October 2012 MHL

MHL

OCTOBER 2012 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

Exercising Outside DOESN’T HAVE TO END WHEN THE FIRST LEAF DROPS

Aging Gracefully MINDFULNESS FOR ANXIETY RELIEF

Breast Cancer MYTH OR FACT?

SENIOR LIVING FEATURE

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

Editor’s Note October is here! The weather is beginning to change into a beautiful, cooler calmer, climate. Halloween is fast approaching. In this edition, I put my favorite costume picks for kids. My family loves halloween. We get our kid’s costumes in early September and they are completely worn in by the time the trick or treating comes around.

The fall also brings our sport, sports and even more sports. My kid’s soccer practices and games are keeping me busy. But with this I have learned a new way to stay warm and exercise. Practicing with one child while the other one is playing. I just love the cover story on getting exercise outside in the fall.

In this edition of MHL, we have our annual October Well-Being section.

It’s good to keep your mind open about all types of healing.

October is Breast Cancer awareness month, and recently I was advised to start getting screened in my early thirties. Talk about an eye opener. Family history plays a part in getting breast cancer (my mother and grandmother were both diagnosed with it) but it doesn’t mean that someone with no family history is safe from it.

I was also advised in getting the BRAC Test and genetic counseling. I found it to be a very informative meeting that is crucial in getting the proper screenings. Talk with your doctor on what is best for you.

Also in this edition, I put in more nutritional articles. With the holidays coming up, I wanted to pack in as much information on how to keep a balanced diet. Eat your way healthy!

I encourage you to get out and about before the weather turns and makes you want to stay indoors. I hope you and your family have a great October and try not to eat too many sweets.

MHL

-Amanda Lewis

MODERN HEALTH AND

OCTOBER 2012 EDITION

OCTOBER 2012 FREE PUBLICATION

Est 1992

LIVING

Exercising Outside DOESN’T HAVE TO END WHEN THE FIRST LEAF DROP S

Aging Gracefully MINDFULNESS FOR ANXIETY RELIEF

Breast Cancer MYTH OR FACT?

contributers

Berkeley Wellness Letter, John Hopkins Medical Letter, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Active Care Rehab, Interfaith Older Adult Services, Jewish Family Services, Laureate Group, Alzheimer Association, Tudor Oaks, Luther Haven, HealthWise Chiropractic, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices and American Camp Association

contact

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

For information on advertising or to submit articles call, fax or email 414-659-6705 or 608-2376000, email: info@lewismediagroup.com.

Subscriptions are $20 per year. Thanks for reading HealthWisc.

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publishers editor graphic design advertising distribution manager travel editor founder

URE

A GUIDE TO HEALT HY LIVING FOR MEN, WOM EN, CHILDREN AND SENIORS

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

thanks

staff

MHL Staff

SENIOR LIVING FEAT

Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.

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

Women’s Night Out Tuesday, October 9th | 6:00 pm Wheaton Franciscan Healthcare - St. Francis RE ’ U O Y 8th Floor Auditorium ITED V N I 3237 S. 16th Street, Milwaukee FREE EVENT

Join Wheaton Franciscan Medical Group physicians Jodi Brehm, MD, Breast Surgeon, Hanadi Bu-Ali, MD, Breast Surgeon, and Anna Lamnari, MD, Integrative Medicine for our Women’s Night Out event. You’ll learn how alcohol, obesity, exercise, foods, and supplements affect breast cancer risk. Come for the informative conversation, stay for the dark chocolate covered strawberries and herbal teas. Making Our Community Stronger. Healthier. Better.

4727_eventwomen_7.217x9_R02.indd 1

Registration required: mywheaton.org/NightOut 1-888-994-3286

In Partnership with the Felician Sisters

9/18/12 1:46 PM

BREAST CANCER Myth or Fact?

By Hanadi Bu-Ali, MD, Breast Surgeon, Wheaton Franciscan Comprehensive Breast Care Every October, you tend to see a sea of pink ribbons, and activities centered around breast cancer awareness. Here in Wisconsin, close to 4,500 people will learn they have breast cancer this year, according to the American Cancer Society.

Fortunately, over time, more and more women have taken measures to detect and treat breast cancer at an early stage. In fact, the National Cancer Institute estimates that approximately 2.5 million women with a history of breast cancer were alive in January 2006, most of them cancer-free.

What this tells us is that we are taking serious steps in beating this disease, but breast cancer still claims lives – more than 62,000 women and men each year in the US. As we have uncovered ways for us to try and decrease the risk and improve survival, there is still a lot of misinformation out there that might hinder our progress in treating the disease. As a physician who consults with individuals on their risks in developing breast cancer, I’d like to help clear the air on some circulating myths *: Myth: Mammograms cause spread of breast cancer.

Neither the small amount of radiation nor the pressure placed on the breast from the mammogram can cause breast cancer to spread.

Myth: If I have a breast lump, it’s cancer.

Many breast lumps felt are not cancer, and may actually be cysts or a benign condition called fibroadenoma. Regardless, all lumps should be checked thoroughly by a physician.

Assisted Living, and Memory Care Communities Myth: If no one in your family has had breast cancer, you won’t get it. www.heritagesenior.com 80-85 of women with breast cancer have no family history of the disease. Even if no one in your family has ever been diagnosed, you should still get an annual mammogram.

Resident Services Offered at Heritage Myth: Your genetic risk of getting breast cancer comes only from your mother’s side of the family.

Half of your genes come from your mother and half from your father.

Walk through the doors of one of our Senior Living Communities and you will Therefore both sides of your family influence your risk equally. That immediately sense the homelike and friendly atmosphere. is way it is crucial to share family history on both sides of the family At Heritage Senior Living, we provide the highest standard of care while protecting, with your physician. cherishing and dignifying the knowledge , value and joy of our residents.

Myth: Eating high-fat foods causes breast cancer.

Fatty foods contribute to excess body weight, which is a risk factor.

Excess body fat gets transformed into estrogen adding to the overall Daily activities offered to nurture the level of estrogen in the body, and estrogen stimulates the proliferation mind, body and spirit and allow of both normal breast cells as well as the majority of breast cancer residents to socialize and remain cells active.

Myth:. The majority of breast cancer patients carry a BRCA gene mutation.

While changes in these genes increase the risk for developing breast cancer to a lifetime risk as high as 80%, only 5 to 10% of breast Provides flexibility and choice, cancer patients actually have the mutation. mealtime offers delicious and Myth: If I’m diagnosed with breast cancer, it means I’m going to nutritious meals served restaurant die. style.

As mentioned earlier, medicine has advanced over the years in Personalized care plans developed based treating breast cancer. Individuals with 10-year survival rates are on residents needs as well as medication currently at 85 -90%. Up to 98 % of women survive at least five years management. In addition, Heritage offers Nutritional programs that after diagnosis. Breast cancer that has metastasized -- or spread to visiting Physician and Nurse Practitioner accommodate our resident’s special other parts of the body -- poses a greater challenge, although women as well as a visiting podiatrist, dietary needs and considers their with metastatic breast cancer often live for years with their disease. audiologist, dentist, and eye doctor. restriction requirements. Hydration The main reason for this high survival rate is early detection with the and snack programs offered. majority detected at stage 0, 1 or 2.

Myth: Herbal remedies and dietary supplements can help treat Walking programs, advanced mechanical breast cancer.

Short term stays available 5-28 days lifts, and a Falls Prevention program No herbal remedy, dietary supplement or alternative therapy has been offering a temporary break for one to provide residents the help to maintain scientifically proven to treat breast cancer. regain strength prior to going home. their quality of life.

Hanadi Bu-Ali, MD, is a breast surgeon with Wheaton Franciscan Healthcare’s Comprehensive Breast Care program. She practices at For more information, please call 262-432-0222 201 N. Mayfair Rd. in Wauwatosa, WI. For more information, please Heritage Court Heritage at Deer Creek Lexington Heritage call (414) 256-1920.

N48 W14250 Hampton Ave. 3585 S. 147th Street 5020 S. 107th Street *Sources: National Breast Cancer Foundation, The University of Menomonee Falls, WI 53051 New Berlin, WI 53151 Greenfield, WI 53228 Michigan Comprehensive Cancer Center and www.MayoClinic.com.

4076117-01 OCTOBER 2012 MHL

PROTECT YOURSELF - FIGHT THE FLU! WHERE DO YOU GET YOUR VACCINES?

Stay healthy this winter by getting a seasonal flu shot this fall!

Caring and experienced Wheaton Franciscan Home Health nurses are offering seasonal flu shots at more than 30 convenient locations in Southeast Wisconsin, including: Wheaton Franciscan HealthCare- Franklin 10101 S27th St. 1st Floor, Franklin • Saturday, October 6: 1:00pm - 4:00pm Wheaton Franciscan HealthCare - Layton Pharmacy 2500 W Layton Ave . Suite 150, Milwaukee • Tuesday, October 2: 10:00am-2:00pm • Tuesday, October 4: 2:30pm - 5:00pm • Tuesday, October 9: 2:30pm -5:00pm • Thursday,October 11:10am - noon Wheaton Franciscan – Elmbrook Memorial Campus 19333 W. North Avenue, Brookfield • Saturday, October 13: 9:00am – 11:30 am • Saturday, October 20: 1:00pm – 3:30 pm Wheaton Franciscan – Wauwatosa Campus 201 N. Mayfair Road, First Floor, Wauwatosa • Saturday, October 27: 1:00pm – 4:00 pm Cost: Flu Shots – $30 or show a valid Medicare B Card.

Available for ages 10 and up.

Pneumoccocal Vaccine (Pneumonia) – $80 (cash or check only). Available for ages 16 and up.

For more information about our 2012 Flu Clinics, please call 1-888-994-3286 or visit www.mywheaton.org/flu.

MHL OCTOBER 2012

Many people get their annual shots in the hospital or at their primary care offices. There are also a number of individuals -- with and without insurance-- who go to their local health department to get updated on vaccines for themselves or children. A common one includes getting your flu shot.

Effective October 1, 2012, a change will go into effect as to how federal funds (known as 317 funds) can be used by the State for vaccine administration. This may impact those who depend on local health departments for vaccinations. Specifically, local health departments will not be allowed to provide vaccine to insured individuals and families. Basically, if you have health insurance, then you will need to go to a private provider or a health care sponsored “clinic” to update and receive vaccinations. However, there are different situations to be aware of. Also, different health departments may not have all vaccines available. The change affects children and adults differently: For Children aged 0 through 18 years • If the child does not have insurance, they can receive vaccines at their local health department.

• If the child is on Medicaid or qualifies for the Vaccines for Children Program (VFC)—that child can use the health department for vaccines and also can still see a private provider, such as a pediatrician, family medicine physician or nurse practitioner for vaccines.

• If a child is insured, but their health insurance does not cover a certain vaccine for that child (e.g. can get everything except Meningitis vaccines covered by insurance), the child may receive the uncovered vaccine from their local health department but the other covered vaccines at their private provider.

