September 2011 Modern Health and Living

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HEALTHWISC | SEPTEMBER 2011 FREE PUBLICATION

Est 1992

MODERN HEALTH AND LIVING

healthy aging

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6TH ANNUAL

FALL HEALTH GUIDE

something for everyone

8 FOOD SAFETY MYTHS BUSTED

50 Insider Tips TO KEEP YOU HEALTHY

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

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FROM FebruaryTHE 2011 NoteEDITOR September is here and I am having another first! This September is my first experience in getting ready for back to school time. My son is starting first grade, and I am amazed at how much stuff us moms have to do to preof course put modern in an extended This month I wanted to pare. start So, things off withI had newtoand changes. children’s feature to help all the outthe Starting with the QR code. Get your cell phones out and scan themoms code on there get prepared for their first or another front and enjoy our new updated website. If you don’t have the phone that year. scans, no problem, just goschool to www.modernhealthandliving.com as find even For the male readers, I want to remind more information about healthy living. you it is National Prostate Cancer Awareness month. Please yourselves healthy. I am very pleased that keep you’ve decided toinformed join us thisand month. This is our BIG In September, I always make sure to have a great senior feature that Health Awareness issue. We have packed so much up-to-date information into helps seniors get more information on healthy aging. When getting older,for these pages that this issue is just bursting with health! We have something retirement on the brain andWeI contact wantedlocal to give theprofessionals seniors great articles men and is women of all ages. health every month on and making the best out of their retirement with articles on social security, are thankful that many have contributed to this issue. They are keenly retirement andfor other get the best out ofWe life. aware ofcommunities health concerns thisways regionto(very important). stay in touch September is also our Annual Health Awareness Guide for This with them so they can stay in touch with you. I think you’ll findFall! something is an important issue because we try to pack as much new information on here that can help you lead a healthier life. We hope that you share this special theissue latestwith health buzz. We have articles on mainstream and complementary friends and family, too. health. SpIt’s eakigood ng of fto amkeep ily, I tyour ry to mind keep mopen ine acabout tive thall routypes ghout tof heshealing. e cold moWe nths. have packed so much up-to-date information into these pages that this isMy children are taking a Tae Kwon Do class 4 times a week. I encourage you suetoistry just with health! something for social. men and womenits to bursting find something to keep We yourhave children active and Wheather of all ages. Wedance, contact local health professionals every month wekeeps are gymnastics, sport or just running around in circles, stayingand active thankful that many have contributed to this issue. They are keenly aware the body and mind healthy and developing. of health concerns for this region (very important). We hosting stay in touch with To us adults with Super Bowl Sunday and myself the monthly them so they can stay in touch with you. I think you’ll find something here Bunco get together this equals food, food and even more food. It’s so important thattocan help you lead a healthier life. We hope that you share this special keep ourself active, so it might be time to get that gym membership or start issue with friends and family, walking the malls again. Staytoo. active!!! I hope you have a wonderful February Enjoy. Stay healthy and and will touch base again happy! in March -Amanda Lewis -Amanda Lewis

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For information on advertising or to submit articles call, fax or email 414-659-6705 or 608-2376000, 6000, email:email: info@lewismediagroup.com. info@lewismediagroup.com. Subscriptions are $20 per year. Thanks for reading HealthWisc. HealthWisc is published on the first of each month . The articles in this publication are in no way intended to replace the knowledge or diagnosis of your doctor. WeWe advise intended to replace the knowledge or diagnosis of your doctor. adviseseeing seeingaaphysician physician whenwhenever aever health problem arisesarises requiring an expert’s care. a health problem requiring an expert’s care. Special Thanks! To all the local professionals that provide us with articles containing new informa-tion and keeping all our readers informed of the latest in healthy living. thanks

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Just What The Doctor Ordered!

We’re on the move! Coming this Spring, Foot Solutions is going mobile. Call for an appointment or check our website for a schedule of events we’ll be attending.

February 2011 EDITION

MODERN HEALTH AND LIVING

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In-home and on location appointments: Call today 262-241-3668 SEPTEMBER 2011 HEALTHWISC MHL

311XXX Generic Flu Flyer:Layout 1

9/2/11

10:24 AM

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THIS FALL, WHEATON FRANCISCAN HOME HEALTH CAN HELP YOU FIGHT THE FLU!

Our seasonal flu clinics are scheduled at more than 40 convenient locations throughout Southeast Wisconsin. No appointment necessary – just stop in! Caring and experienced Wheaton Franciscan Home Health nurses are available to provide your vaccine and help answer any questions. Flu shots are available to all individuals aged 10 years or older. Please show a valid Medicare B card, or pay $30 (cash or check payments only). Wheaton’s community flu clinics also offer a vaccine to help prevent pneumonia (pneumococcal vaccine) for individuals aged 16 years and older for $65 (cash or check). Most individuals only need one pneumonia vaccine in their lifetime. Protect yourself this season! Please see the schedule on the following page to find a flu clinic near you. For additional information about fighting the flu, please call 1-888-994-3286 or visit www.mywheaton.org.

In Partnership with the Felician Sisters

diabetes and the flu

Roughly 24 million people have diabetes in the U.S., according to the American Diabetes Association.

Reports

show that number is expected to double or triple in the next 40 years.

By Jeffrey Kowalski, MD, Family Medicine, Wheaton Franciscan Medical Group This month, you’ll start hearing more about ways to protect yourself from catching the flu, which includes getting your annual flu shot. But did you know that if you are a diabetic, Type 1 or Type 2, you are at an increased risk for developing severe complications – even death – as a result from getting the flu? The flu, or influenza, is a viral infection of the respiratory system and muscles. While everyone has a chance of catching flu, having diabetes makes it harder to fight off viruses that cause flu. In fact, according to the U.S. Centers for Disease Control and Prevention (CDC), diabetes can actually make your immune system weaker to fighting severe influenza disease—even if your diabetes is well managed. A diabetic’s blood sugar can rise just by simply being sick with the flu. As we all know, when you’re sick, you sometimes don’t want to eat; that, too, can impact and fluctuate a person’s blood sugar levels. Put simply, people who suffer from diabetes are more susceptible – three times more likely than those without diabetes – to develop complications and even die from flu or pneumonia-related issues. Roughly 24 million people have diabetes in the U.S., according to the American Diabetes Association. Reports show that number is expected to double or triple in the next 40 years. So, if you or someone you care for has diabetes, what can you do to help fight the flu? First off, it is important for diabetics, and any close household contacts or caregivers, to get an annual seasonal flu shot. The CDC recommends anyone aged 6 months or older receive the seasonal flu shot every year. The nasal flu spray is not recommended for diabetics because their immune systems are generally weaker. In addition, the CDC recommends diabetics include getting a vaccine to protect themselves against the effects of pneumococcal bacteria, which will help protect them from developing pneumonia. Diabetics should also take steps to prevent the spread of germs such as covering coughs and sneezes, as well as practicing good hand washing skills. If a person with diabetes contracts the flu, they should : • Continue to take any medication – including insulin – to manage their blood sugar levels, even if they have trouble eating. Your doctor may even increase your insulin dosage during times when you’re sick. • Monitor your glucose levels more frequently, every four hours, and watch for changes. • Drink extra liquids, and if you can’t eat, try to consume soft foods at generally the same carbohydrate level you would normally consume. • Watch your weight. If you lose weight without trying, it could be a sign that your blood glucose is high. A person should contact their doctor or seek emergency attention if you feel too sick to eat or cannot keep food down for more than six hours, experience severe diarrhea, a temperature over 101 degrees F, feel dizzy or sleepy, or if your blood glucose drops below 60 mg/dL or remains above 300 mg/dL. Jeffrey Kowalski, MD, is a family practitioner at Wheaton Franciscan Medical Group’s Wauwatosa office, located at 3040 N. 117th Street in Wauwatosa. Dr. Kowalski and his partner, Dr. Mike Oulashian, offer extended office hours from 7AM-7PM Tuesdays and Thursdays and are accepting new patients. For more information, please call 414-777-3090.

SEPTEMBER 2011 HEALTHWISC MHL

hiking

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Fitness is often a common topic of conversation for many - getting fit, staying fit, and everything in between. Many people also are concerned with watching their personal budget, as well as their waistline. In addition to being fun and easy on the wallet, almost everybody can do it, whether it’s simply utilizing community park trails, meandering foothills, or exploring rugged backcountry, there is a trail or program available for your own unique needs. A great calorie burner, hiking requires little equipment and can be as physically demanding as you choose to make it. Implement the following tips for an effective, enjoyable, and safe trek through nature. Getting Started If you have never hiked before, or if you are out of shape, you will want to start out slowly to get your body in condition for hiking. As with any new activity, it’s important to check with your physician first and discuss your goals. Before trekking, begin a consistent fitness routine to ensure that your body is ready for such a strenuous activity. Start by walking around your neighborhood, and then increase the distance every time you go out to build your stamina. Carry a small pack to help your back and shoulders get used to carrying one when you are out on the trail. Also consider using cardio-based equipment, such as stair-steppers, elliptical trainers, and rowing or climbing machines, to strengthen leg muscles. Incorporate weight training to improve core body and abdominal strength. How to Dress While your basic walking shoe may work for those neighborhood walks, unpaved trails require a sturdier shoe, with good arch support and a heavy sole. A good pair of hiking boots will help with stability and shock absorption and a boot that has waterproof/breathable Gore-Tex membranes help to keep feet dry. As with any boot, a break-in period is strongly recommended. Good socks are also key. Choose wool or synthetic over cotton because when cotton gets wet, it stays wet. A mid-weight hiking sock with good cushioning supports the arch. Wear a thin cycling or nylon sock under a hiking sock as a first layer to help prevent blisters, and consider bringing along a second pair to change into halfway through the hike. Be prepared for anything, including temperature variations, insects, sun, and rain, by dressing in lightweight layers. The first layer of shirts and pants, next to the skin, should be synthetic to keep moisture from the body. Look for high-tech materials like COOLMAX®, microfiber,spandex, LYCRA®, UltraWick, and GORE-TEX®. The second layer for insulation should relate to the outdoor temperature. If the weather is very cold, then a heavier fleece or liner makes sense. The third layer is should be a weather-resistant shell which acts as a windbreaker or rain shield. In addition to sunglasses, hats with brims protect the face from sun, keep you cool, and also help shield the eyes. Wear sunscreen on bright and cloudy days. What Type of Pack on Your Back? Day packs, as their name suggests, are designed to be used on reasonably short hikes. They are normally anywhere from about ten to thirty liters in volume and come in various styles. They will all have shoulder straps and some will have a chest strap and/or a belt strap. Internal frames have a metal frame integrated into the pack. Because the pack stays close on your back, the load moves with you and helps with balance and agility on uneven terrain. Some drawbacks of internal frame packs are that they are harder to pack, keep the back warmer in summer hiking, and do not generally offer the wide range of pocket options. But they are lightweight, which appeals to the recreational backpacker. External frames have a high weight-carrying capacity. Because of the rigid frame, the external frame distributes the weight better than an internal frame. An external frame may be more difficult for individuals who have balance issues. An external frame also does not touch the back. If a person has a hard time keeping cool, than an external frame pack is a good choice. Keeping Your Body Fueled hike<<page 51

FOR YOUR

HEALTH workshop series

In Partnership with the Felician Sisters

Botox and Other New Treatments for Chronic Migraines Tuesday, September 27 | 6:00 pm Traci Purath, MD, Neurologist and Medical Director, Wheaton Franciscan Comprehensive Headache Center

Many chronic headache sufferers have found relief from FDA-approved Botox and other “off-label” medications to treat headaches. Find out about a variety of options to get relief from chronic, debilitating headaches.

Best Feet Forward: Recognizing and Treating Common Foot Ailments Tuesday, October 4 | 6:00 pm Michael Nute, DPM, Podiatrist and Foot Surgeon, Milwaukee Foot Specialists

Athlete’s foot. Infected toenails. Corns and calluses. Bunions. Arthritis. Plantar Fasciitis. Most of us have experienced one or more of these foot problems over the years. Learn about prevention, diagnosis, and treatment of common foot ailments at this informative session with Dr. Nute.

The workshops are free, however, registration is required. Visit our website, mywheaton.org/patients, to register. For assistance Monday through Friday, 8:00 am until 4:30 pm, call WheatonDirect at 888-9-WHEATON (1-888-994-3286). Wheaton Franciscan Healthcare–Franklin opened in 2008 and is a full-service inpatient hospital with 24/7 emergency services and the area’s leading patient satisfaction scores. Tours of the hospital will be available after the workshop.

Wheaton Franciscan Healthcare – Franklin 10101 S. 27th Street, Franklin ( 1 1/2 miles south of Ryan Road) The workshops will be held in the First Floor Conference Center. Free surface parking available in front of the main entrance to the hospital.

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Some of the best gardens use layering. Combine layers of plants that grow at different heights. Curves are much more appealing to the eye than straight lines. Giving your garden area softer lines will add interest. It’s all in the details. Color is key to any gardening space.

Plan for all seasons. When planting, you want to make sure that you know how each plant will look throughout the season. Year Round Interest. Living in Wisconsin means cold winters. Evergreens, boxwoods and holly are great plants to mix into your garden.

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•Install Rubberific Mulch at 1� to 1.5� depth. •It is not necessary, but recommended to install Rubberific Mulch over a permeable weed fabric. Using a weed fabric will increase coverage per bag/box and decrease risk of weeds. Also, using felt type weed fabric will help keep Rubberific in place. •If installing Rubberific Mulch over existing mulch/ soil, make sure the ground surface is a compacted material, free of debris and loose objects. Rubberific Mulch will look its best when not mixed in with other debris. •When installing Rubof $50 or More berific Mulch in mulch/ Must present coupon at time of purchase. Not valid with any other offers. plant beds, it is recomExpires September 30, 2011 Expires 05-31-11 mended that the beds have a border to help contain the mulch. The border can either be a raised border such as a poured concrete/brick border, or a dug border such as a 2� deep trench of $100 or More around the bed. Must present coupon at time of purchase. •To clear leaves and othNot valid with any other offers. Expires September 30, 2011 Expires 05-31-11 er debris off the top of Rubberific Mulch, use a blower on a low setting. Since Rubberific Mulch is heavier than grass clippings and leaves, it will stay in place while the debris is blown with Purchase of away. Plants on Design w w w. i n t e r n a t i o n a l Must present coupon at time of purchase. mulch.com Not valid with any other offers. 866-WE-MULCH Expires September 30, 2011 Expires 05-31-11

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Osteoporosis

Molly Rittberg, DPT Beginning in a person’s 30’s, the body’s process of creating bone cells becomes slower than the process of removing them resulting in a great deficit in bone mass. In addition to aging, other factors that make a person at risk of osteoporosis are smoking, sedentary lifestyle, early menopause, and family history. The diagnosis of osteoporosis or a bone fracture can be scary to hear from the doctor. Once a person becomes afraid of falling or they are apprehensive of having another fracture, it is important to find a good physical therapist. A physical therapist can assist you in developing safe ways to perform daily activities that will decrease your risk for future fractures, help to prevent falls, and decrease your healing time after a fracture has occurred. The initial focus of physical therapy after a fall is pain management. During the early stages, your therapist will provide for you different pain management techniques. As your fracture heals, the therapy treatment will shift to improving strength and flexibility to help prevent future fractures. Evidence continues to show that physical activity helps to reduce the risk of falls in older adults. Although hip fractures typically occur before a fall, other types of osteoporotic fractures can result from the actual fall. While at physical therapy, you will work on gait and balance training as well as receive instruction on how to use assistive devices to make you feel more stable

ITS NEVER TOO LATE TO START A PROGRAM

both inside and outside of your home. It has also been shown that strength training programs, combining low impact weight bearing exercises (walking, bicycling) and high intensity strength training exercise (lifting weights) can decrease the risk of fracture and falls. Your physical therapist will work with you to create a personalized exercise program that is progressive as you show improvement. It is also important to focus on body mechanics and posture with osteoporosis. Your physical therapist

will work with you on specific activities that you encounter on a daily basis. They will teach you how to modify these activities to make them safe for you to perform. It is important to learn how to lift heavy objects, proper techniques to bend and reach, and safe ways to protect your joints when getting into and out of bed. Posture is also important as your bones decrease in density and your spine becomes more rounded. This rounding of your back can increase the pressure on your spine, making you at increased risk of spinal fractures. By being aware

Osteoporosis is the thinning of bone tissue and the gradual loss of bone density over time. It is estimated that 1 in 5 American women over the age of 50 have osteoporosis. About half of all women over the age of 50 will have a fracture of the hip, wrist, or vertebra in their lifetime. Typically by the time a fracture occurs, the disease is in its advanced stages and the damage is usually severe.

of your posture and adding exercises to your routine that will keep your muscles strong, you can decrease your risk of fractures. It is important even before the diagnosis of osteoporosis to have a personalized exercise program that you perform regularly to prevent future injuries. It is never too late to start a program. Contact the physical therapists at Active Care Rehab 414-228-7900 for an appointment to set up and begin your exercise program.

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SEPTEMBER 2011 HEALTHWISC MHL

8 Food Safety Myths Busted

Sharon Palmer, R.D. Environmental Nutrition From Salmonella-contaminated grape tomatoes to smoked salmon laced with Listeria, pathogens in the food stream always make headlines. Rightly so, considering the Centers for Disease Control and Prevention estimates that each year one out of six Americans gets sick, 128,000 are hospitalized, and 3,000 die of foodborne diseases. Nearly three-quarters of consumers are more concerned about food safety vs. five years ago, according to a Deloitte 2011 Consumer Food and Product Insights Survey. This represents a jump of eight percentage points since the same survey was conducted in 2011. Food safety is even a national topic: President Obama recently signed into law the Food and Drug Administration (FDA) Food Safety Modernization Act, which aims to keep our food supply safe by shifting the focus of federal regulators from responding to contamination to preventing it. Escalating concerns over food safety have given way to myths and confusion over how you can best protect yourself from foodborne illness in your home. According to Jamie Stamey, M.S.,R.D., a food safety consultant who spoke about food safety myths at a January 19, 2011 Food & Culinary Professionals Dietetic Practice Group presentation, “Myths may have just enough science or good sense to be believable. They frequently travel quickly through informal media.” You can protect yourself against foodborne illness by getting accurate information. Our food safety expert cuts through the hype on some of today’s most widespread food safety myths.

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Myth: When using bleach to sanitize my kitchen countertops, the more I use the more bacteria I kill. Mythbuster: According to the FDA Food Code, a solution of one tablespoon of bleach per one gallon of water is suitable for killing harmful bacteria that may linger on kitchen countertops. There are no advantages to using more bleach. Myth: Lemon juice and salt will clean and sanitize a cutting board.

Mythbuster: Lemon juice and salt will not reliably sanitize a surface,� says Stamey. She suggests washing cutting boards with hot water and soap; and then sanitizing them with a chlorine bleach solution of one tablespoon per gallon of water (or 3/4 teaspoon per quart.)

Myth: I don’t need to wash my produce if I’m going to peel it.

Mythbuster: Harmful bacteria could be on the outside of the produce, so if you peel or cut it without first washing it, the bacteria could be transferred via the knife or cutting board to the part that you eat. “Wash fresh fruits and vegetables under running tap water just before eating, cutting or cooking,� Stamey suggests. “Never use detergent or bleach; these products are not intended for consumption. Packaged fruits and vegetables labeled ‘ready-to-eat,’ ‘washed,’ or ‘triple washed’ need not be washed, if they are used straight from the package.�

Myth: You shouldn’t put hot food in the refrigerator.

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Reprinted with permission from Environmental Nutrition, 52 Riverside DR., Suite 15-A, New York, NY 10024.

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Anniversary Sale Join us for as little as

Mythbuster: The types of bacteria, parasites and viruses that cause illness do not affect the taste, smell, or appearance of food, stresses Stamey. The FDA recommends that you freeze or discard refrigerated leftovers within 3-4 days, or immediately if you are unsure how long they have been sitting in the refrigerator.

Myth: The “stand time� recommended on the package for cooking microwaveable foods is optional. (For example, package directions may read, “Cook in microwave for 5 minutes, let stand for 2 minutes.�) It’s just so you don’t burn yourself. Mythbuster: According to the FDA Food Code, the stand time is required as part of the cooking time because it allows heat to be conducted throughout the product. Using a thermometer is recommended to make sure that food has reached a safe internal temperature.

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Mythbuster: “Visual cues are inaccurate guidelines in determining whether hamburger is cooked to a safe internal temperature,� says Stamey. The only way to know that hamburger has been cooked to a safe internal temperature is to use a food thermometer; ground beef should be cooked to a minimum internal temperature of 160 degrees F.

Myth: Leftovers are safe to eat until they smell bad.

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Myth: Once a hamburger turns brown in the middle, it’s cooked.

Myth: If I put raw chicken in a colander and rinse it with water, it will remove bacteria like Salmonella. Mythbuster: “There is no way to rinse away all bacteria on poultry,� says Stamey. In fact, rinsing raw poultry is not a recommended safety step and can cause cross-contamination of bacteria to other foods and surfaces. Bacteria in poultry are inactivated when the poultry is cooked to a safe internal temperature of 165 degrees F.

ANNI VERS

1986 - 2011

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Mythbuster: “Bacteria grow rapidly in the “danger zone� between 40 degrees and 140 degrees F. Holding food at room temperature keeps it in the danger zone longer,� explains Stamey, who suggests that you follow the “two hour� rule: Put food in the refrigerator as soon after cooking as possible—at least within two hours of cooking. In addition, dividing a large pot of food such as soup or stew into small, shallow containers helps it cool more quickly. And remember to keep your refrigerator at 40 degrees F or below.

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Find all our amenities - EliteClubs.com SEPTEMBER 2011 HEALTHWISC MHL 11

claims about cocoa CAN CHOCOLATE REALLY BE GOOD FOR YOU? Many of us would love to believe that chocolate is a health food. Maybe you’ve heard or read about its potential benefits. Eating chocolate may have some health pluses, but the research is far from certain. The drawbacks, on the other hand, are clear. Think twice before you reach for that tempting treat. The idea that chocolate might be good for you stems from studies of the Kuna Indians, who live on islands off the coast of Panama. They have a low risk of cardiovascular disease or high blood pressure given their weight and salt intake. Researchers realized that genes weren’t protecting them, because those who moved away from the Kuna islands developed high blood pressure and heart disease at typical rates. Something in their island environment must have kept their blood pressure from rising. “What was particularly striking about their environment was the amount of cocoa they consume, which was easily 10 times more than most of us would get in a typical day,” says Dr. Brent M. Egan, a researcher at the Medical University of South Carolina who studies the effect of chocolate on blood pressure.

