Mhl may 2017

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MHL

MAY 2017 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Spring is a season for healthy living!

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

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May 31, 2017

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

MHL MAY 2017

Editor’s Note EDITOR’S NOTE Summer is right around the corner and I can’t wait! We did have quite a few warm days in April and I took full I am soooo glad it’s March. We are now approaching spring advantage by taking long walks with my family, cleaning the and I am thrilled. I did manage work out quite a bit this last month garage and biking throughout lovely downtown Cedarburg. and I hope you were able to do the same. I encourage you to get I truly feel healthier when the weather is warm. It brings a out there on those sunny days and get some exercise. With the smile to my face and relieves a lot of stress. I encourage winter being so much warmer than usual, I really keep the extra people to try to get out this May season and get a new weekly pounds at bay. exercise routine. It’s time to get out of the house and into the March is a great month that marks the thought of spring weather sunshine (use sunscreen!). coming soon. The anticipation of biking, blading and morning How’s my tennis game going? Well like everything practice makes perfect! walks gets me in a better mood as the winter winds down. March What a fun new way to be active and get that blood flowing. also marks my daughter’s fifth birthday. If time flies by this fast, I We have lined up a lot of great health articles for you. Nutrition is key to think it is important to slow down. We are a country that promotes any healthy lifestyle. We have several nutrition articles to help you spring into fast pace in everything we do. Keeping healthy means slowing a new season with a healthier diet. down and releasing the stress. Whether it’s meditation, exercise It is also Older Americans Month! As always we want to give our senior or even an afternoon nap, it’s extremely important to destress and readers some great articles that help them get the best out of life. unwind. We are very interested in staying healthy and we know you are, too. We We’ve put together another good issue for you. This issue is have current health information for you and those you love. Every month, we our Get Ready for Spring edition. It should help you find the best talk to local health care professionals and try to get that information to you. place for your health needs. SWe at MHL like to keep things You need to remember there are regional health issues and by contacting the uncomplicated because we know healthcare decisions are almost health professionals here we can provide you with information that is pertinent never easy. We strive to find articles that will answer whatever to your health. We encourage you to contact us with your suggestions so we health questions you may have. We would like to thank all the can make MHL a better paper for you. great people we’ve spoken to who have contributed to this issue Stay healthy! and we also thank you, our readers, for all your suggestions and -Amanda Lewis comments! Check out our April edition with our Spring andSummer directories. MAY 2017 FREE PUBLICA TION StayMOhealthy! Est 1992 DERN HEALTH -Amanda LewisAND LIVING

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

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

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Livestrong.com, Environmental Nutrition, Nutrition, Nutrition Nutrition Action Action Health Letter, Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, Chiropractic, National National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, Transformations, NIH, Jensen Health and Energy, Foot Solutions, tions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Interfaith Older Adult Services, Laureate Group, Tudor Oaks, Luther Haven, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Integrative Family Wellness Center Social Security Offices, OďŹƒces, American Camp Association, sociation, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI For information information on advertising advertising or to submit articles articles call, fax or email 414-659-6705 or 608-2376000, email: info@lewismediagroup.com. Subscriptions Subscriptions are $20 per year. Thanks for reading MHL.

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

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MAY 2017 MARCH 2017 MHL MHL 5

Celebrate Lupus Awareness Month LUPUS IS MORE PERVASIVE AND MORE SEVERE THAN PEOPLE THINK, AND HAS AN IMPACT THAT THE PUBLIC DOESN’T REALIZE.

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Lupus is one of the cruelest, most mysterious diseases on earth — an unpredictable and misunderstood autoimmune disease that ravages different parts of the body. It is difficult to diagnose, hard to live with and a challenge to treat — in short, a cruel mystery. Lupus is more pervasive and more severe than people think, and has an impact that the public doesn’t realize. Approximately 28,000 individuals are living with lupus in Wisconsin and over 1.5 million in the US alone. Help solve the cruel mystery of lupus by raising public awareness during May, Lupus Awareness Month. Participation is easy! The Lupus Medical Symposium at Froedtert Hospital in Roe Auditorium is free and open to the public. This educational event starts at 1:00 PM on Saturday, May 2, 2015, featuring Andreea Antonescu-Turco, MD, Medical College of Wisconsin, who will be speaking on the topic of lupus and sleep disorders. Mary Cronin, MD, Rheumatologist at the Medical College of Wisconsin and Froedtert Hospital, Chair of the Lupus Foundation of America (LFA), WI Chapter Board of Directors, will present a general explanation of lupus. Register by calling the LFA, WI Chapter at 414-443-6400. The importance of imbedding lupus education into the hospitals and medical schools has become a primary goal of the Wisconsin Chapter. On Thursday, May 8, 2015, The LFA, Wisconsin Chapter is proud to present the 3rd Annual Lupus Foundation of America Lectureship. Tim Behrens, MD, Senior Director, Human Genetic, Genentech, Inc. of South San Francisco, CA, will speak at the Department of Medicine Grand Rounds, Friday, May 8, 2015 at Helfaer Auditorium at Froedtert Hospital. World Lupus Day® is observed annually on May 10. This day focuses on the need for heightened public awareness, improved patient healthcare services, increased research into the causes of and a cure for lupus, enhanced physician diagnosis and treatment of lupus, and better epidemiological data on lupus globally. National Put on Purple Day is Friday, May 15, 2015. We encourage you to wear purple and tell people why! Send in your Put on Purple Day photos to lupuswi@ lupuswi.org. These photos will be shown at the first annual Put on Purple Party at Leff’s Lucky Town, 7208 W. State Street in Wauwatosa starting at 5:00 PM. There is also a Proud to Wear Purple Contest with 3 top prizes. The Wisconsin Chapter’s Milwaukee Support Group usually meets the last Tuesday of each month at 2600 N. Mayfair Road. On May 26, 2015, the guest speaker is Debra Matzen talking on the topic of acupuncture. Ms. Matzen has experience helping those with sleep disorders and autoimmune diseases including fibromyalgia. For other support group information, please visit the Local Resources section of the LFA, WI Chapter website, lupuswi.org. On the morning of Sunday, June 14, 2015, Walk to End Lupus Now™ — Milwaukee will take place at a new location, Hart Park in Wauwatosa. Your participation would help raise awareness and funds, which enable the LFA, Wisconsin Chapter to continue their mission. Register today, or throughout the month of May, for Walk to End Lupus Now™ at lupuswi.org. Every step raises money for lupus research and education services. Walk to End Lupus Now™ — Madison will take place on Saturday, September 12, 2015 in Middleton. Lupus is an unpredictable and misunderstood disease. Rally support throughout the month of May for those who suffer from its brutal impact. For more information on the LFA, Wisconsin Chapter visit lupuswi.org.

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

T

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

EYE MDS OFFER 5 TIPS FOR PROTECTING VISION by Cheryl L. Dejewski Scheduling regular check-ups and noticing and reporting any changes in your vision are key ways that you can help to protect and preserve your precious gift of sight. In addition, studies suggest there are simple measures you can take to lower your risk of developing eye diseases. These include: 1. Eat your vegies. Your mother was right. Mark Freedman, MD, senior partner at Eye Care Specialists, a Milwaukee-area ophthalmology practice that has overseen the care of more than 130,000 patients, explains, “Studies have found that people eating a diet high in carotenoids (pigments found in many yellow, orange and green vegetables) have a significantly lower risk of developing advanced age-related macular degeneration (AMD) than people with lower intakes of these nutrients.” AMD is a retinal disease that causes blindness from loss of central vision. People who ate lots of carotenoidrich spinach, kale and collard greens lowered their risk most of all. Many carotenoids are antioxidants, which researchers speculate may prevent harmful chemicals called “free radicals” from damaging the retina. 2. Take a multivitamin. Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center, reports, “Studies suggest that nutritional supplements may help prevent or slow the clouding of the lens of the eye that forms cataracts. One study found about a 30% lower risk of cataracts among multivitamin users; another found a 40% lower risk for developing opacities (cloudiness) in the cornea that can lead to cataracts, and a third one showed that women who took vitamin C for more than 10 years had a 77% lower risk of developing early lens opacity (clouding of the lens which can lead to cataracts) than women who took less or no vitamin C.” “Many ophthalmologists feel these studies provide strong evidence for the positive effects of vitamins on the eyes and suggest that since people over age 60 are often deficient in at least two-thirds of the vitamins they need, taking a multivitamin may prove beneficial overall,” says cataract surgeon and continuing education lecturer Daniel Ferguson, MD. “And, if you are at risk for a specific eye condition, like AMD, you should speak to your eye care specialist about whether or not you should be taking specific eye-related vitamin supplements.” 3. Wear sunglasses & hats. “We all adore the sun. But, even though it may brighten your day, be aware that it also has the potential to darken your future,” notes Daniel Paskowitz, MD, an ophthalmologist with credentials from Harvard and Johns Hopkins. He explains, “A number of studies have shown that chronic, unprotected eye exposure to ultraviolet light rays increases the risk of developing sight-damaging conditions like cataracts and AMD. On the positive side, however, a study of 5,000 adults in Beaver Dam, Wis., showed that people who wore sunglasses or hats with brims seemed to lower their risk of developing AMD.” As a result of these and other studies, the FDA has set a voluntary standard for non-prescription sunglasses to block 99% of UVB and 95% of UVA rays. Use this information when shopping for sunglasses and remind everyone in your family (children and adults) to wear protective eyewear YEAR-ROUND every time they step outside. 4. Don’t smoke. Michael Raciti, MD, an ophthalmologist who also teaches surgery techniques to doctors-in-training, notes, “It is well-known that cigarette smoking causes a variety of overall health problems, but people may not realize that smoking also poses a major threat to vision, including up to a 50% increase in the risk of developing cataracts and diabetes-related eye disease. And, it can both speed the onset and increase the overall risk of developing macular degeneration (AMD) by two to five times.” 5. Schedule an eye exam. VISION>>page 22

Most people aren’t motivated to make an eye appointment unless they notice a problem—and often not even then. What they don’t realize is that many sight-threatening conditions have no warning signs. But, if you know the risks, symptoms and treatment options for common eye concerns, you’re more likely to take action. We can help. Call 414-321-7035 for free booklets on cataracts, glaucoma, AMD, and diabetes. And, if your last eye exam was more than a year ago, schedule today to protect your vision for tomorrow. Our team has been trusted by 130,000+ doctors & patients.

World-Class Care. Local Convenience. Comprehensive Eye Exams In-Office Diagnostic Laser Scans ■ Cornea, Lid & Retina Cases ■ Dry Eye & Infection Treatment

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www.eyecarespecialists.net West Allis 10150 W. National Ave. 414-321-7520

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8 MHL MARCH 2017

MAY 2017 MHL

Healthy Thai Food Choices AT RESTAURANTS

...many Thai dishes are steamed or stir fried, making them healthier options when dining at a Thai restaurant.

