June 2016 mhl by Modern Health and Living

MHL

JUNE 2016 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Ultimate Summer Guide 2016

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

Are You Tired of Sleeping with This? ASK US ABOUT OUR NON-CPAP SLEEP APNEA TREATMENT!

Sleep apnea is more than noisy, it can be bad for your health. Chronic, loud snoring is a sign that you could be suffering from sleep apnea, a condition that causes you to actually stop breathing, often hundreds of times a night! This can lead to chronic fatigue, memory problems, high blood pressure, strokes, and more. We treat sleep apnea with a custom designed oral appliance. Many of our patients report feeling better and more rested after just one night of using the device. Call us today at (414) 208-4539 or visit www.SnoringisntSexy.com to stop the noise and start resting.

Dr. Roberto Monteagudo

CREATING LIFE-CHANGING SMILES

1469 South 70th Street | West Allis

(414) 208-4539 www.SnoringisntSexy.com

JUNE 2016 MHL

KNEE PAIN/ INJURIES

ROTATOR CUFF INJURIES

HAMSTRING INJURIES

LOW BACK PAIN/ INJURIES

ARTHRITIS PAIN

HIP PAIN/ INJURIES

ANKLE INJURIES

ATTENTION ATHLETES AND WEEKEND WARRIORS! AT EVANS CHIROPRACTIC & PAIN RELIEF LASER CLINIC WE GET ATHLETES OF ALL SKILL LEVELS BACK IN THEIR SPORT FASTER THAN ANY OTHER CLINIC

THANKS TO OUR REVOLUTIONARY NEW PAIN RELIEF THERAPY PROGRAM We are the ONLY clinic in the region that has the combination of therapies that are critical for your most rapid recovery. First and foremost we offer the most powerful and effective Class 4 MLS Robotic Laser Therapy in the area and we have been using it extensively since 2012. Additionally, we couple the powerful Class 4 MLS Robotic Laser Therapy with a multitude of other therapies (as indicated for each patient) which have been tried and tested in our facility for validity, reliability and effectiveness over that past 3 years. If you have had enough of your ACHING, NAGGING, STABBING that no other therapy has been able to eradicate, come on in for your Complimentary Consultation with Dr. Evans to see if our program will work for you. At Evans Chiropractic & Pain Relief Laser Clinic all of the staff is %RDUG &HUWL¿HG in their chosen specialty. Early in her career, Dr. Evans worked as a Trainer with a professional football team and since has dedicated her career to helping athletes of ALL skill levels achieve their performance goals. “Our patients appreciate being able to get the care they need all under one roof, it saves them so much time. And in a lot of ways. Too many people go from one therapy to another hoping for relief,” Evans said. In my experience, combining therapies increases the effectiveness of all the therapies.

To fully understand and diagnose your condition, Evans Chiropractic & Pain Relief Laser Clinic uses several approaches including:

-MLS Class IV Laser Robotic Therapy - A complete physical examination - An orthopedic examination - A neurological examination - A complete gait analysis - Acupuncture Therapy evaluation After identifying the source of your pain, Evans Chiropractic & Pain Relief Laser Clinic is proud to offer a comprehensive therapy program all under one roof! With a customized approach, patients receive a combination of the necessary treatments, which can include: - Chiropractic care - Rehabilitation exercises and therapy - Trigger Point Therapy - Electro-acupuncture

- Massage therapy including swedish, deep tissue and therapeutic - Sound Wave Therapy - Complete Nutritional Program

FAST EFFICIENT NATURAL SOLUTION TO YOUR PAIN. CALL TODAY AND STOP LIVING IN PAIN! (OL]DEHWK LV D ERDUG FHUWL¿HG PDVVDJH WKHUDSLVW ZKR JUDGXDWHG IURP /DNHVLGH 6FKRRO RI 0DVVDJH 7KHUDS\ (OL]DEHWK KDV KDG RYHU \HDUV RI experience working in spas, physical therapy clinics and private practice. Elizabeth specializes in therapeutic and deep tissue massage with the goal of decreasing client’s pain and muscle tension. It is through massage that Elizabeth became interested in acupuncture, wanting to be able to do more for her clients. Elizabeth graduated magna cum laude from Midwest College of Oriental Medicine in 2010 with a Masters of Science in Oriental Medicine and a Bachelors of Science in Nutrition. While in school Elizabeth completed an internship at Guangzhou University in China. (OL]DEHWK KDV FRPSOHWHG OHYHO WKUHH WUDLQLQJ LQ 5LHNL DQG KDV IRXQG FRPELQLQJ WKH WZR PRGDOLWLHV H[WUHPHO\ EHQH¿FLDO LQ EDODQFLQJ KHU SDWLHQWV Qi and alleviating pain. Elizabeth has had great success decreasing patient pain with the use of electo-acupuncture. While majority of Elizabeth’s patients come to her for pain relief, she regularly treats allergies, anxiety, digestion problems, gynecological problem, insomnia, headaches and migraines. Dr. Eliesha Evans specializes in the management and treatment of complicated chronic pain syndromes. Additionally, Dr. Evans brings more than 25 years of clinical expertise and training to each and every case thereby ensuring your best outcome. Dr. Evans and her experienced, board FHUWL¿HG VWDII XVH D ³ZKROH SHUVRQ DSSURDFK´ 7KLV DSSURDFK WR ZHOOQHVV PHDQV ORRNLQJ IRU XQGHUO\LQJ FDXVHV RI DQ\ GLVWXUEDQFH RU GLVUXSWLRQ (which may or may not be causing symptoms at the time) and make whatever interventions and lifestyle adjustments that would optimize the conditions for normal function. Using this unique approach, Dr. Evans is able to help you accelerate and/or maintain a journey to good health.

COMPLIMENTARY CONSULTATION CALL OUR OFFICE AT (262) 785-5515 TO SET UP YOUR FREE CONSULTATION EXPIRES IN 30 DAYS

EVANS CHIROPRACTIC & PAIN RELIEF LASER CLINIC 15720 W. National Avenue New Berlin, WI 53151

262-785-5515 MHL SUMMER 2016

Open 6 Days a Week to serve you better! newberlinchiro.com relief@newberlinchiro.com

EDITOR’S NOTE Summer is here! I just love the time of year when everybody makes a mad dash to the garden centers. I do believe plants nourish us in so many different ways. Herbs in particular are a favorite of mine. I find their medicinal purposes fascinating and I appreciate the flavors they bring to cooking. I’ve also been noticing more people taking advantage of the local parks. Getting in shape can be as simple as taking your dog for a walk, playing with your children or taking a walk with your neighbor. Be sure to properly supervise those who handle fireworks as well. I have been trying to enjoy the beautiful weather and needless to say my kids could not be happier with this weather. My daughter, every morning, wakes up and feeds her favorite yellow finches. My summer routine is getting up at 6am every morning for a run then a 20 minute workout. Our lives can become chaotic but it is still important to remain active not only for physical fitness but to keep our minds healthy as well. This is why I had to slow down this summer with my excessive work schedule and really enjoy life. I’ve been traveling, it seems, almost every weekend to my favorite summer spots. The horse track for a wine tasting in Arlington. The Union patio at Madison. Coming up Great America, Key Lime Cove...I love it. Even the local events are great. Summer Sounds in Cedarburg, Jazz in the Park, Beerfest at Bayshore mall. This has truly been a great summer and my family and I are just enjoying it.With the weather this hot it’s important to keep cool and hydrated. I’ve been spending a lot of time at the Cedarburg pool with my SPF 50. To our senior readers, I have put a special health and independence feature for you. I encourage you to get out and go to all the great music venues. I would like to thank all the professionals who have contributed to this issue and YOU, our readers for staying in touch with us. Have a safe and healthy July! -Amanda Lewis

MHL

EXPECT MORE From Your Dentist

YOUR JOURNY TO OPTIMAL HEALTH STARTS FOR ONLY

The doctors at

$39

Call and Find Out How!

262.691.4555

JUNE 2016 FREE PUBLICATION

combine a health-centered approach with state-of-the-art technologies, such as: Non-metalic crowns in one convenient visit Non-invasive laser dentistry Low-dose 3D X-ray imaging technology Advanced Invisalign Training Precision placement of ceramic dental implants R

Est 1992

MODERN HEALTH AND LIVING

Dr. Ingo Mahn

Dr. S. Shetty

on Captiol Drive in Pewaukee | www.WiNaturalDentist.com

Ultimate Summer Guide 2016

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

contributers

Livestrong.com, 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, Interfaith Older Adult Services, Laureate Group, Tudor Oaks, Luther Haven, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices, American Camp Association, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI

contact

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

For information on advertising or to submit articles call, fax or email 414-659-6705 or 608-2376000, email: info@lewismediagroup.com. Subscriptions are $20 per year. Thanks for reading MHL.

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MHL 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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MHL Staff

Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.

Lewis Media Group | Malberry Media | www.modernhealthandliving.com JUNE 2016 MHL

TICKETS NOW ON SALE FOR WISCONSIN BEER LOVERS FESTIVAL Seventh annual festival to feature more than 40 pairings of Wisconsin craft breweries and local cuisine. Tickets are now on sale for the seventh annual Wisconsin Beer Lovers Festival, to be held on Saturday, June 18, 2016 (Father’s Day weekend) from 1 p.m. to 5 p.m. at Bayshore Town Center in Glendale. Hosted by Bayshore Town Center, DRAFT Magazine, Screamin Sicilian Pizza, Welcome to Glendale (the City ofGlendale’s Convention and Visitors Bureau) and the Wisconsin Brewer’s Guild, the Wisconsin Beer Lovers Festival is the premier all-Wisconsin craft beer and tasting festival, featuring more than 100 craft beer selections from more than 40 craft breweries throughout the state. Each of the participating breweries will be paired with local chefs, Wisconsin cheese makers, or one of several brewpubs and restaurants to create unique tasting portions designed to complement a variety of unique craft beers available for sampling. “We are excited to continue representing Glendale amongst all the other great craft breweries this year for the festival,”said Jeff Hamilton, president of Sprecher Brewery in Glendale and member of the Wisconsin Brewer’s Guild. “Whether you’ve come year after year, or you’re attending for the first time, Wisconsin Beer Lovers Festival is the place to be every June. This gathering allows visitors from across the nation to sample the state’s best craft beers and food, as well as theopportunity to meet the brewmasters and chefs behind the day’s creations.” Returning to the festival this year, is the updated 2016 Wisconsin Beer Lovers Festival application for smartphones and tablets that will allow patrons to access a map of the festival, as well as brewery and restaurant locations during the event. This year’s festival will feature music entertainment and the Wisconsin Brewer’s

MHL SUMMER 2016

Guild will also be creating a “mountain of beer” assembled from each participating brewery to be raffled off to one winning patron of the festival. All raffle proceeds will benefit the Wisconsin Brewer’s Guild. Festivalgoers and craft beer connoisseurs will also be able to purchase the “Wisconsin Beer Experience VIP Ticket.” This VIP ticket is available for $65 and will include access to a special VIP tent by the Wisconsin Brewer’s Guild that will feature specialty beers not available to the rest of attendees, a one-year subscription to DRAFT Magazine, early entry to the festival beginning at noon and a special collectible from the event. Only 250 VIP tickets are available. General tickets are $45 in advance and $55 at the door, and include admission, a souvenir beer sampling glass and unlimited samples of beer and food pairings. Patrons must be 21 years of age or older to purchase a ticket, and photo identification will be required at the admission entrance. Designated drivers and patrons under 21 years of age can purchase a “Food Lovers Ticket” for $25. For overnight guests staying in Glendale during the festival weekend, the Radisson Milwaukee North Shore and Motel 6 in Glendale are still offering special packages featuring discounted stays, festival tickets, event shuttles and more. For more information on the Wisconsin Beer Lovers Festival, available hotel packages and to purchase tickets, visit www.WisconsinBeerLoversFest.com. Also, be sure to follow Wisconsin Beer Lovers Festival on Twitter and Facebook for exclusive information about the festival, including the participating breweries and restaurants.

LANDSCAPING A COLORFUL ISLAND WITH ALL YEAR INTEREST When creating a landscape space you want to remember that Wisconsin has a short summer so making sure to have winter interest is key. Anchoring the island with tall evergreens, (we used emerald green abrovities) will establish an anchor and keep its look all winter. We also used spreading old gold junipers to bring in a yellow tone of evergreen. Using different colors and textures will keep the summer side popping. Between the abrovities are wine and rose weigelas. Dark purple leafs that bloom rich fushia pink colored flowers in spring will make the old gold junipers stand out with there neon yellow glow. Green and red corel bells bring in all the colors used on the island and add another texture to complete the summer colorful look. All plants can be purchased at Lowes

PLANTING TO CREATE

Summer Beauty

Some of the best gardens use layering. Combine layers of plants that grow at different heights. Curves are much more appealing to the eye than straight lines. Giving your garden area softer lines will add interest. Itâ&#x20AC;&#x2122;s all in the details. Color is key to any gardening space.

Plan for all seasons. When planting, you want to make sure that you know how each plant will look throughout the season. Year Round Interest. Living in Wisconsin means cold winters. Evergreens, boxwoods and holly are great plants to mix into your garden.

Plants provided by Lowes 12000 W Burleigh St Milwaukee, WI, (414) 257-4159.

JUNE 2016 MHL

Road America Visit Elkhart Lake, a fun and relaxing Wisconsin travel destination with vacation activities for everyone. Elkhart Lake is a 292-acre, 120-foot-deep spring-fed lake. Statistically, it measures just a bit more than a mile across a just over four miles around. Its shore line is distinctive with it many Cedar trees native to the area. As one of the states deepest lake in the state, its natural springs and sandy bottom provide the most magical blue color on sunny Elkhart Lake summer days. For more information go to www.elkhartlake.com

The Osthoff Resort The Osthoff Resort, in Elkhart Lake, Wisconsin, is a premier AAA Four Diamond resort located on 500 ft of recreational lakefront. Offering a casual atmosphere within its elegant surroundings, The Osthoff Resort provides a romantic getaway for couples, while year-round indoor and outdoor activities provide families opportunities to reconnect and enjoy spending time together. A host of seasonal packages are available providing guests varying options for getaways and holiday vacations. In addition, the conference center offers spacious and well-appointed ballrooms and meeting rooms, perfect for weddings, retreats and conferences. Whether spring, summer, fall or winter, couples, families or meetings - The Osthoff Resort is a great place on the lake.

Established in 1955, Road America is located midway between Milwaukee and Green Bay in Elkhart Lake, Wisconsin. Its legendary four-mile, 14-turn road circuit has challenged the world’s best racers for over 57 years. The 640-acre, park-like grounds offer amazing viewing opportunities, fantastic concessions and high-speed excitement to thousands of spectators each year. In addition to public race weekends, Road America offers group event programs, the Road America Motorplex for karting and supermoto, and the Road America Motorcycle and Advanced Driving Schools. The Verizon IndyCar Series KOHLER Grand Prix takes center stage as an international lineup of drivers will have their chance to battle it out for glory on one of the world’s most majestic road courses. They will be joined by the Pirelli World Challenge featuring many of the world’s top sports cars and drivers in an all out wheel-to-wheel battle consisting of six classes headlined by separate GT and GTS races. The Porsche GT Cup class will run alongside the GT and GT-A class cars over the course of the weekend. The Pirelli World Challenge consists of seven classes offering a competitive slot for nearly every sports car and sports sedan available. Races are run in a timed, sprint Verizon IndyCar Series format from start to finish and begin with KOHLER Grand Prix / Pirelli the series’ trademark standing start. With World Challenge door-to-door racing, no scheduled pit stops, June 23 - 26 driver changes and classes running together, it’s like watching the intensity of the final lap, every lap. For more events and great fun, check out www.roadamerica.com.

