August Quad Cities Healthy Cells

QUAD CITIES area Promoting Healthier Living in Your Community • Physical • Emotional

AUGUST 2012

FREE

HealthyCells www.healthycellsmagazine.com

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M A G A Z I N E

• Nutritional

Receives Highest Ranking from The Society of Thoracic Surgeons page 18

Happy Feet: A New Laser Technology Used to Treat Toenail Fungus page 10

What is Otitis Media? page 25

Colon Cancer!

What is My Risk? page 32

Patients choose Genesis for Orthopedic Surgery because of our: • Gold Seal of Approval by The Joint Commission in Total Hip and Knee Replacement Surgery • Highly trained orthopedic surgeons • Orthopedic-certified nurses • High patient satisfaction scores • Dedicated Orthopedic Unit

Constant Hip or Knee Pain?

• Focus on quality and safety • Patient education • Award-winning rehabilitation

Read a patient’s joint replacement journey at www.genesishealth.com/ortho or call (563) 421-2747 for more information.

Take the first step with the Genesis Center for Weight Management.

The Genesis Center for Weight Management now offers surgical and non-surgical weight loss options, and is recognized as a Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery.

OPTIFAST®: (non-surgical) A meal replacement program that closely monitors and assesses your progress towards better health.

BARIATRIC SURGERY: Patients undergo three-to-four months of education before surgery, followed by consultations with the nursing staff, dietitian, psychologist, surgeon, physical therapist, recreational therapist and pharmacist.

Center for Weight Management Call (563) 421-8361 to register for a free informational class.

August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 3

AUGUST

2012 Volume 3, Issue 8

6

Emotional: Three Mantras of Weight Loss

8

Nutritional: Garden Bounty All Year Long

10

Physical: Happy Feet

12

Fast Recovery: Dreaming Big

14

Future Planning: Naming Your Executor…

16

Assistance: Be Willing To Live Your Dream

22

Dental Crowns: “Why does my dentist keep telling me that I need a Crown?”

24

GERD: Acid Reflux Disease

This Month’s Cover Story:

Genesis Heart Institute Receives Highest Ranking from The Society of Thoracic Surgeons

page 18

Cover and feature story photos by Accent Photographic.

For advertising information, contact Laurie Hutcheson, owner at 563-650-1876, QCHealthycells@gmail.com Healthy Cells Magazine is a division of:

25

Hearing Problems: What is Otitis Media?

1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

28

Financial Health: Which Couple can Retire?

Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in The Quad Cities.

30

Pain Awareness: What is Pain?

32

Preventative Screenings: Colon Cancer! What is My Risk?

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.

Healthy Cells Magazine is available FREE in high traffic locations throughout the Quad Cities, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Quad Cities. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.”

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August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 5

emotional

Three Mantras of Weight Loss

By Dr. Ilesh Kurani, MD, QC Medical Group and Weight Loss Clinic

I

n our practice we have been able to see, firsthand, the struggles of our patients. Patients come in frustrated and have little faith in any weight loss programs. We have been able to provide them with a new type of weight loss program that targets more than just the physical side of weight loss. We give them a new way to think. Our Three Mantras concentrate on the patient’s thoughts and guides them to make better choices. It teaches them the power of free will and to be at peace with themselves. Above all else, we make sure that our patients don’t get down on themselves. It is important to recognize the positives of what you have already accomplished rather than a shortfall of one day. By providing them with a new way to think and make decisions, they instantly are better off. This is then combined with a low calorie diet of around 1,000 calories per day to control food intake. Our mantras and 1,000 calorie menu are described in detail below. Using a combination of both of these, we are certain that you will achieve weight loss and reach your goal.

Three Mantras to Enhance Your Weight Loss

pizza, the universe will work to get you the pizza. Use your own free will to choose healthy food, so that the universe will work to get you healthy food.

“When you give positive images/movies, you will receive positive experiences to reflect that image/movie.”

Mantra #1: I am thinner, healthier, and happier (Power of Imagination) Think about this mantra at bedtime right before you go to sleep. (+ Self Image) The Spirit (subconscious mind) is energy. Spirit is the most powerful energy in our system. Any thought we create, creates an image/movie on the subconscious mind. The image/movie is given to the universe to give back to us. When you give positive images/movies, you will receive positive experiences to reflect that image/movie.

Mantra #2: I can eat anything, but I choose to eat healthy food (Power of Allowing/Free Will and Focus) Think about this mantra before you take the first bite of any meal. (+ Food Choices) By saying, “I can eat anything”, you are allowing. Allowing opens the universe for positive change. By saying “but I choose to eat healthy food”, you are choosing. Choosing caused you to use your free will, which is more powerful than resisting. When you say, “I cannot eat pizza”, your focus is on the pizza. By focusing on the Page 6 — Healthy Cells Magazine — Quad Cities ­— August 2012

Mantra #3: I am (first name)-A. I live in the present (Power of Now) and am at peace. (Power of Surrender/Acceptance) I am changing my lifestyle and everyone is right from their own point of view. (Power of Forgiveness) Think about his mantra every hour of every day. (+ Emotions) You, in the present, are the only person that matters. YOU-B does not matter. Let YOU-B take care of his/her own problems later. Focus on the present and YOU-A’s situation.

Low Calorie Diet: 1000 Calories Menu Try sincerely with dedication, discipline and commitment and lose weight as much as you can.

Breakfast: One egg white only. No oil, only use Pam olive spray. Boil or scramble the egg. Fluids in any amount in the morning. Patient may have a coffee or drink with Splenda or Equal or any sweetener without sugar, and with only 2 tsp. of milk.

Protein food as follows (for lunch and dinner): For vegetarian: Protein Powder/shake (in water) 30-40 gm x 2 (lunch &dinner) For non-vegetarian: Choose only lean meat. All visible fat must be removed before cooking and the portion should be weighted raw. It should not be more than

six ounces. It must be cooked without additional fat. Chicken - no skin - breast or tenderloins. Veal or steak. Fresh White Fish - Halibut, Swordfish, Bass, Tilapia, Flounder, Pike, Brooke trout, Jew fish, John dory, Snapper, Crab meat, Lobster, Shrimp.

The following items should not be allowed: • Salmon • Herring • Eel • Dried, pickled or smoked fish • Tuna fish • Ground beef Fresh Vegetables: 4 to 5 ounces selected vegetables daily (for lunch and dinner): • Spinach • Cabbage • Chard • Broccoli • Chicory • Cauliflower • Beet greens • Zucchini • Green Salad • Scallions • Tomatoes • Cilantro • Celery • Green beans • Fennel • Mushrooms • Onions • Collard Greens • Red Radishes • All peppers • Cucumbers, Asparagus No pumpkin, beetroot, potatoes, carrots, peas, or corn.

