September Bloomington Healthy Cells 2011

uns nM ssio axa pro stin ers Fam ing nal Ass ck P s an on ibr in S Sur Agi ord elin ana tion pri om na ess g Fre Dis ynd Irri ain ily dA gic ng Chr ers Me End Bio ate nd y g me End gem e ord Cou tab Tra al A lco rom dic oni nes fee Anx om nt a Add algia le B ers Neu dom T hol i nse o e a n ppr c e ana f G d n t i s e n i Bac iety Life nd bac t u o e o E Ab t ling i r g S opr S r c i n c v w o U Bio gem d i l t u h a osi eep Inte pat k M i n e use e k i n o l I c l u r d s i P i a f n a i e S s s q a eed de ain Irri nag hy Ima ent ten s an u s y P r t D u M o ven i e n r M e o i l ide A e e s sor dro tab ved s (E Ang bac n ess g e i dic d s g S E s m s e tion U d Im r u A n der ess le B ry Aca me F a k atio e Eva r do nre G l e T A i Dep c g n n r r o ) tte me ery s ma t ief ea ow Rel dem age hol f Li Sle lua sol nM Mig Eat res ntio nt a nag nd and el S axa ndr Psy Str fe I ep ved tion ry Ab i ng ic A ana rain sio Ten Add A e n n y s e D c om t C u C L s A s i c h d n m G F s S D na i h s o D s o g s u h a s nxi ea olo dro am ses urg e rief s Inte r n Tr efic s em e ord es r dem i D e i o i s s o c n o nd i o n n t n s e ily gic t nH sm me ion i ca rde ent i o d Te ain it D ty D and ers ic R rve c Add Anx r i age c C B a d e l Ap ead s r i o l S A n a e n i e n s n i s E L t c u r t i s s D g t g o s c r me s val kP Chr oss ion ses ord n a P i e ion a E t p e r o n i s a d s E c a p r o n e s d i a h u nt o mo ers ting sm res n oni ns e l a i D e a p H i A T n r F l n S M s t r e R s i g e gic a P ent tion ion urg g sio sor iate Me cR stin ela ada ana ing mil ain Di Fib al E na der egi ica dic and xat nes al F yC g Pai che Chr gem Biofee Syn rom nd val Em l Ap sorde ona atio s ion Rel oun Add ree s Ev nM Irri End Tes oni s dro dba Un ent Anx uat yal rs otio axa l Pa pro nM t T N ers d s t a alu c a i r S r o m e i c o g e c n ion a b e n Bac uic iety me Gu tion ling k m u nal i i tion in S s p e a l g a n atio e o r g B r o i T i ide iate lve Bow trio ng em kP iofe d I e p Fre s r ynd e c r T a ns M a i h d d Im rain ain ent thy Ass tab n n s M n e e e e yal i G d e r E s d d i d l i o q ss E ri ndo gra Pre Aca Gu Irri om S bac le B ess Alc ica Neu ing me age ues gia End Un ide tab i ne -Su val tion oho me dem ef and me Ang yndro Tec k ow ry rop res (EF of L d Im uat rge le B nt a and trio el S hni Att l Ab Sle me Rel Mig Ma olv erm Los T) ic A ath ctio ion ife r o q e y e n s a y a n e T u P A s y w r i n p n sse I u d g a x e s d a r a P se reIssu s nge dro tion A ns a es ( ery atio nag rita el S ns i Dis gem Inte ine syc Gri Add ssm Sur o EFT me o y ble rma e h nd e ef a n and cadem D n A r n r e s C o m i v ent d T g ctio nxi efic nt dro Hea h l e r ) o e Alc me e R e Bow n A a n r n i r n S g T r e o c i d a t t e s Dep yP ens a ni n tre it D t lax me i ca ns ten ni c ion oho dac Ass gem nt a ty D Los Add el S syc ss D l Ev ati g ion iso tion Reg res Eat ess hes Chr nd l Ab s iso ent icti ynd Anx hol Fam rde alu sio iso ing Hea me ion Inte rde sue oni Sur Defi on Tra Em use ons ogi rom a i n r r R e i n d s A t D a l d C r c s e g t o a i rve y t i s e F l g o c c y iso ach hro nin lax nd Reg ica tion and Pai Pai rs ibr Cou al E it D i ng n e Dis ntio rde atio l Ap g Anx nic es Em om n nS val iso al F ord nse Tes s rs n Add otio ional ynd yal Bac Dep nT pro rde Rel Eat uat iety ree End ting Mana ers ling Pai gia Agi Neu B a k ing p r r i n i g res d o i c o s x S o r o a F P e o t n n me iate atio uic Irri ng me l Fr ibr fee ion ain me mT rop sio Dis Sur Syn Chr Me ide om tab trio eed dba s n n n n e mil o a g e a t d c T d t E E r o a i ss E nd yal hni hy le B rom rain der Ass Gu Un c nd sis ndo Add i ca nd om nic ck Irr yC Neu gia Alc ide res que val tion s of L ess ow Anx Sui oun al App ing Bac e Tec me Sle icti oho itable rop olv d Im uat el S me Mig cid s (E i fe hni trio ep kP iety rop ons Ma seli Bio ed ath Bow ion l n R eA y I F A a ain D q r s A n A s t riat ela n ng a g a s fee t M u G i i a b and cad dro y ten s s sor ine Pre ues nd e sse e I g r u edi e r xat r i s ene A e r l dba s e y itab der (EF me em e me t Alc S s n f a I i S c s y n i o a g n a on u m s n t n nD erm d Te End ck T) nt ic A oho tion s s Ev rge erv l d d e e T S r S A n R U L B efic lee tre t an tte sse ent ry P nsi ana nre oss Mig alu l Ab of L ow Ma Eat Add Dep ome ss D pD ntio elaxat it D on ssm ion atio el S sol d In gem syc Chr nag rain ife i ng use Sur icti Anx Fam iso r H i Aca i ved i o n e h e y s s I n t o e s e D o n ea s o n n e e o o g D s n sue ada rde sio me r rde rve nt t an dro iso ns log i Tra iety dem ic R efic ily Gri nd Pai Agi na nt rs s rde che ntio rs ica inin me Cou cal Ap d Te egi ef a it D Ten Dis nM Chr Add ic A ng nd Dep l Ev rs s pro ona n g ns e Str iso ord nd stin sio oni ana sse Anx icti E a r R p e r e m l L n l l e e E c d u g i s s r s g P o o S ng Fam lax rs atin iety Bio iate Chr sm Hea otio sD ers atio Bac sio ain em urg ss ns Agi Irri atio ent Me iso na fee Chr Fib oni kP ent gD nes ily dac n nal Syn ng nt tab rde dic nd dba rom ain n Tr and cR Cou ical Ap oni iso s Ev hes Gu Fre dro le B atio End Anx rs egi U r P c c a R i y A n d p e T a d n k a m i B a e e d s d n e r lua ow ed in M res ona Neu lgia om ack nM lax elin opr iety stin e dic rs om i ng Mig Em Sui el S tion I olv Eva atio etr tion l Pa iate ana g ana Pai rop g Tec Sl ot cid rain Irri Bio ed ynd mage ios s lua n n Tr hni gem Aca ath nes s an gem eA tab Gri ry fee is Pre e tion ional F in Syn r M o q a y s a d I A s d E e e i r m l ent u ent dba ses nd Eva -Su nin em eB Un r n n G d f dro e A i ree e d g a t i u s l c S a Ten nd erm coh sm res ow ic A ide rge g Sle atio of L (EF lua ck tre me dom Att ent Add L el S olv d Im ep sio ol A ble Bo T) ss D tion ry P sse ana Rel ife nM ent Neu End ed nH Tec Dis and ssm oss we Chr icti axa Issu syc bus Mig iso gem s age ana yal Ang yndro ion Gri ord hni ead om rop l Sy o rd h o t A e e I e r r i n gia n g P n o n e o a e c s y m Defi s que ter em ers Anx etr rel e i a n t i a f n n a o c n r d e t a t a c d Pai T g m R e h h e n n ven ios Sur rom Str ent rain i ca e y s c a m e i d d a e g i n n s ( n t T t i i E L e ion l Ev ger d Te ion s cA t y age D M D e o F e i s i E n o A s s e T R D s i a a s t g I n s a sse pre ddi ) Dis ela s an alu yP rrit i ng Em iso ord ting Chr me nsi Sur Rel ssm syc xat ord rde ctio atio ssio abl otio l Pain on ers nt Irri dA oni gic Fam Dis Att axa hol Agi ion eB r e H S e t n n n a c lco s n a ent r y n o A P F s e e l C i s R a a b ndr ly C tion t an ogi ibr a rde ow ada Ap ng ntio nxi Tra hro l Fr egi nd hol and om pro el S cal om ety oun rs inin le Bow eed d Te in Ma Anx ona che nic Em nD Tra Ab Add yal End pri Inte Neu Eva ynd e nag Dis otio seli Bac use Rel om s g inin el S l Pa Bio stin iety ssu gia icti ate lua ord S o rom eficit D rve a e r n k T y f i n g o g u m x m e n es e g o n Pai al F Me pat i ci d atio edb c hn tion ns a Syn etr ers ntio ent ess e iso Pre n Irri dic ree hy Ang e i n a i o d E n q rde n c A Dep s T v r d t a u k End dom is Sur om s rain I a a t e F r G e s A b i U r l r s i o Eat e r u s u i b l le B nre res tab coh e ssm ger nM (EF atio ide Agi rom of L ing End Tec Sle Mig ing Neu Sur sio sol ow T) le B Rel yP ol A d Im ana Chr ng ent ns i fe yal hni om Aca na rain Dis Att gic v el S rop syc axa ow oni Is s u bus gem ep Dis Add gia and Cou age que nd etr Pre al A ent ord dem ed Gr h y a e e t c n t i o l e a e o i A i h r A nse s e I d B o S i rde ctio ers ppr nd ief s y nte Anx Sur n o y n n n ( y r s a i S S E n c o i g t T n x c s t u F l Ten and me rain rs kP iety erm Ass d D r ing r opr n g T i i e v c r ety s e e iofe ) s e o i I ain fici ry P de and rrit sD sio ess n m iate i a D L n t n E o e A e i g R t edb A iso on nH abl atin age ss me syc pre Fam ddi Me Dis ela Alc s nes Att rde Sur eB ead nt a ac hol xat ssio Anx me dic ctio ord gD Chr oho ent Un s Ev ily End sessm ow rs gic ogi atio ach nt ion Sle nd iso res ers oni na Cou ns ion iety Agi l Ab Fi ent Mig k alu el S al A of L Pai C c e T r olv e T n n c a d n e h p D a n s r u d a D l rain R s ers ain g Ma ynd ron nM tion ife ppr seli efic Dis n E s t e e i A i e s v d d A g n o n B a n i Issu i i g cad ea n I o n a r o G r E x i c o i l s n a t o d o u R n g r g i m p A r n g B t e d D m f e a e ief age nd er v riat d al P eed em ty ack otio em ers es rs tion lax iso Irri Sui and Ten ent me ent ene ic A ain Dep e Me rde atio tab bac Pai nal Add ci d Gu Str sio ion nt dic Los ss E rs Fib le B sse Syn Un n k n Tr res Fre eA ide ess icti nH E a A E r E r s s Chr v s o d e n t S o n e s a g a d i a i w s o N u r d m on my on dom dom inin Dis ting ead lua om olv ns Ima rgic eur el S of L oni Fam ent and ing alg Ma ord Sle tion Mig ed ach e Add g Aca Chr etr Dis opa ynd g cR a Tec i fe and ily nag ia Pai ep Gri ers Anx es rain ios egi s dem ord icti oni hni Is thy rom ery Cou l Appr nM Dis ef a Tes e i R o S s m o i e c e q e n e u o i n P r nse Ang e ord ues Bac cA ting ty ent and ana Em lax n s al P i p s r c d e r i a I i d s -Su rrit Str ling ers atio ate otio n k L ( ion e s gem A ain Irri e B T E o d e r P d e i F A m s s e rge abl ofe Rel ain Att Alc nes ns i dic T) s sm tab sse ss D n Tr nal Syn ana ent Chr Me eB axa edb on End ry P ent oho tion s Ev ssm le B ain Fam Fre iso dro gem Gu oni dic ow Hea ent an ion tion syc ack l Ab s alu of L ing ow rde edo ent ide Neu Un me atio ily cR Pai el S ent d A h d D a S e T r End u rs i d o n a T e a m t f e l l e nM r r s y e n ion e Is est c he log Mig xi e gio nd Syn ain fi Ima opa sol e n e Tec M c p d om i i ana ty D s sue Rel tD i ca Inte ved nal ing a s n r d r D g thy o hni n a g r e etr i A A m ia i a o l i s Pre axa ne ry s sor gem P cad iso ord nge gem Eva rve me Gri e Bi Em que ios Dep and -Su der tion rde ef a ntio ers em lua otio ain Sy rma ent is Str ent s (E Irri rge s rs res Gu ic A tion nd ndr Fib Tra ess n nal tab Rel nag FT ) Eat Irri Add Tensio r A s i nd d y L r s i i o g C D n o a o t i l s o e F P e n e m abl ing xat ess hro i ng na my iso ree ss d Im me syc Alc gD nH icti Att Bow e Sur Add eB nd Fam me alg ion rde End nic nt oho hol Chr ent ead iso age gic el S ow Neu dom T Anx nt a ia Anx icti rs Tra Reg ons ogi rde om ily ion oni l Ab ach al A ry el S ent ynd ech ons Pai inin n i r P C i c e S r e i c A e o D d o a s e r o t u u p t t B n p y e rios l Ev nal s efic y uns and nM r yD se Tes i n p E ndr g a a c a g o S i r m i c t n e q m R d o I u hy kP Bio alu r r iso d it D Pai i t u e a e o e p r s m e r om i Inte l e n l g n t i A r i A a sue t i a ng s (E ana iate age ery g rde fee atio ona nS abl lco iso sse Me in e rve Irri End s FT) ynd xation dba hol rs eB Fib gem rde Dep me Psy nes dic ssm n l Fr tab ntio Att ow Rel rom of L nt atio rs Ab rom c ho ck eed s Ev Tra res ent ent le B Gu n ent el S axa u Agi U S i i y log sio n o a f n e s Eat n l a i e a o l e m e d i Ma End ion uat nd res Neu ynd n l t n w e I e n g A i s i g T i p g cal o d i s e n n a e a n Sur olv Inte n Tr ues ion l Add D D g M o n I x c r r a m A S o h o i E m d i e C g D i e y s c e m gra niq pat val gi fici age s hro em ord ain ty D ndr Anx ade iso Pre etr rve dG ly C icti Dep e ua tD ues ine hy ent rde ios i ng ry nic ers Ang ntio o -Su Sui rief mic ons iso iety oun cal Ap I res iso is and rs (EF Bac rge cid rde Eat pro n erm me and Ass and rritab seli Str rde sio T A e r k r T i l e ) p y n s n g e n A e a e r L P ss D Alc riat fee gD ssm s in Rel Psy nag nsi Add and sse oss Bow ain Fam Fib Sur Att oho End Chr dba g on Me iso axa ene cho ssm iso Chr ent em rom icti gic Anx g el S ily ent rde Hea dic oni rde Anx l Ab tion ck ss E of L ent log oni ent ons and al A Cou Add yal ynd iety ion Un atio r c r Mig d s i c v u i i s S c R T e a S P f gi p a a T r s B u a e ns e rom rain ty D nd egi lee icti ain Defi che eso p e e lua nM l i a rain I c s r E s c o i t s pD val kP de Inte ona ons ling ing tion M s lve p i e u i c a n Aca s r i e ea E n o a g t i a u A R Me iso s a m dG B n rde age l rve Dis i a a e E s s t n P i a nd dem n s t o e l o n D a a g r ion dic ess d nes tion fee rief do der rs ntio ord in S xat me em epr Ten Add Irri atio Agi ic A me f Li dba s Ev s ion nt ent ers and al F ess ynd Gu n Fib Un sio Eat tab nt a ng icti Str fe I sse nM Sle ide ck alu ion Tra ree res nH rom rom ing Los le B ess nic ons ssu s E n e a N d a s i o d n p a d e n n m t e s y D l I o e S n o d ada ion ing Reg ved es age Dis ma Dis uro alg Chr urg mT ent Fam iso dA we om Add Mig s ger ord ord che ia Sui me rde ion pat l Sy Gri ech nxi oni etr ica and Aca ily rain icti y c ers e n s al P l i e r h n otio e c P n o Rel i C r s A P t f d d y t d T s a B i s o oun y reand ppr que em eA est ea ro is in M ack ns a ain Ang axa nal Str Sur Irri sse ic A ing opr seli s (E Los Syn Pai ess nd ana tion erm me Fre Add nd Ten Irri ger tab ssm sse Me Fam ng iate FT) Rel n Bio s Sur Alc dro Dis End gem e tab ana Tra yP Att le B sio i s dic e c a n o f s ily ord n t e me x m le B Neu dom T h e s i inin ent nH of L gem t an edb e a a o C o y s o e G Cou n t t n s h w c l ers i i n t h u o s on ech ow ron Eva ion Ab ead P e rop g i t S d a o i n f U e l a d ios l a e A n c l e I S n i T M n e o u ed nd k nt nM ic niq se lu nx Iss ep De yn ac ra at t lS re g se is a

