Mhl july 2017

Page 1

MHL

JULY 2017 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

TIPS FOR BOOSTING OVERALL HEALTH A REASON TO RETHINK PUBLIC OPINION:

USING SCIENTIFIC EVIDENCE TO RECLAIM OUR HEALTH

HAVING A HEAT SAFE SUMMER

STAYING SHARP KEEPING YOUR BRAIN HEA)LTHY

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

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TAKING CARE OF YOUR TEETH AND MOUTH Healthy teeth and gums make it easy for you to eat well and enjoy good food. There are a number of problems that can affect the health of your mouth, but good care should keep your teeth and gums strong. Tooth Decay Teeth are covered in a hard, outer coating called enamel. Every day, a thin film of bacteria called dental plaque builds up on your teeth. The bacteria in plaque produce acids that can begin to harm enamel. Over time, the acids can cause a hole in the enamel. This hole is called a cavity. Brushing and flossing your teeth can protect you from decay, but once a cavity happens, a dentist has to fix it. You can protect your teeth from decay by using fluoride toothpaste. If you are at a higher risk for tooth decay (for example, if you have a dry mouth because of medicines you take), you might need more fluoride. Your dentist or dental hygienist may give you a fluoride treatment during an office visit. Or, the dentist may tell you to use a fluoride gel or mouth rinse at home. Gum Diseases Gum disease begins when plaque builds up along and under the gum line. This plaque causes infections that hurt the gum and bone that hold teeth in place. Sometimes gum disease makes your gums tender and more likely to bleed. This problem, called gingivitis, can often be fixed by daily brushing and flossing. A more severe form of gum disease, called periodontitis, needs to be treated by a dentist. If not treated, this infection can ruin the bones, gums, and other tissues that support your teeth. Over time, your teeth may have to be removed. To prevent gum disease: •Brush your teeth twice a day with fluoride toothpaste. •Floss once a day. •Visit your dentist regularly for a checkup and cleaning. •Eat a well-balanced diet. •Quit smoking. Smoking increases your risk for gum disease. Cleaning Your Teeth And Gums There is a right way to brush and floss your teeth. Every day: •Gently brush your teeth on all sides with a soft-bristle brush and fluoride toothpaste. •Use small circular motions and short back-and-forth strokes. •Take the time to brush carefully and gently along the gum line. •Lightly brush your tongue to help keep your mouth clean. People with arthritis or other conditions that limit hand motion may find it hard to hold and use a toothbrush. Some helpful ideas are: •Use an electric or battery-operated toothbrush. •Slide a bicycle grip or foam tube over the handle of the toothbrush. •Buy a toothbrush with a larger handle. •Attach the toothbrush handle to your hand with a wide elastic band. •You also need to clean around your teeth with dental floss every day. Careful flossing will take off plaque and leftover food that a toothbrush can’t reach. Be sure to rinse after you floss. See your dentist if brushing or flossing causes your gums to bleed or hurts your mouth. If you have trouble flossing, a floss holder may help. Ask your dentist to show you the right way to floss.

Editor’s Note

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EDITOR’S NOTE I am soooo is glad it’s March. We are now approaching Summer thriving with beautiful weather this lastspring and I am thrilled. I did manage work out quite a bit this month month! We did have a quite a few warm days in Junelast and and I hope you were able to do the same. I encourage you I took full advantage by doing my walking meditationsto get outevery theremorning on those dayslike andgetting get some exercise. With the at sunny 6am. I feel out and about first winter being so much warmer than usual, I really keep thing in the morning and practicing my mindfulness isthe theextra pounds at bay. best way to prepare me for the day. I truly feel healthier Marchthe is weather a great month thatItmarks thought weather when is warm. bringsthe a smile to of myspring face and coming soon. The anticipation of biking, blading and morning relieves a lot of stress. I encourage people to try to get out walks getsand meget in aa better mood as the winter winds March this summer season new weekly exercise routine. It’sdown. time to also marks my daughter’s fifth birthday. If time flies by this fast, I get out of the house and into the sunshine (use sunscreen!). think it is important to slow down. We are a country that promotes Also come see the design of the home I designed for the fast pace in everything we do. Keeping healthy means slowing ARCHITECTURAL TREASURES TOUR in Cedarburg July 29-July down and releasing the stress. Whether it’s meditation, exercise 30. We mixed modern with old world touches throughout while keeping or details even antrue afternoon nap, it’s home. extremely importantmix to destress architectural to the original A wonderful of old and unwind. and new Arts and Crafts details throughout. We’ve anotherarticles good issue for Staying you. This issue is We have lined up aput lottogether of great health for you. active our Get Ready for Spring edition. It should help you find the is key to any healthy lifestyle. We have several nutrition articles to help best health SWe at of MHL you spring place into a for newyour season withneeds. healthier way life. like to keep things uncomplicated because we know healthcare are almost As always we want to give our senior readers somedecisions great articles never easy. We strive to find articles that will answer that help them get the best out of life. This edition we really focusedwhatever on health questions you may have. We would like to thank all the staying active. greatinterested people we’ve spoken to who have to this We are very in staying healthy and we contributed know you are, too.issue and we also thank you, our readers, for all your suggestions We have current health information for you and those you love. Every and month, we comments! talk to local health care professionals and try to get that edition with Spring andSummer information toCheck you. out You our needApril to remember there our are regional health directories. issues and by contacting the health professionals here we can provide Stay healthy! you with information that is pertinent to your health. We encourage -Amanda Lewissuggestions so we can make MHL a better you to contact us with your paper for you.

MARCH 2017 JULYEDITION EDITION

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publishers publishers editor editor graphic graphic design design advertising advertising distribution distribution manager manager travel travel editor editor founder founder

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

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For For information information on on advertising advertising or or to to submit submit articles articles call, call, fax fax or or email email 414-659-6705 414-659-6705 or or 608-237608-2376000, 6000, email: email: mhl@wi.rr.com. info@lewismediagroup.com. Subscriptions Subscriptions are are $20 $20 per per year. year. Thanks Thanks for for reading reading MHL. MHL.

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MHL MHL isis published published on on the the first ďŹ rst of of each each month month .. The The articles articles in in this this publication publication are are in in no no way way intended intended to to replace replace the the knowledge knowledge or or diagnosis diagnosis of of your your doctor. doctor. We We advise advise seeing seeing aa physician physician whenever whenever aa health health problem problem arises arises requiring requiring an an expert’s expert’s care. care.

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

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MARCH 2017MHL MHL 5 JULY 2017

HOW TO DO A

HEALTHY, NATURAL, EFFECTIVE CLEANSE “WHAT IS THE PURPOSE OF THE CLEANSE AND DO I NEED ONE?” Springtime in the cycle of nature is a time of cleansing, a shedding of the excess that was needed to go through winter. Cleansing can also be an important part of healing and maintaining health when done correctly. But before you begin your cleanse, there are several important factors you need to consider for it to be effective in restoring you to health. Ayurveda, the ancient holistic healing system from India, has a complete detoxification process called Pancha Karma designed to treat the core roots of dis-ease and illness and restore optimal health. Its principles provide an effective guide on cleansing. The first question you need to ask is, “What is the purpose of the cleanse and do I need one?” According to Ayurveda, the purpose is to purify the body of toxins and excess which are the root cause of disease. You not only help promote healing of

symptoms, illness and disease, but also restore health and rejuvenate the body and mind. So what exactly are these toxins or excess you’re cleansing and where do they come from? In Ayurveda we look at two interrelated concepts that require cleansing. The first is toxins created by undigested or improperly digested food which Ayurveda calls ama. These toxins coat the cells and clog the channels and organs of the body which interferes with normal functioning. Signs of these toxins include lack taste and appetite, indigestion, bad breath, a coating on the tongue, excess sticky phlegm or saliva, a general feeling of heaviness in the body, dullness in the mind and senses, fatigue, lack of strength, constipation, the inability to sweat, and difficulty urinating. Ayurveda also restores health by cleansing the excess of doshas or life forces that naturally exist within the body systems. There are three life forces within you which govern all the biological functions for the body and mind. In excess or imbalance, however, the doshas create decay in these same systems which are experienced as symptoms, and, when left untreated, build into illness and disease. You build these toxins and imbalances in by having a digestive system that is not functioning correctly, lifestyle habits that don’t support your unique bodytype’s needs, and improper eating habits. There is a proper time for when to cleanse and when not to cleanse. In addition to having toxins and imbalance, you also need to be strong enough to do purification. Ayurveda gauges your inner strength or vitality in a term called Ojas. Ojas is the essence that gives the tissues strength and endurance, keeps the tissues healthy, provides a strong immune system, and helps resist stress. It is vital that the body have enough core strength because cleansing by nature is a reducing therapy. Without enough strength, a cleanse creates depletion and further imbalance. You do NOT want to start a cleanse if you are very weak, debilitated, or have low or compromised immune function; have a current acute illness; or are postpartum, very young or very old. Others signs of low vitality which require evaluation include low sexual vitality, lack concentration and poor memory, lack of stamina, difficulty sleeping, lack of consistency to your thoughts and balance to emotions, and ongoing anxiety, depression, or self-destructive tendencies. This brings us to the next important point – cleanses should be individually tailored. It is important to note that while ama is pretty much the same for everyone, where it has spread and which dosha(s) is/are in excess and how they have spread in the tissues, organs and body will be different for each person. As such, an accurate assessment is vital to having an effective cleanse because different therapies, herbs CLEANSE>>page 47

Come float in 10 inches of warm water with 950 pounds of Epsom salt. This allows you to let every muscle relax and even fall asleep while still floating.

Benefits of Floating • Relaxation, stress relief, deeper meditation • Recovery from injuries • Reduce or Eliminate chronic pain • Fight Addiction • Reflection/visualization • Assist with creativity • Increase concentration • Increase absorption of knowledge • Reduce symptoms of jet lag • Fight insomnia • Assist with treating PTSD and anxiety

MHL JULY 2017

INTRODUCTORY OFFER

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See the best you can see, when you see Wisconsin’s leaders in ophthalmology

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EYE CARE SPECIALISTS Is someone in your family’s vision at risk?

Most people aren’t motivated to make an eye appointment unless they notice a problem —and often not even then. They don’t realize that many sight-threatening conditions have no warning signs. But, if you know the risks, symptoms and treatment options for common eye concerns, you’re more likely to take action. Call 414-321-7035 for free booklets on cataracts, glaucoma, AMD, and diabetes. And, if your last eye exam was more than a year ago, schedule today to protect your vision for tomorrow.

SUMMER SUN & SPARKS TIPS Eye MDs explain how too much sun exposure can damage your eyes By Cheryl L. Dejewski We all love sunny days, especially those of us who live under a blanket of snow and clouds much of the year. However, while some sunlight is enjoyable, too much can lead to sunburns, blisters, skin cancer, and even short- and long-term consequences for your eyes. Long-term effects of UV-light exposure “Studies have shown that long-term exposure to the sun’s UV rays without protection may contribute to the development of various eye disorders, including macular degeneration (AMD) and cataracts,” notes Mark Freedman, MD, senior partner at Eye Care Specialists, a leading ophthalmology practice that cares for more than 130,000 southeastern Wisconsin residents. “The more exposure to bright light, the greater the risk of visual impairment and blindness.” For example: UV-A rays can penetrate deep into the eye injuring the macula, the part of the

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The Weathertech® International Challenge With Brian Redman Presented By Hawk (Vintage Cars) JULY 20 - 23 A mid-summer favorite, The WeatherTech® International Challenge with Brian Redman presented by HAWK is one of the largest vintage racing events in the United States and features over 400 cars competing in several groups. The four-day weekend will also showcase a historic CAN-AM race, which is the highlight of this year’s event as an impressive field of cars is expected to gather in celebration of CANAM’s 51st Anniversary. This year’s event will also feature a special S2000 reunion. The Concours d’ Elegance in downtown Elkhart Lake on Friday for race cars and Saturday night for street cars is a can’t miss event for any enthusias

Milwaukee Journal Sentinel a la Carte August 17-20, 2017 The summer heat marks the arrival of one of Milwaukee’s favorite fests, returning for the 33rd year at the Milwaukee County Zoo. This year’s Milwaukee Journal Sentinel a la Carte presented by Meijer, August 17 through August 20, features 26 area restaurants offering a variety of flavors that will leave you craving more, in addition to top national and local bands performing throughout the Zoo grounds!