If you’re considering a move

Fruit: Two portions per day, (for lunch and dinner): or at least six hours apart any time.

• Apple • Strawberries - 6 large size • Orange • One-half Grapefruit • Minimum of three liters of water daily.

• Tea and coffee (in any quantity), Mineral Water.

• No diet soda, like Pepsi or Coke.

• Avoid sugar completely.

• Artificial sweeteners may be used.

Salt, pepper, vinegar, mustard, mustard powder, garlic, sweet basil, parsley, thyme, marjoram, and other spices are freely available as seasonings. No margarine, butter, oil, dressing.

Juice of one lemon daily.

No alcohol including wine or beer. No bread, pasta, rice, or anything with high fructose corn syrup.

QC Medical Group and Weight Loss Clinic are here to help guide you through your weight loss. Contact them at 309-517-1180 or visit them on the web at www.qcmgwlc.com.

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We have 175 Independent Living apartments and 33 cottages in all sizes, including two bedroom units up to 1,700 sq. feet. A wide variety of styles are available.

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fulfillment. We have something for every interest!

Plan to join us for this upcoming event!

We are partnering with AARP to provide a Seniors’ Drivers Class for ages 50 and older.

Wed., August 22nd noon – 4 pm

The cost is $15 and includes lunch.

RSVP; space is limited.

Call Bob today to schedule a tour and complimentary luncheon.

(563) 391-3430 Our continued care programs n Independent Living n Assisted Living (including a memory loss neighborhood.) n 24-hour Nursing Care 4130 Northwest Boulevard • Davenport, IA www.ridgecrestvillage.org August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 7

nutritional

Garden Bounty All Year Long

By Kristen Decker, RD, LD Registered Dietitian, HyVee

S

ummertime is the best time to find the freshest vegetables around as it is the natural harvesting season. Preserving fresh vegetables is not only a money-saving option, but a great way to make those summer flavors last for months to come. An easy way to preserve those flavors and nutrients is to use the freezer.

Before you begin, here are a few tips: • F resh Is Best: Use produce from home gardens, buy locally or select vegetables in season from supermarkets for the best quality.

• Keep It Clean: Prevent bacterial contamination by cleaning all equipment, surfaces, hands and vegetables thoroughly before starting.

• Leave Room to Grow: Freezing causes expansion. Follow the recipe and leave proper head space (space between food mixture to lid) to allow growth.

• Label, Label: Always label frozen or canned foods with the date processed and content of container. Properly frozen and stored products should be used within one year.

There are three vegetables that are always bountiful this time of year: tomatoes, onions, and bell peppers. Here is how to freeze them: Tomatoes: To freeze whole tomatoes (no need to peel), wash thoroughly and cut away the stem scar. Place the tomatoes on cookie sheets and freeze. Tomatoes do not need to be blanched before freezing. Once frozen, transfer the tomatoes from the cookie sheets into freezer bags or other containers. Seal tightly. To use frozen tomatoes, remove them from the freezer a few at a time or all at once. To peel, just run a frozen tomato under warm water in the kitchen sink. Its skin will slip off easily. Use frozen tomatoes in any cooked-tomato recipe.

Page 8 — Healthy Cells Magazine — Quad Cities ­— August 2012

Onions: Wash, peel and chop raw, fully mature onions into about ½-inch pieces.

Bag and freeze in freezer bags for best quality and odor protection (no need to blanch). Squeeze out the air and place bags flat on cookie sheets or metal pans until onions are frozen. Then remove from sheets or pans and restack as flat bags will take up less room. Use in cooked products, such as soups and stews, ground meat mixtures, casseroles, etc. For most dishes, frozen onions may be used with little or no thawing. Frozen onions will maintain good quality in the freezer for three to six months.

Bell Peppers: Select crisp, tender peppers. Wash and cut out stems and cut peppers in half. Remove seeds and membrane. Cut peppers into strips, dice, or slice, depending on how you plan to use them. Freeze peppers in a single layer on a cookie sheet with sides, about an hour or longer until frozen. Transfer to a freezer bag when frozen, squeezing out as much air as possible. The peppers will remain separated while frozen this way.

Hot peppers can be washed and stemmed, then subsequently frozen.

It is not necessary to chop hot peppers prior to freezing.

Sweet Thai Chicken Pizza Serves 4 (2 slices each). Source: Jen Haugen, RD, LD, Hy-Vee Dietitian All you need: 1 pre-made whole-wheat pizza crust ¾ cup Robert Rothschild Farm Thai Sweet Chili Dipping Sauce, divided 1 cup chopped rotisserie chicken 1 cup thinly sliced red pepper ½ cup finely diced fresh pineapple 1-½ cups shredded mozzarella cheese ½ cup shredded carrots ½ cup shredded zucchini 2 tablespoons chopped cilantro 2 tablespoons diced green onions

All you do: 1. Preheat oven to 425 degrees.

2. Brush the crust with ½ cup Thai Sweet Chili Dipping Sauce.

3. Top evenly with chicken, pepper strips and pineapple and finish with the mozzarella.

4. Bake 6-8 minutes. Let the pizza rest 5 minutes.

5. Sprinkle evenly with carrots, zucchini, cilantro and green onions. Drizzle remaining sauce over the pizza. Slice and serve.

Nutrition Facts per serving: 460 calories,12 g fat,7 g saturated fat,0 g trans fat, 50mg cholesterol,720 mg sodium, 60 g carbohydrates,8 g fiber,30 g protein.

The information is not intended as medical advice. Please consult a medical professional for individual advice.

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(Black

physical

Happy Feet

Dr. Pamela Davis

A New Laser Technology Used to Treat Toenail Fungus Submitted by Mississippi Valley Health Network

P

utting our best foot forward in summer just got easier for those who suffer unsightly toenails from fungal infections.

While many prefer air-conditioned feet clad in sandals and flip-flops during the summer, it’s also the season’s heat and humidity that creates the perfect conditions for this type of infection.

“People who often go to public swimming pools, gyms, or even athletes who sweat a great deal, can contract toenail fungal infections,” explains Davenport Orthopedic Surgeon Pam Davis, MD, Foot & Ankle Specialists. “If your toes don’t have the opportunity to dry out, you are at higher risk.”

It’s becoming a more common occurrence. The National Institutes of Health reports the incidence of these fungal infections is growing, especially among older Americans.

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Toll Free: 888-932-2732 Page 10 — Healthy Cells Magazine — Quad Cities — ­ August 2012

Western Illinois Area Agency on Aging and Disability Resource Center 729 – 34th Avenue Rock Island, IL

Call for an appointment now!

