra

BY DANETTE M. WATT

Kids probably see chess as a plodding table game for older folks. Who wants to quietly and strategically calculate their every move, when you can drive a Lamborghini or blow something up in a video game?

But young player Ben Clair says chess is fun stuff. And seasoned players Tony Rich and Yasser Seirawan say the game can help students gain academic skills.

A LEAGUE ALL THEIR OWN In their own way, each is involved with the Chess Club and Scholastic Center of St. Louis. Rich is executive director, and has played chess since high school. Seirawan works as a full-time resident chess grandmaster. He became a grandmaster when he was about 20 years old. And Ben, a 10-year-old from St. Louis, attended a CCSCSL summer camp in July.

The CCSCSL was founded in 2007 to promote scholastic chess across the greater St. Louis region. It provides a place for casual players to face off, and hosts tournaments, including the U.S. Chess Championship.

The center offers five camps each year. Two are open to the public and introduce the game to beginners, and the other three are invitation-only.

“These are for kids who have shown proficiency at chess,” Rich says. “It’s to help them develop as chess players, and a chance for them to decide if chess will be a hobby or a life profession. It’s a chance for us to see if we can make grandmasters out of them.”

SUPPLIED PHOTOS

RULES STILL APPLY Ben has been playing chess since he was about 4. That’s when his dad, Bryan, started teaching him “the game of kings.”

“I like chess because it lets me think a lot,” Ben says. “I like the

Kids’ minds are like sponges. Chess is more like a treat for them than work.

YASSER SEIRAWAN

strategy of it. It’s complicated but fun.”

Ben is a fourth-grader at New City School in St. Louis, one of CCSCSL’s 100-plus partner schools and community centers. The center teams up with local schools, Rich says, because they think playing the game can greatly benefit a student’s grades and overall education.

“We want to prove that chess has a real impact on academics,” Rich says. “History, geography, spatial awareness—all can be learned through the game. When you play chess, you’re breaking down a complex problem into parts, and using analytical skills.”

But just because you bring chess to groups of students, doesn’t mean it’s all fun and games. Schools must still stick to their curriculum, and chess can help with that.

“One standard for third-graders is learning a coordinate system. The chessboard does that. It’s a grid,” Rich says. “With its 64 squares labeled horizontally ‘A’ through ‘H,’ and vertically ‘1’ to ‘8,’ each square identifies a unique algebraic notation, such as B8.”

MORE THAN A BOARD GAME Chess involves theory and practice, says Seirawan, who’s been teaching the game since he was 14. Playing is the practice. Theory is the preparation—learning the strategies. And you have to look at the game as a whole when you’re done playing, to see if you made good or bad decisions, applying them the next time you play.

“Chess teaches that there are consequences for the actions we make, just as in life,” Seirawan says.

Ben says he doesn’t have a favorite strategy. “It depends on how the game is going,” he says.

And his mother, Elissa, says playing chess has boosted his self-confidence.

“He’s on a chess team at school, and plays in a tournament every month. I believe it has helped his mathematical skills, too,” she says.

Seirawan hopes to change people’s perception of chess as a game that’s boring and too difficult to play—especially for young students.

“Kids’ minds are like sponges,” he says. “Chess is more like a treat for them than work. They are very motivated to learn.”

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

AUGUST 2013

11

Southeast Cancer Center Inspires Cancer Survivor

Cancer survivor David Coleman reads a book with his children, twins Maya (left) and Noah.

Testicular cancer is one of the most curable cancers – if detected early enough. Doing a monthly self-exam can increase your chance of survival. To learn more, visit ManExam.org.

David Coleman establishes ManExam to educate men about testicular cancer Many men don’t want to talk about testicular cancer. David Coleman isn’t one of them.

After undergoing successful surgery and chemotherapy for testicular cancer in 2010, David, a Cape Girardeau marketing professional, created ManExam. The organization seeks to educate men about the disease and encourage them to perform a monthly self-exam.

Compassionate Care David says he was inspired to establish ManExam as a result of the compassionate care he witnessed from Southeast Cancer Center staff while undergoing chemotherapy prescribed by oncologist James C. Mosley III, MD. “They came in every day ready

James C. Mosley III, MD

to do all they could to help the patients,” he recalls. “It made me want to do something to help and, because I had a marketing background, an awareness organization seemed to be the perfect idea.”

The organization offers traditional advertising to those wanting to promote awareness of the disease and the importance of self-exams. “Most people want to do something to spread the word in their communities. Our business model allows us to be a resource,” he explains.

Testicular cancer is the most common form of cancer for men, ages 15 to 35, although it can also strike men in their 40s and 50s. It is one of the most curable forms of cancer if caught early enough,” David adds. “There is no reason men should die from this.”

“I was 37 when I was diagnosed with testicular cancer,” he says. Like many men, he initially put off going to the doctor when symptoms first appeared. But after being diagnosed, he sought treatment at the Southeast Cancer Center. “When you’re fighting for your life, you want the best in cancer care,” he notes.

“I think the Southeast Cancer Center combines the highest level of care with true compassion. When you walk in, you immediately have a feeling of warmth and security. The staff really treats you like family.”

Family means a lot to David. He loves spending time with his wife Jerri and 5-year-old twins Noah and Maya.

Helping Others David believes his experience in overcoming cancer can help others. It’s particularly important to spread the self-exam message to young men, he adds. “Young men by their nature don’t go to the doctor.”

Primarily web-based, ManExam uses the power of the internet and social media to create awareness about the disease and encourage men to do monthly self-exams.

The ManExam message is being heard around the world. People in over 120 countries have viewed the website.

ManExam has gained national and international attention through celebrities like comedian Marc Maron and acclaimed guitarist Peter DiStefano.

Reaching Out Through his ManExam organization, David also reaches out to men undergoing treatment for testicular cancer. He personally pays for care packages for cancer patients.

“I also send a personal note with my phone number,” David says, adding that he welcomes the opportunity to encourage those who are battling the disease.

As a father, David says he also doesn’t want to see teenagers die of testicular cancer when early detection could save their lives. “I want these young kids to be able to be fathers too someday.”

View David’s full story at SEhealth.org/stories.

Symptoms of Testicular Cancer 8 Lump on a testicle, or a swollen or hard testicle

8 A collection of fluid in the scrotum

8 Enlargement or tenderness of the breasts

8 Heavy feeling or discomfort in the lower belly or scrotum

Southeast Cancer Center The Difference is How You’re Treated The Southeast Cancer Center is the area’s only purely dedicated cancer treatment center – an innovative facility featuring state-of-the-art technology and leading cancer specialists – built around a new, patient-centered approach to cancer treatment.

A Passion for Care Our expert staff provides the best in cancer care from diagnosis and treatment to support and recovery, all under one roof.

Visit SEhealth.org/ CancerCenter to learn more about the Southeast Cancer Center experience.

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MID AMERICA

300 child helmets delivered at health and safety fest Alton Memorial Hospital recently wrapped up its seventh annual Family Health and Safety Fest, giving about 300 free bike helmets to children ages 4 to 14. Helmets First, an organization led by pediatrician Dr. Joseph Cangas, provided the helmets. Among children in that age range who went to an emergency room for bike injuries in 2012, 40% had injuries to their head or neck. “As a pediatrician, I’ve seen everything from scalp lacerations requiring staples, to stays in the intensive care unit that have led to total devastation due to kids in bike accidents not wearing a helmet,” says Cangas, who is known as the Helmet Doctor. The fest also included a martial arts demonstration, information about dental hygiene, an Illinois State Police rollover vehicle, and the Alton Fire Department Smokehouse.

ALTON ~

Kelly Birdsong, of Alton Memorial Hospital EMS, shows children the inside of one of the ambulances during the Family Health and Safety Fest. The event brought more than 450 people to the back parking lot at AMH.