Wisconsin State Fair August 3-13 The Wisconsin State Fair draws more than one million visitors each year who revel in tradition and are drawn to exciting attractions like the the Giant Slide, Sky Glider, Daily Parade and more. Visitors can see hundreds of animals in numerous barns throughout Ag Village, as well as educational exhibits in the Farm & Family Building and the Badgerland Financial Discovery Barnyard. The Horticulture, Craft & Culinary Pavilion is an oasis where fairgoers will enjoy beautiful bonsais, orchids, dahlias and gladiolus along with a myriad of vegetables, textiles, canned goods, pies, cakes and more. Thrill-seekers won’t want to miss the Wisconsin State Fair’s amusement ride and game area, SpinCity, which features more than 50 rides – including eight new rides – and 30 exciting games. It’s also a shopper’s paradise, with hundreds of vendors located in the Wisconsin Exposition Center and several other marketplaces throughout the Fair Park. Please click below for information on the numerous family-friendly attractions offered at the Wisconsin State Fair. MHL JULY 2017

ALLERGIES

&HAY FEVER

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

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

Why do some people have allergies and hay fever? No one is sure what causes allergies. You are more likely to have hay fever if your parents have it. What kinds of tests check for allergies? •SKIN TESTS- Your doctor may also use a needle to put a small amount of allergen into your skin. After a few minutes, the reaction tells your doctor if you have allergies. •BLOOD TESTS- Your doctor may use a blood test to look for a protein in your blood called IgE. This protein is made by people with allergies and hay fever. It also helps fight certain types of infection. Both tests look for certain disease-fighting cells (antibodies). Your body makes these cells to match whatever it is fighting. Your antibodies tell doctors what you are allergic to. How are allergies and hay fever treated? Your doctor can help you decide what to do. You can: •AVOID THE THINGS THAT CAUSE YOUR SYMPTOMS. •USE MEDICINES. •GET ALLERGY SHOTS. Allergy shots contain small amounts of what you are allergic to. At first, shots may be given every week to lessen your symptoms. The shots are usually continued for 3 to 5 years. JULY 2017 MHL

KNEE PAIN/ INJURIES

ROTATOR CUFF INJURIES

HAMSTRING INJURIES

LOW BACK PAIN/ INJURIES

ARTHRITIS PAIN

HIP PAIN/ INJURIES

ANKLE INJURIES

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

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

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

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

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

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

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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 are valuable as long as reunions, the persontrips doesn’t get Long summer days new and information fun-filled nights can mean family for ice frustrated it is difficult weather. for them.But for older adults, summer also can cream andbecause enjoying thetoo gorgeous Socialization is important remain engaged. Isolation can be decreased vishave its challenges. Seniors dotonot adjust as well as younger people to suddenwith changits in from family andincluding friends, attending events, to senior connecting es temperature, transitions from going summer heat tocenters, the air or conditioning with others through Facebook or Skype. indoors. Exercising 30 likely minutes a daya5chronic times amedical week, eating a healthy diet, and managing They are also to have condition or take medications that chronic diseases such as or high blood pressure can help slow the progresmake it more difficult fordiabetes their bodies to self-regulate temperature. In fact, a study sion. the University of Chicago Medical Center found that 40 percent of heat-related from Decrease stress routines andthan environments. Stress doesn’t cause defatalities in the U.S.with are familiar among people older 65. mentia, but can worsenthat the summer symptoms. In order to ensure fun does not lead to illness, hospitalization or Medication may help improve function, mood, or behavior. For some, the worse, it is important to take extramental precautions, including: drugs (Aricept),the tacrine (Cognex), (Exelon), and(typically galantamine Sundonepezil Safety: Avoiding outdoors duringrivastigmine the hottest times of day be(Razadyne) are helpful to but delay some an of the symptoms to else, moderate dementween 3 to 5 p.m.) is ideal, anytime older person -- of or mild anyone for that mattia.--Memantine (Namenda), be prescribed treatment of moderate to severe ter is in the sun, they shouldmay be wearing proper for protection including sunscreen with Disease. and antipsychotics maya sun be preaAlzheimer’s minimum SPF of 30 –Antidepressants, or 50 if they willantianxiety, be active outside; UV sunglasses, hat scribed to fitting, treat depression, excessive and loose lightweight cloth- anxiety, or hallucinations. ing. Cool Air Acts: Making sure curtains or blinds are closed during the day will help keep the home cooler. Some seniors try to save money by keeping the air condition off, but we highly recommend avoiding this. Watch for the Signs: During intense heat waves, it’s important to monitor older adults for signs of dizziness, nausea, headache, rapid heartbeat, chest pain, fainting and breathing problems. If any of these occur, the senior should seek medicWater Wise: Dehydration is a huge problem for older adults, especially in the warmer months. The general rule for everyone is eight glasses of water a day. However, because seniors may have medications or conditions that factor into dehydration, it’s best to consult with a doctor about the correct amount. For seniors in particular, dehydration is serious business. In fact, it is one of the leading causes of hospitalization for people older than 65, and can even lead to death. Here are some easy ways to tell if an older person is dehydrated: · They show signs of confusion · They complain of dizziness or a headache · They have trouble walking · Their eyes look sunken · Their skin looks papery and they complain of dry mouth

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HAVING A HEAT-SMART SUMMER

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WELL-BEING

“An Ancient Medicine for Modern Timesâ€? (DUQ DQ DFFUHGLWHG 0DVWHU¡V 'HJUHH LQ 2ULHQWDO 0HGLFLQH ZLWK D %DFKHORU¡V LQ 1XWULWLRQ RU D 0DVWHU¡V &HUWLĂ€FDWLRQ LQ $FXSXQFWXUH

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Dr. William Dunbar, President of Midwest College

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Sleep Disorders People who have trouble sleeping may try dietary supplements, relaxation therapies, or other forms of complementary and alternative medicineA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. (CAM) in an effort to fall asleep faster, stay asleep longer, and improve the overall quality of their sleep. This fact sheet provides basic information on sleep disorders and “what the science says” about the effectiveness of CAM practices people use as sleep aids. If you are considering a CAM therapy for sleep problems, this information can help you talk with your health care provider about it. ABOUT SLEEP DISORDERS Chronic, long-term sleep disorders affect millions of Americans each year. These disorders and the sleep deprivation they cause can interfere with work, driving, social activities, and overall quality of life, and can have serious health implications. Sleep disorders account for an estimated $16 billion in medical costs each year, plus indirect costs due to lost productivity and other factors. There are more than 80 defined sleep disorders. Insomnia—difficulty falling asleep, difficulty staying asleep, and/or poor sleep quality—is one of the most common sleep disorders. Insomnia tends to increase with age, and is often associated with an underlying medical or psychiatric condition. Other sleep disorders include sleep apnea (breathing interruptions during sleep), restless leg syndrome (a tingly or prickly sensation in the legs), and narcolepsy (daytime “sleep attacks”). This fact sheet focuses on insomnia. To learn more about healthy sleep, visit the National Heart, Lung, and Blood Institute’s Your Guide to Healthy Sleep.Lifestyle changes—for example, establishing a regular sleep schedule, relaxing before bedtime, exercising regularly, and avoiding alcohol, caffeine, and nicotine—can sometimes improve sleep quality. (A common misconception is that drinking alcohol will aid sleep; although it can bring on a light sleep, alcohol actually robs people of the deeper stages of sleep.) Many prescription medications and over-the-counter sleep aids are widely advertised and used for insomnia; most have side effects and are intended for short-term use. Evidence suggests that cognitive-behavioral (nondrug) therapies for insomnia may have long-term benefits. People with insomnia may also try dietary supplements and other CAM therapies. CAM USE FOR INSOMNIA In 2002 and 2007, the National Health Interview Survey (NHIS) asked participants about CAM use. In 2002, 2.2 percent of respondents who used some form of CAM in the past 12 months said they used it for insomnia or trouble sleeping; in 2007, that figure was 1.4 percent. An analysis of data from the 2002 NHIS found that 17.4 percent of all participants said they regularly had insomnia or trouble sleeping in the past 12 months; most who reported insomnia also reported other medical/psychiatric conditions, such as anxiety or depression, chronic heart failure, diabetes, hypertension, and obesity. Among participants with insomnia, 4.5 percent (which translates to a total of 1.6 million U.S. adults) used some form of CAM to treat their condition—primarily biological/herbal therapies (64.8 percent) or mind-body/relaxation therapies (39.1 percent). Most found these therapies helpful. Among the CAM approaches that people use for insomnia are Herbs, including aromatherapyA therapy in which the scent of essential oils from flowers, herbs, and trees is inhaled to promote health and well-being., chamomile tea, and herbal supplements such as valerian and various “sleep formula” products Melatonin and related dietary supplements Other CAM modalities, such as acupunctureA family of procedures that originated in traditional Chinese medicine. Acupuncture is the stimulation of specific points on the body by a variety of techniques, including the insertion of thin metal needles though the skin. It is intended to remove blockages in the flow of qi and restore and maintain health., music therapy, and relaxation techniques.

Dr. William Dunbar, President of Midwest College

JULY 2017 MHL

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Redifing Health

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By Kalpana (Rose) M. Kumar, M.D. We have had three decades of variations in public opinion ranging from the Atkins diet to Paleo, low fat diet to high fat, South Beach to The Blood Type diet. People are mostly confused. These quick fixes have not worked. True scientists view evidence as a way to gauge success and failure based on data over time. As a scientist, I can assuredly say that what public opinion has historically considered ‘healthy’ has failed miserably. We are sicker, and more obese, tired, and more depressed than ever before in the history of the human race with sky rocketing rates of cancer and heart disease. What has gone wrong? I have been a physician for more than three decades. Around the time I graduated from medical school, the nonfat, low fat movement was well underway. It resulted in mass blood sugar dysregulation and obesity. Then Atkins came along to fix that. It created heart disease and cancer and the same has been true for the Paleo diet. The public grabs hold of these for their promised quick fix value leaving a trail of disease in its wake. The body does not respond well to quick fixes. Furthermore, the way we manipulate and treat our bodies in our culture reflects our adversarial relationship with it. The body has a tremendous capacity for healing, it has an innate wisdom and how it feels and looks is simply its response to how we are treat it. The body has natural rhythms and mechanisms that are intricate and interconnected and not understood very well by our medical system. The body functions like a web of many moving parts, which communicate with one another and require alignment. It can sense exploitation, manipulation, shame, hatred, sadness, grief, and disdain. It also senses love, care, alignment, nourishment, community, collaboration, and joy. Our body knows us by heart. It merely responds to whether it is nourished and supported by our behaviors towards it and our relationship with it. I see the body as an information communication system. It responds to what we feed it by gaining weight when we feed it foods that lack nourishment. We call these ‘empty calories’. It responds by being depressed when we don’t honor our feelings or try to deny or suppress them with medication or by pharmaceutically or surgically manipulating its natural cycles. We have normalized this behavior for nearly 50 years. Our bodies have been informing us that this form of relationship doesn’t work. The body needs to be treated as a sacred vehicle, one that has innate wisdom, far exceeding our egoic minds. Our current relationship with our bodies is toxic. Now, in my mid-fifties, I look back at the information my body has given me for nearly six decades and feel grateful for having begun listening to its call when I did in my twenties. Growing up in India, where the body is adorned and fed healthful, beautiful, and nourishing food assisted a great deal; but I too had an adversarial relationship with my body. The collective culture imprinted me as well to shame and disregard my body and I was no different than most of us in this manner. But when I began to understand that my body had needs and I needed to serve it well so it could function in an optimal way, I stopped normalizing the dysfunctional way society and my medical training had imprinted me and began to heal my relationship with it. When we function according to societal norms, we shut off our body’s signaling system. We grow numb to it and eventually become ill due to our disconnection from our inner guidance system, taking guidance from societal norms. I believe illness or RETHINK>>page 47

MHL JULY 2017

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All types of tea (green, black, and oolong) are produced from the Camellia sinensis plant using different methods. Fresh leaves from the Camellia sinensis plant are steamed to produce green tea.

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Green tea and green tea extracts, such as its component EGCG, have been used to prevent and treat a variety of cancers, including breast, stomach, and skin cancers. Green tea and green tea extracts have also been used for improving mental alertness, aiding in weight loss, lowering cholesterol levels, and protecting skin from sun damage. How Green Tea Is Used

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Laboratory studies suggest that green tea may help protect against or slow the growth of certain cancers, but studies in people have shown mixed results. Some evidence suggests that the use of green tea preparations improves mental alertness, most likely because of its caffeine content. There are not enough reliable data to determine whether green tea can aid in weight loss, lower blood cholesterol levels, or protect the skin from sun damage. NCCAM is supporting studies to learn more about the components in green tea and their effects on conditions such as cancer, diabetes, and heart disease.

