March Peoria Healthy Cells 2012 by Healthy Cells Magazine

GREATER PEORIA

area

Promoting Healthier Living in Your Community • Physical • Emotional

MARCH 2012

FREE

HealthyCells

www.healthycellsmagazine.com

• Nutritional

Central Illinois Radiological Associates Experience the Difference pg. 20

Achieving Our Goals

pg. 10

Quality Quest:

Central IL Health Information Exchange Teen Dating Violence: Myth or Fact pg. 38

pg. 32

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Hearing aid advertisements can be very misleading for the average hearing aid shopper. In fact, most hearing aid “stores” employ hearing aid dispensers, which are not Audiologists. Some even claim to employ an Audiologist when in fact that Audiologist works at the corporate headquarters or in some other city far away. Most of these hearing aid dispensers have not gone through the years of Audiological Training it takes to get to the Doctorate level. In fact, many hearing aid dispensers do not have any formal university training at all and may only hold a high school diploma. If you want the highest level of hearing health care, you should always ask if the office employs a Doctor of Audiology and will that person be testing and caring for your needs.

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A white lab coat does not mean you are being seen by a ‘Doctor’. Peoria Ear, Nose & Throat Group provides a medical team approach to your hearing needs; combining the expertise of Doctors of Medicine and Doctors of Audiology to find the very best solution to your specific needs. Peoria ENT Group believes a hearing aid is only one piece of the puzzle. We provide a comprehensive menu of hearing evaluation, selection, fitting & dispensing of hearing aids and assistive devices, counseling and continuing support. When you seek diagnosis and treatment, trust your hearing care only to a highly qualified audiologist who serves your best interests.

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March 2012— Peoria — Healthy Cells Magazine — Page 3

MARCH 8 10 12 14 16 18 23 24 26 28 30 32 34 36 38 40 42 44 46 48 49 50

Physical: Is Your Life Too Busy to Exercise? Emotional: Achieving Our Goals Nutritional: Replace Sodium and Empty Calories with Wholesome Foods

2012

This Month’s Cover Story:

Volume 14, Issue 3

Central Illinois Radiological Associates Experience the Difference page 20

Keep Your Brain Healthy: Studying Can Be Good for You Communication Skills: Are You Listening? Autism: Diagnosis and Treatment for Autism Spectrum Disorders Prolotherapy: Natural Healing of Chronic Pain and Sports Injury Kids and Sports: Putting Children’s Participation in Perspective Obstructive Sleep Apnea: Snore Guards vs Oral Appliance Therapy The Sandwich Generation: What Does DNR Mean to You? Women’s Health: Back Pain with Pregnancy Quality Quest: allchartsTM Sheds Light on Effective Patient Care Muscle and Joint Pain: Laser Therapy Equals Real Results Congenital Foot Deformities: Clubfoot: A Definition Safety For Teens: Teen Dating Violence — Myth or Fact? Cervical Radiculopathy: A Pain in My Neck Seniors in the Workplace: Flexibility and Curiosity Are Key to Job Longevity Staying Active and Fit: “Hip” Takes on a Whole New Meaning for Today’s Boomers Managing Hypertension: The Key to Avoiding Serious Complications Public Health: A Healthier America Begins Today Insomnia: Neurofeedback — A New Non-medication Treatment Wise Eating: The Truth Behind 100 Calorie Snack Packs

Cover and feature story photos by Keith Cotton Photography Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. 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 central Illinois.

For advertising information, contact Kim Brooks-Miller 309-681-4418 email: peoria.healthycells@hotmail.com Visit Us On Face Book 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

letter from the owner

Spring Cleaning

e have been in the long process of remodeling a home. And with all the dust and clutter, March is a great time to start some heavy-duty spring cleaning. As we go through our closets and discover things we don’t need, we put them aside for donation. Several local non-profit agencies are in need of donations, so they would be very pleased to receive your gently used household items, clothing or toys. It may also be a time to clean up what you are putting into your body—nutritionally, mentally and spiritually. Remember, we are what we eat, read, and watch on TV and in movies. We are who we associate with in friendships and in relationships with our spouse or significant other. All these things may directly or indirectly influence us, consciously or subconsciously. If what we are doing, or who we are spending our time with, in these areas, is not benefiting ourselves or is hurting our family and friends, we must re-evaluate our priorities and “clean out our closets.” We have the choice to clean it up and make it right! Before I go to bed at night, I try to read something positive and encouraging, so as I’m going to sleep, it is the last thing on my mind. Usually it is a passage from the Bible from the Book of Psalms. Then I know I am filling my thoughts with whatever is pure and lovely – all good things to ponder as I settle from the day’s stress. Happy spring cleaning—house, body, mind and soul! Sincerely,

Photo Courtesy of Photography by Jill

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Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments Healthy Cells Ad - Daniel_Layout 1 12/1/11 12:06 PM Page or 1 questioins (Black plate)email: peoria.healthycells@hotmail.com

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physical

Is Your Life Too Busy to

Excercise? By Jessy Hamawi, CPT, M.S.M. BSC

ife can be very busy. You just got a new promotion at work. Your kids are playing two different sports, not to mention music and art lessons. Before you know it, you haven’t been to your exercise class in weeks. Stress can be a problem in itself, of course. But stress can sometimes lead to unhealthy lifestyle patterns—which lead to more stress! If you’ve taken a little time off from exercise, it’s important to get back into your fitness routine as soon as possible. The longer you stay out of the fitness habit, the harder it will be to get back on track. Dieting may get the scale to start moving, but exercise revs your metabolism. If one person just cuts calories and someone else just increases the amount of time spent on exercise, who will lose weight first? Page 8 — Healthy Cells Magazine — Peoria — March 2012

The answer—The person who cuts calories will lose weight more quickly, provided they cut out enough calories to get results. But that’s not to say that exercise isn’t an important part of your weight-loss efforts. Although exercise may take longer to show results on the scale people who exercise burn more calories even when they’re at rest and tend to be able to maintain the weight loss. Here’s why cutting calories may give you more immediate results, but exercise is vital for long-term success. Weight Loss: A Short-Term Fix Experts recommend that you aim to lose one to two pounds a week to reach your weightloss goal. Because 3,500 calories equals a pound, you need to create a 500-calorie deficit each

day — either by eating fewer calories, burning off the calories with exercise, or a combination of both — to lose one pound by the end of one week. Burning 500 calories a day through exercise can be a challenge for some people. Someone who weighs 170 pounds would have to walk for more than an hour — 67 minutes — at four miles per hour to burn 507 calories. It may be relatively easy to cut 500 calories out of your diet. That’s equal to a large order of French fries at a fast-food restaurant or a chocolate-glazed doughnut and a small mocha latte. If you tend to have these types of indulgences every day, simply eliminating them from your diet should enable you lose about a pound a week. However, dieting alone doesn’t usually help people lose weight and keep it off. When you eat less, your metabolism slows, which means you burn fewer calories throughout the day. Once you begin eating more, it’s easy to put the pounds right back on. Weight Loss: How Much Exercise Is Enough? It is recommended to cut about 250 calories a day from your diet, while burning 250 calories a day through exercise. For the average person, that means walking two and a half to three miles, depending on how much you weigh and how fast you’re moving. Research shows that getting 30 minutes a day, even if you break it into three exercise sessions that last 10 minutes each, helps you lose weight and gain all of the health benefits of weight loss. How quickly can I fall out of shape? Falling out of shape essentially means that you lose the cardiovascular, strength, flexibility, and balance progress that you made

when you were exercising. According to the Cooper Institute for Aerobic Research in Dallas, you’ll lose 10 percent of your aerobic capacity after only two weeks of inactivity. If you take a break lasting more than six to eight weeks, you’re back to square one. As a general rule, you will begin to notice less aerobic power after just two weeks of non-exercise. How do I get back on track? It is not too late to get back on track! Here’s the good news: If you were in good shape prior to taking your exercise hiatus, then you’re much better off than those who have never exercised. The best way to get back on track is to simply start moving. You may not be able to push yourself to the same difficulty level as you once did, so start at your current ability level and gradually increase your intensity from there. How do I keep from falling out of shape when I’m strapped for time? If you’re busy, seek to burn more calories in less time. Harvard University researchers studied more than 30,000 women and found that the overall number of calories burned is more important than the actual number of hours spent exercising. So, if you’re strapped for time, just increase your intensity level, and burn more calories in a shorter time span. For more information about fitness, health or nutrition, contact Jessy at Club Fitness. Call today to schedule an appointment at 309-689-1400 or visit www.peoriaclubfitness.com.

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emotional

Achieving Our Goals By Andrea Smith, PsyD

ot too long ago, many of us made some resolutions to bring in the New Year. All too often, we work diligently toward those goals for a short time and then gradually work on them less and less. Before we know it, the year is halfway over and we’ve completely lost sight of those goals that seemed attainable just a few months ago. Page 10 — Healthy Cells Magazine — Peoria — March 2012

Luckily, there are a few things you can do to help keep you on track and achieving those goals. First, be sure that the goal you have set for yourself is attainable. Is this a goal that you have the resources (time, money, opportunity) to pursue? If so, are you willing to invest them in this goal? In other words, is this goal more worthy of your time, energy, money than some of the other things

you’ve been spending those resources on? Often, we set goals without really thinking them through. We may decide we want to lose weight but not think about the sacrifices that must be made in terms of purchasing healthier food, monitoring portion sizes and calories, and taking the time and energy to exercise. Be sure that you’re willing to put in the work necessary to achieve the goal. Support is another important aspect of maximizing the potential to achieve our goals. Even if the goal you have chosen is strictly individual, it can be beneficial to have your own “cheerleaders.” These are the people that you can reach out to when you’re faltering. They’re motivating, encouraging and non-judgmental in their support. Many people choose to give themselves a reward in order to increase motivation. This could be considered the “payoff” for achieving the goal or perhaps smaller rewards that are collected along the way. An example could be someone that decides to buy a new outfit after losing five pounds when the goal is to lose 15 pounds. Looking in the mirror at the new outfit on a new figure can help provide the push to keep working hard. Be sure that rewards are in accordance with the goal you’ve set instead of working against it. For instance, it wouldn’t be helpful to reward yourself with a large piece of cake every time you exercised. Now for the biggest obstacle of all to achieving a goal: excuses, or “reasons” as we like to call them. As humans, we’re masters at rationalizing our own behaviors. Perhaps we’re not working out “just today” because we’re tired. But we’ll definitely exercise tomorrow…or so we tell ourselves. Russ Harris has developed some tips for taking the power out of our excuses and rationalizations and keeping us on track. In his book, “The Happiness Trap:

How to Stop Struggling and Start Living,” he suggests having a thought about not being able to do something but contradicting that thought with your behavior. For instance, thinking “I can’t keep reading this article” but then continuing to read. This demonstrates that those “can’t” thoughts are only thoughts and do not equal corresponding behavior. He also suggests asking yourself this question, “If the life of my loved one depended on it, could I still attempt this goal, despite all of the ‘reasons’ not to?” Usually, when we put things in this perspective, it seems that all of those reasons not to do something seem insignificant, even if they felt so important before. Unfortunately, there is no magic formula that guarantees success. However, if we can learn to choose attainable goals, reward ourselves for progress, and utilize our cheering section, we’re already increasing the chances of that goal being achieved. We further maximize the chances of achievement by debunking those thoughts, or “reasons,” that we tell ourselves are facts. We can take power back into our own hands instead of letting a few thoughts dictate what we can and can’t do, and seeing a psychologist can help further by teaching these skills and providing support. Remember, it’s not too late to keep working on those New Year’s resolutions! Psychology Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain. For more information, contact Psychology Specialists at 309-648-0782 or visit www.psychologyspecialists.com.