New cancer center planned for area Southern Illinois Healthcare has received approval from the Illinois Health Facilities and Services Review Board in Chicago to build a cancer center in the region. The 42,000-square-foot facility will be located on Route 13 in Carterville, on 15 acres of wooded property just west of John A. Logan College. “We are excited to move forward,” says SIH president Rex Budde. “From the beginning, this project has received substantial community support by way of the many letters sent to the review board on our behalf, and fundraising support through our SIH Hope is Home campaign.” The center will bring radiation, medical and surgical oncology, cancer rehabilitation, clinical trials, and support groups under one roof.

CARTERVILLE ~

SUPPLIED PHOTOS

Hospice hosts children’s grief camp MT. VERNON ~ SSM Hospice of the Good Samaritan recently hosted a grief camp for children who have experienced the loss of a loved one. Camp MAGIC (Mending a Heart, Grief in Children), a free, one-day grief retreat for children ages 5 to 12, was at Shriner’s Park. Camp MAGIC is a safe environment where kids can openly express their feelings about the death of a loved one, while having their fears or concerns addressed. Each child was paired with a volunteer to provide companionship, support and supervision throughout the day.

Professionals conducted age-appropriate activities on grief, loss and recovery.

Health center library gets $5,000 grant Good Samaritan Regional Health Center’s Innovation & Learning Center has received a $5,000 grant from the Illinois State Library. Secretary of State Jesse White presented more than $1 million to the Back to Books grant, which was awarded to more than 230 libraries in Illinois. The Federal Institute Museum and Library Services and the state of Illinois Library Funds sponsored the grant. “We are really excited to have $5,000 to spend on updating books in the medical library,” says health center librarian Coleen Saxe. “Our goal is to provide the best patient care possible, and knowledge is the key to doing just that.” New books and materials will focus on subjects such as medical, nursing, allied health, and anything related to the hospital’s services.

MT. VERNON ~

Hospital and fitness center team up for teen wellness challenge ALTON ~ Saint Anthony’s Health Center and Nautilus Fitness Center joined forces to present the Teen Fitness & Wellness Challenge, designed to teach teenagers proper exercise techniques and eating habits. The 10-week program started June 3 with an exercise session. Points were earned for attending fitness and wellness sessions, and prizes were issued at the end of the program. “We wanted to offer an affordable summer activity to get the kids moving,” says Susie Sweetman, a certified personal trainer and general manager for Nautilus Fitness Center. “Both Nautilus and Saint Anthony’s are serious about combating the rising child obesity rates.” Saint Anthony’s health care professionals discussed with the teens how they eat, their activity levels, and their strategies for making healthy choices. “We know young lives are at risk by being overweight and under-fit,” says Ginger Becker, Saint Anthony’s chief clinical dietitian. “We need to educate teens about fitness and healthy food choices to reduce avoidable diseases and disabilities in their futures.”

Upbeat phlebotomist wins Employee of the Year BELLEVILLE ~ More than 450 employees at Belleville Memorial Hospital, Memorial Care Center, Memorial Medical Group and Belleville Health and Sports Center were recently honored at this year’s Employee Recognition Dinner. Kaven Fairley, of Belleville, was named Employee of the Year out of 12 candidates recognized as Employee of the Month throughout the year. He has worked at Belleville Memorial for three years as a phlebotomist in the laboratory. Fairley was described by many patients as being a “bright spot in their day,” always smiling and willing to help others around him. He says the most rewarding part of his job is the satisfaction of seeing a patient’s condition improve in just one day.

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

AUGUST 2013

15

SEMO NEWS+NOTES

MID AMERICA

Professor studies outcomes of maternal obesity Dr. Kelle Moley, professor of obstetrics and gynecology at Washington University School of Medicine, was recently elected president of the Society of Gynecologic Investigation. The SGI is an international society that inspires investigation of global problems in women’s reproductive health through achievements in discovery, transferring new knowledge and training future scholars. Moley works at Barnes-Jewish Hospital as vice chairwoman and director of basic science research in the Department of Obstetrics and Gynecology. She is studying how maternal obesity, as well as type 1 and type 2 diabetes, affect the development of mouse embryos, which could provide insight into the pregnancy outcomes of these diseases in humans. Visit obgyn.wustl.edu for more information.

ST. LOUIS ~

High school basketball supports Champions Against Cancer Southeast SportsCare and Jackson High School men’s and women’s basketball teams partnered for Champions Against Cancer during the recent basketball season. The teams raised about $2,600 through T-shirts sales and a St. Louis Cardinals ticket raffle. About $1,300 was donated to SoutheastHEALTH Foundation for the Cancer Patient Experience Fund, and about $1,300 was donated to Jackson Athletics. Jackson Athletics presented its portion to the B Strong Foundation and St. Jude Children’s Research Hospital. Men’s basketball team members Skyler Steele (from left) and Braxton McDowell, with coach Darin Scott, accepted the check with women’s basketball coach Tyler Abernathy and team member Danielle Daume. They were joined by SportsCare representative Katie Niles, SoutheastHEALTH foundation executive director Mary Burton-Hitt, and SportsCare representative Matt Carter.

JACKSON ~

Health system partners with collaborative network Blessing Health System in Quincy, Ill., recently announced it will participate in the BJC Collaborative, a partnership among health care systems throughout Illinois, Missouri and Eastern Kansas. BJC HealthCare and neighboring health systems founded the collaborative in October 2012, to improve health care quality and efficiency in the Midwest region. Member and participant organizations hope to improve access to and quality of health care for patients, lower health care costs, and create additional efficiencies for patients and communities. “The BJC Collaborative will provide Blessing with access to the best medical resources and professionals in the region, and allow Blessing to participate in shaping the direction of health care services throughout the Midwest in a rapidly changing health care field,” says B. Bradford Billings, Blessing Health System president.

ST.

LOUIS

~

SUPPLIED PHOTOS

Surgeon joins staff CAPE GIR ARDEAU ~ Dr. Colleen Johnson Moore recently joined Saint Francis Medical Center as a new medical partner, and a vascular surgeon at the center’s Cape Thoracic and Cardiovascular Surgery. Moore, a Cape Girardeau native, is board-certified in general and vascular surgery.

In collaboration with the Heart Hospital at Saint Francis Medical Center, Cape Thoracic and Cardiovascular Surgery provides specialty care to men and women with surgical diseases related to the heart, lungs, chest cavity and blood vessels. She joins Cape Thoracic and Cardiovascular Surgery after working seven years at the Southern Illinois University School of Medicine as an assistant professor of surgery, and director of The Vein Clinic.

New administrator joins heart consultants CAPE GIR ARDEAU ~ Certified medical practice executive Jeffie Lewis has joined Cardiovascular Consultants, an affiliate of SoutheastHEALTH, as its new administrator. Lewis most recently served as director of operations for Specialty Services with Lourdes Hospital’s Mercy Medical Associates. She was responsible for planning, developing, implementing and directing all activity related to business and clinic operations for 13 employed, multispecialty practice locations. Her experience also includes physician practice management with Southern Illinois Healthcare in Carbondale, Ill., and Southern Illinois Healthcare Foundation in Sauget, Ill. “We are very pleased to have an experienced practice leader join our team, and we welcome Jeffie to SoutheastHEALTH,” says chief operating officer Sylvia Moore.

Annual golf tournament raises $70,000 More than 190 golfers and 30 volunteers turned out for the 10th annual Ken Hayden Memorial Golf Tournament, raising more than $70,000 in support of patients and their families at Saint Francis Medical Center. Since its inception in 2004, the tournament, sponsored

by The Friends of Saint Francis, has raised more than $350,000 to benefit patients throughout the region. Proceeds from this year’s tournament support the Family Room in the Level III Neonatal Intensive Care Unit, as part of the Building on Excellence expansion and renovation project.

The Family Room will provide a comfortable space for siblings and parents to relax, away from clinical sights and sounds. For more information or to donate, call (573) 331-3000.

CAPE GIR ARDEAU ~

Stephanie Ross (from left), Ashley Gilman, Craig Sander and Todd Smith were the winners of the morning flight.

Aaron Wright (from left), Donna Wheeler, Lisa Bjelich and Steve Bjelich were the winners of the afternoon flight.

