QUAD CITIES area Promoting Healthier Living in Your Community • Physical • Emotional
APRIL 2012
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HealthyCells www.healthycellsmagazine.com
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M A G A Z I N E
• Nutritional
Intouch Adult Day and Home Care Services of LSSI Enrich Your Life and Improve Your Health page 18
Spring Clean Your Grocery List page 8 Understanding Your Headaches page 26 Speech Therapy Isn’t Just for Kids! page 32
Recover from injury. For more than 25 years, Genesis Physical Rehabilitation programs have been restoring the health and functional abilities of patients after illness or injury. Call us to schedule an appointment or evaluation. DAVENPORT • Genesis Medical Center 1401 W. Central Park (563) 421-1470 • Valley Fair 2720 West Locust St. (563) 421-3495 • Lombard 1414 West Lombard St. (563) 421-9560 ELDRIDGE • Mid Town Plaza 170 South 4th Ave. (563) 285-9400 DEWITT • Genesis Medical Center, DeWitt 1118 11th St. (563) 659-4265
BETTENDORF • Maplecrest Medical Plaza 2535 Maplecrest Rd. Ste. 8 (563) 421-3460
CORALVILLE • Pediatric Therapy 2451 Coral Court #1 (319) 853-0596
• Pediatric Therapy Center 2535 Maplecrest Road, Ste. 23 (563) 421-3497 • Power Sports Performance Bettendorf YMCA 3800 Tanglefoot Lane (563) 332-7927 • Crow Valley 2300 53rd Ave. Ste. LL02 (563) 332-4422
MOLINE • Two Rivers YMCA 2040 53rd St. (309) 281-2280 • King Plaza 3650 Avenue of the Cities (309) 281-2500
LECLAIRE • 1003 Canal Shore Dr. (563) 289-2100
SILVIS • Genesis Medical Center, Illini Campus 1455 Hospital Road (309) 281-4740
Dv. Singh, MD ACCEPTING NEW PATIENTS CARING FOR PATIENTS 18 AND OLDER Preventive Medicine • Blood Pressure Diabetes & Cholesterol • Congestive Heart Failure Osteoporosis • Asthma • COPD • Physicals
CALL (309) 281-2540 FOR AN APPOINTMENT Genesis Health Group, Moline Family Practice Office Hours are Monday - Friday 9 a.m. - 5 p.m.
EDUCATION
2526 41st Street, Suite 1, Moline, IL
Graduate of Creighton University, Medical Center, Omaha, NE Completed residency at Lincoln Medical and Mental Health Center, Bronx, NY
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(563) 391-3430 Ask for Bob or Karen als Speci il! r for Ap
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Call for a: F re e C onsu ltation • F re e S c re e n i ng • F re e A ssessme nt
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240 N. Bluff Blvd., Ste #101B Clinton, IA 52732 563.242.2308 • 563.659.5516 Toll Free 1.888.942.2308 3111 Avenue of the Cities, Moline, IL 309.736.7414 137 S. State St., Suite 349,Geneseo, IL 61254 309-944-3727 1698 Iowa Drive, LeClaire, IA 52753 563.289.5229 • Toll Free 1.800.339.5229 Fax 563.289.3444 Muscatine, IA 563-263-0530 April 2012 — Quad Cities — Healthy Cells Magazine — Page 3
APRIL
2012 Volume 3, Issue 4
5
The Power Of Touch: Massage Therapy Works Well Against Stress & Anxiety
6
Emotional: Stress VS. Depression
8
Nutritional: Spring Clean Your Grocery List
10
Physical: Cheering for Success at Genesis Pediatric Therapy
12
Healthy Living: Tips to Prevent and Treat Seasonal Allergies
14
Healthy Lifestyle: Food Combining Principles
17
Child Care: Two-Year-Old Discovery Time!
21
Family Health: The Nose Knows
22
Improve Your Life: How habit is formed and we can change bad habits into good ones…
24
Financial Health: Do I need life insurance at my age?
26
Effective Treatment: Understanding Your Headache
This Month’s Cover Story:
Intouch Adult Day and Home Care Services of LSSI page 18
For advertising information, contact Laurie Hutcheson, owner at 563-650-1876, QCHealthycells@gmail.com Healthy Cells Magazine is a division of:
28
Treatment Options: Venous Disease Affects Both Men and Women
29
Dental Health: What Makes Invisalign Different?
30
Eye Care: Dry Eyes and Mouth?
32
Pathology: Speech Therapy Isn’t Just for Kids!
1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in The Quad Cities. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.
34
Exercise Pace: Getting Off On The Right Foot
Healthy Cells Magazine is available FREE in high traffic locations throughout the Quad Cities, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Quad Cities. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
36
Professional Planning: Protecting Assets for a Spendthrift Beneficiary
“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Laurie Hutcheson
the power of touch
Massage Therapy Works Well Against Stress & Anxiety By Michael Eskridge, LMT
M
assage Therapy is just one of the many tools that fall into the alternative medicine category. When a health treatment that is not classified as standard Western medical practice, it is referred to as a complementary and alternative medicine. A few examples of these may include acupuncture, biofeedback, hypnosis, aromatherapy, yoga, meditation, and massage therapy. Many people are looking towards other forms of treatment to assist with decreasing stress, anxiety, and depression. Almost everyone feels better after the soothing strokes of a massage. Why not give something so relaxing a try? Massage uses touch to help provide relaxation. Most touch therapies are based on the premises that the mind and body are interconnected and that physical health and emotional wellbeing are closely linked. The belief is that, when the body is relaxed, the mind contributes to better health, less depression, and overall well-being. Whether it’s guided imagery, meditation, yoga, or massage, anyone who suffers from clinical depression or anxiety disorders can benefit from some mind-body relaxation technique. Relaxation is the key, however it is achieved. Many live their stressful lives day to day without taking any time off just for them. Everyone deserves a well needed moment of relaxation and massage is just the right treatment for that! It will relax your mind and body, giving you a break from the stress of your life. Massage therapy can help reduce stress, promote overall wellness, improve mood through reducing depression, anxiety, and anger. There are substantial health benefits to a massage as well, including calming the nervous system, promoting a sense of well-being, improving blood circulation, and stimulating the body’s lymphatic system, which carries away waste products. Stress relief is one of the first benefits that come to mind when thinking of massage therapy. It is also a key component for anyone trying to achieve a healthier lifestyle. Clinical studies have been conducted and show that even a single ½ hour session can significantly lower heart rate, cortisol levels, and insulin levels-all of which help reduce stress through massage therapy. Massage has been shown to decrease cortisol in the body. This allows the body to enter a relaxing rest-and-recovery mode: an effect that lingers long after the massage is over. In fact, massage triggers a host of brain chemistry responses that can result in lasting feelings of relaxation, lowered stress, and improved mood. Taking care of your body should be at the top of your priorities. By adding therapeutic massage to your routine now, you’ll feel, look and simply be healthier far into the future. In fact, stress relief alone can improve your vitality and state of mind. So what better way to prep for a long, happy life than a relaxing, therapeutic massage?! For more information, please contact Michael Eskridge at 309-337-6227. April 2012 — Quad Cities — Healthy Cells Magazine — Page 5
emotional
Quad City
FamilyCaregiver
Conference STRESS VS. FREE SPEAKERS EXHIBITORS REFRESHMENTS COMPLIMENTARY MASSAGE & MANICURE
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SATURDAY APRIL 28 8 AM-NOON Waterfront Convention Center 2021 State Street, Bettendorf, IA
No registration necessary. Come and enjoy the morning. Caregiver decisions are easier when you are well
informed. Make the most of your time and energy with a variety of aging network professionals all under one roof who can guide you through the maze of caregiving issues. Learn about products, services and programs from local service providers and agencies who are ready to help you or the person you are caring for. Choose mini-seminar topics: > Elder Law Essentials for Caregivers > Aging - What Is Normal/What Is Not > Alzheimer’s - Is the End in Sight? Respite is available, contact us by April 16th.
563-324-9085 or 1-800-892-9085 Sponsors: Generations Agency on Aging, Alternatives for the Older Adult, Western Illinois Agency on Aging and the Alzheimer’s Association.
ARE YOU A FAMILY CAREGIVER? You ARE if you pay your dad’s bills and take him grocery shopping, take care of your live-in mother, care for your husband with Alzheimer’s, give a neighbor rides to the doctor or organize prescription medication dosages for an aunt. No matter how big or how small, it’s all about helping individuals maintain their independence. Page 6 — Healthy Cells Magazine — Quad Cities — April 2012
T
imes of sadness, stress and anxiety are common to everyone and can be triggered by numerous factors. In response to tough situations, about 25 percent of Americans will experience sadness that may seem like depression, but the good news is that these feelings are often temporary. Sometimes, overwhelming feelings of sadness remain persistent and significantly interfere with a person’s behavior, physical health and interaction with others. In these situations, depression could be the underlying cause. Depression can be serious and is most likely caused by a combination of genetic, biological, environmental and psychological factors. Depression can be linked to substance abuse and even
Learn the Difference and How to Help Yourself suicide. If you feel sad, worthless, and hopeless every day for two weeks or more, it’s time to take a mental health screening to see if you are at-risk for depression. Anonymous, online screenings are available at www.helpyourselfhelpothers.org. Screening for depression and other mood disorders is important as it allows you to identify warning signs early on, before things become serious. Depression screenings can help you determine whether what you are experiencing is a simple case of the blues or something more serious that requires seeing a health professional. “Just like any other disease, there are certain risk factors that can lead to depression,” says Dr. Douglas G. Jacobs, president of Screening for Mental Health, a non-profit organization committed to promoting the improvement of mental health. “It’s important to learn the signs and symptoms of depression, such as changes in appetite, loss of energy or loss of interest in your usual activities, as well as the necessary steps you can take to improve your health.” Depression can cloud your mind, zap your energy and make anyone feel discouraged. It can be difficult to take action and get help, but there are ways you can help yourself, starting right now. First, take a free, anonymous screening at www.helpyourselfhelpothers.org. Additionally, you can try these self-care tips: Take care of your mind and body. • Take part in activities you usually enjoy (movies, concerts, community events, sporting events, etc.). • Avoid drugs and alcohol. • Eat a well-balanced, healthy diet. • Get enough sleep. Focus on what’s doable. • Do not expect to suddenly “snap out” of your depression. • If you have a decision you feel overwhelmed by, discuss it with others who know you well and have a more objective view of your situation. • Break up large tasks into small ones, set some priorities and do what you can, as you can.
