MHL
MILWAUKEE | APRIL 2012 FREE PUBLICATION
Est 1992
MODERN HEALTH AND LIVING
HOT TO DO A
Safe, Healthy, Natural Cleanse NATURALS, NEUTRAL, TEXTURES
Creating A Peacful Bedroom for Spring
Healthier & Happier SPRING EDITION
WOULD YOU RECOGNIZE PARKINSON DISEASE?
Senior Spring Moving Living SENIOR APRIL CALENDAR INSIDE A GUIDE TO HEALTHY LIVING FOR MEN, WOMEN, CHILDREN AND SENIORS
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Dawn “After having undergone bilateral knee replacement surgery, I chose to spend the time for my rehab at ManorCare Health Services – Pewaukee. I am pleased to say that the care I received was quite good. The nurses, nurses’ aides, and all additional staff did all they could to make me comfortable and allow me to recover faster after my surgery. It was easy to become friends with these people because of their eagerness to assist in my recovery. Overall my experience was great including the quality of the food offered. The physical therapy staff is great. To this day they continue to push me forward to achieve all that I can accomplish with my new “bionic” knees. Thanks to all of you. It was, and continues to be, a good experience. With each additional therapy session, I am further encouraged regarding my healing process.”
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Editor’s Note April is here and I think it is going to be an exciting month. As the weather changes, so does everyone’s mood. I am starting to take longer walks around the neighborhood and making a few more fitness classes at my local gym. How is your fitness routine coming along? We have two great articles on boot camp and tennis. Hopefully, that will get your heart rate up. And, in conjuction with the Spring season, I stuck in articles on Springtime Cleansing, Spring Cleaning and other articles on nutrition to jumpstart your spring health transformation. For all our littles ones (I have two) a budget friendly article on camps. Now for all our Senior readers out there, it is our annual Senior Spring Moving Feature. These articles will help you with all your decision making, moving hassles, selling your home and planning for a smooth transition. Keep positive and you’ll get through it. I just moved myself and I know how hard it can be. A special thanks to all our contributing writers who provide quality articles to all our wonderful readers. Have a lovely April and we’ll chat again in May. -Amanda Lewis
April Edition 2012
MHL
MILWAUKEE | APRIL 2012 FREE PUBLICATION
Est 1992
MODERN HEALTH AND LIVING
HOT TO DO A
Safe, Healthy, Natural Cleanse NATURALS, NEUTRAL, TEXTUR
ES
Creating A Peacful Bedroom for Spring
“It was time for me to do something for ME. In my first camp I lost 10lbs, one pant size, have more energy and am stronger than before. I think the instructors are great and I have truly enjoyed the Boot Camp experience,” www.lakeshorebootcamps.com | email: lakeshorebootcamps@formandfitness.com | MHL MILWAUKEE | APRIL 2012
WOULD YOU RECOGNIZE PARKINSON DISEASE?
Senior Spring Moving Living SENIOR APRIL CALENDAR INSIDE
A GUIDE TO HEALTHY LIVING
FOR MEN, WOMEN, CHILDRE N AND SENIORS
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“Stalk” Up on Celery’s Nutrients Lori Zanteson Environmental Nutrition The folklore. The celery we know today, whether slathered with peanut butter or stirring a bloody Mary, derived from wild celery that originated in the Mediterranean regions of North Africa and southern Europe. It was first used medicinally (as mentioned in Homer’s The Odyssey) as treatment for colds, flu, digestive problems, and water retention. In ancient Greece, celery leaves crowned the heads of esteemed athletes (laurel leaves crowned the Olympic Games winners). While coveted as a seasoning in ancient Rome, celery wasn’t used as food until the Middle Ages and wasn’t introduced to America until the 19th century. The facts. The entire plant—seed, stalk, roots and leaves—is used as food, seasoning or natural medicinal remedy. A culinary staple, celery (Apium graveolens) shares family ties with carrots, fennel, parsley, and anise. Joined at the base, celery stalks are topped by leaves and small white flowers which house its tiny brown seeds. In the U.S., celery’s stalks are a familiar green, whereas in Europe where they’re also grown out of direct sunlight, they are available in white. Rounding out its characteristic crunch with nutritious bite, just two stalks of celery provide a healthy helping of vitamins A, C, and K, dietary fiber, potassium, and folate. The findings. Stocked with healthy compounds such as phthalides, celery extracts have been proven effective in animal studies against cancer and the lowering of blood pressure, cholesterol and triglycerides. Phthalides may have properties that protect the brain. A study in the May 2010 Neuroscience Letters, concluded phthalides are promising for the treatment of Parkinson’s disease, and a study in the June 2010 Journal of Neuroscience, showed its potential for the prevention and treatment of Alzheimer’s disease by reducing oxidative stress. The finer points. Celery joins carrots and onions as one of the trinity of ingredients in French cuisine known as mirepoix, which is often used as a base for sauces, soups and stocks. Tight, compact stalks with a pale to light green hue are best. Though best in summer, celery is available year round. It ranks second on the “Worst of the Dirty Dozen” list for pesticide residue, published by the public health advocacy organization Environmental Working Group, so consider purchasing organic celery, and wash it well. Add raw celery to chicken and tuna salads, dip stalks into nut butters and hummus dips, fill out savory cooked dishes, such as stews and legumes
with its irresistible umami flavor, and use its vitamin rich leaves as edible garnish. EN’s Own Waldorf Salad Wraps 6 Tbsp plain nonfat yogurt 2 Tbsp fresh lemon juice Salt to taste (optional) Pepper to taste 1 sweet red apple, cored and julienned 1 tart green apple, cored and julienned 1 cup celery, thinly sliced 1/2 cup red seedless grapes, sliced ½ cup green seedless grapes, sliced ½ cup chopped, slightly toasted walnuts Butter or Bibb lettuce leaves In a medium bowl, whisk together yogurt and lemon juice, then add pinch of salt (if desired) and freshly ground pepper to taste. Mix in the apple, celery, grapes, and walnuts. Roll about 2 Tbsp Waldorf salad in a leaf of lettuce. Makes 4 servings. Nutrition Information Per Serving: 189 calories, 9 grams (g) fat, 23 g carbohydrates, 5 g protein, 4 g dietary fiber, 38 milligrams sodium. Reprinted with permission from Environmental Nutrition, 52 Riverside Dr., Suite 15-A,New York, NY 10024.
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Naturals, Neutrals, Textures
CREATING A ZEN MASTER RETREAT
When creating a master suite that truley gives a Zen feeling you need to think of calm neutral colors. Textures are used to keep a neutral color pallete from being coming boring. Over the bed is an asymetric design of wall tiles by Umbra. This created a unique art piece with stamped powder coated steel wall tiles. We grouped three sets to create a stand out wall sculpture. Bliss Living duvet set added a beautiful claming spa like look and feel. Tailored with enormous, asymmetrical pleats across the face, our Belgravia duvet cover forms elegant drifts of smooth cotton sateen, herringbone ramie and white linen. At the end of the bed is a special inspiration pillow which is key to keep your mind balanced. Inhabit brought the modern graphic pillow to life when it introduced graphic, stylish prints built around smart design and bold, tasteful color use. An alternative to regular nightstands are these two low tray stands with espresso trays. West Elm’s low trays and their chunky white bed creates balance of yin and yang, adding interest and breaking down the usual matching set. On each side table sits a white ceramic buddah next to a lime candle and white orchid. Zgalleries’ peaceful sitting Buddha holding a bowl as if it was an offering will provide comfort and serenity in any environment. Candles and flowers keep a serene feel. Every master suite needs a sitting area to relax and read. This area exhibits a real Zen feel with art designed by Kelly Hoppen, this stunning Buddha design has a sophisticated neutral colour palette with a feature highlight of the metallic brush stroke that has been influenced by the popular Eastern trend. We paired with Zen mirrors by Graham and Brown...which also sells Kelly Hoppens beautiful art. The Circle chair by Zuo Modern is “like sitting in a seashell, the Circle dining chair’s shell seat will surround you in comfort.” Affordable, cool and a true world-wide brand. The reading light, a beautiful white structure pendant from Leklint, was found at Illuminating Experiences and adds even more texture and a beautiful design at night because of the tiny holes all over the shade. With a smaller space we need to add a table and nothing is better for a small space than an see through acrylic table. The dressing area is a mix of luxery, modern and oversees with unique carved art from Novica. The beautiful glam grass wallpaper from Phillip Jefferies mixes shimmer and grasscloth to create an unique textural wallpaper. The Lilly light fixture is modern and beautiful. It’s great at night when the individual pedals create a unique light pattern on the ceiling. A poof is a new trend to replace the typical stool or ottomon. This poof is from Global Views and mimmics the pedals from the Lilly light. To bring in charm and warm up the space the designer uses Balinese contemporary masks designed by Eka. Mixing neutrals, and texture creates an Zen and interesting room. Adding natural textures keep the feel of true tranquility. -Designed by Malberry Media | MHL MILWAUKEE | APRIL 2012
Where to Buy Wall Decor Over Bed: arbera wall tile www.umbra.com Bedding: BELGRAVIA WHITE Duvvet Set www.blisslivinghome.com Inspiration Pillow: Since When in Lime Pillow www.inhabitliving.com Night Stands: Low Butler Tray Stand & Large Rectangle Lacquer Trays www.westelm.com Buddha On Nighstands: Sitting Buddha www.zgallerie.com Buddah Wall Art: Zen, Karma, Enlighten www.grahamandbrown.com
Editors Pick Hoover WindTunnel Air Multi-Cyclonic Bagless Upright UH70400 Light weight. That’s the first thought that comes to mind with this vacuum. It is very light, yet powerful enough to get the job done. Compared to the old, clunky vacuums of the past, it is nice to have a vacuum that can be moved around so easily. The bagless canister is very easy to empty and the extendable wand is easy to access and use. This is a great vaccum for wood floors and carpet. The transition is easy and I love the easy bagless feature. FOR MORE INFORMATION | www.hoover.com
Zen Mirrors: www.grahamandbrown.com Sitting Area Light: Le Klint -Cassiopeia www. illuminatingexperiences. com Sitting Area Chair: Circle Chair www.zuomod.com Magazine Table: Clive magazine table www.chiasso.com Dressing Area Light: Lilly light www.lightology.com Masks: Balinese Contemporary Masks by Eka www.novica.com Wallpaper: Glam grass Venetian Glass www.phillipjeffries.com Poof: Komaki Round Poof-Ivory www.globalviews.com
APRIL 2012 | MHL MILWAUKEE |
Does Pain Have to be Part of the Normal Aging Process? By Ann John, OTR Many of my patients of all ages have come to occupational therapy as a result of surgery or injury. I have learned that people experience pain very differently, even though they may have had the same diagnoses or procedure. This is because pain is the perception of an uncomfortable stimulus. It is influenced by many factors including emotional response, social/cultural factors, physiologic and chemical factors within the body. This is why pain may be perceived differently at different times when all else appears the same. The facts about older adults and pain: according to studies both chronic and acute pain are more common among the elderly then younger populations. Older clients have a larger variety of long-term conditions that are associated with significant pain such as osteoarthritis, osteoporosis with spinal fractures or diabetes with peripheral vascular disease. Studies suggest that 25-50% of older people living in the community suffer with pain. The prevalence of pain is higher in persons more than 60 years of age than those who are younger than 60. 80% of older Americans have some form of arthritis and will experience acute pain at some point.
Myths Regarding Pain Among Older Persons Myth: Aches and pains are a normal part of the aging process Fact: Pain is not a part of the normal again process and should be reported to a
doctor as soon as it is identified.
Myth: Elders complain more often about their pain than younger people, just to seek attention. Fact: Studies repeatedly have shown that older persons may be less likely to complain of pain as they think it is a normal part of again. Myth: As people grow older their pain tolerance increases. Fact: Researchers say the relationship between again and pain perception is mixed. Therefore, age related changes to pain perception are not clinically significant. Myth: Persons with dementia do not
feel pain.
Fact: Persons with dementia may have problems in communication; however, they have not lost the ability to feel pain. Myth: Dependency may result from taking drugs for pain. Fact: Many older adults grew up believing that one only takes medicine when absolutely necessary. They feel they “have to tough it out.� Much education is needed to help elders understand the therapeutic benefits of medicines, when taken as prescribed, in effective pain control. TREATING PAIN Medication Medication I most often used in pain treatment for older adults. Health providers need to be aware of medications their clients are taking and the various side effects. Understanding pain types help identify the treatment programs that are successful. It is important to assess pain often, believe pain descriptions, treat pain early, aggressively and individualize therapy. PAIN >> see page 45 | MHL MILWAUKEE | APRIL 2012
GET MORE
Vegetables IN YOUR DIET
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. The health benefits of eating vegetables are many and include 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: 1. Make a “pasta� dish with spaghetti squash instead of noodles. 2. Puree cooked vegetables and add them to stews, gravies, and soups. 3. 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. 4. Baking? Add shredded carrots to muffins or bread. 5. Instead of cheese and meat, pile your morning omelet with onions, mushrooms, and red and green peppers. Chop vegetables the night before to save time in the morning. 6. Add chopped spinach to meat when preparing meatballs or hamburgers. 7. Try mashed cauliflower instead of mashed potatoes. Experiment with different flavorings such as garlic, a dab of butter, and Parmesan cheese. 8. Add salsa to a breakfast burrito, pile it on a veggie burger, or use it in place of high-fat, creamy vegetable dips. 9. Puree pasta sauce with vegetables such as winter squash or chopped broccoli. 10. Add chopped carrots to casseroles or meat loaf. 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.
