June 2012 MHL

Page 1

MHL

JUNE 2012 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Redefining Health HOW THE STATE OF THE ECONOMY IMPACTS OUR HEALTH

Healthy Skin

YOUR SKIN IS YOUR FIRST LINE OF DEFENSE

Senior

SUMMER MOVING FEATURE

ACHIEVING AND SUSTAINING A HEALTHY WEIGHT CHILDREN SUMMER SUMMER CHILDREN ACTIVITIES ACTIVITIES

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

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Editor’s Note Summer arrives this month and after a warm May I’m ready for the summer heat. Summertime weather should make it easy for you to make a few healthful changes in your life. More than ever people are becoming health conscious. Healthier options are now available in food, housing, gardening, transportation, and even clothing. I’m meeting quite a few people who have made good changes in their diets and lifestyles and only a few years ago the very same people were resisting the small changes they now embrace. Oatmeal for breakfast, whole wheat bread, less meat, taking walks instead of sitting in front of a television, complementary medicine are some topics popping up in conversations with friends and neighbors. I’m pleased to hear this because that is why we have this newspaper. We are here to help you get healthy. We carefully consider the articles we publish and we cover a variety of health related issues in an effort to help you learn about the choices you can make about your health. Thank you so much for choosing our paper. We appreciate your input as well as the contributions from our friends in the healthcare field. I hope you set aside time to participate in some healthy summer activities with your friends, family, or community. I know my family will be doing just that. Have a great June and stay healthy! -Amanda Lewis

MHL

MODERN HEALTH AND

JUNE 2012 FREE PUBLICATION

Est 1992

LIVING

Redefining Health

Healthy Skin

SUMMER MOVING FEATURE

staff

Integrative Family Medicine

Genevie L. Kocourek, M.D.

CHILDREN CHILDR EN SUMM SUMMER ER ACTIVITIES ACTIVI TIES

Board Certified - Family Medicine

A GUIDE TO HEALTHY LIVING

FOR MEN, WOME N, CHILDR EN AND SENIORS

Lewis Media Group Amanda Lewis Malberry Media Marlys Lewis Jerry Kornowski Marlys Metzger Barry Lewis

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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.

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Berkeley Wellness Letter, John Hopkins Medical Letter, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, 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

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.

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ACHIEVING AND SUSTA INING A HEALTHY WEIGHT

publishers editor graphic design advertising distribution manager travel editor founder

Renew your body, mind, and spirit.

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Body

YOUR SKIN IS YOUR FIRST LINE OF DEFENSE

Senior

MHL Staff

Mi

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June Edition 2012

HOW THE STATE OF THE ECONOMY IMPACTS OUR HEALTH

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

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

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inwellnesstoday.com –click “corporate wellness� JUNE 2012 | MHL |

BACK PAIN WHAT CAN YOU DO? It is recommended to get a back evaluation by a physical therapist who can set up an individualized program of flexibility and strengthening exercises or will help you with your postural problems that occur in daily life both at work and at home.

Back pain afflicts the young and middle-aged as well as the old. It attacks men and women in all walks of life. It even attacks the young, vigorous and physically fit athlete. Why? The cause of the majority of low back ailments is mechanical. Mechanical problems arise when there is improper postural alignment. This is due to the weakness of certain muscles while the other muscles and ligaments are in a tightened or shortened state. How does this happen? We develop poor posture habits in our daily life when standing, working, sitting or even sleeping. Other causes are lack of exercise, being overweight, and physical and mental stresses such as tension, fatigue, anxiety and depression. How can you prevent recurring back pain? It is recommended to get a back evaluation by a physical therapist who can set up an individualized program of flexibility and strengthening exercises or will help you with your postural problems that occur in daily life both at work and at home. However, for some generalized guidelines, we have supplies you with a few posture tips and lifting techniques. A majority of the injuries seen would not have occurred if people had known and adhered to the following principles:

WHEN LIFTING ALWAYS— 1. Follow the object. Do not twist your body. 2. Tense your abdominal muscles firmly throughout the life. 3. Hold the object close to your body. If you can’t apply the force close, don’t lift it. 4. Lift with legs. 5. Lift heavier objects no higher that your waist. 6. To turn with an object in hand, pivot on your feet, turning your whole body at one time. 7. Avoid repetitive lifting for long periods of time without rest breaks or changes in activity 8. Remember that these principles should be adhered to when lifting an object up and setting an object down

WHAT CAN A PHYSICAL THERAPIST DO? A physical therapist can assist a client in relieving annoying and often debilitating back pain. A physical therapist is a teacher of posture training, instructor in proper lifting techniques and strengthening and flexibility exercises. Other treatments include modalities such as moist heat, whirlpool, ultrasound, diathermy, electrical stimulation, transcutaneous electrical nerve stimulation, intermittent lumbar traction, and techniques such as massage, soft tissue mobilization, spinal manipulation, education, work & home postural training, and exercise program development.

POSTURE TIPS Poor posture is frequently a major contributing factor to low back pain. To help protect your back and give it the support it needs, follow these proper posture guidelines: 1. Stand tall with the head up, chin in and back with a normal, mild lumbar curve. 2. Avoid slouching in both standing and sitting. 3. Don’t sit for long periods of time. 4. When driving, move the car seat closer to the steering wheel to keep the knees at waist level and the back supported. 5. If standing for long periods, put on foot up on a small stool to relieve stress on the back.

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Breathing . . . It’s a good thing. Allergies • Asthma • Sinus Disease • Obstructive Lung Disease

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HEALTHY

Skin YOUR SKIN IS YOUR FIRST LINE OF DEFENSE

Dr. Marsha F. Davis Question? Do you know what the largest organ of your body is? Answer: YOUR SKIN!!!! Your skin is your first line of defense against germs in your immune system. Your skin is involved in regulating your body’s temperature. Your skin protects the fat just below the surface that is necessary for storing certain vitamins necessary for health. Did you know that you cannot live without your skin? That is why there are so many sensory cells in your body so you feel hot, cold, and pain to alert you when there is a problem. Most probably, many of you eat well and exercise to keep other parts of your body healthy, and brush your teeth to keep them healthy, right? But what do you do to keep the largest most important organ of your body healthy, your skin? Did you know if you do not take care of your skin, harmful bacteria will grow on your skin? At the very least, your skin will become damaged with large pores, poor texture, and the capillaries can start to break and your complexion can start to become ruddy or reddened. Acne can become a chronic problem, no matter what your age. At some point the damages of unhealthy skin can become irreversible. Chronic exposure to the sun is the major cause of all types of skin cancer. It can also cause those ugly spots we kindly to refer to as “maturity spots” as we age. Did you know that even the ultraviolet light that comes through windows of your house or car cause significant exposure? But it is never too late to start to care for your skin. So where does one start? First, eating a good diet of rich in fruits and vegetables is necessary to provide the nourishment the skin needs. Also drinking at least 64 ounces of WATER each day to maintain that moist, youthful skin is absolutely important. Next, a good skin care regimen for proper cleansing, moisturizing or for meeting other individualized needs is a MUST. There are so many products on the market today, it is often confusing. A Medical Aesthetician is specially trained, above that of an aesthetician in a spa or salon, in skin care treatments and products that are only available through physicians, for each individual need, to give you advice and education that you are looking for. Interestingly, these products are not more costly than other products, popular in spas, salons and department stores. Never forget that a good sunscreen with at least and EFFECTIVE SPF of 15 or more should always be apart of your daily skin regiment. The Medical Aesthetician can help you with these choices also. Of course, exercise is important for over all health, including your skin. Healthy skin reflects a healthy person, inside and out. What does your skin say about you????

Just What the Doctor Ordered

LOCAL VETERINARY CLINIC TAKES A HUMAN APPROACH TO ANIMAL CARE Deanna Majkowski It has taken centuries for human medicine to go from treating the symptoms of illnesses to treating patients like a whole person. Today patients have the benefit of having not only their physical self being considered when talking to their physicians, but also their mental state, emotional health, family history, and both social and environmental factors. Veterinary care has also undergone a huge transformation in which animals have gone from property to valued members of the family. Taking a cue from human medicine the Forest Home Animal Clinic in Franklin, WI is providing a place where our “fur children” can receive care that mirrors the whole body approach which is now available for people. Just like human medicine, at the Forest Home Animal Clinic there is a focus on early diagnosis of possibly life threatening illnesses such as diabetes, cancer, and kidney failure. Regular exams and blood tests are a must for early detection of disease. Since our four legged friends age as much as seven times faster than we do, extra exams are recommended by the doctors at this unique clinic for patients who are either younger than one year old or passed seven years of age. Annual blood tests are also strongly recommended even without any outward signs of illness. These blood values serve to show how well the body is functioning, detect silent signs of disease and give the doctors a base line for the individual patient. With the use of modern diagnostics, such as radiographs and expanded blood panels, doctors are better able to find the cause of any visible symptoms. Seeing the full picture of a patient’s health makes it possible for doctors to choose the most streamlined and noninvasive care plan. Along with annual exams and blood tests, vaccines and preventatives are necessary to keep our furry companions healthy. Akin to human medicine, vaccines are given to help prevent deadly diseases. At the Forest Home Animal Clinic, you will not find the traditional assembly line vaccine protocols. Vaccine recommendations are made based on the individual patient’s breed and life style risks. In the area of prevention veterinarians have an extra tool to help keep pets healthy. They are able to prescribe preventatives that can decrease the threat of diseases and other serious issues that result from ticks, mosquitos, and other parasites. Giving vaccines and preventatives is the best way to keep life threatening illnesses and parasites from spreading not only among other “fur kids “ but to their human families as well. Health care does not end with diagnostics and prevention. Medications and prescription diets can both be prescribe and dispensed at the Forest Home Animal Clinic to treat specific issues. At times prescription diets are also prescribed for weight loss. Keeping with a PET >> see page 39 JUNE 2012 | MHL |

Eye Care Alert:

DO YOU SEE WHAT I SEE?

