July Springfield Healthy Cells 2011

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SPRINGFIELD/DECATUR

area

Promoting Healthier Living in Your Community

FREE

HealthyCells July 2011

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• Physical • Emotional • Nutritional

www.healthycellsmagazine.com

M A G A Z I N E

Think Outside The Box

Metabolic Medicine  page 14

Diabetes is Preventable page 10 Help Your Physician Monitor Your Medications page 12

What Parents Should Know About Fevers page 24

 Dr. Rohde’s Refreshing Approach to Health at His

Renew Total Body Wellness Center



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3900 Pintail Drive, Suite A, Springfield, IL, 62711 Phone: 217-726-6956 or Fax: 217-726-7082 advancedhealthcareservices.org July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 3


J U LY

2011 Volume 2, Issue 7

This Month’s Cover Story:

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Canine Health: Getting to The Heart of It

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Emotional: Avoid Summer Brain Drain

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Nutritional: Savor the Season

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Medical Records: Help Your Physician Monitor Your Medications

Grief Recovery: “Am I Equipped For Happiness?”

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Healthy Travels: Road Ready

22 24

Dr. Rohde’s Refreshing Approach to Health at His Renew Total Body Wellness Center page 14

Physical: Diabetes Is Preventable

17

21

Think Outside The Box Metabolic Medicine

A Healthy Sleep: Treatment for Snoring and Obstructive Sleep Apnea

Healthy Aging: Why Healthy Bones Are Important to You

Children’s Health Taking Temperatures­—What Parents Should Know About Fevers

Left to Right: Julie Preston, PA-C; Jeff McGee, PA-C; Dr. Tom Rohde, MD; Kim Schunk, APN For information about this publication, contact Becky Ar ndt, owner at 217-413-1884, Becky@healthycellsmagazine.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Greater Springfield and Decatur area, including major grocery stores, hospitals, physicians’ offices, and health clubs. Healthy Cells Magazine is published monthly and welcomes contributions pertaining to healthier living. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Springfield/Decatur Illinois area.

I wish to thank all the advertisers for their support of Healthy Cells Magazine’s mission to bring positive health related information to our readers. Because of their generosity we are able to provide this publication FREE to you. – Becky Arndt


canine health

Getting to The Heart of It A

ccording to the Association for Pet Obesity Prevention, 43 million dogs are estimated to be overweight or obese. The primary risk of excess weight, in pets, is heart disease, and just as humans often adopt a natural diet to help support cardiac health, feeding natural foods can also benefit their canine companions. When it comes to canine heart health, there are two key things for pet parents to consider: feed a balanced diet that is rich in high-quality, natural foods and encourage regular exercise to help maintain lean body condition. “The heart is an organ that benefits greatly from lean body mass,” said Dr. Al Townshend, staff veterinarian, Wellness Natural Pet Food. “Excess fat around the heart can create resistance, which makes the heart work harder for each beat.” To help dogs maintain a healthy heart, Dr. Townshend suggests a feeding regimen that includes high quality protein, fat and carbohydrates, along with essential vitamins and minerals. Wellness natural food and snacks, including the Super5Mix dry dog recipes, are made with carefully chosen, authentic ingredients, each of which has a purpose. These natural recipes include key nutrients that can help with canine heart health, such as: • A ntioxidants, like beta carotene and vitamin E. • Taurine, an amino acid that is essential for the proper functioning of the heart, regulating heartbeat and protecting the heart from calcium excess. • O mega 3 fatty acids, which have antiinflammatory properties to support healthy blood pressure and help reduce the risk of blood clots.

Photo courtesy of Getty Images

Along with proper nutrition, pet parents should strive to provide their dogs with regular exercise in the form of walks, hikes and active play. Yearly veterinary examinations can also help maintain a pet’s heart health, as well as his or her overall well-being. For more information, visit www.wellnesspetfood.com. July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 5


emotional

Fun Ways to Keep Kids Reading

Photo courtesy of Getty Images

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o more teachers, no more books ...” Kids may heave a sigh of relief when school is out for the summer, but parents and caregivers need to make sure that kids don’t fall victim to summer brain drain. According to the National Summer Learning Association (NSLA), all kids experience learning losses when they don’t engage in educational activities during the summer. Research over the last 100 years shows that students typically score lower on standardized tests at the end of summer vacation than they do on the same tests at the beginning of the summer. “Like any other important skill, learning must be practiced or it can easily be lost,” said Matthew Boulay, NSLA’s interim CEO. “The research shows that lower-income children with less access to summer Page 6 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

learning programs and to books are even more likely to fall behind in reading over the summer — and that contributes a great deal to the achievement gap over time.” What you can do for your kids Reading is a crucial learning skill that has impact into adult life. Here are some fun ways to help get — and keep — your kids’ noses in books this summer: • Make time every day for reading. Reading to children and modeling good reading habits communicates that reading is important — and fun. • Help kids choose books at an appropriate reading level. Nothing is more discouraging than having to struggle with a book that’s too


