May Bloomington Healthy Cells 2012

BLOOMINGTON/NORMAL

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

May 2012

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M A G A Z I N E

HIGH TECH AND HIGH TOUCH:

Advocate BroMenn’s Patient Tower Addition

page 12

Worried About Losing Your Marbles? page 10

Mommy Makeover page 23

Genetically Modified Foods page 34

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BARRINGTON • BLOOMINGTON/NORMAL • ELGIN • GLENVIEW May 2012 — Bloomington ­— Healthy Cells Magazine — Page 3

MAY Emotional: What is PTSD? Nutritional: Worried About Losing Your Marbles?

This Month’s Cover Story:

Volume 7, Issue 5

High Tech and High Touch: Advocate BroMenn’s Patient Tower Addition

page 20

Cholesterol Medications: Statin Risks and Benefits Part 2 Women's Heart Health: Life Goes On After Heart Disease Part 3 Hypnosis Can Help: The Habit of Sleep Preparing For a Run: On Your Mark, Get Set, Go! The Right Dose: What Is a Compounding Pharmacy?

Body Contouring: Mommy Makeover — An Option Your Mom Never Had Maintain Your Hearing: May is Better Hearing Month Melanoma: The Bad and The Good of This Ugly Disease

Cover and feature story photos by élan Photography

6 8 10 12 14 15 16 18 23 24 26 28 30 32 34 36 37 38 40 42 44 46 48

Physical: Custom Made Face Masks Aid in Treatment of Facial Injuries

2012

The Recruiter's Job: Matching Physicians with the Right Practice Community Health Care Clinic: Medical Care for Those Without Insurance Oral Health: Another Cavity?

Genetically Modified Foods: Risks and Regulations Early Literacy: Beyond the Book — Socializing Benefits Everyone Microcurrent Facial: Lunch Time Face Lift Developmental Screening: A Must for Early Childhood Years Senior Living: Be Content at Home Healthy Starts: Wake Up Breakfast with Flavor and Antioxidants Sun Safety: New Sunscreen Labels Make it Easier Child Abuse: Parental Alienation Leaves Scars Too Sleep Apnea: "Getting the Sleep I Needed Changed My Life"

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@gmail.com Healthy Cells Magazine and Pastelle Magazine are both a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com www.healthycellsmagazine.com and www.pastellemagazine.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 greater Bloomington-Normal area.

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.

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

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

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 5

physical

Custom Made Face Masks:

Aid in Treatment of Facial Sports Injury and Burns

By Saravanan Sundarakrishnan, LCPO, Comprehensive Prosthetics and Orthotics

T

he face is the most vulnerable area of the body and is usually the least protected. Facial trauma, also called maxillofacial trauma, is any physical trauma to the face. Facial trauma can involve soft tissue injuries such as burns, lacerations and bruises, or fractures of the facial bones such as nasal fractures and fractures of the jaw, as well as trauma such as eye injuries. Symptoms are specific to the type of injury; for example, fractures may involve pain, swelling, loss of function, or changes in the shape of facial structures.

Sports-related facial injuries account for 8% of all facial soft tissue injuries. Approximately 11-40% of all sports injuries involve the face.

These injuries are most often due to direct hits with a ball or player-toplayer contact.

The most common types of sports-related facial trauma are the soft tissue injuries and the fractures of the "T-Zone" bones (the nose, the zygoma, and the mandible). These injuries often occur in combination. Depending on the extent and the type of injury, some injuries can be managed at the sporting event site, with the athlete resuming play immediately. Other injuries may demand transfer to an urgent care setting and management by a specialist.

Page 6 — Healthy Cells Magazine — Bloomington ­— May 2012

Facial Burns Facial burns vary from relatively minor insults to severe debilitating injuries. Over 50% of burn injuries involve the head and neck region and can be caused by flame, electrical current, steam, hot substances, and chemicals.

Each year in the United States, 1-2 million burn injuries demand medical attention. Remember that burn injuries may take the skills of multiple specialties in a burn center. Objectives for reconstruction following a facial burn include restoration of function, comfort, and appearance. Functional concerns in these patients include airway patency (open airway), protection of the cornea, oral continence, and neck mobility. Burns may impart a tight masklike sensation to the face, distorting features and limiting facial expression. Appearance is altered by contractures, scarring, and pigmentary changes. We use custom made face masks in the treatment of these patients.

Thanks to recent advances in medical technology and materials development, there is now a better option for treating patients with severe facial burns and sports injuries. We use a portable scanner, 3D laser scanning device, which eliminates the need for plaster or alginate

molds and the associated discomfort and anxiety. Once the scanning is done and a 3D model created, certain modifications are done depending on the diagnosis and goals to be achieved. After the modifications, a foam block is used to carve the positive model using Cad Cam technology. After this a clear and strong thermoplastic is heated and vacuum formed over the model. Once the plastic cools down it is removed from the mold and then finished and straps attached to it.

A total contact custom face mask is a clear rigid custom fit plastic material designed from a model of the patient’s face and fit directly against the skin. The treatment and modifications of the face mask may vary according to the diagnoses and goals to be achieved. In cases of burns it is used to make hypertrophic (raised) scars less visible as the skin heals. In cases that are sports related, the goal is to protect the injured area by distributing the pressure over the face and relieving pressure from the injured area.

Total contact custom face masks are usually secured with Velcro straps that fit around the patient’s head. Because of the clear plastic design and material used it is easier for players to continue with their sports activity without any disturbance in their vision and fear of injuring due to a direct impact. On the other hand a well-fitting burn mask is comfortable and stays in position on the face, and can dramatically reduce scarring if worn properly. The clear plastic design provides a barrier from potential irritants and allows visual inspection of the wound site without removal of the mask.

CPO is dedicated to providing exceptional treatment for patients with traumatic burn injures as well as sports related facial injuries.

Please contact CPO at 888-676-2276 to schedule an appointment for evaluation for Custom total contact Sports face masks/ Burn masks.

Saravanan Sundarakrishnan is a Certified and Licensed Orthotist/ Prosthetist at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides patients in Central Illinois with prosthetic and orthotic devices and care, and also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888.676.2276. Visit the website at www.cpousa.com.

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emotional

What is PTSD? Submitted by Dr. Anjum Bashir

P

ost-traumatic stress disorder (PTSD) is an anxiety disorder that some people get after seeing or living through a dangerous event. When in danger, it’s natural to feel afraid. This fear triggers many split-second changes in the body to prepare to defend against the danger or to avoid it. This “fight-or-flight” response is a healthy reaction meant to protect a person from harm. But in PTSD, this reaction is changed or damaged. People who have PTSD may feel stressed or frightened even when they’re no longer in danger.

Anyone can get PTSD at any age. This includes war veterans and survivors of physical and sexual assault, abuse, accidents, disasters, and many other serious events. Not everyone with PTSD has been through a dangerous event. Some people get PTSD after a friend or family member experiences danger or is harmed or suddenly dies.

PTSD can cause many symptoms which may occur immediately or may not show up for weeks or months later. Symptoms can be grouped into three general categories: 1. Re-experiencing symptoms such as flashbacks, (reliving the trauma over and over) and nightmares may also include physical symptoms such as a racing heart, sweating, headaches, stomach or chest pain. Re-experiencing can be triggered by a person’s own thoughts as well as words, objects, or situations that are reminders of the event.

Page 8 — Healthy Cells Magazine — Bloomington ­— May 2012

2. Avoidance symptoms may be triggered by things that remind a person of the traumatic event. For example, after a bad car accident, a person who usually drives may avoid driving or riding in a car. Other avoidance symptoms include: • Staying away from places, events, or objects that are reminders of the experience • Feeling emotionally numb • Feeling strong guilt, depression, or worry • Losing interest in activities that were enjoyable in the past • Having trouble remembering the dangerous event.

3. Hyperarousal symptoms are usually constant, instead of being triggered by things that remind one of the traumatic event.

Some examples include being easily startled, feeling tense or “on edge”, having difficulty sleeping, and/or having angry outbursts.

These symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating. It’s natural to have some of these symptoms after a dangerous event, but when the symptoms last more than a few weeks and become an ongoing problem, they might be PTSD. Children and teens can have extreme reactions to trauma, but their symptoms may not be the same as adults. In very young children, these symptoms can include: • Bedwetting, when they’d learned how to use the toilet before • Forgetting how or being unable to talk

•A cting out the scary event during playtime • B eing unusually clingy with a parent or other adult.

Older children and teens usually show symptoms more like those seen in adults. They may also develop disruptive, disrespectful, or destructive behaviors. Older children and teens may feel guilty for not preventing injury or deaths.

As with many mental illnesses, PTSD can be difficult to diagnose as there is not a single symptom or definitive “test”. To be diagnosed with PTSD, a person must have all of the following for at least one month: • A t least one re-experiencing symptom • A t least three avoidance symptoms • A t least two hyperarousal symptoms • S ymptoms that make it hard to go about daily life, go to school or work, be with friends, and take care of important tasks.

The main treatments for people with PTSD are psychotherapy (“talk” therapy), medications, or both.

Everyone is different, so a treatment that works for one person may not work for another. It is important for anyone with PTSD to be properly diagnosed and treated by a psychiatrist or mental health care provider who is experienced with PTSD. There are many factors that play a part in determining whether a person will get PTSD. Not everyone who lives through a dangerous event gets PTSD and in fact, most will not get the disorder.

For more information, please contact Anjum Bashir, MD at 309-808-2326. His office is located at 205 N. Williamsburg, Suite E in Bloomington. He treats all psychiatric conditions and is one of the few physicians in the area that utilizes TMS Therapy for depression and ADHD Quotient test for ADHD/ADD.

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nutritional

Worried About

Losing Your Marbles?

By Dr. Tom Rohde, Renew Total Body Wellness Center

I

nflammation is the root cause of most of the bad illnesses we are burdened with including heart disease, diabetes, auto-immune illnesses, cancer, Alzheimer's and similar dementing brain illnesses. The major driver of inflammation in our body is sugar and anything we put into our body that is rapidly turned into sugar - namely carbohydrates. To prevent inflammation and lower the risk of Alzheimer's, a good first step is to cut out carbohydrates, then add healthy fats back into your diet. Last month, I discussed the difference between vegetable oils, which are long chain fatty acids (LCFA), and coconut oil, which is a medium chain fatty acid (MCFA). Supposedly “healthy” vegetable oil metabolism produces the inflammation driving, fat storing glucose while coconut oil metabolism produces ketone bodies, an alternate fuel source for our body and brain that doesn’t stimulate a sugar spike, which is what stimulates insulin production. Remember, insulin's only job in our body is to lower glucose and to store excess glucose as fat.

Let’s delve a little deeper into the role of sugar as a contributing factor in Alzheimer’s.

Isn't it curious that 80% of those afflicted by Alzheimer's have glucose metabolism problems or outright diabetes? We are beginning to label Alzheimer's as Diabetes type 3 as research continues to unravel the mysteries of our complex nervous system. The brain is separated from the remainder of the body by the blood brain Page 10 — Healthy Cells Magazine — Bloomington ­— May 2012

barrier and therefore produces its own insulin to regulate its primary fuel source glucose. If we have problems with glucose control in the peripheral body, such as insulin resistance or diabetes, then the brain is at risk of starvation when glucose is in short supply in the brain. As a result of low glucose, areas of the brain die, leading to diseases like Alzheimer's.