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nutritional

Replace Sodium and Empty Calories with Wholesome Foods

rocery store shelves and restaurant menus are often crowded with foods containing solid fats, added sugars and high levels of sodium. During National Nutrition Month®, the Academy of Nutrition and Dietetics (formerly the American Dietetic Association) is helping Americans understand how to get the most nutrients they need from the foods they eat, all surrounding this year’s theme: “Get Your Plate in Shape.” “When people eat foods that have added sugars and solid fats, they are consuming extra calories they don’t need,” says registered dietitian and Academy Spokesperson Angela Ginn. “These ‘empty calories’ are found in a number of foods and drinks and offer little-to-no nutritional benefits.” Foods high in solid fats (like sausage, shortening and cream) and added sugars (such as regular soda and pastries) should be considered occasional treats rather than regular options. Eating these foods on a regular basis can cause you to consume more calories than your body needs in one day. “Replace these foods with nutritionally sound choices, like fruits and vegetables, whole grains, lean protein and lowfat dairy,” Ginn says. “Eating occasional treats is okay. Just make sure to balance out those treats with healthier options and get plenty of exercise.” In addition to limiting foods high in solid fats and added sugars, consumers should also be aware of high levels of sodium in foods, especially pre-made options like frozen meals and canned soups and vegetables. Foods containing Page 12 — Healthy Cells Magazine — Peoria — March 2012

high levels of sodium are contributors to high blood pressure, heart disease and stroke. “The 2010 Dietary Guidelines for Americans recommend consuming only 2,300 milligrams of sodium per day, which is about one teaspoon of salt,” Ginn says. “While meeting this recommendation may seem hard at first, choosing foods that are lower in sodium is one big step you can take towards meeting this goal. Ginn offers tips to choose healthier options and “Get Your Plate in Shape”: Choose foods and drinks with little or no added sugars. “It is smart to look for foods that have no added sugars, like unsweetened apple sauce or unsweetened whole-grain cereals,” Ginn says. • Drink water throughout the day. For variety, add lemons, limes or cucumbers to your water or try carbonated water. • Choose low-fat or fat-free milk or 100-percent fruit juices. • Eat fresh fruit salad for dessert. Eat fewer foods that are high in solid fats. “Solid fats can increase your risk for heart disease,” Ginn says. “You can reduce this risk by choosing healthier oils and lean meats.” • Instead of regular ground beef, opt for extra-lean ground beef. Ground turkey and chicken are also available in lean options. • Grill, broil, bake or steam your foods instead of frying. • Cook with healthy oils like olive, canola and sunflower oils in place of hydrogenated and partially-hydrogenated oils. • Opt for fat-free or low-fat milk, yogurt and cheese.

Cut back on sodium. “Much of the sodium we eat comes from prepared meals and foods eaten away from home. This can be significantly reduced by eating fresh foods,” Ginn says. • Instead of salt, use herbs and spices to season foods, and avoid salting food before tasting it. • Do not add salt when cooking pasta, rice and vegetables. • Read the Nutrition Facts Panel to compare sodium content of foods such as soups, broths, breads and frozen dinners, and choose the healthiest option. • Eat fresh fruits and vegetables, fresh meats, poultry and fish, beans and peas, unsalted nuts, eggs and low-fat or fat-free milk and yogurt. Ginn also recommends cooking different dishes at home. “This allows you to control what you put in your meal,” she says. For more information on how to “Get Your Plate in Shape,” visit the Academy’s National Nutrition Month website for a variety of helpful tips, fun games, promotional tools and nutrition education resources. The Academy of Nutrition and Dietetics (formerly the American Dietetic Association) is the world’s largest organization of food and nutrition professionals. The Academy is committed to improving the nation’s health and advancing the profession of dietetics through research, education and advocacy. Visit the Academy of Nutrition and Dietetics at www.eatright.org.

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keep your brain healthy

Studying Can Be Good For You By Jon C. Neidy, Associate Director of Continuing Education at Bradley University

ere you ever scolded for talking too much when you were in school? You had a lot to offer, but the teacher probably curbed discussion to stay on time. You can have a different kind of educational experience when you sign up for a Study Group with the Osher Lifelong Learning Institute at Bradley University (OLLI). We like talkers! OLLI Study Groups differ from other non-credit classes in two significant ways. One is that they encourage - even expect - active participation by everyone in the group. Participants do outside readings, share their new knowledge with each other, and sometimes make in-class presentations of their learning. As “involved” learners they become “invested” learners. OLLI Study Groups are important for another reason – they’re good for your brain. Studies show that creating a rich and active intellectual life can lead to better brain health. Some research even suggests that social engagement can help reduce the risk of cognitive decline in later life.

Ask Study Group members what they most enjoy, and they will tell you they like learning with their peers. The collective experiences of the group bring enormous wisdom and insight to the class. Coupled with the conversation and friendships that arise from the experience, Study Groups often surpass participants’ expectations.

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As for topics, OLLI Study Groups are as diverse as the participants. Imagine discovering the geographic path of your earliest ancestors, discussing current global events, debating the premise of corporate social responsibility, determining if myths can help guide us through life, or investigating the saga of Stieg Larrson’s millennium trilogy - all with informed and thoughtful companions. This is just a sampling of the topics that have become subject matter for OLLI Study Groups. And each was developed by OLLI members who had a favorite topic they wanted to explore in a group. For them, facilitating an OLLI Study Group was an opportunity to design a course, on a topic they enjoyed, during which they could encourage good discussion, and where there would be an opportunity to inspire others to enjoy the topic. It was a chance to develop some new skills and some new friends around a topic of mutual interest. OLLI at BU offers more than 30 Study Groups each year at various times and locations throughout our community. The fee is only $44 for groups that meet for up to two hours weekly for four to eight weeks, so they are an affordable way to engage your brain and keep it fit as you age. And you won’t be scolded for talking too much. The Osher Lifelong Learning Institute is an organization at Bradley University whose members share a common goal: to remain vital and active in their late career and post-career lives. Consisting of nearly 900 people from age 50 to 98, OLLI members come from all backgrounds and educational levels. Together they enjoy a diverse collection of year-round programs including non-credit classes, educational travel, study groups, and special events. For more information about the Osher Lifelong Learning Institute at Bradley University, call Wanda at 309-677-2523.

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communication skills

Are You Listening? By Claire Maquet, LCPC

ow many times have we heard someone ask the question, “Are you listening to me?” Our usual response is “Of course, I am listening.” But are we really? Think of how much time we focus on improving our talking skills through classes, seminars, and talk shows. Improving our talking skills will only partially help us improve our communication and relationships. Most of us, however, do not spend time working on our listening skills. But there are two parts to the communication process, and we need to be good at both. Communication is an involved process and is, as they say, “a two way street.” There are, however, three simple ways to improve your listening skills and communicate that you are listening to those around you. Paraphrase Most of us are really good at “hearing.” After all, most of us have been “hearing” others all of our life. Hearing is

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not exactly the same thing as “listening” though. Hearing involves recognizing another’s presence, but listening involves making sense of the content. When you are not sure that you heard the other person correctly, try paraphrasing back what you think you heard. Paraphrasing means summarizing but not “parroting.” For example, your spouse might say, “Today I didn’t get the big project done, the boss got mad at me, and the computers crashed.” You would paraphrase by saying, “Sounds like today was a really tough day.” Using paraphrasing demonstrates to the other person that you are really in tune with what he or she is saying, allows that person to understand how you received their information, and encourages him or her to expand on what they were trying to say. Clarify Have you ever said something to someone and they took it all wrong? This may be due to a mental filter. Filtering just means interpreting what the other has said. Interpreting what another person is saying can be impacted by several things including our experiences or feelings, nonverbal cues such as tone or volume, and other things such as being tired, hungry, or other distractions. Many times the meaning that someone is trying to convey can get lost and cause misunderstandings, hurt feelings, and frustrations. In order to make sure you are taking away what the other person has intended, try clarifying what was said. For example, your boss may say, “I need this done as soon as possible.” You can respond by saying, “So you want this done by 5pm today or do you want it earlier?” Pause before responding Think back to a recent conversation you had with your significant other or your child. When discussions get a little heated we

are so busy thinking what we are going to say that we forget to listen to what is being said. We may look as if we are listening, but actually we are mounting our defense. Many times this leads to defensiveness and we end up arguing over something that is not really the issue at all. Instead of getting too far ahead of the conversation and planning your response while the other person is talking, try to stay in the moment so you can hear what the issue is. Paraphrase and clarify if needed. Then take a moment before you respond. Good communication is no race. There is no harm in saying, “Let me think about what you’ve said for a minute.” Take a deep breath if the topic is a tough one so you can remain calm. This, no doubt, requires discipline. But this one skill can often decrease the number of non-productive arguments and can foster a good conversation. The next time you are in a conversation try to take the time to paraphrase, clarify when necessary, and respond when appropriate. Then you really will be able to answer truthfully that you were listening. More importantly, you will also know that you’re improving communication. Communication is truly the first step in building or repairing relationships. True North Solutions is an outpatient counseling center that assists families and couples in repairing broken relationships. Claire Maquet is a Licensed Clinical Professional Counselor at True North Solutions. She provides a variety of services for adults and specializes in stress, relationship issues, and anxiety disorders. For more information about the services of True North Solutions, call 309-589-1011, or visit www.fayettecompanies.org.