“Just like any other disease, there are certain risk factors that can lead to depression,”
Celebrate small steps. • Often during treatment for depression, sleep and appetite will begin to improve before your depressed mood lifts. • Expect your mood to improve gradually, not immediately. • Remind yourself that positive thoughts will replace negative feelings as your depression responds to treatment. If you or someone you love is in immediate danger because of thoughts of suicide please call 911 immediately. If you are not in immediate danger but need to talk to someone, you can call the national suicide prevention line at 1-800-273-TALK (1-800-273-8255).
April 2012 — Quad Cities — Healthy Cells Magazine — Page 7
nutritional
Spring Clean Your Grocery List By Beth Freehill, MS, RD, LD, Hy-Vee Registered Dietitian
S
pring is officially here and most of us gladly welcome the season. While we generally think of spring cleaning as giving our homes a good, thorough cleaning, have you given thought to sprucing up your grocery list? This spring, give your kitchen pantry and refrigerator a makeover and of course, take the time to enjoy the warmer weather. Let’s start by going through the food groups. First, let’s look at the grain options. Stock your pantry with whole grains such as whole wheat pasta, bread and crackers. Think outside the box and try unique grains such as quinoa, millet or amaranth. It can be tricky
“This spring, give your kitchen pantry and refrigerator a makeover and of course, take the time to enjoy the warmer weather.” to decipher if you are truly purchasing a whole grain. One tip is to look at the ingredient list and look for the word “whole” to see if the product contains a whole grain. “Enriched flour” on the ingredient list indicates white flour. The protein group is next. Stock up on lean sources of protein. For example, when it comes to beef and pork, look for the words “loin” or “round” to indicate a lean cut of meat. When it comes to poultry, the breast is a healthy, lean choice. Seafood, processed soy products (such as tofu), beans, eggs, nuts and seeds also fall in the protein group. Beans are a great source of protein and fiber and generally have a long shelf life, making them staples for your pantry. Have a plan when it comes to fresh fruits and vegetables. Some fruits and vegetables have a short shelf life, so plan your meals for the week based on the produce you are purchasing at the grocery store. Look over the grocery store ad and stock up on produce that is on sale. Keep dried fruit, no-sugar-added canned fruit, no-salt-added canned vegetables and frozen fruits and vegetables on hand so you always have these two food groups available. Next up is dairy. Take a look at the type of milk, cheese and yogurt you have in your refrigerator. The difference between the types of milk is the fat content. Skim or 1% milk are nutritious choices. Cheese made with 2% milk is lower in fat and light yogurt is a healthy option. Two useful resources for grocery shopping and meal planning are the NuVal™ nutritional scoring system and MyPlate. NuVal™ scores foods and beverages on a scale of 1 to 100. The higher the NuVal™ score, the better the nutrition. Look for the scores on shelf tags at Hy-Vee. MyPlate is a useful tool to help you plan your meals and demonstrates what an ideal plate should look like. MyPlate divides the ideal plate into the five food groups discussed in this article – grains, protein, fruits, vegetables and dairy. For more information, go to www.nuval.com and www.choosemyplate.gov. Talk to your local Hy-Vee dietitian for more ideas on how to spring clean your grocery list. The information is not intended as medical advice. Please consult a medical professional for individual advice. For more information, please contact Beth Freehill, MS, RD, LD at 563-242-6162. Clinton Hy-Vee.
Page 8 — Healthy Cells Magazine — Quad Cities — April 2012
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physical
Cheering for Success at Genesis Pediatric Therapy By Genesis Pediatric Therapy Center
S
ix-year-olds Madi Ramirez and Lynsey Stevenson have new motivation to jump in the heated therapeutic pool and build their balance and leg strength during therapy sessions at Genesis Pediatric Therapy. They’re cheerleaders. They have pom-poms to wave, letters to spell with their arms, and human pyramids to top. Despite their physical disabilities, Madi and Lynsey are among several Genesis Pediatric Therapy patients who are part of Integrated Cheer Experience, or ICE. In its first year, the program pairs students who have cognitive and physical disabilities with competitive cheerleaders from Eastern Iowa All-Stars Cheerleading. With the help of their older partners, girls with special needs participate in feats they never expected they could do. Genesis Pediatric Therapy Center is a team sponsor. Recently, the ICE team cheered during half-time of the Harlem Globetrotters game at the i wireless Center in Moline. This Saturday, they will cheer in a competition at Pleasant Valley High School.
The experience has been a confidence-builder for Madi, who has a progressive neuromuscular disease called spinal muscular atrophy, and Lynsey, who was born with spina bifida, a birth defect that involves the incomplete development of the spinal cord or its coverings. Each is paired with an Eastern Iowa All-Stars cheerleader, who helps them accomplish moves their bodies can’t and showcase the ones they can. When the girls aren’t at practice, Genesis physical therapist Katie Snyder guides them through physical therapy that will help them be more successful when they cheer. “Both girls work to improve their balance and lower-extremity strength,” Snyder says. “Madi can stand independently but is not able to squat. Lynsey is working on balance and would love to be able to jump. Improving their balance helps when the cheer team uses them as fliers to top a pyramid, for example.”
156,434 Patients Can’t Be Wrong
A PROVEN LEADER IN ®
We are celebrating that over 156,000 patients were admitted to our Centers last year! That is a big number. Each box of cereal has approximately 1500 pieces, the 103 boxes of cereal on display represent the 156,000 patients that chose Heartland Health Care for their post Heartland Health Care Center – Moline is rooted in the acute stay. Over 90% of our admissions return Moline community providing skilled nursing and rehabilitation to their“Life”after their rehabilitation stay.
services for those transitioning from hospital to home as well Thank you for choosing Heartland Health Care Center for your post acute care. as long-term care services for those no longer able to manage at home. Our dedicated team is proud to touch the lives of The boxes of cereal will be donated to the hundreds of patients every day. food bank on March 20th. Heartland Health Care Center – Moline 833 Sixteenth Avenue • Moline, IL 61265 309.764.6744 • www.heartlandnursing.com Page 10 — Healthy Cells Magazine — Quad Cities — April 2012
Scooting down the hallway on a scooter board at Genesis Physical Therapy is part of therapy for Lynsey Stevenson (left) and Madi Ramirez (right). Physical therapist Katie Snyder is helping them with balance and leg strength skills they need as members of the Integrated Cheer Experience, an initiative of Eastern Iowa All-Stars Cheerleading. Like the other girls Madi’s mother, Megan Ramirez of LeClaire, is a coach and coowner of Eastern Iowa All-Stars. The ICE team formed at the request of high school girls on the All-Stars’ highest competitive team. The All-Star youth plan practices, contact parents, and create routines. Cheerleading has enhanced her daughter’s life; it means a lot to Madi to be able to go to cheer practice with her two older sisters. “Madi’s mobility is limited. She can walk short distances but she also has a wheelchair,” her mother says. “When they put her in a stunt, she waves and smiles and thinks she’s a star. They help move her arms; carry her around the floor; and, move her from spot to spot. When they do jumps, they lift her up because Madi can’t jump.” Madi’s mother adds, “Every little girl wants to be a cheerleader. She gets to come and have fun and forget about her disability for a little while. No one is judging her. She smiles and has a good time.” Lynsey’s mom, Tammy Stevenson of LeClaire, recalls her daughter’s excitement at getting to perform at the Harlem Globetrotters event. “Lynsey has wanted to perform at the i wireless Center since she was 2 years old,” she says. “The fact she and the cheer team performed at half-time was a big deal for her. She thought she was the main event.” She adds, “Lynsey talks about being the only one at school with spina bifida. When she’s with other girls with special needs, she can be herself. She doesn’t have to be self-conscious that she’s ‘the only one who can’t do it.’ “
Both mothers can’t say enough about the progress their daughters have made at Genesis Pediatric Therapy. They appreciate the center’s therapists for their hope and positive attitudes. Instead of the predicted slow decline in her condition, Megan Ramirez has seen weekly evidence that Madi’s gaining strength and mastering more. She and her husband, Tom, weren’t given much hope when they learned Madi’s awkward crawl at age 2 stemmed from spinal muscle atrophy. At the time, doctors told them Madi would never walk. Lynsey has been going to the center for four years. Therapy is so much fun, “she thinks she’s going to Genesis to play,” her mother says. “She’s always wanted to jump and is thrilled to climb a footstool in the pool and jump off it. She also is working on standing on one foot at a time. It may sound trivial to anybody else, but it’s so important to her. She can’t do it on land yet, but it makes her happy to do it in the water. She’s doing things we never thought she would be able to do.” The Genesis Pediatric Therapy Center offers care in a newly redesigned and remodeled 6,000-square foot facility at Genesis Medical Park, Maplecrest Road in Bettendorf. The center and its team specialize in programs that meet the needs of children requiring physical, occupational and speech therapies. For information, call (563) 421-3497.
