MHL
DECEMBER 2012 FREE PUBLICATION
Est 1992
MODERN HEALTH AND LIVING
Holiday Edition HOLIDAY GIFT GUIDE INSIDE
Celebrating 20 Years!!! MAKING HOLIDAY FOODS HEALTHIER ACUPUNCTURE THE PERKS OF COFFEE MAKING CHANGE WITHOUT SINKING INTO OVERWHELM MENTAL ILLNESS AND FAMILES RETIREMENT LIVING FEATURE SPEEDING UP YOUR METABOLISM
Have a Happy, Healthy Holiday!!! A A GUIDE GUIDE TO TO HEALTHY HEALTHY LIVING LIVING FOR FOR MEN, MEN, WOMEN, WOMEN, CHILDREN CHILDREN AND AND SENIORS SENIORS
Editor’s Note 20 YEARS AND COUNTING!!! This December marks our 20th Anniversary and I am so grateful to all our readers and advertisers who have kept us around this long. I remember as a little girl scribbling the news on a sheet of paper, hand drawing the comics and selling it to my dad each week for one dollar. So you could say this really is a dream come true. So, again, thank you to all our advertisers and readers!!! I sincerely hope you all had a successful kick off to the holiday season. I have been having the best time decorating and trying out new recipes for the upcoming big family festivities. What a wonderful November we had, and as the colder weather kicks in we all tend to stay in and lose some of our regular workout routines. We keep working on. I also think most of us are clinging desperately to the last of the mild temperatures. My kids seem to be catching colds so I hope you are taking all precautions to prevent a cold from catching you. I know most of you know this but I can’t stress how much it really helps, “Wash your hands often! And keep them away from your nose, mouth, and eyes!” During the flu season I’m hyper aware of surfaces that harbor germs and you should be too. Of course you can’t help it when others cough or sneeze on you when you’re out shopping or at the post office! We have an excellent issue this month! We have our annual healthy gift guide as well as great articles to help you cope with all the holiday and winter stress. For our lovely senior readers we once again have great articles on moving. I hope everyone will enjoy the holiday season and don’t overindulge on to many sweets or other fine holiday goodies. See you in 2013! -Amanda Lewis
MHL
DECEMBER 2012 FREE PUBLICAT ION
Est 1992
MODERN HEAL TH AND LIVING
DECEMBER 2012 EDITION
Holiday Edition HOLIDAY GIFT GUIDE INSIDE
Celebrating 20
Years!!!
MAKING HOLIDAY
FOODS HEALTHIE R ACUPUNCTURE THE PERKS OF COFFEE GE WITHOUT SINK ING INTO OVER WHELM MENTAL ILLNESS AND FAMILES RETIREMENT LIVIN G FEATURE SPEEDING UP YOU R METABOLISM
MAKING CHAN
althy Holiday!!!
contributers
Berkeley Wellness Letter, John Hopkins Medical Letter, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Active Care Rehab, Interfaith Older Adult Services, Jewish Family Services, Laureate Group, Alzheimer Association, Tudor Oaks, Luther Haven, HealthWise Chiropractic, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices and American Camp Association
contact
Lewis Media Group Amanda Lewis Malberry Media Marlys Lewis Jerry Kornowski Marlys Metzger Barry Lewis
For information on advertising or to submit articles call, fax or email 414-659-6705 or 608-2376000, email: info@lewismediagroup.com. Subscriptions are $20 per year. Thanks for reading HealthWisc.
disclaimer
publishers editor graphic design advertising distribution manager travel editor founder
Have A Happy, He
A GUIDE TO HEAL THY LIVING FOR MEN, WOMEN, CHILDREN AND SENIORS
HealthWisc is published on the first of each month . The articles in this publication are in no way intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenever a health problem arises requiring an expert’s care.
thanks
staff
MHL Staff
Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.
Lewis Media Group | Malberry Media | www.modernhealthandliving.com DECEMBER 2012 MHL
Making holiday food favorites MORE HEALTHY
The six weeks between Thanksgiving and New Year’s Day are often filled with holiday parties and over indulgence. Many people feel that weight gain is an inevitable part of the winter months. Making small changes to your holiday eating habits and recipes can help keep your holidays healthy and bright.
Focused Rehab Get Better, Get Home
When you need rehab, consider this... t 1SJWBUF 3PPNT t 1SJWBUF %JOJOH t 1SJWBUF (ZN t *OUFSOFU "DDFTT BOE $BCMF 57
" QFSTPOBMJ[FE SFIBCJMJUBUJPO FYQFSJFODF UIBU XJMM HFU ZPV CFUUFS BOE HFU ZPV IPNF BT RVJDLMZ BT QPTTJCMF
For a Personal Tour call
262-548-1400 ,FOTJOHUPO %SJWF t 8BVLFTIB 8*
XXX XBVLFTIBTQSJOHT PSH
MHL DECEMBER 2012
If you are the one doing the cooking this holiday season, check out these easy tips for making your favorite holiday recipes healthier. * Before serving, put gravy through a skimmer and it will cut calories by 80 percent. Gravy that is not put through a skimmer has 60 to 70 calories per tablespoon. *Serve stuffing baked outside the turkey; it has half the calories of stuffing cooked inside the bird. *Make baked potatoes instead of candied sweet potatoes. A plain baked potato has 220 calories and just a trace of fat; one cup of candied sweet potatoes has 300 calories and 6 grams of fat. *Ditch the cranberry sauce in the can and make your own. Bring water to a boil. Pour in a bag of cranberries. Add orange juice (about 3/4 cup), orange zest, and just a little sugar. Mix. Now you have cranberry sauce that’s just 40 calories per serving. *Cut calories in potato pancakes by mixing potatoes, egg whites, onions, salt and pepper and cooking with a cooking spray and just one tablespoon of oil. Holiday eating may be as easy as knowing what food and drink to substitute. Follow our holiday eating guide that won’t sacrifice the flavor of your favorite dish. *Serve apple pie with vanilla frozen yogurt instead of pecan pie with whipped cream. You will save 460 calories and 32 grams of fat per slice. *Save 82 calories and 8 grams of fat by substituting mustard for mayonnaise on your turkey sandwich leftovers. *Top vegetables with nonfat yogurt or low-calorie sour cream instead of butter. You’ll save an average of 100 calories and 10 grams of fat per tablespoon. *Avoid drinking your calories. Two mixed drinks can have as much as 500 calories and one cup of eggnog can have as much as 380 calories. Try a glass of white wine or cider. These options only have 300 calories per glass. *Eat white-meat turkey, which has fewer calories and less fat than dark meat. A three ounce serving of skinless turkey breast has 119 calories and 1 gram of fat. The same amount of dark meat has 142 calories and 5 grams of fat. Traditions are all a part of the holiday season. Start new habits with your family and friends that embrace a healthy holiday lifestyle. This year start a tradition of: *Going for a walk after dinner. *Bringing a healthy dish to the party to ensure there is a nutritious option. *Using small plates or napkins at the buffet table. You can’t fit as much on a napkin, that way you won’t eat as much. *Eating a healthy meal with shopping buddies before going to the mall. Food courts are calorie land mines. Colleen Kristbaum, MS, RD, CD, is the Director of Clinical Nutrition/Diabetes Management for Wheaton Franciscan Healthcare. Wheaton hosts nutrition and diabetes management programs in seven locations throughout Southeast Wisconsin. For more information, call (414) 447-2762.
Do you have the “wintertime blues�? You could be suffering from Seasonal Affective Disorder (S.A.D.) For over 15 years, our Sunrise 10,000 light therapy desk top fixture has been helping those suffering with S.A.D. Just 30-45 minutes of daily use has been proven effective in up to 85% of diagnosed cases. Visit our website for more information. Badger Lite has a wide selection of full spectrum bulbs and tubes for any fixture. Don’t let the fall and winter get you down... Brighten up with healthy, invigorating light!
3000 W. Forest Home Ave., Milwaukee WI www.badgerlite.com • 414-645-3333
WHAT IS
Chronic Pain?
