July Bloomington Healthy Cells 2011

BLOOMINGTON/NORMAL

area

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

July 2011

FREE

HealthyCells

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www.healthycellsmagazine.com

M A G A Z I N E

You’re Not So Vain page 20

Oh My Aching Back

page 10

The Only Legal “High” page 28

Biggest Weight Loss Lie page 34

Helping You Get Back to the Things You Love ACCEPTING ALL INSURANCES AND SELF-REFERRALS Drs. Benyamin and Vallejo have been selected among 70 of the Best Pain Physicians in America.

1015 S. Mercer Ave. Bloomington, IL 61701

(309) 662-4321

www.millenniumpaincenter.com

BLOOMINGTON | NORMAL |  PONTIAC | DECATUR | CHICAGO

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 3

JULY 7 8 10 12 14 16 18 23 24 26 27 28 30 31 32 34 36 38 40 42 44 45 46 48

Summer Salads: Lively, Bold and Fresh

2011 Volume 6, Issue 7

This Month’s Cover Story:

Excel Study: New Drug Reduces the Risk of Breast Cancer Physical: Oh My Aching Back!

Emotional: What is PTSD? Nutritional: Grains Are Addictive!

Stereotactic Biopsy: Helps Detect Benign, Malignant Cells in Breast

You're Not so Vain page 20 Cover and feature story photos by élan Photography

The Right Dose: Two Red Pills and a Blue Chronic Pain: A New Perspective On an Old Treatment Osteoporosis: Bone Density Testing At an Earlier Age Confusion: Is It Always Dementia?

Dental Health: Dental Implant Maintenance Endorphins: The Only Legal "High" Endometrial Ablation: "The Best Decision I've Ever Made" Healthy Feet: Heel Pain is a Pain in The… Amputee Awareness: Showcasing Success Over Disability Weight Loss: The Biggest Weight Loss Lie Identity Theft: Protect Yourself and Your Piggy, Part III Hearing Safety: Protect Your Ears This Summer Communication Disorders: What is Aphasia?

Electronic Media: Keeping Your Teens Safe Online Oncology Education: Cancer News in Review Passing It On: Is a Will or Trust Right For You? Cosmetic Surgery: With Perfect Clarity Hypnotherapy: Lose Weight, Gain Control

Dr. Bohn performing the Laser Vein Closure 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

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 5

Physical Therapy

MRI

SURGERY

EMG

The Highest Quality Surgical Care McLean County Orthopedics Physicians are dedicated to providing the highest quality and most progressive, cutting edge techniques to restore health and mobility to our patients.

Procedures We Provide • Knee and shoulder arthroscopy • Hand Surgery • Foot and ankle surgery • Anterior cruciate ligament reconstruction • Total joint replacements • Fracture care • Spine surgery • Epidural steroid injections

For more information, or for an appointment, call

309-663-6461

McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest

freestanding surgery center in central Illinois and the only one certified for overnight stay.

Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services.

Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.

2502 E. Empire • Bloomington • 61704 www.mcleancountyorthopedics.com

Page 6 — Healthy Cells Magazine — Bloomington ­— July 2011

summer salads

Lively, Bold and Fresh S

lip into the freedom of flip-flops and retune your mood to the joys of fresh summertime suppers.

And does any dish sing “summer” with more gusto than salad?

Savvy cooks look for ways to serve summer-ona-plate — which means a harmony of color, bursting flavors and seasonal favorites. The superior freshness, quality, taste and variety of signature Fresh Express salad blends make summertime meals “in the bag.”

Your choice of colorful ready-to-serve fancy lettuce blends, hearty greens and tender baby lettuce varieties becomes the inspiration for warm weather eating. Spectacular seasonal additions could include: • Grill goodies: Seared shrimp, sliced grilled steak, sausage kabobs, grill-roasted vegetables, diced marinated pork chops, grilled salmon or chicken skewers.

• Farmer’s market favorites: Fresh spring peas, roasted asparagus spears, spring onions, local tomato wedges, sliced radishes, sweet corn, minced garden-fresh herbs, diced cucumber, steamed green beans, sliced peppers.

• Deli delights: Thinly sliced hard salami, shredded rotisserie chicken, olive bar offerings, roasted turkey, cold crabmeat, diced honey baked ham.

• Pantry possibilities: Toasted almonds or other nuts, canned tuna, cannellini or black beans, marinated artichoke hearts, chickpeas, roasted red peppers, garlic croutons, artisan vinegars, extra virgin olive oil.

• From the fridge: Hard cooked eggs, crumbled feta or blue cheese, diced crisp bacon, shredded cheddar.

• Fruit fancies: Cubed watermelon, avocado wedges, diced cantaloupe, juicy grapes, sliced kiwifruit, fresh blueberries, peach or plum wedges.

Citrus-Ginger Grilled Steak Salad with Kiwifruit Serves 4

1 package Fresh Express Fancy Greens 1/2 cucumber, peeled and diced 1/2 red bell pepper, seeded and diced 2 ripe kiwifruit, peeled and sliced 1 boneless strip steak, marinated in Citrus-Ginger Marinade, grilled Ginger Vinaigrette

Place greens, cucumber, bell pepper and kiwifruit in large shallow bowl. Drizzle Ginger Vinaigrette over and toss gently. Divide salad among four dinner plates; arrange sliced steak atop each salad and serve immediately.

Ginger Vinaigrette In medium jar with tight fitting lid place 5 tablespoons olive oil, 1 teaspoon grated fresh ginger root, 1 tablespoon white wine vinegar, 1 tablespoon orange juice, 1 teaspoon honey, 1/4 teaspoon salt and pinch of black pepper; secure lid and shake jar well to blend.

Citrus-Ginger Marinade Makes about 1 1/3 cups, enough for 1 pound of strip steak, or other beef loin steak

2/3 cup fresh orange juice Grated zest of one orange 2 tablespoons freshly grated ginger root 2 tablespoons soy sauce 2 tablespoons balsamic vinegar 1 teaspoon dry mustard 1 tablespoon coarsely grated black pepper 1/4 cup vegetable or peanut oil In small bowl whisk together orange juice, zest, grated ginger, soy sauce, vinegar, mustard and pepper. Slowly add oil, whisking to blend well. Use immediately to marinate steak before grilling: Place one strip steak in large self-sealing bag, pour marinade over and refrigerate for 6 to 8 hours, or overnight. Remove steak from marinade, pat dry with paper towels and grill over direct heat to desired doneness. Allow steak to rest 5 minutes before slicing thinly to arrange atop salad.

Turn up the volume on your salad imagination with fresh ideas for salads and dressings at www.freshexpress.com.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 7

excel study

New Drug Reduces the Risk of Breast Cancer

By Jennifer Peterson, MS, RHIA, CTR, Clinical Research Coordinator Mid-Illinois Hematology & Oncology Associates, Ltd.

I

n early June the results of an important breast cancer prevention study were released at the American Society of Clinical Oncology in Chicago, IL. The results of this study, known as the ExCel Study, show that the drug Exemestane significantly reduced breast cancer in post-menopausal women. The study found that Exemestane (Aromasin) reduced the incidence of breast cancer by 65%, a significant amount. In addition, it was found that Exemestane reduced the incidence of pre-invasive cancers and other breast disorders that are considered precursors to cancer all while causing no serious side effects.

The Excel Breast Cancer Prevention Study is sponsored by the NCIC Clinical Trials Group. This international study, which was started in 2004, was designed to determine whether or not Exemestane would reduce the incidence of invasive breast cancers in post-menopausal women at increased risk of breast cancer. The 4560 post-menopausal women who participated in this study were at increased risk of developing breast cancer based on various risk factors, including their Gail Model Breast Cancer Risk Assessment score. This computerized assessment calculates a woman’s risk of breast cancer based on her race, age, age at first menstruation, age at first live birth, number of first degree female relatives with breast cancer (mother, sisters, daughters), number of previous breast biopsies, and the results of those biopsies. Women who were found to have a calculated five year risk of developing breast cancer of 1.66% or higher were considered at increased risk and were eligible to participate in the study. Also, women who were 60 or older, or who had a previous diagnosis of certain breast disorders such as atypical ductal hyperplasia, lobular hyperplasia, or certain noninvasive breast cancers were eligible to participate in the study.

The women who participated in the study were randomly assigned to either the active study drug (Exemestane) or a placebo. The study was “blinded,” meaning the women did not know what they were taking. They took a pill every morning for five years. The women were seen for a physical exam six months after starting the study medication and annually thereafter; they also had annual mammograms.

Exemestane was used in this study as it is known to help reduce the amount of estrogen in a woman’s body. Even women who have gone through menopause have estrogen in their body and it is known that estrogen can promote the development of breast cancer. Exemestane has been used in the treatment of breast cancer and is known to prevent recurrent breast cancers and new breast cancers in women who have had breast cancer.

Another positive finding of this study is that Exemestane was found to have no serious and only minimal mild side effects. Cur-

Page 8 — Healthy Cells Magazine — Bloomington ­— July 2011

"If you are at an increased risk of breast cancer you might want to consider talking to your physician about ways to decrease your risk." rently, Tamoxifen and Raloxifene are FDA approved for prevention of breast cancer. However, both of these drugs have associated side effects that can be quite concerning. Tamoxifen-related serious health problems include uterine cancer, blood clots, strokes, and cataracts; Raloxifene side effects do not include uterine cancer and cataracts, however, there is a similar risk of strokes. In fact, it has been noted that only 4% of the U.S. women who could benefit from taking Tamoxifen for breast cancer prevention have taken the drug due to concerns about the side effects. In this study Exemestane

was found to have no serious side effects; the side effects that were noted were mild menopausal-type symptoms, including hot flashes, fatigue, sweating, insomnia, and joint pain.

A number of local women participated in this study and have been looking forward to finding out the results and whether they were taking the active drug or the placebo. Based on the results of this study, the women taking Exemestane will be offered continued Exemestane to complete 5 years of therapy. The women taking the placebo will be offered 5 years of Exemestane so they, too, can benefit from the risk-reducing benefits of Exemestane.

So what do the findings of this study mean for you? If you are at an increased risk of breast cancer due to one of the above risk factors, you might want to consider talking to your physician about ways to decrease your risk. One way to do this might be through chemoprevention, or taking a drug to decrease your risk. The positive results of this study mean that Exemestane can be considered a new option for breast cancer prevention in post-menopausal women: an option that is associated with fewer serious side effects. The results of this study are particularly exciting because it is another step forward in finding ways to help women at high risk of developing breast cancer take control of their health.

For more information, you may contact Mid-Illinois Hematology & Oncology Associates at 309-452-9701. They are located at 407 E. Vernon in Normal, Illinois.

S UMMER is finally here!

Don’t let foot pain keep you grounded.

Dr. Melissa has the technology, tools, and the experience to get you back into the game!

Ingrown toenails, heel pain, bunions, even sprains and strains don’t stand a chance.

Evening & Saturday appointments available – so you don’t miss a day of summer

10 Heartland Drive, Ste. B••

Bloomington, IL 61704

www.heartlandfootandankle.com July 2011 — Bloomington ­— Healthy Cells Magazine — Page 9

physical

Oh My Aching Back!

By Poonam McAllister, Vestibular Physical Therapist, Central Illinois Institute of Balance

M

any people have back pain and many people have problems with balance. People may not realize that the two seemingly different concerns are often con-

nected.

Nine out of ten individuals will suffer from back pain at least once. Back pain is one of the top five complaints that people visit their doctor for and is the most common reason for missed work.

Balance problems manifest as difficulty walking, difficulty climbing stairs or just simply being able to stand to do basic activities of daily living like getting dressed or brushing teeth.

