QUAD CITIES area Promoting Healthier Living in Your Community • Physical • Emotional
JUNE 2012
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• Nutritional
Mississippi Valley Pain Clinic Quad Cities’ First and Only Comprehensive Pain Clinic pg. 18
Stretching for Optimal Performance page 10
Clearing Up Food Confusion page 24 Do I Need Life Insurance at My Age? page 28
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Where do you go to rehabilitate after knee surgery? After my dad’s knee replacement, the hospital gave us a list of places for him to recover and receive physical therapy. Then they gave us great advice: Ask the professional at each place for their expertise. That’s when we choose Heartland. They not only had vast experience for my father’s conditions, they tracked his progress to tailor his treatment. At Heartland, we carefully track patients’ progress because we believe improving success begins by measuring it. For more information about Heartland’s track record, please call:
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309.764.6744 www.heartlandnursing.com A P R OV E N L E A D E R June 2012 — Quad Cities — Healthy Cells Magazine — Page 3
JUNE
2012 Volume 3, Issue 6
6
Emotional: Therapy Dogs – A Source of Joy for Both Patients and Owners
8
Nutritional: Quinoa: A New Look at an Ancient Grain
This Month’s Cover Story:
Mississippi Valley Pain Clinic Quad Cities’ First and Only Comprehensive Pain Clinic page 18
10
Physical: Stretching for Optimal Performance: Focus on Flexibility
12
Prevention: Home Safety For Seniors
14
Professional Planning: Is a Charitable Remainder Trust Right for You?
15
Improved Hearing: How long does a hearing aid last and is there anything I can do to prolong it?
16
Breast Cancer: Advances Manual Therapy for the Shoulder Girdle
22
Expanding Care: Pediatric Specialty Clinic Opens in Bettendorf
24
Organic Food: Clearing Up Food Confusion
26
Senior Living: About CASI
28
Financial Health: Do I need life insurance at my age?
1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com
30
Safety: Helping Seniors Drive Safer, Longer
Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in The Quad Cities.
32
Water Softening: Save Money and Help the Environment by Checking on Your Water Quality
35
White of Life: Whitening – The Latest Craze
36
Take Action: Stress and Smoking
For advertising information, contact Laurie Hutcheson, owner at 563-650-1876, QCHealthycells@gmail.com Healthy Cells Magazine is a division of:
Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Quad Cities, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Quad Cities. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.” Laurie Hutcheson
EAST MOLINE N U R S I N G & R E H A B I L I TAT I O N C E N T E R
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emotional
Therapy Dogs A Source of Joy for Both Patients and Owners Submitted by Heartland Hospice
I
sn’t it funny how a seemingly simple decision, like getting a puppy, can lead to personal fulfillment beyond measure? Both my husband and I had no idea how rich our life would be when our Giant Schnauzer puppy, Bella, came to us. Giants, by nature, are very protective dogs and Bella displays that protectiveness whenever someone comes to our door. Once we assure her everything is all right, our now 80-pound greeter purrs “Hello” and runs to get a toy as a sign of welcome. Who would have thought for a minute that our Bella would be a prime candidate as a therapy dog? As a puppy, we took Bella almost everywhere so she was well socialized. From walks on bike paths to farmer markets, trucker jamborees and parades, Bella wound her way through crowds and always drew attention from just about everyone. Little children would run up
to her and throw their arms around her neck. She wouldn’t blink. On her outings, she proved she was truly a gentle giant. Even at 12 weeks old, our vet noticed her laid-back attitude and suggested we think about taking her through training to become a therapy dog. My husband and I hadn’t thought about doing anything like that before and let the idea slide. A few months later, our dog trainer, Jim Stenfeldt (www.cmdogtraining.com), announced he was putting together a program for Heartland Hospice for therapy dogs. We jumped at the chance to take Bella through the program. We were one of ten handlers who went through Jim Stenfeldt’s initial program. The training was interesting and challenging, but Bella was a trooper through every situation. From learning to approach someone in a wheelchair, with a walker or cane – to learning to lay her head on a bed so the patients could touch her – she didn’t
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fuss or panic. Her willingness to obey silent hand commands came along with the process. Finally, the Big Day arrived — Bella was officially certified as a therapy dog. We were assigned a nursing home and made our way for our first visit. My husband and I weren’t prepared for the reception Bella would receive. Partly because of her commanding presence (people think she’s a show dog) and partly because of her gentle nature, we could barely get through the hallways. People came up to pet her, make over her and asked about her. Our experiences have been indescribably enriching since we started taking Bella on our weekly visits. The way people’s faces light up, the delight and smiles we see from just about everyone is immeasurable. The staff, the families of patients and the patients themselves love to see Bella walk through the door. We’ve had family members or nurses stop and ask us to visit a specific room because that patient loves dogs; we’re always glad to oblige. We had postcards printed with Bella’s picture, name, breed and a little about what she likes so we can give them to people. We know they are a hit because we see them in various rooms, on people’s bedside tables or bulletin boards. We’ve even had people ask for new pictures on the cards because they collect them! Giving out Bella’s card is a way for us to say thank you and leave a bit of Bella behind. Each and every individual we meet on the visits touches our lives in a special way. One particular instance comes to mind. A nurse straightened a hospice patient’s bedding as we walked into the room. The woman (I’ll call her May) looked to be asleep when the nurse said, “May, look who’s back! They’ve brought their dog, Bella, to see you today!” May’s eyes flew open and she said, “Dog?!” With that, the nurse grabbed May’s glasses, put them on her and hit the power button on the bed so she could sit up. Bella gently approached the bed and laid her head next to her hand. Though noticeably weak, May put her hand on Bella’s head. We talked to her about Bella and how much Bella enjoyed coming to see her. By this time, May’s eyes were closed and she seemed to be sleeping again. As my husband and I said good-bye to May, she reached out and grasped my husband’s hand as if to say “thank you”, her eyes still closed. We walked down the hallway and the nurse told us that had been the first time May had reacted to anything in many weeks. I could go on and on about having a therapy dog in the Heartland Hospice program. It continues to reward us with invisible gifts, an amazing experience and opportunity to share our love for our four-footed friend with others. It’s a once in a lifetime chance to give — to brighten a day and maybe break up a routine by sharing our gentle giant, to be touched, petted and made over. It takes time and a commitment to visit each week, but it’s worth the effort. My husband and I agree that we are glad we made the decision to train Bella and become volunteers. We have another puppy, a five-pound Teacup Schnauzer, Emma, who has started obedience training and will become part of the therapy dog program when she is old enough to do so.
One simple decision of getting a Giant Schnauzer puppy changed and enriched our lives beyond our wildest imagination. As I sit and write these words, I find myself smiling, thinking of the people we’ve met these past months. I would encourage anyone who has a dog and is interested in such a program to contact Heartland Hospice and inquire how to become a Dog Therapy Volunteer. A quote from Helen Keller eloquently describes our involvement with hospice: “The best and most beautiful things in the world cannot be seen or even touched — they must be felt with the heart.” For more information, contact Heartland Hospice at 866-216-5708 or visit heartlandhospice.com. Located at 4340 E. 53rd Street Davenport, IA.
June 2012 — Quad Cities — Healthy Cells Magazine — Page 7
nutritional
Quinoa: A New Look at an Ancient Grain By Dawn Watters, RD, LDN, Hy-Vee Dietitian
A Nutrition Powerhouse Quinoa, a grain native to the Andes mountain region, has become increasingly popular in the United States and is quickly becoming part of a mainstream diet. Now readily available, the consumption of quinoa has increased tenfold in the last five years. Referred to as “the mother of all grains”, quinoa is a unique and nutritious food choice. Quinoa is high in protein, around 12–18%, an unusual occurrence among plant foods. It is also one of the few plant foods that contain all eight essential amino acids, including lysine. Lysine, known to help boost the immune system, is not produced by the body and must be consumed through food. Additionally, quinoa is naturally high in magnesium and iron and a good source of fiber, and phosphorus. The combination of the high protein content and fiber makes for an especially good nutrition choice. Page 8 — Healthy Cells Magazine — Quad Cities — June 2012
Simple to Use—Tips for Preparing Quinoa Most quinoa sold has been pre-rinsed. This process removes debris and the outer coating of the grain. If the grain has not been prerinsed, the first step is to remove the saponins, a natural bitter coating, by soaking the ancient grain in water. Next, bring two cups of water to a boil and add one cup quinoa. Bring the mixture back to a boil, covering the pan with a lid, and continue to cook over medium heat for 12-15 minutes. Remove from heat, fluff, cover again and let stand for 15 minutes. A Few Quick Serving Ideas Quinoa will produce a fluffy, creamy and slightly crunchy consistency with a mild and somewhat nutty or earthy flavor when cooked. Try incorporating quinoa using one of these quick serving ideas:
• Substitute quinoa for rice in any entree, soup or salad recipe. • Create a side dish with a kick of flavor by substituting water with chicken or vegetable stock when cooking quinoa. • Mix quinoa with honey, almonds or berries for a high-protein, hot breakfast cereal. Dawn Blocklinger represents Hy-Vee as a nutrition expert promoting healthy eating throughout the community. Dawn is a member of the Academy of Nutrition and Dietetics. For more information, contact Dawn Blocklinger, RD, LDN at 309-757-1085 or email: dblocklinger@hy-vee.com. Did You Know? • Quinoa (pronounced keen-wah), although considered a grain, actually comes from the goosefoot plant, a relative of leafy green vegetables such as spinach and Swiss chard. • The quinoa seed is similar in size to millet but flat with a pointed oval shape like a sesame seed. • Chicha is a traditional beer made from fermented quinoa. • Quinoa can be found in a variety of colors (white, pale yellow, red, brown, black), although white is the most common form of the seed found on store shelves. • Inca warriors ate balls of quinoa and fat to keep them going on long marches and in battle. • NASA has proposed quinoa as an ideal food for long-duration space flights. For more information and recipes, contact your local area Hy-Vee dietician.
