August St. Louis Healthy Cells 2011 by Healthy Cells Magazine

GREATER ST. LOUIS

area

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

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HealthyCells AUGUST 2011

www.healthycellsmagazine.com

m a g a z i n e

Metro Obstetrics and Gynecology

Offers the Latest State-of-the-Art Treatment

page 12

Emotional Support for Amputees page 6

Patient Finds Love After Surviving Stroke page 16

Safety Tips for Earthquake Preparedness page 30

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 3

A U GUST

2011 Volume 1, Issue 5

Safety: Fire Safety Facts

Emotional: Emotional Support For Amputees

Nutritional: Parents, You’re not Alone

Physical: Carl’s Call To Bike

Therapy: What You Should Consider When Selecting Rehab Services

Beyond Recovery: Patient Finds Love After Surviving Stroke

Combined Treatment: Understanding Acupuncture

Women’s Health: Strange Migrations and Killer Cramps

Salt Therapy: Salt Gives Breath of Life to Girl With Cystic Fibrosis

Preferred Care: Beyond the Basics With Our Elders

Dental Care: Treating Tooth Decay with Medicine Instead of a Drill

Prostate Health: “You Can’t Have One Without an Erection– Can You?”

Healthy Aging: Senior Living

Healthy Benefits: More Olive Oil in Diet Could Cut Stroke Risk

Healthy Pets: Natural Pet Food is a “Pawsitive” Alternative

Disaster Planning: Safety Tips for Earthquake Preparedness

Grief Recovery: “Are There Actual Stages Of Grieving?”

Family Health: Be Smart About Your Family’s Brain Health

Brain Aerobics

This Month’s Cover Story:

Metro Obstetrics and Gynecology Offering the Latest State-of-the-Art Treatments pg. 12

For information about this publication, contact Mike Kelly, owner at 314-558-0860, mikekelly@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 St. Louis 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 greater St. Louis 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. – Mike Kelly

safety

Fire Safety Facts For People 50-Plus

ach year, approximately 1,100 Americans ages 65 and older die as a result of a home fire. Compared to the rest of the U. S. population:

• People between 65 and 74 are nearly TWICE as likely to die in a fire. • People between 75 and 84 are nearly FOUR times as likely to die in a fire. • People ages 85 and older are more than FIVE times as likely to die in a fire. With a few simple steps, older people can dramatically reduce their risk of death and injury from fire. These facts, combined with the knowledge that adults ages 50 and older are entering and caring for this high risk group, inspired the U. S. Fire Administration (USFA), a division of the Federal Emergency Management Agency (FEMA) and part of the U.S. Department of Homeland Security to develop a national public safety campaign for adults ages 50 and older, their families and caregivers. USFA encourages you to: Prevent Fire – Save Lives For your well-being and others you love: • Practice fire-safe behaviors when smoking, cooking and heating. • Maintain smoke alarms. • Develop and practice a fire escape plan, and if possible, install home fire sprinklers. Smoke Safely Sitting in your favorite chair and having a cigarette after dinner seems to some like a great way to relax – but cigarettes and relaxing can be a deadly mix. Falling asleep while smoking can ignite clothing, rugs and other materials used in upholstered furniture. Using alcohol and medications that make you sleepy compound this hazard. Careless smoking is the leading cause of fire deaths and the second leading cause of injuries among people ages 65 and older. Cigarettes when not properly extinguished continue to burn. When a resting cigarette is accidentally knocked over, it can smolder for hours before a flare-up occurs. Before you light your next cigarette, remember: • Never smoke in bed. • Put your cigarette or cigar out at the first sign of feeling drowsy while watching television or reading. • Use deep ashtrays and put your cigarettes all the way out. • Don’t walk away from lit cigarettes and other smoking materials. Cook Safely Many families gather in the kitchen to spend time together, but it can be one of the most hazardous rooms in the house if you don’t practice safe cooking behaviors. Cooking is the third leading cause of fire deaths and the leading cause of injury among people ages 65 and older.

“Careless smoking is the leading cause of fire deaths and the second leading cause of injuries among people ages 65 and older.” It’s a recipe for serious injury or even death to wear loose clothing (especially hanging sleeves), walk away from a cooking pot on the stove, or leave flammable materials, such as potholders or paper towels, around the stove. Whether you are cooking the family holiday dinner or a snack for the grandchildren: • Never leave cooking unattended. A serious fire can start in just seconds. • Always wear short or tight-fitting sleeves when you cook. Keep towels, pot holders and curtains away from flames. • Never use the range or oven to heat your home. • Double-check the kitchen before you go to bed or leave the house. Heat Your Home Safely During winter months, December, January and February, there are more home fires than any other time of year. Heating devices like space heaters and wood stoves make homes comfortable, but should be used with extra caution. Heating is the second leading cause of fire death and the third leading cause of injury to people ages 65 and older. Many of these deaths and injuries could be prevented with safe heating practices. So before you grab a good book and cozy up to the fireplace, make sure you do the following: • Keep fire in the fireplace by making sure you have a screen large enough to catch flying sparks and rolling logs. • Space heaters need space. Keep flammable materials at least three feet away from heaters. • When buying a space heater, look for a control feature that automatically shuts off the power if the heater falls over. The “Get Out Alive” Home Fire Safety Steps • Smoke Alarms: Install a smoke alarm on every level of your home, test batteries every month and change them at least once a year. • Home Fire Escape Plan: Develop and practice a fire escape plan regularly, at least twice a year. Keep exits clear of debris. • Home Fire Sprinklers: If at all possible, install residential sprinklers in your home. For more fire prevention information, please contact: Publications Office United States Fire Administration 16825 South Seton Avenue Emmitsburg, MD 21727 1-800-561-3356 www.usfa.fema.gov/50Plus

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 5

emotional

Emotional Support

For Amputees Page 6 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

imb loss is not something people often think about unless it happens to them or a loved one. According to statistics from the Amputee Coalition, there are roughly 2,000,000 people living with limb loss, and an average of 507 new amputees each day. We often hear of people losing limbs in traumatic accidents or workplace injuries. However, what’s not generally known is that the majority of amputations in the United States are related to diabetes and peripheral artery disease (PAD) and are preventable. Education relating to the risk factors can help people take preventative steps to saving their limbs. Did you know that diabetes, PAD, obesity, tobacco use, and physical inactivity dramatically increase the risk of amputation? After the loss of a limb, the fear and anxiety related to returning to the life they knew can be overwhelming. Many patients with limb loss feel alone, hopeless and depressed. Well-intentioned, supportive family members often feel confused and helpless when trying to assist their loved ones through recovery. This is where the Amputee Empowerment Partners (AEP) Program can help. AEP is a nationwide network of trained peer mentors who volunteer time to assist new amputees down the path to rehabilitation and individual personal success. The program was initiated by Hanger Prosthetics & Orthotics in April of 2008 with 40 amputees of various levels, circumstances, and backgrounds, and has grown today to include more than 700 trained volunteers nationwide. Prosthetists can help return function to the patient by providing prosthetic limbs and clinical support, while AEP mentors can help inspire hope for patients through emotional and personal support. This team approach to healing the total patient – physically and emotionally – brings about improved outcomes and engenders a sense of belonging and comfort knowing there is an entire community of people dedicated to caring for the individual as a whole and not just replacing the limb that was amputated. AEP is also supported by a password-protected online community at www.EmpoweringAmputees.org. With more than 2,000 members, there is something for everyone. From discussion forums dealing with the latest advancements in prosthetic designs including microprocessor-controlled technology for both upper and lower limb amputees, to groups specific to any number of activities, to informative “how to” videos, and blogs detailing personal stories of recovery, the information being shared and the resources available for meaningful connections to be made between people of all stages of healing and rehabilitation are awe inspiring. In addition to supporting the emotional needs of an amputee, it is important to restore the mobility of the patient so they can return to the activities they enjoyed before becoming an amputee. There are many prosthetic and orthotic solutions for those with limb loss, paralysis, and orthopedic anomalies. Seek out a company that not only specializes in custom fit and design, but is also on the cutting edge of advancements in the field. These advancements may include fully articulating myoelectric hands with a life-like appearance, microprocessor-controlled prosthetic legs for lower extremity amputees, customized orthotic braces, and the WalkAide System, a miniature electrical stimulation device that improves walking ability in people with paralysis due to stoke, multiple sclerosis, incomplete spinal cord injury, and cerebral palsy.

Is urine leakage or pelvic floor damage affecting your life?

