Nov 2012 MHL

MHL

NOVEMBER 2012 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Redefining SELF-CARE as a Core Value

Staying Balanced DURING THE FALL SEASON

Healthy Aging Edition

HOLIDAY GUIDE PREVIEW

CAN WE PREVENT AGING

Tips To Bust

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

Editor’s Note Winter is just around the corner and we all need to alter our health regimens accordingly. It can be so easy to stay in and rent a movie, over indulge in heavy, high calorie foods (Thanksgiving), exercise less. You can always make healthier, hearty foods (lots of cookbooks at the library or recipes on the Internet) and maybe you should try a new exercise regimen to keep you stimulated instead of the same old routine. Sometimes trying something new is exciting and I think that’s a good thing to do when it’s cold and dreary outside.

Even my kids are having to adjust to the weather and their routines. My daughter is hitting the gymnastic arena...while my son is waiting for the indoor soccer practice to start. They are both longing for the summer days where they can play outside, bike, have water balloon fights, etc. One way or another our family finds a way to stay active in fall and winter.

For our Senior readers we have articles on healthy aging throughout the paper. We all need to learn the best ways to stay active, healthy and happy as we grow older (and wiser).

Also, we are keeping up on our Complementary and Alternative medicine articles which you will be seeing a bigger in the upcoming year.

The holidays are sure to keep us all busy. Organizing, attending, participating in everything can make one a bit weary. If you get stressed over all the activity be prepared to set aside time to relax and take care of yourself. We would like to thank all the nice people who contributed to this issue as well as, you our readers, for continuing to stay in touch with us!

I hope you all get to spend time with your family this Thanksgiving. Stay healthy!

MHL

-Amanda Lewis

NOVEMBER 2012 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

NOVEMBER 2012 EDITION

Redefining SELF-CARE as a Core Value

Staying Balanced DURING THE FALL SEASON

Healthy Aging Edition

HOLIDAY GUIDE PREVIEW

MHL Staff

CAN WE PREVENT AGING

Tips To Bust

COMMON WORKOUT EXCUSES

contributers

Berkeley Wellness Letter, John Hopkins Medical Letter, 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, Active Care Rehab, Interfaith Older Adult Services, Jewish Family Services, Laureate Group, Alzheimer Association, Tudor Oaks, Luther Haven, HealthWise Chiropractic, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices and American Camp Association

contact

Lewis Media Group Amanda Lewis Malberry Media Marlys Lewis 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 HealthWisc.

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HealthWisc 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.

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

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 NOVEMBER 2012 MHL

FOR YOUR

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The workshop is free, however, registration is required.

Register online anytime at mywheaton.org/franklin/foryourhealth, or call WheatonDirect at 1-888-994-3286, Monday through Friday, 8 am–4:30 pm.

Wheaton Franciscan Healthcare – Franklin is a full-service inpatient hospital with a 24/7 emergency department and the area’s leading patient satisfaction scores. Tours will be available after the workshop. For more information on hospital services, go to mywheaton.org/franklin.

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Thyroid Disorders...

Your thyroid is a butterfly-shaped gland in your neck, just above your collarbone. It is one of your endocrine glands, which make hormones. The thyroid helps set your metabolism - how your body gets energy from the foods you eat.

Millions of people in the U.S. have thyroid diseases.

Most of them are women. If you have a thyroid disease, your body uses energy more slowly or quickly than it should. A thyroid gland that is not active enough, called hypothyroidism, is far more common.

It can make you gain weight, feel fatigued and have difficulty dealing with cold temperatures. If your thyroid is too active, it makes more thyroid hormones than your body needs. That condition is hyperthyroidism. Too much thyroid hormone can make you lose weight, speed up your heart rate and make you very sensitive to heat.

The thyroid is a small butterfly-shaped gland inside the neck, located in front of the trachea (windpipe) and below the larynx (voicebox). It produces two thyroid hormones - triiodothyronine (T3) and thyroxine (T4) - that travel though the blood to all tissues of the body.

Hyperthyroidism Too much thyroid hormone from an overactive thyroid gland is called hyperthyroidism, because it speeds up the body’s metabolism. This hormone imbalance occurs in about 1 percent of all women, who get hyperthyroidism more often than men.

One of the most common forms of hyperthyroidism is known as Graves’ disease.

This autoimmune disorder tends to run in families, although the exact nature of the genetic abnormality is unknown.

Because the thyroid gland is producing too much hormone in hyperthyroidism, the body develops an increased metabolic state, with many body systems developing abnormal function. (Read more on HYPERTHYROIDISM.) Hypothyroidism Too little thyroid hormone from an underactive thyroid gland is called hypothyroidism. In hypothyroidism, the body’s metabolism is slowed. Several causes for this condition exist, most of which affect the thyroid gland directly, impairing its ability to make enough hormone. More rarely, there may be a pituitary gland tumor, which blocks the pituitary from producing TSH. As a consequence, the thyroid fails to produce a sufficient supply of hormones needed for good health.

Whether the problem is caused by the thyroid conditions or y the pituitary gland, the result is that the thyroid is underproducing hormones, causing many physical and mental processes to become sluggish. The body consumes less oxygen and produces less body heat If you suffer from and underactive or overactive thyroid please consult a physician.

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NOVEMBER 2012 MHL

February 2011 Note

With so many personalities attending what happens if an accident occurs hapdaycare, having more than one group is pens while in their care. It is best to pick a essential. In order to effectively insure a daycare that has a veterinarian on staff or safe and fun experience for the pooches, an association with a veterinarian to endog to counselor ratio is key. Though sure quick treatment if needed. Though experts disagree on the ideal ratio (some every effort is made to avoid any injury saying up to 15 dogs per staff member) at the daycare here, it is a comfort to our the groups at the Forest Home Animal clients to know that the trusted veterinarClinic have always been kept under 10 ians of the Forest Home Animal Clinic dogs per group. If extra attention is need- are just down the hall from where their ed, the groups can be as small as three pet is playing. It is a great convenience dogs to one counselor. A good facility for our clients to be able to have their recognizes that dogs cannot be grouped pets groomed or get a nail trim while in by size alone and that the most impor- daycare but when it matters most is when tant factors to consider are play style and medical care is needed. The staff also comfort level. Making sure that the pet watches close for any symptom that may is comfortable and happy while in day- be out of the ordinary such as; a goopy care is especially important since one of eye, runny stool, or excessive scratching, the greatest benefits to dogs that attend so they can work together with the client is socialization. Being with other dogs and the veterinarians to make sure our and people help to create a more flexible, furry friends are happy and healthy. out-going and well behaved friend.

Doggie daycare is not for every pooch, Another thing that can be found in a but it is a safe option for care when you quality doggy daycare is a routine daily are unable to be with your dog. Daycare Many doctors, chiropractors and physical therapists refer schedule. A daycare’s schedule should keeps dogs from; eating things that can their patients to Foot Solutions in pain reductions and damage always include rest time.

Much like chil-to aid cause intestinal issues, causing improvement shoes and dren,balance dogs respond positively towith a con-ourin supportive your home, suffering from inactivity, sistent routineinserts. and need to rest through- and being uncomfortable around other custom out they or they may become cranky. A dogs or people. It also can teach them to We’ve helped thousands & we can help you! tired pooch is a good pooch but an over follow a daily routine and learn valuable tired dog may be hard to handle. At the manners. When deciding if a daycare is Forest Home Animal Clinic’s daycare right for you and your pet make sure to Pavilions not only is time set aside daily to Mequon rest, tour the facility and ask the hard ques10918 PortHow Washington Rd.spend it’s time? but the counselors also work each day on N. tions. will your dog training the dogs to have good manners.

How are groups separated?

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Forest Home Ave., Franklin, WI 53132, Balance walking clinics and classes starting this Spring.

When choosing a daycare for your (414)425-2340, www.foresthomeanimalfurry children it is important to find out clinic.com

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WHEN THE OWNER’S AWAY THE DOGS WILL PLAY

FOOT PAIN?

staff

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

By Deanna Majkowski includes a doggie daycare alongside these pages that this issue is just bursting with health!

We have something The days are shorter, the weather is veterinary, grooming, and boarding for serand women ages.furry We contact local health professionals everylike month colder, andmen outside time of forallour vices, I have learned that much chiland are restricted. thankful thatSomany to this all issue. friends is severely whathave is contributed dren in daycare the They dogs are thatkeenly attend aware of health concerns for this region (very important).

We stay in touch a high energy dog to do? My five year similar programs are all different and them Labrador so they canMix stayBarin touch you. from I think something old Shar Peiwith Yellow allwith benefit theyou’ll extrafind care.

When here thatthe canbringer help youoflead healthier life. Weahope that you sharepooch this special on (a.k.a. Monkey joyaand choosing daycare for your make issue with friends and family, too. eater of toys) responds by playing with sure that the facility takes steps to acSpeaking of family, I try to keep mine active throughout these cold months. toilet paper, chewing on socks, eating count for each dog’s individual needs.

My children are taking a Tae Kwon Do class 4 times a week. I encourage you my children’s toys, and doing qualifying “Dogs should have the option to be soto try to find something to keep your children active and social. Wheather its laps around the house. For entertain- cial and join in a play group, to sit next gymnastics, dance, sport or just running around in circles, staying active keeps ment he has even resorted to peeing on to a counselor for a little extra attention, the body and mind healthy and developing. the carpet in front me to with see ifSuper I would to beand by myself themselves chewTo usofadults Bowl or Sunday hostingresting, the monthly chase him. Bunco All this is done while I am ing on a Nylabone, investigating someget together this equals food, food and even more food. It’s so important home fromtowork.

Being a veterinary thethat ground, or watching their keep ourself active, so it might bething time on to get gym membership or start professionalwalking I am fortunate to be able to playmates from a distance.” says Cindy the malls again. Stay active!!! I hope you have a wonderful February take my Monkey work with meinso I Anger, Daycare Counselor at the Forest and willtotouch base again March know what he-Amanda is getting in to at all time Home Animal Clinic. High quality faLewis versus coming home to find it. For those cilities require an evaluation be done to of you who do not have that option, my determine each dogs comfort level and suggestion is to enroll your fur child in mode of play. At the Forest Home Anidoggy daycare. Even if your pooch does mal Clinic evaluations are done by the not need extra exercise or supervision, Daycare Manager Jan Coss, a certified February 2011 EDITION stay with me, because there are as many dog trainer with over ten years of expeways dogs benefit from daycare as there rience. New dogs should be introduced are choices of facilities. Working at slowly into the group after being able to the Forest Home Animal Clinic, which explore their new surroundings alone.

publishers editor graphic design

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

foot pain?

contributers

travel editor founder

Just What The Doctor Ordered!