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Quinoa Vegetable Pilaf Serves 6 All you need 2 tablespoons olive oil 1 small onion, chopped finely 1 medium red or orange bell pepper, chopped 2 green onions, thinly sliced 1 clove garlic, minced 1 cup quinoa
1 teaspoon dried oregano Salt and pepper, to taste 2¾ cups low-sodium chicken broth ¼ cup pine nuts, toasted 3 tablespoons chopped fresh parsley
All you do 1. H eat oil in a saucepan over medium-high heat. Add onion, bell pepper, green onions and garlic; cook and stir just until soft. 2. A dd quinoa, oregano, and salt and pepper to taste; sauté 1 minute to toast quinoa. Add broth. Bring to a simmer, and cover. Cook 10 minutes or until liquid is absorbed. 3. A dd pine nuts and parsley, and serve. Nutrition Facts per serving: 170 calories, 18 g carbohydrate, 10 g fat, 2 g fiber, 5 g protein, 210 mg. sodium Healthy Cells Ad - Heather_Layout 1 12/1/11 12:08 PM Page 1
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June 2012 — Quad Cities — Healthy Cells Magazine — Page 9
physical
Stretching for Optimal Performance:
Focus on Flexibility By Curtis Witt, MS, PT, Midwest Therapy Centers Operations Director, Occupational Health Services
We have all likely been in this situation: “It’s Monday morning and my body feels like I have been hit by a truck.” The choices we made over the weekend have finally caught up with us and we feel like we can’t even get out of bed. We became a “weekend warrior” and now have to pay the price. A “weekend warrior” is defined as a person who participates in a physically strenuous activity only on weekends or occasionally. It could be the yard work, exercising, playing games with the kids, or even helping your best friend move – activities that are not done on a daily basis and ones that make you sore for days afterwards. The human body is a well-oiled machine that adjusts to the pressures that are put on it. However, if we do the same activity day in and day out, our body is not prepared to step out of its comfort zone without giving us a great deal of discomfort. This is known as delayed
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onset muscle soreness (DOMS) and usually starts to occur in the first 24 hours after doing a strenuous activity and peaks between 24 and 72 hours after the activity. This may take five to seven days to fully dissipate from the body. This soreness is not felt while we are at rest but worsens with any increase in muscle loading, especially for larger muscle groups. So, with the common “weekend warrior,” they are just getting fully recovered from their soreness when the next weekend hits and the activity resume again. One of the keys to help alleviate DOMS is the importance of stretching. We are all taught from an early age in physical education class that it is very important to stretch before activity. However, we are not informed about the importance of stretching after activity, especially when the muscles have been stressed with exercise and are at a shortened position. Muscle fibers contract or shorten to produce force needed to perform activities and thus shorten, or tighten
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up, during activity. The majority of us are tired after completing these strenuous activities and our first desire is to sit down and rest. By doing this, we only help facilitate the shortening of these muscles and bringing forward the risk of injury. Stretching is a key component to assist with both lengthening the contracted muscles as well as helping to decrease the intensity of DOMS. There are keys, however, to the stretching; caution must be taken because if stretching is done incorrectly, it can lead to an increased risk of injury. Before you jump into a stretching program, make sure you do it safely and effectively. Consider these helpful tips to keep stretching safer: • Don’t Consider Stretching as a Warm Up – you are more apt to hurt yourself if you stretch cold muscles. Before you stretch, begin with a warm-up activity at low intensity. This could be light walking, jogging or common range of motion exercises. Also, consider holding off on stretching before any intense activity. Lengthening a muscle and then placing a large amount of strain or quick muscle contraction may lead to injury. • Focus on Large Muscles – there are numerous amounts of muscles that we use with each activity but stretching the large muscle groups is crucial to maintaining flexibility. Stretch the muscles that you use the most. Be sure to stretch both sides even though the majority of your activity may be done with one side of your body. • Don’t Bounce – while stretching, if you bounce with the stretch you can cause small tears in the muscles and this leaves scar tissue. Hold the stretches for 30 seconds and be sure to do each side three or more times. • Stay Away from Pain – expect to feel tension with stretching but not pain. If you find it painful to stretch then you have pushed too far. Move until you feel the tension and then hold at that position for the best stretch. • Sport-Specific Stretching – do stretches specific to the activity that you are doing. If you lift and move furniture all day then be sure to stretch the legs and back because they are the muscles doing the most amount of work. • Stay In-Tune with Stretching – while stretching can take a larger amount of time, you achieve the best results if you stretch on a regular basis. You will get the maximum benefits if you stretch at least three times per week. While stretching is important to optimal performance and wellness, in some cases you may need to approach a stretching routine with caution. If you have any injury or a long-standing condition, adjustments may be needed to your stretching program by changing the technique or routine. Keep in mind that stretching doesn’t mean that you can’t get injured. Talk to your doctor or physical therapist about the best way to stretch if you have any questions or concerns about starting a stretching routine for yourself or a family member.
Midwest Therapy Center’s team is experienced, enthusiastic, and has been recognized for our commitment to improving the quality of life by enhancing standards of patient care. Midwest Therapy provides onsite therapy services at four convenient outpatient locations in the QC area as well as at three Skilled Nursing facilities, including Ridgecrest Village, Iowa Masonic Health Facilities, and The Kahl Home. Visit us at 3740 Utica Ridge, Suite 4 in Bettendorf, 1647 Lincoln Way in Clinton, 4360 7th St. in Moline, and 1820 West 3rd St. in Davenport. Check out our website at www.Midwest-therapy.com or call 563326-1400. Midwest Therapy Centers is a division of Braaten Health, LLC, serving the Quad City Area for more than 10 years. Remember: It’s Your Life, Your Health, and Your Choice.
June 2012 — Quad Cities — Healthy Cells Magazine — Page 11
prevention
Home Safety For Seniors Submitted by East Moline Nursing and Rehab
W
e all think of home as our safe haven, and we want that to be true. More often than not, our home is actually unsafe, especially for seniors. Older people need to take special precautions to ensure a safe environment. Most accidents in the home can be prevented by the elimination of hazards. One hazard in particular for older people is falling. It is far too common that you will hear about an older person falling in their homes and suffering a broken hip. The mortality rates in the first year after suffering a broken hip is 25% and the rates are higher for older people. Furthermore, only about 25% of patients who sustain a broken hip return to the pre-injury level of activity. The majority of patients who sustain a hip fracture will require prolonged specialized care such as Page 12 — Healthy Cells Magazine — Quad Cities — June 2012
long-term nursing or rehabilitative care. Hip fractures in the elderly are most often caused by a fall, usually a seemingly insignificant fall. With June being National Home Safety month, take some time to use these brief checklists: • General Safety: emergency contact numbers posted near all phones, medications are stored in a safe place according to instructions on label, carpeting & rugs are not worn or torn*, small/loose rugs have nonskid backing and are not placed in high traffic areas*, extension cords/electrical cords are placed out of the flow of traffic and out from under rugs and furniture*, smoke alarms are present and regularly checked for proper function.
“Older people need to take special precautions to ensure a safe environment. Most accidents in the home can be prevented by the elimination of hazards.” •K itchen Safety: stove & sink areas are well-lit; when cooking, panhandles are turned away from other burners and from the edges of the stove; the range is not where curtains might fall onto a burner; drawers and cupboards are kept closed; a sturdy/stable stepladder or step stool is used rather than a chair to reach objects in overhead cabinets* • Bathroom: use nonskid mat or strips in tub/shower*, hand bars installed on wall near tub and toilet*, outlets are GFCI, install a night light in the bathroom*, use a raised toilet seat for those who have difficulty rising or lowering themselves*, install a hand held shower head, provide a bath bench for those who have trouble standing or with balance* • Living Room: furniture is sturdy & secure and not to low or deep to get in and out of easily and has full arms to aid in sitting or rising*, electrical cords are placed along walls*, arrange furniture to provide an open pathways* • Bedroom: use a night light*, have a sturdy chair with arms where you can sit to dress, keep the path from the bed to the bathroom clear, arrange furniture with plenty of room to walk around the bed*, keep a bed side lamp, phone and emergency contact information in easy reach from the bed. • Outdoor area: walkways and doorways have good lighting*, steps and walkways are in good condition*, handrails are sturdy & securely fastened*, garage is well ventilated *Denotes fall prevention tips Follow these suggestions in making you or your loved ones home a safer place to live. If you are unable to visit your loved one or would like assistance yourself with checking the items on this list call East Moline Nursing & Rehab at 309-755-3466. For the month of June, some our staff members will be taking appointments for free-of-charge home visits to assist you in assessing any hazards that may exist.
