Mhl dec 2017

MHL

DECEMBER 2017 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

EDITION

Holiday Edition 2017

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

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December 31, 2017

MHL SEPTEMBER 2017

December Note 25 years and we just keep going. I love this paper.

I have put in my blood, sweat and, yes, even a few tears to make this paper what it is today. To all the contributers and advertisers over this many years, I really want to show my gratitude for you. To Marlys Lewis who I have always said from the begining made this paper. And you the readers! Thank you for picking us up, giving feeback and making this possible . Thank you and thank you again. I can’t say it enough. Sending Love to all. What a great way to

start this month!

I also wanted to thank my husband and kids for dealing with me during numerous deadlines and working nights that can go to four in the morning.

I try to be as present as I can be and never miss a dinner with you all.

Thank you to our printer who has had to wait for the files until the absolute last minute and being patient with me.

Thanks to all my friends who have supported me.

This paper is a huge part of my life and when I say I love my life, I mean it.

Thank you all again.

I sincerely hope you all had a successful kickoff to the holiday season.

I have been having the best time decorating and trying out new recipes for the upcoming big family festivities. What a cold November we had. As the colder weather kicks in we all tend to stay in and lose some of our regular workout routines.

This December our family will be spending a lot of our time in Madison.

Christmas in the square, ice skating and ringing in the new year with our kids thanking us for letting them stay up til midnight. I hope you have a wonderful holiday planned as well.

It seems when I talk to my friends about their holiday plans, they seem to be so stressed out about what gift to get who and juggling time between families. My holiday is so simple. A tree, a meal (I love cooking, no stress there), and the infamous Elf on a Shelf is back this year playing all her little tricks. So, think of the happier things. Holidays are supposed to be about happiness not stress.

We have an excellent issue this month! We have our annual gift guide as well as great articles to help you cope with all the holiday and winter stress. For our lovely senior readers, we once again have great articles on moving.

I hope everyone will enjoy the holiday season and don’t over indulge on too many sweets or other fine holiday goodies. See you in 2018! Cheers to another 25 years!

-Amanda Lewis

MHL

MODERN HEAL

DECEMBER 2017 FREE PUBLICATIO N

Est 1992

TH AND LIVIN

G

EDITION

Holiday Editio

n 2017

HEALTHY LIVIN

G FOR MEN,

WOMEN, CHIL

DREN AND SENI

ORS

contributers

A GUIDE TO

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.

disclaimer

publishers editor graphic design advertising distribution manager travel editor founder

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.

thanks

staff

MHL Staff

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

Lewis Media Group | Malberry Media | www.modernhealthandliving.com MHL DECEMBER 2017

Editor’s Note

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I am soooo glad itâ&#x20AC;&#x2122;s March. We are now approaching spring and am thrilled.

FebruaryI 2011 NoteI did manage work out quite a bit this last month and I hope you were able to do the same. I encourage you to get out there on those sunny days and get some exercise. With the winter being so much warmer than usual, I really keep the extra pounds at bay.

March is a great month that marks the thought of spring weather coming soon. The anticipation of biking, blading and morning walks gets me in a better mood as the winter winds down. March also marks my daughterâ&#x20AC;&#x2122;s fifth birthday. If time flies by this fast, I think it is important to slow down. We are a country that promotes This month I wanted to start things offKeeping with newhealthy and modern fast pace in everything we do. meanschanges. slowing Starting down with theand QRreleasing code. Getthe yourstress. cell phones out and the codeexercise on the Whether itâ&#x20AC;&#x2122;s scan meditation, front andorenjoy new updated If you donâ&#x20AC;&#x2122;t have the phone that even our an afternoon nap,website. itâ&#x20AC;&#x2122;s extremely important to destress and scans, nounwind. problem, just go to www.modernhealthandliving.com as ďŹ nd even more information healthy living.

Weâ&#x20AC;&#x2122;veabout put together another good issue for you. This issue is I am very that youâ&#x20AC;&#x2122;ve decided to joinItus this month.

Thisfind is our our pleased Get Ready for Spring edition. should help you theBIG best Health Awareness haveneeds. packedSWe so much up-to-date into place forissue. your We health at MHL likeinformation to keep things these pages that this issuebecause is just bursting withhealthcare health! Wedecisions have something for uncomplicated we know are almost men and never womeneasy. of allWe ages.strive We contact local health professionals every month to find articles that will answer whatever ABOUT and are thankful that manyyou havemay contributed to SATURATED this issue. areFATS keenly health questions have. We would likeThey to thank all the aware ofgreat healthpeople concerns for this region (very important).

We stay in weâ&#x20AC;&#x2122;ve spoken to who have contributed to thistouch issue with Heimowitz them so we theyalso canthank stay inyou, touch with you. Ifor think ďŹ nd something and our readers, all youâ&#x20AC;&#x2122;ll your suggestions and

By Colette here thatcomments! can help you lead a healthier life. We hope that you share this special issue with friends and family, too. out ouryour April edition with our Spring Want to lose weightCheck and improve health?

More healthy fat may andSummer help. While Speaking of family, I try to keep mine active throughout these cold months. directories. fat, specifically saturated fat, has been blamed for increasing your risk of diabetes My children are taking a Tae Kwon Do class 4 times a week. I encourage you Stay healthy! and heart disease, research shows that carbs may actually be the culprit. to try to ďŹ nd something to keep your children active and social. Wheather its -Amanda Lewisin the journal PLOS challenges the theory that A controlled-diet study published gymnastics, dance, sport or just running around in circles, staying active keeps dietary saturated fat is bad or a contributor to heart disease. With that being said, the body and mind healthy and developing. there is an association between saturated fatSunday in the blood and heart disease.

To us adults with Super Bowl and myself hosting the monthly Saturated fats Bunco get together this equals food, food and even more food. Itâ&#x20AC;&#x2122;s so important Est 1992 During the study, participants put be ontime six three-week diets that progressively to keep ourself active, sowere it might to get that gym membership or start increased carbs while simultaneously reducing SHOWING total fat and saturated fat. Calories walking the malls again. Stay active!!!

I YOhope UR SOULyou have a wonderful February and proteinand remained thebase same.

Asincarbohydrate levels increased, blood levels of a will touch again March fatty acid (palmitoleic acid) known to increase the risk of heart disease and diabetes THE -Amanda Lewis GREENING SHOULD YO also rose steadily.

OF A HOM U E WORK OU T When palmitoleic acid increases, itâ&#x20AC;&#x2122;s SEaNIORsignal that an increasing proportion of WHEN YO Uâ&#x20AC;&#x2122;RE SICK? LIVING carbs are being converted to fat instead of being burned as fuel. In other words, the amount of carbohydrates you consume may determine how you process HEALTHY saturated fat THAI FOODCHOI -- whether it is burned for fuel or stored as fat.

AT RESTAU CES RANTS February 2011 EDITION How Much Fat Should You Eat? A recent study in the journal Open Heart indicates that research does not support the original dietary-fat-consumption guidelines created in 1977 and 1983. These guidelines recommended that we cut fat to about 30 percent of our total daily calories and reduce saturated fat -- from red meat and dairy products like milk, eggs and cheese -- down to no more than 10 percent of total calories.

Suddenly people andGroup replacing it with sugars and refined carboLewisfat Media publisherswere avoiding editorin the form of Amanda hydrates -- often fat-freeLewis and low-fat packaged foods.

Malberry MediaAmericans healthier, have done anything design intended But these graphic guidelines, to make Marlys Lewis publishers Lewisdoubled Media Group but. Adult obesity rates have since 1980, and theyâ&#x20AC;&#x2122;re projected to increase Jerry Kornowski editor AmandaMeanwhile, Lewis by another 50travel percent Metzger childhood obesity and diabetes diagnoeditor by 2030.Marlys graphic design Malberry Media Barry Lewis founder ses have tripled. adverti sing Abigail Carpenter Itâ&#x20AC;&#x2122;sdistributi time toonstop thinking ofKornowski dietary fat as the enemy. In fact, fat is a key source of manager Jerry travel Marlys You Metzger energy andeditor essential nutrients. canâ&#x20AC;&#x2122;t live without it, and it might help you lose founder Barry Lewis weight.

Fat, like protein, helps keepNutriti you on, fullNutriti longer. carries flavor, it makes Livestrong.com, Environmental on And Actionsince Healthit Lett er, Columbia/St. Maryâ&#x20AC;&#x2122;s, Fransician, Milwaukee Care, you Eye Care Specialists, Aurora, NorthShore Chiropracti c, foodWheaton more satisfying.

In other Eye words, could probably consume fewer calories onal Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and of fatNati and feel more full and satisfied than twice the calories of refined carbs. EvenRacquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solubetter, when you fat, itCenters, slowsLakeshore the entryMedical, of glucose into the bloodstream, helping tions, Allergy andeat Asthma The Ommani Center, Interfaith Older Adult to moderate blood sugar. instead ofHaven, that â&#x20AC;&#x153;crash and burnâ&#x20AC;? eating carbs, Services, your Laureate Group, TudorSoOaks, Luther Greensquare Centerafter for the Healing Arts, Audiology Integrati ve Family Center Social Securityyour OďŹ&#x192;ces, Americanand Camp AsalongMidwest with feelings of hunger soonWellness after, fat helps control appetite your sociation, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI cravings.

When than half of Americans show some type of carb intolerance, it 6000, more email: info@lewismediagroup.com. informati on adverti sing or a todiet submit cles call, carbohydrates fax or email 414-659-6705 or restricts 608-237mayFor make moreonsense to choose thatarticontrols instead of fat. 6000, email: info@lewismediagroup.com.

Subscriptions are $20 per year. Thanks for reading MHL. Here are the types of fat you should consume and one you should avoid: intendedon to replace the or.diagnosis of your doctor. advise physician whenMHL is published the of knowledge each month The articles this publicati on areseeing in noaway intended Monounsaturated fatsďŹ rst(MUFAs) are found in inolive oil,Wecanola oil, walnuts andto ever a health problem arises requiring an expertâ&#x20AC;&#x2122;s replace the knowledge or diagnosis of your doctor.

We care. advise seeing a physician whenever a health mostproblem other arises nuts requiring as well anasexpertâ&#x20AC;&#x2122;s avocados.

MUFAs are usually liquid at room temperacare. ture.

Polyunsaturated fats are always liquidusboth temperature and inSpecial Thanks! To all the(PUFAs) local professionals that provide with at artiroom cles containing new informathe refrigerator.

Theyâ&#x20AC;&#x2122;re foundinformed mostlyofinthe oils from vegetables, tion and keeping all our readers latest in healthy living. seeds and some nuts.

Sunflower, safflower, flaxseed, soybean, corn, cottonseed, grape-seed and sesame LewisGroup Media Group | Malberry Media | www.modernhealthandliving.com Lewis Media | Malberry Media | www.modernhealthandliving.com SATURATED>>page 55

TURNS OUT EVERYONE WAS WRONG

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MODERN

MARCH 2017 EDITION

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DECEMBER MARCH 2017 2017 MHL MHL 5

RIGHTSIZING “WAIVING THE MAGIC WAND” When it comes to moving, wouldn’t it be nice if there was a magic wand to make things simple? Your favorite furniture and boxes would reappear at your new apartment to be placed and unpacked. Anyone who has moved before knows the process can be overwhelming, and many people dread it. The following suggestions can help you work some “moving magic”—and even enjoy—an upcoming move.

First, come to terms with the fact that you are moving and look at this transition as another chapter in your life. Try to enjoy the process by bringing laughter and fun into it. As a result, you will experience more energy. Although you may be familiar with the term “downsizing,” decide instead to think about your new adventure as “rightsizing.” If you have lived in your home for forty or fifty years, you now have to deal with forty or fifty years of accumulated possessions. Perhaps the kids have moved out and now you are an empty nester. The stairs may be too hard to climb or the yard may seem too big to care for. Whatever your situation, you may be overwhelmed and unsure of where to turn for help in lightening your load. This situation is familiar to us at Universal Services, as we are often greeted by customers in tears.

These emotions are normal; take a deep breath and embrace the moment. Once you are committed to moving, the next step is to begin your rightsizing process. Remember that “the key to a successful move and rightsizing is organization.” As you begin, start with a room and finish it. As you sort, utilize Universal Services’ method, known as “Five Homes for Everything You Own.” 1. Your New Home: Items to keep. Obtain the floor plan for the place you are moving into. Think carefully about the items you are taking and if they will fit into your new space. Take only furniture that will fit the scale of each room. Doing so will help you realize how much space you truly have available for other furniture.

2. Family and Friends: Items to give away. Organize a family get together and

MHL DECEMBER 2017

explain to your children why you collected certain items to help them understand their sentimental value. If a family member commits to take an item, make sure that you set a date for that person to collect the item.