6000, email: info@lewismediagroup.com.

intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenever a health problem arises requiring an expert’s care.

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Lewis Media Group | Malberry Media | www.modernhealthandliving.com MHL NOVEMBER 2012

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

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Life is hectic. Nothing seems to work. Gym memberships are expensive. There is an endless list of reasons to skip a workout or never begin exercising in the first place. With excuses blurring the benefits, getting fit can be an even bigger challenge.

TOPS Club, Inc. (Take Off Pounds Sensibly), the nonprofit weight loss support organization, provides tips to overcome justifications for avoiding physical activity.

“I’m too busy.”

Make working out a priority and it will become routine. The best way to fit physical activity into your day is by setting a schedule and writing it on the calendar. If you don’t have time for an hour of cardio or weight training, take steps to ensure you move during the week – take the stairs, park at the back of the parking lot, do an abdominal workout during commercials. Ten-minute ‘mini’ exercises, such as a brisk walk during the lunch hour, are also useful.

“I feel self-conscious.”

Exercise at home with fitness DVDs and resistance cables. Once you have gained confidence, go outside, join a gym, or take an exercise class. If you want to beat the crowds at the fitness center, go mid-morning or late in the evening, when less people are around.

“I don’t like working out.”

Perhaps running or weight lifting is too monotonous for you. Working out doesn’t have to be something that’s painful or boring. Today’s workout world offers a variety of options to stay fit – yoga, hiking, swimming, dancing, Pilates, recreational sports, and more. Grab a friend and participate in a workout that you enjoy.

“I don’t know how.”

Personal trainers help people tailor their exercises to their ability and the proper intensity level. Whether you want to learn how to cycle indoors, dance, or play a sport, fitness classes with instructors can teach new movements and correct form. The staff at most gyms should be well-versed in their facility’s equipment; don’t be afraid to ask for help.

“I can’t afford a gym membership.”

Although fitness centers have a lot to offer, gym fees can be expensive. Perhaps your community’s local recreation department offers low-cost classes you can participate in. Walking or running outdoors are free, effective activities.

You may even want to consider rollerblading. Fancy equipment isn’t necessary to get in shape – it’s more important to stay active on a regular basis.

“I can’t get motivated.”

Make a list of reasons to workout – to get healthy, boost energy, look better in your clothes, etc. Post the list in a place you look at everyday to remind yourself of your workout ambitions. Friends are also a great place to seek motivation.

WORKOUT>>page 39

MHL NOVEMBER 2012

Well-Being

NOVEMBER 2012 MHL

Redefining Health

NO MORE EXCUSES:

Redefining SELF-CARE as a Core Value

10 MHL NOVEMBER 2012

By Kalpana (Rose) M. Kumar, M.D. During the winter it is not uncommon to hear patient’s tell me it is too cold to exercise. They promise me when the weather improves they will exercise to restore their health. Upon the arrival of spring and summer, their excuse is ‘busyness’, stress or hot weather. Their excuses contribute to their ill health.

When it comes to healthy or clean eating, many patients tell me their reason for not eating clean is their children’s refusal to eat the foods that foster health. They justify their unhealthy choices and lack of self-care with excuses. We are ultimately responsible for our and our children’s well-being.

Our healthy or unhealthy choices imprint and mentor our children in how they will live and play a critical role in their future health and/or illness.

The epidemic of ADD and ADHD upon us is partly due to our malaise for not wanting to be conscious of what ingredients in our foods cause illness, both physical and mental. Numerous studies have shown associations between ADD/ADHD and processed foods containing sugar, food colorings and caffeine. Over the past two decades, these foods have led to an epidemic of chronic illnesses at a level never before seen in our history. Adults have a misconception that cooking wholesome food takes too much time, that stopping at a fast food restaurant or zapping a readymade processed frozen dinner in the microwave constitutes a nutritionally sound meal. Cooking wholesome foods is not only essential for our health, it is the most efficient way to reduce health care costs. It brings our families together around the dinner table and can even heal the loneliness and isolation that plagues our society today. The small act of a shared meal can restore and revitalize our family’s health, reduce stress and nurture intimacy. In all other parts of the world (except ours) food is known to be central to health. We need to redefine health from the inside out where food, exercise and self-care are all forms of medicine and are the only way we can heal our lives. Locally grown, organic, clean foods are readily available in our society. They are rich in antioxidants and free of pesticides and chemicals that cause most of our diseases today. They need to become our primary method for restoring our health and preventing illness.

We have all the healthcare data, cost savings research and scientific evidence showing that self-care lowers the incidence of illness and reduces health care costs.

Rather than waiting for an external fix to remedy the runaway costs of health care, we can choose healthy lifestyles and reduce our use of the modern health care system. This system is designed for ‘damage control’ that occurs as a result of our poor lifestyle choices. Damage control or sick-care is frightening and expensive and can decrease our mortality but it does so at the cost of our quality of life. Conscious self-care reduces our chances of needing sick-care. Consumers drive the market.

Healthy consumers can reduce the cost of health care. This will significantly help our country’s economy.

We are all responsible for our choices. Our choices affect the health of our country. We need to make self-care a core value and nurture our health without any more excuses. Ultimately, we are what we eat and our health and vitality is directly dependent upon how we choose to live each day. Making self-care a priority is a choice that will elevate our self-worth, restore health to our families and help our country’s economy. We can no longer make excuses to not take care of ourselves. The quality of our life depends on it. ©2012 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director of The Ommani Center for Integrative Medicine, Pewaukee, Wi www.ommanicenter.com Author of Becoming Real: Harnessing the Power of Menopause for Health and Success. 2011, Medial Press

Acupuncture

FOR SENIOR CITIZENS

Acupuncture is the proven, 3,000 year old medicine from China. Acupuncture and TCM have been in the United States for the last 30 years. In this article I will refer to Oriental Medicine as TCM (Traditional Chinese Medicine) and this article will mostly deal with acupuncture.

Acupuncture uses very fine needles, thinner than a human hair and they are not painful. The needles are used to activate various body energy channels called meridians. These meridians are the pathways to a healthy body and mind. If the pathways are disrupted, then there are problems with the body and/or mind.

Acupuncture works by activating the body’s regulation system. If the meridians are out of balance then you can have pain, sickness or lack of stamina. Using acupuncture to rebalance the body helps to eliminate the pain, relieve the sickness and give you more energy. This is accomplished by using specific points of the body that will help to rebalance the body. This rebalancing sometimes occurs immediately, and at other times may take many months.

Senior citizens have collected a lifetime of experience with medical problems.

The dynamic nature of life is never still and the body collects the life experiences and seems to give them back to you when you age. Pills do not seem to be the answer and not all surgeries are needed and /or successful. Into this picture we introduce acupuncture.

In TCM it is the symptoms that are treated, not a named illness or a particular problem. The acupuncturist treats the symptoms. If they can relieve the symptoms, healing occurs. This is the backbone of the success of acupuncture. It treats symptoms very effectively.

Pain is a big problem with seniors. Some seniors have suffered years of pain without relief. Many seniors are so used to their pain that they don’t think there is anything that can be done to help them. When we treat seniors for pain, the most often heard comment is “why did I not try this years ago?” In many cases once relief is achieved the pain never returns. All of this is accomplished without the use of dangerous pain medications that have many warnings of bad side effects.

As we age, we get a little stiffer. Our lack of exercise and good stretching habits during our lifetime tend to slow us down in old age. Acupuncture, by virtue of its ability to increase the circulation in the meridians, helps to restore mobility in many seniors. There are many instances of seniors no longer needing to only rely on walkers or canes in order to get around. This is a great improvement for many people and they can function much better.

Another advantage of acupuncture is its ability to nourish the body, and by doing that, help heal patients. These nourishing treatments increase circulation in the meridians and supply energy and healing power to areas of the body that may not have been getting enough nourishment. Once the body is better nourished, you feel better and can accomplish more.

One of the major nourishment principles is to increase the Qi, which is the TCM theory of energy. This Qi strengthens the blood and nourishes our head. Thus, it helps hearing, eyesight, balance and memory. All of these are concerns of seniors and acupuncture can help.

Anxiety and depression are serious problems with seniors. There is a great deal of help offered by acupuncture for these conditions. As the body is balanced and nourished, emotional problems are smoothed out. Sleep is better and more restful and the day’s concerns and worries are not as prominent. Treatments with acupuncture are a helpful addition to emotional stability.

Another problem with aging is neurological problems. Numb hands and feet are a common complaint and here again acupuncture has proven effective in lessening the effects of these problems. Walking is easier and a sense of touch is returned to many seniors. We have a program for neurological problems that combines acupuncture, electrical rebuilding and nutrition. This program has had excellent results.

At the Acupuncture Clinic of Wauwatosa we have spent years perfecting our treatments of patients over 50 years old. The body changes about that age and new ails and difficulties become apparent. Acupuncture can correct many problems that are difficult in Western Medicine. Some of the problems we help are arthritis, diabetes and related difficulties, high blood pressure, stroke, anxiety and memory just to name a few.

NEUROPATHY

NOVEMBER 2012 MHL 11

I’M FEELING

STUCK!

Mi

Renew your body, mind, and spirit.

n

Body

d

Trinity

Integrative Family Medicine

S pi r it

Genevie L. Kocourek, M.D. Board Certified - Family Medicine

In New Berlin at the New Berlin Family Practice Clinic 15350 W. National Ave., Suite 212 262.782.9541

In Pewaukee at The Ommani Center 1166 Quail Court, Suite 210 262.695.5311

www.trinityintegrativefamilymedicine.com

By Stephanie Delmore, MA, LPC Most people have experienced the feeling of being “stuck”. It’s when you feel you need to make a change in your life but for some “unknown” reason that change doesn’t seem to be happening, or it happens briefly and you slide back into old patterns of thinking and behaving. I believe that change is really hard. My experience is that people really change to avoid pain. It’s as if things have to be so painful in our life (physically, mentally, spiritually, or relationally) before we create change. Think of change= avoidance of negative stimuli. If you are an athlete, you probably don’t hesitate in seeking consultation from a coach or trainer when you need to improve your game or training routine. If you have a physical ailment, most people seek advice from a physician. Dealing with emotional pain or seeking behavioral change is not so different. A psychotherapist can really be your coach: someone who helps you create a plan for reaching your goals and helps you get there.