12 MHL HEALTHWISC SEPTEMBER 2011

But Kuna cocoa is a far cry from the chocolate that most Americans eat. The Kuna make a drink with dried and ground cocoa beans (the seeds of the cocoa tree) along with a little added sweetener. The chocolate we tend to eat, on the other hand, is made from cocoa beans that are roasted and processed in various other ways, and then combined with ingredients like whole milk. Processing can extract 2 main components from cocoa beans: cocoa solids and cocoa butter. Powdered cocoa is made using the solids. Chocolate is made from a combination of cocoa solids and cocoa butter. The color of the chocolate depends partly on the amount of cocoa solids and added ingredients, such as milk. In general, though, the darker the chocolate, the more cocoa solids it contains. Researchers think the solids are where the healthy compounds are. White chocolate, in contrast, contains no cocoa solids at all. The past decade has seen many studies into the health effects of chocolate. “We have good science on chocolate, especially about dark chocolate on blood pressure,” says Dr. Luc Djoussé of Harvard Medical School and Brigham and Women’s Hospital. His research team

Chocolate contains high levels of compounds thought to help prevent cancer, too.

found an overall drop in blood pressure among people who eat more chocolate. “The results suggest that chocolate may, in fact, lower blood pressure,â€? DjoussĂŠ says. “This effect was even stronger among people with high blood pressure to begin with.â€? Laboratory studies have uncovered several mechanisms that might explain chocolate’s heart-healthy benefits. However, it’s hard to prove whether the chocolate that most Americans eat actually has those effects in the human body. Controlling how much chocolate people eat and tracking them for long periods of time is not an easy task. “The clinical trials that have been done in people have all been fairly short,â€? says Dr. Ranganath Muniyappa, an NIH staff clinician who studies diabetes and cardiovascular health. These studies, he explains, look at cardiovascular risk “markersâ€?—factors related to heart health, such as blood pressure—not longterm outcomes like heart disease and stroke. Studies looking into the long-term health effects of chocolate have relied on people to recall how much chocolate they ate. The researchers then compared those levels with health outcomes. While such studies can find associations, they can’t prove the effects of a particular food. “People usually eat food in a pattern. A chocolate lover would eat chocolate with something else,â€? DjoussĂŠ explains. “It could be not so much the chocolate by itself, but chocolate in conjunction with, let’s say, whole grain or exercise or not smoking—the pattern of the lifestyle habit in general. It’s really hard to separate the effects of individual components.â€? Chocolate contains high levels of compounds thought to help prevent cancer, too. But Dr. Joseph Su, an NIH expert in diet and cancer, says that direct evidence here is similarly hard to come by. Since cancer can take many years to develop, it’s difficult to prove whether eating chocolate can affect disease. Instead, researchers look to see if factors linked to cancer change when chocolate is consumed. “Right now, some studies show really a remarkable modification of those markers,â€? Su says. But the evidence that chocolate can reduce cancer or death rates in people is still weak. “There are a few studies that show some effect,â€? Su says, “but the findings so far are not consistent.â€? Some research also suggests that chocolate might help prevent diabetes. However, the challenges in proving this link are similar to those of heart disease and cancer. Another thing that makes it hard to interpret these studies is that they often use different chocolates, and so their ingredients and health effects may vary. Compounds called flavanols are thought to be responsible for many of chocolate’s beneficial effects. These compounds are also found in tea, wine, fruits and vegetables. Different chocolates can vary greatly in their flavanol content. Cocoa beans naturally differ in their flavanol levels. A large portion of the flavanols can also be removed during processing. In fact, companies often remove these compounds intentionally because of their bitter taste. The end result is that there’s no way to know whether the products you’re looking at contain high flavanol levels. So should you eat chocolate? Chocolate can have a lot of calories, and the importance of a healthy weight is well known. “If you’re eating chocolate, make sure to watch the calorie content, the fat content and the sugar content,â€? Su says. “For those who are already consuming chocolate, I would advise them to look for the darker ones,â€? DjoussĂŠ adds, “not the white chocolate or the milk chocolate. You won’t get any of the benefit. It’s just going to be unneeded calories.â€? But there’s no need to start eating chocolate if you don’t already. “The science doesn’t allow us to make recommendations because the evidence is just not there,â€? Muniyappa says. Meanwhile, NIH will continue to fund studies into the health effects of chocolate, and many other foods. Wouldn’t it be sweet if the research proved that chocolate is definitely good for us?

ROBIN CAMPBELL, LMT #3956-046

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Holistic Alternatives

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SEPTEMBER 2011 HEALTHWISC MHL 13

FALL 2011HEALTH DIRECTORY

pharmacy

Stan’s Fit For Your Feet 7405 W Layton Greenfield, Wi 53220 414-431-6300

Aurora Pharmacy 888-973-8999 www.AuroraPharmacy.org If you do not have prescription drug coverage or your insurance does not cover all your prescription drug needs, Aurora Pharmacy Prescription Savings Club can provide significant savings for you.

fitness

TOPS - Take Off Pounds Sensibly 4575 S. 5 th St P.O. box 070360 Milwaukee, WI 53207 414-482-4620 www.tops.org

TOPS Club.Inc. is a nonprofit, noncommercial weight-loss support organization based in Milwaukee, Wisconsin with chapters located worldwide. Its twofold objective is to encourage healthy lifestyles through weight-management support groups and to sponsor obesity research. Most members refer to the organization simple as “TOPS” an acronym for “Take Off Pounds Sensibly.” Chapter meetings emphasize nutrition and exercise education focused on supplementing a member’s effort to manage their weight. TOPS healthy lifestyle guide “The choice is Mine” , TOPS Retreat, Rallies and Recognition Days along with “TOPS NEWS” a membership magazine included for a low $26. per year membership fee.

allergy and asthma

pain management

Allergy and Asthma Centers, S.C. Mayfair Mall 2500 N. Mayfrair Road, Suite 200 Wauwatosa 414-475-9101

Specialized Therapy Services 2111 N 92nd Milwaukee 414-778-1341 Dave Vollmers www.specializedtherapyservices.com

Waukesha 1111 Delafield Street, Suite 213 Waukesha 262-542-2505

Find relief from Fibromyalgia, TMJ/ Headaches, Acute/Chronic Pain, Back & Pain, Comprehensive, Myofasical Release Programs

South Area 4811 S 76 Steet, suite 400 Greenfield 414-281-0404 Pediatric and adult asthma, nose and eye allergies/hay fever, food allergy, sinusitis, hives, skin allergies, eczema. Terry, S Graves, M.D., John E Basich, M.D., Walter Brummund, M.D., Ph.D., James A Cranberg, M.D., Susan M. Higgins-Larkey, M.D.

diabetes

Columbia Diabetes 414-961-4641

foot care Active Care Rehab Glendale414-332-9000 Active Care Rehab offers New FDA Approved Treatment, Medicare & Most insurance accepted,Clinically proven to restore sensation, reduced pain and improve balance.

17155 W Bluemound Road Broodfield WI, 53005 262-821-1130 505 W. Siler Spring Glendale WI 53217 414-464-1930 Contemporary footwear for all of life’s walks. Athritis, hammertoes, geriatric conditions, congenital deformities, prolonged standing, foot trauma, diabetes. Foot Solutions 262-241-FOOT www.footsolutions.com/mequon At Foot Solutions our business is about feet and how to best care for them. We use today’s most advanced computer technology, the knowledge of proper fitting footwear and trained staff in foot pathology and physiology. If your work requires you to be on your feet all day, every day, you are probably already painfully aware of the need to care for your feet. There is no better way to achieve this than to put Foot Solutions arch supports or accommodative inserts in your shoes. They are the best insurance you can buy against developing possible foot and back ailments. Foot Solutions arch supports and insoles increase comfort, reduce fatigue, and give you a competitive edge. The ideal environment (from the perspective of your feet) is damp sand. It gives a little as you step down, which cushions the shock. The impression your foot makes in the sand surrounds and supports the base of your foot perfectly.

Wisconsin Community Mental Health Counseling Centers Inc. A PRIVATE PRACTICE GROUP State Certified Comprehensive Outpatient and Addiction Treatment

WCMHCC Office Locations: Mequon 10532 N. Port Washington Rd (262) 242-3810 Whitewater 143 W Main (262)473-6119 Hartford 120 N Main St (262)6737280

Complete Psychological Evaluation & Consulting by Board Certified and Licensed Professionals Individual Supportive Psychotherapy Sexual Abuse Counseling Psychiatric & Psychological Assessments Forensic Consultation Marriage, Family & Couples Therapy Stress Management Complete Eating Disorder Programs Employee Assistance Programs Divorce and Mediation Counseling Custody Evaluations Attention Deficit Disorder Evaluations Geriatric Counseling Pain Management & Rehabilitation AODA Programming Legal Advocacy & Psych Evaluations Christian Counseling Depression & Anxiety Disorders Child & Adolescent Therapy Neuropsychological Evaluations Domestic Abuse & Court-Ordered Assessments Psychiatric Medication Management

Most Insurance Carriers Accepted HMO’s/PPO’s Contracted Day, Evening & Saturday Appointments Available Sliding Fee Scale Available 24 HOUR ANSWERING SERVICES

www.communitymhccenters.com 14 MHL HEALTHWISC SEPTEMBER 2011

vision Milwaukee Eye Care Associates, S.C. 414-271-2020 www.milwaukeeeyecare.com Peter S Foote, M.D. James E. Greenlee, M.D. Jay A. Heilmann, O.D. Aaron C. Holtebeck, M.D. Megan E. Lind, O.D. Michelle H. Pedersen, O.D. Charles T. Ries, O.D. Arvind Saini, M.D. David J. Weis, O.D. Robin S. Wilson, M.D. Routine Eye Exams, Designer Eyewear, Contact Lenses, Advanced Technology, Glaucoma Treatments, Cataract Surgery, Specialty Lens, Implants, LASIK Surgery, Latisse Consultations, Financing Available Eye Care Specialists, S.C. West Allis 10150 W. National Ave. West Allis 414-321-7520 Mayfair 2323 N. Mayfair Rd. Wauwatosa 414-258-4550 Downtown 735 W. Wisconsin Ave. Milwaukee 414-298-0099 Eye Care Specialists, S.C., has been a leader in medical, surgical and laser eye care since 1985. Our highly respected team includes skilled ophthalmologists and surgeons Drs. Norman Cohen, Robert Sucher, Mark Freedman, Brett Rhode and Daniel Ferguson and medical optometrist Dr. David Scheidt. We’re noted pioneers in cataract surgery techniques and glaucoma detection technology. We offer expert laser treatment for diabetes, retinal tears, nearsightedness, and other conditions. We conduct numerous programs devoted to patient and community education, as well as training area optometrists, doctors and nurses. We’re information sources for local media health reports and columnists in community newspapers. And, we’re affordable (accepting Medicare & most insurances). When you need an eye care specialist, consider the team named among “Top Doctors” by Milwaukee Magazine and trusted by more than 121,000 doctors and patients for: *Glaucoma, Diabetes and Macular Degeneration Care, *No-Stitch/No-Shot Cataract Surgery,*Pediatric Care & Surgery (lazy & crossed eyes),*Customized Laser Vision Correction (LASIK),*PresbyopiaCorrecting Lens Implants (to reduce the need for reading glasses),”*Dry Eye & Drooping Lid Treatment.” And, “Comprehensive Exams”,*Corneal Transplants & Retinal Conditions,*Ocular Infections and Comprehensive Exams.

Well Being Midwest College of Oriental Medicine 800.593.2320 262.554.2010 The mission of the Midwest College’s educational programs are to combine the traditional teachings of Chinese Medicine with a foundation in the biomedical sciences, so that graduates can work independently, as a colleague with other health care providers, or find employment in a larger medical setting. The combination of Eastern and Western science, together with an appreciation of the natural healing philosophies of Asia, leads to the development of the qualities that are the “Heart of Chinese Medicine”. With this foundation, graduates will become true practitioners of Oriental healing. The subtle balance of clinical science and compassion is the key to a successful practice. GreenSquare Center for the Healing Arts 6789 N. Green Bay Avenue, Glendale, WI 53209 414-292-3900 www.GreenSquareCenter.com Acupuncture Green Tree Acupuncture Jodie Heinrich, LAc, MSOM 414.292.3900, Ext. 205 Acupuncture Holistic Acupuncture Therapy J. Ragani Buegel, LAc 414.292.3900, Ext. 219 Acupuncture, Chinese Medicine, Qigong & NAET Head To Toe Clinic Hana Holbus, MS, LAc 414.292.3900, Ext. 214, 414.455-1324 Acupuncture, Herbal Consultant, Reiki Natural Healing Acupuncture, LLC Stephanie Balthazor, LAc, MSOM 262.853.4198 Advanced Active Isolated Stretching Therapy Marty Leamon, 262.339.7432 Bio-Identical Hormone Balancing, Weightloss with HGC Susan J. Riegg, MD 414.292.3900, Ext. 252, 414.467.9478 Body Activation Health & Exercise Progression Techniques Keith Shimon, CSCS, WLMT, 262-388-3831 Body Activation Health & Exercise Progression Programs Brandon Miller, MS, MATCS, RTS Mastery Candidate 414-491-1435

Cancer Navigation & Nutrition Response Testing Integrative Health Advocates, LLC Charlene Watters, RN 414.292.3900, Ext. 340, 262.352.8101 Chiropractic Neurology Dr. Scott Theirl, DC, DACNB, FACFN 414.292.3900, Ext. 222, 800.385.1655 Essential Oils, Herbs & Indigenous Healing Jean Reddemann 414.292.3900, Ext. 218, 262-629-5264 Feldenkrais Therapy Feldenkrais Milwaukee Patricia Holman, GCFP, ABM-Children 414.535.7283 GREENSQUARE CENTER FOR THE HEALING ARTS PRACTITIONER LIST JULY, 2011-07-07 PAGE TWO Feldenkrais Therapy Susan Nycz, GCFP, ABMP-Children 414.292.3900, Ext. 343 Homeopathy, Nutrition & Anti-Yeast Therapy Bruce Semon, MD 414.292.3900, Ext. 211 Homeopath, Classical & Traditional Naturopath Creative Care & Wellness Center Jennette Cable, ND, CTN, CCH 414.292.3900, Ext. 225, 414.350.6174 Homeopath, Classical & Integrative Medicine Mindful Choices Health Care Michele Reyes, DO 262-241-9131

Hypnosis Hypnosis For Change, Karla Hermann, CH 414.292.3900, Ext.206 Integrative Medicine Norm Schwartz, MD 262.240.0133 Massage, Therapeutic & Relaxation Cancer Caregiver Massage Instructor Anjea Massage Kim Taddei, MD, LMT, CAE 414.292.3900, X 223 Massage, Therapeutic, Hot Stone & Pregnancy Massage Soulful Massage Julie Schmidt, NCMT, LMT 262.894.2156 Nutrition Counseling, Yoga & Meditation Bernard Rosen, PhD Rosen Wellness 414.292.3900, Ext. 226, 262.389.9907 Physical Therapy & Pilates Classes Orlanu Therapies Michele Rozansky PT 262.241.7887 Psychotherapy, Artist’s Way & Innate Health Sara Hoffman, LCSW 414.292.3900, Ext. 227, 414.339.7036 Yoga Classes & Training; Wellness Consultant, Dr. Dale Buegel, RYT 500 414.292.3900, Ext. 220

Who wants to drop 7lbs and 2 inches off your hips, butt and thighs even if you’re super busy and without dieting? 6 week fall boot camps forming now! We only have 15 spots available and they are filling up fast! Please go to www.lakeshorebootcamps.com now for more information to reserve your spot.

“It was time for me to do something for ME. In my first camp I lost 10lbs, one pant size, have more energy and am stronger than before. I think the instructors are great and I have truly enjoyed the Boot Camp experience,” www.lakeshorebootcamps.com | email: lakeshorebootcamps@formandfitness.com SEPTEMBER 2011 HEALTHWISC MHL 15

Wholistic Occupational Therapy 6320 W North Ave Wauwatosa, WI 414.258.2981 Diane Halloran, OT Treatment of Pain, Learning Disorders and more. Headaches, shoulder, arm and hand injuries, TMJ, Neck and Bain Pain, Head injuries, Carpal Tunnel, Fibromyalgia, ADHD, Anxiety. Insurance accepted

Holistic Pain Management & Wellness Center 10945 N. Port Washington Rd. #100 Mequon WI 53098 262.365.9572 www.holisticpainmanagement.net Dr. Steve Santino, PhD

Shorewood Family Chiropractic 4433 N. Oakland Ave, Suite A Shorewood WI 53221 Monica Maroney DC, DICCP 414-962-5483 Fax: 414-962-5482 monicamaroney@ shorewoodfamilychiro. com www.shorewoodfamilychiro.com Shorewood Family Chiropractic offers care, massage, acupuncture and nutritional counseling for the whole family. Dr. Monica Maroney is board certified in chiropractic pediatrics through the International Chiropractic Association (ICA) Council on Chiropractic Pediatrics after completing three years of post-graduate specialized training in the treatment of infants, children, and pregnant women. Visit our website or call the office for additional information.

Inwellness 414.434.7031 800.208.5531 www.inwellnesstoday.com

Transformations Incorporated 4200 West Good Hope Road Milwaukee, Wisconsin 53209-2250 414.351.5770 info@transformationsusa.com Breathwork Services at Transformations Transformations Breathwork (Connected Breathing Technique or Rebirthing Breathwork) is a healing and personal growth technique practiced worldwide. It is consistently used to release energy blockage in the body, clear negative thought and habit patterns and bring one into greater alignment with one’s personal purpose. The members of the staff of our Training Program are among the pioneers of this evolutionary holistic science. We have developed a breathwork style that is simple, effective, easily learned and adapted to individual needs. We facilitate sessions for those who want to learn and apply the process to their needs through individual and group work and weekend retreats. Integrative Dental Solutions Ingo G. Mahn, D.D.S. Supriya K. Shetty, D.D.S. 262-691-4555 23770 Capitol Dr. Pewaukee, WI 53072

Lychee Acupuncture Clinic 155 E. Silver Spring Dr., Whitefish Bay (414) 962.5577

16 MHL HEALTHWISC SEPTEMBER 2011

North Shore Chiropractic and Rehab Kendal J. Hoard DC, CCSP, CSCS 1516 W. Mequon RD. Ste 202, Mequon 262--478-0033 Dr. Hoard is a graduate of the National College of Chiropractic and certified by the National Board of Chiropractic Examiners. Dr. Hoard is board eligible for the certification of Diplomate of American Chiropractic Board of Sports Practitioner (DACBSP). He also received his certification as a certified chiropractic sports practitioner (CCSP) and certified strength and conditioning specialist (CSCS). He has completed intensive postgraduate work in the areas of orthopedic, sports related injuries, pediatrics, nutrition and neurology. Dr. Hoard treats a variety of conditions at his North Shore office: headaches, neck pain, sports injuries, ankle/ knee injuries, shoulder injuries, carpal tunnel syndrome, work/auto injuries, low back pain, sciatica and disc herniation’s just name a few. Patients range from pediatrics to geriatrics, weekend warriors to elite athletes as well as at home mothers and business persons. ACUPUNCTURE CLINIC OF WAUWATOSA, INC. William F. Hughes, Jr. PhD, Dipl. Ac Board Certified in Oriental Medicine and Acupuncture 11611 W North Ave, Suite 101 Wauwatosa, WI 53226 414-607-0900 www.wauwatosaacupuncture.com Dr. Hughes successfully treats many difficult problems. He uses the very successful balance treatment protocols. When you balance the body you restore good health and vitality. You deservea happy and healthy life. Give us a call. We typically get great results in a minimum of treatments.

Angel Light Center for the Healing Arts 13300 Watertown Plank Rd, Elm Grove, WI 262-787-3001 www.angellightllc.com

Hypnosis For Change 6789 N. Green Bay Ave. Glendale, WI 53209 262-264-0214 www.hypnosisforchangeweb.com

Located at 13300 Watertown Plank Rd. in historic Elm Grove, WI, Angel Light Center for the Healing Arts is a multifaceted facility offering products, services and information relating to health, healing and the development of Spiritual Consciousness. All these different aspects come together “under-one-roof,” making it a very unique place for those who gather there. Angel Light has been built on a solid foundation of honesty, respect and concern for the individual human spirit and offers workshops and educational programs and events designed to support its mission. Angel Light Center for the Healing Arts features a boutique area filled with crystals, candles, artist designed jewelry and accessories and chemical free soaps and aromatherapy. The serices offered include Massage Therapy, Reiki Energy Work, Cranial Sacral Therapy, Sound Healing and Reflexology. Our facility houses a reading room, two treatment rooms and a classroom. We invite you to learn more about our facility, its historic location and amazing history by stopping by or visiting our website at www.angellightllc.com.

Hypnosis For Change uses modern hypnotherapy to discover and release particular triggers and sub-conscious patterns that make you want to do the unwanted behavior. Once desensitized and released the subconscious is given powerful suggestions to achieve the goal. This will enable you to be able to manage yourself effectively. Along with confidential, private individual sessions, group self-empowerment classes are offered on a continual basis throughout the year. With the exception of chronic health conditions, typically, five to seven sessions is all that it takes for you to get back control. Hypnosis is effective in chronic health conditions as well as obsessive emotional and/or physical behavior.

Total Health 262-251-2929 Naturopathic Consultations, Herbal consultations, Massage Therapy, Chiropractic services, Reflexology, Acupuncture, Nutritional counseling

Integrative Family Wellness Center 16535 W. Bluemound Rd. Suite 222 Brookfield, WI 53005 262-754-4910 Cedarburg Women’s Health Center W62 N225 Washington Ave. Cedarburg, WI 53012 262-376-1150 As we age, our bodies go through changes. Our practitioners understand and respect the changes going on inside the body. We promote health and wellness by treating the whole person with state-of-the-art traditional and integrative medicine. We provide advanced, proven healthcare such as: natural thyroid medication, bioidentical hormone therapy for both men and women, chiropractic treatment, natural and effective weight loss, and vitamin and herbal supplements. The doctors are dedicated to taking the time with you, to determine how to get you feeling healthier. We are committed to excellence in healthcare.

Jensen Health & Energy Center, S.C. 500 Elm Grove Road, Suite 325 Elm Grove, WI 53122 262-782-1616 www.health-energy.com Multi-disciplinary holistic clinic offering Chiropractic care, Acupuncture, Massage Therapy, Rolfing and CranioSacral therapy. Our experienced practitioners also have specialized training in many areas such as pediatric care, acupuncture facial rejuvenation, exercise and rehabilitation, pre and post-natal massage and body/mind coaching.

HEALTHWISE CHIROPRACTIC Dr. Robert Carpenter D.O. Dr. Brian Kovara, D.O. Dr. Michael Rottiger, D.O. Dr. Paul Ralston, D.O. HealthWise Chiropractic 10731 W. Forest Home Ave. Hales Corners, WI 53130 414-529-4600 Www.HealthWiseInfo.com Healthwisechiropractic@gmail.com At HealthWise Chiropractic your health needs are addressed in a caring environment. Our Doctors go that extra mile so our patients can reach their full potential and health goals. Dr. Carpenter and his staff offer the most up to date, state of the art Chiropractic treatment available in the area. Our goal is to provide you with drug free, non-surgical options to eliminate or significantly reduce your pain. In most cases, in just 4-5 weeks with our services such as Deep Tissue Class IV Laser Therapy, LiteCure Light Therapy, and Chiropractic we can reduce pain, bring you comfort, flexibility, mobility and help you get on your way to recovery.

WELL-BEING

A modern feature dedicated to complementary and alternative healing.

SEPTEMBER 2011 HEALTHWISC MHL 17

50 insider tips TO KEEP YOU HEALTHY

Bonnie Liebman & Jayne Hurley Nutrition Action HealthLetter

Eat more fruits and vegetables. Cut back on salt, saturated fat, and sugar. Switch to whole grains. Exercise for at least an hour a day.

Experience Angel Light ...

Experience Experience Healing Healing

• We provide a unique healing experience. Experience our unique Healing Center and Crystal Emporium. Hundreds of unique crystal and mineral speci• We have hundreds of unique crystal and mineral mens are available along with artist designed jewelry, specimens as well as artist designed jewelry, music music for relaxation, pure candles, soaps and essential for relaxation, pure essential oils and candles, and oils, and books on healing growth and discovery. books onour healing, growth discovery. Experience Massage, Reiki,and Crystal Therapy, Acupuncture and Reflexology Services. Offered by appoint• We are Wisconsin’s premier school for energy ment. medicine. FREE ReikiMassage, Experience DayCrystal - Sunday, September 18th • We-offer Reiki, Therapy, withAcupuncture registration and Reflexology services.