• If a child has insurance, but the insurance plan caps vaccine coverage at a certain point (e.g. vaccines covered until $400), then once the family reaches that cap, they are considered “underinsured”. After the cap is reached, that child can receive vaccinations through the health department.

• If a child is insured with vaccine coverage, they cannot use health department for vaccines and must see a private provider.

• Children who have insurance, but have high copay or deductible for vaccines, will not be able to use the health department for vaccines. They must see a private provider.

Exceptions. There are exceptions to this that are vaccine specific.

Flu vaccines for children are covered at health departments regardless of if they have insurance or not for this 2012-2013 flu season. Pertussis-containing vaccines are covered regardless of insurance status until current Whooping Cough epidemic is over.

For adults (persons 19 years and older) • Adults on Medicaid must see private provider for vaccines.

• Adults covered by Medicare must see private provider for vaccines.

FLU>>page 7

HDL

not so “good” after all?

Raising This Kind Of Cholesterol May Not Protect Your Heart

University of California, Berkeley Wellness Letter After years of having it drilled into their heads, most people now know that LDL (low-density lipoprotein) is the “bad” cholesterol package that increases the risk of cardiovascular disease, and HDL (high-density lipoprotein) is the “good” type that helps reduce it by removing cholesterol from artery walls.

So if your HDL number is high, you’ve probably patted yourself on the back; if it’s low, you may have tried to raise it by, for instance, exercising more, losing weight, drinking a daily glass of wine, or even taking medication, such as highdose niacin.

But before you get too hung up on HDL, you should know that while the benefits of lowering elevated LDL are proven, the evidence for raising HDL by itself remains uncertain. That’s why standard cholesterol guidelines have focused almost exclusively on lowering LDL, which is the main purpose of statin drugs (they have little effect on

HDL). And recently a study in the Lancet raised fundamental questions about the supposed benefits of raising HDL. Genetic factors help determine HDL levels, sometimes very strongly. In the Lancet paper, an international team of researchers analyzed data from 20 studies involving people with genetic variants that raise HDL but do not affect LDL, triglycerides, or related blood liquids.

They did a special kind of genetic analysis (called Mendelian randomization) that allowed them to determine whether high HDL, in and of itself, reduces coronary risk. Surprisingly, the evidence indicated that it does not.

An iffy link Researchers and doctors have focused on HDL for good reason: observational studies have consistently found that people with high HDL levels are at decreased cardiovascular risk. But just because there’s an association between low HDL and heart disease, that doesn’t mean that low HDL causes it—or that raising HDL will help prevent it. Many factors

in the blood can be higher or lower with certain diseases, but relatively few actually cause the diseases. Low HDL tends to go along with other metabolic abnormalities that could directly increase risk for coronary disease, such as high levels of smaller LDL particles and increased triglycerides (fats in the blood).

So the question remains, is low HDL an independent risk factor for cardiovascular disease or merely a marker for it?

What about drugs to raise HDL? The Lancet study was not the first disappointing finding about the potential benefits of raising HDL. According to the accompanying commentary, the study confirms previous genetic analysis that “refute a causal role of HDL in coronary heart disease.”

Moreover, in recent years two highprofile HDL-boosting drugs were scrapped after they failed to produce the expected benefits in pre-approval studies; one actually increased cardiovascular risk. And as we reported last year, HDL>>page 25

FLU<<page 6 • Some health departments will offer flu vaccines for adults but at a price • If adult is uninsured or underinsured (i.e. have insurance but vaccines not covered), then some vaccines can be obtained at their local health department (however, not all health departments will have all vaccines): o Hepatitis A vaccine in patients with Hepatitis C o Hepatitis B vaccine in high risk adults o Human papillomavirus Vaccine (HPV)-if started series before age 19 years o Meningitis vaccine-if living in dorms or residence facility o MMR (measles, mumps, rubella) vaccine o Tdap (tetanus, diphtheria, pertussis) vaccine-anyone that requests it (regardless of insurance status until epidemic is over) o Varicella (chicken pox) vaccine Margaret Hennessy MD, is a pediatrician with Wheaton Franciscan Medical Group in Racine and leads Wheaton Franciscan Healthcare’s Immunization Task Force. For more information, visit www.mywheaton.org/flu.

OCTOBER 2012 MHL

Exercising Outside DOESN’T HAVE TO END WHEN THE FIRST LEAF DROPS

262-240-0997

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MHL OCTOBER 2012

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West Brookfield 600 N. Barker Rd. (262) 786-3330

The first day of fall is here. Saturday, Sept. 22 marked the autumnal equinox and the official end to a sweltering summer. From the crisp, cool air to the brilliantly-colored leaves, this is one of my favorite seasons to be active outdoors.

Whether you spent the summer scaling mountains or doing laps in your gym’s outdoor pool, exercising outside doesn’t have to end when the first leaf drops. In fact, fall is a great time to harvest a new routine to re-energize your workout. Consider the following tips and get motivated!

Enjoy the foliage.

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

Layer up.

The change in season brings about a change in climate. Depending on where you live, temperatures could gradually decrease or drastically dip over the next month.

Keep this in mind as you plan outdoor activities and invest in breathable, moisturewicking clothing. Though you may feel chilly at first, your body will quickly warm up once your blood starts pumping so you don’t want to overdress either. For those cold morning runs, a hat will help insult your head where you lose the most heat.

Review this post from SparkPeople on how to layer effectively.

Be safe.

Shorter days bring dark mornings and evenings, but this shouldn’t deter you from an outdoor exercise regime. Just be smart about it; wear reflective workout clothes and carry a flashlight to illuminate your path. Bike riders should invest in headlights and blinking tail lights and stay clear of heavy traffic roads. All early morning or evening exercisers should opt for designated paths or head to the local school track.

Take cue from the kids.

As children head back to school this season, remember that you, too, should never stop learning. Are you interested in boxing, tap dancing or even fencing? Give it a try. Ask about deals on intro classes to find out if it’s right for you, or scour daily deal sites for introductory discounts.

Workout at home.

Now that the days feel shorter and the holiday season is looming, fitting fitness into your daily routine may feel impossible. But remember, even 15 or 20 minutes is enough time to get in a quick workout -- think living-room aerobics or a quick dash around the neighborhood. Be prepared for those fleeting moments of free time with fitness DVDs or better yet, hit up Hulu for free workout tutorials on Exercise TV. Get the right gear.

For the most part, you can challenge your muscles with your own body weight and avoid all that specialty, super-expensive equipment advertised on TV. However, some items are helpful to your results, like hand weights or resistance bands. Shop online for discounts at FreeShipping.org, where you can get a coupon code for 20percent off at Champion through Oct. 9.

Freeze that gym membership.

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

EXERCISE>>page 9

Tips for Aging Gracefully

No matter our physical age, it is always important to grow older with grace and a sense of personal style. As we continue to find things that are important to us, perhaps this list can guide us.

Embrace change. It is inevitable, so make change work for you to shape your future.

Love yourself. Take good care of yourself. Take time for physical activity such as walking, exercise, yoga, etc. Invest time and effort into making your future bright and healthy.

Inside counts. Get healthy on the inside to help look healthy on the outside. Getting proper sleep and eating right are crucial.

Nutritious choices. Eat plenty of fruits and vegetables. Make sure you include foods rich in omega-3s in your eating plan, with tasty options like salmon, walnuts, flaxseed and more.

Negatives are no-no’s. Eliminate negativity from your thoughts. Focus on the positive. Work to reduce the effects of stress in your life.

The skin you’re in. Good skin care is important. Don’t forget to exfoliate and moisturize. Good skin care habits pay off in the long run. (Hey guys—and gals, too! Corn meal, right out of your cupboard, makes a fast and effective exfoliant!

Cleanse face as you usually do. Afterwards, splash face with water, but do not dry.

Pat about 1 tablespoon of uncooked corn meal onto your face, but not on eyelids.

Gently, but firmly, rub the corn meal granules over your face, except for eyelids and the tender skin just below eyes. Rinse, pat dry, and smooth on moisturizing cream or lotion. Your face, now devoid of old, dead skin, will look more vibrant and feel wonderful.)

Cultivate curiosity. Aging well involves your mind as well as your body. Keep it active and it will serve you for a lifetime.

Dress well. Consider your body type as you age. Make certain that clothes fit correctly. Check out a tailor or seamstress to alter favorite pieces in your wardrobe.

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

Forward we go. Discover what is the next phase or adventure of your life and pursue it.

TOPS Club Inc. (Take Off Pounds Sensibly) is the original weight-loss support and wellness education organization. Founded more than 64 years ago, TOPS is the only nonprofit, noncommercial weight-loss organization of its kind. TOPS promotes successful weight management with a “Real People. Real Weight Loss.SM” philosophy that combines support from others at weekly chapter meetings, healthy eating, regular exercise, and wellness information. TOPS has about 170,000 members – male and female, age seven and older – in nearly 10,000 chapters throughout the United States and Canada.

Visitors are welcome to attend their first TOPS meeting free of charge. Membership is affordable at just $28 per year in the U.S. and $32 per year in Canada, plus nominal chapter fees. To find a local chapter, view www.tops.org or call (800) 9328677.

Do you have the “wintertime blues”?

You could be suffering from Seasonal Affective Disorder (S.A.D.) For over 15 years, our Sunrise 10,000 light therapy desk top fixture has been helping those suffering with S.A.D. Just 30-45 minutes of daily use has been proven effective in up to 85% of diagnosed cases. Visit our website for more information.

Badger Lite has a wide selection of full spectrum bulbs and tubes for any fixture. Don’t let the fall and winter get you down... Brighten up with healthy, invigorating light!

3000 W. Forest Home Ave., Milwaukee WI www.badgerlite.com • 414-645-3333

EXERCISE<<page 8 Savor fall produce for less.

Grocery stores and farmers’ markets will be full of fall’s freshest produce including apples, figs, pears, pumpkins, sweet potatoes and winter squash. In-season produce is rich in flavor and cheap on your wallet. So, if you aren’t sure how to turn these seasonal vegetables and fruits into meals check out these tasty recipes from CookingLight.com.

Buy a bike.

According to The Best Time to Buy Guide, new bicycle models are released in September and dealers slash prices because they don’t want old models haunting their showrooms. Bike manufacturers make updates to new models, so educate yourself on those changes. Sometimes the updates are minimal or limited to design tweaks, making the older models a super smart buy.

Weigh yourself regularly.

With colder weather comes bulkier clothes, and I find it easy to overlook a few extra pounds through chunky sweaters. Combat this oversight by weighing yourself regularly, preferably at same time every day to get the most accurate reading. For help tracking your weight and exercise progress over time, try Fitbit’s Aria Wi-Fi Smart Scale, which wirelessly syncs to a free and private online account each time you step on the scale. You’ll get stats with easy-to-read graphs of important body measurements including weight, BMI and body fat percentage over time.

