June Bloomington Healthy Cells 2012

BLOOMINGTON/NORMAL

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

June 2012

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HealthyCells

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M A G A Z I N E

Dr. Emil Verban, Jr., DDS

Implants, IV Sedation and a Whole Lot More

page 20

Stress and Fat Cells

pg. 12

Text Neck pg. 28 Do You Have a

Dr. Right?

pg. 34

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

JUNE This Month’s Cover Story:

Physical: Prevention is Better Than Cure

Implants, IV Sedation and a Whole Lot More

Nutritional: Cooking Up Greens: Spinach and Beyond Healthy Lifestyle: Stress and Fat Cells Bariatric Surgery: Proper Nutrition Starts Before Surgery Oral Health: Dental X-Rays—Harmful or Helpful?

Allergies and Asthma: Sneeze, Wheeze, and Itch…Oh My! Venous Ulcers: Warmer Weather May Bring More Wounds Spray Tanning: Frequently Asked Questions About That Golden Glow Weight Loss: Weighing In on the HCG Diet Immanuel Health Center: Serving Our Community Proper Posture: Text Neck—A Global Epidemic Core Needle Biopsy: A Less Invasive Approach in Diagnosing Breast Cancer Diabetes Management: Sugars, Sweeteners, and Syrups Healthy Feet: Injury Myths…Busted!

Women's Health: Do You Have a Dr. Right?

Prosthetics: Non-Surgical Options After Breast Surgery Concussion Management: Do Mouth Guards Prevent Concussion?

Healthy Babies: The Amazing Journey to Table Foods A Rite of Passage: Losing the Training Wheels Healthy Pets: Keep Your Aging Cat Feeling Young Flying Flowers: How to Create a Butterfly Garden Balance Disorders: A Common, Complex Problem

Volume 7, Issue 6

Dr. Emil Verban, Jr.

Emotional: ADHD Diagnosis — Getting It Right the First Time

page 20

Cover and feature story photos by élan Photography

6 8 10 12 14 15 16 18 19 24 26 28 30 31 32 34 36 38 40 42 44 46 48

2012

Dr. Emil Verban, Jr. and his staff. (L-R) Kristi Cole, Dental Assistant; Trish Kinkade, Dental Assistant; Jackie Huitt, Dental Assistant/ Registered Dental Hygienist; Hope Perry, Office Manager; Barbra Fogle and Megan Havens, Registered Dental Hygienists.

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.”

Cheryl Eash

E X PERIENCE T HE D IFFER ENC E WOUND CARE HEALS MIND, BODY, AND SPIRIT On any given sunny day, Dale Cupples of Piper City can be found throwing out a line at the lake. But in April of 2011, fishing was put on hold. Following surgery, Dale developed a chronic wound on his leg, making life difficult. The wound had become so severe; he began using a walker and eventually got to the point of not being able to walk at all.

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Dale was referred to the OSF Wound Care Clinic. After a combination of treatments and his own determination, Dale’s wound healed and he is walking again. “I had absolute confidence and trust in OSF,” he said. Dale is grateful to be spending sunny days fishing again.

If you have a non-healing wound, the OSF Wound Care Clinic may be right for you. Ask your primary physician to refer you, or for information, please call (309) 661-6230 or visit www.osfstjoseph.org.

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June 2012 — Bloomington — ­ Healthy Cells Magazine — Page 5

physical

Prevention is Better Than Cure

By Bhanu Vakkalanka M.D., Mid-Illinois Hematology & Oncology Associates

W

e all recognize the tough challenges we face in dealing with cancer. It has been about 40 years since President Nixon famously declared a “war on cancer.” More than 200 billion dollars has since been spent on cancer research by both public and private sectors. Despite our best efforts, the estimated reduction of cancer related mortality has only been about 5% between 1950 and 2005. This “war” is unlikely to be won anytime soon, mainly due to the inherently complex nature of the disease process and the lack of highly effective treatment options, particularly for advanced cancers. Most of our recent efforts to treat cancer have been focused on targeted drug development, precise radiation treatment delivery and more effective (and less invasive) surgery. Although clearly exciting, this approach has not resulted in a spectacular improvement in cancer outcomes.

Aiming for better treatments alone, without effective prevention strategies, will take us much longer to win the fight against cancer.

In this context, I would like to discuss the American Cancer Society’s 2012 annual report, “Cancer Prevention and Early Detection: Facts and Figures.” This report focuses mainly on discussing the proven risk factors for cancers: tobacco use, physical inactivity and obesity, and exposure to ultraviolet radiation.

Tobacco Use Of the 577,190 cancer related deaths expected this year, 173,200 deaths are caused by usage of tobacco. Tobacco use increases the risk of developing cancers of the lung, oral cavity, larynx, pharynx, Page 6 — Healthy Cells Magazine — Bloomington ­— June 2012

esophagus, stomach, colon, liver, kidney, pancreas, bladder, cervix and ovary. It is also known to cause acute myeloid leukemia. Even secondhand exposure to smoke is known to increase the risk of developing lung cancer. As per the report, there was a modest decline in the incidence of smoking in adult males between 2005 and 2010, but there was little change in adult women. The prevalence of heavy cigarette smoking had declined from 13% to 8%, but unfortunately, there was an increase in light smoking (defined as less than ten cigarettes/day). The tobacco industry increased its marketing expenditure for smokeless tobacco products by 120% between 2005 and 2008 while there was a 24% decline in marketing budget for cigarettes.

Physical inactivity, Poor nutrition and Obesity Physical inactivity and poor nutrition lead to obesity, all of which are major risk factors for cancer. One third of all cancer deaths could be attributed to these factors, reflecting their importance in cancer prevention. Recommendations are made for both individuals and to communities to minimize these risks.

Recommendations for individuals: • Maintenance of a healthy weight throughout one’s life • Adopting a physically active lifestyle • Consuming a healthy diet with a greater emphasis on plant products • Limited consumption of alcohol

Recommendations at the community level: • Promote the availability and consumption of healthy food and beverages • Encourage physical activity • Create safe communities with large scale marketing campaigns to increase awareness of the connection between lifestyle choices and cancer • Increase collaboration among government, private and non-profit organizations to develop research and intervention programs

• Color changes which are non-uniform • Diameter greater than 6 millimeters • Evolving in appearance

Ultraviolet Radiation Skin cancers are the most common type of cancers. Melanoma is the most lethal of all the skin cancers, mostly affecting fair skinned individuals and is expected to cause 9,180 deaths in 2012. The incidence of melanomas is on the rise in the United States, largely due to increased exposure to ultraviolet radiation, both from sun exposure and indoor tanning booths. Children and adolescents are an important target group for skin cancer prevention and school based intervention programs can effectively reach out to this population. Offering sunsafety information, providing shade for reduction of sun exposure and usage of sunscreens in this age group reduces the incidence of adult skin cancers. The perception that a tanned appearance looks more healthy and attractive causes the implementation of these preventive strategies to be ineffective.

Early detection of melanoma helps in reducing mortality from this aggressive cancer. Any mole-like growth that shows the following features (ABCDE rule) needs to be evaluated further by a dermatologist to exclude a melanoma: • Asymmetry (one half does not match the other) • Borders are irregular

Cancer Screening Screening is the testing of asymptomatic individuals for the presence of a disease. This strategy was found to reduce mortality from cancers of the breast, colon and the uterine cervix. Cancer that is found in the earliest stages is more likely to be curable. Ask your physician for a list of recommended screening tests and when you should have them or consult the American Cancer Society’s Website for more screening information.

Several national organizations have made recommendations for cancer prevention and various public, private and non-profit agencies are heavily involved in implementing them. An unwavering commitment, both at an individual and community level, to implement these proven strategies of cancer prevention will help us greatly in our fight against cancer. After all, there is some truth in the old adage that “an ounce of prevention is worth a pound of cure.”

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Minimizing exposure to solar UV radiation by regular application of sunscreen and wearing appropriate clothing along with recognition of the serious health risks of indoor tanning will significantly reduce the incidence of skin cancer.

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June 2012 — Bloomington — ­ Healthy Cells Magazine — Page 7

emotional

ADHD Diagnosis Getting It Right the First Time Submitted by Dr. Anjum Bashir

M

any parents of school aged children anticipate summer vacation with mixed feelings. There is the ideal vision of leisurely family time, children happily playing together, doing enriching activities and discovering the joy in outdoor play.

Then there is the reality of bickering children whining that “there’s nothing to do” and it’s only the first week of June. While all children do better with some structure to their days – even in the summer, this is doubly true for children with attention deficit hyperactivity disorder, also known as ADHD / ADD. Page 8 — Healthy Cells Magazine — Bloomington ­— June 2012

But what if you don’t know? Maybe your child seems overly active, tends to act impulsively, jumps from one activity to the next or has a hard time getting along with other children; don’t most children sometimes act impulsively, get side tracked, and argue with playmates? Maybe your child did okay in school, but his difficult behavior is causing problems at home; don’t most children behave differently around their parents than other adults?

Maybe your child will be starting Kindergarten in the fall and you are concerned about how his always-in-motion behavior will affect

his school performance; will he be able to sit still and concentrate for longer periods of time?

Parents should never hesitate to have their child evaluated if there are any concerns about the child’s behavior or development.

Difficulty at home or school might be due to ADHD/ ADD or it might not. But you need to know for sure and summer can be a good time to find out. Parents may have been considering this for some time, but the school year is so busy and they didn’t want their child missing a lot of school, so they put it off. Sometimes certain behaviors will be noticed more during the summer because it is less structured and parents may have more opportunity to observe it.

The National Institute of Mental Health estimates 3% to 5% of all children — more than 2 million American kids — have ADHD/ADD, with boys affected almost twice as often as girls. Even though Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common childhood disorders, it can be very difficult to diagnose and is often misdiagnosed. Inattention, hyperactivity, and impulsivity are the key behaviors of ADHD. But children mature at different rates and have different personalities, temperaments, and energy levels. Sometimes, these normal factors may be mistaken for ADHD. On the other hand, adults may think that children who are hyperactive or impulsive just have emotional or disciplinary problems. Parents and teachers can miss the fact that children with symptoms of inattention have the disorder because they are often quiet and not disruptive.

So how do you know? First of all, be sure to have your child evaluated by an experienced professional. It can be a good idea to get more than one opinion. ADHD is traditionally diagnosed by gathering information about the child and his or her behavior

and environment. If the child meets the criteria for ADHD, which includes having at least six symptoms for more than six months to a degree that is greater than other children of the same age, he or she will be diagnosed with the disorder. The problem with this method of diagnosis is that it is still very subjective.

A new technology is now available that can diagnose ADHD with greater certainty. The FDA has recently approved the Quotient ® ADHD System providing doctors and parents with objective measurement of hyperactivity, inattention and impulsivity for clinical assessment of ADHD. The test, which only takes about 15 minutes, involves the child sitting at a specially-designed computer workstation. The System uses a patented Motion Tracking System to measure an individual’s movement while focusing on visual stimuli and accurately measures motion and analyzes shifts in attention state.

