Nov 2015 mhl

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MHL

NOVEMBER 2015 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

DIABETIC EYE DISEASE GREENING OF THE HOME HOLIDAY GIFT GUIDE

HEALTHY AGING

RESTORE YOUR BODY SENIOR FALL HOBBIES

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


Are You Tired of Sleeping with This? ASK US ABOUT OUR NON-CPAP SLEEP APNEA TREATMENT!

Sleep apnea is more than noisy, it can be bad for your health. Chronic, loud snoring is a sign that you could be suffering from sleep apnea, a condition that causes you to actually stop breathing, often hundreds of times a night! This can lead to chronic fatigue, memory problems, high blood pressure, strokes, and more. We treat sleep apnea with a custom designed oral appliance. Many of our patients report feeling better and more rested after just one night of using the device. Call us today at (414) 208-4539 or visit www.SnoringisntSexy.com to stop the noise and start resting.

Dr. Roberto Monteagudo

CREATING LIFE-CHANGING SMILES

1469 South 70th Street | West Allis

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EXPECT MORE From Your Dentist Editors Note Winter is just around the corner and we all need to alter our health regimens accordingly. It can be so easy to stay in and rent a movie, over indulge in heavy, high calorie foods (Thanksgiving), exercise less. You can always make healthier, hearty foods (lots of cookbooks at the library or recipes on the Internet) and maybe you should try a new exercise regimen to keep you stimulated instead of the same old routine. Sometimes trying something new is exciting and I think that’s a good thing to do when it’s cold and dreary outside. For our Senior readers we have a special feature on healthy aging. After all November is the month that these topics are nationally recognized as well as our health topics throughout the paper. Also, we are keeping up on our Complementary and Alternative medicine articles which you will be seeing a bigger section each month. 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 HEALTH

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Est 1992

AND LIVING

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contributers

A GUIDE TO HEAL THY LIVING FOR MEN , WOMEN, CHILD REN AND SENI ORS

Livestrong.com, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Interfaith Older Adult Services, Laureate Group, Tudor Oaks, Luther Haven, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices, American Camp Association, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI

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HEALTHY AGING

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

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staff

MHL Staff

RESTORE YOUR BODY

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.

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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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AGE GRACEFULLY

with the Ancient Wisdom of Yoga and Ayurveda

By Meg Logan, RYT 500, Yoga Therapist, AHC Intern Being healthy is a priority for most people these days and especially for the 40+ plus crowd who are always looking for new ways to stay vital and active. As Americans continue to explore the world of alternative health, the saying “what’s old is new again� comes to mind. Thanks to New Age guru Deepak Chopra and television personality Dr. Mehmet Oz, the 5,000 year old interrelated wellness practices of Yoga and Ayurveda are gaining ground. If keeping young and healthy is important to you, then you may want to learn the secrets of these ancient healing sciences and how they can support your health and well-being. Ayurveda translated as the “Science of Life� supports health and prevents disease by balancing your mind, body and spirit through the elements of nature. Its philosophy believes there are 3 body life energies Kapha, Pitta and Vata - or Doshas that blend to create your unique physical and mental makeup and overall health. Wrong food, bad sleeping habits, physical and mental strain, negative emotions can make life more unnatural for you. Ayurveda guides you toward lifestyle habits that help you stay balanced as it has done since ancient times. The philosophy of Ayurveda believes your digestive health sets the tone for the health of the rest of the body and mind. Food, herbs and spices are thought of as medicine and are used along with aromatherapy, bodywork, meditation, breath exercises, and ‘asana’ or yoga postures to address imbalances and improve well-being.

Yoga, more popular and familiar in the Western culture, can be a practical and comfortable entry point into these ancient sciences. Millions of Americans who took their first yoga class discovered it wasn’t that hard or scary. While many people believe yoga is only for the young and flexible, its benefits are for people of all ages, especially mid to late lifers. In addition to warming up the joints and muscles, Yoga can help with pain relief, stress reduction, mind body connection, balance, and inflammation which is the root cause of most disease and a host of other age-related issues. Yoga is also a great way to improve your overall fitness and sense of well-being. You don’t have to do difficult postures to get the benefits of Yoga. Simply concentrating and focusing on the breath alone is a great way to calm and relax the nervous system, reducing and slowing the aging process. Healthy aging starts with awareness. Yoga and Ayurveda, both encompass a deep understanding of how the mind body work together optimally to create a whole being with body and mind united in good health. These ‘sister sciences’ can help you live your life with health and grace. No one knows your body as well as you. If you are feeling a lack of harmony and balance in your life, you might want to consider giving Yoga and Ayurveda a try. Incorporate more wellness into your daily life through a variety of Yoga and Ayurveda class series that are part of a new “Live YOUR Balance� program especially for individuals like you at Kanyakumari Ayurveda and Yoga Wellness Center. Details can be found at http://www.kanyakumari.us/#!community-trainings/c1xej.

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CAREGivers Wanted

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


Alzheimer’s

HELP AT YOUR FINGERTIPS

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But for those of us who live or work with people with Alzheimer’s we don’t just talk the talk, we walk the walk. During National Alzheimer’s Awareness Month (November 2013), it is great to see everyone talking about ways to support families with Alzheimer’s. But for those of us who live or work with people with Alzheimer’s we don’t just talk the talk, we walk the walk. Every day of every month, twelve months a year. Now, thanks to the new Alzheimer’s and Other Dementias Daily Companion app, we can let our fingers do at least some of the walking. The app, which is free and currently available at the App Store for download to Apple devices, offers a wealth of information for connecting to valuable Alzheimer’s resources and dealing with the common behaviors associated with Alzheimer’s. It contains much of the same information we cover when training our professional CAREGivers and hosting our local Alzheimer’s CARE program Family Caregiver Workshops, all in an easy-to-use, portable app. It’s designed to help enable caregivers to handle whatever challenges they encounter, as they encounter them. Among the many behavior topics the app addresses are:

• Aggression and Anger • Agitation and Anxiety • Bathing and Hygiene • Bedtime Struggles and Sleep Problems • Confusion and Memory Loss • Delusions and Hallucinations • False Accusations and Paranoia • Hiding/Misplacing Items and Rummaging • Repetition • Sexually Inappropriate Behavior • Wandering • Withdrawal

The app also has an emotional support section for caregivers that offers help with issues ranging from compassion fatigue (which is actually a form of trauma that can happen over time if a person has had too much exposure to setbacks and difficult experiences), to grieving for a loved one before they’re actually gone – and many topics in between. In addition to the app, our new Confidence to Care book is an easy reference that anyone in the household can use when they need support or are trying to redirect a behavior. You can purchase the entire book for only $10.39, or preview three chapters for free by visiting www.HelpforAlzheimersFamilies.com. For more information about these and other resources we have for seniors and their families, please contact Home Instead Senior Care of Milwaukee at (414) 2399605, or Like us on Facebook.

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See the best you can see

T EYE CARE SPECIALISTS

November is “National Diabetes Awareness Month”

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www.eyecarespecialists.net West Allis Wauwatosa Milwaukee 10150 W. National Ave. 2323 N. Mayfair Rd. 735 W. Wisconsin Ave. 414-321-7520 414-258-4550 414-298-0099

LOCAL EYE MDS ANSWER TOP 6 QUESTIONS ABOUT DIABETIC EYE DISEASE By Cheryl L. Dejewski Diabetes is reaching epidemic levels across all ages and races. Chances are you know (or are) one of the more than 29 million Americans with the disease. Whether or not the cause is due to poor lifestyle choices, genetics or both, take note: Diabetes does more than affect blood sugar levels. Complications from the disease make it a leading cause of blindness in the U.S. And, if you are black or Latino, you have up to a three times greater risk of losing vision to diabetes than a white person. “We would like to give all Wisconsinites at risk for diabetes a chance to protect their vision by educating them about the importance of early detection and treatment,” says Mark Freedman, MD, senior partner at Eye Care Specialists, a leading Milwaukee-area ophthalmology practice that specializes in the care of diabetic eye disease. In an effort to achieve this goal, Freedman and his partners answer the following key questions regarding this sight-robbing condition. 1. How does diabetes affect vision? “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 leads to leakage and bleeding that can blur vision and permanently impair sight.” reports Brett Rhode, MD, Head of Ophthalmology at Aurora Sinai Medical Center and a partner at Eye Care Specialists, where he utilizes advanced medication injection and laser treatments for eye diseases. “For some people, when a routine vision checkup uncovers signs of retinopathy, it is their first clue that they even have diabetes.” 2. What are the symptoms? Usually, none. Most people don’t notice a problem until retinopathy is so far advanced that lost vision can’t be restored. That’s why annual dilated eye exams are crucial. You should also call your doctor immediately if you notice vision changes in one or both eyes (not associated with fluctuations in blood sugar), numerous floating spots (like spider webs), or a veil over your vision. 3. Am I at risk? “Of the nearly 26 million Americans diagnosed with diabetes, up to 45 percent have some degree of diabetic retinopathy (damage to the retina), which can lead to vision loss and blindness. And, diabetic eye disease can appear as early as a year after the onset of diabetes,” says Daniel Ferguson, MD, a leading area eye surgeon who conducts continuing education programs for local health care professionals. Ferguson adds, “All diabetics—Type 1, Type 2, insulin-dependent or not—are at risk, which increases with the number of years you have diabetes. For example, patients with diabetes for less than five years have about a 15 percent incidence of retinopathy, but this skyrockets to 80 percent for people who are diabetic for 15 or more years. That’s why we can’t stress enough the sight-saving benefits of annual eye exams.” 4. How is retinopathy detected? “For many patients, diabetes-related changes in vision occur so gradually that they don’t notice or take action. Or, because fluctuations in blood sugar levels can temporarily affect vision, they don’t know or realize that a more serious eye problem is developing. And, even if a person’s vision appears to be good, significant retinopathy may be present and progressing. That’s why 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,” explains Daniel Paskowitz, MD, PhD, an ophthalmologist with credentials from Harvard and Johns Hopkins. David Scheidt, OD, an optometrist and a 20-year member of the Wisconsin DiaEYE>>page 9

MHL NOVEMBER 2015


Homeopathy Homeopathy is a safe and effective group of natural medicines that can be used to achieve wellness.