These limitations can occur due to basic balance problems caused by neurological conditions like peripheral neuropathy or stroke. However people often ignore the simple back pain and its effects on the spinal nerves which can lead to Page 10 — Healthy Cells Magazine — Bloomington ­— July 2011

similar balance challenges. Let’s discuss some of the effects of physical impairments caused by chronic back pain and how they relate to balance problems.

The spine is a complex interconnecting network of nerves, joints, muscles, tendons and ligaments, and all are capable of producing pain.

Large nerves that originate in the spine and go to the legs and arms can make pain radiate to the extremities. Back pain can be acute or chronic; can arise from the neck, upper back, lower back and pelvic / tail bone area; can be constant or intermittent; and may radiate to arms and legs. Back pain may be an aching, sharp, burning type pain and include symptoms other than pain including weakness, numbness or tingling.

Damage to the nerves due to pressure from bone spurs, herniated disc material or in severe cases pressure on the spinal cord itself can lead to significant muscle weakness. Muscle weakness that goes unchecked can lead to dropped foot which can affect the ability to walk, clear thresholds or stairs and ultimately increase the risk of falling.

Pressure on the spinal nerves can also lead to radiculopathy or neuropathy which can cause tingling and numbness in feet. This abnormal sensation or in some cases loss of touch or joint awareness can also lead to problems with balance. Sacro-iliac joint dysfunction can cause pain with standing and other weight bearing activities. People often discount their pain due to aging or injury and only report the difficulty with walking, stair climbing, and balance. However, chronic back pain can cause balance problems due to its effect on the somatosensory system.

Balance problems can be evaluated and treated by assessing the visual, somatosensory (feeling from the joints and skin) and vestibular

"Chronic back pain can cause balance problems due to its effect on the somatosensory system." systems (inner ear). A thorough interview and a comprehensive evaluation of various systems that control equilibrium can help identify the root problem. Simple treatments like following proper body mechanics, posture correction exercises, micro-stretches and core stabilization exercises can successfully treat a new back injury and keep it from becoming a chronic problem, which in turn may help correct or avoid problems with balance.

Don’t let your back problem become chronic. Talk to your medical provider and ask for a referral to a Physical Therapist. Since the structures involved can be vary from case to case, an individualized personal exercise program prescribed by a Physical Therapist is usually more effective than group or wellness based programs.

For more information, you may contact Poonam McAllister, Physical Therapist, at Central Illinois Institute of Balance, 309-663-4900, www. dizzyil.com . They are located at 2427 Maloney Dr. in Bloomington and specialize in treating balance and dizzy disorders.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 11

emotional

What is PTSD? Submitted by Dr. Anjum Bashir

P

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

Anyone can get PTSD at any age. This includes war veterans and survivors of physical and sexual assault, abuse, accidents, disasters, and many other serious events. Not everyone with PTSD has been Page 12 — Healthy Cells Magazine — Bloomington ­— July 2011

through a dangerous event. Some people get PTSD after a friend or family member experiences danger or is harmed or suddenly dies.

PTSD can cause many symptoms which may occur immediately or may not show up for weeks or months later. Symptoms can be grouped into three general categories: 1. Re-experiencing symptoms such as flashbacks, (reliving the trauma over and over) and nightmares may also include physical symptoms such as a racing heart, sweating, headaches, stomach or chest pain.

Re-experiencing can be triggered by a person’s own thoughts as well as words, objects, or situations that are reminders of the event.

2. Avoidance symptoms may be triggered by things that remind a person of the traumatic event. For example, after a bad car accident, a person who usually drives may avoid driving or riding in a car.

Other avoidance symptoms include: •S taying away from places, events, or objects that are reminders of the experience • Feeling emotionally numb • Feeling strong guilt, depression, or worry • Losing interest in activities that were enjoyable in the past • Having trouble remembering the dangerous event.

3. Hyperarousal symptoms are usually constant, instead of being triggered by things that remind one of the traumatic event. Some examples include being easily startled, feeling tense or “on edge”, having difficulty sleeping, and/or having angry outbursts. These symptoms may make it hard to do daily tasks, such as sleeping, eating, or concentrating It’s natural to have some of these symptoms after a dangerous event, but when the symptoms last more than a few weeks and become an ongoing problem, they might be PTSD. Children and teens can have extreme reactions to trauma, but their symptoms may not be the same as adults. In very young children, these symptoms can include: • Bedwetting, when they’d learned how to use the toilet before • Forgetting how or being unable to talk

• Acting out the scary event during playtime • Being unusually clingy with a parent or other adult.

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

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

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

For more information, please contact Anjum Bashir, MD at 309-8082326. His office is located at 205 N. Williamsburg, Suite E in Bloomington.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 13

nutritional

Grains Are Addictive!

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

I

n the May issue, we talked about the most important aspect of the “Paleo Lifestyle” which is avoiding grains and pseudo-grains. To summarize, all grains contain anti-nutrients that absorb vitamins and minerals and prevent our body from being able to utilize them. This can leave us devoid of nutrients as the vitamins and minerals that grains provide us with are the same that the anti-nutrients soak up. Grains also contain lectins and other proteins (gluten being the most famous) that our bodies are unable to digest, opening the door to autoimmunity and other nasty maladies ranging anywhere from allergies to arthritis to multiple sclerosis.

Clearly, when presented with the factual evidence and the biological play by play of what happens when you eat a grain, it doesn’t make sense to add them into your diet. Then why is giving up bread, pasta, rice, etc. like getting a crack addict to kick the habit? I’ll tell you, my friends…grains have a dirty little secret! They contain opioids. Now I don’t mean straight up opium from the poppy plant that is used to

Page 14 — Healthy Cells Magazine — Bloomington ­— July 2011

make heroin, but a distant cousin that exhibits the same qualities, but on a lesser level.

What does this mean? In plain English: grains are addictive. When they are broken down in the body, there are proteins in them that are converted into several different opioids that have the same addictive and behavior patterning effects that their cousins do. That’s why that morning bagel is so hard to quit; your body is chemically dependent on the opioids that it provides and it causes you to crave it on a cellular level!

What typically happens when people try to “come of the junk?” Like any other addictive substance, there are withdrawal effects. We usually witness one or two scenarios; both of which highlight the compulsive aspects of grain consumption: 1. T he person will do really well for several weeks. They’ll feel unusually good, and might even start to see significant changes in body composition, sleep quality, energy levels, and emotional stability. Feeling good about their progress, they will allow themselves a “little treat” that they’ve been missing. This treat will, in turn, lead to a several day binge that undoes all the progress and puts them back to where they started or worse. Time to begin again…

2. The person will feel immediate withdrawal symptoms. Like a person quitting cigarettes, they’ll experience headaches, low energy, moodiness, and compromised sleep. These symptoms can last 10-21 days depending on the person. This is your body going through detox. After detoxification, cravings will subside, energy will improve to new levels, and body composition will begin to favorably change. If you can make this a lifestyle change and don’t fall back into old habits, you should be cruising.

The best way to go about eliminating grains from your diet is with preparation, discipline, and more preparation. This will likely be a challenging and stressful event in your life, so it’s best to undertake it at a time when you don’t have a lot of other stressors to deal with. Next, be ready to cook. Eating clean while eating out is easily doable, but at the early stages, the temptations will be intense. Similarly, if you cook it, you can control what goes in it, while also experimenting with what you like. Food prep for the week is important too. Grabbing something undesirable and giving into cravings is more likely when you’re hungry and rushed, so having food/leftovers already prepared makes snagging a healthy meal mindless.

I suggest taking one day a week to prepare a ton of food and store it in containers. Then throughout the week, you’ll only be left with a minimal amount of preparation and cooking a day. At the beginning it might feel like the deck is stacked against you, but when you take into account all the negative aspects of keeping grains in your diet, it is a worthwhile endeavor that will pay major dividends toward health and longevity.

For more information about the Paleo Diet or Crossfit training, you may contact JJ Krupka at 309-662-5678 or e-mail info@crossfitbloomingtonnormal.com. Their new location is 401 Bronco Drive in Bloomington.

Experience the difference

Jessica Hoelscher, D.C. July 2011 — Bloomington ­— Healthy Cells Magazine — Page 15

stereotactic biopsy

Helps Detect Benign, Malignant Cells In Breast By: Ashley Schrader, OSF St. Joseph Medical Center

T

wenty percent of breast lumps are cancerous. Eighty percent are not.

Although it seems the statistics are in a woman’s favor, the 20 percent can lead to mastectomies, radiation treatments, chemotherapy treatments or even death.

Breast biopsy is the only definitive way to detect cancerous or non-cancerous cells; early detection and accurate diagnosis are the keys to more treatment options and recovery when it comes to breast cancer.

Luckily, stereotactic breast biopsy offers a safe, fast, and precise way to test breast tissue samples without surgery.

According to Radiological Society of North America, stereotactic breast biopsy is an approach used when a lump or abnormality cannot be determined benign (noncancerous) or malignant (cancerous) by a physical exam or mammography.

The biopsy uses a special mammography machine using ions to help guide the radiologist’s instruments to the site of the lump or abnormal breast growth. The radiologist can then remove the correct amount of breast tissue using a core needle (used to remove one sample) or a vacuumassisted device (used to remove multiple samples). The samples taken then assist physicians in determining if a lump or abnormality is benign or malignant.

Preparation for a stereotactic breast biopsy procedure requires nothing special, as it is very similar to that of a normal doctor’s visit.

Equally, the procedure itself is largely simple and hassle-free. Upon arrival patients will be placed on their stomachs on a specially-designed examination table, where a particular breast will be placed through an opening in the table. Mammographic images are then taken to locate the area containing lumps or abnormalities, which is usually the longest step in the procedure. The radiologist will then use a local anesthetic to numb the area that the computer found to be abnormal.

Then the sampling process begins, which usually lasts 15 to 20 minutes. Using stereotactic guidance, a probe is placed near the lump or abnormality inside the breast. The probe is inserted once to draw less than a thimble-sized tissue into its chamber for multiple samples.

Once the sampling is done, a small surgical clip is placed in the breast to mark the spot where tissue was taken.

Finally, a sterile dressing and ice pack will be applied to the tested area and patients can largely resume normal activity immediately after the stereotactic breast biopsy procedure.

The entire procedure, from locating the questioned area to the sampling process, usually takes around two hours and results from a Page 16 — Healthy Cells Magazine — Bloomington ­— July 2011

pathologist and physician are available 48 to 72 hours after the scheduled stereotactic breast biopsy.

Compared to other breast biopsies, such as open breast biopsy (surgically removing part of a lump) or lumpectomy (surgically removing an entire lump), stereotactic breast biopsy can be performed in a short amount of time in an outpatient imaging center. Radiological Society of North America also finds that stereotactic breast biopsy is one-third the cost of open surgical biopsy and has very little procedural risks. Additionally, one of stereotactic breast biopsy’s biggest perks is it can evaluate tiny masses that are not necessarily visible by ultrasound, meaning the smallest threatening lumps can be taken care of before they get worse.

Stereotactic breast biopsy has a small amount of limitations, but in some cases, according to Radiological Society of North America and American College of Radiology, lumps or abnormalities accompanied by calcium deposits may be difficult for the biopsy to target. Any lumps or abnormalities close to the chest wall and mammograms showing vague changes in tissue density are also hard to evaluate using stereotactic breast biopsy. Occasionally, if stereotactic breast biopsy fails to successfully detect a lump or abnormality or if the results are unclear, surgical breast biopsy may be necessary.

For more information on stereotactic breast biopsy at OSF St. Joseph Medical Center please call (309) 665-4784, or visit www.osfstjoseph.org.

Feel Dizzy or Unsteady?