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

AUGUST 2013

17

ADVERTORIAL

Alternative to Death by y Medicine

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by Dr. Tomasita A. Lahue, D.C. Modern medicine can be a gift in terms of lifesaving efforts in an emergency. But, it can also be the wrong choice in many situations, this brand new study indicates. This comprehensive analysis titled “Death by Medicine� has just been published by Gary Null, PhD; Carolyn Dean MD, ND; Martin Feldman, MD; Debora Rasio, MD; and Dorothy Smith, PhD. This statistical review assesses the harm being caused by modern medicine. Their claim is that: “The most stunning statistic, however, is that the total number of deaths caused by conventional medicine is an astounding 783,936 per year. It is now evident that the American medical system is the leading cause of death and injury in the US. (By contrast, the number of deaths attributable to heart disease in 2001 was 699,697, while the number of deaths attributable to cancer was 553,251.�

Natural Medicine is Under Attack The study further explains that “Natural medicine is under siege, as pharmaceutical company lobbyists urge lawmakers to deprive Americans of WKH EHQHĂ€WV RI GLHWDU\ VXSSOHPHQWV 7KH 1XWULWLRQ Institute of America commissioned an independent review of the quality of “government-approvedâ€?

PHGLFLQH 7KH VWDUWOLQJ Ă€QGLQJV IURP WKLV PHWLFXlous study indicate that conventional medicine is “the leading cause of deathâ€? in the United States.

You may view the entire text of this report at www. lef.org.

Natural Medicine should be Mainstream not Alternative As a holistic practitioner I am dismayed with the little knowledge patients have of the natural approaches available to symptoms, conditions and lifestyle-induced illness. If you are ready to get off the prescription treadmill let’s start with some of the most damaging drugs whose effects are worse than the symptoms. This article will focus on acid UHà X[

True Cause of Acid Reflux Too much acid? No, too little acid, not enough acid, decreased amounts of acid or Hypochlorhydria RU ORZ VWRPDFK DFLG LV WKH FDXVH RI $FLG 5HĂ X[ Unbelievable, but true. All those antacids and proton pump inhibiters are making the issue worse.

Low acid is a commonly overlooked problem that is linked to diseases like stomach cancer, allergies, asthma and rheumatoid arthritis. It’s a serious problem that needs to be investigated and treated naturally. If you’re having symptoms of acid UHà X[ KHDUWEXUQ EXUSLQJ JDV EORDWLQJ RU QDXVHD after eating then it’s very likely that you have a stomach acid issue.

If you have been diagnosed with gastrointestinal LVVXHV HVSHFLDOO\ LQĂ DPPDWRU\ ERZHO GLVHDVHV

Celiac Disease or IBS you are at a higher risk of having stomach acid problems. No not too much, but not enough acid! If you take antacids all day ORQJ DQG ÀQG \RXUVHOI KXUWing after each meal, you more than likely have too little acid or hypochlorhydria: Source: 3 Common Signs of Low Stomach Acid

by Steven Wright.

Hypochlorhydria hurts your ability to absorb the nutrients of your food because proper levels of stomach acid are needed to adequately absorb minerals (iron, copper, zinc, magnesium and calcium), vitamin B12, folic acid and proteins.

to restore normal acid levels and repair the gut are some of the alternatives. Betaine HCL for instance will assist in improving your acidity in \RXU VWRPDFK (Q]\PHV ZLOO WR KHOS \RX GLJHVW PRUH HIIHFWLYHO\ DQG UHIUHVK \RXU JXW Ă RUD WHUUDLQ which is absolutely necessary for proper digestive function. Homeopathic remedies may be needed to regenerate the mucosal lining of your stomach and intestinal walls. You will also need to eat a ph biochemically-balanced diet. You will need to eat small meals, and eat nutritious real food. Avoiding processed foods and trans fats as much as possible help alleviate the stress on your entire digestive system. Chiropractic adjustments and acupuncture can help you regain balance and harmony

, ÀQG PRUH DQG PRUH SDtients have parasitic infections. One of the reasons is their low acid content.

Stomach acid is a crucial part of the immune system. The acid barrier of the stomach in a normal state of health easily and quickly kills bacteria and other bugs that enter the body. It also prevents bacteria from the intestines from migrating up and colonizing the stomach.

Problems with Pharmaceuticals for Acid Reflux The list of ill effects is long. As many as four in 10 Americans have symptoms of gastroesophageal UHà X[ GLVHDVH RU *(5' DQG PDQ\ GHSHQG RQ SURton pump inhibiters P.P.I.’s like Prilosec, Prevacid and Nexium to reduce stomach acid. These are the third highest-selling class of drugs in the United States, after antipsychotics and statins, with more than 100 million prescriptions and $13.9 billion in sales in 2010, in addition to over-the-counter sales.

The Food and Drug Administration (FDA) has issued numerous warnings about P.P.I.’s, saying longterm use and high doses have been associated with an increased risk of bone fractures and infection ZLWK D EDFWHULXP FDOOHG &ORVWULGLXP GLIĂ€FLOH 7KLV can be especially dangerous to elderly patients. In a recent paper, experts recommended that older adults use the drugs only “for the shortest duration possible.â€?

Studies have shown long-term P.P.I. use may reduce the absorption of important nutrients, vitamins and minerals, including magnesium, calcium and vitamin B12, and might reduce the effectiveness of other medications, with the FDA warning that taking Prilosec together with the anticlotting agent clopidogrel (Plavix) can weaken the protective effect (of clopidogrel) for heart patients.

6RXUFH -XQH &RPEDWLQJ $FLG 5HĂ X[ May Bring Host of Ills by Roni Caryn Rabin.

What is the Alternative?

Natural supplements and homeopathic remedies

within your nervous system quickly alleviating pain, discomfort, bloating, burping and gas. See a holistic practitioner to design the right nutritional supplementation and treatment program just for you. As always you are advised to work with your medical doctor to wean yourself from any medication. Never do it on your own, it’s a big risk not worth taking when help is available.

If you are ready to get healthy with the natural alternative call us at 618-624-9384. We will design the program right for you and guide you into the happy, healthy being you are meant to be.

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

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

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

Q+A

MID AMERICA

Teenagers, school and sleep It’s time for teens to start waking up at the crack of dawn again, which means less late-night fun and more early bedtimes.

Homework, sports, friends and even video games can all prevent them from getting a good night’s sleep. Dr. Terry Brown has been medical director of St. Joseph Memorial Hospital Sleep Disorders Center, with locations in Murphysboro and Marion, for 10 years. The centers diagnose and treat more than 84 different sleep disorders, including those in children as young as age 2.

How much sleep do teens need?

Adolescents need more sleep than other age groups, but get less.

They need between eight to 10 hours daily.

Why do they need this amount?

Their brains and bodies are still growing, and sleep helps them process the information they’re learning.

What prevents them from sleeping enough?

Video games and smart phones are distractions, and texting is a pervasive problem for all ages. Teens tend to be sleep-phase delayed—their circadian clock is off. To help reset the clocks, use bright lights. Bright light in the morning makes you want to go to bed earlier. Bright light in the afternoon makes you go to bed later.

That’s one reason sleep-phase delay in adolescents is worse in the summer. I tell them to wear sunglasses in the afternoon, but not in the morning.

How does a lack of sleep affect schoolwork?

Sleep deprivation affects memorization. If you’re taking a multiple-choice test, it may not make a difference, although you might be slower to answer it. But it affects an essay or recall test. Sleep deprivation and some disorders, such as sleep apnea, can mimic attention deficit disorder. Parents need to find out why they are micro-sleeping, and if there is some kind of distraction going on.

Teens with sleep apnea who get it taken care of start doing better in school.

Ask the

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Devyani Hunt, M.D.

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How can teens get more sleep?

Set regular sleep hours without too much difference between when they wake up during the week and during the weekend. Try to get rid of distractions in the room, such as smart phones, TVs and computers. Think before you buy them. If the teen already is phasedelayed, it will only cement the pattern.

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314.514.3500 C O M M U N I T Y H E A LT H

AUGUST 2013

19

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WELL SAID

DANETTE M. WATT

Your beliefs don’t trump real science When ideology and politics trump science, it can lead to flawed policies that harm women.

