GREATER PEORIA
area
Promoting Healthier Living in Your Community
JUNE 2011
FREE
HealthyCells
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• Physical • Emotional
www.healthycellsmagazine.com
• Nutritional
M A G A Z I N E
Treatment with
Backbone Prairie Spine and
Pain Institute
Sets the Bar for Quality Spine Care page 20
When Mental Illness Strikes a Family
pg. 10
Child’s Play
A Recipe For Fun pg. 16
Amputee
Awareness
pg. 30
WHAT DOES AN ALLERGIST TREAT? More than you may think...
Allergists treat two of the nation’s most common health problems – allergies and asthma. But you may not know all the conditions allergists treat:
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PEORIA EAR, NOSE & THROAT GROUP 7301 N. Knoxville Ave., Peoria, IL www.peoriaent.com June 2011 — Peoria — Healthy Cells Magazine — Page 3
JUNE 8 10
Physical: Hypertension — The Silent Killer Emotional: What to Do When Mental Illness Strikes a Family
2011 This Month’s Cover Story:
Volume 13, Issue 6
Treatment with Backbone — Prairie Spine and Pain Institute Sets the Bar for Quality Spine Care page 20
12
Nutritional: Breakfast of Champions?
14
Aging Parents: Time for the Talk
16
Child’s Play: The Very Best Homemade Playdough Recipe
18
Beauty: The Basics of Botox®
24
Can We Talk: Effective Communication Strategies
26
Radiation Exposure: Doctor, Will This CT Scan Give Me Cancer?
27
Think Outside the Box: Unlock Your Creativity
28
Balloon Sinuplasty™: Proven Technology in Treating Chronic Sinus Infections
30
Amputee Awareness Day: Showcasing Success Over Disability
32
Child Safety: Helping Your Child Avoid Injury Page 32
34
Hearing Aids: Finding the Right Hearing Loss Solution
36
Sleep Apnea: A Comfortable Snoring Solution
Cover and feature story photos by Daryl Wilson Photography Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in central Illinois.
For advertising information, contact Kim Brooks-Miller 309-681-4418 email: peoria.healthycells@hotmail.com Healthy Cells Magazine is a division of:
38
Safety is NO Accident: Safety Tips for Everyone Page 38
40
Trauma: Combat Post Traumatic Stress Disorder Part 2
1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com
letter from the owner
Welcome Summer Safety! With the summer months arriving, it’s good to have safety reminders. Ever since I can remember, my father was always big on safety and understandably so as we lived on a farm. With large livestock, old out buildings, running machinery, gravel roads, barbed wire fences, creeks and rough kid’s play, he had good reason to be serious about making and enforcing safety rules. Looking back, I am now very thankful my dad stressed such guidelines even though at the time it seemed a bit extreme and sometimes silly. As we all know, accidents happen in a matter of seconds. In most cases, it is because we are distracted or are in too much of a hurry. We’re often trying to do too much at one time (multi-tasking) or sometimes our mind is completely somewhere else, not thinking about what we are doing or where we are going. This summer, slow down and please take the time to remind yourself and others about the importance of safety and taking precautions. Keep safety first and foremost for a healthy and happy summer! Sincerely, Photo Courtesy of Photography by Jill
Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questions call: 309-681-4418 or e-mail: peoria.healthycells@hotmail.com
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physical
Hypertension The Silent Killer Submitted by The Communities of Maple Lawn
H
igh blood pressure is a serious problem in the United States. The Centers for Disease Control and Prevention report that one in three U.S. adults suffers from hypertension. High blood pressure is a major risk factor for heart disease and stroke which are the first and third leading causes of death. Blood pressure is defined as the force of blood pushing against the walls of the arteries as the heart pumps blood out. Systolic pressure is the pressure when the heart beats while pumping blood and diastolic pressure is the pressure when the heart is at rest between beats. Normal blood pressure is a systolic pressure of less than 120 or a Page 8 — Healthy Cells Magazine — Peoria — June 2011
diastolic pressure of less than 80. High blood pressure is defined as a systolic of 140 or above or diastolic of 90 or above. In order to be diagnosed with hypertension you must have three separate measurements at least one week apart meeting the high blood pressure criteria. Risk factors for high blood pressure include: increasing age, physical inactivity, being overweight or obese, smoking, drinking too much alcohol, a family history, diabetes and a diet high in sodium and low in potassium. Prevention of hypertension and initial management largely includes lifestyle modifications. Eating a
important prevention measures. Age 60 is usually the age to begin regularly checking blood pressure unless there have been signs of high blood pressure. If there have been signs of blood pressure issues at an earlier age, it is recommended to seek the advice of a doctor and check blood pressure regularly. Hypertension is called the “silent killer” because often there are no signs or symptoms. It is extremely important to monitor your blood pressure on a regular basis and know whether your numbers are normal or high---this is the only way to detect hypertension. If symptoms do occur they may include confusion, ear noise or buzzing, fatigue, headache, irregular heartbeat, nosebleed or vision changes. When blood pressure remains high for a prolonged period of time it damages the body leading to heart failure, stroke, heart attack, kidney failure, vision changes and blindness. Monitor your blood pressure regularly. High blood pressure can go undetected for a long time. By taking care of yourself and monitoring your blood pressure, you can help to proactively avoid being a victim of the “Silent Killer”. This article is brought to you by Robin Weissman and Brittany Underhil, nursing students, Illinois State University Mennonite College of Nursing along with The Communities of Maple Lawn. For more information about the Communities of Maple Lawn, please contact 309-467-2337 or visit: www.maple-lawn.com. healthy, well-balanced diet is a very important preventive factor. It is important to limit your salt intake, eat foods low in saturated fat and cholesterol and eat a lot of fresh fruits and vegetables. Maintaining a healthy weight and being physically active are also
Senior PPiacrnkic in the e 10th Friday, Jun 11am - 2 pm
References: American Heart Association, Center for Disease Control & Prevention, Geriatrics- Hypertension in the Elderly, Healthy People, IDPH, Journal of Nutrition Education and Behavior, British Journal of Nursing & Journal of Advanced Nursing.
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emotional
What to do
When Mental Illness
Strikes a Family
Submitted by Amanda Jacob, President, NAMI Tri-County.
