February 2012 MHL by Modern Health and Living

MHL

MILWAUKEE | FEBRUARY 2012 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

HEALTH AWARENESS GUIDE 2012

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

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February Note I am very pleased that you’ve decided to join us this month. This is our Health Awareness issue. We have packed so much up-to-date information into these pages that this issue is just bursting with health! We have something for men and women of all ages. We contact local health professionals every month and are thankful that many have contributed to this issue. They are keenly aware of health concerns for this region (very important). We stay in touch with them so they can stay in touch with you. I think you’ll find something here that can help you lead a healthier life. We hope that you share this special issue with friends and family, too. Speaking of family, I try to keep mine active throughout these cold months. My children have been doing as much sledding as they can pack in with the small amount of snow that is on the ground. I encourage you to try to find something to keep your children active and social. Whether its gymnastics, dance, sport or just running around in circles, staying active keeps the body and mind healthy and developing. Check out our children’s summer activity feature each month through May! Keeping their bodies and minds active is great to build a strong and healthy child. Stay active!!! I hope you have a wonderful February and will touch base again in March -Amanda Lewis

MHL

MODERN HEALTH AND

MILWAUKEE | FEBRUAR Y 2012 FREE PUBLICATION

Est 1992

LIVING

FEBRUARY 2012 EDITION

HEALTH AWARENESS

A GUIDE TO HEALTHY

GUIDE 2012

LIVING FOR MEN, WOME

N, CHILDREN AND SENIOR S

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

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

MODERN HEALTH AND LIVING

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 FEBRUARY 2012 MHL MILWAUKEE

FOR YOUR

HEALTH workshop series

Making Our Community Stronger. Healthier. Better.

In Partnership with the Felician Sisters

Diabetic Foot Care Tuesday, February 28 6:00 pm Presented by Mario Ponticello, DPM, FAPWCA, Certified Wound Specialist, Podiatrist, Foot and Ankle Health Center

Mild to severe foot problems can result over time when your blood sugar is high. Dr. Ponticello will talk about examining your feet to prevent diabetic foot problems from becoming serious, and when to seek treatment. He will also discuss the effects of diabetes on wound healing.

The workshop is free, however, registration is required. Register online anytime at mywheaton.org/events, or call WheatonDirect at 1-888-994-3286, Monday through Friday, 8 am–4:30 pm. Wheaton Franciscan Healthcare – Franklin is a full-service inpatient hospital with a 24/7 emergency department and the area’s leading patient satisfaction scores. Tours will be available after the workshop. For more information on hospital services, go to mywheaton.org/franklin.

Wheaton Franciscan Healthcare – Franklin 10101 S. 27th Street, Franklin ( 1 1/2 miles south of Ryan Road) The workshop will be held in the First Floor Conference Center. Free surface parking is available in front of the main entrance to the hospital.

What is Syncope? Charles Lanzarotti, MD, FACC, FACP We tend think of heart problems as a health concern for people who are older or overweight. But many of us do not think of fainting as being a sign of something more serious, like sudden cardiac arrest. Syncope (pronounced ‘SIN-ko-pē) is temporary loss of consciousness and posture, often described as “fainting” or “passing out”. It most often occurs when the person’s blood pressure drops too low (hypotension), causing the heart to pump less oxygen to the brain. This may be caused by emotional stress, pain, pooling of blood in the legs due to sudden changes in body position, overheating, dehydration, heavy sweating or exhaustion. Syncope may occur during violent coughing spells (especially in men) because of rapid changes in blood pressure. It also may result from several heart, neurologic, psychiatric, metabolic and lung disorders. And it may be a side effect of some medicines. Signs of syncope include: • loss of consciousness • fainting or blacking out • light-headedness • dizziness • excessive drowsiness • feeling unsteady or weak • unexplained falls • nausea • heart palpitations or fluttering Any sort of fainting spells, dizziness and/or blackouts need to be taken seriously. They may be a sign of future sudden cardiac death. While the majority of people with syncope may have a benign condition, individuals experiencing these symptoms should be screened for a more serious problem that could lead to sudden death. 300,000 people suffer from a sudden cardiac arrest in the US each year, 95% of them don't survive it. Forms of syncope often linked to a serious disorder are those experiences that occur with exercise; if the person also experiences palpitations or irregularities of the heart; or when individuals have a family history of recurrent syncope or sudden death. If you or someone you know experiences any unexplained blacking out or dizziness, talk to your doctor about getting screened for syncope. Charles Lanzarotti, MD, FACC, FACP, is a board certified electrophysiologist with Wheaton Franciscan Heart and Rhythm Specialists and practices at Wheaton Franciscan Healthcare-St. Francis in Milwaukee and WFH-Franklin. He is the medical director of Wisconsin’s first Center for Syncope and Autonomic Disorders. For more information, call 414-389-3154.

FEBRUARY 2012 MHL MILWAUKEE

SEASONAL AFFECTIVE DISORDER

SAD affects many people in northern latitudes in winter

Most Seasonal Affective Disorder (SAD) symptoms stem from daily body rhythms that have gone out-of-sync with the sun, a NIMH-funded study has found. The researchers propose that most patients will respond best to a low dose of the light-sensitive hormone melatonin in the afternoon in addition to bright light in the morning. Rhythms that have lost their bearings due to winter’s late dawn and early dusk accounted for 65 percent of SAD symptoms; re-aligning them explained 35 percent of melatonin’s antidepressant effect in patients with delayed rhythms, the

MHL MILWAUKEE FEBRUARY 2012

most common form of SAD, report NIMH grantee Alfred Lewy, M.D., Ph.D., and colleagues at the Oregon Health & Science University, online, April 28, 2006, in the Proceedings of the National Academy of Sciences. SAD affects many people in northern latitudes in winter, especially young women, and is usually treated with bright light in the morning. The pineal gland, located in the middle of the brain, responds to darkness by secreting melatonin, which re-sets the brain’s central clock and helps the light/dark cycle re-set the sleep/wake cycle and other daily rhythms. Lewy and colleagues pinpointed how rhythms go astray in SAD and how they can be re-set by taking melatonin supplements at the right time of day. The findings strengthen the case for daily rhythm mismatches as the cause of SAD. The researchers tracked sleep, activity levels, melatonin rhythms and depression symptoms of 68 SAD patients who took either low doses of melatonin or a placebo in the morning or afternoon for a winter month when they were most symptomatic. They had determined from healthy subjects that a person’s rhythms are synchronized when the interval between the time the pineal gland begins secreting melatonin and the middle of sleep is about 6 hours. Seventy-one percent of the SAD patients had intervals shorter than 6 hours, indicating that their rhythms were delayed due to the later winter dawn. Taking melatonin capsules in the afternoon lengthened their intervals, bringing their rhythms back toward normal. The closer their intervals approached the ideal 6 hours, the more their mood improved on depression rating scales, supporting the hypothesized link between out-of-sync rhythms and SAD. “SAD may be the first psychiatric disorder in which a physiological marker correlates with symptom severity before, and in the course of, treatment in the same patients,” explained Lewy, referring to patients’ rhythm shifts towards the 6 hour interval in response to melatonin. Taking melatonin at the correct time of day — afternoon for patients with short intervals and morning for the 29 percent of patients with long intervals — more than doubled their improvement in depression scores, compared to taking a placebo or the hormone at the incorrect time. While the study was not designed to test the efficacy of melatonin treatment, the researchers suggest that its clinical benefit “appears to be substantial, although not as robust as light treatment.” They propose that the 6-hour interval index may be useful for analyzing the circadian components of non-seasonal depression and other sleep and psychiatric disorders. Also participating in the study were: Bryan Lefler, Jonathan Emens, Oregon Health and Science University, and Vance Bauer, Kaiser Permanente Northwest Center for Health Research.

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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!

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Radicchio Lori Zanteson, Environmental Nutrition The folklore. Radicchio is appreciated today for its culinary properties, but its first role was medicinal, lauded by Roman philosopher Pliny the Elder as a blood purifier and aid for insomnia in his encyclopedic Naturalis Historia. Though modern cultivation of radicchio began in 15th century Italy, it wasn’t until the late 1800s that the intensely red color was engineered by growing radicchio in a dark place in order to stop the production of the green compound, chlorophyll, thus enabling the red to dominate. The facts. A member of the chicory family, along with endive, escarole and dandelions, radicchio (Cichorium intybus) is sometimes called Italian chicory, red chicory and red endive. There are several varieties of radicchio, each named after its Italian region of origin. They have similarly firm leaves and a bittersweet flavor but vary significantly is appearance, from red-globed Chicogga, to elongated Treviso and flower-like Tardivo and Castelfranco. Radicchio is a rich source of folate, and vitamins C and E, and just one cup packs more than the recommended daily value of bone healthy vitamin K. The findings. A study of over 40 vegetables and herbs found that Chiogga radicchio was higher in total phenols—plant antioxidants linked with health benefits—than all five lettuces analyzed, and ranked among the highest among all of the fruits and vegetables in the study for antioxidant activity, according to the 2005 British Journal of Nutrition. This high antioxidant activity may be related to the presence of health-protective compounds such as zeaxanthin, lutein and anthocyanins. Though total antioxidant content implants may not always translate to antioxidant bioavailability in humans, scientists do know that antioxidants in plant foods appear to neutralize damagecausing free radicals that may lead to heart disease, diabetes and cancer. Radicchio also contains inulin-type fructans—prebiotic food ingredients that may have anticarcinogenic properties. A number of studies, including one published in the April 2005 British Journal of Nutrition shows evidence in both animal and human cells that inulin reduces the risks for colon cancer. The finer points. Available year-round, radicchio is at its peak from midwinter to early spring. Choose heads of full-colored, crisp leaves with no sign of browning or wilting. 4.75 x 8.25Besides a bold and bright enhancement to salads, try radicchio grilled, sautéed, or baked. It pairs well with flavor components ranging from salty prosciutto and cheeses, tart balsamic vinegar and lemon, to rich flavored oils and naturally sweet fruits. Warm Ginger-Orange Radicchio Salad 1 head radicchio, leaves separated 2 Tbsp olive oil 2 Tbsp sesame oil 2 tsp grated fresh ginger 1clove garlic, crushed 2 Tbsp orange juice 1Tbsp soy sauce 1Tbsp honey 1 tsp dry mustard 2 Tbsp toasted sesame seeds 1 orange, segmented, pith removed In skillet over medium heat, sauté radicchio in olive oil for about 2 minutes. Remove radicchio to large shallow bowl. Heat sesame oil over low heat in small saucepan; stir in ginger, garlic, orange juice, soy sauce, honey, and dry mustard. Remove from heat; pour over radicchio and toss. Serve on salad plates garnished with sesame seeds and oranges. Makes 4 servings. Nutrition Information per Serving: 190 calories, 2 grams (g) protein, 11g carbohydrates, 15g fat, 155 milligrams sodium, 2g dietary fiber. Reprinted with permission from Environmental Nutrition, 52 Riverside Dr., Suite 15-A, New York, NY 10024.

GET ACTIVE AMERICA

“

Only 20% of Americans are exercising or being active in one sport or another.

“

By Kay Yuspeh and Arlene Becker The shocking fact is that “only 20% of Americans are exercising Yuspeh has been living by her philosophy of fitness by exercising regularly and or being active in one sport or another,” according to lifelong fitness participating in triathlons. She feels there are so many different fitness and exercise advocate Kay Yuspeh, the head of the Elite Sports Clubs, and classes and programs that everyone can find something to suit himself or herself. She board member of the prestigious international association IHRSA observed, “There are. so many opportunities to try to different programs there’s not (international health ,racquet and sport club association with over one thing that works for everybody. If you don’t like what you’re doing you won’t 5,000 facilities in 78 countries). This is despite ongoing studies that continue. Lifetime sports are a great way to exercise. We have tennis, basketball, exercising or being physically active enhances the quality of your life and perhaps swimming. It’s all about moving. Yuspeh said exercise even extends life qualities even the longevity. According to geriatric scientist Dr. Nir Barzila of the Einstein for several diseases for example: diabetes, high blood pressure, heart disease, even Institute of Aging in Israel, “eating right, regular exercise, and avoiding smoking, some cancers. Exercising reduces stress and depression. It releases endorphins might get you to live to 85 or longer.” which are feel good hormones. It also improves lifestyles for M.S. and Parkinsons. Being aware of the importance of physical activity and regular exercise IHRSA A recent study on Parkinson’s showed that if people with Parkinson’s rode exercise has designated May as Get Active America month. bikes, afterwards they weren’t shaking. Many diabetics get off of their insulin with Yuspeh, with four Elite clubs in Mequon, Glendale, and Brookfield, definitely exercising. A lot of exercising is done after cancer, strokes, and heart disease. believes in fitness and exercise as being one of the most important aspects of She mentioned that all elite clubs are handicapped accessible, and the staff works someone’s life, “what can slow down the aging process, and may help prevent many with people with special needs. diseases, is by exercising.” In trying to bring her message, and IHRSA’s to the Yuspeh cautions, if people haven’t exercised before, or not for a long time, they general Wisconsin public and to promote Get Active America month, all Elite clubs should start slowly,” once or twice a week is better than no exercise at all. People are open to non-members, from May third through the ninth, to everyone in the new to exercise can consult with any of our fitness instructors or trainers during the general public, from the age of 18 on, to use the facilities and to join any of the free week on a complimentary basis.” myriad fitness classes in the clubs on a complimentary basis. Those who come to the Even people who’ve had physical injuries can work out. She gave herself as an clubs at this time can also consult with any of the club’s knowledgeable staff on his example. “I have a pin in my knee and through the years I’ve adjusted my workouts. or her particular fitness situation. Even people with handicaps can work out. It’s just a matter of figuring out what “Because too many people are overweight in America, millions are spent on diet works for them. Our Smart Clinic works with integrating physical workouts and plans and packages, Yuspeh stated, “but weight loss programs work better if you therapy FIT >> page 47 combine them with exercise. Dieters manage their weight for life if they combine healthy and controlled eating with regular exercise regimens.” Yuspeh also noted that “Usually after exercising people crave healthy food.” She commented on Baby boomers, saying, “We’re all reaching the age when we should be exercising to stay younger for non-invasive, FDA approved treatment. and fitter. Lots of studies show that exercise extends the quality and quantity of your life.” Yuspeh explained that “IHRSA has always sponsored getting people moving for their health. As an IHRSA member, at our free guest week, visitors can try out classes and get comfortable on the equipment.” Yuspeh stressed if “you take back your Pete Balik Molly Rittberg fitness health, you’ll live longer and feel better. We have many programs that make Physical Therapist Physical Therapist fitness fun like: Fit into your Jeans/Shorts; Better Body after Baby; Young at Heart; • Pain, balance and sensation status is evaluated before and after treatment. Lower Body Solutions; Sexy Shoulders; and I Want My High School Waist.” • All Major Insurances Accepted Including Medicare and Medicaid People can decide what they want to • CALL 414-228-7900 to schedule an appointment do for their free week by checking on line for our various programs. There’ll also be Membership specials at each club.”