SPRING CLEANING It’s Not Only For Your Home

By Eliza Martinez Thai food is delicious, but not all of it fits within a healthy diet. Much of the cuiSpringmilk, is the perfect toofdo the same sine contains coconut which has 50time grams saturated fat per cup, according to the U.S. Department Agriculture’s National Database. Other dishes are for ourofbodies. Winter, for Nutrient many, means deep fried or smothered in oily sauces. However, many Thai dishes are steamed or more hibernating and less moving. stir fried, making them healthier options when dining at a Thai restaurant. Broth-Based Soups By choosing a soup made with broth over one that is made with coconut milk, a diner can drastically reduce the amount of fat and calories you consume at a Thai Spring is in the air. It has been a long difficult winter, and Spring is finally arrestaurant. Hot and sour shrimp soup is a better choice than coconut shrimp soup, acriving around the country. Birds are singing, trees are budding, and the plants are cording to “Cooking Light Magazine.” Broth-based soups can also serve as a healthy bursting from the ground. It’s time for Spring Cleaning, that important annual ritual appetizer and those that also contain vegetables fill you up, so you eat less when your of thoroughly cleaning the home from top to bottom. It feels so good to throw open meal arrives. windows to let the fresh crisp air breeze through after being closed up for so long, Cashew Chicken and to give your home some loving attention. It’s a time to deep clean heavily used Ordering cashew chicken at a Thai restaurant is a healthy choice because it conareas of the house, as well as those dark nooks and crannies we often avoid. It is often tains plenty of protein and the nuts provide heart healthy fats, which has been linked accompanied by de-cluttering; sorting and purging items that no longer serve us. It is to healthier cholesterol readings. However, eating only one serving is recommended amazing to feel how this process lightens loads, brightens moods and energizes our due to calorie content, advises “Cooking Light Magazine.” This dish lacks the costep. Expandthis great feeling to all facets of your being. conut milk that makes up many of its traditional Thai counterparts, which reduces The “body clean” means a healthy jump-start to summer! saturated fat intake. Ordering cashew chicken with brown rice instead of steamed Spring is the perfect time to do the same for our bodies. Winter, for many, means rice provides a serving of whole grains and fiber. more hibernating and less moving. It is a time many people turn to rich, heavy comFresh Spring Rolls fort foods and perhaps a bit more beer or bubbly to get through those long cold nights. Fresh spring rolls are a healthy Thai food filled with vegetables. They are a much The effects of this leave our bodies sluggish and prone to illness. Extra pounds tend healthier alternative to fried spring rolls, according to the American Heart Associato creep on and bellies bulge. Some foods are harder for bodies to digest. Others may tion. The filling for fresh spring rolls is steamed, which reduces fat and calorie increate a toxic burden that take their toll on immune systems. Give yourself some take without sacrificing flavor. Dipping them in sweet and sour sauce adds minimal tender, loving care, and commit to eating clean for a few weeks. Remove the foods calories, but stick to 2 tablespoons or less. Two tablespoons of sweet and sour sauce that tend to cause the biggest problems. Processed foods, those items in boxes and contain 130 milligrams of sodium, 7 percent of your daily recommended intake. bags with ingredients that are hard to pronounce, are at the top of the list, followed Stir Fry by dairy and gluten. The stir fries served in Thai restaurants are made without coconut milk and incorRefined sugar is a star in too many foods. There are many names for sugar, and porate lean meats and vegetables, making them a healthy choice. Pad Thai is a good often several of them show up in the same ingredient list. Step away from sugar in all choice, reports the American Heart Association, because it is made with stir-fried its forms. Caffeine and alcohol are the other two items that are beneficial to remove noodles, peanuts, tofu and vegetables. When ordering a stir-fry featuring noodles, during this period of clean eating. skip the rice to keep calorie count down. Requesting more vegetables and a moderate Eliminate all of these for two weeks, and notice how your body reacts. amount of meat makes this an even healthier meal. Rest and recalibrate your body with healthy foods. Fresh Fruit Fill your plate with fresh, local, seasonal foods. Eat mostly vegetables and fruits in Ordering fresh fruit over deep fried desserts or coconut ice cream is a healthy enda rainbow of colors, whole grains (other than wheat, rye, and barley), nuts and seeds, ing to a Thai meal, reports the American Heart Association. Fruit is high in nutrients, and legumes. Shop the Farmers’ Markets that are now returning to find these beautibut low in calories and fruits are fat-free. Many Thai restaurants incorporate fruit into ful and delicious ingredients. This healthy focus gives your body a chance to rest and a fruit ice, a dessert that is similar to sherbet. A simple fruit salad is also a healthy recalibrate. You’ll find that you feel lighter and leaner, with a sunny disposition and choice. If this type of thing isn’t offered, a diner can prepare it at home. a spring in your step - ready to jump into all Summer has to offer. This piece originally appeared on LIVESTRONG.COM. Barbara Heinen, NC, Holistic Nutrition Consultant and owner of Joyful Eats, LLC, offers Joyful Jumpstart ™ a 5-week healthy living program, at GreenSquare For local Thai food www.buddhaloungemke.com/A new Asian experience specialCenter for the Healing Arts located at 6789 N. Green Bay Avenue in Glendale, Wisizing in a mix of unique dishes with our own twist to traditional dishes. consin. Barbara holds nutrition classes and private sessions, and can be reached at 414.292.3900, Ext. 257, Barb@JoyfulEats.com. www.JoyfulEats.com. 8 MHL 2017 MHL MARCH MAY 2017

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 important to remain engaged. Isolationstaying can behealthy decreased visWhile there areislimitless factors that play into seniors andwith active, its from family and friends, attending events, going to senior centers, or connecting in many ways, mobility starts from the ground up. After all, if your feet don’t feel with others orof Skype. good, isn’t it through temptingFacebook to stay off them? Exercising 30 minutes a day 5 times a week, a healthy and managing We are firm believers in keeping every part ofeating the body in tipdiet, top shape, which chronic diseases such as diabetes or high blood pressure can help slow the progresis why we were happy to learn from the American Podiatric Medical Association sion. (APMA) that, with proper detection, intervention, and care, most foot and ankle Decrease with familiar routines and environments. Stress doesn’t cause deproblems can stress be lessened or prevented. mentia, but can worsen the symptoms. This is great news and it’s also a very good reason to be sure to see your doctor as help improve function, mood, or behavior. Forpreventasome, the soonMedication as any footmay problems arise. In mental the meantime, here are some of our best drugs donepezil (Aricept), tacrine (Cognex), rivastigmine (Exelon), and galantamine tive pointers from APMA for keeping senior feet good to go. (Razadyne) areOverall helpfulHealth: to delay some of the symptoms of mild to moderate demenTake Care of tia. Memantine (Namenda), may be prescribed treatment of moderate to severe Conditions like diabetes and arthritis can havefor a major impact on foot health. Be Alzheimer’s Disease. Antidepressants, antianxiety, and antipsychotics may be presure to stay current with your medicascribed treat excessive anxiety, or hallucinations. tion and to keep updepression, with the treatment

SENIORS THINKING ON THEIR FEET

regimen your doctor has prescribed. Maintaining a healthy diet and regular exercise is, of course, always key to general wellness. Prevent Infection: Keeping feet clean is not just a matter of aesthetics, it is also important to overall foot health. Be sure to wash feet daily, including between the toes, with soap and water, and dry completely before putting on shoes and socks. Also, inspect feet regularly and treat callouses and blisters as they occur. If you have an ingrown toenail or infection, talk to your doctor about it right away, before it has the chance to become a bigger problem. Aid Circulation: - Keep feet elevated when you’re sitting down. - Take a warm bath to improve blood flow. This is also great for soothing aches and pains! - Stretch or gently massage your feet regularly. -Try to avoid sitting for long periods. Even a short stroll will help. - If you cross your legs, uncross them or switch sides every few minutes. For more information about helping seniors maintain a healthy and active lifestyle, please contact Home Instead Senior Care of Milwaukee at 414-882-5464.

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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.

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MAY 2017 MHL

KNEE PAIN/ INJURIES

ROTATOR CUFF INJURIES

HAMSTRING INJURIES

LOW BACK PAIN/ INJURIES

ARTHRITIS PAIN

HIP PAIN/ INJURIES

ANKLE INJURIES

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

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

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

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

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

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

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

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Meditation & Yoga

The term meditation refers to a group of techniques, most of which started in Eastern religious or spiritual traditions. These techniques have been used by many different cultures throughout the world for thousands of years. Today, many people use meditation outside of its traditional religious or cultural settings, for health and wellness purposes. In meditation, a person learns to focus his attention and suspend the stream of thoughts that normally occupy the mind. This practice is believed to result in a state of greater physical relaxation, mental calmness, and psychological balance. Practicing meditation can change how a person relates to the flow of emotions and thoughts in the mind. Most types of meditation have four

elements in common: • A quiet location. Many meditators prefer a quiet place with as few distractions as possible. This can be particularly helpful for beginners. People who have been practicing meditation for a longer period of time sometimes develop the ability to meditate in public places, like waiting rooms or buses. • A specific, comfortable posture. Depending on the type being practiced, meditation can be done while sitting, lying down, standing, walking, or in other positions. • A focus of attention. Focusing one’s attention is usually a part of meditation. For example, the meditator may focus on a mantra (a specially chosen word or set of words), an object, or the breath.

• An open attitude. Having an open attitude during meditation means letting distractions come and go naturally without stopping to think about them. When distracting or wandering thoughts occur, they are not suppressed; instead, the meditator gently brings attention back to the focus. In some types of meditation, the meditator learns to observe the rising and falling of thoughts and emotions as they spontaneously occur. Meditation for Health Purposes Meditation used as CAM is a type of (one of the four domains, or areas of knowledge, in CAM). Generally, mindbody medicine focuses on: • The interactions among the brain, the rest of the body, the mind, and behavior • The ways in which emotional, mental, social, spiritual, and behavioral factors can directly affect health People use meditation for various health problems, such as: • Anxiety • Pain • Depression • Mood and self-esteem problems • Stress • Insomnia • Physical or emotional symptoms that may be associated with chronic illnesses and their treatment, such as: * Cardiovascular (heart) disease * HIV/AIDS * Cancer Meditation is also used for overall

wellness. Yoga is a mind-body practice in complementary and alternative medicineA group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine. (CAM) with origins in ancient Indian philosophy. The various styles of yoga that people use for health purposes typically combine physical postures, breathing techniques, and meditationA conscious mental process using certain techniques—such as focusing attention or maintaining a specific posture—to suspend the stream of thoughts and relax the body and mind. or relaxation. This Backgrounder provides a general overview of yoga and suggests sources for more information. People use yoga for a variety of health conditions and to achieve fitness and relaxation. It is not fully known what changes occur in the body during yoga; whether they influence health; and if so, how. There is, however, growing evidence to suggest that yoga works to enhance stress-coping mechanisms and mind-body awareness. Research is under way to find out more about yoga’s effects, and the diseases and conditions for which it may be most helpful.

MAY 2017 MHL

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Allergies

A LOT OF PEOPLE ARE ALLERGIC TO POLLEN AND MOLD.

Even those that don’t actually have an allergy to them still sometimes have trouble breathing on days when the pollen and mold spore counts are high. This usually occurs after a good rain. The plants get a chance to flower and standing water allows mold to breed in dark places. Inhaling these allergens is unavoidable even inside a well sealed house. While massage has not been shown to help with allergies or sensitivities, it can help a great deal with the symptoms. When your chest feels heavy or tight, or when it seems are struggling to breathe the muscles you use to breath are most likely tightening up. The ribs don’t move as well and now the neck muscles have to work extra hard to get the ribcage to expand and contract. Those muscles are called scalenes and most of them are attached to the first rib just underneath the collarbone. When your breathing is strained these muscles pull up on your first rib in order to move the rest of the rib cage upward. This is not an action that the scalenes want to do for very long. They are pretty small and strain fatigue easily. So, your neck starts hurting as well. A well trained massage therapist will know what muscles to address when you are in distress with your breathing. Usually some work just under the ribs in to the diaphragm will alleviate some of the distress. Getting fingers in between the ribs and working the muscles there will help loosen the chest. Yes, it’s sometimes ticklish and slow going work and has to be done with care so as not to cause more discomfort, but it is well worth the time and effort it takes to do it right. Also working up near the collarbone and pec muscles will open the area up more and take some of the work load off of those scalenes. Usually you don’t want to be put face down when you are having trouble breathing. The extra pressure on the chest will have a very negative effect on your ability to breath. If your massage therapist chooses to have you turn over please keep him informed of you ability to breathe. Remember that as a client you are in control of your massage and the massage therapist cannot do anything that you don’t agree or are comfortable with. But there are certain points on the back that can loosen up the chest and ease breathing. These are usually located between the shoulder blades in the mid to upper back. If you are too uncomfortable to turn over than these muscles can be addressed while you are face up by the massage therapist putting his hands underneath your back and using upward traction to relax the muscles. In my experience massage has greatly helped clients who come in looking a little gray and struggling to breath to leaving able to stand upright and take a deep breath again with very little to no discomfort. Like I said before massage is not helping with your actual allergies but helping with the symptoms. If you are having trouble with breathing this year you maybe be very surprised to find out how much one massage can help improve your breathing. So when you feel the wheezing and heaviness in the chest coming on give a call to your local independent massage therapist and make an appointment right away. You will leave with a smile after a deep well deserved sigh of relief.

THREE THRILLING EVENTS NOT TO BE MISSED MotoAmerica Series presents the Championship at Road America June 2 - 4 The fast and flowing 4-mile natural road course at Road America will serve as the theater of war as the MotoAmerica Series presents the Championship at Road America featuring the Motul Superbike Doubleheader. One of the most exciting and challenging tracks on the MotoAmerica (AMA/FIM) calendar, this annual twowheel celebration draws huge crowds for a weekend full of doubleheaders in four MotoAmerica (AMA/FIM) classes. Fan activities include on-site camping and open karting. Vintage Motofest featuring AHRMA Vintage Racing and Rockerbox® June 9 - 11 The Vintage MotoFest featuring the American Historic Racing Motorcycle Association (AHRMA) is dedicated to preserving the heritage of racing motorcycles and promotes this heritage through events at legendary race circuits. Road America is a track favorite of competitive vintage riders because of its four-mile layout including, high-speed straights, multiple turns and undulating terrain. Several passing areas contribute to the competitive spirit and racing action. The highlight of the weekend is the 14th annual Rockerbox® motorcycle show, which is widely known as the premier Wisconsin motorcycle show and party featuring an eclectic mix of Euro, Japanese and American vintage café racers, choppers, sport bikes, racing machines, supermotos, scooters, and sidecars. All makes and models are welcome and you will find a mash of motorcycles competing for space alongside dealers and vendors of all things motorcycling. The ride-in motorcycle show and competition on Saturday includes entrants from all over the country in competitive award classes showcasing the greatest in classic style, fresh customization and all that is unusual and incredible. Meanwhile, the grounds are packed with local and national vendors, live music, food, refreshments, a micro brew tasting, touring of the 4-mile road course, stunt shows, kart racing, and of course a slow speed evening sunset cruise of the road course. Friday, Saturday and Sunday the on-track activities feature vintage racing motorcycles from the 1920s to the early 70s and vintage superbikes from the 70s and 80s from AHRMA. 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-to-door racing, no scheduled pit stops, driver changes and classes running together, it’s like watching the intensity of the final lap, every lap.

