December 2011 Modern Health and Living

MHL

HEALTHWISC |

DECEMBER 2011

FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Holiday Edition A GUIDE TO HEALTHY LIVING FOR MEN, WOMEN, CHILDREN AND SENIORS

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December Note

February 2011 Note

I love December! I sincerely hope you all had a successful kick off to the holiday season. I have been having the best time decorating. Every year I start right after Thanksgiving. Busy, busy, busy...is usually what I hear from my friends and family this time of year.

The holiday season makes us very anxious about gifts, cooking, losing weight, gaining weight and so on.

This month I wanted to start things off with new and modern changes.

I think the beautiful weather contributed to the good spirits. I also think Starting with the QR code. Get your cell phones out and scan the code on the most of us are clinging desperately to the last of the mild temperatures. My front and enjoy our new updated website. If you don’t have the phone that kids seem to be catching colds so I hope you are taking all precautions to scans, no problem, just go to www.modernhealthandliving.com as find even prevent a cold from catching you. I know most of you know this but I can’t more information about healthy living. stress how much it really helps, “Wash your hands often! And keep them I am very pleased that you’ve decided to join us this month. This is our BIG away from your nose, mouth, and eyes!” During the flu season I’m hyper Health Awareness issue. We have packed so much up-to-date information into aware of surfaces that harbor germs and you should be too. Of course you these pages that this issue is just bursting with health! We have something for can’t help it when others cough or sneeze on you when you’re out shopping men and women of all ages. We contact local health professionals every month or at the post office! We have an excellent issue this month! We have our and are thankful that many have contributed to this issue. They are keenly annual healthy gift guide as well as great articles to help you cope with all aware of health concerns for this region (very important). We stay in touch the holiday and winter stress. For our lovely senior readers, we once again with them so they can stay in touch with you. I think you’ll find something have great articles on moving. here that can help you lead a healthier life. We hope that you share this special Enjoy your family, friends, business associates and anyone else you issue with friends and family, too. spend time with. Enjoy the extra pounds from the delicious food that you Speaking of family, I try to keep mine active throughout these cold months. or someone else cooked. Don’t stress! Have a wonderful December and we My children are taking a Tae Kwon Do class 4 times a week. I encourage you will see you in January 2012. to try to find something to keep your children active and social. Wheather its I hope everyone will enjoy the holiday season and don’t overindulge on gymnastics, dance, sport or just running around in circles, staying active keeps too many sweets or other fine holiday goodies. See you in 2012! the body and mind healthy and developing.

-Amanda Lewis 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

MHL

MODERN

HEALTH AND

HEALTHWISC

| DECEMB ER 2011 FREE PUB LICATION

Est 1992

LIVING

February 2011 EDITION Holiday Ed ition

A GUIDE TO HEALTH Y LIVING

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

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Coping with Sadness and Grief during the Holiday Season

The holiday season is once again upon us. It seems like it comes around faster and faster as the years go by! And for many people, this time of the year can be especially difficult.

Keeping in mind “the three A’s� during the holiday season may prove helpful as you cope with feelings of sadness and grief: Awareness: Be aware of the hype and put things in perspective. While it probably goes without saying, it can be helpful to remind ourselves that the holidays are saturated with a lot of commercialism and hype. We can be lulled into thinking that our lives should look like the lives of the people portrayed in movies, paintings (e.g.

Norman Rockwell scenes) and television commercials.

And while it is true that some people are having some nice times, it is equally true that many are not. Be aware of the tendency to over-romanticize or dramatize how good everyone else has it and how bad you have it. Like so many things, feelings come and go. If you are feeling down now, remember that it is temporary--you will eventually be up.

Acceptance: Remember that you are not alone. Don’t fall into the trap of thinking that there is something wrong with you if are not happy and upbeat. Don’t “add insult to injury� by feeling bad about feeling bad. If you are a human being, then you are part of a community that experiences loss, sadness, despair and regret. While it can be difficult to feel sadness, anger, and loneliness, having these feelings do not mean that there is something wrong with your life or that you are “bad.�

Action: If something is working, do more of it; if something isn’t working, than do something different!

Remember that difficulties do not always require large

and elaborate actions to make a positive difference. In weathering the holidays, consider the following: 1. Manage your expectations. Keep your expectations low; people who survive and thrive are people who have learned this “secret.� Free yourself of any expectation that the holiday should be any better or worse than any other time. When we keep our expectations low, we create a space for ourselves to notice and appreciate things that we might otherwise take for granted. Slow down and allow yourself to notice all of the ordinary, yet special things that are a part of your world.

2. As much as you can, drop the focus on yourself and think about what you can do for someone else to relieve their burden. It doesn’t have to be big and dramatic. Small is good.Give someone a smile. Say a prayer for a stranger. Visit a neighbor.

If difficult feelings persist or are overwhelming, then reach out and ask for help. There is no shame in asking for help. Wheaton Franciscan Healthcare offers a support group designed specifically to assist those who are grieving during the holidays. Starting in November, the group will meet on select Thursdays at: Wheaton Franciscan Healthcare–Wauwatosa 201 N. Mayfair Road, 5th Floor Conference Room Wauwatosa, WI 53226 6:30 pm to 8:45 pm To register, please call 1-888-994-3286 or go online 8234-567 Part 3 Madison at www.mywheaton.org/patients. www.mywheaton.org 24 or Feb 2011 can also help you to locate a psychologist psychiaVersion 2 trist for individual counseling as well.

Donald Roth, Psy.D., isHealthwise a Clinical Psychologist at 9.75x6 Print Wheaton Franciscan Healthcare—Franklin, located at 10101 S. 27th Street. For more information, please call 414-325-4905.

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Cataracts and Modern Methods of Removal

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Aaron Holtebeck, MD Modern cataract surgery is one of the most successful, rewarding procedures performed in medicine today, for both patient and practitioner. The cataract, or cloudy lens within the eye, causes a loss of vision which is, thankfully, reversible after its removal. Vast improvements have been made from previous types of cataract removal done in decades past. Several decades ago, some may remember the extreme care required, needing a patient to remain immobile with sand bags beside their head to allow the previously large wound in the eye to heal. Today, incisions are much smaller and equipment has become much more controlled, allowing recovery from cataract surgery to much less difficult for the patient.

Symptoms of cataracts include a painless blurring of vision and sensitivity to light and glare, especially while driving at night. Poor night vision may also occur, as well as frequent changes in your eyeglass prescription, double vision in one eye, needing brighter light to read, or changes in the way you see colors. Often, colors seem faded or dulled, however these symptoms may be masked by the fact that they often occur over the course of several years.

Once a cataract has formed, the most effective way to restore vision is to remove the cloudy cataract and replace it with an artificial lens implant or intraocular lens.

With recent advances in cataract surgery equipment and techniques, vision can be restored safer and faster, allowing patients to resume normal activity relatively soon after surgery. Using theses state of the art techniques cataract surgery has a success rate greater than 98%.

Today, cataract surgery is performed with the help of ultrasound energy, called phacoemulsification. By breaking apart the cataract within the eye, the firm, often dense cataract may be removed through a very small incision, usually three millimeters or less. This often allows the surgery to be performed safely without placement of a stitch.

Anesthesia, or the ability to provide comfort and minimize or eliminate pain, has also changed greatly in modern cataract surgery. Years ago, however rarely today, the patient may have undergone general anesthesia, requiring complete control of a person’s breathing. Previous advances in anesthesia included placement of local anesthetic medicine behind the eye. Currently, the majority of cataract surgeries in the United States are performed with topical or “eye drop” anesthesia. This, combined with monitoring by an anesthesiologist, now allows patients to remain comfortable in cataract surgery and return to their home within hours.

Lens implants have also improved and options for lens implants have expanded.

Many patients are satisfied with lens implants which focus the vision for distance objects. For example, this often allows patients to pass drivers’ licensing eye exams with no need for glasses, even if glasses had been needed their entire lives. Other patients have recently been choosing the newer “multifocal” or “accommodating” lenses. Although these special, newer lenses are available at a cost beyond that which medicare and other health insurance providers cover for surgery, they give the patient a better chance for independence from glasses at both distance tasks and reading. Further details of these special, newer lens implants are available by asking your eye doctor at Milwaukee Eye Care Associates.

Some patients, because of their eye structure, health or other factors, may not be good candidates for the new techniques or require additional provisions to be taken by their surgeon. Under the care of a skilled and conscientious surgeon, these patients may also expect to do very well. A complete eye examination and consultation is required to determine each individual’s specific needs and potential for improved vision.

If you are experiencing the symptoms of cataracts or other vision problems, you should obtain a complete eye examination. To schedule an appointment for a cataract evaluation with Dr. Aaron Holtebeck, please call Milwaukee Eye Care Associates, S.C. at 414-271-2020.

414-434-7031 or 800-208-5531

inwellnesstoday.com –click “corporate wellness”

414-271-2020

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DECEMBER 2011 HEALTHWISC MHL

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HOW TO PREVENT

Gum Disease In our first blog post Dr. Roberto Monteagudo Designs wrote about the “Link Between your Mouth and your Heart.” The doctor defined periodontal disease, also known as gum disease, as an inflammatory condition caused by plaque, bacteria and tartar buildup around the teeth and gums. The blog discussed the conclusive link between oral health and cardiovascular health. Knowing that periodontal disease increases the risk of heart attack, stroke and diabetes it makes it extremely important to know how to prevent gum disease. Of course, there are also the obvious effects of periodontal disease including tooth loss, receding gums and bone loss. In this blog post Dr. Roberto Monteagudo outlines tips to prevent gum disease with the aid of educational images and video. We want to encourage you to post comments and ask questions.

The good news is that gum disease is completely preventable and if dealt with early the negative effects can be reversed. Once periodontal disease develops, intensive treatments from a professional dentist l is needed. The best form of treatment is prevention. Regular tooth brushing, flossing and mouth washing, however, are effective only above and slightly below the gum line. With the following three simple tips to prevent gum disease, we hope to help you combat this serious health issue or avoid it entirely. So, what exactly should you be doing for your daily oral health routine?

Here are the answers provided to you from the experienced dental team . Interesting Fact: 75% of the United States population suffers from some stage of periodontal gum disease.

Oral Health Tip #1: What is your daily dental routine?

Remember all the things you’re mother told you when you were growing up?

Brush your teeth twice a day, floss and don’t drink soda. Well it turns out she was right! Here is a list of the daily oral health tasks you should be doing to keep your smile healthy and clean.

- Brush your teeth at least twice a day. This is probably the easiest thing that you can do to prevent gum disease. Brush your teeth once in the morning after breakfast, and once before bedtime. Brushing your teeth help to free up food particles and plaque that have accumulated throughout the day. Did you know the first toothbrush recorded in history was made in 3000 BC, a twig with a frayed end called a chewstick. Read more.

- Flossing is very important! A dentist usually recommends flossing at least once daily. Flossing helps to remove any food particles or plaque that may remain in between teeth and around the gum line after brushing.

- Use a tongue scraper. The tongue acts like a sponge and retains bacteria. That bacterium on the tongue causes bad breath and halitosis. In fact, there are even products available called tongue scrapers right next to the toothbrushes at your local drug store. They feel good too!

Not only will your body thank you for this needed maintenance but your loved ones will thank you for not having bad breath. Don’t you just love the feeling of a sparkling clean mouth?

MHL HEALTHWISC DECEMBER 2011

Oral Health Tip #2: Schedule regular dental cleanings.

There are limitations to how effectively you can clean your teeth and prevent gum disease. Your dentist, has the training and technology that allow him/her to deeply clean and diagnose problems early. Most dentists recommends scheduling a regular dental appointment and deep cleaning every 4-6 months. A dental cleaning consists of removing plaque that hardens into tartar and clean around the gums in those hard to reach areas. Regular dental cleanings will prevent plaque buildup, receding gum lines, cavities and tooth loss, all of which are the symptoms of gum disease. Most importantly if you have already developed gum disease your dentist will be able to develop a treatment plan.

Gum Disease is relatively painless, and people may not be aware of the problem.