Common chronic pain complaints include headache, low back pain, cancer pain, arthritis pain, neurogenic pain, and psychogenic pain. While acute pain is a normal sensation triggered in the nervous system to alert you to possible injury and the need to take care of yourself, chronic pain is different. Chronic pain persists. Pain signals keep firing in the nervous system for weeks, months, even years. There may have been an initial mishap -- sprained back, serious infection, or there may be an ongoing cause of pain -- arthritis, cancer, ear infection, but some people suffer chronic pain in the absence of any past injury or evidence of body damage. Many chronic pain conditions affect older adults. Common chronic pain complaints include headache, low back pain, cancer pain, arthritis pain, neurogenic pain (pain resulting from damage to the peripheral nerves or to the central nervous system itself), psychogenic pain (pain not due to past disease or injury or any visible sign of damage inside or outside the nervous system). Is there any treatment? Medications, acupuncture, local electrical stimulation, and brain stimulation, as well as surgery, are some treatments for chronic pain. Some physicians use placebos, which in some cases has resulted in a lessening or elimination of pain. Psychotherapy, relaxation and medication therapies, biofeedback, and behavior modification may also be employed to treat chronic pain. What is the prognosis? Many people with chronic pain can be helped if they understand all the causes of pain and the many and varied steps that can be taken to undo what chronic pain has done. Scientists believe that advances in neuroscience will lead to more and better treatments for chronic pain in the years to come. What research is being done? Clinical investigators have tested chronic pain patients and found that they often have lower-than-normal levels of endorphins in their spinal fluid. Investigations of acupuncture include wiring the needles to stimulate nerve endings electrically (electroacupuncture), which some researchers believe activates endorphin systems. Other experiments with acupuncture have shown that there are higher levels of endorphins in cerebrospinal fluid following acupuncture. Investigators are studying the effect of stress on the experience of chronic pain. Chemists are synthesizing new analgesics and discovering painkilling virtues in drugs not normally prescribed for pain. DECEMBER 2012 MHL
Forget Resolutions and Mind Your “Ps” and “Qs” New Year’s resolutions are often made with good intentions, but they can be difficult to maintain. Instead of making vague promises at midnight this year, set tangible goals and work toward realistic lifestyle changes. TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, offers tips from member Loisann Dulaney of Texas to help individuals reach their weight loss goals and lead healthier lives.
The “Ps” Plan. Create a plan for the New Year. Will you eat fewer sweets or consume more whole grains? It’s important to understand, in advance, how you will reach your healthy goals. Pyramid/Plate. The USDA’s MyPlate, which has replaced the Food Guide Pyramid, offers healthy eating and portion size guidelines. Also, TOPS’ Food Exchange System, similar to the one developed by the Academy of Nutrition and Dietetics, encourages individuals to use variety and flexibility in meal planning to achieve balanced nutrition. There are no “good” or “bad” foods, according to the Exchange System. All food is acceptable in moderation. Portions. It’s essential to be aware of portion sizes. A cup of food is approximately the size of a cupped hand, a half cup is about the size of a fist, and a serving of meat is roughly the size of a deck of cards. Pitcher. Put a pitcher of water in the refrigerator and drink about eight glasses each day. The pitcher will indicate the amount of water you have already consumed. Push and Pass. Try to leave a small amount of food on your plate as you “push away” from the table at the end of a meal. Stand up, put the food in the trash, and leave the table. Pass on potato chips, pastries, pies, pound cake, and more. Choose healthier snack foods, like pretzels, unsalted peanuts, popcorn, and diet juice popsicles. Personal Trainer. Personal trainers help people tailor their exercises to their ability and the proper intensity level. But a trainer or special equipment is not required. Just walk and get moving. Parks. Walk or jog in a local park. If the weather conditions are poor, go to the mall or a large store to burn off some calories. Visit the gym or take fitness classes. Partners. Having a fitness partner can help you stay on track. Whether they help you make healthy meal choices or join you during a workout, they are the people who can offer support. Consider attending a local TOPS chapter meeting in your area, where support abounds. Find chapter meetings at www.tops.org. Project. Start a project or take up a hobby that keeps you away from the kitchen. Choose a hobby that will get you moving – nature hikes, gardening, dance classes, bike riding, golfing, camping, and more. Public. Check out restaurants’ menus online, so you can find a location with healthy options. If you’re mulling over an appetizer, consider a salad with lowfat dressing or oil and vinegar rather than mozzarella sticks or other deep-fried foods. Choose the fruit and vegetable option at a fast food restaurant instead of fries. Practice eating smaller portions and bring half of the meal home. Pajamas. It’s important to get about seven to nine hours of sleep each night. Go to bed at a reasonable time for more energy the next day. Practice. As with anything – learning to drive, playing an instrument, and more – practice is necessary. Start slowly and practice healthy habits each day to making lasting changes. The “Qs” Quick. There is no quick fix when it comes to weight loss. Work slowly and make lifestyle changes as you go along. Quiz. Quiz yourself frequently. Am I exercising on a regular basis? Do I keep a food journal to track what I am eating? Do I encourage others as they try to make healthier lifestyle choices? This will keep you accountable and mindful of the choices you make. QS>>page 47
MHL DECEMBER 2012
Another major factor in aging is the food we choose.
FOOT PAIN?
nges. n the that even
Just What The ARE YOU AS WELL Doctor Ordered!
BIG into g for onth eenly ouch hing ecial
CARED FOR AS YOUR CAR?
Many doctors, chiropractors and physical therapists refer their patients to Foot Solutions to aid in pain reductions and balanceI don’t improvement ouranysupportive shoes know aboutwith you, but time a warning light and pops on my dashboard I act quickly. With four children and a customup inserts.
nths. you er its eeps
growing business, I can’t afford for my car to break down. I
We’ve thousands & we helpmany you!years. valuehelped my car and want it to run wellcan for many,
Because of that, I make sure to get it all the preventive work it needs.
Mequon Pavilions 10918 N. Port Washington Rd. Wendie Trubow, MD, MBA Mequon, WI (next to Sendik’s) • Great, Most ofSupportive us are wellShoes versed on how important it is to take care of our cars. But
nthly rtant start uary
241-3668 • Custom Insert how can we Shoe care for ourExperts body in the same(262) way? Being vigilant and proactive about www.footsolutions.com/milwaukee you wellbeing is essential to achieving optimal health and maintaining it as you age. The human body is infinitely more intricate than a car. As a result, we need even more preventive maintenance to function optimally. Personally, I want to be vibrant We’re on the Coming this Spring, Solutions enough to dance at mymove! grandchildren’s weddings, and thatFoot will definitely take some advance planning. is going mobile. Call for an appointment or check our While your genetic make-up certainly plays a role in how long you live, it is defiwebsite for a schedule of events we’ll be attending. nitely not the only factor. There are many steps we can take to increase the chance of living long, healthy lives. Chronic stress is perhaps the most detrimental to healthy aging. Stress in Balance walking clinics and classes factor starting this Spring. small quantities can be helpful – like making sure you out of the way of an oncoming bus. However, stress in the average American’s life has become constant and www.footsolutions.com/milwaukee debilitating. Chronic stress has many negative impacts, including insulin resistance,
weight gain and abdominal fat. It also increases the presence of free radicals - the molecules responsible for aging and tissue damage. I recommend exploring what helps you reduce stress - it can be anything from exercising to gardening. You may also want to consider something more structured like mindfulness-based stress reduction, meditation, yoga, or deep breathing. I’ve found that the best stress-reduction technique is one you truly enjoy doing. Another major factor in aging is the food we choose. Foods that are developed in a factory are highly processed and difficult to digest. They also can lead to the formation of free radicals. It’s not possible to feel a free radical forming when you eat fast or processed foods. Perhaps you may notice a little less energy, some joint pain or brain fog, but because these symptoms develop slowly they’re difficult to spot. After many years of eating highly processed foods however, the strain on your body will begin to show. High blood pressure and cholesterol, insulin resistance, type II diabetes, and being overweight are all indicators that your engine is no longer running as smoothly as it used to. The best (and perhaps most challenging) eating program is one where you recognize each food. Recognizable food doesn’t have long, unpronounceable ingredients. They don’t have artificial colors, flavors or preservatives. Ideally the foods are organic and free from the pesticides that end up being stored in your fat cells and altering your hormone balance. One step at a time though. I’ve found that planning out trips to the market and making a menu for the week can be a great way to slowly cut unhealthy foods out of your diet. Two other factors that are critical to healthy aging are moving your body and being connected to others. Isolation and loneliness create equally powerful stressors in the body, so having a rich and extensive network of family and friends is critical for aging well. Also, as we all know, the benefits of exercise are endless and include cardiovascular protection, weight loss, stress reduction, improved digestion and excretion of toxins through the sweat. So, I invite you to treat yourself better than your car today. Get yourself in for that sorely needed preventive maintenance. Consider seeing a doctor who practices in functional medicine: an approach that views symptoms as an indicator of underlying imbalance and strives to treat root-causes for sustained health. You’ll be surprised at how well your body functions when you take preventative steps towards health. If you would like any further information or to speak with Wendie, please contact Whitney Ferguson at wferguson@thecastlegrp.com or 617-337-9517. Additional information on Visions HealthCare is at www.visionshealthcare.com. Dr. Wendie Trubow, co-founder of Visions HealthCare, is board certified in obstetrics and gynecology with more than 15 years of medical experience. At Visions, Wendie is a practicing physician, specializing in gynecology and women’s health. Prior to founding Visions with her husband, Dr. Edward Levitan, Wendie had a robust practice at Newton-Wellesley Hospital. In 2000, Wendie received joint degrees: an MD through Tufts Medical School, and an MBA through Tufts, Brandeis, and Northeastern Universities, where she was one of two women in the graduating class. Wendie trained at Albert Einstein College of Medicine and completed her residency at Tufts Medical School.