Photo courtesy of Getty Images

challenging. Listen to your child read. A good rule of thumb is that if he or she makes five or more errors in reading a page of about 50 words, the book is too challenging. • When reading picture books, ask your child about what is happening in the illustration. Let them interpret the drawings in their own, unique way. • Let them read from a wide variety of materials. Fairy tales, information books, poems, children’s magazines, the newspaper’s sports page, e-books and graphic novels are all good options for finding interesting reading material. • Don’t drill your child on letters, words, numbers, colors, etc. Turn it into a game to help encourage their curiosity and continued interest. • Make sure reading material is easily accessible. Leave books and magazines in their room; have reading material in other rooms of the house, and even the car. What you can do for others It’s important for every child to keep reading and learning during the summer, but for some kids, it’s even more critical. The NSLA says that lower-income students are particularly at risk: • Low-income students lose more than two months in reading achievement over the summer months. • More than half of the achievement gap between lower and higher income youth can be explained by unequal access to summer learning opportunities. As a result, low-income youth are less likely to graduate from high school or enter college. To help close this gap, The UPS Store network supports the Toys for Tots Literacy Program, a year-round initiative that encourages mon-

etary donations and provides books to less-fortunate children. The program gives these children the ability to compete academically and succeed in life by enhancing their ability to read and communicate effectively. Every donation helps purchase books for local children in need or places books in libraries, schools, and existing programs that serve economically disadvantaged children. One hundred percent of donations benefit children in the community in which the donations were received. Find out more at www.toysfortots.org/literacy.

July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 7


nutritional

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rilling can bring so much more to the table than basic brats and burgers. In these recipes, cookbook author and celebrity chef Nick Stellino uses a few key ingredients that add new dimensions of flavor to seafood, steak and even salad. He calls on olive oil and vinegars from Pompeian to make savory marinades and zesty seasonings that will make you truly savor the grilling season. Olive oil, a key component of the Mediterranean Diet, is a great way to follow the 2010 USDA Dietary Guidelines for Americans, which urge people to cut back on saturated fats and recommend an increase in monounsaturated fats. For more of Chef Stellino’s recipes, as well as how-to videos, visit www.pompeian.com and “Like” Pompeian on Facebook at www.facebook.com/Pompeian.

Nick Stellino’s Grilling Tips • Grease grates of grill with Pompeian Extra Light Tasting Olive Oil before heating. • Pre-heat barbecue with cover down (high for gas) for 15 minutes. • Never cook fish or seafood over direct heat on a grill (gas or coals), as it scorches the exterior while leaving the interior undercooked. Shut down half of gas grill (or move coals from one half of grill to the other side) and put fish/shrimp on cool side of grill. Cover grill to cook.

Tomato, Burrata and Arugula Salad

Serves 4 to 6 1/4 teaspoon salt 1/4 teaspoon pepper 1/4 teaspoon dried oregano 1/4 teaspoon sugar 4 large tomatoes, preferably heirloom 4 ounces baby arugula salad 3 tablespoons Pompeian Extra Virgin Olive Oil, divided 1 tablespoon Pompeian Balsamic Vinegar, divided 6 to 8 ounces burrata cheese, cut into 4 pieces, OR fresh mozzarella, cut into slices 1 ounce shaved Parmesan cheese Mix dry spices and sugar together in small bowl. Cut tomatoes into slices about 1/2 inch thick; place on a tray and sprinkle with the spice mixture on each side. Let slices rest and absorb the flavor for about 10 to 15 minutes. Dress arugula salad with 1 1/2 tablespoons olive oil and 1/2 tablespoon vinegar. To serve: Place dressed salad in the middle of each plate; top with tomato slices, then with pieces of burrata or mozzarella slices. Drizzle each plate with remaining olive oil and vinegar. Top salads with shaved Parmesan. Page 8 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011


Skewered Shrimp with Black Bean-Lemon Rice

Grilled Skirt Steak with Tomato-Infused Marinade Serves: 4 to 6 2 1/2 to 3 pounds skirt steak Marinade: 5 garlic cloves 1/2 cup fresh mint, loosely packed 1 tablespoon fresh thyme leaves 1 cup fresh parsley, loosely packed 1 cup fresh basil, loosely packed 1 1/2 tablespoons salt 1 tablespoon fresh rosemary 1 28-ounce can Italian-style peeled tomatoes 1/2 cup Pompeian Pomegranate Infused Balsamic Vinegar 2 tablespoons sugar

Serves 4 Marinade/Dressing: 3/4 cup Pompeian Extra Virgin Olive Oil 1/4 cup Pompeian Red Wine Vinegar 3 tablespoons lemon juice 2 medium garlic cloves, minced 1-1/2 teaspoons salt 3/4 teaspoon coarsely ground black pepper Skewers: 24 large raw, headless, peeled shrimp, with tails on (about 1 pound) 24 whole green onions, trimmed to 6 inches in length 24 cherry tomatoes 2 poblano chili peppers, seeded and cut into 24 pieces 8 12-inch bamboo skewers, soaked in water Rice: 3 cups hot cooked brown rice 15 ounces canned black beans, rinsed and drained 1/4 cup chopped cilantro 3 teaspoons grated lemon zest Whisk marinade ingredients in small bowl. Reserve 1/2 cup mixture in separate bowl and set aside. Place shrimp in a resealable plastic bag, pour marinade over shrimp, seal tightly and coat well. Refrigerate 30 minutes, turning frequently. Remove shrimp from marinade (reserving marinade). Place shrimp on skewers, alternating with tomatoes, chilies and onions (folded in half). Preheat grill on high heat. Brush skewers with reserved marinade and cook 4 to 5 minutes on each side or until shrimp are opaque in center. Place remaining marinade in a small saucepan on the grill to heat slightly. Toss rice with black beans, cilantro and lemon zest. To serve: Top rice with skewers and spoon remaining marinade over skewers.

