April St. Louis Healthy Cells 2012 by Healthy Cells Magazine

GREATER ST. LOUIS

area

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

FREE

HealthyCells APRIL 2012

www.healthycellsmagazine.com

M A G A Z I N E

Nepute Wellness Center

Redefining the Wellness Paradigm page 12

Medications Aren’t the Only Answer page 10

Menopause and Sexuality page 20 Providing Growth and Advocacy for Long-Term Care

page 22

Here’s what happened... My story may help you. “I knew something wasn’t right. I had a little bloating and some lower back pain. But what really worried me was the bleeding between periods. It wasn’t normal for me. It turned out I had ovarian and uterine cancers. Getting diagnosed and treated wasn’t easy. But now my doctor and I are optimistic about my future. Please listen to your body. If something doesn’t feel normal for two weeks or longer, see your doctor.” – Jennie M., Washington, D.C.

Gynecologic cancer includes cervical, ovarian, uterine, vaginal, and vulvar cancers. Signs and symptoms are not the same for everybody…so get the facts. Get the Inside Knowledge. Get the facts about gynecologic cancer.

Get the Facts About Gynecologic Cancer

www.cdc.gov/cancer/knowledge 1-800-CDC-INFO

STROKES ARE THE NUMBER-THREE KILLER

IN THIS COUNTRY, YET MANY PEOPLE DON’T EVEN

KNOW WHAT THEY ARE. THEY DON’T KNOW THAT MORE

OF THE BRAIN CAN BE SAVED IF A STROKE IS DETECTED AND

TREATMENT IS RECEIVED IMMEDIATELY. STROKES BEGIN WHEN A

W I T H A S T R O K E , T I M E L O S T I S B R A I N L O S T. BLOOD VESSEL IN THE BRAIN BECOMES BLOCKED OR BURSTS. BLOOD FLOW

IS CUT OFF. TISSUE IS STARVED FOR OXYGEN, AND PARTS OF THE BRAIN DIE.

IF NOT TREATED QUICKLY, ABILITIES AND PRODUCTIVE LIFE CAN BE

LOST. YOUR BRAIN IS YOUR MOST PRIZED POSSESSION.

GUARD IT WITH YOUR LIFE.

If you suddenly have or see any of these symptoms, call 9-1-1 immediately: Numbness or weakness of the face, arm or leg, especially on one side of the body • Confusion, trouble speaking or understanding • Difficulty seeing in one or both eyes • Trouble walking, dizziness, loss of balance or coordination • Severe headache with no known cause

A P RIL

2012 Volume 2, Issue 4

Healthy Living: Tips to Prevent and Treat Seasonal Allergies

Emotional: Senior Home Care: Ensuring a Safe Living Space

Nutritional: Unscrambling the Myths Behind Eggs and Cholesterol

10 16 17 18 19 20 21 22 24 25

This Month’s Cover Story:

Nepute Wellness Center

Redefining the Wellness Paradigm page 12

Physical: Incontinence: Medications Aren’t the Only Answer

Body Contouring: What You Need to Know Before Undergoing a Cosmetic Medical Procedure Vision Care: Is Modern Technology Hurting Your Eyes?

Quality Care: Saving the Best for Last

Awareness: Stress vs. Depression

Cover and feature story photos by Bernie Elking Photography

For information about this publication, contact Mike Kelly, owner at 314-558-0860, mikekelly@healthycellsmagazine.com Healthy Cells Magazine is a division of:

Personal Health: Menopause and Sexuality

Health Professions: Lesser-Known Health Care Careers are Very Rewarding Ombudsman Program: Long-Term Care

Grief Recovery: Right or Happy

Balloon Sinuplasty: Minimally Invasive Procedure Provides Symptom Relief for Sinus Sufferers

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com

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

I wish to thank all the advertisers for their support of Healthy Cells Magazine’s mission to bring positive health related information to our readers. Because of their generosity we are able to provide this publication FREE to you. – Mike Kelly

healthy living

Tips to Prevent and Treat

Seasonal Allergies

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.

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. April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 5

emotional

Senior Home Care

Ensuring a Safe Living Space By Lori J. Holmgren, MSN, RN

very year, many elderly Americans injure themselves in or around their homes. This is especially true for senior loved ones, who are at risk of falling. According to the National Safety Council, falls are the leading cause of injury deaths to individuals age 65 and older. To ensure the proper care for our father, we knew some changes needed to be made. He is 90, unsteady, and we wanted to make certain he felt independent, but was provided with a safe environment. 8 Changes We Have Made Thus Far: 1. Clothing: We stopped him from wearing a long bathrobe. Nothing drags on the floor or near him which could add to the likelihood of his falling.

Page 6 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

2. Foot Wear: His slippers are not loose and sloppy. He has nonskid soles and the slippers fit well. 3. Grab Bars: We had them installed in the bathroom near the shower and replaced the towel rod in the bathroom since that would be grabbed by instinct if Dad lost is balance. A grab handle is now by the front door which makes climbing the one entry step easier. 4. Throw Rugs: All of the throw rugs were removed. They are NOT allowed in Dad’s home. Throw rugs are one of the biggest hazards in a home and lead to many falls!! They might look great, but MUST be removed for safety sakes. 5. Chair Lift: A lift chair is now Dad’s chair of choice. Dad’s MD wrote a prescription for the chair because of his unsteadiness and weakness from his hip replacement from 2 years ago. Medicare covered 80% of the cost of the chair motor. We were left with only a small amount to cover the rest of the chair cost.

6. Canes: We bought 4 canes so that if Dad misplaced one, there were many more to choose from, and he is never without one. At first, he fought using a cane for quite a while and still is not happy about it but my sister and I kept encouraging him by repeating to him that we just want him to be safe. He does use the cane now – everyday! I bought 3 nice canes from Walgreens for $20.00 each. Another cane came from Medco.com which has a lot of cane options on their website. 7. Dark Areas: The hallway to Dad’s bedroom is dark, so we added a higher wattage light fixture and a nightlight that triggers with any movement. Even during the afternoon or early morning, this nightlight comes on and helps him to see better when he travels down the hall. 8. Caregiver: Dad’s caregiver is with him during the weekdays to make sure that he has a well balanced lunch and is supervised. She keeps him company and works hard to keep him engaged and SAFE! We are blessed that Dad has not fallen or has not been hospitalized with a fractured hip or head injury. We keep thinking and rethinking safety for our elderly parent. Anything to keep our senior loved ones safe is worth trying. Keep at it!! As the owner and director of Visiting Angels, Lori Holmgren, MSN, RN provides non-medical care designed to help seniors stay

in their homes. A Certified Senior Advisor, she lives with and cares for her elderly father in his Mehlville, Mo., home, and she blogs about her experience at seniors-stayathome.com. For a FREE no-obligation in-home Senior Care Assessment, call Visiting Angels at 314-842-5589. Visiting Angels is the premier provider of non-medical senior home care in the St. Louis area. VisitingAngels.com/STLsouth.