September 2011 FREE BLOOMINGTON/NORMAL

Promoting

Healthier Living

in Your Community

TM • Physical

A Z I N E www.healthycellsmagazine.com • Emotional

M A G

• Nutritional

20

pg.

page 14

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area

Creatine Craze

Soccer Stars and Super Athletes

An Umbrella of Services to Help You Weather Life’s Storms

De-Tox Your Body

HealthyCells

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BLOOMINGTON | NORMAL | PONTIAC | DECATUR | LIBERTYVILLE | DES PLAINS | CHICAGO | BARCELONA

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 3

SEPTEMBER 6

Nutritional: The Sunshine Vitamin

8

Physical: Progress in Concussion Management

Volume 6, Issue 9

Psychology Specialists

An Umbrella of Services to Help You Weather Life’s Storms page 20

10

Emotional: How to Choose a Divorce Attorney That Fits Your Needs

14

Toxin Exposure: De-Tox Your Body

16

Soccer Stars and Super Athletes: Keep Them on Their Feet For a Great Season!

18

Medical Technology: Robotic Surgery

19

Understanding Addiction: Can't They Just STOP?

24

Cancer Prevention: Should You Use Direct-to-Consumer Genetic Testing?

26

Headache Treatment: Headache After Anesthesia

27

Pregnancy & Childbirth: The Benefits of a Labor Doula

28

Healthy Skin: Wash Your Face with…What?

30

Nutritional Supplements: Creatine Craze

32

Gynecologic Cancer: Are You at Risk for Breast or Ovarian Cancer?

34

This Month’s Cover Story:

2011

Feature story photos by élan Photography

What It Takes: Audiologist Education and Training

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@gmail.com Healthy Cells Magazine and Pastelle Magazine are both a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area.

Childhood Disorders: Does My Child Have ADHD/ADD?

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.

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Body Contouring: You've Lost the Weight, What's Next?

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Women's Health: The Benefits of Carrying Your Baby Full-Term

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

Cheryl Eash

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 5

nutritional

The Sunshine Vitamin

By Mary Kay Holloway RD, CSO, LDN, Community Cancer Center

N

utrition research can be like a jigsaw puzzle. We see certain pieces or groupings that seem to fit together but they don’t make up the whole picture. It can be hard to know just where in the picture they fit or if they even belong in the same picture. This can easily be said of a vitamin that is getting a lot of notoriety these days, Vitamin D, aka the Sunshine Vitamin. Recent studies show how vital D is to the body. It aids in bone health, has been linked to protecting against certain cancers such as colon cancer, prevents rickets, and helps the immune system to name only a few.

We know how vital it is to us, but how much and from what sources is the best?

There are three basic ways to get D into your life: diet, sun, and supplementation. When it comes to diet, D is a fat-soluble vitamin that is naturally present in very few foods and added to others. Good food sources include wild caught cold water fatty fish, fortified milk, and some fortified foods. However many people do not eat these foods Page 6 — Healthy Cells Magazine — Bloomington ­— September 2011

and most of the foods we do eat do not contain much D, so to get 600 to 1,000 IU from food each day would be hard to get. Therefore it is important to find other ways to meet your body’s need.

Vitamin D is called the Sunshine Vitamin because it is created in our body when our skin is exposed to sunlight. According to

the National Institute of Health Office of Dietary Supplements Vitamin D fact sheet, the season, geographic latitude, time of day, cloud cover, skin melanin content and sunscreen are among the factors that affect UV radiation exposure and D synthesis. It goes on to say that despite the importance of the sun to D synthesis, it is prudent to limit exposure

of skin to sunlight. UV radiation is a carcinogen responsible for most of the estimated 1.5 million skin cancer and the 8,000 deaths due to metastatic melanoma that occur annually in the United States.

Lifetime cumulative UV damage to skin is also largely responsible for some age-associated dryness and other cosmetic changes. It is not known whether a desirable level of regular sun exposure exists that imposes no (or minimal) risk of skin cancer. However 5-10 minutes a day in the sun may be all your body needs for adequate D. But what do we do in the winter?