They are prepared from natural sources of plant, animal or mineral/chemical and diluted in extremely small amounts to achieve their desired effect. These medicines are recognized by the Food and Drug Administration. The word Homeopathy means “similar suffering.” Homeopathic medicines are based on the principle that “like cures like”. So if a substance can cause symptoms of disease in a healthy person, then it should alleviate those symptoms in a sick person with the illness. For example if an individual is having insomnia and cannot fall asleep instead of giving a sleeping pill to induce sleep you would prescribe “Coffea Cruda” which is a tiny dose of coffee that is prepared by a homeopathic pharmacy in accordance with FDA regulations because Coffee is known to cause insomnia. Symptoms in homeopathy are viewed as the body’s attempt to restore it to balance. That is why two people with the same illness may be given different homeopathic medicines. For example a person diagnosed with asthma who develops a cough that is barky and dry would be given a different medicine than the asthmatic that has a wet productive cough. This is unlike conventional medicine in which one medicine would be used to treat both types of cough. Homeopathic medicines can safely be given in conjunction with conventional treatment without drug interactions. Given the right medicine in the right dilution may help to reduce the use of conventional treatments. Homeopathic medicines can safely be used in conjunction with conventional medical prescriptions and along with other disciplines including physical therapy and surgical treatments. The exact mechanism by which homeopathy works is unknown. Clinical experience along with per-reviewed science confirm its effectiveness. Cherri Schleicher FNPc APNP AHN-BC Family Nurse Practitioner Integrative Family Wellness Center

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EYE<<page 8 betes Advisory Group, adds, “Diabetes-related sight loss is often preventable with yearly exams and early intervention. But all of our expertise, equipment and treatments are of no use if patients don’t come in for regular eye check-ups.” 5. How is diabetic retinopathy treated? “When treatment is necessary, we have been very pleased with the success of medications (such as Avastin, Eylea and Lucentis) that can be painlessly injected into the eye to decrease blood vessel leakage and inhibit abnormal new growth—thus staving off progression of diabetic eye. We evaluate each patient’s response individually to determine if and when (about every 4-12 weeks) they should receive injections. As a result, we have seen amazing results, including not only stabilization of vision, but in some cases, improvement in sight,” reports ophthalmologist Michael Raciti, MD, a local leader in the fight against diabetic eye disease. 6. Should I be screened for diabetic eye disease? Do you have diabetes? Was your last eye exam more than a year ago? If you can answer “Yes” to those two questions, then it’s time to have your vision checked. Keep in mind that appointments are often covered by insurance, Medicare or Medicaid. If these options are not applicable, arrangements can usually be made to accept cash, check, credit card or financing plan payment. “Don’t hesitate. It’s an opportunity to ensure that you see life to the fullest—now and in the future. And, remember, EVERYONE should have their eyes checked at least every two years after age 40 for other conditions, like glaucoma, that may be causing permanent vision loss without you even noticing it,” advises Freedman. FREE Booklets & Information Eye Care Specialists’ doctors are dedicated to providing the highest quality, diabetic, glaucoma, cataract, and macular degeneration 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 Ave., Mayfair Road across from the mall, or 102nd & National Ave. They also offer detailed eye care

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THE GREENING OF A HOME

The first step in making our life healthier and more productive is to always avoid toxic chemicals by eliminating the source of the toxin and using safer high quality products. Most mainstream publications deal with the subject of building or remodeling a home to be “green” as an energy saving and global environmental issue. New methods to reduce outdoor air pollutants and to cut down energy costs are definitely friendlier to our environment. Yet these methods do not necessarily make a home green. A green home means that it is healthier, safer, and is free from sources of indoor air pollution, yet as attractive as one that is not pollutant free. There are various strategies one can use to make the home green. Using only one strategy alone will not cut it, however. A systems approach is needed that integrates the different aspects that comprise a green home. Using HVAC equipment that controls moisture to minimize mold, mildew, and provide continuous fresh ventilation is very important. The increase of natural light in as many areas of the house as possible creates a sense of well being for its occupants. Another important strategy is the use of less synthetic carpeting and more “hard” surfaces to reduce dust and allergen collection areas. The most critical area to consider when building a green home, though, is to avoid using toxic chemicals and materials. All these strategies combined provide better indoor air quality than if used alone. We spend about 80% of our life indoors. The first step in making our life healthier and more productive is to always avoid toxic chemicals by eliminating the source of the toxin and using safer high quality products. Removal of the unnecessary chemicals and toxic fumes from your homes reduces outgassing that causes headaches, nausea, allergies and asthma. All common symptoms of poor indoor air quality. Imagine a “healthy” home where occupants prevent a lifetime of medical problems and save thousands of dollars in prescription and health care costs. The average customer interested in building a home today is better educated about the materials used by builders. The Internet provides a valuable resource for future homeowners before consulting with builders. This increased knowledge of the chemicals used in building materials will increase the demand for healthier and safer home

Using only one strategy alone will not cut it...

from future homeowners. There exists a trend in new home construction to improve the connection with the outdoors through better ventilation systems and increased natural light. Both serve to offer homeowners a healthier environment in which to live. Imagine what looking through (triple-paned, low-e coated, krypton filled) windows on a starlit night or a sun-drenched day can do for the human spirit. Yet, is the IAQ contributing to a healthy environment? It seems logical that if we as homeowners were given a choice, we would choose to use building materials for our homes that are high quality, affordable, durable, and as an added bonus, free of human health hazards and toxins. Currently, most folks are unfamiliar with the array of healthy building products and where to obtain them. Most product suppliers find it difficult to answer questions form customers about chemical content and toxicity. This is mainly due to the fact that until recently, customers never asked these types of questions. However, as we consumers ask for products that make our homes healthier without sacrificing quality and aesthetic beauty, availability will grow. Andrew Pace is the founder of Safe Building Solutions, the premiere retailer of green and healthy building and improvement products and consulting in southeastern Wisconsin, and a major national distributor of green home improvement products. Andrew has become a nationally recognized expert on green and healthy building products. Along with being profiled in numerous publications, he has authored several articles about the construction of healthy homes, which have been published in regional and national magazines, such as Environmental Design & Construction, Ecological Home Ideas, and Paint Dealer magazines. Andrew is a columnist and serves as an editorial advisor for Green Building Product Dealer magazine. In 2007, Andrew launched a new green building product rating system called Degree of GreenTM, which has already been in featured in numerous national publications and is being used by retailers and manufacturers alike to educate consumers and eliminate confusion within the green building realm. Andrew can be reached at andy@greendesigncenter.com or visit his websites, www.greendesigncenter.com and www.degreeofgreen.com.

Green Design Center is the oldest, most experienced Healthy Home supplier in the U.S. • We specialize in helping folks with allergies, asthma, chemical sensitivities or anyone wanting to live in a clean, healthy home. • We carry healthier alternatives for just about anything to finish or furnish your home. • We have natural paints and plasters, chemical-free flooring and custom cabinetry • We have wonderful gifts and accessories as well!

