MHL
OCTOBER 2015 FREE PUBLICATION
Est 1992
MODERN HEALTH AND LIVING
DEMYSTIFYING THE IMPORTANCE OF THYROID BALANCE HALLOWEEN COSTUMES TO IMPRESS FOR KIDS
COMMON EYE INJURIES BONE HEALTH HOMEOPATHY SIMPLE, SAFE & EFFECTIVE LEG PAIN
SEASONAL AFFECTIVE DISORDER SENIOR LIVING AUTUMN GUIDE
A GUIDE TO HEALTHY LIVING FOR MEN, WOMEN, CHILDREN AND SENIORS
Are You Tired of Sleeping with This? ASK US ABOUT OUR NON-CPAP SLEEP APNEA TREATMENT!
Sleep apnea is more than noisy, it can be bad for your health. Chronic, loud snoring is a sign that you could be suffering from sleep apnea, a condition that causes you to actually stop breathing, often hundreds of times a night! This can lead to chronic fatigue, memory problems, high blood pressure, strokes, and more. We treat sleep apnea with a custom designed oral appliance. Many of our patients report feeling better and more rested after just one night of using the device. Call us today at (414) 208-4539 or visit www.SnoringisntSexy.com to stop the noise and start resting.
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CREATING LIFE-CHANGING SMILES
1469 South 70th Street | West Allis
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Note from the Editor October is back! The weather is beginning to change into a beautiful, cooler, calmer, climate. Even though the rain has taken over these last few weeks, I am still finding time to get outside and exercise in between the rainfall. Halloween is fast approaching. In this edition of MHL, we have many articles on healthy aging and keeping fit. It’s good to keep your mind open about all types of healing. Also, October is Breast Cancer awareness month. Please remember to get your mamogram and prevent this awful cancer. I encourage you to get out and about before the weather turns and makes you want to stay indoors. I put my favorite costume picks for kids. My family loves halloween. Every year we carve pumpkins and bake the seeds. Maybe this year you should try to incorporate a pumpkin recipe for dinner. When thinking of treat or treating I am definately more of a treater. The thought of watching scary movies makes my heart race and worries me of nightmares. My cute little Mallory, the little dark angel... (no really that is what she chose to be this year) is already bringing me her book orders and begging me for GOOSEBUMPS. They truly are their own little spirits. So, have a night off from all the dieting and enjoy the sweets and scares. Happy Halloween Everyone!
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HALLOWEEN COSTUMES TO IMPRESS FOR KIDS
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OCTOBER 2015 FREE PUBLICA TION
Est 1992
G
PAGE 4
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LTH AND LIVIN
DEMYSTIFYIN G THE IMPORTAN CE OF THYROID BALANCE
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-Amanda Lewis
Special Thanks to Party City for sending me my Skeleton costume for my editor’s pick..
EXPECT MORE From Your Dentist
COMMON EYE INJURIES BONE HEALTH HOMEOPATH Y SIMPLE , SAF E & EFFECTIVE LEG PAIN
SEASONAL AFF ECTIVE DISORDER SENIOR LIVING AUTUMN GUIDE
MEN, WOMEN , CHILDREN AND SENIORS
contributers
Livestrong.com, Environmental Nutrition, Nutrition Action Health Letter, Columbia/St. Mary’s, Wheaton Fransician, Milwaukee Eye Care, Eye Care Specialists, Aurora, NorthShore Chiropractic, National Pedorthic Services, Lifesteps Wellness Clinic, Advance Physical Therapy, Elite Fitness and Racquet Club, Alexian Brothers Village, Transformations, NIH, Jensen Health and Energy, Foot Solutions, Allergy and Asthma Centers, Lakeshore Medical, The Ommani Center, Interfaith Older Adult Services, Laureate Group, Tudor Oaks, Luther Haven, Greensquare Center for the Healing Arts, Midwest Audiology Integrative Family Wellness Center Social Security Offices, American Camp Association, Home Instead, Manor Care, Tops, Dr Zhou, Oak Creek Pediatrics and MCFI
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Lewis Media Group Amanda Lewis Malberry Media, Nathan Pipkorn Colleen Cassidy Jerry Kornowski Marlys Metzger Barry Lewis
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A GUIDE TO HEA LTHY LIVING FOR
MHL is published on the first of each month . The articles in this publication are in no way intended to replace the knowledge or diagnosis of your doctor. We advise seeing a physician whenever a health problem arises requiring an expert’s care.
thanks
staff
MHL Staff
Special Thanks! To all the local professionals that provide us with articles containing new information and keeping all our readers informed of the latest in healthy living.
Lewis Media Group | Malberry Media | www.modernhealthandliving.com OCTOBER 2015 MHL
Redifining Health DEMYSTIFYING THE IMPORTANCE OF THYROID BALANCE
Living with wounds really isn’t “living”. Don’t put your life on “hold” because of non-healing wounds. Call us today and ask about our state-of-the-art healing options. We haven’t met many wounds we can’t heal. Bring us yours and reclaim your life.
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By Kalpana (Rose) M. Kumar, M.D. Recently I wrote a Facebook post about managing thyroid disorders during peri-menopause and received an overwhelming number of responses. A very dynamic conversation ensued, bringing awareness to the fact that many women suffer with thyroid imbalances that go unrecognized by the traditional medical system; leaving them tired and overweight with a significant decrease in mental clarity. With the many patients I see with thyroid disorders, I thought it would be beneficial for me to write about thyroid imbalances and how I have treated them for nearly two decades with overwhelming success. The thyroid gland is situated at the base of the neck above the sternal notch. It has a powerful purpose in the body, regulating metabolism and well-being. A healthy thyroid provides energy, mental clarity, and mental health; as well as functional regulation of many body systems. When the thyroid becomes sluggish, all of these functions are compromised. It is not necessary to have a diagnosis of thyroid disease for it to not function optimally. Thyroid hormone imbalance is common in midlife women as their hormones begin to shift. In this article, I will focus on the imbalances of thyroid hormones in women. The production of thyroid hormone is regulated by the pituitary gland that sits in the center of the brain. The pituitary produces a variety of ‘stimulating’ hormones that stimulate all of the endocrine glands to produce their respective hormones. The THYROID>>page 12
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Reasons to Buy Local
It comes direct from the farmer or grower. You can trust that the produce is fresh and learn more about where it comes from. The products haven’t had a long journey. At a farmers’ market, it’s safe to assume that the food hasn’t traveled long distances to get there. This reduces energy consumption to transport them and decreases the time between harvest and consumption.
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Vendors offer recently harvested produce. Reducing the time between when the food is picked and when it is consumed helps ensure that the nutrients have been preserved. It supports the local economy. Many markets put a mileage limit on vendors, ensuring that the food is from the area. By purchasing food at a nearby farmers’ market, you are giving money to neighborhood farmers and stimulating the local economy. Farmers and growers are the best resource. As you are making your food choices, take time to talk to local vendors about their products. Ask them about the growing process and when the food was picked. Many of them are also a great resource for cooking tips, or recipes. You can try new foods. A farmers’ market is a great opportunity to learn about foods you’ve never seen and purchase items that will spice up your refrigerator or kitchen pantry. It keeps your meals interesting. They offer seasonal produce. Vendors offer vibrant fruits and vegetables that change with the season. When foods are in season, they are more colorful and flavorful. At a conventional store, it can be difficult to determine what foods are in season. 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.
OCTOBER 2015 MHL
LASIK
Marc Hirsch,M.D In many instances, the laser can eliminate the need to wear glasses. The use of lasers for this treatment has been in existence since the 1980â&#x20AC;&#x2122;s. Initially, the only procedure available was a called PRK(Photorefractive Keratectomy). In this procedure, the surface of the
One Of The Greatest Advances In Eyecare Has Been The Use Of Lasers To Reduce The Dependence On Glasses.