Ask yourself, how long has it been since you’ve been to the dentist? Do you floss regularly? You know the answers to these questions. It might just be time to make that appointment today. That is why a professional examination by your general dentist is very important. If you allow gum disease to become severe, it will lead to tooth loss and bone loss in the upper and lower jaw. So don’t let it get to that point, see your dentist. See images of gum disease here.

Oral Health Tip #3: Live a health life style.

You are what you eat. It is true! Okay so here is a good analogy. Trees get all their nutrition through their roots. The roots soak up all the minerals and water from the surrounding soil, right? Well imagine if the soil was polluted, then the tree probably would not be very healthy. The same is true for us. The food we eat is our soil. It’s our nutrition. So, if you eat healthy foods and have a well balanced diet you’re going to improve your overall health. The opposite is true as well. So make smart choices and choose foods that include whole grains, fruits and vegetables. Eating healthy boosts the body’s immune system, allowing it to fight bacteria formed in the mouth. Look for foods that are high in vitamins C, A and E, along with other key antioxidants like bioflavonoid and zinc, in your diet. Drinking plenty of water increases the production of saliva, reducing the chances for the bacteria that cause gum disease to thrive.

Good nutrition is important for adult and is vital for children. For more information on making healthy food decisions ask your dentist during your oral health exam.

Tasty treats that are also healthy: Mozzarella and other cheeses, peanuts, yogurt, and milk are good for your teeth. They help clear the mouth of harmful sugars and protect against plaque.

Periodontal disease is a serious condition. Dentists are experts in diagnosing and preventing gum disease. We hope these three easy oral health tips to preventing gum disease are helpful. In addition avoid smoking to help prevent gum disease. Smoking causes dryness in the mouth, creating a favorable environment for bacteria to grow and do damage. Since more than one half of the cases of periodontal disease affecting American adults can be attributed to cigarette smoking, researchers now believe that smoking may be the major preventable risk factor for the disease.

Let your dentist know if you have any other questions about your oral health.Staying informed helps us all stay healthier.

Regular dental cleanings will prevent plaque buildup, receding gum lines, cavities and tooth loss, all of which are the symptoms of gum disease.

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By Angela English, DC Every passing year, health professionals have been seeing people getting sicker and having more chronic diseases. Since nutrition is one of the keys to our health, we need to get more educated on what is in our food. It is no surprise that our food naturally has less nutrition in it since nutrients are being stripped from the soils and we eat a substantial increase in the amount of processed foods. Here are some tips to help you pick better choices and help reduce your risk of a chronic illness.

Probably the most important nutritional decision we can make for ourselves and our families are to cook from scratch. The less processed foods we consume will ensure that we consume more nutrients. Every step of processing that our food goes through, it is stripped of its precious nutrients. A lot of foods, especially breads and cereals, are then fortified with nutrients to put back the nutrition into the food. Active enzymes in food are also destroyed when food is processed and inhibits our body’s ability to break down, absorb, and utilize those nutrients in the food. Fortified nutrients are mainly synthetic nutrients which are much less utilized or absorbed in our digestive tract.

So what should you be aware of if you have to eat processed foods? Processed meats, like hot dogs and sausage, contain nitrates that have been shown to be linked to cancer and other health problems. The good news is that there are several companies that offer nitrate free varieties. BPA is still allowed in the lining of canned food and has been linked with heart disease and diabetes. Eating fresh or frozen foods is a much better choice and will include more nutrients since they are fresher and less processed. Choosing organic options is even better. Meat and dairy products contain hormones, steroids and other chemicals that have an impact on our own hormones as well as cancer causing. A great alternative is buying your meat and dairy from an organic farm, a local farm or farmers market, or hormone free options at the grocery store. Avoiding diet products like diet soda will minimize the amount of aspartame, a known neurotoxin that can cause nerve damage and headaches. It is best to eat or drink the “fully-loaded� varieties with higher caloric value. Avoiding hydrogenated oils, artificial colors and artificial flavoring, and genetically modified food is also best.

There are a couple other factors to be aware of while cooking to ensure our bodies get the most nutrients from our food. Avoid using the microwave when you can as microwaves radiate and kill our food and can cause toxins to leach into the food if you use any plastic or disposable materials. Using the proper cookware such as stainless steel, glass, or cast iron can keep toxins out of our food. Traditional nonstick products like Teflon start leaching chemicals out if they are used on a high temperature. Check your products and see what degree they are safe under. You may be surprised by how low of temperatures you may need to use.

Taking these proper precautions can really help minimize how many toxins you ingest. No matter how careful you are, it is also recommended to do some sort of detox once or twice a year to help keep toxins from building up in our systems. Detoxes are especially great to do before pregnancy or dieting as we store toxins in our fat cells.

REALISTIC FITNESS RESOLUTIONS FOR 2012 Arlene Becker The end of the year is almost upon us. Thanksgiving has been here and gone, and though we may have tried to maintain and not gain for that holiday, we may have slipped a bit. Now the big one, Christmas, is almost here, and that means a wonderful time with friends and family, parties, holiday meals, and the like, so we may overeat a bit, and we may have even let our working out slip a bit. After all, it has been, and will be, such a busy festive time. But, we say to ourselves, we’ll make it up in January. In fact many of us already have our New Year’s fitness resolutions made.

For those of us who do work out, we may make resolutions to ratchet our workouts to a higher level. For those of us, who have been couch potatoes, or just been very easy going and generally undisciplined about working out, we may want to start working out gung ho.

“However,” according to fitness expert Pam Koch, who’s part of the management executive team at the Elite Sports Clubs, and has had many years of both hands on training, and overall management of fitness facilities in the field, “as much as we are now excited about making resolutions for our fitness and health goals, we have to make sure we don’t set ourselves up for failure. Setting realistic expectations concerning our time commitments, our results, and what our strengths and weaknesses are, will insure success.”

For example, “We can not all pump iron, or run five miles or more a day.”

Koch said “that our new members are looked at as individuals when it comes to looking at fitness levels, and histories.

Before taking on a training program, signing up for classes or using the clubs’ equipment, each person’s lifestyle and level of fitness is evaluated and taken into account.”

Koch even suggested that while everyone should have some form of strength and aerobic workout on a weekly and steady basis, “not everyone,” she stressed, “should be bench pressing weights, or running on the treadmill. Being realistic about your fitness abilities, along with an expert’s assessment of your abilities, will make for more valid plans for your fitness program for the New Year and more realistic fitness resolutions for the coming year for 2012.”

Koch suggested that a good way to fitness>>page 10 DECEMBER 2011 HEALTHWISC MHL

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fitness>>page 9 start your fitness program is with a combination of activities such as low impact nonswimming aerobics, stationary biking, treadmill walking, and using an elliptical machine. “Also,” she offered, “try beginning weight lifting with smaller weights, such as five and ten pound weights, which are perfect for a New Year’s Fitness Resolution Program for someone who is just starting out, or for someone who has not done a sustained fitness program before. However, if you have been working out consistently, and have been pumping iron, you probably can realistically literally consider raising the bar on your lifting, or running, or plan a fitness training program, to get ready to enter new triathlons for 2012.”

“Swimming”, she added, “is also very effective in toning the body and enhancing the health of the participants. Water activities are also excellent for people who may be recuperating from surgery or a minor accident. Of course, anyone in this situation, we always advise the person to get the advice of his or her physician before starting on any fitness program. Newer forms of water activities are also offered as well.”

“Yoga is also one of the best forms of fitness activities to incorporate in your 2012 fitness resolutions, if it’s not already part of your program. This discipline offers a chance to enhance mobility and limberness in most people. For the newcomer, who, again, may not be up to the strenuousness of some Yoga classes, try Chair Yoga, a gentler and slower form of Yoga, where the activities are done predominately on chairs and with the help of chairs.”

“Utilizing a fitness expert in your health or sports club, if you are a member of such, and if you are not, to see if you can make an appointment with a personal trainer, whether affiliated with a club or not, and with the help of this fitness expert make a realistic fitness plan for 2012. If you make it this month, in December, you’ll be all ready for starting a thought out and realistic New Year fitness program on January first, one that you can realistically sustain for the entire year, reevaluating the plan at the end of 2012, and then finding that you can make a realistic program for 2013, and every year for the rest of your life!.”

The Elite Clubs offer classes in all of these areas.

For help in making a realistic fitness plan for 2012 and more information on classes and programs go to eliteclubs.com. Elite has four clubs which are located in the North Shore and in Brookfield.

SPEEDING UP YOUR METABOLISM

Body

d

Johns Hopkins Health After 50 Have you ever wondered why you keep getting heavier even though you exercise and watch your diet? Perhaps you have a friend who eats dessert every night and Renew your body, mind, and spirit.

Mi n never gains an ounce, whereas you seem to put on more weight every year.

The answer rests in your metabolism: your body’s conversion of what you eat and drink into either energy or stored fat.

Integrative Family Medicine Unfortunately, your metabolism tends to slow down in your 30s—which makes avoiding weight gain in later years an uphill battle. The good news is that no matter S pi r it what your age or how fit you are, you can take steps to speed up your metabolism.

THREE WAYS YOU BURN CALORIES Genevie L. Kocourek, M.D. Everyone needs a different number of calories to maintain his or her weight. Your Board Certified - Family Medicine body’s caloric requirements depend on three factors, all of which can be altered: resting metabolic rate, physical activity and how you process food.

In New Berlin at the In Pewaukee at Resting metabolic rate. You burn calories even when you’re sleeping, reading or watching television because your body needs energy to carry out basic functions, New Berlin Family Practice Clinic The Ommani Center such as breathing, pumping blood and repairing cells. The number of calories your 15350 W. National Ave., Suite 212 1166 Quail Court, Suite 210 body uses at rest—known as your resting metabolic rate—accounts for 65 to 75 262.782.9541 262.695.5311 percent of the calories you use each day.

Several factors affect your body’s resting metabolic rate. Men burn more calories www.trinityintegrativefamilymedicine.com than women, heavier people burn more calories than lighter ones—even though they remain heavier—and young adults burn more calories than older adults. In fact, your resting metabolic rate decreases by about 10 percent per decade after age 30. Some of this age-related decline is caused by the inevitable slowing of metabolic processes.

But most of it can be attributed to the gradual for non-invasive, FDA approved treatment. replacement of muscle with fat, which burns fewer calories per pound.

Physical activity. Your body in motion burns about 15 to 30 percent of your daily calories. Some physical activity is in the form of exercise: perhaps a bike ride or a session on the treadmill. But much of it comes from everyday activities such as gardening, cooking, walking and even fidgeting.

Pete Balik Molly Rittberg Processing of food. The remaining 5 Physical Therapist Physical Therapist to 10 percent of your calories is burned while digesting, absorbing, transporting • Pain, balance and sensation status is evaluated before and after treatment. and storing what you consume. The energy required for this process is referred to as the • All Major Insurances Accepted Including Medicare and Medicaid thermic effect of food.

• CALL 414-228-7900 to schedule an appointment KICK-STARTING YOUR METABOLISM

Trinity

Attention:

Patients with Peripheral Neuropathy

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DECEMBER 2011 HEALTHWISC MHL 11

nutrient depletion from medications:

WHAT SHOULD YOU KNOW?

By, Genevie L. Kocourek, M.D. Board Certified, Family Medicine Millions of people take medications to manage high blood pressure, diabetes, cholesterol, and congestive heart failure. These medications can be very important to your health. But, many people do not know that these medications can deplete, or “use up� some of the nutrients our bodies also need to function well.

Even though nutrients can be depleted with the use of medications, DO NOT stop taking the medications that your doctor has prescribed for you. Talk with your doctor first!

What if I am taking a medication for high blood pressure (hypertension)? Many individuals with hypertension take angiotensin-converting enzyme (ACE) inhibitors, angiotensin receptor blockers (ARB), loop diuretics, potassium-sparing diuretics,

12 MHL HEALTHWISC DECEMBER 2011

beta blockers, or calcium-channel blockers (CCBs).