3. Sales: Items to sell. The furniture in your current home may not all fit in your new residence. Consider taking any furniture you decide not to keep to a consignment shop. Another option is to consult with a specialist to conduct an estate sale.

Remember that most estate sale companies require at least five thousand dollars’ worth of inventory to conduct an estate sale.

4. Charities & Thrift Stores: Items to donate. As you sort through your belongings there will be a number of items that are too good to throw away but that might serve a purpose for someone in need. As you evaluate various items in your home, ask yourself: “Have I used it this year”? If not, get rid of it. Many charities such as the Homeless Veterans, Salvation Army and homeless shelters would be grateful for your donations.

5. Garbage: Items to dispose of. Raised by parents who lived during the depression, many Baby Boomers have difficulty trying to throw things away. Keep in mind that when rightsizing, you may simply have to discard some things if they have no use to you or anyone else.

As you continue waving the imaginary magic wand by using the above suggestions, your possessions are slowly but surely becoming organized and ready to move.

However, you might face other decisions as you continue in the moving process. The following tips can be helpful: 1. As your moving date gets closer, check expiration dates on food and try to use the food you have.

2. If you are having an estate sale, an estate sale specialist should be able to decide which items are consignable and which items should be donated.

3. Make a checklist of newspaper and utility companies that you need to call to request service termination or disconnection.

4. Complete an address change card at the post office.

5. Hire a senior move manager to coordinate all phases of your move.

6. Hire professional packers and movers.

7. If you are doing the packing yourself, obtain packing materials two to three weeks before your move. a. Mark boxes with room name and contents. b. Pack liquids and flammable items in a separate box.

8. Set aside an overnight bag the day before your move with your keys, checkbook and other important papers. Remember, the day of the move there are many things happening, and these items are often misplaced.

RIGHTSIZING>>page 55

Many dementias symptoms start out slowly and gradually get worse. The signs are subtle and come and go in the early stages. This means that symptoms may not be noticed or taken seriously by family and friends Some signs that there may be problems: *Forgetting names of family and important events (especially if recent) *Frequent falling *Staring *Losing empathy, being insensitive to the feelings of others *Word problems; not finding the right word, replacing nouns with “it”, “that thing”, “stuff”, etc. *Problems with organizing and planning *Obsessive, ritualistic behaviors *Uncharacteristic behaviors: being sad all the time, rude, anxious, loss of interest in previous hobbies, activities, or friends *Easily frustrated, blames others *Money and number problems *Illness, medication interactions or depression are some conditions that mimic symptoms of dementia. Only a doctor can diagnosis if it is dementia or another condition. Having a full medical workup can treat a medical condition or determine if it is dementia.

WHAT KINDS OF TREATMENTS ARE AVAILABLE FOR COGNITIVE DECLINE? There is currently no cure for dementia but there are non-drug and drug treatments which can help with slowing the symptoms of dementia.

Brain stimulation can help slow the progression, especially early in the disease.

Engaging in activities that are creative or make a person think such as word games, matching, or learning new information are valuable as long as the person doesn’t get frustrated because it is too difficult for them.

Socialization is important to remain engaged. Isolation can be decreased with visits from family and friends, attending events, going to senior centers, or connecting with others Facebook or Skype.

They saythrough it’s the most wonderful time of the year, but for many, the holidays can Exercising 30 minutes a day times week, eating diet,who and may managing be lonely and sad at times.This5 can bea especially truea healthy for seniors have chronic diseases such as diabetes or high blood pressure can help slow the endured the loss of a loved one, or are experiencing physical or emotional progresdifficulsion.that make it hard for them to recapture the joy of holiday seasons past. The cold ties Decrease routinesto and environments.

Stress doesn’t cause deweather and stress shorterwith daysfamiliar can contribute their sense of melancholy. mentia, but can worsen the symptoms.

While there’s no one-size-fits-all solution for holiday depression, there are some Medication may help improve mental function, mood, or behavior. For some, the things that might help. drugs donepezil (Aricept), tacrine (Cognex), rivastigmine and galantamine Often, one of the best gifts to give a senior is quality (Exelon), time together.

Offering to (Razadyne) are helpful to delay some of the symptoms of mild to moderate demen-a help write holiday cards together, inviting them over to decorate or just spending tia.

Memantine (Namenda), may be prescribed for treatment of moderate to severe few hours reminiscing can go a long way toward boosting their morale.

Alzheimer’s Disease.

Antidepressants, antianxiety, and antipsychotics may be If your senior is no longer able to participate in certain holiday traditions,pretry scribed to treat depression, excessive modifying them or creating new anxiety, or hallucinations. ones. For example, they may not be able to stand on their feet as long as they used to for holiday cooking and baking, but they can stay seated to decorate cookies.

Help a senior in your life set up Skype or FaceTime to connect with faraway relatives and friends over the holidays.

Sometimes, helping others is the best way to help ourselves. If a senior you know is feeling blue over the holidays, encourage them to do something in the community, such as visiting other seniors who may be isolated this holiday season, sending cards to deployed military personnel, or reading at a local school. Here are some other ways that seniors can give back.

While many seniors will benefit from spending time with loved ones and participating in holiday activities, sometimes they just need a little space. Try not to push it if your senior is sending a clear message that they don’t want to do something – even if you think it will cheer them up. Instead, try to meet them where they are… or at least halfway.

For more information about senior’s physical and mental health, helping seniors lead healthier lives in general or about caring for yourself while caring for a loved one, please call Home Instead Senior Care of Milwaukee at (414) 2399605.

KEEPING SENIOR SPIRITS UP THIS HOLIDAY SEASON

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Call for details. 414-659-6705 MARCH 2017 MHL 27

DECEMBER 2017 MHL

Eye MDs Offer Sight-Saving Tips Is your vision as good as you think?

Keep an eye on symptoms

Or, are you risking your ability to see life to the fullest—now and in the future?

Medical optometrist David Scheidt, OD, advises that people contact an eye care specialist for an evaluation if they experience any of the following concerns:

“Oftentimes, when I tell a patient that they have a serious eye condition like glaucoma or macular degeneration, they'll respond with ‘But, I can see fine’ or ‘I haven't noticed anything wrong with my eyes,’” reports Mark Freedman, MD, senior partner at Eye Care Specialists, an ophthalmology practice that has overseen the care of 130,000+ area residents.

“Unfortunately, whether the person is in denial, didn't notice, or actually has no symptoms, the outcome is just the same. Early diagnosis and treatment are the only ways to prevent unnecessary vision loss.”

Brett Rhode, MD, experienced cataract surgeon and partner at Eye Care Specialists, explains, “What most people don't realize is that vision problems in one eye can often be masked by the ability of the other eye to compensate.

Or, changes occur so gradually that they go unnoticed.

For example, with glaucoma, loss of peripheral (side) vision slowly creeps in until it creates a ‘tunnel’ effect. And, with cataracts, many people don't realize how much they've been missing until the cloudy lens is surgically removed and replaced with an implant. Then they exclaim how much brighter and more colorful everything is or how much easier it is to recognize faces or see the TV.” While loss of vision may make for amusing “Mr. Magoo”type anecdotes, it can also lead to issues that are no laughing matter, like increased risk of car accidents, depression and institutionalization. For example, decreased vision has been linked to an increased risk of falling, which often causes more serious concerns, including hip fractures, the need for canes, walkers and/or nursing home care, and complicationrelated death. “Early diagnosis and prompt treatment are key to maintaining independence and quality of life. For example, when a patient’s vision has diminished with age and a new eyeglass prescription doesn't do the trick, we often find that cataracts are the cause of the problem and, in most cases, surgical removal and replacement with a lens implant is a relatively easy and painless solution,” notes Daniel Ferguson, MD, who utilizes both standard and advanced capability lenses.

■ Loss of vision

■ Blurriness/Double vision

■ Pain in or around the eye

■ Seeing floaters, spots or webs

■ Lines appearing distorted or wavy ■ Difficulty seeing at night

■ Flashes of light

■ Dry eyes with itching and burning

■ Excessive tear production

■ Sensitivity to light and glare

■ Continual eye redness

Questions to ask your eye care specialist Ophthalmologist and continuing education lecturer Michael Raciti, MD, encourages patients to make themselves informed partners in their eye care. He suggests asking questions, such as: ■ What is my visual acuity (on the 20/20 scale)?

■ Do I have any eye diseases or disorders?

■ What caused my condition? Is it hereditary?

■ How will this condition affect my vision ■ ■ ■ ■ ■ ■ ■ ■

and lifestyle—now and in the future?

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

What is the best medical/surgical treatment for me?

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

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

What are the risks, side effects, benefits & success rates for treatment?

Are other treatments available?

Are there foods, drugs or activities I should avoid?

If my vision can’t be corrected, can you refer me for low vision resources and rehabilitation services?

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

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

“Poor vision is not a fact of life as you grow older.

It's important to discover what's behind those changes— ■ whether it's simply the need for a new eyeglass prescription ■ or something more serious like the need for laser treatment to hold off diabetesSee the best you can see, when you see Wisconsin’s leaders in ophthalmology. related damage. That's why we can't stress enough the importance of scheduling comprehensive dilated eye examinations at least every two Are you putting your vision at risk?

World-Class Care. Local Convenience. years,” states Daniel Paskowitz, Most people aren’t motivated to make an eye appointment ■ Glaucoma, Diabetes and Macular Degeneration (AMD) Care (with advanced medication injection and laser treatments) MD, PhD, an ophthalmologist with unless they notice a problem—and often not even then.

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EYE CARE SPECIALISTS

For Free Booklets & Information: Call

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MHL DECEMBER 2017

Mark Freedman, MD

Brett Rhode, MD

West Allis 10150 W. National Ave.

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Daniel Ferguson, MD Daniel Paskowitz, MD, PhD Michael Raciti, MD

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Milwaukee 633 W. Wisconsin Ave.

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David Scheidt, OD

HOLIDAY SAFETY TIPS

HELP KEEP THE TWINKLE IN FAMILY MEMBERS’ EYES

By Cheryl L. Dejewski In the much-loved movie “A Christmas Story,” Ralphie sets out to convince the world that a Red Ryder BB gun is the perfect gift.

“You’ll shoot your eye out!” was the response he received from his parents, teacher and even Santa Claus himself. It’s one of the funniest and most memorable quotes from this Christmas classic because we’ve all heard it or a similar “You could lose an eye” comment throughout our childhood. Unfortunately, however, what may seem to be an annoying or silly warning becomes a fateful reality for too many people.

Toys, including some seemingly innocuous ones, and sporting equipment are responsible for thousands of eye injuries to children every year. But an amazing 90 percent of these injuries were preventable. That’s why ophthalmologists across the country are urging Americans to honor December as “Safe Toys and Celebrations Month.”

“Safety should be the top priority on holiday shopping lists for children in order to help prevent a joyous celebration from turning into a tragic occasion,” states Mark Freedman, MD, senior partner at Eye Care Specialists ophthalmology practice.

“Keep in mind a child’s ability rather than just age when searching for the perfect gift.”

As an example, a one-year-old generally likes to lug, dump, push, pull, pile, knock down, climb, empty and fill. Suggested ideas for toys therefore include push-andpull objects, blocks with rounded corners, and stable ride-ons with four low wheels.

Sturdy cloth or plastic books are recommended to stimulate the child’s interest in identifying objects by pointing. Safety considerations include buying objects that are strong enough for the child to stand on or in, and avoiding anything with sharp points, small pieces or parts that can pinch or trap fingers, toes and hair.

With older children, your gift-buying habits should also be a careful balance between a child’s wants and his or her safety needs and those of his siblings. Children often fill their wish lists with highly advertised, but potentially dangerous items. For example, projectile toys, chemistry sets, dart games, bows and arrows, tools and electrical toys should be avoided for any child under the age of 12, unless the item will be used under adult supervision. The U.S. Consumer

Product Safety Commission reports that bicycles, balloons, swings, BB and pellet guns, sports equipment, flying toys, crayons and chalk, science sets, and cosmetic kits are the toys most likely to be involved in eye injuries.

“If you are giving sports equipment, you should consider including protective eyewear with polycarbonate lenses with the gift,” says Brett Rhode, MD, Head of Ophthalmology at a Milwaukee-area medical center. “About 30,000 sports-related eye injuries occur every year, and the majority of those injured are children and adolescents. However, 90 percent of these injuries could have been avoided if the victim had worn protective eyewear.”

Toys aren’t the only injury-causing culprits during the holidays. Corneal abrasions from pine needles are another common eye injury during the holidays. Daniel Ferguson, MD, ophthalmologist and father of two children, says, “It’s especially important to keep an eye on tiny visitors who are apt to be crawling around and under the tree while opening or playing with their presents. Mom and Dad should also be careful when setting up and decorating the tree.”