outermost layer of the eye is removed and then the laser treatment is applied. Over the next few days, the surface would heal. Once the surface healed the effects of the laser could be appreciated. PRK is an excellent procedure and is still used today in certain situations. However, it has largely been replace by LASIK (laser-in-situ keratomileusis). What is the difference? In LASIK, the surface layer is not removed. Instead a flap is created and reflected prior to the application of the laser. Once the laser is applied the flap is repositioned. This allows for faster healing with significantly less discomfort compared to PRK. In addition, most patients can undergo the procedure on both eyes in the same day. Many people have heard of LASIK and are aware that a laser is involved in the procedure. However, most people did not realize that until recently the only option for creating the initial flap was by using a rapid-oscillating metal blade. The use of a metal blade to create the initial flap is a tested and safe method for flap creation. However, the few complications that can occur during the procedure are usually related to a
complication in the flap creation. A recent improvement in safety has been the development of a laser to create the initial flap. The laser is an infrared beam that separates the tissue by using a process called photodisruption. Light pulses as short as one-quadrillionth of a second are used to divide material at the molecular level without any impact to the surrounding tissue. This laser is called a femtosecond laser and is made by a company called Intralase. This is a completely different laser than the laser used for vision correction, which is called an excimer laser. The major advancement in the femtosecond laser over the metal blade is safety. During a flap creation with a metal blade, the blade runs across the surface of the eye. This leads to the potential of inadvertently causing a corneal abrasion. In addition, there is possibility that the metal blade may cause an uneven cut across the cornea, the outer layer of the eye. The femtosecond laser addresses these potential safety issues by creating the flap in a different manner. Rather than moving across the surface of the eye, the femtosecond laser is applied from directly
above the eye. This method removes the potential of creating a corneal abrasion during flap creation. As mentioned this is a major safety improvement over the conventional oscillating metal blades. A second improvement is the accuracy of the depth of the flap. The laser is programmed to apply the laser spots at a specific depth. This fixed depth aids in calculating the amount of treatment that is safe for a particular eye. The conventional metal blades are not quite as accurate as the femtosecond laser. This means that often the actual depth of the flap made by a mechanical blade may be different than the intended depth. While this translates into small micrometer changes in the flap thickness, it may be important to a patient who has a cornea that may be too thin for their necessary treatment. In addition, it becomes quite important for the occasional retreatment that may need to be performed. The Intralase removes the variability in the flap thickness and improves the ability for delivering a safer treatment. Some of the most devastating, but rare, complications occur when the metal blade does not perform a smooth flap LASIK>>page 38
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Capri SENIOR
PREVENT AGING People are living longer. In 1970, the average life expectancy at birth was 70.8 years; in 2000, it was 76.9 years; and by 2030 it is estimated that the “oldest-old,” age 85 and older, could grow to 10 million people. Views on aging are also changing. It no longer necessarily means physical decline and illness— in the last two decades, the rate of disability among older people has declined dramatically. The National Institute on Aging (NIA), part of the Federal Government’s National Institutes of Health (NIH), investigates ways to support healthy aging and prevent or delay the onset of diseases that disproportionately affect us as we age. These studies may not only increase longevity, but may also promote what is known as “active life expectancy”—the time of advancing years free of disability. Results from NIA-sponsored and other studies are likely to improve our understanding of the benefits and risks of antioxidants, calorie restriction, hormone supplements, and other interventions to promote healthy aging. This tip sheet provides an overview of what we know about these interventions and the research needed to learn more. Until we have a better understanding, it is a good idea to be skeptical of claims that any supplements can solve your age-related problems. Instead, focus on what is known to help promote healthy aging: healthy eating and physical activity. Antioxidants Antioxidants protect the body from the harmful effects of by-products, known as free radicals, made when the body changes oxygen and food into energy. The discovery of antioxidants raised hopes that people could slow aging simply by adding them to the diet. So far, studies of antioxidant-laden foods and supplements in humans have yielded little support for this premise. Further research, including large-scale epidemiological studies, might clarify whether dietary antioxidants can help people live longer, healthier lives. For now, however, the effectiveness of dietary antioxidant supplementation remains controversial. Calorie Restriction, Intermittent Fasting, and Resveratrol Scientists are discovering that what you eat, how frequently, and how much may have an effect on quality and years of life. Of particular interest has been calorie restriction, a diet that is lower by a specific percent of calories than the normal diet but includes all needed nutrients. Research in animals has shown calorie restriction of up to 40 percent fewer calories than normal to have an impressive effect on disease and markers of aging. It has been found to extend the life of protozoa (very small, onecelled organisms), yeast, fruit flies, mice, and rats, as well as other species. Calorie restriction studies with humans and other primates, such as monkeys, are ongoing. Early findings of the Comprehensive Assessment of Long-term Effects of Reducing Intake of Energy (CALERIE) study show that slightly overweight adults who cut their calorie consumption by 20 to 30 percent lowered their fasting insulin levels and core body temperature. Both of these changes correlate with increased longevity in animal models. Some studies in nonhuman primates have shown that calorie restriction reduces the incidence of certain diseases such as cancer. Other studies of the effects of calorie restriction on aging and disease in primates are ongoing and have not yet reached any conclusions. Even though calorie restriction appears to work in a variety of species, its effects on longevity are far from universal. Several animal models, including wild mice, show no lifespan extension by calorie restriction. In some strains of mice, calorie restriction even appears to shorten lifespan. Scientists do not know if long-term calorie restriction is safe or practical for humans. While a calorie-restricted diet may never be widely adopted for people, studying calorie restriction offers new insights into the aging process and biological mechanisms that could influence healthy aging. This research may also provide clues about how to prevent or delay diseases that become more prevalent with age and inform the development of treatments for such diseases. Some studies focus on identifying chemicals that somehow mimic calorie restriction’s benefits. Resveratrol, which is found naturally in foods like grapes and nuts, is one compound of interest. In one study, scientists compared two groups of overweight mice on a high-fat diet. One group of mice was given a high dose of resveratrol together with the high-fat diet.
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See the best you can see
T EYE CARE SPECIALISTS Medical, surgical & laser services for every age & need Wisconsin’s leading ophthalmology practice Trusted by more than 130,000 doctors & patients since 1985 ■ ■ ■ ■
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Eye Care Specialists List Prevention Tips for Common Eye Injuries
“TOP DOCTORS” — Milwaukee & M Magazines
Mark Freedman, MD
Daniel Paskowitz, MD, PhD
Brett Rhode, MD
Daniel Ferguson, MD
Michael Raciti, MD
David Scheidt, OD
www.eyecarespecialists.net West Allis Wauwatosa Milwaukee 10150 W. National Ave. 2323 N. Mayfair Rd. 735 W. Wisconsin Ave. 414-321-7520 414-258-4550 414-298-0099
Terry S. Graves, M.D. John E. Basich, M.D. Walter Brummund, M.D., Ph.D. James A. Cranberg, M.D. Mary E. Burnett www.allergyasthmactrs.com
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By Cheryl L. Dejewski “Home Sweet Home” may be a vision to behold, but it may not be the safest place for your eyes. Because of improvements in eye safety regulations in the workplace, the home is now a leading source of eye mishaps. Household products alone cause more than 125,000 serious injuries each year. Fortunately, however, 90% of eye injuries are preventable. Drs. Mark Freedman, Brett Rhode, Daniel Ferguson, Daniel Paskowitz, Michael Raciti and David Scheidt of Eye Care Specialists have compiled the following precautions you and your family can take to protect the precious gift of sight in a number of familiar settings. In the Home Aim nozzles away from you before using hair products, insecticides, paints, window cleaners, or other chemicals. Childproof cabinets. *Add lights and handrails to improve safety on stairs. Use safety gates for children. * Use grease shields on fry pans to prevent spatters from burning you and your eyes. * Allow the hot air to escape from microwaveable popcorn, vegetables, and other food bags before looking inside. *Wear goggles to shield against splashes and fumes when using powerful chemicals for heavy-duty cleaning jobs, painting and staining, or other tasks. Always point soda, champagne and other beverage bottles away when opening. Gas pressure build-up can send caps flying at speeds of up to 350 mph. * Read instructions carefully before using oven-cleaners, detergents, ammonia, cleaning fluids or other harsh chemicals. Do not mix cleaning agents. Avoid touching your eyes. And, wash your hands thoroughly when you are done with the job. In the Yard * Burning leaves and trash can create flying sparks and turn glass and metal objects into projectiles. Stand back and take precautions. * Inspect the area and remove debris before using garden tools. * Aim pesticide can nozzles away from your face. * Mowers and “WeedEater”-type edgers and power trimmers can create projectiles that travel in excess of 200 mph. Wear eye protection and do not let anyone stand to the side or front of these tools. Install guards on the equipment, if possible. * Look ahead to avoid low branches or other obstacles. In the Workshop * Wear safety glasses or goggles with a “Z87” mark. Regular glasses or contact lenses will not adequately protect your eyes against flying chips and fragments from tools that break; small particles spun off from grinding; sparks thrown off in welding; splashes of molten metals, acids and corrosives; fumes, dust and dirt particles; splinters of wood or other objects; etc. Even hammering a nail can cause injury if small metal fragments enter the eye. * Read tool and chemical instructions thoroughly before working. Familiarize yourself with precautions, warnings and methods of treatment in case of accidental injury (i.e. flushing out the eye with water, seeking emergency medical care, etc.). At the Pool or Beach * Excessive exposure to ultraviolet light (especially when reflected off sand, water, or pavement) can burn the eye’s surface. The best defense is a good pair of sunglasses with UV-protection (that wrap to the sides as well). Sunglasses may also prevent future problems, like cataracts and macular degeneration. *When swimming, consider using swim goggles and avoid wearing contacts if at all possible. Chlorine can make your eyes red and puffy, and ponds and lakes may harbor Acanthamoeba, a protozoan that can get underneath a contact lens and cause EYE>>page 39
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Bone health is something few aging adults worry about, but they should. Women in particular. Unfortunately, after menopause, women’s bones are extremely vulnerable to bone loss, and their risk of developing the disease increases with age. The loss of bone density not only results in frailty, but it increases the chances of serious breaks and fractures. While this certainly is a critical health issue for women in the years leading up to menopause and afterwards, at Home Instead Senior Care we firmly believe in keeping bones healthy at any age, for both men and women. Here are some of the best tips we know to help prevent or slow down bone density loss: · Get Your Calcium: According to the National Institute of Health, women over age 50 should consume 1,200 mg daily. Men between the ages of 51 and 70 should consume 1,000 mg a day, and men over 70 should consume 1,200 mg per day. This can be done by eating calcium-rich foods such as low-fat dairy products; orange juice, cereals, and other foods fortified with calcium; dark green, leafy vegetables like broccoli and collard greens; sardines and salmon with bones; soybeans, and nuts, and taking calcium supplements. · And Your Vitamin D: Vitamin D helps the body absorb calcium, but many people, especially seniors, don’t get enough exposure to sunlight to fill their Vitamin D requirement. Also, as we grow older, our need for vitamin D increases. People ages 51 to 70 should consume at least 600 international units (IU) of vitamin D daily. People over age 70 should consume at least 800 IUs daily. Help the sunshine do its job by consuming foods like herring, sardines, salmon, tuna, liver, eggs, and fortified milk and foods. Also, talk to your doctor about how much D you should be getting (it’s possible to get too much) and whether you should take a supplement. · Enjoy Physical Activities: Even just 30 minutes of physical activity a day can help keep your bones strong. Making time now for exercise, whether it’s walking, dancing, stair climbing, gardening, or yoga could prevent fractures and breaks later. Take a Bone Density Test: Women over age 65 and all men over 70 should have an annual bone density test, which assesses bone health and the risk of fractures. Medicare and many private insurers cover this safe, painless test for eligible people. · Talk to Your Doctor about Medications: If you’re concerned about bone loss, your doctor may be able to prescribe something to slow it down, improve density and lessen the risk of fractures. · Kick the Habits: Smoking and heavy alcohol use can decrease bone mass and increase the chance of fractures. For more information about the well-being of seniors and those who care for them, please contact Home Instead Senior Care at 414-882-5464.