FORMER RK, PRK & LASIK PATIENTS WHO DEVELOP CATARACTS NEED TO SELECT SURGEON WITH SPECIAL EXPERTISE

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

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By Cheryl L. Dejewski & Carolyn Vescio Seventeen years ago, when refractive and laser eye surgery was relatively new, Diane Prondzinski of West Allis, turned to ophthalmologist Dr. Robert Sucher, cofounder of Eye Care Specialists, for help in reducing or eliminating her dependence on the contact lenses and glasses she had been wearing for 30 years. At the time, Sucher and two of his partners, Drs. Norman Cohen and Mark Freedman, were part of a select group of surgeons across the country participating in an FDA study on the use of the excimer laser to treat nearsightedness and astigmatism with a procedure called Photorefractive Keratectomy or PRK. Prondzinski was the perfect candidate. “When I joined the study group, I was the oldest participant,” recalls Prondzinski. “I had a very high prescription (-10.00 diopters in both eyes) and needed bifocals for reading. I just never seemed to be able to get enough light. I couldn’t wear contact lenses anymore because they made my eyes red and my glasses were uncomfortably heavy. When I came to Dr. Sucher for the laser study, I was ready for it!” she exclaims. “Refractive surgery involves reshaping the cornea to improve the eye’s focusing ability and thus reduce, or in some cases eliminate, the need for glasses or contact lenses to correct nearsightedness (difficulty seeing in the distance), farsightedness (difficulty seeing objects up close), and/or astigmatism (irregular curvature of the cornea). This reshaping was originally accomplished with an incisional surgery procedure called radial keratotomy (RK) and was later replaced by laser procedures called PRK and LASIK,” explains Sucher. In late 1994 and early 1995, Prondzinski underwent PRK. “I chose to have Dr. Sucher under-correct my prescription for mono-vision so I wouldn’t need glasses for reading and I haven’t worn bifocals since—and I’ll be 66 in September! After my surgery, I’d wake up every day and say a little ‘thank you.’ It was like a miracle.” “Although laser vision correction (LVC) is most commonly performed on people in their 20s, 30s and 40s; most people past the age of 50 have successful results,” says Freedman. “Many baby boomers elect to have refractive surgery to improve their distance vision enough to reduce or eliminate the need for bifocals and thus switch to using only reading glasses. Other patients have such active lifestyles that they prefer the convenience of being less dependent upon corrective lenses.” In addition, some people choose to have LVC because of difficulty wearing contacts due to dry eye disease, arthritis, or other conditions. Over the years, Prondzinski continued to visit Eye Care Specialists and Dr. Sucher for routine eye care appointments. Then in 2007, Prondzinski was diagnosed with cataracts in both eyes, and slowly her near perfect post-PRK vision started to blur. “A cataract is a gradual, painless clouding of the eye’s natural lens located behind the pupil,” explains Dr. Norman Cohen, the first eye surgeon in Wisconsin to use ultrasonic cataract removal. “The development of cataracts is a natural aging phenomenon and is not caused by or related to previous refractive eye surgery. In fact, six out of 10 people over www.activecarerehabwi.com

age 60, and almost everyone over age 80 has a cataract.” This clouding may take years or just months to progress. As a cataract “ripens” and clouding increases, it can blur and glare vision to the point of interfering with day-to-day functioning. “What we’re seeing now in our practice is that people who had refractive and laser vision correction when they were younger, are coming to the age where they are developing cataracts,” adds Freedman. By 2010, Prondzinski decided to have the cataract in her right eye removed. “I had great faith in Dr. Sucher. The surgery seemed very straightforward, and he explained everything clearly, so I had no worries,” she explains. “At present, the only effective treatment for a cataract is to make an opening in the eye, surgically remove the cloudy lens (cataract), and replace it with a prescription intraocular lens implant (IOL) to once again focus light rays sharply onto the retina,” explains Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and a partner at Eye Care Specialists. “The decision to go ahead with surgery is based upon the patient’s candidacy in terms of whether we can reasonably expect the procedure to improve vision, and there are no underlying conditions, such as macular degeneration, that would negate the benefits. The decision also depends on how much the cataract is adversely affecting the patient’s independence, safety, task performance, and quality of life; and whether or not they want to experience improvement,” explains Rhode. “Of additional serious concern is whether the patient has had previous eye surgery, especially if it was refractive surgery.” Freedman explains, “Because refractive and laser surgery changes the shape of the cornea, advanced testing and measurements must be completed to ensure a successful cataract operation. We have to carefully examine the integrity of the cornea for being able to withstand having an opening made and ultrasound used to break up and remove the cataract. “Since the cornea has been altered to change the eye’s focusing ability, we also have to conduct special precise testing (beyond normal cataract surgery preparation) to determine the prescription power of the IOL that will be implanted,” explains past president of the Milwaukee Optometric Society Dr. David Scheidt, who assists in performing the extensive pre-operative examinations for Eye Care Specialists. He advises, “Anyone who has refractive surgery should ask for and keep a copy of their records for when they might need cataract or other eye surgery, especially since many LASIK surgeons and companies can come and go. Having a patient’s original vision measurements from before laser vision correction assists us with our calculations.” LASIK>>see page 15

JUNE 2012 | MHL |

Well-Being

JUNE 2012 | MHL |11

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Psychotherapy

By Stephanie Delmore, MA, LPC For many people, the thought of beginning psychotherapy congers up images of the satirized television psychiatrist asking the patient to “lie down on the couch and tell me about your mother”. Even my own children, when asking me about my profession, will break into giggles and ask, “Do you really say to people, ‘How does that make you feel?”. For those of you who may be interested in pursuing psychotherapy, but have a bit of anxiety about what it is all about, I would like to give you a sense of what you will experience. First of all, you call and make an appointment. Sounds simple enough, but for many people the first hurdle they must overcome is calling the office. When you call to make an appointment, the reception staff will not ask you any questions about your emotional functioning, the issues you are seeking to resolve, etc. You will simply be offered a choice of appointment times. You don’t need to talk about anything that makes you uncomfortable until we are alone in the privacy of my office. For most clients, the first appointment is a chance for you to just talk. You can talk about what’s been on your mind or what’s bothering you. You are helping me to understand what’s not working in your life and what you would like to see changed. Sometimes clients end the first session apologizing for “talking the whole time”. There is no need for apology; the purpose of that first visit is for you to emotionally dump all that stuff you have been carrying around. This can, for some people, feel pretty cathartic. If you are confused, or don’t know really where to begin the story, I will guide you in the process. You can then take a deep breath, relax and feel proud of the fact that you have taken the first step on your path towards the changes you are seeking. At the second appointment, I like to begin to understand some background to your story. We will talk a bit about your development, family history and the history of the current issues you would like to resolve. We will then begin to formulate your goals for therapy. We look at and quantify what changes you would like to see in yourself and in your life, and describe what those changes will look like. I find that we can be much more focused and targeted about creating change when we know what the goals are that we are trying to achieve. For example, a goal of “feel better” is very nebulous. How do we measure this? I would encourage you to articulate what “feel better” looks like for you. Does it mean, 1) having the energy to exercise 3x a week, 2) having 4 outings a month with friends, 3) engaging in weekly scrapbook parties that you used to love to attend 4) eating appropriate quantities at meals, etc. This picture of wellness is your personal definition. I am not here to tell you what “feels better” looks like. This is your goal. You name it and I’m here help you get there. The process of psychotherapy is about building a relationship. It’s about you telling your story and me acting as the sounding board. Sometimes the process for clients is about having a place to process their experiences and through this they are able to gain insight about themselves and the changes they need to make. For others, therapy is more like a teacher/student relationship where the client seeks to learn from the therapist. As in any relationship, the more we get to know one another, the deeper we can explore the issues. It can feel uncomfortable or scary to walk into a stranger’s office and begin to tell your “whole life story”. Thus, for some clients the unfolding of the story is a process whereby the more we get to know each other, and the more you feel safe in this therapeutic relationship, the more comfortable and able you become to talk about some of the challenges, pain, or trauma you have experienced in your life. I also feel that the process of psychotherapy should go beyond the one session a week in my office. To further the process, I typically give clients “homework” to focus on between our sessions. The pace of therapy is something that is within your control. My general recommendation for new clients is that we meet once a week for 6-8 weeks as an opportunity to get to know one another, establish goals, and feel like we are gaining some ground moving towards the changes you seek. After that point, PSYCHOTHERAPY>>see page 13

PSYCHOTHERAPY<<from page 13

ACHIEVING AND SUSTAINING A HEALTHY WEIGHT When considering the topic of healthy weight, the first thing to recognize is that excess weight is actually not the problem – although it certainly may feel that way to you – it is really a symptom. The problem is what is underneath the weight. The weight is a reflection of this underlying deeper issue and is your body’s way of communicating that there is a problem. In order to sustain the right healthy weight for you as an individual, you need to be able to answer three questions: 1. What is your individual bodytype or constitution? In Ayurveda you have a unique bio-chemistry referred to as your constitution that defines your physical structures, your personality, and your tendencies to certain illnesses or disease. Your constitution is the road map to living in health. 2. What do you need to live in balance, in terms of lifestyle and nutrition? Since each of you is unique, the types of foods you need and what tools you need for selfcare will differ. 3. What are the underlying factors in your current state of imbalance that are creating the excess weight? In order to correct the problem, you need to know what factors are involved. Ayurveda, the ancient holistic healing system from India, uses a unique wellness model that allows you answer all three of these questions and begin living in balance with your body, your food and a comfortable weight. The first step in sustaining a healthy weight is to assess the overall picture of your constitution and systems to discover where the current imbalances exist. These underlying imbalances often stem from a combination of factors including: • Lifestyle patterns that do not fit your individual bio-chemistry • An improperly functioning digestive system • Under functioning in the endocrine or glandular system • Poor eating habits including too many processed foods, eating on the run or while being distracted by television or reading, eating too much food in one sitting, drinking ice cold beverages or too many liquids in general with meals • A protective response to a deeper emotional trauma or old childhood messages • A result of having an imbalance in any of the three life forces, called doshas in Ayurveda, in the body • A counter response to build or hold on to excess weight as a way of trying to ground excess lightness or vata • Stress from the demands of our modern life • Side effects from medications • Lack of acceptance or understanding of what is a normal weight or shape for your body which can lead to yo-yo dieting or excessive dieting to attempt to hold an unsustainable weight As you begin to understand these core issues, you can begin to modify your food and lifestyle so they are in sync with your unique needs. Focusing on creating balance and addressing the underlying imbalances of the weight not only allows the weight simply to shift on its own, it also serves to release the emotional triggers and resistance that many people have around weight and diet. A simple starting point is to synchronize your eating with your appetite cues. Use the following hunger scale by trying to only eat when you are at a level 3 and stop at a level 7. Simply be aware of how it feels, how your symptoms change, and what you notice. 1. Hunger pains, almost to the point of ill 2. Very hungry 3. Definitely hungry 4. Could eat 5. No hunger awareness 6. Almost satisfied 7. Satisfied 8. Rather full 9. Uncomfortably full 10. Stuffed to point of discomfort and mild illness Learn more about transforming your weight through Ayurveda at www.ayurvedawellness.org or schedule your professional Ayurvedic assessment with Jamie Durner of Ayurveda Wellness @ 262-389-5835.

we reevaluate. Do you feel that you need to continue to meet weekly to meet your goals? Do you feel that meeting bi-weekly with homework between sessions works for you? The pace of the therapy is an on-going conversation I have with clients. I hope this gives you an understanding of the process of psychotherapy that I follow. Not all therapists approach care in the same way. It’s important that you query a therapist you’re considering and/or be prepared to ask questions during your sessions that help you determine whether the relationship is a fit for you. Research shows that successful therapy is dependent upon a good partnership between you and your therapist. If your connection doesn’t make you feel safe, supported and heard, discuss it with your therapist. If that doesn’t help, seek care elsewhere. Stephanie is available to speak with clients for a complimentary telephone consultation if they have questions about working with her. Clients may reach her at the The Ommani Center for Integrative Medicine, Phone (262) 695-5311 or stephaniedelmore@netzero.net. www.ommanicenter.com

JUNE 2012 | MHL |13

Afraid of Going to the Doctor? “Can my anxiety and worry really spike my blood pressure when I am having it checked?” I get this question all the time so if you have wondered about it yourself, you are not alone! This is such a common occurrence that there’s a name for the condition. White Coat Syndrome includes many health care anxieties: fear of doctors and doctor’s offices, fear of having blood pressure taken, fear of needles or blood, fear of hospitals, and fear of any preventative/diagnostic testing. Underlying these fears we often find nervousness or discomfort about painful procedures, fear of the unknown, fear of being vulnerable, discomfort about being naked and/or being touched, or fear of being lectured or made to feel stupid. Avoidance of doctor appointments or medical procedures is the most common sign of this fear.