W
e have all seen the television shows and movies depicting those with a mental illness as violent, scary and difficult to handle. Mental institutions are also portrayed as frightening, often with images of patients being abused by staff. The feelings we illicit from these images of mental illness can keep us from reaching out when a loved one is in need of treatment. It may also keep the individual from seeking help when it is necessary. The feelings of embarrassment, fear, and the unknown regarding a mental illness may hinder the recovery process. Often an individual’s primary doctor will refer a patient to a psychiatrist for further evaluation. If the physician believes that the paPage 10 — Healthy Cells Magazine — Peoria — June 2011
tient needs immediate care, a hospitalization may be necessary to stabilize the individual. The psychiatrist will evaluate the patient and determine if medication is necessary. The patient will return to the psychiatrist each month to determine if the medication is working, if there are any side effect complications, and if the current treatment path should continue. Therapy with a psychologist or counselor is often recommended in addition to medication or care under a psychiatrist. Psychologists and counselors work with patients to determine triggers in their mental illness, provide a variety of talk or cognitive therapies, and help the patient stay the course of long-term recovery. These
therapies may be done on an individual basis, or, if the patient is willing, in a family setting depending on the needs of the individual. There are several supports in place for both families and individuals. The National Alliance on Mental Illness (NAMI) was founded by family members of those with a mental illness with the goal of better education, advocacy, and support for each other. NAMI Tri-County is a grassroots organization made entirely of volunteers who have all found help, education, and support through NAMI. NAMI Tri-County serves Peoria, Tazewell and Woodford counties and has three education classes that are offered each spring and fall, education nights once a month, and monthly support groups. All of these are offered free of charge. Classes and support groups are taught or facilitated by family members or those with the illness rather than by professionals. The first education course is called Family to Family. This class is designed to educate family members of a loved one with a mental illness. The class runs for 12 weeks and meets one evening a week. Family to Family educates the family members on individual mental illnesses and their symptoms, coping skills, medications, advocacy, and recovery. The second course is Peer to Peer. This class is designed for individuals who have been diagnosed with a mental illness. The instructors in this course are successful in recovery with their own mental illness. The program educates individuals on self care, coping skills and a relapse prevention program. This course runs for 10 weeks and meets one evening a week. The last course is called NAMI Basics. This program is for parents or caregivers of a child or adolescent with a brain disorder. This program is designed to instruct parents and caregivers on symp-
toms of brain disorders, coping skills, effective strategies for home and school, personal record keeping, working with teachers and schools, and much more. NAMI offers education programs on the first Thursday of each month at 7 p.m. at The Atrium Conference Room, Methodist Medical Center. Local experts in the mental health field speak on various topics. During the May and October programs, we provide an “Ask the Professional Night.” NAMI invites a panel of experts to answer questions from the audience regarding mental illness and care. The panel includes a variety of professionals, including psychiatrists, psychologists, psychiatric nurses, counselors, judges, police officers, government officials, social workers, and pharmacologists. NAMI offers three types of support groups. These are all held on the third Thursday of each month at 7 p.m., at Methodist Medical Center. There is a family support group, and there are two consumer support groups. The family support group is led by trained family members of a loved one with a mental illness. The consumer groups are led by trained consumers who successfully cope with their own mental illness. Many times individuals and family members feel like they are alone in their struggle to be successful with mental illness. The Peoria area provides a wide variety of help, support, and education. NAMI Tri-County offers a help line to assist in navigating through these problems. For help or questions regarding mental illness or any of the education or support classes listed, please call (309) 6930541 or visit our website at www.namitri-county.org.
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June 2011 — Peoria — Healthy Cells Magazine — Page 11
nutritionl
By Marianne Miller, Club Fitness
B
reakfast is truly the most important meal of the day. I challenge you to take a look at your own morning habits & see if minor “tweaks” in your routine may have you feeling more energetic throughout the day…and maybe even lose a few pounds. First of all, let’s take a look at why breakfast is so important. If you recall, from past articles, we looked at the importance of several small meals throughout the day. When we eat 5-6 complex carbohydrate/ protein balanced “mini-meals” each day, we can effectively “stoke” your body’s furnace all day, keeping the metabolic rate high and blood glucose levels steady. Research now shows that when we go for long periods of time without eating, our body actually goes into a “hibernation” stage, burning calories at a much slower pace. While you are sleeping, your body is storing the sugars from the foods you have eaten the night before in the form of glycogen. This glycogen is used for fuel & gives you bursts of energy. If you skip breakfast, the body uses this stored glycogen…you will basically run out of gas. If you skip breakfast, your blood sugar begins to bottom out, which begins the roller coaster adventure with your blood glucose and insulin levels. In fact, the latest research shows that those who skip breakfast are 37% more likely to become diabetic. If Page 12 — Healthy Cells Magazine — Peoria — June 2011
you skip breakfast, you will most likely find that within a couple of hours your concentration levels are becoming dull & you tend to become more irritable. This is because your brain needs fuel and your fuel stores are depleted. Many people point to the reasons for not eating breakfast, such as either they are trying to lose weight or not enough time. Well, studies have shown that people who skip breakfast are more likely to eat later in the day…many times choosing less healthy, high fat, high sugar choices…poor choices made out of a “panic-hunger” mode. Sometimes by skipping morning meals, by the time lunchtime rolls around, they are so ravenous that they again make poor choices or eat double the amount. So again, if weight loss is the key…5 mini-meals (not 3 meals & 2 snacks) a day is still your healthiest and best approach…and ALWAYS have breakfast. The second reason for not eating breakfast is usually also the #1 reason for making poor choices for breakfast. Don’t let the cereal industry’s billion dollar marketing campaigns warp what you know to be true. I have to admit, many manufacturers are producing some great products that you will find in the cereal isle of your local grocery stores. But, take a close look at what you are consuming for the first meal of the day.
Your body has just spent 10-12 hours in “starvation” mode. Your blood sugar has dropped and your systems have slowed down. At this time of the day, especially, your body needs good nutrients, along with a slow burning carbohydrate (oats, millet, buckwheat for example) and some protein. If you look at many of the breakfast options we have grown accustomed to, you will find high fat, high sugar, and high simple carbohydrate choices such as sugar laden cereals, pastries & (ugh) donuts. Great cereal choices can be found. The important part is for you, the consumer, to understand what your body needs & learn to read labels to find the best choices. Look for “whole grain” ingredients. Make note of added sugars (avoid them!!) and added ingredients that you are unsure of—mainly look for the sugar and fiber content. Ideally, the best choice in breakfast cereal is high fiber, low/no sugar. Here are some quick & easy breakfast options: 1 serving of a whole grain warm cereal (the whole grains make it a slow burning carb) & 2 hard boiled eggs (ideally pitching the yolks) 3 egg whites scrambled (in a rush, whip them up in the micro wave) & salsa Oatmeal is always a great source for slow burning carbohydrates to carry you through the morning. This is a recipe I love & many of my clients have found great success with the convenience & perfect balance it offers. It is a mixture that makes 3-6 servings. It can be stored for several days and eaten hot or cold. It has the perfect combination to get you off to a great start in the morning. Be good to yourself! For additional information, contact Marianne Miller, Manager and Trainer at Club Fitness: miller.marianne1@comcast.net or call 309-689-1400.
Marianne’s Breakfast Concoction (A.KA. Goop)
In large bowl, combine the following: 3 cups old fashioned oats Cover with water & microwave for 3 minutes Add 1 bag of thawed frozen “mixed berries”. (try to find an assortment that contains raspberries & blueberries in the mix)
Add 4-6 scoops of vanilla protein powder (to taste)
Add 3 tbsp. Of ground flaxseeds
Mix these ingredients together. Bowl can be stored, covered in the refrigerator. I prefer the “concoction” cold, while others that I know prefer to warm it up before indulging. This also makes for a great late night snack, when you are trying to “behave” but have a craving for something sweet. (Just remember to only take approximately ½ cup serving size)
June 2011 — Peoria — Healthy Cells Magazine — Page 13
aging parents
Time for the Talk Knowing When to Discuss
Assisted Living with Your Aging Parents By Jeff Browning, Lutheran Hillside Village, an LSS Community
F
or some people, it can be one of the most daunting conversations they’ll ever have — bringing up the possibility that their parents might need to move into an assisted living community. With the average lifespan getting longer each year, many people will need additional care in their lifetimes. The question becomes “When?” And, more importantly, “How will I know when it’s time?” The truth is, there is no one defining sign that means steps should be taken. It is a gradual process that can be difficult to notice right away, especially for those of us who are predisposed to want to only see the positive. Our parents have always been strong and independent, so it is difficult to accept that they may not be able to take care of themselves anymore. So how does one determine when an aging family member needs some extra assistance? Looking for these signs can help you know when it is time to talk to your parents about assisted living options. Is the mail piling up? Reading becomes difficult as we age, so reading the mail can become quite a chore. For this reason, seniors can begin to neglect their mail, resulting in bills and letters going unread. Can’t take two steps in the house? Household chores can often fall by the wayside as it becomes harder to lift and carry things. This can create a dangerous living Page 14 — Healthy Cells Magazine — Peoria — June 2011
environment, as it makes threatening falls more likely. You should also take note of environmental damage such as dents in the car and burnt cookware. These signs can hint at confusion or mobility problems. Is the fridge full of expired cartons? If you notice a significant weight loss in your loved ones, try checking the fridge. If there is spoiled food, this should raise a red flag. Cooking can be confusing or challenging, and trips to the grocery store might be impossible, so some seniors eat only what they have to, or skip meals all together. This increases the likelihood for illnesses and poor nutrition. Has personal hygiene become optional? Personal hygiene can become more physically challenging to keep up, meaning cleanliness and health can decline. Many seniors are afraid of slipping and falling in the tub or shower, making these tasks seem like daunting endeavors. Do they have injuries hidden up their sleeves? Many seniors want to remain independent, so they will try to cover up whatever trauma they might have encountered at home, such as bruises or scrapes. This suggests a dangerous living environment, and should be handled seriously.