April 2012 — Quad Cities — Healthy Cells Magazine — Page 11
healthy living
Tips to Prevent and Treat
Seasonal Allergies
I
f you suffer from seasonal asthma or allergies, you know how uncomfortable your symptoms can make you this time of year. But it doesn’t have to be this way. Rather than suffer in sniffling silence, you can say goodbye to your unpleasant symptoms with simple lifestyle changes and diet modifications. What you put inside your body can have a tremendous impact on your allergies says Dr. Fred Pescatore, author of “The Allergy & Asthma Cure,” as well as the bestselling “The Hamptons Diet.” According to Dr. Pescatore, “refined sugars, flours, and processed food all trigger inflammation, so steer clear of them.” Instead, look for foods containing vitamin D3, which decreases inflammation, vitamin C, which helps combat the added stress to our bodies caused by allergies, and vitamin A, which helps rid the body of mucus. It also helps to turn your home into a refuge from allergens. Preventing buildup of harmful irritants is a crucial step to breathing easy. Regularly dusting, vacuuming and washing bedding will go a long way in the fight against allergens. The Asthma and Allergy Foundation of American recommends wearing a mask while you clean, and leaving it on for a few hours afterward while the dust settles. Be sure to keep your home dry. Water build-up is an invitation for mold growth. Go mold-free by hanging wet towels, fixing indoor and outdoor leaks, and using a dehumidifier. Page 12 — Healthy Cells Magazine — Quad Cities — April 2012
Feathered and furry creatures may be lovable and cute, but they are no friend to your sinuses. Do yourself a favor and keep Fido and Polly out of the bedroom. Irritants from the great outdoors should stay outside. After a jog through the park, or an afternoon picnic, leave your shoes on the porch and take a shower right away. You can also keep pollen at bay by closing your windows at night. And while you can’t control every space in which you spend time, you can give your car the same treatment you give your home. Vacuum the interior for a comfortable commute. In addition to modifying your diet to eliminate allergy triggers, Dr. Pescatore has found that nutritional supplements can help allergy and asthma sufferers. Look for ones containing vitamin D3, vitamin C and vitamin A. Additionally, vitamin B12 stabilizes the imbalance of bacteria occurring in the guts of most allergy sufferers. Pantethine works as a natural steroid, quercetin is one of nature’s best antihistamines, and magnesium helps rid your body of toxins it consumes and faces daily while helping you breathe more easily. “Following these simple steps,” says Dr. Pescatore, “could mean the difference between an enjoyable spring and a typically unpleasant one for the millions of Americans who suffer from allergies and asthma.” For more diet and allergy tips, visit www.drpescatore.com.
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April 2012 — Quad Cities — Healthy Cells Magazine — Page 13
healthy lifestyle
Food Combining Principles By Karen DeVault RN, BCHHP, Holistic Alternatives, LLC
F
oods that are rich in vitamins, minerals and other essential nutrients can create longer and healthier lives, although this isn’t the only criteria for judging food. Vegetables, fruits, nuts, seeds, beans, lentils and whole grains are foods full of vitality. Vegetables such as broccoli, carrots, peas and sweet potatoes are rich in antioxidants which are molecules intimately involved in the prevention of cellular damage by protecting them from unstable molecules known as free radicals. Fruits, peppers and broccoli are rich in vitamin C and other phytonutrients. Seeds and nuts are rich in essential fatty acids. Both protein and complex carbohydrates can be found in beans and whole grains (not refined, processed grains). A diet that aims to create wellPage 14 — Healthy Cells Magazine — Quad Cities — April 2012
ness should consist of at least half, if not all foods such as these with attention to variety. A whole food diet consists of foods that are not refined, processed, or sweetened with additives. They do not contain flavorings, colors or artificial ingredients. The optimum diet should include far less processed foods, and far more fresh vegetables and fruits, wild caught fish, lean meats, and some whole grains. Non-animal protein sources can come from beans, lentils, rice, and quinoa to name a few. A diet rich in plant foods offers the best defense against disease because they are rich in antioxidant nutrients such as vitamin C, beta carotene, vitamin E and cancer-fighting substances
known as phytochemicals which can be found in fruits, vegetables and grains. Over one hundred phytochemicals have been identified. They are biologically active compounds that act as antioxidants, immune system boosters and hormone stabilizers. There are many different factors that determine a person’s dietary needs, and that need will change from person to person. Some things to consider when designing a nutritional plan are food allergies, lifestyle, religious beliefs, age and physical condition. With that said, there are some food-combining principles to keep in mind. 1. Eat fruit by itself, with no other foods. Fruit is a powerful detoxifier. It has a high percentage of water and does not need much time to be digested. If fruit is consumed after a meal, it ferments in the stomach, causing bloating and gas. This is why it should not be eaten as a desert after a meal. For optimum digestion and nutrient absorption, eat fruit first thing in the morning or at least 2 hours after a meal and/or 20 minutes before a meal. 2. Eat protein foods alone, or with vegetables. Since there is a very high water content in vegetables they are relatively easy to digest. The enzymes of the vegetables enhance the digestion of protein, plus vegetables can actually be broken down in either an alkaline or an acidic environment. 3. Eat starches alone or with vegetables. Vegetables make a well-suited match for starches because they don’t complicate the digestive process. 4. Animal proteins and starch should be eaten separately since different digestive juices break down these two food sources. The enzyme found in our saliva breaks down carbohydrates in the mouth, while proteins need the power of hydrochloric acid and the enzyme pepsin, found in the stomach. It takes twice as long for proteins to digest in the stomach before being released into the small intestines. When proteins are eaten with starches (grain products, potatoes, bread, pasta, etc), the starch will be held up in the stomach as the body works to break down the protein. When this happens, the starch will begins to decay and the nutrients that are meant to nourish our cells are actually destroyed in the decaying and fermenting process. A stomach with decreased hydrochloric acid production is detrimental to proper digestion, which will create all sorts of digestive problems. Not only is hydrochloric acid important for proper digestion, it is needed to activate pepsin which is the enzyme responsible for breaking down protein molecules. Hydrochloric acid is also essential for the absorption of calcium and iron as well as protein.
5. D o not drink a lot of liquids with meals. Liquids dilute the stomach’s hydrochloric acid, therefore drink fluids between meals or limit your liquid consumption during meals to about 4 ounces. In summary, for example, eat meat with a salad or steamed vegetables; eat starchy foods like grains and pasta (preferably whole grain pasta) with a salad or steamed vegetables; eat fruit in the morning; and if you like sandwiches, have a grilled vegetable sandwich on whole grain bread. I recommend Ezekial sprouted grain and seed breads. While it’s very important to pay attention to the sorts of foods we eat and their proper consumption, we should also pay just as much attention to how that food was grown and prepared before it ever reaches the table. The issue of tainted meats and dairy products from hormones and antibiotics as well as food that has been genetically engineered and treated with pesticides, herbicides and fungicides, has most definitely become a very big health concern. Processed foods are of concern because the processing strips the food of nutrients, therefore the very thing your body needs, it does not get. These foods are then “fortified” with synthetic vitamins to make up for the loss of nutrients during processing; yet our bodies do not process these synthetic chemicals or recognize them as a food source. Processed foods often contain hidden sugars, processed (refined) salt, harmful fats and harmful chemical additives to enhance taste and color as well. These sugars, salts and flavor enhancers are not only unhealthy; they dull our taste buds to natural flavors. As a result we are drawn to eat more processed foods to get the taste we want, yet we will become more and more nutrient deficient. Instead, eat foods that are as close to their natural state as possible. In doing so, you will be eating foods that contain life! Bon Appetit! Karen DeVault is the owner of Holistic Alternatives, LLC. She is a Registered Nurse and a Board Certified Holistic Health Practitioner who specializes in Whole Food Nutrition and Essential Oil Techniques (Raindrop; Emotional Release and Neuro-Auricular). Her office is located @ 2435 Kimberly Rd. in Bettendorf. By Appointment. Her phone number is 563-340-5999 www.KarensHolisticAlternatives.com or email her @ holistic.alternatives@yahoo.com These statements have not been evaluated by the FDA. Karen does not diagnose, treat, cure or prevent disease. Her services are not intended as a substitute for regular medical care.
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We Clean Homes, Apartments, Condos & Offices • Move Ins/Outs • Construction Clean Up April 2012 — Quad Cities — Healthy Cells Magazine — Page 15
Fellowship-training. A difference that makes a difference. Why should patients look for a fellowship-trained orthopaedic specialist? Because advanced training makes a difference when it comes to surgical specialization. It brings new possiibilities and new procedures into the conversation about your care and recovery. By providing you with access to %# %&% ) " &' + #$ & #$ $ + ! & $ ")% # ) ,$ &" #$"( $" $ # & !& .$%& ##$" &" "$& "# $ & & +"', "! + .! & $& "# # %&% $! "$ "'& & %'$ "!% ! & $ %# %&% & + ( % & ! '% "! ! & osquadcities.com or by calling 563-344-9292 to schedule an appointment today.
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child care
Two Year-Old Discovery Time! By Eldridge Preschool
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ne might think that academics and two-year-olds are terms that rarely meet. And you’d partially be right. However, nowadays and even in our own backyard, preschool and two yearolds, have become another path in education. School at this age includes singing, dancing, arts and crafts, storytelling, free play, and both indoor and outdoor games and projects; all designed to teach children different skills. Kids are being introduced to sharing and taking turns, making friends, and developing language; coloring and painting to strengthen the muscles that he or she will later use to write and exposure to printed material gets them ready to read and write. There are still the basic academic components to preschool where children will learn such as counting and the alphabet.
“One of the most important factors in sending your child to two-year-old preschool is to keep the lines of communication open with the preschool teachers and monitoring your child to decide if he or she is ready or not.” In considering two year old preschool, a biggie now is no surprise; toilet training! The aim is to guide each child, depending on their potty readiness, toward independent self-care (pulling up pants, washing hands). At the Eldridge Preschool, we will encourage curiosity in the toilet training but will not discourage little ones who are not ready. Many parents are used to the typical starting your child in preschool at the age of three or four and having them potty trained. The wonderful part of having your son or daughter in a two year- old program is that we will address these physical gains with them and you don’t have to worry about accomplishing that feat before starting them in school!
