October Bloomington Healthy Cells 2011

BLOOMINGTON/NORMAL

area

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

October 2011

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www.healthycellsmagazine.com

M A G A Z I N E

Illinois CancerCare Finding Hope and Funding for a Cure

No More Excuses

pg. 23

Repairing The Human Toolset pg. 24

Blurry Vision? pg. 30

Two Local Pain Physicians Named Top 70 In America Drs. Benyamin and Vallejo have been named among the 70 best Pain Physicians in America, according to Chicago-Becker’s Orthopedic & Spine Review and Becker’s ASC REVIEW.

Experience the best pain doctors right here in your area.

1015 S. Mercer Ave. Bloomington, IL 61701

Pictured Ramsin Benyamin, MD and Ricardo Vallejo, MD PhD

(309) 662-4321

www.millenniumpaincenter.com

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

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 3

OCTOBER 7 8 10 12 14 16 19 23 24 26 28 30 32 33 34 36 38 40 42 44 46 48

Children's Foot Health: "Mommy! My Foot Hurts!"

Concussion Management: Second Impact Syndrome Physical: Top 10 Ways to Manage Chronic Pain

This Month’s Cover Story:

2011 Volume 6, Issue 10

Illinois CancerCare Foundation

Finding Hope and Funding for a Cure page 20

Emotional: Overcoming Depression With TMS Therapy Nutritional: Biochemistry and Weight Management October is Audiology Awareness Month: What is an Audiologist?

Pedorthics: New-Age Relief for an Age-Old Problem Mammograms: No More Excuses Hand and Wrist Surgery: Repairing the Human Toolset Women's Health: Check Your Checklist Failed Back Surgery Syndrome: What Happens When What is Meant to Help, Fails?

Cataract Surgery: Blurry Vision?

Leg Vein Disease: Melt Away Veins in Minutes Gender Specific Knee Replacement: A Perfect Fit

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:

Hospice Care: Reverie Harps Breast Cancer Treatment: What is Hormone Therapy?

Adolescent Health: When Should Teens See a Gynecologist?

Healthy Skin: From the Inside Out Mindless Eating: Nutrition, What's Eating Got to Do With It? Headache Treatment: Low Level Laser Therapy Hormones: Can't Live With Them, Can't Live Without Them!

New Technology: IPL Helps Keep Youthful Appearance

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.

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 at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

“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

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 5

Soccer stars.

Soccer moms.

We’re all athletes.

Pain in your knees makes everything difficult. Whether you’re taking the winning shot on goal. Or climbing out of the car for the umpteenth soccer game.

So talk to the experts at the Orthopedic and Sports Enhancement Center. Dr. J. Anthony Dustman, Dr. Robert K. Seidl, Dr. Thomas Duhig, Dr. Chris J. Dangles and Dr. Joseph Norris can help you eliminate knee pain with the latest treatments.

And since we’re an affiliate of Advocate BroMenn, you can trust us to give you the area’s most exceptional care.

Common conditions treated by the Orthopedic and Sports Enhancement Center: • Carpal Tunnel • Tennis Elbow • “Trigger Finger” Locking Finger Joint

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Improve Your Game Personalized professional sports training programs available including Acceleration and Strength Training. Call (309) 663.9300 to reserve your time now.

309.663.9300 | www.sportsenhancement.net Page 6 — Healthy Cells Magazine — Bloomington ­— October 2011

2406 East Empire, Bloomington, IL 61704

children's foot health

“Mommy!

My Foot Hurts!”

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

C

hildren’s feet may be small, but unless parents consider the specific needs of young walkers, problems for those children may loom large down the road. Shoes can protect children's feet, but if fit incorrectly, they can do more harm than good. Sometimes an insert, or orthotic, can be helpful in correcting any foot deformities early and keep those young feet ‘on the road’ much longer.

The feet of young children may be unstable because of muscle problems which may make walking difficult or uncomfortable. Children will go through normal growth spurts – but if aches and pains last longer than 1-2 weeks, a pediatric examination by a podiatrist may detect any underlying defects or conditions which may require immediate treatment or consultation. Many times correction of these problems early will help eliminate the need for further treatment down the road!

Infants’ feet that curve excessively inwards or outwards can be corrected with shoes that are modified and fitted with arch support. By

age three, when children develop a heel to toe walking gait, excessively flat feet should be fit by a podiatrist with a custom molded shoe insert (orthotic) or a pre-fabricated insert (littleSTEPS™ are our favorite!) to assist bones to develop in correct alignment. Infants and toddlers feet are normally fat, flat and flexible. These qualities usually decrease until about age seven.

Children’s feet grow rapidly during the first year, sometimes reaching almost half their adult foot size. This is why I consider the first year to be the most important in the development of the feet. With a well coordinated effort we can ensure that your child continues to be happy and active as they grow and play!

For more information about children’s foot pain or littleSTEPS™ orthotics, please contact Dr. Melissa Lockwood at 309-661-9975 or www.heartlandfootandankle.com October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 7

concussion management

Second Impact

Syndrome

By Edward W. Pegg MD

S

econd Impact Syndrome (or SIS) is probably not as familiar a term as concussion, but it should be. The media has recently focused on concussion because of the long-term Alzheimer’s-like effects it can have on athletes. However, the short-term effects of concussion can be more devastating if compounded by a “second impact.”

Second Impact Syndrome occurs when there is a second head injury before resolution of the initial concussion. The second head injury is usually mild, one that normally would have no lasting effects.

However, when the brain is already compromised from the first concussion, even a minor second impact can have disastrous consequences.

Although Second Impact Syndrome is a rare occurrence, it is devastating because injury and symptoms of SIS occur rapidly, progressing from loss of consciousness to coma and in some cases, even death of young, healthy patients.

The reason for these disastrous consequences is systemic dysfunction which occurs during SIS. The sympathetic nervous system shuts down. In turn, blood vessels become dilated, expanding to the point of leaking fluid and blood into the brain. As the swelling persists, more sympathetic control is lost, and the blood vessels are stretched to the point of breaking. Soon, swelling increases the size of the brain causing an increased pressure inside the once comfortable skull.

As edema (fluid) accumulates inside the skull, it leads to increased pressure pushing on the brain. In layman’s terms, the brain is between a rock and hard place with nowhere to go. The result? Brain cells (neurons) are smooshed to oblivion and no longer function. And when they shut down, so does the patient, quickly progressing to a comatose state. As more edema infiltrates the brain, the condition worsens.

Soon the pressure pushes the brain downward toward the bottom of the skull and onto the brainstem. If neurons here get too crowded, breath and heartbeat cease, leading to death. This is why second impact syndrome, while rare, is so ominous. Athletes will often die or at least suffer serious brain damage from what seems like a minor hit.

Second Impact Syndrome is a disorder that has just been recognized in the last ten years. Prior to this, an unresponsive athlete would have been diagnosed as a victim of dehydration and heatstroke. The best treatment for SIS is prevention. This has resulted in a new law in Illinois, Page 8 — Healthy Cells Magazine — Bloomington ­— October 2011

the Protecting Our Student Athletes Act, and stricter rules by the Illinois High School Association requiring a concussed athlete to be seen by medical personnel for evaluation and clearance before return to play.

Many doctors, including myself, use neuropsychological testing such as the ImPACT™ test to help manage athlete’s risk of concussion and prevent SIS. Before the availability of this test, there was no accurate way to know when the brain was healed. An MRI or CAT scan was of no help as these tests measure brain structures—but concussion does not present by changing brain structure. It presents by changing brain performance; the athlete’s ability to think, remember, respond, etc. The ImPACT™ test is a series of simple computer games that measure the athlete's mental faculties before any injury has occurred (baseline). The athlete’s baseline performance on these simple tests can then be compared after a hit to the head to determine if a concussion is present and how severe it is.

Most importantly, ImPACT™ testing helps us manage the athlete’s recovery from concussion. In a concussion, there is a bruise-like (reversible) injury of the brain. Much like a bruise of the body, a bruised brain will heal if given proper rest and protected from further injury.

Unlike a body bruise, a brain bruise is not obvious. The tell-tale changes are changes in the person’s mental capabilities. By testing the brain with simple computer games, we can measure change and performance of the brain just like we can measure a decrease in strength in a bruised muscle. With proper rest the brain will recover to normal function and resilience.

This is where Neuropsych testing becomes extremely helpful to determine concussion recovery. Brains have levels of function just like performance cars. There can be big differences. As an example, a genius athlete may have values in a normal range on ImPACT™ after a head injury, but it may be substandard for him. This is why a baseline ImPACT™ study is so important. It allows us to see whether the brain is injured or working normally by measuring the athlete's brain with concussion against his own normal brain. ImPACT™ testing is the cornerstone to good concussion management.

To promote a safe return to play, Dr. Pegg has ImPACT™ available for groups at cost. You may contact him at 309-661-7344.

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

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 9

physical

Top 10 Ways to

Manage Chronic Pain

By Anna M. Czipri, PsyD, Psychology Specialists, Ltd.

T

he numbers are staggering. Affecting over 116 million Americans and costing the country more than $560 billion per year, chronic pain disables more Americans than heart disease or cancer.

Chronic pain affects work, relationships, self-worth, and emotions. With these burdens, chronic pain can result in feelings of hopelessness. Fortunately, there are steps to take that can empower those who suffer from chronic pain. Here are 10 recommendations to take back control and reduce the impact of chronic pain from common conditions such as fibromyalgia, headaches, and back pain.

1. Ask for help: Many types of chronic pain cannot be seen, making pain difficult to understand, contributing to the stigma of chronic pain, and causing sufferers to feel very alone. Sometimes it is difficult to find support in others to help deal with the depression, fatigue, anxiety, low self-esteem, irritability, and isolation caused by chronic pain. Tell your friends and family how you are feeling and what you are dealing with.

Seek help from a therapist or psychologist. They can help you learn Page 10 — Healthy Cells Magazine — Bloomington ­— October 2011

about your condition, let you talk about it in a safe environment, and help you learn how manage it on a daily basis.

2. Keep a journal: A pain journal is a place where you log items such as what kind of pain you have, how high your pain is, and what might have set it off that day. Rating, using descriptive words, and logging patterns in time of day and situations in which you experienced pain is an easy way to help your doctors help you.

3. Relax: Reducing stress is particularly useful for individuals suffering from chronic pain; however, many of us do not take time to relax our bodies and calm our minds. Ask your psychologist to help you make simple stress modifications at home and at work or teach you relaxation skills such as deep breathing, guided imagery, and progressive muscle relaxation. They may even be able to do biofeedback, also helpful for treating many types of chronic pain.

4. Improve your eating habits: You are going to need to be tough in order to manage this pain, so why not eat foods that will help your body be strong? Eating healthful foods and maintaining a well-balanced diet can help reduce the risk of other health problems and help maintain a healthy weight.