Audiology and Physical Therapy Working Together •A ssessment and Treatment of Patients with Vertigo Disorders • A udiologist Specializing in Evaluation and Treatment in ALL Aspects of your hearing • H earing Devices, Repairs, and Assistive Listening Devices • Physical Therapy • B alance Rehabilitation for Stroke, MS, Parkinson’s, and Peripheral Disorders • Physical Therapy for Incontinence

Central Illinois Institute of Balance is structured as a partnership of audiology and physical therapy providers who work together, utilizing a team approach to patient care. Each discipline offers expertise through advanced training and updated protocols. We believe in utilizing the gold standard in diagnostic testing of dizzy patients, using state-of-theart equipment to determine therapy needs.

Treatment protocols are used to evaluate patient improvement in objective, measurable terms.

2427 Maloney Drive • Bloomington, IL 61704 3 0 9 - 6 6 3 - 4 9 0 0 • www.dizzyil.com

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716 E. Empire, Suite 2 At the Corner of Linden and Empire, Next to Constitution Trail

Showroom hours: Monday-Friday 8 am - 5 pm

(Wed till 7 pm) www.heartlandhomemedical.net

There Are NO Monthly Membership Fees!

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Fitness Trainers Medical Group Exercise Golden Fitness One on One Fitness and Nutrition Training • Youth Fitness

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Call Now for More Details

Phone: 309-829-8122 • Toll Free: 1-800-591-6203 www.heartlandfitness.org July 2011 — Bloomington ­— Healthy Cells Magazine — Page 17

the right dose

Two Red Pills and a Blue: Help Your Physician Monitor Your Medications

By Seth Hatlelid, Psy.D. BCIAC, Psychology Specialists Ltd.

M

odern treatment for both physical and mental health problems, such as back pain or depression, often relies on a variety of treatments. Medications such as pain killers or antidepressants treat the symptoms of a condition. Surgery attempts to change the structure of the body to correct dysfunctions. Behavioral intervention or therapy helps people change how they think and feel about their problems, as well as to learn better ways of managing their medical problems. Keeping track of all these medical interventions, including what medications a person takes, can be overwhelming and confusing.

As a psychologist, I often ask people about their medications when I meet with them in the first session. Often, people respond that they take “two red pills and a blue one.” Sometimes, they can tell me that they take pills for high blood pressure or pain, but they can’t remember the name. Many people take more than ten pills a day and keeping track of all of them can be quite difficult. However, keeping track of the pills that you or a loved one take is of vital importance. Many medications can interact with other medications and become dangerous.

For more information contact Edward W Pegg MD LCC

3 0 9 - 6 61 - 7 3 4 4 Sports Neurology & Concussion Management

Page 18 — Healthy Cells Magazine — Bloomington ­— July 2011

For example, taking viagra and nitroglycerin together can lead to a dangerous drop in blood pressure. Even some foods interact with medications. Some citrus fruits (particularly grapefruit) can interfere with the body’s natural ability to break down medications. This leaves more medication in the body and can increase the chance of an accidental overdose. Another reason to understand which medications you take is that many people see multiple doctors to treat different problems. The doctor absolutely has to be made aware of what medications you are taking so he or she can safely prescribe new drugs that are less likely to interact with the drugs that another doctor has already prescribed.

There are several things that you can do to help you understand your medications and to communicate that information to your doctor. The easiest thing to do is to maintain an up-to-date account of your medications on a card like the one on the opposite page. Ideally, this card should contain both the trade name of the medication and the generic name of the medication. For example, “Prozac” is the trade name for fluoxetine. This is important because some generic medications have different inactive ingredients than the brand names and may work slightly differently. The card should also contain information such as how much of the medication you take, when you take it, and any side effects that you have experienced. It is also important to note the reason you take a medication because many medications have multiple purposes. For instance, Amitriptyline is a tricyclic antidepressant that is typically used to treat depression. However, it can also be used to treat certain kinds of nerve pain, such as postherpetic neuralgia. It is also helpful for the card to contain the date that you began taking the medication and which doctor prescribed it.

The back of the card is a useful place to store other medicallyimportant information that can help your doctor get a quick understanding of your medical history. Information such as allergies, emergency contact information, surgery and other treatment history, and over-the-counter medications or nutritional supplements that you may take can also be helpful for your physician to know. This is also a great place to list special needs that you may require from your physician, such as if you are religiously opposed to receiving blood transfusions or have a phobia of needles.

By using a medication card, you can help your doctor get a better understanding of your physical needs so that he or she can treat you safely and effectively. By simply handing the doctor a copy of your card, you can save valuable time during the history and physical examination, which could be better spent by actually talking with your doctor. Your doctor is there to help you stay healthy. It is your responsibility to help your doctor help you.

Dr. Hatlelid is a licensed clinical psychologist with Psychology Specialists in Bloomington. He has worked with adults, couples, families, and children in individual and group therapy settings.

He is certified to provide clinical biofeedback by the Biofeedback Certification Institute of America. He can be reached directly at (309) 706-9532.

Other tips for helping your doctor monitor your medication: • Write clearly and make sure you spell the name of the medication correctly. Many medications look and sound like other medications, which could lead to dangerous mistakes if they are mixed up.

• Use a pillbox organizer to take your medication on a regular schedule.

Put pictures of each pill on a poster above the box along with the name so you can easily identify the medication that you are taking.

Keep your medication organizer in the same place and refill it on the same day each week.

• Be careful of medical information obtained from the Internet. Don’t feel afraid to take information to your doctor, but remember that the Internet has good information and false information. Sometimes, it’s difficult to tell the difference.

• Be safe and stay healthy!

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 19

feature story

You’re Not So Vain

By Linda Hankemeier

L-R, Dina Gibson (Scheduling Coordinator), Chrissy Purcell (Practice Administrator), Kathryn Bohn, M.D. (center), Jodi McCombs (Medical Assistant).

T

reating varicose veins has gotten a bad rap. Some people think treating varicose veins means you’re vain about your veins.

However, varicose veins are a painful medical condition which can impact an individual’s quality of life.

Vein health more about quality of life than vanity “A popular misconception about treating varicose veins is that it’s all about vanity,” shares Dr. Kathryn Bohn, Medical Director for the Bloomington practice of Illinois Vein Specialists (IVS), a statewide Page 20 — Healthy Cells Magazine — Bloomington ­— July 2011

comprehensive clinic and vein treatment center. “However, varicose veins are a medical condition and patients can greatly benefit from treatment,” she continued.

While not typically a fatal condition, varicose veins can be intensely painful and develop into several advanced medical conditions if not properly treated. Venous disease can progress and develop into conditions such as lower leg stasis dermatitis (an inflammation of the skin) or venous ulcers (brownish red swollen areas or sores) usually occurring around the ankle area. In extreme cases, venous diseases

Dr. Kathryn Bohn discusses vein disease with a patient during an initial consultation. can lead to secondary infections or other complications. Varicose veins can also decrease blood flow back to the heart by 15 to 20 percent. It’s also estimated that 50 percent of restless leg cases may be attributed to venous diseases.

Along with these medical issues and conditions, varicose veins also cause some individuals to limit their own lifestyles. Whether due to pain or complications – or possibly appearance – some patients report changing personal routines, activities or clothing choices due to varicose veins, negatively impacting the individual’s self-confidence and their ability to participate in activities they love.

Breaking through To understand how varicose veins can impact quality of life, let’s take a little refresher on the role the veins play in our body. Veins are a key component of the circulatory system. Veins push the blood against gravity back to the heart, returning the blood that has circulated through the body’s organs and extremities to the heart and then to the lungs where it is re-oxygenated.

Most varicose veins occur in the legs. “The veins of the leg are like major rivers and tributaries,” shares Dr. Bohn. The veins in the leg fall in two broad categories: • Deep veins, the “major rivers” deep in the leg, carry around 80 percent of the blood in the legs back to the heart. These veins do not develop into varicose veins.

• Superficial veins, the “tributaries” closer to the surface, carry the remaining 20 percent of the blood back to the heart. Superficial veins can develop into varicose veins.

The valves in veins allow blood to flow in only one direction – back to the heart, flowing against gravity. This is achieved by the valves in the vein opening, allowing the blood to flow up and through, and then closing after each push. In the case of varicose veins, the valves don’t function effectively. Instead of snapping shut after each push of blood, the valves hang open causing blood to pool between valves and into the lower part of the legs.

The walls of superficial veins are thin so, when too much pressure occurs, veins can swell just like a river overflowing its banks. “If the Mississippi River burst through its banks, it would cause flooding in

smaller tributaries,” states Dr. Bohn. “The veins of the leg are no different. When circulation is ineffective in the superficial saphenous deep veins, it can cause pooling in these veins and their tributaries, which can develop into varicose veins.”

New steps for treating painful legs In 2003, the US Food & Drug Administration (FDA) approved Endovenous Laser Ablation (EVLA) for treatment of varicose veins.

Historically, vein stripping was the procedure of choice to treat varicose veins. With vein stripping, the diseased veins are surgically removed. Usually, the procedure was performed in a hospital setting with the patient under full anesthesia and facing weeks of recovery.

Unfortunately, in the long term, vein stripping has proven to be only about 50 percent effective as a treatment option. If even a tiny part of the vein is left during the surgery, the veins can grow back over time, causing the painful condition to return to the patient’s legs.

On the other hand, EVLA uses a laser to seal the vein shut from the inside, removing the chance for the diseased veins to regrow. The patient can be awake during the procedure, which can be performed in the office at IVS. Most patients are able to drive themselves to and from their own procedure. Best of all, this new procedure has shown to be highly effective in successfully treating varicose veins, with a reported 85 to 90 percent success rate.

The doctor begins the EVLA procedure by using an ultrasound to identify the spot in which the disease and pooling is the greatest. The area is numbed, a tiny incision is made and an IV is started. Next, a catheter is inserted into the vein. The laser fiber is placed into this catheter. When the laser is started, the laser fiber heats the inside of the vein and closes it as the fiber is removed from the vein.

If a patient had vein stripping performed in the past, Dr. Bohn can use a sonogram during an office visit to determine if EVLA is an option for future treatments.

While the idea of choosing to close off a vein might make you nervous about blood flow, don’t be. With more than 400 veins in the body, odds are that if you have a diseased vein the other veins have already taken over blood on its behalf. Sealing the diseased vein shouldn’t have a significant impact on the overall blood flow in the body.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 21

feature story

continued

Your blood lines impact your vein health While there are steps you can (and should) take to keep your veins healthy, Dr. Bohn indicated genetics has a lot to do with whether or not someone will develop spider or varicose veins. “Exercise and weight management are important steps to take in keeping your veins healthy.

However, if your mom had varicose veins, odds are you will have them too,” shares the Doctor.

Vein treatment by the numbers 15: The age at which varicose veins can begin to develop 20: The percent of the body’s blood pumped back to the heart by the “superficial” leg veins 26: The youngest patient Dr. Bohn has treated 50: The percent of restless leg syndrome cases believed to be due to venous disease 80: The percent of the body’s blood pumped back to the heart by the “deep” leg veins 90: The oldest patient Dr. Bohn has treated 400: The approximate number of veins in the human body

Dr. Kathryn Bohn performs an ultrasound exam on a patient.

Success stories Dr. Bohn performs about 30 procedures a month in her practice with many of them being EVLA treatments. She enjoys seeing the changes these treatments have made in the lives of her patients.

“A patient who had heavy legs and pain read an article about EVLA and came to visit me. We determined he was a candidate and performed his procedure. He couldn’t wait to tell me during follow up visits how light and mobile his legs felt,” Dr. Bohn said.

“Another patient was frustrated because her leg pain kept her from sleeping. She said she had been taking sleeping pills for years. However, at her follow-up visits, she was thrilled to let me know she no longer needed the medication to sleep,” beamed Dr. Bohn.