“If you or a family member accidentally pokes or scratches an eye with a tree branch, you should seek immediate medical treatment. This is to make sure that no further injury has occurred to other parts of the eye and to prevent serious infection from occurring in the area of the scratch,” adds Daniel Paskowitz, MD, PhD, a local eye surgeon.

Ophthalmologist Michael Raciti, MD, points out that eye injuries can come from more than just inanimate objects. “We sometimes see patients who have been poked in the eye by babies and small children.” Raciti suggests, “You should take extra precautions when holding a child who may not be familiar with you or who may be overly excited by all of the holiday activities. To help prevent an accident, try holding the child with one arm and using your free hand to hold or play with their hand that is nearest your face.”

Improper opening of champagne or sparkling wine bottles causes another common injury at this time of year. Optometrist David Scheidt, OD, explains, “A champagne cork can become a potentially blinding missile. The cork is just small enough to bypass the facial bones that normally protect our eyes from larger objects. The impact of a popped cork can cause painful surface damage or even interior damage which may lead to blindness.”

To prevent turning a celebration into a tragedy, always open corked bottles with proper caution. Never point the bottle top in the direction of anyone’s face, including your own. Keep the beverage chilled since the cold reduces the chances of the cork popping unexpectedly. Always place a towel over the entire top and tilt the bottle at a 45-degree angle away from yourself and others.

By following these simple suggestions (or seeking immediate medical attention in the unfortunate event of an accident), you can be sure to keep a joyous twinkle in your family’s eyes that lasts throughout the New Year.

FREE BOOKLETS & INFORMATION The doctors quoted in this article are from Eye Care Specialists, an ophthalmology practice. They have published and distributed more than 1 million copies of educational booklets and handouts on common eye concerns and topics, including cataracts, diabetes, dry eyes, glaucoma, macular degeneration, low vision, when to have your eyes checked, what foods to eat for your eyes, safety tips for driving in the dark and snow, etc. 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 in downtown Milwaukee, Mayfair Road across from the mall, or 102nd & National Avenue. They also offer information at www.eyecarespecialists.net.

“SHE’S STILL DRIVING? AT 92?”

The number of people with macular degeneration will only increase and these patients have unique needs.

My technician was amazed by this. But why? I hope I’m driving if I reach 92.

As the population ages, society must find ways to adapt and our healthcare system faces unique challenges in this regard. There will be an enormous bolus of baby boomers turning 65 and we must understand how these changing demographics will alter our practice. To give you some sense of the scale here, there are 78 million baby boomers in the US and every day 10,000 turn 65.

Over the last few decades, we are beginning to change our definition of “health.”

Being healthy no longer means freedom from disease. It now encompasses every aspect of human well-being including the physical, the emotional, and the spiritual.

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10 MHL DECEMBER 2017

I feel it is our job as doctors to think outside our organ system and view our patients as individuals as complex and unique as we are, with their own hopes, dreams, and fears.

Too often, doctors see the world through the lens of their own speciality. Ophthalmologists spend their lives treating diseases of an organ approximately 24 mm wide with a volume of about 30 ccs. Within that small space lies the most remarkable anatomical structures in existence, in my opinion. Truly the universe in a grain of sand.

But our patients are more than their eyeballs.

I often hear my macular degeneration patients tell me their previous eye doctor told them “there’s nothing I can do for you.” If there’s one phrase I’d like banned from all of medicine, it’s “There’s nothing I can do for you.” Partly because it’s tremendously disheartening but mostly because it’s not true. There’s always something we can do and we figure out what that is by finding out who our patients are.

Driving in particular is an activity that people give up with great sadness. It means a loss of independence - the sad inverse to getting a driver’s license which seemed like a ticket to freedom. Many of my patients ask me to fill out DMV forms so they can continue to drive. Often these folks, including my 92 year old, just want to be able to drive to the store a few miles away during daylight hours. Often they don’t even need groceries - they have those delivered - they just want their daily outing to socialize. How many of us know what it feels like to outlive our closest friends or even family members? Providing this little bit of solace is something I can do for my patients.

The number of people with macular degeneration will only increase and these patients have unique needs. While it’s true that there are no treatments to reverse the effects of this debilitating disease on the retinal photoreceptors, there’s plenty we can do for people losing their vision. Providing referrals to low vision services, ride sharing programs, or volunteer organizations who read books to these patients or deliver audiobooks are just a few of the ways we can improve quality of life.

That three word phrase, “quality of life,” is what doctors should focus on as we brace for the silver tide. People are remarkably adaptable and most just want to be able to do the simple things that make life worth living. Our most important job is to help them do that.

So don’t be surprised if I pass you on the right when I’m 92. Actually, I really hope the car is driving itself by then and I can lay back and see the beautiful scenery through the window.

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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

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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.

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FOODS TO AVOID WITH HEAD COLDS

By August Mclaughlin Head colds, also called simply colds or “the common cold,” cause bothersome symptoms such as a runny nose, coughing, sneezing and sore throat, for up to two weeks. To prevent colds the Centers for Disease Control and Prevention recommends good hand hygiene and keeping a distance from people with upper-respiratory infections. Once you have a cold, rest, hydration and over-the-counter medications may help reduce symptoms and expedite your recovery. If your symptoms are severe, seek medical guidance.

Added Sugars Added sugars, such as cane sugar, brown sugar and corn syrup, add sweet flavor but few nutrients to foods. According to “Alternative Medicine: The Definitive Guide,” by Larry Trivieri, Burton Goldberg and John W. Anderson, consuming added sugars while experiencing a cold can hinder immune system strength, making it more difficult for your body to recover from the infection. Consuming foods rich in added sugars, such as regular soft drinks, candy, cakes and pie, also leaves less room in your diet for health-boosting antioxidant-rich foods such as fruits and vegetables.

Although a modest amount of added sugars is unlikely to cause harm, choose natural, nutritious foods more often.

Dairy Products Dairy products, though rich sources of protein, calcium and vitamin D, may worsen cold symptoms in some people. Milk doesn’t cause mucus. It can, however, make the mucus already present in your throat thicker and more bothersome. For this reason, limiting or avoiding dairy products until you’ve recovered from your cold may improve your symptoms. Avoid high-fat dairy products such as whole milk, high-fat cheeses and creamy sauces in particular for best results.

Fatty Meats and Deep-Fried Foods Fatty meats -- such as organ meats, processed meats and porterhouse steak -and deep-fried foods, such as french fries, contain unhealthy saturated fat. They can also hinder digestion and immune system function when you’re faced with a cold, according to Trivieri, Goldberg and Anderson. Other fatty foods to avoid include potato chips, nachos, hot dogs, meat-and-cheese-topped pizza, fast-food breakfast sandwiches and burgers, fried chicken and fish filets, ham-and-cheese omelets, buttery garlic bread and red meat with visible fat.

Caffeinated Foods and Beverages Caffeine is a stimulant that can heighten your alertness and, when consumed in excess, contribute to dehydration. Since staying properly hydrated and getting adequate rest are important factors in preventing and treating colds, according to the University of Maryland Medical Center, limit or avoid caffeinated foods, such as chocolate and diet products and beverages designed to boost energy, such as coffee, black tea, iced tea, regular soft drinks and energy drinks. Sweetened caffeinated beverages may further exacerbate your illness.

This article origianlly appeared on www.livestrong.com.

Dr. William Dunbar, President of Midwest College

STARTING THE NEW YEAR …. HAPPIER!

By Shannon Muderlak The holidays are over, and as many people try to “make good” on their New Year resolutions, it is easy to see people still challenged in starting the new year “happy”: whether its due to economics, changes in family and lifestyle, more and more people tend to struggle with being “happy”.

So, this year, I challenge you to take steps to make yourself “happier” in 2011.

Here are some common tips shared by psychology experts to help clear away past negativity and get back on track for a fresh start in the New Year:

ONE. Clean your house. Sounds silly, but by simply getting rid of the old – and the clutter (both physically and metaphorically), you’re taking steps to clear off space for new beginnings.

TWO. Take time to reflect. Think about what events took place in your life over the past year -- both the positive and negative elements. What was it that made the negative parts negative? Ask yourself, how can you move forward this year?

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THREE. Goal setting. Yes, make your resolutions for 2011, but these can be small or large tasks. Because this is your personal list, make it as ambitious as you want it to be.

FOUR. Get rid of negative thoughts.

Aim to stop reacting or thinking negatively to daily encounters, and ask at those times to look for the positive.

FIVE. Breathe. Sometimes consciously taking slow, deep breaths is the best way to revitalize energy levels.

SIX. Fresh look at your diet and exercise. Studies progressively show validity to the old homage, “you are what you eat”. Try to incorporate more vegetables and fruits in your diet, maybe starting slow with just one a day. Similarly, work towards incorporating 30 minutes of physical activity a day (it could be 10 minutes broken up in your day).

Small steps like these can make a huge difference in how you feel, and with your overall outlook. So, see what steps make sense for you to incorporate. After all, what have you got to lose?

Shannon Muderlak, MD, is a family practitioner.

14 MHL DECEMBER 2017

Redefining Health

WHAT HAPPENED TO THE SPIRIT OF CHRISTMAS?

an appointment

By Kalpana (Rose) M. Kumar, M.D. Do you remember as recently as two decades ago how magical the holidays felt? I remember feeling an energy in the air. It wafted everywhere, in the streets, among people, even in stores. I called it ‘The Spirit of Christmas.’ Over the past many years, as we have become more progress and material-centric, that magical feeling, that ‘spirit’, has dissipated. Unless we make a conscious effort to incorporate it, it eludes us. Even then, it does not feel the way it used to. The superficial feeling of the collective container feels out of alignment with the sacred energy we once cherished during the holiday season.

What happened to the ‘spirit’ of Christmas?

As a physician, I have seen tens of thousands of people who have become sick due to the loss of meaning in their lives. Illness is merely a symbolic expression of the lack of this precise meaning. We have rejected the symbolic language of our body and replaced it with terms used mostly for war. We say ‘our body betrays us,’ but our body never relates to us through betrayal. Our body only delivers us a precise message through symptoms. Our work is to understand the meaning behind these messages. If we lack symbolic language, we fail to capture meaning and are left with merely our current language of fixing and war orientation. This is very common in health care today.

The body is wise. It carries within it the ability to heal. This can be evoked when we seek to understand the meaning beneath our symptoms. I call this our ‘healing code’. Fixing symptoms is not the same as healing them. With symbolic language, we can understand the precise causes underneath our symptoms and our probability for physical healing increases. In addition, life grows richer and more meaningful.

This perspective requires consciousness. I seek this level of depth in all aspects of my life. I call it the ‘spirit’ of my experience. It has offered me healing, resilience and assistance in widening the context of my experience of life, even in times of great suffering.

Over the past few decades, our society has moved further away from the path of meaning than ever before. Meaning is elusive and can only be accessed through intent. It is at the heart of the Feminine Principle, what Jung described (1) as the ‘Self’, the Soul or the ‘being’ state in both men and women. This is where our feelings lie.

Feelings are connectors to the Soul. The ego and the rational mind is in the realm of the Masculine Principle. It focuses on ‘doing’. Our state of being must be balanced by ‘doing’ for us to feel whole. While living this way, we are both productive and creative. Resilience is a by-product of this balance. In this place of balance, both product and process are honored and valued.

Our society has assigned a disproportionate amount of value to money. Money is a by-product of efficiency. Corporations look for ways to short circuit process for efficiency, in order to generate profit. Today, a corporation’s success is only measured by its degree of profit. People are seen merely as commodities for this agenda. Their process is ignored. They are deceived into aligning with these values that violate their own. This destroys their sense of meaning. The corporations of Health care and Education are no exceptions to this way of functioning. Physicians, patients, teachers and students are sacrificed in the name of efficiency. The main goal of these corporaSPIRIT>>PAGE 17

DECEMBER 2017 MHL 15

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AVOIDING WINTER INJURIES

By Angie English DC Winter is usually a long and hard season for most people no matter what the weatheris, but in icy or snowy areas, your body may be expected work extra hard at times during months where most people are more sedative. Taking a few simple steps can help you prevent winter injuries and accidents such as falls, soft tissue strain/sprains, and heart attacks.

There are always excuses to not exercise, but for the winter months it is more important to stick to an exercise routine. Cold and snowing winter weather may deter you from outdoor activity, but keeping in shape with good cardiovascular health can help you avoid over exertion injuries and heart attacks during activities like shoveling. Exercise can also be the best thing to help beat seasonal depression.

Before partaking in any winter sports, it is best to take a few minutes to stretch.