-
an when-
m
-
In-home and on location appointments: Call today 262-241-3668 DECEMBER 2012 MHL
Well-Being
MHL DECEMBER 2012
Acupuncture
THE PROBEM HEALER
NEUROPATHY
By Dr. William F. Hughes, Jr. PhD Dipl. Ac. Acupuncture is at the forefront of Oriental Medicine in the United States. It combines with herbal medicines as the treatments most often prescribed by Oriental Medical Doctors. There are other items used to help persons suffering from a variety of aliments but it is the acupuncture and herbs that are the most effective. You might have noticed in the ads from Oriental Medicine Doctors there is a list of some of the many problems that they can help to resolve. The lists of ailments at times are numerous and do not seem to have any connection with each other. This is quite unlike Western Medicine where there are specialists for many diseases and treatments. Why is it possible that an Oriental Medical Doctor can work on so many different diseases and physical problems? In this article I will deal solely with acupuncture as the main source of healing. Herbs are used to supplement the acupuncture treatments along with other modalities as warranted by the doctor. As Americans we tend to measure the world around us based on our education and experience. If we are not familiar with something we have a tendency to avoid dealing with it. A perfect example with this problem is the lack of computer skills in our senior citizens. It is easier to avoid the problem than to deal with learning the “new” way the world is communicating. This type of thinking has limited the acceptance of alternative ways of healing; much to the detriment of many individuals. “One size fits all” is not the best way to view medicine. If one type of medicine cannot fix your problem, it does not mean that there is not something else out there to help you. You will need to be more open minded and look for alternatives to your problems. Oriental Medicine has been continuously practiced in the Orient for more than 3,000 years and is still a very effective medicine. In China the co-operation between Western and Oriental Medicine is evident by the two medicines being practiced side by side in the hospitals. The doctors are considered equal in importance and skill and often work together to help patients. That is why many of us consider Oriental Medicine to be a “Complementary” medicine and not the so often used phrase of “Alternative” medicine. In our clinic we are happy to work with the primary physician to help in patient treatments. One of the big advantages in Oriental Medicine is the wide variety of problems that an Oriental Medicine doctor can help with. In Oriental Medicine there are no named diseases; simply symptoms of the disease or illness. It is the symptoms that are treated and not a specific disease and this enables an OM doctor to assist with so many different and diverse problems. A good example is pain. It is well known that acupuncture is a great pain reliever. Thus, we treat pain from physical injuries, cancer treatments and such diverse illnesses as IBS and Diverticulitis. While the treatments can vary it is the pain that we are treating. Thus, we can help with a variety of problems without treating a specific disease. If you or someone you are close to is having trouble, and, the regular medical treatments do not seem to help, consider going to an acupuncturist to complement the current treatments. This “old” medicine may be just the answer you are looking for. For more information contact, Acupuncture Clinic of Wauwatosa, Inc., 11611 W. North Avenue, Wauwatosa, WI 53226, Ph: 414-607-0900, www.wauwatosaacupuncture.com.
Milwaukee’s Most Complete Family Clubs 7 Indoor / Outdoor Pools
Free Group Exercise Classes
31 Tennis Courts
Extensive Kids Programs
Basketball / Volleyball
Luxury Locker Rooms
Stop in and speak with member services to receive a
FREE GUEST PASS North Shore 5750 N. Glen Park Rd. (414) 351-2900
Mequon 11616 N. Port Washington Rd. (262) 241-4250
Brookfield 13825 W. Burleigh Rd. (262) 786-0880
West Brookfield 600 N. Barker Rd. (262) 786-3330
DECEMBER 2012 MHL
Redefining Health
PUT Holy BACK INTO Holidays By Kalpana (Rose) M. Kumar, M.D. The stunning fall with trees ablaze and the warm breezes of Indian summer days have eased into brisk mornings and cold nights. As winter approaches, we are drawn inward, closer to the hearth and the heart for self-discovery, connecting with what gives us warmth and comfort. It is here that we begin to plant new seeds that will blossom in the spring. Since we live in a materialistic society, we need to remember what the holiday season truly symbolizes and to reclaim its holiness. Now, even more than ever, in the wake of the changing weather patterns we have encountered, we see how fickle material possessions are and how people’s lives truly rely on the connection with each other. The true meaning of this season has less to do with materialism and more to do with gifts of the heart. Our kindness towards each other and the fullness of relationship are what really matter. The word holiday is derived from the word holy. Holidays are holy days. We must ask ourselves what the word ‘holy’ means to us. What makes this time of year holy? How can we reclaim what is holy during the holiday season? I think most of us would agree the added stress and unhealthy behaviors so often part of the holidays are far from a holy experience. What gives us meaning and awakens the sacred is what feels comforting. It restores the magical feeling of the holidays we experienced when we were children. We live in a society that has made economic wealth its core value. We must remember the economy is a by-product of our values. Living from materialism as a core value is costly to our health and well-being. Our lack of limits around wealth has directly impacted our country’s health. Large corporations outsource for cheap labor to increase their profit margin at the cost of employing American workers. Since we have equated material worth as a symbol of success, people strive to prove their worth through material excess and pay a grave price for this choice. They compromise their health in addition to our planet’s health for this result. Corporate executives who have set high economic goals are chronically under intense stress. Stress is the leading cause of illness. Businesses based on economic success alone lack resilience. Resilience increases when we shift our values from materialism to sustainability and relationships. It is important to remember the essential virtue that lies in real connections with people. Productivity at the cost of connection and meaning feels empty. In the final analysis, the fruits of living simply and sustainably, from a place of heart, are what we carry with us through life into death. In the last decade, we have begun to think a lot more about what gives our lives meaning. After enjoying economic success for many years, our country has begun to look at the cost of being on this treadmill. We have an extraordinary rate of chronic illness for a first world country. We now understand that we are suffering from the ill effects of too much affluence. Our appetites for materialism in the form of money and food are at an all-time high. We clearly need to make a course correction and bring simple and sustainable living back into our culture. There is no better time than the holidays to consider and readjust our course. Rather than making our New Year resolutions during January, we should make our resolutions before the holiday season begins. Before Thanksgiving through Christmas, we brace ourselves to become ready to binge on foods we seldom eat and normalize unhealthy behaviors around food and shopping. The level of stress this brings our bodies and minds is staggering. We lose consciousness around our health and well-being. We lose our sense of what is holy and sacred. People have died from being trampled when stores open on the day after Thanksgiving. The rate of heart attacks and death increases after the holidays. When we step back for a moment and think about what is really important, we always come HOLY>>page 47 10 MHL DECEMBER 2012
Coffee Comes Of Age, With A New Look At Java’s Many Health Perks Linda Antinoro,J.D., R.D. For Environmental Nutrition If you’re a coffee drinker, you may be feeling vindicated these days. For years, the news about coffee vacillated between negative and neutral, while tea got all the disease-prevention attention. But a flurry of new research suggests that coffee offers health perks that may protect against a number of diseases. All this is not to suggest you should start drinking coffee or start gulping endless cups of java if you’re not already a coffee lover. After all, excessive coffee intake may have a downside for some people. Here, EN examines the pros and cons of your morning cup of joe. Antioxidant Abundance. A few years back, headlines trumpeted the news that coffee was the number one source of antioxidants in the American diet. It earned that claim not because it’s richer in antioxidants than fruits or vegetables, but because we drink so much of the stuff. It is true that coffee contains antioxidants, and therein lies the source of its health benefits. After all, like tea, coffee comes from a plant, so its phytonutrient stash isn’t surprising. One of the antioxidants in coffee is methylpyridinium, which may help protect against colon cancer, suggests some animal research. This may explain the findings from a recent study that found women who drank three or more cups of coffee a day had half the risk of colon cancer as that of nondrinkers. Another coffee antioxidant, chlorogenic acid, has been shown to inhibit liver cancer. In one study, for every two cups of coffee the participants drank, there was a 43% reduced risk of liver cancer. This same substance seems to help thwart diabetes by improving glucose metabolism. Additional antioxidant compounds in coffee—caffeic, p-coumaric and ferulic acids—may curve cardiovascular disease by protecting low-density lipoproteins (LDLs, the “bad” cholesterol) from oxidation, fending off inflammation and improving blood vessel function. Fewer cardiovascular deaths were partly responsible for the findings in a Harvard study in which people who drank moderate to high amounts of coffee were less likely to die prematurely than those who drank the least. Specifically, women downing four to five cups of coffee daily saw the biggest reduction in risk of premature death—26%. But curb your enthusiasm. “More research is necessary before we can recommend coffee for health reasons, but (the study) should reassure coffee consumers—even those drinking up to six cups a day—that it doesn’t increase their risk of death,” says lead researcher Esther Lopez-Garcia, Ph.D., of Harvard’s School of Public Health. Brain Benefits. Coffee may even be a boon to the brain. In a French study, women who drank more than three cups of coffee a day had less decline in verbal recall and memory compared to those who drank a cup or less. And several studies suggest that those who suffer from Alzheimer’s consume significantly less coffee during the 20 years before diagnosis than people without the disease. Other research shows coffee may defend against Parkinson’s disease. A notable Finnish study found that drinking 10 cups of coffee a day slashed the risk of developing Parkinson’s by as much as 84%. Researchers suggested that the caffeine in coffee might stimulate dopamine, the brain chemical lacking in the disease. Stones Stymied. Coffee also seems to protect against both gallstones and kidney stones. In two large studies, people who drank two to three cups a day of caffeinated COFFEE>>page 47 DECEMBER 2012 MHL 11
ACUPUNCTURE
As Aid to Weight-Loss
Mi
Renew your body, mind, and spirit.