JUNE 2016 MHL

Marc Hirsch,M.D In many instances, the laser can eliminate the need to wear glasses. The use of lasers for this treatment has been in existence since the 1980â&#x20AC;&#x2122;s. Initially, the only procedure available was a called PRK(Photorefractive Keratectomy). In this procedure, the surface of the outermost layer of the eye is removed and then the laser treatment is applied. Over the next few days, the surface would heal. Once the surface healed the effects of the laser could be appreciated. PRK is an excellent procedure and is still used today in certain situations. However, it has largely been replace by LASIK (laser-in-situ keratomileusis). What is the difference? In LASIK, the surface layer is not removed. Instead a flap is created and reflected prior to the application of the laser. Once the laser is applied the flap is repositioned. This allows for faster healing with significantly less discomfort compared

LASIK

to PRK. In addition, most patients can undergo the procedure on both eyes in the same day. Many people have heard of LASIK and are aware that a laser is involved in the procedure. However, most people did not realize that until recently the only option for creating the initial flap was by using a rapid-oscillating metal blade. The use of a metal blade to create the initial flap is a tested and safe method for flap creation. However, the few complications that can occur during the procedure are usually related to a complication in the flap creation. A recent improvement in safety has been the development of a laser to create the initial flap. The laser is an infrared beam that separates the tissue by using a process called photodisruption. Light pulses as short as one-quadrillionth of a second are used to divide material at the molecular level without any impact to the surrounding tissue. This laser is

called a femtosecond laser and is made by a company called Intralase. This is a completely different laser than the laser used for vision correction, which is called an excimer laser. The major advancement in the femtosecond laser over the metal blade is safety. During a flap creation with a metal blade, the blade runs across the surface of the eye. This leads to the potential of inadvertently causing a corneal abrasion. In addition, there is possibility that the metal blade may cause an uneven cut across the cornea, the outer layer of the eye. The femtosecond laser addresses these potential safety issues by creating the flap in a different manner. Rather than moving across the surface of the eye, the femtosecond laser is applied from directly above the eye. T his method removes the potential of creating a corneal abrasion during flap creation. As mentioned this is a major safety improvement over the conventional oscillating metal blades. A second improvement is the accuracy of the depth of the flap. The laser is programmed to apply the laser spots at a specific depth. This fixed depth aids in calculating the amount of treatment that is safe for a particular eye. The conventional metal blades are not quite as accurate as the femtosecond laser. This means that often the actual depth of the flap made by a mechanical blade may be different than the intended depth. While this translates into small micrometer changes in the flap thickness, it may be

important to a patient who has a cornea that may be too thin for their necessary treatment. In addition, it becomes quite important for the occasional retreatment that may need to be performed. The Intralase removes the variability in the flap thickness and improves the ability for delivering a safer treatment. Some of the most devastating, but rare, complications occur when the metal blade does not perform a smooth flap creation. These complications in flap creation are contraindications for continuing the surgery, and may cause loss of vision. Certain anatomic features of the eye are felt to increase the risk of these complications, but all eyes are at least a very small risk of these occurrences. By using the femtosecond laser applied from above the eye, these complications are minimized. The flap dimensions are created by thousands of tiny microscopic bubbles consisting of carbon dioxide and water vapor. The bubbles are placed at a precise depth with an accuracy that surpasses the mechanical oscillating blade and significantly minimizes, possibly removing, the chance of complications in the flap creation. When patients are deciding whether to undergo laser vision correction, the safety and the accuracy of the procedure are the most important issues to consider. The use of the femtosecond laser is significant safety advancement. in an already extremely safe procedure. Further detailed information can be gained at www.milwaukeelasereye.com

JUNE 2016 MHL 11

wound and

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EXERCISE, MORE THAN DIET, KEY TO PREVENTING OBESITY Study featured in the American College of Sports Medicine finds exercise has significant impact on fat tissue, metabolism and gut microbes Two factors—metabolism and gut microbes – have been credited by researchers as key players in the fight against obesity. However, there is an ongoing debate about whether exercise or diet better promotes metabolism and healthy shifts in gut microbes, the microscopic organisms in our intestines that break down food and can contribute to decreased obesity. New research from the University of Missouri confirms exercise plays a significant role in the fight against obesity. “Some have claimed that exercise may not play a significant role in weight loss, as exercise can increase appetite resulting in greater food intake and potentially reduce activity throughout the day,” said Vicki Vieira-Potter, assistant professor of nutrition and exercise physiology at MU. “The purpose of this study was to look at exercise independently from weight loss and to determine other metabolic benefits associated with physical activity. Our team aimed to tease out what effects on adipose, or fat tissue, were due to weight loss from diet, and what could be attributed to exercise.” Vieira-Potter and her research team divided young rats prone to obesity into three groups to study the impact of exercise on their metabolic function and fat tissue. All three of the rat groups were fed a high-fat diet. Two of the groups were sedentary while the third group was able to exercise using running wheels. Of the two sedentary groups, one was allowed to eat as much of the high-fat food as they wanted, while the other group were fed controlled portions of the food in order to match the weight reduction caused by exercise. The exercising rats were allowed to eat as much as they wanted. Several weeks later, all rats were moved to specialized cages where researchers could measure their metabolism and physical activity. Researchers found the sedentary rats with unlimited food access were obese, unlike the sedentary rats fed a reduced amount of the same diet and the rats that exercised, which was expected. Notably, the researchers also found that the exercising rats were metabolically healthier than both of the sedentary groups, and they developed different gut microbes than the other groups, despite eating the exact same amount of food as the sedentary group with unlimited food access. “Overall, the exercising rats had higher metabolic rates, were more active even when not running on their wheels and experienced shifts in their gut microbes, perhaps putting them in in a better position to avoid future weight gain compared to the other groups,” Vieira-Potter said. “These findings confirm that exercise is an important component of overall health and is critically important in the fight against obesity, especially during the juvenile period.” The study, “Comparison of Diet vs. Exercise on Metabolic Function and Gut Microbiota in Obese Rats,” was published in Medicine and Science in Sports and Exercise, a journal of the American College of Sports Medicine. The MU Research Board, the MU Research Council, the Sears Trust Research Foundation and the National Institutes of Health provided funds for the study. Vieira-Potter’s future research will further study how exercise-mediated fat tissue changes may explain its unique metabolic effects. She and her colleagues on the study are also investigating the relationship between gut microbes and exercise and how that relationship impacts obesity. The Department of Nutrition and Exercise Physiology is jointly administered by the College of Agriculture, Food and Natural Resources, the College of Human Environmental Sciences and the School of Medicine.

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Local MDs offer latest advances to protect vision By Cheryl L. Dejewski

“As baby boomers age and people live longer, more Americans are hitting the age bracket where risk levels for debilitating eye conditions increase,” says Mark Freedman, MD, senior partner at Eye Care Specialists, a nationally recognized ophthalmology practice. How can you protect your vision? Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and partner at Eye Care Specialists, advises, “Your best protection is to schedule regular, comprehensive eye exams. Our practice strives to offer the latest technology to detect, track and treat nearly every cause of vision loss. But the most advanced equipment and services in the state are of no use if people don’t utilize them.” The following are just a few of the cutting-edge devices and procedures the Eye Care Specialists team has available.

Customized Lens Implants

Cataract surgery with lens implantation restores vision and reduces the risk of falls, car accidents, and depression.

Diagnostic Laser Scans

Because good vision in one eye can mask problems in the other and certain diseases lack early symptoms, people with diabetes (illustrated above), AMD, glaucoma, and other conditions often don’t notice a concern until it is too late. OCT laser scans help to catch diseases early enough to protect vision.

“Our practice has joined Harvard, Johns Hopkins, and other prestigious institutions in offering Optical Coherence Tomography, or OCT, laser scans. This advanced technology can detect, track and treat signs of glaucoma, diabetic retinopathy, AMD, and other sight-threatening diseases—often before damage occurs. Our staff and patients love that the OCT is fast and painless and results aren’t influenced by attention span, comfort, or ability to follow directions,” says optometrist David Scheidt, OD. Patients simply focus on a light while a safe, invisible laser scans inside the eye to create detailed crosssectional images (similar to an ultrasound) that provide unparalleled accuracy in visualizing and measuring any changes to the retina and optic nerve.

AMD & Diabetes Injections

Glaucoma Laser Treatment

Medication injections can help stop loss of vision to macular degeneration (AMD– demonstrated above) and diabetes (left).

Advanced outpatient laser procedures can help prevent permanent “tunneled” vision loss caused by glaucoma.

Age-related macular degeneration (AMD) is the leading cause of central vision impairment in Americans over age 50—robbing people of their ability to read, see faces, drive, etc. “A few years ago, there wasn't much we could do. But, now, we can offer revolutionary new medications, like Avastin and Eylea, that inhibit the growth of the abnormal blood vessels that cause eye damage from diabetes and from the ‘wet’ form of AMD,” reports ophthalmologist Michael Raciti, MD, who performs sight-saving injection treatments on a daily basis at Eye Care Specialists. “Although there are NO guarantees, our practice has seen remarkable results with regular (about monthly) in-office injections, including stopping the progression of wet AMD in 90 percent of patients, and even having up to 30 percent gain improvement in vision. This is truly one of the greatest advances in ophthalmology in the past 50 years.”

Glaucoma is a condition in which the fluid pressure in the eye is too high for the health of the optic nerve causing loss of side vision and eventually all sight. It is typically treated with prescription eye drops to lower the pressure (by either decreasing fluid production or increasing outflow). “For some patients, however, laser treatment may be an alternative. Our surgeons utilize highly specialized SLT and ECP laser procedures for qualified candidates. If successful, these 10minute outpatient procedures can control glaucoma and help to reduce the need, expense and hassle of using daily drops,” explains eye surgeon Daniel Ferguson, MD, who also has expertise in the surgical implantation of a tube-like device that drains fluid and reduces eye pressure.

Cataract surgery requires making an opening in the eye to remove the cloudy lens (cataract) and replace it with an For More Information . . . Call 414-321-7035 for the free booklets shown. If you artificial lens (to once again focus don’t have an eye specialist or need a second opinion, contact the offices below. light rays onto the retina and restore vision). Standard lens implants (IOLs) are “mono-focal” or singlefocus. They are like miniature internal contact lenses set for a single prescription power—usually to provide World-class care. Local convenience. clear vision in the distance (for driM Magazin & Medical, surgical & laser services for every age and every need. Milwaukee Magae zin ving, watching TV, etc.). Most e TOP DOCTORS patients still need to wear reading ■ Glaucoma, Diabetes and Macular Degeneration Care ■ In-Office Diagnostic Laser Scans in EYE CARE (with advanced medication injection and laser treatments) glasses or bifocals after surgery. ■ Comprehensive Dilated Eye Exams “When appropriate, however, we offer ■ No-Stitch, No-Shot Ultrasonic Cataract Surgery ■ Pediatric Care & Surgery (with standard, multi-focal or toric lens implants) the option of ‘advanced technology’ ■ Drooping Lid Repair & Lid Spasms Treatment IOLs, which are ‘multi-focal’ (pro■ Corneal Transplants, Neuro-Ophthalmology & Retinal Cases ■ Dry Eye & Ocular Infection Treatments ■ Surgical & Laser Vision Correction to reduce need for glasses vide multiple focusing zones for near ■ Accept Medicare/Most Major Insurances and far) or toric (provide correction Wisconsin’s leading ophthalmology practice. Trusted by more than 130,000 doctors & patients since 1985 for astigmatism),” explains Daniel Paskowitz, MD, PhD, an eye surgeon with credentials from Harvard and Johns Hopkins. “At least 70% of advanced technology IOL patients can see to read, drive, do computer work, or perform most activities— with never or only occasionally needMark Freedman, MD Brett Rhode, MD Daniel Ferguson, MD Daniel Paskowitz, MD, PhD Michael Raciti, MD David Scheidt, OD ing glasses. At Eye Care Specialists, www.eyecarespecialists.net we customize each implant to fit each West Allis Wauwatosa Milwaukee patient’s prescription, health, 10150 W. National Ave. 2323 N. Mayfair Rd. 735 W. Wisconsin Ave. lifestyle, expectations, budget, and 414321-7520 414258-4550 414298-0099 other concerns.”

T EYE

CARE SPECIALISTS

EYE MDS REVIEW TOP 10 REASONS TO TAKE CARE OF YOUR EYES

By Cheryl L. Dejewski Often, people are hesitant to make an appointment to have their eyes checkedâ&#x20AC;&#x201D;even when they know they have a problem. Thatâ&#x20AC;&#x2122;s when friends and relatives can play a vital role. You may recognize that someoneâ&#x20AC;&#x2122;s failing vision is preventing them from enjoying hobbies or performing daily tasks. By arming that person with information and support, you can help them to avoid isolation, injuries, depression and even blindness. To help you help others (or yourself) to see life to the fullest, we asked the doctors at Eye Care Specialists, Wisconsinâ&#x20AC;&#x2122;s leading ophthalmology practice, to provide an overview of some of the top reasons not to delay taking care of your eyes. You may find the following points motivating. 1. â&#x20AC;&#x153;Improving vision can have a substantial impact on task performance and quality of life. Researchers in one study found that even with just modest visual improvement (as achieved with new eyeglass prescriptions), participants could read, write, use the telephone, watch TV, and play cards better. They also reported less psychological distress (such as worry and frustration). And, new glasses increased social interaction in terms of visiting friends and participating in group activities,â&#x20AC;? notes Mark Freedman, MD, senior partner at Eye Care Specialists, Wisconsinâ&#x20AC;&#x2122;s leading ophthalmology practice. 2. Taking good care of your eyes may actually boost your attitude. For example, one study found that removing a cloudy cataract and improving vision can also increase the amount of light and color which enters the eye, thus positively impacting cortisol, melatonin and mood levels. 3. Just about everyone can benefit from improved vision. â&#x20AC;&#x153;Within our own practice, we have long believed in the importance of providing the best possible vision to all patientsâ&#x20AC;&#x201D;even those mislabeled too old, depressed, confused or cognitively impaired to benefit. Family members, caregivers, and patients themselves often report positive changes in demeanor and ability to communicate

following cataract removal,â&#x20AC;? says Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and a partner at Eye Care Specialists. â&#x20AC;&#x153;In fact, a study presented at an Alzheimerâ&#x20AC;&#x2122;s Association International Conference demonstrated that both dementia patients and their caregivers benefit when the patient can see better. Most notably, patients who needed and underwent cataract sur-

gery were more mobile, functioned better, and demonstrated slower memory decline than those who needed cataract surgery but did not have it.â&#x20AC;? 4. You may lengthen your life. Research from the Blue Mountains Eye Study in Australia found that people who had surgery to remove a cataract live longer than people who donâ&#x20AC;&#x2122;t have their cloudy vision improved. Possible factors for the positive benefit include: improved physical and emotional wellbeing after surgery, increased optimism, greater success living independently, fewer hip fractures and serious injuries from falls, and better ability to comply with taking prescription medications. 5. Studies have shown that undiagnosed and untreated cataracts and glaucoma can greatly increase the risk of having a car accident. For example, glaucoma can reduce peripheral vision (causing a â&#x20AC;&#x153;tunnelingâ&#x20AC;? effect) without damaging central vision. This means that many people who have glaucoma are able to pass the current vision test used for a driverâ&#x20AC;&#x2122;s license in most countries. Known as the visual acuity test, this test only checks a driverâ&#x20AC;&#x2122;s straightahead distance vision. But crisp vision isnâ&#x20AC;&#x2122;t enough to be safe behind the wheel.

Drivers also need good peripheral vision in order to assess and keep up with traffic flow, stay in the proper lane, and detect stop lights, pedestrians, vehicles and other obstacles. Fortunately, prompt detection and treatment of eye problems can help keep drivers, their passengers, and other people on the road safe. For example, one study showed that people who have their cataracts removed and replaced with implants have half the car accident risk of those who donâ&#x20AC;&#x2122;t have surgery,â&#x20AC;? notes Daniel Ferguson, MD, an eye care specialist with thousands of cases under his surgical cap, including laser treatment for glaucoma. 6. Poor vision is often cited as a main reason for loss of balance that results in falls and hip fractures. Age-related cataracts (clouding of the natural lens inside the eye) are a common cause of poor vision (blurriness, glare, difficulty seeing at night, etc.). â&#x20AC;&#x153;Surgery to remove cataracts, however, can dramatically decrease the risk of falling. In one study of people age 50-plus, removing cataracts decreased their risk of falling by up to 78 percent. Another study revealed a significant reduction in the incidence of hip fractures in the year following cataract EYES>>page 61

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SENIORS BEHIND THE WHEEL It’s vacation season and our senior parents won’t be left at home. When it comes to confronting our children about safe driving, many of us have no reservations. But with older adults, like our parents, it’s not so easy. In fact, in a recent survey, while nearly one-third (31 percent) of people 70 and older who were still driving said that a recommendation from family or friends may make them reconsider whether they should, most of these older adults (95 percent) have not had these conversations. Part of the problem is that people feel guilty about limiting their loved one’s independence, or uncomfortable with the child-parent role reversal. Here are four suggestions to help make the transitions to alternate driving solutions go smoothly while maintaining a senior’s independence. 1. Find a safe fit. The CarFit program was developed by the American Society on Aging in collaboration with the American Automobile Association (AAA), AARP and the American Occupational Therapy Association. It is designed to help older drivers find out how well they fit in their personal vehicle, and highlight actions they can make to improve that fit – things like knowing how to properly adjust the mirrors, good foot positioning on the gas and brake pedals, sitting at least 10 inches away from the steering wheel and seat belt comfort. 2. Get the facts. Decisions about giving up driving should be based on data. Encourage your older loved one to get a physical exam with their primary care doctor and undergo a comprehensive driving evaluation by an occupational therapist in your area.

While nearly onethird (31 percent) of people 70 and older who were still driving said that a recommendation from family or friends may make them reconsider whether they should, most of these older adults (95 percent) have not had these conversations.

3. Listen and communicate. Listen closely to your senior loved one’s fears and apprehensions about giving up driving. You’ll need to understand these concerns to be able to develop a plan with which he or she feels comfortable. Consider starting by developing a pro and con list with them of options being discussed. 4. Create a plan with many alternatives. Knowing your senior’s concerns will help create a plan that meets their needs. For example, if they are worried about isolation, look into public transportation options nearby or consider friends who might be willing to drive in exchange for a free lunch once in a while. In order to help get these conversations started and offer resources for families dealing with this issue, Home Instead Senior Care has recently developed Let’s Talk About Driving – a comprehensive program that helps older people and their families recognize the warning signs of when it’s no longer safe for a person to be on the road, and offers tips and support for easing the transition. For more information about senior transportation or other topics related to improving the daily lives and safety of seniors, please contact Home Instead Senior Care of Milwaukee at 414-882-5464.

