MHL
SEPTEMBER 2017 FREE PUBLICATION
Est 1992
MODERN HEALTH AND LIVING THINK YOU ARE TOO BUSY TO EXERCISE? EYE EXAMS “BACK-TOSCHOOL” CHECKLIST HARVESTING OUR TRUTH A WHOLE PERSON APPROACH TO HEALTH TURNS OUT EVERYONE WAS WRONG ABOUT SATURATED FATS SENIOR GUIDE TO RETIREMENT LIVING
A GUIDE TO HEALTHY LIVING FOR MEN, WOMEN, CHILDREN AND SENIORS
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KNEE PAIN/ INJURIES
ROTATOR CUFF INJURIES
HAMSTRING INJURIES
LOW BACK PAIN/ INJURIES
ARTHRITIS PAIN
HIP PAIN/ INJURIES
ANKLE INJURIES
ATTENTION ATHLETES AND WEEKEND WARRIORS! AT EVANS CHIROPRACTIC & PAIN RELIEF LASER CLINIC WE GET ATHLETES OF ALL SKILL LEVELS BACK IN THEIR SPORT FASTER THAN ANY OTHER CLINIC
THANKS TO OUR REVOLUTIONARY NEW PAIN RELIEF THERAPY PROGRAM We are the ONLY clinic in the region that has the combination of therapies that are critical for your most rapid recovery. First and foremost we offer the most powerful and effective Class 4 MLS Robotic Laser Therapy in the area and we have been using it extensively since 2012. Additionally, we couple the powerful Class 4 MLS Robotic Laser Therapy with a multitude of other therapies (as indicated for each patient) which have been tried and tested in our facility for validity, reliability and effectiveness over that past 3 years. If you have had enough of your ACHING, NAGGING, STABBING that no other therapy has been able to eradicate, come on in for your Complimentary Consultation with Dr. Evans to see if our program will work for you. At Evans Chiropractic & Pain Relief Laser Clinic all of the staff is %RDUG &HUWL¿HG in their chosen specialty. Early in her career, Dr. Evans worked as a Trainer with a professional football team and since has dedicated her career to helping athletes of ALL skill levels achieve their performance goals. “Our patients appreciate being able to get the care they need all under one roof, it saves them so much time. And in a lot of ways. Too many people go from one therapy to another hoping for relief,” Evans said. In my experience, combining therapies increases the effectiveness of all the therapies.
To fully understand and diagnose your condition, Evans Chiropractic & Pain Relief Laser Clinic uses several approaches including:
-MLS Class IV Laser Robotic Therapy - A complete physical examination - An orthopedic examination - A neurological examination - A complete gait analysis - Acupuncture Therapy evaluation After identifying the source of your pain, Evans Chiropractic & Pain Relief Laser Clinic is proud to offer a comprehensive therapy program all under one roof! With a customized approach, patients receive a combination of the necessary treatments, which can include: - Chiropractic care - Rehabilitation exercises and therapy - Trigger Point Therapy - Electro-acupuncture
- Massage therapy including swedish, deep tissue and therapeutic - Sound Wave Therapy - Complete Nutritional Program
FAST EFFICIENT NATURAL SOLUTION TO YOUR PAIN. CALL TODAY AND STOP LIVING IN PAIN! (OL]DEHWK LV D ERDUG FHUWL¿HG PDVVDJH WKHUDSLVW ZKR JUDGXDWHG IURP /DNHVLGH 6FKRRO RI 0DVVDJH 7KHUDS\ (OL]DEHWK KDV KDG RYHU \HDUV RI experience working in spas, physical therapy clinics and private practice. Elizabeth specializes in therapeutic and deep tissue massage with the goal of decreasing client’s pain and muscle tension. It is through massage that Elizabeth became interested in acupuncture, wanting to be able to do more for her clients. Elizabeth graduated magna cum laude from Midwest College of Oriental Medicine in 2010 with a Masters of Science in Oriental Medicine and a Bachelors of Science in Nutrition. While in school Elizabeth completed an internship at Guangzhou University in China. (OL]DEHWK KDV FRPSOHWHG OHYHO WKUHH WUDLQLQJ LQ 5LHNL DQG KDV IRXQG FRPELQLQJ WKH WZR PRGDOLWLHV H[WUHPHO\ EHQH¿FLDO LQ EDODQFLQJ KHU SDWLHQWV Qi and alleviating pain. Elizabeth has had great success decreasing patient pain with the use of electo-acupuncture. While majority of Elizabeth’s patients come to her for pain relief, she regularly treats allergies, anxiety, digestion problems, gynecological problem, insomnia, headaches and migraines. Dr. Eliesha Evans specializes in the management and treatment of complicated chronic pain syndromes. Additionally, Dr. Evans brings more than 25 years of clinical expertise and training to each and every case thereby ensuring your best outcome. Dr. Evans and her experienced, board FHUWL¿HG VWDII XVH D ³ZKROH SHUVRQ DSSURDFK´ 7KLV DSSURDFK WR ZHOOQHVV PHDQV ORRNLQJ IRU XQGHUO\LQJ FDXVHV RI DQ\ GLVWXUEDQFH RU GLVUXSWLRQ (which may or may not be causing symptoms at the time) and make whatever interventions and lifestyle adjustments that would optimize the conditions for normal function. Using this unique approach, Dr. Evans is able to help you accelerate and/or maintain a journey to good health.
COMPLIMENTARY CONSULTATION CALL OUR OFFICE AT (262) 785-5515 TO SET UP YOUR FREE CONSULTATION EXPIRES IN 30 DAYS
EVANS CHIROPRACTIC & PAIN RELIEF LASER CLINIC 15720 W. National Avenue New Berlin, WI 53151
262-785-5515 16 MHL MARCH 2017
Open 6 Days a Week to serve you better! newberlinchiro.com relief@newberlinchiro.com
Note from the Editor Deadline, Deadline, and yes another deadline. This has been my life this last week. But I love it. Keeping busy seems to be the thing that works for me. Taking time to slow down and enjoy the beautiful changes the autumn brings is new goal for September. With the weather changing, so does my whole routine. Morning trying to fit in my walk before the kiddos wake up, the hustle and bustle to get them off to school and maybe having just enough time to take a moment for me to enjoy a cup of green tea. In my thirties, I realize how much time we spend on others and forget about ourselves...don’t! Your spirit needs you to slow down, breathe and take in what is around you. In September, I always make sure to have a great senior feature that helps seniors get more information on healthy aging. When getting older, retirement is on the brain and I wanted to give the seniors great articles on making the best out of their retirement with articles on social security, retirement communities and other ways to get the best out of life. In this edition we have articles on mainstream and complementary health. It’s good to keep your mind open about to all types of healing. We have packed so much up-to-date information into these pages that this issue is just bursting with health! We have something for men and women of all ages. We contact local health professionals every month and are thankful that many have contributed to this issue. They are keenly aware of health concerns for this region (very important). We stay in touch with them so they can stay in touch with you. I think you’ll find something here that can help you lead a healthier life. We hope that you share this special issue with friends and family, too. Wondering where the Directories are? Come visit us again in October for the Ultimate Fall Guide to Health and Living! Stay healthy, happy and GO PACKERS! -Amanda Lewis
contributers
Livestrong.com, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Interfaith Older Adult Services, Laureate Group, Tudor Oaks, Luther Haven, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices, American Camp Association, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI
contact
Lewis Media Group Amanda Lewis Malberry Media Abigail Carpenter Jerry Kornowski Marlys Metzger Barry Lewis
For information on advertising or to submit articles call, fax or email 414-659-6705 or 608-2376000, email: info@lewismediagroup.com. Subscriptions are $20 per year. Thanks for reading MHL.
disclaimer
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MHL is published on the first of each month . The articles in this publication are in no way intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenever a health problem arises requiring an expert’s care.
thanks
staff
MHL Staff
Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.
Lewis Media Group | Malberry Media | www.modernhealthandliving.com MHL SEPTEMBER 2017
Editorâ&#x20AC;&#x2122;s Note FITNESS
(;3(&7 025( )URP <RXU 'HQWLVW THINK YOU ARE TOO BUSY TO EXERCISE?
I am soooo glad itâ&#x20AC;&#x2122;s March. We are now approaching spring and I am thrilled. I did manage work out quite a bit this last month and I hope you were able to do the same. I encourage you to get out there on those sunny days and get some exercise. With the winter being so much warmer than usual, I really keep the extra pounds at bay. March is a great month that marks the thought of spring weather coming soon. The anticipation of biking, blading and morning walks gets me in a better mood as the winter winds down. March also marks my daughterâ&#x20AC;&#x2122;s fifth birthday. If time flies by this fast, I think it is important to slow down. We are a country that promotes fast pace in everything we do. Keeping healthy means slowing down and releasing the stress. Whether itâ&#x20AC;&#x2122;s meditation, exercise or even an afternoon nap, itâ&#x20AC;&#x2122;s extremely important to destress and unwind. Weâ&#x20AC;&#x2122;ve put together another good issue for you. This issue is our Get Ready for Spring edition. It should help you find the best place for your health needs. SWe at MHL like to keep things uncomplicated because we know healthcare decisions are almost Our lives are busier ever, should it bearticles an excuse notanswer exercising reguneverthan easy. Webut strive to find thatfor will whatever larly? We spend time going back and forth to work, sitting in rush hour traffic, taking health questions you may have. We would like to thank all the care of classes, kids, homes, andweâ&#x20AC;&#x2122;ve many spoken other things in have between. In fact, according to great people to who contributed to this issue the Centers for Disease Control and Prevention, people cite a lack of time for being and we also thank you, our readers, for all your suggestions and the most common reason they say they donâ&#x20AC;&#x2122;t exercise. But for most of us, if we get comments! honest with ourselves,Check we know case.our After all, itâ&#x20AC;&#x2122;s estimated out this our isnâ&#x20AC;&#x2122;t Aprilexactly editionthewith Spring andSummer by the Bureau of Labor Statistics that the average adult spends two hours per day directories. watching television, and Nielsen reports that adults over the age of 18 spend around Stay healthy! 5.5 hours per week on-Amanda social media. Lewis â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s not a lack of time so much as it is a lack of priorities when it comes to fitting exercise into our busy schedules,â&#x20AC;? explains Coach Sarah Walls, personal trainer and owner of SAPT Strength & Performance Training, Inc., who is also the strength and 1992 conditioning coach for WNBAâ&#x20AC;&#x2122;s Washington Mystics. â&#x20AC;&#x153;Nothing is more Estimportant than your health, so itâ&#x20AC;&#x2122;s time to change your priorities and put your health at the top SHOWING YOUR SOUL of the list.â&#x20AC;?
STOP KIDDING YOURSELF!
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THE GREENING OF A HOM E
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it into your day and align it at a time when you have high energy. It is tough to add in â&#x20AC;&#x153;yet another to-doâ&#x20AC;? when your schedule is already packed. By choosing a time when HEALTHY THAI FOODgetting CHOICES you are high in energy and have minimal distractions, you will make in your AT RESTAU RANTS workout all the more likely. Physically put it on your calendar so itâ&#x20AC;&#x2122;s scheduled. Make it easy. Join a gym convenient to your home or office. Pack a gym bag the night before to grab on the way to work or as you head to an early morning workout. Schedule a session with a trainer to take the guesswork out (youâ&#x20AC;&#x2122;re too busy to worry about what exercises you should or shouldnâ&#x20AC;&#x2122;t do). The easier and more convenient you make your exercise routine, the more likely you will stick to it. Make it fun. You wonâ&#x20AC;&#x2122;t stick with doing boring activities. Pick activities that align with your interests and motivations. If you enjoy competition, consider joining a recreational sports league. Set challenging but achievable goals and have someone in charge of checking in on your progress. publishers Lewis Media Group If you can, find a friend to partner with so editor Amanda Lewisand have fun with it. you can hold each other accountable graphic design Make it efficient. ManyMalberry things Media count as exercise and can improve your fitness. It advertising Abigail Carpenter doesnâ&#x20AC;&#x2122;t have to be difficult for you to gain health benefits from the activity. For exdistribution manager Jerry Kornowski ample,travel an after-dinner walk doubles as stress relief and helps with fat burning. Hire editor Marlys Metzger founder Barry Lewis a trainer to make sure you maximize your time. Donâ&#x20AC;&#x2122;t have an hour for exercise? Consider what you can accomplish in or on even 20 minutes once you have Livestrong.com, Environmental Nutrition, 30 Nutriti Actijust on Health Letter, Columbia/St. Maryâ&#x20AC;&#x2122;s,a plan Wheaton that hasFransician, been tailored to your needs. Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Everyone Services, Lifesteps Wellness Advance Physical Therapy, Make it happen. is busy... andClinic, tired! But, sometimes youElite justFitness haveand to Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solufollow the plan you set and execute. All the timesaving tips in the world wonâ&#x20AC;&#x2122;t matter tions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Interfaith Older Adult if you fail to Laureate make your training actually happen. have toCenter makefor thethecommitment Services, Group, Tudor Oaks, Luther Haven, You Greensquare Healing Arts, to your health and hold yourself accountable. Midwest Audiology Integrative Family Wellness Center Social Security OďŹ&#x192;ces, American Camp Associati on,itHome Manor Tops, Dr Zhou, Oak MCFI â&#x20AC;&#x153;At first mayInstead, seem like anCare, inconvenience, butCreek oncePediatrics you getand into the routine of it you will see how it fits into your life so well,â&#x20AC;? added Coach Walls. â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;s about For information on advertising or to submit articles call, fax or email 414-659-6705 orall 608-2376000,the email: info@lewismediagroup.com. creating habit. Shut the television off a few hours per week, or close out the social Subscriptions are $20 per year. Thanks for reading MHL. media, and instead turn your attention to exercising. You will get a lot more out of it is published the ďŹ things rst of each The articles in this publication are in no way intended to thanMHL either of thoseontwo canmonth give. you.â&#x20AC;? A GUIDE TO
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HERE ARE SOME EFFECTIVE EXERCISES PEOPLE CAN DO WHO HAVE BUSY SCHEDULES AND WANT TO GET FIT: Special Thanks! To all the local professionals that provide us with articles containing new informaFarmerâ&#x20AC;&#x2122;s carry: excellent exercise willin strengthen tion and keeping all This our readers informed of the latest healthy living. your entire core (abs, lower back, hips). Simply pick up one or two heavy dumbbells, brace your core, and Lewis Media Group | Malberry Media | www.modernhealthandliving.com
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SEPTEMBER MARCH2017 2017MHL MHL 5
VISION
LASIK
ONE OF THE GREATEST ADVANCES IN EYECARE HAS BEEN THE USE OF LASERS TO REDUCE THE DEPENDENCE ON GLASSES. PRK is an excellent procedure and is still used today in certain situations. However, it has largely been replace by LASIK (laser-in-situ keratomileusis). What is the difference? In LASIK, the surface layer is not removed. Instead a flap is created and reflected prior to the application of the laser. Once the laser is applied the flap is repositioned. This allows for faster healing with significantly less discomfort compared to PRK. In addition, most patients can undergo the procedure on both eyes in the same day.Many people have heard of LASIK and are aware that a laser is involved in the procedure. However, most people did not realize that until recently the only option for creating the initial flap was by using a rapid-oscillating metal blade. The use of a metal blade to create the initial flap is a tested and safe method for flap creation. However, the few complications that can occur during the procedure are usually related to a complication in the flap creation. A recent improvement in safety has been the development of a laser to create the initial flap. The laser is an infrared beam that separates the tissue by using a process called photodisruption. Light pulses as short as one-quadrillionth of a second are used to divide material at the molecular level without any impact to the surrounding
New Location MILWAUKEE (At St. Lukes) 2801 S. KK River Parkway
MAYFAIR ST. FRANCIS MEQUON (On Port Washington (At Lakeshore Medical) 10625 W. North Ave. Suite 200 2000 E Layton Ave. N. of Marcus Theaters) 1249 W.Liebau Rd.
MHL SEPTEMBER 2017
tissue. This laser is called a femtosecond laser and is made by a company called Intralase. This is a completely different laser than the laser used for vision correction, which is called an excimer laser. The major advancement in the femtosecond laser over the metal blade is safety. During a flap creation with a metal blade, the blade runs across the surface of the eye. This leads to the potential of inadvertently causing a corneal abrasion. In addition, there is possibility that the metal blade may cause an uneven cut across the cornea, the outer layer of the eye. The femtosecond laser addresses these potential safety issues by creating the flap in a different manner. Rather than moving across the surface of the eye, the femtosecond laser is applied from directly above the eye. This method removes the potential of creating a corneal abrasion during flap creation. As mentioned this is a major safety improvement over the conventional oscillating metal blades. A second improvement is the accuracy of the depth of the flap. The laser is programmed to apply the laser spots at a specific depth. This fixed depth aids in calculating the amount of treatment that is safe for a particular eye. The conventional metal blades are not quite as accurate as the femtosecond laser. This means that often the actual depth of the flap made by a mechanical blade may be different than the intended depth. While this translates into small micrometer changes in the flap thickness, it may be important to a patient who has a cornea that may be too thin for their necessary treatment. In addition, it becomes quite important for the occasional retreatment that may need to be performed. The Intralase removes the variability in the flap thickness and improves the ability for delivering a safer treatment. Some of the most devastating, but rare, complications occur when the metal blade does not perform a smooth flap creation. These complications in flap creation are contraindications for continuing the surgery, and may cause loss of vision. Certain anatomic features of the eye are felt to increase the risk of these complications, but all eyes are at least a very small risk of these occurrences. By using the femtosecond laser applied from above the eye, these complications are minimized. The flap dimensions are created by thousands of tiny microscopic bubbles consisting of carbon dioxide and water vapor. The bubbles are placed at a precise depth with an accuracy that surpasses the mechanical oscillating blade and significantly minimizes, possibly removing, the chance of complications in the flap creation. When patients are deciding whether to undergo laser vision correction, the safety and the accuracy of the procedure are the most important issues to consider. The use of the femtosecond laser is significant safety advancement. in an already extremely safe procedure. Further detailed information can be gained at www.milwaukeelasereye. com. Check out our new location 10625W North Ave., Wauwatosa WI 53226.