309-793-6800

Causes of Nail Infection Most fungal nail infections are caused by a group of fungi called dermatophytes. These fungi live in the dead skin layer around, under and on the nail bed itself. “Nail infections can cause permanent nail deformity, which can interfere with the ability to wear shoes comfortably, play sports or even walk,” says Dr. Davis. While not a serious illness, the fungus also can be embarrassing and uncomfortable. “You’ll know it’s a fungus if your nails are streaked with yellow, discolored, broken, brittle or thickened.”

“Laser treatment can greatly improve the appearance of a patient’s feet and in many cases, the nail will grow out clear if the infection is eradicated,” New treatment for Toenail Fungus Up until recently, patients suffering from toenail fungus were treated with either drugs or topical nail creams. Now, a new laser technology called “PinPointe™ FootLaser™ can kill the fungu, in many cases, allowing the nail to grow out normally.

“Not all of my patients can tolerate the anti-fungal drugs and their side effects,” says Dr. Davis.

“And the topical creams were messy and didn’t always penetrate the nail effectively.

“The laser is shaped and held just like a pen. I touch each nail as it delivers micropulses of light directly to the yeast or fungus causing the infection. The fungus absorbs the light energy, which heats its pigment, thus damaging or killing the organisms. The patient may only feel warmth during the process, and no anesthesia is required. The procedure takes about a half hour here in the office,” Dr. Davis explains.

“The treatment of nail infection is difficult because the infection is under and inside of the nail.

This makes it hard for any treatment to reach and completely destroy the infection. There are often recurrences, but the laser treatment can greatly improve the appearance of a patient’s feet and in many cases, the nail will grow out clear if the infection is eradicated,” she says.

Used with permission. Pinpointe FootLaser and Cynosure.

Used with permission. Pinpointe FootLaser and Cynosure.

Used with permission. Pinpointe FootLaser and Cynosure.

For more information on treating nail infection, contact Dr. Pamela Davis at Midwest Foot & Ankle Specialists located at 4622 Progress Drive, Suite C, Davenport. You can contact them on the web at www.midwestfootsurgery.com or call 563-355-2210

August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 11

fast recovery

Dreaming Big A junior high social studies teacher by day, Jeff Paul is also a professional triathlete who had to overcome a serious Achilles tendon injury in order to eventually win the Quad Cities Triathlon

Dr. Tuvi Mendel

Submitted by Orthopaedic Specialists PC

A

s a social studies teacher at Pleasant Valley Junior High School, Jeff Paul, 31, reminds his students that it takes a lot of hard work to start at square one and be successful. But as a professional triathlete, Paul is able to relate how his big dreams kept him motivated to overcome adversity and keep on training.

His mantra never wavers: Dream Big. This June, the LeClaire resident achieved his dream of winning the Quad-Cities Triathlon after spending more than a year in physical therapy and training following a potentially career-ending Achilles’ heel injury.

“In March 2010, I was putting in some serious 36-hour training weeks. Then, all of a sudden my heel started hurting,” recalls Paul. “I couldn’t ride my bike without severe pain in my Achilles.”

Surgery put his plans on hold and there were worries about his future on the course. But, thanks to the expertise of Board Certified Orthopedic Surgeon, Dr. Tuvi Mendel, of Orthopaedic Specialists, Davenport, Paul had cause for hope. Dr. Mendel has a fellowship in foot and ankle surgery and a certificate of added qualification in sports medicine, from the American Board of Orthopedic Surgery.

In addition to specialization in foot and ankle injuries, Dr. Mendel’s practice concentrates on shoulder and knee reconstruction and sports injuries, including joint cartilage repair.

Dr. Mendel remembers Paul’s condition. “His Achilles was very inflamed and when it becomes chronic, the body has hard time fighting

Page 12 — Healthy Cells Magazine — Quad Cities — ­ August 2012

that inflammation and healing it. In Jeff Paul’s case, the inflammation became so chronic it was both debilitating and damaging.”

After conventional treatments were explored, Dr. Mendel performed arthroscopic surgery on Paul’s tendon. It’s a minimally invasive procedure designed to repair the tendon without major surgery. “That surgery prevented him from having an even bigger operation which would have meant a longer recovery time away from the sport he loves,” explains Dr. Mendel. “Jeff’s tendon was in worse shape than we thought and and there was significant damage and partial tear to the tendon, however I was able to clean it up and repair the damage so that his tendon could heal.”

Going from grueling schedule to a cast was tough. “Mentally, it was very tough,” says Jeff. “I wondered if would hurt for the rest of my life.” Yet within six months, he resumed his training.

“When I spend 80 miles running, 460 miles on the bike, and swim 6 days a week, I figure, thanks to Dr. Mendel, my tendon can handle anything!” he says.

Paul put his new Achilles tendon to the test in Madison, Wisconsin when on September 11, 2011, Jeff became an Ironman Triathlete. For that honor, competitors swim 2.4 miles, bike 112 miles, and finish with a 26.2mile marathon, all in one day! In just over 10 hours, Jeff finished 11th in the pro race and was 29th overall out of a field of nearly 2,800 competitors.

“Growing up, my dad taught me the importance of a good work ethic. My parents always made us work for what we wanted and the example he set has really stuck with me,” Paul told the Quad-City Times after winning the local triathlon in June.

So what is it about the triathlon experience that Paul wants to share with his friends and students? “I want to inspire people to do in their life what they didn’t think was possible.”

Dream big, Jeff.

For more information on understanding Achilles tendonitis and other injuries to the feet and ankles, as well as various treatment options open for discussion with your doctor, visit the Orthopaedic Specialists PC website: www.osquadcities.com

What You Need To Know About Achilles Tendonitis (source: www.osquadcities.com) What is Achilles Tendonitis?

Achilles Tendonitis is a condition of irritation and inflammation of the large tendon in the back of the ankle. Achilles Tendonitis is a common overuse injury that tends to occur in middle-age recreational athletes. The overuse causes inflammation that can lead to pain and swelling. Furthermore, Achilles Tendonitis can lead to small tears within the tendon, and make it susceptible to rupture.

What causes Achilles Tendonitis?

The two most common causes of Achilles Tendonitis are a lack of flexibility and overpronation.

Other factors associated with Achilles Tendonitis are recent changes in footwear, and changes in exercise training schedules.

Often long distance runners will have symptoms of Achilles Tendonitis after increasing their mileage or increasing the amount of hill training they are doing.

As people age, tendons, like other tissues in the body, become less flexible, more rigid, and more susceptible to injury. Therefore, middleage recreational athletes are most susceptible to Achilles Tendonitis.

What are the symptoms of Achilles Tendonitis?