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FEBRUARY 2012 MHL MILWAUKEE

FOR YOUR

HEALTH workshop series

Making Our Community Stronger. Healthier. Better.

In Partnership with the Felician Sisters

Reducing Back Pain with Gentle Exercise Wednesday, March 7 6:00 pm Presented by Craig Sather, Physical Therapist, Wheaton Franciscan Healthcare

Do you suffer from lower back pain? The right exercises can reduce your back and leg pain immediately. This workshop will show you how to do gentle exercise techniques that help common back conditions.

We’ve helped thousands & we can help you!

My children are taking a Tae Kwon Do class 4 times a week. I encourage you to try to ﬁnd something to keep your children active and social. Wheather its gymnastics, dance, sport or just running around in circles, staying active keeps the body and mind healthy and developing. To us adults with Super Bowl Sunday and myself hosting the monthly Bunco get together this equals food, food and even more food. It’s so important to keep ourself active, so it might be time to get that gym membership or start walking the malls again. Stay active!!! I hope you have a wonderful February and will touch base again in March -Amanda Lewis

TOP TEN TIPS FOR

February 2011 EDITION

aging gracefully

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We’re on the move! Coming this Spring, Foot Solutions is going mobile. Call for an appointment or check our website for a schedule of events we’ll be attending. Balance walking clinics and classes starting this Spring.

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foot pain?

Amanda editor our physical age, No matter it isLewis always important to grow older with grace Malberry Media graphic design and a sense of personal Marlys style. Lewis As we continue to find things that are important to us, perhaps this list guide us. Jerrycan Kornowski travel editor founder

Marlys Metzger Barry Lewis

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change. It is inevitable, so make change work for you to shape your 01 Embrace future. yourself. Take good care of yourself. Take time for physical activity 02 Love such as walking, exercise, yoga, etc. Invest time and effort into making your future bright and healthy.

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contact

counts. Get healthy on the inside to help look healthy on the outside. 03 Inside Getting proper sleep and eating right are crucial. choices. Eat plenty of fruits and vegetables. Make sure you include 04 Nutritious foods rich in omega-3s in your eating plan, with tasty options like salmon, 6000, email: info@lewismediagroup.com.

walnuts, flaxseed and more.

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. from your thoughts. Focus on the Negatives are no-no’s. Eliminate negativity

05 positive. Work to reduce the effects of stress in your life. thanks

The skin you’re in. Good skin care is important. Don’t forget to exfoliate and moisturize. Good skin care habits pay off in the long run. (Hey guys—and Lewis Groupmeal, | Malberry Media www.modernhealthandliving.com gals,Media too! Corn right out of |your cupboard, makes a fast and effective exfoliant! Cleanse face as you usually do. Afterwards, splash face with water, but do not dry. Pat about 1 tablespoon of uncooked corn meal onto your face, but not on eyelids. Gently, but firmly, rub the corn meal granules over your face, except for eyelids and the tender skin just below eyes. Rinse, pat dry, and smooth on moisturizing cream or lotion. Your face, now devoid of old, dead skin, will look more vibrant and feel wonderful.)

curiosity. Aging well involves your mind as well as your body. Keep 07 Cultivate it active and it will serve you for a lifetime. well. Consider your body type as you age. Make certain that clothes 08 Dress fit correctly. Check out a tailor or seamstress to alter favorite pieces in your wardrobe.

Crowning glory. The proper hairstyle can take years off your looks and keep you looking bright and well-groomed.

we go. Discover what is the next phase or adventure of your life and 1O Forward pursue it. TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada. Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, visit www.tops.org or call (800) 932-867

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Muscling in on

Sarcopenia

University of California, Berkeley Wellness Letter Most of us lose muscle as we age—a loss of 1 to 2 percent a year after age 50, on average, or about 30 percent between age 50 and 70. In particular, arms and legs weaken and look thinner or flabbier. It becomes harder to lift packages. Loss of muscle in the legs increases the risk of falls. This steady loss of muscle mass and strength tends to accompany many of the things we associate with aging: becoming less active, eating less healthfully, developing chronic diseases, becoming frail. When the muscle loss becomes relatively severe, it’s called sarcopenia. (Similarly, when age-related bone loss goes beyond a certain point it’s called osteopenia and then, if it gets worse, osteoporosis). But sarcopenia isn’t inevitable. Use it or lose it There’s no standard way to define or diagnose sarcopenia, since age-related

Who wants to drop 7lbs and 2 inches off your hips, butt and thighs even if you’re super busy and without dieting? 6 week winter boot camps forming now! We only have 15 spots available and they are filling up fast! Please go to www.lakeshorebootcamps.com now for more information to reserve your spot.

“It was time for me to do something for ME. In my first camp I lost 10lbs, one pant size, have more energy and am stronger than before. I think the instructors are great and I have truly enjoyed the Boot Camp experience,” www.lakeshorebootcamps.com | email: lakeshorebootcamps@formandfitness.com 12 MHL MILWAUKEE FEBRUARY 2012

muscle loss occurs over a continuum (as does bone loss). It isn’t just a matter of measuring loss of muscle size, but also of evaluating changes in muscle quality and functional abilities. Thus, there are varying estimates about how many people have sarcopenia—anywhere from 10 to 50 percent of those over age 70. Many factors besides age-related life-style changes contribute to sarcopenia. Metabolic changes result in more protein breakdown in muscles and reduced muscle synthesis. Declining hormone levels also come into play, as do pro-inflammatory compounds and cell-damaging free radicals, which can promote muscle wasting and affect muscle fibers. Rapid weight loss (from dieting or illness) as well as prolonged bed rest can accelerate muscle loss. Pump it up: never too late Countless studies have shown that older people who do resistance training can significantly improve their muscle strength and performance, even after just a couple of months of training—and even if they are frail and over age 80. Any strength training can help prevent or treat sarcopenia. Strenuous workouts are most effective,

It’s estimated that 40 percent of people over 70 don’t consume that much protein. according to a 2010 analysis in Aging Research Reviews, which included data from 47 studies, though that would be challenging for many older sedentary people, who need to start gradually. Protein power Most Americans—even vegetarians and athletes—get more than enough protein from food. Older people are often exceptions, however. Sometimes it’s because they simply eat less or have trouble chewing protein sources such as meat. The recommended dietary allowance (RDA) for adults is 0.8 grams of protein a day for each kilogram (2.2 pounds) of body weight. That’s 56 grams of protein for someone weighing 154 pounds. It’s estimated that 40 percent of people over 70 don’t consume that much protein. And some researchers believe that older people should aim higher—at least 1.3 grams per kilogram, or 91 grams of protein for a 154-pounder. Still, few studies have looked at the effect of higher protein intakes on sarcopenia, and results have been inconsistent. The amount of muscle protein synthesis may depend in part on the protein source (whey protein is better than soy, for instance). The timing of your protein intake could make a difference, too, but there’s debate about the optimal schedule. Some research suggests that eating most of your protein at midday is best for muscle metabolism. Other research indicates that consuming about 25 to 30 grams of protein at each meal is better. Add in exercise Moreover, eating some protein in the hour after moderately intense strength training seems to boost muscle synthesis during the next several hours. A Danish study in the Journal of Physiology, for example, found that men in their mid-seventies who consumed protein immediately after resistance training developed more muscle after 12 weeks, compared to men who had the protein two hours after exercising. Similarly, a recent Dutch study found that older men (also in their mid-seventies) had greater muscle synthesis when they exercised before consuming protein (20 grams) than when they didn’t exercise before consuming it. Strong-arm tactics To help prevent (or treat) sarcopenia, do strength training regularly and make sure you eat adequate protein—some of it perhaps shortly after your workouts. Dairy products as well as fruits and vegetables supply nutrients and other compounds that help protect aging muscles. But don’t go overboard with protein. Many older people have impaired kidney function, and excessive protein intake can make matters worse. If you do increase your protein intake, talk to your doctor, who may want to test your kidney function, especially if you are over 65 or have diabetes or high blood pressure. Final thought: Consider taking 800 to 1,000 IU of vitamin D a day—or more if your doctor says your blood levels are low. Population studies have linked low D levels to increased risk of sarcopenia. Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2012. To order a one year subscription, call 1-386-447-6328.

FEBRUARY 2012 MHL MILWAUKEE 13

Coughing Again? It Could Be COPD

The Johns Hopkins Health After 50 Do you explain away your constant hacking as “smoker’s cough”? Do you have breathing difficulties you blame on being out of shape? Maybe you chalk up your shortness of breath to a sign that you’re just getting older. If so, you could be brushing off symptoms of chronic obstructive pulmonary disease (COPD), especially if you are, or were, a smoker. But sooner or later, you’ll find the symptoms will limit your activities and may cause long-term disability. COPD is a serious lung disease. A study in the journal The Lancet predicts that one in four people around the world ages 35 and older will develop COPD. In the United States, COPD is now the third leading cause of death. You’re more likely to have COPD than heart failure, breast cancer or prostate cancer. Twelve million Americans have been diagnosed with COPD, and the National Heart, Lung, and Blood Institute (NHLBI) estimates that another 12 million don’t know they have the disease, jeopardizing their chance of slowing its progression. COPD affects more women than men. It’s most common in women ages 65 to 84 and in men 75 to 84. What causes COPD? Cigarette smoking is the No. 1 cause of COPD, accounting for at least 90% of all cases. Even if you stopped smoking years ago, you’re still at risk. Cigar and pipe smoke, secondhand smoke and long-term exposure to airborne lung irritants, such as chemical fumes and heavy dust, can also contribute to the disease. A rare genetic

deficiency of a protective protein in the blood called alpha-1 antirypsin causes about 2 to 3 percent of COPD cases. The most common forms of COPD are emphysema and chronic bronchitis. Most people with COPD have both. Each restricts airflow to the lungs. With emphysema, the airways and air sacs that transfer air to and from the lungs lose their elasticity and become incapable of carrying an adequate amount of air. With chronic bronchitis, the airways become inflamed and clogged with too much phlegm, or mucus. Severe damage limits oxygen to the bloodstream and causes carbon dioxide to build up in the body. COPD often gets progressively worse. Doctors generally categorize COPD as mild, moderate, severe or very severe. COPD can’t be cured, but its symptoms can be managed and severe disability stalled. A stealth disease Many people don’t realize they have COPD because its early stages can be symptomless. As the disease progresses, symptoms begin to appear, such as shortness of breath, difficulty breathing during activities, inability to take a deep breath, chronic cough, excessive phlegm, chest tightness, wheezing, fatigue and frequent respiratory infections. Because COPD develops slowly, you may not realize your exercise tolerance is lower than normal. You and your doctor can measure tolerance by comparing certain activities you routinely performed over a one-to two-year period. For example, if you regularly climbed two flights of stairs comfortably two years ago but can’t climb even one flight today, this change is potentially meaningful—even if you feel you don’t have symptoms. When your symptoms suddenly become worse, you’re having an acute flare-up, or exacerbation. Flare-ups can be life threatening and require medical attention. To manage your symptoms and prevent further lung damage, follow these tips: If you smoke, quit. Avoid secondhand smoke. Get the pneumonia vaccine. Get an annual flu shot. Avoid cold air. Stay away from fireplace smoke and other air pollutants. Don’t stop taking the drugs prescribed by your doctor, even if you feel better. Plan ahead by discussing with your doctor how to prepare for acute flareups. Call your doctor if you have signs of a respiratory infection, such as fever, more coughing, more difficulty breathing than usual, chest tightness and changed in the amount or color of phlegm. Treating COPD Your doctor has several treatment options that can be used alone or combined. Inhaled bronchodilators. This class of drugs helps relax muscles in and around your airway, making it easier to breathe. Inhaled corticosteroids. COPD >> page 36

14 MHL MILWAUKEE FEBRUARY 2012

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EDITOR’S PICK

Milwaukee’s Only “Beachfront” Hotel PARADISE LANDING Hilton Milwaukee | 509 West Wisconsin Avenue Milwaukee, WI 53203 | 414-271-7250

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Paradise Landing - a downtown Milwaukee indoor waterpark. Located in the Hilton Milwaukee, Paradise Landing offers you and your family a unique tropical getaway year-round. Waterpark Highlights Paradise Landing boasts 20,000 square feet of fun and excitement. •A 3-story Jamaican Village with four fantastic water slides •An Idyllic Lagoon •Hydro-therapy Spa that accommodates up to 31 people •Kiddy Pool with Beached Boat Slide, Turtle Squirt and Mushroom Rain Drop Fountain •Seashell Slide and Frog Slide •Lily Pad Walk •Water Cannons Family Fun Center Need a break from aquatic action? Visit the Family Fun Center and try your hand at a wide variety of video, table and arcade games. The more you play, the more tickets you win to redeem for fun prizes. Tokens for games are available for purchase in the arcade and the tickets can be redeemed at the arcade hospitality desk. Cabana Cove Cabana Cove Snack Bar at Paradise Landing “A Taste of Paradise” awaits you at Cabana Cove, serving your favorite snacks and refreshments (weekends during waterpark hours). After a dip in the pool, or a spectacular run down the water slide, refuel in Cabana Cove. An island paradise overlooking the water-filled fun below, Cabana Cove is the perfect dining solution for the family. Enjoy concession-stand style favorites: hot dogs, pizza, snacks and ice cream during Waterpark hours for lunch and dinner. Parents can enjoy an adult beverage while keeping an eye on their little ones below.