There was a time when science was respected in this country.

But some politicians and other leaders today completely discount the science of medicine in favor of their own beliefs or archaic and incorrect information.

Rep. Todd Akin (R-Missouri) thinks pregnancy rarely occurs as a result of what he once called “legitimate rape.” Another Republican suggested placing an aspirin between the legs of a rape victim could prevent pregnancy.

Democrats aren’t off the hook, either. Robert F. Kennedy Jr. published an article in 2005 that incorrectly tied vaccines to autism.

The article fueled a long-standing debate among parents about the validity of vaccinations.

The difference between the two parties is that Kennedy’s misinformation isn’t tied to policy-making, unlike the Republicans’.

A parent’s decision not to vaccinate her child is a personal choice.

Some may argue it’s a poor choice, and puts others at risk. But vaccinations are readily available if the parent wants to do so.

Akin and other misinformed elected officials do affect policy.

These men create laws and control funding for agencies that have a direct impact on women’s health.

There already is a determined effort on the part of conservative politicians to close Planned Parenthood. The organization has been a thorn in the sides of conservatives for a long time.

They forget—or just disregard—that the clinics do more than hand out birth control pills. Many offer other services such as cancer screenings, vaccinations and physicals. Services aren’t limited to just women. Men also can receive health care at the clinics.

Our elected representatives and other leaders are being short sighted. If their real concern is the small percentage of abortions performed at the clinics, then they should be eager to keep them open. What better way to prevent abortion than to prevent unwanted pregnancies in the first place?

Politicians need to take ideology out of the equation, and make sure policies are in place to benefit women’s health.

What better way to prevent abortion than to prevent unwanted pregnancies in the first place?

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

AUGUST 2013

21

GUEST EDITORIAL

Radial artery catheterization could become new gold standard

By Dr. Steven J. Carr, interventional cardiologist Cardiovascular Consultants and SoutheastHEALTH

Each year, more than 1 million cardiac catheterizations are performed in the United States. The procedure generally starts at the femoral artery found in the groin, to gain access to arteries that lead to the heart.

Cardiologists at SoutheastHEALTH in Cape Girardeau, Mo., now have a new option for patients undergoing cardiac catheterization.

Called radial artery catheterization of radial access catheterization, the procedure uses the radial (wrist) artery instead of the femoral artery to thread a catheter through the blood vessels and into the heart, to diagnose and treat cardiovascular problems.

Studies have shown that the radial access approach is superior to the femoral access, particularly for patients who have suffered a segment elevation myocardial infarction (STEMI), the severest type of heart attack.

This type of heart attack happens when the coronary artery is completely clogged by a blood clot. The longer an artery is clogged, the more heart damage occurs and the greater the risk for mortality or lifelong disability.

Recent research has found that radial artery catheterization is safer than a femoral procedure because it reduces the risk of bleeding complications. The radial artery is smaller and closer to the skin’s surface, so doctors can easily control bleeding or eliminate internal bleeding altogether.

Patients also can sit up, walk and move around almost immediately after the procedure. They’re more likely discharged faster than those treated with femoral access.

The standard practice for cardiac catheterization was to use femoral access to reach the heart. The femoral artery is larger, making it easier for cardiologists to manipulate a catheter. But the distance to travel inside the body is longer, increasing the risk of internal bleeding.

The femoral approach also carries a greater risk of complications, including bleeding, especially in women. It can also result in a slower recovery period.

The femoral approach is a more common procedure. But as more cardiologists become skilled with the radial access approach, the trend will most likely shift rapidly.

Radial access will become the rec-

ommended or gold standard approach for treating STEMI patients.

In an April 2011 study published in Lancet, a leading general medical journal, more than 7,000 patients with acute coronary syndrome were randomly assigned to either radial or femoral catheterization.

Called the RIVAL trial, the study found that radial artery catheterization significantly lowered the rate of complications at the access site, and enhanced overall patient comfort.

Radial artery catheterization is a major advancement in the field of interventional cardiology. It is a rapidly developing specialty that has proven results and great promise for additional applications.

Dr. Steven J. Carr is a board-certified interventional cardiologist with Cardiovascular Consultants and SoutheastHEALTH. Carr has a bachelor of arts degree in chemistry from Saint Louis University. He received is medical doctor degree at the Saint Louis University School of Medicine.

Carr completed a residency in internal medicine and a fellowship in interventional cardiology at Allegheny General Hospital in Pittsburgh.

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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 region’s busiest laboratories.

Q. Why does PBRMC have one of the best survival rates in the state for heart bypass?

Dr. Ziomek: We have an exceptionally skilled team of surgeons and CVICU-trained nurses. Our experience and training is a large part of the reason we consistently beat national standards for fast treatment with life-saving balloon angioplasty and coronary intervention.

Care for our future.

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

PoplarBluffRegional.com

Heartland Women’s Healthcare is proud to announce the arrival of April K. Parker, M.D. Dr. Parker was born, raised, and is currently residing in Southern Illinois with her husband and twin boys. She is a 1997 graduate of Belleville Township High School West and a 2001 graduate of Washington University. She attended Saint Louis University School of Medicine, and completed the MD/PhD program in 2009. She completed OB/Gyn residency at Barnes Jewish Hospital in St. Louis, MO, and is excited to join Heartland Women’s Healthcare. She will be seeing patients in Mt. Vernon.

21 Providers. 16 Locations.

One Focus:

Rehab Team

Front row: (left to right) Darrell Hicks, PTA; Heather Gaines, PTA; Kaitlyn Blechle, OTR; Bethany Stewart, COTA; Jamie Cochrane, DPT Back row: (left to right) Allison Ewald, MSCCC-SLP; Julie Welker, RSM, MACCC-SLP; Kimberly Davidson, PTA

573-335-2086 www.LCCA.com

Joint Commission Accredited

21 Providers. 16 Locations.

One Focus: YOU. Michael J. Schifano, D.O.

Scott A. Joyner, D.O.

Douglas V. Combs, M.D.

Elisabeth G. Beyer Nolen, M.D. Michael (Mick) A. Covlin, M.D.

Kaci L. Durbin, M.D.

Kimberly D. Carter, D.O.

Kathryn (Katy) E. Mowery, W.H.N.P.

April K. Parker, M.D.

Tressie C. Landreth, C.N.M.

Ruthann Coale, W.H.N.P.

Emily B. Boyd, M.D.

Amanda C. Spitalnik, M.D. (Coming Fall 2013)

Sylvia Obernuefemann, C.N.M C.N.M.

Shalisa A. Henson, W.H.N.P.

Debra A. Carson, D.O.

Jamie L. Plett, M.D.

Amanda L. Carroll, D.O. (Coming 2014)

Anja B. Schifano, C.N.M.

Donna R. Walters, W.H.N.P.

Trina M. Bellamy, W.H.N.P.

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MONITOR

WOMEN

Many Happy Returns Don’t kid yourself about the challenges of going back to school, but consider the bigger picture BY ERIN GOLDEN Thinking about heading back to college? Plenty of women are, looking to make more money or dive into a new career.

Some women want to finish what they put on hold years ago.

The decision to return to school is not as black and white as you think. As a mom and wife—maybe even a grandmother—you have plenty to think about before you start buying books.

Evidence shows more older women are signing up for college classes. In the past few years, students older than 25 have been enrolling at a faster rate than those 18 to 24.

And it’s a trend that’s expected to continue. According to the National Center for Education Statistics, the number of older students enrolling in college is expected to increase by 20% between 2010 and 2020.

More often than not, adult women are those students. Since the 1980s, women have been outpacing men in undergraduate and graduate program enrollment, and the gap has continued to widen.

While you won’t be alone on campus, hitting the books again after a few years—or decades—will take some adjustment.

Patti Baron Schreiber is a Chicago-area transition coach who has worked with many women returning to school. She says the

sacrifices. Schreiber says you must recognize that adding classes and homework to an already-packed schedule means making adjustments. You may need to lean more on the kids for household chores, and accept that you won’t make it to every party and game.