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WELL BEING

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February 2011 Note

HOW TO LOWER MY RESTING PULSE RATE

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By Jill Lee The more fit you are, the lower your resting rate and willmodern be. Most people This month I wanted to start things off heart with new changes. a resting falls between Starting with the QR code. Get yourhave cell phones outheart and rate scanthat the code on the 60 and 90 beats per have minute, front and enjoy our new updated website. If you don’t the according phone that to Dr. Howard LeWine, Chief Medical Editor scans, no problem, just go to www.modernhealthandliving.com as find even for Harvard Health Publications. (Ref 1)living. Your heart rate tends to rise as you get older, more information about healthy am very you’ve decided to rate join us thislower month.your Thisrisk is our and genetics Ialso playpleased a role.that A low resting heart may of BIG death, Health issue.AWe havepublished packed so much up-to-date into particularly fromAwareness heart disease. study in “The Journalinformation of the American these pages that this issue is just with health! whose We have something Medical Association” in 2011 found thatbursting study participants resting heart for rates men and allduring ages. We contact local health rose from under 70women to overof70 a 10-year period wereprofessionals 90 percent every more month likely to are that thankful that(Refs many1have contributed to this issue. They are keenly have died and during period. and 2) aware of resting health concerns foristhis region with (very aimportant). We stayroutine in touchand Lowering your pulse rate possible healthy exercise with them so theyincan touch with you. I thinkofyou’ll find something lifestyle changes. Engage at stay leastin150 minutes per week moderate exercise or that can help you lead healthier life. We that youHeart shareAssociation’s this special 75 minuteshere of vigorous exercise pera week to meet thehope American issue with friends and family, too. recommendations. (Ref 3) Regular exercise can help you lose weight if you need to Speheart aking healthy, of familyboth , I tryof to which keep mcan ine ahelp ctive lower througyour hout tresting hese colpulse d montrate. hs. and keeps your My children are taking a Tae Kwon Do class 4 times a week. I encourage you Step 1 to try to find to keepover your the children social. its on Hold your index andsomething middle fingers pulseactive on theand inside ofWheather your wrist gymnastics, dance, sport or just running around in circles, staying active keeps the opposite arm. Count how many times your heart beats in 10 seconds and multiply the body and mind healthy and developing. the result by six to determine your resting heart rate (RHR). To us adults with Super Bowl Sunday and myself hosting the monthly Step 2 Bunco get together this equals food, food and even more food. It’s so important Calculate your maximum heart rate by subtracting your age from 220. As an alterto keep ourself active, so it might be time to get that gym membership or start native method of calculating maximum heart rate, females can multiply their ages by walking the malls again. Stay active!!! I hope you have a wonderful February 0.88 and subtract the resulting number from 206 to find their maximum heart rates. and will touch base again in March Step 3 -Amanda Lewis Subtract your resting heart rate from your maximum heart rate to find your heart rate reserve, or HRR. Step 4 Multiply your HRR by 0.50 and add your RHR to find the low end of your heart rate training range. Multiply your HRR by 0.85 and add your RHR to find the high 2011 EDITION end of yourFebruary target range. Step 5 Warm up for five to 10 minutes by walking, marching in place or engaging in some other light activity to reduce your risk of injury. Step 6 Increase the intensity of your exercise until you reach at least 50 percent of your maximum heart rate -- the low Lewis end of your target range. Check your pulse rate as you Media Group publishers exercise manually on your wrist or carotid Amanda Lewis artery. (Ref 3) editor Malberry Media Step 7 graphic design Marlys Lewis heart rate range for 20 to 50 minutes, or as Continue working out in your target Jerry Kornowski long as you travel feel editor comfortable. You increase your amount of weekly exercise as Marlyscan Metzger your fitness founder level improves. The more Barry Lewisyou exercise, the greater the benefits. Step 8 Decrease the intensity level of your exercise as you near the end of your workout to allow your heart rate and breathing to gradually return to normal. Stretch lightly for about five minutes to cool down. Step 9 Vary your methods of exercise to engage different muscles and prevent boredom.Walking, cycling slower than 10 mph and water aerobics qualify as moderate intensity exercises. For vigorous activities try running, cycling faster than 10 mph or swimming laps, suggests the Department of Health and Human Services in the 2008 Physical Activity Guidelines for Americans. 6000, email: info@lewismediagroup.com. Step 10 Quit smoking or using tobacco products. Smokers have higher resting heart rates than non-smokers do, explains Dr. LeWine. Step 11 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. Reduce the stress in your life as much as possible, since highly stressed individuals tend to have higher resting heart rates. Practice deep breathing exercises, meditate or participate in calming exercises, such as yoga or tai chi to help keep your stress levels low. This piece originally appeared on LIVESTRONG.COM. Lewis Media Group | Malberry Media | www.modernhealthandliving.com

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Injuries

WITH ALL SERIOUS

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Call Rob Reader, L.M.T., official massage therapist of the Milwaukee Ballet or Wendy Halfpap, L.M.T., integrative massage specialist at 414-721-6942. 14 MHL NOVEMBER 2015

We massage therapists get a lot of calls from clients who have been recently injured or are experiencing pain. Here is a guide to know when you should or shouldn’t get a massage after an injury. In all cases of injury, use common sense and seek the care of a Dr whenever necessary. These are just recommendations being given under the assumption that there is not a more serious injury involved and that you have sought sufficient medical care and advice. Let’s start with the most common. Headaches are very easily treated with massage. In the case of classic or cluster migraines, migraines that are the result of vasoconstriction then sudden vasodilation, massage is not recommended at all. I am mainly referring to tension headaches. Relaxing the muscles in the neck, shoulders, upper back and head can easily and quickly reduce or even eliminate headache pain without the use of drugs. Frequent massage in those areas can reduce the frequency of headaches and make your life more pain free. With all serious injuries, please make sure you seek medical treatment to make sure that nothing is broken or torn. Once properly examined by a Dr you can then seek alternative forms of treatment to help relieve pain, tension and swelling. If you sprain or injure a wrist or an ankle, then a massage can help but not necessarily right away. Usually you want to wait for at least 3 days to get past the acute stage and then see a massage therapist to help loosen up muscles and increase blood flow in to the area. Massage will also assist with the swelling as the increased blood flow will begin to remove the extra fluid from the area. A massage therapist most likely will not work directly on the injured area but will work on the muscles leading into the injured area or connected to the injured tendons. This takes the pressure and extra pull off of the tendon and lets it relax for quicker pain relief and healing. When dealing with a shoulder injury, things can get quite a bit more complicated. Just to be sure it is best to get a Dr to okay massage if the injury is extremely severe. Once a Dr has concluded that massage is not contraindicated (not recommended) than you can start getting massage to increase range of motion and strength in the injured area. Again an average wait time of at least 3 days after the injury is recommended. Hip injuries are as complicated as shoulder injuries. Again make sure nothing is broken or torn before seeking massage treatment. Treating an injured hip involves working on a lot of various muscles that all can impact the movement of the leg. These are muscles in the glutes, the upper thighs and even in the stomach area. All these muscles work together to make sure the legs move properly, so when one muscle is injured or sprained then the others have to work harder to keep your leg functioning. With some patience and some time, a knowledgeable massage therapist should be able to get you back up and walking pain free. Massage is contraindicated for 10 days after receiving a cortisone shot, so please inform your massage therapist over the phone if you have recently had a or intend to receive a cortisone shot. You can still get a massage, just not in the affected area. Most massage therapists have also been trained for scar tissue work. Even with very old scars a massage therapist can help soften the scar tissue and increase its elasticity. Massage can also decrease the discoloration and size. It will not make the scar disappear, but will make look less swollen. With new scars, the sooner you start the work the better. Make sure you get cleared by the Dr after any surgery before starting treatment. Rob Reader has been a full-time massage therapist since 2005. He has worked on headline performers at Summerfest and professional wrestlers, and is the official massage therapist of the Milwaukee Ballet since 2006. He currently works in Mequon at Active Body Wellness LLC, 909 W Mequon rd. For more information, call 414.721.6942 or visit activebodywellness.massagetherapy.com. Active Body Wellness offers holistic pain relief through several different types of massage. These include swedish massage, deep tissue, hot and cold stone massage, therapeutic massage, Muscle Release Therapy® and Craniosacral Therapy®. Our goal is to have you pain free within as short of time possible through soft tissue manipulation.


Redifning Health

THE PERSONAL TOLL OF CORPORATE MEDICINE By Kalpana (Rose) M. Kumar, M.D. I am a board certified internist. I am Stanford trained and have been in practice for nearly 25 years. I have a very busy practice. I love my patients. To help, heal, and love them is a daily gift. I want to help them make sense of their suffering, awaken and empower them, and help them gain health. I have also been a lifelong seeker. I seek to gain consciousness every day, with every life experience. I also seek to stay current with medical and scientific progress. I love science. I love Medicine. This is what I was born to do. I have been in private practice for nearly 17 years. I worked in corporate health care straight out of residency, nearly 25 years ago. It didn’t fare well for me. I struggled inside, conflicted by the dissonance between the true mission of medicine and that of corporate medicine. The corporate mission saw patients as commodities for money, and physicians as work horses. The boards of these systems used profit alone as the measure of the physician’s success. I saw my colleagues losing contact with what was real. When the hospital told me I did not hospitalize enough patients to meet their projections, I left corporate medicine and never looked back. My vision of medicine conflicted with theirs. As a physician in private practice, I need to interface with the corporate system. My medical practice accepts insurance and I am a part of an Independent Physician Network which is affiliated with a local hospital. They base their measure of credibility on what the ABIM (American Board of Internal Medicine) dictates. Their standards have been shown to have little correlation with physician competence and performance. Their requirements of physicians are inhumane. Physicians are weighted down to serve two patriarchs. The corporation that pays their wage and the larger corporation that credentials them. They can’t possibly serve three masters – their vocation and two patriarchs with all their demands. I write this as a physician who can see through the façade and racket of what corporate medicine has created. This system is like an abusive parent. It is abusive towards physicians who are made vulnerable and dependent. They pay with their cell tissue at the cost of their creative fire. Physicians are hurting. Drug and alcohol abuse and suicide rates amongst physicians are at an all-time high. Physician morale is at an all-time low. They are afraid to admit they are hurting. They are forbidden to complain or show vulnerability. What does this say about the health of the healers within the system itself? How do we begin to bring healing to them? The most recent experience I had with ABIM is when I took my Maintenance of Certification exam. Preparing for this exam entailed studying for nearly 40 hours a week in addition to my working hours for months. My brain does not work like a standardized test. When I am with my patients, I utilize both my intuition and medical knowledge to access what I need to construct a differential diagnosis and provide solutions. I cannot function under the time pressure required by exam rules. There were many questions I could not go back to correct. I knew the answers, but could not change them as they were impossible to find. If I fail this exam, I will have to start over, preparing again to retake it to maintain my certification to which my reimbursements are tied. Does this happen to me in the exam room with my patients? Never. Can I access the information that I need and synthesize the information to diagnose, treat, and heal? Yes. Does a standardized test measure this? No. Can a standardized test have so much power over one’s life? Passing, failing? Does failing a test like this negate everything we know in favor of being evaluated by a system that has lost its soul? The board? Who is this board? What gives them the power to do this to physicians who have been in the trenches for decades, helping, MEDICINE>>page 41 NOVEMBER 2015 MHL 15