You deserve treatment. ( Surgical & non-surgical treatment of bladder control problems ( State-of-the-art treatment of pelvic organ prolapse

Promoting Female Pelvic Health since 1995

Dr. Edward S. Levy, MD Specialist in Urogynecology, Gynecology & Obstetrics

314-686-4990

816 S. Kirkwood Road Suite 100 ( Kirkwood MO 63122

No matter what the need, Hanger Prosthetics & Orthotics has a team of experts ready to assist in restoring mobility and helping individuals enhance their physical capability. For more information on the AEP Program, living with limb loss, or the latest prosthetic and orthotic solutions, contact Hanger Prosthetics & Orthotics at 314-567-6844, or visit www.Hanger.com. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 7

nutritional

Parents, You’re not Alone New Study Shows Kids Value Quality Meals, Too

Page 8 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

s a parent, you realize sharing a family meal is an important way to spend time with your children, but did you know kids also recognize the importance of this activity? Interestingly, 82 percent of parents feel closer to their kids and 72 percent of kids feel closer to their parents when families sit down together for a quality meal, according to the recent “Share the Table Survey,” commissioned by Barilla, a top Italian food company, and Family Circle magazine. The survey emphasized the importance of the quality of mealtime for both parents and kids. In fact, parents and kids who share high-quality meals together, regardless of how often they share those meals in some instances, are more likely to be happier and feel they possess specific positive emotional and social attributes. “This innovative research showed us that kids value the family dinner as much as adults do, and they actually appreciate their parents more when they take the time to share a meal,” says Dr. William J. Doherty, professor of family social science and director of the Citizen Professional Center at the University of Minnesota, as well as a contributor to the study. “These findings tell us that something as simple as everyone sitting down together and talking about their day over a good meal can strengthen the bonds between parents and kids.” Parents and kids agree that the key ingredients for a high-quality meal include laughter, relaxation, conversation and being together eating something everyone likes. Survey highlights include: • Both parents and kids agree that spending time together is a top priority - and both wish they had more time to connect - and sharing family meals is the most important way families can do this. • Families that regularly share mealtime have parents who feel happier and less stressed, and children who get better grades, develop healthy habits, and feel their parents are relaxed and fun to be around. • M ealtime togetherness contributes more strongly to kids’ well-being than other common activities that families do together and other activities competing for kids’ time (sports, dance, arts, clubs) and yet family dinners are given away to accommodate those other activities. “We know how hard it is to always get the whole family together for dinner, and it’s great to see that teens and ‘tweens appreciate family time just as much as moms and dads,” says Linda Fears, editor-in-chief of Family Circle. “We always tell our readers that the best way to make

the most out of mealtime is to check technology at the door, engage each other, take time to relax and enjoy the food.” Doherty offers some advice for how parents can make sharing a meal a regular, beneficial occurrence in their home: • Minimize outside activities that interfere with family dinners. Start small, perhaps choosing one night a week for a family meal. Make it special and start adding days from there. If your children let you know that they think family dinners are inconvenient and boring, resist the temptation to cave in. • Ban TV and other electronic media, except background music, from family dinners. Encourage conversation and laughter to be the focal point. • Involve children in meal planning and preparation. It’s a great way for parents and kids to interact, and can also help children learn healthy nutrition and eating habits. The family meal experts at Barilla offer a simple, yet tasty recipe to help families get started on sharing the table. The fact is, dinner doesn’t have to be daunting with plenty of options available for creating a healthy meal for your family.

Whole Grain Spaghetti with Zucchini and Yellow Squash Preparation time: 30 minutes Cooking time: 40 to 45 minutes Serves: Four to six people

Ingredients: 1 box Barilla Whole Grain Spaghetti 4 tablespoons extra virgin olive oil 1 clove of garlic, chopped 2 zucchini, sliced with peeler 2 yellow squash, sliced with peeler 14 ounces San Marzano tomatoes, canned 1/2 cup water 1/2 cup grated Parmesan cheese 4 leaves fresh basil, cut into strips Salt and freshly ground black pepper to taste

Directions: Fill a large pot with water and bring to a boil. Heat olive oil in a large skillet over medium heat. Add the garlic and sauté until it turns slightly yellow. Cook the whole-grain spaghetti for one minute less than the cooking time recommended on the package. Meanwhile, add the zucchini and yellow squash to the skillet and sauté for three to four minutes. Add the tomatoes and 1/2 cup of water. Season with salt and pepper. Drain the spaghetti and add it to the skillet. Toss with the sauce. Let the pasta continue to cook in the skillet for one minute. Turn off the heat and toss in the fresh basil. Top with Parmesan cheese before serving.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 9

physical

Carl’s Call To Bike By Carl Edwards

espite all the positive attributes associated with biking—getting active and fit, reducing stress, burning lots of calories, and decreasing traffic congestion—many cities and towns nationwide have still not embraced two-wheeled vehicles. Even though the number of adults who ride to work is increasing nationwide—according to U.S. Census figures, in 2008 there was a 43 percent increase in bike commuting from 2000—the numbers are still low (less than one percent of Americans) and many areas still do not have protected bike lanes, connected trails and bike boulevards, adequate bike parking, or bike-friendly laws. If we want to leverage the benefits of cycling—and thereby help children and adults get the physical activity their bodies need—state and local officials must be committed to making our cities and towns more bike friendly. This can be done by providing safe and convenient routes for people to ride. Cities as large as New York City, San Francisco, and Washington, D.C., as well as smaller communities like Boulder, Colorado, Salt Lake City, Utah, and Portland, Oregon, are all realizing these benefits. That’s why they are committing funding and resources to build new bike lanes, install more bike racks, create trails, provide education programs, and support other incentives that encourage even more people to consider taking up riding. Page 10 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

The health benefits of cycling Today, adults spend hours at work sitting in front of computers, and children spend upwards of seven and a half hours a day in front of a screen watching TV, playing video games, using their mobile phones, or surfing the web. Few families spend important time outside being active. Consequently, many Americans are experiencing serious health issues, including obesity, heart disease, diabetes, cancer, and hypertension. But biking can help. Not only does it burn several hundred calories per hour but it is also an ideal physical activity for Americans of all ages, regardless of fitness level, because it limits stress on the lower body. It’s why biking is also a safe activity for older generations. Physical activity for those 65 years of age and older helps prevent or minimize health problems that come with aging. In a recent international study, evidence suggested that seniors who are active daily have a reduced risk of developing about 24 health issues such as osteoporosis, type-2 diabetes, depression, various forms of cancer, and dementia. In addition, cycling allows children and adults with mobility limitations and intellectual or learning disabilities to take part in physical activity. They are at greatest risk for obesity, but thankfully adaptive and special equipment is being designed to make it possible for them

to enjoy biking outdoors, whether it be through the help of Project Mobility: Cycles for Life, which delivers specialized bikes to schools with children with disabilities and rehabilitative hospitals, or ReActive Adaptations, which is building durable off-road handcycles that allow riders to bike deep into mountain and off-road trails. If getting active and fit isn’t enough motivation for people to start riding, I’d like to mention that biking also helps to reduce stress. What’s more, biking may also help you to get around faster. For those who spend time stuck in rush hour traffic, they could instead be getting their daily physical activity while riding through city gridlock. This may be of particular interest to residents in cities like Los Angeles and Chicago, which were ranked by Forbes magazine as two of the top 10 most stressful and congested cities. Making cities and towns more bike-friendly So what would make Americans more likely to ride a bike to work, to and from school, or to run an errand? Well, if cities and towns provide more bike-friendly laws and establish designated safe routes for bikers, people in their communities may more likely to get out and ride. Remember, every sector of society—families, communities, and businesses—play a role in helping Americans get physically active. Businesses that want to help their employees improve their health and wellness can learn from companies like Seattle Children’s Hospital, which has a bicycle program for its employees. Seattle Children’s Hospital provides a guaranteed-ride-home program, a bike-share program, locker rooms, bike-safety education, maintenance classes, and secure bike parking. They gave away 100 bikes and helmets to employees who pledged to ride to work at least

“Cycling allows children and adults with mobility limitations and intellectual or learning disabilities to take part in physical activity.” four days a week year round. In addition, the hospital pledged $2 million dollars in walking and biking infrastructure improvements to Northeast Seattle, which will provide safe places for local residents to get active. Because of model programs like Seattle Children’s Hospital, more and more businesses are becoming bike-friendly and following the League of American Bicyclists’ Bicycle Friendly Business program. I encourage all Americans to research their options for making one or two of their work trips by bike. Find out which streets are bike-friendly so that you can plot your course to work. If bike commuting is not an option for you, instead bike to a friend’s house, to the gym, or get your family on a bike after dinner and get riding together. Carl Edwards is a championship NASCAR driver and a member of the President’s Council on Fitness, Sports & Nutrition (www.fitness.gov). He is also an avid cyclist.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 11

feature story

Metro Obstetrics and Gynecology Offering the Latest State-of-the-Art Treatments “I should have done this years ago!” “It’s so nice not to worry about leaking anymore!” “I thought I just had to live with my uterus falling out.” “I ran 3 miles yesterday, and I didn’t leak!”