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Green tea is safe for most adults when used in moderate amounts. There have been some case reports of liver problems in people taking concentrated green tea extracts. This problem does not seem to be connected with green tea infusions or beverages. Although these cases are very rare and the evidence is not definitive, experts suggest that concentrated green tea extracts be taken with food, and that people should discontinue use and consult a heath care practitioner if they have a liver disorder or develop symptoms of liver trouble, such as abdominal pain, dark urine, or jaundice. Green tea and green tea extracts contain caffeine. Caffeine can cause insomnia, anxiety, irritability, upset stomach, nausea, diarrhea, or frequent urination in some people. Green tea contains small amounts of vitamin K, which can make anticoagulant drugs, such as warfarin, less effective. Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care.

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CHILDRENS HEALTH

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

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•Confidence — All through the camp experience, children and youth have tried new activities and been successful; they feel empowered.

CAMP SKILLS & SCHOOL WHAT’S THE

Magic OF CAMP?

Millions of parents chose camp for their child or teen because of the immense benefits of the experience. Not only does camp foster making new friends and learning 21st century life skills like independence, problem-solving, and teamwork, Children are suddenly free to face challenges but it’s also fun!and Asaccomplishments the summer fades children return to thatand are theirs alone school, ACA chief executive officer, Peg Smith, reminds parents to pack a few extra items from camp in the school backpack:

22 MHL MARCH 2017

•Curiosity — Camp has given children and youth the chance to explore, study, and observe in an experiential learning environment. Michael Thompson, Ph.D. Why are people so loyal their sleepchildren away camps? What exactly character hap•Character — Camp hastochallenged and youth to develop pens at camp that makes people rhapsodize about the experience thirty or to — through fostering respect for each other, a sense of community, and the ability forty years later? Whenever I tell people that I am curious about the camp solve problems. experience, the stories start tothese pour skills out. “I loved my camp,” they say in a the How can parents help transfer into the classroom? ACA suggests dreamy voice. following tips: What is it about the summer camp experience — just a few weeks away •Remember Remind campers come home, they often for perhaps two to or three seasons— —When that goes so deep under their skin? Askeep the spirit of camp alive for a week or two, and then things trail off. Use positive a psychologist, I am curious about the mystery of camp. What’s the magic reinforcement to remind campers that you appreciate the positive attitude and willingingredient? ness toAfter help that they summer developed camp. a whole of at sitting in on campfires, cabin chats, and dining hall sing-alongs; after laughing lot set of the sillyexample campfire after •Become Camp-Like — through Familiesacan byskits; demonstrating watching to kids compete in coloratwars andincanoeing contestssome and stage a willingness change something home order to sustain of thefirstchanges rate productions Broadway — I’mworker closer to anpsychotherapist, answer. campers have made. of Bob Ditter, amusicals clinical social and sugFirst, it ishave absolutely magical for kids be away from parents. The in gests: “Parents to make a decision. Aretothey willing totheir change something most satisfying childhood (think back your own theirsweetest, practice at home in order moments to sustainof some of the changes theirtokids have made, are almost whenyou youput areupaway from parents. Children are suchlife) as having a jobalways wheel that on the wallyour outlining chores?” suddenly free to face challenges and accomplishments that are theirs alone •Everyone Gets a Say — At camp, children help determine how their — experiences that don’t have to be run through the parental cognitive-ruday is spent. Their advice is actively sought, and they feel like equal players. Emulatminative-metabolic-judicial machinery. ing this environment at home allows them to continue to stand up for themselves and Secondly, the relationship between campers and counselors is pure gold. feel like a contributing member of the household. The younger kids love and admire the counselors, and that respect brings •Avoid the Negative Compliment — Don’t inadvertently out the best in young adults. They are at their most responsible, compas-sabotagesionate, efforts by pointing out differences in behavior. Instead of saying, “you and loving when they are put in charge of younger children, andnever did this before,” praise the behaviors in a genuine way. For example, “I noticed the younger children knock themselves out trying to impress these young how patient you were with your little brother.” demi-gods. “Above all else, let your child knowthey thatcreate what they learned at camp is own going to Finally, if camps are successful, a private world with its serverules them well when they go to school this fall,” said Smith. and rituals and magic. Deep down, all children want to have their own About ACA with no (apparent) safety net. Suburban life and school don’t adventures The American Camp (ACA) to preserve, promote, and enprovide children withAssociation® much of an arena forworks adventure or their imaginations. hance the camp experience for children and adults. ACA-Accredited® camp Camps have the ability to create that world that belongs only to a child and programs ensure that children are provided with a diversity of educational and develophis or her friends. Now that is magic. mentally challenging learning opportunities. There are over 2,400 ACA-accredited camps that meet up to 300 health and safety standards. For more information, visit www.ACAcamps.org.

JULY 2017 MHL

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By Arlene Becker It is not too early to start thinking of summer camps for our kids. It’s only another month until school ends and then summer vacation is here. Planning now for a fun and productive summer for children is a smart thing to do. Take the time to research the summer camps in your area, and as in researching anything, it’s good to hear from an expert. Andrea Banda director of the Elite Sports Clubs’ summer Scamp Program is an expert on camps and offers her advice: “First decide whether your child should be enrolled in a half- or full-day camp. The plus of half-day camps is that children of a young age are able to participate in camp-like scenarios. They will make good friends; plus enjoy tennis, swimming and other sports.” However, you should choose what suits your family best. Families have different priorities. She mentioned that Elite offers both half- and full-day camps to accommodate parents who need a full-day program or parents who want their young ones to have a camp experience for a couple hours a day. Many camps in the area offer early childhood enrollment, Banda said, “The youngest age that can enroll in Scamp is 4 years old,” she continued. “They would be able to attend the half-day program. When kids are 5 and have been in a full-day school setting, they can do the full-day program.” “Camp is a great opportunity for kids to be exposed to a variety of different activities,” she elaborated. “Group games, crafts, theme days, open swim and playground time and sports are a few of the many activities we offer at Elite. For example at Scamp full-day kids will participate in karate lessons taught by our experts and will also have a tennis lesson every day taught by our tennis pros and swimming lessons everyday taught by our aquatics team. This camp offers real lessons that will expose your child to three different life-long sports and then teach them to improve on skills and excel in each one. Children also go on one field trip a session. We also offer one week themed camps. “ Tamarack, our teachers the arts camps into alloraspects When tasked if siblings should beintegrate sent to different different sessions, of learning, developmentally appropriate anddirector specialty Banda responded, “In my experience as a momcurriculum, of 3, and the of Scamp for classesshe including: music, handwork, and foreign language. 5 years,” went on, “I would say separating siblings is best. They can be signed up for thethrough same camp, I would suggest asking to have them assigned to different Pre-K Highbut School. High Sinch groups. Siblings tend to be competitive which can cause arguments theogroup ol that Opcan otherwise wouldn’t take place. Also being in the same group hinder them en House from branching out and making friends with other kids in M theiragroup.” rch 19are , 1 doing. - 4pm “Do speak to your children’s counselors to see how your kids Scamp Caand counselors speak to parents on a regular basis, at drop-off times,” she ll fopick-up r info! explained. “I suppose they are like teachers for the summer, guiding and teaching the High School: 2628 N. Dr. Martin Luther King Jr. Dr. ~ 414.265.7075 ~ 414.277.0009 Grade School: 1150 E.and Brady St. each ~ tamarackwaldorf.org children to behave treat other with kindness and respect

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HOW TO AVOID BRAIN DRAIN AS YOU AGE An estimated one out of five people aged 75 to 84 has Alzheimer’s disease. Among those aged85 or older, it’s two out of five. By Bonnie Liebman Can’t remember that new neighbor’s name? Not sure why you came into a room or what you planned to say? Can’t find your keys? Odds are, those are normal signs of aging. But when you leave your wristwatch in the refrigerator, can’t remember common words like “toothbrush,” can’t find your

way home, or can’t remember how to use a key—those are more likely to signal Alzheimer’s or other kinds of dementia. An estimated one out of five people aged 75 to 84 has Alzheimer’s disease. Among those aged 85 or older, it’s two out of five. While some risk factors, like Alzheimer’s-prone genes, can’t be changed, dementia may not be inevitable. Whether you eat a healthy diet, keep moving, and use your brain may make a difference. “For so long, Alzheimer’s disease was considered an inevitable consequence of aging,” says researcher Martha Clare Morris of the Rush Institute for Healthy Aging in Chicago. “In the last 10 to 15 years, it’s started to look more like heart disease,” she explains. “Heart disease research has given us many tools to lower risk—diet, exercise, weight, cholesterol, blood pressure. Alzheimer’s may also have multiple risk factors.” In fact, Alzheimer’s may have some of the same risk factors as heart disease. Researchers now believe that only a blurry line separates Alzheimer’s and vascular dementia—which occurs when blood vessels that feed the brain become narrowed or clogged, either slowly or after a stroke. One difference between heart disease and dementia: “Heart disease research is 30 years ahead,” says Morris. Why do some brains stay sharp while others get fuzzy as they age? To find out, researchers are looking not just at who ends up with a diagnosis of dementia. They’re also looking at people who don’t have dementia, but whose scores on memory tests decline after a few years. For example, in the Chicago Health and Aging Project (CHAP), which has been tracking roughly 3,700 older people since the mid-1990s, the participants take cognitive tests every three years. Among them, “subjects are read a story and asked to repeat the main theses to test their immediate memory, and again 15 minutes later to test delayed memory,” says researcher Martha Clare Morris. Another example: In the timed digit-recall test, “we pair symbols with numbers,” she explains. “Then we present a series of symbols to see how fast participants can name the corresponding numbers.” When a person’s scores on those kinds of tests drop significantly over time, it’s called “cognitive decline.” Here’s a sampling of steps you can take to keep your brain in shaped over the next five or ten years. Since much of the brain research is in its infancy, we include only advice that—even if it doesn’t help your mind—should lower your risk of heart BRAIN>>page 25

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BRAIN<<page 23 disease, stroke, diabetes, cancer, or other illness.

Shoot for two or three servings of fatty fish each week.

The polyunsaturated omega-3 fish oil—DHA (docosahexaenoic acid) and EPA (eicosapentaenoic acid)—seem to protect the heart. And there’s growing evidence that they may also protect the brain. “EPA is anti-inflammatory, and inflammation is part the Alzheimer’s disease syndrome,” says William Connor, a heart disease expert at the Oregon Health & Science University in Portland. But the evidence for DHA is even more compelling. It’s the most prominent fat in the brain, especially in the nerve cells in the cerebral cortex. “People with Alzheimer’s have less DHA in their cerebral phospholipid cell membranes than normal people,” explains Connor. “Taking DHA could replace the missing DHA.” When researchers feed DHA to adult monkeys who have been on DHA-deficient diets, the DHA gets into their brain phospholipids. “The DHA crosses the blood-brain barrier and enters the brain,” explains Connor. “We think there’s wear and tear on polyunsaturated fats in the brain all the time, and that they’re constantly getting replaced.” So far, only a handful of studies have tried to see if fish or omega-3 fats are linked to cognitive decline. But they’re promising: In the Framingham Heart Study, which tracked nearly 900 healthy older men and women living in the Boston suburb for roughly nine years, people with the highest blood levels of DHA—they ate about three servings of fish per week—had about half the risk of dementia compared to those with lower levels. In the Zutphen Elderly Study in the Netherlands, which followed 210 older men for an average of five years, those who ate no fish had more cognitive decline than fish eaters. In the Atherosclerosis Risk in Communities (ARIC) Study of more than 2,200 older residents of the Minneapolis suburbs, scores on a verbal fluency test (“write as many words as you can in one minute that start with F, A, or S”) were less likely to decline in those who had higher blood levels of omega-3 fats. Omega-3s only appeared to protect people who had high blood pressure or a combination of low HDL (“good”) cholesterol and high triglycerides. In the Chicago Health and Aging Project, cognitive decline was 10% slower among people who ate fish at least once a week than among those who ate fish less often. “The preponderance of studies shows an association between fish consumption or DHA and cognitive decline,” says Connor. “But it’s only an association, so it may be time for a more definitive clinical trial.” Until then, he recommends omega-3s, but not necessarily for the brain. “My advice is to consume fish to prevent heart disease,” says Connor. “There’s no harm, and it might also prevent Alzheimer’s.” Shoot for two or three servings of fish per week. To get the amount of omega-3s that seemed to protect the Dutch men, you’d have to eat five ounces a week of fatty fish (like salmon) or 30 ounces a week of leaner fish (like cod, haddock, or tuna). If you don’t eat fish, taking fish oil capsules or vegetarian omega-3s from phytoplankton is second best, says Connor.

