Nov 2014 mhl by Modern Health and Living

MHL

NOVEMBER | 2014 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Holiday Guide GET THE LATEST IN HEALTHY LIVING

Healthy Aging Edition

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

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November Note Happy Birthday to Jamie, Barry, and me! Yep, November is a month of celebration, three birthdays within days, Thanksgiving and the most important Elf on a Shelf is coming to visit my family. Are your kids writing to Santa yet? My little girl has already written a letter to the North Pole explaining to Santa how she will try harder and eat better so she can get more presents. Gotta love kids. November is a month of indulgence. Turkey, stuffing, gravy, and the pies can make your waistline an inch or two larger. So what can you do? Well, I am making better strides this year to keep myself under control. Adding an extra exercise class to my routine and replacing meals with dare I say...more vegetables. Even my husband is getting in the game. He is going vegetarian for a month to change up his diet. He believes our bodies need a break from the same foods we always eat. I tend to agree or maybe I have been a vegetarian for 6 years and love the fact we can actually eat the same meal together. You can always make healthier, hearty foods (lots of cook books 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. November is National Older Adults month . This is why I choose November to be our Healthy Aging issue. 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

MODERN HEA

NOVEMBER | 2014 FREE PUBLICATI ON

Living with wounds really isn’t “living”. Don’t put your life on “hold” because of non-healing wounds. Call us today and ask about our state-of-the-art healing options. We haven’t met many wounds we can’t heal. Bring us yours and reclaim your life.

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LTH AND LIVIN

NOVEMBER 2014 EDITION Holiday Guide

MHL Staff

Healthy Aging E HEALTHY LIVIN

dition

G FOR MEN

, WOMEN,

CHILDREN AND

SENIORS

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

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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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THE LATEST IN HEALTHY LIVING

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 2014 MHL

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HEALTHY AGING

See the best you can see . . .

See an Eye Care Specialist

6 Things YOU SHOULD KNOW ABOUT DIABETIC EYE DISEASE

Trusted by more than 125,000 doctors & patients since 1985 for: ■ Cataracts, Glaucoma, Diabetes “TOP DOCTORS” ■ Macular Degeneration (AMD) Milwaukee & M Magazines ■ Corneal Transplants Mark Freedman, MD ■ Lid, Retina & Pediatric Cases Brett Rhode, MD ■ Dry Eyes/Infections Daniel Ferguson, MD Daniel Paskowitz, MD, PhD ■ LASIK Vision Correction Michael Raciti, MD ■ Diagnostic Laser Scans David Scheidt, OD ■ Comprehensive Eye Exams

November is “National Diabetes Awareness Month” Diabetes is reaching epidemic levels in the U.S. Chances are you know (or are) one of the 25.8 million Americans with the disease. If so, take note. Diabetes does more than affect blood sugar levels. Without proper precautions, it can rob a person of their sight. 01 Description With diabetes, fluctuating and high blood sugar levels can cause the blood vessels that nourish the retina in the back of the eye to become weak or abnormal. This can lead to leakage and bleeding that can blur vision and permanently impair sight. “Of the nearly 26 million Americans diagnosed with diabetes, up to 45% have some degree of diabetic retinopathy (damage to the retina), which can lead to vision loss and blindness,” reports Dr. Mark Freedman, senior partner at Eye Care Specialists, a local ophthalmology practice that specializes in the care of thousands of diabetic patients. 02 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. 03 Detection “Fluctuations in blood sugar levels can temporarily affect vision, making it difficult to know if a serious eye problem is developing. Significant retinopathy may also be present and progressing even if a person’s vision appears to be good,” explains Head of Ophthalmology at Aurora Sinai Medical Center Brett Rhode, MD, who conducts continuing education programs for local doctors and diabetes coordinators. “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 before noticeable vision loss occurs.” 04 Treatment “When treatment is necessary, 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,” reports Daniel Ferguson, MD, a former engineer who is now one of Wisconsin’s leading eye surgeons performing in-office injections on a daily basis. Daniel Paskowitz, MD, PhD, an ophthalmologist with credentials from Harvard and Johns Hopkins, adds, “We have seen 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 (about every 4-12 weeks) they should receive injections.” 05 Incidence “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, which 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. And, if you are black, you have a three times greater risk of losing vision to diabetes than a white person,” says Dr. Michael Raciti, an ophthalmologist at Eye Care Specialists. 06 Prevention “Diabetes-related sight loss is often preventable with good blood sugar control, yearly dilated eye exams and early intervention. But all of our expertise and treatments are of no use if patients don’t come in for regular checks,” says David Scheidt, OD, an optometrist and 19-year member of the Wisconsin Diabetes Advi-

www.eyecarespecialists.net

T EYE CARE SPECIALISTS West Allis

Wauwatosa

Milwaukee

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EYE>>page 28 NOVEMBER 2014 MHL

Children’s Living

EDITOR’S PICK fall kids active wear

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

Visit oakcreekpediatrics.com

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MHL HEALTHY AGING 2014

KEEP THE FAMILY AND WALLET FULL

Large grocery bills can take a toll on the bank account, but there are numerous ways to adhere to a budget at the store. Households don’t have to sacrifice nutrition to save money. Shrink your grocery bills, eat healthier, and shrink your waistline, too. Plan Ahead Create a weekly or bi-weekly menu. Before purchasing food, make a list of groceries your family will need for the pre-planned meals and stick to the list as you make your way through the store. Check for coupons or specials that apply to items on the menu. Also, avoid shopping on an empty stomach, so you aren’t tempted to purchase extra foods. It’s helpful to check the kitchen cupboards to see if an item on your grocery list is already on the shelf. Buy Big, Save Big Buy larger amounts of staple items, divide the food into smaller portions, and freeze the ingredients that aren’t being used right away. Here are items that can be bought in bulk: • Whole grain pasta • Brown rice • Potatoes • Sweet potatoes • Canned or dried beans • Legumes • Lentils • Eggs • Ground beef • Chicken breast • Canned fruits and vegetables Repurpose Leftovers Don’t toss leftovers or let them mold in the back of the fridge. There are numerous ways to reuse meat, cheese, and vegetables in a new dish. Use extra chicken and vegetables in a stir fry or turn leftovers from taco night into taco salad another evening. It may be helpful to include a “leftovers” night on the weekly menu. Do It Yourself Buying prepackaged or “convenience items” can be more expensive than preparing foods at home. To save money, buy a block of cheese and shred it by hand or cut fruits and vegetables rather than purchasing them already chopped. Individuallywrapped snacks can be costly. Consider getting a larger box or bag and dividing its contents into baggies or plastic containers. Pick a New Protein Go meatless for a few nights each week. There are numerous foods that offer protein for a smaller cost. Legumes, lentils, nuts, eggs, and cheese are examples of alternatives to meat. Use these items to concoct bean-based soups, vegetarian lasagna, or a peanut-vegetable stir fry. Or have breakfast for dinner, with eggs, whole grain toast, and fruit. Shoppers can also buy meats at a slightly lower quality to save money. For instance, use ground beef instead of ground sirloin to save money. You can reduce the extra fat by browning the meat, pouring it into a colander, and rinsing it with water. Using stew meats can also save money, and they become tender when cooked in a crock pot. Be Seasonal Produce can be expensive, so buy items that are in season or on sale to help save money. Also, consider joining a Community Supported Agriculture (CSA) network, where individuals buy into the farmers’ yield. You are limited to what’s in season, but the produce is fresher and costs less. Here are examples of the upcoming seasons’ affordable produce: Winter • Oranges • Tangerines • Broccoli • Cauliflower • Brussels sprouts • Grapefruit • Cabbage TOPS Club Inc. (Take Off Pounds Sensibly) is the original weight-loss support and wellness education organization. Visitors are welcome to attend their first TOPS meeting free of charge. Membership is affordable at just $28 per year, plus nominal chapter fees. To find a local chapter, view www.tops.org or call (800) 932-8677.