Your Thoughts Affect Your Blood Pressure

White Coat Syndrome may be most evident in your blood pressure reading. As many as 20% of Americans suffer from White Coat Syndrome, in which blood pressure surges when taken in the doctor’s office. I work with many clients who take their blood pressure at home and regularly find that it is significantly higher when taken at the doctor’s office. How can this be? Your brain and body are hard wired to protect you from danger. Worrying about going to the doctor indeed causes your brain to go on high alert watching for danger. This is part of the “fight or flight” response. When the brain kicks off that worry, a natural physiological reaction occurs as adrenaline, cortisol and other stress chemicals are released into the body. The presence of excess stress chemicals can cause elevated blood pressure, heart palpitations, sweating, chills or flush, tingling and other real physiological responses. So it is very true that worrying about your blood pressure reading can, in fact, cause a higher reading.

Fear of Bad News

Fear in a health care setting is perfectly normal since many of us associate doctors and hospitals with illness and death. Many people face the double whammy of conflicting emotions regarding health care fears. First, there’s fear of the exam or procedure itself. On the other hand, there’s also fear of the consequences of NOT going in for checkups or NOT having something checked out. Nobody wants to hear bad news from a doctor. The most common anxiety underlying White Coat Syndrome is the fear of a bad diagnosis. There’s also fear about being given lifestyle restrictions such as changes to eating, drinking, smoking or exercising.

Overcoming White Coat Syndrome

There are many proven methods for relieving health care anxieties. Here are some tips: 1. Name the worry. People often aren’t sure what they’re really anxious about. Identifying the specific worry is the first step to diffusing the power it has over you. 2. Face the worry. Dealing directly with fears and anxieties is what works to let them go. Avoidance only perpetuates the worry. 3. Try Cognitive Behavioral Therapy (CBT). This form of therapy done oneon-one with a counselor helps you name the worries and face them. CBT has been shown to be very effective is overcoming anxieties. It helps you shift your thoughts and reframe your state of mind to see things more rationally. It also teaches new coping techniques. This can prevent the physiological chain of events that causes higher blood pressure readings in the doctor’s office. 14 | MHL | JUNE 2012

4. Learn new calming techniques. You want tools to relax the central nervous system as you prepare for and attend appointments. I teach my clients techniques such as Mindful Belly Breathing, Progressive Muscle Relaxation, and Calm Mind Meditation, all of which are also found on my CD titled “Less Stress Now� (see my website for more about this CD). 5. Ask direct questions. Patients can feel more relaxed when they know what to expect. Even if the doctor is in a hurry, you deserve to have all your questions answered so be honest and don’t be intimidated. 6. Take someone with you. You can ask someone to go along and sit with you in the exam room. The presence of a trusted friend or family member can help you stay calmer and think more clearly. They can also be enlisted to help ask questions. 7. Consider seeking a new health care practitioner. If you don’t feel comfortable with your doctor, you might want to find a new provider who creates a more calm and trusting environment. You deserve someone who spends time with you, answers all your questions, and makes you feel like he or she really cares about your well-being. 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.

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LASIK<<from page 9 Dr. Daniel Ferguson, a partner at Eye Care Specialists who routinely performs cataract surgery, adds, “We are extremely familiar with both the psychological expectations and physical limitations involving patients who have had laser vision correction. As a result of our experience and reputation, we’re seeing not only our own patients, but people who had their laser surgery done elsewhere and now need cataract surgery. Many people say that they come to us, not just because of our credentials, but because our doctors and staff give them the time and answers they deserve.� Prondzinski hopes to put other people at ease with her story. “With both surgeries, the PRK and the cataract, I had no problems, no pain, no nothing! I look forward to having my left eye’s cataract surgery later this year,� she states. That’s not all Prondzinski is looking forward to seeing happen. This fall, she will be retiring from her job at the Office of Student Life at MATC and is going on a dream trip with a friend to Paris. “I also have two young grandchildren and keep busy and active all the time—travelling, reading and walking. I just went on a four-mile walk this morning!� she happily notes. The physicians quoted in this article are partners at Eye Care Specialists, SC., one of Wisconsin’s leading ophthalmology practices. Since 1985, they have provided comprehensive medical, surgical and laser care for virtually every eye condition to more than 121,000 people at offices in on 102nd & National in West Allis, Mayfair Road in Wauwatosa, and 7th & Wisconsin in downtown Milwaukee. They have served as investigators in FDA clinical studies of laser vision correction and are listed in Milwaukee Magazine’s “Top Doctors.� Call 414-321-EYES (3937) and mention this article for a free copy of their educational booklets on laser vision correction and/or cataracts, or to schedule an appointment. They also offer detailed information on this and other eye conditions at www.eyecarespecialists.net ***

JUNE 2012 | MHL |15

Enhance your life, your health and your well-being Call 262-720-7111 for your FREE initial consultation

www.360five.com

Redefining Health By Kalpana (Rose) M. Kumar, M.D. Why does a downturn in the economy cause us stress? How can we protect ourselves from being negatively affected by these changing times? As a physician, I have witnessed the impact of the state of the economy on the health of my patients. In our society, we identify our well-being with the amount of money we have. Money is equated to abundance. It is our reward for hard work and we have made it a goal that defines our success. When a society is defined by money, it becomes a core value that drives society’s behavior. The fear of scarcity becomes a symptom of this value. In order to compensate for scarcity, people shop to collect material goods. It gives them the illusion of ‘abundance’. Shopping becomes their medicine. This creates more stress. When people feel financially restricted, they shop for discounts. They support large corporations at the cost of small businesses. In an effort to save money by eating cheap, processed food, they support the corporate food industry at the cost of local farmers. These foods add to illness. This pattern has perpetuated stress at all levels in our society and the world at large. Large corporations engage in unsustainable practices to manufacture and sell goods on a large scale. Labor is outsourced as it is less expensive overseas. The purpose of this is to generate more profit. This furthers economic stress by transferring jobs away from our country. By allowing our scarcity consciousness to motivate our spending choices, we become a part of this problem rather than the solution. We need to support practices that foster our health, the health of our economy and the environment. This awareness is the first step in our recovery. It may seem small, but can have a significant impact on the whole. We must reevaluate our definitions of abundance and scarcity and view them from a larger context. We must bring consciousness to our spending choices. We must support practices that are in alignment with wholeness. We have assigned a greater value to money than to qualities of the Feminine Principle such as connection, collaboration and sustainability. This has decreased our value of process and increased our value of product. Many people in our society do not want to know the true cost of how products are made and what practices are utilized to produce them. We need to become mindful of the planetary and humanistic costs of what our money supports. Unless we have the courage and maturity to reframe our context to a larger one, we will not be able to heal the symptoms that are making our country sick. At this time in our history, we are being asked to redefine what we value and need to place a greater value on meaning over money. It requires us to simplify our lives and assign more value to elements of the Feminine Principle. This context can heal our scarcity driven society and restore our feeling of abundance. It can heal our current lack of meaning and restore our health. From this context we are also protected from the stress of the economy. We become part of the solution as we commit ourselves to our health and well-being at all levels. We become role models for others. Making conscious choices that support personal and planetary health increases our resilience. It also protects us from the damage that stress can have on our bodies and minds. If we choose to live simply and sustainably we become part of the solution. We need to decrease the value that we assign to money and materialism and assign it to health and meaning. We need to leave the earth better than we found it. We need to be the change that we want to see. We must consider this our sacred task. Kalpana (Rose) M. Kumar M.D., CEO and Medical Director of The Ommani Center for Integrative Medicine Pewaukee, WI, www.ommanicenter.com Author of Becoming Real: Harnessing the Power of Menopause for Health and Success.2011, Medial Press.

16 | MHL | JUNE 2012

Children’s Health and Living

2012

Summer fun is just around the corner at Elite Sports Clubs!

Tennis Swimm ing Karate Arts & Crafts Games & Sports Field Trips

EliteClubs.com/summer 13825 W. Burleigh Rd. Brookfield, WI. (262) 786-0880 11616 N. Port Washington Rd. Mequon, WI. (262) 241-4250 JUNE 2012 | MHL |17

ANNOUNCING

CHILDREN SUMMER ACTIVITIES

July 2012 Tamarack Waldorf Summer Camp

1 week classes featuring the following topics:

Handwork, Gardening, Cooking, Dance, Drama and Theater Games, Watercolor and Collage, Taste of a Waldorf Kindergarten, Doll Making

Summer Camp!

and more!

Register today! Visit our website for complete camp descriptions and more information!

Educating the whole child:

LaFleur

Head, Heart & Hands Tamarack Waldorf School

1150 E. Brady Street

Gymnastics!

Milwaukee, WI 53202

414.277.0009

www.tamarackwaldorf.org

N84 W13480 Leon Road Menomonee Falls 262-255-9700 www.lafleurgym.com We know it’s a rough and tumble world. Greg LaFleuer has made it his job to prepare kids to meet the physical demands of the world –that training literally includes tumbling, vaulting and more. Since 1986, LaFleur has owned and operated LaFleur’s Academy of Gymnastics. The academy, offers a variety of programs for kids from as young as 1 ½ years old through their high school years. The majority of youngsters taking part in the gymnastics, LaFleur’s fall into the 5-9 year old category. There are a number of attractions for participants to the gymnastics program. The first is simply the enjoyment of gymnastics.

Art Classes!

ARTISTANDDISPLAY 9015 W Burleigh St Milwaukee, WI 53222 414-442-9100 Art Classes for ages 8-13 after school week long summer classes.

Theater Academy!

First Stage Children’s Theater www.firststage.org 325 West Walnut Street Milwaukee, WI 53212 (414) 267-2929 First Stage, based in Milwaukee, Wisconsin, provides exceptional experiences for young people and their families, and a arts-in-residence resource for schools.

Tamarack Waldorf School info@tamarackwaldorf.org 414-277-0009 Tamarack Waldorf School is offering a three-week summer camp in July for K4Grade 8 children. Sessions are one week long. Registration deadline is June 8th, with possible late registration after that date. The choices include: • Gardening, cooking • Knitting, felting • Doll-making • Watercolor painting • Music • Theater, creative writing • Capoeira Dance • Kindergarten experience This camp is open to the public and to those wishing to explore Waldorf education.

Summer Learning!

The Goddard School 355 Intertech Drive, Brookfield, WI 262.781.1400 The Goddard School offers the foundation to encourage your child’s lifelong love of learning. In our warm, loving atmosphere caring teachers support the healthy development of your child from six weeks to six years old. Our year round program offers your family the choice of either a half- or fullday schedule. Whether gently holding your infant, encouraging your toddler to share, or providing your preschooler with a wide range of enriching activities, our teachers understand your child’s needs. Goddard Developmental

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CLASSES START

JUNE 18TH, 2012

The largest theater arts training program for young people ages 5 through 18 in the nation!

