Mhl june 2017

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MHL

JUNE 2017 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

ORGANIC GARDENING AGING GRACEFULLY WHY YOU SHOULD BUY ORGANIC INVOKING THE SACRED

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

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KNEE PAIN/ INJURIES

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

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

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

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

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

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

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

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

262-785-5515 16 MHL MARCH 2017

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

JUNE 2017 MHL

JAMES “My stay at ManorCare Health Services – Pewaukee was great. I came in for rehabilitation after a traumatic injury. The staff was well trained, organized and worked hard to attend to my needs – both physically and mentally. They understood my needs and provided the care necessary while maintaining my dignity. The facility was clean and the entire staff was accommodating 24-hours a day. The rehabilitation staff gave me the necessary ‘push’ to attain improvement of my injuries.

•Rehabilitation services •Post-hospital care •Skilled nursing

ManorCare Health Services – Pewaukee N26W23977 Watertown Road Waukesha, WI 53188

262.523.0933

My physical injuries have improved from rehabilitation and I feel I’m back to normal since graduating from ManorCare. I would recommend ManorCare to anyone needing rehabilitation of any kind.” www.hcr-manorcare.com

Editor’s Note EDITOR’S NOTE Summer is here and I feel like I am ready for some sunshine, daily walks, playing tennis with my favorite girl I am sooooand glad it’s March. are now approaching spring Charlotte, taking in all theWe beauty that was given to us. and I So amIthrilled. I did manage outCancer quite a has bit this lastinmonth have mentioned thatwork Breast been my history. My grandmother mother had to goyou through andfamily I hope you were able to do theand same. I encourage to get scary But happy both survivedWith and the I outthis there on cancer. those sunny days to andsay getthey some exercise. decided it was time to help. The Wisconsin Breast Cancer winter being so usual, I really all-volunteer keep the extra showhouse is much proud warmer to be a than Milwaukee-based, pounds at bay. focused on funding early stage breast cancer organization March is a great monthresearch that marks of spring weather and prostate cancer atthe thethought Medical College of Wisconsin. coming soon. The anticipation of biking, blading and morning Great designers fromme allinover Milwaukee time to design walks gets a better mood asvolunteer the wintertheir winds down. March each room of the house. So when a room came up last minute that need also marks my daughter’s fifth birthday. If time flies by this fast, I someone to make extra special, I had to jump at it. think itBreast is important slow down.isWe are afrom country The Wisconsin CancertoShowhouse open Junethat 3rdpromotes -18th. pace everything Come say hifast to me on in designer day! we do. Keeping healthy means slowing I have been trying enjoy thethe beautiful weather and to say my down andtoreleasing stress. Whether it’s needless meditation, exercise kids could not be happier with this weather. My daughter, every morning, or even an afternoon nap, it’s extremely important to destress and wakes up and ask , “Can I take my bearded dragon outside yet?� unwind. My summer routine is getting up at 6am every morning for a run then a We’ve putlives together anotherchaotic good issue you.important This issue 20 minute workout. Our can become but itfor is still to is Ready for Spring edition. help you find the best remain activeour notGet only for physical fitness but It toshould keep our minds healthy as well. This is place why Ifor hadyour to slow down this SWe summer with my excessive health needs. at MHL like to keepwork things schedule anduncomplicated really enjoy life. because we know healthcare decisions are almost Another new activity that has kept my kids healthy in both body and never easy. right. We strive to is find that will whatever mind is Aikido. That’s Aikido an articles ideal martial art answer for children to questions you have. We would Aikido like to thank learn. Ratherhealth than competition andmay aggressive responses, classesallarethe great people we’vebetween spoken to who have contributed to this and issue focused on cooperative practice partners, controlled movement, peaceful resolution conflict. She our has readers, been taking classes at Milwaukee and we to also thank you, for all your suggestions and Shobukan and absolutely lovesit. She is on her way to be a true Samari! I comments! encourge all of you at any age to find a dojo around you. our put April edition withand our Spring andSummer To our seniorCheck readers,out I have a special health independence feature directories. for you. I encourage you to get out and go to all the great music venues. healthy! I would like Stay to thank all the professionals who have contributed to this issue and YOU,-Amanda our readers for staying in touch with us. Have a safe and Lewis healthy June!

MHLMHL

-Amanda Lewis

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MARCH 2017MHL MHL 5 JUNE 2017

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

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

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

Customized Lens Implants

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

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

Injections can help stop loss of central vision to macular degeneration (AMD) (illustrated above) as well as to diabetes.

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

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

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

Cataract surgery requires making an opening in the eye to remove the cloudy lens (cataract) and replace it For More Information . . . Call 414-321-7035 for the free booklets shown. If you with an artificial lens (to once again don’t have an eye specialist or need a second opinion, contact the offices below. focus light rays onto the retina and See the best you can see, when you see the leaders in ophthalmology. restore vision). Standard lens implants (IOLs) are “mono-focal” or singlefocus. They are like miniature internal contact lenses set for a single prescription power—usually to provide clear Are you putting your vision at risk? World-Class Care. Local Convenience. vision in the distance (for driving, Most people aren’t motivated to make an eye appointment ■ Glaucoma, Diabetes and Macular Degeneration (AMD) Care watching TV, etc.). Most patients still (with advanced medication injection and laser treatments) unless they notice a problem—and often not even then. need to wear reading glasses or bifo■ No‐Stitch, No‐Shot Ultrasonic Cataract Surgery What they don’t realize is that many sight‐threatening conditions cals after surgery. “When appropriate, (with standard, multi‐focal, toric & extended‐range implants) have no warning signs. But, if you know the risks, symptoms, however, we offer the option of ■ Corneal Transplants, Lid Repair and Retinal Cases tests and treatment options for common eye concerns, you’re ‘advanced technology’ IOLs, which ■ Dry Eye, Floaters and Infections Treatment more likely to take action. We can help. Call 414‐321‐7035 for are ‘multi-focal’ (provide multiple ■ Comprehensive Eye Exams & In‐Office Diagnostic Laser Scans detailed free booklets on cataracts, glaucoma, AMD, and diabetes. focusing zones for near and far) or Then, consider: When was your last eye exam? If it was more ■ Eyelid Treatment (inflammation) & Surgery (drooping) toric (provide correction for astigmathan a year ago, call today to protect your vision for tomorrow. ■ Accept Medicare/Most Major Insurances tism),” explains Daniel Paskowitz, Trusted by more than 130,000 doctors & patients since 1985. www.eyecarespecialists.net MD, PhD, an eye surgeon with credentials from Harvard and Johns Hopkins. “At least 70% of advanced technology IOL patients can see to read, drive, do computer work, or perform most activities—with never or only occasionally needing glasses. At Eye Care Specialists, we customize Mark Freedman, MD Brett Rhode, MD Daniel Ferguson, MD Daniel Paskowitz, MD, PhD Michael Raciti, MD David Scheidt, OD each implant to fit each patient’s preWest Allis Wauwatosa Milwaukee West Allis Wauwatosa Milwaukee scription, health, lifestyle, expecta10150 W. National Ave. 2323 N. Mayfair Rd. 735 W. Wisconsin Ave. tions, budget, and other concerns.” 414-321-7520 414-258-4550 414-298-0099

T

EYE CARE SPECIALISTS

June is “National Cataract Awareness Month”

DON’T LET POOR VISION CLOUD YOUR OUTLOOK ON LIFE By Cheryl L. Dejewski Even though six out of 10 people over age 60 already have one, most people don’t know the facts about cataracts until they’re “eye-to-eye” with one. Don’t let cataracts keep you from seeing life to the fullest. Educate yourself about cataract signs, risks and removal. Then, ask yourself if it’s time to schedule a comprehensive eye exam. What exactly is a cataract? “A cataract is the clouding of the natural lens located inside the eye behind the pupil,” says Mark Freedman, MD, senior partner at Eye Care Specialists, a local ophthalmology practice recognized for providing advanced medical, surgical and laser treatment of most all eye conditions. “This lens works like a camera lens—focusing light onto the retina at the back of the eye to form the images you see. As you age, protein in the lens may clump together and start to cloud. This is called a ‘cataract.’ As the clouding advances, it can blur or fog vision to the point of inhibiting day-today functioning.” Depending on the type of cataract, the clouding may take years or

just months to progress. What increases the risk of cataracts? • Age (cataracts develop with time, like age spots & wrinkles) • Diabetes (doubles the risk for cataracts & glaucoma) • Cortisone/steroid use • Sun exposure • Previous eye injury • Smoking How do you get rid of a cataract? “There are no drugs, drops, glasses or exercises that can prevent or cure cataracts,” says Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and partner at Eye Care Specialists. “The only effective treatment is to make an opening in the eye, surgically remove the cloudy lens (cataract), and replace it with an intraocular lens implant (IOL) to once again focus light rays onto the retina,” adds Rhode, who, along with the rest of the surgeons at Eye Care Specialists, uses the most advanced techniques to gently break up and remove cataracts through a tiny incision. What are the symptoms? Losing your vision is not a fact of life as you grow older. Schedule an eye exam if you notice: • Foggy, fuzzy, blurred or double vision • Sensitivity to light and glare • “Starbursts” around lights • Holding items closer to view • Needing brighter light to read • Fading or yellowing of colors • Difficulty judging stairs or curbs • Difficulty seeing to drive at night • Vision changes affecting the ability to do tasks • Glasses and prescription changes don’t help When should you have surgery? Daniel Ferguson, MD, an ophthalmologist with thousands of cases under his surgical cap advises, “It’s not necessary to wait to remove a cataract until it’s so ripe that almost all vision is blocked. In fact, if you wait too long, it can grow so dense that the operation becomes riskier and more difficult. I tell patients that if the cataract is preventing you from doing tasks, new glasses won’t improve clarity, and no other conditions exist which would negate the benefits of removal (like severe macular degeneration), then it’s time for surgery.” VISION>>page 51

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Creating a PEACEFUL PATIO RETREAT When Summer time comes in Wisconsin, we want to spend as much time outdoors as possible. An outdoor space can be whimiscal and serene as you would like. Amanda Lewis designed a tranquil outdoor zen space that is functional and beautiful. Charcoal modern outdoor furniture purchased at Wayfair.com with black and white pillows make the space feel clean and neutral creating a nice backdrop for all the colorful foliage. Safaveih lounge chair add curves to balance out the clean lines of the other furniture and planters. A picnic table adds a modern charming eating area perfectly placed on an angle to showcase the work of furniture art by Zuo Modern. White square planters break up the large seating areas by CB2. Lowes stone round tall planters add to the whole zen garden feel. Two cereamic buddhas from Z gallerie really tie everything together. Create your dream patio this summer! Need help? Contact Amanda Lewis at 414-659-6705 or email mhl@wi.rr.com for tips on your next space. WHERE TO BUY Patio Furniture wayfair.com

Lounge Furniture www.safavieh.com

Pinic Table zuomodern.com

Buddha zgallerie.com

MHL JUNE 2017

Black Planters lowes.com White Planters cb2.com

All planter plants provided by Steins Gardens and Gifts

BEST OF SUMMER EVENTS

Wisconsin Beer Lovers Festival June 17, 2017 Tickets are now on sale for the eighth annual Wisconsin Beer Lovers Festival, to be held on Saturday, June 17, 2017 (Father’s Day weekend) from 1 p.m. to 5 p.m. at Bayshore Town Center in Glendale. Hosted by Bayshore Town Center, DRAFT Magazine, Welcome to Glendale (the City of Glendale’s Convention and Visitors Bureau) and the Wisconsin Brewer’s Guild, the Wisconsin Beer Lovers Festival is the premier allWisconsin craft beer and tasting festival, featuring more than 100 beer selections from more than 40 craft breweries throughout the state. Each of the participating breweries will be paired with local chefs, Wisconsin cheesemakers, or one of several brewpubs and restaurants to create unique tasting portions designed to complement a variety of unique craft beers available for sampling. “Glendale is proud to welcome craft breweries from all over Wisconsin to this annual festival,” said Jeff Hamilton, president of Sprecher Brewery in Glendale and member of the Wisconsin Brewer’s Guild. “We love seeing people returning to the festival year after year, as well as first-time guests.” This year’s festival will feature a custom growler stand by the Wisconsin Brewers’ Guild, musical entertainment, and EmbroidMe, which specializes in custom embroidery and screen printing items that attendees can purchase. Festivalgoers and craft beer connoisseurs will also be able to purchase the “Wisconsin Beer Experience VIP Ticket.” This VIP ticket is available for $75 and will include access to a special VIP tent hosted by the Wisconsin Brewer’s Guild that will feature specialty beers not available to the rest of attendees, a one-year subscription to DRAFT Magazine, early entry to the festival beginning at noon and a special collectible from the event. Only 250 VIP tickets are available. General tickets are $45 in advance and $55 at the door, and include admission, a souvenir beer sampling glass and unlimited samples of beer and food pairings. Patrons must be 21 years of age or older to purchase a ticket, and photo identification will be required at the admission entrance. Designated drivers and patrons under 21 years of age can purchase a “Food Lovers Ticket” for $25. Welcome to Glendale has partnered with local hotels to offer overnight packages and invite visitors to spend the whole weekend in the city. Packages for Glendale’s recently renovated La Quinta are still available for purchase: http://wisconsinbeerloversfest.com/beer-lovers-festival/tickets/.