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Multiple studies show a positive correlation between parental body image and diet and those of their children. One of the main influences of either a healthy, or unhealthy, lifestyle are parents. Children are masters of mimicry, so if parents eat well and make sure exercise is an important part of their lives, their children will most likely follow their example. Jordan Meyer, a certified personal trainer at North Shore Elite Sports Club in Glendale, provides some tips on how to raise your family in a healthy way. Start your family exercise program as soon as possible. Exercise for children takes many forms, including playing outdoors, going on family walks, bike rides, or swimming. The most important thing is to get children to move so they are used to it. The more familiar and comfortable they are with it, the more likely they will be to continue to stay active throughout their lives. Exercising during pregnancy is a great way to keep yourself in shape and feel good. The kind of exercise, and how much exercise you should do, changes throughout pregnancy. Talk with your doctor to decide what is safe for you. Families should do things together that would be fun for their children. Family walks, bike rides, pool days, and obstacle courses are great activities. Several sports can include family participation for young children, like soccer and tennis, which are sports that many children, as young as three, can participate in to some level. Golf is another sport that many young children can play that teaches important physical skills, like hand/eye coordination. Unfortunately modern kids over utilize the internet and computer games which fosters inactivity. Allowing the child to play video games for a set amount of time only after they have completed their homework, is a great way to emphasize the importance of homework. It also forces the child to be creative with their free time, encouraging them to read or play outside. Diet is very important in family life. Even if parents eat well, often children can pick up unhealthy eating habits from their peers. While it’s impossible to control your child’s eating habits 100% of the time, reinforcing the good habits at home will go a long way in helping the child to make good choices when the parents can’t be around. One way of having a year round active life, especially in our inclement winters is to join a health club as a family. Health clubs oftentimes give families a litany of ways to help support healthy lifestyles. Elite, for example, offers a program called TNT (Teen Nutrition & Training) in junction with Elite’s registered dietitian, Rita Larsen, in a peer setting, which teaches children the basics of fitness and nutrition and reinforces the idea that exercise is not only beneficial, but fun! Kids work with a certified personal trainer to learn the basics of dietetics and exercise so they can have fun and be safe and healthy at the same time. For adults, there are a number of different programs (Weight Loss Challenge, Fitness and Nutrition Club, etc) that help keep them on track in their fitness or weight loss journey. Since children can sense dishonesty in adults, it’s important for parents to make sure they are honestly living healthy lives. Knowing that children are impressionable, try to be as appropriately honest with them as possible. Older children oftentimes can comprehend certain things at a deeper level, so it is up to a parent to decide how best to explain the situation. For example if you are trying to quit smoking, let your child know you want to quit. If you send lunches with your kids to school finding a healthy mix of food can actually be quite an easy task, and it doesn’t have to be expensive! If you break it down, you can make a healthy sandwich for your child (including meat and cheese) for under $1.50! Making sure you get a good mix of fruits and veggies is important as well. Some good lunch ideas are carrot sticks, apples or apple slices, celery, pears, bell pepper slices, and bananas. Sending a small amount of nuts (cashews, almonds, etc) can be a good way to get some protein in your child’s lunch. Hard boiled eggs, raisins, and granola are also good options. Filling your child’s lunch with healthy things they like will help ensure they eat what you send with them. It’s normal for HEALTHY>>page 39

MHL HEALTHY AGING 2014

HEALTHY AGING

Suspicious Minds

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Alzheimer’s can often be more devastating for family members than it is for the person who has it. Not only is it painful to watch a loved one go through such a lifeand-personality-altering illness, but many of the behaviors associated with Alzheimer’s have a direct impact on the people closest to those who have the disease. One of the most difficult of these behaviors is suspicion or paranoia, particularly when it’s directed at you. Maybe your mother misreads your motives in offering to help her downsize or your dad thinks your efforts to obtain Power of Attorney are part of a scheme to swindle him. At Home Instead Senior Care serving North Milwaukee County, we have worked with countless devoted family members and caregivers who have been through experiences such as this and we have found that the following tips are among the most effective ways of dealing with the paranoia that sometimes accompanies Alzheimer’s and other dementias. • Deflect, deflect, deflect: We understand that it can be hurtful to be accused of wrongdoing or ulterior motives by someone when you are only trying to do what’s best for them, but it’s important to not take the paranoia personally. When you start to get offended, try to remind yourself that this is simply a common effect of Alzheimer’s and visualize a flapjack on Teflon or water rolling off a duck’s back. • Don’t ignore or dismiss the fears: Even though you can’t let it get to you, we do recommend giving the person with Alzheimer’s the opportunity to voice their concerns and trying to understand that reality. Try to be reassuring, without arguing with them or trying to tell them that they’re wrong. • Take a Detour: Try to change the subject or the activity if it seems like it’s beginning to cause problems. For example, if you are trying to help your mother get rid of items and she thinks you are taking her things, pick up something nearby (like a photo album or a cherished memento) and ask her questions about it. • Two (or four or six) are better than one: You can’t exactly go out and purchase multiple heirlooms or high-end items, but for the little things that tend to get lost or mislaid (reading glasses, slippers, wallets) consider getting few clones. This is especially helpful if your senior immediately assumes that something he’s lost has been stolen. For more information, please contact Home Instead Senior Care serving North Milwaukee County at 414-882-5464 or Like us on Facebook.

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NOVEMBER 2014 MHL

HEALTHY AGING

HOW TO FIND MEANINGFUL LEARNING OPPORTUNITIES OVER AGE 50

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As older adults age and either enter into or begin to contemplate retirement, they are susceptible to a range of powerful emotions. They may fear being alone or becoming irrelevant in their personal and professional lives. They may be concerned that their mental health will begin to falter because of the lack of stimulating intellectual activities and challenges. They are also concerned about boredom and loosing friendships. Membership in programs like the Osher Lifelong Learning Institute at the University of Wisconsin-Milwaukee can offer older adults meaningful learning opportunities in a welcoming, social environment. The Osher experience, as is the case with many education programs geared for adult 50 and over, can create an elixir to counteract the fears of entering this new stage of life. Participating in learning as an older adult is a wonderful gift—in many ways, the gift of being really alive. And it is indeed an extraordinary gift – a membership into a world for the wise. With hundreds of fascinating courses, day trips in and around Milwaukee, and travel opportunities to exotic locations around the globe, Osher members have the opportunity to invigorate their lives. Members do this in a highly social atmosphere by sharing engaging learning experiences with nearly another 1000 like-minded explorers who value lifelong learning. The Osher Lifelong Learning Institute at UWM’s School of Continuing Education is designed for older adults who share a love of learning throughout their lifetimes. Members enjoy innovative and enriching programs in a friendly setting with others who share their interests. Although most members are retired, you do not have to be a retiree to join. Nor do you need to be a UWM graduate or otherwise associated with the University. People of all educational backgrounds are welcome to join! With the support of The Bernard Osher Foundation in, Osher thrives as an institution dedicated to serving older adults in the pursuit of lifelong learning. Osher institutes are found on the campuses of more than 120 colleges and universities throughout the U.S. HEALTHY<<page 8

10 MHL HEALTHY AGING 2014

Well-Being

NOVEMBER 2014 MHL 11

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HARVEST A NEW ROUTINE TO

re-energize

YOUR WORKOUT Whether you spent the summer scaling mountains or doing laps in your gymâ&#x20AC;&#x2122;s outdoor pool, exercising outside doesnâ&#x20AC;&#x2122;t have to end when the first leaf drops. In fact, fall is a great time to harvest a new routine to re-energize your workout. Consider the following tips and get motivated!

12 MHL HEALTHY AGING 2014

Enjoy the foliage.

Exercising outside feels like a lot less work, especially if you’re doing something you enjoy. Relish the cooler weather and take advantage of outdoor adventures before the winter rolls in. Research park trails nearby to enjoy a hike or bike ride amid February 2011 Note fall’s colorful foliage. Even apple picking or pumpkin gathering with your kids is a fun activity that is sure to burn calories.

Layer up.

The change in season brings about a change in climate. Depending on where you live, temperatures could gradually decrease or drastically dip over the next month. Keep this in mind as you plan outdoor activities and invest in breathable, moisturewicking clothing. Though you may feel chilly at first, your body will quickly warm up once your blood starts pumping so you don’t want to overdress either. For those cold morning runs, a hat will help insult your head where you lose the most heat. Review this post SparkPeople how to layer effectively. Thisfrom month I wanted toon start things off with new and modern changes.

FOOT PAIN?

Be safe.Starting with the QR code. Get your cell phones out and scan the code on the

Freeze that gym membership.

If you don’t have time to get to the gym or you simply rather spend more time outdoors, consider freezing your gym membership for a couple of months. Though February 2011 EDITION you’ll be charged a small monthly fee to retain the membership, you could save up to 90-percent of the regular monthly charge. Though some people opt to cancel, you could wind up paying pesky initiation fees once you’re ready to sign up again.

Savor fall produce for less.

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Grocery stores and farmers’ markets will be full of fall’s freshest produce including apples, figs, pears, pumpkins, sweet potatoes and winter squash. In-season produce is rich in flavor and cheap on your wallet. So, if you aren’t sure how to turn Lewis Media Group publishers these seasonal vegetables and fruits Amandainto Lewismeals check out these tasty recipes from editor Malberry Media graphic design CookingLight.com. Marlys Lewis Jerry Kornowski Accordingtravel to The to Buy Guide, new bicycle models are released Marlys Metzger editor Best Time Lewisbecause they don’t want old models hauntSeptemberfounder and dealers slashBarry prices

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in ing their showrooms. Bike manufacturers make updates to new models, so educate yourself on those changes. Sometimes the updates are minimal or limited to design tweaks, making the older models a super smart buy.