A coach holds her trainees accountable. If the trainee wants to improve her time in an event, the coach is very clear about what the trainee is doing well in her program and where the areas are where she needs improvement. This approach is considered Solution Focused Psychotherapy. An effective treatment plan in this approach is based on deciding what the goals of therapy are and how are you going to get there.

Sometimes the approach involves learning new skills or changing old behavior. Other times it involves exploring family history and patterns. In general, Solution Focused Psychotherapy is very positive, forward focused and involves active participation from both the therapist and client.

All therapists develop their own treatment style and you may find that consequently you quickly “connect” with one therapist and not another. Research on the effectiveness of psychotherapy has proven over and over that it’s more important for the therapist to effectively connect with clients emotionally, than to implement any specific treatment approach. Thus, if after a few sessions, you are not feeling that you connect with a therapist, please say so! Any seasoned therapist will not be offended in this situation. A good therapist will talk through your concerns and help refer you to another therapist who may be a better fit.

One interesting aspect of change is called “ambivalence”. This is what I call that emotional place where you say you want to change something in your life and cognitively you know what you need to do, yet you don’t “seem to” follow through. I think we all have been in this place! We say we want to exercise more, but every day we create many reasons in our mind as to why we don’t have time, or it’s not a priority today. In the moment, one day of not exercising doesn’t feel like you are derailing your plan, but string many days together and suddenly you realize that you are stuck in ambivalence. I find that a psychotherapist can be so helpful in these times.

I think we are all so adept at our own mental mind games, that it takes the objective view of the therapist of help us recognize that perhaps we are not ready to make this change, or we are self-saboSTUCK>>page 39

12 MHL NOVEMBER 2012

Influenza

Good news for people who seek to protect themeselves from Thimerosal in influenza vaccines.

Thimerosal has been added to vaccines for well over sixty years now, but due to its mercury content many scientists believe its time to offer either alternatives or Thimerosal-free vaccines to those who wish to avoid it. Although it was believed that Thimerosal benefited vaccines by serving as a preventative against microbial contamination, the mercury levels were undesirable for all ages.

Influenza is a serious disease that can lead to hospitalization and sometimes even death. Every flu season is different, and influenza infection can affect people differently. Even healthy people can get very sick from the flu and spread it to others. Over a period of 31 seasons between 1976 and 2007, estimates of flu-associated deaths in the United States range from a low of about 3,000 to a high of about 49,000 people.

During a regular flu season, about 90 percent of deaths occur in people 65 years and older. The “seasonal flu season� in the United States can begin as early as October and last as late as May. Who Should Get Vaccinated Against Influenza The following lists include all groups recommended to get the flu vaccine, as well as those who are not recommended to receive either the flu shot or the nasal spray vaccine. Talk to your doctor or nurse if you have any questions regarding what flu vaccine options are best for you and your family.

The following groups are recommended to get a yearly flu vaccine: All persons aged 6 months and older should be vaccinated annually.

Protection of persons at higher risk for influenza-related complications should continue to be a focus of vaccination efforts as providers and programs transition to routine vaccination of all persons aged 6 months and older.

When vaccine supply is limited, vaccination efforts should focus on delivering vaccination to persons who: are aged 6 months through 4 years (59 months); are aged 50 years and older; have chronic pulmonary (including asthma), cardiovascular (except hypertension), renal, hepatic, neurologic, hematologic, or metabolic disorders (including diabetes mellitus); are immunosuppressed (including immunosuppression caused by medications or by human immunodeficiency virus); are or will be pregnant during the influenza season; are aged 6 months through 18 years and receiving long-term aspirin therapy and who therefore might be at risk for experiencing Reye syndrome after influenza virus infection; are residents of nursing homes and other chronic-care facilities; are American Indians/Alaska Natives; are morbidly obese (body-mass index is 40 or greater); are health-care personnel; are household contacts and caregivers of children aged younger than 5 years and adults aged 50 years and older, with particular emphasis on vaccinating contacts of children aged younger than 6 months; and are household contacts and caregivers of persons with medical conditions that put them at higher risk for severe complications from influenza.

NOVEMBER 2012 MHL 13

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From the Ayurvedic perspective, staying balanced means being aware of how the changing external environment is affecting your internal environment and making appropriate adjustments. An important aspect of this is knowing how and when to make lifestyle and diet modifications during the different seasons on the year.

In Ayurveda, each season is similar to one of the three life forces or doshas in the body. In Wisconsin, as well as most part of the central United States, autumn and early winter with its cooler, dry and windy weather is considered the vata season.

To stay balanced during this time of year, you need to be aware of what the signs of imbalance are and what you can do to decrease the excess vata energies in order to restore balance.

Ayurveda recognizes the symptoms you experience as cues from your body-mind system telling you that something isn’t right and that your attention and action is required. Each dosha has a different set of signs or symptoms which let you know it is out of balance. When the vata life force rises beyond its normal balance, you may experience symptoms such as: • Digestive problems such as gas, bloating, constipation, and a fluctuating appetite • Sleep disruptions including the different variations of insomnia • Tension headaches, fatigue and intolerance to cold • Increased dryness in the skin, nails, and hair • Increased anxiety, worry, fear and overwhelm • Unexplained weight loss or difficulty gaining weight To counter these symptoms as well as to prevent vata-related symptoms from even becoming a problem, you can make simple adjustments in your diet and lifestyle.

By far the most important tool to restore balance through lifestyle is to increase regular, stable routines, especially around eating and sleeping. Having structure is very grounding and supportive for vata. The routines don’t have to be rigidly exact but a good example would be to try to eat meals around the same time within an hour – so lunch between 11:30-12:30. Other simple changes can include eating more cooked, warm and moderately spiced foods; drink warm liquids instead of cold or iced drinks; create daily time for quiet, relaxation, decompression and rest; stay warm in general by dressing appropriately for the cold, enjoy warm baths and avoid cold drafts and winds.

Want more personal guidance and ideas to support yourself, contact Jamie Durner of Ayurveda Wellness in Brookfield, Wisconsin at jdurner@wi.rr.com to create your own Autumn Wellness Plan and get more tips and tools at www.ayurvedawellness. org. Š2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator

WILL DIABETIC EYE DISEASE AFFECT SOMEONE YOU KNOW? Diabetes is being diagnosed in epidemic numbers across all ages and races.

This increase means a corresponding surge in complications related to the disease, including sight-robbing “diabetic retinopathy”—now the leading cause of blindness in the U.S. “Of the nearly 26 million Americans diagnosed with diabetes, up to 45% have some degree of diabetic retinopathy (damage to the sensitive retina in the back of the eye), which can lead to vision loss and blindness,” reports Dr. Norman Cohen, an eye surgeon who has treated thousands of diabetic patients since 1975. “For some people, when a routine vision check-up uncovers signs of retinopathy, it is their first clue that they even have diabetes.”

How diabetes affects vision With diabetes, high blood sugar levels can weaken blood vessels in the eye, causing them to leak. This causes the retina to swell and form deposits that can lead to vision loss. Blood sugar fluctuations can also promote the growth of new, fragile blood vessels on the retina, which can sometimes leak blood into the vitreous (the clear, jelly-like substance that fills the eyeball). This retinal blood vessel damage, or retinopathy, can blur vision and lead to permanent sight impairment.

Who is most at risk?

“Diabetic eye disease can appear as early as a year after the onset of diabetes. All diabetics—type 1 or 2, insulin-dependent or not—are at risk. And that risk increases with the number of years you are diabetic. For example, patients with diabetes for less than five years have about a 15% incidence of retinopathy. This skyrockets, however, to 80% in people with diabetes for 15+ years,” says Dr. Robert Sucher, cofounder of Eye Care Specialists.

What are the symptoms?

Usually, none. Most people don’t notice a problem until retinopathy is so far advanced that lost vision can’t be restored. That’s why annual dilated eye exams are crucial. You should also call your doctor immediately if you notice vision changes in one or both eyes (not associated with fluctuations in blood sugar), numerous floating spots (like spider webs), or a veil over your vision.

How is retinopathy detected?

Eye care specialist Dr. Daniel Ferguson notes, “It is vital for people with diabetes to understand that significant retinopathy may be present and progressing even if their vision appears to be good. And, because fluctuations in blood sugar levels can temporarily affect vision, it’s sometimes hard to know if a serious eye problem is developing.” Diabetes-related eye damage can only be diagnosed through a comprehensive eye examination. Pupil dilation (enlargement with drops) is necessary to best check the back of the eye for early signs of retinopathy, such as microaneurysms (tiny blister-like outcroppings on retinal blood vessels that can bulge and leak), before noticeable vision loss occurs.

Prevention and Treatment “Diabetes-related sight loss is often preventable with yearly exams and early intervention. But all of our expertise, lasers and treatments are of no use if patients don’t come in for regular eye check-ups,” comments Dr. David Scheidt, optometrist and 17-year member of the Wisconsin Diabetes Advisory Group.

“We have been very pleased with the success of medications that can be painlessly injected directly into the eye to stave off progression of the disease. We typically use Avastin because it is both cost-effective and works to inhibit the growth of the abnormal blood vessels related to diabetic retinopathy,” says Dr. Brett Rhode, an ophthalmologist who has conducted continuing education programs for area diabetes coordinators. An ophthalmologist who sees patients at all three Eye Care Specialists’ EYE>>page 39

Can you see as well as me?

Most of us are born with near-perfect vision. But, that sometimes changes with disease or age. As state leaders in eye care, we help countless people each week to see like a kid again with Comprehensive Eye Exams; Diagnostic Laser Scans; and State-of-the-Art Cataract, Glaucoma, Diabetes, Macular Degeneration, Pediatric, & Laser Vision Correction Care. And, we’re affordable—accepting Medicare and most insurances. Call today and mention this ad for a free “Focus” newsletter and guide on when to have your family’s eyes checked. See for yourself why we are: Trusted by more than 121,000 doctors & patients

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T EYE CARE SPECIALISTS West Allis

Wauwatosa

10150 W. National Av. 2323 N. Mayfair Rd. 414/321-7520 414/258-4550

Milwaukee

735 W. Wisconsin Av. 414/298-0099

NOVEMBER 2012 MHL 15

Children’s Health and Living

16 MHL NOVEMBER 2012

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Health facts for you

Vomiting and Diarrhea: Home Care and Diet Instructions What causes vomiting and diarrhea?