his is just a sampling of the patient feedback received by Dr. Edward Levy, a gynecologist and pelvic surgeon specializing in female bladder control and pelvic floor disorders. Dr. Levy started his practice in 1995 after attending medical school at Washington University in St. Louis and his residency training at Rush Medical College in Chicago. At Rush, Dr. Levy trained under nationally-renown pelvic reconstructive surgeons who first sparked his interest in this subspecialty area. “The anatomy of the female pelvis is extremely complex. “And I was amazed that there was still so much we did not understand.” When Dr. Levy was training, options were limited for the treatment of pelvic floor dysfunction, and longterm success rates were not very impressive. “There were a lot of opinions out there, but not much data to back them up.” Since his days in residency much has changed. Dr. Levy spent the last 16 years since then studying and evaluating new techniques as they came along, embracing some but dismissing others. “As a surgeon, you don’t want to jump into something new without waiting for data on effectiveness and complication rates. I don’t want my patients to be ‘guinea pigs’!” Once new techniques reached a level of maturity such that problems were ironed out, complications could be minimized, and superiority to older methods was proven, Dr. Levy was ready to incorporate them into his practice. His patience definitely paid off for his patients, who benefitted from the best procedures available, but were spared some of the flawed methods that have since fallen out of favor. Dr. Levy sees a tremendous need for skilled specialists in this area of gynecology, and enjoys the challenges and rewards that this aspect of his practice provides. He always advises doctors and patients alike to have high standards for this subspecialty field. “This is not something for a surgeon to ‘dabble’ in, that is, to jump into surgical procedures one is not familiar with just to attract more patients,” he warns. “These surgeries require diligence, attention to detail, and extremely Page 12 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

careful preoperative and postoperative care to avoid complications. It is essential that surgeons who want to take on this challenge dedicate themselves to continuing education and training.” He helps in this regard by teaching, training, and supervising other surgeons who seek to broaden their skills and knowledge in pelvic reconstructive surgery. In the office, Dr. Levy feels very fortunate to have a dedicated staff that are trained and dedicated to helping take care of women in need of care for bladder control and pelvic floor problems in addition to general obstetrics and gynecology. “Our staff at Metro Ob-Gyn is wonderful, and I constantly get compliments from patients who appreciate the extra effort and compassion they provide.” Whether it’s for prenatal care, routine gynecologic checkups, menstrual problems, or leaky bladders, Dr. Levy’s staff is ready to help every patient have the best experience possible. Office hours are always interesting at Metro Ob-Gyn, thanks to the wide variety of female health problems. “The most common complaint I handle is leaky bladders,” says Dr. Levy. “And the emotional impact of urinary incontinence ranges from mild annoyance to utter despair. It is extremely gratifying to be able to help these women.” Evaluation starts with a history and physical examination, which usually provide most of the information needed to establish a treatment plan. A bladder function test, called “urodynamics” typically follows and takes about fifteen minutes in the office. This test confirms the cause of the leakage and allows the doctor to record data that is useful in fine-tuning the ultimate therapy. The most common types of urine leakage problems are “stress incontinence” and “overactive bladder.” Stress incontinence exists when any physical strain, such as coughing, laughing, sneezing, or exercise precipitates the urine leak. This is actually the easiest type of bladder control problem to cure. If the problem is mild, exercises of the pelvic floor muscles or “Kegel’s” may be curative. For more significant symptoms, a minor outpatient surgical procedure called a “sling” is the treatment of choice. “The suburethral sling has been firmly established as the gold standard in the treatment of stress incontinence. It is unmatched for long-term effectiveness and safety, and the results are immediate.” After performing well over a thousand of these procedures, Dr. Levy continues to be impressed at how well patients respond to surgery. “It always makes me smile when women tell me how much this has improved their lives.” Overactive bladder encompasses the symptoms of unusually frequent urges to urinate, often accompanied by leakage on the way to the bathroom. While more difficult to treat than stress incontinence, most patients see vast improvement with time and patience. “It defi-

nitely takes longer to see results with this problem, but with a combination of dietary changes, pelvic floor exercises, and often medication, most patients do very well.” Pelvic prolapse also brings many women to Dr. Levy’s office. Prolapse refers to the uterus, bladder, and/or the rectum falling out of the vaginal opening, in essence turning the vagina “inside-out.” Sometimes these symptoms occur gradually, over many years, but other times it can appear suddenly, perhaps after a very bad cough or after heavy lifting. “Noticing this type of bulge can be a source of shock and fear August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 13

feature story

(continued)

for the patient,” explains Dr. Levy. “First, I reassure them that this is not a life-threatening problem. Then we discuss step-by-step a plan for restoring their normal pelvic anatomy.” Most patients require surgery, but for those who are not medically suitable for surgery, some relief can be offered in the form of a vaginal pessary. A pessary is a round or angled rectangular vaginal insert that fits in the vagina and may hold up the prolapse. However, they do not work well for severe cases and require frequent office visits to maintain. Reconstructive surgery is the treatment of choice, and Dr. Levy favors a minimally-invasive transvaginal approach. This technique allows restoration of natural anatomy without the risk or discomfort of abdominal surgery and without any skin incisions or scars. “The surgical materials and techniques have evolved so much in the sixteen years of my career that we now have a great combination of safety and efficacy to offer our patients. Surgeries are quicker, less painful and more reliable than ever before.” Dr. Levy performs approximately two-hundred pelvic reconstructive surgeries every year and has been so happy with the results that he teaches and trains other surgeons in the metro area and nationwide. “I love sharing these techniques with other surgeons, because it means more women can benefit from them.” Dr. Levy participates in clinical research and foresees continued improvements in surgical materials and techniques for many years to come. This is great news for aging babyboomers who expect and deserve to maintain a healthy, active lifestyle as senior citizens.

Page 14 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

For more information call Dr Levy at 314-686-4990, or visit www.drlevyurogyne.vpweb.com.

therapy

What You Should Consider When Selecting Rehab Services

f someone says, “occupational” therapy, we think of our jobs and the tasks associated with it. An alternative description, especially within healthcare, concentrates on those things that “occupy” our day including household duties, as well as things that we enjoy doing. Assisting a person to complete these everyday living functions, to the best of their abilities, regardless of age, is the goal of occupational therapy. Here’s the testimony of someone who benefitted from occupational therapy services, following orthopedic surgery: “After thirty years of teaching, I retired and discovered the beauty of bicycling. I’ve enjoyed the health benefits including meeting new people through bicycle clubs. But, along with age and worsening arthritis, I found that my knees were failing me. I knew what I had to do but the imagined ordeal was not appealing. I met with the surgeon and he assured me that it was routine although few people had both knees done at the same time. Before the surgery, I met with the Lansdowne admissions and several staff members to prepare me for my rehabilitation. My anxiety was still present but was now lessened. I knew that rehabilitation meant a lot of discomfort and pain but their therapy team was so assuring and hopeful that I thought we could get through this together. And, I mean “we.” Following my surgery, they truly worked with me. They had their benchmarks set for me and through persuasion and gentle urgings, “we” did it. I had a family feeling during my entire stay in rehab. We talked about our families in between exercises and the bonds only grew stronger. After my rehabilitation, I returned home which seem weird because I had felt so much at home at Lansdowne. My bicycling has increased and I’m enjoying the relief of new knees and the fresh air surrounding me. Many thanks and blessings to the Lansdowne therapy team and staff. I couldn’t have done it without you.” The major kinds of therapy available to an individual are physical, occupational and speech therapy. Tips to remember when visiting with a therapist include the following: • Have a Goal - what do you hope to achieve through therapy? Feel free to discuss this with your therapist. • No Limits - do not let your condition limit your therapy. You may achieve much more than you thought possible. Keep an open mind. • Question - your therapist is highly trained to work with you and can address any concerns or fears that you may have. Feel free to ask questions and ask them often.

• Go with the flow - sometimes just letting go and allowing your therapist to teach you exercises is the bet attitude to have. Following the first three points will help you trust your therapist to lead you closer to your goal. Alexian Brothers Lansdowne Village offers a complete array of therapy services that are designed around the needs of the patients. Alexian Brothers Lansdowne Village is located at 4624 Lansdowne in South St. Louis, MO. For more information or to schedule a visit, please call (314) 351-6888. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 15

beyond recovery

Patient Finds Love After Surviving Stroke

ike most first-time brides, Elizabeth Tucker is decidedly giddy when describing her wedding dress. This fall, at age 87, she will begin a whole new chapter when she marries Eugene Schmidt, an 88-year-old fellow resident at Our Lady of Life senior living center in Shrewsbury. Tucker might not have celebrated her 87th birthday, bonded with Schmidt or be getting married had it not been for a lifesaving intervention this past winter. Page 16 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

Suffering from an ischemic stroke, Tucker was rushed via ambulance to the St. Clare Health Center where Armond Levy, M.D., a neurosurgeon and neurointerventionist with SSM Neurosciences Institute, removed a blood clot in her brain. On that day in early December, Tucker, an 11-year resident of the senior living center and night manager, was posting something on the bulletin board. When she turned around, she became dizzy and collapsed.