The System then compares the results of the patient’s test to other individuals of age and gender matched groups. Results are calculated based on 19 or more parameters that combine to give greater than 90% accuracy in identifying ADHD. Results are available immediately allowing doctor and parents to move forward with treatment plans promptly. While there is no cure, proper diagnoses and treatment can eliminate or control many of the symptoms so that children with ADHD can be successful in school and in life.

For more information, please contact Anjum Bashir, MD at 309-808-2326. His office is located at 205 N. Williamsburg, Suite D in Bloomington. He is one of the few physicians in Central Illinois offering Quotient Testing for ADHD diagnosis. More information on Quotient testing, is available online at www.biobdx.com.

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nutritional

Cooking Up Greens:

Spinach and Beyond

By Nate Schober, Dietetic Intern and Mary Kay Holloway RD, CSO, LDN, Community Cancer Center

G

oing green isn’t just great for the environment; it’s great for your health as well. The going green I’m talking about is eating green leafy vegetables. Cooking and eating leafy green vegetables can be fun and tasty. Greens are packed full of nutrients that will help you meet your health goals and fight many chronic diseases including certain cancers all at the same time. With a little practice and experimentation you may want to have greens at every meal.

According to www.freedictionary.com, a leafy green is “any of the various leafy plants whose leaves and stems are eaten as a vegetable.” Many people generally think of spinach as the main leafy green vegetable. However, there are many other green leafy vegetables to choose from that can be a tasty addition to any meal. Some examples of these are: kale, collard greens, bok choy, fennel, sorrel, brussel sprouts, and the classic broccoli. Adding these green veggies to your plate can positively affect your health. Green leafy vegetables are full of nutrients including: B vitamins, vitamins C, E, K, magnesium, iron, calcium, fiber, more than 6 major phytochemicals or plant chemicals, omega-3 fat acids, and other antioxidants. While they are nutrient dense, they are also low in fat, calories and contain no cholesterol.

When it comes to cancer prevention, recent research suggests the plant nutrients discussed above may help to prevent breast, prostate, colon, kidney, skin, stomach, pancreatic, and lung cancers. These nutrients may also be beneficial in prevention of other chronic health conditions such as heart disease, osteoporosis, and anemia. Green leafy veggies help promote healthy eyes, skin, reduce inflammation in the body, help detoxify the body, and have many other benefits. It is easy to see with all these health benefits why you would want to eat your greens.

There are many ways to prepare green leafy veggies. By experimenting with various greens and different types of preparation you may come to love these flavorful nutritional powerhouses. Recipes can be found online by searching the type of green leafy veggies that you want to try. Green leafy veggies can be prepared as part of the main dish such as in a stir-fry meal with bokchoy or a side dish paired with chicken or another meat. Greens can also be added to a favorite recipe to add more flavor, color and nutrients such as adding kale to your favorite soup or spinach to lasagna. Don’t be afraid to explore new ways to eat and enjoy them. To make them as a side dish simply cut them into bite size pieces, sauté onions and garlic in olive oil then add the green leafy vegetables and let simmer in a few tablespoons of water or broth until bright green and tender which takes about 6-10 minutes.

Just like going green for the environment helps to keep the earth healthy, eating green vegetables can help keep the body healthy.

Exploring new vegetables that you might not be familiar with and new ways of preparing them may take some effort in the beginning. However, with all the health benefits they offer and the taste and satisfaction they can add to your meal it is an effort worth putting forward.

Start with trying one of the suggestions in this article and then find recipes on your own to add these green nutrition powerhouses into your life.

Page 10 — Healthy Cells Magazine — Bloomington ­— June 2012

Spicy Vegetable Lo Mein

Tomato Vegetable Soup

Ingredients 2 tsp olive oil 2 garlic cloves, crushed or chopped ½ cup onion, chopped 1-2 8 oz can of canned tomatoes 3 cups chicken broth or water 1 small can tomato paste 1 tsp chili powder 1 tbsp Dijon Mustard 1 tsp basil and oregano ½ tsp cumin and pepper 2 cans white beans 2 medium zucchini, chopped 3 carrots, chopped 6 cups chopped, trimmed kale Directions Heat oil and sauté onion. Add garlic, carrots, zucchini, and sauté a few more minutes. Add tomatoes and the rest of the ingredients.

Bring to a boil, cover. Reduce heat and simmer for 10 minutes or until thoroughly heated through and carrots are tender.

Ingredients 8 oz soba noodles 2 tsp hot chili oil 2 tsp ginger root, grated 2 cloves garlic, minced 3 ½ oz shiitake mushroom caps, thinly sliced 1 medium red bell pepper, short thin strips 2 cups bokchoy, chopped ½ cup vegetable broth 6 oz sugar snap peas 2 tbsp soy sauce 2 tbsp seasoned or regular rice vinegar 1 tbsp sesame oil ¼ cup chopped peanuts (optional) Directions Prepare and chop all vegetables. Cook noodles according to package directions. Meanwhile, heat oil in a large deep skillet or wok over medium heat. Add ginger and garlic; cook 30 seconds. Add mushrooms, bell pepper and bokchoy; cook 3 minutes, stirring occasionally.

Add broth and sugar snap peas; simmer until vegetables are crisptender, stirring occasionally, 3-5 minutes. Add soy sauce and vinegar.

Drain noodles and add to skillet with vegetables. Add sesame oil; cook 1 minute. Toss well, sprinkle with peanuts (if desired).

For more recipes you can go to www.cancercenter.org and follow the nutrition links and for more information you can call the Community Cancer Center at 309-451-8500.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 11

healthy lifestyle

Stress and

Fat Cells

By JJ Krupka, Owner/Coach, CrossFit Bloomington-Normal

M

ost people know that an exercise program and a healthy diet are two huge components of any successful weight loss program. However, there is a third component that is fundamental to successfully implementing the first two. Unfortunately, people rarely take into account this third aspect to successful weight loss.

Consider the following: • P eople are typically fully enthusiastic to start a new exercise program because they understand its importance.

• People understand the importance of diet, yet they are much less inclined to make wholesale diet overhauls. This is due, in part, to their emotional attachment to some foods as well as confusion about what a “healthy diet” really is.

• People will rarely make lifestyle changes to decrease stress and increase their quality and quantity of sleep. This is the opposite of what people need to do; not only for weight loss, but for long term changes to one’s physical health.

Managing stress — whether from family, work, kids, neighbors, money, sleep issues, alcohol/drugs, you name it — is the most important aspect of long term weight loss and health. Why? Let’s take a brief look at what chronically elevated stress levels will do to your body and why managing stress (and its associated hormone, cortisol) is so important in kick starting weight loss and maintaining those gains for the long haul.

The first relationship is between the stress hormone, cortisol, and the body’s storage hormone, insulin. Insulin is secreted in the presence of all carbohydrates and some proteins. When food is broken down into materials the body can use, insulin is responsible for putting those nutrients into the right places. It is absolutely necessary for survival. However, chronically elevated insulin will cause the body to go haywire. It tells the body to constantly store things (usually in fat cells) and not to mobilize them for energy usage.

Stress, cortisol and insulin regrettably have a close relationship.

Chronically high insulin causes stress on the body, high stress causes increased insulin resistance. Too much insulin for too long means the body becomes inefficient at filling and emptying the cells. In simple terms, too much stress for too long makes your body a storage machine…and the preferred storage area? Fat cells!! The deadly American cocktail of a high carbohydrate diet and a high stress life turns the body into a fat storing machine.

Next, we have cortisol and its relationship to our metabolism.

The pituitary gland/thyroid is responsible for regulating the body’s Page 12 — Healthy Cells Magazine — Bloomington ­— June 2012

metabolism. It tells the muscles how much energy they should use. The over prevalence of cortisol slows down thyroid signaling and T3 conversion, both of which serve to slow down our metabolism. The symptoms can begin to show after a single night of interrupted sleep. If you extend the high levels of cortisol out over years, we have a recipe for metabolism destruction.

So far, a stressful life has made us into a fat storing machine with a poor metabolism…nice.

The final part of the equation has to do with our brains interaction with cortisol. The prefrontal area of the brain is responsible for high level cognitive function. Personality, decision making, and social behavior originate here. It also governs the lower levels of the brain, like the amygdala, which is responsible for emotional activity.

High levels of cortisol act to suppress the activity in the prefrontal cortex, making us less apt for logic and reason, while freeing the primitive amygdala to unleash our emotional center. Ever choke on a stressful test, get mad at someone when you normally wouldn’t, or eat all that pizza three days into your diet? That was probably stress helping to make you illogical and emotional.

Stress and cortisol act to undermine us physically, hormonally, emotionally, and mentally. It makes us better at storing fat, worse at burning it, and disrupts our logical control over our emotions, thus increasing the likelihood of bad decisions and binges. While smart exercise and clean diet are important in winning the battle of the bulge, stress management must not be overlooked. Its negative effect on long term health and body composition should make it a top priority. Anyone who’s tried to lower their level of stress knows that it isn’t easy. Sleep and stress are directly related. Not enough, or poor quality sleep can drastically increase your body’s

cortisol level, so getting 7-9 hours of deep, restful sleep is a the easiest way to start combating stress.

For more information on healthy lifestyle or Crossfit Training, you may email JJ Krupka at info@crossfitbloomingtonnormal.com or call 309-662-5678. They are located at 401 Bronco Drive in Bloomington.

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bariatric surgery

Proper Nutrition Starts

Before Surgery Submitted by Advocate BroMenn Medical Center

P

eople who choose to have weight-loss surgery are making a commitment to a lifestyle change that begins months before their procedure and continues through the rest of their lives. These patients must be ready and willing to adjust to lifestyle changes in diet and exercise, which includes working with a registered dietitian, who assesses the patient's motivation to make dietary changes, provides nutrition education, and works with the patient to develop an individual nutrition plan before the surgery.

“We understand this is a life-changing decision for our patients, and we are here to help guide them through the process to a healthier, happier life,” said Angela Malinowski, RD, LDN, lead clinical dietitian at Advocate BroMenn Medical Center.

In Malinowski’s role, that involves going over patients’ history and deciding what each patient’s strengths and weaknesses are at their first visits.

If you or loved one is thinking about weight-loss surgery, here are some of the diet and nutrition issues you’ll face.

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(309) 663-6461 Page 14 — Healthy Cells Magazine — Bloomington ­— June 2012

Adopt the plate method.

The goal of the plate method is to teach patients how to balance their plate and get adequate nutrition. This means that half of their plate should contain non-starchy vegetables; the other half is split between starchy veggies or carbohydrates (corn, potatoes, rice and pasta) and protein (meat, fish and beans).

Conquer mindless eating.

Many patients struggle in this area. To begin to turn it around, Malinowski said she encourages patients to eliminate distractions, such as watching TV, while they’re eating as well as creating a specific place to eat, such as the dining room or kitchen.

Take time to eat.

Many patients struggle with eating slowly. They need to focus on chewing food thoroughly and slowly. Cutting food into very small pieces can help. One of the challenges after surgery is eating too fast, which will cause many patients to get sick.