Back pain never takes a time out. Sooner or later, most physically active people will experience back pain from a long list of potential causes. Some back problems are simple to correct, while others are more complicated and may require specialized diagnosis and treatment. Persistent back pain that compromises daily activities should not be ignored. For more information on back pain, visit orthoinfo.org or nata.org.

AAOS_NATA_BackPain_half.indd 1

April 2012 — Greater St. Louis Area — Healthy Cells Magazine — PM Page 7 3/19/10 4:14:12

nutritional

Unscrambling the Myths Behind Eggs and Cholesterol

Enjoying an Egg a Day can be Part of a Healthy Diet

hen it comes to eggs, dietary cholesterol and heart health, what you think you know may be a bit scrambled. Concerns over dietary cholesterol and its impact on heart disease keeps many people from eating eggs, despite their nutritional benefits. However, more than 40 years of research shows healthy adults can enjoy an egg every day without significantly impacting their risk of heart disease. Cracking the cholesterol myth Enjoying an egg a day as part of a healthy diet balanced with fruits and vegetables, whole grains and low-fat dairy, falls well within current cholesterol guidelines. In fact, according to USDA data, one large egg is 14 percent lower in cholesterol than previously recorded, down from 212 mg to 185 mg, and is also 64 percent higher in vitamin D, with 41 IU per large egg. Moreover, one large egg contains six grams of high-quality protein and 13 essential nutrients for 70 calories. “Research shows that saturated fat may be more likely to raise a person’s blood cholesterol than dietary cholesterol,” says Neva Cochran, registered dietitian, nutrition writer and researcher for Woman’s World Magazine. “Eating a balanced breakfast with highPage 8 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

quality protein foods like eggs, along with other nutrient-rich foods like fruit and whole grains, is the best way to start the day. Unlike sugary foods, eggs have no simple sugars and contain no carbs, providing steady and sustained energy.” Additionally, the 2010 Dietary Guidelines for Americans recognize eggs as a nutrient dense food and state that the consumption of one egg per day is not associated with risk of coronary heart disease or stroke in healthy adults. And, eggs provide high-quality protein that helps build muscles and increases satiety for all-day energy, which can help maintain a healthy weight, an important factor in promoting overall health. Incredible egg benefits Cochran also points out that at an average of 15 cents a piece, eggs are an affordable, versatile, nutrient powerhouse that contribute to a healthy diet in many ways: • B reakfast boosters: Research shows that eating high-quality protein foods for breakfast, like eggs, can help increase satiety, maintain long-lasting energy and improve cognitive skills like memory recall time.

•S unshine supplement: Eggs are one of the few foods that are a naturally good source of vitamin D, meaning that one egg provides at least 10 percent of the recommended daily allowance. Vitamin D plays an important role in calcium absorption, helping to form and maintain strong bones. • W eight-loss companion: Research shows that eating eggs for breakfast can help overweight dieters lose more weight, lower their body mass index and shrink their waist more than eating a bagel of equal calories for breakfast. Eggs are easy Adding eggs to your breakfast routine can be easy, even on busy weekday mornings. Whether you’re craving scrambled eggs, an omelet or an egg sandwich, microwaves can be an incredible time-saving tool, so you can start every day with a nutritious breakfast. Try this quick and easy recipe next time you’re in a rush:

Is urine leakage or pelvic floor damage affecting your life?

You deserve treatment. ( Surgical & non-surgical treatment of bladder control problems ( State-of-the-art treatment of pelvic organ prolapse

Promoting Female Pelvic Health since 1995

Dr. Edward S. Levy, MD Specialist in Urogynecology, Gynecology & Obstetrics

314-686-4990

816 S. Kirkwood Road Suite 100 ( Kirkwood MO 63122

All alone caring for your parents?

We can help.

Let us assist so you spend quality time with your loved one. Egg and Cheese Breakfast Burrito Ingredients: 1 flour tortilla (6-inch) 1 egg 1 tablespoon shredded Mexican cheese blend 1 tablespoon salsa Directions: 1. L ine 2-cup microwave-safe cereal bowl with microwave-safe paper towel. Press tortilla into bowl. Break egg into center of tortilla. Beat egg gently with a fork until blended, being careful not to tear tortilla. 2. M icrowave on high 30 seconds; stir. Microwave until egg is almost set, 15 to 30 seconds longer. 3. R emove tortilla with paper towel liner from bowl to flat surface. Top egg with cheese and salsa. Fold bottom of tortilla over egg, then fold in sides. For more information on the nutrition benefits of eggs or recipe ideas, visit www.eggnutritioncenter.org or www.IncredibleEgg. org, “Like” the Incredible Edible Egg on Facebook or follow &#64IncredibleEggs on Twitter.

We care as much for your parent as you do. Specialists in partnering with adult children of elderly parents. Call to see why we’re different from any other agency.