Andrea Woroch is a nationally-recognized consumer and money-saving expert who helps consumers live on less without radically changing their lifestyles. From smart spending tips to personal finance advice, Andrea transforms everyday consumers into savvy shoppers. She has been featured among top news outlets such as Good Morning America, NBC’s Today, MSNBC, New York Times, Kiplinger Personal Finance, CNNMoney and many more. You can follow her on Twitter for daily savings advice and tips.

7:45am-Registration | 9:00am-Walk Begins

OCTOBER 2012 MHL

“I can see fine . . .”

Keep an eye on . . .

Symptoms

Are you certain, or are you risking your ability to see life to the fullest —now & in the future?

Contact an eye care specialist for an evaluation if you experience any of the following concerns or have risk factors: ■ Loss of vision

■ Flashes of light

"Oftentimes, when I tell a patient that they have a serious eye condition like glaucoma or macular degeneration, they'll respond with 'But, I can see fine' or 'I haven't noticed anything wrong with my eyes,'" reports Dr. Mark Freedman, a partner at Eye Care Specialists, an ophthalmology practice that has overseen the care of 121,000+ area residents. "Unfortunately, whether the person is in denial, just didn't notice, or actually has no symptoms, the outcome is just the same. Early diagnosis and treatment are the only way to prevent unnecessary vision loss."

■ Blurriness/Double vision

■ Continual eye redness

■ Pain in or around the eye

■ Excessive tear production

■ Seeing floaters, spots or webs

■ Difficulty seeing at night

■ Family history of eye problems

■ Diabetes

Dr. Robert Sucher, well-known cataract surgeon and co-founder of Eye Care Specialists, explains, "What most people don't realize is that vision problems in one eye can often be masked by the ability of the other eye to compensate. Or, changes occur so gradually that they go unnoticed. For example, with glaucoma, loss of peripheral (side) vision slowly creeps in until it creates a "tunnel" effect. And, with cataracts, many people don't realize how much they've been missing until the cloudy lens is surgically removed and replaced with an implant. Then they exclaim how much brighter and more colorful everything is or how much easier it is to recognize faces or see the TV."

■ Black heritage

■ Steroid use

■ Previous eye injuries

■ Smoking

■ Lines appearing distorted or wavy ■ Sensitivity to bright light ■ Dry eyes with itching and burning

Risk Factors

Questions to ask your eye care specialist Ophthalmologists Drs. Daniel Ferguson and Daniel Paskowitz encourage patients to make themselves informed partners in their family's eye care. They suggest asking questions, such as:

While loss of vision may make for amusing "Mr. Magoo”-type anecdotes, it can also lead to issues that are no laughing matter, like increased risk of car accidents, depression and institutionalization. For example, decreased vision in women has been linked to an increased risk of falling, which often causes more serious concerns, including hip fractures, the need for canes, walkers and/or nursing home care, and complication-related death. "Early diagnosis and prompt treatment are key to maintaining independence and quality of life.

For example, when a patient’s vision has diminished with age and a new eyeglass prescription doesn't do the trick, we often find that cataracts are the cause of the problem and, in most cases, surgical removal and replacement with a customized lens implant is a relatively easy and painless solution," notes Dr. Brett Rhode, Head of Ophthalmology at Aurora Sinai Medical Center and private practitioner at Eye Care Specialists.

■ What is my visual acuity (on the 20/20 scale)?

■ Do I have any eye diseases or disorders?

■ What caused my condition? Is it hereditary?

■ How will this condition affect my vision ■ ■ ■ ■ ■

"Poor vision is not a fact of life as you grow older. It's important to discover what's behind those changes—whether it's simply the need for a new eyeglass prescription or something more serious like the need for laser treatment to hold off diabetes-related damage. That's why we can't stress enough the importance of scheduling comprehensive dilated eye examinations at least every two years,” states Dr. Norman Cohen, an eye surgeon with 35 years of experience. “Sight-saving improvements in vision care are of no use if you're not aware, or in denial, that you have a problem. Ask yourself, ‘When was your last eye exam?’ Then decide what to do about your answer.”

■ ■ ■ ■ ■

and lifestyle—now and in the future?

What kinds of tests do I need? Why? When?

What is the best medical/surgical treatment for me?

Should I watch for any symptoms and notify you if they occur?

When will treatment start, and how long will it last?

What are the risks, side effects, benefits & success rates for treatment?

Are other treatments available?

Are there foods, drugs or activities I should avoid?

If my vision can’t be corrected, can you refer me for low vision resources and rehabilitation services?

If I need to take a medication, what should I do if I miss a dose?

Would diet, exercise or other lifestyle changes improve my condition? Would vitamin & mineral supplements be helpful?

Call 414-321-7035

When you need to research an eye concern for your family, like cataracts, glaucoma, AMD, diabetes, or dry, crossed or lazy eyes. We’ll send detailed literature—fast & FREE.

Take steps to protect your family’s vision.

1. Call 414-321-7035. We’ll send a FREE When to Have Your Eyes Checked guide Trusted by more than 121,000 doctors & patients and handouts on any eye ■ Glaucoma, Diabetes & Macular Degeneration (AMD) Care topic you need to research. (including laser & Avastin injection treatments) Leaders in Medical, Surgical & Laser Eye Care “Top Doctors”— Milwaukee Magazine

TM

■ No-Stitch Cataract Surgery with Lens Implants ■ ■ ■ ■ ■

T Norman Cohen, MD Robert Sucher, MD Mark Freedman, MD Brett Rhode, MD Daniel Ferguson, MD Daniel Paskowitz, MD David Scheidt, OD

(to reduce the need for reading glasses/bifocals) ZyoptixTM Customized LASIK Vision Correction Accept Medicare Assignment & Most Insurances Lid & Retinal Cases ■ Corneal Transplants Dry Eyes/Infections ■ Pediatric Care & Surgery Comprehensive Exams ■ Laser Scans for Disease

www.eyecarespecialists.net

EYE CARE SPECIALISTS

West Allis 10150 W. National Ave. West Allis, WI 53227

414/321-7520

Mayfair 2323 N. Mayfair Rd.

Wauwatosa, WI 53226

414/258-4550

Downtown 735 W. Wisconsin Ave. Milwaukee, WI 53233

414/298-0099

2. Read. Learn the symptoms, risks, tests & treatments for common disorders.

3. Act. If you realize it’s time for you, your child or a parent to have an exam, schedule today to protect your family’s vision for tomorrow.

414-321-7035

Well-Being MHL MONTHLY FEATURE

OCTOBER 2012 MHL 11

WHERE DID OUR HEALTH GO? Most of us grew up being told that if we ate a well-balanced diet we would be healthy. In fact we were also told that if we ate a well-balanced diet we didn’t need to take vitamins. I grew up believing that.

Today we are now being told that, in our society, there are epidemic increases in the rates of heart disease, diabetes, stroke, obesity, and many other chronic inflammatory diseases. We were given the food pyramid in the early 90’s. It suggested that, daily, we should be eating 6-11 servings of grains, 3-5 of servings of vegetables, 2-4 servings of whole fruits, 2-3 servings of dairy, 2-3 servings of protein and very little use of added sweeteners and fats. Per the pyramid more than 50% of our diet should be from carbohydrates, breads rice, pasta and cereal. Were we sold a bill of goods? Maybe, but the problems arise more from how we incorporated the pyramid into our eating habits.

Grains are not what they used to be…

First off we ignored some of the important supporting facts right from the start.

The original recommendations stated that 50% of the grains group should be from whole grains. We did not do this. Almost all of our breads and cereals are processed.

Processed grains have lost up to 90% of their nutrients; vitamins: B1, B2 B3, B5, B6, B9, E and minerals: calcium, magnesium, phosphorus, zinc, copper, manganese and selenium. These nutrients are needed for energy production, optimum hormone balance and proper immune system function.

To make matters worse we have increased our intake of these nutritionally deficient carbohydrates from grains by 34% between 1980 and 2010. During this same time period we have also increased our added fat intake by 44%, our added sweeteners by 10% and our total calorie intake by 19%. Our diet is killing us. So what can we do about it?

Follow these 3 Simple Steps On the surface there are 3 simple things that need to be done to reverse the trend to increased chronic diseases. They are: 1 - Eat less, 2 - Eat healthy, and 3 - Move more.

If this were easy to do we would not have the problems that we are currently facing.

It may seem like a daunting task but it can be done.

In today’s fast paced market driven society we are continually bombarded with fad diets, ads for supplements promising to make everything better and contradictory information on all. An important thing to realize is that there is not one solution for all. What each of us needs to do is to begin with an analysis of our current nutritional status. If we want to fix something we have to begin with what the problems are.

Each person starts at a different place and therefore the solutions need to be individually tailored. The important things to evaluate are: What are your nutritional deficiencies?

What are your nutritional excesses?

What are your genetic predispositions?

What are your environmental stresses?

How does your unique individual biochemistry determine how well you are protected and what you are at risk for?

What are your exercise patterns?

Armed with the above information an individually tailored plan can be formulated but in general there are some things that all of us can do: Decrease total carbohydrates.

Decrease processed grains.

Eliminate added sugars.

Decrease saturated fats Eliminate trans and Cis fats.

Increase Omega-3 fats Decrease fatty meats Avoid fruit juices Eliminate soda both regular and diet Eat whole fruits Increase vegetable (5 servings per day) Exercise: You don’t have to be an Olympic athlete to be healthy but you do need to exercise for 30 minutes 5 times per week.

Flip Troiano, MD provides health and wellness services in his private practice, Great Lakes Vital Health, at Greensquare Center for the Healing Arts located near Bayshore Town Center at 6789 N. Green Bay Avenue, Glendale, WI, 53209. Dr. Flip brings more than 30 years experience from his hospital emergency room care and treatment services to his new Integrative Practice at addressing the whole body concept in healing. A Founding member of the Wisconsin Institute for Integrative Medicine, Dr. Flip can be reached for appointments and consultations at 414.292.3900, Ext. 215.

12 MHL OCTOBER 2012

Renew your body, mind, and spirit.

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Body

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MINDFULNESS FOR ANXIETY RELIEF

Mi

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Integrative Family Medicine

S pi r it

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

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

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Mindfulness helps reduce stress, anxiety, worry and sleep problems. Mindfulness helps increase happiness, peace, and joy.

Sound good, doesnâ&#x20AC;&#x2122;t it? But what is â&#x20AC;&#x153;mindfulness?â&#x20AC;? A simple definition is very difficult. Mindfulness is a way of being. It involves conscious awareness of your current thoughts, feelings, and surroundings, along with a gentle acceptance of what you notice. Being mindful means putting focus and attention on only what is happening in the here and now. Itâ&#x20AC;&#x2122;s about noticing the present moment, allowing and accepting it as is.

Youâ&#x20AC;&#x2122;d be surprised how many moments of your day go by WITHOUT your conscious attention to the here and now.