Diabetes is an illness that starts to damage the body 10-15 years before it is diagnosed in most adults…. scary! Not only is the inflammation of abnormal blood glucose unknowingly damaging the body on a regular basis, that same damage is occurring in our brain and destroying brain cells. Over time we reach a critical mass of tissue damage and we develop diabetes peripherally and diseases like Alzheimer's centrally. How do you prevent this?

Cut the sugar and minimize the carbohydrates over a lifetime and prevent the whole scenario. I'm repeating myself to emphasize the importance of these two items.

Ketone bodies are an alternate fuel source for the brain and if the brain has a ready supply of ketones, then any imbalance in sugar metabolism in the body becomes unimportant as the brain cells will not lack a source of energy and therefore will remain healthy. We already use ketogenic diets to treat seizures that are unresponsive to typical seizure medications, now I suggest we look at a similar mechanism for prevention and even management of

Alzheimer's and other brain diseases. I have seen success in my own Alzheimer's patient population beyond what the pharmaceutical industry offers. I suggest starting at one teaspoon twice daily of a good USDA certified organic coconut oil that is expeller or cold expressed. A health food store is a good place to purchase a good brand and it is also available at many grocery stores. Slowly increase the dosing to a goal of one tablespoon three times daily.

Coconut oil is good for cooking foods as it is heat stable, it can be warmed and poured on prepared foods like rice or vegetables instead of butter, and used to make popcorn.

Following are some other dietary and lifestyles changes you should incorporate to help your brain stay healthy: • G et at least 7 hours of continuous sleep daily and participate in cardiovascular exercise at least 30 minutes 3 times weekly.

• G et your vitamin D level tested and get the value up to around 70 and then keep taking your vitamin D regularly. Take a high quality fish oil daily that is certified free of mercury, and make sure you're either taking a high quality B complex vitamin daily or a good multivitamin that has the B complex incorporated in it.

• M inimize sugar which includes limiting fructose in any form to 25 grams or less per day by eating fruits like berries that are naturally lower in fructose to help lower insulin resistance and prevent diabetes. Be careful here as artificial sweeteners have deleterious effects on the body as well, so don't switch to these thinking you're safer. Just eliminate it.

• Minimize carbohydrates in general as they turn to sugar in the body • M inimize intake of non-essential foods like unfermented soy which can accelerate brain aging.

“80% of those afflicted by Alzheimer’s have glucose metabolism problems or outright diabetes” •H ave your body levels of known brain toxins like mercury, lead, arsenic, and other persistent environmental pollutants evaluated with an appropriate challenge test. If elevated levels are found consider having amalgam fillings removed safely and then undergoing chelation to safely remove these toxins to prevent continued toxicity and long-term adverse health outcomes.

If you are interested in your own wellness, a personalized approach to your healthcare, or would like more information on understanding your risk for Alzheimer’s, please visit Dr. Rohde’s website: www.DrRohde.com. To schedule an appointment for a consultation you may call his office at 217-864-2700.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 11

cholesterol medications

Statin Risks and Benefits Part II

By Edward W. Pegg, MD, LLC

L

ast month’s article discussed the connection between statin medications and muscle pain. These cholesterol-lowering medications (Lipitor, Pravachol, Zocor and Lescol to name a few) are taken by 33 million adults in the United States. Many of these people, approximately 20 percent, also suffer from muscle pain (myopathy) and may not realize that it could be a side effect of the medication.

It is not entirely known how these cholesterol-lowering medications produce muscle pain and possible damage, but there are several theories. Since we know that the muscle pain that develops with statins are dose dependent, one theory is that some people may already have borderline muscle disorders who are then more prone to the muscle pains that the statins produce, “the straw that broke Page 12 — Healthy Cells Magazine — Bloomington ­— May 2012

the camel’s back” effect. We also know that the cholesterol considered to be harmful in high concentrations in the serum is a similar fat that is used to repair our cellular membranes when there is damage. A second theory is that the cholesterol-lowering effect in the bloodstream may be beneficial to reduce the risk of heart attack but at the same time may deprive the muscle of the lipids, or fats, which it needs to remain healthy. Some of the other byproducts blocked by the statins may include isoprenoids, which may have something to do with signaling within the cell. If these are not present in sufficient amounts, the cell may not continue to be as healthy. Another theory is that coenzyme Q10, also another product that is blocked by the statins, may be responsible for running the mitochondria, or

energy factories, in the cell. That is why the medications may be dose dependent—the larger amount of medication, the more of a drop in cholesterol and the more starvation of the muscle cells. A similar phenomenon has been seen in muscle if fats are removed from the serum through pheresis, a process which consists of cleaning the blood as it is run through a machine.

If you suspect you have a statin-induced myopathy, you should contact your doctor so he can first determine whether your symptoms appear consistent with this disorder. He may then order some blood work which would include a CPK, which is a measure of muscle injury.

In statin-induced myopathies, many times the CPK is elevated, but one can still have a drug-induced myopathy even with a normal CPK. The doctor will also want to look at the other medications you are on and get a history of other medical problems that might be influencing or affecting your muscles. Depending on what your doctor finds, he may want you to be seen by a neurologist to undergo an electromyogram, or EMG. This is a study that can look at the muscle as it is working and determine whether it is normal or damaged. If other diagnoses are ruled out and it appears as though this is related to a statin medication, the drug is usually then stopped.

Relief, however, is not immediate and on average takes two weeks to resolve, but there are cases of symptoms lasting much longer. If one sees total resolution after stopping the statin medication and if there has been no other changes made in medications or lab values, one can feel fairly certain that this is a statin-induced myopathy. If you are a patient who otherwise has serious risk for future heart attack or has significant coronary artery disease, your doctor may feel that it is worth trying one of the other statins that has a lower likelihood of myopathy. Not all statins are alike. Studies have shown that muscle

"Cholesterol-lowering medications are taken by 33 million adults in the United States. Many of these people also suffer from muscle pain." disorders seem to be more prevalent with simvastatin, or Zocor, and atorvastatin, or Lipitor. The two that are least likely to cause muscle disorder are Lescol and Crestor.

You might be wondering why your doctor would want to re-challenge you with the same medication and take the risk of recurring muscle injury. In this case, one has to realize that he is weighing the benefits of saving your life by preventing a heart attack versus the risk that he could again create the muscle injury. In some cases where the risk of heart attack is high and no statin can be found that totally eliminates the muscle problem, the doctors will sometimes try alternating weeks of cholesterol therapy or the addition of supplements such as CoQ10 while they remain on the cholesterol-lowering agent.

The first article on the connection between statins and muscle pain was in the April issue of Healthy Cells Magazine.

Dr. Pegg has a special interest in statin myopathy and can be reached at 309-661-7344.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 13

women's heart health

Life Goes On After Heart Disease Part Three of a Three Part Series on Women’s Heart Health

By Jamie Peel, OSF St. Joseph Medical Center

A

lthough experiencing heart disease can be frightening, life goes on and no woman has to do it alone. With the right tools and education, women can go on to lead fulfilling lives and in fact, they can live a healthier life than before.

Healthy Lifestyle The thought of living a healthy lifestyle is a typical goal for many women, but after a heart event it becomes a necessity. Eating a healthy diet is a good place to start. Diets will need to include fruits and vegetables, whole grains, fish, and lean meat. Women will need to lower their sodium intake, foods high in fat, desserts, and soda.

At times, it can be difficult to know the difference between good

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and bad nutrition. Many free resources are available online to help women prepare heart-healthy meals.

If women smoked before they had heart disease, it is imperative they stop. Smoking alone doubles the risk of heart disease. Quitting smoking is not easy, but different organizations, support groups, and doctors are available to help women break the habit. The Illinois Tobacco Quitline is also available to help smokers quit. Women can call 1-866-QUIT-YES for free assistance from medical professionals.

Cardiac Rehabilitation Exercise is another key factor in moving on after a heart event.

The heart is a muscle that needs to regain its strength at a steady pace. It is important to start slow and make small goals. This way, getting back in an exercise routine will not seem so hard. Walking is a great way to get started and there are walking groups in McLean County women can join. Remember to always consult with your physician before starting any exercise routine.

Being active will help lower a woman’s chance of having another heart event. Your physician may suggest you try cardiac rehabilitation to help counterattack the effects of heart disease. Participating in cardiac rehab is a safe way to get back to an active lifestyle. You will have clinical supervision and staff will keep you at a pace that is healthy for you. Cardiac rehab will not only offer physical activity; they will offer education and counseling to help you achieve a more active lifestyle.

Support Groups According to womenheart.org, research shows women who join support groups after a heart event make better recoveries because it is good for the body and spirit to connect with other people by building relationships. Support groups are available throughout the community to help women and their families get their lives back to normal. Organizations, such as Mended Hearts, meet regularly and make visits to people while they are in the hospital receiving treatment. It is beneficial to talk with people who have had a similar experience because you can help each other and learn from one another.

No matter which route you choose, it is vital you have someone you can confide in to help you move on.

Of course, all of these things are easier said than done. But it’s good to know that people are there to help you pick up the pieces and move on, both physically and emotionally. Remember to take it slow and things will eventually fall into place.

For more information on life after heart disease, please contact Jennifer Sedbrook, OSF Cardiovascular Service Line Leader, at 309-665-5709 or visit www.osfstjoseph.org/her-heart.

hypnosis can help

The Habit of Sleep

By Rick Longstreth, Certified Hypnotherapist something that you don’t want to do. Hypnotherapy works best for those that WANT to change the negative habit. It is extremely effective for helping people develop positive sleep habits because deep down, almost everyone wants to get a better night’s sleep.

Hypnosis has been proven to help people conquer many bad habits that result in health problems, yet it is often not considered due to misconceptions about it or unawareness. Hypnosis is not only effective, but is completely safe, non-invasive with no side effects; it is certainly a solution that people should explore.

The link between the mind and the body is well understood. If you are interested in trying hypnosis to alleviate your sleep issues or any other negative habit, be sure to work with a certified hypnotherapist who will help you to identify the emotional issues, stresses or triggers that are keeping you from restful sleep.

For more information, you may contact Rick Longstreth, Certified Hypnotherapist, at AHHH Hypnotherapy, 309-261-2564. His office is located at 2310 East Oakland Ave., Suite 11B in Bloomington. He will look for the root causes of the sleep issues as well as the symptoms and create a custom approach to helping you get the sleep you need.

A

lmost everything we do is a habit. We walk, we talk, we drive, we work, we eat and drink. All are habits. These are examples of habits that are relatively good in moderation. Then we have habits that are mostly negative, for example, over eating, smoking, etc.

The majority of most people’s days are controlled by habits. Sleep is another example of a habit. Unfortunately, many people have made sleep a bad habit, which might even come with a doctor diagnosing them with insomnia.