8. Find your limits: Figure out what your activity limits are, and stick to them. Plan for manageable amounts of activity and balance with rest.

It is okay to say “no” sometimes when you need to take care of your own well-being. You are the only one that knows what you need and setting limits allows us to care for ourselves.

5. Stop smoking: Pain sufferers who smoke report higher levels of pain than those who do not. Smoking can cause poor circulation, slow the healing process, and increase risk of degenerative problems.

Smoking can actually contribute to pain.

9. Have some fun: What we give our attention to grows, which is why focusing on pain will make it worse. Involve yourself in a favorite hobby, get together with a friend, and explore new activities. If you cannot lower your pain, try to distract yourself from it.

6. Start exercising: It is a mistaken belief that we should not exercise when we hurt. In fact, it is easiest to manage our pain when we can help our body reach its best possible condition. Without exercise, we lose muscle tone and our bodies become weak, causing more pain. Exercising releases brain chemicals called endorphins, which are important in controlling mood and pain. Even gentle exercise such as stretching and walking can release endorphins.

10. Understand your medications: Be assertive, ask questions, and educate yourself on your medications. Understand side effects, such as rebound pain and addiction potential. There are many medication options, so explore until you find the medication right for your mood and activity level.

7. Protect a bedtime routine: Take the hour before you go to sleep to do something relaxing and train your brain to wind down. Go to bed at the same time and wake up at the same time every day. Avoid alcohol, late-night eating, and television before bed. Your body will feel better the next day if you are refreshed and rested. Protect your sleep schedule because it is important for your emotional and physical wellbeing.

Admittedly, these are not 10 simple recommendations. These are recommendations for lifestyle changes. Much like finding out you have diabetes and have to check your blood sugar daily; change is difficult, but necessary. Seeking help is a good place to start, and a health psychologist is one good resource to increase motivation, avoid feeling overwhelmed, and begin feeling less controlled by your pain.

Psychology Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain. For more information, you may contact Psychology Specialists at 309-706-3190 or visit www.psychologyspecialists.com.

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 October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 11

emotional

Overcoming Depression With TMS Therapy Submitted by Dr. Anjum Bashir

D

epression afflicts more American adults than cancer, AIDS and coronary heart disease, and is the number one contributor to suicide, according to the National Institute for Mental Health. It's also estimated that the number of people diagnosed with depression each year costs $83 billion annually, just in costs associated with decreased productivity and increased absenteeism in the workplace. The CDC estimates that 80 percent of those diagnosed have depression severe enough to interfere with the way they funcPage 12 — Healthy Cells Magazine — Bloomington ­— October 2011

tion at home or at work. However, less than half of those diagnosed actually seek help and countless others are undiagnosed. Clearly, depression is a serious medical illness – one that doesn’t just go away.

Typical treatments for depression are antidepressant medications and talk therapy (psychotherapy.) However, there is quite a bit of controversy over the benefits of using antidepressant medication, despite the fact that one in ten Americans takes an antidepressant

and the use of these drugs has tripled in the last decade. Not only do antidepressants cause some significant side effects, but recent studies have also raised questions about their effectiveness.

There is a new treatment option for depression called Transcranial Magnetic Stimulation (TMS) that does not involve any type of drugs or medication. TMS has recently been approved for use in the United States and is listed as one of the top medical breakthroughs for transforming our lives, according to AARP Magazine.

The exact cause of depression is not known. Many researchers believe it is caused by a chemical imbalance in the brain. It is thought that low levels of the brain chemical serotonin, which regulates mood and emotional responses, lead to depression and depression medication works by bringing serotonin levels back to normal.

The most widely prescribed antidepressants come from a class of medications known as selective serotonin reuptake inhibitors (SSRIs). The SSRIs include well-known antidepressants such as Prozac, Zoloft, and Paxil. They act on serotonin, which not only helps regulate mood, but also plays a role in digestion, pain, sleep, mental clarity, and other bodily functions. This may explain why 86 percent of people taking antidepressants have one or more side effects – sometimes mild, sometimes severe. The wide range of possible side effects includes:

Nausea Anxiety Dizziness Fatigue Constipation

About the only side effect of Transcranial Magnetic Stimulation (TMS) therapy is a slight headache and scalp discomfort. TMS works by delivering focused magnetic stimulation directly to the area of the brain that is thought to be involved with regulating mood.

These magnetic field pulses are the same strength as those used in MRI machines. During the therapy session, you are wide awake in a comfortable chair while a small curved device, which contains the magnetic coil, rests lightly on your head. As these magnetic fields move into the brain, they produce very small electrical currents. These electrical currents activate cells within the brain, which are thought to release neurotransmitters, including serotonin. It is believed that the symptoms of depression can be alleviated by increasing the levels of these neurotransmitters.

TMS therapy has been demonstrated to be safe and effective in treating major depressive disorder in adults who have not been able to achieve improvement from other treatment methods. There are very few physicians, only about 300 nationwide, that have TMS equipment and are trained and qualified to deliver TMS therapy. It is covered by a growing number of insurance companies. If you or someone you know is suffering from depression, TMS therapy could be the answer.

For more information about TMS Therapy, 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 TMS Therapy for depression.

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nutritional

Biochemistry and

Weight Management

By Dr. Tom Rohde, Renew Total Body Wellness Center

O

verweight and obesity are truly dangerous conditions that will require constant vigilance, management, and a daily decision to “do the right thing” every time a thought about food pops into our head or we walk past a tasty treat.

A recent report on obesity showed that we now have 12 states with obesity rates over 30%! This keeps growing (couldn’t help myself) as 20 years ago no state had an obesity rate over 15%! Worse, our kids are really in trouble – more than a third of our 10-17 year olds are obese or overweight. They are headed for serious trouble and significantly Page 14 — Healthy Cells Magazine — Bloomington ­— October 2011

shortened life spans with the increase in diabetes and the subsequent increase in heart disease that the inflammatory burden of the excess weight guarantees them. Our excess body fat is literally a health damaging inflammation factory.

What to do? Many opportunities are advertised daily to help with weight loss. Hospitals, doctors, and private companies all offer programs and people are able to lose weight while enrolled. Unfortunately, the weight usually comes right back a short time later, and often a bit more than the original starting weight. Why?

We have always been told that weight is a result of calories eaten versus calories utilized or burned. Sounds simple, yet I daily see patients who have catalogued their diets and their exercise regimens and they should be able to lose weight and even keep it off. But they don’t. Why? There is more to the story than simply calories in and calories out.

Hormones and biochemistry specifically are the unseen larger base of the iceberg our excess weight represents. Our hormonal biochemistry controls many metabolic processes in our bodies. This hormonal biochemistry will make or break a weight management program’s long term success. Let’s look at some of these a little more closely.

Let’s start with the thyroid. Most weight programs do lab work which includes TSH as a screening test for thyroid function. If the TSH is in the normal range (which is a pretty wide range in most laboratories) then it is assumed that the thyroid is normal, even if you feel poorly.

However, TSH alone doesn’t really tell us if your thyroid is producing the proper hormonal effect. This is because your body must convert inactive T4 to active T3, which is your active thyroid hormone. Without going into a complicated biological explanation, you can feel lousy due to improper thyroid function, even though the lab test numbers show that your thyroid is functioning properly.

Some people have symptoms like cold hands and feet or a lower than normal body temperature which are signs of tissue thyroid resistance and can only be corrected with thyroid hormone replacement despite normal thyroid values. This must be adjusted clinically to correct your symptoms or the numbers can lead you astray and keep you feeling lousy, when you look great on paper in the doctor’s office! This is labeled euthyroid sick syndrome and is frequently seen with stress leading to adrenal gland dysfunction.

Let’s talk about your Adrenal glands. These vital organs look like a small stocking cap on your kidneys and produce cortisol among a few other hormones. Cortisol is vital for life and a number of bodily functions. It can cause problems with weight if you have too much or too little. Your body is always about BALANCE. If your adrenal balance is off due to stress, you’ll feel that way as well - unbalanced. Lots of life’s events affect your cortisol with STRESS being the major one, and we all struggle with stress in our fast paced society. We don’t shut down and relax enough, we don’t sleep enough, we have cell phones and music on all the time and our adrenal glands weren’t meant to keep up with this hurried pace for any length of time. The glands first crank out too much cortisol to deal with the chronic stress. This builds the central tummy fat weight. Then when they fatigue or “burn out” we have too little cortisol and our metabolism tanks along with our energy and we can’t burn off the calories like we used to. The result: weight gets stuck!

How can you figure out your adrenal function? If you’re not testing – you’re guessing! Saliva testing is the most accurate and most easily performed way to get a cortisol level measured in the morning, at noon, at dinner, and at bedtime to see your total daily output. Measuring your adrenal function and working to restore balance to your cortisol is vital for success with weight loss and long term weight maintenance.

Look for part 2 of this story in next month’s issue of Healthy Cells.

For more information on weight management, thyroid function, hormone evaluation and management, or anti-aging medicine please see Dr. Rohde’s web site: www.DrRohde.com or call 217-864-2700 to schedule a consultation for the next step to a healthier life.

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october is audiology awareness month

What is an Audiologist?

By Deborah S. Pitcher, Doctor of Audiology/Practice Owner, Bloomington-Normal Audiology

T

he healthcare field is full of “ist” professions! Most people know what a dermatologist or oncologist or psychologist does for a living. But what about the term “audiologist?” One reason that the American Academy of Audiology has designated October as National Audiology Awareness Month is to bring awareness to this profession!

So what is an audiologist? An audiologist is the licensed hearing healthcare professional who diagnoses and provides audiological treatment of hearing and balance disorders. These specialists are responsible for identifying and rehabilitating hearing loss in individuals of all ages, from newborns to seniors. For many years, audiologists practiced with a Masters Degree. Currently all academic training programs require doctoral level training to become an Audiologist. In the State of Illinois, doctoral level audiology programs are offered at Illinois State University, Northern Illinois University, Northwestern University, Rush University Medical Center and the University of Illinois.

The field of Audiology began in the late 1940’s. WW II servicemen and women returned home to find that the excessive noises to which they had been exposed during combat had damaged their hearing.

The Veterans’ Administration was the first to train audiologists. During the 1950’s, the US experienced a rubella epidemic that left many children severely hearing- impaired. Audiologists were needed to serve these Veterans and to work with the children who needed assistance to overcome the effects of their hearing loss.

Test equipment to assess hearing loss was very basic compared to today’s standards. In fact, years ago, listening to “a whispered voice” in a physician’s office, was the extent of what was called a hearing evaluation! Audiologists today have multiple types of instrumentation that allows for very detailed and specific results to be obtained. Of special note are the auditory brainstem response test and the otoacoustic emissions test which allow audiologists to accurately determine the hearing status of a newborn infant. In fact, legislation now exists nationPage 16 — Healthy Cells Magazine — Bloomington ­— October 2011

wide which requires that all infants have a hearing assessment prior to discharge from the birthing hospital. Some of this same technology allows for identification of early inner ear hair cell damage, even before the hearing is actually affected. Such tests suggest pending or forthcoming hearing loss and allow the patient the opportunity to limit noise exposure or use hearing protection to avoid significant hearing loss.