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APRIL 2012 | MHL MILWAUKEE |
Well-Being extended Well-Being feature May 2012
MHL
10 | MHL MILWAUKEE | APRIL 2012
Enhance your life, your health and your well-being Call 262-720-7111 for your FREE initial consultation
Sleep Disorders People who have trouble sleeping may try dietary supplements, relaxation therapies, or other forms of complementary and alternative medicineA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. (CAM) in an effort to fall asleep faster, stay asleep longer, and improve the overall quality of their sleep. This fact sheet provides basic information on sleep disorders and “what the science says” about the effectiveness of CAM practices people use as sleep aids. If you are considering a CAM therapy for sleep problems, this information can help you talk with your health care provider about it. ABOUT SLEEP DISORDERS Chronic, long-term sleep disorders affect millions of Americans each year. These disorders and the sleep deprivation they cause can interfere with work, driving, social activities, and overall quality of life, and can have serious health implications. Sleep disorders account for an estimated $16 billion in medical costs each year, plus indirect costs due to lost productivity and other factors. There are more than 80 defined sleep disorders. Insomnia—difficulty falling asleep, difficulty staying asleep, and/or poor sleep quality—is one of the most common sleep disorders. Insomnia tends to increase with age, and is often associated with an underlying medical or psychiatric condition. Other sleep disorders include sleep apnea (breathing interruptions during sleep), restless leg syndrome (a tingly or prickly sensation in the legs), and narcolepsy (daytime “sleep attacks”). This fact sheet focuses on insomnia. To learn more about healthy sleep, visit the National Heart, Lung, and Blood Institute’s Your Guide to Healthy Sleep.Lifestyle changes—for example, establishing a regular sleep schedule, relaxing before bedtime, exercising regularly, and avoiding alcohol, caffeine, and nicotine—can sometimes improve sleep quality. (A common misconception is that drinking alcohol will aid sleep; although it can bring on a light sleep, alcohol actually robs people of the deeper stages of sleep.) Many prescription medications and over-the-counter sleep aids are widely advertised and used for insomnia; most have side effects and are intended for short-term use. Evidence suggests that cognitive-behavioral (nondrug) therapies for insomnia may have long-term benefits. People with insomnia may also try dietary supplements and other CAM therapies. CAM USE FOR INSOMNIA In 2002 and 2007, the National Health Interview Survey (NHIS) asked participants about CAM use. In 2002, 2.2 percent of respondents who used some form of CAM in the past 12 months said they used it for insomnia or trouble sleeping; in 2007, that figure was 1.4 percent. An analysis of data from the 2002 NHIS found that 17.4 percent of all participants said they regularly had insomnia or trouble sleeping in the past 12 months; most who reported insomnia also reported other medical/psychiatric conditions, such as anxiety or depression, chronic heart failure, diabetes, hypertension, and obesity. Among participants with insomnia, 4.5 percent (which translates to a total of 1.6 million U.S. adults) used some form of CAM to treat their condition—primarily biological/herbal therapies (64.8 percent) or mind-body/relaxation therapies (39.1 percent). Most found these therapies helpful. Among the CAM approaches that people use for insomnia are Herbs, including aromatherapyA therapy in which the scent of essential oils from flowers, herbs, and trees is inhaled to promote health and well-being., chamomile tea, and herbal supplements such as valerian and various “sleep formula” products Melatonin and related dietary supplements Other CAM modalities, such as acupunctureA family of procedures that originated in traditional Chinese medicine. Acupuncture is the stimulation of specific points on the body by a variety of techniques, including the insertion of thin metal needles though the skin. It is intended to remove blockages in the flow of qi and restore and maintain health., music therapy, and relaxation techniques.
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APRIL 2012 | MHL MILWAUKEE | 11
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Healthy, Natural, Effective Cleanse “WHAT IS THE PURPOSE OF THE CLEANSE AND DO I NEED ONE?� Springtime in the cycle of nature is a time of cleansing, a shedding of the excess that was needed to go through winter. Cleansing can also be an important part of healing and maintaining health when done correctly. But before you begin your cleanse, there are several important factors you need to consider for it to be effective in restoring you to health. Ayurveda, the ancient holistic healing system from India, has a complete detoxification process called Pancha Karma designed to treat the core roots of dis-ease and illness and restore optimal health. Its principles provide an effective guide on cleansing. The first question you need to ask is, “What is the purpose of the cleanse and do I need one?� According to Ayurveda, the purpose is to purify the body of toxins and excess which are the root cause of disease. You not only help promote healing of symptoms, illness and disease, but also restore health and rejuvenate the body and mind. So what exactly are these toxins or excess you’re cleansing and where do they come from? In Ayurveda we look at two interrelated concepts that require cleansing. The first is toxins created by undigested or improperly digested food which Ayurveda calls ama. These toxins coat the cells and clog the channels and organs of the body which interferes with normal functioning. Signs of these toxins include lack taste and appetite, indigestion, bad breath, a coating on the tongue, excess sticky phlegm or saliva, a general feeling of heaviness in the body, dullness in the mind and senses, fatigue, lack of strength, constipation, the inability to sweat, and difficulty urinating. Ayurveda also restores health by cleansing the excess of doshas or life forces that naturally exist within the body systems. There are three life forces within you which govern all the biological functions for the body and mind. In excess or imbalance, however, the doshas create decay in these same systems which are experienced as symptoms, and, when left untreated, build into illness and disease. You build these toxins and imbalances in by having a digestive system that is not functioning correctly, lifestyle habits that don’t support your unique bodytype’s needs, and improper eating habits. There is a proper time for when to cleanse and when not to cleanse. In addition to having toxins and imbalance, you also need to be strong enough to do purification. Ayurveda gauges your inner strength or vitality in a term called Ojas. Ojas is the essence that gives the tissues strength and endurance, keeps the tissues healthy, provides a strong immune system, and helps resist stress. It is vital that the body have enough core strength because cleansing by nature is a reducing therapy. Without enough strength, a cleanse creates depletion and further imbalance. You do NOT want to start a cleanse if you are very weak, debilitated, or have low or compromised immune function; have a current acute illness; or are postpartum, very young or very old. Others signs of low vitality which require evaluation include low sexual vitality, lack concentration and poor memory, lack of stamina, difficulty sleeping, lack of consistency to your thoughts and balance to emotions, and ongoing anxiety, depression, or self-destructive tendencies. This brings us to the next important point – cleanses should be individually tailored. It is important to note that while ama is pretty much the same for everyone, where it has spread and which dosha(s) is/are in excess and how they have spread in the tissues, organs and body will be different for each person. As such, an accurate CLEANSE >> see page 13
12 | MHL MILWAUKEE | APRIL 2012
issue with friends and family, too. Speaking of family, I try to keep mine active throughout these cold months. My children are taking a Tae Kwon Do class 4 times a week. I encourage you to try to find something to keep your children active and social. Wheather its gymnastics, dance, sport or just running around in circles, staying active keeps the body and mind healthy and developing. To us adults with Super Bowl Sunday and myself hosting the monthly Bunco get together this equals food, food and even more food. It’s so important to keep ourself active, so it might be time to get that gym membership or start walking the malls again. Stay active!!! I hope you have a wonderful February and will touch base again in March -Amanda Lewis
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Recent research has shown that women who practice hatha yoga (a common type of yoga involving body postures, breath control, and meditation) regularly recover from stress faster than women who are considered yoga “novices.” The reMedia Group publishers search, supported in part byLewis NCCAM and published in the journal Psychosomatic Amanda Lewis editor Medicine,graphic also design showed thatMalberry yoga may Media boost the mood of both yoga experts and novices. Marlys Lewis Kornowski enrolled 25 women identified as yoga “exResearchers at Ohio StateJerry University Marlys Metzger travel editor perts” (practiced yoga regularly once or twice weekly for at least 2 years and at Barry Lewis founder least twice weekly during the past year) and 25 novices (participated in yoga classes or home practice with yoga videos for 6 to 12 sessions). The researchers assessed participants’ cardiovascular, inflammatory, and endocrine responses before and after they took part in three activities: yoga practice, slow walking on a treadmill, and passively watching a video. They also measured participants’ physiologic responses before and after certain stress events. Although differences in inflammatory or endocrine responses were not unique to the yoga sessions, the researchers found that the novices’ blood had 41 percent higher levels of the cytokine interleukin-6 (IL-6) than those of the experts. IL-6 is a stressrelated compound that is thought to play a role in certain conditions such as cardioemail:and info@lewismediagroup.com. vascular 6000, disease type 2 diabetes. In addition, the novices’ levels of C-reactive protein, which serves as a general marker for inflammation, were nearly five times that of the yoga experts. Experts had lower heart rates in response to stress events than novices. Yoga also boosted mood in both groups, while the other two intervenintended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whentions (walking, video) did not. ever a health problem arises requiring an expert’s care. The researchers suggested that this study offers insight into how yoga and its related practices may affect health. Regularly performing yoga could have health benefits, which may only become evident after years of practice.
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CLEANSE >> from page 12 assessment is vital to having an effective cleanse because different therapies, herbs and procedures are needed for different people and conditions. There is no one-sizefits-all cleanse! Finally a word on how to best treat the imbalances AND restore health. From the Ayurvedic perspective, cleansing is more of process than a procedure. The first stage is to prepare the body to bring the toxins and excess back from where they have spread in the body to the digestive area. The second stage includes techniques to eliminate the toxins from the digestive tract. If a cleanse is just aimed at the digestive system, not only will it not release the imbalance on the deeper levels, it can actually push that imbalance further into the tissues, creating more imbalance and worsening the conditions and symptoms. The last stage is rejuvenation. The body and tissues have been purified but now it is critical to slowly rebuild your digestive power and make healthy adjustments to lifestyle and eating habits. If you resume your “normal” diet too quickly, you will disturb the digestion and create toxins and imbalance again. It is important to avoid overly restrictive cleanses or fasts that often lead people into a binge phase after the purification. Such a pattern weakens rather than rejuvenates the system. Detoxification is an excellent tool for wellness – but only if the tool is used correctly. Learn more about Ayurveda at www.ayurvedawellness.org or contact Jamie Durner of Ayurveda Wellness with questions or to schedule a complimentary 15 minute informational consultation at jdurner@wi.rr.com. ©2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator For more information contact 262-389-5835. APRIL 2012 | MHL MILWAUKEE | 13
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Renew your body, mind, and spirit.