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CCF Tea, A Balancing Brew Take equal parts coriander, Ayurveda is one of the oldest surviving holiscumin and fennel seeds and tic health systems that’s still practiced today. Its toast them in a dry pan over memethods have been proven effective over thoudium-low heat. Add the cumin sands of years. Passed down to us is the belief seeds last to avoid burning that a well-functioning digestive system is the them. Remove from heat when foundation of sound health. A content and calm aromatic and slightly brown. mind helps, too. Let’s take a closer look at how Add one teaspoon of CCF seeds that works. to one cup cold water and bring Digestion is associated with the fire element to a simmer. Remove from heat and referred to as agni, or digestive fire. The fire and steep for 5-10 minutes or element in the digestive system, seen in enzymes longer and allow to cool. Strain, and acids, breaks down food and transforms it into a form the body can use. These nutrients are and if desired, stir in raw sugar absorbed and assimilated or integrated into the or honey after cooling. Enjoy as body. Elimination completes the process. Ayurve- a refreshing morning tea or with da gives full importance to all stages of digestion meals. The 12-Hour Fast especially when assessing a state of health or imTo get digestion back on balance. track, go without food between Agni can burn in different ways and that afdinner and breakfast the next fects how well we digest, absorb, and integrate day. A twelve hour rest period nourishment from food. Agni can burn strongly is ideal; for example, after a 7 as it usually does with people with more fire elp.m. dinner have breakfast at 7 ement in their constitution (Pitta-types). This is a.m. If hungry, a cup of herbal called high agni and causes strong appetite and thirst. It can require more energy-rich foods and tea can fill the belly and calm manage more raw foods. Unless people with high the mind. agni overeat or indulge in foods that increase the fire element (spicy, acidic, salty, or fried foods), they usually don’t experience digestive distress. However, they’re prone to burning digestion, reflux, and other problems if trigger foods are eaten too often. Three substantial meals are best with snacks if needed. Skipping a meal would not make this agni happy. Then there’s variable agni, which creates fleeting appetite and thirst. This is common for people with more air element in their constitution (Vata-types) and influenced by its inconsistent and cool energy. Meals can be forgotten with distractions or avoided with stress. The winds of Vata can also quickly fan the flames of the agni causing voracious hunger. Variable agni may cause gas, bloating, noisiness, discomfort, or pain. It requires a diet mainly of nourishing, warm cooked foods and warming spices to assist smoother digestion. Smaller, frequent meals usually work well. Dry, light, and rough foods like crackers, rice cakes, and leafy greens can increase the instability of the agni. In low agni, the digestive fire burns lower and slower. Overfeeding this agni will smother the fire and cause feelings of sluggishness. People with more earth and water elements in their constitution (Kapha-types) will be influenced by their cool and heavier nature. Low agni can burn more steadily if large meals or foods like wheat, dairy, meat, and sweets are avoided. A well-spiced diet of smaller, cooked meals with lighter and drier foods is recommended. They may also benefit from missing a small meal on occasion and forgo snacks if they’re able to avoid temptations. Additionally, agni behaves differently throughout day. It’s stronger at midday when the sun is high, diminished during sunrise and sunset, and nearly absent at dark. Therefore, its best to eat the majority of your food during the day when agni is strongest and lighten up meals at other times. Prime time for your agni is between ten in the morning to two in the afternoon and the best time for your most substantial meal. Like the term “supper” suggests, the other meals are merely supplemental. Allowing the agni to rest is important, too. When food is taken too soon after a meal (within one to three hours) or too late in the evening, digestion of your previAYURVEDIC>>page 41

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The exterior presentation of the vehicle has been taken to a new level. The vehicle’s aesthetic is sporty and luxurious while featuring a style that is supported by an upper grille constructed of nylon. The outside is one thing that is going to lure many people into buying this new 2016 Lexus NX. As compared to the Lexus RX Model, it is smaller with a reduced wheelbase. The front of the 2016 Lexus NX has slimmed down headlights. The interior of the 2016 Lexus NX speaks volumes about the luxury automaker. The cabin shows consumers the time that designers took in order to ensure impeccable style, comfort and functionality. The cabin is unlike anything that has been offered on a number of models from the automaker. The interior showcases increased functionality and luxury. For those that are fan of technology, they will be presented with advanced human interface technology as well as an array of technological pieces. With all of that being offered, Lexus also threw in a bit more space increasing consumer comfort while on the road. The car sells for about $35,000 depending on options.

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CHILDRENS HEALTH

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

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What Are The Factors That Put A Pregnancy At Risk?

The factors that place a pregnancy at risk can be divided into four categories: Existing Health Conditions Age Lifestyle Factors Conditions of Pregnancy High blood pressure. Even though high blood pressure can be risky for mother and fetus, many women with high blood pressure have healthy pregnancies and healthy children. Uncontrolled high blood pressure, however, can lead to damage to the mother’s kidneys and increases the risk for low birth weight or preeclampsia. Diabetes. It is important for women with diabetes to manage their blood sugar levels before getting pregnant. High blood sugar levels can cause birth defects during the first few weeks of pregnancy, often before women even know they are pregnant. Controlling blood sugar levels and taking a multivitamin with 40 micrograms of folic acid every day can help reduce this risk. Can a high-risk pregnancy be prevented? Staying healthy is one of the best ways to lower the risk of having a difficult pregnancy. Many health care providers recommend that women who are thinking

about becoming pregnant get evaluated to make sure they are in good preconception health. During pregnancy, there are also steps a woman can take to reduce the risk of certain problems1: Take at least 400 micrograms of folic acid (a type of vitamin B) every day before and during pregnancy. Get proper immunizations. Maintain a healthy weight; eat a good diet; get regular physical exercise; and avoid smoking, alcohol, or drug use. Start prenatal care appointments early during pregnancy and visit a health provider for regularly scheduled appointments throughout the pregnancy. What are common treatments for high-risk pregnancy? For women who are diagnosed with a high-risk pregnancy, treatment varies depending on the risk factors. High Blood Pressure Some changes to high blood pressure medication may be necessary during pregnancy. A health care provider can also offer advice about the best way to keep blood pressure under control. Suggestions may include recommendations to limit salt intake and get regular exercise. Gestational Diabetes Gestational diabetes, or developing diabetes during pregnancy, increases the risk of pregnancy complications. However, many women have healthy pregnancies and healthy infants because they follow a health care provider’s recommended diet and treatment plan. A woman diagnosed with gestational diabetes should1: Know her blood sugar level and keep it under control. A women diagnosed with gestational diabetes can track her own blood sugar levels by testing several times a day. Eat a healthy diet. A low carbohydrate diet with meals spread throughout the day helps to keep blood sugar under control. Health care providers will offer advice for developing a plan with the best diet for each individual. Keep a healthy weight. The amount of weight gain that is healthy for a woman will depend on how much she weighed before pregnancy. It is important to track both overall weight gain and the weekly rate of weight gain. Keep daily records of diet, physical activity, and glucose level. A woman with gestational diabetes should write down her blood sugar numbers, physical activity, and everything she eats and drinks in a daily record book. Some women with gestational diabetes will also need to take medicine, such as an oral hypoglycemic tablet or insulin to help manage their diabetes.

I aM one of a kind. For 75 years, the Milwaukee Center for Independence has been helping people with special needs develop their unique abilities. Today, MCFI touches more than 15,000 lives in our community, one at a time. Visit www.mcfi.net.

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NOVEMBER 2015 MHL 23


When her blood pressure spiked, so did her fears.

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Meet with our experienced Respiratory Clinicians ĂŶĚ ďƌŝŶŐ LJŽƵƌ ŵĂĐŚŝŶĞ ĨŽƌ Ă W W ƉƌĞƐƐƵƌĞ ĐŚĞĐŬ͘ ŚĞĐŬ ŽƵƚ ƚŚĞ ůĂƚĞƐƚ ŝŶ W W ƚĞĐŚŶŽůŽŐLJ ůŝŬĞ ƚŚĞ dƌĂŶƐĐĞŶĚ ƵƚŽTM DŝŶŝ W W ;ƉŝĐƚƵƌĞĚ ĂďŽǀĞͿ ĂŶĚ ƚŚĞ ^Ž ůĞĂŶ W W ^ĂŶŝƟnjĞƌ ;ƉŝĐƚƵƌĞĚ ďĞůŽǁͿ͘

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What To Expect While Using CPAP

PROFESSIONAL CARE WITH A PERSONAL TOUCH An affordable alternative serving the special needs of the elderly community. Our elderly living facilities provide a comfortable and charming homelike atmosphere.

Our Amenities Include: 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 doctor 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. For more information, call Home Care Medical’s Milwaukee Retail Store at 414.423.8800 or visit their website at www.homecaremedical.com.”

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NOVEMBER 2015 MHL 27


Capri SENIOR

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Taking good care of your eyes is vital to your overall health and wellbeing. Even if you enjoy good vision now, you need to start or continue to practice good eye healthcare by visiting your eye care professional to have a comprehensive dilated eye exam. Who Performs Eye Exams? An eye care professional is either an optometrist or ophthalmologist. An ophthalmologist is a medical or osteopathic doctor who specializes in eye and vision care. An optometrist is the primary health care professional for the eye. Both professionals are qualified to perform eye exams. Aging and Vision Changes As you age, it is normal to experience some changes in your vision, such as difficulty adjusting to glare, and distinguishing some colors, particularly shades of blue and green. Some common vision problems require glasses or contacts to see clearly and up close. However, these changes can be easily corrected and won’t lead to vision loss or blindness. Remember, vision loss is not a normal part of aging. In fact, you can live an active lifestyle well into your later years without ever experiencing vision loss. How Our Eyes Work To keep our eyes healthy, it helps to know the different parts of the eye. There are many different parts of the eye that help create vision. Cornea. Light passes through the cornea, the clear, dome-shaped surface that covers the front of the eye. The cornea bends or refracts the light coming into the eye. Iris. The iris is the colored part of the eye. It controls the amount of light that enters the eye through an opening called the pupil. Pupil. The pupil is the opening in the iris. The iris adjusts the size of the pupil and controls the amount of light that can enter the eye. Lens. The lens is a clear part of the eye that focuses light coming into the eye. The lens is behind the pupil and fine tunes the image that reflects onto the retina. Retina. The retina is a thin, delicate, light-sensitive tissue that lines the inside of the eye. It converts light into electrical signals and sends them to the optic nerve. Optic nerve. The optic nerve is a bundle of about one million nerve fibers that carries electrical signals from the eyes to the brain. The brain interprets these signals, allowing us to see. Macula. The macula is the most sensitive part of the retina. It provides the sharp, central vision we use for activities such as reading and watching television. Tips for Healthy Eyes Your eyes are an important part of your health. There are many things you can do to keep them healthy and make sure you are seeing your best. Follow these steps for maintaining healthy vision well into your later years. Eat a Healthy Diet Eating a healthy balanced diet is important for your overall health and wellbeing. A diet rich in fruits and vegetables, particularly dark leafy vegetables such as spinach, kale, or collard greens can help to keep your eyes healthy and disease free. Research has also shown there are eye health benefits from eating fish high in omega3 fatty acids, such as salmon, tuna, and halibut. Maintain a Healthy Weight Being overweight or obese increases your risk of developing diabetes. This increases your risk of developing diabetic retinopathy or glaucoma, which can eventually lead to vision loss. Wear Sunglasses Sunglasses are a great fashion accessory, but their most important job is to protect your eyes from the sun’s ultraviolet rays. The best sunglasses are those that block out 99 to 100 percent of both UV-A and UV-B radiation. Sun exposure is associated with developing cataract and age-related macular degeneration


Parkinson Disease - A Neurological Disorder Each year about 60,000 new cases of Parkinson disease are diagnosed in the United States in addition to the many that are missed or are misdiagnosed.