Performing 20 squats, lunges and/or push-ups is enough to warm up your muscles so that when you are outside in the cold, they are less likely to get pulled. It is also beneficial to wear layers of clothing so that you can keep your body warm, but able to remove or add a layer as necessary.

Be prepared for anything! When traveling by car, bring your coat and make sure to keep a set of hat and gloves available in case of an emergency. Bring along a pair of rubber soled shoes and/or boots to help prevent falls on the ice and to keep your feet free of frost bite if you were to get stranded.

There are always newer and better items being developed every day, everything from ergonomic shovels to new clothing material to help ward off most injuries that can occur during the winter season. These items may be worth the investment especially if you have had previous injuries that have left your body less than 100%.

If you are recovering from an injury or have not taken any of the previous advice, it is always best to remember to stay hydrated and take frequent breaks during any winter activities. Donâ&#x20AC;&#x2122;t be afraid to ask for help!

SPIRIT>>PAGE 15 tions is product. It is a mistaken assignment of value. When process is short circuited, the spirit of a vocation is cut off. We have all felt this. This is the root of work stress.

This is where creativity no longer flows, and the sacred begins to die. This is also at the root of most of our illnesses today. It is where the Feminine Principle has been sacrificed. Our bodies simply inform us of this through our symptoms. We are the oneâ&#x20AC;&#x2122;s betraying it, not the other way around, as we have been led to believe.

The spirit of Christmas is no different. Our feelings affect the collective. When we align with corporate values of materialism we cut ourselves off from the spirit of the season. We lose sight of what Christmas means. The sacred is replaced with the mundane and profane. Economy replaces community, materialism replaces feeling.

We must re-member the meaning of the holiday season. We must align with what is sacred. My husband and I recently decided to gift each other with experiences rather than stuff. We are no longer wrapping presents, using the holidays to support the economy or align with the stream of efficiency and product orientation. Our time is spent connecting with what is sacred â&#x20AC;&#x201C; simplifying, minimizing, cooking, being, walking in nature, greeting the sunrise, practicing self-care. The Feminine is slow and deep. It restores our feeling of connection and comfort, health and balance. We have decided to celebrate Christmas in a way that connects us with ancient wisdom (2) that our ancestors honored for over 25,000 years. The spirit of the â&#x20AC;&#x2DC;birth of the No matter our physical age, it is always important to grow older with grace and sunâ&#x20AC;&#x2122; which is a metaphor for self-realization, enlightenment and consciousness, is a sense of personal style. As we continue to find things that are important to us, what this holiday is truly about. Cultivating the sacred essence of this time is more perhaps this list can guide us. important to us than any materialism that accompanies it. This is a time for reflecEmbrace change. It is inevitable, so make change work for you to shape your tion, for taking inner inventory, for purification and a re-commitment to continued future. consciousness.

Love yourself. Take good care of yourself. Take time for physical activity such as I invite you to reflect on the meaning of this holiday season and to dive deep into walking, exercise, yoga, etc. Invest time and effort into making your future bright the sacred essence of it. How can you participate in reviving the spirit of Christmas and healthy. without getting caught up in efficiency or productivity at the cost of Soul/Self? How Inside counts. Get healthy on the inside to help look healthy on the outside. Getcan you reconnect to the Feminine values of sacredness and being, community and ting proper sleep and eating right are crucial. connection, commitment to process, and a more conscious life?

Nutritious choices. Eat plenty of fruits and vegetables. Make sure you include Maybe this Christmas can be a new beginning, a new tradition for us; one of refoods rich in omega-3s in your eating plan, with tasty options like salmon, walnuts, newal of our true values that are sacred and align us with our true nature, not product flaxseed and more. oriented corporations. Maybe together we can breathe new life into this season and Negatives are no-noâ&#x20AC;&#x2122;s. Eliminate negativity from your thoughts. Focus on the awaken its sacred spirit, by honoring the sacred Feminine. Maybe this can be the positive. Work to reduce the effects of stress in your life. beginning of a spiritual renewal, a connection to the commitment and endurance The skin youâ&#x20AC;&#x2122;re in. Good skin care is important. Donâ&#x20AC;&#x2122;t forget to exfoliate and required for transformation and a revival of the importance of community. moisturize. Good skin care habits pay off in the long run. (Hey guysâ&#x20AC;&#x201D;and gals, May you have a sacred Holiday. too! Corn meal, right out of your cupboard, makes a fast and effective exfoliant!

(1)https://www.ncbi.nlm.nih.gov/pubmed/9246929 Cleanse face as you usually do. Afterwards, splash face with water, but do not dry.

(2)https://belsebuub.com/articles/the-spiritual-meaning-of-the-winter-solstice Pat about 1 tablespoon of uncooked corn meal onto your face, but not on eyelids. ŠDec 2017 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director, The Gently, but firmly, rub the corn meal granules over your face, except for eyelids and Ommani Center for Integrative Medicine, Pewaukee, WI. Website: www.ommanithe tender skin just below eyes. Rinse, pat dry, and smooth on moisturizing cream center.com Author of Becoming Real: Reclaiming Your Health in Midlife. 2011, or lotion. Your face, now devoid of old, dead skin, will look more vibrant and feel 2014 Medial Press wonderful.)

Cultivate curiosity. Aging well involves your mind as well as your body. Keep it active and it will serve you for a lifetime.

Dress well. Consider your body type as you age. Make certain that clothes fit cor-

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DECEMBER 2017 MHL 17

LUPUS

Systemic lupus erythematosus (lupus) happens when the body’s defense system attacks healthy cells and tissues, instead of viruses and bacteria. This can damage many parts of the body such as the: Joints.

Skin.

Kidneys.

Heart.

Lungs.

Blood vessels.

Brain.

You can’t catch lupus from another person. If you have lupus you will have periods of illness (flares) and wellness.

Anyone can get systemic lupus erythematosus (lupus), but it most often affects women. Lupus is also more common in African American, Hispanic, Asian, and Native American women than in Caucasian women.

Your doctor will develop a treatment plan to fit your needs. You and your doctor should review the plan often to be sure it’s working. You should report new symptoms to your doctor right away so that treatment can be changed if needed.

MY NAME IS TOSHA AND THIS IS MY LUPUS STORY… In February 2008, I began battling various lifethreatening symptoms. There was horrific bleeding throughout my body and I was admitted to the intensive care unit (ICU). Testing showed my immune system was attacking itself and I was showing signs of a blood disorder. All tests came back inconclusive.

After two weeks in the hospital, I was discharged with a walker, and the challenge of learning how to walk again. This illness was not only affecting me, but my family and friends, who had to take care of me.

Six weeks later, the blood disorder was back, and I was once again admitted to the ICU. The next step was chemotherapy infusions; however, these infusions were not approved for my symptoms. I was very concerned that the cost wouldn’t be covered by insurance and remember asking my doctor: “What if it’s not approved for me?” and his response was: “If you want to live, don’t worry about the cost.”

At that moment, I knew that I was going to live! I had to stop worrying and put my trust in God. Chemo-infusions followed for twelve months and I started self-injections of blood thinners. In April 2009, the disease went into remission.

In October 2009, I found out I was pregnant and had to see a high-risk specialist.

It was during this time that I was told I had Systemic Lupus Erythematosus (SLE) and I was referred to a rheumatologist. I was monitored extremely close during my pregnancy and had a healthy baby boy via C-section. Following this high-risk pregnancy, I cannot have any more children. As of today, lupus has affected my kidneys, hip, and knees.

I am a LUPUS WARRIOR and I continue to struggle daily. I’m thankful and grateful to have the support of my loyal family, friends, and the LFA, Wisconsin Chapter.

If it wasn’t for GOD, and my supporters, I don’t think I would have made it.

The Lupus Foundation of America (LFA), Wisconsin Chapter is here to support all those affected by lupus. Tosha lives right here in Wisconsin, and is only one of the 28,000 individuals we strive to support. Now is the time to support us through our Annual Giving Campaign, so we can continue to help LUPUS WARRIORS like Tosha. Visit: www.lupuswi.org 18 MHL DECEMBER 2017

Dr. William Dunbar, President of Midwest College

MARCH 2017 MHL 11

A GUIDE TO AROMATHERAPY

FOR FIRST TIME USERS HOLIDAY SPECIAL!!!

THRU DEC 31, 2017

20 MHL DECEMBER 2017

Aromatherapy can enhance your physical and psychological well-being.

Your sense of smell is a powerful thing. Smell has been linked to memory – have you ever caught a whiff of peppermint and thought of your grandmother? – and can even influence your mood.

There are many who believe that harnessing your sense of smell can have a beneficial impact on your physical and emotional wellbeing. The application of this principle is a practice known as aromatherapy.

What is aromatherapy?

Aromatherapy – also known as essential oil therapy – is a form of alternative medicine defined by the National Association for Holistic Aromatherapy “as the art and science of utilizing naturally extracted aromatic essences from plants to balance, harmonize and promote the health of body, mind and spirit.”

According to the University of Maryland Medical Center, essential oils have been used for more than 6,000 years for therapeutic purposes, including by the ancient Egyptians, Chinese, Indians, Romans and Greeks. The formal science of aromatherapy was founded by French chemist René-Maurice Gattefossé in 1928 after he discovered that lavender oil helped to heal a burn on his hand. By the 1950s massage therapists, doctors and other care providers were beginning to use the practice as well.

Today, the oils used in aromatherapy are collected from various natural sources, including, but not limited to, leaves, flowers and barks. Most any part of plants can be used. Popular scents include lavender, peppermint, lemon, eucalyptus, frankincense, oregano and many more.

A bunch of peppermint leaves sits on a wood table. Oil extracted from peppermint leaves can be used in aromatherapy.

How is aromatherapy used?

A common way that these oils are used is by inhalation through the nose – as is suggested by the term “aromatherapy.” This can be done by gently sniffing a bottle, introducing the scents into the air through a diffuser or burning incense.

However, that is far from the only option. The oil can also be rubbed directly onto your skin or infused into lotions, bath salts and other beauty products. Some people even choose to add a few drops directly to a hot bath for an at-home spa experience.

In a professional aromatherapy session, an aromatherapist, physical therapist, nurse or massage therapist will provide the oil topically or have you inhale it through an aromatherapy treatment. Massage is a common form of treatment in these sessions, as it allows the oils to be both inhaled and absorbed through the skin.

Occasionally essential oils are also taken orally, usually in supplement form. Do not consume any of these oils, even in a pill, unless directed by a professional care provider.

What are the benefits of aromatherapy?

Aromatherapy has been used over the years for numerous purposes, ranging from the treatment of stress and minor scrapes to more chronic health problems, such as arthritis or migraines.

Dr. Brent Bauer, writing for Mayo Clinic, reported that research has shown evidence for the following potential benefits: Anxiety and depression relief.

AROMATHERAPY>>page 49

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CHILDRENS HEALTH AND WELLNESS

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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.

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By Monica Maroney

EAR

INFECTIONS CHIROPRACTIC CARE CAN HELP

Ear infections are one of the most common diagnoses in children. It is estimated that over five million episodes occur each year at a cost of approximately $3 billion.

In the United States it has been routine to prescribe antibiotics for ear infections, although current research raises doubts about the effectiveness of this treatment and even concerns about the overuse of antibiotics. Statistics are now showing that repeated use of antibiotics is a contributing factor to future infections by creating drug-resistant strains.

New recommendations by the American Academy of Pediatrics encourage the watch and wait approach instead of antibiotics at the first sign of ear infection.

Watching and waiting is not always easy for parents to do when their child is in pain.

An alternative approach to alleviate the symptoms associated with ear infections includes a visit to the pediatric chiropractor.

Chiropractic adjustments allow the fluid to drain from the middle ear and take pressure off the tympanic membrane and that decreases the pain associated with ear infections. There are numerous studies supporting the efficacy of chiropractic adjustments and the resolution of ear infections. A study published in the Journal of Physiologic and Manipulative Therapies examined 46 children under the age of five with ear infections. The author states that 93% of episodes improved with chiropractic care and 75% of the cases responded in less than 10 days. Currently, a large research project is being conducted by David Eisenberg, MD and the National Institutes of Health (NIH) to examine whether chiropractic care will reduce the persistence of middle ear fluid in children with ear infections. This will be the first study of its kind involving children and chiropractic at the NIH and it reflects the large numbers of parents seeking chiropractic care as an alternative for their children with ear infections.

All parents need to be aware of chiropractic care as an alternative approach for ear infections. Doctors of Chiropractic take a detailed case history and perform a careful examination of the ears as well as the head and neck to determine if the child is a good candidate for chiropractic care. The adjustments are safe and gentle and encourage the body to heal itself through increased function of the nervous system. Next time your child displays the symptoms of ear pain consider a visit to the chiropractor as a safe and effective way to ease the pain.