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Outdoor Play! By Step2 It used to be that when the weather turned nice, you’d see all the neighborhood kids playing outside. They’d be jumping rope, riding bikes, kicking balls, and flying kites. They’d be hopping, skipping, running, leaping, and sliding. Everyone was happy and the world seemed right. Today, you’ll still see kids playing on nice days. But unfortunately, most of them will probably be indoors — “playing” on their computers, TVs, and handheld game consoles. Sheesh! What’s this world coming to? It’s finally time for parents to realize just how important it is for their kids to get fresh air and sunshine during outdoor play. Specific health benefits include: •Increased oxygen levels. The efficiency of almost all our body systems depends on high oxygen levels, which have also been linked to lower cancer risk. That’s precisely why fresh air is key. •Vitamin D absorption. Sunlight produces vitamin D, which encourages the absorption of calcium, which kids’ bodies need to develop strong bones and teeth. (Rickets is an example of extreme vitamin D deficiency in children.) Just be sure to apply adequate sunscreen protection. •Reduced vulnerability to infections. Fresh air and exercise help stave off infections, colds, and the flu by strengthening the immune system and by enabling the infectious agents to spread out and be dissipated. •Increased fitness. American children are becoming increasingly obese, caused in large part to a sedentary lifestyle. Counter this alarming epidemic by getting your kids to exercise in fresh air to increase both their physical activity and their cardiovascular endurance. Doctors suggest an hour of play a day in an effort to ward off childhood obesity and diabetes. •Reduced stress. Playing outside and connecting with nature helps to reduce worries, depression, and hyperactivity. Fresh air indisputably provides an important component to soothing, mind-body wellness. •Better breathing. Regular exercise in fresh air helps increase lung capacity, improve respiratory efficiency, and provide cleaner air for your children’s lungs. Other benefits include improved breathing technique, which in turn causes better stamina and increased energy. •Improved eyesight. Recent studies have found that children who play outdoors are less likely to be nearsighted or need eyeglasses. •A longer lifespan. The alarming fact is that doctors now estimate sedentary and obese children will lose 3-5 years from their life expectancy. Ensure that your children will grow to become healthy adults by getting them out to play now as children.

Editor’s Pick! Rainbow Play Systems invites you to come play on our swing sets So your family wants a swing set. Before we go any further, we need to clear up a major misconception. You and your children will not see the same things when you look at Rainbow Play Systems swing set models. You see a spiral slide and climbing rope where they visualize a time travel capsule and swinging jungle vine. While you consider the merits of a lower-level playhouse versus an upper-level cabin, your child is mentally sending invitations to her girls-only tea party or planning the quickest escape route should his fort come under attack. Hmm, tough call. To help you make the best choices, we encourage you to load up the family and visit one of our Rainbow Play Systems swing set showrooms where you and your children can see, touch and most importantly, play on our display swing sets. While the kids are playing, pay attention to the swing sets they’re attracted to and which accessories capture their interest. This valuable information will make designing your family’s dream swing set a snap.

Rainbow of Southern Wisconsin W. 229 N1416 Westwood Dr Waukesha, WI 53186 (262)650-1837 waukeshasales@rainbowisc.com swingsetsmilwaukee.com

Why I recommend Rainbow’s Play Systems

Rainbow Play System swing sets are an environmentally responsible choice you can feel good about having in your backyard. They build safe, durable swing sets with strong, sturdy lumber, America’s greatest renewable resource. The Sunshine, Rainbow, Monster and King Kong swing sets are constructed exclusively of North American timber and are covered by our unprecedented Lifetime Warranty. The installation takes about 3 hours but the installers were friendly and very helpful picking out were we wanted the system. They also made sure I was happy before they left. It is very sturdy and even held up in a hail storm. The kids play on it all the daily, several times a day. The system that we chose was the in the Sunshine Series model 50A. It is there most popular model and I can see why. Nice slide, 2 regular swings, 1 tire swing and 1 disc swing. It also comes with rope climb and rope ladder. The kids use the club house as their main hangout spot. I highly recommend.

JUNE 2012 | MHL |19

20 | MHL | JUNE 2012

SENIOR HEALTHY AND LIVING

Senior Housing Options: MAKING THE BEST SENIOR LIVING CHOICE Thinking about housing arrangements for the future can be a stressful, anxietyprovoking topic for both you and your family. However, it doesn’t have to be. While it may feel easier to put off thinking about it until later, the earlier you face your specific issues, the more choices and control you will have over your future living arrangements. As well as assessing your current needs, it’s also important to take into account how your needs may evolve over time as your medical, emotional, social, and financial needs change. Learn about the different types of senior housing, what choices may be best for you, and how to navigate the emotional roadblocks that come with choosing senior housing. Planning for your future Aging is a time of adaptation and change, and planning for the future will make sure your needs, or the needs of a loved one, are fully met. Continuing to thrive as you age means learning how to maintain your independence for as long as possible. This may mean modifying your own home, or it could mean moving to a housing facility with more support options on site. When planning ahead, consider the needs you might have in the future: Physical and medical needs. As you age, you may need some help with physical needs, including activities of daily living. This could range from shopping, cleaning, and cooking to intensive help with bathing, toileting, moving around, and eating. You or a loved one may also need increasing help with medical needs. These could arise from a sudden condition, such as a heart attack or stroke, or a more gradual condition that slowly needs more and more care. About 70 percent of individuals over the age of 65 will require some type of long-term care services during their lifetime. Social and emotional needs. As you age, your social networks may change. Friends or family may not be as close by, or neighbors may move or pass on. You want to make sure that you have continuing opportunities for maintaining and building new social networks. If you become isolated and housebound, it can have an adverse effect on your mental health. Financial needs. Long-term care can be expensive, and balancing the care you need with where you want to live requires careful evaluation of your budget. You may consider moving to a facility with more onsite care or easier maintenance, or modifying your home and using in-home help if necessary. Understanding senior housing options There is a broad array of housing options available to seniors, from staying in your own home to specialized facilities that provide round-the-clock nursing care. The names of the different types of housing options can sometimes be confusing, as the terminology can vary from region to region. The main difference will be in the amount of care provided for activities of daily living and for medical care. When researching a housing option, make sure it covers your required level of care and that you understand exactly the facilities offered and the costs involved. Aging in place Many older adults prefer to stay at home as they age. It has the advantage of being a familiar place and you know your neighbors and the community. There is a wide range of home care services that can help you maintain your independence within the comfort of your own home, from in-home help to day care. Staying at home may be a good option if: OPTIONS>>see page 24

JUNE 2012 | MHL |21

Transitions People today are living longer, staying healthier and continuing to be active. To meet the

developing needs of retired adults, assisted living facilities offer a diverse spectrum of services. Since very few seniors actually need long term continuous nursing care, assisted living facilities provide a level of care that is more cost effective in a more private setting. What is an assisted living facility? Assisted living facilities are licensed as Community Based Residential Facilities (CBRF) and offer multiple levels of care. There are CBRFs that specialize in the care of residents with Alzheimer’s or memory loss. CBRFs typically offer wellness services and individualized care plans. Activity programs are tailored to individual needs incorporating physical, spiritual and cognition enrichment. “When my sister, my brother and I first brought mom to assisted living, we were all pretty upset about it. It’s so hard to admit that the one who has cared for you all of your life, can no longer do so. The staff was very supportive and understanding to us. It took a couple of months to settle mom in with her medications and particular habits, but everyone was very helpful to us. Since that time, she has been doing very well. She always participates in the many activities. She is very well fed, her apartment is cleaned regularly and she always looks nice.” -daughter of a resident This statement reflects the struggles families and residents face when the decision has been made to move to an assisted living facility. Is there a right time to move? TRANSITIONS>>see page 33

22 | MHL | JUNE 2012

“Senior Moments”

THE MEMORY ISSUE Surveys show that if you are concerned about memory loss it is most likely due to a stressful time, aging, illness or distraction.

Where are my keys? Did I buy what I actually stopped at the store for? What day is it? Remember the days when you never asked these questions because “senior moments” were not part of the normal day. If you are reading this article because you are concerned about your ability to recall, you may not have to worry. Surveys show that if you are concerned about memory loss it is most likely due to a stressful time, aging, illness or distraction. However, those who do not worry about memory loss are more likely to be suffering from dementia. According to a John Hopkins Special Report on age-associated memory impairment there are a number of things you can do to improve the chances of keeping your memory sharp. Stay mentally active – learn something new, volunteer, do crossword puzzles, read. Stay physically active – exercise increases the blood flow to the brain resulting in clear thinking. Walking or an exercise program for 30 minutes a few days a week is all it takes. Rule out other causes of memory loss – check with your doctor memory loss could be due to a medication, hearing loss, depression, thyroid dysfunction, vitamin deficiency or stress which are all treatable. Do not smoke – smokers over age 65 are 3.7 times more likely to experience mental decline. Limit alcohol consumption – experts recommend no more than one drink a day for women and two per day for men. Place commonly lost items in the same spot – get into the habit of putting your keys, glasses or other important items in the same location every time. Write things down – keep a to do list and add numbers or important dates as necessary. Say words out loud – hearing can increase recall. Repeating a persons name right away can help you remember. ..“Hello Mary, it is nice to meet you”. Group items using mnemonics – which is a technique used to enhance memory. Associate what you are trying to remember with something that is familiar or paint a mental picture until you see it clearly. Try to alphabetize a list or put it to song. Use memory aids – notepads, cell phone alarms and voice recorders can all assist in keeping track of important information. Use visual images – to remember a name create a story and picture the person acting out their name. Mrs. Baker could be making a batch of cookies. Stop worrying – Concentrate and relax. Use a deep breathing or muscle relaxing technique to keep the stress and anxiety levels low so you can think clearly. Age associated memory loss is common and is not necessarily a sign of a serious neurologic disorder. See your doctor with any ongoing concerns you may have. Build the above suggestions into your day and create an atmosphere for creative thinking, learning and activity. The more you challenge your mind the sharper it will remain. Tudor Oaks Retirement Community encourages you to design your retirement to keep your mind healthy and clear. Call 414-525-6500.

JUNE 2012 | MHL |23

OPTIONS<<from page 21

final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1

You have a close network of nearby family, friends, and neighbors. Transportation is easily accessible, including alternate transportation to driving. Your neighborhood is safe. Your home can be modified to reflect your changing needs. Home and yard maintenance is not overwhelming. Your physical and medical needs do not require a high level of care. You have a gregarious personality and are willing and able to reach out for social support. You fall within the geographical confines of an integrated community, such as a “village” or NORC (Naturally Occurring Retirement Community). Aging in place is a less effective senior housing option once your mobility is limited. Being unable to leave your home frequently and socialize with others can lead to isolation, loneliness, and depression in seniors. So, even if you select to age in place today, it’s important to have a plan for the future when your needs may change and staying at home may no longer be the best option. How to assess your senior housing needs There are a range of choices for senior housing, and no simple answer as to which one is right for you. Here are some of the issues in evaluating your options: Level of Care No one can predict the future. However, if you or a loved one has a chronic medical condition that is expected to worsen over time, it’s especially important to think about how you will handle health and mobility problems. What are common complications of your condition, and how will you handle them? Are you already at the point where you need daily help? Location and accessibility Even if you are completely independent at this time, circumstances can change. It pays to think a little about your current location and accessibility of your current home. For example, how far is your home from shopping, medical facilities, or other services? If you can no longer drive, what kind of transportation access will you have? Can your home be easily modified? Does it have a lot of steps, stairs, or a steep hill to navigate? Do you have a large yard that needs to be maintained? Social support How easy is it for you to visit friends, neighbors, or engage in hobbies that you enjoy? If it becomes difficult or impossible for you to leave your home, you’ll become isolated and depression can rapidly set in. For more information please visit helpguide.org.