EVENTS
ARIENS ART ON WHEELS WEEKEND, FEATURING THE VSCDA ELKHART LAKE VINTAGE FESTIVAL® SEPTEMBER 15 - 17 Gorgeous cars showcase racing history against the beautiful fall colors at America’s National Park of Speed for the Ariens Art On Wheels Weekend, featuring The VSCDA Elkhart Lake Vintage Festival®.The weekend regularly attracts nearly 250 vintage and historic racecars to run over the three-day event including a field of prewar models. The fan-friendly paddock is open to spectators for close-up views of amazing racing machines prepared to era specifications all weekend. On Saturday fans can watch a historic road course reenactment tour, which will leave Road America and follow a route almost identical to the street course driven in the early 1950s.
ROCK THE GREEN: A SUSTAINABILITY FESTIVAL LIKE NO OTHER SEPTEMBER 9, 2PM-11PM Each year, award-winning music festival Rock the Green calls the community to its environmental mission with a world-class sustainability festival. This year’s event, featuring headliner Ben Harper & The Innocent Criminals, Barns Courtney, Mondo Cozmo and more along with local and organic cuisine and a wide variety of zero-waste efforts, will take place at Reed Street Yards in Milwaukee on Sept. 9. Rock the Green envisions a way to ensure a lighter eco-footprint by utilizing holistic production methods that focus on zero waste. Opportunities for recycling, composting, reduction of materials and reuse are prioritized in all planning aspects of the festival. “Our goal is to lead by example to educate and empower the community on ways to incorporate sustainability into their daily lives,” said Lindsay Stevens Gardner, founder and executive director, Rock the Green. “Every small sustainability step adds up to a significant impact. With the contributions of our sponsors, partners and attendees, we’re excited for another opportunity to raise awareness of this critical cause.” Complete the zero waste loop Waste reclamation, recycling and composting are key aspects of the festival’s zerowaste efforts, supported by several providers. Volunteers will monitor bins labeled Compostables, Food and Organic, Mixed Recyclables and Landfill at waste reclamation stations to help attendees properly sort their waste. As everything provided at the festival is either compostable or recyclable, landfill bins will be used only for things attendees have brought with them. Compostable materials will be processed EVENTS>>page 54 SEPTEMBER 2017 MHL
MDs Review 4 Major Advances in Ophthalmology 3. Medication Injections to Treat AMD and Diabetes
By Cheryl L. Dejewski
“As baby boomers age and people live longer, more Americans are hitting the age bracket where risk levels for debilitating eye conditions increase,” warns Mark Freedman, MD, senior partner at Eye Care Specialists, a nationally recognized ophthalmology practice. How can you protect your vision? Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and partner at Eye Care Specialists, advises, “Your best protection is to schedule regular, comprehensive eye exams. Our practice strives to offer the latest technology to detect, track and treat nearly every cause of vision loss. But the most advanced equipment and services in the state are of no use if people don’t utilize them.” The following are just a few of the cutting-edge devices and procedures his practice has available at their offices.
Cataract surgery with lens implantation restores vision and reduces the risk of falls, car accidents, and depression.
1. New Technology IOLs
Because good vision in one eye can mask problems in the other and certain diseases lack early symptoms, people with diabetes (illustrated above), AMD, glaucoma, and other conditions often don’t notice a concern until it is too late. OCT laser scans help to catch diseases early enough to protect vision.
2. Diagnostic Laser Scans
“Our practice has joined Harvard, Johns Hopkins, and other prestigious institutions in offering Optical Coherence Tomography, or OCT, laser scans. This advanced technology can detect, track and treat signs of glaucoma, diabetic retinopathy, AMD, and other sight-threatening diseases—often before damage occurs. Our staff and patients love that the OCT is fast and painless and results aren’t influenced by attention span, comfort, or ability to follow directions,” says optometrist David Scheidt, OD. Patients simply focus on a light while a safe, invisible laser scans inside the eye to create detailed crosssectional images (similar to an ultrasound) that provide unparalleled accuracy in visualizing and measuring any changes to the retina and optic nerve.
Macular degeneration (AMD) is the leading cause of central vision impairment in Americans over age 50—robbing people of their ability to read, see faces, drive, etc. “A few years ago, there wasn't much we could do. But, now, we can offer revolutionary new medications, like Avastin and Eylea, that inhibit the growth of the abnormal blood vessels that cause the ‘wet’ form of AMD as well as diabetes-related eye damage,” reports ophthalmologist Michael Raciti, MD, who performs sight-saving injection treatments on a daily basis. “Although there are NO guarantees, our practice has seen remarkable results with regular (about monthly) in-office injections, including stopping the progression of wet AMD in 90 percent of patients, and even having up to 30 percent gain improvement in vision. This is truly one of the greatest advances in ophthalmology in the past 50 years.”
Advanced outpatient laser procedures can help prevent permanent “tunneled” vision loss caused by glaucoma.
4. Glaucoma Laser Treatment Glaucoma is a condition in which the fluid pressure in the eye is too high for the health of the optic nerve causing loss of side vision and eventually all sight. It is typically treated with prescription eye drops to lower the pressure (by either decreasing fluid production or increasing outflow). “For some patients, however, laser treatment may be an alternative. Our surgeons utilize highly specialized SLT and ECP laser procedures for qualified candidates. If successful, these 10minute outpatient procedures can control glaucoma and help to reduce the need, expense and hassle of using daily drops,” explains eye surgeon Daniel Ferguson, MD, who is also trained to implant a specialized drainage device.
Medication injections can help stop loss of vision to macular degeneration (AMD– shown above) and diabetes (left & above).
Cataract surgery requires making an opening in the eye to remove the cloudy lens (cataract) and replace it with an For More Information . . . Call 414-321-7035 for the free booklets shown. If you artificial lens (to once again focus don’t have an eye specialist or need a second opinion, contact the offices below. light rays onto the retina and restore vision). Standard lens implants (IOLs) See the best you can see, when you see the leaders in ophthalmology. are “mono-focal” or single-focus. They are like miniature internal contact lenses set for a single prescription power—usually to provide clear vision in the distance (for driving, Are you putting your vision at risk? World-Class Care. Local Convenience. watching TV, etc.). Most patients still Most people aren’t motivated to make an eye appointment ■ Glaucoma, Diabetes and Macular Degeneration (AMD) Care need to wear reading glasses or bifo(with advanced medication injection and laser treatments) unless they notice a problem—and often not even then. cals after surgery. “When appropriate, ■ No‐Stitch, No‐Shot Ultrasonic Cataract Surgery What they don’t realize is that many sight‐threatening conditions however, we offer the option of (with standard, multi‐focal, toric & extended‐range implants) have no warning signs. But, if you know the risks, symptoms, ‘advanced technology’ IOLs, which ■ Corneal Transplants, Lid Repair and Retinal Cases tests and treatment options for common eye concerns, you’re are ‘multi-focal’ (provide multiple ■ Dry Eye, Floaters and Infections Treatment more likely to take action. We can help. Call 414‐321‐7035 for focusing zones for near and far) or ■ Comprehensive Eye Exams & In‐Office Diagnostic Laser Scans detailed free booklets on cataracts, glaucoma, AMD, and diabetes. Then, consider: When was your last eye exam? If it was more toric (provide correction for astigma■ Eyelid Treatment (inflammation) & Surgery (drooping) than a year ago, call today to protect your vision for tomorrow. tism),” explains Daniel Paskowitz, ■ Accept Medicare/Most Major Insurances MD, PhD, an eye surgeon with creTrusted by more than 130,000 doctors & patients since 1985. www.eyecarespecialists.net dentials from Harvard and Johns Hopkins. “At least 70% of advanced technology IOL patients can see to read, drive, do computer work, or perform most activities—with never or only occasionally needing glasses. At Eye Care Specialists, we customize each implant to fit each patient’s preMark Freedman, MD Brett Rhode, MD Daniel Ferguson, MD Daniel Paskowitz, MD, PhD Michael Raciti, MD David Scheidt, OD scription, health, lifestyle, expectaWest Allis Wauwatosa Milwaukee West Allis Wauwatosa Milwaukee tions, budget, and other concerns.” 10150 W. National Ave. 2323 N. Mayfair Rd. 633 W. Wisconsin Ave. 414-321-7520 414-258-4550 414-298-0099 MHL SEPTEMBER 2017
T EYE
CARE SPECIALISTS
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LOCAL MDS URGE PARENTS TO ADD EYE EXAMS TO “BACK-TOSCHOOL” CHECKLIST
PARENTS DO EVERYTHING THEY CAN TO GIVE THEIR CHILDREN THE BEST POSSIBLE START FOR SCHOOL... By Cheryl L. Dejewski Parents do everything they can to give their children the best possible start for school, including providing the right supplies, nutrition and encouragement. But are they forgetting to focus on another key factor to a child’s educational and social development? A look at the statistics “It is estimated that 80 percent of learning happens visually for most children. Unfortunately, though, according to the American Academy of Ophthalmology, one in 20 preschoolers and five in 20 school-aged children have an eye problem,” says Mark Freedman, MD, senior partner at Eye Care Specialists ophthalmology practice. Freedman delivers more alarming news, “Some of these problems could lead to permanent vision loss if left untreated, yet nearly 80 percent of preschoolers aren’t screened. And, for older children, annual physicals and school screenings may catch the need for glasses, but they aren’t usually equipped to detect vision-threatening problems of the retina, optic nerve and eye muscles.” Problems that can be detected Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center, recommends, “All children should have a professional eye exam before age five and then periodically throughout their school years to detect and treat such problems as amblyopia and strabismus (“lazy” and “crossed” eyes), near- and farsightedness (difficulty seeing far away or up close), ptosis (drooping of the upper lid that blocks vision), and congenital or inherited disorders (like cataracts or glaucoma).” Early detection can be crucial. For example, amblyopia is a serious disorder in which the brain “shuts off” images from a weaker or misaligned eye. The problem is often corrected by temporarily patching the stronger eye. If not treated by age 8 or 9, however, the condition can become permanent. “Most children have healthy eyes,” Daniel Ferguson, MD, an eye surgeon and father of two, reassures parents. “Some children, however, have vision difficulties that go undetected due to the child’s coping skills—or lack of knowledge that the world could look any differently. These children usually get by until some point in school when frustration, poor grades, or negative attitudes may signal their inability to see words on a page, blackboard or computer screen. A thorough eye exam may save both their sight and self-image.” “Parents are often surprised to learn that we can test a child’s eyes even before they are able to give a verbal response,” notes Daniel Paskowitz, MD, PhD, a local ophthalmologist with credentials from Harvard and Johns Hopkins. “After dilating their pupil, we can see into the back of the eye to check for problems and can hold lenses of varying power over the front of the eye to determine if an eyeglass prescription is necessary.” Michael Raciti, MD, an eye care specialist who sees patients of all ages at offices in Milwaukee, Wauwatosa and West Allis, reminds parents that, “If your child is diagnosed as needing glasses, remember to be sensitive to his or her feelings. This can be a traumatic experience. Peer pressure, your child’s age, and your approach will affect his or her attitude toward wearing glasses. Depending on your budget and your child’s prescription and maturity level for following safe cleaning and wearing instructions, contact lenses may be an option.” Proper vision care also means learning safety precautions In addition to following up on your child’s ability to see clearly, it is just as vital to take precautions to prevent sight-threatening accidents. “Young children should
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Must be able to laugh, learn and change the lives of the people around you. A career with Home Instead Senior Care® is unlike any other. Because being a CAREGiver with us requires more than what your average job description lists. This opportunity requires being genuinely interested in the people you’ll help—to change their lives for the better, and maybe even your own. ,SYVW EVI ¾I\MFPI ERH XVEMRMRK MW TVSZMHIH Learn more at HomeInstead.com/315 or call 414.882.5464 )EGL ,SQI -RWXIEH 7IRMSV 'EVI JVERGLMWI SJ½GI MW MRHITIRHIRXP] S[RIH ERH STIVEXIH © 2015 Home Instead, Inc.
VISION
REGULAR EYE EXAMS ARE CRITICAL IN OUR GOLDEN YEARS National Eye Exam month is a perfect reminder for seniors that it is time to schedule an appointment with an optometrist. According to the American Association of Optometrists (AOA), after you turn 60, a number of eye diseases can develop that might change your vision permanently. These include: Age-related macular degeneration (AMD): causes a loss of central vision Diabetic retinopathy: can cause blindness Retinal detachment: if not treated promptly can cause permanent vision loss Cataracts: can cause a decrease in contrast sensitivity, as well as a dulling of colors and increased sensitivity to glare Glaucoma: a group of eye diseases characterized by damage to the optic nerve resulting in vision loss Dry eye: impedes clear vision Early detection is key to preventing or controlling all of these problems, which is why the AOA recommends annual eye exams for everyone over 60. If you or someone you know is experiencing limited or impaired vision, seek assistance from a medical professional, because it can have a serious impact on the quality of life of a senior. Talk to your doctor about magnifying aids that can be prescribed for activities such as reading, watching TV and using a computer, and whether or not driving is still advisable. Home Instead Senior Care CAREgivers are also available to help with household tasks, errands, reading aloud and other ways to help vision impaired seniors have a rich and active life. If you need assistance in helping keep your senior loved one safe, sound and cared for, consider enlisting a Home Instead CAREGiver. Please contact Home Instead Senior Care of Milwaukee at 414-882-5464 and arrange a consultation today.
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POSTURE
GETTING IT STRAIGHT
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IMPROVE YOUR POSTURE FOR BETTER HEALTH Sit up straight! This common request may have been how you first heard about posture, the way you hold your body. Posture isnâ&#x20AC;&#x2122;t just about how you look. How you position yourself can help or hurt your health over your lifetime. â&#x20AC;&#x153;Posture is not only about how well you sit, but how well you move and go about your daily life,â&#x20AC;? says Dr. George Salem, an NIH-funded researcher at the University of Southern California who studies how movement affects health and quality of life. No matter our physical is always to grow grace and How you hold yourself age, whenit youâ&#x20AC;&#x2122;re notimportant movingâ&#x20AC;&#x201D;such as older whenwith youâ&#x20AC;&#x2122;re sitting, a sense of personal style. As we continue to find things that are important to us, standing, or sleepingâ&#x20AC;&#x201D;is called static posture. Dynamic posture is how you position perhaps this list can guide us. your body while youâ&#x20AC;&#x2122;re moving, like walking or bending over to pick something up. It is inevitable, change work for of youposture,â&#x20AC;? to shapeSalem your â&#x20AC;&#x153;Itâ&#x20AC;&#x2122;sEmbrace importantchange. to consider both static so andmake dynamic components future. says. Love yourself. good of things: yourself. Take time physicalyou activity such as Posture can be Take affected bycare many your age, thefor situations find yourself walking, exercise, yoga, etc. Invest time and effort into making your future in, and your daily choices. For instance, children may have to adjust to carry bright heavy and healthy.to school. Pregnant women move differently to accommodate growing backpacks Inside counts. Get healthy on the inside to help look healthy on the outside. Getbabies. ting proper sleepinvolves and eating right are crucial. system. This includes your bones, Your posture your musculoskeletal Nutriti ous choices. Eat plenty of fruits and the vegetables. Makebody sure together. you include muscles, joints, and other tissues that connect parts of your Itâ&#x20AC;&#x2122;s foods rich in omega-3s in your eating plan, with tasty options like salmon, walnuts, what provides form, support, stability, and movement to your body. flaxseed andhold more. How you yourself can either align or misalign your musculoskeletal system. Negati ves are this no-noâ&#x20AC;&#x2122;s. Eliminate negativity your thoughts. on the Throughout life, system must adapt to the from type of work you do,Focus the hobbies positive. Work to reduce the effects of stress in your life. you enjoy, how you use electronic devices, injuries, and even the kind of shoes you The skin youâ&#x20AC;&#x2122;re in. Good skin care is important. Donâ&#x20AC;&#x2122;t forget to exfoliate and wear. moisturize. Goodthat skinsitting care with habits pay offshoulders in the long run. (Hey guysâ&#x20AC;&#x201D;and gals, You may think slumped or bending at your back instead too! Corn meal, right out of your cupboard, makes a fast and effective exfoliant! of your knees sometimes wonâ&#x20AC;&#x2122;t hurt you. But small changes in how you hold yourself Cleanse you do. Afterwards, splash face with water, but do not dry. and moveface canas add upusually over a lifetime. PatYears aboutof1slouching tablespoon of uncooked cornspine mealtoonto your face, fragile but notand on prone eyelids. wears away at your make it more to Gently, but firmly, rub the corn meal granules over your face, except for eyelids and injury. Holding your body and moving in unhealthy ways often leads to neck, shoulthe tender skin justInbelow eyes. Rinse, patabout dry, and der, and back pain. any 3-month period, 1 insmooth 4 adultson in moisturizing the U.S. has atcream least or lotion. Your face, now devoid of old, dead skin, will look more vibrant and feel 1 day of back pain. wonderful.) Poor posture can also decrease your flexibility, how well your joints move, and Culti vate curiosity. Agingyour wellability involves your mindfor as yourself well as your Keep it your balance. It can impact to do things and body. increase your active and it will serve you for a lifetime. risk for falls. Slumped posture can even make it more difficult to digest the food you well. Consider your body type as you age. Make certain that clothes fit coreat Dress and breathe comfortably. rectly. Check out a tailor to posture alter favorite pieceshealth in your Some research suggestsora seamstress link between and mental as wardrobe. well. â&#x20AC;&#x153;SomeCrowning glory. The proper hairstyle can take years off your looks you one with depression may appear more closed in, curved, and tend toand lookkeep down,â&#x20AC;? looking bright and well-groomed. says NIH physical therapist Dr. Cris Zampieri. â&#x20AC;&#x153;When people feel anxious, they may Forward we go. Discover what theexploring next phase adventure of your life and raise their shoulders.â&#x20AC;? Scientists areisnow theorconnections between posture pursue it. and how we think and process information in the brain. TOPS Clubchange Inc. (Take Pounds is the original weight-lossimportant support Our bodies as weOff age. TheseSensibly) natural changes make it especially and wellness education organization. Founded more than 64 years ago, TOPS is the for older adults to maintain good posture, strength, flexibility, and balance. â&#x20AC;&#x153;Older only nonprofit, noncommercial weight-loss organization of its kind. TOPS promotes adults tend to adopt a progressively hunched posture,â&#x20AC;? says Salem. â&#x20AC;&#x153;When shoulders successfulto weight management Realloading Weight on Loss.SMâ&#x20AC;? phicontinue round forward over with time,aitâ&#x20AC;&#x153;Real createsPeople. excessive the shoulder losophy that combines support from others at weekly chapter meetings, healthy eatjoint. This can create injury and limit the independence of older adults.â&#x20AC;? ing, regular exercise, and wellness information. TOPS has about 170,000 members An extremely hunched posture, or hyperkyphosis, affects up to two-thirds of seâ&#x20AC;&#x201C; male and female, seven men. and older in nearly chapters with throughout the nior women and halfage of senior This â&#x20AC;&#x201C;posture has 10,000 been associated back pain, United States and Canada. weakness, and trouble breathing. It can also limit everyday activities, like brushing Visitors aredressing welcomeyourself. to attend their first TOPS meeting free of charge. Memberyour hair and ship is affordable at just $28 per year in the U.S. and per year in Canada, plus Salem and other researchers have been studying the$32 possible health benefits of nominal chapter fees. To find a local chapter, view www.tops.org or call (800) 932STRAIGHT>>page 51 8677.