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Limit bad fats.

It’s clear that saturated and trans fats are bad for your arteries. Could they also harm your brain? The Chicago Health and Aging Project study tracked 815 healthy people for nearly four years, and then searched for clues about the 131 who were diagnosed with Alzheimer’s. “We saw a doubling of the risk of Alzheimer’s disease among those who ate the most saturated fat versus those who ate the least,” says CHAP researcher Martha Clare Morris. (Those who ate the most sat fat averaged 25 grams a day, while those who ate the least averaged half that much.) The risk was also roughly double among those who ate more than about 1.8 grams of trans fat a day (the amount eaten by the group with the lowest trans intake). In a second study, which tracked more than 2,500 people for six years, “we found a faster rate of cognitive decline in people who consumed the most saturated and trans fat,” adds Morris. And in April, the ARIC study reported significantly more cognitive decline in people with higher blood levels of palmitic acid, which is found in saturated fats. It’s not clear how bad fats might affect Alzheimer’s risk, but there’s reason to suspect a link. “The only gene that’s been linked to late-life Alzheimer’s is apoEe4, which encodes a cholesterol-transport gene,” notes Morris. “And cholesterol-lowering statin drugs seem to protect against Alzheimer’s in some studies.”

Eat leafy greens.

Kale, iceberg lettuce, romaine lettuce, and raw or cooked spinach. That’s the group of “leafy greens” that could keep you thinking straight. When Harvard researchers gave tests measuring verbal memory, working memory, and other cognitive skills by phone to 13,000 nurses twice between 1995 and 2001, those who reported eating the most vegetables had a slower cognitive decline than those who ate the least.

JULY 2017 MHL

Problems in Living Problems in living typically cause emotional and physical stress and often leave you feeling that you can’t stand yourself or the world around you. By Boris Matthews, Ph.D. Problems in living typically cause emotional and physical stress and often leave you feeling that you can’t stand yourself or the world around you. If you take the time and energy to work through the problem consciously, you can come to know yourself better than ever, as well as find a more authentic and satisfying way to be in the world. The challenge is finding out how to use your external adaptedness for the good of your most personal and intimate life, and how to bring it to the right pitch of development.

Florence came to her therapy session in turmoil. “I’ve got this awful burning sensation in my stomach, and it’s not acid indigestion,” she said. Flo looked agitated and weary. “A burning sensation in your stomach,” I repeated. “Can you tell me more about that burning sensation?” “Well, it’s not just that. I feel like I’m going to burst, just explode. And I don’t know what it’s about.” Florence lived a busy, stressful life. Her family and her job of several years took a lot of energy. She had an autistic son and older parents who would soon need to be moved out of their home of 51 years. She loved both her family and her job, even though she sometimes felt overextended. Flo tried to resolve these issues by exploring her conscious feelings with no relief. She understood everything about her life situation except what was causing the burning sensation in her gut. It didn’t make any sense to her. I asked Flo if she recalled any dreams since our previous session. “I did have a troubling dream. I saw this huge bonfire. And in the middle of it I saw a person, a figure, and it looked like it was eating somebody, shoving a human body into its mouth.” Flo shuddered. Cautiously I asked her to talk about what was going on in her current life and notice the sensations that came up. (I was wondering where she might feel both “burned up” and “devoured.”) By the end of the session, Florence had begun to recognize that her beloved family and her satisfying job didn’t leave her much time or energy for herself. In the course of further work, Florence and I realized that she had put a few strong interests on hold to address the needs of others. “Devoured,” she realized, was a good way to image the demands she felt from many sides. In moments when Florence was not focused on job or family, thoughts about those neglected interests flitted through her consciousness. Those interests were “heating up.” They were the “fire” that was “burning up” the all-consuming obligations that Flo had taken on--(the devouring figure in the dream). Over the course of several months, Flo came to see that the balance between obligations she wanted to fulfill and nurturing and cultivating personal needs and interests was one-sided. It was difficult for her to make choices that did not immediately respond to other people’s needs. She needed to set boundaries to allow herself time for the things she loved: spiritual reading and pottery. As she chose more consciously and deliberately to nurture herself, she experienced less and less stress and the burning sensation in her gut gradually diminished. Flo began to be more satisfied with her life. Roger worked hard at his job managing the shipping and receiving department of a local business. He was efficient and conscientious. He was generally liked by

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If you take the time and energy to work through the problem consciously, you can come to know yourself better than ever, as well as find a more authentic and satisfying way to be in the world.

AGE<<page 34

AGE

Expanding participation to under-represented groups Ex Leveraging existing infrastructure developed by ORCAT Le testing its platform in older adults’ homes this year. Particip testin his co-workers, but his interactions with them were usually rather shallow. When I come housing in Portland, veterans in the rural Pacific Nort come asked Roger about his interpersonal communication, he said he joked around a lot and Latinos in Miami. and L and didn’t feel he could relate to anyone very deeply. Sdvv#rq#|rxu#zlvgrp Sdvv#rq#|rxu#zlvgrp “It’s a broad infrastructure designed to be dynamic in res “It Roger had been married for 11 years. His wife worked as a pharmaceutical rep. wr#wkh qh{w#jhqhudwlrq incorporating newwr#wkh measures and devices as they become ava qh{w#jhqhudwlrq incorp Roger’s wife told him she wanted a divorce. I asked Roger to tell me how he felt. companies to bring new technology to the market, but wit comp “I’m coming apart at the seams,” he said. “I don’t know if I can hold it together.” product claims. By testing the products in larger groups o produ Roger’s world— the structure by which he and his wife had lived for most of their Li#|rxġuh#88./#yroxqwhhu# show what works Li#|rxġuh#88./#yroxqwhhu# and for whom it works, and what might m show dw#d#PSV#hohphqwdu|# dw#d#PSV#hohphqwdu|# marriage—was indeed dissolving, and Roger’s feelings clearly depicted what was Other NIH funders include the National Cancer Institute, N Oth vfkrro#iru#mxvw#<3# vfkrro#iru#mxvw#<3# happening. “Yes, Roger,” I said, “the day-to-day world you have known is indeed ing and Bioengineering, National Institute of Neurological D ing an plqxwhv#rqfh#d#zhhn# plqxwhv#rqfh#d#zhhn# breaking apart. So it feels like your world in fragmenting.” of Nursing Research, National Center for Advancing of Trans Nu “The structure of your life is changing. You have to find a new way to deal with dqg#vhh#d#fklog#vxffhhg1 of Behavioral anddqg#vhh#d#fklog#vxffhhg1 Social Sciences Research. The VAof Heal Be fdoo=#+747,#553#0#;986# both the world you live in and yourself. It doesn’t feel Iru#pruh# good, and I know whatfdoo=#+747,#553#0#;986# I’m Iru#pruh#Service also Servi plans to support the project. hpdlo=#wxwruClqwhuidlwkploz1ruj# hpdlo=#wxwruClqwhuidlwkploz1ruj# saying isn’t much comfort.” Roger didn’t look very reassured. ylvlw=#zzz1lqwhuidlwkploz1ruj lqirupdwlrq=The wireless ylvlw=#zzz1lqwhuidlwkploz1ruj Th lqirupdwlrq= CART home Roger looked frightened. “I don’t know Pass how to do anything but joke around!” he isn’t n protested. “Yes, that’s probably part of what cost, went wrong in your marriage, Roger. People conce need deeper connection than joking around. www.cardinalcapital.us www.c tion s You can learn new skills that invite people “Id to share themselves with you in a more intrus Independent Residences Serving The Needs O satisfying way. And you can find ways of to pro Independent Residences Serving The Needs Of Our Communities showing others more of who you really are. exam This crisis in your life can lead to something cally better—but you have to be willing to do the allow necessary work to make that happen.” speed Over the course of several months, Roger cline and I met weekly. I suggested various matepriva rials he could study and we discussed how es ca he could apply what he was learning. We exDa plored ways he could be more authentic and ing a invite people into deeper conversations. tion a His wife followed through with the disocia vorce. It was hard on Roger. At the same becom time he recognized he was learning to enperso gage people in more satisfying ways. Roger Dr. K is still discovering that he is more than a guy A who always jokes around. Now he feels that will a he is rebuilding his world in a more solid to m way. He’s getting his feet back on the more mood solid ground of his authentic nature. tal vi Florence’s burning sensation in the belly Our apartment home CA and Roger’s feeling that he was falling apart CA Our apartment home communities provide a are two of the several experiences people Kaye can have when their status quo is beginning then communities provide a caring staff, friendly to change. When your live has been too narthe F row, the life force in you challenges your of He caring staff, friendly neighbors, & plenty of limited range. Both Florence and Roger had Indep been living restricted, inauthentic lives. tiativ Many people feel as though they are beneighbors, & plenty of comforts of home. resea ing confined, imprisoned, restricted, and tied At down. As they explore their lives in therapy, comforts of home. ers c they begin to recognize that for all the freetechn dom they have experienced they don’t feel data. very substantial or grounded. Their lives of rec Cardinal Capital Management have been provisional. Hear is committed to equal None of us successfully avoids problems in wh in living. They are part of the natural prohousing opportunity & gies cess. The challenge is to find the best fit we fully comply with the Olde between what we essentially are and the cirabilit Federal Fair Housing Act cumstances in which we exist. Cons ---------Scien Boris Matthews, Ph.D., is an Analytical NI Psychologist. He practices at The Ommani think Center for Integrative Medicine, 1166 Quail whol Court, Pewaukee, WI Phone: 262-695even 5311. www.ommanicenter.com Dr. Mattime, thews is also a long-time faculty member at visit the C.G. Jung Institute of Chicago where he it wi 38 MHL MARCH 2017 teaches a new generation of therapists. healt 38 MHL MARCH 2017

JULY 2017 MHL

PARTICIPATING IN ACTIVITIES YOU ENJOY

MORE THAN JUST FUN AND GAMES

A number of early studies found that people who are involved in hobbies and other social and leisure pursuits may be at lower risk for (and less likely to develop) some health problems, including dementia. June feels great. She enjoys gardening, playing cards with friends on Tuesdays and Fridays at the senior center, and taking a water aerobics class at the county indoor pool. She turns 78 this year, but she feels like she’s still in her thirties. Does June’s active lifestyle have anything to do with her good health and good function? Researchers would likely say “yes.” There are many things you can do to help yourself age well. Physical activity, exercise, and making healthy food choices are the cornerstones for most suggestions about healthy aging. But emerging research also indicates the possibility that engaging in social and productive activities you enjoy, like taking an art class or volunteering in your community or with your place of worship, may also help maintain your wellbeing. A number of early studies found that people who are involved in hobbies and other social and leisure pursuits may be at lower risk for (and less likely to develop) some health problems, including dementia. They might even live longer. In one study, older adults who reported participating in social activities (e.g., played games, belonged to social groups, traveled) or meaningful, productive activities (e.g., had paid or unpaid jobs, gardened) lived longer than people who did not. Researchers are exploring if participation in these

MHL JULY 2017

kinds of activities can be the direct cause of positive health outcomes. Melvin has not quite felt like himself since he retired. He worked at the same job for over 50 years and enjoyed his daily routine. Now, Melvin misses catching up with his customers and hearing about their families. He misses teaching new employees the ins and outs of the trade. He misses waking up feeling like he has a purpose. Melvin heard about a program at a library where retired people volunteer to help children with homework. He thinks that might be a good idea for him. Research shows that people who are sociable, generous, and goal-oriented may be happier and less depressed than other people. Sitting at home alone could help explain why Melvin is not feeling like himself. Volunteering might help Melvin feel better. According to researchers, older adults who participate in what they believe are meaningful activities, like volunteering in their communities, say they feel healthier and happier. For example, older adult volunteers from an urban community worked approximately 15 hours a week in their neighborhood public elementary schools, in a special program designed to improve children’s school success. Researchers learned that the older volunteers increased their cognitive, social, and physical activity

levels. Participants also reported feeling personal satisfaction from the experience. Although more research is needed, researchers think that over the long term the participants may have decreased their risk for disability, dependency, and dementia in later life. When Maria was younger, she took part in rallies for local issues and even went to Washington, DC, to hear Martin Luther King, Jr.’s “I have a dream” speech. Maria is proud she participated in these events. She cur rently serves lunch at a homeless shelter twice a week but is looking for a second activity. Maria has been learning about the problems with the environment and wants to get involved in finding a solution. She thinks it would be a good way to volunteer her time and give back. Many causes need help from volunteers. For example, groups that help homeless people need volunteers to serve meals or organize clothing donations. The USO needs people to send care packages to soldiers stationed overseas. Animal shelters need help caring for dogs and cats. Senior groups need aides to help people with disabilities run their errands. Researchers have found that older adults, like Maria, who take part in these types of activities often do so to make a difference in their communities and feel good about what they are doing.