n
Body
d
Trinity
Integrative Family Medicine
S pi r it
Genevie L. Kocourek, M.D. Board Certified - Family Medicine
In New Berlin at the New Berlin Family Practice Clinic 15350 W. National Ave., Suite 212 262.782.9541
In Pewaukee at The Ommani Center 1166 Quail Court, Suite 210 262.695.5311
www.trinityintegrativefamilymedicine.com
12 MHL DECEMBER 2012
By Aimee Brown, L.Ac, MSOM One very common concern for Americans lately is the issue of obesity or being moderately over weight. We are hearing more and more about the risks of carrying those extra pounds, whether it be heart disease, diabetes, depression or increased aches and pains. There is no one who is overweight who wouldn’t benefit greatly from making the changes necessary to shed pounds. Acupuncture and Chinese medicine can provide a safe, effective, natural and drug-free approach to weight loss. Visualize what weight loss means to you...better self-esteem, more will power, less stress on your heart and joints, being full of energy, or fitting into clothes that you’ve had sitting in your closet. Before beginning a diet and exercise program to lose weight, consider adding acupuncture to your overall health improvement plan. It is an effective, natural, safe, drug-free and painless alternative. Be aware, though, that acupuncture is not a magic solution to weight management. Diet and exercise are the most important factors in weight loss. However, acupuncture can help you reach your goals more quickly. An acupuncturist can determine if there are any underlying problems which could be hindering weight loss and treat you for those symptoms. According to Medical Acupuncture in 2003, women who followed a regimen of a 2,000 calorie per day diet, daily exercise and weekly ear acupuncture treatments lost, on average, twice as much weight as those who only dieted and exercised, even if they did not comply exactly with the treatment plan The basic foundation for Chinese medicine is that there is a life energy flowing through the body which is called Qi (pronounced “chee”). This energy flows through the body on channels, known as meridians, that connect all of our major organs. Problems arise in the body when the flow of Qi is blocked, which is often a contributing factor to the inability to lose weight. By inserting fine, sterile needles at specific points, an acupuncturist is able to restore the smooth flow of Qi. Once this is done, Qi can travel freely throughout the body, promoting health, well-being and vitality. Acupuncture works on all levels of the body, including physical, emotional, and mental. It naturally releases “feel good” chemicals in the body called endorphins, having a relaxing, calming effect that makes it easier to tackle the frustration that can trigger overeating and binging on fattening foods. These endorphins also affect the digestive and hormonal systems to help re-balance the metabolism. The theory behind acupuncture for weight-loss, is that it helps to strengthen the digestive system, which has likely been weakened or damaged by years of poor dietary habits or over eating. Your practitioner will look at your diet, and make adjustments to eliminate the damaging foods and replace them with healthier, easier to digest foods. In starting treatment, your practitioner will complete a thorough evaluation of your complete health history, including questions about stress, diet, lifestyle, sleep, proper digestion and elimination. The information gathered becomes pieces of the puzzle that clue your practitioner into where your imbalances are and what needs to be done to correct them. Dietary and herbal supplements may be recommended to reinforce the program and rebalance the body. Benefits of acupuncture for weight loss: Curbs appetite Reduces food cravings Eliminates excess water Makes you feel full, so you eat less Strengthens the digestive system Increases your metabolism Eases the frustration and anxiety that triggers over-eating Enhances overall sense of health and well-being
Walking
THROUGH WINTER It’s the easiest of all winter sports; if you can walk, you can snowshoe UC Berkeley Wellness Letter If the heart of your exercise program is walking, what do you do when it’s cold and snowy? A treadmill at the gym is one option. Snowshoes are another. They can keep you moving all winter, and some people enjoy snowshoeing enough to travel to a snowy clime to do it. It’s the easiest of all winter sports; if you can walk, you can snowshoe—on a golf course, in a local park or woodsy area, on a hiking trail or a meadow. Take a companion, or enjoy the solitude. It’s also a fine group or family activity. Walking sticks or ski poles are helpful. Snowshoes, like so much else, have gone high-tech. They are about 25 to 30 inches long, lightweight, and made of plastic, rubber, and aluminum. The platform, which used to be webbed like a tennis racket, is now usually solid. The easy-to-use bindings attach the platform to your boot at the toe (the heel lifts off the snowshoe). Snowshoes come in many different types and sizes, designed to accommodate your weight and the weight of any pack you carry. Children’s models start at about $50; most adult models cost $100 to $200. When buying snowshoes, tell the salesperson how you plan to use them (what kind of terrain, for example), and ask how good the shoe is at keeping you on top of the snow. You’ll want to consider how much traction it provides, and you’ll want to be sure the binding is comfortable. You can choose a simpler recreational type or else a “backcountry” model with heavier bindings and platforms, designed for steep ascents or icy ground. You can also buy online—many sites offer lots of help. If possible, rent snowshoes before buying a pair to see what you like. A good workout Depending on how long you walk and the terrain you choose, snowshoeing can provide a good aerobic workout, often more strenuous than walking. Walking in snowshoes at 3 miles per hour burns about 350 calories in an hour (a little more than regular walking at that pace); snowshoeing at a brisker pace should increase this to about 500 calories. Using ski poles or walking sticks adds an upper-body workout and burns more calories. “A recent small study found that fit young women burned 800 calories per hour of snowshoeing, and men 1,000 calories, but that’s a more strenuous workout than most people can sustain. Start out slowly on level ground to accustom yourself to have platforms on your feet. You’ll have to widen your stance and learn to keep the shoes parallel. When going up or down hills, you can keep your stride short to avoid falling. Get used to the feel of snowshoes before tackling steep slopes. Poles can be a big help on inclines. What to wear, what to drink Dress warmly, in layers that include “wickable” materials that draw perspiration away from your body, as you would for any cold-weather activity. You’ll want to be able to remove outer layers when you get hot. Also wear wickable socks. Mittens and a hat are necessities. So are sunglasses, sunscreen, and/or goggles. A windbreaker is a good idea. If you’re out for the day, carry a light pack with snacks and beverages. As with all winter sports, it’s important to drink a lot of water. If you’re going into the woods, know your route and take a map. Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2008. To order a one- year subscription, call 1-386-447-6328.
DECEMBER 2012 MHL 13
MAKING CHANGE Without SINKING INTO OVERWHELM Holistic Healthcare For the Entire Family Acupuncture Facial Rejuvenation Needle-Free Pediatric Care Therapeutic Aromatherapy Reflexology, Reiki Insurance & VA Benefits Accepted 240 Regency Court, Suite 201
Brookfield, WI 53045
p:414.418.8187 or p:920.318.1352 Schedule online:
www.5e-wellness.com
8652 S Marketplace Oak Creek WI
InWellness takes you beyond fitness, biometrics and nutrition by effectively addressing the deeper aspects of wellbeing to help resolve behavioral issues that are barriers to health. Results? Employees are happier, small wins snowball to larger wins, teams are invigorated, insurance claims decrease. It's a logical and amazing program.
inwellnesstoday.com –click “corporate wellness� 14 MHL DECEMBER 2012
MAKING CHANGES IN YOUR HABITS IS LIKE ACCLIMATING THE BODY TO A HIGH ALTITUDE ADJUSTMENT.