Eldridge Preschool offers one of these developmentally designed programs for two year-olds; it is called Two Year-Old Discovery Time. The discovery program will follow the Creative Curriculum which uses a wide range of instructional strategies from child initiated to teacher directed learning. Ms. Nicole Davison is the teacher of the class which is offered two morning s a week. Each child’s class will have no more than six students and the kids will have an opportunity to rotate through several rooms in the preschool to work on all their skills. One of the most important factors in sending your child to two-year-old preschool is to keep the lines of communication open with the preschool teachers and monitoring your child to decide if he or she is ready or not. If your child separates from you with only momentary sadness, and enjoys playing with the other children, they’re likely to be ready for the experience! Eldridge Preschool is located at 2150 West LeClaire Road, Eldridge, IA. For more information regarding the Two Year-Old Discovery Time Program, Daycare, and Preschool Programs, please call 563-285-5060.
CELEBRATING! ONE YEAR OF Patient Care METROPOLITAN MEDICAL LABORATORY, PLC
685 Ave. of the Cities, Silvis Near I H Mississippi Valley Credit Union
6 am - 6 pm M-F; 6 am - Noon Sat.
309-792-0200 Quad Cities Chamber of Commerce Ribbon Cutting Ceremony at new Silvis site on January 24, 2011
Weight Loss Clinic Get your Diabetes, High Blood Pressure, Cholesterol, Depression, Self Esteem, Sleep Apnea Arthritis, etc. under control and enrich your life with new energy and dream of a new you! Lose 20-40lbs. in 2 months under medical supervision and learn how to maintain the lost weight - Michael J. Leonard lost 50lbs, in 6 months. - Jeanne Paggen lost 80lbs, stopped 8 out of 10 medications and was able to get off oxygen.
QC Medical Group & Weight Loss Clinic 4350 7th Street, Suite B Moline, IL 61265
Phone: 309 517 1180 Fax: 309 517 1113
Tell your doctor, “I want to go to Metro.” In a hurry? Fast, friendly, & convenient service. Close parking. Virtually all insurances accepted. Q u a l i t y Yo u E x p e c t . . . S e r v i c e Yo u D e s e r v e 1520 7th Street Moline, IL 61265 309.762.8555
1828 E.Locust Street Davenport, IA 52803 563.324.0471
April 2012 — Quad Cities — Healthy Cells Magazine — Page 17
feature story
Intouch Adult Day and Home Care Services of LSSI By Intouch Adult Day Care and Home Care Services
Intouch case aid Roberta Garrett helps CHiPs group member Jennifer O. with making a spring flower for the seasonal tree the group maintains at the center.
L
ooking more like a Saturday night sock hop or cheerleader tryout than an exercise routine, the group of men and women moved their colorful pom poms to the rhythm of Beach Boys’ song streaming from the radio. “We’ll have fun, fun, fun till her daddy takes the T-bird away…” Betty Eaton of East Moline sang as she followed the sittercize routine led by Intouch Adult Day and Home Care Services of Lutheran Social Services of Illinois rehabilitation aid Sandy Zischke. “We will you know,” she said. I always have fun here. There’s so much to do.” Until last year Betty spent most of her days home alone. She learned about Intouch and with the urging of her family decided to give it a try. Betty now laughs at how was nervous she was about her first day at Intouch. Page 18 — Healthy Cells Magazine — Quad Cities — April 2012
“I didn’t know what to think,” says Betty. “On the first day, I didn’t know if I would like it, and now I can’t stop coming. I’ve been coming here for year. They’re all wonderful here. My family was real impressed with how nice it is here. I would recommend it to anyone so they don’t have to worry about their Mom or Dad.” Intouch has touched and enriched the lives of over 30,000 seniors since it began over 31 years ago. The program is for adults age 18 and older who are looking for socialization and recreational activities, in addition to providing respite for caregivers. “The focus of Intouch is to keep people engaged and active,” explains Mary Bivens, Intouch’s program director. “We help keep people with their families, or in their own home. One of our goals is to avoid premature long term care placement. People come in and they are
stressed. They’ve reached the max load a caregiver can take and are looking for a place to go and see what options they have. We provide those options by offering home care coupled with adult day services to give them respite from caregiving. When they leave, it’s like a weight has been lifted off their shoulders.” Intouch has assisted Carl Lampkin of Milan with caregiving for more than 20 years. Lampkin, whose mother Wardean has attended Intouch since 1991 explains that his mother had a stroke in 1978 and was unable to get out and participate in her usual activities. “She loved it immediately,” Lampkin says. “It was wonderful for her self-esteem and being around others was a comfort for her. Intouch has helped the family…. allowed us to care for our mother at home.”
Judy J. looks over some flower photos during the Garden Club activity. Each Tuesday the University of Illinois Master Gardeners visit Intouch, providing education and gardening activities.
Intouch participant Ken B. and Intouch’s pet therapy dog, Harriet, get ready for one of their daily walks. The History of Intouch The idea to open a center like this came from Roger Arnholdt, an executive director at LSSI, who began writing the proposal in 1978. Jeff Linman, a counselor at LSSI, assisted in the development of the program and worked on securing the $100,000 needed to get the center off the ground. Intouch opened its doors September 2, 1980, at Trinity Lutheran Church in Moline with one participant:
Etta Ingersol. Within a month, a half-dozen participants were taking part in programs. By the following January, Intouch had outgrown its 20 participant capacity, and an “overflow site,” Intouch II, was opened at St. James Lutheran Church in Rock Island. By 1985, both sites were overflowing, and Intouch was moved to the vacant Jane Addams School in Moline. Sites were also opened in Atkinson and Galesburg. When the Moline School District needed to reopen Jane Addams as a school, Intouch moved to Rock Island. In 2005 it moved to its current location at 4011 Avenue of the Cities in Moline. Today, Intouch serves a diverse clientele ranging from 18 to 94 years old, the with majority being over age 60. The 150 or so current participants live in a 240 square mile radius of the Quad Cities in Rock Island, Henry and Mercer counties. The mission of Intouch is: a holistic program designed to meet the physical, psychological, social and spiritual needs of our participants to help them maintain their residences in the community. Our program gives participants purpose in their lives and helps them feel valued, appreciated and needed, in addition to providing respite to caregivers. Intouch is a godsend for so many families, who just need additional support. For Judy Lovett, whose mother Bonnie Webb attended Intouch for several years, it was a way for her mother to enjoy the company of others and for Judy to have much needed time to herself. “Intouch allowed me to keep my mother at home,” says Judy Lovett “She loved it; said it was better than staying home. She was always a people person, it gave her the socialization she needed. She was always eager to go each day.” Instead of being resentful and feeling trapped, Judy says she was happy and eager to spend time with her mother. Intouch not only gave her the respite she needed, but through seminars and caregiver support groups, it gave her the information and tools she needs to appropriately handle situations that arose due to her mother’s dementia. Judy says, “Intouch gave me my freedom, my life back. It gave me alone time with my husband, time to go to lunch with our friends…You know, God doesn’t expect us to do it all on our own. He provides all things for us. God provides people to help us, and God provides places like Intouch.” Intouch features three distinct programs: Active Adults, Adaptive Services and Community Helpers in Programs (CHiPs). Its goal to enable participants to improve physically, emotionally, and spiritually which helps avoid premature nursing home placement. Last year, Intouch added homecare to Moline’s services. Intouch home care assistants perform a number of services for older adults to help them maintain their lives at home, along with providing companionship. These services include: helping April 2012 — Quad Cities — Healthy Cells Magazine — Page 19
feature story continued • Escort transportation to and from the center via buses equipped with hydraulic lifts • Health monitoring by licensed nurses • Balanced, nutritional meal which meets 1/3 daily requirements • On-site physical, occupational and speech therapy with Physician’s order • Personal care, weekly beauty shop services and a monthly foot care clinic by Trinity Visiting Nurses • Adaptive Services programming based on the individual’s care plan and diagnosis including, but not limited to, low vision, Parkinson’s and dementia/Alzheimer’s Activities and Programs include: • Ceramics, craft and Garden Club • Intergenerational activities • Daily exercise classes • Educational, spiritual and recreational programs such as pet and music therapy • Talks on nutrition and health • Outings to places including Niabi Zoo, yard sales, fishing and local restaurants • Weekly Veterans Group • Cards, dice, bingo and other active games • Use of Computers
Oscar P. works on a puzzel at Intouch. Intouch provides a variety of scheduled activities as well as time to work on independent interests. with personal care (e.g. bathing and grooming), preparing meals, shopping for groceries, providing transportation to appointment and performing household tasks, including laundry. Caregiver Stress Having to care for the personal needs of a loved one can be very overwhelming at times, and sometimes caregivers need a break. An estimated 21% of all US households provide care for an adult family member or friend who is age 18 or older. Nearly 60% of those caring for an adult over the age of 50 are working and 62% of employed caregivers report that they had made some work-related adjustments as a result of their caregiving responsibilities, with a total estimated cost to employers of $17.1-33.6 billion.* As baby boomers start to hit retirement age, caregiving issues will increase. This is where the stress of caregiving can be eased by using Intouch Adult Day Services. Adult Day Services offer: • A safe, secure and caring “adult” environment • Intake and assessment for determining an individual’s strengths, needs and interests with periodic reviews
Page 20 — Healthy Cells Magazine — Quad Cities — April 2012
Home Care Services Since 1981, Intouch Home Care Services has been providing non-medical services to seniors in their homes. Intouch staff helps seniors maintain their lives in the community and provides an opportunity for relief to caregivers from demanding responsibilities. All LSSI home care assistants have received a minimum of 24 hours of initial training, as well as ongoing follow up training. LSSI’s staff is fully insured and carefully screened, and has successfully completed a background check. We tailor our services to the unique needs of each individual and work cooperatively with families on the changing needs of the parent. Intouch also provides for Alzheimer’s and dementia care, assistance during hospice care and relieves the stress and worry associated with caregiving. Services include: • Assistance with personal care (e.g. bathing, dressing) • Emotional support and companionship • Medication reminders • Meal planning and preparation • Shop for groceries and other errands • Transportation to appointments • Housekeeping tasks, including laundry • Assist with exercise and walking • Promote brain fitness • Monitor diet and eating • Provide respite care
For more information on Intouch Adult Day and Home Care Services, please call 309-797-0200, or visit www.LSSI.org and LSSI’s Facebook page.