ANGEL LIGHT CENTER FOR THE HEALING ARTS

13300 Watertown Plank Rd Elm Grove, WI 262-787-3001 AngelLightLLC.com 18 MHL HEALTHWISC SEPTEMBER 2011

Angel Light Center for the Healing Arts

AT THE STORE Buy a bag of cut veggies. Maybe you shouldn’t be too tired (or rushed or distracted) to wash and cut up your own broccoli, carrots, and cauliflower. But you are. Don’t sweat it. Companies like Dole and Mann’s are happy to do it for you. And the cost isn’t much higher if you consider that there’s no waste. Other options: buy your broccoli, carrots, and other vegetables at the salad bar or buy a bag of frozen (unseasoned) veggies, which come in Asian, Mediterranean, and other blends. Open bag, dump into a skillet or wok, add sauce, and cook. Dinner is served. Replace processed meats with no-nitrite-added deli meats. Red and processed meats are a “convincing cause of colorectal cancer,” say the World Cancer Research Fund and the American Institute for Cancer Research. Eat no more than about 18 ounces of red meat (beef, pork, lamb) a week and no processed meats at all, advised the experts. “Ounce for ounce, consuming processed meat increases risk twice as much as consuming red meat,” said their report. The nitrites that are added to processed meats may make them worse than other red meats. To avoid them—and to dodge some sodium—look for no-nitrite-added, lower-sodium or no-salt-added deli meats by Applegate Farms, Boar’s Head, Dietz & Watson, and Wellshire Farms. Try a veggie burger. People who eat more red meat have a higher risk of colorectal cancer. Seafood and poultry eaters do not. But fish and chicken don’t taste like burgers. Some veggie burgers do. And soybased burgers (like Morningstar Farms Grillers) are protein-rich. (Check the label. Grain-or veggie-based burgers, like Gardenburgers, have less than 10 grams of protein.) Veggie burgers have more salt than ground beef, but at least you don’t have to worry about food poisoning from E. coli. Switch to “thins” or light bread. The landmark OmniHeart study tested diets that were rich in vegetables, fruit, and low-fat dairy foods and low in saturated fat, salt, and sugar. All of them lowered blood pressure and LDL (“bad”) cholesterol. Each had just four or five servings of grain (preferably whole grain) for someone who needs 2,000 calories a day. Instead, people got most of their carbs from vegetables, fruit, and beans. A serving of grain was just one slice of bread or a half cup of rice, cereal, or pasta. Uh-oh. One way to stretch your grains: try thin whole-grain rolls (like Pepperidge Farm Deli Flats or Arnold or Oroweat Sandwich Thins), which have just 100 calories per bun. Or try light breads (like Arnold or Oroweat Bakery Light or Pepperidge Farm

Art of Healing School of Energy Medicine

Wisconsin’s Premier School for Energy Medicine Training sŝƐŝƚ ƵƐ ŽŶůŝŶĞ Ăƚ ǁǁǁ͘ ŶŐĞů>ŝŐŚƚ>> ͘ĐŽŵ ĨŽƌ ŝŶĨŽƌŵĂƟŽŶ ŽŶ our fall 2011 schedule of classes, workshops and events. Coming this fall: ŶĞƌŐĞƟĐ ŶĂƚŽŵLJ͕ DŝŶĚ WŽǁĞƌ WƌŽŐƌĂŵ͕ ŽƵƌƐĞ ŝŶ

Coming this fall: Energetic Anatomy & Monday Meditation Series, Course ƌLJƐƚĂů dŚĞƌĂƉLJ͕ YƵĂŶƚƵŵ ^ƚƵĚŝĞƐ ĞƌƟĮĐĂƚĞ͕ ZĞŝŬŝ͕ ŽƵƉůĞƐ ZĞŝŬŝ Θ ƚŚĞ in Crystal Therapy, Quantum Studies Certificate, Reiki, Couples Reiki and the ƌƚ ŽĨ :ĂƉĂŶĞƐĞ ZĞŝŬŝ ĞƌƟĮĐĂƚĞ WƌŽŐƌĂŵƐ͕ &ůŽǁĞƌ ƐƐĞŶĐĞƐ ĞƌƟĮĐĂƚĞ Art of Japanese Reiki Certificate Programs, Tai Chi, Courses in Chakra Healing, ^ĞƌŝĞƐ ;E dD ĞƌƟĮĞĚ ʹ ϭϲ ŚƌƐͿ͕ ŽƵƌƐĞ ŝŶ ŚĂŬƌĂ ,ĞĂůŝŶŐ͕ Intuitive Development, Feng Shui, Business Development/Ethics and more... /ŶƚƵŝƟǀĞ ĞǀĞůŽƉŵĞŶƚ͕ ƵƐŝŶĞƐƐ ĞǀĞůŽƉŵĞŶƚͬ ƚŚŝĐƐ ĂŶĚ ŵŽƌĞ͘​͘​͘

^ĞƫŶŐ EĞǁ ^ƚĂŶĚĂƌĚƐ ŽĨ WƌŽĨĞƐƐŝŽŶĂůŝƐŵ ĨŽƌ Energy Medicine Training Angel Light Center for the Healing Arts 13300 Watertown Plank Rd. Elm Grove, WI 53122 262-787-3001

Carb-Style or Very Thin), which have just 40 to 60 calories per slice—about half what you’d get in ordinary whole-grain breads. Turn spinach into salads. A 9 oz. bag of spinach makes three three-cup servings, says the Dole label. (In the OmniHeart study, one cup was a serving.) A three-cup serving has 10% of a day’s potassium, plus 510% of a day’s vitamin K, 160% of a day’s vitamin A, 40% of a day’s vitamin C and folate, 15% of a day’s magnesium and iron, and 8% of a day’s calcium and fiber. All for 20 calories. 20! Any green are good greens, but spinach is a superstar. And so easy. Go for a whole-grain version of your favorite cereal. Kashi 7 Whole Grain Nuggets instead of Post Grape-Nuts, bran flakes instead of corn flakes, and General Mills Total instead of Kellogg’s Product 19 (though you don’t need the vitamins that are added to either of them if you take a multivitamin). Buy sliced mango, cantaloupe, pineapple, or other fruit. You’ll still pay less than you would for a fruit salad at a restaurant. Try a new vegetable. “People who eat a wider variety of vegetables tend to be thinner,” says Susan Roberts, director of the Energy Metabolism Laboratory at the Jean Mayer USDA Human Nutrition Research Center on Aging at Tufts University in Boston. That’s probably because the vegetables are displacing higher-calorie foods. “Something like half of all Americans’ vegetables are iceberg lettuce, potatoes, onions, and canned tomatoes,” says Roberts. “So there’s a lot of room for increasing the variety of vegetables.” Buy a set of ramekins. Look for ramekins (or other bowls) that hold just a half cup (4 oz.) of food. Use them to serve frozen yogurt, ice cream, or other sweets. The serving may look small, but it matches the serving on Nutrition Facts labels. It’s a single scoop of ice cream. Use frozen fruit for smoothies. Blend unsweetened frozen strawberries or blueberries with milk or plain yogurt to make an instantly cold smoothie. Homemade smoothies trounce the sugar-loaded concoctions sold in restaurants. Read labels to dodge salt. You can now find canned tomatoes, tuna, and beans with no salt added. Zip. Fresh chicken used to have no salt added. Now you have to check to make sure. Check the Nutrition Facts label to see if a competing brand or any packaged food has less sodium. You’d be surprised. Make junk food boring. Trying to cut calories? Don’t stock your kitchen with five kinds of cookies, ice cream, pastries, or other sweets. “If you have a greater variety, you eat more,” says Roberts. That also applies to a meal. “In a one-day study, people who were offered pasta in three different shapes ate 600 calories, but people who were offered pasta in one shape ate 500 calories,” she notes. Variety is one reason people eat more food at restaurants, adds Roberts. “You never go out to eat the same thing you have in your fridge.” AT HOME Eat plain yogurt or mix plain with sweetened yogurt. Unsweetened yogurt offers the most nutrient bang for your calorie buck. For extra protein, try creamy-even-if-it’s-fat-free plain Greek yogurt. If plain yogurt is too tart for you, mix plain and sweetened. Replace a side of rice, potatoes, or pasta with beans. Swap that side of rice or pasta or potatoes for a bean or lentil dish. Why? In the OmniHeart study, the higher-protein diet (and the higher-unsaturated-fat diet) led to lower blood pressure, triglyceride, and LDL (“bad”) cholesterol than the higher-carb diet. And half the protein came from plant foods. “You can make bean salads and bean soups,” says Janis Swain, the dietitian who planned the OmniHeart meals. “Beans are inexpensive, so it’s an economical way to get a good protein-vegetable mix.” Eat fish twice a week. Their omega-3 fats may protect your heart. A fatty fish like salmon or trout is best. Cover half your plate with vegetables or fruit. Forget the “side” of veggies. They should occupy more plate real estate than your protein or pasta, rice, or potatoes. The OmniHeart diets have 11 servings of fruit and vegetables a day. A serving is one piece of fruit, a half cup of cooked vegetables, or one cup of raw vegetable (like lettuce), so it’s not that much. Your main-dish salad could easily be four servings. Check serving sizes. Check serving sizes. Check serving sizes. Does your cereal have 200 calories per cup or per half cup? Does your can of condensed soup contain one serving or 2 ½ servings? Does that frozen lasagna, pizza, burrito, pot pie, macaroni and cheese, or stir-fry dinner serve one, two, or more? Don’t’ check the calories or any other Nutrition Facts until you check the serving size. Even we sometimes forget. Snack tip: Lay slices of cantaloupe, honeydew, mango, or papaya on a plate, squeeze on fresh lime juice, eat. Drink (mostly) calorie-free. “Liquid calories don’t register,” says Susan Roberts. “If you drink a liquid in the middle of the morning, you eat as much at lunch as if you never drank anything.” That applies not just to sodas, but to fruit juices, energy drinks, and sweetened iced tea or coffee. (Milk, shakes, and smoothies do register, just not as much as the calories in a solid food.) “The average American get 22% of their calories from liquids,” says Roberts. “That’s a huge amount.” Switching to caloriefree beverages “ought to be an easy way to get rid of calories.” In one study, people gained weight after three weeks of drinking about three cans a day of regular soft drinks, but not after drinking that many diet soft drinks. And soda drinkers are more likely to gain weight than non-drinkers, according to dozens of studies. “Good grief,” says Roberts. “Why would anyone drink a 12 oz. can of regular soda when you can save 150 calories with a diet soda?” Better yet, avoid the questionable artificial sweeteners in most diet soft drinks by drinking water instead. Or sweeten your tea or coffee or lemonade (fresh-squeezed lemon plus ice water) with safe Splenda. Add veggies to boost potassium and lower salt. Mix a bagged salad kit with a bag of undressed lettuce. Add a pound of steamed broccoli to your favorite Chinese take-out dish. Add fresh or frozen veggies to frozen skillet meals. You also add unseasoned bulgur, quick-cooking brown rice, or whole

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WELL-BEING Coming in October 2010

health<<page 51 SEPTEMBER 2011 HEALTHWISC MHL 19

Long-Term Yoga Practice MAY DECREASE

WOMEN’S STRESS

Recent research has shown that women who practice hatha yoga (a common type of yoga involving body postures, breath control, and meditation) regularly recover from stress faster than women who are considered yoga “novices.” The research, supported in part by NCCAM and published in the journal Psychosomatic Medicine, also showed that yoga may boost the mood of both yoga experts and novices. Researchers at Ohio State University enrolled 25 women identified as yoga “experts” (practiced yoga regularly once or twice weekly for at least 2 years and at least twice weekly during the past year) and 25 novices (participated in yoga classes or home practice with yoga videos for 6 to 12 sessions). The researchers assessed participants’ cardiovascular, inflammatory, and endocrine responses before and after they took part in three activities: yoga practice, slow walking on a treadmill, and passively watching a video. They also measured participants’ physiologic responses before and after certain stress events.

Yoga is a mind-body practice in complementary and alternative medicine with origins in ancient Indian philosophy.

20 MHL HEALTHWISC SEPTEMBER 2011

Although differences in inflammatory or endocrine responses were not unique to the yoga sessions, the researchers found that the novices’ blood had 41 percent higher levels of the cytokine interleukin-6 (IL6) than those of the experts. IL-6 is a stress-related compound that is thought to play a role in certain conditions such as cardiovascular disease and type 2 diabetes. In addition, the novices’ levels of C-reactive protein, which serves as a general marker for inflammation, were nearly five times that of the yoga experts. Experts had lower heart rates in response to stress events than novices. Yoga also boosted mood in both groups, while the other two interventions (walking, video) did not. The researchers suggested that this study offers insight into how yoga and its related practices may affect health. Regularly performing yoga could have health benefits, which may only become evident after years of practice.

DO YOU SUFFER FROM PERIPHERAL NEUROPATHY?

RED LIGHT RELIEF

Are your feet on fire?

DO YOU SUFFER FROM RESTLESS LEG SYNDROME? Do you have trouble falling asleep at night?

Do your feet feel numb, asleep or even dead?

Do you have an irresistible urge to move your legs?

Are you tripping or falling,

Do you wake up several times throughout the night?

losing your balance? Do you have sharp, stabbing, or shooting pain in your feet?

Are you tired or depressed?

Wouldn’t you like to be able to say: I couldn't golf … now I can golf! I couldn't work in my garden … now I can work in my garden! I couldn’t go shopping … now I can go shopping! I couldn’t sleep at night … now I can sleep at night!

Call to schedule your Advanced Neuro-Foot Evaluation

INFRARED LIGHT THERAPY is working for our patients LET IT WORK FOR YOU!

C A L L

HealthWise Chiropractic

Affiliate, Neuropathy Treatment Centers of America

Your visit will include an exam that will determine the function of the nerves in your legs, feet and toes. This exam is not a visual exam, but a complete clinical exam of nerve function.

and discover the answer to defeating Neuropathy Pain without drugs, medication or surgery!

414.529.4600

And Visit us on the Web: HealthWiseInfo.com

Pulsed infrared light causes the natural healing power within your body’s own cells to be released, resulting in healthy changes at the cellular level, which in turn improves the quality of life you experience every day. Pulsed infrared light therapy, or photo-biomodulation, is an innovative form of light energy therapy able to relieve pain and inflammation. It also increases blood circulation thus carrying more oxygen and essential nutrients needed for healing the damaged nerves of people suffering from Peripheral Neuropathy and Restless Leg Syndrome. Peripheral Neuropathy (PN), damaged nerves, can be caused by diabetes, chemotherapy, the use of cholesterol-lowering drugs (statins), spinal degenera tion, bulging discs, smoking and alcoholism, to name the most common causes. PN can cause feet to be extremely sensitive to touch, to heat, to cold or they can feel numb, “asleep” or even “dead.” People with PN often experience sharp, stabbing, shooting pain in their feet and their legs, which is some times even more pronounced when walking or after being on their feet for a long time. A separate but often related problem, Restless Leg Syndrome (RLS), affects up to 15% of Americans. Patients experiencing the symptoms of Restless Leg Syndrome complain of persistent leg movements at night when trying to sleep, the irresistible urge to move their legs, and abnormal sensations in their legs, such as creeping, crawling feelings. Many people who suffer from RLS experience severely disturbed sleep patterns, tiredness and sleep deprivation which affects their lives in a profound way, often becoming hopeless and depressed.

YOU ARE NOT ALONE! 68.6% of people suffering from RLS take more than 30 minutes to fall asleep 60.1% of people suffering from RLS wake three or more times per night 60.8% of people suffering from RLS report that they lack energy 57.2% of people suffering from RLS state that their daily activities are disturbed Both Peripheral Neuropathy and Restless Leg Syndrome are progressively degenerative conditions. If not treated, a patient’s quality of life may become that of an invalid. HealthWise offers the Neuropathy Pain Patient a complete package of clinical therapies that are Researched, Effective, Non-Invasive, Drug FREE and Clinically Proven to help patients improve the quality of their lives. This SELECT Neuropathy Pain Relief Combination of therapies has, to our knowledge, not been seen previously in the field of neuropathy care. Perhaps this is why our patients have made such life-changing breakthroughs. Whether suffering from Peripheral Neuropathy or Restless Leg Syndrome, patients don’t have to “just learn to live with it.” Now patients can look forward to healing and the reversal of nerve damage. Patients experience reduced leg and foot movement during sleep, less tingling and numbness in the toes and legs, an ability to walk farther and longer without pain, reduced feeling of cold and/or burning in the feet and legs, an improved sense of balance and coordi nation, improved sleep and improved sensation in the feet.

stress

What is stress?

Stress is bodily or mental tension caused by a physical, chemical or emotional factor. It can play a part in many diseases. A stressor is something that knocks you off balance, either for a moment, or for a long period of time. And, stress can negatively affect your health.

What happens when I am “stressed”?

ITS EFFECTS AND COPING TECHNIQUES By Genevie L. Kocourek, M.D. According to the media, Americans are stressed. Lost productivity and medical expenses in the United States are soaring. A November 2010 study published by the American Psychological Association found that over half of its survey participants said their stress is caused by concerns over money, work, the economy, family responsibilities, relationships, personal health, and housing costs. Children, too, can be profoundly affected by stress.

Share your stories. . . find healing. . . live your dreams.

Genevie L. Kocourek, M.D.

Board Certified - Family Medicine

In New Berlin at The Caring Team, Inc. 15350 W. National Ave., Suite 212 262.782.9541

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

www.trinityintegativefamilymedicine.com

When you experience stress, your sympathetic nervous system quickly engages. This “fight or flight” response allows your body to “kick into high gear” and battle with or escape from your enemies. Your body often responds without thinking, since you might need to run from a tiger. In a few short moments, your heart beats faster, your blood pressure increases, your muscles tense, and your digestion almost stops. Unfortunately, even though we aren’t often chased by tigers anymore, any stressful event, such as being late for work, worrying about bills, starting or ending a relationship, losing a job, or other events, can make us feel like a tiger is in the room. What are the effects of stress? A certain amount of stress is important for your health. Stress wakes us up in the morning, and keeps your muscles from becoming weak. However, stress can be very harmful. If you are often “stressed,” you might gain or lose weight, have insomnia, get more colds, or notice a change in your libido. Stress plays a part in heart disease, strokes, lung health, immunity, cancer, injuries, liver disease, suicide, and other conditions. How can I reduce the effects of stress in my life? Dr. Lee Lipsenthal, a specialist in stress, says we often live under the illusion that we are in control. Stress occurs when we believe we have lost control. We can reduce stress by taking control in small ways. The first steps are awareness and action: • Be mindful. Pay attention to what is occurring and how it is affecting your body. Decide what you’d like to change. Do you feel angry, nervous or fearful? Are you suddenly overwhelmed with fatigue or have an upset stomach? Then, specifically identify the stressor, if possible. • Calm yourself. Slow your heart rate and breathing by using a simple breathing technique from Dr. Andrew Weil: 1) Close your mouth and inhale through your nose for 4 counts. 2) Hold your breath for 7 counts. 3) Exhale through your mouth, making a whoosh sound, for 8 counts. Do this up to 3 times; doing it more may cause you to be lightheaded. • Get physical. Go workout. Vacuum with enthusiasm. If you are at work, find a private spot and shake-out your limbs. Stretch lightly while breathing deeply with your belly. Using your fingertips, tap your body lightly for 1-3 minutes at the area where you feel discomfort. • Get vocal. Get in your car and sing or yell. Talk it out with a trusted colleague, friend or family member. If you can find a private spot, say out loud why you are upset. Try doing this with your tongue sticking out between your teeth. Try laughing vigorously. It is difficult to remain angry or stressed when you are laughing, even if you have to make yourself laugh. The next step is to make a conscious choice about the situation for the future. Try one or more of the following: • Avoid the situation. Accept fewer responsibilities by saying “no,” more often. If a task can be finished in a few minutes, complete it now rather than setting it aside for later. If traffic is a stressor, take a different route to work. Decide if a stressful relationship can or should be ended. Don’t discuss subjects that are likely to cause an argument. Shorten your “to-do” list—finish some tasks or remove them from the list, if possible. • Change, or alter, the situation. De-clutter your office or home by discarding unneeded papers and items. Organize your files. Find a professional to release anger or grief from prior experiences. Choose to forgive others for hurting you. • Find ways to adapt to the situation. Learn to compromise. Accept your strengths and do not dwell on your shortcomings. Ask yourself: Will this be important tomorrow, next month, next year, etc.? Try meditation or mind-body relaxation techniques. • Accept the situation. Acknowledge that you are making a decision to remain in the stressful situation. Recognize that there are things in your life that you cannot change today. Find the positives in the choice you’ve made. • Get help. Individual treatment or therapy is often needed to learn coping mechanisms or to break the cycle of stress. Medical conditions caused by stress may require treatment. In certain situations, medication may be needed temporarily until the stress can be brought under control or eliminated. A word of caution: Resources are available if your stress is overwhelming you or affecting your health. Talk to your doctor or other professional before using harmful coping techniques such as self-medication, tobacco, alcohol, drugs, or mindless eating. If you have a desire to harm yourself, go to any Emergency Department stress<<page 23

22 MHL HEALTHWISC SEPTEMBER 2011

Flight/Fight/Freeze

stress<<page 22

The goal of Myofascial Release is to return the patient to a pain free, active lifestyle.

immediately. Helpful resources: The Ommani Program for Corporate Health/Stress Management, contact Rose Kumar MD (262) 695-5311; Becoming Real, Rose Kumar, MD (Book); Full Catastrophe Living, Jon Kabat-Zinn, PhD (Book); Log On: Two Steps to Mindful Awareness, Amit Sood, MD (Book); Meditation for Optimum Health, Andrew Weil, MD & Ann Marie Chaisson, MD (Audio CD). References: http:// www.drweil.com/drw/u/ART00694/Stress.html; www.stress.org/Americas.htm; stress.about.com; http://www.apa.org Genevie Kocourek, M.D. is board certified in Family Medicine and has recently joined the Ommani Center for Integrative Medicine in Pewaukee, WI. She received her medical degree from the University of Wisconsin School of Medicine and Public Health, and completed her residency at the Waukesha Family Medicine Residency Program of the Medical College of Wisconsin Affiliated Hospitals. She is the founder of Trinity Integrative Family Medicine and focuses her practice on integrative care and prevention of disease for the entire family. She has a strong interest in botanical medicine and healing with sound. Contact her through The Ommani Center website www.ommanicenter.com or schedule an appointment by calling 262.695.5311.

By John F. Barnes, P.T. I am sure that you have heard of or experienced the flight or fight response, but have you ever heard of the freeze response? For years, I have taught that one of the many benefits of Myofascial Release and Myofascial Unwinding is therelease of the holding or bracing patterns of the mind/ body complex. It seems that during times of trauma thesubconscious develops a protective pattern that becomes locked into the mind/body complex like a “frozen moment in time.” I believe that it is these “holding patterns” that have frustrated therapists using traditional therapy in their efforts tohelp their patients have a speedy and complete resolution of their problems. In his informative book “Waking the Tiger: Healing Trauma,” Peter Levine, Ph.D., develops an intriguing model that may explain the effectiveness of Myofascial Release. The behaviors of fleeing, fighting, and freezing are so primitive that they are thought to predate the reptilian brain. These survival tools are found in all species from spiders and cockroaches to primates and human beings. When neither flight nor fight will ensure the animals safety, there is another line of defense; immobility (freezing), which is just as universal and basic to survival. No animal, not even the human, has conscious control over whether or not it freezes in response to threat. 1 When an animal or human is traumatized, it will enter the freeze response as a survival strategy. This state of immobility is beyond conscious control and becomes a vicious cycle maintaining physiological high levels of activity of both the parasympathetic and sympathetic nervous systems. In humans, trauma occurs as a result of the initiation of the instinctual cycle that is rarely allowed to finish. The duration of the immobility (freezing) response is normally time-limited; animals go in and they come out. If the animal is not killed and when threat is over, the animal then discharges an enormous amount of energy in the form of shaking, profuse sweating and deep breathing. It then returns to a state of calm alertness. The human freezing response does not easily resolve itself because the supercharged energy locked in the nervous system is imprisoned by the emotions of fear and trauma. The result is that a vicious cycle of fear and immobility takes over, preventing the response from completing naturally. When not allowed to complete, these responses form the symptoms of trauma. Myofascial Release allows for a completion of this instinctive cycle in a safe, natural and effective manner. Working in reverse, Myofascial Release and Myofascial Unwinding start with present day restrictions and compensations. The release of fascial restrictions alters the habitual muscular “holding patterns.” With Myofascial Unwinding, the therapist eliminates gravity from the system. This unloading of the structure allows the body’s righting reflexes and protective responses to temporarily suspend their influence. The body, guided by the therapist, can move into positions of past trauma, which allow for a release of the instinctual “freeze” response in a safe, gentle and natural manner. As this occurs, Myofascial Release techniques are utilized to eliminate structural compensations for a resolution of the patient’s long-standing symptoms. The goal of Myofascial Release is to return the patient to a pain free, active lifestyle. For more information contact Specialized Therapy Services at 414-778-1341 or visit www.specializedtherapyservices.com. SEPTEMBER 2011 HEALTHWISC MHL 23

7 small steps TO MAKE SELF-CARE A BIG PART OF YOUR LIFE

If you’re juggling the typical modern brew of work, household chores, relationships, and kid activities, you know that finding time for self care in today’s fast paced world can be a challenge. However, following these simple steps to help create your unique self care plan will help you continue to live a full, diverse life but with more energy and less stress.