Vomiting and diarrhea are common problems of infants and children. They are often caused by a minor infection. Both can often be treated at home.

How does vomiting and diarrhea affect a child?

Vomiting and diarrhea may cause dehydration (“dee-hi-dray-shun”). Dehydration means your child has lost too much fluid.

What special directions do I follow for vomiting?

• Wait at least one hour after the last vomiting before you give your child anything to eat or drink. When your child has not vomited for one hour, you may give your child 1 to 2 ounces of clear fluids every half hour to prevent dehydration.

• Do not force your child to drink fluids too quickly. This may cause more vomiting.

• Clear fluids that can be used include: − If less than one year old: Pedialyte®, Liquilytes® or generic electrolyte solution − If one year old or older: • Jell-O® • Kool-Aid® • Caffeine-free white soda (not sugar free) • Gatorade ® • Apple juice • Sports drinks • Popsicles® • Fat-free broth or bouillon (powder or cube) (If your child also has diarrhea, apple juice should be mixed with an equal amount of water or Pedialyte®).

• Breastfed babies should continue to be nursed.

• Once the vomiting has stopped or slowed down, start giving foods in small amounts.

Eating too much food too fast may cause stomach cramps, pain or more diarrhea.

Babiesless than one year old can start with their usual formula, For children one year old or older, start with these foods: • Ripe or strained banana • Plain rice • Plain toast • Soda crackers • Plain noodles • Pretzels • Cooked refined cereal (no sugar added) such as Cream of Wheat®, Cream of Rice® • Dry unsweetened cereal such as Cheerios® or Kix® • Canned fruit in heavy syrup Vomiting And Diarrhea: Home Care and Diet Instructions What special directions do I follow for diarrhea?

• Children with diarrhea who are not vomiting may eat their usual diet. Breastfed babies should continue to be nursed. Eating yogurt may also be helpful. If your child is also vomiting, follow the instructions for vomiting above.

• While your child has diarrhea, you should also offer extra fluids such as Pedialyte®, or for children more than one year old, water or sports drinks.

Remember: Feeding too much food too fast may cause cramping, pain and more diarrhea.

Once your child can tolerate these foods and symptoms are under control, your child can return to a normal diet.

ALERT: Call your child’s doctor, nurse or clinic if you have any questions or concerns or if your child: • Has sunken eyes; no tears when crying • Is listless or drowsy • Has green or blood in vomit

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CHIROPRACTIC ƌ NUTRITION MASSAGE ƌ ACUPUNCTURE MONICA MARONEY D.C., D.I.C.C.P. Board Certified in Chiropractic Pediatrics

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NOVEMBER 2012 MHL 17

Clean-up Is So Easy

LG Dishwasher Model LDF8072

www.lg.com

Quiet. This is the first impression you get of this dishwasher. You barely know it is running and occasionally give it a check to make sure it is going. But, it is definitely working because the dishes come out sparkling clean. The outside, as well as the inside, is completely stainless steel with all the controls on the top to give it a very sleek, modern look. The LDF8072 has many different modes of cleaning from normal to steam clean to high temperature sanitize rinse to accommodate all needs. A very nice feature is the third shelf, which is located at the very top, for knives and other flat accessories. This is great for accessories that don’t fit well in the silverware containers. It also has two steam cycles for more intense cleaning on stubborn and hard to clean dishes. The inside layout leaves more height for taller plates and enough height on the second shelf to accommodate the other dishes. As previously mentioned, the third shelf at the very top is a great place to put knives and other cutlery. The dishwasher has been getting good reviews on the internet.

Holiday Guide PREVIEW

THE MUST HAVES THIS SEASON

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Thursday, November 8th, 4 - 8 pm Heritage West Allis ~ 7901 W. National Ave.

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$5.00 donation includes:

• Complimentary Massages • Silent Auction and Raffle Prizes • Hors d’oeuvres, Entertainment and Fun

Beer and Wine Tasting ~ additional $5.00

benefiting the Alzheimers Association

Vendor Name Theresa Sebestyen Karen Kucik Nancy Hal Lee Michelau Ara Jackson Sue Mews/Karen Keene Usborn Megan Chamberlain Jean Rustad / Dave Molly Mechenich Liane Morris/April Yohanek Shawna Jessa Lynda Ruchi Donna Balastrari Elizabeth K. Fox Lisa Smukowski Katie Hatfield Jeanette Kuechenmeister Amy Shallow Joyln Schill Kristin Kratzke Barb Povlich Diana and Daughters LLC Michelle Russell Amy Germain Cheryl Dable Dawn Toll

Product/Company Discovery Toys Pampered Chef Wild Tree Mary Kay Cosmetics Blessings Unlimited Books and More Thirty-One Bags Truffles by Jean Louis Simply Fun L'BRI PURE n NATURAL skin care Miche Bags Woolie Mittens Blue Tulip Gifts Elizabeth Kaseman-Fox Designs Lia Sophia OneSole Shoes & Velata Chocolate Hand Sewn Fabric Items A Trio Jewelry Quilter: pot holders/pins Pashmina Scarves, Ltd Wine Booth Augusta's Antipasto Dove Chocolate Paparazzi Jewelry Tupperware Scentsy Wickless

For more information, please call:

(414) 302-9700

Independent Living, Assisted Living and Memory Care Communities

18 MHL NOVEMBER 2012

or visit: www.heritagesenior.com

www.samsung.com

It’s big. It’s sleek. It’s thin. A lot to like with this phone. From a purely aesthetic point of view, it is just fun to hold and look at. The new Samsung Galaxy S III is the hottest new phone on the market. The screen is a whopping 4.8”, but because of its ultra thin body it fits well in the pocket. Not only is the screen large, but it displays an impressive, vibrant image that is noticeably better than older phones. The 1.4 ghz quad core processor is up to most challenges and makes the phone fly through most tasks. Battery life is impressive even when doing a lot of processor heavy operations including working on the internet. The operating system is ice cream sandwich which is what most current phones use and is very flexible regarding apps and other functions. Although it has voice recognition capabilities, some kinks need to be worked out before these meet the standards of this world class phone. The phone comes in Pebble Blue and Marble White and is surprisingly light weight considering the size. Give this phone a look for its function, style and speed. It rivals any phone on the market today.

Stay Healthy

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With the holiday season approaching... Created for health-conscious Americans, or those looking to become health-conscious, the NutriBullet™ is the first-ever, single-serve superfood nutrition extractor (which basically means it’s better than the other juicers on the market because it extracts hidden nutrients by emulsifying the ordinary healthy foods we eat into their most easily-digestible state for maximum absorption packed within a nutritious drink, called a Nutri-Blast).

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Youthology

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Order Online at naturalovens.com or by calling M-F 8-4 800-772-0730 NOVEMBER 2012 MHL 19

Senior

Health and Living

Healthy Aging

20 MHL NOVEMBER 2012

When deciding...

THINKING POSTIVE WHEN CHOOSING A SENIOR COMMUNITY

A senior’s residence is a place of security. Moving out of the home you spent many years creating memories can be difficult emotionally.

But you might want to look at moving into a senior community as a positive move. When we are young we can’t wait to explore new things and get away from the same old –same old. We want to start making memories and planting our roots. Why not think the same way. Look at a Senior Community as an adventure, something that might bring back the great memories from when you were young and getting back into the world out there. A senior community can be a great change. You can meet new people, get rid of all the hassles of house work, and have a easier retirement life.

There are several types of residential senior communities to choose from, so you need to explore and find what is right for you.

How does one determine which senior community would fit best with their needs?

Temporary vs long term care: A senior’s needs are more practical by planning to move into a situation that is most likely to remain for many years to come.

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

Needs for personal care: How much and what kinds of personal or “custodial care” are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing.

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

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

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

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

Seniors have so many choices to make when the search for senior communities. With so many senior housing options available, it’s easy to feel overwhelmed by all the different kinds of communities. It’s important to learn the differences between the many options and to assess your needs to make the right decision.

For more infromation contact the Centennial at 414-762-7762.

NOVEMBER 2012 MHL 21

Capri SENIOR

COMMUNITIES

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

Independent & Assisted Living Communities

HEALTHY AGING: Tips for staying connected

Spend time with at least one person every day.

The good news is that there are lots of ways to be with other people.

Germantown

The Gables of Germantown 262-345-1000

Kenosha

St. Catherine Commons 262-654-6080

Milwaukee - South Wilson Commons 414-281-2450

Milwaukee

Three Oaks Circle 414-321-0320

Milwaukee - East Hedwig House 414-321-0320

Sturtevant

Killarney Kourt 262-321-0802

Waukesha

Summit Woods 262-521-1388

West Allis

The Landmark of West Allis 414-302-1700

West Allis

Carnegie Place 414-302-1700

Whitewater

Mulberry Glen 262-473-4515

Call today

to find out more about the Capri Community in your area!

262.798.1224 www.CapriCommunities.com 22 MHL NOVEMBER 2012

One of the greatest challenges of aging is how your support network changes.

Staying connected isn’t always easy as you grow older—even for those who have always had an active social life. Retirement, illness, death, and moves can take away close friends and family members. And the older you get, the more people you lose.

What’s more, getting around may be difficult.

But it’s important to find ways to reach out and connect to others. Loneliness and isolation are major threats to aging well. Having people you can turn to for company and support is a buffer against depression, disability, hardship, and loss.

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

Make an effort to make new friends. As you lose people in your circle, it is vital to make new connections so your circle doesn’t dwindle. Make it a point to befriend people who are younger than you. Younger friends can reenergize you and help you see life from a fresh perspective.

Spend time with at least one person every day. You shouldn’t be alone day after day. Phone or email contact is 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 similar values. Even if you’re housebound, you can get involved by volunteering on the phone.

Find support groups in times of change. If you or a loved one is coping with a chronic illness or recent loss, it can be very helpful to participate in a support group with others undergoing the same challenges.

Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved.

For more articles in this series, visit www.Helpguide.org.