In Ayurveda, creating balance often means taking a look at current lifestyle and diet habits and modifying them, establishing new ones or deleting others so that the habits are in greater alignment with health. This involves exploration and change. And to be successful, this process needs to be handled gently, slowly and in small steps so as to avoid overwhelm. Making changes in your habits is like acclimating the body to a high altitude adjustment. Just like you wouldn’t climb K2 without proper training and allowing stop points for the body to adjust, the manner in how you make change and adjust mentally and physically is important to making your self-care work well for you. To smooth the transitions of integrating your new self-care habits, try out the following techniques. Put Time and Repetition on your Side The bottom line is that it takes time to make changes, especially when changing habits. Habits are essentially behaviors that are created and fed by repetition and regular energetic input. Each time you repeat a thought or action you are creating a pathway for your nervous system. With repetition, you are making the pathway deeper, like a groove on a sledding hill. The more it is used, the deeper the sledding path becomes so that when you start at the top, the sled will automatically go into that established groove. Initially it takes time to create the groove, especially if you are trying to create a new groove to replace an old one (trying to switch one less-than-desirable habit with another healthier one). Initially, you may need to put in more energy and effort to retrain your system from following the established path. But over time the new groove deepens and eventually begins to do the work on its own, carrying out the action with little effort or thinking on your part. At this point, the behavior becomes a habit. In yogic science it is said to take 40 days to change a habit and 90 days to create a new habit. It is an investment, but, once there, it becomes like second nature. You can use this knowledge by taking one habit transition at a time and really make it your focus. Use Moderation and Small Steps When looking to change a habit for the long-term, you need to think in terms of sustainability and that means making realistic and moderate choices. This not only is less likely to trigger the defense mechanisms but also avoids the counter pendulum swings of extreme action. Use this and think about what one small thing you could do to support yourself that you could see doing almost every day for the rest of your life. Watch Your Attention Habit pathways are fed by your actions and this includes your mental action in the form of attention or focus. Behind every action is a thought. It is from that thought that you then take action. Behaviors become habits and patterns because of repeti-
tive input and the investment of energy. To change the habit that isn’t serving you, stop feeding it with your thoughts and emotions. Shift your focus and energy on what you want to create instead of focusing on what isn’t working. You can do this with affirmations, mantras, or even regularly working with a friend or coach to reinforce those thought patterns. Start with a self-care habit you are challenged by and explore your thoughts around it. Instead of working on the habit itself, play with modifying the thought to the positive end result you want. Establish and Check Your Markers A marker refers to the words, thoughts, feelings or physical sensations you get under different conditions - all cues reflecting the state or condition you’re in. For instance, in evaluating whether your self-care tool is creating balance or overwhelm, you might look at what your markers would be when you feel balanced versus when you feel overwhelmed. Identifying them initially will allow you to use them along the way as guides to know if you are on the right track. Start by making a list of how you feel when you are balanced versus how you feel when you are overwhelmed. The Switcheroo The best way to break a habit is to replace it with a different one. Nature and your bodymind system abhor a vacuum, partly because that action is meeting a need even if it’s not meeting it in the best way. What do you think will happen if you take away the method for meeting the need without putting in place another way to get the need met? You got it - the bodymind will go back to what it knows (the established habit) because the underlying need is legitimate. While the current action might be meeting that need, it may also be giving you negative side effects or doing so in a less ideal way. The new goal is to still meet the need but with a better tool or action. You will want to explore alternative ways to meet the need that doesn’t have the negative side effects. But first, start with trying to identify what the underlying need is either by using paper and pen and free form writing, meditating on it, or using whatever connection technique works for you. Swap the “Shoulds” for Inspired Action Shoulds are often someone else’s voice, a cultural expectation, or even your ego mind telling you what to do, usually based on past experiences or expectations. But what you need, including self-care, is going to vary from moment to moment. To best meet the need, you need to tap into the present moment and listen to the wisdom from within rather than just from your mind. When you do this, you are more likely to be in alignment with yourself in that moment and can then take action inspired from that inner knowledge. Try to adopt a beginner’s mind and practice a state of innocence in any moment to allow you to explore what is there versus what you think should be there. Organize your Tools “I’m drowning in an ocean of tools!” This is what one client recently said to me. She felt overwhelmed by all that she had gathered and learned to take care of her and the sheer quantity left her immobilized. Just like the variety of medicines that line the shelves of Walgreens, not all of them are applicable and any one time. So too, your self-care tools do not ALL need to be used every day. To help make sense of your own tools, I invite you to play with organizing them. You can start by thinking of what might be a daily, seasonal or symptom/imbalance specific tool - creating categories. I have seen clients do wonderfully creative things with organizing the categories. Writing out the tool on index cards and putting them in a recipe box or putting them in a notebook in sections are two popular options. Then when you have a need, simply look through your resource organizer, like looking through your medicine cabinet, and choose what is appropriate. If you like these ideas but would like structured support in implementing them and achieving a healthy life, join the upcoming 8 week “Creating Health and Harmony: Group Ayurveda Wellness Program” with Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator. Details @ www. AyurvedaWellness.org/solutions/group. ©2012, Jamie Durner, Ayurveda Wellness
DECEMBER 2012 MHL 15
Local Eye MDs use latest advances to detect and reat common vision problems
ARE YOU DOING ALL YOU CAN TO PROTECT YOUR FAMILY’S VISION? As you age, you are at a higher risk of losing vision to a number of eye conditions, including cataracts, glaucoma and diabetic retinopathy. What can you do to protect you and your family? “Our practice strives to offer the latest technology to detect, track and treat nearly every cause of vision loss. But the most advanced equipment and finest services in the state are of no use if people don’t utilize them. Your best protection is to schedule regular, comprehensive eye
exams,” emphasizes Dr. Daniel Ferguson, a partner at Eye Care Specialists, a leading ophthalmology practice honored for its work in serving the health care needs of Milwaukee’s community. The following are just a few of the cuttingedge devices and procedures his practice wants the public to know are available. Diagnostic Laser Scans of the Eye: Glaucoma threatens the sight of one in every 30 people over age 40, and is a leading cause of blindness. (Your risk
Crystal Clear Vision. Is it reality for you, or just a memory?