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If you suffer from sneezing, runny noses, or itchy eyes, you might think you have a cold. Instead, it could be an allergy. When you come across something that you are allergic to, your body reacts by producing chemicals. These chemicals cause the sneezing, runny nose and itchy eyes. People can be allergic to many different things, such as > POLLEN > DUST MITES > ANIMAL DANDRUFF > MOLD > FOODS DRUGS

HAY FEVER Hay fever (pollen allergy) is one of the most common kinds of allergies. About 35 million Americans suffer from hay fever. Pollen is made by trees, grasses, and weeds. During the spring, summer, and fall some plants release pollen into the air you breathe. Your symptoms might be different at different times of the year. It all depends on the kinds of plants that grow where you live and what allergies you have. SYMPTOMS OF HAY FEVER > SNEEZING > RUNNY OR CLOGGED NOSE > COUGHING > ITCHY EYES, NOSE, AND THROAT > WATERY EYES > RED, SWOLLEN EYES

Why do some people have allergies and hay fever? No one is sure what causes allergies. You are more likely to have hay fever if your parents have it. What kinds of tests check for allergies? •SKIN TESTS- Your doctor may also use a needle to put a small amount of allergen into your skin. After a few minutes, the reaction tells your doctor if you have allergies. •BLOOD TESTS- Your doctor may use a blood test to look for a protein in your blood called IgE. This protein is made by people with allergies and hay fever. It also helps fight certain types of infection. Both tests look for certain disease-fighting cells (antibodies). Your body makes these cells to match whatever it is fighting. Your antibodies tell doctors what you are allergic to. How are allergies and hay fever treated? Your doctor can help you decide what to do. You can: •AVOID THE THINGS THAT CAUSE YOUR SYMPTOMS. •USE MEDICINES. •GET ALLERGY SHOTS. Allergy shots contain small amounts of what you are allergic to. At first, shots may be given every week to lessen your symptoms. The shots are usually continued for 3 to 5 years. 18 MHL SUMMER 2016

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â&#x20AC;˘ Whole grain pasta â&#x20AC;˘ Brown rice â&#x20AC;˘ Potatoes â&#x20AC;˘ Sweet potatoes â&#x20AC;˘ Canned or dried beans â&#x20AC;˘ Legumes â&#x20AC;˘ Lentils â&#x20AC;˘ Eggs â&#x20AC;˘ Ground beef â&#x20AC;˘ Chicken breast â&#x20AC;˘ Canned fruits and vegetables Repurpose Leftovers Donâ&#x20AC;&#x2122;t toss leftovers or let them mold in the back of the fridge. There are numerous ways to reuse meat, cheese, and vegetables in a new dish. Use extra chicken and vegetables in a stir fry or turn leftovers from taco night into taco salad another evening. It may be helpful to include a â&#x20AC;&#x153;leftoversâ&#x20AC;? night on the weekly menu. Do It Yourself Buying prepackaged or â&#x20AC;&#x153;convenience itemsâ&#x20AC;? can be more expensive than preparing foods at home. To save money, buy a block of cheese and shred it by hand or cut fruits and vegetables rather than purchasing them already chopped. Individuallywrapped snacks can be costly. Consider getting a larger box or bag and dividing its contents into baggies or plastic containers. Pick a New Protein Go meatless for a few nights each week. There are numerous foods that offer protein for a smaller cost. Legumes, lentils, nuts, eggs, and cheese are examples of alternatives to meat. Use these items to concoct bean-based soups, vegetarian lasagna, or a peanut-vegetable stir fry. Or have breakfast for dinner, with eggs, whole grain toast, and fruit. Shoppers can also buy meats at a slightly lower quality to save money. For instance, use ground beef instead of ground sirloin to save money. You can reduce the extra fat by browning the meat, pouring it into a colander, and rinsing it with water. Using stew meats can also save money, and they become tender when cooked in a crock pot. SUMMER>>page 21

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acupressure Many people know that acupressure effectively relieves musculo-skeletal pain. Few however, are aware that this Chinese medical modality brings lasting relief from allergic reactions. How? Let’s take a look at how acupressure works: according to the principles of traditional Chinese medicine, the body’s functions are regulated and supported by vital energy, called qi (pron. chee). This energy courses through a network of channels that connect the surface of the body with muscles, bones and internal organs. Simply put, when an event occurs that disrupts the flow of qi, the surrounding tissue is affected by the lack of flow and symptoms often develop. Based on the type of symptoms experienced, a Chinese medicine practitioner can easily determine the channels of the body affected. A person experiencing stomach pain and nausea, for example, is likely to have a disruption in the stomach channel. Sneezing, coughing and watery eyes indicate a qi disruption in the lung channel. By applying pressure or inserting needles to specific points along the affected channel, proper flow of qi is reestablished and the muscles and organs involved can resume their normal function. Allergic reactions are also regarded as symptoms of a disruption in the flow of qi. Today, modern technique called NAET (Nambudripad’s Allergy Elimination Technique) employs acupressure to bring a lasting relief from allergic reactions. Many patients report that after repeated application of acupressure by a qualified NAET practitioner their allergy complaints resolved altogether. This is great news for those seeking an effective non-invasive approach to long-term allergy relief. Hana Holbus, MS L.Ac. is a certified NAET provider and a licensed acupuncturist. She is the director of Head To Toe Clinic at the GreenSquare Center in Glendale, WI. To find out more about acupressure and NAET, please visit the clinic website at www. headtotoeclinic.com or schedule a free consultation by calling 414/455-1324.

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WHAT REALLY MATTERS By Kalpana (Rose) M. Kumar, M.D. Almost exactly 6 weeks ago, my mother died, suddenly and unexpectedly. I will never forget that phone call from my father for as long as I live. My mother was 80 years old, in good health and died 10 years sooner than most in her family of origin. After the initial shock, I dropped into a container of grief a few hours later. Since then, I have experienced intense feelings of numbness, denial, acceptance, anger, deep sorrow, as well as moments of gratitude on her behalf for a fast and hopefully painless death. In the many weeks after her death, I have and continue to wander the spiral of grief. This spiral is well known to all humans who have experienced loss. In our culture, we are not allowed to grieve freely or completely. We pathologize grief as depression. Many in the medical system want us to to numb ourselves to this experience by medicating our grief. Our culture also teaches us to be impatient with it. We are expected to resume our ‘business as usual’ lives as quickly as possible. But our lives are never the same after a loved one dies. Their loss changes us forever. We are broken open and deepened. We need time, space, and support to restructure ourselves without them. We need to do this not only to honor our relationship with them, but to arrive at a level of closure. It is healthy to traverse the grief spiral as completely as possible. If we don’t, congested grief can eventually manifest as illness and dis-ease. Sudden death is much harder to adjust to than death which occurs after a chronic illness. The suddenness of the person’s absence and the significant void that is left is sometimes hard to bear; yet bearing the unbearable deepens us in compassion and reinforces the importance of living from meaning for whatever time we have left on earth. I find the most important gift one can give the griever is validation. Telling them to ‘get over it’ is not healthy. Expecting them to move ahead without expressing their grief is also unhealthy. Much of what people say to the griever has to do with their own limitations and discomfort in being with their emotions and feeling function. In a tribe in South America, when a person is grieving, people in the tribe want to be near them. They say the griever is closer to God because they have been broken open from the pain of loss. They honor and revere the gifts of grieving. They know they are in the presence of Soul alchemy. They hold sacred space for the one in pain. Our culture is severely lacking in its ability to hold space during intense life processes, especially grief and loss. It not only ‘takes a village’ to raise a child but also to help us move through life experiences gracefully. Our culture, as it stands, does neither. We need to be mindful of these gaping limitations and begin cultivating presence for each other as we go through our spiral of life experiences. The danger of not doing this threatens our very sense of belonging and the feeling that we matter. To feel like we matter is essential to our very existence. We have gotten so caught up in what we are conditioned to value that it is easy to normalize the superficial values of society and lose sight of what is real, authentic, and non-material. Upon death, no one has ever taken anything material with them. So why do we value material over meaning, doing over being, fixing over healing, and progress over process? These are important questions we need to ask as we go through life and its many crossroads. These become more poignant and palpable as we approach midlife, when we begin to shift our sense of worth from extrinsic to intrinsic, and our zeal for cultivating what is authentic supersedes society’s superficial values. Over the years I have asked hundreds of people who are near death or bear a life-threatening illness “What really matters?” They have all had the same response. What matters to them is how deeply they have loved, how much meaning they have 22 MHL SUMMER 2016

MATTERS>>page 23

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People use yoga for a variety of health conditions and to achieve fitness and relaxation. It is not fully known what changes occur in the body during yoga; whether they influence health; and if so, how. There is, however, growing evidence to suggest that yoga works to enhance stress-coping mechanisms and mind-body awareness. Research is under way to find out more about yoga’s effects, and the diseases and conditions for which it may be most helpful. Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. Yoga in its full form combines physical postures, breathing exercises, meditation, and a distinct philosophy. Yoga is intended to increase relaxation and balance the mind, body, and the spirit. Early written descriptions of yoga are in Sanskrit, the classical language of India. The word “yoga” comes from the Sanskrit word yuj, which means “yoke or union.” It is believed that this describes the union between the mind and the body. The first known text, The Yoga Sutras, was written more than 2,000 years ago, although yoga may have been practiced as early as 5,000 years ago. Yoga was originally developed as a method of discipline and attitudes to help people reach spiritual enlightenment. The Sutras outline eight limbs or foundations of yoga practice that serve as spiritual guidelines: 1.yama (moral behavior) 2.niyama (healthy habits) 3.asana (physical postures) 4.pranayama (breathing exercises) 5.pratyahara (sense withdrawal) 6.dharana (concentration) 7.dhyana (contemplation) 8.samadhi (higher consciousness) The numerous schools of yoga incorporate these eight limbs in varying proportions. Hatha yoga, the most commonly practiced in the United States and Europe, emphaYOGA>>page 63 MATTERS<<page 22 lived from, how much wisdom they have gained, and how they have made a positive difference in the world. I believe loving fully and deeply is an important legacy that we should all consider leaving. Learning how to love oneself is a prerequisite for loving others authentically. It is the only way any of us can help alleviate some of the suffering in our corner of the world. The authentic love we share continues to help and heal others long after we are gone. These are kernels of wisdom I was reminded of through traversing the spiral of grief after the devastating loss of my mother. My grief will continue to take me through uncharted territories to deepen and hone my authenticity and sense of worth and value. I promise myself to keep my mother’s legacy alive by living and sharing what really matters. This holds far greater value for me than anything material society may normalize. This may be one way she can continue to bring peace on Earth. ©June2016 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director of The Ommani Center for Integrative Medicine, Pewaukee, WI. Dr. Kumar is accepting new patients; call our office to schedule at 262.695.5311. www.ommanicenter.com Author of Becoming Real: Reclaiming Your Health in Midlife. 2011, 2014 Medial Press

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Dr. Evans Specializes in the management and treatment of complicated chronic pain syndromes. Additionally, Dr. Evans brings more than 30 years of clinical expertise and training to each and every case thereby ensuring your best outcome. Dr. Evans and her experienced, certified team deliver personalized care to each and every patient and look forward to helping you recover and feel better! Dr. Evans and Elizabeth work closely in the management and successful treatment of the many chronic pain conditions treated successfully every day at Evans Chiropractic & Pain Relief Laser Clinic. DR. EliESha EVanS

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By: Erica M. Zernzach C.Ac. (514-055), MSOM, BS Nutrition & Reiki Master Teacher A Right Path Wellness, LLC - Acupuncture andÂ Eastern Medicine Have you ever experienced pain so excruciating that it takes your breath away? Have you had pain that makes it difficult to get out of bed in the morning and get your daily activities accomplished? Maybe you ask yourself how you are going to get through another day feeling like this. Letâ&#x20AC;&#x2122;s start with the good news â&#x20AC;&#x201C; there are always options to attract health back into your life. Do not give up hope. The human body is intelligent beyond our comprehension. It can adapt, adjust and heal almost any condition if the appropriate tools, such as acupuncture and Eastern medicine are utilized. Many have found that by simply being more aware of the advantages of acupuncture, herbal medicine, reiki, nutrition, breath-work, meditation and yoga, they are able to achieve balance within the body and ultimately become pain-free. Many times chronic pain can result from a trauma, other illnesses or more mysteriously it can just appear. Often thousands of dollars are spent trying to diagnosis the issue only to leave you wondering what the next step is. The battle plan often is to manage the pain. Pain management has become main-stream, but who wants this to be the only treatment option? Wouldnâ&#x20AC;&#x2122;t you want to eliminate the cause behind the pain if possible? Pain is the bodyâ&#x20AC;&#x2122;s way to communicate with us that there is something wrong. Our lives are so busy that it takes the pain to get our attention. A good analogy for pain is looking at the human body like a garden hose. When the garden hose is turned on, but tied in a knot, the water is unable to flow freely, thus creating pain. One side of the knot is building up pressure from the water and on the other side no new water can get through to nourish and eliminate the building pressure. Acupuncture and Eastern medicine gently, yet powerfully unties the knots to allow the bodyâ&#x20AC;&#x2122;s nourishing fluids to get through to heal the aliment. Besides the physical components, emotional issues can also arise from chronic pain. People often feel heightened levels of stress from the pain and this additional stress can trigger more pain. Additional stressors, such as financial concerns start to pile up from medical examinations, as well as reductions in wages due to lost work. Relationships can often become strained because their partner and family feel helpless in solving the problem. They can not take the pain away regardless of what they desperately try. This becomes a very vicious cycle that can be difficult to break. Acupuncture and Eastern medicine can also help with the emotional aspects associated with pain for the person experiencing it, as well as for caregivers. Even once a diagnosis is made â&#x20AC;&#x201C; sometimes doctors unfortunately do not have all of the answers why the health concerns are happening and how to stop them. Sometimes treatment protocols are not clear. Trial and error is used to eliminate and deduct what works and what does not to relieve the pain. This can be a long and grueling process. The good news is acupuncture and Eastern medicine does not rely on a Western diagnosis to be effective. That is not the approach that is taken to treat a person. The patient is perceived as a whole living unit instead of just a diagnosis. Medical history, observation of the patientâ&#x20AC;&#x2122;s body and lifestyle are all taken into consideration. Once all the information is gathered, a treatment plan is established to fit the individualâ&#x20AC;&#x2122;s needs. The patient is involved in every step throughout the treatment process to ensure their care plan best matches their goals. The ultimate vision is to use acupuncture and Eastern medicine to balance the energies within the body. When our bodies are balanced, it is nearly impossible for PAIN>>page 62

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THE RISING SUMMER HEAT

In Ayurveda, the ancient holistic healing system from India, maintaining good health throughout the year requires living in harmony with the natural cycles of the seasons. This is because your outer environment influences your inner world. Each season has specific characteristics and factors which can affect your wellbeing. Knowing how to adjust to the changes in the outer environment through the food you eat, the type and amount of exercise you do, even the clothes you wear is vital to enjoying good health. Here in Wisconsin, we have fully entered into the season of summer which is dominated by heat and is characterized by the qualities of hot, bright and sharp. If you already have a heated bodytype or constitution, it won’t take much of the summer sun and heat to aggravate your body and mind. Luckily, when you get an excess of this heat, your body will begin to tell you about the imbalance through signs and symptoms. When you pay attention and understand what those signs mean, you can then take action to remedy them. Signs that your heat is rising: • Acid indigestion, reflux and heartburn have increased or have begun giving you grief. • You’re skin feels like it is raw and on fire plus you are experiencing acne, rashes or hot and irritated skin conditions. • You’ve come down with an infection that spikes a fever. • Your find yourself having temper outbursts over minor aggravations or often feel frustrated and irritable. • You are suddenly waking up in the very early hours of the morning and then find it difficult to get back to sleep. • Your thirst has increased significantly and you are hot the majority of the time. To keep your body and mind in balance this summer, you need to make a few simple seasonal adjustments. While this may sound like a new concept, you actually are likely already doing just that! As the temperatures heat up, you naturally begin to shift from eating hot soups to cooler salads. The sweaters go on the shelf while the shorts, sundresses, and sunglasses come out. You begin to exercise in the cooler parts of the day and are more attracted to water activities that cool off the body. Seasonal transitions mark a great opportunity to recalibrate your body and increase your awareness about what YOU need to stay in balance. As an individual, you have a unique biochemistry different than anyone else and will be affected by the season in different ways. In addition to this, your current state of health, what health conditions and symptoms you’re already experiencing, also need to be considered. In summer, the general countermeasure to the heat is fairly obvious - stay cool -- both physically and emotionally. To find out exactly what you need to maintain balance through the summer heat, contact Jamie Durner of Ayurveda Wellness @ 262-389-5835 to schedule your professional Ayurvedic assessment or find out more information at www.ayurvedawellness.org. ©2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator. For more informattion contact Jamie at 262-389-5835.

26 MHL SUMMER 2016

men and women of all ages. We contact local health professionals every month and are thankful that many have contributed to this issue. They are keenly aware of health concerns for this region (very important). We stay in touch with them so they can stay in touch with you. I think you’ll ﬁnd something here that can help you lead a healthier life. We hope that you share this special issue with friends and family, too. Speaking of family, I try to keep mine active throughout these cold months. My children are taking a Tae Kwon Do class 4 times a week. I encourage you to try to ﬁnd something to keep your children active and social. Wheather its gymnastics, dance, sport or just running around in circles, staying active keeps the body and mind healthy and developing. To us adults with Super Bowl Sunday and myself hosting the monthly Bunco get together this equals food, food and even more food. It’s so important to keep ourself active, so it might be time to get that gym membership or start walking the malls again. Stay active!!! I hope you have a wonderful February and will touch base again in March -Amanda Lewis

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Victoria Shanta Retelny, R.D., L.D.N., Environmental Nutrition The snacking habit has gone mainstream—surveys find that most children and adults in America snack every day. In fact, the Journal of Nutrition (2010) reported that snacking makes up 25% of our total daily calories. “Since snacking is an integral part of most peoples’ diets, make it count,” advises Christine Gerbstadt, for the Academy of Nutrition and Lewisspokesperson Media Group publishers M.D., R.D., Amanda Lewis editor Dietetics. Just as nutritious meals are important to fueling your body, so are healthful Malberry Media graphic design snacks. Snacks should furnishMarlys you Lewis with servings of whole, minimally processed foods that provide essential nutrients, such as whole grains, lean meat, poultry, fish, Jerry Kornowski Marlysfruits Metzgerand vegetables. Whole food, nutrient-rich editor nuts, seeds, low-fat dairytravel products, founder tuna salad Barry snacks can include withLewis crackers, cottage cheese and fruit, and turkey slices with flatbread. Snacking on benefits. Evidence shows that eating frequently throughout the day gives your body an even energy stream and staves off excessive calorie loading. This is especially helpful at night, when hunger can hit if you skimp on calories earlier in the day, prompting you to take in excess calories that can lead to weight gain. Infact, a 2009 study published in the British Journal of Nutrition found that eatinga high-protein (22 grams), moderate-calorie (200 calories), cheese snack one hour before lunch led participants to eat less at the next meal and throughout the rest of the day, thus, showing that sensible, calorie-controlled snacks—particularly protein-rich 6000, in email: info@lewismediagroup.com. ones—can help weight management. Regular snackers also tend to eat better overall, according to research findings published in the Journal of the Academy of Nutrition and Dietetics in February 2012. Researchersintended examined how snacks affected the overall diet quality of 11,209 adults to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenaged 20 years who in the ever aand healtholder problem arisesparticipated requiring an expert’s care.1999-2004 National Health and Nutrition Examination Survey. Using the Healthy Eating Index-2005, a questionnaire used to measure how people’s diets compare to the federal dietary guidelines, the researchers scored the snack food intake of the participants and found that conscious, regular snacking made a ppositive impact on health because it increased the consumption nutrient-rich foods likeMedia fruit,| whole grains, milk, nuts and seeds. LewisofMedia Group | Malberry www.modernhealthandliving.com How much should you snack? That’s a tricky question, as there are not yet any science-based dietary recommendations regarding the frequency of snacking. However, nutrition experts advise that the ideal amount of calories you need from daily snacks depends on how many calories your body burns to maintain your normal weight and activity levels. Keep in mind, the more energy you exert, the more calories are needed for energy balance, according to a 2009 position paper by the Academy of Nutrition and Dietetics. “If you are eating three meals a day, eat small snacks that are about 100 calories each, otherwise you will gain weight if you don’t increase your activity,” suggests Gerbstadt. “The best bet is to eat two to three snacks a day that fall within your daily calorie expenditure. Ideally, snacks should supply some important vitamins, minerals, fiber, healthy fat and protein to fortify an overall healthy diet.” Creating a Healthy Snack. The best snacks should be made up of real foods like chopped fresh vegetables; fresh, canned or dried fruits; low-fat yogurt, nuts, low-fat cheese, lean poultry, and beans. Balance the nutrients by combining a small amount of protein, healthy fat, and minimally processed carbs in each snack. For example, try hummus, peanut butter or a handful of nuts for a supply of protein and healthy fats with a few whole grain crackers, fruit, or veggies like bell peppers, snap peas or baby carrots for a source of healthy carbs. In addition to making the best choices, eating snack at consistent times every day will keep your metabolism humming along, as well as stave off cravings for convenient, less nutritious foods. Don’t fool yourself into thinking that any old snack will make a healthful contribution to your day. Avoid snacking on highly processed foods, such as sugarfilled granola and cereal bars, salty chips, and crackers, cookies and muffins made of refined flour and sugars—these choices offer you little more than calories, sugar, fat, and sodium. Reprinted with permission from Environmental Nutrition, 52 Riverside Dr., Suite 15-A, New York, NY 10024.