By Jamie Durner, Ayurvedic Practitioner & Wellness Educator

24 MHL HEALTHWISC SEPTEMBER 2011

01

Make self care a priority. Finding time to support yourself is critical for your mental and physical health. You must recognize and acknowledge that taking care of your self is important and has value. When I invest in a small amount of daily self time, I find that I snap at my children less, am less resentful of household chores, get my projects done more efficiently and, in general, feel happier. My happiness filters over to my family and suddenly there is less fighting and more harmony which further decreases my stress. It is a win-win situation for everyone. What are the benefits you and your family receive from taking care of yourself?

02

Follow your natural rhythms. Assess and recognize your natural rhythms, tendencies, and likes. If you are a night owl, don’t try to get up at 5 am in order to squeeze in exercise. If you hate exercise, explore a fun way to move that feels more like play and less like work‌belly or ballroom dancing anyone? Play with your strengths and the inner truth of who you are and be creative.

414-434-7031 or 800-208-5531, ext. 101

inwellnesstoday.com – click “corporate wellness�

03

Chose activities that nurture your soul. Identify what pieces of self care give you the stress relief and satisfaction that you are looking for. For me, as long as I am able to do some exercise, yoga and reading each day, I am content. Household chores become more enjoyable if I do them while listening to a book on tape! What are the activities that you need to feel nurtured so that you can give to your family or job with a light heart?

04

Start small. An easy pitfall when starting a new pattern is to channel your excitement and good intentions into a grand scale plan. The problem is that your life may not have the time and regularity to achieve big goals daily. Instead of aiming for forty-five minutes of yoga a day, start with ten to fifteen minutes a day. By starting small and doing something daily, you will succeed! And remember, 10 minutes every day is actually more effective than 60 minutes once a week.

05

Stay consistent. As you honor your self commitment daily, it will build more quickly into an automatic habit. Staying consistent also means you avoid excessive build up and overload. Since you build stress and tension everyday, by releasing some of that tension daily, you have less chance of it becoming a more severe problem.

06

Find a buddy, a partner or a coach. Face it, doing it alone is often more challenging. Tap into the support around you. This might be a neighbor with whom to walk, a friend with whom to take a yoga class, someone with whom to have a 15 minute daily phone decompression session, or a professional coach to give you that neutral perspective. Having morale support and shared energy can make a big difference in keeping you consistent and on track‌especially on the days you’re dragging.

07

Make it fun. This is self explanatory. If something feels like drudgery, you aren’t going to want to do. On the other hand, if you set up self care to be a social event or an anticipated pampering event, follow through will be a piece of cake.

SEPTEMBER 2011 HEALTHWISC MHL 25

red flags Acupuncture Clinic of Wauwatosa

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University of California, Berkeley Wellness Letter

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Meet Dr. William Hughes Board Certified in Acupuncture and Oriental Medicine Oriental Medicine treats a wide variety

of problems including chronic pain, stress, depression, menopause and difficult internal problems. Give Dr. Hughes a call and come in for a FREE CONSULTATION to find our how we can help you!

Acupuncture Clinic of Wauwatosa 11611 West North Avenue #101 Wauwatosa, WI 53226

Dr Hughes is a graduate of UW-Madion, The Midwest College of Oriental Medicine and Belford University. He and his wife/office manager, Connie, have been residents of the Elm Grove area for 21 years where they have raised their four children. He is a member of Elmbrook Rotary.

414-607-0900 www.WauwatosaAcupuncture.com 26 MHL HEALTHWISC SEPTEMBER 2011

For many people, pain relievers are wonder drugs, allowing them to carry on with their lives despite disabling arthritis, for instance, or recurrent headaches. But all pain relievers, whether sold over-thecounter (OTC) or by prescription, have potential risks. Recent studies have amplified the concerns. The most recent warning came from a large Danish study, in Circulation, of people who previously had a heart attack. Those who took certain pain relievers, including ibuprofen (but not aspirin or naproxen), had about a 50% increased risk of having another heart attack or dying during the next three months—even after just a week’s use. Last year another large study from the same group of Danish researchers found that the drugs also increased cardiovascular risk in healthy people. You may be surprised to hear that those innocuous-looking tablets can increase the risk of heart attacks, but the evidence about this has been growing. That’s why two years ago the FDA ruled that the labels of all OTC pain relievers should carry tougher warnings about this and/or other risks.

The basics:

Though there are many brands of OTC pain relievers, there are two basic types: acetaminophen (such as Tylenol) and NSAIDs (nonsteroidal anti-inflammatory drugs), all available in generic form. These nonprescription NSAIDs are aspirin, ibuprofen (such as Motrin and Advil) and naproxen (such as Aleve). Some NSAIDs are also sold by prescription.

WHAT TO WATCH OUT FOR

The following issues relate primarily to people who take these drugs at least several times a week: Cardiovascular risk. In a 2007 report, the American Heart Association concluded that, with the exception of aspirin and probably naproxen, NSAIDs increase the risk of heart attacks, particularly in people who already have cardiovascular disease or are at high risk for it. The so-called COX-2 inhibitors (Celebrex, sold by prescription, is the only one still marketed) are riskiest, followed by ibuprofen. Blood pressure. NSAIDs can raise blood pressure. This may be at least partly responsible for the increased risk of heart attack and stroke. The evidence about acetaminophen is inconsistent. Gastrointestinal (GI) bleeding. NSAIDs can damage the stomach lining and cause bleeding and ulcers. This has long considered their major drawback, as the labels warn. The risk is greatest in long-term users, those over 60, heavy drinkers, those with a history of GI bleeding or ulcers and those taking certain medications, such as blood-thinning drugs or steroids. Liver damage. Acetaminophen, the No. 1 nonprescription pain reliever, does not cause GI bleeding, but long-term frequent use or even large single doses can cause severe liver damage. In fact, acetaminophen overdosing is the most common cause of acute liver failure in the U.S., often as the result of suicide attempts. Most people still don’t know about this risk and don’t realize that acetaminophen is in hundreds of OTC cold, allergy and headache products and some prescription pain relievers. Check labels for acetaminophen, and don’t take more than 4 grams— equal to eight Extra Strength Tylenol tablets—a day from all sources. Alcohol (three drinks or more at a time) and certain other drugs increase the risk. Heavy drinkers and those with liver disease should avoid, or at least limit, acetaminophen. Taking the drug while fasting also increases the risk. Kidney damage. NSAIDs (and acetaminophen to a lesser extent) can damage the kidneys. If you have kidney disease, talk to your doctor about pain reliever safety.

HERE’S OUR ADVICE

For healthy people who take OTC pain relievers as directed, the risks are relatively small. However, because these drugs are so popular, thousands of Americans are affected every year. Don’t let these concerns prevent you from taking the drugs of you need them but do follow this advice, especially if you take pain relievers often: Try non drug treatment for chronic pain first. For arthritis or back pain, for instance, that means physical therapy, exercise, weight loss, and heat or cold therapy. It’s easier to pop a pill, but these treatments may work just as well or even better. Talk to your doctor about which pain reliever is best for you to take regularly. Weigh the potential risks and benefits, especially if have heart disease (or are at high risk for it) or uncontrolled hypertension, or if you drink moderately or heavily. Consider acetaminophen first, then aspirin or naproxen. But the best choice depends on the cause and severity of your pain, along with your medical history. Acetaminophen is safest for the GI tract, though it may not provide enough relief, since unlike NSAIDs it doesn’t reduce inflammation. Your doctor may recommend a prescription drug instead of long-term use or high doses of OTC products. Celebrex should be used only as a last resort. Take the lowest effective dose for the shortest time possible, whatever the pain reliever. Do not exceed the doses listed on the labels or take for more than 10 days, unless your doctor has said its okay. Consult your doctor before starting aspirin therapy to protect your heart or to reduce the risk of colon cancer. Ibuprofen can block aspirin’s anti-clotting effect, so don’t take it during the eight hours before or half hour after you take low-dose aspirin, the FDA advises. Reprinted with permission from the University of California at Berkeley Wellness Letter Copyright Health Letter Associates, 2011. To order a one year subscription, call 1-386-447-6328.

FALL

SEPTEMBER 2011 HEALTHWISC MHL 27

WHEN IT COMES TO BRAIN HEALTH, ADDICTIONS CAN BE A DIFFICULT PROBLEM TO CORRECT.

outsmart

YOUR GENETICS

Kelly A. Simms, Resident Naturopathic Physician, Integrative Family Wellness Center Our brains are wired to perform very important tasks, some that we control consciously and some unconsciously. When it comes to brain health, addictions can be a difficult problem to correct. The American Society of Addiction Medicine has just issued a new policy statement that defines addiction as “a primary, chronic disease of brain reward, motivation, memory and related circuitry.” This is not a novel statement based on decades of research that have been spent studying addiction. The new definition does, however, bring to light the fact that addiction may not be a matter of simple self- control. The statement defines addiction as a disease, just as any other brain, heart, musculoskeletal or other organ functional problem may be defined. If addiction were simply a matter of will power, there may be more success stories of smoking cessation, ending bad eating habits or giving up alcohol addictions. Not many people want or choose to be controlled by these substances, but somehow they are. The statement also defines characteristics of addiction that may include inability to consistently abstain, impairment in behavioral control, a craving for drugs or other substances, diminished recognition of significant problems with behaviors or relationships and a dysfunctional emotional response. What substances or behaviors can be addicting? Drugs (illegal or prescription), alcohol, gambling, shopping and food are considered common addictives. Perhaps the increasing epidemic of obesity may be somewhat related to a food addiction. Food is often used as a motivator or source pleasure as opposed to being considered a fuel for the body. According to Dr. Mark Hyman, a leading expert on functional medicine, industrially processed, sugar-, fat- and salt-laden food, food that is made in a plant rather than grown on a plant is biologically addictive. Not many folks would eat a 2 pound bag of broccoli or a 5 pound bag of apples. But imagine a bag or potato chips, a plate of cookies, or an extra large pizza? The latter is easy to see vanishing unconsciously. Broccoli is not addictive, but chemically processed and refined foods will train our brain to unconsciously crave and consume them to excess. The new research also points to genetic factors as a reason for addiction. The likelihood that an individual will become addicted can be accounted for by genetics in approximately fifty percent of cases. This implies that if a person has a known family history of addictive behavior, they can be aware of their resulting risk and work to modify their genetic tendency by changing things like environmental influences and life experiences. Changing environmental influence may mean relocating to an area without emotional triggers, avoiding specific activities that cause addictive behaviors and focusing on creating positive life experiences that are free of potential habit forming substances. A comparison can be drawn between family history of cardiovascular disease and family history of alcoholism. A person may decide to modify diet and lifestyle, go for regular cholesterol checks and take medicines or supplements to lower cardiovascular risk. We wouldn’t want this person eating fast food every day, living a sedentary lifestyle, and avoiding regular doctor visits. The same goes for a family history of alcoholism. A person may focus on a diet and lifestyle that avoids activities and situations where drinking alcohol is a form of entertainment, motivation and reward. They may instead choose to focus on other activities of motivation and reward such as creative projects, recreation, or other activities that can be enjoyed socially, without potential addiction concerns. Unfortunately, re-wiring the brain and changing genetic tendencies can be a process. Recognizing genetics and current habits is a way to start considering the risk for addiction. For those struggling with addiction, having the support of friends, family and loved ones can be a critical element of recovery. There are also many support groups available for individuals and friends and family members of those struggling with addiction.

28 MHL HEALTHWISC SEPTEMBER 2011

CHILDREN’S HEALTH

A section dedicated to healthy families.

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PREPARING FOR

By: Ryan Hatchell, MD – Oak Creek Pediatrics As another Wisconsin fall approaches, it is time to again start protecting our families against the seasonal flu. This respiratory illness is caused by the influenza virus and causes misery in our communities from October through May every year. While most people recover after a week of symptoms, it is important to realize that an average of over 200,000 people are hospitalized and over 20,000 people die from flu-related complications each year. Infection with influenza can result in fever, headaches, muscle aches, fatigue, dry cough, sore throat and runny or congested nose. Younger children and those with chronic medical conditions such as asthma and diabetes are at high risk for getting very sick from the flu. The virus is spread mainly in droplets created by coughing, sneezing and even talking. These droplets can spread the virus from both the infected person and the items they touch. People with flu can pass the illness to your child one day before they show any symptoms and up to seven days after their symptoms start. Receiving a flu vaccine every year is the single best defense against the influenza virus. The designers of this vaccine monitor flu outbreaks around the world to pre-

30 MHL HEALTHWISC SEPTEMBER 2011

flu

SEASON

dict which strains of the virus will arrive during our flu season. This year’s vaccine includes protection against the pandemic H1N1 2009 influenza virus (“swine flu”) as well as two other types of influenza. Most clinics will soon have vaccines to begin immunizing their patients before the virus arrives in Wisconsin. Nearly everyone age 6 months and older is eligible for vaccination against the flu. Weakened or killed forms of the virus are used in these vaccines and do not have the ability to give your child the flu. Your child may, however, experience a low-grade temperature and aches after receiving the vaccine. In addition to an injected “shot” form of the vaccine, a nasal spray form is also available for people older than age 2 who do not have certain medical conditions. If this is your child’s first year receiving the vaccine, two doses spaced 1 month apart will be given to ensure adequate protection against the influenza virus. To prevent getting the flu, frequent hand washing with soap and water or an alcohol based hand sanitizer is extremely important. If possible, avoidance of other people with flu-like symptoms is helpful. Avoid sharing any items that touch another person’s mouth. If you are pregnant or have a child under 6 months of age, get the flu vaccine so you don’t become infected and pass it on to your child. If despite your best efforts your child still develops flu-like symptoms, allow them to rest and focus on drinking fluids so they remain hydrated. Medications such as ibuprofen or acetaminophen may be used to help with aches and fever. Please contact a doctor promptly if you suspect flu and your child develops problems breathing, becomes extremely irritable, is not waking up or responding to you, is unable to drink enough fluids, is not urinating as much as they normally do, looks pale or blue or has a chronic medical condition. For more information or questions about the flu or flu vaccination, please talk with your pediatrician. Reliable information about the flu on the web can be found at www.cdc.gov/flu, www.flu.gov or www.healthychildren.org

child development A mother looks into the face of her tiny newborn, trying to imagine what her child might become - a doctor, an artist, a business leader, but above all, a healthy and happy human being. How can she give her baby the best possible start in life? Every child develops at his own pace, but there are some standard developmental benchmarks based on the average pace of learning. For example, most typically developing babies can smile in response to a familiar face at about two months of age, begin to make vowel and consonant sounds at four to six months, and can stand alone at about 12 months. These are all indications that the child’s brain is making critical connections between “regions” - helping him to understand and function in his environment. Many neuroscientists compare these connections to the electrical wiring of a house. The newborn’s brain has vast potential, but the brain’s neurons, like electrical circuits, must be connected in order for the child to learn the basics of language, develop motor skills, grow in cognitive and sensory ability as well as emotional health. The first few years of a child’s life are critical to healthy development, because that’s when the brain is making those important connections. Parents and caregivers become the baby’s first teachers, while the child’s brain is still a “work-in-progress.” Tracey Sparrow, Ed.D., Vice President of Children’s Programs at the Milwaukee Center for Independence, says educators of young children are placing more emphasis on enhancing brain development. “Nutritional support, physical movement and the use of music to strengthen the brain’s pathways through patterned, repetitive activities are all practices that help address the neuro-developmental needs of children,” she notes. “So, in our classrooms, kids are not only learning fundamental academic skills; they are practicing yoga techniques, eating fresh, healthy foods, and working with a music therapist specially trained in brain development. Our kids are also learning specific methods of increasing focus and self-control.” oviders about the specific needs of your child. For more information, contact Tracey Sparrow, Ed.D., Vice President of Children’s Programs, Milwaukee Center for Independence, at (414) 937-2024.

Parents can support healthy brain development by: • Getting good prenatal care and eating healthy foods during pregnancy; breast-feeding and providing good nutrition throughout childhood. • Talking, singing and reading to the child right from the start to promote language development and strengthen emotional bonds. • Removing stressors from the environment. Chronic stress can actually hinder the growth of a child’s brain. Respond to the baby’s needs, especially when the child cries. • Playing with the child. You don’t need a lot of fancy toys! A ball, a few boxes or pots and pans can stimulate your child’s imagination. • Asking questions. Talk to your child’s pediatrician, teachers and other careproviders about the specific needs of your child.

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St Martin’s Family Services

Home Health Companion In Home Child Care/Sitter Respite Care Academic Tutoring & Study Skills

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NATIONAL SAFE KIDS CAMPAIGN RECOMMENDS THAT NO CHILD UNDER 12 BE LEFT ALONE

back to school safety: AVOID PAIN FROM HEAVY BACKPACKS Orthopaedic surgeons offer tips to steer clear of injuries from backpacks

A student’s backpack might contain homework, books, laptops, iPods, lunches and even gym clothes. As their backpacks become stuffed to the brim, the pack can become much too heavy or might be worn improperly, causing unnecessary back strain and pain to a child’s back. The American Academy of Orthopaedic Surgeons (AAOS) suggests that backpacks be worn correctly and should not carry too much weight, that can cause pain or discomfort. STATISTICS According to the U.S. Consumer Product Safety Commission, in 2010, nearly 28,000 people were treated in hospitals, doctors’ offices, and emergency rooms for backpack-related injuries like strains, sprains, dislocations and fractures. AAOS SAFETY TIPS The AAOS recommends the following safety tips to help eliminate pain and discomfort due to backpacks: •Always use both shoulder straps to keep the weight of the backpack better distributed; •Tighten the straps and use waist strap if the bag has one; •Remove or organize items if too heavy and place biggest items closest to the back; •Lift properly and bend at the knees to pick up a backpack; •Carry only those items that are required for the day. Parents also can help with backpack-related pain: •Encourage your child or teenager to tell you about pain or discomfort that may be caused by a heavy backpack, like numbness or tingling in the arms or legs. •Purchase a backpack appropriate for the size of your child and look for any changes in your child’s posture when they wear the backpack. •Watch your child put on or take off the backpack to see if it is a struggle for them. Do not ignore red marks on the shoulders if your child or teenager expresses discomfort. •Talk to the school about lightening the load. Keep the load at 10-15 percent or less of the child’s bodyweight. •Be sure the school allows students to stop at their lockers throughout the day. EXPERT ADVICE “Pain from backpacks is a common occurrence for students when they over pack their bags or don’t distribute the weight evenly in the pack,” said orthopaedic surgeon Laurel C. Blakemore, MD, AAOS spokesperson and chief of orthopedic surgery at Children’s National Medical Center in Washington, D.C. “There are a number of options to help alleviate backpack-related pain, like making sure the backpack doesn’t weigh more than 10-15 percent of the child’s body weight and wearing a backpack that fits well over both shoulders and at the waist.”

32 MHL HEALTHWISC SEPTEMBER 2011

EDITOR’S PICK

Best Family Back-To-School Vacation Spot!

When walking into Key Lime Cove, my mouth just dropped. I couldn’t beleive the intensity of the Key West vibe. Beautifully decorated to make you really feel like you are outside in a tropical location. My kids immediately scambled to the outdoor water park their eyes popping with joyful excitement when they saw the huge water area with waterslides, a lazy river, games, and a big pineapple that drop water from the top. The arcade was no disapointment. Tons of games, tokens, prizes... everything to keep my family bonding with each other. The resort also had a number of restaurants to choose from. Our family went to Sharky’s for some much needed pizza to fuel us up and get us back in the action. Melodie the Mermaid and her friends added a little sparkle to my daughter’s day child’s day with a manicure, pedicure, and “Sea-Glitz” make-up. She even took a little beauty back to the home with their “Make Your Own” line of lotion, sugar scrub and lip gloss. The suite we stayed in was a parent’s dream. Nice master bedroom with own personal bathroom. The kids room was spacious with two beds, tv and own bathroom with double sinks. The suite came with living and dining area. The balcony was a perfect spot for my morning coffee. Key Lime Cove is also just 3 blocks away from Six Flags Great America. They offer a free shuttle there and back for all their guests. We took full advantage. Our family had a great getaway at KeyLime Cove. The staff was very friendly and the water park lifeguards were very alert and did a great job keeping an eye on the crowd. The water park was neat and clean . We all had a blast, there was something for all of us to enjoy. Our suite was very nice, super clean and a good size. Loved having the safe and mini fridge in the room. Loved the decor around the resort and water park. Can’t wait to go back soon! KeyLime Cove 1700 Nations Drive, Gurnee, IL 60031 Reservations: 877.360.0403 www.keylimecove.com

You don’t need to travel to Florida to experience a tropical getaway! Are you ready for a fun-tastic Florida-style vacation that blends exciting waterpark rides with lots of other activities for the entire family? If so, then you need to plan a trip today to KeyLime Cove Indoor Waterpark Resort in Gurnee, Illinois! This Florida Keys-inspired family resort is the perfect spot for a splash-tastic getaway that’s just a short drive from Chicago or Milwaukee. KeyLime Cove is the perfect spot to take a break from the cell phone, soccer practice, and carpooling and just relax and have fun together as a family. At KeyLime Cove Indoor Waterpark Resort, they’ve thought of it all so you don’t have to. This kid-friendly hotel features 414 resort-style guest rooms and suites in 7 different configurations which can sleep 2 to 8 guests, with connecting rooms to accommodate up to 12! And best of all, waterpark admission is included with your room so all of our slides, wild rides, live entertainment, and attractions are reserved exclusively for our guests Gurnee, Illinois hotel! And when you’re hungry, KeyLime Cove features a total of 6 Gurnee, IL restaurants -- from D.W. Anderson’s, an oldfashioned soda fountain, to The Crazy Toucan Margarita Grille, your thatched-roof oasis, as well as places for hot dogs, pizza, homemade fudge, ice cream, tropical drinks, and more. In addition to the 82-degree Lost Paradise Indoor Waterpark at KeyLime Cove — which makes you feel like you’re right in the tropics — they have 10,000 square feet of entertainment including the RipTide Reef Arcade, Leapin’ Lizards artistic adventure spot for funky crafts and games, Pinki’s Pet Palace where the kids can make their very own pet, and much more. There’s nonstop fun at KeyLime Cove in Gurnee, IL and your kids will love the Sunset Festival parade, decorating their own cookies, having their photo taken with a live parrot or iguana, and plenty of other fun-omenal activities listed in their daily “Fun-tivities” guide. While the kids are off having a ball, you can relax at Paradise Mist Spa where indulgent treatments like the Lava Shell Massage, Pure Fiji Paradise Glow, and Six Layer Deep Facial are guaranteed to remove stress and help you emerge feeling rejuvenated. So remember you don’t have to go far to get away! Get here fast, then take it slow!

Upcoming Event

Paradise Mist Party In Pink PrettyCity.com and Paradise Mist Spa at KeyLime Cove are kicking off breast cancer awareness month with a Pretty In Pink beauty bash. We will be proudly wearing our PINK as we showcase the fabulous Paradise Mist Spa. Guests will enjoy complimentary pink services such as PINK polish changes, mini chair massage with PINK rose aromatherapy, or a PINK collagen face mask. Makeup artists will be on hand to help choose your best PINK lip color. Complimentary fare and yummy spatinis will be provided by the fabulous chefs of KeyLime Cove. And of course, all guests will leave with a fabulous swag bag full of our favorite PINK products. We suggest all attendees dress in... PINK, of course. And donSection 1t be shy ladies, bring out your chic PINK (heels, hair bows, gems, dresses, etc.) Show your support for a great cause and you may just win a special treat! Must be 21 or over to attend and must present a valid photo ID at registration. September 30, 2011 from 6-9 p.m. at Paradise Mist Spa, 1700 Nations Drive, Gurnee, IL 60031

Six Flags Great America The Chicago and Milwaukee area’s largest amusement park features nearly seven miles of roller coaster track. That’s the perfect complement to our countless feet of TUBE-ular fun! Check out our review in our October edition including Fright Fest. www.sixflags.com (847) 249-INFO (4636) SEPTEMBER 2011 HEALTHWISC MHL 33

Autism Spectrum Disorders Early intervention has a dramatic impact on reducing symptoms and increasing a child’s ability to grow and learn new skills.