Call 314-842-5589 now for a FREE Senior Care Assessment.

www.VisitingAngels.com/STLsouth April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 9

physical

Incontinence

Medications Aren’t the Only Answer By Lynn Schmittgens, R.Ph.

rinary incontinence plagues millions of people, about twothirds of whom are women. This condition includes a slight involuntary urine loss while running, coughing or laughing, to a complete loss of control. Incontinence can be embarrassing as well as truly debilitating. Men and women can become incontinent for many reasons including stroke, neurologic injury and birth defects, or due to physical problems associated with aging and living in general (e.g. pregnancy, childbirth, and menopause). The more severe cases of incontinence are functional incontinence; situations where timely Page 10 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

trips to the bathroom are virtually impossible. In these cases diapers, catheters, or surgery may be the only options. However, the vast majority of cases are a mixture of these three types: stress, urge, and over active bladder. Stress incontinence is a loss of urine when the bladder and sphincter are stressed, which occurs when coughing, laughing, or sneezing. Lower estrogen levels seem to make this worse, yet estrogen replacement does not necessarily correct it. Urge incontinence is a sudden urgency to urinate quickly followed by bladder spasms that cause urine loss. This is often

triggered by a learned behavior. For example, arriving home and running to the bathroom is a familiar experience for many people! Over active bladder is a situation where the bladder receives signals for squeeze at inappropriate times. Night time waking to urinate frequently is a form of over active bladder incontinence. For men, night urination may be due to BPH (Benign Prostatic Hypertrophy), which should be evaluated and treated by a physician. While the causes and types of incontinence vary, the treatments are similar and should begin after evaluation by a healthcare provider. Not all cases require medication. The medicines used to treat incontinence all have anti-cholinergic side effects, which include dry mouth, sedation, constipation, blurred vision, and disorientation among others. Not every person gets every side effect, but older people are more likely to experience them! The first step toward addressing incontinence issues should be bladder retraining and Kegel exercises. This simple and cost free plan can help control incontinence for many people. It may take three to six weeks to see full results, but it is worth a try! To get started: •K eep a log of when you urinate, your fluid intake, and any notes (urgency, etc). • R eview the log and look for patterns. Are there certain times you go to the bathroom daily? Do you have a problem at a certain time each day? • S tart doing Kegel exercises right away. It only takes 5 minutes a day. The first step is to find the right muscles (pelvic). Contract the muscles you use to “hold” your urine. If needed, try stopping urine flow when urinating. Those are the muscles to exercise. Squeeze the pelvic muscles you’ve just located, hold for a count of 3 seconds, and repeat 10 times. Do these three times a day. Don’t hold your breath. Don’t tighten your stomach, buttocks or thighs. And do not continue to try to stop your urine stream, as it stresses the bladder. • R etrain your bladder. Use the log you have been keeping to plan to use the bathroom at specific times. This is called timed voiding. Gradually increase the interval between voiding until it suits your lifestyle. For example: If you are urinating every hour and rushing to get there, start by going to the bathroom every 55 minutes, without urgency. Use a timer. After 5 days, increase the time interval to 60 minutes. 5 days later set the timer for 65 minutes, and so on. Bladder retraining takes time, but coupled with Kegel exercises it can be very effective. TIP: If you’re consistently making a mad dash to the bathroom upon arriving home, try using the restroom before leaving. When you get home, but before you get out of the car, plan to delay going to the bathroom for 1 minute, then 2 minutes. Gradually build up the time spent in the home before going to the bathroom. Obviously, if your bladder is full, this won’t work. However, if part of this mad dash is habit, it can be changed. Sometimes medicines are the right answer. Often they are not the only answer. These exercises are beneficial to so very many people alone or combined with medicine. Give them a try! Lynn Schmittgens and her husband Tom are Registered Pharmacists who have worked in the Saint Louis community for over 30 years. They own the Medicine Shoppe Pharmacy ® in Affton located at 7922 Mackenzie Rd near Fortel’s Pizza. They offer free home delivery and accept Express Scripts, Blue Cross, Caremark, MO HealthNet, Medicaid, Medicare Part D, Missouri RX and most other insurance plans. Feel free to call Lynn at 314-638-3535 if you have any questions.

Nutritional Therapy Nutritional Testing Electro Magnetic Pulse Therapy Vitamin Infusions Chiropractic Physical Therapy

314-544-5600

4225 Bayless Ave • Affton, MO 63123

Dr. Stephen G. Smith, MD

Chesterfield: (636) 519-8889 Bridgeton: (314) 895-8889 www.midwestpaincenter.net

Specializing in… Back Pain Neck Pain Sciatica/Radiculopathy Joint Pain

Midwest Pain Center 17300 N. Outer 40, Suite 100 Chesterfield, MO 12255 DePaul Drive Medical Office Building North, Suite 120 Bridgeton, MO April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 11

feature story

Nepute Wellness Center

Redefining the Wellness Paradigm By Rebecca Boerner

“

roviding every man, woman, and child the opportunity to experience true health and wellness – that is the mission here at the Nepute Wellness Center” says Dr. Eric Nepute. “My firm belief is that the key to total health and wellness lies in focusing on the root cause of a patient’s problem by evaluating and treating the imbalances in their physical, chemical, and emotional well being.” Dr. Nepute opened his clinic, the Nepute Wellness Center in 2005. The center’s original focus was on physical medicine and chiropractic, but now offers expanded services that address a wide range of health and wellness areas including state-of-the-art nutritional therapy, natural pain management, weight loss, stress management, and natural anti-aging. These services enable Dr. Page 12 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

Nepute to more effectively help his patients achieve balance in their lives. These treatments have resulted in improved outcomes and changed lives for thousands of his patients. Dr. Nepute had originally planned on becoming an orthopedic surgeon specializing in sports medicine. He had applied to, and was accepted by Northwestern Medical School, but a football injury to his neck thwarted these plans. After experiencing several weeks of neck pain and undergoing various treatment options that did not seem to be effectively dealing with the problem, he developed a friendship with a chiropractor who told him, “Come see me. I can help you.” After several treatments, his neck pain was gone, and he was able to regain strength and function of his arm and hand. Dr. Nepute was cured from this life-altering injury through

