April 2011 Healthwisc

HealthWisc

APRIL 2011

Est. 1992

FREE PUBLICATION

modern health and living

stress

A NEW LOOK AT AN OLD PROBLEM

what’s inside

SPRINGTIME EYE ALLERGIES Can now be successfully treated

A DIFFERENT KIND OF SHOULDER REPLACEMENT

Carb Loading Do you overdo refined grains?

URBAN LEGENDS ON WINE AND HEADACHES

Chronic Pain And Your Brain

MEET YOUR MEATLESS MEALS Being a vegetarian has both health and environmental advantages (page 12)

special features

SENIOR SPRING MOVING FEATURE | WELL BEING | CHILDREN’S HEALTH AND LIVING

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i am a modern mom

February 2011 Note

I AM A VEGETARIAN

i am a wife

I LOVE MY JOB

i am a yogi

When you write down who you are, you tend to look back and think of how you became the person you are today. It really is a This month I wanted to startfun things off with and modern changes. exercise andnew it might inspire you to try Starting with the QR code. Get your cell phones scanathe codeyou! on the something new out thatand makes better front and enjoy our new updated website. you don’t have the thattoI had soIfmuch fun putting thisphone edition scans, no problem, just go to www.modernhealthandliving.com as vegetarianfind even gether. The cover story is about more information about healthy living. ism, which I am. But read carefully and conI am very pleased that you’ve decided to join before us this month.

This isany our drastic BIG sult a doctor considering Health Awareness issue. We havechange. packed Asovegetarian much up-to-date into diet isinformation not for everyone these pages that this issue is just and bursting withtricky health!

Wethe haveproper something for can be to get nutrition. men and women of all ages. We contact localedition health professionals every monthon In this we also have articles and are thankful that many havestress, contributed to this issue. They are keenly allergies, gardening, vision, exercise “Iaware love ofwhat I do and health concerns for thisand region (very important). We stay in touch much more. who am, so but what’s with Ithem they can stay in touchCheck with you.

I think you’ll find something out our special Well-Being section nextthat is can up help to me.” here you lead a healthier We hopelook that at youhealing. share this special for anlife. alternative issue with friends and family, too. For all our little ones, a budget friendly arSpeaking of family, I try to keeticle p mion ne camps. active throughout these cold months.

My children are taking a Tae KwonNow Do class 4 times a week.

I encourage you it for all our Senior readers out there, to try to find something to keep is your social.

Wheather its ourchildren annual active Seniorand Spring Moving Feature. gymnastics, dance, sport or just running around in circles, staying active keepsdeThese articles will help you with all your the body and mind healthy and developing. cision making, moving hassles, selling your To us adults with Super Bowl Sunday myself the transition. monthly home and and planning forhosting a smooth hWisc Healt Bunco get together this equals food, food and even food. so important Keep positive andmore you’ll getIt’s through it. I just to keep ourself active, so it mightmoved be timemyself to get that membership or start andgym I know how hard it can walking the malls again. Stay active!!! be. I hope you have a wonderful February and will touch base again in March A special thanks to all our contributing -Amanda Lewis writers who provide quality articles to all our wonderful readers.

Have a fun and active April!

APRIL 2011

living

what’s inside

OLD PROBLEM

A NEW LOOK AT AN

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Carb Loading

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SS MEALS R MEATLE MEET YOU and ian has both health Being a vegetar ages (page environmental advant

12)

February 2011 EDITION special features

SENIOR SPRING MOVING

N’S HEALTH BEING | CHILDRE FEATURE | WELL

AND LIVING

AMANDA LEWIS > EDITOR

april 2011 edition

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staff staff

publishers publishers editor editor graphic design graphic design advertising distribution manager travel editor travel editor founder founder

Lewis LewisMedia MediaGroup Group AmandaLewis Lewis Amanda Malberry MalberryMedia Media MarlysLewis Lewis Marlys Jerry JerryKornowski Kornowski Marlys MarlysMetzger Metzger BarryLewis Lewis Barry

contributers contributers

Berkeley Wellness Letter, John Hopkins Medical Letter, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Active Care Rehab, Interfaith Older Adult Services, Jewish Family Services, Laureate Group, Alzheimer Association, Tudor Oaks, Luther Haven, HealthWise Chiropractic, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices and American Camp Association

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disclaimer disclaimer

HealthWisc is published on the first of each month . The articles in this publication are in no way intended to replace thethe knowledge seeingaaphysician physicianwhenwhenintended to replace knowledgeorordiagnosis diagnosisofofyour yourdoctor. doctor. We We advise seeing everever a health a health problem problem arises arises requiring requiringananexpert’s expert’scare. care.

thanks thanks

Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.

Lewis Lewis Media Media Group Group | Malberry | MalberryMedia Media|| www.modernhealthandliving.com www.modernhealthandliving.com

In-home and on location appointments: Call today 262-241-3668

What’s Ailing Males?

Wednesday, April 13 6 – 7 PM (Free) Wheaton Franciscan Healthcare – Franklin 10101 S. 27th Street, Franklin (1 1⁄2 miles south of Ryan Road)

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PSA tests. Colonoscopy exams. EKGs. Stress tests. “Good and bad” cholesterol. Your wife’s been bugging you to go in for your annual exam but you feel great, so what’s the rush? Get the lowdown on what tests men need to stay healthy and catch diseases before they catch up with you.

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STRESS!!!

A NEW LOOK AT AN OLD PROBLEM: - part one

Frustration, anger, sense of being overwhelmed, fatigued, a feeling of being ‘burned out’, or anxious

By Avi Bernstein, MD Internal Medicine – Metro Physicians-Wheaton Franciscan Medical Group How many times in the past month would you say you have you felt stressed? Most would say “often” or “too many times to count.” What were the emotions you experienced at those times? > Defining Stress A typical list may include: frustration, anger, sense of being overwhelmed, fatigued, a feeling of being ‘burned out’, or anxious.

How long does it take the average person to answer these questions? One or two seconds…three seconds tops! Indeed, we are all too familiar with stress; however does our familiarity with the problem ever help us resolve the cause of our anxieties and tension?

While most of us can list the stressful aspects of our daily lives -- some even reflecting on feelings born out of this stress -- this is essentially where our understanding of stress ends. But there is much more to the story. The more we learn about stress, the more able we are to diminish its causes and cope with its effects.

Although everyone seems to know plenty of words to describe stress, you might be surprised to learn “stress experts” have a difficult time actually defining it. The word “stress”, as it is currently used, was coined by a scientist named Hans Selye in 1936. He defined stress as: “the nonspecific response of the body to any demand for change.”

My, how our use of the word has changed over the years! Stress was originally thought of not as an unpleasant feeling, but as to how the body responds to a stimulus or situation. > How the Body Reacts to Stress When faced with a challenging situation, the body flips an ancient switch, turning on the so-called “fight or flight response.” The heart pumps faster and harder, blood is directed away from the digestive system and bladder towards the muscles of the arms and legs, the amount of sugar in our blood goes up. The result: we have adequate energy; our minds become agile and alert—even our pupils grow wider to make sure our eyes have plenty of light to see with! These are just a few of the changes the body undergoes as it prepares to hit or run! When you think about it, this is an ingenious design when humans needed to fend off saber-tooth tigers or escape from a stampeding wooly mammoth----not so helpful for dealing with an overbearing boss, a wild teenager in the house, or the endless demands of a job.

Indeed one of the main difficulties in dealing with stress in the year 2011 is that we are relying on a system designed for the year 30,000 B.C.! Thus, our task is geared to better understanding what constitutes modern stress and how to work with our bodies and minds to cope. > Stress: A New Definition Let us re-examine that word “stress”. What do you think about when you read it or hear it? For most folks, the answer includes negative things: unpleasant conversations; too much work and not enough fun; weight bearing down on us; etc. As evidenced by the Human Function Curve in the figure below, stress past a certain point results in a decrease in performance and detriment to our health. This is the aspect of stress we are all so familiar with; however, in the years since Selye’s original definition of the word ‘stress’, new ways of thinking have emerged.

First, know that not all stress is bad! In fact, some amount of stress is actually good for a person. An example would be a finely-tuned athlete who, by stressing her muscles to the limit of exhaustion, is able to run a 100 meter race. Or, the concert violinist who produces the most pristine sound when on stage facing 1000 people, music far more pure than in the practice session (see figure below). Even the strings on the violin are at their best when stretched---or stressed---just enough to make the perfect vibration when played.

Stress helps us move beyond our comfort zone to fulfill potentials we never knew we had. This is the notion behind good stress. Didn’t think you’d ever see the words “good” and “stress” together in the same sentence? Think again! The next time you surprise yourself with an excellent performance for your boss at work…you have just experienced the benefits of “good stress.”

In Part II of Stress: A New Look At An Old Problem, we will discuss differences in people’s perceptions of what is stressful as well as principles of coping.

Avi Bernstein, MD, is a board certified internist practicing with Metro Physicians-Wheaton Franciscan Medical Group, in Milwaukee at 2025 W. Oklahoma Avenue, Suite 100, and in Franklin at 7400 W. Rawson Avenue, Suite 213. For more information, please call 414-389-2790.

APRIL 2011 HEALTHWISC

CARBO LOADING Do You Overdo Refined Grains?

Bonnie Liebman, Nutrition Action Health Letter We’re eating about 45 percent more calories from grains—mostly refined—than we did in 1970.

So what?

The extra shows up in our spare tires. And it displaces the vegetables, fruits, beans, nuts, and whole grains that that could help lower blood pressure and possibly the risk of heart disease.

Here’s how and why to keep refined grains from sneaking into your diet.

In 1970, the average American consumed about 430 calories a day from grains (wheat, rice, corn, oats, etc.), according to the U. S. Department of Agriculture.

By 2008, we were up to 625 calories a day, a huge bump. And roughly 90 percent of the grain we eat is refined, not whole. Only one other category—fats and oils, which includes butter, oils, margarine, and shortening—supplies that many calories. (So much for the popular notion that we’ve been on a low-fat diet.) Added sugars also climbed, though less so. They’re up by about 60 calories a day since 1970.

How does so much refined grain creep into our diets? Restaurants pile on the pasta, rice, pancakes, breads, and other cheap carbs. “If you go to a Mexican restaurant and get a burrito, if you go to a Chinese restaurant and get rice, if you get a huge plate of pasta and huge pieces of bread, you’re eating well over the amount that’s recommended all day,� says Penny Kris-Etherton, Distinguished Professor of Nutrition at Pennsylvania State University.

Many restaurants combine multiple carbs into one meal. That burrito stuffs rice into a tortilla. And that’s after you dive into the free basket of tortilla chips or polish off a cheese quesadilla appetizer.

Like many Italian restaurants, Olive Garden offers unlimited bread with your pasta. That often follows an appetizer like bruschetta (on white bread) or artichoke-spinach dip (with white bread)

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or fondue (with white bread). And no one’s offering whole-grain chocolate cake or tiramisu for dessert.

It’s not just restaurant food. We’re eating bigger bagels, muffins, doughnuts, scones, ice cream cones, pretzels, cookies, wraps, and slices of bread (most of which are made with white flour).

“People see bread labels that say ‘15 different grains,’” says Kris-Etherton. “They think, ‘Wow, this is super.’” They don’t notice that each slice has 100 to 120 calories.

And a bagel can easily have 300 calories.

“But if you look at a thin slice of bread, which has 70 calories, that’s what we used to eat before,” notes Kris-Etherton. Now 70-calorie slices are called “small.”

Why are we eating oversized breads, bagels, burritos, and rice bowls? In part, it’s because flour and rice are cheap. Restaurants look generous when they pile them on our plates, and we eat what’s there. After a while, the servings don’t look oversized anymore.

And our alarms don’t seem to go off, as they might for sweets or fried foods.

“The danger is that some people are assuming they can’t get fat from carbs like bagels, pretzels, and spaghetti,” says Alice Lichtenstein, director of the Cardiovascular Nutrition Laboratory at the Jean Mayer U.S. Department of Agriculture Human Nutrition Research Center on Aging at Tufts University in Boston.

Perhaps we’re more focused on avoiding saturated fats and added sugars. Both steps are crucial. Saturated (and trans) fat raises the risk of heart disease. Added sugars are empty calories that may promote obesity, heart disease, diabetes, and gout.

“Roughly 35 percent of our calories are coming from SoFAS—solid fats and added sugars,” says Kris-Etherton. “We’re eating way too many added sugars. But we also have to be mindful of the amount of refines grains we’re eating.” Here’s why.

Too many carbs can raise triglycerides and lower HDL (“good”) cholesterol.

For some people, too many carbohydrates of any kind may threaten the heart.

“Toward the end of the 1990s, we realized that some people on very-high-carb diets were developing dyslipidemia,” says Lichtenstein. Those carbs were mostly coming from added sugars and refined grain.

The “dyslipidemia” was a mix of high triglycerides (at least 150 mg/dL) and low HDL (under 50 for women or under 40 for men).

“Both are associated with an increased risk of cardiovascular disease,” notes Lichtenstein.

“They move in lockstep.”

Genes make some people more susceptible to having high triglycerides and low HDL, but the obesity epidemic has made the problem worse. “You’re more likely to develop dyslipidemia if you’re overweight,” says Lichtenstein. “And we certainly aren’t getting slimmer.”

High triglycerides, low HDL, and a large waist (over 40 inches in men or 35 inches in women) are three of the five signs of the “metabolic syndrome.” The other two are elevated blood pressure (at least 130 over 85) and elevated blood sugar (at least 100 mg/dL).

“Approximately 47 million Americans have the metabolic syndrome,” says Kris-Etherton.

That’s one out of every four adults.

“It may soon surpass cigarette smoking as the number-one risk factor for cardiovascular disease,” she notes.

People with the metabolic syndrome also have a higher risk of diabetes.

Extra carbs may matter even if you don’t have the metabolic syndrome. (You need three of the

five signs to have it.)

“People who have either high or average triglyceride levels experience an effect of carbohydrates,” says Frank Sacks, professor of cardiovascular disease prevention at the Harvard School of Public Health in Boston.

“When we tested overweight or obese people, carbohydrates raised their triglycerides unless their triglycerides were really low.” (He’s talking about levels under 100 mg/dL.) Do some carbs raise triglycerides more than others? Sugars appear to raise them the most. Beyond that, it’s not clear whether refined grains raise triglycerides more than whole grains.

“Is the amount or the type of carbohydrate the most important thing?” asks Sacks.

“That’s a critical question.”

So far, the evidence is skimpy. For example, the British WHOLEHeart Study found no difference in triglycerides (or HDL) when roughly 300 overweight men and women were told to eat two to four ounces a day of whole grains instead of refined grains for several months.

And when Stanford researchers assigned 120 adults to eat more whole grains, beans, and vegetables instead of refined grains and sugar, they saw no difference in triglycerides (or HDL).

“Do whole grain and refined grains have equal effects?” asks Sacks. “That’s what our current research is trying to find out.”

Limiting refined grains can help lower blood pressure.

If you don’t have high blood pressure now, odds are that you will. More than half of people over 60 have hypertension, one of the key causes of strokes and heart attacks.

And cutting back on salt isn’t the only way to keep a lid on blood pressure.

In 1997, the Dietary Approaches to Stop Hypertension (DASH) study essentially replaced much of the saturated fat and added sugar in a typical American diet with fruits, vegetables, and low-fat dairy foods. With 10 servings a day of fruits and vegetables, a typical 2,000-calorie DASH diet had room for only seven (small) servings of grain.

CARBO | see page 55

APRIL 2011 HEALTHWISC

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SEASONAL Allergic Rhinitis

Pete Bialek Physical Therapist

It is estimated that between 40 and 50 million Americans suffer some form of allergic rhinitis.

Molly Rittberg Physical Therapist

John E. Basich, M.D., Allergy And Asthma Centers, SC Do you develop sneezing, itchy eyes, ears, nose or throat every April? June?

August? Do the symptoms last longer than two weeks (the usual duration of a cold).

If the answer is yes you may have allergic rhinitis which is an allergic inflammation of the mucous membranes of the nose.

It is estimated that between 40 and 50 million Americans suffer some form of allergic rhinitis. Often the allergic rhinitis coexists with other allergic diseases such as asthma and eczema. Allergic rhinitis has a substantial economic impact in terms of lost days of work and school and medications used to treat it.

Allergic rhinitis is caused by inhaled materials called allergens. For most people, allergens are usually harmless. For sensitized individuals, allergens can cause allergic reactions by causing cells in their immune system to release histamine and other allergic mediators. Histamine is responsible for most of the immediate allergic symptoms: sneezing, congestion, post nasal drip or itching of the nose, roof of the mouth, throat, eyes and ears. Allergic rhinitis can contribute to recurrent exacerbations of sinusitis, asthma and middle ear fluid.

Seasonal Allergic Rhinitis is caused by the pollens from trees (March to May), grasses (August to September) or molds (the whole growing season). Perennial Allergic Rhinitis is usually caused by danders from pets, indoor molds, dust mites.

Many patients have a combination of seasonal and perennial allergic rhinitis.

If you have symptoms of allergic rhinitis, an allergist/immunologist can help determine what allergens are causing your reaction. The doctor starts by doing a thorough health history with emphasis on allergic factors and then may test you to see if you have allergies. Skin tests or blood (RAST) tests may be done. Skin tests have the advantage of giving the test results in about 20 minutes so that they may be discussed during the patient’s office visit.There are three basic treatments for allergic rhinitis: Environmental Control: These are suggestions to remove, avoid or reduce the offending allergens. These can be quite effective for the dust mite, pet dander and mold allergens.

Medications: Oral and nasal antihistamines are given to block the effects of histamine. The release of histamine causes many of the most irritating allergy symptoms including itching of the eyes and nose, runny nose and sneezing. Antihistamines may be combined with decongestants to reduce nasal congestion in patients with allergic rhinitis. Inhaled nasal corticosteroids can reduce inflammation and swelling in the nose by reducing other allergic mediators. Leukotriene modifiers block the action of Leukotrienes (another mediator of allergy symptoms and of inflammation).

Allergen Immunotherapy: Allergy Immunotherapy, also known as allergy shots, may be considered if symptoms are not controlled with medication or avoidance or to improve the patient’s quality of life. Allergy Immunotherapy involves receiving injections of the allergens that were determined by the allergy testing to be causing you symptoms. Patients start treatment with very low doses of allergens.