Eliminate caffeine.

Patients can’t have caffeine because it’s a diuretic, which means it increases the amount of urine they need to get rid of. While giving up soda is a challenge for some patients, it’s necessary because soda will cause gas to get trapped in their new pouch after surgery.

Learn to dine out successfully.

Dining out is always an obstacle for patients, before and after surgery, but it can be done successfully with careful planning. “We try to do a segment in our support group on dining out to give clients support when choosing food to eat,” Malinowski said. “I also focus on it in our one-on-one sessions.”

Get your vitamins.

Vitamin deficiencies are common both before and after surgery.

“We have our patients complete regular lab draws to ensure their vitamins and minerals are at the proper levels,” Malinowski said.

“Some symptoms that are caused from vitamin and mineral deficiencies can be irreversible if they aren’t dealt with immediately and one of the biggest obstacles that patients face is the danger of reverting back to old behaviors,” Malinowski said.

“Our clients get all their nutrition information in a book that goes home with them so they always have a resource in hand,” she said, “and they can get a hold of me to answer any questions that they have.”

Advocate BroMenn Medical Center partners with Memorial Bariatric Services to provide safe and effective surgical options for clinically severe obesity. To learn more about bariatric surgery options, you can take an online orientation at www.MemorialBariatricServices.com by clicking on the link titled “online orientation” on the right. For more information, call (toll-free) 1-866-205-7915.

oral health

Dental X-Rays: Harmful or Helpful?

By Daniel Jacobsen, DMD, Prairie Dental Associates

A

recent article in Cancer links dental X-rays to the occurrence of the most common type of brain tumor. The article determined that patients who received frequent dental X-rays were more likely to develop a meningioma, a predominantly noncancerous tumor. The results sound scary, but the study must be analyzed a little further before making any rash judgments.

Before analyzing the study, we must examine the big picture of human radiation exposure. Everyone is exposed to radiation at all times. The largest source of yearly radiation exposure comes from naturally occurring radon, which accounts for over 50% of human exposure. The next chunk of exposure comes from natural radiation from the earth and its atmosphere. These sources account for approximately 16% of our yearly exposure, or more if you spend a lot of time at high altitude (i.e. living in Denver, frequent airplane flights).

So where do dental X-rays fit in? They account for a whopping 0.3% of average annual radiation exposure. It’s such a negligible amount that it is often excluded from annual exposure calculations. To put things into context, a person living at average altitude who received 14 full mouth series X-rays (280 total X-rays) in one year would receive the same radiation exposure as a person living in Denver who received no dental X-rays. Needless to say there is not a dentist around who recommends 280 X-rays in one year.

Most patients get one set of bitewings (4 X-rays) in a year, with a full mouth series or panoramic image once every 5 years.* Now that we have established some knowledge of radiation exposure, let’s look at the study. It involved interviewing almost 1500 people who had been diagnosed with meningiomas and another 1500 people without meningiomas. The interviews involved questions about health history, family medical history, and history of dental X-rays. The answers to these questions were the main data for the study, which is the first flaw. The data was a result of human recollection, which is one of the least reliable forms of data.

How many people remember the number and frequency of bitewings, panoramic, and full mouth series X-rays they have received over the course of a lifetime? How many people even know what those types of X-rays are? Needless to say there is a certain margin of error for the reporting of data from the patients in the study.

Another factor to consider: some of these patients were recalling X-rays from decades ago. Is dental x-ray exposure the same now as it was 40 or 50 years ago? No. With the development of digital imaging, radiation exposure has decreased significantly using today’s methods. Patients receiving digital X-rays are exposed to nearly 90% less radiation than those receiving traditional dental X-rays. Also, the x-ray beams have become more focused on the teeth because of a feature on X-ray tube heads called collimators.

This collimation reduces the radiation exposure to head and neck structures that should not be exposed.

The bottom line is that the benefits of regular dental X-rays outweigh the risks of such a minute amount of radiation exposure.

X-rays are necessary to see certain areas of decay or disease in the oral cavity that cannot be seen with the naked eye. Dentists have and will continue to appropriately prescribe X-rays to help achieve/maintain a healthy mouth and body.

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. Prairie Dental Associates utilizes digital X-rays as well as lead aprons with thyroid collars to minimize radiation exposure. *Source: Oral Radiology, 5th edition

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 15

allergies and asthma

Sneeze, Wheeze, and Itch... Oh My!

By Dana Dalbak, PA-C, Sneeze, Wheeze and Itch Associates, LLC

I

magine life without these symptoms! If you are one of the many individuals affected by allergies or asthma, you know too well how allergy or asthma symptoms can turn an enjoyable day into a day of “just getting by.” Perhaps activities are modified to avoid shortness of breath. Conversation is made difficult by nasal congestion and runny nose. Small chores become big ones when plagued by sinus headaches. Sleep is disrupted by cough or itch. Skin is kept covered in the summer due to eczema.

Because these symptoms may be chronic, patients become accustomed to adjustments in their lifestyle, either forgetting what a good day feels like or believing symptoms are just to be tolerated. On the contrary, there are many effective treatments for allergy and asthma sufferers. Treatments currently in use are both very effective and very well-tolerated. They include medications, immunotherapy, identification of triggers, avoidance measures, and skin care.

What type of patients does an allergist see? An allergist is a pediatrician or internist with two to three years of additional training to manage allergies, asthma, and immunodeficiencies. Patients of all ages are seen. Typical conditions and their symptoms include:

Allergic Rhinitis – nasal congestion, sneezing, nasal itching, runny nose, post-nasal drip Asthma – cough, chest tightness, difficulty with exertion, wheeze Anaphylaxis – flushing, hives, itching, swelling, low blood pressure, stomach upset, or difficulty breathing Angioedema – swelling, locale may vary Food Allergy – broad range of symptoms from itching and swelling of the lips and tongue to vomiting, diarrhea, hives, throat swelling, and anaphylaxis Drug Allergy – symptoms range from rash to anaphylaxis Insect Venom Allergy – can result in anaphylaxis Hives – itchy, raised bumps on the skin, usually white and surrounded by bright pink flare Eczema (atopic dermatitis) – itchy rash may be caused by food allergy in children Contact Dermatitis (skin allergy) – itching or rash Allergic Conjunctivitis (eye allergy) – swelling, watering, itching, redness of the eyes Eosinophilic Esophagitis – trouble swallowing when eating, heartburn, stomach upset Chronic cough – can have many causes Frequent respiratory infections – may involve the upper or lower airway Chronic Sinusitis – sinus pressure, headaches, throat drainage Immunodeficiency – frequent infections or severe infections, often respiratory infections Frequent infections can be an indicator of a more severe problem called immunodeficiency. Immunodeficiency happens when your body lacks the ability to produce adequate antibodies which attach to germs Page 16 — Healthy Cells Magazine — Bloomington ­— June 2012

and destroy them. Signs that a patient may have an immunodeficiency disorder include: • More than four courses of antibiotics per year in children, or more than two per year in adults.

• More than four new ear infections in one year after four years of age • Pneumonia twice over any time period • More than three episodes of bacterial sinusitis in one year, or chronic sinusitis • Need for preventive antibiotics to decrease the number of infections • Common infections become unusually severe Patients with the above conditions should consult with an allergist/ immunologist to determine if immunodeficiency is contributing to their infections.

Seeing an allergist is especially important if: • You sometimes struggle to catch your breath or feel chest tightness • Your allergies are causing sinus infections or chronic symptoms • Antihistamines and over-the-counter medications do not control your symptoms or cause side effects • You wheeze or cough, especially at night or after exercise • You have reactions to foods, medications, or stinging insects • You continue to have asthma symptoms despite treatment with asthma medication • Your symptoms interfere with your day-to-day activities There is no need to suffer any longer. A physician practice that specializes in allergy, asthma, and immunology can work together to uncover the source of each patient’s particular symptoms and can tailor an effective treatment plan accordingly. Special emphasis should be placed on patient education so that questions about the root cause of symptoms can be addressed. Our goal is to arm each patient with the information and tools they need to gain control over their symptoms and live each day to the fullest.

Contact Sneeze, Wheeze & Itch Associates at 309-452-0995 to schedule an appointment today. Dr. Anjuli Nayak began caring for allergy, asthma, and immunodeficiency patients in Central Illinois in 1987. Her practice has expanded to include allergist Dr. Margaret Lowery, board certified in allergy/immunology and in pediatrics; and physician assistant Dana Dalbak, who received her masters degree in physician assistant studies from Central Michigan University and has specific interests in urticaria, sinusitis, and asthma education.

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venous ulcers

Warmer Weather May Bring More Wounds

By Jamie Peel, OSF St. Joseph Medical Center

D

uring the warm summer months, certain wounds are more likely to occur. One of those wounds is a venous stasis ulcer. According to the Cleveland Clinic, venous ulcers affect nearly 600,000 people in the United States every year.

Venous stasis ulcers develop on the lower leg, and according to the Wound, Ostomy and Continence Nurses Society™, 70 to 90 percent of lower leg ulcers are venous stasis. Although they are not fatal, they limit people’s mobility, affect their self-image, and ultimately affect the quality of life. Health care professionals want people to be aware of the signs and symptoms because most venous ulcers are left untreated.

Signs and Symptoms Venous ulcers are found below the knee and above the ankle, typically on the inner leg. They can affect just one leg or both.

The area begins with increased swelling, becomes a blister, then opens and develops into ulcers. These ulcers are red in color and

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usually have a moist yellow cover. The skin surrounding the ulcer may appear red, brown, or purple, and is usually moist with scales or flakes. Pain is not usually associated with this type of ulcer.

Venous stasis ulcers tend to drain fluid, soaking people’s socks and causing the skin to itch. The warm summer months increase these ulcers because people tend to swell more in the heat. The reason these types of ulcers go untreated for so long is because they start very small. The longer they are present, the longer time they have to spread and increase the risk of infection.

Causes Venous stasis ulcers have several causes, although like most wounds, anyone can develop them. People with a history of varicose veins, blood clots, or have a past of developing ulcers are more likely to develop venous ulcers. Some other possible causes include: • Kidney disease • Infections • High blood pressure • Congestive heart failure • Circulatory disease • Obesity • History of trauma to a leg (i.e. a broken bone) • Muscle weakness • Age • A job that involves sitting or standing for long periods of time Treatment People who have venous stasis ulcers need to seek medical attention from their primary care physician. The physician may refer them to a physician who specializes in wound care. After running several tests and depending on the severity of the ulcer, the physician will use an appropriate dressing and compression system to help heal the wound. The key to recovery is to keep the ulcer dry to prevent further spreading or infection.

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Phone: (309) 662-0088 Fa x : ( 3 0 9 ) 6 6 2 - 0 0 8 9 Page 18 — Healthy Cells Magazine — Bloomington ­— June 2012

Prevention Although it can be difficult to prevent venous stasis ulcers, people can take steps to reduce their risk. It’s important to remember the basics of maintaining a healthy lifestyle. People should not smoke, reduce their sodium intake, eat a well-balanced diet, exercise regularly, and maintain a healthy weight and blood pressure.