TIPS FOR AGING Gracefully
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Redifning Health February 2011 Note
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 healthy living. I am very pleased that you’ve decided to join us this month. This is our BIG Health Awareness issue. We have packed so much up-to-date information into What a issue person in your presence is more a matter of for thesehappens pages thattothis is just bursting with health! We have something men and women of all ages. contact local professionals every month who you areWe than what youhealth know and are thankful that many~Anonymous have contributed to this issue. They are keenly aware of health concerns for this region (very important). We stay in touch with them so they can stay in touch with you. I think you’ll find something Kalpana (Rose) here that can help youBy lead a healthier life. M. WeKumar, hope thatM.D. you share this special Veritas, the Roman Goddess of Truth is said to be difissue with friends and family, too. Speaking of famficult ily, I tto ry tfind. o keepShe minise aelusive ctive thrand oughhides out theat se the coldbottom months.of a holy well. She is the daughter of Saturn, the God My children are taking a Tae Kwon Do class 4 times a week. I encourage youof Time and Virtus, the Goddess of Bravery. Veritas can to try to find something to keep your children active and social. Wheather itsbe therunning truth ofaround who we are; our True Nature or augymnastics, dance,likened sport ortojust in circles, staying active keeps thentic self, by nature, elusive. It requires time, bravery, the body and mind healthy and developing. courage, hard workand to first uncover, live from To us adults with Super and Bowl Sunday myself hostingthen the monthly this part of Bunco ourselves, a veritable life’s work. get together this equals food, food and even more food. It’s so important The season of harvest can also a time for making a commitment to ‘harvest’ to keep ourself active, so itbemight be time to get that gym membership or start our authentic self. This formagain. of inner is what Carl Jung ‘individuation’. walking the malls Staywork active!!! I hope you havetermed a wonderful February andimportant, will touch powerful base againand in March It is the most meaningful work in our life to which we must -Amanda Lewis it is singularly why we are alive, and the only process consciously attend. I believe that can make our lives intrinsically luminous and meaningful. In our society, we have confused the superficiality of our persona for who we really are. We have confused our identity with our roles, jobs, possessions, and friends. When any of these fall away we may feel stressed, depressed or anxious. In fact, every part of our life except authenticity is fleeting. If we are not aligned with February 2011ourEDITION this, we are faced with the threat of experiencing continual anguish due to the fleeting nature of our external reality. Every time we cross a threshold that marks the life/death/life process, such as a birthday, graduation, relocation, marriage, empty-nest, retirement, loss, sickness, or death we are passing through a portal for individuation. Our culture does not have a context to mark these thresholds in more than a superLewis Mediawe Group publishers we celebrate ficial way. Although them, do not assimilate the depth of their meanLewis editor of our being.Amanda ing into the fabric This is one of the reasons why people are lonely in Malberry Media graphic design our society, and why there is a disconnected feeling in our collective consciousness. Marlys Lewis Jerry Kornowski We lack the consciousness of acknowledging the potential for transformation that Marlysis Metzger travelcan editor these thresholds facilitate. Each an opportunity for aligning with our authentic Barry Lewis founder self. In the past year, many of my patients have suffered extreme losses. The deaths of loved ones have been the most painful. Their sorrow has been compounded by the fact that they have had to travel the grief spiral alone. They were left alone in their sorrow, overwhelmed by their emotions. I believe they needed to be held by others in their time of loss (as we all do). They were seeking context and meaning throughthese thresholds. Attempting to search for this alone can be overwhelming. The danger in not having a context or container through thresholds is getting stuck in grief. It can be replete with anxiety, depression, sleeplessness, anger, hopelessness, or addictive behaviors. A prescription drug cannot provide the comfort of another info@lewismediagroup.com. human being6000, or aemail: context for meaning. In fact, it can actually stunt our process and arrest the possibility for transforming through the threshold. Sadly, it is one of the only solutions that traditional medicine offers while grieving. We all know that this solution does not work, buttheit’s unfortunately It isadvise a meaningless substiintended to replace knowledge or diagnosisnormalized. of your doctor. We seeing a physician whentute for the ever power of community and compassion. a health problem arises requiring an expert’s care. Facebook and other social media (1) platforms have become global ways to show snippets of our persona. We are flooded by these snippets every day and think thesesnippets reflect who people really are. Others seem better, luckier, more blessed, and wealthier than us. This trances us into confusing persona from authenticity. Social Lewis Media Group | Malberry Media | www.modernhealthandliving.com TRUTH>>page 54
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POSTURE
A WHOLE-PERSON APPROACH TO HEALTH By addressing the whole person and not just an isolated set of symptoms, Functional Medicine shifts the focus from a traditional disease-centric approach to a more person-centric approach. Functional Medicine is a systems-oriented approach that addresses the whole person. Treatment focuses on removing a person’s underlying imbalance and not just suppressing their symptoms. This “whole-person approach” shifts the focus from being disease-centric to person-centric, and strives to arrive at the root cause of a person’s presentation. Hence, two people with a similar diagnosis may receive very different treatment recommendations. The goal is to help everyone express their full potential in terms of health. Functional Medicine practitioners take extra time to listen to their patients and considering the various genetic, environmental, and lifestyle factors that influence long-term health and complex, chronic disease. In this way, Functional Medicine supports each person’s unique expression of health and vitality WHAT IS INTEGRATIVE PSYCHIATRY? Unlike conventional psychiatry, Integrative Psychiatry attempts to find the root cause of a person’s problems and work towards achieving overall mental health and balance. Unfortunately, conventional psychiatry has become a linear, medication-focused model with little to offer the millions of people suffering from mental illness. The conventional psychiatry model does not address the specific nutrient, genetic or even “spirit” requirements of a person, leaving them in a non-recovery limbo state. Unlike conventional psychiatry, Integrative Psychiatry, uses a collaborative, patient-centered, mind-body-spirit approach that combines the science of modern medicine with the wisdom of ancient and traditional forms of medicine from around the world. Integrative Psychiatry recognizes not just the mind-body connection, but also the body-mind influence. It attempts to find and address the root cause of a person’s symptoms and work together to achieve overall mental health and balance. Rather than just addressing the symptoms of mental illness, Integrative Psychiatry uses a broad scope of intervention. Diet, nutrition, lifestyle, health of the gut, hormones, state of the immune system, genetics and relationships in life all become important considerations for analysis and intervention. WHAT IS FUNCTIONAL MEDICINE? Functional Medicine is a personalized, systems-oriented model that empowers patients and practitioners to achieve the highest expression of health by working in collaboration to address the underlying causes of disease. Functional Medicine is a branch of medicine which derives extensively from various traditional healing systems of the world, chiefly Ayurveda and Traditional Chinese Medicine. Functional Medicine has skillfully interwoven ancient medicine with modern technology to provide incredible tools to help arrive at the root cause of a person’s problem. Like Ayurveda, Functional Medicine sees symptoms as the body’s attempt to overcome a physiological imbalance. It understands chronic disease (including mental illness) is multifactorial and often a result of diet and lifestyle factors. It is an operational, systems-oriented approach that provides doctors and patients with a “GPS system” enabling them to retrace their way back to health. Functional Medicine seeks to address the whole person. Treatment is not just about suppressing symptoms; its focus is to remove the underlying imbalances. Aruna Tummala, MD, is a board-certified adult and geriatric psychiatrist and founder of Trinergy Center for Integrative Psychiatry in New Berlin, WI. Dr. Tummala is also board certified in Integrative and Holistic Medicine (by Academy of Integrative Health & Medicine: AIHM.org) and is pursuing further education in both Functional Medicine and Ayurveda, the oldest medical system in the world.
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WARM UP TO NUTTY SUNFLOWER SEEDS
Lori Zanteson, Environmental Nutrition The folklore. For thousands of years, Native Americans used sunflower seeds, which originated in Mexico and Peru, for food and oil, and used the plant’s roots, stem, and flowers for medicines and dye pigment. One of the first plants cultivated in the U.S., the sunflower provides one of our favorite snacks. The facts. Spiraled artistically inside the large flowering head of the sunflower (Helianthus annus), the many small, tubular flowers become sunflower seeds. Each plant can grow up to twelve feet with a flower diameter of one foot, and produces an average of 800 to 2,000 seeds. Thin shells of black, gray, or gray and white stripes encase gray-green or black seeds. All are edible, though black seeds are generally pressed into sunflower oil, which is rich in linoleic acid. One ounce of seeds has nearly half of the daily requirement for heart healthy vitamin E, as well as rich supplies of fiber, protein, thiamin, niacin, vitamin B6, folate, magnesium, phosphorus, copper, manganese, and selenium. The findings. Vitamin E, an important antioxidant, protects against the oxidation of cholesterol, which can initiate atherosclerosis and lead to blocked arteries, stroke or heart attack. In fact, some studies suggest that this important nutrient may help or prevent the onset of coronary heart disease. But when it comes to vitamin E, evidence suggests that you’re better off getting it naturally in foods, such as sunflower seeds, than in supplements. Sunflower seeds are also rich in phytosterols, compounds similar to cholesterol that block the absorption of cholesterol in the intestines. This, according to the November 2009 American Journal of Clinical Nutrition, lowers LDL cholesterol levels in humans. Tiny as they are, sunflower seeds are rated among the highest sources of phytosterols, compared to other commonly consumed nuts and seeds, according to a study in the November 2005 Journal of Agriculture and Food Chemistry. The finer points. Raw or roasted, shelled or unshelled, the sunflower seed has a huge following of snackers and cooks alike. The freshest, unshelled seeds have firm shells that aren’t broken or dirty. Avoid shelled seeds that are yellow or smell “off.” High in oil, they are prone to rancidity, so refrigerate or freeze them in an airtight container. An easy and satisfying snack on its own, the mildly nutty sunflower seed partners well with every food group, while kicking up the nutrition. Sauté with veggies, sprinkle atop fresh fruit, fold into an omelet, or mix into ground meats, bread and cookie batters. Reprinted with permission from Environmental Nutrition, 52 Riverside Dr., Suite 15-A, New York, NY 10024.
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OVERCOMING WEIGHT-LOSS PLATEAUS As weight-loss warriors climb to the mountaintop of fitness and better health, they will inevitably cross a plateau or two in their journey. According to Nicholas “Dr. Nick” Yphantides, M.D., M.P.H., medical spokesperson f (Take Off Pounds Sensibly), the nonprofit weight-loss support organization, “There are inevitable periods of plateau. You feel like you have changed nothing, yet the body fat no longer disappears and your weight loss seems to be stuck in neutral. The real dilemma is that the plateau can be a huge motivation killer.” The harm, he says, is that some people give up during a plateau and fall back into poor eating and exercise habits out of discouragement. On a positive note, since it’s best to lose weight slowly, steadily, and sensibly, plateaus can often be a body’s balancing act. A plateau also can signal that a body has less fat left to lose. Dr. Nick points out that real plateaus, when weight loss does in fact stall, are different from perceived plateaus, when a person is in denial and doesn’t believe they are doing anything differently, yet the weight is not coming off. “Honesty and accuracy are such core ingredients to healthy living for members that I have to mention them, as I frequently discover what I call a ‘perceived plateau’ upon deeper interaction and conversations with people who are frustrated with their weight loss,” he says. One cause of a true plateau is that the body is trying to achieve equilibrium, or homeostasis. In this state, the body wants to retain the status quo and not lose weight. Weight will resist coming off, even if the number of calories consumed and level of exercise stay the same. Dr. Nick says that the key is to mix up your routine so the body reacts to changing signals. “Some weight-loss warriors make the mistake of expecting different results with the same routine. It’s easy to get discouraged, but it’s more effective to get creative,” he notes. His strategies for overcoming a weight-loss plateau include: • Eat the same weekly amount of calories but eat less one day and more the next to make the body react differently. Also, remember to drink water to feel full and avoid problems caused by dehydration. • Try adding a new activity to an exercise routine. It will activate more muscles and change the way the body is used. For instance, if you typically walk daily, swim or bike instead. Add high-intensity cardio intervals to a low-intensity workout. If there’s a fun, new dance class to try, this is a good time. • Switch the type of workout. For example, trade an aerobic session for a strength-training or muscle-toning class. This can increase lean muscle mass and jump-start the metabolic rate. • Spread out daily food intake to fuel metabolism over a longer period of time. Add a few mini-meals each day, going from three meals to five, without adding calories. Make sure breakfast is a solid meal, because it results in better concentration and higher energy throughout the day. Use patience and persistence as tools in the journey to overall wellness. Weightloss plateaus will happen along the way - but they can be overcome. TOPS Club Inc. (Take Off Pounds Sensibly) is the original weight-loss support and wellness education organization. Founded more than 63 years ago, TOPS is the only nonprofit, noncommercial weight-loss organization of its kind. TOPS promotes successful weight management with a “Real People. Real Weight Loss.®” philosophy that combines support from others at weekly chapter meetings, healthy eating, regular exercise, and wellness information. TOPS has about 170,000 members – male and female, age seven and older – in nearly 10,000 chapters throughout the United States and Canada. Visitors are welcome to attend their first TOPS meeting free of charge. Membership is affordable at just $28 per year, plus nominal chapter fees. To find a local chapter, view www.tops.org or call (800) 932-8677.
AUTUMN SPECIAL!!! THRU SEPT 30
Dr. William Dunbar, President of Midwest College
SEPTEMBER 2017 MHL
September 30, 2017
22 MHL SEPTEMBER 2017
CHILDRENS HEALTH AND WELLNESS
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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Mindfulness Practice HELPS CHILDREN, TOO
“Mindfulness is the awareness that arises through paying attention in a particular way: on purpose, in the present moment, and non-judgmentally.” -- Jon Kabat-Zinn
Mindfulness meditation, inspired by Buddhist traditions, really took root in the United States after 1979, when Jon Kabat-Zinn founded the Mindfulness-Based Stress Reduction program at the University of Massachusetts. The practices, which emphasize attention to breathing and focusing on the present moment, offer many benefits, according to the American Psychological Association. Those include stress and rumination reduction, increased focus and less emotional reactivity. While it’s easy to understand how that would benefit the typically harried adult in this country, it’s a little more difficult to picture a child sitting quietly meditating. Yet mindfulness practices are being introduced to children in school settings, and with good reason. “I think schools are really stressful for kids,” said Tracey Sparrow, Ed.D., vice president of Children’s Programs at the Milwaukee Center for Independence. “So are social situations and home situ-
ations.” Mindfulness practice, she said, “gives them a tool to deal with that stress.” At MCFI’s School for Early Development and Achievement, Sparrow said mindfulness practices are taught using the MindUp™ Curriculum, 15 lessons with activities designed to help children concentrate, manage their emotions, better handle conflicts and have less stress. MindUp™ is an evidenced-based, CASEL-accredited social and emotional literacy program of The Hawn Foundation, founded by Goldie Hawn. “They go through structured lessons,” Sparrow said. “They do a lot of breathing exercises.” But if you’re imagining a room filled with children sitting cross-legged with eyes closed mouthing “Om” in unison, you’re picturing it wrong. Sparrow said students will place a teddy bear on their stomach and watch as it goes up and down with each breath. “It’s a good way for them to get focused.” She said mindfulness practices have even greater implications for children with special needs, who can learn to self-regulate t heir behaviors. For instance, she said an active child with a sensory disorder can be taught to use breathing techniques to calm down. And once the practice is learned, that child can, on his or her own, practice it anytime, anywhere. “Our kids have started, when something upsets them, to step back and take a breath,” said Sparrow. Research indicates mindfulness practice also enhances executive function – the ability to plan, organize and manage time. Academically, that will benefit all children, said Sparrow. (For more information on mindfulness applications for children, contact Tracey Sparrow at MCFI Children’s Programs at 414.937.3990.) MCFI offers a full spectrum of services to help children with special needs and complex medical issues: Birth to Three, SmartBaby, School for Early Development and Achievement, Wells St. Academy, Pediatric Skilled Nursing and
I aM one of a kind. For 75 years, the Milwaukee Center for Independence has been helping people with special needs develop their unique abilities. Today, MCFI touches more than 15,000 lives in our community, one at a time. Visit www.mcfi.net.