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563.388.2628 Investment Products • Are not insured by the FDIC or any other federal government agency • Are not deposits of or guaranteed by the bank or any bank affiliate • May lose value June 2012 — Quad Cities — Healthy Cells Magazine — Page 13
professional planning
Is a Charitable Remainder Trust Right for You? By Cody Allen, Assistant Vice President / Trust Officer, Northwest Bank & Trust Company’s Investment Management Group
D
orothy Smith, age 57, had a simple request for her trusted banker—“I want more income from my investments.” After a review of the current rates on her CDs, the interest rates on her bond portfolio, and the dividend payments from the stocks she inherited from her father years ago, Dorothy’s situation wasn’t an uncommon one in today’s investment environment. Unfortunately, her living expenses were higher than the interest and dividend payments being produced by her investments. Dorothy was reducing the principal balance of her investments each month to cover her expenses and that made her uneasy. Therefore, Dorothy and her banker decided to look for alternatives so they called the bank’s Trust Department to determine if they had any ideas. After getting up to speed on Dorothy’s financial and estate planning situation the Trust Officer asked a question that focused Page 14 — Healthy Cells Magazine — Quad Cities — June 2012
on the stock she inherited from her father years ago. “Have you heard of a charitable remainder trust?” A Charitable Remainder Trust (CRT) can be a great way for individuals to receive a consistent and reliable income stream and at the same time produce tax savings that will not only benefit the investor but possibly their family and their favorite charities for years come. Here is how it works: The Charitable Remainder Trust is an irrevocable trust that enables the donor (called grantor) to give money or property to a charity while continuing to receive income from the property for life or for a period of time (not to exceed 20 years). The income that is paid from the trust will never be less than 5% or more than 50% of the balance. The grantor and/or other beneficiaries (the income beneficiaries) receive distributions from the trust annually, then when the trust ends the charity (remainder beneficiary) receives the remaining assets in the trust. The grantor also gets an immediate income tax deduction for the remainder interest, plus they defer or avoid capital gains tax on donated assets, and they can also receive gift or estate tax deductions for the remainder interest. Dorothy saw this as a fantastic solution and she decided to place the sizable portfolio of utility stocks she received from her father into the Charitable Remainder Trust. This worked well for three reasons. First, she was guaranteed to earn a 5% rate of return or better which was a significant improvement from the existing rates on her CDs, bonds, and stock dividends. And she was ensured to receive this income for many years to come. Second, she was able to greatly reduce the capital gains taxes she would have incurred if she sold the stocks when they were in her name instead of the trust. If she would have sold the stock outside of the trust she would have owed capital gains tax on all the gains those stocks have accrued over the years. Third, she guaranteed that her church (the charity she selected) would receive a very generous contribution (the remaining balance of the trust) upon her passing. Charitable Remainder Trusts isn’t the best solution for everyone who is looking for income producing investments however it can be a very efficient tool for the right situation. It’s also important to note that Dorothy funded her trust with appreciated stocks, however, there are many types of assets that can be used to fund a Charitable Remainder Trust. Each is unique to the individual and their situation. Northwest Bank’s Investment Management Group has the ability and knowledge to help you make the decisions that are right for you. Call us today.
improved hearing
How long does a hearing aid last and is there anything I can do to prolong it? Submitted by Audiology Consultants, P.C.
O
n average, hearing aids last between five to seven years. Hearing aids are similar to other electronic devices in that over time technology continually improves. Typically, within five to seven years, hearing aid technology improves significantly enough to warrant the purchase of new hearing aids. Also, with time and consistent use, the electronic components in hearing aids will wear out and need to be replaced. There are several ways to prolong the use of hearing aids. First and foremost, appropriate use and care are essential. One part of appropriate hearing aid care is daily cleaning. Your hearing care professional most likely reviewed how to clean your hearing aids when you were first fitted with the hearing aids or at one of your follow up appointments. If you have questions regarding how to clean your hearing aids, be sure to contact your hearing care professional. Along with daily cleaning, an additional component of hearing aid care is keeping your hearing aids protected from excessive moisture. If moisture is a concern, your hearing care professional will be able to give you some suggestions for protection against moisture. One helpful tool for moisture protection is a Hearing Aid Saver, which removes excessive moisture through the use of desiccant beads. Again, your hearing care professional will be able to tell you if a Hearing Aid Saver is an appropriate option for you. Along with the care you provide, it is recommended that you see your hearing care professional every six months for a hearing aid check. This provides your hearing care professional the opportunity to be sure your hearing aids are in good working order and also allows your hearing care professional to thoroughly clean your hearing aids and make any necessary adjustments. Additionally, semiannual appointments provide you the opportunity to discuss any questions or concerns you may have regarding your hearing aids. The recommendations for prolonging hearing aid use are numerous. Therefore, specific questions and concerns can always be directed to your hearing care professional. Since hearing aids are worn every day, some wear and tear is inevitable over time; however, consistent and appropriate care along with proper follow-up can make a significant difference in prolonging hearing aid use. For more information about Audiology Consultants, P.C., call 563-355-7712 or visit www.audiologyconsultants.com.
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June 2012 — Quad Cities — Healthy Cells Magazine — Page 15
breast cancer
Advanced Manual Therapy for the Shoulder Girdle: A Massage Technique For Post-Mastectomy Patients By Deidra Dunbar, LMT, Absolute Balance Chiropractic
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n the United States, there are over 2.6 million breast cancer survivors. In fact, 39,520 of these women have been told they are expected to die from this disease. However, the mortality rate for women under the age of 50 has been decreasing since 1990, and these decreases are thought to be a result of advances in treatment, earlier detection and increased awareness. The number of effective treatments available has increased due to the understanding that breast cancer is not just one disease. There are various types of breast cancer and each one has its own unique characteristics. Knowing this has allowed physicians to prescribe specific treatments for specific types of breast cancer. Mastectomy (removal of entire breast), lumpectomy (removal of tumor), radiation, chemotherapy, hormone therapy and/or targeting drugs are common ways we attack the spreading of cancer cells and are very effective in controlling breast cancer but these treatments can also leave the survivors with adverse side effects. The battles these women have to face throughout treatment can leave their bodies in a fragile, exhausted state with painful scar tissue and limited mobility that will affect them in their everyday life. What options are out there for these survivors? Although removal of the cancer and treatment has commenced, it is very common for the survivor to feel both stressed and excited. They are relieved to be finished with the grueling treatment schedules and harsh side effects, but are still worrying about possible recurrence of the cancer and want to get back into a normal state of well-being. The body’s natural response to trauma is to guard and protect the sensitive area. However, lack of mobility will allow painful scar tissue to build causing pressure, pain, heaviness and numbness in the arms, hands and fingers. Advanced manual therapy for the shoulder girdle and breast tissue massage for post-surgical cancer patients is a specific technique used by massage therapists, which can break up painful scar tissue. Massage can help with joint mobilization, easing of pain, improve lymphatic flow and can provide comfort during these strenuous times. Treatment includes a combination of Myofacial release techniques and Swedish massage techniques to promote circulation and drainage. Skin Rolling, Circular Friction, Cross Fiber Friction, Joint Mobilization and Rocking are a few specific examples of manual therapy that can be used. Your therapist should not and will not work directly on undiagnosed lumps or directly over tumors. They should be trained in contraindications and essentials for massage and cancer survivors, and will never go out of the client’s pain threshold. Treatment of scar tissue can improve the quality of the scar, thereby reducing pulling and pressure by breaking up and softening the tissue, which will aid in recovery and give its recipients much needed comfort. When skin rolling and circular friction are applied to the affected areas, the scar tissue is mobilized and the patients feel the tension release. This allows a wider range of motion, an increase in comfort level Page 16 — Healthy Cells Magazine — Quad Cities — June 2012
and deceased pain. Increased flow of the lymph is another benefit to this technique. Lymph nodes act as filters or traps for foreign particles and are important in the proper functioning of the immune system. The effects of breast cancer treatment, radiation, or surgery can hinder the performance of the lymph nodes. Removal of the nodes themselves is also very common. During surgery, tissue around the breast is damaged or removed and the lymph nodes are unable to function properly, hurting their already weakened immune system. Massage therapists use manual therapies and lymph drainage therapy or LDT to combat these effects. When circulation of lymph, blood capillaries, veins and interstitial liquids are assisted, toxins are removed making manual therapies very beneficial in post-surgical recovery. Breast tissue massage is not just a post-surgical treatment. All women and yes, even men, should have their breast tissue addressed in their massage session. Work can be done through a sheet so all comfort levels can be attained. Your breast is just like any tissue in