chiropractic care. This experience completely changed his life. He promised himself that he would look further into chiropractic. He ended up working that summer for his chiropractor friend, and got to experience firsthand how chiropractic treatments could help people that were experiencing chronic pain and problems. “This was exciting to me,” said Dr. Nepute. “It changed my whole perspective on how the body could heal. I was told I would never be the same again. Here is a way for patients to experience real transformations of their health problems through non-evasive procedures.” His interest in chiropractic care increased and he finally decided to enroll into the program at Logan College of Chiropractic. After Dr. Nepute’s tenure at Logan, he earned several advanced degrees and fellowships in several areas of specialties, including AntiAging, Orthomolecular Nutrition, and Natural Pain Management. Our Definition of Wellness “Wellness is a balance in one’s health, not just the lack of symptoms. You see we cannot judge our health totally on how you feel; we also have to consider how you function. We are all familiar with heart disease, diabetes, and cancer. These are known as silent killers. Science tells us that these diseases occur when our body is out-of-balance, and not functioning properly. So what we do is look for the imbalances in proper function and correct them through natural effective modalities and, in many cases, the body will return to normal function and rid itself of the disease or problem.” Nutritional Wellness A few years ago Dr. Nepute was introduced to the study of functional endocrinology. This science involves the identification of nutritional imbalances in the body that effect organ function. Dr. Nepute developed a great interest in this area of treatment and decided to take it to the next level. He became a Certified Natural Health Practitioner. This advanced training proved very successful in the treatment of many types of difficult health problems. It enabled Dr. Nepute to isolate specific chemical imbalances in patients, and to utilize nutritional and enzyme therapy to correct these imbalances. With this new skill, Dr. Nepute has become an expert in treating such conditions as arthritis, sore stiff joints, headaches, gas, bloating, intestinal problems, insomnia, depression, anxiety and others. His patients are first tested to detect the imbalance. Testing is done through blood work, urinalysis, and other advanced methods. Test results may indicate a lack of, or over-abundance of various body chemicals. With this knowledge, Dr. April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 13

feature story continued

Nepute treats the patient’s imbalance with a combination of herbs, enzymes and vitamins to restore the balance. When balance is restored, the patient’s symptoms dissipate. Herbs, enzymes and vitamins may be administered orally or by injection. Many times chiropractic adjustments are combined with imbalance testing and treatment to achieve even greater outcomes. Chiropractic care appreciates the significant role the nervous system plays in the health of the whole body and in pain relief. By relieving pressure on specific nerves, through chiropractic adjustment, the corresponding ailing area of the body is relieved and pain goes away. Success Stories One of the most gratifying things about his practice is witnessing the positive outcomes from his patients. “We had a 7-year-old boy who came here with an extremely bad case of dermatitis (very dry skin). His mother had taken him to a number of specialists and had spent lots of money on pills and creams to help, but nothing seemed to work” said Dr. Nepute. “We tested the boy and discovered that he had a lipase deficiency. Lipase is an enzyme that metabolizes fat. In a nutshell, the boy had a fat metabolism problem. We treated the boy with enzyme therapy and the dry skin went away.” Another success story involved a 68-year-old woman who had suffered from diabetes for 20 years. “She was taking Metformin as treatment. We discovered a major chromium deficiency and gave Page 14 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

her oral chromium to correct the imbalance. As a result her blood sugar returned to normal and she no longer needs the Metformin,” said Dr. Nepute. “We recently treated a 9-yearold girl who suffered from Tourettes Syndrome her entire life. She suffered with constant tics. Upon closer examination we found several physical imbalances in her neck, causing abnormal function of the nerves. Through a course of a few adjustments, we were able to relieve the pressure from the nerve, and the tics stopped,” said Dr. Nepute. Whether the problems are acute or chronic pain, symptoms of aging, inability to lose weight, or you are simply not happy with your health, Dr. Nepute’s skills can help. “We are looking for folks who are committed to finding out the truth about health and want to discover what good health is all about, and want to take personal responsibility to develop a working relationship with our doctors and staff. We believe that we can give you the map and keys to that car to go wherever you want to go with your health and wellness, as long as you are willing to drive it!” Dr. Nepute often appears in the community to talk with interested people about health and wellness topics. His next presentation will be on Wednesday, April 18th at the Salvation Army Hall, 824 Union Rd., Affton MO, at 6:30 pm. The topic will be Back Safety & Injury Prevention, and will focus on the top 10 things you can do to prevent serious injuries that can occur doing routine tasks. This is a must for anyone who picks up small children, plays sports (over the age of 30), mows the lawn, works on cars, does home repair, and all senior citizens. This workshop could save thousands of dollars of needless medical costs over your lifetime. It includes simple steps anyone can do to make sure their muscles are correctly supporting their spine, knees, ankles, and back.

Nepute Wellness Center is located at 4225 Bayless Avenue in St. Louis. Business hours are Monday through Friday from 9 am to 6 pm. To learn more, or to schedule an appointment, please call 314-544-5600. Or visit the website at www.neputewellness.com.

Over the river and through the woods to the trauma center we go. All-terrain vehicles can go 60 mph and weigh 600 pounds. Yet, many owners think of them as just big toys. Consider the facts: 136,000 ATV-related injuries were treated in hospitals and doctors’ offices in 2004. Accidents happen when ATVs are operated in the wrong place, under the wrong conditions, by people too young or too inexperienced in ATV safety measures. If you must ride an ATV, use your head — the right way. A public service message from the American Academy of Orthopaedic Surgeons and the Orthopaedic Trauma Association. For recommendations on ATV safety, visit orthoinfo.org and ota.org. ORTHOPAEDIC TRAUMA ASSOCIATION April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 15

body contouring

What You Need to Know

Before Undergoing a Cosmetic Medical Procedure

s the quest for the perfect body and flawless face continues, many consumers have turned to spas, salons and walk-in clinics for cosmetic medical procedures at bargain prices. With the number of these facilities increasing, more consumers are influenced to believe that certain cosmetic procedures are easy, inexpensive and risk-free. “In many instances, dermatologic surgeons, who are properly trained and experienced in performing cosmetic medical procedures, are sought to correct the mistakes of inexperienced and unqualified physicians,” says Dr. Susan Weinkle, president-elect of the American Society for Dermatologic Surgery (ASDS). “Consumers should be aware that lower prices do not mean equal training and treatment, and should be cautious that these discounted prices could put their health at risk as a result of the provider’s inadequate training and lack of expertise.” Dr. Weinkle and the ASDS urge consumers to recognize that all cosmetic procedures are medical procedures that should be performed by a qualified physician or under the close supervision of an appropriately trained physician. Serious side effects, such as burns, infections, scars and pigmentation disorders can occur when consumers visit non-physicians or physicians who do not specialize in dermatology and perform treatments like laser hair removal, deep chemical peels, acne therapy and other procedures, says Dr. Weinkle. Non-physicians do not have the necessary medical training, and physicians who are not board-certified in dermatology lack the qualifications to determine and optimally perform the best treatment for your concern, or to handle complications adequately, should they occur. “It’s critical that consumers take precautions and understand that dermatologic surgeons with the experience and knowledge of the Page 16 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