Our AIM is to help each individual or family find the path that works best for them to achieve their goals.
Do they seem confused? You don’t have to be a doctor to know when your parents are acting out of the ordinary. Missing appointments, skipping medications, and wearing the same clothes every day are all signs that suggest your parent may need extra care. Do they seem blue? Depression in older adults is often overlooked, but it is just as serious. Many seniors begin to feel isolated, and they withdraw from social activities they once loved. Are they jumping at shadows? Some seniors can become increasingly paranoid of those around them. They may feel that their neighborhood isn’t safe anymore, or begin hearing strange noises in the night. It is hard to be objective with the ones we love. We want our parents to live long, healthy, independent lives – something we want for ourselves when we grow older. Experts in the field agree, though, that broaching the conversation sooner is always better than later. Knowing these signs can give you concrete examples to use when talking with your parents about how much you want to see them in a safe and happy place. And that can make that most daunting conversation a lot less stressful. For more tips on how to talk to your aging loved ones about their future plans, call on the senior living counselors at Lutheran Hillside Village: Ellyn Book at 309-689-9605, or visit online at www.LutheranHillsideVillage.org.
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June 2011 — Peoria — Healthy Cells Magazine — Page 15
child’s play
The Very Best
Homemade
Playdough Recipe Submitted by 1, 2, 3 You ’N Me Preschool
I
n putting together summer activities for your children, this is the easiest Playdough recipe. Don’t want to cook your Playdough? Don’t worry; we’ve got a recipe for that! This non-cook Playdough works nearly as well as cooked Playdough and you don’t need a stove at all! Ingredients: 1 cup of flour 1 cup of boiling water 2 tablespoons of cream of tartar A half cup of salt 1 tablespoon of oil Directions: Simply mix the ingredients together! Be careful as it can be quite hot. Now it’s time for you and your children to enjoy this fun activity. For more information on 1,2,3 You ‘N Me Preschool call 309-692-3470. Located at 809 W. Detweiller Drive, Peoria, IL. Visit us on-line today: www.123youandmepreschool.net. Page 16 — Healthy Cells Magazine — Peoria — June 2011
June 2011 — Peoria — Healthy Cells Magazine — Page 17
beauty
The Basics of Botox ®
A
lmost everyone has heard about Botox®. Today, even though it’s a popular and common procedure, it is still a curiosity and mystery to many. If you are considering Botox®, or know someone who is, this article will give you the basics to help you make an informed decision. Botox® is a commercially produced, injectable medicine used to weaken certain small facial muscles. It has been popular for about ten years. Botox® is refined botulism toxin diluted into such small amounts that it is safe to inject specific muscles, particularly mid/central forehead or the frown lines. It is also injected into the small muscles on the outside corners of the eyes to relax the crow’s feet. Botox® is not used to completely paralyze the active muscles in these areas, but rather to smooth the passive wrinkle lines. The patient should still be able to frown, lift the eyebrows and “smile” with their eyes. Botox® is not used in the lower face, cheek or mouth area because the patient would experience drooping of the face, difficulty speaking, drinking and eating. Botox® is safe and minimally invasive. It is convenient for men and women “on the go” who don’t want to worry about downtime. Botox® should be injected by a trained medical person. Botox®should be purchased through a doctor’s office from the patented and FDA approved company – Allergan. Over the years Botox® injections have become a staple service in many cosmetic surgery practices where the doctors have trained their RNs and PAs in the art and sterile technique of injection to handle the demand. With many patients, Botox® has provided rejuvenation adequate enough to delay the surgical intervention and downtime required for a facelift, forehead lift and some early eyelifts. The Botox® effect lasts about three months. Its effectiveness depends on the percentage of dilution of the substance, the age of the patient, the amount injected, the strength and acPage 18 — Healthy Cells Magazine — Peoria — June 2011
Submitted by Dr. K.G. Shah, Plastic Surgeon, Board Certified
tivity of the frown and wink muscles of the patient, the skill of the technician and the reconstitution age of the Botox®. Some people, usually men, have very thick, large and strong facial muscles. Some people, usually women, have a thin layer of forehead muscles covered by thin delicate skin, making it easier to relax the wrinkles. Allergan has extended the time of use after dilution beyond the first 24 hours so Botox® will keep longer than it was previously marketed for. The results should be complete in three days, if not, ask your professional for a ‘touchup’ in five days. The cost may vary from office to office. Injecting Botox® is a serious procedure not to be taken lightly. The American Society of Plastic Surgeons does not condone “Botox® Parties” where alcohol is involved and the patient is not in a medical office setting. A patient should not sign a consent form under the influence and someone’s living room is not a suitable medical environment. The patient making the decision to have Botox® injections should research the person and practice in advance to ensure they have a good track record and are trustworthy. A patient needs to feel comfortable with the technician who has analyzed their face; its muscle movements and wrinkles, listens to and understands the patient’s desires. Botox® is not to be confused with Juvederm, which is injected filler for wrinkles in the lower face. Juvederm is used around the mouth and to expand the lip line in the upper lip commonly called “smoker’s wrinkles”, a natural aging process. It is true that if you start using Botox® early you can prevent the wrinkles from becoming as deep and permanent. Whether you are 30 or 60, the benefits of Botox® are a younger appearing, smoother face. For more information, contact Cosmetic Surgery Care at 309-692-3630 or visit: www.peoriaplasticsurgery. com. Located at Knoxville Place, 802 W. Trailcreek Drive, Peoria, IL.
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Come let us care for you! Call Kevin Singletary, Social Service Director at 309-467-2311 to schedule a tour today. 610 W. Cruger Ave., Eureka, IL 61530, www.each.org June 2011 — Peoria — Healthy Cells Magazine — Page 19
feature story
Treatment with Backbone Prairie Spine and Pain Institute Sets the Bar for Quality Spine Care By Mary Hilbert
E
ach year more than 31 million Americans report suffering from back pain, making back pain the leading cause of activity limitation among adults, according to the National Committee for Quality Assurance. When it comes to treating disorders of the spine that result in neck and back pain, Prairie Spine and Pain Institute takes pride in providing the highest level of customer service. Participation in research and education enhances the quality of patient care by providing access to innovative minimally invasive spine treatments including outpatient nerve decompressions and fusions. The North Page 20 — Healthy Cells Magazine — Peoria — June 2011
American Spine Society reports that 80 percent of individuals over the age of 30 experience back problems and 30 percent experience these problems on a recurring basis. When it comes to conditions of the spine, scoliosis, degenerative discs and spinal stenosis are just a few of the most common causes of back and leg pain. Many back pain sufferers are hesitant to see doctors, but experts agree that the sooner a patient seeks treatment for a medical condition, the better the outcome of treatment will be. “We believe in people being able to get prompt access to quality care and
being able to achieve rapid pain relief,” said the region’s only double Board Certified Spine Surgeon, Dr. Richard Kube of Prairie Spine and Pain Institute. Alongside his team of ancillary spine providers and specialists at Prairie Spine and Pain Institute, Dr. Kube works to make spinal treatment a shared effort between each patient and his or her treatment team, ensuring that patients are clear on diagnosis, treatment options and expected results. The Practice Roughly 4.6 million Americans will require back surgery at some point in their lives, according to a report from the American Association of Neurological surgeons. The spine is a critical part of the human body, not only supporting body weight but protecting the spinal cord which serves as the main highway of the nervous system. When injuries, accidents, stress or other conditions result in restricted spinal movement for a patient, the body is unable to function properly, leaving room for ailing health and recurring discomfort. Alongside performing minimally invasive procedures, the Prairie Spine and Pain Institute provides patients with access to motion preservation technology, enabling them to retain natural movement in diseased areas of the spine. After failing non-operative measures, pain caused by physical injury, degenerative disease and other medical conditions may sometimes be treated with spinal fusion surgery, a procedure in which two or more vertebrae are joined. In other cases, artificial discs may give patients a viable non-fusion alternative in spinal treatment. Outpatient fusions and multilevel disc replacements are performed by Prairie Spine and Pain Institute, making it the only Practice in the area to offer these services. Continued education and state-of-the-art technology enables the experts at Prairie Spine and Pain Institute to offer the highest quality of care to patients.