Verizon IndyCar Series KOHLER Grand Prix and Pirelli World Challenge June 22 - 25 The Verizon IndyCar Series KOHLER Grand Prix takes center stage as an international lineup of drivers will have their chance to battle it out for glory on one of the world’s most majestic road courses. They will be joined by the Pirelli World Challenge featuring many of the world’s top sports cars and drivers in an all out wheelto-wheel battle. Pirelli World Challenge races are run in a timed, sprint format from start to finish and begin with the series’ trademark standing start. With door-todoor racing, no scheduled pit stops, driver changes and classes running together, it’s like watching the intensity of the final lap, every lap. Please Note: Due to increased interest and anticipated fan attendance for the Kohler Grand Prix Weekend, event parking availability and access will be closely controlled. Guests should expect increased traffic when coming to Road America and are strongly encouraged to enter through the gate nearest where they choose to park. All guests will be parked conveniently and efficiently as they enter the facility within reasonable proximity to the gate they enter. Please follow instructions from gate, security and parking personnel as you enter the facility. JUNE 2017 MHL

ALLERGIC RHINITIS IT IS ESTIMATED THAT BETWEEN 40 AND 50 MILLION AMERICANS SUFFER SOME FORM OF ALLERGIC RHINITIS. John E. Basich, M.D., Allergy And Asthma Centers, SC Do you develop sneezing, itchy eyes, ears, nose or throat every April? June? August? Do the symptoms last longer than two weeks (the usual duration of a cold). If the answer is yes you may have allergic rhinitis which is an allergic inflammation of the mucous membranes of the nose. It is estimated that between 40 and 50 million Americans suffer some form of allergic rhinitis. Often the allergic rhinitis coexists with other allergic diseases such as asthma and eczema. Allergic rhinitis has a substantial economic impact in terms of lost days of work and school and medications used to treat it. Allergic rhinitis is caused by inhaled materials called allergens. For most people, allergens are usually harmless. For sensitized individuals, allergens can cause allergic reactions by causing cells in their immune system to release histamine and other allergic mediators. Histamine is responsible for most of the immediate allergic symptoms: sneezing, congestion, post nasal drip or itching of the nose, roof of the mouth, throat, eyes and ears. Allergic rhinitis can contribute to recurrent exacerbations of sinusitis, asthma and middle ear fluid. Seasonal Allergic Rhinitis is caused by the pollens from trees (March to May), grasses (August to September) or molds (the whole growing season). Perennial Allergic Rhinitis is usually caused by danders from pets, indoor molds, dust mites. Many patients have a combination of seasonal and perennial allergic rhinitis. If you have symptoms of allergic rhinitis, an allergist/immunologist can help determine what allergens are causing your reaction. The doctor starts by doing a thorough health history with emphasis on allergic factors and then may test you to see if you have allergies. Skin tests or blood (RAST) tests may be done. Skin tests have the advantage of giving the test results in about 20 minutes so that they may be discussed during the patient’s office visit.There are three basic treatments for allergic rhinitis: Environmental Control: These are suggestions to remove, avoid or reduce the offending allergens. These can be quite effective for the dust mite, pet dander and mold allergens. Medications: Oral and nasal antihistamines are given to block the effects of histamine. The release of histamine causes many of the most irritating allergy symptoms including itching of the eyes and nose, runny nose and sneezing. Antihistamines may be combined with decongestants to reduce nasal congestion in patients with allergic rhinitis. Inhaled nasal corticosteroids can reduce inflammation and swelling in the nose by reducing other allergic mediators. Leukotriene modifiers block the action of Leukotrienes (another mediator of allergy symptoms and of inflammation). Allergen Immunotherapy: Allergy Immunotherapy, also known as allergy shots, may be considered if symptoms are not controlled with medication or avoidance or to improve the patient’s quality of life. Allergy Immunotherapy involves receiving injections of the allergens that were determined by the allergy testing to be causing you symptoms. Patients start treatment with very low doses of allergens. The concentration of the allergens is increased gradually as determined by your allergist/immunologist over a period of three to five years. Allergy Immunotherapy helps your immune system to become more and more resistant to specific allergens and lessens the need for future medications. MHL JUNE 2017

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CAREGivers Wanted

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Must be able to laugh, learn and change the lives of the people around you. A career with Home Instead Senior Care® is unlike any other. Because being a CAREGiver with us requires more than what your average job description lists. This opportunity requires being genuinely interested in the people you’ll help—to change their lives for the better, and maybe even your own. ,SYVW EVI ¾I\MFPI ERH XVEMRMRK MW TVSZMHIH Learn more at HomeInstead.com/315 or call 414.882.5464 )EGL ,SQI -RWXIEH 7IRMSV 'EVI JVERGLMWI SJ½GI MW MRHITIRHIRXP] S[RIH ERH STIVEXIH © 2015 Home Instead, Inc.

JUNE 2017 MHL

June 30, 2017

subtle and come and go in the early stages. This means that symptoms may not be noticed or taken seriously by family and friends Some signs that there may be problems: *Forgetting names of family and important events (especially if recent) *Frequent falling *Staring *Losing empathy, being insensitive to the feelings of others *Word problems; not finding the right word, replacing nouns with “it”, “that thing”, “stuff”, etc. *Problems with organizing and planning *Obsessive, ritualistic behaviors *Uncharacteristic behaviors: being sad all the time, rude, anxious, loss of interest in previous hobbies, activities, or friends *Easily frustrated, blames others *Money and number problems *Illness, medication interactions or depression are some conditions that mimic symptoms of dementia. Only a doctor can diagnosis if it is dementia or another condition. Having a full medical workup can treat a medical condition or determine if it is dementia. WHAT KINDS OF TREATMENTS ARE AVAILABLE FOR COGNITIVE DECLINE? There is currently no cure for dementia but there are non-drug and drug treatments which can help with slowing the symptoms of dementia. Brain stimulation can help slow the progression, especially early in the disease. Engaging in activities that are creative or make a person think such as word games, matching, or learning new information are valuable as long as the person doesn’t get frustrated because it is too difficult for them. Socialization is important to remain engaged. Isolation can be decreased with visits from family and friends, attending events, going to senior centers, or connecting Menthrough and women about equally likely to develop high with others Facebookare or Skype. blood pressure over their buta healthy their risks varymanaging at Exercising 30 minutes a day 5 times lifetimes, a week, eating diet, and chronicdifferent diseases such agesas. diabetes or high blood pressure can help slow the progression. Decrease stress with familiar routines and environments. Stress doesn’t cause dementia, but can worsen the symptoms. Sometimes pressuremental seems function, so commonplace one out ofFor three U.S.the Medicationhigh mayblood help improve mood, or– behavior. some, adults have it – that taking care of it can fall pretty far down the list of priorities: drugs donepezil (Aricept), tacrine (Cognex), rivastigmine (Exelon), and galantamine somewhere your flutoshot butsome before second annual dental check up.demen(Razadyne)after are helpful delay of your the symptoms of mild to moderate This is unfortunate because not only is having your blood pressure checked tia. Memantine (Namenda), may be prescribed for treatment of moderate to both severe easy and painless, but it can go a long way toward helping you head off problems Alzheimer’s Disease. Antidepressants, antianxiety, and antipsychotics may be prebefore get more serious.excessive anxiety, or hallucinations. scribedthey to treat depression, Failure to control blood pressure can lead to heart attack, stroke and other potentially fatal events. In fact, according to the CDC, more than 360,000 American deaths in 2010 included high blood pressure as a primary or contributing cause. That’s 1,000 deaths each day. Men and women are about equally likely to develop high blood pressure over their lifetimes, but their risks vary at different ages. The condition affects more men than women before 64 years of age. For people aged 65 years or older, more women than men have high blood pressure. So what exactly should we be looking for? Blood pressure has two numbers, systolic and diastolic, and is measured in millimeters of mercury (mmHg). Systolic pressure (the top number) is the force on the blood vessel walls when the heart beats and pumps blood out of the heart. Sometimes high blood pressure seems so commonplace – one out of three U.S. adults have it – that taking care of it can fall pretty far down the list of priorities: somewhere after your flu shot but before your second annual dental check up. This is unfortunate because not only is having your blood pressure checked both easy and painless, but it can go a long way toward helping you head off problems before they get more serious.

I SCREEN, YOU SCREEN

WE ALL SCREEN FOR BLOOD PRESSURE CONTROL

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If you own a small business and can’t afford advertising, we have a solution for you. We are looking for people to deliver MHL to 10-15 places once a month in exchange for advertising space in this paper. It takes approximately 1-2 hours to make these drop offs and we will select the distribution points to be in your area.

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

JUNE 2017 MHL

Dr. William Dunbar, President of Midwest College

WELL-BEING

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“An Ancient Medicine For Modern Times� Earn an accredited Master’s Degree in Oriental Medicine wth a Bachelor’s in Nutrition or a Master’s Certification in Acupuncture. Evening and Weekend Classes Available

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Dr. William Dunbar, Dr. William Dunbar, President of Midwest College

President of Midwest College

Financial aid is available for those who qualify

Please call for additional information or to schedule a tour 800-593-2320 5DFLQH :, &DPSXV 6232 Bankers Road

MHL JUNE 2017

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MARCH 2017MARCH MHL 152017 MHL 15 MARCH 2017 MHL 15 MARCH 2017 MHL 15 MARCH 2017MARCH MHL 152017 MHL 15 MARCH MARCH 2017 MHL 15 2017 MHL 15 MARCH 2017 MHL 15

SHOULD YOU BUY ORGANIC? Worth it

BUYING

Organic

ON A BUDGET

Not Worth it

Apples, cherries, grapes, pears, berries, peaches, nectarines, plums

Bananas, kiwis, mangoes, papayas, pineapples, oranges

Celery, potatoes, spinach, bell peppers, lettuce, tomatoes, green beans

Asparagus, avocados, Brussels sprouts, broccoli, cauliflower, sweet corn, onions, sweet peas

Beef, pork, poultry, eggs, dairy products

Seafood

Baby food

Processed foods (chips, pasta, etc.), cleaning products, cosmetics

Sources: “Eating Between the Lines,” Environmental Working Group and Consumer Reports

With soaring gas prices, people are watching what they spend on everything, including groceries. Organic food is often more expensive than conventionally grown food, but some value its claimed “health benefits”. With farmers markets opening up in the summertime, we get plenty of selections. What does it mean to be “Organic”? It’s important to note organic food is more labor intensive since the farmers do not use pesticides, chemical fertilizers or drugs. Organic certification is also expensive and many small farmers cannot afford that cost. Choosing the right foods So what organic items are worth exploring? Remember that organic doesn’t always mean healthy. Some organic items are high in fat and sugar – just like their conventional counterparts! As for which foods are a better value, the Environmental Working Group and Consumer Reports recommend the following:

SUMMER SPECIAL!!! expires July 24, 2017

You’d be surprised to learn that where you get organic foods makes a difference in its price. Here are some tips for keeping the cost of organic foods within your budget. • Shop at farmers’ markets. Often times you will find organic items for less. Even though their produce may not have the certified organic label, they still may be grown “organically”. • Prioritize your shopping list. Purchase the organic versions of the foods you eat most often and are the highest in pesticides. According to the Environmental Working Group, a nonprofit organization that analyzes the results of government pesticide testing, the following fruits and vegetables have the highest pesticide levels on average: apples, bell peppers, carrots, celery, cherries, kale, lettuce, nectarines, peaches, pears, imported grapes, strawberries.

TOP TEN TIPS FOR

aging gracefully

No matter our physical age, it is always important to grow older with grace and a sense of personal style. As we continue to find things that are important to us, perhaps this list can guide us. change. It is inevitable, so make change work for you to shape your 01 Embrace future. yourself. Take good care of yourself. Take time for physical activity 02 Love such as walking, exercise, yoga, etc. Invest time and effort into making your future bright and healthy.

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

are no-no’s. Eliminate negativity from your thoughts. Focus on the 05 Negatives positive. Work to reduce the effects of stress in your life. skin you’re in. Good skin care is important. Don’t forget to exfoliate and 06 The moisturize. Good skin care habits pay off in the long run. (Hey guys—and

gals, too! Corn meal, right out of your cupboard, makes a fast and effective exfoliant! Cleanse face as you usually do. Afterwards, splash face with water, but do not dry. Pat about 1 tablespoon of uncooked corn meal onto your face, but not on eyelids. Gently, but firmly, rub the corn meal granules over your face, except for eyelids and the tender skin just below eyes. Rinse, pat dry, and smooth on moisturizing cream or lotion. Your face, now devoid of old, dead skin, will look more vibrant and feel wonderful.)

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

glory. The proper hairstyle can take years off your looks and keep 09 Crowning you looking bright and well-groomed.

we go. Discover what is the next phase or adventure of your life and 1O Forward pursue it. TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada. Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, visit www.tops.org or call (800) 932-867 JUNE 2017 MHL

Redifing Health

FOOT PAIN?

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-131 m MHL JUNE 2017

MARCH 2017 MHL 17

By Kalpana (Rose) M. Kumar, M.D.

“Our goal should be to live life in radical amazement” - Rabbi Abraham Joshua Heschel

We can all agree that Medicine is not what is used to be. Public opinion has replaced scientific evidence, and in the current medical system, even science is not given the regard that is expected. If it was, the traditional health care system would pay attention to the scientific evidence accumulated over decades, about the effects of food and lifestyle on many disease we suffer from today, including cancer, heart, and autoimmune diseases. The causal connection between gut flora and autoimmune diseases, dementia and mood disorders is still ignored and not clinically applied. If the current medical system had any desire to grow and evolve with scientific evidence to benefit its patients, it would have transformed into a system committed to healing, not simply managing disease. This would require expanding its context of how to view health and illness. It would need to pay attention to patients and their stories and explore their biographies. This kind of more evolved system would value the relationship between physician and patient and change its fear based personality and vocabulary into an empowering one. This is truly what the vocation of Medicine was meant to be. In fact, expanding the context of approaching health and healing, illness and disease to further the healing of patients is required for the current system to survive. It has moved so far away from its true vocation that burnout amongst physicians [1], [2], [3] and mistrust amongst patients has made the system sick. The lack of attention to the sacred is at the heart of this illness. This is a kind of ‘heart disease’ of the system that has become chronic. The practice of medicine in corporate health care has separated from its true purpose. A system that stagnates in this way and does not grow is termed a ‘closed system’. In a closed system, there is resistance to growth, exploration, creativity, and wisdom. The ‘status quo’ is maintained at all costs by recycling information through the same filter. In the case of traditional medicine, that filter is disease management and quarterly profits. A closed system does not have room for the sacred. It squeezes it out of its modus and marches on with justifications for its course. Actually, in health care today, the bottom line has replaced the sacred. It has marginalized and amputated it out of the practice of medicine. The East offers a perspective that views wholeness as a complete circle. The circle consists of two halves, Yin and Yang, dark and light, the Feminine and Masculine principles [4]. These are not related to gender but to qualities and characteristics with which we all function. Both are present in each one of us. The Feminine Principle encompasses the realm of process, feeling, healing, being, listening, receiving, nurturing, nourishing, incubation, collaboration, non-rational, dreaming, imagination, mysterious, the sacred, and the cycles of nature. The Masculine Principle is the realm of product, mental, fixing, doing, penetrating, competing, rational, and evident. Emphasizing one more than the other creates imbalance. Living from both restores wholeness. Society glorifies the Masculine Principle over the Feminine. We are rewarded for behaving from those characteristics. The Feminine qualities are marginalized and not valued. This is especially true in our medical system. Our medical system is not whole. Some of the symptoms of devaluing the Feminine Principle in society are burnout, stress, anxiety, ADD, depression, and a lack of meaning. When we ignore the sacred, we feel a void, a scarcity, and compensate with materialism. Our society has normal-