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March 2012— Peoria — Healthy Cells Magazine — Page 17

autism

Diagnosis and Treatment for Autism Spectrum Disorders By Wendy Trotter, MS, CCC-SLP/L Autism Diagnostic Clinic Coordinator, Easter Seals

utism Spectrum Disorder (ASD) is a brain-based, developmental disorder that affects an individual’s ability to relate and socialize with others and to effectively communicate verbally and/or nonverbally. It also is associated with ritualistic and repetitive behaviors and/or restricted areas of interest. It is referred to as a spectrum disorder because the degree to which each individual is affected can vary considerably; however, the core deficits in social-emotional relating and reciprocal communication are evident regardless of the individual’s developmental level. Routine primary health care for all children should involve parents’ descriptions and observations of important developmental milestones, such as a baby’s ability to look and listen, respond with joy and pleasure, and engage in back-and-forth interactions Page 18 — Healthy Cells Magazine — Peoria — March 2012

that include facial expressions, gestures, and vocalizations. Routine health care should involve formal screening assessments at periodic intervals to identify infants, toddlers, and preschool children at risk for autistic spectrum or other developmental delays and disorders. Screening tools should be especially sensitive to problems with interaction, meaningful gestures (e.g., pointing), functional language, and the emergence of pretend play and interactions with peers. At-risk children should immediately receive a full assessment and, if needed, an intervention program. Presently, we don’t have a medical test that can diagnose autism. Instead, specially trained physicians, psychologists and therapists administer autism-specific behavioral evaluations. An ideal diagnostic evaluation involves a multi-disciplinary team which could include

a medical doctor, psychologist, speech and language pathologist and occupational therapist. Children have the best chance of making progress when challenges are identified and worked with early. When developing an intervention program for child with ASD, one of the first questions we must ask is what are the goals of the intervention? When parents first hear about their child’s diagnosis, their initial thoughts often are about helping their child recover from the disorder. However, the majority of research has suggested that, for most people, ASD is a lifelong disorder that may become milder as children grow older, but does not typically “go away”. Therefore, unlike many medical conditions where the goal is to cure the disease or achieve complete remission of symptoms, goals in ASD intervention are to teach the individual skills and strategies to minimize the effects of the disorder and improve daily function. When parents confront the issue of how to help their child diagnosed with an ASD, it can be hard to know where to begin. Some intervention approaches emphasize changing behaviors; others emphasize building relationships; others emphasize working on academic skills; and others emphasize specific skills like communication or sensory processing. But each child’s needs are unique. Parents should be wary of a one-size-fits-all approach, or of only doing one thing when your child may have challenges in numerous areas. Instead, it is helpful to seek a comprehensive program which includes different intervention strategies that address the fundamentals as well as the surface symptoms. Based on the major characteristics associated with autism, there are several areas that are important to consider when creating an intervention plan: social-emotional relating, reciprocal communication, behavior, and sensory integration. Behaviorally-based

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treatments, such as applied behavior analysis (ABA), address how to change the environment to help the child learn and maintain new skills. While ABA includes discrete trial training, a methodology of teaching specific skills, the fuller approach in ABA is to structure the environment so the child responds in a more appropriate and successful manner, generalizing new skills into typical settings. This involves the use of routine, visual supports, and positive reinforcement to establish new behavior. With relationship-based approaches such as DIR/Floortime or P.L.A.Y. Project ®, the focus is on building warm relationships with the child and helping him learn to enjoy interacting and relating. The goal is to help the child master the fundamentals of relating, communicating and thinking, based on their unique developmental profile which helps to establish a strong foundation for social, emotional, and intellectual capabilities. Other approaches focus on improving various processing areas, such as auditory processing, motor planning, and sensory modulation. Overall the most important thing to remember when planning an intervention program for your child is to know your child first. Know how he is unique. Know how he attends, relates, communicates, and thinks. Know how he processes information – auditory and visual. Know how he plans actions. Know your family’s strengths and weaknesses. Then develop your program accordingly. It is a tall order, but a complex problem requires a complex approach. For additional information on autism services, contact Easter Seals in Peoria at 309-686-1177.

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feature story

Central Illinois Radiological Associates Experience the Difference By Sara Browning

CIRA Interventional Radiologists (from left to right): Dr. Terrance Brady, Dr. Bradley Johnson, Dr. James Swischuk and Dr. Kenneth Moresco.

atients are receiving care like never before with “the CIRA radiological difference.” Central Illinois Radiological Associates (CIRA) provides quality-focused sub-specialized health care that has taken radiology to a new level of expertise. Offering a comprehensive array of Diagnostic Imaging and Interventional Radiology since 1938, CIRA provides services to seventeen medical facilities throughout the Midwest. With its unsurpassed combination of compassionate, patient-focused health care, the latest technology and the highest level of diagnostic interpretation for physician, hospital and patient referral, CIRA is raising the bar in radiology treatment for patients, families and medical professionals. Page 20 — Healthy Cells Magazine — Peoria — March 2012

The CIRA Difference Encompassing seventy radiologists and five advanced practice nurses, CIRA continues to grow, setting itself apart from other radiology practices. “We are a very large multi-specialty radiology practice that provides expert imaging interpretations and minimally invasive procedures,” says Dr. Sean Meagher, President of CIRA and a Neurointerventional Surgeon. “We work with hospitals as far north as Kankakee and as far south as Litchfield. We perform and interpret approximately 1.3 million studies, such as X-rays, PET CT & CAT scans and MRIs.”

CIRA’s vast spectrum of sub-specialized services include Interventional Radiology; Neurointerventional Surgery; Diagnostic Radiology and Fluoroscopy; CT Scan; MR Imaging; Ultrasound; Diagnostic X-Ray; Breast Imaging & Intervention; Women’s Imaging; Cardiovascular Imaging; Neuroradiology; Vascular Medicine; Nuclear Medicine; PET CT; Pain Management; Pediatric Radiology; Musculoskeletal Imaging; Sonography; Vascular Laboratory; and Cardiothoracic Radiology. “We offer a multitude of subspecialty radiology services to regional hospitals,” says Dr. Meagher. “Our imaging and interventional services are provided through our hospital partners. We have interventional radiology clinics at the larger hubs that accommodate business onsite, such as OSF Saint Francis Medical Center in Peoria, Riverside Hospital in Kankakee and Methodist Medical Center,” according to Dr. Meagher. Dr. Meagher says CIRA utilizes stateof-the-art technology enabling radiologists to provide high-quality subspecialty imaging interpretations at all sites regardless of the physical location of the doctor interpreting the study. Because of access to this technology, CIRA provides superior medical service to clients throughout the region. CIRA has big plans for the future. “We’d like to expand the number of hospitals and businesses we serve and continue to bring high-quality care to patients in Illinois,” says Dr. Meagher.

Dr. Eric Bugaieski, Pediatric Radiologist, takes the time to comfort and explain routine exams to his pediatric patients.

An Up-Close Look at UFE CIRA’s Interventional Vascular Clinic is located in the Peoria area on the OSF Saint Francis Medical Center campus. Recognized by the Board of Medical Specialties, the clinic radiologists are Boardcertified in Vascular and Interventional Radiology as well as Diagnostic Radiology with extensive training in vascular disease diagnosis. Physician training couples state-of-the-art imaging and diagnostic expertise with vast knowledge of minimally invasive procedures. One such procedure, Uterine Fibroid Embolization (UFE), treats fibroid tumors that arise from the muscular wall of the uterus. “The intent of the Uterine Fibroid Embolization procedure is an alternative to surgical removal for symptomatic uterine fibroids,” says Dr. Kenneth Moresco, Vascular Interventional Radiologist and Clinical Assistant Professor of Radiology at the University Of Illinois College Of Medicine at Peoria. Although fibroid tumors are benign, their effects can encompass pelvic pain, heavy menstrual bleeding and bladder pressure. Dr. Moresco says UFE treats the fibroids from the inside out. “Fibroids require blood flow. UFE involves guiding catheters into the arteries that supply blood to the uterus and fibroids. We then inject small blocking particles through the catheter to prevent blood flow from reaching the tumors. Without blood, the tumors decrease in size. The fibroids continue to shrink in size up to six months after the procedure.”

Patients First UFE is performed in the hospital and is a patient-friendly procedure largely because it eliminates patient symptoms without surgery. Dr. Moresco calls it a “uterine-sparing procedure” and claims UFE is “just as effective as alternative procedures that involve surgery only much safer and with lower risk of complication.” UFE is better tolerated among patients than surgical procedures, such as hysterectomy or myomectomy, according to Dr. Moresco. “These procedures involve cutting out the uterus or cutting out the fibroid. If you remove the uterus or the fibroid there is high incidence of bleeding following surgery, and patients may need a blood transfusion. UFE allows for treatment of the fibroid without the risk of bleeding because the uterus remains intact.” The entire procedure is usually completed within one hour. Patients are kept in the hospital overnight for pain control and hydration. Most patients return to their normal activities within one week. “The bleeding symptoms respond immediately to treatment,” says Dr. Moresco. “Six months following the procedure we repeat the MRI to make certain all the fibroids were adequately treated.” Ideal Candidates UFE is reserved for patients with symptomatic uterine fibroids. Fibroids affect 40 percent of women over 35 years of age. Although fibroids are very common, “anywhere from 10-20 percent of March 2012— Peoria — Healthy Cells Magazine — Page 21

feature story

continued

The Angio suite is filled with state-of-the-art equipment called a Flat Panel Detector.

fibroids warrant treatment,” says Dr. Moresco. The ideal candidate is a woman who is through with childbearing because she might stop having her menstrual cycle following the procedure. “Interventional radiologists have pioneered the UFE technique. Tens of thousands of patients have undergone this procedure successfully. Women owe it to themselves to talk to their doctor and strongly consider this surgery alternative. This procedure is just one example of the modern sophisticated means by which interventional radiologists are now able to treat a whole host of disease states.” Patient Praise Sharon Holling was fifty-one years of age when she chose to undergo the UFE procedure at CIRA. “I was experiencing fatigue, heavy cramping and very heavy bleeding. Some days I would have clots of blood,” she says, adding that the symptoms continued “at least ten years, and they just never got better.” After consulting with her doctor, Sharon decided UFE was the best option. “The physicians and staff at CIRA were wonderful. The doctor described the procedure step by step. The nursing staff was extremely attentive. My pre- and post-consultations were very informative. I almost didn’t need to ask any questions because the doctors answered them all for me.” A quick recovery was a welcome relief following the procedure. “I had the procedure on a Friday, rested and was back at work on Monday. The results were immediate. There was no more bleeding, and cramping was very minimal—if any. My quality of life has improved significantly. I never have to worry about not feeling 100 percent.” If you have experienced any of the following symptoms, please contact Central Illinois Radiological Associates Interventional Vascular Clinic at 800-813-4033 to schedule a consultation. • Pelvic pain and pressure • E xcessive bleeding, prolonged periods and passage of clots, leading to anemia • Abdominal swelling • Pressure on the bladder with frequent urination • Pressure on the bowel with constipation and bloating • Infertility

For more information on Central Illinois Radiology Associates, please visit www.cirarad.com. Page 22 — Healthy Cells Magazine — Peoria — March 2012

Dr. Bradley Johnson gives a relaxed and friendly consult to his patient during an ultrasound guided procedure.