The devices now available to assist hearing impaired patients include high tech digital instruments with bluetooth compatibility allowing television and telephone signals to be directly routed to the hearing aids. Examples of recent hearing aid advancements are instruments that now use rechargeable hearing aid batteries and instruments that are totally waterproof and can even be worn while swimming. Some hearing aids can now be adjusted by touching buttons on the user’s personal cell phone. Significant improvements in cochlear implants now offer tremendous help to the very severely hearing-impaired population; implanted patients are even reporting the ability to enjoy music again and follow conversations in noisy environments.

With the increased life expectancy of the US population, more and more individuals are finding themselves in need of hearing assistance. In fact over the past three years, US NEWS AND WORLD REPORT has listed Audiology as one of the top ten most promising fields for high school students to consider as a career! Favorable job prospects, excellent job satisfaction and a sense of helping others are all mentioned as reasons to enter the field of Audiology.

It is estimated that 33 million Americans experience hearing loss. As these persons look for care, it important that the distinction between hearing aid salespersons/dispensers and academically trained, State Licensed Audiologists be appreciated by the general public. AARP has addressed this topic and stated: “more important than the specific hearing device that might be recommended, is the expertise of the person fitting the device.” Anyone seeking evaluation or treatment for their own hearing loss or for a family member or friend should not hesitate to ask if they will be seeing an Audiologist.

More information is available by visiting the American Academy of Audiology’s website at: audiology.org For information on any hearing related issue, you may contact Bloomington-Normal Audiology at 309-662-8346 or on the web at www.bloomingtonnormalaudio.com. They are located at 1404 Eastland Drive, Suite 203 in Bloomington and 1508 Reynolds Suite B in Pontiac.

Common Signs of Hearing Loss • Playing the radio/TV at volumes louder than others prefer • Regularly asking for speech to be repeated; saying “What? Or Huh?” often • Not hearing the phone ring, birds sing, doorbell sound or the turn signal on the car • Difficulty following conversation in a noisy restaurant

Experience the difference 2406 E. Washington St. | Bloomington, IL 309 | 662-8418 eastlandchiro.com Chris Hoelscher, D.C. Stacy Hieronymus-Kong, D.C.

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 17

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Page 18 — Healthy Cells Magazine — Bloomington ­— October 2011

pedorthics

New-Age Relief for an Age-Old Problem

By Dennis W. Dillard, C.Ped., CTO, Comprehensive Prosthetics and Orthotics

P

edorthics is a relatively young profession - in name anyway.

Making, fitting, and modifying footwear, however, is an occupation as old as the human race. While modern health care practices may have added layers of complexity to the field by developing credentials and certification, in essence what a pedorthist does is make, fit, and modify footwear. It’s pretty simple and it works.

Like most medical professions, Pedorthics is as much of an art as it is a science. The human foot is a complicated and delicately balanced mechanism. When feet are functioning normally, they are amazing. And, of course, we mostly ignore them when they do what they are supposed to. Unfortunately, however, many of us know from experience that our feet are susceptible to many potential maladies.

Why? Unless we spend all our waking hours on the couch, our feet are subject to repetitive wear and tear every day. Time is not kind either, and systemic diseases such as diabetes target the feet. And it’s true what that old song tells us; the foot bone IS connected to the ankle bone and the ankle bone to the knee bone, and so on. When our feet are unhappy, they can make the rest of our bodies somewhat unhappy as well.

The practice of Pedorthics continues to evolve. Over and over, patients find relief from pain and improvement in function with seemingly simple devices. For example; people with leg length discrepancies are suddenly functionally level again with an unnoticeable heel elevation placed inside their shoe. Patients with painful and calloused joints in the balls of their feet resume daily walks after being fit with custom foot orthoses. Similar devices provide relief for others suffering from tendinitis. Properly fitting shoes and inserts protect the feet of a person with diabetes from damaging pressure and friction.

In the field of Pedorthics there is a high percentage of unhappy feet that improve substantially when fit with appropriate footwear that fit their shape and are properly sized. Simple is good, and what works, works.

Dennis Dillard is an ABC Certified and Illinois Licensed Pedorthist at Comprehensive Prosthetics and Orthotics, located in Peoria, IL. For more information, contact him at 1-888-676-2276 or visit www.cpousa.com.

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October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 19

feature story

Illinois CancerCare Foundation Finding Hope and Funding for a Cure

By Jennifer Johnson

W

hat if the citizens of Rochester, Minnesota didn’t realize that the world-class Mayo Clinic was in their city? It’s hard to imagine. Yet, we have an unrecognized gem in Illinois CancerCare, a Central Illinois top-ranked research program honored with the 2007 Clinical Trials Participation award. Illinois CancerCare was one of the first practices in the country to provide state-of-the-art treatments to patients in smaller towns like Bloomington. With a network of seventeen oncologists located in fifteen locations, the physicians and staff create a powerful synergy, together sharing their expertise while drawing on the extensive resources among their regional facilities.

Fighting a disease that affects one in three people demands constant advancements. Promising new therapies are measured against the current standard of care through research. For some, the concept of research brings up thoughts of experimentation and turning people into medical “guinea pigs.” That image is far from today’s reality. Protocols thought to be better than current Page 20 — Healthy Cells Magazine — Bloomington ­— October 2011

standards are the only ones offered to patients and enrollment is often available exclusively to those for whom standard care has failed, presenting an option besides hospice.

Research to develop these new treatments requires money— lots of money. Pharmaceutical companies and government support don’t cover all of the expenses. The price tag includes medicine, dedicated equipment, and administrative overhead, which includes additional staff and specialized training. The costs limit the ability for many medical practices in smaller communities to offer potentially breakthrough studies, which is why research is often concentrated in big medical centers. Federal budget reductions have cut the number of studies even as the need increases. “There are more cancer drugs than there are investigators in this country.” Dr. James Knost, a practicing medical oncologist with Illinois CancerCare for almost nineteen years explained the situation in a 2009 Journal Star article. “All these drugs can’t be researched at major centers.”

We think it’s just as important for every child’s mother, father, and grandparent—let’s make the same thing happen…starting right here in Central Illinois. Research is the answer.”

A Foundation for Care Close to Home Like many others, Francis was introduced to the world of cancer after a family member was diagnosed with the disease. Her mother sought treatment from Illinois CancerCare. “After all that we went through to help my mother before she passed away, I wanted to get involved because I was so grateful for their assistance. I was thankful that my mom could get the best care available without traveling out of town. It was right here.” The option to stay close to home near friends and family during such a difficult time is important. “From my personal experience, it’s not just a nice-to-have but a need-to-have for families.”

Her desire to give back to the organization that she was so passionate about meshed with her corporate background in board development. She volunteered with the Illinois CancerCare Foundation, improving the organizational structure, helping it grow, making it more efficient, and guiding strategic planning. The Foundation has been able to fund investigations and studies that weren’t being conducted anyplace else in the country. This has made a huge impact on the care of those with cancer locally. “If we as a country are serious about a cure, we need to be serious about research.” Illinois CancerCare and the Foundation have made a local difference. “For community based research programs, we stand out in the nation. ”

That’s where the Foundation comes in. Physicians at Illinois CancerCare are so passionate about the need for more research, they established the not-for-profit Illinois CancerCare Foundation in 2002. The Foundation helps defray the otherwise prohibitive cost of community research so people in Central Illinois can have access to the newest and most promising drugs and treatments.

At first, the doctors served as the primary donors, covering the overhead expenses themselves. Yet, realizing that more funding for cancer research had to come from the community, they hired an executive director and actively started soliciting public contributions in 2007. Interim Executive Director, Katharine Robinson Francis, sites the success of St. Jude Children’s Research Hospital as a model. “A group of people decided the only way to make progress in saving children with pediatric cancer was through research. Since 1962, the five-year survival rates have increased from less than 10% in some cases to as high as over 90%. It’s a model of a somewhat local effort that made a national difference.

Advancing Research Improves Lives One hundred percent of the money raised by the Foundation stays in Central Illinois and eighty-percent of the non-restricted money supports research. This is unique in the world of charitable fundraising, as only seventy-five percent of the dollars one major charitable organization raises stays in the community and another spends less than fifty-percent on research, with studies conducted all over the country rather than in the local communities where the money is raised.

Illinois CancerCare has played a vital part in the early research of several drugs that have become very important in the arsenal of chemotherapy and supportive drugs used nationwide today. Their local, researched-based focus has resulted in over one hundred clinical cancer trials available this year, one of which is providing potential hope to prostate cancer patients that have failed first line treatment. The Foundation has paid to help find better ways to stop tumor progression, monitor cancer treatment, reduce the rate of relapse in certain types of cancer, and to manage the pain associated with some types of chemotherapy.

The Foundation also provides services made possible by specifically marked donations, like Trust in Hope program that delivers specially prepared Thanksgiving meals and provides gifts to brighten the Christmas holiday for families with a terminally ill parent. Volunteers, who often are survivors or caregivers themselves, provide a helping hand, a listening ear, needed items, special celebrations, and make blankets for chemotherapy patients, brightening the long days of treatment. Money raised also helps to provide early detection and prevention education.

To continue supporting more research, additional services, and bringing more pioneering cancer-fighting drugs here, the Foundation’s board launched their first large-scale fundraising event in 2010, CUREageous.

CUREageous Event Helps Bring Outrageous Hope It might sound strange for the organization to host CUREageous, a zany party that raises money to combat such a serious October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 21

feature story

continued

Dr. John Kugler (3rd from left) receiving his CUREageous Rock Doc award. disease. But, working toward a cure for cancer provides a not-sooutrageous hope and optimism that’s reflected in the event. Since Illinois CancerCare was founded in the1970’s, the survival rate has increased dramatically due to advances in early detection, research, and medicine. Progress continues, fueling the pervasive hope that energizes the fun atmosphere as they strive to change the paradigm of the disease from gloom to optimism.

Michael Jackson’s "Just Beat It" will set the mood and the goal as guests gather November 11 at the Par-A-Dice Hotel to honor local doctors who rock in the field of research and enjoy the company of others along with entertainment. “Mad Scientists” will serve colorful test tube drinks dubbed “CUREtinis.” High-tempo choreographed dancers, stilt walkers, and strolling jugglers will perform. Participants can enjoy a photo booth and dessert selections from the giant candy buffet. This upbeat evening reflects the positive spirit they bring to their mission of finding hope while helping to fund a cure.