For more information about pediatric chiropractic care visit the International Chiropractic Pediatric Association (ICPA) website at www.icpa4kids.org.

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HOW HIGH FREQUENCY HEARING affects your life.

Why do I hear people but not understand them?

One of the most common questions and biggest complaints I get in my office is why people can hear others talk to them but not understand the words they are saying. The answer to the overwhelming majority of these questions is high frequency sensorineural hearing loss. As we grow older, humans tend to lose a bit of our hearing. This loss of hearing due to age is called presbycusis .

In the English language, vowels are low frequency sounds that bring power to our speech, but contribute less to understanding. Consonants are more mid and high frequency sounds that bring understanding to our language. It is very common to lose high frequency hearing sensitivity at a greater amount than we lose our low frequency hearing sensitivity.

When someone has a high frequency hearing loss, they can hear low frequency sounds (vowels) louder than other sounds. This allows them to be alerted that someone is speaking to them, but since the high frequency sounds are missing or present at significantly lower levels, they cannot understand what is being said. An excellent example of this situation is the TV game show “Wheel of Fortune”. When all those blank spaces for letters appear on the screen, why do you think the vowels are so cheap? The vowels are cheap because they convey little meaning to the word. It’s only after you start placing some consonants into the spaces that you can figure out what the word is. People with untreated high frequency hearing loss are literally playing “Wheel of Fortune” all day long.

The most effective treatment is hearing aid amplification that is used consistently all day long. The human brain is very powerful but is limited by the sounds that the ears let in. If you have a high frequency hearing loss, your brain is not getting that information and cannot make use of it to understand speech. Hearing aids can bring back those high frequency sounds and our brain will actually re-wire itself to begin using the high frequency sounds again. This “re-wiring” process can take several months to complete. The result is better speech understanding.

If you find yourself asking others for repetition often, or you are turning up the TV/radio louder and louder, it is time for an audiological evaluation. If you or someone else you know is avoiding social situations because of poor hearing, please have them be evaluated by an audiologist.

Hearing aids have come a long way over the years and most are now extremely sophisticated digital devices that perform quite well. Hearing aids make split second decisions on sound processing to deliver the speech signal the most appropriate way to the user. Every hearing loss is different and the hearing aids need to be programmed by a competent professional. It is strongly suggested that you see an audiologist when purchasing hearing aids.

This article was written by Dr. Douglas Kloss, Audiologist at Midwest Audiology Center, LLC. 4818 S. 76th St., Suite 3, Greenfield, WI 53220. 414-281-8300

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KEEPING YOUR AGING LOVED ONES SAFE AT HOME FOR THE HOLIDAYS & BEYOND

Since many families are gathering for the holidays, local senior care experts are encouraging adult children to consider addressing any physical changes that may have occurred in their senior loved ones – changes that may indicate they need assistance.

“The holidays are a great time to really observe and see how mom and dad are doing,” said Herb Beighley, owner of the Home Instead Senior Care® office serving North Milwaukee County. “Even if you’re met with some resistance when gently confronting a loved one about potential issues you may have observed during your visit, it is in both your and your loved one’s best interest to find a solution that can help keep him or her safe and independent at home.”

Beighley recommends reflecting on the following signs that could threaten your loved one’s independence.

• Pain. Does your mother now pull up a stool by the sink to peel the potatoes?

Does she wince in pain when she bends down? If you noticed any red flags, gently ask her if everything is alright. Even if she tries to pretend she’s managing fine, consider helping her make a doctor’s appointment “just to be sure.”

• Memory. Did your father have trouble recalling events from earlier in the day?

Has he told you the same story over and over? You may want to keep a list of concerns to bring up with his primary care physician.

• Depression. If you saw any hints of irritability, sadness or sleep difficulties, these could be signs of depression. Depression can be a problem for seniors and should be checked out by a doctor or mental health care professional if concerns exist.

• Social Engagement. Ask your mother to tell you about her friends. Social seniors generally have a healthier and more optimistic outlook on life. If she doesn’t have a strong social network, look into community activities that she may enjoy. Be sure to address any concerns about mobility with your senior’s physician.

• Safety. If your father has more difficulty walking, make sure he has a cane, walker or the proper support; remove throw rugs or other potential tripping hazards; and look into installing grab bars and no-slip strips where needed.

• Housekeeping: As seniors experience declining health, they may have more trouble keeping up with the housework. If you noticed the house looked more unkempt than usual, consider senior care services that include light housekeeping.

• Medication; Did you notice if your senior loved one is taking his or her prescribed medications at the appropriate time (e.g. mealtime or before bed) and if the pill box was organized? If he or she is not keeping a reliable medication schedule, you may want to look into home care services that offer medication reminders.

For more information about Home Instead Senior Care, please visit www.homeinstead.com/315 or call (414) 882-5464.

DECEMBER 2017 MHL 31

FIGHTING FLU THE NATURAL WAY Cold and flu season has arrived, which means the potential could be high for lots of sniffling co-workers and children who need to stay home from school.

Vaccinations help many people stave off the flu, but a number of Americans also try an alternative approach, using nutritional supplements in their efforts to stay healthy.

“Certain herbs, mushroom extracts and other natural compounds contain powerful antiviral properties,” says Naum Burman, the founder and researcher for BioLab Rx (www.biolabrx.com), a dietary supplement company.

“Combine them together and you can get a natural boost to your immune system.”

Such over-the-counter products as BioLab Rx’s Immune Super Plus do that by increasing the body’s natural defense cells, which are crucial to the body’s defense against bacterial and viral infection.

“The body’s own immune system is probably our best defense,” Burman says.

“But illness, stress, medical therapies, diet and lack of sleep can all compromise our immune system. That’s why it can help to give the immune system a boost.”

He notes that it’s always important to check the ingredients, instructions and warnings for any over-the-counter supplement. Immune Super Plus, for example, is only for adults 18 and older and shouldn’t be taken by pregnant or nursing women.

The flu season routinely takes a toll on Americans. According to the Centers for Disease Control:

32 MHL DECEMBER 2017

• The timing of flu is unpredictable and can vary in different parts of the country and from season to season. Most seasonal flu activity typically occurs between October and May. Flu activity most commonly peaks in the United States between December and February.

• It’s estimated that each year an average of 5 percent to 20 percent of the U.S. population gets the flu and more than 200,000 people are hospitalized from seasonal flu-related complications.

• Estimating the number of flu-related deaths can be difficult because death certificates don’t always specify flu as the cause. But there’s little doubt that flu seasons can be severe. The CDC, for example, reported that over a period of 30 years, between 1976 and 2006, estimates of flu-associated deaths in the United States ranged from a low of about 3,000 to a high of about 49,000 people. Some people, such as older people, young children, pregnant women, and people with certain health conditions, are at high risk for serious flu complications.

In addition to vaccines, the CDC suggests several preventive measures, such as washing your hands frequently, keeping a distance from those who are ill and staying home yourself if possible when you are sick.

Burman says that supplements also provide an extra measure of prevention, and plenty of people apparently agree. The Nutrition Business Journal has reported that Americans spend well over $1 billion a year on supplements to help boost immunity and ward off cold and flu.

Burman, originally from Europe, essentially was born into his interest in maintaining health through nature. He grew up in a family where herbs and natural cures were common and knowledge of herbs and their use was the norm.

As an adult, Burman continued his research, traveling through Asian, European and Middle Eastern countries so he could gather herbal knowledge from cultures around the world.

Armed with that knowledge, he founded BioLab Rx, which also produces natural products for hair loss, joint pain, migraine headaches and other conditions or ailments.

“I thought this would be a good way to combine the wisdom of the ages with today’s newest technology,” he says.

About Naum Burman Naum Burman is founder of and researcher for BioLab Rx (www.biolabrx.com), a dietary supplement company. Burman, originally from Europe, grew up in a family where herbs and natural cures were usual and knowledge of herbs and their use was the norm. He also spent years traveling through Asian, European and Middle Eastern countries, gathering herbal knowledge.

new year

A GREAT TIME TO MOVE INTO A SENIOR COMMUNITY

When moving into an independent or an assisted living facility moving is a great way to get a fresh start!

Over a million Americans over the age of 65 will be relocating their place they call home within the next year. Moving can be extremely stressful the older we get.

When moving into an independent or an assisted living facility moving is a great way to get a fresh start!

A seniorâ&#x20AC;&#x2122;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 canâ&#x20AC;&#x2122;t wait to explore new things and get away from the same old â&#x20AC;&#x201C;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 seniorâ&#x20AC;&#x2122;s needs are more practical by planning to move into a situation that is most likely to remain for many years to come.

Independence: Can you and would you want to live on your own? Or would it be best to find a more service oriented residential facility?

Needs for personal care: How much and what kinds of personal or â&#x20AC;&#x153;custodial careâ&#x20AC;? are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing.

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

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

Walk through senior communities that seem suitable. Make a checklist of what each has to offer. Then make your own checklist of your needs and wants. Look over each list with a friend or family member they might have some helpful input to give.

Seek guidance from professionals who are experts in senior communities. They can help with the process of identifying your goals and values, assessing your needs, determining what your financial situation will allow and suggesting what facility might be right for you.

Seniors have so many choices to make when the search for senior communities.

With so many senior housing options available, itâ&#x20AC;&#x2122;s easy to feel overwhelmed by all the different kinds of communities. Itâ&#x20AC;&#x2122;s important to learn the differences between the many options and to assess your needs to make the right decision.

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DECEMBER 2017 MHL 33

Winter REQUIRES ADJUSTMENTS

NOT HIBERNATION

Now that we are faced with the winter season, it is good to take another look at what we can do to keep our health in this time of stress. In Oriental Medicine, each of the seasons has their own special characteristics that affect our health and we should be aware of these characteristics. The winter season is cold and ice which can cause stagnation and slowing down of our processes. This stagnation can also cause more pain and a mood change. We need to be careful to adjust for the season to make sure we can support our health.

As we age it is more important to pay attention to seasonal changes. The aging process means that we do not have the flexibility that we had when we were young. As a result, what we once took for granted now needs a conscious effort. While the following suggestions may seem simple and obvious, see how many you actually practice.

A premiere community based residential Number one on the list of things you need to do for winter is facility, offers three locations in eastern exercise. Exercise should be 3-4 times per week and be at least 30 Wisconsin - two homes in Germantown minutes in length. It does not have to be strenuous, a reasonable and one in Port Washington. Our mission is pace will do the trick. This will move your Qi (energy) and keep to create a tranquil, nurturing home the winter stagnation from slowing you down. and loving surrogate family that encourages Be sure to visit your doctor for a winter check-up. Illnesses in the winter can sometimes be ignored as just reacting to the cold the individual in all aspects of daily life weather and waiting until spring can sometimes be too late to treat while promoting the highest level of certain diseases and/or weaken your health. The motive here is try independence possible. to keep what good health you have and do not waste it.

On the emotional level you need to pay attention to the signs of SAD (Seasonal Affective Disorder). The lack of adequate sunlight in the winter causes this serious disorder. The effects on the Dignified Living for the Eldery and Disabled. individual can be depression, irritability and anxiety. These mood At Ellen’s Home, we strive to preserve, honor and celebrate the uniqueness disturbances are made worse by the fact that in winter we do not of each resident by creating an individualized care plan which identifies and get out of the house as much and it is more difficult to interact with addresses their unique emotional, spiritual, social, physical and intellectual those we live with. One of the most helpful things you can do is abilities and needs. Ellen’s Home believes a blended inter-generational to take Vitamin D. Check with you doctor to see what dosage they assisted living community that serves residents with a variety of needs is would suggest. complementary with “Aging in Place” philosophies that benefit all individuals.

Winter can also effect you in a variety of ways and you should be aware of how this stagnation will cause changes during this time.

Our staff is highly trained and experienced including specialized In winter, there are more feelings of fatigue and exhaustion. You training related to dementia and Alzheimer’s care. Our homes provide: need to try to keep active, eat better and get adequate sleep. You also need to be sure to try and maintain a healthy weight. One good • Pharmacy Service • Lab & Radiology Services way is to match your food intake with your winter activity level.

• Podiatrist • Physical Therapists • Activity Directors Dr. William Hughes • Beauty/Barber Shop Oriental Medicine encourages people to follow the above advice for better health. Many of the winter health treatments involve strengthening the Wei Qi (disease fighter), aggressive movement of Qi to unblock stagnation and nourishing the “ming men fire” to 262-250-6455 help warm the body along with the reduction of day to day stress 262-250-9800 262-268-9555 effects.

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EATING A HEART HEALTHY DIET In an effort to promote the health of Americans, earlier this year the American Heart Association (AHA) released new nutrition guidelines that makes eating and drinking a lot of items in the supermarket off limits due to their content of sugar and sodium.