When we look at the habit of sleeping, people often create the habit that they can't sleep, can't stay asleep or can't get to sleep. While trouble with sleeping may be caused by a medical condition, in most cases, it is a result of stress. People sometimes create the habit that when their head hits the pillow, all of the stress, work problems, financial difficulties or other worries rush into their mind. This habit may have started with an occasional night of poor sleep, which of course produced fatigue or frustration, which caused more stress and tension and so a vicious cycle, or habit, was set in motion. People may also create the habit of watching TV, checking Facebook, or doing something that stimulates the mind before going to bed. Go back through the years and look back at the habits that you had related to sleep and notice how your sleep was different than it is today.

The reason most people believe habits are so hard to change is because they aren’t controlled by the conscious mind. Negative habits or behaviors come from the subconscious mind, which most people do not know how to work with or change. Many people with frequent sleep issues feel defeated and exhausted and resort to sleeping pills, which can sometimes make the problem worse, as it only addresses the symptom, not the root cause.

Hypnosis techniques have been proven effective to combat sleep problems as well as other negative habits because it deals with the cause, not just the symptom. Hypnotherapy allows you to communicate with your subconscious mind, without the conscious mind getting in the way. Think of hypnosis as a tool to help re-train your brain. It’s important to know that hypnosis can never cause or force you to do

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 15

preparing for a run

On Your Mark, Get Set, Go!

By Sam Fowler, PMAC, Heartland Foot and Ankle Associates

M

ay is a great month to start up your exercise routine! National Running & Fitness Week is May 6-12, 2012. This week is meant to encourage individuals to get involved with community fitness events and help them learn how exercise can be fun! This is a great time for YOU to get back into your summer routine. But it’s always important to take it slowly and to train carefully with the advice of an expert to avoid running injuries.

Before you get started, no matter how fit you may be, it’s important to remember that stretching before and after a run is the best way to minimize injuries. Choosing proper footwear is also very important.

Your podiatrist can help you choose the right shoe for your level of activity. But, no matter how careful you are, you may end up with some common injuries, such as those listed below.

related to the shape and structure of your feet. Treatment includes rest, stretching, physical therapy, changing your running technique, and rebalancing foot mechanics with the use of an orthotic device in the shoe.

Shin splints: Shin splints, which are painful and appear at the front and inside of the leg, are often caused by running on hard surfaces, over striding, muscle imbalance, or overuse. Shin splints can also be

Blisters and nail problems: Blisters and nail problems are common in runners, but can be avoided or minimized so that they don’t limit your training routine. Blisters are caused by skin friction — don’t pop them.

Apply moleskin or an adhesive bandage over a blister, and leave it on until it falls off naturally. Keep your feet dry and always wear socks as a cushion between your feet and shoes. If a blister breaks on its own, wash the area, apply an antiseptic, and cover with a sterile bandage.

Stress fractures: A stress fracture is a tiny or incomplete crack in a bone that is often caused by overuse, and is most common in the foot or ankle. Often a stress fracture will result in swelling and a spot that feels tender to the touch. Prompt diagnosis and treatment of a stress fracture can often prevent further injury. Many stress fractures can be treated with rest, ice and over-the-counter pain relievers. Some may require immobilization or even surgical intervention if conservative options are not helping.

Ingrown nails: Ingrown nails are nails whose corners or sides dig painfully into the skin, often causing infection. They are frequently caused by improper nail trimming but also by shoe pressure, injury, or poor foot structure. Runners are particularly susceptible to nail problems, and long-distance runners often lose some of their toenails entirely while they are training.

Any of the above listed problems can be treated or even prevented by seeing Dr. Melissa Lockwood at Heartland Foot and Ankle Associates. Be prepared to safely start up your running routine by scheduling a consultation with Dr. Lockwood by calling 309-661-9975 or by visiting www.HeartlandFootAndAnkle.com.

Page 16 — Healthy Cells Magazine — Bloomington ­— May 2012

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 17

the right dose

What Is a Compounding Pharmacy?

By Lori Epps

C

ompounding, simply put, is the mixing and preparing of customized medications to help meet the individual needs of a patient. “It’s a lot like baking in your kitchen, making things from scratch,” according to compounding pharmacist, Doug Higgins, owner of Doug’s Compounding Pharmacy in Paxton. Compounding pharmacists play a unique role, as they are the only healthcare professionals trained in chemical compatibilities, which qualifies them to compose alternative dosage forms.

What types of things might a compounding pharmacist make?

Compounding pharmacists may provide medications in a different dosage form or strength, to meet the needs of specific patient populations including children, premature infants, the elderly or hospice patients. If a patient is unable to swallow a pill or capsule, compounding allows for alternative dosage forms like liquids, fast dissolving troches or lollipops.

Other options might include compounded medications for nasal administration, suppositories or topical/transdermal creams or gels.

Higgins said topical pain medications are often more desirable than their oral counterparts, since many oral medications have unwanted side effects including nausea or drowsiness. By transforming the medication into a topical cream applied directly to the site of pain, the unwanted side effects can be avoided. Higgins said examples of this include anti-inflammatory drugs like ketoprofen and ibuprofen; and neuropathic agents like gabapentin, amitriptyline and clonidine.

Compounded pain medications will often combine two or more active ingredients to achieve the desired effect.

Page 18 — Healthy Cells Magazine — Bloomington ­— May 2012

Higgins said he likes to think of compounding as problem solving.

“It allows me to work directly with the physician and patient to find an alternative that meets the individual’s need. If a patient has an allergy to a dye or filler, found in a commercially available drug, we can compound the medication without the offending dye or filler, including gluten-free options,” he said. “We also compound veterinarian prescribed medications for dogs, cats and other non-food animals, making them more palatable with flavorings, or providing the appropriate strength for very small or very large animals. Transdermal medications, that may be applied to the inner ear, are a popular alternative for felines, since most cats object to taking pills,” he said.

Can you duplicate commercially available drugs?

Most of the time, no. However there is an exception. Drug shortages have been in the news a great deal lately. These shortages have made some drugs hard to come by or completely unavailable. When this occurs, compounding pharmacists may step in.

Voltaren 1% Gel is an example of a current drug shortage. According to the Voltaren Gel website, this topical NSAID is the number one prescribed topical non-steroidal anti-inflammatory drug. It is used for relief of joint pain of osteoarthritis of the knee, ankle, feet, elbows, wrists or hands.

Compounding pharmacies are meeting the demand of this shortage by making a compounded medication with the same active ingredient, diclofenac sodium. Many compounders were compounding diclofenac sodium prior to the shortage but in a different concentration, since compounding is permissible only for commercially unavailable forms or strengths of the drug.

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Midrin, a drug used to treat migraines, has been discontinued by the manufacturer. Higgins said they have been compounding a medication with the same active ingredients as Midrin since its disappearance from the marketplace. “Many doctors have told us their patients had good results with it and that they weren’t willing to give it up,” he said.

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Who regulates compounding pharmacies?

Compounding pharmacies (and pharmacists) must adhere to standards and regulations set by the U.S. Pharmacopeia, National Association of Boards of Pharmacy and State Boards of Pharmacy for quality assurance and accuracy.

Can any pharmacist become a compounding pharmacist?

Most compounding pharmacists seek additional training in compounding due to its highly specialized nature. “There are specialized techniques and considerations when compounding,” according to Higgins. “We have highly specialized equipment like electronic mortar and pestle, ointment mills and capsule machines to insure quality in the medications we make. We also belong to Professional Compounding Centers of American (PCCA). PCCA provides us with invaluable resources including chemicals, equipment, training and education as well as consulting on dosage forms and formulas.”

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To learn more about compounding and customized medications, contact Doug Higgins, R.Ph., owner of Doug’s Compounding Pharmacy at 877-642-DOUG(3684) or visit their website at www.dougsrx.com.

Established in 2000, Doug’s Compounding Pharmacy, serves patients throughout the state and is located at 137 N. Market Street in Paxton.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 19

feature story

High Tech and High Touch:

Advocate BroMenn’s Patient Tower Addition

By Becky Wiese

Work continues to prepare Advocate BroMenn Medical Center’s new patient tower for its opening in late June.

T

he anticipation for Advocate BroMenn Medical Center’s new patient tower in Normal is at a fevered pitch. The planning stage started more than seven years ago, and excitement grew as the building began to take shape. Now that completion of the state-of-theart facility is imminent, the reality of the plans and dreams that were influenced by patients, physicians, staff, and healthcare consultants is more exciting than ever.

The construction of the patient tower has taken two years and more than $53 million to complete. In late June, patients will begin to experience the benefits of this “high tech and high touch” facility. Specific thought, consideration, and purpose have been put into every aspect of the building, not only due to the fact that it’s a hospital, but also in the consideration of the type of patient that will be admitted to each of the two patient care levels. Every detail demonstrates how Advocate BroMenn is striving to meet the needs of a growing community.

Page 20 — Healthy Cells Magazine — Bloomington ­— May 2012

An Overview of the Project Anyone who has driven past the Advocate BroMenn campus might be quick to point out that the addition is definitely larger than two levels.

And they’d be correct. Dan Cooper, Planning and Design Manager, explains “All the mechanical needs are housed on the fourth floor, making future upward expansion easier.” Below that are the two patient floors housing the new Obstetrics and Intensive Care Units.

Although very different in purpose, both units are characterized by several common factors. “All the patient rooms are significantly larger in the new tower,” Cooper says. “And each room is private, with its own restroom.” The rooms have been designed with patients, staff, and family/visitors in mind.

Other aspects that make the facility more hospitable, not just a hospital, include furniture such as recliners or couches that convert into beds for family members to stay in the room (when possible). The entire

who may need a higher level of intervention and attention. The “high building offers free wi-fi to patients and visitors. In addition, the “look” of touch” aspects create a high-end hotel atmosphere, rather than a clinithe facility is much more warm and inviting—much less “hospital-ish”: cal setting. wood flooring and cabinets, Corian® countertops, glass tile, fabric seat Two family waiting rooms, one of which incorporates child-sized ing, softer lighting options, artwork, and warm earth tones that provide furniture and TVs to help entertain siblings, plus two nutrition rooms a more comfortable, less institutional ambience. which provide snacks for the family, provide for the families’ needs The entire facility has also been painted green—not literally, of while at the hospital. Families can bring computers and cameras to course, but ecologically speaking. The project has incorporated as Skype, upload photos, and share the first moments of life with family many green ideas and practices as possible, including recycling more and friends using free wi-fi. One exciting amenity has to be the sofas in than 90 percent of the material from the parking garage that was each room: No longer do dads have to cram themselves into fold-out demolished to make room for the addition. The vinyl floors, carpet, chairs to be close to moms and babies; the sleeper sofas pull out to and ceiling tiles contain recycled content; the decorative glass tiles full-size beds. are made from recycled glass; the paint and finishes boast minimal The “high tech” aspects are just as important and impressive. All volatile organic compounds (VOCs); and the roof is covered with a speof the LDRP (Labor-Deliver-Recovery-Post-Partum; all in one labor, cial white membrane which reflects heat and helps keep the building cooler. Of course, some green is truly green, as in the trees, shrubs, flowers, and grass that will be incorpoHigh-end bathroom finishes make the new Obstetrics Unit rated into the landscaping and outdoor rooftop garden rooms feel more like a luxury hotel than a hospital room. area.