“One of the residents said, ‘There’s something wrong with Elizabeth,’ ” recalled Administrator Ann Kuhn. “When I got there, she was on the floor. She could talk to me, but her words were slurred and she could not grasp my hand.” Tucker said she was fortunate that Kuhn recognized the signs of a stroke and immediately called 911. “Ann said to me, ‘You’re having a stroke.’ I said, ‘Oh, no, I don’t have strokes,’ ” said Tucker. “They got me on an ambulance and shot me like a cannon to the hospital. It was so fast, my head was spinning.” Tucker was unable to move her left side and had a right lateral gaze. She arrived in the Emergency Department and the stroke team promptly was called. Following some initial improvement with tPA, her condition began to deteriorate and Tucker was taken to the interventional procedure room, where she had an embolectomy (removal of the blockage). After spending three days on the Intensive Care Unit, Tucker felt well enough to attend a wedding in the hospital’s chapel. Tim Pratt, M.D. — Tucker’s longtime doctor — encouraged his patient to attend his daughter’s wedding, and wheeled her to and from the ceremony. Caregivers urged Tucker to enter a rehab center upon discharge, but she refused, believing she could heal herself through sheer determination and willpower. “There are rails all along the hallways where I live. I wasn’t fearful at all. There was no reason not to make the attempt.” Friends at the senior center offered to help with laundry and brought gifts of candy and chicken soup. One of the people checking in on Tucker was a new resident just down the hall, Eugene Schmidt, whom she had known as an acquaintance for years. “Rather than leaving me to eat in my room every night, Eugene took me to the dining room so I could be with people,” Tucker said. “He kept me company and walked beside me so I wouldn’t fall. He’s my best friend. I love him for the person he is.” On Valentine’s Day, Schmidt escorted Tucker to the center’s chapel and proposed to her. “I got down on both knees, hoping I could get up again,” he said, laughing. “She (Tucker) was a confirmed bachelorette. I was a confirmed retiree,” explains Schmidt. “When I moved in here, I figured I could retire, relax, and do whatever I wanted, whenever. But we’re engaged now and I’m very excited about it. Of course, I’m enjoying life even more now that I have a dear person to share it with.” Today, Tucker is getting along fine, except for some lingering issues with her left hand. She is astounded by the images of the blood clot that threatened her life. “Everyone’s amazed I can do without a wheelchair,” she said. “I’m determined to do things I did before. With friendship and a positive attitude, I can do this.” She gives this advice: “By all means, if you’re having symptoms, go to the hospital right away and let them decide. Don’t try to decide yourself. Don’t say it’s not happening. It is happening.” Kuhn agreed. “Always err on the side of being too cautious. Of course, not all people have such an amazing recovery. In Elizabeth’s instance, she is doing really well and having a full life. If she’d waited too long, that might not be the case.” Tucker and Schmidt are getting married Sept. 10 at St. Michael’s Church, with a reception to follow at Our Lady of Life. Tucker has returned to her role, greeting people at the front desk. To learn more about the latest advancements in stroke treatment available through the SSM Neurosciences Institute at St. Clare Health Center or one of its other locations, go to ssmhealth.com/neurosciences or call 636-496-3900.

Alternative Hospice

provides holistic end-of-life healthcare by integrating complementary care with conventional medicine. Our program offers support and guidance to the grieving and empowers patients, families and our community with information and education.

‘ Teaching the Art of Living and Dying Well ’ 866-266-3421 636-343-3839 866-391-8548 DeSoto

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Alternative Hospice stands ready to serve as your emotional and spiritual guardian angels during this diff icult time. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 17

combined treatment

Understanding Acupuncture

Time To Try It? A

cupuncture is a traditional medicine that’s been practiced in China and other Asian countries for thousands of years. Its proponents say it can do everything from relieving pain to bringing a general sense of wellness. Others think the only benefits you get from acupuncture are in your head. Recent studies have found that both sides may have a point. Acupuncture can be effective for certain health problems, such as some types of chronic pain. But how it works is something of a mystery. Acupuncture is the stimulation of specific points on the body. The methods can vary, but the most well known type in the United States is the insertion of thin metal needles through the skin. At least 3 million adults nationwide use acupuncture every year, according to the latest estimates.

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Acupuncture is part of a family of procedures that originated in China. According to traditional Chinese medicine, the body contains a delicate balance of 2 opposing and inseparable forces: yin and yang. Yin represents the cold, slow or passive principle. Yang represents the hot, excited or active principle. Health is achieved through balancing the 2. Disease comes from an imbalance that leads to a blockage in the flow of qi—the vital energy or life force thought to regulate your spiritual, emotional, mental and physical health. Acupuncture is intended to remove blockages in the flow of qi and restore and maintain health. Researchers don’t know how these ideas translate to our Western understanding of medicine, explains Dr. Richard L. Nahin of NIH’s National Center for Complementary and Alternative Medicine. But the fact

is that many well-designed studies have found that acupuncture can help with certain conditions, such as back pain, knee pain, headaches and osteoarthritis. “In many research studies, it’s clear that if you’re comparing acupuncture to usual care, the acupuncture group almost always does better,” Nahin says. The problem, he explains, is that when researchers have compared acupuncture to carefully designed “control” treatments, the picture becomes more complicated. Well-designed clinical trials need control groups—people who get a sham or simulated treatment called a placebo. Placebos might come in the form of a sugar pill or a saline injection. They give researchers something to compare the real treatment with. But designing a placebo for acupuncture is a challenge. “I don’t really think you can come up with a great placebo needling,” says Dr. Karen J. Sherman, an NIH-funded acupuncture researcher at Group Health Research Institute in Seattle. For example, when researchers have compared inserting needles with just pressing a toothpick onto acupuncture points, they’ve often found both treatments to be successful. But Sherman questions whether these are really controls. Many traditional acupuncturists would consider them true treatments, too. The important thing, in their view, is to hit the right spot, not necessarily how deep you go. Another option for a placebo would be to test a different location. But Sherman says that would be inappropriate for treating pain because acupuncturists traditionally needle tender points. “To me, there’s no place on the back, if you have back pain, where you can say you have a great control,” Sherman says, “so I don’t think that’s a really solid idea.” Further complicating things is that acupuncture treatments are about more than just needles. “There’ll be needles,” Sherman says, “but there’ll probably be other things they do in the course of the treatment. Acupuncturists will talk to you in a particular way. They might give you dietary advice or exercise advice that stems from a non-Western theoretical construct. They’ll try to engage you in your own healing. They might give you a different model for thinking about your health.” “It’s hard to design placebo-controlled studies of acupuncture when we don’t understand what the active component of the intervention is,” explains Dr. Richard E. Harris, an NIH-funded researcher at the Chronic Pain and Fatigue Research Center in Ann Arbor, Michigan. Treatment for pain is the best-studied aspect of acupuncture. Many parts of the brain are connected in the processing of pain, and how much pain you feel partly depends on context. “If a person has an injury in battle, they might not feel it,” Sherman

explains, “but if they have a similar injury just walking down the street, they might just think it was dreadful.” “If you look at some of the data, what you find is that sham acupuncture and true acupuncture both produce some pain relief in whatever condition they’re looking at,” Nahin says. “But while both treatments turn on areas of the brain, they turn on different areas of the brain.” Harris and his colleagues, in studies of fibromyalgia patients, have found differences at the molecular level as well. “We were able to show that sham acupuncture and real acupuncture both reduced pain in fibromyalgia patients equally,” he says, “but they do it by different mechanisms.” If acupuncture truly works by a different mechanism than sham acupuncture, Harris says, then they’re not the same thing, even if they both help relieve pain. Harris and others are now trying to get to the bottom of what acupuncture is actually doing. Their ultimate goal is to see if other treatments might pair well with acupuncture to reduce pain better than either alone. Should you try acupuncture? Studies have found it to be very safe, with few side effects. If you’re thinking about it, talk to your doctor. “We tell people they really need to talk to their primary care provider and discuss whether acupuncture is a viable option for them,” Nahin says. “While you could go to an acupuncturist independent of a medical practitioner, we feel that an integrated approach to care is always the best approach.” “Find somebody who’s dealt with your problem before,” Sherman advises. “Talk to the practitioner about your specific situation and then see if it’s something you can live with because it might not be the right treatment for you.” If you do decide to try acupuncture, she adds, “You need to know that you should give it some time. You can’t expect one session will tell you whether it works or not. Be open-minded and willing to at least entertain some of the notions that the acupuncturist brings up. Give it a try if you’re open to it.” For more information, please visit www.nih.gov.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 19

