October Metro East Healthy Cells 2012 by Healthy Cells Magazine

METRO EAST area Promoting Healthier Living in Your Community • Physical • Emotional

OCTOBER 2012

FREE

HealthyCells

www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

State-of-the-Art

Women’s Health for All Ages and Stages of Life

page 12

Breast Cancer Awareness Month

Parkinson’s Disease Metro East Support Group page 21

Self-Breast Exams page 24 6 Tips to Protect Kids in

Fall Sports page 29

Maryville Women’s Center • Routine & High Risk Obstetrics • Infertility • Female & Laser Surgery • Menopause • Urine Loss Treatment • In Office Tubal Ligation • In Office Uterine Ablation for Abnormal Bleeding

Accepting New Patients Call today to schedule an appointment

(618)288-2970 2016 Vadalabene Drive • Maryville, IL Please visit us at mymwc.org

Front Row: Tina Gingrich, MD, Kimberly Sanford, MD Back Row: Tammy Young, CNM, Diana Herrick, CNM, Lynn Billhartz, PA

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Dr. Richard Boatman

TROY Family Dental 606 Edwardsville Road (Just off I55-70 on Hwy 162)

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618-667-8020

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Humana still makes house calls

If you have questions about Medicare, our licensed agents are always happy to talk with you in the privacy and comfort of your home. They’ll listen to what you want in your health plan and help you choose a plan that’s right for you. Personal help from a local licensed Humana agent is just a phone call away. CALL HUMANA TODAY.

Larry Ervin 1-618-558-6792 1-618-343-1514 (TTY: 711) 9 a.m. to 5 p.m., Monday - Friday

DON’T FORGET! The Medicare Advantage annual enrollment dates are Oct. 15th – Dec. 7th.*

Humana is a Medicare Advantage organization with a Medicare contract. *Medicare beneficiaries may enroll in the plan only during specific times of the year. Contact Humana for more information at 1-800-336-6801 (TTY: 711), 8 a.m. to 8 p.m., seven days a week. Y0040_GHHH9V0HH CMS Accepted

OCTOBER ISSUE

2012 Volume 1, Issue 9

Body in Balance: A Natural Approach to Feeling Great

This Month’s Cover Story:

Physical: Is Your Bladder Ruling Your Life?

Maryville Women’s Center

Emotional: Is Assisted Living Right For You?

Nutritional: Deliciously Healthy Norwegian Salmon

Skin Care: Our Body Armor

Women’s Health: A Conversation with Dr. Morris A. Kugler

Breast Augmentation: Everything You Wanted to Know But Were Afraid to Ask

Restore to Health: Have A Wound That Just Won’t Heal?

Serving Those in Need: Your Own Journey

Community News: Parkinson’s Disease Metro East Support Group

Nervous System Health: What is Causing This Tingling and Pain?

Dental Health: Teeth Whitening

Therapy Alternatives: Pain Management Options

Breast Health: Self-Breast Exams and How They Can Save Your Life

Root Canal: Ask The Dentist

Community Support: October is Breast Cancer Awareness Month

Financial Health: Choosing a Medicare Plan

Cosmetic Procedures: Liposuction in the Doctor’s Office: Smartlipo

Injury Prevention: 6 Tips to Protect Kids in Fall Sports

Vision Health: Diabetes and the Eye

Flexibility Regimen: Golfer’s First Tee Warm-Up

Dental Options: Everyday Cosmetic Dentistry

State-of-the-Art Women’s Health for All Ages and Stages of Life page 12

Cover and cover story photos, courtesy of Roger Smith Portrait Gallery.

For advertising information, contact Christine Tyre, owner. Cell: 618-741-7196 • Fax: 309-691-2187 chris@healthycellsmagazine.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com 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 Metro East 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 in high traffic locations throughout the Metro East area, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Metro East area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

body in balance

A Natural Approach to

Feeling Great

Dr. Robert Wise

Sarah Pringle, CNP

Submitted by Ooh La La Spa, Anti-Aging and Wellness

ose Weight. Age Gracefully. Detach. Stress less. Easier said than done, right?! It is important to understand how much weight, stress, aging, and hormones affect your life. While these are naturally occurring issues, the negative effects such as anxiety, stress, and fatigue don’t deserve a regular place in your daily life! There are simple, yet effective, treatments like chiropractic care, bioidentical hormone therapy, and aesthetic procedures that will make a huge difference in the way you look and feel. Many people recognize chiropractor care as quick relief for back and neck pain associated with injuries. However, it also encompasses holistic treatments such as acupuncture and auriculotherapy. These therapies provide an alternative to prescription drugs and are helpful for treating a variety of conditions, including hot flashes, irritable bowel, and cravings (for sweet or salty foods). Chiropractic care also helps your body function efficiently by reducing inflammation and pain, while increasing overall mobility. When your body seems more out of balance than usual, you can’t ignore how you feel, especially when it is due to a hormonal imbalance. Instead of “dealing with it”, choose to get help. By utilizing bioidentical hormone therapy, otherwise known as natural hormone therapy, pre- and post-menopausal issues can be stabilized. Hormone imbalance contributes to adrenal dysfunction causing fatigue, insomnia, depression, anxiety, low libido, and weight gain. However, by balancing your hormones, these issues can be naturally resolved. “We take a comprehensive approach when evaluating a patient for hormone imbalance,” says Dr. Jacobs, Medical Director & owner of Ooh La La Spa, AntiAging and Wellness Center. Dr. Jacobs also states, “We understand overall health and wellness is essential to looking good and feeling even better!” You don’t have to put up with these stressors anymore. Take charge of how you feel! Remember that stress and hormone imbalance also manifests itself in skin conditions including acne, rashes, fine lines and wrinkles, just to name a few. Combining therapies to combat internal and external stress symptoms is an excellent path to

choose. After all, when you look great, you feel fantastic! Treatments such as botox, laser skin rejuvenation, and chemical peels are non-invasive, anti-aging treatments. On the other hand, facials and massage are ideal for calming your mind and nerves. Book a much-needed treatment for yourself, whether it is for relaxation, anti-aging, or both. You deserve it! Also, give yourself the time to disconnect. Turn off your cell phone, computer or other mobile distraction for some much needed quiet time to focus on you. While it can be difficult, it is necessary to detach from the world of social media and electronic communication. Enjoy the beauty of peace and quiet. Ooh La La Spa, Anti-Aging and Wellness is expanding! They are excited to welcome Dr. Robert Wise, DC and Sarah Pringle, CNP. The expanded wellness treatments include chiropractic care, bioidentical hormone therapy, nutritional counseling and much more. Learn more about wellness and natural approaches to feeling great! Join one of our Healthy U Sessions: Friday, October 19 at 1 p.m. or October 25 at 6 p.m. Please call to reserve your spot. For more information about our Healthy U Sessions or Ooh La La Spa, Anti-Aging and Wellness, call 618-288-9117 or visit OohLaLaWellness.com.