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OCTOBER 2015 MHL
WELL-BEING
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Wellness, Body, Mind & Spirit Expo Sunday, October 25 11 a.m. ~ 6 p.m. Four Points Sheraton Milw. – North Shore 8900 North Kildeer Ct., Brown Deer ADMISSION $5. (Kids under 12 Free) Free Parking
Join us on October 25th ĂŶĚ ĂƩĞŶĚ Ă ǁĞůůŶĞƐƐ džƉŽ ĨĞĂƚƵƌŝŶŐ ƚŚĞ ďĞƐƚ ĂĚǀĂŶĐĞƐ ŝŶ ĂůƚĞƌŶĂƟǀĞ ŚĞĂůƚŚ͕ ĞdžŚŝďŝƚƐ͕ ĂŶĚ ƐƉĞĂŬĞƌƐͶĂůů ũŽŝŶĞĚ ƚŽŐĞƚŚĞƌ ƚŽ ƉƌŽŵŽƚĞ ƚŚĞ ŝŵƉŽƌƚĂŶĐĞ ŽĨ ďĂůĂŶĐĞ ŝŶ LJŽƵƌ ůŝĨĞ͕ ƚŚƌŽƵŐŚ ŵŝŶĚ͕ ďŽĚLJ ĂŶĚ ƐƉŝƌŝƚ͘ ŝĂŶŶĞ ŝƐĐŚŽī :ĂŵĞƐ͕ ĂƵƚŚŽƌ ŽĨ ĂǁĂƌĚͲǁŝŶŶŝŶŐ ďŽŽŬ͕ The Real Brass Ring: Change Your Life Course Now͕ ǁŝůů ďĞ ƉƌĞƐĞŶƟŶŐ Ă ǁŽƌŬƐŚŽƉ ŽŶ DŝĚůŝĨĞ ZĞƚ͗ >ŝǀŝŶŐ ƚŚĞ >ŝĨĞ LJŽƵ >ŽǀĞ͘ READINGS ;ϭϭ Ă͘ŵ͘Ͳϲ Ɖ͘ŵͿ ΨϮϱ ĨŽƌ ϭϱ ŵŝŶƵƚĞƐ ĂŶĚ Ψϰϱ ĨŽƌ ϯϬ ŵŝŶƵƚĞƐ͘ ŽŶŶĞĐƚ ĨĂĐĞͲƚŽͲĨĂĐĞ ǁŝƚŚ ƚŚĞ ďĞƐƚ ĂƐƚƌŽůŽŐĞƌƐ͕ ƚĂƌŽƚ ƌĞĂĚĞƌƐ͕ ƉƐLJĐŚŝĐƐ͕ ŵĞĚŝƵŵƐ͕ ĂŶĚ ŵŽƌĞ͘ sŝĞǁ ƚŚĞŝƌ ǁĞďƐŝƚĞƐ ŽŶ www.WellnessBodyMindSpirit.com͘ ƉƉŽŝŶƚŵĞŶƚƐ ƌĞƋƵŝƌĞĚ ŝŶ ĂĚǀĂŶĐĞ ďLJ ĐĂůůŝŶŐ (414) 349-4932 or ƐŝŐŶ ƵƉ ĚĂLJ ŽĨ ĞǀĞŶƚ͘ WƐLJĐŚŝĐƐ͕ DĞĚŝƵŵƐ Θ WĂůŵŝƐƚƌLJ ƵƌĂ WŚŽƚŽŐƌĂƉŚLJ ƐƚƌŽůŽŐĞƌƐ Θ EƵŵĞƌŽůŽŐLJ 'ĞŵƐƚŽŶĞƐ͕ ƌLJƐƚĂůƐ Θ ZŽĐŬƐ ƌƟƐƚƐ Θ ƌĂŌƐŵĞŶ ƐƐĞŶƟĂů KŝůƐ Θ ůĞŶĚƐ ^ŬŝŶ Θ ŽĚLJ ĂƌĞ WƌŽĚƵĐƚƐ
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10 MHL OCTOBER 2015
THYROID<<page 4 pituitary secretes Thyroid Stimulating Hormone, or TSH, to stimulate the thyroid gland to produce thyroid hormones. When thyroid hormone levels decline, the TSH level increases. That increase stimulates the thyroid gland to produce more thyroid hormone. The lower the thyroid hormone level, the higher the level of TSH; the higher the thyroid hormone level, the lower the level of TSH. This is a negative feedback loop which, under normal conditions, maintains thyroid balance. All hormones in the body are regulated in this manner through a negative feedback loop with the stimulating hormones. A normal range for TSH (measured in the blood) listed by the laboratory is between 0.5 and 4.00. As you can see, this range is fairly wide. A level of 4.0 is eight times greater than 0.5. If a woman had a TSH level of 1 which over time increased to 4, this means her thyroid hormone production decreased eight fold necessitating an increase in TSH. Most women feel poorly when thyroid levels drop and will complain of symptoms as described above, but since their TSH is within the ‘normal’ range, their complaints are usually disregarded by physicians. A rising TSH level means the thyroid is becoming less efficient. This is called thyroid insufficiency or thyroid resistance. TSH stimulates the thyroid to produce thyroxine or T4. Thyroxine has 4 iodine molecules. It is converted to T3 or triiodothyronine through a complex process of de-iodination where 1 iodine molecule is removed from T4. A large percentage of both T4 and T3 exist bound to a protein and a small percentage exists unbound or free. The free hormones are the active hormones which perform the functions on which the body relies. Free T3 regulates metabolism including fat metabolism, keeps the heart rate from slowing down or speeding up, maintains healthy skin, endurance, energy, regulates the sleep cycle and physical and mental well-being. The process of de-iodination of T4 is facilitated by progesterone, DHEA, several micronutrients, vitamins, and minerals like Selenium and Magnesium. A healthy and clean diet rich in iodine, as well as estrogen and progesterone balance, is needed for proper thyroid function. Why has thyroid imbalance reached unprecedented levels in our society? In the Great Lakes area, the soil and water are deficient in iodine. In addition, people now-a-days eat genetically modified and processed foods, and sea salt (which lacks iodine); further lowering their body’s iodine levels. Iodine is needed to create thyroid hormones. If iodine is low, the thyroid hormone production will be reduced, creating insufficiency or even a hypothyroid state. Furthermore, when women’s hormones become imbalanced during peri-menopause in midlife, and progesterone levels begin to fall, the conversion of T4 to T3 is compromised. In many women, DHEA levels also drop as the adrenals become stressed. Stress hormones alone can affect thyroid hormone function, diverting the production of free T3 into reverse T3. Many women begin to feel sluggish, with thickening of their waists, muscle aches, and mental fog when this process occurs. This should prompt physicians to check a complete thyroid panel consisting of TSH, free T4, and free T3. Doing so provides a more complete picture of a woman’s thyroid status. The majority of doctors only check the TSH and a ‘reflex T4’ which only runs a free T4 level if/when the TSH is out of the normal range. If the thyroid panel is checked and the free T3 and T4 are in the mid-range with the TSH between 1 and 2, the cause of symptoms lies elsewhere. In both my personal and professional experience, a rise in the TSH above 2.2 with a drop in the free T4 or free T3 to low normal levels should signal physicians to consider thyroid support or replacement. If a woman is feeling more tired than usual, having difficulty losing weight, losing hair, experiencing a depressed mood or having sleep disturbances, she may need her diet cleaned up with the addition of iodine rich foods, or supplemental iodine. DHEA levels may need to be checked and dietary changes may be needed to provide her body with the micro and macro nutrients that support the thyroid, restoring its efficiency. If a woman’s female hormones reflect estrogen dominance (low progesterone), this may be contributing to her thyroid insufficiency. As progesterone levels drop, the conversion of T4 to T3 is negatively impacted. Some women may require T3 replacement, if this is the case. Conventional T3 replacement is either the brand Cytomel or generic liothyronine. Conventional T4 is brand Synthroid or generic levo-thyroxine If free T4 levels are low, she would need T4 replaced, if just free T3 is low, she may need T3 replaced (if other attempts to support the conversion are unsuccessful), and if both are low, she may need both replaced. For many, merely balancing the progesterone level with bio-identical progesterone may bring balance to the thyroid and restore the conversion of T4 to T3. This would result in a normalization of the TSH to below 2.2 and the restoration of well-being. Some women I see are prescribed Armour thyroid or Nature-Throid (porcine hormones) by their ‘holistic’ practitioners. Many prescribe it to help women lose weight. Many also prescribe high doses of Armour to treat symptoms of fatigue without checking blood levels of thyroid hormones. Many women are over medicated with this practice. It is very dangerous for anyone to be on hormones (natural or synthetic) without proper monitoring. Armour and Nature-Throid are porcine hormones, not THYROID>>page 39
(262) 695-5311 | (262) 695-9744 1166 Quail Court, Suite 210 | Pewaukee, WI 53072 www.ommanicenter.com | info@ommanicenter.com
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OCTOBER 2015 MHL 11
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They are prepared from natural sources of plant, animal or mineral/chemical and diluted in extremely small amounts to achieve their desired effect. These medicines are recognized by the Food and Drug Administration. The word Homeopathy means â&#x20AC;&#x153;similar suffering.â&#x20AC;? Homeopathic medicines are based on the principle that â&#x20AC;&#x153;like cures likeâ&#x20AC;?. So if a substance can cause symptoms of disease in a healthy person, then it should alleviate those symptoms in a sick person with the illness. For example if an individual is having insomnia and cannot fall asleep instead of giving a sleeping pill to induce sleep you would prescribe â&#x20AC;&#x153;Coffea Crudaâ&#x20AC;? which is a tiny dose of coffee that is prepared by a homeopathic pharmacy in accordance with FDA regulations because Coffee is known to cause insomnia. Symptoms in homeopathy are viewed as the bodyâ&#x20AC;&#x2122;s attempt to restore it to balance. That is why two people with the same illness may be given different homeopathic medicines. For example a person diagnosed with asthma who develops a cough that is barky and dry would be given a different medicine than the asthmatic that has a wet productive cough. This is unlike conventional medicine in which one medicine would be used to treat both types of cough. Homeopathic medicines can safely be given in conjunction with conventional treatment without drug interactions. Given the right medicine in the right dilution may help to reduce the use of conventional treatments. Homeopathic medicines can safely be used in conjunction with conventional medical prescriptions and along with other disciplines including physical therapy and surgical treatments. The exact mechanism by which homeopathy works is unknown. Clinical experience along with per-reviewed science confirm its effectiveness. Cherri Schleicher FNPc APNP AHN-BC Family Nurse Practitioner Integrative Family Wellness Center
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OCTOBER 2015 MHL 13
body mind spirit
SPECIALISTS IN CHRONIC PAIN RELIEF
Leg Pain
PAIN ON THE OUTSIDE OF THE HIPS CRAMPING IN EITHER THE FOOT
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Call Rob Reader, L.M.T., official massage therapist of the Milwaukee Ballet or Wendy Halfpap, L.M.T., integrative massage specialist at 414-721-6942.