June 2011 — Peoria — Healthy Cells Magazine — Page 21
feature story
continued
Care with Expertise When it comes to expertise, Prairie Spine and Pain Institute boasts a highly skilled team of specialists led by Dr. Kube, whose advanced spine techniques have earned him international attention. Dr. Kube serves on the Board of Directors for the American Board of Spine Surgery as well as several committees for the North American Spine Society (NASS) and the International Society for the Advancement of Spine Surgery (ISASS). He is also a faculty member of the University Of Illinois School Of Medicine in Peoria. “You’re going to be monitored through every step of your treatment,” Dr. Kube said, emphasizing that Prairie Spine and Pain Institute follows up with patients and strives to make the treatment experience as comfortable for patients as possible, “We provide the highest level of care for the patient. We’re on the cutting edge with a variety of technologies.” Benefits of Minimally Invasive Spine Surgery Using innovative technology, minimally invasive spine surgery treats spinal conditions without causing unnecessary damage to soft tissues surrounding the spine. Swifter recovery time, improved function, less post-operative pain and reduced blood loss are a few of the most notable benefits of MISS, according to the Society for Minimally Invasive Spine Surgery. These treatments have led to much better recovery rates and much lower complication and adverse event rates. Physical Therapy One-on-one rehabilitation services are offered onsite to patients at Prairie Spine and Pain Institute’s Physical Therapy Department. Patients recovering from surgical procedures and others seeking to alleviate neck and back pain symptoms are able to receive treatment. The initial evaluation involves a residency trained, dual Page 22 — Healthy Cells Magazine — Peoria — June 2011
doctorate physical therapist in developing an individualized comprehensive treatment program. The institute’s Physical Therapy Department combines both hands on and therapeutic treatments to guide patients through their rehabilitation process. Uplifting Atmosphere “Although we see many patients from around the globe, we see ourselves as part of the community and want to relate with patients on a personal level,” Dr. Kube said. “Medical practices often get so caught up in medical issues they often overlook basic comfort and customer service. We make those items a priority in our practice by using a high quality, friendly staff that shows the goals of quality care and service. We have added blown glass and multimedia and pastel pieces from local artists to provide a soothing atmosphere complete with a fireplace, Starbucks coffee station and comfortable chairs,” Dr. Kube added. Making an Appointment Prairie Spine and Pain Institute is open Monday through Friday from 8:00 a.m. to 5:00 p.m. Staff assists patients in obtaining necessary medical records before the first visit. Patients can usually obtain an appointment in less than a week and can sometimes be seen the same day. Referrals are not usually necessary.
For more information on services and procedures, contact the Prairie Spine and Pain Institute at (309) 691-7774 to schedule an appointment or visit www.prairiespine.com.
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June 2011 — Peoria — Healthy Cells Magazine — Page 23
can we talk
Effective Communication
Strategies By Regina Brian, PsyD, Psychology Specialists, Ltd.
“You are not only responsible for what you say, but also for what you do not say.”
— Martin Luther
H
ave you been in a situation where you felt misunderstood or felt as though the message you were trying to convey was received completely wrong? Have you been the one who misunderstood someone who was trying to convey a message to you? It wouldn’t be surprising if you answered yes to both of the above scenarios. Most of us, at one point or another have been in one or both situations and for many, being in that position resulted in an argument or disagreement with someone we care about, leaving feelings of anger, hurt, sadness or frustration.
Page 24 — Healthy Cells Magazine — Peoria — June 2011
In a world where everyone has his or her own set of values, opinions, concerns, and needs, it’s almost certain that each of us has, at one time or another, experienced faulty or ineffective communication. With such a vast array of differences in what and how people communicate, we should consider the ways in which we communicate and exchange information with others. We communicate with a variety of people in a variety of settings. When communication is effective, we feel important, acknowledged and most importantly understood. On the other hand, when communication is ineffective, broken or blocked, we are often left feeling frustrated, resentful, confused and misunderstood. Many problems can stem from poor communication, yet such problems can often be resolved through use of more effective skills. The effects of poor com-
munication can lead to more lasting and serious problems, especially in relationships; however, with the appropriate skills and strategies, communication can become an effective means of expressing one’s thoughts, feelings, and needs contributing to less misunderstanding, decreased negative emotions and fewer problems overall. In its simplest form, communication is merely the exchange of information. This exchange is accomplished on several levels: verbal, nonverbal and paraverbal. Verbal communication refers to the content of the message and the choice of words used to convey that message. Nonverbal communication refers to a person’s body language and facial expressions. Paraverbal communication refers to the voice behind the message; the tone, pitch, and rate of one’s voice, including the emphasis placed on certain words. It is also important to address the issue of barriers to effective communication. When barriers are present, it is likely the message that is trying to be shared or conveyed will be lost, and the original intent overshadowed by negative emotions. Barriers exist for each of the above components of communication, here are some common examples:
In order to begin mending the lines of communication and promoting feelings of understanding and connection in a relationship, the following are some recommended strategies: • Use eye contact when speaking/listening to another person. • Avoid interrupting when the other person is talking, and avoid thinking about your response or rebuttal while listening. • Use “I Statements” when communicating feelings, for example, “I feel ___, when you ____, because____.” This strategy is less threatening and less accusatory than “You statements.” • Repeat back what the other person has said to make sure you have a clear understanding of the message being shared. • Avoid clamming up when attempting to express your feelings or thoughts. Remember, communication is a two-way interaction. • Use a controlled and calm tone of voice when speaking. Avoid mumbling, yelling, whining, and sarcasm. • If you are not sure about what has been stated, then ask for clarification. It’s better to clarify than to assume. • Take a “time out” if you find yourself getting angry or upset. Resume the discussion when you are calm. • Avoid using generalizations and words such as “always” and “never” to reduce inaccuracy and unnecessary tension. • Address big issues as soon as possible, but only when both parties are prepared to deal with it. Likewise, try not to stockpile little issues to be dealt with all at once. Many couples and families seek counseling when this type of pattern becomes the standard and not the exception. If this is true for you and it is beyond what you believe you and the other person can work together to repair, then seek the assistance of a counselor or therapist. Counseling can facilitate re-establishing the lines of communication and rebuilding the relationship(s) that are broken. For more information contact the Psychology Specialists at 309-648-0782. Or visit: www.psychologyspecialists.com
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radiation exposure
Doctor, Will This
CT Scan
Give Me Cancer? I
n the last few years, there has been increasing awareness of the radiation exposure of patients who undergo Computed Tomography (CT) scans. A CT scan consists of multiple images obtained by using
special x-ray equipment with sophisticated computers to produce images of the inside of the body which are examined by the radiologist. A CT scan is one of the best and fastest tools for studying the cross-sectional views of the body. It is often the preferred method for diagnosing and staging many different cancers, identifying bleeding in the brain, as well as quickly identifying injuries to internal organs. CT can accurately identify urinary stones, as well as abdominal inflammatory conditions like appendicitis and diverticulitis. Theoretically, any exposure to radiation poses some risk of cancer. The greater the radiation dose a person receives, the greater their chance of developing cancer. However, the risks at very low exposure levels have not been definitively demonstrated. Regardless of whether you’ve had a CT scan, a male has a 1in 2 chance of developing a cancer, and has a 1 in 4 chance of dying of cancer. A female has 1 in 3 chance of developing and 1 in 5 chance of dying of cancer. Studies done to quantify the cancer risk associated with CT scanning used data from atomic Page 26 — Healthy Cells Magazine — Peoria — June 2011