MAY 2017 MHL

WELL-BEING

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This month I wanted to start things off with new and modern changes. Starting with the QR code. Get your cell phones out and scan the code on the front and enjoy our new updated website. If you don’t have the phone that scans, no problem, just go to www.modernhealthandliving.com as find even more information about living. Byhealthy Kalpana (Rose) M. Kumar, M.D. I am very pleased that you’ve decided to join us this month. This is ourthat BIGgo Many women suffer with thyroid imbalances Health Awareness issue. We have packed so much up-to-date information into unrecognized by the traditional medical system; leavthese pages that this issue is just bursting with health! We have something for ing them tired and overweight with significant decrease men and women of all ages. We contact local health professionals every month in mental clarity. The patients I see with thyroid disorand are thankful that many have contributed to this issue. They are keenly ders are currently asking for more detailed information aware of health concerns for this region (very important). We stay in touch about this hormonal condition, and I thought it would with them so they can stay in touch with you. I think you’ll find something be beneficial for me to update and write about thyroid here that can help you lead a healthier life. We hope that you share this special imbalancesissue and how, over the two too. decades, I have provided treatment with overwith friends andpast family, whelming success. Speaking of family, I try to keep mine active throughout these cold months. The thyroid gland isare situated the base theclass neck abovea the sternal notch. It has My children takingata Tae KwonofDo 4 times week. I encourage you a powerfultopurpose in the body, regulating metabolism and well-being. A healthy try to find something to keep your children active and social. Wheather its thyroid provides energy, mental clarity, and mental well as functional gymnastics, dance, sport or just running around health; in circles,asstaying active keeps regulation of many body systems. When the thyroid becomes sluggish, all of these the body and mind healthy and developing. functions are To compromised. It isSuper not necessary to have diagnosis of thyroid disease us adults with Bowl Sunday anda myself hosting the monthly for it to notBunco function optimally. Thyroid hormone imbalance is common in midlife get together this equals food, food and even more food. It’s so important women as their hormones begin so to itshift. Inbe this article, willgym focus on the imbalances to keep ourself active, might time to getIthat membership or start of thyroid hormones women. walking theinmalls again. Stay active!!! I hope you have a wonderful February The production thyroid hormone is regulated by the pituitary gland that sits in and will of touch base again in March the center of -Amanda the brain.Lewis The pituitary produces a variety of ‘stimulating’ hormones that stimulate all of the endocrine glands to produce their respective hormones. The pituitary secretes Thyroid Stimulating Hormone, or TSH, to stimulate the thyroid gland to produce thyroid hormones. As thyroid hormone levels decline, the TSH level increases. That increase stimulates the thyroid gland to produce more thyroid hormone. The lower the2011 thyroid hormone level, the higher the level of TSH; the February EDITION higher the thyroid hormone level, the lower the level of TSH. This is a negative feedback loop which, under normal conditions, maintains thyroid balance. All hormones in the body are regulated in this manner through a negative feedback loop with the stimulating hormones. A normal range for TSH (measured in the blood) listed by the laboratory is between 0.5 and 4.00. As you can see, this range is fairly wide. A level of 4.0 is eight times greaterpublishers than 0.5. If a woman TSH level of 1 which over time increased Lewis had MediaaGroup Amanda Lewis editorher thyroid hormone to 4, this means production decreased eight fold necessitating Malberry Media graphic design an increase in TSH. Most women feel poorly when thyroid levels drop and will comMarlys Lewis plain of symptoms as describedJerry above, but since their TSH is within the ‘normal’ Kornowski Marlys disregarded Metzger travel editor are usually range, their complaints by physicians. A rising TSH level founder means the thyroid is becoming Barry lessLewis efficient. This is called thyroid insufficiency or thyroid resistance. TSH stimulates the thyroid to produce thyroxine or T4. Thyroxine has 4 iodine molecules. It is converted to T3 (triiodothyronine) through a complex process of deiodination where 1 iodine molecule is removed from T4. A large percentage of both T4 and T3 exist bound to a protein, and a small percentage exists unbound or free.The free hormones are the active hormones which perform the functions on whichthe body relies. Free T3 regulates metabolism including fat metabolism, keeps the heart rate from slowing down or speeding up, maintains healthy skin, endurance, energy, regulates the sleep cycle, physical and mental well-being. The process of 6000, de-iodination of email: T4 isinfo@lewismediagroup.com. facilitated by progesterone, DHEA, several micronutrients, vitamins, and minerals like Selenium and Magnesium. A healthy and clean diet rich in iodine, as well as estrogen and progesterone balance, is needed for proper thyroid function. intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenWhy hasever thyroid imbalance reached a health problem arises requiringunprecedented an expert’s care. levels in our society? In the Great Lakes area, the soil and water are deficient in iodine. In addition, people now-a-days eat genetically modified and processed foods, and sea salt (which lacks iodine); further lowering their body’s iodine levels. Iodine is needed to create thyroid hormones. If iodine is low, the thyroid hormone production will be reduced, BALANCE>>page18 Lewis Media Group | Malberry Media | www.modernhealthandliving.com

In-home and on location appointments: Call today 262-241-3668 MAY 2017 MHL

MHL MAY 2017

ARE YOU WEIGHT LOSS RESISTANT? Bernard Rosen, PhD is a Nutrition Consultant and Educator It’s that time of the year again – the New Year’s resolution. This is the year you vow to get healthier, to lose those extra pounds, and to keep them off. The health clubs are jammed with others making the same resolution. There are lines of people waiting to use the stepping machines and the exercise bikes. But, within a few short weeks the crowds disappear and there are no more lines. Why does this happen? You’ve cut back on the booze, are eating salads for lunch, skipping a meal here and there, and are working out hard at the gym. Yet the pounds are not flying off. This is not uncommon as over 95% of all diets end in disappointment. However, don’t be discouraged. If you read on you’ll learn how you can get lasting results. We are told the formula is simple – less food plus more exercise equals less weight. Truth be told, the formula is much more complex. You may be what is termed by leading nutritionists as “weight loss resistant.” What does this mean? Put simply it means having difficulty or an inability to lose weight. There are several factors that contribute to this and here’s how: • Chronic stress – raises cortisol which breaks down muscle, puts sugar in the blood stream, and promotes fat storage which increases the likelihood of insulin resistance;

and lowers DHEA (an anti-aging, libido stimulating, and fat burning hormone). • Insulin resistance – blocks the burning of fat, causes fat storage around the abdomen, and causes inflammation. • Hormone imbalances – imbalances of estrogen and progesterone in women promote fat storing; low DHEA and testosterone in men and women reduce the ability to burn fat and build muscle; high estrogen in men promotes fat storage; and high progesterone in women promotes insulin resistance. • Hypothyroidism – muscle building is slowed, metabolism is slowed, sex hormones are not produced sufficiently and are out of balance, and general low energy and fatigue. • Brain chemical imbalance - neurotransmitter imbalances cause cravings and inappropriate eating behaviors. • Chronic sleep deprivation – increases cortisol, creates sugar cravings, lowers thyroid function, lowers energy, and increases appetite. • Low Fat Free Mass – a low muscle mass to fat mass ratio keeps metabolism slow (this is often a result from chronic dieting). • Food allergies – can cause cellular fluid retention or “false fat” and create cravings for these foods. • Gut dysbiosis and yeast overgrowth – healthy bacteria is an important part of digestion as they consume calories, otherwise an increase of fat storage. • Toxic burden – disrupts pH balance in gut, blood, and tissues; slows metabolic rate; disrupts absorption of minerals; disrupts hormone receptor sites creating imbalances; and lowers thyroid function (hypothyroidism). Most programs just measure pounds lost and are successful in that realm. However, that is only part of the picture. Soon after the program is completed the weight begins to come back on. The reason – the underlying behaviors and lifestyle have not changed. With the metabolism slowed from dieting and a return to prior habits, the pounds quickly come back on. The best program for long term health and vitality will be one that addresses your individual needs. Working with a qualified nutrition consultant you can determine your areas of weight loss resistance and develop a plan to address them. As these areas are brought back into balance your metabolism will improve, enabling you to lose weight in a healthy manner. It may take some time to get the body back on track. The body has built-in healing mechanisms and with proper nutrition and healthy behaviors the body will heal. As the body heals you will lose fat and weight. Bernard Rosen, PhD is a Nutrition Consultant and Educator. He works with individuals, groups, and at corporations to create individualized nutrition and wellness programs. His office is in Cedarburg. To learn more or to schedule an appointment, call (262) 389-9907 or go to www.brwellness.com.

MAY 2017 MHL

WHAT DEGREE OF

Green ARE YOU?

By Andrew Pace, Safe Building Solutions Green was just a simple color. Now, it’s a status symbol. In my opinion, green is not something you make, buy or grow. Green is a way of life. It’s important to educate consumers one by one about the many virtues of green building materials. The first customer comes in and says she’s been on this earth for 50 plus years and all that time; she has been a burden to the earth. Therefore, she asks us to consult with her on how she can completely remodel her hose using reclaimed and recycled materials. Not one product can be new: they all have to be given a new life. The next customer comes in and asks if we can help build a home with the least carbon foot print . In this situation, we would determine the location of the home and provide sources of natural products or reclaimed materials, that are both energy and resource efficient and re available from a 200 mile radius of the project. Finally the third customer coming in with her Autistic child and asks us to build a home that is free of our gassing and toxic materials that could harm her son. For her and her family, I would suggest a many products as possible that have a credible track record with consumers who are chemically sensitive or have allergies and asthma. Three completely different situations, but all can be considered green. Neither customer is right or wrong in their need and beliefs. We must alter our approach to provide what each wants. The one issue that seems to override all is the issue of human health concerns. Everyone I consult with wants the healthiest home possible. Sustainability, energy savings, global climate change, etc, all come in second to the issue of human health. In your efforts to be a green consumer, there is no magic potion or silver bullet, and there are definitely no perfect green products. Recycled content to lifecycle costs: human health concerns to the social justice aspect of the manufacturers’ labor practices. These are all important factors to determine what home improvements products you should purchase. Your own person a Degree of Green is based on your values, your specific needs and of course, your desire to tread lightly. BALANCE<<page18 creating insufficiency or even a hypothyroid state. Furthermore, when women’s hormones become imbalanced during peri-menopause in midlife, and progesterone levels begin to fall, the conversion of T4 to T3 is compromised. In many women, DHEA levels also drop as the adrenals become stressed. Stress hormones alone can affect thyroid hormone function, diverting the production of free T3 into reverse T3. Many women begin to feel sluggish, with thickening of their waists, muscle aches, and mental fog when this process occurs. This should prompt physicians to check a complete thyroid panel consisting of TSH, free T4, and free T3. Doing so provides a more complete picture of a woman’s thyroid status. The majority of doctors only check the TSH and a ‘reflex T4’ which only runs a free T4 level if/when the TSH is out of the normal range. If the thyroid panel is checked and the free T3 and T4 are in the mid-range with the TSH between 1 and 2, the cause of symptoms lies elsewhere. In both my personal and professional experience, a rise in the TSH above 2.2 with a drop in the free T4 or free T3 to low normal levels should signal physicians to consider thyroid support or replacement. If a woman is feeling more tired than usual, having difficulty losing weight, losing hair, experiencing a depressed mood or having sleep disturbances, she may need her diet cleaned up with the addition of iodine rich foods, or supplemental iodine. DHEA levels may need to be checked and dietary changes may be needed to provide her body with the micro and macro nutrients that support the thyroid, restoring its efficiency. If a woman’s female hormones reflect estrogen dominance (low progesterone), this may be contributing to her thyroid insufficiency. As progesterone levels drop, the conversion of T4 to T3 is negatively impacted. Some women may require T3 replacement, if this is the case. Conventional T3 replacement is either the brand Cytomel or generic liothyronine. Conventional T4 is brand Synthroid or generic levothyroxine. If free T4 levels are low, she would need T4 replaced, if just free T3 is low, she may need T3 replaced (if other attempts to support the conversion are unsuccessful), and if both are low, she may need both replaced. For many, merely balancing the progesterone level with bio-identical progesterone may bring balance to the thyroid and restore the conver MHL MAY 2017