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Trinity
Integrative Family Medicine
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Genevie L. Kocourek, M.D. Board Certified - Family Medicine
In New Berlin at the New Berlin Family Practice Clinic 15350 W. National Ave., Suite 212 262.782.9541
In Pewaukee at The Ommani Center 1166 Quail Court, Suite 210 262.695.5311
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Testing the Effectiveness of Complementary and Alternative Modalities (CAM) in Health Care By David Johnson, CCH Double blind, placebo controlled (DBPC) studies are considered the “gold standard” for evaluating the effectiveness of any particular therapy. DBPC studies are conducted in a manner where neither the person giving the medicine nor the person receiving it are aware of whether it’s “real” or placebo— “fake”. This model works very well when a particular medicine is matched with one particular diagnosis, so that an entire group of people with the same diagnosis are “treated” and a determination is made re: the degree to which the “real” medicine is effective re: its intended use. However, this model doesn’t work as well when people with the same diagnosis are treated individually, that is, according to each person’s individual make-up and needs. Most complementary and alternative modalities (e.g., homeopathy, acupuncture, herbal medicine, etc.) are matched to the individual and their diagnosis, not just according to the diagnosis alone. So it’s challenging when the DBPC model is applied to one specific complementary treatment and its efficacy with one particular chronic disease. One of the leading pioneers in “evidence-based medicine”, David Sackett, MD, has also expressed his concern for DBPC studies being the only standard by which a therapy is considered effective or not. If this were true, then nearly all surgical procedures would be considered unproven or unscientific, because of the obvious barriers to their testing according to double-blind trials. When people with a particular chronic disease are treated as individuals with complementary and alternative medicine (CAM), the number of participants in the study is dramatically reduced, because they’re not all alike in terms of what the approach will be. Except in cases of acute injuries or illnesses, where the treatment is often limited to a few choices, in cases of longer-standing problems researchers need to design studies which evaluate a particular modality as a whole. In other words, to what extent has a CAM modality helped a group of individuals with different diagnoses? In late 2011 Bornhoft and Matthiessen published a book on the Swiss government’s report on homeopathic medicine--the most comprehensive evaluation of homeopathy ever written by a government. This book showed how homeopathic medicine is a cost-effective therapy and should be reimbursed by the national health insurance program in Switzerland. Although homeopathy is used around the world for nearly all non-surgical problems, and in spite of the challenges for evaluating individualized homeopathic with DBPC studies, the Swiss report found a particularly strong body of evidence supporting the homeopathic treatment of respiratory problems such as allergies and infections. 24 of 29 studies resulted in a positive result with homeopathic remedies, and 6 of 7 controlled studies comparing homeopathy to conventional medicine showed homeopathy to be superior to the conventional treatments. With DBPC trials, 12 of 16 studies yielded favorable results for homeopathy. How did the Swiss report reach its conclusions? It reviewed the existing DBPC clinical trials of homeopathic remedies, as well as safety and cost-effectiveness. It also reviewed “pre-clinical” research with chemistry, plants, animals and in-vitro human cells, and evaluated the quality and validity of the various individual studies and “meta-analyses” of groups of studies. Nearly half of Swiss physicians consider complementary and alternative therapies to be effective, and eighty-five percent of the Swiss people want CAM therapies to be part of their national health insurance program. This consumer-driven trend is occurring in the US as well. Although complementary modalities are often not covered by governmental or private health insurance, a New England Journal of Medicine study from 1993 showed the US population placing value on CAM modalities to the extent that they were paying more for those therapies than for out-of-pocket hospital care. That trend has continued and increased to the present time. Most people are unaware that in the late 1800’s, the US was the leading country CAM >> see page 45
14 | MHL MILWAUKEE | APRIL 2012
Acupuncture
TO EASE THE PAIN OF ARTHRITIS
Acupuncture can be helpful in treating the pain, swelling and stiffness of arthritis. In Chinese medicine, arthritis is categorized under the term “painful obstruction syndrome’. It occurs when the circulation of energy (Qi) and blood through the acupuncture channels is “obstructed” by an invasion of wind, cold, heat or damp. In the United States we consider ourselves vulnerable to the outside elements such as wind and cold when we think of being exposed to a draft, or “catching a cold”. This results in an upper respiratory infection or an acute viral infection such as the flu. This is also true in the Chinese tradition. In addition, it is believed that cold, wind, heat and damp can invade the acupuncture channels and obstruct the flow of Qi and blood. There are different symptoms when various elements are involved. In Chinese medicine, there are four principal types of obstructions: 01 WIND BLOCKAGE: pain in the joints is widespread and moves from one area of the body to another. 02 DAMP BLOCKAGE: pain or soreness is localized, does not move, and there is a feeling of heaviness and numbness of the limbs. Discomfort is aggravated by damp weather. 03 COLD BLOCKAGE: severe pain which becomes better when the area is warm, and more painful with cold. 04 HEAT BLOCKAGE: area is hot, red and swollen; there is limitation of movement and severe pain. In many cases there is a combination of different types of blockage. The treatment of any of these blockages is directed towards opening the acupuncture channels to spread Qi and blood, expelling the factors (wind, cold, damp, heat) that have invaded the channels, and eliminating the resulting local “obstruction” in the channels. This is done with acupuncture, and in some cases, Chinese herbal therapy. The result is relief or lessening of the symptoms. Recent studies have verified that acupuncture significantly reduces pain and improves mobility in cases of arthritis. For more information or to schedule an appointment for treatment, please contact the Jensen Health and Energy Center at (262) 782-1616. 500 Elm Grove Road, Suite 325
APRIL 2012 | MHL MILWAUKEE | 15
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Spring Cleaning by Kalpana (Rose) M. Kumar, M.D. As Spring approaches, renewal is in the air. Like nature, we too feel restless with new life after a winter of hibernation and self-reflection. During the Winter, our energy moves inward and in Spring, it moves outward. All that we had planned and laid the foundation for in Winter is now ready for manifestation. As the Earth thaws and the hot Yang energy rises, the sap in the trees rises as does the Yang energy in our bodies. Our diets need to be modified to neutralize the Yang (hot) energy of the changing season. During Winter, we felt comforted with warming foods that kept our bodies warm in the Yin (cold) energy of the season. As Spring arrives, our food choices must change to accommodate the change in the energy in the Earth and our also in our bodies. What I typically see in my medical practice during the months of March and April is a collection of symptoms indicative of the increasing Yang energy in the body. People’s symptoms include rashes, hot flashes, night sweats, anxiety, insomnia and restlessness. Joint pain and flares in arthritic symptoms are typical during this time as the emergence of heat in the body can activate these flares. People with inflammatory conditions such as autoimmune disorders, rheumatoid arthritis and colitis may notice that their symptoms worsen during these months. My advice to all to prevent Yang activating symptoms is to increase the amount of Yin foods in the diet. Below is a list of common Neutral (balanced) and Yin (cooling) and Yang (heating) foods. Select more Neutral and Yin foods during the Spring months. NEUTRAL FOODS: Beets, brown rice, buckwheat, chard, corn, fish, lettuce, peas, string beans, sweet potatoes, taro root, turkey and yams YIN FOODS: calming, nourishing, cooling Cucumber, daikon radish, eggplant, dandelion greens, romaine lettuce, endive, spinach, millet, celery, cauliflower, bok choy, apples, apricots, asparagus, carrots, Chinese cabbage, zucchini, turnips, rutabaga, squash, watercress, cantaloupe, green tea, seaweed YANG FOODS: stimulating, energetic, warming Meat, lamb, beef, chicken, cheese, salt, bell peppers, shrimp, mustard greens, onions, scallions, chives, garlic, egg yolks, leeks and kale Sugar and alcohol activate Yang flares during this change of season. I recommend decreasing the intake of these foods at this time of the year. This is a great time to do a three day cleanse. Our bodies are open to the energies of transformation during the time of the equinoxes. My recommendation for a Spring cleanse is to eliminate all processed food, sugar and alcohol as well as gluten for 3 days. Choose organic earth based foods such as greens, brown rice, salads, beets and Yin vegetables. Eliminate coffee and drink green tea and plenty of water with lemon. Get 30 minutes of aerobic exercise per day and schedule a massage. Your body will love this! This is also a great time to do Spring cleaning in your home. Simplify your home by ‘decluttering’ and organizing. Cleanse your blinds, countertops and floors with SPRING >> see page 45
16 | MHL MILWAUKEE | APRIL 2012
WOULD YOU RECOGNIZE
Parkinson Disease? Jay Blankenship, MSW, Executive Director, Wisconsin Parkinson Association
One of the biggest concerns about Parkinson disease is the lack of knowledge and
understanding
in
the
general
community. Wisconsin has one of the highest Parkinson disease prevalence rates in the country, and there may be hundreds of people who lack a proper diagnosis or treatment. There are stories about individuals who have spent months or years going from doctor to doctor, trying to figure out what’s wrong with them.
Parkinson disease (PD) is a complex neurological disorder that affects each individual differently. There is no blood test or scan that can detect PD. These factors make it difficult to make a definitive diagnosis. Diagnosis is achieved through a physical exam by a trained movement disorders specialist. When people think about PD, their first impression often is of a person with a trembling or shaking in an arm or leg. Many primary care doctors don’t recognize PD unless they see a “resting tremor” (a tremor most obvious when the affected limb is at rest). Unfortunately, only 50% of patients with PD present with a tremor, or the tremor is not always apparent all of the time. There are several other symptoms that are part of Parkinson’s that may be difficult to recognize by an untrained doctor. Fortunately, most people with the disease know that something is wrong; they just don’t know what it is. Here are some common examples: Slowness of movement. This may develop very slowly over time. It’s not a sudden occurrence. But after awhile you may notice that you are lagging behind other people when you walk. It may be hard to get up and down from a chair. Everything has become more difficult, and every movement is slower. At times you may actually freeze in place, being unable to move for a second or two. It’s as though the messages just aren’t getting to your legs. Difficulty walking. Sometimes walking is one of the first things affected by PD. A common symptom often missed is the lack of arm swing in one or both arms when walking. Other signs may include scuffing the bottom of the foot when walking; taking smaller, quick steps; or having difficulty stopping and turning. Balance and stability. This symptom can be difficult to detect or understand. It may be that all of a sudden you feel off-balance, especially when turning, standing
up, or reaching for something. Some people describe just feeling a little “off” or “foggy.” For some people, their posture may change. To make up for feeling offbalance, they may stoop over or walk very carefully, looking for handholds or walls to stabilize themselves. Muscle stiffness or rigidity. This is another symptom difficult to recognize, but in general the muscles in your limbs become stiff and contracted, as though you were lifting weights or tightening your muscles. Most people don’t notice this, but a movement disorders specialist can detect this quite easily. This is one of the symptoms that may lead to your feeling exhausted during the day, as though you’ve been doing resistance exercises all day. Some people develop dystonia (muscle cramping) in one of their limbs or, more commonly, their feet. There are several other symptoms that may not be so frequent but generally are associated with PD. Some people experience problems with sleep. One of the most common is REM Behavior Disorder, in which, instead of being still during the dream stage of sleep, the person will act out the dreams, sometimes with yelling, kicking, and punching. Another symptom is small handwriting, or micrographia. If you always write small, that may not be an issue, but if you start out writing normally and the writing gradually becomes smaller and illegible, that could be a sign. Some people develop excessive salivation or drooling. There can be urinary problems and constipation that weren’t a problem before. The loss of the sense of smell is another possible symptom. If you have several of these symptoms or if you have observed them in a family member or friend, it may be wise to see a movement disorders specialist. Remember, there are treatments and lifestyle changes that can help with Parkinson disease. If you suspect that you have the disease, please seek out expert help.
Losing your sense of smell?
Could it be Parkinson’s? 1-800-972-5455 wiparkinson.org
APRIL 2012 | MHL MILWAUKEE | 17
Natural Bone Health Dr. Michele Nickels Osteoporosis is one of those serious health concerns that you can actually prevent — and in some cases even reverse. A natural approach to bone health that combines good nutrition, exercise, and lifestyle changes can strengthen bone and reverse bone loss — even in a person diagnosed with osteoporosis. Bone plays a central role in the body’s health, and nurturing your bones at any age will benefit your body on several levels. Our bones, all 206 of them, are the hardest of all our tissues. They give form and rigidity to our bodies, allowing us to sit, stand straight, and walk. Bone also serves to protect our vital organs and soft tissue from damage by the outside world. Many people don’t know that bone is crucial in helping maintain a balance of blood nutrients. For example, calcium is quickly drawn out of bone if blood calcium levels drop to a threatening level. Bone acts as a repository for other needed minerals and nutrients too, and manages the crucial acid-base balance in your blood, all the while producing your blood cells. The body must maintain appropriate acid-base balance in the blood in order to carry out cellular functions. A slightly basic (or alkaline) pH is needed. Unfortunately, our modern American diet sets many of us up for chronic low-grade acidosis, meaning the blood is slightly more acidic than it should be. This happens largely because of the acid-forming foods we consume on a regular basis, such as meat, white flour, sugar, and dairy products. This imbalance increases risk for osteoporosis, heart disease, diabetes, kidney disease and more. The amazing thing is that bone can balance the pH of the blood by moving minerals into blood and alkalizing compounds attached to the minerals. Eating an alkaline or “basic” diet can improve health on several levels. An alkaline diet preserves not only bone, but also muscle, and sets the milieu for overall optimum biochemical functioning, renewed and lasting energy, and overall enhanced wellness. Eating a balanced diet full of fresh vegetables, fruits and quality sources of protein, and fat is the first step to bone health. Supplements that include all the essential bone nutrients are a great way to start supporting and repairing your bones. This will not only keep the living protein matrix of your bones flexible and strong, but it will also provide an abundant store of minerals so that your bones won’t suffer if they have to give away resources to the rest of the body. There are 21 key nutrients required to promote bone strength, density, flexibility, and to enhance your body’s pH balance including vitamin D3, vitamin K1 and K2, vitamin C, vitamin B12, vitamin A, vitamin B6, folic acid, strontium, calcium, magnesium, potassium, phosphorus, chromium, silica, zinc, manganese, copper, boron, fats, and protein. Exercise is one of the most effective ways to not only build strong bones, but also in maintaining balance and coordination, which can prevent falls and related bone BONE >> see page 47 18 | MHL MILWAUKEE | APRIL 2012
THE COCONUT WATER
Craze
University of California, Berkeley Wellness Letter Coconut water is showing up everywhere. People drink it at the gym, the beach, on hiking trails, even while just taking a stroll or sitting at their desks. It’s touted by athletes and celebrities such as Alex Rodriguez, Matthew McConaughey and Madonna, some of whom have a financial stake in products. No question, this tropical tonic is healthful and hydrating. But sold as a “functional beverage,� it’s not all it’s cracked up to be.
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The basics: Coconut water is the thin liquid inside young green coconuts—not to
be confused with creamier coconut milk, which is made by grating and squeezing the white flesh of older coconuts (the water is absorbed into the flesh as the coconut ripens). It provides lots of potassium (about 550 milligrams per 8 ounces, more than a banana), along with other electrolytes—sodium, magnesium, calcium and phosphorus. Some brands are fortified with extra nutrients, like vitamin C. Pure coconut water, with a mildly sweet flavor from natural sugars, is virtually fat-free and low in calories—though some products have more due to added sugars and/or fruit puree.
Better than Gatorade? Coconut water is widely promoted as a natural sports drink because of its electrolytes. A Malaysian study in 2002 found that it was as good as a carbohydrate-based sports drink for rehydration and restoring blood sugar levels after exercise, plus it caused no stomach upset and was easier to drink in large quantities. Coconut water generally has much more potassium and less sodium than traditional sports drinks. Commercial brands typically have 60 milligrams of sodium or less per 8 ounces, compared to about 100 milligrams in sports drinks. A recent analysis from Consumerlab.com, however, found that two out of three popular coconut water brands contained even less sodium and magnesium than their labels claimed. One had just 11 milligrams of sodium (not 60 as listed). Keep in mind, though, that unless you work out intensely for more than an hour, you don’t need any sports drink or extra sodium—plain water is just fine. Calling all claims: Because coconut water has an electrolyte balance similar to
that of blood (it’s “isotonic�), it has been called “the fluid of life.� During World War II, it was used as a substitute for intravenous plasma. Some preliminary research suggests it may have positive effects on blood pressure (due, in part, to its potassium) and cholesterol. And it may be helpful in cases of mild diarrhea. But don’t believe claims that it can control diabetes, fight viruses, speed metabolism, treat kidney stones, smooth your skin, stop dandruff or prevent cancer.