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feature story
Mississippi Valley Pain Clinic Quad Cities’ First and Only Comprehensive Pain Clinic Submitted by Mississippi Valley Pain Clinic
Mississippi Vally Pain Clinic and it’s staff, Dave, Tosha, Rosina, Lisa, Susan, Dr. Dooley. Bottom row Gina, Nancy, Penny
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ne in four people suffer from chronic pain (pain lasting more than three months)—116 Million adults—more than the total affected by heart disease, cancer, and diabetes combined. These numbers from the “Report on Chronic Pain” Institute of Medicine (2011) are staggering. Pain costs the United States up to $635 billion each year, an amount equal to about $2,000 for everyone living in the United States in medical treatment and lost productivity. This is a call to action for health activists and advocates educating themPage 18 — Healthy Cells Magazine — Quad Cities — June 2012
selves in order to work toward better and more comprehensive pain management. Chronic pain is pain that is present for longer than the usual period of time damaged body parts or tissue takes to heal, which is about six weeks. Once the pain lasts longer than that period, changes in the nervous system can occur which increases the intensity of pain and leads to a long-term chronic condition. Oftentimes this chronic condition leads to deconditioned or weaker supporting tissues and muscles. The
situation becomes a vicious circle that sustains itself and interrupts the activities of daily life. Other factors such as sleep disruption and situational depression can develop as well. The progression creeps along so it is hard to notice. The situation of chronic pain can be life changing for those in pain and their families. Job performance, schoolwork or family interactions can also suffer. Dr. John Dooley understands this growing, under served population and the layers of impact that chronic pain has on their lives and often the lives of their families. “I strive to work closely with the primary care providers because I know the impact on those practices managing their chronic pain population and now I can offer them a truly interventional pain management resource for their patients. Chronic pain truly is a huge evolving specialty, no longer recognized as a subspecialty,” explains Dr. Dooley. There has been a call to action that Mississippi Valley Pain Clinic is prepared to answer for its colleagues and community. “It is clear to me that a comprehensive program is what is needed for these patients to succeed,” states Dr. Dooley. Dr. Dooley has been treating patients suffering from chronic pain since 1996, and has opened his new comprehensive pain clinic, Mississippi Valley Pain Clinic, this past spring. Mississippi Valley Pain Clinic will provide patients with a physician (Dr. Dooley) who is board-certified in anesthesiology, critical care and Pain Management, two nurse practitioners, an in-house psychologist specializing in chronic pain, in-house massage therapists, two nurses, and two medical assistants. Our program is developed and continues to evolve for the success of our patients, colleagues and community. We feel having emotional support by our in-house psychologist is essential for the success of our patients. “Not everyone has the same coping skills, and recognizing that patients may need some guidance is part of my job,” shared Dr. Dooley. Some people despair and others seek pain-killing medicine to ease the suffering of chronic pain. Neither of these options produces longterm improvement. Pain-killing medication is dangerous because the amount required to produce significant relief is close to the amount that produces life-threatening effects; this is known as a narrow therapeutic window. It requires careful monitoring of the effects of the painkillers and strict adherence to prescription directions. Unfortunately, directions are frequently not followed, the medication not secured, or the medication diverted to non-prescribed uses. Drug overdose deaths are at epidemic proportions in the United States today. In 2008, 36,450 deaths occurred from drug overdoses, which include illegal drugs such as cocaine and heroin along with prescription painkillers. This should be alarming enough for anyone taking these medications or their family members to be genuinely concerned. Medical advances do offer alternatives for many types of pain. The advances are usually improvements on existing techniques that can help an expanded list of pain problems or can be offered to those with health issues that would not allow the usual treatment to be offered. A review of newer advances follows. Neurostimulation is a medical procedure whereby gentle microcurrents are applied to nerves so that the painful impulses that nerves carry are reduced. This technique has been around for years, but were more rapidly developed over the past 30 years. Painful impulses may come from nerves that have been damaged by trauma, herniated discs, scar tissue, diabetes, circulation problems, or infections. Often these medical problems leave nerves in a damaged state and those nerves can then produce abnormal impulses that are felt as pain. When damage is early, the pain is usually constant with a burning or shooting quality while later it can feel like a deep ache. Different nerve fibers produce different painful sensations. When usual treatments with anti-inflammatory drugs, steroid injections, anti-convulsant drugs,
Dr. Dooley sharing the effects of spinal stenosis on everyday tasks and the simple treatment he performs. anti-depressant drugs, chiropractic care, physical therapy or previous surgery fail, then treatment with neurostimulation may be suitable. “One attractive aspect to considering this type of technology to modify pain is that it can be tried before it is permanently placed,” explains Dr. Dooley. The trial involves placing the electrode contact leads or wires through a needle next to the nerve that is to be neurostimulated. The trial leads are placed under local anesthesia and mild sedation in an office, surgery center, or hospital. The trial period is usually about five to seven days and patients are on antibiotics to prevent infection where the lead enters the skin. Success is based on amount of pain reduction, pain medication usage reduction, and improved activity of daily life. If a successful trial is the result, then a permanent generator and leads can be placed as an outpatient under mild sedation with local anesthesia. Surgical technique advancement has focused in recent years on reducing the amount of collateral damage that is done to the body structures that surround a disease process inside of the body. There is demonstrated value in disturbing the least amount of normal body during surgery to correct a diseased area. Recovery and complications are frequently less and the amount of disturbance to normal body functions at the time surrounding surgery is lessened. A newer procedure called MILD, fits into this category of treatments. June 2012 — Quad Cities — Healthy Cells Magazine — Page 19
feature story continued MILD is used to treat the pain that can develop when the main canal containing the spinal cord nerves becomes obstructed. The obstruction is the result of normal degenerative changes that occur with aging. Most of us know that our spines are composed of segments that are held together by ligaments and other supporting structures. These segments are normally strong yet flexible so that we can bend forward and backward, bend side to side and twist from side to side. Part of the structure is known as an intervertebral disc which is composed of spongy tissue with high fluid content and acts much like a shock absorber. As we age, the fluid content of the shock absorber lessens which can cause a loss in the height of the disc. The adjacent spine structures will also have to lose height because they are connected. The obstruction in the main spinal canal is worsened when we are upright and walking, which further pinches on the nerves in the canal leading to pain. Sitting down, lying down, or leaning forward tends to reduce the obstruction enough to relieve the pain. This type of pain is known as neurogenic claudication and the obstruction is called spinal stenosis. The usual approach to treating spinal stenosis is to inject anti-inflammatory steroids into the spinal canal to reduce the nerve swelling and inflammation caused by the obstruction. It may work for a while but the pain inevitably returns because the injection does not relieve the obstruction. Surgery can be done to take out the obstruction but it can be a more complicated surgery with higher complication rates. To undergo such an operation, there cannot be many other health problems that may increase the risk. Dr. Dooley showing a “pacemaker for pain” procedure easily trialed in the office procedure suite. Because this affects many elderly folks who may have other significant health problems, the operating is not an option or is not presented to be considered. which leads to less of the side effects which can decrease the quality of MILD may be an option for those that are not offered the usual oplife.” The pumps are small but usually can contain enough medication eration because it can be done under local anesthesia and sedation on to last two to three months. They are placed just under the skin and an outpatient basis. MILD is less invasive because it is done through are filled through a needle port periodically, and the batteries last about needles. It does not disturb much tissue but only takes out the part of five to six years. the obstruction caused by the ligament that has wrinkled in the main spinal canal. The procedure also is done in a way that only takes what All of these techniques are available in the Quad Cities at Misis necessary to relieve the obstruction as seen on X-rays done during sissippi Valley Pain Clinic, P. C., located at 5515 Utica Ridge Road, the procedure. The procedure has been done for the last five years Davenport, Iowa. The Clinic offers services as a team of health care and the results are encouraging in that about 70% of people get 50% providers including John B. Dooley, MD, Director; Susan Alden, Adbetter. Mobility is increased and pain improved. vanced Nurse Practitioner; Nancy K. Jipp, Advanced Nurse Practitio A final therapy that can be considered for chronic pain involves ner; and Rosina Linz, PhD, Pain Psychologist. Dr. Dooley has 20 years the delivery by a pump of medications directly into the spinal cord area of pain management experience and currently is the only physician in through a small tube. The number of different medications that can Iowa certified to perform the mild procedure. More information is also be used to lessen pain in this fashion has greatly expanded in the past available at www.mvpainclinc.com or 563-344-1050. Dr. Dooley also 10 years. There are close to seven different levels of medications or blogs as time permits at mvpainclinc.wordpress.com, twitter @painchat medication mixtures to consider. Different medications produce differor join us on facebook. We offer complimentary spine pain “Chat with ent effects and can be varied to treat different types of chronic pain. a Nurse” education every Wednesday 10–11am by one of our trained Dr. Dooley says, “One of the attractive aspects to this therapy is nurses at the office. Come learn about our procedures and how we that the amount of medication required to produce a result is very small may “relieve your pain, so you can resume your life.” Page 20 — Healthy Cells Magazine — Quad Cities — June 2012
