IOWA CITY area
Promoting Healthier Living in Your Community • Physical
SEPTEMBER 2012
HealthyCells www.healthycellsmagazine.com
• Emotional • Nutritional
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M A G A Z I N E
The Faces of Breast Cancer page 14
The Sciatica Solution page 10
Don’t Fear Estrogen page 12 Nine Specialties Ranked page 25
THE PREVENT EVENT BREAST CANCER EDUCATION & YOU
PREMIERE SPEAKER
CHRISTINE HORNER, MD
“THE FREEDOM TO CHOOSE”
MRI • CT • DIGITAL MAMMOGRAPHY • 3D/4D ULTRASOUND • BONE DENSITOMETRY • X-RAY
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t "VUIPS PG Waking the Warrior Goddess: Dr. Horner’s September 2012 — Iowa City — Healthy Cells Magazine — Page 3 Program to Protect Against and Fight Breast Cancer
S E PTEMBER
2012 Volume 1, Issue 6
5
Home Health: Five Time-Saving Laundry Tips
6
Emotional: Newly Reported Alzheimer’s Therapies
This Month’s Cover Story:
The Faces of Breast Cancer
page 14
Premiere Speaker
8
Nutritional: Apple Season!
10
Physical: The Sciatica Solution
12
Women’s Health: Don’t Fear Estrogen – Fix How You Clear It!
17
Healthy Living: Live Longer. Live Better. Blue Zones.
18
Prostate Health: “I Don’t Want to Have Sex Anymore, Honey.”
21
Pain Awareness: What is Pain?
22
Healthy Kids Community Care: Meeting An Important Need for Our Children
24
Grief Recovery: “Am I Paranoid, Or Are People Avoiding Me?”
25
Leading U.S. Hospitals: Nine Specialties Ranked
Christine Horner, MD
For information about this publication, contact Laurie Hutcheson, owner at
563-650-1876, ICHealthycells@gmail.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Iowa City area, including major grocery stores, hospitals, physicians’ offices, and health clubs. Healthy Cells Magazine is published monthly and welcomes contributions pertaining to healthier living. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Iowa City area. “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.” Laurie Hutcheson
home health
Five Time-Saving Laundry Tips F
rom messy meals to remnants of craft time creations, parents know that life is full of all kinds of stain-inducing—yet magical—adventures. However, the great times should live on through cherished memories, not through permanently stained clothing. When it comes to removing those stains—from mud to markers and everything in between—knowing how to care for your child’s garments means you can get out of the laundry room more quickly and focus on the activities your family enjoys. Aside from letting your washer and dryer do the heavy lifting, there are a few tricks of the trade worth keeping in mind when it comes to protecting clothing items, according to laundry expert Tara Aronson. “There’s more to prolonging the life of your garments than simply checking pockets and choosing the right cycle,” offers Aronson. Put these five tips from Aronson to the test to help better care for your garments, so you can spend less time sorting and treating stains, and more time with the family. 1. Spot, Treat, and Check—If you spill on a garment, immediately rinse or blot away the stain using cool water to prevent it from setting. Make sure to read fabric care labels and wash accordingly to help clothing last. Also before you toss garments into the wash, be sure to double-check the pockets, as well as zip zippers and fasten buttons—this helps cut down on snags, holes, etc.
2. Sort, Sort, Sort—Sort laundry by color, wash cycle, and water temperature required. Make it easier on yourself and your family by placing bins marked for whites, darks, mediums, and delicates in your laundry room. 3. Choose the Right Cycle—High efficiency appliances, such as the line of Affinity washers and dryers from Frigidaire, can wash clothing on various cycles. This means you can launder sturdy items such as jeans on the permanent press cycle using warm water, causing less agitation, while washing swimsuits, fine knits, and undergarments on the delicates cycle with cold water. The Affinity collection also features quick cycles, allowing you to wash and dry a load in 45 minutes, so you can run a full load while preparing dinner for the family. 4. Double-duty—If your clothing is heavily soiled, extra-large, or you want to use the cold-water setting, add extra laundry detergent when you start the cycle. Some high efficiency washers feature a sanitize setting, which uses the hottest water available to thoroughly get rid of germs and grime. 5. Quick Dry—Dry only full loads—drying only a handful of garments prolongs the drying time by reducing the tumbling. If you have to dry a smaller load, add a few bath towels to help with tumbling. If you’re looking to purchase a dryer that can save you time, check out the Frigidaire Affinity Dryer featuring Ready Steam, which reduces wrinkles, can dry a full load in just 25 minutes, and uses 35 percent less energy compared to other machines. “Remember that properly caring for your garments can help sustain your favorite clothing,” says Aronson. To learn more about the Energy Star rated line of Affinity washers and dryers from Frigidaire, visit www.frigidaire.com.
Here’s what our advertisers are saying about Healthy Cells... As a new surgeon to the Iowa City area I was looking to secure an increase in patient volumes. One technique that has helped is the advertising from Healthy Cells magazine. We have been advertising with Healthy Cells since they have started distribution in the Iowa City and Coralville area and we have seen first hand the impact this has had on patient volume. We have had numerous patients call and set up appointments after seeing our advertisement. The patients also enjoy having the ability to read about their potential diagnosis prior to seeing the doctor. Many patients enjoy reading the magazine while waiting to be seen in the exam room. The health issues written about in Healthy Cells help guide patients as to who and when they should seek medical care. Brad Bussewitz, DPM Fellowship Trained Foot & Ankle Surgeon Professional Foot & Ankle Iowa City/Coralville
To Promote your Business, Contact Healthy Cells Magazine Today. 563-650-1876 ichealthycells@gmail.com
September 2012 — Iowa City — Healthy Cells Magazine — Page 5
emotional
Newly Reported Alzheimer’s Therapies Submitted by The Alzheimer's Association This space was generously donated by Advanced Medical Transport
N
ew studies reported at the Alzheimer’s Association International Conference 2012 (AAIC 2012), July 14-19, in Vancouver cover the spectrum of Alzheimer’s disease and dementia research, including causes, risk factors, detection and diagnosis, treatment, and prevention. The Alzheimer’s Association International Conference is the premier annual forum for presentation and discussion of the latest Alzheimer’s and dementia research. The 2012 conference brings together more than 4,000 leading experts and researchers from around the world, and features roughly 2,500 scientific presentations. “The good news at the Alzheimer’s Association International Conference is that we are making advances toward earlier detection of Alzheimer’s, greater knowledge of dementia risk factors, and better treatments and prevention,” said William Thies, PhD, Alzheimer’s Association Chief Medical and Scientific Officer. “These advances are critical in order to create a future where Alzheimer's disease is no longer a death sentence but a manageable, treatable, curable, or preventable disease.” Page 6 — Healthy Cells Magazine — Iowa City — September 2012
The soaring global costs of Alzheimer’s and dementia care, the escalating number of people living with the disease, and the challenges encountered by affected families all demand a meaningful, aggressive, and ambitious effort to solve this problem. IVIG stabilizes Alzheimer’s for Three Years in Extended Phase Two Clinical Trial The first report of long-term (3-year) stabilization of Alzheimer’s disease symptoms with intravenous immunoglobulin (IVIG/ Gammagard, Baxter), was presented at AAIC 2012. IVIG is being studied as an immunotherapy for Alzheimer's. Participants in the original Phase 2 study received six months of treatment followed by a 12-month open-label extension; several doses were tested. Participants were then offered additional IVIG treatment at a single standardized dose (0.4mg/kg every two weeks) for an additional 18 months. Study participants who were treated with the standardized dose for the full 36 months (n=4) had the best outcome, with no decline on several standard measures of cognition, memory,
daily functioning and mood at the three year endpoint. While the small number of participants may limit the reliability of the findings, the results are tantalizing. A Phase 3 trial is in progress and there will soon be more definitive data on the efficacy of IVIG treatment. Upcoming Prevention Trials At an AAIC 2012 Featured Research Session titled “Collaboration for Alzheimer's Prevention: Common Issues Across Presymptomatic Treatment Trials,” updates were given on three new Alzheimer’s disease prevention trials that are beginning soon or in the planning stages. Two of the studies—conducted by the Alzheimer’s Prevention Initiative and the Dominantly Inherited Alzheimer’s Network—will be conducted in families affected by younger onset genetic Alzheimer’s. The third study, proposed by the Alzheimer's Disease Cooperative Study, is known as the Anti-Amyloid Treatment of Asymptomatic Alzheimer's Disease (A4) trial. A4 scientists will study participants aged 70+ who have normal memory and thinking abilities, with evidence of Alzheimer’s changes in their brains shown on a PET scan using a special imaging dye. “Improved imaging technologies and updated diagnostic guidelines are enabling the detection of early changes in the brain that are consistent with what is now known as presymptomatic (or preclinical) Alzheimer’s,” said Thies. “People in this stage of the disease are an ideal population for prevention trials to delay the onset or slow the progression of cognitive decline. These studies are among the most exciting current and upcoming Alzheimer’s therapy trials.”