prolotherapy

Natural Healing of Chronic Pain and Sports Injury

owadays, millions of people live with chronic pain and sports injury that just don’t seem to heal. If you are one of those, here is the exciting news: a simple, non-surgical technique, called “ prolotherapy” may relieve your chronic pain by naturally healing your injuries. You don’t need to take expensive drugs or go through surgeries! That is because doctors and medical scientists have discovered prolotherapy, a natural healing breakthrough that works, even when all the other treatments failed. It is a permanent cure since it helps rebuild worn-out cartilage, ligaments and tendons and eventually the joints. What is prolotherapy? First, it is important to understand what the word prolotherapy means. “Prolo” is short for “prolix” or proliferation in Latin. Prolotherapy causes the proliferation (growth, formation) of new tissue in the areas where it has become weak. It is a simple injection technique using special solutions that act as a “growth factors” to stimulate the body to naturally repair the painful tendons, ligaments and connective tissues. Prolotherapy is also known as non-surgical ligament reconstruction and is a treatment for chronic pain. How does prolotherapy work? Prolotherapy uses dextrose or other solutions, which is injected into the ligament or tendons where it attaches to the bones or joints. This injection triggers a healing response called a sterile inflammation. Almost immediately, blood rushes to the area, delivering much-needed oxygen and nutrients. Then the healing cells called fibroblasts make their way to the area and in turn, stimulate the impaired tissue to repair and grow the new tissue. Why get prolotherapy? When people suffer from sports injury or wear-and-tear changes, such as ACL tear, tennis elbow, rotator cuff tendonitis, or degenerative arthritis, the ligaments and tendons that hold joints and muscles together become weak. They cannot heal back to their original strengthen or endurance, so they cannot hold the joints in place. Largely because of the poor blood supply to the ligaments and tendons, the healing process is slow and not complete. That is why people who have soft tissue injuries always have chronic pain. Along with proper exercises and nutritional support, prolotherapy is by far the best, non-surgical treatment that stimulates the body to repair when the natural healing process needs assistance. What conditions can be treated by prolotherapy? If you have a tendon or ligament injury or suffer from any kind of connective tissue disorder or arthritis, and the traditional methods such as therapy, medications, even surgeries, have not provide pain relief, then in my opinion, prolotherapy may be helpful. Common conditions that can be successfully treated by prolotherapy are: • Chronic back pain, neck pain (facet arthritis, whiplash injury, etc.) • Shoulder pain (Rotator cuff tear, tendonitis) • Elbow pain (Tennis elbow, golfer’s elbow, tendonitis or tear) • Wrist and hand pain (DJD, arthritis, carpal tunnel syndrome) • Hip pain (DJD, arthritis, tendonitis) • Knee pain (ACL tear, MCL tear, ligament sprain, DJD, osteoarthritis, etc.)

By Yibing Li, MD

• Foot/ankle pain: (plantar fasciitis, ankle sprain, DJD, arthritis) • All loose joints and ligament sprains Many studies proved that prolotherapy works. In one study, an astonishing 87.5% who took the prolotherapy saw improvement. In another study, prolotherapy was found to increase the strength of ligaments and tendons by up to 40%. In our clinic, people who underwent prolotherapy have shown markedly reducing their pain at 80-90% by the time they completed 3-5 treatments. In 2011, According to Consumer’s Healthy Report, prolotherapy was ranked as the top one 21st –Century Heath Breakthrough in medical history for its ability to permanently cure the most common forms of arthritis. Prolotherapy may not be the only option for you, make sure to discuss your condition with your doctor. To find a prolotherapy doctor near you, you may search www. getprolo.com. Dr. Yibing Li, the founder of Center for Pain Management & Rehab, (CPMR), has extensive experience in prolotherapy for pain management. Dr. Li is triple board certified in Pain Medicine, Physical Medicine & Rehabilitation and spf NCS Electrodiagnosis. For more information, call 309-689-8888 or visit www.cpmrmed.com.

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March 2012— Peoria — Healthy Cells Magazine — Page 23

kids and sports

Putting Children’s Participation in Perspective By Dawn Kocher, Jump Start Gymnastics

one are the days of kids racing bikes down the street, playing baseball in the backyard or participating in pick-up basketball games. In the early 1900’s, physical activity in children was primarily spontaneous free play. By the year 2000, unstructured play had to compete with technology like video games and cell phones and organized sports that begin as early as preschool age. Today, kids fall into two distinct groups: those who sit and play video games and those who are involved in organized sports. It is important for children to experience a healthy balance between technology, free play and organized physical activities, avoiding substituting one for another. However, if parents choose programs that promote the values of spontaneous play, organized activities can be a healthy substitute in the absence of free play. While organized sports have replaced the spontaneous participation in sports, it has not been without shortcomings. We can all agree that participation in sports, spontaneous or organized, has many physical, emotional and psychological benefits. Physically kids develop strength,

flexibility, coordination, tend to have fewer problems with obesity and are generally healthier. Psychologically sports participation has been shown to reduce anxiety and depression and build self -esteem. Sports help kids think critically, become problem solvers, and teach trust and respect of others. Participants are more disciplined and develop leadership and time management skills. It is documented that participation in sports improves academic performance. Unfortunately, over seventy percent of children drop out of organized sports by age thirteen, many much earlier. As a result, they are not receiving the benefits. The number one answer given by the children themselves is “It’s not FUN anymore!” When you take the fun out of sports, kids burn-out. Unfortunately, this is what is happening in many organized sports programs. The focus on “winning” has forced many “seasonal” sports to become year- long sports forcing kids to sacrifice their other interests at very early ages. Children are forced into choosing one sport over another, long before they have the knowledge or experience to make such a decision. Parents, focused on the amount of time and money

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invested in the organized sport, often encourage “specializing” in one sport to justify the investment. As more time and money are invested into just one sport, the child is often pressured to be more successful. Parents often lose site that the investment is not in the child’s future as an athlete, but as a person. Specializing in a sport should be a natural progression. As a child is allowed to explore interests and develop skills, he or she may experience more success or enjoyment from being involved in one sport more than another. As this occurs, the child will naturally want to spend more time and resources in a specific sport. This will most likely lead to more long term involvement in a particular sport. More often from a child’s perspective, involvement is more about participating than winning. They would rather play on a losing team than sit the bench! They are more concerned with making friends, having a good time and learning new skills. It’s more about participating than being a successful baseball player, gymnast, soccer player, etc. Children need the opportunity to be exposed to different kinds of physical activities and sports and develop their own interests. With the absence of the backyard games, this responsibility falls on the parents and organizers of sports and physical activities for children. When choosing an organized sports program, parents should invest in programs that balance learning with fun and winning with developing the whole child. The successful organized sports program is the one that allows kids the time to be kids! For more information on Jump Start Gymnastics & Kids’ Activity Center, call 309-692-5867. Sign up now for Spring Classes for all ages! Register online today at www.JumpStartFun.com.

Stop Pregnancy Discomfort!  49% of women suffer from back pain during pregnancy.  A recent study suggests that significant back and pelvic pain during pregnancy may contribute to postpartum depression.  30% of pregnant women will experience urinary incontinence at some point during their pregnancy.  20% of pregnant women experience pelvic girdle pain. We can help! Our Women’s Health Physical Therapists are specially trained and certified to successfully treat Back Pain, Pelvic Girdle Pain, Urinary Incontinence, and more to help make your pregnancy the positive experience it should be. For more information or to schedule a no obligation screening with a physical therapist, please contact one of our clinics listed below.

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March 2012— Peoria — Healthy Cells Magazine — Page 25

obstructive sleep apnea

Snore Guards vs Oral Appliance Therapy What’s the Difference? Submitted by Illinois Institute of Dental Sleep Medicine

ou are probably familiar with the snore guards advertised on TV to decrease or stop snoring. You may be wondering what the difference is between these snore guards and the oral appliances provided by a dentist. As Seen on TV Snore Guards Snore guards are made from a pliable plastic that you boil and bite into. The benefit to these anti-snoring devices is that they are inexpensive to try and sometimes work. Unfortunately there are a number of problems with these devices. When you boil and bite into the guard you only have one chance to find the correct position for your jaw. Bringing the jaw too far forward too quickly can cause jaw pain or worse, a condition called temporomandibular joint disorder, which can result in facial pain, jaw popping, headaches, neck pain

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Page 26 — Healthy Cells Magazine — Peoria — March 2012

and more. Most guards allow a few adjustments but may not be enough to prevent jaw problems. Made from inexpensive materials these guards often break down quickly and need to be replaced after only a few months. Danger of Using Snore Guards—Masking a Bigger Problem One of the biggest problems with using a snore guard is that you may be masking a much more serious condition called Obstructive Sleep Apnea (OSA). Although snore guards are FDA cleared to treat snoring they are not approved to treat sleep apnea. Snoring is one of the leading signs of this condition. Over 18 million Americans suffer from sleep apnea, and 90% go undiagnosed. If you haven’t had a sleep study done, you don’t know if you have sleep apnea or how severe it is. You may have a false sense of security that you are being treated when you may still be living with a serious medical condition. Snoring causes a partial blockage of the airway during sleep. An apnea occurs when there is a complete blockage of the airway. Apnea literally means “cessation of breath.” If you have sleep apnea, your breath can become very shallow or you may even stop breathing while you are asleep. This state of not breathing can occur up to hundreds of times a night in some people causing serious health problems such as chronic fatigue, headaches, depression, high blood pressure, and even stroke or heart attack. At worst, untreated sleep apnea may result in death. Oral Appliance Therapy Done by a Dentist Oral Appliance Therapy (OAT) has proven to be a very viable and scientifically based treatment option for obstructive sleep apnea. The American Academy of Sleep Medicine issued a statement in

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the 2006 issue of SLEEP that Oral Appliance Therapy was approved as a first line of treatment for those suffering from mild to moderate Obstructive Sleep Apnea, and OAT is proving to be effective in severe cases for patients with CPAP intolerance. Only a dentist familiar with the temporomandibular joint, dental occlusion, and trained in the treatment of obstructive sleep apnea with oral appliance therapy is qualified to fit an oral appliance. The dentist will do a thorough health history and sleep apnea screening. If the patient shows the markers for OSA, the patient will need to obtain a sleep study. Depending on the patient’s health history, the dentist will either offer an at-home sleep test (HST) or an overnight-attended test called polysomnography (PSG). These tests are read by a board certified Sleep Physician who will determine a diagnosis. It is important to know if the patient is considered mild, moderate or severe in order to be able to recommend the proper treatment therapy. If the patient is then a candidate for OAT, the dentist will take a custom impression and bite in order to have an FDA approved lab fabricate the oral appliance. The oral appliance is made from a durable acrylic material. The appliances finely adjust to minimize any jaw pain and to ensure that maximum effectiveness is reached. Oral appliance therapy is covered by most medical insurances and Medicare. Most medical insurances will replace the appliance within 2 years or when it becomes medically necessary. For more information on oral appliance therapy contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, Dr. Willey has focused his practice on treatment for snoring, sleep apnea, and TMD with oral appliance therapy. To contact them call 309-319-7090 or email them at info@illinoissleepdoc.com.

