March Bloomington Healthy Cells 2011

BLOOMINGTON/NORMAL

area

Promoting Healthier Living in Your Community • Physical • Emotional • Nutritional

March 2011

HealthyCells

TM

www.healthycellsmagazine.com

Croft Physical Therapy:

Treatment for Pelvic Pain and Dysfunction page 20

The Big “D” Debate page 6

Childhood Anger page 19

Still Cruising After the Cruise? page 37

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March 2011 — Bloomington ­— Healthy Cells Magazine — Page 3

MARCH 6

Nutritional: The Big “D” Debate

8

Physical: Colorectal Cancer

2011 This Month’s Cover Story:

Volume 6, Issue 3

Croft Physical Therapy:

Treatment for Pelvic Pain and Dysfunction

10

Emotional: Minding Your Manners — Tips on Disability Etiquette

14

Child Safety: Stranger Danger

16

Dental Health: Toothbrushes—Electric or Manual?

18

Women’s Health: Hysterectomy Options are Rapidly Increasing

19

Mental Illness in Children: Childhood Anger Part 2 of 2

23

New Technology: Senior Friendly Computer System

24

Vascular Treatments: Misconceptions and Facts about Varicose and Spider Veins

26

Insurance Coverage: Understanding YOUR Health Insurance Benefits

27

Adult Education: Health Service Administration — A Growing Career Field

28

Healthy Finance: How Can I Keep My Money from Slipping Away?

30

Quotient Testing: New System Diagnoses ADHD

31

Cancer Treatment: The Expanded Radiation Therapy Service at the Community Cancer Center

32

New CPR Guidelines: Are You Prepared?

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 greater Bloomington-Normal area.

34

Pediatric Hernias: Bath Time Provides an Opportunity to Check

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.

36

Healthy Lifestyles: Diets are Hard

37

Balance Disorders: Still Cruising After the Cruise?

40

Stroke Awareness: A Life Saved—Part 2

41

Know the Law: Workers’ Compensation Injuries and Your Medical Care

page 20

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@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

Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.”

Cheryl Eash

March 2011 — Bloomington ­— Healthy Cells Magazine — Page 5

nutritional

The Big “D” Debate

By Jessica Hoelscher D.C, Eastland Chiropractic & Wellness Center

A

recent article in the New York Times promoted the idea that Vitamin D and Calcium supplementation is at best, unneccesary and at worst, potentially harmful. This was surprising in light of two previous articles by the same newspaper, one only 4 months prior, both of which emphasized the importance of Vitamin D and Calcium supplementation. So which report is most accurate?

Why is Vitamin D and Calcium Important?

Inadequate amounts of Vitamin D have been linked to high blood pressure, heart disease, diabetes, increased risk of cancer, depression, stroke, Alzheimer’s, Parkinson’s disease, autism, asthma, and many more conditions. Nearly every tissue in the body is designed to accept Vitamin D and requires it for proper functioning. This includes your brain, heart, muscles, immune system, skin, and reproductive organs. Your bones, kidneys, intestines, and parathyroid gland are responsible for activating the vitamin into a source usable by the body. Insufficient calcium intake does not typically produce immediate symptoms. The body simply steals the calcium from bones, predisposing individuals to “brittle bones” of osteoporosis.

But calcium is involved in much more than simply strong bones, it affects muscle and heart activity as well. Adequate calcium intake has been linked to weight loss, decreasing blood pressure, and decreased risk of cancerwhereas too much calcium is linked to kidney stones and in severe cases, heart arrhythmias. Vitamin D and calcium go hand in hand as the body needs vitamin D to absorb Calcium.

Page 6 — Healthy Cells Magazine — Bloomington ­— March 2011

How do we get it?

Vitamin D is not found naturally in very many foods. The safest way to acquire adequate levels of Vitamin D is through sun exposure. Sunlight activates the vitamin D already present in the body and turns it into a usable form. The body contains a built in shut-off mechanism which, when properly functioning, makes it impossible to activate too much, but this is not true with supplementation. However, since there is a significant risk of skin cancer with high doses of sunlight, most people opt for sunscreen.

An SPF of 30 or higher nullifies any vitamin activation due to sun exposure. Those most at risk for insufficient calcium intake are postmenopausal women or women whose diet and/or exercise regimen has caused their menstrual cycle to stop, those with lactose intolerance, and Vegans. Additional risk factors for decreased calcium absorption include inadequate intake of Vitamin D, whole grains, veggies and beans (specifically phytic and oxalic acid) as well as increasing age and consumption of alcohol and caffeine, among other dietary factors.

Do we get enough?

The majority of the evidence supports the need for moderated supplementation of Vitamin D, at least 600 IU from ages 1 to 70 with an increase to 800 IU beyond age 70. Many experts, including those from Harvard School of Medicine, recommend 10,000 IU of Vitamin D for healthy individuals and report patients taking 50,000 IU daily with no negative side effects. The recent revisions to the RDA indicate Calcium intake for ages 4 and up should be between 1000-1300mg daily. However, only 500mg

of calcium can be absorbed at one time, therefore, 1,000mg is best taken in 2 doses. The form of Calcium can also affect absorption rates. Calcium carbonate is least expensive, but requires food to be best absorbed, whereas calcium citrate can be taken on an empty stomach.

Are there risks?

For the majority of healthy adults, there is no harm in supplementation. There are no published reports of serious illness or death from vitamin D or calcium supplementation overdose in otherwise healthy adults without preexisting medical conditions. However, medications and/or independent health conditions can affect your body’s ability to process anything you put into it, be it a food, supplement, or pharmaceutical.

Most pharmaceutical and supplement interactions can be checked at www.drugs.com. Many pharmacies will also conduct an interaction check for you, just be sure to provide all over the counter medications and supplements.

It is important to remember that we are each unique individuals and recommended daily allowances are just that, recommendations based on the average person. Your family doctor can run a simple blood test (Diasorin being the gold standard) to determine your specific levels of Vitamin D and Calcium. The beneficial guideline recommendations (RDA) do not take into consideration your unique state of health, diet, geographical location, family health history and many more factors which truly determine your specific requirements. Without a doubt, it is always far more cost effective to prevent a disease than to treat it.

For more information, you may contact Eastland Chiropractic and Wellness Center at 309-662-8418, www.eastlandchiro.com. They are located at 2406 E. Washington St. in Bloomington.

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March 2011 — Bloomington ­— Healthy Cells Magazine — Page 7

physical

Colorectal Cancer

By Pankaj Kumar, MD, Illinois CancerCare

T

he Colon is a large muscular tube, approximately 5 feet long that removes water and nutrients from partially digested food and turns the rest into stools. Cancers that start in the colon or rectum are called colorectal carcinoma [CRC]. In the US alone in 2010, there were 102,900 new cases of colon cancer and approximately 39,670 cases of rectal cancer resulting in 51,370 deaths.

No one knows the exact causes of colorectal cancer, however it occurs more frequently in people over age 50 and those with a family history of the disease. Other risk factors include: • Colorectal polyps which are growths in the colon or rectum, most of which are non-cancerous but some can change into cancer.

• P ersonal history of cancer: A person who has already had colorectal cancer or women with a history of ovarian, uterus or breast cancer.

• S moking and history of ulcerative colitis and crohns disease.

• Diet high in fats, especially animal fat, and low in fiber.

• G enetic changes: There have been genetic changes noted in some genes that have been associated with a higher risk of this cancer. Hereditary nonpolyposis colon cancer (HNPCC) is the most common type of genetic colorectal cancer. The average age at diagnosis in a person with this abnormality is 44. People with Familial adenomatous polyposis (FAP) develop hundreds of polyps in the colon and rectum, usually causing colorectal cancer by age 40.

One of the most common symptoms of colorectal cancer is a change in bowel habits. These changes can include: • Having unexplained diarrhea or constipation • Feeling that your bowel does not empty completely • Finding blood (bright red or very dark) in stools • Finding your stools are narrower than usual • Losing weight with no known reason Unfortunately, in some patients there are no symptoms of this disease and they present very late to their doctors because of a lack of symptoms. This is why it is very important to have a screening colonoscopy in which a doctor examines the inside of the colon and rectum using a tube with a camera attached at the end. The diagnosis of colorectal cancer, as in other cancers, is established by a biopsy, usually during a colonoscopy.

Once this diagnosis is confirmed, doctors need to do several tests to find out how far this cancer has spread. Each patient is assigned a stage using the TNM staging system. A patient’s stage helps us to define their chances of disease recurrence.

• S tage 0: The cancer is found only in the innermost lining of the colon or rectum, this stage is also called carcinoma in situ.

• S tage I: The tumor has grown into the inner wall of the colon or rectum.

• Stage II: The tumor extends more deeply into or through the wall of the colon or rectum • Stage III: The cancer has spread to lymph nodes.

• S tage IV: The cancer has spread to other parts of the body, such as the liver or lungs.

Page 8 — Healthy Cells Magazine — Bloomington ­— March 2011

Colon and rectal cancers are treated differently, depending primarily on the stage of disease. The treatment usually involves surgery, chemotherapy and in the case of early stage rectal cancer, radiation therapy.

Why do patients with colorectal cancer have recurrence despite a complete cancer removal?

It is most likely because they have disease that has already spread beyond the colon at time of initial presentation. It is probably present in a microscopic form that cannot be detected by scans or other tests. The idea behind chemotherapy after surgery is to eradicate these microscopic cells. This form of treatment is called adjuvant chemotherapy. Adjuvant chemotherapy for colon cancer has been around for about 40 years now. Research in 1990’s showed that a medication called 5-FU with another drug Leucovorin when given to these patients improved the survival of patients with stage III colon cancer. In the past few years new data has emerged thanks to new studies that have been conducted.

MOSAIC trial — This was a key international trial that added a new agent called Oxaliplatin to 5-FU and leucovorin (this regimen is called FOLFOX). Nearly 2200 patients participated in this trial; approximately 40% stage II and 60% stage III patients. This treatment increased the survival of colorectal cancer patients significantly as compared to the older treatment. 66% of Stage III patients on this study at 5 yrs were free of cancer as compared to 59% on the older treatment.