The Obstetrics “Hotel” A growing community requires a sizable obstetrics unit designed specifically to meet the needs and desires of families. Lee Ann Wallace, Director of Women and Children’s Services, explains, “For the most part, the patients in the obstetrics unit are not ill—they are healthy moms giving birth to healthy babies.”

The unit’s design incorporates “high touch” elements such as 30 large, airy rooms; beautiful colors; high-end finishes like glass tile and wood trim; and beautiful artwork—making it a warm, soothing, welcoming environment; and “high tech” components that provide all the necessary equipment and technology to provide a safe environment as well as care for those

Cooper and Lee Ann Wallace, director of Women’s & Children’s services, examine the cutting edge surgical lighting in the new obstetrics operating room.

Planning & Design Manager Dan Cooper and ICU & Intermediate Care Unit Manager Staci Sutton discuss the benefits of BroMenn’s new spacious, high-tech ICU rooms.

May 2012 — Bloomington ­— Healthy Cells Magazine — Page 21

feature story

continued cial Care Nursery will have a private room with family space, including a recliner that will allow mom to stay in the room as much as possible.

The latest in infant care technology incorporates centralized heart and respiratory monitors, as well as Isolettes and other monitors. Healing, therapeutic colors and adjustable lighting create a warmer, more intimate setting.

The elements in the new obstetrics unit provide the warm and welcoming atmosphere patients desire, as well as the latest in technology to provide them with the best care possible, whether they will have a high intervention procedure such as a Cesarean section in a state-ofthe-art operating room, a traditional birth in an LDRP room, or choose to labor and/or deliver in the birthing tub. Excellence in care and flexibility in options give patients what they need and want.

Advocate BroMenn’s new Level 2 Special Care Nursery will benefit those infants who need a higher level of care. delivery, and recovery) rooms have integrated central surveillance equipment, enabling the medical staff to monitor contractions and fetal heartbeat information from multiple locations throughout the unit. Once the equipment is no longer needed, the monitors go back into their built-in “garage” in the room.

Even the lights and beds are high tech: The physician can control and position the recessed, in-ceiling lights via remote control to provide the desired level of brightness when and where needed. When not needed for medical procedures, patients can control the room’s ambient light to suit their comfort level. Nurses can verify if a patient’s side rails are up or if the bed needs to be adjusted for patient comfort through the monitoring system.

Another technological advantage Wallace is very excited about is the Hill-Rom Nurse Call System. The old call system often involved delays between when the patient made the call and when the nurse got the message and was able to respond. The new system uses special, customized phones the nurses carry during their shift which alert the nurse directly, so response time is decreased significantly. This type of technology improves the care patients receive, according to Wallace.

“It will help us create efficiencies in patient safety,” she explains.

Babies get high tech treatment as well. The new infant security system, which will supplement the process of matching id bands with mom and dad, includes a built-in transmitter on the baby’s band that enables the staff to know at all times where the baby is. “It’s kind of like a baby GPS,” says Wallace. “The system is continuously searching for the baby.” The system will also automatically control the perimeter by locking doors and shutting down elevators if the baby is moved from the area.

The Level 2 Special Care Nursery provides a higher level of care for infants who need it. Instead of one big room, each patient in the SpePage 22 — Healthy Cells Magazine — Bloomington ­— May 2012

Caring for the Critically Ill An Intensive Care Unit, by definition, provides concentrated, focused care for critically ill patients. Although they have greater medical needs, ICU patients, families, and visitors also benefit from the more tranquil color scheme and nicer furniture. Staci Sutton, Intensive Care and Intermediate Care Unit Manager, shares some of the additional amenities in the new ICU area: “All 12 rooms are private and double the size of the previous ICU rooms. The different zones allow more efficient medical procedures and bedside charting for medical personnel, as well as more flexible visiting by family and friends.”

Like the OB unit, the ICU rooms will have sofas that transform into beds to give family members the option of staying in the room. The hospital industry has changed somewhat over the past few years in this regard—often allowing family to be in the room as much as possible when medically feasible to promote the patient’s recovery.

Cutting edge technology in the ICU includes mobile columns (“booms”) that can move around the bed, giving caregivers more flexibility and better access wherever needed. Ceiling lifts, which help the nurses adjust patients’ positions or out of the bed, as well as dialysis access are also available in all rooms. The nurse call system, like the OB unit, can be programmed exactly as needed to monitor beds, equipment, and patients. The unit will have a dedicated pharmacist Monday-Friday for questions and consultation, further increasing patient safety. “This unit has 23 new pieces of equipment and technology.” says Sutton. “The technology and patient-focused environment make it a great gift to the community.”

This state-of-the-art technology already has the infrastructure for future expansion, specifically electronic ICU (e-ICU). Sutton explains, “This will be a resource for the nursing staff—allowing consultation 24/7.

It’s like having a second pair of eyes on the patient.” Once this advanced technology is installed, physicians and specialists can quickly access a patient from anywhere they have Internet access. “The technology is so amazing,” she says, “that the physician will be able to read pupil response on the patient without being in the same room.”

In addition to the ICU rooms, this level of the new tower will also contain 18 private rooms designed for neurosurgical and other highacuity patients. These are patients who do not require intensive care, but who nevertheless need advanced care and monitoring.

The patient tower at Advocate BroMenn incorporates the latest in high-tech equipment and expertise, while still maintaining a warm, caring environment for patients, families, and visitors. Every element, whether technology-based or aesthetically focused, will allow the physicians, nurses, and staff to serve the community in a state-of-the-art environment for healing.

Advocate BroMenn Medical Center will host a public Open House for the new patient tower on Saturday, June 2, from 1 pm – 3 pm. Come enjoy refreshments and take a tour of the new facility, before it is opened for patients.

body contouring

Mommy Makeover: An Option Your Mom Never Had

By Jeffrey S. Poulter, M.D., FACS

I

once had the honor of speaking at the Mothers of Multiples monthly meeting. We discussed many topics regarding plastic surgery. However, the topic of most interest was in regaining the figure that had changed drastically following pregnancy. Having twins, triplets, or even quintuplets only accentuates the changes the body undergoes following pregnancy.

Body contouring can reverse many of the changes to the figure caused by having children. The two main areas of concern are loss of breast volume and shape, and protrusion of the tummy, especially in the lower abdomen below the belly button. It is no wonder that in the American Society for Aesthetic Plastic Surgery 2009 statistics on cosmetic surgery, liposuction (283,735), breast augmentation (311,957), and abdominoplasty (127,923) are the 1st, 2nd and 4th most common cosmetic surgeries performed, with increasingly more of these procedures taking place in women of child-bearing age.

Loss of breast size and shape can many times be corrected by breast augmentation alone. Sometimes a lift is required, as the skin may have stretched too much for the implant to remain in the proper position. Implants can now be either filled with water or silicone. The safety of silicone has been documented in studies dating back to the Institute of Medicine’s report in 2000 on the safety of breast implants. A newer technique that is now available for those with modest droop of the breast is called the dual plane placement of implants. This allows the surgeon to correct some of the droop of the breast without the additional incisions a lift may require. Your board-certified plastic surgeon can discuss your options with you.

Most moms want their tummies to return to pre-pregnancy shape. Although liposuction can remove localized areas of fullness, most of the time a full tummy tuck is needed to repair the weakness in the anterior abdominal wall caused by the constant pressure of the baby. Occasionally a hysterectomy or c-section scar will have healed down against the muscle and no longer moves freely. This can cause even a small amount of skin from above to fold over the c-section scar. The low incision of a tummy tuck can remove this “tethered” scar at the same time. In addition, a majority of the stretch marks on the lower belly will be

removed when the extra skin is taken away. A board-certified plastic surgeon that specializes in body contouring will likely be able to provide computer imaging to explain the procedure and estimate realistically what results you may expect and where your incisions can be placed to hide them under a swimsuit.

Liposuction is often offered in conjunction with body contouring procedures such as abdominoplasty. The most common techniques include tumescent fluid infiltration, helping minimize pain and limit bruising. One of the newest advances in liposuction is VASER ultrasound assisted liposuction where the fat is melted away from important structures beneath the skin and is easier to remove causing less pain and bruising and a smoother result.

Areas treated include the arms, back, hips, thighs, knees, calves, and neck. If you are at your goal weight and still have isolated areas of fat that won’t go away, VASER ultrasonic assisted liposuction can provide a simple well tolerated solution.

Don’t be surprised if your plastic surgeon offers to operate in a surgery suite in the office setting. There you can find a safe, cost effective, convenient, and confidential experience where you are the focus of attention. Ask your surgeon how you will be kept warm during the operation, how blood clots will be prevented if you have a surgery that lasts over an hour, and how your postoperative pain will be managed. Members of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery have office surgery suites accredited for safety by a national accrediting organization.

Many women find that returning their body to its before-baby shape or even better helps to restore their confidence and self image. Be sure to do your homework when you begin your search.

The ASAPS website offers great information at www.surgery. org. The ASPS website www.plasticsurgery.org is another good resource.

For more information you may contact Dr. Jeffrey Poulter at 309-663-1222 in Bloomington and 309-692-6869 at Senara Health and Healing Center in Peoria,or email info@drpoulter.com.

Visit www.drpoulter.com for additional information, before and after photos and videos of various procedures.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 23

maintain your hearing

May is Better Hearing Month

By Deborah S. Pitcher, Au.D., Doctor of Audiology

T

he American Academy of Audiology has designated May as “Better Hearing Month.” The goal is for Americans of all ages to give mindful consideration to our very important sense of hearing and to educate the public in regard to hearing loss prevention.

Hearing loss/earaches are the third most common complaint in a doctor’s office (headaches and back aches are numbers 1 and 2). Ear pain and hearing loss can be related to upper respiratory infections, sinus or allergy problems, excessive wax or other debris in the ear canal, altitude changes, or anatomical abnormalities. Physicians (primary care or ear, nose and throat specialists) can treat such problems and there is rarely any long term hearing loss. However, the more common adult hearing loss is the result of damage to the tiny, inner ear hair cells (sensory hearing loss).

This condition cannot be medically corrected; the hearing loss is permanent and may progress with age.

Page 24 — Healthy Cells Magazine — Bloomington ­— May 2012

The number one cause of sensory hearing loss is excessive noise exposure. Noise-induced hearing loss usually occurs gradually over a period of years. The changes in hearing can be subtle at first but eventually result in poor speech understanding ability especially in noisy, social situations.

Persons can be exposed to excessive occupational or recreational noise. The Occupations Safety and Health Act (OSHA) does mandate hearing conservation standards for some occupations.

Unfortunately, a considerable number of industries fail to follow the OSHA guidelines leaving many in the American workforce unprotected. The actual noise intensity (measured in decibels) is important, but equally important is the duration (minutes/ hours) of the noise exposure.