I feel that most of the symptoms we suffer from today are a result of this separation from the sacred Feminine. ized this. Our school curriculums cut funding for art and music (the Feminine Principle). Our ‘health care’ system cuts into the doctor patient relationship (Feminine Principle). It is clear we value productivity or the bottom line (Masculine Principle), more than creativity, imagination, health, and relationship (Feminine Principle). Nature also belongs in the realm of the Feminine Principle. We are spending less time in nature than ever before. We ignore and discount its wisdom. When we separate from nature, we separate from our true nature. We separate from the sacred. We stop honoring the cycles of life, transformation, the life/death/life cycle, and live linearly. In fact, we fear these cycles and try to suppress them. Our medical system participates in this with many of the medications prescribed to suppress cycles, feelings, and signals from our true nature that we are not whole. The sacred is not even considered as important in our current fast paced and high tech world. This too has been normalized. I feel that most of the symptoms we suffer from today are a result of this separation from the sacred Feminine. We no longer live in a sacred relationship with ourselves or each other. This is the leading cause of mood disorders and unhealthy lifestyle choices. These choices are driven unconsciously to compensate for this void. Many of our chronic health issues are a direct result these compensations. We eat more sugar, processed and fast foods and are disconnected from our feelings of fullness. We are mostly in a trance and disconnected from our bodies. Our minds dictate our behaviors and justify them. We begin to value what the collective does. Extrinsic values like money and progress are glorified at the cost of health. All of these ways of living are symptoms of separation from the sacred, from intrinsic worth, and wholeness. This separation creates unconsciousness, a kind of desecration of self. Advertising relies on this. Pretty soon we stop thinking for ourselves and follow the path of least resistance. We become gullible to normalized thinking. We lose our individuality. Over time, this way of life becomes difficult to change. It usually takes a health or life crisis to get our attention, to return back to our conscious self, and to individuate, but sometimes even that does not jolt us into transforming. In my medical practice, I am acutely aware of the presence of the sacred. Very early in my medical training, I realized this is really what I am here to serve. The power of intention and the ability to create time for relationship creates sacred space. This is where the Masculine and Feminine Principles can be balanced to generate the best outcomes. The balance of expertise and intuition, penetrating and uncovering, exploring and incubating, all are needed for healing. When the sacred is invoked the true nature of healing is facilitated. Scientific evidence is the tuning fork that keeps patients safe. Used correctly, this balances the Feminine Principle with safety. It is the best use of both the Masculine and Feminine Principles. This truly serves the vocation of Medicine. This is rarely present in medicine today. Holistic medicine marginalizes science and traditional medicine devalues wholism. Balancing the Masculine with the Feminine Principles can heal both. We can all bring the sacred into our lives at any moment. When we invoke the sacred, we deepen our perspective and invoke meaning and mystery. We open to growth and heal the status quo. Invoking the sacred can heal the separation we have created with ourselves, as well as the separation that many of our systems have with their true purpose. The sacred restores meaning, expands context, stretches imagination, and invokes the magic in life. It facilitates creativity. As the Oracle in Delphi stated, “Bidden or unbidden, God is presentâ€?. For me, the felt sense of God is the experience of the sacred. When we seek it, our life heals. We must invoke the sacred in our lives every day. It is the only way we can restore what is real, and live with No matter our physical is always important to grow older Our withconsciousgrace and meaning and purpose. Whatage, eachitone of us invokes affects the whole. a sense of the personal style. As we continue to find things that are important to us, ness affects collective. perhaps can guide I invitethis youlist to invoke theus. sacred in your life. Embrace It is(Rose) inevitable, so make change for you to shape your ŠJune 2017change. Kalpana M. Kumar M.D., CEO work and Medical Director, The future. Center for Integrative Medicine, Pewaukee, WI. Website: www.ommaniOmmani Love yourself. good care of yourself. TakeYour timeHealth for physical activity such as center.com AuthorTake of Becoming Real: Reclaiming in Midlife. 2011, 2014 walking, exercise, yoga, etc. Invest time and effort into making your future bright Medial Press and healthy. Links: Inside counts. Get healthy on the inside to help look healthy on the outside. Get[1] http://www.medscape.com/viewarticle/838437_1 ting sleep and eating right are crucial. [2]proper https://www.thehappymd.com/blog/bid/295048/physician-burnout-why-itsNutritious choices. Eat plenty of fruits and vegetables. Make sure you include not-a-fair-fight foods omega-3s in your eating plan, with tasty options like salmon, walnuts, [3] rich in http://healthaffairs.org/blog/2017/03/28/physician-burnout-is-a-publicflaxseed and more. health-crisis-a-message-to-our-fellow-health-care-ceos/ Negati ves are no-no’s. Eliminate negativity from your thoughts. Focus on the [4] https://ommanicenter.com/becoming-real/ positive. Work to reduce the effects of stress in your life. The skin you’re in. Good skin care is important. Don’t forget to exfoliate and moisturize. Good skin care habits pay off in the long run. (Hey guys—and gals, too! Corn meal, right out of your cupboard, makes a fast and effective exfoliant! Cleanse face as you usually do. Afterwards, splash face with water, but do not dry. Pat about 1 tablespoon of uncooked corn meal onto your face, but not on eyelids.

TIPS FOR AGING Gracefully

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MARCH 2017 MHL 11

WHEN DID GOD BECOME A DIRTY WORD?

By Rev. Kris A. Nelsen Truly God has become a dirty word. A word that we don’t use unless we know it is “okay.” We no longer say, “God Bless You” when someone sneezes, it is just “Bless You.” Are we even aware of the distance that we are placing between ourselves, our brother and our source? Some of us are more comfortable with other words that symbolize God: Divine Source, the One Source, Allah, Father, Jehovah, etc. Isn’t it really all the same thing? Aren’t we all children of God, the essence of our Father in spirit? What is there to be ashamed of? What is it about God that we feel we have to hide? Good questions for all of us to contemplate. We have taken the concept of God and turned it, he/she, into a man-made idol. A man in the clouds that judges us and watches us. A God made for man to fear and in all actuality, a man-made God! No wonder we don’t like the word. Is it possible that we don’t like the word anymore due to the images WE have made of God, not the other way around. We choose to fear God, blame God and go to war over God and believe that my God is better than yours. What insanity when you really look at it. What kind of a God would that be? What if we erased all the meaning that the world has assigned to God and instead went within and connected with God! I would tell you that we have all had an experience of this connection and that connection is unchanging and certain. The journey to our source, to the essence of who we are, is always available to each one of us. “A journey without distance,” states A Course in Miracles. It is an inward journey and it is a connection that we may choose to have right now. The truth doesn’t change just because we don’t like it or believe it; otherwise it wouldn’t be the truth. Maybe it is time for a shift in focus, time for us to contemplate what images we have connected with the word God and ask ourselves if these images are images of a loving God? If not, maybe these are false images. It is a challenge to have faith or believe in something that our eyes can’t see. However, it is something that we can experience. This experience can be beyond description, it can be a feeling of love that we have never experienced in form or a body. It could be an experience of perfect synchronicity or the dissolving of perceived problems after surrendering to spirit, to God. It may be that we meet a stranger and they offer us the solution to a question we had been pondering. Maybe as we sit next to a stream a mallard duck appears before us and does a spectacular landing for our eyes only; revealing the beauty and majesty of God. God is pure Love, he doesn’t love one more than another, He is not a judge to be feared. Jesus, Yogananda, Buddha, St. Teresa of Avila, Mother Theresa, all have taught these lessons. Each one has modeled and taught that we are all Sons of God – that we are never separate from our Father. That God is found through inner pathways, contemplative prayer, through our mind. Somehow we have gotten the message turned upside down and that is why God is now a dirty word. You have the choice right now to think about things differently, to perceive the world, through God, a different way. We don’t need to seek at all, as the voice for God is always with us, just waiting for us to ask to know him. There could be nothing closer to us than our natural essence. “A Course in Miracles,” states, “God is and then we cease to speak,” because there are no words to describe the eternal, the formless, infinity, unending love. The world, at best, can only reflect these concepts. However, we can experience a shift in our consciousness and perception right here and now, if we are willing. True understanding of God will come when we remember who we truly are and return home! For now, let us embrace our God, our source, pure love – what could possibly happen but more love, feelings of fulfillment and peace, as experienced by those who have gone before us – Jesus, Buddha, etc. We are already blessed, now is the time to connect and remember the love that we already are! Rev. Kris A. Nelsen Light of Grace, A Miracles Center JUNE 2017 MHL

Screening Our Sunscreens FOR POTENTIAL ENDOCRINE DISRUPTORS

MHL JUNE 2017

Recent research about sunscreens had questioned their safety. The FDA is in charge of regulating products and claims that sunscreen manufacturers make and the last time they were reviewed claims and efficacy was in the 1970’s. Labeling is expected to change for next summer. So what are the current problems associated with some sunscreens and what do consumers do for now until greater regulation and review takes place? Let’s take a look at one potential problem and that is the chemicals in sunscreen. Oxybenzone is commonly used in sunscreens and may actually be very problematic. In addition to being known to produce free radicals (also known as pro-oxidative), recent research done on fish actually found that oxybenzone can have endocrine disrupting estrogenic effect as well. In this study, the researchers took two different groups of fish. When exposed to high levels of oxybenzone, the fish’s blood levels of estrogen was 75 times greater than those fish not exposed to oxybenzone. Researchers also evaluated the reproductive success of the fish. The ability of females to produce viable eggs was significantly lower after just 7 days of exposure and the number of fertilized eggs that ended up hatching was also significantly lower. This research suggests that there may be an estrogen like activity of the chemical oxybenzone and may alter normal hormonal function. Knowing this information, what are safe ingredients in sunscreens? Look for sunscreens that are mineral based and contain either zinc oxide or titanium dioxide as the main sun protective ingredients. According to the environmental working group, Mexoryl SX is another good option, but it’s sold in very few formulations. Tinosorb S and M could be great solutions but are not yet available in the U.S. Sunscreens with avobenzone are also okay. Label reading can also be a hurdle when selecting a sunscreen. SPF measures a sunscreen’s ability to prevent sunburn, which is caused by ultraviolet B (UVB) light. If your skin would normally burn after 10 minutes in the sun, for example, wearing an SPF 15 sunscreen would theoretically allow you to stay in the sun for 150 minutes (10 x 15) without burning. This means that the person should re-apply after 2.5 hours in the sun. Scientists now also know that ultraviolet A (UVA) is a major cause of aging and also contributes to skin cancer. SPF can be misleading because products with less than SPF 15 might not protect against the UVA effects, but may prevent sunburn. There is little data if products greater than SPF 50 provide any additional benefit. A tan offers the equivalent protection to a sunscreen with SPF 3 or 4. White long sleeve tee is SPF 7 and dark, heavy denim has an SPF of 1,700. To learn more about chemical components of sunscreen, take a look at environmental working group’s 2011 sunscreen report. This group reports on the health effects of chemicals in our environment. Their online resource allows you to see how your current sunscreen (makeup, moisturizer or lip balm) ranks and gives their recommendation for the safest products to use. It actually breaks down all the ingredients in a product so you can see how each may be influencing your health. Type “EWG sunscreen” into search to find the link to the database. It’s difficult to talk about the sun without talking about vitamin D. You need at least 20 minutes of full body sun exposure between the hours of 10 am until 2 pm to make your daily allowance of vitamin D. Darker skinned individuals may need up to one hour. Anything over SPF 8 blocks the body’s ability to make vitamin D. So you can see the problem here-- many people burn with just 10 minutes in the sun and we want to protect our skin from damaging rays. This is where the importance of taking supplemental vitamin D comes in to play. Vitamin D deficiency is very common in Wisconsin and individual need is widely variable. I have seen similar body and age matched patients need anywhere from 2000 units a day to 10,000 units a day to get to an optimal blood vitamin D levels. Vitamin D is an easy blood test that your doctor can to o that you can ensure that you are getting the correct supplemental amount of D.

CHILDRENS HEALTH

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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. “ When asked if siblings should beintegrate sent to different different sessions, t Tamarack, our teachers the artscamps into alloraspects Banda responded, “In my experience as a mom of 3, and the director of Scamp for of learning, developmentally appropriate curriculum, and specialty 5 years,” she went on, “I would say separating siblings is best. They can be signed classes including: and asking foreignto language. up for the same camp,music, but I handwork, would suggest have them assigned to different Pre-K through High groups. Siblings tend to School. be competitive which can cause arguments group that High Sincthe hothem ol from otherwise wouldn’t take place. Also being in the same group can hinder pen House branching out and making friends with other kids in their O group.” Myour “Do speak to your children’s counselors to see how Scamp archkids 19are , 1 doing. -4 pm she counselors speak to parents on a regular basis, at drop-off and pick-up times,” Caguiding ll for and explained. “I suppose they are like teachers for the summer, the infoteaching ! High School: 2628 N. and Dr. Martin King Jr.with Dr. ~kindness 414.265.7075 children to behave treat Luther each other and respect. Counselors are

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Children are suddenly free to face challenges and accomplishments that alone With the summer months quickly approaching, weare looktheirs forward to spending time

with our families outdoors and enjoying the sunny days at local beaches and pools. While it’s a great time of the year with so many outdoor water activities to partake

22 MHL MARCH 2017

in, it is very important to safeguard our loved ones from the potential dangers of water-related accidents. Drowning is the leading cause of injury-related death among children less than 5 years ofMichael age. Annually, overPh.D. 3,000 children visit an emergency department for nearThompson, drowning accidents, and over them areaway hospitalized. Although mosthapvictims Why are people so loyalhalf to of their sleep camps? What exactly suffer minimal harm, prolonged submersion times with poor resuscitation efforts pens at camp that makes people rhapsodize about the experience thirty or can leadforty to severe damage.I tell people that I am curious about the camp yearsneurologic later? Whenever Prior to 2010, the American experience, the stories start toAcademy pour out.of“IPediatrics loved my discouraged camp,” they parents say in afrom enrolling children less than 4 years of age in swimming lessons and advised that dreamy voice. swimming instruction did not prevent against drowning. It was thought that children What is it about the summer camp experience — just a few weeks away under 4 years were not developmentally ready for swimming lessons, which for perhaps two or three seasons — that goes so deep under their skin? As may create a false sense of security byabout reducing their fearofofcamp. water.What’s the magic a psychologist, I am curious the mystery The AAP has since altered its stance on drowning prevention, as studies done in ingredient? other countries may prove contrary. The new AAP policy neither After a whole summer of sitting in on campfires, cabin chats,disapproves and dining nor supports formal aquatic lessons for children 1-4 years of age. It also mentions hall sing-alongs; after laughing through a lot of silly campfire skits; after that although swimming lessons for infants less than 1 year of age have become popular, watching kids compete in color wars and canoeing contests and stage firstthererate is no evidence to support the safety and efficacy of these programs. productions of Broadway musicals — I’m closer to an answer. Besides of swimming ability, factor that influences drowning First, lack it is absolutely magical foranother kids to be away from their parents. The risk is lack of close supervision. All caregivers should be trained in CPR, as it has sweetest, most satisfying moments of childhood (think back to your ownbeen shown save livesalways and improve outcomes in from drowning victims. Children Drowning life)toare almost when you are away your parents. are happenssuddenly quickly and quietly and can occur any place with waterbathtubs, whirlpools, free to face challenges and accomplishments that are theirs alone inflatable pools, even areas with supervised adults should be — experiences that don’t have to be runlifeguards through theDesignated parental cognitive-ruwatching children at all times with no distractions. For infants and small children, minative-metabolic-judicial machinery. adults should always be in the water no more than an ”arms length” away. Secondly, the relationship between campers and counselors is pure gold. Among children 1-4love years age, most drowningsand occur home brings swimming The younger kids andofadmire the counselors, thatinrespect pools. According to the Centers for Disease Control, foursided pool fencing out the best in young adults. They are at their most responsible, compas- that separates theand poolloving from the house reduceofa younger child’s drowning sionate, when theyand areyard put may in charge children,risk andup to 80%.thePool locks, alarms, and covers may serve as additional means of protection, younger children knock themselves out trying to impress these young but should never replace proper fencing. In addition, inner-tubes and foam toys, demi-gods. such asFinally, “water ifwings” not bea thought of as personal flotation campsand are “noodles” successful,should they create private world with its own devices. These and other water toys may actually lure curious young children rules and rituals and magic. Deep down, all children want to have their own near the water and should be put away when notnet. in use. adventures with no (apparent) safety Suburban life and school don’t For more information on learning about please visit the provide children with much of an arena fordrowning adventureprevention, or their imaginations. websites from the American Academy of Pediatrics, Centers for Disease Control Camps have the ability to create that world that belongs only to a child and and his U.S. Consumer Product Safety Commission. Summer is a great time of year, or her friends. Now that is magic. and with the right swimming precautions, you can keep your family safe while still having fun in the sun.