Just What The Doctor Ordered! d

Shorter days dark our mornings and evenings, thisdon’t shouldn’t you from front bring and enjoy new updated website. but If you have deter the phone that an outdoor scans, exercise regime. Just about it; wear reflective workout no problem, just be go smart to www.modernhealthandliving.com as findclothes even and carry amore flashlight to illuminate yourliving. path. Bike riders should invest in headinformation about healthy lights and blinking tail pleased lights and clear of heavy traffic roads. AllThis early I am very thatstay you’ve decided to join us this month. is morning our BIG or eveningHealth exercisers should opt We for have designated paths head to the local school Awareness issue. packed so muchorup-to-date information into these pages that this issue is just bursting with health! We have something for track. menfrom and women of all ages. We contact local health professionals every month Take cue the kids. and are thankful many have contributed to this issue. Theytoo, are keenly As children head back that to school this season, remember that you, should aware of health concerns for this region (very important). Wefencing? stay in touch never stop learning. Are you interested in boxing, tap dancing or even Give them so on theyintro can classes stay in touch thinkfor you’ll something it a try. Askwith about deals to findwith out you. if it’sIright you,find or scour daily here that can helpdiscounts. you lead a healthier life. We hope that you share this special deal sites for introductory issue with friends and family, too. WorkoutSat peahome. king of family, I try to keep mine active throughout these cold months. Now thatMy thechildren days feel shortera Tae and Kwon the holiday season is alooming, fitting fitness are taking Do class 4 times week. I encourage you into your daily routine may feel impossible. But remember, even 15 or 20 minutesitsis to try to find something to keep your children active and social. Wheather enough time to get in adance, quicksport workout think living-room aerobics or aactive quickkeeps dash gymnastics, or just--running around in circles, staying around the the neighborhood. Be prepared for those fleeting moments of free time with body and mind healthy and developing. fitness DVDsTo or us better yet, hit up Hulu for free workout tutorials on Exercise TV. adults with Super Bowl Sunday and myself hosting the monthly together this equals food, food and even more food. It’s so important Get theBunco rightgetgear. to keeppart, ourself so it mightyour be time to get with that gym start For the most youactive, can challenge muscles yourmembership own body or weight walking the malls again. Stay active!!! I hope you have a wonderful February and avoid all that specialty, super-expensive equipment advertised on TV. However, touchtobase again in March some itemsand arewill helpful your results, like hand weights or resistance bands. Shop -Amanda Lewis online for discounts at FreeShipping.org, where you can get a coupon code for 20percent off at Champion through Oct. 9.

Weigh yourself regularly.

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With colder weather comes bulkier clothes, and I find it easy to overlook a few extra pounds through chunky sweaters. Combat this oversight by weighing yourself regularly, preferably at same time every day to get the most accurate reading. For help tracking your weight and exercise progress over time, try Fitbit’s Aria Wi-Fi Smart Scale, which wirelessly syncs to a free and private online account each time email: info@lewismediagroup.com. you step on 6000, the scale. You’ll get stats with easy-to-read graphs of important body measurements including weight, BMI and body fat percentage over time. Andrea Woroch is a nationally-recognized consumer and money-saving expert who helps consumers live on less without radically changing their lifestyles. From intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whensmart spending tips to personal financeanadvice, Andrea transforms everyday conever a health problem arises requiring expert’s care. sumers into savvy shoppers. She has been featured among top news outlets such as Good Morning America, NBC’s Today, MSNBC, New York Times, Kiplinger Personal Finance, CNNMoney and many more. You can follow her on Twitter for daily savings advice and tips. Lewis Media Group | Malberry Media | www.modernhealthandliving.com

In-home and on location appointments: Call today 262-241-3668 NOVEMBER 2014 MHL 13

Redefining Health

THE POWER OF TRANSPARENCY

Choose Health. Choose Life. Choose Chiropractic. we will At Fisher Family Chiroprac c, be er show you the natural way to that a er health and we are convinced see why will you e offic one visit to our t chiroprac c is the safe and mos re. thca heal in ve rna alte c ve effe

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By Kalpana (Rose) M. Kumar, M.D. Every physician can look back over their years of medical training and remember an experience that sealed their desire to become a healer. The stories we carry in our hearts are timeless reminders and a constant source of inspiration and love for our work. I did my medical training in New York and San Francisco in the early 1980’s. A new virus was emerging in frightening numbers and increasing numbers of patients with opportunistic infections were occupying hospital beds. The cause of these infections was not yet clear. The U.S. government refused to fund research to study this new plague that was claiming thousands of lives. My first glance at AIDS was on the medical ward at Montefiore Hospital in New York. I remember dressing in what looked like a space suit to examine my infected patients. The unknown contagion that was damaging their immune systems was poorly understood. We needed to take all precautions to protect ourselves from becoming the next host. I was 22 years old and overwhelmed with empathy for these patients. How must they feel to have people enter their room dressed in space suits because they were infected with something so virulent, they could put a person in their proximity at risk? (At that time, it was unclear how HIV could be transmitted). Maybe it was because of the way these patients were marginalized, feared, cast aside, and discriminated against that a special kind of love and compassion was evoked in me. When I began my internship at UCSF, I requested that most of my rotations be at San Francisco General where a special ward was created for patients with AIDS. On the AIDS ward in the 80’s, a majority of patients were dealing with intense fear of death with extraordinary courage. The majority of my patients were highly creative and intelligent artists and musicians who contributed an extraordinary amount of beauty and love to their community. On the ward, I felt more like their student rather than their doctor. I felt I was there to learn about courage and compassion, and broaden my perspective of life. I knew this experience would profoundly impact my journey as a doctor and a healer. My patients here were transparent with their feelings, and with the wisdom they had gained through their profoundly difficult journey with AIDS. In the wee hours of the morning when I was on call, tired from shifts that lasted up to 2 days with no sleep, I would sit in the piano room on the ward, close my eyes and soak in the energy. This was my meditation time. I would absorb the energy from the ward, where life and death were different sides of the same coin and where the ‘razor’s edge,’ the sublime experience of living and dying, was acutely palpable. The overriding feeling here was love. Many of my patients were confronting death. I felt that midwifing this would not only make me a better physician, but a better person. It would open my heart to a deeper level of care and force me to confront my own mortality, a rare experience in one’s twenties. I remember checking one of my patient’s vital signs on a foggy San Francisco morning. He asked me how I was doing. I replied that if only it was sunny, I would be doing better. He said to me, “Rose, there is no such thing as bad weather when you have AIDS. Every day is precious.” This statement never left me. It still reverberates within. I hear it when I awaken every day. It was a precious gift, one that I always carry - a medicine in my heart, and helps keep my perspective in check when I feel down or negative about the ‘small stuff.’ My time on the AIDS ward was a gift I will cherish forever. There, my patients were my teachers. The nurses who tirelessly cared for these patients were also my teachers. They took me under their wing and taught me how to be a good physician, POWER >>page 15

14 MHL HEALTHY AGING 2014

DISCOVER

Reiki

By Laura Levenhagen I discovered Reiki nine years ago and it opened up a channel of healing in me that I did not know existed. I was an experienced Registered Nurse back in school to become a Massage Therapist so I could be more on the preventative side of health care. The school I attended offered many alternative therapy classes to expose students to different healing practices. Although I didn’t really understand what Reiki was and it seemed kind of mystical, I was eager to take the class because I liked the idea of mind/body awareness to empower an individual to self heal. By the time the class ended I had released a major restriction in my right shoulder that I had carried around since childhood and felt peaceful, relaxed and connected on a profoundly deep level. Reiki is an ancient energy healing method that promotes wellness in both the giver and receiver. Originating in the Eastern world centuries ago, this healing method later became lost. In the 1800’s Dr. Mikao Usui rediscovered this holistic art of healing and called it Reiki. The word Reiki (pronounced “ray-key”) means “Universal Life Energy” and is the vital energy of life in all living things. The person who practices Reiki creates a channel for Universal Life Energy to flow through their hands to where it is needed most by the receiver. The receiver has full control over how they accept and use this healing energy through the innate wisdom of their body. A Reiki treatment feels very relaxing and nurturing, like basking in a warm radiant glow. The receiver stays fully dressed and lies face up on a massage table. Using light touch, the practitioner gently places her hands on areas of the body where there is pain or restriction. As the Reiki energy flows into the body it opens up blocked areas and allows the body’s self-healing mechanisms to function properly. Balance and harmony are restored promoting relaxation of tense muscles and feelings of peace, security and acceptance. If the receiver is able to bring their awareness into their body during a treatment, they often will get insight into and release particular issues that may have been blocking their quality of life. Reiki helps support the well being of individuals facing stress and health challenges. It complements, but does not replace traditional medical care. People from all walks of life practice Reiki. Reiki is not a religion and persons of any consciousness can do it if they desire to ease pain, decrease stress, release old patterns and facilitate personal growth. Reiki students receive an “attunement” that opens up the ability to channel Universal Life Energy. If you have not been attuned to Reiki you can still pass energy on to another person if you touch them, but at a REIKI >>page 39

POWER<<page 14 how to love and feel, and most importantly how to become transparent with my feelings. Transparency is a gift we often suppress. Many believe that showing our feelings is a sign of weakness. On the contrary, it is a sign of our humanness. It makes us trustworthy. It offers safety to those who rely on us for their healing. During my residency, I was told that as a physician it was my obligation to hide my feelings. This always felt counter-intuitive to me. I was unable to adapt to this injunction. The nurses on the AIDS ward reinforced the power of transparency. They were unafraid to show their feelings, love their patients and care for them in ways that defied the disconnected rules of the physician-patient interaction. . They were my true heroes and mentors. I watched them care for patients with such openness, compassion, and love that I vowed to keep my heart open this way in my work. When my patients share their deepest struggles and sorrows with me, I receive them with love and transparency, and they feel witnessed and validated. This is deeply healing for them. I always end my day grateful for the privilege to be able to serve this sacred contract of witnessing and healing, where the mutuality of process between doctor and patient adds depth and richness to my life. Last but not least, I always give thanks to the patients who were my teachers on the AIDS ward in San Francisco. They will remain forever in my heart with their eternal gifts of courage and transparency. ©November, 2014 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director , The Ommani Center for Integrative Medicine, Pewaukee, WI. www.ommanicenter. com.