Avoid prolonged sitting with your legs down or standing without walking around. Keep cool and put your feet up when possible.

Patients sometimes feel the ulcer is not severe enough to seek medical attention. The reality is, the sooner they seek medical attention from their primary physician, the better their outcomes will be.

For more information on venous stasis ulcers or other wounds, contact the OSF Wound Care Clinic by calling 309-661-6230 or visit www.osfstjoseph.org.

spray tanning

Frequently Asked

Questions About That Golden Glow

By Karen Sutcliffe, Licensed Esthetician, KSkin Spa

S

pray tanning has become a very popular way to get that golden glow without the risk of sun damage to your skin.

It gives excellent results in about 10 minutes. If you have wondered about spray tanning, following are answers to the most asked questions about spray tans.

How long does a spray tan last?

It varies depending on how exfoliated you are before the tan.

On most people it will last around a week or so. Exfoliate before the spray tan and moisturize after each shower the following week to help your tan last as long as possible. Pools can shorten a spray tan as well as over exfoliating while the spray tan is on.

Is the solution safe?

All spray tan solutions use DHA which is derived from sugar and is FDA approved.

Will I turn orange?

There are a few reasons a person could turn orange. One is a low quality solution, another is if you are very pale and try to go too dark. Try to stay in the same color range as you would with a normal tan. And there is a very small percentage of people that have very alkaline skin that doesn't take tan solution well.

For more information or to set up an appointment, you may contact Karen Sutcliffe, Licensed Esthetician, at KSkin Spa, 309242-1899, located at 1234 E Empire St. in Bloomington. Check www.kskinspa.com for spray tan specials.

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Does a spray tan protect me from the sun?

NO! Spray tans do not include any sunscreen. You’ll still need to apply a sun screen when outside.

How long does the solution need to stay on?

When you are sprayed, a bronzer and the tan solution are normally sprayed together. It takes from two to eight hours for the DHA to develop the tan, depending on the particular solution. Then when you shower, the bronzer rinses off, leaving the tan underneath.

What do I wear while being sprayed?

An old bathing suit, old bra and underwear can be worn and I also have disposable bras and underwear.

Spray tanning is a great way to enjoy the look of summer skin.

If you are wanting a spray tan before a big event, be sure to try it out beforehand to gauge the color.

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feature story

Dr. Emil Verban, Jr.

Implants, IV Sedation and a Whole Lot More

By Linda Hankemeier

F

rom fillings to a full mouth makeover, Dr. Verban can do it. As a nationally recognized leader, lecturer and educator in implant and restorative dentistry, it would be easy for Dr. Emil Verban, Jr., to simply focus his practice on these specialized services. However, he believes offering high quality comprehensive general dental care and procedures to a wide variety of patients is part of his service back to his home community.

According to the American Dental Association, the vast majority of the 164,000 dentists practicing today in the U.S. are classified as general practitioners. The remaining 20 percent are classified as dental specialists offering services in one of nine ADA recognized dental specialists.

But, Dr. Verban’s education, training and experience provide his patients the best of both worlds – general dentistry expertise coupled with the ability to provide specialized services such as dental implants, intravenous sedation, wisdom teeth extraction, root canal procedures and much more. This blend of general and specialized dental care benefits patients through continuity of care, convenience, and control of costs.

For example, a dentist without specialized training may encounter a patient who would benefit from a dental implant. So, the dentist refers the patient to a different dental provider for the implant. No matter how effective both practices are, anytime a patient has to be seen by multiple caregivers, there is always potential for additional expenses, multiple offices to visit, and the possibility of miscommunication about the patient’s dental care.

“We provide all these services through our practice because we believe it’s the best way to help our patients,” shares Dr. Verban. Due to the variety of services he’s able to provide, he can provide patients all Page 20 — Healthy Cells Magazine — Bloomington ­— June 2012

the services they need rather than referring them to other dental providers which eliminates duplicate costs to the patient, providing greater convenience, and ensuring continuity of dental care.

Specialized services also benefit other dentists’ patients Some of Dr. Verban’s patients are actually referrals from other local dentists who know their patients need the specialized services he offers.

One area in which Dr. Verban receives many referrals is intravenous (IV) sedation as a part of a dental procedure. Sometimes, a patient is not able to be “numbed” properly for a dental procedure to be completed. Other times, a patient just has a general fear of dental procedures, typically from a previous procedure that possibly created pain or discomfort. Dr. Verban’s advance training and certification in IV sedation allows him to help patients who otherwise are not able to be fully sedated for their dental procedures, creating a pain-free solution for the patient’s dental issue.

And, of course, Dr. Verban is also able to help other dentists’ patients through his expertise in dental implants. According to Dr. Verban less than 10% of general dentists in the U.S. both place and restore dental implants. For years, this was a highly specialized area of dental practice. However, implants are now becoming a part of mainstream dentistry.

Dr. Verban’s deep experience in this area of specialized dentistry has benefited many patients and other dentists alike. Dr. Verban teaches classes to other dentists on implants, is available for consultations with dentists to provide hands-on personalized education, has published many articles on various topics, and served on the Editorial Board for the Journal of Implant and Advanced Clinical Dentistry.

Dr. Verban’s extensive experience in this specialized area has also resulted in innovations to implant equipment. To insert an implant, a dentist uses a drill to surgically place a small titanium

Specialized Dental Services All In One Place Dr. Verban and McLean County Dental provide a wide variety of dental services and procedures for patients throughout life: • Athletic mouthguards • Composite fillings • Conscious sedation • Crowns • Dental Implants • Dentures/partial dentures • Endodontic therapy • Hygiene/Periodontal health • Teeth whitening • Wisdom teeth treatment

post into the bone socket of the missing tooth. The artificial tooth or teeth is then placed on the implanted post. After years of placing implant posts, Dr. Verban designed and patented a specialized drill bit which allows a dentist greater accuracy in placing dental implants resulting in greater comfort and safety for the patient.

Whether providing general dental services, advanced procedures such as implants, or even designing specialized tools, Dr. Verban continues to be focused on the health, safety and comfort of his patients.

And, he’s used his expertise to greatly improve many patient's quality of life.

“I can eat carrots and celery!”

After “living a total nightmare for 11 years,” Loretta finally visited Dr. Verban in 2011. Being the recipient of “bad genes when it comes to teeth”, she had suffered through sores and pain caused by false teeth that, after many attempts, couldn’t be adjusted to fit her properly. For all those years, she ate a diet almost completely of soft foods that didn’t cause her false teeth to push painfully against her gums. Anything that required hard chewing – carrots, lettuce, celery and the like – was just too much to bear.

After finding herself at the end of her rope, Loretta went online and started researching other options for her teeth to see if she could resume a normal life without pain.

She found information about Dr. Verban and his work with implants and finally made an appointment.

After a consultation, a CT scan and panoramic X-rays, Dr. Verban gave Loretta the good news… she was a candidate for dental implants! “Inside, I was almost June 2012 — Bloomington ­— Healthy Cells Magazine — Page 21

feature story

continued No fooling with false teeth Gus, another successful recipient of Dr. Verban’s dental implant work, has come to Dr. Verban for dental care since 1994 after his former dentist retired. Now 95 years of age, Gus has had 11 implants placed by Dr. Verban in the last 14 years.

When Gus realized around age 81 it was time to replace teeth, he didn’t even consider false teeth. “I didn’t want to have to fool with false teeth. The implants are great. They’re natural. I just brush them and don’t have to pay attention,” he stated. And after 14 years, he says he hasn’t had any problems.

To properly maintain dental implants, patients should continue every six month dental check-ups at which time the implants are professionally cleaned and any necessary maintenance completed.

Gus shared that sometimes he might forget to call to schedule his six month check up. But, just like clockwork, a member of Dr. Verban’s team typically calls him and reminds him that it’s time to visit. “They take good care of me here,” Gus shares with a grin.

The need to replace teeth doesn’t only occur for those who are “more experienced” in life. Dr. Verban has encountered younger patients with genetic disorders, accidents and other challenges who have benefitted from implants. Next month, Healthy Cells will share the story of two of Dr. Verban’s patients in their 40s afflicted by a rare dental condition who received dental implants after spending their lives without a full set of teeth.

Whether providing general dental services, advanced procedures such as implants, or even designing specialized tools, Dr. Verban continues to be focused on the health, safety and comfort of his patients. And, he’s used his expertise to greatly improve many patients quality of life.

For more information about Dr. Emil Verban, Jr. and his practice, McLean County Dental, visit www.mcleancountydental.com or contact his office at 309-662-8448. His practice is located at 2103 E. Washington Street, Bloomington.

Local Dentist Keeps Relationships with Far-Away Patients crying,” Loretta shared with a smile across her face, recalling her joy at knowing her nightmare of constant rubbing on her gums was coming to an end. After the good news, Dr. Verban provided her all the necessary information including options and then allowed her to go home and decide which steps were best for her. After making decisions, she proceeded to have Dr. Verban place her implants in October 2011. In Loretta’s case, Dr. Verban placed five implants and the same day Loretta had a temporary denture fixed to her implants. Restricted to a soft diet for six weeks Loretta no longer suffered with sore spots from her old denture, her final hybird denture was placed in March 2012.

“I couldn’t wait until my procedures were done, and had carrots and celery in the refrigerator waiting for me when I got home,” Loretta exclaimed. She said the implant procedures weren’t even painful – just more general discomfort that might come after any dental procedure. She said the overall experience has been fabulous and she feels normal again.

Page 22 — Healthy Cells Magazine — Bloomington ­— June 2012

Maintaining a relationship with patients throughout their lifetime is a priority for Dr. Verban and his staff at McLean County Dental. While most of Dr. Verban’s patients reside in the area, many live in other towns. Some even live in other states or even other countries but still visit Dr. Verban for their dental care.

Hope Perry, Office Manager at McLean County Dental, beams as she shares story after story of patients who have moved away but keep Dr. Verban as their dentist.

“Marvin has lived in McLean County for years and has Dr. Verban as his dentist” shares Perry. “He moved to California, but returns to the area twice a year to visit family. Before he comes to town, he calls our office and schedules his dental visit.”

Other patients Perry mentioned are currently abroad – one in Japan and the other in Switzerland. Both call ahead when they know they’ll be back in the area and make their dental appointments with their lifelong dentist, Dr. Verban.

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weight loss

Weighing In on the HCG Diet

By Dr. Tom Rohde, Renew Total Body Wellness Center

F

ad diets seem to come and go, but no diet of late has had as much controversy surrounding it than the HCG diet. It has been heralded as a lifesaver for those unable to lose weight and as a sham by the FDA. Let’s explore this a bit and wade through the hyperbole.