health and function of the skin should perform cosmetic surgery procedures,” Dr. Weinkle says. The ASDS suggests consumers follow these tips before undergoing any cosmetic medical procedure: • Check credentials: Research the physician before undergoing the procedure to ensure that he or she is board-certified in dermatology. To find a board-certified dermatologic surgeon, visit www.ASDS.net. • Don’t rely on price: If a procedure’s cost seems too good to be true, it probably is. Bargain-priced treatments may end up costing you in the long run if they cause harm, need correction or are ineffective. • Make sure a doctor is on-site to closely supervise: Most cosmetic surgery procedures should be performed by a physician. If the physician is supervising a procedure, make sure he or she is immediately available on-site to respond to any questions or problems that may occur while the procedure is being performed. • Ask questions: Always ask questions no matter how minor your questions may seem. Good questions include the following: Who will perform the procedure? Is this treatment right for me? What if something goes wrong? What procedures are in place to deal with an emergency? What training does the staff have? Is this laser, device or technique appropriate for my skin type? How many of the procedures do you perform in a month? May I see before and after photographs? • Be sure your medical history is taken: Before undergoing any cosmetic surgery procedure, make sure the physician is aware of your medical history, including allergies to medications and previous surgeries. • Don’t be afraid to walk away: Trust your instincts. If it doesn’t feel right, find a more reputable location. For more information and to download a free pre-cosmetic surgery questionnaire, visit www.ASDS.net.

vision care

Is Modern Technology Hurting Your Eyes? A

world full of personal computers, hand-held video games, smartphones and e-readers is increasing the risk of eye-related problems in many Americans. This isn’t surprising, as children and teenagers are now spending 7.5 hours a day consuming electronic media, according to a study by the Kaiser Family Foundation. Computer vision syndrome, or digital eye strain, is an increasingly common medical ailment and can affect learning and work productivity. It is now the number one computer-related complaint in the United States — ahead of carpal-tunnel syndrome. “The eyes function best when looking at something about 20 feet away. Looking at something close-up, like a computer game, text message or e-reader requires more focus, and over time, can lead to blurry vision, eye strain and headaches,” explains Dr. Leanne Liddicoat, a VSP optometrist in California. VSP Vision Care, the largest not-for-profit eyecare benefits providers in the United States, recently reported that nearly one-third of VSP patients suffer from symptoms of computer vision syndrome.

However, there are easy steps parents and children can take to prevent these symptoms: • Get the right lighting. Keep bright lighting overhead to a minimum. Position your computer screen in a way that reduces reflections and glare from windows or overhead lights. • Stay back. The closer the eyes are to an object they’re looking at, the harder they have to work. A good rule is to apply the Harmon Distance (the distance between the elbow and first knuckle) when viewing anything on screen. If you or your children are holding digital devices closer than a Harmon Distance on a consistent basis, consult your eyecare provider. • Apply the 20/20/20 rule. To avoid fatigue and digital eye strain symptoms, eye doctors recommend stopping every 20 minutes to look at something 20 feet away for at least 20 seconds. Also, remember to blink frequently. • Monitor usage. Set time limits on the amount of “screen time” you and your children will have each day. For children over 2 years, limit screen time to less than two hours per day when possible. If older children need to use the computer and e-readers for homework, make sure they first give their eyes a rest after school by playing outside or engaging in other non-digital activities. Children under 2 years should have no screen time. • Get checked. It’s important you have the best vision possible when using digital devices. This starts with a comprehensive examination by an eye doctor, who may prescribe corrective lenses or glasses specially designed for digital screens. To find an eyecare specialist near you, or to learn more about combating computer vision syndrome, visit www.vsp.com. As our reliance on digital devices increases, we must be mindful of our usage and take steps to relax and refresh our eyes to reduce eye strain. April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 17

quality care

Saving the Best for Last By Rev. Pat Powers, Alternative Hospice

ne afternoon, in a large St. Louis hospital, I met the most incredible person and her loving family members. Mary Kate was 77 years old, and was coming to the end of her life. She seemed small as I stepped up to her hospital bed. The tiniest of hands were gently folded while she rested. Her niece, Tammy, greeted me with a warm handshake and was grateful I could meet with her aunt. As a Hospice Chaplain, I was at the hospital to bring Mary Kate into our service so we could give her a comfortable transition. Tammy and I discussed Mary Kate’s needs and determined what equipment we would bring to her apartment that would best address these needs. We talked about special mattresses, oxygen equipment, and even a bedside table. I spoke of nursing, care providers, and the extra support we could bring to her sweet Aunt Mary Kate. As I asked Tammy to tell me about the patient, I could feel the energy shift from the business of signing paperwork and preparing for Mary Kate’s return to her apartment, to warm and understanding love - genuine love. Mary Kate was born in the 1930’s. Hers was a premature birth at only seven months. She was so small that she did not sleep in a crib, but a drawer instead. Her premature birth and small size resulted in several health complications that Mary Kate dealt with her entire life. She developed a speech impediment that made communicating with others difficult. She grew only to four-feet, eight-inches tall, and had Page 18 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

no formal education at all. Mary Kate lived with her parents, and then later, with her older sister. She loved to dance, play, and have fun with all the nephews and nieces. At times, she would be in the corner, alone, watching the family – an observer. This was a result of being told to “sit still and hush up.” Tammy, a keen business woman with a head for details, explained why she had been chosen as the guardian for Mary Kate. Mary Kate’s older sister died suddenly of a heart attack, and her aunt needed someone to watch over her. Tammy took the role seriously. She helped find an assisted living apartment that opened a whole new world of independence for Mary Kate. They had looked at many, many places and finally found the perfect new home for the tiny lady. In this apartment, Mary Kate found a whole new life for herself. For the first time in over 75 years, she was the one making decisions. She signed her first check, made her own snacks, rode a bus, and went to Wal-Mart. The things she bought did not always fit, but she had done it for herself. She was the helper for the activity department in her new home. Mary Kate would go knocking on doors, encouraging her neighbors to participate. She found her way. The happiest time of her life was at the end. Surrounded by her family who held vigil, Tammy and her sisters stayed ‘round the clock. The nieces and nephews, their spouses, Mary Kate’s sister, her brother and sister-in-law, Pastor Joe, and the team from Alternative Hospice all created a loving environment for Mary Kate. Tammy lay down in the bed with her aunt, held her, and thanked her for all the gifts she had given to her. Tammy let her aunt know that she was ready to make her journey to Heaven. Tammy told her aunt that she had taught her about unconditional love and unwavering trust, and was grateful for the opportunity to receive more gifts than she could ever give. This small person was really so big in life. She cried tears heavy with grief – and a heart feeling full and blessed. Her service was held in the evening, with a table spread to host a lovely party – children playing and laughing, and babies getting fussy as the evening progressed. I came to pay my respects. Pastor Joe spoke an informal service to celebrate Mary Kate’s life. I thanked the family for allowing me to be a witness to love, family connections, and to get a glimpse of the woman set free from limitations and who soared on eagle’s wings straight to Heaven’s Gate. For more information about our services, please contact Alternative Hospice at one of our 2 locations: St. Louis and surrounding area at 636-343-3839; Cuba and surrounding area at 866-391-8548. You can also visit our website at www.alternativehospice.com.