X-ACT study — Nearly 2000 patients participated in this trial which compared an oral chemotherapy agent called Capecitabine with the older combination of 5-FU and leucovorin. The trial showed that this oral pill was as effective as the IV treatment and it might even be superior to the IV form and it had lesser side effects.

Ongoing studies — In the US and internationally, several ongoing studies are currently trying to improve upon the current results obtained in patients in whom colon cancer has been surgically removed, and in patients in whom cancer has recurred. These studies are looking at combining the chemotherapy with newer biological agents and some studies are elaborating upon the pre-clinical discoveries that have been made in the recent past such as the k-ras gene.

For further information about colorectal cancer treatment research trials or the over 100 clinical cancer research studies being conducted by Illinois CancerCare, please contact us at 309-6622100 or visit www.illinoiscancercare.com. Illinois CancerCare is participating in many of these research studies and is honored to be a part of this discovery process thanks to our patients and their families who agree to participate alongside us. This is an exciting time in cancer research and hopefully this process will continue to improve upon the survival of our patients and ultimately find cures.

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March 2011 — Bloomington ­— Healthy Cells Magazine — Page 9

emotional

Minding Your Manners: Tips on Disability Etiquette

By Janet Peters, Peters Orthopedics

A

lthough society has more tools to help enhance mobility and improve the lives of people with physical limitations, we don’t always have the skills to know how to politely act around them. Friends and strangers alike, may ask insensitive questions, make inappropriate comments, act patronizingly and overly solicitous, or attempt to totally deny the limitations, all because there are few printed guidelines suggesting how to interact around someone with a disability, and we don’t know what to say or do. We asked several of our physically challenged patients to share their suggestions for proper disability etiquette.

“Treat a physically-challenged person just like any other individual,” advises Dorothy, a relentlessly optimistic woman who came to our office after disease took her right arm below the elbow, the thumb and fingers from the other hand, a portion of her left foot, and her right leg. She says she is on the “same journey of life as anyone else, just some of the paths are different.”

“If you want to offer assistance, simply ask, ‘May I help you?”

Then be sure to follow their instructions on how to help. They know what works for them!” Aging, disease, injury, and congenital anomalies, may each create impairments that challenge an individual’s function and mobility. The public frequently offers physically challenged individuals unsolicited and inappropriate ‘random acts of kindness.’ In spite of a big heart guiding us, we don’t always have the correct understanding of how to be non-offensive and to safely interact with individuals who appear to be dealing with a difficult task. A hazardous situation may actually be created by someone providing ‘unsolicited assistance.’

“Respect physical boundaries and don’t invade personal space without permission.” Individuals with prostheses, braces, walkers, crutches, and wheelchairs, commonly experience a concern for maintaining their balance. They may experience anxiety and insecurity in crowds or on a stairway, where an unexpected bump or a well-meaning, but unannounced assistance, becomes invasive and creates a fall.

Page 10 — Healthy Cells Magazine — Bloomington ­— March 2011

“Keep conversations appropriate to the level of your relationship.” Both children and adults are often curious, and can make indiscreet observations, or ask thoughtless questions. Although not everyone would answer this way, the individuals participating in the creation of this article agreed that when a child asks a sincere question or says, “Would you show me how that works?,” they use this as an opportunity to educate others. Keeping comments focused on the device the individual is using rather than on the disability or limitations of the individual was also suggested. One participant suggested determining if the depth of the relationship offered the freedom to discuss questions of the ‘inquiring mind!’

“Just because someone is in a wheelchair, does not mean he can’t hear, speak, or participate in the conversation!” Patients shared their frustration with what they referred to as the ‘invisible syndrome.’ An individual in a wheel chair is not invisible and has opinions. Address the person directly and meet his gaze, preferably at eye level.

A comfortable and caring environment.

March is Colon Cancer Awareness Month!

“Never call, pet, or feed an assistance dog without first getting permission from the owner.” And realize that the answer may be no; not because the owner is unfriendly, but because the dog is doing a job and any distraction could be life threatening. The visually impaired have long been recipients of the protecting care of a guide dog. Now, it is not uncommon for those with autism, seizures, or other medical issues like low blood sugar or psychiatric disabilities to also benefit from trained service animals.

“React with respect — respect for the parking space, and respect for individual using one.” How many times have you watched someone pull into the parking space marked with a blue wheelchair sign, and wondered, “Why are they being lazy, I don’t see anything wrong with them!” Not all disabilities are visibly identifiable. Someone with a heart problem may benefit from parking in an easily accessible parking spot, the same as someone with restricted mobility.

“Act with patience and understanding!” Not all disabilities are permanent. Kathy, another patient, expected a period of recuperation following foot surgery, but she hadn’t anticipated the frustration she’d feel with the process. “It takes strength and presents difficulty to maneuver with a walker, wheelchair, and walking boots. Exterior barriers that weren’t there before, like steps, furniture, small hallways, and tight doors make it difficult.” Kathy’s temporary disability created a permanent empathy. She learned that dealing with a disability can create restrictions, loss of independence, and frustration.

Dorothy, Kathy and others agreed that life is a journey and how we make that trip is a learning experience made a little easier when there are maps and guidelines to follow. In summary of their discussion on manners and etiquette related to interaction with physically challenged individuals, the human travel GPS should flash, “Treat a physically challenged person with the same respect and patience you should offer any other individual.”

These etiquette guidelines are suggestions and opinions offered by patients of Peters Orthopedics. Peters Orthopedics is a nationally accredited and state licensed provider of orthotic, prosthetic, pedorthotic and post mastectomy services. It is their goal that lives are enhanced through the services they provide.

For more information visit www.PeterOrthopedics.com or call 309-664-6930.

• Beginning at the age of 50, early detection with screening colonoscopy saves lives!

• Symptoms may not always be present: • Unexplained weight loss • Change in bowel habits • Blood in the stool • Abdominal pain • Screening colonoscopy is the most effective screening test as endorsed by the American College of Gastroenterology.

Contact your physician about Screening Colonoscopy or for symptoms which can be associated with colorectal cancer.

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Page 12 — Healthy Cells Magazine — Bloomington ­— March 2011

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child safety

Stranger Danger

By Dr. Kelly Knutson, Child & Family Wellness Institute

P

arents often times approach the subject of child safety after an abduction or attempted abduction has occurred and is heightened with media response. Recently, a number of instances have occurred in the Bloomington-Normal area and parents have become increasingly worried about their children’s safety. Common parental reactions are fear, anxiety, and sometimes panic. Have those invaluable, potentially lifesaving conversations before the next scare appears in the news.

Typical Responses: Fear and anxiousness are typical responses in situations with ambiguity and uncertainty that may cause feelings of insecurity and vulnerability. Communication based out of fear and/or anxiety is not based on rational, reasonable, or logical decision making and these types of responses only make matters worse. Children may respond in a defensive manner, feel afraid, or shut down in order to cope with a situation that feels out of control. The best response is one that is planned, calm and safe - not reactive. Make sure you approach your children in difficult situations so that they feel comfortable discussing and talking about tough issues without feeling hopeless or helpless.

Children will typically make jokes as a healthy way to process and deal with scary situations, even though this may seem as though they are “not taking the subject seriously” or “ignoring the issue.” Younger children may even pretend to be superheroes and create imaginary or narrative responses to grasp how to handle a given scenario. It is important to clearly provide real and realistic suggestions, possibilities, and potential responses in the event of a dangerous solicitation.

Common Misconceptions: Preconceived notions include images of a “bad guy.” Well, what is a bad guy? What does he or she look like? Do people who do bad things look bad? Commonly, children will associate a “bad guy” with a villain or villainous character they have seen in a movie or on a television program. Parents will commonly associate a “bad guy” with a mug shot they have seen or a picture of a warning poster, depictPage 14 — Healthy Cells Magazine — Bloomington ­— March 2011

ing a convicted felon. The truth is, a child predator or potential abductor looks just like everyone else; someone in your neighborhood, at the grocery store, or walking in the park. If you are looking for a “bad guy” or an image of what a “bad guy” looks like in pictures, movies, or television characters, chances are you have just missed a perpetrator. They are often charming, charismatic, personable, and have knowledge about children, their interests, and surroundings. They often use prompts or material items commonly coveted by children in the age group or gender of their interest. That does not mean you have to walk around being suspicious of every stranger who is kind to your children. Simply that you erase the image you have in your mind of what a “bad guy” may or may not look like. Statistically speaking, this “bad guy” is someone you or your child may already know.

Asking for help: Sometimes parents need assistance with this difficult and challenging subject. Don’t hesitate to ask for help. Request awareness information for your school district which may include speakers and law enforcement to provide educational discussions.

Consult with a professional for assistance. Trained mental health providers are able to assist children and their families with fear, anxiety, or tenuous circumstances that require additional treatment or care. The goal is to promote health and wellness within families, as well as the community. Remember to talk to your children. Discuss with them that just because an individual may be familiar with things they like or know personal information about your family, does not mean they know YOU. Gentle open communication is your best defense against any possible “bad guys” that may wish to harm your child.

For more information about seeking a professional child/family therapist, you may contact the Child and Family Wellness Institute at 309-310-4636. Please see our ad on page 35 or visit us online at www.childandfamilywellnessinstitute.com.

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March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 15

dental health

Toothbrushes: ELECTRIC or MANUAL?

By Kelly Harris, RDH, The Foehr Group for Comprehensive Dentistry

D

oes an electric toothbrush really work better than a manual toothbrush? The answer is YES!! Research and clinical studies have proven the many advantages of an electric toothbrush compared to a manual one.

First of all, they are clinically proven to remove up to 100% more plaque than a manual toothbrush. They are also highly effective at removing stains and helping with sensitive teeth and gums.