Go to Milwaukee for an overnight adventure and have a blast! Beautiful accomodations, with late night milk and cookies snack. The hotel is beautiful and clean. The water park is an oasis for a great family getaway. I couldn’t believe the intensity of the Jamacian vibe. Beautifully decorated to make you really feel like you are outside in a tropical location. My kids immediately scambled to the outdoor water park their eyes popping with joyful excitement when they saw the huge water area with waterslides, a big frog and games. The arcade was no disappointment. Tons of games, tokens, prizes... everything to keep my family bonding with each other. The resort also had a food cove that was perfectly located to keep an eye on the kids. The suite we stayed in was a parent’s dream. Nice master bedroom with door to close off from the main area with own television. The main area had a pull out sleeper for the kids and gave them their own space to enjoy. They were suprised on the cold milk and cookies that were brought to our room by the Hilton staff. Overall a great family experience and highly recommend on these cold winter days.

Hotel Amenities & Services The Hilton Milwaukee is a AAA Four Diamond upscale hotel featuring modern day conveniences that enhance your stay. Enjoy all of the comforts of home in our newly renovated art-deco inspired guest rooms. 16 MHL MILWAUKEE FEBRUARY 2012

TEMPER TANTRUMS WHAT IS A TEMPER TANTRUM? Temper tantrums are a common behavior problem in young children. Your child may show anger by lying on the floor, kicking, screaming, or even holding their breath. Tantrums occur because young children have not developed the emotional or physical maturity to handle or express anger and frustration. They are a normal part of child development, and most children will have at least one at some time.

WHAT CAN PARENTS DO? Try to understand why your child is frustrated and do not overreact. This will help you get your child through the tantrum and teach them better ways to handle their feelings. • Do not give in to your child’s tantrum. Teach your child that a tantrum is not a way to get your attention. If you give in, your child will use temper tantrums to get their way. • Stay calm and keep your child safe. Children learn by example. If you stay calm, your child is more likely to calm down. • Stick to a routine with your child. Keep eating and napping times the same each day. This should prevent a tantrum from your child being hungry or tired. • Talk to your child about how they need to behave when you take them to a public place. • Prepare for tantrums in public places. Don’t overreact or bribe your child to stop. Strangers may look, but many people have gone through this and know that your child’s tantrum does not mean that you are a bad parent. • Look for signals that your child is getting angry and try to interest them in a new activity. • Teach your child better ways to handle anger and tell you why they are upset. Give your child ideas for what to do instead of having a tantrum. Rewards work better than punishment when it comes to teaching your child ways to avoid tantrums. Call your child’s doctor, nurse, or clinic if you have any questions or concerns or if your child has special health care needs that were not covered by this information. FEBRUARY 2012 MHL MILWAUKEE 17

Five Reasons

YOUR CHILD NEEDS CAMP

There’s no doubt that summer camp is fun. Kids get to sing silly songs, play funny games, swim in lakes, and tell spooky stories around a campfire. This is the image of camp that has been captured and memorialized in films, books, and television programs for the past fifty years. But there’s much more to camp than just a good time. In addition to fun, parents should be aware of these five reasons their child needs camp.

01 Camp forever changes your child… for the better – American Camp Association® (ACA) research has confirmed that camps build skills necessary to prepare campers to assume roles as successful adults. Campers said that camp helped them make new friends (96%), get to know kids who are different from them (93%), feel good about themselves (92%), and try things they were afraid to do at first (74%).

Building girls of courage, confidence, and character.

 

                    





       

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             

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18 MHL MILWAUKEE FEBRUARY 2012

02 Camp teaches your child to “move it, move it” – Camp provides children the opportunity to try new things and participate in human powered activities. According to surveys by both the Kaiser Family Foundation and the Center for Disease Control and Prevention, an American child is six times more likely to play a videogame on any given day than to ride a bike. An estimated 22 million of the world’s children under the age of five are already considered obese. According to research conducted by ACA, 63 percent of children who learn new activities at camp tend to continue engaging in these activities after they return home. This leads to continued physical exercise that lasts a lifetime. 03 Camp keeps all that hard work from going to waste - Camps understand the critical role they play in helping young people learn and grow. Many offer programs that help reduce summer learning loss, bolster academic enrichment and socialization, provide opportunities for leadership development, and ensure that campers achieve their full potential.

04 Camp allows kids to take a deep breath and feel the nature – Camp is a great way for your child to unplug from the iPod® and plug into the world around them. According to a study by two Cornell University environmental psychologists, being close to nature can help boost a child’s attention span. Additionally, a study conducted by the University of Essex in England concluded that nature can help people recover from pre-existing stresses or problems, has an immunizing effect that can protect from future stresses, and helps people to concentrate and think more clearly. In some instances, camp may be the only time a child is in contact with the natural world.

05 Camp is fun – It’s true; kids do sing silly songs and play funny games at camp. Children are allowed to play in a safe and nurturing environment, and are allowed to just be kids. Play is a powerful form of learning that contributes mightily to the child’s healthy physical, emotional, social, and intellectual development. According to an American Academy of Pediatrics report, creative free play protects a child’s emotional development and reduces a child’s risk of stress, anxiety, and depression. To find the perfect camp for your child, visit the Find A Camp feature on ACA’s parent Web site at www.CampParents.org.

Camp Skills & School Millions of parents chose camp for their child or teen because of the immense benefits of the experience. Not only does camp foster making new friends and learning 21st century life skills like independence, problem-solving, and teamwork, but itâ&#x20AC;&#x2122;s also fun! As the summer fades and children return to school, ACA chief executive officer, Peg Smith, reminds parents to pack a few extra items from camp in the school backpack:

â&#x20AC;˘Confidence â&#x20AC;&#x201D; All through the camp experience, children and youth have tried new activities and been successful; they feel empowered. â&#x20AC;˘Curiosity â&#x20AC;&#x201D; Camp has given children and youth the chance to explore, study, and observe in an experiential learning environment. â&#x20AC;˘Character â&#x20AC;&#x201D; Camp has challenged children and youth to develop character â&#x20AC;&#x201D; through fostering respect for each other, a sense of community, and the ability to solve problems. How can parents help transfer these skills into the classroom? ACA suggests the following tips: â&#x20AC;˘Remember to Remind â&#x20AC;&#x201D;When campers come home, they often keep the spirit of camp alive for a week or two, and then things trail off. Use positive reinforcement to remind campers that you appreciate the positive attitude and willingness to help that they developed at camp.

â&#x20AC;˘Become Camp-Like â&#x20AC;&#x201D; Families can set the example by demonstrating a willingness to change something at home in order to sustain some of the changes campers have made. Bob Ditter, a clinical social worker and psychotherapist, suggests: â&#x20AC;&#x153;Parents have to make a decision. Are they willing to change something in their practice at home in order to sustain some of the changes their kids have made, such as having a job wheel that you put up on the wall outlining chores?â&#x20AC;? â&#x20AC;˘Everyone Gets a Say â&#x20AC;&#x201D; At camp, children help determine how their

day is spent. Their advice is actively sought, and they feel like equal players. Emulating this environment at home allows them to continue to stand up for themselves and feel like a contributing member of the household.

â&#x20AC;˘Avoid the Negative Compliment â&#x20AC;&#x201D; Donâ&#x20AC;&#x2122;t inadvertently sabo-

tage efforts by pointing out differences in behavior. Instead of saying, â&#x20AC;&#x153;you never did this before,â&#x20AC;? praise the behaviors in a genuine way. For example, â&#x20AC;&#x153;I noticed how patient you were with your little brother.â&#x20AC;? â&#x20AC;&#x153;Above all else, let your child know that what they learned at camp is going to serve them well when they go to school this fall,â&#x20AC;? said Smith. About ACA The American Camp AssociationÂŽ (ACA) works to preserve, promote, and enhance the camp experience for children and adults. ACA-AccreditedÂŽ camp programs ensure that children are provided with a diversity of educational and developmentally challenging learning opportunities. There are over 2,400 ACA-accredited camps that meet up to 300 health and safety standards. For more information, visit www.ACAcamps.org.

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414-607-0900 www.WauwatosaAcupuncture.com 20 MHL MILWAUKEE FEBRUARY 2012

THE Lost Art OF SLOWING DOWN You’re always on the go.

You have a never-ending To-Do list.

There’s always too much to do and too little time to do it.

THIS IS WHAT PEOPLE TELL ME EVERY DAY. As a culture, we have created a super fast-paced, busy lifestyle for ourselves. Technology contributes to this: so many new devices and 24/7 availability anytime, anywhere. Over the years, we’ve learned how to speed up and now the problem is that we have forgotten how to slow down. You want to slow down, yet you just can’t seem to do it (can’t seem to find the time!). What happens when we don’t slow down? The obvious cost: stress and anxiety are on the rise with over 40 million people in our country suffering from anxiety. The not-so-obvious cost: when you never slow down, you start to live life on “Autopilot.” Life is driven more by outside activities and influences, rather than being guided by YOU - by what YOU really want and need to feel happy and healthy. You have to slow down for a moment to connect with yourself and find out how you really feel. What do you really want? You may feel like you can’t change the situation...too many responsibilities and expectations seem out of your control. It feels like life is happening TO you (Autopilot), instead of you being in charge of your life and your happiness. You have to slow down to turn off the Autopilot. If you keep operating on “automatic,” you will automatically keep getting more of what you automatically got in the past. Slow down and you’ll you have a better idea of the way you want your life to be instead of the way Autopilot created it. A New Year invites us to slow down. Stop long enough to reflect on what you loved from last year and what you didn’t love. You’ll need a little quiet time and a paper and pen to make notes. Breathe deeply and imagine… what would you like to have different and better in your life? What inspires you and makes you feel good? Once you have that vision of what you want, how do you create it? It’s time to take charge of creating your life the way you want it. Creating something new in your life requires 3 things to be congruent: thoughts, feelings and actions. 01 Your Thoughts and Words: Slow down enough to stay conscious of your thoughts. Everything that has ever been created started as an idea or thought. Choose your thoughts deliberately. Think about what’s important to you. Think specifically about those things you want to be different and better. Think about them every single day. 02 Your Feelings: The way you feel is always a result of the thoughts you’ve been thinking. Slow down enough to pay attention to your feelings. If you’re not feeling good about how your life is being created, it’s a sign to stop and think more about the positive you want to create. 03 Your Actions: Slow down and ask yourself: What small thing could I do today to bring me closer to what I really want? Move consciously in the direction of your vision one little action at a time. Di Philippi, MA, LPC is a Holistic Counselor and Licensed Professional Counselor who specializes in non-medication solutions for anxiety and worry. She integrates Cognitive Behavioral Therapy with holistic wellness practices that address body, mind, spirit, emotions, and energy. Her practice is located inside of Integrative Family Wellness Center in Brookfield. To learn more, see her website www.WellnessCounselingMilwaukee.com or call 414-588-0969.