In brief, the diet combines drops or injections of HCG, a pregnancy hormone, with just 500 calories a day. It was developed by Dr. Simeon in Italy over 40 years time and he has written a manuscript about his diet for both physicians and patients to read. It is available online at: www.trimhcg.com/pdfs/Dr._Simeons_Manuscript.pdf, and I encourage anyone considering weight loss options to carefully read the entire manuscript to understand it and the Page 24 — Healthy Cells Magazine — Bloomington ­— June 2012

importance of strict adherence to a monotonous but vital 500 calories per day.

The basic theory of the HCG diet is to help you lose weight and then maintain it long term by “resetting” a part of your brain involved in fat metabolism. A primitive part of the brain, the diencephalon, is in charge of automatic functions like breathing, heartbeat, digestion, blood sugar levels, and interplay of all the hormone glands. Damage to this area in animals causes an increase in the appetite and can lead to a diabetes-like condition. Since this area is in charge of fat storage as well, Dr. Simeon postulated that in some individuals the area becomes a long term storage center and prevents loss of stored weight – more like a safety deposit box than a traditional

savings account – hard to make withdrawals. You lose some weight and it comes right back when you relax your efforts.

Further, HCG theoretically allows the diencephalon to “reset” its balance point for stored weight and so the weight will generally not be regained if the long term diet remains reasonable with carbohydrate intake. Skeptics say that anyone will lose weight on a 500 calorie diet – and they are correct. But the goal of any diet should be maintenance of lost weight, which is the hardest part. If HCG could “reset” the fat storage bank to a healthy savings account then we should be able to have normal weight balance going forward – and that would be an ideal goal for long-term health!

The protocol is for use of genuine prescription strength HCG to achieve and maintain the desired outcome. The FDA recently banned homeopathic forms of HCG drops sold in stores. The homeopathic HCG did not work as intended and there is no scientific data to prove that it does. People lost weight with the 500 calorie diet as predicted, but the homeopathic drops didn’t provide any long-term change so the weight came back – like any other diet. Homeopathy is based on using dilute solutions to BALANCE bodily functions, but their low dilutions have almost NO ACTIVE HCG in them – so they couldn’t work as suggested. Buying HCG on the Internet is also dangerous! You don’t know what’s in the vial or where it is made. If it’s not HCG or is a dilution, or worse is contaminated, you’ll still lose weight with the 500 calorie diet – but it can’t grant you long term success and could even cause side effects or toxicities. Some forms imported from China have been contaminated with Mercury and other toxins! I would NEVER eat food or use supplements from China as pollution and contamination is a real problem.

So, what to do? There is no scientific proof that HCG works beyond the success of a 500 calorie diet and lots of controversy!

Most people lose weight with calorie restriction and exercise, especially after their hormones are tested and balanced, gut function is restored to normal, liver detoxification maximized, and toxins stored in the body evaluated and removed. However, my clinical experience shows that there are some morbidly obese patients that struggle to lose and maintain despite all these measures. I have witnessed success with a small number of very obese patients who couldn’t lose weight with other more traditional options. They did lose with the HCG diet following the protocol explicitly under my supervision. The average loss was just a bit over one pound per day, and I have seen no side effects except for hunger. Is this for widespread use? ABSOLUTELY NOT! I wouldn’t consider this for anyone with less than 75 pounds to lose as traditional dietary change and exercise can handily accomplish that. HCG should be reserved for those who just can’t succeed and want an alternative to a surgical approach like Lap Band or Bypass surgery, which have their own set of risks and complications, especially long-term.

Read the manuscript, think about your options, then make an informed decision. Most importantly, seek out a physician who can guide you through the appropriate evaluations to maximize your body metabolically to help you lose weight with more traditional methods. If this does not bring success, then work with a physician personally, NOT via the Internet, following the HCG protocol to the letter. It can make a difference in select patient’s lives.

For more information or to schedule a consultation, please call 217-864-2700 or www.DrRohde.com.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 25

immanuel health center

Serving Our Community

By Becky Wiese

A

s a physician in private practice, Dr. Trina Scott found her expertise in medicine did not always address or solve all the issues her patients faced. For example, a patient might come in showing signs of high blood pressure—a condition that can be treated medically. But a prescription didn’t do anything to decrease the various stress factors in her patient’s life that added to the problem. “I couldn’t solve the problem of helping patients pay their rent or buy groceries for their children,” she says. “I couldn’t give them hope when they’d lost their job or if factors in their life just seemed to be out of control.” Soon after, at a Christian physicians conference, she heard about a model especially helpful for those living in poverty or with poor access to health care.

Immanuel Health Center began as the result of Dr. Scott’s desire to serve the medically underserved population of Bloomington-Normal by providing not only primary medical care, but also Christ-centered spiritual care and behavioral and social health resources for issues patients face. This wholistic model of treating patients allows for more complete healing and encourages positive life choices which will continue to improve the health and wellbeing of individuals, families, and the community.

Predominantly considered an economically stable and relatively affluent white-collar community, Bloomington-Normal has a surprising deficit in terms of primary health care availability for a significant portion of the population. Barriers to health care include low income, limited English proficiency, lack of insurance, lack of employment, lack of education, and increased use of rental housing. Access to medical care is a problem for many in our community, particularly for those who are uninsured or underinsured or who are covered only by Medicaid, which pays only a fraction of the cost of providing care. A sizeable portion of Bloomington and Normal has been designated as an HPSA (Health Provider Shortage Area) by the US Department of Health and Human Services (HHS) due to inadequate access to medical care.

Even more significantly, parts of downtown Bloomington and west Bloomington have been designated as a Medically Underserved Area (MUA) by HHS. There is limited primary care available west of Main Street in either Bloomington or Normal. Currently, many physicians are unable to increase the number of Medicaid patients they see due to low and delayed reimbursement; the number of Medicaid patients in the community exceeds the capacity available. Community Health Care Clinic, the free clinic for the uninsured in Bloomington-Normal, serves the working poor who have no health insurance and therefore cannot accept Medicaid patients. Immanuel Health Center will accept Medicaid patients, and it is anticipated that Medicaid and uninsured patients will comprise most of the Center’s patient population.

Estimates indicate that Immanuel Health Center will serve approximately 70 patients per week as it will be open on a parttime basis. Based on six months of service for the remainder of 2012, the total number of people served could easily be 1,000, and many of these patients will be seen more than once.

Immanuel Health Center recently completed renovations of a suite in the former St. Joseph’s Hospital building on South Morris Avenue in Bloomington. Thanks to a federal grant through the city Page 26 — Healthy Cells Magazine — Bloomington ­— June 2012

of Bloomington and generous donations of labor, supplies, and equipment, more than $150,000 worth of renovations were completed for less than $50,000 over a seven-month period. The goal is to open mid-summer 2012—pending the hiring and training for staff and volunteers.

One of the remaining barriers to serving patients is funding.

“We estimate that 85% of our patients will be covered by either Medicaid or Medicare, or will be uninsured. Because insurance and patient reimbursements are expected to cover only half the costs of providing care, we will need to look to other sources to provide the remainder of the funds needed to operate the Center,” says Penny Cermak, Treasurer for the IHC Board of Directors. As an independent clinic, Immanuel Health Center will rely heavily on funding from grants and corporate and private donations. As a faith-based entity, support from local churches will also make a huge difference in sustaining service.

Treating the “whole” person through medical care as well as spiritual, behavioral, and social care is one significant factor that makes Immanuel Health Center unique. Immanuel Health Center also desires to partner with various entities, especially local Christcentered congregations, not only in terms of financial partnership, but also for sharing information about resources, patient needs, and garnering professional and volunteer staff. “Our goal,” says Dr. Scott, “is to bless our community by being the body of Christ— serving together for the benefit of all.”

Immanuel Health Center is located at 502 S. Morris Avenue in Bloomington. For more information, contact IHC at 309-808-2778 or info@immanuelhealth.org.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 27

proper posture

Text Neck

A Global Epidemic

By Jessica Hoelscher, Eastland Chiropractic & Lifestyle Center

S

ince time immemorial, parents have endured the inevitable posture battle telling their kids to sit up straight and stop slouching. And for good reason! Your posture can not only affect you but also those around you. Posture is directly related to the body’s function and can also tell others how you are feeling and how you view yourself. Scan your office and notice the contrast between good posture, exaggerated good posture and poor posture. Do you see a connection to your coworker’s moods and overall personalities?

The technology age has brought with it many challenges to good posture. “Text neck” is quickly becoming classified as a global epidemic. In 2008 alone US residents sent over 110 billion text messages and the number is expected to continue to increase sharply for some time to come. “Text neck” is defined as an overuse or repetitive stress injury and refers to the literal position of continuous

texting for extended periods of time (over 15 minutes) and also the broader postural distortion of using any electronic device requiring a change from normal posture, typically involving bringing the head forward and looking down for more than 15 minutes.

The initial problem involves a change in posture. Symptoms include tight, stiff, and aching neck, shoulder and upper back area, sometimes giving rise to pain or numbness/tingling sensations in the arm. Those affected may also experience headaches. Over time, if the same posture change is made again and again, the body interprets that this is the new desired position. This process is known as adaptation and in the case of text neck, the muscles, tendons, and ligaments in the back of the neck and shoulders get stretched out. The muscles, tendons, and ligaments on the front then become loose so they tighten up to hold the head in the new posture. If the condition is not corrected, the bones will eventually

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change as well, only these changes can’t be fixed. The neck and back are all part of the spine so slouching will bring your head forward putting you at greater risk of text neck.

Initially studied by chiropractors, Harvard University recently completed a study regarding shoulder pain and the use of tablet computers. One reason that text neck is receiving the epidemic classification is the age and integration of technology in children.

Children as young as three years old are being affected and there is no sign of this trend slowing. The solution is not the removal of technology but rather proper management of it. Following are a few suggestions:

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•B ring your phone or device in front of you. Hold your arms out at 90 degrees and avoid continuous usage for more than 15 minutes.

• Take regular breaks and employ exercises such as: ∙ K eeping your shoulder blades pinched together, look up at the ceiling, look directly up but also over each shoulder then directly down. Hold each position for 5-10 seconds, repeat 3-5 times. This stretch may first be felt between shoulders, then front of the neck and finally back of the neck. ∙ B ring your arms out away from your body like a T. Fingers outstretched turn your palms so that thumbs point behind you and attempt to bring thumbs together behind you as much as possible. Hold the position for 10 seconds and repeat 5-10 times. This stretch may be felt in the arms and chest. ∙ S tanding against a wall, hold arms directly above your head against the wall, bring arms down to a 90 degree angle bending at the elbow, but do not allow the arm to come off the wall. This can be repeated 8-10 passes and may be felt in the shoulder, neck and upper back area.

If continuous usage is a must, consider either hands-free voice activated technology (think Siri from Apple) or the text neck app for Android phones. This app analyzes user posture and will provide feedback in the form of a green or red light.