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

W

hether your stay at a hospital is planned or unplanned, we can be your bridge between hospital and home. Our goal is to get you well so you can get back to life! � Short-term comprehensive, customized care � Nationally recognized for providing quality service � Expanded insurance contracts � Private rooms available Sponsored by the School Sisters of St. Francis

Call our Admissions Coordinator today at 414.546.7322 for more information and to schedule a tour. 3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • clementmanor.com 24 | MHL | JUNE 2012

PARKINSON DISEASE What are the Causes? By Jay Blankenship, MSW Executive Director, Wisconsin Parkinson Association One of the most common questions we receive at the Wisconsin Parkinson Association is “What is the cause of Parkinson’s?� The answer, unfortunately, is

simple: We don’t know. Parkinson disease (PD) is a chronic, neurological disease that affects a part of the brain. The cells in that area produce a chemical called dopamine, a neurotransmitter that helps to coordinate muscle movement. For some reason the cells in this part of brain die, so there is less dopamine available. Generally, motor symptoms of the disease do not appear until 65 to 75 percent of the cells in this area die. There are several different types of “Parkinsonian� diseases that share some common symptoms but have other symptoms that are distinct. It is believed that each of these separate diseases may have different causes. Manganese poisoning, for instance, can cause symptoms that look very similar to PD. The most common form of PD is referred to as idiopathic Parkinson disease, meaning that it has no known cause. There are several theories about possible causes; here are the most common: Genetic: About 20 percent of people with PD report having a relative with the disease. In large population studies, researchers found that people with an affected first-degree relative have a two- to threefold increased risk of developing the disease. This is only slightly higher than the general population. Most believe that there may be a genetic component to PD, but generally it is not an inherited disease caused by a genetic defect or mutation. There have been a few cases where many people in one family shared the disease, but this was due to a very rare, inherited genetic mutation. Environmental: Many researchers believe that exposure to some kind of toxin found in our environment is probably one of the main causes of PD. It is also believed that exposure to this toxin along with other factors may lead to acquiring PD. These factors may include a genetic predisposition to PD or a physiological sensitivity to the toxin. Toxins can come from a wide variety of sources, but many are related to pollution from industrialization. In fact, recent studies have shown higher prevalence rates of PD in areas of high industrialization. The list of possible toxins that are linked to PD is growing. The list includes: trichloroethylene (TCE), a common degreaser and industrial cleaner found in groundwater; manganese, a chemical element used in welding rods, in the making of steel, and a variety of other industrial purposes; carbon disulfide, a common insecticide and cleanser; tetrachloroethylene, used in dry cleaning; carbon tetrachloride, a cleaning solvent; nitrates; insecticides; herbicides, including Agent Orange; and aldehydes that are found in cooking oils. Viral encephalitis: In the early 1900s there was a large outbreak of viral encephalitis that caused an illness called encephalitis lethargica or the “sleeping sickness.� Years after people contracted and survived this flu, they developed severe Parkinsonian symptoms. This is the disease depicted in the film Awakenings with Robin Williams. Designer drugs: In the 1980s a group of drug abusers came down with severe Parkinson disease after using a synthetic form of heroin that was made in a crude, household lab. It turned out that the drug they took was 1-methyl-4-phenyl-1,2,3,6tetrahydropyridine, or MPTP. The discovery of MPTP has given scientists the ability to induce PD in animals so they can safely study the disease and possible treatments. Head trauma: Several examples exist in which individuals developed Parkinsonlike symptoms after prolonged and repetitive trauma to the head. Examples include boxers and football players. The most famous case is that of Muhammad Ali, the well-known boxer who developed this type of Parkinson’s in 1984. Blue-green algae: Botanists have discovered that blue-green algae contain a toxin called beta-methylamine-L-alanine (BMAA). BMAA is a known neurotoxin that has been linked to ALS (Lou Gehrig’s disease), Parkinson’s, and Alzheimer’s PARKINSONS>>see page 35

Kenton Kilmer

2012

Parkinson Disease Symposium &RIDAY *UNE s A M TO P M #OUNTRY 3PRINGS (OTEL 'RAND "ALLROOM s 'OLF 2OAD 7AUKESHA

%XPERTS WILL PROVIDE INFORMATION FOR PEOPLE LIVING WITH OR THOSE CARING FOR INDIVIDUALS WITH 0ARKINSON DISEASE s 3EX $RUGS AND 2OCK @N 2OLL s 'ENETICS AND .EURO 2EGENERATION s -OVING &ORWARD WITH ")' s 3ELF CARE FOR THE #AREGIVER s 0OSITIVE 0SYCHOLOGY 9OU $ECIDE s )T S A -ATTER OF -IND /VER "LADDER s 2ESEARCH -OOD -EMORY AND #AREGIVER "URDEN s -OVING IN THE 2IGHT $IRECTION ! 3ENIOR S 'UIDE TO -OVING AND $OWNSIZING 2EGISTRATION FEE IS PER INDIVIDUAL #ONTINENTAL BREAKFAST AND LUNCH ARE PROVIDED

+EYNOTE 0RESENTATION by Mike Oltersdorf

Registration is required. Please register by Thursday, June 21 by calling the Wisconsin Parkinson Association at 414-219-5768 or 800-972-5455.

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“The Basics of Breaking Old Assumptions�

Sponsored by: B ÂĽ!(#

JUNE 2012 | MHL |25

Be Informed. Be Smart. Be Secure.

Medicare: Planning for retirement requires making some decisions you haven’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 Isn’t Always the Right Decision Like a lot of people their age, an Iowa couple had their fair share of doctor’s visits. Their Medicare supplement plan paid all the bills and the each paid a little over $150 a month for the coverage. But when they were approached about a Medicare Advantage plan that did not have a monthly fee, they jumped at the opportunity to

save money. What they did not realize was that, as a couple, the new plan would cost them nearly $10,000 a year in co-pays and co-insurance, plus additional out-of-pocket cost for some of their prescriptions! As recalled by Joe and Ruthanne Heintz of West Des Moines, Iowa. Be Smart. Understanding the nature and scope of the unique risks you face in retirement is the first step in planning a secure retirement. The next step is identifying the range of product solutions that best suit your needs. There are virtually and endless number of complex product variations available, so choosing the right one(s) can be a challenging task. You can simplify the task by working with an insurance representative. Insurance representatives are helping individuals understand the life and health insurance needs of retirees. They are experienced in the range of products available, and familiar with the complex features which make each product unique. Because they represent multiple companies, they can recommend product solutions that are best tailored to your unique situation. TRUE OR FALSE: Long-term care insurance is expensive. False. Choosing the right daily benefit and benefit period can help reduce longterm care premiums to fit your budget. If you believe it fits your needs, another option would be to purchase short-term convalescent care insurance. Making The Right Decision Based On The Right Information. Having just watched a friend exhaust her retirement savings on long-term care for her husband, a woman in Colorado decided it was time to protect her savings from a similar fate. Long-term care insurance seemed like the right decision. Although she was well aware of the advantages of long-term care insurance, she had always considered it beyond her budget. After visiting with an insurance representative, she learned that simply was not the case. The representative explained there are several ways to customize long-term care policies to meet her monthly budget requirements. She adopted some of his suggestions and is now enjoying protection at monthly premium that fits her needs. This is an example for illustrative purposes, including solution s that enable you to remain in your own home while receiving care. Be Secure. If you are like many individuals nearing, or in, retirement you are bombarded by mail solicitations for Medicare related Insurance. These companies blanket thousands of individuals with the same product offering. They have not met with you and they do not understand your needs. Insurance representatives should meet with you one-to-one to understand your situation, needs and priorities. You should receive a thorough assessment of your current insurance plans and find out what programs may be best for you. TRUE OR FALSE: All insurance representatives offer the same level of service False. Not all insurance representatives take the time to fully explain their product offerings. An insurance representative should understand the value of professional service. That is demonstrated by their commitment to take time to explain all o f your options and respond to all of your questions in a timely and accurate fashion. 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 As your local agent, I am happy savings. The representative also toAsdiscuss youragency, benefits, and your local wecosts are happy suggested some coverage’s that limitations thebenefits, plans I represent. to discussofyour costs and would be of value as the retiree’s and of thea plans wefit represent. We limitations can customize plan to your needs change. We can customize a plan to fit your specific needs! Before he left, the representative specific needs. 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 American Republic questions. Having access to a person, rather than an 800-number Insurance Company , strengthened the retiree’s belief that he made the right decision. Local Phone XXX-XXXX Local Phone 262-523-1440 This is an example for illustrative Free 877-647-6449 TollToll Free 1-8XX-XXX-XXXX purposes.For more information contact American Republic Insurance at (262) 523-1440 and 07 114 35 1211 US visit www.americanrepublic.com.

Retired or Retiring and Need Insurance Products to Fit Your Needs? We can help! We offer a FREE, no-obligation needs analysis designed to protect all of your assets! Asset protection such as:

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Agent Name

Keeping Your Brain Young

Submitted by: 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 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 normal, but it also can be countered, improving your brain’s natural function and reducing memory loss. You can improve your brain function with games, exercise, good nutrition and socializing. Making the right choices for your lifestyle can directly influence your brain function today and in the future. FIVE HEALTHY TIPS FOR KEEPING YOUR BRAIN YOUNG

1. 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.

2. Mental Exercise

Researchers encourage older adults to play bridge, chess and poker. Also, crossword puzzles are a great way to stimulate your brain. Try to mix up your brain exercise games by not playing the same games or puzzles over and over again.

3. Good Nutrition

According to the Alzheimer’s Association, a diet rich in dark vegetables and fruits and low in fat may help to protect brain cells. A good rule of thumb for your diet is making your plate as colorful as possible.

4. 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 learning and ease muscle tension. Rent a funny movie or stay in and watch old “I Love Lucy� re-runs.

5. Socialize

Studies have shown that staying socially active with friends can improve brain function and reduce dementia. Engage with others verbally by picking up the phone and conversing for 15 minutes. Join bridge clubs, take dance lessons or go to dinner with a group of friends.

Focused Rehab Get Better, Get Home

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JUNE 2012 | MHL |27

Cargiving

for a loved one

Over the past 15 years, the percentage of adult children providing assistance to a parent has more than tripled. Many of those adult children are baby boomers. With both the number of caregivers and those who need caregivers on the rise, there are a lot of families affected by the stresses of caring for a loved one. “Approximately 9.7 million adult children over the age of 50 care for their parents, which suggests that family caregivers are themselves aging and yet are providing care at a time when they also need to plan and save for their own retirement.” states The MetLife study of Caregiving Costs to Working Caregivers. Oftentimes, even more than just their retirement savings can take a hit. Caregiving places a large financial burden on families. According to a recent National Institute on Aging Health and Retirement Study, the annual cost of caring for a family member with dementia is about $18,000 and the total national cost has been estimated at $18 billion. The burden caregivers take on is not only financial but emotional as well. The stress of caring for an elderly parent can be very hard on the adult children. 20 percent of employed female caregivers over the age of 50 report symptoms of depression. Only 8 percent of their non-caregiving peers report symptoms of depression. If you are already a caregiver, there is a lot you can do to help with the stress of caregiving. The National Family Caregivers Association has compiled a list of ten tips to help family caregivers.