New Symptomatic Drug Shows Cognitive Benefits in Phase Two Trial A six-month, Phase 2b trial of EVP-6124 (EnVivo Pharmaceuticals), a selective, partial, alpha-7 nicotinic agonist, in 409 people with mild to moderate Alzheimer’s showed statistically significant benefits on two well-established measures of memory, language, attention, and other cognitive abilities. EVP-6124 is an experimental symptomatic drug with a different mechanism of action than the current FDA- and EMA-approved Alzheimer’s drugs. Alpha-7 nicotinic agonists amplify the effects of acetylcholine, a brain chemical that is essential for normal brain and memory function. About AAIC and the Alzheimer’s Association The Alzheimer’s Association International Conference (AAIC) is the world’s largest conference of its kind, bringing together researchers from around the world to report and discuss groundbreaking research and information on the cause, diagnosis, treatment and prevention of Alzheimer’s disease and related disorders. As a part of the Alzheimer’s Association’s research program, AAIC serves as a catalyst for generating new knowledge about dementia and fostering a vital, collegial research community. The Alzheimer’s Association is the world’s leading voluntary health organization in Alzheimer care, support, and research. Our mission is to eliminate Alzheimer’s disease through the advancement of research, to provide and enhance care and support for all affected, and to reduce the risk of dementia through the promotion of brain health. Our vision is a world without Alzheimer’s. For more information, visit www.alz.org or call 800-272-3900.
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nutritional
Apple Season! By Kym Wroble, RD, LD, Waterfront Hy-Vee Dietitian
A
s I write this article in July, we are in the midst of a dry, scorching, 105-degree summer that is keeping everyone on edge, irritable, and nervous. I cannot help but think of the cooler days and crisp autumn nights that will soon be upon us by the time this article is published in August. When that weather does arrive, I can put this summer heat behind me and it’ll mean just one thing for me—apple season! Since I’ve been a kid, apple season has meant annual trips to a local apple orchard for a day of picking and fun, followed by weeks of enjoyment as we savored the fruits of our labor! We’d head to Stone’s Apple Barn in East Moline, Illinois, and ride out into the orchard, bouncing along on a hayrack. We were allowed to “pluck” fresh apples from the trees and taste, taste, taste, as we tried to determine a favorite and before long, I’d be complaining of a “sour stomach.” No matter, it was so fun to taste all the different varieties and I shamelessly let the fresh apple juices drip down my chin! Tasting all the wonderful varieties was “like a box of chocolates; you never knew what you’re going to get!” Some sweet, some sour, some honey-like, some even with a mixture of flavors. All apples have their virtues and all are suitable for either eating fresh or cooking, and cooking we did! After picking several bushels we headed home for the fun—apple crisp, apple pie, apple pancakes, and of course, applesauce. As a child, making homemade fresh applesauce was an annual event and was also one of my first “culinary experiences.” It should be something that every true-blooded American kid gets to experience, as American as…applesauce! While most kids have tasted their fair share of commercially-made applesauce, homemade applesauce is less processed and better-tasting than any store-bought variety. It is simple to make and is the perfect opportunity to introduce a child to the kitchen. Homemade applesauce will leave your little eater thrilled with his/her very own homemade treat and soon ready to explore more adventuresome cooking (and eating)! On a side note, there is a growing body of research confirming the relationship between food preparation, cooking skills and the food choices of children and adolescents—specifically, the higher frequency of family meals and involvement in food preparation, the higher the dietary quality. Additionally, research confirms the important influence parents have in shaping children’s eating habits by ensuring access to healthy food choices, providing positive role modeling and encouraging positive attitudes and beliefs towards healthy eating and cooking. In a nutshell, getting children excited about cooking and healthy eating right from the get-go is one way to ensure you’ll raise a healthy eater. Start them with something simple like plain applesauce and eventually encourage them to get creative, experiment, and come up with their own flavor combinations. Perhaps they’ll create apple-peanut butter, apple-cherry, or apple-cranberry sauce! Who knows, your budding Page 8 — Healthy Cells Magazine — Iowa City — September 2012
chef may someday progress to create something as adventuresome as a grilled apple-cheddar sandwich topped with sautéed onions, mushrooms and a poached egg—one of my most recent creations. Sweet, savory, nutritious, and delicious, I promise! (Drop me a line at kwroble@hy-vee.com if you are interested in the recipe.) So, forget the mess, get the kids into the kitchen, and feel good about teaching a life skill. This is also the perfect opportunity to teach your tyke about seasonal and local eating. Although available yearround in the store, apples are harvested in the fall in Midwest and locally grown apples can be purchased at an orchard or at your favorite Hy-Vee! An added bonus—your kids can also learn how to use one of nature’s easiest, most accessible and most nutritious treats! Apple Tidbits • Harvested in the fall • There are over 2,000 varieties of apples • Apple Aroma: ∙ Most of their aroma is emitted from the skin, where odiferous enzymes are concentrated ∙ Most of the distinctive aroma of cooked apples comes from a floral-smelling fragment of the carotenoid pigments (see below) • Apple Color: ∙ Carotenoids—gives apples their cream/yellow hues. Apples are a source of several carotenoids, including lutein and beta-carotene, important nutrients for eye health. ∙ Anthocyanin—gives apples their reddish hues. Apples are also a source of anthocyanin compounds which promote heart health and have anti-cancer abilities • Apple Flavor: ∙ Each apple has distinctive flavors that develop even after picking. With time, apples become more mellow as they consume their malic acid for energy and the sugar-to-acid ratio becomes more balanced. • Apple Nutrition: ∙ One medium apple = approximately 80 calories, no fat, no cholesterol, no sodium ∙ Four grams of total dietary fiber to provide a feeling of satiety, speed digestion and to keep you “regular” ∙ One gram of soluble fiber in the form of pectin, to help prevent cholesterol from being absorbed in your gut, leading to lower levels of total cholesterol ∙ Some research has shown that one medium apple has the same antioxidant equivalent as 30 oranges! ∙ Antioxidants—the various types of antioxidants found in apples have been linked to heart health and lower risks of cancer and asthma
∙S orbitol—a naturally occurring sugar alcohol, sorbitol can cause stomach upset if consumed in large amounts (the cause of my “sour stomach” when I was young) • Although there are several thousand apple varieties, they can be broken down into four groups: ∙C ider—highly acidic and tannic, these apples are used for making cider (clever name, eh?) ∙D essert/eating—crisp, juicy and a balanced sweet/sour taste when raw; when cooked, they become bland and less flavorful. ∙C ooking—distinctly tart when raw; well-balanced when cooked. Because they retain their structure when heated in pies, crisp, tarts, etc., these apples are considered perfect for cooking/baking! ∙ Dual-purpose—delicious raw or cooked; these apples are best for cooking when young, fresh, and more “lively.” As they mature and “mellow out”, they become better suited for eating fresh, out of hand. So, now that you are an apple expert, head to the kitchen and take on one of the easiest ways to enjoy fresh apples, (next to plucking straight from the tree!). For more nutrition information, visit one of your Hy-vee Registered Dietitians today! Kym Wroble, RD, LD at kwroble@hy-vee.com at your Waterfront Hy-Vee.
