January Quad Cities Healthy Cells 2011 by Healthy Cells Magazine

QUAD CITIES area Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

JANUARY 2011

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air filtration

Get Cleaner Air With Ultraviolet Treatment Systems By Advanced Mechanical

or certain allergies and breathing conditions, traditional air filtration systems may not be enough. An Ultraviolet Treatment System is the latest innovation that can not only provide you cleaner air, but kill the airborne surface particles and surface mold.

•A humid climate in summer, with closed windows and dry climate in winter • A concern with maintaining energy efficiency • Use of hand sanitizer and anti bacteria products

What is it? For years, ultraviolet light has been used in places such as hospitals, nursing homes and restaurants to help disinfect and prevent the spread of germs. Now, it can be mounted to your heating and cooling system and within your ductwork to do the same thing; making your air cleaner and healthier living for you and your family. Think of it as washing your hands before you eat. But with a UV Treatment System, you clean your air before you breathe it.

How does it get installed? An Ultraviolet Treatment System should be installed by a licensed contractor and usually done in less than a day. Contact your heating and cooling contractor for an estimate. Now you can make it through this winter breathing easier and feeling better.

What types of homes need an UV Treatment System? An Ultraviolet Treatment System is recommended for: • Families with small children or the elderly • Frequent cleaning of ductwork

To get more information about Ultraviolet Treatment Systems and how to get one installed in your home, contact Advanced Mechanical at 563-324-9320.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 3

JANUARY 3

Air Filtration: Get Cleaner Air With Ultraviolet Treatment Systems

Doctor Of The Month: Dr. Robert Knudson, Family Medicine

Financial Health: What’s an estate?

Emotional: Beat the “Winter Blues”

Physical: Do You Suffer from Meniere’s Disease?

Nutritional: 3-2-1… Happy New YOU!

Body Health: How Your Digestive Tract Can Help You Stay Healthy Through Cold and Flu Season

Grief Recovery: Right or Happy Pick One!

Senior Living: Peace of Mind!

Activities & Events: CASI Calendar

Eye Care: Pterygium

Tips For Winter: To Every Shoe, Its Season: Winter Foot Health Advice

Preventative Care: A Focus on Pre-Diabetes

Dental Health: CEREC

Activities & Events: Intouch Calendar

Senior Care: Understanding Hospice

Prostate Health: Looking Back – Learning a New Definition of Intimacy

From The Heart: New Options in Heat Therapy

This Month’s Cover Story:

2011 Volume 2, Issue 1

Be Informed About Laser Eye Surgery page 18

For advertising information, contact Laurie Hutcheson, owner at 563-650-1876, QCHealthycells@gmail.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in The Quad Cities. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Quad Cities, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Quad Cities. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

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doctor of the month went to Iowa City schools and now lives in Bettendorf with his wife and 6 children. He is the Pleasant Valley High School team physician and also works as a Medical Examiner with Scott County. Dr. Knudson and I had such a great time talking, I was kind of sad for the interview to end. Healthy Cells: So, what made you choose family practice? Dr. Knudson: It was a very easy decision. This way, I get to do a little of everything, team physician, delivery babies. I didn’t want to be an Ob/Gyn, because I also wanted to do pediatrics. But with family medicine, I get to work with patients from pre-conception to delivery to nursing home. I also don’t like to see patients just once. You develop that bond because it’s a lifelong visit. HC: So what’s been your most memorable patient or case, good or bad? Dr.: I would say overall it’s been those babies I’ve delivered from beginning to the end, the laughs, the pain, the joy. For some Ob’s, they don’t arrive until the last minute. I would be more than happy to cancel my clinic appointments to stay with a patient and in delivery all day. There are tough ones, though. I had a patient, very young guy, 23, who died from brain cancer. I still think about him to this day. He had a lot of headaches and got brushed off by the system. CT scans came back as normal, neurological consults told him there was nothing wrong, or he was faking it to get drugs. Finally, after a lot of persistence, I got him into Mayo and they diagnosed his brain cancer.

Dr. Robert Knudson Family Medicine

r. Knudson was nominated by Pamela Brammann, who is the nurse over at Jane’s Place, the adult care facility within CASI. Pam says, “He is always willing to listen, he takes the time to fully explain what is going on and why. He often presents various treatment plans and with his guidance he helps the patient chose what the best course of action.” Dr. Knudson grew up in North Liberty, Iowa,

Page 6 — Healthy Cells Magazine — Quad Cities — January 2011

HC: Why did you stop doing deliveries, it sounds like you loved it? Dr.: Malpractice insurance forced us out of it. I never really made money on deliveries unless the baby became a patient. So the increased cost of the malpractice insurance couldn’t justify the deliveries. I pay around $40,000 per year in malpractice insurance. When I stopped, I had to pay them $30,000. HC: Who did you pay $30,000 to? Dr.: Most people aren’t aware of specifics like this, but when you add or get rid of services you provide and have you alter your insurance, you have to pay a fee to the insurance company. HC: So you had to pay $30,000 to the insurance company because you stopped doing deliveries? That’s just about the dumbest thing I’ve ever heard. Can I use this, because I don’t think the average person is aware of costs like this that doctors have to incur. Dr.: Absolutely. I don’t pay very much for my malpractice insurance. Some specialists can’t even get malpractice insurance. Sometimes

“But with family medicine, I get to work with patients from pre-conception to delivery to nursing home.” with a patient, there are outcomes which you can’t control. If it’s a legitimate malpractice claim, that’s one thing, but everyone’s human. The threat of being sued is always out there. Chances are every family medical doctor will be sued once. But a large majority of the suits never get anywhere. Some settle. But even if you settle, it’s like an omission of guilt, even if there isn’t any. But I would go back to deliveries if the rates would be revised or lowered. HC: So is your biggest pet peeve malpractice? Dr.: No, not at all. I can deal with that. My biggest pet peeve is that the quality of my care is dictated by insurance companies. They say whether or not we can do a CT scan, or we have to prescribe a certain medication over another; like we’re a puppet and have to do what we’re told. It takes a lot of effort in getting pre-approvals. An actual office visit with a patient can take 15 minutes, but to get a pre-approval on a test or procedure can take anywhere from 20-50 minutes. And if we don’t get pre-approval, and the insurance company doesn’t pay for it, it hurts the patient. Patients don’t see that part. That’s 50 minutes of my time that I can’t see a patient or my staff can’t help someone, and we don’t get paid for that time. HC: Do you see any light at the end of the tunnel? Dr.: Not really, it’s getting worse. The medication is very frustrating. I prescribe the medication the insurance companies want, but it’s at a higher cost to the patient. So now when the patient gets it and sees the costs, they think I’m just a greedy doctor, when really, it’s out of my hands. HC: I have to ask you about being one of the Medical Examiners for Scott County because I think that’s cool. Dr.: There’s the main medical examiner, Barb Harre. She needed some additional help to keep up with the cases, so it’s me along with Camilla Fredrick and Dick Sadler to round out the crew. The job is to investigate a death to see if it’s by natural causes, suspicious, homicide or suicidal. When someone dies, they call me, and I decide nature of death, order autopsies, and work with the Forensic Pathologist that handles the case. I still remember my very first case, a gunshot wound to the head. It was a drug deal gone bad. But really, most of my cases are accidents.

Do you have a doctor you think deserves Healthy Cells Doctor of the Month? Send your nomination to: qchealthycells@gmail.com or mail to: Doctor of the Month Healthy Cells Magazine 2807 W 35th St Davenport, IA 52806 January 2011 — Quad Cities — Healthy Cells Magazine — Page 7

financial health

Reprinted with permission from the Modern Woodmen Magazine, Spring 2006.

If you’re like many Americans, you may not know what is in your estate, let alone whether or not you need to plan for its future security. Here are answers to basic questions you may have about estate planning. Page 8 — Healthy Cells Magazine — Quad Cities — January 2011

What is estate planning? Your estate consists of your property – everything you own. This could include your house, land, checking accounts, life insurance certificates, stocks, bonds and other personal property. In simple terms, estate planning is getting your affairs in order for the benefit of your family – both when you’re living and after you die. A carefully implemented estate plan can help: • Create and conserve your assets during life. • Minimize death taxes and estate settlement costs. • Assure that cash is available to pay unavoidable death taxes and costs. • Provide an orderly distribution of your assets that meets your objectives and intentions. • Provide peace of mind and family harmony. Document preparation is a big part of estate planning. Life insurance certificates, wills and trusts are just a few of these documents. Does estate planning affect me? “Estate planning affects everyone,” says Modern Woodmen representative Greg Boyce, Mansfield, Ohio. David Chanez, Modern Woodmen’s advanced underwriting attorney, agrees. “Every single person needs to consider estate planning. We all have property we want something to happen to after we die. We need to plan how expenses and debts will be paid – not at the expense

Your representative can help you review your life insurance and annuity certificates to make sure you’re adequately covered. He/she can also help ensure your money is left to the person(s) or organization(s) you intended by indicating the appropriate beneficiary designation. “It is my job as a representative to be a good listener and know the desires of my clients. I can then assist my clients in the estate planning process and the implementation of the plans,” says Boyce. Additionally your representative can help you find other professionals essential to the estate planning process, such as certified public accountants and attorneys who specialize in estate tax laws, wills and trusts. Your representative will then work with these professionals to ensure your desires are met. Why is estate planning important? Chanez views estate planning as a protection device. “Most individuals have certain ideas about what they’d like to happen to their property after they die,” he says. “If they fail to properly plan, state law will determine what happens.” For example, many parents name their child as the beneficiary of their life insurance. If they die while the child is still a minor, a guardian would have to be appointed by a court to control the money until the child reaches age 18. The parent wouldn’t necessarily control who would be appointed guardian or custodian. The parent also may feel the child isn’t mature enough to handle the money at age 18.