JUNE 2017 MHL

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creaking joints, aides in the flexibility to continue with the same tasks we did when we were much younger.

MHL JUNE 2017

By Arlene Becker Yoga is one of the best exercise disciplines that you can do for your body. It’s excellent fitness for all ages, but it’s especially important for us as we get older. Yoga helps us to lubricate creaking joints, aides in the flexibility to continue with the same tasks we did when we were much younger. As we age, things like moving, lifting, getting up from a chair, and even getting out of bed, may become a challenge for many of us. “Oh my aching body” is often heard as you groan in doing something that was a snap when you were in your twenties and thirties, or even early forties. Yoga is one of the disciplines that can help mitigate the aging of your body. It may even be de rigueur as part of your fitness routine. However, yoga might be difficult for some people. Along with the variety of yoga classes proliferating the greater Milwaukee area, there is a yoga that is geared for those who are more mature, for the Boomer generation, and older, it’s Yoga for Seniors. Yoga for Seniors, taught by Sandy Byrne at Elite Sports Club’s River Glen location, is geared in every way for the Boomer generation. Byrne is a certified Senior and Hatha Yoga instructor, and Pilates Mat instructor. Byrne said that generally Senior Yoga is for those 55 and over, who want to work on overall health and fitness, such as strength, flexibility, balance, and range of motion. The biggest difference between regular Yoga and Senior Yoga is that movements are done more slowly, modified for greater ease and stability, through a shortened range of motion. Byrne cited many examples of people, even in their eighties, who’ve been helped by participating in Senior Yoga. She recalled, “I’ve heard from many in my class, and in my private sessions, that they’ve improved their balance, relieved the pain of arthritic joints, and improved the so called ‘dowager’s hump.’” The Yoga for Seniors instructor’s manual, ‘YogaFit,’ enumerates at length the many benefits of Yoga for Seniors. Among the benefits are: the improvement of posture, range of motion, and strength; as well as mental clarity and function; restoring joint mobility and flexibility; strengthens lung and respiratory health; decreasing back pain; and surprisingly, even can improve foot health. Most importantly “Yoga can arrest, and may even reverse the deteriorating process that comes with aging.” Byrne explained how her Yoga for Seniors class is conducted. “We begin a longer warm up phase by doing simple seated exercises as I scan participants’ quality of movement. Though I am teaching a class, I treat every person as an individual, seeing what each is capable of at each juncture of the class.” “Then we transition from sitting, to standing, to do our ‘modern dance’ inspired leg swings. From here we move on toward larger full body movements, which may include marching in place, or a modified Yoga Sun Salutation.” Byrne emphasized, “a good teacher pays attention to each of her students and what’s going on with their bodies. Each class is based partially on what my students tell me and I design the class with their input in mind.” She spoke of some of the other Yoga moves made in the class to help her senior participants. “Rolling our shoulders back and down, and lifting our chests is energizing. The classic Yoga movement ‘Downward Facing Dog’ is weight bearing and helps to build bone.” Byrne concluded with some very positive news for seniors. “I have found that if people participate in Yoga for Seniors for as few as three sessions most people will achieve positive benefits in this time. Obviously even longer is better, and to achieve the best and lasting results, it should be a definite lifetime part of your fitness regimen. The good news is that you can begin Senior Yoga at any time and at any level of fitness. It’s never too late to improve the health of the body.” To sign up for the Yoga For Seniors program, for either classes or individual instruction, call Byrne at “Elite Sports ClubRiver Glen.” 414-352-4900.

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JUNE 2017 MHL

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MOM STILL HAS STORIES TO SHARE.

TRAVELING WITH SENIORS Trips can be rich and rewarding for everyone involved, provided you prepare for potential challenges along the way.

Whether it’s a Fourth of July getaway or a family reunion, summer brings the opportunity to travel with a senior loved one. These trips can be rich and rewarding for everyone involved, provided you prepare for potential challenges along the way. You can never be too prepared. When traveling with seniors, it is essential to take the three Ms – in this case: meds, mobility issues, and Murphy’s Law – into consideration. Some areas where you should plan to plan: Documentation: Make sure that both you and your senior loved one have sufficient and valid photo identification and it is accessible throughout your journey. Particularly if you are traveling by air or crossing national borders, there may be multiple checkpoints. A non-expired, government-issued passport is best as it carries the most weight with TSA and other officials, but you should also have a backup such as a state-issued I.D. or driver’s license. You can view TSA requirements for valid photo identification here. Call Ahead: If you are flying, call the airline ahead of time and let them know that you will be accompanied by a senior passenger. Arrange any special services in advance, whether it’s a wheelchair at the gate, a seating request or a dietary consideration. If you are staying in a hotel, on a cruise ship, or participating in a tour, make sure everyone involved is aware of whatever requirements your senior might have. Medications: You’ve probably already planned for the meds they will need while they’re away from home, but you should also make sure you are familiar with how they can refill or replace a prescription if needed… particularly if they are heavily regulated drugs. If you are flying, pack all medications in carry-on bags, but in their original containers. Don’t try to consolidate or put them in a day sorter or they might not clear TSA. At Home Instead Senior Care serving Milwaukee we also recommend that your senior loved one carry an emergency card in their wallet (whether traveling or not) – with doctor information, medical data, allergies, etc. Call our office at (414) 882-5464 for a free card. Prepare Your Senior: Speaking of TSA, seniors who haven’t traveled very often since September 11th may be surprised by increased security measures. Consider going over the new procedures in advance. Seniors who know what to expect will get through security more quickly and smoothly. Carry Smart: Make sure both you and your senior companion have organized your money and documentation to deter thieves. Consider a money belt or a Passage Wallet, rather than an easily snatched handbag or pocket wallet. Keep carry-on bags in contact with your body – in your hands, between your feet, or looped around the leg of a chair you are sitting in – at all times. Pack Lightly: This one’s obvious, but bears repeating. You are responsible for getting your senior travel companion and any medication, gear and luggage they have safely to their destination so the less you have to carry, the happier you’ll be. For more information about preparing your senior loved one for a trip, please call Home Instead Senior Care of Milwaukee at (414) 239-9605, or Like us on Facebook. You can also find more information on CaregiverStress.com. Safe and happy travels!

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Positive Attitudes

FOR HEALTHY LIVING

S

LOSS

IGNS OF HEARING HEAR Wisconsin is focused on providing you the best hearing • Difficulty hearing conversations in the healthcare available. Our presence of background audiologists from the Medical noise. College of Wisconsin and technology • You can hear people counselors work closely with you to speaking, but can’t make find the best solution for your hearing out what they are saying. and communication needs.

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MHL JUNE 2017

• You ask people to repeat themselves. • Difficulty hearing the television or voices over the phone.

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

What is Low Vision?

Everyday Tasks Are Challenging

Low vision means that even with regular glasses, contact lenses, medicine, or surgery, people find everyday tasks difficult to do. Reading the mail, shopping, cooking, seeing the TV, and writing can seem challenging. Millions of Americans lose some of their vision every year. Irreversible vision loss is most common among people over age 65. Not a Normal Part of Aging Losing vision is not just part of getting older. Some normal changes occur as we get older. However, these changes usually don’t lead to low vision. Causes and Risk Factors Eye Diseases and Health Conditions Most people develop low vision because of eye diseases and health conditions like macular degeneration, cataracts, glaucoma, and diabetes. Your eye care professional can tell the difference between normal changes in the aging eye and those caused by eye diseases. Injuries and Birth Defects A few people develop vision loss after eye injuries or from birth defects. Although vision that is lost usually cannot be restored, many people can make the most of the vision they have. Signs of Low Vision There are many signs that can signal vision loss. For example, even with your regular glasses, do you have difficulty recognizing faces of friends and relatives? doing things that require you to see well up close, such as reading, cooking, sewing, fixing things around the house, or picking out and matching the color of your clothes? doing things at work or home because lights seem dimmer than they used to? reading street and bus signs or the names of stores? Early Diagnosis Is Important Vision changes like these could be early warning signs of eye disease. People over age 60 should have an eye exam through dilated pupils at least once a year. Usually, the earlier your problem is diagnosed, the better your chances of undergoing successful treatment and keeping your remaining vision. Regular dilated eye exams should be part of your routine health care. However, if you think your vision has recently changed, you should see your eye care professional as soon as possible. Rehabilitation Ask About Vision Rehabilitation If your eye care professional says, “Nothing more can be done for your vision,” ask about vision rehabilitation. Find out where you can get more information about services and devices that can help you. Specialist with patient - Click to enlarge in new window. A specialist in low vision is an optometrist or ophthalmologist who is trained to evaluate vision. This person can prescribe visual devices and teach people how to use them. Adapting to Vision Loss Rehabilitation programs, devices, and technology can help you adapt to vision loss. They may help you keep doing many of the things you did before. Coping with Everyday Activities Coping with Everyday Activities - opens in new window These programs also offer a wide range of services, such as low vision evaluations and special training to use visual and adaptive devices. They also offer guidance for making changes in your home as well as group support from others with low vision. Special Visual Devices There are specific visual devices and training on how to use them. Many people require more than one visual device. They may need magnifying lenses for close-up viewing and telescopic lenses for seeing in the distance. Some people may need to learn how to get around their neighborhoods.

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JUNE 2017 MHL

Longevity Gene May Boost Brain Power Scientists showed that people who have a variant of a longevity gene, called KLOTHO, have improved brain skills such as thinking, learning and memory regardless of their age, sex, or whether they have a genetic risk factor for Alzheimer’s disease. Increasing KLOTHO gene levels in mice made them smarter, possibly by increasing the strength of connections between nerve cells in the brain. The study was partly funded by the National Institutes of Health.

“This could be a major step toward helping millions around the world who are suffering from Alzheimer’s disease and other dementias,” said Dena Dubal, M.D., Ph.D., an assistant professor of neurology, the David A. Coulter Endowed Chair in Aging and Neurodegeneration at the University of California San Francisco (UCSF) and the lead author of the study published in Cell Reports. “If we could boost the brain’s ability to function, we may be able to counter dementias.”

AS PEOPLE LIVE LONGER THE EFFECTS OF AGING ON THE BRAIN WILL BECOME A GREATER HEALTH ISSUE. This is especially true for demen-

tias, a collection of brain disorders that can cause memory problems, impaired language skills and other symptoms. With the number of dementia cases worldwide estimated to double every 20 years from 35.6 million people in 2010 to 65.7 million in 2030 and 115.4 million in 2050, the need for treatments is growing. Klotho is the name of a Greek mythological goddess of fate, “who spins the thread of life.” People who have one copy of a variant, or form, of the KLOTHO gene, called KL-VS, tend to live longer and have lower chances of suffering a stroke whereas people who have two copies may live shorter lives and have a higher risk of stroke. In this study, the investigators found that people who had one copy of the KL-VS variant performed better on a battery of cognitive tests than subjects who did not have it, regardless of age, sex or the presence of the apolipoprotein 4 gene, the main genetic risk factor for Alzheimer’s disease. “This study shows the importance of genes that regulate the multiple aging processes involved in the maintenance of cognitive function,” said Suzana Petanceska, Ph.D., program director in NIA’s Division of Neuroscience. “Understanding the factors that control the levels and activity of KLOTHO across multiple organ systems may open new therapeutic avenues for prevention of age-related cognitive decline and dementia.” The investigators tested a variety of cognitive skills, including learning, memory, and attention. More than 700 subjects, 52 to 85 years old were tested as part of three studies. None had any sign of dementia. Consistent with previous studies, 20 to 25 percent of the subjects had one copy of the KL-VS variant and performed better on the tests than those who had no copies. Performance on the tests decreased with age regardless of whether a subject had one or no copies of the KL-VS gene variant. The KLOTHO gene provides the blueprint for a protein made primarily by the cells of the kidney, placenta, small intestine, and prostate. A shortened version of the protein can circulate through the blood system. Blood tests showed that subjects who had one copy of the KL-VS variant also had higher levels of circulating klotho protein. The levels decreased with age as others have observed. The researchers specu-

late that the age-related decrease in circulating levels of klotho protein may have caused some of the decline in performance on the cognitive tests. “These surprising results pave a promising new avenue of research,” said Roderick Corriveau, Ph.D., program director at NIH’s National Institute of Neurological Disorders and Stroke (NINDS). “Although preliminary, they suggest that a form of klotho could be used to enhance cognition for people suffering from dementia.” To test this idea the researchers genetically engineered mice to overproduce klotho protein. The klotho-enhanced mice lived longer and had higher levels of klotho in the blood and in a brain area known as the hippocampus, which controls some types of learning and memory. Similar to human studies, the klotho-enhanced mice performed better on a variety of learning and memory tests, regardless of age. In one test, the mice remembered the location of a hidden target in a maze better, which allowed them to find it twice as fast as control mice. Learning is thought to strengthen communication between nerve cells in the brain at structures called synapses. In the hippocampus, many synapses use a chemical called glutamate to communicate. Electrical recordings suggested that klotho makes it more likely these synapses will be strengthened during learning and memory. NMDA receptors control communication at many glutamate synapses. GluN2B subunits are components of some NMDA receptors. Previous studies have shown that the presence of GluN2B at synapses is associated with changes in synaptic strength and learning and memory. In this study, the researchers found that synapses in the brains of klotho-enhanced mice had more GluN2B subunits than control mice. Treating klotho mice with a drug that selectively blocks GluN2B-containing NMDA receptors reduced their ability to perform on learning and memory tests. The results suggest that increasing the presence of GluN2B-containing NMDA receptors may be one way that klotho could enhance cognitive skills. “Overall our results suggest that klotho may increase cognitive reserve or the brain’s capacity to perform everyday intellectual tasks,” said senior author Lennart Mucke, M.D., director of the Gladstone Institute of Neurological Disease, San Francisco, CA, and the Joseph B. Martin Distinguished Professor of Neuroscience, and professor of neurology at UCSF. This work was supported by grants from the NINDS (NS065780), the NIA (AG022074, AG034531, AG00001, AG18440, AG010435, AG019712, AG23501, AG19724, AG032289, AG025831, AG15819, AG17917), NCRR (RR18938, RR00865); gifts from the S.D. Bechtel Jr. and Coulter-Weeks Foundations; awards from the MetLife Foundation and the American Federation for Aging Research. For more information about dementia, please visit: http://www.ninds.nih.gov/disorders/dementias/dementia.htm