The concentration of the allergens is increased gradually as determined by your allergist/immunologist over a period of three to five years. Allergy Immunotherapy helps your immune system to become more and more resistant to specific allergens and lessens the need for future medications. .

APRIL 2011 HEALTHWISC

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Our compassionate, professional staff is dedicated to providing the highest level of care possible.

By Jay A. Heilmann, OD Seasonal allergic conjunctivitis is the most common form of eye allergy, and is related to specific allergens in our environment, such as tree or grass pollen. It usually occurs approximately the same time each year. This differs from allergic eye conditions that occur year round, which can be caused by animal hair, dust and mold. The onset of spring is often the beginning of red, itchy, watery eyes for those • Routine Eye Exams • who suffer with seasonal eye allergy.

• Designer Eyewear • dental insurance companies: ·All Major insurance plans The allergic eye reacts to these common substances. The immune system, which ·We accept the following is intended to protect us, over-reacts to these invaders called allergens. The con• Contact Lenses • junctiva, the membrane covering the eye and eyelids, produces inappropriate, high quantities of histamines and other chemicals. This over-reaction is responsible for • Advanced Technology • the common allergic symptoms of itching, watering, redness and swelling. You may • Glaucoma Treatments • also notice other symptoms such as runny or stuffed up nose, sneezing, cough and difficulty breathing.  • Cataract Surgery • Much has been done to help control the immune system for people who have im mune-related • Specialty Lens Implants •  diseases. It would be nice if science could find a way to turn off the bothersome allergy symptoms. While this is not possible today, we do benefit from Foote,•M.D. Aaron Holtebeck, M.D. Arvind Saini, M.D., MBA • LASIKPeter Surgery a number of pharmaceuticals capable of modulating the immune system’s allergy component. These medicines do not cure the problem. They do, however, give tem• Latisse® Consultations • porary relief from the symptoms of allergic conjunctivitis.

There are many over-the-counter anti-histamines and decongestants available • Financing Available • that work well. These oral medications can sometimes have adverse effects such as drowsiness or dry mouth. There are some over-the-counter allergy eye drops such as Naphcon-A, Visine and Vasocon-A which, when used several times a day, give relief.

Caution should be used by those with a history or risk of narrow angle glaucoma.

You should consult your eye doctor if you are not sure about your risk for that condition. The decongestant eye drops will shrink the diameter of the blood vessels in the conjunctiva causing the redness to subside, but they do not provide long term relief.

M.D., M.B.A. There are more effective treatments available, in the form of eye drops. Two common categories of allergy eye drops are anti-histamines and mast cell stabilizers.

A native of Madison, Wisconsin, • Diseases of the Cornea Mast cells release histamine, which is one of the substances that cause allergic sympDr. Saini is a comprehensive • Cornea Surgery & Transplants toms. If the treatment counteracts existing histamine, the duration of action will be ophthalmologist, who also specializes • LASIK/Eye Lasers short. If the treatment stabilizes mast cells, to block the release of histamine, a longer in corneal disease. He performs cataract and refractive surgery as well term benefit can be achieved. There are drops available by prescription, that include • Cataract Surgery & Implants as corneal transplantation and other both anti-histamine and mast cell stabilizer ingredients, all in one bottle. The com• Glaucoma procedures for patients with complex bined benefit of both quick acting and longer duration eye drops can more effectively corneal and ocular surface disease.

• Comprehensive Eye Care treat symptoms. Many people know how long the allergy season lasts for them, and they can tailor their treatment to the usual duration of their symptoms.

Knowing this, those who suffer from seasonal allergies should consider trying Now scheduling patients at all locations! over-the-counter products first. If that works, then stick with them. If further relief is needed, make an appointment with your eye doctor. You may benefit from preEast Side Bayside Brookfield Franklin scription eye drop treatments that can lessen, or even eliminate seasonal allergic eye 1684 N. Prospect Ave. 500 W. Brown Deer Rd. 17280 W. North Ave. 9200 W. Loomis Rd. troubles altogether.

Suite 110 Suite 100 Suite 204 Jay A. Heilmann, O.D. is a comprehensive eye care specialist at Milwaukee Eye Care Associates. To schedule an appointment with Dr. Heilmann please contact www.milwaukeeeyecare.com Milwaukee Eye Care Associates at 414-271-2020.

Milwaukee Eye Care Associates, S.C.

Schedule an appointment today: 414-271-2020 Or visit our website at: Arvind Saini,

www.milwaukeeeyecare.com

414 - 271 - 2020

10 HEALTHWISC APRIL 2011

depression

OVERCOMING

diabetes04

Depression affects over 20 million people in the United States.

In light of the current economic difficulties, teenage bullying, technology addictions, trauma, abuse and divorce, depression is becoming a greater concern. No one is immune from the impact of depression, as it cuts across culture, gender, race, age and disability.

10/7/04

8:04 AM

Page 1

DIABETES Columbia St. Mary’s gives it the treatment it deserves.

(414) 961-4641

By Michael Luber, PsyD, is a Licensed Therapist at Jewish Family Services.

According to the Centers for Disease Control 3.4% of the U.S. population meet the criteria for major depressive disorder at any given time. Depression is often misunderstood. Everyone experiences it to some degree at some point in their lifetime.

Many think depression is caused by a personality weakness and can be easily overcome by a change of attitude or thinking. However, the reality is that it is a serious illness caused by physical changes in the brain.

Most people question, “When does an everyday depression or bad mood cross over and become ‘clinical depression’ requiring professional attention?� The biggest determinant is whether or not depression affects one’s normal daily life. When depression begins to interfere with your work, your home life, or relationships, it becomes more than a bad mood and it should be taken seriously. Depression takes away one’s ability to enjoy life and function normally. Symptoms may include sadness, irritability, lack of concentration, changes in eating and sleep patterns, loss of interest in usual activities, crying spells, feelings of hopelessness, and thoughts of death or suicide.

Treatment for clinical depression frequently includes psychotherapy and medication. There are a variety of antidepressant medications which help approximately 35% of those individuals diagnosed with a depressive disorder. Nutrition and exercise are also very important in helping to alleviate symptoms. Other alternative treatments include electroconvulsive therapy (ECT or shock treatment), acupuncture, meditation, hypnosis and herbal remedies.

In light of the current economic difficulties, teenage bullying, technology addictions, trauma, abuse and divorce, depression is becoming a greater concern. No one is immune from the impact of depression, as it cuts across culture, gender, race, age and disability.

Specific populations face individual challenges when trying to overcome depression.

The Community Mental Health Education Project, a program of Jewish Family Services, is presenting a conference, The Many Faces of Depression: Hope and Health, to address the issues of depression, suicide prevention and strategies to increase hopefulness and resiliency. The breakout sessions will address specific challenges faced by different groups of people throughout the community (youth to older adults, communities of color, men, women, the Lesbian, Gay, Bisexual and Transgender community, and people with physical and/or sensory disabilities). In addition, the keynote speaker, Suzy Favor Hamilton, former Olympian, will talk about her personal struggles with depression. The conference will be held on Friday, May 13, 2011 from 8:00 a.m.-1:00 p.m at the Milwaukee County War Memorial Center. For further information, contact Norma Gilson at ngilson@jfsmilw.org or (414) 3905800, or visit www.jfsmilw.org.

The Community Mental Health Education Project of Jewish Family Services Presents:

The Many Faces of Depression: Hope & Health Friday, May 13, 2011 8:00 a.m. - 1:00 p.m.

Milwaukee County War Memorial Center 750 N. Lincoln Memorial Drive Admission Free & Open to the Community Parking available for $5 Continuing education hours made available depending upon specific professional requirements for a $25.00 administrative fee

.H\QRWH 6SHDNHU : Suzy Favor-Hamilton,

Former Olympian

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APRIL 2011 HEALTHWISC 11

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You need not be 100% vegetarian, though—eating a few meatless meals a week or just reducing the amount of meat on your plate is enough to reap some benefits.

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www.communitymhccenters.com 12 HEALTHWISC APRIL 2011

UC Berkeley Wellness Letter Being a vegetarian has both health and environmental advantages. You may shun meat for animal welfare or religious reasons, too. You need not be 100% vegetarian, though—eating a few meatless meals a week or just reducing the amount of meat on your plate is enough to reap some benefits. Here’s how to go vegetarian in a safe and nutritious way. > What are some health benefits of being vegetarian?

Plant-based diets—with lots of vegetables, legumes (beans, lentils, peas), fruits, whole grains, nuts, and seeds—are linked to a lower risk of heart disease, diabetes, hypertension, and some cancers, notably colorectal cancer. Vegetarians tend to weigh less and have lower cholesterol levels and fewer digestive problems, such as constipation. Vegetarian diets are high in fiber, unsaturated fats, vitamins, minerals, and antioxidants—and low in saturated fat and cholesterol—all of which may contribute to the health benefits. Vegetarians also benefit, no doubt, from the fact that they tend to lead healthier lives in general. > Isn’t it hard to get enough protein on a vegetarian diet?

No. Vegetarians typically consume less protein than meat eaters but can still easily meet their needs. Legumes are top sources of protein, but grains, nuts, seeds, and vegetables all provide some. Meat substitutes, such as veggie burgers and soy crumbles, provide about as much protein, ounce for ounce, as meat. If you choose a variety of foods—especially if you eat some dairy and eggs—you should get all the protein you need. > Do you have to combine certain foods at every meal to get “complete” protein?

No. Animal foods provide all nine “essential” amino acids needed to make a “complete protein,” whereas plant foods, with a few exceptions (notably soy and

quinoa), are incomplete, meaning they lack one or more essential amino acids.

“Complementary” protein sources—such as beans and tortillas, or peanut butter and bread—provide adequate amounts of all the essential amino acids. It used to be thought that you had to eat complementary proteins at the same time. But research has shown that you only need to consume all the essential amino acids over the course of a day, which is easy to do if you eat a variety of plant foods. > Are all vegetarian diets healthy?

Not necessarily. It’s easy, in fact, to eat an unhealthy vegetarian diet. Lots of junk foods—chips, cookies, candy, and soda—are vegetarian. A vegetarian who eats mostly refined grains, fried foods, and sweets, for example, will have a less healthy diet than someone who eats lean meat and dairy in moderation and consumes lots of vegetables, fruits, and whole grains. > Are vegetarians at risk for vitamin B12 deficiency?

Vegans are at greatest risk. Animal products are the only reliable sources of vitamin B12, which is important for the nervous system and to prevent anemia. If you eat no animal foods, look for B12 fortified products such as some soy milks and breakfast cereals, and/or take a B12 supplement. Some brewer’s and nutritional yeasts are fortified with B12—but not all are, so check the labels. > What about other vitamins and minerals?

Some vegetarians may also fall short in zinc, calcium, vitamin D, and iron, depending on their diets, and should consider taking a daily multivitamin/mineral pill, as well as calcium and vitamin D supplements. Vitamin D2, as opposed to D3, always comes from non-animal sources. Zinc is found in legumes, grains, wheat germ, soy, and nuts, though it’s not as well absorbed as the zinc in meat and milk.

Some leafy greens (such as broccoli, collards, and kale), tofu (processed with a calcium salt), dried figs, tahini, and almonds provide calcium. If you don’t consume dairy products, look for calcium-fortified beverages, such as soy milk, and other calcium-fortified foods. Some breakfast cereals, nondairy milks, and juices are also fortified with vitamin D. Because the iron in plant foods (nonheme) is not as well absorbed as the iron in meat (heme iron), vegetarians may need to consume more iron. Vitamin C and other substances in fruits and vegetables enhance the absorption of nonheme iron, so it’s a good idea to include fruits or vegetables that are rich in vitamin C with every meatless meal (eat beans with a tomato salad or glass or orange juice, for instance).

Still, vegetarians do not have a higher incidence of anemia or lower iron stores than nonvegetarians. If you’re pregnant, talk to you doctor about whether you need any supplements. > I don’t eat fish—should I take an omega-3 supplement?

Maybe, especially if you are pregnant or breastfeeding. Vegetarian diets supply a plant form of omega-3 fats, called alpha-linolenic acid (ALA), found in flax and hempseeds, walnuts, canola oil, and soy, as well as in some green leafy vegetables and vegetable oils. But plant sources lack eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), the omega-3s found predominantly in fish, which are needed for brain development and are good for your heart. The body converts only very small amounts of ALA to EPA and DHA. ALA may have its own health benefits, but it can’t substitute for EPA and DHA. Vegan omega-3 supplements supply EPA/ DHA from marine algae as opposed to fish oil. You don’t need supplemental ALA, as from flaxseeds capsules. > Are vegetarians at higher risk for bone loss and osteoporosis?

The evidence is inconsistent. Bone density and fracture risk are affected by many dietary, lifestyle, environmental, hormonal, and genetic factors. Some studies suggest that vegans, who consume less calcium, are at higher risk of fractures. But others suggest that some things about vegetarian diets—such as phytoestrogens from soy foods, vitamin K from fruits and vegetables, and the lower levels of acid-forming compounds in the diets—are beneficial for bones. A 2009 analysis in the American Journal of Clinical Nutrition found that vegetarians, especially vegans, have lower bone density—but the effect is so modest that it’s unlikely to increase the risk of fracture.

To best protect your bones, consume adequate calcium, vitamin D, and protein; do regular weight-bearing exercise; keep alcohol intake moderate; and don’t smoke— the same advice nonvegetarians should follow. > Why is going meatless better for the environment?

Producing meat—beef in particular—requires more energy and causes more pollution than does the growing of plant foods. According to a recent study from Loma Linda University, an animal-based diet uses about three times more water and fossil fuels, 13 times more fertilizer, and 40% more pesticides than a vegetarian diet (growing grains for livestock requires lots of fertilizer and pesticides). And a 2009 report from the Worldwatch Institute blamed at least half of all human-caused greenhouse gas emissions—at least 32,000 tons of carbon dioxide a year—on livestock. Skipping red meat and dairy products just one night a week for a year saves the equivalent in greenhouse gas emissions produced by driving 760 miles, other research has estimated.

Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2011. To order a one year subscription, call 1-386-447-6328.

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APRIL 2011 HEALTHWISC 13

Children’s Healthy Living

A section dedicated to healthy families.

We know it is a rough and tumble world.

Greg LaFleur has made it his job to prepare kids to meet the physical demands of the world-literally training kids to tumble, vault, swing, balance, and more. Since 1986, LaFleur has owned and operated LaFleur’s Academy of Gymnastics. The academy offers a variety of programs for kids as young 1 ½ years through high school. The majority of youngsters taking part in gymnastics at LaFleur’s are 5-9 years old. There are many reasons that kids of any age choose to be involved in gymnastics however, the best reason seems to be that they simply enjoy the sport.

OPEN HOUSE!!!

Your child will get a

out of Chay's Summer Camps June 20-24 July 18-22 Aug. 15-19 8am-5pm

Come see our brand new facility

Saturday, April 16th 12:00 - 2:00 pm

Germantown, WI

The facility offers training on all apparatus including floor, balance beam, both types of parallel bars, vaulting, high bar, pommel hors and rings. The varied activities allow for a full-body workout that works all the muscle groups in th body.

Gymnastic activities also help children develop their spatial awareness. The skills developed through gymnastics activities can help children in any other sport in which they choose to participate. The academy is also a USA Gymnastics member club and has competitive teams for both boys and girls. The team program has progressive levels that have consistently performed ell at State, Regional, and National competitions. Several students have even received full college scholarshipsin gymnastics.

website: www.lafleursgym.com Call today for our brochure and register early by mail for a better class selection.

(262) 255-9700

14 HEALTHWISC APRIL 2011

W189 N10991 Kleinmann Drive Germantown, WI 53022

N19 W6733 Commerce Ct. • Cedarburg 262-474-0067 • cell: 414-899-4968

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MODERN MOM

10 Ways to Eat More

Vegetables

Whether you’re trying to lose weight or just maintain a healthy lifestyle, it’s important to include a variety of vegetables in meal planning. There are many health benefits of eating vegetables, including reducing the risk of stroke, type 2 diabetes, coronary heart disease, and certain cancers, such as mouth, stomach, and colon cancer.

It can be a challenge to include a sufficient amount of this tasty and beneficial food group to menus. These tips from TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, offer some creative ways to eat more vegetables:

01 Make a “pasta” dish with spaghetti squash instead of noodles.

02 Puree cooked vegetables and add them to stews, gravies, and soups.

Lose Weight With Friends

03 Add raw spinach leaves and an extra-ripe banana to a fruit smoothie. It may

sound strange, but the sweetness of the banana masks the taste of the spinach.

04 Baking? Add shredded carrots to muffins or bread.

05 Instead of cheese and meat, pile your morning omelet with onions, mush-

rooms, and red and green peppers. Chop vegetables the night before to save time in the morning.

06 Add chopped spinach to meat when preparing meatballs or hamburgers.

07 Try mashed cauliflower instead of mashed potatoes. Experiment with different flavorings such as garlic, a dab of butter, and Parmesan cheese.

08 Add salsa to a breakfast burrito, pile it on a veggie burger, or use it in place of high-fat, creamy vegetable dips.

09 Puree pasta sauce with vegetables such as winter squash or chopped broccoli.

low membership fee weekly meetings membership magazine fellowship incentive programs

TAKE OFF POUNDS SENSIBLY

10 Add chopped carrots to casseroles or meat loaf.

TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada. Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, visit www.tops.org or call (800) 932-8677.

Take off Pounds Sensibly (TOPS) is a non profit, noncommercial weight-loss support group with over 200,000 members. Chances are there’s a chapter near you, where you can get the support you need to lose weight, feel better, and be healthier.

To locate a chapter or find out more about TOPS: 1.800.932.8677 www.tops.org APRIL 2011 HEALTHWISC 15

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        800-565-GIRL(4475) 

“Our general finding—that kids do better in a structured environment with scheduled exercise and limited opportunities to eat—is consistent with the idea that camp can help restrain summer weight gain,” said Paul von Hippel, Ohio State University sociology professor

and lead author of the study. “Speaking from my own experience, I was a chubby kid until I lost ten pounds the first year that my mother sent me to camp.”