By Mandar A. Pattaker, MD, Director of CT, Methodist Medical Center of Illinois President, Illinois Radiological Society, Member, Central Illinois Radiological Associates
bomb survivors who were exposed to a mixture of radiation which contained more harmful types of radiation than just x-rays. Regardless of the accuracy of their conclusions, these studies drew the attention of the media and the general public to the hazards of overuse of CT scans. How to minimize the radiation if you need to undergo a CT scan: Choose a facility that actively takes steps for decreasing radiation. These facilities have the following characteristics: they perform an imaging study only when truly indicated. The radiologists consult with the ordering physicians and recommend the study which gives the most diagnostic information with the least amount of radiation exposure. The radiologists also suggest other diagnostic techniques like MRI and Ultrasound (which do not use x-rays) if they can provide the answer to the clinical question. The facility’s protocols are designed to minimize exposure by changing the machine parameters based on the part of the body imaged. The facility uses the latest available machines which have software that improves image quality even when low radiation is used. (Newer scanners by General Electric use a technique called Adaptive Statistical Iterative Reconstruction (ASIR) that uses up to 40% less radiation with no loss of image quality.) The facility uses mechanical tools like bismuth breast shields to further reduce radiation exposure to the breast by 50-60%. Finally, the facility uses a “child-size” radiation dose for children, and not a one-size-fits-all approach. Keep a record of your CT scans done at all locations. In addition to monitoring your radiation exposure, prior CT records also help the radiologist compare findings on the current CT with the old images and note any change. Before undergoing a scan, ask your physician the exact need for the exam and how it will improve your health care. Ask if there are alternatives that do not use radiation which are equally as good. Make sure the facility is accredited by a reputable accreditation body and the supervising radiologist is board certified. CT is a great tool for diagnosis of disease and maintainence of your health. However, like any tool it should be utilized only in the right situation and in the right hands. For additional information, contact Methodist Medical Imaging at 309-672-5582.
think outside the box
Unlock Your Creativity By Dan Miller, Author of 48 Days to the Work You Love
H
enry Ford once said he didn’t want executives who had to work all the time. He insisted that those who were always in a flurry of activity at their desks were not being the most productive. He wanted people who would clear their desks, prop their feet up and dream some fresh dreams. His philosophy was that only he who has the luxury of time can originate a creative thought. Wow! When’s the last time your boss told you to quit working and do more dreaming? Unfortunately, our culture glamorizes being under time pressure. Having too much to do with too little time is a badge of “success.” Or is it? Tips to unlock your creativity: • You need to “sit” longer. • Get away from your normal routine. • Go for a long walk, exercise more • Take an art (woodworking, sculpture, gardening) class • Put yourself around people who are high performers. This week I heard from a gentleman who has spent the last three years hiking and living in an isolated old farm house. He said he had experienced the “perfect storm” – divorce, unfulfilling job, nasty boss and a 33 year dream of hiking the Appalachian Trail. After three years of “sitting” his thinking is now clear, his energy is renewed, his anger is gone, his creativity has been revived and he is ready to map out the next season of his life. The Apostle Paul took long walks between cities, using the time to think and talk. Even when shipwrecked, instead of calling in a helicopter to get him to his next gig, he simply used the unexpected time to create with his mind. Andrew Carnegie would go into an empty room for hours at a time, not allowing any interruptions, as he was “sitting for ideas.”
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Thomas Edison would go down to the water’s edge each morning, throw out his line – with no bait – and then watch the bobber for an hour until his thinking was ready for the day. Without long walks, an hour here and there of bush hogging, tinkering with my cars, or playing with a grandchild, my writing to bring inspiration to others would very quickly be reduced to dry theories and lifeless words. If you are feeling stuck, your solution may not be in doing more, but in taking a break from the “busyness” of life. Want to be more productive — try doing less. Go “sit” somewhere for a while!” “I went to the woods because I wished to live deliberately, to front only the essential facts of life, and see if I could not learn what it had to teach, and not, when I came to die, discover that I had not lived.” – Henry David Thoreau
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For additional information on Dan Miller, visit www.48days.com. June 2011 — Peoria — Healthy Cells Magazine — Page 27
balloon sinuplasty™
Proven Technology in Treating
Chronic Sinus Infections By Steve Wilson, Communication Director, Proctor Hospital James Hertenstein, M.D., Midwest Ear, Nose, and Throat Associates. “The minimally invasive nature of balloon sinuplasty technology results in significantly less discomfort and risk for the patient and is leading to a paradigm shift within our specialty in the surgical treatment of paranasal disease.” Chronic sinusitis is an inflammation of the sinus lining lasting three months or more, and is one of the most commonly diagnosed chronic illnesses. It is most commonly caused by bacterial, viral, and/or microbial infections. Structural issues such as blockage of the sinus opening can also lead to chronic sinusitis. If the opening is closed, normal mucus drainage may not occur. This condition may lead to infection and inflammation of the sinuses. Common signs and symptoms: • Facial pain, pressure, congestion or fullness • Difficulty breathing through the nose • Discharge of yellow or green mucus from the nose • Teeth pain • Loss of the sense of smell or taste • Headache • Fatigue • Sore throat • Bad breath
A
clinically proven, minimally invasive technology for treating chronic sinus inflammation is now available. The Balloon Sinuplasty™ system by Acclarent™ uses a small catheter and balloon to quickly open and expand blocked sinuses. Sinusitis is one of the most common chronic health problems in the U.S., afflicting 37 million Americans each year. Patients suffer headaches, congestion, fatigue and other symptoms. This condition significantly impacts an individual’s physical, functional, and emotional quality of life. “The structures in the nose serve a purpose. In patients with recurring sinus infections, it stands to reason that the best surgery will re-establish nasal air flow and sinus function with the least amount of alteration to the normal structures,” says James J. Klemens, M.D., Peoria Ear, Nose, and Throat Historically, sinusitis patients were limited to two treatment options: medical therapy such as antibiotics and topical nasal steroids, or conventional sinus surgery such as Functional Endoscopic Sinus Surgery (FESS). Medical therapy can help alleviate symptoms in as many as 80% of patients but is inadequate for the rest. For them, sinus surgery is often the best option. However, FESS is a conventional surgery that requires bone and tissue removal in order to open up blocked sinus passageways. In lieu of a desired treatment, approximately 900,000 patients each year elect to live with painful sinus conditions. “This new tool for accessing, cleansing, and enlarging the natural drainage pathways of the paranasal sinuses is a quantum leap forward in the treatment of recurrent and chronic sinusitis,” says Page 28 — Healthy Cells Magazine — Peoria — June 2011
Sinuses are airfilled pockets that surround the nose. Each sinus has an opening through which mucus drains. Chronic sinusitis sufferers do not experience the normal drainage which keeps the sinus healthy. There is an alternative solution in endoscopic sinus surgery with the Balloon Sinuplasty™ technology. A small, flexible balloon catheter is placed through a nostril into the blocked sinus passageway. The balloon is then inflated to gently restructure and open the sinus passageway, restoring normal sinus drainage and function. That means faster recovery times and less post-procedure discomfort. The international, multi-center study, CLEAR, published in the prestigious journal, Otolaryngology-Head and Neck Surgery, confirmed at all time points – 24-week, one-year and two-years earlier, clinical validation that the Balloon Sinuplasty™ instruments are safe and effective for opening blocked sinuses. The CLEAR study reported: • 91.6% functional patency rate at one-year; 70 patients (217 sinuses) • No serious adverse events at two-years; 65 patients (195 sinuses) • Symptom improvement for 85% of patients across the two-yearpostsurgery period Sinusitis patients who are considering their options can learn more about the Balloon Sinuplasty™ technology by visiting www. balloonsinuplasty.com and speaking with their family physician. To learn more about Proctor Hospital please visit www.proctor.org, join Proctor on Facebook, or call 309-691-1070.