October 2012 — Metro East Area — Healthy Cells Magazine — Page 5

physical

Is Your Bladder Ruling Your Life? Submitted by Travis Bullock, MD, Urology Consultants

oes a sudden, uncontrollable urge to urinate send you running to the bathroom without warning? Does access to the bathroom dictate where you visit, shop, eat, or the types of clothes you wear? Does leakage when you cough, laugh, sneeze, or exercise cause embarrassing accidents or limit your ability to take part in activities you enjoy? If you answered “yes” to any of these questions then you likely suffer from urinary incontinence. If you experience urinary leakage problems you are not alone! Incontinence is one of the most common health conditions, affecting one in three women at some point in their lifetime. Urine leakage is more common than osteoporosis, asthma, and even diabetes. The economic cost of urinary incontinence is significant with more than $26 billion spent annually. More importantly, fear and embarrassment of urine leakage hinders one’s social interactions, restricts daily activities and significantly impacts quality of life. Unfortunately, only a small minority of people ever seek treatment for their incontinence. Usually this is due to embarassment, the false belief that leakage is a normal part or aging, or a feeling that treatment is invasive and not effective. You may not realize it, but there are different types of incontinence. You may also have a combination of different types of leakPage 6 — Healthy Cells Magazine — Metro East Area — October 2012

age. Determining what type of incontinence you have or which is the most bothersome is important because the treatment options may differ significantly. •S tress Incontinence: This is usually experienced as leakage with coughing, sneezing, laughing, lifting, exercising, doing activities, or anything that increases pressure on the bladder. The amount of leakage is usually small (drops), but can be more severe. • Urge Incontinence: This is also known as “overactive bladder”. This type of leakage is usually associated with a need to urinate often, a need to urinate frequently at night, and an intense urge to urinate with very little warning. Often leakage occurs when a person just cannot get to the bathroom in time. • Mixed Incontinence: This is common condition, which includes a combination of the above. Fortunately, effective treatment options are available and depend on the type of incontinence you have. Your symptoms, age, and any underlying medical problems may also affect your treatment.

Symptoms of urgency and overactive bladder can be treated with dietary changes, bladder retraining, and Kegel/pelvic floor muscle exercises. There are also highly-trained and specialized “women’s health” physical therapists that can work with individuals to strengthen their pelvic floor muscles and improve leakage symptoms. In addition to these interventions, many people with urgency symptoms can be treated with medications that are effective and have few side effects. If these measures are not effective, other treatment options include Botox injections into the bladder muscle or a procedure called InterStim where a small pacemaker can be used to regulate your bladder. Leakage with coughing, sneezing, and exercise can be treated with behavioral changes, pelvic floor muscle exercises, and physical therapy as well. Currently there is no medication to address this type of urinary leakage, but there are highly effective and minimally invasive surgical treatments. The most common surgery performed for stress incontinence is known as the urethral sling. In this procedure, a ribbon is placed under the urethra through a small incision in the vagina. The sling lies under the urethra acting as a “hammock.” When abdominal pressure increases, as with a cough, sneeze, or athletic activity, the sling provides support to keep the urethra closed, preventing loss of urine. The procedure takes about 15 minutes and the success rate is over 90 percent. Patients are able to go home within a few hours of surgery and only require a few days off work.

Please call for your complimentary evaluation 7 Bronze Point South, Suite A Belleville, IL 62226 618-222-7032

2118 Vadalbene Drive Maryville, IL 62062 618-288-8920

For more information on incontinence or for any other female urological issues, call Dr. Bullock at 618-288-0900 or visit Urology Consultants website at www.ucl-stl.com.

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October 2012 — Metro East Area — Healthy Cells Magazine — Page 7

emotional

Is Assisted Living Right For You? Submitted by Cambridge House

aking the transition from living in one’s own home to assisted living is a process that requires some comparative thinking. One point of consideration is the physical health of you or your loved one. Maintaining a home can be quite a chore, especially if you have physical limitations that make certain tasks difficult or maybe even impossible. In an assisted living arrangement, you are relieved of all of the responsibility of maintaining a yard and the exterior of a home. You are also relieved of the burden of finding someone to do repairs when things wear out or break, as they inevitably will. A home that was once practical for a growing family may harbor hazards for you as you get older. If you have to go up and down stairs to get to your bedroom or to do laundry, that increases the Page 8 — Healthy Cells Magazine — Metro East Area — October 2012

chances of your falling and sustaining serious injuries. Assisted living apartments are designed to offer you the maximum amount of safety. The bathrooms have grab bars, walk-in showers, and shower seats, which make the bathroom a safer area for you than most home situations provide. You wouldn’t have to navigate stairs to go to bed and the doors in the room are wide enough for you to get through them with a walker or wheel chair. If you find that you are often lonely or feel isolated form others, you might find the socialization aspect of assisted living communities appealing. There are several rooms available for you to gather with friends and watch television, read, or simply chat. The rooms are beautifully decorated making them a pleasurable place to spend time.

If you no longer drive, you would certainly find the close proximity of friends an appealing factor. Also, you would have staff available to transport you to your doctor. There is a transportation schedule that provides you with an opportunity to join the others on a shopping trip or pleasurable outing. Sometimes a medication schedule can be overwhelming. If you or your loved one, takes several types of medication, you might find it very helpful to have someone manage your medication schedule for you so that you did not have to remember what to take and when to take it. That is an advantage to an assisted living setting. Qualified staff will make sure your prescriptions are refilled and that your medications are administered on a regular schedule. Not only are housekeeping duties handled by the staff, your meals are also prepared and served in an attractive dining room. This gives you an opportunity to join others at mealtime rather than eating alone as you would probably be doing at home. Most likely, the meals are healthier and better balanced than you would prepare for yourself. There is an element of safety you would have in an assisted living apartment that you don’t have at home. You can get help quickly if a fall or medical situation arises. The outside doors to the complex are locked at night providing an additional element of safety. Moving into an assisted living situation is a positive step in many ways. It will certainly relieve you of the burden of maintaining a home. It can also provide you with personal care assistance if you currently need it or if you require it later on. Inquire about individual services and tour the complex to find the one that best suits your lifestyle, your personality, and your physical needs.