14 MHL OCTOBER 2015
PAIN IN THE KNEE Our legs are incredibly important to our everyday activities and are very complex in both their function and design. There are two basic types of muscles found in the legs. Some of these muscles are phasic or fast twitch muscles which are used to help us walk and run. They are geared more for faster activities like running and jumping. The muscle fibers are better suited to do quick movements. They want to do the action and then rest. The others are postural or slow twitch muscles which are used to keep us standing when still. The muscles fibers are better suited to hold positions so that we don’t fatigue so quickly while standing or sitting up. When some of these muscles stop doing their job properly it can cause pain in the legs. Legs are commonly ignored until you start to feel the knee or hip pain. The pain felt in the hips and knees can be the result of any number of dysfunctions in your leg muscles. When a massage therapist is confronted with a client with leg or hip pain, it can be very challenging to find the actual source of the dysfunction. Usually pain is merely a symptom of a muscle dysfunction elsewhere in the leg, or possibly even as high as the low back. Some of the most common causes of knee pain is the fact that muscles will stick together. The four muscles in the front of the thighs, or quads, have to do a lot of work for you throughout the day. When they are doing more strenuous tasks such as going up or down stairs, or helping you lift or carry something, the muscles can tighten and stick together. This can cause pain in the knee just below the knee cap or pain up in to the hip. When the pain first starts it is people’s first inclination to ignore it. Sometimes that works and the pain doesn’t get worse. Sometimes it does get worse and starts to inhibit mobility and flexibility. Stripping through the belly of the quad muscles can help to separate these important muscles and allow them to do their jobs again as they should. Pain on the outside of the hips near the glute area along with knee pain on the lower inside of the knee can be caused by tight adductor muscles. The adductors are the muscles on the inside of your thighs and are the ones that pull your legs together. These muscles are very strong. When they get tight they can pull on the inside of the knee and cause pain there and wrap around to the outside of the knee, causing a tight iliotibial band (it band) and over stretch hip and glute muscles. Working the tightened muscles to make them relax and lengthen will help things back in to place and alleviate the tightness and pain. Cramping in either the foot during the day or the calf muscles at night can be cause by a tight shin muscle. This is also the most common cause of shin splints. This muscle is called the tibialis anterior. Good firm work in to this muscle to both relax and loosen it can greatly alleviate not just the above issues but also has in my experience had great results with plantar fasciitis. That is really just a small sample of explanations of leg pain. There are many other combinations of tight muscles and dysfunctions that can cause a variety of leg pain. Almost everyone will experience some sort of knee pain or hip pain from the average Jane to the top athletes. Proper muscle function is essential to pain free legs. One way to help prevent it is with a good deep tissue massage. If you are experiencing any of these pain symptoms give your local independent massage therapist a call. Chances are we can help you with your pain. Rob Reader has been a full-time massage therapist since 2005. He has worked on headline performers at Summerfest and professional wrestlers, and is the official massage therapist of the Milwaukee Ballet since 2006. He currently works in Mequon at Active Body Wellness LLC, 909 W Mequon rd. For more information, call 414.721.6942 or visit activebodywellness.massagetherapy.com. Active Body Wellness offers holistic pain relief through several different types of massage. These include swedish massage, deep tissue, hot and cold stone massage, therapeutic massage, Muscle Release Therapy® and Craniosacral Therapy®. Our goal is to have you pain free within as short of time possible through soft tissue manipulation.
SEASONAL AFFECTIVE February 2011 Note DISORDER
SAD affects many people in northern latitudes in winter
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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 themAffective so they canDisorder stay in touch with symptoms you. I thinkstem you’llfrom find something Most Seasonal (SAD) daily body here that can help you lead a healthier life. We hope that you share thishas special rhythms that have gone out-of-sync with the sun, a NIMH-funded study found. issue with friends and family, too. The researchers propose that most patients will respond best to a low dose of the Speaking of family, I try to keep mine active throughout these cold months. light-sensitive hormone melatonin in the afternoon in addition to bright light in the My children are taking a Tae Kwon Do class 4 times a week. I encourage you morning. Rhythms that have lost their bearings due to winter’s late dawn and early to try to find something to keep your children active and social. Wheather its dusk accounted for 65 percent of SAD symptoms; re-aligning them explained 35 gymnastics, dance, sport or just running around in circles, staying active keeps percent of melatonin’s antidepressant effect in patients with delayed rhythms, the the body and mind healthy and developing. most common form of SAD, report NIMH grantee Alfred Lewy, M.D., Ph.D., and To us adults with Super Bowl Sunday and myself hosting the monthly colleaguesBunco at theget Oregon Health & Science University, AprilIt’s28, in the together this equals food, food and evenonline, more food. so 2006, important Proceedings of the National Academy of Sciences. to keep ourself active, so it might be time to get that gym membership or start SAD affects many people in northern latitudes in you winter, young womwalking the malls again. Stay active!!! I hope haveespecially a wonderful February en, and is and usually treated with bright light in the morning. The pineal gland, located will touch base again in March in the middle-Amanda of the brain, Lewisresponds to darkness by secreting melatonin, which re-sets the brain’s central clock and helps the light/dark cycle re-set the sleep/wake cycle and other daily rhythms. Lewy and colleagues pinpointed how rhythms go astray in SAD and how they can be re-set by taking melatonin supplements at the right time of day. The findings strengthen the case for daily rhythm mismatches as the cause of SAD. February 2011 EDITION The researchers tracked sleep, activity levels, melatonin rhythms and depression symptoms of 68 SAD patients who took either low doses of melatonin or a placebo in the morning or afternoon for a winter month when they were most symptomatic. They had determined from healthy subjects that a person’s rhythms are synchronized when the interval between the time the pineal gland begins secreting melatonin and the middle of sleep is about 6 hours. Seventy-one percent of the SAD patients Lewis Media Grouphad intervals shorter than 6 hours, indipublishers Lewis cating that their delayed due to the later winter dawn. Taking melatoeditorrhythms were Amanda Malberry Media nin capsulesgraphic in thedesign afternoon lengthened their intervals, bringing their rhythms back Marlys Lewis toward normal. The closer their intervals Jerry Kornowski approached the ideal 6 hours, the more their mood improved on depression rating scales, supporting the hypothesized link Marlys Metzger travel editor BarrySAD. Lewis founder between out-of-sync rhythms and “SAD may be the first psychiatric disorder in which a physiological marker correlates with symptom severity before, and in the course of, treatment in the same patients,” explained Lewy, referring to patients’ rhythm shifts towards the 6 hour interval in response to melatonin.
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CHILDRENS HEALTH & LIVING
Kids deserve the best. That includes your primary care pediatrician. Children’s Hospital of Wisconsin has 19 primary care locations throughout Southeast Wisconsin, including Oak Creek Pediatrics. Our doctors are trained as pediatricians so they are experts in treating kids from birth through adolescence. And because our pediatricians are connected to the #4 pediatric hospital in the nation (according to Parents magazine), you’ll always know your child is in the very best hands. Oak Creek Pediatrics (414) 764-5726 8375 S. Howell Ave. Same-day appointments available Accepting new patients
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Mindfulness Practice HELPS CHILDREN, TOO
modernhealthandliving.com
Mindfulness meditation, inspired by Buddhist traditions, really took root in the United States after 1979, when Jon Kabat-Zinn founded the Mindfulness-Based Stress Reduction program at the University of Massachusetts. The practices, which emphasize attention to breathing and focusing on the present moment, offer many benefits, according to the American Psychological Association. Those include stress and rumination reduction, increased focus and less emotional reactivity. While it’s easy to understand how that would benefit the typically harried adult in this country, it’s a little more difficult to picture a child sitting quietly meditating. Yet mindfulness practices are being introduced to children in school settings, and with good reason. “I think schools are really stressful for kids,” said Tracey Sparrow, Ed.D., vice president of Children’s Programs at the Milwaukee Center for Independence. “So are social situations and home situations.” Mindfulness practice, she said, “gives them a tool to deal with that stress.” At MCFI’s School for Early Development and Achievement, Sparrow said mindfulness practices are taught using the MindUp™ Curriculum, 15 lessons with activities designed to help children concentrate, manage their emotions, better handle conflicts and have less stress. MindUp™ is an evidenced-based, CASEL-accredited social and emotional literacy program of The Hawn Foundation, founded by Goldie Hawn. “They go through structured lessons,” Sparrow said. “They do a lot of breathing exercises.” But if you’re imagining a room filled with children sitting cross-legged with eyes closed mouthing “Om” in unison, you’re picturing it wrong. Sparrow said students will place a teddy bear on their stomach and watch as it goes up and down with each breath. “It’s a good way for them to get focused.” She said mindfulness practices have even greater implications for children with special needs, who can learn to self-regulate t heir behaviors. For instance, she said an active child with a sensory disorder can be taught to use breathing techniques to calm down. And once the practice is learned, that child can, on his or her own, practice it anytime, anywhere. “Our kids have started, when something upsets them, to step back and take a breath,” said Sparrow. Research indicates mindfulness practice also enhances executive function – the ability to plan, organize and manage time. Academically, that will benefit all children, said Sparrow. (For more information on mindfulness applications for children, contact Tracey Sparrow at MCFI Children’s Programs at 414.937.3990.) MCFI offers a full spectrum of services to help children with special needs and complex medical issues: Birth to Three, SmartBaby, School for Early Development and Achievement, Wells St. Academy, Pediatric Skilled Nursing
I aM one of a kind. For 75 years, the Milwaukee Center for Independence has been helping people with special needs develop their unique abilities. Today, MCFI touches more than 15,000 lives in our community, one at a time. Visit www.mcfi.net.
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JAMES “My stay at ManorCare Health Services – Pewaukee was great. I came in for rehabilitation after a traumatic injury. The staff was well trained, organized and worked hard to attend to my needs – both physically and mentally. They understood my needs and provided the care necessary while maintaining my dignity. The facility was clean and the entire staff was accommodating 24-hours a day. The rehabilitation staff gave me the necessary ‘push’ to attain improvement of my injuries.