Thiazide diuretics include chlorthalidone, chlorothiazide, and hydrochlorothiazide. These medications can deplete CoQ10, magnesium, potassium and zinc, and may affect sodium levels. These medications can increase calcium. You might experience low energy, weak muscles, changes in blood sugar, restless limbs, nervousness, migraine headaches, insomnia, ringing in the ears (tinnitus), a decreased sense of taste or smell, heart palpitations, or sexual dysfunction.

ACE inhibitors include benazepril, enalapril, fosinopril, lisinopril, ramipril, and others. These medications can deplete zinc. These medications can increase potassium levels. This is especially true if you are taking an arginine supplement. You might experience fatigue or dizziness. Rarely, you might experience reduced immunity, wounds that heal slowly, sexual dysfunction, or changes in smell or taste.

Adding an iron supplement can relieve cough that is sometimes caused by this medication. However, you should not take calcium, magnesium or iron within 2 hours of taking an ACE inhibitor.

ARBs include candesartan, irbesartan, olmesartan, losartan, valsartan, and others.

These medications can increase potassium levels. This is especially true if you are taking an arginine supplement. You might experience nausea, fatigue, muscle weakness, or tingling sensations Loop diuretics include bumetanide and furosemide. These medications can deplete potassium, magnesium, calcium, zinc, pyroxidine (B6), thiamine (B1), and ascorbic acid (Vitamin C). You might experience decreased immunity, weak muscles, muscle cramps, facial tics, poor sleep, dizziness, or nausea.

Potassium-sparing diuretics include spironolactone, triamterene, and amiloride.

These medications can deplete calcium and folic acid. These medications can increase potassium, especially if you are taking an arginine supplement. They can also increase magnesium and zinc.

Beta-blockers include atenolol, bisoprolol, esmolol, metoprolol, nadolol, propranolol, sotalol, timolol, carvedilol, and others. These medications can deplete CoQ10 and melatonin. You might experience decreased immunity, blood-sugar changes, insomnia, sexual dysfunction, low energy, or weak muscles.

Calcium-channel blockers (CCBs) include amlodipine, diltiazem, felodipine, nifedipine, verapamil, and others. There are no known nutrient depletions from CCBs. However, Vitamin D can interfere with the way these medications work. Therefore, take Vitamin D 1 hour before, or 4-6 hours after these medications.

What if I am taking metformin or glipizide for insulin-resistance or diabetes?

Metformin can deplete Vitamin B12, folic acid, and CoQ10. Glipizide can deplete CoQ10. You might experience anemia, fatigue, generalized weakness, blood-sugar changes, depression, or decreased immunity.

What if I am taking a medication for high cholesterol (dyslipidemia)? Many individuals with high cholesterol take HMG-CoA reductase inhibitors, bile acid sequestrants, or fibric acid derivatives.

HMG-CoA reductase inhibitors include atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, and simvastatin. These medications can deplete CoQ10 and Vitamin E. You might experience weakness in your muscles, low energy, or blood-sugar changes.

Bile acid sequestrants include colesevelam, cholestyramine, and colestipol. These medications can deplete Vitamin A, Vitamin B12, Vitamin D, Vitamin E, Vitamin K, beta-carotene, calcium, magnesium, iron, zinc, and folic acid. You might experience loss of appetite, nausea or vomiting, bleeding, anemia, muscle cramps or weakness, digestive issues, or tingling.

Fibric acid derivatives include gemfibrozil, fenofibrate, clofibrate. Gemfibrozil can deplete CoQ10 and Vitamin E. Clofibrate and fenofibrate can deplete copper, Vitamin B12, Vitamin E, and zinc. You might experience fatigue, joint problems, breathing issues, nausea, nerve tingling or muscle weakness.

What if I am taking digoxin for congestive heart failure? This medication can deplete magnesium. You might experience fatigue, irritability, muscle cramps, facial tics, poor sleep, “jumpy” reflexes, irregular heartbeat, or loss of appetite.

The lists of medications above ARE NOT all-inclusive! There are many other medications that may affect your nutrient status. Always tell your doctor and surgeons about all medications and supplements you are using. Discuss your symptoms and concerns with your doctor. Again, DO NOT stop taking the medications that your doctor has prescribed for you without talking to your doctor first!

Arizona Center for Integrative Medicine – Drug-Nutrient Interactions http://www.entrustmd.com/webdocuments/medications-to-avoid-binder.pdf © Trinity Integrative Family Medicine, S.C., 2011 Genevie Kocourek, M.D. is board certified in Family Medicine and founder of Trinity Integrative Family Medicine, S.C. She practices at The Ommani Center for Integrative Medicine in Pewaukee, WI and New Berlin Family Practice Clinic in New Berlin. Her practice is focused on integrative care and prevention of disease for the entire family. Contact her through her website www.trinityintegrativefamily medicine.com or schedule an appointment by calling 262.782.9541 in New Berlin or Pewaukee number 262.695.5311.

Healthy Holidays To You! Natural Ovens Bakery gift boxes make the perfect gift for everyone on your list! Our delicious, wholesome breads and bagels are shipped fresh from the oven each Monday.

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NEED TO KNOW

Information on Sexting Many teens do not realize that it is felony level crime to possess, send or take images of a minor that involve nudity or sexual acts.

Ryan Hatchell, MD No one has just a cell phone anymore. Mobile devices now have the ability to make calls, text message, access the internet, take pictures, film movies and much more. It seems everyone has one, especially if they are a teen or young adult. While these devices have improved our lives in many ways, they have also introduced new risks and consequences, especially for the pre-teen and teenage users.

By now, you’ve probably heard or read about “sexting”- the sending, forwarding or posting of nude, sexually suggestive or explicit photos or videos via a mobile device or the internet. A large 2008 survey found that 1 in 5 teens over age 13 had posted or sent text messages with these kinds of images. This percentage increased when surveying people in their early 20s. A more recent study of over 20,000 high schoolers showed those students involved in sexting were more likely to report signs of psychological distress. This was especially true for those that were victims of sexting.

Many teens do not realize that it is felony level crime to possess, send or take images of a minor that involve nudity or sexual acts. The age of the offender or whether they originally took the picture or video does not matter. These images are child pornography and even minors who possess or distribute them could be required to be listed as sex offenders if they are prosecuted.

In addition to these serious legal ramifications, participating in sexting is harmful in other ways. Once these images are sent, full control of them is lost. No matter how much you trust someone, it only takes one argument for that picture to be sent out to friends, family and complete strangers. Aside from the significant embarrassment in front of peers and community members that will result, many colleges and employers are now frequenting social media sites to research applicants and these images will only negatively affect the chances of being selected for a position.

Most teens get caught up in the moment, trying to impress their friends, when they send these messages. If you have a child that uses a mobile device, talk to them about appropriate use and ask them to think about the content of their messages before sending them out. If they receive one of these messages, have them delete it and report it to an adult they trust. Hopefully having a small talk now can avoid any potential problems in the future.

For further information on sexting and general internet safety, visit the American Academy of Pediatrics site at safetynet.aap.org or the National Center for Missing and Exploited Children’s site at NetSmartz.org.

For more information contact, Pediatrician – Oak Creek Pediatrics, 8375 S Howell Avenue, Oak Creek, WI 53154.

DECEMBER 2011 HEALTHWISC MHL 15

YOUR ALARM GOES OFF. YOUR FIRST THOUGHT IS: “PLEASE NOT ANOTHER DAY OF MISERY.”

Why See a Therapist Karen Forman, L.C.S.W., Clinician, Parent Communication Coaching Program Coordinator at Jewish Family Services You’ve been working full time while parenting your twin boys and taking care of your aging mother. You feel like the stress is killing you.

You panic when standing in line at the grocery store or waiting in traffic. You find yourself looking for the seat closest to the door at weddings and movies.

Is it time to see a mental health professional?

It all depends…

Here are a few questions to consider: Are you at risk of harming yourself or others? Of course, a positive

answer to this one always requires immediate help.

When was your last medical work up? So many things, ranging from menopause to head injuries and thyroid problems can cause psychological symptoms. It’s always important to rule out medical issues first.

How much is the problem bothering you? Only you can know the answer to this one. If it hasn’t interfered with your overall functioning, and, most of the time, you really don’t think about it, you may be able to get by with other means of support.

How much is the problem bothering others? Is your employer giving you an ultimatum, like, “Harry, either you seek help for your drinking or your fired!”? Is your husband saying, “You’re bringing down the whole family…do something!” If the answer is yes, you might want to take some action.

Are there other ways to get relief? Sometimes, simple answers help, such as exercise, alternative therapies, self-help books and videos, yoga or support groups. Have you talked to a friend or clergy?

In the end, if you determine you have a problem that’s interfering with daily life and not improving with self-help, it’s probably time to get professional help.

The Fit A less than positive experience with therapy in the past may have left you with a “been there, done that” attitude. However, know that the right fit with a therapist can make all the difference. Take time to consider the following when seeking help: Rapport: Hands down, studies have shown that THE MOST IMPORTANT element in psychotherapy is the human connection. Sometimes you can tell after the first session if this person really “gets” you. Does speaking with them make you feel more comfortable or more uptight? Are they saying things that are interesting, but really don’t address the heart of the problem? Go with what your gut tells you.

Referrals: Other than a referral from another professional, ask for a name from a friend or a person you respect and trust. They can tell you a very important answer to a really simple question: has their therapist really been able to help them overcome their problem?

Area of Expertise: In addition to knowledge and technical skills, does the therapist have experience treating your particular issue? For example, consider someone who specializes in eating disorders, addictions, marital problems, domestic violence, etc. when facing any of these areas before you go with a jack-of-all-trades.

Results-oriented individual, couples and family therapy for: Experience: Nothing takes the place of experience. Period.

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Values: For some, having a therapist who shares similar values is crucial, and it certainly can facilitate a sense of connection. Does it matter that your therapist is a Democrat? Male? Widow? Dog Lover? Vegetarian? Married? Young? Old? At first glance you may say none of these matters, but think about it. Consider how important these things are to you and whether any of these qualities will put you more at ease.

Some therapists will not disclose any personal information. That’s okay with respect to their preferences or professional boundaries, but it might not be okay with you.

Finally…

Whether or not you decide to go to a therapist, try not to diagnose yourself. It’s tempting to stick your symptoms into a Google search and produce the perfect label for your brand of agony. Caution is necessary here. Depending on such factors as your developmental age, situation, biochemistry, and cultural values, you can look like you have every mental illness in the book (or Internet). A trained professional takes all these variables into account before making a diagnosis, and, even then, a good diagnostician will use symptoms as a guide to treatment rather than as a way to label or neatly file someone into a narrow diagnostic “corner.”

WHAT ARE THE

autism spectrum disorders?

The autism spectrum disorders are more common in the pediatric population than are some better known disorders such as diabetes, spinal bifida, or Down syndrome.Prevalence studies have been done in several states and also in the United Kingdom, Europe, and Asia. A recent study of a U.S. metropolitan area estimated that 3.4 of every 1,000 children 3-10 years old had autism.This wide range of prevalence points to a need for earlier and more accurate screening for the symptoms of ASD. The earlier the disorder is diagnosed, the sooner the child can be helped through treatment interventions. Pediatricians, family physicians, daycare providers, teachers, and parents may initially dismiss signs of ASD, optimistically thinking the child is just a little slow and will “catch up.”

Although early intervention has a dramatic impact on reducing symptoms and increasing a child’s ability to grow and learn new skills, it is estimated that only 50 percent of children are diagnosed before kindergarten.

All children with ASD demonstrate deficits in 1) social interaction, 2) verbal and nonverbal communication, and 3) repetitive behaviors or interests. In addition, they will often have unusual re-

sponses to sensory experiences, such as certain sounds or the way objects look.

Each of these symptoms runs the gamut from mild to severe. They will present in each individual child differently. For instance, a child may have little trouble learning to read but exhibit extremely poor social interaction. Each child will display communication, social, and behavioral patterns that are individual but fit into the overall diagnosis of ASD. Children with ASD do not follow the typical patterns of child development. In some children, hints of future problems may be apparent from birth. In most cases, the problems in communication and social skills become more noticeable as the child lags further behind other children the same age. Some other children start off well enough. Oftentimes between 12 and 36 months old, the differences in the way they react to people and other unusual behaviors become apparent. Some parents report the change as being sudden, and that their children start to reject people, act strangely, and lose language and social skills they had previously acquired. In other cases, there is a plateau, or leveling, of progress so that the difference between the child with autism and other children the same

age becomes more noticeable.