Bottom Line: Drink coconut water if you find it refreshing or want to replenish electrolytes after a long workout. It’s a good source of potassium, which most of us could use more of. And it’s better for you than soda or other sugary beverages. But don’t buy into the hype that it has special healing properties. Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2012. To order a one year subscription, call 1-386-447-6328.
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HOW TO GET THE MOST OUT OF
Your Doctor Visit By Paul P. Hartlaub, MD, MSPH, Family and Preventive Medicine Wheaton Franciscan Medical Group So, you are going to the doctor, or nurse practitioner and you want to get the most out of the visit. You know that most doctor visits are 15-30 minutes long, and you don’t want to end up leaving the office with questions unanswered or issues left hanging. In the world of busy doctor offices, this is a challenge, but giving it some thought ahead of time, and preparing, will help.
Here are some tips from a busy family practice doctor:
01 Make sure you and your doctor are a good fit. Why is this important? If you are not comfortable with your doctor, or don’t have confidence in him/her, the experience will at best be unpleasant, and at worst, unproductive. Do your homework ahead of time. For example, think of what qualities of your provider that are important to you, such as: • If they’re male or female • If they’re young or older • If the physician/clinician has students shadowing them or not • If they are board-certified in a certain specialty (e.g., family practice) • The “fit” of his/her partners (you may see them, too) • The ease of parking at the office • Office hours • The hospital used by your physician/clinician • If they make house calls 02 Do your research. After you know what you are looking for in a physician, review possibilities and make a selection. Helpful resources include: • Your insurance provider list • Asking around (family, friends, people from church) • Check for complaints at State/County medical societies
• Set up appointment to meet doctor (for a problem, or just to meet the physician) and ask yourself the following: • Are they genuine? • Are they a good listener? • Do they seem sincere? • Are they understandable? 03 Be prepared for the visit. You can do this a number of ways, but I recommend: • Make and bring a list of concerns /questions. • Make sure your appointment is for the amount of time you need (e.g., in many cases, 1-2 “problems” or issues is about 15 minutes; 3-4 problems will take about 30 minutes). • Bring current medications or a list to be sure your record at the office is up to date. • Consider bringing a family member or friend (to help remember, clarify). • For checkups, consider reviewing a source of preventive screenings and vaccines so you know what you are/are not interested in. One good source is an iPhone app called “My Health Checklist”. • Make sure your doctor knows the other doctors you see. 04 Use your time wisely. Appropriate number of problems for time booked (don’t try to squeeze too many problems into too short a time). And stick to the point (I know it is enjoyable, but try not to take too much time chatting). 05 Question anything and everything that you don’t understand fully. Don’t assume that everything recommended is based on firm science – much of it may be just opinion. Feel free to ask: • What will we do with test results? • How sure are we that this will work? • What are the possible side effects? • How will I get results? When? • What will this medicine cost? • What will happen if I don’t take the medicine? • Can you repeat back your understanding of the issue and plan? If not, you probably don’t understand it well enough. And remember, your spouse, child or friend will probably ask you about it. Finally, remember that you are the boss! Your doctor makes recommendations. You make the decisions. Paul P. Hartlaub, MD, MSPH, practices Family and Preventive Medicine at Wheaton Franciscan Medical Group-Brown Deer at Wheaton Franciscan Healthcare’s Healthy Lifestyle Village. For more information, please call 414-527-7500.
Small handwriting?
Could it be Parkinson’s? 1-800-972-5455 wiparkinson.org
APRIL 2012 | MHL MILWAUKEE | 21
April is “Women’s Eye Health & Safety Month” WHEN YOU CALL TO SCHEDULE Be prepared to concisely describe any vision problems you are having. Ask if your eyes will be dilated. Will you be able to drive yourself? How long will your vision be affected? Ask how much the exam will cost. Do they accept your insurance(s)? How is payment handled?
LOCAL EYE MDS ADVISE: USE A CHECKLIST TO MAKE THE MOST OF YOUR NEXT EXAM One of the best ways of improving your health is to plan regular check-ups—with your doctor, dentist and eye care specialist. Many of us tend to procrastinate in making these appointments because we think “if it isn’t broken, why fix it?” or we are hesitant about what to do or ask. But, you should remember that regular check-ups are not only important for your body—they can help your wallet by keeping future health costs to a minimum. The doctors at Eye Care Specialists’ ophthalmology practice in Milwaukee have provided the following specific questions and tips to help you make the most of your next visit to an eye doctor. Many of these ideas can also be applied to your appointments with other types of physicians.
DO YOU SEE WHAT I SEE?
Most of us are born with near-perfect vision. But, that sometimes changes with disease or age. As state leaders in eye care, we help countless people each week to see like a kid again with Comprehensive Eye Exams; Diagnostic Laser Scans; and State-of-the-Art Cataract, Glaucoma, Diabetes, Macular Degeneration, Pediatric, & Laser Vision Correction Care. And, we’re affordable—accepting Medicare and most insurances. Call today and see for yourself why we are:
Trusted by more than 121,000 doctors & patients “Top Doctors”— Milwaukee Magazine
Call 414-321-7035 or visit www.eyecarespecialists.net for free brochures on any eye concern
T EYE CARE
SPECIALISTS Norman Cohen, MD Mark Freedman, MD Daniel Ferguson, MD
Robert Sucher, MD Brett Rhode, MD David Scheidt, OD
West Allis
10150 W. National Av. 414-321-7520
Wauwatosa
2323 N. Mayfair Rd. 414-258-4550
Milwaukee
735 W. Wisconsin Av. 414-298-0099
WHAT TO BRING TO THE DOCTOR’S OFFICE A list of the following: Signs or symptoms of any eye problems you have noticed (flashes of light, difficulty seeing at night, glare issues, double vision, loss of vision, etc.) Previous eye injuries or surgeries (approximate dates and reasons) Your general health condition (allergies, chronic health problems, operations, etc.) Family history of eye problems (glaucoma, cataracts, etc.) Any questions you have about your vision Your most recent pair of glasses or contact lenses or both. By examining the lenses through a lensometer, your doctor can determine their power and detect if any special modifications were made (such as prisms for muscle balance problems). If you’ve lost your glasses, bring in an old pair. By knowing what glasses you are accustomed to, your doctor will be able to write a prescription that will most benefit your vision. Any prescription(s) you are currently taking for an eye condition, such as glaucoma, pink eye, dry eyes, etc. By knowing exactly what you are taking, your doctor can accurately determine how the medication is working or if a change is indicated, either in the medication itself or the way you are taking it. A list of all other medications (oral, injectable, over-the-counter, and herbal) you take on a regular basis and the directions for their use. This is especially important if you take medicines for high blood pressure, diabetes, asthma, infections or arthritis. Many of these medicines adversely react with certain eye medicines. By knowing what medications you are taking, your doctor can customize an ocular medicine routine that will give you the best results, without interacting with your other medicines. Your Medicare and insurance card(s) and any referral forms. WHAT QUESTIONS TO ASK THE DOCTOR What is my visual acuity (on the 20/20 scale)? Do I have any eye diseases or disorders? What caused my condition? Is this condition hereditary? Should my family members be checked? How will this condition affect my vision and lifestyle—now and in the future? Should I watch for any particular symptoms and notify you if they occur? What kinds of tests do I need? Why? When? What is the best medical/surgical treatment for me? When will treatment start, and how long will it last? What are the risks, side effects, benefits and success rates of treatment? Are other treatments available? Are there foods, drugs, or activities I should avoid during treatment? If my treatment includes taking a medication, what should I do if I miss a dose? Will changing my diet, exercise or other lifestyle habits help improve my condition? Would eye-related vitamin and mineral supplements be helpful? If my vision can’t be corrected, where can you refer me for low vision resources and services? When should I schedule my next appointment? FREE BOOKLETS & INFORMATION Eye Care Specialists’ doctors are dedicated to the diagnosis and treatment of cataracts, glaucoma, diabetic eye disease, and macular degeneration. They frequently lecture to the public and fellow physicians and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National. They also offer information at www.eyecarespecialists. net.
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APRIL 2012 | MHL MILWAUKEE | 23
anger management keeping these five things in mind, and practicing them on a daily basis, helps most people effectively manage their anger
JFS counseling services Results-oriented individual, couples and family therapy for: • anxiety, depression, grief, stress • life transitions • children’s issues • parenting • results oriented individual and family therapy
two convenient locations: Bayshore Town Center: 5800 N. Bayshore Drive Suite B215 -)6 LV D SDUWQHU DJHQF\ RI WKH 0LOZDXNHH -HZLVK )HGHUDWLRQ D EHQH¿FLDU\ RI WKH 8QLWHG :D\
Downtown Milwaukee: 1300 N. Jackson Street
24 | MHL MILWAUKEE | APRIL 2012
ph: 414-390-5800 fax: 414-390-5808 www.jfsmilw.org
By George Saxton, LCSW, CCBT George Saxton is a Psychotherapist at Jewish Family Services During my more than twenty years working with people who have difficulty dealing with their anger, I have found 5 key concepts that are necessary in order for a person to successfully manage their anger. 1. Accept that your behavior is 100% your responsibility. This sounds simple at first, but ask yourself, “Do I really accept responsibility for all of my behavior?” If we are honest, most of us would have to answer “usually” or “most times”. But the truth is that you are always responsible for what you do, no matter what happens to you. What does this have to do with managing anger? The answer is: everything! Consider that most people believe that other people make them angry. This is not true, a fact that I’ll discuss in a minute. What is true is that no matter what someone else does, you are still responsible for your own feelings and behavior. 2. Understand from where anger comes. Anger does not come from others, even though that is what many people believe. We often talk about people who “make us mad” as if they have some kind of ability to control our feelings. The fact is that we anger ourselves. When something happens that we don’t like, we tell ourselves that others should behave differently. For example, we may be absolutely convinced that other drivers on the road don’t drive like we think they “should” drive, and we ruminate about how we can’t stand it. It is our belief about what the drivers are doing that causes our anger, not the drivers themselves. Essentially, we choose to become angry over the behavior of others. 3. Stop “shoulding” on yourself. Anger is generally fueled by a thought process that includes very strong beliefs about what others “should” be doing. If we are going to start managing our anger instead of just blaming others for it, we need to stop “shoulding” on ourselves. We need to start dealing with life as it is, not as we think it should be. The simple truth is that other people will usually not behave the way we want simply because we want them to. It is irrational to expect this outcome, but when we allow ourselves to become angry, that is often exactly what has upset us. We want people to behave as we think they should and when they don’t, we tell ourselves how horrible they are as a result. 4. Stop “catastrophizing.” The second part of this thought process is what I call “catastrophizing”. We not only “should on” ourselves and demand that others behave as we want, but we internally believe that it is a catastrophe when they don’t. We often think and act as if our own well-being depended on the behavior of others. If your wellbeing depends on others, that means they have control of your life - not you. This “end of the world” thinking, of course, is not true. Very few things in life are real catastrophes. Other people not behaving as we want is definitely not what is considered a life catastrophe. In fact if you wait 24 hours and you were to ask people who were very angry about some issue or event to rate how important the issue that angered truly was on a scale of 1-10, most will respond with a rating less than 3. 5. Events don’t cause feelings and behavior. The events that happen in our lives, though they affect us, do not cause our feelings and behavior. What causes our feelings and behavior is what we believe about those events. The simple fact is that no one can make us feel anything unless we cooperate with it. The way we cooperate with it is through what we tell ourselves about the situation. ANGER >> see page 24
TOP TEN THINGS YOU NEVER KNEW ABOUT
Camp Camp has become a staple of the summer season. Each year, millions of children, youth, and adults head to the hills, lakes, valleys, and parks to participate in the time-honored tradition of camp. And, while most people easily conjure up images of campfires and canoes, there is a lot more to the camp experience. Here are ten of the things you may not have known about the camp experience.
10 Camp is older than dirt, almost 08 Green is “zen.� Research shows literally. Started in 1861, the camp that first-hand experience with nature, experience turned an impressive 150 years young in 2011. The secret behind the longevity? “Camps are constantly adapting to meet the changing needs of today’s families,� said Peg Smith, chief executive officer for the American Camp AssociationŽ (ACA). “And yet, in essentials, camp is very much the same as it was 150 years ago – kids still have authentic, life-changing experiences.�
like those at camp, reduce stress in children and help them better handle stress in the future. In addition to teaching children how to be good stewards of the environment, camps are teaching children how to enjoy the world around them and take a minute to breathe deep and feel the nature, which ultimately teaches them how to de-stress the natural way.
07 Mommies and Daddies do it too. 09 Camp is worth its weight in gold, Camp is not just for children and youth. and then some! The camp experience is life-changing – developing friendships and memories that last well beyond the final campfire. And, there is a camp for literally every budget. Often camps offer special pricing or financial assistance, and some camp experiences qualify for tax credits or for payment with pre-tax dollars. Visit www.CampParents.org/affording-camp for more information.