Dietary supplements of D is the third way and are available in two forms, D2 (ergocalciferol) and D3 (cholecalciferol). D3 may be more effective in raising our blood level and maintaining those levels than D2, however D2 is used when rapid repletion is needed. Many of the supplements available on the store shelves contain D3. The most important part of this article is this question, “Do you know what your blood level of D is?” It is important that we know what our blood level of D is before we begin to guess at the supplement amount that is right for us.

Research is showing that many people are deficient or depleted of D. Ask your doctor to run a blood test to see where your D level is.

You can go to www.vitamindhealth.org or www.vitamindcouncil.org for more information on responsible sun exposure and supplement use to keep your blood levels of D in a good range while we let the scientists continue to put the rest of the puzzle pieces in place.

For more information, you may contact the Community Cancer Center at 309-451-8500, www.cancercenter.org.

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 7

physical

Progress in

Concussion Management

By Edward W. Pegg MD

O

ne can hardly mention football nowadays without thinking of concussion. It is the most commonly discussed sports injury.

The last ten years of closed head injury research in athletes has produced a wealth of knowledge regarding concussion injury.

We now know that most concussions do not result in a loss of consciousness. Prior medical definition of concussion was "a blow to the head with transient loss of consciousness." As a result, most concussions were going unrecognized and untreated. Some athletes developed a second head injury before the first resolved. In some cases, this produced bleeding and severe swelling in the brain Page 8 — Healthy Cells Magazine — Bloomington ­— September 2011

resulting in death or long-term neurological damage. This is known as second impact syndrome. In most cases, these athletes were misdiagnosed as heat stroke victims in the emergency room.

The CDC now fears that there are 3.9 million concussions a year.

This is up from 300,000, which they quoted five years ago. It is thought that one in five high school football players has a concussion each year. Thankfully, medical management is now catching up with medical knowledge. I discussed this with Bill Brady, our state senator, several years ago. He and I sat and discussed concussion and its management with our new diagnostic aids. After our meeting, he

For more information on any neurological issue, you may contact Dr. Pegg at 309-661-7344.

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then co-sponsored an amendment, Protecting Our Student Athletes Act, which was signed into law on July 28th, 2011. This law states that the park districts and schools must provide educational materials that describe concussion and its complications. In addition, this act requires schools obtain a contract signed by the student and/or parent before the student can participate in interscholastic sports.

These materials set down clear guidelines regarding what warrants the diagnosis of concussion. They also clearly state that any student who is diagnosed with a concussion is not allowed to go back to play that same day. It also recommends the student be examined and cleared by a healthcare provider with special training and a knowledge of concussion before returning to play. The health evaluation includes a history and physical, which can include more sophisticated balance testing and neuropsychological testing (computerized test).

Most concussions resolve in about seven to ten days. However, not everyone is the same, and neither are their concussions. The younger an athlete is, the slower the recovery. Females and athletes with migraines may also take longer to recover. It is also known that a rotational type of injury versus linear (straight-on) injury may also result in more severe brain injury. Because concussions do not cause structural damage, MRIs, CAT scans, and EEGs are of no benefit. Instead, concussions cause functional damage. It would be similar to a computer that is not working. If you dropped it, it may not work because of broken parts (structural damage) versus not working because it "locked up" (functional problem). In most concussions, we just have to restrict activity while the brain heals itself and then "reboots."

I have witnessed the remarkable change in the public's knowledge in the last four years. While testing a student four years ago, the neuropsychological testing was a new enough test that the mother questioned, "What is this, a gimmick?" Now, it is quite common for our office to get calls from parents wanting to get this same neuropsychological baseline testing on their sons or daughters before starting contact sports.

Most of us have seen articles in the news or on ESPN about the serious complications of concussion such as dementia, Alzheimer’s or death. Because of this, the pendulum seems to have swung too far toward unreasonable fear and aversion of contact sports.

Some parents want to pull their children from sports all together.

A few college football players have given up the sport they love, because they fear they will end up like one of the young NFL retirees with Alzheimer’s disease. Alzheimer’s disease or chronic traumatic encephalopathy (CTE) in athletes is now a known complication of frequent recurrent head injuries. Professional football players, like the boxers before them, have probably suffered too many head injuries throughout their years in sports.

Some parents have heard that players who have sustained three concussions are more likely to sustain another. Some researchers have implied that this is a change in the brain that allows subsequent concussions to happen more easily. However, this is only a hypothesis (educated guess) on their part. There is no set number of concussions or frequency of concussions that we can set as a cutoff at this time. We have to consider each athlete individually and take into account their playing techniques along with concussion frequency and number as well as recovery period.

New testing techniques along with clear guidelines and improved treatment, has allowed us to be much more accurate at determining concussion and allowing athletes to return to play only when it is safe to do so.

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emotional

How to Choose a Divorce Attorney that Fits Your Needs

By Amy McFarland, Bloomington Legal Services

E

nding a marriage is always a stressful experience. Whether you and your spouse have been in conflict for quite some time or your spouse has shocked you by asking for a divorce, you will need an attorney that you feel comfortable with and who will support your objectives for the resolution of the case. Finding the right attorney is a crucial decision that you do not want to rush into. You will be spending many hours working with your attorney and often times paying quite a bit of money for their experience and guidance in a process that is time consuming as well as emotionally draining. The right lawyer will help Page 10 — Healthy Cells Magazine — Bloomington ­— September 2011

guide you through the legal system which does not always make sense and can cause much frustration. But where to start?

First, you may want to consider interviewing more than one attorney.

You may want to talk to friends and family who know of local attorneys, but don’t choose based solely on what other people say because every case is different and your case may not turn out the way your coworker’s did just because you use the same attorney. Remember that one size does not fit all.

C e l e b r a t i n g 3 0 Ye a r s Here are some things to consider: • You want someone that is knowledgeable and experienced in family law. There are many issues such as child custody issues, the distribution of property and maintenance that your attorney must be familiar with. Don’t be afraid to ask for their credentials and number of years they have practiced family law.

• You want someone that you can trust and that you feel comfortable talking to. Your attorney should be forthright and honest in telling you your options along with the pros and cons of various strategies.

Obviously, he/she will not know all the answers to your particular case in the initial meeting, but they should be willing to answer all of your questions and should not make you feel foolish for asking questions.

Don’t walk away feeling intimidated if you don’t understand something they have said. Family law attorneys do this every day and can sometimes forget that this is a brand new experience for the person they are meeting.

• If children are at issue, a good attorney should discuss how you can put the needs of children first while still protecting yourself. Be wary of someone that does not seem concerned with decisions involving children. Illinois law requires the parties to participate in mediation if they cannot come to an agreement on child related issues, so be sure your attorney is knowledgeable and explains that process as well.

• Ask how he/she will charge for their services. Illinois law requires that family law attorneys have a representation agreement that outlines all the terms of the attorney-client relationship including hourly rate and how payments are to be made. Remember, the most expensive lawyer is not necessarily the best and the least expensive attorney is not always the most efficient so don’t let a higher fee stop you from hiring someone that you feel will be best for you.

• Ask your attorney about their perspective on alternative dispute resolutions like mediation for both child issues and financial disputes. Often times mediation can save money for both parties without the drawn out divorce process. If they are supportive of alternative dispute resolution find out whether they will prepare you for the process or leave you to navigate the process yourself. If you don’t think alternative dispute resolution is an option in your case, find out how the attorney approaches the litigation process and how they will communicate with you about the process. Attorneys can have vastly different approaches to litigation and it is important to know what to expect.

• Determine if the attorney was genuine and seemed to care about your situation and listened to what you were saying or if he/she was more concerned with getting your credit card and walking you through the payment process. This can be a red flag that your fees are going to skyrocket before you even get the case going. This is not to say that a divorce case is inexpensive at any point, but the attorney should give you a good estimate of what to expect and how far your initial retainer should go in the process.

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Ultimately, it is important to always remember that you are the client and you are hiring an attorney to perform a service. The attorney works for you; not the other way around. He/she is accountable to you for the work they perform and the manner in which they treat you. It is your life and your family that is impacted by the decisions being made in your case, so it is important that you trust the advice you are given and feel that your attorney is working for you and your best interests.

For more information, you may contact Amy McFarland at 309-8278900, online at www.bloomingtonlegal.com, or visit their office at 716 E. Empire St., Suite C in Bloomington. Bloomington Legal represents clients throughout Central Illinois and specializes in mediation and divorce, family law, adoption, real estate and estate planning.

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 11

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Farmers have a higher incidence of hearing loss than their urban counterparts. — FACT 15% of farmers’ children show a mild hearing loss by high school. — FACT WHAT CAN BE DONE? See an audiologist for testing, consultation, fitting of appropriate earplugs and advice, should a hearing aid be needed.

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toxin exposure

De-Tox Your Body

By Dr. Tom Rohde, Renew Total Body Wellness Center

W

e live in a toxic world and the levels of toxins that our bodies are exposed to is increasing with each generation. The problem is that our toxin exposure literally begins with conception because the mother’s level of toxins determines the infant’s start on a healthy life. Studies have shown that cigarette smoking chemicals are detectable in the newborn's hair – incorporated into the very fabric of our lives! Breastfeeding is the best start for proper intestinal and immune health, yet studies have shown that breast milk may contain any of the toxins harbored in the mother’s body. What to do? Detox before pregnancy!

What are toxins?

They are any chemical that is known to have harmful effects on the body. They can come from water, from chemicals used to grow or prepare food, and even from the air that we breathe. Our bodies process toxins through organs like the liver and kidneys and try to eliminate them in the form of sweat, urine, and feces.

Air toxins can come from vehicle and factory emissions as well as other sources such as the notable cigarette. Inhaled tobacco products contain a number of highly toxic ingredients like pesticide residues, arsenic and heavy metals like mercury and lead. Second hand smoke can be equally damaging to spouses and children living in the same home. Fortunately in the state of Illinois we now have laws regulating smoking in public locations!

Drinking water may contain toxins such as chlorine, fluoride, ammonia, and even over-the-counter and prescription medications. Heavy metals like mercury, chromium and lead can be found in water depending on the source and the pipes used for distribution. Spring, mineral and artisan bottled waters have become all the rage, although some of these can also be high in metals as they pick them up leaching through the very rocks surrounding their sources.

Page 14 — Healthy Cells Magazine — Bloomington ­— September 2011

Food toxins can refer to food additives, genetically modified foods, and even chemical ingredients such as food dyes and chemical flavorings (MSG and aspartame). Our modern day American diet is actually toxic because of the high intake of processed foods like white flour and sugar. Sugar is probably one of the biggest toxins we are addicted to – in the quantities we consume, it overwhelms the liver’s ability to metabolize it and leads to excess fat storage and production of bad LDL cholesterol.