Kym’s Almost-No-Recipe-Needed Applesauce To keep calories in check, lightly sweeten with a safe sugar substitute, such as sucralose or Splenda®. You’ll need just a tad to brighten the natural sweetness without overpowering the fresh, bright apple flavor. 12 medium apples (choose a mixture of Jonagold, Pink Lady, Jonathan, Honeycrisp and/or Golden Delicious) 1/4 cup sugar substitute, such as Splenda Granulated® or Splenda Brown Sugar Blend® (for a deeper flavor) 1/8 tsp salt 1 tsp lemon zest 1 cup water Optional Flavorings: 1 cup fresh or frozen cranberries (my personal favorite), 1 cup fresh or frozen strawberries, 1 cup fresh or frozen pitted cherries, 2 cinnamon sticks 1. Wash, core, and remove any bad spots from apples with a paring knife. 2. Roughly cut apples into 1-1/2-inch pieces. 3. Combine apples, sugar substitute, salt, lemon zest, water, and any optional flavoring in large, heavy-bottomed non-stick pot or Dutch oven. Stir to combine, cover pot, and cook apples over medium-high heat until they begin to break down, about 15 to 20 minutes. Be sure to check on them occasionally and stir with a wooden spoon to prevent burning. Remove pot from heat. 4. Allow to cool for 10-15 minutes. Using an immersion blender or food processor, puree cooked apples to desired consistency. You can create a traditional super-smooth puree or leave some “chunks” for a bit of variety. Season with more sugar, sugar substitute, or honey and add additional water to adjust consistency, if desired. Serve hot, warm, at room temperature, or chilled. (Keep covered in your refrigerator for 5-7 days.)
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physical
The Sciatica Solution You Don't Have to Live With It! By Sarah Greene, DC, Adair Chiropractic
S
ciatica is a common condition that affects both males and females and can occur at any point from childhood to adulthood. The term sciatica refers to pain along the sciatic nerve, which courses from the lower back down the back of the leg. Common symptoms of sciatica are pain at the low back, buttock, back of the thigh, lower leg, and/or the foot. However, deep ache, burning, weakness, numbness, or tingling in the leg are also indications that the sciatic nerve is being affected. It most often occurs on one side and can become severe enough to prevent a person from engaging in their normal daily activities. If you are experiencing any of these symptoms, you may be suffering from sciatica. Read on to see how you can possibly experience relief without medication or surgery.
How Does One Get Sciatica? It is a common misconception that sciatica is always caused by a herniated disc in the low back. More commonly, the sciatic nerve becomes entrapped at peripheral sites. Injury and inflammation at the nerve and surrounding soft tissues leads to the formation of adhesions. These adhesions are scar tissue built up between the nerve and the soft tissue, and they become restrictive, resulting in decreased glide of the nerve at the tissue. The scar tissue and inflammation lead to pressure on the nerve, resulting in sciatica. Resolving sciatica is therefore accomplished through releasing restrictions at all possible nerve entrapment sites, with complete resolution only achieved if the nerve is no longer trapped at any location. This release is accomplished with Active Release Techniques, or ART.
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Sciatica can be caused by pressure along the sciatic nerve at peripheral sites, including the buttock, hamstings, and calves. What is Active Release Techniques? ART is a patented, state of the art soft tissue system that treats problems in muscles, tendons, ligaments, fascia, and nerves. ART practitioners are experienced at locating areas of scar tissue adhesions and releasing those tissues using specific tension and pressure with precise patient movement. Active Release Techniques can effectively release and remove scar tissue adhesions, and therefore effectively resolve sciatica. By removing these adhesions, the sciatic nerve is allowed to glide properly through the soft tissues of the buttock, thigh, and calf, and there is no longer direct pressure on the nerve. When this occurs, the body will no longer produce pain, tingling, numbness, and/or weakness because the nerve is free to function properly. With ART treatments, it is not uncommon to see a significant reduction in symptoms within 1 to 3 visits, and sometimes a complete resolution within 4 to 6 visits. A Clinical Example A 35-year-old patient presents to our office. The patient describes history of a pop in the right hamstring, as well as immediate pain, that was felt during a water skiing accident three years ago. The pain at her right hamstring improved on its own and the
patient was only left with some residual tightness. Now, the patient presents with a deep ache in the right buttock that is worse when seated. Treatment to release the scar tissue at the right sciatic nerve at hamstrings and buttock showed immediate 50% reduction in symptoms. We are here to help! Adair Chiropractic, located in North Liberty, IA, offers not only Active Release Techniques (ART) treatment, but also class IV laser therapy and chiropractic treatment. Dr. Karla Adair and Dr. Sarah Greene are full body certified in ART. Patients at Adair Chiropractic have experienced complete resolution of both acute and longstanding sciatica as well as relief from other common soft tissue complaints. To ensure proper relief, Dr. Adair and Dr. Greene consider structures along the entire kinetic chain of a complaint region. For example, if you are suffering from sciatica, this will involve searching for adhesions and pressure along the entire length of the sciatic nerve. By locating each patient's root cause of dysfunction, ART can successfully resolve sciatica. For more information, contact Adair Chiropractic at 319-665-2323 or visit www.adairchiropractic.com. September 2012 — Iowa City — Healthy Cells Magazine — Page 11
women's health
Promoting Breast Health by Testing and Enhancing Estrogen Metabolism
Don’t Fear Estrogen — Fix How You Clear It! Submitted by Dr. Stephanie Mellor, Integrated Health and Hormone Clinic
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ancer is the second leading cause of death, and breast cancer is the leading cause of cancer death for women (CDC, 2012). Many women are at an increased risk for developing cancer, as one out of every eight will develop breast cancer in the course of her life. Data from 2008 shows 210,203 women in the United States were diagnosed with breast cancer, and 40,589 died from the disease. At the heart of it, cancer is caused by DNA damage (National Cancer Institute, 2010). This genetic predisposition accounts for Page 12 — Healthy Cells Magazine — Iowa City — September 2012
5–10 percent of breast cancer cases, but an astonishing 70 percent of breast cancer patients had no family history of the disease (Breastcancer.org, 2010). Breast cancer has many causative factors. Seventy-five percent of breast cancers are hormone sensitive. For example, if pathology reports reveal that estrogen is driving the cancer, the cancer would be considered estrogen receptor positive. An important fact to note: Estrogen does not cause cancer, and does not directly cause DNA damage (National Cancer Institute, 2010). However, as