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NETGEAR Smart WiFi Router AC1750 Dual Band Gigabit & High Speed DOCSIS 3.0 Cable Modem Bundle www.netgear.com Tired of renting equipment from your cable company? This modem will allow you to keep the $10/month rental fee while enjoying extremely high speed internet. Along with this, you will get four internet ports and high speed wifi all in one unit. Setup is fairly easy and will be up and running in an hour or so. Make sure to call the cable company, because they have to change settings on their end to allow the modem to work. Very important! The 802.11 AC standard allows for (real world) about double the wireless network throughput over the fastest 802.11 wireless N routers. Netgear also has an app, which allows you to see the settings and status of the router on the phone. All in all, a nice improvement in speed over the last generation of routers and not having to give the cable provider more money is a big bonus!

BEST FATHERâ&#x20AC;&#x2122;S DAY GIFTS Ryobi 15 Amp 12 in. Sliding Miter Saw with Laser www.homedepot.com

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Ryobi is sold exclusively at Home Depot and consistently provides a quality product at a better price than its competitors. The 12 inch miter saw performs very capably able to make all the cuts the competitors make. The laser feature is a nice bonus that allows you to see exactly where you are about to cut. There is literally almost no assembly (a dust bag and couple of screws) which means you can use it shortly after taking it out of the box. At this price, many saws do not come with a slide which is another nice bonus. A great product at a great price.

The Netgear AC1200 comes with a desktop dock with a non-slip bottom that is useful to place the adapter in different positions, while looking for the best one to catch the strongest signal. It also includes a disc with the NETGEAR Genie software making the setup easy. The laptop speed increased from 100Mbps to 700Mbps! The software can be also downloaded from the NETGEAR website. If you want to make an investment in an adapter that will both last and be reliable, you canâ&#x20AC;&#x2122;t lose with the Netgear AC1200. It outperforms the rest by a wide margin, without being more expensive.

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CHILDRENS HEALTH

Kids deserve the best. That includes your primary care pediatrician. Children’s Hospital of Wisconsin has 19 primary care locations throughout Southeast Wisconsin, including Oak Creek Pediatrics. Our doctors are trained as pediatricians so they are experts in treating kids from birth through adolescence. And because our pediatricians are connected to the #4 pediatric hospital in the nation (according to Parents magazine), you’ll always know your child is in the very best hands. Oak Creek Pediatrics (414) 764-5726 8375 S. Howell Ave. Same-day appointments available Accepting new patients

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THE MOST COMMON SPORTS-RELATED INJURIES IN KIDS

While sports injuries can range from scrapes and bruises to serious brain and spinal cord injuries, most fall somewhere between the two extremes. Here are some of the more common types of injuries. Sprains and Strains A sprain is an injury to a ligament, one of the bands of tough, fibrous tissue that connects two or more bones at a joint and prevents excessive movement of the joint. Ankle sprains are the most common injury in the United States and often occur during sports or recreational activities. A strain is an injury to either a muscle or a tendon. A muscle is a tissue composed of bundles of specialized cells that, when stimulated by nerve messages, contract and produce movement. A tendon is a tough, fibrous cord of tissue that connects muscle to bone. Muscles in any part of the body can be injured. Growth Plate Injuries In some sports accidents and injuries, the growth plate may be injured. The growth plate is the area of developing tissues at the end of the long bones in growing children and adolescents. When growth is complete, sometime during adolescence, the growth plate is replaced by solid bone. The long bones in the body include: • the long bones of the hand and fingers (metacarpals and phalanges) • both bones of the forearm (radius and ulna) • the bone of the upper leg (femur) • the lower leg bones (tibia and fibula) • the foot bones (metatarsals and phalanges). If any of these areas become injured, it’s important to seek professional help from an orthopaedic surgeon, which is a doctor who specializes in bone injuries. Repetitive Motion Injuries Painful injuries such as stress fractures (a hairline fracture of the bone that has been subjected to repeated stress) and tendonitis (inflammation of a tendon) can occur from overuse of muscles and tendons. Some of these injuries don’t always show up on x rays, but they do cause pain and discomfort. The injured area usually responds to rest, ice, compression, and elevation (RICE). Other treatments can include crutches, cast immobilization, and physical therapy. Preventing and Treating Injuries Childhood sports injuries like Raoul’s may be inevitable, but there are some things you can do to help minimize the risk. When injuries do occur, there are often things you can do on your own to treat them. Prevention: • Enroll your child in organized sports through schools, community clubs, and recreation areas that are properly maintained. Any organized team activity should demonstrate a commitment to injury prevention. Coaches should be trained in first aid and CPR, and should have a plan for responding to emergencies. Coaches should be well versed in the proper use of equipment, and should enforce rules on equipment use. • Organized sports programs may have adults on staff who are Certified Athletic Trainers. These individuals are trained to prevent, recognize, and provide immediate care for athletic injuries. • Make sure your child has—and consistently uses—proper gear for a particular sport. This may reduce the chances of being injured. • Make warmups and cool downs part of your child's routine before and after sports participation. Warmup exercises, such as stretching and light jogging, can help minimize the chance of muscle strain or other soft tissue injury during sports. Warmup exercises make the body's tissues warmer and more flexible. Cool down exercises loosen muscles that have tightened during exercise. • Make sure your child has access to water or a sports drink while playing. Encourage him or her to drink frequently and stay properly hydrated. Remember to include sunscreen and a hat (when possible) to reduce the chance of sunburn, which is a type of injury to the skin. Sun protection may also decrease the chances of malignant melanoma—a potentially deadly skin cancer—or other skin cancers that can occur later in life. • Learn and follow safety rules and suggestions for your child's particular sport. You'll find some more sport-specific safety suggestions below. 30 MHL SUMMER 2016

DYSLEXIA What is Dyslexia? Dyslexia is a brain-based type of learning disability that specifically impairs a person’s ability to read. These individuals typically read at levels significantly lower than expected despite having normal intelligence. Although the disorder varies from person to person, common characteristics among people with dyslexia are difficulty with spelling, phonological processing (the manipulation of sounds), and/or rapid visual-verbal responding. In adults, dyslexia usually occurs after a brain injury or in the context of dementia. It can also be inherited in some families, and recent studies have identified a number of genes that may predispose an individual to developing dyslexia. Is there any treatment? The main focus of treatment should be on the specific learning problems of affected individuals. The usual course is to modify teaching methods and the educational environment to meet the specific needs of the individual with dyslexia. What is the prognosis? For those with dyslexia, the prognosis is mixed. The disability affects such a wide range of people and produces such different symptoms and varying degrees of severity that predictions are hard to make. The prognosis is generally good, however, for individuals whose dyslexia is identified early, who have supportive family and friends and a strong self-image, and who are involved in a proper remediation program. What research is being done? The National Institute of Neurological Disorders and Stroke (NINDS) and other institutes of the National Institutes of Health (NIH) support dyslexia research through grants to major medical institutions across the country. Current research avenues focus on developing techniques to diagnose and treat dyslexia and other learning disabilities, increasing the understanding of the biological basis of learning disabilities, and exploring the relationship between neurophysiological processes and cognitive functions with regard to reading ability.

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FINDING THE RIGHT CAMP For Children With Special Needs Youth development experts agree that the benefits to summer camp are many. According to the American Camp Association, camp provides an opportunity for children to develop meaningful friendships as well as the life-skills of leadership, teamwork and problem solving. Yet another benefit is that camp can stem summer learning loss, or “the big eraser,” as some educators call it. It’s a serious issue, according to the National Summer Learning Association, which found that all young people experience learning losses when they are not engaged in educational activities in the summer months. Children with special needs are no exception. They, too, can reap the benefits of a summer camp experience and learn important decision-making, social and emotional skills while having fun and making friends. There are many camps for children with special needs, and choosing one depends on the unique needs of your child. Some camps are inclusionary, meaning that kids with and without special needs participate together. Some camps cater to children with specific problems, such as hearing impairments or cystic fibrosis. In choosing a camp for your special needs child, there are many factors to consider: • What is the cost? Are scholarships available? • What’s the age range of campers? Is the camp co-ed? • Is it a day or resident camp? • Can the camp staff administer medication?

32 MHL SUMMER 2016

• How does the camp staff handle behavioral problems? • If your child needs a special diet, can accommodations be made? Another concern you may have is the qualifications of the camp staff. Does the camp employ occupational, speech and music therapists? Or are college students, home for the summer and without any special needs training, the camp counselors? For children with special needs, smaller group sizes often mean greater engagement, achievement and the individual attention they often need to succeed. Finding out the staff-to-camper ratio is important. Are the crafts and activities planned suitable to the age and abilities of your special needs child? Camp should expand your child’s horizons and sense of community but not be so challenging as to intimidate. One more thing: Is learning going on? As noted, all children experience a learning loss in summer. But, according to the Pennsylvania-based Valley Forge Educational Services, the setback can be more drastic for children with special needs, who may also lose social and behavioral gains made during the school year. Finding a camp that emphasizes learning in a more low-key way will maximize your child’s ability to succeed. Tracey Sparrow if the vice president of Children’s Programs at the Milwaukee Center for Independence and oversees two summer camps for children with special needs: Sensational Summer Day Camp, for children with autism or other sensory disorders, and Kaleidoscope Summer Fun, for children with special health care needs.

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Your Heart Your heart is a strong muscle about the size of the palm of your hand. Just like an engine makes a car go, the heart keeps your body running. The heart pumps oxygen-rich blood through a network of blood vessels called arteries (taking blood away from the heart) and veins (bringing blood back to the heart).

An Aging Heart THE HEART KEEPS YOUR BODY RUNNING

34 MHL SUMMER 2016

An Aging Heart Some changes in the heart and blood vessels are normal as you grow older. But over time, disease can damage your blood vessels and your heart. A common problem for older people is arteriosclerosis (ahr-teer-ee-o-skluh-roh-sis). This is a stiffening of the arteries that happens, in part, because of growing older. Atherosclerosis (ath-uh-roh-skluh-roh-sis), the buildup of fatty deposits as plaques, is another cause. When plaque builds up along the walls of arteries, there is less space for blood to flow. This makes it harder for blood to get to all the parts of the body that need it, including the heart itself. Other changes to the heart happen as you age. For example, to help the heart pump blood through stiffer blood vessels, some parts of the heart wall thicken. The size of the four sections of the heart also changes. So do the valves (door-like parts that open and close to control the flow of blood between those sections). The number of heart beats each minute when you are resting (the heart rate) does not change as you age, but the heart can’t beat as fast when you are physically active or stressed as it did when you were younger. Heart Disease There are many different kinds of heart disease. Plaque buildup is often to blame. But there are other causes too. For example, choices you might make every

day can lead to damage to artery walls. Do you smoke? Do you drink a lot of alcohol? Are you overweight? Do you spend the day sitting at a desk or in front of the television? Do you avoid doing exercise? Do you have diabetes or high blood pressure that is not under control? Are you under a lot of stress? If you answered yes to one or more of these questions, making changes might help you prevent or delay heart disease. Things you can’t control, like your family history, might also increase your risk of heart disease. But even so, leading a heart healthy lifestyle might help you avoid or delay serious illness. One sign that you are at risk for heart disease is your waist measurement. Extra fat around the middle of your body increases risk. A good way to check that is simply to measure your waist. A man’s risk of heart disease is increased if his waist measures more than 40 inches. A woman’s risk is increased at 35 inches. Signs of Heart Disease Early heart disease often doesn’t have symptoms; that’s why regular checkups with a healthcare provider are important. Your doctor will check things like cholesterol, a fat that can add to plaques in your arteries, and your blood pressure. He might also do a blood test for CRP (c-reactive protein). You might also have an ECG or EKG, an electrocardiogram. This is a test that looks at electrical activity in your heart. Everyone should know the outward warning signs of heart disease. Chest pain should be taken seriously. Pain in the chest, shoulders, arms, neck, jaw, or back can be a symptom of heart disease. If you have heart disease, you might feel chest pain during physical activity. But, it can have other causes too, so it is important to check with your doctor to learn what is triggering yours.

Active Aging

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Get Active, Wherever You Are Moving more and sitting less can reduce your risk for many serious conditions, including heart disease... You know that physical activity can help you live a longer, healthier life. But did you know you don’t need to join a gym or use costly equipment to be physically active? No matter where you live, work, or go to school, you can find ways to move more and sit less throughout your day. In addition to helping your health, you might have fun without spending a lot of money. Moving more and sitting less can reduce your risk for many serious conditions, including heart disease, diabetes, osteoporosis, and certain kinds of cancer. Some studies suggest that physical activity can have mental benefits as well, helping to relieve depression and maintain thinking abilities as you age. Healthful physical activity includes exercise as well as many everyday activities, such as doing active chores around the house, yard work, or walking the dog. Activities that cause you to breathe harder are called aerobic activities. These make your heart and blood vessels healthier. Aerobic activities include brisk walking, dancing, swimming, and playing basketball. Strengthening activities, like pushups and lifting weights, help make your muscles and bones stronger and can also improve your balance. But even though many of us know that physical activity is a good thing, most adults nationwide don’t meet even the minimum recommended amounts of physical activity. (That’s at least 30 minutes of brisk walking or other moderate activity, 5 days a week.) Why aren’t we more active? “Lack of time is a common reason for not exercising,” says Dr. Mary Evans, an NIH expert on physical activity and nutrition. “Another important factor is location—having safe places to walk and engage in different activities. That can mean having sidewalks, public parks with well-lit walking paths, a shopping mall where you can walk, or other features that can make activity inviting and easy to do.” NIH-funded research has found that your environment—where you live, work, or go to school—can have a big impact on how much you move and even how much you weigh. Some communities don’t have safe playgrounds or sidewalks, so kids tend to spend their free time indoors. Sitting instead of moving makes it hard to maintain a healthy weight. Many adults sit behind the wheel driving to work and then sit most of the day at a computer, taking few breaks to stand up and move around. In suburban neighborhoods, people often have to drive rather than walk to get to grocery stores, shops, and even public transportation. “Our environments have become less friendly to being active. But studies show that people will walk more if the environment provides them with opportunities to do so,” says Dr. Brian E. Saelens, a health psychologist and behavioral scientist at the University of Washington in Seattle. “How close are you to a library? Can you walk to a store? Is there a safe path for walking to school? All of these factors affect how

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THERE’S SOMETHING ABOUT

Music Music can lift you up. It can bring tears to your eyes. It can help you relax or make you get up and dance. You probably hear it several times a day—on the radio or TV, in the supermarket, at the gym or hummed by a passerby. Music’s been with us since ancient times, and it’s part of every known culture. Music strikes a chord with all of us. “There’s something about music and engaging in musical activities that appears to be very stimulating for the brain and body,” says neuroscientist Dr. Petr Janata of the University of California, Davis. Singing favorite songs with family and friends, playing in a band or dancing to music can also help you bond with others. “It’s a way of synchronizing groups of people and engaging in a common activity that everyone can do at the same time,” Janata adds. NIH-funded scientists are exploring the different ways music can influence our bodies and minds. Their research may also shed light on creative processes. Ultimately, scientists hope to harness the power of music to develop new treatments for people with stroke, autism and many other conditions. Several well-controlled studies have found that listening to music can alleviate pain or reduce the need for pain medications. Other research suggests that music can benefit heart disease patients by reducing their blood pressure, heart rate and anxiety. Music therapy has also been shown to lift the spirits of patients with depression. Making music yourself—either playing instruments or singing—can have therapeutic effects as well. Scientists have long known that when music and other sounds enter the ear, they’re converted to electrical signals. The signals travel up the auditory nerve to the brain’s auditory cortex, which processes sound. From there, the brain’s responses to music become much more complex. Over the past decade, new brain imaging techniques have shown that music activates many unexpected brain regions. It can turn on areas involved in emotion and memory. It can also activate the brain’s motor regions, which prepare for and coordinate physical movement. One brain area that’s drawn interest in recent years is the medial prefrontal cortex, located just behind the eyes. In a recent study, Janata showed that this region seems to be a central hub linking music, memories and emotion. He used an imaging technique called fMRI to look at the brains of young adults while they listened to snippets of songs from their childhoods. When they heard familiar songs, the medial prefrontal cortex lit up. Activation was strongest when the song evoked a specific memory or emotion. “It turns out that the medial prefrontal cortex is also one of the last brain regions to deteriorate in Alzheimer’s disease,” Janata says. This may help explain why many Alzheimer’s patients can remember and sing along to tunes from their youth when other memories are lost. Janata hopes to conduct studies of older adults—including some with mild thinking impairments—to see how the brain processes nostalgic songs. The medial prefrontal cortex also seems to play a role in the creative expression of music. Dr. Allen Braun, a scientist at NIH’s National Institute on Deafness and Other Communication Disorders (NIDCD), and Dr. Charles Limb of Johns Hopkins University asked jazz musicians to play music on a keyboard inside an MRI scanner. When improvising, the musicians’ medial prefrontal cortex turned on. But the region wasn’t activated when they were playing memorized scales. Meanwhile, a different brain area that’s involved in self-monitoring shut down during improv. “The musicians were letting go and not watching themselves as much while improvising,” says Braun. “When you make music, it engages many different areas of the brain, including visual, auditory and motor areas,” says Schlaug. “That’s why music-making is also of potential interest in treating neurologic disorders.” Schlaug’s been exploring how music making may help adults regain their abilMUSIC>>page 62

FREE Summer Concert Series! 7 - 8 p.m. June 9 – Carmen Nickerson’s beautiful vocals and Kostia’s original compositions create an exciting evening. June 21 – Black Marigold performs new and classic music with personality and flair, breathing new life into the woodwind quintet. July 13 – Jazz Prime will get your toes tapping to classic swing and bossa nova standards. This group is topped off with the vocals of Darele Bisquerra. July 20 – Mr. Lucky Syndicate will entertain with the music of Sinatra and a variety of songs from the 50s & 60s. August 17 – Dixie Doodlers will play their lively brand of Dixieland Jazz. AuguST 25 – Maxwell Street Klezmer Band is traditional and inventive, soulful and funny–and heimish. They will delight with a high-energy performance. August 31 – Rick Aaron will perform Jewish tunes, jazz, and the standards with singer Victoria Benson Hora and drummer Mitch Shiner. Sponsored by the Gilbert Meisel Music Fund of the Jewish Home and Care Center Foundation.