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March 2012— Peoria — Healthy Cells Magazine — Page 27

the sandwich generation

What Does DNR Mean To You? By Steven Buttice, Founder and President Medical Reimbursement & Management Services, Inc.

he last days of winter are upon us and you spent last Saturday morning talking with your son about his potential college choices and Saturday afternoon with mom. During the conversation with mom, she spoke of her friend’s experience and the plans she has made in case she needs drastic medical intervention. Being proactive, mom wanted to have this type of tough but compassionate conversation with you. Life today is active, especially for women aged 45 – 56 who care for both their parents and children. These people are caught in the “sandwich generation” and these columns are focused on issues affecting you. What exactly does “do not resuscitate” (DNR) mean to you? This can be a real problem as it may mean something totally different to your brother and sister. Like most people, mother was saying that she did not want to be kept alive if her mind was gone and there was no hope. So, when does a person reach that specific point? Is there “that specific point” and if so, who will make that decision? Unlike the old movies, people aren’t energetic one moment and just close their eyes

and gone the next. Death can be more of a process where people change ever so slightly day by day. So what kinds of questions can be asked to help more establish this line? If someone’s heart would stop during surgery, what is the likelihood they would come back to 80 - 90% of where they were previous to surgery? What would be the goal of a feeding tube? How long would the feeding tube be in place and what happens if that person’s condition worsens? When do we stop aggressively treating a person and transition to treating with the goal of keeping a person comfortable? Now a little more work needs to be done from this discussion. All immediate family should be included in this discussion, but some may choose to ignore this difficult talk. After attempting to include them, perhaps a loving letter can be written by mom to that person to declare her choice of aggressive or not aggressive treatment. If one wishes to have a signed DNR, the form itself should be on red or pink paper. It should be posted in a conspicuous location such as

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Page 28 — Healthy Cells Magazine — Peoria — March 2012

“When do we stop aggressively treating a person and transition to treating with the goal of keeping a person comfortable?” above one’s bed, on their refrigerator or door. It should also be given to all doctors, presented at a medical facility prior to surgery and a copy kept in your purse or wallet. While this subject brings out all sorts of emotions, gaining a clearer understanding of the wishes of a loved one may provide peace and direction in the future. Helping mom and dad and caring for your children simultaneously is not easy. It is very helpful to discuss and plan for reasonable future events, and a sandwich generationer should guide their parent(s) through these issues and the primary issue of safety, while being careful not to take all control away from a parent. Once again, it is important to start talking, making suggestions and guiding early, do not wait for a crisis. If you would like a list of “questions to ask in different aspects of care” see our website and look under the “Patient Advocacy Division”. For more information, contact Medical Reimbursement and Management Services, Inc., focusing on the issues of the elderly: legal, financial, residential and healthcare issues. Call: 693-1060 or 1-800-383-1061. Website: www.MRMS-INC.com. Location: 809 W. Detweiller Dr., Peoria, IL 61615.

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March 2012— Peoria — Healthy Cells Magazine — Page 29

women’s health

Back Pain with Pregnancy By Molly McKenna, PT

orty-nine percent of women experience back and pelvic pain during their pregnancy that significantly inhibits their normal level of functioning. Moreover, one recent study even suggests that women who experience significant back pain during pregnancy are three times more likely to suffer from post partum depression. Clearly, most women would prefer to avoid both of these situations if at all possible. They certainly don’t lend themselves to the positive pregnancy experience many of us desire. Pregnancy related back pain is caused by numerous physical changes affecting the muscles, bones, and other soft tissue structures. These same physical changes can also lead to bursitis, hip pain, sciatica (pain down one or both legs), and sacroiliac joint pain/ dysfunction. But, by far, the most common complaint of pregnant women is back pain. Pregnancy related hormone changes cause the joints and ligaments that attach to the pelvis and spine to “loosen” to prepare the body for delivery. This is quite normal, but unfortunately this loosening often leads to symptoms of instability and pain with walking, bending, standing, and even just sitting for too long. Many women accept these symptoms as a normal part of pregnancy and feel like they just have to endure the pain. Well, it doesn’t have to be that way. A supervised physical therapy program can successfully treat

both back pain and other muscle and joint pain to help make your pregnancy the positive experience it should be. Recently, a 34 year old woman was treated during her 15th week of pregnancy. She was referred by her physician for physical therapy for low back pain that radiated all the way down her left leg. She rated her pain as an 8 out of 10 most of the time, but indicated an increase with prolonged standing and sitting, rolling over in bed, and when getting in and out of the car. At her first visit, the Physical Therapist found she had increased curvature of her lower back, an uneven pelvis and lumbosacral joint strain. Her treatment included gentle mobilization of the pelvis to restore symmetry, manual therapy to reduce tension on the sciatic nerve, lower back massage, lower body stretching, and specific exercises to promote spinal and pelvic stability. Within three visits her pain rating improved to 2 out of 10. She continued therapy for an additional four visits which resulted in a final pain rating of 0 on a 10 point scale. She was instructed to continue her home exercises which included modifications she should follow as her pregnancy progressed. Two months later she re-aggravated her back after a long car trip. After five additional visits, her pain was resolved and she remained symptom free for the rest of her pregnancy.

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Page 30 — Healthy Cells Magazine — Peoria — March 2012

Muscle And Joint Pains Sports Injuries Rotator Cuff Problems Carpal Tunnel Syndrome Low Back Pain TMJ Pain Burns and Bruises Tendinitis Osteoarthritis Fibromyalgia

Dr. J.F. Johnigk D.C. 4903 S. Becker Drive Bartonville, IL 61607

309-697-9617 www.johnigklaserinfo.com

“A supervised physical therapy program can successfully treat both back pain and other muscle and joint pain to help make your pregnancy the positive experience it should be.” Back pain is quite common during pregnancy and easily treated with physical therapy— especially during the 1st and 2nd trimesters. This patient responded very well to physical therapy. The pain she experienced was due to tension on the sciatic nerve as a result of normal postural changes seen during pregnancy. Her pain level was quite high, but quickly improved by mobilizing the pelvis and reducing the tension on the nerve. She did experience a relapse after a long trip which is not unusual. Fortunately, her quick decision to seek additional physical therapy treatment led to a positive outcome and no additional symptoms throughout the remainder of her pregnancy. Although outcomes can differ for each patient, pregnancy related back pain is one of many problems successfully treated at Premier Physical Therapy. If you are in pain, call our office at 683-6900 for a free, no obligation screening to find out if physical therapy can help you. You can learn more about Premier Physical Therapy at www.premierhealthcare.biz or find us on facebook at www.facebook.com/ptpremier.

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Steven A. Buttice, President March 2012— Peoria — Healthy Cells Magazine — Page 31

quality quest

New allcharts Sheds Light on Ideas: Effective Patient Care ™

By Sara Browning

odernized patient data exchange software is taking healthcare communication in Central Illinois to a new level of expertise and efficiency. Central Illinois Health Information Exchange (CIHIE) is “going live” with the application of allcharts™, a secure patient data exchange software that assists physician practices, healthcare clinics, hospitals and laboratories across the region in improving the quality of patient care by eliminating the need for patient health records on paper. CIHIE is a community-based independent non-profit organization incubated under Quality Quest for Health of Illinois located in Downtown Peoria. Established in December 2010, CIHIE helps make health information readily accessible to clinics, physicians and hospitals and oversees the implementation of the regional health information exchange. Health information exchange planning in Illinois was initiated with a grant from the Illinois Department of Healthcare and Family Services. Page 32 — Healthy Cells Magazine — Peoria — March 2012

“The grant financed twelve months of planning, after which we had to look to local healthcare organizations to see if there was enough interest for us to set up a non-profit and move forward,” says Joy Duling, Executive Director of CIHIE. “More than 200 people from organizations across Central Illinois’ 20-county region have been involved in its creation.” Introducing allcharts™ In late January of this year and in partnership with Informatics Corporation of America (ICA), CIHIE introduced the allcharts™ software to the non-profit’s service area. The area encompasses approximately 1.3 million people and 4 medical training areas. The 20 counties include 27 hospitals; 20 health departments; 2,800 physicians; 280 pharmacies; and 12 labs and imaging centers. Long-term care facilities, nursing homes and rehabilitation centers in the region can also take advantage of allcharts™.

CIHIE’s eleven charter members were the first to begin implementing the software in the fall of 2011. Seven of those Charter members are Peoria-area organizations, including Methodist Medical Center; OSF Saint Francis Medical Center; Proctor Hospital; Easter Seals of Peoria; Heartland Community Health Clinic; Human Services Center; and the University of Illinois College of Medicine. Charter members collectively contributed $400,000 to finance startup costs. Information Integration The implementation of allcharts™ is a “new idea whose time has just come,” according to Joy. Although allcharts™ does not replace electronic health records (EHR), the software takes the system to the next level by enabling the records to integrate with one another, furthering the efficiency of the healthcare system. Joy says this integration creates a community patient record that provides a comprehensive view of inpatient and outpatient information. “Every patient has a story of having arrived at a doctor’s office and been asked to construct his health history by relying on his own memory because his health records had not yet arrived. allcharts™ assists in the coordination of patient care, allowing clinicians to send secure messages, including consultation notes, referral letters or images. This eliminates the need to hand deliver, mail or fax important patient records. With allcharts, there’s no more waiting or relying on memory. Everything happens in real time.” Allcharts™ operates in a similar way as airline travel sites, such as Expedia or Travelocity. “On Expedia, you enter a destination and date, and the site pulls flight information from several different airlines. Likewise, when a physician enters the name of a patient, the software pulls the patient’s health records from several different healthcare providers and shows them all in one place.” Joy says independent physicians pay just $50 per month for allcharts™. Hospitals cover the cost for physicians employed by large hospitals, such as OSF or Methodist. “The price is less than the cost of one office visit,” says Joy, adding that the price is only $1.30 per patient bed per day for hospitals. The creation of a community patient record spawns numerous other benefits. allcharts™ eliminates duplicative tests, allowing physicians to spend more time with patients and lowering administrative costs. In addition, the new software improves treatment decisions and helps patients receive the proper medications, improving patient care outcomes.

The software’s exceptional security enables only authorized clinicians to access patient information. “Clinicians are assigned a valid I.D. and password. When clinicians obtain information, a digital fingerprint is created that leaves an audit trail.” The ability to exchange patient information across Illinois and, eventually, the nation is CIHIE’s future goal. A “very conservative” goal, Joy says, is enabling 80 percent of healthcare providers to have access to allcharts™ within the next 5 years.