To marinate meat: Place all marinade ingredients in food processor and process for 2 minutes into a smooth liquid paste. Place meat in a large resealable plastic bag and cover with the marinade Seal bag and swish marinade around to make sure it coats all of the meat. Let the meat marinate in the refrigerator for at least 5 hours — preferably overnight — turning twice. To cook meat: Preheat grill or broiler to high. Cook the skirt steak 4 to 6 minutes per side, according to your liking. Cover with foil and let it rest for a few minutes before slicing. To serve: Cut steak into slices and serve with Tomato, Burrata and Arugula Salad.

Grilled Salad with Goat Cheese Serves 4 to 6

2 large heads radicchio, cut in half 2 large heads Belgian endive, cut in half 2 red bell peppers, cut into quarters and seeded 2 yellow bell peppers, cut into quarters and seeded 6 tablespoons Pompeian Extra Virgin Olive Oil, divided 5 ounces baby arugula salad 8 tablespoons goat cheese, crumbled 1 1/2 tablespoons Pompeian Balsamic Vinegar

Preheat grill or broiler to high. Brush radicchio, endive and peppers with 4 tablespoons olive oil. Cook on a hot barbecue or under the broiler for 2 to 3 minutes per side, until they start to color on each side. Place on a cutting board while still hot and cut into 1-inch pieces. Place arugula salad and goat cheese in a bowl with the radicchio, endive and peppers; mix well until the cheese starts to melt. Add remaining 2 tablespoons olive oil and balsamic vinegar; mix well and serve.

July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 9


physical

Diabetes Is Preventable

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early 26 million Americans have diabetes, a serious disease in which blood glucose (blood sugar) levels are above normal. Most people with diabetes have type 2, which used to be called adult-onset diabetes. At one time, type 2 diabetes was more common in people over age 45. But now more young people, even children, have the disease because many are overweight or obese. Diabetes can lead to problems such as heart disease, stroke, vision loss, kidney disease, and nerve damage. About one-third of people with type 2 diabetes do not even know they have it. Many people do not find out they have diabetes until they are faced with problems such as blurry vision or heart trouble. That’s why you need to know if you are at risk for diabetes.

• Get at least 30 minutes of moderate-intensity physical activity five days a week. • Eat a variety of foods that are low in fat and reduce the number of calories you eat per day.

What is pre-diabetes?

Move More

An estimated 79 million Americans over age 20 have pre-diabetes. Before people develop type 2 diabetes, they usually have “pre-diabetes”—that means their blood glucose levels are higher than normal, but not yet high enough to be called diabetes. People with pre-diabetes are more likely to develop diabetes within 10 years and they are more likely to have a heart attack or stroke. Diabetes prevention is proven, possible, and powerful. Studies show that people at high risk for diabetes can prevent or delay the onset of the disease by losing 5 to 7 percent of their weight, if they are overweight—that’s 10 to 14 pounds for a 200-pound person. Two keys to success: Page 10 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

In other words, you don’t have to knock yourself out to prevent diabetes. Have you wondered or possibly been told that you are at risk for developing diabetes or that you have pre-diabetes? To find out more about what things put you at risk, read the Diabetes Risk Factors in the sidebar. If you haven’t already done so, be sure to talk with your health care team about your risk and whether you should be tested.

When you move more every day, you will burn more calories. This will help you reach your weight loss goal. Try to get at least 30 minutes of moderate-intensity physical activity five days a week. If you have not been active, start off slowly, building up to your goal. Try brisk walking, dancing, swimming, biking, jogging, or any physical activity that helps get your heart rate up. You don’t have to get all your physical activity at one time. Try getting some physical activity throughout the day in 10 minute sessions. Use these tips to get started, keep you moving, and make your physical activity time more fun. • Dress to move. Wear supportive shoes with thick, flexible soles that will cushion your feet and absorb shock. Your clothes should


Diabetes Risk Factors There are many factors that increase your risk for diabetes. To find out about your risk, note each item on this list that applies to you. • I am 45 years of age or older. • I am overweight. • I have a parent, brother, or sister with diabetes. • M y family background is African American, Hispanic/Latino, American Indian, Asian American or Pacific Islander. • I have had diabetes while I was pregnant (this is called gestational diabetes) or I gave birth to a baby weighing 9 pounds or more. • I have been told that my blood glucose (blood suger) levels are higher than normal. • M y blood pressure is 140/90 or higher, or I have been told that I have high blood pressure. • M y cholesterol (lipid) levels are not normal. My HDL cholesterol (“good” cholesterol) is less than 35 or my triglyceride level is higher than 250. • I am fairly inactive. I am physically active less than three times a week. • I have been told that I have polycystic ovary syndrome (PCOS). • T he skin around my neck or in my armpits appears dirty no matter how much I scrub it. The skin appears dark, thick and velvety. This is called acanthosis nigricans. • I have been told that I have blood vessel problems affecting my heart, brain, or legs.

number of steps you take by 1,000 (about 250 steps per day), aiming for a goal of 10,000 steps per day. If you decide to count steps as a part of your Game Plan, use this information to help you meet your 30 minutes of physical activity per day. Also, be sure to read the instructions for your pedometer. • Stretch it out. Avoid stiff or sore muscles or joints by stretching after doing physical activity. Try not to bounce when you stretch. Perform slow movements and stretch only as far as you feel comfortable. • Make it social. Try to schedule walking “dates” with friends or family members throughout the week. For family fun, play soccer, basketball, or tag with your children. Take a class at a local gym or recreation center. Organize a walking group with your neighbors or at work. When you involve others in your activities, you are more likely to stick to your program. • Have fun. Getting more physical activity doesn’t have to be boring. Turn up the music and boogey while cleaning the house. Go dancing with friends and family members. Play sports with your kids. Try swimming, biking, hiking, jogging, or any activity that you enjoy and gets you moving. Vary your physical activities so you won’t get bored. • Keep at it. Pay attention to small successes. The longer you keep at it, the better you’ll feel. Making changes is never easy, but getting more physical activity is one small step toward a big reward—a healthier life. Information compiled from the National Institutes of Health