1. Choose to take charge of your life, and don’t let your loved one’s illness or disability always take center stage. 2. Remember to be good to yourself. Love, honor and value yourself. You’re doing a very hard job and you deserve some quality time, just for you. 3. Watch out for signs of depression, and don’t delay in getting professional help when you need it. 4. When people offer to help, accept the offer and suggest specific things that they can do. 5. Educate yourself about your loved one’s condition. Information is empower-

ing.

6. There’s a difference between caring and doing. Be open to technologies and ideas that promote your loved one’s independence. 7. Trust your instincts. Most of the time they’ll lead you in the right direction. 8. Grieve for your losses, and then allow yourself to dream new dreams. 9. Stand up for your rights as a caregiver and a citizen. 10. Seek support from other caregivers. There is great strength in knowing you

28 | MHL | JUNE 2012

are not alone. The best way to ease the potential financial and emotional stress of caregiving is to plan ahead. Talk with your parents early and do some homework ahead of time. It’s always difficult to have the conversations with your parents about the care they are eventually going to need. No one wants to think of themselves or their parents losing their independence but planning is a lot less stressful than reacting to a crisis. Talk to your parents about what they want to happen if they begin to require more assistance. Do some research into all of the options they might be comfortable with and discuss a financial plan for those options. Make sure all the appropriate legal documents are drawn up for if your parents were no longer able to make sound decisions themselves. For more information contact Milwaukee Catholic Home at 414-220-3216.

Making the Right Choice... Senior Living Community

We knew we had to do something. My husband’s 88-year-old father had fallen and broken his left hip. He lived alone in New Jersey, 1000 miles away from us. His social circle was wonderful, calling and visiting and helping to keep us up to date on his mental attitude and his progress. But they weren’t family. Nor were they caregivers. Our children lived an hour away. They couldn’t be there more than occasionally on weekends. Once Dad left rehab, how would he cope? What would he need? In the past, he had always been the caregiver, taking care of his wife up until the very end, keeping her at home during any and every illness, swearing to see her through thick and thin no matter what. He expected no less from us. I am a long-term care professional. I know what the options are, what services are available, what the industry offers. And yet, when it comes to my own family, I have to start from the same place as everyone else. What is the best decision for HIS particular situation? What will suit HIS needs? Eventually we sorted through all the choices that were open to us: assisted living on the east coast, where he lives now, so he could be near friends (much more expensive than Wisconsin) or independent living with services in Wisconsin, where I work, so he is near us, and we can finally spend some time with him, and oversee his care as well. He didn’t really need full assisted living, so the second option seemed a reasonable choice. While all this research went on, he fell again, breaking the other hip. More rehab. We had to get moving. It became obvious that Dad could not live on his own. We brought in 24-hour caregivers and started the process of moving him out to Wisconsin. Every time the phone rang, my husband’s blood pressure rose. It could have been something as simple as a change in caregivers or as complicated as an issue with his care, but everything is harder from 1000 miles away. We needed to schedule time off from work to fly to New Jersey, help Dad go through his belongings, pack him up, close up his house, say goodbye to his friends, sell his car, and bring him back to a new life in the Midwest. Do you think that’s easy? The man never met a piece of paper that he could throw away. We spent hours upon hours shredding, as he wondered aloud, “Why did I save all this?” He watched as we took apart the last 26 years of his life – the amount of time he had lived in this house – and decided what to do with all that had accumulated. We had to whittle down huge cartons of photos and other memorabilia, give away tons of odds and ends, discard thousands of paperback books that had been Mom’s hobby to collect and read. The stamp collection that outgrew the house, the gifts that no one remembered who had given but still lived in their original boxes, the shoes that never fit but were never returned… all had to find new homes. And that barely scratches the surface. Since Mom died, four years ago, Dad had become something of a clothes horse. Every shirt had a tie, every tie a jacket, every pair of pants had a partner belt. But at a senior residence, the men didn’t dress up for much. We didn’t need to pack so many fancy outfits. He found it hard to choose which of his favorite, perfectly pressed suits and magnificently matched ties and shirts should make the trip with him. We had eight days. I know miracles can happen in eight days. Look at Hannukah! During those eight days, I was constantly emailing the director of nursing and social worker about Dad’s situation. I scanned his list of medications and sent it over, found his discharge summary from the hospital and sent that over, received orders from his current doctor and sent those over too. In turn, the social worker and nurse requested materials or information that we scurried to take care of; wanting to make sure that everything was in place by the time we got there. So, the phone needed to be ordered, so his “pendant” could be set up the day he moved in; physical therapy needed to be contacted with information about the therapy he was receiving in NJ prior to his assessment; I was finding all sorts of medications that he had been on before his fall that were nowhere in his current list; would the doctor need to know about those? Make a list! We found someone to take care of emptying the house, doing the necessary repairs to get it market-ready; we donated the car that hadn’t been on the street in seven months, we shipped 19 packages via FedEx to Wisconsin (instead of using a moving company) and we made decisions about what to do with the furniture and other items MOVING>>see page 29

FRee Summer Concert Series! 7:00 - 8:00 p.m. Sarah Chudnow Community

JuNe 5 – L’il Rev: Ukulele Music, Blues, Folk, Jewish & Yiddish Folksongs, and Originals. JuNe 19 – Nadine Borngraeber: Accomplished Opera soprano delights us with the classics. JuLy 3 – Cantor Jeremy and Amanda Stein: Marital harmony leads to musical harmony on guitar and clarinet. JuLy 17 – William Florescu of the Florentine Opera discusses Carmen. This educational musical event is part of our Summer Concert Series, but in respect for the solemn days leading up to Tisha B’Av, there will be no actual concert. JuLy 31 – Aaron Hetzel Trio: Rick Aaron and Mike Hetzel Sr. and Jr. perform traditional Jewish tunes, Jazz, the standards and more. AuguST 14 – easy Days Barbershop Quartet: Award-winning quartet uses a breezy style for a fun presentation. AuguST 28 – Carmen Nickerson and Kostia: Beautiful vocals and amazing piano talent! Sponsored by the Gilbert Meisel Music Fund of the Jewish Home and Care Center Foundation.

10995 N. Market St., Mequon, WI 53092 262-478-1506 LLadin@JewishSeniorLiving.org SarahChudnow.org Like us on Facebook Follow us on Twitter @sarahshouse JUNE 2012 | MHL |29

memory loss

IS IT NORMAL AS WE AGE?

Dr. Ellen Danto-Nocton, Geriatrician with Wheaton Franciscan Medical Group Memory loss is one of the most feared aspects of aging. As we get older, a simple memory lapse, like losing the car keys or forgetting a word, can be frightening. We ask ourselves, “Does this mean I have dementia? Is this the first sign of Alzheimer’s Disease?” For a normal individual, later life actually marks the peak of certain types of brain function. Vocabulary, general knowledge and understanding are strengthened by experience. On the other hand, most people find that it takes a little longer to recall and learn new information. It is also normal to see some decrease in the capacity to process information from many sources at one time. Little lapses of memory happen to everyone. Serious, progressive memory loss, however, is not a normal part of the aging process, and it is not inevitable. The term “dementia” covers a broad range of disorders characterized by the loss of brain cells and function, leading to memory loss and inability to perform normal activities of daily living.

FOR A NORMAL INDIVIDUAL, LATER LIFE ACTUALLY MARKS THE PEAK OF CERTAIN TYPES OF BRAIN FUNCTION

Some of the signs of serious, progressive loss of memory and brain function include: • Confusion and disorientation • Marked loss of memory and ability to learn new things • Changes in abstract thinking • Marked problems with language and numbers • Personality changes/impaired judgment • Frequent problems with getting lost/misplacing things. When someone displays the symptoms and behaviors described above, it is very important to visit a doctor and have a complete personal interview, physical, and psychological examination. This is important because there are factors that can produce dementia-like symptoms, such as drugs, alcohol, depression, and other disease processes. Since some of these are treatable and reversible, it is important for the doctor to be aware of them. If the diagnosis is dementia, the most common type of irreversible dementia is Alzheimer’s disease, followed by dementia caused by strokes. The doctor will offer suggestions for treatment and management of the disease and recommend community resources which can be helpful to the patient and family caregivers. Dr. Ellen Danto-Nocton is a Geriatrician with the Wheaton Franciscan Medical Group (414-357-5233).

Assisted Living and Memory Care Communities Walk through the doors of one of our Senior Living Communities and you will immediately sense the home-like and friendly atmosphere. Compassionate staff has been specially selected and carefully trained to serve with an open heart and friendly smile. Our Memory Care Neighborhoods offer specialized care for the unique needs of residents with Alzheimer’s or related dementias.

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

next step.

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Rehabilitation Rehabilitation focuses on function. Being able to continue to function is key to maintaining or regaining independence and quality of life, particularly after an illness or injury. Starting rehabilitation early can help you maintain function and increase your chances of returning to your previous level of function as much as possible. In restorative rehabilitation, the goal is to restore a function that you have lost. It is often funded by Medicare or other payers. Examples include shortterm rehabilitation that usually follows a stroke or a hip fracture. In maintenance rehabilitation, the goal is to maintain and strengthen a function. Maintenance rehabilitation is less intense, with physical therapy or occupational therapy continued three times a week as an outpatient. With longer-term therapy, possibly more function can be gained or more functional loss can be prevented.

Who Benefits from Rehabilitation? When evaluating a disability, your health care provider will focus on understanding how the loss of function developed and progressed over time. Other vital factors in predicting whether function can be regained are how severe the loss of function is, what caused it, and the potential for recovery. The level of function you had before a disability is an important consideration in the level of function you can expect to regain after rehabilitation. For example, if a healthy older person who walks without a cane falls and fractures a hip, he or she will likely be able to walk again after several months of a rehabilitation program. However, the same goal is not as realistic for someone of the same age who was already having a hard time walking (possibly due to arthritis or bad circulation) before suffering a hip fracture. If a person has additional medical conditions, such as heart, lung, or joint diseases, his or her participation in an intense rehabilitation program may be limited. However, many people can still improve their ability to exercise gradually even if they have moderate to severe heart and lung disease. www.hcr-manorcare.com Another important factor in successful rehabilitation is commitment to an ongoing program. Commitment is important not only for the person who has lost some function, but also for family members (or other caregivers) when he or she returns home after the rehabilitation program. What the older adult and his or her family expects and prefers should also be considered, because rehabilitation programs usually require everyone’s participation. Another reason why everyone should be involved in the decision-making process is because many disabilities of older adults are chronic (eg, arthritis, diabetes, hypertension, heart disease). For older adults to be able to best QUALITY...INNOVATION...EXPERIENCE... control their chronic diseases, they should understand the disease or injury, feel confiFOR MORE THAN 40 YEARS, NPS HAS BEEN DEDICATED TO PROVIDING THE HIGHEST dent that they understand and can perform QUALITY PRESCRIPTION FOOTWEAR FOR YOU AND YOUR PATIENTS. the activities needed to manage their disease and prevent new problems, and be able to Chronic Disease—Diabetes Chronic Disease—Arthritis ERVICES NCLUDE monitor their disease status as much as posCongenital Conditions Muscular Sclerosis sible. Cerebral Palsey Sports Injuries OMFORT HOE The type of disability and how severe it Rehabilitation Overuse is, as well as what the person actually needs THLETIC OOTWEAR to do at home as well as what others can do Work Injury Stroke OOT RTHOTICS for the person are important considerations Trauma Aging in the decision of whether a person can safeRACES ly return home after rehabilitation. People living at home should, at the very least, be able to move safely from a bed to a chair, and from walking or a wheelchair to the toilet. For people who have difficulty thinking things through or who have problems with vision, 24-hour supervision may be necessary. Often, the critical factor for discharge from a rehabilitation unit is whether 24-hour NATIONAL PEDORTHIC SERVICES, INC. support is available at home for those who need it. MILWAUKEE AREA - 2745 W. LAYTON AVE. STE. 103, MILWAUKEE WI 53221 TEL: (414)282-8888 Reprint permission from the American BROOKFIELD - 2475 N. 124TH STREET, BROOKFIELD WI 53005 TEL: (262)754-2440 Geriatrics Society (www.americangeriatMADISON - 1825 S. PARK STREET, MADISON WI 53713 TEL: (608)225-3500 rics.org). For more information visit the F OND DU LAC - 885 WESTERN AVE, FOND DU LAC WI 54935 TEL: (920)907-1060 AGS online at www.americangeriatrics.org.