34 MHL HEALTHWISC SEPTEMBER 2011

The autism spectrum disorders are more common in the pediatric population than are some better known disorders such as diabetes, spinal bifida, or Down syndrome.Prevalence studies have been done in several states and also in the United Kingdom, Europe, and Asia. A recent study of a U.S. metropolitan area estimated that 3.4 of every 1,000 children 3-10 years old had autism.This wide range of prevalence points to a need for earlier and more accurate screening for the symptoms of ASD. The earlier the disorder is diagnosed, the sooner the child can be helped through treatment interventions. Pediatricians, family physicians, daycare providers, teachers, and parents may initially dismiss signs of ASD, optimistically thinking the child is just a little slow and will “catch up.” Although early intervention has a dramatic impact on reducing symptoms and increasing a child’s ability to grow and learn new skills, it is estimated that only 50 percent of children are diagnosed before kindergarten. All children with ASD demonstrate deficits in 1) social interaction, 2) verbal and nonverbal communication, and 3) repetitive behaviors or interests. In addition, they will often have unusual responses to sensory experiences, such as certain sounds or the way objects look. Each of these symptoms runs the gamut from mild to severe. They will present in each individual child differently. For instance, a child may have little trouble learning to read but exhibit extremely poor social interaction. Each child will display communication, social, and behavioral patterns that are individual but fit into the overall diagnosis of ASD. Children with ASD do not follow the typical patterns of child development. In some children, hints of future problems may be apparent from birth. In most cases, the problems in communication and social skills become more noticeable as the child lags further behind other children the same age. Some other children start off well enough. Oftentimes between 12 and 36 months old, the differences in the way they react to people and other unusual behaviors become apparent. Some parents report the change as being sudden, and that their children start to reject people, act strangely, and lose language and social skills they had previously acquired. In other cases, there is a plateau, or leveling, of progress so that the difference between the child with autism and other children the same age becomes more noticeable. Signs & Symptoms Parents are usually the first to notice unusual behaviors in their child. In some cases, the baby seemed “different” from birth, unresponsive to people or focusing intently on one item for long periods of time. The first signs of an autism spectrum disorder can also appear in children who had been developing normally. When an affectionate, babbling toddler suddenly becomes silent, withdrawn, self-abusive, or indifferent to social overtures, something is wrong. Treatment There is no single best treatment package for all children with ASD. Decisions about the best treatment, or combination of treatments, should be made by the parents with the assistance of a trusted expert diagnostic team

children’s directory

adoption/fosttercare Family Works 5604 Medical Circle Madison, WI 53719 608-233-9204

From our headquarters in the Middleton/Madison area we provide services as a Treatment Foster Care agency to emotionally and behaviorally disturbed children and adolescents who display a wide variety of mental health disorders.

JFS counseling services accredited counseling services available for... • • • • •

anxiety, depression, grief, stress life transitions including separation and divorce children’s behavioral issues parenting results oriented individual and family therapy

most insurances accepted

two convenient locations: Bayshore Town Center: 5800 N. Bayshore Drive Suite B215 -)6 LV D SDUWQHU DJHQF\ RI WKH 0LOZDXNHH -HZLVK )HGHUDWLRQ D EHQH¿FLDU\ RI WKH 8QLWHG :D\

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Green Square Developmental Specialist 6791 N Green Bay Ave Glendale, WI 53209 414-228-4800 Family Works Programs, Inc., a child- www.greensquarespecialists.com placing agency, provides treatment foster care to at-risk children through- Greensquare Delelopmental Speicalists out the state of Wisconsin. We license, is a clinic devoted to the development train, and support foster parents to care and mental health of children. We spefor children in the foster family’s home. cialize in the treatment of a wide range The job of foster parenting is made easi- of pediatric mental health problems. er by our social work staff in or near Milwaukee, Madison, LaCrosse, Dodgeville, Oakcreek Pediatrics Green Bay, Eau Claire, Ladysmith, Rice 8375 S. Howell Avenue · Oak Creek, WI Lake, and Hayward, who visit the foster 53154 home weekly, develop treatment plans, Phone: (414) 764-5726 and facilitate the child’s treatment team. Oak Creek Pediatrics is proud to be one At Family Works Programs we are of the leading practices in Southeastern committed to creating a healthy envi- Wisconsin. As a member of Children’s ronment for all members of the Fam- Medical Group, and affiliated with Chilily Works Programs community, a com- dren’s Hospital and Health System, we munity in which we identify and solve have five board-certified pediatricians problems in a spirit of mutual respect ready to serve your child’s needs. Our and cooperation. pediatricians and staff are dedicated to making your child’s health and medical care a top priority. Community Care Resources Inc. 6717 Stone Glen Drive Middleton, WI 53562 Shorewood Family Chiropractic 608-827-7100 4433 N. Oakland Ave, Suite A Fax: 608-827-7101 Shorewood WI 53221 www.communitycareresources.com 414-962-5483 Fax: 414-962-5482 We are a State of Wisconsin licensed monicamaroney@ Child Placing Agency and State certified shorewoodfamilychiro.com Outpatient Mental Health Clinic serving www.shorewoodfamilychiro.com the entire State of Wisconsin.

Downtown Milwaukee: 1300 N. Jackson Street

Jewish Family Services Robert & Mimi Habush Family Center

Shorewood Family Chiropractic offers care, massage, acupuncture and nutritional counseling for the whole family. Dr. Monica Maroney is board certified in chiropractic pediatrics through the International Chiropractic Association (ICA) Council on Chiropractic Pediatrics after completing three years of post-graduate specialized training in the treatment of infants, children, and pregnant women.

MCFI 2020 West Wells Street Milwaukee, WI 53233-2720 (414) 937-2020 MCFI Children’s Programs address our community’s growing need for innovative early education and treatment for children with special needs. MCFI Pediatric Special Care offers skilled day nursing services for children with complex medical needs. The School for Early Development & Achievement, chartered through UWM, provides the basis for a lifetime of learning for children in grades K3 to 2nd grade. The MCFI Birth to Three program provides inhome therapies and parent education for infants and toddlers with developmental delays.

The Goddard School 355 Intertech Drive, Brookfield, WI 262.781.1400 The Goddard School offers the foundation to encourage your child’s lifelong love of learning. In our warm, loving atmosphere caring teachers support the healthy development of your child from six weeks to six years old. Our year round program offers your family the choice of either a half- or fullday schedule. Whether gently holding your infant, encouraging your toddler to share, or providing your preschooler with a wide range of enriching activities, our teachers understand your child’s needs. Goddard Developmental

working with kids Wisconsin Early Autism Project 262.432.5660 www.wiautism.com Wisconsin Early Autism Project is seekin caring and enthusiastic people to teach social skills, language, and play to young children in their homes. Immediate and part-time positions open.

Jewish Family Services, Inc. Counseling & Case Management Services 414-390-5800 • www.jfsmilw.org Downtown: 1300 N. Jackson Street, Milwaukee, WI Bayshore Town Center: 5800 N. Bayshore Drive, Suite B215, Glendale, WI JFS’ licensed and COA accredited mental health outpatient clinic offers resultsoriented therapy and problem-solving skills to those struggling with depression, anxiety, and life transitions. JFS’ multidisciplinary team of social workers, psychologists and psychiatrists are qualified to assess and treat a range of emotional problems from common issues of adjustment to severe behavioral difficulties. Services include family and child therapy, couples and marital therapy and individual therapy. A comprehensive evaluation is conducted to define the problem and choose the most appropriate treatment intervention. Counselors are committed to maintaining the utmost levels of confidentiality and have two convenient locations at which to meet clients.

ph: 414-390-5800 fax: 414-390-5808 www.jfsmilw.org SEPTEMBER 2011 HEALTHWISC MHL 35

SENIOR HEALTH AND LIVING

A special section dedicated to helping senior’s plan the next phase of their life.

36 MHL HEALTHWISC SEPTEMBER 2011

A GUIDE TO SENIOR LIVING CHOICES AND RESIDENTIAL CARE Many people remain in their own homes, active and healthy, decades beyond age 65. Senior housing includes a variety of retirement communities for independent living as well as numerous options for those who are having difficulty continuing to manage independently. What are the main types of senior housing and residential care? Senior housing is a group-living situation where senior citizens can live in proximity to their peers and partake of a wide range of activities and special services. Senior housing ranges from single-family homes in a senior community to large group living facilities. Seniors who want to remain in their own homes can find resources and direction in Helpguide’s Services to Help Seniors Stay at Home. People who explore senior housing as an alternative for themselves or a loved one find a complex and often confusing array of options and descriptions but senior housing really consists of just 3 basic types: Independent living Assisted living Nursing home care Assisted living is sometimes called “board & care” and “congregate housing.” Residential care that combines all 3 housing types is called Continuing Care Retirement Communities (CCRC’s). This gives us 6 major senior housing options: Independent Living – For healthy seniors who are self-sufficient and want the freedom and privacy of their own separate, easy-to-maintain apartment or house, along with the security, comfort and social activities of a senior community. Assisted Living – Numerous kinds of housing-with-services for people who do not have severe medical problems but who need help with personal care such as bathing, dressing, grooming or meal preparation. Board and Care – State-licensed assisted living for people who need minimal asstress>>page 38

SEPTEMBER 2011 HEALTHWISC MHL 37

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stress<<page 37 sistance with personal care such as bathing, dressing, grooming or toileting, but who need or want communal meals and easy access to social contact with peers. Nursing Homes (Skilled Nursing Facilities) – Facilities with 24-hour medical care available, including short-term rehabilitation (physical therapy) as well as long-term care for people with chronic ailments or disabilities that require daily attention of RN’s in addition to help with personal care such as bathing or dressing or getting around. Congregate Housing – Used to be considered a unique combination of private living quarters combined with shared activities including communal meals and other social activities, but is now considered a type of assisted living. Continuing-Care Retirement Communities (CCRCs) – A complex of residences that include independent living, assisted living and nursing home care, so seniors can stay in the same general location as their housing needs change over time, beginning when they are still healthy and active. Why is the topic of senior housing sometimes hard to understand? It used to be pretty simple. So long as you were independent, you lived in your own home, or moved to a retirement community. If you needed a little help with personal care, and your meals provided, you went into board and care. If you needed quite a bit of help with personal care, or skilled nursing care, you went into a nursing home. In the last 2 or 3 decades, the world of senior housing has developed many more options for elder care from specialized nursing homes to types of assisted living that prevent being placed in a nursing home. It’s good for consumers, and a sign of hope to the aging, that we have more good choices for care, but it has also led to these complications: Different names are used for the same type of housing. A nursing home was once known as an old folks’ home or retirement facility and today may be called a convalescent hospital, skilled nursing facility, or rest home. Among the 26 different names for board and care in the U.S. are “boarding care,” “board & lodging” and “adult foster care.” The same names are used for different types of housing. Sometimes “assisted living” is applied to any senior housing where assistance is provided, from just meals (as in some retirement homes), to board and care homes, to nursing homes. The phrase, “long-term care” used to apply to nursing home care for people who were never expected to recover from a disabling illness; but sometimes all forms of senior housing offering assistance that will be needed for many years, are now called “long-term care.” The rapid growth of assisted living facilities makes for ever-changing combinations of services in a widening variety of settings. This has led to a variation on the old adage, “If you’ve seen one you’ve seen ‘em all.” When it comes to residential care, “If you have seen one assisted living facility, you have seen one assisted living facility.” How do I determine what type of senior housing arrangement is best? After familiarizing yourself with the types of residential care, it’s time to conduct a thorough inventory of the senior’s wants, needs and goals. Some key issues to consider: Temporary versus long term care: An older person may go to a nursing home for rehab following a surgery or stroke, then return home. In other circumstances, a senior’s needs are better served by planning a move into a situation that is likely to remain the same for the many years to come. Independence: Can the senior live alone, and more importantly, does he/she want to? Or would living in a more service-oriented environment be more nurturing? Privacy: Independence and assistance generally form a continuum: privacy decreases as the need for assistance increases. If the senior’s desire for privacy is paramount, independent living, assisted living, or a Continuing Care Retirement Community would all be preferable to a board & care home or a nursing home. Needs for personal care: How much and what kinds of personal or “custodial care” are needed or desired? There are online needs assessment questionnaires to help determine this and then match the care needs with the right type of housing. Needs for medical care: If the senior has a chronic illness that necessitates special medical care, or ongoing services of medical professionals, independent living and even assisted living may not be suitable. Costs: Learn about the financial aspects of senior housing to determine what options are affordable for you. Walk through and evaluate several care facilities or senior communities that seem suitable. Reviewing facility comparison checklists can help you determine which type of environment fits the senior resident’s requirements and preferences. Seek guidance from professionals who are experts in senior housing issues such as medical social workers, case managers or geriatric care managers. They can help with all phases of this process: identifying goals and values, assessing needs, determining what is affordable, and suggesting appropriate facilities. Types of personal care provided by senior living facilities

Personal care (also known as custodial care) encompasses what are known as “ADL”-activities of daily living. These commonly include: Cooking and cleaning eating bathing dressing using the toilet getting around the house (mobility) Additional personal care support may provide assistance with: transportation around the community medication reminders finding companionship participating in social and recreational activities While an independent living senior community does not provide personal care in the home, the various types of assisted living facilities do. Types of community services and activities provided by senior living facilities Depending on the type of senior housing one chooses, optional community services may include: Communal Meals Housekeeping Laundry Local transportation Exercise facilities, such as pools, saunas and exercise machines Arranging for personal or medical care Libraries Beauty shops Gardens Activities can include: Recreational, educational, and social events Activity rooms or clubhouses Golf courses Tennis and shuffleboard courts Health and exercise programs or classes Chapels and religious services Independent living facilities are most likely to offer some or all of the above community services, health and recreational/spiritual activities. Assisted living and Continuing Care Retirement Communities may adapt the services offered to meet the specific needs of the seniors living in their facilities. Nursing homes also have a range of services and social activities adjusted to suit the limitations of the residents. Types of health services provided. When is a Nursing Home necessary? If a senior cannot live alone due to forgetfulness, frailty, or a chronic medical condition, assisted living facilities can be explored, but a Nursing Home (Skilled Nursing Facility) might be the only option. Only nursing homes have the medical professionals on staff to address ongoing medical needs, with a care plan supervised by physicians and Registered Nurses on site 24 hours per day. In addition to assisting with custodial care, a nursing home may provide: Interim medical care (after a hospital stay for an illness or procedure) Rehabilitation services: occupational, physical, respiratory and speech therapy Pharmacy, laboratory and radiology services Therapeutic recreational and educational activities Transportation on a limited basis Laundry service (often for an extra cost) End of life care (hospice) Respite care (relief for caregivers) Not all nursing homes provide all these services, so it’s important to find the facility that provides the type of care needed. Also, some nursing homes specialize in certain kinds of care for special needs such as: Kidney dialysis treatment Alzheimer’s and dementia care Respiratory care Parkinson’s care Finding professional help for locating suitable senior housing or elder care The complexities of senior housing and elder care are such that most people are well advised to seek professional services to assist them. Sometimes moving to a care facility on a temporary or long-term basis is dictated by medical necessity. In these cases, the choice of a facility is often made while the senior is in the hospital where you can get the guidance you need from a medical social worker, case manager or discharge planner. If not hospitalized, you can seek the advice of your physician and you can seek community-based geriatric care managers--based in private practice for a fee or based in community agencies for no fee or on a sliding fee scale. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org.

Schedule a “Just in Case” Tour of The Jewish Home Rehab Get the answers you’ll need while you have the time and presence of mind to ask them. Questions like... r r r r r r r r r r

Do you take my insurance? How big are the rooms? Can I bring in some furniture from home? What kind of activities can I expect ? What is the food like? Where will I take my meals? Will I be stuck in my room all day? What is it like there? Is the staff friendly? What does the therapy room look like? Is the building warm and friendly or cold and austere? r What if I can’t go home again... would I want to live here? Most people have to make the decision to choose a rehab from their hospital bed. You hope you never have to make that decision. But if you do, wouldn’t you rather have the facts? Call Elisabeth to schedule your tour... just in case. 414-277-8852

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SEPTEMBER 2011 HEALTHWISC MHL 39

National Assisted Living Week® September 11 - 17, 2011

THIS YEAR’S THEME

Forever Proud National Assisted Living Week® September 11- September 17, 2011.

Because this year’s National Assisted Living Week® begins on the 10 year anniversary of 9/11, it was important for the theme to reflect the pride we feel as citizens and active members of the community. The events of 9/11 were tragic, but they also brought our country together. Countrymen helping countrymen and a spirit of rebuilding helped to foster a renewed sense of national pride for many. But it is not just national pride that “Forever Proud” addresses. Pride in a life of work done well. Pride in an achievement that will outlive its creator. Pride in a local community or sports team. Pride in family and friends. Pride in a skill mastered or being developed. This is a time to celebrate what has been and will be accomplished. A proud moment or event is something we never forget. This is an opportunity to share these moments with the community and those we love. Assisted Living communities around the country will be celebrating, remembering, and showing their pride together.

National Assisted Living Week® begins on Grandparent’s Day, Sunday, September 11 and continues until September 17, 2011. Many assisted living residents are the people who made significant contributions to our community. They have been the teachers, business people, civic leaders, public officials, parents, and now grandparents, who have contributed so much to Milwaukee, Waukesha and Ozaukee county. This week gives us a chance to honor these citizens’ contributions along with staff, Join this year’s National Assisted Living Week® celebration and share. families, friends, and volunteers of our community.

40 MHL HEALTHWISC SEPTEMBER 2011

A LEXIAN V ILLAGE “ V ILLAGE C ENTER” 9301 N. 76 Street

A L E X I A N B RO T H E RS P A V I L I O N 9225 N. 76 Street

September 2011

Friday, September 2, Free Senior Day at Milwaukee County Zoo Enjoy a great day at the Milwaukee County Zoo. RSVP to 1-800-251-4600 by August 30. Bus One (33 seats available) Bus One will be filled before we fill Bus Two. You will be contacted if you are scheduled for Bus Two, so please leave your telephone number when you RSVP. • Meet at the Pavilion at Alexian Village at 9:00 a.m. for a complimentary continental breakfast • Bus for the zoo leaves at 10:00 a.m. • Arrive at the zoo at 10:30 a.m. • Enjoy 2 ½ hours at the zoo • Re-board the bus at 1:00 p.m. • Arrive back at Alexian Village at 1:30 p.m. Bus Two (only 18 seats available) • Meet at the Pavilion at Alexian Village at 10:00 a.m. for a complimentary continental breakfast • Bus for the zoo leaves at 11:00 a.m. • Arrive at the zoo at 11:30 a.m. • Enjoy 2 ½ hours at the zoo • Re-board the bus at 2:00 p.m. • Arrive back at Alexian Village at 2:30 p.m. Monday, September 5, Free Concert by Jim Kellerman 7:00 p.m., Village Center Enjoy the sounds of Jim Kellerman as he plays sax, clarinet with background 1920’s and up music tracks. RSVP to 1-800-251-4600 by September 2. Wednesday, September 7 and 21 Lunch & Bingo, Lunch, Noon, $4.00, Bingo, Free; 1:00 p.m. Free, Pavilion Enjoy a great lunch catered the Alexian Dining Service followed by a fun game of bingo with cash prizes. RSVP to 1-800-251-4600 by September 2 (9/7) or September 19 (9/21). Thursday, September 8, Free Coffee, Cookies and Conversation 1:00 – 2:00 p.m., Pavilion Connie Chestnut, Multicultural Outreach Manager and Multicultural Outreach Coordinator, Gail Morgan from the Alzheimer’s Association will present tips on recognizing the signs of Alzheimer’s disease. RSVP to 1-800-251-4600 by September 5.

Calendar of Events

Tuesday, September 13, Free “Diabetes, Facts & Myth” 1:00 p.m., Pavilion Boni Wendel, nurse & expert on diabetes from Columbia St. Mary’s Hospital Ozaukee presents valuable information. RSVP to 1-800-251-4600 by September 11. Wednesday, September 14 Healthy Cooking Luncheon and Bingo Lunch, Noon, $4.00; Bingo, 1:00 p.m., Free, Pavilion This month’s healthy cooking series is Immune Boosting Foods. You will receive information and recipes on delicious fun foods for everyone plus lunch that features the theme from Amanda Masmela and Robin Rateau, the Alexian’s Certified Nutritionists. Recipes will be provided. Bingo is free plus you can win cash prizes. RSVP to 1-800-2514600 by September 12. Thursday, September 15, Free Blood Drive 9:00 a.m. – 1:00 p.m., Pavilion Call to make reservations please (414) 357-5105 extension 5504. Friday, September 16, Free Reduce and Eliminate Pain 2:30 p.m., Village Center Dr. Rapkin will speak on nontraditional methods of reducing and eliminating pain so you can live a better life. RSVP to 1-800-251-4600 by September12. Wednesday, September 21, Free Stars and Stripes Honor Flight Presentation 2:00 p.m., Village Center Their mission is to fly WWII veterans and terminally ill veterans from other wars to see their memorials in Washington, DC. RSVP 1-800-251-4600 by September 19. Thursday, September 22, Free “Changes in Medicare and Medicaid, How Will It Affect You?” 1:00 p.m., Pavilion Alice Kowalski from the Milwaukee County Department of Aging presents information on the upcoming changes for the Medicare and Medicaid programs. RSVP to 1-800-251-4600 by September 19. Wednesday, September 28 Lunch & Movie, “Lincoln Lawyer”* Noon Lunch, $4.00; 1:00 p.m. Movie, Free, Pavilion Enjoy a great lunch catered by the Alexian Dining Service followed by a movie. If you cannot make it to lunch, come for the movie. RSVP to 1-800-251-4600 by September 26.

Call 1-800-251-4600 to RSVP

The Ongoing Fight against Parkinson Disease

42 MHL HEALTHWISC SEPTEMBER 2011

Jonathon Klein, B.S., C.C.R.C. Research Coordinator Regional Parkinson Center, Milwaukee, WI Parkinson disease is a neurological disorder that leads to tremor, lack of coordination, poor mobility, and trouble with walking. Along with these main features, patients also experience problems with swallowing, constipation, excess saliva, rigidity, soft or slow speech, stooped posture, depression, and anxiety. Although there has been much progress in the treatment of Parkinson’s, there are still aspects of the disease that we do not fully understand. Here are some of the questions we are trying to answer: • For those diagnosed with Parkinson disease (PD), how is the disease going to progress? • How do we improve on the PD medications that are currently on

the market? Why is it that no two Parkinson patients look exactly alike with regard to symptoms, progression, and treatment response? • How can we implement a holistic treatment plan that leads to happier, healthier lives for our patients? • And most importantly, what is the cause of the disease? And how do we cure it? At the Regional Parkinson Center in Milwaukee, we are making progress on all of these fronts. Our clinical research department is always testing new and cutting-edge medications that will improve treatment options. The medications currently approved to treat PD are sometimes sporadic in terms of the control they provide and the side effects they may trigger, so to find safer and more effective medications, we have developed one of the most successful Parkinson clinical research departments in the country. At this time we are studying eight new experimental medications that we hope will lead to better control of PD symptoms and significantly change the way we treat the disease. The Regional Parkinson Center also has a separate research entity. The Parkinson Research Institute analyzes data and designs studies using information that has been gathered •

for more than 30 years, and it is home to one of the largest Parkinson disease brain banks in the world. The brain bank allows us to test tissue samples and better understand the pathology of Parkinson disease. By analyzing the information from patient clinic records and tissue samples, we may be able provide answers to important questions: If we can pick out certain variables and predictors from certain groups of patients, then we can figure out what may be the cause or causes of this disease. Also, by analyzing specific variables, we can attempt to categorize patients and group them based on symptom profiles and treatment responses, which will allow for future development of specifically tailored treatment plans that cater to individual patient needs. Both departments are vital in the ongoing fight against PD. The FDA should soon approve new medications that will improve treatment capabilities. Researchers systematically gather and share information pertaining to disease progression and categorization. Medical professionals are designing better treatment plans to deal with the physical and psychological affects of PD. Progress is being made all around the world. In the end, we hope that this stepwise progression of research will lead us to a cure for Parkinson’s disease.

falls and fractures

A simple thing can change your life— like tripping on a rug or slipping on a wet floor. If you fall, you could break a bone, like thousands of older men and women do each year. A broken bone might not sound awful. But, for older people, a break can be the start of more serious problems. Many things can cause a fall. Your eyesight, hearing, and reflexes might not be as sharp as they were when you were younger. Diabetes, heart disease, or problems with your thyroid, nerves, feet, or blood vessels can affect your balance. Some medicines can cause you to feel dizzy or sleepy, making you more likely to fall. But don’t let a fear of falling keep you from being active. Doing things like getting together with friends, gardening, walking, or going to the local senior center helps you stay healthy. The good news is that there are simple ways you can prevent most falls. Take The Right Steps If you take care of your overall health, you may be able to lower your chances of falling. Most of the time, falls and accidents don’t “just happen.” Here are a few hints that will help you avoid falls and broken bones: Stay physically active. Plan an exercise program that is right for you.