If you have any of the items above, be sure to talk with your health care team about your risk for diabetes and whether you should be tested.

allow you to move, and keep you dry and comfortable. Look for synthetic fabrics that absorb sweat and remove it from your skin. • Start off slowly. Start off by taking a 5-minute walk (or doing another physical activity that you like) on most days of the week. Slowly, add more time until you reach at least 30 minutes of moderate-intensity physical activity five days a week. • Build physical activity into your day. Start or end your day by taking your dog—or a friend’s dog—for a brisk walk. When shopping, park a little further away from the store’s entrance. If it’s safe, get off the bus a stop or two before your work place and walk the rest of the way. While watching TV, walk or dance around the room, march in place, or do some sit-ups and leg lifts. Double bonus: cut out a TV show and get moving instead! • Move more at work. Try to get a “movement break” during the day. Take a walk during lunchtime. Deliver a message in person to a coworker instead of sending an email. Walk around your office while talking on the telephone. Take the stairs instead of the elevator to your office. • Count your steps. You may be surprised to learn how much walking you already do every day. Try using a pedometer to keep track of every step in your Game Plan Food and Activity Tracker found at http://ndep.nih.gov/media/GP_FoodActTracker.pdf. A pedometer is a gadget that counts the number of steps you take. The number of steps in one mile depends on the length of your stride, but one mile equals roughly 2,000 steps. Each week, try to increase the July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 11


medical records

Two Red Pills and a Blue One

Help Your Physician Monitor Your Medications By Seth Hatlelid, Psy.D. BCIAC, Psychology Specialists Ltd.

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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 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 included in this magazine. 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 medically-important 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-thecounter 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. Page 12 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

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. Other tips for helping your doctor with 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! 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.


July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 13


feature story

Think Outside The Box Metabolic Medicine

Dr. Rohde’s Refreshing Approach to Health at His Renew Total Body Wellness Center By Dr. Tom Rohde, Renew Total Body Wellness Center

effects from them. Dr. Rohde began to incorporate some of these alternative treatments and noticed the benefits – often the supplements coupled with lifestyle change worked better than prescription medications. With these positive outcomes he incorporated an alternative model of health care in a traditional medical setting. Dr. Rohde started his in-depth education in herbal and supplemental medication in the early 1990’s and now has years of experience. With a desire to fulfill the lifelong dream of his own practice and to expand his alternative practice, he left academic medicine in 2006. Renew includes both Dr. Rohde’s wellness practice and a state of the art Medical Spa, both of which have grown in response to

I

f you are tired of being tired and you are literally tired of traditional physicians offering you a pill for every symptom, yet your health isn’t improving, your tests are all “normal” yet you don’t feel that way or, worse yet, you seem to be experiencing more problems with your treatments than before - maybe it’s time to think outside your box and make some changes. Dr. Rohde agrees and says – stop the craziness! Get out of line, think outside the box – and figure out what’s really going on in your body and then make sensible plans to remedy the problem(s) and enjoy a healthy future. Dr. Rohde is a board certified Family Physician trained in the traditional western model of medicine. He was medical faculty at the SIU School of Medicine for 15 years helping educate new Family Physicians while providing medical care and practicing obstetrics. In the mid 1990’s an increasing number of Americans began to use alternative medical treatments either out of frustration with lack of improvement with traditional treatments, or side Page 14 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

Dr. Tom Rohde explains hormone testing to patient Jamie Brunner his alternative approach to care. Renew’s focus on wellness is to first help people identify what is amiss in their body and preventing their optimal function by using advanced testing modalities. The next step is health restoration through lifestyle change, nutritional supplements, and when needed, hormonal interventions to restore optimal function, or wellness. Dr. Rohde has extensive experience in bio-identical hormone management, management of adrenal fatigue, as well as other


Mindy Morgan; Peggy Wallace; Mindy Dalluge, Aesthetician; Ashley Preston; Jody Nolan disabling medical conditions like fibromyalgia and chronic fatigue. Despite his years of experience he feels strongly that further education is vital to provide cutting edge care and he is currently engaged in a Medical Fellowship in the rapidly expanding field of metabolic medicine through the American Academy of Anti-Aging Medicine. Anti-Aging medicine, also referred to as Metabolic or Functional Medicine, devotes its expertise to helping people understand why they have a specific condition or problem and then focuses on correction of underlying metabolic dysfunction which leads to the problems the human body expresses and we experience. It is this deeper level of exploration and repair a rapidly growing number of physicians feel our health care system must adopt or we will have Kym a continually growing population of ill people addicted to prescription medications that enslave them to a future of poor function and side effects instead of restored health! Dr. Rohde founded the Renew Total Body Wellness Center with this exact goal - restoration or improvement of his patient’s health. While traditional physicians are required to see increasing numbers of patients per day by their employers, this is counterproductive to a metabolic approach. Dr. Rohde spends 30 minutes or more with a new patient to obtain a thorough history of their problems, complete a physical examination, and then plan an initial evaluation program to discover the underlying metabolic imbalances that are expressed as their symptoms. Return visits to review testing are