women’s health

Strange Migrations and Killer Cramps Understanding Endometriosis

ndometriosis is linked to pain and infertility for many women. It arises when cells like those that line the uterus (the endometrium) attach to other tissues and grow inside the lower belly. These out-of-place cells may be just the start of a problem that, for some, lasts a lifetime. Endometriosis affects up to 1 in 10 women of childbearing age. The pain it causes can range from extreme to barely noticeable. A woman may not know she has the disease until she has trouble getting pregnant and her doctor makes the diagnosis. About 40% of women with infertility turn out to have endometriosis. “Endometriosis is an incredibly complex disease. Its causes have been kind of a mystery, and we’re not sure how to prevent it,” says NIH scientist and gynecologist Dr. Pamela Stratton. She and other NIHfunded researchers have been gradually adding to our understanding of the condition. They’re working to find better ways to diagnose and treat endometriosis, and maybe even prevent it. Many scientists think that endometriosis results when some of the endometrial tissue shed from the uterus during menstruation flows backward into the pelvis. This strange migration—called retrograde menstrual flow—likely happens to most women, but it doesn’t always lead to endometriosis. Researchers are trying to figure out why some women have endometrial cells that stick and grow where they don’t belong, and why other women don’t. These misplaced cells—sometimes called lesions or implants—can also form scars between tissues and organs like the bladder, intestine or ovaries. Surprisingly, scientists have found that the number and size of lesions aren’t related to how severe the symptoms are. To diagnose endometriosis, doctors often use imaging tests like ultrasound and MRI to look for signs of internal lesions. But the only way to be certain you have endometriosis is with surgery, usually laparoscopy. For this procedure, the surgeon makes a small cut in the abdomen and inserts a tiny light at the end of a tube, or laparoscope. The instrument allows the doctor to view patches of endometriosis Page 20 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

inside the pelvic area. Some lesions can be removed during laparoscopy. Removing lesions— especially deep lesions—sometimes helps to relieve pain. Most often, though, endometriosis pain is treated with hormone therapy, usually birth control pills. These medications can suppress the body’s natural production of reproductive hormones and lighten the menstrual flow, which can help ease pain. “There’s a lot of active research into the basic biological mechanisms of endometriosis. There’s so much we don’t yet know,” says NIH’s Dr. Esther Eisenberg, an expert in reproductive health. “Once we understand the mechanisms, we’ll have better tools to help women deal with this serious problem.” Since endometriosis tends to run in families, researchers have been searching for culprit genes. Some are also looking for molecules in the blood that might help detect endometriosis without the need for laparoscopy. Others are testing potential new treatments in clinical trials. While there’s currently no cure for endometriosis, there are ways to minimize its symptoms. Work with your doctor to explore your treatment options.

salt therapy

Gives Breath of Life to Girl With Cystic Fibrosis

ight after night, Jayme Warner would anxiously lie in bed hearing coughing, gagging and gasping from the bedroom down the hall. It was her younger sister, Katie, struggling with cystic fibrosis, a life-threatening lung disorder. “It was terrifying to listen to,” says Jayme. “No one in our family could sleep. It’s really scary when someone you love can’t breathe, when they just can’t get enough oxygen in.” Fortunately, Katie has found relief through an inexpensive source some may find surprising - salt. By inhaling concentrated, vaporized salt twice a day through a nebulizer, Katie successfully fights the debilitating symptoms of cystic fibrosis. Her recovery was so dramatic it inspired Jayme, 16, to write an essay about the family’s experience with salt therapy. Her essay, “Salt: Saving Lives One Breath at a Time,” won first place in the senior division of the prestigious DuPont Challenge science competition, which attracted nearly 10,000 participants. The essay, and Katie’s story, is another example of how salt is an essential nutrient, vital for good health, says Lori Roman, president of the Salt Institute, the world’s leading authority on salt (sodium chloride). “We hope Jayme’s winning essay shines a brighter scientific spotlight not only on salt’s role in treating cystic fibrosis, but on the many other ways salt is one of nature’s great healing agents,” said Roman. Katie, now 7, continues to use a nebulizer twice a day to inhale vaporized salt, called hypertonic saline, which is almost twice as salty as the water in the Atlantic Ocean. It’s also sterile, so there are no germs in it. “Through a process of osmosis,” Jayme wrote in her essay, “the salt water, or the salt in the air at a 7 percent concentration, basically goes into the cells and draws out the mucus from the cells. It’s loose

in the lungs and easier to cough up.” This allows Katie to sleep and go to school, with little coughing or difficulty breathing. The dark circles under Katie’s exhausted eyes are gone and a well-defined “six-pack” of stomach muscles she built up from coughing is almost gone, too. “She’s still pretty strong, but it’s not from coughing, just from playing like a kid,” says Jayme, a sophomore at Intech Collegiate High School in North Logan, Utah, who won a $5,000 savings bond and a trip to Disney World for her winning essay. Jayme and Katie have become salt evangelists of sorts. They tell others about Katie’s dramatic improvement with salt therapy and how their grandfather’s allergies also improved after moving to a house near the salty air of the ocean. Not only is salt good for you, it tastes good, they say. “I am a die-hard salt fan,” says Jayme. “So is Katie. In a choice between sweet and salty, it’s salty all the way. We particularly like sea salts. We put it on vegetables because no matter what you do to some vegetables they cannot taste good unless you add a little bit of salt.” Jayme knows her sister’s body was telling her she needed more salt. Now that she has it, the house is quiet at night, with everyone sleeping peacefully. “To know she is safe and won’t struggle breathing is a huge relief, almost as if the world is taken off your shoulders,” says Jayme. “She can run around and play at recess because salt gets that mucus out of her lungs. She can be a kid.” For more information, please visit www.aracontent.com.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 21

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preferred care

Beyond the Basics With Our Elders By Mary Magill

ne of the greatest things our Elders suffer from is “touch deficit.” Their basic needs are being met, but what happened to the “nurture”? The one thing human beings cannot live without is nurture. When was the last time you hugged an Elder? Many of our Elders have a flat affect related to depression, which leads to loss of appetite, weight loss and “failure to thrive.” The discharge rate from hospice of Elders who are situationally depressed can exceed 20%, which if not addressed, becomes failure to thrive. An antidepressant is only part of the treatment . . . our Elders need someone to talk to, to make eye contact with, to work through their losses and grief. Psychiatrists need to have qualified nurse practitioners who can do this. Chronic pain is also a concern with our Elders. When we manage their chronic pain, they sleep and eat better, and attend more social activities. Integrating complementary therapies with conventional medicine provides true holistic healthcare and can help our Elders to “thrive.” Complementary therapies refer to those therapies that complement or are in addition to mainstream medical therapies.” These practices complement mainstream medicine by: 1. Contributing to a common whole 2. Satisfying a demand not met by conventional practices 3. Diversifying the conventional framework of medicine The use of complementary tools can make a difference in our Elders comfort level, quality of life, and emotional and spiritual well being. Polypharmacy is another issue with our Elders. According to Wikipedia, “Polypharmacy generally refers to the ongoing use of multiple medications by a patient.” Dr. Joe Flaherty, a geriatrician and professor at SLU Medical School states that more than 7 scheduled medications are too many. Many patients are taking multiple medications that number in the double digits. No wonder they feel sick! By utilizing the “Three Powers,” we can encourage “culture change” in the healthcare of our Elders. They are why you and I are here today! Those “Three Powers” are: • Power of Presence: Attentive listening, good eye contact, being present and skillful intuition • Power of Compassion: Offering validation, affirming choice, acknowledging loss, and honoring their dignity • Power of Touch: Nurturing, of giving attention Anyone can utilize the “Three Powers.” Simply take a few moments out of your day to reach out and “connect” with an Elder. You will put a smile on both your faces! Outreach to our Elders DOES make a difference! Mary Magill is the founder and Executive Director of Alternative Hospice in the St. Louis and Cuba areas. She is an RN, and is a loyal advocate for “person centered healthcare “ . . . the body, mind and spirit in rhythm . . . For more information, please call 636-343-3839. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 23

dental care

Treating

Tooth Decay with Medicine

Instead of a Drill By Dr. Steven Steinberg

entists are now treating tooth decay with medicine instead of a drill. Does that mean if you get a cavity that your dentist will not need to use his drill? No. The drill will still be necessary to fix the cavity (the hole in your tooth), but the cavity is not the disease itself. The cavity is the result of the disease process. We can now use various medicines as well as other techniques to treat the decay process. In fact, we can diagnose the presence of the disease process before a tooth gets a cavity, reverse the disease process, re-harden the tooth (remineralization), and not use a drill. To understand this new paradigm, think about the disease diabetes. Diabetes is a disease process with effects all over the body. If you developed a lesion in your eye, a surgeon could surgically treat the lesion in your eye, repairing the lesion. Would the surgeon have treated the disease process itself? Actually, no. The surgeon has repaired an area that had a defect that was the end result of the disease. The surgeon has not in any way treated the disease. Diabetes requires management of the disease using diet and medicines to gain control of the disease process. While the surgery helped the patient, it did not address the disease. The same can be said for a cavity in a tooth. A cavity in a tooth is the end result of the caries disease (tooth decay) process. The hole is repaired by using a drill, and doing a filling. The filling, while correcting the defect, does nothing to manage the disease process. Just like diabetes, tooth decay requires management of the disease using diet and medicines to gain control of the disease process. So that you can understand the disease process and its treatment we will ask and then answer some common questions. What is the tooth decay disease process? There are 3 key points that need to be made regarding the tooth decay disease process: 1. Tooth decay is the result of acid produced by bacteria in dental plaque (biofilm). Dental plaque is much more complicated than we first thought. It is made up of bacteria in a matrix of biochemicals from the bacteria and from your own saliva. The bacteria can vary. Some cause more and some cause less decay. The key is that they work together. They can communicate and change from a plaque that is healthy to a plaque that is disease forming. Many of the new medicines and techniques focus on this factor. 2. Tooth decay is an inside-out process where the acid causes softening on the inside of the tooth first. The acid penetrates the tooth surface and reacts with the minerals calcium and phosphate in the tooth decalcifying and thus causing softening under the tooth surface (demineralization). When the inside of the tooth weakens enough, then the surface collapses, it implodes, and now you have Page 24 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