Fighting the Front-Line Battle Against Cancer at Home If there is a way to be lucky when diagnosed with cancer, patients in Bloomington-Normal are fortunate to have access to the early diagnosis, comprehensive care, and cutting-edge research offered by Illinois CancerCare. Nationwide and in our community, people have lived longer and suffered less because of their programs and research trials. Illinois CancerCare Foundation supports the mission, helping to discover improved ways to prevent, diagnose, treat, and, one day, meet the ultimate goal: Curing Cancer.

To find out more about Illinois CancerCare and Illinois CancerCare Foundation, call 309-243-3000 or 866-662-6564 or visit them online at IllinoisCancerCare.com.

Page 22 — Healthy Cells Magazine — Bloomington ­— October 2011

Bloomington Based Physicians

B

loomington resident Dr. Patrick Gomez knows that residents of Bloomington-Normal and the surrounding areas like to stay close to home for their treatments. He doesn’t blame them. “It’s our job to ensure that we give them the best care in the most comfortable environment,” he states. “The advantage of the Bloomington practice is that we have access to these bigger clinical investigations, therefore more data support and more clinical trials. Because of the recognition we have among larger cooperative groups, Dr. Patrick Gomez we have gotten to know many of the most prominent physicians in our field around the world. Those relationships make it possible for us to pick up the phone and discuss a particular case or treatment instead of sending that patient to tertiary facility.”

Board Certified in Oncology, Hematology, and Internal Medicine, Dr. Gomez has worked for the U.S. Army at Madigan Army Medical Center in Tacoma, Washington and served as the medical director for St. Johns Comprehensive Community Cancer Center in Springfield, Missouri before joining Illinois CancerCare in 2007.

D

r. Pankaj Kumar is board certified in Medical Oncology, Hematology and Internal Medicine. He underwent fellowship training at Montefiore Medical Center/ Albert Einstein Cancer Center in New York. Prior to joining Illinois CancerCare [ILCC], he worked in a medical group in Pennsylvania and was appointed Assistant Professor of Medicine at Penn State College of Medicine.

Dr. Kumar has published many scientific papers in peer reviewed journals and abstracts at the American Society of Clinical Oncology meetings. He joined ILCC in 2007 Dr. Pankaj Kumar and has a faculty appointment at the University of Illinois College of Medicine at Peoria. He specialized in Oncology and Hematology because it provides a perfect combination of clinical and scientific aspects of medicine. He is actively involved in research and is the lead physician in the Quality Improvement department at ILCC. He recently scored in the 95th percentile in a patient satisfaction survey at a regional hospital. He lives in Bloomington with his wife and kids. He says “our patients keep us going, I am grateful to them and their families and will continue to do my best – one patient at a time.”

mammograms

No More Excuses Submitted by Janet Hawkins, Administrator, Ft. Jesse Imaging Center & The Gale Keeran Center for Women

I

t is estimated that 12.2 percent of women born today will be diagnosed with breast cancer some time in their lives. We know that women’s chances for successful treatment are greatly improved by detecting breast cancer in its earliest stages. The American Cancer Society and The American College of Radiology recommend that the most effective way to detect breast cancer early is by having a baseline mammogram at age forty and annual mammograms each year thereafter. Women at higher risk such as a personal history of breast cancer, strong family history of breast cancer or inherited changes in genes should begin screening mammograms sooner.

Some studies suggest that mammograms can reduce death from breast cancer by as much as 50 percent. However, even though pink ribbons are everywhere and most women are knowledgeable about the lifesaving benefits of mammograms, nearly half of U.S. women ages 40 or older failed to get an annual mammogram last year. Researchers are concerned that women may be confused by the debate about the effectiveness of the screenings.

Why is it that almost one half of women who should be getting regular mammograms aren’t? While there haven’t been any scientific studies to answer that question, following are some of the reasons most often cited by women.

• It’s painful. Most women find mammograms to be merely uncomfortable, but for some women, they can be somewhat painful.

However, each breast is only compressed for a few seconds and the procedure only takes about 15 minutes to complete.

• I ’m too busy. Most women lead very busy lives – we take care of everyone else, but neglect our own health. Enlist your partner, friend, or someone else that cares about you to encourage you to have your annual mammogram.

• I feel fine. I have no risk factors, it’s not necessary. Screening mammograms are used to detect breast cancer in women who have no signs or symptoms of the disease. Screening mammograms involve two images of each breast that make it possible to detect masses that cannot be felt. The study can also find microcalcifications (deposits of calcium) that sometimes indicate the presence of breast cancer. Many women diagnosed with breast cancer have absolutely no symptoms or risk factors.

• I worry about the exposure to radiation. Mammograms require very small doses of radiation and the risk of harm from this radiation exposure is low. The benefits of having a mammogram nearly always outweigh the risk.

• I can’t afford it and my insurance doesn’t cover it. There are local services available that provide low cost or free mammograms to women who qualify.

So gals – no more excuses! Mammograms do save lives. Please don’t forget to schedule your annual breast examination with your physician and then remember to schedule your annual mammogram.

October is Breast Cancer Awareness Month. Please call the Gale Keeran Center for Women to schedule your annual mammogram 309-452-9001.

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 23

hand and wrist surgery

Repairing the

Human Toolset

By Alexander Germanis

I

n the toolbox of the human anatomy, the wrists, hands and fingers are the screwdrivers, wrenches, pliers and even hammers. In short, they are meant to tackle just about every job. But even the best tools break or wear out and the flesh-and-bone set can’t just be replaced with a purchase from the hardware store.

That’s where the skilled tools—both literal and metaphorical—of orthopedic surgeons are put to work—surgeons like Dr. Jerry Oakey of McLean County Orthopedics. Specializing in hand, wrist and elbow orthopedic surgery, Dr. Oakey utilizes a unique set of skills, knowhow and instrumentation to repair the human toolset.

And a lot can go wrong with a set of tools that is in constant use: torn ligaments, broken bones, necrosis and the seemingly omnipresent carpal tunnel syndrome—the last of which is the most common ailment Dr. Oakey treats.

Most people have heard of carpal tunnel but few know what it is. Described simply, the median nerve and tendons controlling the fingers pass through a tunnel comprised of bone and ligament at the base of the hand. When swelling of the tendons occur, pressure builds up in this narrow passage, choking off the nerve and collapsing blood vessels on the outside. Tingling and numbness is common. In worse cases, the muscle can actually die.

Carpal tunnel is just one example of what can happen in what Dr. Oakey describes as the “tight system” of the human hand and wrist.

With 27 bones and an interwoven network of tendons, muscles and ligaments, the area leaves little room for error.

And with more complex procedures like fractures to the first joint of the finger and lacerations to the tendons, the need for tight work within that “tight system” is paramount. “Injuries of [those types] are challenging to treat,” Dr. Oakey explains. “You need to [make] repairs…in a very strong nature so you can get the fingers moving to avoid scar tissue; but you also have to minimize the bulk of that repair.”

So a delicate balance must always be kept—a balance between the strength of the repair and the minimizing of scar tissue. Thankfully, since the advent of arthroscopy, this balance is kept with much better regularity than ever before.

Page 24 — Healthy Cells Magazine — Bloomington ­— October 2011

Utilizing tools such as 2.7mm arthroscopes and suture lassoes unique to his specialty, Dr. Oakey can make repairs to the wrist joint, clean out and repair torn ligaments, and shave away partially torn pieces of cartilage. “[All of these repairs] can be done very successfully through the scope,” Dr. Oakey ensures, “whereas previously that was done in an ‘open’ or where you cut through the joint itself.”

Arthroscopy isn’t only better for the patient; it also makes the surgeon’s work easier. “The instrumentation we have is all designed for small portal arthroscopic surgery,” Dr. Oakey continues. “[With nonminimally invasive surgery] it’s very difficult sometimes to get around the bone because you just don’t have the same visualization you have with an arthroscope.”

And it doesn’t stop with arthroscopy. Other methods and tools have been or are being developed to ensure the proper functioning of the human toolset. Lock plates obviate the need for setting cast and removed arthritic bone can be replaced using a patient’s own tissue.

Much of these already existing methods and equipment—as well as the special skills necessary to work well within the tight systems of the hand, wrist and elbow areas—require a little something extra in an orthopedic surgeon to make sure the work is done right and the patient can get back to living life.

“That’s why I did an extra year of training in hand surgery,” Dr. Oakey assuages. “So I did five years in orthopedics and I did a one year fellowship in hand/upper extremity surgery for that very reason.”

Such information inspires confidence, especially where the complex instrument of the human hand is concerned. Although the hand may not have changed over the years, the tools and abilities in the surgeon’s trade have evolved considerably in order to keep the human toolset in good repair for the years to come.

For more information, you may contact McLean County Orthopedics at 309-663-6461 or www.mcleancountyorthopedics.com. Their office is located at 2502 E. Empire in Bloomington.

Teenagers today are glued to phones in ways their parents never were. But it’s no longer about gabbing with friends late into the school night, as texting has taken over instead.

The typical teen sends an average of 3,364 texts per month according to new research from The Nielsen Company.

But take heart, your teen probably is spending less time watching TV. The average teen watches 23 hours and 41 minutes of TV weekly.

This compares with over 39 hours of TV-watching by the average American.

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October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 25

women's health

Check Your Checklist

By Jamie Peel, OSF St. Joseph Medical Center

T

oday’s women try to do it all. They juggle family, work, errands and appointments but they often forget to take care of themselves. When there is a lot to do in such little time, it is important for women to stay healthy and take care of their own needs in order to care for their loved ones.

An easy way for women to get back on track when it comes to their health is to utilize something they probably use every day, a checklist. A woman at any age has certain screenings and tests she should have done, although no two checklists will be the same. When making a checklist, women should consult their doctor because each checklist will depend on their family history and lifestyle.

However, some items should be on every woman’s checklist.

Every woman should discuss with their doctor how often they should get a physical exam. These include checking weight and height, talking about tobacco and alcohol use and having a clinical breast exam and a skin examination. Women should also receive an influenza vaccine (flu shot) every fall or winter.

It is also important for all women to have their blood pressure checked at least every two years. All women, after the age of 20, should have their cholesterol checked every five years. Women can cross both of these tests off her checklist at a physical exam with her primary doctor. If a woman does not need a yearly physical exam, community health events often offer blood pressure and cholesterol screenings.

Other general screening and test guidelines are more specific to different age groups.