I’VE NEVER UNDERSTOOD WHY MY HUMAN WON’T LEAVE THE HOUSE WITHOUT HER LEASH. I THINK SHE’S AFRAlD OF GETTING LOST. BUT IT’S OK, I KIND OF LIKE SHOWING HER AROUND. — HARPER adopted 08-18-09
June 2012 — Quad Cities — Healthy Cells Magazine — Page 21
expanding care
Pediatric Specialty Clinic Opens in Bettendorf By Linda Barlow, Genesis Health System
Genesis, UI Children’s Hospital unite to help QC kids
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or Quad City-area families who have children with special health needs, the road to Iowa City and the University of Iowa Children’s Hospital is a well-travelled one. A visit to their child’s pediatric specialist can be an all-day commitment, with parents having to take off work, kids missing school and the cost of gas and possible lost wages posing a financial hardship. Then there is the stress of arranging childcare for other children or getting home in time to meet them at the bus when school lets out. A new collaboration between Genesis Health System and the UI Children’s Hospital will bring highly specialized pediatric care closer to home with a new joint pediatric specialty clinic located in Bettendorf, leaders announced on the second of April. “The University of Iowa Children’s Hospital has been in this community for many years, but this is really the first time we are bringing multiple pediatric specialties here to work with the community,” said Jean Robillard, MD, UI Vice President for Medical Affairs. “We look forward to working with Genesis to make this a real success for the community, as well as for the children of Iowa.” Page 22 — Healthy Cells Magazine — Quad Cities — June 2012
The services offered include Pediatric Cardiology, Electrophysiology, Genetics, Nephrology, Neuromuscular, Surgery and Child Health Specialty Clinics for children with special needs. The specialists are in Suite 500 at the Genesis Health Group offices located at 865 Lincoln Road in Bettendorf. “This is really a great day for our youngest patients and their families,” said Doug Cropper, President and CEO of Genesis Health System. “It’s a pleasure for Genesis to be able to collaborate with one of the leading children’s hospitals in the country and to do that in a way that increases the level of care provided locally.” It’s a natural fit for both Genesis and UI Children’s Hospitals, Cropper added. “We’re both committed to quality; we’re both committed to excellent patient care; and, we’re both committed to service and high patient outcomes. The bottom line is this: The winner today is children and families in the Quad Cities because they won’t have to travel as far.” UI Children’s Hospital is one of the most respected children’s hospitals in the world and is highly ranked nationally for many specialties.
A history of collaboration Genesis and the University of Iowa already have a successful history of collaboration. Highly skilled UI Children’s Hospital neonatal intensive care physicians care for sick and at-risk babies in the neonatal intensive care unit (NICU) at Genesis Medical Center, East Rusholme Street, Davenport. “Families who live here prefer to have their babies closer to home,” said neonatologist Sunny Arikat, MD. “Babies are not just alone... they’re a close unit with mom and dad. Maternal bonding and breastfeeding are so important, too.” He practices at Genesis with fellow UI neonatologists: Drs. Ram Niwas, Jeffrey Segar and Zahi Zeidan, the NICU’s Medical Director. Since University of Iowa specialists are based at Genesis, “Parents can spend more time with their baby and have more trust and faith, knowing that there’s continuity of care between here and University of Iowa,” Dr. Arikat added. For the past 14 years, Vickie Pyevich, MD, a clinical associate professor in the UI Department of Pediatrics, has provided pediatric cardiology care and treated children diagnosed with lipid disorders at the Genesis Heart Institute on the East campus. “It’s scary to have a child with special health needs. Families so appreciate the ease and comfort of staying home, knowing their children can receive care from a highly trained sub-specialist who will come to their hometown,” said Dr. Pyevich, whose office will remain at the Genesis Heart Institute. “I’m so proud to be part of two health care institutions that find it important to collaborate so we can bring these experts to town.” In addition, Riad Rahhal, MD, and Judith Heckman, PA-C, sees patients twice a month in a special pediatric gastroenterology clinic at the Center for Digestive Health and Gastroenterology Associates P.C., located at 2222 53rd Ave. in Bettendorf. “Our specialists provide pediatric specialty care to communities throughout the state in collaboration with local providers,” said Thomas Scholz, MD, Interim Head of the UI Department of Pediatrics and Physician-in-Chief of UI Children’s Hospital. “Relationships with local providers not only improve access to pediatric specialty care for children and their families, but also lead to better health outcomes and lower medical costs.” Dr. Scholz added, “Initially, we will have two full days of clinic in Bettendorf a week. That’s roughly 40 families a week now that will be spared making a trip to Iowa City. We anticipate the number of these clinics will only expand. One of the wonderful aspects of this collaborative effort is that it provides us a central location. Previously when we had a clinic in the Quad Cities area, we had to identify a location and it wasn’t always the most accessible to patients.” Dr. Pyevich’s practice illustrates successful growth of a pediatric specialty in the Quad Cities. When she began her clinic 14 years ago, it was twice a week. Today, the clinic operates four days a week and has a six-week waiting list. As a result, UI Children’s Hospital has brought in another pediatric cardiologist to come twice a month, Dr. Scholz said. Offering eight pediatric specialties is only the beginning, Cropper added. “Likely, the next step in addition to other specialties are diagnostic and testing services for children so families don’t have to travel to University of Iowa.” He concluded, “In the Quad Cities, Genesis is the leader in pediatric care, but there are so many sub-specialties, we can’t offer them all. Collaborating to bring more specialists here for the children of the Quad Cities is a huge opportunity.” Children, who require additional care, or more urgent consultation, will receive care at UI Children’s Hospital in Iowa City. To schedule an appointment, call 877-891-5350.
3450 30th Avenue, Suite #4 Moline, IL 61265
(309) 764-2346 June 2012 — Quad Cities — Healthy Cells Magazine — Page 23
organic foods
Clearing Up Food Confusion By Karen DeVault, RN, BCHHP, Holistic Alternatives, LLC
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ave you ever been confused by labels? How do you know that what you’re eating is really healthy? Of course, my motto is to buy organic whenever possible, but what about the difference between whole grain and multi-grain for example? Is there a difference? Or grass-fed beef vs. grain-fed beef? Is there a benefit to one over the other? Do you even consider or care where your seafood comes from, whether wild-caught or farm-raised? If you’re on a tight budget, which most of us are, how can you save some money when shopping for organic produce? Well, read on and, hopefully, this will clear up any confusion. Produce (according to a CBS report) The “Dirty Dozen”—There are 12 reported fruits and vegetables with the highest pesticide count (or 12 fruits and vegetables you should buy organic): peaches, apples, bell peppers, celery, nectarines, strawberries, cherries, kale, lettuce, grapes, carrots and pears. I recommend purchasing all berries as Certified Organic. The “Clean 15”—There are 15 reported fruits and vegetables that have a low pesticide count (or 15 fruits and vegetables that are OK to buy non-organic): onions, avocados, sweet corn, pineapple, mango, asparagus, peas, kiwi, cabbage, eggplant, papaya, watermelon, broccoli, tomato, sweet potatoes. With this in mind, I recommend that if you can afford to, then purchase only Certified Organic produce, because it has been shown to contain far more nutrients, including minerals. Remember, the health of a plant is only as healthy as the soil it grows in! Why Should You Care About Pesticides? The growing consensus among scientists is that small doses of pesticides and other chemicals can cause lasting damage to human health, especially during fetal development and early childhood. Scientists now know enough about the long-term consequences of ingesting these powerful chemicals to advise that we minimize our consumption of pesticides. Of course, I recommend doing all we can to eliminate these chemicals as it pertains to our food and in that case, it requires eating organically grown foods. Will Washing and Peeling Help? Nearly all the studies used to create these lists assume that people rinse or peel fresh produce. Rinsing reduces but does not eliminate pesticides. Peeling helps, but valuable nutrients often go down the drain with the skin. The best approach is to eat a varied diet, wash all produce with a vegetable wash that can be purchased in the produce section, and buy organic when possible. Poultry/Eggs Free range or free roaming, according to the U.S. Department of Agriculture, means producers must demonstrate to the Agency that the poultry has been allowed access to the outside. What is organic chicken? Organic chicken is chicken that has only been fed organic grains, which means that no pesticides or chemicals were used on the farm to grow the grain in the last three years. The chicken must also never have been given antibiotics, drugs, or hormones to accelerate growth, though they will be given medicine should they fall ill. Also, the chicken must be given free range with access to outdoors and be treated properly. Page 24 — Healthy Cells Magazine — Quad Cities — June 2012
Beef Grass-Fed Beef—The definition of grass-fed beef generally means beef from cattle that have eaten only grass or forage throughout their lives; however, some producers do call their beef grass-fed but then actually finish the animals on grain for the last 90 to 160 days before slaughter. Grass-Finished Beef—A more specific definition is Grass-finished beef. Finishing is just another word for the time that cattle are normally fattened for the last few months before processing. Typically, feedlots finish cattle for 90 to 160 days on grain, usually corn; whereas, grassfinished cattle are fattened on grass only, until the day that they are processed.