With one physician and three medical assistants on staff, the Bloomington IVS practice provides patients a personal, supportive environment during their treatments and appointments. Typically, only one patient is in the treatment area at a time, so patients get the full attention of the staff during their visits and privacy. All staff have a background in emergency medicine as well as specific training for their specialties.

Page 22 — Healthy Cells Magazine — Bloomington ­— July 2011

The Bloomington practice of Illinois Vein Specialists is located at 328 Susan Drive, Suite 300 in Normal. For more information, call the practice at 309-862-4000 or toll free at (866) NEW VEIN, or visit them online at www.ivsveins.com.

chronic pain

A New Perspective On an Old Treatment

By Dr. Benjamin Taimoorazy, Guardian Headache and Pain Management Institute

A

simple but underutilized intervention can be used for the treatment of a long list of chronic painful disorders such as a variety of head pain conditions, fibromyalgia, post herpetic neuralgia, and chronic neck and back pain.

The target organ for this treatment is called the Sphenopalatine ganglion or SPG for short. This is the largest accumulation of nerve cells outside the brain. Conveniently located at the back of the nose, the ganglion is easily accessible for a painless, non-invasive and nonaddictive nerve block achieved by placement of cotton tip applicators soaked in local anesthetics. SPG block is not a new procedure. It was first described in 1909 by Dr. Greenfield Sluder who was a professor at Washington School of Medicine in St. Louis.

The web of incoming and outgoing nerves associated with SPG is amazingly complex. There are sensory inputs into the SPG from areas as remote as the lower back. But more importantly almost all the head and neck structures send sensory nerve signals into the ganglion.

Therefore, one can explain the observation that pain in the neck and cervical spine can be referred to the head and face, and alternatively headache in most instances is associated with neck pain.

Anesthetizing this ganglion basically serves the same purpose as when we reboot our computers. It is conceptualized that in chronic pain conditions, the pain pathways start acting independently and the nerve cells continue to fire the pain signals even in the absence of the painful stimulus. The same phenomenon occurs with a computer that has been in use for long period of time and may start malfunctioning. The rebooting of the computer basically restores the original settings of the device for proper function. By the same token, performing an SPG block theoretically serves the same function as the rebooting of the nerve centers, and once the normal activity is resumed, nerves function in a more organized and controlled manner and therefore pain is abated.

The procedure is performed by a gentle insertion of cotton tip applicators soaked in local anesthetics, one in each of the nasal passages.

Due to the action of local anesthetics, nasal passages rapidly become

numb as the applicators are slowly advanced. Once in their final position, they are left in place for almost 30 minutes. During this time, you may take a nap, read or watch your favorite show on TV. Depending on the condition, sometimes SPG block has to be repeated on a daily basis or at least every other day with six to seven sessions.

It is comforting to know that SPG block is one of the many options available for the treatment of chronic painful conditions. The notion that, “you have to learn to live with pain” seems to be a thing of the past.

This the third in a series of articles geared to increase awareness and understanding of different types of headaches and other chronic painful conditions and the available diagnostic and therapeutic options for each individual disorder. For more information, you may contact Dr. Benjamin Taimoorazy at Guardian Headache and Pain Management Institute, 309-808-1700, www.theGuardianPainInstitute.com. This new practice is located at 2203 Eastland Drive, Suite #7, in Bloomington.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 23

osteoporosis

Bone Density Testing at an Earlier Age Submitted by Fort Jesse Imaging and Gale Keeran Center for Women

O

steoporosis typically brings to mind frail, elderly women with hunched backs and shuffling gaits. Current estimates imply that up to 50% of women over the age of 50 will break a bone due to osteoporosis, most likely a hip, wrist, or vertebra. While the disease presents its most devastating damage in older, postmenopausal females, the deterioration of bones can begin much earlier in life and affects men as well. Poor nutrition, lack of physical activity, unhealthy choices, and even some medication can all affect bone density. In fact, many younger women may have osteopenia— low bone density and a precursor to osteoporosis—and they may not even be aware of it until they are much older.

Start Young for Healthy Bones Having low bone density as a young woman increases the chance of developing osteoporosis later in life. Low bone density is caused by having low peak bone mass, the point you have the most bone you will ever have, typically occurring between the ages of 18 and 25.

Many things contribute to low peak bone mass, including the uncontrollable factors of gender, race, and genetics. Women, specifically Caucasian and Asian women, and those with a family history of osteoporosis run a higher risk of having low peak bone mass.

Other lifestyle choices affect peak bone mass. Poor nutrition, low body weight, low estrogen levels (causing infrequent or absent menstrual periods), lack of weight-bearing physical exercise, smoking, drinking alcohol, and even certain medications, such as contraceptives and steroids, come into play during a young woman’s prime bone mass producing years. These factors are especially critical for teen girls, who may have poor eating and exercise habits during their peak bone mass producing years.

The Keys to Bone Health: Nutrition and Exercise Bone is a living tissue made up of a combination of many minerals, the most prevalent being calcium. A diet that includes calciumrich foods, primarily dairy products and some vegetables, or those that are calcium fortified, are the best sources. Supplements can help, but too much calcium from supplements can cause issues such as kidney stones, gas, constipation, or adverse interactions with other medications.

A well-balanced diet provides other important minerals for bone health such as magnesium, phosphorus, and vitamin K. Vitamin D works with calcium to create healthy bone tissue and can be obtained through sunlight (skin manufactures vitamin D from ultraviolet sunlight), some types of fish, and supplements added to other foods.

Page 24 — Healthy Cells Magazine — Bloomington ­— July 2011

Exercise is critical for healthy bones. Like muscles, bones get stronger and denser when they “work,” meaning handling impact such as the weight of your body and working against resistance. Weightbearing exercises include running, dancing, tennis, hiking, high- and low-impact aerobics, and climbing stairs. Resistance exercises include lifting weights, using elastic bands, yoga, and Pilates.

The great news is that changing your eating habits to get the right nutrients and adding consistent weight-bearing exercise can improve your bone health and reverse, or at least slow, the loss of bone density.

Determining Your Risk for Osteoporosis Many women don’t know they have osteoporosis until they break a bone after the age of 50. However, many younger women have started showing signs of early osteoporosis. Women who feel they may be at risk due to nutrition or lifestyle choices in their youth should consider asking their physician for a referral for a bone density test. This test helps determine the density of your bones and the potential for breaking a bone.

The National Osteoporosis Foundation recommends a bone density test using a central DXA (dual energy x-ray absorptiometry) machine.

The test typically takes less than 15 minutes, is non-invasive and painless, and uses very little radiation. The results are reported as T-scores, which compare your bone density with that of a healthy 30-year-old adult. A T-score of -1.0 or above is normal; between -1.0 and -2.5 indicates osteopenia (low bone density), and lower than -2.5 is osteoporosis. The Z-score is another result which compares your bone density to what is normal for someone your age and size. A Z-score of -2.0 or above is normal.

"Many things contribute to low peak bone mass, including the uncontrollable factors of gender, race, and genetics."

For more information on bone density testing, you may contact the Gale Keeran Center for Women located at Fort Jesse Imaging Center 309-452-9001 or 309-454-5552. Both suites are located at 2200 Ft. Jesse Rd. Suites,120 and 130. The centers offer a full range of imaging services including PET/CT, MRI, CT, X-ray,Ultrasound and Digital Mammography with CAD.

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www.CentralIllinoisHypnotherapy.com July 2011 — Bloomington ­— Healthy Cells Magazine — Page 25

confusion

Is It Always Dementia?

By Mary J. Dyck, PhD, RN, LNHA, Associate Professor, Mennonite College of Nursing at Illinois State University

O “

h, they’re just confused. They’re old.” How many times have you heard that about an older adult? Do you assume it’s Alzheimer’s disease? About 14% of persons 71 years and older have dementia, which increases to 37% for persons 90 and older. Yes, older adults are more susceptible to dementia. They’re also more susceptible to heart problems and we don’t say, “Oh, they’re old. It’s just their heart.” By age 85, about 87% of individuals have heart disease, which is significantly higher than the dementia rates.

Confusion could be dementia. It could also be depression or delirium. All three problems are commonly found in older adults. Dementia and depression are familiar diseases. Delirium is a symptom of a medical emergency. It is important to differentiate between these three problems, so that the person receives appropriate treatment.

Dementia There are several types of dementia, of which Alzheimer’s disease is one of the most familiar. A person with dementia has a slow, persistent onset of cognitive changes. Changes may occur in judgment, memory, thought patterns, or object recognition. These changes are permanent and progressive. While some treatments may slow the progression of the disease, there is currently no cure.

Depression An estimated 20% of community elders experience depression.

With increasing numbers of losses of familiar people as one ages, more women are alone living in poverty with limited income and limited social activities. Increased isolation may lead to depression. Forty percent of persons with dementia may also hurt from depression. Older men have the highest rate of depression and the most deadly means of suicide. While some symptoms of depression may include insomnia, extreme sadness, and weight loss, it may mimic dementia with its sluggish speech, slowed responses, and complaints of memory loss and forgetfulness. Depression, however, usually occurs more suddenly in relation to specific events. And depression can be treated.

Delirium Delirium occurs suddenly and may last hours to days. It is often worse at night or when drug levels are at their highest. There may be problems with memory, attentiveness, consciousness, and calculations. The individual’s activity may increase or decrease from usual behaviors or fluctuate. Sometimes, the individual’s speech is slurred, rapid, and/or incoherent. The person may also see, hear, or feel things that are not present. Delirium is a symptom of another problem. It may be treatable, if the underlying problem is diagnosed and treated. Unlike dementia and depression, delirium is considered a medical emergency.

An older person in the community may develop delirium from an infection, such as a bladder infection, bronchitis, or pneumonia. Very often delirium is the only symptom of a bladder infection in older adults.

Acute pain from appendicitis could also trigger delirium. A new medication, perhaps for a bladder infection, might also trigger delirium. Older adults with vision and hearing difficulties more easily develop delirium Page 26 — Healthy Cells Magazine — Bloomington ­— July 2011

"Confusion could be dementia, depression or delirium. It is important to differentiate between these three so the person receives appropriate treatment." due to their inability to manage their environment. An older adult that is hospitalized for an injury or an infection is at greater risk of delirium.

This increased risk is present due to pain, infection, medication, and environmental changes. Perhaps, the glasses or hearing aids were also left at home. Pain, infection, dehydration, drug toxicity, environmental changes, or sensory losses are all common causes of delirium.

The good news is that delirium can be treated. The underlying cause of the delirium must be identified and treated by the individual’s care provider. Whether the individual is at home, the hospital, or in the nursing home, families can help to manage the delirium by: • Making glasses and hearing aids accessible.

•B eing present at the bedside to provide a familiar face and reassurance.

• Orienting and reorienting the individual to reality.

• Assisting the individual to get appropriate medical treatment.

•P roviding a low stimulation environment, i.e. decreasing noises and visual stimulation.

• Providing a consistent physical environment and daily routine.

Delirium needs to be treated due to its risks of long-term complications and death.

By being aware that not all confusion is dementia and that confusion needs to be evaluated and treated, older adults can have a higher quality of life.

Dr. Mary Dyck serves on the Board of Directors of Meadows Mennonite Retirement Community. Meadows Mennonite Retirement Community provides a complete spectrum of care including Independent Living, Skilled Nursing and Alzheimer’s with Assisted Living coming soon. You may contact Diane Schmink (Nursing Home) at 309-7473661; Robert O. Bertsche (Independent Living) at 309-747-3639; or Mary Ann Watkins (Assisted Living) at 855-447-9312.