Parkinson disease is a neurological disorder that can lead to tremor, lack of coordination, poor mobility, or trouble with walking. Along with these main features, patients’ can also experience problems with swallowing, constipation, excess saliva, rigidity, soft or slow speech, stooped posture, depression, and anxiety. Each year about 60,000 new cases of Parkinson disease are diagnosed in the United States in addition to the many that are missed or are misdiagnosed. The average age of onset for Parkinson disease is 60 years old but 5% of those diagnosed each year are under the age of 40 so the disease has a large age impact span. Southeastern Wisconsin has one of the highest prevalence rates in the United States. No one knows what causes Parkinson disease. The role of genetics, environmental issues and toxins continue to be researched. Those with Parkinson’s have impaired or damaged dopamine-producing cells and this is what causes the symptoms. Dopamine is a chemical neurotransmitter found in the brain that helps to control movement, coordination and balance. By the time a person develops symptoms of Parkinson disease he or she has lost more than 70% of these dopamine-producing cells. For many people, receiving this diagnosis or hearing a family member has the disease can be a confusing and troubling time. Information, not only for the present but for what the future can bring with this disease, can provide relief from the fears of the unknown and the misinformation and rumors that often present themselves. Parkinson disease additionally does not take a predictable path and each person may experiences it in a different and unique way, thereby making personal attention to the individual needs and circumstances surrounding Parkinson disease in the life of the patient crucial. The Wisconsin Parkinson Association serving Wisconsin and the surrounding states is a local nonprofit organization whose mission is to provide that information. Not being affiliated with any one medical system or provider allows the WPA to serve any and all community members with objective information about Parkinson disease and the resources available to assist them. The WPA’s mission is to expand medical professional and public awareness and understanding about Parkinson disease that will lead to maximum support, the best individual health care, assistance for caregivers and families, and increased funding for research. Services available through the Wisconsin Parkinson Association for those with PD and their caregivers and families include information and referral from their 800 phone number or website (wiparkinson.org), support and exercise groups, quarterly Network magazine, educational seminars and symposiums as well as a lending resource room that can be accessed in person or through the mail. NOVEMBER 2015 MHL 29


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30 MHL NOVEMBER 2015

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Rev. Joe Jagodensky, SDS Forget your favorite NFL team and the millions gathered and spent. And forget your favorite symphony orchestra, if you have one. Just visit your local low end “family” restaurant to see perfect harmony and synchronization. Meals are ordered and prepared in record time. Amid all the hustle and bustle there is ballet feel filling the whole place. To the customer’s eye, everything appears chaotic, disorderly. Tables are quickly bused clean before you exit the door, peculiar orders are honored and your coffee cup is never half empty. (There is a class system to these places as though it’s a government of its own. Only women wait on you. Only young Hispanic men bus your table. Only Hispanic old men cook your food. No other ethic or gender group. The cashier is always an older man unless it’s a female relative. Those are the rules, spoken or otherwise. There are no “official” rules, just the routine that became a habit. The perfunctory, “How was your meal?” (without caring what your answer is) is met with my usual response, “Fine.” I’m scared to delve deeper and share my personal feelings or thoughts about the meaning of life and so upset the order of things making the cashier look up and see me. The only referee I see is the old guy sitting in a booth next to the cashier. I don’t think he really cares about anything more than that beautiful sound when the bill is registered. The whole event seems “sudden death” to me as each order is written down, hooked to the carousel and swung around for the old cook to find, finding the prepared dish and swinging it carefully to the table along with plenty of smiles. The only “time out” is the distance between breakfast and lunch and then between lunch and dinner. Even during those times, time is spent filling up salts and peppers and rolling utensils into paper napkins. The entire staff could easily be called the “working poor.” Did you ever think you’d hear an expression like that in a First World country? A bumper sticker reads, “Instead of spreading the wealth, why not spread the work ethic.” Were is that easy. The work ethic I witness there in one shift is more energy that I expend in a week’s time. It is constant, unending. All for the meager tip given by the working poor who eat there (minus one) for the working poor waitress who serve them. If the whole experience were shown in slow motion with a beautiful symphony in the background, it would make your jaw drop as you try to say, “Wow!” There is a perfection of work by these “working poor” folks that would envy any “ethic.” The rhythms and the cohesiveness to all these workers who, for a short time, become a unified whole. How much do they make an hour? How much do tips bring it? Do then have their own bathroom? Locker? I don’t know. But for a $7.00 breakfast along with her smile, my hat is tipped to them all, along with a nice tip for a game well played. Rev. Joe Jagodensky, SDS. is director of communications, Alexian Village of Milwaukee

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NOVEMBER 2015 MHL 31


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Fun fall hobbies for seniors

SENIOR FALL HOBBIES With fall rapidly approaching, it’s time to start figuring out how you will stay active as the weather gets cooler. Fall is an excellent time of year to enjoy the mild weather, community events and beautifully changing colors. The cool (but not cold) temperatures make fall a wonderful season for active senior living. Here are some senior friendly fall activities that you can enjoy, and some quick tips for dealing with fall weather: The Grid Iron Football is one of America’s favorite pastimes, and easily one of the most popular fall sports. Heading to football games is a great way to spend time outdoors with friends and family. If you can’t go to live games, you can still make it a social event by inviting people over for a game-watching party. Bird watching Because fall is when birds begin heading south, it’s the perfect opportunity to watch the action. You will find birds you don’t get to see other times of year as they pass through or head to your area. Bird watching is another outdoor activity that

takes advantage of fall’s cool temperatures, which means you can take longer strolls, giving you even more opportunity to catch a glimpse of birds flying past. This activity satisfies the desires of animal lovers, science enthusiasts and exercise-minded seniors alike. Outdoor yoga Whether you’ve never done yoga or are already a practiced yogi, performing yoga outdoors can be a fun, fresh experience. Taking an outdoor yoga class in the fall means that as you engage your muscles, you’re also taking in all the beautiful colors of fall. Waiting until fall to head outdoors with your mat also means avoiding the extreme heat of summer. Still, fall can get cold and windy, so make sure you’re not underdressed when exercising outdoors. Yoga pants and long-sleeved, sweat-wicking clothes will help keep you dry and warm. To the farm Fall is known for apples and pumpkins, and there are plenty of opportunities in autumn to get closer to both. Head to an apple orchard or pumpkin patch to learn about the growing process of these fall crops. You can also pick your own apples, which is a much more enjoyable way to get produce than the grocery store. An afternoon of apple picking is a fun way to spend the day with someone close to you, and you’ll always love the apples you picked yourself. Community events It’s hard to say why fall is such a plentiful season for community activities. Maybe it has to do with historically needing to band together to prepare for winter, or maybe it’s because we get more social as family holidays approach. Whatever the reason, fall is full of festivals and fairs. These events let you get closer to the people around you, and offer an opportunity to give back to your community. They may have stands selling locally made art or produce, which let you support the people around you while getting an insight into what they make and do. Quick Tips: Depending on your location, fall weather can be unpredictable. Be sure to check the forecast before you head out to make sure you’re prepared for temperature changes or rain. Layers are your best friend in fall, since they’re easy to take off or put on as you move from inside to outside. Scarves, shawls and sweaters will help let you control your personal temperature. All those leaves covering the ground may be beautiful, but they can also be very slippery. Take care when walking through or across leaves, particularly if it has rained recently. The same holds true for cars, so avoid driving over leaves when possible.

Our NEW senior communities specializing in dementia care and individuals needing physical and medical care.