Signs & Symptoms Parents are usually the first to notice unusual behaviors in their child. In some cases, the baby seemed “different” from birth, unresponsive to people or focusing intently on one item for long periods of time. The first signs of an autism spectrum disorder can also appear in children who had been developing normally.

When an affectionate, babbling toddler suddenly becomes silent, withdrawn, self-abusive, or indifferent to social overtures, something is wrong.

Treatment There is no single best treatment package for all children with ASD. Decisions about the best treatment, or combination of treatments, should be made by the parents with the assistance of a trusted expert diagnostic team

DECEMBER 2011 HEALTHWISC MHL 17

itor’s Pick!

EdHOLIDAY GIFTS

Holiday Gift Guide The Kenmore Intuition Upright Vacuum Cleaner This Consumer Reports favorite features a PowerFlow dual chamber bag system that provides sustained power to clean, even as the bag fills with dirt.

It’s True HEPA filtration system captures maximum debris for cleaner indoor air.

It also has a beltless direct drive agitator, which means there are no belts to replace. It’s reach out wand and tools onboard allow this vacuum to clean floors and much more.

Reach-out telescoping aluminum wand -DIRECT Drive Beltless Agitator -Filterless Dust Cup -Power Flow Dual Chamber Bag Sys tem -LED Headlight -4-Position Height Adjust -Pet HandiMate Attachment http://www.kenmore.com

The Verilux Cleanwave Sanitizing Wand kills up to 99.9% of germs, allergens and odor causing bacteria on hard surface.

Your results will be cumulative – your “kill rate” may be 90% during your first use on a surface, then “90% of the remaining 10%” on your next use. UV-C light sanitizes micro-organisms and biological pollutants, including viruses, bacteria, germs, mold, dust mite and flea eggs by penetrating their cell membranes and attacking and deactivating their cellular DNA, stopping their reproductive capabilities and killing them. www.verilux.com 18 MHL HEALTHWISC DECEMBER 2011

Furreal Friends Gogo, My Walkin’ Pup

(HASBRO/Ages 4 years & up/Approx. Retail Price: $59.99/Available: Fall 2010) Girls can em-“bark” on their very own adventures this fall with the FURREAL FRIENDS GOGO, MY WALKIN’ PUP pet! Attach GOGO’s leash and this perky puppy knows you’re ready to walk her!

She’ll wag her tail, pant, and bark just like a real pup to let you know she is excited to get moving. Girls are in charge as they control GOGO’s hot pink leash to make her walk left, right or straight ahead - GOGO can even walk in circles or figure eights! GOGO loves to be petted and will respond to your touch. Gently stroke GOGO’s right and left side or the top of her head and she’ll playfully bark to let you know just how delighted she is to be your friend. Requires four “C” batteries, included. Available at most major toy retailers nationwide and on HasbroToyShop.com.

Oral B 3000 Series Toothbrush

Everyone should own an electric toothbrush.

The ease in which your teeth get clean along with the thoroughness of the toothbrush make it a must have for everyone. The Oral B 3000 comes with four heads to accommodate the different areas of the mouth you are trying to clean. The heads spin in a circular motion just like the dentist office and the motor provides plenty of cleaning power for a very thorough clean. Because the heads are relatively small you can reach places that are hard to get to with a normal toothbrush. The toothbrush does all the work so there is no need for a lot of scrubbing. Just hold the toothbrush in place and let it do its job. It also has a two minute timer to ensure that you brush for the proper amount of time and also a pressure sensor that alerts you when you are brushing too hard. www.oralb.com $79.99

Quicken Premier 2012

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Advanced heating technology ensures perfectly consistent baking and browning. Steam-release system prevents condensation buildup as waffles bake. An indicator light signals when the optimal temperature is reached. Overflow trough channels away excess batter. Nonstick finish ensures effortless release and easy cleanup. Two square produces two 1”thick, 4 1/2”-sq. waffles www.williams-sonoma.com

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Logitech Hd Pro Webcam C910

The Logitech HD Pro Webcam C910 is HD in every way. Record breathtaking widescreen Full HD 1080p videos or make a video call in HD 720p on Logitech Vid HD, or any service that supports HD video calling. Lifelike stereo audio will make certain that everyone hears the real you. Capture rich, 10-megapixel snapshots (software enhanced). The C910 also features crystal-clear stereo audio with two mics – one on either side of the webcam lens. At 25 millimeters deep, the exceptionally thin C910 webcam adds a modern minimalist touch to your laptop or desktop computer setup. www.logitech.cim

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Holiday Gift Guide

Every season is Cedar Valley season!

Our 100 comforting acres of carefree hospitality in West Bend simply sparkle with wintry beauty ‌ make it your holiday party or winter getaway destination! ¡ Full schedule of art classes, workshops, retreats and events! ¡ 24 overnight guest rooms, each with private bath, accommodate up to 35 ¡ Onsite amenities including spa services and acupuncture with Bertram (Bert) Schneider, MSOM, LAc ¡ Five spacious conference rooms with full A/V for groups up to 100. ¡ Winding trails, swimming pond, farm animals, an outdoor labyrinth and chapel for year ‘round enjoyment. ¡ Country-styled dining room serves three delicious homemade meals – all included! ¡ Authentic, well-appointed log home sleeps up to 15. ¡ We can help you plan your personal or spiritual retreat! Call for details!

Don’t forget gift certificates are available in any denomination, applicable for classes, overnight stays, spa services and more!

Call 262.629.9202 for details, calendar of events or to order gift certificates, or visit cedarvalleycenter.org.

CedarValley lodge ď‚ dine ď‚ retreat ď‚ spa a division of Cedar Community

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Editor’s Pick!

BEST HOTEL IN MADISON WI

The Edgewater Hotel 666 Wisconsin Avenue Madison, Wisconsin 53703 (608) 256-9071 www.theedgewater.com Great location. Good service, clean. Older hotel, but well maintained If you were any closer you would be IN the lake. Great location and views. Great location to enjoy the city of Madison.

Experience

Healing

• We provideour a unique healing experience.

Experience unique Healing Center and Crystal Emporium. ofand unique • We have hundreds of Hundreds unique crystal mineral specimens as well as artist designedare jewelry, music crystal and mineral specimens available for relaxation, pure essential oils and candles, along with artist designed jewelry, musicand for books on healing, growth and discovery. relaxation, pure candles, soaps and essen• We are and Wisconsin’s schoolgrowth for energy tial oils, bookspremier on healing and medicine. discovery.

Experience our Massage, Reiki, Crystal • We offer Massage, Reiki, Crystal Therapy, Acupuncture and Reflexology services.

Therapy, Acupuncture and Reflexology

The Edgewater hotel offers a wide range of accommodations ranging from single and double lakeANGEL LIGHT CENTER view rooms to two bedroom suites.

FOR THE HEALING ARTS The Edgewater is also the best place to eat and entertain. The elegant Admiralty Dining Room has an 13300 Watertown Plank Rd Elm Grove, WI exquisite fresh menu and sunset views that are unexcelled.

Angel Light 262-787-3001 The Cove Lounge is a great place to sit on soft couches near the fireplace and take in the breathtaking AngelLightLLC.com view of the lake while trying one of 200 wines, a specialty cocktail or a craft beer.

Here at the Edgewater hotel we offer a wide range of accommodations ranging from Single, Queens, Lakefront Doubles, Junior Suites and one or two bedroom Suites. Included with every room is first-class treatment and all the amenities listed below.

The Edgewater Hotel has a host of dining options available to our guests and the public.

The elegant Admiralty Dining Room has an exquisite menu and unexcelled sunset views.

School of Energy Medicine The Cove Lounge also overlooks the lake and is an excellent place to unwind with a cocktail and enjoy a sandwich or an appetizer.

The outdoor seasonal Cafe on the Pier is a great place to enjoy those wonderful spring and summer days on the lake.

Enjoy free live music on Thursday evenings.

Wisconsin’s Premier School for Energy Medicine Training Voted best Martini in the “Best of Madison” awards. sŝƐŝƚ ƵƐ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ ŶŐĞů>ŝŐŚƚ>> ͘ĐŽŵ ĨŽƌ ŝŶĨŽƌŵĂƟŽŶ ŽŶ The Edgewater has been host to many different live musical experiences through our fall 2011 schedule of classes, workshops and events. the years. From our dances and jazz concerts, to our weekly music at the hotel, something always seems to be swinging at The Edgewater.

Coming this fall: ŶĞƌŐĞƟĐ ŶĂƚŽŵLJ͕ DŝŶĚ WŽǁĞƌ WƌŽŐƌĂŵ͕ ŽƵƌƐĞ ŝŶ Energetic Anatomy & Monday Meditation Series, Course in Crystal Therapy, Airport Shuttle Service ƌLJƐƚĂů dŚĞƌĂƉLJ͕ YƵĂŶƚƵŵ ^ƚƵĚŝĞƐ ĞƌƟĮĐĂƚĞ͕ ZĞŝŬŝ͕ ŽƵƉůĞƐ ZĞŝŬŝ Θ ƚŚĞ Quantum Studies Certificate, Reiki, Couples Reiki and the Art of Japanese Reiki • USA Today Newspapers delivered weekdays ƌƚ ŽĨ :ĂƉĂŶĞƐĞ ZĞŝŬŝ ĞƌƟĮĐĂƚĞ WƌŽŐƌĂŵƐ͕ &ůŽǁĞƌ ƐƐĞŶĐĞƐ ĞƌƟĮĐĂƚĞ Certificate Programs, Tai Chi, Courses in Chakra Healing, Intuitive Develop• Free Indoor Parking ^ĞƌŝĞƐ ;E dD ĞƌƟĮĞĚ ʹ ϭϲ ŚƌƐͿ͕ ŽƵƌƐĞ ŝŶ ŚĂŬƌĂ ,ĞĂůŝŶŐ͕ • Outdoor Pier with Cabana Service /ŶƚƵŝƟǀĞ ĞǀĞůŽƉŵĞŶƚ͕ ƵƐŝŶĞƐƐ ĞǀĞůŽƉŵĞŶƚͬ ƚŚŝĐƐ ĂŶĚ ŵŽƌĞ͘​͘​͘ ment, Feng Shui, Business Development/Ethics and more...

• Card Key System Doors ^ĞƫŶŐ EĞǁ ^ƚĂŶĚĂƌĚƐ ŽĨ WƌŽĨĞƐƐŝŽŶĂůŝƐŵ ĨŽƌ • Coffee Brewers Energy Medicine Training • Hairdryers • Iron/Ironing Board Angel Light Center for the Healing Arts • Room Service 13300 Watertown Plank Rd. Elm Grove, WI 53122 • Private Voicemail Messaging 262-787-3001 • Triple Sheet Bed Linens • High Speed DSL/Dataport phone and most with wireless • Business Center with computer, internet and printer.

• Fitness Center equipped with a rowing machine, stairmaster, treadmills, bikes and a large flat panel TV • Selective suites available with kitchenettes • Personal Shoeshine Service to your door • Nightly turn-down service with towel refresh, weather forecast & magazines • Ice service • Madison’s Only True Lakefront Location with Madison’s Best Sunsets • Local transportation service upon availability • Massage services in our massage room or your guest room We are pet friendly and if you need a pet bed or feeding dish, just let us know. “Dogs will delight in our free pooch pack welcome gift bag!”

Center for the Healing Arts

Art of Healing

DECEMBER 2011 HEALTHWISC MHL 21

SPEED <<page 11

Acupuncture Clinic of Wauwatosa Greater Healing with Natural Balancing Acupuncture

We’ve Moved!

Come experience acupuncture in our new, beautiful clinic at 11611 West North Ave#101

Plenty of free parking and easy access!

You are invited to experience the wonderful benefits of acupuncture.

Meet Dr. William Hughes Board Certified in Acupuncture and Oriental Medicine Oriental Medicine treats a wide variety

of problems including chronic pain, stress, depression, menopause and difficult internal problems.