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RESTORE YOUR BODY

with healthy food choices! WHAT WE CAN DO IS LISTEN TO OUR BODIES AND FIGURE OUT WHAT MAKES US FEEL HEALTHY. Kailey Reas There is a lot of talk about what to do to repair our body when we become sick and every advertisement seems to be pushing a new diet product to make us feel better. It can be very difficult to sift through all the information and find what works for us. Will the “healthy diet” that works for my best friend work for me? What if we are already plagued with chronic ailments, like arthritis? What we can do is listen to our bodies and figure out what makes us feel healthy. Our bodies must be in balance in order to resist disease. The blood pH to be healthy needs to stay between 7.35 and 7.45. In order to maintain this pH, the blood will push acidic waste into the body tissues. The typical Western diet includes meats, fish, dairy, processed foods, sugar, alcohol, and caffeinated drinks, which all contribute to one’s body becoming too acidic. As we age, the acid in the body can lead to stiffness and deterioration of our muscles and joints. This can be especially problematic for people with arthritis. In order to restore our bodies to the optimum pH level, we need to balance out the acidic condition with alkaline foods. Here are some easy alkaline food choices: Fresh Fruit: Apples, grapes, lemons, limes, papayas, pears, melons, avocados, berries, cherries, figs, raisins, kiwi, and dates Fresh Vegetables: A premiere community based residential Fresh salads, raw spinach, broccoli, parsley, garlic, wheat grass, facility, offers three locations in eastern barley grass, asparagus, carrots, cucumbers, lettuce, onions, celery, Wisconsin - two homes in Germantown okra, squash, corn, and peas and one in Port Washington. Our mission is Nuts, Seeds, and Oils: to create a tranquil, nurturing home Almonds, chestnuts, hazelnuts, brazil nuts, coconuts, pine nuts, olive oil, canola oil, flax seed oil, and avocado oil and loving surrogate family that encourages Beverages: the individual in all aspects of daily life Herbal teas, green tea, ginger tea, soy milk, vegetable juices, and while promoting the highest level of water with lemon or lime independence possible. Sweeteners: Maple syrup, rice syrup, raw honey, and raw sugar. If you already are prone to muscle stiffness because of arthritis, you can take some of your food choices a step further. Dignified Living for the Eldery and Disabled. Apple Cider Vinegar: At Ellen’s Home, we strive to preserve, honor and celebrate the uniqueness According to the book, “Apple Cider Vinegar” by Paul and of each resident by creating an individualized care plan which identifies and Patricia Bragg, arthritic pain sufferers who took an apple cider vinegar and honey cocktail three times a day for several months addresses their unique emotional, spiritual, social, physical and intellectual reported that the pain was completely gone from their joints. abilities and needs. Ellen’s Home believes a blended inter-generational Pineapple: assisted living community that serves residents with a variety of needs is Pineapple possesses powerful anti-inflammatory properties, complementary with “Aging in Place” philosophies that benefit all individuals. which can ease the pain of arthritis. Turmeric: Our staff is highly trained and experienced including specialized Turmeric is also known for it’s anti-inflammatory effect. training related to dementia and Alzheimer’s care. Our homes provide: Cinnamon and Honey: • Pharmacy Service • Lab & Radiology Services Many Arthritis sufferers have found much relief from their aches • Podiatrist • Physical Therapists • Activity Directors and pains by drinking a cup of hot water with two spoons of honey • Beauty/Barber Shop and a teaspoon of cinnamon in the morning and evening. Almonds: Almonds are a great source of magnesium, which is an essential mineral that helps relax our muscles. This article is fuel for thought and not intended to substitute for 262-250-6455 medical advice or treatment. 262-250-9800 262-268-9555 -- Lynn Grzona contributed to this article.

SUMMER IS HERE ...RESERVE NOW!

Germantown

MHL JUNE 2017

Germantown South

Port Washington

Skilled Nursing

AND REHABILITATION FACILITIES When you no longer need the amount of care provided in the hospital, the hospital will begin a process to discharge you. Most people hope to go directly home from the hospital after surgery or being ill. However, even if you and your doctor planned for you to go home, your recovery may be slower than expected. As a result, you may need to be transferred to a skilled nursing or rehabilitation facility. Skilled nursing facilities provide care for people who are not yet able to care for themselves at home. The goal is for you to return home and care for yourself. Plan AheadIf your surgery is planned, you should talk about this issue with your doctors and nurses in the weeks beforehand. They can advise you about whether go-

ing directly home will be good for you. If your stay in the hospital is not planned, you or your family should discuss discharge planning with your health care provider as you begin to recover. Planning ahead of time where you would like to go helps ensure you can go to a place that provides high-quality care and is located where you would like it to be. •Have more than one choice. If there is no bed available in the skilled facility that is your first choice, the hospital still needs to transfer you to another qualified facility. •Always make sure the hospital knows about the places you have chosen. Choosing the Right Facility for You It is always a good idea to check out different skilled nursing facilities that you would like to go to. Visit two or three facilities and choose more than one facility at which you would be comfortable. Important factors in the facilities you choose will include where the facility is located, how well it is decorated and maintained, and what the meals are like, along with many others. You should also remember, your most important goal is to get safely back in your home. The quality of care you will receive at this facility plays the biggest role in getting you home. Therefore, when looking into the facilities that are near you or those suggested to you by friends or the hospital, find out more about them. Do they take care of many people with your medical problem? •For example, if you had a hip replacement or stroke, ask how many patients with your problem they have cared for. •A good facility should be able to show you data that shows they provide good quality care. •Do they have a pathway, or protocol, for taking care of patients after hip replacement or stroke? Other questions to ask are: •Ask whether they have physical therapists that work at the skilled nursing facility. Make sure the therapists have experience helping people with your problem. Ask whether you will see the same one or two therapists most days. •Do they provide therapy every day, including Saturday and Sunday? How long do the therapy sessions last? •If your primary care doctor or your surgeon does not visit the facility, will there be a doctor in charge of your care? •A good facility will take the time to train you and your family or caregivers about care you will need in the home when you leave the facility.

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“Senior Moments” THE MEMORY ISSUE

Where are my keys? Did I buy what I actually stopped at the store for? What day is it? Remember the days when you never asked these questions because “senior moments” were not part of the normal day. If you are reading this article because you are concerned about your ability to recall, you may not have to worry. Surveys show that if you are concerned about memory loss it is most likely due to a stressful time, aging, illness or distraction. However, those who do not worry about memory loss are more likely to be suffering from dementia. According to a John Hopkins Special Report on age-associated memory impairment there are a number of things you can do to improve the chances of keeping your memory sharp. Stay mentally active – learn something new, volunteer, do crossword puzzles, read. Stay physically active – exercise increases the blood flow to the brain resulting in clear thinking. Walking or an exercise program for 30 minutes a few days a week is all it takes. Rule out other causes of memory loss – check with your doctor memory loss could be due to a medication, hearing loss, depression, thyroid dysfunction, vitamin deficiency or stress which are all treatable. Do not smoke – smokers over age 65 are 3.7 times more likely to experience mental decline. Limit alcohol consumption – experts recommend no more than one drink a day for women and two per day for men.

Place commonly lost items in the same spot – get into the habit of putting your keys, glasses or other important items in the same location every time. Write things down – keep a to do list and add numbers or important dates as necessary. Say words out loud – hearing can increase recall. Repeating a persons name right away can help you remember. ..“Hello Mary, it is nice to meet you”. Group items using mnemonics – which is a technique used to enhance memory. Associate what you are trying to remember with something that is familiar or paint a mental picture until you see it clearly. Try to alphabetize a list or put it to song. Use memory aids – notepads, cell phone alarms and voice recorders can all assist in keeping track of important information. Use visual images – to remember a name create a story and picture the person acting out their name. Mrs. Baker could be making a batch of cookies. Stop worrying – Concentrate and relax. Use a deep breathing or muscle relaxing technique to keep the stress and anxiety levels low so you can think clearly. Age associated memory loss is common and is not necessarily a sign of a serious neurologic disorder. See your doctor with any ongoing concerns you may have. Build the above suggestions into your day and create an atmosphere for creative thinking, learning and activity. The more you challenge your mind the sharper it will remain. Tudor Oaks Retirement Community encourages you to design your retirement to keep your mind healthy and clear. Join us on July 15th at 2:00pm to learn how you can Maximize Your Memory. Call 414-525-6500 for reservation and location information.

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MHL JUNE 2017

M O V I N G ?

GETTING THE PROPER HELP The average person moves 7 times in their lifetime and moving has been rated one of the most stressful experiences of life. You may want to do it yourself or hire a professional. Consider the cost if you do it yourself. There is insurance, gasoline for the truck, the value of your time and effort. If you choose a professional mover you need to research that company before you agree to their services. We’ve all heard stories of disreputable moving companies. If you are considering moving to another home here are some helpful tips you should keep in mind. If you choose a professional mover be sure to consult two or three reputable companies and always get a written estimate. Start by asking friends and family who they have used and if it was a good experience. You should also contact the Better Business Bureau to make sure you are dealing with a reputable company. You need to know if the mover is properly insured. If a worker doesn’t have workman’s compensation and is injured on your property you may be liable for his injuries. The next thing you need to do is get a written estimate. It is very important to have a company representative visit your home and give you a written estimate. If a representative tries to talk you out of a written estimate do not use that company. Movers are legally bound within limits to their estimate. If they avoid giving you an estimate find another mover. If you label all the belongings that are to be moved this will help you to receive consistent bids from potential movers.Do not get an estimate too far in advance of the move. Prices can change and you might change your mind about certain services and possessions to be moved. Don’t wait until the last minute either. Give at least two weeks advance to the movers. Keep in mind most people move during the summer. Sometimes a mover needs a reservation well in advance of to summer Milwaukee Catholic for ouron annual “Spring into Wellness” Health theCome busiest weeks. OnceHome you decide a mover you should sign a contract Fair on Thursday, March 16th from 10 am 3 pm at 2462 N. Prospect Avenue. The showing a specific price. Be sure to understand the amount of insurance that is event includes free health screenings such as blood pressure checks, diabetes testprovided by the mover before you sign a contract. Take the time to examine every ing, cholesterol exams, as well as massages, door document that ispre-screenings, put before you and and eye make sure you understand what itreiki, means. If and you raffle prizes, goodie bags, and more! Contact Linda Cardinale at 414.220.3216 or have access to the internet or a library try to research what the law requires of moving lcardinale@milwaukeecatholichome.org to learn more. companies. You’ll be better prepared to ask the right questions. You can even hire a Senior Move Manager or a Moving Coordinator to take care of all the moving details for you. This person can handle your move from assessing your belongings to decorating your new home. The National Association of Senior Move Managers has guidelines for many of these professionals. If you find the thought of a move overwhelming you may want to consider contacting a Move Manager. Whether you make the move on your own or use a professional company you need to downsize your possessions. Sort through your belongs and eliminate what you no longer need. Start with the least used rooms and areas. Sort a few hours at a time or you might become overwhelmed. You should prepare a floor plan of your new home showing each room and the placement of furniture. Make a note of outlets, windows, and doors. Take measurements of your furniture. This will help you determine what belongings you will keep. Give the remaining items to family, friends, or local charities. Be sure to make a schedule for family and friends to pick up the items. Clearly label all items to be moved using a different colored sticker for each room. This will make it a lot easier to place the item in the proper box for the move. On moving day have your family or friends help out even if you have hired professional movers, you may need to put them in charge if you find you need to take a rest from all the activity. Be sure to give the movers the floor plan with furniture placement. This will prevent confusion at your new home. Have an overnight bag packed a few days in advance of the move. This bag should have all your medications, checkbook, traveler’s checks if you are moving a distance or cash, keys, phone numbers, address book, jewelry, toiletries, night clothes, day clothes and anything important you need to have close to hand on moving day. If you are moving a distance make sure family and friends have a copy of the route and schedule including all stops you will be making.