For Women Ages 19–39 • Hearing Screening: Every 10 years • P ap Test: Every two years after age 21 and every three years after age 30 • Pelvic Exam: Every year after age 21 For Women Ages 40 – 49 • Eye and Ear Health: Baseline exam at age 40, then every two to four years • Hearing Screening: Every 10 years • Blood Glucose: Every three years after age 45 • Pap Test: Every three years • Pelvic Exam: Every year • Mammogram: Every year

Page 26 — Healthy Cells Magazine — Bloomington ­— October 2011

“Your Last Diet”

Medically Designed Weight Loss Method

For Women Ages 50 – 64 • E ye and Ear Health: Every one to three years after age 55 • H earing Screening: Every three years • B lood Glucose: Every three years • P ap Test: Every three years • P elvic Exam: Every year • M ammogram: Every year • C olonoscopy: Every 10 years For Women Ages 65 and Older • E ye and Ear Health: Every one to two years • H earing Screening: Every three years • B lood Glucose: Every three years • P elvic Exam: Every year • M ammogram: Every year • C olonoscopy: Every 10 years • B one Mineral Density Test It is important to be knowledgeable about family history and always have a list of current medications being taken. Women should also know the immunizations they have received and make sure their current doctor’s office has a record of them. If they do not, women can contact their local health department for guidance.

There is no secret to staying healthy. It is easy to read on the Internet about fad diets and new secrets discovered by scientists.

While some of these may be helpful, it is important to remember the basics. Women who eat healthy food and exercise each week will maintain a healthier lifestyle.

Women need to combine proactive behaviors, like healthy eating and exercise, with proactive ones, like making a checklist of what screenings are needed at each stage in life. It is vital women discuss their checklist with their primary doctor. Depending on family history and lifestyle choices, the doctor may shorten or lengthen the list.

For more information on what checklist is right for you, please call 309-665-5710 or visit www.osfstjoseph.org.

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failed back surgery syndrome

What Happens When What is Meant to Help, Fails?

By Alex Germanis

T

he phrase: “… is the backbone of …” instantaneously carries the meaning of importance. To be the backbone means to be essential: vital to everyday functioning, crucial for stability. It is a metaphor which perfectly parallels its anatomical origin.

The human backbone or spine is something everybody wants functioning properly; so it’s only natural to worry when one’s back is the source of pain or discomfort. And it is only normal to seek alleviation of this discomfort.

Page 28 — Healthy Cells Magazine — Bloomington ­— October 2011

But what happens when that which is meant to help fails to do so or even makes the matter worse? This is the case with Failed Back Surgery Syndrome or FBSS—a condition best described as continued back pain after a surgery has been performed to alleviate the cause of said pain.

As the spinal region is a complex nexus of muscle, bone, ligament and nerves, it is also a nexus of trouble. With issues such as herniated discs, spinal instability and multi-level degenerative disc disease, the

human back can be as much a source of pain for an afflicted person as it is a source of strength and stability for someone who is well.

But going under the knife to handle or manage these issues is not always the best solution. In fact, in most cases of FBSS, a lesion or injury that has been operated on was not, in fact, the actual source of the patient’s pain.

It is also important to make oneself aware of the probabilities of success for certain types of back surgeries. Fusion surgery for spinal instability or spondylolisthesis has a fairly high success rate, but when it comes to multi-level lumbar degenerative disease, spinal fusion is so unlikely to work most doctors won’t even recommend it. In other words, surgery should be avoided.

Evading surgery is, of course, also the best way to prevent a bout with FBSS. And in order to open the door to a life of no surgery there are three main keys: proper diagnosis; time; and yes, the “e” word—exercise.

Diagnosis has always been the first half of the medical dichotomy (the other half, of course, being treatment). A correct diagnosis is so important that patients often seek the advice of several medical professionals rather than just one. In order to avoid back surgery, it is vital to get an accurate diagnosis of the problem in the first place.

One such diagnostic method is electromyography or EMG. Electrodes are used to measure the electrical activity of muscles and nerves and the speed and strength of electrical activity between the two. It is considered a more accurate method than an MRI as an EMG measures the actual activity of an affected area and can tell whether a nerve is even functioning properly. In the end, it turns out the most common cause of back pain is simple muscle strain and not the more complex problems sometimes requiring surgery.

Once a condition is properly diagnosed, the unguents of time and exercise can be the best prescription. Even with thousands of years of medical knowledge and generations of technical advancements, the tag-team of Father Time and the human body still play an important role in wellness.

Most cases of herniated or bulging discs right themselves within a year’s time and muscle strain in a fraction of that. Time combined with a regimen of light exercise: walking, elliptical training, or swimming can all aid in putting the body back in its proper order.

And a body in proper order means living without back pain. An issue such as Failed Back Surgery Syndrome becomes moot when one can avoid the complications of surgery altogether and be one’s own road to recovery.

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Millennium Pain Center is currently conducting a clinical trial for people who have had back surgery, but are still in pain. If you are interested in participating, please call, 309-662-4321.

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 29

cataract surgery

Blurry Vision?

Submitted by Saba Quraishi, MD, Bond Eye Associates

C

ataract removal is not only one of the most common operations performed in the United States, it is also one of the safest and most effective types of surgery. But just what is a cataract? A cataract is a clouding of the lens in the eye, causing vision to be blurry.

The lens lies behind the iris and the pupil and works much like a camera lens. It focuses light onto the retina at the back of the eye, letting us see things clearly.

The lens is made of mostly water and protein. The protein is arranged in a precise way that keeps the lens clear. But as we age, some of the protein may clump together and start to cloud an area of the lens. Cataracts usually start out small, clouding only a small part of the lens, so you may have a cataract and not notice any changes in vision. Over time, the cloudy area in the lens may get larger, and the cataract may increase in size, causing your vision to become increasingly dull or blurry.

Most cataracts are related to the aging process and are very common in people over 60. However, depending on their family backPage 30 — Healthy Cells Magazine — Bloomington ­— October 2011

ground and individual circumstances, some people can have an “age-related” cataract in their 40s and 50s that can cause them visual symptoms. Since cataracts are easily detected through a comprehensive eye exam, symptoms like blurred vision or glare and haloes should be promptly evaluated so that they can be correctly managed.

The only effective treatment for cataracts is surgery. They do not go away and they only grow with time. There is no medicine or eye drop one can take to reverse a cataract.

While there is no rush to have surgery – in general waiting will not harm your eyes – there is no reason to wait, especially if vision problems are interfering with your daily activities such as driving, reading, watching TV, or playing sports.

Cataract surgery involves removing the cloudy natural lens and replacing it with a clear plastic lens, called an intraocular lens (IOL). Cataract surgery technique has improved dramatically in the last 15 years. It is now performed with an incision so small that your eye’s natural healing process is all that is needed to close the incision. The surgery takes less than an hour, is performed in an outpatient setting, uses only local anesthesia, and causes little or no discomfort. You can resume your normal activities, with the exception of high impact activities, the next day. Over 90% of operations are successful and complications are very rare.

One bonus is that there are IOL’s available, called premium IOL’s, that can also correct vision so that you may no longer need any type of corrective glasses after cataract surgery.

For more information or to schedule an eye exam, you may contact Dr. Quraishi, MD at Bond Eye Associates, 309-662-3937. Their office is located at 1228 N Towanda Ave, (Towanda Plaza), in Bloomington.

Dr. Quraishi specializes in Cataract Surgery, Refractive Surgery and General Ophthalmology.

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www.heartlandfootandankle.com October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 31

leg vein disease

Melt Away Veins in Minutes

By Melissa Simon

W

ith cooler weather approaching, there is no better time to treat your varicose or spider veins. Just ask experts Drs. Kathryn Bohn and Thomas Nielsen of Illinois Vein Specialists (IVS). The husband/wife physician team are board certified in both emergency medicine and family practice and are dedicated exclusively to the diagnosis and treatment of vein disease. They encourage patients to think about leg vein health year round, not just in the summer months when shorts come out of the closet.

About 25 million Americans suffer from varicose veins, an abnormal enlargement of veins that is diseased and sometimes unsightly. Many people experience a heavy feeling, throbbing sensation, itching, cramps or itching in the legs. Sometimes walking or standing for prolonged periods of time can make the condition worse.

"We see a lot of nurses, teachers, factory workers and hair dressers,” said Dr. Kathryn Bohn who along with her husband and medical partner are using a catheter based laser procedure to melt veins away in a matter of minutes.

With the help of Ultrasound technology, the doctors position a catheter into the diseased vein through a small incision in the skin. The tiny catheter, powered by laser energy, delivers heat to the vein wall. As the thermal energy is delivered, the vein wall shrinks and the vein is sealed. Once the diseased vein is closed, blood is re-routed to other healthy veins. Recovery time is minimal and most patients return to normal daily activities the same day.

“The days of doing a major surgery called vein stripping are long gone since new laser technology is available,” said Dr. Thomas Nielsen. “It’s much easier on the patients and no anesthesia is required.”

In normal veins, valves keep blood moving forward toward the heart. With varicose veins, malfunctioning valves allow blood to reverse the flow and build up pressure in the veins causing them to enlarge. This is truly a medical condition. Most of the time, the less invasive laser procedure is covered by health insurance.

Some spider veins are also caused by malfunctioning valves. Sclerotherapy is a procedure which requires the injection of a medicine into the veins causing them to shrink.

It is important to note that vein disease does get worse over time and can cause circulatory problems and the formation of leg ulcers. With advanced treatment options and expert physicians, there is no reason to put off treatment.

Illinois Vein Specialists-Bloomington, LLC is located at 328 Susan Drive, Suite 300 in Normal. For more information, call the practice at (309) 862-4000, or visit them online at www.ivsveins.com. They treat both varicose and spider veins with state-of-the art laser technology.

Page 32 — Healthy Cells Magazine — Bloomington ­— October 2011

gender specific knee replacement

A Perfect Fit Submitted by Advocate BroMenn Medical Center

I

f you’ve experienced the pain and limitation brought on by a “bum knee,” total knee replacement surgery can literally be “just what the doctor ordered.” The National Institutes of Health reports that knee replacement can substantially reduce pain and improve function and quality of life. But research shows that while both women and men vastly underuse knee replacement, women in particular experience more knee pain and resulting disability.

Nearly two-thirds of the more than 400,000 knee replacement surgeries performed annually are done in women. Women are also choosing knee replacement surgery at younger ages. And longer implant life is leading to more women in their 40s and 50s opting to improve their ease of movement, reduce their knee pain and increase their overall well-being now rather than later.

Just for women To address this, the medical device company Zimmer manufactures the Gender Solutions™ High-Flex Knee implant specifically for women.

Because women’s bones, ligaments and tendons are different than men’s, the Gender Solutions implant is narrower than a standard knee implant and proportioned to a woman’s anatomy.

Specifically, the Gender Solutions knee implant is an improvement in three ways:

knee. This contouring provides a more precise fit and may prevent the implant from overhanging the bone and potentially pressing on or damaging surrounding ligaments and tendons.

Don’t wait The Gender Solutions knee was approved for use by the U.S. Food and Drug Administration in 2006. It has been widely studied and proven to be an excellent alternative for many women seeking to alleviate pain and restore motion.