The gentle cleaning motion improves overall gum health, helping to prevent recession and reduce bleeding. An electric toothbrush is also a helpful tool for people with restricted use of their hands or arms.

The options are pretty much endless when choosing an electric toothbrush, ranging from price, brand, brush headshape and size, battery type, size of handle, timer, extra settings and the way the brush actually works. It may be difficult to decide which brush is the right choice for your mouth. Features you should look for in an electric toothbrush are a rechargeable battery, which will provide enough power for at least one week of brushing on a full charge, a timer, and the proper brush head size.

We recommend the Sonicare Flexcare +, which would be comparable to the Oral-B Smartseries 5000. The Sonicare ensures longer brushing time with the two-minute timer that is automatically activated when the power is turned on. The patented sonic technology of the Sonicare provides powerful yet gentle dynamic cleaning action, reaching deep between the teeth, along the gumline, and reduces plaque in hard to reach areas. Some people claim that it is slightly difficult to get accustomed to the feel and vibration of the electric toothbrush after using a manual toothbrush for so long. The Sonicare has a feature to ease this transition; the power gently increases over the first fourteen uses. A children’s version of the Sonicare is also available, with age-appropriate brush heads and a timer to ensure proper brushing time. It is important to start kids with an electric toothbrush to help them develop effective brushing habits that will lead to a lifetime of good oral health.

Page 16 — Healthy Cells Magazine — Bloomington ­— March 2011

Everyone can benefit from using an electric toothbrush, regardless of your age or condition of your mouth. Once you use an electric toothbrush, you won’t believe the difference in how your mouth feels and you will wonder why you did not start using one a long time ago!

For more information, you may contact The Foehr Group Center for Comprehensive Dentistry, at 309-663-0433. They are located at 107 S. Prospect in Bloomington.

If you have ever used the word

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*If you are age 50 or older, colon cancer can often be prevented by appropriate screening colonoscopy.

March is...

Colorectal Cancer Awareness Month

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March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 17

women’s health

Hysterectomy Options are Rapidly Increasing Call now to s e t u p a f re e weight loss co n s u l t at i o n / eva l u at i o n Since my sessions with Rick and using self-hypnosis on a daily basis, I have lost weight and made lifestyle changes: scheduled time for me, do weekly meal planning, watch food portions, and eat less fast/processed foods. With the help of my personal trainer, I am now flexible, physically stronger, and have more energy. My knee replacements are now responding to me and not the other way around. And, I am able to control my diabetes with minimum oral medication.

- P.M. - Bloomington Diet is a four-letter word! Are you ready to make a lifestyle change to achieve longterm weight loss? Are you ready to make 2011 the best year of your life? It could be weight loss like the client above, or any number of other things. I am here to help you achieve the you, that you want to be!

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Functional Medicine and Hormonal Evaluation Page 18 — Healthy Cells Magazine — Bloomington ­— March 2011

By Dr. Joe Santiago MD, Obstetrics and Gynecology Care Associates

H

ysterectomies do not have to be like your mother may have experienced. The days of lying in bed for weeks on end have come to a halt. Women having a hysterectomy done with the da Vinci Surgical System are experiencing less blood loss, a lower chance of infection, shorter hospital stay and most importantly—faster recovery. This is enabling busy women to get back to their families and everyday activities much sooner.

A hysterectomy is the surgical procedure that removes the uterus and may also include the ovaries and fallopian tubes. It is performed to treat a variety of benign conditions like dysfunctional uterine bleeding and uterine fibroids and also cancerous or potentially cancerous gynecologic conditions.

In the past there were two types of hysterectomies, the vaginal hysterectomy and the abdominal hysterectomy. Both of these had a long recovery time taking the woman away from her daily activities. Although some women may still require one of these procedures to be done, most are able to have the da Vinci Hysterectomy. The da Vinci allows the surgeon to see the surgical site in 3-D and gives them better precision, flexibility and control.

Before a hysterectomy is performed there are other options or treatments that can be done to alleviate the problems that the woman is experiencing. This may include medication or an ablation. An ablation is performed in the comfort of the gynecologist’s office and may be all that is needed. Not all women may need a hysterectomy to control or eliminate bleeding, pain and discomfort associated with menstruation.

Open and honest communication with your gynecologist is key to achieving the right treatment and success. You do not have to suffer any longer and fear your physician recommending the dreaded “H” word. Know you have several options, including one that just got a lot easier… Take control!

For more information or an appointment you may contact Dr. Joe Santiago, one of the leading da Vinci Surgical System surgeons in Bloomington-Normal, at Ob-Gyn Care, 309-662-2273 or www.obgyncare.com. The da Vinci Surgical System is now available at Advocate Bromenn Medical Center.

mental illness in children

Childhood Anger Part 2 of a 2 part series

By Kimberley Higgins, LCSW, Horizons Counseling

I

n last month’s article we discussed the environmental and biological reasons for childhood anger. There are psychological reasons as well.

Mental illness in children is often overlooked and undiagnosed. Psychological factors such as Attention Deficit Hyperactivity Disorder (ADHD), Bi Polar Disorder, Reactive Attachment Disorder (RAD), Post Traumatic Stress Disorder (PTSD), Autism, Tourette’s, and Major Depressive Disorder all have anger as a common symptom. Children who are depressed often look angry and irritable, not sad and weepy. ADHD has at its roots impulse control problems which lead to more angry outbursts. Bipolar disorder has mood swings that are uncontrollable and often in children, swing from one thing to the other in the same day.

RAD is based upon rage at themselves and their early abusive and neglectful caregivers which is transferred to anyone who treats them lovingly to protect themselves from future hurts. Children with PTSD who are re-experiencing their trauma will often become violent or angry due to them responding to the thoughts or feelings about the previous trauma.

Children with Autism or Tourette’s often have oversensitive systems and a lack of mood or frustration control. This combination leads to them feeling uncomfortable or irritated more frequently than the average child with less than an average’s child’s ability to control the feelings that come. There are many other conditions as well that can lead to poor anger control which is why a thorough assessment by a highly qualified professional is crucial.

Treatment for children with anger problems can be very successful. Counseling addresses the core issues behind anger which then leads to fundamental changes in the way a child feels about themselves and their world. Children can learn in counseling how to self soothe, to use coping mechanisms like thought stopping, or positive self talk, to address their own anger. They can learn to express all of their feelings in safe and healthy ways such as through art, music, movement, therapeutic games and crafts in counseling sessions. Parents can gain the support they need from their child’s counselor to learn how to best respond to the reasons their child is

angry. Parents and children can participate in family therapy sessions to learn together and support each other. Children who have underlying medical or psychological conditions can be prescribed medications to address the root cause of anger. Those with sensory issues or autism can go to occupational therapy to teach their bodies to tolerate more irritants before exploding.

Anger doesn’t have to rule your child or your family’s life. A parent’s first step would be to call a counseling professional for an assessment of their child’s anger issues. Children and adults are very different so choosing a counseling professional whose expertise is working with children is important. Treatment does work. We see the changes in families in our offices every day.

For more information, please contact Kimberley Higgins, LCSW, at Horizons Counseling 309-557-1124.

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 19

feature story

Croft Physical Therapy: Treatment for Pelvic Pain and Dysfunction

By Becky Wiese

Common Symptoms Treated: Urinary Frequency Bladder Pain/Interstitial Cystitis Pelvic & Rectal Pain Intercourse Pain Abdominal & Low Back Pain Incontinence Chronic Constipation

L

ife changing. A powerful term when used honestly, and for Leann Croft PT MS of Croft Physical Therapy, Ltd., one that compelled her to pursue a unique and very specific area of physical therapy: the pelvic floor. “I was doing an internship in which the physical therapist treated pelvic floor dysfunction and had each patient tell me their story...so many of them used the words ‘life-changing,’ I knew it would be a very special way to help people.”

The internship with Rhonda Kotarinos in Oak Brook turned out to be life changing for Croft. Born and raised in Bloomington, she attended Heartland Community College and Illinois State University, graduating with a degree in exercise science. From there she went on to obtain her master’s degree in Physical Therapy from the University of Miami (Coral Gables).

Page 20 — Healthy Cells Magazine — Bloomington ­— March 2011

“I observed Rhonda for two days and knew pelvic floor would be my specialty,” says Croft. “Some of Rhonda’s clients had literally been suicidal because of their pain. One patient’s husband told me, ‘Please go into this...we need more of you.’ The results [of Kotarinos’s therapy treatments] had been life changing for them.”

Croft continued taking continuing education courses in pelvic floor rehabilitation while at Miami. After receiving additional training and graduating, she practiced in Chicago for a year where she often treated people from the Bloomington-Normal area who had been referred to a specialist (usually a urogynecologist or urologist) by their physician because of pelvic pain. These specialists diagnose and treat problems with the organs and organ systems that are supported by the pelvic floor.

In turn, depending on what they may or may not have found after examination and testing, the specialists in Chicago regularly referred these patients to Croft for pelvic floor rehabilitation therapy. Treating people from her hometown was occurring frequently enough that Croft decided to move back home and open a practice of her own.

Six years ago, she opened the doors to Miami Physical Therapy (named in honor of her PT alma mater). While her referrals still come predominantly from doctors in the Chicago area (Loyola University Medical Center, Rush, Rehabilitation Institute of Chicago), Peoria, and the University of Iowa, her goal is to educate both the public and local physicians about the availability of treating pelvic floor dysfunction issues locally.

“Pelvic floor physical therapy focuses on the muscles of the pelvic floor,” she says. “Tight muscles don’t move any better than weak muscles...and if you can’t move your muscle, you can’t fix the problem.” Her specialty is treating, both internally and externally by manual manipulation, the muscle and soft tissue that supports the muscle of the pelvic floor, which in turn, can alleviate pain and other symptoms.

“Pelvic floor dysfunction mimics and exacerbates a lot of other issues,” Croft explains. “For example, a woman with severe endometriosis may have very painful menstrual cycles, painful intercourse, and basically pelvic pain all the time. With pelvic floor physical therapy, her symptoms will often get better, so her pain level, while not completely eliminated, improves dramatically. Although she still has endometriosis, some of the What Is a Pelvic Floor, Anyway? pain was exacerbated by pelvic floor dysfunction.”