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ARE BABY BOOMERS FORGETTING SOMETHING ESSENTIAL WHEN PLANNING RETIREMENT? Most people have some kind of lifestyle vision for retirement. Unfortunately, without proper planning their dreams won’t always become a reality as they enter the encore time of their lives, says Michael Bivona, a certified public accountant who retired almost 20 years ago. “I had a simple plan: When I stopped working I planned on living on my 42-foot Chris Craft cruiser with my wife, Barbara, which was a very pleasant pastime during my busy working years,” he says. “But, after a few weeks, as we tried to make our dream a reality we found that we were bored out of our minds. “Pre-retirees and retirees are rightly concerned about whether they can afford retirement. But not having enough to do is another kind of deficit that is frequently overlooked until it’s too late,” says Bivona, author of the book “Retiring? Beware!! Don’t Run Out of Money and Don’t Become Bored” (www.michaelbivonabooks. com). He offers possible avenues to explore for a fulfilling retirement lifestyle. • Develop a social network with senior civic centers. Civic centers, which usually
have a department dedicated to the betterment of the senior citizens who live in their areas, can be found in almost every municipality in the United States. These centers offer a wide range of activities. Additionally, the following online search, “Fun Activities for Senior Citizens,” offers a nice list of activities and associated details that can be explored prior to retiring. • Try on a pair of dancing shoes. For some, the thought of dancing may elicit a strong sense of aversion, but you may want to try it anyway. The benefits include exercise, coordination and possibly enjoying a romantic hobby with your spouse or others. Dancing is a beautiful art form that gives participants something with which to challenge themselves, Bivona says. A goal-oriented mindset is a healthy one especially when approaching the encore years. • Make the most of your travels. Traveling is a common bucket list item for most retirees. Of course, it’s going to cost you. That’s why this is a subject that perfectly combines the two great concerns for retirement: money and purpose, both of which can be maximized with “research, research, research, Bivona says. You might even parlay traveling with another interest, such as your family history. You may learn about your roots at www.Ancestory.com, and then visit areas based on your research. Or, you may be more interested in stretching your dollar. There are many cost effective deals to be had by researching your heart’s desire on the internet. • Stay sharp and keep learning. The mind is much like the body: If you don’t use it you will accelerate the process of losing it. Building bridges to new adventures is the key to maintaining your mental acuity and increasing your vitality. There are an abundance of educational courses developed for seniors to keep them exercising their mental prowess. Remember, if you started working in your twenties and retire in your sixties, there’s a good chance you’ll spend as many years in retirement as you did working. So building bridges to what you want to do in a rational manner for your encore years is imperative if the last phase of your life is to be enjoyable for you and your love ones. About Michael Bivona Michael Bivona, (www.michaelbivonabooks.com), a certified public accountant, retired from the accounting profession and the computer-enhancement industry. He is an award-winning author and the recipient of the prestigious Long Island University Distinguished Alumni Award, 2007. Among his books published are Business Infrastructure in a Computer Environment and Traveling Around the World with Mike and Barbara Bivona-Part One. He has been interviewed and quoted on Jim Cramer’s The Street; US News & World Reports, Fox Business News; Forbes and many other internet news publications. He lives with his wife, Barbara, on Long Island, N.Y., and in Delray Beach, Fla.
OCTOBER 2015 MHL 23
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ALL ABOUT NOISE: YOUR GUIDE ON PREVENTING HEARING DAMAGE We live in a noisy world. Sounds constantly surround us, and sometimes loud environments are unavoidable. Although hearing loss is a natural part of aging, exposure to loud noises can also cause hearing damage. Often it is difficult to determine if a noise volume is harmful or not. Here is what you need to know about sound to help prevent hearing damage: Deciphering decibels Sound is measured in units called decibels, which is determined by intensity levels. The scale starts at zero, which is near to total silence. This is the weakest sound that our ears can hear. A normal whisper is measured at 30 decibels (dB) and average conversation volume is 60 decibels. The scale runs to over 180 dB, which is the noise at which a rocket pad is launched. An increase in 10 dB means that sound is 10 times more powerful to your ears, and as a result, potentially 10 times more harmful. Here are some examples of common sounds and their corresponding decibel measures: Humming of a refrigerator: 45 dB. Moderate rainfall: 50 dB. Dishwasher: 60 dB. City traffic: 85 dB. Lawnmower: 90 dB. Chainsaw: 100 dB. How loud is too loud? Hearing loss caused by noise can happen a number of ways. It can be one time exposure such as a loud explosion, or it can happen gradually, like a person who works with power tools on a daily basis. Sounds of less than 75 decibels are generally safe and should not cause hearing loss. However, anything measured about 85 dB can cause hearing loss, especially with repeated exposure, according to the National Institute on Deafness and other Communication Disorders. The louder the sound, the shorter amount of time it takes to damage hearing. But exposure over long periods of time can also cause damage. Some activities that involve loud noises include hunting, use of power tools, working with heavy machinery, playing in a band or attending loud concerts, etc. Anyone who is exposed to loud noise may be at a potential risk for hearing loss. How to protect your hearing If an environment with questionably harmful sound is unavoidable, you should wear hearing protection. Examples include earplugs and earmuffs. Earplugs fit in the outer ear canal. They can be purchased at your local drugstore. However, they also can be custom made, which is the preferred method for utmost safety. With customfit earplugs, the earplug fits more snugly in your ear and offers greater protection. Earmuffs fit over the entire ear to form an air seal blocking the entire circumference of the ear canal. Earmuffs are held in place by an adjustable band. According to the American Hearing Research Foundation, fitted earplugs or earmuffs can reduce noise by 15 to 30 dB. If you anticipate being in a loud environment, be sure to protect yourself with equipment. Tips to minimize risks Though sound can be measured and the scale is extremely helpful, the best way to determine if a sound is dangerous is constantly being aware of your body’s responses. Here are some tips to knowing if a sound could potentially be harmful to you: You can hear a buzzing or ringing sound in your ears. You have to raise your voice to an unnatural volume to be heard. The noise hurts your ears. The sound is so loud it vibrates. If you are exposed to any of these noises, be sure to take precautions: put on earplugs or earmuffs, turn down the sound if you can or simply walk away. The more proactive you are about noise, the less chance you will be at risk for hearing loss. For more information please visit www.captel.com All about noise: your
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26 MHL OCTOBER 2015
Opening Opening OctOber OctOber
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FINANCIAL ADVISOR SAYS THE TIME TO PLAN IS NOW It wasnâ&#x20AC;&#x2122;t long ago that most Americans had a secure three-legged stool on which to rest their retirement concerns â&#x20AC;&#x201C; a well-funded Social Security system, substantial corporate pensions with retiree health benefits and, ideally, a strong personal savings rate. Nowadays, however, pensions arenâ&#x20AC;&#x2122;t what they used to be; theyâ&#x20AC;&#x2122;ve been largely replaced by employer-sponsored plans such as a 401(k), 403(b) or 457, the reliability of which is yet to be proven. Social Security, which was never meant to be a sole income provider during retirement, is often said to be vulnerable for future generations. Alarmingly, only 53 percent of the civilian workforce contributes to or participates in a retirement plan, according to the U.S. Bureau of Labor Statistics, with subsets like the private industry at just 48 percent. And, according to the Transamerica Center for Retirement Studies, 36 percent of baby boomers plan to rely on Social Security as their primary source of income. â&#x20AC;&#x153;All is not lost; however, whether youâ&#x20AC;&#x2122;re retired, soon-to-be retired or planning on it a few decades in advance, your best move is to do something about it now,â&#x20AC;? says Marc Sarner, president of Wake Up Financial and Insurance Services Inc. (www. wakeupretirement.net). While there are many clear factors to consider when planning for retirement â&#x20AC;&#x201C; such as when to draw Social Security benefits and the possibility of long-term medical care â&#x20AC;&#x201C; Sarner summarizes five variables you may be overlooking. â&#x20AC;˘ You may need a housing plan â&#x20AC;&#x201C; or two. Between 2005 and 2007, U.S. home values spiked drastically in value, but shortly thereafter plummeted. Fluctuations in the housing market could impact your retirement income strategy. Your home may not provide the backup retirement income you have anticipated, Sarner says. Looking ahead, the rate of house appreciation is likely to revert closer to the long-term norms (pre-2006) of 0.75 to 1 percent per year over the rate of inflation â&#x20AC;&#x201C; not double-digit annual increases, according to the Urban Land Institute. â&#x20AC;˘ Consider the potential impact of inflation. Inflation can be experienced a little differently when you retire because youâ&#x20AC;&#x2122;ll likely spend money proportionately on different things. For retirees, the tendency is to spend money on things that experience a higher rate of inflation. For instance, health care, which has an inflation rate of about 8 percent â&#x20AC;&#x201C; is currently two to three times greater than the overall inflation rate. â&#x20AC;˘ Reconsider your goals. The distribution of retirement income differs from accumulation because, once retired, you may no longer have the timeline to help you recover from the impact of a down market. You canâ&#x20AC;&#x2122;t control what the markets will do, or when they will do it, Sarner says. The occurrence of a market downturn, such as in the first few years of retirement, can have an impact on how long retirement assets may last. One helpful strategy is to combine growth opportunity with reliable income sources. â&#x20AC;˘ Understand taxes in retirement. Many pre-retirees think that when they retire their taxes will be less because they are no longer working. However, many of my clients pay more taxes in retirement then while they were working. Shocking? Itâ&#x20AC;&#x2122;s true. The house is paid off, you have no dependents and have less write offs. Throw in your pension and Social Security income, plus RMD income from IRAs and 401ks, and now you have a real taxation problem. Proper planning can help elevate this future tax liability. â&#x20AC;˘ Find your distribution strategy. Saving for retirement is like standing at the foot
t 26 studio apartments t Private bathrooms t Kitchenettes with microwaves and refrigerators t Shared living areas for socializing t 24/7 available assistance
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FINACIAL>>page 38 OCTOBER 2015 MHL 27
MANORPOINTE OAK CREEK
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9 apartment styles, many with in-unit laundry Health and Fitness services Trips and activities Transportation Daily evening meal Bank, Salon, Store, Whirlpool, and much more!
www.lutherhaven.net 28 MHL OCTOBER 2015
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Seniors choose Luther Haven as their home for a variety of reasons, but most often our friendly, Christian atmosphere is what truly sets us apart. We offer a variety of social, educational, and recreational activities for everyone to enjoy— all at costs that make our retirement community one of the best values in the greater Milwaukee area. We’re proud to be able to continually provide seniors the one-of-a-kind lifestyle that they deserve and can afford.