FEBRUARY 2012 MHL MILWAUKEE 21

Winter Blues, Pain, And Fatigue: Not All In Your Head

SEASONAL AFFECTIVE DISORDER is a widely known term these days. Many

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patients come into my office and other doctorsâ&#x20AC;&#x2122; offices complaining of the symptoms of this disorder, even diagnosing themselves with the condition. Oftentimes they are correct in their self-assessment. Seasonal Affective Disorder (SAD) is a condition in which individuals not only experience wintertime depression but also may experience an increase in appetite and weight, sleep problems, fatigue, decrease in libido, difficulty concentrating, memory complaints, body aches and pains, lack of interest in life or social activities and inability to makes decisions. Some may even experience suicidal thoughts. Many would consider these symptoms typical of clinical depression in general. This is very true and anyone who already has been diagnosed with depression may feel a worsening of their symptoms during the winter months. Individuals with Chronic Fatigue Syndrome and Fibromyalgia may also find an increase in symptoms in the wintertime. This is because there is a link between mood and sleep regulating hormones and chemicals and all of these conditions. The amount of natural light we take in can affect these hormones and chemicals. Our neurotransmitter serotonin and our hormone melatonin play a large role in SAD and other conditions. Regulating these chemicals is one key aspect to treating this syndrome. Reproductive hormones may also play a role as about Âž of SAD sufferers are women and the number of male and female sufferers becomes equal after menopause. Evaluating neurotransmitter levels such as dopamine, serotonin, epinephrine and norepinephrine can be valuable in determining treatment tools. Also, looking at adrenal hormone levels in a 24 hour period can prove useful as well. These would include cortisol and DHEA. Vitamin D levels as well as melatonin levels are also valuable. These can all be evaluated with any practitioner who is educated in the blood, urine and saliva testing tools available. With those results natural treatments can be implemented to modify values, such as diet and lifestyle changes as well as supplements and herbal treatments to improve symptoms. Treatments for SAD may vary depending on the individual imbalances found. That being said, one of the foundational treatments that has proven to be effective is light therapy. Light therapy involves using a daily light treatment which many people accomplish using light therapy boxes. Light therapy boxes work by transferring impulses to the hypothalamus in the brain. The pineal gland which produces melatonin is also affected by light impulses. Generally speaking, the therapy supports production of serotonin (mood regulating neurotransmitter) while suppressing production of melatonin (sleep regulating hormone). Light therapy usually involves using a light box producing at least 10,000 lux kept at a distance of 1 to 2 feet for 30 minutes each morning, usually between 6AM and 8 AM. However, there are variations to this protocol that are dependent on the imbalances of each individual. For example, some may need an afternoon treatment or both AM and afternoon treatment for optimal mood, energy and sleep. This can be determined by symptoms and the testing methods discussed earlier. Other possible lifestyle treatments may include getting regular outdoor light exposure (yes, even in the wintertime and cloudy days are still effective) for 20 minutes at a regular time daily, regular exercise, routine sleep schedule, routine eating habits SAD >> see page 23

22 MHL MILWAUKEE FEBRUARY 2012

Reiki

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Energy healing can occur both during and outside of a Reiki session. This healing, however, is dependent upon a person’s awareness of their thoughts, words, and actions and their willingness to modify harmful life-patterns. With the insight and healing from Reiki, one can be in harmony with their body’s inner wisdom and experience a deeper sense of fulfillment each day. The human body has seven main centers of energy, called chakras, which run from the head down to the base of the spine. When an energy blockage occurs in one of the chakras, the body translates that into physical discomfort, or dis-ease. An energy blockage can be created from any number of things ranging from stress, excessive fatigue, or poor diet, to deeper causes such as repressed emotions, trauma, or life-altering events. In a Reiki session, a practitioner attuned to the Reiki energy gently lays hands on or slightly above the client to help release any blockages and increase the flow of energy within the body. Each individual responds differently to Reiki, guided by his or her own body and what it is ready to receive. The greater the flow of energy within the body, the more noticeable a blockage becomes. An example of a common blockage would be a stiff neck from many hours at a computer, a desk or in a meeting. The neck is a very flexible joint when it is free of blockages. When a person experiences a stiff neck, they could reflect on whether or not they are being flexible and willing to look at all facets of the situation at hand. What thoughts are they holding that are preventing them from going with the flow? An example of a more subtle energetic block is if someone’s voice suddenly gives out in the middle of a word or sentence. Do their words truly resonate with their beliefs, or is there a disconnection between the thought and the ownership of the belief? These discoveries can be shared with the Reiki practitioner to help release the root of the blockage and create a higher energetic vibration within. A deeper awareness of the physical body is a built-in benefit of receiving Reiki on a regular basis. This awareness can be carried into daily life, encouraging personal responsibility for self-exploration and growth. Taking note of the messages from the body reminds us of the energy behind our thoughts, words and actions. Negative thoughts and words create blockages. Positive thoughts and words create flow. We may not be able to change the choices of other people, but by bringing more awareness to ourselves, we can transform our own lives. Ann Basten, Reiki Master

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Renew your body, mind, and spirit.

Body

SAD << see page 22 including protein with all meals and always at regular times. Some supplements can help the cravings for sweets or carbohydrates that accompany SAD. Supplements that support improvement in SAD symptoms may include 5-HTP or L-tryptophan as well as St. John’s Wort for serotonin support. Vitamin D at optimal individualized doses supports an elevation of mood and potential decrease in aches and pains. B vitamins, Vitamin C and many herbs can support energy and adrenal gland function which helps regulate the sleep/wake cycle. Essential fatty acids such as fish oil are supportive for mood health and have anti-inflammatory effects which may also help the aches and pains associated with the syndrome. Other supplemental nutrients and herbs also may be helpful but are too extensive to address here. While SAD is a real and troublesome and sometimes debilitating syndrome, it is also important to note that there is a natural rhythm that our bodies are designed to follow with the seasons. Modern times do not allow for us to decrease our work hours and get more rest. Wintertime is a hibernation time for most mammals and we are not much different. It is sometimes helpful for sufferers of SAD to realize that their symptoms may be a normal response to the changes in light and temperature during the winter months. After all, southern states and countries close to the equator rarely experience this condition. Sometimes acceptance of the cycles of nature can help alleviate the stress experienced with the symptoms. We may be very well designed to “hibernate” more during these months, gaining a few pounds and being less active. The depression that results from this may partly be related to the guilt our culture seems to place on this hibernation-type of behavior. Seeking treatment is a very justified behavior but it is important to go easier on oneself regarding these symptoms as well, knowing that you may very well be more in tune with the cycles of nature than others and this is a positive aspect of health and wellness.

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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 FEBRUARY 2012 MHL MILWAUKEE 23

Ayurvedic Treatment TAILORED TO EACH PERSON’S CONSTITUTION

Treatment Ayurvedic treatment is tailored to each person’s constitution. Practitioners expect patients to be active participants because many Ayurvedic treatments require changes in diet, lifestyle, and habits. The patient’s dosha balance. Ayurvedic practitioners first determine the patient’s primary dosha and the balance among the three doshas by: Asking about diet, behavior, lifestyle practices, recent illnesses (including reasons and symptoms), and resilience (ability to recover quickly from illness or setbacks) Observing such physical characteristics as teeth and tongue, skin, eyes, weight, and overall appearance Checking the patient’s urine, stool, speech and voice, and pulse (each dosha is thought to make a particular kind of pulse). Treatment practices. Ayurvedic treatment goals include eliminating impurities, reducing symptoms, increasing re-

24 MHL MILWAUKEE FEBRUARY 2012

sistance to disease, and reducing worry and increasing harmony in the patient’s life. The practitioner uses a variety of methods to achieve these goals: Eliminating impurities. A process called panchakarma is intended to cleanse the body by eliminating ama. Ama is described as an undigested food that sticks to tissues, interferes with normal functioning of the body, and leads to disease. Panchakarma focuses on eliminating ama through the digestive tract and the respiratory system. Enemas, massage, medical oils administered in a nasal spray, and other methods may be used. Reducing symptoms. The practitioner may suggest various options, including physical exercises, stretching, breathing exercises, meditationA conscious mental process using certain techniques—such as focusing attention or maintaining a specific posture—to suspend the stream of thoughts and relax the body and mind., massage, lying in the sun, and changing the diet. The patient may take certain

herbs—often with honey, to make them easier to digest. Sometimes diets are restricted to certain foods. Very small amounts of metal and mineral preparations, such as gold or iron, also may be given. Increasing resistance to disease. The practitioner may combine several herbs, proteins, minerals, and vitamins in tonics to improve digestion and increase appetite and immunity. These tonics are based on formulas from ancient texts. Reducing worry and increasing harmony. Ayurvedic medicine emphasizes mental nurturing and spiritual healing. Practitioners may recommend avoiding situations that cause worry and using techniques that promote release of negative emotions. Use of plants. Ayurvedic treatments rely heavily on herbs and other plants— including oils and common spices. Currently, more than 600 herbal formulas and 250 single plant drugs are included in the “pharmacy” of Ayurvedic treatTREATMENT>>page 25

TREATMENT<<page 24

homeopathy

ments. Historically, Ayurvedic medicine has grouped plant compounds into categories according to their effects (for example, healing, promoting vitality, or relieving pain). The compounds are described in texts issued by national medical agencies in India. Sometimes, botanicals are mixed with metals or other naturally occurring substances to make formulas prepared according to specific Ayurvedic text procedures; such preparations involve several herbs and herbal extracts and precise heat treatment.

AND MIGRAINE HEADACHES David A. Johnson, Certified Classical Homeopath Homeopathy is a 200 year old healing modality which views the person and their health concerns in totality. Rather than viewing health concerns as distinct from the person, a homeopathic practitioner seeks a holistic understanding of what is characteristic and unique about the individual and their complaints. The following lecture was delivered by Dr. W. Karo at Nottingham, England (note, Nottingham is perhaps best known for its association with Robin Hood) in November, 1942, during the height of World War II. He demonstrates an excellent example of the homeopathic principles used to cure a womanâ&#x20AC;&#x2122;s migraines, a process which is the same as those used by homeopaths today. In other words, in order to choose a well-matched homeopathic remedy for the individual, one must understand the whole person and the full range of their particular symptoms. Rather than just treating symptoms, a homeopathic remedy--derived from the plant, mineral or animal kingdoms--stimulates the personâ&#x20AC;&#x2122;s own self-healing capacities in a return to health. Dr. Karo Lecture: Mrs. E.F., 29 years of age, consulted me some years ago; she had been suffering for the last twelve years from very bad attacks of migraine. Her family history did not afford me any clue. I am mentioning it because heredity plays a great part with migraine. The pains were only on the left side. Mrs. F. had been treated by a great number of doctors during all these years. Nearly all the well-known allopathic medicines were given without any effect whatsoever. Neither could physical treatment nor treatment in various health resorts give any relief. The patient was otherwise in a good state of health. The symptom picture of the patient was as follows: A throbbing headache was always felt on the left side of the head, going from the forehead to the back of the head. Heat and cold were without any influence, but sunlight was intolerable. The patient could not wear a hat, her head being very sensitive to the slightest pressure. The attacks of the headache came rather suddenly and disappeared likewise. The patient had the sensation of an enlargement of the head and of an intense heat in it. The time of the day was without any influence. She slept well, her bowels and bladder were without any disorders, and menstruation was regular. Summarizing, it was a typical case of migraine. Let us try to find the remedy on the basis of our law, â&#x20AC;&#x153; Let like be cured by like â&#x20AC;&#x2DC;â&#x20AC;&#x2122;. Of course there are an enormous number of drugs producing such symptoms as presented in our case. But considering the special symptoms of this case, their number diminishes. According to the patientâ&#x20AC;&#x2122;s symptom picture we have to take into consideration only drugs affecting the blood vessels when tested on healthy people, either by producing relaxation or contraction. Such drugs are Belladonna, Coffea, Nux vomica, Arsenicum, Argentum nitricum, Spigelia, Iris, Sanguinaria, and Glonoinum. As the case is meant to be a test case, I refrain from giving more drugs than those chosen. Which of these drugs is the indicated remedy? To answer this question we have to consider the patientâ&#x20AC;&#x2122;s symptoms. First of all, remember that the pain is always on the left side, a very important symptom, for the homeopath sets much on the location of the pains. Pains on the left side is in the drug picture of Glonoinum, Argentum nitricum. and Spigelia. Secondly, remember that the pain is a throbbing one; this symptom is in the drug picture of Belladonna, Coffea, Glonoinum, Sanguinaria and Iris. Another symptom is that the pains start at the forehead and go to the back of the head, that they start and disappear very suddenly. This symptom is characteristic for Belladonna and Glonoinum. The sensitiveness of the patient to sunlight is in the drug picture of Glonoinum, Belladonna, Sanguinaria and Spigelia. The feeling of the enlargement of the head, finally, is in the drug picture of Glonoinum and Argentum nitricum. If you have questions about homeopathic consultations for your chronic complaints, call David Johnson, Certified Classical Homeopath at the Ommani Center for Integrative Medicine, located in Pewaukee, WI Phone: 262-695-5311. David has been in full time practice for the past fourteen years, and teaches at the Northwestern Academy of Homeopathy. Prior to his certification as a Classical Homeopath, he taught clinical medicine as a Physician Assistant and worked in conventional medicine settings for twelve years.