A quick review of the human body’s amazing combination of intercon- Treatment with physical therapy can make a huge difference, espenecting systems might help. The skeletal system (aka: bones) gives our cially if done early in the pain management strategy (e.g., prior to medibodies structure. The biggest of these bones, actually a combination of cine and surgery options). Croft shares the story of a woman she met at six bones, is the pelvis. Everybody has a pelvis. The muscular system, a conference whose endometriosis and pelvic pain had been so severe, made up of different kinds of muscle, helps our bodies move, both volun- she underwent a complete hysterectomy. “The tragedy of her situation tarily and involuntarily. Bones and muscles are connected by ligaments was, not only was a permanent strategy (surgery) taken without trying and tendons. The pelvic floor is a network of muscles, ligaments, and physical therapy, thus eliminating any chance of bearing her own chiltissues that act like a hammock to support various organs found in and dren, but the poor woman still suffered from pelvic pain.” supported and protected by the pelvis.

So, What is Pelvic Floor Dysfunction?

Contrary to popular belief, anyone (male or female) can experience pelvic floor dysfunction. Everyone has a pelvis, and everyone has a pelvic floor that supports their internal organs. Therefore, if you have a pelvic floor, you can have pelvic floor dysfunction.

Surprised? Most people assume pelvic floor dysfunction only affects women and/ or that it usually means incontinence or involves a prolapsed bladder or rectum.

Neither is true, nor is it true that invasive surgery or long-term medication are the only ways to treat pain caused or exacerbated by pelvic floor dysfunction.

People with a history of painful urination, chronic constipation, leakage of urine or stool, painful intercourse, or those who have been diagnosed with endometriosis, prostatitis, irritable bowel syndrome, fibromyalgia, painful bladder syndrome (interstitial cystitis), or other types of abdominal pain may find relief through pelvic floor physical therapy.

How Does Pelvic Floor PT Help?

The pelvic floor is made up of muscles that need to be able to contract and relax in order to function properly. When the pelvic floor becomes short and weak, or so “tight” that it does not relax, various bodily functions such as emptying the bladder or stool or sexual intercourse become difficult or painful. In addition, pelvic pain can be caused by other physiological issues such as endometriosis, irritable bowel syndrome, prostatitis, and other maladies that affect the human body from just below the chest to just above the knees.

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 21

feature story

continued

Croft passionately believes that too many people live with unnecessary pelvic pain. Women, especially if they’ve given birth, feel that pain is normal because of their age and the wear and tear on their bodies from pregnancy and childbirth.

“It’s not normal,” Croft emphasizes, “and there is help for it. And it’s help without surgery or medication.”

While surgery or medication might be the eventual answer or part of the answer, her goal is to have people try physical therapy early in the process. “Many times people who have been on various medications for pain and/or those for whom surgery is the apparent next step come to see me for pelvic floor physical therapy as a last ditch effort.” Her objective is to help them get off the drugs (or decrease them substantially) and prevent surgery if at all possible.

If patients and physicians would try physical therapy before some of these other treatment methods, she believes they will be pleasantly surprised at the positive results. “Physical therapy can’t hurt—it can only help. Even if surgery is the eventual answer, the muscles and tissues will be in better shape for surgery and recovery.”

Where is Croft Physical Therapy Located?

The practice has recently relocated to 107 N. Regency Drive, Suite 2, in Bloomington. Croft has a therapy room in the office of Dr. Jay-James Miller, a urogynecologist. Although Croft’s workplace is inside Dr. Miller’s office complex, they are separate practices. Clients coming for physical therapy make appointments with Croft as well as pay her directly for therapy services. Clients can self-refer, and Croft can do an evaluation without a prescription, but insurance policies typically require a referral from an MD or DO in order to cover treatment.

Leann Croft offers highly specialized pelvic floor physical therapy treatment to women and men who experience pelvic pain. She encourages patients to ask intelligent questions of their physicians regarding their treatment strategy, including the possibility of utilizing physical therapy as an early strategy instead of a last resort. Decreasing or eliminating the pain is ultimately the goal, regardless of how it’s achieved.

For more information, go online to www.pelvicfloorpt.com or call 309-452-0704 Page 22 — Healthy Cells Magazine — Bloomington ­— March 2011

new technology

Senior Friendly

Computer System

By Sharon Tucker

W

ith constant upgrades, viruses, and hardware malfunctions, learning a new technology can be an extremely daunting and frustrating task for a senior. Fortunately, a company called It’s Never 2 Late (IN2L) has developed an adaptive computer system specifically designed for seniors.

IN2L is a new multimedia computer system designed to provide engaging educational, cultural, and historical opportunities for seniors. The IN2L system is an adjustable and moveable workstation that features a touch-screen computer, a large keyboard, and mouse. IN2L contains databases of video clips, music, photographs, games, news clips, brain teasers, puzzles, e-mail, and Internet that allow seniors to learn and stay connected in an evolving and technical world.

Luther Oaks, a senior living community in Bloomington, has focused recent efforts on utilizing the IN2L system specifically for residents with Alzheimer’s or other forms of dementia. “IN2L is an extremely useful and wonderful resource that provides engaging activities for our residents,” says DavyLynne Wills, Resident Life Director at Luther Oaks. “Memories are sparked with a familiar video clip, picture, or favorite activity. It’s amazing to us that residents are remembering that the IN2L is a source of connection to their families and throughout the day they will ask to check their email for a recent message or picture that was sent to them.”

Residents at Luther Oaks are not only able to easily access video clips, songs, and games, they are able to utilize a program called My Life Story which is an application that is specifically customized for each resident. With this program, each resident has a picture on the computer screen. When a resident touches their picture, their own personal page comes up on the screen which displays their family photos, favorite music, and preferred websites. Residents are also able to access their own email account where family members can stay in touch.

Becky Heerdt, Luther Oaks Intern and Illinois State University Graduate Student in Social Work, has been one of the key people to implement the My Life Story program at Luther Oaks. Becky

Williams & Swee Ltd. 2011 Fox Creek Road Bloomington, IL 61701 (309) 827-4371

meets with residents and family members to collect family photos and information about the resident’s interests and then creates each resident’s “Life Story”.

“This technology has proven to be crucial in the enhancement of the psychosocial and emotional needs of residents and also in the relationship between caregiver and resident,” says Becky.

Staff at Luther Oaks are able to access a resident’s life story to learn more about residents on a personal level. Staff can also view an Individualized Care Profile for each resident that outlines in great detail how residents need assistance completing activities of daily living and their individual preferences.

“My Life Story and Individualized Care Profiles are an excellent way to build a rapport with residents as soon as they become a part of Luther Oaks. These programs allow staff to build stronger relationships with residents more quickly and to provide even more customized care than before,” Becky adds IN2L not only offers programs that promote mental stimulation, it also contains innovative therapy software and equipment. Luther Oaks recently acquired a second IN2L workstation that features this therapy equipment. One of the exercises allows a resident to pedal a bicycle that is attached to the IN2L system that displays video of a bicycle path from a bicycler’s point of view that is synched with the bicycle that the resident is pedaling. The video will progress down the path at the speed in which the resident is pedaling. This visually demonstrates the progression of how far a resident has actually pedaled; therefore, providing a more stimulating and fun therapy.

“We’re excited to now have two IN2L systems and thrilled to present more opportunities for residents to get connected with friends and family and gain access to the unlimited possibilities for leisure and recreation through technology,” says DavyLynne.

To learn more about the It’s Never 2 Late system, visit www.IN2L.com.

For more information about Luther Oaks call 309-664-5940 or go to www.LutherOaks.org.

Robert E. Williams Jean A. Swee Steven R. Williams Dirk A. May

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Serving the Bloomington-Normal area since 1964 www.WilliamsSwee.com March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 23

vascular treatments

Misconceptions and Facts About Varicose and Spider Veins

By Kathryn S. Bohn, M.D., Illinois Vein Specialists

V

aricose and spider veins are conditions that affect millions of people. In the past there were two available treatments for veins. For varicose veins, a procedure was used called ligation and stripping which involved multiple incisions and a long recovery time. For spider veins, injection with saline was used which was painful and caused significant complications of discoloration and ulceration. Over the last eight years, both of these treatments have been replaced by state-of-the-art procedures that give excellent results with little or no downtime.

Varicose veins can now be treated with a laser treatment called EVLA (endovenous laser ablation) which closes the incompetent veins. Varicose veins are caused by breakage of valves in the veins. This leads to blood pooling in the lower leg veins, ultimately forming varicose veins. Spider veins can be due to valvular insufficiency and can be treated with sclerosing solutions with minimal side effects.

Despite the fact that these current treatment methods have been available for eight years, there is still much confusion about the causes and treatment of varicose and spider veins.

FACT—Varicose Veins are a hereditary problem. The single most common cause of varicose veins is hereditary. Varicose veins run in family lines and a grandmother, mother and daughter may all have varicose veins.

FACT—Varicose Veins are due to pregnancies. Pregnancies often lead to varicose veins because the pressure of the baby on the pelvic veins causes dilation of the veins which leads to stretched valves. The valves lose the ability to close properly and this results in varicose veins. The essential element in the cause of varicose veins is valvular insufficiency. Blood normally flows from the feet up the legs through a series of valves which open and close as the muscles contract. When these valves become weakened and over stretched, not all of the blood goes through them.

This leads to the formation of varicosities and spider veins.

MYTH—Only women have varicose veins. Although the majority of patients with vein issues are women, approximately 25% to 30% of our patients are men.

MYTH—Surgery is necessary to treat varicose veins. Prior to 2002, surgery was the only treatment for varicose veins. Now, surgery has been replaced by EVLA (endovenous laser ablation).

Treatment is performed in an outpatient setting in the doctor’s office and the patient can drive themselves home and return to normal activities the following day.