Gilmore; Linda Fields, RN; Kerry Phipps similarly planned for 30 minutes to allow discussion of important lifestyle and nutritional changes as well as any supplementation or hormone restoration needs. Each person’s treatment plan is customized to their unique needs – one pill does NOT fit all as in the traditional medical model. It is this individual attention to detail that makes a metabolic approach to health care so different and so uniquely successful. This approach requires time – his day begins at 5:00 am with a cardiovascular work out and then patient test reviews and treatment planning as well as chart completion before office visits start at 9:00. The day often finishes at 6:00 or 6:30p.m. when paperwork and other tasks are completed. July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 15


feature story

(continued)

Dr. Rohde’s mission is supported by a hand-picked team of professionals and office staff. His nurse, Linda Fields, R.N., just celebrated 20 years of working with him since his first days at the School of Medicine. He is blessed to have a full time Dermatology Physician Assistant, Julie Preston, who has years of specialized training and experience in skin health. She joined Renew in 2008 and provides specialized skin care including skin lesion evaluation and treatment as well as many cosmetic procedures. Kim Schunk, his Nurse Practitioner specializes in women’s health and diabetes education and has been with him since 2009. Jeff McGee, his full time physician assistant, joined the care team over a year ago. He provides general medical care and also has years of experience in sports medicine and orthopedic injuries. Renew’s medical spa provides the community and his newly recuperated patients a specialized venue to improve their skin health and their appearance. This ties together the Renew motto: “Feel your Best, Look your Best, BE your Best”! The spa offers the latest in laser services to painlessly and permanently reduce hair growth, renew aging skin, treat active acne and remove prior acne scars, and even treat wrinkles with youth restoring fractional resurfacing. Further treatments include Botox cosmetic, fillers like Restylane and Perlane, chemical peels, microdermabrasion, botanical spray tans, teeth whitening, hydromassages, and relaxing facials. The medical spa has four talented part time aestheticians working to help patients look their best with advanced skin care techniques. A medically supervised low calorie weight loss program is also available. Wellness is a concept that becomes important to each of us at different stages of our life. Some of us were fortunate to grow up in households where health was important – home cooked meals with minimal processed ingredients and emphasis on regular

physical activity. Some, unfortunately a growing majority, grew up in households where meals were erratic or came from commercially processed and prepared ingredients thrown into a microwave for convenience and physical activity consisted of moving the computer mouse or clicking the TV remote. This leads to a wide variety of backgrounds in health consciousness and has lead our society into health crisis. Over 1/3 of our children are obese, a greater percentage of our adults are obese, and type 2 diabetes is growing in epidemic proportions in both our children and in the adult population. If you are ready to get out of your box and get started on a healthier lifestyle, Dr. Rohde invites you to join him in his quest to “drop dead healthy at age 100.” In closing, he shares these personal thoughts: “I receive great joy on a daily basis by helping patients who see me as their last hope for improvement from chronic medical issues. They were told by their treating physicians that they could not offer them anything further, and many times we are able to provide answers and some relief. Having someone return after we start a treatment program with a smile on their face because they are sleeping soundly again after months or years of insomnia, getting relief from incapacitating fatigue that kept them from enjoying their families, or able to work without burdensome intestinal issues is heartwarming and is the absolute best reward I can think of for any physician. I wasn’t able to get these kinds of results with traditional treatments that often included medications or treatments that caused side effects and usually left my patients enslaved to expensive medications. Why? Because we didn’t really figure out the cause of their symptom or disease – we just patched it with a prescription – like putting a patch on a tire without first removing the nail – it doesn’t last very long!”

If you would like to stop the craziness in your life and get started on a healthier path visit his web site at www.DrRohde.com or call 217-864-2700 for a consultation visit! Page 16 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011


grief recovery

“Am I Equipped For Happiness?” Healthy Cells magazine is pleased to present another in a series of feature articles on the subject of Grief Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses [Harper Perrenial, 1998]. The articles combine educational information with answers to commonly asked questions.

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ast month we touched upon the idea that grievers develop a relationship to their pain, as if their identity hinged on regarding themselves as unhappy. Many people become so familiar with those painful feelings that they are afraid to let them go. If it were not so sad, and if it did not have such dire consequences, one would be tempted to draw a cartoon of someone clinging desperately to a horrible looking creature called “pain,” terrified of losing it. And yet, that is exactly what it looks like. Some of us have very long-term relationships to pain. We may have unresolved loss-of-trust experiences from childhood that keep us in an almost perpetual state of acceptance of pain as a permanent condition. Many of us keep dragging the unfinished relationships of our past into all of our new relationships, and then acting surprised when they always end the same. We may be ill-equipped to deal with the feelings caused by the end of each new relationship, and we may be unaware that almost all of our past relationships are incomplete or unresolved. Some of us are able to acknowledge that we have sabotaged many relationships. While we have the intellectual awareness that we are the common denominator in the sabotages, we find ourselves unable to change our behavior. If the intellect were the key to successful recovery then we would be able to think ourselves well. We would be able to understand ourselves into better actions. Clearly that does not work. Unresolved grief is cumulative and cumulatively negative. Incomplete relationships create unresolved grief & Unresolved grief creates incomplete relationships. Incomplete relationships can cause us to limit our lives, can induce us to sabotage good relationships, can encourage us to keep choosing poorly. Unresolved grief becomes a relationship to ourselves as unworthy of happiness. We must learn how to grieve and complete relationships that have ended or changed. It may sound simple, and it is simple. Why then, do so many people resist taking the simple and clearly defined actions of Grief Recovery®? The opening paragraph of this article referred to how familiar we become with our pain. Familiarity can create a powerful illusion that change is not necessary, that growth is not possible, and that where happiness is concerned, 20% equals 100%. “Am I equipped for happiness?” Yes, but I am much more familiar with pain. As the direct result of years and years of practice, I am expert at identifying and relating to pain. Happiness is an unwelcome intruder in how I relate to myself. We