family health
The Nose Knows By Mississippi Valley Surgery Center
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reathing, blowing, smelling and sneezing are, to most people, the nose’s main functions. Any of them can be more difficult when the sinuses are inflamed and can’t drain properly. Commonly, a cold will stuff up an adult’s nose two or three times a year, according to the American Academy of Otolaryngology. And of course, allergies can also clog the works, especially when pollen counts head upward in the spring and summer months. Signs You Need to See a Specialist Board certified Otolaryngologist Ralph R. Tyner, M.D, ENT Professional Services, Davenport, says there are definitive signs that sinus sufferers may need to see a specialist. “If you’ve been treated for a sinus problem two or three times in a row; your symptoms have been present for longer than 10-12 days; and you have increasing pain above, between or behind the eyes or behind the cheekbones, you may need to see a specialist,” he advises. Unfortunately, many people treat those symptoms with over-the-counter medications and never see a physician because sinusitis symptoms are quite similar to common colds and seasonal allergies, reports the American Academy of Otolaryngology – that means the number of people affected may in fact be significantly higher. “But for most chronic sinus-related problems, we have advanced medical and surgical treatments that can really improve people’s quality of life,” says Dr. Tyner. The Academy estimates 35 million people develop bacterial sinusitis each year – one of the serious, chronic conditions requiring specialized treatments – making it one of the most common U.S. health problems. Bacterial sinusitis can be a quite serious matter, requiring specialized treatments that may include antibiotics and even advanced surgical procedures. Structural defects in the nose and sinuses can also reduce a person’s ability to breath and smell. The Academy suggests that you look for these signs of a potential structural defect:
Is it a cold, an allergy or worse? Trees and flowers in the Quad Cities are in bloom, but pollen can wreak havoc on the nose and sinuses. Here are some basic guidelines to help you tell the difference between colds, spring allergies and chronic sinusitis. Signs & Symptoms Facial Pressure/Pain Duration of Illness Nasal Discharge Fever Pain in Upper Teeth Coughing Nasal Congestion Sneezing
Sinusitis Yes 10-14 days Thick yellow/green Sometimes Sometimes Yes Yes No
Allergy Sometimes Varies Clear, thin, watery No No Sometimes Sometimes Sometimes
Cold Sometimes 10 days Thick, whitish or thin Sometimes No Yes Yes Yes
Source: American Academy of Otolaryngology ENT Professional Services, P.C. 3385 Dexter Court; Suite 101 Davenport, IA 52807 563-359-1646
• breathing mainly through your mouth • only one side of your nose is blocked • you have a crooked or injured nose • you snore loudly. Blockages and obstructions can be surgically cleared through functional endoscopic surgery, which uses a miniature fiberoptic camera (the endoscope) so the specialist can conduct a minimally invasive surgery. “We are more conservative than those surgeons who scrape sinuses to fully remove damaged linings,” says Dr. Tyner. “The functional endoscopic surgery we perform removes the blockage from sinus pathways so the linings can resume Otolaryngologist Ralph R. Tyner, M.D., normal function and most of the time ENT Professional Services, Davenport these procedures can be done without nasal packing.” The more common structural conditions include growths that can block drainage (polyps), malformed ridges that warm and moisten your breath (turbinates), and a misaligned division between the nose’s two halves (deviated septum). For more information, please contact Mississippi Valley Surgery Center at (563)344-6653.
April 2012 — Quad Cities — Healthy Cells Magazine — Page 21
improve your life
How habit is formed and we can change bad habits into good ones... By Dr. Ilesh Kurani, MD, QC Medical Group & Weight Loss Clinic
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hought is required for any action and that repeated actions form habit. Habits form personality and personality develop a character of the person, So the thought is the seed of any habit. The thought has energy, and it has shapes and sizes in the brain cells as well. If the thought comes repeatedly and with higher intensity, it turns into an action. In our life, we get a lot of temptations and desires every moment. The desires and temptations change frequently. Sometimes they are not appropriate for society and sometimes not appropriate for our health. We keep tending to fight that at the brain cell level. In general, these fights/wars are negative and requires energy as well. Going from one end that is the presence of war in the brain cells to have a presence of peace in mind, it requires energy as well. For the example, Mother Teresa used to decline to go to any anti-war rally as it takes longer to go from an anti-war rally point to peace compared to going to a peace rally. She used to say invite me to a peace rally rather than an anti-war rally. This suggests in the peace rally, the beginning point is 0 while at an anti-war rally, the beginning point is at negative end, and we have to cross a wall negative spectrum to get to 0 and then go towards positivity. Even though anti-war rally and peace rally have the same goal and same direction, the beginning points are different. When we tell any child “not to do that”, the child will try to do that. In the same way, if we keep telling our brain, don’t do that, don’t do that, our brain eventually would like to do it and will tend to do it. Then we feel guilty and go again in the war of thoughts. Instead of continually fighting that war in negative spectrum, we should start the process at 0 and teach our brain a new way to think and start forming a new habit. The thought process should work like this: We should tell our brain that I can eat everything, but I am going to choose to eat healthy food from now on. In this case, the brain will not develop any tendency to fight against that though because that thought and decision is made with ‘free will’. The child in the above example will not do anything if you just leave him alone and
Page 22 — Healthy Cells Magazine — Quad Cities — April 2012
say he can do whatever he wants to do. Because we tell the child “not to do it”, his brain wants to do the specific thing that is prohibited. The same way we have to change the thought process and start thinking from point 0 and stay in the positive spectrum, and that way we can change habits. esults. Our default status is to remain positive and happy. As soon as we go on a wrong path mentally or physically, we feel unhappy. As an example, if we are going on a trip and we know the exact route, we feel happy and comfortable. However, as soon as we lose the path and go on a wrong path, we feel uncomfortable until we come back on the right path. The same way in the current moments, we should try to stay mentally on the current path, and we should stop thinking about any thought as soon as that though make us feel unpleasant or unhappy and we should make our self aware that we are mentally on the wrong path and should go back to the correct path to make us feel happy. In that way, our current moments will become happy and cheerful and that will lead to a positive, happy, cheerful future. To learn more about weight loss and how your mind and spirit help fuel your weight loss, call and make an appointment with QC Medical Group and Weight Loss Clinic at 309-517-1180 and is located at 4350 7th St, Ste B, Moline, IL. You can also learn more about Mind, Body and Spirit from Dr. Kurani by visiting his blog at Http://powerofzeroandfreewill.blogspot.com.
Stroke
IS THE LEADING CAUSE OF DISABILITY FOR ADULTS.
Do you experience discomfort, leg pain or swelling ? Do you have varicose veins ? The underlying cause of varicose veins and heavy, achy legs can be treated in our office with the Closure® procedure. It allows you to resume normal activities typically within 1 - 2 days. • Minimally invasive • Fast and mild recovery • Covered by most insurance for patients with venous reflux
LEARN ABOUT YOUR VASCULAR HEALTH WITH SCREENINGS FOR: • CAROTID ARTERY • AORTIC ANEURYSM • LEG VESSELS
No physician’s order is required. Call for your appointment today!
Call us to learn more !
Iowa Vein Clinic
Dr. Richard Sadler, MD, FACS 3385 Dexter Court Suite 100 Davenport, IA 52807
563.324.3818
Advanced Imaging Center 615 Valley View Dr., Suite 202 Moline (309) 762-1072 www.qcradiology.com
April 2012 — Quad Cities — Healthy Cells Magazine — Page 23
financial health
Do I need life insurance
at my age? By Julie Fuhr, Modern Woodmen of America
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aylor Swift. Mariah Carey. Stevie Wonder. What do these people have in common (besides powerful lungs and a few Grammys on their shelves)? Despite their age differences, all three have a need for the protection life insurance provides. Whether you’re a Taylor, a Stevie or someone in between, you have protection needs too. However, the reasons behind those needs are likely different. Age is just one factor that influences the type of life insurance you purchase, how much you need and the primary reason for owning it. Check out the chart inside for some points people in your age group may want to consider. Then contact your representative to discuss your individual needs.