Chemicals are around us in many forms. Household cleaners, lawn spray, and pesticides and herbicides applied to fruits and vegetables. Choose organic produce when possible. High pesticide produce items include peaches, strawberries, apples, nectarines, bell peppers, celery, cherries, lettuce, imported grapes and pears.

Always use an organic veggie wash prior to consuming these!

Heavy metals like mercury in the foods we eat are becoming a greater problem. High levels of mercury in the body can cause neurologic symptoms by literally poisoning the neurons and axons that compose our brain and nervous systems. We are told to eat fish, as the essential fatty acids (EFA) are healthy. Yet farm raised fish are often fed food grains that contain mercury from the soils in which they were grown and the pesticides applied to them.

The fish concentrate the mercury and then it ends up in our body.

Fresh ocean caught fish are safer when eaten in moderation. If you want the benefits of EFA’s then I suggest a safe distilled form of fish oil in capsules which has had the heavy metals removed!

Our body is amazing. It has many detoxification mechanisms in place in the liver, kidneys, skin and lungs. Unfortunately, the shear load of daily toxins is often a problem, especially for those who work in “dirty” jobs with heavy toxin exposures. Our natural detoxification mechanisms often cannot keep up. Therefore, active detoxification becomes a must!

Fasting with a very low calorie diet or a liquid diet is a place to start. Add plenty of fresh reverse osmosis water (which removes the majority of water toxins) starting with half your weight in ounces. Increasing fiber intake from organic fruits and vegetables increases the absorptive power of fiber in the intestine and allows toxins to be bound and carried out of our body in the stool.

Chlorella from algae also helps bind toxins and carry them from the body.

Adding supplements to amplify the liver detoxification pathways like a solid multivitamin and mineral along with the mushroom extract milk thistle or silymarin are helpful. Similarly extra vitamin C supports our kidney’s detoxification work. There are many other supplements to discuss that range from essential to beneficial depending on personal needs and testing results.

If your doctor says that your hysterectomy has to look like this....

Utilize your largest detox organ – your skin. Infrared sauna provides a high-sweat environment meant to speed up detox. Finally, consider testing for heavy metals and toxins. A urine challenge test with chelating medication can provide surprising results that may spur you toward a less toxic existence!

Dr. Rohde is a board certified Family Physician who incorporates an alternative model of health care in a traditional medical setting. The focus of Renew Total Body Wellness Center is to help people identify what is amiss in their body and preventing their optimal function by using advanced testing modalities. For more information and to start educating yourself, consult his website www.DrRohde.com. You may call 217-864-2700 to schedule a personal evaluation.

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www.obgyncare.com September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 15

soccer stars and super athletes

Keep Them on Their Feet For a Great Season!

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

W

ith our students heading back to school, I wanted to highlight a popular sport here in Central Illinois – soccer!

Many times even our youngest athletes can be susceptible to injury – especially foot injuries – while playing soccer and other high impact sports. Below are some common foot injuries and some tips that can help those injuries be easily avoided by our soccer superstars!

Ankle Sprain/Strain – any type of running sport leaves us vulnerable for an ankle sprain. With soccer, it’s important that an athlete’s cleats are measured frequently for size and are laced properly and tightly to give further support to those growing ankle ligaments! Sometimes even a soft brace can be worn with the cleats for further support. If an injury does occur, immediately perform RICE therapy (Rest, Ice, Compress, Elevate) and see a medical professional right away.

Turf Toe/Hematoma – Anytime the cleat meets a soccer ball, you can risk an injury to your toes and toenails. Most of the time, this manifests as either turf toe, which is a hyperextension of the toe from the blunt trauma to it; or a hematoma, which is a collection of

blood and fluid under the toenail. Both of these problems require icing and attention from a podiatrist to prevent further issues.

Fractures – Broken bones are a part of sports. But the risks can be minimized. If cleats are well fitted and athletes are diligent about proper techniques, this common problem with soccer injuries can be avoided. Swelling, pain on the top of the foot, bruising, and an inability to bear weight on the foot are all common symptoms of a break. This obviously requires quick attention to immobilize the area and possible procedures to prevent further injuries may be needed.

With care and consideration, soccer players can easily have a great season! Just be sure to get fitted for new cleats either every school year OR every six months, depending on how frequently your student is playing their favorite sport! Hope to see them in the World Cup! If you or your child has a foot or ankle injury due to soccer or another fall sport, please feel free to contact Dr. Lockwood at 309-661-9975 or www.heartlandfootandankle.com.

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

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

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

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September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 17

medical technology

Robotic Surgery

By Dele Ogunleye, MD, Advocate Medical Group

M

ajor technological advancements in the field of medicine do not happen every day; and many of these advancements change patient care in only one particular field. For example, the introduction of in-vitro fertilization in the 1970s changed the management of infertility and allowed infertile couples to conceive. But advancements that affect health care across the board are rare.

There have been a lot of innovations in the operating room over the last three decades, but only robotic surgery has affected several fields of medicine. Robotic surgery is better described as robotic-assisted surgery, because robots don’t perform the surgery but are under the control of a surgeon who uses computer-operated robotic arms to carry out precise actions under high definition magnification.

Robots were introduced in surgery in the early 1980s, through the efforts of the Stanford Research Institute and NASA. Initially, they were used in neurosurgery and urology. These early robots were designed to function independently, but this later evolved to the surgeon becoming more central in the performance of robotic surgery.

Research was directed toward allowing military surgeons to perform battlefield surgery remotely. It soon became clear that the technology could be used in a broader application in a wide range of minimally invasive surgery in civilian operating rooms. The first widely documented robotic surgery was a reconnection of the fallopian tubes in 1997. The first robotically assisted heart bypass surgery in the United States was completed at Ohio State University in 1999. Since then, robotic-assisted surgery has been introduced and successfully performed in fields ranging from urology to gynecology, general surgery, pediatric surgery, neurosurgery, orthopedics and cancer treatment.

Intuitive Healthcare’s da Vinci® Surgical System is the leading robotic system in the US. Since it was first approved by the FDA in 2000, robotic prostatectomies (removal of prostate) have slowly become a standard approach for the procedure, and by some estimates was used to perform up to half of all radical prostatectomies in 2008. It was also approved for use in gynecological surgery in 2005 by the FDA and has slowly become a more widely offered option for hysterectomies, cancer surgery, and removal of fibroids. Cardiac surgeries have also been widely performed with robotic surgery.

What is the fuss all about?

Robotic surgery is performed with three or four half-inch incisions through which the robotic arms access the patient. The surgeon, who is seated in the operating room at a computer console, controls these arms and can use them to perform the surgery with magnification and high definition visualization. The patient’s entire abdominal cavity can be visualized in 3-D. Like open surgery, the surgeon can cut, stitch Page 18 — Healthy Cells Magazine — Bloomington ­— September 2011

and tie using the fine motor skills of the robotic arms. Magnification helps the surgeon see small arteries and blood vessels with such clarity that bleeding during surgery is more controlled. On each of the arms, attached robotic instruments rotate much like human hands, but with a greater range of motion.

Even though non-invasive treatment options should always be explored first, gynecological surgery sometimes becomes necessary.

According to the U.S. Department of Health and Human Services (www.womenshealth.gov), hysterectomy is the most common female surgery. Nationwide, about two-thirds are still performed as an open procedure, with a 4-6 inch incision on the patient’s abdomen. This means post-operative pain is greater and recovery time is longer than robotically-assisted hysterectomies. The recovery time for an open hysterectomy is about 6-8 weeks; however, with robotic surgery the recovery time is only about 2-4 weeks. Some of the reasons women undergo open hysterectomy include: •p revious abdominal surgery, like cesarean sections, which may have caused scarring • previous endometriosis •a history of fibroids.

Robotic-assisted surgery is also effective for the removal of fibroids and repair of weakness in the pelvic floor. Recovery from roboticassisted cancer surgery has been noted to be much quicker than conventional open surgery as well.

Although every surgery has risks and complications, some risks are reduced with robotic-assisted surgery, such as infection and poor wound healing. Major bleeding is also reduced, especially in surgeries like hysterectomies and prostatectomies. Due to early recovery and ambulation, the risk of post-operative blood clots is reduced significantly.

It has been over ten years since robotic surgery was first introduced into operating rooms in the United States. Outcomes continue to demonstrate the advantages of robotic-assisted surgery. While it won’t completely replace open surgery, robotic surgery is here to stay, and for many patients it will be an excellent option.

Dr. Dele Ogunleye is an OB/GYN with Advocate Medical Group and is trained in robotic-assisted surgery. Locally, the da Vinci robotic surgical system is available at Advocate BroMenn Medical Center in Normal. For an appointment with Dr. Ogunleye, call 309-268-3200; for more information on da Vinci surgery at BroMenn, visit www.advocatehealth.com/bromenn/davinci.

understanding addiction

Can’t They Just STOP?

By Trey Polesky, MSW, LSW

A

ddiction is a chronic disorder that progressively worsens over time if left untreated. It is a disorder that affects millions of Americans from all walks of life.

According to the National Institute for Health, 17.6 million Americans abuse or are dependent on alcohol and another 12.8 million use illicit drugs on a regular basis.

The process of becoming addicted can occur gradually. Many individuals begin with occasional experimentation and progress to more frequent use over time or switch to harder drugs. It is not until the later stages of the disorder that individuals actually “lose control” and find themselves needing to drink or use despite the consequences.

Symptoms Signs that a person is addicted or may be becoming addicted include: developing a tolerance to the substance; continued use despite negative consequences at home, work, school, or to one’s health; substance use in situations that are physically hazardous (i.e. while driving, operating machinery); legal problems; using or drinking larger amounts than what was originally intended; persistent desire or unsuccessful attempts to cut down or stop use; significant amounts of time are spent thinking about, obtaining, and recovering from the substance; social, occupational, or recreational activities given up or reduced because of use; withdrawal symptoms.

Why Can’t They Just Stop?

So why can’t the person struggling with addiction just stop drinking or using drugs?

Contrary to popular belief, addiction is not about willpower.

In fact, when clean and sober, individuals with a history of addiction are often some of the most ambitious, hard working people you’ll meet.

Stopping substance use is often very difficult because it changes the way the addicted person’s brain functions. Continued use of alcohol and/or drugs literally changes one’s brain chemistry so that cravings trigger a signal so powerful it is equivalent to the signal the brain sends when one is starving! To the addicted person, a drink or drug can feel as indispensable to their survival as food or water. This is what drives the addicted person’s seemingly irrational behavior. It is important to keep in mind a person in their “active addiction” cannot respond to their loved ones or the world around them in a rational state no matter how much they may believe they are. Denial, minimization, justification, and blaming others for the use of substances make it extremely difficult for the addicted person to see their behavior or the potential consequences of their behavior clearly. These distortions are “red flags” for addiction and must be addressed to prevent continued use or relapse.