“Your estate plan is only as good as the money that’s there to fund it ... In most cases, that money is coming from life insurance.” of our families.” People who should be especially concerned about estate planning include: • Families with children • Individuals with special family situations, such as second marriages and blended families • Parents with special-needs children • Individuals who want to leave a financial legacy to a charity or organization • Individuals who could possibly face estate tax issues (those who are worth more than $2 million) • Individuals who will have estate administration expenses after death When should I start thinking about estate planning? According to Chanez, most people start thinking about estate issues when life changes occur: They get married or divorced, they start a family, they become disabled, they inherit money, etc. How can I get started? According to Chanez, the first step in planning your estate is to ask yourself, “What do I want to happen to my property if I die?” The next step is to meet with a competent professional adviser to make sure those plans take place as you want. Chanez and Boyce recommend starting with your Modern Woodmen representative. “Your estate plan is only as good as the money that’s there to fund it,” says Chanez. “In most cases, that money is coming from life insurance.”

“One thing we would suggest is to have a will and a trust drawn up,” says Chanez. A trust is a legal arrangement in which an individual (in this case, the parent) gives control of property to a person or organization (the trustee) for the benefit of another (the child). A trust gives the parent more control. He/she would have the opportunity to appoint a trustee and to specify how long the money is to remain in trust before it reverts back to the child. Boyce encourages his members to ask themselves, “If I die or become disabled are my assets capable of taking care of my survivors? Will the assets be distributed in a manner that meets my wishes? Who is going to control my estate if I am unable? “Without proper planning, a portion of what one wants to give to his family or charity may not get to them,” concludes Boyce. “Families work hard for the things they own and the money they have accumulated.” Estate planning can help ensure all that hard work pays off. — Julie Fuhr Founded in 1883 as a fraternal benefit society, Modern Woodmen of America offers financial services and fraternal member benefits to individuals and families throughout the United States. For more information please contact your local Financial Representative Ruth Ahnen, FIC at 563-508-0842 or at Ruth.Ahnen@mwarep.org

January 2011 — Quad Cities — Healthy Cells Magazine — Page 9

emotional

Beat the

“ Winter Blues”

By Deere Road Chiropractic

easonal Affective Disorder (SAD), also known as the “Winter Blues”, is a condition that affects many people all over the country. It’s a mood disorder where normal mental health patients have depressive symptoms in the winter, less often in the summer, spring, or fall, year after year. Light affects hormones like serotonin and melatonin. These hormones affect pain, sleep/ awake cycles, body temperature, blood pressure, blood clotting, immunity, and daily body rhythms. In the winter when the sun goes down earlier in the evening, it affects the amount of serotonin and melatonin that is produced within the body. If your body does not produce enough of these hormones it can cause depression. To be diagnosed with SAD, you need to see your physician to discuss your condition. Your MD may ask a series of questions about your mood, lifestyle changes, social changes, eating or sleeping habits, or seasonal changes in your thought or behaviors. If you are diagnosed with Seasonal Affective Disorder, there are different depression medications that your doctor can prescribe to help with your symptoms. Before resorting to depression medication, seek advice from your chiropractor. They can help in several areas to prevent or decrease the amount of symptom you may have. One way your chiropractor can help is by guiding you with a diet and exercise plan. Exercising reduces stress and increases serotonin which reduces depression. Regular adjustments to the cervical and upper thoracic areas will help to keep the serotonin and melatonin hormones regular. Keeping these hormones active will help minimize the severity of the symptoms. Your chiropractor may suggest eating foods with natural carbs such as pasta, rice and fruit, or foods high in vitamin D. He or she may suggest taking supplements rich in B-complex vitamins which inPage 10 — Healthy Cells Magazine — Quad Cities — January 2011

crease serotonin levels helping to increase your energy and decrease anxiety levels. Herbal treatments such as St. John’s Wort or Chamomile flower may be recommended by your chiropractor. These products help relaxation so you can fall asleep easier which will help you to awaken in a better mood decreasing the depression. Aromatherapies such as bath oils, candles, and bath salts work wonderfully to keep your immune system from getting weak. Lavender has been found to be effective in treating depression because it helps to release serotonin which calms the body. Light therapy has shown to be an effective way to increase your serotonin levels. By using a light box on a table close to you with light intensity of 2500 to 10,000 lux improves mood and behavior. Another thing you can do to help chase away the “winter blues” is to decorate your home in colors that are warm and uplifting. Reds, oranges, and yellows are colors that make you feel warm and happy. • Red encourages activity and increases metabolism. • Orange brings happiness and heals grief. • Yellow reduces depression and clears headaches. The use of candles, throw pillows, or tablecloths in these colors can help lift your spirits. Also by adding flowers with spring time aromas can help. Try some of these ideas as early as you can to help beat the “Winter Blues” before they get you down. Deere Road Chiropractic is located in Moline at 5202 38th Ave. Call them at 309-736-7400 to get more information on Seasonal Affective Disorder.

physical

Do You Suffer from Meniere’s Disease? By Dr. Molly Parker, Parker Audiology PC and Don White Hearing Aid Service

ften after the holiday season, I see an increase of patients with complaints of terrible vertigo (dizziness), ringing of the ears, a feeling of fullness in the ear and hearing loss. It is suspected that rich holiday meals and high sodium intake contribute to these episodes. These symptoms can be severe and usually last a few hours and then go away. With good reason, many people go to the emergency room to get their symptoms checked out. If you have concerns that you have a serious emergency, call 911 immediately. Meniere’s Disease is a relatively common inner ear disease that affects hearing and balance. It is believed to be caused by excess fluid build up in the vestibular and the cochlea organs which affect balance and hearing. While no one knows why the fluid is retained in the inner ear, it is believed that sodium plays a role. This fluid retention is usually temporary but can result in severe--though not life threatening-symptoms. Often symptoms occur after a high sodium meal. Tinnitus (a rushing sound) and a feeling of fullness (hearing loss) are usually precursors to severe vertigo which can last a few hours, leaving the victim feeling exhausted when it is over. Nausea and vomiting are common during a true Meniere’s attack. Unfortunately, it is possible to have multiple attacks. Often there is a referral to an otolaryngologist (ENT physician) for suggestions on managing the disease. With repeated attacks, hearing loss can become permanent and progressive. Meniere’s Disease typically affects one ear but occasionally can affect both ears. For someone who has Meniere’s Disease, lifelong management is necessary by way of controlling diet, typically by significantly reducing sodium intake and/or taking “water pills” to reduce fluid build up. Occasionally additional medical therapy is necessary to get through the attacks. In the most severe cases, surgical options may be discussed by your ear specialist. Those with Meniere’s Disease often need amplification to help with their progressive hearing loss. Your symptoms should be discussed with your physician since there are disorders that can cause similar symptoms as Meniere’s Disease. Look in this month’s 50+ Lifestyles magazine for more information about dizziness.

Dr. Molly Parker is a Doctor of Audiology with Parker Audiology PC and Don White Hearing Aid Service. To schedule an appointment, call 563-326-5441. Visit their website at www.donwhitehearing.com.