“Senior Moments”

THE MEMORY ISSUE Surveys show that if you are concerned about memory loss it is most likely due to a stressful time, aging, illness or distraction.

Where are my keys? Did I buy what I actually stopped at the store for? What day is it? Remember the days when you never asked these questions because “senior moments” were not part of the normal day.

If you are reading this article because you are concerned about your ability to recall, you may not have to worry. Surveys show that if you are concerned about memory loss it is most likely due to a stressful time, aging, illness or distraction. However, those who do not worry about memory loss are more likely to be suffering from dementia.

According to a John Hopkins Special Report on age-associated memory impairment there are a number of things you can do to improve the chances of keeping your memory sharp.

Stay mentally active – learn something new, volunteer, do crossword puzzles, read.

Stay physically active – exercise increases the blood flow to the brain resulting in clear thinking. Walking or an exercise program for 30 minutes a few days a week is all it takes.

Rule out other causes of memory loss – check with your doctor memory loss could be due to a medication, hearing loss, depression, thyroid dysfunction, vitamin deficiency or stress which are all treatable.

Do not smoke – smokers over age 65 are 3.7 times more likely to experience mental decline.

Limit alcohol consumption – experts recommend no more than one drink a day for women and two per day for men.

Place commonly lost items in the same spot – get into the habit of putting your keys, glasses or other important items in the same location every time.

Write things down – keep a to do list and add numbers or important dates as necessary.

Say words out loud – hearing can increase recall. Repeating a persons name right away can help you remember. ..“Hello Mary, it is nice to meet you”.

Group items using mnemonics – which is a technique used to enhance memory. Associate what you are trying to remember with something that is familiar or paint a mental picture until you see it clearly. Try to alphabetize a list or put it to song.

Use memory aids – notepads, cell phone alarms and voice recorders can all assist in keeping track of important information.

Use visual images – to remember a name create a story and picture the person acting out their name. Mrs. Baker could be making a batch of cookies.

Stop worrying – Concentrate and relax. Use a deep breathing or muscle relaxing technique to keep the stress and anxiety levels low so you can think clearly.

Age associated memory loss is common and is not necessarily a sign of a serious neurologic disorder.

See your doctor with any ongoing concerns you may have. Build the above suggestions into your day and create an atmosphere for creative thinking, learning and activity. The more you challenge your mind the sharper it will remain.

Tudor Oaks Retirement Community encourages you to design your retirement to keep your mind healthy and clear. Join us on July 15th at 2:00pm to learn how you can Maximize Your Memory.

Call 414-525-6500 for reservation and location information.

Senior Living Designed by You! Tudor Oaks Campus is home to 5 options for Senior Living • Independent Living: Many lifestyle choices and services • Assisted Living: Full range of supportive services • Skilled Nursing: 24/7 medical staff, private rooms • Rehab Stays: Featuring private rooms, 40-inch TVs & WiFi • Memory Care: For memory loss and associated concerns S77 W1 2929 McShane Drive, Muskego, WI 53150 www.abhomes.net/wisconsin Tudor Oaks resident

414-525-6500

Tudor Oaks Retirement Community is owned and operated by American Baptist Homes of the Midwest, a not-for-profit provider of senior housing and healthcare since 1930.

NOVEMBER 2012 MHL 23

Exercise and Physical Activity getting fit for life Interfaith Choral Concert Bringing the community together in song.

Wednesday, November 14, 7 pm Performers: Sarah Chudnow Community Glee Club, Milwaukee Jewish Community Chorale, Congregation Shalom, Good Shepherd Catholic Church, Congregation Beth Israel Ner Tamid, Grace Lutheran Catholic Church, Lumen Christi Singers To add your group, contact Larry Ladin at 262-478-1506.

Please drive past the Health Center to the Apartments 10995 N. Market St., Mequon, WI 53092 262-478-1506 LLadin@JewishSeniorLiving.org SarahChudnow.org Like us on Facebook Follow us on Twitter @sarahshouse

Chai Notes Concert Sunday, November 18, 2pm The Chai Notes Hand Chime Group gives members the chance to express their creative side in a relaxed setting while improving KDQG H\H FRRUGLQDWLRQ DQG ÀQH motor skills. Plus, it’s a whole lot of fun for everyone involved! The group promotes awareness of the achievements of those with special needs.

1400 North Prospect Avenue, Milwaukee 414-289-9600 These events are brought to you by the Jewish Home and Care Center Foundation 24 MHL NOVEMBER 2012

“After walking on a treadmill at the local community center, I knew I’d be happier outside. So, I got a step counter and started walking in my neighborhood. Since then, I’ve seen yellow tulips bloom in spring and red dogwood leaves drop in fall. I always come home with more energy and happy to go on with the rest of the day.”

Marian (age 77) “Both my wife and I have heart problems. About 2 years ago, we joined our local health club, where we do both endurance and strength training exercises. On the off days, we walk near our house. It’s been life-saving for us.” Bob (age 78) These older adults are living proof that exercise and physical activity are good for you, no matter how old you are. In fact, staying active can help you: Keep and improve your strength so you can stay independent.

Have more energy to do the things you want to do.

Improve your balance.

Prevent or delay some diseases like heart disease, diabetes, breast and colon cancer, and osteoporosis.

Perk up your mood and reduce depression.

You don’t need to buy special clothes or belong to a gym to become more active.

Physical activity can and should be part of your everyday life. Find things you like to do. Go for brisk walks. Ride a bike. Dance. Work around the house. Garden. Climb stairs. Swim. Rake leaves. Try different kinds of activities that keep you moving.

Look for new ways to build physical activity into your daily routine.

Four Ways to Be Active To get all of the benefits of physical activity, try all four types of exercise – 1) endurance, 2) strength, 3) balance, and 4) flexibility.

Try to build up to at least 30 minutes of activity that makes you breathe hard on most or all days of the week. Every day is best. That’s called an endurance activity because it builds your energy or “staying power.” You don’t have to be active for 30 minutes all at once. Ten minutes at a time is fine.

How hard do you need to push yourself? If you can talk without any trouble at all, you are not working hard enough. If you can’t talk at all, it’s too hard.

Keep using your muscles. Strength exercises build muscles. When you have strong muscles, you can get up from a chair by yourself, you can lift your grandchildren, and you can walk through the park.

Keeping your muscles in shape helps prevent falls that cause problems like broken hips. You are less likely to fall when your leg and hip muscles are strong.

Do things to help your balance. Try standing on one foot, then the other. If you can, don’t hold on to anything for support. Get up from a chair without using your hands or arms. Every now and then walk heel-to-toe. As you walk, put the heel of one foot just in front of the toes of your other foot. Your heel and toes should touch or almost touch.

Stretch. Stretching can help you be more flexible. Moving more freely will make it easier for you to reach down to tie your shoes or look over your shoulder when you back the car out of your driveway. Stretch when your muscles are warmed up. Don’t stretch so far that it hurts.

Who Should Exercise?

Almost anyone, at any age, can do some type of physical activity. You can still exercise even if you have a health condition like heart disease or diabetes. In fact, physical activity may help. For most older adults, brisk walking, riding a bike, swimming, weight lifting, and gardening are safe, especially if you build up slowly. But, check with your doctor if you are over 50 and you aren’t used to energetic activity.

Other reasons to check with your doctor before you exercise include: any new symptom you haven’t discussed with your doctor dizziness or shortness of breath chest pain or pressure, or the feeling that your heart is skipping, racing, or flutter-

ing blood clots an infection or fever with muscle aches unplanned weight loss foot or ankle sores that won’t heal joint swelling a bleeding or detached retina, eye surgery, or laser treatment a hernia recent hip or back surgery Safety Tips Here are some things you can do to make sure you are exercising safely: Start slowly, especially if you haven’t been active for a long time. Little by little build up your activities and how hard you work at them.

Don’t hold your breath during strength exercises. That could cause changes in your blood pressure. It may seem strange at first, but you should breathe out as you lift something, and breathe in as you relax.

Use safety equipment. For example, wear a helmet for bike riding or the right shoes for walking or jogging.

Unless your doctor has asked you to limit fluids, be sure to drink plenty when you are doing activities. Many older adults don’t feel thirsty even if their body needs fluids.

Always bend forward from the hips, not the waist. If you keep your back straight, you’re probably bending the right way. If your back “humps,” that’s probably wrong.

Warm up your muscles before you stretch. Try walking and light arm pumping first.

Exercise should not hurt or make you feel really tired. You might feel some soreness, a little discomfort, or a bit weary, but you should not feel pain. In fact, in many ways, being active will probably make you feel better.

How to Find Out More Local fitness centers or hospitals might be able to help you find a physical activity program that works for you. You also can check with nearby religious groups, senior and civic centers, parks, recreation associations, YMCAs, YWCAs, or even shopping malls for exercise, wellness, or walking programs.

Looking for more information on how to exercise safely? Exercise and Physical Activity: Your Everyday Guide from the National Institute on Aging has strength, balance, and stretching exercises you can do at home. You can order the free Guide from the National Institute on Aging Information Center.

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grandparenting tips Building Great Relationships with your Grandkids

As grandparents we all want to make the most of the precious family time we get to spend with our grandchildren. The best grandparenting activities flow from the interests of both the grandparents and the grandchildren. You can create deep, loving relationships with your grandchildren by sharing the things you love with them, and by learning about what excite them.

Whether you’re a full-time grandparent, a step-grandparent, or a long distance grandparent living thousands of miles away, you can find new ways to strengthen family ties and provide your grandchildren with joyful memories and valuable life lessons.

What’s so grand about grandparenting?

In no particular order, grandparenting is an opportunity to play, to love someone new, to appreciate the magic of a developing mind, and to be needed by someone again. Grandparents can: Share the things they’re passionate about with a new audience.

See the world in a new way through younger eyes.

Experience games, music, nature, reading, and other interests in conjunction with a curious young mind.

Provide expanded support and encouragement to their grandchildren.

Use their breadth of experience to avoid the pitfalls they may have encountered as parents the first time around.

Watch children develop through all stages of growth.

Learn about their grandkids’ music and passions.

Provide input that parents cannot.