suggested in the Women’s Health Initiative, estrogens have long been suspected of stimulating the growth of cancers (already mutated cells) at high levels, specifically of the breast and endometrium (Schumacher & Neuhaus, 2001). Some researchers suspect that a more important relationship between estrogens and cancer is not the level of estrogens themselves, but the metabolism by which the body detoxifies these estrogens. Estrogens are a group of three distinct hormones: estrone, estradiol, and estriol, derived from DHEA. Estrogens need to be enzymatically converted into metabolites that can be excreted through urine or bile (Rajoria et al., 2011) through metabolism and detoxification processes. It has taken decades to produce research results that suggest a test to measure this relationship, along with the influences on this detoxification process. The processes involved in estrogen metabolism have been clearly defined in the scientific literature, as well as the benefits gained by enhancing proper estrogen metabolism. Unfortunately, there is an alarming lack of knowledge regarding the importance of estrogen metabolism testing, as well as nutritional intervention plans that facilitate healthy estrogen metabolism and ultimately decrease the risk of breast cancer. Breast cancer risk prevention is minimal, with few health care providers equipped with available diagnostic tools aside from genetic testing and mammography. Typically, the use of hormone replacement therapy is discouraged. The current treatment for individuals with estrogen-related breast cancers is to block estrogens using pharmaceuticals such as Tomoxifen, and aromatase inhibitors like Aromasin. This treatment may not represent the entire solution, however. Blocking the hormones may help reduce feeding the tumor, but it doesn’t solve the potential underlying issue of poor estrogen metabolism, and has ultimately scared many patients and providers away from the use of even safer options like bio-identical hormone replacement therapy. The fear of a natural hormone like estrogen is not the answer. It has been well documented that hormones decline as we age, causing unique and complex symptoms. Therefore in symptomatic patients, like menopausal women, it is important to safely and effectively replace and balance these hormones. Bio-identical hormone replacement therapy uses plant based hormones that are biologically identical to the hormones in the body, and thus bind more appropriately and cause fewer side effects than the more often prescribed synthetic agents that are derived from horse urine. Bioidentical prescriptions offer more flexibility, with low, personalized dosing available in many different routes of administration. Estrogen exposure doesn’t only arise from internal production or from replacement therapy. Many individuals are exposed daily to xenoestrogens in the environment. These estrogen mimickers can be found in sunscreen chemicals and personal care products, including: parabens and PCBs, pesticides, herbicides, and preservatives. Whether an individual’s estrogen is received through their own internal production, replacement therapy, through exposure to the environmental, or a combination off all three, it is critical to monitor how the body clears these estrogens. Estrogen metabolism testing is available in blood and urine to monitor just this. The available literature supports 2-hydroxlation as having a positive effect on estrogen metabolism and indicates that 16-αOHE1 is a strong risk factor for breast cancer. More research in human subjects is needed to identify the most complete strategies to reducing breast cancer. Based on the majority of the research, testing the 2:16-αhydroxyestrone ratio (2:16 rato) in addition to other metabolites in urine should be recommended, as results provide beneficial information on how the body removes these toxins. Fortunately, unlike genetics, if the 2:16 ratio is found to be unfavorable it can be successfully altered with nutrition. Indole 3
Carbinol (I3C) and Diindolylmethane (DIM) are naturally occurring phytochemicals derived from vegetables of the Brassica family: broccoli, brussels sprouts, cabbage, and cauliflower (Lord, Bongiovanni, & Bralley, 2002). Initial research on Brassica vegetables as cancer protective agents started in the 1970’s and continues today. These vegetables have a positive influence on this 2:16 ratio and ultimately breast cancer risk. Since testing for the 2:16 ratio can identify one’s personal risk for developing estrogen related cancers, individuals with family histories of breast cancer and women using hormone replacement therapy should especially be tested. Nutritional changes should then be implemented, and the women should incorporate more of these vegetables into their diet. If the ratio is not improving, individuals can supplement with 300 mg DIM, the dose found in scientific literature to positively influence the 2:16 ratios that are not within goal. There is hope. There is available testing. Instead of fearing estrogen, work to clear it! Estrogen is a natural and healthy part of every woman’s life. Help it work for you, not against you! In addition to estrogen metabolism testing Dr. Mellor also offers thermography to her patients. She agrees with Dr. Horner (see front cover) that there is no one perfect cancer screening test. Her patient’s frustrations are ever increasing as many do not want repetitive radiation, and many are unaware of other healthier alternatives. Once introduced, her patients have been elated to receive breast thermography through Radiant Health Imaging at the clinic. She explains to her patients that thermography does not replace mammography but offers another beneficial, less invasive form of breast monitoring. Dr. Mellor applauds Dr. Horner’s dedication with communicating her findings to ultimately reduce these cancers and is excited to attend the Prevent Event with many of her patients. Stephanie Mellor is a Doctor of Nursing Practice and is certified as both an adult and geriatric nurse practitioner. She is the owner and nurse practitioner of Integrative Health and Hormone Clinic in Cedar Rapids, Iowa, where she focuses on integrative medicine. She utilizes the best of natural medicine and conventional medicine, creating a powerful combination of care to use for a variety of disease states including hormonal imbalances. She prescribes bio-identical hormone replacement therapy and utilizes the hormone metabolites testing she describes above, providing the safest and most effective strategy for her patients. If you are interested in her practice or interested in obtaining this testing you can learn more at: www.iowabioidentical.com/ and www.integrativehealthandhormoneclinic.com. September 2012 — Iowa City — Healthy Cells Magazine — Page 13
feature story
The Faces of Breast Cancer By Angela Clark
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eing a voice for women is a natural role for Dr. Christine Horner, MD, and one that has helped change the lives of American women. Motivated by her professional and personal experiences, Dr. Horner’s message has evolved into one of prevention. She focuses on breast cancer; however, the research-based information she speaks about applies to colon and prostate cancers and many other diseases. “The Prevent Event: Breast Cancer Education and You” is excited to bring Dr. Horner to the Midwest for her first speaking tour promoting helpful information for cancer-free living this September 13–20, 2012 in four cities: Cedar Rapids, Davenport, Des Moines, and Omaha. The Iowa Connection Born in Illinois, Dr. Horner’s family moved to Cedar Rapids, Iowa when she was five years old. They lived here until she was 14 when the family moved to Ohio. She has many fond memories and says, “I am eager to return to my old stomping grounds to share what I am so passionate about—extraordinary health.” This trip from the Mississippi River to the Missouri River will be fun as she gets to share her passion of healthy living with several hundred people.