Cambridge House is designed to serve older adults age 65 and older of all incomes. Our communities provide a wonderful alternative to a nursing home or to struggling alone at home. You don’t have to give up your dignity, privacy, or personal choice. Maintain your health, wellness, and independence. Additional answers and information are just a phone call away. Call today for a personal tour and a complimentary lunch. Please contact one of our three locations nearest to you: O’Fallon, 618-624-9900; Swansea, 618234-8910; Maryville, 618-288-2211.

October 2012 — Metro East Area — Healthy Cells Magazine — Page 9

nutritional

Deliciously Healthy Norwegian Salmon

hether you’re trying to control your weight or embrace a healthier lifestyle, the food choices you make have to be enjoyable. Deliciously healthy recipes are the key. “Recipes that use elements from New Nordic Cuisine are a great way to enjoy healthy eating,” said registered dietician and author Kate Geagan, MS, RD. “This cuisine is naturally rich in some of the healthiest, purest foods in the world and it can be easily adapted to U.S. tastes and lifestyles.” A plate filled with seafood, especially Norwegian Salmon, is a hallmark of New Nordic Cuisine. “I love how this cuisine is inspired by the sea,” Geagan said. “The ocean provides some of nature’s most perfect proteins that deliver whole body benefits.” For example, a serving of Norwegian Salmon is an excellent source of high quality protein and omega 3 fats. It also contains key nutrients, including selenium (thyroid and cell health), iodine (thyroid and hormonal health), vitamin D (bone and immune health) and vitamin B12 (red blood cell and neurological health).

New Nordic Cuisine Nordic cultures have long enjoyed a reputation as some of the healthiest people in the world. New Nordic Cuisine is filled with healthy, hearty foods anyone can enjoy. Delicious elements of this cuisine include: • Seafood, such as Norwegian Salmon • Whole grains such as rye bread, barley and oats • Cabbage and other cruciferous vegetables • Berries, apples and pears • Root vegetables Norwegian Salmon The cold, clear waters of Norway create the ideal environment for ocean-farming flavorful Norwegian Salmon. Tasteful, healthful, and versatile, salmon from Norway offers a deliciously easy way to incorporate more fish into the American diet. Norwegians take great care to oceanfarm salmon in a sustainable manner that’s good for the fish, good for the earth, and good for future generations. To learn more, visit www. salmonfromnorway.com. Source: Norwegian Seafood Council

Page 10 — Healthy Cells Magazine — Metro East Area — October 2012

Norwegian Salmon is available fresh year-round, so it’s easy to incorporate into your everyday meal planning. For more deliciously healthy recipes, visit www.salmonfromnorway.com.

Poached Norwegian Salmon with Stewed Vegetables and Cucumber Salad Serves: 4 3/4 lb. 4 1/2 c. 1 Tbsp. 1

boiling liquid until you have thick sauce. Add vegetables to milk mixture to reheat before serving. For cucumber salad, peel cucumber, split lengthwise and remove seeds with small spoon. Cut at an angle in thick slices and mix with sugar, vinegar and oil. Serve salmon with stewed vegetables and cucumber salad on the side. Serving Suggestion: A few drops of lemon juice on the salmon are a must.

Norwegian Salmon fillet, boneless, skin removed water salt lemon

Stewed Vegetables 1 1/4 c. 4 3 1 2 1 2 Tbsp. 3/4 c.

water potatoes, cut into cubes carrots, cut into cubes medium celeriac root, cut into cubes onions, cut into cubes medium size leek, cut into cubes fresh parsley or chives, chopped Salt and pepper, to taste milk Cornstarch, to thicken sauce

Cucumber Salad

1 1 2 2

lb. Tbsp. Tbsp. Tbsp.

cucumber sugar white wine vinegar olive oil

Cut salmon into 4 even pieces and rinse well under cold water. In large pot, bring water to boil, add salt and then salmon. Immediately remove from heat and let stand to poach for 4 to 6 minutes, depending on thickness of fillet. Be careful not to overcook—the flavors and texture of salmon is at its best when served opaque throughout. Remove from pot with slotted spoon and let water drain off on towel before arranging salmon on plate. For vegetables, sprinkle water with salt and bring to boil in a large pot. When water is boiling, add potatoes, carrots, celeriac root and onions. Lower heat and simmer until soft. Add leeks and fresh herbs and simmer for 2 more minutes. Drain vegetables carefully in colander and make sure you keep cooking water. In same pot, bring milk and cooking water to boil; season with salt and pepper. Dilute cornstarch in small amount of cold water and add to October 2012 — Metro East Area — Healthy Cells Magazine — Page 11

feature story

Maryville Women’s Center

State-of-the-Art Women’s Health for All Ages and Stages of Life By Kimberly Sanford, MD, Maryville Women’s Center

rom the moment a patient walks into Maryville Women’s Center, they experience the welcoming and open atmosphere. There are no sliding windows to navigate, as the staff sees and greets patients immediately. The practice is made up of all women with their motto being, “Women Serving Women.” Their “all female” staff has experienced many of the same issues their patients are experiencing. Dr. Gingrich is from the Metro East area and has served the community for over fifteen years. Dr. Sanford is also from the Metro East area and is very passionate about serving women’s healthcare needs in the community. To round out the staff is Lynn Billhartz, Certified Physician’s Assistant and Tamara Young and Diane Herrick, both Board Certified Nurse Midwives.

The Maryville Women’s Center is committed to bringing the highest quality medical services to you and your neighbors with compassion and empathy. All of our services—routine and high risk obstetrics, female surgery including da Vinci Robotics (minimally invasive surgery), menopause and perimenopause treatment, in-office ultrasound and laboratory services, and a full service medical spa—are available in a warm, beautiful setting under one roof. All women traverse the many stages of life from puberty to the years of childbearing. Once those years are complete, we must then navigate the symptoms of perimenopause into menopause and, finally, we experience the golden years that are best understood by women who are themselves wives, mothers, and maturing women. Let’s start with the best way to introduce the teen to the gynecology practice.