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.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 29

core needle biopsy

A Less Invasive Approach in Diagnosing Breast Cancer

By Janet Hawkins, Gale Keeran Center for Women

M

ost women leave the women’s center after having their routine mammogram performed knowing that they took care of having their annual mammogram and they don’t need to think about it again for another year. It’s usually reassuring to get that letter in the mail to inform you that your mammogram was normal. But what happens when instead of the letter explaining that your mammogram was normal, you get a call from your doctor? Something abnormal showed up on your mammogram that needs further evaluation. Upon learning of an abnormality, some women react with fear and uncertainty while other women deny that there could be a problem. No matter what the initial feelings and thoughts are, your doctor tells you that an additional work up or study is recommended. This work up could entail additional mammographic imagery, breast ultrasound or breast MRI. Sometimes a biopsy is the only way to determine if the abnormality is a benign process or perhaps a breast cancer.

Usually most breast biopsies are performed using core-needle biopsy or by surgical excisional biopsy. In most cases, the less invasive core-needle biopsy is the preferred approach. However, some abnormalities do require surgical biopsy. Often times, the core needle biopsy can be performed using ultrasound guidance at the same women’s center where your mammogram was performed.

A core needle biopsy uses a thin, hollow needle to remove tissue samples from the breast area of concern. There are several different ways in which a core needle biopsy is performed. For lumps or masses that can be easily felt, a physician may guide the needle into the area without any type of imaging or computer assistance.

Ultrasound guided core needle biopsy uses high-frequency sound waves to produce precise images of the breast tissue so that the radiologist can use this imaging to guide the needle into the mass or nodule.

An ultrasound guided core needle biopsy is extremely accurate in determining the diagnosis. It removes enough tissue and takes several samples for comparison so that the chance of missing a

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malignancy is very rare. The ultrasound guided image ensures that the tissue sample is taken from the abnormal area.

An ultrasound guided core needle biopsy is safe and uses no radiation; it is quick, taking about an hour; local anesthetic is used and there is little or no discomfort; and it causes very little scarring. Most importantly, it is accurate and helps to avoid having an unnecessary surgical biopsy, which used to be the standard technique. If the results should come back positive for cancer, then you and your physician have time to determine the next steps for treatment.

For more information regarding core needle biopsies or to schedule your mammogram, please call The Gale Keeran Center for Women located at the Center for Health at Fort Jesse, 309452-9001. The center offers screening mammography, diagnostic mammography, bone density studies, breast ultrasound, ultrasound guided core needle biopsies, and breast MRI.

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diabetes management

Sugars, Sweeteners, and Syrups

By Jenna Smith, University of Illinois Extension Educator, Nutrition & Wellness

H

ave you ever looked on an ingredient label and seen the words high fructose corn syrup, maltose, or corn syrup solids, and wondered what exactly these were? These are all sugars, a nutrient category called carbohydrates. In recent news, high fructose corn syrup, most often found in soft drinks, has gotten a bad rapport for not being natural. It’s been blamed for our nation’s obesity epidemic, and has spurred many manufacturers to start replacing high fructose corn syrup with sugar, honey, molasses or a different natural sugar. But is one of these natural sugars any healthier than high fructose corn syrup?

Your body does not distinguish between natural sugars and added or processed sugars. High fructose corn syrup is made by converting sugar (glucose) in cornstarch into a different form of sugar (fructose). Because it is a liquid and easy to blend, is comparable to “natural” sugar (sucrose) in sweetness, and is cheaper than sugar, it became a popular ingredient in many beverages and processed foods. But a person’s body breaks down all sugars so that they are absorbed in the same manner. Only fiber, another carbohydrate source, remains somewhat intact in the body, thereby making it a healthy component of food.

There is not enough supporting evidence to conclude that high fructose corn syrup causes obesity. In fact, all sugars, whether nat-

ural or processed, contribute 4 calories per gram. However, some sugars are simply more concentrated in calories. For instance, a teaspoon of table sugar is 16 calories, but one teaspoon of honey is 22 calories. Honey is sweeter than sugar so less may be needed.

Moderation remains important when consuming sugar, whether natural or added. Whether a soda is made with high fructose corn syrup or sugar, it still offers no nutritional value. The key is to consume less simple carbohydrates, those with less nutrient value, such as soft drinks, cookies, and candy, and more complex carbohydrates, those with vital nutrients, such as fruit, vegetables, milk, and whole grains. The many different sugars, sweeteners, and syrups can be confusing, but just remember to satisfy that sweet tooth with nutrient dense foods!

If you or a loved one has diabetes, learning more about sugars is important for your health. To learn more, come to the University of Illinois Extension program, “I on Diabetes” held at the Extension office in Bloomington on June 4th, 11th, 18th and 25th from 5:00 to 8:00 p.m. Each session will include a food demonstration and tastings. Cost of the program is $20 per person or $25 per couple with one set of materials. Call the Extension office in McLean County at 309-663-8306 to register.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 31

healthy feet

Injury Myths…

BUSTED!

By Melissa J. Lockwood, DPM, Heartland Foot and Ankle Associates

F

oot and ankle injuries are very common, especially in the summer. Whether sliding into home base, overzealous training for that upcoming 5K run, slipping by the pool, or just doing errands in flip flops or platform fashion sandals, people often underestimate the severity of an injury as “just an ankle sprain.”

However, if these injuries are not treated properly, they can take longer to heal and long-term complications can develop. Following are some common misconceptions about foot and ankle injuries.

"It can't be broken, because I can move it."

FALSE: This widespread idea has kept many fractures from receiving proper treatment. The truth is that often you can walk with certain kinds of fractures. Some common examples: breaks in the smaller, outer bone of the lower leg, small chip fractures of either the foot or ankle bones, and the often neglected fracture of the toe.

"If you break a toe, immediate care isn't necessary."

FALSE: A toe fracture needs prompt attention. If X-rays reveal it to be a simple, non-displaced fracture, care by your podiatric physician usually can produce rapid relief. However, X-rays might identify a displaced or angulated break. In such cases, prompt realignment of the fracture by your podiatric physician will help prevent improper or incomplete healing. Often, fractures do not show up in the initial X-ray. It may be necessary to X-ray the foot a second time, seven to ten days later. Many patients develop post-fracture deformity of a toe, which in turn results in a deformed toe with a painful corn. A good general rule is: seek prompt treatment for injury to foot bones.

"If you have a foot or ankle injury, soak it in hot water immediately."

FALSE: Don’t use heat or hot water on an area suspect for fracture, sprain, or dislocation. Heat promotes blood flow, causing

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greater swelling. More swelling means greater pressure on the nerves, which causes more pain. An ice bag wrapped in a towel has a contracting effect on blood vessels, produces a numbing sensation, and prevents swelling and pain. Your podiatric physician may make additional recommendations upon examination.

"Applying an elastic bandage to a severely sprained ankle is adequate treatment."

FALSE: Ankle sprains often mean torn or severely overstretched ligaments, and they should receive immediate care. X-ray examination, immobilization by casting or splinting, and physiotherapy to ensure a normal recovery all may be indicated. Surgery may even be necessary.

"The terms 'fracture', 'break', and 'crack' are all different."

FALSE: All of those words are proper in describing a broken bone.

It’s important to see a podiatrist, who specializes in foot and ankle conditions, to find out for sure what kind of injury you have.

Your podiatrist will be able to properly diagnose and treat the problem so you can continue to enjoy your summer.

If you have any questions about injuries or other foot conditions, call Dr. Melissa Lockwood at Heartland Foot and Ankle Associates, 309-661-9975 or visit www.HeartlandFootAndAnkle.com.

Their office is located at 10 Heartland Drive in Bloomington. Dr. Lockwood offers Saturday appointments and reserves appointment slots for emergencies, so if you have an injury you can be seen immediately.

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women's health

Do You Have a

Dr. Right?

Submitted by Ob-Gyn Care Associates

I

n today’s world of hustle and bustle, we often find ourselves pulled in a variety of directions. Between the demands of work, schedules, and various activities, taking time to rejuvenate, relax, and take care of ourselves is most often overlooked. The effects of this not only affects our mental health but can create havoc within our body — stressing many systems including digestion, heart, brain, and blood vessels, impairing our immune systems, thereby leaving us searching for a health care provider to guide us. These situations, however, do not always allow us the time to thoroughly research our options, and can leave us grasping for straws — certainly not an asset to the situation at hand. Ultimately, the resolution to avoiding this situation is by carefully selecting your health care provider, building that relationship, and nurturing it consistently prior to the time when you find yourself ill or injured.

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Children may qualify if they: • Are 4 to11 years of age • Have had asthma for at least six months • Have had asthma bad enough to see a doctor in the last 12 months There are other study requirements that will determine whether your child may participate in this clinical research study.

• There is no placebo (sugar pill) in this clinical research study.

• There will be no blood draws (no needles) during this clinical research study.

• Qualified study participants will receive asthma medication at no charge.

• Health insurance is not needed to participate.

• Reimbursement for time and travel may be provided.

Selecting the right provider and building a relationship is no less important than that of any of the other relationships you have built — your spouse, partner, mentor, or friend. Though the criteria that we consider may be different for all of them, selecting a provider is still ultimately based upon the same principals as any other relationship: trust, values, and communication, leading to a mutual understanding and respect for the relationship.

Trust This particular value not only oversees the relationship with your provider alone, it is all-encompassing with the office staff, and reciprocal from the office to you. Knowing that trust is built, you have the opportunity as a patient to build this valuable key to a relationship by the open exchange of information, asking informed questions, recognizing and acknowledging assessments and risk factors, and working with your provider to determine your care. Understand that you are a key to the relationship, and be open to creating a mutual relationship. Learn about how the office works, understand the office policies and procedures, and be informed. Trust is often the first thing to be affected due to a lack of understanding.

Values What you value in your relationships is important to your patientprovider relationship. Values are subjective to each individual person and have a strong impact on our decisions and choices. There are many values to explore, so find a provider whose values parallel your own. For example, if you value education and leadership, explore this with your provider — what are they doing to continue their own education? Does the provider continually pave a path of leadership

in his or her own specialty? Maybe you value organic and natural choices — does your provider support homeopathic and alternative medicine? What about chiropractic care and medical massage?

Communication Did you know that up to 70% of diagnosed issues and illness is based upon what patients tell their providers? If there is one thing that makes the biggest impact, it is communication. Effective communication, in an atmosphere of mutual respect, leads to a wonderful provider-patient relationship. Your health care as a whole is positively affected. Additionally, you should expect to have all of your options, risks, and long term expectations regarding any diagnosis be communicated to you. Remember, however, that listening and understanding is also a vital element to communication — ask questions, and understand the answers and options.

Though trust, values and communication are the most important in a great relationship with your provider, the icing on the cake is an office that provides a team of care for you. From the office staff (receptionist, billing office, and administration), to the clinical staff (nurses and lab technicians), the whole office provides the support needed to bring you a great patient experience. Additionally, an office that can provide you a variety of care through referring services and in-office services keeps your care close, and has the ability to monitor your care closely. Remember, your provider-patient relationship is a long term one, and Dr. Right is out there for everyone.

For more information, you may contact Ob-Gyn Care Associates at 309-662- (CARE) 2273, www.obgyncare.com, located at 1505 Eastland Dr., Suite 500. They provide comprehensive care for women of all ages.