BALANCE>>page21

MAY 2017 MHL MARCH 2017 MHL 11

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Dr Flip Troiano MD, Greensquare Center Everybody talks about health, but what is health? A Google search for “definition of health� returns 451 million citations. The “Oxford Dictionaries� say health is the state of being free from illness or injury, but this is too limiting. The World Health Organization takes a broader view; Health is not merely the absence of disease...� It is a state of complete physical, mental and social well-being�. This definition of health is more comprehensive and includes critically important issues. Now that we have a definition for what health is, how do you translate this into your daily life. The first thing to ask is; “How am I doing now?� Do I feel good? Can I physically and mentally do the things I want to do? Am I competently managing the daily stress in my life? The answer to these questions gives you a snapshot of your current physical, mental and social well-being, but this picture does not always do a good job of telling you when your systems reserves are being depleted and what problems are coming in the future. A single frame from a movie may tell you what’s happening right now but may not tell you what’s going to happen in the next scene. If you’re feeling good now, there may be very little indication that you are developing chronic problems that will manifest themselves in the future. To be healthy you have to be concerned not only with present issues but with factors that will affect future well-being. Can you prevent the development of chronic diseases? If you already have a chronic disease can you slow the progression or possibly reverse its course? The answers to these questions are: Yes you can! In order to do this, though, you need a more comprehensive preventative approach than what the medical system commonly provides. Currently, you get blood pressure meds to lower your high blood pressure, insulin or metformin to lower your high blood sugar, and cardiac catheterizations and stents to bypass your plaque. All of these interventions are extremely important, in fact can be lifesaving, when needed. Most of our chronic diseases, diabetes, hypertension, cardiovascular disease, autoimmune diseases and cancers develop over years to decades. The more important question for each of you is: “Before I show overt signs and symptoms that need to be treated, is there a way to determine, that I have begun to develop a chronic disease and change the course while I’m still feeling good? Genetics and environment both play important roles. Your genetics are a baseline, but your environment plays a significant role in how your genes are actually expressed. If your environment leads to excess oxidative stress and you are nutritionally deficient in the factors that are needed to adequately breakdown toxins, how your DNA is actually expressed will change. Important environmental factors include sleep patterns, nutritional status, exercise patterns, stress, support systems, and exposures to toxins. A person whose diet is overwhelmed by Omega 6 fats, excess carbohydrates, excess neuro-excitatory stimulants, i.e. aspartame from diet soda will be at a much higher risk of developing hypertension, heart disease, stroke, cancer and chronic immune disorders. A person raised in an environment exposed to heavy metals high

levels of PCBs or other plastic will be in a much higher risk for developing heart disease and cancer. Do you Exercise 5 times/week for 30 mins? This is important because doing so has been shown to decrease all-cause mortality by up to 30%. Specifically it reduces the risk of stroke by 25%, reduces the risk of heart attack and cardiac death by 40%., reduces high blood pressure by 10 to 15 mm Hg, reduces stress, reduces the risk of colon, breast, and prostate cancer, and facilitates detoxification.1 Do you sleep 7 or more hours per night? This is important because not doing so is associated with neurological diseases: stroke, multiple sclerosis and Alzheimer’s disease, slower brain cell repair and regeneration, childhood obesity, GERD – heartburn, abnormal appetite regulation , increased high blood pressure and increased risk of developing high blood pressure, accelerated loss of visual short-term memories, and reduced testosterone production in young healthy males by 15%.2 Do you eat 9 servings of vegetables and whole Fruits per day? This is important because, with each 1-serving increase intake of fruits or vegetables research has shown an additional 4% lower risk for coronary heart disease. 3 Is you resting heart rate <=65? This is important because for every 10 bpm that your resting heart rate is more than 65 your risk of cardiovascular disease and premature death increases by 10 -20%.4 Is you fasting blood sugar less than 84? This is important because for every 1 point that you fasting morning blood sugar is above 84 your risk of developing diabetes within 10 years, increases by 6%.5 Not only is it important to feel good now, but it is extremely important to evaluate and monitor the internal signs that are early indicators of chronic disease. This can be accomplished with a thorough functional medicine evaluation. The functional medicine, approach begins with a complete medical history that identifies when and how problems began and possible predisposing factors, both genetic and environmental. It continues with identifying current issues, environmental, nutritional, and potential toxins that either activate or perpetuate the problem. These are all evaluated in conjunction with important lifestyle issues, including nutritional status, quality and amount of exercise, sleep habits, life stresses, and support systems. This is followed by targeted laboratory testing to evaluate, hormones, energy production, the state of the immune system, the level of oxidative stress, neurotransmitters, digestion, nutrient deficiencies, and the ability to metabolize or detox normal byproducts or toxins. All of this forms the basis for individually tailored treatment plans that integrate medicines, nutritional supplements, vitamins, minerals, lifestyle modifications, botanicals, and other alternative treatments with the goal to prevent or slow the development of chronic diseases and to maintain health, the state of complete physical, mental and social well-being. Dr Flip Troiano MD, 6789 N Green Bay Rd, Greensquare Center - L2 Glendale, Wi 53209.

BALANCE<<page 18 sion of T4 to T3. This would result in a normalization of the TSH to below 2.2 and the restoration of well-being. Some women I see are prescribed Armour thyroid or Nature-Throid (porcine hormones) by their ‘holistic’ practitioners. Many prescribe it to help women lose weight. Many also prescribe high doses of Armour to treat symptoms of fatigue without checking blood levels of thyroid hormones. Many women are over medicated with this practice. It is very dangerous for anyone to be on hormones (natural or synthetic) without proper monitoring. Armour and Nature-Throid are porcine hormones, not bio-identical to the human body and furthermore, the pigs these hormones are harvested from are fed GMO corn and raised in factory farms under inhumane conditions. They have high levels of stress hormones in their bodies which impacts thyroid function. I only prescribe these hormones on rare occasions when women are either allergic or intolerant of conventional thyroid hormones. It’s also important that there be close monitoring of their thyroid blood panel every 4 to 6 months once normal levels have been reached. Armour thyroid and Nature-Throid stimulate T3 production at the cost of T4, and over time may suppress T4 creating an imbalance in the thyroid panel. It is common to experience numerous side effects with these hormones, and in many cases, atrial fibrillation, heart failure, diarrhea, and insomnia. They need to be used with caution and regular, careful, blood-level monitoring. As we can surmise, a healthy thyroid gland is critical to our well-being. Its function is complex and relies on a healthy diet, hormone balance, and healthy adrenal glands. Keeping the thyroid balanced is both an art and a science, and requires a physician to consider all of the factors and interrelationships between diet, lifestyle, and other hormones that collaborate with it to help the gland function efficiently. So far, both traditional and holistic medicines have not succeeded in balancing thyroid hormones in the majority of midlife women. As Integrative Medicine engages scientific method, and considers the larger context that impacts thyroid function, this approach may be the answer to healing thyroid insufficiency and resistance more successfully than conventional or holistic methods alone. ©Oct 2015, May 2017 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director, The Ommani Center for Integrative Medicine, Pewaukee, WI. Website: www. ommanicenter.com Author of Becoming Real: Reclaiming Your Health in Midlife. 2011, 2014 Medial Press

VISION<<page 7 One of the easiest and most important ways to protect your vision is to schedule a comprehensive dilated eye exam. Past president of the Milwaukee Optometric Society and founding member of the Wisconsin Diabetes Prevention & Control Program David Scheidt, OD, explains, “Most people don’t realize that vision problems in one eye can often be masked by the ability of the other eye to compensate. Or, changes occur so gradually that they go unnoticed. For example, with glaucoma, loss of peripheral (side) vision slowly creeps in until it creates a ‘tunnel’ effect. And, with cataracts, many people don’t realize how much they’ve been missing until the cloudy lens is surgically removed and replaced with an implant. Then they exclaim how much brighter and more colorful everything is or how much easier it is to recognize faces or see the TV.” “Poor vision is not a fact of life as you grow older. It’s important to discover what’s behind any problems. That’s why we can’t stress enough the importance of scheduling comprehensive dilated eye examinations at least every two years,” states Freedman. “Sight-saving improvements in vision care are of no use if you’re not aware, or are in denial, that you have a problem. Ask yourself, ‘When was your last eye exam?’ If it’s been more than a year or two, take action. Pick up the phone today to save your vision for tomorrow.” Free Information The physicians quoted above are partners at Eye Care Specialists ophthalmology practice, a state leader in medical, surgical and laser care. Call 414-321-7035 for their FREE booklets on cataracts, glaucoma, diabetic eye disease, and macular degeneration (AMD); or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National Avenue. They also offer eye care information at www.eyecarespecialists.net. MAY 2017 MHL

CHILDRENS HEALTH

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

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Michael Thompson, Ph.D. Why are people so loyal to their sleep away camps? What exactly happens at camp that makes people rhapsodize about the experience thirty or forty Schafer, years later? Ethan Ph.D.Whenever I tell people that I am curious about the camp experience, the stories start “I loved camp,” they a in When I was fifteen, I was in to mypour sixthout. summer at amy traditional campsay forinboys voice.One night after dinner, my counselor from the year before (a sixNewdreamy Hampshire. What is English it about rugby the summer — just a fewaweeks away foot, five-inch player)camp askedexperience me if I wanted to throw baseball around. perhaps two three seasons —and thattalking goes soabout deepwhatever under their skin? We for spent an hour or or two playing catch came up.As I don’t a psychologist, I amofcurious about the mystery of was camp. What’s the magic remember the specifics our conversation, who else there, or what was going ingredient? on around us. What I do remember, and still enjoy thinking about, are the positive After whole summer of sitting in on campfires, cabin chats, andI dining feelings that aresulted from having the undivided attention of someone essentially hall sing-alongs; laughing through aevent lot ofstands silly campfire after worshipped. For someafter reason, this particular out in myskits; mind, though kids compete in color warstheand canoeing contests stage therewatching were hundreds more like it over course of my camp and career. Asfirsta former rate productions ofyears Broadway musicals and — I’m to an answer. counselor with fifteen of experience, nowcloser as a mental health professional First, it absolutely forI kids to be awaythat from parents. power The of specializing inisworking withmagical children, am convinced thetheir cumulative sweetest, most moments of childhood back to your small moments like satisfying these illustrate the unique manner (think in which camp helpsown children life) arefull almost always when you are away from your parents. Children are reach their potential. suddenly freeSotoGood face for challenges and accomplishments that are theirs alone Why is Camp Children? — experiences that don’twill have to be run through the parental as cognitive-ruMany camp professionals describe their camp community a family. I can’t machinery. thinkminative-metabolic-judicial of a more accurate description. One of the reasons that well-run camps are so Secondly, relationship between campers and counselors is pure gold. call good for childrenthe is that they emulate the processes found in what psychologists The younger kids love and who admire counselors,provide and that respect brings authoritative families. Parents are the authoritative their children with a theofbest in young adults. They are at theirofmost compasgreatout deal structure and have high expectations their responsible, children, while simultanesionate, and aloving when they are put inwarmth charge and of younger children,They and can ously providing high degree of emotional encouragement. the younger children knockwho themselves out trying impress these young but be distinguished from parents are permissive (hightoemotional availability, littledemi-gods. structure and low expectations), or authoritarian (high expectations and strucFinally, camps are warmth successful, create a private world withwith its own ture, but low onif emotional and they encouragement). When I work parents, rules and rituals and magic. Deep all children to have their ownas the I often describe permissive parents as down, the “spoilers,” andwant authoritarian parents adventures with (apparent) safety net. Suburbanresearch life andsupporting school don’t “dictators.” There areno literally decades of psychological the conprovide children withparenting much of an arenalikely for adventure or children their imaginations. clusion that authoritative is most to result in who are happy, Camps have ability create that Good world camps that belongs only to a families: child andclear independent, andthe secure in tothemselves. are like good his or herare friends. magic. in a fair and sensitive manner, and campers expectations given,Now rulesthat are is enforced are given warmth, respect, and encouragement. Substitute “camp counselor” for CAMP>>page 24