Midwest College of Oriental Medicine First visit, consultation and Acupuncture treatment at no cost if you bring this ad! This offer expires January 31, 2015

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16 MHL HEALTHY AGING 2014

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

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Balance YOU CAN GET BACK INTO BALANCE EASILY AND NATURALLY

Holiday Gift & Events Guide

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November 12 6:00 - 9:00 p.m.

At the Greensquare Education Center Drawings I Gift Bag to Registered Guests

Free Classes, Food & Demonstrations 6:00 p.m. NIA & Guided Meditation for Joy & Health 6:15 p.m. Stress: When does the fun start? Easy techniques to manage holiday stress. Demonstrations with Q&A 7:15 p.m. Tasting: Healthy Holiday Snacks & Beverages 7:30 p.m. Nutrition: Get the Joy Flowing! Slimming smoothies, healthy snacks & holiday menu planning! 8:00 p.m. Women’s Health: Latest integrative strategies for a healthy winter!

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GiftPromo_ModHealthAd.qxp 9/15/14 2:55 PM Page 1

Zoo Pass – Enjoy free Milwaukee County Zoo admission for a full year and so much more! New Zoo Pass gifts include a plush-toy animal (while supplies last).

Sponsor the Zoo’s harbor seal pup or choose one of 2,000 other Zoo animals to sponsor. Harbor seal pup package includes a 10-inch plush-toy harbor seal (while supplies last).

Holiday ornaments featuring Zoo animals – This year’s ornament features the harbor seal family (mom, dad and pup). Gift Certiﬁcates – Purchase a certiﬁcate that can be used for a Zoo Pass, Zoological Society events, or education classes and camps. Purchase any of these gifts at www.mhlgifts.com or call (414) 258-2333.

10005 W. Bluemound Rd. Milwaukee, WI 53226 A Zoological Society and Milwaukee County Zoo Partnership

Holiday Fair Friday, November 14 9 a.m. to 5 p.m. Milwaukee Retail Store

FREE Event

Honor FLIGHT

Home Care Medical Holiday Fair Friday, November 14 – 9 a.m. to 5 p.m. Milwaukee Retail Store – 4818 South 76th Street

From 11 a.m. to 1 p.m., veterans will ďĞ ŽŶ ŚĂŶĚ ĂĐĐĞƉƟŶŐ ĚŽŶĂƟŽŶƐ ĨŽƌ ƚŚĞŝƌ ĐŽīĞĞ ƚĂďůĞ ďŽŽŬ ͞,ŽŶŽƌ &ůŝŐŚƚ ʹ A Visual Journey.” Honor Flight cds, caps, t-shirts and patches will also be ĂǀĂŝůĂďůĞ ĨŽƌ ƉƵƌĐŚĂƐĞ͘ 'ƌĞĂƚ ŚŽůŝĚĂǇ ŐŝŌƐ͊

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Bring your family, friends and neighbors – everyone is welcome to join us for this FREE event!

ZĞƐĞƌǀĂƟŽŶƐ ĂƌĞ ƌĞƋƵŝƌĞĚ, so please call 262.786.9870 ext. 207 or e-mail holidayfair@hcmedical.com. Plus, check out the latest in CPAP products, including our CPAP Bundle and the SoClean 2.

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Kayla’s KREW

sŽůƵŶƚĞĞƌƐ ǁŝůů ĂůƐŽ ďĞ ĂĐĐĞƉƟŶŐ ĚŽŶĂƟŽŶƐ ƚŽ ŚĞůƉ ďƵŝůĚ Ă ƉůĂǇŐƌŽƵŶĚ ĨŽƌ ĐŚŝůĚƌĞŶ ŽĨ Ăůů ĂďŝůŝƟĞƐ ŝŶ &ƌĂŶŬůŝŶ͘

Munch on FREE popcorn, play Holiday Fair Bingo and register to win great prizes including a Kindle, a SoClean Ϯ W W ^ĂŶŝƟǌĞƌ͕ Ă W W ƵŶĚůĞ͕ sŝƐĂ 'ŝŌ ĂƌĚƐ ĂŶĚ ŽƚŚĞƌ special prizes. Join us for all the holiday fun!

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What To Expect While Using CPAP

Many people who use CPAP report feeling better once they begin treatment.

CPAP is a long-term treatment. Many people have questions when they first start using CPAP. Talk with your sleep specialist about how to handle follow-up questions. He or she can answer some questions, but your home equipment provider may need to address others. Ask your sleep specialist to recommend a home equipment provider that has a lot of experience with CPAP. To achieve the full benefits of CPAP, use it every time you sleep—during naps and at night. Most people should use CPAP for at least 7.5 hours each night for the best results. The CPAP Machine Adjusting to the CPAP machine can take time. You may feel strange wearing a mask on your face at night or feeling the flow of air. Some people feel confined by the mask. If you feel this way, slowly adjusting to the mask may help. First, hold the mask up to your face for short periods during the day. Next, try wearing it with the straps for short periods. Then, add the hose. Breathing with a machine doesn’t feel natural. If your machine has a “ramp” feature, you can use it to slowly “ramp up” from a lower air pressure to the pressure that’s needed to keep your airways open during sleep. Once you’re comfortable using CPAP during the day, try using it at night while you sleep. Relaxation exercises help some people adjust to using CPAP. Talk with your doc-

tor about whether relaxation exercises might help you. If you’re having trouble adjusting to the mask or the CPAP machine, contact your home equipment provider. Your provider may have staff who can help you adjust to CPAP. Also, you may want to try a different mask that has fewer straps or less contact with your skin. Follow-up Care Your sleep specialist may ask you to schedule a follow-up visit about a month after you begin using CPAP. He or she will want to see how well you are adjusting to treatment. After that, you may have follow-up care every 6 or 12 months. Your sleep specialist might need to adjust the air pressure setting of your CPAP machine if: You gain or lose a lot of weight Your symptoms, such as daytime sleepiness, persist or recur You have another treatment for sleep apnea, such as upper airway surgery or a mouthpiece Benefits of CPAP CPAP has many benefits. It can: Keep your airway open while you sleep Correct snoring so others in your household can sleep Improve your quality of sleep Relieve sleep apnea symptoms, such as excessive daytime sleepiness Decrease or prevent high blood pressure With CPAP, you may fall asleep faster and wake fewer times during the night. The pauses in breathing that are typical with sleep apnea won’t disrupt your sleep. Studies also show that treatment with CPAP is linked to a decrease in reported car accidents and near accidents. Some studies have shown that CPAP improves reaction time, concentration, and memory in people who use the treatment. Many people who use CPAP report feeling better once they begin treatment. They feel more attentive and better able to work during the day. They also report fewer complaints from bed partners about snoring and sleep disruption. You may feel better after the first night of using CPAP. You may wake feeling refreshed, alert, and in a better mood. You also may feel less tired during the day. However, it can take a week to a month to adjust to CPAP. Some people have trouble falling asleep when they first start using CPAP. This problem usually is short term and goes away as you adjust to the treatment. Even if you don’t notice a change right away, stick with the treatment. The benefits are worthwhile. Once you adjust to using CPAP, you’ll sleep better. Visit one of Home Care Medical’s three retail stores in Milwaukee, Sheboygan or West Bend or shop online 24/7 at www.HomeCareMedicalShopOnline.com