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June 2011 — Peoria — Healthy Cells Magazine — Page 29
amputee awareness day
Showcasing Success
Over Disability Comprehensive Prosthetics and Orthotics Shares Stories of Triumph By Mary Hilbert
W
hen U.S. Army Golden Knights parachute team member Dana Bowman lost both of his legs in a training exercise accident in 1994, no one could have guessed the astounding success that would follow this tragedy. Nine months later, Bowman became the first double-amputee to reenlist in the U.S. Army- inspiring service members and veterans to persevere, no matter what obstacles they face. Today, Bowman continues to overcome all odds, living a physically active lifestyle not only when it comes to parachuting. “I snow ski and waterski too,” Bowman said, “I did this before my accident and I’m still going to do it.” Today Bowman travels the country, sharing his story with people from all walks of life, especially those who have undergone amputations due to illness or physical trauma. Most recently Bowman appeared as a guest speaker at Amputee Awareness Day, hosted by Comprehensive Prosthetics and Orthotics in Peoria, showcasing his talents alongside other courageous amputees. Sergeant First Class Michael Elliott, a Golden Knights team member of over Page 30 — Healthy Cells Magazine — Peoria — June 2011
10 years, was also present for CPO’s Amputee Awareness day, performing a tandem jump with amputee Ryan Fitzgerald at CPO’s Bloomington awareness event. SFC Elliott, who has performed more than 9000 jumps in his career, received nationwide attention for performing a tandem jump with George Bush Sr. on his 80th birthday. “It’s about giving inspiration to military and civilians,” Bowman said, “It’s a message of hope and it’s for everyone: old, young, new and disabled. The words amputee and useless are not synonymous.” Comprehensive Prosthetics and Orthotics is led by Donald Goertzen and Amit Bhanti and has clinic locations throughout Central and Southern Illinois, including Bloomington, Peru, Quincy, Springfield and Decatur. Goertzen, an amputee himself, lost his leg in a logging accident in Alaska and continues to enjoy a very active lifestyle while helping others just like him. Demand for prosthetic care, which deals with artificial limbs that replace missing body parts, and orthotic care, which deals
with management of deformities, pain, weakness and other debilitating conditions using braces, is high across the United States and Central Illinois is no exception. According to Goertzen and Bhanti, CPO has seen 400 percent growth in both employees and revenue over the past three years. More than 28 million people across the United States are at risk of losing a limb to illness or injury. Of the nearly 507 surgical amputations that occur each day, nearly 60 percent are preventable according to the Amputee Coalition of North America. Vascular disease, trauma and cancer are the leading causes of limb loss. While recovery time from limb loss varies from person to person, there are a number of ways that individuals can optimize their rehabilitation, including discussing pain management options with medical professionals, joining amputee support groups in the community and most importantly maintaining a positive self-image. No matter what happens, Bowman maintains that it is important for people who have lost limbs to focus not on their disabilities, but what they are able to do. “CPO has done a lot, and helped me to spread this message,” Bowman said, “It’s about showing that no matter what your disability is you can still land on target.” Central Illinois residents seeking support and information on living with limb loss may contact the regional representative for the Amputee Coalition, Tammy Higginbotham at 309-546-9803.
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For more information on Comprehensive Prosthetics and Orthotics services visit www. cpousa.com or call (309) 676-2276 to contact CPO’s Peoria office, located at 741 W. Main St. To learn more about Dana Bowman’s story and opportunities to hear him speak, visit www.danabowman.com. Mary Tisdale, RN, MSN, CNM
David H. Kindred, M.D. Board Certified and on Staff at all 3 Peoria Hospitals
New Patients Welcome
2806 N. Knoxville Ave • Peoria, IL 61604
Office: 309-687-6500
Exchange: 309-677-6053 Mon, Tues, Thurs 9:00-4:00 Fri 9:00 - 3:30 Closed Wednesdays June 2011 — Peoria — Healthy Cells Magazine — Page 31
child safety
Helping Your Child
Avoid Injury By Lauren Rochester, OSF Saint Francis Medical Center PR Intern
M
ommy, can you fix it?” These are words no parent wants to hear from their child following an unfortunate fall from a tree, bicycle or swing. But when the summer sun comes out, so do children, complete with that carefree innocence that sometimes ends with them covered in Band-Aids. Fortunately, most of these injuries are not serious. However, it is important for parents and caregivers to be aware of how quickly that fall could turn into something much more serious than a bruise or scratch. “Every year accidental injuries cause about a third of all deaths in children under 14,” according to Dr. Teresa Riech, Assistant Director of Pediatric Emergency Services at OSF Saint Francis Medical Center. Children don’t have to be able to run and play in order for an injury to occur. Yvette Whitehurst, manager of Advocacy Services at Children’s Hospital of Illinois, has dedicated her life and profession to educating children and families about the benefits of injury prevention. The department’s main focus is car seat safety. “The problem isn’t necessarily whether or not parents have a car seat, but whether or not it is installed properly,” Whitehurst said. “4 out of 5 car seats are not installed properly, which could lead to severe head, neck and spinal injuries.” The American Academy of Pediatrics recommends children remain in rear facing seats until they are 2-years old. Whitehurst and her team host 36 car seat clinics a year featuring certified car seat technicians who educate parents about the proper fitting of the seats in addition to giving them tools to keep their kids safe. The clinics are paid for in part by grant from the Kohl’s Kids Ride Safe Program. The group also partners with law enforcement agencies and social service organizations to help with workshops for parents and car seat certification classes. The Advocacy department also over sees a Special Needs Child Passenger Safety Program. Infants who are born with an extremely low birth weight or are otherwise unable to fit in a regular car seat require specially made seats, which are expensive. “We offer a loaner program for these specialized seats as well as education to the parents about how to use them and keep their child safe,” Whitehurst said. Whitehurst is one of only 2 instructors in Illinois who are certified for this program.
“
Page 32 — Healthy Cells Magazine — Peoria — June 2011
With the summer season comes an increase in children riding bicycles. Children’s Hospital’s “Under Cover” Helmet Program provides bike helmets to 10 schools every year. The group measures the children’s heads to ensure a proper fitting helmet is worn and presentations are given about the importance of bicycle injury prevention. “A helmet is an inexpensive safety measure, but may save your child from a traumatic brain injury, even death. Many manufacturers offer inexpensive helmets that are safety certified,” said Dr. Riech. Community Bicycle Rodeos are held at 4H Fairs throughout the summer using interactive activities to show kids how their brain would function with an injury. Workshops are also held for ATV safety, which has been a growing problem in this area. Selected schools receive sets of safety gear to demonstrate proper equipment usage to their students. But even with all of these tools and programs to help prevent injuries, there is no way to prevent them entirely. And while no parent ever wants to make a trip to the emergency room, that trip is made easier with the confidence they are giving their child the best care available. As a mother, Dr. Riech knows how important injury prevention is. “If I could prevent any mother from ever having to see her child injured, I would. I can’t stress enough the importance of vehicle safety, bicycle safety, and parental supervision around water and during sports. Injuries can often be prevented with the simplest of measures. Be proactive! If your child gets used to wearing a helmet from the time they start riding a bicycle, you won’t have to have the argument about why they have to wear it when they are older - it just becomes habit.” An injury to a child is always a scary thing, especially when you feel helpless to “fix it”. Parents should be confident to get the best education, tools and medical care to help every time a child is injured. Since it opened in August 2010, the new Emergency Department at OSF Saint Francis has offered family care in a unique, state-ofthe-art facility. In the Pediatric Emergency Department, rooms are child-friendly, and staff is specially trained to care for children. Their Pediatric experts know what it means to be “child-centered”. If you would like information about any of the safety programs offered by Children’s Hospital of Illinois, call 1-877-277-6543.