The college challenge is a different ballgame than when you were younger and fancy-free. So give yourself a break, too.

“That’s something to remember as adult learners when we go back—we’re juggling a lot of things that we weren’t juggling before,” Schreiber says.

If our minds aren’t challenged, and passions not being fulfilled, we’re not at our best.

TRANSITION COACH PATTI BARON SCHREIBER

catalyst might be a major life event—such as a divorce—or a desire to expand their career, worldview or sense of self.

“A lot of times in our 40s, we say, ‘Is this all there is?’” Schreiber says. “We made a commitment when we were in our late teens and early 20s to go to school and get a degree, and we get to this point in our lives where we can kind of see the end: ‘If I live to 80 years old, what’s it going to look like?’”

Before you commit to tuition, make a hard assessment of your finances and family situation. Then think about your talents and interests, to explore what type of career a degree might lead you to.

With those plans in mind, Schreiber says to broaden your thinking about what’s in the best interest for you, your spouse and family.

Many women feel guilty about spending time and energy away from home. But it’s important to look at the bigger picture.

“Taking care of our kids takes on a lot of different dimensions, and that includes taking care of ourselves,” she says.

“If our minds aren’t challenged, and passions not being fulfilled, we’re not at our best.”

And don’t fool yourself—pursuing a degree comes with 28

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

20%

The expected increase for older student enrollment between 2010 and 2020.

SOURCE: NATIONAL CENTER FOR EDUCATION STATISTICS

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MONITOR

MEN

Class Act Don’t let the Mrs. do it all.

Stay connected to your kid come school time BY KEVIN CARLSON

You’ve had all summer to romp around with your little ones. But now that they’re back in school, you’re going to see them less—plain and simple.

But research shows it’s a win-win when both parents commit to their children’s academic success. So you have to figure out how to bring home the bacon, and still be a meaty part of your kid’s school experience.

“It takes a village to raise a child, right? The more people involved with any child, the better he or she will do,” says Natalia Walter, principal of KIPP Harmony Academy in Baltimore.

IT’LL PAY OFF When you use vacation days, don’t dump them only into summer vacations. Spare some PTO for the PTA.

When a father takes an interest in his kid’s life, the benefits are exponential.

These children get better grades, make more positive friendships, and have fewer behavioral problems. Proud papas feel more effective as parents, more important to their kids, and more satisfied with the never-ending journey of fatherhood.

WRITE IT DOWN The school year is a flurry of homework, recitals, games and parent-teacher conferences. Mark these important moments on your calendar. Your work schedule might keep you from attending many, but you’re more likely to make it a priority when it’s scheduled just like that corporate

conference call.

And use your life skills to show why tonight’s homework is good to know tomorrow.

“A child who finds schoolwork boring may tune out,” says Armin Brott, a California-based author who writes about fatherhood.

“Try to find ways to build on their natural interests. If they love sports, mechanics or cooking, start there. Find ways to introduce math or science or language arts principles through those interests.

“Showing him that what he’s learning has some real-world applications will make it a lot more interesting—and worth working on.”

LONG-DISTANCE DADS Want to take part in a parent-teacher conference, but live a time zone away? There’s an app for that. If you’re a divorced dad, technology has made it easier than ever to connect with your children.

With Skype, FaceTime and other software programs, now you can be there without being there. Call and check in with your child to ask about their day at school, and focus part of your time together on education-related material.

Help with homework, and address any concerns they may be having. Even a short text of encouragement can build a successful student.

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Just being there won’t cut it, dads. You need to be engaged. You can find plenty of ways to invest even one hour per week.

Like any relationship, small gestures make a big difference. ³ Coordinate with teachers to visit and read to the class. ³ Volunteer to plan a party. ³ Stop by the cafeteria for lunch.

DO THE MATH Get more involved your kid’s school life by getting to know the people he’s around every day. Communication with school staff usually falls on Mom, but dads should reach out, too. Create a solid rapport with your kid’s teachers and administrators.

“If the parents, and especially the father, is involved and knows all about the school day and works hand-in-hand with the teachers, then that child is given a seamless transition between home and school,” Walter says.

But be cautious about getting too involved. Kids may resent you if you stick your nose too deep in their business.

FAMILY

MONITOR

Just Get Along!

For your kid’s sake, learn to manage parent personalities for a drama-free school year BY CLARE WALTERS She’s at every field trip and class party. She’s first to volunteer, and last to leave the soccer game. She shows you up every chance she gets, and she’s just one in the cast of parent characters you deal with each year.

All parents have a personality, and it’s good to identify these types to stay drama-free, says Jodi R.R. Smith, founder of Mannersmith Etiquette Consulting in Marblehead, Mass. Smith says it comes down to simple psychology.

“Look for the motivators,” she says. “With helicopters, bullies and showoffs, I see people who are insecure. If they were secure in their parenting skills, they wouldn’t be behaving this way.”

Understand what’s behind other parents’ actions, so you can interact—instead of react—to their bad behavior.

PARENT PERSONALITIES

Spot your own tendencies, and deal with them all HELICOPTER ³ Makes a majority of decisions on behalf of their child ³ Routinely contacts teachers about grades ³ Thinks they can fix every problem in their child’s life

If overinvolved parents make you feel crazy—or even worse, guilty—Smith suggests using a mantra to blow off their behavior.

“I’m a big fan of mantras, especially when you’ve pegged a personality type,” she says. “Say, ‘Susie, I just don’t know where you find the time.’ You’re reinforcing (her behavior), but you’re also using the same mantra during every interaction. She might realize it after the fourth time you say it.”

BULLY ³ Lashes out at other parents, or even kids ³ Insists on getting their own way

When coming face to face with a bully parent, plan a strategy to minimize interaction. Make a joke, or talk about a TV show. Stay away from topics that could cause friction. “Find ways to interact with them that are not upsetting for you,” Smith says.

AUTHORITATIVE ³ Applies inflexible rules, expectations and consequences ³ Demands total obedience

You might think they’re too harsh, but don’t take it upon yourself to try to change their personality.

“Unless someone specifically comes to me and asks for help, I do not bother trying to change people,” Smith says. “I’m just going to adjust my behavior and my expectations, so I’m not upset.”

BUDDY ³ Their kid sees them as a best friend ³ Friends with child’s friends on Facebook ³ Dresses like their child, and worries about being cool

Control your eye roll when this parent starts talking in Facebook slang. They’re probably just trying to find ways to connect, and aren’t sure how.

Don’t let it bother you, unless you suspect a too-casual attitude leads the parent to allow risky behavior in their teens and friends, and your child is involved.

UNINVOLVED ³ Grumbles at requests for parent volunteers ³ Doesn’t help children with school projects ³ Shows up late, or not at all, to plays and games

If you resent a parent who’s always ducking bake sale detail, look for clues to why they might take a backseat. “Sometimes it’s situational,” Smith says. They could be ill or under serious work stress. “Once you know what that is, it will allow you to interact with a slightly kinder perspective.”

SHOWOFF ³ Thinks their child is the best thing since sliced bread ³ Always tells you so ³ Uses a trip to school to flaunt a new car, outfit or jewelry

These parents also probably have selfesteem issues, so it’s best to just leave them be.

Whatever you do, don’t badmouth them or their kids in front of your kin. It sets a bad example, and you never know what might spill from the mouths of babes at an inopportune time.

WHEN PARENTS COLLIDE When a conflict arises between you and another parent, address it directly, says Jodi R.R. Smith. But give yourself 30 minutes away from the situation before you speak. “It takes about 20 minutes for the adrenaline rush to subside,” she says. “It also allows you to take time to gather to your thoughts.” And never let an argument escalate in front of children.

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AUGUST 2013

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MONITOR

SENIORS

Safety Net While parents are away at work, grandparents take on a bigger part in their grandkid’s lives

BY VANESSA RENDERMAN

You thought your child-rearing days were over. Your kids are adults, living their lives with their own families. But it turns out many grandparents are still assembling snacks and helping with homework, and even footing the bill for grandkids’ medical expenses.