Ever had a time when you were driving and suddenly realized you missed or almost missed a turn, or that you were further along the road than you realized because you were driving on auto-pilot? At times like that, the body and the mind are in two different places.

Integrating Mind and Body Mindfulness means keeping the mind and the body together in the present moment. Unless you have a magic time machine, your bodyâ&#x20AC;&#x2122;s only choice is to be in the present moment. But your mind has the amazing ability to go to other places.

Your mind can go to the future, worrying or anticipating what may or may not happen. It can also go to the past, rehashing what already happened, wondering if you did the right thing, guessing what other people thought, reliving a positive or negative experience. Stress and anxiety often result when the mind goes somewhere else.

How to Enjoy Your Tea Thich Nhat Hanh, famous Zen Buddhist Master, said: â&#x20AC;&#x153;You need the practice of mindfulness to bring your mind back to the body and establish yourself in the moment...Suppose you are drinking a cup of tea. When you hold your cup, you may like to breathe in, to bring your mind back to your body, and you become fully present...

You are not lost in the past, in the future, in your projects, in your worries...you enjoy your tea.â&#x20AC;?

Mindfulness often begins with slowing down and consciously focusing your attention on what you can notice in the here and now with your senses: seeing, smelling, tasting, hearing, touching.

You can notice how your tea cup feels in your hand, smell the aroma, feel the heat, and taste the different flavors on your tongue. As you simply notice, you become the â&#x20AC;&#x153;observer.â&#x20AC;?

MINDFULNESS>>page 39

InWellness takes you beyond fitness, biometrics and nutrition by effectively addressing the deeper aspects of wellbeing to help resolve behavioral issues that are barriers to health.

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OCTOBER 2012 MHL 13

Redefining Health

FOOT PAIN?

February 2011 Note

This month I wanted to start things off with new and modern changes.

Starting with the QR code. Get your cell phones out and scan the code on the front and enjoy our new updated website. If you don’t have the phone that scans, no problem, just go to www.modernhealthandliving.com as find even more information about healthy living.

I am very pleased that you’ve decided to join us this month. This is our BIG Health Awareness issue. We have packed so much up-to-date information into these pages that this issue is just bursting with health! We have something for men and women of all ages. We contact local health professionals every month and are thankful that many have contributed to this issue. They are keenly aware of health concerns for this region (very important). We stay in touch with them so they can stay in touch with you. I think you’ll find something here that can help you lead a healthier life. We hope that you share this special issue with friends and family, too.

Speaking of family, I try to keep mine active throughout these cold months.

My children are taking a Tae Kwon Do class 4 times a week. I encourage you to try to find something to keep your children active and social. Wheather its gymnastics, dance, sport or just running around in circles, staying active keeps the body and mind healthy and developing.

To us adults with Super Bowl Sunday and myself hosting the monthly Bunco get together this equals food, food and even more food. It’s so important to keep ourself active, so it might be time to get that gym membership or start walking the malls again. Stay active!!! I hope you have a wonderful February and will touch base again in March -Amanda Lewis

THE IMPORTANCE WORK/LIFE BALANCE Just WhatOF The

Doctor Ordered!

By Kalpana (Rose) M. Kumar M.D. I would like to address an American myth that to be productive at work requires a sacrifice of one’s family life and health.

Many doctors, chiropractors and physical refer The belief in corporate Americatherapists is that health and productivity their patients to Foot Solutions to aid inMany painCEO’s reductions and successful are mutually exclusive. of financially companies live by thissupportive credo. Their employees are also expectbalance improvement with our shoes and ed to live by this credo in favor of increased productivity and custom inserts. profit margin. This belief has become a part of the business culture. People feel that We’ve & we can you! sacrificing theirhelped health forthousands productivity and profit is ahelp worthy cause. They are conditioned to continue behaving in this way with pay raises and bonuses. The bottom line result of this belief is an increase in stress and a decrease in efficiency. Illness is Mequonbehavior.

PavilionsIncreased health care costs due a direct result of this belief and resulting to doctor/hospital visits and sick 10918 days result.

This erodes the monetary bottom line N. Port Washington Rd. and quality of life of the employees and creates a stressful work environment.

The Mequon, WI (next to Sendik’s) • Great, Supportive Shoes myth of increased productivity at the cost of health leads to reduced productivity in (262) 241-3668 • Custom Shoe Insert Experts the long run. www.footsolutions.com/milwaukee In the 30 years that I have been in medicine, I have worked with thousands of business owners and executives to facilitate balance in their lives without compromising their health or productivity. They are afraid they will have to sacrifice profit We’re on the move! Coming this Spring, Foot Solutions for needed balance. As I have worked with them, I have witnessed the opposite mobile.

Callbelief for an appointment checkculture our improves of is thegoing pervading unhealthy – creating a healthy or business productivity and the quality of life of all reflected by a greater profit website for a schedule of events we’ll be attending.margin, lower overhead and happier employees.

What I believe is that there is another erroneous myth operating in our culture: Balance walking clinics and classes Spring. that making healthy choices and exercising takesstarting more time.this What I have observed is that the time taken to exercise and eat right increases ones efficiency at work, saving time in the long run. It enables one to work smarter, not harder. It also reduces www.footsolutions.com/milwaukee stress and increases resilience, empowering the immune system and decreasing the

staff

February 2011 EDITION

publishers editor graphic design

foot pain?

contributers

travel editor founder

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

6000, email: info@lewismediagroup.com.

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

thanks

disclaimer

contact

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Lewis Media Group | Malberry Media | www.modernhealthandliving.com 14 MHL OCTOBER 2012

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

number of sick days needed.

Federal Express performed a study where they found that every dollar they spent on promoting wellness saved them six in overhead costs. The return on this investment is significant in dollars alone. There have been numerous studies with similar results over the years that have demonstrated and validated the wisdom of a healthy lifestyle. But cultural beliefs are hard to change. We need to become more aware of the impact of our beliefs and choices to live better and healthier lives. Profit at the cost of health does not even make sense. We need to rethink our definitions of success and materialism and place a priority on our health. We need to repattern our working culture around healthy work/health strategies and normalize work/life balance in the workplace.

I have listed some practical tips to follow to begin creating work/life balance: 1. Do 20 minutes of aerobic exercise before or after work.

2. Pack a healthy lunch the night before with plenty of greens and a protein.

3. Eat healthy snacks like nuts and fruit between meals.

4. Avoid fast food, alcohol and vending machine food.

5. Organize your workday in order to complete the most important tasks/projects first.

6. Remember to take deep breaths every few hours.

7. Try to get fresh air during the day.

8. Donâ&#x20AC;&#x2122;t sit for longer than 40 minutes at a time; find opportunities to stand-up and walk around throughout the day.

9. Drink at least six glasses of water daily.

10. Try to focus on being creative and open to learning every day.

11. Be kind to your colleagues.

12. Focus on increasing your sense of purpose and meaning every day.

13. Apply healthy boundaries towards unhealthy dynamics at work.

In order for us to stay healthy and productive, a shift in perspective towards work/ life balance can have a significant effect on decreasing our stress and increasing our sense of meaning. In my experience, it is vital to the reclamation of health..

Kalpana (Rose) M. Kumar M.D., CEO and Medical Director of The Ommani Center for Integrative Medicine, Pewaukee, Wi www.ommanicenter.com Author of Becoming Real: Harnessing the Power of Menopause for Health and Success. 2011, Medial Press

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OCTOBER 2012 MHL 15

Creating a Calm Mind and Peaceful Life Through

Ayurveda

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As an Ayurvedic Practitioner and Wellness Coach, part of what I do is help you develop your ideal vision of a healthy life. Having this vision is foundational to creating wellness because the mind is actually where all actions begin and thus where all imbalances start.

Along with factors such as healthy weight, good energy, sleeping well, being able to enjoy physical activities with ease, a common factor in how individual’s define optimal health relates to how one feels. Words that often describe this ideal feeling space include: • Peaceful • Balanced • At ease • Happy • Content • Satisfied • Light • Harmonious Usually you are NOT looking for agitation, disruption, emotional swings, negative emotions, pain and suffering, heaviness, stagnation, or more busyness in an already overloaded life. Yet unconsciously you might be creating this through your state of mind.

Experience

Healing

Ayurveda - the holistic, natural healing system from India - recognizes three basic states of mind: rajas, sattva and tamas which together are called the gunas. The gunas influence your mental state and therefore your behavior, your health and your quality of life.

Throughout your day and life, you will go through different states of mind dominated by one of the gunas. To enjoy the highest level of health on all levels of body, mind and spirit it is essential to cultivate sattva while balancing rajas and tamas in the mind.

Rajas: Activity Rajas is the active, stimulating or positive force of activity that initiates change, disturbing the old equilibrium to make way for the new. Though rajas plays a positive role by generating enthusiasm, excitement, alertness, passion and an ability to get things done - too much disturbs the mind and depletes the energy. Excess rajas heightens emotion and develops hyperactivity, anger, anxiety, aggression, agitation, struggle and fear. Conscious thought processes turn off and obsessions arise from desire and an overactive mind and body. Rajas is

like the force of wind on water creating a rippling, agitated surface and a turbulent, constant force that propels you into continual motion.

To balance rajas you need to slow down and find places of quiet and serenity.

Tamas: Inertia Tamas is the passive, obstructing or negative force which keeps you stuck in old patterns and drags you down into ignorance and attachment. Though the heavy inertia of tamas can provide ease, patience, stability and groundedness - in excess it leads to laziness, apathy, insensitivity, depression, and feelings of darkness, grief, helplessness and loneliness.

Sluggishness overcomes the mind and a sense of avoidance to life takes over.

Tamas is like a stagnant pond covered in mud and muck. Its dull, murky surface prevents you from seeing clearly and its heavy quicksand-like force pulls you further under.

To balance tamas you need to increase activity and engage more in life.

Sattva: Knowledge, Luminosity AYURVEDA>>page 39

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Traditional Chinese Medicine (TCM) has been continuously practiced for over 3,000 years and is the oldest and most successful medicine in history. TCM is comprised of many forms of natural medicine including herbal medicine, acupuncture, massage, nutrition, Tia chi and Qi Gong. Let’s take a look at these components and you will see why this medicine is the fastest growing medicine in the United States.

Before we go into the individual components we must first look at the total of TCM to understand how everything fits together. The Taoist version of behavior translates to relentless perfection. The Tao is called “The Way” because it helps to guide behavior. It is peaceful and kind, but it adheres to its principles that like water, a person should bend but not break. This philosophy guides Oriental Medicine to help a person have the most fulfilling life possible.

TCM preaches moderation in life. Do not wear out the body with excessive exercise or activity. Our society is beginning to see the disasters that affect our star athletes. From on the field and/or court we see injuries during games or practice.

Also, ailments by athletes as they age are legendary and early death seems likely.

So, moderation is the word, in work or play. The TCM Doctors feel you have a better chance at living a good, long life in moderation and that is not a bad goal for anyone.