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5 Things

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Ayurveda is the ancient, holistic healing system from India. Literally translated, Ayurveda means the â&#x20AC;&#x153;science of life or longevityâ&#x20AC;?. The 5,000 year old system helps you not only a long life, but more importantly a long, healthy life. What can it do for you? Read onâ&#x20AC;Ś

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one

Helps you make sense of your symptoms. Ayurveda looks at symptoms as clues to where the underlying imbalances are. Although many of your symptoms are seemingly separate, they actually stem from one of three common roots or life forces which exist in the body. By seeing these connecting roots and the actions that create the symptoms, you learn how to make sense of your symptoms and what to do with them when they show up.

two

Provides natural, non-invasive solutions to address your pain and symptoms. Ayurveda is the oldest form of natural medicine and uses natural tools to create positive changes in your health and your life. As I said above, the painful and disrupting symptoms in the body and mind stem from deeper imbalances. And those imbalances are the result of choices you make on a daily balance which has led to an excess in one or more of the life forces in your body. The good news is that by adjusting those daily activities and habits, you restore balance. The natural treatment modalities Ayurveda uses include diet, herbs, colors, aromas, exercise and yoga, mind and breathing exercises, mantras, massage oils, therapeutic treatments, and lifestyle modifications. No side effects, no long-term drugs, no invasive procedures.

three

Teaches you how to age with ease so you can avoid chronic health conditions and instead enjoy optimal health. Today more than 1 out of 2 Americans has at least one diagnosed chronic health condition such high blood pressure, diabetes, heart conditions, depression, fibromyalgia, adrenal fatigue, Alzheimerâ&#x20AC;&#x2122;s disease or cognitive deterioration, and many others. These chronic conditions generally cannot be prevented by vaccines or cured by medication, nor do they just disappear. In fact, it is health damaging behaviors that are the major contributors to the leading chronic diseases. In other words, how you live makes the biggest difference. Through Ayurvedaâ&#x20AC;&#x2122;s unique energetic model, you learn how your internal biochemistry is affected by the external factors in life such as different foods, home and work environments, emotions, seasons, and stages of life. This means that not only are you able to resolve current symptoms and illnesses, but you can develop the knowledge to prevent future conditions and symptoms. Having this structure and knowledge allows you to age in a healthy, balanced manner.

four

Gives you an individual treatment to address your unique needs. Each person is unique and so are the ways that an illness or condition can present itself. Unlike traditional approaches which often treat different individuals within the same disease with basically the same approach, Ayurveda sees and treats you as an individual. No one-size-fits-all plans. Instead you receive a tailored solution to meet your specific issues, paced to suit your time frame.

five

Empowers you in health. You are on the front line of your health. It is what YOU do 24 hours a day, 7 days a week that makes a difference. I know how frustrating it is be working to be healthy and feel like youâ&#x20AC;&#x2122;re not getting there because you donâ&#x20AC;&#x2122;t have the right tools or information. Ayurveda, recognized as the oldest healing system, has time tested principles and treatments. You do not have to worry about constantly changing messages on food, exercise or health that leave you feeling more confused. Instead, you can trust in the results that have been effectively shown and lived throughout the centuries all over the world. Along with supporting your current conditions, Ayurveda teaches you how to live in health in a structured, step-bystep, empowering way â&#x20AC;&#x201C; giving you the skills, knowledge and confidence to live in health. Learn more about Ayurveda at www.ayurvedawellness.org or contact Jamie Durner of Ayurveda Wellness with questions or to schedule a complimentary 15 minute consultation at jdurner@wi.rr.com. ÂŠ2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator 26 MHL MILWAUKEE FEBRUARY 2012

yoga

FOR YOUR HEALTH

People use yoga for a variety of health conditions and to achieve fitness and relaxation. It is not fully known what changes occur in the body during yoga; whether they influence health; and if so, how. There is, however, growing evidence to suggest that yoga works to enhance stress-coping mechanisms and mind-body awareness. Research is under way to find out more about yoga’s effects, and the diseases and conditions for which it may be most helpful. Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. Yoga in its full form combines physical postures, breathing exercises, meditation, and a distinct philosophy. Yoga is intended to increase relaxation and balance the mind, body, and the spirit. Early written descriptions of yoga are in Sanskrit, the classical language of India. The word “yoga” comes from the Sanskrit word yuj, which means “yoke or union.” It is believed that this describes the union between the mind and the body. The first known text, The Yoga Sutras, was written more than 2,000 years ago, although yoga may have been practiced as early as 5,000 years ago. Yoga was originally developed as a method of discipline and attitudes to help people reach spiritual enlightenment. The Sutras outline eight limbs or foundations of yoga practice that serve as spiritual guidelines: 1.yama (moral behavior) 2.niyama (healthy habits) 3.asana (physical postures) 4.pranayama (breathing exercises) 5.pratyahara (sense withdrawal) 6.dharana (concentration) 7.dhyana (contemplation) 8.samadhi (higher consciousness) The numerous schools of yoga incorporate these eight limbs in varying proportions. Hatha yoga, the most commonly practiced in the United States and Europe, emphasizes two of the eight limbs: postures (asanas) and breathing exercises (pranayama). Some of the major styles of hatha yoga include Ananda, Anusara, Ashtanga, Bikram, Iyengar, Kripalu, Kundalini, and Viniyoga.

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THE STATUS OF YOGA RESEARCH

Research suggests that yoga might: > Improve mood and sense of well-being > Counteract stress > Reduce heart rate and blood pressure > Increase lung capacity > Improve muscle relaxation and body composition > Help with conditions such as anxiety, depression, and insomnia > Improve overall physical fitness, strength, and flexibility > Positively affect levels of certain brain or blood chemicals. More well-designed studies are needed before definitive conclusions can be drawn about yoga’s use for specific health conditions.

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SENIOR HEALTHY AND LIVING

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28 MHL MILWAUKEE FEBRUARY 2012

Chai Point Senior Living WHAT SHOULD I LOOK FOR IN

Independent Living Facilities? What you need from independent living depends on your own unique situation. Where would you be most comfortable? Here are a few things to keep in mind: Itâ&#x20AC;&#x2122;s all about the people No matter what type of independent living facility you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people youâ&#x20AC;&#x2122;d like to know better? Are some of your favorite hobbies or activities available? Are support services timely, with staff friendly and accessible? Size and location of community There is no set size for an independent living community, so itâ&#x20AC;&#x2122;s really your preference. Do you prefer a smaller size community, or a busier place with more people and opportunities for socialization? Are you comfortable with more compact apartment-style living, or is having a detached home with easy access the ultimate goal? Be sure to visit several communities to get a sense of what is comfortable to you. Location is another consideration. Some popular retirement/independent living areas are in warmer states such as Arizona, California and Florida. However, consider carefully if you are prepared to move a considerable distance. It does mean developing a new support network if you donâ&#x20AC;&#x2122;t have family and friends close by, as well as finding new medical care. Accessibility Take a look at how accessible the community is, both inside and outside. Do you feel safe coming and going at different hours of the day? Are facilities outside of the community within walking distance, or do you need transportation like a car or cart to get around? How easy is it to get to services such as a common dining hall or recreation center? In your potential housing unit, get a feel for future adaptability. Are there any stairs inside the unit or outside? Can ramps be added if necessary? Check to see if adaptive devices like grab bars can be easily installed in bathrooms. Community Resources and Support With so much variation in services, think about which are most important to you in an independent living facility. Also, consider services that you may find useful in the future. For example, if you value exercise, consider a community with an exercise area, pool, or fitness classes. You may like cooking your meals now, but want the option for communal meals in the future. Prioritizing the services you want also helps you budget appropriately, since the more services a community offers, the higher the cost may be. Costs of Independent Living There are a range of costs associated with independent living, ranging from subsidized housing for low income to comprehensive service facilities with other options for long-term care. As you consider independent living, prepare a budget to estimate costs you feel comfortable with, taking into account other considerations such as medical bills. There are several websites in Related Links with examples on preparing a budget and making a decision thatâ&#x20AC;&#x2122;s right for you. If you are considering subsidized housing, remember that waiting lists can be quite long, often several years. You may want to begin the process as soon as possible. When considering costs, make sure you are able to comfortably handle both the initial investment and monthly fees. These could range from homeowners association fees to fees you pay for services on site. How many services are included, and how much does it cost to add on services if you need them later? If you or your spouse are relatively healthy now, but anticipate significant health problems down the line, you may want to consider a Continuing Care Retirement Facility (CCRF). These facilities offer a spectrum of care from independent living to nursing home care at the same site. These facilities normally require a one-time entrance fee and monthly service fees thereafter. Reprinted with permission from Helpguide.org ÂŠ 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org.

Exquisite views

Sophisticated entertainments

Fine kosher cuisine

Fitness room and an indoor pool

Library, bank, hair salon on premises

Art gallery

Community outings to art galleries, theater and more

Lakeside luxury at affordable prices

What are you waiting for?

1410 N. Prospect Ave., Milwaukee r XXX DIBJQPJOU PSH FEBRUARY 2012 MHL MILWAUKEE 29

FEBRUARY IS NATIONAL “SAVE YOUR VISION” MONTH

25 Signs

+ +

YOU MAY HAVE A VISION PROBLEM +

DO YOU SEE WHAT I SEE?

Most of us are born with near-perfect vision. But, that sometimes changes with disease or age. As state leaders in eye care, we help countless people each week to see like a kid again with Comprehensive Eye Exams; Diagnostic Laser Scans; and State-of-the-Art Cataract, Glaucoma, Diabetes, Macular Degeneration, Pediatric, & Laser Vision Correction Care. And, we’re affordable—accepting Medicare and most insurances. Call today and see for yourself why we are:

Trusted by more than 121,000 doctors & patients “Top Doctors”— Milwaukee Magazine

Call 414-321-7035 or visit www.eyecarespecialists.net for free brochures on any eye concern

T EYE CARE

SPECIALISTS Norman Cohen, MD Mark Freedman, MD Daniel Ferguson, MD

30 MHL MILWAUKEE FEBRUARY 2012

Robert Sucher, MD Brett Rhode, MD David Scheidt, OD

West Allis

10150 W. National Av. 414-321-7520

Wauwatosa

2323 N. Mayfair Rd. 414-258-4550

Milwaukee

735 W. Wisconsin Av. 414-298-0099

Dr. Mark Freedman, a partner at Eye Care Specialists, a leading ophthalmology practice that oversees the care of 121,000+ southeastern Wisconsin residents, notes, “Often, 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.’ “Unfortunately, whether the person is in denial, just didn’t notice, or actually has no symptoms, the outcome is just the same. The only way to prevent unnecessary vision loss is to schedule regular, comprehensive, dilated eye exams.” “There are several reasons why you need to see a professional rather than relying on your own perception. One, is because vision problems in one eye can often be masked by the ability of the other eye to compensate. And, two, changes can occur so gradually that they go unnoticed,” explains Dr. Robert Sucher, cataract surgeon and co-founder of Eye Care Specialists. “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 loss of light and color and crispness of vision has occurred until the cloudy lens (cataract) inside their eye is surgically removed and replaced with an implant.” According to Dr. David Scheidt, past president of the Milwaukee Optometric Society, “Loss of vision can have serious consequences that affect your quality of life and independence, including increased risk for falling, having a car accident, depression, isolation, etc. And, as you age, loss of vision can increase the chance you’ll need home care or nursing home placement.” Dr. Norman Cohen, an eye surgeon with 37 years of experience emphasizes, however, “Poor vision is not a fact of life as you grow older. It’s important to discover what’s behind any changes—whether it’s simply the need for a new eyeglass prescription or something more serious like the need for Avastin or laser treatment to stave 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 and following your doctor’s recommendations for any necessary medical, surgical or laser treatment.”

TAKE THE TEST: DO YOU HAVE SYMPTOMS?

As a cataract “ripens” and clouding increases, it can blur and glare vision to the point of interfering with day-to-day functioning. As macular degeneration (AMD) destroys central vision, it sometimes causes symptoms like blind spots or making straight lines appear wavy. As glaucoma steals side vision, it often progresses without noticeable signs until it has advanced so far that any loss (like a “tunneling” effect) is permanent. As diabetes causes damaging changes to the blood vessels of the retina, it may produce noticeable signs such as blurring or spots in the line of sight.

Make sure you are seeing life to the fullest. Ask yourself if you have noticed any of the following symptoms. Circle the numbers of the ones that you can answer “yes.”

1. Do you have trouble seeing, even with your eyeglasses or contact lenses (and prescription changes don’t help)?

2. Do you need more light to read or see? 3. Do you no longer feel comfortable going out walking or driving at night

because of your vision?

4. Do lights at night have a "halo" effect? 5. Did you recently fail your driver's license test? 6. Is it more difficult to read street and highway signs? 7. Do bright lights, sunlight and glare bother you? 8. Do you have trouble seeing to read newspapers, magazines, books, instructions,

recipes, and other small print?

9. Is it difficult to see to fill out forms or write checks? 10. Are crossword puzzles and playing cards hard to see? 11. Is it difficult to see signs/labels in the grocery store? 12. Are colors not as bright as they used to be? 13. Are you having trouble seeing the digital clock or channel numbers on the TV

or VCR?

14. Are the faces of people on TV harder to see? 15. Are hobbies (such as knitting, woodworking or golfing) increasingly difficult

to do because of failing vision?

16. Do you have problems seeing the food on your plate? 17. Are you having difficulty judging stairs and curbs? 18. Do you bump into things or fall because of poor sight? 19. Do you have difficulty performing daily activities, such as making meals or

doing laundry, because of your vision?

20. Does your vision inhibit your participation in activities like reading, watching TV, or going out with friends? 21. Is your distance vision getting worse, especially outside? 22. Do vertical lines (like signposts and light poles) appear wavy? 23. Have you noticed dark or blank spots in your central vision? 24. Are you not able to see as far off to the sides as you used to? 25. Do you have diabetes and your vision seems to get blurry or fluctuate?

Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center, explains, “Answering ‘yes’ to just one of these complaints MAY mean that you have a vision-threatening concern. Your next step should be to have a comprehensive dilated eye exam (which is typically covered by Medicare and/or insurance if you have one of the complaints).” Leading area eye surgeon Dr. Daniel Ferguson adds, “If your eye care specialist determines that you do have a cataract, AMD, glaucoma, diabetic eye disease, or other condition, you can plan a course of treatment to protect and preserve your precious gift of sight. But, remember, that plan can’t start until you take the first step to call and schedule a thorough eye examination.” Free Booklets & Information Eye Care Specialists ophthalmology practice is a state leader in medical, surgical and laser eye care. Their doctors are dedicated to the diagnosis and treatment of cataracts, glaucoma, diabetic eye disease, and macular degeneration; and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National Avenue. They also offer eye care information at www.eyecarespecialists.net.

FEBRUARY 2012 MHL MILWAUKEE 31

INDEPENDENT SENIOR COMMUNITY OFFERS...

Peace of Mind

32 MHL MILWAUKEE FEBRUARY 2012

When seniors move into an independent living community they usually find a lot in common with their new neighbors. The tie that binds so many of them is a phrase heard all too often. “I should have done this sooner.” When Mary Whalen’s daughter suggested that she think about moving to a senior community, her reaction was extremely normal. “I really didn’t think I needed it,” She said. “I had lots of friends and I was active. It never occurred to me.” Like many seniors, Mary would have put off the decision if it wasn’t for her daughter. “You just get comfortable in your atmosphere. If my daughter hadn’t talked to me, I wouldn’t have done anything.” Seniors often have the same reaction and wait years to make a move or don’t even begin to look into their options. Making a decision about retirement communities can be a confusing and difficult decision. However, putting it off can be a costly mistake both physically and financially. Most often a senior’s declining health thrusts families into scrambling for a solution. Parents’ fear of becoming a burden to their children and the children’s rush to find the best setting for their parents is very stressful and overwhelming for everyone. “I started thinking about what would happen if my friends move or if something happened to them,” Mary said. “I knew I shouldn’t be dependent on them or what others were doing.” She wanted to take matters into her own hands and began her search for an independent living community. The further she got in the process, the more eye opening it was for her. “I started meeting people and felt at home. I realized these people were like me. We laughed at the same things and did the same things.” Now, about a year after moving to Milwaukee Catholic Home, Mary describes her daughter’s suggestion as a blessing in disguise. “I’m still young enough to be active. I can participate in more activities, walk around the neighborhood, and go on outings.” Mary says she didn’t expect what the greatest thing moving to an independent living community brought her. Peace of mind. “I feel so safe now, which I never even realized I was feeling unsafe before the move.”

GAUGE YOUR

W E L L N E S S AGE This information is provided by : Tudor Oaks Retirement Community

There are many ways to determine your age. For most, it is simply looking at the calendar and marking it chronologically. However, not everyone ages in the same way. Age depends on more than just how many birthdays you mark. True age depends on your attitude, sense of purpose, activity level, eating and sleeping habits and much more. Medical science is now using lifestyle habits and other biomarkers to measure one’s age. To help you determine your “wellness age”, here are 10 markers:

BE PHYSICALLY ACTIVE: People who exercise moderately for 2030 minutes daily improve their wellness age by 3-6 years.

BE SMOKE AND TOBACCO FREE: Smoking and using other tobacco products can reduce your wellness age 36 years. Nicotine damages the epithelial lining of your arteries and carbon monoxide in smoke suffocates the cells and cause premature cellular death.

IMPROVE BONE DENSITY: Increasing the strength of your bones adds 2-3 years to your wellness. Participating in walking, running, lifting, and other weight bearing activities helps bones absorb more calcium and other vital bone-building nutrients thereby strengthening your bones.

As people age chronologically, body fat levels increase as much as 5% per decade. Accumulating extra fat especially around the mid-section disrupts the hormonal balance and ages the cells more rapidly. Carrying 5-10 extra pounds can reduce your wellness age by 2-3 years. An extra 30- 50 pounds can reduce as much as 6-8 from your wellness age.

Elevated fasting blood sugar levels greater than 110 ml/dl can reduce 3-4 years from your wellness age. Increased fasting blood sugar levels indicate the breakdown of the insulin sugar system which affects every other biological system in the body. Your goal is to strive for between a 70-90 fasting blood sugar level without medication. Exercise, healthy eating and embracing effective stress management are the best ways to improve blood sugar tolerance

REDUCE BODY FAT LEVELS AND STAY LEAN:

IMPROVE CHOLESTEROL RATIO:

Having plenty of whole grains, fruits and vegetables, and refraining from animal products greatly improves LDL levels. Moderate physical exercise is the best way to improve HDL levels.

IMPROVE BLOOD PRESSURE: Having a blood pressure of less than 120 over 80 without medication can add 4 to 5 years to your wellness age.

HAVE A HEALTHY BLOOD SUGAR TOLERANCE:

GET AT LEAST 7 HOURS OF SLEEP A NIGHT: Get at least 7 hours of sleep a night: Add 5-8 years to your wellness age by going to bed and getting up at the same time every day and achieving 7 or more hours of sleep. Optimal sleep allows the body and mind to rejuvenate and regenerate. On of the quickest ways to age your body is to short change your sleep. WELL >>page 47

FEBRUARY 2012 MHL MILWAUKEE 33

SAVING FOR RETIREMENT:

What Do You Know?

1/2 healthwise ad for clement manor:Layout 5

3/30/11

2:03 PM

Page 1

These stories highlight some of the challenges to saving for retirement faced by people in their 40s, 50s, and early 60s and offer suggestions for increasing retirement saving. This summary highlights steps you can take that might help make your retirement vision a reality. •Start now. It’s never too early or too late to start setting aside money for your retirement. The younger you are when you begin, the more time you have to save and the more your money can grow over time. Time can also provide a cushion that might help your savings to recover from dips in the investment markets (like stocks and mutual funds), which occur from time to time. •Take part in the retirement plan at work. Sign up for your employer’s retirement plan as soon as possible. More and more employers are automatically enrolling workers in their 401(k) plans unless the worker makes a clear choice not to sign up (sometimes called “opting out”). If possible, put in the maximum allowed each year—or as close as you can get. Your employer might also match part of your contributions. Try to take advantage of these matching contributions. Ask your Personnel or HR (Human Resources) representative how your company’s plan works. Also, talk with the professionals who manage your firm’s 401(k) for advice. If your employer doesn’t offer a retirement plan, ask if the organization can start one. •Make the most of your other retirement-saving options. Consider putting money in more than one retirement-saving plan. That is especially important if your employer doesn’t offer one. Some kinds of plans could help you to save, and some can help to lower or defer (put off) your taxes. For example, you might contribute regularly to an individual retirement account or IRA, which you can open at a bank or through a broker or mutual fund. One type of IRA, a Roth IRA, allows you, the investor, to earn dividends (income) tax-free, with some restrictions, and to withdraw the money during retirement without paying Federal income taxes. You might set up an annuity (a contract between you and an insurance company). An

Bridge Way: Transitional Care at Clement Manor “A bridge between hospital and home”

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 34 MHL MILWAUKEE FEBRUARY 2012

annuity pays you income on a regular schedule, such as monthly, quarterly, or yearly, after a certain age. •Figure out how much you’ll need. If you’re like the average person, you’ll probably need at least 70 percent of your annual pre-retirement income to maintain your standard of living after you retire, possibly more. Resources are available to help you calculate what you might need. For example, one useful online tool, www.choosetosave.org/ballpark, will help you estimate how much you’ll need. The introduction and FAQs on that website can help you get started. Other calculators to help you plan can be found at www.choosetosave.org/calculators. Remember to plan for health care and other costs, which likely will go up in the years to come, as well as for unexpected expenses or changes in the economy. •Set specific goals. Plan to save a certain amount—even if it’s small—each week or month. For example, you might set a goal to invest at least $250 a month in your employer-sponsored retirement plan, or you might put $25 a week into another savings plan. •Keep an eye on your investments. Get to know how your retirement plans work, how your money is invested, and what fees are charged. Review your investments at least once a year. Remember that it’s best to think about your investments over time, rather than reacting to ups and downs in investment markets. As you near retirement, you might also consider shifting your money from more risky investments like stocks to usually less risky investments like bonds. A bond is less risky because it is like an IOU, but it does carry some risk. You give money to a government or company, and they promise to pay it back with interest after a certain number of years. You may also have heard about target-date funds, also known as life-cycle accounts, available in some 401(k) plans. These plans automatically shift your investments based on the date you expect to start using your retirement funds. They may not be for everyone. Information about different types of investments is available on the Securities and Exchange Commission website at www.sec.gov/investor/pubs/begininvest.htm. •Find ways to save more. Try to find a few ways to lower your weekly or monthly expenses. Can you reduce your cell phone costs or other monthly expenses? Bring your lunch to work instead of eating out every day? Carpool so commuting costs less? Saving this “found” money can help you build your retirement nest egg over time. Some people find it helpful to put a part of any salary increase directly into their retirement-saving plan. •Be realistic. Make a plan at which you can succeed. Start by saving an amount of money you are comfortable with. It’s better to have realistic goals—even if they’re smaller than you’d hope—than to set goals you can’t reach and later give up. •Be wary of investing too much in one company’s stock. Put your money in different kinds of investments (such as American stocks, international stocks, bonds, or real estate) and avoid putting too much of your money in the stock of any one fund or company, including the company you work for. If your employer invests matching retirement money in company stock, think about moving some of that money to other kinds of investments, if possible. •Look ahead. If you retire early and receive reduced Social Security benefits, be aware that there are other possible consequences. For example, if you are married, survivor benefits for your spouse also will be reduced if you began receiving Social Security benefits early. Also, consider buying long-term care insurance or other forms of coverage for uncovered medical expenses. •Be prepared for change. A sudden change in health, the death of your spouse, divorce, a stock market decline, or a job layoff could dramatically affect your household’s financial picture. Whether you’re close to retirement or not, having enough savings available can help you and your family weather these unexpected changes. Try hard to avoid using your retirement savings or permanently withdrawing money from your retirement accounts before you retire, unless absolutely needed. •Consider working past retirement age. Americans are living longer, healthier lives than their parents or grandparents. Working a little longer than you had planned before retiring can help add to your retirement savings. It also means you will have fewer years in retirement to dip into those savings. Experts suggest that working 5 more years makes your annual retirement income larger, giving you more to spend when you retire. Or, you might find that a part-time job before retirement provides enough to support your present needs so that you don’t have to use your savings.

www.modernhealthandliving.com FEBRUARY 2012 MHL MILWAUKEE 35

COPD << page 14 Corticosteroids can be added to bronchodilators to reduce inflammation. Antibiotics. Doctors generally use antibiotics to fight respiratory infections. But now, a promising study funded by the NHLBI shows that long-term daily doses of the antibiotic azithromycin can help reduce flare-ups in people with moderate to severe COPD and improve quality of life after one year of treatment. Other drugs. Your doctor may suggest you use an expectorant such as guaifenesin (Robitussin, Mucinex) or a mucus-clearance device to loosen phlegm. Pulmonary rehabilitation. Pulmonary rehab can help you breathe more easily and improve your well-being. Rehab can include breathing strategies, exercise, nutrition advice and counseling. Supplemental oxygen therapy. Your blood oxygen levels may become too low for you to function properly. Wearing a nose tube or a face mask hooked up to a canister can provide the oxygen your body needs. You can also get a portable oxygen unit that fits into a backpack. Surgery. As a last resort, your doctor may suggest lung volume reduction therapyâ&#x20AC;&#x201D;the removal of abnormal areas of lungâ&#x20AC;&#x201D;but thereâ&#x20AC;&#x2122;s no guarantee it improves symptoms, and it can sometimes make COPD worse. A lung transplant is an option that may improve symptoms as well as prolong life for very severe COPD. The bottom line: Know whether youâ&#x20AC;&#x2122;re at risk for COPD and learn to recognize its symptoms. That way you can be treated right away and learn to manage your condition. If you smoke and donâ&#x20AC;&#x2122;t yet have symptoms, quit while youâ&#x20AC;&#x2122;re ahead. Reprinted permission of the Johns Hopkins Medical Letter Health After 50, copyright MedLetter Associates, 2012. To order a one-year subscription, call

Be Informed. Be Smart. Be Secure.