References available upon request

dental health

Dental Implant Maintenance

By Emil M. Verban Jr., DDS

D

ental implants are very successful and with proper care, they will last a lifetime. However, many people do not realize that implants are susceptible to the same pathogens that cause gum disease in natural teeth.

“Gingivitis” of dental implants Successful dental implants are due to the fusion of the dental implant to the bone. This fusion is termed osseointegration.

Inflammation that is limited to the soft tissue around a dental implant is termed “peri-implant mucositis” and is most likely due to simple dental plaque. It is analogous to “gingivitis” around natural teeth. The key is that there is no bone loss seen around the dental implant.

“Periodontal disease” of dental implants If the infection progresses down the root surface the term used to describe this situation is “peri-implantits”. This is analogous to periodontal disease that is found around natural teeth. In this situation the bone that holds the dental implant in place is eroding away.

If this continues the dental implant may fail and have to be removed.

A study in the Journal Clinical Periodontal found that 16% of patients who were not getting their teeth professionally “cleaned” and maintained on a regular basis had bone loss around the dental implants.

Our office cannot stress enough the importance of professional dental cleaning and periodontal therapy. It is important to have regular check-ups every six months or more often if necessary, along with brushing and flossing.

Implants function just like a tooth, protect your investment and renewed smile.

For more information on dental implants you may call Dr. Verban at (309) 662-8448 or www.mcleancountydental.com. His office is located at 2103 E. Washington St. in Bloomington.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 27

endorphins

The Only Legal “High”

By Edward W. Pegg, III, MD

D

o you ever wonder how some people can get up before the sun to work out? Sometimes I wonder myself, even though I drag myself out of bed at 4:30 am every morning to do just that. At first it’s unpleasant. I’m in lifting weights (aagh) at 5am (double aagh) and I can hardly count my reps because I’m so drowsy. But then something happens. The Dire Straights album I’ve listened to for 20 years, is sounding brand new!!! The music surrounds me and my reps sync with the music. I shoot past my limit without my muscles crying out. I’ve crossed into ENDORPHIN ZONE. I’m experiencing what athletes call the endorphin rush or runner’s high. What just happened? How can something so strenuous suddenly feel, so Nirvonic…and fullfilling?

Runners have commented that they will get a second wind during a long run. Surely their breathing can’t get easier, so what do they mean? In 1985 Dr Morgan came up with the Endorphin Theory, suggesting that chemicals (endorphins) released in the brain were responsible for the natural “high” we experience during exercise. Endorphins are natural opioids of the brain. When they are released they act in the same way as Opium, “sitting” on the same receptors (switches) in the brain and creating a similar, pleasurable response.

To test the Endorphin Theory, scientists began working with animals, measuring the cerebrospinal fluid (CSF) of mice under different exercise conditions. They found that endorphins were Page 28 — Healthy Cells Magazine — Bloomington ­— July 2011

elevated in the CSF of mice that had exercised for prolonged periods of time. They also found endorphins remained elevated for as long as 48 hours after exercise. This means endorphins are likely acting on the pleasure receptors in the brain for as long as two days after exercise, giving the animal one of the most extended “highs” available without drugs. It’s no surprise that people can get “addicted” to exercise considering the immense reward.

The Endorphin Theory has also been investigated in humans.

One of the first studies demonstrated that endorphins increase in the peripheral blood following exercise. It was criticized because endorphins are too large to cross the blood brain barrier and many questioned that endorphin’s were the right molecules for runner’s high.

In 2008, Boecker et al. devised a non-invasive (not harmful) experiment, which used PET scans to measure endorphin levels directly in athletes’ brains after running. In order to image the brain, tracer endorphins were intravenously injected into the patient. These endorphins were tagged with a radioactive atom (which is harmless as it is short lived and quickly decays) that can be measured by the PET scan. The PET scan measures accumulation of tracer endorphins, which show up as blue “hot spots” in regions where they “sit” down over pleasure receptors.

To help understand this better, think about measuring the number of open seats in a classroom by sending in a group of students

wearing blue shirts. They are to sit in the remaining empty seats and those that can’t find a seat are to leave the room. Then you take a picture of the class and quantify the open seats by how much blue you see. If there is a lot of blue, a lot of empty seats remained and few students were originally in the room. If there is only a little blue, few empty seats remained and many students were already present. The analogy is similar for the PET scan.

If the PET shows only a little blue (injected endorphin), then few empty receptors (seats) remain and many natural endorphins were already present/seated in the receptors.

Athletes were quantitatively tested for mood before and after a race. After mood assessment, athletes’ brains were analyzed with the PET scanner. The results showed an inverse relationship between feelings of euphoria (runner’s high) and the number of blue “hot spots” observed on the PET scan. That is, the better the runner felt after the race, the smaller the hot spot. This suggests that more natural endorphin had already grabbed the available “seats” (receptors) and the injected tracing endorphin had to leave the “room” (brain). This is the first experiment to clearly show a direct relationship of runner’s high with an increase in endorphin levels in the brain.

Some still dismiss these results, calling it an epiphenomena (there, but not the cause). Whatever it is called, I know that exercise can make you feel so much better that you get out of bed at 5 am to do it. Regardless of the endorphin theory, there is no question that exercise is good medicine.

For more information, you may contact Dr. Pegg at 309-661-7344

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Functional Medicine and Hormonal Evaluation July 2011 — Bloomington ­— Healthy Cells Magazine — Page 29

endometrial ablation

“The Best Decision I’ve Ever Made”

By Vicki Voegel, PA-C, Ob-Gyn Care

“

T

he best decision I’ve ever made…” is just one of the many testimonials we hear every day after patients have undergone an endometrial ablation. Women have tolerated the ups and downs of periods since adolescence and have often accepted the heavier bleeding that can come with starting the “change of life” as simply the way it is. They have been told by moms, older sisters, and peers that it is “normal” and “you just have to live with it”. Though it is a common occurrence, it doesn’t have to be endured…. HELP IS AVAILABLE! As women reach midlife, more than 20% will experience menstrual bleeding heavy enough to interfere with their daily activities.

Some women even schedule their lives around their cycles. If you find that you are bleeding through clothes, or are afraid to leave home for fear of accidents; you don’t have to just live with it.

There are therapies available to resolve the problem. One solution is an in office procedure called endometrial ablation.

The lining of the uterus is called the endometrium. This lining is what builds up each month in preparation for a pregnancy and is then shed as the menstrual blood. With the hormone fluctuations of midlife this flow can be heavier (or much heavier) and more clots are passed, all of which can add up to a very messy, unpleasant phase which most women should not have to put up with. If this sounds all too familiar and you have completed your family, you should consider endometrial ablation.

The first step is to meet with your physician who will discuss your bleeding patterns and set up some preliminary testing to make sure you are a good candidate. This testing includes a pelvic ultrasound to visualize the uterus and ovaries. Some bleeding problems can be attributed to fibroids or polyps in the uterus (fibroids and polyps are overgrowths of tissue in/on the uterine wall, most often benign). Your ultrasound can be performed right

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here in the convenience of our office. The other test we need is an endometrial biopsy. This is a scraping of the inside lining to check for hormone imbalances and cancers. Again this is an in office procedure. Once we have both of those tests completed; then we can move forward with the endometrial ablation.

How does the ablation work? You are first given medication to help with cramping. Then a small balloon is inserted into the uterus and the balloon is filled with circulating heated water. Because the balloon is flexible it conforms to the inner contours of the uterus.

This process removes most if not all of the uterine lining. After the procedure you will stay to be monitored and allowed to rest for a bit. You will need someone with you to drive you home. Once you are home you may have some minimal cramping or discomfort, most often alleviated with ibuprofen or use of a heating pad or hot water bottle “So now what do I expect?” One year after ablation more than 80% of women have light or no periods. Most have a reduction in menstrual cramping as well as PMS symptoms. Ninety six percent of patients were satisfied with their results and 99% would recommend it to a friend!

What are you waiting for? Don’t let your period rule your life. If you’re tired of menstrual mayhem and want to take back your life; talk to your physician about endometrial ablation.

For more information or an appointment with Dr. Joe Santiago or Vicki Voegel, PA-C, you can contact Ob-Gyn Care at (309)6622273 or www.obgyncare.com. Their office uses the Thermachoice® uterine balloon therapy system to help women who suffer from heavy menstrual bleeding.

healthy feet

Heel Pain is a Pain in The…

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

H

ave you ever woken up and stepped out of bed to a sharp, burning pain in your heels? Well you are NOT alone. Heel pain is one of the most common problems I see in my office. The good news for you? It is easily treated in the majority of cases!

So what is this “pain in the heel”? It is the inflammation and tearing of a band of tissue on the bottom of your foot called the plantar fascia.

This ligament helps support your arch as you walk. When any soft tissue ligament is inflamed, the body attempts to heal itself by repairing it ‘at rest’. Easy to do – except when we have to WALK on these healing feet! There are two ‘tricks of the trade’ when it comes to heel pain: stretching and icing! Below are some specifics to help you ease the pain when getting around this summer!

For the INFLAMMATION: • Ice the area regularly. There are great foot rollers on the market that can be frozen to help with this task. Even a water bottle, filled up and frozen, can do the trick. Simply roll your foot on the roller 2-3 times a day to decrease the inflammation in your heel (while sitting of course!)

• There are some topical medications that can assist the icing. Biofreeze is a great example and good for those “on the go” moments when ice isn’t available.

• When icing isn’t doing the trick, patients sometimes need anti-inflammatory medication or even a small shot of steroid to help reduce the inflammation. It’s best to head on into your podiatrist’s office for these more advanced therapies.

For the MECHANICS: (because we don’t want this to come back!)

• Stretch the area regularly – AND stretch your Achilles tendon to keep both from becoming stiff and tight. You want the plantar fascia to heal in the elongated position, so the best time to stretch is right before you stand up from bed or a sitting position. That way it is gently stretched without being torn.

• Medical grade inserts can also be helpful in supporting your arch as it heals.

• Some patients require custom, functional orthotics to be made for them. This depends on your foot type, the severity of the condition and other corrective measures already performed by your podiatrist.

• RARELY, patients require surgery to correct the torn and inflamed fascia. This is not commonly performed simply because most patients do very well with conservative treatment options.

Keep in step this summer by performing these simple tricks to beat the heel pain!

For more information regarding heel pain (or plantar fasciitis), please contact Dr. Lockwood at Heartland Foot and Ankle Associates at 309661-9975 or www.heartlandfootandankle.com.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 31

amputee awareness

Showcasing Success

Over Disability

By Mary Hilbert

W

hen U.S. Army Golden Knights parachute team member Dana Bowman lost both of his legs in a training exercise accident in 1994, no one could have guessed the astounding success that would follow this tragedy. Nine months later, Bowman became the first double-amputee to reenlist in the U.S. Army- inspiring service members and veterans to persevere, no matter what obstacles they face. Today, Bowman continues to overcome all odds, living a physically active lifestyle not only when it comes to parachuting. “I snow ski and waterski too,” Bowman said, “I did this before my accident and I’m still going to do it.”

Today Bowman travels the country, sharing his story with people from all walks of life, especially those who have undergone amputations due to illness or physical trauma. Most recently Bowman appeared as a guest speaker at Amputee Awareness Day, hosted

by Comprehensive Prosthetics and Orthotics in Peoria, showcasing his talents alongside other courageous amputees. Sergeant First Class Michael Elliott, a Golden Knights team member of over Page 32 — Healthy Cells Magazine — Bloomington ­— July 2011

10 years, was also present for CPO’s Amputee Awareness day, performing a tandem jump with amputee Ryan Fitzgerald at CPO’s Bloomington awareness event. SFC Elliott, who has performed more than 9000 jumps in his career, received nationwide attention for performing a tandem jump with George Bush Sr. on his 80th birthday. “It’s about giving inspiration to military and civilians,” Bowman said, “It’s a message of hope and it’s for everyone: old, young, new and disabled. The words amputee and useless are not synonymous.”