There are family camp experiences, and camps for single adults, senior adults, and any adult that wants to relax and enjoy all camp has to offer. Adults benefit from the same sense of community, authentic relationships, and self-discovery that children do. Camp is an excellent vacation option, allowing adults to try a variety of new activities in a safe and fun environment.
06 Try this on for size! Camp is a 02 Camp gets those neurons pumpgreat place to try new activities and hob- ing! Education reform debate and conbies. Afraid of rock walls? According to ACA research, 74 percent of campers reported that they tried new activities at camp that they were afraid to do at first. And, those activities often leave lasting impressions. In the same survey, 63 percent of parents reported that their child continued new activities from camp after returning home.
05 Manners matter, and often linger. The camp experience teaches more than
just archery or lanyard making. The entire experience is made of teachable moments, perhaps one of the biggest is how to live with a group of people. Campers learn to pick up after themselves, respect each other’s property, and to say “Please� and “Thank You.�
04 Veggies taste better with friends. Hollywood and fictional novels may
have given camp food a bad reputation, but in truth, camps are constantly exploring healthy food options, and often are at the forefront of things like allergy specific diets, healthy snack options, and vegetarian meals. According to ACA’s 2011 Emerging Issues survey, 90.7 percent of responding camps indicated that healthy eating and physical activity was an important or very important issue.
03 If everyone else went to camp, maybe there’s something to it! Camp has played an important role in the lives of some of the most talented people in history. ACA’s family resource site offers a list of notable campers – including business professionals, celebrities, artists, and great thinkers.
cern over summer learning loss have pushed academic achievement into the spotlight. Research shows that participation in intentional programs, like camp, during summer months helps stem summer learning loss. In addition, camp provides ample opportunity for developmental growth, which is a precursor to academic achievement. And, because of the “hands-on� nature of camp, often children who struggle in traditional education settings do well at camp.
01 Camp builds leaders for the 21st century and beyond! Independence, re-
siliency, teamwork, problem-solving skills, and the ability to relate to other people — these are the skills that tomorrow’s leaders will need, and the skills camp has been adept at building for 150 years. “Tomorrow’s leaders will not be those who can type or text with lightning speed, they will be those who can have a face-to-face conversation and articulate their thoughts, ideas, and values,� said Smith. “Tomorrow’s leaders will be able to relate globally and find common ground with people who are vastly different from themselves — people from different backgrounds and cultures. Tomorrow’s leaders will be made and educated by experiences like camp.� For more information on preparing your child for an independent, fun-filled summer, visit ACA’s family resource page at www.CampParents.org. Or, follow ACA on Facebook and Twitter for helpful hints and camp information.
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Hello Camper!
Camp is a special time for children and youth. Through a positive camp experience campers develop self-esteem, ward off summer learning loss, and develop a sense of independence. For the families at home, communicating with their campers is a fun and exciting way to share in the camp experience. The American Camp Association® (ACA) suggests the following do’s and don’ts for families to keep in touch with their happy camper: DO give your child pre-addressed, stamped envelopes or postcards so that he or she can keep you informed of camp activities. DO send a note or postcard in advance to the camp so there will be a personalized touch of home when your child arrives. This lets young campers know that the family is thinking about them, assures campers that parents know they are having a good time, and expresses enthusiasm for the camp’s activities. DO check with the camp director to see what the camp’s policies are regarding care packages. Be sure to ask what items may or may not be included. Also, consider sending your child to camp with photos or a favorite stuffed animal. DO avoid mentioning how much parents, siblings, family, and even pets miss them. DON’T worry. Your natural reaction is to call on the first day just about bedtime to see how your camper is doing. Remember that counselors are trained to help campers adjust to camp life. Many camps also offer families the opportunity to check in from afar, using technology to post photos and video of daily activities to camp Web sites. It’s important for families to always check with the camp director prior to camp to get the scoop on policies — from what electronics are allowed at camp to correspondences with home.
Building girls of courage, confidence, and character.
ACA reminds families that there truly is a camp for every child and every situation. For more information on the life-changing experience of camp, or to use ACA’s Find a Camp database to find the perfect camp experience for your child, visit www.CampParents.org. In addition, families can follow ACA on Facebook and Twitter for helpful hints and camp information.
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800-565-GIRL(4475)
26 | MHL MILWAUKEE | APRIL 2012
SENIOR HEALTHY AND LIVING
APRIL 2012 | MHL MILWAUKEE | 27
THERE’S NO PLACE
Like Home!
THERE ARE COMMON CONCERNS FOR OLDER PEOPLE. AND, YOU MAY SHARE AN OFTEN-HEARD WISH—“I WANT TO STAY IN MY OWN HOME!” THE GOOD NEWS IS THAT WITH THE RIGHT HELP YOU CAN DO JUST THAT. WHAT DO I DO FIRST? Think about the kinds of help you might want in the near future. Planning ahead is hard because you never know how your needs might change. Maybe you live alone, so there is no one to help you. Maybe you don’t need help right now, but want to plan for when you need it. Help getting dressed in the morning, fixing a meal, or remembering to take medicine may be all you need to stay at home. WHAT KINDS OF HELP CAN I GET? You can get almost any type of help you want in your home—often for a reasonable cost. The following list includes some common things people need. You can get more information on many of these services from your local Home Care Agency, Local Area Agency on Aging, local and State offices on aging or social services, tribal organization, or nearby senior centers. Personal care. Is bathing, washing your hair, or dressing getting harder to do? Are you having trouble walking? Maybe a relative or friend could help you. Or,
28 | MHL MILWAUKEE | APRIL 2012
you could hire someone trained to help you for a short time each day or a couple hours each week to keep your safe. Homemaking. Do you need help with chores like housecleaning, grocery shopping, or laundry? Some grocery stores and drug stores will take your order over the phone and bring the items to your home. Home Care can be inexpensive and you can get all your needs done with one caregiver rather then several different people entering your home each week. Meals. Tired of cooking, heating TV dinners or of eating alone? Maybe you could have a couple home made meals made by your own caregiver who does your laundry, cleans your bathroom all on the same visit. Sometimes meals are served at a nearby senior center, church, or synagogue. Eating out may give you a chance to visit with others and if you no longer drive, your caregiver can drive for you. Also, programs like Meals on Wheels bring hot meals into your home. Money management. Are you paying bills late or not at all because it’s tiring or hard to keep track of them? Are doctors’ bills and health insurance claim forms confusing? Ask a trusted relative to lend a hand. If that’s not possible, volunteers, financial counselors, Home Care Agencies or geriatric care managers can help. Home Health care. Do you forget to take your medicine? There are devices available to remind you when it is time to take it. Confusing with all those meds, a caregiver can oversee your meds and stabilize your health in the process. Have you just gotten out of the hospital and still need short term assistance at home? Home Care Agencies hourly rates can be cost effective. Getting around—at home and in town. Are you having trouble walking? Think about getting an electric chair or scooter. These might be covered by Medicare. Do you need someone to go with you to the doctor or shopping? Building a relationship with your own caregiver gives you security in knowing she or he is their to help you out when you need it. Maybe a relative, friend, or neighbor would take you along when they go on errands or do yours for you. Activities and friends. Are you bored staying at home? Try visiting your local senior center. They offer a variety of activities. You might see some old friends there and meet new people too. Is it hard for you to
leave your home? Maybe you would enjoy visits from someone on a regular basis. Volunteers are sometimes available to stop by or call once a week. Safety. Are you worried about crime in your neighborhood, physical abuse, or losing money as a result of a scam? Do you live alone and are afraid of becoming sick with no one around to help? Start to build a relationship with your Home Care Agency, they will always be there for you. You might want to get an emergency alert system. You just push a special button that you wear, and emergency medical personnel are called. A monthly fee is charged. Housing. Does your home need a few changes to make it easier and safer to live in? Think about things like a ramp at the front door, grab bars in the tub or shower, nonskid floors, more comfortable handles on doors or faucets, and better insulation. Sound expensive? You might be able to get help paying for these changes. Check with your local or State Area Agencies on Aging, State housing finance agency, welfare department or community development groups. WHERE DO I START? People you know. For many older people, family, friends, and neighbors are the biggest source of help. With the changing and busy world, it is often hard to rely on neighbors or family. Have a back up plan with a reliable Home Care Agency. Community and local government resources. Learn about the types of services and care found in your community. Health care providers and social workers may have suggestions. The local Area Agency on Aging, local and State offices on aging or social services, and your tribal organization have lists of services. Look in the phone book under “Government.” If you belong to a religious group. The group might have a senior services program. Geriatric care managers. Specially-trained people known as geriatric care managers can help make your daily life easier. They will work with you to form a long-term care plan and find the right services. They charge for this help, and it won’t be covered by any insurance plan. The National Institute on Aging (NIA) has its Resource Directory for Older People. Online at www. nia.nih.gov/HealthInformation or call 800-222-2225. For local information contact Comfort Keepers at 414-858-9400 or go to www.comfortkeepers.com.
Making The Decision To Leave Home: What you may be feeling
all of your questions are answered ahead of time. Stay busy. You may be tempted to stay in your apartment or living space, but you’ll feel comfortable much quicker if you get out there to meet the residents, participate in activities, and explore the facility. Go easy on yourself. Everyone adjusts to change differently, so give yourself a break, no matter what you’re feeling. However, if you feel like you’re taking longer than you think you should to adjust, it may help to talk to your family members, the director of the facility, or a trusted friend. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org.
No matter your situation, moving is always stressful. But when you’re contemplating leaving your home for an assisted living facility, stress is just the tip of the emotional iceberg. You may associate grief with the death of a loved one, but grief is a natural response to any loss. And the loss of your home, neighborhood, and community is a big one. The thought of leaving everything you know can make you feel very vulnerable. You may feel like you’re losing your independence or a big part of your identity. It’s important to realize that all of these feelings are normal. Take some time to acknowledge these feelings of loss. Sometimes talking to someone who is sympathetic can help. Counseling and therapy can be an option too. Give yourself time to grieve and get used to the change. Tips for making the transition to assisted living easier Life in an assisted living facility is an undeniable adjustment. In addition to a new living environment, you are meeting new residents and getting used to the staff. This can feel stressful in the beginning. But there are things you can do to make the transition easier. Pack well in advance of the move. Don’t add to the stress of the actual move by putting yourself in a position where you’ll need to make hasty decisions about what to take and what to discard. Know what to expect. Do your homework on the facility. It will be less stressful if you know what to expect. Read all the materials before you move in and make sure
Loss of balance?
Could it be Parkinson’s? 1-800-972-5455 wiparkinson.org
APRIL 2012 | MHL MILWAUKEE | 29
1800 W. Becher Street, Milwaukee, WI 53215
414-383-3244
An Affordable Senior Living Community with Options
Open House
• Independent and Assisted Living
April 22nd 2012 1:00 pm – 4:00 pm
• Affordable Rates
Please Join us for: • Snacks • Tours • Move-in Specials
• A Community for Seniors 55 years of age or older • One and two bedroom apartments • Balcony apartments available • Full kitchens, roll in showers, additional storage space available, all utilities included except electric • Affordable local and long-distance telephone service and cable
Becher Terrace – 1800 W. Becher Street Milwaukee, WI Becher Terrace is a Senior Living Community Managed in Cooperation with
• Assigned underground parking available • Restaurant-style dining, family gathering areas, exercise center, computers with internet, planned social activities, laundry facilities on every floor, beauty/barber shop, country store and craft room • Small pets welcome • HACM Public Safety • Se habla español
IS AN ASSISTED LIVING FACILITY
Right For You? If you’re trying to decide whether assisted living is right for you, ask yourself the following questions: Do you need more help than family and friends are able to provide? Are the activities of daily living becoming stressful or overwhelming? If family or in-home help is not able to bridge the gap, assisted living is an option. Do you feel lonely or isolated at home? Having an active social life is vital to your health and happiness. Being alone much of the time is a recipe for depression. The social aspect of assisted living is a huge benefit. Good facilities offer a range of social and recreational activities. And the community environment also gives the opportunity to make new friends. Do you worry for your safety? Perhaps your mobility is limited, making it difficult to get out of bed by yourself, for example. Maybe you’re afraid of what might happen if you fell and couldn’t get up, or experience another problem and couldn’t get help. Are you tired of maintaining a home? There are a lot of responsibilities that come with living in your own home. Assisted living facilities can provide a home-like atmosphere, without the work of cooking, cleaning, shopping for groceries, and doing laundry. Is transportation an issue? Perhaps you’re having trouble driving or can no longer drive. If public transportation or another alternative isn’t easy and convenient, you may be increasingly housebound. Assisted living facilities offer transportation, so
you can get where you need to go without having to rely on friends and family. Signs that a parent or loved one might need assisted living It’s not always easy to tell when your parent or another family member or loved one needs more help. The following warning signs may indicate that it’s time for a talk about assisted living. The refrigerator is empty or filled with spoiled food or your parent is losing weight. These may be signs that he or she isn’t eating well because shopping or cooking is difficult. You notice frequent bruises, although your parent may try to cover them up. This may be a sign of falling, or mobility and balance problems. Your parent wears the same clothes over and over again or neglects personal hygiene. This can indicate that doing laundry and bathing is physically challenging. The house and yard isn’t as clean and tidy as it used to be. Your parent forgets things, including doctor’s appointments and when to take medication. This may be due to memory loss. Your parent seems depressed. Depression is common in seniors who are isolated and alone. You notice strange or inappropriate behavior. For example, your parent may dress inappropriately for the weather. This can be a sign that he or she is experiencing confusion.