MYTH—Varicose and spider vein treatment is strictly cosmetic. Varicose veins and many spider veins are due to valvular insufficiency as demonstrated by ultrasound duplex scanning.

Symptoms may consist of pain, swelling, aching, cramping, itching, burning, and restless legs. These symptoms are not cosmetic and are actually due to a valvular defect, covered by insurance.

Varicose vein treatment is usually covered by most insurance companies, especially when the varicose veins are caused by broken valves. If the patient has pain that has not been alleviated by support stockings, most insurance companies will cover the procedure. However, spider vein treatment is often considered cosmetic and is not covered by many insurance companies. Some will allow spider vein treatment but the criteria are very strict. As with any medical procedure, one should always confer with their doctor and insurance company before undergoing treatment of either varicose or spider veins.

MYTH—Varicose veins will always recur. If varicose veins recur, it is usually due to new malfunctioning valves. More spider veins can grow during the course of a patient’s lifetime and these can be treated with sclerotherapy.

For more information, you may contact Illinois Vein Specialists at 309-862-4000. They are located at 328 Susan Dr., Suite 300 in Normal. You may also get more information from their website www.IVSveins.com.

MYTH—Support stockings will make varicose veins go away.

Support stockings are only a temporary measure. They will symptomatically help to compress varicose veins and spider veins and try to do the work of valves that have failed. If the underlying problem is valvular insufficiency, once the support stockings are removed, the primary cause of varicose veins continues.

Page 24 — Healthy Cells Magazine — Bloomington ­— March 2011

WOMEN Goodbye incontinence. Hello life.

Miller Urogynecology S.C. Female Pelvic Medicine & Reconstructive Surgery

For more information call 309-665-0900 or visit www.millerurogyn.com

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 25

insurance coverage

Understanding YOUR Health Insurance Benefits

By Melissa J. Lockwood, DPM, Heartland Foot and Ankle Associates, P.C.

I

generally write about topics relating to ‘healthy feet’. This month I would like to review some insurance basics as many insurance plans change from year to year and nearly all health insurance deductibles re-set annually on January 1st. NOW is the time to get informed about your health care coverage.

Purpose of Health Insurance Deductibles Health insurance deductibles are a way to help offset the cost of health care. Health insurance deductibles require the insured person to pay a certain monetary amount toward his health coverage before the insurance company begins paying. For example, if an insured person has a $1,000 deductible, then he is responsible for paying his medical offices for the first $1,000 of health costs incurred. After he pays the first $1,000, then the insurance company will begin paying toward health care costs.

Family Deductibles Family plans generally have deductibles for each member and a total amount for the ‘family’ to meet. For an individual person, meeting either the individual deductible OR the family deductible will qualify for the insurance company to begin payments. For example, if a family plan has 3 individual deductibles (mom, dad, child) of $1000, and a family deductible of $2500, if mom and dad both meet their deductibles, then the child will need to meet $500 of his individual deductible to meet the ‘family’ deductible. That will supersede his individual deductible at that point.

ances on all or some procedures performed and/or durable medical equipment dispensed. For example, if a patient has met his $500 deductible and has a 20% co-insurance, he will be responsible for 20% of whatever his insurance company allows for the billed code.

Let’s say the patient’s billed code was for removing a wart and his insurance company allows $100 for this procedure. The patient would be responsible for $20 at the end of the appointment. If the patient has not yet reached his $500 deductible, which is likely early in the year, then he would pay the entire $100.

Allowed Amount The allowed amount is the monetary amount that each insurance company allows each doctor’s office for different codes (office visits, x-rays, surgeries, or durable medical equipment). Each doctor’s office has a set fee schedule for each code. Each insurance carrier may allow a different amount for each code for that office. For example, let’s say that an office charges $150 for removing a wart. XYZ Insurance company may allow $100 for that office visit code, while ABC insurance company may only allow $90 for that same code.

Raising Deductibles to Lower Costs Health insurance policies with larger deductibles generally have lower premiums. This is because the insured person is responsible for a larger amount of his health care costs and the insurance company will likely pay less. If you want to lower the amount of money you pay each month for health insurance coverage, consider asking for a higher deductible.

Out of pocket Out of pocket, also known as stop-loss, is the monetary amount that the insured person must reach before the insurance company will pay charges at 100%. Some insurance plans include the deductible in the out of pocket amount and some don’t. For every coinsurance a person pays, that amount applies to the out of pocket.

Once you have met your out of pocket maximum amount, the insurance carrier then pays for any and all future charges during that plan year. You are no longer required to pay the co-insurance amount.

People are often confused early in the year because their employer may have chosen a new plan with different benefits, such as changed co-pay amounts. In addition, people may not realize that they need to meet their deductible and out-of-pocket amounts over again for 2011, even though those amounts were met in 2010.

Many employers offer their employees more than one plan option; for instance HMO, PPO and traditional plans. It is very important to carefully read over your entire plan and make sure you understand all the benefits and terminology. If you have any questions or disputes regarding your benefits it is always best to speak to your benefits administrator or insurance carrier. Insurance companies do not change benefits without direction from your employer and your physician’s office bills you as directed by your insurance company based on your current insurance coverage.

Co-insurance Co-insurance is the percentage of the allowed amount that you are responsible for, after meeting your deductible in full. This may be in addition to your office visit co-pay. Many plans have co-insur-

For more information regarding your specific coverage in podiatric (foot care) services, please contact any one of the customer service experts at Heartland Foot and Ankle Associates at 309-661-9975 or www.heartlandfootandankle.com.

Deductibles and Co-pays Health insurance deductibles are not the same as co-pays.

Generally, co-pays apply to office visits and deductibles apply to anything else (surgery, durable medical equipment, x-rays, etc).

Deductibles for Various Types of Coverage Some health insurance policies have different deductibles for different types of coverage. For example, a person might have to meet a $1,000 deductible for surgeries but only $500 for office visits.

Page 26 — Healthy Cells Magazine — Bloomington ­— March 2011

adult education

Health Service Administration a Growing Career Field

By Natalia Rekhter, Director of the Health Services Administration program at Lincoln College-Normal

I

t seems right now, the whole country is talking about healthcare and it’s not just because of the recent legislation and political posturing going on in Washington D.C. Indeed, recent job growth statistics released by the U.S. Department of Labor confirm the healthcare industry will continue to add jobs – regardless of what happens with the Universal Healthcare Act. What is not in question is the increasing need for qualified health services administrators. The Bureau of Labor Statistics reports that healthcare remains one of the largest industries and in 2008 provided 14.3 million jobs for wage and salary workers. It will also generate 3.2 million new wage and salary jobs between 2008 and 2018, more than any other industry, largely in response to rapid growth in the elderly population.

According to the U.S. Bureau of Labor Statistics, medical and health services managers with a Bachelor’s degree earned an average annual salary of $42,000 and for those with a Master’s degree it goes up to $81,160. Senior healthcare executives with more experience and achievements can earn $200,000 or significantly larger salaries.

In addition to more traditional careers in hospitals and outpatient facilities, healthcare management graduates work in many other areas today including: pharmaceutical companies, health insurers, public health agencies, management consulting, banks and other financial institutions, long-term care facilities, professional societies, even State and Federal agencies.

Colleges and universities have begun to address the increasing need for healthcare administrators by offering new degree programs designed to develop skilled professionals. Locally, Lincoln College-Normal offers a Bachelor’s degree program in Health Services Administration. It is designed to provide students who have a clinical background or an interest in the health care field with the administrative skills necessary to start managerial careers. With a strong foundation in business administration, the curriculum covers an extensive range of health care topics, including health care policy, insurance and reimbursement, human resources management, marketing, law, finance, ambulatory care management, health care quality improvement, etc.

The first wave of the Baby Boomer Generation recently began qualifying for Social Security benefits. As the U.S. population continues to age, there will be an increased demand for health care and skilled health care administrators across the country, making Health Services Administration an exciting option for people considering a new career.

For more information on the Health Services Administration Program at Lincoln College-Normal, you may contact Natalia Rekhter, Assistant Professor and Director, at 309-268-4319 or nrekhter@lincolncollege.edu.

Obstructive Sleep Apnea OSA is a serious, potentially life-altering, health issue. People with this disorder stop breathing during sleep for 10-45 seconds at a time, occurring up to 400 times every night. This usually wakes the person, or their partner, resulting in neither getting enough rest.

The person having the breathing interruptions will usually not remember waking throughout the night, but may notice sleepiness during the day—or the feeling of not being able to get enough sleep.

• An estimated 5 to 10 percent of adults in the US have OSA • Of these, 85 to 90% have not been identified • Sleep apnea can affect persons of any age • It is more common among those 40 years of age or older Please contact your physician if you believe you have symptoms of sleep apnea.

If you have been diagnosed with

Shingles

(post-herpetic neuralgia or PHN)

You know how painful it can be.

The Millennium Pain Center is currently participating in a multi-center study to evaluate an experimental topical capsaicin liquid treatment for Shingles.

If your rash healed at least 6 months ago, yet pain still persists, you may qualify for this clinical study.

Millennium Pain Center is actively seeking study volunteers between 18 and 90 years of age.

Qualified participants will receive study medication, related medical procedures, and five scheduled visits to the study doctor’s office, at no cost.

For more information:

309-662-4321

Financial compensation will be provided for time and travel.

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 27

healthy finance

How Can I Keep My Money from Slipping Away?

Submitted by Brock Westbrook, Investment Manager, First Farmers State Bank Investment Services

A

s with virtually all financial matters, the easiest way to be successful with a cash management program is to develop a systematic and disciplined approach.

By spending a few minutes each week to maintain your cash management program, you not only have the opportunity to enhance your current financial position, but you can save yourself some money in tax preparation, time, and fees.

Any good cash management system revolves around the four As — Accounting, Analysis, Allocation, and Adjustment.

Accounting quite simply involves gathering all your relevant financial information together and keeping it close at hand for future reference. Gathering all your financial information — such as mortgage payments, credit card statements, and auto loans — and listing it systematically will give you a clear picture of your overall situation.