Usually, grandparents have the benefit of interacting on a level that is once removed from the day-to-day responsibilities of parents. This can make it easier to develop a close bond with grandchildren. From near or far, grandparenting can proWe can give you 6 vide continuity in a child’s life. Grandparents are often the There’s nothing more important than family. So isn’t it time to stop struggling with your hearing and start enjoying restaurants, phone calls and simple conversations again? Aren’t you – and your family – worth it? family historians, and can add a rich sense of family tradition Millions are benefiting from Beltone’s advanced digital technology: • Wireless systems stream clear sound directly from your phone or TV to your hearing aids. to a child’s life. Additionally, contact with grandparents can • New innovations let you hear and understand conversations even in noisy environments. teach children positive attitudes towards aging and help them • Beltone offers the smallest instruments of their kind – they’re virtually invisible! develop skills to enhance their own lifelong learning. $ Of course, not everything about being a grandparent is 1,000 OFF on a pair of great all of the time. Becoming a grandparent at a young age Beltone True – Winner Beltone True™ 17 or of the Prestigious can make some people feel prematurely old and, just as par™ International CES Helping the world hear better Beltone True 9 Hearing Aids Innovations 2011 Design www.beltone.com Hurry In! Offer Valid through August 31st 11/30/12 ents do, grandparents sometimes have to deal with colicky & Engineering Award* babies and moody teenagers. For most though, the benefits of Our family has been helping Milwaukee area families hear better since 1983 being a grandparent far outweigh the drawbacks.

The role of a grandparent in a child’s life Ann Harris-Carbajal, BC-HIS There are as many answers to this question as there are difWAUWATOSA Geri Harris-Larsen, HIS Mari Harris-Baker, HIS 3180 N. 124TH ST ferent family configurations and needs. Some grandparenting 414-446-3008 MILWAUKEE WAUKESHA MONDAY THRU FRIDAY • 8:30 - 4:30 5913 W. HOWARD AVE. 821 MEADOWBROOK RD. requires a full-time commitment. For others, grandparenting NEW BERLIN 414-375-0186 262-565-6796 15350 W. NATIONAL AVE. MONDAY THRU FRIDAY MONDAY THRU FRIDAY is a weekend together, an afternoon play date, a summer va414-446-3008 9:00 - 5:00 9:00 - 5:00 WEDNESDAY cation, a chat on the phone, or an email exchange every now 9:00 - NOON OR BY APPT. and then.

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Heidi Weidner, PT, MPT It is a great time to reflect on your current health and your plan to maintain or improve your wellness. One thing that can certainly curtail those plans for healthy aging is an injurious fall. Over 13 million people sustain a reported fall each year in America. Many are preventable accidents caused by the faller’s environment like icy sidewalks, slippery floors, and stairs. However, many people walk on stairs, icy sidewalks and slippery floors without falling. So then, who is at risk for falling and how can you prevent falls and injury from falls?

HAVE YOUR BONE DENSITY CHECKED. People with osteoporosis don’t necessarily fall more than those people with dense bones. However, those with osteoporosis are more likely to facture a bone during a fall. Early detection and medical treatment can decrease the progression of bone wasting. In a few physical therapy sessions you can learn appropriate strengthening exercises to prevent the spinal changes associated with osteoporosis. See your primary care provider to be screened.

MAINTAIN A HEALTHY LEVEL OF VITAMIN D IN YOUR BODY. As the days shorten and you layer your clothing, you are exposed to less sunlight and therefore less Vitamin D is synthesized through your skin. Vitamin D is important for the prevention of osteoporosis, because it is necessary for the absorption of calcium into bones. Many people choose to supplement with D3 capsules, others choose to eat foods high in D such as: milk, eggs, fatty fish or fish liver oils. It is important to note that a handful of pharmaceuticals diminish your bodies uptake of Vitamin D. Your primary care provider can let you know if you are at a higher risk for Vitamin D deficiency.

HAVE YOUR EYESIGHT CHECKED YEARLY to ensure optimal mid to long distance vision. Avoid bifocals as they distort depth perception on stairs. If you do require correction for shorter distances, consider keeping a separate set near where you like to read or near the computer. If you have been putting off getting your cataract removed, don’t wait. As you age your brain depends more and more and visual input for your balance.

DRINK PLENTY OF FLUIDS. Maintaining good hydration prevents drops in blood pressure when you stand up. The “whoosy� feeling can often cause people to fall.

Unless your physician has told you to limit your intake of fluids for medical reasons, most of us would benefit from following the 8x8 rule: eight, eight oz glasses of fluids per day. If you’re not one to keep track you can use this simple rule. If your urine is darker than light yellow, you probably aren’t drinking enough.

WEAR APPROPRIATE FOOTWEAR. You should take a second to reconsider wearing high heals or non-grip shoes. If you know you are at risk for falling you should consider wearing shoes inside the house as well. Look at your feet while standing. Have they changed considerably since you were 40? You may benefit from over the counter or customized orthodics. Physical Therapists can evaluate of your gait, your feet, and leg strength to assure the appropriate and most likely least expensive option for shoe inserts.

MAINTAIN MUSCLE STRENGTH THROUGH REGULAR EXERCISE AND RESISTANCE TRAINING. If you loose your balance, preventing a fall takes muscle power and agility to recover. If you are in good health you may be able to start an exercise program independently. However, if you take pharmaceuticals to manage your health, know you have a medical condition, or are unsure what the safest way for you to exercise is; you would benefit from a few sessions with your Physical Therapist. She will be able to explain how your medication or condition will effect your exercise choices, discuss your interests in different forms of exercise, instruct in safe technique, and get you on your way to an exercise regime that you love and will want to do for a long time.

As you can see, preventing falls takes the cooperation of your optometrist, primary care provider and your physical therapist and most importantly YOU. Heeding these six steps can help you have a safe and healthy snowy season.

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FALLS IN THE ELDERLY:

How can you protect you and your loved ones?

By Genevie L. Kocourek, M.D. Why is falls in the elderly an important topic? To answer this question, consider these quick facts:  Many falls are not a normal part of aging, but are the result of many factors.  The risk of having a fall increases with age, tripling from age 70 to age 90, and is greater for women than men.

 A fall may indicate that an acute illness is present, such as a urinary tract infection, or pneumonia.  Of those who experience a fall, 2 of 3 people will fall again within 6 months.  Approximately 50% of injuries from falls result from being unable to rise, such as when a person has pneumonia, is dehydrated, has pressure sores, or has muscle breakdown.  Hazards in the home are involved in about one-third of elderly falls.  After a hip fracture, 1 in 4 will die within 6 months; 1 in 4 will require nursing care for the remainder of his or her life.  A substantial fiscal burden is attributable to health care for those who have fallen, so it is very important to prevent falls.  The single best predictor of whether a person will fall is a balance and gait assessment.  Prior falls or fear of falling can result in a person having reduced mobility, activity-avoidance, depression, anxiety, and/or isolation.

Causes and Prevention Osteoporosis. Bone density decrease is a factor contributing to falls and the injuries that result from falls; brittle bones may break after a fall or cause a fall after a stress-induced fracture.

Get sufficient calcium—1200 to 1500 mg daily for postmenopausal women. Get sufficient vitamin D—400-1000 IU per day. Sunlight in our Wisconsin climate means fewer sunlight hours, and we are often indoors. Address hormonal imbalances, as appropriate. Talk to your doctor.

Lack of physical activity. Lack of participation in regular exercise leads to poor muscle tone, loss of muscle strength, loss of bone flexibility, and loss of bone mass.

Regularly participate in supervised weight-bearing exercises, and exercises to improve balance. Work for 15 minutes daily. Supervised walking and swimming are recommended.

Practice safe reaching and bending; pause after rising from a chair or bed; practice getting up from the floor. Wear shoes that are supportive, fit well, and have low heels or no heels ,and rubber soles.

Impaired vision. Vision changes due to age or disease may result in changes in depth perception, acuity or peripheral vision, or cause glare. Vision changes increase the risk of falling.

Clean eyeglasses regularly. Have regular checkups by an ophthalmologist to discern the extent of age-related eye diseases such as cataracts and glaucoma.

Medications. More medications means a greater risk of falling. Certain medica-

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tions double the risk of a fall—such as drugs that cause sedation, anti-depressants, and narcotic pain relievers. Other common culprits include blood pressure medications, heart medications, drugs that can cause low blood sugar, medications for Parkinson’s disease, and eye medications.

Know the side effects of all the medications you take. For each drug you take, use the lowest effective dose of each drug and ask your doctor to reassess each medication yearly. Find out which medications can affect balance or might require the use of a walking aid, such as a cane. Get rid of out-of-date or unused medications. Bring all your medicines to your doctor’s appointments for review.

Alcohol carries its own risks for falls. It also does not mix well with medications and should be limited or avoided altogether.

Environmental hazards. Do a home safety checklist. If you need help, contact social services, your county’s office on aging, or talk to your doctor. Here are some checklists: Outside: Fix cracks and depressions in walkways; install handrails; remove clutter; remove snow and ice; install adequate lighting.

Living spaces: put hazard tape on stairs; eliminate throw-rugs; have a cordless phone on each level of the home; have sufficient outlets; eliminate clutter; use nightlights; use different colors for furniture, carpet, walls; ensure there is sufficient space between furniture; take wheels off the furniture; lock the wheels of movable equipment; always have a telephone within reach; set the bed at an appropriate height; use a solid chair for dressing Bathroom: install grab bars; use non-skid mats and rugs; install a hand-held shower; use a raised toilet seat Kitchen: keep often-used items within reach; use a sturdy step stool with hand support; ensure that cords are safely placed; do not use floor wax Walkways/stairways: no clutter!; use handrails; have good lighting; get rid of loose carpeting or treads on the stairs; use reflective strips on grabs bars, stairs, or areas where the ground level changes, such as on curbs or near mailboxes.

Medical conditions and/or physical impairment. Chronic illnesses, for example, diabetes, arthritis, blood pressure problems, heart rhythm problems, and foot conditions can contribute to falls. Your doctor can help you identify your personal risk for falls. You may need lab tests. Your doctor might also recommend physical therapy or occupational therapy to improve your safety. You might need a wheelchair, walker, or cane. If you drive, ask your doctor if a handicap permit is appropriate for you.

Injury Prevention. For some patients, knee pads, shin pads, elbow pads or ankle pads may be of benefit. There is no convincing research that shows hip protectors are beneficial. Fall alert systems or call-in systems can reduce the length of time that you or your loved one is on the floor after a fall.