APRIL 2012 | MHL MILWAUKEE | 31
Are All Hip Implants Created Equal? Johns Hopkins Health After 50 An FDA analysis takes on the question and finds that newer doesn’t mean be better. Traditional hip replacement implants made with polyethylene perform just as well as newer metal-on-metal or ceramic-on-ceramic implants, say experts who recently compared the safety and effectiveness of the artificial joints. Researchers analyzed national registry data on 830,000 hip replacement surgeries and the results of 18 studies that involved 3,319 patients to reach their conclusion. Most hip implants work properly without complication for at least 10 to 15 years. After that time, some patients may need revision surgery to replace their implants, mainly because of wear and tear, dislocation or loosening. Newer devices are meant to reduce wear and lengthen the tine to revision surgery. The analysis, funded by the Food and Drug Administration, found no one type better than the other when it came to functional ability. But metal-on-metal implants may be less durable than hoped, requiring revision surgery more often. Results were published online in the British medical journal BMJ. Total hip replacement surgery, or total hip arthroscopy, replaces the hip’s balland-socket joint. The materials used to create the replacement balls and sockets vary, giving patients and doctors the option of four implant devices: Metal-on-polyethylene—a metal ball in a plastic, or polyethylene, socket or a socket lined with polyethylene Metal-on-metal—a metal ball in a metal socket Ceramic-on-polyethylene—a ceramic ball in a polyethylene or polyethylene-
final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1
lined socket Ceramic-on-ceramic—a ceramic ball in a ceramic-lined socket A fifth device, comprised of a ceramic ball and metal socket and approved last year, wasn’t included in the FDA analysis. The study authors stress that more controlled research and large clinical trials are needed to better define each device’s risks and benefits, but at this time no evidence shows any functional advantages of one implant over another. Metal-on-plastic implants A metal head with a plastic polyethylene liner is the most commonly used bearing surface of hip implants. About 10 years ago, the plastic liners were greatly improved to make them more durable with better sterilization, manufacturing and packing methods. These newer plastic implants wear significantly better than older plastics after 10 years. Surgeons believe they’ll last reliably for 20 to 30 years. In comparison, older plastic implants lasted for about 15 years. Metal-on-metal implants Surgeons tend to use metal-on-metal implants on younger or more active patients, since the artificial joints are meant to last longer than those made from other materials. But this hasn’t always proved true, an evidence suggests that metal-on-metal implants may actually require more revision surgery than metal-on-polyethylene or ceramic-onpolyethylene implants. Surgeons use them on older patients because of the implant’s larger ball component, which helps prevent the joint from dislocating. HIP >> see page 43
Bridge Way: Transitional Care at Clement Manor “Your bridge between hospital and home”
W
hether your stay at a hospital is planned or unplanned, we can be your bridge between hospital and home. Our goal is to get you well so you can get back to life! � Short-term comprehensive, customized care � Nationally recognized for providing quality service � Expanded insurance contracts � Private rooms available Sponsored by the School Sisters of St. Francis
Call our Admissions Coordinator today at 414.546.7322 for more information and to schedule a tour. 3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • clementmanor.com 32 | MHL MILWAUKEE | APRIL 2012
Family caregivers:
Caring for an Aging Relative A series of free seminars designed to help the caregiver understand and survive the experience of caring for another person.
Am I My Parents’ Keeper? Gina Botshetin is Vice President of Older Adult Services at JFS, which is a partner in serving the community with Deerwood Crossing. Many people make the mistake of describing the aging process as “coming full circle,” as if the older community requires the same level of care giving and decision making by a loved one just like that of a child. This comparison is not accurate. Children do not have a lifetime of experiences that developed their choices and preferences. Children do not have a base of comparison and have not been responsible for themselves and others in the same way an adult has been. While some seniors may become the responsibility of their children and may require assistance with basic tasks, they have earned the right to be treated with dignity, respect and to have their wishes honored and implemented. As adult children, we are our parents’ keepers. We must remember that one day we, too, will age and may need assistance from our children. So when does one begin to plan to be the best “keeper” possible? Now. Adult children need to start talking with their parents about their options, preferences and wishes as their parents age and before there is a crisis. One never knows when it may be too late to ask the very important questions. One of the most important steps in pre-planning is to complete a Power of Attorney (POA) for Health Care. This POA allows the older individual to designate a person they trust to make decisions regarding their health and medical care when they are no longer able to make those decisions. By starting this conversation with loved ones, basic wishes are revealed and should be documented for the “keeper” to honor. While many older individuals often focus on health issues, another critical topic is housing. Important decision making includes the desire to remain in their own home, move to assisted living, or identify if there is a preference for a certain group home or nursing home in which they would like to reside if needed. As the baby boomer population ages, there are many new facilities under development which offer a combination of services in one location. Deerwood Crossing, an affordable housing apartment complex in Brown Deer, is a 66-unit independent living facility with an “assisted living overlay” for individuals over the age of 55. This means that as a person’s needs change, the services selected will be provided in your apartment – you truly age in place. Planning and discussing options for housing, does not mean that your loved one will ever need to move from their home, but having a plan in place is vital to respecting and honoring our parents’ wishes. Here is a check list of some things that should be completed with a parent who is still active and able to make his/her wishes clear and known: Power of Attorney for Health Care Power of Attorney for Finances List of important things and where they are kept (checkbook, will/trust documents, important paperwork, extra keys, safety deposit box) Options for housing, if parent is unable to live independently. List of current medications, physicians, allergies or other medical concerns. Parent wishes/opinions about experimental treatments. Quality of Life Issues discussion (how they want to spend their day, what they like and don’t like to eat.) While some questions can seem painful or difficult to raise, it is always better to know the wishes of your parents in advance than to assume what we want is what they would want for themselves.
Whether you attend one, two or several sessions, you are sure to learn some strategies to help you through what can be a challenging time. April 18th: Dementia and Alzheimer’s Speaker: Virginia Zerpa, M.P.H. Community Outreach Coordinator, Alzheimer’s Association SE WI April 25th: Medications and Aging Speaker: Kurt Benzine, Geriatric Pharmacist May 2nd: Aging and Mental Health Speaker: Bonnie Jeglum, MSW, APSW May 16th: Sexuality and Aging Speaker: Gayle Barris, MSW, APSW May 23rd: Financial Impact of Long-Term Care Speaker: Barbara Horstmeyer, Long-Term Benefit Specialist and President of the Senior Planning Group Light refreshments will be available. Seats are limited. To reserve call Gayle Barris, 414-277-8840
1414 N. Prospect Ave. www.jewishseniorliving.org
APRIL 2012 | MHL MILWAUKEE | 33
Seniors and Technology ÂŽÂ—Â’Â˜Â›Čą ŽŠ•ȹ ÂœÂ?ŠÂ?ÂŽČą ™ŽŒ’Š•’œÂ?ȹŠ—Â?Čą žÂ?Â‘Â˜Â›Čą
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presents “Moving In The Right Direction!� It is impossible to escape the technology that has permeated our society. Apple and Blackberry are used in our daily lives probably more often referring to a phone than a piece of fruit. Apple sold more than 55 million iPads between its debut in April 2010 and December 2011, according to the Wall Street Journal. LG holds a U.S. National Texting Championship where the winner receives $50,000! With technology advancing faster than you can update your Facebook status, there is a large part of the population left behind. Older Americans, particularly age 85+, are the fastest growing demographic but the least likely to go online or own a computer. Late last year, Linkage surveyed individuals ages 65-100 about their technology shortcomings. The gap in technology use between seniors and their younger counterparts isn’t surprising but some of the reasons why might be. The survey found that affordability and access are two main reasons why seniors don’t seem to be jumping on the technology bandwagon. “As a retiree, we have limited income,� noted one of the responders. “The many new and improved technologies available today are helpful; however, not affordable. Most of them are of interest and desired. Unfortunately, we cannot always have everything we want.� 66% recognized that the internet and technology devices were great ways to connect with family. With 41% of seniors owning a PC, the number of seniors who access the internet is growing, but still only 33% have internet access. Seniors want the technology and realize how it can benefit them but the prob-
a seminar on downsizing and the housing market at
Milwaukee Catholic Home Tuesday, April 24th 9:30 am 2462 N. Prospect Avenue
- Community tours to follow presentation - Continental Breakfast will be served - Registered guests will receive a FREE copy of Bruce Ž–˜Â&#x;Â’ÄľČ‚ČąÂ‹Â˜Â˜Â”Ç°ČąČƒ ˜Â&#x;’—Â?Čą —ȹ ‘Žȹ Â’Â?‘Â?Čą ’›ŽŒÂ?Â’Â˜Â—Č„ RSVP by April 22 to Linda Cardinale at 414-220-3216
TECH << see page 41
Are you slowing down?
Could it be Parkinsonâ&#x20AC;&#x2122;s? 1-800-972-5455 wiparkinson.org
APRIL 2012 | MHL MILWAUKEE | 35
April
SENIOR EVENTS
get active
stay healthy
36 | MHL MILWAUKEE | APRIL 2012
Afternoon Tea & Fashion Show The Pfister Hotel, Imperial Ballroom 424 E. Wisconsin Avenue, Milwaukee, WI Sunday, April 1, 1:30-4:30 pm $50 per adult; $20 for children age 12 and under; contact Drew Warner at 414-219-7024 or drew.warner@ aurora.org. Gather up your friends for this outof-the-ordinary afternoon, which includes formal butler hot-tea service, finger sandwiches and sweets, and runway fashion shows with a preview of both casual and formal spring and summer trends from locally owned boutiques. This unique event is designed to bring women together while increasing awareness about Parkinson disease and raising funds for Parkinson support, education, and research. There will be plenty of time to chat, enjoy the AVEDA beauty bar, and enter to win beauty and fashion raffle items. Spring hats are welcomed!
“Pace for Parkinson’s” Run/Walk Riverside Park, Janesville, WI Saturday, April 14 The registration form is available at www.craighighschool.org. For more information, contact Cherie Farrell at 608-743-5164 or farrell4329@att.net.
“Art over Adversity” Series: Gallery Show for Parkinson’s Awareness Month Bayshore Town Center 5800 N. Bayshore Drive, Suite A17 (formerly Williams-Sonoma), Glendale, WI Fridays and Saturdays throughout April from 10:00 a.m. to 2:00 p.m. (expanded hours available by appointment by calling 414-219-7024) Free event.
Milwaukee Catholic Home APRIL EVENTS 4/15- 2:00 p.m. Milwaukee Male Chorus Astor Room 4/17- 7:30 p.m. Ellie Quint- “Swing into Spring” Astor Room
The Wisconsin Parkinson Association hosts its second annual “Art over Adversity: Gallery Show for Parkinson’s Awareness Month.” Come experience this wonderful, juried exhibition, on display throughout the month of April, which showcases the artistic expression of those living with PD. This event also serves to increase public awareness about Parkinson disease and the WPA. Admission is free, so please stop by!
4/22- 2:00 p.m. “Early Music Now” performance Chapel
“All Shook Up for Parkinson’s” Elvis Tribute Flannery’s Wilhelm Tell Supper Club 114 Second Street, New Glarus, WI Saturday, April 21, 1:00-4:00 p.m. $15 in advance; $20 at the door; contact www.allshookupforparkinsons.org.
Milwaukee Catholic Home 2330 North Prospect Avenue Milwaukee (414) 220-4610 www.milwaukeecatholichome. org
Get “all shook up” in the fight against Parkinson disease. Enjoy food and refreshments, door prizes, a silent auction, and entertainment by Tony Rocker (Elvis tribute artist) and The Comeback Special.
4/26- 7:30 p.m. Ruth and Sandy on Mandolin and Guitar Astor Room 4/30- 7:30 p.m. Community Chorus Astor Room
2462 North Prospect Avenue Milwaukee (414) 224-9700
Sarah Chudnow to Offer Seder and Meals to the Community for Passover Mequon, WI - The Sarah Chudnow Community will continue its tradition of hosting a community Passover Seder and providing Kosher for Passover meals to the community during the Jewish holiday of Passover, April 6 through 14. The Seder meals are $18 per evening and will be served at 5:30 April 6 and 7. Additionally, evening Kosher for Passover meals will begin at 5:00 for the balance of the holiday for $17 each. All meals require a reservation and credit card number as seats will be limited. Those interested are encouraged to call the Sarah Chudnow Community at 262-478-1500. “We are happy to open our Community to those celebrating Passover,” said Sarah Chudnow’s Certified Dietary Director, Theresa Otte, “We ensure the highest quality kosher meals- without the concerns of preparing the meals yourself.” The eight-day holiday of Passover commemorates the emancipation of the Israelites from slavery in ancient Egypt. Sarah Chudnow Community, located in Mequon, Wis., is an independent, not-for-profit senior living community with its own on-site management and support staff. It is unique in its suburban location and offers a full continuum of care, including apartment living; assisted living; memory care; and a skilled nursing facility providing rehabilitation, long-term care and respite care.