NOVEMBER 2014 MHL 21

NOVEMBER 2014 MHL 23

Senior HEALTH AND LIVING

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Continuing the Memories

Enriching Lives

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Holiday Travels I SPENT THREE HOURS WITH A THOUSAND OF MY GOOD FRIENDS AT THE ATLANTA HARTSFIELD JACKSON AIRPORT... Although they don’t know me; I am among, between and bumping into them for three hours. The layover seems like an eternity when you know what the end time is. What does one do for three hours? Alcohol sounds like a good idea at 1:30 p.m. in the afternoon. (Technically you’re still on vacation until you re-enter your home.) I order a Manhattan and the waiter tells me how his grandparents enjoyed them which made me think twice about my age and place in life. Seated across from me is a couple from Florida returning from a Packer game in Wisconsin. Since I’m from Wisconsin I could not let the moment pass by. Everything about her attire is “Packer” mania from two sets of Packer earrings, pajama Packer pants (it was not a fancy airport restaurant), a Packer jersey and a Packer bag. “Oh, you follow the Packers?” I astutely ask them. (I’m good at stuff like that.) They proceed to tell me more details than I care to know or understand but I guess the Packers won so their Green Bay trip was worthwhile. The straight-haired lady in front of me never smiled or acknowledged my existence. (I find that to be a common airport behavior. If you look bored and self-involved then everyone will think that you’re above the fray, must travel a lot and are important.) I refuse to take on that behavior because I have three hours to spend here and I’d like to use it to absorb what is surrounding me in this maze of breathing humans with nothing in common except for the “wait”. (And yet we have everything in common because we are all human and are “waiting” for the next plane.) Passing by my table is a father carrying a child on his shoulders until he realizes that the kid may fall and the child will sue the airport so the dad places him back into the stroller. There is a tattoo lady with more scripture passages on her arm than I’ve memorized, next to her is serious-business-lady-with- cellphone and Air Mac acting like she’s solving the world’s problems, or so she thinks. There are a lot of those types in the airport with their cellphones at the ready; I guess you never know when that important call will arrive. When they are talking, it sounds very important but soon I hear it’s only about life’s tidbits and stuff they’re missing out on at home. I see a beautiful woman with a ring in her nose. (I guess she believed whoever told her that she was not attractive. How sad.) There are military guys roaming around in their camouflage outfits and I wonder what war they’re off to. Even the smoking room (which I’m glad this airport still maintains) contains aloof and “looking-right-through-you” people. A woman is gabbing on her cellphone while holding an unlit cigarette. I light it for her and you’d think I gave her a $20.00 bill. She laughs showing me the lighter in her hand but thanks me nonetheless and proceeds to tell her friend about the spontaneous light. I’ve found in my travels that these distant-posturing people who seem to assume this behavior while in large numbers of like people is easily broken with a quick smile, a sincere “good afternoon,” or a comment about the weather either where they’ve been or going to. An ice breaker also works with a comment about shoes or jacket. “Hey, that’s a cool jacket,” I’ll say. People then seem to warm up. At first they think you’re a robber or crook but slowly realize that you’re just another guy who needs to wait three non-flying hours in a crowded airport on a Monday afternoon. Rev. Joe Jagodensky, SDS. is director of Communications, Alexian Village of Milwaukee

REHABILITATION Questions - Answered

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LIFE. CHANGING. WHAT KIND OF PERSON WOULD USE A HEALTH AND REHAB CENTER? Rehab centers provide services for a large variety of medical concerns. Common patients include those recovering from leg, back and neck injuries, joint replacement, and debilitating illnesses, such as pneumonia. Patients with neurological disorders or injuries, such as strokes, Parkinsons Disease or MS, often require a comprehensive therapy program to restore or improve function. Other common rehab needs are patients requiring treatment for complex wounds or respiratory disorders such as Chronic Obstructive Pulmonary Disorder (COPD). WHAT KIND OF SERVICES ARE TYPICALLY OFFERED? Inpatient subacute rehabis a comprehensive program including Physical Therapy, Occupational Therapy, Speech Therapy and Nursing rehabilitation. Physical Therapy focuses on strengthening and endurance for patients who have become deconditioned or are recovering from acute injuries, acute illnesses or elective orthopedic surgery. Occupational Therapy focuses on assisting the patient to perform the necessary activities of daily life to return home safely. This can include everything from dressing, bathing and meal preparation but can also include vital therapy such as home safety, adaptive equipment training, scooter and walker training and bladder training. Home visits are also performed with Occupational Therapy staff to assess home safety as well as assuring that there are no unforseen obstacles to ensure a successful return home. Speech therapy provides not only speech and voice training but addresses swallowing concerns, medication training and cognitive therapies to improve memory, safety and problem solving. Nursing rehab encompasses such needs as intravenous therapy, wound care, pain management and respiratory therapy. Additional therapies can also be provided, such as lymphedema programs, raiki, ultrasound, electrical stimulation and aroma therapy.

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WHAT IS THE TYPICAL COST? Most private insurance companies and Medicare cover rehab therapies and services. A patient with Medicare and a secondary insurance are usually covered completely for up to 100 days, which is usually much longer than the average rehab stay. An average rehab stay is approximately 30-40 days. Medicare replacement policies will usually cover rehab services but may require a daily copay. The copay amount varies depending upon the individual policy. It is always best to contact your insurance company to determine if there is a copay and what the daily copay amount will be. IS THERE A WAY TO RESEARCH DIFFERENT REHAB FACILITIES? The best way to research a rehab facility is to request a facility tour. Seeing a facility firsthand is the most effective way to see if the facility will meet your particular needs. Take careful note of the facility appearance Is the facility neat and clean? Do the patients appear well groomed? Observe patient amenities such as private rooms, TV, phone, laundry services, and salon services. Ask questions regarding therapy services Is therapy offered 7 days a week or just on weekdays? Does the therapy department provide home visits to ensure a safe transition home? Inquire regarding other onsite professional services (Physiatrist for pain management, wound certified staff, and recreational activities) Observing a rehabilitation center in person is the best way to assure you are getting a quality, comprehensive rehab experience. For more information contact Waukesha Spring Health and Rehabilitation Center at 262-548-1400. NOVEMBER 2014 MHL 25

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HEALTHY AGING

Campaign for the Brain

Campaign season is here...

memory Screening and educational resources UP 4VQQPSU #SBJO )FBMUI ,JDLT PÄ&#x2019; PO 8FE /PWFNCFS r QN

featuring Dr. Zorba paster from Wisconsin public radio

ŃŽVST /PWFNCFS r QN

CAMPAIGN FOR THE BRAIN, THAT IS! Posner Town Square, 10995 N. Market St., Mequon The Jewish Home and Care Center, Chai Point Senior Living, and Sarah Chudnow Community present the Second Annual Campaign for the Brain! Last yearâ&#x20AC;&#x2122;s inaugural program was such a success, the event is now being presented as an annual event, with more vendors and the addition of speakers on the two campuses. The Campaign is an interactive health fair for the brain that strives to educate participants about healthy habits to enhance brain health. Free memory screenings are offered throughout the health fairs. Kicking off this yearâ&#x20AC;&#x2122;s Campaign will be Dr. Zorba Paster of Wisconsin Public Radio who will speak on â&#x20AC;&#x153;How to Live a Long Sweet Life; 5-4-3-2-1 Go.... The Secret of Optimal Health.â&#x20AC;? His talk will be held at the Sarah Chudnow Community on Wednesday evening, November 12, at 7 pm. The health fairs are held in two locations: the first will be Thursday, November 13, at the Sarah Chudnow Community, 10995 N. Market Street in Mequon, from 1-4 pm and the second will be in the Thursday, November 20, Rubenstein Pavilion at the Jewish Home and Care Center and Chai Point Senior Living, 1410 N. Prospect Ave., Milwaukee from 1-4 pm. Parking is available on the street or under the Jewish Home at 1414 N. Prospect Ave. During the Campaign in Milwaukee, there will be two more speakers: Dr. Raul Mateo will discuss Blue Zones: A discussion of the countries with the commonalities of the healthiest lifestyles. What makes them so healthy? Dr. Bernard Warren will talk about Qigong and Tai Chi, and how they benefit people with memory loss. Campaign for the Brain offers interactive stations that teach the five things you can do right now to enhance your brain and keep it healthy: Mental Exercise, Physical Exercise, Disease Prevention, Socialization and Nutrition. Among the new stations this year will be Energy Tapping: Emotional freedom techniques; an instant way out of negative emotions and into the positive; Drama Therapy: Act for Health; a Drum Circle; Learn a New Language with a Sign Language Class. For more information, contact Dawn Adler, 414-277-8838 (Milwaukee) or Connie Eastman, 262-478-1506 (Mequon). The Jewish Home and Care Center offers a comprehensive continuum of care services to the community, including long- and short-term rehabilitation in a post-acute care setting, Alzheimerâ&#x20AC;&#x2122;s and dementia care, long-term nursing care, skilled nursing care and respite care. An adult day program and brain health program are also offered on the premises as community-based services. For more information, visit www.jhccmilwaukee.org Chai Point Senior Living offers assisted and independent living apartments in an elegant high-rise building overlooking Lake Michigan. Geared for todayâ&#x20AC;&#x2122;s active and engaged older adults, Chai Point residents are sophisticated and culturally, socially and politically engaged. For more information, visit www.chaipoint.org Sarah Chudnow Community, located in Mequon, WI, is an independent, not-forprofit senior living community with its own on-site management and support staff. It is unique in its suburban location and offers a full continuum of care, including apartment living, assisted living, memory care, and a Skilled Nursing Facility (SNF) providing rehabilitation, long-term and respite care. For more information, visit www. sarahchudnow.org.

â&#x20AC;&#x201D;â&#x20AC;&#x201D; or â&#x20AC;&#x201D;â&#x20AC;&#x201D; Thurs., november 20 r QN

Rubenstein Pavilion, 1410 N. Prospect Ave., Milw. take advantage of a free, confidential memory screening and visit the stations to learn about the five things you can do right now to enhance your brain and LFFQ JU IFBMUIZ 1. 2. 3. 5.