Most of us are born with near-perfect vision. But, that sometimes changes with disease or age. As state leaders in eye care, we help countless people each week to see like a kid again with Comprehensive Eye Exams; Diagnostic Laser Scans; and State-of-the-Art Cataract, Glaucoma, Diabetes, Macular Degeneration, Pediatric, & Laser Vision Correction Care. And, we’re affordable—accepting
Medicare and most insurances. Call today and mention this ad for a free “Focus” newsletter and a “When to Have Your Family’s Eyes Checked” guide. See for yourself why we are: Trusted by more than 121,000 doctors & patients
“Top Doctors”— Milwaukee Magazine
n Norman Cohen, MD n Brett Rhode, MD n David Scheidt, OD
n Robert Sucher, MD n Daniel Ferguson, MD
n Mark Freedman, MD n Daniel Paskowitz, MD, PhD
www.eyecarespecialists.net
T EYE CARE SPECIALISTS West Allis
10150 W. National Av. 414-321-7520
16 MHL DECEMBER 2012
Wauwatosa
Milwaukee
2323 N. Mayfair Rd. 414-258-4550
735 W. Wisconsin Av. 414-298-0099
is even five times higher if you have a family member with the disease.) At the same time, obesity-related diabetes has become an epidemic in America, and people with untreated diabetes have a greater chance of losing vision. How can you protect yourself and your family? Schedule a thorough eye exam that includes the latest technology—the “OCT” laser scanner test. During the fast, painless OCT procedure, patients simply focus on a light while a safe, invisible laser scans the inside of the eye to acquire an image in just seconds. This “optical ultrasound” of the layers of the retina and optic nerve creates a detailed computer printout (similar to a CT scan) that enables us to detect, track and treat diabetic retinopathy, glaucoma, macular degeneration, and other sightthreatening diseases—often before any damage occurs. “The information gained from a single OCT scan is often more useful than any other diagnostic tool for protecting vision,” notes Norman Cohen, MD, a local eye surgeon who has treated tens of thousands of patients. “If you are at risk for sight loss, you may want to ask about having an OCT scan.” Medication Injections to Treat Macular Degeneration (AMD) and Diabetic Retinopathy: “The use of Avastin medication injections to protect against sightthreatening eye conditions is one of the greatest advances in ophthalmology in the past 50 years,” reports Dr. Mark Freedman, an ophthalmologist with 24 years of experience under his surgical cap. Age-related macular degeneration (AMD) is the leading cause of central vision impairment in Americans over age 50. AMD is a condition in which the macula (a highly sensitive area of the retina responsible for central and detail vision) is damaged causing loss of straight-ahead vision (as needed for driving a car, reading fine print and recognizing faces). With diabetes, high blood sugar levels can affect the blood vessels in the eye causing permanent vision damage. Diabetes affects all age groups and races, and the risk of suffering complications (including loss of vision) increases with the number of years you have the disease. Avastin is a revolutionary drug that inhibits the growth of abnormal blood vessels and damaging retinal swelling that can cause vision loss due to AMD, diabetes, and other conditions. “Although there are NO guarantees, we have seen remarkable results with Avastin. For example, a few years ago, there wasn’t much we could do for our AMD patients. But, with regular injections (about every six weeks), we have been able to stop the progression of wet AMD in 90% of our patients, and even had up to 30% gain improvement in vision. . . . It’s incredibly rewarding,” adds Freedman. He advises people with these conditions
to see if they are a candidate for injection treatment. Cataract Lens Implants: Cataracts are a leading cause of visual impairment in the baby boomer population. Cataract surgery requires making an opening in the eye to remove the cloudy lens (cataract) and replace it with an artificial lens (to once again focus light rays onto the retina). “At our offices, we can offer patients a variety of lens implant options to meet their vision and lifestyle needs, including new multifocal premium implants that enable some qualified patients to reduce or eliminate the need for glasses or bifocals,” explains Dr. Brett Rhode, Head of Ophthalmology at Aurora Sinai Medical Center and a partner at Eye Care Specialists.” Glaucoma Laser Treatment: “We typically prescribe eye drops to control the damaging fluid pressure of glaucoma. For some patients, however, we can offer an alternative. At Eye Care Specialists, our surgeons perform highly specialized LTP, SLT and ECP laser procedures, which take less than 10 minutes at our outpatient surgery center and are covered by Medicare and most insurances,” says Daniel Paskowitz, a local ophthalmologist with credentials from Harvard and the Wilmer Eye Institute at Johns Hopkins. “If successful, laser surgery can help to reduce the hassle and expense of buying and taking drops.” Eye Care Specialists co-founder Dr. Robert Sucher reminds people, “Glaucoma does not show symptoms until permanent severe damage has occurred. As such, you should schedule regular eye exams at least every two years and possibly more often if there is a history of glaucoma in your family.” Restasis Therapy for Dry Eyes Dry eye disease is a painful and irritating condition involving a lack or imbalance in tear film components. “In addition to other treatments, we are specially trained educators for Restasis. Unlike artificial tears rewetting agents that treat symptoms, Restasis works to control the inflammatory process that causes dry eyes,” says Dr. David Scheidt, a medical optometrist. For FREE booklets on any topic above, call 414-321-7035 Since 1985, Eye Care Specialists has provided medical, surgical and laser services to more than 121,000 Wisconsinites. They have received special certification from the American Board of Eye Surgeons and are listed among Milwaukee Magazine’s “Top Doctors.” Drs. Cohen, Sucher, Freedman, Rhode, Ferguson, Paskowitz and Scheidt accept Medicare assignment and most insurances at offices in West Allis (102nd & National), Wauwatosa (Mayfair Rd. across from the mall), and downtown Milwaukee (7th & Wisconsin Ave.—across from the Central Library). You can also learn more information about various eye concerns at www. eyecarespecialists.net
DECEMBER 2012 MHL 17
Children’s HEALTH AND LIVING
free advertising
If you own a small business and can’t afford advertising, we have a solution for you.
We are looking for people to deliver MHL 10-15 places once a month in exchange for advertising space in this paper. It takes approximately 2-3 hours to make these drop offs and will select distribution points to be in your area.
414-659-6705
CHIROPRACTIC ƌ NUTRITION MASSAGE ƌ ACUPUNCTURE MONICA MARONEY D.C., D.I.C.C.P. Board Certified in Chiropractic Pediatrics
We are pleased to announce the addition of our new Doctor
Jennifer Dotto, D.C.
phone 414.962.5483 ƌɄ4433 North Oakland Avenue ƌɄShorewood 222Ɔ.#*- 2** ! ($'4 #$-*Ɔ *(ɄƌɄ *./Ʉ ).0- ) Ʉ ' ).Ʉ +/ Voted Milwaukee Magazine’s Best Of Healing February 2011
AGING PARENT?
MHLlifestyle.com
EYE CARE SPECILSISTS
18 MHL DECEMBER 2012
MENTAL ILLNESS AND Families Severe and persistent mental illness can potentially be difficult on the entire family. By Tara Clark, Director of Marketing and Communications at Jewish Family Services According to the National Alliance on Mental Illness (2012), mental illness impacts the lives of at least one in four adults and one in 10 children. That adds up to about 60 million Americans…plus their families. “Severe and persistent mental illness can potentially be difficult on the entire family. It’s a significant burden in part due to the stigma associated with mental illness. It’s also very isolating and never ending. As parents, there are all kinds of things we look forward to, like our children growing up, getting married and having children of their own. However, some individuals living with severe and persistent mental illness are unable to reach these significant milestones. This reality is painful to everyone involved,” said Jewish Family Services’ Psychotherapist, Dafna Berman, L.C.S.W. Darcy McDaniel, L.C.S.W., JFS Psychotherapist, agreed, “There can be a huge grief element for families because they believe their family member is not going to live up to their potential. A person with a major mental illness may have to go on Social Security Disability Income because they can’t work anymore. And if they don’t have a family of their own, they may become dependent on their parents, siblings or other family members.” This particular time of the year can be intensely difficult, as some individuals living with severe and persistent mental illness may feel intimidated by big holiday gatherings. A major stressor for their families is how to include this family member. McDaniel recommends being sensitive to his or her needs. “If you know that being part of a big group is overwhelming to that individual, make other accommodations, such as doing something with them separately or just having immediate family…people who are familiar and at ease with them. Allow them to voice what is and is not comfortable for them,” said McDaniel. On the other hand, you may have a family member who likes to draw attention to him or herself. According to McDaniel, these situations can be stressful on family members as they have no control over what the individual with the mental illness says or does. Simply trying to explain to other relatives—especially children—why “Uncle Bob” acts the way he does can be challenging. “You have to have realistic expectations…it’s the same as having a young child around. You have to take into account how long they are going to be able to sit and how they are going to react,” said McDaniel. McDaniel and Berman agree that most people who have a family member with a mental illness need some kind of support for themselves as well. “To be able to say, ‘I have a sibling or child with severe and persistent mental illness’ is a big step in reaching out for emotional support,” said Berman. “Usually, when people start coming forward, it’s like a ripple effect. Then, many people feel more comfortable about disclosure.” One available resource is Supported Journeys, a quarterly support group at JFS for families and friends of people whose lives are challenged by severe and persistent mental illness. The group, led by Berman, started 25 years ago and is open to ALL people—Jewish and non-Jewish—in the community. Berman said her primary role is to listen, because it’s the family members who need to be heard and validated. “The Supported Journeys support group works because it’s [having a family mem-
ber with a mental illness] such a heavy emotional burden to deal with on your own. People in our group feel comfortable voicing their feelings that they find difficult sharing with anyone else. It can at times feel draining and hopeless. Unlike the death of a loved one, where you go through a process of mourning, potentially reaching a certain level of closure, there is no closure. It’s as if you’re watching your loved one die,” explains Berman. Others, who are not at ease in a group setting, can choose to meet with a therapist one-on-one. “Often times, we see a family member of a person with mental illness for individual counseling on grief and loss, but we also help them set boundaries: ‘What should I do and not do for my family member anymore? How do I handle it when they are in crisis?’ We talk about how to maintain those boundaries,” said McDaniel. There are other resources available to ease the burden on family members, especially when the person with the mental illness has a crisis. “You don’t need to deal with it alone. A family can turn to care managers and psychiatrists when the family member has a crisis. A serious mental illness needs a whole team of people versus just one parent, spouse, sibling, or child trying to do it all on their own,” said McDaniel. Family members can also find themselves in over their heads when they step in to help their loved one manage his or her money. “Parents sometimes take on too much responsibility and try to be the payee. They get burnt out, and it creates a lot of conflict between them and the family member. It can be a full-time job. However, when the person with the mental illness works with our agency as the payee, rules and parameters are put in place. The client has a set amount of money to spend; and, as we are closed on weekends, they can’t take out money on Saturdays and Sundays, which is usually a new experience for the client,” said McDaniel. McDaniel said it’s important for everyone to know that just because a person has a mental illness, it doesn’t mean that they can’t function in society. “When people think of mental illness, they think about the worst-case scenario: a homeless person on the street. And, that is scary. We don’t think about the people who are going to their jobs or volunteering every day…or the person living right next door. We live in a society where we feel if you work harder, you can pull yourself up. Mental illness doesn’t work that way. It’s a game changer. It’s not that a person with mental illness is lazy or inefficient, it’s just that they have different kinds of struggles,” said McDaniel. “Even though they have different struggles, there is a commonality that is true for everyone. We all want safety, security, and a need to be loved.”