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“parent,” and we get the “big picture” reason for why camp is so good for children. What about My Child? Good camps also help children by matching their programs to the developmental level of the child. Psychologists will often speak of “developmental tasks” or “ageappropriate challenges” when discussing what children of different ages need to learn in order to develop appropriately. Camp is one of the few areas of your child’s life where the program can be matched to specific needs and developmental tasks, helping children make the most of their natural strengths. In my opinion, the camp experience is superior to most schools in this regard, as camps make no assumption that all third graders, for example, need to learn the same things or be treated the same way. Keeping in mind that children of the same chronological age can vary widely in terms of emotional, social, and intellectual development, the following can be used as a general set of guidelines for what you can expect your child to get out of camp whether your choice is a day camp close to home or an overnight camp in a neighboring state. Children — Four to Six Years Although children of this age may seem too young for camp, almost all of them can benefit from day camp, and in more precocious cases, overnight camp. Young children are learning how to explore their world, gradually spending more time away from their parents’ side. Day camp, or a brief, overnight camp is an ideal place for young children to experience being away from their parents in a safe, nurturing environment. Good camps will have many structured, productive activities such as crafts and field trips that also help children get used to following a schedule. There is also no substitute for constant interaction with other children under adult supervision when it comes to developing social skills necessary for a successful entry into school. The staff-to-child ratio at most camps here will often be much better than that of a school or day care. Children — Seven to Nine Years Elementary school-age children are an entertaining group. Their interests change frequently as they are exposed to new ideas and opportunities. Think of this developmental period as one enormous “trial-and-error” episode, where children will “try on” all sorts of different likes and dislikes. Camp is a particularly good match for this age group, given the chances to participate in activities that are unlikely to be available elsewhere: archery, horseback riding, hiking, sailing, or nature exploration, as well as more typical activities such as team sports. The variety of activities offered at camp fits nicely with this group of children, who are often especially open-minded about trying new things. Social development is also critical in this period, as early friendships are formed and the child’s individual personality begins to express itself. There’s an old saying in psychology that all parents believe the environment is everything, the “nurture over nature” school . . . . until they have their second child. Some children are simply born more introverted, preferring to be in small groups or alone; others are born more extraverted, enjoying large groups and being the center of attention. Either way is fine. What summer camp provides, because of the sheer amount of time young children spend playing with each other, is the chance to experience the structured and unstructured social interactions of childhood that allow them to determine what kind of person they are going to be. Children — Ten to Twelve Years Children of these ages are beginning to define their individuality. Particularly in girls, this period of time is characterized by great variation in physical and emotional development. As those of you who have what the media calls “tweens” in your house can attest, one eleven-year-old can still be engrossed in cartoons and action figures or dolls, while another spends an hour getting ready for school, seems obsessed with the opposite sex or who did or did not say “hi” to them in the hallway, and so on. I have worked with several children who voiced the frustration of feeling forced to “be too grown up” on one hand, as well those who are tired of “being treated like a little kid” on the other. The variety of social, athletic, and outdoor activities offered through camp addresses these issues very well. If your child is still “young for his or her age,” camp will allow them to spend time with other children doing “kid stuff’ until they are ready to move on. The more “mature” child will have similar opportunities with older children, without fear of being ostracized. Whatever your “tween” child is ready for, camp provides a safe, supervised set of opportunities to explore and define individual interests and motivations — a wonderful gift for children as they enter adolescence. Ethan Schafer specializes in working with children and families. He holds a Ph.D. in child clinical psychology and writes frequently on topics surrounding child development and camp. Originally printed in CAMP Magazine, reprinted by permission of the American Camp Association © 2005 American Camping Association, Inc.

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TIPS FOR TALKING TO YOUR PARENTS ABOUT HEARING LOSS If you notice symptoms of hearing loss in your parents, you may want to bring it to their attention and offer to help. Talking to a parent about hearing loss, however, can be a delicate undertaking. If you notice symptoms of hearing loss in your parents, you may want to bring it to their attention and offer to help. Talking to a parent about hearing loss, however, can be a delicate undertaking. According to the Mayo Clinic, hearing loss is one of the most common medical issues that tends to occur over the natural course of aging. It is reported that roughly half of U.S. adults – or 1 in 2 people – will experience hearing loss to some extent, with varying degrees of severity. Hearing loss doesn’t exclusively impact older adults, however, as the Hearing Loss Association of America explains. Anyone can develop hearing loss, with adults exposed to loud noises on a routine basis at the greatest risk – think musicians, DJs, sound technicians and construction workers. Other factors such as ear infections or

chronic ear wax accumulation can also contribute to potential hearing loss. Older adults and hearing loss Given that adults over the age of 65 are most at risk of experiencing hearing loss, there is a chance that you may begin noticing symptoms of hearing loss in your parents or grandparents. The Mayo Clinic noted that some of the most common symptoms of hearing loss include: difficulty hearing conversations, needing to turn up the television or music to a level that is considered loud by others, asking individuals to repeat things or to speak at a louder volume during conversation and refraining from social engagements. “Adults over the age of 65 are most at risk from experiencing hearing loss.” If you notice these symptoms, you may want to discuss it and offer to help. Talking to a parent about hearing loss, however, can be a delicate undertaking. According to the Hearing Loss Association of America, it is common for those experiencing hearing loss to not be fully aware that they have it, due to the fact that age-related hearing loss is progressive and typically occurs gradually over a period of many months and even years. Consequently, individuals continually adapt as their hearing changes and often do not notice the extent of their hearing loss. Many individuals with hearing loss are able to hear certain sounds, particularly louder sounds, and they may assume that their hearing is healthy. Starting a conversation about hearing loss may, therefore, come as a completely unexpected surprise. Tips for starting the conversation Knowing it may be a challenging topic, here are some tips to approach the conversation with sensitivity. 1. Understand there may be tension Go into the conversation recognizing that this subject may come as a surprise or be a source of embarrassment, and expect there may be some denial. It is important that you afford your parents the opportunity to articulate how they are feeling. Don’t be surprised if they are not open to your concerns at first. 2. Choose the right time AccuQuest Hearing Centers recommended having the conversation in a quiet and comfortable location – ideally at home – at a time when you can be guaranteed to have privacy for an extended period of time. Do not bring your concerns up in a public setting or when other people are around. 3. Offer detailed information Take the time to explain why you are concerned and why it is important to you that they become aware of their hearing loss. Share specific details that you have noticed – for example the TV being turned up very loudly or asking people to repeat themHEARING>>page 47

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Cynthia had always been proud of her skin, especially her summer tan. But as she grew older, she saw she was getting more fine lines and wrinkles. She began to worry about what other skin problems she may have. What were those brown spots on her hands and arms? Your skin changes with age. It becomes thinner, loses fat, and no longer looks as plump and smooth as it once did. Your veins and bones can be seen more easily. Scratches, cuts, or bumps can take longer to heal. Years of sun tanning or being out in the sunlight for a long time may lead to wrinkles, dryness, age spots, and even cancer. But there are things you can do to protect your skin and to make it feel and look better. Dry Skin And ItchingMany older people suffer from dry skin, often on their lower legs, elbows, and lower arms. Dry skin feels rough and scaly. There are many possible reasons for dry skin, such as: •Not drinking enough liquids •Staying out in the sun •Being in very dry air

•Smoking •Feeling stress •Losing sweat and oil glands (common with age) Dry skin also can be caused by health problems, such as diabetes or kidney disease. Using too much soap, antiperspirant, or perfume and taking hot baths will make dry skin worse. Because older people have thinner skin, scratching can cause bleeding that may lead to infection. Some medicines make the skin itchier. If your skin is very dry and itchy, see your doctor. Moisturizers like lotions, creams, or ointments can soothe dry, itchy skin. They should be used every day. Try taking fewer baths and using milder soap to help your dry skin. Warm water is less drying than hot water. Don’t add bath oil to your water -- it will make the tub too slippery. Some people find that a humidifier (an appliance that adds moisture to a room) helps. BruisesOlder people may bruise more easily than younger people. And, it can take longer for the bruises to heal. Some medicines or illnesses may cause bruising. If you see bruises and you don’t know how you got them, especially on parts of your body usually covered by clothing, see your doctor. WrinklesOver time, skin begins to wrinkle. Things in the environment, like ultraviolet (UV) light from the sun, make the skin less elastic. Gravity can cause skin to sag and wrinkle. Certain habits also can wrinkle the skin. Some of these habits are easier to change than others. You may not be able to change your facial expressions, but you can quit smoking. A lot of claims are made about how to make wrinkles go away. Not all of them work. Some can be painful or even dangerous, and many must be done by a doctor. Talk with a doctor specially trained in skin problems (a dermatologist) or your regular doctor if you are worried about wrinkles. Age Spots And Skin TagsAge spots, once called “liver spots,” are flat, brown spots often caused by years in the sun. They are bigger than freckles, and many times show up on areas like the face, hands, arms, back, and feet. Age spots are harmless, but if they bother you, talk to a dermatologist about removing them. Also, a sunscreen or sunblock may prevent more sun damage. Skin tags are small, usually flesh-colored growths of skin that have a raised surface. They are a common occurrence as people age, especially for women. They are most often found on the eyelids, neck, and body folds such as the arm pit, chest, and groin. Skin tags are harmless, but they can become irritated. A doctor can remove them if they bother you.

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People have always taken care of older adults, especially loved ones. Family and friends assume this role for a number of reasons, including love, respect, loyalty, obligation and necessity. But caregiving has changed tremendously as time has progressed and has presented new and diverse gifts and challenges.

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What is a caregive, and what does a caregiver do?

Before exploring these changes, it is important to know what caregiving is. A caregiver can help an older adult with tasks such as cooking and cleaning, driving to appointments or simply calling to check in. They can also be as intensive as finding the person an appropriate place to live (whether it is in the caregiver’s own home or in some other type of living facility), providing personal cares or assisting in making medical and financial decisions. Caregiving can be informal (i.e. unpaid) or formal (paid) and can be for a close family member, friend or someone previously unknown. If someone fits into any of these categories, then she or he is a caregiver.

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How has caregiving changed?

First of all, because we are living longer, a change has come in the sheer number of family caregivers. According to the most recent U.S. Census, there are close to 34 million family caregivers taking care of persons 50+. And these numbers are going to continue to increase drastically. The segment of the population most likely to need care – those over 85 – is the fastest growing segment of the population. Secondly, people are living longer with chronic medical conditions which require longer periods of caregiving. Medical expenses are sky rocketing, not to mention the costs of assistive services and some living options. Distance from loved ones is also having an effect on caregiving. People are becoming more transit; not only are the ‘children’ moving further away from ‘home’ but the parents are relocating as well. Family members, however, still want and need to take care of those they care about. This brings on new challenges as people attempt to find services and help from a

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distance.

What about employed caregivers?

Significant challenges are also present for caregivers that are employed (and, consequently, for the caregiver’s employers). In a recent study done by MetLife, over half of the respondents said they were less productive at work and in fact had to take time off of work because of their caregiving. This loss in productivity costs businesses between $11.4 and $29 billion annually. Because of these changes and the need to keep good employees, employers have been adding benefits to their Employee Assistance Programs such as paid sick leave and paid family leave that can be used to care for relatives or domestic partners. People now take more time off work to care for an aging relative than those who need to take time off for children.

How can I be the best caregiver to my loved one?

Being the best caregiver means different things to different people because every person receiving care (carereceiver) needs a different type and level of care. One way is to be a prepared caregiver. Do your homework. Learn about community resources as well as your potential carereceiver’s health, resources and benefits. Have a conversation and know their wishes and thoughts about their future, in sickness and in health. Make sure critical documents such as Powers of Attorney for Health Care and Finances are done. Do not, however, make specific promises. All we can realistically offer is our best care through informed decisions. Studies show that caregivers drastically underestimate the amount of time and resources needed to be a caregiver and this will affect your caregiving situation. Many crises can be averted by being prepared and informed. Then, if a crisis does occur, it will be less stressful because you have the tools and knowledge at hand. A second way is to understand that we all make different choices. You may disagree with your loved one’s decisions but as long as they are safe and appropriate decisions you must respect their wishes. If you have a difficult time with their wishes this is often when an impartial third party may be consulted and perhaps even brought in to assist. Thirdly, caregiving takes time because you may be juggling all kinds of things along with wanting to provide the best care you can. However, caregivers are notorious at not taking care of themselves, which leads us to the next question…

How do caregivers take care of themselves?