Occupations most exposed to noise include industrial/ manufacturing, farming, air traffic, mining, construction, auto racing,

military, police work and firefighting. Persons working in these fields should wear hearing protection and have limited exposure to the most intense noise levels. Recreational activities that are high risk for hearing loss include hunting, snow mobiling, motorcycling, playing in a band or orchestra, attending loud concerts or listening to music/ computer games through ear buds at excessively loud levels. During the last several years, specialized ear plugs have been developed to protect the hearing while allowing certain sounds to be heard. For more information on these plugs visit: www.bloomingtonnormalaudio.com/products/hearing-protection/ hearing-protection-products/ Sensory hearing loss can also have a genetic/ family history origin. Research now shows that lifestyles may also play a significant role in whether a person develops hearing loss as they age. For lifestyle suggestions to maintain good hearing see the adjacent box.

Audiologists across the United States will be attempting to bring hearing healthcare to the forefront during the month of May. Locally, Bloomington-Normal Audiology will offer free hearing screening exams. All testing will be performed in a sound-treated test booth by an academically-trained, state-licensed audiologist.

Test results will be shared with both the patient and at the patient’s request, with their family physician. Even if no hearing loss is suspected, obtaining a “baseline” hearing test is wise. May is the time to enjoy the birds singing, children laughing as they play outdoors and time to reflect on our wonderful sense of hearing!

To schedule your free hearing exam during the month of May, call Bloomington-Normal Audiology, 309-662-8346 or email bnaudio@frontier.com.

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Lifestyle Guidelines to Maintain Your Hearing Do Not Smoke Cigarettes Smokers have 1 ½ times increased incident of hearing loss (nicotine reduces blood supply to the ear)

Control for Diabetes and Cardiovascular Disease Maintain a healthy weight, exercise and see your physician regularly (persons with diabetes and cardiovascular disease (high blood pressure, heart attack, stroke) double their risk of hearing loss)

Eat Foods Rich in Anti-Oxidants Protects the inner ear hair cells, anti-oxidants are thought to be a cancer preventative (current cancer treatments may result in hearing loss)

Avoid Excessive Noise Exposure See your audiologist to obtain the best type of hearing protection for your needs

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(309) 663-8275 May 2012 — Bloomington ­— Healthy Cells Magazine — Page 25

melanoma

The Bad and The Good of This Ugly Disease

By Amy Kennard

N

early everyone has heard the warnings about staying out of the sun, wearing sunscreen and keeping an eye out for changes in your skin. But many people are still not aware that these basic measures can go a long way to prevent one of the most dangerous types of skin cancer – melanoma – as well as the breakthrough research that is being done to combat this deadly disease.

Melanoma are cancerous growths that develop when DNA damage to skin cells triggers mutations that leads to these cells multiplying rapidly and forming malignant tumors. These tumors originate in what are called melanocytes, the cells in the skin that produce and contain the pigment melanin that colors the skin, hair, and eyes, as well as forms moles. Since most of these pigment cells are found in the skin, melanoma of the skin is the most common type of melanoma.

The Bad News The American Cancer Society estimates that at present, about 120,000 new cases of melanoma in the US are diagnosed in a year, and an average of one in 55 people will be diagnosed with melanoma during their lifetime. It is considered one of the most serious types of skin cancer due to its tendency to spread, or metastasize, to lymph nodes and other areas of the body, such as the liver, lungs, bones and brain.

Page 26 — Healthy Cells Magazine — Bloomington ­— May 2012

While much has been done to educate the public about the increasing dangers of this deadly disease, many people still continue to use tanning beds, forgo sunscreen and neglect to monitor changes in their skin. In addition, certain factors such as family history, skin type, and number of moles on your skin can make you at a greater risk for melanoma.

The Good News Survival rates of individuals with melanoma increased from 49 percent (1950 - 1954) to 92 percent (1996 - 2003), according to a National Cancer Institute SEER Cancer Statistics Review. That percentage may increase even further with a promising study showing that combining two types of targeted therapies is safe and slows or stops melanoma growth.

Dr. Sachdev Thomas is the Physician Director of Clinical Research at Illinois CancerCare, based in Peoria but with clinic locations throughout Illinois and is active in the research protocols for new therapies such as these. “Targeted therapy for melanoma pinpoints the specific genes, proteins or tissue environment of the cancer and targets the mutations of two different genes that contribute to melanoma growth. By combining the drugs normally used to target one gene or the other, our initial

findings are promising in our goal to slow or stop melanoma growth.”

In addition, two new drugs are being studied as treatment for patients with advanced or metastatic melanoma. Ipilimumab (Yervoy), a type of immunotherapy treatment designed to boost the body’s natural defenses to fight cancer, is being combined with dacarbazine, the initial treatment for metastatic melanoma, with promising results. In addition, the drug vemurafenib, a type of targeted therapy as explained above, is actually becoming the new standard in slowing and/or stopping melanoma growth, replacing the current treatment of dacarbazine only. “Both the ipilimumab and the vemurafenib are major advances in the treatment of advanced or metastatic melanoma,” says Dr. Thomas.

“Vemurafenibis utilized for those patients who carry a specific gene mutation and ipilimumab combined with dacarbazine helps boost the patient’s immune system to help them better fight the cancer.”

They may be complex drugs and treatment therapies with fancy names, but the bottom line is that great strides are being made in the fight against melanoma. You can help combat this disease by heeding the preventative measures, checking your skin on a regular basis (see “Do You Know Your ABCDEs?”), and seeing your doctor if you notice any changes to moles or other aspects of your skin. If you or someone you love is battling melanoma, ask your doctor if these clinical cancer research trials are right for you.

This is an exciting time in cancer research and Illinois CancerCare is honored to be a part of the discovery process. Thanks to patients and families who agree to participate, this process will continue to improve overall survival rates and ultimately find cures. For further information about clinical cancer research studies being conducted in your area, please contact your doctor.

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Do You Know Your ABCDEs? A - Asymmetrical Shape Melanoma lesions are typically irregular, or not symmetrical, in shape. Benign moles are usually symmetrical.

B - Border Typically, non-cancerous moles have smooth, even borders.

Melanoma lesions usually have iregular borders that are difficult to define.

C - Color The presence of more than one color (blue, black, brown, tan, etc.) or the uneven distribution of color can sometimes be a warning sign of melanoma. Benign moles are usually a single shade of brown or tan.

D - Diameter Melanoma lesions are often greater than 6 millimeters in diameter (approximately the size of a pencil eraser).

E - Evolution The evolution of your moles(s) has become the most important factor to consider when it comes to melanoma. Knowing what is normal for YOU could save your life. If a mole has gone through recent changes in color and or size, get it checked out by a dermatologist immediately.

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the recruiter’s job

Matching Physicians with the Right Practice Part 3 of 3

By Becky Wiese

Y

ou’ve probably noticed announcements regarding a physician retiring. You may have seen a similar announcement about a new physician joining a practice. But have you ever wondered about the process that goes into filling positions in the medical field? It’s not always easy, especially given the current physician shortage. Recruiting firms often assist hospitals and medical practices in this somewhat complicated process. Adkisson Search Consultants (ASC), a local recruiting firm, has many clients nationwide that are repeat customers for finding and placing physicians, advanced practitioners, or medical executives.

Michelle Houchin, CMPE, President of ASC, believes the high quality of the people they present as candidates for various positions is one of the main reasons so many clients turn to them to find new physicians. The recruiters at ASC go through a detailed process of determining what the hospital or practice wants and

needs and then searches for the best candidate to interview. In short, they recruit top notch physicians with the best skills and career aspirations to fill the positions offered by their clients. Bringing the two together is what ASC does best.

“Our goal is one candidate, one interview, one offer,” says Shannon McKay, Vice President at ASC, “although realistically that doesn’t happen every time. We do know, however, that if we offer three really great candidates, one of them will be the perfect fit.”

In addition to the business of physician recruitment, ASC is happy to serve as consultants to clients who are thinking about hiring a new physician, either due to the growth of the practice or because one of the current physicians is leaving. Because the process may be somewhat lengthy, Houchin advises clients to start the recruiting process sooner rather than later. “We can’t promise a specific timeline to get candidates,” she explains. “If a practice or

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hospital administrator knows that one of the physicians is going to retire in two years, it’s not too early to start recruiting now—don’t wait until six months out.”

The recruiters at ASC are constantly on the phone speaking to people and gleaning information that will be useful to their clients when they are ready to hire. “We are out there talking to people, finding out what the market is like,” McKay explains. This up-tothe minute trend analysis allows ASC to help clients in many ways; one way involves creative payment strategies for retaining the new physician.

For example, clients may offer stipends or sign-on and start bonuses. Some hospitals offer student loan forgiveness, meaning they will pay a fixed amount per year to pay down school loans.

Relocation assistance, vacation time, time off for continuing education programs, 401K packages, and health insurance are all typical components of attractive offers as well.

Interestingly enough, ASC fulfills more than just the middleman/ matchmaker role between clients and candidates. “We do it all,” says Houchin. “At times we are the advisor, fashion consultant, realtor, researcher, problem-solver…and more!”

Coaching the client and candidates about things that seem unnecessary can make a difference, such as reminding the client to call the candidate. Medical practices are busy treating and caring for their patients, so the additional task of contacting a candidate can be overwhelming in light of the daily duties of meeting the needs of patients. They simply need to be reminded sometimes.

On the other side of the table, ASC helps candidates prepare as well. McKay shares, “They are well prepared in their clinical skills, but for 8-10 years, they’ve been told what to do because of

"Medical practices are busy treating and caring for their patients, so the additional task of contacting a candidate can be overwhelming." the educational path they’ve taken. Sometimes we have to remind them to show an interest in the position…and even to dress appropriately for the interview.”

Working with both the client and the candidate to find a perfect match is exactly what ASC does. “We know the market because we’re out there talking with people every day,” says McKay. “We’re experts on what you need to do to get a perfect candidate.” Matching the client and the candidate regarding specialty, location, and pay are the biggest factors to consider. When they all dovetail nicely, it’s a perfect fit…and patients ultimately benefit!

Adkisson Search Consultants has been recruiting healthcare professionals in Bloomington, IL for more than 10 years and welcomes the opportunity to learn more about the needs of your group. Please contact Michelle Houchin, CMPE or Shannon McKay at Adkisson Search Consultants at 309-662-6185 or info@ adkissonsearch.com. Adkisson Search Consultants is located at 3901 GE Road, Suite 4, Bloomington, IL 61704.

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community health care clinic

Medical Care for Those Without Insurance

By Becky Wiese

T

ucked away in a small building off Franklin Avenue in Normal, the Community Health Care Clinic (CHCC) represents an important service to eligible McLean County residents. Founded in 1993 as a grassroots effort to provide medical care to the uninsured, the basic premise remains: offer free primary medical care to those who qualify so they aren’t forced to use local emergency rooms for primary medical services Eligibility requirements include no access to other insurance programs such as Medicare/Medicaid, Veterans’ benefits, private insurance, or a third party provider; household income less than 185% of the Federal Poverty Level ($20,664/ year for an individual; $42,642 for a family of four); and a resident of McLean County. These income guidelines mirror other eligibility requirements for many other health related services clinic patients can access, insuring continuity of care for all patients.