NO ONE CAN OFFER BETTER PEDORTHIC CARE THAN NPS!

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

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

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

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

ST. JOHN’S MANOR

ST. MARY’S MANOR

812 Marquette Avenue South Milwaukee 762-2511

1313 Missouri Avenue South Milwaukee 762-8026

email: ellen@clcel.com

website: www.stjohns-marysmanors.com

SOCIAL SECURITY

Q&A

RETIREMENT Question: How long does it take to complete the online application for Social Security retirement benefits? Answer: It can take as little as 15 minutes to complete the online application. In most cases, once your application is submitted electronically, you’re done. There are no forms to sign and usually no documentation to mail in. Social Security will process your application and contact you if any further information is needed. There’s no need to drive to a local Social Security office or wait for an appointment with a Social Security representative. To retire online, go to www.socialsecurity.gov. Question: I have never worked, but my spouse has. What will my Social Security benefit be? Answer: You can be entitled to as much as one-half of your spouse’s benefit amount if you start your benefits when you reach full retirement age. If you want to get Social Security retirement benefits before you reach full retirement age, the amount of your benefit will be reduced. The amount of reduction depends on when you will reach full retirement age. For example, if your full retirement age is 66, you can get 35 percent of your spouse’s unreduced benefit at age 62. The amount of your benefit increases at later ages up to the maximum of 50 percent if you retire at full retirement age. However, if you are taking care of a child who is under age 16 or who gets Social Security disability benefits, you get full benefits, regardless of your age. Learn more at www. socialsecurity.gov/retire2/yourspouse.htm. MEDICARE Question: My mom is interested in getting help with her Medicare Part D prescription costs, but she has about $10,000 in the bank. Would she still be eligible? Answer: Based solely on the bank account balance you mention, yes. However, there are other factors to consider as well, including your mom’s income. If your mother has other resources, they may be included too. This year a person’s total resources are, in most cases, limited to $13,070 (or $26,120 if married and living with spouse) to qualify for Extra Help with Medicare prescription drug costs. The resource limits shown on the application include a $1,500 per person exclusion for burial purposes. Resources include the value of the things you own, such as real estate (other than the place you live), cash, bank accounts, stocks, bonds, and retirement accounts like IRAs or 401ks. There are exceptions. Read more about how to qualify and apply for the Extra Help at www.socialsecurity.gov/prescriptionhelp/index.htm 32 | MHL | JUNE 2012

MOVING<<from page 29 left over. We located important papers and kept them separate to travel with us, and marveled over items that we had never seen before – original birth certificates that told stories we had never heard. We did it. Finally we were on a plane headed to Milwaukee. Before noon, we arrived at Chai Point Senior Living on Milwaukee’s east side. As we entered the lobby, the first person we saw was the social worker. I could literally see my husband’s shoulders start to relax when she greeted us, and the warmth of her greeting was echoed by that of the nurse, who told us to take our time heading up to the apartment; she would meet us there shortly. For the next two hours, Marci, the director of nursing, sat with Dad and talked to him about everything from his health to how he would be escorted down to dinner that evening, while we put away the items in his suitcase and set up the few things we had already sent ahead to his apartment. Dad sat there marveling at the amenities of his apartment (“Are you sure this isn’t a mistake? This is too good for me!”) while answering Marci’s questions and enjoying the view of Lake Michigan outside his window. At one point, he got up off his chair and moved to the couch so he could watch the boats in the marina while they chatted. For us, it seemed as though the cares of the past six months were finally starting to dissipate. After Marci left, CNAs came in to introduce themselves. One said she would be bringing his medication later; another said she would be back to escort him to the dining room. Bit by bit, we started to breathe again. Since then, Dad has been going to exercises, enjoying the activities, had his therapy assessment, seen the doctor (“right in the building? I don’t have to go outside?”), enjoyed healthy and delicious meals, gone to Miller Park to see the Brewers beat the Giants, made new friends, and won the hearts of all the staff. For me, it was a revelation. I work in this building. I know what we do, how we do it, why we do it. And yet, I had no clue what it felt like to be on the family side. The other residents are wonderful; they make him welcome and explain that he is “in a transition phase; you will get accustomed to living here and learning where everything is and having people around to do things for you.” They stick their heads into my office to tell me what a nice man my father-in-law is. And just like the residents who move in here after debating for a long time, I say with strong conviction, “I’m only sorry we waited so long.” Marlene Heller is the Marketing Director of the Jewish Home and Care Center, Chai Point Senior Living and the Sarah Chudnow Community. She can be reached at mheller@jewishseniorliving.org or 414-277-8802.

TRANSITIONS<<from page 22 Starting with when to move; consider the following factors: is assistance with Activities of Daily Living (ADLs) needed? Activities of Daily Living are defined basically as eating, bathing, dressing, toileting, transferring (moving into or out a chair) and continence. The ability to perform these basic activities is often taken for granted, until either through aging or illness, these necessary skills are impaired. Residential Assisted Living facilities will provide assistance with basic self care in the privacy of an apartment like setting. Assistance with ADLs may be a clear indicator of the need to move to a more supportive setting. However there a factors less clear with may also indicate the need for assistance. Medication assistance and general well-being monitoring can have a significant and positive impact on senior life. The security of knowing medical assistance is available 24 hours a day, the freedom of home maintenance, housekeeping and meal preparation may also be valid reasons for considering a move. Another less apparent but equally important indicator is the need for social, spiritual and intellectual engagement. Carol Wolfmeyer, Assisted Living Nurse, stated the benefit of community life, “Our residents receive individualized assistance in a setting that fosters independence and maintains residents’ privacy.” There are many types of assisted living options available today. Facility size varies from a few residents to hundreds of residents. Most assisted living facilities offer private apartments or studios and many can accommodate couples. Some assisted living facilities are integrated with a continuum of care that includes independent living, skilled nursing, rehabilitation therapy and hospice. Unfortunately, selecting the perfect fit is quite difficult but not impossible. With the number of high quality choices available in our area, often you must rely on your instinct. The staff of the facility should be central to any decision. The following are quotes from a family member and from a staff member that truly reflect the essence of quality care. “Working with elderly people is a challenge that only special people can manage, and I am constantly impressed by the professional, loving, smiling care and interest everyone has shown to us.” Niece of a resident. As with any difficult life decision, there is no formula to tell you when is the right time and where is the right place. Change requires preparation and patience. If more information on assisted living options call Julie Leveritt (Sales and Marketing at St. Camillus) 414/259-4680.

JUNE 2012 | MHL |33

Senior Fair Friday June 22. 2012 at Courtyard Apartments 11505 W Greenfield Ave West Allis 414-479-6606 Join us for our Senior Fair and enjoy food, drinks demonstrations and Door prizes..see you there!

Eat, Learn, & Love Tuesday June 12th 5:30 - 8:30pm Learn about “Recongizing the Signs of Aging” “Communiicating Future Healthcare Decisions” and “How to Select the Right Level of Care” from healthcare professionals. Enjoy a sandwhich buffet! Manor Park 8621 W. Beloit Rd West Allis WI 414-607-4125

Milwaukee Catholic Home Patio Pops Summer Concert Series Line-up: May 30th- Paul Cebar Tomorrow Sound June 13th- Milwaukee Metropolitan Voices June 27th- Doo-Wop Daddies July 11th -Adekola Adedapo & Friends July 25th- Jim Liban Quartet with Steve Cohen August 8th- Milwaukee Mandolin Orchestra August 15th – The Shinigans August 22- Kurt Ollmann & Jack Forbes Wilson with Bryan Elsesser Milwaukee Catholic Home 414.224.9700

Sarah Chudnow to Host Musical Events, Free Hearing Testing “With five talented musicians, an enlightening discussion on aging, a presentation on Jewish humor and free public hearing testing, the Sarah Chudnow Community offers something for everyone this month,” said Sarah Chudnow Administrator, Paul J. Schultz. On June 3 at 2 p.m., Papi Makaena, On June 5 at 7 p.m., Sarah Chudnow will host the first of its Summer Concert Series, with award-wining musician and multi-instrumentalist Lil’ Rev. On June 7 at 2 p.m., a Rabbinical panel will meet for a public discussion on different Jewish perspectives for the aged and aging. On the panel will be Rabbi Ron Shapiro of Congregation Shalom to represent a reform perspective; Rabbi Tamar Crystal of Beth El Ner Tamid synagogue will provide a conservative voice and Rabbi Levi Emmer of the Jewish Home and Care Center will round out the panel with an orthodox perspective. On June 10 at 2 p.m., Sarah Chudnow will host jazz performer Don Weast, who boasts knowing over “300 songs from memory.” On June 13 at 11 a.m., Chicago’s theater buff Richard Klein will present a discussion on three influential Jewish women comedians, Molly Picon, Fanny Brice and Molly Goldberg. On June 17 at 7 p.m., the Summer Concert Series continues with opera singer Nadine Borngraeber On June 28 from 9-12 p.m., Sarah Chudnow will offer free comprehensive hearing examinations to the community. Dr. Heather Zingler, Audiologist and professor at the College of Health Sciences at UW-Milwaukee, will be performing the tests with assistance of her students of audiology. All testing will be performed in private and the hearing specialists will provide resources on managing hearing loss. Light refreshments will be served. Sarah Chudnow Community 414-277-8802

Senior Summer Events PARKINSONS<<from page 25

neurological diseases from the BMAA toxins in the bat meat. Oxidative stress: Oxidative stress is a condition in the body that is created when a large amount of free radicals are produced that attack normal tissue cells and cause damage or death to the cells. Free radicals are cells that lack an electron and seek electrons from other cells. This is a normal chemical process in the body but can get out of control under certain conditions. There are a wide variety of things that can cause oxidative stress including smoking, drinking, drugs, exposure to chemicals, physical and emotional stress, etc. The theory related to PD deduces that there is some link between some of the above toxic exposures and an escalation of oxidative stress in the body that somehow specifically attacks the cells that produce dopamine. Parkinson disease is a complicated neurological disorder. There is much we do not know about this disease. The above theories and others in the future may someday help us to understand the possible causes of this disease. When that occurs, we may be able to prevent the disease or develop a cure. We have a long way to go, and much more research is needed.

EAT, LEARN & LOVE

TUESDAY, JUNE 12TH at 5:30-8:30pm

Learn about “Recognizing the Signs of Aging”, “Communicating Future Healthcare Decisions” and “How to Select the Right Level of Care” from healthcare professionals.