Tours are available at every event. Sarah Chudnow Community offers living options for older adults, with apartment living, assisted living, memory care, and sub-acute rehab. Options are available to customize your lifestyle. An elegant community with the emphasis on choice is just a phone call away. Visit sarahchudnow.org or call Connie at 262-478-1506 to learn more. Please drive past the Health Center to the Apartments.

10995 N. Market St., Mequon, WI 53092 262-478-1500 ceastman@JewishSeniorLiving.org SarahChudnow.org Like us on Facebook Follow us on Twitter @jsliving JUNE 2016 MHL 37

MEN’S HEALTH AND SOCIAL SECURITY By Bob Trotter Social Security Public Affairs Specialist in Milwaukee, WI This year, we observe National Men’s Health Week from June 13 to 19. It so happens that Father’s Day falls on the last day of Men’s Health Week, a perfect time for focusing on health education and awareness, disease prevention, and family. Social Security encourages you to support fathers and friends everywhere in their efforts to stay healthy. The right balance of diet, exercise, regular visits to doctors and health care providers, and overall healthy living can go a long way to help everyone remain a part of your daily life for years to come.

Part of staying healthy and happy is reducing the amount of stress in your life. That’s where opening a my Social Security online account can help. Our online services make doing business with us fast and easy. At my Social Security, you can: • Keep track of your earnings and verify them every year; • Get an estimate of your future benefits, if you are still working; • Get a letter with proof of your benefits, if you currently receive them; and • Manage your benefits: o Change your address; o Start or change your direct deposit; o Request a replacement Medicare card; and o Get a replacement SSA-1099 or SSA-1042S for tax season. In some states, you can even request a replacement Social Security card online using my Social Security. Currently available in the District of Columbia, Iowa, Kentucky, Michigan, Nebraska, New Mexico, Pennsylvania, Washington, and Wisconsin, It’s an easy, convenient, and secure way to request a replacement card online. We continue to add more states, so we encourage you to check www.socialsecurity. gov/ssnumber to see where the service is available. Tell dad to check out the healthy amount of features we have to offer at www. socialsecurity.gov/myaccount. In addition to using my Social Security, there are a number of other things you can do online with Social Security. For example, you can use the Retirement Estimator to plug in different numbers, retirement dates, and scenarios to help you decide the best time for you to retire. It’s available at www.socialsecurity.gov/estimator. And when that time comes, you can apply for retirement benefits online at www. socialsecurity.gov/planners/about.htm. It can take as little as 15 minutes from start to finish. In most cases, once you submit your electronic application, that’s it, you’re done—no papers to sign or documents to submit. Learn more about Social Security retirement benefits by reading our publication on the subject at www.socialsecurity.gov/pubs. When you’re ready to retire, the best place to apply is from the comfort of your home computer, with some of your favorite music playing in the background. Now that’s a great start to a healthy retirement!

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ACTIVE<<page 35 active we are each day.” Having places to walk and have fun can help more people get moving and active. “It’s not just dangerous neighborhoods, broken streets, and crime that can keep people indoors and away from being physically active,” says Dr. Allen Glicksman, director of research at the Philadelphia Corporation for Aging. “We’ve also found that, from ages 18 to 80, if a neighborhood has someplace nice to walk to—desirable destinations like a book store, grocery store, coffee shop, a place to eat or meet—it can have a healthful effect on how much people weigh and how much they walk.” Research also shows that taking public transportation—like buses and trains—can help boost activity. In a recent Seattle-area study, Saelens and colleagues found that people tend to add about 15 minutes of activity t o their day when they take public transportation, in part by walking to and from the mass transit site instead of taking a car from door to door. “That’s half the recommended amount of physical activity added to their day,” Saelens says. Having opportunities to connect with others can also have a positive effect. “Many people are more likely to walk if they’ve got one or more buddies to walk with,” Glicksman says. “When you think about what brings people together, what brings people out and active, the answer can vary depending on your community.” In urban Philadelphia, Glicksman and others have found that neighborhood features like access to public transportation, better bus shelters, and even murals in some neighborhoods seem to encourage more physical activity. When community gardens were created for older adults in Philadelphia, Glicksman says, “we wanted people to garden to help them eat fresh foods and get them out and moving in the nice weather.” When younger adults joined in as well, the gardens had the added bonus of connecting people across generations. The older adults acted as gardening mentors, while the younger people helped with heavy lifting and digging. “Bringing people together is not only a way to encourage more activity; it’s also a way to get people thinking about how we can change our neighborhoods for the good.” So take a look around your neighborhood, your workplace, or your school. Can you think of changes that might make the surroundings more inviting for walking o r exercise? “Consider: How can we change our environment so activity is an easier choice for us to make?” Saelens says. In many communities, people have gotten together to organize activities and improve their environments to encourage more physical activity. Steps might include improving local parks, requesting safe and usable bike paths and sidewalks, or asking for more physical activity and healthier meals at schools. If you have some ideas for improving your surroundings, discuss them with your neighbors or local leaders. A l though your environment can affect how active you are, you can still look for new ways to use the world around you to add some movement to your day. “If you’re at work, try climbing the stairs instead of using the elevator. And get up from your chair and move around at least once an hour,” Evans says. Stand up and walk to a colleague’s office instead of sending an email. Try standing instead of sitting when you’re on the phone, or have “walking” meetings with co-workers instead of sitting in a conference room. And take a brisk walk on your lunch break to get some activity in. “It’s not really necessary to engage in vigorous physical activity like running to have beneficial health effects. Just 30 minutes of brisk walking most days, in at least 10-minute segments, can have a positive effect,” Evans says. “We have to look for opportunities to fit physical activity into our days,” Saelens adds. “Some people love to put on their sneakers and to go to the gym, and that’s great for them, but it’s not the only way to get active.”

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Strength training at home If your doctor tells you that you need to work more exercise into your routine, your likely response is to start running, cycling or partaking in some other form of cardio. These types of exercise are great for your cardiovascular health and are cheap or even free to start doing. However, any fitness junkie will tell you that in order to keep your body in tip-top shape, you need to factor both strength training and cardio into your fitness regimen. Many people shy away from muscle building because they aren’t interested in joining a gym or fitness center. But there are plenty of ways that you can work strength and resistance training into your regular routine, right at home. Wall sits: Wall sits are incredibly easy to work into your everyday routine. You don’t even have to block out time to work them in. Simply stand with your back against the wall and lower yourself until your legs are at a 90-degree angle, like they are when you’re sitting down. Try doing this during the commercials of your favorite TV programs or every time you walk past a certain area of your house. Start off sitting for about 30 seconds, then work your way up to a full minute. Then, challenge yourself to consistently hold yourself in a seated position a little bit longer. Squats: Squats work your lower body, including your thighs and glutes. To successfully do a squat, stand with your feet about a hip’s width apart, then lower your buttocks down. Don’t go any lower than your knees, and don’t use your arms to help pull you up. Hold them either above your head or in front of you for balance. Pushups: Work some nostalgia into your fitness routine by throwing in some pushups. This exercise may have been the bane of your existence back in gym class, but you may feel differently when you realize the strength they help build in your arms. If you have difficulty doing a traditional pushup at first, put your knees on a folded towel or blanket for your exercise session, and then work your way up to doing a pushup on your toes. Get some supplies If you’re interested in really devoting yourself to your strength training, there are a few low-cost supplies that’ll get you right on track. A few dumbbells of different weights, a medicine ball or kettlebells, and a stability ball can really help you get started and keep you motivated. After all, it’s always exciting to start learning how to use new equipment. You may find that you really enjoy resistance training and begin to challenge yourself by delving deeper into the workouts. Don’t train too much According to Bodybuilding.com, strength training is most effective when you give your muscles the proper time to recuperate. It’s important to make sure you don’t resistance train too much to avoid injuring yourself. If you’re using weights or kettlebells, start with a low weight and work your way up to something more challenging, rather than starting off heavy. This will lower your chances of exercise-related injuries. Try training every other day, and if you’re still sore from your previous workout, don’t hesitate to take an extra day off. When beginning any new routine, speak with your doctor before you begin about what would work best for you.

Musical Memories

Rev. Joe Jagodensky, SDS In 1965 it was listening to “Downtown” by Petula Clark and “Oh, How Happy” by Shades of Blue played on my Sears Silvertone turntable; again and again. I must have driven my parents nuts. The songs just sounded so good. My pretend radio show theme song in my bedroom during the same years was “Bachelor In Paradise” by Henry Mancini. The song had just a nice, light sound to it to practice being in radio which eventually occurred. 1966 it was lip-syncing to “Happy Together” by The Turtles at my grade school graduation. Thirty years later I met two classmates who married and that’s all they remember about me during those eight years of Catholic education. I decide to end a fourteen year run of our WTMJ radio religious call-in show and driving to the station for the last time on a Sunday night, The Cornelius Brothers and Sister Rosie sang, “It’s Too Late To Turn Back Now.” I smiled that my decision was shared by singing artists. Laying prostrate at St. Gregory the Great Church and waiting for the ordination oils to be applied to my hands, “They Can’t Take That Away From Me” runs through my head. (I’m told that I’m more spiritual than religious, whatever that means.) Escaping the high school seminary in St. Nazianz the four of us hitchhiked to Manitowoc and knock on the door of radio station WOMT. The announcer finally answered and we requested the song, “We Gotta Get Out of This Place,” by The Animals. We walked to Big Boy restaurant and waited for the song to the played. He played it. I replaced that WOMT announcer three years later when he placed “Lay, Lady, Lay” by Bob Dylan on the turntable and walk out of the building leaving me on my own for six glorious hours of playing rock music. I “cued up” the record in those days with two turntables. The turntable swung both ways as I listened for the first note and then a half turn back. I was all set then to introduce the record and turn it on. The problem was that after a few “cues up” a scratch was audible so the second or third note is needed but I needed to talk louder to hide the scratches. For me, that was radio as it was meant to be. As a high school senior, my weekend WOMT shift was Saturday nights from 6:30 to midnight and Sundays 6:00 a.m. - 4:00 p.m. and then back to the seminary. Sunday morning music was soothing and calm like “Just A Cup of Coffee” by Carmen McRae is the one I recall the best. Then a local Sunday Lutheran Church service for an hour followed by more songs by Ray Conniff and Bert Kaempfert than both would have wanted to hear. The news of the day at Noon was followed by a Polka Party before the Sunday Packer game. By 4:00 p.m. I was a Saturday night rock jock, the smooth-sounding Franklin MacCormack Sunday mornings and the Polish Polka Prince - all before Bart Starr took the field. In 1970 it was The Carpenters’ “Close to You.” I was blown away. I played it twice in a row that night and I’m proud to say that I introduced Manitowoc listeners to James Taylor when I found, “Fire and Rain.” Music and the power of its triggered memories. So I end where I began, with Petula. “Just listen to the rhythm of a gentle bossa nova, You’ll be dancing with ‘em too before the night is over, happy again. The lights are much brighter there, You can forget all your troubles, forget all your cares and go…” Rev. Joe Jagodensky, SDS. is director of communications, Alexian Village of Milwaukee

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DOES POOR SLEEP RAISE RISK FOR ALZHEIMER’S DISEASE? Studies confirm what many people already know: Sleep gets worse with age. Middle-aged and older adults often sleep less deeply, wake more frequently at night, or awake too early in the morning. Could these problems be related to risk of cognitive decline or Alzheimer’s disease? Scientists are beginning to probe the complex relationship between the brain changes involved in poor sleep and those in very early-stage Alzheimer’s. It’s an intriguing area of research, given that both risk for disturbed sleep and Alzheimer’s increase with age. “Nearly 60 percent of older adults have some kind of chronic sleep disturbance,” said Phyllis Zee, Ph.D., a sleep expert at Northwestern University’s Feinberg School of Medicine, Chicago. It’s long been known that people with Alzheimer’s often have sleep problems— getting their days and nights mixed up, for example. Now scientists are probing the link between sleep and Alzheimer’s earlier in the disease process and in cognitively normal adults. They wonder if improving sleep with existing treatments might help memory and other cognitive functions—and perhaps delay or prevent Alzheimer’s. Which comes first, poor sleep or Alzheimer’s? The chicken-and-egg question is whether Alzheimer’s-related brain changes lead to poor sleep, or whether poor sleep somehow contributes to Alzheimer’s. Scientists believe the answer may be both. “We’re gaining new insights, primarily in animal studies, about a possible bidirectional relationship between sleep and Alzheimer’s disease,” said Mack Mackiewicz, Ph.D., who oversees sleep research for NIA’s Division of Neuroscience. Findings show that brain activity induced by poor sleep may influence Alzheimer’s-related brain changes, which begin years before memory loss and other disease symptoms appear. NIA-funded scientists are studying the biological underpinnings of this relationship in animals and humans to better understand how these changes occur. Although evidence points to certain sleep problems as a risk factor for Alzheimer’s, “it is not known whether improving sleep will reduce the likelihood of developing Alzheimer’s,” Dr. Mackiewicz said. He adds, “There is no scientific evidence that sleep medications or other sleep treatments will reduce risk for Alzheimer’s.” Effects of good and bad sleep At any age, getting a good night’s sleep serves a number of important functions for our bodies and brains. Although our bodies rest during sleep, our brains are active. The process is not totally understood, but researchers think that sleep might benefit

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the brain—and the whole body—by removing metabolic waste that accumulates in the brain during wakefulness. In addition, it has been shown that some memories are consolidated, moving from short-term to long-term storage during periods of deep sleep. Other sleep stages may also influence memory and memory consolidation, research shows. Disturbed sleep—whether due to illness, pain, anxiety, depression, or a sleep disorder—can lead to trouble concentrating, remembering, and learning. A return to normal sleep patterns usually eases these problems. But in older people, disturbed sleep may have more dire and long-lasting consequences. Scientists long believed that the initial buildup of the beta-amyloid protein in the brain, an early biological sign of Alzheimer’s, causes disturbed sleep, Dr. Mackiewicz said. Recently, though, evidence suggests the opposite may also occur—disturbed sleep in cognitively normal older adults contributes to the risk of cognitive decline and Alzheimer’s disease. For example, in a study of older men free of dementia, poor sleep, including greater nighttime wakefulness, was associated with cognitive decline over a period of more than 3 years (Blackwell et al., 2014). Sleep was assessed through participants’ reports and a device worn on the wrist that tracks movements during sleep. Sleep disorders such as sleep apnea may pose an even greater risk of cognitive impairment. In a 5-year study of older women, those with sleep-disordered breathing (SDB)—repeated arousals from sleep due to breathing disruptions, as happens in sleep apnea—had a nearly twofold increase in risk for mild cognitive impairment (a precursor to Alzheimer’s in some people) or dementia (Yaffe et al., 2011). In addition, certain types of poor sleep seem to be associated with risk of cognitive impairment, according to Kristine Yaffe, M.D., of the University of California, San Francisco. These include hypoxia (low oxygen levels that can be caused by sleep disorders) and difficulty in falling or staying asleep. What’s the connection between sleep and Alzheimer’s? Evidence of a link between sleep and risk of Alzheimer’s has led to investigations to explain the brain activity that underlies this connection in humans. Some recent studies suggest that poor sleep contributes to abnormal levels of beta-amyloid protein in the brain, which in turn leads to the amyloid plaques found in the Alzheimer’s brain. These plaques might then affect sleep-related brain regions, further disrupting sleep. Studies in laboratory animals show a direct link between sleep and Alzheimer’s disease. One study in mice, led by researchers at Washington University, St. Louis, showed that beta-amyloid levels naturally rose during wakefulness and fell during sleep (Kang et al., 2009). Mice deprived of sleep for 21 days showed significantly

greater beta-amyloid plaques than those that slept normally. Increasing sleep had the opposite effect—it reduced the amyloid load. A subsequent study, also by Washington University researchers, showed that when Alzheimer’s mice were treated with antibodies, beta-amyloid deposits decreased and sleep returned to normal (Roh et al., 2012). Mice that received a placebo saline solution continued to sleep poorly. The results suggest that sleep disruption could be a sign of Alzheimer’s disease beginning in the brain, but not necessarily its cause. Studies in humans have also addressed the relationship between sleep and biomarkers of Alzheimer’s disease. One study found that in cognitively normal older adults, poor sleep quality (more time awake at night and more daytime naps) was associated with lower beta-amyloid levels in cerebrospinal fluid, a preclinical sign of Alzheimer’s. Another study, by researchers at NIA and Johns Hopkins University, Baltimore, found that healthy older adults who reported short sleep duration and poor sleep quality had more beta-amyloid in the brain than those without such sleep problems. Emerging insights—stay tuned How exactly do poor sleep and Alzheimer’s influence each other? Research so far suggests a few possible mechanisms: Orexin, a molecule that regulates wakefulness and other functions, has been found to affect beta-amyloid levels in mice. Chronic hypoxia, insufficient oxygen in blood or tissue that is a feature of sleep apnea, increased the level of harmful beta-amyloid in brain tissue of mice. Reduced slow-wave sleep leads to increased neuronal activity. Other factors may also be involved. For example, it has been shown in laboratory animals that the glymphatic system, the brain’s waste removal system, removes beta-amyloid during sleep. A recent mouse study suggests that sleeping in different positions impacts waste removal from the brain (Lee et al., 2015). Sleeping on the side cleared beta-amyloid more efficiently than sleeping on the back or belly, researchers found. They pointed to the glymphatic system as a possible pathway for intervention. Further biological and epidemiological studies and clinical trials should cast more light on the mechanisms behind the sleep-Alzheimer’s connection, and whether treating poor sleep might help delay or prevent cognitive decline in older adults. “Sleep is something we can fix, and people with sleep problems should consult a doctor so that they can function at their best,” Dr. Mackiewicz said. As for Alzheimer’s, for now, he said, improving sleep is “not the same as preventing Alzheimer’s disease. Researchers are committed to a achieving a better understanding of this complex dynamic in hopes of making a difference in the lives of older adults.”