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hearing aids
Finding the Right Hearing Loss Solution Submitted by Andrew Bennington, Specialist Director, AccuQuest Hearing Center
H
ave you ever thought about the different types and costs of hearing aids? Maybe you are considering hearing aids and wondering what is the difference. It boils down to need, lifestyle and budget. Individuals need to select which hearing aid is going to work best for them and at what price point. To get to the right answer, here are some good questions to ask. The first and most important question (two parts) is always, “How severe, and how complex, is your hearing loss?” This will determine what level of power and sophistication the hearing instrument needs in order to replace what the ear is no longer providing naturally. Compensating for mild, moderate, severe, or profound hearing loss categories requires different levels of power. The most economical hearing aids have limited power and are best suited for a milder loss. Then there is the question of complexity. We hear sounds and distinguish meaning based on different audio frequencies. In human speech, for example, vowels (low frequency sounds) carry the impression of loudness, while consonants (high frequency sounds) are the keys to understanding. If you have a high frequency loss, you might be confusing the “k” sound with the “ch” or the “s” sound leading to misinterpretation. To improve understanding, you need to be able to amplify just the sounds you are having trouble hearing. The most economical units have basic amplification technology. They function in essentially the same way they did 20 years ago: they simply make things louder. They do not distinguish between or allow you to adjust amplification by frequency level. In other words, “kick” is still going to sound like “chick” only louder. As the sophistication level of the hearing instrument increases, so does the ability to enhance individual frequencies—improving both listening quality and understanding. But of course, an increase in functionality requires better technology, and that comes with an increase in cost. This brings us to the next critical question, “What is your lifestyle? Do you NEED to be able to distinguish between many different sounds to be happy?” If you lead a fairly calm and quiet lifestyle at home where the sounds you want to hear aren’t competing with a lot of background noise, the answer is probably “No”. If, on the other hand, you lead an active lifestyle that includes gatherings with family and friends, worship, the theatre, and the necessity of interacting with peers or clients at work, you need sophisticated hearing aids that can be programmed to specifically compensate for your particular hearing loss.
Page 34 — Healthy Cells Magazine — Peoria — June 2011
Some hearing aids are so smart that when you walk into a restaurant they automatically turn on directional microphones, focusing on conversation in front of you rather than the table behind you. In adding power, bands, channels, feedback cancellation, noise reduction, automatic environment adjustment, water resistance, and other advanced features, you add cost. Ultimately, we’re trying to use technology to compensate for something impossibly intricate: the human ear. We’re getting better and better, but it requires a lot of sophistication. And that is the result of a lot of expensive research and development and some very powerful circuitry in a very compact device. Two more critical questions need to be asked: “What can you afford?” and “What services are included at that price?” Most of us would love to have the very best technology available (as long as it’s not difficult to use). But we may not have the need or the flexibility in the budget to purchase the best. Be sure to take into consideration the recurring cost of batteries. There are nearly as many technology options as there are levels of hearing loss. Ask about flexible financing terms and payment programs that best fit the solution. The key is to strike the right balance between price and lifestyle need. Fitting a patient with an instrument that does not suit their lifestyle will cause undue frustration for the patient, guaranteed. Also make sure that the services that come with the hearing aid amount to a significant value. One must have absolute confidence in the hearing health provider, the stability and longevity of the business, and the equipment he or she is using to provide one’s hearing loss solution. Be sure the best service is available and that that service is going to continue to be available into the future. A repair warranty and a loss and damage warranty should absolutely be part of any hearing instrument package. Another important part of the purchase is the availability of the office staff. If there is a problem or a need for adjustments, cleanings, counseling, or for supplies, one will want easy access to that help. For peace of mind, consider the whole package; price, product and services now, as well as what might be required in the future before deciding what is the right hearing aid package for you. For additional information, contact AccuQuest Hearing Centers with locations in Peoria, Macomb, and Galesburg. Visit www.accuquest.net.
June 2011 — Peoria — Healthy Cells Magazine — Page 35
sleep apnea
A Comfortable Snoring Solution Submitted by Illinois Institute of Dental Sleep Medicine
M
ore than 18 million Americans suffer from Obstructive Sleep Apnea and 90% go undiagnosed. Obstructive Sleep Apnea is a serious health condition, and snoring is often the first symptom noticed. Although snoring is generally viewed as a minor annoyance, it may often be an indication of a more serious condition such as sleep apnea. Tom, a gas operations supervisor, had struggled with snoring and problems sleeping for the past 14 years. “My snoring and gasping for breath was keeping my wife awake, and neither of us were getting quality sleep,” says Tom. “I was tired all the time and cranky because I never felt rested,” he continues. Tom’s wife, a respiratory nurse, called a pulmonologist she knew who ordered a sleep study for Tom. The sleep study revealed that he had moderate sleep apnea. “I did a lot or research on sleep apnea, and found that it not only can affect the quality of your life, but also the longevity of your life,” says Tom. “I knew I needed to get treated.” People with untreated obstructive sleep apnea have a higher risk of death than the normal population. Suffers can experience a potentially crippling deterioration in daily functioning, an increased risk of high blood pressure and stroke, depression and death either in accidents or in their sleep. Family members often feel effects when dealing with there loved one’s frequent irritability, mood changes, lower sexual drive, and reduction of intellectual ability. The impact of untreated obstructive sleep apnea stretches beyond an individual’s own household – employers and business are affected by underperforming workers and lower productivity, while communities are impacted by increased insurance costs as a result of accidents and health care needs. These health care resources are often expended to treat and alleviate the consequences of obstructive sleep apnea, such as heart disease and cardiac arrest, instead of treating the underlying cause. Tom was prescribed Continuous Positive Airway Pressure (CPAP) to treat his sleep apnea. “I tried wearing the CPAP for a while he says, but I just got tired of fighting it and it was uncomfortable so I gradually stopped wearing it,” says Tom. Continuous Positive Airway Pressure (CPAP) continues to be the gold standard of treatment for severe obstructive sleep apnea. “If a patient is using CPAP and doing well, I want them to stay on it,” says Dr. Rod Willey of the Illinois Institute of Dental Sleep Medicine. “Unfortunately, many Page 36 — Healthy Cells Magazine — Peoria — June 2011
patients find the masks uncomfortable and inconvenient, and frequently discontinue using them for these reasons,” Willey continues. According to the American Sleep Apnea Association, approximately 40% of patients discontinue using CPAP within a few months. If a patient cannot wear the CPAP, other treatment options include lifestyle changes, surgery and oral appliance therapy. “I was getting close to trying surgery as a last resort, when I heard about oral appliances from a friend,” says Tom. 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. “Immediately after I got the appliance my snoring stopped,” says Tom. “Within two weeks of wearing the appliance I woke up feeling that refreshed feeling again, because I was getting a full night’s sleep.” “Now my wife and I are both getting quality sleep and are much happier and healthier because of the addition to the appliance. As we get older, we think that feeling run down is part of the aging process,” says Tom. “I’m 44 years old and I honestly feel like I’m in my 30’s again by being able to get restful sleep.” For more information on dental treatment for sleep apnea please contact Dr. Rod Willey (General Dentist) of the Illinois Institute of Dental Sleep Medicine at 309-243-8980 or IllinoisSleepDoc.com.