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“SPRING INTO WELLNESS” HEALTH FAIR

SENIOR<<page 30

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MHL JUNE 2017

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 date with an old friend, or shopping with your children. Even if you are not close by, call or email frequently to keep relationships fresh. Make an effort to make new friends. As you lose people in your circle, it is vital to make new connections so your circle doesn’t dwindle. Make it a point to befriend Organic gardening is the same as regular gardening except that no synthetic fertilpeople who are younger than you. Younger friends can reenergize you and help you izers or pesticides are used. This can make certain aspects difficult, such as controlsee life from a fresh perspective. ling disease, insects, and weeds. Organic gardening also requires more attention Spend time with at least one person every day. You shouldn’t be alone day after to the soil and the many needs of plants. Organic gardening starts with the soil. day. Phone or email contact is not a replacement for spending time with other people. Gardeners must add organic matter to the soil regularly in order to keep the soil Regular face-to-face contact helps you ward off depression and stay positive. productive. In fact, compost is essential to the healthiness and well being of plants Volunteer. Giving back to the community is a wonderful way to strengthen social grown organically. Compost can be made from leaves, dead flowers, vegetable bonds and meet others, and the meaning and purpose you find in helping others will

Organic Gardening

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 scraps, fruit rinds, grass clippings, manure, and many other things. The ideal soil get involved by volunteering on the phone. has a dark color, sweet smell, and is full of earthworms. Some soil may need more Find support groups in times of change. If you or a loved one is coping with a natural additives than regular compost can give, such as bonemeal, rock phosphates, chronic illness or recent loss, it can be very helpful to participate in a support group or greensand. A simple soil test will tell you the pH balance and which nutrients you with others undergoing the same challenges. will need to use. Healthy aging: Tips for boosting vitality Defend Against Insects Don’t fallthat for makes the myth that aging automatically means you’re not going to feel One thing even gardeners that are very serious about organic gardening good It is true that aging involves changes, it doesn’t to reachanymore. for pesticides is insects on their plants.physical The best way to but defend plants have against mean disability.measures. While not One all illness pain avoidable, the insectsdiscomfort is to take and preventative thing or that canisbe done is tomany makeofsure physical associated aging be overcome or drastically mitigated plants arechallenges healthy and not too with wet or dry can because insects usually attack unhealthy by eating exercising, andoften taking care ofminor yourself. plants andright, if healthy, they can outgrow insect damage. A variety of plant It’s isnever tooidea latetotokeep start!pests No of matter how oldplant you type are or how unhealthy types a good a particular from taking out theyou’ve entire been in the past, caring for your body has enormous benefits that will help you stay garden. active, sharpen your way memory, boost against your immune manage problems, Perhaps the best to defend insectssystem, is to make yourhealth garden enticing and increase your energy. fact, many olderfrogs, adultsand report feeling than ever to insect predators, such asInladybugs, birds, lizards. Youbetter can do this by because are source makingnearby more of to be healthy they did when keeping they a water or an by effort growing plants thatthan attract insects who they feed were younger. on nectar. Other ideas are sticky traps, barriers, and plant collars. There are some Healthy aging: Tips prevent for eating well as you age household items that against insects too, like insecticidal soaps, garlic, and hotAs pepper. you age, your relationship to food changes along with your body. A decreased Avoiding Plant Disease with Organic metabolism, changes in taste and smell,Gardens and slower digestion may affect your appeorganic gardening, choose disease resistant and tite,Totheavoid foodsplant you disease can eat,inand how your body processes food. The key isplants to figure planthow them theirtoprime Many Now, diseases willthan spread because constant out to in adapt yourconditions. changing needs. more ever, healthyofeating is moisture and bad air circulation, thehealth. site of your garden and the way it is watered important to maintain your energysoand canLoad helpup ensure against diseases. on high-fiber fruits, vegetables, and whole grains. Your whole digestive Fighting Weeds YourisOrganic Garden Consume fiber-rich foods such as whole system is slower, soinfiber very important. Weeds can be an annoying and frustrating part of more organic gardening. Organic grains, fruit, and vegetables. They will help you feel energetic and give you mulch can act as a weed barrier, but for even better protection put a layer of newsfuel to keep going. paper, construction paper,your or cardboard the mulch. Corn meal gluten Put effort into making food lookunder and taste good. Your tastebuds aren’twill as slow the growth of weeds if spread early in the season before planting, as strong and your appetite may not be the same, but your nutritional needs aredoes justsoas larization. asThere’s old-fashioned artlike of hoeing andto, hand that always important ever. Ifalso youthe don’t enjoy eating you used put pulling a little more effort works. bestincluding bet in weed is persistence. Mulch well your and pull and hoe into yourYour meals, theprevention way you flavor, prepare, and present food. what you can; after a few seasons you can beat the weeds for good. Watch out for dehydration. Because of physical changes, older adults are more Organic gardening isSoanmake excellent that plenty your plants willeven be free and prone to dehydration. sure way you to areassure drinking of fluid, if you clear of all pesticides and, if taken care of properly, will be as healthy as possible. don’t feel thirsty. If you’re not getting enough water, you’re not going to be as sharp Organic take a little more time and care than regular gardening, but and your gardening energy willmay suffer. after gardeners get the hang and figure out to alleat thewith quirks of their garden, it is Make meals a social event. of It’sitmore enjoyable others than alone. Invite definitely worth the extra time. people over. You can share cooking and cleanup duties.

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YOU’RE THE KEY PLAYER IN YOUR RECOVERY Know your value to the team: Be an active participant in your own recovery.

After a serious injury, illness or surgery, you may recover slowly. You may need to regain your strength, relearn skills or find new ways of doing things you did before. This process is rehabilitation. Rehabilitation often focuses on Physical therapy to help your strength, mobility and fitness Occupational therapy to help you with your daily activities Speech-language therapy to help with speaking, understanding, reading, writing and swallowing Treatment of pain The type of therapy and goals of therapy may be different for different people. For example, an older person who has had a stroke may simply want to dress or bathe without help. A younger person who has had a heart attack may go through cardiac rehabilitation to try to return to work and normal activities. Stroke. Heart attack. Arthritis. Serious illness or injury often leads to a long, slow return to health. Thoughts of making a comeback take a backseat to simple survival. Recovery can also mean learning how to live with a disability. Whatever the condition, one of the most important keys to recovery is participation With orthopedic surgery or other major medical procedure in your future, postoperative care and rehabilitative therapy are a fact of life. You want to get better and you want to get home. That’s why there’s Focused Rehab at Waukesha Springs Health and Rehabilitation Center. Look for comprehensive rehabilitative programs, including physical therapy, occupational therapy and speech therapy. A rehabilitation center should work with you and a specially-trained therapists in a comfortable, hometown setting. They will work closely with you to develop a rehabilitative program tailored to meet your specific needs. You’re the Key Player in Your Recovery Rehabilitation is a team effort with one goal: getting you back to where you want to be. Set meaningful goals: Both long-term and short-term goals are important. “Shortterm goals are things you should reasonably be able to do in 1 to 2 weeks,” Siegel explains. They are the building blocks to get you to your ultimate long-term goals, and may be revised many times over the course of rehab. Communicate with your rehab team: Often there’s more than one way to achieve results. If one exercise is not working for you, let your team know. They may be able to recommend another approach. Know your value to the team: Be an active participant in your own recovery. In rehab, it is all about you!

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5 SIGNS YOU MIGHT HAVE HEARING LOSS

Given that hearing loss can range in severity, many cases are so mild that it is common for people not to be immediately aware that their hearing has changed. Hearing loss can affect individuals of any age, with statistics from the Hearing Loss Association of America reporting that it is estimated to impact, in varying degrees, around 20 percent of the U.S. population. The risk of developing hearing loss increases as one gets older, with the HLAA noting that nearly one in every three American adults over the age of 65 experiences hearing loss in some capacity. Given that hearing loss can range in severity, many cases are so mild that it is common for people not to be immediately aware that their hearing has changed. In fact, as detailed in an article from Britain’s National Health Service, it can take up to a decade on average for individuals to seek medical help with their hearing loss. There are, however, a number of signs and symptoms that can help identify hearing loss, and the sooner they are recognized, the better, as earlier detection can allow for interventions that can help to mitigate the effects of hearing loss. Below is a guide to some of the most common indicators of developing hearing loss: 1. Hearing a sound in your ear An early sign of hearing loss, according to Reader’s Digest, is a sound in the ear that isn’t heard in external surroundings. The sound typically takes the form of a buzzing, scratching or whistling noise. It may occur in bouts, frequently or infrequently, or be persistent. Another term for this sensation, according to the NHS, is tinnitus. Reader’s Digest interviewed New York Medical College-based professor of Otolaryngology, Dr. Robert Pincus, who elaborated further: “When it’s quiet, you may start to hear a low-level buzzing or ringing sound in the background. When it becomes more noticeable and is more frequent or constantly there, that could indicate that you’ve damaged the nerves in your ear,” he explained. The NHS reported that tinnitus can be caused by any number of things, and is commonly associated with hearing loss. This can be a consequence of several issues: An obstructed ear canal – due to an accumulation of wax, for example – an infection or just general hearing loss that is a corollary of aging. It is also possible to develop a type of hearing loss that produces tinnitus, through listening to loud noises on too frequent a basis. Musicians and those who work in construction can develop tinnitus, for example, and even individuals who simply play their music at a high level through their headphones. Reader’s Digest included another interview with a physician, Sreekant Cherukuri, who explained how to recognize when sounds are becoming a problem: “Permanent hearing loss can occur in eight to 15 minutes of listening to music on the maximum volume level,” he stated. “If you have temporary ringing or buzzing when you stop your music, that should be your earliest clue that it’s too loud.” 2. Having the television at a high volume Have family members or friends complained to you about the sound level on your television? Is it a challenge for you to hear properly when they turn it down? If this happens on a routine basis, it could be an indication that you have, or are developing, hearing loss, Healthy Living Magazine detailed. 3. Asking others to repeat themselves If you find yourself routinely asking people to repeat what they have just said, slow down when they are talking or increase the volume at which they speak, there is the possibility that you are unable to hear them fully, the Mayo Clinic explained. This may also be a problem while conversing on the telephone. You may notice that this problem occurs in all settings, or just in situations where there is extensive background noise, such as at restaurants, parties or stores with lots of customers. This can be difficult to gauge, as even individuals without hearing

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Walking, talking, and thinking

ABOUT BRAIN AND BODY HEALTH

For some residents of Portland, OR, taking a walk down memory lane has taken on a whole new meaning. The Sharing History through Active Reminiscence and Photo-Imagery (SHARP) study combines walking, social engagement, and reminiscence to help promote cognitive health in older African-Americans. No intervention has yet been shown to effectively prevent or treat Alzheimer’s disease. What we do know is finding a way to conquer Alzheimer’s disease will require all of us to work together. “It is important that as we test possible interventions

that we engage as many people as possible, across racial, ethnic, and socioeconomic groups, in innovative studies testing a wide range of activities,” said Nina Silverberg, Ph.D., director of the National Institute on Aging (NIA) Alzheimer’s Disease Centers program. One study seeking to do just that is being conducted at the NIA-supported Layton Aging & Alzheimer’s Disease Center at Oregon Health & Science University (OHSU) and funded by the Centers for Disease Control and Prevention’s Healthy Brain Research Network. The 6-month pilot study engages African-Americans, age 55 and older, who live in historically black areas of Portland by combining a variety of activities to see if the activities might, together, help reduce the risks of Alzheimer’s-related cognitive decline. Older African-Americans are more likely than older white Americans to develop Alzheimer’s disease and other dementias, which may be due in part to the effects of socioeconomic and health-related factors, such as higher rates of cardiovascular disease, which has been linked in a number of studies to higher risk for Alzheimer’s. Yet, in developing health interventions to test for this population, researchers can face barriers, including overcoming trust issues and ensuring that studies are culturally relevant. Underpinning the SHARP study is design of an intervention that is culturally relevant, engaging, and celebratory, said SHARP project leader Raina Croff, Ph.D., an assistant professor of neurology at OHSU and 2015 graduate of the NIA Butler-Williams Scholars Program. “We intentionally developed a program that draws on the strengths of the community,” she said. Bringing people and place together SHARP participants Participant Wiley Barnett with Charlotte Rutherford, who recruited him to the SHARP program. Participant Wiley Barnett, age 80, is committed to regular exercise but sometimes finds it easy to make excuses. “This project reinforced what I planned and intended to do. We’re relying on each other,” he said. Mr. Barnett also cited social interaction as a benefit he gets from participating in SHARP. “With this program, I have regular social contact with a group of people who are roughly in my same age bracket,” he said. The 19 participants walk three times a week in small groups along a preset 1-mile route in North or Northeast Portland. During the self-guided walks, participants carry a computer tablet with a selection of themed routes, such as “childhood and family” BRAIN>>PAGE 55

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OLDER ADULTS WITH MILD MEMORY IMPAIRMENT STILL BENEFIT FROM COGNITIVE TRAINING IN AREAS NOT RELIANT ON MEMORIZATION

Older adults with pre-existing mild memory impairment benefit as much as those with normal memory function from certain forms of cognitive training that don’t rely on memorization, according to a study published this week in the “Journal of the International Neuropsychological Society”. These findings could indicate the ability for older adults to maintain skills that allow them to carry out daily tasks and lead a higher quality of life. In the study supported by the National Institutes of Health (NIH), older adults who were otherwise healthy and living independently received training focused on targeted cognitive skills. A small number of participants in the study were found to have a decline in their ability to form new memories of experiences or facts, an ability called declarative memory. These individuals were unable to improve their memorization skills, but were able to improve their reasoning skills and become faster at processing visual information. This study was conducted as part of the multi-site Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) clinical trial, which was co-funded by the National Institute of Nursing Research (NINR) and the National Institute on Aging (NIA) -- both components of the NIH. The ACTIVE research authors of this paper were headed by Dr. Frederick Unverzagt of Indiana University-Purdue University at Indianapolis (IUPUI). “Our previously published studies have found that the ACTIVE protocols improve the function of older adults in certain target skills of cognitive training,” said Dr. Unverzagt. “These skills -- memory, reasoning, and speed-of-processing -- were emphasized because they are thought to be important in allowing elders to maintain independent living. The current study builds on the previous findings by focusing on those adults who already have experienced some loss of memory.” “Research such as this is critical to discovering ways to help older individuals stay independent and take charge of their own lives and health for many years to come,” said NINR Director Dr. Patricia A. Grady, Ph.D., RN. “Persons with mild memory impairment may have difficulty improving in this one area, but may still benefit from different types of learning and mental activities to improve their quality of life and functioning -- a major goal of the NINR mission.” “The notion that interventions can be designed and demonstrated to maintain cognitive skills with age is of enormous interest in the research community right now,” said NIA Director Richard J. Hodes, M.D. “This study tests that hypothesis and shows the potential promise of continued research in this area.” The ACTIVE study followed more than 2,800 healthy, community-dwelling older adults from six cities -- Baltimore; Birmingham, Ala.; Boston; Detroit; State College, Pa.; and Indianapolis. The participants averaged 74 years of age and 14 years of education, 76 percent were female, 74 percent were white, and 26 percent were AfricanAmerican. At the outset of the study, those potential participants with cognitive impairment were excluded. But over time, roughly 200 were found to have declined in their cognitive function, and they were the primary subjects of the current report. The participants were divided into treatment groups to receive cognitive training in one of the three target skills. The memory training focused on methods to learn MEMORY>>PAGE 55

Staying Healthy

The average woman today has more than one-third of her life ahead of her after menopause. That means the menopausal transition is a good time for lifestyle changes that could help women make the most of the coming years. You’ve already read some ways to protect or improve your health at this time of life—quitting smoking, exercising daily, and working toward a healthy weight. But, there’s even more you can do to stay healthy—other lifestyle changes plus suggestions to help you work with your health care providers more effectively. GOOD NUTRITION A balanced diet will give you most of the nutrients and calories your body needs to stay healthy. Eat a variety of foods from the five major food groups. Look for foods that have lots of nutrients, like protein and vitamins, but not a lot of calories. These are called nutrient-dense foods. As you grow older, you need fewer calories for energy, but just as many nutrients. USDA FOOD GUIDE Daily Recommendations for Women Age 50 and Older* Grains—5 to 7 ounces, at least half of which are whole grains Vegetables—2 to 3 cups with a variety of colors and types Fruits—1½ to 2 cups Milk, yogurt, and cheese—3 cups of milk or the equivalent Meat, poultry, fish, dry beans, eggs, and nuts—5 to 6 ounces of lean meat, poultry, or fish or the equivalent *From the U.S. Department of Agriculture (USDA)