have all searched desperately for the key to happiness. While it may sound simplistic to say that we held the key, ourselves, all along, it is true. Access to our own happiness is directly linked to our ability to grieve and complete our relationships with people and events, as well as our ability to grieve and complete our relationship to the pain we generate when we are reminded of the unhappiness we have experienced in our lives. Many of us say, over and over, that if only this or that would happen I could be happy. The thing might be love or money or success or fame. And yet, how often do we get the very thing we wanted and wind up as unhappy as we were before, and even more disillusioned? To rediscover your ability to be happy, you must go back and grieve and complete all of the incomplete relationships from your past. As you do so, you will begin to find your normal and natural desire and ability to be happy. You may have heard people talk about stripping away the layers of an onion; we prefer the analogy of stripping away the leaves of an artichoke, and discovering your heart inside. QUESTION: I have had many painful loss experiences in my life. Sometimes I feel as if there is no way I can ever let down my guard and allow any positive or happy experiences in. Will the principles and actions of Grief Recovery® help me change this fearful habit? ANSWER: In clearly identifying your behavior as a habit, you increase the probability of growth and change. The idea of changing a habit is probably less intimidating than the idea of changing a behavior. In truth, most of our behaviors are habits that we have practiced so well and so often that they seem like our nature. Many of our survival habits were developed when we were quite young. Often we are managing an adult life with the limited skills and perceptions of a small child. As we grieve and complete the events and the behaviors of our pasts, we become open to our ability to be happy. Next month: “If I Start Crying, Will I Be Able To Stop?” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA. 91413. Call [818] 907-9600 or Fax: [818] 907-9329. Please visit our website at: www.grief-recovery.com.

July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 17


healthy travels

Road Ready

How to Prepare For a Stress-Free Road Trip

Photo courtesy of Getty Images

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efore you hit the road this summer, make sure your car and car insurance are ready for the journey. Planning ahead can help avoid mishaps that could ruin your vacation. Whether you are traveling near or far, you will likely be lugging some valuable items such as golf clubs, a laptop or a video camera — none of which are covered by a car insurance policy. According to an April 2011 survey released by the National Association of Insurance Commissioners (NAIC), 40 percent of Americans incorrectly believe their car insurance will cover the replacement of personal items stolen from their vehicle. “The truth is that these items must be covered by your homeowners or renters insurance policy to be reimbursed if they are stolen or damaged,” NAIC president Susan E. Voss said. Page 18 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

One-third of Americans also believe their auto insurance automatically covers a rental car, according to the NAIC survey. However, this is not true, and the NAIC recommends checking with your auto insurance agent to make sure you have adequate car insurance whether driving your own car or a rental. Top 5 Auto Insurance Tips • Confirm your car insurance is active and premiums are up-to-date. Have a current copy of your insurance card in the car. • Select liability limits that are appropriate to your financial circumstances. People with more assets generally need to select higher limits of liability than those with fewer assets. If you are found to be at-fault in an accident and purchased insufficient limits, your


personal assets are at risk for the remaining financial obligation. • I f renting a car for the trip, check your policy to see if it includes coverage. Verify potential coverage limitations with your agent, and make sure you are not duplicating benefits from your existing auto, health or home insurance policy. • Verify your homeowners or renters insurance covers the theft of personal items from a car, especially if you are planning to carry expensive items in your car such as golf clubs, video or digital cameras or laptops. • Check to see if your policy includes roadside assistance. You can be covered for towing, fuel delivery, lockout service, jump-starts and more.

Photo courtesy of Getty Images

If you are unclear about your car insurance coverage or would like to learn how to lower car insurance costs, visit www.InsureUonline.org or contact your state insurance commissioner. Find your state commissioner at www.naic.org. Top 5 Car Readiness Tips To avoid car troubles, schedule a tune-up a few weeks prior to your trip and be sure to get regular oil changes. If you want to do some basic maintenance yourself, here’s what Consumer Reports recommends you check: • Vital Fluids. This includes fluids for the engine, oil, coolant, transmission, brakes, power steering and windshield washers. • Hoses and Belts. You can check hoses on a cool engine by pinching them. There should be no soft spots or bulging areas. Feel for lengthwise cracks in the inner liner of the hoses. Check all belts for worn spots, cracks or shredding fabric reinforcement. • Battery. Most batteries are maintenance-free. Check the color of the small inspection window on top of the battery case. Look for cracks or holes in the battery casing. If your battery requires maintenance, make sure the fluid is up to the correct level. Fill with distilled water as indicated in the car owner’s manual. Make sure battery cables are securely attached to the terminals. If your battery is more than five years old, consider replacing it — you don’t want it overheating in the summer sun. • Brakes. If your car pulls to one side when you brake, or if you hear any grinding noises or feel unusual vibrations when you apply the brakes, take the vehicle to a mechanic. • Tires. Proper tire pressure means safer driving and lower fuel bills. Follow the manufacturer’s recommendations for tire pressure (usually found on a sticker on the inner edge of the door, or in the glove box.) Also check tires for adequate tread depth and for damage such as cuts or bulges. Amid the chaos of your own personal packing, don’t forget to pack an emergency kit for your trunk, just in case; and if you have roadside assistance, store the number in a handy location in the car. Top 5 Car Rental Tips If you’re going to rent a car for your trip, make sure you are adequately insured. • Review your auto insurance policy or call your insurance agent before you reach the rental car counter. Some policies include conditions. They may not cover rentals on business trips, for example. • If your current policy doesn’t offer coverage for a rental car, see if an insurance rider can be added for a small fee. • Many credit cards include some level of collision and theft protection. In most cases, these benefits are secondary to your personal auto insurance or the car rental company’s insurance, meaning the credit card company will only pay claims after other insurance coverage has