Dr. Kimberly Sanford, and Dr. Tina Gingrich Page 12 — Healthy Cells Magazine — Metro East Area — October 2012

Providing Gynecological Services for Teenage Girls At the Maryville Women’s Center, young teen girls and women of all ages brave that first visit to the obstetrics and gynecology (Ob/Gyn) office. The ages range from as early as 12 years to as late as age 28 or 29 years. In other cultures and countries, young women are not necessarily encouraged to see an OB/Gyn unless they are having a baby or having difficulties. The American College of Obstetricians and Gynecologists (ACOG) recommend that young women age 13 to 15 years should have their initial visit to the Ob-Gyn. This is about one to three years after the average start of the menstrual period. The patient is usually accompanied by her mother, but in some rare instances, her father. That visit is accompanied by much fear and trembling by both parent and child. This can be soothed with the knowledge that they

don’t necessarily need an exam. Basic education about menstrual cycles, treatment of menstrual symptoms, and the HPV vaccines offers a tremendous amount of material for the first-timer and even their parents. We understand that this visit represents a transition in a young woman’s life. If the patient is requesting hormonal birth control for either cycle control or to prevent pregnancy, this visit is a little more advanced. If an exam is warranted, the basic pelvic exam is explained thoroughly then performed with care. The difference between a pap smear, the cervical cancer-screening test, and the pelvic exam is explained in detail. The pelvic exam is the entire gynecology exam, and the pap smear is a very specific test that is utilized during the pelvic exam. A pap smear isn’t required until a woman is 21 years old, unless she becomes pregnant prior to that age. The pap smear is a test that looks for abnormal cells on the cervix that are caused by the human papilloma virus (HPV) or the virus that causes genital warts. An abnormal pap smear can lead to cervical cancer, which was a leading cause of death in women prior to the start of the pap smear in the 1920s. There are two vaccines on the market that can be given for two to four types of HPV prevention. These four types of HPV cause 70 percent of the cervical and pelvic disease, but it should be made clear that there are over 80 different types of HPV that exist. Routine and High Risk Obstetrics Once young women are ready to begin a family, they are looking for an obstetrics practice that offers the most up to date standards and recommendations to ensure that their pregnancy is a safe and enjoyable experience. The Maryville Women’s Center cares for women contending with many different high risk conditions from chronic hypertension and diabetes to those same conditions encountered as a gestational diagnosis. We offer full service surgical expertise when cesarean section is necessary and the option of the midwifery experience. Our midwives are certified and specialize in providing support, regular health care, and in helping obtain any additional care needed. Midwives are experts in knowing the difference between normal changes that occur during pregnancy and symptoms that require extra attention. A midwife provides health care to women all through life, including: prenatal care, birth, post-partum, annual exams, birth control planning, menopause, and health counseling. We have three well-trained and experienced sonographers that are available every day of the week for high quality ultrasounds. Most obstetric lab tests can also be performed conveniently on-site. When managing a routine pregnancy at our office, we will discuss many subjects such as diet, exercise, and screening for high-risk conditions, such as Down’s syndrome and Spina Bifida. Female Sexual Dysfunction Ob/Gyns have an extremely varied responsibility, from the management of pregnancy to the management of menopause. They uncover diagnosis as serious as osteoporosis, uterine, cervical, and ovarian cancer and as minor as iron deficiency anemia due to heavy periods. Amongst all of those topics, one of the most common threads is Female Sexual Dysfunction (FSD). FSD is a broad topic that must be broken down thoroughly. FSD is defined by five separate categories: hypoactive sexual desire disorder (HSDD), female sexual arousal disorder, female orgasmic disorder, dyspareunia (painful intercourse), and vaginismus (pain disorder). These criteria are set by the American Psychiatric Association. They are very specific but seem to encompass all of the complaints in the exam room. It has been shown through studies that a statistically significant amount of women, 43 percent to be more precise, fit into at least one

“Listening to our patients and keeping them informed and educated on a wide variety of topics is what we strive for at the Maryville Women’s Center” says Dr. Kimberly Sanford of the above categories. Physicians are guilty of not addressing these areas, and the patient is generally embarrassed and sometimes feels insecure about mentioning these issues. The best way to start this dialogue is to include this information in your patient history forms. This accomplishes, at least, two things. It allows the physician to have a focused interview with the patient and it helps the patient relax and address this serious issue that can infiltrate their relationships like an emotional cancer. The treatments can be as varied as the diagnosis. They range from non-pharmacologic: counseling (sex and couples therapy), pelvic physical therapists, psychotherapy, lifestyle changes to improve body image, lubricants, and devices to hormonal therapy that includes androgens, and estrogen preparations, and finally, psychotropic agents. FSD is a very real condition that is as old as time. Maryville Women’s Center’s goal is to spark a dialogue between the patient and their trusted clinician. Sexual health is a large part of overall wellbeing and should not be ignored. Pelvic Organ Prolapse The technical term for this condition is pelvic organ prolapse (POP). It is kept quiet amongst women. The first to hear of the disorder is, usually, the GYN physician with the complaint, “I feel as though something is falling out!” This sensation can be quite startling and uncomfortable. The symptoms of POP are as varied as follows: feeling of pelvic heaviness or fullness that gets worse with coughing, standing, or lifting, a bulge protruding from the vagina, pulling and or aching feeling October 2012 — Metro East Area — Healthy Cells Magazine — Page 13

feature story

continued The non-surgical methods can be as simple as diet modification, such as a decrease in caffeine intake to help with incontinence, increasing fiber intake to decrease bowel distress and reducing strain during bowel movements, and Kegal exercises to strengthen the muscles that support the urethra, vagina, and rectum. Consider increasing exercise to reduce obesity and abdominal pressure. Lastly, a pessary can be used to mechanically support the pelvic organs from within the vagina. A pessary is device that is fitted and placed by the gynecologist. When these methods are ineffective, surgery can be utilized to repair the tissue defects that lead to POP. Although surgical correction of POP can be effective, pain with sex, pelvic pressure, and back pain may not be resolved with surgery. There can be a recurrence of prolapse after surgical correction. That being said, surgery can offer a significant measure of relief.