The USDA Food Guide is one eating plan suggested by the Federal Government’s Dietary Guidelines for Americans, 2005. Another eating plan also suggested in the Dietary Guidelines is DASH, Dietary Approaches to Stop Hypertension. Contact the National Heart, Lung, and Blood Institute, listed in For More Information, for more resources about this plan. The number of calories a woman over age 50 should eat daily depends on how physically active she is. Basically you need: 1,600 calories, if your physical activity level is low 1,800 calories, if you are moderately active 2,000-2,200 calories, if you have an active lifestyle The more active you are, the more calories you can eat without gaining weight. Eating the foods recommended in the USDA Food Guide or in DASH will help you get needed nutrients. But, people over 50 have trouble getting enough of some vitamins and minerals through diet alone, including calcium and vitamin D (see Postmenopausal Health Concerns). Just remember that these recommendations include how much of each nutrient you get from food and drinks as well as any supplement you use. Women past menopause who are still having a menstrual cycle because they are using menopausal hormone therapy might need some extra iron over the 8 mg (milligrams) recommended for women over age 50. Iron, important for healthy red blood cells, is found in meat, duck, peas, beans, and fortified bread and grain products. Women over 50 also need more of two B vitamins. Getting 2.4 mcg (micrograms) of vitamin B12 per day will maintain the health of your blood and nerves. Some foods, such as cereals, are fortified with this vitamin. Vitamin B12 is also found in red meat and, to a lesser extent, fish and poultry. But, up to one-third of older people can no longer absorb natural vitamin B12 from their food. Furthermore, common medicines taken to control the symptoms of GERD (gastroesophageal reflux disease), also known as acid reflux, slow the release of certain stomach acids and, therefore, interfere with the body’s absorption of vitamin B12. You might need a supplement if you have GERD. Another B vitamin, B6, helps your body breakdown proteins and make hemoglobin, a part of red blood cells. Women should have 1.5 mg of vitamin B6 daily. This vitamin is found in fortified cereals, as well as meats, legumes, and eggs. Don’t forget to drink plenty of fluids, especially water. If you drink alcohol, do so in moderation—for a woman, only one drink a day according to the Dietary Guidelines for Americans. A drink could be one 12-ounce beer, 5 ounces of wine, or 1½ ounces of 80-proof distilled spirits.

JUNE 2017 MHL

THE BASICS OF SENIOR DOWNSIZING

SENIOR LIVING Personal Or Medical Care Emma’s family didn’t know what to do. Her son put grab bars in the shower. Her daughter brought lunch over every day. The neighbors checked in often. But at 82 Emma needed more help. She wasn’t able to manage her medicines, and she was having a regular problem with incontinence. Then she forgot to take her key out of the front door, and she left the water running in the kitchen sink all night. Staying home alone just wasn’t working for Emma. There are many choices that Emma’s family might look into—one of them is a nursing home. What Is a Nursing Home? A nursing home is a place for people who don’t need to be in a hospital but can the for amount furnishings and have personal for skilled a no Reducing longer be cared at home.ofMost nursing homes nursingitems aides and nurses on hand 24-hours a day. Sometimes a nursing home is the best choice senior move can be a daunting task, but with the proper prepa- for people who need personal and medical care. ration and moving Nursing homes can be: ďŹ rm, a senior move can be completed in a Hospital-like. This type of nursing home is often set up like a hospital. Staff give timely, stress-free fashion. medical care, as well as physical, speech, and occupational therapy. There can be a Senior citionzens 50one percent of thelive residenti al moves nurses station eachaccount floor. As afor rule, or two people in a room. A number of nursing homes will let couples live together. Things that make a room special, like currently on the housing market, and moving ďŹ rms oers senior family photos, are often welcome. services for seniors movingare into downsized living quarters. Household-like. These facilities designed to be more like homes and the dayto-day routine isn’t fixed. Teams of staff and residents try to create a neighborhood

feel. Kitchens are often open to residents, decorations give a sense of home, and staff are encouraged to develop relationships with residents. Some nursing homes have visiting doctors who see their patients on site. Other nursing homes have patients visit the doctor’s office. Nursing homes sometimes have separate areasthe called Special Care Unitsand forpersonal people with problems, “Reducing amount of furnishings itemsserious can be memory a daunting task, often called dementia. When looking for a nursing home, it’s important for families but with the proper preparation and moving firm, a senior move can be completed toathink about these special needs. in timely, stress-free fashion,â€? says Tony Baumer, owner of BD Movers. How Do You Choose? With a 21-year track record in the moving and storage industry, BD Movers If you are citizens looking advice for a nursing home here are somefrom things to keep in to mind: offers senior and complete references handy men, chariLook. What choices are in your area? Is there a place close to family and ties, even CPA’s and elder lawyers. A senior move can be daunting, but withfriends? the What’splanning importantand to strategy, you—nursing care, meals, a religious hospice care, correct downsizing is another step inconnection, the life process, adds or Special Care Units for dementia care? Baumer. Ask. Talk with friends, relatives, social workers, and religious groups to find out what placessenior they downsizing suggest. Asktask doctors which nursing homes they feel provide good - Create list one to three months in advance. care? - Get the family involved in the senior move. If you need help, consider hiring Call. move Get inmanager. touch with each place on your list. Ask questions about how many a senior people live there andthat what costs. Findsold out or about waiting - Designate items willit be moved, given away.lists. Decide on the item the Visit. Make plans to meet with the director and the nursing senior will want to keep, and will fit into the new senior home.director. The Medicare Nursing Home Checklist (see ThattoCan Help)including has a good to use when - Be prepared to provide listResources of inventory mover, anylist legal docuvisiting. Some thingspower to look mentation, regarding offor: attorney, etc. if applicable. For instance – if the chiland Medicaid drenMedicare are handling the seniorcertification moving details, they should show they have authority handicap access to do so. odors (either or good) -strong Sell what you can atbad auction, online or a yard sale. Some items may have value fooddefray choices thatmany can help senior moving expenses. -residents Donate the to well reputable Keep receipts for senior tax purposes. If whorest look caredcharity. for the enough furniturestaff is still condition, a senior’s sofa or dining room table may be for in thegood number of patients a godsend to a family thattoneeds furniture.Ask how long the director and department Talk. Don’t be afraid ask questions. - A senior move is not “self services) move. A senior move takes effortshome. of many heads (nursing, food, and asocial have worked at thethe nursing If key people, familya and professionals, makeisitago smoothly. staff change lot, that could meantothere problem. -Visit To save on cost, as much the senior their family can doday themselves. again. Makepack a second visitaswithout firstand calling. Try another of the week Aormover this meet service, butstaff packing itemsand is the way to Stop save by time ofwill dayprovide so you will other members see simplest other activities. cost for the senior move.seem to be enjoying their food? at mealtime. Do people -Understand. If the senior moving is in their 80′s, and their are inCheck their 60′s, Once you choose, carefully readchildren the contract. withcarrying your State heavy furniture should be designated a senior moving service. Use Ombudsman (see Resources That CanasHelp) for help making sense of the the movers contract. for Do heavy itemsHomes and let Have familyTomembers move lamps and pictures. Nursing Meet Standards? Follow BD Movers on Twitter.com @njmovingguy or on Facebook at tohttp:// The Centers for Medicare and Medicaid Services (CMS) asks each State inspect www.facebook.com/bdmovers. For more call BD Movers 800-310any nursing home that gets money frominformation, the government. Homes that at don’t pass in0912. spection are not certified. Visit www.medicare.gov for more information.

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VISION<<page 6 What happens once you decide to have the cataract removed? Cataract surgery is NOT performed in the office or on the day of your initial appointment. First, you must meet the surgeon and have preparatory tests done. Once you and your doctor decide to proceed with surgery, you will have a comprehensive eye exam to see if any other existing conditions (such as glaucoma, diabetic retinopathy, retinal detachment and macular degeneration) could detract from your surgery results. Your exam will also include a quick, painless ultrasound procedure to determine the prescription for the IOL implant that will restore focusing ability in your eye. What happens before surgery? Daniel Paskowitz, MD, PhD, an eye surgeon with credentials from Harvard and Johns Hopkins, explains, “We enter information regarding the length of the eye and curvature of the cornea into a special computer that calculates the power of IOL which would best restore vision to pre-cataract levels. We then customize the type of implant and surgical technique to fit the patient’s needs—taking into consideration overall health, any diabetic or retinal problems, lifestyle, and other factors. We never lose sight of the fact that even though our practice has performed tens of thousands of cataract procedures, each patient is unique and is treated accordingly.” How does the lens implant restore vision? Eye Care Specialists ophthalmologist and surgeon Michael Raciti, MD, explains, “After the cloudy lens (about the size of an aspirin) has been removed, an artificial lens implant is placed permanently inside the eye to provide focusing ability, peripheral (side) vision, and depth perception. Standard IOLs are like miniature internal contact lenses set for a single prescription power—usually to provide clear vision in the distance for driving, watching TV, and other tasks. Most patients with these lenses still need reading glasses or bifocals. Newer ‘premium’ IOLs can adjust for astigmatism or provide multiple focusing zones with less dependence on glasses. Your surgeon will help you determine which type of IOL is best for your eye, health, budget and lifestyle.” What happens during surgery? Cataract surgery is performed on an outpatient basis using local anesthesia (often just drops to numb the eye). Typically, a no-stitch, self-sealing micro-incision is made to remove the cataract and insert the lens implant. Utilizing these advanced techniques, the procedure itself usually takes only about 15-30 minutes and total time at the outpatient surgery center is about 2-3 hours. What happens after surgery? After surgery, patients go home and resume most activities within hours. Their vision noticeably improves within days. “Most people are so pleased with seeing things brighter and clearer, that they can’t wait to have their other eye done,” notes David Scheidt, OD, a medical optometrist who assists with the pre- and post-operative care of Eye Care Specialists’ patients. Are cataracts preventable? Cataracts cannot be prevented. Cataract development may be delayed or slowed, however, by wearing sunglasses and hats with brims, eating a balanced diet high in healthy nutrients (vitamins, minerals and antioxidants) and low in fat and sugar, avoiding smoking and excessive alcohol intake, and keeping your blood sugar under control if you have diabetes. FREE Booklets & Information Eye Care Specialists’ doctors are dedicated to providing the highest quality cataract, glaucoma, diabetic eye disease, macular degeneration, and dry eye care. They frequently lecture to the public and fellow physicians and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough examination at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National Avenue. They also offer information at www.eyecarespecialists.net.

Helping people remain safe in their homes by providing: 

Supportive home care

Personal care services 

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Medically oriented tasks under the supervision of an RN 

Respite care

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

CAMP<<page 24 are trained in this and are expected to talk to parents and report positive happenings and also report an injury or if a child had a difficult time at camp that particular day. They make strong connections with the kids in their group each summer and are like a teacher to the kids in their group. If there is an ongoing or more sensitive or pressing issue, the camp director should step in as the principal, if you will, and make phone calls to parents or speak with them at drop-off or pick-up time.” “I enjoy meeting the parents of the kids that come to camp,” she said. “It is important that they feel confident about sending their child to camp. Parents will see that I am passionate about directing a camp that is safe, organized, and fun-filled while teaching different skills in tennis, swimming, and karate. I would advise parents to voice any concerns and specific needs your child may have while at camp. Ask to tour the camp and see where your child will be spending his or her time. Elite Scamp has an open house before camp starts so parents and children can meet their counselors as well to make the first day drop-off easier.” For more information about summer camps, contact Andrea Banda at 262-7860880 at Elite Sports Club-Brookfield or visit EliteClubs.com/Summer JUNE 2017 MHL

OPPORTUNITIES ABOUND FOR MOVING AROUND

Get Active, Wherever You Are Moving more and sitting less can reduce your risk for many serious conditions, including heart disease...

You know that physical activity can help you live a longer, healthier life. But did you know you don’t need to join a gym or use costly equipment to be physically active? No matter where you live, work, or go to school, you can find ways to move more and sit less throughout your day. In addition to helping your health, you might have fun without spending a lot of money. Moving more and sitting less can reduce your risk for many serious conditions, including heart disease, diabetes, osteoporosis, and certain kinds of cancer. Some studies suggest that physical activity can have mental benefits as well, helping to relieve depression and maintain thinking abilities as you age. Healthful physical activity includes exercise as well as many everyday activities, such as doing active chores around the house, yard work, or walking the dog. Activities that cause you to breathe harder are called aerobic activities. These make your heart and blood vessels healthier. Aerobic activities include brisk walking, dancing, swimming, and playing basketball. Strengthening activities, like pushups and lifting weights, help make your muscles and bones stronger and can also improve your balance. But even though many of us know that physical activity is a good thing, most adults nationwide don’t meet even the minimum recommended amounts of physical activity. (That’s at least 30 minutes of brisk walking or other moderate activity, 5 days a week.) Why aren’t we more active? “Lack of time is a common reason for not exercising,” says Dr. Mary Evans, an NIH expert on physical activity and nutrition. “An-

MHL JUNE 2017

other important factor is location—having safe places to walk and engage in different activities. That can mean having sidewalks, public parks with well-lit walking paths, a shopping mall where you can walk, or other features that can make activity inviting and easy to do.” NIH-funded research has found that your environment—where you live, work, or go to school—can have a big impact on how much you move and even how much you weigh. Some communities don’t have safe playgrounds or sidewalks, so kids tend to spend their free time indoors. Sitting instead of moving makes it hard to maintain a healthy weight. Many adults sit behind the wheel driving to work and then sit most of the day at a computer, taking few breaks to stand up and move around. In suburban neighborhoods, people often have to drive rather than walk to get to grocery stores, shops, and even public transportation. “Our environments have become less friendly to being active. But studies show that people will walk more if the environment provides them with opportunities to do so,” says Dr. Brian E. Saelens, a health psychologist and behavioral scientist at the University of Washington in Seattle. “How close are you to a library? Can you walk to a store? Is there a safe path for walking to school? All of these factors affect how active we are each day.” Having places to walk and have fun can help more people get moving and active. “It’s not just dangerous neighborhoods, broken streets, and crime that can keep people indoors and away from being physically active,” says Dr. Allen Glicksman,