In addition to moderation, Oriental Medicine is concerned with a person’s “balance” in both physical and mental terms. Most of the treatments, both herbal and acupuncture, are aimed at restoring balance in a patient. A person who is in “balance” is a healthy person and thus the goal of TCM is to maintain a person’s “balance” in all things.

We have come to some of the various practices that comprise what is called Traditional Chinese Medicine (TCM). Today herbs are being used by more Americans for a variety of ailments. Herbs are quite safe and can treat symptoms that Western Medicine cannot. With the introduction of TCM in the last 30 years, herbal medicine is growing in popularity because it helps in healing and it is natural.

Acupuncture is at the most visible form of TCM in the United States. TCM doctors are licensed in all States and must pass National Boards in order to practice, at least in Wisconsin that is true. Acupuncture helps patients with pain and a great host of other problems by adjusting “Qi” and removing stagnations. Basically, the acupuncturist is attempting to “balance” the body using thin needles. This aspect of TCM is making positive news all across the country. Give acupuncture a try and find out if a balance treatment can help you..

Massage in TCM is called Tui Na and in China it is more like massage therapy and chiropractic combined. In this country it is limited to massage. Again the goal of Tui Na is to move the “Qi” and remove stagnation using body massage and acupressure.

Nutrition is a cornerstone in TCM. After all, what you eat is important to your healthy balance. Moderation is again suggested as one way to keep healthy. Every day it seems that there is a new problem in the American diet and we are starting to stray from common sense and listening to the advertising as though it was fact.

We need to pay better attention to the real basis of nutrition , and your TCM doctor can help you with a good nutrition program.

Tai Chi is a form of oriental martial arts that is scaled back so everyone can participate. From the young to the old, Tai Chi can help to create and maintain a healthy body. A recent study found that Tai Chi dramatically helped the balance of senior citizens. A better balance means fewer broken bones.

Qi Gong is another physical TCM program that has wonderful results. Qi Gong is a series of movements that co-ordinate breathing and movement. These exerORIENTAL>>page 39 OCTOBER 2012 MHL 17

Children’s Health And Living MHL MONTHLY FEATURE

18 MHL OCTOBER 2012

free advertising

If you own a small business and can’t afford advertising, we have a solution for you.

We are looking for people to deliver MHL 10-15 places once a month in exchange for advertising space in this paper. It takes approximately 2-3 hours to make these drop offs and will select distribution points to be in your area.

HELPING THE PICKY EATER

414-659-6705

Eat with your child. Children enjoy company.

If your child picks and pokes at food, moves it all around the plate but eats very little and then is looking for food an hour later; if your child loves cookies, sweet drinks and candy, but eats poorly at regular meals, you can make mealtime better for your child!

Tips for eating better at meal times • Clear the house of junk foods. Get rid of soda, candy, potato chips, snack mixes, etc.

• Stick to a routine. Offer meals and healthy snacks at regular times.

• Keep menus simple. Too many choices can be confusing for your child.

• Introduce new foods one at a time. Always offer new foods with foods that you know your child likes.

• Set a good example by eating a healthy and varied diet yourself. Children are great imitators; do not expect your child to eat foods that they do not see you eating.

• Serve child-size portions. Large portions are hard for your child eat. This can be frustrating for you and your child.

• Eat with your child. Children enjoy company. Mealtime can be a great time to talk with your child.

• Have a party! Sometimes, make a special occasion out of a meal. Have your child help plan the special meal, for example: have an indoor picnic in the winter or have a holiday meal in the middle of summer.

• Involve your child with meals. According to age and ability, have your child help prepare meals. Here are some ideas: place a slice of meat on a sandwich, peel a banana, mix or stir ingredients, place cups or plates on the table.

• Think of snacks as mini-meals. Offer only foods that are nutritious such as fruit, cheese, hard-boiled eggs, peanut butter or crackers, yogurt, unsweetened cereal or custard. For children age 3 years and older, dried fruit, nuts and raw vegetables are also good choices.

• Limit drinks before or during a meal. Drinking too much before or during a meal, can make your child’s stomach will feel full causing them to eat less.

• Offer more water and less juice. One small glass of juice a day is enough for a toddler.

• Do not use desserts as a reward. Stick to nutritious desserts such as those made with fruit, eggs or milk. Serve reasonable portions according to the age and size of your child.

• Keep cool! Do not show your concern to your child. Keep relaxed and calm during all meal times. Praise your child for what your child does right. Ignore what your child does not eat. Be careful not to make eating a punishment and do not force your child to eat.

• You are responsible for providing nutritious food at regular times. Your child is responsible for deciding how much to eat ALERT: Call your child’s doctor, nurse, or dietitian if you have any questions or concerns or if your child has special health care needs that were not covered by this information.

This teaching sheet is meant to provide you with additional information about your child’s care. Diagnosis, treatment, and follow-up should be provided by your health care professional.

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

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Jennifer Dotto, D.C.

phone 414.962.5483 ƌɄ4433 North Oakland Avenue ƌɄShorewood 222Ɔ.#*- 2** ! ($'4 #$-*Ɔ *(ɄƌɄ *./Ʉ ).0- ) Ʉ ' ).Ʉ +/ Voted Milwaukee Magazine’s Best Of Healing February 2011

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OCTOBER 2012 MHL 19

Senior Health And Living MHL MONTHLY FEATURE

20 MHL OCTOBER 2012

ASSISTED LIVING OPTIONS

Where do I start?

The most frequent question I get asked is when is the right time to start looking for assisted living? The answer is simple, do you have any safety concerns? Nutrition, hydration and medication management all play important roles to ensure a healthy and safe lifestyle. Some feel that it is important for people stay in their home as long as possible. It is also important to make the move when they are still able to establish friendships in their new environment.

In the past when people could no longer live alone there was only one option, a nursing home. Now the options can be overwhelming. There are nursing homes, CBRF’s (Community Based Residential Facilities), RCAC’s (Resident Care Apartment Complexes), Memory Care Units, Assisted Living, Senior Care Apartments.... They all have their pluses and minuses. What’s important is what your need is.

Some facilities only offer 28 hours of care per week while some offer 24/7 care.

Some elderly do well in a large facility while others need a smaller, quieter, home like setting. The staff to resident ratio is typically higher in smaller homes offering more one on one care for the residents. With extra attention, residents can continue to stay more independent with staff overseeing their daily routines. As they physically decline, a smaller home can help maintain their independence by having shorter distances for them to ambulate to meals, activities and social events. A smaller home can be more inviting and easier to adjust to the transition from living alone to living with others.

Other important facts when looking for a home; Are other residents at the same cognitive level as your family member, can they stay through end of life, is the home conducive to their needs now and in the future, when homes say they accept Family Care, what are they really saying...

It’s always a good idea to do your homework early. A simple fall can change things from not anticipating moving mom ever to needing a home in a matter of days. You want to make sure you find the right home for your loved one so you do not have to move them again in a year or so.

It’s not an easy task looking for the correct placement when you don’t even know what questions you should be asking or what you are looking for. A good provider will help you find the best placement for your loved one even if it is not their home.

Another good resource is doctors in the area. Most local doctors see residents from the surrounding homes. They see firsthand the quality of care their patients receive at the home they are living in.

For more information about your options and what homes will best meet your needs, please contact Elaine Ellis. She is the Director of Healthcare Services at Ellen’s Home. She can be reached at 262-250-6455 at ElaineEllis@ellenshome. com or at www.ellenshome.com

Retirement Community • • • •

 N168 W22022 Main Street Jackson, WI 53037

www.jacksoncrossings.com (262) 993-2838

Hwy 45 North to Hwy 60 East Exit

Independent Apartments Supportive Care Assisted Living Memory Care

Sorting out senior living options? We Can Help     

Exceptional Living... .. Exceptional People

ALLIS

Care Center

EQUAL HOUSING

9047 W. Greenfield Ave. West Allis, Wisconsin 53214 Phone: (414) 453-9290 Fax: (414) 777-7356

OPPORTUNITY

Respite Stays Skilled Nursing Services Alzheimer’s/Dementia Care Physical, Occupational, and Speech Therapy Services www.exceptionallivingcenters.com

OCTOBER 2012 MHL 21

IS AN

Assisted Living Facility

RIGHT FOR YOU?

If you’re trying to decide whether assisted living is right for you, ask yourself the following questions: Do you need more help than family and friends are able to provide? Are the activities of daily living becoming stressful or overwhelming? If family or inhome help is not able to bridge the gap, assisted living is an option.

Do you feel lonely or isolated at home? Having an active social life is vital to your health and happiness. Being alone much of the time is a recipe for depression. The social aspect of assisted living is a huge benefit. Good facilities offer a range of social and recreational activities. And the community environment also gives the opportunity to make new friends.

Do you worry for your safety? Perhaps your mobility is limited, making it difficult to get out of bed by yourself, for example. Maybe you’re afraid of what might happen if you fell and couldn’t get up, or experience another problem and couldn’t get help.

Are you tired of maintaining a home? There are a lot of responsibilities that come with living in your own home. Assisted living facilities can provide a home-like atmosphere, without the work of cooking, cleaning, shopping for groceries, and doing laundry.

Is transportation an issue? Perhaps you’re having trouble driving or can no longer drive. If public transportation or another alternative isn’t easy and convenient, you may be increasingly housebound. Assisted living facilities offer transportation, so you can get where you need to go without having to rely on friends and family.

Signs that a parent or loved one might need assisted living It’s not always easy to tell when your parent or another family member or loved one needs more help. The following warning signs may indicate that it’s time for a talk about assisted living.

The refrigerator is empty or filled with spoiled food or your parent is losing weight.

These may be signs that he or she isn’t eating well because shopping or cooking is difficult.

You notice frequent bruises, although your parent may try to cover them up. This may be a sign of falling, or mobility and balance problems.

Your parent wears the same clothes over and over again or neglects personal hygiene. This can indicate that doing laundry and bathing is physically challenging.

The house and yard isn’t as clean and tidy as it used to be.

Your parent forgets things, including doctor’s appointments and when to take medication. This may be due to memory loss.

Your parent seems depressed. Depression is common in seniors who are isolated and alone.

You notice strange or inappropriate behavior. For example, your parent may dress inappropriately for the weather. This can be a sign that he or she is experiencing confusion.

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

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

22 MHL OCTOBER 2012

How does a neighborhood come together?

It’s about transformation.

Bringing new life to a forgotten space.

Acknowledging the potential and delivering with purpose.

Oak Park Place is proud to join the Mt. Tosa community. Soon we’ll provide the best care and services in Wauwatosa.

Assisted living with a focus on wellness.

Specialized memory care designed to support the strengths of those with Alzheimer’s and dementia related conditions.

Call (414) 292-0400 to learn more about assisted living and specialized memory care services at Oak Park Place Wauwatosa.

Independence when you want it. Assistance when you need it. Welcome Home.

Opening November 2012!