been exhausted. The NAIC recommends you call your credit card company and ask about benefits. • I f you lack personal auto insurance and your credit card does not provide benefits, it might be wise to purchase the liability insurance and collision damage waiver at the car rental counter. •K eep in mind that if it is a longer-term rental (e.g., a week, a month or more), there might be limitations on the coverage your existing auto insurance policy provides. Check with your insurance company or agent for details. July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 19


Page 20 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011


a healthy sleep

Treatment for Snoring and Obstructive Sleep Apnea

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t is estimated that 10 million American adults suffer from sleep apnea, and two-thirds of partnered adults say that their partner snores. Whether it is snoring on the mild end of the spectrum, or obstructive sleep apnea on the opposite end of the spectrum, this presents a huge problem for many adults. Levels of Snoring and Sleep Apnea Snoring is very common, and affects a majority of adults at one time or another. Snoring is the noise made by vibration of the soft tissues located in the back of the mouth and throat as air rushes by a too-narrow airway. Hypopnea is a partial blockage of airflow during sleep. Obstructive sleep apnea is a stoppage of breathing for more than ten seconds caused by a complete blockage of the airway. Snoring, hypopnea, and obstructive sleep apnea can all cause sleep disruptions resulting in: • Fatigue • Loss of concentration • Daytime tiredness In some cases, sleep apnea can increase your risk for high blood pressure, and other cardiovascular problems such as stroke or heart attack. Oral Appliance Therapy One of the treatments available is oral appliance therapy (OAT). OAT is a comfortable and non-invasive way to treat snoring and sleep apnea. Oral appliances are specialized mouthpieces worn during

sleep. They fit over the upper and lower teeth and gently hold the lower jaw in a forward position to help widen the airway space and keep it open during sleep. Oral appliances can also be used for patients that are CPAP intolerant, or are not candidates for surgery (In some cases, various surgical procedures can be performed to enlarge the airway space). These devices have FDA clearance can be a very effective treatment for simple snoring, and mild to moderate apnea. The oral appliances are custom made for each patient from impressions of their teeth. The appliances allow the dentist to adjust the forward position of the jaw in small increments until the most effective setting is reached. To be considered as a good candidate for OAT, a patient should have all or most of their teeth in healthy condition, and have simple snoring or mild to moderate apnea. They should also have the ability to protrude their lower jaw several millimeters forward. New patients will receive a thorough evaluation to determine if OAT is a viable option for treatment. Oral appliance therapy can help you sleep better, breathe better, and feel better! Robert A. Levy, D.M.D., LLC has been providing patients with oral appliance therapy for over 18 years. He works closely with medical sleep specialists and sleep labs to coordinate treatment and followups. For more information, please contact Dr. Levy to schedule an initial screening at (314) 569-0106, 777 S. New Ballas Rd., Suite 322 E, St. Louis, MO 63141. You can also visit his website at www.stopsnoringstlouis.com. July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 21


healthy aging

Why Healthy Bones Are Important to You S

trong bones support us and allow us to move. They protect our heart, lungs, and brain from injury. Our bones are also a storehouse for vital minerals we need to live. Weak bones break easily, causing terrible pain. You might lose your ability to stand or walk, and as bones weaken, you might lose height. Silently and without warning, bones may begin to weaken early in life if you do not have a healthy diet and the right kinds of physical activity. Many people already have weak bones and don’t know it. Others are making choices that will weaken their bones later. “Bones may begin to weaken early in life. Prevent this with a healthy diet and the right kinds of physical activity.” There are several kinds of bone disease. The most common is osteoporosis. In this disease, bones lose minerals like calcium. They become fragile and break easily. With osteoporosis, your body’s frame becomes like the frame of a house damaged by termites. Termites weaken your house like osteoporosis weakens your bones. If you have severe fractures from osteoporosis, you risk never walking again. Weak bones can break easily. This can be fatal. Fragile bones are not painful at first. Unfortunately, most people don’t realize they have weakened bones until one breaks. By that time, it is hard to make your bones strong again. “… You are never too old or too young to improve your bone health.” The good news is that you are never too old or too young to improve your bone health. There are many things you can do to keep bones strong and prevent fractures. At all ages, a diet with enough calcium and vitamin D, together with weight-bearing physical activity every day, can prevent problems later. You can work with your doctor to check Page 22 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011