You don’t need to travel to Florida to experience a tropical getaway! Are you ready for a fun-tastic Florida-style vacation that blends exciting waterpark rides with lots of other activities for the entire family? If so, then you need to plan a trip today to KeyLime Cove Indoor Waterpark Resort in Gurnee, Illinois! This Florida Keys-inspired family resort is the perfect spot for a splash-tastic getaway that’s just a short drive from Chicago or Milwaukee. KeyLime Cove is the perfect spot to take a break from the cell phone, soccer practice, and carpooling and just relax and have fun together as a family. At KeyLime Cove Indoor Waterpark Resort, they’ve thought of it all so you don’t have to. This kid-friendly hotel features 414 resort-style guest rooms and suites in 7 different configurations which can sleep 2 to 8 guests, with connecting rooms to accommodate up to 12! And best of all, waterpark admission is included with your room so all of our slides, wild rides, live entertainment, and attractions are reserved exclusively for our guests Gurnee, Illinois hotel! And when you’re hungry, KeyLime Cove features a total of 6 Gurnee, IL restaurants -- from D.W. Anderson’s, an oldfashioned soda fountain, to The Crazy Toucan Margarita Grille, your thatched-roof oasis, as well as places for hot dogs, pizza, homemade fudge, ice cream, tropical drinks, and more. In addition to the 82-degree Lost Paradise Indoor Waterpark at KeyLime Cove — which makes you feel like you’re right in the tropics — they have 10,000 square feet of entertainment including the RipTide Reef Arcade, Leapin’ Lizards artistic adventure spot for funky crafts and games, Pinki’s Pet Palace where the kids can make their very own pet, and much more. There’s nonstop fun at KeyLime Cove in Gurnee, IL and your kids will love the Sunset Festival parade, decorating their own cookies, having their photo taken with a live parrot or iguana, and plenty of other fun-omenal activities listed in their daily “Fun-tivities” guide. While the kids are off having a ball, you can relax at Paradise Mist Spa where indulgent treatments like the Lava Shell Massage, Pure Fiji Paradise Glow, and Six Layer Deep Facial are guaranteed to remove stress and help you emerge feeling rejuvenated.
JFS
Counseling
for individuals, couples & families r anxiety r depression r grief/loss r stress r parenting, separation and divorce three convenient locations: Downtown Milwaukee 1300 N. Jackson Street Bayshore Town Center 5800 N. Bayshore Drive, Suite B215 Bradley Crossing 4375 W. Bradley Road, Brown Deer
Jewish Family Services Robert & Mimi Habush Family Center
JFS is a partner agency of the Milwaukee Jewish Federation & a beneficiary of the United Way.
Opening 2013
For more information about JFS programs and services, please call 414-390-5800 or visit www.jfsmilw.org DECEMBER 2012 MHL 19
Holiday Gift Guide
You Shop...We Ship... Choose from a selection of five different gift boxes, priced from
$18.95 to 35.95
All prices include ground shipping and a gift card personalized with your message.
They Savor! Gift boxes pictured above are WISCONSIN ENTERTAINER at top right and SOUP AND SANDWICH at bottom left.
Order Online at naturalovens.com or by calling M-F 8-4 800-772-0730 20 MHL DECEMBER 2012
Purchase any of these gifts at www.mhlgifts.com or call (414)258-2333. ǂ for a full year. n io iss m ad o Zo ty un Co e ke au ilw M Enjoy free hile supplies last). (w al im an y to hus pl a de clu in fts gi New Zoo Pass
¢ Ƶ ǂ
to sponsor. als im an o Zo r he ot 0 20 2, of e on se OR choo hile supplies last). (w el m ca y to hus pl a s de clu in e ag Camel pack
¢ ǂ x mom and two babies. nnec fo This year’s ornament features a Fe
ǂ rfect gift, purchase pe e th on ng di ci de e bl ou tr ng vi ha If you are ological Society Zo , ss Pa o Zo a r fo ed us be n ca at a certificate th mps. events, or education classes and ca
Zoological Society of Milwaukee County 10005 W. Blue Mound Rd. Milwaukee, WI 53226 A Zoological Society and Milwaukee County Zoo Partnership 5466K12 Photo by Richard Brodzeller
WINTER FAIR
&OKPZ B XBSN IPMJEBZ BUNPTQIFSF 6OJRVF WFOEPST GPPE FOUFSUBJONFOU /BUVSBM DSBěT BOE DIJMESFO T BDUJWJUJFT
$PNF NFFU UIF UFBDIFST BOE UBLF B UPVS -FBSO BCPVU UIF 8BMEPSG DVSSJDVMVN 8BUDI TUVEFOU QFSGPSNBODFT pm pm
January 27th | 1 to 4
Purple Tree
OPEN HOUSE
December 8th | 10am to 5pm
This purple tree by Treetopia is a absolute must have for the modern girl. This tree is pre-lit and even rotates...love this tree. Pair it up with this fun mural and your ready for the holidays. Purple Dazzling Tinsel Christmas Tree treetopia.com Wall Mural muralsyourway.com
Tamarack Waldorf School
1150 E. BradySt tamarackwaldorf.org 414-277-0009
Tamarack Waldorf School
HOLIDAY FITNESS MUST HAVES
Hollywood Workout
Celebrity fitness trainer, Harley Pasternak has just released his debut video game, Harley Pasternak’s Hollywood Workout (now in stores on Xbox 360 and Nintendo Wii), which will help those who want to stay in shape without leaving the house. Known for assisting A-listers to stay in shape including Jennifer Hudson, Lady Gaga, Jessica Simpson, Kim Kardashian & Kanye West and more, the game features Harley’s famous 5-Factor methods including: 5 minutes of cardio warm up 5 minutes of upper body strength 5 minutes of core 5 minutes of lower body strength 5 minutes of cardio cool down
Artic Zero Arctic Zero: The World’s First Su per Dessert and on ly 150 Calories Per Pint ! Arctic Zero is All Nat ural, Fat Free, Gluten Free, Lactose Intolera nt Friendly. articzero.com
Quest Bars
Quest Low Carb Gluten Free Protein Bars
questproteinbar.com
22 MHL DECEMBER 2012
GREAT GIFTS FOR KIDS
Step 2 Extreme Coaster
Thrill-seeking children, rejoice! Step2® has redesigned the classic Up & Down Roller Coaster to bring roller coaster fun to a wider age range. step2.com
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.
Folding Mat
· 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.
StarKick Primarily used for gymnastics tumblings mats, they are also perfect as general exercise mats or gym mats. akathletics.com
CedarValley lodge dine retreat spa a division of Cedar Community
5349 County Road D West Bend, WI 53090 262.629.9202 cedarvalleycenter.org
StarKick Solo Soccer Trainer
sklz.com
Zoo Pass zoosociety.org
Soccer Net Kickster™ 12’ x 6’ Net Ultra-Portable Quick Set Up Soccer Goal
sklz.com
Animal Speakers
Rockin Animal Plush Speakers Build up big sound! Cozy as can be, these cute creatures have a speaker on each side and feature a front pouch pocket for holding your iPhone® or MP3 Player. pbteen.com
DECEMBER 2012 MHL 23
Cafepress.com Popular Gift Ideas
Personalized Gifts Photo Gifts Twilight T-shirts Cute Gifts Office Mugs Military Gifts The Big Bang Theory Gifts Funny T-shirts Hobby Gifts Photo on Canvas Peanuts Gifts Politic Gifts Geek Gifts Star Trek Gifts Gifts for Kids & Babies Gifts for Mom Gifts for Sports fans The Hunger Games Gifts The Walking Dead Gifts Vintage T-shirts Cool Gifts
More Great Gift Ideas at Cafepress.com
A Cost Friendly Modern Tree! Holiday Time Unlit 6.5’’ Jackson Spruce Artificial Christ mas Tree Holiday Time Red Glitter Tree Topper Bow Holiday Time 60mm Round Silver Shatterproof Ornaments, Set of 41 Under $60 Walmart stores or online www.walmart.com
Modern white Christmas tree with sparkled silver ornaments and a red glitter bow topper will bring out all the holiday joy to your room without hurting your wallet.