The CHCC runs like any other primary care office: The day is filled with patient appointments, with time set aside for acute care visits. Patients check in at the reception desk and wait in the front lobby. A nurse obtains basic information (weight, temperature, reason for visit), then patients are seen by one of the two staff nurse practitioners. If the appointment is later in the day and/or is

a more urgent or critical medical issue, the patient may see one of the more than 30 volunteer primary care physicians who rotate their services.

The Clinic also serves as a dispensary for a variety of medications, which is a huge service to their patients. Mike Romagnoli, Operations Manager, says, “In terms of sheer numbers, the

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dispensary is our number one service.” A pharmacy technician prepares prescriptions, which can be just about anything minus controlled substances, and the patient simply comes to the Clinic to pick them up. “It’s all computerized, like other pharmacies, which allows for double checking of dosages and medication accuracy. Two volunteer pharmacists also check prescriptions for accuracy as well,” Romagnoli explains.

Although the CHCC looks and functions like other medical offices, one major difference is, as Angie McLaughlin, Executive Director, explains “there are no bills generated for any services.”

The costs of running the clinic are covered by private grants, corporate and individual donations, and local support—CHCC receives no state or federal funding. Almost 80 percent of the funding is from local sources, including voluntary patient donations. “We have a donation box for patients to contribute. It’s all completely confidential and voluntary,” says McLaughlin. “Patients obviously value and appreciate the services they receive, as donations, from fifty cents to ten bucks or more at a time, add up to a significant amount every year. Last year it was over $17,000.”

The majority of the patient population at CHCC are adults between the ages of 34-56. “Adults over the age of 64 qualify automatically for Medicare, and children under the age of 18 are covered by the All Kids program offered by the State of Illinois,” McLaughlin explains. The Clinic does not offer prenatal care because pregnant women are covered by Medicaid throughout their pregnancy and six weeks postpartum.

Because a significant number of their patients have chronic disease issues such as diabetes or cardiovascular disease, CHCC is offering a new educational program to teach patients about healthy

eating, meal planning, exercise, and other lifestyle choices. In conjunction with the Center for Healthy Lifestyles at OSF St. Joseph Hospital, these six-session classes will help attendees better understand how to read nutrition labels, plan meals using healthier food choices and seasonal foods, and learn simple exercises from an exercise physiologist.

“These classes will offer real world scenarios, plus have more of a support group feeling,” says Romagnoli. Three six-week sessions will be offered in 2012, with plans for more sessions to be offered in 2013. Since approximately one-third of the CHCC’s patients are Latino, there will also be a separate class specifically for patients who speak Spanish.

Another new initiative, currently called “Comprehensive Coordinated Care,” incorporates looking at the whole patient, meaning the other issues in a patient’s life that affect health. This might include talking with a social worker about family stressors, housing issues—anything that’s going on in the patient’s life. “Patients usually don’t realize the connections between these other factors and the consequence they may have on their health,” says McLaughlin.

Romagnoli adds, “We are able to pull in other sources of help, and ultimately see results like decreased emergency room visits and increased compliance with regular checkups and medication use.”

These positive relationships forged through the Community Health Care Clinic increase patient accountability for improving their own health, which is a benefit to everyone.

The Community Health Care Clinic is located at 902 Franklin Avenue in Normal. For more information, call 309-888-5531 or click www.chcchealth.org.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 31

oral health

Another Cavity?

By Richard A. Stephey, DDS, Prairie Dental Associates

A

common question we are often asked in our office is, “Why do I get so many more cavities than my brother/cousin/neighbor/etc. when I brush regularly and visit the dentist/hygienist regularly to have my teeth cleaned? The answer is that dental decay rates are a combination of many factors including: bacteria type and number, enamel health, diet, saliva quality, oral pH and oral hygiene. When any of these factors tip the wrong way you become a “high risk” cavity patient. If you are diagnosed with a new cavity more frequently than every two years you are a “high risk” cavity patient.

Bacteria type and number People with high decay rates generally have high levels of cavity-causing bacteria in their mouths. This can be due to something as simple as a lack of good oral hygiene procedures to more complex factors such as the type of bacteria in your mouth (yes, some species of bacteria cause more decay and gum disease than others). Patients with good hygiene practices can still have high levels of bacteria and thus, high-cavity rates. Bacteria levels can now be measured by in-office-testing equipment. If levels are too high, prescription mouth rinses are generally prescribed along with diet counseling and fluoride application.

Although the myth about a family’s having “soft teeth” is not true there can be a genetic component in the type of bacteria passed from mother to child. If the mother has high levels of cavity causing bacteria in her mouth, she will pass them to her children. Another common myth is pregnancy and dental health.

Being pregnant does not make you more susceptible to tooth decay by “sucking out calcium” from the mother’s teeth.

Enamel health and diet Enamel health is generally a function of good hygiene and adequate fluoride intake as a child. Fluoride makes the enamel of teeth more resistant to decay causing acids. Fluoridated water supplies have drastically lowered people’s decay rates over the last 50 years. If you don’t

live in a fluoridated community (like in the country with well water), you should make sure that your child takes fluoride tablets (by prescription from a dentist or pediatrician). High level fluoride toothpastes and fluoride varnishes can also be applied.

People who snack frequently, drink sugared drinks, chew gum (even sugarless) are more prone to cavities. Any bacteria in your mouth use these sugars as a food source with an acid being produced as a waste by-product. It is this acid that begins the slow process of dissolving or demineralizing tooth enamel. Over a period of time the enamel is destroyed until a cavity if formed. 100% Xylitol gums, mints and mouth

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Oral pH Highly acidic diets contribute to this enamel erosion. Highly acid mouths have a low pH. NEVER brush your teeth within 30 minutes of drinking an acidic beverage or eating a high sugar snack. Your enamel has been softened and brushing during this time will actually remove a layer of enamel from your teeth. Rinse with water to reduce the pH of your mouth and wait 30 minutes while your saliva re-mineralizes damaged tooth enamel.

Saliva quality Saliva has a protective effect for tooth enamel and an anti-bacterial effect. We often see higher decay rates in the elderly as the quality and quantity of saliva can decrease as you age or take medication.

Over 300 medications have decreased saliva flow as a side-effect. Sipping water frequently, mouth spray and oral rinses can help against decreased saliva flow.

If you think you are a high-risk cavity patient, programs are available that will help to lower your decay rate. For more detailed information about tooth decay please visit CariFree.com or http://www.uic.edu/classes/peri/peri343 For more information or to schedule an appointment, you may contact Prairie Dental Associates, 309-662-7722. Their office is located at 3220 Gerig Drive in Bloomington.

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genetically modified foods

Risks and Regulations

By Courtney Keenan, Editorial Intern, Illinois Wesleyan

G

enetically modified foods may pose threats to both our health and the environment, but what is most concerning is how little we know about the possible risks of consuming GMO’s as well as their intractable nature. This trend will be nearly impossible to reverse.

Genetically Modified Organisms (GMOs) have been altered by the addition of genetic material from another organism, thus changing its permanent genetic code. This technology was at first intended to improve crop protection, either through increased resistance to plant diseases or tolerance to herbicides. However, genetic engineering has expanded to thousands of plants, animals, and insects, such as potatoes with bacteria genes, pigs with human growth genes, fish with cattle growth genes, and tomatoes with flounder genes. The vast majority of common food crops grown in the United States are already genetically engineered, including soybeans and corn. GM Foods are produced and marketed with claims of lower prices and greater durability or nutritional value, but what about the risks?

Genetic engineering in agriculture may result in uncontrolled biological contamination of non-GMO crops with genetically modi-

fied material, known as outcrossing. This mixing of natural and GM crops is an issue, as traces of a corn type only approved for feed use has appeared in products intended for human use. Additionally, there is the very real possibility that insects and pests will evolve and develop a resistance to the herbicide resistant plants that are being developed.

Human health effects of consuming GMOs can include higher risks of toxicity, allergenicity, antibiotic resistance, immune-suppression, and cancer. However, very little is known about which GMOs might cause these problems and it is difficult to trace any resulting illness back to the GMO, even in long term studies.

According to the World Health Organization, the safety assessment of GM foods generally investigates direct health effects, the tendency to provoke allergic reaction, specific components thought to have nutritional or toxic properties, stability of the inserted gene, nutritional effects associated with genetic modification, and any unintended effects that could result from the gene insertion. The FDA reviews these summaries of the food safety data, but the safety of GM foods has never been tested in humans.

Companies insist that genetically engineered foods are no different from conventional varieties, but a plethora of research contradicts that claim. Despite the unknown and wide-ranging risks, there are no regulations that require the labeling of GM foods, and millions of consumers unknowingly purchase and consume genetically engineered foods every day. Unfortunately, GMOs may be nearly impossible to avoid completely. Up to 85 percent of U.S. corn is genetically engineered, as are 91 percent of soybeans and 88 percent of cotton (used in cottonseed oil), all of which are present in most food products. It is estimated that more than 70 percent of processed foods on grocery store shelves contain genetically engineered ingredients.

This is a complex issue with no easy solution. Everyone should educate themselves about genetically modified foods and be cautious of how readily we accept GMO’s in our diets. The next step is to demand labeling for any food currently containing genetically engineered ingredients. This lack of labeling has kept people in the dark about what's really in their food. Then there should be thorough testing of any new genetically engineered crops before their release to determine the safety for human health and the environment.

In the meantime, the only way to consume foods that do not contain GMO’s is to eat only products that are labeled 100% USDA Organic.

For more information you may contact Eastland Chiropractic & Lifestyle Center at 309-662-8418, www.eastlandchiro.com. They are a family oriented practice with over 25 years of service located at 2406 E. Washington St. in Bloomington.

Additional resources on GMOs: Center for Food Safety: http://www.centerforfoodsafety.org/campaign/ genetically-engineered-food/crops/ World Health Organization's 20 Questions on GMOs: http://www.who.int/foodsafety/publications/biotech/20questions/en/

Page 34 — Healthy Cells Magazine — Bloomington ­— May 2012

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early literacy

Beyond the Book: Socializing Benefits Everyone

By Emily Olmetti, Heartland Community College

Just talking to an infant or toddler about the book stimulates language acquisition, and brain development. Brain research shows that reading to your child wires brain cells together in networks that the child will use in school. These networks enable the child to: • Detect the different sounds in words (phonemic awareness) • R ecognize letters and develop strategies to figure out new words (decoding) • D evelop real world understanding of what the word refers to (context for understanding meaning) • Builds an oral and listening vocabulary of an average of 5,000 words by kindergarten

S

ince the 1960’s, it has been well established in the field of early literacy that reading aloud to young children is one of the most fundamental activities that positively effects literacy development. Whether books are read by parents, siblings, or caregivers, the positive benefits are observed in the child’s awareness of print, oral language skills, and general cognitive abilities. In fact, children who learn to read before coming to school and ones who learn to read successfully in school come from homes where they are read to often.

But it is not just listening to the story that leads to literacy achievement. Experts agree the real link lies in the verbal interaction that occurs between adult and child during story reading. Children learn language by actively constructing meaning. The social experience between the reader and child listener allow participants to actively construct meaning based on text.