Ashley Noeth, RN esthetician, performs laser tattoo removal, one of the many services offered at the medical spa

Robotics/Minimally Invasive Surgery Procedures such as hysterectomies are performed through tiny incisions instead of one large opening. When incisions are small, patients tend to have quicker recovery times, and less discomfort than with conventional surgery. During a minimally invasive procedure, surgeons make several small incisions in the skin — just a few millimeters, in some cases. A long, thin tube with a miniature camera attached at the end, called an endoscope, is passed through one of the incisions. Images from the endoscope are projected onto monitors in the operating room so surgeons can get a clear and magnified view of the surgical area. Special instruments are passed through the other openings. These instruments allow the surgeon to perform the surgery by exploring, removing, or repairing whatever’s wrong inside the body. The newest technology in minimally invasive surgery is the daVinci Robot. This new tool assists the gynecologist. Surgery is completed through 3-D/HD and greatly magnified views of the pelvic anatomy. Unlike traditional laparoscopy surgery, robotic surgery offers articulation within the instruments that allows the surgeon to perform procedures with natural movements that are more intuitive to movements. The benefits of minimally invasive surgery are reduced post-operative pain, shorter hospital stay, and much smaller incisions. The Spa The Maryville Women’s Center also offers a medical spa that includes massage, peels for wrinkle reduction and acne, laser treatment for hair removal and skin resurfacing, and finally, cosmetics, Botox, and eyelash enhancement. Tattoo removal is also available with laser therapy.

After your spa treatment, enjoy some relaxation in the sauna. in the lower abdomen, incontinence, the need to readjust the bulge in order to eliminate waste, difficulty with tampon placement, and difficulty with intercourse. The organs that prolapse through the vaginal cavity can be the uterus, intestines, bladder, or rectum. When the condition is brought to the gynecologist to manage, the patient is put at ease with the commonality of the condition. Once it is identified, several non-surgical and surgical techniques can be explored for the management of the prolapse. Page 14 — Healthy Cells Magazine — Metro East Area — October 2012

The Maryville Women’s Center also offers the following services: • Perimenopause/menopause care • Incontinence treatment • In-office tubal ligation sterilization • In-office uterine ablation for abnormal bleeding • In-office ultrasound services • On-site laboratory services • Medical spa with certified nurse esthetician All of these services are available in a warm, caring, and beautiful setting. Maryville Women’s Center is the place where all women’s medical needs can be met under one roof. Patients are not just a number, they are treated like family!

For more information on Maryville Women’s Center, call 618-288-2970 or visit their website at www.MyMWC.org.

skin care

Our Body Armor Submitted by Musick Dematology, LLC

he skin is our body’s armor and shields all our vital organs. Therefore, it should be given much care and consideration. Appropriate skin care will not only make the skin more visibly appealing and pleasant to touch, but will also protect it from infection, skin cancer, and other skin problems. Many things can be done to maintain and improve the skin. Some conditions require additional attention by a dermatologist or health care professional. Dry Skin Dry skin can occur at any stage of life and is most often caused by lack of skin oil. Age, winter, arid climate, harsh skin care, and some medical conditions are a few reasons that the skin dries, cracks, peels, gets rough, red, or itchy. Here are several tips to care for your skin: • D rink plenty of water • U se a gentle cleanser (unscented and soap-free is better) • Moisturize often (preferably with a product containing ceramides, glycerin, hyaluronic acid, lanolin or mineral oil) • A void long, hot showers or baths • Use a humidifier in dry climates or in the winter when the furnace is in heavy use • E at foods rich in omega-3 • W ear gloves and protective clothing when using harsh cleansers/chemicals • C over the skin when outdoors in winter to keep it from drying and chapping • A void tanning beds • Use sunscreen. Apply a broad-spectrum sunscreen (UVA and UVB) with titanium dioxide or zinc oxide, water-resistant sunscreen with a sun protection factor (SPF) of 30. Use 1 ounce (2 tablespoons) of sunscreen for your entire body 30 minutes before going outside. Re-apply approximately every two hours or more frequently if sweating or swimming and apply even if the sun is not out. Eczema and Dermatitis There are several types of eczema/atopic and contact dermatitis characterized by inflamed skin. Patients may realize different symptoms, which may include itch, redness, and dryness that may result in rash patches. Eczema can affect infants and children and their condition tends to improve with age. Dermatitis can be a condition that does not resolve, but can be controlled with appropriate treatment. Clothing made with rough materials, harsh skin care products, cleaning materials, and seasonal allergies can all trigger outbreaks, even if they are not the actual cause of the eczema-dermatitis. Controlling one’s environment, such as avoiding heat/sweating, using mild skin products, and moisturizing well can reduce the severity. A dermatologist can recommend the use of topical ointments, creams, lotions, and, when needed, antihistamines and/or corticosteroid medications. The patient is encouraged to avoid scratching.

age. There are five types of psoriasis: plaque, guttate, pustular, inverse, and erythrodermic. Plaque psoriasis is the most common, consisting of raised patches with redness and a white or silver-like scale. Psoriasis can affect any part of the body, but the elbows, knees, scalp and nails are affected most frequently. The dermatologist can diagnose psoriasis by physical examination and a biopsy may be taken to confirm the diagnosis. Psoriasis is a lifelong condition. Treatment may include topical medications such as corticosteroids, retinoids, or coal tar products. Oral and injectable medications are used when other methods have been unsuccessful or for more severe forms of psoriasis. Musick Dermatology, LLC encompasses conditions involving the skin, hair and nails, the most up-to-date cosmetic dermatology treatments and offers medical professional grade skincare products. For more information or for an appointment, call our office at 618-628-2588 or visit our website: MusickDermatology.com. We are located at 4932 Benchmark Centre, Swansea, IL 62269.