How does grass-finishing compare to grain-finishing? When considering the definition of grass-fed beef, most beef animals have probably eaten grass at some point in their lives, but the important thing is that they’re “finished”, or fattened on grass, rather than grain, for the 90 to 160 days before slaughter. During those few months of grain-finishing, the levels of important nutrients like conjugated linoleic acid (CLA) and omega 3 decrease dramatically in the beef animal’s tissues. It is in the finishing process that those levels and ratios drastically decline because of the grain feeding, and that is why it’s so important to make sure that the beef you eat is not only grass-fed, but grass-finished. Seafood From both a nutritional and environmental impact perspective, farmed fish are far inferior to their wild counterparts. Despite being much fattier, farmed fish provide less usable beneficial omega 3 fats than wild fish. Due to the feedlot conditions of aqua farming, farm-raised fish are doused with antibiotics and exposed to more concentrated pesticides than their wild kin. Farmed salmon, in addition, are given a salmon-colored dye in their feed, without which, their flesh would be an unappetizing grey color. Aqua farming also raises a number of environmental concerns, the most important of which may be its negative impact on wild salmon. It has now been established that sea lice from farms kill up to 95 percent of juvenile wild salmon that migrate past them. The only downside to wild caught salmon is the price, often times up to $10 more expensive than farm-raised per pound...but, isn’t your health worth it?
Some additional points to consider are that non-organic beef and chicken are fed growth hormones to make them grow bigger and faster, hence more profit. They are also given antibiotics to prevent or treat infections as a lot of these cattle are in large, confined feedlots. Chickens are in deplorable housing conditions. The grain they are fed has not only been sprayed with many different pesticides, herbicides and fungicides, but it is highly likely that the grain itself is from Genetically Modified Seeds. We have no idea the ramifications these seeds will have on our health. GMO seeds are best to be avoided!! Unless it is certified organic, you are taking a chance that you are consuming a GMO product. Grain can also be tainted with antibiotics as an easy way to treat the animals. Non-organic produce can also be from Genetically Modified Seeds. Karen DeVault is the owner of Holistic Alternatives, LLC. She is a Registered Nurse and Board Certified Holistic Health Practitioner who specializes in Whole Food Nutrition and Essential Oil Techniques (Raindrop; Emotional Release and Neuro-Auricular). Her office is located at 2435 Kimberly Rd. in Bettendorf. Her phone number is 563-340-5999, by appointment. Visit her website at www.KarensHolisticAlternatives. com or email her at holistic.alternatives@yahoo.com These statements have not been evaluated by the FDA. Karen does not diagnose, treat, cure or prevent disease. Her services are not intended as a substitute for regular medical care.
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June 2012 — Quad Cities — Healthy Cells Magazine — Page 25
senior living
About CASI! Submitted by CASI This space generously donated by Guardian Family Care Inc.
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he Center for Active Seniors Inc., (CASI), is a community and activity center for seniors 50+ living in thegreater Quad Cities region. Located in Davenport on West Kimberly Rroad, the stateof-the-art facility boasts more than 40,000 square feet of activity and resource space. CASI serves 1,800+ members and experiences over 129,000 annual visits each year. The average age of CASI members is 68 and membership to CASI is only $24 per year! The activities and programs are free or of at minimal cost to CASI members. Nonmembers are welcome to join in, with affordable pricing for all of the activities and programs. Daily activities at CASI are varied and designed to address the interests of all seniors,s and ranginge from morning exercise programs, to educational forums, to artand art and language classes. CASI also offers a breakfast and lunch in café (Eleanor’s Café), a Library (with the area’s only AARP Resource Center), a computer lLab, a gift shop, a ceramics room, an arts & crafts room, a music room, a billiard rRoom, and a “Fit for Life” Fitness Center. The weekly activities calendar gives our members a variety of choices like: Gentle Exercise Class, Zumba, Page 26 — Healthy Cells Magazine — Quad Cities — June 2012
Yoga, Cards, Line Dancing, Tai Chi, Art Classes, Bingo, Band, & Chorus and much more! The Mmonthly events consist of Movie Matinees, Book Club, Travelogue, Talk of the Town, and more. CASI’s GenAge Café provides nutritious, and delicious meals Monday through Fridays, from 11:30 am to 12:30 pm. A typical menu would includes a healthy portion of required food groups like protein, carbohydrates, and vegetables. CASI suggests a donation of $3.00 to go towards the cost of the meal. Studies have shown that volunteering increases people’s happiness and healthiness. CCASI has volunteer opportunities with special events, customer service, adult day care and the Listen to Me Read Program. Listen to Me Read Program is a multigenerational program that builds a positive relationship between youth and adults in Scott County grade schools by . Volunteers are places out in Scott County grade school and working one-on-one with students. Providing encouragement, motivation and support with reading skills. to encourage, motivates an support them with their reading skills. Annually, CASI volunteers from all demographics of the community, log over 31,000 hours!
CASI also hosts various support groups that offer a forums for conversation, sharing and education. Groups include: Grief Counseling, ParkinsonsParkinson’s Support Group, Low Vision, Caregiver Support Group, etc. CASI also offers services through our valuable partners: • Mississippi Valley Regional Blood Center, has a plasma donation site at CASI • Genesis Heallathth Systems, has a clinical space that offers free, blood pressure checks and, foot care clinics and more! • The Courtyard Styling Salon, operated by Stylist Linda Powers, offers a wide range of beauty and styling services • Burlington Trailways (the travel partner to Plus 60) has recently opened an office in CASI and offerings a wide range of travel opportunities SOCIAL SERVICES Navigating through all the information and options of health care and services can be overwhelming. CASI’s Advocacy Service is available Monday through Friday, 8:00 am–5:00 pm, to assist seniors and their and their families with providing knowledge, education, referrals, and assistance for senior services in Scott County. The Senior Advocates assist seniors and their their families with building a comprehensive care plan that will allow the senior to remain in a living situation that is as independent as possible. JANE’S PLACE CASI operates the only Adult Day Services facility in Scott County, Iowa. Jane’s Place serves seniors with early onset dementia, seniors with specific physical needs and seniors who enjoy daily routines filled with physical and mental activities and social interactions. Jane’s Place also provides caregivers with much needed respite while offering seniors a structured, home-like environment that encourages fun interactions and nutritious meals and snacks, all within a friendly group setting. Studies have shown that people effectedaffected by memory loss can benefit on many levels by interacting with others. on a daily bases. Through socialization and interactive stimulation, a senior’s feeling of isolation and loneliness decreases and as they experience increased physical and mental capabilities. COMMUNITY SUPPORT Did you know the number of persons over the age of 65 living in our community is increasing by 6% every year and the number of persons over the age of 65 living in our community will double by 2025? CASI must be proactive in the preparingation for this significant increase! The
number of Sservices and providers will be in higher demand and the only way the community will be ready for this is if we act NOW! CASI has initiated a “Strategic Agenda” fund-raising campaign designed to address three critical areas of current and future needs: • Debt Reduction By eliminating CASI’s $280,000 debt, we will see a net increase of $30,000 a year to assist with program and service funding. • Capital Improvements In addition to replacing furnishings and equipment that have reached their useful lifetime, improvements to operational efficiency (like photo voltaic cells to reduce utility costs) and program expansion and enhancement (Jane’s Place Snoezelen Sensory Room) will be addressed. • Opportunities Fund The University of Iowa is conducting a needs assessment for CASI and the community. The results of this assessment will confirm and supplement what action steps CASI already is aware to address and meet the needs of the growing senior population. These funds will be used to implement programs and services.,. To learn more about CASI, Jane’s Place or Senior Advocacy, please visit our website at www.CasiSeniors.org, call us at 563-3867477, or stop in for a tour of CASI and Jane’s Place. CASI holds true to its mission to provide services that meet the needs of older adults, and fosters respect, dignity and quality of life every day to our members and our community.
Holistic Alternatives, LLC Whole Food Nutrition • Essential Oil Techniques
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financial health
Do I need life insurance
at my age? By Julie Fuhr, Modern Woodmen of America
T
aylor Swift. Mariah Carey. Stevie Wonder. What do these people have in common (besides powerful lungs and a few Grammys on their shelves)? Despite their age differences, all three have a need for the protection life insurance provides. Whether you’re a Taylor, a Stevie or someone in between, you have protection needs too. However, the reasons behind those needs are likely different. Age is just one factor that influences the type of life insurance you purchase, how much you need and the primary reason for owning it. Check out the chart inside for some points people in your age group may want to consider. Then contact your representative to discuss your individual needs.