Joy Duling is Executive Director of CIHIE and Project Director for the central Get Involved! region satellite offices of the Illinois CIHIE membership Health Information Technology Regional is currently available to Extension Center (IL-HITREC). organizations that send and/or receive healthcare information on behalf of patients treated in Central Illinois. Membership levels include Participating Membership, requiring an annual subscription, and Sustaining Membership, which requires a one-time contribution to support ongoing development. “At the end of the day when we take off our nametags we’re all patients,” says Joy. “It’s important for us to keep that in mind going forward.” For more information on allcharts™ or CIHIE membership, contact Joy Duling at 800-691-6597 or visit www.allchartsnow.com. Plus, view patient stories at www.cihie.org.

Counties covered by the Central Illinois Health Information Exchange CIHIE will connect 20 counties in central Illinois that will ultimately become part of a planned Nationwide Health Information Network (NHIN).

March 2012— Peoria — Healthy Cells Magazine — Page 33

muscle and joint pain

Laser Therapy Equals Real Results By Sara Browning

Clinic in Bartonville. “The light photons penetrate the cell structure of the tissue or joint and stimulate the body to initiate the healing process and keep it going until the condition is resolved. If the tissue is healthy, healing can occur.”

The Power of Light With its ability to stimulate the healing of the body’s cells, laser light therapy is beginning to see widespread application. Chiropractors in the local area are now utilizing a newly developed BioFlex Laser treatment device manufactured in Canada to heal acute and chronic muscle and joint conditions that cannot be treated with traditional Chiropractic care. When traditional chiropractic and medical procedures fail, laser light therapy is in some cases the only treatment that assists patients in returning to good health. “Laser is essentially healing by light—red and infrared light to be exact,” says Dr. J. F. Johnigk with Chiropractic and Laser Treatment

How It Works Laser therapy has been metaphorically described as shining a ray of sunlight directly on damaged tissue cells inside the body stimulating the cells to function normally. The laser procedure is relatively simple. Once the laser array is placed over the injured area, the computer-generated program begins. The procedure lasts between 20-30 minutes. General conditions commonly healed with laser therapy include carpal tunnel and repetitive motion syndromes; rotator cuff tears; and low back problems. Injuries include contusions; tissue sprains and strains; burns and bruises; tennis elbow; tendinitis; and ligament and tendon tears. Almost any condition that involves an inflammatory process can be treated, including bursitis; myositis; synovitis; plantar fascitis; and rhuematoid arthritis. Patients with degenerative conditions, such as osteoarthritis and degenerative disc disease, are also candidates for laser therapy. Other conditions include chronic leg ulcers, musculoskeletal disease and injured nerves and bone fractures, to name a few. Sports injuries respond very favorably to low-intensity laser therapy.

atients are experiencing the end of muscle and joint pain with the introduction of a revolutionary non-invasive laser therapy. Alleviating pain in muscles and joints has now been simplified with a new low-intensity laser technology designed to enhance healing and improve patient health. Physicians have utilized lasers and light therapy for over two decades, but their potential for treating muscle and joint injuries is far-reaching. Physicians’ frequent use of such technology aspires to the fact that laser treatments are non-invasive and non-toxic, offering a safe alternative to traditional therapies, surgery and medications.

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Page 34 — Healthy Cells Magazine — Peoria — March 2012

Sports injuries often cause ligament strains and sprains that keep athletes off the field for indefinite time periods. Laser therapy can reduce downtime by between 50-80 percent for sports-related conditions. Sports injuries may require 10-12 treatments, according to Dr. Johnigk. Basketball’s Vince Carter and Doug Christy, baseball star Mark McGwire and track runner Donovan Baily are a few of the famous athletes that have been treated with laser therapy. Impressive Results Laser therapy astounds patients with impressive results. The non-invasive laser light therapy treatment is a highly effective procedure with no recorded side effects. In addition, patients are not exposed to heat, eliminating the risk for burns. Furthermore, if the treatment is successful patients experience almost immediate pain relief from the injury. Other patient benefits include increased blood circulation in the tissue, enhanced lymphatic drainage and stimulation of endorphin production, the body’s natural pain relievers. “Laser is the coming technology and will be the treatment of choice in the future,” says Dr. Johnigk. “If anyone has a chronic condition that has not responded to conventional care, this is a new alternative treatment to try.” Dr. J. F. Johnigk has been a Chiropractor for over 30 years. He maintains Chiropractic and Laser Treatment Clinic at 4903 South Becker Drive, Bartonville, IL, 61607. For more information on BioFlex Laser Therapy, call 309-697-9617 or visit www.johnigklaserinfo.com.

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congenital foot deformities

Clubfoot: A Definition By Nitin Bhanti, CO

lubfoot, also known as talipes equinovarus, is a congenital (present at birth) foot deformity. It affects the bones, muscles, tendons, and blood vessels and can affect one or both feet. The foot is usually short and broad in appearance and the heel points downward while the front half of the foot (forefoot) turns inward. The heel cord (Achilles tendon) is tight. The heel can appear narrow and the muscles in the calf are smaller compared to a normal lower leg. There are various risk factors for clubfoot. These include, abnormal positioning in the uterus, family history of clubfoot, increased occurrences in those children with neuromuscular disorders, such as cerebral palsy (CP) and spina bifida, and oligohydramnios (decreased amount of amniotic fluid surrounding the fetus in the uterus) during pregnancy. Environmental factors play a role in causPage 36 — Healthy Cells Magazine — Peoria — March 2012

ing clubfoot as well. Studies have strongly linked clubfoot to cigarette smoking during pregnancy, especially when a family history of clubfoot is already present. Your child’s physician makes the diagnosis of clubfoot at birth with a physical examination. Your physician obtains a complete prenatal and birth history of the child and asks if other family members are known to have clubfoot. Developmental delays may require further medical follow up to evaluate for underlying problems. Other diagnostic procedures include x-rays and CT scan. There are many treatments for clubfoot. These involve different manipulations, casts, and sometimes surgery. An experienced orthopedic surgeon discusses these options with the parents. The most common method of treating clubfoot is the Ponseti method. Using this method, clubfoot can be corrected in six to eight weeks

using manipulation and casts. When using this method, fewer than five percent of severe clubfoot cases end up requiring surgery. After the removal of the last cast, it is mandatory that the baby wear braces (orthoses) for at least two to three months, 24 hours a day. The orthoses uses open- toed, high top shoes attached to a metal bar. It is necessary to see an orthotist for the measuring and fitting of this specialized orthoses. Follow up appointments are necessary for adjustments and proper monitoring. Clubfoot can reoccur if these guidelines are not followed. Various orthotic devices are available today for the treatment of clubfoot. These include the Dobbs Dynamic Clubfoot Bar, the Mitchell Clubfoot system, and The DenisBrowne bar. Although these orthoses provide similar functionality, they have different designs and features. It is up to the physician and/or treating Orthotist to provide the design most appropriate for the baby. The Dobbs Bar allows for dynamic movement while the baby is crawling, and allows rotational movement to occur without impeding the treatment. The Mitchell system offers silicone shoes which are much more flexible and comfortable. It also allows for the parents to visually see if the baby’s foot is properly placed inside the shoes. The Denis-Browne Bar is a traditional method used and allows easy contouring and adjustments for the boots and bar. There is no way to prevent clubfoot at this time. Genetic counseling can help parents understand the odds with each pregnancy for having a child with clubfoot. Researchers are continuously trying to better understand the genetic and environmental causes that may contribute to clubfoot. Following the protocols for treatment that exist today allow for proper treatment and good results when dealing with congenital clubfoot. Nitin Bhanti is a Certified Orthotist at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides patients in Central Illinois with prosthetic and orthotic devices and care, and also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888-676-2276. Visit the website at www.cpousa.com.

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safety for teens

Teen Dating

Violence Myth or Fact By Jeanne Anders, Supervisor of School and Community Based Prevention Services, The Center for Prevention of Abuse

ating violence or abuse can occur in intimate relationships between people of all ages. However, studies have shown that teens, ages 13-18 are at high risk as they are beginning to explore dating and intimacy. Also, statistics tell us that this age group is less likely to talk about abuse to a friend, family member or trusted adult. A basic definition of Teen Dating Violence or Abuse is a pattern of actual or threatened acts of physical, sexual, and/or emotional

Page 38 — Healthy Cells Magazine — Peoria — March 2012

abuse, perpetrated by an adolescent against a current or former adolescent dating partner. Abuse may include insults, coercion, social sabotage, sexual harassment, threats and/or acts of physical or sexual abuse. The abusive teen uses this pattern of violent and coercive behavior in order to gain power and maintain control over the dating partner. Below are some common myths often heard from teens regarding Teen Dating Violence:

Myth: Teen Dating Violence is not that big of an issue. Fact: 1 in 3 teens have or will experience violence in their dating relationships. Myth: Jealousy and possessiveness are signs of true love. Fact: Jealousy and possessiveness are signs that the person sees you as a possession. It is the most common early warning sign of abuse. Myth: It is only considered teen dating violence when there is physical abuse. Fact: A violent relationship means more than being hit by the person who claims to care about you. Any dating relationship that has physical, sexual, verbal, or emotional abuse is a violent one. Myth: The only reason why he/she hits me is because they were drinking/doing drugs. Fact: Drinking or doing drugs can lead to violence because you lose your inhibitions and self-control. But, it is not the direct cause of violence. In fact, many people who abuse their boy/girl friend do not drink heavily or do drugs. If someone is going to be abusive, alcohol and drugs are just an excuse as to why they are doing it. Those who abuse always have a choice.

Myth: No one really understands. Fact: People do understand. The issues and knowledge of Teen Dating Violence have come a long way. Adults are here to help you keep safe. Talk to your parents or school counselor. If you need help or want to talk to someone please call 1-800559-SAFE (7233) or The Center for Prevention of Abuse at 309-691-0551. The Center for Prevention of Abuse provides small group programming for girls and boys in middle and high school called HARTS (Helping All Relationships To Be Safe). HARTS enables teens to form healthy relationships. It covers the characteristics of healthy relationships versus unhealthy relationships in order to equip them to live a violence-free life. For more information please contact Jeanne Anders, Supervisor of School and Community Based Prevention Services, The Center for Prevention of Abuse, 309-691-0551 or visit our website www.centerforpreventionofabuse.org.

Myth: He or she brought this on themselves. They asked for it. Fact: The person who is being abused has no control over the abuser. It is never your fault and most importantly you cannot change someone else. Myth: If a person stays in an abusive relationship, it must not really be that bad. Fact: People stay in abusive relationships for a number of reasons: fear, confusion, loss of self-confidence, not recognizing that what’s happening is abusive, or belief that the abuser needs your help or will change. Myth: When someone leaves an abusive relationship, the abuse usually ends. Fact: Unfortunately, many people are in greater danger when leaving the relationship. The abusive partner is losing the power and control. He/she may seek revenge for leaving, make threats, or engage in stalking. It is important to have a safety plan. Know which adults you can tell about the violence and abuse, and who can help you remain safe.