Visit us at:

www.breastcenterofmaryville.com

2227 Vadalbene Drive, Suite 300 Maryville, IL 62062 9 Eagle Center, Suite 3 O’Fallon, IL 62269

618.228.7485

Psoriasis Psoriasis is a chronic, scaly, red, non-contagious skin condition, which is immune system related. It can affect people of any October 2012 — Metro East Area — Healthy Cells Magazine — Page 15

women’s health

A Conversation with Dr. Morris A. Kugler By Christine Tyre, Healthy Cells Magazine

s the owner of the Metro East edition of Healthy Cells Magazine, I have the privilege of meeting and conversing with many esteemed professionals in our community. With October being designated as National Breast Cancer Awareness Month, I thought it appropriate to share my conversation with Dr. Morris A. Kugler, the founder of the Breast Center in Maryville. HC: I heard you use the term, breast navigator, in our conversation. Can you explain that to me? Dr. Kugler: Our clinic has two beautiful breast navigators, Nancy Metcalf and Valerie Ruch, RN. They take a personal interest in our patients and guide them through this troublesome time. If you are diagnosed with breast disease, you and your family will have questions and concerns about the treatment options and tests and Nancy and Valerie will help guide you and your loved ones through the process

Morris A Kugler, MD, FACS, MS

of recovery. Our clinic is founded on reducing anxiety produced by waiting, and our motto is “No more sleepless nights.” Initially, Nancy headed the American College of Surgeons Oncology group study, which has resulted in the landmark Z11 data acknowledged at the San Antonio Breast Conference. Simply put, it appears that women with three or less positive axillary nodes do as well without further axillary dissection, as women who have a full axillary dissection, as long as radiation is given. This is quite remarkable. It was done with the cooperation of Belleville and Maryville surgeons who entered into the study group. HC: You mentioned that you are a member of the American Society of Breast Surgeons. How has that helped you in your practice? Dr. Kugler: I was a very early member in the American Society of Breast Surgeons and served on the Ethics Committee for many years. Every year, I attend either the American Society of Breast Surgery or the Miami Breast Conference meetings, and some years, both. I know that I am up to date on the newest concepts of breast preservation. HC: Tell me more about our region’s first Intraoperative Radiation Therapy (IORT) procedure.

Valerie Ruch, RN and Nancy Metcalf

Page 16 — Healthy Cells Magazine — Metro East Area — October 2012

Dr. Kugler: As you may remember, starting up the accelerated partial breast irraditation (five days as opposed to five weeks) with balloon catheters, was difficult to accomplish. It now has become a standard of

sisting of radiation therapists, chemotherapists, radiologists, pathologists, surgeons, imaging technologists, and involved physicians. These discussions take place prior to operating on the patients. We discuss all options to the patient’s care. Joint seminars between Washington University breast cancer researchers as well as staff gynecologists have been conducted for hospital staff and the public. Our latest endeavor has included staff-wide enlistment in cooperation with Anderson Hospital to form the Breast Healthcare Advocates Committee. The committee’s purpose is to provide the very best opportunities for breast cancer patients in education and networking.

therapy. My brachy radiation collegues and I instituted Intraoperative Radiation Therapy (IORT) for the first time in the St. Louis area. The breast tumor was excised, radiation given in 15 minutes using a balloon catheter conduit, and the patient returned to the recovery room with her surgery and radiation completed. The procedure is revolutionary since the patient is able to go home the next day and not return for any more radiation treatments. HC: What other new innovations have you initiated?

HC: Do you have any other accomplishments you would like to share with our readers?

Nicole Kugler, Office Assistant

Dr. Kugler: My dream to recruit a female fellowship trained breast surgeon was accomplished. She maintains a practice separate from mine, but the objective to recruit was accomplished. Our mission is not done, nor will it ever be, as long as breast cancer exists. The major lesson learned from the many courses I have attended is that multidisciplinary teamwork produces the best outcome for the patient. You, the readers, are a major part of this team!

Dr. Kugler: Genetic profiling of the excised tumor was another new innovation adopted by our breast clinic. It is now possible for a woman to participate in her decision for chemotherapy armed with the knowledge that she has either a low, medium, or high probability of a tumor recurrence (OncoType DX). We also have initiated BRCA-1 and BRCA-2 testing for familial breast cancer which occurs in approximately 10% of women with breast cancer. To my knowledge, we were one of the first to initiate antiestrogen therapy neoadjuvantly prior to any surgery being performed. This has been known and used in the United Kingdom for years, but America has been slow to adopt this. However, it is becoming more prevalent as a first line of defense. A prospective tumor board has been established for women to have their cases presented and discussed by a multidisciplinary panel con-

HC: Thank you, Dr. Kugler, for taking time from your busy schedule to talk with me. If you would like further information about the Breast Center, please contact them at 618-288-7485 or go to their website at www.breastcenterofmaryville.com.

See the Passages Hospice Difference Passages PassagesSee Hospice,the LLC believes in preservingHospice the dignity of theDifference human spirit, helping families Core Services: Core Services: • Hospice Physician Services • Hospice Physician •Services Nurse Case Manager • Nurse Case •Manager Pain Management

• Pain Management Assistant •Assistant Medical Social Services • Medical Social •Services Counseling Services

cross a road they have never faced before; providing the courage to see the beauty in the journey; Passages Hospice, LLC believes in preserving the dignity of the human spirit, helping families giving the expertise that provides the comfort, care, and support needed each step of the way. cross a road they have never faced before; providing the courage to see the beauty in the journey; giving the expertise that provides the comfort, care, and support needed each step of the way.

Non-Core Services • Chaplain/Spiritual Counselors • Chaplain/Spiritual •Counselors Bereavement Services • Bereavement •Services Dietary Counseling •• Volunteers Dietary Counseling

(As approved by the primary care physician in consultation with the Hospice Medical Director and the Interdisciplinary Team)

Non-Core Services

• Speech-language Pathology Services

and caring for each patient in a manner that ensures dignity and respect. and caring for each patient in a manner that ensures dignity and respect.

We proudly serve the greater St. Louis area. Welocal proudly the greater St. Louiswith area. Call our staff at serve (618) 234-7078 to be connected your team!

• Volunteers

• Counseling Services

info@passageshospice.com info@passageshospice.com

• Speech-language Pathology Services

(As approved by the primary care physician in consultation with the Hospice Medical Director and the Interdisciplinary Team)

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www.PassagesHospice.com www.PassagesHospice.com October 2012 — Metro East Area — Healthy Cells Magazine — Page 17

breast augmentation

Everything You Wanted to Know But Were Afraid to Ask Submitted by MidAmerica Plastic Surgery

Inframmary

PeriAreolar

reast augmentation, augmentation mammaplasty, “boob job”... These are all terms used to describe the process of using implants or your own tissue to increase breast size or restore fullness after pregnancy or weight loss. Women explore the option of breast augmentation for many reasons. Some have always had the desire for larger, fuller breasts. Others lost volume after pregnancy or because of weight loss and want to restore the breast volume. What breast augmentation can do. Breast augmentation can: • Increase fullness and projection of your breasts • Improve the balance of your figure • Enhance your self-image and self-confidence. What breast augmentation won’t do. One limitation of breast augmentation is its inability to correct ptosis (or sagging breasts). There is surprisingly little correction of this and a woman with sag needs a breast lift to provide the best pos-sible results. Who is a good candidate? Breast augmentation can be a good choice for you if: • You are physically healthy • You have realistic expectations Page 18 — Healthy Cells Magazine — Metro East Area — October 2012