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Call or email today for more information! JUNE 2016 MHL 45

Look at a Senior Community as an adventure, something that might bring back the great memories from when you were young and getting back into the world out there

Active aging is definitely changing. Today, there’s an influx of people aged 55 to 65 who are choosing to move into a senior community, to connect with a peer group of life long learners. A senior’s residence is a place of security. Moving out of the home you spent many years creating memories can be difficult emotionally. But you might want to look at moving into a senior community as a positive move. When we are young we can’t wait to explore new things and get away from the same old –same old. We want to start making memories and planting our roots. Why not think the same way. Look at a Senior Community as an adventure, something that might bring back the great memories from when you were young and getting back into the world out there. A senior community can be a great change. You can meet new people, get rid of all the hassles of house work, and have a easier retirement life. There are several types of residential senior communities to choose from, so you need to explore and find what is right for you. How does one determine which senior community would fit best with their needs? Temporary vs long term care: A senior’s needs are more practical by planning to move into a situation that is most likely to remain for many years to come. om was always there for me, and I want to Independence: Can you and would you do the same for her. But balancing work, want to live on your own? Or would it be family and mom’s changing needs can best to find a more service oriented resisometimes be overwhelming. dential facility? Needs for personal care: How much When we found Laureate Group Senior Communities, and what kinds of personal or “custodial we were both thrilled. Mom has her independence care” are needed or desired? There are living in her own private apartment, while the online needs assessment questionnaires professional staff offers the support she needs. to help determine this and then match the care needs with the right type of housing. I can sleep at night knowing that mom is happy. Needs for medical care: If the senior has a chronic illness that necessitates speLaureate Group offers exactly what we both want… cial medical care, or ongoing services of • All Private Apartments - Choose from studio, one and two bedroom apartments medical professionals, independent living • Different meal plans available featuring home-style meals, cooked on-site and even assisted living may not be suit• A full calendar of life enrichment and social activities every month able. • Scheduled transportation for shopping and other outings Costs: Learn about the financial aspects • Many on-site amenities of senior housing to determine what options are affordable for you. Walk through If mom’s health changes, her address doesn’t. Laureate Group Communities offer: senior communities that seem suitable. • Full-time RNs on staff, and nurses on call 24/7 Make a checklist of what each has to • Expertise in managing multiple chronic conditions that come with advanced age offer. Then make your own checklist of • Access to our Medical Director who provides primary care services on-site your needs and wants. Look over each list with a friend or family member they • 24 hour awake staff for emergency response might have some helpful input to give. Whether seeking independent living, assisted living, or compassionate dementia care, Laureate Seek guidance from family who are Communities provide the best value. There are no endowment fees to deplete life-long savings. experts in senior communities. They can Laureate Group is a local, family owned provider serving older adults for over 40 years. help with the process of identifying your Call us. We’re here to help. goals and values, assessing your needs, determining what your financial situation Greenfield Oconomowoc Waukesha will allow and suggesting what facility Layton Terrace Wilkinson Woods Oak Hill Terrace might be right for you. 414-425-5600 262-567-1166 262-548-1457 Seniors have so many choices to make Glendale St. Francis Wauwatosa when the search for senior communities. Laurel Oaks Howard Village Hart Park Square With so many senior housing options 414-351-0505 414-489-1400 414-476-8787 available, it’s easy to feel overwhelmed Menomonee Falls West Allis by all the different kinds of communiThe Arboretum Library Square ties. It’s important to learn the differences 262-253-0909 414-774-4411 between the many options and to assess your needs to make the right decision. www.laureategroup.com

EMBRASSING A SENIOR COMMUNITY AND WHAT IT HAS TO OFFER

46 MHL SUMMER 2016

Mom is Happy. So Am I.

GAUGE YOUR

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

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

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

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

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

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

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

REDUCE BODY FAT LEVELS AND STAY LEAN:

IMPROVE CHOLESTEROL RATIO:

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

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

HAVE A HEALTHY BLOOD SUGAR TOLERANCE:

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

Physical Therapy | Occupational Therapy | Speech Therapy

Tudor Oaks Is Revolutionizing Rehab and Recovery Results n Brand new state-of-the-art strength and fitness center has changed rehab programming. n NEW Omni Virtual Rehab System is transforming results. n Motivating equipment exceeds patients rehab goals in record time.

Senior Living Community

n Rehab in style and comfort while staying in a private room with flat-screen TV, phone and WiFi.

Rehab Stay residents may also enjoy our other campus amenities: Pool, Fitness Center, Theater, Bistro and much more! Take an online tour of our community at

www.TudorOaks.net

Tudor Oaks Senior Living Community S77 W12929 McShane Drive, Muskego, WI 53150

414-529-0100 www.TudorOaks.net Tudor Oaks Senior Living Community is owned and operated by American Baptist Homes of the Midwest, a not-for-profit provider of senior housing and healthcare since 1930.

JUNE 2016 MHL 47

SOCIAL SECURITY QUESTIONS AND ANSWERS

Remember when friends were neighbors and neighbors were friends …

… when folks popped by just to say hello?

Well, that’s exactly the sense of community you’ll find at Luther Manor. With charming studio apartments, spacious two-bedroom models and everything in between, all you would expect from a caring, faithful community can be found right here – a variety of social opportunities, a bank, a corner market and even an ice cream parlor. And, should you want or need assistance with housekeeping, meal preparation, medication management or personal care, an array of Supportive Services is available to help you remain safe and comfortable in your new home.

Come see for yourself. For more information or to schedule a tour, call (414) 464-3880.

LUTHER M ANOR

Senior Living Community

48 MHL SUMMER 2016

RETIREMENT Question: I want to make sure I have enough credits to receive Social Security retirement benefits when I need them. How can I get a record of my Social Security earnings? Answer: The best way for you to check whether you have earned enough credits (40 total, equaling 10 years of work) is to open a free my Social Security account at www. socialsecurity.gov/myaccount to review your Social Security Statement. Once you create an account, you can: • Keep track of your earnings to make sure your benefit is calculated correctly. The amount of your payment is based on your lifetime earnings; • Get an estimate of your future benefits if you are still working; • Get a replacement 1099 or 1042S. • Get a letter with proof of your benefits if you currently receive them; and • Manage your benefits: o Change your address; and o Start or change your direct deposit. Accessing my Social Security is quick, convenient, and secure, and you can do it from the comfort of your home. In some states, you can even request a replacement Social Security card online using my Social Security. Currently available in some areas in the United States, it’s an easy, convenient, and secure way to request a replacement card online. To find out where we offer this service, visit www.socialsecurity.gov/ssnumber. Question: Although I stopped working a few years ago, I had additional seasonal earnings after my retirement. Will my monthly Social Security retirement benefit increase? Answer: Possibly. And, you can get Social Security retirement or survivors benefits and work at the same time. Each year, we review the records for all working Social Security recipients to see if additional earnings may increase their monthly benefit amounts. If an increase is due, we calculate a new benefit amount and pay the increase retroactive to January following the year of earnings. You can learn more about how work affects your benefits by reading our publication, How Work Affects Your Benefits, at www.socialsecurity.gov/pubs. DISABILITY Question: My aunt is disabled as a result of a car accident. Does Social Security have a special program for people who are obviously physically or mentally disabled? Answer: Social Security is committed to expediting the application process for people with severe disabilities. Through our Compassionate Allowances program, we can quickly identify diseases and other medical conditions that qualify, based on minimal objective medical information, and that allows us to make payments much sooner than the usual review process allows. Compassionate Allowances is not a separate program from the Social Security disability insurance or Supplemental Security Income programs. People who don’t meet the Compassionate Allowances criteria will still have their medical conditions reviewed by Social Security. Learn more about our Compassionate Allowances at www.socialsecurity.gov/ compassionateallowances Question: How do I apply for disability benefits? And, how long does it take to get a decision after I apply for disability benefits? Answer: You can apply for disability benefits online at www.ssa.gov/disabilityssi/apply. html. Getting a decision on your disability application usually takes three to five months. The time frame can vary depending on: • The nature of your disability; SOCIAL>>page 49

INTERFAITH ANNOUNCES 2016 PEARLS OF WISDOM AWARD RECIPIENTS Interfaith Older Adult Programs is honored to recognize two outstanding volunteers for their exceptional work serving Milwaukee-area older adults. The volunteers will be honored at the organization’s annual Pearls of Wisdom Celebration on Thursday, May 5, at the Milwaukee County Zoo. “Congratulations to this year’s Pearls of Wisdom Award recipients , all of whom are prime examples of how volunteering helps not only the older adults that Interfaith serves, but volunteers too,” said Felice Green, Interfaith’s Marketing and Public Relations Director. “Their giving spirit and dedication are truly examples for us all.” The first award, “Living Life to the Fullest,” recognizes individuals 50 and better who are living life to the fullest and having a positive impact on the community and others. The second award, “Making the World More Beautiful,” recognizes individuals 50 and better who willingly share gifts and talents to enrich the lives of others. Living Life to the Fullest Award Winner: Muriel Plichta After retiring and taking care of her aging mother, Muriel Plichta found a new calling and passion through volunteering with Interfaith. Plichta began volunteering for Interfaith as a driver and friendly home visitor in 2003 after learning about the need for additional volunteers. She has served our community for many years in a variety of ways, but enjoys teaching others most of all. Plichta discovered a love for Qigong; an ancient Chinese practice for healing through body movements, breathing techniques and meditation. Her passion shines when she teaches Qigong classes at Wilson Senior Center, leading as many as 40 people in sessions. She finds volunteering at Interfaith to be so rewarding because of the stories told, the wisdom shared, and the gratitude that is given. This inspires her to live her life to the fullest, and answer what she says “has been her calling all along.” Making the World More Beautiful Award Winners: Steve and Julie Joosten & Family Steve and Julie Joosten have both been involved in volunteering and serving their communities since childhood. When they had a family of their own, they wanted to instill those same values in their children. So Steve, Julie, and their three children, Abigail, Dack, and Olivia, got involved at Interfaith. That is where they met Joe and Ellen. The Joostens began visiting Joe and Ellen and assisting them with household chores, building a close relationship that is now two years strong. The biggest lesson the Joosten family has gained from volunteering is that anyone can make a huge impact, even in the smallest of beginnings. Steven and Julie are proud to know their children will carry on their love for volunteering, especially since, as Julie says, “you always get more than you give.” SOCIAL<<page 48 • How quickly we can get your medical evidence from your doctor or other medical source; • Whether it’s necessary to send you for a medical examination; and • Whether we review your application for quality purposes. MEDICARE Question: Where can I go to find general information about Medicare benefits? Answer: Social Security determines whether people are entitled to Medicare benefits, but the program is administered by the Centers for Medicare & Medicaid Services (CMS). You can visit CMS’ Medicare website at www.medicare.gov, or call them at 1-800-MEDICARE (1-800-633-4227). Online or by phone, you can find answers to all your Medicare questions at CMS. Question: Will my eligibility for the Extra Help with Medicare prescription drug plan costs be reviewed and, if so, how often? Answer: If you get the Extra Help, Social Security may contact you to review your status. This reassessment will ensure you remain eligible for Extra Help and you are receiving all the benefits you deserve. Annually, usually at the end of August, we may send you a form to complete: Social Security Administration Review of Your Eligibility for Extra Help. You will have 30 days to complete and return this form. Any necessary adjustments to the Extra Help will be effective in January of the following year. Go to www.socialsecurity.gov/prescriptionhelp for more information.

JUNE 2016 MHL 49

Skin Care

Exceptional Living... .. Exceptional People

ALLIS

and Aging

Care Center

EQUAL HOUSING

9047 W. Greenfield Ave. West Allis, Wisconsin 53214 Phone: (414) 453-9290 Fax: (414) 777-7356

OPPORTUNITY

Respite Stays Skilled Nursing Services Alzheimer’s/Dementia Care Physical, Occupational, and Speech Therapy Services www.exceptionallivingcenters.com

Peace of Mind Services Title 19 & Pre- Arrangements Simple Cremation $595.00 (Excluding Cremation Permit & Fee)

Traditional Funerals $1,395.00 at your Church or Cemetery Chapel of your choice

Call for more details

414.453.1562

SERVING ALL OF WISCONSIN

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

Helping people remain safe in their homes by providing: 

Supportive home care



Personal care services 



Companionship

Medically oriented tasks under the supervision of an RN 

Respite care

Call 888-381-5696 toll free, 24 hours a day www.mcfi.net

50 MHL SUMMER 2016

Cynthia had always been proud of her skin, especially her summer tan. But as she grew older, she saw she was getting more fine lines and wrinkles. She began to worry about what other skin problems she may have. What were those brown spots on her hands and arms? Your skin changes with age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. Your veins and bones can be seen more easily. Scratches, cuts, or bumps can take longer to heal. Years of sun tanning or being out in the sunlight for a long time may lead to wrinkles, dryness, age spots, and even cancer. But there are things you can do to protect your skin and to make it feel and look better. Dry Skin And ItchingMany older people suffer from dry skin, often on their lower legs, elbows, and lower arms. Dry skin feels rough and scaly. There are many possible reasons for dry skin, such as: •Not drinking enough liquids •Staying out in the sun •Being in very dry air •Smoking •Feeling stress •Losing sweat and oil glands (common with age) Dry skin also can be caused by health problems, such as diabetes or kidney disease. Using too much soap, antiperspirant, or perfume and taking hot baths will make dry skin worse. Because older people have thinner skin, scratching can cause bleeding that may lead to infection. Some medicines make the skin itchier. If your skin is very dry and itchy, see your doctor. Moisturizers like lotions, creams, or ointments can soothe dry, itchy skin. They should be used every day. Try taking fewer baths and using milder soap to help your dry skin. Warm water is less drying than hot water. Don’t add bath oil to your water -- it will make the tub too slippery. Some people find that a humidifier (an appliance that adds moisture to a room) helps. BruisesOlder people may bruise more easily than younger people. And, it can take longer for the bruises to heal. Some medicines or illnesses may cause bruising. If you see bruises and you don’t know how you got them, especially on parts of your body usually covered by clothing, see your doctor. WrinklesOver time, skin begins to wrinkle. Things in the environment, like ultraviolet (UV) light from the sun, make the skin less elastic. Gravity can cause skin to sag and wrinkle. Certain habits also can wrinkle the skin. Some of these habits are easier to change than others. You may not be able to change your facial expressions, but you can quit smoking. A lot of claims are made about how to make wrinkles go away. Not all of them work. Some can be painful or even dangerous, and many must be done by a doctor. Talk with a doctor specially trained in skin problems (a dermatologist) or your regular doctor if you are worried about wrinkles. Age Spots And Skin TagsAge spots, once called “liver spots,” are flat, brown spots often caused by years in the sun. They are bigger than freckles, and many times show up on areas like the face, hands, arms, back, and feet. Age spots are harmless, but if they bother you, talk to a dermatologist about removing them. Also, a sunscreen or sunblock may prevent more sun damage. Skin tags are small, usually flesh-colored growths of skin that have a raised surface. They are a common occurrence as people age, especially for women. They are most often found on the eyelids, neck, and body folds such as the arm pit, chest, and groin. Skin tags are harmless, but they can become irritated. A doctor can remove them if they bother you.

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by John F. Barnes, PT Li#|rxġuh#88./#yroxqwhhu# Special to PT Today dw#d#PSV#hohphqwdu|# What is fibromyalgia really? What do fibromyalgia, chronic fatigue syndrome, vfkrro#iru#mxvw#<3# chronic pain, headaches, pelvic/menstrual pain and dysfunction, and PMS have in plqxwhv#rqfh#d#zhhn# common? These are simply different labels of a common denominator, unrecognized dqg#vhh#d#fklog#vxffhhg1 myofascial restrictions. fdoo=#+747,#553#0#;986# Iru#pruh# MYOFASCIAL RELEASE -- “THE MISSING LINK” hpdlo=#wxwruClqwhuidlwkploz1ruj# ylvlw=#zzz1lqwhuidlwkploz1ruj Myofascial release is a new state of the art therapeutic approach for the relief of pain lqirupdwlrq= and headaches and the restoration of motion. Fascia surrounds and infuses every organ, duct, nerve, blood vessel, muscle and bone of the pelvic cavity. Fascia has the propensity to www.cardinalcapital.us tighten after trauma, inflammatory processes, poor posture or childbirth. The American way of childbirth is extremely unnatural and can Independent Residences Serving The Needs Of Our Communities be very traumatic to the woman, especially if she has a pelvic torsion and/or fascial restrictions prior to delivery, and most do! Fascia has a tensile strength of over 2,000 pounds per square inch. In other words, fascial restrictions have the potential of exerting enormous pressure on pain-sensitive structures producing pain or malfunction of the delicate pelvic structures. Certainly, not all problems have a fascial origin, but restrictions of the fascia are the cause of many of these problems in a surprisingly high percentage of cases, especially when all the tests turn out negative and medication only helps temporarily or surgery did not change the situation. Myofascial release is utilized for the treatment of menstrual pain and/or dysfunction, back and pelvic pain, endometriosis and other inflammatory disorders. It can treat the unpleasant and/or painful symptoms of pregnancy and childbirth, recurrent bladder Our apartment home pain and infection, painful intercourse, sexual dysfunction, elimination problems, coccygeal communities provide a pain, . painful episiotomy scars and the list goes on. These problems can in many cases caring staff, friendly be substantially alleviated or eliminated by myofascial release, nontraumatically and neighbors, & plenty of gently. Inflammatory processes, such as comforts of home. endometriosis, can cause the fascial layers to adhere to adjoining tissue creating pain and symptoms. Many times the fascial tissues will adhere around the bladder and the urethral Cardinal Capital Management areas creating the environment for infection, is committed to equal since fascial restrictions impede proper housing opportunity & elimination of toxins and waste products we fully comply with the from the tissues. Federal Fair Housing Act If the fascia tightens around the bladder it can limit the bladder’s potential to enlarge sufficiently, creating the need to urinate frequently or painfully. When a woman coughs, sneezes or laughs, urine will tend to seep out since there is no give to the bladder. States and it has been determined that over half a million of these procedures a year are deemed unnecessary. Another common problem we encounter is coccygeal disorders from trauma, pelvic JUNE 2016 MHL 51

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It’s a Jungle Out There: A Safari Through Elder Care Services Suddenly, you’re faced with having to make decisions. Where do you turn? What do you do first? Is there enough money for caregivers? What’s the difference between the different kinds of services? What on earth do all these letters mean…CCRC, CBRF, RCAC… Yes, it’s true… there is so much to know, that it feels like you are on safari and the vines keep hitting you in the face as you fight your way through the jungle.