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nutritional

Successfully set and Achieve Your Weight Loss Goals

s the pumpkin pie, holiday cocktail and sugar cookie memories begin to fade, we’re reminded that the time has come to set or “re-set” our goals. Popular New Year’s resolutions — to lose weight and/or stay fit — resurface with a bang year after year. You’ve probably heard people say, “Those who lose weight eventually gain it back.” Don’t give up hope! Many people who successfully maintained a substantial weight loss for more than a year have done it on their own. Registered dietitian Tara Gidus, also known as the Diet Diva, knows it can be a struggle to set goals and stick to them. “Prime weight loss season is upon us, and the need for realistic, achievable and tasty ways to make healthy lifestyle changes is as important as ever,” said Gidus. “An exercise and healthy eating focus, along with a positive attitude and the right tools, can lead to a happier and healthier you — a new you.” Help yourself to successfully achieve your weight loss resolution with Gidus’ tips. •T hink of You. Take “me” time to rest, relax, shop or exercise for stress relief. Stress hormones have been tied to weight gain. •B reak It Down. Have an ultimate goal, and then break it into mini goals that are easily achievable. This makes the road to success seem easier and allows you to celebrate along the way. •F lavor It. Calorie moderation doesn’t have to mean boring. Use Hidden Valley Original Ranch Salad Dressing & Seasoning Mix to add a punch of flavor without compromising calories. It’s especially great to use in dips and other game day snacks. Page 12 — Healthy Cells Magazine — Quad Cities — January 2011

• Keep Track. People who keep track of what they eat can lose up to twice as much weight as people who don’t. Jotting down how much you ate and how you were feeling can also help you connect food to energy and mood. •G et Your Zzz. Snooze your way to weight loss. Getting enough sleep is critical to keep the hormones that control your appetite in check. •F lex Your Muscles. The more muscle mass you have the more calories you burn while you are sleeping. Stay fit by doing strength training twice a week. •D on’t Multitask. Turn off distractions like the TV and computer while eating or you could lose track of how much has gone in. Tune in to your body’s hunger and fullness cues to know when to eat and when to stop.

Weight Loss Profile People who have successfully achieved long-term weight loss tend to have common characteristics: • Eat breakfast every day • Monitor their weight weekly • Watch less TV (i.e. less than 10 hours/week) • Daily exercise (i.e. 30 to 60 minutes/day) For great eating ideas using Hidden Valley products, check out these recipes, or go to www.hiddenvalley.com.

Baked Chicken Tenders

Prep Time: 20 minutes Chill Time: 6 to 24 hours Cook Time: 16 to 18 minutes Makes 8 (3-ounce) servings 1 packet (1.1 ounces) Hidden Valley Original Ranch Salad Dressing and Seasoning Mix, divided 2 cups non-fat Greek yogurt 11/2 cups low-fat buttermilk 1 package (20 ounces) fresh 99% fat free chicken tenders 1 cup whole wheat bread crumbs 1/3 cup sliced almonds 1 teaspoon garlic powder 1/4 teaspoon pepper Olive oil cooking spray 1. Combine 1/2 packet Ranch Dressing and Seasoning Mix with yogurt; refrigerate. 2. Combine remaining Ranch Dressing and Seasoning Mix with buttermilk; refrigerate. 3. Rinse chicken and thoroughly pat dry on paper towels. 4. Combine chicken and buttermilk mixture together in a food storage zipper bag. 5. Refrigerate 6 to 24 hours. 6. Heat oven to 425°F. 7. In a food processor, combine breadcrumbs, almonds, garlic powder and pepper. 8. Coat chicken in breadcrumb mixture. 9. Set a wire rack on baking sheet and coat with cooking spray. 10. Lay chicken pieces on wire rack and spray with more cooking spray. 11. Bake 16 to 18 minutes until no longer pink (internal temp at least 170°F). 12. Use yogurt mixture as a dipping sauce.

Original Ranch Spinach Dip

Prep Time: 5 to 10 minutes Chill Time: At least 30 minutes Makes 12 (1/4-cup) servings 1/2 packet Hidden Valley Original Ranch Dips Mix 1 cup plain non-fat Greek yogurt 1 cup light sour cream 1 box (10 ounces) frozen chopped spinach, thawed and well-drained 1/3 cup chopped walnuts* 1. Combine Ranch Dips Mix, yogurt, sour cream, spinach, and walnuts. 2. Chill 30 minutes or until just before serving. 3. Serve with whole wheat crackers and raw vegetables. *Pecans or water chestnuts can be used in place of walnuts.

Cheesy Ranch Popcorn Prep Time: 5 minutes Cook Time: 3 1/2 minutes Makes 6 (2-cup) servings 1 bag (3 ounces) reduced-fat, low sodium butter-flavored microwave popcorn 1/4 pack Hidden Valley Original Ranch Salad Dressing and Seasoning Mix 3 sprays from olive oil mister 3 tablespoon grated Parmesan cheese 1. Pop popcorn according to package directions. Immediately open the bag and pour the popcorn into a large serving bowl. 2. Spray the popcorn with three sprays from the olive oil mister, toss with Ranch Salad Dressing and Seasoning Mix and then toss with the Parmesan cheese. Serve immediately.

Introducing Hidden Valley Salad Kits

Just add lettuce! The makers of Hidden Valley introduce Salad Kits — four prepackaged kits containing tasty ingredients sure to liven up everyday salads. To learn more about new Hidden Valley products, visit www.hiddenvalley.com.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 13

body health

How Your Digestive Tract Can Help You Stay Healthy Through Cold and Flu Season (ARA) - Most people think of frequent hand washing and avoiding touching the eyes, nose and mouth when it comes to trying to stay healthy during cold and flu season. However, many don’t realize the major role the digestive system plays in boosting immune health and helping people feel their best during the cold winter months. You may be surprised to learn that approximately 80 percent of your immune system is actually housed in your digestive tract. As a result, keeping your immune system strong means taking steps to ensure your digestive tract is in optimal condition. This comes down to a battle of “good” versus “bad” bacteria. While everyone has both types of bacteria in their digestive tract, by shifting the balance in favor of more “good” bacteria than “bad” bacteria, you can help keep your immune system strong. One way to do this is to consume foods enhanced with prebiotics. A prebiotic is a non-digestible ingredient that serves as food for the “good” bacteria, also known as probiotics, which are also found in yogurts and other dairy products. Keeping “good for you” bacteria well fed creates an inhospitable environment for the “bad” bacteria and pathogens that can make you sick. The bottom line is that you want to feed the good bacteria to keep the bad bacteria that can compromise your health at bay. Keeping immune systems strong during the winter months when cold and flu viruses are rampant is particularly important. Frequent hand washing and getting a flu shot is a good first step, but just as important is feeding the good bacteria in the digestive tract, which helps to continually support immune health. Incorporating prebiotics into your diet is likely easier than you may think. A wide variety of food and beverage products and supplements enhanced with prebiotics can be found in most

Page 14 — Healthy Cells Magazine — Quad Cities — January 2011

supermarkets nationwide. One of the most effective prebiotic fibers available today is NutraFlora scFOS prebiotic fiber, which can be found in a variety of popular foods, including Barbara’s Bakery Wild Puffs and Multigrain Puffins cereals, Horizon Organic smoothies and yogurts, DeWaflebakkers frozen waffles and pancakes, and Julie’s Organic ice cream. Consumers can also identify foods containing NutraFlora by looking for the NutraFlora green leaf seal on packaging. In addition to helping to keep your immune system strong, prebiotics offer another big benefit. They can help develop and maintain strong bones. Encouraging the growth of good bacteria in your digestive tract also helps with increased calcium absorption, which plays an important role in bone health.

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January 2011 — Quad Cities — Healthy Cells Magazine — Page 15

grief recovery

Pick One! Healthy Cells magazine is pleased to present the tenth in a series of feature articles on the subject of Grief Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses [Harper Perrenial, 1998]. The articles combine educational information with answers to commonly asked questions.

hat we believe usually dictates how we feel. Our attitudes about people and events will generate our emotional responses to them. Our attitudes and beliefs are always right, otherwise we would believe something else. Since we have practiced our attitudes and beliefs over a lifetime, we are very loyal to them. It is very common to get stuck on our rightness and lose sight of our real human objective which is to be happy. Many people believe that being right IS being happy. Most of us eventually learn that our rightness may be limiting or restricting our happiness.

Page 16 — Healthy Cells Magazine — Quad Cities — January 2011

“It is essential to take a new position of rightness about which actions are most helpful to achieve effective long-term Grief Recovery®.” Our rightness about effective recovery from significant emotional losses often limits our ability to complete relationships that have ended or changed. Many of the ideas and beliefs that we were taught about dealing with our losses are incorrect and unhelpful, but after practicing them for a lifetime, they can seem to be very right. For example, we were all taught that time heals all wounds. But time does not complete anything that is emotionally incomplete in our relationship with someone who died. If we believe, with tremendous rightness, that time is going to heal our emotional wound, we are destined to wait forever. It is essential to take a new position of rightness about which actions are most helpful to achieve effective long-term Grief Recovery®. Another example of a belief that you may have learned and practiced is keeping busy. As a response to the conflicting feelings caused by loss, keeping busy can be a dangerous short-term distraction. At the end of a busy day your heart is still broken, and the relationship may still be incomplete. Keeping busy does not complete relationships. People are often as right about keeping busy as they are about time healing wounds. In our last column, on familiarity, we said, familiar is not necessarily good, it is only familiar. By the same token, right is not necessarily good, it is only right. We tend to develop a ferocious loyalty to our rightness even though it often leads us to horrible squabbles with our mates and friends. If you think about most of the fights you’ve had, you will realize that both sides clung fiercely to the rightness of their position. Even in the aftermath, either party may have stayed on a position of rightness and refused to apologize, and thereby extended the fray. It may be time for you to examine some of your beliefs and attitudes about recovery from significant emotional loss. How you process the conflicting feelings caused by loss is dictated by what you believe. You must ensure that you have effective beliefs that can lead you towards happiness, rather than stuck in rightness. The Grief Recovery Handbook is an ideal source of effective Grief Recovery® information and actions which can lead you to completion of relationships that have ended or changed. Using correct information and actions can help you capture or recapture the happiness you deserve. You may also discover ways to apply these principles in other areas of your life. Next Month: “Is It Ever Too Soon To Recover?” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA 91413. Call [818] 907-9600 or Fax: [818] 907-9329. Please visit our website at: www.grief-recovery.com.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 17