6DOHV 2I¿FH 1RZ 2SHQ 11533 West North Ave., Wauwatosa, WI 53226 Corner of West North Ave. and 116th St., 3 blocks north of the future community site!

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

www.oakparkplace.com

HEART Interfaith Choral Concert

Health

Bringing the community together in song.

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

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

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

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

Elena keeps an eye on her husband Frank to make sure he is taking care of his heart. But she was surprised at a recent medical appointment when Dr. Reyes asked about her family’s history of heart disease. When Dr. Reyes heard that Elena’s mother had died after a heart attack, he told Elena that she too should be following a heart healthy lifestyle. He said older women, as well as older men, can have heart problems. So now, Elena and Frank are both taking steps toward heart health.

Your Heart Your heart is a strong muscle about the size of the palm of your hand. Just like an engine makes a car go, the heart keeps your body running. The heart pumps oxygenrich blood through a network of blood vessels called arteries (taking blood away from the heart) and veins (bringing blood back to the heart).

An Aging Heart Some changes in the heart and blood vessels are normal as you grow older. But over time, disease can damage your blood vessels and your heart.

A common problem for older people is arteriosclerosis (ahr-teer-ee-o-skluh-rohsis). This is a stiffening of the arteries that happens, in part, because of growing older.

Atherosclerosis (ath-uh-roh-skluh-roh-sis), the buildup of fatty deposits as plaques, is another cause. When plaque builds up along the walls of arteries, there is less space for blood to flow. This makes it harder for blood to get to all the parts of the body that need it, including the heart itself.

Other changes to the heart happen as you age. For example, to help the heart pump blood through stiffer blood vessels, some parts of the heart wall thicken. The size of the four sections of the heart also changes. So do the valves (door-like parts that open and close to control the flow of blood between those sections). The number of heart beats each minute when you are resting (the heart rate) does not change as you age, but the heart can’t beat as fast when you are physically active or stressed as it did when you were younger.

Heart Disease There are many different kinds of heart disease. Plaque buildup is often to blame.

But there are other causes too. For example, choices you might make every day can lead to damage to artery walls. Do you smoke? Do you drink a lot of alcohol? Are you overweight? Do you spend the day sitting at a desk or in front of the television?

Do you avoid doing exercise? Do you have diabetes or high blood pressure that is not under control? Are you under a lot of stress? If you answered yes to one or more of these questions, making changes might help you prevent or delay heart disease.

Things you can’t control, like your family history, might also increase your risk of heart disease. But even so, leading a heart healthy lifestyle might help you avoid or delay serious illness.

One sign that you are at risk for heart disease is your waist measurement. Extra fat around the middle of your body increases risk. A good way to check that is simply to measure your waist. A man’s risk of heart disease is increased if his waist measures more than 40 inches. A woman’s risk is increased at 35 inches.

Signs of Heart Disease Early heart disease often doesn’t have symptoms; that’s why regular checkups with a healthcare provider are important. Your doctor will check things like cholesterol, a fat that can add to plaques in your arteries, and your blood pressure. He might also do a blood test for CRP (c-reactive protein). You might also have an ECG or EKG, an electrocardiogram. This is a test that looks at electrical activity in your heart.

Everyone should know the outward warning signs of heart disease.

Chest pain should be taken seriously. Pain in the chest, shoulders, arms, neck, jaw, or back can be a symptom of heart disease. If you have heart disease, you might feel chest pain during physical activity. But, it can have other causes too, so it is important to check with your doctor to learn what is triggering yours.

Heart Attack? Call 9-1-1 Act in time: Learn the warning signs of a heart attack. If you or someone you know might be having a heart attack, call 9-1-1 right away. You need to take an ambulance to the hospital as soon as possible. Do not try to drive yourself, and do not have someone else drive you unless there is no ambulance service where you live.

These warning signs can include crushing chest pain and/or discomfort or pain elsewhere in the upper body, nausea, a cold sweat, fainting or lightheadedness, or shortness of breath.

Other signs of heart disease include a weak or numb feeling on one side of the face or body, dizziness, headache, shortness of breath, tiredness, and swelling in the ankles, feet, legs, stomach, and neck. Some people who have a problem with their heartbeat may report a fluttering in their chest or the feeling that their heart is skipping a beat or beating too hard.

Talk to your doctor if you have any of these signs. Your healthcare provider may want you to see someone who specializes in heart disease. This doctor is called a cardiologist.

What Can I Do To Prevent Heart Disease?

There are a lot of steps you can take to keep your heart healthy.

Try to be more physically active. Talk to your doctor about the type of activities that would be best for you. If possible, aim to get at least 30 minutes of moderate-intensity activity on most or all days of the week. Every day is best. It doesnâ&#x20AC;&#x2122;t have to be done all at onceâ&#x20AC;&#x201D;10-minute periods will do. Start by doing activities you enjoyâ&#x20AC;&#x201D;brisk walking, dancing, bowling, bicycling, or gardening, for example. You might want to join an exercise group or even a gym. See For More Information to learn how to get your free copy of Exercise and Physical Activity: Your Everyday Guide from the National Institute on Aging, written especially for older people.

If you smoke, quit. Smoking adds to the damage to artery walls. Itâ&#x20AC;&#x2122;s never too late to get some benefit from quitting smoking.

Follow a heart healthy diet. Choose low-fat foods and those that are low in salt. Eat plenty of fruits, vegetables, and foods high in fiber like those made from whole grains. And if you drink alcohol, men should not have more than two drinks a day and women only one. The National Heart, Lung, and Blood Institute (NHLBI) has information on two eating plansâ&#x20AC;&#x201D;Therapeutic Lifestyle Changes (TLC) and Dietary Approaches to Stop Hypertension (DASH). See For More Information to learn how to contact NHLBI.

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â&#x20AC;&#x153;Give me one good reason why I should bother having my hearing checked.â&#x20AC;?

HDL<<page 7 a major study called AIM-HIGH found that prescription niacin did not further reduce the risk of heart attacks or other cardiovascular events in high-risk people who had already lowered their LDL levels via high-dose statinsâ&#x20AC;&#x201D; even though niacin raised HDL. (Niacin also lowers LDL and triglycerides, which may explain why it was known to be beneficial in prior studies.) Other drugs are being developed to raise HDL substantially, but in ways different from the previous drugs.

The relationship between HDL and cardiovascular disease is complicated, largely because the biochemistry of HDL is so complex. Not only does HDL interact with other lipids in the blood, but all HDL is not alike. Some HDL may do a good job at keeping arteries healthy, while other HDL may not. HDL particle size and levels of various subparticles, as well as levels of inflammation and oxidative stress in the body, may determine if, and how much HDL is cardioprotective.

Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2012. To order a one year subscription, call 1-386-447-6328. .

We can give you 6 Thereâ&#x20AC;&#x2122;s nothing more important than family. So isnâ&#x20AC;&#x2122;t it time to stop struggling with your hearing and start enjoying restaurants, phone calls and simple conversations again? Arenâ&#x20AC;&#x2122;t you â&#x20AC;&#x201C; and your family â&#x20AC;&#x201C; worth it?

Millions are beneďŹ ting from Beltoneâ&#x20AC;&#x2122;s advanced digital technology: â&#x20AC;˘ Wireless systems stream clear sound directly from your phone or TV to your hearing aids. â&#x20AC;˘ New innovations let you hear and understand conversations even in noisy environments. â&#x20AC;˘ Beltone offers the smallest instruments of their kind â&#x20AC;&#x201C; theyâ&#x20AC;&#x2122;re virtually invisible!

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on a pair of Beltone Trueâ&#x201E;˘ 17 or Beltone Trueâ&#x201E;˘ 9 Hearing Aids Hurry In! Offer Valid through August 31st 10/31/12

Helping the world hear better www.beltone.com

Our family has been helping Milwaukee area families hear better since 1983 Ann Harris-Carbajal, BC-HIS WAUWATOSA 3180 N. 124TH ST 414-446-3008 MONDAY THRU FRIDAY â&#x20AC;˘ 8:30 - 4:30 NEW BERLIN 15350 W. NATIONAL AVE. 414-446-3008 WEDNESDAY 9:00 - NOON OR BY APPT. See us on

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Up to $XXX per unit. Discount off MSRP. Cannot be combined with other offers. Not valid on previous purchases. BeneďŹ ts of hearing instruments vary by type and degree of hearing loss, noise environment, accuracy of hearing evaluation and proper ďŹ t. Beltone Hearing Care Centers are independently owned and operated. Participation may vary by location. Š 2011 Beltone 4071799-01

OCTOBER 2012 MHL 25

Health Fair & Screening November 2, 2012 9:00 a.m. - 1:00 p.m.

Free Health Screenings

Flu Vaccines Bring your Medicare Card or if you want, you may pay by cash or check ($27.00)

Health Information Including the latest guidelines on cancer prevention and screening

Schedule your exam on November 2, Columbia St. Maryâ&#x20AC;&#x2122;s Mobile Mammography Coach by calling (414)

326-1800

Alexian Brothers Pavilion 9225 N. 76 Street Milwaukee, WI 53223 (414) 355-9300

the quiet of your apartment, the choice is yours.

“I love telling stories and reminiscing but it’s not always easy when they’re thirty years younger than me,” remarks a resident. A retirement community, by its very nature, allows people to interact with people their own age affording greater empathy and identification. Memories and recollections are complimented when two people can truly share the depth and breathe of events. Somewhat tongue-in-cheek yet true, is the adage that retirement communities provide a “constant reservoir of friends.”

“I never have to worry about home upkeep or shoveling again,” said a smiling resident. Now you can choose what

Continuing Care Retirement Communities:

It’s all about Choices Many people delay the decision to move to a retirement community due to misconceptions or fear. They often regret not making the decision to move sooner; when they were healthier, more involved, or did not realize how lonely they were and the reasons go on and on. Regret is undesirable in all times of life; retirement decisions are no different.

The many activities and daily interactions with friends and neighbors offer a dynamic and stimulating environment. Alexian Village of Milwaukee residents freely share their thoughts about retirement living in general and the choices available to them. As you read through this article, look for the comfort, freedom and peace of mind that come from making informed choices.

“Statistics show that retirement community residents live healthier and longer lives than those living alone.” That doesn’t sound like rocket science; we need people. A resident commented, “If I knew how many of my friends lived here, I would have moved in years ago.” As one resident says, “I have to admit, it was lonely sometimes at home, now there is always something enjoyable to do.” Whether you want to participate in all of the social activities and outings or read a good book in

you would like to spend time doing: cooking in your apartment, patio gardening, traveling, learning to paint or play the piano; all of the things you never felt you had time to do before. The choice is yours.

Keeping the mind, body and spirit healthy is the goal of many retirement communities. “When I moved here, it was very impressive to see how many care about my wellbeing,” a resident reported. Your choice of personal wellness goals are supported by a retirement community’s team who are all rooting for you. “Wellness programs” are growing initiatives in retirement communities to ensure balance, increased strength and awareness of changes.