Luther Haven Retirement Community 8949 N. 97th Street Milwaukee, WI 53224 414-354-4600
By Laura Levenhagen, RN, RMT In my Reiki, craniosacral, crystal therapy, flower essence and essential oil practice, a lot of the people I see are at a crossroad in their lives. They typically are in their late 40s-50s, have worked all their life in a system that has not fulfilled their creative needs or have been caregivers who put the requirement of others before their own. They have steadfastly shouldered responsibility and ignored their own physical, emotional and spiritual needs. Many have found themselves caught up in a cycle of unsatisfying work and compromise to maintain security and a material lifestyle that they now find unfulfilling. Some have found that they still feel pain from their childhood and early adult life that now limits them from experiencing love and inhibits their enjoyment of life. Often in midlife, a crisis: divorce, the death of a loved one, losing a job, changes in health or spiritual longing leads them to pursue energy work as a means of getting in touch with their inner wisdom and to reestablish a relationship with their essential self, their core being. Midlife can be a time of rebirth: a time to release restrictions that block enjoyment and fulfillment in life and rediscover what is important and meaningful, how to live from one’s heart and speak one’s own truth. The healing modalities that I use are integrated and individualized to meet each client’s needs. Reiki is an ancient healing tradition that utilizes “laying-on-ofhands” to increase the LifeForce energy available to a person to replenish energy and restore balance. Craniosacral therapy is more structural, utilizing the cranial bones and sacrum as handles to move the dural membranes of the brain and spinal cord to relieve restrictions on the central nervous system. Crystal therapy helps repair energetic imbalance due to their regularly repeating atomic structure. Flower essences have unique electrical patterns that can help balance and support humans as they move through specific core issues. Essential oils have therapeutic qualities that can enhance the healing process. The combinations of these therapies often lead to growth and healing in a number of ways. Many times, a client will experience a deep sense of peacefulness and relaxation that facilitates meaningful thought process and provides insights into core issues otherwise inaccessible. Other times painful memories locked in the tissues can be released by imagery and dialogue work. By deeply melding with the client, I allow the wisdom of the body to guide me in the work to be done each session. I connect with the client’s higher self, (“true self”) and let that part of them guide me in the session. I believe that this core part of each person knows what they need to heal and evolve and I can offer my skills to be used in a way to best benefit the client in their healing process. This allows the client to be in charge of their own healing with a timing that is just right for them to integrate the changes into their lives comfortably. Helping people rediscover their core self, their physical/emotional/mental/spiritual self is of utmost importance to me. When we deeply relax and let go, our natural healing processes can take over and help us grow and rediscover who we really are, what we really want, and how to find more joy in life. I feel deeply privileged to be a part of each client’s journey toward better health and happiness. Laura Levenhagen is a Registered Nurse, Reiki Master Teacher and advanced level CranioSacral Therapist. She sees clients at The Ommani Center for Integrative Medicine, 1166 Quail Court, Suite 210, Pewaukee, WI Phone: 262-695-5311. Learn more at: www.ommanicenter.com
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.
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ST. JOHN’S MANOR
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Consider a Continuing Care Retirement Community A primary reason older adults find the concept of continuing care appealing is security.
The benefit of a CCRC is the campus-like setting.
at your Church or Cemetery Chapel of your choice
Continuing Care Retirement Communities are attractive to seniors.
What is a Continuing Care Retirement Community (CCRC)? A Continuing Care Retirement Community or CCRC provides a continuum of care on a campus setting. Multiple levels of care and services are provided in independent apartments, assisted living apartments and skilled nursing settings. There are CCRCs that are more comprehensive and offer rehabilitation services, home care and hospice. A primary reason older adults find the concept of continuing care appealing is security. Continuing Care Retirement Communities offer the security of knowing that as seniors grow older or face a potential future illness, their needs will be meet. A comprehensive network of services is an offered to allow residents to age with choices. The confidence that there is lifelong commitment by the CCRC to the resident offers certainty and peace of mind. The continuum of care typically begins in an independent apartment in a community setting. The monthly fee may include fine dining, housekeeping, wellness services and variety of activities. Seniors enjoy an active lifestyle, social opportunities, the benefits of vibrant friendships and freedom from the burden of homeownership. Many retirement communities offer home health programs to provide additional support to their residents, allowing residents to remain in their independent apartments longer. The progression of care may include a move to assisted living, where additional meals, housekeeping and nursing services are available. The benefit of a CCRC is the campus-like setting. Often the different areas of care are physically connected allowing residents to easily maintain relationships even after a health related move. Many CCRCs provide specialized assisted living to meet the needs of those suffering from Alzheimer’s disease. Long term skilled nursing facilities are an integral component of a CCRC. Short term rehabilitation services, hospice care and home health are often offered to enhance the continuum. Continuing Care Retirement Communities are most often religiously affiliated and are not-for-profit. The cost of a CCRC varies, however a substantial entrance fee is typically required for independent apartment. Entrance fees may be fully or partially refundable. However, the monthly fees tend to be a excellent value due to the amenities and services included. The assurance of knowing that an individual’s changing needs can be met in one location is significant reason that Continuing Care Retirement Communities are attractive to seniors. Senior residents of CCRCs often relate the feeling of the security to having a large supportive family to rely on. For more information on the advantages of a CCRC, please call Julie Leveritt, at St. Camillus Continuing Care Retirement Community 414/259-4680
Call for more details
414.453.1562
SERVING ALL OF WISCONSIN
OCTOBER 2015 MHL 29
If you’re like the average person, you’ll probably need at least 70 percent of your annual pre-retirement income to maintain your standard of living after you retire, possibly more.
Take part in the retirement plan at work.
Sign up for your employer’s retirement plan as soon as possible. More and more employers are automatically enrolling workers in their 401(k) plans unless the worker makes a clear choice not to sign up (sometimes called “opting out”). If possible, put in the maximum allowed each year—or as close as you can get. Your employer might also match part of your contributions. Try to take advantage of these matching contributions. Ask your personnel or hr (human resources) representative how your company’s plan works. Also, talk with the professionals who manage your firm’s 401(k) for advice. If your employer doesn’t offer a retirement plan, ask if the organization can start one.
Make the most of your other retirement-saving options.
Saving For Retirement WHAT YOU CAN DO
Start now.
It’s never too early or too late to start setting aside money for your retirement. The younger you are when you begin, the more time you have to save and the more your money can grow over time. Time can also provide a cushion that might help your savings to recover from dips in the investment markets (like stocks and mutual funds), which occur from time to time.
Consider putting money in more than one retirement-saving plan. That is especially important if your employer doesn’t offer one. Some kinds of plans could help you to save, and some can help to lower or defer (put off) your taxes. For example, you might contribute regularly to an individual retirement account or ira, which you can open at a bank or through a broker or mutual fund. One type of ira, a roth ira, allows you, the investor, to earn dividends (income) tax-free, with some restrictions, and to withdraw the money during retirement without paying federal income taxes. You might set up an annuity (a contract between you and an insurance company). An annuity pays you income on a regular schedule, such as monthly, quarterly, or yearly, after a certain age. To learn more, see the resources listed in “for more information.”
Figure out how much you’ll need.
If you’re like the average person, you’ll probably need at least 70 percent of your annual pre-retirement income to maintain your standard of living after you retire, possibly more. Resources are available to help you calculate what you might need. For example, one useful online tool, www.Choosetosave.Org/ballpark, will help you estimate how much you’ll need. The introduction and faqs on that website can help you get started. Other calculators to help you plan can be found at www.Choosetosave.Org/calculators. Remember to plan for health care and other costs, which likely will go up in the years to come, as well as for unexpected expenses or changes in the economy.
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Set specific goals.
Plan to save a certain amount—even if it’s small—each week or month. For example, you might set a goal to invest at least $250 a month in your employer-sponsored retirement plan, or you might put $25 a week into another savings plan.
Keep an eye on your investments.
Get to know how your retirement plans work, how your money is invested, and what fees are charged. Review your investments at least once a year. Remember that it’s best to think about your investments over time, rather than reacting to ups and downs in investment markets. As you near retirement, you might also consider shifting your money from more risky investments like stocks to usually less risky investments like bonds. A bond is less risky because it is like an iou, but it does carry some risk. You give money to a government or company, and they promise to pay it back with interest after a certain number of years. You may also have heard about target-date funds, also known as life-cycle accounts, available in some 401(k) plans. These plans automatically shift your investments based on the date you expect to start using your retirement funds. They may not be for everyone. Information about different types of investments is available on the securities and exchange commission website at www.Sec.Gov/investor/pubs/begininvest.Htm.
Find ways to save more.
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Try to find a few ways to lower your weekly or monthly expenses. Can you reduce your cell phone costs or other monthly expenses? Bring your lunch to work instead of eating out every day? Carpool so commuting costs less? Saving this “found” money can help you build your retirement nest egg over time. Some people find it helpful to put a part of any salary increase directly into their retirementIndependent Residences Serving saving plan.
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Be realistic.
Make a plan at which you can succeed. Start by saving an amount of money you are comfortable with. It’s better to have realistic goals—even if they’re smaller than you’d hope—than to set goals you can’t reach and later give up.
Be wary of investing too much in one company’s stock.
Put your money in different kinds of investments (such as american stocks, international stocks, bonds, or real estate) and avoid putting too much of your money in the stock of any one fund or company, including the company you work for. If your employer invests matching retirement money in company stock, think about moving some of that money to other kinds of investments, if possible.
Look ahead.
If you retire early and receive reduced social security benefits, be aware that there are other possible consequences. For example, if you are married, survivor benefits for your spouse also will be reduced if you began receiving social security benefits early. Also, consider buying long-term care insurance or other forms of coverage for uncovered medical expenses.
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Be prepared for change.
A sudden change in health, the death of your spouse, divorce, a stock market decline, or a job layoff could dramatically affect your household’s financial picture. Whether you’re close to retirement or not, having enough savings available can help you and your family weather these unexpected changes. Try hard to avoid using your retirement savings or permanently withdrawing money from your retirement accounts before you retire, unless absolutely needed.
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Consider working past retirement age.
Americans are living longer, healthier lives than their parents or grandparents. Working a little longer than you had planned before retiring can help add to your retirement savings. It also means you will have fewer years in retirement to dip into those savings.