feature story

Be Informed About Laser Eye Surgery Information provided by: The National Institutes of Health LASIK Laser In-Situ Keratomileusis, or LASIK, the most commonly performed type of laser surgery, is generally a safe and effective treatment for a wide range of common vision problems. Specifically, LASIK involves the use of a laser to permanently change the shape of the cornea, the clear covering of the front of the eye. LASIK is a quick and often painless procedure, and for the majority of patients, the surgery improves vision and reduces the need for corrective eyewear. However, as LASIK is a surgical procedure conducted on a delicate part of the eye, it is crucial that potential candidates are well educated on the benefits and risks of the procedure, understand the importance of a thorough screening by their physician, and maintain realistic expectations about the procedure’s outcome. Who is Right for Laser Eye Surgery? While many individuals are considered good candidates for LASIK, there are some who do not meet the generally accepted medical criteria to ensure a successful laser vision procedure. Individuals that are not deemed good candidates given today’s technology may be able to have the surgery in the future, as technology advances and new techniques are refined. Anyone considering laser eye surgery must have a thorough examination by an ophthalmologist that will help determine, in consultation with the patient, whether or not the LASIK procedure is right for Page 18 — Healthy Cells Magazine — Quad Cities — January 2011

them. Based on various conditions and circumstances, all LASIK candidates will fall into one of the following three broad categories. The Ideal LASIK Candidate Includes those Who: • Are over 18 and have had a stable contact or eyeglass prescription for at least two years • Have sufficient corneal thickness • Are effected by one of the common types of vision problems or refractive error • Do not suffer from any sickness or disease that will effect the patients ability to heal from the surgery • Are adequately informed about the risks of the surgery The ‘Less Than Ideal’ In some cases, a surgeon may still be able to perform the procedure safely, given that the candidate and physician have adequately discussed the benefits and risks, and set realistic expectations for the results. Candidates in this category include those who: • Have a history of dry eyes; the condition may worsen after surgery • Are being treated with steroids or immunosuppressants that will slow healing • Have scarring of the cornea

The Non-LASIK Candidate Certain conditions and circumstances completely preclude individuals from being candidates for LASIK surgery. Non-candidates include individuals who: • Have diseases such as cataracts, advanced glaucoma, and corneal diseases • Do not give informed consent. It is important the patient knows the risks of surgery • Have unrealistic expectations. Patients need to understand the rate of healing and effectiveness are different with each patient Why is Technology so Important for Laser Vision Correction The Excimer Laser is one of the greatest inventions in ophthalmology. The Excimer Laser is the device that physically corrects your prescription during surgery. Because laser vision correction is based on the microscopic removal of corneal tissue at the molecular level it is impossible to achieve this type of accuracy manually. No other device has provided patients the opportunity to reduce or eliminate their dependency on glasses and contacts. Eyetracker Not all eyetrackers are created equally. Ensure that the eyetracker has a sampling rate faster than 200 Hertz. The reason why this is so important is because your eye can twitch at a rate of 60 Hz. If your eye twitches faster or at the same speed as the eyetracker then the eyetracker may not be able to get the appropriate readings of the movement of the eye. In turn, the laser may not be able to place the right pulse of the laser in the appropriate section of the cornea because of the lack of information. What is also extremely important is the ability of the laser to react to the information being sent to it from the eyetracker. The response time of the laser must be very fast to ensure that each laser pulse is placed exactly on the appropriate part of the cornea. Even if the laser can sample the movement of the eye 1000 times but the laser reacts slowly to this information, the result is that the laser may be placing pulses on areas of the cornea based on old information. The Excimer Laser encompasses both a 250 Hz eyetracker with the ability to react between 4 to 8 ms. This optimizes the ability of each pulse being placed on the appropriate spot on the cornea reducing erroneous misplaced pulses of the laser more common on older laser technology. Beam Size and Profile A small diameter laser beam or, also known as spot size, is very important for both accuracy and smoothness. An ideal beam size is approximately 1mm or less. If the size of the laser beam is larger the result is that the beam is too large to make fine adjustments throughout the cornea. Speed When having your eyes treated, the speed of each laser pulse that is applied to the cornea is very important. If the laser is too slow and you have a high prescription, the exposed flap may shrink because of the time it takes to correct your vision. Ensure that the laser is fast, preferably 200 Hertz, and that it has a high-energy profile. This will only improve your chances for a successful procedure. Older lasers only apply 10 to 60 pulses of the laser per second. The Excimer Laser applies 200 individual laser pulses per second ensuring the fastest treatment for optimal results. Optical Zones Optical Zone is the term used to describe the size of the treated area of the laser that will be applied to the surface of the cornea. Older

“Make sure your doctor is using the most advanced equipment to ensure the best possible outcome for your procedure.” generation lasers typically can only treat pupils no larger than 6.5mm since the largest optical zone they can use is 6.5 mm. If your pupils are larger than 6.5 mm then your chances for night vision problems increase significantly if your eyes are not treated with a laser that can provided larger optical zone ranges. Only the Allegretto Wave Excimer Laser combines optical zones from 5.5mm to 8mm. This allows the physician to customize your treatment to maximize your desired outcome and reduce or eliminate night vision problems. Wavefront Adjusted Nomograms The Allegretto Wave Excimer Laser was designed from the ground up for wavefront treatments. Even during classic or standard treatments, the Allegretto Wave Excimer Laser has incorporated wavefront data to its mathematical algorithms also know as Wavefront Adjusted Nomograms to calculate a truly maximized treatment for each patient. Unlike other lasers that were not designed for wavefront, the Allegretto Wave Excimer Laser combines wavefront to every facet of its laser. The Wavefront adjusted derived nomogram provides patients the opportunity to enhanced outcomes and quality of vision. PRK Surgery What is PRK? The PRK laser is computer-controlled and programmed by the surgeon to specifically address a patient’s own unique corneal shape and refractive error. The laser produces a highly concentrated beam of light which flattens the front surface of the cornea by removing micro-thin layers of tissue. Photorefractive Keratectomy, or PRK, is an outpatient corneal surgery that can reduce or correct mild to moderate myopia. This is done by use of a laser that precisely reshapes the cornea. The goal of PRK is to reduce or eliminate dependency on glasses or contact lenses. Most of the people who have had PRK report they no longer need to wear glasses or contacts. In a large clinical trial, two-thirds of the patients who had PRK can see 20/20 or better without corrective lenses. 95% can see at least 20/40, well enough to pass a driver’s test. Conclusion There are several options available to candidates who fit the criteria for Laser Eye Surgery. Patients need to make sure they ask the proper questions of their doctor before going ahead with Surgery. Make sure your doctor is using the most advanced equipment to ensure the best possible outcome for your procedure. For more information on Laser Eye Surgery go to www.nih.gov or contact the National Eye Institute. January 2011 — Quad Cities — Healthy Cells Magazine — Page 19

senior living

Peace of Mind! By Bob Morrison, Marketing and Development Director, Ridgecrest Village

ow my wife and I know about “Peace of Mind” first hand. Let me explain… My father, Don Morrison attended the first Honor Flight of the Quad Cities in November 2008. He and mom, Phyllis, drove from Clear Lake Iowa and stayed in a rental room at Ridgecrest Village Senior Living in Davenport. After dining and visiting with several Ridgecrest residents and seeing what life is like with all the activities, they said “Some day we would like to live here… but we’re not ready yet!” I’m sure most senior living facilities would say they have heard this many times. Three weeks later, they called to say “We are ready!” Dad just returned from a doctor’s appointment and realized how quickly life (and health) can change. One month later, the house sold and I was moving their furniture to Ridgecrest Village, their new home. My brother and I were so relieved they would have the security, medical care, and social activities necessary for a good life. Neither of us lived closer than three hours and could not check in on them as often as we wanted. Now if they have a doctor’s appointment, they have rides and even others to go along as companions. They eat delicious meals, play cards, Wii games and tournaments, get their hair done, visit physical

therapy, attend church services, men’s groups and women’s groups, and enjoy social affairs; all in one retirement complex. Should they need nursing visits, they will have it. Should either need a level of care from an Assisted Living staff, they will have it. Should they need full scale nursing care, they will have it. If we want to visit or take them out somewhere, they can do it. All from one quality care complex. Now that is “Peace of Mind!” I recently visited with another family about this. Tom said his kids rejoiced when they made the decision to move into a retirement community. We took the burden with us instead of forcing our kids to make tough decisions when we become less able to investigate it for ourselves. Our children were very encouraging. Tom & Mary Kalshoven’s son and family are another example of “Peace of Mind!” My conversations with senior living residents usually include something like, “Moving here was a great decision. With all the activities, social interaction, and good food, we should have done it two years earlier.” If you would like more information or to take a tour at Ridgecrest Village, call Nancy Stockwell at 563-388-3271 and make yourself at home.