Give Dr. Hughes a call and come in for a FREE CONSULTATION to find our how we can help you!

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

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

414-607-0900 www.WauwatosaAcupuncture.com 22 MHL HEALTHWISC DECEMBER 2011

To speed up your metabolism, you’ll want to boost all three ways your body burns calories. Here’s how: Add muscle. Each pound of muscle burns about six calories a day, versus two calories a day for fat. If you’re able to replace 5 pounds of fat with 5 pounds of muscle, you’ll burn an extra 20 calories a day. Although this translates into a difference of just 2 pounds a year at 3,500 calories a pound, that’s 20 pounds over a decade. Strength training exercises, such as lifting weights or doing squats, lunges or sit-ups, can help you build muscle.

Get moving. Just 30 minutes of moderately intense exercise five days a week can burn about 1,000 calories a week. That works out to about 15 pounds a year. Highintensity workouts, such as jogging or using a stairclimber, may have an additional benefit—increasing your resting metabolic rate after a workout.

Eat more often. The American Dietetic Association recommends eating three meals and one or two snacks a day. “Studies suggest that eating smaller, morefrequent meals does increase your metabolism slightly,” says Carmen Roberts, M.S., R.D., a dietitian at Johns Hopkins Bayview Medical Center. Just make sure to choose healthy snacks, such as fruit or yogurt, and don’t increase your overall caloric intake.

Eat breakfast. Starting your day on a healthy foundation, such as a bowl of highfiber cereal, makes it far less likely you’ll grab a fattening Danish later on. Another benefit to breakfast? Studies suggest that it gets your metabolism going. “When you haven’t eaten all night, your body is in a sluggish mode,” says Roberts.

Consume enough protein. Although your body needs a combination of carbohydrates, protein and fat each day, protein is especially important for people who want to lose weight. One reason, explains Roberts, is that your body uses up extra calories digesting protein because it’s the hardest food source to break down.

Another reason is that getting enough protein ensures that any weight you lose comes primarily from fat and not from muscle. The recommended daily allowance (RDA) for protein is approximately 56 grams for the average adult make and 46 grams for the average adult female. Don’t overdo the protein, though. Eating too much protein can be hard on your kidneys and liver and may also weaken bone.

Drink plenty of water. Your body runs more effectively when you’re well hydrated—and that includes your metabolism. Water is your best calorie-free choice.

A small study has shown that the process of digesting two cups of water can speed up your metabolism by about 30 percent for the next half hour or so. Although 40 percent of the effect comes from the body’s warming the water from room temperature to body temperature, there’s no evidence that chugging ice water burns extra calories.

Get your zzzs. Running short on sleep boosts levels of the hormone ghrelin, which research says can make you hungrier, slow your metabolism and promote fat retention. In one study, dieters randomized to get 5½ hours of sleep a night lost only half as much weight as those who got 81/2 hours of sleep a night.

Don’t crash diet. If you go on a very-low-calorie diet, your body will go into starvation mode—slowing your metabolism instead of speeding it up to make full use of every calorie consumed. That’s why most people shouldn’t trim more than 500 calories a day from their normal intake. The exception is people whose caloric intake is very high to begin with.

Turn down the heat. Earlier generations generally lived in chillier homes and used up extra calories trying to stay warm in the winter. Although there’s no need to be uncomfortable, lowering the thermostat by a couple degrees in the winter may accomplish two goals: reduce your heating bills and burn a few extra calories.

Exercising outdoors in cooler temperatures instead of inside a climate-controlled gym may also help you burn additional calories.

Consider caffeine and chili peppers. Small studies show that drinking caffeinated beverages, such as tea and coffee, increases your heart rate and leads to a temporary boost in metabolism. Tentative research also points to the power of chili peppers— both the hot variety that contains capsaicin and the milder sweet peppers containing capsinoid—to help increase metabolism. But don’t start up a coffee habit or make your food unpleasantly spicy in an effort to lose weight.

The best approach The most important components of keeping weight off remain the same: increasing activity and limiting calories. But by following the metabolism-boosting pointers above, you may have an easier time keeping those extra pounds from creeping up on you.

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

“I can see fine . . .”

Keep an eye on . . .

Symptoms

Are you certain, or are you risking your ability to see life to the fullest —now & in the future?

Contact an eye care specialist for an evaluation if you experience any of the following concerns or have risk factors: ■ Loss of vision

■ Flashes of light

"Oftentimes, when I tell a patient that they have a serious eye condition like glaucoma or macular degeneration, they'll respond with 'But, I can see fine' or 'I haven't noticed anything wrong with my eyes,'" reports Dr. Mark Freedman, a partner at Eye Care Specialists, an ophthalmology practice that has overseen the care of 121,000+ area residents. "Unfortunately, whether the person is in denial, just didn't notice, or actually has no symptoms, the outcome is just the same. Early diagnosis and treatment are the only way to prevent unnecessary vision loss."

■ Blurriness/Double vision

■ Continual eye redness

■ Pain in or around the eye

■ Excessive tear production

■ Seeing floaters, spots or webs

■ Difficulty seeing at night

■ Family history of eye problems

■ Diabetes

Dr. Robert Sucher, well-known cataract surgeon and co-founder of Eye Care Specialists, explains, "What most people don't realize is that vision problems in one eye can often be masked by the ability of the other eye to compensate. Or, changes occur so gradually that they go unnoticed. For example, with glaucoma, loss of peripheral (side) vision slowly creeps in until it creates a "tunnel" effect. And, with cataracts, many people don't realize how much they've been missing until the cloudy lens is surgically removed and replaced with an implant. Then they exclaim how much brighter and more colorful everything is or how much easier it is to recognize faces or see the TV."

■ Black heritage

■ Steroid use

■ Previous eye injuries

■ Smoking

■ Lines appearing distorted or wavy ■ Sensitivity to bright light ■ Dry eyes with itching and burning

Risk Factors

Questions to ask your eye care specialist Ophthalmologist Dr. Daniel Ferguson encourages patients to make themselves informed partners in their family's eye care.

He suggests asking questions, such as:

While loss of vision may make for amusing "Mr. Magoo”-type anecdotes, it can also lead to issues that are no laughing matter, like increased risk of car accidents, depression and institutionalization. For example, decreased vision in women has been linked to an increased risk of falling, which often causes more serious concerns, including hip fractures, the need for canes, walkers and/or nursing home care, and complication-related death. "Early diagnosis and prompt treatment are key to maintaining independence and quality of life.

For example, when a patient’s vision has diminished with age and a new eyeglass prescription doesn't do the trick, we often find that cataracts are the cause of the problem and, in most cases, surgical removal and replacement with a customized lens implant is a relatively easy and painless solution," notes Dr. Brett Rhode, Head of Ophthalmology at Aurora Sinai Medical Center and private practitioner at Eye Care Specialists.

■ What is my visual acuity (on the 20/20 scale)?

■ Do I have any eye diseases or disorders?

■ What caused my condition? Is it hereditary?

■ How will this condition affect my vision

and lifestyle—now and in the future?

■ What kinds of tests do I need? Why? When?

■ What is the best medical/surgical treatment for me?

■ Should I watch for any symptoms and notify you if they occur?

■ When will treatment start, and how long will it last?

■ What are the risks, side effects,

benefits & success rates for treatment?

"Poor vision is not a fact of life as you grow older. It's important to discover what's behind those changes—whether it's simply the need for a new eyeglass prescription or something more serious like the need for laser treatment to hold off diabetes-related damage. That's why we can't stress enough the importance of scheduling comprehensive dilated eye examinations at least every two years,” states Dr. Norman Cohen, an eye surgeon with 35 years of experience. “Sight-saving improvements in vision care are of no use if you're not aware, or in denial, that you have a problem. Ask yourself, ‘When was your last eye exam?’ Then decide what to do about your answer.”

■ Are other treatments available?

■ Are there foods, drugs or activities I should avoid?

■ If my vision can’t be corrected, can you refer me

for low vision resources and rehabilitation services?

■ If I need to take a medication, what should I do if I miss a dose?

■ Would diet, exercise or other lifestyle changes improve my condition? Would vitamin & mineral supplements be helpful?

Call 414-321-7035

When you need to research an eye concern for your family, like cataracts, glaucoma, AMD, diabetes, or dry, crossed or lazy eyes. We’ll send detailed literature—fast & FREE.

Take steps to protect your family’s vision.

1. Call 414-321-7035. We’ll send a FREE When to Have Leaders in Medical, Surgical & Laser Eye Care “Top Doctors”— Milwaukee Magazine Your Eyes Checked guide Trusted by more than 121,000 doctors & patients and handouts on any eye ■ Glaucoma, Diabetes & Macular Degeneration (AMD) Care topic you need to research.

■ ■ ■ ■ ■ ■

T Norman Cohen, MD Robert Sucher, MD Mark Freedman, MD Brett Rhode, MD Daniel Ferguson, MD David Scheidt, OD

(including laser & AvastinTM injection treatments) No-Stitch Cataract Surgery with Lens Implants (to reduce the need for reading glasses/bifocals) ZyoptixTM Customized LASIK Vision Correction Accept Medicare Assignment & Most Insurances Lid & Retinal Cases ■ Corneal Transplants Dry Eyes/Infections ■ Pediatric Care & Surgery Comprehensive Exams ■ Laser Scans for Disease

www.eyecarespecialists.net

EYE CARE SPECIALISTS

West Allis 10150 W. National Ave. West Allis, WI 53227

414/321-7520

Mayfair 2323 N. Mayfair Rd.

Wauwatosa, WI 53226

414/258-4550

Downtown 735 W. Wisconsin Ave. Milwaukee, WI 53233

414/298-0099

2. Read. Learn the symptoms, risks, tests & treatments for common disorders.

3. Act. If you realize it’s time for you, your child or a parent to have an exam, schedule today.

Protect your family’s vision for tomorrow.

414-321-7035 www.eyecarespecialists.net

SENIOR HEALTH AND LIVING

A special section dedicated to helping senior’s plan the next phase of their life.

24 MHL HEALTHWISC DECEMBER 2011

Positive Attitudes for Healthy Living

Retirement communities foster an environment that allows seniors to be socially engaged and active which promotes health and wellness in mind, body and spirit.

By Kate Schmidtkunz RN, BSN Positive attitudes and a healthy outlook on life are vital to our physical, emotional and social well-being. Understanding our attitudes are important because it affects who we are and how we respond to life’s’ situations. A positive attitude helps you meet and accept the challenges of life. The opportunity for growth and a better understanding of ourselves is possible with the right attitude. Healthy self esteem includes developing our strengths and overcoming weaknesses, striving to do our best, and setting realistic goals.

Finding satisfaction in life, establishing and maintaining strong, healthy relationships and having self confidence allows us to meet the challenges of the day. Remaining positive and healthy involves living a healthy lifestyle which includes, regular activity and exercise, eating a well balanced diet, getting plenty of rest and using prescription medications as intended and instructed. A positive attitude and a healthy outlook can be developed and maintained with time and effort.

Considering moving into a retirement facility? Besides the convenience of community living, your health may improve. Much has been written about the effect of a positive attitude to one’s general well-being. There are many reasons to be positive in a retirement community. Retirement communities foster an environment that allows seniors to be socially engaged and active which promotes health and wellness in mind, body and spirit.

A resident of an independent retirement community shared the positive benefits he experienced: “When I moved to a retirement community I was not walking well and was unable to do laundry and lots of similar things due to a small stroke. Three and a half years later my doctors have told me I am doing very well. I contribute my great health to several things.

First, I now enjoy meals not only because the food is so good, but also because the dining room is a cheerful place to be and the wait staff makes it a pleasure to come down to meals. I also eat with interesting and welcoming people.

Second, I am never bored. There are a great number of presentations, both informational and entertaining. I enjoy going to outings, theatre and restaurants.”

What this resident experienced are a couple of the benefits of a retirement community. The benefit of a well balanced diet. Menus in retirement typically are low sodium, low fat and the offerings are rich in fiber, fresh fruits and vegetables and whole grains. The benefits of intellectual stimulation and socialization impacted this resident’s life. Attending lectures and the performing arts, visiting with a diverse group of peers keep the mind sharp.