Treatment Options If you or someone you care about is struggling with substance use, it is critical to reach out for help. Continuing to deny or avoid a problem with substance use only prolongs the pain. Substance use disorders can be treated and positive changes are very possible. Help is available from a number of resources locally including: joining a recovery based support group such as AA, NA, or Al-Anon; working with a therapist who specializes in treating substance abuse and addictive disorders; or seeking out an addiction treatment center.

For further information on help with addiction or treatment options, contact addictions specialist Trey Polesky, MSW, LSW at 309-468-4200, Email treypolesky@gmail.com or via his website at www.treypolesky.com. Trey is in practice with Julia Pascoe, LCSW and he specializes in treating addictive disorders, mental health issues, and LGBTQ identified individuals. He also offers online therapy options using Skype.

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 19

feature story

Psychology Specialists An Umbrella of Services to Help You Weather Life’s Storms

By Becky Wiese

A team of Psychology Specialists providers assess new cases, and determine who is best suited to treat each patient.

U

mbrella. In concrete terms, it’s a simple device that provides protection from a variety of elements. Webster’s more abstract definition simply states that an umbrella is something that covers a broad range of issues. Thus, the word “umbrella” explains perfectly what Psychology Specialists offers to the people who seek their help.

Since its opening in 2002, Psychology Specialists has expanded their services to include a variety of health psychology therapies.

More than 30 providers throughout several Central Illinois cities work with patients in all stages of life, from young children to elderly persons in nursing homes. Patients at Psychology Specialists are treated by professionals who have received specific training for the particular issue they face.

In addition, the licensed psychologists, clinical professional counselors, clinical social workers, and other professional staff collaborate as needed with physicians, specialists, judges, lawyers, teachers, parents, and children in order to help patients make good choices for themselves and for those around them.

Patients are often referred by hospitals or physicians when they need help dealing with the psychological effects of physical issues.

Page 20 — Healthy Cells Magazine — Bloomington ­— September 2011

The Psychology Specialists professionals and staff recognize the integration and interconnectedness of how the physical, mental, and emotional elements work together to affect the entire person.

Simply put, the person can’t get better if the root problem and this interconnectedness are not addressed. At times, the issues that affect one person will have a peripheral effect on those who live, work, or interact with the individual, so others may need support as well.

That’s exactly what the providers and staff at Psychology Specialists offer.

After a complete assessment, which may include a psychological evaluation, testing, medical information, and lifestyle facts (nutrition, sleep habits, exercise, etc.), a new patient at Psychology Specialists would receive an individualized treatment plan.

“It’s so much more than telling patients to ‘just relax,’” says Dr. Mike Kahwaji, a licensed clinical psychologist on staff. “And it’s not giving advice for patients to try. It’s a treatment-based approach to help patients better manage their life.”

Psychology Specialists offers a broad range of treatment options within their umbrella of services. These options help

Counseling approaches vary within the practice. For example, a treatment plan may involve Marriage Counseling guided by a pair of providers. patients weather the storms in their lives, as well as teach them how to handle future issues they may face. Below, several patients share their stories and the types of strategies they use to prevail.

Child and Family Wellness Institute and Neuropsychological Testing The Child and Family Wellness Institute (CFWI), a specialized service under the Psychology Specialists umbrella, provides testing and treatment for a variety of issues specific to families and children. One mother, Julie, contacted CFWI to have her highschool daughter, Rachel, tested. “We always knew Rachel was unique, but we never knew why.” Rachel underwent six hours of neuropsychological testing which included reading, memorization, math, picture completion, and other diagnostic tools. The test results showed that Rachel has Asperger’s syndrome, a highfunctioning form of autism.

The diagnosis has not only helped explain why Rachel struggled with some things (“She didn’t have a filter,” says Julie. “Whatever she thought, she’d say, whether it was appropriate or not.”), but it has also helped Rachel choose a path for her future in terms of her education and career. Having a documented diagnosis of Asperger’s and the support of the professionals at CFWI enabled Julie and Rachel to confidently advocate for accommodations she might need to help her perform her best at school.

Rachel has also benefitted from a social interaction class offered

by CFWI that teaches social and relationship skills. Through roleplaying and other techniques, she’s learned to filter her thoughts (what’s appropriate to say, when), how to appropriately handle teasing or bullying, how to read nonverbal communication, and the importance of looking in someone’s eyes during a conversation.

“I’m much more confident now,” says Rachel.

Let’s Talk Therapy Psychotherapy may seem like an intimidating term, but it is all about cultivating a relationship. It is personal counseling that strives to improve your sense of well-being. A patient’s perspective provides a good example: Mary* began seeing one of the licensed psychologists on staff at Psychology Specialists on a regular basis after experiencing a very difficult year in 2005. “There were a lot of major issues our family faced,” she says, including surgery, a cancer diagnosis, and relationship struggles. The stress of that year compounded. She began to have physical problems which lead to fatigue and eventually depression.

Predominantly using talk therapy, her psychologist has taught her many skills to help her cope. Often misunderstood, talk therapy is not just sitting in a chair talking about your problems while someone listens. Instead, the psychologist teaches specific techniques

and skills to their patients so they are able to deal with issues.

These include reframing, creative thinking, setting boundaries in relationships, advocating for herself, being proactive regarding medical issues, and understanding that rest is good and necessary for health. Mary also journals so that she can write down concerns about various things and then leave them until she can discuss them with her psychologist. This alleviates worry, and prevents her from dwelling on the problem.

“It’s been helpful to get another person’s opinion about whether I’m looking at this [issue] in a healthy way.” Unlike a good friend or even a close family member, however, her therapist is a professional trained in guiding patients to make good decisions. “It helps that he’s not emotionally involved in the situation,” Mary says.

“He’s also open and direct with me—a family member may not be as direct, even if that’s what I need to hear.”

Mary has appreciated the emotional encouragement, as well as the fact that her psychologist is easily accessible. After her regular visits, she says she has a post-appointment “high” and feels like she can tackle anything life throws her way.

Reframing for Positive Changes in Outlook and Brain Chemistry When we are faced with an unanticipated and unwanted change of events, our reaction is often negative. These negative emotions can bring us down, and, over time, alter our brain chemistry resulting in clinical depression. If we change our frame of reference by looking at the same set of circumstances with a positive point of view, we can change our psychological and physiological response. Reframing can alleviate clinical depression, or even prevent it from developing.

Dan’s occupation was highly physical—pain was just “part of the job.” Severe pain has altered his life drastically—he had to give up running his own business and is no longer able to work because the pain prevents him from sitting, standing, or walking for any considerable length of time. “The pain pulled my life apart,” he says.

Dan started seeing one of the specialists at Psychology Specialists in order to regain his focus on life so that he could manage his pain, instead of having his pain manage him. In addition to having both a spinal cord stimulator and a pain patch with medication to lessen the pain, Dan uses methods like reframing to cope with pain.

For Dan, reframing involves concentrating on positive things instead of negative things in life and moving forward by focusing on what he has rather than what he lacks. This technique works for both physical and emotional issues. One example of how reframing works for Dan is to focus on his young son’s smile and laughter instead of on his back pain. “Even when he’s crying, I can focus on positive aspects about him,” he explains. “He’s growing, so crying is a part of the process.”

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 21

feature story

continued

Dr. Erica Thomas conducts a biofeedback session Pain Management Through Biofeedback When the pain is overwhelming, another strategy Dan uses is biofeedback. In simple terms, biofeedback is the process of becoming aware of what’s going on in your body (initially by using instruments that give information about different physical aspects such as heart rate and breathing) so that you can manipulate them to get to a better physical and mental state. Dan tries to get comfortable, calms down, slows down the pace so his mind doesn’t race. He’ll sometimes visualize himself at a beach with water gently rolling in. “I don’t want to sound corny,” he says, “but it’s a positive way to help me not dwell on the physical pain.”

Aaron is another patient who shared how his biofeedback training at Psychology Specialists helped him.

Aaron decided he didn’t want to be on pain medication every hour of every day for the rest of his life. He has a rare, incurable, and degenerative brain disorder that causes him to be in pain all the time. “I had no idea that ‘pain specialists’ even existed,” he says. He learned biofeedback methods that helped him manage his pain and was able to stop taking medication on a regular basis after six weeks. Though he will never be completely pain free, and he still uses prescription medication when the pain becomes unbearable, Aaron says biofeedback has helped him more than anything else.

“I have a love/hate relationship with prescription medication,” he explains. “I’ll use it if the pain is severe, but 95 percent of the time, my pain is manageable with the biofeedback method.” A few other things he has learned to help manage pain include making dietary changes such as decreasing his sugar intake, getting outside in the sunshine for Vitamin D, and oddly enough, exercising.

An added benefit for Aaron is the fact that he’s made connections with other people who experience chronic pain. Talking with others who can literally “feel your pain” helps a lot to keep perspective. “I would recommend [Psychology Specialists] in a heartbeat to anyone. I’ve had a great experience,” he says.

Page 22 — Healthy Cells Magazine — Bloomington ­— September 2011

The Benefits of Having an Umbrella Psychology Specialists offers Central Illinois residents a place where they can go to learn how to better handle life. “Most people don’t realize the benefits of taking care of themselves,” says Dr. Paul Willett, a licensed clinical psychologist. If you’re struggling, you owe it to yourself and your family to get help, because it can affect you mentally, emotionally, and physically.

Psychology Specialists’ umbrella of services helps individuals and families survive a variety of life’s storms by teaching strategies and tactics that will help them effectively withstand and overcome the challenges they face. * Name has been changed.

For more information, you may contact Psychology Specialists at 309-706-3190 or online at www.psychologyspecialists.com.

Psychology Specialists scheduling and reception staff are always happy to assist patients.

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

Our Services Include: ■■ Diagnostic Speech-Language Services

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September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 23

cancer prevention

Should You Use Direct-to-Consumer

Genetic Testing?

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

W

ould you spend hundreds to thousands of dollars to find out your health and ancestral genetic make-up? Do you think you would be able to interpret the results without the help of a physician? Would you trust the results? If you did and you found out that you were at risk for a serious disease what would you do? These are just a few of the questions raised by the increase in Direct-to-Consumer genetic testing.

Page 24 — Healthy Cells Magazine — Bloomington ­— September 2011

After the success of the Human Genome Project and various other genomic testing, companies have begun offering direct-toconsumer (DTC) genome testing for everything from hair loss to Alzheimer’s disease to cancer. These tests can be ordered on the Internet and mailed directly to the consumer. The consumer can then get the results sent directly to them, without an intermediary physician or genetic counselor. Whether consumers are just

curious about their genetic make-up, genuinely concerned about a specific disease or disorder, or want to find out more about disease in their family, these tests offer a way to get this information without going through their physician. While these tests can provide valuable, reliable information, people need to understand these tests and the risks of using and interpreting them without professional guidance.