a cavity. If the acid is removed, the process can be reversed with calcium and phosphate returning to the tooth, and the softened area re-hardening (remineralization). Until the surface collapses and a cavity forms, you can reverse the process and re-harden the tooth using medicines instead of a drill. 3. Tooth decay susceptibility (risk) varies from person to person and varies over time for each person due to various risk factors. Why do some people get decay easily no matter how hard they clean and some people never seem to decay no matter how hard they “try?” The answer is that each person has a unique set of various risk factors. The best way to think of this is to picture 2 teams. One team, the tooth decay offense, consists of all of the factors contributing to tooth decay. The second team, the tooth decay defense, consists of all the factors that prevent tooth decay. While there are many factors that contribute to tooth decay, four factors are primary. On the offense the 2 key factors are plaque bacterial makeup and sugar consumption. The bacteria produce acid from sugar. Clearly the amount and type of bacteria and sugar contribute significantly to tooth decay. On the defense 2 key factors are fluoride use and protection from saliva. The amount of fluoride exposure is a factor in preventing tooth decay. Many people do not realize the importance of saliva for defense against decay. There are many causes for a person to have a dry mouth. The most common cause of dry mouth is from medications. Hundreds of medications cause dry mouth. Many people who have never experienced tooth decay before in their lives can, after using a mouth drying medication, have a mouthful of cavities. Dry mouth is a big problem because saliva offers considerable defense against decay. First of all it is a source for calcium and phosphate to re-harden (remineralize) the tooth. Second, it contains numerous factors which work against disease causing bacteria. Finally, it buffers the acid produced by bacteria in dental plaque. What medicines are used to treat tooth decay disease? There are basically 3 categories of “medicine” used. The first and most important are the various fluoride applications. The second category is calcium and phosphate replacement. The final “medicine” used is xylitol gum. Xylitol is an alcohol sugar that gives tooth decay causing bacteria loads of problems. Xylitol works best if it is the only sugar present. If it is the second or third listed sugar ingredient it does not work as well. One can order xylitol gum on the web. How do I know if this information applies to me? Anyone who has a dry mouth from any cause, but more commonly from medications, is at increased risk for decay and needs to be using the 3 categories of medicine. Anyone who is undergoing orthodontic treatment is increased risk and also should be using medicine. Anyone with existing cavities is at increased risk. Finally, anyone with chalky white spots on the teeth near the gum line could have early changes going on under the surface. These individuals need to be treated with medicine before they end up with a cavity and need the drill. Whether or not you have any of the above scenarios you should see your dentist and ask about your caries risk level. He or she should be able to tell you all about it. If you do not have a dentist, use this information to help you select a dentist who is familiar with the new paradigm. Dr. Steven Steinberg from Skokie, Illinois lectures on tooth decay to dentists around the world. He has spoken to dentists in St. Louis recently. He is also an inspirational speaker and is known as The Values Doctor. He shows you how to achieve happiness using the healing power of values. His new book, “Light, Love, Life, Shalom; Your Path to Happiness At Work and At Home,” will be available soon. For more information, please visit his website at www.valuesdoctor.com, or contact Dr. Steinberg at doc@valuesdoctor.com. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 25

prostate health

“You Can’t Have One Without an Erection - Can You?” Fourth in a Series of Excerpts from Making Love Again The subject matter of this book is of a personal and explicit nature, and may not be suitable for younger or ultra-conservative readers.

By: Virginia and Keith Laken Laptop Notes, May 1, 1995 Three months since my surgery. Three months without sex. I’ve never gone this long before, and I don’t want to go much longer. I should be seeing some sign by now! At first I wasn’t thinking about sex much, but this last month I’ve been thinking about it a lot and nothing is happening.I can’t come on to Gin when I can’t even achieve an erection. It would be too humiliating. Journal Entry, May 3, 1995 We haven’t made love again since that second night home from the hospital. But that’s all right, I can wait. Keith’s getting restless, though. A few times he’s hinted, but I’ve put him off. I want to wait until he can enjoy himself too. Anyway, it shouldn’t be too much longer before we see some signs of recovery. In early May, we went together to Mayo for Keith’s three-month check up. Dr. Barrett was pleased with his progress, and was very reassuring. Dr. Barrett asked the standard doctor phrase: “Do you have any questions?” Keith sat taller in his chair. “Only one,” he said, squaring his shoulders. “When can I start having sex again?” “Whenever you feel up to it,” he replied. Almost as an after thought, he added, “And you do know you can experience an orgasm without having an erection don’t you?” Keith nodded confidently. “Sure.” After the appointment I was anxious to find a place we could be alone, so I could pump Keith for answers to the many questions I now had. “Hon, what made you ask Dr. Barrett about having sex?” I asked expectantly. “Has something happened to make you think you’re ready?” “Well no…the question I had wasn’t really whether it was all right for us to have sex, but when we could expect it to be possible.” “Well, then…how about this ‘orgasm without an erection’ idea? Did you know you could do that?” “I’ve never heard of such a thing, Gin. I don’t know where this guy’s coming from! You can’t have sex without getting an erection. That’s where your desire comes from. I don’t know why he said that. A few days after our appointment, Steven phoned and asked if we could arrange to take some time off and bring him a few things he’d left at home. Keith and I jumped at the chance. Journal Entry, May 5, 1995 I’ve made up my mind I’m going to try to end our abstinence on this trip. I’m going to test Dr. Barrett’s idea. I feel a little shy, though. I’ve never been very good about taking the lead role. I’ve always let Page 26 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

Keith do that. But now things are different. I have to do something. I’m thinking of it kind of like doing more nursing…the final stage of helping Keith get better. I’m sure once he realizes he can have orgasms again, his doubts about being sexually capable will disappear, and he’ll relax and feel good about himself. And once that happens, his erections will quickly follow. The only question is whether this will work. What if it doesn’t, I can’t think about that right now. I’ve got to do this and help Keith get back to normal. We spent our first night with my big brother Rodger and sister-inlaw Sue. After dinner we played cards, all the while telling jokes and reminiscing happily together. Visiting like this, as we’d done so many times in the past, helped reinforce the feeling that life was going to return to normal. The next morning we left late, did some sightseeing, and stopped early in the afternoon. When we reached our room in the hotel, we unpacked our bags, feeling pleased with the whole trip so far. “Let’s take a quick swim before we change for dinner,” “I suggested, coming across my swimsuit. “Good idea. I sure could use the exercise,” Keith nodded. We played in the pool for a long time, teasing and seducing one another with our glances. When we finally returned to our room, we stripped from our bathing suits and immediately began hugging and kissing. “Let’s skip dinner,” I urged. Keith eagerly agreed, and we moved to the bed. I pushed Keith lightly back onto his pillow. “Just try to relax,” I coaxed. “Enjoy yourself, and don’t worry about anything.” As the minutes ticked by, I tried all the things that usually turned Keith on. Then, just when my determination began to wane and I was about ready to give up, I noticed a slight increase in Keith’s breathing. Encouraged, I continued. Yes, Keith was getting aroused — even if it was not physically noticeable. In a few minutes, Keith had an orgasm — his first in almost four months. “Thank you, thank you,” Keith uttered emotionally, squeezing me tight. “I was so afraid I’d lost all feeling — that I was sexually dead. But you’ve brought me back to life.” “So it felt the same even without an erection?” I asked curiously. “It was different, especially to begin with. But once I got excited, it was pretty much the same.” Although Keith was unable to achieve an erection, we were awed by the awakening of his body — and rejuvenated by the fact that we were once again enjoying sex. Our hope and optimism came rushing back. We both assumed that Keith’s ability to experience orgasm was an omen of what was to follow. Next month: “I’m Going to Give Myself a Shot Where?”