Many retirement communities provide a spiritual component through pastoral visits or Sunday services that keep your hope and faith strong through all times of life.

Retirement communities offer various forms of financial protections like “life care” or “endowments” that protect your financial future regardless of your health.

A “life care” type contract also provides the potential for tax deductions for prepaid medical expenses. If you don’t feel the need for long term health care coverage, many communities offer rental programs, so again the choice is yours as to which option works best for you.

“When my wife had her stroke, it was so convenient to visit her several times a day. I couldn’t do that if I had to drive each way,” commented a resident. Should a care need arise, retirement communities can provide professional and caring services, all in the comfort of your “community.”

The choice is yours regarding your lifestyle and many elements need to be considered in making your decision. Should you decide that a retirement community is right for you, there are many elements, such as the ones listed here, that need to be considered and weighed, so that you can feel confident about your choice.

For more information contact Alexian Brothers at 414-355-9300.

O c t o b e r 2012

WWW.CLUBALEXIAN.COM

Enriching Lives through Connections YI CHUAN Tuesdays, October 2,9,16,23 and 30 10:00-11:00 a.m., Clubhouse, $25.00 for 5 sessions.

TAI CHI Thursdays, October 4,11,18 and 25 1:30-2:30 p.m., Clubhouse, $20.00 for 4 sessions.

DR. TIM CRAIN “TUESDAY LECTURE SERIES” 7:00 p.m., Village Center, West Building (L1) October 2 - 19th Century United States October 9 - The Civil War, 1861 – 65, Part 1 October 16 - The Civil War, 1861 – 65, Part II October 23 - End of the Civil War and Reconstruction October 30 - Reconstruction and Beyond 1865-80 Dr. Crain is a UW-Milwaukee professor. RSVP please for each.

Plan Ahead for Our Annual “HEALTH FAIR” Join Alexian Village, Horizon Home Care & Hospice and Columbia St. Mary’s Screenings Tuesday, November 1, 9:00 a.m.-1:00 p.m.

Alexian Brothers Pavilion 9225 N. 76 Street.

INTERNATIONAL WINE TASTING EVENT Tuesday, October 9, 3:30 - 5:00 p.m., Clubhouse Back by popular demand is Dan Immelt with PRP Wine International offering unique wines. Fee is $6.00. Space is limited. (RSVP by 10/5)

BE FOOLED NO MORE - READING BODY LANGUAGE Thursday, October 11, 11:00 – 1:00 p.m., Lunch is included, Clubhouse Body Language expert Lyn Evans presents a dynamic and fun approach to learning a new way to read people through Body Language. It is a scientific fact that 93% of all communication is nonverbal. $6.00. (RSVP by 10/8)

THE CLUBHOUSE

9225 N. 76 Street Milwaukee, WI 53223

call (414) 371-7811 to RSVP or register online, www.ClubAlexian.com or for more information about joining Club Alexian. It’s free!

OCTOBER 2012 MHL 27

Retirement

SOCIAL SECURITY QUESTIONS ANSWERED Iâ&#x20AC;&#x2122;m trying to decide when to retire. Can Social Security help?

The best place to start is with a visit to the online Social Security Statement. The Statement provides you with estimates of benefits for you and your family as well as your earnings record and information you should consider about retirement and retirement planning. Find out more about the Statement â&#x20AC;&#x201D; and get yours â&#x20AC;&#x201D; at www.socialsecurity.gov/mystatement.

There â&#x20AC;&#x153;rightâ&#x20AC;? time to retire is different for everyone and depends on your individual situation. To help you make your own decision, we offer an online fact sheet with some of the factors to consider at www.socialsecurity.gov/pubs/10147.html.

Iâ&#x20AC;&#x2122;ve decided I want to retire. Now what do I do?

The fastest and easiest way to apply for retirement benefits is to go to www. socialsecurity.gov/onlineservices. Use our online application to apply for Social Security retirement or spouses benefits. To do so, you must: â&#x20AC;˘ Be at least 61 years and 9 months old; â&#x20AC;˘ Want to start your benefits in the next four months; and â&#x20AC;˘ Live in the United States or one of its commonwealths or territories.

Focused Rehab Get Better, Get Home

When you need rehab, consider this... t 1SJWBUF 3PPNT t 1SJWBUF %JOJOH t 1SJWBUF (ZN t *OUFSOFU "DDFTT BOE $BCMF 57

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OCTOBER 2012 MHL 29

www.MHLlifestyle.com

Senior Friendly Website Caregivers!

St. Ann Center’s 24-Hour Overnight Respite Services! are there for you.

Enjoy a vacation, time off, or a business trip while we provide 24-hour overnight care for frail elderly, or adults 18 years or older with special needs.

Summer is coming–reserve now!

Call (414) 977-5033

Sponsored by the Sisters of St. Francis of Assisi �

Caring Hands for Aging Hearts As a seamless extension of the love and compassion of family, our caregivers provide assistance with daily living so that clients achieve greater comfort and peace-of-mind. Discover why our 25 years of service to Milwaukee and Waukesha counties has stood the test of time. Call Rent-A-Daughter today! ♥ ♥ ♥ ♥ ♥ ♥

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414 - 479 - 0029 262 - 754 - 0550 12660 W. North Ave., Brookfield

www.Rent-A-Daughter.com 216187001

30 MHL OCTOBER 2012

This tip sheet offers research-based guidelines for seniors to easily explore websites that work well for them, the fastest-growing group of Internet users. Besides sending and receiving email, older adults search the web for health, financial, and religious or spiritual information. They also use the Internet to shop, play games, perform genealogy searches, and book travel. As the baby boomers age, the number of older adults using the Internet will continue to grow, and web designers will increasingly be called on to tailor websites to this population.

Senior Friendly Websites offers: Information into short sections.

Give instructions clearly and number each step.

Minimize the use of jargon and technical terms.

Use single mouse clicks.

Allow additional space around clickable targets.

Use 12- or 14-point type size, and make it easy for users to enlarge text.

Use high-contrast color combinations, such as black type against a white back ground.

Provide a speech function to hear text read aloud.

Provide text-only versions of multimedia content.

Minimize scrolling.

Choose a search engine that uses keywords and doesn’t require special characters or knowledge of Boolean terms.

Research has shown that older age is not in itself a hindrance to computer or Internet use. However, older adults’ use of electronic technology may be affected by agerelated changes in vision and in cognition—for example, the ability to remember, learn, think, and reason. Cognitive abilities that change with age and that are likely to affect computer use include working memory, perceptual speed, text comprehension, attentional functioning, and spatial memory.

Good web design can help counteract many of these age-related changes. Use of the appropriate typeface, colors, writing style, navigation structure, and accessibility features can make a website easier for older adults to access. Furthermore, good web design is beneficial for web users of any age.

Organizing Web Information for Older Adults Many older adults have had little training in the use of computers and the Internet and are unfamiliar with the way information on websites is organized. In addition, changes in working memory may affect their ability to simultaneously grasp, retain, and manage new information. Declines in perceptual speed can increase the time it takes to process information. A website with a simple design, uncluttered layout, clear labels, and short sections of information can make it easier for older adults to select content, absorb and retain what they read, and avoid information overload.

Here are some guidelines: Users should easily be able to determine what information your site offers and how it is organized. They should be able to figure out a starting point and predict what type of information a link will lead them to. It should also be clear how they can find more information as well as how to return to previously visited pages.

Keep the website structure simple and straightforward. A broad and shallow site hierarchy reduces complexity and makes it easier for visitors to learn how information is organized.

Group related topics visually. Easy to use websites use page layout to show how information is organized.

Check out our Senior Friendly website www.mhllifestyle.org

HOW TO ASSESS YOUR

d Senior Housing Needs There are a range of choices for senior housing, and no simple answer as to which one is right for you. Here are some of the issues in evaluating your options: Level of Care No one can predict the future. However, if you or a loved one has a chronic medical condition that is expected to worsen over time, it’s especially important to think about how you will handle health and mobility problems. What are common complications of your condition, and how will you handle them? Are you already at the point where you need daily help?

Location and accessibility Even if you are completely independent at this time, circumstances can change.

It pays to think a little about your current location and accessibility of your current home. For example, how far is your home from shopping, medical facilities, or other services? If you can no longer drive, what kind of transportation access will you have? Can your home be easily modified? Does it have a lot of steps, stairs, or a steep hill to navigate? Do you have a large yard that needs to be maintained?

Social support How easy is it for you to visit friends, neighbors, or engage in hobbies that you enjoy? If it becomes difficult or impossible for you to leave your home, you’ll become isolated and depression can rapidly set in.

Caregiving Support You will want to consider housing where both your current and future needs can be met. Do you have family or other support available nearby? Traditionally, family has provided the backbone of caregiving support for older adults. In today’s times, though, family may not be as readily available due to distance, work, children, or other commitments. Even if family members can commit to caregiving, they might not be able to fill in all the gaps if physical and medical needs become extreme. The more thought you put into your future, the better chance your needs will be met.

Finances Making a budget with anticipated expenses can help you weigh the pros and cons of your situation. Alternate arrangements like assisted living can be expensive, but extensive in-home help can also rapidly mount in cost, especially at higher levels of care and live-in or 24-hour coverage.

Consider a professional assessment Depending on your current level of care, you may already have had an assessment through your medical team. This can cover your medical issues and concerns as well as issues related to activities of daily living. If not, you may want to ask for a referral.

You may also want to consider an assessment by a geriatric care manager. Geriatric care managers can provide an initial assessment as well as assistance with managing your case, including crisis management, interviewing in-home help, or assisting with placement in an assisted living facility or nursing home. More about geriatric case managers can be found in the Resources section below.

What should I look for in independent living facilities?

What you need from independent living depends on your own unique situation.

Where would you be most comfortable? Here are a few things to keep in mind: It’s all about the people ASSESS>>page 34 32 MHL OCTOBER 2012

Capri SENIOR

COMMUNITIES

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

Independent & Assisted Living Communities Germantown

The Gables of Germantown 262-345-1000

Kenosha

St. Catherine Commons 262-654-6080

Milwaukee - South Wilson Commons 414-281-2450

Milwaukee

Three Oaks Circle 414-321-0320

Milwaukee - East Hedwig House 414-321-0320

Sturtevant

Killarney Kourt 262-321-0802

Waukesha

Summit Woods 262-521-1388

ASSESS<<page 32 No matter what type of independent living facility you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people you’d like to know better? Are some of your favorite hobbies or activities available? Are support services timely, with staff friendly and accessible?

Size and location of community There is no set size for an independent living community, so it’s really your preference. Do you prefer a smaller size community, or a busier place with more people and opportunities for socialization? Are you comfortable with more compact apartment-style living, or is having a detached home with easy access the ultimate goal?

Be sure to visit several communities to get a sense of what is comfortable to you.

Location is another consideration. Some popular retirement/independent living areas are in warmer states such as Arizona, California, and Florida. However, consider carefully if you are prepared to move a considerable distance. It does mean developing a new support network if you don’t have family and friends close by, as well as finding new medical care.