Analysis boils down to reviewing the situation once you have accounted for all your income and expenses. You will almost invariably find yourself with either a shortfall or a surplus. One of the key elements in analyzing your financial situation is to look for ways to reduce your expenses. This can help to free up cash that can either be invested for the long term or used to pay off fixed debt.

For example, if you were to reduce restaurant expenses or spending on non-essential personal items by $100 per month, you could use this extra money to prepay the principal on your mortgage. On a $130,000 30-year mortgage, this extra $100 per month could enable you to pay it off 10 years early and save you thousands of dollars in interest payments.

Allocation involves determining your financial commitments and priorities and distributing your income accordingly. One of the most important factors in allocation is to distinguish between your real needs and your wants. For example, you may want a new home entertainment center, but your real need may be to reduce outstanding credit card debt.

Adjustment involves reviewing your income and expenses periodically and making the changes that your situation demands. For example, as a new parent, you might be wise to shift some assets in order to start a college education fund for your child.

Using the four A’s is an excellent way to help you monitor your financial situation to ensure that you are on the right track to meet your long-term goals.

Brock Westbrook is Investment Manager for First Farmers State Bank Investment Services, a division of First Farmers State Bank, located at the corner of Towanda Barnes & GE Road in Bloomington. Brock can be reached by phone at 309-663-6200 or by email at brockw@firstfarmers.com This material was written and prepared by Emerald for use by Midwestern Securities Trading Company, LLC, Broker/Dealer for First Farmers State Investment Services.

Page 28 — Healthy Cells Magazine — Bloomington ­— March 2011

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March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 29

quotient testing

New System Diagnoses ADHD with 90% Accuracy Submitted by Dr. Anjum Bashir

“No one knows for sure.”

Those are five words doctors hate to use when talking to a patient about a medical condition … especially when the patient is a child. Unfortunately, these words are a part of almost any conversation regarding possible diagnosis of Attention Deficit Hyperactivity Disorder (ADHD).

ADHD is a neurobehavioral developmental disorder that impacts approximately 3 to 7 percent of children. And, while ADHD has been an identified medical condition for decades, there has never been an objective test that allows doctors to give parents a certain diagnosis. So, a doctor can tell you if you have heart disease, diabetes or cancer, but a doctor can’t tell you for sure if your child’s behavior issues are due to ADHD or another issue or condition.

Doctors historically have diagnosed ADHD through evaluation of behavior reports provided by parents, teachers and other adults who spend time with the child, coupled with a physical as-

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Mastectomy Lumpectomy Bras & Forms Compression Garments Page 30 — Healthy Cells Magazine — Bloomington ­— March 2011

sessment to rule out any other medical condition. If the behaviors match the description of ADHD and other medical conditions can be ruled out, then an ADHD diagnosis may be made. However, behavior reports are very subjective and vary greatly. For many parents, this is a difficult realization given ADHD treatment typically involves prescription medication which may have other side effects that need to be managed and monitored. Thankfully, new technology appears to be creating greater certainty in ADHD diagnoses.

The FDA has recently approved the Quotient® ADHD System providing doctors and parents with objective measurement of hyperactivity, inattention and impulsivity for clinical assessment of ADHD. Research indicates motion is a key indicator of hyperactivity. The test, which only takes about 15 minutes, involves the child sitting at a specially-designed computer workstation. The System uses a patented Motion Tracking System to measure an individual’s movement while focusing on visual stimuli and accurately measures motion and analyzes shifts in attention state.

The System then compares the results of the patient’s test to other individuals of age and gender matched groups. Results are calculated based on 19 or more parameters that combine to give greater than 90% accuracy in identifying ADHD. Results are available immediately allowing doctor and parents to move forward with treatment plans promptly.

The report provides a variety of data: • M otion Analysis – Provides a graphical representation of area, spatial complexity and number of movements made by the child during testing.

• A ttention State Summary – Shows how the patient’s attention shifts over time. Motion is tracked over the course of the test and categorized as attentive, impulsive, distracted and disengaged.

• Quotient Composite Scores – An Index Score is generated which integrates motion and attention indices. The patient’s results are then compared to data from other individuals of similar age and gender. Scaled Scores are generated on Motion, Attention and Global attributes providing a calculation on a 10-point scale.

For example, individuals who do not have ADHD usually score around a 4 on this scale, where individuals with ADHD score, on average, a 7.

The reports require interpretation by a doctor or clinician. The test can be repeated periodically to determine progress achieved through treatment plans or in patients over time. This testing system is available locally so parents and children in Central Illinois can know with greater certainty whether or not an ADHD diagnosis is accurate.

For more information, please contact Anjum Bashir, MD at 309-531-0050. His office is located at 205 N. Williamsburg, Suite E in Bloomington. He is one of the few physicians in Central Illinois offering Quotient Testing for ADHD diagnosis. More information on Quotient testing, is available online at www.biobdx.com.

cancer treatment

The Expanded Radiation Therapy Service at the Community Cancer Center

By Shermian Woodhouse, M.D., M.P.H., Chief Radiation Oncologist at the Community Cancer Center

R

ecords show that discoveries of x-rays and radiation by scientists Becquerel and Rontgen in the late 1800’s along with Marie Curie’s Nobel Prize winning work with radioactive elements set the stage for the use of radiation to treat cancerous tumors. In fact, the first cancer case cured with radiation dates back to 1898. Since then, there have been many technological advances in the field to create the sophisticated radiation machines utilized to treat cancer today. In February 2011, the Community Cancer added TomoTherapy™ to its list of expanding radiation therapy services that also includes CyberKnife stereotactic radiosurgery and Varian linear accelerator with IMRT and respiratory gaiting. This full compliment of cutting-edge therapies allows the Radiation Oncologists in this community the ability to choose the best treatment for each patient, offering more curative therapies with decreased side effects during and following treatment. The following describes each of the radiation machines available at the Community Cancer Center.

The Linear Accelerator with Intensity Modulated Radiation Therapy (IMRT) and Respiratory Gating has been the most commonly used radiation machine. Intensity-modulated radiation therapy (IMRT) is an advanced mode of high-precision radiotherapy that utilizes computer-controlled linear accelerators to deliver precise radiation doses to a malignant tumor or specific areas within the treatment field. IMRT allows for the radiation dose to conform more precisely to the three-dimensional (3-D) shape of the tumor by modulating—or controlling—the intensity of the radiation beam in multiple small volumes. Respiratory Gating coordinates the treatment with the respiratory cycle of the patient so that treatments occur at the same point of the cycle each time thus directing the radiation to the tumor and sparing surrounding healthy tissue such as lung and heart.

TomoTherapy is a type of image-guided IMRT. A TomoTherapy machine is a hybrid between a CT imaging scanner and an external-beam radiation therapy machine. The part of the Tomotherapy machine that delivers radiation for both imaging and treatment can rotate completely around the patient in the same manner as a normal CT scanner. TomoTherapy machines can capture CT images of the patient’s tumor immediately before treatment sessions, to allow for very precise tumor targeting and sparing of normal tissue.

The Cyberknife Stereotactic Radiosurgery machine can deliver one or more high doses of radiation to a small tumor. Cyberknife uses extremely accurate image-guided tumor targeting and patient positioning. Therefore, a high dose of radiation can be given without excess damage to normal tissue. The Cyberknife can treat tumors in the brain, spine,and other body sites such as lung, liver, pancreas and prostate because it will adjust for patient movement and respiratory motion.

The type of radiation therapy prescribed by a radiation oncologist and machine to be used depends on many factors, including:

• The type of cancer.

• The stage of the cancer.

• The cancer’s location in the body.

• How close the cancer is to normal tissues that are sensitive to radiation.

• How far into the body the radiation needs to travel.

• The patient’s general health and medical history.

• Whether the patient will have other types of cancer treatment.

• Other factors, such as the patient’s age and other medical conditions.

The Community Cancer Center is the only Central Illinois facility to offer these three radiation therapy machines. Offering three different approaches to non-invasive, state-of-the-art radiation treatments gives us the opportunity to choose the best radiotherapeutic approach for each individual patient who needs external beam radiation therapy.

For more information, you may contact the Community Cancer Center at 309-451-8500 or www.cancercenter.org.

egg wash studio satisfying photography

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309.838.3982 egg wash | eg.wä SH; eg.wÔ SH| noun.

1. [usu. in sing]Egg Wash is a mixture of egg yolks and/or whites beaten with a little water or milk.

Used to brush over breads, cakes and pies to give them color and a distinctive finish.

2. A photographic studio providing satisfying imagery for your visual appetites.

www.eggwashstudio.com March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 31

new cpr guidelines

Are You Prepared?

By Cathy Belcher, MSN, RN, CEN, TNS, Clinical Educator at OSF St. Joseph Medical Center

A

middle-aged man collapses at the mall. Several bystanders stop to look and stare.

One bystander evaluates the situation and starts CPR while another calls 911. Soon the paramedics arrive, perform defibrillation and advanced life support on the victim.

His heart starts beating again and he is taken to the hospital where he receives post cardiac arrest care and has a complete recovery.

This scenario illustrates the five links in the Chain of Survival. The first link in the Chain of Survival is early recognition and calling 911.

Early CPR is the second link. Defibrillation and advanced life support are links three and four, while post arrest care is fifth link in the Chain of Survival. Of course, not all cardiac arrest victims will have a good outcome. The outcome often depends on how quickly the victim gets help.

If you witness someone collapse in a sudden cardiac arrest, would you know what to do? It may be a complete stranger as in the above scenario or it could be a loved one. When a person collapses, every minute counts. Rapid initiation of CPR can mean the difference between life and death. In the last 50 years, countless lives have been saved because someone not only recognized a cardiac arrest, but reacted quickly and performed CPR. The American Heart Association (AHA) released new guidelines for CPR in the fall of 2010. The new guidelines have improved and simplified the way bystander CPR is performed. Instead of A-B-C (Airway, Breathing, Circulation), the new guidelines are teaching C-A-B with compressions first. Studies from the AHA have shown compressions first CPR

Page 32 — Healthy Cells Magazine — Bloomington ­— March 2011

has similar outcomes as the traditional airway, breathing circulation method which has been taught for many years. The new guidelines also give the option of compression-only CPR for the non-medical bystander.