Camps continue to play a vital role in turning back this national trend. Camps are important partners for parents and children who want to make positive changes that keep kids active and eating healthy all year long.

Camps and their staffs make sure that camp programs offer opportunities for healthy and active living. If your children begin to change some of their food and activity habits at camp, they might be able to transfer some of these behaviors when they return home.

Teach children to alter food preferences by providing them with a variety of food choices.

Offer taste tests and expose children to new foods.

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Encourage eating breakfast.

Offer new programs.

office@phantomlakeymca.org

16 HEALTHWISC APRIL 2011

Reduce “fast food” and junk food for snacks and side dishes (chips, cookies, candy, etc.); provide healthy options at the snack bar or camp store.

Educate children about healthy eating and knowing when to stop eating.

exercise/activity

Camps play a vital role in contributing to lifelong patterns of exercise and excellent nutrition. Camp is a great place to offer good food, great activities, a positive environment, a safe and secure location, and most of all, fun.

Healthy Habits For A Successful School Experience

When it comes to the success at school it usually starts at home. Lack of nutrition, sleep, or routine can lead to poor academic performance. If your child is having troubles in their school, it can be turned around by creating healthy habits and good communication.

It’s hard for your child to perform well if they do not feel good. You can help child to have a better school experience by creating healthy habits at home. Create a routine that is easy to follow. Set a bedtime for your child that gives them at the very least eight hours of sleep. Breakfast is crucial to your child’s brain power for the day. Encourage your child to do an exercise routine. Children these days spend much of their down time watching TV and playing video games. Substitute with exercise programs and games that are tailored to children and fitness.

Structure will help you keep these routines ongoing. Routines can be changed slightly, but keep your child on a tight day to night schedule. From the time they eat to doing their homework, playtime and any other activities that are apart of their day should have a regiment.

Keeping your child’s things in order can be challenging. Backpacks, shoes, jackets and any other items needed for school should have a spot designated for them. They will know where to find their items during the morning rush. This will also help keep them more organized. Keep another special place for your child to do their school work. Make sure the space has a enough light and work area.

Go over with your child what they did during their school day. Add to what they are learning. Teach your child a little extra than what is in the book. It helps keep their confidence up if they feel they are ahead on what learning. Read to your child.

Also, try to use life lessons to help them understand why they need to learn what they are studying.

Talk often to your child about their teacher and classmates. Ask your child what they like and don’t like. Getting a better feel on what your child is thinking can help you understand what direction your child needs to go in. Email their teachers with concerns.

Showing interest in your child will help you bond. Encourage them to bring out their personalities. Let them know your expectations. If you make that expectation clear and provide a home environment that promotes learning, then your child will have a greater chance of becoming the best student he can be.

an Elite Day Camp Elite Sports Clubs proudly celebrates its 25th year of SCAMP with a tradition of safe, healthy, summer fun. Our licensed day camps provide an incredible agenda of ageappropriate, kid-friendly fun.

SCAMP now in Elite facilities in Brookfield & Mequon offers spacious environments, each featuring indoor & outdoor pools, indoor tennis courts, full-sized gyms, dance studios, Kids EZone rooms & more.

What can we

262-241-4250 11616 N. Port Washington Rd. Mequon, WI 53092 262-786-0880 13825 W. Burleigh Rd. Brookfield, WI 53005

ONE WEEK PRE-SCAMP June 13 - 16 Full Day Half day / Full day 3 WEEK SESSIONS, Mon. - Thurs.

Session I June 20 - July 7 Session II July 11 - July 28 Session III August 1 - 19 ONE WEEK POST SCAMP Aug. 22 - 25 Full Day

y Mom? a d o do t

SWIMMING! TENNIS! KARATE! ARTS & CRAFTS! THEME DAYS! FIELD TRIPS!

register online EliteClubs.com APRIL 2011 HEALTHWISC 17

St Martin’s Family Services

EIGHT FUN AND EDUCATIONAL STEPS TO Your Child’s Positive Development

Home Health Companion In Home Child Care/Sitter Respite Care Academic Tutoring & Study Skills

414-961-1614

www.stmartinfamilyservices.com info@stmartinfamilyservices.com

NATIONAL SAFE KIDS CAMPAIGN RECOMMENDS THAT NO CHILD UNDER 12 BE LEFT ALONE

“Little Ninjas today, leaders tomorrow.”

The Little Ninja Program is a detailed curriculum that focuses on improving preschool-age children’s basic motor and listening skills. These skills will help them enter society with a more confident and enthusiastic outlook. They will become better students at school, better listeners at home and more ambitious towards the future. We believe the time between the ages of 4 and 6 are the most important years of a child’s development. Our program will enhance positive development in a fun and motivating way.

The little Ninjas program will also prepare you child for our Children’s Martial Arts Program. In the Little Ninja classes, your child will be exposed to positive social interaction. They will learn how to work with others and follow directions from their instructors. Our Little Ninja Instructors are good role models who are trained specifically to work with preschool-aged children.

The Little Ninjas curriculum consists of developing 8 major skills that are necessary for participation in any sport or activity. The curriculum also contains 8 little ninjas personal development skills that are used to reinforce family values.

Upon completion of the little ninjas program, your child will become focused and motivated to achieve any goal they set in life!

The 8 Little Ninjas skill requirements are composed of physical and mental benefits. The following are the skills with the benefits from participating in the Little Ninja class: Skill #1: FOCUS– This skill will help your child’s aim, listening skills and reaction skills. They will excel faster in any physical activities. Your child will also become a better listener and a more focused student in school.

Come See Our New

Tae Kwon Do Facility Featuring 10,000 sq. ft. and 3 Workout Areas Little Ninja/Tae Kwon Do For ages 4 – 6

After School Pick-Up Program We pick up the kids from school, give them a snack, homework help and a workout.

Kick Boxing/Exercise Program No belts, no uniforms, just a kick butt workout! Mornings, weekends or evenings; ages 14 and up.

Master Chay’s Personal Training Program Learn martial arts and get into the best shape of your life.

Skill #2: TEAMWORK- Teamwork is necessary for any young child to develop.

The more confident your child is willing to work with others, the more he or she will accomplish. Your child will develop character, which will help him or her make new friends and become a better leader in life.

Skill #3: CONTROL- Have control means making good decisions. Whether your child is handling a pet or handling a problem, he or she will learn to make the right decisions. Control builds confidence.

Skill #4: BALANCE- This skill is crucial to develop at any early age. Your child is beginning to participate in many physical activities that are challenging, like riding a two-bicycle. Your child will develop good balance and a better posture.

Skill #5: MEMORY- Developing a good memory is exercise for your child’s brain.

The sooner your child exercises, the smarter he or she will become. The drills are constantly helping your child think and make smart decisions.

Skill #6: DISCIPLINE- The instructors use the Little Ninja drills to help create the vision that discipline is fun and rewarding. Your child will take pride in doing the right thing. Your child will also follow directions better.

Skills #7: FITNESS- It is important for children to understand the importance of being healthy and physically fit. If your child does not burn off excess energy exercising, how will he or she burn off all that energy?

Skill #8: COORDINATION- Your child will learn left form right. They will become better physical participants in sports and activities. The better coordination your child has, the fewer injuries your child will sustain.

N19 W6733 Commerce Ct. • Cedarburg 262-474-0067 • cell: 414-899-4968 18 HEALTHWISC APRIL 2011

In Little Ninja Classes, learning is fun and educational. The goal is to help your preschooler be the best they can be at everything they put their minds to. “Little Ninjas today, leaders tomorrow.”

For more information about the Little Ninjas program contact Master Chay at 262.474-0067, or 414-899-4968.

A modern feature dedicated to complementary and alternative healing.

Well-Being body mind spirit

ROBIN CAMPBELL, LMT #3956-046

W62 N265 Washington Avenue Suite B, Cedarburg, WI 53012 SDIPMJTUJDBMUFSOBUJWFT!ZBIPP DPN r XXX IPMJTUJDBMUFSOBUJWFTDFEBSCVSH DPN r 1MFBTF DBMM GPS BO BQQPJOUNFOU

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DEEP TISSUE, SWEDISH, HOT STONE, ASIAN BODYWORK THERAPY

APRIL 2011 HEALTHWISC 19

ADVERTORIAL

isolate a problem area faster and more accurately

helps our bodies regain nervous system health

INTRODUCING YOU to the ProAdjuster You can achieve maximum health for your body now and in the future beginning with a simple anatomical concept. The nervous system (the brain and all the nerves) control EVERY function of your body. If this network is interfered with, pain ensues, as does bodily malfunction, resulting in sickness and diminished overall health.

The ‘something’ you can do to improve performance and maximize health is to maximize the health of your nervous system. There are several ways to do this. The number one way is allowing a Doctor of Chiropractic, using the ProAdjuster equipment to analyze and treat your nervous system. The ProAdjuster uses 21st century technology to determine if each spinal segment is in proper alignment, so the nervous system is free to effectively transport nerve impulses throughout the body.

The Pro-Adjuster uses the same technology that allows NASA engineers to determine and handle weakness and stress on spacecraft. The treatments feel like a percussive massage; the ProAdjuster uses no painful joint manipulation.

HOW DOES THE ProAdjuster WORK? To better understand, let’s examine

the idea of palpation. When a Chiropractor palpates your spine, they are checking for joint fluidity, motion and/or rigidity. Improper motion affecting the nerve function is called a subluxation. In a similar fashion to palpation, the ProAdjuster can determine whether the vertebra’s motion is too rigid or too fluid. The spine should not be too rigid (hypo-mobile). However, instead of utilizing the Doctor’s judgment as to what areas are hypermobile or hypo-mobile, the ProAdjuster measures precise levels of motion.

Therefore, the ProAdjuster can isolate a problem area faster and more accurately than manual procedures.

OUR BODIES ARE DESIGNED TO BE SELF-HEALING AND SELF-REGULATING. The ProAdjuster utilizes a precise oscillating force with uninterrupted motion. It is able to increase the mobility of the spinal segments by reducing or enabling motion in the abnormal areas. In other words, the ProAdjuster is “unsticking” the joint. Have you ever seen a woodpecker tapping in an oscillating fashion on a tree? It is hard to believe, but you can watch them bore right through the hardest wood! The ProAdjuster taps in much the same

way but uses soft tips that are comfortable to the human body and do not create damage.

ProAdjuster Chiropractic care helps our bodies regain nervous system health. To be healthy, it is essential that our nervous system is free of any interference that could inhibit innate intelligence from freely flowing to any areas of your body and back to your brain.

With specialized and advanced Chiropractic care at HealthWise Chiropractic, we have helped multitudes of patients just like you to feel better, reduce pain, and live a more healthy life.

It is well known that there is an innate intelligence that runs through our body at all times that cannot be damaged and does not age, it is this intelligence, energy, or power that controls the healing and the regulating that is coordinated by the nervous system.

This intelligence that runs through your nervous system controls and coordinates every function of your body.

This is what allows you to adapt to and live in your environment. A large portion of your nervous system passes within your spinal column and it is called the spinal cord. It is your spinal

cord that acts as the major communication system that exists you brain, travels down inside your spinal column and branches off into spinal nerves that then exits between each vertebrae and goes to each cell, tissue and organ in your body.

State-of-the-art Chiropractic Care is the foundation on which we help YOU build a better life. At HealthWise Chiropractic, we achieve the best results with years of experience and expertise in Corrective Chiropractic Care and other therapies. At HealthWise Chiropractic, we achieve the best results with years of experience combined with expertise in Corrective Chiropractic Care.

Call today and schedule your ProAdjuster appointment! 414-529-4600 HealthWise Pain Relief and Chiropractic is a renowned facility specializing in Neuropathy, TMJ, and all pain conditions including chronic Low Back and neck pain conditions. Located in Hales Corners, WI, we are proud to serve Milwaukee, Waukesha, Racine, Walworth and Ozaukee Counties, and the towns of Hales Corners, Franklin, Muskego, Greendale, Greenfield, New Berlin, Oak Creek, West Allis, Wauwatosa, Elm Grove and Brookfield.

Dr. Robert Carpenter, Dr. Brian Kovara, Dr. Paul Ralston, Dr. Mike Rottiger

HEALTHWISE CHIROPRACTIC

SPINAL HEALTH & WELLNESS CENTERS 10731 W Forest Home Hales Corners, WI 53130 Hwy 100 and Forest Home, just east of Mcdonalds and across from Holz Chevrolet

The ProAdjuster

Would you believe us if we told you that Chiropractic treatments could be done comfortably, while sitting in an upright position without any turning or sudden movements? Would you believe that newborns, as well as the elderly with osteoporosis can be treated safely and gently? Our Doctors use the ProAdjuster, a computer-assisted adjusting instrument to find and correct dysfunction in your spine. Our patients receive consistent, standardized and comfortable care.

Relief is just a phone call away!!!

414-529-4600

LiteCure Laser

Do you have knee, shoulder, hand or arm pain getting worse or just not going away without the use of dangerous drugs or shots? Become a patient and receive one free treatment of our LiteCure Laser therapy. You will be amazed at how good you feel. eel.

Peripheral Neuropathy Do you suffer from foot and leg pain? How about from restless leg syndrome? Drug therapy was the old way of treating pain but it doesn't get the job done. New procedures are now available here at our office.

www.healthwisepainrelief.com THE DOCTORS AT HEALTHWISE have 70 years of combined experience and the latest adjusting and therapy equipment which will have you raving to your friends about how good you feel after treatment.

Our patients say we have the most innovative care they have ever experienced.

CHRONIC PAIN AND YOUR BRAIN

Pain provokes an emotional response in everyone.

By Diane Halloran O.T Chronic pain can occur at almost anytime for any reason: arthritis, neck and back pain, headaches, TMJ, Fibromyalgia, after a surgery or for some unexplained reason.

Pain is the number one reason that sends people to the doctor. Half of those that seek relief do not get it.

Pain provokes an emotional response in everyone. If you have pain, you may also have high anxiety, irritability, and agitation. These are very normal feelings when you are hurting. Normally, when pain subsides, so does the stressful response.

Chronic pain exists beyond what we consider as a normal healing period.

People with chronic pain are twice as likely to suffer from depression and anxiety as those without it. If you have chronic pain and depression, you’ve go plenty of company, half of the 32 million people in the United States alone experience chronic pain and depression. Depression is one of the most common psychological issues facing people who suffer from chronic pain.

It is now clear that there is not single pain center in the brain.

Pain is an interactive dance along neurotransmitters in the brain and spinal cord.

Much chronic pain is thought to involve either an overactive pain-perception circuit or and under active pain-modulation unit. In other words, with chronic pain, our nervous system is has gone rogue making it difficult to stop the signals of pain sent to the brain creating an escalating cycle. Furthermore, it is believed that more pain pathways are created with chronic pain in the Central Nervous System while nerve cells that normally inhibit or slow the signaling, increase or decrease function.

O.K., now what does that mean in terms of treatment of pain? If pain affects not only your body, but your mind and spirit, then treatment must address these three aspects of the human condition.

Exercise and stretching are beneficial. Done in combination with mind-body techniques that increase endorphins – neurotransmitters that allow the body to feel good, exercise becomes even more favorable.

Medications such as anti-inflammatories are effective in the short term, but there are worries about long-term use. Pain-relief medication is often abused and one can become easily addicted. In therapy, mind-body techniques can decrease or wean clients from medications that they thought they absolutely needed for pain relief: Medications that can have negative long term effects.

Mind-body techniques such as yoga and meditation are helpful in the treatment of pain as they help activate and allow us to more easily regulate our pain-modulation unit. Mind-body techniques can also be used in combating depression especially as our perception changes. Relaxation techniques that involve the body and mind can be beneficial in letting go of physical stress that exacerbates pain.

Once the pain cycle is decreased, the central nervous system is trained to fire less which decreases its pain pathways. With less pain, our spirit lifts and the future seems brighter.

Written by Diane Halloran O.T., an occupational therapist with Wholistic Occupational Therapy who has been effectively treating pain with integrative techniques for over 10 years located at 6320 W. North Avenue. For more information and/or a free consultation, call 414-258-2981.

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APRIL 2011 HEALTHWISC 21

THE GOOD BUGS

MAY 2011 - FEATURING

WELL-BEING

Kelly A. Simms, Resident Naturopathic Physician, Integrative Family Wellness Center The adult gastrointestinal (GI) tract contains over 400 different species of bacteria. When we are born, we receive our first inoculation with beneficial bacteria from the vagina, mainly lactobacillus acidophilus. During breastfeeding, the populations of bifidobacteria begin to rise. After weaning, we are exposed to a variety of organisms through our food and environment. We build a diverse population of beneficial bacteria, or flora, inside our intestines that help our bodies make vitamins, absorb nutrients and provide a protective barrier from foreign substances. Many of the bacteria that live in the GI tract are beneficial flora, but often certain bacteria, parasites or yeasts can grow out of control and cause problems. This is known as dysbiosis and can cause diarrhea, constipation, loose or watery stools, cramping, flatulence (gas), generalized fatigue, food sensitivities and other abdominal illness.

One of the most common times to experience GI flora changes is during and after taking a course of antibiotics. Antibiotics are marvelously effective at killing bacteria—even the good ones! A period of diarrhea, gas or bloating often accompanies a week or ten day course of antibiotics. One way to combat this problem is to take a probiotic supplement while on antibiotics and immediately after ceasing the course of treatment. Take the probiotic away from the antibiotic and with food to maximize beneficial bacteria repopulation to the small intestine and colon. Taking a probiotic while on an antibiotic can help maintain the intestinal flora and then rebuild the flora when the probiotic is maintained for a period of a few weeks after the antibiotic course.

If you are suspicious of bacteria, parasite or yeast overgrowth, there are a few ways to check. A stool analysis is one way look at the populations of bugs in the GI tract. Samples are analyzed at a lab and then treatments can be directed at killing certain populations of flora and supporting the growth of others. Other methods include a blood test to see if the body has made antibodies to any bacteria, parasite or yeast. Imaging studies such as endoscopy, a tube inserted into the mouth, or colonoscopy, inserted into the colon, are additional tools that can be utilized if needed.