effective treatment
Understanding Your Headache
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egardless of age, background, occupation or day to day activities, most of us have experienced the debilitating effects of headaches. The key to healing your headache is identifying and understanding what type of headache you are experiencing. Choosing the appropriate treatment that addresses the root of its origins and not just the manifestation of its symptoms is very important. This article will describe distinctive characteristics of the four main categories of headaches and effective treatments for each. Tension Headache Most often this headache is characterized by tightness or pressure that progresses slowly and some describe as wearing a very tight hat. The discomfort is usually felt in the temple or jaw region and wraps around the head to the base of the skull. Usually the pain experienced with a tension headache is secondary to tight muscles within the neck, jaw or shoulder region and is often related to stress. Poor posture resulting from things like time spent at a computer can cause chronic muscle fatigue that leads to tension headaches. At our office we use a variety of techniques to address the stress and muscle imbalPage 26 — Healthy Cells Magazine — Quad Cities — April 2012
By Kaminski Pain and Performance Care
ance. Nerve entrapment usually contributes to the tension headache phenomena. An effective treatment known as Active Release Techniques® (A.R.T) along with specific spinal and or TMJ manipulation can be very effective in treating this type of headache. This treatment should be accompanied by specific corrective maneuvers that reverse the compensatory motor patterns. In addition, one should address the needed lifestyle changes that may include rest, time management, caffeine reduction and proper nutritional support. Class IV laser therapy has also been used to alleviate these headaches and trigger reflexes. Rebound Headache A rebound headache results from an overuse of pain relievers intended to alleviate headache pain. When a common prescription or over the counter pain medication is used more than a few times per week it can reduce the body’s sensitivity to the effect of the medication. This increases the dependence and physiological need for the medication. Repetition of this cycle over time causes a withdrawal effect within the body that occurs when medication is stopped, heightening the intensity of headache pain that is experienced. In our office we
provide custom detoxification programs to remove irritants and restore improved filtering of the liver and kidneys that have been stressed over time. To best serve these patients they must discuss any reduction or changes in medications with their medical physician. Cluster Headache Cluster headaches are commonly regarded as the most severe and most complicated type of headache pain. The pain is usually on one side of the head and is felt intensely behind the eye or parts of the face. These can often be confused as sinus related inflammation. Men are more likely to experience this type of headache than women. This type of headache occurs without any kind of warning or pre-existing symptoms which is different than migraine headaches. Cluster headaches are accompanied by tearing in one eye and a runny nose. These headaches occur in ‘clusters’ of 10-15 minute durations over a period of several hours. Clinically we find that a good portion of these headaches may be alleviated. Proper correction of altered alignment in a variety of both hard and soft tissue structures in the head and neck regions can be significant protocols used to reduce these headaches. Poor postural support from the middle back may also result in significant pain in the head that has not responded to limited treatment. It is often necessary to treat all structures in a very specific pattern to reverse the altered signaling of pain to the head. Once again corrective exercises for posture and nutritional support for detoxification may also be helpful. Migraine Headache Migraine headaches are often misdiagnosed or underdiagnosed. A migraine is experienced with an aura or visual disturbance about one third of the time, and is accompanied by at least two of the four following criteria: • Pain on one side of the head • Pulsating in nature with moderate to severe intensity • Duration of 4-72 hours • Normal daily activity is limited In addition to the above symptoms, migraines are also commonly associated with nausea, increased sensitivity to light and/or sound, and women are three times more likely than men to suffer from migraines. Physical exertion often activates the condition, but rest and the removal of triggering factors help minimize the severity of symptoms. There are several common triggers which may include the following: chocolate, coffee, perfume, strobe lighting and any stimuli that creates a reaction to a previous trauma. Dietary changes have played an important part in correcting these headaches. There has been an increase in people reacting to genetically modified wheat and corn as well as poor diets high in carbohydrates. It would be wise for people with a history of these headaches to consider a modified Mediterranean diet rich in organic vegetables, lean meat and healthy fats. We have seen a substantial number of patients respond favorably following A.R.T and specific spine and/or extremity manipulation. Many factors can contribute to headache pain. Once it has been determined that a musculoskeletal cause exists the use of specific corrective care encompassing all the necessary components will provide for a more comprehensive solution to headache pain. Drs. Robert Kaminski, Kimberly Lake and Jesse Walden are all fully certified Active Release providers and also serve as instructors for ART® seminars on the national level. To schedule an appointment at Kaminski Chiropractic, please call 563-344-0777 or visit their website at www.pandpc.com
Families are unique,
and so are their financial needs. Families can be made up of all types of people and each of them has their individual needs when it comes to their finances. Families in the Quad Cities have placed their trust in us because they value the relationship. They like the time we take to understand their goals and the efforts we make to help meet them. They appreciate our expertise and attention. Call or visit us today for answers about how we can help your family. Investment Management
Trust and Estate Administration
Employer Retirement Plan Services IRA Management
Learn more at: www.northwestbank.com/IMG
563.388.2628 Investment Products • Are not insured by the FDIC or any other federal government agency • Are not deposits of or guaranteed by the bank or any bank affiliate • May lose value April 2012 — Quad Cities — Healthy Cells Magazine — Page 27
treatment options
Venous Disease Affects Both Men and Women By Iowa Vein Clinic
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enous disease does not just affect women as most people may think. In fact, men are more at risk for venous disease due to their high risk jobs such as factory work, construction work, etc. Men don’t complain about the symptoms, and when they finally decide to seek treatment, they have advanced disease. There is a delay of care, they procrastinate, and they need their loved ones to reassure them that this is not a cosmetic issue, that venous disease is a real, serious problem. There are three major consequences that men may have to deal with from venous disease. 1. Changes in the skin may not be reversed 2. The economic impact. When venous disease becomes advanced, it can be debilitating. Patients find it hard to work and they can’t complete their tasks at work because of pain, swelling, aching, throbbing, burning, itching, restless legs, and cramping 3. Long term quality of life becomes compromised. For example, when men get their 50-60’s, it is not convenient to have to wear stockings everyday due to their venous disease. A normal healthy vein carries blood back to the heart even while standing, by the use of the calf muscles and internal valves that prevent blood from running backwards or downward to the ankle. When either of these fail, usually the valves, blood pools in the leg, causing increased pressure, known as chronic venous hypertension. These changes result in the symptoms of burning, itching, aching, varicose veins, pain, cramps, restless leg, bleeding, phlebitis, eczema, discoloration and ulcers. The American Venous Forum classifies the symptoms on a clinical and research scale of 0-6 called CEAP. (Clinical, Etiology, Anatomy, Pathophysiology) 1. Early Appearance stages (C1); there are virtually no symptoms at this earliest phase, just the appearance of spider and reticular veins. They are distressing because of the appearance and image of ill health. They are usually treated by sclerotherapy and Laser photocoagulation. 2. Varicose Veins and Swelling (C2-C3); this is the stage where most of the symptoms start. The elevated pressures lead to venous engorgement, which cause the varicose veins, and later swelling and fluid buildup. Treating at this time is ideal for preventing the leg from the advanced stage, hence returning to normal appearance and function. 3. A dvanced and Complicated (C4-C6); there is a noticeable red brown discoloration which is typical of long term disease. The skin change is an early warning of irreversible changes that will always lead to constant discomfort and ultimately disability. The end stage consists of open ulcers and scarring, with the treatment goal being stabilization and prevention of permanent disability. 4. D eep Venous Thrombosis (DVT); there is a formation of blood clots in the deep veins of the legs, popularly known as the “economy class” syndrome. These clots require hospitalization, and are potenPage 28 — Healthy Cells Magazine — Quad Cities — April 2012
tially life threatening. It also results in the destruction of the venous valves, which then causes the Chronic Venous Hypertension and subsequent symptoms. The VNUS Closure Procedure, an alternative treatment option to traditional vein stripping surgery, brings state- of- the art technology to an age-old disease. The procedure is performed on an outpatient basis and is covered by most major medical insurance carriers. Best of all, the VNUS closure is quick, virtually painless, and requires less than a day of sick time. If you have any of the symptoms listed above, it is best to seek medical attention before the stages of the disease advance. And the next time you see a woman with a varicose vein, remember that there is probably a man nearby with an advanced stage that may be going undetected. Venous disease is a serious problem, one that can improve with education and proper medical treatment. If you think you are suffering from venous disease, call Dr. Richard Sadler, MD FACS, to schedule a consultation at 563-324-3818.
dental health
What Makes Invisalign Different? By Dr. Melinda Hochgesang, Byrum Family Dentistry
There are many questions about Invisalign and how it can benefit patients. Let us help clear up any questions you may have. What is Invisalign and how does it work? Over the course of treatment, you will be supplied with a series of aligners. Each aligner will make slight adjustments to tooth position, a process that is mapped out in advance by your doctor, specifically for your situation. When the aligners are placed on the teeth, they cause the teeth to gradually shift from their current position. After approximately two weeks, you will begin using the next set of aligners, which will continue the teeth straightening process. What are the benefits of Invisalign? Invisalign aligners are virtually invisible. No one may even notice that you’re wearing them, making Invisalign a seamless fit with your lifestyle. Invisalign aligners are removable. For the best results and a timely outcome, aligners should be worn for 20 to 22 hours per day. However, unlike with braces, you have the flexibility to remove your aligners to eat and drink what you want during treatment. And you can also remove the aligners to brush and floss as you normally would, for fresh breath and good oral hygiene. There are no metal brackets or wires that could cause irritation to your mouth, an advantage over traditional braces. Plus, since your office visits during treatment don’t involve metal or wire adjustments, you’ll likely spend less time in the doctor’s chair. Invisalign allows you to view your virtual results and treatment plan before you start so you can see how your straight teeth will look when your treatment is complete. Instead of imagining how much better it can be, you’ll be able to see it for yourself. How long will treatment take? The length of treatment depends on the severity of your case and can only be determined by your doctor; however, the average case takes about 12 months for adults. The length of time necessary for a teen patient may vary and can be determined by your doctor. If my teeth have shifted after having braces, can Invisalign fix this? A number of Invisalign patients have undergone a previous treatment involving braces at some point in their past, often during their youth. Adults can usually have the shifting that occurs after braces corrected, without having to go through the trauma and social awkwardness of wearing metal braces.
How much does Invisalign cost? We know cost is a big question for anyone considering orthodontic work. In most cases, Invisalign treatment is comparable to the cost of traditional braces. However, as with other medical treatments, only your doctor can determine the cost, based on your specific needs. Other factors may include your treatment goals, the difficulty of your case, how long you are in treatment, where you live, your orthodontic insurance coverage, and additional factors determined by your dentist or orthodontist. In the U.S., the cost of Invisalign treatment ranges from $3,500 to $8,000, with the national average at about $5,000. If you think Invisalign may be right for you, schedule an appointment with Byrum Family Dentistry today at 563-332-7734.