Mental Exercise Physical Exercise Disease Prevention Socialization Nutrition

Engage in activities that will get your brain on the path to wellness! Taste foods that are high in brain-healthy nutrients! Learn about the connection between certain diseases and brain health, and how to keep yourself healthy! Find out about ways to maintain the health of your body and your brain! And so much moreâ&#x20AC;Ś

for more information, contact: Chai Point Senior Living, Jewish Home and Care Center, %BXO "EMFS or Sarah Chudnow Community, $POOJF &BTUNBO NOVEMBER 2014 MHL 27

HEALTHY AGING

HEARING LOSS PREVENTION November 30,2014

While hearing loss may be inevitable, whether it be due to illness or age, there are still steps that all individuals should take in their daily lives to help prevent hearing loss. Depending on the situation or environment, three easy questions to ask yourself are: How loud will this environment be? How long will I be exposed to the noise? How close to the noise will I be? You should always be aware of potentially noisy environments. It may be wise to consider avoiding these situations outright or at least taking the right precautions. Whether it be going to a concert, working with power tools, motorized vehicles such as a car, motorcycle, snowmobile, you should always be prepared to use some form of protection like earplugs or earmuffs. If you are able, try to take control of the environment you are in as much as possible. If you are able to control the volume while listening to music or stand in a more desirable location at a concert, these are good tips as once noise damaged has occurred, it is irreversible. Aside from noise exposure, there are other factors to consider in preventing hearing loss. Never under any circumstances should you stick a foreign object into your ear. If it is ear wax you’re concerned with, understand that your body produces this naturally and will eventually dispose of it naturally. If you have a foreign object in your ear, consult your physician. If you have been prescribed a new medicine by your doctor, ask your doctor and/ or pharmacist if the new medicine has any known adverse effects to hearing. When traveling by air, you should frequently yawn and swallow as the plane is descending. If you have a respiratory cold/infection, it may be wise to take a decongestant several hours before your flight. When blowing your nose, do it gently. Too much force may cause damage. For further information on hearing loss prevention, please contact us or schedule an in-home appointment. at 262-395-4421.

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EYE<<page 5 visory Group. He also offers the following tips: Have a blood sugar test every three years after age 45 to screen for diabetes Keep blood glucose levels close to normal through diet, medication and exer cise Don’t smoke Keep blood pressure under control Keep cholesterol levels low Check hemoglobin A1C levels at least every four months. Aim for less than 7.0

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28 MHL HEALTHY AGING 2014

Elm Grove

15280 Bluemound Rd, Elm Grove, WI

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Schedule dilated eye exams once a year, or as often as your Eye M.D. suggests 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.

“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.

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NOVEMBER 2014 MHL 29

HEALTHY AGING

How Can I Stay Healthy After Menopause?

Staying healthy after menopause may mean making some changes in the way you live. Don’t smoke. If you do use any type of tobacco, stop—it’s never too late to benefit from quitting smoking. Eat a healthy diet, low in fat, high in fiber, with plenty of fruits, vegetables, and whole-grain foods, as well as all the important vitamins and minerals. Make sure you get enough calcium and vitamin D—in your diet or with vitamin/ mineral supplements. Learn what your healthy weight is, and try to stay there. Do weight-bearing exercise, such as walking, jogging, or dancing, at least 3 days each week for healthy bones. But try to be physically active in other ways for your general health. Other things to remember: Take medicine if your doctor prescribes it for you, especially if it is for health problems you cannot see or feel—for example, high blood pressure, high cholesterol, or osteoporosis. Use a water-based vaginal lubricant (not petroleum jelly) or a vaginal estrogen cream or tablet to help with vaginal discomfort. Get regular pelvic and breast exams, Pap tests, and mammograms. You should also be checked for colon and rectal cancer and for skin cancer. Contact your doctor right away if you notice a lump in your breast or a mole that has changed. The National Institute on Aging (NIA) has publications on many of these topics.

See For More Information to learn how to order your free copies. Menopause is not a disease that has to be treated. But you might need help if symptoms like hot flashes bother you. Here are some ideas that have helped some women: Try to keep track of when hot flashes happen—a diary can help. You might be able to use this information to find out what triggers your flashes and then avoid those triggers. When a hot flash starts, try to go somewhere cool. If night sweats wake you, sleep in a cool room or with a fan on. Dress in layers that you can take off if you get too warm. Use sheets and clothing that let your skin “breathe.” Have a cold drink (water or juice) when a flash is starting. You could also talk to your doctor about whether there are any medicines to manage hot flashes. A few drugs that are approved for other uses, for example, certain anti-depressants, seem to be helpful to some women. What About Those Lost Hormones? These days you hear a lot about whether you should use hormones to help relieve some menopause symptoms. It’s hard to know what to do, although there is some information to help you. During perimenopause, some doctors suggest birth control pills to help with very heavy, frequent, or unpredictable menstrual periods. These pills might also help with symptoms like hot flashes, as well as prevent pregnancy. If you are bothered by symptoms like hot flashes, night sweats, or vaginal dryness, your doctor might suggest taking estrogen (as well as progesterone, if you still have a uterus). This is known as menopausal hormone therapy (MHT). Some people still call it hormone replacement therapy or HRT. Taking these hormones will probably help with menopause symptoms. It also can prevent the bone loss that can happen at menopause. Menopausal hormone therapy has risks. That is why the U.S. Food and Drug Administration suggests that women who want to try MHT to manage their hot flashes or vaginal dryness use the lowest dose that works for the shortest time it’s needed. Your symptoms may come back when you stop taking hormones. Right now, there is a lot still to learn about taking hormones. See For More Information to find out how to get a copy of NIA’s free, more detailed tip sheet, Hormones and Menopause. It has the most current information on menopausal hormone therapy. Do Phytoestrogens Help?

final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1

HEALTHY>>page 31

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hether your stay at a hospital is planned or unplanned, we can be your bridge between hospital and home. Our goal is to get you well so you can get back to life! � Short-term comprehensive, customized care � Nationally recognized for providing quality service � Expanded insurance contracts � Private rooms available Sponsored by the School Sisters of St. Francis

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LESSONS FOR RETIREMENT By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI In autumn, animals know winter is coming and take the steps to prepare. Bears grow thicker fur and settle in for peaceful hibernation. Squirrels collect and store acorns and other nuts. Birds, favoring warmer weather and having the means to make it possible, fly south for the winter. When it comes to preparing for retirement, we can learn from the animals -- making sure the transition into the later years of our lives is as smooth and comfortable as possible. The best place to start is a visit to www.socialsecurity.gov. You can get an instant, personalized estimate of your future Social Security benefits at www.socialsecurity.gov/estimator. To prepare for a comfortable retirement, you should start saving as early as possible. Social Security is the foundation for a secure retirement, but was never meant to be the sole-source of income for retirees. In addition to Social Security, you also will need savings, investments, pensions or retirement accounts to make sure you have enough money to live comfortably when you retire. Learn about retirement planning and how to save at www.socialsecurity.gov/retire2/other2.htm. But wait, there’s more. If you decide you’re going to be a “snowbird” when retirement comes, and go to warmer climates during winter weather, make sure that your Social Security payment goes with you. The best way to do that is to use direct deposit. You never have to worry about where your monthly payment will be delivered — it will show up in your bank account whether you’re in the Dakotas or the Florida Keys. Learn all about electronic payments at www.socialsecurity.gov/deposit. Whether you’re in the spring, summer, or entering the autumn of your life, the best time to start preparing for retirement is always the present. A good place to start is at www.socialsecurity.gov. Even the animals know they can’t wait until the last minute to prepare for a comfortable winter. Take a lesson from our furry and feathered friends and prepare for your own comfortable retirement. HEALTHY<<page 30

Phytoestrogens are estrogen-like substances found in some cereals, vegetables, legumes (including soy), and herbs. They might work in the body like a weak form of estrogen. Researchers are trying to discover whether phytoestrogens relieve some symptoms of menopause and if they might also carry some risks. Be sure to tell your doctor if you decide to try eating a lot more foods that contain phytoestrogens or to try using an herbal supplement. Any food or over-the-counter product that you use for its drug-like effects could change how other prescribed drugs work or cause an overdose. How Do I Decide What to Do? If you are having bothersome symptoms, talk to your health care provider for help deciding how to best manage menopause. You can see a gynecologist, geriatrician, general practitioner, or internist. Make sure the doctor knows your medical history and your family medical history. This includes whether you are at risk for heart disease, osteoporosis, and breast cancer. It may be helpful to remember that your decision is never final. You can—and should—review it with your doctor during your yearly checkup. Your needs may change over time, and so might what we know about menopause.

The Berkshire Oconomowoc offers luxury and comfortable housing in the beautiful community of Oconomowoc for independent adults 55 and older. One and two bedroom apartment homes Heat and hot water included Controlled access entry system Private patio or balcony on most units Library/computer room, exercise room Underground and surface parking Oconomowoc Area Senior Center on site Professional on-site management and maintenance We accept pets - some restrictions apply EQUAL HOUSING OPPORTUNITY

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Rent-A-Daughter 12660 W. North Avenue Brookfield, WI 53005 262-754-0550 or 414-479- 0029 www.rent-a-daugher.com Rent-A-Daughter is a family owned business dedicated to providing reliable home care and companionship services. We care about people who need assistance to remain independent, wherever they are. Our home care assistance is customized to meet your needs with flexible hours. Personal care, housekeeping, laundry, meal preparation, transportation, shopping and companionship are some of the services we offer. We specialize in older adults, disabled, convalescing, and those with Alzheimers. Hourly, daily or weekly respite assistance is available.