To learn more, consult an orthopedic surgeon. Gender-specific knee implants are available in Normal at Advocate BroMenn Medical Center.

Call 1.800.3ADVOCATE or visit www.advocatehealth.com/bromenn/ orthopedics to find a local orthopedic surgeon or for more information about BroMenn’s orthopedic services.

A version of this article previously appeared in Advocate BroMenn Women’s Center’s Healthy Outlook for Women newsletter.

1. Thinner profile. The bone in the front of a woman’s knee is typically less prominent than in a man’s. Traditional implants have a thickness in front that may end up feeling bulky, which may result in pain and decreased range of motion. The Gender Solutions knee has a thinner profile to accommodate this anatomical difference.

2. More natural movement. The angle between the hip and the knee affects how the kneecap moves over the thighbone when the knee is in motion. Many women have a different angle between the hip and the knee than most men do. The Gender Solutions knee accounts for this difference, allowing for more natural movement.

3. Contoured shape. The Gender Solutions knee has a contoured shape to more closely match the narrower anatomy of a woman’s October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 33

Hospice Care

Reverie Harps

By Courtney Keenan, Editorial Intern, Illinois Wesleyan University

A

s a famous musician once said, “There's nothing like music to relieve the soul and uplift it.” Music therapy, pet therapy and massage are some of the new therapy techniques that are being used to ease the transition from medical treatment to hospice care. These therapies have recently grown in popularity, because they have been shown to alleviate spiritual suffering, aid in pain management, promote relaxation and alleviate symptoms of various illnesses.

Hospice is end-of-life care that operates under the principle that dying is part of the living process, and under this care, death is neither hastened nor postponed, while patients are made as comfortable as possible. Basic medical care is provided, but the focus is on pain relief and enhancing the quality of life in the dying process. The hospice facility often provides counseling as well as social and spiritual support for the patient and family.

Medical treatments required to cure illnesses are often aggressive, invasive and stressful on the patient. Many turn to hospice Page 34 — Healthy Cells Magazine — Bloomington ­— October 2011

care when they decide to spend their remaining time in the setting of their choice.

Phyllis McNeil, Volunteer Coordinator for OSF Home Care Services’ Eastern Region Hospice, is a proponent of music therapy in hospice settings. While music therapy may not increase survival rates or cure any illness, it has been found to improve the quality of life and reduce the intensity of a patient’s experience; therefore, it is ideal for use in hospice care. Clinical trials show that music therapy can cause a reduction in heart rate, blood pressure, breathing rate, insomnia, depression and anxiety, especially in the short term A new instrument, the Reverie Harp, has recently gained recognition for its calming benefits in hospice patients. OSF Home Care Services’ Foundation recently purchased Reverie Harps for each agency. McNeil finds it a useful tool because the patient can create soothing, harmonious tones with the harp without a single lesson.

This brings a sense of calm to patients and visiting family members.

Musical aptitude or training is not required to play the harps.

Patients can even use pencils to strum the chords if they have trouble using their hands. McNeil says that, “as patients play the harp, they begin to open up about their past and what is on their mind now.” Using this avenue to encourage the sick to speak about difficult and personal topics is essential for caregivers to help ease their transition from life to death. McNeil also provides her patients with soothing music on CDs in addition to Reverie Harps.

Volunteer and social support during hospice also plays a large role in the success of the system. McNeil has created a social work program that provides alternative therapies and other services for the sick and elderly. She and her other volunteers visit with patients in hospitals or in their homes to read to them, listen to music, or simply to talk. McNeil notes one patient in particular whose home she visits every Tuesday evening to play board games for a few hours while the caregiver is out.

After McNeil’s mother was placed in hospice following a stroke, she decided to start this program, hoping to reach out to other hospice patients with alternative treatments and caring support.

McNeil says that her experiences with family members and close friends in end-of-life care have shown her “what is truly important while someone is suffering through an illness,” and through her work, she wants to give back to others in the same situation.

For more information, please contact OSF Home Care Services at 800-673-5288 or visit www.osfhomecare.org. OSF Home Care Services provides hospice, home health, home medical equipment and home infusion pharmacy.

No two women are alike.

Why should their hormone replacement No two women are alike. therapy be? replacement Why should their hormone therapy be?

Hot of of focus?

Bio-identical Hormone Hot flashes? flashes?Night Nightsweats? sweats?Loss Loss focus?

Bio-identical Hormone Replacement Therapy (BHRT) uses hormones identical ones Replacment Therapy (BHRT) uses identicaltotothethe ones

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Loss of focus?

Bio-identical Hormone your produces treat your specific symptoms.

YourYour medication Replacment (BHRT) hormones to the about ones tion is formulated to fit your uses specific needs.

To learn more is formulated toTherapy fit your specific needs.

To learn identical more about BHRT, your contact body produces to treatPharmacy your specific symptoms.

BHRT, Doug’s Compounding Pharmacy today. Your medicacontact Doug’s Compounding today.

tion is formulated to fit your specific needs. To learn more about BHRT, contact Doug’s Compounding Pharmacy today.

We accept insurance 137 N. Market Street—Paxton Phone: 379-DOUG(3684) We accept(217) insurance Toll (877)Street—Paxton 642-DOUG(3684) 137Free: N. Market www.dougsrx.com Phone: (217) 379-DOUG(3684) Licensed in the State of Illinois Toll Free: (877) 642-DOUG(3684) www.dougsrx.com Licensed in the State of Illinois

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 35

breast cancer treatment

What is Hormone Therapy?

By Jolene Clifford RN, OCN, CBCN, Community Cancer Center

H

ormonal therapy, sometimes called anti-estrogen therapy uses medication to reduce the risk of hormone receptorpositive breast cancer from recurring or a new breast cancer from developing.

A hormone receptor is a structure where the hormones attach to cause changes in a cell. In breast cancer a hormone receptorpositive breast cancer is a type of cancer where the cancer cells use hormones to grow. In contrast a hormone receptor-negative breast cancer is a type of cancer where the cancer cells do not use hormones to grow.

Hormone therapy is useful to manage tumors that test positive for either estrogen receptors (ER) or progesterone receptors (PR). These tumors use hormones to fuel their growth. Blocking the hormones usually limits the growth of these types of tumors. There are several approaches oncologists use to block the effects of estrogen or to lower the levels. These approaches are divided into three main groups: •D rugs that block the effect of estrogen on cancer cells, called antiestrogens, such as tamoxifen. These medications have no effect on estrogen levels; instead they prevent estrogen from causing the breast cancer cells to grow.

•D rugs that lower the production of estrogen in the body, such as a class of drugs known as aromatase inhibitors. Examples of aromatase inhibitors are femara, arimidex, aromisin.

•O varian suppression or shut down to prevent the ovaries from producing hormones.

"Hormone therapy is useful to manage tumors that test positive for either estrogen receptors (ER) or progesterone receptors (PR)."

Hormonal treatments for breast cancer are used for women who: • Are at high risk, but have not had breast cancer •H ad non-invasive breast cancer (DCIS) and want to reduce the risk of recurrence and a new breast cancer •H ave hormone receptor-positive breast cancer that appears to have been completely removed by surgery. (Hormonal therapy is used as adjuvant therapy to get rid of any remaining breast cancer cells. It may be used alone or in combination with chemotherapy.)

• Have cancer that remains after surgery or cancer that has recurred • Have advanced disease Hormone drugs are only effective in women whose cancer has the estrogen or progesterone receptor. If the cancer is negative for both of these receptors, you will not benefit from the treatment.

Hormonal therapy is a pill that is taken daily usually for 5 years.

This is a long term commitment to staying healthy. It means that patients with breast cancer need to fully understand and carefully follow their doctor’s guidelines for taking the hormonal therapy so they can get the most benefit out of the medication.

Women need to understand why they are taking the medication and any potential side effects they may experience. Common side effects include hot flashes, vaginal discharge, or joint pain. If you experience any of these side effects it’s best to discuss them with your physician because they may be able to switch you to a different medication or it may just take your body awhile to adjust to the new medication. Communication is key to helping you comply with the treatment plan and getting the most benefit from the hormonal therapy.

For additional information on hormone therapy please contact Jolene Clifford RN, OCN, CBCN, Breast Health Navigator at the Community Cancer Center at 309-451-8500.

Page 36 — Healthy Cells Magazine — Bloomington ­— October 2011

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 37

adolescent health

When Should Teens See a Gynecologist?

By Dr. Rachel Dalton

T

he American College of Obstetrics and Gynecology (ACOG) recommends an adolescent begin gynecologic care at age 13 to 15. This may seem young to many people, especially to parents, but the primary goal of an initial female reproductive visit is educational information and guidance. Not all pediatricians and family practice doctors feel comfortable discussing female reproduction with adolescents. Statistically, age 13-15 is an important time because 47% of adolescents age 15-19 are sexually active or have engaged in intercourse. (The incidence increases with age: 14% at age 15, 75% by age 19.)

Education at an initial visit would be tailored to age and risk assessment. The age-appropriate discussion may include pubertal development, normal menses, timing of gynecologic visits, healthy eating habits, sexually transmitted infection (“STIs”, formerly called “STDs”), pregnancy prevention, gender identity, substance use/abuse, and rape prevention. Specifically, discussion of normal menses would entail average age at first cycle, appropriate flow, menstrual hygiene and duration/frequency of bleeding. Often, charts, models, and diagrams are helpful aids to discussion. The age of 13 to 15 is a key time to discuss healthy eating habits and screen for disordered eating. Adolescence is the most common time for eating disorders of anorexia and bulimia to begin.

What happens at a first gynecologic visit?

Ideally, a first visit would have specific time for the patient and parent together, the patient alone, the parent alone, and then the patient and parent back together. A gynecologist can review medical history, family history, and immunization status with a patient and her parent. After the gynecologist explains the exam process, the adolescent patient can elect to have a parent present or not present for the exam. Further, the adolescent patient has the right to not have a parent at any part of the visit. However, establishing open lines of communication between patient, parent, and physician is typically best.

What most parents and adolescent patients want to know is, “Do I have to have a pap?” Thankfully (for all parties), the first gynecologic visit does not include a pap. In fact, ACOG does not recommend routine pap until age 21. Unless there is a gynecologic problem, no internal pelvic exam is necessary. Mostly, a first exam includes a visual external examination for sexual development. A physical breast exam is an ACOG recommendation after age 18. If screening for sexually transmitted infections is appropriate (based on a patient’s risk factors), chlamydia and gonorrhea can be screened non-invasively by urine sample.

What about confidentiality of sensitive issues for adolescent young women?

Overall, discussion will remain confidential between an adolescent patient and her physician.

However, if a patient discloses any evidence of risk or bodily harm to herself or others, confidentiality will be breached. The goal of an initial visit is to start a physician-patient relationship built on trust, counsel young women regarding healthy behaviors, and dispel myths/ fears. Therefore, confidentiality with adolescent patients is just as important as with older patients.