There are three main groups of tests: Targeted testing looks for a small number of specific genetic changes that are related to a very few specific diseases. The quality of these tests varies and caution should be used when interpreting the results.

Genome-wide SNP Chip tests examine thousands of small changes throughout the genome. These tests are the most common type, can cost between $200 and $2000, and examine only a small portion of the genome (about 0.03%). While these are felt to be more accurate their usefulness is questionable.

WGS tests examine the DNA sequencing to evaluate small regions of the genome or the entire genome. These are extremely expensive, costing around $20,000, and provide an overview of changes present in up to 85-90% of the genome. However, they don’t provide much more information than the SNP tests due to a lack of understanding as to what many of these changes mean. In addition, more errors are seen in WGS tests.

It is extremely important to consider how these test results can be interpreted. Currently, only a small fraction of the gene variations are understood. In addition, it is not always clear exactly what gene mutations were evaluated in any given test. Finally, environmental risk factors may affect the risk of disease development and these factors are not considered in the genetic testing.

The individual interpreting these results is also quite important.

Non-DTC tests, such as the BRCA breast cancer genetic test, are completed through a physician or genetic counselor who assists in the interpretation and provides a plan for the patient. However, many consumers use DTC tests that they interpret themselves.

The DTC tests’ websites are often hard to read and tend to focus more on the benefits of testing as opposed to the limitations. Without a medical professional to help interpret the results, the results can be confusing and can cause increased stress for people if risk of serious diseases, such as cancer, are found Medical professionals have mixed responses to DTC genetic testing. Most tests are not associated with clear cut guidelines to follow if a patient is found to have increased risk of disease. This may create a strain on the physician-patient relationship if a patient is expecting a clear cut plan to reduce their risk. However, genetic testing can provide information that can offer both patients and physicians a starting point in a discussion of risks and risk reduction. In addition, it has been found that most people who find that they are at increased risk for cancer through DTC genetic testing take positive steps to help prevent the cancer.

The area of DTC genetic testing is promising yet filled with controversy. People who pursue such testing need to understand the current limitations of the tests, the issues surrounding interpretation of the tests, and realistic expectations about how the results can be used. Only with such an understanding should anyone enter the realm of DTC genetic testing.

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

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 25

headache treatment

Headache After Anesthesia

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

H

eadache is a relatively common postoperative problem, especially after general anesthesia. Headaches may be a sign of caffeine withdrawal in a patient who is a high caffeine consumer. But in most cases, it is an exacerbation of a preexisting headache condition such as migraines. However, there are no hazards when anesthesia is administered to patients with this disorder.

Sometimes you may experience a headache after spinal or epidural anesthesia. The headache is worse if you stand or sit but is mostly relieved when you lie down. This is called a spinal headache and is due to leakage of spinal fluid into the surrounding tissues at the insertion site of the spinal or epidural needle. Normally, the spinal fluid circulates around the brain and the spinal cord and helps maintain the brain in a floating position when we are standing or sitting up. In the absence of an adequate amount of spinal fluid, due to leakage at the needle insertion site, the brain begins sagging, hence, the spinal headache. Usually bed rest, oral pain killers and drinking plenty of liquids, especially caffeinated beverages, may solve the problem.

But the definitive cure is a procedure called a BLOOD PATCH, which is immediately curative. BLOOD PATCH is basically inject-

Page 26 — Healthy Cells Magazine — Bloomington ­— September 2011

ing a small amount of your own blood in the same area where the spinal or epidural anesthesia was performed. The injected blood will form a clot and patch the hole created by the spinal or epidural needle, preventing further leakage of spinal fluid and thus curing the headache.

Another medical procedure which may result in headache is electroconvulsive (ECT) or shock therapy which is used in the treatment of major depression. The procedure is performed under general anesthesia and takes only a few seconds to perform. In this situation the headache is probably due to contractions in facial and scalp muscles that occur during the therapy, and resolves spontaneously in a few hours.

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

pregnancy & childbirth

The Benefits of a Labor Doula Submitted by Dionne Otto, The Birth Experience, and Ob-Gyn Care Associates

D

oula is a Greek word meaning “a woman who serves” and is now known as a woman that gives non-medical support to other women and their families during pregnancy, childbirth, and postpartum. The doula is hired so that she can help you to have the best possible birth experience with the best possible outcome.

A doula provides information, education, and physical support. Her expertise helps guide you through making decisions for yourself and your baby. In addition to educational support about pregnancy and birth, a doula will assist in writing a birth plan, answering questions, and providing resources. Your doula provides emotional support by talking you through contractions during labor, listening to you, encouraging you, and having a level of understanding about the process you are going through to birth your baby. The doula provides physical support by assisting you with positions for labor and pain management, massage, applying heat or cold when needed, and assisting with breastfeeding.

Most women report having a more positive birth experience with a doula. Statistics show that they are 26% less likely to give birth by cesarean section, 41% less likely to give birth with vacuum extraction or forceps, and 28% less likely to use analgesia or anesthesia (because perceived pain is not as severe.) In addition, long term benefits of labor support include: improved breastfeeding, decreased postpartum depression, greater maternal satisfaction, and better mother-infant attachment.

Many people ask why they should have a doula when your partner or spouse will be present at the birth. Your partner appreciates having a doula throughout pregnancy and the birth because the doula also provides support for him/her as well; offering education, information, and ideas on how he/she can physically support you during the birth process. The doula knows that she can never be a substitute for the partner (unless she has been hired to be the sole support person for the mother) and is there to enhance the birth experience. Partners often have a lot of responsibility coming into the birth with trying to remember everything about being a birth coach. A doula takes away some of that responsibility by being there to make suggestions about positions, massage, and different comfort techniques which allows your partner to focus on being the best possible coach.

Sometimes a doula is called upon to help a mother because her other birth experiences were different than she had planned.

Doulas are helpful in all birth situations. They assist mothers with cesarean sections, VBAC (vaginal birth after cesarean), natural childbirth, medicated childbirth, surrogacy, multiples, etc. She is there to be supportive and not be judgmental.

A doula can be contacted anytime during your pregnancy for a consultation. You are encouraged to ask her questions about her experience, education, availability and her role as a doula. If you decide to hire a doula you can expect her to meet with you several times during your pregnancy, be with you continuously throughout labor and delivery, and stay with you for a couple of hours after the baby is born to help with breastfeeding and bonding. The doula will then come to visit with you after you have gone home to review your birth with you and go over any questions that you have. A doula’s fees are sometimes covered by insurance but this depends on your insurance carrier.

For more information or to speak with Dionne Otto, The Birth Experience, you can contact her at info@thebirthexperience.com.

Dionne offers classes and has teamed up with Ob-Gyn Care. For more information on Ob-Gyn Care you can call 309-662-2273 or www.obgyncare.com.

Resource: Hodnett ED, Gates S, Hofmeyr G J, Sakala C. Continuous support for women during childbirth [PDF]. The Cochrane Database of Systematic Reviews 2003, Issue 3. Art. No.: CD003766. DOI: 10.1002/14651858.

CD003766.

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 27

healthy skin

Wash Your Face With… What?

By Karen Sutcliffe, Licensed Esthetician, K Skin Spa

T

here are thousands of facial cleansers available and the advertising promotions make them all sound like magic bullets that will give everyone model-perfect skin. While it isn’t quite that simple, using the right facial cleanser can make a huge difference in the appearance of your skin and how it feels. You want to cleanse the skin without disturbing or stripping the protective lipid barrier. This is a protective layer on your skin that is the first line of skin defense, protecting you from bacteria, environmental assaults and physical damage. If the protective lipid barrier is compromised, bacteria can proliferate causing many problems such as breakouts and clogged pores. An impaired lipid barrier can also aggravate sensitive and rosacea skin conditions.

There are hundreds of ingredients used in the various cleansing products, many of which can cause problems. Without being a chemist, how can the average person make sense of the long list of ingredients? In general, a botanical or organic cleanser will cleanse and hydrate your skin without irritating chemicals, synthetic ingredients or added artificial fragrance. Unfortunately, many cleansers contain sodium laurel sulfate or sodium laureth sulfate,

which is a foaming detergent agent. It makes your cleanser foamy.

This ingredient is a strong degreaser that can strip the protective lipid barrier. It can be very drying and can clog your pores. Signs that you may have a compromised lipid barrier may be diffused redness, especially the cheek area, dryness, clogged pores, rough skin and moisture loss.

Most skin types, especially dry skin, can benefit from a cleanser that contains hyaluronic acid. Hyaluronic acid binds to moisture to hydrate your skin. It retains moisture up to 1000 times its own weight. If your skin is dry, it will feel very hydrated if you use a cleanser with hyaluronic acid. If you are oily, have clogged pores or breakouts look for a cleanser that will encourage exfoliation without over drying the skin. Aging skin can benefit from a cleanser that promotes cell renewal and adds moisture. Sensitive skin needs a gentle, calming cleanser without synthetic chemicals or fragrance which are especially irritating. A creamy cleanser that cleanses as well as adds moisture is right for dry skin.

To choose the best skin cleanser, it’s important to know your skin type. This is not always easy to determine. Break outs do not necessarily mean you have oily skin and your skin type changes throughout your life – especially with hormonal fluctuations. A consultation with a licensed esthetician can help you determine your true skin type and sort through the many ingredients to help you choose the products that will work best for you.

While there isn’t a one-brand-fits-all product, it’s a good idea to avoid cleansers that contain sodium laurel sulfate, look for ones that contain hyaluronic acid, and protect the lipid barrier by using a botanical or organic cleanser. With the correct facial cleanser you will see a real improvement in your skin.

For more information or a skin consultation, you may contact Karen Sutcliffe at K Skin Spa, 309-242-1899, Info@kskinspa.com, www.kskinspa.com. K Skin Spa is located at 110 E. Jefferson St. in Downtown Bloomington, inside Roxanna & Co. Skin care services include microdermabrasion, organic facials, spray tanning and waxing.

Page 28 — Healthy Cells Magazine — Bloomington ­— September 2011

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 29

nutritional supplements

Creatine Craze Submitted by Eastland Chiropractic and Wellness Center

C

reatine is an amino acid compound that is naturally produced by the body to supply energy to muscles. Creatine monohydrate is a dietary supplement that is commonly used by athletes, especially those in High School and College, to increase muscle mass and thereby increase performance. Athletes involved in sports that require short bursts of strength and power such as weightlifters and sprinters are most likely to use Creatine.