With all of the changes brought on by the role of caregiving, it is important for caregivers to know how to take care of themselves. Though largely unknown, the widely accepted first rule of caregiving is “take care of yourself.” It is just like you hear on an airplane in the preflight instructions: put on your oxygen mask before you help others. If a caregiver does not take care of herself or himself, a number of problems can arise, including depression, fatigue (both physical and emotional), anger and other health concerns. To avoid these, it’s important to remember a few tips: EXERCISE. Keeping yourself physically active and engaged helps you to relieve stress and not get stagnant in your many roles. EAT HEALTHY. Because you may not be at home for meals, you may try to save time by eating fast food or not eating at all. Your mind and body will stay much sharper and happier if you are fueling yourself well for all that is going on in your life. RECOGNIZE STRESS AND SIGNS OF DEPRESSION. A caregiver must look for and address these signs. Burn-out is a very common reaction to caregiving so it is just as important to take care of your mental health as it is to take care of your physical health. REMEMBER THE OTHER IMPORTANT AREAS IN YOUR LIFE. Just because you are now a caregiver and not only the spouse, daughter, son or partner, you cannot forget about what else is important in your life – family, friends, faith and fun. Maintaining a balance will keep you happier, healthier and a better caregiver. It can also make it more pleasant for your carereceiver. UTILIZE AVAILABLE RESOURCES. There are several agencies available to help you find the resources necessary to take care of an older adult loved one. Here are a few of the important numbers you should always keep at hand:  Family Caregiver Support Network - (414) 220-8600  Milwaukee County Department on Aging - (414) 289-6874  Ozaukee County - (262) 238-8120  Walworth County - (262)-741-3200  Washington County – (877) 306-3030  Waukesha County - (262) 548-7848  General community resources for each county - 211  Social Security - (800) 772-1213  Medicare - (800) 633-4227  Eldercare Locator – (800) 677-1116 Caregiving can be a deeply rewarding and memorable experience, but it is important to know what it is, how it can affect you and how to be the best caregiver you can be. Contributed by Andrew Musgrave and Pat Bruce. For more information and support, please contact the Family Caregiver Support Network of Interfaith Older Adult Programs at 414-220-8600. MAY 2017 MHL

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A GREAT TOOL FOR PEOPLE OF ALL AGES IS THE MY SOCIAL SECURITY ACCOUNT.

GET INTO THE ACT WITH OLDER AMERICANS MONTH By Bob Trotter Social Security Public Affairs Specialist in Milwaukee, WI We recognize Older Americans Month to acknowledge older Americans and their contributions to the nation. More than 40 million people in the United States are 65 or older. By 2035, the U.S. Census Bureau projects this number will double, which makes improving the quality of life for older Americans even more important as we look to the future. It is Social Security’s priority to provide a safety net for older Americans. You can learn more about Social Security at www.socialsecurity.gov. The main reason Social Security was established 80 years ago was to help older

Americans. For many older Americans, Social Security benefits are their only source of retirement income. Social Security payments continue for life and are adjusted to keep pace with inflation. The American Association of Retired Persons (AARP) estimates that these benefits help keep 35 percent of older Americans out of poverty. A great tool for people of all ages is the my Social Security account. With a personalized my Social Security account, you can: • Get an estimate of future benefits, if you still work; • Get an instant letter with proof of current benefits; and • Manage your benefits. Visit www.socialsecurity.gov/myaccount and join the millions of people who have already created accounts to help them plan for retirement. This May also marks the 50th anniversary of the Older Americans Act. Congress passed the Act in 1965 in response to a lack of community social services for older persons. Medicare, in effect since July 1, 1966, will also celebrate its 50th anniversary soon. Medicare provides health insurance to more than 42 million Americans age 65 and older. If you aren’t familiar with the four parts of Medicare, they are: • Part A (hospital insurance): Hospital insurance helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care, and hospice care. • Part B (medical insurance): Medical insurance helps pay for doctors’ services and many other medical services and supplies that hospital insurance doesn’t cover. • Part C (Medicare Advantage plans): If you have Medicare Parts A and B, you can join a Medicare Advantage plan. Private companies offer Medicare Advantage plans approved by Medicare. These plans generally help you pay the medical costs not covered by Medicare Part A and B. • Part D (prescription drug coverage): Prescription drug coverage helps pay for medications doctors prescribe for treatment. To learn more about applying for Medicare, read our publication Applying For Medicare Only—Before You Decide. To learn more about Social Security, read Understanding the Benefits. Both are available at www.socialsecurity.gov/pubs.

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Schedule Your Personal Tour Today CAN AN ARCH SUPPORT HELP MY PERFORMANCE? In order to understand how an support can help your athletic performance, an understanding of basic foot function is necessary. Your feet are your interface with the ground and make up a complex system of bones and joints that are a major contributor to shock absorption and propulsion. The shock absorption component comes into play when your foot hits the ground, the propulsion phase occurs while you are pushing off and using your foot as a rigid lever to propel you forward. These are two very different functions with different biomechanical requirements. During the shock absorption phase, your foot must be relatively pliable and mobile. During the propulsion phase, your foot must regain structural integrity or stiffness for mechanical efficiency. This is a beautiful system design but even small inefficiencies in this system can produce detrimental effects on performance including injury and poor propulsion. Conversely, even small improvements in this system can have a positive effect on performancemeasurements such as speed, power and balance. WHAT YOUR FOOT NEEDS A custom arch support needs to provide a rigid lever for propulsion while allowing for shock absorption and terrain adaptation. This need is only magnified in athletes. Whether you are on a bike, in running shoes, or in ski boots, your foot is always working on shock absorption and propulsion. To assist in these functions a custom arch support needs to be properly calibrated to your weight, foot flexibility and activity level. Different athletes and sports require different support sizes and properties, but all require the same biomechanical control and function. Currently, the Custom Arch Support Technology (C•A•S•T)™ arch support is the only one on the market that addresses these needs. It is based on a completely new and unique model of correction and support design. I’M NOT INJURED, DO I NEED AN ARCH SUPPORT? This depends on how you would like to approach your training. Would you like to only worry about injuries after they happen, or after they cause a reduction in training? Or would you like to have a more proactive mind-set when it comes to your health and performance? In addition to all of the overuse injuries we are familiar with such as shin splints, Achilles tendonitis, plantar fasciitis, IT band syndrome and patellar tracking dysfunction, inefficiencies in foot function can cause sub-clinical problems (meaning that they haven’t shown up as a symptom yet). It makes more sense to correct these problems before they have a chance to cause tissue breakdown and injury. There are two ways to look at sports performance and injury: 1) You can react to overuse injuries with ice, anti inflammatory medications, braces, rest and surgeries or 2) You can prevent these injuries with the use of a device that makes your foot more efficient. For more information contact Foot Solutions at 262-241-3668.

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Memory and Thinking

Many older people worry about their memory and other thinking abilities. For example, they might be concerned about taking longer than before to learn new things, or they might sometimes forget to pay a bill. These changes are usually signs of mild forgetfulness—often a normal part of aging—not serious memory problems. Talk with your doctor to determine if memory and other thinking problems are normal or not, and what is causing them. What’s Normal and What’s Not? What’s the difference between normal, age-related forgetfulness and a serious memory problem? Serious memory problems make it hard to do everyday things like driving and shopping. Signs may include:

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asking the same questions over and over again getting lost in familiar places not being able to follow instructions becoming confused about time, people, and places Mild Cognitive Impairment Some older adults have a condition called mild cognitive impairment, or MCI, in which they have more memory or other thinking problems than other people their age. People with MCI can take care of themselves and do their normal activities. MCI may be an early sign of Alzheimer’s, but not everyone with MCI will develop Alzheimer’s disease. Signs of MCI include: losing things often forgetting to go to important events and appointments having more trouble coming up with desired words than other people of the same age If you have MCI, visit your doctor every 6 to 12 months to see if you have any changes in memory or thinking skills over time. There may be things you can do to maintain your memory and mental skills. No medications have been approved to treat MCI. Dementia Dementia is the loss of cognitive functioning—thinking, remembering, learning and reasoning—and behavioral abilities to such an extent that it interferes with daily life and activities. Memory loss, though common, is not the only sign. A person may also have problems with language skills, visual perception, or paying attention. Some people have personality changes. Dementia is not a normal part of aging. There are different forms of dementia. Alzheimer’s disease is the most common form in people over age 65. The chart below explains some differences between normal signs of aging and Alzheimer’s disease. When to Visit the Doctor If you, a family member, or friend has problems remembering recent events or thinking clearly, talk with a doctor. He or she may suggest a thorough checkup to see what might be causing the symptoms The annual Medicare wellness visit includes an assessment for cognitive impairment. This visit is covered by Medicare for patients who have had Medicare Part B insurance for at least 1 year. Memory and other thinking problems have many possible causes, including depression, an infection, or a medication side effect. Sometimes, the problem can be MEMORY>>page 47

THE AGING BRAIN The brain controls many aspects of thinking—remembering, planning and organizing, making decisions, and much more. These cognitive abilities affect how well we do everyday tasks and whether we can live independently. Some changes in thinking are common as people get older. For example, older adults may have: increased difficulty finding words and recalling names more problems with multi-tasking mild decreases in the ability to pay attention Aging may also bring positive cognitive changes. People often have more knowledge and insight from a lifetime of experiences. Research shows that older adults can still: learn new things create new memories improve vocabulary and language skills The Older, Healthy Brain As a person gets older, changes occur in all parts of the body, including the brain: Certain parts of the brain shrink, especially those important to learning and other complex mental activities. In certain brain regions, communication between neurons (nerve cells) can be reduced.Blood flow in the brain may also decrease. Inflammation, which occurs when the body responds to an injury or disease, may increase. These changes in the brain can affect mental function, even in healthy older people. For example, some older adults find that they don’t do as well as younger people on complex memory or learning tests. Given enough time, though, they can do as well. There is growing evidence that the brain remains “plastic”—able to adapt to new challenges and tasks—as people age. It is not clear why some people think well as they get older while others do not. One possible reason is “cognitive reserve,” the brain’s ability to work well even when some part of it is disrupted. People with more education seem to have more cognitive reserve than others. Some brain changes, like those associated with Alzheimer’s disease, are not a normal part of aging. Talk with your healthcare provider if you are concerned. Brain Regions Graphic of human brain showing parietal occipital, and temporal lobes, frontal lobe, and cerebellumThe brain is complex and has many specialized parts. For example, the two halves of the brain, called cerebral hemispheres, are responsible for intelligence. The cerebral hemispheres have an outer layer called the cerebral cortex. This region, the brain’s “gray matter,” is where the brain processes sensory information, such as what we see and hear. The cerebral cortex also controls movement and regulates functions such as thinking, learning, and remembering. How Brain Cells Work The healthy human brain contains many different types of cells. Neurons are nerve cells that process and send information throughout the brain, and from the brain to the muscles and organs of the body. The ability of neurons to function and survive depends on three important processes: Communication. When a neuron receives signals from other neurons, it generates an electrical charge. This charge travels to the synapse, a tiny gap where chemicals called neurotransmitters are released and move across to another neuron. Metabolism. This process involves all chemical reactions that take place in a cell to support its survival and function. These reactions require oxygen and glucose, which are carried in blood flowing through the brain. Repair, remodeling, and regeneration. Neurons live a long time—more than 100 years in humans. As a result, they must constantly maintain and repair themselves. In addition, some brain regions continue to make new neurons. Other types of brain cells, called glial cells, play critical roles in supporting neurons. In addition, the brain has an enormous network of blood vessels. Although the brain is only 2 percent of the body’s weight, it receives 20 percent of the body’s blood supply.

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Healthy Aging

HOW TO FEEL YOUNG AND LIVE LIFE TO THE FULLEST But it’s important to find ways to reach out and connect to others. Loneliness and isolation are major threats to aging well. Having people you can turn to for company and support is a buffer against depression, disability, hardship, and loss. The good news is that there are lots of ways to be with other people. It doesn’t matter what you do, so long as you get out of the house (if possible) and socialize: Connect regularly with friends and family. Spend time with people you enjoy and who make you feel upbeat. It may be a neighbor who you like to walk with, a lunch be thy medicine and medicine beclose by, date with an old“Let friend,food or shopping with your children. Even if you are not call or email frequently to keep fresh. thyrelationships food.� Hippocrates 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 Annawho Lamnari, MD than you. Younger friends can reenergize you and help you people are younger foods that, in addition to supplying known nutrients, contain seeFunctional life from afoods fresh are perspective. biologically active to havesignificant disease-fighting potential. Spend time with compounds at least onethought person every day. You shouldn’t be alone day after example, fishcontact and fish oilsa–replacement the best source of omega-3 fatty contain day.For Phone or email is not for spending time withacids other– people. potent anti-inflammatory substances. is growing evidence thatpositive. omega-3 fatty Regular face-to-face contact helps youThere ward off depression and stay Volunteer. Giving back to the community is a wonderful way to strengthen social bonds and meet others, and the meaning and purpose you find in helping others will

CAN FOODS FUNCTION AS MEDICATIONS?

enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share similar values. Even if you’re housebound, you can get involved by volunteering on the phone. acids thegroups following benefits to thoseIfwith artery Findprovide support in times of change. youcoronary or a loved onedisease: is coping with a * Reduction of recent arrhythmias; chronic illness or loss, it can be very helpful to participate in a support group * Decrease in triglycerides; with others undergoing the same challenges. * Slowed growth of atherosclerotic plaque; Healthy aging: Tips for boosting vitality *Don’t Mild fall reduction in blood pressure; for the myth that aging automatically means you’re not going to feel * Decrease good anymore.inItinflammation. is true that aging involves physical changes, but it doesn’t have to Thediscomfort 2000 American Heart Association (AHA) recommend at mean and disability. While not all illnessDietary or painGuidelines is avoidable, many of the least two servings of fish per week (particularly fatty fish, such as mackerel, herring, physical challenges associated with aging can be overcome or drastically mitigated sardines, trout, exercising, salmon, anchovies andcare albacore tuna). There is also some research by eating right, and taking of yourself. showing that omega-3 fatty acids benefit those with depression. It’s never too late to start! No matter how old youosteoarthritis are or how and unhealthy you’ve Tea - both green and black -- contains significant amounts of catechins, which been in the past, caring for your body has enormous benefits that will help you stay act as scavengers of free radicals. It can lower LDL (bad cholesterol) by modest active, sharpen your memory, boost your immune system, manage health problems, amounts, decreasing the risk of heart attack. and increase your energy. In fact, many older adults report feeling better than ever Decaffeinated tea works, too, since this effect is independent of caffeine. because they are making more of an effort to be healthy than they did when they A compound in ginger called gingerol is a potent anti-inflammatory substance, were younger. providing benefits similar to those of the group of medications called COX-2 Healthy aging: Tips for eating well as you age inhibitors (Celebrex). Ginger significantly reduced pain in people suffering from As you age, your relationship to food changes along with your body. A decreased knee osteoarthritis. Ginger has also been used for centuries to treat nausea. To see metabolism, changes in taste and smell, and slower digestion may affect your appebenefits, add ginger to your cooking or make a ginger tea, which will also act as a tite, the foods you can eat, and how your body processes food. The key is to figure decongestant. outTurmeric, how to adapt to your changing needs.isNow, more thananti-inflammatory ever, healthy eating is the main ingredient of curry, another potent spice, important to maintain your energy and health. containing the antioxidant curcumin. It improves pain and swelling in osteoarthritis. Loadshows up onpromise high-fiber fruits, vegetables, whole of grains. Your digestive It also in decreasing the rate and of growth cancer cellswhole in in-vitro and system is slower, so fiber is very important. Consume fiber-rich foods such as whole animal studies. Try using turmeric in your soups and stews - it is best absorbed with grains, fruit, and They will help you feel more energetic and give you small amounts of vegetables. fat. fuelCinnamon to keep going. may decrease spikes in blood sugar by improving sensitivity to insulin. Put effort into improves making your food look and taste Your atastebuds aren’t on as It also modestly triglyceride levels. Use ½good. teaspoon day, sprinkled strong and your appetite may not be the same, but your nutritional needs are just as food or in the form of a capsule. important as ever. If you don’t enjoy eating like you used to, put a little more effort Garlic is valued for the antimicrobial properties of its main compound, allicin. into meals, including way youinfections flavor, prepare, and present yourStudies food. also Try your it to provide relief for the respiratory or traveler’s diarrhea. Watch out for dehydration. Because of physical changes, older adults are more indicate garlic provides possible mild benefit for hypertension and high cholesterol. prone to dehydration. So make sure you are drinking plenty of fluid, even if you Garlic is best used fresh. If you are cooking with garlic, add it towards the very end don’t feel thirsty. If you’re not getting enough water, you’re not going to be as sharp of cooking to preserve its medicinal properties. and“Let yourfood energy willmedicine suffer. and medicine be thy food.â€? Hippocrates be thy Make meals a social event. It’s more enjoyable to eat with others than alone. Invite people over. You can share cooking and cleanup duties.

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SHOWING COMPASSION FOR PEOPLE WITH DISABILITIES By Bob Trotter Social Security Public Affairs Specialist in Milwaukee, WI ALS, also known as Lou Gehrig’s disease, is a rapidly progressive and fatal neurological disease that attacks the body’s ability to control muscle movement by ceasing the transmission of messages to muscles. Social Security has identified ALS as a medical condition so severe it obviously meets our agency’s strict definition of disability and has included it on our Compassionate Allowances list. Our agency expedites the benefit application process for these applicants. You can read more about Compassionate Allowances at www. socialsecurity.gov/compassionateallowances. Mental Health Awareness. This invisible disease comes in many forms, and it’s imperative that we approach people with mental health issues with compassion and empathy. ALS and mental illness are just examples of the types of disabilities for which workers may receive Social Security disability benefits. The list is too long for one article, but includes cancers, diseases, birth defects, physical disabilities caused by accidents, and organ-related disabilities such as congestive heart failure. Many people don’t think of disability as something that could happen to them. Statistics say the chances of becoming disabled are greater than most realize. 56 million Americans, or 1-in-5, live with a disability. 38 million Americans, or 1-in10, live with a severe disability. A sobering fact for 20 year-olds is that more than 1-in-4 of them will become disabled before reaching retirement age. Disability can happen to anyone. When disability does happen, Social Security can help people meet their basic needs. Our disability program provides financial and medical benefits for those who qualify to pay for doctors’ visits, medicines, and treatments. Our beneficiaries are just like you. They have the same hopes and dreams. What makes their stories different is that they live with debilitating diseases that inhibit their ability to work. Social Security disability beneficiaries are among the most severely impaired people in the country. Our Faces and Facts of Disability webpage highlights stories about people who have disabilities. We invite you to learn the facts about the disability insurance program, and see and hear the stories of hardship and perseverance at www.socialsecurity.gov/disabilityfacts. These stories are just examples of the 38 million Americans who live with disabling conditions and need Social Security’s support to make ends meet.

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Expanding participation to under-represented groups Exp Leveraging existing infrastructure developed by ORCAT Lev testing testing its platform in older adults’ homes this year. Partici come housing in Portland, veterans in the rural Pacificcome Nort and L and Latinos in Miami. Sdvv#rq#|rxu#zlvgrp Sdvv#rq#|rxu#zlvgrp “It’s a broad infrastructure designed to be dynamic in “It’ res wr#wkh qh{w#jhqhudwlrq incorp wr#wkh qh{w#jhqhudwlrq incorporating new measures and devices as they become ava compa companies to bring new technology to the market, but wit produo testing the products in larger groups Li#|rxġuh#88./#yroxqwhhu# product claims. By Li#|rxġuh#88./#yroxqwhhu# show show what works and dw#d#PSV#hohphqwdu|# for whom it works, and what might m dw#d#PSV#hohphqwdu|# A SOLID SAVINGS PLAN CAN EASE YOUR WORRIES Oth vfkrro#iru#mxvw#<3# Other NIH funders include the National Cancer Institute, vfkrro#iru#mxvw#<3# ing an plqxwhv#rqfh#d#zhhn# ing and Bioengineering, National Institute of Neurological D plqxwhv#rqfh#d#zhhn# of Nu dqg#vhh#d#fklog#vxffhhg1 Trans dqg#vhh#d#fklog#vxffhhg1 of Nursing Research, National Center for Advancing of Be fdoo=#+747,#553#0#;986# of Behavioral and Social Sciences Research. The VAServic Heal Iru#pruh# hpdlo=#wxwruClqwhuidlwkploz1ruj# fdoo=#+747,#553#0#;986# Iru#pruh# Service also ylvlw=#zzz1lqwhuidlwkploz1ruj plans to support the project. lqirupdwlrq= hpdlo=#wxwruClqwhuidlwkploz1ruj# The ylvlw=#zzz1lqwhuidlwkploz1ruj Do you sometimes wonder whether you’ll be ablelqirupdwlrq= to afford retirement? It’s a The wireless CART home common concern among workers, especially Pass members of the baby-boom generation. The isn’t oldest of the boomers will be 62 in just a few cost, www.c months — in January 2008. But even the conc www.cardinalcapital.us most anxious of this group should be able tion s to relieve at least some concerns about re“I Independent Residences Serving The Needsintru Of tirement income by understanding just how much money is needed, and then planning a to pr Independent Residences Serving The Needs Of Our Communities way to reach that goal. exam Most financial advisors say that you will cally need at least 70 to 80 percent of your preallow retirement income to enjoy a comfortable speed retirement. Other advisors say that you may cline need an even higher percentage of pre-retirepriva ment income. So where will it come from? es ca The truth is that today Social Security is Da the largest source of income for most older ing a Americans. For the average wage-earner, tion a Social Security will replace about 40 persocia cent of pre-retirement earnings. But Sobeco cial Security was never intended to be your perso only source of income when you retire, and Dr. K to reach the 70-80 percent replacement inA come goal you also will need other savings, will investments or pension income, or part-time to m work. mood As Michael J. Astrue, Commissioner of tal vi Our apartment home Social Security, has noted, “Saving and inCA vesting wisely are important not only for you CA communities provide a Our apartment home and your family, but for the entire country. Kaye If you want to learn more about how and then caring staff, friendly communities provide a why to save, you should visit www.mymonthe F ey.gov, a federal government website dedineighbors, & plenty of of H caring staff, friendly cated to teaching all Americans the basics of Indep financial management.” comforts of home. tiativ neighbors, & plenty of The topics discussed at this website inresea clude paying for an education, starting a At comforts of home. small business and, of course, retirement ers c planning. techn The retirement planning link takes you to data. more than a dozen other links with valuable of re Cardinal Capital Management financial information. Hear is committed to equal There is, for example, “A Special Guide in w housing opportunity & for Seniors and Families” from the FDIC; gies “Top 10 Ways To Prepare For Retirement” we fully comply with the Olde from the Department of Labor; “Tax Inforabilit Federal Fair Housing Act mation for Retirement Plan Participants” Cons from the IRS; and several links to Social SeScien curity sites, including Social Security retireNI ment benefit calculators, special guides for think women and retirement planners. whol So if you are concerned about being able even to afford retirement, just remember that time, knowledge is power. visit 38 MHL MARCH 2017 Get valuable information from Social it wi Security at www.socialsecurity.gov, or from healt the federal website for financial literacy at www.mymoney.gov. 38 MHL MARCH 2017

MAY 2017 MHL

TAKE CARE OF YOUR BRAIN Cognitive health—the ability to clearly think, learn, and remember—is an important component of brain health. Others include: motor function—how well you make and control movements emotional function—how well you interpret and respond to emotions sensory function—how well you feel and respond to sensations of touch, including pressure, pain, and temperature This guide focuses on cognitive health and what you can do to help maintain it. The following steps can help you function every day and stay independent—and they have been linked to cognitive health, too. Take Care of Your Health

MHL MAY 2017

Taking care of your physical health may help your cognitive health. You can: Get recommended health screenings. Manage chronic health problems like diabetes, high blood pressure, depression, and high cholesterol. Consult with your healthcare provider about the medicines you take and possible side effects on memory, sleep, and brain function. Reduce risk for brain injuries due to falls and other accidents. Limit use of alcohol (some medicines can be dangerous when mixed with alcohol). Quit smoking, if you smoke. Get enough sleep, generally 7-8 hours each night. Eat Healthy Foods Married couple sharing a salad.A healthy diet can help reduce the risk of many chronic diseases, such as heart disease or diabetes. It may also help keep your brain healthy. In general, a healthy diet consists of fruits and vegetables; whole grains; lean meats, fish, and poultry; and low–fat or non–fat dairy products. You should also limit solid fats, sugar, and salt. Be sure to control portion sizes and drink enough water and other fluids. Researchers are looking at whether a healthy diet can help preserve cognitive function or reduce the risk of Alzheimer’s. For example, there is some evidence that people who eat a “Mediterranean diet” have a lower risk of developing mild cognitive impairment. Researchers have developed and are testing another diet, called MIND, a combination of the Mediterranean and DASH (Dietary Approaches to Stop Hypertension) diets. One study suggests that MIND may affect the risk of Alzheimer’s disease. For more information about nutrition for older adults, see What’s On Your Plate? Smart Food Choices for Healthy Aging. Be Physically Active Being physically active—through regular exercise, household chores, or other activities—has many benefits. It can help you: keep and improve your strength have more energy improve your balance prevent or delay heart disease, diabetes, and other diseases perk up your mood and reduce depression Studies link ongoing physical activity with benefits for the brain, too. In one study,

exercise stimulated the human brain’s ability to maintain old network connections and make new ones that are vital to cognitive health. Other studies have shown that exercise increased the size of a brain structure important to memory and learning, improving spatial memory. Aerobic exercise, such as brisk walking, is thought to be more beneficial to cognitive health than non-aerobic stretching and toning exercise. Studies are ongoing. Woman exercising. Federal guidelines recommend that all adults get at least 150 minutes of physical activity each week. Aim to move about 30 minutes on most days. Walking is a good start. You can also join programs that teach you to move safely and prevent falls, which can lead to brain and other injuries. Check with your healthcare provider if you haven’t been active and want to start a vigorous exercise program. For more information, see Go4Life®, NIA’s exercise and physical activity campaign for older adults. Keep Your Mind Active Being intellectually engaged may benefit the brain. People who engage in meaningful activities, like volunteering or hobbies, say they feel happier and healthier. Learning new skills may improve your thinking ability, too. For example, one study found that older adults who learned quilting or digital photography had more memory improvement than those who only socialized or did less cognitively demanding activities. Lots of activities can keep your mind active. For example, read books and magazines. Play games. Take or teach a class. Learn a new skill or hobby. Work or volunteer. These types of mentally stimulating activities have not been proven to prevent serious cognitive impairment or Alzheimer’s disease, but they can be fun! Scientists think that such activities may protect the brain by establishing “cognitive reserve.” They may help the brain become more adaptable in some mental functions, so it can compensate for age–related brain changes and health conditions that affect the brain. Formal cognitive training also seems to have benefits. In the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) trial, healthy adults 65 and older participated in 10 sessions of memory training, reasoning training, or processing–speed training. The sessions improved participants’ mental skills in the area in which they were trained. Most of these improvements persisted 10 years after the training was completed. Be wary of claims that playing certain computer and online games can improve your memory and other types of thinking. Evidence to back up such claims is evolving. NIA and others are supporting research to determine if different types of cognitive training have lasting effects. For more information, see Participating in Activities You Enjoy: More Than Just Fun and Games. Stay Connected Man playing with grandchild.Connecting with other people through social activities and community programs can keep your brain active and help you feel less isolated and more engaged with the world around you. Participating in social activities may lower the risk for some health problems and improve well–being. So, visit with family and friends. Join programs through your Area Agency on Aging, senior center, or other community organizations.