MAKING THE RIGHT DECISIONS ABOUT YOUR FINACIAL SECURITY IN RETIREMENT

Planning for retirement requires making some decisions you havenâ&#x20AC;&#x2122;t had to make at any other point in your life. Decisions about you lifestyle, housing situation, finances and your life and health insurance needs. Each decision you make during your transition to retirement will have a dramatic impact on your life for years to come. An insurance service can help you make the right decisions about your life and health insurance needs for your retirement years. Be Informed. No one can predict the future, but if you fail to get the information you need to plan a secure retirement life could be difficult. Getting expert advice is critical to protecting all you have worked for. Agencies specialize in assisting individuals in evaluating the risks they face as a result of disability, illness and death. Based upon a personalized analysis, your representative will present options and strategies for enhancing your financial security. Working with an insurance representative will give you: *Gain a clear insight into how well your current insurance program protects you, including what Medicare covers and what it does not cover *Understand the risks you face as well as the options available to increase your financial security *Define your priorities and choose from a brad array of products that best meet your needs. TRUE OR FALSE: Medicare Advantage and Medicare supplement Plans provide the same financial protection. False. Medicare Advantage plans often feature a low monthly premium, but you incur out-of-pocket expenses for doctor visits and medical procedures. Medicare supplement plans generally feature higher premiums but the expenses for deductibles and coinsurance are often covered. A No-Cost Option Isnâ&#x20AC;&#x2122;t Always the Right Decision Like a lot of people their age, an Iowa couple had their fair share of doctorâ&#x20AC;&#x2122;s visits. Their Medicare supplement plan paid all the bills and the each paid a little over $150 a month for the coverage. But when they were approached about a Medicare Advantage plan that did not have a monthly fee, they jumped at the opportunity to save money. We can help! We offer a FREE, no-obligation needs analysis As your local agent, I am happy What they did not realize was designed to protect all of your assets! Asset protection such as: toAsdiscuss youragency, benefits, and your local wecosts are happy that, as a couple, the new plan limitations thebenefits, plans I represent. to discussofyour costs and would cost them nearly $10,000 a s -EDICARE SUPPLEMENT s ,ONG TERM CARE and of thea plans wefit represent. year in co-pays and co-insurance, We limitations can customize plan to your plus additional out-of-pocket cost We can customize a plan to fit your specific needs! s 3HORT TERM CONVALESCENT s ,IFE )NSURANCE for some of their prescriptions! specific needs. As recalled by Joe and Ruthanne s 3HORT TERM HEALTH s #RITICAL #ARE Heintz of West Des Moines, Iowa. s !NNUITIES FOR ASSET GROWTH s $ENTAL Be Smart. American Republic Understanding the nature and Not connected with or endorsed by the United States government or the Federal scope of the unique risks you face Medicare program. Insurance Company 1RW DOO EHQHĂ&#x20AC;WV PD\ EH DYDLODEOH LQ \RXU VWDWH &RYHUDJH DYDLODEOH WR TXDOLĂ&#x20AC;HG 0HGLFDUH in retirement is the first step in EHQHĂ&#x20AC;FLDULHV XQGHU DJH planning a secure retirement. The Local Phone XXX-XXXX Local Phone 262-523-1440 1RW DOO SURGXFWV XQGHUZULWWHQ E\ $PHULFDQ 5HSXEOLF ,QVXUDQFH &RPSDQ\ next step is identifying the range 7KLV LV D VROLFLWDWLRQ RI LQVXUDQFH DQG DQ DJHQW PD\ FRQWDFW \RX Toll Free 877-647-6449 of product solutions that best suit Toll Free 1-8XX-XXX-XXXX $ $& (QGRUVHPHQWV 5 $& 5 $& 5 $& 5 $& 5 $& your needs. Â&#x2039; $PHULFDQ 5HSXEOLF ,QVXUDQFH &RPSDQ\ 'HV 0RLQHV ,$ There are virtually and endless

Retired or Retiring and Need Insurance Products to Fit Your Needs?

Agent Name

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36 MHL MILWAUKEE FEBRUARY 2012

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number of complex product variations available, so choosing the right one(s) can be a challenging task. You can simplify the task by working with an insurance representative. Insurance representatives are helping individuals understand the life and health insurance needs of retirees. They are experienced in the range of products available, and familiar with the complex features which make each product unique. Because they represent multiple companies, they can recommend product solutions that are best tailored to your unique situation. TRUE OR FALSE: Long-term care insurance is expensive. False. Choosing the right daily benefit and benefit period can help reduce longterm care premiums to fit your budget. If you believe it fits your needs, another option would be to purchase short-term convalescent care insurance. Making The Right Decision Based On The Right Information. Having just watched a friend exhaust her retirement savings on long-term care for her husband, a woman in Colorado decided it was time to protect her savings from a similar fate. Long-term care insurance seemed like the right decision. Although she was well aware of the advantages of long-term care insurance, she had always considered it beyond her budget. After visiting with an insurance representative, she learned that simply was not the case. The representative explained there are several ways to customize long-term care policies to meet her monthly budget requirements. She adopted some of his suggestions and is now enjoying protection at monthly premium that fits her needs. This is an example for illustrative purposes, including solution s that enable you to remain in your own home while receiving care. Be Secure. If you are like many individuals nearing, or in, retirement you are bombarded by mail solicitations for Medicare related Insurance. These companies blanket thousands of individuals with the same product offering. They have not met with you and they do not understand your needs. Insurance representatives should meet with you one-to-one to understand your situation, needs and priorities. You should receive a thorough assessment of your current insurance plans and find out what programs may be best for you. TRUE OR FALSE: All insurance representatives offer the same level of service False. Not all insurance representatives take the time to fully explain their product offerings. An insurance representative should understand the value of professional service. That is demonstrated by their commitment to take time to explain all o f your options and respond to all of your questions in a timely and accurate fashion. You Get a Good Feeling Knowing You Made The Right Decision A retiree in Kansas expected his insurance agent to mail the health insurance policy he recently purchased. He was pleasantly surprised when his insurance representative scheduled and appointment to deliver the policy. During that meeting, the representative reviewed the details of the policy which reassured the retiree that the decisions he make would help protect his retirement savings. The representative also suggested some coverage’s that would be of value as the retiree’s needs change. Before he left, the representative pointed out that this would not be the last visit. He stressed how he lived in the community and was available any time to answer questions. Having access to a person, rather than an 800-number , strengthened the retiree’s belief that he made the right decision. This is an example for illustrative purposes. For more information contact American Republic Insurance at (262) 523-1440 and visit www.americanrepublic.com.

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     

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

Call for more details

414.453.1562

SERVING ALL OF WISCONSIN FEBRUARY 2012 MHL MILWAUKEE 37

staying in your home GETTING THE RIGHT HELP

You can get almost any type of help you want in your home—often for a reasonable cost. The following list includes some common things people need. You can get more information on many of these services from your local Home Care Agency, Local Area Agency on Aging, local and State offices on aging or social services, tribal organization, or nearby senior centers. Personal care. Is bathing, washing your hair, or dressing getting harder to do? Are you having trouble walking? Maybe a relative or friend could help you. Or, you could hire someone trained to help you for a short time each day or a couple hours each week to keep your safe. Homemaking. Do you need help with chores like housecleaning, grocery shopping, or laundry? Some grocery stores and drug stores will take your order over the phone and bring the items to your home. Home Care can be inexpensive and you can get all your needs done with one caregiver rather then several different people entering your home each week.

38 MHL MILWAUKEE FEBRUARY 2012

Meals. Tired of cooking, heating TV dinners or of eating alone? Maybe you could have a couple home made meals made by your own caregiver who does your laundry, cleans your bathroom all on the same visit. Sometimes meals are served at a nearby senior center, church, or synagogue. Eating out may give you a chance to visit with others and if you no longer drive, your caregiver can drive for you. Also, programs like Meals on Wheels bring hot meals into your home. Money management. Are you paying bills late or not at all because it’s tiring or hard to keep track of them? Are doctors’ bills and health insurance claim forms confusing? Ask a trusted relative to lend a hand. If that’s not possible, volunteers, financial counselors, Home Care Agencies or geriatric care managers can help. Home Health care. Do you forget to take your medicine? There are devices available to remind you when it is time to take it. Confusing with all those meds, a caregiver can oversee your meds and stabilize your health in the process. Have

you just gotten out of the hospital and still need short term assistance at home? Home Care Agencies hourly rates can be cost effective. Getting around—at home and in town. Are you having trouble walking? Think about getting an electric chair or scooter. These might be covered by Medicare. Do you need someone to go with you to the doctor or shopping? Building a relationship with your own caregiver gives you security in knowing she or he is their to help you out when you need it. Maybe a relative, friend, or neighbor would take you along when they go on errands or do yours for you. Activities and friends. Are you bored staying at home? Try visiting your local senior center. They offer a variety of activities. You might see some old friends there and meet new people too. Is it hard for you to leave your home? Maybe you would enjoy visits from someone on a regular basis. Volunteers are sometimes available to stop by or call once a week. Safety. Are you worried about crime in your neighborhood, physical abuse, or losing money as a result of a scam?

Do you live alone and are afraid of becoming sick with no one around to help? Start to build a relationship with your Home Care Agency, they will always be there for you. You might want to get an emergency alert system. You just push a special button that you wear, and emergency medical personnel are called. A monthly fee is charged. Housing. Does your home need a few changes to make it easier and safer to live in? Think about things like a ramp at the front door, grab bars in the tub or shower, nonskid floors, more comfortable handles on doors or faucets, and better insulation. Sound expensive? You might be able to get help paying for these changes. Check with your local or State Area Agencies on Aging, State housing finance agency, welfare department or community development groups. The National Institute on Aging (NIA) has its Resource Directory for Older People. Online at www.nia.nih. gov/HealthInformation or call 800-2222225. For local information contact Comfort Keepers at 414-858-9400 or go to www. comfortkeepers.com.

Focused Rehab Get Better, Get Home

When you need rehab, consider this...

Rehabilitation What kind of person would use a health and rehab center?

ehab centers provide services for a large variety of medical concerns. Common patients include those recovering from leg, back and neck injuries, joint replacement, and debilitating illnesses, such as pneumonia. Patients with neurological disorders or injuries, such as strokes, Parkinsons Disease or MS, often require a comprehensive therapy program to restore or improve function. Other common rehab needs are patients requiring treatment for complex wounds or respiratory disorders such as Chronic Obstructive Pulmonary Disorder (COPD).

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For a Personal Tour call

262-548-1400

What kind of services are typically offered?

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

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What is the typical cost?

ost private insurance companies and Medicare cover rehab therapies and services. A patient with Medicare and a secondary insurance are usually covered completely for up to 100 days, which is usually much longer than the average rehab stay. An average rehab stay is approximately 30-40 days. Medicare replacement policies will usually cover rehab services but may require a daily copay. The copay amount varies depending upon the individual policy. It is always best to contact your insurance company to determine if there is a copay and what the daily copay amount will be.

Is there a way to research different rehab facilities?

he best way to research a rehab facility is to request a facility tour. Seeing a facility firsthand is the most effective way to see if the facility will meet your particular needs. Take careful note of the facility appearance Is the facility neat and clean? Do the patients appear well groomed? Observe patient amenities such as private rooms, TV, phone, laundry services, and salon services. Ask questions regarding therapy services Is therapy offered 7 days a week or just on weekdays? Does the therapy department provide home visits to ensure a safe transition home? Inquire regarding other onsite professional services (Physiatrist for pain management, wound certified staff, and recreational activities) Observing a rehabilitation center in person is the best way to assure you are getting a quality, comprehensive rehab experience. For more information contact Waukesha Springs Health and Rehab Center at 262-548-1400.

FEBRUARY 2012 MHL MILWAUKEE 39

FINDING AND FOLLOWING

Your Formula For Healthy Aging

Myth:

You can’t teach an old dog new tricks.

Fact:

One of the more damaging myths of aging is that after a certain age, you just won’t be able to try anything new or contribute things anymore. Quite the contrary. Older adults are just as capable of learning new things, thriving in new environments, and sharing their wisdom and experience with many generations. If you believe in yourself and have confidence in yourself, you are setting up a positive environment for change no matter what your age.

40 MHL MILWAUKEE FEBRUARY 2012

Coping with change is difficult, no matter how old you are. The particular challenge for older adults is the sheer number of changes and transitions—including the loss of friends, family, your career, your health, and even your independence. It’s natural to feel those losses. But if that sense of loss is balanced with positive ingredients, you have a formula for aging well. Healthy aging means continually reinventing yourself, finding new things you enjoy, learning to adapt to change, staying physically and socially active, and feeling connected to your community and loved ones. Unfortunately, for many, aging brings anxiety and fear instead. How will I take care of myself? What if I lose my spouse? What is going to happen to my mind? However, many of these fears stem from myths about aging that are exaggerated or simply untrue. The truth is that you are stronger and more resilient than you may think. Healthy aging: Tips for coping with change As you age, there will be periods of both joy and stress. It’s important to build your resilience and find healthy ways to cope with challenges. This ability will help you make the most of the good times and keep your perspective when times are tough. Focus on the things you’re grateful for. The longer you live, the more you lose. But as you lose people and things, life becomes even more precious. When you stop taking things for granted, you appreciate and enjoy what you have even more. Acknowledge and express your feelings. You may have a hard time showing strong emotions, perhaps feeling that such a display is inappropriate and weak. But burying your feelings can lead to anger, resentment, and depression. Don’t deny what you’re going through. Find healthy ways to process your feelings, perhaps by talking with a close friend or writing in a journal. Accept the things you can’t change. Many things in life are beyond our control. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Face your limitations with dignity and a healthy dose of humor. Look for the silver lining. As the saying goes, “What doesn’t kill us makes us stronger.” When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes. Take daily action to deal with life’s challenges. When challenges seem too big to handle, sweeping them under the carpet often appears easier. But ignoring the problem doesn’t make it go away; it allows both the problem and your anxiety to build. Instead, take things one small step at a time. Even a small step can go a long way to boosting your confidence and reminding you that you are not powerless. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org.