MINING RICHES: AN AWAKENED HEART! DOMO GESHE RINPOCHE Buddhist Lama of the Tibetan Tradition

Teachings in Milwaukee SEEING WITH EYES OF LOVE

ALL-DAY SEMINAR Saturday, April 16 th, 10:00 AM–5:00 PM Core El Centro, 611 W. National Ave., 1st flr.

LOVING KINDNESS

$65

HOW TO BE COMPASSIONATE WITHOUT BURNING OUT Tuesday, April 19th, 7–8:30 PM $15 Milwaukee War Memorial, Rm. 415 750 N. Lincoln Memorial Dr. (Nursing CEUs) Full schedule at www.white-conch.org or 414-443-0980 WHITE CONCH DHARMA CENTER 22 HEALTHWISC APRIL 2011

> The adult gastrointestinal (GI) tract contains over 400 different species of bacteria.

LaceWing Gardening & Consulting Services Home based in NW Milwaukee

Garden Consultation Instruction Design Wildflowers & Woodland Gardens Organic Lawn Care Landscape Maintenance Environmentally sustainable landscapes practice in all area/havitats.

Creating Habitat gardens that attract humming-birds,butterflies and pollinators Including ponds, prairies and rain gardens.

Remember, Life begins in the garden!

Early Spring!

HAPPY SPRING APRIL IN WISCONSIN

Diane M. Olson-Schmidt lacewing@nase.org

414.793.3652 Winter Services

Landscape Design Thinning & Renewal Pruning Garden Talks to Groups on Various Organic Garden Topics & Lifestyle.

Daffodils, Tulips, and blooming crocus and other spring bulbs are coming up and the grass is greening up. To control snow mold, lightly rake up the mold and surface thatch and any leaves that have matted. Compost the leave and thatch.

Lightly rake up the leaves in planting beds and compost; always leave some leaves in the planting beds to add organic matter to soil, but uncover the perennial plant rosettes so soil can warm up in which the plants can start growing. Do not work the soil if wet, as this will destroy the soil structure, do not walk on soil that is too wet either.

Granular Organic Fertilizers can be done during April as well as weeding out dandelions(or some of them), now is the time to weed out the dandelions as the food in the roots is empty. Also compost tea can be added in April and May. Corn Gluten is usually applied when forsythias & daffodils are blooming, Corn Gluten is not advised because it was processed from GMO grown corn which has a negative effect on life in soil. Better to add organic matter and compost tea to soil to keep the lawn growing vigorously to crowd out weeds. Have your soil tested(best done in fall), add Organic Fertilizers and soil amendments, and follow test results.

Prune out any deadwood on shrubs, plus thin prune out fruit trees. Cut into smaller pieces and leave in woodpile is space is permitted, save some branches for garden stakes, or take to self-help recycling center, or put out to curb just before brush pick up day if your town has one.

As soon as soil dries out, now is also a good time to hand pull weeds in planting beds, as well as digging out the rosettes of garlic mustard before they send

up their flower stalks, and dry them out before adding to compost or they will regrow.(be sure to dig the taproot out).

Never add flowers from garlic mustard to compost. Buckthorn can be cut down as well, especially plants that set fruit.

This can be done in late fall to late winter. Only Organic Pesticides certified by OMRI are used only if needed. Organic pest & disease control are done only when needed.

Time to plant Lily bulbs in garden.

Also pot up Begonia, Cannas, Calla, for bringing outside later. Continue to start annual seeds & vegetable seeds for transplanting outdoors later. Too early to plant Gladiolus bulbs yet, wait till early to mid may.

A light covering of Hardwood mulch can be added now after soil has warmed up a bit, this keeps down weeds, adds organic matter, & keeps soil from drying out. Also time to sow grass seed for lawn patch up or redo a section. Use a mixed species of grass seed that tolerates drought. If Creeping Charlie is a problem, dig it out with the grass, add soil, and overseed area with grass seed, the idea is for the grass to crowd it out. It can also be raked out.

We are a conservation-minded business that believe in Organic & Natural Landscaping in all areas and habitats and practice a lifestyle that supports sustainable living.

Even though Organic and Sustainable are heavily used, even those with non organic ingredients including some GMOâ&#x20AC;&#x2122;S (like corn, soybean meal, cottonseed meal, canola oil, beet sugar).

Agriculture/Horticulture and seeds provide the basis upon which all lives depend on and must protect the foundation as a safe and genetically stable source for

future generations. Further, we wish to support horticultural practices that lead to healthier soils and the Earth.

For more information contact LaceWing at 414-793-3652 or e mail at lacewing@nase.org

Creating Habitats for over 15 years

.

APRIL 2011 HEALTHWISC 23

MEDITATION

IMPROVE HEALTH

The term meditation refers to a group of techniques, such as mantra meditation, relaxation response, mindfulness meditationA type of meditation that focuses attention on breathing to develop increased awareness of the present. The intent is to reduce stress and control emotion in order to improve health., and Zen Buddhist meditation. Most meditative techniques started in Eastern religious or spiritual traditions. These techniques have been used by many different cultures throughout the world for thousands of years. Today, many people use meditation outside of its traditional religious or cultural settings, for health and well-being.

In meditation, a person learns to focus attention. Some forms of meditation instruct the practitioner to become mindful of thoughts, feelings, and sensations and to observe them in a nonjudgmental way. This practice is believed to result in a state of greater calmness and physical relaxation, and psychological balance.

Practicing meditation can change how a person relates to the flow of emotions and thoughts.

most types of meditation have four elements in common: A QUIET LOCATION

A SPECIFIC, COMFORTABLE POSTURE

Meditation is usually practiced in a quiet place with as few distractions as possible. This can be particularly helpful for beginners.

Depending on the type being practiced, meditation can be done while sitting, lying down, standing, walking, or in other positions.

A FOCUS OF ATTENTION

AN OPEN ATTITUDE

Focusing one’s attention is usually a part of meditation. For example, the meditator may focus on a mantra (a specially chosen word or set of words), an object, or the sensations of the breath. Some forms of meditation involve paying attention to whatever is the dominant content of consciousness.

Having an open attitude during meditation means letting distractions come and go naturally without judging them.

When the attention goes to distracting or wandering thoughts, they are not suppressed; instead, the meditator gently brings attention back to the focus. In some types of meditation, the meditator learns to “observe” thoughts and emotions while meditating.

Meditation used as CAM is a type of mind-body medicinePractices that focus on the interactions among the brain, mind, body, and behavior, with the intent to use the mind to affect physical functioning and promote health. Examples include meditation and yoga.. Generally, mind-body medicine focuses on: The interactions among the brain/mind, the rest of the body, and behavior.

The ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect health.

24 HEALTHWISC APRIL 2011

Seniors

Acupuncture is the proven, 3,000 year old medicine from China. Acupuncture and TCM have been in the United States for the last 30 years. In this article I will refer to Oriental Medicine as TCM (Traditional Chinese Medicine) and this article will mostly deal with acupuncture.

Acupuncture uses very fine needles, thinner than a human hair and they are not painful. The needles are used to activate various body energy channels called meridians. These meridians are the pathways to a healthy body and mind. If the pathways are disrupted, then there are problems with the body and/or mind.

Acupuncture works by activating the body’s regulation system. If the meridians are out of balance then you can have pain, sickness or lack of stamina. Using acupuncture to rebalance the body helps to eliminate the pain, relieve the sickness and give you more energy. This is accomplished by using specific points of the body that will help to rebalance the body. This rebalancing sometimes occurs immediately, and at other times may take many months.

Senior Citizens are experienced in medical problems!

Senior citizens have collected a lifetime of experience with medical problems.

The dynamic nature of life is never still and the body collects the life experiences and seems to give them back to you when you age. Pills do not seem to be the answer and not all surgeries are needed and /or successful. Into this picture we introduce acupuncture.

In TCM it is the symptoms that are treated, not a named illness or a particular problem. The acupuncturist treats the symptoms. If they can relieve the symptoms, healing occurs. This is the backbone of the success of acupuncture. It treats symptoms very effectively.

Pain is Senior Citizens most constant companion Pain is a big problem with seniors. Some seniors have suffered years of pain without relief. Many seniors are so used to their pain that they don’t think there is

anything that can be done to help them. When we treat seniors for pain, the most often heard comment is “why did I not try this years ago?”. In many cases once relief is achieved the pain never returns. All of this is accomplished without the use of dangerous pain medications that have many warnings of bad side effects.

As we age, we get a little stiffer. Our lack of exercise and good stretching habits during our lifetime tend to slow us down in old age. Acupuncture, by virtue of its ability to increase the circulation in the meridians, helps to restore mobility in many seniors. There are many instances of seniors no longer needing to only rely on walkers or canes in order to get around. This is a great improvement for many people and they can function much better.

Acupuncture can provide nourishment and strength Another advantage of acupuncture is its ability to nourish the body, and by doing that, help heal patients. These nourishing treatments increase circulation in the meridians and supply energy and healing power to areas of the body that may not have been getting enough nourishment. Once the body is better nourished, you feel better and can accomplish more.

One of the major nourishment principles is to increase the Qi, which is the TCM theory of energy. This Qi strengthens the blood and nourishes our head. Thus, it helps hearing, eyesight, balance and memory. All of these are concerns of seniors and acupuncture can help.

Quiet Anxiety and lessen depression with Acupuncture Anxiety and depression are serious problems with seniors. There is a great deal of help offered by acupuncture for these conditions. As the body is balanced and nourished, emotional problems are smoothed out. Sleep is better and more restful and the day’s concerns and worries are not as prominent. Treatments with acupuncture are a helpful addition to emotional stability.

Another problem with aging is neurological problems. Numb hands and feet are a common complaint and here again acupuncture has proven effective in lessening the effects of these problems. Walking is easier and a sense of touch is returned to many seniors.

Acupuncture can put your body back in balance!

By receiving acupuncture a person allows their system to be put back in balance.

A body in balance is a healthy body and many aging problems are reduced or eliminated. Give acupuncture a try; it may just be the best thing you have done for yourself.

Dr. Willliam F. Hughes, Jr. PhD, Dipl. Ac March , 2011, Acupuncture Clinic of Wauwatosa, Inc. 11611 W. North Avenue Wauwatosa, WI 53226, 414-607-0900.

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Acupuncture Clinic of Wauwatosa 11611 West North Avenue #101 Wauwatosa, WI 53226

Dr Hughes is a graduate of UW-Madion, The Midwest College of Oriental Medicine and Belford University. He and his wife/office manager, Connie, have been residents of the Elm Grove area for 21 years where they have raised their four children. He is a member of Elmbrook Rotary.

414-607-0900 www.WauwatosaAcupuncture.com

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READING THE

Energy Of Thought

What we think, we become.

—Buddha A man is but the product of his thoughts. What he thinks, he becomes.

—Mahatma Gandhi

By Lisa Schuetz, Graphotherapist, Certified Graphologist For thousands of years in recorded history, all the great theologians, scientists, and philosophers have agreed on one point and possibly only one point, which is: What we think about, comes about. Our thoughts are the creative energy behind what we manifest in our lives. Unfortunately, an estimated 98 percent of daily functioning and thinking is unconscious, reflexive action, otherwise known as habit. Many of us are unknowingly living a life that isn’t of our making, a life created by internalization of the worldviews of our parents and the mass culture in which we live.

Given that our thoughts determine what we manifest in life and that most of what we think is unconscious and unintentional, we cannot begin to change our lives until we discover the content of our thinking. Sadly, when most people tune in to their unconscious thoughts, they discover that the majority are self-defeating patterns of thinking, or what I call “thought energy.” As long as our thought energy is selfdefeating, we will not be able to create what we truly want in life. Only when we become aware of our self-defeating thought energy can we begin to reprogram it to support our greatest potential rather than undermine it.

Though many people associate aging with purely physical events of the body, the more important aspect is the call to life’s greater task of finding where it is that our spirit lies. Aging entails more that adding years to our lives; it requires that with each passing year we become a fuller expression of who we are meant to be. Living an optimal life necessitates growing and evolving so that our emotional age matches our chronological age. By consciously taking responsibility for how we think and navigate through life, we are able to engage life to the fullest. It is in this full engagement that the body, mind, and spirit thrive, and we live and age audaciously.

To wake up to our unconscious patterns so we can move toward full engagement, we need a method of objectively assessing our habits of thought. Since the body and mind are inextricably linked, we can use our physiology both to understand and to change our psychology. This approach is the basis of biofeedback and other self-directed modalities such as dance therapy, art therapy, and the brain-wave entrainment called neuroacoustics. These methods work by utilizing the plastic nature of our brain, that is, its inherent ability to reorganize itself in response to new situations or changes in environment. This quality of the human brain is called neuroplasticity.

Graphotherapy is another self-modification method that utilizes the brain’s neuroplasticity. Graphotherapy is the application of graphology (the science of handwriting) to psychological problems. It is based on the existence of a bidirectional relationship between the hand and the brain, which means the brain, communicates with the hand and vice versa.

Graphic gestures, which include handwriting, doodles, and drawings, are records of thought energy. These expressive gestures offer unfiltered, uncontaminated information about our subconscious drives, innate temperament, and possible neuroses or energy blocks. We can “read” this energy for diagnosis and manipulate it for the purpose of healing.

The piece of paper on which an individual writes represents that person’s world.

Thus how we put strokes on paper mimics how we see ourselves in the world and how we move through it. Handwriting is basically “brainwriting.” How we express ourselves on paper originates not from our hand but from neural impulses from our 26 HEALTHWISC APRIL 2011

subconscious. Our movements on paper give us direct information into the organization of our brain and the state of our energy field, that is, the energy state of our emotions and thoughts.

We can use the bidirectional relationship between body and mind to gain insight into ourselves and others. In fact, most of us already do this in everyday life in the reading of voice quality and body language such as facial expressions, gait, gesticulation, and posture. Handwriting is one of the many expressive gestures that humans make and it is one that supplies a permanent record, a snapshot in time of the state of balance or imbalance of our body, mind, and spirit.

A flexible, integrated, balanced brain is outwardly evidenced by fluidity and gracefulness in our handwriting and other movements of our body. The quality of our voice and expressive gestures such as facial expressions, gait, gesticulation, and posture also reflect the state of organization and integration in the brain. Thus a velvety voiced singer is sure to have a smooth gait, expressive hands, and a flowing script. A person that walks haltingly and with rigidity is sure to speak in a choppy voice and write with a non-flowing script.

How we adorn and embellish our writing, the extraneous qualities our strokes have, and whether there is balance or imbalance in our stroke formation provide a window into how our brain is operating and the state of balance in the body, mind, and spirit. To sum up the basics of graphotherapy, writing is a series of straight and curved lines that are either moving away from us (expansion) or moving toward us (contraction). Very generally, the goal of the prescribed hand movement exercises in graphotherapy is to create balance between the contraction and expansion or release.

When in our handwriting there is balance between straightness and curvedness, balance between expansive movements and contracted movements, balance in the different parts of stroke formation, and a balanced use of space on the paper, we are balanced energetically and emotionally.

Balance indicates adaptability and the ability to see reality, whereas imbalance indicates the opposite as unconscious fears and projections constrict us and cloud our perception. When balance is present, our core motivation is love. With imbalance, our motivation is fear-based. Just as we appear “guarded” when assuming the posture of crossed arms and hunched shoulders, our writing strokes reflect this same contraction of energy. When our stance is outstretched arms and open hands, our handwriting shows expansive, full, rounded strokes.

The Polarities of the Psyche The psyche is a self-regulating energy system, and as with all such systems, it functions on the principle of polarity. Some of the major paired energies operating within us that we can readily see and interpret from writing are intensity and relaxation, objective/logical/yang and subjective/emotional/yin, and intellectual and physical.

All of life has a rhythm, an ebb and flow, just like one’s breathing: inspiration and expiration. There is always a taking in, and a releasing.

Intensity Notice the squeezed appearance and rigid-looking formations in the following writing sample. This indicates tension, “uptightness.” The individual may be emotionally inhibited or overly controlled in expression of thoughts and feelings, which results in narrowness of thinking.

Relaxation Notice the relaxed look of the following writing sample and the garland shapes at the base of letters. The garland is the most practical, quick, easy, natural, and agreeable way of connecting two letters. Some qualities associated with formations like these are naturalness, friendliness, talkativeness, adaptability, an easygoing nature, and a benevolent personality. Just as the gesture of an open, cupped hand conveys a sense of one reaching out in a friendly manner, this open, cupped-shape connection indicates the same in writing.

If the writing’s form looks overly relaxed, as in the following, the person may lack mental control and focus and be highly impulsive.

Objective/logical/yang In the following sample, notice the small size and clear spacing, which indicates that emotions are kept out of the decision-making process.

Subjective/emotional/yin In the following sample, notice the size of the letters and the crowded spacing, which indicates that emotions influence thinking.

Our responsibility Plato states that we should “know thyself.” Reading the energy contained in handwriting gives one a unique, and powerful, window to the soul. We can learn about ourselves, and others, by learning about some fundamental basics of handwriting analysis.

Lisa Schuetz is a graphotherapist and certified graphologist. She is dedicated to investigating the neuroscience of thought and the reading of the energy of thought through scriptural (drawing or writing) movement. Learn more through her website: http://lisaschuetz.com/ or http://readinggestures.com/. Lisa will be speaking about handwriting at The Ommani Center for Integrative Medicine, Pewaukee, WI in May, 2011. Details will be available at the Ommani Center website, www.ommanicenter. com, or Facebook page during the month of April.

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28 HEALTHWISC APRIL 2011

Arlene Becker Yoga is a practice that’s been around for thousands of years. Originating in the Far East it has intrigued people for centuries. Within the last few decades many people have discovered Yoga’s ability to help people become more limber, to learn how to breathe in a more even manner, and to help relieve the stress of everyday life. The most beneficial of all, Yoga has been found to be wonderful for people of all ages, Traditionally Yoga is practiced on a mat.

However, not every feels comfortable, or has the ability to work on a mat. Because of this North Shore Elite Sports Club in Glendale, felt that perhaps doing Yoga while seated would allow everyone, even those who could not do Yoga on a mat, to be able to enjoy the benefits of Yoga. . Elite Sports Club Yoga instructor, Ann Harding, a Yoga expert, designed a class where the students could practice Yoga while sitting on a chair.