Event: “Milwaukee Historic Tour – VMP Manor Park” Where: VMP Manor Park, 8621 W. Beloit Rd., Milwaukee 53227 When: Saturday, April 21st, 12:304:30pm Description: Be a Tourist in your own Town! Meet in our Park Place Dining Room and enjoy refreshments before we explore Cream City’s history and architecture on a Guided Walking/Bus Tour. Ages 50+ Welcome! RSVP by April 13th at 414-607-4125. Event: “Milwaukee Historic Tour – VMP Trinity” Where: VMP Trinity, 72nd St. & Dean Rd, Milwaukee 53223 When: Saturday, April 28th, 12:304:30pm
Peace of Mind Services itle 19 & Pre- Arrangements Simple Cremation $595.00 (Excluding Cremation Permit & Fee)
Traditional Funerals $1,395.00 at your Church or Cemetery Chapel of your choice
Call for more details
414.453.1562
SERVING ALL OF WISCONSIN
Description: Enjoy refreshments in our East End Café then explore Cream City’s history and architecture on a Guided Walking/Bus Tour. Be a Tourist in your own Town! Ages 50+ Welcome! RSVP by April 13th at 414-607-4125.
APRIL 2012 | MHL MILWAUKEE | 37
BE INFORMED. BE SMART. BE SECURE.
Planning for retirement requires making some decisions you havenâ&#x20AC;&#x2122;t had to make at any other point in your life. Decisions about you lifestyle, housing situation, finances and your life and health insurance needs. Each decision you make during your transition to retirement will have a dramatic impact on your life for years to come. An insurance service can help you make the right decisions about your life and health insurance needs for your retirement years.
Be Informed.
No one can predict the future, but if you fail to get the information you need to plan a secure retirement life could be difficult. Getting expert advice is critical to protecting all you have worked for. Agencies specialize in assisting individuals in evaluating the risks they face as a result of disability, illness and death. Based upon a personalized analysis, your representative will present options and strategies for enhancing your financial security. Working with an insurance representative will give you: *Gain a clear insight into how well your current insurance program protects you, including what Medicare covers and what it does not cover *Understand the risks you face as well as the options available to increase your financial security *Define your priorities and choose from a brad array of products that best meet your needs. TRUE OR FALSE: Medicare Advantage and Medicare supplement Plans provide the same financial protection. False. Medicare Advantage plans often feature a low monthly premium, but you incur out-of-pocket expenses for doctor visits and medical procedures. Medicare supplement plans generally feature higher premiums but the expenses for deductibles and coinsurance are often covered. A No-Cost Option Isnâ&#x20AC;&#x2122;t Always the Right Decision Like a lot of people their age, an Iowa couple had their fair share of doctorâ&#x20AC;&#x2122;s visits. Their Medicare supplement plan paid all the bills and the each paid a little over $150 a month for the coverage. But when they were approached about a Medicare Advantage plan that did not have a monthly fee, they jumped at the opportunity to save money. What they did not realize was that, as a couple, the new plan would cost them nearly $10,000 a year in co-pays and co-insurance, plus additional out-of-pocket cost for some of their prescriptions! As recalled by Joe and Ruthanne Heintz of West Des Moines, Iowa.
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Understanding the nature and scope of the unique risks you face in retirement is the first step in planning a secure retirement. The next step is identifying the range of product solutions that best suit your needs. There are virtually and endless number of complex product variations available, so choosing the right one(s) can be a challenging task. You can simplify the task by working with an insurance representative. Insurance representatives are helping individuals understand the life and health insurance needs of retirees. They are experienced in the
range of products available, and familiar with the complex features which make each product unique. Because they represent multiple companies, they can recommend product solutions that are best tailored to your unique situation. TRUE OR FALSE: Long-term care insurance is expensive. False. Choosing the right daily benefit and benefit period can help reduce longterm care premiums to fit your budget. If you believe it fits your needs, another option would be to purchase short-term convalescent care insurance. Making The Right Decision Based On The Right Information. Having just watched a friend exhaust her retirement savings on long-term care for her husband, a woman in Colorado decided it was time to protect her savings from a similar fate. Long-term care insurance seemed like the right decision. Although she was well aware of the advantages of long-term care insurance, she had always considered it beyond her budget. After visiting with an insurance representative, she learned that simply was not the case. The representative explained there are several ways to customize long-term care policies to meet her monthly budget requirements. She adopted some of his suggestions and is now enjoying protection at monthly premium that fits her needs. This is an example for illustrative purposes, including solution s that enable you to remain in your own home while receiving care.
Be Secure.
If you are like many individuals nearing, or in, retirement you are bombarded by mail solicitations for Medicare related Insurance. These companies blanket thousands of individuals with the same product offering. They have not met with you and they do not understand your needs. Insurance representatives should meet with you one-to-one to understand your situation, needs and priorities. You should receive a thorough assessment of your current insurance plans and find out what programs may be best for you. TRUE OR FALSE: All insurance representatives offer the same level of service False. Not all insurance representatives take the time to fully explain their product offerings. An insurance representative should understand the value of professional service. That is demonstrated by their commitment to take time to explain all o f your options and respond to all of your questions in a timely and accurate fashion. This is an example for illustrative purposes. For more information contact American Republic Insurance at (262) 523-1440 and visit www.americanrepublic.com.
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APRIL 2012 | MHL MILWAUKEE | 39
FIGURING OUT WHAT IS RIGHT FOR YOU
Senior Living
40 | MHL MILWAUKEE | APRIL 2012
By Jan Rupnick Senior housing has come a long way over the years. Starting approximately 30 years ago, this industry saw new options develop to meet the demands of a growing senior population. Initially limited in its offerings, there is now a plethora of senior housing options available. With more and more baby boomers getting ready to retire, the senior housing market is growing with new senior housing developments. Some baby boomers are looking into senior housing options for themselves, while others are looking for communities that can help care for their aging parents. Finding the right option comes down to knowing what’s available and understanding the needs of the person who is going to be living in the community. Below are descriptions of the various senior housing options available and the segments of the senior population that they serve. Independent Senior Housing For seniors who are tired of maintaining their own home or looking to down-size, independent senior housing is ideal. Those looking to move into an independent senior living community have two choices. One is to purchase a senior condominium and the second is to rent a senior living apartment. Both provide independent, active seniors with the freedom they enjoy, but without all of the burdens of home ownership like mowing the lawn, shoveling the snow, or making home repairs. Some independent senior communities have also adapted a lifestyle approach, including such amenities as a salon and spa, golf course, on-site restaurants, on-site shopping, housekeeping and more. Assisted Living Assisted living provides a great alternative for seniors who need some additional help with medication, grooming, dressing, eating, etc. Assisted living has two options including; Residential Care Apartment Communities (RCAC), which allows seniors to live in their own apartment, but only offers 28 hours of care, and CommunityBased Residential Care Facility or CBRF. This type of community is an ideal living option for seniors who need more assistance that what can be provided by an RCAC, offering care 24 hours a day, seven days a week. Assisted living communities tend to offer more of a residential, home-like environment, as well as provide meals, social activities, housekeeping and transportation. Specialized Care Community There are some CBRFs that specialize in caring for one kind of illness. One of the most common is an Alzheimer’s or memory impairment care community. In specialized assisted living communities, the environment, staff and programming is specifically designed to meet the unique needs of those individuals who are living there. Like a non-specialized assisted living community, a specialized care community also provides 24/7 care, social programming, meals, housekeeping and transportation are generally provided. Nursing Home This is probably the most commonly known, but often confused type of senior living option. It’s also one of the only options that used to be available to seniors. Nursing homes provide 24-hour skilled nursing services for seniors who need rehabilitation after a surgery, or require care for issues like feeding tubes. The levels of hospitality services in nursing homes vary greatly depending on their targeted clientele. Whether you’re looking to down-size your home or a community to meet the needs of an aging parent, there is a senior living community to meet your needs. Being prepared and understanding the options available will help you to choose what type of senior living community is best for you or your loved one. Byline: Jan Rupnick is the director of public relations for CRL Senior Living Communities. CRL owns and operates state-of-the-art senior care residences that deliver the highest quality, cutting-edge level of care in specially designed therapeutic environments. The company meets the needs of seniors with independent living, assisted living and Alzheimer’s/dementia care communities. For more information contact Jan Rupnick CRL, Community Retirement Living, Neenah, WI 54956, Phone: (920) 203-5594, e-Mail: jrupnick@crlcares.com .
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9047 W. Greenfield Ave. West Allis, Wisconsin 53214 Phone: (414) 453-9290 Fax: (414) 777-7356
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Respite Stays Skilled Nursing Services Alzheimer’s/Dementia Care Physical, Occupational, and Speech Therapy Services www.exceptionallivingcenters.com
Occupational therapy is goal-directed treatment that helps individuals achieve independence in all facets of their lives. Occupational therapy assists people in developing the “skills for the job of living” necessary for independent and satisfying lives. Services typically include: Daily Living Tasks: • Dressing • Bathing • Eating Home Management Skills: • Cooking • Cleaning • Laundry Regaining function after a stroke Modifying tasks for better function Assessing your environment for safe living Cognitive Skills—including memory improvement Occupational therapy is a part of the rehabilitation department and services are covered by Medicare, and most insurance plans. If you or someone you know could benefit from Occupational Therapy, please contact your therapy department for more information.
TECH >> from page 35 lems holding them back go beyond just being intimidated by new technology. If seniors can get over the affordability and access hurdle, some still encounter problems because devices are designed more for younger audiences that older ones. Many of the seniors responded in the survey that vision problems don’t always allow them to be able to use a lot of the new technology. Tablet computers and eReaders might be the best current solution to that problem. The devices do allow the user to make the font size bigger and in some cases have the material read aloud. Once again, seniors don’t seem to be taking advantage of the technology. Only 3% of seniors own a tablet and only 5% own an eReader. The number of seniors that even know about these technologies is extremely low. Only 11% of seniors over the age of 85 were aware of tablets and eReaders. Scott Collins, President and CEO of Linkage, stated in the study that seniors “want their voices heard.” More companies need to be paying attention to this group of older adults. “This is an important segment of our society, one that is rapidly growing, and one that has needs and desires.” Collins said. For more information contact Milwaukee Catholic Home at 414-220-3215.
Retirement Community • • • •
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www.jacksoncrossings.com (262) 993-2838
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Sorting out senior living options? We Can Help
APRIL 2012 | MHL MILWAUKEE | 41
Seniors
how to plan your next move
It’s a good time to make your next move. Now that the weather has become warmer it makes it easier to get around searching for your next residence. It’s a challenge to make the move to a new place after all the years you’ve spent creating and taking care of your current home. If you own your home and plan to sell you might want talk to your realtor about a Competitive Market Analysis so you can estimate a selling price. If you are renting and you need some advice on your move you can always find a moving coordinator to help you make the transition. Of course, many people simply choose to rely on family and trusted friends to help them make a move. You’ve spent your life helping them out, now it’s their turn to help Get more senior you. We’ve put together some moving tips that should make your move easier. articles at Seems pretty simple, but consider many things. Would you like to be close to family, friends, shopping centers, healthcare facilities? Will you need to use transportation other than your car? Will you have access to recreational activities? Do you want to climb flights of stairs? Do you want maintenance-free living? Is it secure www.modernhealthandliving.com and safe? Do you need assistance with daily activities? Can you keep your pet? Research new home alternatives long before you make your move. Spend time in the area where you plan to move and get answers to all your questions. NO ONE CAN OFFER BETTER PEDORTHIC CARE THAN NPS! Whether you are moving to a smaller QUALITY...INNOVATION...EXPERIENCE... home, apartment, or senior residence you FOR MORE THAN 40 YEARS, NPS HAS BEEN DEDICATED TO PROVIDING THE HIGHEST need to downsize your possessions. Sort through your belongings and keep what QUALITY PRESCRIPTION FOOTWEAR FOR YOU AND YOUR PATIENTS. you absolutely need. Go to the least used rooms and areas first. Sort only a Chronic Disease—Diabetes Chronic Disease—Arthritis ERVICES NCLUDE few hours at a time to avoid being overCongenital Conditions Muscular Sclerosis whelmed. At this time you should creCerebral Palsey Sports Injuries COMFORT SHOE ate a floor plan of your new living space Rehabilitation Overuse A THLETIC FOOTWEAR showing each room and the placement Work Injury Stroke of each piece of furniture. Take meaF OOT O RTHOTICS Trauma Aging surements of each room. Make a note of BRACES doors, windows, outlets. Take measurements of your furniture. Give the remaining items to family and/or friends. Think about having an estate sale, a tag sale or donating belongings to charities (many charities will pick up the items at your home). Keep in mind space limitations. Let family members know what you plan on taking with you. Make a schedule of NATIONAL PEDORTHIC SERVICES, INC. the times when you expect to have family MILWAUKEE AREA - 2745 W. LAYTON AVE. STE. 103, MILWAUKEE WI 53221 TEL: (414)282-8888 members, friends, or charities pick up the BROOKFIELD - 2475 N. 124TH STREET, BROOKFIELD WI 53005 TEL: (262)754-2440 PLAN >> from page 44 MADISON - 1825 S. PARK STREET, MADISON WI 53713 TEL: (608)225-3500 FOND DU LAC - 885 WESTERN AVE, FOND DU LAC WI 54935 TEL: (920)907-1060
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42 | MHL MILWAUKEE | APRIL 2012
I
:
HIP << from page 32
Loosening. Metal-on-metal components are more difficult to place than the standard type and loosen more easily. Immune reactions. Patients may develop a “pseudotumor”. This can cause fluid collection around the hip and invade muscles, leading to permanent damage. Metallosis. Small metal particles may shed from the device and accumulate in surrounding tissue, causing a condition called metallosis, which can damage tissue and bone if not treated. The particles can also enter the bloodstream, but only a few cases of adverse effects have been reported. Researchers don’t yet know how often metallosis occurs, but for some patients, the benefits of metal-on-metal outweigh the risks, especially since not everyone reacts the same to metal ions in their bodies. If you currently have a metal-on-metal implant, your doctor will likely schedule you for regular visits to check that your hip is functioning properly. Be alert to the following symptoms, which could signal severe metallosis and can occur up to five years after surgery: Pain or discomfort in the hip, groin or buttocks that begins at least nine months after surgery Swelling or a lump around your hip An audible clicking or clunking of the hip A feeling of instability A change in gait The FDA is investigating the safety of metal-on-metal implants and their adverse reactions—which so far are rare. Ceramic-on-ceramic implants Scientists don’t yet have reliable data on the durability of ceramic-on-ceramic implants and whether they’re more likely than traditional implants to fracture or fail. The advantage of ceramic-on-ceramic is that their surfaces can be polished to a smooth finish that resists scratches from wear. Newer and stronger ceramics have a reduced fracture risk but may be more brittle. A harmless but potentially annoying side effect is the squeaking noise they can sometimes make. If you’re considering surgery Choose a surgeon who performs a high rate of hip replacement surgery to lessen the chance of rare complications such as infection and dislocation during and after surgery. Choose a hospital that has experience in caring for joint replacement patients. When deciding on the type of artificial joint to use, your surgeon considers factors such as your age, height, weight, health and activity level and the source of the hip pain. Although the average life of an implant is 10 to 15 years, some patients have had implants for 25 years without complications. Surgeons hope this reflects a typical lifespan of hip implants made with newer plastics. To lengthen your implant’s lifespan, limit yourself to low-impact activities, such as bicycling, swimming, golfing and walking, and avoid high-impact activities like running. Reprinted permission of the Johns Hopkins Medical Letter Health After 50, copyright MedLetter Associates, 2012. To order a one-year subscription, call 1-386447-6328.