awareness

Stress vs. Depression Learn the Difference and How to Help Yourself

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 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. •T ake 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. •D o not expect to suddenly “snap out” of your depression. • I f 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. •B reak up large tasks into small ones, set some priorities and do what you can, as you can. Celebrate small steps. •O ften during treatment for depression, sleep and appetite will begin to improve before your depressed mood lifts. •E xpect your mood to improve gradually, not immediately. •R emind 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 — Greater St. Louis Area — Healthy Cells Magazine — Page 19

personal health

Menopause and Sexuality Submitted by Dr. Edward S. Levy

n our ongoing series about menopause, we will explore an area too often left out of doctor-patient discussions. In the years around menopause, you may experience changes in your sexual life. Some women say they enjoy sex more after they don’t have to worry about getting pregnant. Other women find that they think about sex less often or don’t enjoy it as much. Changes in sexuality at this time of life have several possible causes, including: • Decreased hormones can make vaginal tissues drier and thinner, which can make sex uncomfortable. • P roblems with pelvic prolapsed cause protrusions that can get in the way of comfortable sexual relations. • U rinary incontinence can be an embarrassing problem that makes women reluctant to engage in sexual activity. • Decreased hormones may reduce sex drive. • N ight sweats can disturb a woman’s sleep and make her too tired for sex. • Emotional changes can make a woman feel too stressed for sex. Keep in mind that being less interested in sex as you get older is not a medical condition that needs treatment. But if you are upset about sexual changes, or if it causes friction with your partner, you can get help. Don’t be shy about talking with your doctor. He or she certainly has talked with many women about these issues before.

Lifestyle Changes Some simple steps may help with sexual issues you face at this time: • G et treated for any medical problems. Your overall health can affect your sexual health. For example, you need healthy arteries to supply blood to your vagina. • T ry to exercise. Physical activity can increase your energy, lift your mood, and improve your body image — all of which can help with sexual interest. • D on’t smoke. Cigarette smoking can reduce both the blood flow to the vagina and the effects of estrogen, which are important to sexual health. • A void drugs and keep alcohol consumption moderate. They can slow down how your body responds. • T ry to have sex more often. Sex can increase blood flow to your vagina and help keep tissues healthy. • A llow time to become aroused during sex. Moisture from being aroused protects tissues, but this can take longer at menopause. Also, avoid sex if you have any vaginal irritation. • P ractice pelvic floor exercises. These can increase blood flow to the vagina and strengthen the muscles involved in orgasm. • A void products that irritate your vagina. Bubble bath and strong soaps might cause irritation. Don’t douche. If you’re experiencing vaginal dryness, allergy and cold medicines may add to the problem.

Page 20 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

Treatment Options Discuss your symptoms and personal health issues with your doctor to decide whether one or more treatment options are right for you. If vaginal dryness is an issue: • Using an over-the-counter, water-based vaginal lubricant like K-Y Jelly or Astroglide when you have sex can lessen discomfort. • An over-the-counter vaginal moisturizer like Replens can help put moisture back in vaginal tissues. You may need to use it every few days. • P rescription medicines that are put into a woman’s vagina may increase moisture and sensation. These include estrogen creams, tablets, or rings. If you have severe vaginal dryness, the most effective treatment may be menopausal hormone therapy. If sexual interest is an issue: • Treating vaginal dryness may help. Talking with your partner or making lifestyle changes also may help. • You may wonder about Viagra. This medication has helped men with erection problems, but it has not proven effective in increasing women’s sexual interest. • S ome women try products like pills or creams that contain the male hormone testosterone or similar products. The U.S. Food and Drug Administration (FDA) has not approved these products for treating reduced female sex drive because there is not enough research proving them safe and effective. • The FDA has approved menopausal hormone therapy (MHT) for symptoms like hot flashes, but research has not proven that MHT increases sex drive. However, any treatment that improves a woman’s overall sense of well-being is likely to improve sex drive.

Talking with Your Partner Talking with your partner about your sexual changes can be very helpful. Some possible topics to discuss include: • What feels good and what doesn’t • Times that you may feel more relaxed • Which positions are more comfortable • Whether you need more time to get aroused than you used to • C oncerns you have about the way your appearance may be changing • W ays to enjoy physical connection other than intercourse, like massage Talking with your partner can strengthen your sexual relationship and your overall connection. If you need help, consider meeting with a therapist or sex counselor for individual or couples therapy. For more information, please contact the office of Dr. Edward S. Levy, MD at Metropolitan Ob-Gyn and Urogynecology, 314-686-4990, 816 South Kirkwood Rd., Suite 100, Kirkwood, MO 63122.