ADDED SUGAR The AHA recommends that added sugar intake be limited to 100 calories (25 grams, or 6 teaspoons) per day for women and 150 calories (37 grams, or 9 teaspoons) for men. One 12oz can of soda packs in 8-10 teaspoons of sugar. Added sugars are sweeteners that are used primarily in processed foods and beverages such as sodas, cereals, and desserts. This is not the same as natural sugars, which are naturally present in fruit and dairy products. The following are the top 3 sources of added sugar in Americans’ diets:

• Regular soft drinks: 33% contribution to total added sugar • Straight sugar and candy:16% • Cakes, cookies, pies: 13% Why the change? The average American eats 355 calories, 88 grams, or 22 teaspoons of added sugars per day, which is more than 100 pounds of sugars annually! There is sufficient evidence to link excessive sugar intake to the pandemic of obesity, high cholesterol and heart disease. The following are some tips to limit added sugar: • Eliminate soda and sugary drinks • Add sugar sparingly • Choose package foods with minimal added sugar • Choose unsweetened cereals • If any of these are among the first three ingredients, the food is sugarrich: brown sugar, corn sweetener, corn syrup, sugar (dextrose, fructose, glucose, sucrose), high fructose corn syrup, honey, invert sugar, malt sugar, molasses, syrup.

SODIUM It has been well established that excessive sodium intake is linked to high blood pressure, heart disease and stroke. An alarming 70% of Americans have pre-hypertension or hypertension, commonly referred to as high blood pressure.

Many experts believe that lowering daily consumption to no more than 1,500 mg of sodium daily would be an effective way to prevent or lower high blood pressure.

Therefore, the American Heart Association guidelines recommend 1,500mg sodium daily for all Americans. Currently, the average American consumes 3,400mg sodium daily. 77% of the sodium that Americans consume comes from sodium added to processed foods by food manufacturers. AHA has made formal requests to the Food and Drug Administration and food manufacturers to reformulate their products to contain lower sodium amounts. To give you an idea of how easy it is to hit the 1500mg sodium mark: 1 teaspoon salt= 2,300 mg sodium and many frozen dinners and soups contain more than 2000mg sodium. The following are some tips to limit sodium: • Choose fresh or frozen instead of canned food items • Limit salty snacks like chips and pretzels • Select unsalted or lower sodium, broths, bouillons or soups • Learn to use spices and herbs to enhance taste of food • Don’t use the salt shaker, use the pepper shaker Lisa Grudzielanek, RD, CD

DECEMBER 2017 MHL 35

S

LOSS

IGNS OF HEARING HEAR Wisconsin is focused on providing you the best hearing • Difficulty hearing conversations in the healthcare available. Our presence of background audiologists from the Medical noise.

College of Wisconsin and technology • You can hear people counselors work closely with you to speaking, but can’t make find the best solution for your hearing out what they are saying. and communication needs.

Since we’re a nonprofit, every purchase you make supports other kids and families with hearing loss.

HEAR Wisconsin 10243 W National Ave West Allis, WI 53227

• You ask people to repeat themselves.

• Difficulty hearing the television or voices over the phone.

www.hearwi.org info@hearwi.org 414-604-2200

WINTER WEATHER ALERT! protecting yourself and others WHEN WINTER TEMPERATURES DROP SIGNIFICANTLY BELOW NORMAL, STAYING WARM AND SAFE CAN BECOME A CHALLENGE When winter temperatures drop significantly below normal, staying warm and safe can become a challenge. Extremely cold temperatures often accompany a winter storm, so you may have to cope with power failures and icy roads. Although staying indoors as much as possible can help reduce the risk of car crashes and falls on the ice, you may also face indoor hazards. Many homes will be too cold—either due to a power failure or because the heating system isn’t adequate for the weather. When people must use space heaters and fireplaces to stay warm, the risk of household fires increases, as well as the risk of carbon monoxide poisoning.

Exposure to cold temperatures, whether indoors or outside, can cause other serious or life-threatening health problems. Infants and the elderly are particularly at risk, but anyone can be affected. To keep yourself and your family safe, you should know how to prevent cold-related health problems and what to do if a cold-weather health emergency arises.

The emergency procedures outlined here are not a substitute for training in first aid. However, these procedures will help you to know when to seek medical care and what to do until help becomes available. >What Is Extreme Cold?

What constitutes extreme cold and its effects can vary across different areas of the country. In regions relatively unaccustomed to winter weather, near freezing temperatures are considered “extreme cold.” Whenever temperatures drop decidedly below normal and as wind speed increases, heat can leave your body more rapidly. These weatherrelated conditions may lead to serious health problems. Extreme cold is a dangerous situation that can bring on health emergencies in susceptible people, such as those without shelter or who are stranded, or who live in a home that is poorly insulated or without heat. >Hypothermia When exposed to cold temperatures, your body begins to lose heat faster than it can be produced. Prolonged exposure to cold will eventually use up your body’s stored energy. The result is hypothermia, or abnormally low body temperature. Body temperature that is too low affects the brain, making the victim unable to think clearly or move well. This makes hypothermia particularly dangerous because a person may not know it is happening and won’t be able to do anything about it.

Hypothermia is most likely at very cold temperatures, but it can occur even at cool temperatures (above 40°F) if a person becomes chilled from rain, sweat, or submersion in cold water.

36 MHL DECEMBER 2017

WINTER>>page 43

WHAT’S THE CONNECTION BETWEEN HEARING AND COGNITIVE HEALTH? A more recent study found that cognitive abilities (including memory and concentration) declined faster in older adults with hearing loss, as compared to older adults with normal hearing

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

Doctor checking a patient’s earsHearing loss occurs in approximately one in three people age 65 to 74 and nearly one in two people age 75 and older in the United States, making it one of the most common conditions affecting older adults. Last year, the National Academies of Sciences, Engineering, and Medicine released Hearing Health Care for Adults: Priorities for Improving Access and Affordability, a report that highlights the importance of hearing health to communication and overall quality of life, and proposes recommendations to increase the availability and affordability of hearing health care.

NIA-funded research has indicated that hearing loss may impact cognition and dementia risk in older adults. A 2011 study found that older adults with hearing loss were more likely to develop dementia than older adults with normal hearing. In fact, there was a relationship between level of uncorrected hearing loss and level of dementia risk: mild hearing loss was associated with a two-fold increase in risk; moderate hearing loss with a three-fold increase in risk, and severe hearing loss with a five-fold increase in risk. (Lin et al., 2011).

Furthermore, a more recent study found that cognitive abilities (including memory and concentration) declined faster in older adults with hearing loss, as compared to older adults with normal hearing (Lin et al., 2013). These observations by scientists raise the question: can cognitive decline and/or dementia onset be slowed or stopped by correcting hearing loss?

Trial launched to test hearing intervention impact on cognitive decline The NIA has recently funded the Aging, Cognition, and Hearing Evaluation in Elders (ACHIEVE) clinical trial led by Drs. Frank Lin and Josef Coresh at Johns Hopkins University to examine the potential benefits of hearing rehabilitation.

ACHIEVE will recruit 850 cognitively normal adults aged 70-84 with hearing loss from four locations (Hagerstown MD, Jackson MS, Minneapolis MN, and WinstonSalem NC). Individuals will be randomly assigned to either the hearing intervention (hearing needs assessment, fitting of hearing devices, education/counseling) or control intervention (health education).

ACHIEVE participants will be followed for three years and information on hearing function, cognition, and demographics (e.g. age, sex, education level) will be collected at several timepoints. The primary outcome of the study will be to determine if the hearing rehabilitative intervention changes the rates of cognitive decline as compared to the group receiving health education. Additionally, the researchers will examine if the intervention impacts physical and social functioning, quality of life, and physical activity.

This trial should further our knowledge on the relationship between age-related hearing loss and cognition and dementia. For further information on the trial, please visit www.achievestudy.org

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GAUGE YOUR WELLNESS AGE True age depends on your attitude, sense of purpose, activity level, eating and sleeping habits and much more.

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 20-30 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 3-6 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.

• Reduce body fat levels and staying lean: 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.

• Have a healthy blood sugar tolerance: 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.

• 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.

• 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.

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

• Eat 9 servings of fruits and vegetables and reduce refined carbohydrates and animal products: Eating plenty of fruits, vegetables and whole grains every day and reducing or eliminating animal products adds 4 to 6 years to your wellness age. Just by altering your diet on a small scale, you can experience modest improvements in your wellness age.

Make the decision to adjust your Wellness Age. Find a program that addresses all levels of health and then get involved. Review the daily lifestyle you lead and make adjustments to ensure optimal wellness is part of your world. Residents of retirement communities have built in programs to keep them active and sharp. At Tudor Oaks Retirement Community the Wellness Program offers opportunities in 6 dimensions of wellness which all assist in adjusting your wellness age. For more information on the program and to learn how to become part of the class call 414-525-6500.

This information is provided by : Tudor Oaks Retirement Community

Assisted Living and Memory Care at Tudor Oaks Featuring Style-Smart, Charming Private Apartments • Individual Care Plans • Wellness Program • Medication Managment • Beautiful Campus Setting Call 414-529-0100 for a tour or visit www.TudorOaks.net for a fly-thru video tour of our community.

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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.

38 MHL DECEMBER 2017

BEATING THOSE HOLIDAY BLUES

Tis’ the season for holiday get-togethers, shopping, decorating trying to fit into your favorite holiday clothes, running around to get everything ready—it can be quite stressful at times! The sheer physical demands of the season are one of the biggest contributors to holiday stress. Combined with the emotional stress of today’s economy, juggling relationships, perhaps dealing with too many people in too small a space, or coping with the loss of a loved one, the level of chaos can become exhausting. For older adults, sometimes the holiday season can provoke sadness.

In order to help prevent additional stress, anxiety and even sadness during the holiday season, here are five tips to consider: 1) Keep Healthy Habits. A good diet, sleep, and exercise will help cope with stress.

Stick to your usual routine as much as possible.

2) Keep Rationale Expectations. One of the most important things you can do is to give yourself a break and keep expectations within hand.

Everything doesn’t have to Come to Milwaukee Catholic Home for our annual “Spring into Wellness” Health be perfect: you don’t have to have the perfect party, the most beautifully decorated Fair on Thursday, March 16th from 10 am - 3 pm at 2462 N. Prospect Avenue. The home, the mostfree perfectly children. to pressure “go withchecks, the flow”, you’ll be event includes health behaved screenings such as Try blood diabetes testhappy you did! ing, cholesterol pre-screenings, and eye exams, as well as massages, reiki, door and 3) Minimize or eliminate predictable stressors, as Cardinale much as possible.

You know raffle prizes, goodie bags, and more! Contact Linda at 414.220.3216 or there are certain things about the holidays that really bug you. The best way to deal lcardinale@milwaukeecatholichome.org to learn more. with these stressors is to anticipate them, accept that they will happen, and choose how you will respond to them wisely and calmly. You may not be able to change the causes of stress, but you can control your reactions if you have a plan in place.

4) Don’t Procrastinate. Instead Prioritize. Recognize that time is always a factor in holiday stress – there never seems to be enough time to do everything! So, take control of your time: decide what the holidays mean to you and your family. What are you celebrating? Which activities on your list, if any, will enable you and your family to enjoy the celebration? Prioritize the activities and realize you may not be able to do ALL the festivities available to you. Putting things off will only lead to stress later on, as will over-committing with a narrow window of time.

5) Reach Out, Reminisce, and Create New Memories. Stress at work, the economy and change may cause negativity in people, which may be exacerbated by the holiday season. In some people, the “holiday blues” presents amplifies ongoing depression.

Depression is a dangerous and life-threatening illness in older people, and is not a normal part of “aging”; it should never be ignored or “written off.” Reach out to loved ones and friends who are alone during the holiday season. Older people whose memories are impaired may have difficulty remembering recent events, but are often able to share stories and observations from the past. These shared memories are important for people of all ages—children enjoy hearing about how what it was like when “when your parents were your age…” Use a photo albums, family videos and music, to help stimulate memories and encourage older adults to share their stories and experiences.

This year, make it a goal to enjoy the holidays as much as possible without letting stress or the “holiday blues” get in the way. Happy holidays!

Kristin certalic, D0, practices family medicine 3 whf-franklin and can be reached at 414. 325. 4700.

Mark Your Calendar!

“SPRING INTO WELLNESS” HEALTH FAIR

SENIOR<<page 30

140 years old and still turning heads.

See what’s new at St. Anne’s.

Take a tour of our innovative enhanced assisted living facilities or visit our renovated chapel.

Call 414-463-7570.

Caring for people since 1876.