The main complaint associated with Achilles Tendonitis is pain over the back of the heel. This is the point where the tendon inserts on the heel bone.

Patients with Achilles Tendonitis usually experience the most significant pain after periods of inactivity. Therefore patients tend to experience pain after first walking in the morning and when getting up after sitting for long periods of time.

Patients will also experience pain while participating in activities, such as when running or jumping. Achilles Tendonitis pain associated with exercise is most significant when pushing off or jumping.

How is Achilles Tendonitis diagnosed?

Diagnosis of Achilles Tendonitis is accomplished by history and physical examination. The symptoms associated with this condition are typical and can be elicited by a thorough history. A physical examination is used to determine the location of the problem.

X-rays are usually normal in patients with Achilles Tendonitis, but are performed to evaluate for other possible conditions. Occasionally a MRI is needed to evaluate a patient for tears within the tendon.

A ll of the physicians in this practice are certified specialists in the health care of women. We are practicing our specialty together to give you the best possible medical care when you need it and hope that you will feel comfortable and secure with the treatment you receive.

Please call: (563)355-1853 to Schedule an appointment.

Open from 8:00 AM to 5:00 PM daily, Monday thru Friday www.obgyngroup.com

Personalized Healthcare for Today’s Women Welcoming New Patients

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August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 13

e s a e l P

let Healthy Cells advertisers know you saw their ad in

future planning

Naming Your Executor...

An Honor or a Burden?

By Northwest Bank Investment Management Group

“Like” us on Facebook!

Healthy Cells--Quad Cities

E

mily Smith Hart knows the importance of having a Last Will and Testament to ensure that her assets are distributed according to her wishes when she passes away. And she found out the hard way just how much is involved in being named as executor of someone’s estate. Her brother died a few years back and she had been named as the executor of his estate.

Although it seemed like such an honor that he thought enough of her to trust her with carrying out his final requests, she had no idea when she accepted just how much would be required of her when the time came. “What have I gotten myself into,” she frequently asked herself during the long process.

“Emily knows that appointing a corporate fiduciary such as a bank trust department to act as Executor is the right decision for her.”

The duties of an executor are both complicated and time consuming. They also require knowledge in several areas of expertise.

In the process of settling an estate, the executor needs knowledge in the areas of fiduciary law and the probate process, taxes and investments. And, depending on the assets in the estate, they might also need knowledge in farm management, rental properties, residential real estate, and oil and gas royalties.

Because estate administration is a probate process, everything is done under court supervision. The named executor will need Letters of Appointment as executor in order to carry out many of the duties such as the collection of asset and debt information.

Assets of the estate may consist of stocks, bonds, mutual funds, certificates of deposit, real estate, life insurance policies, jewelry,

Page 14 — Healthy Cells Magazine — Quad Cities — ­ August 2012

needs to be sold, utility bills will need to be paid, and the property maintained until the sale takes place.

Various tax returns also need to be filed before the estate can be closed. A final personal return will need to be filed for the decedent. If the decedent was a resident of the state of Iowa, an inheritance tax return may also need to be filed. Depending on the size of the estate and the current tax laws, a federal estate tax return may also need to be filed. And finally, after the administration process is complete, a final tax return for the estate will need to be filed.

After the claim period has ended, all of the debts have been paid, and the tax returns filed, a full accounting of all transactions needs to be prepared and submitted to the beneficiaries and the court along with a proposed distribution schedule for the remaining assets.

The amount of time required to settle an estate varies based on the complexity of the will, type of assets and the experience of the executor. Because of the intricacy of the administration and the time commitment involved, Emily doesn’t want to place that added burden on any of her loved ones. She knows that appointing a corporate fiduciary such as a bank trust department to act as Executor is the right decision for her.

Northwest Bank’s Investment Management Group has the ability and knowledge to help you make the decisions that are right for you.

Call us today.

autos, works of art, and/or various types of collections. An inventory of all the estate assets along with their values as of the date of death must be submitted to the court within 90 days from the executor’s date of appointment in the state of Iowa, and within 60 days in the state of Illinois. In some instances, such as real estate or various collections, a certified appraiser may need to be retained in order to determine these values. Decisions then need to be made regarding the liquidation of assets in order to pay any debts of the decedent and any taxes that may be owed A claims notice must be filed in the newspaper on two occasions, two weeks apart. This notice starts the clock for anyone believing they are owed money by the decedent. In Iowa, the claims period is four months and in Illinois, it is six months. Debts may consist of final medical bills, funeral expenses, credit card bills, and expenses associated with real estate. If there is a residence that

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assistance

You Must Have Courage To Be Willing To Live Your Dream Submitted by The Department of Rehabilitation Services

F

or many of us the weekends are a time for rest and relaxation; but for Donna Adams and her family, it’s literally a celebration! Donna is the owner of a wedding and party planning business which specializes in creating themed weddings. Working out of her home allows Donna to be close to her family and they, in turn, have helped make her business a success.

Donna’s husband, who is skilled at carpentry, designs and build sets, backgrounds, and props. Her immediate and extended family assist her in setting up the table arrangements and other specialty items for weddings and parties. This family support, coupled with the flexibility of working from home, allows Donna to have assistance on days when her Fibromyalgia and Osteoarthritis make it difficult for her to complete certain tasks.

Donna had always been employed in careers where she had demonstrated the ability to be creative and help others. She started out working in restaurants and bartending. From there she worked as an Activities Associate with Alzheimer patients and then as a Certified Nursing Assistant. In 1997, she began having significant back pain and fatigue.

As a result she was not able to continue working and didn’t know what her future held.

In 2009, Donna visited the Division of Rehabilitation and began working with Vocational Counselor, Lynn Trovillion, in the Bloomington Field Office. As the counseling relationship developed, it was identified that Donna had participated in many activities through work and hobbies that were creative. One of those activities was helping to plan weddings, a hobby that Donna watched her mother do when she was younger. With the assistance and support from Lynn, Donna successfully completed all required course work to receive her certification as a wedding planner and obtain her food sanitation certificate.

Lynn also referred Donna to SCORE (Counselors for America’s Small Businesses). Through SCORE, Donna was able to connect with some other, more experienced wedding planners, develop a detailed business plan, and connect with a small business operator who gave her space and supplies in a craft store. Together, DRS and SCORE helped Donna design business cards, an eye-catching portfolio, learn successful advertising methods, and get some needed business man-

Page 16 — Healthy Cells Magazine — Quad Cities — ­ August 2012

agement software. Soon after, Special Moments Wedding & Party Planning was opened for business.