April 2012 — Quad Cities — Healthy Cells Magazine — Page 29
eye care
Dry Eyes and Mouth? You May Have Sjögren’s Syndrome
I
f your eyes and mouth feel as dry as a desert, there are many possible causes, such as bad air quality and certain medications. But if you have long-lasting, uncomfortable dryness in your eyes and mouth, along with fatigue or pain and swelling in some of your joints, you may have a condition called Sjögren’s syndrome. Sjögren’s (pronounced SHOW-grins) syndrome affects as many as 4 million people nationwide. Men and women of all ages can develop the condition, but it most often shows up in women in their 50s and 60s. The disorder is 9 times more common in women than in men. Sjögren’s syndrome arises when the body’s immune system, which ordinarily attacks invading bacteria and viruses, starts killing off the body’s own moisture-producing cells. The condition can occur on its own or alongside other diseases, such as lupus or rheumatoid arthritis, in which the immune system mistakenly attacks parts of the body. In some cases of Sjögren’s, the immune system attacks several parts of the body, including the eyes, mouth, joints and internal organs. Because the disorder has such varying effects, diagnosing Sjögren’s syndrome can take a long time. “The average time to diagnose Sjögren’s is about 7 years from the first symptoms, because the symptoms can be very subtle,” says Dr. Gabor Illei, head of the Sjögren’s Clinic on the NIH campus in Bethesda, Maryland. Physicians use several tests to make a diagnosis. These include measuring tear and saliva flow, blood tests, and biopsies. In the biopsy test, a surgeon removes a small saliva-producing gland from the lip and looks at it under a microscope. The blood tests and biopsies let physicians know if the body’s immune system is attacking salivaproducing cells. Since so many of the body’s systems can be affected, people with Sjögren’s syndrome often need to see several specialists. These Page 30 — Healthy Cells Magazine — Quad Cities — April 2012
can include an ophthalmologist for the eyes, an oral disease specialist or a dentist who has experience with dry mouth, and a rheumatologist, who can manage and coordinate care. Many treatments for Sjögren’s syndrome aim to relieve the symptoms of dryness. For patients with mild dryness, over-the-counter artificial tears can help with dry eye. Sips of water and sugar-free candies can help with dry mouth. Because saliva usually protects teeth from decay, people with dry mouth need to be careful to avoid sugary candies, and to take care of their teeth. For more severe symptoms, several medications are available or in development. Two current drugs boost saliva production, and another can increase tear production. Some promising new drugs are being tested to treat symptoms that affect other parts of the body. The Sjögren’s Clinic at NIH has several ongoing clinical trials under way. “We are very patient oriented,” says Illei. “We do clinical studies. Some are just observational, so we follow the disease over time. Some are interventional—for example, trying out a new treatment.” The goal of the clinic is to find the causes of Sjögren’s syndrome and how to treat it. If you have Sjögren’s syndrome and are interested in participating in a clinical trial, learn more about trials near you at http://clinicaltrials.gov. Sjögren’s syndrome is a chronic condition, and there is no cure. However, treatment can improve symptoms and prevent problems like cavities and eye infections. Sjögren’s syndrome can be complex, but a primary care doctor or rheumatologist can help you manage your treatments and all the hurdles along the way. For more information, please visit www.nih.gov.
ASK
Invisalign
Q: What is Invisalign and how does it work? A: Over the course of treatment, you will be supplied with a series of
aligners. Each aligner will make slight adjustments to tooth position, a process that is mapped out in advance by your doctor, specifically for your situation. When the aligners are placed on the teeth, they cause the teeth to gradually shift from their current position.
Q: What are the benefits of Invisalign? A: Invisalign aligners are virtually invisible are removable. Unlike with
DR. MELINDA HOCHGESANG BYRUM FAMILY DENTISTRY ROBERT L. BYRUM D.D. S., P.C. MELINDA HOCHGESANG, D.M.D.
3878 MIDDLE ROAD, BETTENDORF
563-332-7734
www.ByrumFamilyDentistry.com
braces, you have the flexibility to remove your aligners to eat and drink what you want during treatment. And you can also remove the aligners to brush and floss as you normally would. There are no metal brackets or wires that could cause irritation to your mouth. Plus, since your office visits during treatment don’t involve metal or wire adjustments, you’ll likely spend less time in the doctor’s chair. Invisalign allows you to view your virtual results and treatment plan before you start so you can see how your straight teeth will look when your treatment is complete.
Q: How long will treatment take? A: The length of treatment depends on the severity of your case and
can only be determined by your doctor; however, the average case takes about 12 months for adults. The length of time necessary for a teen patient may vary and can be determined by your doctor.
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4340 E. 53rd Street • Davenport, IA 52807 866.216.5708 • heartlandhospice.com April 2012 — Quad Cities — Healthy Cells Magazine — Page 31
pathology
Speech Therapy
Isn’t Just for Kids! By Laura Adamson, M.A. CCC-SLP (Speech-Language Pathologist), Midwest Therapy Centers
W
hen I tell people that I am a Speech Language Pathologist, the most common question I get asked is “what school do you work at?”. When I tell them I work for an outpatient therapy company, I usually get puzzled looks and other questions or comments, like “Oh, you don’t work with kids?” or “I didn’t know about speech therapy for older people.” Well, I am here to say that yes, indeed, I do work with adults and even the elderly on a wide variety of speech, language and swallowing disorders. I’d like to share information regarding some of the primary disorders that adults may experience. Common Speech Disorders Apraxia of speech is a motor speech disorder caused by damage to the parts of the brain related to speaking. The severity depends on the nature of the brain damage. People with this disorder know what words they want to say, but their brains have difficulty coordinating the muscle movements necessary to say those words. For example, a person may try to say “kitchen,” but it may come out “bipem” or even “chicken.” It may be hard to understand a person with apraxia of speech. Symptoms may be mild or severe, including: • difficulty imitating speech sounds • an inability to produce sounds at all • slow rate of speech • partially preserved ability to produce “automatic speech” (rote speech), such as ”How are you?” Dysarthria is a motor speech disorder. The muscles of the mouth, face, and respiratory system may become weak, move slowly, or not move at all after a stroke or other brain injury. The type and severity of Dysarthria depends on which area of the nervous system is affected. Symptoms may include: • slurred speech or speaking softly or barely able to whisper • slow or rapid rate of speech or with a “mumbling” quality • limited tongue, lip, jaw movement, or poor control of saliva • hoarseness or breathiness • difficulty chewing and swallowing Treatment depends on the cause, type, and severity of the symptoms. An SLP works with the individual to improve communication abilities and establish goals that include: • Slowing the rate of speech and improving articulations • Improving the breath support so the person can speak more loudly • Strengthening muscles, increasing mouth, tongue, and lip movement
Page 32 — Healthy Cells Magazine — Quad Cities — April 2012
•T eaching caregivers, family members, and teachers strategies to better communicate • In severe cases, learning to use alternative means of communication (e.g., simple gestures, alphabet boards, or electronic or computerbased equipment) • Stuttering Most people produce stuttering or brief disfluencies from time to time, but this can impede communication when a person produces too many of them. Stuttering often includes repetitions of words or parts of words, as well as prolonging speech sounds. Speech may become completely stopped or blocked, sometimes for several seconds, with little or no sound forthcoming. Interjections such as “um” or “like” can occur, particularly when they are used intentionally to delay the initiation of a word. Most treatment programs for people who stutter are designed to teach the person specific skills or behaviors that lead to improved oral communication. For instance, many SLPs teach people who stutter to control and/or monitor the rate at which they speak. In addition, people may learn to start saying words in a slightly slower and less physically tense manner. They may also learn to control or monitor their breathing. • Voice Some symptoms of voice disorders may include: • Hoarseness or breathiness • a rough, scratchy voice; harshness • shooting pain from ear to ear • a “lump in the throat” sensation • neck pain, voice and body fatigue • limited pitch and loudness variations • voicing that lasts only for a very short time (around 1 second) • choking or coughing while eating • possible pneumonia due to food and liquid being aspirated into the lungs (the vocal cords cannot close adequately to protect the airway while swallowing) If you have experienced a hoarse voice for more than 2 to 3 weeks, you should see a physician. Voice therapy is designed to reduce hoarseness through change in vocal behaviors and lifestyle. It consists of a variety of tasks designed to eliminate harmful vocal behavior, shape healthy vocal behavior, and assist in vocal fold healing after surgery or injury. There are many types of voice disorders, such as: • Vocal Cord Nodules are benign growths on both vocal cords that are caused by vocal abuse.