CHOOSING THE RIGHT ASSISTED LIVING FACILITY FOR YOU There is a huge variation among assisted living facilities. While this can make the process of choosing seem daunting, the plus side is that you have a good chance of finding a facility that is perfectly suited to your preferences and needs. As you start your search, try not to get overwhelmed by all the options. Remember, amenities matter much less than the residents and staff. It’s the people that truly make any place, including an assisted living facility. You can tell a lot about a facility by the people who live and work there. You want a facility with an active social atmosphere—where the residents are friendly and the staff is caring and warm. Make sure that, overall, you feel the facility is a place where you will fit in and develop new relationships. Other things to consider when choosing an assisted living facility The most important factor when choosing an assisted living facility is that it feels friendly, safe, and comfortable to you. While the facility should be clean and well maintained, don’t place too much emphasis on surface appeal—designer furnishings, gourmet meals, and impeccable grounds. The facility you’ll be happiest at won’t necessarily be the most fancy or expensive. The bottom line is that the right facility for you is the facility where you feel most at home. Does it feel homey to you? This is a personal preference. Do you prefer a smaller, cozier environment, or would you rather be in a larger, bustling place with more activities? Is outside design, such as gardens or other greenery, important to you? Does the facility offer activities you’re interested in? Are there hobbies or activities on site, or transportation available to outside ones? Does the facility have amenities that are important to you such as a gym, recreation center, library, or a chapel? Is the food appealing to you? Do you have the option of eating in your room if you would like to? What kinds of food are served? Is it nutritious and appetizing? Are their different food options available? How are health problems handled? How does the facility handle both emergency and non-emergency problems? If you develop a medical condition, will you be able to remain at the facility? At what point would you be required to move elsewhere for medical care? Is the facility in compliance with state and local licensing requirements? Each state has different standards, so you will want to check with your local regulatory agency to make sure that the facility is licensed and in compliance. You can also check the Better Business Bureau to see if any complaints have been lodged against the facility. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org. FEBRUARY 2012 MHL MILWAUKEE 41

Winter Reflection

Paul Mamerow, P.A.-C. I was just starting seventh grade when we moved into our house on 29th Street on Milwaukee’s near south side. Our backyard had a beautiful old pine tree that shaded an old-fashioned rock garden next to the garage. My father, being a practical man, decided that the rock garden would have to go to make room for a new vegetable garden. So we spent a good part of our first summer dismantling the garden with sledgehammers and crowbars. It was slow going, but every week or so we’d load up the back of the station wagon and haul a collection the rocks and concrete chunks to a nearby trucking company that was looking to expand its parking lot. One morning, the following December, as I got up early for my morning paper route, I was surprised by what I saw out the kitchen window. Our pine tree’s boughs were laden with lovely white snow from the night before, but the tree itself was leaning precariously against the garage. In our single-minded effort to clear the rock garden out of the backyard, we had never thought what effect removing all those rocks would have on our tree. And without their steadying support, the tree slowly tipped over. Unfortunately, something like this often happens to people when they first receive the diagnosis of Parkinson disease. Understandably, many patients become anxious and discouraged about the future and commonly begin to retreat from their lives. Somehow, that deer hunting camp they’ve gone to for years in late November becomes impractical and too distant. Golf outings begin to dwindle during the summer. Lunch and card club with the girls is suddenly too difficult. After all, shuffling the cards is trickier now. And what will friends think about that tremor? Left on their own, many patients actually withdraw from the very activities and friendships that have nurtured them in the past. We see it all the time in clinic. Like that pine tree in my family’s backyard, they can eventually find themselves without the support they need. Fortunately we’ve learned to anticipate this reaction. And today, treatment of Parkinson disease doesn’t just focus on the NO ONE CAN OFFER BETTER PEDORTHIC CARE THAN NPS! motor symptoms alone. Rather, the focus QUALITY...INNOVATION...EXPERIENCE... is equally on the psychological impact of FOR MORE THAN 40 YEARS, NPS HAS BEEN DEDICATED TO PROVIDING THE HIGHEST the disease itself. Mood, as well as motor QUALITY PRESCRIPTION FOOTWEAR FOR YOU AND YOUR PATIENTS. symptoms, becomes the focus of treatment. Anti-depressant medications are someChronic Disease—Diabetes Chronic Disease—Arthritis ERVICES NCLUDE times used to help the patient maintain Congenital Conditions Muscular Sclerosis an adequate energy level and positive Cerebral Palsey Sports Injuries COMFORT SHOE outlook. Other times, mild anti-anxiety Rehabilitation Overuse A THLETIC FOOTWEAR medications help to dispel periods of Work Injury Stroke stress and reduce tremor. But oftentimes, F OOT O RTHOTICS Trauma Aging simply talking about the disease—and BRACES getting all those nameless dreads and worries out on the table—is the first and most important step. That’s why it’s important to talk . . . with your physician, of course, but also with your spouse, your friends, and your family. It’s important to recognize that Parkinson’s can exact an emotional toll as well as a physical one. And that mainNATIONAL PEDORTHIC SERVICES, INC. taining your activity level and your social MILWAUKEE AREA - 2745 W. LAYTON AVE. STE. 103, MILWAUKEE WI 53221 TEL: (414)282-8888 network can be just important as your BROOKFIELD - 2475 N. 124TH STREET, BROOKFIELD WI 53005 TEL: (262)754-2440 Parkinson medications to maintaining MADISON - 1825 S. PARK STREET, MADISON WI 53713 TEL: (608)225-3500 your long-term resiliency. It’s a thought FOND DU LAC - 885 WESTERN AVE, FOND DU LAC WI 54935 TEL: (920)907-1060 to keep in mind as we look forward to spring. 42 MHL MILWAUKEE FEBRUARY 2012

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By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI You probably already know that there was an increase in Social Security and Supplemental Security Income (SSI) monthly payments at the beginning of the year. If you receive monthly Social Security or SSI payments, you received a 3.6 percent cost-of-living adjustment beginning with your payment for the month of January 2012. For people who receive Social Security retirement benefits, there’s more good news. In addition to receiving a little more each month, you may now earn more income without offsetting your benefits because the “earnings test” numbers also have gone up. If you have reached your full retirement age (age 66 for anyone born between 1943 and 1954), the earnings test does not apply and you may earn as much money as you can without any effect on your benefits. However, if you are younger than full retirement age, collecting benefits and still working, we do offset some of your benefit amount after a certain earnings limit is met. For people under full retirement age in 2012, the annual exempt amount is $14,640, and if you do reach that limit, we withhold $1 for every $2 above that limit from your monthly benefit amount. For people who retired early, continue working and will obtain full retirement age in 2012, the annual exempt amount is $38,880 and we will withhold $1 for every $3 you earn over the limit from your monthly benefits. You can learn more about the earnings test and how benefits may be reduced by visiting our website, www.socialsecurity.gov, and searching on the topic “earnings test.” Find out what your full retirement age is at our Retirement Age page, www.socialsecurity.gov/pubs/ageincrease.htm You also may want to read our publication, How Work Affects Your Benefits. It’s available at www.socialsecurity.gov/pubs/10069.html.

Keeping Your Brain Young

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You can improve your brain function with games, exercise, good nutrition and socializing.

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Joyce Williamson, Director of Admissions and Marketing at Allis Care Center Aging leads to a certain amount of brain cell loss, which can affect the ability Respite Stays to remember. As we age, our brains produce less of certain chemicals which help the brain function to its best ability. This “slowing down” of mental function is Skilled Nursing Services normal, but it also can be countered, improving your brain’s natural function and Alzheimer’s/Dementia Care reducing memory loss. You can improve your brain function with games, exerPhysical, Occupational, and Speech Therapy Services cise, good nutrition and socializing. Making the right choices for your lifestyle www.exceptionallivingcenters.com can directly inﬂuence your brain function today and in the future. Five Healthy Tips for Keeping Your Brain Young 01 Physical Exercise A professor from the University of Illinois has conducted studies to prove people who exercise and live an active lifestyle have sharper brains then those who are inactive. These studies even showed those people who were in physical decline were able to sharpen their brain after starting an exercise program. 02 Mental Exercise Researchers encourage older adults to play bridge, We are comprehensive, continuing chess and poker. Also, crossword puzzles are a great care retirement communities that way to stimulate your brain. Try to mix up your brain exercise games by not playing the same games or puzare at the forefront of providing zles over and over again. senior health care services. No 03 Good Nutrition other retirement communities have According to the Alzheimer’s Association, a diet rich in dark vegetables and fruits and low in fat may help to the depth of on-site services or protect brain cells. A good rule of thumb for your diet is offers fun events for active seniors. making your plate as colorful as possible. 04 Laugh More Laughter has multiple beneﬁts including stress relief, lowering blood pressure and improving brain function. Laughing stimulates both sides of the brain to enhance Independent Villas learning and ease muscle tension. Rent a funny movie or stay in and watch old “I Love Lucy” re-runs. Independent Apts 05 Socialize Assisted Living Studies have shown that staying socially active with friends can improve brain function and reduce dementia. Skilled Nursing Engage with others verbally by picking up the phone and conversing for 15 minutes. Join bridge clubs, take Rehabilitation dance lessons or go to dinner with a group of friends. Ventilator Care Reference: Nellene Teubner Plouffe Anti-Aging Help for Memory from Brain Research in Hospice Care Seniors EQUAL HOUSING

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FEBRUARY 2012 MHL MILWAUKEE 45

FOR YOU AND YOUR L O V E APPLYING ONLINE FOR SOCIAL SECURITY RETIREMENTAND SPOUSE’S BENEFITS By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI We at Social Security have a romantic story we’d like to share with older couples out there who are thinking about applying for retirement benefits. There was a husband and wife getting ready to celebrate their 40th wedding anniversary. The two of them did everything together. They became friends when they were still in school. They were sweethearts before they even graduated. Their courtship lasted for years and they tied the knot at what they considered then to be the “ripe old age” of 26. When the kids were young, they enjoyed family vacations, road trips, and amusement park visits. As empty nesters, they shopped together, ate together, went to the movies together, and paid their bills together. They even began emailing their grandchildren together. So when they both reached full retirement age in the same month, we were glad they could do something else together: apply online for Social Security retirement and spouse’s benefits at www.socialsecurity.gov/applyonline. They were thrilled to learn how easy it was to file their applications from the comfort and convenience of their own home. His application for retirement benefits and her application for spouse’s benefits were both done in no time. Not having to spend time driving to their local Social Security office or waiting in line once they got there gave them more time to do other things together. Their first payments have already arrived by direct deposit. In fact, they plan to use part of their first benefit payments for a romantic getaway. So if you and your spouse are thinking about applying for benefits, why not do it together online? Applying online for retirement takes less time than a walk in the park. To apply online for Social Security benefits, visit www.socialsecurity.gov/applyonline.

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PROFESSIONAL CARE WITH A PERSONAL TOUCH

FIT << page 9

Listen to your doctor and is recommended.” She said exercising should be fun for the exerciser and that “Elite has a variety of workouts, like strength or cardio training, Zumba, that’s cardio and dance, and a lot of fun; Sculpt classes; Tred and Shed, which is great for loosing pounds.” She stressed over and over how much working out can do for people. “ Two years ago I went rafting down the Colorado river with the author of ‘Younger Next Year’, who said,” at the age of 60 you still have a third of your life left, and how do you want to live it.” Even 90 year olds, within ten weeks of weight training, can see improvement. Yuspeh said a new buzz word is ‘functional training’ which works a number of muscle groups at the same time. This deals with daily things like how to pick up your groceries on to bend down. It helps you to do things that you want to in your daily life in a correct manner and not to injure yourself. “Two of the biggest objections for joining a club are time and money,” Yuspeh pointed out, “Regarding time, are you busier than presidents Bush, Clinton, and Obama who take time to exercise. As far as money, what price is there on health? It’s cheaper to go to fitness experts than going to the doctor. We suggest people check with insurance companies if there’s any coverage for the cost of club memberships.” Yuspeh continued, “We have somebody available all the time set up his own program or hire a trainer to get started or get you going. What’s becoming more and more popular is small group training. It’s cheaper than personal training, and each person in the group gives the others a boast, so it’s like training with friends. Groups are anywhere from four to ten people depending on the class.” Even pregnant women could continue to exercise to the day of delivery. If you keep moving during the pregnancy you bounce back much quicker, and after delivery you can go back to exercising. Know how you feel and listen to your body. Elite’s playrooms are able to care for six week old babies so “mothers can have some me time to get back in shape.” Exercising also sets an example for your kids. Yuspeh commented that Elite Clubs don’t have a lot of obese kids as members “because exercise is part of their parent’s lifestyles, which is why it’s good for the entire family to join. We stress family memberships and have programs for kids as young as two or three, starting with movements, and tennis and swimming, which are lifetime sports. “ On the other end of the spectrum Yuspeh said, “.Elite has a whole group of seventy and eighty year olds who play tennis two to three times a week. Many of them also work out in between so they can keep playing tennis.” Yuspeh concluded, “Keeping active is the best way to stay strong and healthy so that you can keep doing the things you love doing.” For information on the free week in May call any Elite Club or check the website at www.Eliteclubs.com.

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WELL << page 33

PRACTIVE MEDIATION AND OTHER STRESS MANGEMENT SKILLS:

Taking time to meditate and practice mindfulness on a daily basis can add up to 8 years to your wellness age. Prayer, deep breathing, visualization and practicing faith are the best ways to combat negative stress.

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EAT 9 SERVINGS OF FRUIT AND VEGETABLES AND REDUCE REFINED CARBOHYDRATES AND ANIMAL PRODUCTS:

Eating plenty of fruits, vegetables and whole grains every day and reducing or eliminating animal products adds 4 to 6 years to your wellness age. Just by altering your diet on a small scale, you can experience modest improvements in your wellness age.

Make the decision to adjust your Wellness Age. Find a program that addresses all levels of health and then get involved. At Tudor Oaks Retirement Community the Wellness Program offers opportunities in 6 dimensions of wellness which all assist in adjusting your wellness age. For more information on the program and to learn how to become part of the class call 414-525-6500.

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