Harding, who is now teaching the chair Yoga class, is passionate about Yoga, and all of what she feels are its benefits to people, and agrees that Yoga can be done by people of all ages, and all different physical states.

Harding is a certified and registered Yoga instructor ((CYT/RYT) and has worked with people of all ages and conditions, from four year olds to those in the eighties.

She teaches Vinyasa Style Yoga, which emphasizes posture sequences connected by breath. Harding stresses: “The idea of staying seated is so that the students would feel the movement and the breaths and still be comfortable.”

Harding said her class was composed predominately of mature adults, though she felt it could be done by people of all ages. Harding spoke about the importance of offering Yoga to everyone “because people really want to feel better, to feel more energetic. It doesn’t matter how old a person is they’re always fascinated in learning on how to feel better and energetic. If you practice Yoga your whole life you’re ageless, much less lacking in energy. There’s no end to your vitality.”

Though the students initially were seated for the class, eventually with Harding’s encouragement, they began to use the chair as a support for more advanced moves.

“The students are using the chair as a base to practice the sun salutations which are a sequence of classic Assinas, or postures.” Harding adds:” In the Chair Yoga class, as in all classes, the focus is in quieting your mind and breathing efficiently, and balancing the mind body experience. ” “Though anyone can practice and benefit from this chair yoga class, it is especially beneficial to the more mature students. Yoga helps them have the posture of youth. I tease my students when I admonish them, by saying, I don’t want to see any of you hulking over a grocery cart!”

Harding stressed that Chair Yoga is perfect for those who find the traditional manner of practicing Yoga too arduous. “It may be an introduction to a more traditional Yoga, and after doing the Chair Yoga successfully, they may be able to transition to other Yoga classes. But if not, Chair Yoga in itself is a wonderful practice.” Harding said she loved seeing the metamorphosis in her Chair Yoga students, many of whom had never tried Yoga before.

Judy Pink, who has physical problems, and shunned the traditional Yoga as she felt she couldn’t do it, loves Chair Yoga. “I find it easier as we do all our stretches and deep breathing from the chair. Annie always reminds us, never to say I can’t, or no way, always keep trying and you will succeed. I’ve benefited from it, gaining more strength and flexibility. Once you try it you’ll be hooked.”

Chair Yoga student Joe Nelson, has nothing but praise for his classes. Nelson, who had done traditional Yoga for several years before an open heart operation, found that it was too difficult for him afterwards, so he now takes Chair Yoga and finds it perfect for his physical recovery. “I lost strength after my surgery operation and found it difficult to gain back. Chair Yoga gives me more stamina I find my balance is improving, as I wasn’t as steady. Chair Yoga is easier on my body and I intend to continue with it on a long term as I find very beneficial experience.”

Harding feels that “Chair Yoga is great for everyone. It can be used in different environments, for example it be carried over into your work space. By using postures and meditations in a chair it can relax you and reduce stress.”

In her Chair Yoga class Harding said, “I empower my students to know they are their own teachers and will continue to receive the benefits of Yoga the rest of their lives.

For more information on Chair Yoga call North Shore elite at 414-351-2900. The class is open to the public

NORDIC POLE WALKING

Improves posture and body alignment Relieves pain an tension to neck, shoulders, and back Connects mind, body, and spirit and promotes positive and healthy lifestyles Increase strength and endurance A total body workout incoportaing up to 90% of your muscles

A LOW IMPACT ACTIVITY FOR EVERYONE The sport was originally developed in Europe for cross country ski athletes trying to simulate cross-country skiing techniques in the summer without the snow. This form of off-season training has been used in Europe since the 1930â&#x20AC;&#x2122;s. Since then it has spread all over Europe due to its great fitness and health benefits. Nordic Pole Walking is quickly becoming a worldwide phenomenon. There are already millions of people participating in this healthy activity and the global numbers continue to rise.

Nordic walking uses two specially designed poles to work the upper body while walking.

The poles give walkers more stability and when used properly it encourages good posture and really helps with balance.

Nordic Pole Walking strengthens your upper body by loosening and stretching your back, arms, shoulder and upper chest muscles.

WHEN USING THE NORDIC POLES USE THESE TECHNIQUE TIPS: *Walk naturally * Keep your shoulders relaxed an do not hold the grip too strenuous *Hands and poles remain close to the body * Keep in mind that the poles remain in a diagonal position * As the left foot moves forward so does the right hand in unison * Try to make the pole push just behind the line with the pelvis * Open the palm of the hands at the end of the pole push * Bring the pole quickly forward again * Mind that body is pointing forward in one line * Make sure you achieve the total unrolling of the feet from heel to toe Millions of people has taken up Nordic Pole walking to help improve overall health.

Age is not a barrier. The poles improve balance and stability as you continue to strengthen and tone.

Children can you the Nordic Pole walking as well. They can walk, run, jump and train simply and safely.

This is a truly low-impact activity that can be enjoyed by all fitness levels.

Nordic Pole walking can help improve health conditions such as: osteoporosis, diabetes, arthritis, surgery recovery, depression, obesity, fibromyalgia, pre and postnatal care >Athletic training, etc.

Nordic Pole Walking makes walking a better overall workout. Enthusiasts look ahead to bringing millions of fitness walkers in the US, and even more so to those who do not regularly exercise or do much physical activity.

For more information on Nordic Pole Walking and information on classes call Foot Solutions 262-241-3668.

APRIL 2011 HEALTHWISC 29

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HEALTH AND LIVING

FOR THE MODERN SENIOR A special section dedicated to helping seniorâ&#x20AC;&#x2122;s plan the next phase of their life.

Millions of older Americans have surgery each year.

CONSIDERING SURGERY? Don’t hesitate to ask the surgeon any questions you might have

Be sure to tell the doctor about all your symptoms

1/2 healthwise ad for clement manor:Layout 5

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Have you been told by your doctor that you need surgery? If so, you’re not alone.

Millions of older Americans have surgery each year.

For most surgeries, you will have time to find out about the operation, talk about other treatments with your surgeon (medical doctor who does the operation), and decide what to do. You also have time to get a second opinion.

Questions to Ask Deciding to have surgery can be hard, but it may be easier once you know why you need surgery. Talk with your surgeon about the operation. It may help to take a member of your family or a friend with you. Don’t hesitate to ask the surgeon any questions you might have. For example, do the benefits of surgery outweigh the risks? Risks may include infections, bleeding a lot, or a reaction to the anesthesia (medicine that puts you to sleep).

Your surgeon should be willing to answer your questions. If you don’t understand the answers, ask the surgeon to explain more clearly. Answers to the following questions will help you make an informed decision about your treatment: > What is the surgery? Do I need it now, or can I wait? > Can another treatment be tried instead of surgery? > How will the surgery affect my health and lifestyle? > What kind of anesthesia will be used? What are the side effects and risks of having anesthesia? > Will I be in pain? How long will the pain last? > When will I be able to go home after the surgery? > What will the recovery be like? How long will it take to feel better? > What will happen if I don’t have the surgery? > Is there anything else I should know about this surgery?

Choosing a Surgeon Your primary care doctor may suggest a surgeon to you. Your state or local medical society can tell you about your surgeon’s training. Try to choose a surgeon who operates often on medical problems like yours.

Getting a Second Opinion Getting a second opinion means asking another doctor about your surgical plan.

It is a common medical practice. Most doctors think it’s a good idea. With a second opinion, you will get expert advice from another surgeon who knows about treating your medical problem. A second opinion can help you make a good decision.

You can ask your surgeon to send your medical records to the second doctor. This can save time and money since you may not have to repeat tests. When getting a second opinion, be sure to tell the doctor about all your symptoms and the type of surgery that has been suggested.

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April Is Parkinson’s Awareness Month

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A WORLD POPPING UP TULIPS Jay R. Blankenship, MSW Executive Director, Wisconsin Parkinson Association April has been proclaimed as Parkinson’s awareness month.

Why is this important and what’s up with the tulips? The story of the Parkinson tulip began in 1980 in the Netherlands when J.W.S. Van der Wereld, a Dutch horticulturalist who had Parkinson disease, gave the name “Dr. James Parkinson” to the red and white tulip he had developed. On April 11, 2005, this red tulip was launched as the worldwide symbol of Parkinson disease at the 9th World Parkinson Disease Day Conference in Luxembourg.

Today the tulip is becoming the symbol for Parkinson disease awareness – an awareness that will lead to better understanding about Parkinson’s that will lead to wider acceptance that will lead to more action. This action can be in the form of a wide variety of things, such as providing a patient with the correct diagnosis or referral, giving a person with Parkinson’s the best treatment available, helping and supporting a family caregiver, encouraging a patient to participate in a communitybased support group or exercise program, or enabling a friend or co-worker to recognize the symptoms of Parkinson’s and not mistake it for something else.

With greater awareness and more action comes the opportunity for everyone with Parkinson’s to lead a full and healthy life.

Parkinson disease is a neurologic disorder that affects a certain part of the brain that’s responsible for controlling and coordinating movement. The primary symptoms of Parkinson’s is a resting tremor (usually on one side, initially), slowness of movement, stiffness or rigidity, and a loss of balance that often leads to falls. Other secondary signs can include stooped posture, micrographia (small handwriting), excess salivation, shuffling gait, lack of arm swing when walking, constipation, sleep problems, speech problems, and some cognition or mood issues.

The cause of Parkinson’s is not known, and currently there is no cure. Most people with the disease are over 60, but more people younger than that are being diagnosed.

The symptoms of the disease can be managed with medications and some lifestyle changes, especially diet and exercise. The illness affects everyone differently and can have mild to severe consequences. Parkinson’s is chronic and slowly progressive – the symptoms worsen over time, but here, too, everyone is different.

However, for anyone with Parkinson disease, it is a life-changing event that will impact the individual and his or her family for the rest of their lives. As the disease progresses, simple tasks such as bathing, brushing teeth, shaving, dressing, and personal grooming become more and more difficult. Many people with PD experience increasingly severe pain, loss of energy, sleep disturbances, depression, and anxiety during “off” times when the protective effects of medication wear off.

As the individual needs more and more, help it can put tremendous stress on them and their family members.

Greater awareness and understanding of this disease is essential. One huge concern is that there may be hundreds of people in our community with Parkinson disease who are either undiagnosed or wrongly diagnosed and not getting the correct treatment.

Free community screenings can help. The Wisconsin Parkinson Association (WPA) offers several of these each year and often discovers dozens of people who have been living with undiagnosed Parkinson’s for years. Ruth is a typical example. Ruth was an active and energetic seventy-something who came to one of our screenings complaining of increasing inability to do physical activities. An avid walker and gardener, Ruth had been unable to do these activities any more. Her close friends kept pushing her to see a doctor, explaining that she hadn’t been herself. Ruth first went to see her primary care physician who could find nothing wrong. He said it may be just part of the aging process and that she should modify her expectations.

This is a common story that is heard often from our patients. When she shared this

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PARKINSON | see page 54 APRIL 2011 HEALTHWISC 33

Choosing Senior Housing

A GUIDE TO

Senior Living CHOICES Many people remain in their own homes, active and healthy, decades beyond age 65. Senior housing includes a variety of retirement communities for independent living as well as numerous options for those who are having difficulty continuing to manage independently.

N

What are the main types of senior housing and residential care?

Senior housing is a group-living situation where senior citizens can live in proximity to their peers and partake of a wide range of activities and special services. Senior housing ranges from single-family homes in a senior community to large group living facilities. Seniors who want to remain in their own homes can find resources and direction in Helpguide’s Services to Help Seniors Stay at Home.

People who explore senior housing as an alternative for themselves or a loved one find a complex and often confusing array of options and descriptions but senior housing really consists of just 3 basic types: Independent living Assisted living Nursing home care Assisted living is sometimes called “board & care” and “congregate housing.” Residential care that combines all 3 housing types is called Continuing Care Retirement Communities (CCRC’s). This gives us 6 major senior housing options: Independent Living – For healthy seniors who are self-sufficient and want the freedom and privacy of their own separate, easy-to-maintain apartment or house, along with the security, comfort and social activities of a senior community.

Assisted Living – Numerous kinds of housing-with-services for people who do not have severe medical problems but who need help with personal care such as bathing, dressing, grooming or meal preparation.

Board and Care – State-licensed assisted living for people who need minimal assistance with personal care such as bathing, dressing, grooming or toileting, but who need or want communal meals and easy access to social contact with peers.

Nursing Homes (Skilled Nursing Facilities) – Facilities with 24-hour medical care available, including short-term rehabilitation (physical therapy) as well as long-term care for people with chronic ailments or disabilities that require daily attention of RN’s in addition to help with personal care such as bathing or dressing or getting around.

Congregate Housing – Used to be considered a unique combination of private living quarters combined with shared activities including communal meals and other social activities, but is now considered a type of assisted living.

Continuing-Care Retirement Communities (CCRCs) – A complex of residences that include independent living, assisted living and nursing home care, so seniors can stay in the same general location as their housing needs change over time, beginning when they are still healthy and active.

Why is the topic of senior housing sometimes hard to understand?

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34 HEALTHWISC APRIL 2011

In the last 2 or 3 decades, the world of senior housing has developed many more living facilities do. options for elder care from specialized nursing homes to types of assisted living that Types of community services and activities provided by senior living facilities prevent being placed in a nursing home. It’s good for consumers, and a sign of hope Depending on the type of senior housing one chooses, optional community services to the aging, that we have more good choices for care, but it has also led to these may include: complications: Communal Meals Different names are used for the same type of housing. A nursing home was once Housekeeping known as an old folks’ home or retirement facility and today may be called a conva- Laundry lescent hospital, skilled nursing facility, or rest home. Among the 26 different names Local transportation for board and care in the U.S. are “boarding care,” “board & lodging” and “adult Exercise facilities, such as pools, saunas and exercise machines foster care.”

Arranging for personal or medical care The same names are used for different types of housing. Sometimes “assisted living” Libraries is applied to any senior housing where assistance is provided, from just meals (as in Beauty shops some retirement homes), to board and care homes, to nursing homes. The phrase, Gardens “long-term care” used to apply to nursing home care for people who were never ex- Activities can include: pected to recover from a disabling illness; but sometimes all forms of senior housing Recreational, educational, and social events offering assistance that will be needed for many years, are now called “long-term Activity rooms or clubhouses care.”

Golf courses The rapid growth of assisted living facilities makes for ever-changing combinations Tennis and shuffleboard courts of services in a widening variety of settings. This has led to a variation on the old Health and exercise programs or classes adage, “If you’ve seen one you’ve seen ‘em all.” When it comes to residential care, Chapels and religious services “If you have seen one assisted living facility, you have seen one assisted living facil- Independent living facilities are most likely to offer some or all of the above comity.” munity services, health and recreational/spiritual activities. Assisted living and ConHow do I determine what type of senior housing arrangement is best? tinuing Care Retirement Communities may adapt the services offered to meet the After familiarizing yourself with the types of residential care, it’s time to conduct specific needs of the seniors living in their facilities. Nursing homes also have a a thorough inventory of the senior’s wants, needs and goals. Some key issues to range of services and social activities adjusted to suit the limitations of the resiconsider: dents.

Temporary versus long term care: An older person may go to a nursing home for Types of health services provided. When is a Nursing Home necessary? rehab following a surgery or stroke, then return home. In other circumstances, a HOUSING | see page 54 senior’s needs are better served by planning a move into a situation that is likely to remain the same for the many years to come.

Independence: Can the senior live alone, and more importantly, does he/she want to?

Or would living in a more service-oriented environment be more nurturing?

Relax...and Enjoy!

Privacy: Independence and assistance generally form a continuum: privacy decreases as the need for assistance increases. If the senior’s desire for privacy is paramount, Senior Village independent living, assisted living, or a Continuing Care Retirement Community West Bend, WI 53095 would all be preferable to a board & care home or a nursing home.

(262) 306-0876 Needs for personal care: How much and what kinds of personal or “custodial care” riverbend@oakbrookcorp.com are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing.

2 Bedroom Apartments Needs for medical care: If the senior has a chronic illness that necessitates special Available Immediately!!! medical care, or ongoing services of medical professionals, independent living and -Rent includes heat and water even assisted living may not be suitable.

-Generous storage Costs: Learn about the financial aspects of senior housing to determine what options -Courtyard with gazebo & grill -Four laundry rooms are affordable for you.

-Surface and underground parking Walk through and evaluate several care facilities or senior communities that seem -Community Room with Kitchen suitable. Reviewing facility comparison checklists can help you determine which -Elevator Access type of environment fits the senior resident’s requirements and preferences.

-Controlled Access Entry Seek guidance from professionals who are experts in senior housing issues such as -Small Pets Adored medical social workers, case managers or geriatric care managers. They can help Professionally managed by the Oakbrook Corporation with all phases of this process: identifying goals and values, assessing needs, determining what is affordable, and suggesting appropriate facilities.

Types of personal care provided by senior living facilities Personal care (also known as custodial care) encompasses what are known as  William A. Passavant offers spacious and comfortable one & two “ADL”--activities of daily living. These  bedroom apartment homes that are filled with features you will commonly include: appreciate. Designed for your comfort & convenience, this Cooking and cleaning outstanding 51-unit senior apartment community offers resort style eating living at an affordable price. bathing dressing using the toilet • Located minutes from downtown Milwaukee getting around the house (mobility) • Central location allows convenient travel by car or public transit Additional personal care support may • Spacious units with brand-new energy saving appliances • Handicap Accessible provide assistance with: • Washer/Dryers in Units (Limited availability, remaining units have W/D hook-ups) transportation around the community • Heated Indoor Parking with Car Wash Port medication reminders * Income restrictions apply. finding companionship participating in social and recreational Commonwealth Management activities For Rental Information call: 2708 W. Center St. While an independent living senior comMilwaukee, WI 53210 munity does not provide personal care in www.commonwealthco.net the home, the various types of assisted

River Bend

EQUAL HOUSING OPPORTUNITY

414-491-8707

APRIL 2011 HEALTHWISC 35

the art of conversation

“It was so nice to have someone to talk with, just like the days when we used to chat on the front porch”

Retirement communities routinely offer the opportunity to come together...

The true art of conversation has changed from the warm exchange of face to face encounters...