OCTOBER 2015 MHL 31
HOW TO BEGIN THE SEARCH FOR AN
Older Adult Residence final 1/2 pg bridgeway healthwise ad_Layout 1 3/23/12 11:18 AM Page 1
By Marlene Heller Very often adult children are the ones to whom the task falls of finding a place for their aging parents to live. As if it isn’t already an emotionally difficult job, the terminology is difficult to understand, the choices are confusing, and most residences make comparisons very hard to make. After all, how do you compare a one bedroom extended with services with a plain one bedroom and what does that even mean? Here are a few simple things to keep in mind that will help you get started, and give you an idea of the questions you need to ask. Independent or Assisted Living? Independent Living is like living on your own in an apartment building. You get no services or nursing care at all; you come and go as you please; you have no special health requirements. Assisted Living means you need help with at least one of the “activities of daily living,” or ADLs. They are dressing, feeding, bathing, toileting, and transferring (moving from bed to chair, chair to walker, etc.). In order to be accepted into an assisted living, the nurse manager of the establishment will do an assessment of the prospective resident to determine if the applicant is, indeed, a candidate for assisted living. At the same time, the nurse manager will make sure that the facility will be able to meet his or her needs. RCAC Some facilities are licensed to offer “à la cart” assisted living services in an independent living apartment. The resident would pay a fee to be under the nursing services of the residence. The permits them to keep a chart on the resident, speak to the resident’s physicians, and document his or her care. The resident can then choose certain other services, which are paid for separately. This is different from true assisted living, in which all the services are included in the rent. How big an apartment does Mom really need? This is one of the hardest things to come to terms with. For many people in Wisconsin, this will be the first time they have moved in 52 years. They are used to being in their houses, with so much furniture, and many personal belongings around them. Then they tour an assisted living or independent apartment. If it is as small as a studio apartment -- one room -- they are shocked and dismayed. Even though some of them seem quite spacious, with a small kitchenette, full bathroom, and lovely view out of the windows, it is still quite a difference from what Mom or Dad is used to. But often the reality is that the great big house they are used to is going to waste. Think about what rooms are actually being used. In most cases, it is the bedroom, bathroom, and kitchen. Perhaps one other room as well. It is a good idea to discuss
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There is a new industry of senior relocation services that has been created specifically to help aging adults prepare to leave their long-time homes and move into smaller residences.
this before starting to tour so the potential resident has a realistic view of what he or she needs when the time comes to look. Then focus on the rest of the building. After all, the many common areas of the building are the rest of your house! Is there a library? You can sit there and read books. A lobby? The perfect place to sit with friends to chat between activities or before dinner. There may be small alcoves with comfortable furniture, or special rooms set aside for games or cozy reading rooms. The point is: the entire building is your home; not just your own apartment. So don’t just tour the apartment. Be sure to look at everything as though you will use it all. The same thing applies to the furniture. When was the last time your parents used the full dining room set? If it is something that is used only once a year or less, keep in mind that their new residence will most likely have a private dining room that can be reserved for private parties. In other words, look practically at household possessions. There is a new industry of senior relocation services that has been created specifically to help aging adults prepare to leave their long-time homes and move into smaller residences. These experts will look at both the new space and the old and, for a fee, help to make the tough decisions about what to bring and what to leave. They are experienced in knowing what will fit, what is necessary, what is an emotional need, and how to make it all happen. In addition, these transition services will also pack your boxes, arrange for movers, unpack your boxes, help you decide where things go, and, if you like, do it all while you’re out grocery shopping for your new apartment! What should I be looking for? When you start comparing residences, think about what is important to the person who will be living there. What does he or she like to do? If it’s swimming, look for an indoor swimming pool. If it’s exercise, check out the fitness room. If it’s exercise, find out what kind of exercise schedule they have. Are there yoga classes? Zumba? Brain exercises? What about outings? Are there regular trips to the grocery store? What kind of entertainments do they have, and are they free? Check out the amenities. Do the apartments include laundry facilities? Where are they? Are they free? Is there parking on the premises? How long are the hallways? If it is a long walk from apartment to elevator, are there benches along the route? Is there a hair salon on the premises? A bank? What about a library, a gift shop or a sundry shop? Do the apartments come equipped with emergency pull cords in the bathrooms and bedrooms? Do they offer emergency pendants, or will they facilitate the rental of one for you? Can you try the food before you make a decision? Once you decide which of these answers is important to you, you and your parent can compare the residences and decide which new home is the right one.
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Reducing the amount of furnishings and personal items for a senior move can be a daunting task, but with the proper preparation and moving firm, a senior move can be completed in a timely, stress-free fashion. Senior citizens account for 50 percent of the residential moves currently on the housing market, and moving firms offers senior services for seniors moving into downsized living quarters. “Reducing the amount of furnishings and personal items can be a daunting task, but with the proper preparation and moving firm, a senior move can be completed in a timely, stress-free fashion,” says Tony Baumer, owner of BD Movers. With a 21-year track record in the moving and storage industry, BD Movers offers senior citizens advice and complete references from handy men, to charities, even CPA’s and elder lawyers. A senior move can be daunting, but with the correct planning and strategy, downsizing is another step in the life process, adds Baumer. - Create senior downsizing task list one to three months in advance. - Get the family involved in the senior move. If you need help, consider hiring a senior move manager. - Designate items that will be moved, sold or given away. Decide on the item the senior will want to keep, and will fit into the new senior home. - Be prepared to provide list of inventory to mover, including any legal documentation, regarding power of attorney, etc. if applicable. For instance – if the children DOWNSIZING>>page 38
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Wellspring of Milwaukee excels in providing Respiratory Care Services to our residents that include Tracheostomy Management, Weaning and Support Services. Our program includes: * Highly successful trach weaning programs with speech language pathologists and respiratory therapists on-site * CPAP/BIPAP therapy for patients with sleep breathing disorders *Communication intervention including use of the Passy Muir speaking valve * Pulse oximetry monitoring * Nursing & Certified Nursing Assistant (CNA) Staff certified in Respiratory Care * Consulting Pulmonologists on regular rounds, Dr. Abbas Ali
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Backward Clock
Rev. Joe Jagodensky, SDS Shaving one morning I glanced through the mirror at the clock behind me and noticed that it was moving backwards. I turned around and the spin of the second hand was correct but through the mirror it was the opposite. Throughout that day I was “backwarding” myself beginning with July, ’52, then November, ’63, then September ’69, May, ’75, June, ’76, June ’79, September, ’79, May, ’80, September, ’82, February, ’92, June, ’92, December, ’94, December ’14. Those dates mean nothing to you because you have your own “back” dates. Mark your times and those circumstances along with that smell or sound, what you were wearing and who you were with and what you were thinking and what the future or the past meant by that date. Shaving reminded me that my “back” is now far longer than my “forward.” In our U.S. culture preoccupied with youthful stuff this “back” is lamented to its utmost extreme but to one who has a “back,” I find it both comforting and fulfilling. The “forward” now is pure fluff, extra innings, sudden death, the extra mile, the last herrah, the fat lady will eventually sing her song, the party’s close to ending, close the door on your way out, pick up your stuff before you leave. It’s the “back” that fills me up because it has filled me up. Just listen to someone over 80 who is up to date on today’s topics but will just as quickly shave herself quickly back to her “back” and her loving, deceased husband of sixty-five years or the five bedroom home of 45 years she needed to sell. We all listen to her and think to ourselves how sad her life turned out when her life turned out exactly and un-exactly as she planned. As only life has been and will continue to be. I was interviewed by a young person for a podcast and he asked me about my ups and downs. At his young age he asked me if I would change anything. I smiled and said, “Absolutely not because I would not be the person I am today.” He didn’t respond but smiled at me as though he thinks he knows what his future holds. “Stay tuned, young man,” I wanted to say but didn’t. Shavings a tricky business for us guys. I don’t know what it’s like on the legs but the “backward” works with all its memories – remembered slightly remembered, somewhat remembered or reinvented. The “forward” stretches of my razor are now a cinch because I always know I have my “back” covered. Rev. Joe Jagodensky, SDS. is director of communications, Alexian Village of Milwaukee
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I met Aaron Rodgers today in the mall. No kidding. I didn’t know that he was black. I then met him again near Boston Store but he was Asian. No kidding. Still, - one more -I met Aaron outside Victoria Secret and he’s a woman! (Bruce, step aside.) Aaron’s quite a guy in Wisconsin as the Packer season begins and all thoughts and dreams are linear...whether this year or not? I care as much about the Packers as I do about Hillary’s emails but I do care about the issues pushed aside during these boring weeks of ups and downs from employees at work endlessly talking about people I don’t know (and they don’t know either) while how many social issues persist remain to be persisted. When I belittle employees about their Packer loyalty they tell me that it’s a clean escape from the issues of the day and these are the same people who multi-task at work when can I barely get my one task completed. But it’s the jersey name that intrigues me on the back of a 20 or a 50 year old. The jersey costs $119.00 or $94.00 for Aarons’. (Please read that sentence a second time!) That doesn’t include the hat; I’m sorry the cap on the head of a bald man PACKERLAND>>page 38
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OCTOBER 2015 MHL 35
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How does your home bring you to life?
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KEEPING SOCIAL SECURITY UP DATED PREVENTS By Bob Trotter Social Security Public Affairs Specialist in Milwaukee, WI Most people love surprises, but many dislike change. It’s just the opposite with Social Security. If you receive benefits, we want to hear about your changes. Keeping us informed minimizes the chance that we learn about something later that could negatively affect your benefits. That’s the surprise no one wants, because it creates overpayments that you must repay, disrupts payments, and can even jeopardize your entitlement to Social Security benefits. Here is a reminder of some of the most common forms of information Social Security needs from you. Your address and direct deposit information. We need to know your current mailing address and phone number so we can reach you if needed. This is especially important if you receive Supplemental Security Income (SSI) since where you live can change the amount of your SSI benefits. When your direct deposit information is not current, it can cause headaches with missing or delayed payments. You can update your address or direct deposit information when you register for a my Social Security account at www.socialsecurity. gov/myaccount. Your work. When you receive Social Security disability benefits or SSI for a disability, we have found you unable to work because of your condition. That’s why we need to know if you take a job or are self-employed, or if you stop work or have any changes in work hours, or pay. If your work is substantial enough, it may affect your benefits. You may also need to report if you begin receiving or have a change in any worker’s compensation or public disability benefits. If you are receiving retirement or survivors benefits, be mindful of the yearly earnings limit before you reach Full Retirement Age (FRA), which is currently 67 years old if you were born in 1960 or later. For 2015, the earnings limit is $15,720. When you earn over this amount, we deduct $1 in benefits for every $2 you earn. That means if you earn $30,000, we will have to reduce your benefits by roughly $7,000. It’s very important to give us a work estimate at the start of the year so that we can withhold what’s needed. If we find out you had excess earnings at a later date, you could end up with a large overpayment that you will have to repay. Your living arrangements for SSI. To receive SSI you must demonstrate financial need, in addition to meeting other requirements. Living arrangements may change how much money you receive. Social Security needs to know how many people are in your household and how expenses are shared. We also need to know if you receive any payments from other sources, and if you have savings that go over the SSI resource limit ($2,000 for an individual or $3,000 for a couple). You can learn more about reporting responsibilities for people working and receiving disability or SSI benefits by reading our online publication Working While Disabled — How We Can Help and How Work Affects Your Benefits at www. socialsecurity.gov/pubs. Some changes can be reported online at www.socialsecurity.gov. You can also notify us 1-800-772-1213 or contact your local Social Security office. Our goal at Social Security is to pay you the right amount, on time, every month. With your cooperation to keep us informed of changes, the likelihood of any unpleasant surprises that could derail your benefits will be greatly minimized.