M ilwaukee C enter MHL SEPTEMBER 2017
for i ndependenCe
ASTHMA
Quality Summer Camps
FOSTER RELATIONSHIPS & LIFELONG LESSONS By Arlene Becker It is not too early to start thinking of summer camps for our kids. It’s only another month until school ends and then summer vacation is here. Planning now for a fun and productive summer for children is a smart thing to do. Take the time to research the summer camps in your area, and as in researching anything, it’s good to hear from an expert. Andrea BandaKeep director of the summer Scampunder Programcontrol, is an expert on camps and children’s asthma offers her advice: “First whether your child should be enrolled in a half- or bothdecide in and out of the classroom. full-day camp. The plus of half-day camps is that children of a young age are able to participate in camp-like scenarios. They will make good friends; plus enjoy tennis, swimming and other sports.” However, you should choose what suits your family best. Families have different priorities. She in mentioned Elite under offers the bothage halfandhas full-day camps to accomNearly one every 10 that children of 18 asthma, making it one modate parentschronic who need a full-day program orUnited parentsStates, who want young ones of the leading childhood diseases in the and atheir major cause of to have a camp experience for a couple hours aAsthma day. can limit a child’s ability to childhood disability and school absenteeism. Many camps in the area critical offer early childhood enrollment, Banda said, “The youngplay, learn, and sleep—all to his or her development. estWith age that enroll in care, Scamp is 4 years old,” she continued. “Theycan would be able the can appropriate however, most children with asthma participate to attend half-dayAnd program. When 5 and have been in a full-day school fully in allthe activities. you can help kids themare succeed. setting, canado the full-day program.” Makethey asthma priority for everyone “Camp is a great opportunity for kids to be prepare exposedand to a implement variety of different activiAll schools and childcare settings should a comprehenties,”plan she to elaborated. “Groupincluding games, crafts, theme days,and open swim to and playground sive address asthma, how to prevent respond emergencies. timeplan and should sports are a fewspecific of the actions, many activities offer at Elite. consistent For example at The outline policies,we and procedures with Scamp full-day asthma kids will participate karate lessonsSuch taught by our and will evidence-based guidelines andinbest practices. steps can experts create dramatic also have a tennis every day of taught our tenniswhen pros school and swimming lessons improvements in alesson child’s quality life,by especially administrators, everyday taught ourwork aquatics offers real lessons that will nurses, and otherby staff as ateam. teamThis withcamp students, parents/guardians, and expose health yourproviders child to three different life-long sportsresponse and thentoteach them to improve on skills care to implement a coordinated asthma. and excel each one.10Children go on one field trip alisted session. We to also offerchilone Use the in following tips andalso the additional resources below assist weekand themed “ families to keep asthma under control, both in and out of dren youthcamps. and their asked if siblings should be sent to different camps or different sessions, theWhen classroom. Banda responded, experience as a mom of 3, and the director Scamp for Assemble a team“In to my coordinate strategies for asthma control. Involveofadministra5 years,” sheteachers, went on, coaches “I wouldand sayother separating best. They be signed tors, nurses, staff, siblings students,isfamilies, andcan health care up for the same camp, but I would suggest asking to have them assigned to different providers. groups. Siblings tend to be competitive which canprogram. cause arguments theHow group that Create a comprehensive asthma management Start withinthe Asthotherwise wouldn’t place. in the same group can hinder them from ma-Friendly Is Your take School? andAlso Howbeing Asthma-Friendly Is Your Child Care Setting? branching in outEnglish and making friends with other kids in their group.” checklists and Spanish. “Do speak to your children’sincounselors to see children how yourand kids arethat doing. Know the legal requirements place to protect staff haveScamp asthcounselors parents on a regular basis, at drop-off and pick-up times,” ma or other speak specialtoneeds. Consult child care license requirements and state laws she on explained. “I suppose are like teachers for the summer, guiding and teaching the the administration, andthey student self-administration, of asthma medications. children behave and on treat each other respect. Counselors are Providetostaff training asthma so theywith cankindness recognizeand asthma symptoms and foltrained in thisand andprocedures are expected talk to parents and reportand positive happenings and low policies for to administering medications responding to emeralso report an injury or if a child had a difficult time at camp that particular day. They gencies. make connections the action kids inplan theirfor group andfamily are like Get strong an updated written with asthma eacheach childsummer from the anda teachercare to the kids inwith theirinformation group. If there is anchild’s ongoing or more sensitive pressing health provider, on the medications, triggers,orand other issue, the camp director should step in as the principal, if you will, and make phone concerns. calls to parents speakair with them Prevent at drop-off or pick-up time.”to allergens, includProvide goodorindoor quality. unhealthy exposure enjoy meeting parents the kids that come to camp,” said.bacteria, “It is imporing“Idust mites, peststhe (rats, mice,ofcockroaches), classroom pets,she molds, and tant thatand they confident sendingfumes, their child to camp. Parents see that pollen, to feel irritants, such about as chemical tobacco smoke, ozonewill (outdoors), I ampesticides. passionateUse about directing a camp that is safe, and fun-filled and integrated pest management. Banorganized, smoking. Stop nearby buswhile and teaching car idling.different skills in tennis, swimming, and karate. I would advise parents to voice any concerns and for specific needs yourphysical child may have Encourage while at camp. Ask to Provide opportunities safe, enjoyable activity. full particitour theincamp and see wherewhen your child be spending his oractivities her time. when Elite Scamp pation physical activities childwill is well and modified medihas annecessary. open house before camp starts so medications parents and children can meet their counselcally Keep student’s asthma nearby and accessible, before, ors as well make first day drop-off easier.” during, and to after thethe activity. Younger toddlers aren’t left out, noted: “We have a program called Ensure tobacco-free facilities andeither. events.She Post no-smoking signs. Offer tobacco Skipp for programs ages threetoand four. This program two mornings a week and offers indoor cessation students, families, andisstaff. and outdoor family play, pool time, organized games andasthma activities, story time, parachute Facilitate access to resources, including education, flu shots, and play, and more.” health, mental health, recreational, and social services. Recognize achievement. Present awards to facilities, programs, and staff for meaningful efforts to address asthma. Involve school board members, other officials, and the media.
MAKE SCHOOLS ASTHMA-FRIENDLY
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TRUTH<<page 9 be taught the proper way to use and carry pencils, combs, scissors, and other sharp objects,” warns David Scheidt, OD, past president of the Milwaukee Optometric Society and frequent lecturer to school and professional groups. “Point out potential hazards in everyday life, like long fingernails, the burst of steam when opening a bag of microwave popcorn, and soda bottle caps that can fly off at speeds of up to 350 mph. And, never, ever let a child play with fireworks or projectile-like toys. . . . It only takes one accident for your child to lose their eyesight for a lifetime.” Older students are more likely to be involved in classes that could threaten vision. “Stress the importance of following safety instructions during chemistry, woodshop and metalworking. Regular glasses or contact lenses cannot protect against flying chips or fragments, sparks, fumes, or splashes of toxic fluids,” says Freedman. Your child should always read tool and chemical instructions, wear safety glasses or goggles when indicated, and be familiar with methods of treating injuries, like patching or flushing the eye out with water, and seeking emergency care. Keep your child’s eye safety in mind outside of the classroom as well. “More than 33,000 sports and recreation-related eye injuries happen to children under age 16 each year,” advises Rhode, who also has two children in this age range. “What’s really unfortunate is that 90 percent of these injuries could have been avoided if the parent had ensured that their child was wearing polycarbonate protective eyewear.” This is especially important for parents of boys who engage in Nerf, paintball and Airsoft BB gun activities. Ferguson concludes by saying, “Take time to talk to your child about the importance of eye exams and eye safety—you may be saving his or her vision for a lifetime.” The doctors quoted in this article provide medical, surgical and laser services to more than 130,000 area residents at Eye Care Specialists’ offices in West Allis, Wauwatosa, and downtown Milwaukee. They have received special recognition for their pediatric care skills, and have been named “Top Doctors” by both M and Milwaukee Magazines.” Contact their Community Education Hotline at 414-321-7035 for a free brochure about any eye condition (including cataracts, glaucoma, diabetes, macular degeneration, and those mentioned in this article), or to schedule a thorough eye examination for any age member of the family. Or, visit their extensive educational website at www.eyecarespecialists.net
COMMON PEDIATRIC EYE PROBLEMS A thorough examination by an eye care specialist may uncover the following: Amblyopia (lazy eye)—is a serious disorder in which the brain “shuts off” images from a “weaker” or misaligned eye. The problem can often be corrected by patching the stronger eye for a time. If not treated early (by age 8 or 9), the condition can become permanent. Strabismus (crossed eyes)—can often be corrected with glasses, or in some cases, surgery. Early diagnosis is critical because untreated strabismus may develop into amblyopia. Refractive Errors—include nearsightedness (objects that are near are seen more clearly than objects that are far away), farsightedness (objects that are far are seen more clearly than objects that are close) and astigmatism (distortion of objects due to asymmetric curvature of the cornea causing). These problems can be corrected with glasses or (for older children) contact lenses. Ptosis—is a drooping of the upper eyelid (from slight to completely covering the pupil) that can restrict or block normal vision. Surgery usually corrects the problem. Congenital or Inherited Eye Disorders—are rare, but can be serious, such as a cataract or glaucoma. Sometimes a vision problem can be a sign of more serious diseases affecting other systems of the body, such as diabetes. You should also schedule an eye examination if your child frequently squints, rubs their eyes, crosses one or both eyes, tilts their head, holds books too close, or experiences pain, flashes of light, spots, distorted lines, excessive tearing, dry eyes, itching or burning. WARNING SIGNS Arrange for a proper evaluation of your child’s vision, if you notice any of the following symptoms: * Frequent squinting/rubbing * Crossing of one or both eyes * Tilting of the head * Holds books/objects too close * Complains of pain, flashes of light, spots or distorted lines * Dry eyes, redness, excessive tearing, itching or burning
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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.
www.hearwi.org info@hearwi.org 414-604-2200
ALL ABOUT NOISE: YOUR GUIDE ON PREVENTING HEARING DAMAGE We live in a noisy world. Sounds constantly surround us, and sometimes loud environments are unavoidable. Although hearing loss is a natural part of aging, exposure to loud noises can also cause hearing damage. Often it is difficult to determine if a noise volume is harmful or not. Here is what you need to know about sound to help prevent hearing damage: Deciphering decibels Sound is measured in units called decibels, which is determined by intensity levels. The scale starts at zero, which is near to total silence. This is the weakest sound that our ears can hear. A normal whisper is measured at 30 decibels (dB) and average conversation volume is 60 decibels. The scale runs to over 180 dB, which is the noise at which a rocket pad is launched. An increase in 10 dB means that sound is 10 times more powerful to your ears, and as a result, potentially 10 times more harmful. Here are some examples of common sounds and their corresponding decibel measures: Humming of a refrigerator: 45 dB. Moderate rainfall: 50 dB. Dishwasher: 60 dB. City traffic: 85 dB. Lawnmower: 90 dB. Chainsaw: 100 dB. How loud is too loud? Hearing loss caused by noise can happen a number of ways. It can be one time exposure such as a loud explosion, or it can happen gradually, like a person who works with power tools on a daily basis. Sounds of less than 75 decibels are generally safe and should not cause hearing loss. However, anything measured about 85 dB can cause hearing loss, especially with repeated exposure, according to the National Institute on Deafness and other Communication Disorders. The louder the sound, the shorter amount of time it takes to damage hearing. But exposure over long periods of time can also cause damage. Some activities that involve loud noises include hunting, use of power tools, working with heavy machinery, playing in a band or attending loud concerts, etc. Anyone who is exposed to loud noise may be at a potential risk for hearing loss. How to protect your hearing If an environment with questionably harmful sound is unavoidable, you should wear hearing protection. Examples include earplugs and earmuffs. Earplugs fit in the outer ear canal. They can be purchased at your local drugstore. However, they also can be custom made, which is the preferred method for utmost safety. With customfit earplugs, the earplug fits more snugly in your ear and offers greater protection. Earmuffs fit over the entire ear to form an air seal blocking the entire circumference of the ear canal. Earmuffs are held in place by an adjustable band. According to the American Hearing Research Foundation, fitted earplugs or earmuffs can reduce noise by 15 to 30 dB. If you anticipate being in a loud environment, be sure to protect yourself with equipment. Tips to minimize risks Though sound can be measured and the scale is extremely helpful, the best way to determine if a sound is dangerous is constantly being aware of your body’s responses. Here are some tips to knowing if a sound could potentially be harmful to you: You can hear a buzzing or ringing sound in your ears. You have to raise your voice to an unnatural volume to be heard. The noise hurts your ears. The sound is so loud it vibrates. If you are exposed to any of these noises, be sure to take precautions: put on earplugs or earmuffs, turn down the sound if you can or simply walk away. The more proactive you are about noise, the less chance you will be at risk for hearing loss. For more information please visit www.captel.com All about noise: your
TURNS OUT EVERYONE WAS WRONG ABOUT SATURATED FATS By COLETTE HEIMOWITZ Want to lose weight and improve your health? More healthy fat may help. While fat, specifically saturated fat, has been blamed for increasing your risk of diabetes and heart disease, research shows that carbs may actually be the culprit. A controlled-diet study published in the journal PLOS challenges the theory that dietary saturated fat is bad or a contributor to heart disease. With that being said, there is an association between saturated fat in the blood and heart disease. Saturated fats During the study, participants were put on six three-week diets that progressively increased carbs while simultaneously reducing total fat and saturated fat. Calories and protein remained the same. As carbohydrate levels increased, blood levels of a fatty acid (palmitoleic acid) known to increase the risk of heart disease and diabetes also rose steadily. When palmitoleic acid increases, it’s a signal that an increasing proportion of carbs are being converted to fat instead of being burned as fuel. In other words, the amount of carbohydrates you consume may determine how you process saturated fat -- whether it is burned for fuel or stored as fat. How Much Fat Should You Eat? A recent study in the journal Open Heart indicates that research does not support the original dietary-fat-consumption guidelines created in 1977 and 1983. These guidelines recommended that we cut fat to about 30 percent of our total daily calories and reduce saturated fat -- from red meat and dairy products like milk, eggs and cheese -- down to no more than 10 percent of total calories. Suddenly people were avoiding fat and replacing it with sugars and refined carbohydrates -- often in the form of fat-free and low-fat packaged foods. But these guidelines, intended to make Americans healthier, have done anything but. Adult obesity rates have doubled since 1980, and they’re projected to increase by another 50 percent by 2030. Meanwhile, childhood obesity and diabetes diagnoses have tripled. It’s time to stop thinking of dietary fat as the enemy. In fact, fat is a key source of energy and essential nutrients. You can’t live without it, and it might help you lose weight. Fat, like protein, helps keep you full longer. And since it carries flavor, it makes food more satisfying. In other words, you could probably consume fewer calories of fat and feel more full and satisfied than twice the calories of refined carbs. Even better, when you eat fat, it slows the entry of glucose into the bloodstream, helping to moderate your blood sugar. So instead of that “crash and burn” after eating carbs, along with feelings of hunger soon after, fat helps control your appetite and your cravings. When more than half of Americans show some type of carb intolerance, it may make more sense to choose a diet that controls carbohydrates instead of restricts fat. Here are the types of fat you should consume and one you should avoid: Monounsaturated fats (MUFAs) are found in olive oil, canola oil, walnuts and most other nuts as well as avocados. MUFAs are usually liquid at room temperature. Polyunsaturated fats (PUFAs) are always liquid both at room temperature and in the refrigerator. They’re found mostly in oils from vegetables, seeds and some nuts. Sunflower, safflower, flaxseed, soybean, corn, cottonseed, grape-seed and sesame oils are high in PUFAs. So are the oils in fatty fish, such as sardines, herring and salmon. Essential fatty acids (EFAs) are dietary fats that your body can’t produce. Both omega-3 and omega-6 EFAs are PUFAs essential to your health and well-being. Omega-3s are found in the fat of shellfish and cold-water fish. Omega-6s are found primarily in seeds and grains, as well as in chickens and pigs. Unless you’re eating a very low-fat diet, you are most likely getting more than the recommended amount of omega-6s. Eat foods or take supplements rich in omega-3 fatty acids, such as shellfish, coldwater ocean fish and fish oil (salmon, tuna, sardines, herring and anchovies, along with non-fish sources like flaxseed, almonds, walnuts and canola oil). Avoid corn, soybean, cottonseed and peanut oils, which are all high in omega-6s. Saturated fatty acids (SFAs) tend to remain solid at room temperature. Butter, lard, suet and palm and coconut oils are relatively rich in saturated fats. This type of fat is fine to consume on a low-carb diet, because when carbs are restricted, your body burns primarily fat for fuel. Trans fats should be avoided at all costs. Trans fats have been associated with an increased heart-attack risk, and they have been shown to increase the body’s level of inflammation. They are typically found in foods you should be avoiding already, including fried foods, baked goods, cookies, crackers, candies, snack foods, icings and vegetable shortenings. --Colette This piece originally appeated at livestrong.com.
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SEPTEMBER 2017 MHL
Celebrate Moments of Joy — EVERY DAY Azura is elevating the standard of memory care with caring relationships, innovative therapies, and exceptional care.