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Call or email today for more information! NOVEMBER 2015 MHL 33


Opening Opening OctOber OctOber

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34 MHL NOVEMBER 2015

WHAT IS HEARING LOSS? Hearing loss is a common problem caused by noise, aging, disease, and heredity. Hearing is a complex sense involving both the ear’s ability to detect sounds and the brain’s ability to interpret those sounds, including the sounds of speech. Factors that determine how much hearing loss will negatively affect a person’s quality of life include the degree of the hearing loss the pattern of hearing loss across different frequencies (pitches) whether one or both ears is affected the areas of the auditory system that are not working normally—such as the middle ear, inner ear, neural pathways, or brain the ability to recognize speech sounds the history of exposures to loud noise and environmental or drug-related toxins that are harmful to hearing age. A Common Problem in Older Adults Hearing loss is one of the most common conditions affecting older adults. Approximately 17 percent, or 36 million, of American adults report some degree of hearing loss. There is a strong relationship between age and reported hearing loss: 18 percent of American adults 45-64 years old, 30 percent of adults 65-74 years old, and 47 percent of adults 75 years old, or older, have a hearing impairment. Men are more likely to experience hearing loss than women. Hearing loss comes in many forms. It can range from a mild loss in which a person misses certain high-pitched sounds, such as the voices of women and children, to a total loss of hearing. It can be hereditary or it can result from disease, trauma, certain medications, or long-term exposure to loud noises. There are two general categories of hearing loss. Sensorineural hearing loss occurs when there is damage to the inner ear or the auditory nerve. This type of hearing loss is usually permanent. Conductive hearing loss occurs when sound waves cannot reach the inner ear. The cause may be earwax build-up, fluid, or a punctured eardrum. Medical treatment or surgery can usually restore conductive hearing loss. What is Presbycusis? One form of hearing loss, presbycusis, comes on gradually as a person ages. Presbycusis can occur because of changes in the inner ear, auditory nerve, middle ear, or outer ear. Some of its causes are aging, loud noise, heredity, head injury, infection, illness, certain prescription drugs, and circulation problems such as high blood pressure. Presbycusis commonly affects people over 50, many of whom are likely to lose some hearing each year. Having presbycusis may make it hard for a person to tolerate loud sounds or to hear what others are saying. Tinnitus: A Common Symptom Tinnitus, also common in older people, is a ringing, roaring, clicking, hissing, or buzzing sound. It can come and go. It might be heard in one or both ears and be loud or soft. Tinnitus is a symptom, not a disease. It can accompany any type of hearing loss. It can be a side effect of medications. Something as simple as a piece of earwax blocking the ear canal can cause tinnitus, but it can also be the result of a number of health conditions. If you think you have tinnitus, see your primary care doctor. You may be referred to an otolaryngologist -- a surgeon who specializes in ear, nose, and throat diseases -- (commonly called an ear, nose, and throat doctor, or an ENT). The ENT will physically examine your head, neck, and ears and test your hearing to determine the appropriate treatment.


Our Artist Series Continues September 16 – November 11, 2015 The Chudnow Museum of Yesteryear presents “Advertising of Yesteryear”

HOW TO CHOOSE A LONG-TERM CARE SOLUTION Marlene Heller When I was young, people talked about being packed off to the “old folk’s home” or sent to a “nursing home” when they were too old and frail to live on their own. Terminology isn’t all that has changed since then. Technology, regulations, and the education of our professionals have all contributed to our ability to care for aging parents and resulted in a variety of choices in the older adult market. Complicating the choice of a skilled nursing facility, or SNF, can be the need to do so on short notice. Quite often, trauma is the finger pointing the way to a decision. It is accompanied by stress, and leaves behind clarity and careful planning. Families or an aging spouse who have to make a decision in a hurry are usually under the pressure of expediency and more likely to make a decision based on insurance and location alone, not knowing what other things they should be looking for at such an important juncture. So how do you go about the search intelligently? Think about it before you need it! When you move into a new neighborhood, you look for schools and hospitals. You should do a similar assessment of the eldercare facilities and rehabs before your family needs them. Take a “just in case” tour of the ones that look the most interesting to you as your family begins to age, and take note of the things that matter most to you; the smells and the aesthetics, the friendliness of the staff and the way you were greeted at the door, etc. Ask to see an activity calendar, and observe some of the activities if you can. Are there engaged staff and, perhaps, volunteers assisting the residents at the activity? Are the activities diverse and interesting, or is it the same old bingo and current events every day? Do residents get to do hands-on projects or just listen? The clinical details, of course, are the most important. You want to know who is in charge. Is there a medical director on staff? What is that person’s specialty? You want to know that the residents are being cared for by caring and compassionate staff with proven tenure and engagement. Will your loved ones have registered nurses taking care of them, or LPNs, who collect data and then need to wait for an RN to do the assessments? At the Jewish Home and Care Center in Milwaukee, a gerontologist is the medical director and he can be reached 24/7. Seasoned CNAs and RNs staff all the floors and many have impressive specialties, making their ability to care for residents with critical needs unique. Some residences mix their rehab or post-acute patients (who are there to continue their recovery after a hospital stay) in amongst their long-term residents. Others, such as the Jewish Home and Care Center in Milwaukee have dedicated floors to short-term rehab. At the Sarah Chudnow Community in Mequon, short-term rehab is a separate area, with its own dining space, nursing station and lounge areas. You will also want to know a little bit about the organization’s philosophies towards care. Are they “person centered?” Do they care about research and education for their staff and their residents? Is there research going on within the organization that will benefit the residents? Is there a continuing quality assurance plan in place? Do they enhance the lives of residents through meaningful activities and events in a warm, safe and pleasing environment? Once you are armed with information about the skilled nursing residences that appeal to you, you will be ready to make a decision more quickly and appropriately when the time arises. At that time, the questions will revolve around “who takes our insurance?” and “who has an available bed?” You most likely won’t have the time to worry about all the other details. Go forth with the confidence of knowing what you’re dealing with. Marlene Heller is the director of marketing and communications at the Jewish Home and Care Center, Sarah Chudnow Community and Chai Point Senior Living. She can be reached at mheller@jewishseniorliving.org, and is available to speak at your organization on topics relating to eldercare.

This exhibit will also include WWI era posters promoting the purchase of war bonds. The collection is from the estate of the late Avrum Chudnow and is an eclectic and extensive collection of 20th century Americana. The artwork tells the story of the time in dramatic and entertaining fashion. Please drive past the Health Center to the Apartments. 10995 N. Market St., Mequon, WI 53092 262-478-1500 ceastman@JewishSeniorLiving.org SarahChudnow.org Like us on Facebook Follow us on Twitter @jsliving

262-478-1500

414-289 -9600

We Cater to Your Lifestyle Our family of residences caters to the individual. Choose the lifestyle that makes you unique and tell us how you want to live your life. We’ll make it work for you. In the suburbs: Full continuum of care sarah Chudnow Community 10995 n. Market st., Mequon www.sarahchudnow.org In the CIty: Independent/Assisted Living Chai Point senior Living 1400 n. Prospect Ave., Milw. www.chaipoint.org

414-277-8852

Long-term and Memory Care; Rehab Jewish home and Care Center 1414 n. Prospect Ave., Milw. www.jhccmilwaukee.org

NOVEMBER 2015 MHL 35


36 MHL NOVEMBER 2015


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Health & Longevity While many may be out searching for the fountain of youth, the secret to a long and happy life may not actually be a secret at all. This year, Dr. Howard S. Friedman and Dr. Leslie R. Martin released a book discussing their findings on health and longevity during an eight-decade long study of 1,500 people all born around 1910. In their book, “The Longevity Project: Surprising Discoveries for Health and Long Life from the Landmark Eight-Decade Study”, the answers Friedman and Martin conclude are quite simple. “A key lesson of The Longevity Project is to join social groups and select hobbies that will lead you to a whole host of consequential and naturally healthy activities. It is heartening to know that embracing the lessons of The Longevity Project and persistently striving for a socially richer and more productive life will significantly increase the odds of a long and happy life as well.” said Dr. Friedman in an interview with author and blogger, Therese J. Borchard. This concept of social contact, interaction, and relationships on the quality of life has been the topic of numerous scientific studies. Those studies have found links between the lack of social support and health problems such as cardiovascular disease and deaths in women. Another found that seniors who attend church weekly live longer. Friedman and Martin had the same observation on the part religious engagement plays in long life. Religious women lived longer because of the social connectedness of their lifestyle. They worshipped with others, joined committees, and engaged in social outreach. For as great as the benefits of socialization are, there is a primary group still lacking the opportunities to interact with others. Unfortunately, it is a group that benefits from socialization the most. That group is seniors. “It’s one of the biggest concerns families have for their loved ones and one of the biggest reasons they start to explore independent living communities.” Retirement communities have recognized the need for socialization and many offer valuable programs. Residents benefit from not just weekly or monthly opportunities but multiple activities every day. They can choose from a wide variety of recreational and wellness programs, community involvement, and spiritual resources.

9 apartment styles, many with in-unit laundry Health and Fitness services Trips and activities Transportation Daily evening meal Bank, Salon, Store, Whirlpool, and much more!

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Seniors choose Luther Haven as their home for a variety of reasons, but most often our friendly, Christian atmosphere is what truly sets us apart. We offer a variety of social, educational, and recreational activities for everyone to enjoy— all at costs that make our retirement community one of the best values in the greater Milwaukee area. We’re proud to be able to continually provide seniors the one-of-a-kind lifestyle that they deserve and can afford.

Luther Haven Retirement Community 8949 N. 97th Street Milwaukee, WI 53224 414-354-4600 NOVEMBER 2015 MHL 37


Forgetfulness

Knowing when to ask for help

Age-Related Changes In Memory Forgetfulness can be a normal part of aging. As people get older, changes occur in all parts of the body, including the brain. As a result, some people may notice that it takes longer to learn new things, they don’t remember information as well as they did, or they lose things like their glasses. These usually are signs of mild forgetfulness, not serious memory problems. Some older adults also find that they don’t do as well as younger people on complex memory or learning tests. Scientists have found, though, that given enough time, healthy older people can do as well as younger people do on these tests. In fact, as they age, healthy adults usually improve in areas of mental ability such as vocabulary. Other Causes Of Memory Loss Some memory problems are related to health issues that may be treatable. For

38 MHL NOVEMBER 2015

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.