SENIOR HOUSING With more and more baby boomers getting ready to retire, the senior housing market is growing with new senior housing developments.

By Jan Rupnick 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. With more and more baby boomers getting ready to retire, the senior housing market is growing with new senior housing developments. Some baby boomers are looking into senior housing options for themselves, while others are looking for communities that can help care for their aging parents. Finding the right option comes down to knowing what’s available and understanding the needs of the person who is going to be living in the community. Below are descriptions of the various senior housing options available and the segments of the senior population that they serve. Independent 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. Assisted Living Assisted living provides a great alternative for seniors who need some additional help with medication, grooming, dressing, eating, etc. Assisted living has two options including; Residential Care Apartment Communities (RCAC), which allows seniors to live in their own apartment, but only offers 28 hours of care, and CommunityBased Residential Care Facility or CBRF. This type of community is an ideal living option for seniors who need more assistance that what can be provided by an RCAC, offering care 24 hours a day, seven days a week. Assisted living communities tend to offer more of a residential, home-like environment, as well as provide meals, social activities, housekeeping and transportation. Specialized Care Community There are some CBRFs that specialize in caring for one kind of illness. One of the most common is an Alzheimer’s or memory impairment care community. In specialized assisted living communities, the environment, staff and programming is specifically designed to meet the unique needs of those individuals who are living there. Like a non-specialized assisted living community, a specialized care community also provides 24/7 care, social programming, meals, housekeeping and transportation are generally provided. Nursing Home This is probably the most commonly known, but often confused type of senior living option. It’s also one of the only options that used to be available to seniors. Nursing homes provide 24-hour skilled nursing services for seniors who need rehabilitation after a surgery, or require care for issues like feeding tubes. The levels of hospitality services in nursing homes vary greatly depending on their targeted clientele. Whether you’re looking to down-size your home or a community to meet the needs of an aging parent, there is a senior living community to meet your needs. Being prepared and understanding the options available will help you to choose what type of senior living community is best for you or your loved one. JULY 2017 MHL

28 MHL MHL JULY MARCH 2017 2017

The NIH Annual Pain Consortium Symposium took place on May 30 and June 1 on the NIH campus this year. The annual meeting, which highlights current knowledge and advances in pain research supported by the NIH and other agencies, was particularly timely, as pain management and the use of pain medications is a topic that has gripped the nation over the past year. It’s more critical than ever that we find new ways to evaluate and manage pain. The NIH Pain Consortium, which sponsored the meeting, comprises leadership and staff of more than 20 NIH Institutes, Centers, and Offices to coordinate pain research across the NIH. The NIA is one of those Institutes, supporting research focusing primarily on pain in aging and in older adults. In fact, we have our own internal working group of program staff who meet regularly to coordinate NIA’s pain research efforts. Together with my colleagues Molly Wagster, Coryse St. Hillaire-Clarke, and Adam Steinmetz in our Division of Neuroscience; Lisbeth Nielsen and Amelia Karraker in our Divi-

SEEKING NEW APPROACHES TO PAIN MANAGEMENT

sion of Behavioral and Social Research; and Deputy Director Marie A. Bernard, we work together to support research that will advance our understanding of pain, its management, and outcomes in older adults.

Treating different types of pain

Some people may think that pain and aging are synonymous. But research paints a more nuanced picture of pain in older age. Persistent pain affects a substantial portion of the older population, but it can vary in severity, location, and quality. Importantly, pain also differs considerably in its impact on function and quality of life. Persistent pain is a daily reality for many older adults despite treatment. So, maximizing function and minimizing pain’s interference with life is an essential part of a management plan. The good news is that we have a diverse array of therapeutic modalities. Medications can provide effective pain relief, though physiologic changes with aging, underlying health conditions, and concurrent medications can interfere with their effectiveness, as well as sometimes producing undesirable side effects. Devices, rehabilitation strategies, and complementary and integrative health techniques are also widely used. Many of these approaches rely on the multiple ways in which pain signals can be modulated by a person’s experience, expectations, mood, or environment. Fam-

ily members and other caregivers also can play significant role in managing an older adult’s pain. This is particularly important in the case of Alzheimer’s disease and other forms of dementia or cognitive impairment. People are affected by pain even if they can’t communicate about it in routine ways.

Research opportunities

At NIA, we want to support science that will lead to advances in our understanding of pain from neurobiological, clinical, and behavioral perspectives. I invite you to take a look at our funding announcements which show the kinds of studies we think might be undertaken to address these areas: :

Advancing the Science of Geriatric Palliative Care

Marijuana, Prescription Opioid, or Prescription Benzodiazepine Drug Use Among Older Adults Improving Quality of Care and Quality of Life for Persons with Alzheimer’s Disease and Related Dementias at the End of Life Mechanisms, Models, Measurement, & Management in Pain Research You can also find a listing of pain-related funding announcements sponsored by other NIH Institute and Centers on the NIH Pain Consortium’s website. If you have questions about the current initiatives, or other ideas for pain research, we welcome your comments.

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TIPS FOR BOOSTING OVERALL HEALTH Getting regular exercise and eating a balanced diet, filled with fruits, vegetables and whole grains, are key strategies to maintaining good overall health. Moderate exercise, for example, can slash your risk of heart disease when performed around three times a week, Healthable explained. And eating a balanced diet can reduce your chances of developing other chronic conditions such as diabetes and certain types of cancer. Additionally, as explained by Shape magazine, exercise can help improve your mood, thanks to the release to endorphins – a chemical that boosts feelings of euphoria. However, exercise and a healthy diet are the not the only ways you can protect your health. There are a number of simple strategies that you can incorporate into your daily routine to stay as healthy as possible. Eager to learn more? We’ve got a run down of some the best tips for boosting your overall health:

1. Opt for white meat A great way to cut down on the amount of saturated fat you eat is to swap out red meat for white meat, Everyday Health explained. For example, when heading out to eat, opt for the turkey burger over the traditional beef patty. And while shopping at the store, consider leaner cuts of turkey or chicken over beef steaks. White meats are far lower in fat and can still provide the essential proteins and B vitamins you need to maintain a balanced diet. 2. Watch out for hidden sources of fat High levels of saturated fat can also be found in the add-ons to meals that are otherwise nutritious – think dressings for your salad, the skin on certain cuts of meat, cream in your morning coffee and so on, Family Doctor detailed. If you use fuller fat products like these routinely, it could negatively impact your efforts to consume a healthier diet. To avoid this, consider opting for low-fat alternatives where possible. Cutting down on dressings or skipping them altogether, although a small step, can also make a positive difference. 3. Drink alcohol in moderation Another effective way to protect your health is to keep an eye on how much alcohol you drink. After all, as explained by the U.S. Centers for Disease Control and Prevention, drinking excessively on a routine basis can increase one’s risk of developing a number of health problems including liver and heart disease. That’s not to mention the fact that heavy drinking can lead to impaired judgment, which in turn can increase the likelihood of accident and injury. The CDC defines drinking in moderation as around two drinks per day for men and one for women. Use these guidelines as a benchmark – if you find that you regularly exceed the recommended number of daily drinks for your gender, consider cutting down. Staying hydrated is a key part of maintaining good overall health.Staying hydrated is a key part of maintaining good overall health. 4. Embrace deep breathing Given how hectic and fast-paced daily life can be, it’s likely that you will experience stress from time to time: Maybe you have a big project at work with the deadline fast approaching, or perhaps you have a big summer party to plan for. Whatever the reason, one way to ease stress and help yourself feel better is by embracing deep breathing. Simply take a couple of minutes to yourself, every few hours or so throughout your day, and breathe in a deep and measured way, exhaling in and out slowly. Care2 explained that this strategy is helpful because it can reduce your levels of stress-inducing hormones that can engender panic and anxiety. HEALTH>>page 33

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lifestyle There is one thing that rings true about Senior’s living independently, they still want to live with less hassle . Time really seems to be at a premium these days, and seniors have done they grind of day to day working and now they are ready to sit back and enjoy life. Well, one nice aspect of independent living is the simple fact that with everything in terms of maintenance taken care of, people have more time for the important things like family and friends. Taking care of a single family detached home or even a town home can take quite a bit of time and that is time that some of us simply don’t have. In a world where the cost of living is rising and Seniors might not want to put their money in repairs and upkeep of their home. For these people a senior community is ideal. The idea with a senior community is that you as an individual own everything inside your walls while the rest of the building is joint owned. A monthly fee is paid to have the responsible of the day-to-day repairs and common area maintenance done not by you. You do not have to worry about finding time to do the yard work so to speak. In fact, unit owners are not responsible for any maintenance outside their front door. Everything, including seasonal concerns like snow removal, leaf raking or just fixing minor roof leaks and exterior concerns. Be careful when deciding on a senior community that you examine the contract carefully and that you know exactly what the monthly fees do and do not cover. Education is key here, you must know what you are getting before you sign anything. Rushing into a purchase is never a good idea as too many things can get overlooked in the rush to make a quick purchase. Take your time and learn about what you stand to gain by this purchase. A senior community is a great way to independently live for seniors who are ready to relax and enjoy a maintenance-free lifestyle.

HEALTH<<page 32 5. Keep your mind active Playing games on your computer, tackling a crossword, reading a good book and even meeting up routinely with friends – these activities are fun, engaging and good for the soul. They can also help keep your brain healthier, Dr. Dan Rutherford explained, in an interview for The Telegraph. Indeed, the Alzheimer’s Association explained that studies have shown that an active mind is less likely to succumb to cognitive decline and dementia, so daily brain exercise is an important way to stay as sharp and healthy as possible. 6. Drink more water Humans need water – it is used in every single one of our bodily processes. In fact, our entire physical make-up is around 70 percent water, Care2 reported. That’s why a basic yet crucial way to improve your health is to drink a fair amount of water throughout the day. A simple way to do this is to bring a water bottle with you when you leave the house and then refill it as needed. Some common ailments, such as headaches, can be the consequence of mild dehydration, so drinking more water is a great way to boost how you feel. 7. Eat more fiber Eating a diet that is rich in fiber can help improve your digestion and reduce your risk of health problems such as irritable bowel syndrome and hemorrhoids, Everyday Health explained. Examples of foods with high levels of fiber include various whole grains, beans and a range of vegetables. 8. Quit smoking It’s no secret that smoking is bad for us. As stated by the CDC, smoking greatly elevates one’s risk of developing chronic conditions such as heart disease and cancer. That’s why it’s important to quit if you do smoke cigarettes. The health benefits of ditching the habit, no matter your age, should not be downplayed. Smoking cessation can significantly lower your previous risks for illnesses like heart disease, and in some cases it is possible to bring your risk level down to what it was before you started the habit. For more information visit www.captel.com

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MEDICARE IS HERE TO STAY By Karyl Richson, Social Security Public Affairs Specialist in Milwaukee, WI Medicare went into effect 48 years ago on July 1, 1966. Earlier that same year, Medicare workers went door to door trying to get seniors to sign up. Medicare was not the cornerstone then that it is today and people did not know whether it was going to work for the long haul. Now, nearly half a century later, Medicare remains one of the most popular government programs in the nation. We can’t see the future, but one thing’s for sure: Medicare is here to stay. Medicare provides health insurance to more than 50 million Americans. Forty-two million are people age 65 and older and the other 8 million are younger and have disabilities. Most people first become eligible for Medicare at age 65. The four parts of Medicare are parts A, B, C, and D. • Part A (Hospital Insurance) helps cover inpatient hospital care, skilled nursing care, hospice care, and home health care. Most people get Medicare Part A premiumfree since it is earned by working and paying Social Security taxes. • Part B (Medical Insurance) helps cover services from doctors and other outpatient health care providers, outpatient care, home health care, durable medical equipment, and some preventive services. Most people pay a monthly premium for Part B. In 2014, the premium for most people is $104.90, the same as it was in 2013. Some high-income individuals pay more than the standard premium. Your Medicare Part B premium also can be higher if you do not enroll when you are first eligible, also known as your initial enrollment period. There also is a Medicare Part B deductible of $147 in 2014. • Part C (Medicare Advantage) allows you to choose to receive all of your health care services through a provider organization. This plan includes all benefits and services covered under Part A and Part B, usually includes Medicare prescription drug coverage, and may include extra benefits and services at an extra cost. You must have Part A and Part B to enroll in Part C. Monthly premiums vary depending on your state, private insurer, and whether you select a health maintenance organization or a preferred provider organization. • Part D (Medicare prescription drug coverage) helps cover the cost of prescription drugs. Many people pay a premium for Part D. However, people with low income and resources may qualify for extra help from Social Security to pay the premium and deductible. To see if you qualify for extra help visit www.socialsecurity.gov/prescriptionhelp. Will you be age 65 soon? Even if you decide not to retire, you should consider applying for Medicare. You can apply in less than 10 minutes using our online Medicare application. Do it today at www.socialsecurity.gov/medicareonly. To learn more about applying for Medicare when you plan to delay retirement, read our publication Applying For Medicare Only—Before You Decide, available at www.socialsecurity.gov/pubs.