Page 38 — Healthy Cells Magazine — Bloomington ­— October 2011

Dr. Rachel Dalton is an OB/Gyn that welcomes any adolescent in need of establishing care with a gynecologist. Please call her at the office of Dr. Harold Nord 309-454-3456 to set up an appointment.

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Cathy Greeneberg Licensed Aesthetician

Do you suffer from sun damage, age spots, red veins, or melasma on your face or body? Let Cathy Greeneberg help you with her expertise in IPL (Intense Pulsed Light) treatments, the latest in Photorejuvenation. Cathy is available at our Bloomington office on Tuesday and Friday afternoons.

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½ page Healthy Ce

healthy skin

From the Inside Out

By Karen Sutcliffe, Licensed Esthetician, K Skin Spa

M

any people slather on various creams and potions in an effort to make their skin look its best. While using the correct products will make a difference, practicing a healthy lifestyle is also an important factor to healthy, glowing, younger looking skin. Following are a few simple habits you can adopt that will improve the health and look of your skin as well as your health in general.

• Eat a “beauty diet”, one that is rich in fresh fruits, veggies, lean proteins and whole grains. Look for local organically grown food. Limit alcohol, refined carbs and sugar.

• Drink 6-8 glasses of purified water a day. If you get tired of plain water, slice a few strawberries or lemon and add to sparkling water.

• Quit smoking. Smoking is damaging to every part of your body and cuts off the microcirculation to the skin.

• Do whatever it takes to make yourself exercise. Exercise, even just walking, increases circulation, giving you a natural healthy glow.

• Start a good skin care regime. The earlier you start taking care of your skin the longer you can delay the signs of aging. A professional facial every month or so is not just an indulgence. A professional facial treatment increases blood circulation and skin renewal is jump started. As we age cell renewal slows down and a facial is just the ticket to increase cell turnover for smooth, supple, hydrated skin.

• Wash your face before bed every night. Even if you don’t wear makeup it is important to remove the grime and oils of the day. If you wear makeup, nightly cleansing gets rid of makeup that can cause clogged pores and breakouts. If you need help choosing the right cleanser for your skin, consult a licensed esthetician.

• Wear sunscreen - even in the winter and on cloudy days! I can’t stress this enough. The majority of skin aging is due to ultraviolet damage from the sun as well as tanning beds. Look for a broad spectrum sunscreen that protects you from aging damage as well as sun burn.

• Watch your stress levels. Stress can wreck havoc on your skin as the stress hormones released by the adrenal gland are irritating to your skin. While we can’t eliminate all the stressors in our day, set a little time aside for yourself to do something you enjoy.

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.

Remember to eat a healthy breakfast to start your day.

Try this for an easy nutritious breakfast.

Mango Cantaloupe Breakfast Parfait 1 carton plain Greek yogurt 1/2 c fresh mango cubed 1/2 c cantaloupe cubed Handful of almonds Sprinkle of nutmeg Layer 1/3 of the yogurt, then all the mango, 1/3 yogurt, all of the cantaloupe, last 1/3 of yogurt. Top with almonds and nutmeg. To sweeten, use a small amount of Stevia to taste.

Page 40 — Healthy Cells Magazine — Bloomington ­— October 2011

Hip Joint Resurfacing

An alternative to Total Hip Replacement Surgery

Brian Sipe, DO

OSF Medical Group ~ Pontiac Board Certified Orthopedic Surgeon For more information, call (815) 844-4062 or go to www. osforthospine-pontiac.org •

Preserves more of your body’s natural bone structure and stability than traditional hip joint replacement

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Uses the tough, low-friction BIRMINGHAM HIP™ resurfacing implant

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Has the potential to return you to more physical activity than total hip replacement

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October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 41

mindless eating

Nutrition Got to Do With It?

What’s Eating

By Julie Dostal, MS, Registered Dietitian, Certified Diabetes Educator

A

mericans have always been in the fast lane. In Colonial times, Europeans visiting America remarked on Americans’ ability to gobble, gulp, and go. We never learned to respect mealtime like the French. Linger for hours over food—never! We regard eating as mindless.

Mindless eating is cued by external signals—how much food is there, how many kinds of food are available. Mindless eating is unrelated to physical hunger and lacks intention and focus. When it comes to eating, mindless eaters do not seek to nourish themselves.

Brian Wansink, PhD in his book Mindless Eating: Why We Eat More Than We Think (Bantam, 2006) describes The Desktop Diner (or Dashboard Diner) like this: "Both speed-eat while multi-tasking at their desk or in their car. Desktop diners eat at their desk partly to save time, but more often to save the hassle of getting a real lunch. It’s not that they’re overly busy— they’re under motivated. If the right person were to stop by and ask them to lunch, they’d probably go. But more often, they snack out of the vending machine or grab a donut from the mail room."

Surrounded by distractions—desktop and dashboard diners continue to eat, forgetting how much they ate and extending how long they eat even though they are not hungry.

The short-term consequence of mindless eating is we don’t know when to stop eating.

Experts have concluded that it’s the non-hunger eating that puts on the pounds. Eating when we are hungry and stopping eating when we Page 42 — Healthy Cells Magazine — Bloomington ­— October 2011

are satisfied is physically attuned eating. We are connected with our bodies when we eat in response to our physical cues of hunger and fullness. We are “good eaters.”

What sets the ”good eater” apart from the mindless disconnected eater? According to Ellyn Satter, MS, RD, LCSW, BCD who wrote Secrets of Feeding a Healthy Family, a “good eater” is a competent eater. He eats regular and reliable meals and sit-down snacks. According to the National Health and Nutrition Examination Survey (NHANES), those who eat three meals a day plus one or two snacks have a better nutritional intake than others who eat two meals a day and one or two snacks.

Besides a regular and reliable meal schedule, “good eaters” go to the table hungry and eat until they’re satisfied. They pay attention to themselves and to the foods they are eating now. They rely on their internal regulators of food intake to guide them in how much to eat.

What foods does a “good eater” eat? A “good eater” gives some thought to food selection to get nutritious food but a “good eater” is not so restrictive or cautious as to miss out on enjoyable food. Ellyn Satter writes, “ When the joy goes out of eating, nutrition suffers!”

The “good eater” is both disciplined and permissive. He relies on a regular meal and snack schedule to feed himself and then allows himself food he likes and wants. In short, “good eating” is flexible. It varies in response to hunger, schedule, proximity to food, and feelings.

If you would like to improve your eating habits, contact Julie Dostal, MS, Registered Dietitian, Certified Diabetes Educator at 309-830-0711 or email Julie@JulieDostalRD.com or online at JulieDostalRD.com Her office is located at 2101 Eastland Drive,D-8 in Bloomington.

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headache treatment

Low Level Laser Therapy

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

H

eadache is one of the most common reasons for people to seek medical attention. Being a manifestation of an underlying disease process, headache may be a reflection of a disorder in structures that anatomically are in close proximity of each other. As such, disorders of the eyes, temporomandibular joints, teeth, ear, nose and throat (including nasal and frontal sinuses), vascular and musculoskeletal systems can all manifest as a head pain condition.

Interestingly, disorders of the cervical and shoulder musculature may result in escalating levels of tension within these structures. If left untreated, this may result in formation of “trigger points” which are hyper irritable spots, associated with palpable tender knots in the muscle fibers. Trigger points may cause local discomfort or referred pain, and when present in the neck and shoulder this referral pattern may manifest as a headache.

A variety of treatment modalities are available to address this phenomena, ranging from massage therapy and stretching, trigger point injection with local anesthetics and steroids, pulsed ultrasound, and low level laser therapy also known as LLLT. This laser technology has gained an increasing popularity in recent years. Cleared by the FDA in 2002, LLLT utilizes a hand held light emitting device to treat a variety of connective tissue and musculoskeletal disorders such as trigger points.

Page 44 — Healthy Cells Magazine — Bloomington ­— October 2011

In contrast to general surgical or cosmetic lasers that produce heat or thermo-destructive laser energy, LLLTcauses no harm to human tissue in normal use.

LLLT has been in medical use for over thirty years and has a long record of successful clinical studies demonstrating medical efficacy and safety. Through the action of photo stimulation, LLLT has demonstrated the ability to significantly accelerate and enhance the body’s natural defense and repair capabilities in certain disease conditions. In the case of trigger points, this provides pain relief, reducing the intensity of injury and facilitating more rapid repair.

In short, low level laser therapy (LLLT) is one of the many treatment options available to manage trigger point related referred pain to the head and neck, manifesting as a headache.

This the sixth 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.

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Saba Quraishi, MD Specialties: Refractive Surgery Cataract Surgery General Ophthalmology

As Christmas draws closer, our team of professional decorators is busy getting ready for the festive holiday season.

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Our comprehensive service covers everything, and we’ll drop by frequently during the season to check and replace bulbs that may have gone out due to weather conditions. When the season is over, our professional staff will take down your decorations.

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E-mail: golfgreen@grics.net October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 45

hormones

Can’t Live With Them, Can’t Live Without Them!

By Doug Higgins, R.Ph., Doug's Compounding Pharmacy

H

ormones can be like living with teenagers. We often can’t live with them, as they send our physical and emotional health on a rollercoaster ride and yet, we must, since they are an integral part of our lives. Hormone levels start to change around age 35 for women and in the mid-forties for men. When these levels start to fluctuate, we notice our bodies starting to change as well. For women, the initial changes are subtle – little things like forgetfulness, hot flashes and night sweats, weight gain, energy issues, changes in bleeding patterns, breast tenderness, mood swings, and changes in libido, etc. Men often become more sedentary, irritable, and experience a decrease in their sex drive.

Most of us don’t realize that these problems are, quite often, related to hormonal imbalance. We may be afraid to address them since we’ve been told that hormone replacement medications can be harmful and should be used only as long as absolutely necessary. Anti-depressants and anxiety agents are often used to treat these symptoms. What is misunderstood is that many hormonerelated symptoms are often resolved with bio-identical hormone replacement therapy. Bio-identical hormone replacement therapy (BHRT) uses sex hormones that have chemical structures that are

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"What is misunderstood is that many hormone-related symptoms are often resolved with bio-identical hormone replacement therapy." identical to the hormones our body naturally produces. Most bioidentical hormones are derived from soy or yams, which contain unique compounds that are processed chemically and made into identical replicas of the sex hormones the body produces.

While there have been no long-term clinical trials to study the safety and effectiveness of bio-identical hormones, Dr. Kent Holtorff of the Holtorff Medical Group examined approximately 200 studies that compared the effects of bio-identical and synthetic hormones. He discovered that the data indicated progesterone was associated with a diminished risk of breast cancer compared with an increased risk with synthetic progestins. Progesterone was also found to prevent the thickening of plaque in arteries and increase HDL(good cholesterol), reducing the risks for heart attack and stroke. Diabetes risk was also decreased.