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prosthetics

Non-Surgical Options After Breast Surgery

By Jill Grieff, CFm, CPOA, Comprehensive Prosthetics & Orthotics

W

hen a woman is diagnosed with breast cancer she is quickly overwhelmed with many different options in regards to life after breast surgery. One option that is commonly overlooked or not offered to women is non-surgical breast reconstruction. This process involves the use of an external breast prosthesis which allows women to regain their body image and self confidence without having an additional surgery.

The following steps better describe all of the options available to women related to non-surgical image reconstruction.

Immediately after surgery.

Many times patients find it comfortable to wear a post surgical camisole that contains pockets for a puff prosthesis as well as drainage bulb holders that attach to the inside of the camisole to hold the drainage bulbs. A camisole gives minimal support for the non-surgical breast, while still providing comfort.

Less than 6 weeks post surgery.

This stage is when the patient moves from the camisole into a cotton stretch bra that also contains pockets for a prosthesis. A weighted foam prosthesis is provided during this phase. They are light weight and non abrasive to the surgery site and still allowing symmetry. The bra typically used during this phase is soft, stretchable and fastens in the front which allows for independent closure. This stage is recommended for low activity levels.

More than 6 weeks after surgery.

After six weeks most women’s surgery sites are healed and ready to begin wearing a fashion bra with a silicone prosthesis. The silicone prosthesis has the most natural feel and look for the patient.

Life after breast surgery.

It is important that women build a wardrobe of choices just as before breast surgery. By keeping a variety of different style bras and prostheses it allows for options. All of the things listed above are not only allowed to be worn during those specific stages, but also anytime throughout their life.

This allows them to pick and choose according to the activity level that day. It is very important to remember everyone heals differently and stages may vary.

It is also important to remember that patients who have a lumpectomy are still eligible for a prosthesis. There are partial prostheses that also fit into a pocketed bra that allow women to re-create their body image. The same applies to women who have had reconstruction that is not creating the symmetry desired by the patient. There are a variety of sizes and shapes of partial prostheses to help create balance for women in this situation.

Page 36 — Healthy Cells Magazine — Bloomington ­— June 2012

Q and A Why is wearing a breast prosthesis important?

While recreating a pre-surgery appearance helps meet the psychological needs for a positive self-esteem, the use of a breast prosthesis also serves a physiological purpose by restoring natural balance and re alignment of body weight. NOT wearing a prosthesis can create the following: • Spinal curvature • Shoulder drop • Balance issues • M uscle contracture and stretching of the neck and back When wearing a breast prosthesis, why is wearing a post mastectomy bra recommended?

The bras contain pockets which secure the prosthesis and allows it to move with the body. A mastectomy bra is designed to allow a higher fit under the arm where tissue may be missing. The straps are set closer in the back to help balance the prosthesis weight.

Side frames help support, anchor and balance the band around the body.

If reconstruction is planned, will a prosthesis be needed?

Since decisions related to reconstruction need not be scheduled at the time of the initial surgery, patients can choose to “bridge” the time with a prosthesis to recreate the patient’s body image until reconstruction is performed.

Will insurance pay for a breast prosthesis and bras?

Many private insurances as well as Medicare have a set allowable on non-surgical breast care options. However, this amount varies depending on the patient’s insurance policy. It is suggested the insurance be contacted to determine benefits, restrictions and patient responsibilities.

Jill Grieff is an ABC Certified Fitter of Mastectomy and Lymphedema 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.

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concussion management

Do Mouth Guards

Prevent Concussion?

By Edward W. Pegg, MD, LLC

S

tudy after study has shown the effectiveness of mouth guards at reducing the risk of orofacial injury. But do mouth guards also help prevent concussion?

There are three main types of mouth guards. One is the stock mouth guard that is simply a curved “tray” that the teeth slide into. These come in a few different sizes, but there is no customization. The second type is a mouth-formed type.

There is a shell liner, which is like the stock tray. Once the teeth are in the liner, a chemical is placed in the tray, and time is allowed for the chemical to cure. The mouth guard can then be removed and is custom fitted to the athlete. Another mouth-formed type is called boil and bite. This is what is used by 90-95% of athletes. This is a thermoplastic material that is heated. The athlete then puts this in his mouth and bites down on it. This allows for some give in the plastic but then hardens in this position. This again allows for a better fit around the teeth than in the simple stock tray.

The third type is a custom-made mouth guard. These are usually made by dentists who first make an impression of the teeth and gums, then the impression is covered by a thermoplastic material. There are three ways this can be done. One is a moldable plastic that is injected around the impression.

The second is a flat piece of plastic that is vacuum sealed down around the impression. The last, which has been more popular recently, is a pressure laminated type of mouth guard that consists of different layers of material that are laid down in a specific order. This is thought to help to transmit the forces more diffusely and prevent a localized pressure point.

For a number of years, there have been occasional articles touting that mouth guards help to prevent concussion. There is some reasonable theory behind this. It is thought that if someone was hit in the jaw, this force would be transmitted through the lower teeth into the upper teeth then transmitted on up through the facial bones and skull to the brain. By having a mouth guard in place, it was envisioned that this may take some of the shock, or force, away and thereby reduce the risk of concussion. These claims were never backed by formal or good scientific studies.

In the last 10-15 years, there have been a number of studies that have looked at whether the risk of concussion is reduced with mouth guards. In 2002, there was a very large study done that included over 70,000 athletes with more than 8600 concussions. This study saw no conclusive evidence that mouth guards reduce the risk of concussion, but it did clearly show that it lessened dental injuries. In 2007, there was an article in Dental Traumatology that looked at concussion that was measured with neurocognitive testing, or ImPACT™. This study

Page 38 — Healthy Cells Magazine — Bloomington ­— June 2012

looked at a total of 180 concussions. They noted no decrease in the severity of concussions in those who had mouth guards versus those who did not.

Also, in 2007, there was a large review of all of the articles that had been written up to that time. This review showed that you were two times more likely to have a dental or mouth injury if you did not wear a mouthguard, but there was no conclusive evidence that mouth guards reduced the risk of concussion. There was also a very good review study done at the University of Calgary in Canada. This looked at 12 different data bases to review all the studies regarding mouth guards and concussion. Their conclusion after this review was that there is no evidence the use of mouth guards or face shields decrease the risk of concussion. In 2010, The American Academy of Pediatrics, after review of the literature, made a statement that there are “no good studies showing any benefit in mouth guards preventing concussion.”

At this time then, we clearly have evidence that mouth guards are important and do reduce the risk of dental or orofacial injuries, although the data shows that there is no significant difference in the type of mouthguard used. However, there does not appear to be any strong evidence that mouth guards reduce the risk of concussion.

In buying a mouthguard, I would be reluctant to purchase an appliance that claims to prevent a concussion.

For more information on any neurological issue, you may contact Dr. Pegg at 309-661-7344. He has a special interest in sports neurology and concussion management.

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healthy babies

The Amazing Journey to Table Foods This is the first in a three-part series on transitioning your baby from formula\ breastmilk to solid table foods during their first 12 months

By Abbey Fairbanks MS, CCC-SLP/L, Pediatric Speech & Feeding Therapist

O

h baby! Our lives are going to change drastically. No longer can we feed you just formula and/or breastmilk. You’re already 6 months old, your body is growing, you are able to sit up with support, your digestive system can handle more, and you seem very interested in what Mommy and Daddy are eating at every meal. We want to make sure we are following the right guidelines with your first introduction to solid foods. Don’t worry we will go slow, keep track on a calendar of the foods as we introduce them and only introduce one new food per three days to make sure you are not showing signs of an allergy. We want to make sure you Page 40 — Healthy Cells Magazine — Bloomington ­— June 2012

enjoy eating nutritiously right from the start. You will teach us some lessons too. We’ll learn to like vegetables again, because research shows that kids eat what their parents eat. We definitely want you to love your veggies! What a blessing you are, little one! Here we go!

4-6 months: Pre-solid food It is currently recommended to introduce solid foods at six months of age, unless otherwise specified by your pediatrician.

However, there are some “pre-feeding” activities that parents can enjoy with their babies before six months.

•G ather together different textured items from your home and play tickle games with them and baby or just give the item to baby and let them explore on their own. For example, a soft frozen washcloth can provide ample opportunity for sensory exploration.

It starts out as cold and hard, then changes to cold, wet, floppy and maybe a little soft. Foods are full of sensory properties. The more sensory experiences, especially to the mouth and hands, that we provide pre-feeding; the less the different properties will bother them while actually eating.

• Provide ample opportunity for baby to participate in oral exploration. Most people think of “teething toys” as just that, for use when teeth are coming in; however, they are great for general oral play too. As baby places the teether on their tongue they learn about its sensory properties which helps prepare their mouth to learn about food in the same way. Encourage hand-to-mouth play with other toys too. A baby can learn a lot about a toy by how it tastes, smells and feels on their face and in their mouth.

• Remember to follow baby’s cues with these games. If baby giggles, keep going; if they cry, go slower and/or stop and continue another time.

5-6 months: Learning about the spoon Time to get baby really engaged in your mealtimes. If you have a highchair or Bumbo Seat, drag it out of the closet. Give baby a dry spoon, two-handled hard spouted empty sippy and a bowl for them to play with whenever your family is eating a meal. They will just play with it by banging, or putting it in their mouth, or dropping it on the floor. Let baby get used to the items and the routine of your family’s mealtime.

6 months: First introduction Start with rice cereal as this is the least allergenic, unless your pediatrician recommends another choice. The first couple times you will only need about one to two teaspoons of dry cereal mixed with the breastmilk or formula. It will be thin and very soupy. Pick one time during the day to practice feeding. Ideally it should be about 45 minutes to one hour following a feeding, when baby is happiest.

• Sit baby in chair • Tell baby in excited voice what great food they are trying today • Put some of the cereal on their tray for finger play and exploration • Let baby get messy (i.e., no wiping of their face or hands until the very end of the meal) • Dip spoon into bowl and get a tiny amount on spoon • Bring spoon to bottom lip and remove, leaving a tiny bit on their bottom lip for tasting • Parent’s show baby how to make a smacking noise with their lips • Continue order with changing number six to actually bringing the spoon slightly into their mouth prior to removal.

• Watch baby’s cues. Your actions change based on their reactions to the food (i.e., if they pull away, you go slower, if they look excited, continue as is).

Next Month: Pureed foods and mashed table foods.

Abbey Fairbanks is a Speech Pathologist with Easter Seals Peoria-Bloomington. She will be teaching “Feeding Baby: Birth – 15 months” this summer at Heartland Community College. For more information, please call 309-268-8160.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 41

a rite of passage

Losing the Training Wheels

By Erin Rogers, M.Ed

L

osing the training wheels and learning to ride a two-wheeled bike is a rite of passage for children during middle childhood. Children hop on their bikes and ride to one another’s homes, they ride together for fun, and for many families, it’s a favorite summertime activity. And for many it’s a primary mode of transportation. But for 15% of children – those living with disabilities – it is difficult, if not impossible.