Not too many years ago, funny stories, life changing conversations, serious topics and creative ideas all took root on the front porch. After the chores were done, it was the place for family and friends to gather and share their experiences of the day whether good, bad or otherwise. It seemed that no one was lonely because there was a place to gather and talk…the front porch.

The true art of conversation has changed from the warm exchange of face to face encounters to a form of isolated interaction. Today the advanced technologies of hundreds of cable channels and internet conversations seem to connect us to the world without using the true skills and courtesies of conversing. The opportunity to enjoy that type of front porch conversation is in jeopardy.

If you grew up enjoying the freshness of discussion with lemonade in you hands…you understand what is missing in today’s electronic forms of interaction.

36 HEALTHWISC APRIL 2011

It’s interesting to note that early in the morning local restaurants have attracted the “Front Porch Gang” as have retirement communities.

The lifestyle of a retirement community is by design a front porch gathering place. One of the main reasons a person decides on joining a community is for social opportunities – a.k.a the good old fashion front porch conversations.

Recently at Tudor Oaks Retirement Community after a workout in the fitness class, a long time resident invited a soon to be resident to enjoy a cup of coffee and a chat. “It was so nice to have someone to talk with, just like the days when we used to chat on the front porch” was the follow up comment by the newcomer. She looks forward to reviving the art of fun conversations as she finalizes her plans to move into the community.

She shared “It has been so quiet in my home, I look

forward to talking with people again I can hardly wait to move in.”

Retirement communities routinely offer the opportunity to come together and share ideas and learn about new ones. Most offer educational seminars on a variety of topics to help spark conversations and interactions on timely topics that are key in keeping the lines of communication open. If you look in the right place, the Front Porch is still buzzing with lively, informative conversation. Use the new technology of today to help you reconnect with friends and family you have lost contact with, and then invite them to join you on the Front Porch.

Provided by The Front Porch Gang at Tudor Oaks Retirement Community Call 414-525-6500 to learn move about upcoming conversation sparking seminars and the gang.

Affordable housing for deaf, hard of hearing, and deaf-blind seniors.

Water Tower View SENIOR COMMUINITY FOR THE

Deaf and Hard of Hearing Linda Russell As the baby boomers age, one segment of the deaf community that is going to grow - bolstered by both the natural aging of deaf seniors and the seniors who lose hearing with age. This large population is going to need specialized nursing homes, organizations, retirement communities, and for some, specialized hospice services.

A senior community’s top priority is to care for seniors with the respect, compassion and dignity they deserve. Caring is what makes a community and without a sense of caring, there can be no sense of community.

A few retirement communities for those who are Deaf already exist, and more are coming soon. These communities were built for and operate with the unique needs of Deaf and Hard of Hearing people in mind; with specialized alerting and communication equipment incorporated within the building and individual apartment homes. These communities provide constant communication access for its residents, which reduce what would otherwise be a very isolating existence. There is a large screen television that enables larger close captions, an FM “loop” system, alerting strobes for door and phone systems, and fire/smoke alarms with strobes. Activities are in sign and spoken languages. Volunteers and interpreters who use voice and sign language are available as needed. Perhaps most importantly, the environment is such that one feels “normal” as opposed to “different”. Deaf residents can visit one another in hallways, common areas and each other’s homes and communicate freely in American Sign Language. The senior Deaf community looks forward to the day when there will be assisted living, Deaf services center, and nursing homes that cater to their needs.

Searching for the retirement community that’s the right fit for your needs can be overwhelming. Keeping a few things in mind might help you find what you needs.

Location seems to be at the top of most seniors list. Keeping close to shopping, church and any medical places for your special needs is of importance.

The community itself should have special equipment for you such as visual emergency alarms and advanced hearing equipment for those hard of hearing. A knowledgeable staff is key to working with you. The staff should understand that the community is the home of the residents and strives to create an appropriate environment.

Does the community have the services you need and activities you enjoy to allow you to live the lifestyle you want?

Check into the community’s security. Ask about safety features as well. Is there a 24 hour emergency call system? Do units come equipped with grab bars and other security measures?

Access your needs. Does the community meet not only your current needs, but future needs as well? Consider both logistics and medical needs.

Look for a senior community that offers you the care and support you need. Talk to the director, the staff, and residence to help you evaluate whether the community is the right fit for you.

Info submitted by Linda Russell. For more information contact Water Tower Viewat 414-727-9902.

3983 S. Prairie Hill Lane Greenfield, WI 53228

Office Hours 12:00-5 pm Mon-Thursday

CARDINAL CAPITAL MANAGEMENT, INC. Katie Voss Relay 711,TTY/VP 888.532.4135

Now taking applications for our waiting list One and two bedroom styles w/underground parking All appliances included, carpeted throughout Design and social activities for ASL users

Judy Leiterman, CPM 414.727.9902 X 203

2 We accept Medicare, Medicaid, Workers Comp and most insurance plans.

APRIL 2011 HEALTHWISC 37

VITAMIN D DEFICIT Affects More Than Bones

Many conditions other than osteoporosis are affected by vitamin D status which have been labeled as “age related” conditions and include falling, overactive bladder, swallowing difficulties, worsening lung function, macular degeneration and cognitive decline.

FALLING: The risk of falling is increased by orthopedic disabilities, visual impairment, central or peripheral neurological problems and muscle weakness, which may be the main risk factor. In randomized trials it was shown that vitamin D reduced the risk of falling by 22%.

OVERACTIVE BLADDER: Bladder problems which are frequently related to poor coordination of the muscles used to control urination may also be associated with muscle weakness. Overactive bladder affects 30-40% of adults older than 75 years of age and is defined as urinary urgency with or without incontinence, usually with frequency, even during the night. In a study of nearly 6,000 community-dwelling women aged 40 years or older, women with the highest levels of vitamin D intake had the lowest risk of developing overactive bladder.

DIFFICULTY SWALLOWING: Up to 40% of individuals older than 60 years have problems swallowing, which can lead to malnutrition, or aspiration pneumonia. Difficulty swallowing associated with aging was usually seen with diseases such as Parkinson’s or stroke, but more recent work has shown that even normal healthy adults swallow more slowly and generate lower tongue pressures than do younger adults. No current research has been published on vitamin D status and risk of swallowing difficulty.

PULMONARY FUNCTION: Both the forced expiratory volume fter taking a deep breath and forced vital capacity are known to decline with aging. In a study of people in the National Health and Nutrition Examination Survey III who were aged 60 years or older, measures of lung function were significantly

WHO IS AT RISK? People who live in Wisconsin and spend most of their time indoors.

VITAMIN | see page 39

R EHABILITATION EQUALS

I NDEPENDENCE Rehabilitation is especially helpful following orthopedic surgery, strokes, heart attacks, prolonged illness, as a means to improve strength and balance and for the ongoing medical and care for chronic health conditions.

The Alexian Village Rehabilitation Center has spacious private room in a home-like atmosphere including cable TV, private dining, spa services, salon, comfortable accommodations for family, home assessment and more.

9301 N. 76 Street, Milwaukee, WI. 53223

Alexian Village’s Rehabilitation Center is designed to promote a quick recovery.

38 HEALTHWISC APRIL 2011

Please contact Amie Alioto, (414) 507 -7941 for more information and visit us, www.AlexianBrothers.net

"I Love My Independence�

YOU MAY BENEFIT

Care Free Living

FROM NEW PRE-EXISTING CONDITION INSURANCE PLAN

Now Offering 1 month Free rent!!!

On-Site Management Inviting Lobby with Fireplace Library Computer with Internet access Close to Shopping and Banking Landscaped Patio and Grill Community Room with Kitchen All apartment homes have a Patio or Balcony Beautiful Décor

THIS NEW PLAN Covers physician and hospital services and prescription drugs

By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI Do you find it hard to obtain health insurance due to pre-existing conditions? You may be eligible for the new Pre-Existing Condition Insurance Plan — a program for people who have a pre-existing medical condition and have been without health insurance coverage for at least six months.

People with pre-existing conditions face daunting challenges — and high costs — when they shop for health insurance. This new plan covers physician and hospital services and prescription drugs. Premiums vary by state. Annual out-of-pocket expenses for enrollees are capped.

Details about the program and how to apply may vary depending on what State you live in. In some states, the U.S. Department of Health and Human Services, with the help of the U.S. Office of Personnel Management and the U.S. Department of Agriculture’s National Finance Center, will run the Pre-Existing Condition Insurance Plan; other States have asked to run the program themselves.

Regardless of which State you live in, to qualify for the program you must be a U.S. citizen or legal resident, and you must have been uninsured for at least six months. In addition, you must have a pre-existing condition or have been denied insurance coverage because of a medical condition.

For more information, call the Pre-Existing Condition Insurance Plan toll-free at 1-866-717-5826 (TTY 1-866-561-1604) between the hours of 8 a.m. and 11 p.m.

Eastern Time. Or visit www.pcip.gov and select “Find Your State” to learn about eligibility and how to apply.

Free Heat Large Storage Spaces Social Activities Small Pets Welcome 24 Hour Maintenance Staff Controlled Entry Access System Elevator Underground Parking Included Laundry on Each Floor

We Invite You for a Tour of Our Wonderful Senior Living Facility.

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S30 W24890 Sunset Dr Waukesha, WI 53189

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EQUAL HOUSING OPPORTUNITY

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VITAMIN | from page 38 higher among people with the highest level of vitamin D. AGE-RELATED MACULAR DEGENERATION: In a yet-to-be published study involving 7,752 people who participated in a federally funded survey, the risk of developing age-related macular degeneration declined when an individual had higher levels of vitamin D. DEMENTIA/COGNITIVE DECLINE: In a small study, deficient and extremely low levels of vitamin D were found in women with Alzheimer’s disease when compared to women of the same age without Alzheimer’s. Information on the study that was presented at a conference showed that higher scores on the Mini-Mental examination in 32 patients in a memory clinic were significantly and positively related to higher vitamin D concentrations.

WHO IS AT RISK? People who live in Wisconsin and spend most of their time indoors.

People with a previous low-impact fracture related to osteoporosis should be tested for Vitamin D. Note: Seniors who vacation in south and spend a lot of time on the golf course are probably NOT at risk A simple blood test can measure the amount of Vitamin D in the blood. Individuals should fast for at least 4 hours before the test. Low levels indicate a deficiency in vitamin D which could be the result of inadequate exposure to sunlight, low levels of vitamin D in the diet, inadequate adsorption or other conditions that your physician can identify. Vitamin D deficiency may lead to low blood calcium levels which in turn can lead to thin or weak bones (osteoporosis).

For a Vitamin D screening and consultation, please contact Alexian Village of Milwaukee at (414) 357-5105 ext 5867.

Information obtained from: Caring for the Ages, a monthly publication for longterm care practitioners.

APRIL 2011 HEALTHWISC 39

Horizonâ&#x20AC;&#x2122;s residents have one thing in common...

They enjoy their independence!

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Spacious, 1 and 2 bedroom apartments for Active Adults 55 and better Affordable rents | Quality construction | Elegant finishing touches Menomonee Falls Alta Mira I & II 262-251-0078 262-251-5850

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A DIFFERENT KIND OF

SHOULDER REPLACEMENT Joint replacement surgery can relieve pain and restore movement for many people.

The Johns Hopkins Medical Letter Shoulder arthritis may be less common than knee or hip arthritis, but it can be equally debilitating. Joint replacement surgery can relieve pain and restore movement for many people.

Shoulder replacement surgery works well for those with an intact rotator cuff (a group of four tendons that attach the shoulder muscles to the upper arm) or one that can be surgically repaired. When conventional shoulder replacement is not possible, you might consider a relatively new option for shoulder replacement: reverse total shoulder replacement.

The Standard Surgery The shoulder is a ball-and-socket joint in which the ball-shaped surface of the humerus (upper arm bone) fits into a cup-like depression formed by the shoulder blade and collarbone. The rotator cuff muscles attach to the edges of the ball and hold it in the socket. This stabilizes the shoulder joint, so when you lift or reach for an object, the shoulder does not fall out of the socket.

In a standard shoulder replacement, the head of the humerus is replaced with a metal ball and the cup with a plastic socket. The tendons of the rotator cuff are then repaired to reduce pain, restore motion, and hold the joint in place.

However, when an orthopedic surgeon determines that the tendons are too damaged or the arthritis is too severe, a traditional shoulder arthroplasty won’t help.

A Candidate for Reverse?

In reverse shoulder replacement surgery, the head of the humerus becomes the cup, and the scapula (shoulder blade) is fitted with a ball-like piece to fit into it. The ideal candidate is 70 years of age or older and has significant pain and little or no movement in the shoulder. Those who have chronic rotator cuff tears and arthritis make excellent candidates for a reverse shoulder replacement. Those who may have already had a conventional shoulder replacement but still have pain and loss of motion may be contenders for the surgery as well.

But reverse shoulder prosthesis is not for everybody. It is generally not recommended for people younger than 65, because no one knows how long the average reverse shoulder replacement will last. Currently, there are no long-term studies on its use in the United States, but European studies indicate that 90% of the time the replacement will last 12 years. And studies from Europe also show that around 85 to 90% of reverse shoulder replacement patients will experience excellent pain relief for at least 10 years.

People who have had an infection in the shoulder due to a previous attempt at conventional shoulder replacement should discuss their risks with their surgeon, as the rate of infection after surgery can be higher for this group.

Recovery from a reverse shoulder replacement is quite different from that of a standard shoulder replacement. Physical therapy to regain range of motion and strength in the joint after the standard surgery often takes three to four months. “In a reverse shoulder, we generally don’t do physical therapy, because we want the new metal head on the shoulder blade to settle into the bone,” says Edward McFarland, M.D., co-director of the Division of Shoulder Surgery at Johns Hopkins. “They usually regain range of motion on their own.”

Reprinted permission for the Johns Hopkins Medical Letter Health After 50, copyright MedLetter Associates, 2011. To order a one-year subscription, call 386447-6313.

PROFESSIONAL CARE WITH A PERSONAL TOUCH An affordable alternative serving the special needs of the elderly community. Our elderly living facilities provide a comfortable and charming homelike atmosphere.

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website: www.stjohns-marysmanors.com

APRIL 2011 HEALTHWISC 41

HOME HEALTH CARE

> WHAT IS HOME HEALTH CARE? > HOW DO I MAKE SURE THAT HOME HEALTH CARE IS QUALITY CARE?

Home health care helps seniors live independently for as long as possible, given the limits of their medical condition. It covers a wide range of services and can often delay the need for long-term nursing home care.

> CASE STUDY > HOW CAN I PAY FOR HOME HEALTH CARE? > WHERE CAN I LEARN MORE ABOUT HOME HEALTH CARE?

More specifically, home health care may include occupational and physical therapy, speech therapy, and even skilled nursing. It may involve helping the elderly with activities of daily living such as bathing, dressing, and eating. Or it may include assistance with cooking, cleaning, other housekeeping jobs, and monitoring one’s daily regimen of prescription and over-the-counter medications.

At this point, it is important to understand the difference between home health care and home care services.

Although they sound the same (and home health care may include some home care services), home health care is more medically oriented. While home care typically includes chore and housecleaning services, home health care usually involves helping seniors recover from an illness or injury. That is why the people who provide home health care are often licensed practical nurses, therapists, or home health aides.

Most work for home health agencies, hospitals, or public health departments that are licensed by the state.

How Do I Make Sure that Home

42 HEALTHWISC APRIL 2011

Health Care is Quality Care?

As with any important purchase, it is always a good idea to talk with friends, neighbors, and your local area agency on aging to learn more about the home health care agencies in your community. In looking for a home health care agency, the following 20 questions can be used to help guide your search: > How long has the agency been serving this community? > Does the agency have any printed brochures describing the services it offers and how much they cost? If so, get one. > Is the agency an approved Medicare provider? > Is the quality of care certified by a national accrediting body such as the Joint Commission for the Accreditation of Healthcare Organizations? > Does the agency have a current license to practice (if required in the state where you live)? > Does the agency offer seniors a “Patients’ Bill of Rights” that describes the rights and responsibilities of both the agency and the senior being cared for? > Does the agency write a plan of care

for the patient (with input from the patient, his or her doctor and family), and update the plan as necessary? > Does the care plan outline the patient’s course of treatment, describing the specific tasks to be performed by each caregiver? > How closely do supervisors oversee care to ensure quality? > Will agency caregivers keep family members informed about the kind of care their loved one is getting? > Are agency staff members available around the clock, seven days a week, if necessary? > Does the agency have a nursing supervisor available to provide on-call assistance 24 hours a day? > How does the agency ensure patient confidentiality? > How are agency caregivers hired and trained? > What is the procedure for resolving problems when they occur, and who can I call with questions or complaints? > How does the agency handle billing? > Is there a sliding fee schedule based on ability to pay, and is financial assis-

tance available to pay for services? > Will the agency provide a list of references for its caregivers? > Who does the agency call if the home health care worker cannot come when scheduled? > What type of employee screening is done?

When purchasing home health care directly from an individual provider (instead of through an agency), it is even more important to screen the person thoroughly. This should include an interview with the home health caregiver to make sure that he or she is qualified for the job. You should request references.

Also, prepare for the interview by making a list if any special needs the senior might have. For example, you would want to note whether the elderly patient needs help getting into or out of a wheelchair. Clearly, if this is the case, the home health caregiver must be able to provide that assistance. The screening process will go easier if you have a better idea of what you are looking for first.

For local information contact Comfort Keepers at 414-858-9400 or go to www. comfortkeepers.com.

Assisted living facilities Retirement Community • • • •

 N168 W22022 Main Street Jackson, WI 53037

www.jacksoncrossings.com (262) 993-2838

Hwy 45 North to Hwy 60 East Exit

Independent Apartments Supportive Care Assisted Living Memory Care

Sorting out senior living options? We Can Help     

Residents living in a setting that provides personal services, 24 hour supervision and assistance, activities and health-relatedservices designed to minimize relocation needs, accomodate seniors needs and preferance changes, encourage family and social envolvement and maximize senior’s privacy, choice and safety.

Assisted living facilities offer a housing alternatives for older adults who may need help with dressing, bathing, eating, and toileting, but do not require the intensive medical and nursing care provided in nursing homes.