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Regular exercise improves muscles and makes you stronger. It also helps keep your joints, tendons, and ligaments flexible. Mild weight-bearing activities, such as walking or climbing stairs, may slow bone loss from osteoporosis. •Have your eyes and hearing tested. Even small changes in sight and hearing may cause you to fall. When you get new eyeglasses, take time to get used to them. Always wear your glasses when you need them. If you have a hearing aid, be sure it fits well, and wear it. •Find out about the side effects of any medicine you take. If a drug makes you sleepy or dizzy, tell your doctor or pharmacist. •Get enough sleep. If you are sleepy, you are more likely to fall. •Limit the amount of alcohol you drink. Even a small amount of alcohol can affect your balance and reflexes. Weak Bones Osteoporosis is a disease that makes bones weak and more likely to break. Many people think osteoporosis is only a problem for women, but it can also affect older men. For people with osteoporosis, even a minor fall may be dangerous. Talk to your doctor about whether you have osteoporosis. •Stand up slowly. Getting up too quickly can cause your blood pressure to

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drop. That can make you feel wobbly. •Use a walking stick if you need help feeling steady when you walk. If your doctor tells you to use a cane or walker, make sure it is the right size for you and the wheels roll smoothly. This is very important when you’re walking in areas you don’t know well or in places where the walkways are uneven. •Be very careful when walking on wet or icy surfaces. They can be very slippery! Try to have sand or salt spread on icy areas by your front or back door. •Wear non-skid, rubber-soled, lowheeled shoes, or lace-up shoes with nonskid soles that fully support your feet. It is important that the soles are not too thin or too thick. Don’t walk around on stairs or floors in socks or in shoes and slippers with smooth soles. Always tell your doctor if you have fallen since your last checkup—even if you aren’t hurt when you fall. Your Own Medical Alarm Think about getting a home-monitoring system. Usually, you wear a button on a chain around your neck. If you fall or need emergency help, you push the button to alert the service. You can find local “medical alarm” services in your yellow pages. Most medical insurance companies and Medicare do not cover home-monitoring systems. Be sure to ask about costs.

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

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Call our Admissions Coordinator today at 414.546.7322. 3939 S. 92nd St. • Greenfield, WI 53228 • 414.321.1800 • www.clementmanor.com SEPTEMBER 2011 HEALTHWISC MHL 43

HEALTHY AGING Healthy aging is about much more than staying physically healthy

As we grow older, we experience an increasing number of major life changes, including retirement, the loss of loved ones, and the physical changes of aging. How we handle these changes, as well as regular day-to-day stresses, is the key to aging well. Healthy aging is about much more than staying physically healthy—it’s about maintaining your sense of purpose and your zest for life. While the specific ingredients of healthy aging are different for everyone, the common factors are good mental health and the ability to manage stress. Knowing the basic formula for healthy aging will help you live with meaning and joy throughout your senior years.

Finding and following your formula for healthy aging

Coping with change is difficult, no matter how old you are. The particular challenge for older adults is the sheer number of changes and transitions—including the loss of friends, family, your career, your health, and even your independence. It’s natural to feel those losses. But if that sense of loss is balanced with positive ingredients, you have a formula for aging well. Healthy aging means continually reinventing yourself, finding new things you enjoy, learning to adapt to change, staying physically and socially active, and feeling connected to your community and loved ones. Unfortunately, for many, aging brings anxiety and fear instead. How will I take care of myself? What if I lose my spouse? What is going to happen to my mind? However, many of these fears stem from myths about aging that are exaggerated or simply untrue. The truth is that you are stronger and more resilient than you may think.

Healthy aging: Tips for coping with change

As you age, there will be periods of both joy and stress. It’s important to build your resilience and find healthy ways to cope with challenges. This ability will help you make the most of the good times and keep your perspective when times are tough. Focus on the things you’re grateful for. The longer you live, the more you lose. But as you lose people and things, life becomes even more precious. When QUALITY...INNOVATION...EXPERIENCE... you stop taking things for granted, you appreciate and enjoy what you have even FOR MORE THAN 40 YEARS, NPS HAS BEEN DEDICATED TO PROVIDING THE HIGHEST QUALITY more. PRESCRIPTION FOOTWEAR FOR YOU AND YOUR PATIENTS. Acknowledge and express your feelChronic Disease—Diabetes Chronic Disease—Arthritis ings. You may have a hard time showing S ERVICES INCLUDE: Congenital Conditions Muscular Sclerosis strong emotions, perhaps feeling that such COMFORT SHOE Cerebral Palsey Sports Injuries A THLETIC F OOTWEAR a display is inappropriate and weak. But Rehabilitation Overuse FOOT ORTHOTICS burying your feelings can lead to anger, Work Injury Stroke BRACES Trauma Aging resentment, and depression. Don’t deny what you’re going through. Find healthy ways to process your feelings, perhaps by talking with a close friend or writing in a journal. Accept the things you can’t change. Many things in life are beyond our control. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Face your limitations with dignity NATIONAL PEDORTHIC SERVICES, INC. and a healthy dose of humor. MILWAUKEE AREA - 7283 W. APPLETON AVE. TEL: (414)438-1211 / 2745 W. LAYTON AVE. TEL: (414)282-8888 Look for the silver lining. As the sayPEWAUKEE - 325 FOREST GROVE DR. TEL: (262)691-9490 MADISON - 1825 S. PARK STREET TEL: (608)225-3500 FOND DU LAC - 885 WESTERN AVE TEL: (920)907-1060

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44 MHL HEALTHWISC SEPTEMBER 2011

ing goes, “What doesn’t kill us makes us stronger.” When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes. Take daily action to deal with life’s challenges. When challenges seem too big to handle, sweeping them under the carpet often appears easier. But ignoring the problem doesn’t make it go away; it allows both the problem and your anxiety to build. Instead, take things one small step at a time. Even a small step can go a long way to boosting your confidence and reminding you that you are not powerless. Healthy aging: Tips for finding meaning and joy A key ingredient in the recipe for healthy aging is the continuing ability to find meaning and joy in life. As you age, your life will change and you will lose things that previously occupied your time and gave your life purpose. For example, you may retire from your career or your children may move far away. But this is not a time to stop moving forward. Later life can be a time of exciting new adventures if you let it.

Healthy aging means finding activities that you enjoy

Everyone has different ways of experiencing meaning and joy, and the activities you enjoy may change over time. If you’re not sure where to get started, try some of the following suggestions:

Pick up a long-neglected hobby

Play with your grandchildren or a favorite pet Learn something new (an instrument, a foreign language, a new game) Get involved in your community (volunteer or attend a local event) Take a class or join a club Go on a weekend trip to a place you’ve never visited Spend time in nature (take a walk, go fishing, enjoy a scenic view) Enjoy the arts (visit a museum, go to a concert or a play) The possibilities are endless. The important thing is to find activities that are both meaningful and enjoyable. Whatever your preference, taking time to nourish your spirit is never wasted. Healthy aging through humor, laughter, and play Laughter is strong medicine for both the body and the mind. It helps you stay balanced, energetic, joyful, and healthy. A sense of humor helps you get through tough times, look outside yourself, laugh at the absurdities of life, and transcend difficulties. To learn more about how to harness its powerful effects, read Laughter is the Best Medicine: The Health Benefits of Humor and Laughter. Reprinted with permission from Helpguide.org © 2001-2010. All rights reserved. For more articles in this series, visit www.Helpguide.org.

SEPTEMBER 2011 HEALTHWISC MHL 45

THERE’S NO PLACE

Like Home!

THERE ARE COMMON CONCERNS FOR OLDER PEOPLE. AND, YOU MAY SHARE AN OFTEN-HEARD WISH—“I WANT TO STAY IN MY OWN HOME!” THE GOOD NEWS IS THAT WITH THE RIGHT HELP YOU CAN DO JUST THAT. WHAT DO I DO FIRST? Think about the kinds of help you might want in the near future. Planning ahead is hard because you never know how your needs might change. Maybe you live alone, so there is no one to help you. Maybe you don’t need help right now, but want to plan for when you need it. Help getting dressed in the morning, fixing a meal, or remembering to take medicine may be all you need to stay at home. WHAT KINDS OF HELP CAN I GET? You can get almost any type of help you want in your home—often for a reasonable cost. The following list includes some common things people need. You can get more information on many of these services from your local Home Care Agency, Local Area Agency on Aging, local and State offices on aging or social services, tribal organization, or nearby senior centers. Personal care. Is bathing, washing your hair, or dressing getting harder to do? Are you having trouble walking? Maybe a relative or friend could help you. Or,

46 MHL HEALTHWISC SEPTEMBER 2011

you could hire someone trained to help you for a short time each day or a couple hours each week to keep your safe. Homemaking. Do you need help with chores like housecleaning, grocery shopping, or laundry? Some grocery stores and drug stores will take your order over the phone and bring the items to your home. Home Care can be inexpensive and you can get all your needs done with one caregiver rather then several different people entering your home each week. Meals. Tired of cooking, heating TV dinners or of eating alone? Maybe you could have a couple home made meals made by your own caregiver who does your laundry, cleans your bathroom all on the same visit. Sometimes meals are served at a nearby senior center, church, or synagogue. Eating out may give you a chance to visit with others and if you no longer drive, your caregiver can drive for you. Also, programs like Meals on Wheels bring hot meals into your home. Money management. Are you paying bills late or not at all because it’s tiring or hard to keep track of them? Are doctors’ bills and health insurance claim forms confusing? Ask a trusted relative to lend a hand. If that’s not possible, volunteers, financial counselors, Home Care Agencies or geriatric care managers can help. Home Health care. Do you forget to take your medicine? There are devices available to remind you when it is time to take it. Confusing with all those meds, a caregiver can oversee your meds and stabilize your health in the process. Have you just gotten out of the hospital and still need short term assistance at home? Home Care Agencies hourly rates can be cost effective. Getting around—at home and in town. Are you having trouble walking? Think about getting an electric chair or scooter. These might be covered by Medicare. Do you need someone to go with you to the doctor or shopping? Building a relationship with your own caregiver gives you security in knowing she or he is their to help you out when you need it. Maybe a relative, friend, or neighbor would take you along when they go on errands or do yours for you. Activities and friends. Are you bored staying at home? Try visiting your local senior center. They offer a variety of activities. You might see some old friends there and meet new people too. Is it hard for you to

leave your home? Maybe you would enjoy visits from someone on a regular basis. Volunteers are sometimes available to stop by or call once a week. Safety. Are you worried about crime in your neighborhood, physical abuse, or losing money as a result of a scam? Do you live alone and are afraid of becoming sick with no one around to help? Start to build a relationship with your Home Care Agency, they will always be there for you. You might want to get an emergency alert system. You just push a special button that you wear, and emergency medical personnel are called. A monthly fee is charged. Housing. Does your home need a few changes to make it easier and safer to live in? Think about things like a ramp at the front door, grab bars in the tub or shower, nonskid floors, more comfortable handles on doors or faucets, and better insulation. Sound expensive? You might be able to get help paying for these changes. Check with your local or State Area Agencies on Aging, State housing finance agency, welfare department or community development groups. WHERE DO I START? People you know. For many older people, family, friends, and neighbors are the biggest source of help. With the changing and busy world, it is often hard to rely on neighbors or family. Have a back up plan with a reliable Home Care Agency. Community and local government resources. Learn about the types of services and care found in your community. Health care providers and social workers may have suggestions. The local Area Agency on Aging, local and State offices on aging or social services, and your tribal organization have lists of services. Look in the phone book under “Government.” If you belong to a religious group. The group might have a senior services program. Geriatric care managers. Specially-trained people known as geriatric care managers can help make your daily life easier. They will work with you to form a long-term care plan and find the right services. They charge for this help, and it won’t be covered by any insurance plan. The National Institute on Aging (NIA) has its Resource Directory for Older People. Online at www. nia.nih.gov/HealthInformation or call 800-222-2225. For local information contact Comfort Keepers at 414-858-9400 or go to www.comfortkeepers.com.

Exceptional Living... .. Exceptional People

Introductory Square Dancing (In Square Dancing called “Mainstream”) Start Date/End Date: 14 weeks Start 1-14-09 to 4-16-09 (skip 4-1-09) alternate dates are possible?? Thursday Evenings @ 7:30PM To 9:00PM General Description of the Class: Learning modern Square Dancing is easy. The experienced square dance caller will guide you though a series of Square Dance Steps. Then blending these steps into a pattern, the caller will quickly have you dancing to the rhythm of the music. Square Dancing will simulate the mind while keeping you physically fit. Square Dancing is a fun social activity frequently substituted for a boring exercise class, especially for those 50 plus. Once the Square Dance steps become natural, you will be ready to join in the family Square Dances that are held regularly several days of ever week in the Milwaukee Area. Requirements: Age 12 with parent, partners are not necessary, family groups can be accommodated. Supplies: 110 volt outlet and a danceable floor, Minimum 11 ft by 11ft per square (8 dancers) The dance classroom would be great. Other Information: The class must be at least eight people. – if only six Square Benders can provide other two. Eric’s contact information will be available if the class is held. Compensation: Goal: Maximum $4.00 per person per lesson. Suggested $55.00 for the session which is less than $4.00 per session. If this does not meet you requirements, we can discuss alternatives. Contact: Bruce F Szpot Teacher : Eric Tangman Home Phone: 414-964-5443 E-mail: bszpot@milwpc.com Address: 4846 N Navajo City/State: Glendale, WI 53217

ALLIS

Care Center

EQUAL HOUSING

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

OPPORTUNITY

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

TYPES OF RETIREMENT COMMUNITIES INCLUDE: Active Lifestyle -

Live independently with an active lifestyle.

Independent Living -

Continue living at home but need some help.

Congregate Living -

In good health who want independence and companionship.

Assisted Living -

Need help bathing, dressing, or other daily activities.

We are comprehensive, continuing care retirement communities that are at the forefront of providing senior health care services. No other retirement communities have the depth of on-site services or offers fun events for active seniors.

Continuing Care -

Provide for aging health needs without having to relocate.

Nursing Care -

Deteriorating mental and physical abilities.

Alzheimers Care -

Seniors with Alzheimer’s Disease.

Rehabilitation Care -

Require rehabilitation services after a medical event. USA, Canada, International

Independent Villas Independent Apts Assisted Living Skilled Nursing Rehabilitation Ventilator Care Hospice Care SEPTEMBER 2011 HEALTHWISC MHL 47

the prostate prognosis

Don’t Ignore an Uncomfortable Problem

Most men probably

don’t like thinking about their prostates, but it’s worth doing once in a while. Problems with the small gland are common in men past the age of 50. The good news is that most prostate conditions can be successfully treated. The prostate is about the size of a walnut. It wraps around the urethra, the tube that carries urine out of the bladder. During sexual climax, or ejaculation, the prostate adds fluid to sperm to create semen, which also leaves the body through the urethra. For men under 50, the most common prostate problem is prostatitis. It can cause a burning feeling when you urinate or an urge to urinate more often. You might have a fever or just feel tired. Prostatitis is caused by the prostate becoming inflamed or irritated. Some kinds of prostatitis are caused by bacteria. If you have bacterial prostatitis, your doctor can spot it by looking at your urine through a microscope. Bacterial prostatitis can usually be treated with an antibiotic. But most of the time, there’s no clear cause for prostatitis. Researchers have yet to identify a clearly effective treatment when the cause is unknown. You may have to work with your doctor to find a treatment that works for you. Changing your diet or taking warm baths may help. No single solution works for everyone. For men over 50, the most common prostate problem is prostate enlargement, or benign prostatic hyperplasia (BPH). The prostate naturally grows larger as you get older. As it grows, it squeezes the urethra. The pressure can affect bladder control. BPH can lead to more serious problems, such as urinary tract infections. In rare cases, the constant urination problems can lead to kidney damage. Several treatments are available for BPH. In recent years, scientists have developed medicines that can shrink or relax the prostate to keep it from blocking the bladder opening. Researchers have also developed devices that allow doctors to remove parts of the prostate without major surgery. The procedures can usually be done in a clinic or hospital without an overnight stay. More invasive surgery is also an option. The symptoms of prostate cancer, in which cancer cells form in the tissues of the prostate, can be similar to those of BPH. However, most of the time patients are diagnosed with prostate cancer after results from a blood test prompt a prostate biopsy. Prostate cancer is the most common cancer in American men after skin cancer. But most men with prostate cancer don’t die from it. Many prostate cancers never even cause symptoms or become a serious threat to health. That’s because prostate cancer tends to grow more slowly than many other cancers. A prostate tumor may grow for 30 years before it gets large enough to cause symptoms. Several treatment options are available. Certain risk factors have been linked to prostate cancer—for example, eating a high-fat diet. NIH-funded scientists are now looking at how prostate cancer can be prevented. NIH also has many research programs aimed at finding treatments for BPH and other prostate problems. See your doctor right away if something doesn’t seem right to you down there.

48 MHL HEALTHWISC SEPTEMBER 2011

MAKE SURE YOU GET

the right amount

Community Coffee Hour San Camillo is offering a series of informal and informative talks. Grab a cup of coffee and learn from one of our experts. Bring your questions!

September 15th: “Sharing Your Gifts at San Camillo

and St. Camillus”

David Kremer, Executive Director of the Order of St. Camillus Foundation, will present new information on sharing your gifts through the foundation and opportunities in volunteering here at St. Camillus! All coffee hours start at 9:30 am in the O’Donnell Room. Guests are welcome. Complimentary continental breakfast.

10200 W. Blue Mound Rd. Wauwatosa, WI 53226 (414) 259-6333

50 MHL HEALTHWISC SEPTEMBER 2011

By Karyl Richson Social Security Public Affairs Specialist in Milwaukee, WI At Social Security, our goal is to make sure you are paid the correct amount, on time, every month. Some things have made that job easier over our more than 70 years of paying benefits, such as direct deposit and electronic application systems. But some of the factors that determine your payment amount still depend on good old fashioned human intervention. And in some cases, getting the correct payment amount depends on you. You certainly don’t want to be paid less than you’re entitled to receive. But what can be even more difficult, in the long run, is to be overpaid — in which case you’ll probably have to pay us back, cutting your payment down each month until the debt is repaid. What can cause an overpayment? Sometimes an overpayment (or even an underpayment) occurs because the person receiving benefits did not report a change to us. For example, if you receive Social Security retirement or survivors benefits and are under your full retirement age and working, we usually ask you to estimate your earnings for the year. If you realize your earnings will be higher or lower than you estimated, let us know as soon as possible so we can adjust your benefits. If you receive Social Security disability benefits, you should tell us if you take a job or become self-employed, no matter how little you earn. You also need to report if you begin receiving or have a change in any worker’s compensation or other public disability benefits — or if your disabling condition improves. If you receive SSI, you need to report any changes that can increase or reduce the amount of your benefit, such as changes in address (even if you get electronic payments), changes in living arrangements, income, or increased savings that inch over the resource limit ($2,000 for an individual, $3,000 for a couple). Any changes in your living arrangements, income, or resources could change your SSI payment amount. Learn more about the kinds of things you need to report when you receive Social Security retirement and survivors benefits by reading our online publication: www. socialsecurity.gov/pubs/10077.html Read about reporting responsibilities for people receiving Social Security disability benefits here: www.socialsecurity.gov/pubs/10153.html Learn all about the sorts of things to report when you receive SSI by reading over this online publication: www.socialsecurity.gov/pubs/11011.html If you’re underpaid in any given month, once we verify the information that caused you to be underpaid, we will send you any money you are due. If you’re overpaid, read our online fact sheet to learn what happens next: www.socialsecurity. gov/pubs/10098.html With your help and by diligently reporting any applicable changes, we’ll achieve a goal we can all agree on: paying you the right amount, on time, every month.

health<<page 19 wheat couscous or orzo to an equal amount of a prepared seasoned grain. Each mouthful ends up with more potassium and less salt. Why not give the old blood pressure a break? Snack tip: Open a bag of sugar snap peas. Rinse. Eat. Make your snacks fruit or vegetables. What better way to tide you over to your next meal than a low-calorie, light-yetfilling orange, half cantaloupe, peach, plum, banana, or a bowl of cherries, berries, or grapes? Try baby carrots, grape tomatoes, or slices of bell pepper or cucumber with a few tablespoons of hummus or bean dip. Yum. Cook with canola or olive oil. Replacing saturated fats (in meat and dairy) with unsaturated fats lowers LDL (“bad”) cholesterol. Most people get plenty of polyunsaturated-rich soybean oil in restaurants and prepared food (including mayonnaise and salad dressing). So at home, use either extra-virgin olive oil (when you want its flavor) or canola oil . Both are rich in monounsaturated fat. Switch from tuna to salmon. Canned salmon has more healthy omega-3 fats than canned tuna, and the salmon is almost always wild. Raincoast Trading and other companies offer unsalted canned salmon. Squeeze in fruits and veggies. Add diced bell pepper and halved grape tomatoes to tuna salad. Add grapes and diced apples to chicken salad. Add sautéed mushrooms, bell peppers, and onions to pasta. You’ll feel full on fewer calories. Try nuts instead of croutons. Nuts and seeds have some plant protein and polyunsaturated fat, but they’re too calorie dense to eat with abandon. So sprinkle them on salads instead of croutons (which are usually salty whiteflour bread). Or add them to yogurt, cereal, fruit, and vegetables dishes. For extra flavor, toast them first in the oven or a skillet until they start to turn brown. Drink water before meals. Trying to lose weight? Many people believe that drinking water helps them eat less. Researcher Brenda Davy has evidence that it works. The associate professor of nutrition at Virginia Tech assigned 48 overweight men and women aged 55 to 75 to eat a low-calorie diet. Half were told to drink roughly two cups of water before each meal. After 12 weeks, the water drinkers lost about 16 pounds while the others lost 11 pounds. “It’s an easy way to manage hunger and lose weight,” says Davy. Stick to one small cookie or chocolate or other sweet a day. Sugars raise damaging triglycerides, and most people don’t have space for their empty calories. In the OmniHeart trial, the healthiest diets had room for only one or two teaspoons of added sugars a day. A 6 oz. “fruit” yogurt or half cup of ice cream has 3 to 5 teaspoons of sugar. Many breakfast cereals have 2 teaspoons in a small (3/4-cup) serving. Still, it may be unrealistic to banish nearly all sweets from your diet. Instead, stick with one piece of chocolate, a frozen fudge bar, or one small cookie a day. A 440-calorie, eight-teaspoons-of-sugar Panera Chocolate Chipper Cookie doesn’t qualify. Sorry. Snack tip: Rinse container of blueberries. Eat. Buy a pedometer. Okay, you can’t just buy it. You have to wear it. “Get a pedometer and aim for a 10,000-a-day step goal,” says Davy. “That’s about five miles of walking.” In a review of 26 studies on more than 2,700 people, researchers found that using a pedometer boosted activity by 27%. It helps to have a step goal. “The nice thing is that the 10,000 steps can be accumulated over the day,” says Davy. “If you know that you need to get your step count up and you’re sitting at a computer, you’re more inclined to get up and walk around.” Work out to TV. Watching TV? Why not do some strength training? Crunches, push-ups, biceps curls, lunges, you name it—they may even be easier to get through in front of the tube. Got a treadmill or stationary bicycle? You know where to park it. Shoot for 8 to 12 reps. To build strength, you have to use enough—but not too much—weight. Rule of thumb: if you can do at least 8, but no more than 12, repetitions, you’re using the right weight. Up to 13? It’s time to switch to a heavier weight. (Yay.) Copyright 2011 SPI, Reprinted/Adapted from Nutrition Action Healthletter, 1875 Connecticut Ave., N.W., Suite 300, Washington, D.C. 20009-5728.