Donna knows that without the support of DRS and the continued support and assistance from her family, she would not be able to live her dream. She has completed several weddings already and has had a steady stream of referrals. She loves what she does, especially building a relationship with the bride and groom as she helps them to plan their special day. She feels that she is able to assist the happy couple with designing around their idea of the perfect day and to keep the event within a budget they can afford.

Donna is hopeful that someday she can expand her wedding and party planning business. Donna is thankful for the support, guidance and encouragement that she has received from DRS and her family.

Donna states, “You must have courage to be willing to live your dream; age does not matter. Keep trying and become good at self-advocacy.

I recommend the services that DRS offers to anyone!”

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August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 17

feature story

Spirit Of John Chapman Lives On With Mom’s Generosity

By Craig Cooper, Genesis Health System

J

ohn and Rosemary Chapman were lingering in bed on a quiet Saturday morning in July when a phone call came that every parent dreads.

Jody Chapman, their daughter-in-law, called to say that something had happened to their son, also named John, on the course of the Quad-City Times Bix 7. She asked that John and Rosemary pick up their two grandchildren and come to Davenport from Galesburg.

“Five minutes later we got the second call. It was the longest trip in our life. We didn’t want to tell the kids before we got to Genesis,’’ Rosemary explained.

John Chapman, 41, who to any observer would have looked fit and healthy, suffered a massive heart attack on the 7-mile Bix course. No one knew it until an autopsy report, but John, a former standout high school and college wrestler, had undiagnosed heart disease.

He was complaining of heavy legs, according to Rosemary, who worked for more than 25 years as a registered nurse. The leg pain and swelling was written off to 11-mile runs to prepare for the Bix. There was also a family history of heart disease on both John Sr.’s and Rosemary’s sides of the family.

It has been a hectic week for John Chapman before the Bix with a wrestling camp, a golf outing, a family barbeque, and the training for the Bix. When Jody unpacked his bags and work briefcases after John Chapman’s death, she found numerous packages of antacids.

“What he thought was heartburn was likely chest pain,’’ Rosemary added. “The autopsy showed all of his major heart arteries were at least 90 percent occluded. Those heavy legs were probably because of a clot.

He had a clot that moved—a pulmonary embolism.”

“There was nothing anyone could do. Even if the event had happened in a hospital, the result would have probably been the same. He was dead by the time he got to the hospital.’’

Chapman was headed toward the finish when he fell to the street.

He was taken immediately from the Bix course to Genesis Medical Center, East Rusholme St. in Davenport.

Page 18 — Healthy Cells Magazine — Quad Cities — ­ August 2012

Making the trip to the hospital with Jody Chapman was Dr. Ed Motto, medical director of the Bix medical tent.

Heart Full Of Love Fundraiser Rosemary Chapman, an energetic sort, is now able to talk about her son and about her plans to preserve his memory. She has turned her hobby, knitting, into a fundraising effort to support education and early diagnosis of heart disease at the Genesis Heart Institute.

“A Heart Full of Love...Johnny’s Sock’’ is a heart-themed knit sock.

The sock kits are being sold by Rosemary for $25 each with all proceeds going to the Genesis Heart Institute through the Genesis Health Services Foundation.

The socks have several heart design elements, including artery bands representing open and occluded arteries, two healthy hearts and one “broken” heart, an EKG line, and young healthy hearts. Each kit comes with 459 yards of Johnny’s Red yarn for a pair of socks, written instructions and charted instructions.

“The pattern is dedicated to Johnny and is meant as a reminder to everyone to protect yourself and loved ones by taking care of your heart, and, having heart screenings, especially if you have a family history,’’ Rosemary said. “Heart disease is the number one cause of death for both men and women in the U.S.’’ Rosemary Chapman has 2,000 “Heart Full of Love’’ sock kits for sale. The kits could potentially raise $50,000 for the Genesis Heart Institute to provide education, screening, and care for patients, regardless of their ability to pay. Two past efforts by Rosemary Chapman raised more than $100,000 for the Marsha Rivkin Center For Ovarian Cancer Research and more than $50,000 for the Susan G. Komen Race For The Cure.

Rosemary Chapman gives every dollar to the designated charity and pays for all mailing costs and credit cards fees for orders herself.

Skacel, a national wholesaler of high-end yarns and knitting needles, has donated all of the yarn for the kits.

“The design was unique, but easy. It only took me about 20 minutes. But it took me four or five months to knit one pair because it was so hard emotionally. It was too close to Johnny’s death,’’ she said. “I wanted to do something in Johnny’s memory.

He loved wool socks and this is a way that I can give back to the

people who took care of Johnny that day and the patients of the Genesis Heart Institute.’’

A Chance Meeting When the Chapmans first came up with their idea, they were invited by the Genesis foundation staff to the President’s Circle of Care event, an event that recognizes donors of at least $1,000 to the Genesis Health Services Foundation. They were not excited about attending but decided they needed to go. John Sr. got a new suit, and Rosemary a new formal dress.

“We really didn’t want to go. It was not our kind of thing but we decided we would and are so happy we did,’’ Rosemary explained. “We sat down at this table with seats open. There was no seating chart.

“Two more people came and one of them introduced himself as Ed and said he was a doctor. He asked why we were there and we started talking about our son dying at the Bix and our idea for giving back with the sock kits.

“Dr. Ed got this look on his face and said, ‘I know, I was with your daughter-in-law.’ That was just another in a lot of coincidences that happened that told us we were doing the right thing. Here is this doctor, who is at a pretty formal event with no socks on—he told us August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 19

feature story continued he usually doesn’t wear them—and we’re talking to him about these special knitted sock kits to honor our son.’’

Dr. Ed Motto is an internist and medical director of dialysis care at Genesis. He has volunteered for years in the medical tent of the QuadCity Times Bix 7.

Rosemary Chapman can recite key statistics about heart disease from memory—number one killer of both men and women; more than one in three adult men have some form of cardiovascular disease (CVD); CVD deaths for females exceed those for males—but her donation to Genesis is more about the people than statistics.

thefisherman@rio-express.net or call Rosemary “Chappy’’ Chapman at 309-343-5323.

“Working with donors who possess such a passion to help others as a result of their very personal loss is truly our honor,’’ said Deb Sandry, major gifts development officer, Genesis Health Services Foundation. “Rosemary has demonstrated wonderful success in her past projects, but she and John are literally pouring their hearts, memories, and hopes into Johnny’s Socks.”

“We are thrilled to have the opportunity to partner with them toward helping others identify heart risks.”

“Helping Others and Remembering Johnny.”

The knitting kits for “A Heart Full of Love... Johnny’s Sock’’ are available directly from Rosemary Chapman by sending an email to

To find out how your gifts have an impact in meeting the health needs of the region, call the Genesis Health Services Foundation at 563-421-6865.