Talk to your doctor about how you can prevent falls for you and your loved ones. © Trinity Integrative Family Medicine, S.C. September-2012 Genevie Kocourek, M.D. is Board Certified in Family Medicine and practices at The Ommani Center for Integrative Medicine in Pewaukee, WI. She is the founder of Trinity Integrative Family Medicine and focuses her practice on integrative care and prevention of disease for the entire family. Contact her through The Ommani Center website www. ommanicenter.com or schedule an appointment by calling 262.695.5311.

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People are living longer. In 1970, the average life expectancy at birth in the United States was 70.8 years; in 2008, it was 78.0 years; and by 2020, the U.S. Census Bureau projects life expectancy will reach 79.5 years.

Views on aging are also changing. Disease and disability were once considered an inevitable part of growing older, but that is no longer true. While aging does put us at greater risk for health issues, many older adults can be healthy and active well into their advancing years.

The National Institute on Aging (NIA), part of the Federal Government’s National Institutes of Health (NIH), investigates ways to support healthy aging and prevent or delay the onset of age-related disease and decline. We have already gained important insights, and what we learn from ongoing and future studies may not only help to increase longevity, but may also promote what is known as “active life expectancy”—the time in late life free of disability. We already know, for example, that healthy eating and exercise and physical activity help promote healthy aging.

Are there other interventions that can help? NIA-supported and other studies are taking a look at the possible benefits and risks of a number of approaches, including antioxidants, calorie restriction, and hormone supplements. This tip sheet provides an overview of what we know about these interventions and the research needed to learn more. Until we have a better understanding, it is a good idea to be skeptical of claims that any supplements can solve your age-related problems.

Antioxidants Antioxidants protect the body from the harmful effects of by-products known as free radicals, made normally when the body changes oxygen and food into energy.

The discovery of antioxidants raised hopes that people could slow aging simply by adding them to the diet. So far, studies of antioxidant-laden foods and supplements in humans have yielded little support for this conclusion. Further research, including large-scale epidemiological studies, might clarify whether dietary antioxidants can help people live longer, healthier lives. For now, although the effectiveness of dietary antioxidant supplementation remains controversial, there is positive evidence for the health benefits of fruits and vegetables.

Calorie Restriction, Intermittent Fasting, Resveratrol, and Rapamycin Scientists are discovering that what you eat, how frequently, and how much may have an effect on quality and years of life. Of particular interest has been calorie restriction, a diet that is lower by a specific percent of calories than the normal diet but includes all needed nutrients. Research in some animals has shown calorie restriction of up to 40 percent fewer calories than normal to have an impressive positive effect on disease, markers of aging, and, perhaps, life span.

Even though calorie restriction appears to work in a variety of species, its effects on longevity are far from universal. It has been found to extend the life of protozoa (very small, one-celled organisms), yeast, fruit flies, some strains of mice, and rats, as well as other species. However, several animal models, including wild mice, show no lifespan extension by calorie restriction. In some strains of mice, calorie restriction even appears to shorten lifespan. Studies in nonhuman primates have also had conflicting results.

Calorie restriction studies with humans and other primates, such as monkeys, are ongoing. Some studies in nonhuman primates have shown that calorie restriction reduces the incidence of certain diseases such as cancer. Other studies in primates have not yet reached final conclusions.

Findings of the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) pilot study in humans showed that overweight adults who cut their calorie consumption by 20 to 30 percent lowered their fasting insulin levels and core body temperature. Both of these changes correlate with increased longevity in animal models. The lower calorie intake also reduced their risk for major causes of mortality such as heart disease and diabetes. CALERIE is currently evaluating a 2-year, 25 percent reduction in caloric intake for feasibility, safety, and effects on factors influencing longevity and health.

Scientists do not yet know if long-term calorie restriction is safe, beneficial, or practical for humans. However, the study of calorie restriction offers new insights into the aging process and biological mechanisms that could influence healthy aging.

This research may also provide clues about how to prevent or delay diseases that become more prevalent with age and inform the development of treatments for such diseases.

Some studies focus on identifying chemicals that somehow mimic calorie restriction’s benefits. Resveratrol, a compound found naturally in foods like grapes and nuts, is of interest. In one study, scientists compared two groups of overweight mice on a high-fat diet. One group was given a high dose of resveratrol together with the high-fat diet. The overweight mice receiving resveratrol were healthier and lived longer than the overweight mice that did not get resveratrol. In a follow-up study, researchers found that, when started at middle age, resveratrol slowed age-related deterioration and functional decline of mice on a standard diet, but did not increase longevity. A recent study in humans reported that resveratrol may have some similar health benefits to those in animals; however, it is still too early to make any definitive conclusions about how resveratrol affects human health and aging. More research is needed before scientists know if there is a proper and safe dose of resveratrol or if it has any clinical applicability in people.

Rapamycin is also being investigated. This compound is used to help suppress the immune system in transplant patients so that the body does not reject the new organ. Rapamycin has been found to extend median and maximum lifespan of mice, even when fed to the animals beginning at early-old age. This finding suggests that an intervention started later in life may still increase longevity. Researchers are now looking for rapamycin’s effects on health span of animal models. Since rapamycin treatment in people is associated with serious toxicities, its potential for human long-

term use is uncertain. Researchers do not know if rapamycin has any effect on human aging or if any potential benefit would outweigh risks. But, this discovery in mice has led to an exciting new research direction.

Scientists are also looking at the effect of intermittent fasting or reduced meal frequency. In animals, like mice, reduced meal frequency appears to have a protective effect on the brain and may also help with heart function and regulation of sugar content in the blood. However, here, too, the influence of intermittent fasting on human health and longevity is currently unclear.

While research into these types of approaches continues, it is important to remember there is already plenty of research supporting the value of a healthy, balanced diet and physical activity to help delay or prevent age-related health problems.

Hormones Hormones are chemical messengers that set in motion different processes to keep our bodies working properly. For example, they are involved in regulating our metabolism, immune function, sexual reproduction, and growth. Hormones are made by specialized groups of cells within the body’s glands. The glands—such as the pituitary, thyroid, adrenals, ovaries, and testes—release hormones into the body as needed to stimulate, regulate, and control the function of other tissues and organs involved in biological processes. Most hormones are typically found in very low concentrations in the bloodstream. But a hormone’s concentration will fluctuate depending on the body’s activity or time of day.

We cannot survive without hormones. As children, hormones help us grow up. In our teenage years, they drive puberty. As we get older, some hormone levels naturally decline. But what does that mean? Scientists do not know exactly.

In order to learn more, NIA is investigating how the administration of hormones to older people affects frailty and function. Many of these studies focus on hormones that naturally decline with age, including: Human growth hormone Testosterone Estrogen and progesterone (as part of menopausal hormone therapy) Dehydroepiandrosterone (DHEA) How Hormones Work A hormone acts upon a cell much like a key unlocking a door. After being released by a gland, a hormone molecule travels through the blood until it finds a cell with the right fit. The hormone latches onto a cell via the cell’s receptor. When this happens a signal is sent into the cell. These signals may instruct the cell to multiply, make proteins or enzymes, or perform other vital tasks. Some hormones can even cause a aging>>page 34

NOVEMBER 2012 MHL 33

aging<<page 34 cell to release other hormones.

A hormone may fit with many types of cells but may not affect all cells in the same way. For example, one hormone may stimulate one cell to perform a task, but it might also turn off a different cell. Additionally, how a cell responds to a hormone may change throughout life.

Hormone Therapy Levels of some hormones change naturally over the lifespan. Some hormones increase with age, like parathyroid hormone that helps regulate the amount of calcium in the blood and bone. Some tend to decrease over time, such as testosterone in men and estrogen in women. When the body fails to make enough of a hormone because of a disease or disorder, a doctor may prescribe hormone supplements. These come in many forms such as pills, shots, topicals (gels, creams, and sprays applied to the skin), and medicated skin patches.

You may have read magazine articles or seen television programs suggesting that treatment with hormones can make people feel young again or can slow or prevent aging. That’s because finding a “fountain of youth” is a captivating story. The truth is that, to date, no research has shown that hormone therapies add years to life or prevent age-related frailty. And, while some drugs have real health benefits for people with clinical hormone deficiencies due to a disease or disorder, they also can cause harmful side effects. That’s why people who have a diagnosed hormone deficiency should still only take hormones prescribed by a doctor and under a doctor’s supervision.

In some cases, the U.S. Food and Drug Administration (FDA) may have approved a hormone (or hormone therapy) for one purpose, but it is prescribed by physicians for another. This off-label use may occur when physicians believe that research, such as clinical studies, demonstrates a drug’s usefulness for another condition. However, consumers should be aware that off-label use of any drug may not have been tested and verified to the same degree as the original use of the drug.

Some Dangers of Hormone Therapy and “Anti-Aging” Supplements Higher concentrations of hormones in your body are not necessarily better. And, a decrease in hormone concentration with age is not necessarily a bad thing. The body maintains a delicate balance between how much hormone it produces and how much it needs to function properly. Natural hormone production fluctuates throughout the day. That means that the amount of hormone in your blood when you wake up may be different 2, 12, or 20 hours later.

If you take hormone supplements, especially without medical supervision, you can adversely affect this tightly controlled, regulated system. Replacement or supplemental hormones cannot replicate your body’s natural variation. Because hormonal balance is so intricate, too much of a hormone in your system may actually cause the opposite of the intended effect. For example, taking a hormone supplement can cause your own hormone regulation to stop working. Or, your body may process the supplements differently than the naturally produced hormone, causing an alternate, undesired effect. It is also possible that a supplement could amplify negative side effects of the hormone naturally produced by the body. At this point, scientists do not know all the consequences.

Some hormone-like products are sold over the counter without a prescription. Using them can be dangerous. Products that are marketed as dietary supplements are not approved or regulated by the FDA. That is, companies making dietary supplements do not need to provide any proof that their products are safe and effective before selling them.

There is no guarantee that the “recommended” dosage is safe, that the same amount of active ingredients is in every bottle, or that the substance is what the company claims. What you bought over the counter may not have been thoroughly studied, and potential negative side effects may not be understood or defined. In addition, these over-the-counter products may interfere with your other medications. NIA does not recommend taking any supplement touted as an “anti-aging” remedy because there is no proof of effectiveness and the health risks of short- and long-term use are largely unknown.