Dr. Christine Horner, M.D. Page 14 — Healthy Cells Magazine — Iowa City — September 2012
A Personal and Professional Journey Dr. Horner’s career in plastic and reconstructive surgery literally took form in Iowa! Young Christine was just 10 years old when she realized her calling in life. She was watching television one day— Medical Center, starring surgeon Dr. Joe Gannon, and she saw him save a patient’s life. In this epiphany moment, Dr. Horner remembers thinking “that would be the most rewarding profession—to help people, to save lives.” Knowing early on what she wanted to do made it easy to keep moving in that direction. Dr. Horner notes just one small catch along the way, “Once I was in general surgery, I hated it!” She decided to do a rotation in plastic surgery and knew right away that this was her niche. It felt good to help people with cleft lip palates and find wholeness after motor vehicle accidents or breast cancer. She loved the diversity and the artistry within plastic surgery and felt the rewards of seeing a person uplifted physically, emotionally, mentally, and spiritually. She saw first-hand that how we view ourselves is a critical aspect of health and well-being. By the time she started her practice in 1991, she was intimately familiar with breast cancer because her mother was a survivor. Her mother’s cancer journey started in 1976, while Dr. Horner was in college. Thirteen years later, a second diagnosis on the opposite breast was caught very early—in stage 1—and was less than a centimeter in size. Because of the early diagnosis and the fact that her mother had followed medical protocol promoted at the time, the family believed she would be fine. Then 5 years later, in 1994, she developed metastatic disease, a direct result of the breast cancer and passed away
within the year. As many family members know, losing a loved one is a pivotal moment. Because of her mother, Dr. Horner chose to spend more than a decade with the American Cancer Society (ACS) in the state of Kentucky. Her various roles included: • Four years of service on the ACS Breast Cancer Detection Task Force • Five years serving as the Kentucky ACS spokesperson for Breast Cancer issues • Two years devoted to the Chairman of the ACS Relay for Life In 1994, she was awarded the ACS Kentucky Division Lifesaver Award. Her dedication to understanding and advocating was as natural as breathing. She was, and is, passionate about saving lives. This very personal endeavor was all the more significant because of her professional life. Early in her career, Dr. Horner received her first “denial” letter for breast reconstructive surgery stating that “breasts were an organ without function.” She fought and won several local cases, but realized how difficult and time-consuming it is for each provider to navigate this cause. Change needed to happen on a national level. She launched a crusade in 1993 called the BRA Project (Breast Reconstruction Advocacy) that created laws requiring insurance companies to pay for breast reconstruction following mastectomy. Thirty-five states led the way to the federal bill that was signed into law by President Clinton on October 21, 1998. This was the first time Congress had mandated a specific surgical procedure to be covered by insurance providers. She felt reconstructive surgery was the right of every woman. While the BRA Project was in full swing, Dr. Horner noted that her average patient age was rapidly declining. Women in their 20’s and 30’s were turning up with breast cancer at an alarming rate. Concerned about what this means for American women, she is also aware of her increased risk because of her mother’s history. Driven for the need to know more, she set aside all that she knew about breast cancer and looked at the research first hand. Spreading the Message of Cancer-Free Living Dr. Horner was completely surprised to find several diet and lifestyle recommendations that could reduce an individual’s risk of any cancer or disease by 50 percent or more. Traditional Chinese Medicine and Ayurvedic Medicine—whole health methods of medicine more than 5,000 years old—offered solid solutions for cancer-free living. Dr. Horner has created a research-based supplement plan for prevention of cancer. This protocol also helps those in the midst of cancer. Her prevention paradigm is based on the concept that food is medicine—we truly are what we eat—and all the contributing factors in our daily lives: stress, sleep, emotional health, exercise, spirituality, and relationships. She clearly explains the science supporting each element of her prevention platform. Dr. Horner became passionate about putting natural approaches into the hands of the general population to let them make more educated choices in regard to their health. To this end, she retired from her surgical practice in 2002, to focus full time on speaking and writing. The Book – Waking the Warrior Goddess “I put all my research together and wrote a book that many refer to as their handbook for living,” Dr. Horner says. In her book, Waking the Warrior Goddess, she details many aspects and variables to cancerfree living. She wrote that the foundation to prevention is finding the connection to our inner healing intelligence, our Warrior Goddess—the God-given ability to know what is healthy for us. She believes that we all hold the key to our own healing potential; it is a matter of listening within to what brings balance to our body. We can pay attention to how
we feel after we eat one food or another and listen to the pain in our body as a cry for rest or movement. Learning to recognize messages from our body is the waking of the innate intelligence women have been recognized for throughout the ages. The Prevent Event is for EVERYONE Dr. Horner says, “We can entertain them all!” Her presentations are fun as well as educational. She gets excited about “sharing the time tested secrets to extraordinary health.” She has “secrets” for all ages of men and women. Colon, prostate and breast cancer are all cancers fed by our hormones; so if it is good for one cancer, it is good for the other two. Most of the information relates to any type of disease, like diabetes, heart health, and chronic pain. She has a special message and hopes to inspire teens—the earlier we begin living well, the better our outcome. So grandmothers and mothers, bring your teens! Dr. Horner wants to remind people that our tools: mammograms, ultrasounds, MRIs, and PSA tests are really screening tools—they are detecting established disease. It just makes sense to be pro-active and begin integrating preventive measures into our lives. Dr. Horner provides easy and basic tips to adopt into any lifestyle. Adopting just one of them has been proven to reduce risk by 50 percent. “Here is a significant statistic: 90 percent of heart attack victims go back to their old lifestyle, evidence says that death is not typically a motivator for human beings,” says Dr. Horner “which is why we suggest September 2012 — Iowa City — Healthy Cells Magazine — Page 15
feature story continued
simple improvements that are easy.” There is no need to turn your life upside down and inside out—you can choose just one supplement or one activity to pursue that can greatly change your well-being. What if I am a Cancer Survivor? Is This for Me? Yes, everything Dr. Horner shares supports finding and maintaining healthy living. If you have cancer or have had cancer, this message is just as relevant and important for you. Making it Local – Presenting Sponsor: Pinnaclife Pinnaclife owner, Darlene McCord, Ph.D. FAPWCA, says it was an easy choice to support the Prevent Event. She also has a story of personal drive impacting her professional life. Dr. McCord is a breast cancer survivor and lost her mother to breast cancer. She understands grief, loss, and fighting for survival. She created her antioxidant supplement line to assist in her personal fight against breast cancer. Her mission is to create an environment of support and hope for women fighting breast cancer both through her supplements and organizations such as Gilda’s Club and now, Dr. Horner’s tour. Dedication to educate is the cornerstone of Dr. McCord’s company. Pinnaclife is a familiar presence at health events throughout the Midwest and at events around the world—delivering presentations on health and nutrition to support the goal of improving the quality of life for every person in the world. (www.pinnaclife.com) Supporting Sponsors: Integrated Health and Hormone Clinic & Radiant Health Imaging Stephanie Mellor, owner and nurse practitioner at the Integrative Health and Hormone Clinic, agrees with Dr. Horner that there is no one perfect cancer screening test. She is also an advocate of educating the public that we as patients and providers have the power to change our risks through lifestyle choices. (www.integrativehealthandhormoneclinic.com) Page 16 — Healthy Cells Magazine — Iowa City — September 2012
Pam Ryerse, owner of Radiant Health Imaging, is enthusiastic about the holistic community collaborating to promote complementary and preventative measures in Iowa and Nebraska. She understands the power of community and as the founder of The Prevent Event; she is thrilled with the response from the business owners and the public. www.radianthealthimaging.com Small Business Sponsors: CarePro Pharmacy (www.careprohs.com) Additional sponsors, individuals, and businesses, from $25 and up are welcome to join the cause of spreading healthy, vibrant lifestyle choices. Contact us for more information: info@radianthealthimaging.com Make A Difference With Your Support You can help spread the word about The Prevent Event and Dr. Christine Horner’s message in several ways: • Buy your tickets for friends and family today at www.radianthealthimaging.com • Please help share the message via email with friends and family in the Midwest • “Like” The Prevent Event on Facebook, “Follow” us on Twitter • Remember Dr. Horner’s book will be available for purchase and signing
We look forward to seeing you at our first annual Prevent Event, Breast Cancer Education and You. Join us in Cedar Rapids, Davenport, Des Moines or Omaha September 13 – 20, 2012. Details at www.radianthealthimaging.com.