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activities & events

Center for Active Seniors, Inc. 1035 W. Kimberly Rd., Davenport, IA 52806

PH: 563-386-7477 Make Your Calendar For January January 5 – February 23 Drawing Class with Paul Aglueseva Every Wednesday, 10:00 a.m – 12:00 p.m. Cost: $5 per class CASI members; $9 per class non-members.

January 10, 1:00 – 2:00 p.m. Travelogue at CASI Hawaii – Heavenly Islands with Melanie Hill Free for CASI members only. Reservations required; seating is limited.

January 6 – February 24 A Matter of Balance Eight week course every Thursday from 1:00 – 3:00 p.m. Cost: $20 – reservations required.

January 11 – February 15 Wood Carving Class with Bob Gravis Every Tuesday, 9:30 – 11:30 a.m. Cost: $6 per class CASI members; $9 per class non-members. Pay instructor for materials; tools are provided.

January 19, 11:00 a.m. – 12:30 p.m. Talk of the Town Speaker: Dino Hayz Free for CASI members only. Pizza lunch served by 11:15 a.m. Reservations required; seating is limited.

Regularly Scheduled Activities — Fees reflect price for CASI members. ARTS AND CRAFTS Art Classes, $5 Thu 12:30 - 2:30 pm Ceramics (Beginners), $5 Mon 9:30 - 11:30 am Ceramics (Advanced), $5 Tue 9:30 - Noon Donna Dewberry One Stroke Painting, $4 - Mon 12:30 -2:30 pm CARDS Bridge, $2 - Mon Wed & Fri 12:30 - 4 pm Canasta, $2 - Tue 1 - 4 pm Card/Games Luncheon & Party, $6 - Fourth Tue/month Noon - 3:30 pm Cribbage, $2 - Wed 1-4 pm Euchre, $2 - Thu & Fri 1-4 pm Pinochle, $2 - Mon Tues Wed Fri 1-3:45 pm CLUBS Book Club, $2 - First Fri/month, 10 - 11:30 am Golden Wedding Club, $4.75 Third Tues/month, 11:30 - 2:30 pm Knitting & Crocheting Volunteer Group - Tue 12:30 – 2:30 pm Red Hat Club Luncheon - First Tue/month (location varies), Noon Ugly Quilts Volunteer Group Tue 8 -11 am

DANCE Line Dancing, $2 - Tue 9 -11 am Social Dancing, $3 - Wed 1 - 3 pm EDUCATIONAL Computer Classes, $60 - sixteen-hour course - call for course schedule, 563-386-7477 Cracker Barrel Hour, $2 - second & fourth Wed/month, 1:30 – 2:30 pm TRIAD (Reducing Crime Against Seniors), FREE - fourth Wed/ month, 9:30 – 11 am ENTERTAINMENT & MUSIC Golden Tones Chorus Practice, $2 - Fri 9 -10 am Movie Matinee, $2 - second Tue/ month, 1 - 3:30 pm New Horizons Band Practice, $2 Thu 12:30 - 2 pm Talk of the Town, FREE for CASI members - third Wed/month, 11-12:30 pm Travelogue, FREE for CASI members - second Mon/month, 1- 2 pm FITNESS Gentle Exercise Class, $2 Mon Wed & Fri 9 - 10 am Chair Yoga, $30 – six week sessions, Mon 10:30 – 11:30am

Gentle Yoga, $30 - six week sessions, Mon 9 – 10am T’ai Chi Ch’un, $18 - six week sessions, Wed 10:30 – 11:30 am GAMES & SPORTS Billiards, $1- daily (if Game Room available), 8- 5:00 pm Bingo, $.50 plus cards Fri 12:30 – 3:30 pm Shuffleboard, $2 Mon 2:15 – 4 pm Wii Game, $1 - daily (if Hall 3 available) 8:00 - 5 pm HEALTH & WELLNESS Blood Pressure Checks, FREE Tues Wed & Thu 12:30 – 3:30 pm Genesis Foot Clinic $15 - reservations required, call 563-320-3978 TOPS (Take Off Pounds Sensibly), $1 - Wed 11-1:30 pm INFORMATION SHARING & SERVICES Cracker Barrel Hour, $2 - second & fourth Wed/month, 1:30 - 2:30 pm Sewing Repairs & Alterations, donations accepted - Thu 8 - 11 am SHARE Food, prices/schedule varies - call for more information, 563-386-7477

SHIIP (Senior Health Insurance Information Program), FREE first Wed/month, 9 - 11 am TRIAD (Reducing Crime Against Seniors), FREE - fourth Wed/ month, 9:30 – 11 am LUNCHEONS/MEALS Card/Games Luncheon & Party $6 - fourth Tue/month, 12- 3:30 pm Generations Meal, $2.75 - daily, 11:30 - 12:30 pm SUPPORT GROUPS Caregiver’s Support Group, donations accepted - second Mon/ month, 11- 1 pm Grief Support Group, donations accepted - second & fourth Wed/month, 9:30 -11 am Low Vision Support Group, donations accepted - first Thu/ month, 10 -Noon Parkinson’s Support Group, donations accepted - third Sat/ month, 10 -Noon For more information on upcoming events or volunteering opportunities at CASI, please call us at 563-386-7477. Prices & schedule subject to change.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 21

eye care

Pterygium A Cause For Red Eyes That Should Not be Ignored By Dr. Matthew Rauen, Virdi Eye Clinic

A preoperative photo of a pterygium shows a triangular band of redness that extends onto the cornea (arrow).

3 weeks after surgery with amniotic membrane transplantation, the eye is free of any redness or irritation (arrow).

hronically red irritated eyes can result from a variety of causes including dry eye syndrome, blepharitis / meibomian gland dysfunction, allergic eye disease, infectious conjunctivitis (pink eye), or conjunctival degenerations. The same finding that is present in all of these red-eye causing conditions is inflammation of the blood vessels in the conjunctiva. The conjunctiva is a slippery membrane covering the white portion of the eye. It is extremely important as it secretes critical components of our tears and it contains blood vessels that supply immune elements that fight off infections. These same blood vessels can become inflamed in response to ocular irritants leading to a red eye.

Page 22 — Healthy Cells Magazine — Quad Cities — January 2011

The conjunctival degenerations I most frequently encounter are: 1) pinguecula and 2) pterygium. These degenerative changes not only have strange names, but they often lead to strange and annoying symptoms for patients. These symptoms include foreign body sensation, irritation, redness, or decreased vision. A pterygium can cause a change in a patient’s glasses prescription or even make contact lens wear challenging. A conjunctival growth is labled a pinguecula if it has the following characteristic: yellow-white conjunctival growth near the cornea, but not involving the cornea. A conjunctival growth is labeled a pterygium if it has a vascular component and extends onto the cornea. Despite their relatively common occurrence, the exact causes of pinguecula and pterygium are poorly understood. Some causes are thought to be dry eyes, elevated exposure to UV light (due to occupational or recreational habits), wind exposure, and family history.

“For patients whose symptoms cannot be controlled with medical therapy or if the patient’s vision is at risk, the surgical options for these growths have never been better.” For patients with few or no symptoms, an eye doctor may recommend periodic examinations to make sure there is not a change in size. Medical therapy is usually recommended for patients experiencing symptoms. Artificial tear use is sufficient for most patients to control irritation or redness. Occasionally, an eye doctor may recommend use of medicated eye drops (steroids) to control inflammation. Visine drops often times can control redness, but their use should never extend beyond 3-4 days due to increasing dependence and risk for rebound redness. For patients whose symptoms cannot be controlled with medical therapy or if the patient’s vision is at risk, the surgical options for these growths have never been better. Simple excision of the growths has been used for decades, but this strategy has a 50% chance of recurrence. Use of a conjunctival autograft was developed in the 1980s – with this strategy, there is only a 5% chance of recurrence. While recurrence rates are much lower with this technique, it often times leads to ocular irritation for several weeks and redness at the surgical site for up to 3 months. The most advanced form of surgical treatment involves use of an amniotic membrane and tissue glue in the repair process. I prefer this method because patients are free of symptoms after just one week and any redness usually is gone by 3 weeks. It too shares a low recurrence rate of 5%. As long as Midwestern people continue to work and play outdoors, eyecare providers will encounter patients with symptoms related to both pinguecula and pterygium. Fortunately, our treatments for these conditions continue to improve. Matthew Rauen, MD is a board certified ophthalmologist who practices at the Virdi Eye Clinic and Laser Vision Center. He is fellowship trained in cornea surgery, cataract surgery, and I-LASIK surgery. To schedule an appointment, call 309-788-5524.