Working

together to get you there

Getting you back to school, work or home. At ManorCare, we understand post-acute care. Our goal is to provide patients with the right medical and rehabilitation care after their hospital stay, while reducing re-hospitalization in a comfortable setting. Our team of nurses and therapists provide the necessary skills for a successful discharge home. Call our admission team today for more information about our services or to pre-register with us for your post-hospital care. ManorCare Health Services – Pewaukee N26W23977 Watertown Road Waukesha, WI 53188 262.523.0933 www.hcr-manorcare.com SEPTEMBER 2011 HEALTHWISC MHL 51

Local Eye MDs Advise: Learn the facts about the most common surgery for older adults

Innovation at Harbour Village The personalized care you deserve. When it comes to assisted living, Senior Lifestyle offers some of the most advanced care to allow you to live a fuller life. Our new GE® QuietCare system monitors changes in our residents’ health, daily activities and other emergencies. Now that’s peace of mind. Call today about our immediate openings with the new QuietCare system (414) 421-9600

5700 Mockingbird Lane Greendale, WI 53129

Don’t let cataracts Cloud Your Vision

www.seniorlifestyle.com

PROTECT YOUR FAMILY’S VISION

Call 414-321-7035 for a FREE When to Have Your Eyes Checked guide or info on the topics below.

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

Act. If you have a concern or it’s time for an exam, call us today & protect your family’s vision for tomorrow.

State Leaders in Medical, Surgical & Laser Eye Care Trusted by more than 121,000 doctors & patients “Top Doctors”— Milwaukee Magazine ■ Glaucoma, Diabetes & Macular Degeneration Care

(including laser & Avastin injection treatments) ■ No-Stitch Cataract Surgery with Lens Implants (to reduce the need for reading glasses/bifocals) ■ Accept Medicare Assignment & Most Insurances ■ Comprehensive Exams & Diagnostic Laser Scans

■ Lid & Retinal Cases ■ Corneal Transplants ■ Dry Eyes/Infections ■ Pediatric Care & Surgery ■ Customized LASIK

T EYE CARE SPECIALISTS www.eyecarespecialists.net

Norman Cohen, MD n West Allis n Wauwatosa n Downtown Robert Sucher, MD Mark Freedman, MD 10150 W. National Av. 2323 N. Mayfair Rd. 735 W. Wisconsin Av. Brett Rhode, MD West Allis Wauwatosa Milwaukee Daniel Ferguson, MD 414/321-7520 414/258-4550 414/298-0099 David Scheidt, OD

52 MHL HEALTHWISC SEPTEMBER 2011

If you live long enough, you will probably develop one. In fact, six out of 10 people over age 60, and almost everyone over age 80 has one. Has what? A cataract. Despite this prevalence, most people don’t know the facts about cataracts until they come “eye-to-eye” with one. Don’t let poor vision cloud your future. Educate yourself about the signs and treatment for cataracts. What exactly is a cataract? A cataract is the clouding of the natural lens located inside the eye behind the pupil,” states Dr. Brett Rhode, Head of Ophthalmology at Aurora Sinai Medical Center. “This lens is made mostly of water and protein and works like a camera lens—focusing light onto the retina at the back of the eye to form the images you see. As you age, some of the protein may clump together and start to cloud an area of the lens. This is called a ‘cataract.’ As the clouding advances, or cataract ‘ripens,’ it can blur and glare vision to the point of inhibiting day-to-day functioning.” Depending on the type of cataract, the clouding may take years or just months to progress. How do you treat a cataract? “There are no drugs, drops, glasses or exercises that will prevent or cure cataracts,” says Dr. Norman Cohen, co-founder of Eye Care Specialists, one of the state’s leading ophthalmology practices. “The only effective treatment is to make an opening in the eye, surgically remove the cloudy lens (cataract), and replace it with an intraocular lens implant (IOL) to once again focus light rays onto the retina,” adds Cohen, the first Wisconsin eye surgeon to use high-frequency ultrasound to gently break up and vacuum out cataracts through a tiny incision. Intraocular Lens Implants (IOLs) IOLs not only provide sharper vision, but often improve sight to levels not seen in years. Standard IOLs are mono-focal, acting like miniature internal contact lenses set for a single strength or prescription power—usually to provide clear vision in the distance for driving, watching TV, and other tasks. Most patients with these lenses still need reading glasses or bifocals. Newer “premium” IOLs are designed to provide multiple focusing zones for a fuller range of vision near and far with little or no dependence on glasses. Your surgeon will help you determine which type of IOL is best for your eye, health, lifestyle and budget. When should you have surgery? Dr. Mark Freedman, an ophthalmologist with thousands of cases under his surgical cap advises, “It’s not necessary to wait to remove a cataract until it’s so ripe that almost all vision is blocked. In fact, if you wait too long, it can grow so dense that the operation becomes riskier and more difficult. I tell patients that if the cataract is preventing you from doing tasks, new glasses won’t improve clarity, and no other conditions exist which would negate the benefits of removal (like severe macular degeneration), then it’s time for surgery.”

Why do people hesitate? An eye surgeon who sees patients at Milwaukee, West Allis and Mayfair area locations, Dr. Daniel Ferguson observes, “Some people delay surgery because they think it’s unaffordable. They don’t realize it’s covered by Medicare, Medicaid and most insurances.” He adds, “Others think they are too old or that poor vision is just a fact of life that comes with age. We want everyone to know that vision loss from cataracts is usually reversible, and with today’s advanced techniques and equipment, cataract removal is one of the safest outpatient operations—even for the very elderly. What happens before surgery? “Once a patient decides to proceed, we put our years of experience to use in planning for the best possible outcome,” explains Dr. Robert Sucher, a state leader in cataract surgery techniques and technology. “We enter information regarding the length of the eye and curvature of the cornea into a special computer that calculates the power of IOL which would best restore vision to pre-cataract levels. We then customize the type of implant and surgical technique to fit the patient’s needs—taking into consideration overall health, any diabetic or retinal problems, lifestyle, and other factors. We never lose sight of the fact that even though we’ve performed tens of thousands of cataract procedures, each patient is unique.” What happens after surgery? After surgery, patients go home and resume almost all activities within hours, and vision noticeably improves within days. “Most people are so pleased with seeing things brighter and clearer, that they can’t wait to have their other eye done,” notes Rhode. Patient overcomes hesitation to “see” benefits of surgery Audrey Hoese (pronounced “Hayes”), 80, is one of those people you can’t help but strike up a friendly conversation with. She fills her days volunteering for the Greenfield Parks and Recreation Department serving senior meal program lunches and helping out with community events like “Breakfast with Santa.” While volunteering at a recent Greenfield City Hall Health Fair, Hoese wasn’t shy about directing attendees to Eye Care Specialists’ information booth. “I tell everyone, if they need an eye doctor, they should go see the doctors there. They are wonderful—I can’t say enough. I must know at least 10 people who have been there, and they are all so happy.” Hoese’s reason for referring began when her optometrist suggested she see Dr. Robert Sucher, co-founder of Eye Care Specialists, for a cataract evaluation. Hoese had worn glasses for distance vision and astigmatism since age 20, but was starting to have trouble with glare and driving at night. Upon being diagnosed with a cataract, Hoese was hesitant to pursue treatment. She recalls, “Dr. Sucher was very understanding and told me to take a year or so to consider it. I knew a few people who had cataract surgery, and I wasn’t afraid, I just had to get used to the idea. But, after a year, it was getting more difficult to drive at night, and I was ready.” Six days after proudly walking her granddaughter down the aisle for her wedding (she had lost both parents), Hoese had her first cataract removed. Three weeks later, she had her second eye done. “It was the best surgery I ever had! I had no complications and no pain whatsoever. I felt fine by the time I went home from surgery, and I was surprised at how easy it was. If I had known, I would have done it sooner!” Post-surgery, Hoese has an even better reason to be thrilled. After a lifetime of needing glasses to drive and do most tasks, Hoese now only wears a light prescription for reading and to correct for a slight astigmatism. The former frequent cruisegoer (23 in 10 years) and Rec Department group traveler enjoys her new-found freedom to see the sights. She happily exclaims, “I am able to drive and take my walks without glasses—it’s wonderful!” 6 Reasons Not to Delay Cataract Surgery 1. Cataract removal with lens implantation has been around for 50+ years and is the most commonly performed surgical procedure in Americans over age 65. The overwhelming majority of patients improve their vision—often to levels they haven’t seen in years,” notes Norman Cohen, MD. 2. Improving vision can impact quality of life. One study found that even with only modest levels of visual improvement, participants could read, write, use the telephone, watch TV, and play cards better. They also reported less psychological distress (such as worry and frustration). “Removing a cloudy cataract and improving vision can also increase the amount of light and color which enters the eye, thus positively impacting cortisol, melatonin, and mood levels,” states Robert Sucher, MD. 3. “A recent study showed that people who have their cataracts removed and replaced with implants have half the car accident risk of people who don’t have surgery,” cites Dr. Daniel Ferguson. 4. “You’ll decrease your risk of falling by up to 78%, according to one study,” reports Dr. Mark Freedman. Of the nearly 1,000 hip fractures that occur in the U.S. each day, 18% are caused by visual impairment (oftentimes due to cataracts). 5. Medicare covers 80% of the allowable cost of cataract surgery. If you have supplemental insurance, a majority (and perhaps all) of the remaining cost is usu-

ally covered as well. 6. There’s minimal surgical and recovery time. “Our practice utilizes the latest technology, including ultrasonic cataract removal, so that the operation itself takes only 10-20 minutes. After surgery, patients go home and can resume most all normal activities within hours, and vision noticeably improves within days,” Dr. Brett Rhode explains. CATARACT SYMPTOMS Poor vision is not a fact of life. Schedule an eye exam if you notice: Foggy, fuzzy, blurred or double vision Sensitivity to light and glare “Starbursts” around lights Difficulty driving at night Holding items closer to view Needing brighter light to read Fading or yellowing of colors Lens prescription changes that don’t help FREE BOOKLETS & INFORMATION Eye Care Specialists’ doctors are dedicated to the diagnosis and treatment of cataracts, glaucoma, diabetic eye disease, and macular degeneration. They frequently lecture to the public and fellow physicians and have written their own series of booklets on these conditions. Call 414-321-7035 for FREE copies or to schedule an appointment for a thorough eye screening (usually covered by insurance or Medicare) at their offices on 7th & Wisconsin Avenue, Mayfair Road across from the mall, or 102nd & National. They also offer information at www.eyecarespecialists.net.

www.modernhealthandliving.com

SEPTEMBER 2011 HEALTHWISC MHL 53

Bonnie Anderson Breast Cancer Survivor

AVAILABLE NOW! 1 Bedroom & 2 Bedroom Units An affordable Apartment Community Specifically Designed for Seniors 55 Years and Better! Small Pets Welcome Heat, Water & Underground Parking Included.

LINCOLNSenior VILLAGE Apartments 1300 W Lincoln Ave., Port Washington, WI 53074

262-268-1300

Professionally Managed by Oakbrook Corp.

Income restictions apply. Must be 55 years or older.

EQUAL HOUSING OPPORTUNITY

Giving Women in Wisconsin more opportunities and a brighter future. There are not many weekends off for Bonnie Anderson but it is on days off from her job at Milwaukee Catholic Home as Adult Day Services Manager that she turns her focus to some equally important work. In 1991, Bonnie was diagnosed with breast cancer. She was lucky enough to be diagnosed early and had a strong support system of friends and family to help her through treatment and recovery. She soon discovered many women are not as lucky, and committed herself to education and prevention of breast cancer. She started a Breast Health Program for Milwaukee Catholic Home employees to receive clinical breast exams and assists in accessing mammograms. The program grew into a group called Nurses Affecting Change, which consists of nurses from Milwaukee Catholic Home and around the community. They travel around the area offering free clinical breast exams.

“I started helping people at work and then I started helping people at church and it just grew from there,” she said.

54 MHL HEALTHWISC SEPTEMBER 2011

Bonnie got involved with an outreach program called Reach to Recovery, run by the American Cancer Society. She started a breast cancer support group for AfricanAmerican women and she served in leadership and board positions for several organizations including Susan G. Komen for the Cure, Wisconsin Breast Cancer Coalition, and After Breast Cancer Diagnosis (ABCD). Bonnie then helped bring the national organization, Sisters Network, to Milwaukee. The group reaches out to inner city communities, offering education and referrals for mammograms. “African-American women are diagnosed less frequently and die more than other demographics but Sisters Network educates everyone,” she said. Bonnie and the rest of the Sisters Network members concentrate their efforts on the underserved populations by holding events at beauty shops, grocery stores, the YMCA, Boys and Girls clubs, and even homeless shelters. “Low income women have so much going on in their lives. Taking care of themselves is the last thing they do,” she said. Bonnie’s achievements in Milwaukee earned her a chance to take her efforts to West Africa as a guest speaker for the global organization, Courage to Dare. Bonnie spent ten days in Nigeria, providing education to medical students and visiting rural communities to raise awareness of breast health and self-examinations. “It was one of the most interesting things I’ve done but one of the most humbling things. Having breast cancer over there is devastating.” She said. That is because while women in the U.S. have an 85% survival rate after 5 years, in Africa, that number is only 10%. Women have to pay for everything from mammograms to treatment entirely from their own meager savings. Through Bonnie’s work and the work of many others, women in Wisconsin have more opportunities and a brighter future. “Wisconsin is better than most other states,” she said. Women age 40 and older with insurance can simply call a hospital and schedule a mammogram and for those without health insurance, there are many programs in place. Programs like The Wisconsin Women’s Health Foundation and Wisconsin Well Woman Program offer breast cancer screenings as well as other health assessments. For information on the Sisters Network or upcoming events visit www.sisters4cure. org

hike<<page 6

Fitness is often a common topic of conversation for many - getting fit, staying fit, and everything in between. Many people also are concerned with watching their personal budget, as well as their waistline. In addition to being fun and easy on the wallet, almost everybody can do it, whether it’s simply utilizing community park trails, meandering foothills, or exploring rugged backcountry, there is a trail or program available for your own unique needs. A great calorie burner, hiking requires little equipment and can be as physically demanding as you choose to make it. Implement the following tips for an effective, enjoyable, and safe trek through nature. Getting Started If you have never hiked before, or if you are out of shape, you will want to start out slowly to get your body in condition for hiking. As with any new activity, it’s important to check with your physician first and discuss your goals. Before trekking, begin a consistent fitness routine to ensure that your body is ready for such a strenuous activity. Start by walking around your neighborhood, and then increase the distance every time you go out to build your stamina. Carry a small pack to help your back and shoulders get used to carrying one when you are out on the trail. Also consider using cardio-based equipment, such as stair-steppers, elliptical trainers, and rowing or climbing machines, to strengthen leg muscles. Incorporate weight training to improve core body and abdominal strength. How to Dress While your basic walking shoe may work for those neighborhood walks, unpaved trails require a sturdier shoe, with good arch support and a heavy sole. A good pair of hiking boots will help with stability and shock absorption and a boot that has waterproof/breathable Gore-Tex membranes help to keep feet dry. As with any boot, a break-in period is strongly recommended. Good socks are also key. Choose wool or synthetic over cotton because when cotton gets wet, it stays wet. A mid-weight hiking sock with good cushioning supports the arch. Wear a thin cycling or nylon sock under a hiking sock as a first layer to help prevent blisters, and consider bringing along a second pair to change into halfway through the hike. Be prepared for anything, including temperature variations, insects, sun, and rain, by dressing in lightweight layers. The first layer of shirts and pants, next to the skin,

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SEPTEMBER 2011 HEALTHWISC MHL 55

THE INDEPENDENT RETIREMENT COMMUNITY

Lifestyle!

Independent Retirement Communities are for active adults who want to live life to the fullest. Community living provides the opportunity to enjoy maintenance free living, financial security, fitness programs, healthy dining, socialization and educational sessions. Mowing the grass, shoveling the snow, repairing the kitchen faucet or paying real estate taxes can become a thing of the past. Before you can make a decision it is important to understand what senior community life is all about. Some seniors have been misinformed and believe that Independent Retirement Communities are for “old folks” who belong in nursing homes, or need daily care. This is certainly not true. Independent Retirement Communities offer the best in senior living options and keep seniors young at heart. Research shows that the more active and social you are, the longer you live, and the healthier you remain. Independent Retirement Communities are more affordable than you ever imagined! If you add up the cost of annual repair and maintenance on your home, along with taxes, lawn care costs, utilities, etc, you might find that living in an Independent

56 MHL HEALTHWISC SEPTEMBER 2011

Retirement Community is the same cost or less! Retirement communities offer wide range of amenities to enhance your lifestyle. Indoor/outdoor swimming pools, recreation centers, exercise rooms, libraries, craft rooms, laundry services, housekeeping, and transportation are all possible options. On campus restaurant style dining, cafés and bistros can take the work out of meal preparation as well as offer a chance to dine with friends. Independent Retirement Communities increase socialization and offer the opportunity to make new friends! From the moment you arrive, the sense of community and togetherness is apparent. Although there is plenty of time for relaxation in your own apartment there are also many activities designed to bring residents together -- women’s groups, men’s groups, bridge clubs, fitness groups, craft classes, book discussion groups, and many more options…you name it, it’s probably available! Another benefit is transportation. Some seniors enjoy driving for many years, and others prefer not to drive especially during inclement weather. Either way, you will feel right at home using your own car or enjoying the luxury of door to door service. Transportation to the grocery store, doctor appointments, and local shopping malls is available. Adult children feel great about their parents choice to live in an Independent Retirement Community. They love knowing that if anything happens, help is not far away. The fact that so many people are looking out for their parents safety and health gives great peace of mind. The level of activity and sense of community is second to none. A Continuing Care Retirement Community (CCRC) like Tudor Oaks offers multiple levels of care. This type of retirement community gives active seniors the ability to enjoy an independent lifestyle with the knowledge that all of their needs will be met should their health care situation change. A Senior Apartment Complex offers senior apartments with few if any amenities. Seniors in this community will need to move again if their needs change. It is interesting to note that the monthly rent over a period of time could use the saved funds that would have allowed the senior to enter a CCRC and have a continuum of care available. Choosing the correct senior living community ensures that you or your loved one will have every opportunity to fully enjoy retirement, amidst a community of peers, with a full-range of activities in a safe environment. One of the most important things you can do when considering your retirement years is to plan ahead. Addressing financial and health issues early keeps families from having to deal with a crisis later. Current residents of Tudor Oaks and other Independent Retirement Communities will tell you the same thing over and over again. “I should have done this many years ago, it was the best decision I ever made!”

senior housing COMING A LONG WAY OVER THE YEARS By Jan Rupnick .Starting approximately 30 years ago, this industry saw new options develop to meet the demands of a growing senior population. Initially limited in its offerings, there is now a plethora of senior housing options available. With more and more baby boomers getting ready to retire, the senior housing market is growing with new senior housing developments. Some baby boomers are looking into senior housing options for themselves, while others are looking for communities that can help care for their aging parents. Finding the right option comes down to knowing what’s available and understanding the needs of the person who is going to be living in the community. Below are descriptions of the various senior housing options available and the segments of the senior population that they serve. Independent Senior Housing For seniors who are tired of maintaining their own home or looking to down-size, independent senior housing is ideal. Those looking to move into an independent senior living community have two choices. One is to purchase a senior condominium and the second is to rent a senior living apartment. Both provide independent, active seniors with the freedom they enjoy, but without all of the burdens of home ownership like mowing the lawn, shoveling the snow, or making home repairs. Some independent senior communities have also adapted a lifestyle approach, including such amenities as a salon and spa, golf course, on-site restaurants, on-site shopping, housekeeping and more. Assisted Living Assisted living provides a great alternative for seniors who need some additional help with medication, grooming, dressing, eating, etc. Assisted living has two options including; Residential Care Apartment Communities (RCAC), which allows seniors to live in their own apartment, but only offers 28 hours of care, and CommunityBased Residential Care Facility or CBRF. This type of community is an ideal living option for seniors who need more assistance that what can be provided by an RCAC, offering care 24 hours a day, seven days a week. Assisted living communities tend to offer more of a residential, home-like environment, as well as provide meals, social activities, housekeeping and transportation. Specialized Care Community There are some CBRFs that specialize in caring for one kind of illness. One of the most common is an Alzheimer’s or memory impairment care community. In specialized assisted living communities, the environment, staff and programming is specifically designed to meet the unique needs of those individuals who are living there. Like a non-specialized assisted living community, a specialized care community also provides 24/7 care, social programming, meals, housekeeping and transportation are generally provided. Nursing Home This is probably the most commonly known, but often confused type of senior living option. It’s also one of the only options that used to be available to seniors. Nursing homes provide 24-hour skilled nursing services for seniors who need rehabilitation after a surgery, or require care for issues like feeding tubes. The levels of hospitality services in nursing homes vary greatly depending on their targeted clientele. Whether you’re looking to down-size your home or a community to meet the needs of an aging parent, there is a senior living community to meet your needs. Being prepared and understanding the options available will help you to choose what type of senior living community is best for you or your loved one. SEPTEMBER 2011 HEALTHWISC MHL 57

Redefining Assisted Living

TODAY. TOMORROW. TOGETHER. (414) 258-1814 Retirement Living, Home Care, Skilled Nursing, Rehabilitation Services, Hospice 10101 W. Wisconsin Ave. Â? Wauwatosa, WI 53226 www.stcam.com