health professions

Lesser-Known Health Care Careers are Very Rewarding

ave you looked at career possibilities in health care lately? The health care industry offers a wide array of career choices, as reported by the Bureau of Labor Statistics. Many positions in the medical arena involve operating room (OR) procedures or patient care. Others require totally different skill sets, such as positions in pharmaceuticals or hospital administration. One unique and rewarding career option involves biomedical equipment technology. These professionals work behind the scenes to install, inspect, maintain and repair medical equipment. From the large CT scanners and patient monitors to electric wheelchairs, every medical device must work properly. David Chappell, chair of the biomedical equipment technology department at Brown Mackie College - Fort Wayne offers insight into this not-so-apparent health care career option. “Focusing on medical equipment is a way to help people without being in the OR,” says Chappell. A career in biomedical equipment technology is about computers and circuit boards, hardware and specialized software, soldering irons and electronic tools. It is also about training doctors and nurses on the use of equipment. The Association for the Advancement of Medical Instrumentation (AAMI) reports an average national salary of $43,000 for this profession. Part computer technician, part electrician, part medical worker, the field comprises a blend of medicine with science and technology. “I find it exciting,” Chappell adds. “Most patients take this work for granted; however, it carries huge responsibilities. Doctors, nurses and emergency medical technicians (EMT) workers depend on the equipment to work correctly, with sometimes life or death consequences.” This aspect of the profession sends some people running for the doors, while others feel it adds prestige to the position. A two-year degree program can open the door to the field of biomedical equipment technology. The curriculum is technology-based, with ample medical coursework. On-the-job proficiency involves knowl-

edge of anatomy and physiology, as well as medical terminology. “Students are sometimes put off by the medical classes,” says Chappell. “But it is vital in this uniquely blended industry. Professionals in the field must understand both sides. It is not just a matter of knowing which screw to turn. When working on a medical device, the technician must understand how it does what it does, and how it interacts with the patient.” Working on equipment comprises a large part of a biomedical equipment technician’s job responsibilities, but not all. “Techs play different roles,” says Chappell. “Primarily, they manage, maintain and repair every single piece of equipment you can imagine, from small to large. Additionally, they are involved in training facility staff on the proper and safe use of the equipment, especially if a particular piece of equipment is often in need of repair. Why is it happening? Are they using it wrong? This often leads to training sessions, where professional communication skills are a must.” Career opportunities in the field are varied. Some biomedical equipment technicians work at hospitals. Others work for manufacturers, who send technicians out to care for equipment housed at medical facilities. Manufacturers also hire bench technicians, who work at the factory to repair and refurbish equipment. Another option is to work for a service company, which contracts with hospitals, clinics and doctor’s offices to maintain equipment. “There are thousands of pieces of medical equipment in use today, and many are required by regulation to be maintained monthly or quarterly,” says Chappell. The field also offers opportunities to specialize. “Every workday provides additional training on equipment,” he says. “Whether a tech prefers imaging or radiology or ultrasound or laser, he or she may choose to focus on specific high-end equipment. It is not uncommon for a tech to specialize. Specialists are in demand, and can draw a higher salary.” April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 21

ombudsman program

Providing Growth and Advocacy for Long-Term Care

rowth should not stop as we age. This is why the Long-Term Care Ombudsman Program of Greater St. Louis and Northeast Missouri (LTCOP) works to promote growth in quality of life for individuals across the continuum of long-term care. Our most vulnerable community members need LTCOP. We help the frail elderly who worked their entire lives but must now rely on others to feed and dress them. We help individuals with developmental disabilities who cannot speak up for themselves and people with mental illness who cannot live on their own. We also help anyone facing the worry of long-term care options. Educating and empowering persons and their families who need long-term care is our core mission. Two main programs are at the heart of our response to the cries for help: • Information Center -- this provides free, objective advice to anyone who needs long-term care. When people are overwhelmed with figuring out what they need, where to find it and how to pay for it, LTCOP is their most comprehensive resource. Page 22 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

•O mbudsman Advocacy -- trained volunteers visit long-term care facilities weekly to advocate for all residents, especially helping those who are either too afraid or unable to speak up for themselves. Ombudsmen address quality-of-life issues ranging from cold food and unanswered call lights to serious incidents of verbal and physical abuse. With an Ombudsman’s help, residents can better challenge an unjust discharge from a facility, obtain necessary medical attention or correct unsafe living conditions. Ombudsmen educate residents about their rights, support them in expressing their concerns, and advocate for them when requested. Volunteer Ombudsmen are given extensive training on the rights of nursing home residents and how best to identify and advocate when residents’ rights are being violated. One of our volunteer Ombudsman said it best, “One of the reasons why residents need an Ombudsman is that many residents are simply unaware of their rights.

• They have no idea what the facilities are actually required by law to do. A facility may be resistant to change. • A resident may have feelings of isolation and lack of power. • This creates an environment in which the residents that do want to identify and resolve problems find it difficult to do so without outside assistance. • In many cases, a resident may not be able physically or mentally resolve a problem and is forced to submit to potentially unethical treatment. “Because Ombudsman volunteers are members of the community and not tied to a facility, residents view them as objective help with their complaints,” concluded that same volunteer Ombudsman. When a volunteer Ombudsman visits a particular assigned facility for four hours every week, he or she becomes a trusted ally of the residents. The staffs at long-term care facilities often welcome a volunteer Ombudsman as additional eyes, ears and voice to identify the needs of residents. Our professional staff at LTCOP supervises these volunteers and assists them in resolving grievances for residents and their families. In addition, our staff provides caregiver training to facility employees and community education on such relevant topics as Abuse and Neglect, Advance Health Care Directives and Financial Resources for Long-Term Care. LTCOP also operates an Information Center that provides free, objective advice to anyone trying to navigate the maze of long-term care options. Often people call us in crisis; their parent could be facing a hospital discharge or has become unsafe at home and needs help to find the right place to live. Our staff guides callers through the full range of both home-based and facility-based care options as well as Medicare and Medicaid, guardianship and living wills and funding resources to help obtain the care these individuals need. “We know the alarming fact that almost 70% of those 65 and older will need long-term care. But we are concerned that the community may not realize how quickly this fact could hit home,” says LTCOP Executive Director Mary Lynn Faunda Donovan. “Do most of us ever stop to think about how easily this could become a loved one or someone we know or even ourselves? Suddenly we are one of the many who need help with navigating the maze of long-term care options.” Our phones ring nonstop with cries for help from individuals, often in crisis, who need free consultation services from LTCOP. Still, many overwhelmed individuals and families do not even know about us -- the fact that we remain invisible to far too many in the Greater St. Louis area is disturbing. Our goal is to no longer hear this common response, “I wish I had known this several years ago when my mom had to go into a home.” Our dedicated, trained staff is working so our community members will no longer wish they had known; they will know the Long Term Care Ombudsman Program as a resource for help. As the area’s premier advocacy organization, LTCOP is both providing and protecting... • Providing families and community members with invaluable, objective, free advice and expertise on how to choose and pay for muchneeded long-term care both in the home and out of the home, and • Protecting the rights of 24,000 residents at 350 long-term care facilities. Ombudsmen are available, free, to anyone.

providing support to individuals, families and professional caregivers on long-term care options. LTCOP serves the City of St. Louis, St. Louis County, Jefferson County, Franklin County, St. Charles County as well as 16 counties in Northeast Missouri. The LTCOP mission is to educate and empower persons and their families for quality living across the continuum of long-term care. For more information, please contact us at 314-918-8222, toll-free at 866-918-8222, or visit our website at www.ltcop-stl.org.