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azuramemory.com MHL SEPTEMBER 2017
MEMORY
MEMORY LOSS Knowing when to ask for help Age-Related Changes In Memory Forgetfulness can be a normal part of aging. As people get older, changes occur in all parts of the body, including the brain. As a result, some people may notice that it takes longer to learn new things, they don’t remember information as well as they did, or they lose things like their glasses. These usually are signs of mild forgetfulness, not serious memory problems. Some older adults also find that they don’t do as well as younger people on complex memory or learning tests. Scientists have found, though, that given enough time, healthy older people can do as well as younger people do on these tests. In fact, as they age, healthy adults usually improve in areas of mental ability such as vocabulary. Other Causes Of Memory Loss Some memory problems are related to health issues that may be treatable. For example, medication side effects, vitamin B12 deficiency, chronic alcoholism, tumors or infections in the brain, or blood clots in the brain can cause memory loss or possibly dementia (see more on dementia, below). Some thyroid, kidney, or liver disorders also can lead to memory loss. A doctor should treat serious medical conditions like these as soon as possible. Emotional problems, such as stress, anxiety, or depression, can make a person more forgetful and can be mistaken for dementia. For instance, someone who has recently retired or who is coping with the death of a spouse, relative, or friend may feel sad, lonely, worried, or bored. Trying to deal with these life changes leaves some people confused or forgetful. The confusion and forgetfulness caused by emotions usually are temporary and go away when the feelings fade. The emotional problems can be eased by supportive friends and family, but if these feelings last for a long time, it is important to get help from a doctor or counselor. Treatment may include counseling, medication, or both. More Serious Memory Problems For some older people, memory problems are a sign of a serious problem, such as mild cognitive impairment or dementia. People who are worried about memory problems should see a doctor. The doctor might conduct or order a thorough physical and mental health evaluation to reach a diagnosis. Often, these evaluations are conducted by a neurologist, a physician who specializes in problems related to the brain and central nervous system. A complete medical exam for memory loss should review the person’s medical history, including the use of prescription and over-the-counter medicines, diet, past medical problems, and general health. A correct diagnosis depends on accurate details, so in addition to talking with the patient, the doctor might ask a family member, caregiver, or close friend for information. Blood and urine tests can help the doctor find the cause of the memory problems or dementia. The doctor also might do tests for memory loss and test the person’s problem-solving and language abilities. A computed tomography (CT) or magnetic resonance imaging (MRI) brain scan may help rule out some causes of the memory problems. Amnestic Mild Cognitive Impairment (MCI). Some people with memory problems have a condition called amnestic mild cognitive impairment, or amnestic MCI. People with this condition have more memory problems than normal for people their age, but their symptoms are not as severe as those of Alzheimer’s disease, and they are able to carry out their normal daily activities. MEMORY>>page 49 SEPTEMBER 2017 MHL
BRAIN
MAINTAIN YOUR BRAIN Research has consistently shown that choices we make have as much to do with preventing dementia as do genetics. And better yet, changing some of our choices—at any point in our lives— rewards our brain.
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By Donna Spars People are often surprised to learn that we have a great deal of control over whether we get dementia. Research has consistently shown that choices we make have as much to do with preventing dementia as do genetics. And better yet, changing some of our choices—at any point in our lives—rewards our brain. By the way, “dementia” does not mean sometimes forgetting names or appointments or occasionally forgetting words or sometimes making errors in your checkbook. Dementia is a word that describes symptoms all caused by damage to brain cells. The most common disease that causes dementia symptoms is Alzheimer’s. There is more information about dementia in the rack by the LifeStreams fitness room. So, what can you do to increase your chances of being able to use your mind as you’d wish? The recipe for success includes taking care of our bodies, minds and spirits. This month we’re going to discuss taking care of our bodies and in subsequent months our minds and spirits. (And by spirits I don’t mean cocktails!) Taking care of our bodies includes moving, eating smart and living with our brains in mind. So, the first word there is “moving”. Yes, that means exer-cise. Of everything you can do, exercise has the strongest research support for helping to prevent dementia. What does exercise have to do with a healthy brain? Exercise boosts the brain’s physical health, sharpens our intellectual abilities and may contribute to building a protective buffer in the brain against memory loss. So how much exercise is enough? The literature on that subject gives a variety of answers but, in general, about 30 minutes a day of exercise that increases your heart rate to the point that you’d have a difficult time carrying on a conversation is enough. Don’t want to exercise every day? That’s fine, but then do more minutes on the days you choose to exercise. Don’t get any or enough exercise? Consider giving Dodie Novak, our fitness coordinator, a call at 831-6815 or email at dnovak@saintjohnsmilw.org. Perhaps in a conversation the two of you can come up with a plan you’ll find enjoyable, or at least palatable! The second part of taking care of your brain by taking care of your body is to eat healthy foods and maintain a healthy weight. You probably have a very good concept of what constitutes a “healthy diet”. However, the guidelines have changed re-cently so it’s worth covering them. According to the CDC website, a healthy daily diet consists of 1 1/2 cups of a variety of fruits and 2 cups of a variety of vegetables, 6 servings of mostly whole grains (one slice of bread is a serving), 5 servings of lean protein (1 egg or 1 tablespoon of peanut butter is a serving) and 3 cups of low-fat milk, yogurt or cheese. For more information contact Saint John’s On The Lake at 414.831.7300.
HEALTHY AGING
WORLD’S OLDER POPULATION GROWS DRAMATICALLY
NIH-FUNDED CENSUS BUREAU REPORT OFFERS DETAILS OF GLOBAL AGING PHENOMENON The world’s older population continues to grow at an unprecedented rate. Today, 8.5 percent of people worldwide (617 million) are aged 65 and over. According to a new report, “An Aging World: 2015,” this percentage is projected to jump to nearly 17 percent of the world’s population by 2050 (1.6 billion). “An Aging World: 2015” (PDF, 6.9M) was commissioned by the National Institute on Aging (NIA), part of the National Institutes of Health, and produced by the U.S. Census Bureau. The report examines the demographic, health and socioeconomic trends accompanying the growth of the aging population. “Older people are a rapidly growing proportion of the world’s population,” said NIA Director Richard J. Hodes, M.D. “People are living longer, but that does not necessarily mean that they are living healthier. The increase in our aging population presents many opportunities and also several public health challenges that we need to prepare for. NIA has partnered with Census to provide the best possible data so that we can better understand the course and implications of population aging.”
“An Aging World: 2015” contains detailed information about life expectancy, gender balance, health, mortality, disability, health care systems, labor force participation and retirement, pensions and poverty among older people around the world. “We are seeing population aging in every country in every part of the world,” said John Haaga, Ph.D., acting director of NIA’s Division of Behavioral and Social Research. “Many countries in Europe and Asia are further along in the process, or moving more rapidly, than we are in the United States. Since population aging affects so many aspects of public life—acute and long-term health care needs; pensions, work and retirement; transportation; housing—there is a lot of potential for learning from each other’s experience.” HIGHLIGHTS OF THE REPORT INCLUDE: America’s 65-and-over population is projected to nearly double over the next three decades, from 48 million to 88 million by 2050. By 2050, global life expectancy at birth is projected to increase by almost eight years, climbing from 68.6 years in 2015 to 76.2 years in 2050. The global population of the “oldest old”—people aged 80 and older—is expected to more than triple between 2015 and 2050, growing from 126.5 million to 446.6 million. The oldest old population in some Asian and Latin American countries is predicted to quadruple by 2050. Among the older population worldwide, noncommunicable diseases are the main health concern. In low-income countries, many in Africa, the older population faces a considerable burden from both noncommunicable and communicable diseases. Risk factors—such as tobacco and alcohol use, insufficient consumption of vegetables and fruit, and low levels of physical activity—directly or indirectly contribute to the global burden of disease. Changes in risk factors have been observed, such as a decline in tobacco use in some high-income countries, with the majority of smokers worldwide now living in low- and middle-income countries. The report was prepared by Wan He, Ph.D., and Daniel Goodkind. Ph.D., of the International Programs Center in the Population Division of the Census Bureau, and Paul Kowal, Ph.D., of the World Health Organization’s Study on Global Aging and Adult Health. Research for and production of the report were supported under an interagency agreement with NIA’s Division of Behavioral and Social Research. About the National Institute on Aging: The NIA leads the federal government effort conducting and supporting research on aging and the health and well-being of older people. The Institute’s broad scientific program seeks to understand the nature of aging and to extend the healthy, active years of life. For more information on research, aging, and health, go to www.nia.nih.gov.
ALL YOU COULD EVER WANT, RIGHT HERE. WHO WE ARE Mission Creek is the best local assisted living and memory care for you, your family, friends, and loved ones. We work hard to keep our residents and this community great.
WHAT WE DO We work directly with our residents and their families to keep everyone involved with their interests and pursuits. Your community remains at the center of life, alongside top-of-the-line care for a comfortable and fulfilling lifestyle.
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RETIREMENT
Take part in the retirement plan at work. Sign up for your employer’s retirement plan as soon as possible. More and more employers are automatically enrolling workers in their 401(k) plans unless the worker makes a clear choice not to sign up (sometimes called “opting out”). If possible, put in the maximum allowed each year—or as close as you can get. Your employer might also match part of your contributions. Try to take advantage of these matching contributions. Ask your personnel or hr (human resources) representative how your company’s plan works. Also, talk with the professionals who manage your firm’s 401(k) for advice. If your employer doesn’t offer a retirement plan, ask if the organization can start one.
SAVING FOR RETIREMENT WHAT YOU CAN DO
Start now. It’s never too early or too late to start setting aside money for your retirement. The younger you are when you begin, the more time you have to save and the more your money can grow over time. Time can also provide a cushion that might help your savings to recover from dips in the investment markets (like stocks and mutual funds), which occur from time to time.
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Make the most of your other retirement-saving options. Consider putting money in more than one retirement-saving plan. That is especially important if your employer doesn’t offer one. Some kinds of plans could help you to save, and some can help to lower or defer (put off) your taxes. For example, you might contribute regularly to an individual retirement account or ira, which you can open at a bank or through a broker or mutual fund. One type of ira, a roth ira, allows you, the investor, to earn dividends (income) tax-free, with some restrictions, and to withdraw the money during retirement without paying federal income taxes. You might set up an annuity (a contract between you and an insurance company). An annuity pays you income on a regular schedule, such as monthly, quarterly, or yearly, after a certain age. To learn more, see the resources listed in “for more information.” Figure out how much you’ll need. If you’re like the average person, you’ll probably need at least 70 percent of your annual pre-retirement income to maintain your standard of living after you retire, possibly more. Resources are available to help you calculate what you might need. For example, one useful online tool, www.Choosetosave.Org/ballpark, will help you estimate how much you’ll need. The introduction and faqs on that website can help you get started. Other calculators to help you plan can be found at www.Choosetosave.Org/calculators. Remember to plan for health care and other costs, which likely will go up in the years to come, as well as for unexpected expenses or changes in the economy.
Set specific goals. Plan to save a certain amountâ&#x20AC;&#x201D;even if itâ&#x20AC;&#x2122;s smallâ&#x20AC;&#x201D;each week or month. For example, you might set a goal to invest at least $250 a month in your employer-sponsored retirement plan, or you might put $25 a week into another savings plan. Keep an eye on your investments. Get to know how your retirement plans work, how your money is invested, and what fees are charged. Review your investments at least once a year. Remember that itâ&#x20AC;&#x2122;s best to think about your investments over time, rather than reacting to ups and downs in investment markets. As you near retirement, you might also consider shifting your money from more risky investments like stocks to usually less risky investments like bonds. A bond is less risky because it is like an iou, but it does carry some risk. You give money to a government or company, and they promise to pay it back with interest after a certain number of years. You may also have heard about targetdate funds, also known as life-cycle accounts, available in some 401(k) plans. These plans automatically shift your investments based on the date you expect to start using your retirement funds. They may not be for everyone. Information about different types of investments is available on the securities and exchange commission website at www.Sec.Gov/investor/pubs/begininvest.Htm. Find ways to save more. Try to find a few ways to lower your weekly or monthly expenses. Can you reduce your cell phone costs or other monthly expenses? Bring your lunch to work instead of eating out every day? Carpool so commuting costs less? Saving this â&#x20AC;&#x153;foundâ&#x20AC;? money can help you build your retirement nest egg over time. Some people find it helpful to put a part of any salary increase directly into their retirement-saving plan. Be realistic. Make a plan at which you can succeed. Start by saving an amount of money you are comfortable with. Itâ&#x20AC;&#x2122;s better to have realistic goalsâ&#x20AC;&#x201D;even if theyâ&#x20AC;&#x2122;re smaller than youâ&#x20AC;&#x2122;d hopeâ&#x20AC;&#x201D;than to set goals you canâ&#x20AC;&#x2122;t reach and later give up. Be wary of investing too much in one companyâ&#x20AC;&#x2122;s stock. Put your money in different kinds of investments (such as american stocks, international stocks, bonds, or real estate) and avoid putting too much of your money in the stock of any one fund or company, including the company you work for. If your employer invests matching retirement money in company stock, think about moving some of that money to other kinds of investments, if possible. Look ahead. If you retire early and receive reduced social security benefits, be aware that there are other possible consequences. For example, if you are married, survivor benefits for your spouse also will be reduced if you began receiving social security benefits early. Also, consider buying long-term care insurance or other forms of coverage for uncovered medical expenses.
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Be prepared for change.
A sudden change in health, the death of your spouse, divorce, a stock market decline, or a job layoff could dramatically affect your householdâ&#x20AC;&#x2122;s financial picture. Whether youâ&#x20AC;&#x2122;re close to retirement or not, having enough savings available can help you and your family weather these unexpected changes. Try hard to avoid using your retirement savings or permanently withdrawing money from your retirement accounts before you retire, unless absolutely needed. Consider working past retirement age.
SEPTEMBER 2017 MHL
PARKINSONS
PARKINSON DISEASE A NEUROLOGICAL DISORDER Each year about 60,000 new cases of Parkinson disease are diagnosed in the United States in addition to the many that are missed or are misdiagnosed. Parkinson disease is a neurological disorder that can lead to tremor, lack of coordination, poor mobility, or trouble with walking. Along with these main features, patients’ can also experience problems with swallowing, constipation, excess saliva, rigidity, soft or slow speech, stooped posture, depression, and anxiety. Each year about 60,000 new cases of Parkinson disease are diagnosed in the United States in addition to the many that are missed or are misdiagnosed. The average age of onset for Parkinson disease is 60 years old but 5% of those diagnosed each year are under the age of 40 so the disease has a large age impact span. Southeastern Wisconsin has one of the highest prevalence rates in the United States. No one knows what causes Parkinson disease. The role of genetics, environmental issues and toxins continue to A premiere community based residential be researched. Those with Parkinson’s have impaired or damaged facility, offers three locations in eastern dopamine-producing cells and this is what causes the symptoms. Dopamine is a chemical neurotransmitter found in the brain that Wisconsin - two homes in Germantown helps to control movement, coordination and balance. By the time and one in Port Washington. Our mission is a person develops symptoms of Parkinson disease he or she has lost to create a tranquil, nurturing home more than 70% of these dopamine-producing cells. and loving surrogate family that encourages For many people, receiving this diagnosis or hearing a family the individual in all aspects of daily life member has the disease can be a confusing and troubling time. Information, not only for the present but for what the future can bring while promoting the highest level of with this disease, can provide relief from the fears of the unknown independence possible. and the misinformation and rumors that often present themselves. Parkinson disease additionally does not take a predictable path and each person may experiences it in a different and unique way, thereby making personal attention to the individual needs and cirDignified Living for the Eldery and Disabled. cumstances surrounding Parkinson disease in the life of the patient At Ellen’s Home, we strive to preserve, honor and celebrate the uniqueness crucial. of each resident by creating an individualized care plan which identifies and The Wisconsin Parkinson Association serving Wisconsin and addresses their unique emotional, spiritual, social, physical and intellectual the surrounding states is a local nonprofit organization whose misabilities and needs. Ellen’s Home believes a blended inter-generational sion is to provide that information. Not being affiliated with any assisted living community that serves residents with a variety of needs is one medical system or provider allows the WPA to serve any and complementary with “Aging in Place” philosophies that benefit all individuals. all community members with objective information about Parkinson disease and the resources available to assist them. Our staff is highly trained and experienced including specialized The WPA’s mission is to expand medical professional and public training related to dementia and Alzheimer’s care. Our homes provide: awareness and understanding about Parkinson disease that will lead • Pharmacy Service • Lab & Radiology Services to maximum support, the best individual health care, assistance for • Podiatrist • Physical Therapists • Activity Directors caregivers and families, and increased funding for research. Services available through the Wisconsin Parkinson Associa• Beauty/Barber Shop tion for those with PD and their caregivers and families include information and referral from their 800 phone number or website (wiparkinson.org), support and exercise groups, quarterly Network magazine, educational seminars and symposiums as well as a lend262-250-6455 ing resource room that can be accessed in person or through the 262-250-9800 262-268-9555 mail.
Germantown
MHL SEPTEMBER 2017
Germantown South
Port Washington
HEALTHY AGING
FUN FALL HOBBIES FOR SENIORS Fall is an excellent time of year to enjoy the mild weather, community events and beautifully changing colors. With fall rapidly approaching, it’s time to start figuring out how you will stay active as the weather gets cooler. Fall is an excellent time of year to enjoy the mild weather, community events and beautifully changing colors. The cool (but not cold) temperatures make fall a wonderful season for active senior living. Here are some senior friendly fall activities that you can enjoy, and some quick tips for dealing with fall weather: The Grid Iron Football is one of America’s favorite pastimes, and easily one of the most popular fall sports. Heading to football games is a great way to spend time outdoors with friends and family. If you can’t go to live games, you can still make it a social event by inviting people over for a game-watching party.