• Polyps appear as a swelling or bump, a stalk-like growth, or a blisterlike lesion, and may be called by other names, such as Reinke’s edema. • Vocal Cord Paralysis · Bilateral paralysis involves both vocal cords becoming stuck halfway between open and closed and not moving either way. ·U nilateral paralysis is when only one side is paralyzed or has a very limited movement. It is not able to move to vibrate with the other cord. • Paradoxical Vocal Fold Movement (PVFM) is when, the vocal folds (cords) close when they should open, such as when breathing. This disorder can be mistaken for asthma. The goal of intervention is to make the individual aware of what triggers PVFM so they can avoid those situations. • Spasmodic Dysphonia is a disorder characterized by involuntary movements of one or more muscles of the larynx or voice box. Vocal interruptions or spasms, periods of no sound, and periods when there is near normal voice can occur. Common Language Disorders • Aphasia Aphasia is a disorder that results from damage to the parts of the brain that contain language. Aphasia causes problems with any or all of the following: speaking, listening, reading, and writing. Some people with aphasia have trouble using words and sentences (expressive aphasia). Some have problems understanding others (receptive aphasia). People with aphasia can struggle with both expression and understanding (global aphasia). Typically, reading and writing are more impaired than talking or understanding. Aphasia may be mild or severe. The severity of communication difficulties depends on the amount and location of the damage to the brain. • Right Hemisphere Brain Damage The brain is made up of two sides, or hemispheres. Each hemisphere is responsible for different body functions and skills. In most people, the left side of the brain contains the person’s language centers. The right side controls cognitive functioning (thinking skills). Cognitive-communication problems that can occur from right hemisphere damage include: • Attention and memory • left-side neglect • organization and orientation • problem solving and reasoning • social communication (Pragmatics) In many cases, the person with right brain damage is not aware of the problems that he is she is experiencing. Swallowing Disorders (Dysphagia) Swallowing disorders, also called dysphagia, can occur at different stages in the swallowing process: • Oral phase -sucking, chewing, and moving food or liquid into the throat • Pharyngeal phase -starting the swallowing reflex, squeezing food down the throat, and closing off the airway to prevent food or liquid from entering the airway ( aspiration ) or to prevent choking • Esophageal phase -relaxing and tightening the openings at the top and bottom of the feeding tube in the throat ( esophagus ) and squeezing food through the esophagus into the stomach
General signs may include: • coughing during or right after eating or drinking • wet or gurgly sounding voice during or after eating or drinking • extra effort or time needed to chew or swallow • food or liquid leaking from the mouth or getting stuck in the mouth • recurring pneumonia or chest congestion after eating • weight loss or dehydration from not being able to eat enough As a result, adults may have: • poor nutrition or dehydration • risk of aspiration (food or liquid entering the airway), which can lead to pneumonia and chronic lung disease • less enjoyment of eating or drinking • embarrassment or isolation in social situations involving eating A speech-language pathologist (SLP) who specializes in swallowing disorders can evaluate individuals who are experiencing problems eating and drinking. The SLP will • take a careful history of medical conditions and symptoms • look at the strength and movement of the muscles involved in swallowing • observe feeding to see posture, behavior, and oral movements during eating and drinking • possibly perform special tests to evaluate swallowing, such as · modified barium swallow- individual eats or drinks food or liquid with barium in it, and then the swallowing process is viewed on an X-ray · endoscopic assessment- a lighted scope is inserted through the nose, and then the swallow can be viewed on a screen A speech-language pathologist may recommend: • specific swallowing treatment such as exercises to improve muscle movement • positions or strategies to help the individual swallow more effectively • specific food and liquid textures that are easier and safer to swallow If you have specific questions or want additional information about speech or language issues for yourself or a family member, call 563326-1400 and ask to speak with one of Midwest Therapy’s SpeechLanguage specialists. Our team is experienced, enthusiastic, and has been recognized for our commitment to improving the quality of life by enhancing standards of patient care. Midwest Therapy provides on-site therapy services at Skilled Nursing facilities, including Ridgecrest Village and Iowa Masonic Health Facilities as well as at four convenient QCA locations: • 3740 Utica Ridge, Suite 4 in Bettendorf, • 1647 Lincoln Way in Clinton, • 4360 7th St. in Moline, and • 1820 West 3rd St. in Davenport. Visit our website as well at Midwest-therapy.com Midwest Therapy Centers is a division of Braaten Health, LLC, serving the Quad City Area for more than 10 years. Remember: It’s Your Life, Your Health, and Your Choice.
April 2012 — Quad Cities — Healthy Cells Magazine — Page 33
exercise pace
Getting Off On The Right Foot Trying to spring from low activity to a very intense work out can cause big troubles.
A QC podiatrist provides tips on setting the right pace for your workout regimen. By Orthopaedic Specialists “I’m seeing patients right now who have sprinted from low to very intense activity too fast,” says Podiatrist Matthew Wilber, DPM, of Orthopaedic Specialists, Davenport. “Typically, the biggest problem we see is that people overdo their workouts by hitting the jogging path or elliptical too quickly and develop foot and ankle injuries. “If you haven’t been walking or running large distances over the winter, don’t expect to go out and start logging 3 or 4 miles twice a week without some pain. It’s not wise,” Dr. Wilber advises. “Establish a lower baseline and gradually work your way back into a higher intensity. To Run or Walk? The answer is yours to choose, but focusing on the activity rather than the results is more likely to lead you in a positive direction. If you enjoy walking, walk; if it’s running that keeps you coming back for more, then run. Whether running burns more calories than walking depends primarily on how you measure the burn. Per mile, really brisk walking burns about the same calories as running. Yet running covers more miles than walking for the same amount of time, so in calories-per-hour terms, you can run through more calories than you can walk through. Tortoises and hares both make the most calorie-burning gains by increasing distance. Your own weight plays a hefty role burning calories. It only takes a little physics to understand that moving a 250-pounder is going to burn significantly more fuel than propelling a greyhound-physiqued 110 lb. marathoner will. Injury Pain Means No Gain Walking and running both put pressure on your bones and joints. That is both good and bad. While both weight-bearing exercises increase bone strength and fitness, they can both also lead to injury, especially when form and technique are improper. The first step toward injury prevention, of course, is to go to a technical running shoe store to make sure you get the best shoes – and the best fit – for you. Walkers and runners both often find themselves icing their sore shins. Shin splints for both can result from over striding – lengthening the step to try to go faster – and from foot-strikes that are too flat. Simply shortening stride length can help with both problems, as can exercises to strengthen those pesky below-the-knee muscles and joints. Exercises include writing the alphabet in the air with your toes, holding your leg still and using your ankle to make the lettershapes. Less wacky exercises include toe raises while standing in a step so you can flex your ankles far enough to dip your heels down low. Some experts recommend walking on your heels only for up to a minute before beginning your workout; those experts evidently do not work out in public places. Page 34 — Healthy Cells Magazine — Quad Cities — April 2012
Ankle Injuries Anyone who has had an ankle sprain – and, since they’re among the most common orthopaedic injuries, that’s many of us – can tell you that anklestabilizing ligaments lose in a contest with force going in an awkward direction. Depending on how much force or how far off-target Matthew Wilbur, DPM it’s directed, ligaments can Orthopaedic Specialists, PC, Davenport be stretched or completely torn. Walking is quite difficult with a complete tear, and healing can be uncomfortable. While braces, casts, cam-walkers, or boots can reduce pain considerably, they can also cause joint damage if used too long. Ligaments heal better when the ankle moves; restricting movement can scar the ligaments and make them painful and prone to re-injury. For more information please contact Orthopaedic Specialists at (563)344-9292.
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April 2012 — Quad Cities — Healthy Cells Magazine — Page 35
professional planning
Protecting Assets for a Spendthrift Beneficiary By Karen Goodall, CSA, Vice President and Senior Trust Officer, Northwest Bank & Trust Company
M
eet the Smith family. The Smiths are your typical multi-generational family with very diverse financial and estate planning needs based on their ages and stations in life. In each edition of Healthy Cells this year, readers are introduced to various members of the Smith family, and learn how they went about solving their financial and estate planning needs.
“I do not want my son to be totally supported by his trust fund. I want him to go out and become self supportive, but have access to the money if he really needs it. What happens if he totals his car and cannot get to work?”
Ben Smith, age 50 was at a point in his life when he felt he needed to sit down and make some decisions regarding his estate plan and his investments. But Ben was not sure how to start the process. He had so many thoughts and questions going through his mind and many of them concerned his son Tyler Smith. “Tyler is somewhat a free spirit,” Ben says. “He is 26 years old and has not yet settled down in life.” In fact, Tyler tried to start college three times with three different majors, only to drop out and decide
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to travel with a few of his garage band buddies. “I love my son and want to provide for him if something should happen to me, but he just has no sense with money and lacks responsibility. I have worked too hard to save the money I have and fear it would be gone in a short time if left to my son.” Ben might be surprised to know that his situation is not uncommon. Although the exact circumstances may be different, the fact is many individuals, through the use of estate planning, can protect an inheritance left to a beneficiary. The most common method to safeguard assets for a beneficiary is through the use of a trust. One of the beauties of a trust document is that you can draft it to fit your particular family dynamics and needs. You can leave money to a beneficiary in the form of a trust that specifies what the dollars can be used for, or how often the beneficiary can receive distributions from the trust. For example, some individuals have their trust drafted so a beneficiary is entitled to receive all of the income generated by the trust, but can only take money from the principal for specific needs. Those needs can include medical or educational expenses as well as a limited amount of support for the beneficiary. Other individuals might set up a laddered approach for making distributions based on the ages of their beneficiaries. One third of the trust balance may pay out at age 25, one third at age 30 and the balance of the trust at age 35. “I do not want my son to be totally supported by his trust fund. I want him to go out and become self supportive, but have access to the money if he really needs it. What happens if he totals his car and cannot get to work?” When Mr. Smith sets up his trust he will appoint a Trustee to take care of the assets in the trust and to make decisions regarding requested distributions from the trust. The Trustee has full authority to make decisions as to how the trust fund may be spent for the benefit of the beneficiary. These decisions are based on the directions and stipulations set forth in the trust document. If the document states that distributions can be made for Tyler’s support in reasonable comfort, the Trustee might tell Tyler, “Yes, we will get you a car to go to work, but it will be a Chevrolet and not a Cadillac.” When setting up your trust it is important to choose the right Trustee to carry out your directions after you are gone. Some individuals name a family member, and others name a corporate trustee such as a bank trust department. Whomever you choose, your Trustee needs to have knowledge of investments and taxes in order to properly perform their fiduciary duties as a Trustee. Accurate records must be maintained by the Trustee showing all transactions as well as income earned and distributed for tax purposes. Northwest Bank’s Investment Management Group has the ability and knowledge to help you make the decisions that are right for you. Call us today.
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