34 MHL NOVEMBER 2012

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Some seniors have been misinformed and believe that Independent Retirement Communities are for “old folks” who belong in nursing homes, or need daily care. This is certainly not true. Independent Retirement Communities offer the best in senior living options and keep seniors young at heart. Research shows that the more active and social you are, the longer you live, and the healthier you remain.

Independent Retirement Communities are more affordable than you ever imagined! If you add up the cost of annual repair and maintenance on your home, along with taxes, lawn care costs, utilities, etc, you might find that living in an Independent Retirement Community is the same cost or less! Retirement communities offer wide range of amenities to enhance your lifestyle.

Indoor/outdoor swimming pools, recreation centers, exercise rooms, libraries, craft rooms, laundry services, housekeeping, and transportation are all possible options. On campus restaurant style dining, cafés and bistros can take the work out of meal preparation as well as offer a chance to dine with friends. Independent Retirement Communities increase socialization and offer the opportunity to make new friends! From the moment you arrive, the sense of community and togetherness is apparent. Although there is plenty of time for relaxation in your own apartment there are also many activities designed to bring residents together - women’s groups, men’s groups, bridge clubs, fitness groups, craft classes, book discussion groups, and many more options…you name it, it’s probably available!

Another benefit is transportation. Some seniors enjoy driving for many years, and others prefer not to drive especially during inclement weather. Either way, you will feel right at home using your own car or enjoying the luxury of door to door service. Transportation to the grocery store, doctor appointments, and local shopping malls is available.

Adult children feel great about their parents choice to live in an Independent Retirement Community. They

love knowing that if anything happens, help is not far away. The fact that so many people are looking out for their parents safety and health gives great peace of mind. The level of activity and sense of community is second to none.

This type of retirement community gives active seniors the ability to enjoy an independent lifestyle with the knowledge that all of their needs will be met should their health care situation change.

A Senior Apartment Complex offers senior apartments with few if any amenities. Seniors in this community will need to move again if their needs change. It is interesting to note that the monthly rent over a period of time could use the saved funds that would have allowed the senior to enter a CCRC and have a continuum of care available.

Choosing the correct senior living community ensures that you or your loved one will have every opportunity to fully enjoy retirement, amidst a community of peers, with a full-range of activities in a safe environment.

One of the most important things you can do when considering your retirement years is to plan ahead.

Addressing financial and health issues early keeps families from having to deal with a crisis later.

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grandparents<<page 26

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A good first step to a long and successful relationship with your grandchild is to establish some ground rules with your son or daughter: Be clear about what role you want to have in your grandchild’s life. How often you want to babysit, for example, or whether you’d like to be included in events such as school functions.

Talk with parents about their rules. Consistency is important for kids, so know the behavior limits your grandchild has to follow at home and maintain the rules when he or she is with you.

Enforce any agreed upon punishment for bad behavior, whether it’s a “time out” or loss of privileges, for example.

Babyproof your home, to ensure safety for infants and toddlers. It’s probably been a number of years since you had young children in your home so it’s important to check with your grandchild’s parents about ways to babyproof your home, so they’re comfortable leaving the child with you.

Common grandparenting pitfalls to avoid Whatever your specific circumstances, when you are expressing love, showing concern for your grandchild’s safety and wellbeing, and being consistent in your behavior, you are probably already doing an excellent job of grandparenting.

To avoid potential conflict within your family, try to avoid these common grandparenting pitfalls: Trying to be the parent. As much as you might want to tell your children how to raise your grandkids, it’s not your role. Respect the parenting decisions your children make for your grandkids.

Buying your grandkids’ affection. It’s tempting for grandparents to shower their grandkids with gifts, but check with the child’s parents before you buy more toys.

Maybe substitute some of your gift giving with activities instead. Do something with your grandchild that you both love and will build memories. Shower them with love instead of gifts.

Overindulging the first few grandchildren and then not being able to repeat it as additional grandchildren come along. This can cause resentment from your own children who have kids later in life. Remember that whatever you do for your first grandchild (college fund, beach vacations, trips to the zoo) will set a precedent that you’ll need to repeat for every other grandchild.

Ignoring boundaries. A grandparent who won’t enforce limits and gives in to their grandchild’s every whim can infuriate parents. By allowing your grandkids to misbehave, overindulge in candy and junk food, or ignore bedtimes, for example, you’re only encouraging unhealthy behavior and making their parents’ job even harder.

Tips for spending quality time with your grandkids The best grandparenting activities flow naturally from the interests of both the grandparents and the grandchildren. You can create a deep, loving relationship with your grandchildren by sharing the things you love with them, and by being available to hear about the ideas and activities that excite them.

Take it easy together Make an effort to enjoy leisure time with your grandchildren. As a grandparent, you get to interact with your grandchildren without the same daily pressures of a parent—you don’t have to worry about driving carpool or juggling making dinner for the family with soccer practice and grocery shopping. Allow yourself to slow down and become really absorbed in an activity. Moving at a slower pace than usual can give children a sense that time can be ‘stretched’—that you don’t need to hurry through activities. And, as with adults, it gives them the psychic space to feel, reflect, and express emotions without feeling rushed.

Go outside Children love the outdoors, and trips to the park or the beach can be a great jumping off point for some wonderful adventures and happy memories. Nature walks and day hikes can provide lots of interesting things to talk about, and water activities can be especially fun. Throwing stones into the water or watching the current play with sticks are simple activities that can be fascinating to children. You can start these activities when kids are toddlers, and expand the games as they get older.

Share your interests or your work Engaging in hobbies and activities that you love or your grandchild loves can be a great way to spend time together and learn about each other. Sometimes, activities that you might not expect your grandchildren to be interested in, like knitting or gardening, might turn out to provide an important point of connection for you. Similarly, if you take an interest in something they are passionate about, like trading cards or the Harry Potter books, they get to share their special area of knowledge and may open up in new ways.

If you are still working, a visit to your place of work can add a dimension to your grandchild’s perception of you. If you are retired, pictures and stories about what your working days were like can do the same.

Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved.

For more articles in this series, visit www.Helpguide.org.

HOW HIGH FREQUENCY HEARING LOSS

affects your life.

Why do I hear people but not understand them?

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

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

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

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

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

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

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

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S O C I A L

S E C U R I T Y

Covers Every Season Of Life

By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI The cool winds and changing leaves are tell-tale signs: another autumn has arrived. Sometimes it’s hard to believe how quickly the seasons change and the years pass by. Whatever season of life you happen to be in, it may be a good time to reflect on the protection you have through Social Security.

Each stage of life — from the spring of youth to the summer of middle age to the autumn of retirement — comes with its own set of financial concerns. And in each situation, Social Security is there to help.

Of the more than 53 million Americans receiving Social Security benefits, nearly one-third are not retired workers or their dependents. They’re disabled workers and their families, or the survivors of a deceased worker. These non-retirement Social Security benefits can be especially important to young workers because about onein-eight young people will die before retirement, and about one-in-four will become disabled.

While the death of a husband, wife, or parent is emotionally devastating, it often can be financially devastating as well. Social Security provides a monthly survivors benefit payment to help the qualified family members of a deceased worker.

Social Security disability protection is equally valuable. Few workers have an employer-provided, long-term disability policy. With Social Security, however, the average worker has the equivalent of a disability insurance policy that pays monthly benefits to workers and their families, based on the workers’ lifetime earnings. So you can rest a little easier knowing that Social Security provides some measure of security, if life does not turn out as planned.

On the other hand, if you do work and retire as planned, Social Security serves as the foundation for a secure retirement. Social Security is the largest source of income for most elderly Americans today, but Social Security was never intended to be your only source of income when you retire. You also will need other savings, investments, pensions or retirement accounts to make sure you have enough money to live comfortably when you retire.

The Social Security Statement that you receive in the mail each year provides an estimate of your retirement, survivors, and disability insurance benefits. If you’d like to try out some different scenarios and see how various retirement ages and future earnings may change your retirement picture, visit our online Retirement Estimator at www.socialsecurity.gov/estimator. It provides an instant, personalized estimate of your future benefits.

And perhaps the best news of all is that it’s easier than ever to apply for retirement benefits. You can do it right from the comfort and convenience of your home or office by visiting www.socialsecurity.gov/applytoretire. It can take as little as 15 minutes.

Whether you’re young or old, Social Security is there through every season. You can find out more at www.socialsecurity.gov.

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WORKOUT<<page 8 “I don’t see any results.”

It’s important to understand that exercise may not produce immediate physical changes. Remember your long-term goals and think about how working out makes you feel. Writing down the little improvements you see on a daily basis can be helpful.

TOPS Club Inc. (Take Off Pounds Sensibly), the original, nonprofit weight-loss support and wellness education organization, was established more than 63 years ago to champion weight-loss support and success. Founded and headquartered in Milwaukee, Wisconsin, TOPS promotes successful, affordable weight management with a philosophy that combines healthy eating, regular exercise, wellness information, and support from others at weekly chapter meetings. TOPS has about 170,000 members in nearly 10,000 chapters throughout the United States and Canada.

Visitors are welcome to attend their first TOPS meeting free of charge. To find a local chapter, view www.tops.org or call (800) 932-8677.

STUCK<<page 12 taging our own efforts at change. A psychotherapist can act like a consultant in our attempts to be who we really want to be.

If you are interested in creating change in your life, psychotherapy can assist you.

Stephanie Delmore MA, LPC is a Licensed Professional Counselor who has been in clinical practice since 1996. Stephanie is currently accepting new patients at the Ommani Center of Integrative Medicine in Pewaukee. To schedule an appointment, call (262) 695-5311. www.ommanicenter.com EYE<<page 15 locations, Daniel Paskowitz, MD, PhD, adds, “We have seen some amazing results with Avastin, including not only stabilization of vision, but in some cases, improvement in sight. However, we must evaluate each patient’s response individually to determine if and when (often every 6-12 weeks) they should receive injections.”

Although not all diabetics can have or need it, laser treatment can also be effective in reducing the incidence of severe vision loss, especially if started early enough,” notes Daniel Ferguson, MD, who treats thousands of patients each year with diabetes, cataracts, glaucoma, macular degeneration, and other concerns.

FREE Booklets & Information Eye Care Specialists’ doctors are dedicated to providing the highest quality cataract, glaucoma, diabetic eye disease, macular degeneration, dry eye, and laser vision correction care. They frequently lecture to the public and fellow physicians and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough examination at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National. They also offer information at www.eyecarespecialists.net.

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