According to Holtorff, overall, women who used BHRT experienced better symptom control and fewer mood changes. A complete copy of Dr. Holtorff’s research can be found at www.hormonesandlongevitycenter.com under Natural Hormone Replacement , Natural vs. Synthetic HRT (Literature Review).

To learn more about bio-identical hormone replacement therapy, you should seek out an experienced, well-trained medical professional, such as a compounding pharmacist, physician, nurse practitioner or physician’s assistant who specializes in BHRT. They can assist you in creating a plan of care through symptom evaluation, saliva testing of sex hormones, and one-on-one consultation.

If the plan of care includes BHRT, a compounding pharmacist is contacted to prepare a customized medication for the patient. By working together in a triad relationship, the prescriber, compounding pharmacist, and patient can develop a plan that is best-suited to meet the individual’s needs and goals.

Balancing hormones should be a life-long plan and doesn’t have to include an out-of-control rollercoaster ride. Take the time to find a qualified health professional and have a discussion with them about creating a plan for your life.

To learn more about bioidentical hormone replacement therapy, contact Doug's Compounding Pharmacy at 877-642-DOUG(3684) or visit their website at www.dougsrx.com. Established in 2000, Doug's Compounding Pharmacy, serves patients throughout the state and is located at 137 N. Market Street in Paxton.

Quinoa Pilaf with Almonds and Apricots Yield: 4 servings Time: 1 hour 3/4 cup quinoa 1 1/3 cup water 1/3 cup tosasted slivered almonds 1 tablespoon olive oil 1 small onion, chopped 1/2 teaspoon ground allspice 1/4 cup chopped dried apricots 1/3 cup chopped fresh flat leaf parsley leaves 1/4 teaspoon salt, plus more to taste 1/8 teaspoon freshly ground pepper, plus more to taste If quinoa is not pre-rinsed, place in fine mesh strainer and rinse under tap. Put quinoa and water in medium saucepan and bring to a boil. Reduce heat to simmer. Cover and cook until liquid is absorbed and grain is tender, 12-15 minutes.

Heat oil over medium-high heat. Add onions and cook. Stir occasionally, until softened and onions begin to brown, about 6 minutes. Stir in allspice and cook 30 seconds.

When quinoa is done, fluff with fork and transfer to large serving bowl. Stir in almonds, onion mixture, apricots, and parsley. Season with salt and pepper and serve.

For more recipe ideas from Ellie Krieger visit AlmondBoard.com.

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(309•662•8346)

(Pontiac office and out-of-towners)

1404 Eastland Drive, Suite 203 Bloomington 1508 W. Reynolds, Suite B Pontiac

•

Diagnostic auditory evaluations for individuals of all ages Tinnitus evaluation and treatments Hearing conservation and protection for individuals exposed to loud environments Vestibular diagnostic and therapy services provided to assist persons with imbalance or dizziness disorders Hearing aid dispensing including hearing aid screenings, evaluations, fittings, and post-fitting counseling Repairs of most makes and models

Established 1990, locally owned and locally managed.

www.bloomingtonnormalaudio.com October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 47

new technology

IPL Helps Keep Youthful Appearance

By Cathy Greeneberg, The Center for Cosmetic and Laser Surgery

S

tudies have shown that a women’s skin tone influences perception of beauty, health and age. In one study, sociobiologists found that skin discoloration and uneven tone can add years to a woman’s perceived age.

A study by the scientists at the Ludwig-Boltzmann-Institute for Urban Ethology (Austria) and the Department for Sociobiology/ Anthropology at the University of Goettingen (Germany) presented at the Human Behavior and Evolution Society annual meeting showed that facial skin color distribution, or tone, can add, or subtract, as much as 20 years to a woman's age.

"Intense Pulsed Light Treatment (IPL) is the latest in non-surgical skin rejuvenation."

Digestive Disease Consultants A Premier Medical Group affiliate

Would like to introduce our newest physician….

Vijay Laxmi Misra, M.D. Dr. Misra is board certified in Internal Medicine and Gastroenterology. She has completed her Residency and Fellowship at Indiana University School of Medicine.

To make an appointment, please call

(309) 454-5900

Vijaya Misra, M.D. 1302 Franklin Ave., Suite 4800 Normal, Illinois 61761

www.digesiveconsultant.com | www.pmgillinois.com Page 48 — Healthy Cells Magazine — Bloomington ­— October 2011

Taking digital photos of 169 Caucasian women aged 10-70, the researchers used specialized morphing software to "drape" each subject's facial skin over a standardized bone structure. Other potential age-defining features such as facial furrows, lines and wrinkles were removed. The subjects who were judged to have the most even skin tone also received significantly higher ratings for attractiveness and health, and were judged to be younger in age.

This study shows that if we want to keep a youthful appearance, we shouldn’t only be concerned with wrinkles and sagging, but should be paying attention to the overall evenness of the skin tone.

Intense Pulsed Light Treatment (IPL) is the latest in non-surgical skin rejuvenation. The process, called photorejuvenation, is ideal for patients with active lifestyles because the procedure requires no downtime and has a low risk of side effects. A good sunscreen and skin care is important in preventing the sun damage that causes uneven skin tone, but if the sun damage is already there, IPL will help even the skin tone, smooth the texture of the skin and build collagen thus restoring the skin’s youthful appearance.

What is Intense Pulsed Light?

Intense Pulsed Light is a light based therapy that helps to even out skin tone, creating dramatic improvement with low risk and no "down-time." This can include benign pigmented lesions, freckles, sun damage, age spots, melasma, birthmarks, unsightly small veins (telangiectasia), poikiloderma (mottled skin color on the neck), as well as treating acne and rosacea.

How does Intense Pulsed Light Work?

In highly focused pulses, IPL selectively targets and removes the melanin or dark spots and hemoglobin, that is seen as red veins, while preserving the healthy skin.

A topical anesthetic, protective eyewear and cooling gel is applied to the patient for comfort during the treatment. A smooth glass hand piece is placed directly over the treatment area and emits calibrated light waves. The light waves vary in intensity according to the type of skin and location of the treatment. The precise depth of energy penetration is also determined and necessary for optimal results. The treatment takes approximately 10- 20 minutes, depending on the size of area being treated. Following treatment, cool compresses are placed on the area and a soothing lotion is then applied. The patient may experience slight redness to the treatment area, which usually disappears in an hour. After a series of four treatments, which are recommended, at three-week intervals patients will be able to say goodbye to uneven skin tone, dark spots and unwanted veins. IPL provides many options to help skin look healthier and younger.

For more information, you may contact the Center for Cosmetic and Laser Surgery in Bloomington at 309-633-1222 or visit online www.drpoulter.com. Cathy Greeneberg has joined Dr. Jeffery Poulter at the Center for Cosmetic and Laser Surgery’s Bloomington office on Tuesdays and Fridays. Cathy, a Licensed Aesthetician, is certified in IPL, Hair Removal, Permanent Makeup, Obagi and Dermesse skin care products. More information about IPL technology can be found at www.skinandhealth.com.

A p p l i e d Pa i n I n s t i t u t e ,

L LC

Integrating advanced pain management and holistic treatments

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 ■■ Speech and Language Therapy ■■ Diagnostic Hearing Testing ■■ Aural Rehabilitation ■■ Hearing Aid Dispensing

We Can Help

(309) 438-8641 www.csd.illinoisstate.edu/clinic

Ji Li, M.D.

Jiong Gu

Fellowship Trained Board Certified Pain Specialist Board Certified Anesthesiologist

NCCAOM Certified Licensed Acupuncturist

1015 S . M e rc e r Av e n u e B l o o m i n g t o n , I L 617 01 w w w. a p p l i e d p a i n i n s t i t u t e . c o m

Phone: (309) 662-0088 Fa x : ( 3 0 9 ) 6 6 2 - 0 0 8 9

October 2011 — Bloomington — ­ Healthy Cells Magazine — Page 49

Arthoscopic Procedures

Physical Therapy

MRI

Surgery

EMG

Repairing the Human Toolset McLean County Orthopedics In the toolbox of the human anatomy, the wrists, hands and fingers are the screwdrivers, wrenches, pliers and even hammers.

But even the best tools break or wear out and the flesh-and-bone set can’t just be replaced with a purchase from the hardware store.

Arthroscopic Procedures • Finger Fractures • Tendon Lacerations and Tears • Carpal Tunnel • Bone Necrosis

Dr. Jerry Oakey

Specializing in hand, wrist and elbow orthopedic surgery

For more information, or for an appointment, call

309-663-6461

McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest

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.

2502 E. Empire • Bloomington • 61704 www.mcleancountyorthopedics.com

Page 50 — Healthy Cells Magazine — Bloomington ­— October 2011

Say Goodbye to Depression Transcranial Magnetic Stimulation (TMS) for Depression

NO Seizures

FDA Approved

NO Hospitalization

NO Weight Gain

NO Anesthesia

NO Medications

State of the Art

NO Sexual Side Effects

Cutting Edge Technology NO Memory Loss

Anjum Bashir, MD Psychiatry 205 N. Williamsburg Dr. Suite E, Bloomington, IL

309-531-0050

EVALUATION AND TREATMENT OF ALL NEUROLOGICAL DISORDERS Keith A. Kattner, D.O. • Emilio M. Nardone, M.D. • Jason Seibly, D.O. • Ann R. Stroink, M.D., FAHA

1015 S. Mercer Ave. Bloomington, IL 61701

877.566.3879 309.662.7500 www.cinhs . c o m

Central Illinois Neuro Health Sciences is the leading provider of neurosurgical, rehabilitation and pain management services in Central Illinois. A multimodality approach is taken in the management of intracranial, spinal and peripheral nerve diseases to best address the needs of our patients. Neurosurgeons, physiatrists, neuroradiologists, and pain management specialists work with referring physicians to provide comprehensive and technologically advanced care.

CINHS offers evaluation and treatment of all neurological disorders including:

• • • • • • • • • • • • •

Aneurysm Arteriovenous Malformation Back & Neck Pain Brain and Spine Tumor Carpal Tunnel & Peripheral Nerve Pain Cavernous Malformation Compression Fracture Facial Pain / Trigeminal Neuralgia Head & Spine Trauma Hydrocephalus Pituitary Tumor

Orthopedic Services

Do you miss being in the swing of things?

Don’t let bone and joint conditions keep you from what you love.

Get moving. Advocate BroMenn Medical Center’s orthopedic services offer the area’s most innovative treatment options, including knee replacement with joints that are mapped to your specific needs. So let the area’s most experienced, most expert orthopedic team treat your pain and get you back to your life.

Call to make a physician appointment at 1.800.3.ADVOCATE (1.800.323.8622) or visit advocatehealth.com/bromenn for more information.