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tips for winter

To Every Shoe, Its Season: Winter Foot Health Advice

Shutterstock

rom grandparents to grade-schoolers, we’ve almost all, on occasion, sacrificed sensible for stylish when it comes to the shoes we select for cold-weather wear. But wearing shoes that don’t protect and support our feet during chilly winter months can cause foot ailments that could last long after the snow has melted into spring. From bunions, dry skin and toenail fungus to frostbite and arthritis, cold can cause and worsen a range of foot health problems. To every shoe its season, says the American Medical Podiatric Association (APMA). “Sixty-four percent of Americans admit to wearing shoes that hurt their feet, and three out of 10 who wear painful shoes say they do it at least once a week,” notes Dr. Kathleen Stone, podiatrist and president of the APMA. “We generally spend a lot of time on our feet, and nearly a quarter of us put in six or more hours on our feet each day. Winter, with its precipitation and chilly temperatures, not to mention the demands of the holidays, is no time to live with feet that hurt.” The APMA offers some winter foot health fixes for the holidays and winter months: Choose the right footwear It may seem obvious that when temperatures dip, you shouldn’t don footwear that’s more appropriate for fun in the sun. But almost all

Page 24 — Healthy Cells Magazine — Quad Cities — January 2011

“We generally spend a lot of time on our feet, and nearly a quarter of us put in six or more hours on our feet each day.” of us have seen someone wearing sneakers in the snow or high heels in the rain. When there’s no precipitation in the air or on the ground, a good, sturdy, comfortable shoe is fine. But when the weather turns nasty, you need quality boots to protect your feet. When buying boots keep this advice in mind for all your favorite styles: •R iding boots - Avoid synthetic materials that trap heat and moisture, which can cause odor or, worse, fungal infections. Opt for natural materials like leather that allow proper airflow and keep your feet dry. •W eather boots - Soften rigid rain boots with cushioned insoles and supports. Rigid footwear limits natural foot movement and provides

toebox can cause blisters and cramped toes. Boots that are narrow and that have very high heels transfer weight onto the ball of your foot and can cause numbness or pain. Lower or stacked heels will provide more support. General foot health tips for winter You’ll be on your feet a lot throughout the holiday season. It pays to take care of your feet, and it’s hard to get into the holiday spirit when your feet hurt. Fortunately, there are ways to help your feet feel their best all year-round: • Simple exercises can help avoid painful cramping. Raise, point and curl your toes for five seconds on each foot. Repeat 10 times. Rotate your ankles to relax your feet. Cup your heel and rotate each ankle slowly five times. This helps loosen ankle joints. • Massage your feet; it releases tension, promotes circulation and rejuvenates the skin after a long day of walking and standing. Add your favorite scented lotion into the mix for a soothing, relaxing experience. • Elevate your legs. If you’re prone to swollen ankles or calves and you sit a lot at work, elevate your legs with a foot stool under your desk. At the end of the day, reduce swelling by lying down and lifting your legs above your heart. If you overdo it and experience chronic foot pain, a podiatrist - the foot and ankle expert - can help. To find a podiatrist, and learn more about today’s podiatrist, visit www.todayspodiatrist.com, or visit the APMA’s website at www.apma.org.

no arch support. Make sure snow boots have rubber soles with deep groves for proper traction. • Trendy boots - Ankle booties are back (you may remember them from the ‘80s) in style, but they lack ankle support and often have high heels that can cause imbalance. Choose a heel no higher than 2 inches and don’t walk long distances in your trendy ankle boots. Likewise, classic cowboy boots are not made for walking; the narrow

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preventative care

A Focus on Pre-Diabetes Genesis Diabetes Care Center Works to Stem Epidemic By Linda Barlow, Genesis Health System

new report is a staggering statement about the impact of diabetes and pre-diabetes in the United States. The report from the UnitedHealth Center for Health Reform & Modernization indicates that half of all Americans will have the disease or the early symptoms of the disease by 2020. The disease will transcend health care and impact American productivity, finance and government at a 10-year cost of $3.35 trillion. Nancy Ingelson of Moline is taking action, so she won’t be among the statistics. She first learned her blood glucose level and blood pressure were higher than normal several years ago, when she committed herself to annual physical exams. She also had risk factors for Metabolic Syndrome, a precursor to diabetes and heart disease. “Over the years, my fasting blood glucose has stayed high, hovering just below 100 (mg/dL) but it didn’t seem to be going up,” said Ingelson, a chaplain supervisor for Genesis Spiritual Care. “This year, my blood glucose rose to 103, inching closer to the 126 level that indicates diabetes.” She signed up for a new pre-diabetes class at the Genesis Diabetes Care Center in October. After two sessions, she knows what she needs to do to help prevent or delay the onset of Type 2 diabetes. She has discovered it only takes modest – not monumental -- lifestyle changes – to make a life-changing difference. “Diabetes runs in both sides of my family, and I was concerned because those numbers kept creeping higher,” she said. “I’m an educator and wanted to learn how to have more personal control over my health.” Pre-diabetes abounds Ingelson is among an estimated 57 million Americans who have prediabetes: They have higher-than-normal blood sugar levels, but the levels are not yet high enough to be diagnosed as diabetes. They often have other risk factors, such as high blood pressure, high cholesterol and obesity.

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Page 26 — Healthy Cells Magazine — Quad Cities — January 2011

“About 58 percent of people with pre-diabetes can prevent or delay Type 2 diabetes if they make very small changes in their lifestyle, such as a 5-10 pound weight loss and increasing their exercise to 150 minutes a week.”

In an effort to stem the growing problem, the Genesis Diabetes Care Center has strengthened its focus on pre-diabetes and recently launched classes for the general public. The two-session class is $20 and offered at Genesis Diabetes Care Center locations on the Bettendorf and Illini campuses. The class is free to Genesis employees. “Pre-diabetes, when blood sugar levels are not in the normal range, is a wake-up call that you need to do something now to prevent Type 2 diabetes,” says Marsha Menke, MS, RN, CDE, CPT, manager of the Genesis Diabetes Care Center. “Once you have diabetes, it’s very rare it will go away. That’s why we’re trying to help people who fall in the pre-diabetes range.” Menke added, “About 58 percent of people with pre-diabetes can prevent or delay Type 2 diabetes if they make very small changes in their lifestyle, such as a 5-10 pound weight loss and increasing their exercise to 150 minutes a week.”

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Nancy Ingelson checks the ingredients listed on a box of microwave popcorn with Genesis diabetes educator Vicki Bean, RD, LD, CDE. Ingelson, who has pre-diabetes, is learning how she can prevent diabetes with the help of the Genesis Diabetes Care Center.

Average health care costs in the U.S. for a person without diabetes stand at approximately $4,400, compared to $11,700 for a person with the disease, according to data drawn from 10 million UnitedHealthcare members. The average annual cost nearly doubles to $20,700 for a person with diabetes complications, such as heart and kidney disease, nerve damage, blindness and circulatory problems that can lead to wounds that won’t heal and limb amputations, the report shows. That’s why early intervention to prevent prediabetes from becoming diabetes is so important, Menke said. Diabetes symptoms can be difficult to recognize because they can appear gradually over a long period of time. Symptoms can include fatigue, frequent urination, excessive thirst, and in some cases, sudden weight loss, urinary tract infections and blurred vision. “Diabetes follows a progessive course, often starting with obesity and then moving to prediabetes,” Menke said. “If we intervene early on, we can prevent this disease.”

“I learned that if your body is moving into Type 2 diabetes, you never want to go more than 4 hours without eating,” Ingelson said. “I haven’t been perfect, but I pay a lot more attention to carbohydrate counts and portion sizes and try to get in those snacks. I don’t skip breakfast anymore.” During the first session, Ingelson learned about the diabetes prevention diet, portion sizes, how to chart her food intake and the importance of exercise. At the second session, Bean reviewed her food chart and answered more questions. Then the two participated in Zumba Gold, a beginner’s level of the popular aerobic dance. “Vicki was welcoming, nonjudgmental, educational and very enthusiastic,” Ingelson said. “I’m grateful for the class. I plan to keep working at it, and will have a follow-up blood test with my doctor in February.” She concludes: “I’ve had this body a long time, and I want to do all I can to keep it as healthy as it can be.”

A new lifestyle Ingelson is using the new prevention tools she learned from Genesis diabetes educator Vicki Bean, RD, LD, CDE.