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32 MHL HEALTHY AGING 2014

Age-Related Changes In Memory Forgetfulness can be a normal part of aging. As people get older, changes occur in all parts of the body, including the brain. As a result, some people may notice that it takes longer to learn new things, they don’t remember information as well as they did, or they lose things like their glasses. These usually are signs of mild forgetfulness, not serious memory problems. Some older adults also find that they don’t do as well as younger people on complex memory or learning tests. Scientists have found, though, that given enough time, healthy older people can do as well as younger people do on these tests. In fact, as they age, healthy adults usually improve in areas of mental ability such as vocabulary. Other Causes Of Memory Loss Some memory problems are related to health issues that may be treatable. For example, medication side effects, vitamin B12 deficiency, chronic alcoholism, tumors or infections in the brain, or blood clots in the brain can cause memory loss or possibly dementia (see more on dementia, below). Some thyroid, kidney, or liver disorders also can lead to memory loss. A doctor should treat serious medical conditions like these as soon as possible. Emotional problems, such as stress, anxiety, or depression, can make a person more forgetful and can be mistaken for dementia. For instance, someone who has recently retired or who is coping with the death of a spouse, relative, or friend may feel sad, lonely, worried, or bored. Trying to deal with these life changes leaves some people confused or forgetful. The confusion and forgetfulness caused by emotions usually are temporary and go away when the feelings fade. The emotional problems can be eased by supportive friends and family, but if these feelings last for a long time, it is important to get help from a doctor or counselor. Treatment may include counseling, medication, or both. More Serious Memory Problems For some older people, memory problems are a sign of a serious problem, such as mild cognitive impairment or dementia. People who are worried about memory problems should see a doctor. The doctor might conduct or order a thorough physical and mental health evaluation to reach a diagnosis. Often, these evaluations are conducted by a neurologist, a physician who specializes in problems related to the brain and central nervous system. A complete medical exam for memory loss should review the person’s medical history, including the use of prescription and over-the-counter medicines, diet, past medical problems, and general health. A correct diagnosis depends on accurate details, so in addition to talking with the patient, the doctor might ask a family member, caregiver, or close friend for information. Blood and urine tests can help the doctor find the cause of the memory problems or dementia. The doctor also might do tests for memory loss and test the person’s problem-solving and language abilities. A computed tomography (CT) or magnetic resonance imaging (MRI) brain scan may help rule out some causes of the memory problems. Amnestic Mild Cognitive Impairment (MCI). Some people with memory problems have a condition called amnestic mild cognitive impairment, or amnestic MCI. People with this condition have more memory problems than normal for people their age, but their symptoms are not as severe as those of Alzheimer’s disease, and they are able to carry out their normal daily activities. Signs of MCI include misplacing things often, forgetting to go to important events and appointments, and having trouble coming up with desired words. Family and

friends may notice memory lapses, and the person with MCI may worry about losing his or her memory. These worries may prompt the person to see a doctor for diagnosis. Researchers have found that more people with MCI than those without it go on to develop Alzheimer’s within a certain timeframe. However, not everyone who has MCI develops AD. Studies are underway to learn why some people with MCI progress to AD and others do not. There currently is no standard treatment for MCI. Typically, the doctor will regularly monitor and test a person diagnosed with MCI to detect any changes in memory and thinking skills over time. There are no medications approved for use for MCI. Dementia. Dementia is the loss of thinking, memory, and reasoning skills to such an extent that it seriously affects a person’s ability to carry out daily activities. Dementia is not a disease itself but a group of symptoms caused by certain diseases or conditions such as Alzheimer’s. People with dementia lose their mental abilities at different rates. Symptoms may include: Being unable to remember things Asking the same question or repeating the same story over and over Becoming lost in familiar places Being unable to follow directions Getting disoriented about time, people, and places Neglecting personal safety, hygiene, and nutrition Two of the most common forms of dementia in older people are Alzheimer’s disease and vascular dementia. These types of dementia cannot be cured at present. In Alzheimer’s disease, changes to nerve cells in certain parts of the brain result in the death of a large number of cells. Symptoms of Alzheimer’s begin slowly and worsen steadily as damage to nerve cells spreads throughout the brain. As time goes by, forgetfulness gives way to serious problems with thinking, judgment, recognizing family and friends, and the ability to perform daily activities like driving a car or handling money. Eventually, the person needs total care. In vascular dementia, a series of strokes or changes in the brain’s blood supply leads to the death of brain tissue. Symptoms of vascular dementia can vary but usually begin suddenly, depending on where in the brain the strokes occurred and how severe they were. The person’s memory, language, reasoning, and coordination may be affected. Mood and personality changes are common as well. It’s not possible to reverse damage already caused by a stroke, so it’s very important to get medical care right away if someone has signs of a stroke. It’s also important to take steps to prevent further strokes, which worsen vascular dementia symptoms. Some people have both Alzheimer’s and vascular dementia. Treatment For Dementia A person with dementia should be under a doctor’s care. The doctor might be a neurologist, family doctor, internist, geriatrician, or psychiatrist. He or she can treat the patient’s physical and behavioral problems (such as aggression, agitation, or wandering) and answer the many questions that the person or family may have. People with dementia caused by Alzheimer’s disease may be treated with medications. Four medications are approved by the U.S. Food and Drug Administration to treat Alzheimer’s. Donepezil (Aricept®), rivastigmine (Exelon®), and galantamine (Razadyne®) are used to treat mild to moderate Alzheimer’s (donepezil has been approved to treat severe Alzheimer’s as well). Memantine (Namenda®) is used to treat moderate to severe Alzheimer’s. These drugs may help maintain thinking, memory, and speaking skills, and may lessen certain behavioral problems for a few months to a few years in some people. However, they don’t stop Alzheimer’s disease from progressing. Studies are underway to investigate medications to slow cognitive decline and to prevent the development of Alzheimer’s. People with vascular dementia should take steps to prevent further strokes. These steps include controlling high blood pressure, monitoring and treating high blood cholesterol and diabetes, and not smoking. Studies are underway to develop medicines to reduce the severity of memory and thinking problems that come with vascular dementia. Other studies are looking at the effects of drugs to relieve certain symptoms of this type of dementia. Family members and friends can help people in the early stages of dementia to continue their daily routines, physical activities, and social contacts. People with dementia should be kept up to date about the details of their lives, such as the time of day, where they live, and what is happening at home or in the world. Memory aids may help. Some families find that a big calendar, a list of daily plans, notes about simple safety measures, and written directions describing how to use common household items are useful aids. What You Can Do If you’re concerned that you or someone you know has a serious memory problem, talk with your doctor. He or she may be able to diagnose the problem or refer you to a specialist in neurology or geriatric psychiatry. Healthcare professionals who specialize in Alzheimer’s can recommend ways to manage the problem or suggest treatment or services that might help. More information is available from the organizations listed below. NOVEMBER 2014 MHL 33

HOW HIGH FREQUENCY HEARING LOSS

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SERVING ALL OF WISCONSIN

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

Hearing aids have come a long way over the years...

34 MHL HEALTHY AGING 2014

WHAT IS ASSISTED LIVING? A good match between a facility and a resident’s needs depends as much on the philosophy and services of the assisted living facility as it does on the quality of care.

Assisted living facilities offer a housing alternatives for older adults who may need help with dressing, bathing, eating, and toileting, but do not require the intensive medical and nursing care provided in nursing homes. Assisted living facilities may be part of a retirement community, nursing home, senior housing complex, or may stand-alone. Licensing requirements for assisted living facilities vary by state and can be known by as many as 26 different names including: residential care, board and care, congregate care, and personal care. WHAT SERVICES ARE PROVIDED? Residents of assisted living facilities usually have their own units or apartment. In addition to having a support staff and providing meals, most assisted living facilities also offer at least some of the following services: • Health care management and monitoring • Help with activities of daily living such as bathing, dressing, and eating • Housekeeping and laundry • Medication reminders and/or help with medications • Recreational activities • Security • Transportation HOW TO CHOOSE A FACILITY? A good match between a facility and a resident’s needs depends as much on the philosophy and services of the assisted living facility as it does on the quality of care. The following suggestions can help you get started in your search for a safe, comfortable and appropriate assisted living facility: • Think ahead. What will the resident's future needs be and how will the facility meet those needs? • Is the facility close to family and friends? Are there any shopping centers or other businesses nearby (within walking distance)? • Do admission and retention policies exclude people with severe cognitive impairments or severe physical disabilities? • Does the facility provide a written statement of the philosophy of care? • Visit each facility more than once, sometimes unannounced. • Visit at meal times, sample the food, and observe the quality of mealtime and the service. • Observe interactions among residents and staff. • Check to see if the facility offers social, recreational, and spiritual activities? • Talk to residents. • Learn what types of training staff receive and how frequently they receive training. • Review state licensing reports. The following steps should also be considered: • Contact your state’s long-term care ombudsman to see if any complaints have recently been filed against the assisted living facility you are interested in. In many states, the ombudsman checks on conditions at assisted living units as well as nursing homes. WHAT IS THE COST FOR ASSISTED LIVING? Although assisted living costs less than nursing home care, it is still fairly expensive. Depending on the kind of assisted living facility and type of services an older person chooses, the price costs can range from less than $10,000 a year to more than $50,000 a year. Across the U.S., monthly rates average $1,800 per month. Because there can be extra fees for additional services, it is very important for older persons to find out what is included in the basic rate and how much other services will cost. Primarily, older persons or their families pay the cost of assisted living. Some health and long term care insurance policies may cover some of the costs associated with assisted living. In addition, some residences have their own financial assistance programs.