A New Supportive Living Community in Mt. Zion

out warning signs or risk factors. When you are older, you can have your bones tested and take medicine to strengthen them. The bad news is that few people follow the steps known to strengthen and protect their bones. That’s the main reason for the Surgeon General’s Report on Bone Health and Osteoporosis. Americans need to know the dangers of bone weakness and do more to prevent it. Don’t Risk Your Bones Many things weaken bones. Some are outside your control. If you have a family member who has bone problems, you could also be at risk. Some medical conditions can also make you prone to bone disease. There are some things you can control: • Get enough calcium and vitamin D in your diet at every age. • Be physically active. • Reduce hazards in your home that could increase your risk of falling and breaking bones. • Talk with your doctor about medicines you are taking that could weaken bones, like medicine for thyroid problems or arthritis. Also talk about ways to take medicines that are safe for bones. Discuss ways to protect bones while treating other problems. • Maintain a healthy weight. Being underweight raises the risk of fracture and bone loss. • D on’t smoke. Smoking can reduce bone mass and increase your risks for a broken bone. Normal Bone • Limit alcohol use. Heavy alcohol use reduces bone mass and increases your risk for broken bones. For more information For more information on your bone health, talk to your doctor, nurse, pharmacist, or other health care professional. More information about the Surgeon General’s Report is available on the Surgeon General’s website at www.surgeongeneral.gov.

Think outside the box Take CHARGE of YOUR HEALTH! Dr. Rohde can help you look, feel, and be your best!

3798 E. Fulton Ave • Decatur, IL 62521 217-864-2700 • www.DrRohde.com Bone with Osteoporosis

Functional Medicine and Hormonal Evaluation July 2011 — Springfield / Decatur — ­ Healthy Cells Magazine — Page 23


children’s health

Taking Temperatures

What Parents Should Know About Fevers

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hat parent hasn’t had the experience of trying to comfort a feverish child crying in the night? After feeling a warm forehead, taking the child’s temperature is the first logical step. Many parents have questions about how to appropriately and effectively treat a feverish child, according to a clinical report issued by the American Academy of Pediatrics (AAP). Start by staying calm and developing a healthy respect for fever, says Dr. Laura Jana, a pediatrician and award winning co-author of “Heading Home with Your Newborn.” “While any fever in the newborn period needs to be taken seriously and discussed with a health professional, elevated temperatures in older children need not automatically send parents into emergency mode,” says Jana. Overcoming the fever fear factor In healthy kids, fevers don’t always indicate something serious. Not all fevers need to be treated with fever-reducing medication. High Page 24 — Healthy Cells Magazine — Springfield / Decatur — ­ July 2011

fevers, however, can make a child uncomfortable and worsen problems such as dehydration. It’s therefore important for parents to know how to accurately assess the situation when fever sets in - which includes knowing how to take an accurate temperature and whether or not anything needs to be done about it. • Normal body temperature is about 98.6 F or 37 C. • A temperature of 100.4 F, 38 C or higher is typically defined as a fever. • For newborns with fevers, parents need to seek immediate medical advice or attention from health care professionals. A rectal thermometer is the standard for use with newborns. Other types of thermometers, including temporal artery thermometers, are also accurate and readily available for taking the temperature of older infants and children. It’s important to know that body temperature readings can vary depending on where the temperature is taken. Fever’s definition can


vary slightly depending upon where the reading is taken. Let your doctor know the location where you took the temperature. “Keep in mind a fever is often the body’s way of showing it is fighting infection, so parents should check children for other symptoms of illness in addition to monitoring their temperature,” Jana says. What causes fevers? A part of the brain called the hypothalamus is responsible for regulating body temperature - similar to the way a thermostat controls the temperature in a building. Body temperatures rise when viruses, bacteria or other fever-causing agents trigger the hypothalamus to raise the body’s set point. Most people’s temperatures change slightly during the course of a day. Temperatures are usually a little lower in the morning and a little higher in the evening and can fluctuate as kids run around and play. In general, infants and young children have much more sensitive “thermostats” than adults. Fever in newborns A newborn with a fever requires special precautions. While most fevers during the first few months of an infant’s life are likely to be caused by common cold viruses, infants’ immature immune systems put them at greater risk of having a more serious underlying infection. The AAP recommends use of a rectal thermometer for newborns because the resulting readings are considered the most accurate measurement of a newborn’s core body temperature. Treating fevers Parents and pediatricians alike all-too-often treat fever based on the numbers, rather than assessing a child’s overall comfort level,

reports the AAP. Fever is a symptom, not an illness of its own. It can actually serve a useful purpose in helping the body fight infection, so it doesn’t always need to be treated, unless it is affecting a child’s health or comfort. Almost all fever-reducing medications recommended for infants and children contain either acetaminophen or ibuprofen. It’s best to take the advice of physicians on which to use and under what circumstances. Medications meant for infants come in liquid form or as rectal suppositories and the dosage is based on the baby’s weight. Parents should always check the dosing instructions from the manufacturer and gain confirmation from physicians if any confusion arises. Aspirin should never be given to newborns, infants or children except in rare and specific cases as determined by physicians, as it has the potential to cause Reye syndrome, a serious illness that can result in brain and liver damage. A note on thermometers Several thermometer options provide fast and accurate temperature readings. One of the newest types is the temporal artery scanner, such as Exergen’s TemporalScanner, that uses infrared technology. “Studies have proven this instrument provides readings as accurate as more invasive thermometers,” says Exergen president Dr. Francesco Pompei, who developed and patented the technology. “The forehead scanner has an advantage in being a gentle, non-invasive way to get a temperature reading without disturbing a sleeping or uncomfortable child.”

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