To learn more about prediabetes classes, call the Genesis Diabetes Care Center at (563) 421-1061 in Bettendorf or (309) 792-4389 on the Illini Campus.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 27

dental health

CEREC

The Newest Innovation in Dental Crowns By Byrum Family Dentistry

o you have a cracked tooth that needs a crown, or maybe an old crown that needs to be replaced? Then a CEREC crown may be the best option for you. A crown is a “cover” over the tooth and may be needed in various situations: if the tooth is cracked and needs to be held together, to support a filling when there is little tooth left, or to cover discolored or misshapen teeth, for a few examples. When a patient comes in for a crown, it’s a two step process. First, the tooth must be shaved down slightly, and an impression is made of your teeth, which will then be taken to a laboratory that will make your crown. In the meantime, the patient will wear a temporary crown. When the lab has finished making the tooth, the patient comes back for a second visit, where the temporary crown is removed and replaced with the permanent crown. With CEREC crowns, that second visit is no longer necessary, saving the patient both time and money. CEREC crowns can be done on one visit. Some cosmetic dentists have been trained in a recent innovation called the “Computer-assisted design-Computer-assisted manufacture” crown, or “CAD-CAM.” CEREC is the company that is leading the CAD-CAM technology. Page 28 — Healthy Cells Magazine — Quad Cities — January 2011

CEREC’s CAD-CAM technology allows the crown to be made by the computer during your first visit, which then cuts down on the need and cost of the crown being made in a lab and the elimination of a temporary crown, which can be uncomfortable. It also cancels having to schedule a second appointment for the installation of the permanent crown. CEREC crowns are made from a single block of ceramic, and contain no metal, so they are more pleasing to the eye. CEREC can also be used for fillings, as the porcelain is more durable than standard white composite filling. A very skilled cosmetic dentist can also use CEREC to make porcelain veneers. Not all dentists can use CEREC. A cosmetic dentist must have extra training in CEREC technology to become an expert. Is your crown letting you down? Look into getting a CEREC crown today. CEREC crowns are available at Byrum Family Dentistry, located at 3878 Middle Road in Bettendorf. Dr. Byrum is certified in CEREC technology. To schedule an appointment to see if a CEREC crown is right for you, call him at 563-332-7734.

activities & events

4011 Ave of the Cities Suite 102 Moline, IL 61265 309-797-0200 Hours of Service Mon-Fri 7:15am-4:30pm Mark Your Calendar for January Week of January 3 - 7 1/3 Brain Boosters, Chapel, Troy Harris, Password, Hot Potato and Caregivers Happy Hour, 1/4 Chapel, Garden Club, Tea and Talk, Football Picks, Billiards and Hangman 1/5 Beauty Shop, Frankie Chapman, Journey to a Brighter Day, Karaoke, Wheel of Fortune and Air Hockey 1/6 Rosary, Ladies Outing, Bingo, Manicures, Skeeball, and Word Search 1/7 Bible Study, Peg Swensen Piano and Elvis Presley’s Birthday Party Week of January 10 - 14 1/10 Chapel, Brain Boosters, Favorite Photo of You Day, Show and Tell, Tea & Talk, Volleyball and Uno 1/11 Chapel, Garden Club, MJam Karaoke, Parachute and 20 Questions 1/12 Beauty Shop, Chapel, Cracker Barrel, Coffee House Poetry Hour, Pictionary and Hot Potato 1/13 Rosary, IMAX Outing, Charades, Disc Golf, Scrabble and Football Picks 1/14 Bible Study, Martin Luther King Jr. honored, Bingo, Darts and Word Scramble

Week of January 17 - 21 1/17 CLOSED – Martin Luther King Jr. Birthday 1/18 Chapel, Garden Club, Foot Clinic, Caregivers Support Group, Tea and Talk, Left-Right-Center and Football Picks 1/19 Beauty Shop, Chapel, Journey to a Brighter Day, Bingo, Manicures and Parachute 1/20 Rosary, Cracker Barrel, Casino Day, Horseshoes and Skipbo 1/21 Bible Study, Friendship Family, Mystery Chef, Special Craft and Bunco Week of January 24 - 28 1/24 Chapel, Brain Boosters, Red Hats Outing, Reminisce, Wheel of Fortune and Football Picks 1/25 Chapel, Garden Club, Bingo, Volleyball and Password 1/26 Beauty Shop, Chapel, Karaoke, Skeeball and Billiards 1/27 Mass, Men’s Outing, Tea and Talk, Basketball, Yahtzee and Password 1/28 Bible Study, Blueberry Pancake Day and Bell Bottom Ball Week of January 31 1/31 Chapel, Brain Boosters, Bingo, Skeeball and Yahtzee

Things to Remember! 1/3 Troy Harris Singing and Caregivers Happy Hour 1/4 Garden Club and Chapel 1/5 Frankie Chapman Gospel Singing, Beauty Shop 1/6 Rosary, Ladies Outing and Bingo 1/7 Elvis Presley’s Birthday Party with JD the DJ 1/10 Bring your favorite photo of yourself, Show and Tell 1/11 Chapel, Garden Club, MJam Karaoke

1/12 Beauty Shop, Coffee House Poetry 1/13 Rosary, IMAX Outing 1/14 Intouch will honor Martin Luther King Jr. 1/17 CLOSED – Martin Luther King Jr.’s Birthday 1/18 Garden Club, Foot Clinic 1/19 Beauty Shop, Coffee House Poetry 1/20 Rosary, Cracker Barrel Outing 1/21 Friendship Friday, Mystery Chef 1/24 Chapel and Red Hats Outing

1/25 Chapel, Garden Club and Bingo 1/26 Chapel, Beauty Shop, Karaoke 1/27 Mass, Men’s Outing and Tea and Talk 1/28 Bible Study and Bell Bottom Ball 1/31 Chapel, Brain Boosters and Bingo For More Information About Intouch Adult Day Services, Please Contact: Lorraine St Clair or Jennifer Hart at 309-797-0200.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 29

senior care

Understanding Hospice From HFA Cares—Hospice Foundation of America’s Conversation, Advice, Resources and Education Series

1. Hospice is a special concept of care, focused on providing comfort, relieving pain, and offering support for persons with life-limiting health conditions and their families. Hospice provides pain and symptom relief, as well as emotional and spiritual support, typically in the last six months of life. 2. Hospice care occurs wherever a person calls home. Hospice is not a “place”; patients receive hospice care at home, and home is broadly defined. Home may be a person’s residence, a nursing home or an assisted living facility, or a residential hospice. 3. Hospice is open to people of all ages, including children, and to people who have different medical conditions. While approximately two out of three hospice patients are over the age of 65, hospice care is available across the lifespan. Hospice treats patients with Alzheimer’s disease, cancer, heart disease, HIV/AIDS, and other illnesses. 4. Hospice services are available on-call 24 hours a day, 7 days a week. In addition to regular visits from the hospice team, families can reach hospice professionals any time with questions and concerns, and a hospice team member is available to deal with medical and other crises.

hospice’s ability to make a patient’s final days more peaceful and comfortable. 7. Hospice staff is often present at a patient’s death and is usually closely involved as death approaches. This is one of hospice’s greatest abilities, and can be one of the gifts that this care brings—helping the patient and his or her loved ones cope and understand what is happening as a person is dying. 8. The costs of hospice care are generally covered under Medicare. The Medicare Hospice Benefit covers the range of medical and supportive services—meaning psychological, emotional and spiritual services that are deemed “reasonable and necessary” by Medicare for managing a person’s illness. Most state Medicaid programs offer hospice coverage, as do most private health insurance plans. 9. Hospice care is available to patients for as long as the patient needs care. As long as a physician certifies that the patient continues to meet guidelines for receiving hospice care, hospice is available in an unlimited number of 60-day periods.

5. Hospice professionals are committed to bringing pain under control as quickly as possible. Needless pain can bring unnecessary anguish to a person who is dying and the loved ones caring for them.

10. There are close to 5000 U.S. hospices, located in every state and serving all but the most rural or isolated communities. In most situations, families can choose the hospice provider who best meets their needs, and have the option to change programs or revoke care if treatment goals change.

6. Many families who have been served by hospice wish that they had taken advantage of hospice services sooner. Although hospice coverage is intended for patients with six months or less to live, the majority of patients spend far less than six months under hospice care, which makes it difficult to take full advantage of

For more information on hospice, grief and bereavement, or caregiving and end-of-life issues, please contact Beacon of Hope Hospice at 563-391-6933 or www.yourtrustedpartner.com or contact Hospice Foundation of America at www.hospicefoundation.org/hfacares, Ph: 800-854-3402.

Page 30 — Healthy Cells Magazine — Quad Cities — January 2011

January 2011 — Quad Cities — Healthy Cells Magazine — Page 31

prostate health

Looking Back – Learning a New Definition of Intimacy Final in a series of excerpts from “Making Love Again” By Virginia and Keith Laken The subject matter of this book is of a personal and explicit nature, and may not be suitable for younger or ultra-conservative readers.