Comprehensive Prosthetics and Orthotics is led by Donald Goertzen and Amit Bhanti and has clinic locations throughout Central and Southern Illinois, including Bloomington, Peru, Quincy, Springfield and Decatur. Goertzen, an amputee himself, lost his leg in a logging accident in Alaska and continues to enjoy a very active lifestyle while helping others just like him.

Demand for prosthetic care, which deals with artificial limbs that replace missing body parts, and orthotic care, which deals

with management of deformities, pain, weakness and other debilitating conditions using braces, is high across the United States and Central Illinois is no exception. According to Goertzen and Bhanti, CPO has seen 400 percent growth in both employees and revenue over the past three years. More than 28 million people across the United States are at risk of losing a limb to illness or injury. Of the nearly 507 surgical amputations that occur each day, nearly 60 percent are preventable according to the Amputee Coalition of North America. Vascular disease, trauma and cancer are the leading causes of limb loss.

While recovery time from limb loss varies from person to person, there are a number of ways that individuals can optimize their rehabilitation, including discussing pain management options with medical professionals, joining amputee support groups in the community and most importantly maintaining a positive self-image.

No matter what happens, Bowman maintains that it is important for people who have lost limbs to focus not on their disabilities, but what they are able to do. “CPO has done a lot, and helped me to spread this message,” Bowman said, “It’s about showing that no matter what your disability is you can still land on target.”

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Central Illinois residents seeking support and information on living with limb loss may contact the regional representative for the Amputee Coalition, Tammy Higginbotham at 309-546-9803.

For more information on Comprehensive Prosthetics and Orthotics services visit www. cpousa.com or call (309) 676-2276. The Bloomington office is located at 2703 McGraw Dr., Ste 3. To learn more about Dana Bowman’s story and opportunities to hear him speak, visit www.danabowman.com.

Rana H. Mahmood M.D., DABPN Board Certified Neurology & Electrodiagnostics

Now accepting new patients for evaluation, care and electrodiagnostic testing for carpal tunnel, numbness, tingling, pain and pinched nerves ▲Imbalance▲Migraines▲Seizures▲MS▲Vertigo

Botox injection for neuorological disorders

Decatur Neurological Associates Outpatient Clinic at Dr. John Warner Hospital 422 West White Street, Clinton, IL 61727 Please call 217-877-5943 for an appointment *most insurance and medicare welcome July 2011 — Bloomington ­— Healthy Cells Magazine — Page 33

weight loss

The Biggest Weight Loss Lie

By Julie Dostal, MS, Registered Dietician, Certified Diabetes Educator to sugar intake is different. Current research has confirmed that everyone’s body does not respond to food in the same way. Without going into scientific detail, this explains why certain diets work for some people and not for others.

Food and exercise Of course, food and exercise is part of the weight regulation equation. The concept of energy balance is only an ideal. Zero energy balance means that food consumed equals energy burned, however rarely are we in energy balance. If people maintain a positive energy balance of as little as 50 – 150 calories per day, over a year they will gain between 5 - 17 pounds. To maintain a stable weight over time, the body must correct daily errors in energy balance. Those with a robust corrective response can maintain a stable weight over years. However, not everyone’s body can correct for errors in energy balance.

Friends and family Friends and family can influence weight regulation. Several studies have shown that obese and overweight people who have obese and overweight best friends and partners had less motivation to lose weight because their peer group did not perceive obesity in a negative light.

Conversely, those who are surrounded by thin friends and family may be less inclined to overeat.

L

osing weight is easy” is the biggest weight loss lie. What makes it so difficult? After all, isn’t it just about willpower and eating fewer calories than you burn? There’s a lot more to it than that, which explains why so many people struggle to lose weight.

There are actually four causes of problems with weight control: biology, food and exercise, family and friends, and emotions. All of these causes must be understood and addressed before a person will be successful losing weight. “

Biology Experts agree that biology is the most important factor. Body fat has important regulation that is largely, if not completely, independent of willpower. Leptin is a hormone produced in the body fat tissues.

The amount secreted into the blood is relative to the amount of body fat. Leptin-deficient persons are massively obese. When they are given leptin, their food intake falls, mobilizing their fat stores for energy and returning their body weight to near normal levels. Insulin is also an important regulator for weight control and people’s biological response Page 34 — Healthy Cells Magazine — Bloomington ­— July 2011

Emotions The emotional component of food may be the most overlooked factor in a person’s struggle to lose weight. The National Weight Control Registry surveyed over 3300 people who had lost 30 pounds or more.

Those who ate in response to adverse life events and used eating to regulate or distract from negative mood were more likely to regain weight within the first year than those who maintained their weight loss. However, most people do not need a study to tell them that food is often the coping mechanism for much of what goes on in life.

The brain actually controls how we eat, so boredom, stress, sadness, frustration, or habits cause many people to use food as a way to deal with their emotions. This emotional cause must be addressed and is one that can be most difficult to change.

Don’t believe the lie. Losing weight is not easy and is difficult to do by yourself. Losing weight requires daily motivation, planning, and persistence for weeks or months to make weight loss happen. For long-term weight loss, you need to change not only your food choices and exercise but also your thinking, coping mechanisms and possibly your friends and family.

For more information, you may contact Julie Dostal, Certified Diabetes Educator and Registered Dietician, at 309-830-0711 e-mail Julie@ JulieDostalRD.com or online at www.JulieDostalRD.com. Her office is located at 2101 Eastland Dr. in Bloomington. She is committed to helping people lose weight safely and effectively.

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• 99% of our patients said they would recommend Advanced MRI to a friend

• Riverscape mural creates soothing atmosphere

or family • Enhance relaxation with your • CLEAREST images in the FASTEST time • All scans are read only by Subspecialty trained radiologists

choice of Satellite radio or bring your own CD • Private & quiet setting, just steps from the parking lot to the scanner

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 35

identity theft

Protect Yourself — and Your Piggy!

Part III: Now What?

By Dena McDonald, First Farmers State Bank

I

n the last few issues, we discussed identity and financial information theft. We know that it probably feels like we’re beating a dead horse, but hardly a day goes by without hearing news reports of security breaches and compromised debit/credit card accounts. Previously, we provided some identity theft statistics and practical tips to protect your identity—and your piggy.

But what do you do when you suspect a problem?

Signs that Identity Theft May Have Occurred: • Being denied credit for no apparent reason.

• Receiving credit cards you didn’t apply for.

• Not receiving mail. This could be an indication that someone has submitted a change of address card.

• Receiving phone calls from debt collection agencies (when your credit history has been clean).

• Unrecognized charges on your financial statements.

What Do You Do When Your Identity is Compromised?

If you find yourself in any of these situations and are uncertain whether someone has gained access to your information, here are a few things you should do immediately: • Close financial accounts/cards and open new ones, or at the very least, alert financial institutions so that activity can be monitored. For online account access, set up new passwords with non-identifying attributes (do not use generic letters/numbers, mother’s maiden names, birthdates, etc).

• Call one of the credit reporting agencies and place an initial fraud alert on your credit reports. Order a free copy of your reports and monitor it closely. ∙ Experian: 888-EXPERIAN (397-3742) ∙ TransUnion: 800-680-7289 ∙ Equifax: 800-525-6285 • File a police report. Aside from the help that law enforcement may be able to provide, your creditors may also require it as proof of a crime having been committed before unleashing their full investigative resources.

• Report the theft to the Federal Trade Commission. In addition to your local police department, it helps law enforcement across the United States in their investigations. You may be just one of thousands across the country who have been affected. ∙ Online: ftc.gov/idtheft ∙ Phone: 877-ID-THEFT (438-4338) or TTY 866-653-4261 ∙ Mail: Identity Theft Clearinghouse, Federal Trade Commission, Washington DC 20580 • Since a wallet or purse loss means you have likely lost your driver’s license, contact your local DMV as soon as possible. Cancel the original item, document the loss of the original with the agency and obtain a replacement. Then ask the DMV to flag your file so that nobody else can get a license in your name.

Page 36 — Healthy Cells Magazine — Bloomington ­— July 2011

With the constant drumbeat of media reports on identity theft, it’s easy to become overwhelmed, but keep in mind that simply because you have lost your wallet or purse does not mean thieves will target you; there are still many good Samaritans out there. Being alert and exercising due diligence with regard to your personal and financial information will go far in reducing the risk to your good name—and your piggy!

Dena McDonald is the Marketing and Sales Manager for First Farmers State Bank, 4001 GE Road, Bloomington. First Farmers State Bank, established in 1875, is locally owned with locations in Minier, Delavan and Bloomington and on the web at www.firstfarmers.com.

INTRODUCING DR. ALBERT KIM, D.D.S.

The Foehr Group would like to welcome Dr. Albert Kim to our practice!

Dr. Kim received his Doctor of Dental Surgery degree from Loma Linda University, Loma Linda, California in 2005. Since graduating he has completed several Prosthetic, Surgical and Implant courses along with courses in Oral and Nitrous Sedation and Occlusion. Dr. Foehr feels very confident in his abilities and knows that he can bring some new and exciting services that we previously did not offer such as: placing of dental implants, oral surgery and oral sedation. Dr. Kim also has a family with a wife and two boys and is fluent in the Korean language. Please help welcome him to our practice and get 10% off appointments booked with Dr. Kim for mentioning this ad.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 37

hearing safety

Protect Your Ears This Summer

By Stacy Chalmers, Au.D., Doctor of Audiology, Bloomington-Normal Audiology

Summer safety checklist: 3 Sunscreen 3 Hat 3 Sunglasses 3 Water bottle 3 Insect repellent 3 EAR PLUGS The last item on the list is often overlooked, but many summer activities actually involve risk to our ears and/or hearing.

Think of some common summer past times: taking the convertible or motorcycle for a ride; enjoying an outdoor concert; watching the fireworks display on the 4th of July, or setting off your own fireworks; attending auto races, air shows, or demolition derbies; mowing and home improvement projects; going for a swim at the pool or lake; and of course, water parks, amusement parks, and summer vacations!

Have you seen young children covering their ears or even crying at the fireworks or around other loud sounds? We can become more accustomed to loud noises with time, but that does not make them less hazardous. Most people are aware that exposure to loud noise can result in permanent hearing loss and ringing in the ears (tinnitus). Noise induced hearing loss is cumulative, with exposures over a lifetime having an impact on our hearing in later years. This type of damage is preventPage 38 — Healthy Cells Magazine — Bloomington ­— July 2011

able with proper use of hearing protection. There are many different styles of hearing protection available for people of all ages – from infants to adults. Plugs can be solid for a high level of protection around more damaging levels of noise, or filtered to allow basic conversation, preserve music quality, and even block snoring and other noise that can interrupt sleep when sharing hotel rooms or camping. There are also volume limiting earphones that parents can use to control volume on iPods, DVD players, and gaming systems commonly used on long trips.

We should also think about protecting our ears during recreational water activities. Contaminated water in lakes, rivers, oceans, pools, hot tubs, and water parks can all expose our ears to various pathogens. Swimmer’s ear, or otitis externa, is a common infection of the outer ear that can result from water becoming trapped in the ear.

Custom swim and bathing plugs can be utilized to seal the outer ear and prevent water entry. Made of a soft, comfortable and floatable material, they are effective protection from moisture. They are particularly useful for individuals who have perforated eardrums, pressure equalization tubes, chronic swimmer’s ear, or anyone who has a sensitivity to or dislike of water in the ears. One can show off brightly colored designs to match a swimsuit, for example, or choose a more discreet look. There are also special ear bands designed to wear over the ears in order to keep water out or hold ear plugs in (and keep tiny hands from pulling them out!).