healthy living
Live Longer. Live Better. Blue Zones Submitted by the Blue Zones Committee of the Iowa City Area Chamber of Commerce
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he TED video (www.ted.com) titled, “How to Live to Be 100” is a compelling presentation featuring author Dan Buettner delivering the results of his extensive study of five “Blue Zones”, longevity hot spots throughout the world where people live the longest, healthiest lives. Surprisingly, the people in these areas do not follow formal exercise programs or strict diets, but live in natural, sustainable environments fostering healthy habits, well-being, and happiness. Last fall, Governor Branstad announced his “Healthiest State Initiative,” including a partnership with Wellmark and Healthways, who are in the process of selecting ten Iowa communities to assist in implementing Blue Zones wellness strategies. The approach promotes positive choices for physical, emotional, and social well-being and creates an environment that encourages long-term wellness. Start implementing any of the following Power 9 strategies today: Power 9 Blue Zones Strategies 1. Move Naturally: Live in an environment that nudges you to move without thinking about it. 2. Know Your Purpose: Understand your talents and incorporate ways to use your skills. 3. Down Shift: Incorporate stress reduction strategies like napping, praying, yoga. 4. 80% Rule: Stop eating when your stomach is 80 percent full. 5. Plant Slant: Eat meat as a condiment and mostly fruits and vegetables. 6. Wine at 5: Enjoy one to two drinks a day with friends or food. 7. Loved Ones First: Care for parents, spend time with children, commit to a relationship with a significant other. 8. Belong: Participate in a faith-based community. 9. Right Tribe: Spend time with people who have healthy habits. A prototype Blue Zones Community—Albert Lea, Minnesota—increased life expectancy by 3.2 years, reduced absenteeism with key employers by 21 percent, and provided city employees a 49 percent reduction in health care costs. Albert Lea’s example demonstrates how businesses currently burdened by crushing health care costs can redirect health care expenses and lost productivity to enhance business growth. The Iowa City Area Chamber of Commerce will apply for the Blue Zones designation on behalf of Iowa City in the next few weeks with help from many partners. Strategies and implementation of Blue Zones concepts will be shared with all communities in the Iowa City area.
Please support the Iowa City Blue Zones designation. We’ll be healthier for it, as will be our budgets. Document your support for the Blue Zones designation at www. bluezonesproject.com. For more information on the Chamber’s Blue Zones initiative, contact Rebecca Neades, rneades@iowacityarea.com.
Integrative Medicine combines the therapies of complementary, alternative, and conventional medicine. Stephanie Mellor, DNP, ARNP, ANP-C, GNP-C, CCCN Visit us to see how we can better serve your health needs! 1260 3rd Ave, SE, Suite B Cedar Rapids, Iowa 52403 www.integrativehealthandhormoneclinic.com Phone 319-363-0033 Fax 319-363-4411 We specialize in Bio-identical Hormone Replacement Therapy too! September 2012 — Iowa City — Healthy Cells Magazine — Page 17
prostate health
“I Don’t Want to Have Sex Anymore, Honey.” Sixth in a series of excerpts from “Making Love Again” The subject matter of this book is of a personal and explicit nature, and may not be suitable for younger or ultra-conservative readers. By Virginia and Keith Laken Laptop Notes, August 6, 1995 These shots are amazing! They work within minutes of injecting. The only issue now is getting the dosage amount perfected.
Journal entry, August 10, 1995 This is wonderful…better than when we were first married! Laptop Notes, September 21, 1995 Making love every three days is beginning to remind me of when we were trying to get pregnant with Beth, and sex was like a duty I had to perform. It became a job and wasn’t fun anymore.
Journal Entry, September 28, 1995 I’m having trouble knowing when Keith is “ready”. Once he gives himself the shot he gets an almost immediate result… which in the old days meant he was turned on. But now it doesn’t mean anything, other than he’s given himself a shot. Journal Entry, October 15, 1995 It’s tough to keep my concentration when we make love these days. All the preparation and planning means I don’t end up getting aroused. A lot of times I just fake it. Laptop Notes, October 20, 1995 Every time I try to have sex I’m reminded of how mutilated I am. And having to give myself the needle is pathetic. How can Gin even think about wanting me?
Laptop Notes, October 29, 1995 Almost nine months after surgery. Everything is gone. Even my desire. I’ve been stripped of that part of me that made me a man. I don’t even care about sex anymore. If I never have it again, so what? I won’t miss it, because I no longer even feel like it. In only three months, we had gone from exhilaration to discouragement. We thought the injections would be our temporary “love potion” — that all our problems would soon be over. But now we were being forced to see how naively optimistic we had been. The first day of November was a Saturday, and we had spent Page 18 — Healthy Cells Magazine — Iowa City — September 2012
the entire day catching up on household chores. Now with our chores accomplished, we were relaxing in our favorite way: sitting on the floor in front of the fire, coffee cups in hand, listening to Kenny G on the stereo. Keith got up from the floor, picked a copy of a flying magazine off the coffee table, went to sit in his favorite chair, dropped his head and looked down at the magazine. “Hon, what’s the matter?” Keith looked up. His brow was furrowed, “Gin, I have to tell you something…” The seriousness in his voice sent a shiver through my body. Keith looked down again. “I’ve lost my desire to have sex, Gin. I’ve lost my drive, my libido, I just don’t want to have sex anymore.” “Gin, I know we have sex a lot with the shots. But haven’t you noticed that you’re always the one who initiates it? I’m not interested in sex anymore. It’s not something that’s fun for me. I’ve only been doing it for your sake — going through the motions to make you happy.” “Let me try to explain it.” Keith said in a measured tone. “Before the operation, almost anything could make me want to have sex. I could just look at you move a certain way, or see a picture
“Gin, I love you. And I’ll be happy to help you out anytime
• Reconstructive Surgery • Implants • Diabetic Foot Care • Sports Medicine/Orthotics www.ProfessionalFootAnkle.com Dr. George Sehl
Two Locations: 805 S. Gilbert St., Iowa City Coral West Health Center 2769 Heartland Dr., Coralville
you want. But for me… it’s just
319.337.2021
not a need I have anymore.” of a pretty woman, or watch a sexy commercial on TV and I’d get interested. But now,” Keith continued resignedly, “I look at you, a pretty woman, a sexy movie and…nothing. I don’t feel anything. Nothing turns me on anymore.” “So, you’re telling me I’m not attractive to you anymore?” I asked, wounded. “Nothing about me turns you on?” “Gin, I’ll always think you’re a beautiful woman,” Keith said consolingly. “And I’ll always love you. But this isn’t about being attractive or about love. It’s about sex.” “I wish like hell that things weren’t this way. I worry about how this is going to affect you, but I can’t help how I feel. I can’t keep making love when I don’t have the drive.” I took a deep, quivering breath and, looking up at Keith through tear-filled eyes, I whispered the question I was most afraid to ask: “Don’t you ever want to make love with me again?” Keith reached over and took my hand in his, with a touch that was warm against my chilled skin. His expression was caring — and pained. “Gin, I love you. And I’ll be happy to help you out anytime you want. But for me…it’s just not a need I have anymore.” Laptop Notes, November 2, 1995 I don’t know what gave me the courage to tell Gin last night. It just seemed like the right time, and I had to get it off my chest. I can’t keep up the charade any longer. What she’s going to do about this, I don’t know. She might get disgusted and just abandon me. Look for someone who can satisfy her. No she wouldn’t do that. But what will she do?