Statistics show grandparents aren’t just playing a supporting role in the lives of their grandchildren. They’re stepping up and taking on some primary caregiver responsibilities.

A 2011 AARP survey showed many grandparents shoulder the expense of their grandchildren’s education, clothes, food, and medical and dental care. They also invest significant time in their grandchildren, with 15% providing regular day care, and many serving as a backup when traditional day care falls through.

“Of course, grandparents are going to be the safety net,” says Amy Goyer, an AARP home and family expert.

In a sluggish economy, many young parents have taken lower-paying jobs, and struggle to afford day care. While

IN THE FOREFRONT 53% of grandparents contribute to education costs 37% help with everyday living expenses 23% pay medical or dental bills SOURCE: AARP

parents work, Grandma or Grandpa can cover food, entertainment and naptimes.

It’s a convenient and affordable go-to option, and grandparents want to help out.

But Goyer says finances aren’t the only incentive for grandparents to seek a greater presence in their grandkids’ lives.

“Grandparents want to be there for their grandchildren. They really enjoy that,” Goyer says. “The way to build a close relationship with their grandkids is to have shared experiences.”

Even if your adult kids don’t need financial help, they won’t turn down a chance to enhance their little one’s life through a closer grandparent relationship—and they love the peace of mind.

“They like that their child is with someone they know and love,” she says.

NO PARENT IN THE PICTURE Many grandparents face the task of raising grandchilden alone. According to the AARP, 11% of grandparents have a grandchild living with them. The nonprofit Grands Place estimates one in every 12 American children lives in a household headed by grandparents or other relatives. It’s often tough for grandparents to make ends meet.

“It can be financially difficult because you don’t plan to raise another family,” Goyer says. With declining health and a fixed income, “you generally have added expenses (of your own).”

If you have to take legal guardianship, whether as a foster parent or adoptive parent, you’ve got a lot to consider. Laws about grandparents’ rights and legal guardianship vary from state to state, and while federal help is available, you may get overwhelmed with the plethora of financial offerings.

“It’s always a good idea if you can get legal advice, because you need to think of all the repercussions,” she says.

Many states offer financial assistance to grandparents raising a grandchild. The Child-Only Grant, also called the Non-Parent Caregiver Grant, can provide several hundred dollars per month, even without legal guardianship, as long as the grandparent is the full-time caregiver. Monetary amounts vary by region.

In New York, call (800) 421-1220, or visit NYSnavigator.org. In Illinois, call (800) 323-4769. In Missouri, visit DSS.mo.gov.

In Kentucky, visit GrandsPlace.org for further information.

QUICK HELP

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AUGUST 2013

Grandparents provide day care services for grandchildren while their parents are at work or school.

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

SOURCE: AARP

Visit the National Council on Aging’s Benefits Quicklink at BenefitsCheckup.org.

You can navigate through public benefit programs to help with health care, medication, food, utilities, and more.

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MONITOR

PETS

Dog Days are Over Help pets adjust to a new schedule when the house gets quiet again

BY CLARE WALTERS

Just like you enjoyed long summer days spent outside, your dog did, too. The kids were home all day, and warm temperatures meant long walks and backyard romps. So, while you’re returning to a school year routine, your pets also have a transition to make. Be sure they don’t tear up the house—or stay bummed for too long.

THE GOOD, THE BAD, THE STINKY When the kids go back to school, pets experience both positive and negative effects, says Daniel Q. Estep, a certified animal behaviorist in Colorado.

“It could be a good thing for the kids to go back to school, because the pets could literally be exhausted by the time August comes around,” he says.

“But it could be bad if the animals are getting some exercise or regular stimulation that they can’t get the rest of the year, and now it’s gone.”

Pets can eventually adjust to a new routine, but in the mean time, owners might witness depression or disruptive behavior.

“The most serious problem is separation anxiety,” he says. “They may have never experienced it before, but intense contact and a sudden separation can trigger this.”

You might catch them chewing things around the house, scratching doors, hissing and howling, and going potty where they shouldn’t. Depressed dogs might become

less active, and even mope, Estep says.

If the whole family is gone for the day and the pet still acts up when everyone comes home, look for other triggers. Recent changes in their environment, such as a moved food dish or bed, could be setting them off.

“Most pets don’t just act out to make a point, or to be spiteful or vengeful,” he says. “There’s a particular reason for it.

There’s something going on in their lives.

Sometimes owners aren’t quick to pick up on those relationships.”

READY AHEAD OF TIME Because sudden changes create the most distress, Estep says to gradually adjust an

animal’s schedule and family interaction a few weeks in advance.

“Gradual withdraw is helpful,” he says.

“First, separate the pet from the family for an hour, then two or more, and do it over a couple of weeks.”

To ease the transition, try giving your pet a treat-dispensing toy—it gives them solitary time and gets them used to being on their own. Send them to a doggie day care for some social interaction, or hire a dog walker for midday exercise.

For questions or concerns about your pet’s ability to cope with a transition, contact your veterinarian for an evaluation, Estep says. Keep in mind that significant behavior change could also be due to illness.

The animals are getting some exercise or regular stimulation that they can’t get the rest of the year, and now it’s gone.

DANIEL Q. ESTEP, CO-OWNER OF ANIMAL BEHAVIOR ASSOCIATES

QUICK TIP To avoid a depressed doggie, gradually decrease your interaction in the weeks leading up to a return to a school routine.

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MONITOR

EATS

Running on Empty New 850-calorie lunch limit leaves student-athletes feeling empty after school BY TREMENE TRIPLETT Backpack? Check. Lunch money? Check. Gear? Check.

High school student athletes may need to add an item to their daily checklist: an after-school snack.

Thanks to standards created by first lady Michelle Obama’s Let’s Move campaign and recently released by the U.S. Department of Agriculture, school lunches now have set calorie limits.

Regulations limit students in ninth through 12th grades to 750 to 850 calories per meal, making some students and parents cry foul. They say the small portions make it hard for high school athletes to make it through their day—and practice—without their stomachs rumbling.

DID YOU KNOW? SNEAK IN A SNACK Most sports injuries happen in the last 20 minutes of a game, Your high-schooler probably skips breakfast and eats a late dinmost likely because athletes are simply tired, ner, so lunchtime is their only chance to fuel up during the day. says registered dietitian Heather Mangieri.

With no time to snack in between, that lunch is all they’ve got to go on while they’re running, jumping and swinging later. If they feel hungry, it could affect their performance on the field—think bad bring their own lunch. Or they may snack on fruit, vegetables, graattitudes, exhaustion, or even collapsing from malnutrition. nola bars, string cheese, crackers and nuts throughout the day—as “In that timeframe (between lunch and practice), they’re problong as the teacher allows in it class. ably going to burn more calories than they take in, which is a “Think of a snack as a mini-meal, a combination of nutrients” concern,” says Bruce Whitehead, executive director of the National says Heather Mangieri, a Pittsburgh-based registered dietitian.

Interscholastic Administrators Association in Indianapolis.

“Pack a peanut butter and jelly sandwich, banana and milk.”

“Students who are very active need proper diet and nutrition— that’s part of USDA’s mission. In addition, they need sufficient calories. My concern is an insufficient number of calories.”

TWO-FOR-ONE COMBO Dehydration is one of the biggest reasons student-athletes lack Student-athletes should eat every three to four hours—without energy in school and afterward. According to Steve McInerney, feeling stuffed—to meet their nutritional needs, Mangieri says. interim athletic director at Carl Sandburg High School in Tinley They should not train, practice or play a sport while they’re hungry.

Park, Ill., more than 70% of athletes show up dehydrated Plan ahead for a mini-meal during downtime between for practices and games. And, he says, the new caloric cap practices, Mangieri says. is “a small number for athletes.”

“I’m a big advocate of two dinners, pre-planned and To perform at their best and avoid being dehydrated, balanced—dinner 1 as soon as school is out, and dinner 2 of athletes McInerney says student athletes need to combine proper at 6 or 7 p.m.,” she says. show up nutrition, proper hydration, and a balance of proteins, carAthletes can gain some energy from eating immedehydrated bohydrates and fats. diately after school and right before a game or practice. for games. “(This combination) provides the basic foundation for These two mini-meals can help make up for what they may athletic success,” he says. miss during lunch.