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universalconsignment@gmail.com 40 MHL NOVEMBER 2015


MEDICINE<<page 15

ing, healing, and loving their patients and their work? When we entered medical school we placed our spontaneous, creative nature to the side. The critical parent became the voice in the background. It demanded perfection. It still does. Our performance has become the neurosis we perfect for survival. This kind of perfectionism is normalized. When we complete our training, exhausted and worn, we are vulnerable to the demands of the outer Sdvv#rq#|rxu#zlvgrp patriarch–corporate medicine. He is satiated by the money we make. If we adapt to his demands, we are rewarded. If we don’t, we are abandoned. wr#wkh qh{w#jhqhudwlrq My experience of the exam was nothing short of torturous. The ABIM has become the external critical parent colluding with the critical parent within. He runs roughshod over our sensitivity, creLi#|rxġuh#88./#yroxqwhhu# ativity, heart, and intuition. Without these, our health is at stake. We must reclaim these parts to be dw#d#PSV#hohphqwdu|# whole again. vfkrro#iru#mxvw#<3# This is what is upon physicians today. That which makes us human, is not even seen. We are herded plqxwhv#rqfh#d#zhhn# together like hostages, serving this angry patriarch. I am questioning what we have created here. dqg#vhh#d#fklog#vxffhhg1 What kind of system is this where there is no room for process? Fast paced, material centric, product fdoo=#+747,#553#0#;986# oriented, side stepping the heart - where is it all going? The stress this creates is the highest risk factor Iru#pruh# hpdlo=#wxwruClqwhuidlwkploz1ruj# for all diseases. ylvlw=#zzz1lqwhuidlwkploz1ruj lqirupdwlrq= I write about this because I must. I too was a hostage of this system. In some ways I still am. I have not slept well in weeks. Anxiety, worry, fatigue, weariness, nausea....are all symptoms triggered by preparation for the board exam. I have heard and held the pain and anguish www.cardinalcapital.us of my patients, many whom are physicians. I know this part of the shadow of medicine is real. Independent Residences Serving The Needs Of Our Communities We must talk about these issues if we want change. In the words of Paul Teristein M.D., “… many physicians are waking up to the fact that our profession is increasingly controlled by people not directly involved in patient care who have lost contact with the realities of day-to-day clinical practice. Perhaps it’s time for practicing physicians to take back the leadership of medicine.” I think it is time we do. What do you think? ©Oct/November, 2015 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director, The Ommani Center for Integrative Medicine, Pewaukee, WI. Dr. Kumar is currently accepting new patients, call 262.695.5311 to schedule an appointment. www.ommanicenter.com

AYURVEDIC<<page 16

ous meal is disrupted. This can result in a residue of incompletely digested food that becomes fodder for toxic build up. The whole system benefits from a long intermission overnight, allowing the digestive cycle to come to full circle with elimination in the morning. To support this natural timing, the best aid is a cup of warm water first thing upon waking. Food choices are important and so is a regular routine around eating and sleeping. The practice of rituals around daily cycles helps to calm the mind and nervous system. Eating meals around the same time every day and maintaining a healthy sleep cycle most of the time is a soothing antidote to stressful schedules and fast-paced lives. Heather is an Ayurvedic Practitioner and Yoga Instructor in Milwaukee. She provides Ayurvedic consultation, body work, and educational workshops at Kanyakumari Ayurveda & Yoga Wellness Center. See her full bio at the website, www.kanyakumari.us.

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NOVEMBER 2015 MHL 41


RESTORE YOUR BODY

with healthy food choices!

Kailey Reas, Milwaukee Catholic Home There is a lot of talk about what to do to repair our body when we become sick and every advertisement seems to be pushing a new diet product to make us feel better. It can be very difficult to sift through all the information and find what works for us. Will the “healthy diet” that works for my best friend work for me? What if we are already plagued with chronic ailments, like arthritis? What we can do is listen to our bodies and figure out what makes us feel healthy. Our bodies must be in balance in order to resist disease. The blood pH to be healthy needs to stay between 7.35 and 7.45. In order to maintain this pH, the blood will push acidic waste into the body tissues. The typical Western diet includes meats, fish, dairy, processed foods, sugar, alcohol, and caffeinated drinks, which all contribute to one’s body becoming too acidic. As we age, the acid in the body can lead to stiffness

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

and deterioration of our muscles and joints. This can be especially problematic for people with arthritis. In order to restore our bodies to the optimum pH level, we need to balance out the acidic condition with alkaline foods. Here are some easy alkaline food choices: Fresh Fruit: Apples, grapes, lemons, limes, papayas, pears, melons, avocados, berries, cherries, figs, raisins, kiwi, and dates Fresh Vegetables: Fresh salads, raw spinach, broccoli, parsley, garlic, wheat grass, barley grass, asparagus, carrots, cucumbers, lettuce, onions, celery, okra, squash, corn, and peas Nuts, Seeds, and Oils: Almonds, chestnuts, hazelnuts, brazil nuts, coconuts, pine nuts, olive oil, canola oil, flax seed oil, and avocado oil Beverages: Herbal teas, green tea, ginger tea, soy milk, vegetable juices, and water with lemon or lime Sweeteners: Maple syrup, rice syrup, raw honey, and raw sugar. If you already are prone to muscle stiffness because of arthritis, you can take some of your food choices a step further. Apple Cider Vinegar: According to the book, “Apple Cider Vinegar” by Paul and Patricia Bragg, arthritic pain sufferers who took an apple cider vinegar and honey cocktail three times a day for several months reported that the pain was completely gone from their joints. Pineapple: Pineapple possesses powerful anti-inflammatory properties, which can ease the pain of arthritis. Turmeric: Turmeric is also known for it’s anti-inflammatory effect. Cinnamon and Honey: Many Arthritis sufferers have found much relief from their aches and pains by drinking a cup of hot water with two spoons of honey and a teaspoon of cinnamon in the morning and evening. Almonds: Almonds are a great source of magnesium, which is an essential mineral that helps relax our muscles. This article is fuel for thought and not intended to substitute for medical advice or treatment.

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HOW TO FIND MEANINGFUL LEARNING OPPORTUNITIES OVER AGE 50

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.

NOVEMBER 2015 MHL 43


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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.

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44 MHL NOVEMBER 2015

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.)

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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

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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


WHAT CONTROLS YOUR BREATHING? To a limited degree, you can change your breathing rate, such as by breathing faster or holding your breath. A respiratory control center at the base of your brain controls your breathing. This center sends ongoing signals down your spine and to the muscles involved in breathing. These signals ensure your breathing muscles contract (tighten) and relax regularly. This allows your breathing to happen automatically, without you being aware of it. To a limited degree, you can change your breathing rate, such as by breathing faster or holding your breath. Your emotions also can change your breathing. For

example, being scared or angry can affect your breathing pattern. Your breathing will change depending on how active you are and the condition of the air around you. For example, you need to breathe more often when you do physical activity. In contrast, your body needs to restrict how much air you breathe if the air contains irritants or toxins. To adjust your breathing to changing needs, your body has many sensors in your brain, blood vessels, muscles, and lungs. Sensors in the brain and in two major blood vessels (the carotid (ka-ROT-id) artery and the aorta) detect carbon dioxide or oxygen levels in your blood and change your breathing rate as needed. Sensors in the airways detect lung irritants. The sensors can trigger sneezing or coughing. In people who have asthma, the sensors may cause the muscles around the airways in the lungs to contract. This makes the airways smaller. Sensors in the alveoli (air sacs) can detect fluid buildup in the lung tissues. These sensors are thought to trigger rapid, shallow breathing. Sensors in your joints and muscles detect movement of your arms or legs. These sensors may play a role in increasing your breathing rate when you’re physically active. A Success Story... Henry Shearrill is a 74 year old gentleman who suffered a cerebral vascular accident (CVA), diag-nosed with pneumonia and due to additional health complications had respiratory failure and under-gone a tracheostomy. Mr. Shearrill was receiving care from another local facility and was ultimately transferred to Wellspring of Milwaukee, where his plan of care was reviewed under the direction of consulting Pulmonologist, Dr. Abbas Ali. Mr. Shearrill was approaching a year from his initial incident in having a tracheostomy. Dr. Ali’s goal was to follow a weaning protocol by decreasing the use of oxygen, along with the safe removal of trach. Mr. Shearrill also received multiple therapies to include physical, occupational and speech therapy to ensure safety in food consumption as well as increasing his strength to return home. Approximately 90-days from admission to Wellspring of Milwaukee, Mr. Shearrill’s trach was suc-cessfully removed, breathing on his own without assistance, eating regular food, and has increased his strength. Mr. Shearrill’s beautiful smile shows that he is truly happy to return home to his loving family. For more info ....wellspringhealthcarecenter.com 9350 W. Fond du Lac Avenue * Milwaukee, WI 53225 Phone: 414-438-4360

Veteran’s Day Honoring All Who Have Served

We Invite The Community to Join Our Program

“Honoring Our Veterans”

Friday, November 13, 2015 at 2:30 PM Join Us As We Continue the Celebration to Honor Our Veterans! We will Pay Tribute to Those that have Served Our Country with Memories, Music and Fellowship.

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Coffee, Cake & Apple Pie Social Following Program

Please RSVP by Friday, November 6th Amy Steffen @ (414) 438-4360 x.4622 9350 W. Fond Du Lac Avenue NOVEMBER 2015 MHL 45


Senior Care

A FULL CONTINUUM OF CARE Under One Roof

Independent Living • Assisted Living • Skilled Nursing • Rehabilitation • Ventilator Care

Independent Living Amenities & On-Site Services • Heat, A/C, electricity, water included • Dining Room-10 free meals/month • Chapel-Catholic & Non-Denomination Srvs. • Basic cable plus option for more channels • 24 hour emergency call system

• Fitness Room & Program • Wellness Program • Bank & Library • Convenience Store • Housekeeping & Laundry

• Underground parking • Medical Clinic (Manor Park) • Pastoral Care • Computer/Internet access • Therapy services

HOW CAN I CONTROL MY BLOOD PRESSURE?