Genesis Receives Heart Surgery’s Highest Ranking

By Linda Barlow, Genesis Health System

Genesis Cardiac Surgery has another honor to add to a year of excellence in patient care.

On the heels of earning a national award for patient satisfaction, it now has received the highest designation for quality in heart surgery.

Genesis received the highest composite quality rating — three stars -- from the Society of Thoracic Surgeons, the world’s premier organization of cardiothoracic surgeons and researchers.

Only 10-15 percent of hospitals receive a three-star rating. In the current analysis of national data, Genesis’ cardiac surgery performance was found to be in the highest quality tier from January, 2011 to December, 2011.

“We are honored to receive the three-star rating from the Society of Thoracic Surgeons (STS),” said Craig Sommers, executive director of the Genesis Cardiac Services. “The STS rating is widely recognized as the gold standard for evaluating the quality of cardiac surgery programs.”

Although thousands of heart programs and heart surgeons submit data to the Society of Thoracic Surgeons, it’s entirely voluntary, he added.

“Achieving the highest rating from the Society of Thoracic Surgeons is a reflection of the high quality of heart surgery care available at Genesis,” added Genesis cardiovascular surgeon Nicholas Augelli, M.D. “The message to the communities we serve is that our heart surgery outcomes are ranked at the top of participating hospitals, and we excel in more than 10 quality measures.”

The STS represents more than 6,400 surgeons worldwide who operate on the thorax, or chest. Its Adult Cardiac Surgery Database includes more than 4.5 million surgical records and represents an estimated 94 percent of all adult cardiac surgery centers across the U.S., making it the largest such registry in the world.

Participating groups add data four times a year, providing an up-todate picture of their surgical practices.

“The STS provides very, very specific information — from hours on a ventilator and medication usage to complications ranging from infection to renal failure,” Dr. Augelli said. “We’re extremely proud that after this very critical, detailed analysis, we are ranked at the top in the nation.”

Quarterly review Every quarter, a thick compilation of data arrives at Genesis from the STS. “We’re constantly reviewing it and looking for opportunities for improvement,” Sommers says. “We take a hard look at the data and work to make sure we’re doing the best we can for our patients.”

Page 20 — Healthy Cells Magazine — Quad Cities — ­ August 2012

The STS ratings reflect results from heart-bypass operations called coronary artery bypass grafting, or CABG. Quality measures are divided into four categories: • Patient survival: the percentage of patients surviving at least 30 days after surgery and who are discharged from the hospital.

(Survival and complication rates are statistically adjusted for how sick patients are.)

• Absence of surgical complication: the percentage of patients who leave the hospital with none of the five most serious complications of CABG— Nicholas Augelli, M.D. re-operation, stroke, kidney failure, infection of the chest wound, or prolonged need to be supported by a ventilator.

• Recommended medications: how often all of the four medications believed to improve a patient’s immediate outcome and long-term risk of developing more blockages were prescribed. This includes betablockers, aspirin or similar drugs to prevent clotting, and additional betablockers and cholesterol-lowering medicines prescribed after surgery.

• Optimal surgical technique: the percentage of CABG procedures that use at least one of the arteries from the underside of the chest wall — the internal mammary artery — for bypass grafting. This artery has been shown to function much longer than vein grafts, which can become blocked over time.

In addition to the three-star rating, Genesis Cardiac Surgeons was one of eight medical practices across the nation to receive a 2011 Summit Award. This award by Press-Ganey demonstrates patient satisfaction scores ranking in the 95th percentile or above for a minimum three years in a row.

Genesis Medical Center, Davenport also was one named one of the nation’s 50 Top Cardiovascular Hospitals by Thomson Reuters for 2011.

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“Why does my dentist keep telling me that I need a Crown?”

By Dr. Robert L. Byrum D.D.S., P.C., Byrum Family Dentistry

What is a crown?

A crown, or cap, is placed on top of your tooth and cemented to it. It covers the entire circumference of your tooth and the chewing surface. Crowns restore a tooth’s shape and size, strength, and/or improve its appearance.

Why are crowns needed?

Crowns help protect your teeth in certain situations, such as: • To cover and support a tooth with a large filling, where there isn’t a lot of tooth left • To protect a weak tooth (e.g., from decay) from breaking, or to hold together parts of a cracked tooth • To build up teeth that are severely worn down • To restore broken teeth • To hold a dental bridge in place • To cover misshaped or severely discolored teeth • To cover a dental implant • To cover a tooth that has been endodontically treated (had a root canal) Page 22 — Healthy Cells Magazine — Quad Cities — ­ August 2012

As the fillings in your teeth get larger and larger, the chances of your tooth or the filling breaking continue to increase. Your dentist may recommend a crown because more than half of a tooth is missing and has been replaced with filling material. This means that the tooth is weaker and more likely to break or fracture.

To protect the integrity of the tooth, a crown will be recommended to cover it. Crowns are also needed to cover teeth that have had root canals and the above-mentioned conditions.

What materials are used to make crowns?

Many materials are used in crowns. Here are the most common: • Gold: This was used for many years and is still a good choice for back teeth.

• Porcelain or Ceramic: This is often the esthetic option for front teeth, but it does have some risk of chipping or breaking.

• Zirconia: This is as strong as the metal crowns, but is tooth-colored and wears very well, with little risk of fracturing the crown.

porcelain blocks. However, there are different indications for each type of crown. Your dentist will recommend what is best for your situation.

The impressions will be sent to the lab and they will fabricate your crown. Your dentist will make a temporary crown that you will wear for about two weeks while your permanent crown is being fabricated.

In two weeks, your dentist will remove your temporary crown and check the fit and color of your permanent crown. If everything is acceptable, a local anesthetic may be used to numb the tooth and your crown is cemented in place.

How long do crowns last?

On average, dental crowns last five to 15 years. However, the life span of the crown depends on the “wear and tear” the crown receives, your oral hygiene practices, and your personal mouth-related habits. Avoid potentially damaging habits such as clenching or grinding your teeth, chewing ice, biting fingernails, or using your teeth to open packages.

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How is a tooth prepared to receive a crown?

The tooth is examined and x-rays are taken, to see what portion of the tooth will need to be removed (e.g., because of decay).

Your dentist will anesthetize the tooth and gums. The tooth receiving the crown is filed down on the chewing surfaces and the circumference of the tooth, to make room for the crown.

If a large part of the tooth is missing (e.g., due to decay or damage), the dentist will use filling material to “build up” the missing portion of the tooth.

The dentist and assistant will then take an impression of both your upper and lower teeth. This impression will be sent to the lab to make your crown. Sometimes your crown will be made in the office on that day if your doctor has a CAD-CAM machine that mills crowns out of

How do I choose the crown that is right for me?