St. Anne’s Salvatorian Campus 3800 N. 92nd Street, Milwaukee 53222 www.stannessc.org DECEMBER 2017 MHL 39

Senior Communities: MAKING THE RIGHT CHOICE THIS NEW YEAR Many people delay the decision to move to a retirement community due to misconceptions or fear. They often regret not making the decision to move sooner; when they were healthier, more involved, or did not realize how lonely they were and the reasons go on and on. Regret is undesirable in all times of life; retirement decisions are no different.

The many activities and daily interactions with friends and neighbors offer a dynamic and stimulating environment. Residents freely share their thoughts about retirement living in general and the choices available to them. As you read through this article, look for the comfort, freedom and peace of mind that come from making informed choices.

“Statistics show that retirement community residents live healthier and longer lives than those living alone.” That doesn’t sound like rocket science; we

40 MHL DECEMBER 2017

need people. A resident commented, “If I knew how many of my friends lived here, I would have moved in years ago.” As one resident says, “I have to admit, it was lonely sometimes at home, now there is always something enjoyable to do.” Whether you want to participate in all of the social activities and outings or read a good book in the quiet of your apartment, the choice is yours.

“I love telling stories and reminiscing but it’s not always easy when they’re thirty years younger than me,” remarks a resident. A retirement community, by its very nature, allows people to interact with people their own age affording greater empathy and identification. Memories and recollections are complimented when two people can truly share the depth and breathe of events. Somewhat tongue-incheek yet true, is the adage that retirement communities provide a “constant reservoir of friends.”

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

Retirement communities offer various forms of financial protections like “life care” or “endowments” that protect your financial future regardless of your health.

A “life care” type contract also provides the potential for tax deductions for prepaid medical expenses. If you don’t feel the need for long term health care coverage, many communities offer rental programs, so again the choice is yours as to which option works best for you.

“When my wife had her stroke, it was so convenient to visit her several times a day. I couldn’t do that if I had to drive each way,” commented a resident. Should a care need arise, retirement communities can provide professional and caring services, all in the comfort of your “community.”

The choice is yours regarding your lifestyle and many elements need to be considered in making your decision. Should you decide that a retirement community is right for you, there are many elements, such as the ones listed here, that need to be considered and weighed, so that you can feel confident about your choice.

Capri SENIOR

COMMUNITIES

“It’s not just your apartment, It’s your home!”

HOSTING A GREAT DINNER PARTY Having a strong support network can help reduce stress, improve confidence and even encourage you to make healthier lifestyle choices.

Everyone needs to socialize. Spending time with friends isn’t just a good way to keep in touch: Studies show that making and maintaining friendships can have significant positive effects on your mental and physical health. Having a strong support network can help reduce stress, improve confidence and even encourage you to make healthier lifestyle choices. One study even found that regularly socializing was as effective for reducing rates of depression in seniors as regular exercise. Hanging out can be as important to active senior living as hitting the gym.

Given how busy schedules become, many adults find it hard to maintain friendships at the level they would like. A great way to stay connected with those closest to you is to take the initiative and invite your friends over for a dinner party. Dinner parties provide a perfect way to facilitate conversation and connection, and regularly scheduling them gives you the opportunity to see your friends on a somewhat regular basis. If you meet once every week or two, you don’t have to worry about losing touch: you know you’ll see them soon.

Who to invite How you choose the guests at your dinner party comes down to what kind of get-together you want to have. Generally speaking, the fewer people you invite, the more time you’ll get to spend with your guests. That said, as your numbers decrease, the bonds between people need to be stronger: a dinner party of four needs all four people to be compatible for conversation to flow naturally. Six to eight guests is a good number for keeping everyone talking and preventing the natural ebb and flow of conversation to lead to awkward silences. If you invite more people than eight, you might consider reaching out to guests you trust and asking them to bring a course for the meal. Cooking for a large group can be exhausting, and you want to be able to enjoy your own party.

What to serve A traditional dinner party involves an appetizer, main course and dessert, but really it is up to you! If you do include appetizers, it’s better to have too few than too many. Your main course should be the focus of the dinner, so you don’t want people filling up on carrot sticks. For the main course, prepare a dish that doesn’t require a lot of active cooking so that you can mingle with guests during your party, and pick something you’ve made before. Use desserts to balance the meal: if your main course was light, you can go for a rich dessert like cheesecake. If your guests have just eaten something heavy, a fruit dish or sorbet is the way to go.

Party themes For your first dinner party, you’ll want to keep it simple. As you have more parties, you can begin setting a theme for each, encouraging guests to dress up or bring dishes that fit the evening. Themes could be linked to holidays, or you could draw inspiration from a book or movie. Don’t be afraid to have something silly, and let your theme guide your plan for the night. This way each dinner party is different, and you avoid having the same conversations each time you meet up.

General tips • When you’re hosting a dinner party, be sure to talk to guests about dietary concerns or allergies.

• Don’t make a new dish for the first time on party night.

• Be mindful of food safety when leaving out spreads or dressings, and make sure anything that can spoil is kept cold.

• If you have music on, be sure to keep it at a low volume to foster great conversation, particularly if you have a guest with hearing loss.

• You don’t have to stay indoors: If the weather is nice, head to the patio or a nearby park.

For more information please visit www.captel.com.

Independent & Assisted Living Communities Germantown

The Gables of Germantown 262-345-1000

Kenosha

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Milwaukee - South Wilson Commons 414-281-2450

Milwaukee

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Milwaukee - East Hedwig House 414-321-0320

Sturtevant

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Waukesha

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262.798.1224 www.CapriCommunities.com DECEMBER 2017 MHL 41

Discover Ovation Sarah Chudnow…

WHAT TO MAKE WITH YOUR CHANUKAH LATKES

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By Marlene Heller During my sophomore year in college, my two roommates and I were excited to be out of the dorms and living on our own in a little cottage “down the shore” in New Jersey. We quickly found, though, that we each did things the way OUR mothers did them. We preferred the brands our own mothers used, used the cleaning and cooking techniques our own mothers taught us, and generally had become clones of our mothers, each thinking we knew best. We found we had to compromise and learn a bit about each other’s ways in order to live together comfortably.

One thing we did was to take turns with recipes, and give each other a chance to cook a favorite of our mom’s recipes. For Chanukah that year, I called home to get my mother’s recipe for baked chicken to go with the potato pancakes, or latkes, that are traditionally served during Chanukah. But, when I called, my mom was in the bathtub. My mom loves her baths.

So, my dad told her I was on the phone and that I needed this recipe. She called out the ingredients and directions to him through the door and he relayed them to me on the phone. Ta da! Recipe complete. And, we had everything we needed in the kitchen. The dinner prep began.

While the chicken, which smelled heavenly, was cooking in the oven, we grated the potatoes and fried up the latkes. An hour later, we lit the Chanukah candles, and the three of us sat down to dinner.

My roomies, Lynn and Carol, loved the chicken, and we enjoyed our dinner, but I was puzzled. It wasn’t exactly the same, but I couldn’t figure out why. The answer came as we were about to wash the dishes.

The phone rang. It was my mom. “Did you make the chicken?” she asked.

“We did! Thanks for the recipe, Mom! Sorry we interrupted your bath!”

“How did it taste?”

“It was pretty good. Not exactly the same, but it was pretty good.”

She laughed. “No, it wasn’t exactly the same. I left out the main ingredient!”

So here’s the real recipe for my mom’s molasses chicken. And believe me, this is delicious when served with potato latkes for Chanukah!

Molasses Chicken Combine together: 1/2 cup dry sherry 1 tbs soy sauce 1 cup chicken stock, or a dissolved bouillon cube 1/2 cup brown sugar 1tsp garlic powder 2 tbs bead molasses (regular molasses may be substituted if you can’t find bead molasses) Place a cut up chicken in a bowl or zipper style bag. Add sauce mixture and marinate for at least an hour.

Preheat oven to 350 degrees.

Using a nonstick baking pan, or one lined with parchment or a silpat mat, place chicken on pan, discarding leftover marinade.

Bake for one hour, or until a meat thermometer registers 165 degrees at the thickest part of the thigh. Serve with potato latkes and applesauce!

WINTER<<page 36

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Victims of hypothermia are often (1) elderly people with inadequate food, clothing, or heating; (2) babies sleeping in cold bedrooms; (3) people who remain outdoors for long periods—the homeless, hikers, hunters, etc.; and (4) people who drink alcohol or use illicit drugs.

Recognizing Hypothermia Warnings signs of hypothermia: Adults: shivering, exhaustion confusion, fumbling hands memory loss, slurred speech drowsiness Infants: bright red, cold skin very low energy What to Do If you notice any of these signs, take the person’s temperature. If it is below 95°, the situation is an emergency—get medical attention immediately.

If medical care is not available, begin warming the person, as follows: > Get the victim into a warm room or shelter. > If the victim has on any wet clothing, remove it. > Warm the center of the body first— chest, neck, head, and groin—using an electric blanket, if available. Or use skin-to-skin contact under loose, dry layers of blankets, clothing, towels, or sheets. > Warm beverages can help increase the body temperature, but do not give alcoholic beverages. Do not try to give beverages to an unconscious person. > After body temperature has increased, keep the person dry and wrapped in a warm blanket, including the head and neck. > Get medical attention as soon as possible.

A person with severe hypothermia may be unconscious and may not seem to have a pulse or to be breathing. In this case, handle the victim gently, and get emergency assistance immediately. Even if the victim appears dead, CPR should be provided. CPR should continue while the victim is being warmed, until the victim responds or medical aid becomes available. In some cases, hypothermia victims who appear to be dead can be successfully resuscitated. Frostbite Frostbite is an injury to the body that is caused by freezing. Frostbite causes a loss of feeling and color in affected areas. It most often affects the nose, ears, cheeks, chin, fingers, or toes. Frostbite can permanently damage the body, and severe cases can lead to amputation. The risk of frostbite is increased in people with reduced blood circulation and among people who are not dressed properly for extremely cold temperatures.

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MANAGE THE STRESS OF THE HOLIDAYS WITH EXERCISE! A great time of year is coming up. In December and the beginning of January there will be a multitude of parties, in and out of the office; visits with friends and relatives; and of course, food, and often drinks, galore! You, yourself, may be preparing for a holiday dinner for twenty or more people, your cousins, aunts, and uncles, friends and neighbors. You may even be planning several parties. Itâ&#x20AC;&#x2122;s all something to look forward to. However it can also be very stressful, deciding what to serve, whom to invite, and what presents to buy for different individuals.

Exercise, always a great thing in everyoneâ&#x20AC;&#x2122;s life, can come to the rescue here as well. If you start to feel overwhelmed, a stint at your health club, on the treadmill, or bike, or even some lap swimming can relax you and get your mind off of any preholiday and holiday stresses.

Exercising has been proven to be able to release a chemical called norepinephrine which moderates and mitigates stress, and is great for holiday stresses. Since the 1980â&#x20AC;&#x2122;s there have been studies with animals which have proven that exercise can indeed mitigate stress, anxiety, and depression. The human body is so entwined with the mind that working the muscles have been shown to trigger production of this chemical. Norepinephrine is produced in the locus coeruleus area which connects to the emotional and stress forming areas of the brain. It moderates actions of the neurotransmitters of stress. Thus even a twenty minute jog or brisk walk can help calm your anxieties!

If youâ&#x20AC;&#x2122;re even a bit apprehensive about the coming holidays, and often apprehension can be mixed with positive anticipation, then it has also been proven that exercising releases endorphins, the â&#x20AC;&#x153;happy chemicals.â&#x20AC;? Sometimes you are far from home on the holidays, and this may make you feel a bit down, exercising will not only cheer you up, but you may even make new friends at a health club at the same time.

Okay, so the holidays may tighten your work schedule before your holiday vacations, and you claim you have no time to work out, but you can even exercise at your job, unobtrusively. If you canâ&#x20AC;&#x2122;t get to your health club to use the stairmaster, walk up and down the stairs whenever you can at work, or even when visiting clients. Stand up when you are talking on the phone and pace, pacing is moving, and moving is exercising. Many top executives are pacers, and these same pacers are not overweight.

Donâ&#x20AC;&#x2122;t let yourself sit for more than an hour.

Another wonderful benefit of working out is that when you are doing so, you are not eating. Often stress will cause many people to overeat to calm their anxieties.

When youâ&#x20AC;&#x2122;re lifting weights, on the stationary bike, at the rowing machine, or on the elliptical, you are not eating! Youâ&#x20AC;&#x2122;ll be doing plenty of that at various holiday dinners and parties, but you wonâ&#x20AC;&#x2122;t do it while exercising.