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NOVEMBER 2014 MHL 35

HEALTHY AGING

RETIREMENT IS A BIG DECISION By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI If you believe in going all the way or not going at all, there’s a day to celebrate your extreme ways. July 26 is All or Nothing Day. Not a day for the undecided, All or Nothing Day is dedicated to the idea of making decisions and plunging in. Whether it’s overcoming an agonizing fear, trying something you’ve always wanted to try, or making a big decision and seeing it through, All or Nothing Day is your chance to make it happen. All or Nothing Day is a great day to think about your retirement—whether it’s right in front of you or looming on the horizon. When is the right time for you to retire? Choosing when to retire is an important decision, but it’s also a personal choice and one you should carefully consider. There is no one-size-fits-all answer. Social Security offers a list of factors to consider in the publication, When to Start Receiving Retirement Benefits, available at www.socialsecurity.gov/pubs. If you’re a young or middle-aged worker, you still have time to ponder that decision. But don’t wait to begin saving for your retirement. Start saving now and go in all the way. The more you save, the more comfortable your retirement can be. And remember, Social Security retirement benefits were not intended to be your sole source of retirement income and planning early will make for a comfortable retirement. Social Security provides two top-rated online tools to help you plan for your retirement. First is the Retirement Estimator, which gives you immediate and perwww.cardinalcapital.us sonalized retirement benefit estimates. The Retirement Estimator is convenient and secure, and lets you create “what if” Independent Residences Serving The Needs Of Our Communities scenarios. For instance, you can change your “stop work” dates or expected future earnings to create and compare different retirement options. If you have a few minutes, you have time to check it out at www. socialsecurity.gov/estimator. Another great tool is your own my Social Security account. Here you can get instant estimates of your future benefits and verify that your earnings history is correct with your own, free my Social Security account. Visit www.socialsecurity.gov/ myaccount and join the millions of people who have already created their accounts to help plan for retirement. You can get Social Security retirement benefits as early as age 62, but if you retire before your full retirement age (currently age 66, but gradually increasing to age 67), your benefits will be reduced, based on your age. If you retire at age 62, your Our apartment home benefit would be about 25 percent lower than what it would be if you waited uncommunities provide a til you reach full retirement age. Find out your full retirement age by using our Recaring staff, friendly tirement Age Calculator at www.socialsecurity.gov/pubs/ageincrease.htm. You may neighbors, & plenty of choose to keep working even beyond your full retirement age. If you do, you can increase your future Social Security bencomforts of home. efits—up until age 70. There is one more way that choosing to keep working can increase your benefits. Cardinal Capital Management If you receive benefits, and if your latest is committed to equal year of earnings turns out to be one of your highest years, we refigure your benefit and housing opportunity & pay you any increase due. For example, we fully comply with the in December 2014, you should get an inFederal Fair Housing Act crease for your 2013 earnings if those earnings raised your benefit. The increase would be retroactive to January 2014. Applying for Social Security retirement doesn’t have to be an “all or nothing” decision. Whether you want to retire at age 62, your full retirement age, or even later, you can apply when you feel like it. When you’re ready to take that plunge, you can apply online for retirement benefits at www.socialsecurity.gov. 36 MHL HEALTHY AGING 2014

HEALTHY AGING

TOP TEN TIPS FOR

aging gracefully

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

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

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

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

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

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

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

NOVEMBER 2014 MHL 37

THE FAMILY IN MY HEAD She’s my second cousin, Grief. I see her periodically. I don’t go out of my way to visit her. She comes on her own to be with me for a while. I treat her gently in the hope that she’s satisfied enough to return home and not visit again for a long, long time. I have another cousin, Hope, but she seems to live so far away. We try sometimes to meet half way but it just doesn’t seem to work out. Something always comes up and the meeting is postponed to another unknown day. It’s too bad that she doesn’t live closer. She’s probably my favorite relative. My brothers are Pete and Repeat. They are always around me. They’re twins and their routine is pretty much what you would expect, the same old, same old. It’s no wonder that their best friend is Boredom. My neighbor is a hoot, she’s Nagging. She always seems to find something to complain about. Weather is too hot; no, today it’s too cold. “This person is this way and I wish she were different,” she would tell me. Nagging never seems content. I’m glad there’s a fence between us so at least I don’t have her every day. Supper is not always enjoyable for me. Envy, Cynicism and Hubris tend to show up. But I like the idea that I can keep an eye on them, as the psalm says, “You set a table before me in the sight of my foes.” It’s good to know that they’re right across from me. My uncle is crazy. His name is, well, Crazy. He’s great at parties, gets everybody laughing but I don’t think I’d like to live with him. It’s fun to be with him for a while but happily, he returns to where ever it is he lives. Jealousy lives upstairs from me. I had to rent it out to make ends meet but I wish I could find someone else to live up there. In the meantime, I have to cope with Jealousy’s perpetual noise. It’s constant. Always having to make grand announcements and always having to say it twice when I heard him the first time. Nighttime is the only time I find that it’s quiet upstairs. He must work second shift. My youngest sister is Joy. I’ve tried to describe her to people but I can’t seem to find the words. I tell them that they would have to meet her themselves, then they would know what she’s like. Unending energy and a personality that is so warm and inviting. I thought it’s too bad that we’re related, I think she’d make a wonderful wife. My cat is named Gratitude. What better name for a pet whose love is unconditional and who year daily attention to survive? I cannot leave Gratitude alone for too long before she makes that cat sound that rips your heart a part. To ignore her would be her death. Well those are some of the people in my life. When you think about it, they may not be that different from people you’re related to, as well. I guess we all have relatives we are proud of and some we would just as soon not invite over. The mix of them all in my life is, I guess, what makes my life. For better or worse. What can I say? It’s family. Rev. Joe Jagodensky, SDS is director of Communications for Alexian Village of Milwaukee

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38 MHL HEALTHY AGING 2014

REIKI <<page 15 much lower intensity. As the Reiki energy flows through you to the receiver you also benefit because it is fortifying and harmonizing you at the same time. Often students experience Reiki as a force that brings them a new awareness of self that leads to positive life-altering changes. In the Usui system of Reiki, there are three levels of attunement. In Reiki I you learn the basic principles of Reiki, how to treat yourself and others, hand positions and receive the first attunement to open your energy channel. In Reiki II you learn 2 methods of Absentee Healing (long-distance healing), instruction on the use of traditional Usui Reiki symbols and mantras, and receive the second attunement. Reiki III is separated into 2 levels: the Master Practitioner who learns more symbols and mantras, works more in-depth with energy and receives the third attunement; then the Master Teacher level student receives the fourth level of attunement and learns how to teach and attune students. The Master Teacher dedicates their life to practice, teach and live Reiki. With each attunement, a person’s ability to channel Reiki energy is greatly increased. An attunement triggers a 21-day cleansing cycle to release blocks in the student’s physical, emotional, mental and spiritual energy bodies. Often a person will experience a “self healing reaction” as their body adjusts to the greater amount of energy and release of toxins. This can present as headaches, nausea, fatigue and irritability. Resting, drinking plenty of fluids and journaling emotions help to clear these reactions.

HEALTHY<< page 10 important physical skills, like hand/eye coordination. Unfortunately modern kids over utilize the internet and computer games which fosters inactivity. Allowing the child to play video games for a set amount of time only after they have completed their homework, is a great way to emphasize the importance of homework. It also forces the child to be creative with their free time, encouraging them to read or play outside. Diet is very important in family life. Even if parents eat well, often children can pick up unhealthy eating habits from their peers. While it’s impossible to control your child’s eating habits 100% of the time, reinforcing the good habits at home will go a long way in helping the child to make good choices when the parents can’t be around. One way of having a year round active life, especially in our inclement winters is to join a health club as a family. Health clubs oftentimes give families a litany of ways to help support healthy lifestyles. Elite, for example, offers a program called TNT (Teen Nutrition & Training) in junction with Elite’s registered dietitian, Rita Larsen, in a peer setting, which teaches children the basics of fitness and nutrition and reinforces the idea that exercise is not only beneficial, but fun! Kids work with a certified personal trainer to learn the basics of dietetics and exercise so they can have fun and be safe and healthy at the same time. For adults, there are a number of different programs (Weight Loss Challenge, Fitness and Nutrition Club, etc) that help keep them on track in their fitness or weight loss journey. You can contact Jordan Meyer or Rita Larsen at North Shore Elite Sports Club at 414-351-2900 or check the website at www. Eliteclubs.com

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4818 S. 76th Street • Suite 3 Greenfield, WI 53220 www.midwestaudiology.net Doug Kloss, Au.D.