Numerous dietary supplements are on the market with claims that they will increase muscle mass, decrease body fat, or result in some other beneficial outcome. Many people do not realize that dietary supplements do not require FDA approval before being sold and there is often little independent research or data available to validate such claims. Therefore, the consumer must be vigilant to be sure that whatever they are taking is safe and that claims on Page 30 — Healthy Cells Magazine — Bloomington ­— September 2011

their effectiveness are true. However, there has actually been quite a bit of reliable research done on creatine. It is believed to be generally safe for most people when used at the recommended dosage.

However, it’s effectiveness remains somewhat controversial.

The President’s Council on Physical Fitness reviewed the latest evidence on the various substances that are theoretically designed to improve physical performance above and beyond the effects of normal training. The report showed that that, “Oral creatine supplementation has been reported to increase muscle concentrations of total creatine, both as free creatine and creatine phosphate, a high-energy phosphagen, indicating that creatine supplementation may be effective in improving sport performance. Creatine does not seem to improve performance in aerobic exercises, or benefit older people. Caution is advised when using any nutritional supple-

ment in an attempt to enhance sport performance as some products in some situations may impair performance and improper amounts may cause certain health problems.”

There has been some concern that long-term creatine supplementation may harm the kidneys, liver or heart function, but a connection between high doses and these negative effects has not been proven.

There have also been a number of reported side effects from creatine use such as stomach problems, muscle cramping, dehydration, and increased risk of muscle strains/ pulls. Creatine causes muscles to draw water from the rest of your body, so it is very important to drink extra water to make up for this. It is also recommended that athletes taking creatine do not exercise in the heat as this may cause dehydration.

The report indicated that, “although creatine supplementation may enhance exercise performance under certain laboratory conditions, more research is needed to evaluate its ability to enhance actual sports performance. Additionally, well-controlled research is needed to evaluate the effect of chronic creatine supplementation on the training response and subsequent competitive sport performance.”

A varied, healthful diet balanced in energy and nutrient content is the nutritional mainstay for most athletes. Sports nutritionists contend that athletes should obtain the energy and nutrients they need through wise selections within and among the various food groups.

Dietary supplements are designed to complement a balanced, healthful diet, not substitute for it. The report concluded that "Supplementation with various essential nutrients or commercial dietary supplements will NOT, in general, enhance exercise performance in well-nourished and physically active individuals. Individuals who desire to use specific nutritional enhancements should be sure to consult a sports nutrition expert or physician.”

The entire report can be found online at http://www.fitness.gov/ digest, The President's Council on Physical Fitness and Sports Research Digest.

For more information you may contact Eastland Chiropractic and Wellness Center at 309-662-8418, www.eastlandchiro.com.

They are located at 2406 East Washington St. in Bloomington.

Their goal is to educate people and create an awareness that allows everyone to make smart, informed decisions regarding their health and well-being.

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September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 31

gynecologic cancer

Are You at Risk for Breast or Ovarian Cancer?

By Dr. Rachel Dalton

M

ost women who take initiative for their gynecologic health will see their gynecologist each year. Important screening for gynecologic cancer happens at each annual visit.

As recommended by the American College of Obstetricians and Gynecologists (ACOG), gynecologists perform pap smears for cervical cancer prevention, breast exams beginning at age 18 and mammograms at age 40, physical exam to palpate for ovarian abnormalities, and ultrasounds and/or biopsies of the endometrium for abnormal uterine bleeding. However, for a certain subset of women with a strong personal or family history of breast and/ or ovarian cancer, there is further testing that can be performed.

What is a BRCA mutation?

BRCA mutations are genetic abnormalities that place certain families at a higher risk of breast and ovarian cancer. BRCA1 is on chromosome 17, BRCA2 is on chromosome 13, with over 1,000 different mutations reported on either chromosome. Prevalence of BRCA is 1 in 250-500 non-Jewish women, and more prevalent in Jewish women. For women diagnosed with breast cancer at younger than 30 years old, 25% are BRCA mutation carriers. Risk of ovarian cancer for a BRCA1 mutation is approximately 40-60% and BRCA2 mutation is a 15% risk.

Who should be tested for a BRCA mutation?

For women with a strong family history of breast and/or ovarian cancer, testing for the BRCA1 and BRCA2 gene mutation may be necessary. Red flags for BRCA mutations are: • breast cancer before age 50, ovarian cancer at any age.

• b reast and ovarian cancer in an individual, male breast cancer at any age.

• w omen of Ashkenazi Jewish descent with breast or ovarian cancer at any age.

• A previously identified BRCA1 or BRCA2 mutation in the family.

All at-risk patients should have their family histories reviewed.

Practitioners should perform a 3 generation pedigree of both maternal and paternal cancer history. Once mutations are identified, other family members may desire evaluation. Patients are often concerned about possible health and employment discrimination based on genetic information; however, they and their family members are protected by the Federal Genetic Nondiscrimination Act of 2008.

Why is BRCA testing important? What are the implications?

The endpoint for BRCA testing is intervention. Some individuals choose surgery, some choose closer surveillance. Research has shown that 75% of women with BRCA choose surgery and 25% of women choose close follow-up. Prevention strategies include Page 32 — Healthy Cells Magazine — Bloomington ­— September 2011

tamoxifen (an oral drug shown to decrease risk of breast cancer) and MRI surveillance. Others choose risk-reducing surgery such as oophorectomy (removing the ovaries) and mastectomy (removing the breasts), which both demonstrate significant gains in life expectancy. Risk-reducing mastectomy has been shown to reduce breast cancer risk by greater than 90%. Likewise, oophorectomy reduces ovarian cancer risk by 96%, and reduces breast cancer risk by up to 68%.

If I’m not a BRCA mutation carrier, what can I do to reduce my risk of breast and ovarian cancer?

There are certain factors that women cannot change, such as genetics/family history, age, race/ethnicity, and age at first menstrual cycle. However, poor diet, obesity, lack of exercise, smoking, and alcohol consumption are all modifiable risk factors for breast and ovarian cancer. Other factors that have been shown to decrease breast and/or ovarian cancer risk are breastfeeding, and childbearing.

For more discussion on your breast cancer risk, or if you think you should be evaluated for a BRCA mutation, please call Dr. Rachel Dalton for a consultation. Dr. Dalton is an OB/Gyn who joins the established practice of Dr. Harold Nord and is accepting new patients.

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(309) 663-6461 September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 33

what it takes

Audiologist Education and Training

By Megan Kuhn, Au.D., Doctor of Audiology, Illinois State University

M

any people do not realize that a doctoral degree is required to be an audiologist. Originally, the degree required for entry into the field of Audiology was a Bachelor’s degree.

In the 1960’s, the scope of practice for an audiologist expanded, which led to the need for increased education and training, resulting in a Master’s degree.

As of 2007, all individuals pursuing a career in Audiology will need to earn a clinical doctorate degree in Audiology (Au.D.). Educational programs no longer offer the Master’s degree in Audiology. The professional doctorate establishes audiologists in a clearly defined and prominent role within the hearing health care delivery system and strengthens their position as autonomous practitioners and providers of audiological services.

Clinical Training Program The doctoral degree in Audiology typically consists of 4 years of post-undergraduate academic and clinical training. The primary focus of the Au.D. program is the clinical component; the objective is to produce Audiologists with more clinical competency in

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diagnostic, rehabilitative, and treatment in the areas of hearing and balance. The difference is 2 years of clinical experience (Master’s level) versus 3-4 years of clinical experience (Au.D.). Clinical experiences are in different areas of audiology such as: medical practices, private practices in audiology, hospital, industrial settings, local education agencies, schools for the hearing-impaired, and University or college clinics. The last 9-12 months of the doctoral programs includes a full-time clinical externship. Each student must complete an equivalent of at least 1,820 hours of clinical training under supervision of a certified, practicing Audiologist.

Academic Education Academically, a basic science understanding is at the core of each academic program. Doctoral students are required to take courses in areas of anatomy and physiology; genetics; normal and abnormal communication development; auditory, balance, and neural systems assessment and treatment; pharmacology; ethics; professional issues; counseling and clinical decision making; habilitation and rehabilitation; amplification; and special populations. Although the primary focus is not research-based, all programs require students to be able to interpret and evaluate research related to the field. Many programs also require students to complete a Capstone research project; which includes data collection, interpretation, and presentation of research findings.

Thus, individuals completing this degree will be critical consumers of research and may choose to participate in clinical research while practicing. Individuals completing the Au.D. program will be leaders in their field and will have the skills to work independently and work with other professionals working in the healthcare field.

Certification & Licensure Audiologists are required to be licensed by all 50 states. Some states require separate licensure for audiology and hearing aid dispensing. Most states require Audiologists to pursue continuing education in order to maintain licensure, which varies from state to state.

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www.CentralIllinoisHypnotherapy.com Page 34 — Healthy Cells Magazine — Bloomington ­— September 2011

Local Doctoral Program Illinois State University (ISU) is proud to have a Doctor of Audiology program. ISU is home to the Eckelmann-Taylor Speech and Hearing Clinic, an active clinic with state-of-the-art equipment that services over 12,000 pediatric through geriatric patients a year.

Students are able to practice their clinical skills with patients while under the supervision of a certified Audiologist. The clinic is open to the public as well as ISU students, staff, and faculty.

For more information about ISU’s Doctor of Audiology program please visit www.csd.illinoisstate.edu or call 309-438-8643. To contact the Eckelmann-Taylor Speech and Hearing Clinic please call 309-438-8641. The clinic is located at 211 Rachel Cooper Hall, Normal, IL 61790. For a map please visit the following website: http://csd.illinoisstate.edu/clinic/index.shtm *References available upon request

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childhood disorders •H ave trouble completing or turning in homework assignments, often losing things (e.g., pencils, toys, assignments) needed to complete tasks or activities •N ot seem to listen when spoken to •D aydream, become easily confused, and move slowly •H ave difficulty processing information as quickly and accurately as others •S truggle to follow instructions.

Children who have symptoms of hyperactivity may: •F idget and squirm in their seats •T alk nonstop •H ave trouble sitting still during dinner, school, and story time •B e constantly in motion • Have

difficulty doing quiet tasks or activities.

Children who have symptoms of impulsivity may: •B e very impatient •B lurt out inappropriate comments, show their emotions without restraint, and act without regard for consequences •H ave difficulty waiting for things they want or waiting their turns in games •O ften interrupt conversations or others' activities.

Does My Child Have ADHD/ADD? Submitted by Dr. Anjum Bashir

A

ttention deficit hyperactivity disorder (ADHD) is one of the most common childhood disorders and can continue through adolescence and adulthood. Inattention, hyperactivity, and impulsivity are the key behaviors of ADHD. While most children sometimes get distracted, act impulsively, and struggle to concentrate, these behaviors are more severe and occur more often in children with ADHD. Children who have symptoms of inattention may: • Be easily distracted, forget things, and frequently switch from one activity to another • Have difficulty focusing on one thing • Become bored with a task after only a few minutes, unless they are doing something enjoyable Page 36 — Healthy Cells Magazine — Bloomington ­— September 2011

ADHD can be very difficult to diagnose. Children mature at different rates and have different personalities, temperaments, and energy levels. Sometimes, these normal factors may be mistaken for ADHD. On the other hand, adults may think that children with the hyperactive and impulsive subtypes just have emotional or disciplinary problems.