Axillary

• Your breasts are fully developed • You are bothered by the feeling that your breasts are too small • You are dissatisfied with your breasts losing shape and volume after pregnancy, weight loss, or with aging • Your breasts vary in size or shape • One or both breasts failed to develop normally. What types of implants are available? Currently there are two types available in the United States: saline and silicone. The choice depends on the preference of the woman. There are advantages and disadvantages to both. The clear advantage to silicone is appearance (less rippling) and feel. This is primarily on the outer/lower portion of the breast that has less tissue cover. Advantage of saline is in rupture. If a saline implant ruptures, this is typically very clear. Your body reabsorbs the saline (which is part of your normal body). If you come in and are treated in the first couple of weeks, then surgery is relatively quick and easy. Many women even as early as the next day forget they had surgery. With silicone, the rupture can be more difficult to identify and surgery to replace more difficult with a slightly higher cost. Are silicone implants safe? Yes. There has been debate on this for many years. The fear was of autoimmune and other disease. There are numerous

restore to health studies out now that show silicone implants are safe. Studies are also ongoing to track the safety of silicone implants. How do I determine what bra size I want to be? Bra manufactures can vary widely from company to company on actual cup size as well as the fit they provide. Worry less about the bra size and more about the appearance that you like. I like my friend’s result so I want those implants… The results of implants depend on many factors. Height, weight, chest size, chest shape, breast width, breast tissue, breast location, breast shape, spine curvature, nipple location, breast asymmetries, and more. Breast implants must be tailored to take into consideration each of these factors, which can play a key role in the outcome. For example, if one nipple is more off center than the other is with more projection, this can be more noticeable. With a 3D imaging system, you can see how those changes look before you commit to anything. I’ve heard many women say they wish they had gone bigger… There are a couple reasons why they had thought that. First, the change from current size is dramatic at first, but you quickly get used to it. Second, no matter what size you choose at first, there is swelling. You get accustomed to this new size and as the swelling goes down you notice a slight decrease in size. This is true no matter what size you choose. I always recommend choosing the smallest size that makes you happy. Where are the incisions placed? There are three major options: Inframmary, PeriAreolar, and Axillary. These options will be discussed at a consultation and the optimal plan will be determined for you. Before the procedure • Get lab testing or a medical evaluation as needed • Take certain medications or adjust your current medications • G et a baseline mammogram before surgery and another one after surgery to help detect any future changes in your breast tissue • Stop smoking well in advance of your breast augmentation surgery • A void taking aspirin, anti-inflammatory drugs and herbal supplements as they can increase bleeding (if OK with your primary care physician. If you cannot stop please let us know). • Get your pre-and post-surgery checklist • Pick up your prescriptions so they are ready on surgery day. The day of the procedure • Usually done as an outpatient procedure • Nothing to eat or drink the day of surgery • Y ou will need someone to drive you home and stay with you for the first 24 hours. After the procedure Recovery is patient dependent. Seek medical attention immediately if you have any of the following: • Shortness of breath • Chest pains or unusual heart beats For more information about breast augmentation or to schedule a consultation for a cosmetic procedure, please contact MidAmerica Plastic Surgery at 618-288-7855 or visit the website at MidAmericaPlasticSurgery.com.

Have A Wound That Just Won’t Heal? Submitted by Southwestern Illinois Visiting Nurses Association

ost of us take for granted that those everyday cuts and scrapes will heal. However, for some people, particularly the elderly and those that suffer from chronic illness, not paying attention can result in serious health risks, infection, and sometimes devastating outcomes. In the United States alone, chronic wounds affect over six million people and cost upwards of 25 billion dollars annually to treat. This figure is expected to increase as our population ages and as the incidence of diabetes and obesity rises. The elderly and people with diabetes or poor circulation are especially vulnerable to developing a chronic wound, meaning a wound that has not healed within six weeks. Two to three percent of diabetics will develop such a wound. There are many reasons and causes for wound development, but the most common are poor circulation, diabetes, or vascular problems. At times, surgical wounds will open and require treatment. In addition, immobility can cause ulcers to develop on areas of the skin that are exposed to pressure and friction. Fortunately, there is help readily available for you or your loved ones. Wound assessment and care can be done in the comfort of your own home. Here is what you should focus on when looking for someone to care for wounds: • Is the person certified in wound care? • H ow much experience does the person coming into your home have? • Does the wound care specialist individualize a plan for each patient? • Does the wound specialist work with the family members of the patient with the wound? Southern Illinois Visiting Nurses Association (SIVNA) is one of the few agencies that have a Certified Wound, Ostomy, and Continence Nurse (CWOCN). Gitta Brink has 33 years experience combining both the hospital setting and home health nursing. With a Masters in Nursing and her certification in wound and ostomy care, Gitta delivers specialized care to wound and ostomy patients in their home. She will come in assess, plan, and carry out wound healing while taking into account the patient’s age, health issues, nutrition, mobility, medications, and labs. SIVNA treats each patient individually, makes a care plan to fit each and every patient’s needs, and work with the family members so that they can help their loved one as well. To contact SIVNA, call 618-236-5800, visit their website at www.sivna.com, or visit them on Facebook. October 2012 — Metro East Area — Healthy Cells Magazine — Page 19

serving those in need

Your Own Journey

The Role of a Healthcare Chaplain Submitted by Passages Hospice “

e meet the patient wherever they are, and walk that road with them,” says Rabbi David Weiss, Director of Spiritual Care for Passages Hospice. “It’s not about one particular set of beliefs or religion, but whatever spirituality means to them.” On a given day, a healthcare chaplain might meet with patients and families who practice any number of religions—or don’t practice any religion at all. Some patients have spiritual beliefs, but don’t follow an organized religion. Some patients avoid spiritual discussions all together. “In that case, I ask if they’re a Cubs or Cardinals fan,” Weiss says. A healthcare chaplain guides the patient through any questions or concerns they have about their spirituality. This guidance can range from tradition prayers to broad discussions of “what comes next” or other questions. Most importantly, chaplains do not preach or push a single set of beliefs, but focus their care on each individual’s preferences—even if that means talking about baseball instead of spirituality. A healthcare chaplain is sometimes also a religious leader in a particular religion. Regardless of their personal beliefs, most have specialized training in chaplaincy and serving a variety of patients and families. Many chaplains are also certified by a professional organization, although it’s not a requirement.