For air travel, Image courtesy EarPlanes® help of Westone®. prevent discomfort related to pressure changes during air travel. They are disposable plugs available in two sizes, for adults and children (or adults with smaller ear canals).

They are required only during take-off and landing, but can be kept in throughout the flight to take advantage of the added benefit of reducing noise. They can even be used at the amusement park to prevent potential injury to the ear from the force of acceleration on a roller coaster.

There are many products available to help keep your ears happy and healthy this summer. Custom plugs are made specifically for your ears using an earmold impression taken by an Audiologist. Pre-sized and universal fit options are also available for some applications.

For more information on any hearing related issue, you may contact Bloomington-Normal Audiology at 309-662-8346 or on the web at www. bloomingtonnormalaudio.com. They are located at 1404 Eastland Drive, Suite 203 in Bloomington and 1508 Reynolds Suite B in Pontiac.

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217-937-5284 July 2011 — Bloomington ­— Healthy Cells Magazine — Page 39

communication disorders

What is Aphasia?

By Rene McClure, M.S., CCC-SLP, Eckelmann-Taylor Speech and Hearing Clinic

I

n a recent poll, only 37% of the general population knew what aphasia was. And yet, in the United States, one million people currently have aphasia and 80,000-100,000 people will acquire aphasia each year. It is a condition that affects all races, ethnicities, and ages in both men and women.

What is aphasia?

Aphasia is an acquired communication disorder caused by damage to the portions of the brain that are responsible for language, impairing a person’s ability to understand, produce, and use language. Many individuals experience a reduction in, or loss of, their ability to verbally express themselves, often exhibited by difficulty finding the exact words they want to say, or formulating a grammatically correct sentence. Others may experience difficulty understanding spoken language. Aphasia typically affects reading and writing ability as well however it does not affect intelligence. Aphasia most often occurs suddenly as the result of a stroke or brain injury.

Can someone recover from aphasia?

The most significant amount of recovery occurs during the first couple of months post onset. For some individuals, spontaneous recovery alone is sufficient to restore language abilities. For others, deficits will persist and speech-language therapy is necessary to help regain lost abilities and develop compensatory communication strategies. Many experts in the treatment of aphasia believe that therapy should begin as soon as possible after onset. Recovery slows after six months, but some individuals can continue to make improvements for several years.

The extent and location of the lesion strongly impacts the degree to which someone recovers impaired language skills, as does the nature of the stroke. For example, an ischemic stroke, caused by a blockage in a vessel carrying blood to the brain, tends to have a slower and less complete recovery rate than a hemorrhagic stroke. Hemorrhagic strokes, caused when a weakened blood vessel ruptures, however, have a higher incidence of death.

What can I expect from aphasia therapy?

In order to meet the needs of an individual client, speech-language therapy may be conducted in individual sessions, group sessions, intensive sessions for a short duration of time, or meetings spread out across a longer period of time.

Individual sessions often include drill type activities targeting language skills that are weak. Stimulus items are selected specifically for an individual based on the type of treatment the therapist is using. Some clients may be taught to use a stronger language skill to tap into a weaker skill. Clients may be trained to use compensatory strategies such as describing an object they are unable to name, and use of gestures or drawing to convey a message. Some clients may benefit from the use of communication boards or electronic speech generating devices. A skilled clinician will create an individualized treatment plan to target the client’s deficits while capitalizing on the strengths that remain.

Page 40 — Healthy Cells Magazine — Bloomington ­— July 2011

"Aphasia typically affects reading and writing ability however it does not affect intelligence."

Participation in group therapy can be an excellent avenue for recovery for many aphasic individuals. Often, it is the first opportunity patients have to surround themselves with others who are experiencing the same struggles with communication. Group therapy can provide emotional support and boost confidence in speaking situations. Clients are often grouped based on level of severity, rather than similarity of deficits. Group therapy can be structured in a variety of ways. Some groups aim to continue to improve communication skills in participants’ everyday life experiences. Sessions may focus on role-play scenarios such as asking a store clerk for assistance, ordering in a restaurant, or making a doctor’s appointment. Other sessions may use current events as a means of directing conversation. Still others may focus on a theme or topic such as gardening or art appreciation.

What can I do to help?

As the mortality rate from stroke continues to decline, the likelihood of encountering someone with aphasia increases. You can offer direct support by including people with aphasia in conversation, allowing sufficient time for them to express themselves, encouraging alternative ways of expression such as drawing or writing, speaking in shorter sentences or phrases, repeating key words to increase understanding, and decreasing distractions in the environment. Encourage your loved one to seek out opportunities and get involved in either individual or group therapy offered by a licensed speech-language pathologist.

For more information on aphasia or any communication difficulty or concern, you may contact The Eckelmann-Taylor Speech and Hearing Clinic at 309-438-8641 located at Illinois State University.

Services offered include speech, language, voice and hearing evaluations as well as individual and group treatment. Fees for service are reasonable, and a reduced fee schedule is available for those who qualify.

Custom Swim and Bathing Plugs • Used to keep water out of the ears • Especially appropriate for post-ear surgery use. Also helpful for people who “just don’t like water in their ears”

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For more information, contact

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July 2011 — Bloomington ­— Healthy Cells Magazine — Page 41

electronic media

Keeping Your Teens Safe Online By the i-Safety Task Force

W

hen school is out for the summer, your teen needs more support and guidance than ever in the area of online safety and appropriate use of computers, game systems, and the Internet. For many older children the summer offers both more free time and less adult supervision as they spend the summer at home while their parents are working.

Following are four things you can do today to help keep your teen safe online: 1. Install filtering software. Any computer that is connected to the Internet should have software that filters inappropriate websites.

Some examples of this type of software are available at www.surfsafenow.org. At the minimum, this software should be configured to block the malware and spyware categories.

Page 42 — Healthy Cells Magazine — Bloomington ­— July 2011

2. Talk to your teen about not providing too much information online.

There is nothing wrong with appropriate use of online communication tools and social media, but not all information should be shared online.

3. Set appropriate limits. Online activity is no different than any other activity. You should set, communicate, and enforce clear limits around:

• The amount of time spent online

• Types of online activity

• “Tech free” times and places. For example, set a rule of no texting during meals, or cell phones get turned off after 11pm.

4. Encourage engagement in “offline” activities. There are a variety of community and outdoor programs available during the summer. Your teen should be encouraged to balance online activity with other activities.

While the above suggestions will help keep your child safer online, the single most important defense your teen has is you. Set a good example in your online activity. Talk to your teen about what they are doing online. Set and enforce appropriate limits around their electronic activity.

The healthy habits you help them get this summer will help them navigate their increasingly connected world far beyond this summer.

The i-Safety task force was established to assist with the prevention, awareness, and education of Internet threats. This non-profit organization is dedicated to the improvement of the safety and well-being of people who are especially vulnerable to Internet safety issues: senior citizens, young adults, and new Internet users. They maintain a website, www.surfsafenow.org that contains rich, up-todate materials and links to state and federal resources for the latest information and trends in Internet crimes, virus attacks, frauds, and scams. Task force members regularly make guest speaking presentations at local schools, community organizations, community events, and conferences.

If you would like more information about the i-Safety task force, or to request an appearance, please contact the i-Safety task force at iSafetyTaskForce@projectoz.org. You can also watch the Heartland Community College community education schedule for “Surf Safe Now” classes that are offered: http://www. heartland.edu/communityEd/ Project OZ has been helping families and youth in the community since 1973. For information on services Project OZ offers, visit their website, www.projectoz.org or contact Kellie Henrichs at 309-827-0377.

Did you know: • According to the Kaiser Family Foundation, the average teen spends 7.5 hours consuming some form of electronic media every day?

• According to the Pew Research center, one in three teens sends more than 100 text messages per day?

• On average, a young adult entering an on-line chat room receives sexual solicitations or x-rated images within 90 seconds?

• Internet predators have lured some teen and tween residents of Central Illinois to private face-to-face meetings?

MRI • CT (COMPUTERIZED TOMOGRAPHY) • PET/CT • ULTRASOUND • X-RAY BONE DENSITOMETRY • DIGITAL MAMMOGRAPHY WITH CAD

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 43

oncology education

Cancer News in Review

By Kelsey Farrell, IWU intern and Becky Powell RN, MS, AOCN, Health Educator, Community Cancer Center

T

he field of oncology is rapidly changing, as more research is conducted and new treatments are developed and tested.

Throughout the first half of 2011, many cancer advancements were made, some of which are summarized here:

Medications A new drug to treat advanced melanoma has been approved by the U.S. Food and Drug Administration. Melanoma is one of the deadliest forms of skin cancer, but it is also relatively rare; only about 5% of skin cancers are melanomas. The drug is called ipilimumab and is used to treat melanoma that has metastasized to other parts of the body or that cannot be removed by surgery. The clinical trial showed that patients who took the drug lived about ten months, while patients who underwent a different treatment lived about six and a half months. The drug helps the body’s immune system recognize and attack cancerous melanoma cells. In the past, few treatment options were available for patients with advanced melanoma; chemotherapy can reduce the size of some advanced mela-

Obstructive Sleep Apnea OSA is a serious, potentially life-altering, health issue. People with this disorder stop breathing during sleep for 10-45 seconds at a time, occurring up to 400 times every night. This usually wakes the person, or their partner, resulting in neither getting enough rest.

The person having the breathing interruptions will usually not remember waking throughout the night, but may notice sleepiness during the day—or the feeling of not being able to get enough sleep.

• An estimated 5 to 10 percent of adults in the US have OSA • Of these, 85 to 90% have not been identified • Sleep apnea can affect persons of any age • It is more common among those 40 years of age or older Please contact your physician if you believe you have symptoms of sleep apnea.

nomas, but the cancerous cells begin growing again soon after the chemotherapy has finished. Ipilimumab is the first drug available to improve the survival rates of people with advanced melanoma.

The Food and Drug Administration also approved a new treatment for men with advanced prostate cancer. This is the second time in a year that a new prostate cancer drug has been approved.

The drug is abiraterone and was approved for the treatment of metastatic castration-resistant prostate cancer, meaning that the cancer continues to grow even with low hormone levels, in men that are no longer seeing results from chemotherapy. A standard treatment for prostate cancer has been drug-induced castration, which prevents prostate tumor cells from getting the testosterone they need to grow. Sometimes, however, the cancer continues to progress even with the low hormone levels because the tumor cells adapt to the low-testosterone environment. This is the situation in which abiraterone is applicable. In comparison to the other prostate cancer drug, cabazitaxel, abiraterone is advantageous in that it has fewer serious side effects and it can be taken orally. In the clinical trial, patients who took abiraterone with prednisone had a mean overall survival of 14.8 months, in comparison to patients who took prednisone with a placebo who had a mean overall survival of 10.9 months. These improvements are modest, but they are encouraging signs for future patients with prostate cancer.

Genetics A new gene, called FOXO3, has been discovered in mouse prostate tumors, which leads to a decreased immune response against the cancer. The study was performed by researchers from the National Cancer Institute (NCI). T cells are part of the immune system and are involved with killing invaders or foreign substances.

The NCI researchers found that when FOXO3 is present at high levels, as it is in tumor cells, the cells suppressed the immune response, causing the T cells to ignore cancerous cells, lose the ability to kill tumor cells, and even spread this effect to other T cells.

The researchers found that when the FOXO3 gene was silenced, the T cells resumed normal function and performed their appropriate immune responses. Using this information, scientists may be able to use silencing of the FOXO3 gene in cancer vaccines as a way to increase immune responses Oncology is a fast-paced field, and new advancements in diagnosis and treatment make the disease more survivable. Following a healthy lifestyle and getting the recommended routine screenings can prevent cancer and lead to detection at an earlier stage, when the cancer is more easily treated. New medications, therapies, and screening methods are developed continuously, which is great news for cancer patients and their loved ones.