Bird watching Because fall is when birds begin heading south, it’s the perfect opportunity to watch the action. You will find birds you don’t get to see other times of year as they pass through or head to your area. Bird watching is another outdoor activity that takes advantage of fall’s cool temperatures, which means you can take longer strolls, giving you even more opportunity to catch a glimpse of birds flying past. This activity satisfies the desires of animal lovers, science enthusiasts and exercise-minded seniors alike. Outdoor yoga Whether you’ve never done yoga or are already a practiced yogi, performing yoga outdoors can be a fun, fresh experience. Taking an outdoor yoga class in the fall means that as you engage your muscles, you’re also taking in all the beautiful colors of fall. Waiting until fall to head outdoors with your mat also means avoiding the extreme heat of summer. Still, fall can get cold and windy, so make sure you’re not underdressed when exercising outdoors. Yoga pants and long-sleeved, sweat-wicking clothes will help keep you dry and warm. To the farm Fall is known for apples and pumpkins, and there are plenty of opportunities in autumn to get closer to both. Head to an apple orchard or pumpkin patch to learn about the growing process of these fall crops. You can also pick your own apples, which is a much more enjoyable way to get produce than the grocery store. An afternoon of apple picking is a fun way to spend the day with someone close to you, and you’ll always love the apples you picked yourself. Community events It’s hard to say why fall is such a plentiful season for community activities. Maybe it has to do with historically needing to band together to prepare for winter, or maybe it’s because we get more social as family holidays approach. Whatever the reason, fall is full of festivals and fairs. These events let you get closer to the people around you, and offer an opportunity to give back to your community. They may have stands selling locally made art or produce, which let you support the people around you while getting an insight into what they make and do. Quick Tips: Depending on your location, fall weather can be unpredictable. Be sure to check the forecast before you head out to make sure you’re prepared for temperature changes or rain. Layers are your best friend in fall, since they’re easy to take off or put on as you move from inside to outside. Scarves, shawls and sweaters will help let you control your personal temperature. All those leaves covering the ground may be beautiful, but they can also be very slippery. Take care when walking through or across leaves, particularly if it has rained recently. The same holds true for cars, so avoid driving over leaves when possible. For more information please visit www.captel.com
ASSISTED LIVING • • • • • • • • • •
& Respite Care
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HEALTHY AGING
FUN WAYS TO STAY CONNECTED TO GRANDKIDS Technology can help you connect with your grandchildren no matter where they live.If you’re a grandparent, you may not be able to see your grandchildren as often as you’d like – whether they are far away or if they live just down the street! Staying connected with grandchildren of any age can be the boost in morale your day needs. You may be from two different generations, but connecting with your grandkids can be easy. The following are five fun ways that you can stay in touch with your grandkids no matter where they live. 1. Video Calls If you don’t live close enough to visit regularly in person, but still want to see those smiling faces more often, video calls are a simple solution. There are a number of programs, such as Skype, FaceTime and Google Video, that you can download to your phone, tablet or computer and start using today. This is especially a particularly great option for connecting with babies or younger children. Through video calls, you can wave, smile and interact with little ones who currently may be unable to speak on the phone. 2. Email Kids today are learning to communicate in entirely new ways, particularly when it comes to the written word. Though you may have grown up writing letters to distant loved ones, your grandkids probably already11:18 familiar with1a much quicker opfinal 1/2 pg bridgeway healthwise are ad_Layout 1 3/23/12 AM Page
tion: email. This method is an especially appealing choice if you live in a different time zone or are dealing with busy schedules. You can send the message whenever you have time and then they will respond when they go online – no coordination necessary.If you have a tablet at home, you can use it to video chat or email with your grandkids. If you have a tablet at home, you can use it to video chat or email with your grandkids. 3. Postcards echnology isn’t the only way to connect with your grandkids from a distance. If you want a more traditional method, consider a hand written note. Instead of long letters, get in the habit of sending postcards back and forth. Not only will this keep you connected, but it will provide a visual of the places that you both are visiting, even if it’s just the next town over.Postcards are an especially helpful option for younger kids, who will enjoy getting something in the mail as well as the pictures, even if they need to have a parent read the message. 4. Social Media Depending on the age of your grandchildren, chances are they are on some form of social media. If you want to keep abreast of all their latest updates, one of these websites may be the way to go. And as an added bonus, you might even be able to reconnect with some of your other family and friends. Social media is becoming increasingly popular among retirees. According to a study by The Pew Research Center’s Internet & American Life Project, 64 percent of adults from the ages of 50 to 64 years of age were on social media as of 2016. “Staying in touch with family members is one of the main motivations for using social media,” Mary Madden, a Pew senior researcher, told The Washington Post. “And that’s especially true for adults aged 50 to 64.” Facebook is probably the simplest place to start, due to its friendly usability and diverse posting options. However, keep in mind that sometimes kids are hesitant to connect with family members on their social media profiles. Consider asking them if they would like to interact with you in this way before creating an account. 5. CapTel Captioned Telephones Though modern technology offers a number of ways to connect with your grandkids, sometimes you just want to hear their voices. Consider setting up a consistent time for talking on the phone each week, even if it’s just for a brief conversation. If you are living with hearing loss, you may worry that you’ll miss words when speaking on the phone with your grandchildren. To make sure you catch every piece of important information when talking with your loved ones, consider using a CapTel captioned telephone. With closed captioning that shows you word-for-word what is being said, you’ll be able to focus on enjoying the experience stress-free. For more information visit www.captel.com
Bridge Way: Transitional Care at Clement Manor “Your bridge between hospital and home”
W
hether your stay at a hospital is planned or unplanned, we can be your bridge between hospital and home. Our goal is to get you well so you can get back to life! � Short-term comprehensive, customized care � Nationally recognized for providing quality service � Expanded insurance contracts � Private rooms available Sponsored by the School Sisters of St. Francis
Call our Admissions Coordinator today at 414.546.7322 for more information and to schedule a tour. 3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • clementmanor.com SEPTEMBER 2017 MHL
WHY CANT I REMEMBER HER NAME
MEMORY LOSS AND AGING Everyone forgets a name or misplaces keys occasionally. Many healthy people are less able to remember certain kinds of information as they get older. Memory loss that disrupts everyday life is not a normal part of aging, however. It is a symptom of dementia, a gradual and progressive decline in memory, thinking and reasoning skills. The most common cause of dementia is Alzheimer’s disease, a disorder that results in the loss of brain cells. Alzheimer symptoms progress, affecting communication, learning, thinking and reasoning. Eventually they have an impact on a person’s work and social life. 10 Warning Signs of Alzheimer’s Disease The Alzheimer’s Association, the world leader in Alzheimer research and support, has developed the following checklist of common symptoms to help recognize the warning signs of Alzheimer’s disease. 1. Memory loss – Forgetting recently learned information is one of the most common early signs of dementia. 2. Difficulty performing familiar tasks – People with dementia often find it hard to plan or complete everyday tasks, such as preparing a meal or placing a telephone call. 3. Problems with language – People with Alzheimer’s disease often forget simple words or substitute unusual words, making their speech or writing hard to understand. 4. Disorientation to time and place – People with Alzheimer’s disease can become lost in their own neighborhoods, forget where they are and how they got there, and not know how to get back home.
5. Poor or decreased judgment – Those with Alzheimer’s may dress inappropriately, or they may show poor judgment about money, like giving away large sums to telemarketers. 6. Problems with abstract thinking – Someone with Alzheimer’s disease may have unusual difficulty performing complex mental tasks, like forgetting what numbers are and how they should be used. 7. Misplacing things – A person with Alzheimer’s disease may put things in unusual places: an iron in the freezer or a wristwatch in the sugar bowl. 8. Changes in mood or behavior – Someone with Alzheimer’s disease may show rapid mood swings – from calm to tears to anger – for no apparent reason. 9. Changes in personality – The personalities of people with dementia can change dramatically. They may become extremely confused, suspicious, fearful or dependent on a family member. 10. Loss of initiative – A person with Alzheimer’s disease may become very passive, sitting in front of the TV for hours, sleeping more than usual or not wanting to do usual activities. If you or someone you know is experiencing these symptoms, consult a physician today. Early and accurate diagnosis of Alzheimer’s disease or other dementia is an important step to getting the right treatment, care and support. Evidence suggests that early diagnosis and subsequent treatment can help slow the progression of symptoms. Where to Turn for Help There are numerous clinics in Wisconsin that specialize in the assessment of memory loss. Many of them are affiliated with the Wisconsin Alzheimer’s Institute (WAI), a center within the University of Wisconsin-Madison School of Medicine and Public Health. These clinics follow a diagnostic protocol based on best practice models suggested by the WAI, and utilize an inter-disciplinary team of professionals, which guides the patient and their family through each phase of the assessment process. The team can include a physician, a psychologist, a nurse, and a social worker or another specialist in dementia care. The physician (usually a neurologist or gerontologist) completes a medical history and physical exam possibly including xrays and/or lab testing. The psychologist or nurse works with the patient to evaluate memory, thinking, and mood. A social worker meets with the patient’s family to complete a social history and provides additional one-on-one support. Sources: “Ten Warning Signs” brochure (©Alzheimer’s Association 2005), and Southeastern Wisconsin Chapter newsletter (Winter 2006).
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MHL SEPTEMBER 2017
RETIREMENT
ARE BABY BOOMERS FORGETTING SOMETHING Many Don’t Realize It Until They Stop Working Most people have some kind of lifestyle vision for retirement. Unfortunately, without proper planning their dreams won’t always become a reality as they enter the encore time of their lives, says Michael Bivona, a certified public accountant who retired almost 20 years ago. “I had a simple plan: When I stopped working I planned on living on my 42-foot Chris Craft cruiser with my wife, Barbara, which was a very pleasant pastime during my busy working years,” he says. “But, after a few weeks, as we tried to make our dream a reality we found that we were bored out of our minds. “Pre-retirees and retirees are rightly concerned about whether they can afford retirement. But not having enough to do is another kind of deficit that is frequently overlooked until it’s too late,” says Bivona, author of the book “Retiring? Beware!! Don’t Run Out of Money and Don’t Become Bored” (www.michaelbivonabooks. com). He offers possible avenues to explore for a fulfilling retirement lifestyle. • Develop a social network with senior civic centers. Civic centers, which usually have a department dedicated to the betterment of the senior citizens who live in their areas, can be found in almost every municipality in the United States. These centers offer a wide range of activities. Additionally, the following online search, “Fun Activities for Senior Citizens,” offers a nice list of activities and associated details that can be explored prior to retiring. • Try on a pair of dancing shoes. For some, the thought of dancing may elicit a strong sense of aversion, but you mayfor want try it “Spring anyway.into TheWellness” benefits include Come to Milwaukee Catholic Home ourtoannual Health exercise, coordination and possibly enjoying a romantic hobby with spouse or Fair on Thursday, March 16th from 10 am - 3 pm at 2462 N. Prospectyour Avenue. The others. Dancing is a beautiful art form that gives participants something with which event includes free health screenings such as blood pressure checks, diabetes testto challenge themselves, Bivonaand says. A exams, goal-oriented is a healthy ing, cholesterol pre-screenings, eye as wellmindset as massages, reiki, one doorespeand cially when approaching the encore years. raffle prizes, goodie bags, and more! Contact Linda Cardinale at 414.220.3216 or • Make the most of your travels. Traveling is amore. common bucket list item for most lcardinale@milwaukeecatholichome.org to learn retirees. Of course, it’s going to cost you. That’s why this is a subject that perfectly combines the two great concerns for retirement: money and purpose, both of which can be maximized with “research, research, research, Bivona says. You might even parlay traveling with another interest, such as your family history. You may learn about your roots at www.Ancestory.com, and then visit areas based on your research. Or, you may be more interested in stretching your dollar. There are many cost effective deals to be had by researching your heart’s desire on the internet. • Stay sharp and keep learning. The mind is much like the body: If you don’t use it you will accelerate the process of losing it. Building bridges to new adventures is the key to maintaining your mental acuity and increasing your vitality. There are an abundance of educational courses developed for seniors to keep them exercising their mental prowess. Remember, if you started working in your twenties and retire in your sixties, there’s a good chance you’ll spend as many years in retirement as you did working. So building bridges to what you want to do in a rational manner for your encore years is imperative if the last phase of your life is to be enjoyable for you and your love ones. About Michael Bivona Michael Bivona, (www.michaelbivonabooks.com), a certified public accountant, retired from the accounting profession and the computer-enhancement industry. He is an award-winning author and the recipient of the prestigious Long Island University Distinguished Alumni Award, 2007. Among his books published are Business Infrastructure in a Computer Environment and Traveling Around the World with Mike and Barbara Bivona-Part One. He has been interviewed and quoted on Jim Cramer’s The Street; US News & World Reports, Fox Business News; Forbes and many other internet news publications. He lives with his wife, Barbara, on Long Island, N.Y., and in Delray Beach, Fla.
Mark Your Calendar!
“SPRING INTO WELLNESS” HEALTH FAIR
SENIOR<<page 30
140 years old and still turning heads. See what’s new at St. Anne’s. Take a tour of our innovative enhanced assisted living facilities or visit our renovated chapel.
Call 414-463-7570. Caring for people since 1876.
St. Anne’s Salvatorian Campus 3800 N. 92nd Street, Milwaukee 53222 www.stannessc.org SEPTEMBER 2017 MHL
New Name, Same Quality Care our core mission to provide compassionate, high-quality care remains our priority. Taking an active step toward a more united community, we proudly introduce our new name — ovation Communities. united in faith, purpose, care, and now by name: ovation Jewish Home, ovation Chai Point and the recently renovated ovation Sarah Chudnow.
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MINDFULNESS
AGE
Expanding participation to under-represented groups Ex Le Leveraging existing infrastructure developed by ORCAT testin 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 av comp companies to bring new technology to the market, but wit Li#|rxġuh#88./#yroxqwhhu# produ o Li#|rxġuh#88./#yroxqwhhu# product claims. By testing the products in larger groups show dw#d#PSV#hohphqwdu|# show what works and for whom it works, and what might m dw#d#PSV#hohphqwdu|# Oth Other NIH fundersvfkrro#iru#mxvw#<3# 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 of Nursing Research, National Center for Advancing Trans dqg#vhh#d#fklog#vxffhhg1 of Be fdoo=#+747,#553#0#;986# Iru#pruh#of Behavioral and Social Sciences Research. The VA Heal Servi hpdlo=#wxwruClqwhuidlwkploz1ruj# fdoo=#+747,#553#0#;986# Iru#pruh# Service also plans to support the project. ylvlw=#zzz1lqwhuidlwkploz1ruj lqirupdwlrq= Th hpdlo=#wxwruClqwhuidlwkploz1ruj# ylvlw=#zzz1lqwhuidlwkploz1ruj lqirupdwlrq= The wireless CART home A retreat lets our feelings open out and gives us access to both the light and dark corners of Pass our deep feelings. It can bring understanding isn’t of where we are in relationships too. All the cost, great spiritual traditions are about discoverwww.c conc ing ourselves in ways that help us to grow in www.cardinalcapital.us tion happiness and love. “I Independent Residences Serving The Needs O intru Mindfulness Meditation May Benefit to pr Independent Residences Serving The Needs Of Our Communities People With Chronic Insomnia exam Mindfulness meditation—and particucally larly a form designed for insomnia—may allow help people with chronic insomnia and could spee be a viable treatment option, according to a cline recent small study. Results of this NCCIHpriva funded research were published in the joures ca nal Sleep. D Researchers randomly assigned 54 adults ing a with chronic insomnia to participate in one of tion a three groups: 1) mindfulness-based stress resocia duction (MBSR), 2) an adaptation of MBSR beco called mindfulness-based therapy for insomperso nia (MBTI), or 3) an 8-week self-monitorDr. K ing program using sleep diaries. The MBSR A group met for 2.5 hours once weekly for 8 will weeks, and participated in a 6-hour meditato m tion retreat. The weekly meetings included moo meditation practice, general discussion about tal vi Our apartment home at-home meditation, and education on the CA daily applications of meditation. The MBTI CA Our apartment home communities provide a group had the same amount of meditation Kaye practice as the MBSR group, but instead of then a discussion on general health and education communities provide a caring staff, friendly the F on meditation, the MBTI group learned speneighbors, & plenty of of H cific behavioral strategies for insomnia (e.g., caring staff, friendly Inde sleep hygiene, sleep restriction therapy). comforts of home. tiativ Participants in both meditation groups were neighbors, & plenty of resea asked to meditate 30–45 minutes at least 6 A days a week. All three groups completed comforts of home. ers c sleep diaries at the start of the study, at each techn treatment/monitoring week, at the end of the data. study, and at the 3-month and 6-month folof re Cardinal Capital Management lowup. The researchers also measured sleep Hear using wrist monitors and overnight laboratois committed to equal in w ry sleep tests at the start and end of the study housing opportunity & gies and at the 6-month followup. we fully comply with the Olde Findings from the study showed that the abili Federal Fair Housing Act meditation-based treatments (MBSR or Cons MBTI) provided improvement by signifiScien cantly reducing total wake time and pre-sleep N arousal. Both meditation-based therapies think were better than the self-monitoring on each whol of the patient-reported measures. Only one even significant difference was found between time them across the study: the MBTI group had visit a significantly greater reduction in the sever38 MHL MARCH 2017 it wi ity of insomnia compared with the MBSR healt group, and this difference was largest at the 3-month followup.
THE AUTUMN RETREAT
38 MHL MARCH 2017
SEPTEMBER 2017 MHL
HOW TO BEGIN THE SEARCH FOR AN OLDER ADULT RESIDENCE
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SERVING ALL OF WISCONSIN
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By Marlene Heller Very often adult children are the ones to whom the task falls of finding a place for their aging parents to live. As if it isnâ&#x20AC;&#x2122;t already an emotionally difficult job, the terminology is difficult to understand, the choices are confusing, and most residences make comparisons very hard to make. After all, how do you compare a one bedroom extended with services with a plain one bedroom and what does that even mean? Here are a few simple things to keep in mind that will help you get started, and give you an idea of the questions you need to ask. INDEPENDENT OR ASSISTED LIVING? Independent Living is like living on your own in an apartment building. You get no services or nursing care at all; you come and go as you please; you have no special health requirements. Assisted Living means you need help with at least one of the â&#x20AC;&#x153;activities of daily living,â&#x20AC;? or ADLs. They are dressing, feeding, bathing, toileting, and transferring (moving from bed to chair, chair to walker, etc.). In order to be accepted into an assisted living, the nurse manager of the establishment will do an assessment of the prospective resident to determine if the applicant is, indeed, a candidate for assisted living. At the same time, the nurse manager will make sure that the facility will be able to meet his or her needs. RCAC Some facilities are licensed to offer â&#x20AC;&#x153;Ă la cartâ&#x20AC;? assisted living services in an independent living apartment. The resident would pay a fee to be under the nursing services of the residence. The permits them to keep a chart on the resident, speak to the residentâ&#x20AC;&#x2122;s physicians, and document his or her care. The resident can then choose certain other services, which are paid for separately. This is different from true assisted living, in which all the services are included in the rent.