healthy aging

Senior Living Keeping Your Muscles

Healthy As You Age

id you know you have more than 600 muscles in your body, including your tongue, heart and stomach? When exerted, your muscles pull against your skeleton, causing your bones to become strong and durable. But a lack of exercise and nutrition can compromise your muscle strength, especially as you age. “The average person can lose 8 percent of muscle tissue every 10 years after the age of 40,” says Dr. Vonda Wright, orthopedic surgeon, medical researcher and author of “Fitness After 40.” “When it comes to muscle, if you don’t use it, you’ll lose it.” In addition to age, a sedentary lifestyle and poor nutrition can lead to loss of muscle. Many people are surprised to learn that a sedentary person may have 40 to 50 percent body fat. On the flip side, muscle burns more calories than fat during daily activities, including sitting. A serious, temporary illness or injury or a diet lacking proper nutrition, especially protein, can also cause a loss in muscle mass. So muscle loss is not just a concern of the middle-aged or inactive, but for anyone who wants to stay healthy and active. To find out if your muscles are in good shape, try the push-up test. Men of any age should be able to do eleven (11) and women should be able to complete eight (8). If you fall short of your goal, don’t despair. You still have time to build muscle strength with these tips: • Feed your muscle. Proteins are the building blocks of muscle. Get your protein daily from meat, poultry, fish, nuts, eggs and beans. You can also augment your diet with healthful protein and nutrition shakes, such as Ensure Muscle Health shakes, which contain Revigor (a source of HMB, an amino-acid metabolite), and 13 grams of protein to help rebuild muscle and strength naturally lost over time. They are perfect for a snack on the go. • Get aerobic exercise. Try to get between 30 to 60 minutes of blood-pumping exercise daily to build muscle endurance. And stretch your muscles before and after to prevent injury. • Carry a load. Resistance training is also essential to keeping your muscles strong and limber and retaining bone density. Use weights or the resistance of your own body weight to build your strength. “We live in an amazing time when we really are able to have some control over how we age,” says Dr. Wright. “In fact, there’s new evidence that boomers and seniors who exercise three to five times a week are able to retain lean muscle like younger athletes. So don’t let your age discourage you from living a healthier, active life today!” For more information about maintaining healthy muscles and to read more of Dr. Wright’s tips, visit www.ensure.com. Then get started rebuilding your muscle strength. After all, this is the only body you have.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 27

healthy benefits

More Olive Oil in Diet Could Cut Stroke Risk Seniors who preferred the oil had 41% drop in the attacks vs. those who rarely ate it

dding olive oil to your diet may reduce your risk of stroke, a new study suggests. Researchers found that older people who used olive oil intensively -- meaning they regularly cooked with it and used it in salad dressing -- were 41 percent less likely to have a stroke than those who rarely consumed it. The lead author of the six-year study, Cecilia Samieri of the University of Bordeaux in France, said why olive oil might help reduce the risk of strokes was unclear. But it might result from people replacing less healthful saturated fats with mono-unsaturated olive oil, she added. “We can’t infer from our study which aspects of olive oil prevent stroke,” Samieri said. But “it may be a substitution effect.” Thus, eating fewer saturated fats improves the health of olive oil users. Prior research had documented olive oil’s anti-inflammatory benefit, she added. Properties of the oil itself, including oleic acid or polyphenols, could also hold the secret to the oil’s protective effect, said Samieri, a post-doctoral faculty member in the university’s department of nutritional epidemiology. Polyphenols are antioxidant nutrients that reduce inflammation in the vascular system, according to the study. Oleic acid, a fatty acid, makes up 80 percent of olive oil. The study is published in the June 15 online edition of Neurology. Stroke, an outcome of poor vascular health, is the third leading cause of death in the United States, according to the American Heart Association. Strokes result from vascular bleeding or, more frequently, a blockage of blood flow to the brain. Diets high in foods containing saturated fat, such as meat and butter, have been linked to stroke. In the study, researchers looked at how much olive oil 7,625 French people aged 65 years and over routinely used, ranging from none (23 percent) to moderate use in cooking or dressing (40 percent), to intensive use in cooking and dressing (37 percent). The participants primarily used extra-virgin olive oil, and the study controlled for stroke risk factors, such as high blood pressure, exercise, smoking and alcohol use. After nearly six years, 148 strokes occurred. But those who used olive oil the most had a 41 percent lower risk of stroke, compared to those who used none. The overall stroke rate was 1.5 percent for the olive oil users compared to 2.6 percent for the others, according to the report. A second study sample had some contradictory findings, the research noted. Oleic acid was measured in the blood of 1,245 participants. Among that group, 27 strokes occurred, with a 73 percent reduced risk of stroke found in people with higher levels of oleic acid, the study found. But the higher level was also linked to higher consumption of butter and goose or duck fat, which “may explain the unfavorable pattern of risk factors associated with higher plasma oleic acid,” according to the findings. A nutrition expert cautioned that people should not overuse olive oil in an effort to improve health because it is a high-calorie fat. “The takeaway from the study is that a diet high in olive oil does have a protective benefit, but we need to look further to find out how much is beneficial while still maintaining a low-fat diet,” said Heather Davis, a clinical dietitian at Lenox Hill Hospital in New York City. She said that the American diet is rarely lacking in fat, which is needed for healthy skin and hair, and for processing certain vitamins. “We need to look further to establish an upper limit,” said Davis. While the researchers were unsuccessful in establishing a numerical value for optimal oleic acid, “it’s good that the idea is out there,” she said. She said it is important to continue the research. “We know olive oil is beneficial, but it would be advantageous to be able to determine a protective range in a patient’s blood,” Davis noted. Funding for the research came from the French government and Lipids for Industry, Safety and Health, an alliance of academia and industry. To learn more about stroke, visit the U.S. National Institutes of Health. Page 28 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

healthy pets

Natural Pet Food is a “Pawsitive” Alternative I

t seems everyone is going natural these days, from skin care products and locally grown produce to wholesome, additive-free packaged goods. Now, the “natural” craze is even going to the dogs. In a recent PetSmart survey, more than one-third of pet parents said they purchase all-natural or organic pet food products as a way to keep their pets healthy. PetSmart tries to help alleviate confusion for pet parents by carrying brands that adhere to The Association of American Feed Control Officials (AAFCO) standard for natural pet food. AAFCO recommends that a pet food brand should only claim to be natural if all of the ingredients and components of ingredients are true to its definition. The definition excludes the use of any chemically synthesized ingredients in the product (for example artificial flavors, colors or preservatives) but does allow for the use of chemically synthesized vitamins, minerals or other trace nutrients. In addition to the types of ingredients that go into the pet food, where the ingredients come from is important. “Pet parents are recognizing the importance of good nutrition,” said Gayle Franger, vice president of merchant marketing for PetSmart. “We are focused on expanding our natural food selection to include even more brands and nutritional options because every pet’s needs are unique, just like ours.” A pet diet based on natural ingredients may help address many common pet health issues, such as dry skin and sensitive stomachs. Many of the food ingredients that provide health benefits to humans deliver similar advantages to pets. For example, real, de-boned chicken is an excellent source of high-quality proteins, minerals and fatty acids and can support strong, lean muscles and a healthy heart. Blueberries can help support a strong immune system, and flaxseed oil can nourish a pet’s skin and coat.

• Digestion aid: Meat sources such as venison, duck and salmon used in natural pet foods are highly digestible. • Lessened food sensitivities: Natural pet foods are free of artificial colors, flavors or preservatives which can negatively impact stomach sensitivities in some pets. The good news is there are more natural and organic pet food options than ever, with two naturals brands just made available at PetSmart – Simply Nourish and Innova. Natural pet foods for dogs and cats come in wet or dry options in a variety of flavors in formulas like low fat, life stages such as puppy or kitten, adult or senior, as well as according to pet size. Switching to natural foods can be a positive choice for pet owners and pets, but as with any dietary change, the new food should be introduced gradually. Pets may experience intestinal upsets during diet changes, so paying close attention during the transition period is important. A veterinarian or pet care expert at your local PetSmart store can provide tips on how to change your pet’s food with minimal disruption. For more information, visit your local PetSmart store or www.PetSmart.com/Naturals.

Other key benefits of natural pet foods include: • Energy and weight management support: Natural foods are made with wholesome, real ingredients so portion sizes may be less.

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 29

disaster planning

Safety Tips For Earthquake Preparedness

he American Red Cross urges everyone to update their family evacuation plan, emergency preparedness kit and get better prepared for earthquakes and other emergencies. “By taking three basic preparedness actions you can become Red Cross Ready for earthquakes and other emergencies. The steps are 1) Get a kit, 2) Make a plan, and 3) Be informed,” said Nicole Holtgrefe, regional preparedness, sales and outreach director. “The Red Cross is here to help you get prepared for specific disasters like earthquakes. Even if you already have a household disaster plan, it’s important that you revisit and update your communication plan and check your emergency preparedness kit for expired items.” The American Red Cross recommends the following preparedness actions: Get or assemble an emergency preparedness kit: A portable kit, stored in a sturdy, easy to carry, water resistant container should have enough supplies for three days. Check your kit and replace perishable stock every six months. Whether you purchase a kit or choose to build your own, your three-day kit should include: • First aid kit and essential medications. • Canned food and can opener. • At least three gallons of water per person. • Protective clothing, rainwear, and bedding or sleeping bags. • Battery-powered radio, flashlight, and extra batteries. • Special items for infant, elderly, or disabled family members.