Depending on the reason you are wanting or needing a CPR class, you have three options offered by various organizations within the community, including the Red Cross and local hospitals. The Friends and Family CPR class is a basic class which teaches CPR to those who want to know what to do just in case one of their family members or someone close to them collapses in cardiac arrest. Another option is HeartSaver CPR which is often needed by those who work in preschools or are employed as lifeguards. All health care workers are required to complete the course, BLS for Health Care Providers.

According to the American Heart Association, studies show that fewer than 50 percent of cardiac arrest victims outside of the hospital receive bystander CPR. This is thought to be due to either the bystander not knowing what to do or not wanting to do mouth to mouth on a stranger. The changes in the guidelines with compressions first will hopefully improve this percentage. By learning CPR, you could make the difference of life or death in the cardiac arrest victim.

If you would like to learn more about CPR or enroll in a CPR certification class, please contact the Center for Healthy Lifestyles at OSF St. Joseph Medical Center at 309-661-5151, or visit www.osfstjoseph.org/ calendar to see when the next classes are offered.

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McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest

freestanding surgery center in central Illinois and the only one certified for overnight stay.

Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services.

Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.

2502 E. Empire • Bloomington • 61704 www.mcleancountyorthopedics.com

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 33

pediatric hernias

Bath Time Provides an Opportunity to Check

By Colette R. Whitby, MD FACS, Dr. John Warner Hospital

A

s a parent, it is expected that you will be the first to notice any new development in your child. While first words and first steps are important observations, it is important to notice any physical changes as well. Bath time provides an opportunity to look at your child closely and notice anything new or different. For some parents, it is the first time they get a glimpse of a new lump or bulge on their child’s abdomen or in the groin.

Could this be a hernia? While it is important to bring all new observations pertaining to your child’s health to your pediatrician’s attention quickly, this article will explain two very common pediatric surgical conditions- inguinal and umbilical hernias.

First of all, what is a hernia?

A hernia is the result of an organ or tissue protruding through an opening that it does not normally protrude. Often these openings are usually closed spaces in muscles. They may be remnants of areas open during development which failed to close completely before a child’s birth.

In the case of many children, a parent will describe seeing a lump or bulge appear when their child is laughing, crying, or straining. Once the child relaxes, the lump will disappear. This may not happen each time the child does a particular activity. The appearance of the lump is related to an increase in the intra-abdominal pressure each of the above listed activities generates. It is the same thing that happens when adults who have a hernia notice a bulge when lifting a heavy item, and which resolves when they are no longer lifting the item.

If a bulge is seen around a child’s bellybutton, it is called an umbilical hernia. This is quite common in babies. Umbilical hernias are not surgical emergencies. It is very rare for any intra-abdominal organ to get trapped in this type of childhood hernia. As a baby grows, the abdominal wall muscles grow. With time, this in itself is enough to close the opening in the area without surgical intervention. If an umbilical hernia is especially large, or if it persists beyond the age of 4 years, your pediatrician will recommend surgery to close the hernia. This is a very simple operation performed as an outpatient, so your child will be able to return home the same day the surgery is completed.

If a lump is seen in the groin of a child, this can be an inguinal hernia. While they can occur on both sides, right side hernias are more common than left side hernias. Boys and girls get these types of hernias. Estimations ranging from 3 to 5% of full-term children can have inguinal hernias. In premature children, this number can increase from

Page 34 — Healthy Cells Magazine — Bloomington ­— March 2011

9 to 11%. These are often first seen during diaper changes. This is important to bring to the attention of your pediatrician. Often these hernias are smaller in size and may not be visualized every time your child cries or laughs. Many times, just the history of a parent seeing a lump in this area will prompt the pediatrician to refer a child for evaluation by a surgeon to examine the area for evidence of a hernia.

The reason for this prompt action is to avoid potential complications of these types of hernias.

These hernias may contain a loop of intestine, or, in the case of little girls, the ovary. If these organs become trapped in the hernia, a condition known as incarceration develops. If the trapped organ is a loop of intestine, the child may develop abdominal distension, nausea and vomiting. Many physicians will be able to return the trapped organs to their usual location with gentle palpation. Elective surgery will then usually be scheduled over the next week or two to repair the hernia and reduce the risk of a recurrent incarceration. If an organ is trapped in a hernia and the blood supply to that organ is compromised, the condition is known as strangulation. This is a serious condition. If the organ trapped is a loop of intestine, this is the setting where the intestine’s wall may perforate making the condition of an inguinal hernia much more complicated. Repair of the hernia in this setting will also involve repair of the perforated intestine. In the case of the ovary becoming strangulated, it is possible that the ovary may die requiring removal at the time the hernia is repaired.

Surgery to repair both umbilical and inguinal hernias in children is straightforward. Each procedure takes less than one hour of surgical time under anesthesia. Unlike adults, foreign material like mesh is never used in children. Their tissues heal very well after surgery.

These are outpatient procedures. A child’s activities do not have to be restricted after hernia repair. In these cases, children often only require children’s Tylenol for control of discomfort. The risk for a child developing a recurrent hernia in the same location is only 0.8%.

Childhood hernias are nothing to fear. Close team work between the parents, pediatrician, and pediatric trained surgeon will get the children back to their usual state of health.

If you have any questions or would like your children to be evaluated for a possible hernia, please feel free to contact Dr. Whitby at 217-937-5284, www.ColetteWhitbyMD.com.

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March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 35

healthy lifestyles

Diets Are Hard

By Bryant Cawley

I

have to be honest; diets are hard…really hard.

And if diets weren’t hard enough, along comes a holiday or two and your diet heads into a tail spin. Readers of Healthy Cells will remember that I experienced my “moment of truth” back in July when I couldn’t even walk a couple blocks without needing to sit down and rest.

I was unhealthy and finally resolved to do something about it. I needed to lose 60 pounds and knew I wouldn’t be able to do it on my own – I had tried that approach and failed many times. I enlisted the help of Mark, a personal trainer at Heartland Fitness, and have been journaling my success (and failures!) for the past 5 months. As of February 1, I’ve lost 40 pounds! I feel like there is light at the end of the tunnel. But as I come to the end of my journaling experience, the yo-yo has set in. In spite of everyone telling me how good I look, seeing results on the scale and in the mirror, I have lost my way a little. This is not how I wanted to end my articles, stuck in rut with 20 pounds yet to lose.

The holiday season was hard. I still love to eat! For me and my family, Thanksgiving is nothing more than a celebration of gluttony — family, football, and food. It makes it extra hard to be on a diet when one of the themes of the holiday is food. Of course this is not just your normal everyday food either. This is my favorite food that is only offered one or two days a year! How can I possibly resist when all those delicious calories are practically begging me to eat them? All along I’ve allowed myself one “cheat day” every two weeks and have been consistently losing weight and body fat, so Thanksgiving was just one long marathon cheat day.

It wasn’t too hard to stick to my regular routine of healthy eating and exercise between Thanksgiving and Christmas, although I threw in a few extra “cheat days.” It was soon obvious that I wasn’t going

Page 36 — Healthy Cells Magazine — Bloomington ­— March 2011

to continue to lose weight during the holidays, but regulating what I ate helped me from gaining weight – quite a victory! I kept up my consistent exercise which helped a lot. I have to say that I don’t think I would have kept exercising if it wasn’t for the gentle nudge (really a big push!) of Mark, my personal trainer. In the past, if I had a day or two where I went “off the wagon”, I would have completely given up. I was proud of myself that I didn’t let my cheat days completely stop my progress. So that gives me a lot of inspiration for the future. My best Christmas present was new jeans, in a size I never thought I would wear again.

One thing I have learned is that it is easy to be lazy and fat. It is easier to be in shape and maintain it. The most difficult thing to do is to stop being lazy and fat and get into better shape. I’ve taken that first step. Diet and exercise work, but not if it remains “diet and exercise” rather than being fully integrated as my lifestyle.

I’ve allowed my old lifestyle to invade my new one. Lifting weights is hard, cardio workouts are hard, eating healthy is sometimes hard, but it’s what I want to do and what I know I need to do. My goal is still to weigh less than 200 pounds.

What is now still a “diet”, is gradually becoming just the way I eat. It is taking a little more time than I originally thought and the initial enthusiasm and excitement has worn off, but I’m getting there.

For more information you may contact Heartland Fitness at 309829-8122. They are located at 716 E. Empire, the corner of Linden and Empire next to the Constitution Trail. They offer a wide range of services including: one-on-one fitness/nutrition assessments and training for youth and adults; specialized services for those needing a medically based exercise program; theracycle for those with Parkinson’s and more.

balance disorders

Still Cruising After the Cruise?

By Poonam McAllister, Vestibular Physical Therapist, Central Illinois Institute of Balance

H

ave you ever experienced a feeling of bobbing, rocking, swaying or a sensation of motion after getting off of a boat, train or air plane? If you have, it is perfectly normal to feel that way for a few minutes or hours. However, some people, mostly women, have a lasting/ lingering feeling of rocking or bobbing which may last for weeks or even months. This lingering feeling can cause problems with even simple activities like standing or taking a walk.

Mal de Debarquement (MdDS) is a term used to describe disembarkment sickness. It was originally reported after ocean voyages.

Now the term is used to describe balance problems that linger for weeks or months and maybe even years after any type of sea, air or train journey. MdDS is not a disease but is a syndrome which is a presentation of various symptoms that occur after travel or cruises.

MdDS is more common in women ages 40-50 years and in some cases is associated with migraines. It is not an inner ear problem but occurs due to the inability of the brain to un-adapt after a cruise.