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cervical radiculopathy

A Pain in My Neck C

ervical radiculopathy is a problem that results when a nerve in the neck is irritated as it leaves the spinal canal. Damage can occur because of pressure from material from a ruptured disc, arthritis or other injuries that put pressure on the nerve roots. In older people, normal degenerative changes in the discs as well as arthritis in the facet joints of the vertebrae can cause pressure on nerve roots. In younger people, cervical radiculopathy tends to be the result of a ruptured disk. This disk material then compresses the nerve root, causing pain. The primary symptom of cervical radiculopathy is pain moving into the arm, neck, chest, or shoulders. Numbness or tingling in fingers or hands and muscle weakness may be present. Other symptoms may include lack of coordination, particularly in the hands. When you are suffering from cervical radiculopathy, you may have neck pain and headaches in the back of your head. These are sometimes referred to as occipital headaches. You will experience pain and weakness in different areas, depending on the level of the cervical vertebra where the radiculopathy is occurring.

Page 40 — Healthy Cells Magazine — Peoria — March 2012

By Richard A. Kube II, MD, FACSS

Treatment options Treatment should focus both reducing compression on the nerve roots and relieving symptoms. The treatment of neck pain can range from the reassurance that nothing is wrong to very delicate surgery. Treatment, which is always based on the individual and his or her symptoms, falls into two broad categories: conservative treatment and surgical treatment. Conservative treatment Mild pain medications can reduce inflammation and pain when taken properly. Medications will not stop degeneration, but they will help with pain control. Regardless of whether you have surgery or not, your doctor may have a physical therapist work with you to develop an exercise program. Many problems in the cervical spine can be improved greatly with a good exercise program and good education on neck mechanics. Maintaining excellent strength, flexibility and balance around the neck and shoulder may help prevent some forms of cervical radiculopathy. When other conservative measures do not work, or in an effort to postpone surgery, an epidural steroid injection may help. It places a small

amount of cortisone into the bony spinal canal to reduce inflammation and pain. Surgical option If conservative measures don’t work, surgery may be necessary. One of the newer operations used to treat cervical radiculopathy is cervical disc replacement. It is performed after an anterior cervical discectomy. Discectomy literally means “cutting out the disc.” The surgeon reaches the damaged disc from the front (anterior) of the spine, through the throat area. By moving aside the neck muscles, trachea, and esophagus, the disc and bony vertebrae are accessed. In the neck area of the spine, an anterior approach is more convenient than a posterior (back) because the disc can be reached without disturbing the spinal cord, spinal nerves, and the strong neck muscles of the back. After the disc is removed, the space between the bony vertebrae is empty. To prevent the vertebrae from collapsing and rubbing together, the surgeon fills the open disc space with a biomechanical motion device that replaces your disc. This device preserves some of the motion in your neck and theoretically protects the adjacent discs form added stress seen in fusion surgery.

At the Prairie Spine and Pain Institute Dr. Richard Kube and his team of professionals can treat your neck pain. For more information or for treatment, contact our office at 309-691-7774 in Peoria, IL or visit www.prairiespine.com.

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seniors in the workplace

Flexibility and Curiosity are Key to Job Longevity Submitted by Lutheran Hillside Village

he good news? We’re living longer! The not-so-good news? That could mean big changes in the business world, especially for aging members of the workforce. Over the past century, the average American’s life expectancy has jumped by more than a third. In 1911, a person could reasonably expect to live to 51.5 years old, but today, that number has leapt to 78.2, the largest, fastest increase to this figure in the history of the world. So what does that mean to society as a whole? That’s the question author Ted Fishman set out to answer in his new book, “Shock of Gray.” The answers he came up with predict a future shaped by its oldest inhabitants – and we as a culture will see major ramifications in areas from finance to the arts. “Shock of Gray” fleshes out ideas Fishman presented in his best-selling book, “China Inc.”, which tells how China has used its young and inexpensive workforce to become a global superpower. On the other end of the age spectrum, Fishman argues that seniors

will affect the world’s economy in significant ways through globalization and immigration. After all, the trend toward longer life isn’t native to the United States. Across the world, life expectancy is 65 and older in more than 160 countries – indeed, in 2010, 7.6% of the world’s population topped the 65-year mark. This growing number will have a huge effect on how we live in the coming years as a global society. The increasing senior population brings with it a shift in the ratio of seniors to younger people. The question becomes, who will take care of the members of our aging population? In America in particular, the structure of the family has shifted and become decentralized, which means fewer family members left to care for aging relatives. So what does this shift mean in the business world? Much has been made in the media about the aging of the workforce. People are waiting longer to retire – partly out of financial necessity, partly out of an emotional need to keep busy. After

One More Reason to Choose CPO Nitin Bhanti, CO Nitin Bhanti is a Certified Orthotist who completed the certification program at Northwestern University Feinberg School of Medicine - Prosthetic and Orthotic Center. He completed his bachelor’s degree at SUNY Stony Brook in New York with a major in Biopsychology. Nitin’s focus has been on pediatrics throughout his training and would like to continue to improve the lives of young children in central Illinois. Nitin’s goals are to continue to improve the lives of his patients through orthotic intervention, and to take advantage in the sharing of information to improve the field of prosthetics and orthotics.

Comprehensive Prosthetics & Orthotics is committed to restoring mobility and quality of life for patients of all ages, with a full range of orthotic and prosthetic services and an on-site fabrication laboratory.

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all, advances in medicine have made it possible for people to work longer, so it is becoming increasingly common for people in their 60s and 70s to have steady jobs. More workers in the workforce can mean a devaluation of each employee’s value to their company. For older adults, that thought can be discouraging, but Fishman indicates that all is not lost. “You have to try to ensure that your labor isn’t devalued,” he writes. “You need to make sure that you have a good inventory of skills and a strong social network before you find yourself in an employment crisis.” The keys to doing this: flexibility and a willingness to continue to learn. “We have a large group of workers who haven’t kept their skills current,” he says. “(These) people are encouraged to leave; they are bought out, made redundant or left in the cold when their jobs move.” For some seniors in the workforce, that could mean further schooling or on-the-job training, and it certainly means staying flexible in the face of major changes. But for a generation of Americans who are increasingly using their retirement years to embark on a second, third, fourth, or even fifth career path, flexibility is one thing that today’s seniors seem to have in spades. To learn more about Lutheran Hillside Village in Peoria call Ellyn Book at 309-689-9605, or visit online at www.LutheranHillsideVillage.org.

March 2012— Peoria — Healthy Cells Magazine — Page 43

staying active and fit

“Hip” Takes on a Whole New Meaning for Today’s Boomers By Steve Wilson

f you are between the ages of 48 and 66, you are a “babyboomer.” And you may not realize this, or, maybe you do – you’re having a huge impact on this world we live in. Your busy lifestyle is affecting everything from how we shop, what we buy, how we pay for it and how we invest it. These changes may especially be true where healthcare is concerned. No doubt your active lifestyle has had an impact on everything from medications, scans, screenings and outpatient services to nutrition, exercise, and surgical services. Nowhere have the delivery of surgical services and the advancement of its technology been more apparent than the realm of orthopedic surgery. Hips, shoulders, and aching knees, are no longer simply an issue for the elderly. You hear more and more Baby Boomers suffering, too, which is helping drive surgical demand. Some news sources

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have reported double the knee replacement surgeries within the last ten years, and growing ever faster due to boomer demand. Why such a rise in orthopedic surgical cases? The Boomer generation tends to be more active. They’ve grown up in a world that is moving at an incredible pace. Everything is faster! And, just as they are accustomed, they want to get back out on the golf course, the bike and hiking trail, the tennis court, or even that cruise ship – faster. Most Boomers want to stay active and fit, and for many of them, getting a knee replacement should be as simple as buying a new pair of running or walking shoes. Advancements in orthopedics, specifically replacement surgeries, have allowed people go enjoy their lives in every way. Many Boomers are getting joints, hips and knees replaced earlier and

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“Hips, shoulders, and aching knees, are no longer simply an issue for the elderly.”

earlier in their lives, which raises the question, too of “will some Boomers actually outlive their new hip or knee?” Given the incredible technology of today, it may not be uncommon for a 50 or 60 year-old to have a knee replaced and only to have it replaced again when they’re 80. The need for knee and hip joint replacement can be caused by: • O steoarthritis • Rheumatoid arthritis • Previous injury or trauma may lead to degenerative changes • Excess body weight causing stress on joint • Lack of regular exercise • Aging • Infection • C onservative treatments no longer effective You may want to speak with your doctor if your affected joint: • Hurts one or more days a week • Interferes with your sleep • If you experience pain while performing everyday activities • If your pain medication is no longer effective After speaking with your doctor, should you choose orthopedic surgery of some kind, there are some considerations that will enhance your patient experience. Make sure that pre-operative education classes are available. Orthopedic nurses and therapists should be available to ensure you and your loved ones of what to expect before, during and after surgery. Also make sure that rehabilitation services are available to meet your personal needs. A nice

option is having dedicated skilled care available so you don’t have to leave the hospital for additional treatment or rehabilitation. Comprehensive physical rehabilitation services should be available for your daily exercises, as well as home care and medical equipment services available without much hassle when you return home. Advancements in orthopedics have been made not only in the technology used to produce replacement devices, but in the surgical procedures that help implant them. Terrific accomplishments have been made to create more efficient processes from the time you enter the hospital, to your surgery, through your rehabilitation and when you go home. One thing we know for certain, Boomers aren’t shy about what they want. They want to enjoy life – and so should you. Steve Wilson is Communication Director at Proctor Hospital, Peoria. Visit Proctor at www.proctor.org and on facebook.

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1028 Hillcrest Drive Chillicothe HeritageOfCare.com/chillicothe March 2012— Peoria — Healthy Cells Magazine — Page 45

managing hypertension

The Key to Avoiding Serious Complications

ypertension – or high blood pressure – is occurring in epidemic proportions today. In fact, the American Heart Association (AHA) indicates that one in three adults is affected… and many aren’t even aware they have it. Often occurring without symptom, uncontrolled high blood pressure can cause life-threatening conditions. The good news, however, is that hypertension can be detected easily by seeing a physician regularly and having your blood pressure checked. Possible Consequences Your blood pressure is a measurement of the force against your artery walls as the heart pumps blood through your body. When that force is too high, it creates more stress on the blood vessels, which is not only a danger in itself but can also result in other serious health problems. Hypertension is responsible for more cardiovascular disease than any other risk factor, and the numbers affected are rising. This has been attributed in part to aging baby boomers and rising obesity rates. Plus, epidemiologic data indicates that high blood pressure is also age dependent, so the chance of developing hypertension in your lifetime is 90 percent. Uncontrolled hypertension has been linked to an increased risk for stroke, heart attack, congestive heart failure, kidney disease and premature death. Factors Contributing to Hypertension According to the American Society of Hypertension (ASH), the largest U.S. professional organization of scientific investigators and healthcare professionals committed to eliminating hypertension and its consequences, high blood pressure is “part of a bigger disease conglomerate.” It is often accompanied by obesity, diabetes, kidney disease and many other co-existing problems involving lifestyle and/or genetics. Other factors that can contribute include:

By Robert Sparrow, M.D.