So what can you do beyond reading the story? Talk with them.

Every couple of pages ask questions, and make comments even to the youngest audience. Research has demonstrated that the most effective book read-alouds are those where children are actively involved asking and answering questions and making predictions, rather than passively listening.

Even as early as age one, while reading, stopping to ask a child “Can you find the apple in the picture?” or to say “what sound does a dog make?” requires the listener to become actively involved in the story. Incorporating exaggerated faces for emotions, “look at my sad face” exposes the child to visual representations of meaning as well as increasing vocabulary.

Page 36 — Healthy Cells Magazine — Bloomington ­— May 2012

Reading aloud and asking questions about books isn’t just for early learners. In the early elementary grades, adults who read with their beginning reader tend to focus on the lettersound relationships and decoding or sounding out words. Sometimes it’s a struggle just to get through the sentence. Even in the simplest phonetic story, “Matt Has A Cat” it is easy to forget that there is meaning within the few pages. Asking “What do you think will happen next?” or “Why do you think Matt did that?” encourages dialogue that enhances understanding and models future critical thinking.

In the later elementary and middle school years, it is convenient to send your child off with a book to read for 20 minutes, but chances are they aren’t getting the most out of the meaning, and it rarely includes verbal dialogue. Having them read aloud to you, then asking open-ended questions like “Why do you think that happened?” or “That reminds me of…what does it remind you of? Increases the modeling of critical thinking, and reinforces the importance of reading with meaning. As children get older, and read more complex novels, you most likely don’t have time to read the same novels with them, but don’t shy away from talking to them about the book. Look online for discussion questions for that particular book, encourage your child to read the same book with a few friends and have regular get-togethers to discuss.

Engaging in conversation when reading aloud benefits all listeners and readers from infants to adults; first through the development of language and vocabulary, then to deeper comprehension and analysis of text.

Heartland Community College offers several classes to help students in grades 7 – 12 reach their reading potential. For more information or to register for a class, visit the Community Education website: www.heartland.edu/communityEd or call 309-268-8160.

microcurrent facial

Lunch Time Face Lift

By Karen Sutcliffe, Licensed Esthetician, KSkin Spa

Y

ou may have heard of the “lunch time face lift” or non-surgical face lift and wondered what it was. The microcurrent facial is one of the latest anti-aging treatments available.

This facial toning treatment is becoming very popular because it really works! Skin has a more radiant, toned appearance and fine lines and wrinkles are less noticeable.

So how does microcurrent work? As we age, the energy in our cells slows down. Microcurrent facials use a low level of electricity, very similar to what your body produces. This sends electrical signals to the facial muscles and surrounding tissues to promote collagen and elastin production, the support structure of the skin. Microcurrent has the ability to jump start cell and muscle activity and restore lost energy to cells, making skin cells more efficient in removing waste and feeding the skin. Think of it as exercise for your muscles and skin. The more you do the better the results.

Microcurrent was originally used in the 1980’s as a muscle stimulator to treat patients with Bell's Palsy, a form of facial paralysis, and stroke. A dramatic lifting of uneven and sagging facial muscles was noticed, leading it to be adapted for use in skin care.

Most people find microcurrent facials very relaxing. They are gentle and great for mature skin but can also benefit younger skin as a preventative measure to keep your skin looking young and healthy. Microcurrent treatment is a safe, effective, painless cosmetic procedure that gives quick results with no recovery time involved.

For more information or to set up a consultation, you may contact Karen Sutcliffe, Licensed Esthetician, at KSkin Spa, 309-242-1899, located at 1234 E Empire St. in Bloomington.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 37

developmental screening

A Must for Early Childhood Years

By Andrew Morgan, MD, FAAP, and Ronald L. Lindsay, MD, FAAP

Easter Seals Medical Directors, Dr. Ron Lindsay and Dr. Andrew Morgan

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ccording to the National Survey of Children’s Health 2007, one in five households with children has a child with a special health care need and could benefit from screening and services, yet less than 20 percent of children under the age of 5 receive a developmental screening. Your child’s doctor should be actively involved in developmental monitoring and surveillance to ensure your child reaches developmental milestones, and formal screenings are a critical part of ensuring your child is achieving developmental milestones, too.

As Developmental Pediatricians, we recognize the importance of early screening for developmental delays. Those identified delays lead to critical early intervention services and improved outcomes. The first five years of life really count – the years of learning that shape kids’ futures. Yet every year, children with unidentified delays and disabilities enter school with learning and health issues that put them far behind their peers and have a lasting, negative effect on their ability to meet their full potential.

So who needs a developmental screening? Based on guidelines established by the American Academy of Pediatrics, every child should receive a developmental screening at 9, 18 and 30 months of age. If you, your doctor, or your child care provider have concerns at any other time, that’s also a good reason to have a developmental screening completed. Screenings are quick and easy; there’s no reaPage 38 — Healthy Cells Magazine — Bloomington ­— May 2012

son to wait. And in fact, 3-6 months is a long time in a young child’s life, and waiting prevents intervention that can help your child access critical services.

It’s never been easier to have your child screened. In fact, Easter Seals has partnered with CVS Caremark All Kids Can to make the developmental screening tool of choice for physicians in our region, the Ages and Stages Questionnaire, available to families online. Traditionally used by clinicians, therapists, professionals, and educators, Brookes Publishing’s Ages & Stages Questionnaires (ASQ)® is now available to parents and caregivers to monitor child development and identify potential issues so that any concerns can be readily addressed through early intervention and other supplemental services.

We encourage you to visit www.MaketheFirstFiveCount.org to complete a free developmental screening on your child from 2 months to 6 years of age. You will get results within two weeks after those results are reviewed by a professional, and you can then take those results to your child’s doctor for discussion, any necessary action, and to become part of their medical record.

For more information or for assistance with developmental screening, contact Easter Seals at 309-686-1177 (Peoria) or 309-663-8275 (Bloomington).

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senior living

Be Content at Home

By Faye Andris

W

hat does be content at home mean? The definition in Webster’s dictionary for content is: satisfied. The definition for home is: one’s dwelling place. That is what we will talk about today, being satisfied in one’s dwelling place.

Take Mabel for instance. Mabel is 92 years young and lives in a four bedroom 3 bathroom ranch home which is 4 miles from town.

The house sits on a 22 acre lake with 23 acres of ground. Her living room has three picture windows where she can watch the birds and wildlife every day. It is a wonderful place for her children, grandchildren and great grandchildren to visit her. Mabel loves to entertain company. She has planned ahead and made some modifications to the home to make it more convenient for her. One of these modifications was putting in a stacked washer and dryer in the hall closet so she does not have to use the basement laundry room. She has updated her shower with extra handles for safety and a bench she can use as she needs it. Another modification to her home was putting a ramp in the garage leading to the door of the house. Mabel’s health is still very good at age 92. She is still able to drive herself to most places. Mabel is content in her home.

Jane gives us another example of contentment. She is 85 and lives alone also. She and her husband raised three boys in a large ranch style home where they planned to live out their days together, but Jane’s husband passed away when she was 70 and that big house was just too big for her now. Jane downsized to a smaller place where she had plenty of room inside and the outside lawn and building were maintained by a condo association. She was able to get help with her cleaning and some other jobs around the house. Jane was content there. It met her needs for a number of years. But then the day came when Jane was not content Page 40 — Healthy Cells Magazine — Bloomington ­— May 2012

anymore. Some of her friends had moved into a retirement community and Jane decided to join them. At age 80, she made another move to a lovely retirement community. She could have lunch with her friends, attend church and other activities with them. She loves it. It meets all of her needs at this season of her life and she is content in her new home.

Lucille, 80 and widowed, gives us another example. She lived alone in a small apartment. She liked it very much and it met all her needs until that day when she fell. That fall put Lucille in the hospital for a 30 day stay. Even after that 30 day stay, Lucille’s doctors felt she was in need of more rehab to help her go back to her apartment to live alone. This journey began in a local assisted living facility with a wonderful rehab center. Each day she got stronger and stronger and started to attend the church services and activities offered by the facility. Lucille and her room mate hit it off right away and very soon they were doing everything together, from playing bingo to getting their nails done. Lucille enjoyed the staff and loved having people around all the time. She made a lot of friends and began enjoying her home there. She became content in her dwelling place. She was HOME. We will have many options open to us as we journey along this road of life. May you find contentment in your dwelling place that you call home.

Central Illinois "Be Content at Home" Senior Expo will be held Monday, May 7 th from 9:00am-2:00pm at the Parke Hotel Conference Center. The Expo is free and includes many seminars, door prizes, refreshments, demonstrations and much more. For more information, e-mail llandris@aol.com

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healthy starts

Wake Up Breakfast with

Flavor and Antioxidants

M

aking the most of your breakfast may be one of the best things you do all day. “Research shows that people who make smart choices at breakfast are more likely to make smart choices throughout the day, and have healthier diets overall,” says Wendy Bazilian, DrPH, MA, RD and author of The SuperFoodsRxDiet.

A smart breakfast choice starts with the addition of spices and herbs, which are a delicious source of natural antioxidants. For example, just a half-teaspoon of ground cinnamon has more antioxidants than three and a half cups of fresh spinach.

“Regularly adding spices and herbs to your go-to breakfast fare is a simple step that can add up to big benefits – and, they’re tasty, says Bazilian. “Try stirring cinnamon into a fruit smoothie or sprinkling black pepper on eggs.”

Page 42 — Healthy Cells Magazine — Bloomington ­— May 2012

To inspire healthier breakfasts whenever or wherever you’re eating, the McCormick Kitchens have created easy tips to wake up your morning meal with spices and herbs, and add an antioxidant bonus.

At Home - Weekday: • T oast & Spread: Spread this on your morning toast instead of sugary jams and jellies. Mix 1 package (8 ounces) Neufchâtel cheese (1/3 less fat than cream cheese), softened, 2 tablespoons honey and 1/2 teaspoon McCormick Ground Cinnamon until well blended. (Serves 8) Antioxidant Bonus: One serving of Cinnamon flavored spread adds more antioxidants than 1/3 cup of fresh spinach.

•S crambled Eggs: Sprinkle 1/4 teaspoon McCormick Ground Black Pepper on your scrambled eggs.

A ntioxidant Bonus: 1/4 teaspoon Ground Black Pepper adds more antioxidants than 1/2 cup chopped watermelon On the Go: • Smoothie: Place 1 small ripe banana, sliced, 1 cup frozen strawberries or blueberries, 1 container (6 ounces) vanilla Greek-style yogurt, 1/2 cup orange juice, 1 tablespoon honey and 1/2 teaspoon McCormick Ground Cinnamon in blender. Blend on high speed until smooth.

A ntioxidant Bonus: 1/2 teaspoon of Ground Cinnamon adds more antioxidants than 4 medium carrots.

•Y ogurt: Mix 1 container (6 ounces) plain or vanilla Greek-style yogurt, 1 tablespoon maple syrup or honey, 1/2 teaspoon McCormick Ground Cinnamon and 1/4 teaspoon McCormick Ground Ginger.