If youâ&#x20AC;&#x2122;re a news junkie and always want to know whatâ&#x20AC;&#x2122;s going on, there are health clubs, like Elite Sports Clubs, which have television monitors with multiple channels on their treadmills, bikes, and ellipticals where people can get their news fixes STRESS>>page 55

Hickory Park Independent Living Get the Best of Both Worlds at Hickory Park

Are you ready for country living with big city attractions just around the corner? For an urban retirement experience in the heart of Milwaukee County, look no further than our Hickory Park Assisted Living community in Greenfield, WI. Picture a life of ease and independence Located minutes away from shopping, doctor’s offices, museums, restaurants and all the great things that Milwaukee has to offer, you’ll never say “I’m bored” again! Our Greenfield Senior Living community offers a wide range of activities including educational programs, creative activities, off-site excursions, book clubs, fitness classes, organized social gatherings, spiritual gatherings, resident and family meetings, bingo, card club, movie nights, and Wii bowling! Our Greenfield Senior Living common areas include a library, puzzle room, card room, community room with large flat screen TV, activity room, private dining room, laundry rooms and comfy lounge areas. We also offer restaurant-style dining all day, as well as a very active Resident Council and Food Committee, in addition to our many special interest resident group opportunities.

Care that’s always there Our Greenfield Senior Living residents and residents’ families receive valuable peace of mind knowing that a certified nurse is on staff 24 hours a day. Within Hickory Park Assisted Living, we offer many clinical service programs that include our diabetic program, incontinence program, fall prevention program, nutritional program. Our professional caregivers are always on hand to offer assistance with dressing, grooming, laundry and other activities of daily living.

Worry-free lifestyle with just a simple lease While some communities insist on new residents plopping down huge, non-refundable payments up-front, our Greenfield Senior Living facility does things a little differently. We care about not only the physical and emotional well-being of our residents, but their financial health as well. That’s why we offer our residents all the perks of country club living without the expensive buy-in—just a simple lease. Explore nearby cities like New Berlin.

DECEMBER 2017 MHL 45

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Residents living in a setting that provides personal services, 24 hour supervision and assistance, activities and health-relatedservices designed to minimize relocation needs, accomodate seniors needs and preferance changes, encourage family and social envolvement and maximize senior’s privacy, choice and safety.

Assisted living facilities offer a housing alternatives for older adults who may need help with dressing, bathing, eating, and toileting, but do not require the intensive medical and nursing care provided in nursing homes.

Assisted living facilities may be part of a retirement community, nursing home, senior housing complex, or may stand-alone. Licensing requirements for assisted living facilities vary by state and can be known by as many as 26 different names including: residential care, board and care, congregate care, and personal care.

What services are provided?

Residents of assisted living facilities usually have their own units or apartment.

In addition to having a support staff and providing meals, most assisted living facilities also offer at least some of the following services: Health care management and monitoring, help with activities and daily living, housekeeping, medications reminders, social activities, security and transportation.

We strive to make you feel at home in every way possible because home is more than just a list of amenities... it’s about life on your terms.

414-649-2888

46 MHL DECEMBER 2017

• Think ahead. What will the resident's future needs be and how will the facility meet those needs?

• Is the facility close to family and friends? Are there any shopping centers or other businesses nearby (within walking distance)?

• Do admission and retention policies exclude people with severe cognitive impairments or severe physical disabilities?

• Does the facility provide a written statement of the philosophy of care?

• Visit each facility more than once, sometimes unannounced.

• Visit at meal times, sample the food, and observe the quality of mealtime and the service.

• Observe interactions among residents and staff.

• Check to see if the facility offers social, recreational, and spiritual activities?

• Talk to residents.

• Learn what types of training staff receive and how frequently they receive training.

• Review state licensing reports.

The following steps should also be considered: • Contact your state’s long-term care ombudsman to see if any complaints have recently been filed against the assisted living facility you are interested in. In many states, the ombudsman checks on conditions at assisted living units as well as nursing homes.

• Contact the local Better Business Bureau to see if that agency has received any complaints about the assisted living facility.

Healthy Aging

HOW TO FEEL YOUNG AND LIVE LIFE TO THE FULLEST But itâ&#x20AC;&#x2122;s important to find ways to reach out and connect to others. Loneliness and isolation are major threats to aging well. Having people you can turn to for company and support is a buffer against depression, disability, hardship, and loss.

The good news is that there are lots of ways to be with other people. It doesnâ&#x20AC;&#x2122;t matter what you do, so long as you get out of the house (if possible) and socialize: Connect regularly with friends and family. Spend time with people you enjoy and who make you feel upbeat. It may be a neighbor who you like to walk with, a lunch date with an old friend, or shopping with your children. Even if you are not close by, call or email frequently to keep relationships fresh.

NIH study shows connections between Alzheimerâ&#x20AC;&#x2122;s patholMake an effort to make new friends.

Asglucose you losemetabolism, people in your circle, it is vital ogy, symptoms to make new connections so your circle doesnâ&#x20AC;&#x2122;t dwindle. Make it a point to befriend For the time, scientists have found friends a connection betweenyou abnormalities in people whofirst are younger than you.

Younger can reenergize and help you how the brain breaks down glucose and the severity of the signature amyloid plaques see life from a fresh perspective. andSpend tangles in with the brain, well as the onset of You eventual outward symptoms, of time at leastasone person every day. shouldnâ&#x20AC;&#x2122;t be alone day after Alzheimerâ&#x20AC;&#x2122;s disease.

The study was supported by the National Institute on Aging day. Phone or email contact is not a replacement for spending time with other people.

(NIA), part of the National Institutes of ward Health, appears in thestay Nov. 6, 2017, issue Regular face-to-face contact helps you offand depression and positive. of Alzheimerâ&#x20AC;&#x2122;s & Dementia: the Journal of the Alzheimerâ&#x20AC;&#x2122;s Association.

Volunteer. Giving back to the community is a wonderful way to strengthen social Ledand

by Madhav Thambisetty, M.D., Ph.D., investigator andinchief of the Unit of bonds meet others, and the meaning and purpose you find helping others will

HIGHER BRAIN GLUCOSE LEVELS MAY MEAN MORE SEVERE ALZHEIMERâ&#x20AC;&#x2122;S

enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share similar values. Even if youâ&#x20AC;&#x2122;re housebound, you can Clinical and Translational Neuroscience in the NIAâ&#x20AC;&#x2122;s Laboratory of Behavioral Neuget involved by volunteering on the phone. roscience, researchers looked at brain tissue samples from Find support groups in times of change. If you orata autopsy loved one is participants coping with ina the Baltimore Longitudinal Study of Aging (BLSA), one of the worldâ&#x20AC;&#x2122;s longest-runchronic illness or recent loss, it can be very helpful to participate in a support group ning scientific studies of human aging.

The BLSA tracks neurological, physical and with others undergoing the same challenges. psychological data on participants over several decades.

Healthy aging: Tips for boosting vitality Cross-section of the brain showing damageResearchers measured glucose levels Donâ&#x20AC;&#x2122;t fall for the myth that aging automatically means youâ&#x20AC;&#x2122;re not going to feel in different brain regions, some vulnerable to Alzheimerâ&#x20AC;&#x2122;s disease pathology, such good anymore. It is true that aging involves physical changes, but it doesnâ&#x20AC;&#x2122;t have to as the frontal and temporal cortex, and some that are resistant, like the cerebellum. mean discomfort and disability. While not all illness or pain is avoidable, many of the They analyzed three groups of BLSA participants: those with Alzheimerâ&#x20AC;&#x2122;s symptoms physical challenges associated with aging can be overcome or drastically mitigated during life and with confirmed Alzheimerâ&#x20AC;&#x2122;s disease pathology (beta-amyloid proby eating right, and taking care tein plaques andexercising, neurofibrillary tangles) inof theyourself. brain at death; healthy controls; and Itâ&#x20AC;&#x2122;s never too late to start!

No matter how are or how unhealthy youâ&#x20AC;&#x2122;ve individuals without symptoms during life but old withyou significant levels of Alzheimerâ&#x20AC;&#x2122;s been in the past, caring for your body has enormous benefits that will help you stay pathology found in the brain post-mortem. active, sharpen your memory, boost your immune system, manage health problems, They found distinct abnormalities in glycolysis, the main process by which the and your energy. fact,evidence many older adults feeling better than ever brainincrease breaks down glucose,Inwith linking thereport severity of the abnormalities because they are making morepathology. of an effort to berates healthy than theyand didhigher when brain they to the severity of Alzheimerâ&#x20AC;&#x2122;s Lower of glycolysis were younger. glucose levels correlated to more severe plaques and tangles found in the brains of Healthy Tips forMore eating well reductions as you age in brain glycolysis were also related people withaging: the disease. severe age, your food changes alongduring with your to As the you expression of relationship symptoms oftoAlzheimerâ&#x20AC;&#x2122;s disease life,body. such A asdecreased problems metabolism, with memory.changes in taste and smell, and slower digestion may affect your appetite,â&#x20AC;&#x153;For the some foods time, you can eat, and how bodyabout processes food. The key is to figure researchers haveyour thought the possible links between how out how to adapt toglucose your changing needs. Now, ever,Richard healthy J.eating is the brain processes and Alzheimerâ&#x20AC;&#x2122;s,â&#x20AC;? saidmore NIAthan Director Hodes, important to maintain energy and health.

M.D. â&#x20AC;&#x153;Research such your as this involves new thinking about how to investigate these Load up on fruits, search vegetables, and whole grains.

Your whole connections in high-fiber the intensifying for better and more effective ways todigestive treat or system slower, so fiber is very important. Consume fiber-rich foods such as whole preventisAlzheimerâ&#x20AC;&#x2122;s disease.â&#x20AC;? grains, fruit, and vegetables. will and helpAlzheimerâ&#x20AC;&#x2122;s you feel more energetic andsuspected, give you While similarities betweenThey diabetes have long been fuel keepbeen going. they to have difficult to evaluate, since insulin is not needed for glucose to enter effort into your food taste the good.

Yourusage tastebuds arenâ&#x20AC;&#x2122;t by as thePut brain or to getmaking into neurons.

Thelook teamand tracked brainâ&#x20AC;&#x2122;s of glucose strong and your may not be the same, but your are just as measuring ratiosappetite of the amino acids serine, glycine andnutritional alanine toneeds glucose, allowimportant ever. If youofdonâ&#x20AC;&#x2122;t enjoy eating like you used to,found put a that littlethe more effort ing them toasassess rates the key steps of glycolysis.

They activities into your meals, including the key wayglycolysis you flavor,steps prepare, present your food. cases of enzymes controlling these wereand lower in Alzheimerâ&#x20AC;&#x2122;s Watch out for dehydration.

Because of Furthermore, physical changes, adults are more compared to normal brain tissue samples. lowerolder enzyme activity was associated with more severe Alzheimerâ&#x20AC;&#x2122;s pathology in the brain and the development prone to dehydration. So make sure you are drinking plenty of fluid, even if you of symptoms. donâ&#x20AC;&#x2122;t feel thirsty. If youâ&#x20AC;&#x2122;re not getting enough water, youâ&#x20AC;&#x2122;re not going to be as sharp used proteomics andNext, yourthey energy will suffer. â&#x20AC;&#x201C; the large-scale measurement of cellular proteins - to tally levels of GLUT3, a glucose transporter protein, in neurons.

Theyalone. found that Make meals a social event.

Itâ&#x20AC;&#x2122;s more enjoyable to eat with others than Invite people over. You can share cooking and cleanup duties.

BRAIN>>page 55

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DECEMBER 2017 MHL 47

Maintaining an INDEPENDENT LIFESTYLE Whether itâ&#x20AC;&#x2122;s a house, apartment, or duplex within a community for seniors, Independent Living refers to a private abode. In fact, Independent Living is frequently referred to as retirement communities, retirement homes, senior apartments, or senior housing.

For seniors who are tired of maintaining their own home or looking to down-size, independent senior housing is ideal. Those looking to move into an independent senior living community have two choices. One is to purchase a senior condominium and the second is to rent a senior living apartment. Both provide independent, active seniors with the freedom they enjoy, but without all of the burdens of home ownership like mowing the lawn, shoveling the snow, or making home repairs.

Some independent senior communities have also adapted a lifestyle approach, including such amenities as a salon and spa, golf course, on-site restaurants, on-site shopping, housekeeping and more.

The goal is for seniors to maintain a lifestyle as independent as possible.

A big advantage to independent living,is the sense of social interaction.The community aspect is just one way independent living and retirement communities differ from a completely â&#x20AC;&#x153;independentâ&#x20AC;? setting such as living in a condominium. In a senior community, additional services are offered and provided.

Senior housing has come a long way over the years. Starting approximately 30 years ago, this industry saw new options develop to meet the demands of a growing senior population. Initially limited in its offerings, there is now a plethora of senior housing options available.

Ultimately, independent living strives to maintain a sense of independence within a community setting with a local infrastructure to provide support when necessary.

48 MHL DECEMBER 2017