Page 28 — Healthy Cells Magazine — Quad Cities — June 2012
June 2012 — Quad Cities — Healthy Cells Magazine — Page 29
safety
Helping Seniors Drive Safer, Longer S
ince January 2011, nearly 10,000 Americans turn 65 every day, joining the fastest growing age group in the nation. According to a recent American Automobile Association (AAA) survey of that booming population, nearly half of seniors worry about losing their freedom and mobility when the time comes for them to transition from driver to passenger. From understanding how vision changes affect one’s ability to drive at night, to researching the effects certain medications can have on one’s driving ability, it’s important to get the facts about driving for seniors. Use these tips from AAA to ensure you and your family members are driving safely: Evaluate your driving It’s important to take time to consider one’s driving “health” and habits. For instance, when was the last time you had an eye exam? You can take a Driver 65 Plus self-assessment at www. SeniorDriving.AAA.com to get a clear picture of just how good your driving skills really are, and get suggestions for improvement. Be aware of how aging affects driving habits Seniors may not notice the gradual ways that age can impact their driving ability. For instance, by age 60, your eyes need three times the amount of light to see properly as they do for people 20 years-old, which means it’s more difficult to see at night. Likewise, one-third of Americans suffer from hearing loss by age 65, which means senior drivers may be unable to hear high-pitched noises such as emergency response vehicles. Reaction times can be slower for seniors as well. But preventative measures can go a long way: • Seniors should increase the distance between their car and the car in front of them to allow more time to react to sudden braking. • Eliminating distractions in the vehicle and avoiding heavy traffic can also help seniors identify emergency sirens. Page 30 — Healthy Cells Magazine — Quad Cities — June 2012
CELEBRATING! ONE YEAR OF Patient Care
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309-792-0200 Quad Cities Chamber of Commerce Ribbon Cutting Ceremony at new Silvis site on January 24, 2011
1. Prepare for a drive by adjusting your mirrors and seat to ensure you can see properly. Always wear a seatbelt. 2. Eliminate distractions, such as the car radio, which can interfere with you ability to hear emergency response vehicle sirens and other important sounds. 3. Avoid driving in bad weather, heavy traffic or at night. 4. Making left-hand turns can be difficult for people with limited vision. Avoid left-hand turns at intersections with signals by making three right hand turns around the block when possible. 5. M anage slower reaction times by increasing the amount of space between your vehicle and the car in front of you, allowing for more time to react to sudden braking.
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Weight Loss Clinic Find the right fit Many seniors may not realize that their car may not be optimally adjusted to fit them. For example, sitting too close to the steering wheel can cause injury should the airbag deploy during a collision. • Make sure you have at least 10 to 12 inches between your chest and the steering wheel. • When seated properly, you should be able to see the ground in front of your car within 12 to 15 feet and 1–1/2 car widths left and right. • Visit www.car-fit.org to assess the safety of your vehicle, find the proper seat and mirror adjustments, and more. Talk with your doctor and pharmacist Ensure that the medications you take—both prescription and over-the-counter—will not impair your ability to drive safely. In addition, make sure all your medications go through one pharmacy, so the pharmacists on staff can better assess any potential drug interactions. To help older drivers and their families deal with driving and mobility challenges related to aging, AAA has launched a new website (www.SeniorDriving.AAA.com) to make a comprehensive suite of tools and resources available at the click of a button. From an Ask-the-Expert feature to Roadwise Review (an online screening tool that measures functional abilities linked to crash risk) and more, all of the features are free to site visitors. The site also offers links and resources to help families find other means of transportation when their loved one is no longer able to drive safely.
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June 2012 — Quad Cities — Healthy Cells Magazine — Page 31
water softening
Save Money and Help the Environment by Checking on Your Water Quality
B
ruce Farrar didn’t like what hard water was doing to his home. “Our dishes in the dishwasher were terrible,” says Farrar, who lives in Newport Beach, Calif. “The inside of the dishwasher was just covered with calcium. Also, our showers had glass doors and I had to put a special cleaner on them because of the calcium buildup.” But the problems didn’t end there. Hard water was also preventing the family’s clothes washer from functioning properly, requiring the use of more soap and hotter water, which increased Farrar’s grocery bill and energy costs. The added energy needs were also putting more wear and tear on his hot water heater, decreasing its lifespan.
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Page 32 — Healthy Cells Magazine — Quad Cities — June 2012
3385 Dexter Court Suite 100 Davenport, IA 52807
Nearly 90 percent of American homes have hard water—water containing high levels of calcium and magnesium, according to The U.S. Geological Survey. The hardest water is commonly found in the states that run from Kansas to Texas as well as in Southern California. How can you tell if you have hard water? If your shampoo and soap don’t lather up like they should, if you see scaling on your pipes and showerheads or if you have nasty brown rings in your sinks and toilets, your water is probably hard.
“To know exactly how hard, and what to do about it, you should have your water diagnosed by a water quality professional.” To know exactly how hard, and what to do about it, you should have your water diagnosed by a water quality professional. The Water Quality Association has several resources on its website to help you locate a reputable company, and many offer this service for free. In order to make hard water into soft water, you have to remove the calcium and magnesium and the only way to do that effectively is with a salt-regenerated water softener. These work by running the incoming hard water through a resin filter that traps the calcium and magnesium in the water, as well as any iron, manganese or radium ions by replacing them with sodium ions, which must be occasionally recharged. There are other products that claim to condition water using Jeff Hittdo not an electro-magnetic charge instead of salt ions, but they Farm Bureau really soften water. These devices cause the hard minerals inagent the
water to attract and form into an amorphous sludge that remains in the water. According to the Water Quality Research Foundation, there are many benefits of true salt regenerated water softening including cutting detergent use by as much as 50 percent and allowing washers to clean clothes with cold instead of hot water. Soft water also helps dishwashers clean better, sometimes allowing you to use half the detergent. Finally, water heaters that don’t have to work as hard retain their factory efficiency standards for a full 15 years as opposed to those subjected to hard water, which lose almost half their efficiency over the same time period. With ever-increasing household and energy costs facing American consumers, many are looking for ways to save money. A water softener that helps homeowners use less energy not only saves money, but also benefits the environment by allowing you to use fewer fossil fuels. Washers that use less detergent because of soft water also end up dumping fewer chemicals down drains. Finally, water softening keeps appliances out of landfills. Eventually, and like many other Americans, Farrar made the decision that enough was enough and decided to invest in a water softener and saw immediate results. “All of that is fine now,” says Farrar, speaking of the issues he was experiencing in the past. “The water softener works well.” For more information on the benefits of water softening, visit www.water-softening.org.
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Fellowship-training. A difference that makes a difference. Why should patients look for a fellowship-trained orthopaedic specialist? Because advanced training makes a difference when it comes to surgical specialization. It brings new possiibilities and new procedures into the conversation about your care and recovery. By providing you with access to %# %&% ) " &' + #$ & #$ $ + ! & $ ")% # ) ,$ &" #$"( $" $ # & !& .$%& ##$" &" "$& "# $ & & +"', "! + .! & $& "# # %&% $! "$ "'& & %'$ "!% ! & $ %# %&% & + ( % & ! '% "! ! & osquadcities.com or by calling 563-344-9292 to schedule an appointment today.
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white of life
Whitening The Latest Craze Submitted by Byrum Family Dentistry
Q: W hat about these teeth whitening shops? Are they dentists? A: We are starting to see a few businesses pop up that are claiming to “specialize” in whitening teeth. However, there is no dentist on staff.
Q: Is that a big deal? A: Over-the-counter tooth whitening products are available to be purchased by the general public. The purchase and use of these products is legal and safe. These whitening products are offered at a strength that is safe in most instances. However, when whitening products are offered by a non-dentist, this can pose a serious risk to the public. These products may be of a higher strength. This person is not licensed to practice dentistry and is not trained to make a diagnosis as to whether tooth whitening is appropriate, or to identify the existence of conditions that contraindicate tooth whitening. The non-licensed businessperson is also not educated regarding the infection control requirements that apply when providing dental care to multiple patients. Crosscontamination and other health risks are possible.