Information on the recommended screening guidelines for prostate, colon, skin, and breast cancer can be viewed on the Community Cancer Center’s website at www.cancer.org.

Page 44 — Healthy Cells Magazine — Bloomington ­— July 2011

passing it on

Is a Will or Trust Right For You?

By Amy McFarland,Bloomington Legal Services

Y

ou’ve worked your entire life and saved for a rainy day. You hope the rainy days stay away, and you’ll have the assets you need to live the life you want.

But, we all know our days on this earth are numbered. Have you thought about what’s going to happen to your assets after you pass away?

An important part of estate planning is determining how best to pass your assets on to family and friends after you pass from this earth. Wills and trusts are legal documents that allow you to determine how your assets will be distributed to others. It’s important to understand basic features of both to determine which planning tool is best for you.

A will is a common legal document in which you outline to whom you would like your property distributed upon your death. After your death, your estate will go through a legal process called probate, in which the ownership of your assets will legally transfer from you as the deceased to those individuals you’ve outlined in your will. A will allows you an opportunity to determine who the executor of your estate will be – the person who handles your affairs – and provides your direction for how your assets should be distributed.

A revocable living trust is a legal document in which you (as the “grantor”) transfer title of your assets to the trust and identify a trustee who holds legal title to and administers your property according to the instructions you outline in your trust document. Typically, the grantor will be named as the trustee of the trust and appoint successor trustees who will act upon the resignation or death of the primary trustee. Unlike a will which is only effective after your death, a revocable living trust is designed to be effective during your lifetime and carry over to distribute your assets after your death.

Beyond creating the necessary legal documents, to establish a trust you have to transfer title of at least some of your assets during your lifetime to the trust itself. While this means you no longer own the asset as an individual, you determine the components of the trust when the documents are drafted, which usually means transferring the assets to yourself as the trustee so that you continue to exercise control over your own assets, but the title to the property has changed. The added benefit of the revocable living trust is that at such time as you are ready to turn over the day to day control and decision making of your assets, you can resign as the trustee and your successor trustee can assume the duties of managing your financial affairs.. The trustee you designate administers the property held by the trust, making the necessary decisions about the assets. The income from the trust is distributed to beneficiaries, which can be you or other people during your lifetime or after.

The biggest benefit of the revocable living trust is that upon your death your assets do not pass through probate since ownership during your lifetime was transferred to the trust. At that time, your assets are then distributed according to the directions in the trust. However, if you’re considering a revocable living trust as an estate planning technique, make sure to plan to fund the trust during your lifetime.

While “do-it-yourself” legal documents have become more available, estate planning is a lot more than just filling out forms. It involves making decisions about which approach is best for you and best honors your intentions for the assets you’ve accumulated over your lifetime.

Wills and trusts vary in 3 important ways confidentiality, control and cost.

Wills

Living revocable trusts

Confidentiality

While a will may be private during an individual’s lifetime, it becomes a public document upon the individual’s death.

This includes description of assets and to whom they are distributed.

A trust is commonly referred to as a private document; as long as the trust is funded during your lifetime, it is not filed with the court at the time of death. So, for people with extensive assets, the value of their property is not made public.

Control

Since a will doesn’t come into play until after your death, having a will doesn’t impact control of your property during your lifetime. However, if you become incapacitated, you may need to make other arrangement during your lifetime for control of your assets.

With a trust, you do give up ownership of your assets to the trust.

However, you also outline requirements of the trust which honors your wishes for your property.

If you become incapacitated, you can resign as a trustee and allow your successor trustees to manage your affairs in life then seamlessly move into distribution of the assets at death.

Costs

Wills are typically a less costly option at the time the document is created. However, a will may be a more costly choice at the time of death if your estate has property (real estate, bank accounts, vehicles, etc.) that goes through probate – especially if there is a challenge during the process.

Revocable trusts are typically a more costly option at the time the document is created.

However, a properly outlined and funded trust during your lifetime can allow your assets to transfer to beneficiaries without probate, saving your loved ones expense and hassle at the time of your death.

For more information about determining what approach is right for your situation, call Amy McFarland at (309) 827-8900, online at www.bloomingtonlegal.com, or visit their office at 716 E. Empire St., Suite C in Bloomington. Bloomington Legal represents clients throughout Central Illinois and specializes in estate planning, family law, real estate, adoption, mediation and divorce.

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 45

cosmetic surgery

With Perfect Clarity

By Glori Traeder, CNP, Center for Cosmetic and Laser Surgery

E

yelid surgery, also known as blepharoplasty, is used to improve the appearance of the upper and/or lower eyelids, giving a rejuvenated appearance to the surrounding area of the eyes. This straight-forward surgery is performed for either cosmetic reasons, to remove loose skin, puffiness, fine wrinkles and lines; or for medical reasons to improve peripheral vision loss that may be caused by excess upper eye lid skin covering the eyelashes. In both cases, the surgery will result in a more youthful, rested and alert appearance.

In order to determine if you are a good candidate for this procedure an evaluation with a qualified surgeon is recommended. Plastic surgeons frequently perform this surgery, and will assess your medical condition to determine whether your vision or aesthetic appearance would improve with this surgery. If peripheral vision loss is attributable to dermatochalasis, a medical condition evidenced by excess skin of the upper eyelids, it may be covered by insurance. This would need to be carefully reviewed by you and your insurance company.

Blepharoplasty surgery is usually performed at an accredited ambulatory surgery center, office-based surgery center, or hospital. You may need help with some responsibilities, including driving, for a few days. You may experience some swelling, bruising, and tenderness which can be managed with medications, eye ointments and cold compresses as directed by your surgeon. Normal activities are usually

Page 46 — Healthy Cells Magazine — Bloomington ­— July 2011

resumed within two weeks. Sunglasses are suggested until fully healed.

Most people sidestep public appearances for about a week.

Surgical scars are deliberately placed within the natural upper eyelid crease for upper blepharoplasty and tucked under the lower eyelashes for lower blepharoplasty surgery. This scar tends to be a fine white line and is barely noticeable once healed. This surgery is equally appreciated by men and women, typically between the ages of 40 through mid 70’s.

Any type of surgery has some risks, so it is important to weigh the benefits versus the risks or potential complications. Be sure that you understand the procedure and that all your questions have been thoroughly answered. As with any surgery, you want to feel comfortable with the surgeon that will be doing the procedure, which is usually gained through the time spent explaining the procedure and addressing any concerns you might have. It is also advisable to consider the surgical specialty and expertise of the surgeon.

Most plastic surgeons recommend the daily use of sunscreen and this is especially important following eyelid surgery.

For more information, you may contact Dr. Paige Holt at the Center for Cosmetic and Laser Surgery, 309-663-1222 or online at www.osfplasticsurgery-bloomington.org. Her office is located at 1505 Eastland Drive, Eastland Medical Plaza 1, Suite 350, Bloomington, Il. 61701.

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www.mihoaonline.org July 2011 — Bloomington ­— Healthy Cells Magazine — Page 47

hypnotherapy

Lose Weight, Gain Control

By Jen Sinclair Johnson

D

VEGETABLES

BUSY CONFIDENT

RELAX FRUIT

PLAY SWEETS

STRESS

WORRY FAST FOOD

Page 48 — Healthy Cells Magazine — Bloomington ­— July 2011

iet books crowding store shelves and clinical study results filling our airwaves offer a buffet of contradictory advice. Low-fat or low-carb?

Mediterranean or vegetarian?

Which manual holds the weight loss secret that works best?

The fact is that no plan guarantees success, especially over the long term. Some may help you drop a few quick pounds before an event, but the reason over 30% of Americans are obese is complex, requiring a solution beyond buying a new recipe card index.

“Weight is the symptom of the problem and not the issue.” Rick Longstreth, a Certified Hypnotherapist, understands the way to reach and keep a healthy weight is by figuring out why people over – or under eat and then replacing bad food habits with good ones.

Everyone has heard the best way to lose weight it to eat less and exercise more, but changing your way of doing things is tough.

Unlike smoking, food isn’t something you can just quit. It can be a constant challenge to enjoy your meals while consuming enough but not too much.

The struggle begins in unconscious parts of the mind. In his book Incognito, The Secret Lives of the Brain, neuroscientist Dr. David Eagleman writes, “The first thing we learn from studying our own circuitry is a simple lesson: most of what we do and think and feel is not under our conscious control.” Hypnosis works by helping people to overcome obstacles on a subconscious level.

To understand motivations most of us don’t think about,

Longstreth starts with a free consultation to get to know each other and ask questions without obligation. If a person decides to commit, they’ll go forward. The person must have the sincere desire to change before he is able to help.

When the client is ready, the first session is all about education. What, besides nourishment, do people get from food? He’ll explore what food means, why they eat, and what else is going on in their lives with kids, bosses, and relationships since all can have an effect. We’re usually aware of the thoughts running through our minds, prodding us to eat junk food even when we’re not hungry, but not always how they originate.

Stress, for example, almost always plays a factor in overeating.

Many people don’t recognize the stressors in their lives, which can push them to reach for a pint of ice cream. Yet, that only spikes their blood sugar, maintains the stress hormones, and makes it harder for them to feel better by getting active and losing weight.

No wonder they struggle to achieve their goals.

Therapeutic Hypnosis (which is far different from the “stage hypnosis” used as entertainment) provides almost instant stress relief, coaxing people into a relaxed state similar to an engaging daydream so the mind can focus on a single thought to the exclusion of others. Without the continuous rumble of their inner musings, hypnosis offers clients a suggestion on a deeper level which allows the mind to work on the idea, undo the old habits, and create better ones.

Hypnosis helps change our behavior at the source so we can develop a new self image, relax about weight management, obtain a positive relationship with food, and create a self-fulfilling prophecy for looking and feeling better in the future.

While hypnosis works on a subconscious level, the client is always aware of what’s happening and 100% in control. In fact, Longstreth teaches clients how to connect their thoughts, actions, habits, and feelings so they can take control of their behavior in other areas of their lives, too.

Diet pills, plans, and commercials make it tempting to think there’s a quick and easy fix for losing weight. But the reasons most people carry extra pounds are more complicated than a one-shot solution. Hypnosis compliments exercise and sensible eating, helping to create a lifetime of better health.

For more information on Hypnosis, contact Rick Longstreth, CH; AHHH Hypnotherapy, 2310 East Oakland Ave, Suite 11-B, Bloomington, IL; (309) 261-2564 or www.AHHH-Hypnotherapy.com.

Eckelmann-Taylor Speech and Hearing Clinic is one of the largest in the Midwest, with more than 12,000 patient visits per year. This important teaching, research, and service resource offers critical clinical services to the general public as well as the campus community.

Our Services Include: ■■ Diagnostic Speech-Language Services ■■ Speech and Language Therapy ■■ Diagnostic Hearing Testing ■■ Aural Rehabilitation ■■ Hearing Aid Dispensing

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(309) 438-8641 www.csd.illinoisstate.edu/clinic

July 2011 — Bloomington ­— Healthy Cells Magazine — Page 49

Page 50 — Healthy Cells Magazine — Bloomington ­— July 2011

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Central Illinois Neuro Health Sciences is the leading provider of neurosurgical, rehabilitation and pain management services in Central Illinois. A multimodality approach is taken in the management of intracranial, spinal and peripheral nerve diseases to best address the needs of our patients. Neurosurgeons, physiatrists, neuroradiologists, and pain management specialists work with referring physicians to provide comprehensive and technologically advanced care.

CINHS offers evaluation and treatment of all neurological disorders including:

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