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Healthy Aging

HOW TO FEEL YOUNG AND LIVE LIFE TO THE FULLEST But it’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 doesn’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 dateBywith anRichson old friend, or shopping with your children. Even if you are not close by, Karyl callSocial or email frequently keep relationships fresh. Security PublictoAffairs Specialist in Milwaukee, WI Make an effort to make new friends. As you lose at people in youra circle, is vital If you believe in going all the way or not going all, there’s day to itcelebrate to make new connections so your circle doesn’t dwindle. Make it a point to befriend your extreme ways. July 26 is All or Nothing Day. Not a day for the undecided, All or people who you.idea Younger friends can reenergize you and you Nothing Dayareis younger dedicatedthan to the of making decisions and plunging in.help Whether see life from a fresh perspective. it’s overcoming an agonizing fear, trying something you’ve always wanted to try, or Spendatime with at least person every day. You shouldn’t day after making big decision and one seeing it through, All or Nothing Daybeisalone your chance to makePhone it happen. day. or email contact is not a replacement for spending time with other people. All orface-to-face Nothing Day is a great think your retirement—whether it’s Regular contact helps day you to ward offabout depression and stay positive. right in front Giving of you or looming the horizon. is theway righttotime for yousocial to reVolunteer. back to the on community is a When wonderful strengthen bonds and meet others, and the meaning and purpose you find in helping others will

RETIREMENT IS A BIG DECISION

enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share similar values. Even if you’re housebound, you can get involved by volunteering on the phone. Find support groups in times of change. If you or a loved one is coping with a tire? Choosing when to retire an important decision, but it’s alsoinaapersonal chronic illness or recent loss, itis can be very helpful to participate support choice group and one you should carefully consider. There is no one-size-fits-all answer. Social with others undergoing the same challenges. Security a list Healthyoffers aging: Tipsofforfactors boostito ngconsider vitality in the publication, When to Start ReceivingDon’t Retirement Benefits, available at fall for the myth that agingwww.socialsecurity.gov/pubs. automatically means you’re not going to feel If you’re a young or middle-aged worker,physical you stillchanges, have time decigood anymore. It is true that aging involves buttoitponder doesn’tthat have to sion. But don’t wait to begin saving for your retirement. Start saving now and go mean discomfort and disability. While not all illness or pain is avoidable, many of the in all the way. The more you save, the more comfortable your retirement can be. physical challenges associated with aging can be overcome or drastically mitigated And remember, Social Security retirement benefits were not intended to be your sole by eating right, exercising, and taking care of yourself. source of retirement income and planning early will make for a comfortable retireIt’s never too late to start! No matter how old you are or how unhealthy you’ve ment. been in the past, caring for your body has enormous benefits that will help you stay Social Security provides two top-rated online tools to help you plan for your reactive, sharpen your memory, boost your immune system, manage health problems, tirement. First is the Retirement Estimator, which gives you immediate and perand increase your energy. In fact, many older adults report feeling better than ever sonalized retirement benefit estimates. The Retirement Estimator is convenient and because they are making more of an effort to be healthy than they did when they secure, and lets you create “what if� scenarios. For instance, you can change your were younger. “stop work� dates or expected future earnings to create and compare different reHealthyoptions. aging: Tips forhave eating wellminutes, as you age tirement If you a few you have time to check it out at www. As you age, your relationship to food changes along with your body. A decreased socialsecurity.gov/estimator. metabolism, changes and slower digestion affect appeAnother great tool in is taste your and ownsmell, my Social Security account.may Here you your can get intite, the foods you can eat, and how your body processes food. The key is to figure stant estimates of your future benefits and verify that your earnings history is correct out adapt tomy your changing needs. Now,Visit more than ever, healthy eating is withhow yourtoown, free Social Security account. www.socialsecurity.gov/myacimportant to maintain your energy and health. count and join the millions of people who have already created their accounts to help Load on high-fiber fruits, vegetables, and whole grains. Your whole digestive plan for up retirement. system is slower, so fiber is very important. Consume fiber-rich such as whole You can get Social Security retirement benefits as early as agefoods 62, but if you retire grains, fruit, and vegetables. They will help you feel more energetic and give before your full retirement age (currently age 66, but gradually increasing to age you 67), fuel keep going. yourtobenefits will be reduced, based on your age. If you retire at age 62, your beneffortbeinto making your food good.beYour tastebuds as efitPut would about 25 percent lowerlook thanand whattaste it would if you waited aren’t until you strong andretirement your appetite the full same, but your age nutritional are just as reach full age.may Findnot outbeyour retirement by usingneeds our Retirement important as ever. If you don’t enjoy eating like you used to, put You a little more effort Age Calculator at www.socialsecurity.gov/pubs/ageincrease.htm. may choose to into meals, including way flavor, prepare, anddo, present yourincrease food. your keepyour working even beyondthe your fullyou retirement age. If you you can Watch out Security for dehydration. Because physical changes, older adults are more future Social benefits—up untilofage 70. prone to dehydration. make sure you are drinking if you Applying for SocialSo Security retirement doesn’t haveplenty to beofanfluid, “all even or nothing� don’t feel Whether thirsty. Ifyou you’re gettingatenough you’re not going as sharp decision. wantnot to retire age 62,water, your full retirement age,toorbeeven later, and energywhen will you suffer. you your can apply feel like it. When you’re ready to take that plunge, you can Make meals event. It’s more enjoyable to eat with others than alone. Invite apply online fora social retirement benefits at www.socialsecurity.gov. people over. You can share cooking and cleanup duties.

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THE BASICS OF SENIOR DOWNSIZING

IMPORTANCE OF STAYING HYDRATED IN THE SUMMER Water is one of the basic needs required for human life. About 70 percent of the human body is made up of water and your vital organs couldn’t function without it. Reducing the amount toofcontinually furnishings and personal for aespeConsequently, it’s important replenish your body items with water, cially during the warm summer months. senior move can be a daunti ng task, but with the proper prepaHowever, sometimes that is easier said than done. When the weather heats up ration moving ďŹ rm, a senior movemore canquickly, be completed a like during the and summer, you can become dehydrated even if youinfeel you’re drinking enough water. With a little planning on how to stay hydrated, you timely, stress-free fashion. can enjoy a safe and healthy summer full of all your favorite outdoor activities. Senior citizensof account The importance hydration for 50 percent of the residential moves When your on body loses more water than and it takes in – theďŹ state dehydrated currently the housing market, moving rms of obeing ers senior – you don’t have the liquid required to perform normal functions. If you feel tired, services for seniors moving intoordownsized living quarters. irritable or dizzy after being outdoors in a hot room, dehydration could be the culprit. Other symptoms include:

Confusion. Extreme thirst. Infrequent urination. Low blood “Reducing the pressure. amount of furnishings and personal items can be a daunting task, Urine that is dark in color.and moving firm, a senior move can be completed but with the proper preparation in a timely, stress-free fashion,â€? says Tony Baumer, owner of BD Movers. However, avoiding isn’t the reason why staying properly With a 21-year track these recordsymptoms in the moving andonly storage industry, BD Movers hydrated is important. Lack of adequate hydration over an extended period of time offers senior citizens advice and complete references from handy men, to charican lead to other more serious health issues, according to the Mayo Clinic. While ties, even CPA’s and elder lawyers. A senior move can be daunting, but with the minor dehydration can simply be treated by drinking water, severe cases may require correct planning and strategy, downsizing is another step in the life process, adds intravenous treatment by emergency personnel. Baumer. Older adults in particular can be more susceptible to dehydration and should be intentional aboutdownsizing drinking enough water. it’s also - Create senior task list one However, to three months inpossible advance.to get too much water, especially if you have certain medical conditions or are onconsider a medication - Get the family involved in the senior move. If you need help, hiringthat causes your body to retain fluids. Because of this, it’s important to talk to your doctor a senior move manager. to- determine the right amount that you should be drinking each day. Designate items that will be moved, sold or given away. Decide on the item the Trywill to keep glass of and water nearby at all duringhome. the summer to remind yoursenior wantato keep, will fit into thetimes new senior self to prepared drink plenty of fluids.Try keep a glass of water nearby any at alllegal times during - Be to provide list oftoinventory to mover, including docuthe summer to remind yourself to drinketc. plenty of fluids. For instance – if the chilmentation, regarding power of attorney, if applicable. drenTips are for handling senior moving details, they should show they have authority stayingthe hydrated to do so. key to staying hydrated is to drink plenty of water. But sometimes that is The - Sellsaid whatthan youdone. can atWhen auction, online or a yard items dehydrated. may have value easier you’re thirsty, yoursale. bodySome is already So it’s that can helptodefray senior regularly moving expenses. important drink water even if you don’t feel particularly thirsty. Keep- Donate rest towith reputable Keep receiptsa for senior taxwhen purposes. If ing a glass the of water you atcharity. home and carrying water bottle you travel the is still in to good condition, sofa or dining room may be arefurniture good reminders replenish youra senior’s fluids regularly. Looking fortable some variety? aYou godsend to a family needs furniture. can also make athat large pitcher of sugar-free iced tea to keep in your fridge for A senior move not a “self move.Or A try senior move takes the efforts of many a -refreshing – and ishydrating – drink. a refreshing sugar-free popsicle to get people, family and professionals, to make it go smoothly. additional liquids. - Staying To save on cost, pack much as the senior and familyThere can doare themselves. hydrated isn’tasjust about drinking a lottheir of water. a number of Aother mover will provide but packing items during is the simplest wayStay to save precautions youthis can service, take to avoid dehydration the summer. inside cost forpossible, the seniorespecially move. during the hottest part of the day, and try to stay in the when - If the senior movingtime is inoutside. their 80′s, and their children are in their 60′s, carrying shade while spending heavy should be designated as a People senior moving service. Use the movers Thefurniture American Association of Retired additionally recommended wearing for heavy items colors and letreflect familythe members move lamps white. Lighter sun, which will keepand youpictures. cooler on warm days. You Follow BDa Movers Twitter.com @njmovingguy Facebook at http:// can also use bottle toon spray yourself lightly with waterorifon you’re spending time outwww.facebook.com/bdmovers. For physical more information, side gardening or during rigorous activity. call BD Movers at 800-3100912. For more information visit www.captel.com.