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22 MHL HEALTHWISC JANUARY 2011 2011 58 HEALTHWISC SEPTEMBER

Senior Housing directory TRANSITIONS

Assited and Other Care Options INDEPENDENT LIVING People today are living longer, staying healthier and continuing Luther Haven Retirement Community to be active. To meet the developing needs of retiredManor adults, assisted living faciliMarquette

ties offer a diverse spectrum of services. Since very few seniors actually need long 8949 N. 97th Street 2409 10th Avenue term continuous facilities provide aWI level of care that is Milwaukee, WI nursing 53224 care, assisted livingSouth Milwaukee, 53172 more cost effective in a more private setting. 414- 764-7055 414-354-5600 is an assisted living facility? Assisted facilities are licensed as ComF:What 414-354-1593 F: living (414) 766-9307 munity Based Residential Facilities (CBRF) and offer multiple levels of care. There www.lutherhaven.net sunrise@oakbrookcorp.com are CBRFs that specialize in the care of residents with Alzheimer’s or memory loss. mkieckhaefer@wlcfs.org CBRFs typically offer wellness services and74 individualized care plans. Activity proapartments in a three-story buildgrams are tailored to individual needs afincorporating spiritual and Luther Haven has provided carefree, ing.with physical, patios, surface and cognition underenrichment. fordable retirement living in a Christian ground parking, craft room, beauty “When my for sister, my28 brother I ďŹ rst brought mom tosuite, assisted living, we were environment over years.and There shop, guest exercise room, all pretty upsetof about It’s so hardwith to admit that the one who has caredcontrolled for you all are nine styles floorit.plans, many courtyard, elevator access, of yourwashers life, can & nodryers. longer do so.evening The staff was veryentry supportive andand understanding in-unit Each access system, communityto It tookofa couple of monthsentrees to settleismom in with medications andVCR. particular aus.choice two delicious room withher kitchen, TV, and Pets habits, but everyone was very helpful to us. allowed. Since that time, she has been doing very served. A multitude of social clubs and well. She the many activities. She is very well fed, her apartoutings arealways sure toparticipates meet everyininterest. ment is cleaned and sheconvealways looks nice.â€? -daughter of a resident Residents enjoyregularly many on-site Sunrise This statement ects the struggles and Village residents face when the decision niences – doctor’sre office, beauty shop,families 2500 10th Avenue has beenexercise made toroom, movewhirlpool, to an assisted living facility. chapel, woodSouth Milwaukee, WI 53172 Is there a right timeand to move? working shop, library, grocery store 414-764-7997 Thetodecision to move family to a community based residential – just name a few! Join from us for the a cup of home sunrise@oakbrookcorp.com facilityand maysee seem to make. when to move, where to move and coffee forimpossible yourself why LutherKnowing what assistance neededfriends are difďŹ cult and complex decisions. Haven is a placeiswhere become 48 following one and two bedroom apartments in Starting with when to move; consider the factors: is assistance with family! three-story building with Activities of Daily Living (ADLs) needed?one Activities of Daily Living areelevator deďŹ ned access, porches, controlled access basically as eating, bathing, dressing, toileting, transferring (moving into or entry out a The Silvernail system, coin operated laundry, chair) and continence. The ability to perform these basic activities is oftensurface taken 2451 Silvernail and underground parking, andimpaired. a comfor granted, untilRd. either through aging or illness, these necessary skills are Pewaukee,Assisted Wi 53072 munity assistance room withwith kitchen, and VCR. Residential Living facilities will provide basicTV, self care in 262896-2100 the privacy of an apartment like setting. Pets allowed. F:Assistance 262-896-8952 with ADLs may be a clear indicator of the need to move to a more supwww.wimmercommunities.com portive setting. However there a factors less clear Village with may also indicate the need Alexian for assistance. Medication assistance and general well-being 9301 N 76th St monitoring can have a One Two positive Bedroom Apartments. signiďŹ and cant and impact on senior life.Milwaukee, The security WIof knowing medical asIncludes Laundry, Underground sistance is Free available 24 hours a day, the freedom of home maintenance, housekeeping 414-357-5105 Parking Transportation and mealand preparation may alsotobeGrocery valid reasons for considering a move. Another less Shopping. Secured Entrance, Din- isAlexian apparent but equallyLobby important indicator the needVillage for social, spiritual offers over and 300 intelone ing/Gathering Room, Craft Room, Well- bedroom, two bedroom, custom lectual engagement. ness Center, Salon, OnAssisted Site Banking, Carol Wolfmeyer, LivingFitNurse, stated theorbeneďŹ t of community life, apartments “Cottage Homesâ€?. What ness Chapel, Country Store and aassistance “OurRoom, residents receive individualized in a setting that fosters indepenmakes Alexian Village special is the Monthly of residents’ Activities.privacy.â€? “Village Wellnessâ€? emphasis on keeping dence andCalendar maintains There are many types of assisted living options available today. Facility varresidents as independent as size possible ies from a few residents to hundreds of residents. Most assisted living facilities offer for as long as possible. If special care is The Centennial private apartments or studios and many canever accommodate couples.living Some needed in assisted or assisted nursing 400 E.facilities Centennial living are Dr. integrated with a continuum of care that includes independent home, then Alexian offers quality and Oak Creek, 53154 rehabilitation therapycompassionate living, skilledWInursing, and hospice. care in its “Village 414-762-7762 Unfortunately, selecting the perfect ďŹ t isSquareâ€? quite difďŹ but not impossible. With orcult “ Health Center .â€? F: 414-571-5210 the number of high quality choices available in our area, often you must rely on your www.wimmercommunities.com instinct. The staff of the facility should be central to any decision. The following are Thompson Apartments quotes from a family member and from a staff memberMeadows that truly re ect the essence 3120 E Norwich Ave One and care. Two Bedroom Apartments. of quality Saint WI 53235 Includes Free Laundry, Underground “Working with elderly people is a challenge thatFrancis, only special people can manage, 414-769-9240 Parking Transportation to by Grocery and I amand constantly impressed the professional, loving, smiling care and interest Shopping. Secured Entrance, everyone has shownLobby to us.â€? Niece ofDina resident. 1 and 2 bedrooms, ing/Gathering Craft WellAs with anyRoom, difďŹ cult life Room, decision, there is no formula to tell including you whenutilities, is the right 24 hour maintenance, library, comness Salon, Onright Site place. Banking, Fit- requires preparation and patience. time Center, and where is the Change munity room and garden, professionness Chapel, Country Store and a options If Room, more information on assisted living call Julie Leveritt (Sales and Marally managed, small pets welcome Monthly of Activities. keting at Calendar St. Camillus) 414/259-4680.

The Luther Manor community As a nonprofit, faith-based organization and one of the finest senior living communities in Southeastern Wisconsin, Luther Manor has been caring and advocating for seniors for more than 50 years. Our mission is to share God’s love by enriching the lives of older adults through excellent housing, care and services. In addition to independent housing, assisted living and long-term care options, we offer rehabilitation services, adult day services, hospice care and community outreach programs. Guided by our Christian heritage and values, we consistently strive to exceed the expectations of those we serve, and you can count on our commitment and reputation when selecting housing or healthcare services for yourself or someone you love. For more information, please call (414) 464-3880. Rivershores Regency 555 Veterans Ave West Bend 262-483-9150 Rivershores Regency offers luxury apartment homes for active adults. Located on the river just steps from down town West Bend, Rivershores Regency offers magnificent views. Spacious apartments feature deluxe appliances plus a washer and dryer. The building has convenient underground parking, a library, salon and a beautiful community room with a full kitchen for planned social gatherings or private use. Enjoy carefree living at Rivershores Regency!

Berkshire at Kensington 1800 Kensington Drive Waukesha WI 531188 262.548.1449 Newest affordable senior housing in Waukesha. Newly renovated apartments with rents starting at $400. One month free when you sign a lease. Free heat, Electric, water, and indoor parking.

Algonquin Manor 5005 W. Bradley Rd. Brown Deer, WI 53223 414-357-7100 414-357-7101 algonquin@oakbrookcorp.com 80 one and two bedroom apartments in a two-story building. Includes community room with kitchen, TV, and VCR. Beauty salon, surface and underground parking, exercise room, controlled entry access, porches in apartments, and elevator access to all floors also included.

Silver Creek Village 2455 W Silver Spring Dr. Glendale, WI 53209 414-578-3612 414- 578-3620 silvercreek@oakbrookcorp.com One and two bedroom apartments with a beauty salon, exercise room, surface and underground parking, elevator access, patios, controlled access entry system, and a community room. Parkside Commons 1400 West Custar Avenue Glendale, WI 53209 414-352-1237 414-352-2157 parksidecommons@oakbrookcorp. com One and two bedroom apartments in a three-story wood frame building with masonry exterior and underground parking.

Hawthorne Terrace 414.258.9772 7700 W Portland Ave. Wauwatosa, WI www.hawthorneterrace-apartments. com www.reillyjoseph.com Charming Alcove, 1-2 Bedroom Apartment Homes offering underground parking, beautiful community room, library, bank, hair salon, grocery store..

Jackson Crossings Retirement Community 168 W22022 Main St. Jackson, WI 53037 Office (262) 993-2838 Concierge Desk (262) 677-8864 www.jacksoncrossings.com Enjoy active living among friends in a smaller intimate “lake lodge” environment. Outstanding care in a beautiful setting with services readily available as needed. Options include Supportive Care in large beautiful Independent Apartments with lake views, Assisted Living and Memory Care. SEPTEMBER 2011 HEALTHWISC MHL 59

Reilly-Joseph Company 1661 North Water Street, Suite 509 Milwaukee, WI 53202-6377 414-271-5201 The Reilly-Joseph Company is a privately owned and operated apartment development firm, established in 1970. The company operates apartment complexes in the communities of Menomonee Falls, New Berlin, Pewaukee and Waukesha, Wisconsin. Premiere apartment communities are Village Square Townhomes, Apple Glen Apartments, Hunters Ridge Apartments & Townhomes, Stone Creek Apartments, as well as the award winning senior retirement community, Hawthorne Terrace in Wauwatosa. Our philosophy is that a cheerful environment makes a cheerful resident. We pride ourselves in providing well-maintained buildings and superior service to our residents.

Lexington Village 5000 South 107th Street Greenfield, WI 53228 414-425-4008 F: 414-425-1876 Lexington Village is an elegant senior apartment community that provides adults, age 55 and better, well-deserved comfort, luxury, and convenience. Relying on Lexington Village to perform all the mundane tasks that you used to do, frees you to travel, explore your surroundings, and make new friends. The many bonuses of life at Lexington Village include spectacular views, topquality design, and countless amenities, including a beautiful community room and scheduled activities.

Berkshire at Sunset S30 W24890 Sunset Drive Waukesha, WI 53189 262-548-0131 262-548-1063 berkshire-sunset@oakbrookcorp.com

145 one and two bedroom luxury apartments in a three-story building with a private dining room. Includes community room with a kitchen, TV, and VCR. Library, bank, computer room, guest suite, beauty salon, porches, elevator access, and a controlled entry access system Berkshire Grafton 1004 Beech Street Grafton, WI 53024 262-376-9661 Community for those age 55 and better...Convenient downtown location...Recently built...Spacious apartments.... The Berkshire-Grafton is specifically designed for seniors 55 and better. it is a luxury apartment community located in the heart of Grafton. The Berkshire provides oneand two-bedroom apartment homes. Heat, Water, Parking, and storage included. Milwaukee Catholic Home 2462 North Prospect Avenue Milwaukee, Wisconsin 53211 (414) 224-9700 www.milwaukeecatholichome.org lcardinale@milwaukeecatholichome. org Caring, respect and a dedication to excellence are at the heart of everything that occurs at Milwaukee Catholic Home, a CARF-CCAC accredited retirement community in operation since 1913. The organization prides itself on the commitment to providing older adults with exceptional service and care at all levels, including independent and assisted living, skilled nursing and intergenerational adult day programming.

78 one and two bedroom apartments with community room, guest suite, exercise/craft room, underground and surface parking, elevator service and controlled access entry system.

Villa St Francis Independent Living, Assisted Living, Respite Retreats 1910 W. Ohio Avenue, Milwaukee, WI 414-649-2888 www.villastfrancis.org

Woodview Apartments S87 W18193 Muskego, WI 53150 262-679-7644 F:262-971-9849

Villa St. Francis offers a comfortable home with friendly, caring staff who ensure each resident has as much independence as possible. Seniors have have the freedom and safety of a private apartment with: · 24-hour health professionals, assistance with medication, dressing, bathing (as needed) · Tastefully prepared meals· Transportation services · Opportunity to socialize with others: activities, music, educational programs · Banking, beauty/barber shop · Chapel for daily mass and prayer Located on the campus of Wheaton Franciscan St. Francis Hospital. Sponsored by the Felician Sisters. Now celebrating 20 years of enriching the lives of seniors.

24 one and two bedroom apartments in a two-story building. Community room, surface and underground parking, same floorcoin operated laundry, heat and hot water included in rent, and controlled access entry system. Pets allowed. 60 MHL HEALTHWISC SEPTEMBER 2011

Deer Creek Village Apartments 3601 S. 147th St. New Berlin, WI 53151 262-641-9410 262-641-4360 deercreek@oakbrookcorp.com

Deer Creek Village Apartments 3601 S. 147th St. New Berlin, WI 53151 262-641-9410 deercreek@oakbrookcorp.com 145 one and two bedroom luxury apartments in a three-story building with a private dining room. Includes community room with a kitchen, TV, and VCR. Library, bank, computer room, guest suite, beauty salon, porches, elevator access, and a controlled entry access Berkshire Oconomowoc 210 S. Main Street Oconomowoc, WI 53066 262-567-9001 The Berkshire Oconomowoc offers luxery and comfortable housing in the beautiful community of Oconomowoc for independent seniors 55 and older. One and two bedroom apartment homes, heat and water included, controlled access, underground parking, pets welcome- some restrictions apply. Williamstown Bay 3400 East Ramsey Avenue, 414-481-8580 Affordable senior homes for seniors 55 and better. Come and enjoy spacious elegant living at Williamstown Bay. One and two bedroom apartments homes with new resource room, beautiful decorated community rooms, intercom entries and elevators, same floor storage and laundry. Walking distance to stores, clinics, pharmacy and restaurants. Heat included in select units, social activities and much more. CHAI POINT 1400 N. Prospect Avenue Milwaukee, WI 53202 414-289-9600 www.jewishseniorliving.org A luxury high-rise apartment building overlooking Lake Michigan, Chai Point offers both beauty and service to older adults. Located in the center of Jewish cultural and community activities, you’re right where you want to be. Choose a 1-, 2- or 3-bedroom apartment from a variety of floor plans. SARAH CHUDNOW CAMPUS 10995 N. Market Street Mequon, WI 53092 262-478-1500 www.jewishseniorliving.org A new and progressive senior living facility, the Sarah Chudnow Campus is built on 17 acres of meadow and wooded areas. It encourages an active and independent life style for older adults. Line in one of 41 elegant 1-, 2- or 3-bedroom apartments with state-of-the-art amenities as well as access to a full continuum of care in a Jewish environment.

Becker Property Services, LLC 11520 N. Port Washington Rd., Mequon, WI 53092 262-240-9406 F:262-240-9729 BeckPropSvcs@aol.com www.beckerpropertyservices.com Becker Property Services is a privately owned and operated real estate firm specializing in consulting, development, and management of affordable multifamily housing, established in 1984. The company currently operates 11 apartment complex in the communities of Cudahy, Mequon, Milwaukee, Waukesha, West Allis, and West Milwaukee. 8 of the apartment complexes provides affordable and accessible subsidized housing to low income senior citizens age 62 and older, 2 complexes provide affordable and accessible subsidized housing for the physically disabled, and 1 complex provides affordable and accessible housing for seniors age 55 and older. We pride ourselves in providing safe, secure, well maintained, barrier free affordable housing for our senior and disabled residents. Brenwood Park Senior Apartments 9501 W. Loomis Rd. Franklin, WI 53132 414-427-8499 414-525-7349 brenwood@oakbrookcorp.com “Picture yourself at Brenwood having FUN”. We have a lot of Fun activities like, miniature golf, dart baseball, bingo, card and many more. Your HEAT AND HOT WATER ARE INCLUDED! Also included are a bank, beauty shop, craft & hobby room, guest suite, elevator service, computer room, surface & underground parking, and a controlled access entry system. Pets allowed.

The Berkshire 1414 South 65th Street West Allis, WI 53214 414-427-7100 F:608-238-9541 Berkshire-westallis@oakbrookcorp. com 80 one and two bedroom apartments in a four-story building. Includes a community room, social activities, on-site laundry, underground parking and a controlled access entry system. Small pets allowed. Horizon Senior Housing www.horizonseniorhousing.com Spacious 1 and 2 bedroom apartments for Active Adults 55 and better. Afforadable rents, Quality construction, Elegant finishing touches. Check out our website for all locations.

Retirement Community • • • •

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

www.jacksoncrossings.com (262) 993-2838

Hwy 45 North to Hwy 60 East Exit

Independent Apartments Supportive Care Assisted Living Memory Care

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

Peace of Mind Services Title 19 & Pre- Arrangements Simple Cremation $595.00 (Excluding Cremation Permit & Fee)

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

Call for more details

414.453.1562

SERVING ALL OF WISCONSIN

elcome Small Pets W

Affordable Apartment Homes

for Seniors 55 and better

*Rents starting at $550 * Spacious 1 & 2 Bedroom * Apartment Homes * New Resource Room * Beautifully Decorated * Community Rooms * Intercom Entries & Elevators * Same Floor Storage & Laundry * Walking Distance to Shopping, * Parks, and Restaurants * Catered Lunches

Willamstown Bay Senior Apartments

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

EQUAL HOUSING OPPORTUNITY

SEPTEMBER 2011 HEALTHWISC MHL 61

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

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

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

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

ST. JOHN’S MANOR

ST. MARY’S MANOR

812 Marquette Avenue South Milwaukee 762-2511

1313 Missouri Avenue South Milwaukee 762-8026

email: ellen@clcel.com

website: www.stjohns-marysmanors.com

Heriatage West Allis 7901 W. National Ave West Allis, WI 53214 414-302-9700 (Assisted Living) 414-302-0600 (Independent Living) Walk through the doors of one of our Assisted Living or Memory Care Communities and youwill immediatley sense the home-like and friendly atmosphere. Choose between studio, one-bedroom, and two-bedroom apartments. Our Memory Care Neighborhoods offer special care for the unique needs residents with Alzheimers Disease or related dementias. Tudor Oaks Retirement Community S77 W12929 Mc Shane Drive Muskego, WI 53150 414-525-6500 Contact Person: Judy Radish abhomes.net At Tudor Oaks we offer a senior lifestyle that reflects what’s important to you and customized to meet your idea of senior living at every life stage. From our beautiful apartment homes to assisted living and healthcare, Tudor Oaks offers the best in amenities, service and care. Join us for lunch and a tour to experience what we call, Classic Senior Style! Call Judy or Lorri at 414-525-6500 or visit us on line at abhomes.net/wisconsin.

Forest Ridge Caring Community 11077 West Forest Home Ave Hales Corners, WI 53130-2561 (414) 425-1148 Affordable independent and assisted living. Spacious 1 & 2 bedroom apartments, Social and recreational activities, Physician clinic, Care Coordination, Beauty shop, On-site Bank, Chapel and much more. Sussex Mills W240 N6345 Maple Avenue Sussex, WI 53089 262-820-1118 F: 262-820-1119 sussexmill@oakbrookcorp.com One and two bedroom apretments in a three-story building with a senior center, nutrition center, elevator access, surface and underground parking, porches, coin operated laundry, and controlled access entry system. Lasata Senior Living Campus Wauwatosa Rd, Cedarburg WI 53012 Quality People, Quality Care Skilled Nursing Facility 262-512-5827 Assisted Living 262-512-2808 Independent Living 262-377-6001 62 MHL HEALTHWISC SEPTEMBER 2011

San Camillo Retirement Community & Assisted Living at St. Camillus 10101 W. Wisconsin Ave. Wauwatosa Independent Retirement and Assisted Living 414-259-6333 www.stcam.com Like a friendly small town community, San Camillo is home to over 300 residents from varying backgrounds who share an exciting, secure and comfortable lifestyle. Daily opportunities for fine dining, busy calendars, transportation, and health and wellness services are framed by personal privacy and selfdetermination. Garden Terrace Independent Living 10851 W Donna Drive Milwaukee 414-431-0300 Garden Place Independent with Supportive Options 8425 N 107th St. Milwaukee 414-755-6200 Clarke Square Terrace Independent Living with Supportive Options 1740 W Pierce St. 414-431-0300 We are an innovative community designed to provide assisted living to those individuals who are 55 years and older that meet the qualified income guidelines. We accept Family Care Funding. Willowbrook Place Independent Senior Apartments 205 Green Bay Road Thiensville, WI 53092 262-242-8045 willowbrookplace@fred-inc.com

assisted living

Meadowmere Senior Living Community 701 E Puetz Rd Oak Creek, WI 53154 414-766-2100 www.meadowmereoakcreek.com rpergande@5sqc.com At Meadowmere, you will always find the support you need to live well and enjoy all that life has to offer. From a variety of exciting activities, to fine dining, and a focus on wellness, Meadowmere is the perfect place to enjoy a health, happy retirement. Meadowmere Senior Living Community includes ManorPointe Independent Living, Meadowmere Assisted Living and Mitchell Manor Assisted Living. Our multiple levels of care allow a person to remain in our community as they age or their care needs change. Contact us at Meadowmere to set up a tour and learn more about our wonderful community today!

Meadowmere Assisted Living Community 2330 S. 54th Street West Allis, WI 53219 414-615-7100 www.meadowmerewestallis.com msteinbrenner@5sqc.com Meadowmere offers spacious apartments which you can personalize with your own furnishings and decorations. Experience our Healthy Generation Recreation Programs which include outings to area shows and restaurants. “Brain Fitness” programs are designed to be fun while keeping your mind active and alert. Join us in table games, entertainment, glee club, drama club and arts and crafts groups. Pets are welcome, too! We invite you to have lunch with us and a personal tour. Meadowmere is located within the Mitchell Manor Senior Living Community in West Allis, Wisconsin.

Trinity Village Expertise for the Journey of Aging 7300 West Dean Road, Milwaukee 414-371-7350 Assisted Living Singles and couples receive supportive services (medication administration, etc.) in their own apartment. We specialize in helping people with Parkinson’s disease.

rehabilitation

Waukesha Springs Health and Rehabilitation Center 1810 Kensington Drive Waukesha WI 53188 262-548-1400 www.waukeshasprings.org A personalized rehabilitation experience that will get you better and get you home, as quickly as possible.

Allis Care Center 414-453-9290 Allis Care Center is a full-service nursing facility offering rehabilitative care, longterm care, skilled nursing and Alzheimer’s care. Our specialized approach is designed to help each resident achieve the highest level of independence possible. We deliver the most comprehensive care available by providing for the physical, emotional, spiritual and social needs of our residents. Our goal is to serve our residents on an individual basis in the best possible way and to provide a living environment that offers comfort and safety. surance plans. We encourage you to visit us at 9047 W. Greenfield Avenue, West Allis, WI 53214 or call us at 414453-9290 for more information.

senior services

Comfort Keepers 4420 S 108th Street Greendfield WI 53228 414.858.9400 262.542.5800 262.376.7510

Comfort Keepers is a nationa franchise. With over 600 franchises and are ranked in the top 2 of the nation. We provide Homemaking Services, Laundry, meals, oversee meds, transportation and companionship. Personal Care Services. Incontinence care, transfer mobility, hoyer lift. Speicalizing in Legal Live in, alzheimers and repite care.

National Pedorthic Services®, Inc. 7283 West Appleton Avenue Milwaukee, Wisconsin 53216 414-438-1211 2745 West Layton Avenue, Suite 103 Milwaukee, Wisconsin 53221 414-282-8888 12308 North Corporate Parkway Suite 300 Mequon, Wisconsin 53097 414-243-5530 National Pedorthic Services has been meeting the pedorthic needs of patients for 35 years. We are located in Wisconsin, Missouri, and New York; having 9 offices total. Our services include filling prescriptions for shoes, custom inserts, shoe modifications, custom shoes, and lower limb bracing. We offer a variety of off-the-shelf shoe inserts and compression hosiery.

Older Adult Services’ Care Management Program Ph: 414-390-5800 • Fax: 414-390-5808 • www.jfsmilw.org 1300 N. Jackson Street, Milwaukee, WI 53202 5800 N. Bayshore Drive, Suite B215, Glendale, WI 53217 Older Adult Services care management provides an individualized program to help older adults and their families deal with the issues of aging. It is designed to meet the needs of older adults and their families, including personal independence, health, social connectedness, nutrition and psychological well being. The care management team emphasizes compassion, quality and affordability and the program is open to all faiths and organizes specialized care plans and acts as a liaison for families separated by distance. Community outreach programs related to caregivers and older adults are available upon request.

Rent-A-Daughter 12660 W. North Avenue Brookfield, WI 53005 Phone: 262-754-0550 or 414-479-0029 www.rent-a-daugher.com

Midwest Audiology Center, LLC 4818 S76th Street Greenfield 414-281-8300 Dr. Douglas Kloss

Rent-A-Daughter is a family owned business dedicated to providing reliable home care and companionship services. We care about people who need assistance to remain independent, wherever they are. Our home care assistance is customized to meet your needs with flexible hours. Personal care, housekeeping, laundry, meal preparation, transportation, shopping and companionship are some of the services we offer. We specialize in older adults, disabled, convalescing, and those with Alzheimers. Hourly, daily or weekly respite assistance is available.

Quality Hearing Healthcare Services Cosmetically appealling designs availavle. Offering the latest hearing aid technology asales and service.

Allied Senior Services 7421 W. Becher Street 414-545-7878 www.allied-senior-svcs.com Contact: AnnaMarie Allied Senior Services has been doing business since 1989. We have been endorsed by many large groups and their leaders. Allied Senior Services is a full service insurance agency handling many types of insurance from several companies. We meet your individual needs by shopping for the best product and the best price. Independent representatives, located in various areas of the state, provide excellent, convenient service for you.

Midwest Senior Select, Inc. 11518 N. Port Washington Rd. Mequon, WI 53092 414-241-3662 At Midwest Senior Select, Inc. We understand that finding the best affordable Health or Life insurance protection plan can be confusing, frustrating and expensive, especially as we get older. That’s why we’ve done the “Homework” for you Representing Selected Major Insurance Companies For Medicare Supplements, Medicare Advantage Plans, Medicare Prescription Drug Plans, Long Term Care, Final Expense Life, Annuities, Under 65 Major Medical Plans, Health Or Life For Under 65. Peace of Mind Services 414.453.1562 Simple Cremation, Traditional Funerals Serving all of Wisconsin

Full Service For Less

Sell for 1.5% to 4.5% Whether Buying or Selling I Am Here To Serve All Of Your Real Estate Needs.

Call Troy Miller at 414-333-3723 www.totalrealty.com SEPTEMBER 2011 HEALTHWISC MHL 63

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