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HOW BIG AN APARTMENT DOES MOM REALLY NEED? This is one of the hardest things to come to terms with. For many people in Wisconsin, this will be the first time they have moved in 52 years. They are used to being in their houses, with so much furniture, and many personal belongings around them. Then they tour an assisted living or independent apartment. If it is as small as a studio apartment -- one room -- they are shocked and dismayed. Even though some of them seem quite spacious, with a small kitchenette, full bathroom, and lovely view out of the windows, it is still quite a difference from what Mom or Dad is used to. But often the reality is that the great big house they are used to is going to waste. Think about what rooms are actually being used. In most cases, it is the bedroom, bathroom, and kitchen. Perhaps one other room as well. It is a good idea to discuss this before starting to tour so the potential resident has a realistic view of what he or she needs when the time comes to look. Then focus on the rest of the building. After all, the many common areas of the building are the rest of your house! Is there a library? You can sit there and read books. A lobby? The perfect place to sit with friends to chat between activities or before dinner. There may be small alcoves with comfortable furniture, or special rooms set aside for games or cozy reading rooms. The point is: the entire building is your home; not just your own apartment. So donâ&#x20AC;&#x2122;t just tour the apartment. Be sure to look at everything as though you will use it all. The same thing applies to the furniture. When was the last time your parents used the full dining room set? If it is something that is used only once a year or less, keep in mind that their new residence will most likely have a private dining room that can be reserved for private parties. In other words, look practically at household possessions. RESIDENCE<<page 55
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MHL SEPTEMBER 2017
MARCH 2017 MHL 47
VISION
MAINTAINING YOUR VISION
Taking good care of your eyes is vital to your overall health and wellbeing. Even if you enjoy good vision now, you need to start or continue to practice good eye healthcare by visiting your eye care professional to have a comprehensive dilated eye exam. Who Performs Eye Exams? An eye care professional is either an optometrist or ophthalmologist. An ophthalmologist is a medical or osteopathic doctor who specializes in eye and vision care. An optometrist is the primary health care professional for the eye. Both professionals are qualified to perform eye exams. Aging and Vision Changes As you age, it is normal to experience some changes in your vision, such as difficulty adjusting to glare, and distinguishing some colors, particularly shades of blue and green. Some common vision problems require glasses or contacts to see clearly and up close. However, these changes can be easily corrected and wonâ&#x20AC;&#x2122;t lead to vision loss or blindness. Remember, vision loss is not a normal part of aging. In fact, you can live an active lifestyle well into your later years without ever experiencing vision loss. How Our Eyes Work To keep our eyes healthy, it helps to know the different parts of the eye. There are
many different parts of the eye that help create vision. Cornea. Light passes through the cornea, the clear, dome-shaped surface that covers the front of the eye. The cornea bends or refracts the light coming into the eye. Iris. The iris is the colored part of the eye. It controls the amount of light that enters the eye through an opening called the pupil. Pupil. The pupil is the opening in the iris. The iris adjusts the size of the pupil and controls the amount of light that can enter the eye. Lens. The lens is a clear part of the eye that focuses light coming into the eye. The lens is behind the pupil and fine tunes the image that reflects onto the retina. Retina. The retina is a thin, delicate, light-sensitive tissue that lines the inside of the eye. It converts light into electrical signals and sends them to the optic nerve. Optic nerve. The optic nerve is a bundle of about one million nerve fibers that carries electrical signals from the eyes to the brain. The brain interprets these signals, allowing us to see. Macula. The macula is the most sensitive part of the retina. It provides the sharp, central vision we use for activities such as reading and watching television. Tips for Healthy Eyes Your eyes are an important part of your health. There are many things you can do to keep them healthy and make sure you are seeing your best. Follow these steps for maintaining healthy vision well into your later years. Eat a Healthy Diet Eating a healthy balanced diet is important for your overall health and wellbeing. A diet rich in fruits and vegetables, particularly dark leafy vegetables such as spinach, kale, or collard greens can help to keep your eyes healthy and disease free. Research has also shown there are eye health benefits from eating fish high in omega-3 fatty acids, such as salmon, tuna, and halibut. Maintain a Healthy Weight Being overweight or obese increases your risk of developing diabetes. This increases your risk of developing diabetic retinopathy or glaucoma, which can eventually lead to vision loss. Wear Sunglasses Sunglasses are a great fashion accessory, but their most important job is to protect your eyes from the sunâ&#x20AC;&#x2122;s ultraviolet rays. The best sunglasses are those that block out 99 to 100 percent of both UV-A and UV-B radiation. Sun exposure is associated with developing cataract and age-related macular degeneration Wear Protective Eye Wear Wear protective eyewear such as goggles and safety glasses, shields, and eye guards when playing sports or doing activities around the house. plastics.
SEPTEMBER 2017 MHL
MHL SEPTEMBER 2017
Healthy AgingBONE HEALTH HEALTHY AGING
HOW TO FEEL YOUNG AND LIVE LIFE TO THE FULLEST But itâ&#x20AC;&#x2122;s important to find ways to reach out and connect to others. Loneliness and isolation are major threats to aging well. Having people you can turn to for company and support is a buffer against depression, disability, hardship, and loss. The good news is that there are lots of ways to be with other people. It doesnâ&#x20AC;&#x2122;t matter what you do, so long as you get out of the house (if possible) and socialize: Connect regularly with friends and family. Spend time with people you enjoy and who make you feel upbeat. It may be a neighbor who you like to walk with, a lunch date with an old friend, or shopping with your children. Even if you are not close by, call or email frequently to keep relationships fresh. Make an effort to make new friends. As you lose people in your circle, it is vital to make new connections so your circle doesnâ&#x20AC;&#x2122;t dwindle. Make it a point to befriend people whoProtecting are younger than Younger friends reenergize youryou. bone health is can easier than you youand help you see life from a fresh perspective. think. Understand how diet, physical activity and Spend time with at least one person every day. You shouldnâ&#x20AC;&#x2122;t be alone day after other lifestyle can affect your bone mass day. Phone or email contact isfactors not a replacement for spending time with other people. Regular face-to-face contact helps you ward off depression and stay positive. 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
enrich and expand your life. Volunteering is a natural way to meet others interested in similar activities or who share values. Evenabout, if youâ&#x20AC;&#x2122;re can Bone health is something few similar aging adults worry buthousebound, they should. you Women get involved by volunteering on the phone. in particular. Unfortunately, after menopause, womenâ&#x20AC;&#x2122;s bones are extremely vulnerFind support groups in times If you a loved one is coping with able to bone loss, and their risk of of change. developing the or disease increases with age. Thea chronic illness or recent loss, it can be very helpful to participate in a support group loss of bone density not only results in frailty, but it increases the chances of serious with others undergoing the same challenges. breaks and fractures. Healthy aging: Tips for ng health vitalityissue for women in the years leading up to While this certainly is aboosti critical Donâ&#x20AC;&#x2122;t fall forafterwards, the myth that agingInstead automatically meansweyouâ&#x20AC;&#x2122;re goingintokeepfeel menopause and at Home Senior Care firmlynot believe good anymore. It is that aging involves physical it doesnâ&#x20AC;&#x2122;t havetips to ing bones healthy at true any age, for both men and women.changes, Here arebut some of the best mean discomfort disability. While all illness pain is avoidable, many of the we know to help and prevent or slow downnot bone densityorloss: physical challenges associated withtoaging can be overcome or drastically mitigated ¡ Get Your Calcium: According the National Institute of Health, women over ageeating 50 should 1,200 daily. Men between the ages of 51 and 70 should by right,consume exercising, andmg taking care of yourself. consume 1,000 day, andNo menmatter over 70 should consume mg per day. This Itâ&#x20AC;&#x2122;s never toomg latea to start! how old you are or 1,200 how unhealthy youâ&#x20AC;&#x2122;ve can be by caring eating for calcium-rich such as low-fat products; orange been in done the past, your bodyfoods has enormous benefitsdairy that will help you stay juice, cereals, foodsboost fortified calcium; darkmanage green, health leafy vegetables active, sharpenand yourother memory, yourwith immune system, problems, like broccoli greens; sardines and salmon bones; soybeans, and nuts, and increase and yourcollard energy. In fact, many older adultswith report feeling better than ever and taking calcium supplements. because they are making more of an effort to be healthy than they did when they ¡ And Your Vitamin D: Vitamin D helps the body absorb calcium, but many peowere younger. ple,Healthy especially seniors, donâ&#x20AC;&#x2122;t enough exposure aging: Tips for eatiget ng well as you age to sunlight to fill their Vitamin D requirement. Also, as we grow older, our need foralong vitamin increases. People ages As you age, your relationship to food changes withDyour body. A decreased 51 to 70 should consume at least 600 international units (IU) of vitamin D daily. metabolism, changes in taste and smell, and slower digestion may affect your appePeople 70can should consume at least 800processes IUs daily.food. HelpThe the key sunshine do its tite, theover foodsage you eat, and how your body is to figure job by consuming foods like herring, sardines, salmon, tuna, liver, eggs, and fortified out how to adapt to your changing needs. Now, more than ever, healthy eating is milk and foods. Also, your talk to your and doctor about how much D you should be getting important to maintain energy health. (itâ&#x20AC;&#x2122;s possible to get too much) and whether a supplement. Load up on high-fiber fruits, vegetables,you and should whole take grains. Your whole digestive ¡ Enjoy Physical Activities: Even just 30 minutes of physical activity can system is slower, so fiber is very important. Consume fiber-rich foods suchaasday whole help keep your bones strong. Making time now for exercise, whether itâ&#x20AC;&#x2122;s walking, grains, fruit, and vegetables. They will help you feel more energetic and give you dancing, stairgoing. climbing, gardening, or yoga could prevent fractures and breaks later. fuel to keep Take a Bone overand agetaste 65 and all men 70 should have Put effort intoDensity makingTest: yourWomen food look good. Yourover tastebuds arenâ&#x20AC;&#x2122;t as an annual bone density test, which assesses bone health and the risk of fractures. strong and your appetite may not be the same, but your nutritional needs are just as Medicare and many insurers eligible important as ever. If private you donâ&#x20AC;&#x2122;t enjoycover eatingthis likesafe, youpainless used to,test put for a little morepeople. effort ¡ Talk to Your Doctor about Medications: If youâ&#x20AC;&#x2122;re concerned about bone loss, into your meals, including the way you flavor, prepare, and present your food. your doctor able to prescribe something to slow it down, improve density and Watch outmay for be dehydration. Because of physical changes, older adults are more lessen the risk of fractures. prone to dehydration. So make sure you are drinking plenty of fluid, even if you ¡ Kick the Habits: Smoking and heavy alcohol use can decrease bone mass and donâ&#x20AC;&#x2122;t feel thirsty. If youâ&#x20AC;&#x2122;re not getting enough water, youâ&#x20AC;&#x2122;re not going to be as sharp increase the chance of fractures. and your energy will suffer. For more information about the well-being of seniors and those who care for Make meals a social event. Itâ&#x20AC;&#x2122;s more enjoyable to eat with others than alone. Invite them, please contact Home Instead Senior Care at 414-882-5464. people over. You can share cooking and cleanup duties.
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MEMORY<<page 31 Signs of MCI include misplacing things often, forgetting to go to important events and appointments, and having trouble coming up with desired words. Family and friends may notice memory lapses, and the person with MCI may worry about losing his or her memory. These worries may prompt the person to see a doctor for diagnosis. Researchers have found that more people with MCI than those without it go on to develop Alzheimer’s within a certain timeframe. However, not everyone who has MCI develops AD. Studies are underway to learn why some people with MCI progress to AD and others do not. There currently is no standard treatment for MCI. Typically, the doctor will regularly monitor and test a person diagnosed with MCI to detect any changes in memory and thinking skills over time. There are no medications approved for use for MCI. Dementia. Dementia is the loss of thinking, memory, and reasoning skills to such an extent that it seriously affects a person’s ability to carry out daily activities. Dementia is not a disease itself but a group of symptoms caused by certain diseases or conditions such as Alzheimer’s. People with dementia lose their mental abilities at different rates. Symptoms may include: Being unable to remember things Asking the same question or repeating the same story over and over Becoming lost in familiar places Being unable to follow directions Getting disoriented about time, people, and places Neglecting personal safety, hygiene, and nutrition Two of the most common forms of dementia in older people are Alzheimer’s disease and vascular dementia. These types of dementia cannot be cured at present. In Alzheimer’s disease, changes to nerve cells in certain parts of the brain result in the death of a large number of cells. Symptoms of Alzheimer’s begin slowly and worsen steadily as damage to nerve cells spreads throughout the brain. As time goes by, forgetfulness gives way to serious problems with thinking, judgment, recognizing family and friends, and the ability to perform daily activities like driving a car or handling money. Eventually, the person needs total care. In vascular dementia, a series of strokes or changes in the brain’s blood supply leads to the death of brain tissue. Symptoms of vascular dementia can vary but usually begin suddenly, depending on where in the brain the strokes occurred and how severe they were. The person’s memory, language, reasoning, and coordination may be affected. Mood and personality changes are common as well. It’s not possible to reverse damage already caused by a stroke, so it’s very important to get medical care right away if someone has signs of a stroke. It’s also important to take steps to prevent further strokes, which worsen vascular dementia symptoms. Some people have both Alzheimer’s and vascular dementia. Treatment For Dementia A person with dementia should be under a doctor’s care. The doctor might be a neurologist, family doctor, internist, geriatrician, or psychiatrist. He or she can treat the patient’s physical and behavioral problems (such as aggression, agitation, or wandering) and answer the many questions that the person or family may have. People with dementia caused by Alzheimer’s disease may be treated with medications. Four medications are approved by the U.S. Food and Drug Administration to treat Alzheimer’s. Donepezil (Aricept®), rivastigmine (Exelon®), and galantamine (Razadyne®) are used to treat mild to moderate Alzheimer’s (donepezil has been approved to treat severe Alzheimer’s as well). Memantine (Namenda®) is used to treat moderate to severe Alzheimer’s. These drugs may help maintain thinking, memory, and speaking skills, and may lessen certain behavioral problems for a few months to a few years in some people. However, they don’t stop Alzheimer’s disease from progressing. Studies are underway to investigate medications to slow cognitive decline and to prevent the development of Alzheimer’s. People with vascular dementia should take steps to prevent further strokes. These steps include controlling high blood pressure, monitoring and treating high blood cholesterol and diabetes, and not smoking. Studies are underway to develop medicines to reduce the severity of memory and thinking problems that come with vascular dementia. Other studies are looking at the effects of drugs to relieve certain symptoms of this type of dementia. Family members and friends can help people in the early stages of dementia to continue their daily routines, physical activities, and social contacts. People with dementia should be kept up to date about the details of their lives, such as the time of day, where they live, and what is happening at home or in the world. Memory aids may help. Some families find that a big calendar, a list of daily plans, notes about simple safety measures, and written directions describing how to use common household items are useful aids. What You Can Do If you’re concerned that you or someone you know has a serious memory problem, talk with your doctor. He or she may be able to diagnose the problem or refer you to a specialist in neurology or geriatric psychiatry.
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HEARING
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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.
Since we’re a nonprofit, every purchase you make supports other kids and families with hearing loss. HEAR Wisconsin 10243 W National Ave West Allis, WI 53227
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• You ask people to repeat themselves. • Difficulty hearing the television or voices over the phone.
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WHAT IS HEARING LOSS? Hearing loss is a common problem caused by noise, aging, disease, and heredity. Hearing is a complex sense involving both the ear’s ability to detect sounds and the brain’s ability to interpret those sounds, including the sounds of speech. Factors that determine how much hearing loss will negatively affect a person’s quality of life include the degree of the hearing loss the pattern of hearing loss across different frequencies (pitches) whether one or both ears is affected the areas of the auditory system that are not working normally—such as the middle ear, inner ear, neural pathways, or brain the ability to recognize speech sounds the history of exposures to loud noise and environmental or drug-related toxins that are harmful to hearing age. A Common Problem in Older Adults Hearing loss is one of the most common conditions affecting older adults. Approximately 17 percent, or 36 million, of American adults report some degree of hearing loss. There is a strong relationship between age and reported hearing loss: 18 percent of American adults 45-64 years old, 30 percent of adults 65-74 years old, and 47 percent of adults 75 years old, or older, have a hearing impairment. Men are more likely to experience hearing loss than women. Hearing loss comes in many forms. It can range from a mild loss in which a person misses certain high-pitched sounds, such as the voices of women and children, to a total loss of hearing. It can be hereditary or it can result from disease, trauma, certain medications, or long-term exposure to loud noises. There are two general categories of hearing loss. Sensorineural hearing loss occurs when there is damage to the inner ear or the auditory nerve. This type of hearing loss is usually permanent. Conductive hearing loss occurs when sound waves cannot reach the inner ear. The cause may be earwax build-up, fluid, or a punctured eardrum. Medical treatment or surgery can usually restore conductive hearing loss. What is Presbycusis? One form of hearing loss, presbycusis, comes on gradually as a person ages. Presbycusis can occur because of changes in the inner ear, auditory nerve, middle ear, or outer ear. Some of its causes are aging, loud noise, heredity, head injury, infection, illness, certain prescription drugs, and circulation problems such as high blood pressure. Presbycusis commonly affects people over 50, many of whom are likely to lose some hearing each year. Having presbycusis may make it hard for a person to tolerate loud sounds or to hear what others are saying. Tinnitus: A Common Symptom Tinnitus, also common in older people, is a ringing, roaring, clicking, hissing, or buzzing sound. It can come and go. It might be heard in one or both ears and be loud or soft. Tinnitus is a symptom, not a disease. It can accompany any type of hearing loss. It can be a side effect of medications. Something as simple as a piece of earwax blocking the ear canal can cause tinnitus, but it can also be the result of a number of health conditions. If you think you have tinnitus, see your primary care doctor. You may be referred to an otolaryngologist -- a surgeon who specializes in ear, nose, and throat diseases -- (commonly called an ear, nose, and throat doctor, or an ENT). The ENT will physically examine your head, neck, and ears and test your hearing to determine the appropriate treatment.