You should feel comfortable asking your dentist what is best for your particular situation.

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August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 23

gerd

Taking Steps to Manage Acid Reflux Disease Information from www.DontLetitBurn.com

A

cid reflux disease (ARD), also known as gastroesophageal reflux disease (GERD), affects nearly 19 million Americans, and is characterized by heartburn occurring two or more days a week despite treatment and diet changes. Susan had lived with the symptoms of ARD for years until she went to her doctor and was diagnosed.

"I was busy and younger when my heartburn symptoms first occurred," says Susan, a retired college professor and former clinical researcher from State College, Pennsylvania, who first experienced signs of ARD years ago. "I tried over-the-counter medications, such as antacids, which helped but not enough. I went to the doctor and he explained how acid reflux happens, and suggested that I should work to better manage my stress - which is hard for me."

As time went on, it became harder and harder for Susan to ignore her heartburn symptoms. She began taking steps to better manage her heartburn symptoms, making several lifestyle changes, such as sleeping while propped up and trying to maintain a healthy body weight. Susan also tried to reduce her stress through such things like walking and other exercises.

"Working with my doctor, we were able to find a treatment plan that was right for me, which included taking the medication Dexilant," Susan says. "I began taking Dexilant, and it helped relieve my heartburn symptoms. Each person's experience with ARD is very personal, so the best thing to do if you have or think you might have acid reflux disease, is to speak with your doctor to find out more about the condition and what might be right for you."

To help educate people like Susan who have ARD, Takeda Pharmaceuticals U.S.A., Inc., the makers of Dexilant (dexlansoprazole), partnered with celebrity chef Spike Mendelsohn on the "Don't Let it Burn" campaign to raise awareness around ARD and the importance of finding ways to manage their symptoms, including diet and lifestyle changes. Lifestyle tips, music, heartburn-friendly recipes and more can all be found on www.DontLetitBurn.com.

"It is very important for patients to be proactive and understand that if they experience symptoms of heartburn frequently, they should reach out to their healthcare providers to find out if what they're experiencing is acid reflux disease, and if so, what courses of action might be possible to manage this condition," says David A. Peura, MD, Emeritus Professor of Medicine, University of Virginia School of Medicine. "When I work with ARD patients, we counsel diet and lifestyle modifications, but often for many paPage 24 — Healthy Cells Magazine — Quad Cities — ­ August 2012

tients, a medication is also needed to manage the symptoms. One treatment option I prescribe for my appropriate ARD patients is Dexilant because it can offer up to 24 hours of heartburn relief."

To learn more, visit www.DontLetitBurn.com. You can also hear from celebrity chef Spike Mendelsohn, and get tips, helpful information and facts about acid reflux disease.

Lifestyle modifications are part of a treatment plan to help manage a patient's acid reflux disease. Some include: • A void common trigger foods, such as fried or fatty foods, citrus foods, onions, and tomato-based foods as well as alcohol, coffee and other caffeinated drinks, chocolate, peppermint and spearmint • Maintain a healthy body weight • E at small, frequent meals rather than large amounts of food at one time • Try not to wear tight-fitting clothing around your waist • Elevate the head of your bed 6-8 inches • Be smoke-free Acid reflux disease can occur in both men and women, with varying severity of the disease among patients.

To hear more from Spike and to learn about the treatment option Dexilant, please visit DontLetitBurn.com.

hearing problems

What is Otitis Media?

Submitted by Audiology Consultants

ated with otitis media include ear pain and pressure, fever, difficulty sleeping, and decreased hearing. Treatment options for otitis media are varied. Often, family physicians will prescribe an antibiotic to treat the infection. If an individual has recurrent otitis media or otitis media with effusion (fluid), pressure equalization tubes may be placed in the eardrums in order to allow for proper ventilation to the middle ear space and/or drainage of the fluid present in the middle ear space.

Usually, otitis media can be treated relatively easily and will resolve without any complications; however, it is important to note that if otitis media goes untreated other more serious conditions may result. Therefore, if otitis media is suspected, it is important to see your physician to discuss appropriate treatment options.

For more information on otitis media or any other hearing problems, call Audiology Consultants at 563-355-7712 in Davenport, 309-283-5902 in Moline, 563-264-9406 in Muscatine or 309-944-9181 in Geneseo.

O

titis media is the medical term for a middle ear infection. The middle ear is the space located behind the eardrum that is airfilled and contains tiny bones that transfer sound to the inner ear. The middle ear has an opening called the Eustachian tube that connects to the throat and is responsible for equalizing middle ear pressure by opening and closing. The Eustachian tube also keeps the middle ear space dry and well-ventilated.

Some common causes of otitis media are the common cold or flu, allergies to dust, animal dander, food, etc. and environmental toxins including fumes and smoke. When individuals get sick, the germs from their nasal passages and throat can make their way up the Eustachian tube and end up in the middle ear space resulting in infection. Also, the Eustachian tube may become swollen and not function properly, resulting in a moisture filled, non-ventilated middle ear space, which is the perfect breeding ground for germs.

Otitis media is more common in children than adults, but can occur in individuals of all ages. Some symptoms commonly associ-

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August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 29

pain awareness

What is Pain

By Mississippi Valley Pain Clinic PC

P

ain is a complex symptom that affects almost everyone at some point in their lives. It is an emotional experience that has variable responses in different people. When it is of longer duration, it can change its character as it moves into a chronic state. When most patients present to a pain clinic, the pain is most often chronic. Because the character of the pain has changed from its initial onset, a complete look at the historical circumstances of its beginning and how it has changed over time becomes important to understand.

The history of a painful condition will include the following items.

Exactly where the pain is located gives clues as to what nerves that conduct pain signals to the brain are involved. When the pain started, when it is present now, and how long the painful episodes may last are helpful to know. If the pain changes with certain positions, movements, or actions tell what parts of the body systems may be involved. The character of pain is usually burning, sharp, achy or shooting like electricity. If any treatments have been at-

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Page 30 — Healthy Cells Magazine — Quad Cities — ­ August 2012

“The bottom line to effectively treating chronic pain becomes an exercise in identifying the pain generator.”

Announcing our NEW LOCATION in tempted, their effect on the pain feelings are helpful to understand if appropriate, safe, and low risk interventions to lessen the pain have been attempted. It is a frequent occurrence that a treatment may have been prescribed but not followed or misunderstood; this can lead to repeating the treatment to be assured that the least risky intervention is a failure before moving onto more complex treatments.

Imaging studies need to be reviewed to understand if body structures are normal or have some type of derangement from the normal that helps to explain the source of the pain. It is always helpful for patients to review these items in their mind so they can relate them to their physicians when evaluated.