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But for those of us who live or work with people with Alzheimer’s we don’t just talk the talk, we walk the walk. During National Alzheimer’s Awareness Month (November 2013), it is great to see everyone talking about ways to support families with Alzheimer’s. But for those of us who live or work with people with Alzheimer’s we don’t just talk the talk, we walk the walk. Every day of every month, twelve months a year. Now, thanks to the new Alzheimer’s and Other Dementias Daily Companion app, we can let our fingers do at least some of the walking. The app, which is free and currently available at the App Store for download to Apple devices, offers a wealth of information for connecting to valuable Alzheimer’s resources and dealing with the common behaviors associated with Alzheimer’s. It contains much of the same information we cover when training our professional CAREGivers and hosting our local Alzheimer’s CARE program Family Caregiver Workshops, all in an easy-to-use, portable app. It’s designed to help enable caregivers to handle whatever challenges they encounter, as they encounter them. Among the many behavior topics the app addresses are:
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• Aggression and Anger • Agitation and Anxiety • Bathing and Hygiene • Bedtime Struggles and Sleep Problems • Confusion and Memory Loss • Delusions and Hallucinations • False Accusations and Paranoia • Hiding/Misplacing Items and Rummaging • Repetition • Sexually Inappropriate Behavior • Wandering • Withdrawal
The app also has an emotional support section for caregivers that offers help with issues ranging from compassion fatigue (which is actually a form of trauma that can happen over time if a person has had too much exposure to setbacks and difficult experiences), to grieving for a loved one before they’re actually gone – and many topics in between. In addition to the app, our new Confidence to Care book is an easy reference that anyone in the household can use when they need support or are trying to redirect a behavior. You can purchase the entire book for only $10.39, or preview three chapters for free by visiting www.HelpforAlzheimersFamilies.com. For more information about these and other resources we have for seniors and their families, please contact Home Instead Senior Care of Milwaukee at (414) 2399605, or Like us on Facebook. OCTOBER 2015 MHL 37
LASIK>>page 6 creation. These complications in flap creation are contraindications for continuing the surgery, and may cause loss of vision. Certain anatomic features of the eye are felt to increase the risk of these complications, but all eyes are at least a very small risk of these occurrences. By using the femtosecond laser applied from above the eye, these complications are minimized. The flap dimensions are created by thousands of tiny microscopic bubbles consisting of carbon dioxide and water vapor. The bubbles are placed at a precise depth with an accuracy that surpasses the mechanical oscillating blade and significantly minimizes, possibly removing, the chance of complications in the flap creation. When patients are deciding whether to undergo laser vision correction, the safety and the accuracy of the procedure are the most important issues to consider. The use of the femtosecond laser is significant safety advancement. in an already extremely safe procedure. Further detailed information can be gained at www.milwaukeelasereye. com
PACKERLAND>>page 35 who’s only driven past exercise places and promised his wife 30 years ago to attend one. Identity is a pretty personal and cherished thing in our culture and in our minds. I’d need an agent before I were to wear green and orange with someone else’s name on my back. Identity is hard won and I would prefer people know me as who I am and not some Aaron somebody who replaces the guy we once loved, then loved to hate and then loved again. I can’t remember his name. Besides, green and orange aren’t my colors. I would, however, wear a black and white jersey if it said “Mel Torme” on the back. At least I’d be closer to my identity than that Asian guy is to Aaron.
DOWNSIZING>>page 34
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38 MHL OCTOBER 2015
are handling the senior moving details, they should show they have authority to do so. - Sell what you can at auction, online or a yard sale. Some items may have value that can help defray senior moving expenses. - Donate the rest to reputable charity. Keep receipts for senior tax purposes. If the furniture is still in good condition, a senior’s sofa or dining room table may be a godsend to a family that needs furniture. - A senior move is not a “self move. A senior move takes the efforts of many people, family and professionals, to make it go smoothly. - To save on cost, pack as much as the senior and their family can do themselves. A mover will provide this service, but packing items is the simplest way to save cost for the senior move. - If the senior moving is in their 80′s, and their children are in their 60′s, carrying heavy furniture should be designated as a senior moving service. Use the movers for heavy items and let family members move lamps and pictures. Follow BD Movers on Twitter.com @njmovingguy or on Facebook at http://www. facebook.com/bdmovers. For more information, call BD Movers at 800-310-0912.
FINACIAL<<page 27 of a tall mountain and beginning the slow, steady climb towards your retirement savings goal. If you’re not prepared for a long and controlled descent, you could run out of an adequate supply of rope to make your journey safely. A distribution strategy is all about how to descend the mountain as steadily, carefully and securely as possible. “These are summary explanations of lengthy considerations,” Sarner says. “Be sure to carefully review the many aspects of these retirement variables.” About Marc Sarner As president of Wake Up Financial and Insurance Services, Inc. (www.wakeupretirement.net) for nearly two decades, Marc Sarner provides retirement solutions for retirees and pre-retirees that focus on reducing taxes, increasing income and managing risks. He earned his Bachelor of Business Administration from California Polytechnic State University.
THYROID<<page 11 vested from are fed GMO corn and raised in factory farms under inhumane conditions. They have high levels of stress hormones in their bodies which impacts thyroid function. I only prescribe these hormones on rare occasions when women are either allergic or intolerant of conventional thyroid hormones. It’s also important that there be close monitoring of their thyroid blood panel every 4 to 6 months once normal levels have been reached. Armour thyroid and Nature-Throid stimulate T3 production at the cost of T4, and over time may suppress T4 creating an imbalance in the thyroid panel. It is common to experience numerous side effects with these hormones, and in many cases, atrial fibrillation, heart failure, diarrhea, and insomnia. They need to be used with caution and regular, careful, blood level monitoring. As we can surmise, a healthy thyroid gland is critical to our well-being. Its function is complex and relies on a healthy diet, hormone balance, and healthy adrenal glands. Keeping the thyroid balanced is both an art and a science, and requires a physician to consider all of the factors and interrelationships between diet, lifestyle, and other hormones that collaborate with it to help the gland function efficiently. So far neither traditional or holistic medicine has succeeded in balancing thyroid hormones in the majority of midlife women. As Integrative Medicine engages scientific method, and considers the larger context that impacts thyroid function, this approach may be the answer to healing thyroid insufficiency and resistance more successfully than conventional or holistic methods alone. ©October, 2015 Kalpana (Rose) M. Kumar M.D., CEO and Medical Director, The Ommani Center for Integrative Medicine, Pewaukee, WI. Dr. Kumar is currently accepting new patients, call 262.695.5311 to schedule an appointment. www. ommanicenter.com
EYE<<page 8 infection of the cornea and even blindness. Around Children Avoid giving children toys with sharp points or those that fly or send out projectiles, such as stomp rockets, air pistols, and BB, dart, or paintball guns. Keep all spray cans (insecticides, window cleaners, hair spray, etc.) and chemicals (bleach, ammonia, toilet bowl cleaners, etc.) out of children’s reach–not just in the house but in the garage or shed. Never give children fireworks, including sparklers, or use fireworks at home. Pad or cushion sharp corners and edges of furniture and fixtures. Encourage children to use protective eyewear during sports–even over regular glasses. Be Prepared: Know What to Do for an Eye Injury Emergency Despite the best precautions, eye injuries unfortunately, do still sometimes occur. The following information covers the best forms of first aid to use for a variety of emergencies. Sand, Small Debris or Other Foreign Bodies in the Eye Lift the upper eyelid out and down over the lower lid and allow the tears to wash out the foreign body. Blink a few times. If the particle does not wash out, you can try flipping the lid inside out to look for and remove any foreign bodies. If this is also unsuccessful, keep the eye closed, bandage lightly, and seek medical attention. Do not rub the eye. If there appears to be a foreign body directly on the eyeball, do not try to remove it yourself. Seek immediate medical attention from your eye doctor or local emergency room. Chemical Burns Immediately flush the eye with water, continuously and gently, for 15 minutes. Keep the eye open and roll it around as much as possible during this flushing process. Do not use an eye cup. Do not bandage the eye. Seek prompt medical attention. Chemicals act quickly on the surface of the eye and can cause serious damage in just a few seconds. Do not waste precious time searching for a neutralizing solution if water is more readily accessible. Because the eyelids close reflexively in reacting to trauma, they can be difficult to pry and hold open. Washing a chemical out of the eye is best accomplished through the use of four hands: two to pry the lids open and two to control the stream of water. An effective method for keeping the eyelids open is to place two fingers from one hand on the lower lid margin and pull down, and place two fingers from the other hand on the upper lid margin and pull up. For More Information The doctors of Eye Care Specialists provide medical, surgical and laser services to more than 130,000 area residents at offices in West Allis, Wauwatosa, and downtown Milwaukee. They have been named “Top Doctors” by both M and Milwaukee Magazines. Contact their Community Education Hotline at 414-321-7035 for a free brochure about any eye condition (including cataracts, glaucoma, diabetes, macular degeneration, etc.), or to schedule a thorough eye examination for any age member of the family. You can also visit their extensive educational website at www.eyecarespecialists.net
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