STRAIGHT<<page 19 media can be a platform to share truth, but this is not what is happening (2). It is actually isolating people further from each other. It is debasing what is truly important and adding superficiality to our collective consciousness. Individuation is hard work. It feels like a death because the act of discriminating who we really are, requires a death of who we think we are. Sometimes we are so vested in the latter, (our conditioned or adapted self) that we fight against transforming. Many organize their lives around the adapted self. It often takes a crisis to create the portal for breakthrough. It is time for us to create a container to offer assistance through the thresholds of life. Our greatest impediment to not acknowledging the need to individuate is how we are conditioned to normalize the value we place on persona. The truth of our True Nature, our authentic self, is elusive like the goddess Veritas. Eastern wisdom acknowledges the importance of living from here, and in midlife, we feel an urgency to seek a way back to this place within. Sometimes this is catalyzed by what we call a ‘midlife crisis’ when an illness, a loss, a divorce, or a trauma changes us unalterably and activates the seeker in us who seeks only for what is meaningful. We must follow the truth that lives inside of us, beneath the expectations and projections of society. Living from here is also where our integrity lies. The process of individuation may be the precise antidote for our ailing time. When we recognize the value of becoming authentic, we become seekers of our truth. We look for signs, recognize synchronicities (3) and look for guidance. We begin to live consciously in a state of ‘awakeness’. We slough off toxic relationships, meaningless jobs, attachments to materialism, and begin to live from joy, contentment and meaning. We also become authentically available to each other. This has intrinsic value. It is a powerful buffer from stress and evokes resilience. To access this authentic place requires consciousness. It serves as a bridge between our egoic self and our True Nature. So next time you feel overwhelmed by the state of the world, or stressed by events that lack intrinsic meaning, bring consciousness to who and what you authentically are and create an intention to align with your authentic self. Discovering your True Nature will be your harvest and I promise you, you will never feel alone, or leave another alone again in their life’s journey. Links: (1) https://www.forbes.com/sites/glennllopis/2013/03/11/7-ways-to-value-yourself-beyond-social-media/#660a33b47b67 (2) https://www.psychologytoday.com/blog/nurturing-self-compassion/201703/ mental-health-and-the-effects-social-media (3) https://en.wikipedia.org/wiki/Synchronicity ©Sept 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
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walk deliberately about 10 yards. This simulates the very familiar task of carrying groceries, luggage, and other similar tasks. Medball Thruster: Choose a medicine ball that is 6-12 lbs in weight. Hold the medball and squat down with it; in a controlled manner, stand back up and press the ball overhead. This can also be done with heavier dumbbells or a barbell for more advanced lifters; repeat for 5-10 repetitions; excellent for total body strength and improving shoulder health. Medball Slam with Up/Down: Holding a medicine ball that is 6-12 lbs, reach it overhead and throw it down to the ground with force. Let the ball settle on the floor, place your hands on it and step back (or jump back) to a PUPP (push-up plank position); return to standing by stepping or jumping back towards the ball and standing up with the ball; repeat for 5-10 repetitions; excellent for total body conditioning. Split Squat with MB Twist and OH Reach: Holding a medicine ball that is 6-12 lbs in weight, assume a split squat position. With the ball held slightly out from the body, twist gently from side to side and then reach the ball overhead; repeat for 8 repetitions on each leg --- great for building leg strength, core stability, and improving thoracic mobility and overhead mobility. Sarah Walls has over 15 years experience in coaching and personal training. Owner of SAPT Strength & Performance Training, Inc, founded in 2007, she offers coaching to develop athletes, adult programs, team training, online coaching, and more. She is also the strength and conditioning coach for the WNBA’s Washington Mystics, and has over eight years of experience working as an NCAA D1 strength and conditioning coach and personal trainer. To learn more, visit the site: www. saptstrength.com. SAPT Strength & Performance Training, Inc. SEPTEMBER 2017 MHL
26 MHL MARCH 2017 MHL SEPTEMBER 2017
AGING
AGE GRACEFULLY with the Ancient Wisdom of Yoga and Ayurveda By Meg Logan, RYT 500, Yoga Therapist, AHC Intern Being healthy is a priority for most people these days and especially for the 40+ plus crowd who are always looking for new ways to stay vital and active. As Americans continue to explore the world of alternative health, the saying
“what’s old is new again” comes to mind. Thanks to New Age guru Deepak Chopra and television personality Dr. Mehmet Oz, the 5,000 year old interrelated wellness practices of Yoga and Ayurveda are gaining ground. If keeping young and healthy is important to you, then you may want to learn the secrets of these ancient healing sciences and how they can support your health and well-being. Ayurveda translated as the “Science of Life” supports health and prevents disease by balancing your mind, body and spirit through the elements of nature. Its philosophy believes there are 3 body life energies - Kapha, Pitta and Vata - or Doshas that blend to create your unique physical and mental makeup and overall health. Wrong food, bad sleeping habits, physical and mental strain, negative emotions can make life more unnatural for you. Ayurveda guides you toward lifestyle habits that help you stay balanced as it has done since ancient times. The philosophy of Ayurveda believes your digestive health sets the tone for the health of the rest of the body and mind. Food, herbs and spices are thought of as medicine and are used along with aromatherapy, bodywork, meditation, breath exercises, and ‘asana’ or yoga postures to address imbalances and improve well-being. Yoga, more popular and familiar in the Western culture, can be a practical and comfortable entry point into these ancient sciences. Millions of Americans who took their first yoga class discovered it wasn’t that hard or scary. While many people believe yoga is only for the young and flexible, its benefits are for people of all ages, especially mid to late lifers. In addition to warming up the joints and muscles, Yoga can help with pain relief, stress reduction, mind body connection, balance, and inflammation which is the root cause of most disease and a host of other age-related issues. Yoga is also a great way to improve your overall fitness and sense of wellbeing. You don’t have to do difficult postures to get the benefits of Yoga. Simply concentrating and focusing on the breath alone is a great way to calm and relax the nervous system, reducing and slowing the aging process. Healthy aging starts with awareness. Yoga and Ayurveda, both encompass a deep understanding of how the mind body work together optimally to create a whole being with body and mind united in good health. These ‘sister sciences’ can help you live your life with health and grace. No one knows your body as well as you. If you are feeling a lack of harmony and balance in your life, you might want to consider giving Yoga and Ayurveda a try. Incorporate more wellness into your daily life through a variety of Yoga and Ayurveda class series that are part of a new “Live YOUR Balance” program especially for individuals like you at Kanyakumari Ayurveda and Yoga Wellness Center. Details can be found at http://www.kanyakumari.us/#!community-trainings/c1xej.
final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1
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EVENTS<<page 7
THE BASICS OF SENIOR DOWNSIZING
by Compost Crusaders and Blue Ribbon Organics. Food and organics will be processed at our Milwaukee Metropolitan Sewerage District (MMSD) food grinding stations. Mixed recycling will be handled by Advanced Disposal and any traditional landfill waste will be sent to the waste-to-energy plant at Covanta, resulting in 100 percent diversion from landfills. Eco-Champs provide eco-education Rock the Green is hosting local environmental non-profits to showcase environmental education to event attendees in the Eco-Champs area, including: Beevangelist, Clean Wisconsin, Friends of Hank Aaron, Interfaith Earth Network, Milwaukee Bike Collective, MMSD, Milwaukee Riverkeeper, Reflo Sustainable Water Solutions, Respect Our WatersSweet Water, Teens Grow Greens, Urban Ecology Center, WasteCap, Wisconsin Clean Cities, Surfrider Foundation and Groundworks MKE. All banner material is made from high-density polyethylene HDPE, which reduces the carbon footprint of the signage by 80 percent. Big Systems of Milwaukee used a large format sign take-back program offered by HP Eco Solutions to recycle the banners. Rock out with eco-friendly water options A Rock the Green ticket includes a free, refillable aluminum water can from Canned Water 4 Kids. Free and freshwater stations from Badger Meter using filtered municipal water will be located throughout the event, and no plastic water bottles will be sold. Reed Street Yards, the location partner of Rock the Green, contains a state-of-theart water filtration demonstration project. This water feature pumps dirty canal water through a Watertronics Portable Ultra-Filtration unit, aerates it through a series of cascading streams and delivers clean water back into the Menomonee Canal, cleanReducing the amount of furnishings and personal items for a ing 15,000 gallons of water each day. Light it up with can alternative power ng sources senior move be a daunti task, but with the proper prepaThe festival is powered by a combination of B20 biodiesel generators, solar power ration and moving ďŹ rm, a senior move can be completed in a and bicycle power. LED products are being used to both minimize stage lighting timely, stress-free energy consumption and fashion. power the video screen. An LED Jumbotron, provided by Mindpool Live, will project the live musical performances in addition to environSenior citizens account for 50 percent of the residential moves mental education videos from festival partners. LED lights will be provided after currently on the energy housing market, and moving ďŹ rms oďŹ&#x20AC;ers senior sundown to minimize consumption. The festival generators fueled by bio-diesel in the stages and interactive arservices foruses seniors moving into downsized living quarters. eas. WE Energies is the presenting sponsor of the behind-the-scenes Zero Waste Tour that attendees can take at the festival to learn about its eco-friendly production
practices. The Pedal Power Stage Presented by Responsible Battery Coalition will be run on â&#x20AC;&#x153;Reducing amountby oflocal furnishings personal items can Stage be a daunting task, bicycle powerthe supplied cyclingand teams. The Eco-Kids will be powered but with the proper preparation and moving firm, a senior move can be completed by solar energy brought to the festival by Arch Electric. in aTest timely, fashion,â&#x20AC;? says Tony Baumer, owner of BD Movers. out stress-free greener transportation With a 21-year track in the moving and storage There are a variety ofrecord eco-friendly options available forindustry, attendingBD theMovers festival. A offers senior citizens advice and complete references from handy men, charifree bike valet is provided by the Milwaukee Bicycle Collective. BublrtoBike share ties, even CPAâ&#x20AC;&#x2122;s and elder lawyers. A senior move can be daunting, but with the stations are located throughout the city, with a location next to the festival grounds correct planning strategy, Way, downsizing is another step in the life process, at 2nd Street andand Freshwater in addition to Milwaukee County Transitadds System Baumer. stops throughout Walkerâ&#x20AC;&#x2122;s Point. New this year, festival parking will be provided at Oregon Street and 3rd Street, - Create downsizing task in listadvance one to three months in advance. which can senior be purchased for $12 at rockthegreen.com or for $20 at the Get the family involved in the senior move. If you need help, hiringrefestival. Various ride-share programs, like ZimRide.com, can helpconsider festivalgoers aduce senior move manager. emissions by carpooling. New Uber users can travel to the festival and receive - Designate items be moved, sold or given away. Decide on the item the a discount using thethat codewill FALL2017. senior will want to keep, and into the new senior home. The festival will run fromwill 2 tofit11 p.m., and features acts Reyna, Baio, Mondo Be prepared to provide list of inventory to mover, legal docuCozmo, Barns Courtney, Girls Rock Milwaukee, Evanincluding Christianany Band, Devil Met mentation, regarding power of attorney, etc. if applicable. For instance â&#x20AC;&#x201C; if the Contention, Klassik, Dâ&#x20AC;&#x2122;Amato and headliner Ben Harper & The Innocent chilCrimidren nals.are handling the senior moving details, they should show they have authority to do so. are $50 for general admission (free to children 10 and younger) and $100 Tickets Sell you canwhich at auction, online or a yard sale. Some items may havefood valueand for VIPwhat admission, includes premium viewing, nearby restrooms, that can help defray senior moving expenses. beverage amenities and mini-spa treatments. -Stay Donate the reston to all reputable charity. formedia: senior tax purposes. If up-to-date things Rock theKeep Greenreceipts on social the furniture is still in good condition, a seniorâ&#x20AC;&#x2122;s sofa or dining room table may be Facebook: RocktheGreen a godsend to a family that needs furniture. Twitter: @rtgMKE - A senior move is not a â&#x20AC;&#x153;self move. A senior move takes the efforts of many Instagram: @rockthegreen people, family and professionals, to make it go smoothly. Visit www.rockthegreen.com for tickets and more information. - To save on cost, pack as much as the senior and their family can do themselves. About Rock the Green A mover will provide this service, but packing items is the simplest way to save Rock the Green is a 501(c)3 nonprofit organization dedicated to educating and cost for the senior move. empowering the community to take actionable steps to live sustainably. Rock the - If the senior moving is in their 80â&#x20AC;˛s, and their children are in their 60â&#x20AC;˛s, carrying Green accomplishes its mission through engagement and entertainment. Leveraging heavy furniture should be designated as a senior moving service. Use the movers near-zero waste efforts, Rock the Green produces engaging events with a minimal for heavy items and let family members move lamps and pictures. eco-footprint. Rock the Green educates through example, through spotlighting other Follow BD Movers on Twitter.com @njmovingguy or on Facebook at http:// environmental leaders in communities and by sharing experiences and eco-education www.facebook.com/bdmovers. For more information, call BD Movers at 800-310with our fans. For more information about Rock the Green, go to www.rockthegreen. 0912. com.
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STRAIGHT<<page 19 Sit up straight! This common request may have been how you first heard about posture, the way you hold your body. Posture isn’t just about how you look. How you position yourself can help or hurt your health over your lifetime. “Posture is not only about how well you sit, but how well you move and go about your daily life,” says Dr. George Salem, an NIH-funded researcher at the University of Southern California who studies how movement affects health and quality of life. How you hold yourself when you’re not moving—such as when you’re sitting, standing, or sleeping—is called static posture. Dynamic posture is how you position your body while you’re moving, like walking or bending over to pick something up. “It’s important to consider both static and dynamic components of posture,” Salem says. Posture can be affected by many things: your age, the situations you find yourself in, and your daily choices. For instance, children may have to adjust to carry heavy backpacks to school. Pregnant women move differently to accommodate growing babies. Your posture involves your musculoskeletal system. This includes your bones, muscles, joints, and other tissues that connect the parts of your body together. It’s what provides form, support, stability, and movement to your body. How you hold yourself can either align or misalign your musculoskeletal system. Throughout life, this system must adapt to the type of work you do, the hobbies you enjoy, how you use electronic devices, injuries, and even the kind of shoes you wear. You may think that sitting with slumped shoulders or bending at your back instead of your knees sometimes won’t hurt you. But small changes in how you hold yourself and move can add up over a lifetime. Years of slouching wears away at your spine to make it more fragile and prone to injury. Holding your body and moving in unhealthy ways often leads to neck, shoulder, and back pain. In any 3-month period, about 1 in 4 adults in the U.S. has at least 1 day of back pain. Poor posture can also decrease your flexibility, how well your joints move, and your balance. It can impact your ability to do things for yourself and increase your risk for falls. Slumped posture can even make it more difficult to digest the food you eat and breathe comfortably. Some research suggests a link between posture and mental health as well. “Someone with depression may appear more closed in, curved, and tend to look down,” says NIH physical therapist Dr. Cris Zampieri. “When people feel anxious, they may raise their shoulders.” Scientists are now exploring the connections between posture and how we think and process information in the brain. Our bodies change as we age. These natural changes make it especially important for older adults to maintain good posture, strength, flexibility, and balance. “Older adults tend to adopt a progressively hunched posture,” says Salem. “When shoulders continue to round forward over time, it creates excessive loading on the shoulder joint. This can create injury and limit the independence of older adults.”
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RESIDENCE<<page 44 There is a new industry of senior relocation services that has been created specifically to help aging adults prepare to leave their long-time homes and move into smaller residences. These experts will look at both the new space and the old and, for a fee, help to make the tough decisions about what to bring and what to leave. They are experienced in knowing what will fit, what is necessary, what is an emotional need, and how to make it all happen. In addition, these transition services will also pack your boxes, arrange for movers, unpack your boxes, help you decide where things go, and, if you like, do it all while you’re out grocery shopping for your new apartment! What should I be looking for? When you start comparing residences, think about what is important to the person who will be living there. What does he or she like to do? If it’s swimming, look for an indoor swimming pool. If it’s exercise, check out the fitness room. If it’s exercise, find out what kind of exercise schedule they have. Are there yoga classes? Zumba? Brain exercises? What about outings? Are there regular trips to the grocery store? What kind of entertainments do they have, and are they free? Check out the amenities. Do the apartments include laundry facilities? Where are they? Are they free? Is there parking on the premises? How long are the hallways? If it is a long walk from apartment to elevator, are there benches along the route? Is there a hair salon on the premises? A bank? What about a library, a gift shop or a sundry shop? Do the apartments come equipped with emergency pull cords in the bathrooms and bedrooms? Do they offer emergency pendants, or will they facilitate the rental of one for you? Can you try the food before you make a decision? Once you decide which of these answers is important to you, you and your parent can compare the residences and decide which new home is the right one. SEPTEMBER 2017 MHL