Retirement communities provide a positive, healthy environment. Most communities offer exercise classes or a fitness center. Regular exercise for seniors increases joint flexibility, muscle strength, endurance and coordination to prevent falls and increase balance. Some retirement communities are integrated in a continuum of care, including rehabilitation, skilled nursing, assisted living and home health.

Enjoy your life of health and happiness.

For more information on the healthy benefits of community living please call Kate Schmidtkunz RN BSN, Wellness Coordinator at San Camillo. 414/259-4680 DECEMBER 2011 HEALTHWISC MHL 25

CHOOSING A QUALITY SENIOR HOME CARE AGENCY For Your Loved One Many seniors opt for senior care services in their own home, especially if only part-time care services are needed.

Most of us hope we will never be faced with the need for senior care services for ourselves or a loved one. It is in the same category as “fire and flood insurance” - something that happens to other people. However, we still buy it, just in case. And then we forget about it. The reality is, tornadoes do hit and the best insurance, as they say, is preparation.

Life expectancy rates are increasing (a newborn today in the U.S.A. and with advances in medical care has a life-expectancy of age 100). Americans are living longer than ever before. While Medicare does provide for health care services for seniors with medical needs, it does not provide for non medical short or long-term care services for home care .

Because of this, many seniors opt for senior care services in their own home, especially if only part-time care services are needed. This is often the situation after major surgery, senior becomes frail or when an age-related disease begins to develop, such as Alzheimer’s or Parkinson’s Disease.

HOW DO YOU KNOW WHERE TO TURN FOR QUALITY SENIOR HOME CARE? As an owner of a senior home care agency since 2001, I have found that you can easily separate the wheat from the chaff by following a few guidelines when choosing an agency.

First, make sure the agency hires their Caregivers as employees and not independent contractors where no one is paying or withholding any taxes. When an agency is the employer you will have peace of mind and be provided the benefits of Worker’s Compensation Insurance and Unemployment Insurance.

These are both considered a part of payroll taxes and are included in your fee.

There are many stories about families who hired Caregivers and then discovered later that the family was responsible for taxes that were not paid or sued for an injury a Caregiver suffered while providing care services.

26 MHL HEALTHWISC DECEMBER 2011

As the employer, a legitimate Senior Home Care Agency takes responsibility for any liability for any on-the-job injuries, all payroll taxes and any bonding issues. The Senior Home Care Agency will also provide Fidelity Bond Insurance which will protect you in the event of theft. The agency must follow certain procedures when hiring in order to maintain all this valuable insurance coverage.

Background checks (criminal, credit and motor vehicle), active supervision and on going training will be required. By having these procedures in place, safety of the client (senior) and quality of care can be maintained.

Next, make sure the Senior Home Care Agency provides regular “check-in” visits on the client to assure quality care services. A quality agency will have interactive caregiving where a Care Manager, Supervisor, or Nurse Care Manager stops by the home to make sure the Client and Caregiver are a good match and that all the care needs are being met. The frequency of these visits will depend upon the number of hours of care provided each week.

Finally, make sure the agency creates and manages a “Plan of Care” for the senior. This will include details on a daily routine and the job duties for the Caregiver.

Be sure to stay very involved with the agency during the first month of service to make sure the caregiver and the senior are getting along and communicating their needs.

If you do not live in the same city as the senior who needs care or if your family and career obligations prevent you from being available for day-time doctor appointments, you may want to consider hiring an agency to assist you with those appointments so they can keep you abreast of all health changes.

For local information contact Comfort Keepers at 414.858.9400 or 262.376.7510 or go to www.comfortkeepers.com.

balance matters

1/2 healthwise ad for clement manor:Layout 5

3/30/11

2:03 PM

University of California Wellness Letter We all need balance in our lives. Literally. But having good balance is more complex than you may realize. It involves the integration of various sensory and motor systems, including: vision (to perceive direction and motion), the vestibular system in the inner ear (which monitors motion and provides orientation clues, such as which way is up) and what’s called “proprioception” (the ability to sense where your body is in space). To stay steady, you also need good muscle strength and reaction time.

If any of these systems are not functioning properly, you can lose your balance even while just walking or standing up. In fact, about one in three people over 65 (not living in nursing homes) fall at least once a year—and 10 to 15 percent of these falls result in serious injury, according to a 2008 Australian paper.

Older people often have poor balance due to loss of muscle strength and joint flexibility, as well as reduced vision and reaction time. And the risk of inner ear dysfunction, which can throw you off balance, increases with age. Lack of exercise, alcohol, obesity, neuropathy (nerve damage) in the lower legs, certain drugs or medical conditions, even wearing the wrong eyeglasses, can also interfere with balance, at any age.

From tai chi to cobblestones Exercise—such as brisk walking, running and strength training—helps improve balance. Any activity that increases strength, especially in your lower limbs, as well as agility, is worthwhile.

Even golf, aquatic exercise, interactive dance video games and Feldenkrais (a movement therapy) have been shown to help.

In particular, you may want to try tai chi. Studies have documented its ability to improve balance and decrease falls in both healthy and ill people. Originally a Chinese martial art, this ancient practice involves slow, balanced, low-impact movements done in sequences; it builds confidence, coordination, muscle strength and all-around fitness. Classes are often available at health clubs, colleges and adult education centers. The International Taoist Tai Chi Society (Taoist.org) can help you find instructors and classes in your area.

Below are some other good things you can do for your balance. The equipment needed is available at sporting-goods stores or online; gyms and physical therapy offices may also sell it.

Before you start: If you have serious balance problems, it’s a good idea to begin with a trainer at a gym or a physical therapist. At home, be sure to have someone “spot” you or at least have something to hold onto so you don’t fall.

Balance on a board. Also called wobble or rocker boards, balance boards are wooden or balance>>page 31

Page 1

Bridge Way: Transitional Care at Clement Manor “A 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. We are pleased to offer: � Short-term comprehensive and customized approach to medical and physical needs � Primary Team Model: Licensed nurse and certified nursing assistant providing direct care � Expanded insurance contracts � Private rooms available

Sponsored by the School Sisters of St. Francis

Call our Admissions Coordinator today at 414.546.7322.

3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • www.clementmanor.com DECEMBER 2011 HEALTHWISC MHL 27

Milwaukee Catholic Home Holiday Stroll

Thursday, December 15th 2:00- 4:00 p.m. ~Tour apartments and take in the holiday decorations! ~Enjoy homemade cookies and cider ~Listen to Christmas music ~Visit with Santa

RSVP by Monday, December 12th to Linda at 414-220-3216 / 1SPTQFDU "WFOVF t .JMXBVLFF 8*

t XXX NJMXBVLFFDBUIPMJDIPNF PSH

health& longevity A KEY LESSON OF THE LONGEVITY PROJECT IS TO JOIN SOCIAL GROUPS AND SELECT HOBBIES THAT WILL LEAD YOU TO A WHOLE HOST OF CONSEQUENTIAL AND NATURALLY HEALTHY ACTIVITIES. While many may be out searching for the fountain of youth, the secret to a long and happy life may not actually be a secret at all. This year, Dr. Howard S. Friedman and Dr. Leslie R. Martin released a book discussing their findings on health and longevity during an eight-decade long study of 1,500 people all born around 1910.

In their book, â&#x20AC;&#x153;The Longevity Project: Surprising Discoveries for Health and Long Life from the Landmark Eight-Decade Studyâ&#x20AC;?, the answers Friedman and Martin conclude are quite simple. â&#x20AC;&#x153;A key lesson of The Longevity Project is to join social groups and select hobbies that will lead you to a whole host of consequential and naturally healthy activities.

It is heartening to know that embracing the lessons of The Longevity Project and persistently striving for a socially richer and more productive life will significantly increase the odds of a long and happy life as well.â&#x20AC;? said Dr. Friedman in an interview with author and blogger, Therese J. Borchard.

This concept of social contact, interaction, and relationships on the quality of life has been the topic of numerous scientific studies. Those studies have found links between the lack of social support and health problems such as cardiovascular disease and deaths in women. Another found that seniors who attend church weekly live longer. Friedman and Martin had the same observation on the part religious engagement plays in long life. Religious women lived longer because of the social connectedness of their lifestyle. They worshipped with others, joined committees, and engaged in social outreach.

For as great as the benefits of socialization are, there is a primary group still lacking the opportunities to interact with others. Unfortunately, it is a group that benefits from socialization the most. That group is seniors. â&#x20AC;&#x153;Loneliness and isolation is all too common an experience for older adults,â&#x20AC;? says Amy Oâ&#x20AC;&#x2122;Connor, Resident Life Director at Milwaukee Catholic Home, â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s one of the biggest concerns families have for their loved ones and one of the biggest reasons they start to explore independent living communities.â&#x20AC;?

Retirement communities have recognized the need for socialization and many offer valuable programs. Residents benefit from not just weekly or monthly opportunities but multiple activities every day. They can choose from a wide variety of recreational and wellness programs, community involvement, and spiritual resources. â&#x20AC;&#x153;The quality of life as one ages is in direct proportion to their feeling of purpose.

When they become involved in activities that are important to them, they stay connected in the most meaningful way,â&#x20AC;? says Oâ&#x20AC;&#x2122;Connor.

28 MHL HEALTHWISC DECEMBER 2011

no need to hang up the cape

By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI Some of the strongest and most youthful superheroes to jump from the pages of comic books to the silver screen in recent years are old enough to be receiving full Social Security retirement benefits. Whether standing before the bat-computer or going online at the fortress of solitude, these guys were certainly wise enough to apply for retirement benefits at www.socialsecurity.gov.

Superman may be America’s most popular superhero, and also the oldest to hit the screen in recent years. The man of steel was created in 1932. The guy’s 79 years old and he has a new movie coming out in 2012. Superman does mostly volunteer work, but even if he earns wages as Clark Kent, his benefits won’t be offset since he reached his full retirement age.

Batman made his debut in 1939, and he’s about to star in another feature film, running around like a 30-year-old. Also in his 70s, Mr. Wayne is getting full retirement benefits — and Robin too. The same can’t be said for the Joker or Penguin; you can’t collect benefits while you’re in prison.

The Green Lantern and Captain America made their silver screen debuts this year.

They were “born” in 1940 and 1941, and also are of retirement age. One would expect Captain America to look a little more like Uncle Sam these days, but as is true with many Social Security retirees today, staying active keeps him young.

For the “silver age” of comic book heroes, retirement isn’t quite here yet. SpiderMan slung his first web in 1962, the same year the incredible Hulk burst into being.

Iron Man and the X-Men first appeared in 1963. They may not be ready to retire just yet, but it’s a good time for them to take a look at the online Retirement Estimator, where they can get an instant, personalized estimate of future retirement benefits.

Come to think of it, if the Hulk or any of the X-Men ever get severely injured, they may qualify for disability benefits through Social Security. The place to go for more information is www.socialsecurity.gov.

Ask any of these superheroes about retirement plans, and you’re likely to get an earful. They won’t be sitting around — they’ll be staying active even as they collect retirement benefits. You don’t have to have a bat-computer or be a superhero to harness the power of the Retirement Estimator at www.socialsecurity.gov/estimator, or to apply online for benefits at www.socialsecurity.gov. Up, up, and away into an active retirement!

Peace of Mind Services Title 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

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4955 S Greenbrook Terrace

DECEMBER 2011 HEALTHWISC MHL 29

downsizing It’s never easy to downsize and let go of items you have had in your possession for a long time (along with having to move out of your home after many years of residing). Today we are going to help you whether you have a parent, grandparent, or someone who is elderly that needs to relocate into a smaller environment (and cannot take everything with them). If you have a loved one moving into a retirement community, their new home will be much smaller than where they previously resided. Below are some simple steps you can take to help you determine what they should take with them and what they should part with.