Signs & Symptoms of Sleep Apnea • Feeling tired even after a full night of sleep. • Experiencing consistent headaches in the morning. • Snoring loudly and frequently. • Making choking or snorting sounds during sleep. • Stopping breathing during sleep. • Suffering from depression or irritability. • Family member who has sleep apnea. • Experiencing unexplained weight gain or is having a hard time losing weight. • Frequently getting up to use the use the bathroom during the night. • High blood pressure. • Falling asleep while driving or during periods of daytime inactivity. • Neck size of 17in+ (men) or 16in+ (women) • Waist size of 40in+ (men) 36in+ (women) • Body Mass Index (BMI) 30 (men) and 26 (women) • You are woman with Hypothyroidism or Polycystic Ovary Syndrome • You are a menopausal or postmenopausal woman.
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June 2011 — Peoria — Healthy Cells Magazine — Page 37
safety is NO accident
Safety Tips for Everyone By Jennifer Lareua, B.S., Health Educator, Peoria City/County Health Department
I
t only takes a moment for an injury to happen — a fall on a stair, a glance away from the road, a biking or sports-related injury, or a medication mix up. But it also takes just a moment to protect against injuries and make communities safer. The potential for injury is all around us. Each year in the United States, nearly 150,000 people die from injuries and almost 30 million people are injured seriously enough to go the emergency room. Driving a car, playing a sport, swimming, or simply walking down a street can all present hazards. These tragedies can be devastating to families and communities alike. Although the greatest cost may be the compromised health of a loved one, the financial costs are also staggering. Injuries account for 12% of annual medical care spending, totaling as much as $69 billion per year. Many of these costs can be prevented by taking simple steps to protect ourselves, our families, and our communities.
Injuries are not “accidents,” and you can help prevent them from happening. Take action now. At Home: • Install and maintain smoke and carbon monoxide detectors in your home • Establish a plan for how you would evacuate from your home in the event of an emergency • Have your hot water heater checked and adjusted periodically to avoid burns At Work: • Wear protective equipment and reflective gear to reduce employee exposure to hazards • Ensure views are not obstructed when operating heavy machinery • Ensure a working sprinkler system and schedule fire drills to practice safe evacuation in the event of a fire At Play: • Have a physical before starting a new sport, and be sure to warm up and stretch before you begin • Drink plenty of water to avoid becoming dehydrated • Work with local community leaders to build and support safe playgrounds Page 38 — Healthy Cells Magazine — Peoria — June 2011
On the Move: •W ear a seatbelt in the car and install and use child safety seats correctly •W ear a helmet when on a bike, skateboard, scooter or other motor vehicles to avoid head injuries •A void texting, eating, using the phone or grooming while driving In Your Community: •U se sidewalks and avoid jaywalking; be mindful of the environment and be cautious when crossing the road •W alk facing traffic and make yourself visible at night •W ork with school leaders to prevent school violence and bullying The Peoria City/County Health Department joins the American Public Health Association in 2011 to educate Americans that “Safety is No Accident.” Together, we can help Americans live injury-free in all areas of life: at work, at home, at play, in our community, and anywhere people are on the move. We all need to do our part to prevent injuries and violence in our communities. Join us as we work together to create a safer and healthier nation. For more information on public health issues, call the Peoria City/County Health Department at (309) 679-6000 or visit www.pcchd.org.
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trauma
Combat
Post Traumatic Stress Disorder Part 2 By Deborah Obert Kapitko, MA, NCC, LCPC, EMDR Certified
I
n the last issue of Healthy Cells, I discussed the symptoms of Post Traumatic Stress Disorder (PTSD) and the associated reasons veterans are reluctant to seek clinical services for their PTSD. As a trauma specialist, it is a great concern for me knowing the dramatic toll the effects of serving in the armed forces has taken on the men and woman who willing serve their country and knowing there is an effective treatment that can result in a positive outcome for them. Page 40 — Healthy Cells Magazine — Peoria — June 2011
I provided clinical services to a man who suffered for two years before finally realizing that his symptoms were not going to go away on their own. Once this man returned from his deployment in Iraq, he found alcohol to self-medicate his flashbacks, nightmares, panic attacks, and hyper-arousal. He began to get into bar fights to feel more powerful and would not sleep fearing the return of his re-occurring nightmares. When he encountered bridges, potholes, rounding a cor-
ner unaware of what was on the other side, he experience extreme anxiety. He had panic attacks in crowded areas and retreated in panic from the 4th of July celebration. He became involved in unhealthy intimate relationships unconsciously choosing those partners he could rescue because of the shame associated with his inability to save those during combat. This is a man with a great sense of social and moral responsibility who found it difficult to reconcile his actions in war with his core beliefs about himself. He felt he did not fit in with those who had not done what he had done so he alienated himself unable to speak to others about the horrors in his mind and isolated from those who cared about him. He felt defeated by the messages from other veterans that he would have PTSD for the rest of his life. After two years he had stopped drinking and decided he needed help when a nurse told him about eye movement desensitization and reprocessing (EMDR). He went on the EMDR website to search for providers (www.emdr.com) and found this therapist. It was critical in the first session to increase his sense of empowerment, to provide education on the neurobiology of trauma in order to normalize what he was experiencing, to do a thorough history, instill hope, and provide strategies to regulate the hyper-arousal. Since the client denied any previous trauma prior to Iraq, in our second session, EMDR was implemented on the client’s worst trauma target desensitizing the disturbance associated with the traumatic event from a distress level (SUDS) of 10 down to a 2. The client returned for our third session stating “I don’t know what you did to me, but since the session I have been sleeping through the night, no flashbacks, nightmares, or panic attacks.” Although the extreme hyper-arousal symptoms and self-blame had abated there was still much work to be done to complete a comprehensive treatment. Often, once the most extreme symptoms are gone, the tendency
is to dismiss what is left, so it is important to continue to desensitize all of the trauma targets even though the disturbance level is lower. One of the great benefits of EMDR is that once the trauma target is desensitized, the client never walks back in my office and says “it’s a 10 again.” EMDR is an eight phase treatment for trauma endorsed by the Veteran’s Administration and the Defense Department for the treatment of combat PTSD. It is also on the empirically validated treatment list of the American Psychological Association Task Force and endorsed by the American Red Cross, the FBI, and the International Critical Incident Stress Management Foundation. EMDR can also be implemented for all forms of trauma. It is currently one of the most researched treatment applications. EMDR is believed to prompt a physiological change on a neurological level. Daniel G. Amen, MD, stated that “Brain-imaging studies in the Amen Clinics have shown that EMDR can actually heal brain function after trauma.” Through current research it is believed that EMDR taps into the REM (rapid eye movement) sleep mechanism to integrate the traumatic material in the right side of the brain that has shut down due to the trauma with the left thinking side of the brain, allowing the brain to reprocess the traumatic event. The purpose of this article was to provide education to veterans and their families in the hope they will no longer suffer in silence and seek clinical treatment with an EMDR therapist. So I implored you to break down the walls of isolation and reach out because what you resist persist and what you look goes away. Deborah Obert Kapitko, MA, NCC, LCPC, EMDR Certified, is currently the only certified EMDR therapist in the area and is in private practice at Chapin & Russell Associates. She can be reached at 309681-5850. She is also a Tricare provider.
June 2011 — Peoria — Healthy Cells Magazine — Page 41
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