Thanks to physicist, Dr. Richard Klein, his passion for helping children with special needs and his creativity in design engineering, losing the training wheels is more possible for children with special needs than ever before.

The Lose The Training Wheels™ bike program has grown from one camp and one fleet of adapted bike equipment in 1999, to over 80 camps across the U.S. and in Canada and ten fleets of adapted bike equipment. The mission of Lose The Training Wheels™ is to teach individuals with disabilities to ride a conventional two wheel bicycle and become lifelong independent riders. This achievement, in turn, creates a gateway of opportunity, helping participants gain assurance and selfreliance in many other aspects of their lives.

Page 42 — Healthy Cells Magazine — Bloomington ­— June 2012

Learning to ride a two wheel bicycle has many benefits, some obvious and some not so obvious including: • Increase in self-esteem & self confidence • Inclusion opportunities • Positive change in family dynamics • Improved quality of life through recreation • Independent transportation • Improved physical fitness So how does Lose the Training Wheels™ program work? Each year in Central Illinois, children with special needs have an opportunity to enroll in a one-week camp to learn to ride a two-wheeled bike. Children arrive on Monday with helmets in hand, and are provided with dedicated volunteers and adapted bikes from the specialized fleet. The bikes are fitted with rollers resembling rolling pins in place of a back wheel, and rollers change shape and are replaced as the child becomes more confident and competent in riding. Often, by Wednesday or Thursday, riders have an opportunity to ride a two-wheel tandem bike to experi-

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ence the true freedom of riding. This is followed by independent riding supported by volunteers until the rider is able to start, ride and stop independently.

Easter Seals has been coordinating this camp for more than five years, and thanks to the Broers family and the Lora DeAnn Broers Memorial Fund, the camp is affordable for all children with disabilities who wish to learn to ride. Children who are good candidates for the program are 8 years of age or older, can walk without an assistive device, are able to move their legs in a pedalling motion, and can see and attend to the direction they’re heading.

Camps in Central Illinois are scheduled for July 9-13, 2012 in Normal, and July 16-20, 2012 in Peoria. For information on registering for the Lose the Training Wheels™ camp, call Tara Wellenreiter at 309-686-1177 or go to the Easter Seals Central Illinois website at www.ci.easterseals.com.

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id you know that cats are considered senior citizens at the age of 11? But getting older doesn’t mean that they have to lose their

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Keep Feline Minds Active Aging commonly impacts cognitive function. Older cats may become bored or disinterested in activity, so it’s imperative to keep their minds active and engaged in order to stave off the trappings of old age — like senility or depression. Incorporat-

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Keep your loved ones safe and comfortable with: • home health • hospice • home medical equipment, including CPAP, oxygen, walkers, hospital beds & much more • personal response systems • diabetes supplies • home infusion pharmacy For more information, call 1-800-673-5288 or visit www.osfhomecare.org

ing exploration and problem solving into your cat’s daily routine will keep your cats intellect as sharp as their claws.

Adjust an Aging Cat’s Nutritional Plan Older cats have delicate digestive systems, and their ability to extract nutrition from their food begins to diminish. Pet parents need to make sure that the food that their aging feline consumes is composed of quality ingredients bursting with nutrition. Diamond recommends Hill’s® Science Diet® Senior 11+ Age Defying™ cat food. The formula of antioxidants and omega 6 fatty acids, alongside wholesome ingredients, address the four signs of aging thereby increasing interactivity, playfulness, mobility and agility and decreasing litterbox accidents in just 30 days. The special formula includes fish oil for healthy brain function, L-carnitine to support lean muscles and agility, controlled levels of phosphorus and other minerals for bladder health and amino acids to maintain healthy organs.

Increase Agility Consider how you can rearrange your home to suit your cat’s needs. Place ramps leading to your cat’s favorite places and treat your cat to a daily massage to stimulate healthy musculature without putting too much pressure on their paws. This gentle approach to feline fitness will leave your cat agile and amiable – plus, it makes for excellent quality time. Learn more about taking care of your senior cat at www.HillsPet.com/DefyAge.

Visit Your Vet This may seem like obvious advice, but frequent trips to the veterinarian’s office can keep your cat feeling young and vibrant.

Many people attribute behavioral changes in older cats exclusively to the aging process; and while some elderly cats will naturally slow down, this isn’t always the case. Always consult a medical professional when your cat acts odd and never assume that new, altered, or strange behavior is something that a pet parent can turn a blind eye towards. By staying on top of your cat’s health you are infinitely more likely to catch a potential problem before your cat has the worst of it.

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 45

flying flowers

How to Create a Butterfly Garden

By Kathy Anderson

P

eople who love to garden also tend to enjoy watching butterflies flitting about. After all, butterflies are just as pretty to look at as the flowers that they visit. Gardeners can entice even more butterflies to visit their gardens by creating gardens specifically for butterflies.

It’s quite easy to create a butterfly garden. You may even find that you already grow some flowers that attract butterflies. With just a little effort, you can create a beautiful haven for these lovely winged creatures, and the butterflies will appreciate your efforts.

If you’re starting from scratch and will be creating a new planting bed for your butterfly garden, you’ll first want to learn how to properly create a planting bed for your plants. You can find information on preparing raised planting beds at www.freeplants.com Page 46 — Healthy Cells Magazine — Bloomington ­— June 2012

When deciding where to locate your butterfly garden, choose a spot that is not isolated from other plants. Butterflies will be more likely to find your garden if there are other flowers nearby to lead them to your butterfly garden. But if your butterfly garden is the only patch of flowers in a vast sea of grass, butterflies won’t have much reason to be in the area. If you have a border of flowering shrubs and other butterflyenticing plants are scattered around your yard, the butterflies are much more likely to spend time in your garden.

The butterfly garden should include a variety of plants that attract butterflies, and those plants should be in a variety of colors and heights.

Consider planting azaleas, rhododendrons and lilacs for height.

Fragrant “James McFarland” lilacs seem to be especially attractive to

butterflies. Weigela, with its flowers like dainty trumpets, is another good shrub for attracting butterflies.

No butterfly garden should be without Butterfly Milkweed (Asclepias tuberosa). Not only will the bright orange blossoms attract many butterflies, but the plant will also provide food for caterpillars. Without the caterpillars there would be no butterflies. Dill and parsley also provide food for butterfly caterpillars. If you’re lucky, you may even haveMonarch butterflies laying their eggs on the milkweed and you can watch the entire life cycle, from caterpillar to chrysalis to butterfly.

Many other commonly grown flowers will attract butterflies, including hollyhocks, purple coneflowers (Echinacea), Black-eyed Susans (rudbeckia), cosmos, huechera, zinnias, beebalm and cleome. Buddleia, also known as butterfly bush, is a must in any butterfly garden. If you have room for this large plant, Mexican sunflower (tithonia) will attract many butterflies and hummingbirds with its sunny orange blooms.

Plan your butterfly garden so there are blooms all season long.

The rhododendrons, azaleas and lilacs will provide a spring snack for butterflies, followed by summer-blooming plants such as the buddleia and asclepias. In the fall, butterflies will sip nectar from asters and “Autumn Joy” sedum.

In addition to providing food for butterflies, your butterfly garden should also provide a resting place along with shelter from the wind and cold. Include flat rocks in your garden where the butterflies can sun themselves. It’s even better if the rocks have shallow depressions where water will puddle and provide a place for butterflies to gather for a drink.

A small log pile will provide shelter from the weather for butterflies.

You can also purchase butterfly shelters that look rather like tall, narrow birdhouses with several slots for entrances. These may attract

butterflies, but in my experience, wasps tend to move in, discouraging any butterflies from entering.

One final thing that every butterfly garden should include is a comfortable bench placed where you can sit and admire the beautiful butterflies. After all, you’ve created this garden not only for the butterflies but also for your own enjoyment.

Kathy Anderson has been an avid gardener for many years and has grown tomatoes by the acre, along with many other vegetables, flowers and landscape plants. Kathy recommends www.freeplants.com as a great place to learn more about gardening. Article provided by www.gardening-articles.com .

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June 2012 — Bloomington ­— Healthy Cells Magazine — Page 47

balance disorders

A Common, Complex Problem Submitted by Poonam McAllister, Central Illinois Institute of Balance

G

etting out of a chair. Walking through your home. Reaching for a glass in a cupboard. Bending over to put your shoes on. Driving your car. Shopping for groceries. These are normal everyday activities, but they all depend on your ability to control your balance. People with balance and dizziness problems have difficulty with even the simplest of tasks. What is alarming is that at least half of the U.S. population will experience balance problems sometime during their lives, especially as they get older.

In fact, poor balance and fall related injuries account for a large percentage of emergency room visits each year.

If you are an older person with a balance problem, you may have been told that poor balance is a natural and untreatable part of getting older! Or worse, whether younger or older, you've been told that your "dizzy spells" are all in your head! Medical research has proven that balance problems are NOT imaginary or inevitable with age, and there are effective treatments available for those who do experience balance problems or dizziness.

Balance disorders defy conventional treatment approaches that focus on finding a specific medical problem in an isolated region of the body and treating it as a specific disease process. Because balance control is a complex multi-system process, balance dysfunction can be caused by problems in any one or combination of the contributing systems. Furthermore, because of the brain's ability to adapt to a balance or dizziness problem, one patient's impairments and functional limitations can vary considerably from the next. Even when a specific problem is identified, patients with similar issues may not respond the same way to a given treatment.

Unfortunately, the vast majority of people suffering from balance disorders may not be aware of the help that is available. There are medical professionals and clinicians who are specially trained in Page 48 — Healthy Cells Magazine — Bloomington ­— June 2012

the evaluation and treatment of balance disorders using a comprehensive approach that looks at the complexities of balance problems in the context of the total patient. A balance center has specialized equipment and systems that can accurately assess a person’s sensory and motor functions and the impact on daily functions. This information is then used to pinpoint a patient's problem and utilize this data to design and target a treatment plan that gets results.

For more information on any type of balance or dizziness problems, you may contact Poonam McAllister at Central Illinois Institute of Balance, 309-663-4900, www.dizzyil.com. Their office is located at 211 Landmark Dr, Suite E-3 in Normal.

Information for this article is from www.onbalance.com

The typical patient with balance problems has already encountered the following before seeking out a comprehensive balance center.

• Four plus physician visits in search of help for a chronic balance problem • One imaging series • One emergency room visit, possibly with hospital admission • One referral for psychiatric evaluation • Fifty plus months in search of a solution

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We have exciting news!

Advocate BroMenn Medical Center will soon open a beautiful, new state-of-the-art patient care tower. We can hardly wait for you to see it!

Our new tower includes an obstetrics unit for expectant and new mothers and their babies, as well as our critical care services, for patients needing advanced care and monitoring.

From the floor plans to the furniture, everything has been specially designed for the comfort and well-being of our patients, families and visitors.

Please join us for an open house celebration, refreshments and tours:

Saturday, June 2, 2012 1 to 3 pm Advocate BroMenn Medical Center 1304 Franklin Avenue, Normal