FEATURED SPEAKERS Soryal Soryal, MD FACP - Medical Director of VMP, Aurora Health Care Dr. Timothy Jessick, DO - Palliative Medicine, Aurora West Allis Medical Center Joscelyne Dracca, APNP - Palliative Care Nurse Practitioner, West Allis Medical Center

JUNE 2012 | MHL |35

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Respite Care

FINDING AND CHOOSING RESPITE SERVICES For many, the many challenges of caring for an elderly, chronically ill, or disabled family member are simply a part of daily life. Caregiving, though, is a demanding, difficult job and no one is equipped to do it alone. Since your health and resilience are critical for your loved one’s welfare, it’s essential for both of you that you get appropriate help when you need it. Respite care provides short-term breaks that can relieve stress, restore energy, and promote balance in your life. Even if working with family members or friends is difficult, there are many other respite care options and strategies that can ensure you get the help you need to restore your energy reserves and better fulfill your role as caregiver to your loved one.

Respite care basics

Seeking support and maintaining your own health are key to managing your role as a caregiver. Using respite care before you become exhausted, isolated, or overwhelmed is ideal, but just anticipating regular relief can become a lifesaver. Respite care can take many forms, but boils down to two basic ideas: sharing the responsibility for caregiving and getting support for yourself. Finding the right balance requires persistence, patience, and preparation.

Planning your relief

Planning starts with analyzing needs…both yours and your loved one’s. Assessing your needs for the type, skills, frequency, and location of respite services is critical to ensuring you receive appropriate respite. As a caregiver, is support what you need most? Or is it some regular free time? Or help with transportation? Keep track of your daily activities then make a list of the areas and times when you most need help. Identifying your loved one’s requirements, abilities, and preferences will also help you find the right match. Are social activities primary? Do they require assistance with walking, eating or medications? Do they need mental stimulation? Or exercise? Answering these questions will help you determine which respite options to pursue.

Types of respite care services

In-home respite Informal family support and relief Online caregiver communities and video workshops Volunteer or paid companionship Personal care or skilled health assistance Out-of-home respite Adult day programs Residential respite care Caregiver support groups Selecting respite care services and providers When you devote so much love and energy to caregiving, it may be difficult to entrust your family member’s care to strangers. Whether you engage a provider directly or work through an agency, you can allay your fears by conducting some basic research. 36 | MHL | JUNE 2012

Using independent providers

Although you are anxious for relief, taking time to find the right person is essential for your peace of mind and your loved one’s safety. Make sure you: Conduct an in-depth interview with each candidate. Screening applicants on the phone should always be followed with a personal interview. Be specific about all of the tasks, skills, and schedules involved. Discuss compensation and payment schedules. Do not pay for services in advance. Request several work and personal references, and check them carefully. Verify the information provided, and ask all references about reliability, trustworthiness, punctuality, and the care provider’s ability to handle stress. If possible, consider a background check. In the U.S., professional services cost between $100-$150 and can alert you to potentially serious problems. Check with your local police department, legal aid service, or attorney for referrals to reputable investigators. Always include the potential care recipient in the screening process if he or she is able to participate, to ensure that both parties are comfortable and that your loved one’s needs are respected.

Working with agencies

Although independent providers are generally the least expensive, home care agencies and referral services are often easier to use. Use your planning lists to help these professionals better serve you. An agency finds and places providers, handles payroll, and usually provides substitutes for sick or absent personnel. If problems occur, you also have specific avenues of recourse (complaints, mediation, or arbitration) that are not available when working with individuals. Referral services work to match your needs with local program options. Use online registries, check newspaper ads or the yellow pages to find specialists who know local programs and can help you navigate their systems.

Choosing off-site programs for respite care

When you have identified potential out-of-home programs, plan to visit at least three. Observe the staff and how they interact with care participants. Try to picture your loved one there, and check your instincts to see if you’re on the right track. Be sure to ask the following questions: How are care providers screened? What is the training and level of experience of the care providers? Will care providers need additional training to meet specific family needs? How, and by whom, are the care providers supervised? What procedures does the program have for emergencies? Are families limited to a certain number of hours of services? Does the program provide transportation and meals? What is the cost of services? How is payment arranged? If you can, spend a day at the center that seems best to you, so that you can get a “feel” for the people and environment. Be sure to bring a site checklist with you and ask plenty of questions. You may wish to return a few times to see whether your experience on different days confirms your initial impressions.

Retirement Community • • • •

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Independent Apartments Supportive Care Assisted Living Memory Care

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

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Strategies for successful respite care

While finding and implementing respite care sounds like a lot of work, relief and revitalization is not just important for you, it benefits all those involved in the caregiving process. Remembering the benefits and following these six tips can ease the process: Plan and schedule frequent breaks. Respite is not just a service—it is an effect that can only come from regular relief. Use checklists to inform respite care providers about your care recipient’s schedules, likes and dislikes. Offer suggestions for handling any difficult behaviors. Make back-up plans. Always keep a list of alternate respite care providers and resources. Unplanned emergencies should not prevent you from taking care of yourself. Evaluate respite care providers often. Observe your care recipient before and after respite sessions. Ask for brief updates and more detailed reports regularly. Expect changes. Respite care is a process that often requires fine-tuning. Anticipating and accepting changes in personnel or programs can keep you from becoming discouraged. Attend your support group regularly. Structured and informal groups allow you to meet others in situations much like yours. You can talk, vent, laugh, and exchange tips with people who understand. If you can’t easily leave home, online communities, message boards, and forums can also provide much-needed support. For more information please visit helpguide.org.

JUNE 2012 | MHL |37

the choice is yours... MOVING INTO A SENIOR COMMUNITY SOONER THAN LATER

Many people delay the decision to move to a retirement community due to misconceptions or fear. They often regret not making the decision to move sooner; when they were healthier, more involved, or did not realize how lonely they were and the reasons go on and on. Regret is undesirable in all times of life; retirement decisions are no different. The many activities and daily interactions with friends and neighbors offer a dynamic and stimulating environment. Residents freely share their thoughts about retirement living in general and the choices available to them. As you read through this article, look for the comfort, freedom and peace of mind that come from making informed choices. “Statistics show that retirement community residents live healthier and longer lives than those living alone.” That doesn’t sound like rocket science; we need people. A resident commented, “If I knew how many of my friends lived

here, I would have moved in years ago.” As one resident says, “I have to admit, it was lonely sometimes at home, now there is always something enjoyable to do.” Whether you want to participate in all of the social activities and outings or read a good book in the quiet of your apartment, the choice is yours. “I love telling stories and reminiscing but it’s not always easy when they’re thirty years younger than me,” remarks a resident. A retirement community, by its very nature, allows people to interact with people their own age affording greater empathy and identification. Memories and recollections are complimented when two people can truly share the depth and breathe of events. Somewhat tongue-in-cheek yet true, is the adage that retirement communities provide a “constant reservoir of friends.” “I never have to worry about home upkeep or shoveling again,” said a smiling resident. Now you

can choose what you would like to spend time doing: cooking in your apartment, patio gardening, traveling, learning to paint or play the piano; all of the things you never felt you had time to do before. The choice is yours. Keeping the mind, body and spirit healthy is the goal of many retirement communities. “When I moved here, it was very impressive to see how many care about my wellbeing,” a resident reported. Your choice of personal wellness goals are supported by a retirement community’s team who are all rooting for you. “Wellness programs” are growing initiatives in retirement communities to ensure balance, increased strength and awareness of changes. Many retirement communities provide a spiritual component through pastoral visits or Sunday services that keep your hope and faith strong through all times of life. Retirement communities offer various forms of financial protections like “life

care” or “endowments” that protect your financial future regardless of your health. A “life care” type contract also provides the potential for tax deductions for prepaid medical expenses. If you don’t feel the need for long term health care coverage, many communities offer rental programs, so again the choice is yours as to which option works best for you. “When my wife had her stroke, it was so convenient to visit her several times a day. I couldn’t do that if I had to drive each way,” commented a resident. Should a care need arise, retirement communities can provide professional and caring services, all in the comfort of your “community.”The choice is yours regarding your lifestyle and many elements need to be considered in making your decision. Should you decide that a retirement community is right for you, there are many elements, such as the ones listed here, that need to be considered and weighed, so that you can feel confident about your choice.

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4955 S Greenbrook Terrace

PET<< from page 39 full body approach to health care, the doctors at this clinic also encourage good nutrition and weight management. As in humans, poor diets can lead to diseases such as diabetes, heart problems, joint disease, and pancreatitis. If it is recommended that a patient have surgery, either to deal with a particular problem or, as in the case of a spay or neuter, to improve the patients quality of life, they will be treated much the same as a person would be. Pre-surgical blood tests, IV fluids and an anesthesia protocol similar to that in human medicine lead to better surgical results. The Forest Home Animal Clinic embraces the idea that “a happy pet is a healthy pet”. When a patient comes through the doors of an exam room the staff will take a close look at their home surroundings and changes in their environment that may lead to behavioral issues. These social and environmental questions are essential to treating the whole patient. Having highly trained doctors and employees as well as a dog trainer on staff, this clinic offers an unlimited resource for dealing with psychological issues such as separation anxiety, fear of storms or loud noises, dominance, boredom and nonsocial behaviors. These problems can lead to unwanted behaviors such as barking, inappropriate urination, hiding, destructive habits, and aggression. Along with the advice that the staff at the Forest Home Animal Clinic can offer, they also included a doggie day camp when they expanded their facility to offer a safe place for dogs to socialize, learn manners, and stay active. Being aware that stress is just as bad for animals as it is for people this unparalleled clinic also has separate boarding areas for dogs and cats. These areas provide a clean and safe place for pets to be given the care that they deserve when their family cannot be with them. Providing whole patient care takes an entire staff of dedicated employees. To have the quality communication needed to treat each patient according to their individual history, thorough records are necessary. The Forest Home Animal Clinic has adopted a record keeping system comparable to what is found in human facilities. This remarkable clinic keeps detailed paper and computerized files for each dog and cat. There also has been recent trend in human medicine where authorized persons can access medical records through the inter-net; this contemporary clinic offers a similar service. “Pet parents” can sign up for a Pet Portal that they can use to set up appointments, request food, medication and services, receive e-mail reminders and have access to their pet’s vaccine history. There are still some distinct differences between veterinary medicine and human medicine. Unfortunately pet insurance is not yet a household asset so the total cost falls onto the shoulders of the pet owners. Dr. Bonofiglio, veterinarian at the Forest Home Animal Clinic, feels “Having pet insurance allows many pet owners to choose treatment for their pets that would have been out of financial reach before”. Choosing to purchase pet insurance can greatly offset the cost of caring for our four legged friends. On the other hand; the Forest Home Animal Clinic offers convenient appointments, lab test and radiographs that can be done on site, lab test results that are usually available in 1-2 business days, the ability to dispense medication and prescription food, and a friendly devoted staff. Unfortunately, these benefits cannot always be found in human facilities. Perhaps someday all pet owners and veterinary professionals will agree that treating animal health with a whole body approach just as in human medicine can only result in improvement of life expectancies and quality of life for our furry friends. Until then staff at The Forest Home Animal Clinic will continue to focus on this concept and be there to meet the needs of these very special members of our families. For more information contact the Forest Home Animal Clinic, 11222 West Forest Home Avenue, Franklin, WI 53132, (414)425-2340, www.foresthomeanimalclinic.com

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