A ntioxidant Bonus: 1/2 teaspoon Ground Cinnamon and 1/4 teaspoon of Ground Ginger add more antioxidants than 1½ cups chopped sweet red pepper.

At the Office: • O atmeal: Sprinkle McCormick Ground Cinnamon on your morning oatmeal to perk up your day. For an extra flavor twist, try adding dried cherries with sliced almonds or walnuts.

Antioxidant Bonus: 1/4 teaspoon Ground Cinnamon adds more antioxidants than 1/2 cup sliced kiwi.

At Home - Weekend: • Breakfast Burritos: Beat 4 eggs, 1/4 cup reduced-fat milk, 1/2 teaspoon McCormick Oregano Leaves and 1/4 teaspoon each McCormick Garlic Powder and Ground Black Pepper. Sauté 1 cup chopped vegetables in 1 tablespoon hot olive oil in nonstick skillet. Add egg mixture; scramble. Stir in 1 cup shredded reduced fat cheese. Spoon into 4 whole wheat tortillas.

Antioxidant Bonus: 1/4 teaspoon Oregano adds more antioxidants than 1/2 cup broccoli.

Visit www.spicesforhealth.com for additional breakfast tips and recipes.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 43

sun safety

New Sunscreen Labels Make it Easier Submitted by Lindsay Bow, IWU intern and Becky Powell, Health Educator, Community Cancer Center

T

his summer consumers will be seeing new labels on their sunscreen bottles. The U.S. Food and Drug Administration (FDA) will be implementing new requirements for labeling sunscreens. These new labels will make it easier for consumers to identify products that meet modern standards to reduce the risks of skin cancer and early aging, in addition to preventing sunburn.

These new regulations will test the ability of sunscreen products to protect against Ultraviolet A (UVA) and Ultraviolet B (UVB) radiation, both of which increase the risk of skin cancer, early aging, and sunburn. Previously, regulations for sunscreens have only considered the effects of UVB radiation, which contributes to sunburn, and not UVA radiation, which contributes to skin cancer and early skin aging.

Sunscreens that pass this test will be labeled with a “Broad Spectrum SPF.” Products with an SPF (Sun Protection Factor) value of 15 or higher will be labeled as Broad Spectrum with a prevention of skin cancer and early skin aging if used as directed with

Dental Implants • Aesthetic

other sun protection measures. Non-Broad Spectrum sunscreens and the Broad Spectrum products with an SPF value below 14 can only claim to help prevent sunburn.

A limit on the maximum SPF value of sunscreens is also being proposed. This is because there has not been sufficient data that shows SPF values above 50 provide greater protection than products with SPF 50. To date this is still a proposal and is not a part of the final rule that goes into effect this summer.

Companies will no longer be able to label their sunscreens as “waterproof,” “sweatproof,” or as a “sunblock.” These claims overstate the effectiveness of the sunscreens. They also cannot label their products to be effective for more than two hours without reapplication, or to be effective immediately without submitting data to support these claims that then must be approved by the FDA. Any form of water resistance claims on the label must indicate a time period of swimming for which the sunscreen would be effective.

For example, “remains effective for 40 minutes while swimming or

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sweating based on standard testing.” Any sunscreens not claiming to be water resistant must include a recommendation to use a water resistant sunscreen when swimming or sweating.

All sunscreens will also be required to include drug information on their label. These regulations will also apply for any cosmetics and moisturizers claiming an SPF value.

The FDA recommends that in addition to using a sunscreen that has a Broad Spectrum SPF value of 15 or higher, consumers should take other protective measures to prevent skin cancer and early skin aging. This includes limiting the time you spend in the sun, especially from 11am to 2pm, when the sun’s rays are the strongest. You can also wear clothing to limit your exposure to the sun, including wide-brimmed hats, long-sleeved shirts and sunglasses. If you are going swimming or will be doing rigorous activities, use a water resistant sunscreen, and reapply as recommended. Overall, sunscreen should be reapplied at least every two hours in order to maintain the greatest effectiveness.

These new regulations are being implemented to make it easier for consumers to be safe as they enjoy the summer. Hopefully, gone are the days of reading the listed ingredients to determine if a sunscreen product provides broad spectrum coverage.

For additional information on these new regulations, visit www.fda.gov. For a copy of the Community Cancer Center’s Skin Cancer Screening Guidelines go to www.cancercenter.org or call 309-451-8500 to request a copy. The Community Cancer Center along with the American Academy of Dermatology advocates for use of Broad Spectrum sunscreen products with an SPF factor of 30 or higher instead of SPF 15 or higher.

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child abuse

Parental Alienation Leaves Scars Too

By Suzy Mahoney

A

pril was National Child Abuse Prevention month and with that should come awareness. Although nearly invisible to the public eye, parental alienation can be as harmful as other forms of abuse. Unlike abuse that leaves physical bruises, alienation of a child against a parent leaves children with long-term emotional and psychological scars.

Alienating behaviors towards the targeted parent can include: bad mouthing the rejected parent within earshot of the child, obstructing visitation by scheduling activities that compete with the rejected parent’s time, moving to a new community to increase distance between the child and targeted parent, falsely claiming allegations of abuse or neglect... the list goes on.

What is parental alienation?

Parental alienation has been defined as a conflicted family dynamic in which a child is drawn into siding with one parent to do battle against a now rejected parent with whom the child previously had a good relationship. It typically occurs between children and their divorced or separated parents who experience high conflict. The parent awarded less time with the child is usually the targeted or rejected parent. It can be conscious or unconscious, mild or extreme.

What are the short-term impacts on kids?

Alienated children of parents in conflict may: • V erbalize hatred or lack of concern toward the rejected parent and their side of the family • S uddenly refuse to spend time, visit, or communicate with the targeted parent and their side of the family, including siblings and grandparents • H old negative beliefs about the rejected parent that are exaggerated or unfounded

Page 46 — Healthy Cells Magazine — Bloomington ­— May 2012

What are the long-term impacts on kids?

Children alienated from one parent may grow up to become adults who: • H ave trouble trusting others • H ave low self-esteem • H ave difficulty maintaining intimate relationships • S uffer from depression • Experience the loss of their own child through parental alienation The general public typically has no idea this problem exists, even in its own backyard. Parental Alienation Awareness Month, April, is recognized in several states (including Illinois) and Parental Alienation Awareness Day, April 25th, is recognized in many communities (including Bloomington and Normal)to bring attention to this common, yet often unmentioned form of child abuse.

What can you do to help kids?

If you are an educator, therapist, coach, clergyperson, daycare provider, family member or friend: • L isten to the child, without refuting what they are saying, and then encourage the child to hear the targeted parent’s point of view • Look for books or movies that initiate discussion about the importance of two parents and the unhappiness of having one parent • If appropriate, include the targeted parent in the child’s activities to build awareness that the parent is valued and appreciated • Look for opportunities to provide positive input about the rejected parent

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Throughout the month of April you may have seen people wearing blue ribbons in support of all children undergoing any form of abuse, including those who have fallen victim to parental alienation. However, everyone should be aware of this problem all year long, not just one month out of the year.

Suzy Mahoney is the Co-Founder of Central Illinois Shared Parenting (CISP), a support and advocacy organization for divorced or separated parents. For more information about CISP, contact central.sharedparentingil@gmail.com. For more information on Parental Alienation, visit www.paawareness.org or www.crckidsillinois.org.

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May 2012 — Bloomington ­— Healthy Cells Magazine — Page 47

sleep apnea

“Getting the Sleep I Needed Changed My Life” Submitted by Illinois Institute of Dental Sleep Medicine

C

onnie, a retired nurse, had struggled with daytime tiredness, morning headaches, irritability, and weight gain. “I had to push myself to do anything in the morning because I was always so tired,” she says.

Connie awoke one morning with chest discomfort. “My heart was racing and I checked my pulse and it was 130!” she says. She immediately went to the emergency room. The cardiologist said Connie needed to start Warfarin, a medication that prevents blood clots, because she was experiencing atrial fibrillation. “The blood clots could have easily traveled to my brain and caused a stroke if I hadn’t received treatment then,” says Connie.

The cardiologist also suggested Connie have a sleep study to see if a sleeping disorder could be causing her atrial fibrillation. “I had wondered in the past if my fatigue and recent morning head-

aches could be from sleep apnea, but didn’t realize atrial fibrillation could also arise from sleep apnea,” she continues.

According to the American Academy of Sleep Medicine, when apneas occur the amount of oxygen in the blood can drop to below 60 percent. At the same time blood pressure can soar as high as 240/130. According to the National Heart, Lung, and Blood Institute, normal blood pressure is below 120/80. The oxygen deprivation causes the heart to pump harder to support the extra effort of the lungs trying to overcome the obstruction of the airway.

This stress triggers your body to respond in ways that may promote high blood pressure, heart disease, and other cardiovascular complications. A study in the August 1 issue of the Journal Sleep confirms the urgency of treating sleep apnea. Results show that

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people with severe, untreated sleep apnea have five times the risk of dying from a heart problem. Untreated sleep apnea can also increase your risk for depression, diabetes, gastric reflux, morning headaches, weight gain, and stroke.

Connie’s sleep study revealed that she had sleep apnea. “Both of my parents had symptoms of sleep apnea,” she says, “and looking back I remember my dad snoring a lot.” I tried to encourage them to have sleep studies, but they never did. I lost my mother from atrial fibrillation that led to a stroke,” says Connie. “I realized how dangerous untreated sleep apnea can really be and knew I needed to be treated.”

The pulmonologist recommended the oral sleep appliance to treat her sleep apnea. “I had read about the oral appliance and heard stories about people who were non-compliant to CPAP, and decided to go with the oral appliance,” says Connie.

Oral Appliance Therapy has proven to be a very viable and scientifically based treatment option for Obstructive Sleep Apnea. The American Academy of Sleep Medicine issued a statement in the 2006 journal “SLEEP” that Oral Appliance Therapy was approved as the first line of treatment for those suffering from mild to moderate Obstructive Sleep Apnea and is proving to be effective for severe cases as well. The purpose of the oral appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep. Oral appliances are similar to athletic mouth guards, but less bulky and completely non-invasive. Most medical insurances and Medicare cover oral appliances.

“After wearing the oral appliance, I noticed an immediate difference in my energy levels, and it was also much easier for me to lose weight,” says Connie. “I’m not snoring and have a much

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"When apneas occur the amount of oxygen in the blood can drop to below 60 percent. At the same time blood pressure can soar as high as 240/130." better mood.” Connie can now travel without falling asleep the minute she gets into the car. She has been able to keep her atrial fibrillation under control and lowered her blood pressure.

“So often people live with tiredness, snoring and weight gain and tolerate a lot of discomfort because they have no idea that treating their sleep apnea can change their life!”

For more information on oral sleep appliances for snoring and sleep apnea please contact Dr. Rod Willey (General Dentist) of the Illinois Institute of Dental Sleep Medicine at 309-807-0151 or IllinoisSleepDoc.com.

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(309) 663-6461 May 2012 — Bloomington ­— Healthy Cells Magazine — Page 49

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