The second key part of the evaluation of pain is the physical examination. Painful conditions have usual examination findings that can lead to the selection of a diagnosis. The examination will most often include a visual inspection of the part of the body that is painful and the surrounding tissues that are near the area of pain. A brief survey of the other body systems is done to see if the pain is part of a disease process remote from where the area of pain is located.

Finally, provocative movements or maneuvers can expose the structures involved in the pain generation.

The bottom line to effectively treating chronic pain becomes an exercise in identifying the pain generator. Treatments directed at the exact structure in the body that is likely to be producing the pain signal is going to be more successful, more quickly then treatments directed in the general direction of the pain.

Contact Mississippi Valley Pain Clinic PC at 563-344-1050 for more information.

BETTENDORF Free image courtesy of FreeDigitalPhotos.net

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preventative screenings

Colon Cancer!

What is My Risk?

By Dr. Jae Kim, MD, Gastroenterology Associates P.C.

A

bout seven years ago, I was in the waiting room of my doctor’s office filling out my medical history. The form was lengthy and it seemed endless. I was checking off “No” to practically all of the questions. “Do you have a history of diabetes?” No. “Do you have a history of hypertension?” No. “Any changes to your weight?” No. Then the questions started asking about my family history and I paused. I didn’t think much about it prior to this appointment but my father had been diagnosed with colon cancer at the age of 42. What was the significance of this? Should my family history have caused me to visit a doctor sooner? What about my family history made me at risk for colon cancer?

I have been fortunate to be healthy all my life.

So, I never spent much time thinking about not being healthy. But as I filled out that section of my family history, I remembered something that was just a brief conversation in my late childhood.

At the dinner table one night, my father had mentioned he was going to the hospital to have surgery because the doctor said he had cancer. No one asked him any questions nor would they have been entertained if we did ask. My father had always been a private man. He came from a culture and generation that didn’t like discussing anything that was stigmatizing; therefore his “cancer” was not discussed.

In college, I recall the term “cancer” being used very loosely for various social and medical reasons. For example, a person with undiagnosed cancer is neither aware nor seen as a sick person even though he or she has an illness that will cause significant morbidity and possibly mortality based on the type of cancer. However, once a person is diagnosed and lets say undergoes a curative surgery to remove the cancer, that person is now cancer free but will forever be labeled in society and in the medical community as a cancer patient. My father was a prime example of the problem with that type of labeling. So he distanced himself to such a degree that “cancer” was rarely uttered in our household; and only spoke of it again when his “cancer” was gone.

So, what came of that doctor’s visit? My doctor scheduled me to see a Gastroenterologist who recommended I undergo colon cancer screening when I turned 32 years of age. Due to my father’s Page 32 — Healthy Cells Magazine — Quad Cities — ­ August 2012

Dr. Jae Kim, MD

early diagnosis, I was supposed to undergo the procedure for colon cancer screening 10 years younger than his diagnosis. If someone is older than 60 years of age with a diagnosis of colon cancer, then his or her children should undergo screening at 50 years of age. Colon cancer screening is recommended at 10 years younger than the family member’s age of diagnosis or at age 50, whichever is younger.

I underwent colon cancer screening at age 32 and have been getting colonoscopies every five years since I am considered to be a high risk individual. This is one factor that does increase an individual’s risk. Other risks are a family history of colon polyps.

Colon cancer is a disease of the colon or rectum. Most often, “colorectal” cancer is simplified by just using the term colon cancer.

Colon cancer is the third leading cancer death in the United States in 2012. It has such a high morbidity and especially mortality if diagnosed at later stages. The exact mechanism of how colon cancers form is unknown but it is thought to develop through a process of normal colon tissue to abnormal tissue change/growth (polyps) to eventually cancer. There are various types of colon polyps. Greater than 95% of colon cancers are adenocarcinomas. Most of colon cancers are sporadic cancers related likely to the environment and some genetics.

The major risk factor is age. Colon cancer is rare under the age of 40 and much more prevalent as our age increases above the age of 50.

According to National Institute of Health, the major risk factors are increased age (>50 years of age), personal history of colon cancers or polyps, diet high in fat, family history of colon cancers or polyps and personal history of inflammatory bowel disease like Ulcerative Colitis or Crohn’s disease.

If you have ever undergone a screening colonoscopy, the gastroenterologist is trying to identify any signs of polyps or irregular tissue inflammation or growth. This is likely the major contributor to the decreased trend in colon cancer morbidity and mortality that we are seeing in the past decade.

Colon polyps can comprise of different types of pre-cancerous lesions. Again, these are not cancers by the true pathologic definition but they are considered to be pre-cancerous and they have the potential to progress into early cancer or cancer. The various types of polyps are from most benign to most aggressive: • Hyperplastic polyps (thought to have minimal to no increased risk of cancer progression) • Serrated adenomas • Tubular adenomas • Tubulovillous adenomas • Villous adenomas (most aggressive to potentially grow into cancer) Based on the number of polyps, location (right or left colon), size of the polyps, and the types of polyps, all have some increased risk assessment for an individual. In my situation, I did not have any polyps but due to my father’s diagnosis of colon cancer at an early age,

it definitely puts me at risk. The risk is relative as some researchers believe that if I never have a polyp, my risk might be similar to the general population after two negative examinations. However, the current recommendation is still to undergo a colonoscopy every five years for anybody with higher risk assessment.

The Center for Digestive Health was established in 2004 as a joint venture between Gastroenterology Associates, P.C. and Genesis Medical Center. The physicians of Gastroenterology Associates, P.C. provide quality digestive health care procedures and services to those in need including colonoscopy, capsule endoscopy, endoscopy, and open access colonoscopy. The new state-of-the-art building houses the physicians, nurses, staff, and examination and treatment suites.

The other providers are Drs. Pratt, Davidson, Weyman, Huh and Aggarwal. To obtain further inquiries or to make an appointment with any of the physicians, please call 563-383-2686.

August 2012 — Quad Cities ­— Healthy Cells Magazine — Page 33

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Got Pain?

Are you looking for pain relief with your back and legs? Do you feel better sitting or leaning? Does your pain worsen as you stand or walk? Come learn about a non-surgical solution that John Dooley MD is performing. John Dooley M.D. of Mississippi Valley Pain Clinic is the only trained physician in Iowa to perform this procedure.

Please stop by for a complimentary nurse in-service every Wednesday from 10-11.

Call Today 563.344.1050 Quad Cities first full service Comprehensive Interventional Pain Management Clinic. Emotional/Behavioral Support, Massage Therapy, Medical Management. No Referrals Needed

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