BLUEPRINT OF NEW HOME: Before you start throwing away everything your parent or grandparents own, you should know the size and layout of their new home, and figure out what will fit. Measure each piece of furniture, so you can determine what they can take with them. It’s important to figure out if the new living space will have a kitchen or if meals are prepared, if it is a single room or an apt/condo configuration,etc. Will they be sharing space , or are they going to be in an individual residence? Is the new living space furnished or non furnished. By figuring this portion of it out, you can help determine what they can take with them without a guessing game. Room tags can help identify which room the items that are being taken will go into.

GET A DUMPSTER-DONATE-GARAGE/ESTATE SALE: You should definitely start with one room at a time. Start with areas like the attic, garage, basement. These are the easiest places to get rid of unnecessary items. Start making groups of items to get rid of. An easy way to do this is by sorting with piles. Make a garbage pile, donation pile, garage/estate sale pile, and a pile they may want to give to your friends or family (with family, at least the senior can see it’s going to good use, perhaps a grand-daughter, or son, or niece/nephew, etc). It never hurts to see if friends or family may be interested in some of the valuables. As far as charities go, most charities will accept items in good condition (free of pet dander, odor free, and stains). Many charities do not take office furniture, etc. There are also places that allow people to give items away and connects the giver with the receiver. This can be helpful if the senior connects with who their prize possessions are going to, by knowing they are going to a good cause or someone truly in need. Another idea is having an estate or garage sale, and use the money to go towards new furniture (if space allows) for fresh beginnings.

THINGS TO HELP YOU PURGE: When deciding what needs to be let go of, there are some general rules of thumb to follow, (along with doing a floor plan, figuring out size and space): Some questions to ask your senior (if you are helping a senior who is purging): When was the item used last, and how often do they use it? If they you haven’t used it very often, or don’t use it, then get rid of it.

Do they own more than one? With downsizing, they really don’t need to take more than one, especially if there is limited space.

What does this piece mean to them? It’s ok to take a few of their memories with them, you don’t want to take everything away from them.

What condition is it in? If it is falling apart, or not in good condition, there is no reason to keep it.

Will it fit in their new home? This is key, obviously if they don’t have space for it, then they can’t take it with them.

If there are items such as old medications that need to be disposed of, you should never flush medications down the toilet. You should keep them in their original container, and cross off the patient’s name, and do not put it in a recyclable bin. There is a lot to remember when downsizing your senior, remember every bit you give helps, and though there may be a struggle trying to dispose of items, you need to be strong but supportive! Your goal is not to take everything away from them, but allow them some reflection time before disposing. Make sure they are involved with the decision process.

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.

next step.

Let us help you with the

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www.heritagesenior.com 30 MHL HEALTHWISC DECEMBER 2011

balance<<page 27 plastic devices that sit on a short base that acts as a fulcrum. By shifting your weight from side to side and/or front to back, you try to balance without rocking too much.

For more of a challenge, do it with your eyes closed. Boards cost about $20 to $60.

Have a ball. Made of vinyl and filled with air, a large exercise ball (also called a stability ball or physioball) is another handy helper for improving balance. At home, be sure you have plenty of room so you donâ&#x20AC;&#x2122;t tumble onto a piece of furniture. The balls come in different sizes (based on your height) and cost about $15 to $40 or more.

Walk on cobblestones. Chinese tradition holds that walking on uneven paths is good for balance. And a study several years ago at the Oregon Research Institute gave support to the practice. It found that healthy but sedentary older adults significantly improved their balance by walking on special cobblestone mats. Aim for half an hour of cobblestone walking two or three times a week, in addition to regular walking and strengthening exercise. If you have no cobblestone paths in your neighborhood, you can buy long walking mats like those used in the study for about $40.

Try a mini-trampoline. Training on a mini-trampoline for 14 weeks increased balance in a study this year in the Journal of Electromyography and Kinesiology.

After participating in the program, older people were better able to regain their footing in a forward fall experimentâ&#x20AC;&#x201D;an ability that can help prevent a serious injury in real life. If you are very unsteady on your feet, though, this may not be a good choice. Mini trampolines cost about $30 to $75; some have handrails.

Bottom Line: If you are over 60, ask your doctor to check your sense of balance.

There are many ways to improve your balance and thus reduce the risk of falls. Find what you like but also mix it up. Another thing to consider for fall prevention is a vitamin D supplement. Studies suggest that adequate vitamin D reduces the risk of falls by increasing muscle strength in the legs. The recommended daily intake is 600 IU up to age 70 and 800 IU for those older, though people who are deficient may need higher doses.

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

Senior community for ages 55+ ...

DEER CREEK VILLAGE

Independent Senior Apartment Community

3601 S. 147th St. New Berlin, WI 53151 (262) 641-9410

"Celebrate the holidays with us in your new home"

Deer Creek contains a total of 145 units, consisting of one and two-bedroom apartment homes for rent. Underground parking, heat and water & sewer are included in the rent. Deer Creek is open to seniors of all income levels.

The community offers a mix of market rate apartment homes which have no maximum income restrictions and affordable apartment homes for occupants not exceeding the maximum limits established annually for the property.

Close proximity to shopping centers, medical facilities, restaurants...

Elegant senior community...Spacious natural setting / walking path....

Professionally managed by the Oakbrook Corporation

EQUAL HOUSING OPPORTUNITY

DECEMBER 2011 HEALTHWISC MHL 31

A L E X I A N V I L L AG E “ V ILLAGE C ENTER” 9301 N. 76 Street

A L E X I A N B RO T H E RS P AV I L I O N 9225 N. 76 Street

December 2011 An Old Fashioned Christmas Presentation

Friday, December 2, 2:00 p.m. Village Center, Please RSVP by 12/1.

Columnist and author, Rochelle Pennington highlights a time when Christmas shopping meant paging through a Sears & Roebuck catalog and heading to the local five-and-dime store.

Lunch & Bingo

Wednesday, December 7, RSVP by 12/5.

Calendar of Events

Lunch and Holiday Party

Wednesday, December 21 , Noon, Please RSVP by 12/19.

Holiday lunch ($4.) followed bylive entertainment.

Bring a friend who is not a Club Alexian member and you both enjoy lunch for only $4.00.

The Waukesha North Chamber Singers Concert

Healthy Cooking & Bingo

Thursday, December 22, 2:00 p.m., Chapel, Please RSVP by 12/20. Holiday favorites in Alexian’s Chapel.

Enjoy lunch followed by bingo with cash prizes.

Noon lunch is $4.00, Bingo, 1:00 p.m. is free.

Instrumental Holiday Concert

Wednesday, December 14, Noon, RSVP by 12/12.

Mature Musician and Encore Choir Concert

Friday, December 23, 1:30 p.m., Chapel, Please RSVP by 12/20.

Come and enjoy this annual holiday event of music, refreshments and fellowship.

Lunch & Movie

Thursday, December 8, 6:00 p.m. refreshments, 7:00 concert, Please RSVP by 12/6.

Madrigal Concert

Friday, December 9, 7:00 p.m., Chapel, Please RSVP by 12/7.

Enjoy the sounds of the season from the Pius XI High School Madrigal Choir in the Alexian Chapel. The students dress in madrigal gowns singing songs of the period.

Holiday concert in Alexian’s Chapel featuring composers such as Mozart and Tschaikovsky.

Wednesday, December 28, Noon, Please RSVP 12/26.

Enjoy lunch followed by a movie. If you cannot make it to lunch come for the movie. $4. lunch, 1:00 p.m. movie is free. This month’s movie is “Chasing Christmas,” starring Tom Arnold.

How to Stay Young The First 100 Years Plus, Spinal Posture Screening

Thursday, December 15, 1:00 p.m., Please RSVP by 12/12.

Preserve and restore optimal health by caring for your spine with Dr. Richard Kemp. Screening provides a type of 3-dimensional view of the body’s postural defects.

Call 1-800-251-4600 to RSVP to all events, Monday-Friday 7:00 a.m.-5:00 p.m.

Christmas Shopping Online www.AlexianBrothers.net, click on “Marketplace”

6

TIPS TO AVOID PRESCRIPTION AND OVERTHE-COUNTER MEDICATION ERRORS

According to the Food and Drug Administration, medication errors cause at least one death every day and injure approximately 1.3 million people annually in the United States. Do not become a statistic. Follow these 6 tips to avoid prescription and over-the-counter medication errors: 1) Although it may seem obvious, be sure you can properly see your medication. If you have reading glasses, make sure you are wearing them. Always take your medication in a well-lit room so that you can accurately read the label to avoid accidentally taking the wrong medication or the wrong amount. Never under any circumstances should you take a pill if you are not sure what it is.

2) Develop a system. It can be all too easy to forget to take your medication. In the same way, it can be just as easy to forget that you did take it causing you to accidentally take it twice and overdose. There are a variety of resources to increase the likelihood of safe and accurate medication administration. These include pill boxes, pill dispensers, automated reminder phone calls, and reminder alarms to name a few.

Talk to your doctor, nurse, or pharmacist to determine what system might work best for you.

3) Have an accurate, up-to-date medication list on you at all times that includes prescription medications, over-the-counter medications, vitamins, and minerals. A medication list is invaluable if you were to have a medical emergency or be admitted to a hospital. While it is true that many hospitals are becoming “computerized” and may have access to some of your medication information, a personal medication list can provide details that a computer cannot. When making or updating your medication list, be sure to include these five important points for each medication. You can find this information on the medication’s label. a. Name of the medication. This can be confusing because most medications have two names: the generic (official) name and the trade (brand) name. For example, acetaminophen is the generic name and Tylenol is the brand name. If possible, try to write down both the generic and trade name of each medication that you take. b. Dosage. This refers to the specific amount of medication you take. It is important that you include the particular form of measurement, such as grams or milligrams. c. Route. This is the way your medication is taken. For pills, this is typically “by mouth.” However, for example, some medication can be administered by injection or topically (on the skin). d. Time and Frequency. This refers to when and how often you take your medication. For example, a medication may need to be taken “once daily in the morning,” or “every three to four hours as needed for pain.” e. Specifics. Finally, be sure to include any specifics about your medication. Does it need to be taken on an empty stomach? With food?

4) If you are admitted to a hospital, always turn over the responsibility of medication administration to your doctors and nurses. If you brought your own medications to the hospital from home, let them know. Most likely, your nurse will put your medications away for safekeeping during your hospital stay and return them to you upon your discharge. However, on occasion, the hospital’s pharmacy may not carry one of your specific medications. If this is the case, your nurse will let you know and give you further instructions. Most importantly, never self-medicate yourself while in the hospital without first consulting your doctor or nurse. While you may feel you know what is best for you, taking medication without the permission of your doctor or nurse may actually cause adverse effects, such as dangerous medication interactions or overdose.

5) Communicate with all of your health care providers. With the increase in the specialization of health care, it may not be uncommon for you to have several doctors that you see for your various health issues. It is a good idea to give each of your health care providers a copy of your medication list. Otherwise, one doctor may unknowingly prescribe a similar medication that another doctor had already prescribed. It is important that each doctor know what medications you are taking to avoid dangerous medication interactions or overdose.

6) Don’t be afraid to ask for help! Medication administration can be a daunting task. If you ever have any specific questions about your medications, feel free to ask your doctor, nurse, or pharmacist. If you feel you are not able to safely handle medication administration on your own, ask a family member, friend, or neighbor to help.

Also, you can ask your doctor to refer you to a variety of community resources that are available, such as a home health nurse.

Stephanie Berger is a Registered Nurse with a Bachelor’s Degree from Marquette University. She is a freelance writer and health and wellness enthusiast.

Retirement Community • • • •

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

www.jacksoncrossings.com (262) 993-2838

Hwy 45 North to Hwy 60 East Exit

Independent Apartments Supportive Care Assisted Living Memory Care

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

DECEMBER 2011 HEALTHWISC MHL 33

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.

Our Amenities Include: 24-Hour Service Staff 3 Meals Daily Housekeeping Services Assistance with Medications

Daily Activity Programming Peace of Mind of Resident & Family Private Accommodations Linen/Laundry Service

Nursing Services Personal Care Assistance Special Events, Tours, Trips R.N. Owner Operated

ST. JOHN’S MANOR

ST. MARY’S MANOR

812 Marquette Avenue South Milwaukee 762-2511

1313 Missouri Avenue South Milwaukee 762-8026

email: ellen@clcel.com

website: www.stjohns-marysmanors.com

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

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

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

People who explore senior housing as an alternative for themselves or a loved one find a complex and often confusing array of options and descriptions but senior housing really consists of just 3 basic types: Independent living Assisted living Nursing home care Assisted living is sometimes called “board & care” and “congregate housing.”