Page 32 — Healthy Cells Magazine — Quad Cities — January 2011

eith, on libido and arousal: Little has changed since the early days of my recovery. My libido continues to function fine, but my arousal had never fully returned. Thanks to Dr. Williams, I now see libido and arousal as two distinct but interrelated factors in the sexual formula. When I speak of libido, I’m talking about the attraction or interest I have in sex — the “pretty-women-make-me-think-about-sex” reaction that Dr. Williams referred to. Arousal, on the other hand, is what I call the automatic response of my body to satisfy that interest. In this regard, I’m not the same as I was before my surgery. In the past, if Gin would give me a sexy kiss in the morning, I would find myself getting more and more aroused during the day — so much so that, by evening, I felt I had to have sex with her to satisfy my body’s craving. But that’s not how things work today. These days, when Gin gives me that same type of kiss, I’ll think about it during the day and then gladly make love with her that night,

insecurities, and, of course, my body. I suspect these are facets of a marital relationship that many people would consider the “intimate” ones. It sounds simple, sharing these things with your partner, but it can get really complex. So many things can affect one’s willingness to be intimate, and can cause a person to pull back. When I look at the most difficult part of our recovery, I think one of the primary reasons we couldn’t be intimate was because each of us was feeling a lack of safety. When Gin and I finally made our “contracts” with each other — the agreement to have consistent sex dates and the promise of not turning each other down — we had, without realizing it, created safe places. Only then were we able to begin the process of reestablishing our intimacy. Recently, Gin asked me what advice I would give to people who have not had sexual relations in a long time. “It seems like it would

“I think that a couple in this situation, or any couple really, who is dealing with sexual dysfunction, should consider getting professional counseling.” because I have sustained my interest by mentally anticipating the pleasure I will get and give. I think I’ll always miss this part of my sexual response. I liked the feeling that my body was on fire and being driven to satisfaction. I still, however, consider myself lucky. I’m able to develop arousal during foreplay, and can still experience great orgasms. Gin, on intimacy: I used to think that the real core of marital intimacy was the ability to confide in each other, which would in turn lead to a trusting relationship. I also thought that if one lost the ability to be sexual, it was all right — the marriage could still grow and thrive. But I feel differently now. Today, the definition of marital intimacy, for me, must include physical sharing. I believe that Keith and I have to stay physically intimate with each other for our marital intimacy to survive — because when we don’t, other facets of our marriage suffer. I’m using the term “physical intimacy” in a broad sense. I can no longer think of physical intimacy as meaning only the “traditional” sexual experience. We’ve decided that we define physical intimacy as “the intentional sharing of one’s body for giving and receiving pleasure.” By “intentional” we mean that one is specific about engaging in the activity. By “pleasure” we mean “any physical act a couple agrees upon as being mutually satisfying.” These days, the definition of intimacy, for us, is no longer as connected with what we do as much as with our intentions — to always keep some kind of sexual activity as a part of our lives. Keith, on intimacy: When I think of what the term “intimacy” means, I’m immediately reminded of the things I share with Gin that I wouldn’t think of sharing with anyone else — my inner feelings, my

be so difficult to even know how to begin being intimate again, if you haven’t done anything in years,” she pondered. I agree with her. Here’s my opinion. First, I think that a couple in this situation, or any couple really, who is dealing with sexual dysfunction, should consider getting professional counseling. The issue of sexual dysfunction is complex, and, for me anyway, was an area where I really needed professional guidance. Second, I would encourage couples in this situation to try to make safe places for themselves. I would encourage them to share their intimate thoughts and feelings on the subject with each other. Let your partner hear your fears, and understand your sense of feeling vulnerable. When a safe place has been made, I would then encourage couples to begin to share their bodies again, in whatever way they elect to do so. Next to my recovery from cancer, I’ve found that reestablishing physical intimacy with Gin has been the greatest gift I’ve ever received. I love sharing my life with her again — body and soul. Cancer has taught us to treat each day as a gift. And impotence has taught us to treat each lovemaking experience as an added bonus. We’ve learned to treasure the moment, but most importantly, we know we’ll never stop making love again.

January 2011 — Quad Cities — Healthy Cells Magazine — Page 33

from the heart

New Options in Heat Therapy Submitted By Dream Time Inc.

udy Day, founder of DreamTime, Inc., a California based wellness product manufacturer, developed and instituted successful stress relieving programs for her patients while working as an oncology nurse. Recognizing the link between stress to the onset of disease, Judy took a sabbatical to Japan to learn more about traditional eastern medicine. There she discovered therapeutic pillows that have been used in Asia for centuries and DreamTime was born. Since 1993, DreamTime, Inc. has designed products that remind and encourage us to relax, nurture and take care of ourselves. Through the daily chaos of our busy lives, many of us have forgotten how essential it is to take time each day to clear and quiet the conscious mind, to allow our bodies to find relief and balance, and be true to ourselves. As more people are consciously making healthier lifestyle choices, and new approaches to preventative health are being recognized, DreamTime products are being praised for their ability to help alleviate symptoms of stress and promote healthy living. It gives us a great deal of satisfaction that our family of comforting products has played such an important role for so many people in the last 17 years. A representation of this can be found in the Loving Hugs Heart Pillow, an object of both caring and beauty. Providing localized relief with either a warm or cool touch, it can be used as an effective spot treatment for many discomforts. Whether its recovering from a host of medical procedures, or an achy, sore muscle or a tummy that needs a warming caress, the Loving Hugs Heart Pillow will nurture and care for all your tender spots. Adorned in plush velvet, and filled with our exclusive blend of the natural herbs cinnamon, clove and eucalyptus, the Heart Pillow delivers an aroma and aura of serenity and comfort. Heat Therapy is a natural remedy that increases blood flow, and helps relax tight, sore, achy muscles and reduce joint stiffness. Moist heat penetrates deeply and provides soothing comfort, allowing stress and tension to simply melt away. Cold Therapy naturally reduces swelling and helps alleviate aches and pains. Great for treating sports injuries and relaxing muscle spasms. Cold therapy can be a wonderful way

Page 34 — Healthy Cells Magazine — Quad Cities — January 2011

“Through the daily chaos of our busy lives, many of us have forgotten how essential it is to take time each day to clear and quiet the conscious mind, to allow our bodies to find relief and balance, and be true to ourselves.” to bring your body back into balance and harmony and rejuvenate your spirit. The use of aromatic plants to encourage good health and well being has been practiced for thousands of years. The aroma from pure plant oils is truly holistic in that they can have a powerful and positive effect on the mind, body and spirit. Aromatherapy can help alleviate the various symptoms of stress, help you unwind and connect with your inner self. We have found that in tough times, people are still in search of alternative ways to take care of themselves. Our products allow people an affordable way to do so contributing to the long success of our brands. If you are interested in receiving more information on how you can personalize and purchase this line please contact: Sena Warkins, Imprintable Memories: 106 E 3rd Street, Rock Falls, IL 61071. (815)5350931 – imprintablememories@hotmail.com

care

“We for the family you about”

care

Our Services Include But Are Not Limited To: • We are available for 1 hour and up to 24 hours, seven days a week • Laundry / bed changes • Medication set-up and reminders • Light Housekeeping • Relief care for family members • Transportation • Total or assisted personal care • Shopping / running errands • Post hospital care or assistance after an accident or illness • Meal planning and preparation

Call for a: Free Consultation Free Screening Free Assessment

Quality Home or Facility Care 240 N. Bluff Blvd., Ste #101B Clinton, IA 52732

Ph. 563.242.2308 Ph. 563.659.5516 Fax 563.242.2313

1698 Iowa Drive PO Box 37 • LeClaire, IA 52753

Ph. 563.289.5229 Toll Free 1.800.339.5229 Fax 563.289.3444

www.GuardianFamily.com

ASK

CEREC Crowns

Q: What are CEREC crowns? A: CEREC is a technology using a CAD-CAM method to create single appointment restorations. The material is made of high strength porcelain which is milled in a special milling machine into the shape needed by your tooth.

BYRUM FAMILY DENTISTRY

Q: How are CEREC Restorations made? A: We remove the old silver amalgam filling and any decay that is present in the tooth. We then do an optical scan of the tooth in your mouth and then the doctor does some computer assisted designing. All that data is then sent to the CEREC milling machine, which mills out of a block of high strength porcelain matching the color of your tooth. The missing portion of your tooth – like a puzzle piece made from the porcelain – is then bonded into the tooth. The result is a tooth that is stronger and looks like a whole natural beautiful tooth.

ROBERT L. BYRUM D.D. S., P.C. MELINDA HOCHGESANG, D.M.D.

Q: How many times will I need to come into the office for this procedure? A: One time.

DR. ROBERT L. BYRUM

Q: What are the advantages of CEREC Crown restorations? A: Usually we can save more of your natural tooth structure with this technique over conventional crown preparation techniques. The CEREC procedure saves you time and money since you need not miss out on work as much since they are typically done in one appointment.

Before

After

CEREC crown restorations are very esthetic!

3878 MIDDLE ROAD, BETTENDORF • 563-332-7734 • www.byrumfamilydentistry.com