To combat dehydration, athletes can drink apple, grape and “Athletes can top off their glycogen source by consuming easily cranberry juices, and Gatorade and Powerade. And you can never digestible carbohydrates,” Mangieri says. “Muscles store glycogen, go wrong with a long drink slurp from a water bottle. which becomes our fuel source during activity. Three easily digestStudents who feel limited by what the cafeteria dishes up can ible carbs like fruit, yogurt and crackers are good before an event.”

70%

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

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!

!

Get ready for a return to sports, band and chess club.

Kids want to do it all, but when they try, they crash fast.

We’ll help you manage their time—and yours— to steer clear of burnout, and find the perfect after-school activity.

BY CLARE WALTERS

ENOUGH

BUSY, BUSY and BUSIER. If you’re a parent, that’s probably the best way to describe your day-to-day life.

You start with early morning wake-up calls, then school drop-offs, work commutes, your job, after-school activities, and a dinner run to top it all off. Oh, and don’t forget there’s still homework and laundry waiting to be done.

WHEW! While summertime gave you and the kids a break from the “We’re structuring their lives in such a way that doesn’t allow usual busy schedule, the forthcoming school year promises to kick them to experience what they want to. Often, our vision gets in the schedules back into high gear. You can’t avoid the inevitable: School way of them working out who they are. They need to be the authors sports, band and piano practice, and other extracurricular activi- of their own lives.” ties become must-dos.

Carol Raines Drummond is a child psychologist based in So, how can you do it all—without overdoing it? Kids want to do Atlanta. She says it’s a common problem for kids to be involved everything, and they can’t figure out how much is too much. And in too many extracurricular activities. You want them to succeed parents only want to do what’s best, but sometimes lose sight of in school, make new friends, and just try new things—it’s in your how much their kids do, and how it affects them. nature. But it can sometimes be too much to handle.

“We all know parents who are overbearing with their own “Parents believe they have to grab every opportunity for their agendas,” says Nicole Wise, author of The Over-Scheduled Child: kids, and they end up with too many at one time,” she says. “It’s Avoiding the Hyper-Parenting Trap. “So often these are the very really important for kids to have downtime. They need to be bored best parents who are trying too hard.” at times, and need to be able to figure out how to fill their time.”

Experts agree if Mom and Dad fail to find a balance between To find an appropriate amount of after-school activities for your enrichment and overscheduling, children catch the consequences. child, let them figure out what they like. And a little nudging won’t When activities pile up, kids can burn out quickly. Because it’s hurt. If you give them a few guidelines—they can pick one sport, harder to make time for play, family, friends and sleep, they may one music activity, and one academic activity, for example—it can help the decision-making process. get agitated and even exhausted from their too-busy schedules.

“Two or three should be the max per week,” Drummond says.

According to Wise, overscheduled children often experience a high level of stress that takes a toll on their physical health, Then determine what’s going to be realistic for your kids and the relationships, cognitive abilities and quality of life, or—what’s rest of the family. Consider how much gas will cost, how much time worse—develop anxiety or depression. it requires of you and your child, and when they will slot in school“It’s hard to overstate the significance of work, dinnertime and bath time.

If what your child wants to do—or what those problems, which have manifested in FAST FACT you want them to do—is really too much on eating disorders in both genders, substance Regular physical activity abuse and, horrifyingly, way too much suicide,” everyone and family finances, it’s time pull increases a child’s back and soften the schedule. Wise says reelshe says. attentiveness in class.

Young athletes may also become prone to ing in activities might come with a tantrum from All the time they spend orthopedic injuries, which typically affect profesthe child, or unwanted judgment from coaches or playing at recess or in phys ed sional athletes. instructors. But it’s ultimately up to the parent to be really does just that—the parent.

“All these problems can end up causing lifelong pay off! struggles—exactly what parents don’t want their kids to “Rise above those pressures by staying in touch with face,” Wise says. “We do things with the best intentions, what matters to you and your family, and be the adult in but we create stress and expectations that may not be right the house,” she says. “Kids not only have too much pressure for that child. today, but they also often have too much power.”

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

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So before you freak out and ban your all-star student from every after-school activity, just work to figure out what will suit them best.

If they can find something to really dig their teeth into, the focus will fall away from the less-important stuff. Your child will be happier, and your life will be easier.

THE EXTROVERT Social butterflies and high-energy kids benefit from team sports and collaborative activities, such as soccer, baseball, basketball, dance and speech team, says Cheryl Richardson, senior director of programs for the American Alliance for Health, Physical Education, Recreation and Dance.

“There are really a lot of opportunities for kids to be active,” Richardson says.

UNDO THE OVERDOING An overscheduled child actually misses out on opportunities to grow and learn, says author Nicole Wise. They have no time to discover, act and respond to situations for themselves.

“We tend to parent to the extremes. One of the hardest things in parenting is knowing where to help, and how to help without doing too much. It’s our job to raise children who don’t need us.”

Kids need to be the authors of their own lives.

NICOLE WISE, AUTHOR OF THE OVER-SCHEDULED CHILD: AVOIDING THE HYPER-PARENTING TRAP

TUNE IN AND LISTEN UP! The best way to identify a child struggling with their schedule is to pay attention and trust your instincts.

“Be attuned to your child,” Wise says. “You know them better than anyone else. Stay very connected, and make sure your child feels unjudged and able to talk about how they feel.”

According to the American Psychological Association, some possible signs of stress in children include: ᎄ Negative changes in behavior ᎄ Increase in physical sickness—stomach aches or headaches ᎄ Acting out with friends despite acting “normal” at home ᎄ Expressing negative feelings about who they are or how they feel

For young kids who have no problem trying something new or taking the lead, group sports such as T-ball teach them how to take turns and be patient with others.

High school social butterflies will find their niche in a pep club, on a cheer team or in student government, where they act as a visible leader among their peers, and are responsible for engaging with other students.

THE INTROVERT For a shy child, look for one-on-one activities such as music or art lessons, or more individualized sports such as golf, karate, tennis, horseback riding or cross country.

“If you have a child who is shy, bringing them to a team sport that’s very competitive might scare them,” Richardson says.

“But they’re not going to be shy forever,” he says, adding that the sudden change in scenarios could jolt them right out of their timidity, and help them make more friends.

To help your stay-to-himself child to break out of his shell, simply prepare him for what a team-based activity entails. Tell him that he’ll be around other kids, that he’ll have to play with them, and they’re not going to bite.

“The more that I prepared them for what was going to happen, the easier it was,” Richardson says about her own shy children.

“They entered the environment with a level of comfort.”

THE CLASS CLOWN If your child longs for an audience, find a stage that’s more suitable than the classroom. Improv club and drama group match up perfectly for those with a good sense of humor and a flair for the dramatic.

If the stage just isn’t their scene, get them involved in soccer, swimming and cross country. These sports require a lot of endurance, Richardson says, helping a goof-off kid burn extra energy when he doesn’t know how to channel it.

And there’s a report card payoff. “Regular physical activity increases attentiveness in class,” she says.

And they might get a chance to crack a joke or two on the field.

THE BOOKWORM Studious children who love to learn, read and explore can naturally get involved in extracurricular activities such as debate team, history and math club, the school newspaper, and academic bowl competitions. Sports teams can always use some brains with the brawn, too. Math is fundamental to baseball and billiards, and any head-to-head competition requires kids to study opponents, recognize patterns and make strategic decisions.

THE ATHLETE After sitting inside at a desk all day, most kids are itching to do something other than algebra. An after-school sport is a great way to build social skills, make new friends, and work in some exercise.

If they have the size, strength and stamina, try football, hockey, wrestling, lacrosse, cheerleading or water polo. For students who don’t want to play a contact sport, go for tennis, dance, track and field, baseball or swimming.