Accessibility Take a look at how accessible the community is, both inside and outside. Do you feel safe coming and going at different hours of the day? Are facilities outside of the community within walking distance, or do you need transportation like a car or cart to get around? How easy is it to get to services such as a common dining hall or recreation center?

In your potential housing unit, get a feel for future adaptability. Are there any stairs inside the unit or outside? Can ramps be added if necessary? Check to see if adaptive devices like grab bars can be easily installed in bathrooms.

Community Resources and Support With so much variation in services, think about which are most important to you in an independent living facility. Also, consider services that you may find useful in the future. For example, if you value exercise, consider a community with an exercise area, pool, or fitness classes. You may like cooking your meals now but want the option for communal meals in the future. Prioritizing the services you want also helps you budget appropriately, since the more services a community offers, the higher the cost may be.

Costs of Independent Living There are a range of costs associated with independent living, ranging from subsidized housing for low-income seniors to comprehensive service facilities with other options for long-term care. As you consider independent living, prepare a budget to estimate costs you feel comfortable with, taking into account other considerations such as medical bills. There are several websites in the Resources section below that offer examples on preparing a budget and making the decision that’s right for you.

If you are considering subsidized housing, remember that waiting lists can be quite long, often several years. You may want to begin the process as soon as possible.

When considering costs, make sure you are able to comfortably handle both the initial investment and monthly fees. These could range from homeowners association fees to fees you pay for services on site. How many services are included, and how much does it cost to add on services if you need them later?

If you or your spouse are relatively healthy now, but anticipate significant health problems down the line, you may want to consider a Continuing Care Retirement Community (CCRC). These facilities offer a spectrum of care from independent living to nursing home care at the same site and normally require a one-time entrance fee and monthly service fees thereafter.

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

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

West Allis

The Landmark of West Allis 414-302-1700

West Allis

Carnegie Place 414-302-1700

Whitewater

Mulberry Glen 262-473-4515

Call today

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

262.798.1224 www.CapriCommunities.com 34 MHL OCTOBER 2012

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: 24-Hour Service Staff 3 Meals Daily Housekeeping Services Assistance with Medications

Daily Activity Programming Peace of Mind of Resident & Family Private Accommodations Linen/Laundry Service

Nursing Services Personal Care Assistance Special Events, Tours, Trips R.N. Owner Operated

ST. JOHN’S MANOR

ST. MARY’S MANOR

812 Marquette Avenue South Milwaukee 762-2511

1313 Missouri Avenue South Milwaukee 762-8026

email: ellen@clcel.com

website: www.stjohns-marysmanors.com

Forgetfulness As We Age What is mild forgetfulness?

It is true that some of us get more forgetful as we age. It may take longer to learn new things, remember certain words, or find our glasses. These changes are often signs of mild forgetfulness, not serious memory problems.

See your doctor if you’re worried about your forgetfulness. Tell him or her about your concerns. Be sure to make a follow-up appointment to check your memory in the next 6 months to a year. If you think you might forget, ask a family member, friend, or the doctor’s office to remind you.

What can I do about mild forgetfulness?

Image of older man with young child ordering from menusYou can do many things to help keep your memory sharp and stay alert. Look at the list below for some helpful ideas.

Here are some ways to help your memory: Learn a new skill.

Volunteer in your community, at a school, or at your place of worship.

Spend time with friends and family.

Use memory tools such as big calendars, to-do lists, and notes to yourself.

Put your wallet or purse, keys, and glasses in the same place each day.

Get lots of rest.

Exercise and eat well.

Don’t drink a lot of alcohol.

Get help if you feel depressed for weeks at a time.

FORGETFULNESS>>PAGE 37

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

414-525-6500

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

OCTOBER 2012 MHL 35

Peace of Mind Services Title 19 & Pre- Arrangements

WHAT SHOULD I LOOK FOR IN INDEPENDENT LIVING FACILITIES?

Simple Cremation $595.00 (Excluding Cremation Permit & Fee)

Traditional Funerals $1,395.00 at your Church or Cemetery Chapel of your choice

Call for more details

414.453.1562

SERVING ALL OF WISCONSIN What you need from independent living depends on your own unique situation. Where would you be most comfortable? Here are a few things to keep in mind: It’s all about the people No matter what type of independent living facility you consider, you want to make sure you connect with peers and feel comfortable in the community. When you visit the area, talk with some of the residents. Are they people you’d like to know better? Are some of your favorite hobbies or activities available? Are support services timely, with staff friendly and accessible?

Size and location of community There is no set size for an independent living community, so it’s really your preference. Do you prefer a smaller size community, or a busier place with more people and opportunities for socialization? Are you comfortable with more compact apartment-style living, or is having a detached home with easy access the ultimate goal?

Be sure to visit several communities to get a sense of what is comfortable to you.

Location is another consideration. Some popular retirement/independent living areas are in warmer states such as Arizona, California, and Florida. However, consider carefully if you are prepared to move a considerable distance. It does mean developing a new support network if you don’t have family and friends close by, as well as finding new medical care.

Accessibility Take a look at how accessible the community is, both inside and outside. Do you feel safe coming and going at different hours of the day? Are facilities outside of the community within walking distance, or do you need transportation like a car or cart to get around? How easy is it to get to services such as a common dining hall or recreation center?

In your potential housing unit, get a feel for future adaptability. Are there any stairs inside the unit or outside? Can ramps be added if necessary? Check to see if adaptive devices like grab bars can be easily installed in bathrooms.

Community Resources and Support With so much variation in services, think about which are most important to you in an independent living facility. Also, consider services that you may find useful in the future. For example, if you value exercise, consider a community with an exercise

36 MHL OCTOBER 2012

area, pool, or fitness classes. You may like cooking your meals now but want the option for communal meals in the future. Prioritizing the services you want also helps you budget appropriately, since the more services a community offers, the higher the cost may be.

Costs of Independent Living There are a range of costs associated with independent living, ranging from subsidized housing for low-income seniors to comprehensive service facilities with other options for long-term care. As you consider independent living, prepare a budget to estimate costs you feel comfortable with, taking into account other considerations such as medical bills. There are several websites in the Resources section below that offer examples on preparing a budget and making the decision that’s right for you.

If you are considering subsidized housing, remember that waiting lists can be quite long, often several years. You may want to begin the process as soon as possible.

When considering costs, make sure you are able to comfortably handle both the initial investment and monthly fees. These could range from homeowners association fees to fees you pay for services on site. How many services are included, and how much does it cost to add on services if you need them later?

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

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

FORGETFULNESS<<PAGE 35 What is a serious memory problem?

Image of medical professional talking with older coupleSerious memory problems make it hard to do everyday things. For example, you may find it hard to drive, shop, or even talk with a friend. Signs of serious memory problems may include: asking the same questions over and over again getting lost in places you know well not being able to follow directions becoming more confused about time, people, and places not taking care of yourself—eating poorly, not bathing, or being unsafe What can I do about serious memory problems?

See your doctor if you are having any of the problems listed above. It’s important to find out what might be causing a serious memory problem. Once you know the cause, you can get the right treatment. final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1

Bridge Way: Transitional Care at Clement Manor “Your bridge between hospital and home”

W

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

Call our Admissions Coordinator today at 414.546.7322 for more information and to schedule a tour.

3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • clementmanor.com OCTOBER 2012 MHL 37

MINDFULNESS<<page 13 The mindful “observer” can simply notice physical sensations, and then begin to observe thoughts and feelings as well, all without judging or analyzing.

Observing your thoughts and emotions in a non-judgmental and accepting way helps you approach stressful situations more clearly. Rather than have an automatic anxiety reaction to a distressing event, you will be better able to mindfully choose a more objective response.

Practicing Mindfulness There are many different ways to practice mindfulness. Mindfulness can involve a formal practice, and it can also be integrated into many of your usual daily activities.

A formal practice might mean setting aside time for a sitting meditation or mindful movement practices like walking meditation or yoga. However, this is not necessary.

You can be mindful as you focus your attention on your feet planted firmly on the ground. You can practice mindfulness while eating, walking, sitting with your pet, brushing your teeth, walking in the forest...when doing just about anything.

You can transform stress and anxiety into peace and contentment when mindfulness becomes a way of life. Ultimately, mindfulness can become a way of being where you are truly present in the moments of your life. You must be present to love.

You must be present to experience peace or contentment. You must be present to feel pure joy.

According to John Teasdale, a leading mindfulness researcher, “Mindfulness is a habit. It’s something the more one does, the more likely one is to be in that mode with less and less effort...it’s a skill that can be learned... Mindfulness isn’t difficult.

What’s difficult is to remember to be mindful.”

Di Philippi, MA, LPC is a Holistic Counselor, Licensed Professional Counselor, and Reiki Master Teacher, who specializes in non-medication solutions for anxiety and worry. She integrates Cognitive Behavioral Therapy with mindfulness and holistic wellness practices that address body, mind, spirit, emotions, and energy. Her practice is located inside of Integrative Family Wellness Center in Brookfield. To learn more, see her website www.WellnessCounselingMilwaukee.com or call 414588-0969.

38 MHL OCTOBER 2012

AYURVEDA<<page 16 Sattva is the balancing force which harmonizes the positive and negative, allows for spiritual growth, and makes healing happen. Sattva brings happiness, contentment, faith, goodness, clarity, self-control, peace, wisdom, and the ability to be in the present and pure consciousness. Sattva is like a clear, still lake which provides a mirror reflection to your highest self. Notice how these sattvic qualities are very similar to what many seek in relation to the feeling states from the ideal healthy vision.

To cultivate more sattva it is important to eat more pure, organic, fresh vegetarian food, increase activities that bring your joy and uplift your spiritually, and spend time in nature.

Learn more about Ayurveda at www.ayurvedawellness.org or contact Jamie Durner of Ayurveda Wellness in Brookfield, Wisconsin at jdurner@wi.rr.com to assess your state of mind and create your own healthy life vision. ©2012, Jamie Durner, Ayurvedic Natural Health Practitioner and Wellness Educator

ORIENTAL<<page 17 cises increase a person’s energy and mental alertness. This is a low impact program that can be done by anyone, any age and in almost any physical condition.

The above discussion, while brief, hopefully sheds a little light on the breadth and scope of Traditional Chinese Medicine. It is this attention to patient’s overall life and habits that has resulted in a successful and long term medicine. Today, the philosophy of natural health food and natural medicine, simply reflect what TCM has known for centuries. Good health is a gift and we must be careful in what we eat and how we live. We invite you to join the many people who are benefiting from Traditional Chinese Medicine.

Dr. William F. Hughes, Jr. PhD., Dipl. AC. Acupuncture Clinic of Wauwatosa, Inc. 11611 West North Avenue Suite 101, Wauwatosa, WI 53226, 414-607-0900.

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OCTOBER 2012 MHL 39

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