PROTECTING YOUR HEARING IN THE GREAT OUTDOORS “Give your ears periodic breaks during loud events.” Summer seems to have finally sprung. In addition to being able to leave the house without a jacket or visit the farmer’s market on the weekends, one of the best parts of the warm weather is all of the outdoor activities you can partake in that weren’t possible during the winter months. However, some of these pastimes can be noisy, so it’s important to protect your ears while you enjoy outdoor spring and summertime activities. Water sports Whether you enjoy boating or jet skiiing, anything with a motor can be rough on your ears. According to Hear-It, a jet ski at full speed can get louder than 105 decibels! So if you plan on riding one, be sure to wear some form of ear protection, like foam ear plugs. Not only will this protect your hearing from the loud noises, but it’ll also keep water from getting in your ears. When you’re riding on a speedboat, your hearing can be exposed to loud decibels as well. The wind in your ears is loud enough, but sitting close to the motor could potentially cause hearing damage. When you’re riding in a speedboat, sit as far as you can from the motor, and consider wearing ear plugs. “Give your ears periodic breaks during loud events.” Sports and concerts What’s a summer without a ball game or an outdoor concert? While there’s no reason to stray away from these activities, they can get pretty noisy. Outdoor concerts are typically easier on your ears than indoor ones – since the sound can dissipate more easily – but you still want to choose seats away from the speakers. Give your ears periodic breaks during loud events like baseball games or concerts by leaving the noisy areas to go to the concession stand or use the bathroom. Fireworks Do you know that sensation on the Fourth of July when you can feel the fireworks deep in your chest? While some may find the “boom” thrilling, if you’re able to feel the sound, your ears also can. Even though you’re far away from the fireworks themselves, the explosions can still be incredibly loud. When enjoying Independence Day festivities, be sure to wear hearing protection and stay as far away from the fireworks as you can – for both your ear health and your own personal safety. Lawn mowing While mowing your lawn may not be an exciting summer activity, it’s still something that has to be done. While using your lawn mower, leaf blower, edger or any other sort of outdoor maintenance tool may not seem damaging to your hearing, prolonged use can actually contribute to hearing loss. Since lawn maintenance can take quite some time on a nice spring afternoon, it’s important to protect your hearing. After all, when you see lawn care professionals working outside, they’re always wearing earmuffs. Even a pair of over-the-ear headphones can do the job of keeping unwanted noise out.

Attend one or all of our free seminars and learn about the services and resources in the community that can help you take the next step. And the one after that. Programs will start at 7 PM June 14 Barbara Horstmeyer, GCM – Community resources are available to you and your family. Barbara will help define what’s out there and provide information on finding it. July 12 Michelle Putz, RN, NHA – Michelle discusses the different Medicare plans and how to make the right choices. August 2 John Lawson, NHA – CCRC, CBRF, RCAC, SNF… making sense of the senior living alphabet soup and the difference between Assisted Living and Independent Living. August 30 Bruce Nemovitz, Real Estate Agent; Author – Downsizing can be overwhelming, Bruce will teach you how to prepare your home, understand the market so that your move can be made simpler. September 13 Michael Sattell, CPA/CFF, CFE Financial issues can be confusing. Mike will discuss the options to secure your future.

RSVPs are appreciated. Call Bridget Moen at 262-478-1500.

Please drive past the Health Center to the Apartments.

10995 N. Market St., Mequon, WI 53092 262-478-1500 ceastman@JewishSeniorLiving.org SarahChudnow.org Follow us on Twitter @jsliving Like us on Facebook JUNE 2016 MHL 53

POSITIVE ATTITUDES Retirement communities foster an environment that allows seniors to be socially engaged and active which promotes health and wellness in mind, body and spirit. By Kate Schmidtkunz RN, BSN Positive attitudes and a healthy outlook on life are vital to our physical, emotional and social well-being. Understanding our attitudes are important because it affects who we are and how we respond to life’s’ situations. A positive attitude helps you meet and accept the challenges of life. The opportunity for growth and a better understanding of ourselves is possible with the right attitude. Healthy self esteem includes developing our strengths and overcoming weaknesses, striving to do our best, and setting realistic goals. Finding satisfaction in life, establishing and maintaining strong, healthy relationships and having self confidence allows us to meet the challenges of the day. Remaining positive and healthy involves living a healthy lifestyle which includes, regular activity and exercise, eating a well balanced diet, getting plenty of rest and using prescription medications as intended and instructed. A positive attitude and a healthy outlook can be developed and maintained with time and effort. Considering moving into a retirement facility? Besides the convenience of community living, your health may improve. Much has been written about the effect of a positive attitude to one’s general well-being. There are many reasons to be positive in a retirement community. Retirement communities foster an environment that allows seniors to be socially engaged and active which promotes health and wellness in mind, body and spirit. A resident of an independent retirement community shared the positive benefits he experienced: “When I moved to a retirement community I was not walking well and was unable to do laundry and lots of similar things due to a small stroke. Three and a half years later my doctors have told me I am doing very well. I contribute my great health to several things. First, I now enjoy meals not only because the food is so good, but also because the dining room is a cheerful place to be and the wait staff makes it a pleasure to come down to meals. I also eat with interesting and welcoming people. Second, I am never bored. There are a great number of presentations, both informational and entertaining. I enjoy going to outings, theatre and restaurants.” What this resident experienced are a couple of the benefits of a retirement community. The benefit of a well balanced diet. Menus in retirement typically are low sodium, low fat and the offerings are rich in fiber, fresh fruits and vegetables and whole grains. The benefits of intellectual stimulation and socialization impacted this resident’s life. Attending lectures and the performing arts, visiting with a diverse group of peers keep the mind sharp. Retirement communities provide a positive, healthy environment. Most communities offer exercise classes or a fitness center. Regular exercise for seniors increases joint flexibility, muscle strength, endurance and coordination to prevent falls and increase balance. Some retirement communities are integrated in a continuum of care, including rehabilitation, skilled nursing, assisted living and home health. Enjoy your life of health and happiness. For more information on the healthy benefits of community living please call Kate Schmidtkunz RN BSN, Wellness Coordinator at San Camillo. 414/259-4680

Fatigue

MORE THAN BEING TIRED

“You better get up soon,” Dan called to his wife, Liang. “The grandchildren will be here in an hour for lunch.” “I don’t know what’s wrong with me,” Liang said. “I feel so tired. I’m not even sure I can get out of bed. I just don’t seem to have any energy—not even for my family.” Everyone feels tired now and then. Sometimes, like Liang, you may just want to stay in bed. But, after a good night’s sleep, most people feel refreshed and ready to face a new day. If you continue to feel tired for weeks, it’s time to see your doctor. He or she may be able to help you find out what’s causing your fatigue and may even suggest you become more active. Some Illnesses Cause Fatigue Feeling fatigued can be like an alarm going off in your body. It may be the first sign that something is wrong. But, fatigue itself is not a disease. For example, many older people live with rheumatoid arthritis, a painful condition that affects the joints, usually in hands or feet. In addition to their pain, people with rheumatoid arthritis often complain of other symptoms such as fatigue. Or, people with cancer may feel fatigued from the disease or treatments, or both. They may be dealing with pain and nausea as well. These are just two examples of situations where talking to your healthcare provider about feeling fatigue may lead to helpful solutions—for instance, adding mild exercises to your daily routine.

Many medical problems and treatments can add to fatigue. These include: Taking certain medications, such as antidepressants, antihistamines, and medicines for nausea and pain Having medical treatments, like chemotherapy and radiation Recovering from major surgery What Role Do Emotions Play? Are you fearful about the future? Do you worry about your health and who will take care of you? Are you afraid you are no longer needed? Emotional worries like these can take a toll on your energy. Fatigue can be linked to many emotions, including: Anxiety Depression Grief from loss of family, friends, or home of many years Stress from financial or personal problems Feeling that you no longer have control over your life Exercise or other physical activity may help relieve emotional problems such as anxiety and stress. Personal Habits Some people have lifestyle habits that rob them of energy. Here are some things that may be a drag on you: Staying up too late. A good night’s sleep is important to feeling refreshed and energetic. Try going to bed and waking up at the same time every day. Having too much caffeine. If you drink caffeinated drinks like soda, tea, or coffee late in the day, it can keep you from having a good night’s sleep. Limit the amount of caffeine you take during the day and have non-caffeinated drinks in the evening. Drinking too much alcohol. Alcohol changes the way you think and act. It may also interact with your medical treatments. Be careful with the amount you drink. Eating junk food. Say “no thanks” to food with empty calories like chips and cookies. You need nutritious food in order to have the energy to do the things you enjoy. Being bored can also make you feel fatigued. That may sound strange, but it’s true. If you have been very busy during your working years, when you stop working you may find yourself a little lost about how to spend your time. When you wake up in the morning, you may see long days stretching before you with nothing planned. It doesn’t have to be that way. Research shows that engaging in social and productive activities that you enjoy, like volunteering in your community, may help maintain your wellbeing. Think about what interests you and what you have to offer, and look for places to volunteer.

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VMPcares.com JUNE 2016 MHL 55

ACHIEVING A HEALTHY BODY:

Tips To Help Us Keep Moving And Feeling Great! By Angela English D.C. What I have learned in my career as a Chiropractor thus far, is that accidents and injuries can happen to anyone. What are different in these injuries are the severity and the rate of healing after these injuries occur. Having a body that is working efficiently, with minimal stress, creates a very strong foundation that is needed if and when injuries happen. To get your body working efficiently is actually quite simple, with getting active being top on the list. Physical activity is what helps our bodies function and makes it easier for our bodies to do the processes that they need to do. But it is important to know what to do and to do things correctly. Here are some proven steps that can help you achieve a strong body and are easy enough for anyone to start doing on their own. First thing in any type of health concern is to find out how your body is working at its current state. There are several different ways to find out were you are depending on your problem and the goal of where you want to be. If your goal is to get more physically fit or tone, then the first step would likely be to a personal trainer, or getting a physical at your primary doctor. Depending on what is in your health history and any symptoms you may be having, it would be a good idea to get the appropriate blood work done. Knowing the foundation of how your body is working will dictate how well you will achieve your goals of a healthy body. This is often an overlooked step, but can be key to your success. If you are suffering from an injury or have an injury in the past, it is very important to work with a personal trainer to

help you strengthen the injured area and to make sure that exercise is done correctly to prevent a reoccurrence of the injury. Personal trainers are great for keeping you motivated to reach your goals. The next step now that you know how your body is working and you are exercising regularly, is to eat right. It is important to give your body what it needs to build strength. Eating Twinkies and drinking soda all day will ensure that all your hard work and time was well wasted. Learn how to give your body what it needs and how to curb cravings by meeting with a nutritional counselor, dietician or a naturopathic physician. You need to make sure that your body has the ability to break down the food and absorb all the nutrients. Even if you eat relatively healthy already, these health professionals can teach you life long habits that can add years of happiness to your life. Now that you are on your way to feeling great, you need to get a strong support system. If you have a family, take steps at home to incorporate the things that you have learned into your daily routine. Introduce more healthy home cooked meals. Healthy food can taste fantastic and are usually only a turn off to kids if you announce that they are full of vegetables and nutrition. Start adding more active activities to your nights and weekends. Take walks, go for bike rides, take more active vacations, start a neighbor hood softball game with your neighbors. Be creative and do what makes you and your family happy. It is much easier to stay focused and on the right path if you are not the only person that is making the effort. Other things to think about are how you handle stress. This means mental, chemical or physical stress. Mental stress can be handled through talking to a counselor or psychologist, or just finding ways to deal with your stress through yoga or mediation. Chemical stress can be anything toxic in your environment: new carpeting, pets, dust, smoke, and medications are just a few examples. It may be worth while to get a home inspection to test the air and water quality to see if there are things that can be done to your home to eradicate allergens and other chemical stressors. Sometimes the solution can be as easy as getting your ducts cleaned, adding a water filtration system, eating organic and natural foods or adding plants to your home. Physical stress can be anything from sleeping on an improper mattress or pillow, not using ergonomics, poor postural habits, and past injuries. Health professionals such as Chiropractors, Massage Therapists, and Physical Therapist are just a few examples of professionals that can help eliminate physical stress from your daily routine. You work your body hard each and every day and it is important that we give it a chance to rejuvenate and work at its best. Achieving a healthy body can seem overwhelming sometimes. Once you take the first step by gaining the knowledge of knowing where you are at presently, the following steps are easy to incorporate.

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By Dr. Douglas Kloss If you are over the age of 60, you are probably getting several pieces of direct mail that advertise the latest and greatest in hearing aid technology. You probably also noticed that there are plenty of advertisements in your local newspaper for hearing aids. Do you know why? Hearing aids are sold/dispensed by two groups, audiologists and hearing aid dispensers. All audiologists have at least a master’s degree in audiology, and many have doctoral level credentials. Hearing aid dispensers must pass a state exam to earn their license to dispense hearing aids. There is no formal training, college courses or degrees required to become a hearing aid dispenser. Hearing aids are manufactured by six major companies and several subsidiaries. There are plenty of brand names and models, but, in general, most hearing aids that are sold are manufactured by one of these six companies. However, you won’t buy hearing aids directly from these companies, as they are dispensed by local audiologists, hearing aid dispensers and large hearing aid franchises. When making the decision to investigate new hearing aids, many folks take advantage of advertised offers. Many of these offers can be misleading and tend to promise things that simply are not possible. Common themes include phony “research” studies that need people to “test” their new product, coupons for outrageous discount amounts or simply prices that are extraordinarily low. Please ask yourself: Who is paying for the expensive advertising you are seeing? Is this company in the paper every day? Do they send you direct mail on a weekly basis? You can bet you will be paying a premium price for their hearing aids. Remember, only six companies make the overwhelming majority of hearing aids. The top level hearing aids from each company are all high-quality products that can be fit successfully on most patients. There is not one hearing aid company that stands out and has “the best” hearing aids for every patient. However, there are hearing aid companies that do have technology that is “the best” for certain hearing losses. This is where the skill of an independent audiologist who works with several of the top hearing aid manufacturers is most advantageous. Good advice for those interested in hearing aids is to get an estimate of what it would cost for the hearing aids that are recommended for you and then compare that cost with others. Forget about the $1,000 coupons, 50% discounts, phony research studies and fake evaluation periods for “new technology.” You need the final cost and the level of technology that is being recommended to make an accurate comparison. It would also be wise to find the most qualified person available to fit your hearing aids. Here is a set of questions you can ask when purchasing new hearing aids: 1) What level of technology is being recommended? Why is this level being recommended? 2) How many channels do the hearing aids have? Channels allow for greater programming and fine-tuning ability. The more channels you have, the greater the technology and ability to adjust to your needs. For example, a 16-channel hearing aid is generally more technologically advanced than a six-channel hearing aid, but the prices can be the same. You would want the 16-channel aid, not the six. You certainly don’t want to pay the same price for a six-channel aid at one establishment when you can get the 16-channel aid for the same price elsewhere. This happens often. 3) How long is the warranty? Does it include loss and damage? 4) How much are office visits? 5) Who pays for batteries? Are the hearing aids rechargeable? 6) If I return my hearing aids during the trial period, how much will it cost me? Some establishments don’t charge a fee, while others can charge hundreds of dollars. Dr. Douglas Kloss is an audiologist with Midwest Audiology Center LLC, 4818 S. 76th St., Suite 3, Greenfield, Wis. 53220. For more information, call 414.281.8300 or visit MidwestAudiology.net. By appointment only.

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JUNE 2016 MHL 57

WHAT ARE

Rehabilitation Services?

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58 MHL SUMMER 2016

Rehabilitation Services, which is better known as Physical Therapy (PT), is a discipline designed to conservatively treat a wide variety of ailments and disorders affecting an individual’s ability to function. A clinician’s primary focus is to relieve pain, restore movement and function, and to assist the patient with any adaptations that may result from injury or disability. Furthermore, focus is placed on ergonomics, body mechanics, fitness conditioning, wellness principles and patient education. There is virtually no limit as to who may benefit from rehabilitation. From the very young to the very old, individuals who suffer from conditions or injuries that limit function may benefit from the skills of a trained therapist. This may include injuries related to automobile accidents, work, sports, and other conditions such as arthritis, low back pain, overuse injuries, sprains/strain, and pre/post- surgical patients. The clinical staff within the rehabilitation department will assist those individuals in developing a healthy lifestyle and promote overall wellness. Individuals usually are referred to rehabilitation services due to pain associated with joints or muscles. The clinician will perform their assessment of the individual’s condition and current ability to function during their normal tasks. This may include testing the patient’s range of motion, strength, joint mobility, special tests and observation as to how the patient performs many of the patient’s routine tasks. After all this information is gathered, the therapist will determine their course of action most appropriately suited to the individual patient. This may include exercises to restore normal function at the injured site, massage, joint mobilization, posture/body mechanics training, gait training, safety awareness and education to the patient’s specific condition. In turn, this should help relieve the patient’s pain and help them resume their normal activity levels. A department of specialists ranging from Ergonomic Experts, Exercise Specialists, Licensed Athletic Trainers, Massage Therapists, Occupational Therapists and Physical Therapists will operate in a team approach to help return the individual to the fullest function possible. Rehabilitation services are found in a variety of settings throughout the medical community. Hospitals, nursing homes, outpatient facilities, schools, or even at home are all common settings in which these professionals work. Acute injury or illness individuals are normally seen in an inpatient hospital setting do to their health status. In an acute setting, the goal is to get a patient’s mobility back to their pre-admission status so they can get back home and resume their normal life. Outpatient facilities are located throughout the area and focus on individuals who are mobile and returning to a higher level of function. Clinician’s in these settings generally work in a one-on-one environment to tailor the treatment to the individual. The individual’s specific condition, needs and goals are evaluated to create a very specific treatment plan. Clinician’s from all disciplines have the ability to specialize in a specific area of treatment to further develop greater clinical skills and to serve as a resource to specific patients and peers within their profession. Specialties include working with the spine, extremities, sports rehabilitation, geriatrics, pediatrics, just to name a few. .