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

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MAY 2017 MHL

THE BASICS OF SENIOR DOWNSIZING

Reducing the amount of furnishings and personal items for a senior move can be a daunting task, but with the proper prepaRESEARCHERS VARIANT ration and moving ďŹ rm, aIDENTIFY senior move GENE can be completed in a CONFERS RISK FOR MULTIPLE timely,THAT stress-free fashion. Senior citizens account for 50 percent the residential moves SCLEROSIS ANDofLUPUS currently on the housing market, and moving ďŹ rms oers senior services for seniors moving into downsized living quarters.

An international team of researchers, including scientists from NIA’s Intramural “Reducing the amount of furnishings and personal items can be a daunting task, Research Program, have identified an important new genetic variant that increases but with the proper preparation and moving firm, a senior move can be completed risk for two autoimmune diseases: multiple sclerosis (MS) and systemic lupus erythein a timely, stress-free fashion,â€? says Tony Baumer, owner of BD Movers. matosus (lupus). The results were reported in the New England Journal of Medicine With a 21-year track record in the moving and storage industry, BD Movers on April 27, 2017. The study was led by Dr. Francesco Cucca, director of the Institute offers senior citizens advice and complete references from handy men, to chariof Genetic and Biomedical Research of the Italian National Research Council. ties, even CPA’s and elder lawyers. A senior move can be daunting, but with the MS and lupus are autoimmune diseases caused when a person’s immune system correct planning and strategy, downsizing is another step in the life process, adds attacks their own normal tissues: the myelin coating of nerves is targeted in MS, Baumer. while the skin, kidneys, and other organs are affected in lupus. While scientists have long suspected a genetic predisposition to risk for autoimmune disorders, this study - Create senior downsizing task list one to three months in advance. is the first to identify a specific genetic variation that is associated with the two dis- Get the family involved in the senior move. If you need help, consider hiring eases. a senior move manager. The researchers first performed a full genetic sequencing of more than 3,000 peo- Designate items that will be moved, sold or given away. Decide on the item the ple with MS or lupus and a similar number of unaffected individuals in the Meditersenior will want to keep, and will fit into the new senior home. ranean island of Sardinia. Extensive characterization of the immune system was also - Be prepared to provide list of inventory to mover, including any legal docuperformed on this group. The process was repeated in almost 22,000 case and control mentation, regarding power of attorney, etc. if applicable. For instance – if the chilindividuals from mainland Italy, Spain, the United Kingdom, and Sweden, reproducdren are handling the senior moving details, they should show they have authority ing the original results. to do so. The research team found a correlation between a particular variant of the TNFS- Sell what you can at auction, online or a yard sale. Some items may have value F13B gene and the development of the autoimmune diseases. The TNFSF13B gene that can help defray senior moving expenses. produces the protein BAFF, the B-cell activating factor, which is needed for survival - Donate the rest to reputable charity. Keep receipts for senior tax purposes. If and growth of B cells, the cells in the body’s the immune system that protect against the furniture is still in good condition, a senior’s sofa or dining room table may be infections. The researchers found that while normal BAFF production is strongly a godsend to a family that needs furniture. suppressed by cellular factors, BAFF production driven by the genetic variant is not - A senior move is not a “self move. A senior move takes the efforts of many affected by these same factors. The resulting increase in BAFF leads to correspondpeople, family and professionals, to make it go smoothly. ingly higher numbers of B cells, elevated antibody production, and increased risk of - To save on cost, pack as much as the senior and their family can do themselves. autoimmunity. A mover will provide this service, but packing items is the simplest way to save The researchers note that the findings validate BAFF as a possible drug target for cost for the senior move. MS, lupus, and possibly other autoimmune disorders. The identification of this vari- If the senior moving is in their 80′s, and their children are in their 60′s, carrying ant at the population, cellular, and molecular levels also illustrates a new association heavy furniture should be designated as a senior moving service. Use the movers of a TNFSF13B variant with autoimmunity. This discovery may help to optimize for heavy items and let family members move lamps and pictures. individual therapy for these diseases and aid in the development of new therapies. Follow BD Movers on Twitter.com @njmovingguy or on Facebook at http:// www.facebook.com/bdmovers. For more information, call BD Movers at 800-3100912.

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Decisions THINKING POSTIVE WHEN CHOOSING A SENIOR COMMUNITY SENIOR COMMUNITY CAN BE A GREAT CHANGE. YOU CAN MEET NEW PEOPLE, GET RID OF ALL THE HASSLES OF HOUSE WORK, AND HAVE A EASIER RETIREMENT LIFE.

A senior’s residence is a place of security. Moving out of the home you spent many years creating memories can be difficult emotionally. But you might want to look at moving into a senior community as a positive move. When we are young we can’t wait to explore new things and get away from the same old –same old. We want to start making memories and planting our roots. Why not think the same way. Look at a Senior Community as an adventure, something that might bring back the great memories from when you were young and getting back into the world out there. A senior community can be a great change. You can meet new people, get rid of all the hassles of house work, and have a easier retirement life. There are several types of residential senior communities to choose from, so you need to explore and find what is right for you. How does one determine which senior community would fit best with their needs? Temporary vs long term care: A senior’s needs are more practical by planning to move into a situation that is most likely to remain for many years to come. Independence: Can you and would you want to live on your own? Or would it be best to find a more service oriented residential facility? Needs for personal care: How much and what kinds of personal or “custodial

care” are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing. Needs for medical care: If the senior has a chronic illness that necessitates special medical care, or ongoing services of medical professionals, independent living and even assisted living may not be suitable. Costs: Learn about the financial aspects of senior housing to determine what options are affordable for you. Walk through senior communities that seem suitable. Make a checklist of what each has to offer. Then make your own checklist of your needs and wants. Look over each list with a friend or family member they might have some helpful input to give. Seek guidance from professionals who are experts in senior communities. They can help with the process of identifying your goals and values, assessing your needs, determining what your financial situation will allow and suggesting what facility might be right for you. Seniors have so many choices to make when the search for senior communities. With so many senior housing options available, it’s easy to feel overwhelmed by all the different kinds of communities. It’s important to learn the differences between the many options and to assess your needs to make the right decision.

MAY 2017 MHL

FIGURING OUT WHAT IS RIGHT FOR YOU Summer can be agreat time to think about planning your next move. The weather is warm and gives us a little more energy. Many people remain in their own homes, active and healthy, decades beyond age 65. Senior housing includes a variety of retirement communities for independent living as well as numerous options for those who are having difficulty continuing to manage independently. Senior communities are designed to maximize the time you spend not taking care of your home. Seniors might become tired of the to do lists, and making choices on what comes next list. Senior communities can help make a active older adult’s lifestyle become more relaxed. It’s time to retire not only from your job but work at home. When looking to move into a senior community, most seniors are looking to make new friends, and relish in new experiences. The developers design a 55 plus or 62 plus communities to help residence achieve what they are looking for. Senior communities can offer a number of social actives that can enrich a senior’s lifestyle. When looking into making these decisions on where to move to, you should make a must have list, and would like list. Researching senior communities is helpful to help you realize what your needs are and even bring to your attention activities and amenities that you might have forgotten about. There are many choices to choose from so understanding these options will help you come up with the right fit for you.

By Jan Rupnick Senior housing has come a long way over the years. Starting approximately 30 years ago, this industry saw new options develop to meet the demands of a growing senior population. Initially limited in its offerings, there is now a plethora of senior housing options available. With more and more baby boomers getting ready to retire, the senior housing market is growing with new senior housing developments. Some baby boomers are looking into senior housing options for themselves, while others are looking for communities that can help care for their aging parents. Finding the right option comes down to knowing what’s available and understanding the needs of the person who is going to be living in the community. Below are descriptions of the various senior housing options available and the segments of the senior population that they serve. Independent Senior Housing For seniors who are tired of maintaining their own home or looking to down-size, independent senior housing is ideal. Those looking to move into an independent senior living community have two choices. One is to purchase a senior condominium and the second is to rent a senior living apartment. Both provide independent, active seniors with the freedom they enjoy, but without all of the burdens of home ownership like mowing the lawn, shoveling the snow, or making home repairs. Some MHL MAY 2017

independent senior communities have also adapted a lifestyle approach, including such amenities as a salon and spa, golf course, on-site restaurants, on-site shopping, housekeeping and more. Assisted Living Assisted living provides a great alternative for seniors who need some additional help with medication, grooming, dressing, eating, etc. Assisted living has two options including; Residential Care Apartment Communities (RCAC), which allows seniors to live in their own apartment, but only offers 28 hours of care, and CommunityBased Residential Care Facility or CBRF. This type of community is an ideal living option for seniors who need more assistance that what can be provided by an RCAC, offering care 24 hours a day, seven days a week. Assisted living communities tend to offer more of a residential, home-like environment, as well as provide meals, social activities, housekeeping and transportation. Specialized Care Community There are some CBRFs that specialize in caring for one kind of illness. One of the most common is an Alzheimer’s or memory impairment care community. In specialized assisted living communities, the environment, staff and programming is specifically designed to meet the unique needs of those individuals who are living there. Like a non-specialized assisted living community, a specialized care community also provides 24/7 care, social programming, meals, housekeeping and transportation are generally provided. Nursing Home This is probably the most commonly known, but often confused type of senior living option. It’s also one of the only options that used to be available to seniors. Nursing homes provide 24-hour skilled nursing services for seniors who need rehabilitation after a surgery, or require care for issues like feeding tubes. The levels of hospitality services in nursing homes vary greatly depending on their targeted clientele. Whether you’re looking to down-size your home or a community to meet the needs of an aging parent, there is a senior living community to meet your needs. Being prepared and understanding the options available will help you to choose what type of senior living community is best for you or your loved one. Byline: Jan Rupnick is the director of public relations for CRL Senior Living Communities. CRL owns and operates state-of-the-art senior care residences that deliver the highest quality, cutting-edge level of care in specially designed therapeutic environments. The company meets the needs of seniors with independent living, assisted living and Alzheimer’s/dementia care communities. For more information contact Jan Rupnick CRL, Community Retirement Living, Neenah, WI 54956, Phone: (920) 203-5594, e-Mail: jrupnick@crlcares.com .

Helping people remain safe in their homes by providing: 

Supportive home care

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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

HEARING<<page 27 selves over the phone. Be armed with information about simple solutions such as assistive listening devices, captioned telephones, and flashing smoke detectors that easily help people with hearing loss stay connected and safe. Be sure to couch the conversation in care about their well-being and not wanting them to miss anything 4. Be patient Studies show that people with hearing loss often wait several years before taking action. Bringing your concerns to your parents’ attention is an important first step, but don’t be surprised if it takes a little while for your words to sink in. By raising the issue, you may start the process of helping your parents to gradually recognize hearing loss symptoms themselves. Dignity Health noted that your conversation can end with a pledge from you – you can promise to be there for them and support them throughout the process of seeking treatment. For more information visit www.captel.com.

MEMORY<<page 36 treated, and the thinking problems disappear. Other times, the problem is a brain disorder, such as Alzheimer’s disease, which cannot be reversed. Finding the cause of the problems is important to determine the best course of action. A note about unproven treatments: Some people are tempted by untried or unproven “cures” that claim to make the brain sharper or prevent dementia. Check with your doctor before trying pills, supplements or other products that promise to improve memory or prevent brain disorders. These “treatments” might be unsafe, a waste of money, or both. They might even interfere with other medical treatments. Currently there is no drug or treatment that prevents Alzheimer’s disease or other dementias.

MAY 2017 MHL

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