Richardson says it’s important for young kids to find a quality experience rather than try to do everything under the sun. They’ll appreciate one activity where they can excel more than 10 different activities they can’t handle.

“If they like a sport, then they need to have success early on,” she says, adding that a good experience largely depends on the coach or instructor. “It should be obvious that the instructor cares that everyone has an opportunity to improve their skills.”

By the time your child hits middle school, they’ll “self-select” a sport to focus on.

“As they have more experience, they start to self-select and understand what they like, and will want to do it more,” Richardson says.

MORE BANG FOR YOUR BUCK Extracurricular activities, particularly organized sports, can cost families hundreds to thousands of dollars each year. To get the best value out of a program, Cheryl Richardson—program director for the American Alliance for Health, Physical Education, Recreation and Dance— suggests parents look for: ᎄ Quality, experienced coaches ᎄ Explicit safety measures ᎄ Low adult-to-kid ratio ᎄ Appropriate, undamaged equipment ᎄ Safe, well-maintained playing fields and surfaces ᎄ Well-planned practices with minimal wasted time

CHEERLEADER PHOTO BY CHRIS MALACARNE

THE CREATIVE KID To help your future Picasso or Emeril-in-the-making flourish creatively, sign them up for art, cooking, music or design classes.

Sure, they might be happy creating in the privacy of their own home—or holed up in their bedroom—but being in a structured environment will challenge them, and help them shine brighter.

Be careful not to push it, though. While they might appreciate some formal training, creative kids often have the ingenuity and imagination to fill their own free time with their passion.

“Organized activities aren’t for everyone, either,” Richardson says. “Let them come up with things to do themselves. Unstructured time can be just as valuable.”

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Parents believe they have to grab every opportunity for their kids, and they end up with too many.

CHILD PSYCHOLOGIST CAROL RAINES DRUMMOND

LOCAL CONNECTION SEE HOW IT PLAYS OUT It’s no easy feat convincing a child to try something new, simply because it’s unfamiliar.

“Some kids protest everything,” says child psychologist Carol Raines Drummond.

To encourage a child to try a new sport or activity, she suggests sampling different activities that the child—or their friends—show interest in.

“Let the child select the activity, and set it up as an introductory, time-limited experience to try it out first,” she says. “Activities should be a way to sample different things. Try different things in sequence.”

If a child who otherwise loved playing their sport suddenly becomes disengaged without explanation, don’t fret, just take a break, Drummond says.

“Many times kids get re-energized, and are willing to go back,” she says.

Edwardsville assistant superintendent offers tips for a successful school year

BY DANETTE M. WATT

With school bells ringing soon, we asked Lynda Andre, assistant superintendent at the Edwardsville School District in Edwardsville, Ill., to give parents and kids some tips for a successful school year.

PARENTS ᎄ Meet the teacher at open house or orientation night, and attend parent-teacher conferences to talk about academic progress. ᎄ Keep open lines of communication with the school. ᎄ Get familiar with the school handbook and website, especially if you’re new to the area. These sources contain a lot of information. ᎄ Check your children’s grades and homework on the school website. Many have a log-in page where you can get the scoop. ᎄ Give kids downtime to decompress from school, just as you do from work. ᎄ If your child is transitioning to another school building, visit before school starts so they’re familiar with the layout. ᎄ Find out where their locker is, and have them practice opening it.

KIDS ᎄ Set a regular time for homework. ᎄ Eat breakfast, and get a good night’s sleep. ᎄ Use a planner to stay organized. ᎄ Get involved in a club or sport, especially if you’re shy.

It’s a great way to make new friends.

MONKEY SEE, MONKEY DO Children learn through observation, and they have no greater teacher than their parents.

Author Nicole Wise says it’s important for parents to set a good example when it comes to managing schedules, because if you have a busy schedule, your kid will want to follow suit.

“By being so busy that you don’t have time for yourself, we’re not giving (our kids) a very inspirational view of adult life,” she says. “We want our kids to grow up. If you’re constantly pissed off by all the things you have to do, why would they want to? It’s supposed to look like, ‘Wow, I want to be a grown-up.’”

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Edwardsville students William Day (from left), Olivia Pursley, Kirsten Hoerman, Caroline Byron and Averie Shoot get ready to hit the books in the library at Woodland Elementary School.

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Automobile collisions, train and railroad accidents, brain injuries, construction or jobsite injuries, electrocutions, gas explosions, chemical exposure, serious slip and fall incidents – all can result in serious, if not deadly, consequences.

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The choice of a lawyer is an important decision and should not be based solely upon advertisements.

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Read online at www.cmghealth.net, and be well.

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Survivin’ and Thrivin’ Use back-to-school months as motivation to take control of your health and your routine

BY WILL CLOWER, NUTRITIONIST

September is the “summer bummer.” The long gracious days of warm weather are behind us, school is back in session, and it’s time to settle into another fall routine.

Even though the flexible schedules of summer are almost gone, this is actually a very good thing for your weight and health.

During the summer, schedules can be hectic, haphazard and jumbled. This plays havoc with your weight control efforts because you end up eating on the run, at odd times during the day, and you get out of sync with the rhythm you have established during the rest of the year.

Just as your sleep benefits from normal cycles, your body also needs predictability when eating. Uneven eating patterns lead to multiple between-meal snacks, and these only add extra calories to your diet and your waistline.

Bottom line? Getting back to a regular pattern turns out to be good for you.

September is like January in many ways. January is the typical “diet month.”

People have eaten poorly at office parties and family reunion grazing fests for six straight weeks through the holidays, and they’re finally ready to turn over a new dietary leaf.

In the same way, we typically slip and slide off our normal eating schedules throughout summer, only to return to normalcy and “real life” in September.

Fall is the perfect time to make fresh schedules and routines that fit a new relaxed lifestyle. Remember to create your new healthy schedule right away, because once life kicks into high gear again, it will be more difficult to shift gears and shuffle priorities again.

TAKE BACK YOUR SCHEDULE What to include Time to eat at the table, unwind, and do an exercise you really love. Try getting up 30 minutes earlier than normal, or stay up 30 minutes later, to sit in the quiet of your home. Have your partner with you, your pet, or your favorite book. The point is to turn off the noise, and turn on a moment of sanity.

What to exclude Get rid of the unneeded activities, excess car time, and stressful people. You can’t do everything for everyone, and you need to be your biggest priority.

While you’re trimming down your weight, it’s really OK to cut back on your harried time commitments. You’ll be more effective if you focus on just a few things at a time. Walk away from stressful people. You need peace in your life.

ZUCCHINI PANCAKES When zucchini is in season and they’re popping out of everyone’s garden, this will be a staple recipe you will turn to. They are a nice start to a meal, or the perfect side dish to complement a variety of foods. And your kids will love these zucchini pancakes. ³ ³ ³ ³ ³ ³ ³ ³

2 cups shredded zucchini 2 eggs ½ cup flour 1 large onion, finely chopped 1 teaspoon salt Pinch of crushed red pepper Pinch of cinnamon Olive oil

Play with your food ³ Try another type of summer squash ³ Try a red onion ³ The crushed red pepper and cinnamon are optional, so add or subtract to your liking

In a bowl, mix all ingredients except olive the oil. Over medium heat, pour in olive oil in a frying pan, enough to cover the bottom of the pan. Once the oil is heated, add tablespoons of batter to pan. Brown on both sides.

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Crawdad Grab UP THE CREEK Chow and other interns got their feet wet in China Creek at the community college’s Godfrey campus.

ALL FOR SCIENCE At the center, scholars and scientists study the ecology of the big rivers, the workings of the watersheds that feed them, and the ties to the river communities that use them.

BEHIND THE SCENES Chow majored in natural resources and environmental sciences at the University of Illinois at Urbana-Champaign. She plans to work for one or two years before returngetting her master’s degree. She says she enjoys the outdoors, and learning about the environment.

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

GETTING AN EARFUL Lorraine Chow, of Urbana, Ill., was one of several interns who recently collected macroorganisms, including this crawfish, during the National Great Rivers Research and Education Center’s Intern Orientation Week.

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