Assisted living facilities may be part of a retirement community, nursing home, senior housing complex, or may stand-alone. Licensing requirements for assisted living facilities vary by state and can be known by as many as 26 different names including: residential care, board and care, congregate care, and personal care.

What services are provided?

Residents of assisted living facilities usually have their own units or apartment.

In addition to having a support staff and providing meals, most assisted living facilities also offer at least some of the following services: Health care management and monitoring, help with activities and daily living, housekeeping, medications reminders, social activities, security and transportation.

Care

Call About Ou r

Move In Specials!

FROM A

• Think ahead. What will the resident's future needs be and how will the facility meet those needs?

• Is the facility close to family and friends? Are there any shopping centers or other businesses nearby (within walking distance)?

• Do admission and retention policies exclude people with severe cognitive impairments or severe physical disabilities?

• Does the facility provide a written statement of the philosophy of care?

• Visit each facility more than once, sometimes unannounced.

• Visit at meal times, sample the food, and observe the quality of mealtime and the service.

• Observe interactions among residents and staff.

• Check to see if the facility offers social, recreational, and spiritual activities?

• Talk to residents.

• Learn what types of training staff receive and how frequently they receive training.

• Review state licensing reports.

The following steps should also be considered: • Contact your state’s long-term care ombudsman to see if any complaints have recently been filed against the assisted living facility you are interested in. In many states, the ombudsman checks on conditions at assisted living units as well as nursing homes.

• Contact the local Better Business Bureau to see if that agency has received any complaints about the assisted living facility.

If the assisted living facility is connected to a nursing home, ask for information about it, too. (Information on nursing homes can be found on the Medicare website at http://www.medicare.gov/nhcompare/home.asp).

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APRIL 2011 HEALTHWISC 43

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Consider a Continuing Care Retirement Community A primary reason older adults find the concept of continuing care appealing is security.

The benefit of a CCRC is the campus-like setting.

Continuing Care Retirement Communities are attractive to seniors.

What is a Continuing Care Retirement Community (CCRC)? A Continuing Care Retirement Community or CCRC provides a continuum of care on a campus setting.

Multiple levels of care and services are provided in independent apartments, assisted living apartments and skilled nursing settings. There are CCRCs that are more comprehensive and offer rehabilitation services, home care and hospice.

A primary reason older adults find the concept of continuing care appealing is security. Continuing Care Retirement Communities offer the security of knowing that as seniors grow older or face a potential future illness, their needs will be meet.

A comprehensive network of services is an offered to allow residents to age with choices. The confidence that there is lifelong commitment by the CCRC to the resident offers certainty and peace of mind.

The continuum of care typically begins in an independent apartment in a community setting. The monthly fee may include fine dining, housekeeping, wellness services and variety of activities. Seniors enjoy an active lifestyle, social opportunities, the benefits of vibrant friendships and freedom from the burden of homeownership.

Many retirement communities offer home health programs to provide additional support to their residents, allowing residents to remain in their independent apartments longer.

The progression of care may include a move to assisted living, where additional meals, housekeeping and nursing services are available. The benefit of a CCRC is the campus-like setting. Often the different areas of care are physically connected allowing residents to easily maintain relationships even after a health related move.

Many CCRCs provide specialized assisted living to meet the needs of those suffering from Alzheimer’s disease. Long term skilled nursing facilities are an integral component of a CCRC. Short term rehabilitation services, hospice care and home health are often offered to enhance the continuum.

Continuing Care Retirement Communities are most often religiously affiliated and are not-for-profit. The cost of a CCRC varies, however a substantial entrance fee is typically required for independent apartment. Entrance fees may be fully or partially refundable. However, the monthly fees tend to be a excellent value due to the amenities and services included.

The assurance of knowing that an individual’s changing needs can be met in one location is significant reason that Continuing Care Retirement Communities are attractive to seniors. Senior residents of CCRCs often relate the feeling of the security to having a large supportive family to rely on.

For more information on the advantages of a CCRC, please call Julie Leveritt, at St. Camillus Continuing Care Retirement Community 414/259-4680

PRACTICAL MATTERS

Planning for care in the event of a serious illness — You may have some concerns or wishes about your care if you become seriously ill. If you have questions about what choices you have, ask your doctor. You can specify your desires through documents called advance directives, such as a living will or health care proxy. One way to bring up the subject is to say: “I’m worried about what would happen in the hospital if I were very sick and not likely to get better. Can you tell me what generally happens in that case?”

In general, the best time to talk with your doctor about these issues is when you are still relatively healthy. If you are admitted to the hospital or a nursing home, a nurse or other staff member may ask if you have any advance directives.

Driving — Driving is an important part of everyday life for many people and making the decision to stop driving can be very difficult. Tell your doctor if you or people close to you are concerned about your driving and why. He or she can go over your medical conditions and medications to see if there are treatable problems that may be contributing to driving difficulties. Vision and memory tests are important. The doctor also may be able to suggest a driver’s education refresher class designed for older drivers.

Moving to assisted living — Another hard decision that many older people face is whether or not to move to a place where they can have more help—often an assisted living facility. If you are considering such a move, your doctor can help you weigh the pros and cons based on your health and other circumstances. He or she may be able to refer you to a social worker or a local agency that can help in finding an assisted living facility.

Paying for medications — Don’t hesitate to ask the doctor about the cost of your medications. If they are too expensive for you, the doctor may be able to suggest less expensive alternatives. If the doctor does not know the cost, ask the pharmacist before filling the prescription. Then call your doctor and ask if there is a generic or other less expensive choice. You could say, for instance: “It turns out that this medicine is too expensive for me. Is there another one or a generic drug that would cost less?”

Tips: Advance Directives Advance directives are written instructions letting others know the type of care you want if you are seriously ill or dying. There are two main kinds: Living wills — A living will records your end-of-life wishes for medical treatment in case you are no longer able to speak for yourself. Living wills typically refer only to life-prolonging treatment when you are close to death.

Health care proxies — A health care proxy is named through a “durable power of attorney for health care.” Sometimes this person may be referred to as a representative, surrogate, agent, or attorney-in-fact. A health care proxy is helpful if you do not want to be specific about your end-of-life treatment—you would rather let the health care proxy evaluate each situation or treatment option independently. This type of advance directive is also important if you want your health care proxy to be someone who is not a legal member of your family.

Make sure your doctor and family understand your advance directives and your views about end-of-life care. That will help them make the decisions you would want. Sometimes people change their mind as they get older or after they become ill. Review the choices in your advance care directives from time to time and make changes as needed.

Advance care directives are legally valid everywhere in the United States, but laws concerning them vary from state to state. Forms approved for the state you live in are available from many different health care organizations and institutions. Make sure that the form you choose is legal in your home state and any other state that you may live in for part of the year.

Your doctor may also be able to refer you to a medical assistance program that can help with drug costs.

Remember when friends were neighbors and neighbors were friends …

… when folks popped by just to say hello?

Well, that’s exactly the sense of community you’ll find at Luther Manor. With charming studio apartments, spacious two-bedroom models and everything in between, all you would expect from a caring, faithful community can be found right here – a variety of social opportunities, a bank, a corner market and even an ice cream parlor.

And, should you want or need assistance with housekeeping, meal preparation, medication management or personal care, an array of Supportive Services is available to help you remain safe and comfortable in your new home.

Come see for yourself.

For more information or to schedule a tour, call (414) 464-3880.

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Senior Living Community APRIL 2011 HEALTHWISC 45

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46 HEALTHWISC APRIL 2011

Did I get your attention? Good. Take 5 minutes out of your day and read this article so I can help you purchase hearing aids properly. If you are over the age of 60, you are probably getting several pieces of direct mail that advertise the latest and greatest in hearing aid technology. You probably also noticed that there are plenty of advertisements in your local newspaper for hearing aids. Let me tell you why.

My name is Dr. Doug Kloss. I have been an Audiologist for 19 years in the Milwaukee area……where I was born and raised. I have a private Audiology practice in Greenfield, WI and I hear comments from my patients on a weekly basis about how they are being overwhelmed by hearing aid advertising.

Hearing aids are sold/dispensed by two groups of two groups of professionals, Audiologists and hearing aid dispensers. All Audiologists have at least a master’s degree in Audiology, and many have Doctoral level credentials. Hearing aid dispensers must pass a state exam to earn their license to dispense hearing aids. There is no formal training, college courses, or degree required.

Hearing Aids are manufactured by 6 major manufacturers and several subsidiaries. There are plenty of brand names and models but, in general, most hearing aids that are sold are manufactured by one of these 6 companies. However, you won’t buy hearing aids directly from these companies. Hearing aids are dispensed by local audiologists, hearing aid dispensers, and large hearing aid franchises.

When you have made the decision to investigate new hearing aids, many folks take advantage of advertised offers. My point in writing this article is to educate the public on what to look for and how to save you significant time and money.

There are many tricks and gimmicks that I have seen in my years as an Audiologist. Please ask yourself who you think is paying for the expensive advertising you are seeing. Is this company in the paper every day? Do they send you direct mail on a weekly basis? You can bet you will be paying a premium price for their hearing aids.

Remember, only 6 companies make the overwhelming majority of hearing aids. The top level hearing aids from each company are all high quality products that can be fit successfully on most patients. There is not one hearing aid Company that stands out and has “the best” hearing aids in my opinion. However, there are hearing aid companies that do have technology that is “the best” for certain hearing losses. This is where the skill of an independent audiologist who works with several of the top hearing aid manufacturers is most advantageous.

I oftentimes look at advertising for hearing aids. The truth is that the national franchise that is selling the “latest and greatest” is selling the same level of hearing aid technology I am, just under a different name……and at a far higher price. I’m disappointed when I hear some of the folks come in and tell me what they paid for technology that I routinely sell for $1,000.00 less. My advice is for you to get an estimate of what it would cost for the hearing aids that are recommended for you and then compare that cost with others. Forget about the $ 1000.00 coupons, 50% discounts, phony research studies, and fake evaluation periods for “new technology”.

You need the final cost and the level of technology that is being recommended to make an accurate comparison.

Finally, are you really going to spend thousands of dollars on a set of hearing aids HEAR | see page 54

MILWAUKEE CATHOLIC HOME

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Wednesday, May 25th

FIGURING OUT

RETIREMENT > You can get Social Security retirement benefits as early as age 62...

By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI For almost every American worker, Social Security is “part of the plan” for a secure retirement. If you are among the roughly 95 percent of workers in the United States who are covered under Social Security, here’s a primer on retirement coverage.

When you work and pay Social Security taxes, you earn “credits” toward Social Security benefits. If you were born in 1929, or later, you need 40 credits or 10 years of work to qualify for retirement benefits. No retirement benefits can be paid until you have the required number of credits. If you stop working before you have enough credits to qualify for benefits, the credits will remain on your Social Security record. If you return to work later, you can add more credits so that you qualify.

Your benefit amount is based on how much you earned during your working career. Higher lifetime earnings result in higher benefits. A worker with average earnings can expect a retirement benefit that replaces about 40 percent of his or her average lifetime earnings. Social Security was never intended to be your only source of income when you retire. You also will need other savings, investments, pensions, or retirement accounts to make sure you have enough money to live comfortably when you retire.

Your benefit payment also is affected by the age at which you decide to retire and begin receiving benefits. If you were born in 1942 or earlier, you already are eligible for your full Social Security benefit. If you were born from 1943 to 1960, the age at which full retirement benefits are payable increases gradually to age 67.

You can get Social Security retirement benefits as early as age 62, but if you retire before your full retirement age, your benefits will be reduced, based on your age. If you retire at age 62, your benefit would be about 25 percent lower than what it would be if you waited until you reach full retirement age. You may choose to keep working even beyond your full retirement age. If you do, you can increase your future Social Security benefits — up until age 70.

Choosing when to retire is an important decision, but it’s also a personal choice and one you should carefully consider. When’s the best time? There is no one-sizefits-all answer. Social Security offers a list of factors to consider in the publication When to Start Receiving Retirement Benefits at www.socialsecurity.gov/pubs/10147. html. In addition, Social Security provides an online Retirement Estimator to get immediate and personalized retirement benefit estimates to help you plan for your retirement. The Retirement Estimator is a convenient and secure financial planning tool, allowing you to create “what if” scenarios. For instance, you can change your “stop work” dates or expected future earnings to create and compare different retirement options. If you have a few minutes, you have time to check it out at www. socialsecurity.gov/estimator.

When you’re ready, you can apply online for retirement benefits at www.socialsecurity.gov or call our toll-free number, 1-800-772-1213 (TTY: 1-800-325-0778). Or, you can make an appointment to visit any Social Security office to apply in person.

5:30 p.m. Hors d’oeuvres and apartment tours 7:30 p.m. Performance on our patio by Bobby Way and the Fabulous Wayouts RSVP at (414) 220-3216 2462 N. Prospect Avenue - Milwaukee, WI 53211 (414) 224-9700 - www.milwaukeecatholichome.org

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Hospice Care Hospice is a compassionate approach to caring for those who are faced with a lifelimiting illness. Hospice provides patients and their families with supportive services that not only keep the patient comfortable and educate the family, but also provide emotional support.

Many people think that hospice is a place, but really it is a philosophy of care.

Whether a patient is living in the home he or she has owned for years, a nursing home or assisted living, hospice care can be tailored to fit the patient’s and family’s unique situation.

The typical hospice team consists of the patient’s physician and the hospice physician; registered nurses; social workers; spiritual care coordinators; bereavement counselors; dietitians; pharmacists; physical, occupational and speech therapists; home care aides; and volunteers. Some patients even benefit from music, art and massage therapists, as well.

Access to hospice is based upon a documented life-limiting prognosis by a certified physician and the patient’s decision to elect to receive hospice benefits. Hospice is a 100 percent-covered benefit under Medicare. Hospice care is also covered under Medicaid and many insurance plans.

Caring for an ill loved one can be very exhausting. In some cases, life and health changes of the caregiver may prevent optimum care for the patient as his or her condition changes. Many family and friends who have taken on the role of caregiver have a sense of obligation to their loved ones and do not look to other available health care services as options. Skilled nursing care is just one service that can be provided for short-term respite care stays or long-term stays, easing the stress of illness for both the patient and the caregiver. Patients want what is best for the caregiver, just as a caregiver wants what is best for the patient. If a break or some assistance in his or her daily duties is what is best for the caregiver, then the patient will benefit too.

WHEN IS HOSPICE CARE APPROPRIATE? As with many end-of-life decisions, the choice to enroll in a hospice care program is a deeply personal thing. It depends almost as much on the patient’s philosophy of living and spiritual beliefs as it does on his or her physical condition and the concerns of family members.

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HOW CAN I PAY FOR HOSPICE CARE? Medicare, private health insurance, and Medicaid (in 43 states) cover hospice care for patients who meet eligibility criteria. Private insurance and veterans’ benefits also may cover hospice care under certain conditions. In addition, some hospice programs offer health care services on a sliding fee scale basis for patients with limited income and resources. To get help with your Medicare questions, call 1800-MEDICARE (1-800-633-4227, TTY/TDD: 1-877-486-2048 for the speech and hearing impaired) or look on the Internet at www.medicare.gov. Additional information about how to pay for hospice care can be found at the Public Policy Institute of the AARP. For more information, call Heartland Hospice at 866-216-5708

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Rehab centers provide services for a large variety of medical concerns.

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WHAT KIND OF PERSON WOULD USE A HEALTH AND REHAB CENTER? Common patients include those recovering from leg, back and neck injuries, joint replacement, and debilitating illnesses, such as pneumonia. Patients with neurological disorders or injuries, such as strokes, Parkinsons Disease or MS, often require a comprehensive therapy program to restore or improve function. Other common rehab needs are patients requiring treatment for complex wounds or respiratory disorders such as Chronic Obstructive Pulmonary Disorder (COPD).

WHAT KIND OF SERVICES ARE TYPICALLY OFFERED? Inpatient subacute rehabis a comprehensive program including Physical Therapy, Occupational Therapy, Speech Therapy and Nursing rehabilitation. Physical Therapy focuses on strengthening and endurance for patients who have become deconditioned or are recovering from acute injuries, acute illnesses or elective orthopedic surgery. Occupational Therapy focuses on assisting the patient to perform the necessary activities of daily life to return home safely. This can include everything from dressing, bathing and meal preparation but can also include vital therapy such as home safety, adaptive equipment training, scooter and walker training and bladder training. Home visits are also performed with Occupational Therapy staff to assess home safety as well as assuring that there are no unforseen obstacles to ensure a successful return home. Speech therapy provides not only speech and voice training but addresses swallowing concerns, medication training and cognitive therapies to improve memory, safety and problem solving. Nursing rehab encompasses such needs as intravenous therapy, wound care, pain management and respiratory therapy.

Additional therapies can also be provided, such as lymphedema programs, raiki, ultrasound, electrical stimulation and aroma therapy.

WHAT IS THE TYPICAL COST? Most private insurance companies and Medicare cover rehab therapies and services. A patient with Medicare and a secondary insurance are usually covered completely for up to 100 days, which is usually much longer than the average rehab stay.

An average rehab stay is approximately 30-40 days. Medicare replacement policies will usually cover rehab services but may require a daily copay. The copay amount varies depending upon the individual policy. It is always best to contact your insurance company to determine if there is a copay and what the daily copay amount will be.

IS THERE A WAY TO RESEARCH DIFFERENT REHAB FACILITIES? The best way to research a rehab facility is to request a facility tour. Seeing a facility firsthand is the most effective way to see if the facility will meet your particular needs. Take careful note of the facility appearance Is the facility neat and clean? Do the patients appear well groomed? Observe patient amenities such as private rooms, TV, phone, laundry services, and salon services. Ask questions regarding therapy services Is therapy offered 7 days a week or just on weekdays? Does the therapy department provide home visits to ensure a safe transition home? Inquire regarding other onsite professional services (Physiatrist for pain management, wound certified staff, and recreational activities) Observing a rehabilitation center in person is the best way to assure you are getting a quality, comprehensive rehab experience.

For more information contact Waukesha Spring Health and Rehabilitation Center at 262-548-1400.