Residential care that combines all 3 housing types is called Continuing Care Retirement Communities (CCRC’s). This gives us 6 major senior housing options: Independent Living – For healthy seniors who are self-sufficient and want the freedom and privacy of their own separate, easy-to-maintain apartment or house, along with the security, comfort and social activities of a senior community.

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

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

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

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

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

CHOICES>>page 36

elcome Small Pets W

Affordable Apartment Homes

for Seniors 55 and better

*Rents starting at $550 * Spacious 1 & 2 Bedroom * Apartment Homes * New Resource Room * Beautifully Decorated * Community Rooms * Intercom Entries & Elevators * Same Floor Storage & Laundry * Walking Distance to Shopping, * Parks, and Restaurants * Catered Lunches

Willamstown Bay Senior Apartments

3400 East Ramsey Avenue (414) 481-8580 Professionally Managed by Oakbrook Corporation

EQUAL HOUSING OPPORTUNITY

DECEMBER 2011 HEALTHWISC MHL 35

CHOICES<<page 35 Why is the topic of senior housing sometimes hard to understand?

It used to be pretty simple. So long as you were independent, you lived in your own home, or moved to a retirement community. If you needed a little help with personal care, and your meals provided, you went into board and care. If you needed quite a bit of help with personal care, or skilled nursing care, you went into a nursing home.

In the last 2 or 3 decades, the world of senior housing has developed many more options for elder care from specialized nursing homes to types of assisted living that prevent being placed in a nursing home. It’s good for consumers, and a sign of hope to the aging, that we have more good choices for care, but it has also led to these complications: Different names are used for the same type of housing. A nursing home was once known as an old folks’ home or retirement facility and today may be called a convalescent hospital, skilled nursing facility, or rest home. Among the 26 different names for board and care in the U.S. are “boarding care,” “board & lodging” and “adult foster care.”

The same names are used for different types of housing. Sometimes “assisted living” is applied to any senior housing where assistance is provided, from just meals (as in some retirement homes), to board and care homes, to nursing homes. The phrase, “long-term care” used to apply to nursing home care for people who were never expected to recover from a disabling illness; but sometimes all forms of senior housing offering assistance that will be needed for many years, are now called “longterm care.”

The rapid growth of assisted living facilities makes for ever-changing combinations of services in a widening variety of settings. This has led to a variation on the old adage, “If you’ve seen one you’ve seen ‘em all.” When it comes to residential care, “If you have seen one assisted living facility, you have seen one assisted living facility.”

How do I determine what type of senior housing arrangement is best?

After familiarizing yourself with the types of residential care, it’s time to conduct a thorough inventory of the senior’s wants, needs and goals. Some key issues to consider: Temporary versus long term care: An older person may go to a nursing home for rehab following a surgery or stroke, then return home. In other circumstances, a senior’s needs are better served by planning a move into a situation that is likely to remain the same for the many years to come.

Independence: Can the senior live alone, and more importantly, does he/she want to? Or would living in a more service-oriented environment be more nurturing?

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

Needs for personal care: How much and what kinds of personal or “custodial care” are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing.

Needs for medical care: If the senior has a chronic illness that necessitates special medical care, or ongoing services of medical professionals, independent living and even assisted living may not be suitable.

Costs: Learn about the financial aspects of senior housing to determine what options are affordable for you.

Walk through and evaluate several care facilities or senior communities that seem suitable. Reviewing facility comparison checklists can help you determine which type of environment fits the senior resident’s requirements and preferences.

Seek guidance from professionals who are experts in senior housing issues such as medical social workers, case managers or geriatric care managers. They can help with all phases of this process: identifying goals and values, assessing needs, determining what is affordable, and suggesting appropriate facilities.

Types of personal care provided by senior living facilities Personal care (also known as custodial care) encompasses what are known as “ADL”--activities of daily living. These commonly include: Cooking and cleaning eating bathing dressing using the toilet getting around the house (mobility) Additional personal care support may provide assistance with: transportation around the community medication reminders finding companionship CHOICES>>page 37 36 MHL HEALTHWISC DECEMBER 2011

CHOICES<<page 36 participating in social and recreational activities While an independent living senior community does not provide personal care in the home, the various types of assisted living facilities do.

Types of community services and activities provided by senior living facilities Depending on the type of senior housing one chooses, optional community services may include: Communal Meals Housekeeping Laundry Local transportation Exercise facilities, such as pools, saunas and exercise machines Arranging for personal or medical care Libraries Beauty shops Gardens Activities can include: Recreational, educational, and social events Activity rooms or clubhouses Golf courses Tennis and shuffleboard courts Health and exercise programs or classes Chapels and religious services Independent living facilities are most likely to offer some or all of the above community services, health and recreational/spiritual activities. Assisted living and Continuing Care Retirement Communities may adapt the services offered to meet the specific needs of the seniors living in their facilities. Nursing homes also have a range of services and social activities adjusted to suit the limitations of the residents.

Types of health services provided. When is a Nursing Home necessary?

If a senior cannot live alone due to forgetfulness, frailty, or a chronic medical condition, assisted living facilities can be explored, but a Nursing Home (Skilled Nursing Facility) might be the only option. Only nursing homes have the medical professionals on staff to address ongoing medical needs, with a care plan supervised by physicians and Registered Nurses on site 24 hours per day. In addition to assisting with custodial care, a nursing home may provide: Interim medical care (after a hospital stay for an illness or procedure) Rehabilitation services: occupational, physical, respiratory and speech therapy Pharmacy, laboratory and radiology services Therapeutic recreational and educational activities Transportation on a limited basis Laundry service (often for an extra cost) End of life care (hospice) Respite care (relief for caregivers) Not all nursing homes provide all these services, so it’s important to find the facility that provides the type of care needed. Also, some nursing homes specialize in certain kinds of care for special needs such as: We are comprehensive, continuing Kidney dialysis treatment Alzheimer’s and dementia care care retirement communities that Respiratory care are at the forefront of providing Parkinson’s care senior health care services. No Finding professional help for locating suitable senior other retirement communities have housing or elder care The complexities of senior housing and elder care are the depth of on-site services or such that most people are well advised to seek profesoffers fun events for active seniors. sional services to assist them. Sometimes moving to a care facility on a temporary or long-term basis is dictated by medical necessity. In these cases, the choice of a facility is often made while the senior is in the hospital where you can get the guidance you need from a mediIndependent Villas cal social worker, case manager or discharge planner. If not hospitalized, you can seek the advice of your physiIndependent Apts cian and you can seek community-based geriatric care Assisted Living managers--based in private practice for a fee or based in community agencies for no fee or on a sliding fee scale.

Skilled Nursing Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this Rehabilitation series, visit www.Helpguide.org.

Ventilator Care Hospice Care

DECEMBER 2011 HEALTHWISC MHL 37

SS

Staying Social

FOR THE HEALTH OF IT!

Information provided by Tudor Oaks Retirement Community Traditionally February is the month to recognize the love of your life with a special dinner, box of chocolates or simply a card. Everyone appreciates a kind thought or gesture so don’t limit your list. This is the perfect time to surprise family and friends with a token of your appreciation. Not only will they enjoy the recognition but when you put a smile on someone’s face you will smile too. All those smiles will help to keep you socially connected.

It has been shown that people who have good social networks live longer. They also are physically healthier than people who are isolated. In fact, experts say that how socially connected a person tends to be is one of the most important ways of predicting his or her health and independence in later years.

Maintaining supportive relationships is an important element of effective aging. The more contact we have

38 MHL HEALTHWISC DECEMBER 2011

with others as we age, the better we may be at retaining mental sharpness and a higher activity level. There is a lot of evidence that people are the most unpredictable things you can encounter, so activities that have you engaging with other human beings are a fantastic form of brain exercise.

A major public-health study involving more than 116,000 participants found that people with strong relationships had less mental decline and lived more active, pain-free lives without physical limitations.

Other studies suggest that people with the most limited social connections are twice as likely to die over a given period than those with the widest social networks.

Many experts believe that social isolation may create a chronically stressful condition that accelerates aging.

This information is especially important to older people, who may be more likely to lead solitary lives— especially if family and friends have moved away or died. Of course, combating loneliness requires time

and energy, both in establishing new relationships and in deepening existing ones. But the benefits are well worth the effort. “As soon as you become captive in your room or your chair, you’ve got a problem,” says Michael Merzenich, PhD, a neurobiologist at University of California, San Francisco. “You become removed from the possibilities for excitement, for learning, and for engaging your brain with fun and surprise. Your brain needs you to get out and have those 1,000 daily surprises.”

How can we ensure that strong human connections continue to be an integral part of our lives as we age?

Aging experts recommend staying involved in religious and community functions, maintaining a network of friends and family with whom we regularly interact, and volunteering in organizations that get us out and among other people. This month you could surprise family and friends with Valentine Cards for the health of it.

chronic pain sufferers How Therapy Can Help Joyce Williamson, Director of Admissions and Marketing at Allis Care Center Pain is our body’s natural response to harm or possible damage. Injury, illness or chemical changes within the body can trigger nerve endings called pain receptors. When a pain receptor is turned on, it activates the release of chemicals which sends a signal to the brain.

The brain receives this sig-

Exceptional Living... .. Exceptional People

ALLIS

Care Center 9047 W. Greenfield Ave.

West Allis, Wisconsin 53214 nal and recognizes it as pain.

Phone: (414) 453-9290 Managing & Treating Pain Fax: (414) 777-7356 Treating chronic pain can be difficult because it varies from person to person and there are many different causes and possible treatments. Developing the right treatRespite Stays ment plan for your diagnosis is often the work of a multidisciplinary team of medical professionals. When consulting with your doctor, he may refer you to visit a physical Skilled Nursing Services and occupational therapist.

Alzheimer’s/Dementia Care Physical Therapy Physical Therapists can assess your chronic pain, and based on your goals, will esPhysical, Occupational, and Speech Therapy Services tablish a therapy treatment plan fit for you. Treatment may include both passive and www.exceptionallivingcenters.com active treatments. Passive treatments help you to relax, while active treatments are therapeutic exercises to strengthen your body and help manage your pain. Through physical therapy you will learn various exercises to improve your flexibility and range of motion, and good habits and principles which enable you to take better care of your body.

NO ONE CAN OFFER BETTER PEDORTHIC CARE THAN NPS! Occupational Therapy QUALITY...INNOVATION...EXPERIENCE...

Occupational Therapists understand pain is subjective and comFOR MORE THAN 40 YEARS, NPS HAS BEEN DEDICATED TO PROVIDING THE HIGHEST plex. Occupational therapists work QUALITY PRESCRIPTION FOOTWEAR FOR YOU AND YOUR PATIENTS. individually with you to evaluate the pain’s impact on your desired Chronic Disease—Diabetes Chronic Disease—Arthritis ERVICES NCLUDE activities and quality of life. Your Congenital Conditions Muscular Sclerosis occupational therapist can teach you Cerebral Palsey Sports Injuries COMFORT SHOE skills and strategies to manage and Rehabilitation Overuse cope with your pain. With occupaATHLETIC FOOTWEAR tional therapy, you can learn how Work Injury Stroke F OOT O RTHOTICS to redirect your pain so it interferes Trauma Aging less with your daily life.

B RACES What Can You Do? It is very important for people with chronic pain to educate themselves by reading literature on pain and seek help. The key to managing your pain is to find the strategy that works best for you. Consult with your doctor and ask if physical and occupational therapy can benefit NATIONAL PEDORTHIC SERVICES, INC. you!

MILWAUKEE AREA - 2745 W. LAYTON AVE. STE. 103, MILWAUKEE WI 53221 TEL: (414)282-8888 BROOKFIELD - 2475 N. 124TH STREET, BROOKFIELD WI 53005 TEL: (262)754-2440 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 EQUAL HOUSING

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