Q: W hat does my dentist know about whitening my teeth that someone else wouldn’t know? A: Y our dentist is educated and trained to perform a complete dental examination. That education and training allows the dentist to be able to diagnose whether tooth whitening is a safe or appropriate procedure for a particular patient. Some instances where it may not be appropriate or safe include: •W hen a patient has several fillings or crowns that will not whiten, leaving the patient with a checkerboard appearance of dark and light areas after whitening •W hen whitening may cause pain or sensitivity due to pre-existing root exposure (recession) or undiagnosed decay (cavities) •W hen tooth whitening will not be successful because a tooth is dark due to injury or it is in need of endodontic treatment (root canal) •W hen tooth whitening will not be successful due to tetracycline staining or other inherent stains that occurred during the development of the teeth
Q: I want my teeth to be whiter, but I can’t afford a $400 whitening treatment at my dentist. What now? A: M any of these teeth whitening businesses will tell you that they offer the same whitening solution as your dentist and that they can get your teeth just as bright or brighter for less money. But this is simply not true. The active ingredient in whitening solution is usually either hydrogen peroxide or carbamide peroxide. Only your dentist can get the stronger solutions up to around 38% carbamide peroxide. Your dentist will also be able to advise you on what you can do if your teeth become sensitive when using the whitening solution. One of the “whitening shops” in the Quad Cities charges $99 for a one-time teeth whitening visit. However, they recommend that you have this done about four times per year. This adds up to $400! Teeth whitening at your dentist is much more reasonable than this. Many dentists offer whitening with custom-made whitening trays at a very affordable price. Ask your dentist for more information. At Byrum Family Dentistry, we offer our patients what we call “White For Life.” It is a program that our patients pay $99 to participate in. They get custom-made whitening trays and two tubes of bleach to start. Then they receive one tube of bleach every six months at their check-up/hygiene appointment. They must maintain regular hygiene appointments to stay enrolled in the program, but it is only a one-time fee of $99 and they receive whitening gel for the rest of their dental life here at our office! Call Byrum Family Dentistry if you have any questions about our whitening program: 563-332-7734.
June 2012 — Quad Cities — Healthy Cells Magazine — Page 35
take action
Stress and Smoking
What are your stressors? S
tress comes in all shapes and sizes, from major life events to daily hassles that add up over time. Dealing with many small stresses can weigh you down and wear you out as much one large stressor. Sometimes even happy events can be stressful. Ever felt like the holidays were a rough time? Kids can be a source of stress, and so can being pregnant, even when the parents are happy the baby is on the way. Knowing your stressors is an important step in finding ways to deal with them. What are the stresses in your life? Take the stress quiz at www.smokefree.gov to see what stresses you out. The stress-smoking link Stress is a reason why many people smoke. When you have a bad day, it can seem like your cigarettes are your only friend. Cigarettes can help you calm down, relax, and feel like you are pampering yourself. Sound familiar? But you know that smoking is also hurting you and the people in your life. Stress is part of life, so a key part of quitting smoking for many people is finding ways to handle stress and take care of themselves without smoking. So, it is worth spending some time thinking about and looking for ways to deal with the busy days that are so often a part of life. Dealing with stress Here are some tips that many people have found helpful. Some of the ideas on this list may be perfect for you; others may not be your style. Some take practice, some work right away. Try them out. Come up with your own ideas. If something works for you, great! If not, it’s no big deal. Simply try another one. You are the only person who knows what works best for you and what doesn’t. Keep looking for ways to make your quitting and your day easier. Ideas people have used to help with stress: • Take a break. Even if it is just for a few minutes, find a way to step back from what is happening. This might mean doing something that is relaxing, actually getting away from it for a while or taking a “mini vacation” in your head by imagining you are somewhere else. • Deep breathing. Take a few slow, deep breaths. For an extra benefit, breathe in through your nose and out through your mouth. You will feel your body relax. • Visualize. Close your eyes and imagine you are in a place where you feel safe, comfortable, and relaxed. It can be a real place or one you make up. Picture it as clearly as you can, including imagining what you would feel, hear, and maybe even smell if you were in that relaxing place. Let yourself enjoy being there for a few minutes. • Exercise. When your body is active, it sends out natural chemicals that help your mood and reduce your stress. Walking is one of the easiest exercises for most people. Even a short walk every day will help you to reduce your stress and improve your health. And it is free! • Focus on relaxing your body. Our bodies hold on to stress and tension. Stop for a minute and pay attention to your body and you will find places that are tight and tense. Finding ways to reduce that tension Page 36 — Healthy Cells Magazine — Quad Cities — June 2012
will also help your mental stress. Easy ways to do this include things like stretching, exercise, or getting a massage. Even a few minutes of rubbing your shoulders, neck, and head can release lots of tension. • Talk to someone for support. Sharing your thoughts and being involved with other people is a great way to help reduce stress. • Focus on the here and now. Many of us spend a lot of energy worrying about things that may go wrong in the future and how bad they
might be. Instead, try focusing just on what is happening now, not on what you might have to deal with in the future. • Accept that stress happens. Life is full of twists and turns. You will always have some stress in your life. It is often helpful to accept that there will be good days and bad days and not worry too much about the bad days. Tomorrow will be a new day. • Take care of yourself. Especially right after quitting smoking, you should make extra efforts to take care of yourself. This includes basic things like: · Eating a balanced diet · Drinking lots of water · Getting enough sleep • Cut out caffeine. Caffeine helps keep you awake when you are tired, but it also can make you feel tense, jittery, worried, and stressed. So if you are feeling stressed, drinking caffeinated coffee, tea, or soda is like adding stress on top of your stress! This is especially true when you are quitting smoking. Cutting back or even eliminating caffeine can help reduce your feelings of stress. • Face the problem. Things that are happening in your life cause a lot of stress. Stop and think about what makes you stressed. Is there something you could be doing to fix the problem? It can be helpful to talk with others about what is happening and see if there are ways to make it better. For more information, please visit www.smokefree.gov.
Chiropractic Care Spinal Decompression Nutritional Counseling Graston Advocare/ Metagenics Kinesio Taping Yoga/ Kettlebell Classes Massage Therapy
Dr. Kay Knight Board Certified Chiropractic Physician Mon/Wed/Fri 10AM - 6PM Tues 9:30AM - 1:00PM Thurs: 9:30AM - 5:00PM Sat: 9:30 - 12:00 PM 563-332-6036 5123 Middle Road, Suite D Bettendorf, IA 52722 www.AbsoluteBalanceChiropractic.com
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At our age, why would we choose inflated health care costs? Get the surgery you need - even on fixed income. At Mississippi Valley Surgery Center, our seniors often pay less out-of-pocket for the same procedure than in a hospital. Why? Because we’re an outpatient facility. We perform minimally-invasive surgical techniques and our patients recover at home. No expensive hospitalization adds up to savings for you. Don’t let expensive insurance premiums, high deductibles or the fear of lost time from work or life keep you from getting the treatment you need. You can save money and receive great care: It’s what healthcare should be.™ Call Mississippi Valley Surgery Center for a free referral to one of our specialists:
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ASK
Invisalign ® and Whitening
Q: What is Invisalign and how does it work? A: Over the course of treatment, you will be supplied with a series of aligners.
Each aligner will make slight adjustments to tooth position, a process that is mapped out in advance by your doctor, specifically for your situation. When the aligners are placed on the teeth, they cause the teeth to gradually shift from their current position.
Q: What are the benefits of Invisalign? A: Invisalign aligners are virtually invisible are removable. Unlike with braces, you
DR. MELINDA HOCHGESANG BYRUM FAMILY DENTISTRY ROBERT L. BYRUM D.D. S., P.C. MELINDA HOCHGESANG, D.M.D.
3878 MIDDLE ROAD, BETTENDORF
563-332-7734
www.ByrumFamilyDentistry.com
have the flexibility to remove your aligners to eat and drink what you want during treatment. And you can also remove the aligners to brush and fl oss as you normally would. There are no metal brackets or wires that could cause irritation to your mouth. Plus, since your office visits during treatment don’t involve metal or wire adjustments, you’ll likely spend less time in the doctor’s chair. Invisalign allows you to view your virtual results and treatment plan before you start so you can see how your straight teeth will look when your treatment is complete.
Q: Who can benefit from teeth whitening? A: Most whitening procedures that are done at the dental office will last one to
three years. Some people, with certain dental conditions, may not be good candidates for this type of whitening. People with gum recession, for example, may have exposed root surfaces that are highly sensitive and could be further irritated by the ingredients in the whiteners. Brushing and flossing, twice a day, as well as regular professional cleanings, along with occasional touch-up treatments will help keep teeth white. An attractive smile increases self-confidence.
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Got Pain?
Are you looking for pain relief with your back and legs? Do you feel better sitting or leaning? Does your pain worsen as you stand or walk? Come learn about a non-surgical solution that John Dooley MD is performing. John Dooley M.D. of Mississippi Valley Pain Clinic is the only trained physician in Iowa to perform this procedure. Please stop by for a complimentary nurse in-service every Wednesday from 10-11.
Call Today 563.344.1050 Quad Cities first full service Comprehensive Interventional Pain Management Clinic. Emotional/Behavioral Support, Massage Therapy, Medical Management. No Referrals Needed
John Dooley MD- Board Certified in Pain Management Mon - Fri 8-4pm Susan Alden, Nurse Practitioner 5515 Utica Ridge Road# 600 Nancy Jipp, Nurse Practitioner Davenport, IA 52807 Rosina Linz, Psychologist www.mvpainclinic.com
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