Journal Entry, November 2, 1995 I really can’t believe what happened last night. I thought about this all last night, and I’m convinced he didn’t really mean what he said. He was just upset and frustrated. Keith has a huge sex drive. I can always get him interested if I really try. I just have to be persistent. For weeks, I tried to implement my plan to entice Keith into making love. But I had very little success. My advances did little to interest him. In fact, they seemed to irritate him, and caused him to move even further away from me. Next month: A Family Crisis and Tempers Flare The book Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy is available at Amazon.com and many major book sellers. You may contact the Lakens at KLAKEN@aol.com
Dr. Brad Bussewitz
Fellowship Trained Foot & Anke Surgeon
DO YOU SUFFER FROM: Plantar Faciitis Headaches Ear Infections Runners Knee Te n n i s E l b o w Shin Splints
C a r p a l Tu n n e l Syndrome IT Band Contacture Sciatica A c h i l l e s Karla Te n d oAdair, n i t i s D.C. R o t a t o r C u Sarah f f I n j uGreene, ries D.C.Karla
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IF SO, WE CAN HELP.
Wi t h A RT, a b n o r m a l t i s s u e s a re t re a t e d b y c o m b i n i n g p re c i s e l y d i re c t e d t e n s i o n w i t h v e r y s p e c i f i c p a t i e n t m o v e m e n t s .
319-665-2323
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10 Circle Dr. Ste. 1 North Liberty, IA 52317
Lyse S. Strnad, MD John F. Stamler, MD, PhD Stacy L. Thompson, MD Chris E. Watts, MD “Providing quality medical and surgical eye care in Iowa City since 1954!”
New patients welcome! Eye Physicians & Surgeons, LLP (319)-338-3623 or (800)-338-3623 2629 Northgate Drive, Iowa City www.iowacityeye.com Cataracts • Glaucoma • Macular Degeneration Diabetic Eye Conditions • Pediatric Eye care Routine Vision Exams September 2012 — Iowa City — Healthy Cells Magazine — Page 19
Talk much with your doctor? Communication between doctors and patients can be powerful medicine. But too often, both parties come up short. Patients should come to appointments prepared with questions written down in advance, a list of all current medications and allergies, and a truly candid assessment of how they’ve been getting along. Doctors can do more, too, starting with listening better and using language patients don’t need a medical dictionary to understand. Communication keeps doctors and patients better informed. So both parties can assess treatment options more clearly, and make shared decisions as partners. A public service message from the American Academy of Orthopaedic Surgeons, where Patient-Centered Care means getting better together.
For more information on Patient-Centered Care, visit orthoinfo.org. Page 20 — Healthy Cells Magazine — Iowa City — September 2012
pain awareness
What is Pain By Mississippi Valley Pain Clinic PC
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ain is a complex symptom that affects almost everyone at some point in their lives. It is an emotional experience that has variable responses in different people. When it is of longer duration, it can change its character as it moves into a chronic state. When most patients present to a pain clinic, the pain is most often chronic. Because the character of the pain has changed from its initial onset, a complete look at the historical circumstances of its beginning and how it has changed over time becomes important to understand. The history of a painful condition will include the following items. Exactly where the pain is located gives clues as to what nerves that conduct pain signals to the brain are involved. When the pain started, when it is present now, and how long the painful episodes may last are helpful to know. If the pain changes with certain positions, movements, or actions tell what parts of the body systems may be involved. The character of pain is usually burning, sharp, achy or shooting like electricity. If any treatments have been attempted, their effect on the pain feelings are helpful to understand if appropriate, safe, and low risk interventions to lessen the pain have been attempted. It is a frequent occurrence that a treatment may have been prescribed but not followed or misunderstood; this can lead to repeating the treatment to be assured that the least risky intervention is a failure before moving onto more complex treatments.
AMTof IOWA
ADVANCED MEDICAL TRANSPORT
Imaging studies need to be reviewed to understand if body structures are normal or have some type of derangement from the normal that helps to explain the source of the pain. It is always helpful for patients to review these items in their mind so they can relate them to their physicians when evaluated. The second key part of the evaluation of pain is the physical examination. Painful conditions have usual examination findings that can lead to the selection of a diagnosis. The examination will most often include a visual inspection of the part of the body that is painful and the surrounding tissues that are near the area of pain. A brief survey of the other body systems is done to see if the pain is part of a disease process remote from where the area of pain is located. Finally, provocative movements or maneuvers can expose the structures involved in the pain generation. The bottom line to effectively treating chronic pain becomes an exercise in identifying the pain generator. Treatments directed at the exact structure in the body that is likely to be producing the pain signal is going to be more successful, more quickly then treatments directed in the general direction of the pain. Contact Mississippi Valley Pain Clinic PC at 563-344-1050 for more information.
Your partner in health.
Your Partner in Health AMT is here to serve you. Whether you are the person needing transportation or the one calling on their behalf, we’ll be your partner in health. We provide: • Scheduled ambulance transportation from basic life support to critical care • Demand response service for VA Hospitals • Scheduled wheelchair transportation
Call 319.341.7799 today to learn more!
Anna Marie Urban, tenant at Melrose Meadows and John Scully, EMT for AMT of Iowa
AMTofIowa.org • 319.341.7799 • 2228 Heinz Road • Iowa City, Iowa 52240 September 2012 — Iowa City — Healthy Cells Magazine — Page 21
healthy kids community care
Meeting An Important Need For Our Children Submitted by Get Moving for Healthy Kids
H
ealthy Kids Community Care is the school-based health clinic, open two days per week, at Southeast and Northwest Junior High Schools. The clinic provides free medical care to children and their younger siblings in the Iowa City Community School District and surrounding districts, who do not have health insurance, are underinsured, do not have a healthcare provider, or experience other barriers that prevent them from getting the health care they need. The clinic started in 2007 after a group of community leaders and healthcare providers came together to determine how best to address the unmet health needs of our children. Unmet health needs and poor access to health care, were identified as key hindrances to learning at the school district's Barriers to Learning Conference in 2002. Frequently, children with health issues that go untreated have poor school attendance, and Page 22 — Healthy Cells Magazine — Iowa City — September 2012
when they are in school, they are unable to stay focused and be engaged in learning. Children without access to health care do not receive regular medical check-ups and immunizations. Teenagers do not get involved in school athletics since they are unable to get the required pre-participation sports physicals. Having the clinics available onsite in the schools allows students to get the care they need, and results in fewer absences, allows parents to miss less work, and reduces the financial burden to families without health insurance. Children served in the clinic receive individualized health education, providing a positive start toward becoming healthy and productive adults. Clinic staff also works with families to help them obtain health insurance and establish a relationship with a primary care physician/provider.