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grief recovery

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

hat we believe usually dictates how we feel. Our attitudes about people and events will generate our emotional responses to them. Our attitudes and beliefs are always right, otherwise we would believe something else. Since we have practiced our attitudes and beliefs over a lifetime, we are very loyal to them. It is very common to get stuck on our rightness and lose sight of our real human objective which is to be happy. Many people believe that being right IS being happy. Most of us eventually learn that our rightness may be limiting or restricting our happiness. Our rightness about effective recovery from significant emotional losses often limits our ability to complete relationships that have ended or changed. Many of the ideas and beliefs that we were taught about dealing with our losses are incorrect and unhelpful, but after practicing them for a lifetime, they can seem to be very right. For example, we were all taught that time heals all wounds. But time does not complete anything that is emotionally incomplete in our relationship with someone who died. If we believe, with tremendous rightness, that time is going to heal our emotional wound, we are destined to wait forever. It is essential to take a new position of rightness about which actions are most helpful to achieve effective long-term Grief Recovery®. Another example of a belief that you may have learned and practiced is keeping busy. As a response to the conflicting feelings caused by loss, keeping busy can be a dangerous short-term distraction. At the end of a busy day your heart is still broken, and the relationship may still be incomplete. Keeping busy does not complete relationships. People are often as right about keeping busy as they are about time healing wounds. In our last column, on familiarity, we said, familiar is not necessarily good, it is only familiar. By the same token, right is not necessarily good, it is only right. We tend to develop a ferocious loyalty to our rightPage 24 — Healthy Cells Magazine — Greater St. Louis Area — April 2012

ness even though it often leads us to horrible squabbles with our mates and friends. If you think about most of the fights you’ve had, you will realize that both sides clung fiercely to the rightness of their position. Even in the aftermath, either party may have stayed on a position of rightness and refused to apologize, and thereby extended the fray. It may be time for you to examine some of your beliefs and attitudes about recovery from significant emotional loss. How you process the conflicting feelings caused by loss is dictated by what you believe. You must ensure that you have effective beliefs that can lead you towards happiness, rather than stuck in rightness. The Grief Recovery Handbook is an ideal source of effective Grief Recovery® information and actions which can lead you to completion of relationships that have ended or changed. Using correct information and actions can help you capture or recapture the happiness you deserve. You may also discover ways to apply these principles in other areas of your life. Next Month: “Is It Ever Too Soon To Recover?” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA 91413. Call 818-907-9600 or Fax: 818-907-9329. Please visit our website at: www.grief-recovery.com.

balloon sinuplasty

Minimally Invasive Procedure Provides Symptom Relief for Sinus Sufferers

or eight years Dawn Burley, 27, battled chronic sinusitis, a condition associated with nasal congestion and pressure-related headaches - two symptoms which almost halted her career aspirations. On any given day, the severity of Burley’s symptoms often meant avoiding bright lights and loud noises - presenting significant obstacles for an aspiring graduate student hoping to pursue a career in social work in a big city. Nighttime wasn’t much better. Trouble breathing and coughing caused by a continual post-nasal drip made restful sleep a luxury, which resulted in a chronic fatigue that made studying and life in general - almost impossible. After years of enduring pain and exhaustion with little relief, Burley feared that her quality of life would never get better. “There is no other way to describe my life at that time other than just miserable,” says Burley. “Every morning, the first thing I would do was assess how I felt and then determine what my symptoms would and would not allow me to do that day. It was like being in prison - my condition literally controlled my life.” As one of 7 million Americans battling chronic sinusitis each year, Burley’s experience is not unique. With sinusitis, the walls (or linings) of the sinuses become inflamed and swollen, preventing normal drainage and causing mucus and pressure to build up. Symptoms include secretion of a thick, yellow or greenish discharge from the nose or down the back of the throat, nasal congestion, or tenderness and swelling around the eyes, cheeks, nose and forehead. When sinusitis lasts longer than 12 weeks, or occurs more than three or four times per year, it’s considered chronic sinusitis. Having visited numerous doctors and tried everything from over-thecounter to prescription medications, Burley eventually was referred to an ear, nose and throat (ENT) physician who recommended that she consider the minimally invasive Balloon Sinuplasty procedure to open the sinuses. Unlike traditional sinus surgery, Balloon Sinuplasty does not involve removing any bone or tissue, and can be performed in the doctor’s office, in addition to the operating room. Balloon Sinuplasty is performed by inserting a specially-designed balloon into the nose to reach the inflamed sinus cavity. The small balloon is slowly inflated, gently widening and restructuring the walls of the sinus passage - without cutting and with minimal bleeding - helping to

Dawn Burley, chronic sinusitis patient. drain mucus from the blocked sinus and restore normal sinus drainage. While the procedure is usually performed under general anesthesia in an outpatient setting, some patients - like Burley - are candidates for an in-office procedure under local anesthesia. Within days, Burley was back to her usual activities, feeling relief from painful headaches and congestion, and starting to enjoy her life again. “Balloon Sinuplasty has had an incredible impact on my life. Before the procedure, my sinusitis symptoms and the horrible way they made me feel was all I knew - it was my ‘normal,’” says Burley. “It’s wonderful to realize that ‘normal’ can mean actually feeling good. I no longer have to plan my life around a condition that was stealing it.” Today, Burley is now able to dedicate all of her time to pursuing her dreams as a social worker, fully embracing the big city and all it has to offer. “I hope that my experience inspires others to speak with their doctor about their sinus issues to see if they should see an ENT physician. It’s worth it - no one should have to suffer for years like I did.” All medical procedures involve risks. Only a physician can tell you if treatment with Balloon Sinuplasty is right for you. To learn more about Balloon Sinuplasty, visit www.balloonsinuplasty.com.

April 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 25

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