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26 MHL MARCH 2017

THE HEALTH OF YOUR BRAIN PLAYS A CRITICAL ROLE IN ALMOST EVERYTHING YOU DO. When people think about staying fit, they generally think from the neck down. But the health of your brain plays a critical role in almost everything you do. The good news is there’s a lot you can do to help keep your brain healthier as you age. Based on current research from the Alzheimer’s Association, Alexian Brothers Memory Treatment Center has the following suggestions to Maintain Your Brain: BE HEART SMART Because our brain is nourished by a rich network of blood vessels, its health is closely tied to the overall health of your heart and circulatory system. Heart disease, high blood pressure and stroke all affect blood flow to the brain and are risk factors for dementia. Recent research suggests diabetes may also increase risk of Alzheimer’s, possibly due to increased risk of heart disease and impaired insulin function. Do everything you can to keep your body weight, blood pressure, cholesterol and blood sugar within recommended ranges to reduce your risk of heart disease, stroke and diabetes. MAINTAIN BRAIN-HEALTHY CHOICES Manage your body weight for overall good health of brain and body. A long term study of 1,500 adults found that those who were obese in middle age were twice as likely to develop dementia in later life. Reduce your intake of foods high in fat and cholesterol. Try baking or grilling food instead of frying. INCREASE YOUR INTAKE OF PROTECTIVE FOODS: In general, dark-skinned fruits and vegetables have the highest levels of natural antioxidants. (spinach, brussels sprouts, broccoli, beets, prunes, raisins, blueberries, strawberries, oranges, red grapes) Cold water fish contain beneficial omega-3 fatty acids. (halibut, mackerel, salmon, trout and tuna) Some nuts can be a useful part of your diet: almonds, pecans and walnuts are a good source of vitamin E, an antioxidant. VITAMIN SUPPLEMENTS MAY BE HELPFUL Vitamins are essential for good health, especially since the brain uses large amounts of B vitamins. There are indications that vitamin E, or vitamins E and C together and vitamin B-12 and folate may be important in lowering your risk of developing Alzheimer’s. Early research results at the Alexian Brothers Memory Treatment Center suggest that intravenous nutrient therapy can improve memory and improve mental function. PHYSICAL EXERCISE “PUMPS UP” YOUR BRAIN Physical exercise is essential for maintaining good blood flow to the brain as well as to encourage new brain cells. Physical exercise does not have to be strenuous or even require a major time commitment. It is most effective when done regularly and in combination with a brain-healthy diet, mental activity and social interaction. MENTAL ACTIVITY HELPS YOU STAY SHARP Mental decline as you age appears to be largely related to altered connections among brain cells. Research has found that keeping the brain active seems to increase its vitality and may build its reserves of brain cells and connections. You don’t have to turn your life upside down or make extreme changes to achieve many of the benefits. Start with something small that is easy to make part of your daily routine.

JULY 2017 MHL

INDEPENDENT

RETIREMENT COMMUNITY LIFESTYLE

Independent Retirement Communities increase socialization and offer the opportunity to make new friends! Independent Retirement Communities are for active adults who want to live life to the fullest. Community living provides the opportunity to enjoy maintenance free living, financial security, fitness programs, healthy dining, socialization and educational sessions. Mowing the grass, shoveling the snow, repairing the kitchen faucet or paying real estate taxes can become a thing of the past. Before you can make a decision it is important to understand what senior community life is all about. Some seniors have been misinformed and believe that Independent Retirement Communities are for “old folks” who belong in nursing homes, or need daily care. This is certainly not true. Independent Retirement Communities offer the best in senior living options and keep seniors young at heart. Research shows that the more active and social you are, the longer you live, and the healthier you remain. Independent Retirement Communities are more affordable than you ever imagined! If you add up the cost of annual repair and maintenance on your home, along with taxes, lawn care costs, utilities, etc, you might find that living in an Independent Retirement Community is the same cost or less! Retirement communities offer wide range of amenities to enhance your lifestyle. Indoor/outdoor swimming pools, recreation centers, exercise rooms, libraries, craft rooms, laundry services,

42 MHL JULY 2017

housekeeping, and transportation are all possible options. On campus restaurant style dining, cafés and bistros can take the work out of meal preparation as well as offer a chance to dine with friends. Independent Retirement Communities increase socialization and offer the opportunity to make new friends! From the moment you arrive, the sense of community and togetherness is apparent. Although there is plenty of time for relaxation in your own apartment there are also many activities designed to bring residents together - women’s groups, men’s groups, bridge clubs, fitness groups, craft classes, book discussion groups, and many more options…you name it, it’s probably available! Another benefit is transportation. Some seniors enjoy driving for many years, and others prefer not to drive especially during inclement weather. Either way, you will feel right at home using your own car or enjoying the luxury of door to door service. Transportation to the grocery store, doctor appointments, and local shopping malls is available. Adult children feel great about their parents choice to live in an Independent Retirement Community. They love knowing that if anything happens, help is not far away. The fact that so many people are looking out for their parents safety and health gives great peace of mind. The level of activity and sense of community is

second to none. A Continuing Care Retirement Community (CCRC) like Tudor Oaks offers multiple levels of care. This type of retirement community gives active seniors the ability to enjoy an independent lifestyle with the knowledge that all of their needs will be met should their health care situation change. A Senior Apartment Complex offers senior apartments with few if any amenities. Seniors in this community will need to move again if their needs change. It is interesting to note that the monthly rent over a period of time could use the saved funds that would have allowed the senior to enter a CCRC and have a continuum of care available. Choosing the correct senior living community ensures that you or your loved one will have every opportunity to fully enjoy retirement, amidst a community of peers, with a full-range of activities in a safe environment. One of the most important things you can do when considering your retirement years is to plan ahead. Addressing financial and health issues early keeps families from having to deal with a crisis later. Current residents of Tudor Oaks and other Independent Retirement Communities will tell you the same thing over and over again. “I should have done this many years ago, it was the best decision I ever made!”

Helping people remain safe in their homes by providing: 

Supportive home care

Personal care services 

Companionship

Medically oriented tasks under the supervision of an RN 

Respite care

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

THE BASICS OF SENIOR DOWNSIZING Reducing the amount of furnishings and personal items for a senior move can be a daunting task, but with the proper preparation and moving firm, a senior move can be completed in a timely, stress-free fashion. Senior citizens account for 50 percent of the residential moves currently on the housing market, and moving firms offers senior services for seniors moving into downsized living quarters. “Reducing the amount of furnishings and personal items can be a daunting task, but with the proper preparation and moving firm, a senior move can be completed in a timely, stress-free fashion,” says Tony Baumer, owner of BD Movers. With a 21-year track record in the moving and storage industry, BD Movers offers senior citizens advice and complete references from handy men, to charities, even CPA’s and elder lawyers. A senior move can be daunting, but with the correct planning and strategy, downsizing is another step in the life process, adds Baumer. - Create senior downsizing task list one to three months in advance. - Get the family involved in the senior move. If you need help, consider hiring a senior move manager. - Designate items that will be moved, sold or given away. Decide on the item the senior will want to keep, and will fit into the new senior home. - Be prepared to provide list of inventory to mover, including any legal documentation, regarding power of attorney, etc. if applicable. For instance – if the children are handling the senior moving details, they should show they have authority to do so. - Sell what you can at auction, online or a yard sale. Some items may have value that can help defray senior moving expenses. - Donate the rest to reputable charity. Keep receipts for senior tax purposes. If the furniture is still in good condition, a senior’s sofa or dining room table may be a godsend to a family that needs furniture. - A senior move is not a “self move. A senior move takes the efforts of many people, family and professionals, to make it go smoothly. - To save on cost, pack as much as the senior and their family can do themselves. A mover will provide this service, but packing items is the simplest way to save cost for the senior move. - If the senior moving is in their 80′s, and their children are in their 60′s, carrying heavy furniture should be designated as a senior moving service. Use the movers for heavy items and let family members move lamps and pictures. Follow BD Movers on Twitter.com @njmovingguy or on Facebook at http://www. facebook.com/bdmovers. For more information, call BD Movers at 800-310-0912. JULY 2017 MHL

Summer Moving

A FEW THINGS YOU SHOULD KNOW TO HELP GET READY Summer is here and you’ve decided your home may be too large, too costly to maintain, too difficult to maintain, too unsafe without expensive safety features to meet your needs, too far from transportation, or too far away from shopping centers and medical offices. Your home has become an inconvenience and now you’ve decided to buy or rent a smaller home or apartment. It’s a good time to make your next move. Now that the weather has become warmer it makes it easier to get around searching for your next residence. It’s a challenge to make the move to a new place after all the years you’ve spent creating and taking care of your current home. If you own your home and plan to

44 MHL JULY 2017

sell you might want talk to your realtor about a Competitive Market Analysis so you can estimate a selling price. If you are renting and you need some advice on your move you can always find a moving coordinator to help you make the transition. Of course, many people simply choose to rely on family and trusted friends to help them make a move. You’ve spent your life helping them out, now it’s their turn to help you. We’ve put together some moving tips that should make your move easier. Seems pretty simple, but consider many things. Would you like to be close to family, friends, shopping centers, healthcare facilities? Will you need to use transportation other than your car? Will you have access to recreational activities? Do you want to climb flights of stairs? Do you want maintenance-free living? Is it secure and safe? Do you need assistance with daily activities? Can you keep your pet? Research new home alternatives long before you make your move. Spend time in the area where you plan to move and get answers to all your questions. Whether you are moving to a smaller home, apartment, or senior residence you need to downsize your possessions. Sort through your belongings and keep what you absolutely need. Go to the least used rooms and areas first. Sort only a few hours at a time to avoid being overwhelmed. At this time you should create a floor plan of your new living space showing each room and the placement of each piece of furniture. Take measurements of each room. Make a note of doors, windows, outlets. Take measurements of your furniture. Give the remaining items to family and/or friends. Think about having an estate sale, a tag sale or donating belongings to charities (many charities will pick up the items at your home). Keep in mind space limitations. Let family members know what you plan on taking with you. Make a schedule of the times when you expect to have family members, friends, or charities pick up the items. Clearly label all items, use colored stickers to mark what will or will not go to your new home. This will help you remember what goes where when you begin packing. If you plan on selling your home it’s time to make minor repairs and note major repairs which you should report to your realtor. Small repairs make the home look well cared for and usually cost little time and money. These details make a difference in how the buyer views the home. Itemize cosmetic changes such as fresh paint or new carpets. The home looks ready to move into. Be sure to keep up the exterior maintenance of your home. Remove interior clutter. All of these tips create a favorable impression on a buyer. Renters make sure your apartment is clean and contact your apartment manager to discuss what time your apartment will be shown. Contact your utility companies and let them know what day you plan to move. Fill out change of address forms for the post office seven to ten days before moving day. Make sure you have phone service at your current home and new home on moving day. Have the name of the contact of your new apartment or senior residence ahead of time. Know the name of the person you need to contact if a situation comes up on moving day.

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HOW DO I KNOW IF MEMORY CARE WOULD BE A GOOD FIT? Mark Your Calendar! Think about what is important to your loved one and you, then visit the facility.