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Forgetfulness

Knowing When To Ask For Help Maria has been a teacher for 35 years. Teaching fills her life and gives her a sense of accomplishment, but recently she has begun to forget details and has become more and more disorganized. At first, she laughed it off, but her memory problems have worsened. Her family and friends have been sympathetic but are not sure what to do. Parents and school administrators are worried about Maria’s performance in the classroom. The principal has suggested she see a doctor. Maria is angry with herself and frustrated, and she wonders whether these problems are signs of Alzheimer’s disease or just forgetfulness that comes with getting older.

Many people worry about becoming forgetful. They think forgetfulness is the first sign of Alzheimer’s disease. Over the past few years, scientists have learned a lot about memory and why some kinds of memory problems are serious but others are not.

Age-Related Changes In Memory Forgetfulness can be a normal part of aging. As people get older, changes occur in all parts of the body, including the brain. As a result, some people may notice that it takes longer to learn new things, they don’t remember information as well as they did, or they lose things like their glasses. These usually are signs of mild forgetfulness, not serious memory problems.

Some older adults also find that they don’t do as well as younger people on complex memory or learning tests. Scientists have found, though, that given enough time, healthy older people can do as well as younger people do on these tests. In fact, as they age, healthy adults usually improve in areas of mental ability such as vocabulary.

Keeping Your Memory Sharp People with some forgetfulness can use a variety of techniques that may help them stay healthy and maintain their memory and mental skills. Here are some tips that can help: •Plan tasks, make “to do” lists, and use memory aids like notes and calendars. Some people find they remember things better if they mentally connect them to other meaningful things, such as a familiar name, song, book, or TV show.

•Develop interests or hobbies and stay involved in activities that can help both the mind and body.

•Engage in physical activity and exercise. Several studies have associated exercise (such as walking) with better brain function, although more research is needed to say for sure whether exercise can help to maintain brain function or prevent or delay symptoms of Alzheimer’s.

•Limit alcohol use. Although some studies suggest that moderate alcohol use has health benefits, heavy or binge drinking over time can cause memory loss and permanent brain damage.

•Find activities, such as exercise or a hobby, to relieve feelings of stress, anxiety, or depression. If these feelings last for a long time, talk with your doctor.

FORGETFULNESS | see page 51

Assisted Living and Memory Care Communities Walk through the doors of one of our Senior Living Communities and you will immediately sense the home-like and friendly atmosphere.

Compassionate staff has been specially selected and carefully trained to serve with an open heart and friendly smile. Our Memory Care Neighborhoods offer specialized care for the unique needs of residents with Alzheimer’s or related dementias.

For tours and information, please contact us at (262) 432-0222.

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Daily Steps to Good Health

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â&#x20AC;˘ Be tobacco free. â&#x20AC;˘ Be physically active. â&#x20AC;˘ Eat a healthy diet. â&#x20AC;˘ If you drink alcohol, drink only in moderation.

SCREENING TESTS AND PREVENTIVE MEDICINE Heart and Vascular Diseases â&#x20AC;˘ Aspirin to prevent heart attack: Men at risk* Ages 50 to 80. â&#x20AC;˘ Aspirin to prevent stroke: Women at risk* â&#x20AC;&#x201D; Ages 55 to 80. â&#x20AC;˘ Abdominal Aortic Aneurysm Screening Test: Once for men who have smoked Ages 65 to 75. â&#x20AC;˘ Blood Pressure Screening Test: All men and women â&#x20AC;&#x201D; Ages 50 and older, at least every 2 years. â&#x20AC;˘ Cholesterol Screening Test: All men and women â&#x20AC;&#x201D; Ages 50 and older. â&#x20AC;˘ Diabetes Screening Test: Men and women â&#x20AC;&#x201D; Ages 50 and older with high blood pressure.

Cancer â&#x20AC;˘ Breast Cancer Screening (Mammogram): All women â&#x20AC;&#x201D; Ages 50 and older, every 1 to 2 years. â&#x20AC;˘ Breast Cancer Preventive Medicines: Women at risk*â&#x20AC;&#x201D; Ages 50 to 80. â&#x20AC;˘ Cervical Cancer Screening (Pap Test): All women â&#x20AC;&#x201D; Ages 50 to 65, at least every 3 years. â&#x20AC;˘ Colorectal Cancer Screening Test: All men and women â&#x20AC;&#x201D; Ages 50 and older.

Bone Disease â&#x20AC;˘ Osteoporosis Screening (Bone Density Scan): Women at risk* â&#x20AC;&#x201D; Ages 60 to 65, and all women â&#x20AC;&#x201D; Ages 65 and older.

Immunizations â&#x20AC;˘ Flu Vaccine: All men and women â&#x20AC;&#x201D; Ages 50 and older, annually. â&#x20AC;˘ Other Vaccines: You can prevent some serious diseases, such as pneumonia, whooping cough, tetanus, and shingles, by being vaccinated. Talk with your doctor or nurse about which vaccines you need and when to get them. * Being at risk means that you may be more likely to develop a specific disease or condition. Whether you are at risk depends on your family history, things you do or donâ&#x20AC;&#x2122;t do (such as exercising regularly or using tobacco), and other health conditions you might have (such as diabe tes). If you think you might be at risk for a spe cific disease, talk with your doctor.

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22 HEALTHWISC JANUARY 2011

FORGETFULNESS | from page 50 Other Causes Of Memory Loss Some memory problems are related to health issues that may be treatable. For example, medication side effects, vitamin B12 deficiency, chronic alcoholism, tumors or infections in the brain, or blood clots in the brain can cause memory loss or possibly dementia (see more on dementia, below). Some thyroid, kidney, or liver disorders also can lead to memory loss. A doctor should treat serious medical conditions like these as soon as possible.

Emotional problems, such as stress, anxiety, or depression, can make a person more forgetful and can be mistaken for dementia. For instance, someone who has recently retired or who is coping with the death of a spouse, relative, or friend may feel sad, lonely, worried, or bored. Trying to deal with these life changes leaves some people confused or forgetful.

The confusion and forgetfulness caused by emotions usually are temporary and go away when the feelings fade. The emotional problems can be eased by supportive friends and family, but if these feelings last for a long time, it is important to get help from a doctor or counselor. Treatment may include counseling, medication, or both.

We are comprehensive, continuing care retirement communities that are at the forefront of providing senior health care services. No other retirement communities have the depth of on-site services or offers fun events for active seniors.

Independent Villas Independent Apts Assisted Living Skilled Nursing Rehabilitation Ventilator Care Hospice Care APRIL 2011 HEALTHWISC 51

has be Is t Th facilit what Sta Activ basica chair) for gr Resid the pr As portiv for as signiďŹ sistan and m appar lectua Ca â&#x20AC;&#x153;Our dence Th ies fro privat living living Un the nu instin quote of qua â&#x20AC;&#x153;W and I every As time a If m keting

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By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI This Earth Day (April 22) and every day, Social Security is committed to conserving energy and reducing waste. Social Security has buildings across the nation that boast high-efficiency lighting, solar hot water heating systems, high-performance windows, solar lighting in parking lots, improved HVAC systems, chilled water system improvements, and much more.

What’s more, Social Security offers many of our popular services online. These services are more than just convenient and easy-to-use. They’re also great for the environment!

You can do most Social Security business from the convenience of your home or on any computer. There’s no paper, printing, postage, or travel needed.

HERE ARE A FEW OF OUR MOST POPULAR ONLINE SERVICES:

01 Use our Retirement Estimator to get a quick and accurate estimate of your future Social Security retirement benefits. www.socialsecurity.gov/estimator

02 Prepare for your retirement by visiting our Benefits Planner page. You also can go here to use the disability and survivors planners to find out how much you or your family might qualify for if the need arises. www.socialsecurity.gov/planners

03 Retire online! You can complete and submit your retirement application in as little as 15 minutes. www.socialsecurity.gov/retireonline

04 Apply for disability benefits. www.socialsecurity.gov/applyfordisability

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So, whether you’re interested in planning your retirement or applying for disability, our online office is the most convenient and “green” one to visit. Social Security’s online services also top customer satisfaction lists. For a complete list of our online services, visit www.socialsecurity.gov/onlineservices.

What you need from independent living depends on your own unique situation

What Should I To Look For In Independent Living Facilities?

What you need from independent living depends on your own unique situation.

Where would you be most comfortable? Here are a few things to keep in mind: It’s all about the people No matter what type of independent living facility you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people you’d like to know better? Are some of your favorite hobbies or activities available? Are support services timely, with staff friendly and accessible?

Size and location of community There is no set size for an independent living community, so it’s really your preference. Do you prefer a smaller size community, or a busier place with more people and opportunities for socialization? Are you comfortable with more compact apartment-style living, or is having a detached home with easy access the ultimate goal?

Be sure to visit several communities to get a sense of what is comfortable to you.

Location is another consideration. Some popular retirement/independent living areas are in warmer states such as Arizona, California and Florida. However, consider carefully if you are prepared to move a considerable distance. It does mean developing a new support network if you don’t have family and friends close by, as well as finding new medical care.

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Accessibility Take a look at how accessible the community is, both inside and outside. Do you feel safe coming and going at different hours of the day? Are facilities outside of the community within walking distance, or do you need transportation like a car or cart to get around? How easy is it to get to services such as a common dining hall or recreation center?

In your potential housing unit, get a feel for future adaptability. Are there any stairs inside the unit or outside? Can ramps be added if necessary? Check to see if adaptive devices like grab bars can be easily installed in bathrooms.

Community Resources and Support With so much variation in services, think about which are most important to you in an independent living facility. Also, consider services that you may find useful in the future. For example, if you value exercise, consider a community with an exercise area, pool, or fitness classes. You may like cooking your meals now, but want the option for communal meals in the future. Prioritizing the services you want also helps you budget appropriately, since the more services a community offers, the higher the cost may be.

Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved.

For more articles in this series, visit www.Helpguide.org.

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APRIL 2011 HEALTHWISC 53

PARKINSON | from page 33 with her friends, they were mortified and continued to urge her to get other opinions. After several other doctor visits, Ruth was finally referred to a neurologist who “suspected” Parkinson’s but wasn’t sure. (There is no test for Parkinson’s. It is diagnosed by a qualified specialist who can identify the symptoms.) This is when Ruth decided to attend one of our screenings, where the diagnosis was confirmed.

Once Ruth received the proper diagnosis and started her treatment, her life immediately changed. The medication she got from the doctor helped to alleviate the symptoms almost right away. But more importantly, the positive attitude from the Parkinson physician and the hope for a fulfilling life was the biggest relief. Soon after receiving treatment Ruth began to walk with her friends again and has regained most of her activities. Things will never be back to normal, but for Ruth she felt that she had her life back again.

Wisconsin has one of the highest prevalence rates in the country for Parkinson disease. In the Milwaukee metropolitan area the rate is estimated to be 13 per cent of people over 65 years of age. With almost 200,000 people over 65 in the metro area, it would mean about 26,000 people with Parkinson’s. We know that many of these people are not getting proper care and treatment.

Increasing awareness is critical.

So this spring when you are thinking about warm weather, green grass, and budding flowers, think also about the Parkinson tulip and all of the people with Parkinson’s who need help. Maybe you have some of the symptoms or know someone who does.

Please help by referring them to a movement disorder specialist or a community organization such as the WPA. Parkinson disease is a difficult illness to deal with – for the patient and the family. We need to do all we can to support people with the disease and their families. For all of them and you – we must provide strong, meaningful, and effective programs and services! At the WPA, we see a world popping up tulips – and a world filled with awareness, understanding, and action in our fight against this horrible disease. I hope you’ll join us. You may contact the WPA by calling (800) 972-5455 or on the Internet at www.wiparkinson.org.

MADISON

HOUSING | from page 35

HealthWisc

Get even more Senior Health and Living

www.modernhealthandliving.com

If a senior cannot live alone due to forgetfulness, frailty, or a chronic medical condition, assisted living facilities can be explored, but a Nursing Home (Skilled Nursing Facility) might be the only option. Only nursing homes have the medical professionals on staff to address ongoing medical needs, with a care plan supervised by physicians and Registered Nurses on site 24 hours per day.

In addition to assisting with custodial care, a nursing home may provide: Interim medical care (after a hospital stay for an illness or procedure) Rehabilitation services: occupational, physical, respiratory and speech therapy Pharmacy, laboratory and radiology services Therapeutic recreational and educational activities Transportation on a limited basis Laundry service (often for an extra cost) End of life care (hospice) Respite care (relief for caregivers) Not all nursing homes provide all these services, so it’s important to find the facility that provides the type of care needed. Also, some nursing homes specialize in certain kinds of care for special needs such as: Kidney dialysis treatment Alzheimer’s and dementia care Respiratory care Parkinson’s care Finding professional help for locating suitable senior housing or elder care The complexities of senior housing and elder care are such that most people are well advised to seek professional services to assist them. Sometimes moving to a care facility on a temporary or long-term basis is dictated by medical necessity. In these cases, the choice of a facility is often made while the senior is in the hospital where you can get the guidance you need from a medical social worker, case manager or discharge planner. If not hospitalized, you can seek the advice of your physician and you can seek community-based geriatric care managers--based in private practice for a fee or based in community agencies for no fee or on a sliding fee scale.

Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved.

For more articles in this series, visit www.Helpguide.org.

HEAR | from page 46 when you can get the same technology, fit by an audiologist, for a lot less money?

Here is a set of questions you can ask when purchasing new hearing aids?

1) What level of technology is being recommended for you? Why is this level being recommended?

2) How many channels do the hearing aids have? Channels allow for greater programming and fine tuning ability. The more channels you have, the greater the technology and ability to adjust to your needs. For example, a 16 channel hearing aid is generally more technologically advanced than a 6 channel hearing aid BUT, the prices can be the same. You would want the 16 channel aid, not the 6.

3) How long is the warranty, does it include loss and damage, and how much are office visits?

4) Who pays for batteries? Are the hearing aids rechargeable?

5) If I return my hearing aids during the trial period, how much will it cost me?

Feel free to contact me and ask these questions. I’d be happy to evaluate your hearing and provide a free consultation to give you my opinion of your hearing loss.

There is no cost to you for the evaluation or the consultation. Dr. Douglas Kloss, Audiologist. Midwest Audiology Center LLC, 4818 S. 76th St., Suite 3, Greenfield, WI 53220. 414-281-8300. By Appointment only.

54 HEALTHWISC APRIL 2011

CARBO | from page 7 The results were stunning: Systolic blood pressure (the higher number) fell by 5.5 points overall after eight weeks on the DASH diet. Among those with high blood pressure, it plummeted by 11.4 points. “The DASH diet was a real breakthrough for lowering blood pressure,” says Sacks.

What’s more, the DASH diet slashed LDL (“bad”) cholesterol by more than 10 points. And “triglycerides didn’t go up, even though it was higher in carbs than the typical American control diet,” he adds.

In the follow-up OmniHeart Trial, Sacks and colleagues tweaked the DASH diet to replace some of its carbs (mostly the added sugars) with either extra unsaturated fat (mostly from oils) or extra protein (more than half of it from beans, nuts, seeds, and tofu). Each OmniHeart diet had room for only four or five small servings of grain a day.

“The unsaturated fat and protein diets were superior,” notes Sacks. But that’s fine-tuning, he adds. “If people could just switch to a regular DASH diet, that would make a huge difference.”

Do refined grains raise blood pressure more than whole grains? DASH and OmniHeart both included whole grains, but weren’t designed to answer the question.

So far, only one study—which needs to e replicated—has tried to.

When Scottish researchers gave people three servings a day of whole-grain breads and cereals for three months, the participants had markedly lower blood pressure than those who got three servings a day of refined grains.

The drop—5 to 6 points in systolic pressure—is what you’d expect to see with drugs used to treat hypertension, say the authors, and “could result in decreases of the incidence of coronary artery disease and stroke by 15 percent and 25 percent, respectively.”

Whole grains are healthier than refined grains.

There’s no shortage of reasons to eat whole grains instead of refined grains: Obesity, diabetes, and heart disease. In study after study, people who eat more whole grains have a lower risk of obesity, heart disease, and diabetes than those who eat fewer whole grains.

But whole-grain eaters are also less likely to smoke and more likely to exercise and eat a healthier diet. Researchers “adjust” for those and other known differences, but it’s possible that something the researchers don”t know about whole-grain eaters lowers their risks.

“Most of the data suggests that unrefined grains are better than refined,” says Lichtenstein. “But if you look at those data, they’re mostly association studies that can’t prove cause-and-effect. So it’s not clear.”

On the other hand, by eating whole grains, you can’t lose.

“It’s important to stress whole grains because they have benefits beyond those associated with blood lipids and blood pressure,” adds Lichtenstein. For example, “their fiber creates a feeling of fullness that can help curb your appetite.”

Regularity. “The bran in whole grains is an excellent source of fiber that can help keep you regular,” says Lichtenstein. “Most people don’t get enough of it.”

Vitamins & minerals. Refined grains are lower in vitamins (like B-6 and E) and minerals (like copper, magnesium, potassium, selenium, and zinc) than whole grains.

The potassium may lower blood pressure, and the magnesium may protect against diabetes. Why miss out on those and other nutrients that are stripped away in refined grains?

The healthiest diets don’t have much room for refined grains.

If you’re shooting for 2,000 calories a day, there’s not much room for a: 400-calorie Chocolate Chip cookie from Panera, 500-calorie muffin from Au Bon Pain or Dunkin’ Donuts, 1,000-calorie plate of Tomato Basil Spaghettini from California Pizza Kitchen, or 1,500-calorie serving of Chow Fun with Beef from P.F. Chang’s.

Pasta packs 200 calories a cup without sauce, and restaurants typically serve at least three cups. “Many people still think its okay to eat a huge plate of pasta,” says Kris-Etherton. “That’s not the right message anymore.”

The bottom line: “Most Americans need to be concerned about excess carbs because they’re overweight,” notes Lichtenstein. And it’s wise to spend your carbs on healthy foods.

“The message isn’t that all carbs are bad so get them down as much as you can,” explains Sacks. “The central message is to get carbs from vegetables, fruit, and whole grains rather than from sugars, fruit juice, and refined grains.”

Copyright 2011 SPI, Reprinted/Adapted from Nutrition Action Healthletter, 1875Connecticut Ave., N.W., Suite 300, Washington, D.C. 20009-5728.

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