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

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. JUNE 2016 MHL 59

Arthritis

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Paulette’s garden has always been a source of pride for her. Lately, however, her arthritis has been a source of pain, and she’s afraid her gardening days may be over. “The bending can be hard, but it’s the weeding that I’m really worried about,” she said. Rosemary Schrauth, an occupational therapist at Cedar Haven Rehabilitation Services, West Bend,, said patients like Paulette can keep their green thumbs flexed if they incorporate a few techniques recommended by the Arthritis Foundation:

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Choose a time of day when you experience the least pain. If you’re stiff in the mornings, do some flexibility exercises before you begin gardening, or wait until afternoon when your joints have ‘warmed up.’ Pace your work, taking breaks or varying your tasks so you don’t stay in the same position for too long. Plan your garden close to a water source, and consider adding raised beds, window boxes and lightweight containers to reduce bending or kneeling. Use sprinklers or hose attachments rather than a watering can whenever possible.

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If you must lift heavy objects, such as bags of soil or fertilizer, bend with your knees, keeping your back straight. If possible, use a wheelbarrow or wagon to carry large or heavy items long distances. When working near the ground, enlist the help of a stool or foam pad with handrails. Kneel with one knee, and try to keep your back straight.

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Use a carpenter’s apron with pockets to keep hand tools handy. Many catalogs now offer ergonomic, lightweight tools with larger or padded grips to ease stress on joints. You can also wrap foam padding and then duct tape around grips to enlarge them. Keep pruners and other tools sharp to make them easier to use. Mulch generously to reduce weeding. Consider using more perennials, which don’t need replanting each year. Young plants also are easier to plant than tiny seeds. Finally, Schrauth said, “Respect pain. If you experience soreness, stop what you’re doing and turn your attention to another task.” If you experience pain the following day, she said, it’s a message that you may have overdone it, and should cut back a little next time. “But don’t give up your favorite activities,” she stressed. “Inactivity is far worse for arthritis in the long run.”

EYES<<page 15 removal (16 to 23 percent depending on the severity of the cataract),” states Daniel Paskowitz, MD, PhD, an ophthalmologist with credentials from Harvard and Johns Hopkins and a popular continuing education lecturer for local optometrists. “These statistics are important to note because, of the approximately 1,000 hip fractures that occur in the U.S. each day, 18% are caused by visual impairment. And, when falls lead to hip fractures: only 25% of patients make a full recovery, 50% subsequently need a cane or walker, 40% require nursing home care, and 24% of those over age 50 die within 12 months due to complications.” 7. Taking care of your vision may prevent needless suffering and loss of independence. For example, a Japanese study noted that cataract treatment significantly improved functioning in people previously diagnosed with cognitive impairment. “Cataract removal, low vision aids, and other vision improvements are sometimes seen as working miraculous cures on patients mislabeled as confused, depressed or having dementia. Often, these people weren’t in need of a ‘miracle,’ institutionalization or other drastic measures. The problem was just that they just couldn’t see well,” explains Michael Raciti, MD, an ophthalmologist who volunteers his time to teach eye surgery techniques to doctors-in-training. “Independence is a good measure for quality of life; and having good vision enables people to live independently much longer.” 8. “Maintaining good vision is an investment for your future. Age-related vision impairment is a leading cause of disability (second to arthritis) and nursing home placement creating increased expenses for patients, Medicare, insurance companies, and society, in terms of doctor visits, special transportation, medical supplies and services,” says David Scheidt, OD, past president of the Milwaukee Optometric Society. Vision loss also takes physical and psychological tolls. Common problems you may have recognized in your own vision-impaired friends and relatives include: an increase in injuries, falls and car accidents; difficulty carrying out tasks (cleaning, shopping, reading, watching TV, etc.); deterioration of health (other problems become worse as it is more difficult to see to take medications, exercise, do simple hygiene tasks, prepare food, etc.); social issues (withdrawal, depression, isolation, anger, fear, etc.); and loss of freedom (inability to drive, work, do hobbies, etc.). “Scheduling regular eye check-ups today can help avoid these costs and suffering for tomorrow. And, if your symptoms and exam results meet the proper criteria, Medicare, Medicaid, and most insurance plans will often pay for a majority of your treatment,” adds Scheidt. 9. Many conditions (like glaucoma) may not offer early warning signs or are masked by the healthy eye’s ability to compensate. The only way to definitively know if you have an eye disease is to schedule a comprehensive dilated eye exam every two years, especially after age 40. If you don’t, undiagnosed and untreated conditions (like macular degeneration, cataracts and diabetes) may slowly be stealing your vision without you realizing it. 10. Scheduling regular eye appointments and receiving prompt treatment when necessary can protect and preserve your sight from permanent damage or loss to conditions like glaucoma, diabetes and macular degeneration (AMD). Advances in ophthalmology continually enhance the ability to protect patients’ vision. “In our own practice, we now have OCT laser scanners that can painlessly detect and track sight-threatening conditions in just minutes. Our ECP and SLT laser equipment can often reduce or eliminate the need for glaucoma drops. Revolutionary medication injection treatments can markedly protect and sometimes even improve vision in patients with macular degeneration and diabetic eye disease. And, advanced surgery techniques enable most patients to have their cataracts removed and replaced with an implant within 15-20 minutes and back home resuming normal activities within hours. But none of these advances matter if you don’t schedule regular eye exams to take advantage of them,” says Freedman. Keep the above information in mind the next time you are wondering whether or not you should schedule an eye exam or follow your doctor’s recommendations for undergoing a procedure or using an eye medication. Free Booklets & Information The physicians quoted above are partners at Eye Care Specialists, a leading ophthalmology practice that provides medical, surgical and laser care to more than 130,000 Wisconsinites. They are dedicated to the diagnosis and treatment of cataracts, glaucoma, diabetic eye disease, and macular degeneration; and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National Avenue. They also offer eye care information at www.eyecarespecialists.net.

JUNE 2016 MHL 61

PAIN>>page 25 pain to exist. Once the body becomes harmonious within – things just fall into place. Often other ailments that accompany the chronic pain – emotional health issues, weight gain, sleep issues, digestive issues – also improved with acupuncture and Eastern medicine. After receiving acupuncture treatments and Eastern medicine techniques, many patients with fibromyalgia or other chronic pain issues are able to work with their physicians to reduce and even eliminate the need for medications. Their productivity at work increases because thoughts no longer are centered on pain. The focus can be put back on what is essential to us: our lives, our passion and our work. To reduce or eliminate pain – it is important to treat it with a holistic approach. We need to look at the physical, emotional and spiritual aspects that construct us and then look at possible lifestyle changes that can be done in-between treatments for lasting results. This is also part of the treatment plan. Along with acupuncture and herbal medicine, nutrition is another key factor to getting your life back. Stress reducing techniques such as exercise and breath-work can be effective in conjunction with acupuncture. Flower essence therapy and reiki can be used in your acupuncture treatments or separately to assist you in bringing ultimate balance to every cell in your body. In addition to the above mentioned healing modalities, positive thinking is crucial in healing. Focusing on what is going well in your life is extremely powerful. Create a gratitude list, even if it is only a few things when you first start. This always opens the floodgates to allow more positivity to come your way. Recovery times vary from patient to patient. Generally the longer a person has been experiencing pain the longer it can take to mend your health back to its fullest potential. There are no real quick fixes in life. The patience required is worth the life-changing results. Isn’t it time to reclaim your life? Acupuncture and Eastern medicine restores hope that you may regain your health back. The most exciting fact is that the healing abilities are already in your body, they just need to be awoken. Your health is just waiting to be restored. For more information, contact Erica M. Zernzach at 414-651-2850 or visit ARightPath.com.

62 MHL SUMMER 2016

MUSIC<<page 37 torsion and childbirth. A malaligned coccyx can cause a multitude of problems in the pelvic area, including some of those just mentioned, as well as back and neck pain, and/or headaches due to the influence of the dural tube. When the coccyx moves closer to the pubic symphysis, the musculoaponeurotic fibers from the pubis to the coccyx become so slack that they lose their tonus. If the origin and insertion of a muscle move closer together, a great portion of the muscle’s power is lost. Typical symptoms of a sacrococcygeal lesion in a female subject are the inability to sit for long periods of time, declining quality of sexual relationships and cystitis ... the coccyx can lead to a general decrease in the motility of the entire body, and it should be checked in people who are devitalized or suffering from general depression.* Myofascial release has helped many women with menstrual and PMS symptoms. Just picture the fascia tightening like a powerful three-dimensional net around the pelvic structures. Then as the woman begins to bloat as her menstrual cycle begins, the combination of fascial tightness and increasing internal pressure begins to exert heavy pressure on nerves, blood vessels, etc., and the cramps begin, the back tightens and all the other unpleasant effects are a reaction to the abnormal internal pressure. The non-traumatic, gentle nature of myofascial release is reassuring in that the patient need not worry, since these effective procedures will not worsen the patient’s symptoms or cause harm. Myofascial release can free the structures producing pain and can also relieve the emotional pain associated with past unpleasant events or traumas. The painful memories or emotions from beatings, rapes, molestation, or miscarriages seem to be stored in the body’s memory.* Myofascial release is not meant to replace the important techniques and approaches that you currently utilize, but acts as a very important added dimension for increasing your effectiveness and permanency of results in relieving pain and restoring function and the quantity and quality of motion. For more information contact Specialized Therapy Services 414-778-1341.

YOGA<<page 23 sizes two of the eight limbs: postures (asanas) and breathing exercises (pranayama). Some of the major styles of hatha yoga include Ananda, Anusara, Ashtanga, Bikram, Iyengar, Kripalu, Kundalini, and Viniyoga.

THE STATUS OF YOGA RESEARCH

Research suggests that yoga might: > Improve mood and sense of well-being > Counteract stress > Reduce heart rate and blood pressure > Increase lung capacity > Improve muscle relaxation and body composition > Help with conditions such as anxiety, depression, and insomnia > Improve overall physical fitness, strength, and flexibility > Positively affect levels of certain brain or blood chemicals. More well-designed studies are needed before definitive conclusions can be drawn about yogaâ&#x20AC;&#x2122;s use for specific health conditions.

SIDE EFFECTS AND RISKS

Yoga is generally considered to be safe in healthy people when practiced appropriately. Studies have found it to be well tolerated, with few side effects. People with certain medical conditions should not use some yoga practices. For example, people with disc disease of the spine, extremely high or low blood pressure, glaucoma, retinal detachment, fragile or atherosclerotic arteries, a risk of blood clots, ear problems, severe osteoporosis, or cervical spondylitis should avoid some inverted poses. Although yoga during pregnancy is safe if practiced under expert guidance, pregnant women should avoid certain poses that may be problematic.

IF YOU ARE THINKING ABOUT YOGA

Do not use yoga as a replacement for conventional care or to postpone seeing a doctor about a medical problem. If you have a medical condition, consult with your health care provider before starting yoga. Ask about the physical demands of the type of yoga in which you are interested, as well as the training and experience of the yoga teacher you are considering. Look for published research studies on yoga for the health condition you are interested in. Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. For tips about talking with your health care providers about CAM

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JUNE 2016 MHL 63

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Did I get your attention? Good. ing aids from. Especially if you are be- It is in your best interest to find an AudiTake 5 minutes out of your day and ing charged the same price! ologist who has experience with several read this article so I can help you purWho makes hearing aids? hearing aid companies so they can select chase hearing aids properly. If you are Hearing Aids are manufactured by 6 which product is most appropriate for As seen in... over the age of 60, you are probably major world-wide manufacturers and your hearing loss and lifestyle. getting several pieces of direct mail several subsidiaries. There are plenty of Hearing Aid Advertising. that advertise the latest and greatest brand names and models but, in general, I oftentimes look at advertising for in hearing aid technology. You prob- most hearing aids that are sold are man- hearing aids. The truth is that the na“New smartphone appsufactured that link are helping people impaired ably also noticed that there are plenty by to onehearing of these 6aids companies. tional franchise thatwith is selling the “latest of advertisements in your localup news6 companies are Widex, Resound, and greatest” the same levelto of hearing to pump the These volume on their devices or to use them isasselling headphones paper for hearing aids. Let me tell you Oticon, Siemens, Starkey, and Phonak. hearing aid technology others are, just videos andbuy music.” - Reuters why. stream phone calls, YouTube However, you won’t hearing aids under a different name……and at a far I have been an Audiologist for 23 directly from these companies. Hearing higher price. I’m disappointed when I years and have offices in Milwaukee aids are dispensed by local audiologists, hear some of the folks come in and tell and Madison, WI. I hear comments hearing aid dispensers, and large hearing me what they paid for technology that I “The technology melds aids with popular consumer withless. theMy adfrom my patients on a weekly ba- hearing aid franchises. routinelyproducts, sell for $1,000.00 sis about how they are being overWhen you have made the decision to vice is for you to get an estimate of what hopes of lessening the stigma associated with wearing hearing devices.” whelmed by hearing aid advertising. investigate purchasing new hearing aids, it would cost for the hearing aids that are Minneapolis Star Tribune Who- dispenses hearing aids? many folks take advantage of advertised recommended for you, and then compare Hearing aids are sold/dispensed by offers. My intent in writing this article that cost with others. Get the hearing aid two groups of professionals, Audi- is to educate the public on what to look manufacturer name and model number. ologists and Hearing Aid Dispensers. for and how to save you significant time Forget about the $1000.00 coupons, 50% There “Users is a significant difference in the and money. discounts, buy in oneeach get one freeon offers, adjust everything from the volume to the bass and treble ear the training of these 2 groups of profesThere are many tricks and gimmicks phony research studies, and fake evaluReSound Smart app, which means more withfora“new giant device You on sionals. that I have seen no in my years fiddling as an Au- around ation periods technology”. Audiologists are the- most highly Please ask yourself who you need the final cost and the level of techyour head.” New Yorkdiologist. Daily News trained professionals to diagnose and think is paying for the expensive adver- nology that is being recommended to treat hearing loss. Audiologists are tising you are seeing. Is this company in make an accurate comparison. required to have at least a Master’s the paper every day? Do they send you Many audiologists concentrate on didegree in Audiology, and many have direct mail on a weekly basis? You can agnostic skills, hearing aid dispensing Doctoral level credentials. This means bet you will be paying a premium price and patient care. Unfortunately, they do they have extensive graduate level for their hearing aids. not spend as much time as large hearing college training on ear anatomy and Remember, only 6 companies make aid franchises and hearing aid dealers physiology, diagnostics, and hearing the overwhelming majority of hearing that market heavily and aggressively. aids. aids. The top level hearing aids from Let me ask you this question…Are you The second group of people who each company are all high quality prod- really going to spend thousands of doldispense hearing aids are called Hear- ucts that can be fit successfully on most lars on a set of hearing aids when you ing aid dealers/dispensers. They must patients. There is not one hearing aid can get the same technology, fit by an pass a state exam to earn their license company that stands out and has “the audiologist, for a lot less money than to dispense hearing aids. There is no best” hearing aids in my opinion. How- what you would have to spend at a large formal training, college courses, or ever, there are hearing aid companies that franchise? degree required to be a hearing aid do have technology that is “the best” for Here is a set of questions you can ask dealer. You will often pay the same certain hearing losses. This is where the when purchasing new hearing aids? price for your hearing aids whether skill of an independent audiologist who 1) What level of technology is being you see and Audiologist or a Hearing works with several of the top hearing recommended for you? Why is this level Aid Dispenser. aid manufacturers is most advantageous. being recommended? Who manufactures One would be wise to find the Some companies have hearing aid fea- the hearing aid? What model is it? most qualified person to obtain hear- tures that other companies do not offer. 2) How many channels do the hear-

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Call 414-281-8300 203-2844 Call (414) ©2014 The GN ReSound Group, all rights reserved. Apple, iPad, iPhone and iPod touch are trademarks of Apple Inc, registered in the U.S. and other countries. ReSound LiNX is compatible with iPhone 5s, iPhone 5c, iPhone 5, iPad Air, iPad (4th generation), iPad mini with Retina display, iPad mini, and iPod touch (5th generation) using iOS 7.X or later.

4818 S. 76th Street • Suite 3 Greenfield, WI 53220 www.midwestaudiology.net Doug Kloss, Au.D.

ing aids have? Channels allow for greater programming and fine tuning ability. The more channels you have, the greater the technology and ability to adjust to your needs. For example, a 16 channel hearing aid is generally more technologically advanced than a 6 channel hearing aid BUT, the prices can be the same. You would want the 16 channel hearing aid, not the 6 channel. Again, a quality hearing aid manufacturer is essential. 3) How long is the warranty, does it include loss and damage, and how much are office visits? 4) Who pays for batteries? Are the hearing aids rechargeable? What accessories are available? 5) How long is the trial period? If I return my hearing aids during the trial period, how much will it cost me? Some establishments do not offer any refunds, or charge large return fees. If you don’t like your $6000.00 set of new hearing aids, you can get stuck with them. Feel free to contact me and ask these questions. I’d be happy to evaluate your hearing and provide a free consultation to give you my opinion of your hearing loss. Dr. Douglas Kloss is an audiologist with over 23 years of experience. He has locations in the Milwaukee and Madison area. Midwest Audiology Center, LLC, 4818 S. 76th St., Suite 3, Greenfield, WI 53220. www.midwestaudiology. net 414-281-8300 Wisconsin Hearing Aids, Inc. 1310 Mendota St., Suite 113, Madison, WI 53714. www.wisconsinhearingaids. com 608-244-1221 Dr. Kloss offers a free comprehensive diagnostic audiological exam and free hearing aid consultation for all patients. By appointment only.