24 MHL DECEMBER 2012
Overstock.com great gift ideas 7.5-foot Full Blue Spruce Christmas Tree Price: $181.95
Herbs for Wine Lovers Garden Kit Price: $15.99 Fragrant Flower Scatter Garden Price: $13.39 Cordon Blue Espresso Cups Price: $36.95
WHERE TO BUY ALL ITEMS: Overstock.com
Local Holiday Flavor Today, many of us live stress-filled lives. We encounter stress in our careers, personal lives, and relationships. Stress can take a huge toll on our emotional, mental and physical health. That’s why finding a sanctuary of peacefulness and tranquility amongst the chaos of everyday life becomes extremely important. We all need to find a path back to balance. But, where do we find this oasis of tranquility? Many people in the metro Milwaukee community have already discovered a place where they can fill their senses and feed their souls. Angel Light Center for the Healing Arts is that place. Located in downtown Elm Grove, Angel Light offers more than a place to shop, it offers an EXPERIENCE. The sights, sounds and smells of Angel Light are transformational; its very essence, healing. Your experience begins when you walk through the door. One of the first things you will notice is the sense of peace that permeates this historic building. (Angel Light was built as a home circa 1850.) Once inside, it is easy to feel free to “let go”of any of the stresses you may have felt upon entering. Frequent visitors report a positive transformation in how they feel physically and emotionally just by spending time there. The art on the wall, the uniquely crafted pieces of jewelry, hand painted silks, and one-of-a-kind keepsakes are a virtual feast for the eyes. Sometimes it takes more than one walk-through Angel Light to notice it all. Tranquil music will surround you as you browse through the inspirational books or hold a healing crystal in the palm of your hand. Meaningful and affordable treasures abound. They all have been created as gifts from the heart. Then there is the sense of smell, not the overwhelming potpourri that can tend to assault your senses, but the pure natural smell of the space combined with its chemical free soaps, essential oils and candles, or as some people describe it, “heavenly scent.” The trip through the senses continues at Angel Light when visitors take advantage of the many services offered including massage, hot stone and cranial sacral therapy, foot and hand Reflexology, and Reiki treatments. Acupuncture sessions are also available and customers can take advantage of the many special packages and discounts that are offered at Angel Light by signing up for a free newsletter at www.angellightllc.com. Shopping for Mother’s Day is a special experience at Angel Light. This year there is wonderful hand-carved Mother of Pearl and Tibetan Pendants to choose from, a plethora of spring themed scarves, dazzle rings and Balinese bracelets. Check out the mosaic keepsake dishes and one of a kind Angel and Fairy stitcheries. And, of course, you can always purchase a gift certificate for mom and let her choose her heart’s desire from the Angel Light Boutique, one of the services, or a workshop learning opportunity. The Angel Light staff is knowledgeable and greets each customer like they would a valued friend. Angel Light counts its customers and clients among its greatest assets. Everyone is free to just stop by, take a deep breath, sit in the reading room and rock for a bit. Come and find that place of deep peace and rejuvenation to take with you. This is our gift and it is always free.
DECEMBER 2012 MHL 25
26 MHL DECEMBER 2012
Senior HEALTH AND LIVING
Choosing Senior Housing
A GUIDE TO 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, SENIOR LIVING >>page 28
Indoor Farmers Market*
December 8 & 22 Special!
Homemade Christmas Cookies
by the Sisters of St. Francis!
Yummy!
Over 30 vendors, organic food, dried/fresh herbs, produce, hair & skin products, fresh bakery, demos and live music.
*Saturdays, 9am-1pm Contact: 414-977-5062 or apreslik@stanncenter.org Location: 2801 E. Morgan Ave, Milwaukee Sponsored by the Sisters of St. Francis of Assisi DECEMBER 2012 MHL 27
SENIOR LIVING <<page 27
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
28 MHL DECEMBER 2012
website: www.stjohns-marysmanors.com
dressing, grooming or meal preparation. Board and Care – State-licensed assisted living for people who need minimal assistance with personal care such as bathing, dressing, grooming or toileting, but who need or want communal meals and easy access to social contact with peers. Nursing Homes (Skilled Nursing Facilities) – Facilities with 24-hour medical care available, including short-term rehabilitation (physical therapy) as well as long-term care for people with chronic ailments or disabilities that require daily attention of RN’s in addition to help with personal care such as bathing or dressing or getting around. Congregate Housing – Used to be considered a unique combination of private living quarters combined with shared activities including communal meals and other social activities, but is now considered a type of assisted living. Continuing-Care Retirement Communities (CCRCs) – A complex of residences that include independent living, assisted living and nursing home care, so seniors can stay in the same general location as their housing needs change over time, beginning when they are still healthy and active. Why is the topic of senior housing sometimes hard to understand? 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 “long-term 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. SENIOR LIVING >>page 30
SENIOR LIVING<<page 30 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 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: Kidney dialysis treatment Alzheimer’s and dementia care Respiratory care Parkinson’s care Finding professional help for locating suitable senior housing or elder care The complexities of senior housing and elder care are such that most people are well advised to seek professional services to assist them. Sometimes moving to a care facility on a temporary or long-term basis is dictated by medical necessity. In these cases, the choice of a facility is often made while the senior is in the hospital where you can get the guidance you need from a medical social worker, case manager or discharge planner. If not hospitalized, you can seek the advice of your physician and you can seek community-based geriatric care managers--based in private practice for a fee or based in community agencies for no fee or on a sliding fee scale. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org. 30 MHL DECEMBER 2012
SURVIVING THE
Holidays Remember that you aren’t superman or superwoman...
Retirement Community • Independent Apartments • Assisted Living • Memory Care
Call for a tour of www.jacksoncrossings.com our beautiful extra large apartments (262) 993-2838 on the lake. On Highway 60 Just East of Highway 45 N168 W22022 Main Street Jackson, WI 53037
32 MHL DECEMBER 2012
For those special individuals that are family caregivers for someone with Alzheimer’s disease and other forms of memory impairment, the holidays often add additional stress. Not only for the caregiver, but also for the person who suffers from dementia. Over the years, I’ve helped counsel family caregivers on how to keep the holidays enjoyable for themselves and their loved one with a memory impairment disease. Below are just a few suggestions: Keep it simple One of my favorite things about the holiday season is decorating my house. There isn’t an inch of it that’s not decorated. But if you’re caring for someone with memory impairment, the added decorations can over stimulate his or her senses causing them to become even more confused and agitated. This year try the less is more principle. Put out only your favorite decorations, keeping it minimalistic, and only put out a few things at a time. This way your loved one won’t be as confused with the changes in his or her surroundings, reducing any anxiety he or she might feel. Send it in a letter For anyone, family gatherings can be exhausting and trying. For your loved one with dementia, holiday parties, even those with family, can cause them to feel anxious and overwhelmed. This year, when you send greeting cards to family and friends, consider putting in a letter talking about your loved ones condition and tips on how to approach the person with dementia. This will make sure everyone’s visit is enjoyable. Reduce the added stimulus Added stimulation from crowds, music and the frantic atmosphere found at the stores during the holiday season often creates added anxiety. To minimize this stress for your loved one, recognize the triggers. For example, a mall full of shoppers rushing around will confuse a person with dementia. The loud voices and sounds can trigger a catastrophic reaction. The real key is that if you’re feeling stressed odds are your loved one is too. If you want to take them shopping go during the week when the stores are less likely to be crowded. Remember individuals with Alzheimer’s and dementia tire quickly. If your loved one looks tired consider cutting holiday visits and activities short. Take time for you Make sure that between the hustle and bustle of the holiday season that you take time for you; take a spa day, a long luxurious bath, going to the gym, catch a holiday show or go to a movie. This will help to recharge your batteries making the holiday season an enjoyable one. The most important tip I can give you is to remember that you aren’t superman or superwoman. You don’t have to create a Norman Rockwell scene that depicts the “perfect” holiday. Cut yourself some slack and just enjoy the people around you. That’s truly the most precious part of the holiday season — your loved ones! May God Bless You and Yours with a Wonderful Christmas and a Happy New Year.