Studio, 1 & 2 bdrm apartments.

Monthly rentals. No endowment fees!

Startin

ga $790 t

g at

Startin

$585

VMP Manor Park • 3023 S. 84th Street • Milwaukee, WI 53227 • (414) 607-4100 VMP Trinity • 7300 W. Dean Road • Milwaukee, WI 53223 • (414) 371-7316

Assisted Living

Rehabilitation Therapy Physical • OccuPatiOnal • sPeech Rehabilitation can assist patients in regaining their highest level of functioning. Therapy and care plans are tailored to meet patients goals and surgeon recommendations.

• Private room with bathroom/kitchen • On-site rehabilitation • Medical staff available 24/7 • 3 wholesome meals/day • RN manager & social workers with extensive case management background • Now accepting Family Care at VMP Trinity

We’ll help you regain mobility and improve your quality of life so you can return home safely.

VMPcares.com

Affordable

SENIOR HOUSING

Accessible, safe, secure, barrier-free, affordable, federally subsidized one bedroom apartments for seniors.

6 Desirable and Convenient Locations in Burnham Village West Milwaukee

Oak West West Allis

Cifaldi Square Cudahy

Sunset Heights Waukesha

Gonzaga Village West Allis

Valentino Square West Allis

Becker Property Services, LLC

262-240-9406

FALLIS HERE...RESERVE NOW! Email: BeckPropSvcs@aol.com Website:www.beckerpropertyservices.com

46 MHL NOVEMBER 2015

EQUAL HOUSING OPPORTUNITY

High blood pressure is very common in older people—over time most people find that aging causes changes to their heart. This is true even for people who have heart healthy habits. The good news is that blood pressure can be controlled in most people. There are many lifestyle changes you can make to lower your risk of high blood pressure, including: Keep a healthy weight. Being overweight adds to your risk of high blood pressure. Ask your doctor if you need to lose weight. Exercise every day. Moderate exercise can lower your risk of high blood pressure. Set some goals for yourself so that you can exercise safely and work your way up to exercising at least 30 minutes a day most days of the week. You should check with your doctor before starting an exercise plan if you have any health problems that are not being treated. You can find more information about exercise and physical activity from the National Institute on Aging at www.nia.nih.gov/Go4Life. Eat a healthy diet. A diet rich in fruits, vegetables, whole grains, and low-fat dairy products may help to lower blood pressure. Ask your doctor about following a healthy diet. Cut down on salt. Many Americans eat more salt (sodium) than they need. Most of the salt comes from processed food (for example, soup and baked goods). A lowsalt diet might help lower your blood pressure. Talk with your doctor about eating less salt. Drink less alcohol. Drinking alcohol can affect your blood pressure. Most men should not have more than two drinks a day; most women should not have more than one drink a day. Don’t smoke. Smoking increases your risk for high blood pressure, heart disease, stroke, and other health problems. If you smoke, quit. Get a good night’s sleep. Tell your doctor if you’ve been told you snore or sound like you stop breathing for moments when you sleep. This may be a sign of a problem called sleep apnea. Treating sleep apnea and getting a good night’s sleep can help to lower blood pressure. If these lifestyle changes don’t lower your blood pressure enough to a safe level, your doctor will also prescribe medicine. You may try several kinds or combinations of medicines before finding a plan that works best for you. Medicine can control your blood pressure, but it can’t cure it. You will likely need to take medicine for the rest of your life. Plan with your doctor how to manage your blood pressure. High Blood Pressure Facts High blood pressure is serious because it can lead to major health problems. Make a point of learning what blood pressure should be. And, remember: High blood pressure may not make you feel sick, but it is serious. See a doctor to treat it. You can lower your blood pressure by changing your day-to-day habits and by taking medicine, if needed. If you take high blood pressure medicine, making some lifestyle changes may help lower the dose you need. If you take blood pressure medicine and your blood pressure is 120 or less, that’s good. It means medicine and lifestyle changes are working. If another doctor asks if you have high blood pressure, the answer is, “Yes, but it is being treated.” Tell your doctor about all the drugs you take. Don’t forget to mention over-thecounter drugs, vitamins, and dietary supplements. They may affect your blood pressure. They also can change how well your blood pressure medicine works. Blood pressure pills should be taken at the same time each day. For example, take your medicine in the morning with breakfast or in the evening after brushing your teeth. If you miss a dose, do not double the dose the next day. Don’t take more of your blood pressure medicine than your doctor prescribes. Do not stop taking your high blood pressure medicine unless your doctor tells you to stop. Don’t skip a day or take half a pill. Remember to refill your medicine before you run out of pills. Before having surgery, ask your doctor if you should take your blood pressure medicine on that day. Get up slowly from a seated or lying position and stand for a bit. This lets your blood pressure adjust before walking to prevent dizziness, fainting, or a fall.


Getting The Facts About

ARTHRITIS

How does your home bring you to life?

At Oak Park® Place, life comes to you. Who gets arthritis? A misconception is that arthritis only affects the elderly. Symptoms of arthritis can start at any age and can manifest in early or mid adult years. Gender, co-existing medical conditions, food allergies, prior injuries or surgeries, in addition to age, can influence what type of arthritis occurs in an individual. Multiple types of arthritis can occur simultaneously so it is important to know if you suffer from more than one type so that the comprehensive treatment recommendations can be instituted. What causes arthritis? Some contributing factors that cause and perpetuate arthritis symptoms can include cartilage breakdown, an overactive immune system, uncontrolled inflammation, and allergic reactions. Genetic factors may play a role in certain arthritic conditions. How do you know when you may be developing arthritis? Symptoms of pain, stiffness, and swelling can affect any joint in the body and can start off in one joint, or multiple joints. Activity and mobility can worsen certain forms of arthritis, and improve others. Symptoms that affect both sides of the body can be indicative of arthritis caused by inflammation. Some people may have joint pains that “flare” and then subside, while others experience constant daily symptoms. A percentage of people may develop arthritis symptoms suddenly whereas others have a much slower progression. Can you get rid of arthritis? At this time, there is no absolute cure for the majority of arthritic conditions. However, the good news is with early diagnosis and treatment, arthritis progression can be controlled and symptoms can often times abate, allowing patients to lead active, healthy lifestyles. Have there been any new treatment breakthroughs in recent years? In the last decade, there have been many new treatment options available to individuals suffering from certain arthritic conditions such as rheumatoid arthritis, psoriatic arthritis and ankylosing spondylitis. These medications have allowed individuals to not only control their arthritis symptoms, but also prevent ongoing joint damage and thus reduce the disabling deformities that might otherwise occur. What is the integrative approach to treatment of arthritis? Mind, body, and lifestyle are important factors to those suffering from arthritis. Treating arthritis involves integrating these components along with tailored medication regimens, and joint evaluations to achieving healthy joints and maximal wellness. Dietary recommendations, exercise programs suited to each individual and alternative therapies can be part of the patient-centered integrated approach to arthritis.

With friendly neighbors, caring staff and plenty of choices. Seminars and activities with dedicated activity staff. Fresh meals made by an expert chef. Comfortable living spaces and spacious apartments with all the features you expect in a place to call home—and helping hands to provide support when needed. Call (414) 292-0400 or visit oakparkplace.com to learn more about assisted living and specialized memory care services at Oak Park® Place. Welcome home.

Wa u WatO S a Now Open!

1621 Rivers Bend Wauwatosa WI 53226 (414) 292-0400

Find us between 113th and 116th Streets, just south of West Walnut Road. www.oakparkplace.com

Affordable Apartment Homes

for Seniors

55 and better

Small P ets Welcome 1 BEDROOM START AT $625.00 2 BEDROOMS START AT $730.00

* Spacious 1 & 2 Bedroom * Intercom Entries & Elevators * Apartment Homes * Same Floor Storage & Laundry * New Resource Room * Walking Distance to Shopping, * Beautifully Decorated Parks, and Restaurants * Community Rooms * Catered Lunches *Worry Free Surface Parking *On Site 24/7 Emergency *Park Like Setting Maintenance Provided *New Appliances Please see our website at www.williamstownbay.com

Willamstown Bay Senior Apartments

3400 East Ramsey Avenue (414) 481-8580 Professionally Managed by Oakbrook Corporation

EQUAL HOUSING OPPORTUNITY

NOVEMBER 2015 MHL 47


A hearing device like no other The hearing aid everyone is talking about. ReSound LiNX™ is different. Really different. The first (and only) hearing aid that gives you more of every listening situation. And you will hear an amazing difference with the microscopic cutting-edge sound processor inside. It makes traditional hearing aids a thing of the past.

As seen in...

“New smartphone apps that link to hearing aids are helping people with impaired hearing to pump up the volume on their devices or to use them as headphones to stream phone calls, YouTube videos and music.” - Reuters

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“Users adjust everything from the volume to the bass and treble in each ear on the ReSound Smart app, which means no more fiddling around with a giant device on your head.” - New York Daily News

COME TO SPECIAL COME TOOUR OUR SPECIAL SEPTEMBER EVENT NOVEMBER EVENT • Free consultation • Free hearing aid care kit with purchases made during event • Free demonstration of ReSound LiNX • Free 2-week, no-risk trial

Call us today to schedule your appointment—space is limited!

Call (414) 203-2844 ©2014 The GN ReSound Group, all rights reserved. Apple, iPad, iPhone and iPod touch are trademarks of Apple Inc, registered in the U.S. and other countries. ReSound LiNX is compatible with iPhone 5s, iPhone 5c, iPhone 5, iPad Air, iPad (4th generation), iPad mini with Retina display, iPad mini, and iPod touch (5th generation) using iOS 7.X or later.

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


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