• The amount of salt and water in your body • The levels of different hormones in your body In addition, some people are at higher risk due to gender, race, age and genetics. Diagnosis and Treatment Your primary care physician can help determine if you are at higher risk by performing an evaluation, discussing family history and administering appropriate tests. If diagnosed with high blood pressure – or a higher risk – treatment may include diet/ lifestyle changes, exercise, medication and/or more frequent testing. Ambulatory blood pressure monitoring (ABPM) may also be required. This method is painless and requires wearing a monitor for 24 hours. Recently, ABPM has been highly recommended by specialists because it measures blood pressure intermittently outside the doctor’s office, under everyday conditions, and provides a more accurate reading for those who might otherwise have normal – or elevated – measurements during an office visit. Where hypertension is difficult to control, a specialist may work in conjunction with your primary care physician to help regulate and keep your blood pressure from reaching dangerous levels. Still, your best defense is having your blood pressure checked regularly. Early diagnosis and treatment can help to avoid serious health complications later. A Fellow of the American Society of Hypertension, Dr. Robert Sparrow is one of only about 100 physicians in the world with this designation. He is a board-certified nephrologist and a certified Specialist in Clinical Hypertension at Illinois Kidney Disease and Hypertension Center in Peoria. For more information, contact Illinois Kidney Disease and Hypertension Center at 309-676-8123 or visit www.illinoiskidney.com.

• The health of your kidneys (which help regulate blood pressure) • The condition of your nervous system and blood vessels

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Is your relationship not what it used to be? Do you want to bring the SPARK back? We will discuss natural, over-the-counter, and bio-identical options. Wednesday, March 21st • 6:30 p.m. Hult Health Education Center, 5215 N Knoxville Ave, Peoria

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Finally, free yourself from pain and arthritis...

Research studies have shown multi-disciplinary teams can provide the most effective treatments for all kinds of painful conditions, which received level I scientific evidence in medical history. Our multi-disciplinary, state-of-theart facility is proud to be one of the top pain management and rehabilitation centers in the country.

By adopting “Mayo clinic approach”, our nationally renowned pain and rehab specialists at CPMR provide all you need to relieve the pain under one roof. • Advanced medical management • Office based procedures (safe, convenient, cost-effective)

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5401 N knoxville, Proctor Professional Building, Suite 117, Peoria, IL 600 S 13th Street, Pekin Hospital, Suite E, Pekin, IL March 2012— — Healthy Cells Magazine — Page 47 For your complimentary consultation, call 309-689-8888, email: li@cpmrmed.com orPeoria visit: www.cpmrmed.com

public health

A Healthier America Begins Today By Greg Chance, LEPH, MPH, CHPA, Public Health Administrator, Peoria City/County Health Department

s central Illinois residents look forward to spring and the celebration of warming temperatures and flowers blooming, community health service providers are also commemorating the critical influence of public health programs on the health and well-being of central Illinois residents. Health is a result of our behaviors, our individual genetic predisposition to disease, the environment and the community in which we live, the clinical care we receive and the policies and practices of our health care and prevention systems. Each of us either individually or as a society strives to optimize these health determinants, so that all of us can experience a long, disease-free and robust life regardless of race, gender or socio-economic status. Although America provides some of the world’s best health care and spent over $2.5 trillion for health in 2009, the U.S. still ranks below many countries in life expectancy, infant mortality, and many other indicators of healthy life. Fortunately, we know that many diseases and premature deaths can be prevented. If central Illinois residents did the simple things — exercised more frequently; had healthier diets; avoided alcohol, tobacco and other drugs; practiced proper hand washing and food preparation; practiced safe

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sex and provided proper treatment to those suffering from mental illnesses — we could dramatically reduce the burden of disease and death within our population. Of course, we can’t make significant improvements unless everyone plays a part in creating a healthier community. That means everyone needs to take small steps to improve the wellbeing and health of their own communities. It is time we shift our paradigm from being a nation that cares for the sick to one that encourages preventive measures to improve our nation’s health. The first week of April celebrates public health activities within our community. During this time, the Peoria City/County Health Department is encouraging local residents to work together to make small changes to their lives to help prevent chronic and communicable diseases and to make Peoria County a healthier place to live, work and raise a family. Our community will be healthier and happier as a result. For other information on public health issues and programs, visit the Peoria City/County Health Department website at www.pcchd.org.

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Our Well Aware curriculum fosters positive attitudes toward healthy living, physical activity, and nutrition. • Healthy food options are provided daily • Movement Matters provides daily physical fitness curriculum for young children

For more information call 1-877-277-6543. Little Friends Learning Center 1715 W. Alta Road Peoria, IL 61615 309-243-9000 lfrnd@brighthorizons.com

www.brighthorizons.com/LittleFriendsHC Page 48 — Healthy Cells Magazine — Peoria — March 2012

insomnia

Neurofeedback

A New Non-medication Treatment By Ted Chapin, Ph.D., Licensed Clinical Psychologist, Trained Neurotherapist

nsomnia is a primary factor associated with many other physical and mental health problems. It has been estimated that 20 to 30% of adults suffer from insomnia causing increased illness, weight gain, and accidents. Insomnia has also been associated with many other psychological problems including anxiety and depression. In 2005, the National Institute of Health declared insomnia an epidemic. The most widely utilized treatment for insomnia is medication but it provides only a short term benefit. After three to six months, medication is typically discontinued and insomnia returns. Counseling has also been found to be useful in improving overall sleep hygiene and in reducing the anxiety that often contributes to and becomes a consequence of chronic sleep problems. However, neither of these treatments have been found to effect the underlying neurological dysregulation typically associated with insomnia. Early research in the 1980’s found that neurofeedback, a form of biofeedback to change brain wave electrical activity, can significantly improve the neurological problems associated with insomnia. Later research in 2010 found that neurofeedback was superior to more traditional relaxation biofeedback in improving sleep behavior. The most recent research, in 2011 found significant reduction in ratings of insomnia severity, better quality of sleep, improved sleep efficiency, and better quality of life. At the end of that study, all participants were classified as, “normal to near normal sleepers” and 50 percent of the participants reported lasting effects from six to nine months later. This research gives new hope to insomnia sufferers. Now, there are clinicians who are trained to provide neurotherapy treatment for insomnia. The process involves an initial assessment including a psychosocial and medical history, completion of several behavioral checklists and a computerized test of attention, and a five point electroencephalogram (EEG) assessment of current brainwave activity. The basic neurofeedback procedure for insomnia requires 20, 20 minute treatments over the course of ten weeks. Client’s brainwave activity is monitored while they listen to their favorite music or watch a favorite DVD. They are then given feedback in the form of sound alerts, when they increase or decrease certain targeted brain waves.

In time, the brain learns how to adjust itself and the insomnia problem becomes significantly decreased. If other problems are identified, such as anxiety, depression or trauma, additional treatment for these problems may be necessary. While neurofeedback provides an exciting non-medication option for the treatment of insomnia, the best results occur when clients also use counseling to develop good sleep hygiene behavior and effective personal and interpersonal skills to better manage the stress in their lives. The Neurotherapy Institute of Central Illinois, a division of Chapin & Russell Associates, we have three clinicians who are trained to provide neurotherapy treatment for insomnia. For more information, call the Neuortherapy Institute of Central Illinois at 309-681-5850 or visit Chapinandrussell.com/neurotherapy.asp

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waggintailsresort@gmail.com March 2012— Peoria — Healthy Cells Magazine — Page 49

wise eating

The Truth Behind 100 Calorie Snack Packs Submitted by Medi-Weightloss Clinics, Peoria

he concept of 100-calorie snack packs seems simple, right? Take the same high-calorie product and repackage it into a smaller, “healthy” snack option. While a clever marketing strategy for food producers, 100-calorie snack packs are not ideal for your wallet or your waistline. Before stocking up on these bitesize options, take a moment to look at the truth behind 100 calorie snacks. Empty Calories From Twinkies to sodas, 100-calorie snacks come in variety of options. Even if they are only 100 calories per pack, these foods often lack nutritional value. Medi-Weightloss Clinics® Dietician, Chelsey Millstone agrees, “While 100-calorie snack packs are a good way to exercise portion control, they are often void of any useful nutrients. Most of these snacks are high in refined carbohydrates and sodium, and low in fiber. We know that eating highly refined carbohydrates such as those in cookies, chips, and other snack foods, can have a significant, negative impact of your health and weight. “Not only are these snacks bad for the scale, they do not fill you up either. Many snack pack products do not contain hunger-controlling nutrients (fiber, protein, healthy fats), leaving you unsatisfied and may lead to further snacking over the course of the day.

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Page 50 — Healthy Cells Magazine — Peoria — March 2012

Portion Distortion With the abundance of supersize fast-food options and oversized entrees at restaurants, you may see why 100-calorie snack packs are ideal for controlling portion sizes. Although snack packs do help control overeating for some, many researchers believe that snack packs could actually have the adverse effect on others. The Journal of Consumer Research found that “smaller” snack packages encouraged participants to eat nearly twice as much, often without hesitation, than people who ate from larger packages. The article indicates, “The built-in portion control of snack packages may help some people curb mindless overeating, but this theory works only when you limit yourself to one package. If you consume more than that, the benefits are lost.” The study also found that consumers view the snack packs as “diet foods”, which couldn’t be further from the truth. Price of Convenience Convenience comes with a price tag, especially for 100-calorie snack packs. On average, these packs cost about two-and-a-half times as much as bigger bags, according to the Center for Science in the Public Interest (CSPI). For example, Cheese Nips charge on unbelievable 279% markup on their 100 calorie pack. Instead of stocking up on unhealthy and high-priced snack packs, try making your own healthy options instead. You’ll save money and stay full for longer with these 100 calorie or less snacks recommended by Medi-Weightloss Clinics ®. • Celery sticks (5) with peanut butter (1 Tbsp): 100 calories • Almonds (½ oz): 85 Calories • D eli Ham (2 oz) and Laughing Cow ® Light Swiss Cheese (1 wedge): 95 Calories • R aspberries (¼ cup) and low-fat cottage cheese ( 1⁄ 3 cup): 75 calories • B oiled shrimp (6 medium ) and Light Italian Dressing (2 Tbsp): 102 calories • Reduced Fat Cream Cheese (1 Tbsp ) and raw cucumber slices (½ cup) wrapped in smoked salmon (1 oz): 82 calories For more health and nutrition tips or to learn more about Medi-Weightloss Clinics ® , call 1-877-MED-LOSS or visit www.mediweightlossclinics.com

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