Over 1,000 students have been served with over 1,400 clinic visits, since the clinic opened in 2007. The clinic is a genuine community collaboration. In planning for the long-term sustainability of the school-based health clinic, Mercy Iowa City developed an endowment fund with the Community Foundation of Johnson County, generously pledging $500,000 in matching funds over five years. The endowment has grown to over $600,000, and the interest drawn each year goes to the clinic’s operating expenses. Further, United Way contributes ongoing support and funding, University of Iowa Hospitals and Clinics (UIHC) provides a Pediatrician, and the University of Iowa College of Nursing provides a Nurse Practitioner. The University of Iowa Dental College provides dental care to students referred from the clinic. Corridor Radiology provides free x-rays and radiological interpretations. Alberhasky Eye Care provides free eye care and glasses to students referred from the clinic. Healthy Kids Community Care works closely with the Iowa City Free Medical Clinic to meet the needs of families. Johnson County Public Health has been a partner in meeting the needs of the families the clinic serves, as well. Most recently, the clinic now provides the services of a Child Psychiatrist, in cooperation with the UIHC Department of Psychiatry. In August 2011, the 2nd Annual Get Moving for Healthy Kids 5K walk/run event was held at City High School in Iowa City. Get Moving for Healthy Kids directly benefits the school-based health clinics. The event raised $40,000 for the endowment fund in 2011. This year's Get Moving for Healthy Kids 5K walk/run is scheduled for Sunday, August 26, 2012 at West High School in Iowa City. Get Moving for Healthy Kids had an entry in the 2012 Coralville 4th of July Parade, and volunteers distributed stickers to children,
encouraging them and their families to be physically active and to participate in this year's activities. This year’s event will feature the 5k walk/run, along with Youth 800 meter, 400 meter, and 100 meter runs, and children's activities. There will be several information booths onsite, hosted by local individuals and organizations, with resources for families on being healthy and active. Registration forms for the Get Moving for Healthy Kids Event are available online at www.communityfoundationofjohnsoncounty. org. If you are interested in being a sponsor, contact Mr. Mike Stoffregen, Community Foundation of Johnson County, at 319337-0483, or Dr. Pete Wallace at 319-338-7646. The event could not take place without the generous support of our many sponsors. Find us on Facebook: Get Moving for Healthy Kids.
John B. Dooley, MD 563.344.1050 www.mvpainclinic.com Twitter @ painchat
Like us on Facebook September 2012 — Iowa City — Healthy Cells Magazine — Page 23
grief recovery
“Am I Paranoid, Or Are People Avoiding Me?” Healthy Cells magazine is pleased to present another in a series of feature articles on the subject of Grief ❣ Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses (Harper Perrenial, 1998). The articles combine educational information with answers to commonly asked questions.
E
ven though grievers seem to be walking though quicksand, they usually have a heightened awareness of what is going on around them. In particular, they are very aware of being judged, evaluated, or criticized. In earlier columns we talked about the killer cliches that are not helpful to grievers. Unhelpful comments almost always encourage the griever to feel some way other than the way they feel. For example; don’t feel sad, you should feel grateful that you had him/ her for so long. In addition to the constant fight against the killer cliches, the griever starts to experience being avoided by people they know. Grievers notice that friends who know about the loss will not approach them or will talk to them and never mention the loss. The truth is that people often do avoid grievers. Since our society has so mis-educated us about loss, we are often led to believe that the griever wants and needs to be alone. Although grievers sometimes want to be alone, more often they want to be treated normally. Because we were never properly taught how to talk about the conflicting feelings caused by loss, we are often afraid to talk to our friends when they have experienced a loss. Therefore our own fear will cause us to avoid grievers or to avoid the subject of their loss. Fear is one of the most common responses to loss. For example, when a spouse dies: How can I go on without them? Or, after a divorce: Where will I find another mate as wonderful, as beautiful? While fear Page 24 — Healthy Cells Magazine — Iowa City — September 2012
is often the emotional response to loss, in our society, ISOLATION is frequently the behavioral reaction to the fear. Look at the combination outlined above. People avoid grievers because they are mis-informed and afraid. Grievers avoid others because they are afraid and then isolate. Is anybody talking to anyone else, and if so are they talking about anything important to the griever? As the result of tens of thousands of direct interactions with grieving people, we can tell you that what grievers most want and need to do is to talk about “what happened” and talk about their relationship with the person who died or to whom they were married. That does not mean that every griever will want to have a detailed conversation with every one they meet. Nor does it mean that you always have to make yourself available to someone who may need more time than you have. What we are suggesting is that instead of avoiding the subject of the loss that you at least acknowledge it. A simple comment like, I was sorry to hear about your loss, can be very helpful to a griever who may be questioning his or her own sanity because no one is even mentioning their loss. QUESTION: There are many kinds of losses that produce grief, is there a single definition that encompasses all of the emotions caused by loss? ANSWER: While a universal definition is impossible, we can come very close. Grief is the conflicting group of human emotions caused by a change or an end in a familiar pattern of behavior. Next Month: “I’m Fine...And Other Lies” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA. 91413. Call 818-907-9600 or Fax: 818-907-9329. Please visit our website at: www.griefrecoverymethod.com.
leading u.s. hospitals
Nine Specialties Ranked Submitted by UI Health Care Media Services
U
niversity of Iowa Health Care leaders announced July 17 that UI Hospitals and Clinics is included once again on a widely recognized list of leading U.S. hospitals. "The Best Hospitals in America" listing by U.S. News & World Report is compiled annually. At UI Hospitals and Clinics, Iowa's only comprehensive academic medical center, nine specialties are ranked overall. • Cancer (23rd nationally) • Gynecology (41st) • Nephrology (32nd) • Neurology/neurosurgery (24th) • Ophthalmology and visual sciences (6th) • Orthopaedics and rehabilitation (15th) • Otolaryngology (ear, nose and throat) (10th) • Pulmonology (42nd) • Urology (32nd) Jean Robillard, MD, Vice President for Medical Affairs with University of Iowa Health Care, said, "These rankings are indicators of excellence, and all Iowans can be proud of what they represent." In June, UI Children’s Hospital was ranked in ten specialties by the same publication. "Earning such high ratings in so many specialties demonstrates that we have a great deal of strength across the entire spectrum
of health care services, and that the reputation of our physicians is quite strong among their peers," said Donna Hammond, PhD, Acting Dean of the UI Roy J. and Lucille Carver College of Medicine. For the first time, the publication also ranked hospitals within each of the 50 states in the nation, and rated UI Hospitals and Clinics number one in Iowa. "Our faculty and staff are focused on providing excellent care and outstanding service," said Kenneth Kates, MBA, Associate Vice President of UI Health Care and CEO of UI Hospitals and Clinics. "Their hard work and devotion to our patients and families is the key to achieving this kind of recognition, so all the credit goes to our people who do such a tremendous job every day." UI Hospitals and Clinics is also ranked as "high-performing" in the following specialties: • Cardiology and Heart Surgery • Diabetes and Endocrinology • Gastroenterology • Geriatrics • Psychiatry Health professionals caution that patients should not make decisions about their health care based solely upon such rankings. They should instead consider an array of factors and consult their physicians. September 2012 — Iowa City — Healthy Cells Magazine — Page 25
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