Most people do not want to move out of their home and any change is difficult. The transition can be a little easier if the environment is one that your loved one would be comfortable in given their past living experiences. If your loved one likes to be Comeothers, to Milwaukee Home for our annual “Spring into Wellness” Health around is there Catholic a comfortable, homelike common area where residents can Fair on Thursday, 16th from 10 amless - 3 pm at 2462 N. Prospect gather. If they are March more comfortable with people around, are thereAvenue. areas thatThe are event includes freeyou health blood quieter to sit? Do feel screenings comfortablesuch withaswhat youpressure see? checks, diabetes testing,WHAT cholesterol pre-screenings, and eye exams, as well as massages, reiki, door and DO MEMORY CARE COMMUNITIES HAVE TO OFFER? raffle prizes, goodie bags, and more! Cardinale at 414.220.3216 or A Memory Care Community givesContact you theLinda opportunity to give up some of the lcardinale@milwaukeecatholichome.org learn stress of care partner responsibilities andtotake up more. more of your previous relationship of spouse, son, daughter or friend. Living in an environment where staff are trained in supporting with those living with dementia provides comfort, safety, independence, and social opportunities. Common services include 24-hour supervision, assistance with daily living tasks such as dressing or bathing, activities and medical monitoring. When a person with dementia lives in an environment that supports their emotional, psychological, physical and spiritual needs, they experience a greater feeling of control, security, and self-esteem. They are more likely to engage in activities they enjoy, remain active, thrive and live well with dementia as long as possible. While making Kate Schmidtkunz RN, BSN theBydecision to move a person to Memory Care is difficult, many find that their deciPositive attitudes and a healthy outlook sion was the right one for their loved one. on life are vital to our physical, emotional andInformation social well-being. Understanding attitudes important it affects provided by: Jan Z , RNour CAEd, CDP,are PAC Certifiedbecause Dementia Trainwho we are and how we respond to life’s’ situations. A positive attitude helps you ing Specialist, Heritage Senior Living. For more information or to schedule a tour meet and accept the challenges of life. The opportunity for growth and a better call 414-302-9700 or visit heritagesenior.com/. understanding of ourselves is possible with the right attitude. Healthy self esteem includes developing our strengths and overcoming weaknesses, striving to do our best, and setting realistic goals. Finding satisfaction in life, establishing and maintaining strong, healthy relationships and having self confidence allows us to meet the challenges of the day. Remaining positive and healthy involves living a healthy lifestyle which includes, regular activity and exercise, eating a well balanced diet, getting plenty of rest and using prescription medications as intended and instructed. A positive attitude and a healthy outlook can be developed and maintained with time and effort. Considering moving into a retirement facility? Besides the convenience of community living, your health may improve. Much has been written about the effect of a positive attitude to one’s general well-being. There are many reasons to be positive in a retirement community. Retirement communities foster an environment that allows seniors to be socially engaged and active which promotes health and wellness inSENIOR<<page mind, body and30 spirit. A resident of an independent retirement community shared the positive benefits he Assisted experienced: Living d, “When Iliving moved to a retirement communityfor I was not who walking and was unAssisted provides a great alternative seniors needwell some additional d,hZ^ z D Z , ϯϬ &ZKD ϯͲϳWD͘ able to do laundry and lots of similar things due to a small stroke. Three and a half help with medication, grooming, dressing, eating, etc. Assisted living has two options years later my doctors have told me I am doing very well. I contribute my great t t/>> >^K ,K^d/E' E KW E ,Kh^ including; Residential Care Apartment Communities (RCAC), which allows seniors ϭ^d health to several things. to live KE in their own apartment, but only offers 28 hours of care, and Community^ dhZ z WZ/> &ZKD ϭϬ D dK ϯWD͘ First,Residential I now enjoy meals not only because the type foodof is community so good, butisalso the Based Care Facility or CBRF. 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Menusfor in retirement There are some CBRFs thatbalanced specialize in caring one kind oftypically illness. are Onelow of ƐƐŝƐƚĞĚ >ŝǀŝŶŐ ĂŶĚ DĞŵŽƌLJ ĂƌĞ ŽŵŵƵŶŝƟĞƐ sodium, low fat and the offerings are rich in fiber, fresh fruits and vegetables the most common is an Alzheimer’s or memory impairment care community.and In whole grains. The benefits intellectual stimulation and socialization impacted this specialized assisted living of communities, the environment, staff and programming resident’s life. designed Attendingtolectures andunique the performing with awho diverse is specifically meet the needs of arts, thosevisiting individuals are group of peers keep the mind sharp. living there. Like a non-specialized assisted living community, a specialized care Retirement communities provide positive, healthy environment. Most commucommunity also provides 24/7 care,asocial programming, meals, housekeeping and nities offer exercise classes or a fitness center. Regular exercise for seniors increases transportation are generally provided. joint flexibility, muscle strength, endurance and coordination to prevent falls and inNursing Home crease balance. Some communities are but integrated in a continuum care, Ϯϵϳϱ sŝůůĂŐĞ ^ƋƵĂƌĞ ƌŝǀĞ ,ĂƌƚůĂŶĚ͕ t/ ͮ ,ĞƌŝƚĂŐĞƐĞŶŝŽƌ͘ĐŽŵ This is probably theretirement most commonly known, often confused type ofofsenior including rehabilitation, skilled nursing, assisted living and home health. living option. It’s also one of the only options that used to be available to seniors. Enjoy homes your lifeprovide of health and happiness. Nursing 24-hour skilled nursing services for seniors who need

“SPRING INTO WELLNESS” HEALTH FAIR

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ith visnecting rehabilitation after a surgery, or require care for issues like feeding tubes. The levels of hospitality services in nursing homes vary greatly depending on their targeted naging clientele. Whether you’re looking to down-size your home or a community to meet the rogresneeds of an aging parent, there is a senior living community to meet your needs. use de- Being prepared and understanding the options available will help you to choose what type of senior living community is best for you or your loved one. If you is own business and can’t affordfor advertising, Byline: Jan Rupnick thea small director of public relations CRL Senior Living me, the we have a solution for you. We are looking for people to deliver MHL Communities. CRL owns and operates state-of-the-art senior care residences that tamine to 10-15 places once a month in exchange for advertising space in deliver the highest quality, cutting-edge level of care in specially designed dementhis paper. It takes approximately 1-2 hours to make thesetherapeutic drop offs environments. The company thedistribution needs of seniors and we will meets select the points towith be inindependent your area. living, severe be pre- assisted living and Alzheimer’s/dementia care communities. Call for details. 414-659-6705 .

MARCH 2017 MHL 27

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

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retina responsible for central vision. This increases the risk of developing macular degeneration (AMD). UV-B rays are mainly absorbed by the cornea (clear front surface of the eye) and the natural lens inside the eye and can damage these tissues. Prolonged exposure to sunlight can increase the clouding of the inner lens, resulting in the formation of cataracts. Intense exposure of the cornea to UV-B rays (from staring at the sun; tanning lamps and beds; arc welding; or reflected light on water, snow, ice or sand) can cause photokeratitis, a condition that can cause extreme pain and vision loss for several days. Pterygium is tissue growth on the white of the eye that can be caused by UV-light exposure. Without treatment, it may spread to the cornea and require surgery. Short-term effects of UV-light exposure “In addition to long-term UV-light exposure, you also need to protect your eyes from severe damage caused by single outings on very bright days,” reports Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center. “Excessive exposure to ultraviolet light reflected off sand, snow or pavement can damage the eye’s surface. These surface burns are similar to sunburns in that they usually disappear within a couple of days, however, they may lead to further complications later in life.” Take protective measures Ophthalmologist and outdoor sports enthusiast Daniel Ferguson, MD, advises, “It’s most important to stay out of the sun or to protect your eyes between 10 and 2, when the sun’s ultraviolet rays are the strongest. But, you really should just make it a habit to wear both sunglasses and a hat or visor whenever you’re outside for a prolonged period, even if it’s gray and overcast.” Ferguson adds, “No matter what your age, you should take precautions. If you instill these habits in children early on, it will be easier to enforce, and you’ll be protecting their sight for the future.” What type of sunglasses to wear “You need to buy sunglasses that block 99 to 100 percent of the same UV-A and UV-B rays that can damage your skin,” advises Daniel Paskowitz, MD, PhD, a Harvard and Johns Hopkins graduate with special training in corneal procedures. “And, don’t be misled by lens colors or price tags. The ability to block UV light is not dependent on the darkness of the lens. UV protection comes from a chemical coating applied to the lens surface. As for cost, many $10 sunglasses provide equal or greater protection than $100 lenses. With expensive sunglasses, you’re paying for style, frame quality, and options such as scratch-resistant coatings —not protective ability.” If you spend a great deal of time by a pool, at the beach, fishing, or water or snow skiing, you should wear goggles or sunglasses that wrap around your temples. Reflected sunlight off water and snow can be the most dangerous type of UV light because it is intensified. “We recommend that patients wear wrap-around lenses that block the sun’s rays from the sides and a hat or visor to protect against rays from above for the best possible protection,” says eye care specialist and continuing education lecturer Michael Raciti, MD. “And, don’t forget to wear eye protection when near UV-light sources other than the sun, such as welding lamps or tanning booths.” Take precautions when swimming David Scheidt, OD, past president of the Milwaukee Optometric Society, offers additional advice, “Before jumping into the water, take off your sunglasses and pop on a pair of swimming goggles. Chlorine can make your eyes red and puffy, and ponds and lakes may have bacteria that can get underneath contact lenses and cause potentially blinding damage to the cornea. In fact, the best policy is to never wear contacts while swimming.” Now that you’re not “in the dark” about the dangers of UV light, don’t forget to grab a pair of sunglasses before heading out to one of our areas’ many festivals and concerts, State Fair, your favorite lake, or a backyard pool. You’ll not only look great, you’ll enjoy distortion-free, comfortable vision now and, quite possibly, in the future. And, remember, besides wearing sunglasses and hats, the best way to protect your vision is to schedule regular, thorough, dilated eye exams to check for hidden signs of cataracts, macular degeneration and other sight-threatening conditions. Ask yourself and your family members—“When was your last eye exam?” Free educational booklets & information Eye Care Specialists’ doctors are dedicated to the diagnosis and treatment of cataracts, AMD, glaucoma, dry eyes, nearsightedness, and diabetic eye disease. They have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies, a handout on “When to Have Your Family’s Eyes Checked,” or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National Ave. They also offer information at www.eyecarespecialists.net.

CLEANSE<<page 6 and procedures are needed for different people and conditions. There is no one-sizefits-all cleanse! Finally a word on how to best treat the imbalances AND restore health. From the Ayurvedic perspective, cleansing is more of process than a procedure. The first stage is to prepare the body to bring the toxins and excess back from where they have spread in the body to the digestive area. The second stage includes techniques to eliminate the toxins from the digestive tract. If a cleanse is just aimed at the digestive system, not only will it not release the imbalance on the deeper levels, it can actually push that imbalance further into the tissues, creating more imbalance and worsening the conditions and symptoms. The last stage is rejuvenation. The body and tissues have been purified but now it is critical to slowly rebuild your digestive power and make healthy adjustments to lifestyle and eating habits. If you resume your “normal” diet too quickly, you will disturb the digestion and create toxins and imbalance again. It is important to avoid overly restrictive cleanses or fasts that often lead people into a binge phase after the purification. Such a pattern weakens rather than rejuvenates the system. Detoxification is an excellent tool for wellness – but only if the tool is used correctly. Learn more about Ayurveda at www.ayurvedawellness.org or contact Jamie Durner of Ayurveda Wellness with questions or to schedule a complimentary 15 minute informational consultation at jdurner@wi.rr.com. ©2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator For more information contact 262-389-5835.

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

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HEAT<<page 11 · They are having trouble producing urine and/or they are constipated · Their heart is racing · When you push back on the skin on the back of their hand, it doesn’t ease back into place immediately A diet of fruits and vegetables can comprise some of the RDA of water, but here are some other tips to avoid dehydration: · Each morning, fill up two quarts of water and put them in the fridge, then drink from them throughout the day. It isn’t bedtime until all the water is gone. · For those who don’t enjoy the taste of water, adding a sugar-free flavor powder such as Mio or Crystal Light can help a lot. · Coffee, tea and even beer can account for a serving or two of your daily water intake but avoid relying on them too heavily. Caffeine and alcohol are diuretics so if you drink too much, you’ll actually lose water. · Make popsicles with a mix of fruit juice and water. It will feel like a treat, and offer up a few ounces. · Milk is actually a great hydrator. In fact, one study found that full and skim milk, orange juice and Pedialyte are even better for hydration than water. So incorporating more of these liquids into your routine can be a big boon. Be sure to take these precautions to help keep yourself and any seniors you love and care for safe this summer. If you need assistance in helping keep your senior loved one safe, sound and cared for, consider enlisting a Home Instead CAREGiver. Please contact Home Instead Senior Care of Milwaukee at 414-882-5464 and arrange a consultation with a Care Manager today.

RETHINK>>page 14 of scientific evidence and a desire for consciousness, we can ultimately align ourselves with the wisdom of our bodies and support their powerful ability to heal. Reclaiming our health may be as simple as that. ©July 2017 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director, The Ommani Center for Integrative Medicine, Pewaukee, WI. Website: www.ommanicenter.com Author of Becoming Real: Reclaiming Your Health in Midlife. 2011, 2014 Medial Press Links: (1) http://www.sciencedirect.com/science/article/pii/014067369091656U (2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2515569/ (3) http://www.pbs.org/wgbh/nova/education/body/epigenetics.html (4) http://www.huffingtonpost.com/dr-gail-gross/the-individuation-process_b_ 6358636.html

g n i s u o H r nio e S e l b a d r o Af f partments 1 Bedroom A vided igerator pro fr e R & e v to S s /Social Room Community ms Laundry Roo uty Shop Library, Bea n Site al Worker O ci o S & e rs u N uildings Accessible B d e p p a ic d n Ha ies & Fun Activit Educational rking Off street Pa Allowance uded/Utility cl In ty ci ri ct Ele

(Income Restrictions Apply)

River Park I & II

Willow Park Apartments

414-961-1696

262-548-9786

1600-1700 east River Park Court Shorewood, WI 53211

1001 Delafield St. Waukesha, WI 53188

JULY 2017 MHL 47

JULY 2017 MHL

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