ANGER << from page 24 The truth is that no one can make us mad. We anger ourselves. Think about it. If someone else actually makes you mad, then doesn’t that mean that you become an emotional slave to another person’s behavior? When you look at it this way, it sounds ridiculous, but that is exactly what it means if someone truly makes you mad. I prefer to think of situations where I might become angry as invitations to anger myself over the behavior of another person. Therefore, I can either accept or decline the invitation. I have found that keeping these five things in mind, and practicing them on a daily basis, helps most people effectively manage their anger.
APRIL 2012 | MHL MILWAUKEE | 43
PLAN << from page 42 items. Clearly label all items, use colored stickers to mark what will or will not go to your new home. This will help you remember what goes where when you begin packing. If you plan on selling your home it’s time to make minor repairs and note major repairs which you should report to your realtor. Small repairs make the home look well cared for and usually cost little time and money. These details make a difference in how the buyer views the home. Itemize cosmetic changes such as fresh paint or new carpets. The home looks ready to move into. Be sure to keep up the exterior maintenance of your home. Remove interior clutter. All of these tips create a favorable impression on a buyer. Renters make sure your apartment is clean and contact your apartment manager to discuss what time your apartment will be shown. Packing should be easy for you and your family or professional movers if you’ve already labeled and sorted your belongings. If you are doing the move yourself be sure to have enough boxes, packing materials, and tape. Do not wait until the last minute to decide whether or not to keep an item. Make all decisions about the belongings you intend to keep long before packing day arrives. Try to do packing a day or two before you move if you are doing it yourself. Of course if you hire professional movers, let them do the packing for you. It will be less stressful on you and will guarantee that the moving company insures the contents of the boxes in case of damage. Also keep in mind that if the move takes longer because you are disorganized, the movers may charge more. Label each box with the room where it will be placed and list a few of the items contained. You can even photograph your belongings so you have a record of their condition before the move. Take special care of your smaller valuables. You’ll want to keep them separate from the other boxes. Carry them on your person, or place them with your personal items. You may even want to place them in a safe deposit box during the move. If you choose a professional mover be sure to consult two or three reputable companies and always get a written estimate. If you label all the belongings that are to be moved this will help you to receive consistent bids from potential movers. Once you decide on a mover you should sign a contract showing a specific price. Be sure to understand the amount of insurance that is provided by the mover before you sign a contract. If you have access to the internet or a library try to research what the law requires of moving companies. You’ll be better prepared to ask the right questions. You can even hire a Senior Move Manager or a Moving Coordinator to take care of all the moving details for you. This person can handle your move from assessing your belongings to decorating your new home. The National Association of Senior Move Managers has guidelines for many of these professionals. If you find the thought of a move overwhelming you may want to consider contacting a Mover Manager. Contact your utility companies and let them know what day you plan to move. Fill out change of address forms for the post office seven to ten days before moving day. Make sure you have phone service at your current home and new home on moving day. Have the name of the contact of your new apartment or senior residence ahead of time. Know the name of the person you need to contact if a situation comes up on moving day. Some residences will have you reserve a freight elevator. Make sure you know the time of the reservation. If the residence has a dining room, be sure to schedule your move around the meal times. On moving day have your family or friends help out even if you have hired professional movers, you may need to put them in charge if you find you need to take a rest from all the activity. And finally, introduce yourself to your new neighbors.
44 | MHL MILWAUKEE | APRIL 2012
PAIN << from page 8 Non- Medication Use These approaches are used to compliment medication options, it is important to remember outcomes should improve occupational performance, i.e. work, leisure and self-care. Occupational therapists use modalities such as heat and ultra sound to achieve peak occupational performance leading to a healthier lifestyle. Positioning Occupational Therapists (OT) are educated in the proper positioning of joint and muscles. OTâ&#x20AC;&#x2122;s can assess a client in a variety of positions to provide support to weakened arms, legs and joints, decrease te amount of energy used to perform even simple movements such as rolling in bed, relieve pressure to decrease pain, and determine the best alignment of joints and motor skills. Positioning a client for pain relive may involve using devices to support arms/legs or the trunk or splints to rest joints in proper alignment. OTâ&#x20AC;&#x2122;s use education to train caregivers in techniques to safely handle clients with the least amount of stress and pain. Client Education OTâ&#x20AC;&#x2122;s use educational programs with actual practice of self-management and coping strategies to improve ones abilty to manage pain. In summary, OTâ&#x20AC;&#x2122;s play an important role in providing clients/their families and caregivers with the tools they need to understand their pain and diagnose a disease process, coping strategies, and pain management. For more information and a consultation contact Ann John, OTR at Northshore Physical Therapy in Cedarburg (262) 377-4077 or in Glendale (262) 332-0707. CAM << see page 14 in the world for the teaching and practice of homeopathy. Many of the names known by homeopaths around the world are the US physicians from that timeâ&#x20AC;&#x201D;Constantine Hering, James Tyler Kent and others. Now, with the help of the Internet and cross-cultural collaboration, homeopathy is enjoying a resurgence in the US, with consumers taking advantage of the increased availability of homeopathic remedies in co-ops, health food stores, and even some pharmacies. Remedies are easiest to use in cases of injury, somewhat more difficult to use in cases of short term illness, and require consultation with an experienced practitioner in situations of chronic disease. For example, itâ&#x20AC;&#x2122;s easiest to treat scrapes (calendula ointment) and bruises (arnica montana), more difficult to treat the flu (because it requires more individualized remedies: gelsemium for weakness and heaviness of the limbs, eyes half-open; bryonia for when a person wants to lie completely still, and any movement creates muscle and joint pain; etc.) and most difficult with a chronic disease, which requires a lengthy consultation and understanding of the â&#x20AC;&#x153;whole personâ&#x20AC;?. For information about the use of homeopathy in the home, there are many good first-aid and injury books available in bookstores or libraries. And for more information re: homeopathy and chronic disease, David Johnson, CCH is a Certified Classical Homeopath at the Ommani Center for Integrative SPRING << see page 16 warm water including a few drops of the essential oil of Rosemary. It will bring fragrance and freshness to your home. Begin planting seeds in indoor pots so you can observe new life emerging. This is a powerful and symbolic process for our psyches. As we observe the regenerative cycle of new emerging life, we are reminded of our own transformational and regenerative power. I wish you all a Happy and Healthy Spring. May this season be one of renewal, regeneration and release. May you manifest all that empowers your life with meaning and purpose. Kalpana (Rose) M. Kumar, M.D. is Board Certified in Internal Medicine and founder and Medical Director of The Ommani Center for Integrative Medicine in Pewaukee, WI. She has been in practice for more than 20 years, focusing on integrative medicine and womenâ&#x20AC;&#x2122;s health. Her book, entitled Becoming Real: Harnessing the Power of Menopause for Health & Success, was published in the Autumn of 2011 and is available for purchase at The Ommani Center website (www.ommanicenter. com â&#x20AC;&#x201C; see bookstore page) and through Amazon. com in both print and Kindle editions. Dr. Kumar can be contacted at 262.695.5311.
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FORGET SPRING CLEANING
Scrub Down Your Budget Instead
By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI Spring is officially here. That means it’s time for spring cleaning! People everywhere are shedding the effects of fall and winter. But what about dusting off your long-term financial plan? April is National Financial Literacy Month — the perfect time to spring into action when it comes to planning your financial future. And if you already have a plan, this is a great opportunity to take another look. According to a 2011 survey by the Employee Benefit Research Institute, more than half of workers report they’ve put away less than $25,000 in total savings and investments; a whopping 29 percent have less than $1,000 saved for the future. If you haven’t started already, now is the time to begin saving for your retirement — no matter what your
age. If retirement is near, you’ll want to jump into the fast lane right away. If you’re younger and retirement seems a lifetime away, it’s still in your best interest to begin saving now, as compound interest will work to your advantage. Experts agree that saving when you’re young will make a world of difference when the time comes to draw on your retirement savings. Don’t take our word for it. You can check out the numbers yourself. A great place to start figuring out how much you will need for retirement is to learn how much you could expect from Social Security. You can do that in minutes with Social Security’s online Retirement Estimator. The Retirement Estimator offers an instant and personalized estimate of your future Social Security retirement benefits based on your earnings record. Try it out
at www.socialsecurity.gov/estimator. We encourage saving for retirement, but there are reasons to save for every stage of life. A great place to go for help is www.mymoney.gov. MyMoney.gov is the U.S. government’s website dedicated to teaching Americans the basics about financial education. Whether you are planning to buy a home, balancing your checkbook, or investing in your 401(k) plan, the resources on www. mymoney.gov can help you. Another excellent resource is the Ballpark E$timator at www.choosetosave.org/ballpark. This online tool takes complicated issues, like projected Social Security benefits and earnings assumptions on savings, and turns them into language and numbers that are easy to understand. Get started right now at www.socialsecurity. gov.
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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BONE >> see page 18 fractures. For bone health, the best exercises are weight-bearing and resistance exercises. Weight-bearing exercises are those in which your bones and muscles work against gravity. This is any exercise in which your feet and legs bear your weight. Jogging, walking, stair climbing, dancing and soccer are examples of weight-bearing exercise with different degrees of impact. Swimming and bicycling are not weightbearing. The impact we experience during exercise can stimulate osteoblasts, our bone building cells, to make more bone. Weight bearing exercises are recommended and, in general, you should aspire to walk 4 miles per day or 10,000 steps per day, five days per week or engage in the equivalent activity. The second type of exercises is resistance exercises or activities that use muscular strength to improve muscle mass and strengthen bone. These activities might include weight lifting with free weights or the use of resistance bands. The benefits of weight-bearing and resistance exercises are site-specific. This means that you strengthen only the bones used directly in the exercise. Exercising the right elbow does not have any effect on the left hip. Therefore, it’s a good idea to participate in a variety of weight-bearing and resistance exercises. Target areas most prone to fractures: For osteoporosis treatment and prevention, it is important that an exercise program target the areas most affected by the disease, which would be the spine, hips, and wrists. Exercise needs to be continued to maintain benefits: Bone-mineral density gains from exercise are only maintained as long as the exercise is continued at the same level of intensity. Natural approaches to building bone will benefit your entire body. Healthy bones provide you with more energy, strength, flexibility and vitality. Natural measures taken to support strong bones are linked with better health overall. For example, by optimizing your vitamin D status you will help protect yourself from a broad range of diseases, including 15 types of cancer, auto-immune disease, diabetes, heart disease and depression. Paying attention to the needs of our bones can have far-reaching health benefits. After years of research, the best way to build bone health is by working with and maximizing nature’s intelligence, rather than by trying to override or improve upon it. And you don’t need to take bone density medications or hormone replacement therapy — improving your bone health is something you can do, yourself, today, simply by making a commitment to give your bones what they need. Dr. Michele Nickels, ND, Lac , Integrative Family Wellness Center , www. ifwcenter.com.
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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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812 Marquette Avenue South Milwaukee 762-2511
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email: ellen@clcel.com
website: www.stjohns-marysmanors.com
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APRIL 2012 | MHL MILWAUKEE | 47
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