Parents and teachers can miss the fact that children with symptoms of inattention have the disorder because they are often quiet and not disruptive. They may sit quietly, seeming to work, but they are often not paying attention to what they are doing.

ADHD is traditionally diagnosed by gathering information about the child and his or her behavior and environment. If the child meets the criteria for ADHD, which includes having at least 6 symptoms for more than 6 months to a degree that is greater than other children of the same age, he or she will be diagnosed with the disorder. The problem with this method of diagnosis is that it is still very subjective.

A new technology is now available that can diagnose ADHD with greater certainty. The FDA has recently approved the Quotient® ADHD System providing doctors and parents with objective measurement of hyperactivity, inattention and impulsivity for clinical assessment of ADHD. The test, which only takes about 15 minutes, involves the child sitting at a specially-designed computer workstation. The System uses a patented Motion Tracking System to measure an individual’s movement while focusing on visual stimuli and accurately measures motion and analyzes shifts in attention state.

The System then compares the results of the patient’s test to other individuals of age and gender matched groups. Results are calculated based on 19 or more parameters that combine to give greater than 90% accuracy in identifying ADHD. Results are available immediately allowing doctor and parents to move forward with treatment plans promptly. While there is no cure, proper diagnoses and treatment can eliminate or control many of the symptoms so that people with ADHD can be successful in school and lead productive lives.

For more information, please contact Anjum Bashir, MD at 309-531-0050. His office is located at 205 N. Williamsburg, Suite E in Bloomington. He is one of the few physicians in Central Illinois offering Quotient Testing for ADHD diagnosis. More information on Quotient testing, is available online at www.biobdx.com.

body contouring

You’ve Lost the Weight!

What’s Next?

By Jeffrey S. Poulter, M.D., FACS

P

atients who have lost significant weight either through surgical (i.e.Gastric bypass) or non-surgical (i.e. exercise and nutrition) means are left with extensive amounts of extra skin that no longer moves with them but dangles from their trunk and extremities. The discomfort of this skin rolled onto itself or pinched between layers of extra skin can be significant. Their dreams of the sleek figure and single digit sizes are put on hold until they find a way to have the excess skin removed. Enter the body contouring plastic surgeon to offer solutions.

Body contouring after massive weight loss is becoming a sub specialty within plastic surgery. Not only does it require extended periods in the operating room to provide for patient safety as well as good outcomes, patients must be offered several options to treat their areas of concern.

Dr. Ted Lockwood, the father of body contouring, was the first to describe and use the superficial fascial system beneath the skin to bring the deep tissue together with permanent sutures. These stout stitches under significant tension, allow the physician to get the incredible improvements in body contour. Dr. Lockwood was adamant that with the proper suturing techniques, you could remove the excess skin and fat from almost anywhere.

The cornerstone of body contouring for the massive weight loss (MWL) patient is the abdominoplasty. Removing the excess skin and repairing the muscle weakness is done leaving not only the tummy in great shape, but also improving the flank, upper thigh and mons. With appropriate techniques, the belly button can hide its circular incision allowing the patient to wear the lowest of swimwear with out the telltale round scar of a tummy tuck.

Almost any area of the body can be contoured – including face, neck, arms, breast, tummy, back, hip, buttocks, thighs and calves.

But the skin of the MWL patient has very poor tone and may give a little, losing a small amount of the original correction obtained at the time of surgery. Marking is done the day before surgery, eliminating the rush and additional nervousness just before the procedure.

Patient safety is key in preventing complications. Extensive time is spent positioning and padding the patient as well as keeping the patient warm before, during and after surgery. Special stockings and compressions boots are worn to minimize the risk of blood clots.

Pain, the fifth vital sign, can be managed well with multimodal therapy including pain pumps with local anesthesia, injections at the time of surgery and complimentary medications that affect different pain centers. Limiting pain reduces the healing time and results in better outcomes for the patient.

Look for a board certified plastic surgeon who has the insight and compassion to deal with the multiple components of wound

healing that MWL patients require. Plastic surgeons are dedicated to their field and consider it very rewarding to assist the successful MWL patient to a more normal contour, a more confident self and a healthier future.

Jeffrey S. Poulter, M.D. is a board-certified plastic surgeon with offices in Bloomington and Peoria. For more information you may contact Dr. Jeffrey Poulter in Bloomington by calling 309-663-1222 or toll-free 888-841-4108. Or email your questions to info@drpoulter.com. Visit online at www.drpoulter.com for additional information, before and after photos and videos of various procedures – in the privacy of your own home.

For more information contact Edward W Pegg MD LCC

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

September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 37

Page 38 — Healthy Cells Magazine — Bloomington ­— September 2011

Dr. Harold Nord and Staff are pleased to welcome Rachel M. H. Dalton, D. O. Dr. Dalton received her Doctor of Medicine degree at Kirksville College of Osteopathic Medicine with a specialty in OB-GYN. She completed her residency at St. Francis Hospital, Evanston, IL Dr. Dalton is a Central Illinois native, residing in the area with her husband and three children.

Our office is accepting new patients.

Accepting most insurance plans and all Illinois Medicaid.

Pictured are Dr. Rachel Dalton and Dr. Harold Nord

Call 309.454.3456 to set an appointment

Harold A. Nord, Obstetrics & Gynecology, S. C. 1302 Franklin Avenue, Suite 3000 Normal, IL 61761 September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 39

women's health

The Benefits of Carrying Your Baby Full-Term

By Jamie Peel, OSF St. Joseph Medical Center

W

ith today’s fast-paced culture, hospitals are seeing more and more moms who are inducing labor before they are full-term.

The reason for the increase of parents choosing to induce labor early is a lack of education. Studies show only 25 percent of expecting parents know a full-term pregnancy is at least 39 weeks.

Parents have many reasons for wanting to induce labor early. A common reason is doctors may have a vacation scheduled around the time when the baby is due. Moms may not want to have a doctor they do not know deliver their baby. Another reason moms commonly want to induce labor before 39 weeks is because pregnancy can be very uncomfortable, especially during the last few weeks. While these and other reasons are legitimate concerns, the risk of doing harm to the baby is not worth it.

When a mom induces labor before 39 weeks, she takes away crucial developing time her newborn needs. Evidence shows some of the most important organs grow significant amounts in the last few weeks of a pregnancy. A baby’s brain at 35 weeks weighs only twoPage 40 — Healthy Cells Magazine — Bloomington ­— September 2011

thirds of what it will weigh at 39 to 40 weeks. The lungs and liver are also in their final stages of development. The need for intensive care in babies with respiratory problems can be twice as high at 38 weeks.

If a mom schedules an induction just a day before she is at 39 weeks, her baby loses an entire day to develop these organs in her womb.

Other complications can arise when babies are born too soon.

They are more likely to have hearing and vision problems after birth.

They also have trouble staying warm because their bodies are not big enough to generate sufficient heat. Sometimes, babies born before 39 weeks cannot swallow and stay awake long enough to eat after they are born. All of these functions are vital to a baby’s health.

The complications of inducing labor before 39 weeks not only affect the baby, they can affect the mother as well. Inducing labor does not always work. When this happens, doctors must perform a Caesarean section. Babies born by C-section may have more problems, including trouble breathing, compared to babies born by vaginal birth.

Unfortunately, the complications of inducing labor early can have long-lasting effects on your child. They may have behavioral problems and develop slower compared to other children. The good news is all of these complications, for both the baby and the mom, are preventable. If parents wait at least 39 weeks, they reduce the time their baby is in the hospital; the number of doctor visits; their stress and the stress on the baby.

Some women have medical reasons to induce labor before they reach full-term. Expecting mothers who have diabetes, hypertension and seizure disorders, among many other conditions, sometimes have to give birth before 39 weeks. Also, women who carry multiples typically need to induce labor early. Under these conditions, doctors have medical concerns and need to induce an early labor for the safety of the mother and the baby. The best thing parents can do for their unborn baby is talk to their doctor to discuss the delivery process and when it is acceptable for the mom to give birth.

Parents want to have healthy babies and they want their birthing experience to be special and as stress-free as possible. One of the best ways to ensure this happens is to patiently wait for your baby to arrive. The right time to deliver is when your baby is ready.

The new Birthing Center at OSF St. Joseph Medical Center is here…and it is truly delivering joy. The facility houses 12 new private labor/delivery/recovery/postpartum (LDRP) rooms, and a surgical suite. Parents stay in one room for the entire birthing experience. If you have questions or would like more information, please call OSF St. Joseph Medical Center’s Birthing Center at 309-665-4704 or visit www.osfstjoseph.org.

Trey Polesky, MSW, LSW

Individual, Couples, and Group Therapy > LGBTQ (Affirming) Specializing in: > Depression > Anxiety > Addictions > Relationship difficulties > Trauma/Abuse Insurance accepted and sliding scale rates available.

www.treypolesky.com

(773) 819-5428

K SKIN SPA 110 E. Jefferson in Historic Downtown Bloomington Located Inside Roxanna & Co.

Organic • Botanical • Cosmeceutical Skin Care Facials • Microdermabrasion • Body Wraps Waxing • Spray Tan

Karen Sutcliffe Licensed Esthetician

309-242-1899

www.KSKINSPA.com

D r . M e li s s a H e lp s S u m m e r Fe e t B a c k to S c h o o l Whether your kids are running the bases or just cruising the school halls, Dr. Lockwood can make for a pain-free school year!

Saturday and evening appointments make time for the doctor without missing school!

D r . M e l i s s a L o c kwo o d 10 Heartland Drive, Ste. B••

Bloomington, IL 61704

www.heartlandfootandankle.com September 2011 — Bloomington — ­ Healthy Cells Magazine — Page 41

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

Page 42 — Healthy Cells Magazine — Bloomington ­— September 2011

Visit www.BioBDx.com for more information on the Quotient® ADHD Test.

Accredited by the American College of Radiology • Bone Density Study • MRI Magnetic Resonance Imaging • Myelogram • CT Computed Tomography • X-Rays

Our Technologists who perform the exams are certified in Radiology, CT, and MRI with over 50 years of total experience specializing in Neuro and muscular skeleton.

• We offer 24 to 48 hour turn-around time on reports and CD of the exams if requested and two hours on stat examination.

• Radiologist reading exam specialized in modality Neuro, muscular skeleton & general radiology.

1015 S. Mercer Ave. Bloomington, IL 61701

877.566.3879 309.662.7500 www.cinhs.com