The common symptoms of MdDS include a feeling of swaying, bobbing, rocking, tumbling, imbalance, staggering gait, fatigue, and difficulty concentrating. Other symptoms less frequently reported include headaches, migraine headaches, sensitivity to bright and flashing lights, nausea, dizziness, reduced tolerance for busy patterns, anxiety, depression and loss of self confidence.

Few theories have been used to explain the cause of MdDS. The one that most researchers and health care providers agree with is that it is a neurological problem. When we are on a cruise our body is exposed to movement of the ship and our own head movement. Our brain adapts to the motion of the ship by using the ankles to fight against that motion.

The brain begins to predict the rocking motion of the boat and sends signals to the feet to counter it. The end result of that adaptation is that we do not fall and can keep our balance when the ship is rocking. This phenomenon is called having “sea legs.” The MdDS symptoms appear when the brain does not “turn off” or un-adapt when the feet hit the ground. We don’t get our “land legs” back because the brain does not adapt soon enough to being back on the ground.

There is not one specific test that can diagnose MdDS. You should contact your physician if you experience the symptoms described above and they last longer than two weeks. Your physician will order testing which may include MRI or CT scans of the brain, inner ear

testing, balance testing and blood tests to rule out other causes.

Other possible causes may include problems within the inner ear or the brain itself, auto immune conditions or migraines. Diagnosis of MdDS is made by ruling out other causes.

Treatment & Prevention • Your physician may prescribe medications that suppress the brain from receiving inner ear signals. Use of motion sickness medications has not been effective either for treatment or for prevention. Medications used to treat migraines have also been found to be helpful.

• A Vestibular Rehab exercise program provided by a licensed and trained Vestibular Physical Therapist is very effective. The exercise program must be individually prescribed and updated. These exercises sometimes increase symptoms initially but are targeted to help you return to your daily activities. The exercise program is most effective when combined with medications • Getting enough sleep has been proven to decrease the duration of symptoms.

• A walking regimen, preferably outside while looking ahead instead of on a treadmill, has also been found to decrease symptoms.

• Treatment of headaches and neck tension with Physical Therapy, including stretching exercises and relaxation techniques, can help reduce the associated headaches and neck discomfort.

• While on a cruise, take advantage of harbor stops and walk on land while looking at the horizon.

• If you are known to have migraines, avoid reading while on the boat.

• Try to drive and avoid the back seat after returning from your trip.

• In some severe cases balance therapy in a clinic setting may be needed to alleviate symptoms.

It is not advisable to attempt to deal with possible MdDS symptoms without getting help from your healthcare provider. Long term avoidance can lead to additional, more severe problems in the area of balance and function.

For more information, you may contact Central Illinois Institute of Balance at 309-663-4900. They are located at 2427 Maloney Dr. in Bloomington and specialize in treating balance and dizziness disorders.

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 37

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stroke awareness

A Life Saved Part 2, please refer to the January issue for Part I

By Edward W. Pegg MD and Christina Pegg ies of the groin and moved against blood flow up to the aorta. Navigation through the carotid arteries in the neck is difficult as the doctor only has a monitor to see his progress and worse yet, can only intermittently see the vasculature when x-ray dye is periodically injected into the vessels.

At the base of the brain the procedure grows in complexity; the arteries make a sharp 90° turn, which the catheter must follow. The challenge is to avoid twisting the catheter back on itself where it will become knotted and cause serious complications or death. The probe is then advanced into one of the three branching vessels where it is finally at the occlusion site.

Now, he inserts a catheter that has a small balloon on the end. This catheter is advanced into the center of the narrowed vessel and the balloon is lightly inflated. If the balloon is inflated too much, the blood vessel will rupture, and the patient will develop a permanent stroke or possibly die from bleeding in the brain. Once the balloon is deflated, it is withdrawn and another catheter with the stent is advanced into the area Photo by Elizabeth Pegg and the stent is released into place as support.

This stent is like a Chinese finger trap in reverse; eth is rushed down to the OR and prepped for surgery. The team it starts out small and when released the mesh wiring expands, providquickly decides that an emergency stent placed in the blocked ing structure for the artery which could otherwise collapse. Beth’s blood artery is the only treatment that can save her brain. Stents have begins immediately flowing back in to the occluded regions. Her speech become very common in other places in the body (i.e. blood vessels of and movement now have a fighting chance. the heart and legs) and have been used for a number of years to help The following morning I am surprised to see that Beth is already beprevent heart attacks and improve circulation. However, use of this proginning to make attempts at speech and is able to lift her right arm. By cedure in the brain is much more recent and far more complex. Before the next day she is able to move her arm and hand as if there never was the team can set to work on this procedure, they need to get a better any suffocation in the brain. And her speech—the most precious gift of understanding of where the blockage (occlusion) had occurred. all—is back to normal. She is laughing and talking with the boys and Thankfully for Beth, CT images are now used to locate the damaged grandkids as if nothing had ever happened. It is not often that you get area caused by the stroke. This is much more precise than MRI imaging the satisfaction of shaking the hand that 36 hours before was “useless.” that had been used in the past. The CT angiogram uses dye injected Even five years ago this type of procedure was unheard of and the pain the arteries to determine where the occlusion has occurred, and the tient would have no chance for recovery.

CT perfusion study determines flow rate and volume of the blood within A day after her release, Beth experienced another episode of dizzithe vessels. A computer transforms the data to determine where in the ness and Tom immediately brought her in for exam. This time it was a complex structure of vasculature the occlusion has occurred and its sefalse alarm and was probably a seizure “likely due to all the poking and verity. These studies provide the doctor with a veritable treasure map for prodding in my brain,” as Beth puts it. Still, Tom is adamant, giving one treating the patient. With a distinct X marking the occlusion site, he can last piece of advice to everyone who ever has or ever will experience perform the surgery with much less guess-work or risk than ever before! such a scare: “Don’t let the patient diagnose themselves and talk you Still the procedure is not easy… ever get locked out of your car and out of what you know is right.” Truer words could not be spoken. With have to slip a coat hanger through the cracked window to finagle the stroke time is brain. See the signs and make the move—you could save latch? Dr. Gordhan’s procedure is something like that, but much more your loved one’s life. difficult with a life or death outcome. What Dr. Gordhan does is like To recognize the signs of stroke think FAST: Facial droop, Arm threading the hanger through the trunk, under the backseat, up over the drift, Speech slurred, Time—Now. top of the front seat, and down to the door to raise the latch.

Armed with their map, Dr. Gordhan and his team begin the quest for For more information, you may contact Dr. Pegg at 309-661-7344. the occlusion, starting in Beth’s leg. The catheter is thread into the arterChristina Pegg is a student at ISU obtaining a Masters Degree in biology.

B

Page 40 — Healthy Cells Magazine — Bloomington ­— March 2011

know the law

Workers’ Compensation Injuries and Your Medical Care

By Dirk May and Jean Swee

I

n Illinois, obtaining medical treatment for the injured worker can be a bit mysterious. The Illinois Workers’ Compensation Act provides that the employer shall pay for all necessary emergency care and all necessary medical, surgical and hospital services which are reasonably required to cure or relieve the effects of the injury. This includes such things as doctor visits, diagnostic tests, injections and surgeries.

The employer does not have to pay for medical expenses that are not reasonable or necessary. In almost all cases, treatment that is prescribed or provided by a medical doctor including such things as hospitalization, a brace, medicine, or physical therapy, will be paid for by the employer. The law does recognize chiropractors as qualified medical providers and therefore, any reasonable or necessary treatment provided by a chiropractor should be paid by the employer.

Some Workers’ Compensation Insurance companies give the impression or expressly tell you that you must go to the doctor they send you to. However, the Illinois Workers’ Compensation Law provides that the injured worker is allowed to go to two doctors of his or her choice and unlimited referrals. When the insurance company sends you to a doctor this does not count as a doctor of your choice.

For example, assume you injure your neck at work and your supervisor calls an ambulance to take you to the local hospital.

The hospital visit is not your choice. If the employer wants you to see an occupational doctor, then this is also their doctor. You can choose to see a neck specialist to examine your injury. This is your first choice of doctor. Let’s assume that the neck specialist thinks your shoulder is also injured. He then refers you to a shoulder specialist. This is not your second doctor because your first doctor has referred you to the shoulder specialist. You still have a second doctor choice if you need it.

As you can see it can be complicated. The main thing to remember is that you are not required to see the provider the insurance company selects. We are fortunate in the BloomingtonNormal Area to have high quality medical care available. Therefore, you should always discuss your treatment options with your family physician or specialist.

For more information on Workers Compensation you may contact the law firm of Williams & Swee at 309-827-4371. They are located at 2011 Fox Creek Road in Bloomington, and offer free consultations.

You may also visit their website www.WilliamsSwee.com.

ACT F.A.S.T. F=FACE A=ARM S=SPEECH

T=TIME

Smile. Does one side of the face droop?

Raise both arms. Does one arm drift downward?

Reapeat a simple phrase. Does speech sound slurred or strange?

If any of these signs are observed, it’s time to call 911

For more information contact Edward W Pegg MD LCC

3 0 9 - 6 61 - 7 3 4 4 Sports Neurology & Concussion Management

March 2011 — Bloomington — ­ Healthy Cells Magazine — Page 41

Visit Us

In Constitution Place at

716 E. Empire, Suite 2 At the Corner of Linden and Empire, Next to Constitution Trail

Showroom hours: Monday-Friday 8 am - 5 pm

(Wed till 7 pm) www.heartlandhomemedical.net

There Are NO Monthly Membership Fees!

(Fees Based on Individual Services)

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Phone: 309-829-8122 • Toll Free: 1-800-591-6203 www.heartlandfitness.org

Page 42 — Healthy Cells Magazine — Bloomington ­— March 2011

Visit www.BioBDx.com for more information on the Quotient® ADHD Test.

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1015 S. Mercer Ave. Bloomington, IL 61701

877.566.3879 309.662.7500 www.cinhs.com