AGE<<page 34 director of research at the Philadelphia Corporation for Aging. “We’ve also found that, AGE from ages 18 to 80, if a neighborhood has someplace nice to walk to—desirable destinations Expanding participation to under-represented groups Ex like a book store, grocery store, coffee shop, a place to eat or meet—it can have a healthful Leveraging existing infrastructure developed by ORCAT Le effect on how much people weigh and how much they walk.” testing its platform in older adults’ homes this year. Particip testin Research also shows that taking public transportation—like buses and trains—can help come housing in Portland, veterans in the rural Pacific North come boost activity. In a recent Seattle-area study, Saelens and colleagues found that people tend and Latinos in Miami. and L Sdvv#rq#|rxu#zlvgrp to add about 15 minutes of activity to their day when they take public transportation, in part Sdvv#rq#|rxu#zlvgrp “It’s a broad infrastructure designed to be dynamic in resp “It by walking to and from the mass transit site instead of taking a car from door to door. “That’s wr#wkh qh{w#jhqhudwlrq incorporating newwr#wkh measures and devices as they become ava qh{w#jhqhudwlrq incorp half the recommended amount of physical activity added to their day,” Saelens says. companies to bring new technology to the market, but with comp Having opportunities to connect with others can also have a positive effect. “Many peoproduct claims. By testing the products in larger groups of Li#|rxġuh#88./#yroxqwhhu# Li#|rxġuh#88./#yroxqwhhu# produ ple are more likely to walk if they’ve got one or more buddies to walk with,” Glicksman show what works and for whom it works, and what might m show dw#d#PSV#hohphqwdu|# dw#d#PSV#hohphqwdu|# says. “When you think about what brings people together, what brings people out and acOther NIH funders include the National Cancer Institute, N Oth vfkrro#iru#mxvw#<3# vfkrro#iru#mxvw#<3# tive, the answer can vary depending on your community.” In urban Philadelphia, Glicksman ing and Bioengineering, National Institute of Neurological D ing an plqxwhv#rqfh#d#zhhn# plqxwhv#rqfh#d#zhhn# and others have found that neighborhood features like access to public transportation, better National Center for Advancing Transl of Nu dqg#vhh#d#fklog#vxffhhg1 of Nursing Research, dqg#vhh#d#fklog#vxffhhg1 bus shelters, and even murals in some neighborhoods seem to encourage more physical of Behavioral and Social Sciences Research. The VAof Healt Be fdoo=#+747,#553#0#;986# fdoo=#+747,#553#0#;986# activity. Iru#pruh# Iru#pruh# Servi Service also plans to support the project. hpdlo=#wxwruClqwhuidlwkploz1ruj# hpdlo=#wxwruClqwhuidlwkploz1ruj# When community gardens were created for older adults in Philadelphia, Glicksman says, ylvlw=#zzz1lqwhuidlwkploz1ruj lqirupdwlrq=The wireless ylvlw=#zzz1lqwhuidlwkploz1ruj Th lqirupdwlrq= CART home “we wanted people to garden to help them eat Pass fresh foods and get them out and moving isn’t n in the nice weather.” When younger adults cost, joined in as well, the gardens had the added conce bonus of connecting people across generawww.cardinalcapital.us www.c tion s tions. The older adults acted as gardening “Id mentors, while the younger people helped intrus Independent Residences Serving The Needs O with heavy lifting and digging. “Bringing to pro Independent Residences Serving The Needs Of Our Communities people together is not only a way to encourexam age more activity; it’s also a way to get peocally ple thinking about how we can change our allow neighborhoods for the good.” speed So take a look around your neighborcline, hood, your workplace, or your school. Can priva you think of changes that might make the es can surroundings more inviting for walking or Da exercise? ing a “Consider: How can we change our ention a vironment so activity is an easier choice for socia us to make?” Saelens says. In many combecom munities, people have gotten together to orperso ganize activities and improve their environDr. K ments to encourage more physical activity. A Steps might include improving local parks, will a requesting safe and usable bike paths and to m sidewalks, or asking for more physical acmood tivity and healthier meals at schools. If you tal vi have some ideas for improving your surOur apartment home CA roundings, discuss them with your neighCA Our apartment home communities provide a bors or local leaders. Kaye Although your environment can affect then s communities provide a caring staff, friendly how active you are, you can still look for the F new ways to use the world around you to of He caring staff, friendly neighbors, & plenty of add some movement to your day. Indep “If you’re at work, try climbing the stairs tiativ neighbors, & plenty of instead of using the elevator. And get up comforts of home. resea from your chair and move around at least At once an hour,” Evans says. Stand up and comforts of home. ers c walk to a colleague’s office instead of sendtechn ing an email. Try standing instead of sitting data. when you’re on the phone, or have “walkof rec Cardinal Capital Management ing” meetings with co-workers instead of Heart is committed to equal sitting in a conference room. And take a in wh brisk walk on your lunch break to get some housing opportunity & gies activity in. we fully comply with the Older “It’s not really necessary to engage in abilit Federal Fair Housing Act vigorous physical activity like running to Cons have beneficial health effects. Just 30 minScien utes of brisk walking most days, in at least NI 10-minute segments, can have a positive efthink fect,” Evans says. whole “We have to look for opportunities to fit even physical activity into our days,” Saelens time, adds. “Some people love to put on their visit e sneakers and to go to the gym, and that’s it wil 38 MHL MARCH 2017 great for them, but it’s not the only way to health get active.” 38 MHL MARCH 2017 JUNE 2017 MHL

Forgetfulness As We Age What is mild forgetfulness? It is true that some of us get more forgetful as we age. It may take longer to learn new things, remember certain words, or find our glasses. These changes are often signs of mild forgetfulness, not serious memory problems. See your doctor if you’re worried about your forgetfulness. Tell him or her about your concerns. Be sure to make a follow-up appointment to check your memory in the next 6 months to a year. If you think you might forget, ask a family member, friend, or the doctor’s office to remind you. What can I do about mild forgetfulness? Image of older man with young child ordering from menusYou can do many things to help keep your memory sharp and stay alert. Look at the list below for some helpful ideas. Here are some ways to help your memory: Learn a new skill. Volunteer in your community, at a school, or at your place of worship. Spend time with friends and family. Use memory tools such as big calendars, to-do lists, and notes to yourself. Put your wallet or purse, keys, and glasses in the same place each day. Get lots of rest. Exercise and eat well. Don’t drink a lot of alcohol. Get help if you feel depressed for weeks at a time. What is a serious memory problem? Image of medical professional talking with older coupleSerious memory problems make it hard to do everyday things. For example, you may find it hard to drive, shop, or even talk with a friend. Signs of serious memory problems may include: asking the same questions over and over again getting lost in places you know well not being able to follow directions becoming more confused about time, people, and places not taking care of yourself—eating poorly, not bathing, or being unsafe What can I do about serious memory problems? See your doctor if you are having any of the problems listed above. It’s important to find out what might be causing a serious memory problem. Once you know the cause, you can get the right treatment. Keep informed about current events Read books, magazines and newspapers Work crossword puzzles, brainteasers or other puzzles Tinker with cars, computers or small appliances Play board games and cards Design and plant a garden or container arrangements Write letters and e-mails Build a model or a piece of furniture SOCIAL ACTIVITY IS GOOD FOR YOUR BRAIN Research shows that people who are regularly engaged in social interaction maintain their brain vitality. A recent study reported that leisure activities that combine physical, mental and social activity are the most likely to prevent dementia. In the study of 800 men and women aged 75 and older, those who were more physically active, more mentally active or more socially engaged had a lower risk of developing dementia. And those who combined these activities did even better. If you would like to find out more information about how to Maintain Your Brain and Healthy Heart practices, plan on attending the educational courses offered at Alexian Village, or call Debbi at 414-357-5105 ext 5850 for more information. For more information about Alexian Brothers Memory Treatment Center or to schedule an appointment, please call Cara at 414-357-6463. MHL JUNE 2017

BRAIN<<PAGE 47 or “foods and markets.” When they reach a “memory marker,” a sound indicates an image has popped up, along with discussion questions. men playing ping pong in 1951 Photos from the 1940s to 2010 help participants remember and discuss during their walking routes. (1951 photo courtesy of the City of Portland Archives). For example, a memory marker in the “sports and leisure” theme shows a 1951 picture of a young man playing ping pong at the former Knott Street Community Center. It includes the question “What were your favorite games to play as a kid?” The participants’ discussions are recorded and will be used to create a digital archive of the stories, as well as community-based sessions about health and cognitive aging, Dr. Croff said. This part of the project is highly motivating for participants, who are concerned about the loss of history and how quickly it’s disappearing, she added. Preserving history, improving health The area of the city where the participants are walking has changed dramatically in the last 20 years, from mostly African-American to mostly white residents, and WATER<<page 13 to newer shops, boutiques, and restaurants. from older buildings “You wouldn’t believe if youthat knew what it used be like how different it isprevent now,” conclusive scientific evidence drinking largetoamounts of water helps Mr. Barnett said. “It’s so physically different that it has an emotional impact.” even kidney stones, urinary tract infections, or bladder cancer. And even if fluids Dr. Croff has not seenclear thesethat changes firsthand. grewaup in Portland and has oftena might help, it’s you need eightShe glasses day. Some studies found visited the neighborhoods where SHARP takes place. Trained in anthropology and an lower risk of bladder cancer in men who drank only about six glasses a day. But other archaeologist of the African diaspora before entering the field of healthy aging, she studies found no benefit. was for a way to combine of motivating people to be healthy, Aslooking a physician, I certainly wouldher notpassions advise someone who has had kidney stones and preserving history and the stories and experiences of people in the to dehydrate themselves. But nor do I advise them to drink volumes andcommunity. volumes of “This intervention is both relevant to our community and is culturally celebratory liquid. because draws on the help strengths of lose the culture Q: Canitdrinking water people weight?and neighborhood history. It also allows participants to give back by passing along satiety storiesmay that be will become part of A: Certainly if you fill your stomach with water, reached earlier. Buta digital archive,” Dr. Croff said. it is not scientifically proven that drinking a lot of water helps dieting. Barbara Rolls doing something highly motivational celebratory, team hopes to inof By Pennsylvania State University found that and it might help if the water is incorporated crease physical activity and social engagement in a sustained way to reap in the food—if you turned a casserole into a soup, for example—but not ifcognitive you just benefits. drink a glass of water. Dr.Can Raina Croff with-SHARP Particpants Q: water help prevent constipation? Project leader Raina Croff, Ph.D., celebrates participants who A: There is no conclusive scientific left, evidence that it with helpsthree constipation. There is completed SHARP: Donna Kelly, Robert Boyer, and Judy Boyer. no good evidence that the water that one drinks is excreted with the stool rather than In this from early the phase, absorbed gut.SHARP aims to engage and build a relationship with participants so that they will want to continue inSome the program. The said study’s long-term goal But I would not be dogmatic about that. people have to me, “Dr. Valtin, is to see if the multi-faceted intervention maintains and improves cognitive health. when I drink a lot I feel better, my migraine headaches are less, my bowel movements For better,” now, researchers measuring, the program’s on parare and so on.are If water works through for you, surveys, by all means keep it up,effects provided you ticipants’ energy levels, type and frequency of physical activity, and number of days realize that even plain water is potentially harmful. thatQ:poor physical and mental health impede activities. How? “Dr. Croff’s takes into the importance sociocultural factors for A: Too muchwork can cause wateraccount intoxication. When theofamount of water we take health interventions,” said Carl V. Hill, Ph.D., M.P.H., director of the NIA Office of in cannot be excreted by the body, the body retains water. That dilutes one of the Special Populations. “At the same time, it galvanizes social networks that may help important elements of blood, which is sodium. people maintain behaviors that could forwater cognitive function.” When the sodium concentration in prove bloodprotective goes down, moves into the cells. Under its Health Disparities Research Framework, NIA supports a broad range of Most cells in the body can tolerate that—they swell. But brain cells tolerate it very research to understand how multi-level factors, including race/ethnicity, social netpoorly because they cannot expand against the skull. That causes neurological works, andlike educational attainment, agingseizures. and health. In Alzheimer’s symptoms headaches, confusion,affect and often It can even result indisease, death. a number of new projects were recently supported, addressing health disparities in Q: Aren’t those deaths rare? dementia pressure, and caregiver health, othera A: Yes,incidence, but they’reblood terribly tragic brain when health, they occur. About a year agoamong there was things. water drinking contest on a radio station in California. And a young woman drank For the next phase of SHARP research, Dr. Croff plans to adapt the model to herself to death. include participants with mildthat cognitive Q: How much water would take? impairment—a condition in which people have more memory or other thinking problems than their but their A: It usually involves large amounts—gallons. But itnormal doesn’tfor have to age, be enormous. symptoms do not interfere with their everyday lives. For example, in a contest, the excitement may cause the secretion of what’s called Croff is also the co-investigator on the Dementia and The AgtheDr. antidiuretic hormone, which prevents theAfrican kidneysAmerican from excreting water. ing Project, which aims to improve the understanding of age-related memory loss in California woman drank only about two gallons. older African Americans. Water intoxication occurs when there’s an imbalance between the amount we drink and what the kidneys can excrete. If the kidneys are stimulated to reabsorb too much, then water is retained and water intoxication starts. MEMORY<<PAGE 48 Q: Can it happen to athletes? andYes. remember newtime, information suchathletes—mainly as word lists and short narratives; the A: For a long endurance marathoners—were toldreato soning training emphasized pattern detection and inductive skills to solve problems; drink whenever they can. Drink, drink, drink. And some marathoners drank themselves and the speed-of-processing training addressed the that speedthey of responses to visual and into water intoxication. Again, it’s not necessarily drink so much, as that manual prompts on a computer screen. Only the memory training component relied they’re simultaneously excited and stressed, so the kidneys retain water. on Q: theAre participant’s declarative memory ability. dehydrated? Training was conducted in 10 sespeople right to worry about becoming sions of 60-75 minutes over a period of 5-6 weeks. A: People have heard that once you’re thirsty, you can already be dangerously ComparedThat’s to a control group that received no training, participants who received dehydrated. baloney. theThe memory training and had normal memory ability at the start of thehormone. study showed first line of defense against dehydration is the antidiuretic The significant improvement in memorization skills. However, among the participants moment our blood becomes slightly concentrated, the antidiuretic hormone reabsorbs with declines in memory function, thoseitintothe more water from the kidneys and returns thememory blood. training group showed no benefit, while those who received the reasoning or the speed-of-processing training Copyright 2008 SPI, Reprinted/Adapted from Nutrition Action Health Letter, 1875 showed improvement in these areas comparable to normal-memory participants. Connecticut Ave., N.W., Suite 300, Washington, D.C. 20009-5728.

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