Page 30 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

• Written instructions for how to turn off gas, electricity, and water if authorities advise you to do so. (Remember, you’ll need a professional to turn natural gas service back on.) • Keeping essentials, such as a flashlight and sturdy shoes, by your bedside. Prepare a home earthquake plan: The American Red Cross urges each and every household to develop a household disaster plan. • Choose a safe place in every room—under a sturdy table or desk or against an inside wall where nothing can fall on you. • Practice drop, cover and hold on at least twice a year. Drop under a sturdy desk or table, hold on, and protect your eyes by pressing your face against your arm. If there’s no table or desk nearby, sit on the floor against an interior wall away from windows, bookcases, or tall furniture that could fall on you. Teach children to drop, cover, and hold on! • Choose an out-of-town family contact. • Consult a professional to find out additional ways you can protect your home, such as bolting the house to its foundation and other structural mitigation techniques. • Take a first aid class from your local Red Cross chapter. Keep your training current. • Get training in how to use a fire extinguisher from your local fire department. • Inform babysitters and caregivers of your plan.

“A portable kit, stored in a sturdy, easy to carry, water resistant container should have enough supplies for three days.” Be informed • Find out how local authorities will contact you during a disaster. Listen to local media broadcasts or NOAA Weather Radio for the latest storm conditions and follow the advice of local authorities. • Contact the St. Louis Area Chapter for details about community disaster education presentations that may be arranged or are available in your workplace, school or community organization. • Get trained in CPR and first aid so you will know how to respond to emergencies in the event that help is delayed. The Red Cross is able to prepare for and respond quickly when emergencies happen thanks to our generous donors. Locally, the American Red Cross St. Louis Area Chapter is a proud member agency of the United Way of Greater St. Louis, which makes significant investments every year in Red Cross services. For more information on earthquake preparedness, contact the St. Louis Area Chapter of the American Red Cross at 314.516.2800 or visit www.redcrossstl.org. August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 31

grief recovery

“Are There Actual Stages Of Grieving?” 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.

any years ago Elizabeth Kubler-Ross wrote a book entitled On Death and Dying. The book identified five stages that a dying person goes through when they are told that they have a terminal illness. Those stages are: denial, anger, bargaining, depression, and acceptance. For many years, in the absence of any other helpful material, well-meaning people incorrectly assigned those same stages to the grief that follows a death or loss. Although a griever might experience some or all of those feeling stages, it is not a correct or helpful basis for dealing with the conflicting feelings caused by loss. We hesitate to name stages for grief. It is our experience that given ideas on how to respond, grievers will cater their feelings to the ideas presented to them. After all, a griever is often in a very suggestible condition; dazed, numb, walking in quicksand. It is often suggested to grievers that they are in denial. In all of our years of experience, working with tens of thousands of grievers, we have rarely met anyone in denial that a loss has occurred. They say since my mom died, I have had a hard time. There is no denial in that comment. There is a very clear acknowledgment that there has been a death. If we start with an incorrect premise, we are probably going to wind up very far away from the truth. What about anger? Often when a death has occurred there is no anger at all. For example, my aged grandmother with whom I had a wonderful relationship got ill and died. Blessedly, it happened pretty quickly, so she did not suffer very much. I am pleased about that. Fortunately, I had just spent some time with her and we had reminisced and had told each other how much we cared about each other. I am very happy about that. There was a funeral ceremony that created a truly accurate memory picture of her, and many people came and talked about her. I loved that. At the funeral a helpful friend reminded me to say any last things to her and then say goodbye, and I did, and I’m glad. I notice from time to time that I am sad when I think of her or when I am reminded of her. And I notice, particularly around the holidays, that I miss her. And I am aware that I have this wonderful memory of my relationship with this incredible woman who was my grandma, and I miss her. And, I am not angry. Although that is a true story about grandma, it could be a different story and create different feelings. If I had not been able to get to see her and talk to her before she died, I might have been angry at the circumstances that prevented that. If she and I had not gotten along so well, I might have been angry that she died before we had a chance to repair any damage. If those things were true, Page 32 — Healthy Cells Magazine — Greater St. Louis Area — August 2011

I would definitely need to include the sense of anger that would attend the communication of any unfinished emotional business, so I could say goodbye. Unresolved grief is almost always about undelivered communications of an emotional nature. There is a whole host of feelings that may be attached to those unsaid things. Happiness, sadness, love, fear, anger, relief, compassion, are just some of the feelings that a griever might experience. We do not need to categorize, analyze, or explain those feelings. We do need to learn how to communicate them and then say goodbye to the relationship that has ended. It is most important to understand that there are no absolutes. There are no definitive stages or time zones for grieving. It is usually helpful to attach feeling value to the undelivered communications that keep you incomplete. Attaching feelings does not have to be histrionic or dramatic. It does not even require tears. It merely needs to be heartfelt, sincere and honest. Grief is the normal and natural reaction to loss. Grief is emotional, not intellectual. Rather than defining stages of grief which could easily confuse a griever, we prefer to help each griever find their own truthful expression of the thoughts and feelings that may be keeping them from participating in their own lives. We all bring different and varying beliefs to the losses that occur in our lives. Therefore, we will each perceive and feel differently about each loss. Question: I have heard it said that anger is a key component of grief. Is this true? And how does it relate to the actions of Grief Recovery®? Answer: A primary emotional response to loss of any kind is fear, for example, “How will I get along without him/her?” Anger is one of the most common ways we INDIRECTLY express our fear. Our society taught us to be afraid of our sad feelings. It also taught us to be afraid of being afraid. We are willing to say “I am angry,” but we say “it was scary.” It is possible to create an illusion of completion by focusing on the expression of anger. Usually anger is not the only undelivered feeling relating to unresolved grief. Next Month: “Am I Paranoid, Or Are People Avoiding Me?” 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.

family health

Be Smart About Your Family’s Brain Health Y

ou may be taking care of your body, but are you taking care of your brain? The brain is vital for everyday functions, yet few pay close attention to it. Fifty-three percent of adults believe brain fitness can be improved a lot. But only 10 percent consider it a top priority compared to other health issues*. According to Shara Aaron, M.S., R.D. and author of “The Baby Fat Diet,” you can keep family brain health top of mind through simple daily actions involving diet and nutrition, physical fitness, mental activity and social connections. Diet and Nutrition: Consuming omega-3 fatty acids may support your brain’s processing power and help fight mental health decline. • Eat lots of fresh, colorful fruits and vegetables. Include leafy greens, broccoli and cauliflower. • Switch out saturated and trans fats for healthier fats found in olive oil and canola oil. • Increase daily intake of DHA, which accounts for up to 97 percent of the omega-3 fats in the brain. New BrainStrong DHA supplements make it easier to get the DHA your brain needs. The BrainStrong line of four natural daily brain health supplements for pregnant women, toddlers, children and adults provides the nourishment people need to ensure their brains are developing and functioning to the best of their potential. “What I like about BrainStrong is that it is powered by life’s DHA, a sustainable and natural plant source of DHA omega-3, meaning there is no fishy aftertaste — a complaint many people have with other omega-3 supplements,” Aaron says. Physical Fitness: Each time a heart beats, 25 percent of the blood it pumps goes to the brain, carrying with it oxygen and nutrients important to brain health. Exercise can increase heart rate and help produce new brain cells. • Do physical activities at least 30 minutes a day. Get the family to walk; play sports; have fun outdoors. • Get approximately seven to eight hours of sleep daily. • Maintain a healthy weight to minimize risk of diabetes, high cholesterol and hypertension. Mental Activity: Keeping the brain active helps generate new cells and makes new connections within the brain. • Encourage the whole family to learn things. Try new activities; learn a new language; stimulate curiosity. • Look for creative ways to use multiple parts of the brain. Play music; draw; write; arrange flowers; take photos. • Support better brain health in kids and teens by asking open-ended questions that require more than a yes or no. Challenge them to use different parts of the brain.

• Avoid overdoing it with multitasking. According experts, including Dr. Majid Fotuhi, M.D., Ph.D., Chairman of the Neurology Institute for Brain Health and Fitness and an assistant professor of neurology at Johns Hopkins University School of Medicine, “Multitasking beyond your comfort zone can decrease mental productivity, elevate brain fatigue and increase stress.” Social Connections: Strong social connections are a vital element in overall health, wellness and longevity. Get involved in activities with others. • Volunteer for a cause you’re passionate about. • Join group activities such as a card group, book club or hobby group. • Nurture friendships; someone to care about and laugh with is important for mental health. “Socializing may help your brain in other ways, from reducing stress and depression to increasing mental stimulation. Make connections with others,” Aaron says. For more about family brain health, visit www.BrainStrongDHA.com * National Brain Health Poll, National Society for Aging, 2006

August 2011 — Greater St. Louis Area — Healthy Cells Magazine — Page 33

brain aerobics

ANSWERS

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