In hospice care, chaplains visit patients on a regular basis, starting with their admission. When a patient begins hospice care, the chaplain performs an initial assessment and notes any special concerns they have about their spirituality. They visit with the patient on a regular basis, but they are also available 24-hours per day if the patient or family needs extra support. After the patient passes away, the chaplain and bereavement department support the family through a variety of outreach methods. This might include a memorial service, letters, phone calls, visits and/ or cards. Bereavement services are available completely free of charge for more than a year after death, and each family determines how much follow-up they want. “Everyone grieves differently, but grief is natural,” Chaplain Weiss says. “We’re here to support you through that process.” For more information about hospice chaplains, or about Pastoral Care Month in October, visit www.passageshospice.com or call tollfree 888-741-8985.

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community news

Parkinson’s Disease Metro East Support Group By Christine Tyre, Healthy Cells Magazine

few weeks ago on a Saturday afternoon, I received a call from a lady who, after reading a Healthy Cells magazine, wanted to share her story. Marilynn told me she has Parkinson’s Disease and had started a local support group a year and half ago. She started this group with only two members that included herself. What is so unique about her story is that not only does she have Parkinson’s, but she is also a caretaker of a patient with Parkinson’s Disease. This patient is her husband of over 60 years. Over the last year and a half, the support group has since grown to about 40 members. This special woman coordinates the monthly meetings. Marilynn tries to invite an educational speaker to every meeting. The purpose of the meeting is for members to share their experiences, successes, defeats, and ideas on how to improve life with Parkinson’s. The meetings are very upbeat, positive, and focus on support and friendship. Marilynn is proud that the meetings are fun and that everyone is there to help each other. Every year, she and her husband go to Florida for five months and she conducts the meetings from Florida through her computer using Skype. Marilyn prides herself in never missing a meeting! While the couple is in Florida, they attend meetings and seminars through the National Parkinson Foundation in order to keep up with the latest research and information. She also brings home new books and ideas on how to cope with the disease. The American Parkinson Association of St.

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Louis also provides a wealth of knowledge for the local support group meetings in Glen Carbon. Parkinson’s disease usually develops after age 50 and is one of the most common nervous system disorders in the elderly population. When it does occur in younger adults, it is usually because the disease runs in the family. Men and women are both affected by this disease. The goal of treatment for the disease is to control symptoms. This can be done with medications, which most people respond to very well. Many people also respond very well to talking about their disease, especially with others who are having some of the same issues. Come and talk, listen, learn, share, and laugh with others who are having similar experiences. The local Parkinson’s Disease Support Group is for anyone with the disease or for anyone who has a relative or friend who has Parkinson’s.

Parkinson’s Disease Support Group When? The third Wednesday of the month from 10:30 a.m. to 12:30 p.m. Where? The Glen Carbon Community/Senior Center, 157 N. Main St., Glen Carbon, IL. Who? Anyone with Parkinson’s disease, caretakers, friends or relatives. The next meeting will be October 17. For more information, contact Marilynn Kozyak at 618-288-3506 or 618-531-3675. Marilynn’s e-mail is mjkozyak@gmail.com.

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Call Toll Free 800-233-4904 www.seniorservicesplus.org October 2012 — Metro East Area — Healthy Cells Magazine — Page 21

nervous system health

What is Causing This Tingling and Pain? Submitted by Med+Plus

o you suffer from numbness and tingling, pins and needles, or pain in your hands and/or feet? Have you noticed yourself dropping items or having difficulty picking them up? Does walking seem to be more like a chore due to loss of balance? If any of this sounds all too familiar, you may be suffering from peripheral neuropathy. Peripheral neuropathy is defined as damage to the peripheral nervous system, which does not include the brain or spinal cord. The nerves that are affected are the branches that run down the arms and legs, into the hands and feet. Neuropathy may affect only one single nerve, but oftentimes more than one nerve is affected. The pattern of pain or numbness varies greatly when it comes to nerves. You may notice your entire foot going numb, or maybe just one toe. One spot on your arm may have pain, or the pain could possibly consume your whole hand. The nerves that are affected have two parts: sensory and motor. Sensory is touching something and being able to feel what you are touching. If the object you touched was hot, the motor side of your nerve will instinctively

If an adult suddenly collapses, perform Hands-OnlyTM CPR. Call 911

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Page 22 — Healthy Cells Magazine — Metro East Area — October 2012

handsonlycpr.org

have you pull your hand away. If the motor side of the nerve is damaged, one may notice muscle weakness, uncontrolled muscle twitching, or difficulty walking. Many people think that they cannot possibly have peripheral neuropathy because they are not diabetic. Diabetes is one of the main causes of peripheral neuropathy; however, there are many other causes, such as physical trauma to the nerve, autoimmune responses, nutritional deficiencies, alcoholism, vascular and metabolic disorders, chemotherapy, diseases to the kidneys, liver, and thyroid, connective tissue disorders, hormonal imbalances, repetitive motions that lead to nerve entrapments, or it can be inherited or acquired. Oftentimes, patients are diagnosed with peripheral neuropathy and told there is nothing else that can be done for their condition and they would just have to live with the pain. Many people have relied on medications that helped cover up the symptoms of peripheral neuropathy, but ultimately did not get to the bottom of the root cause. Thorough examination and testing can be done to determine exactly which nerves are causing the numbness and tingling, pins and needles, or pain. Once the exact cause is known, specific treatments can be initiated to decrease the damage being done to the nerves and begin enhancing the vitality of the peripheral nerves. Laser therapy, which aids in increasing oxygen and blood circulation to damaged nerves, is one of numerous alternative treatment options for peripheral neuropathy. To learn more about peripheral neuropathy and alternative treatments, please call Med +Plus Physical Medicine at 618-594-3671 for the Carlyle office, and 618-288-5044 for the Maryville office.

dental health

Teeth Whitening Submitted by Troy Family Dental

therapy alternatives

Pain Management Options: Life’s Too Short to Hurt! Submitted by Gregory C. Randle, MD

pain management clinic assists physicians and patients by providing specialized pain management options. This adjunct service, combined with your ongoing treatment, assures physicians and their patients the broadest range of treatment options for chronic pain patients. The goal is to provide specialized pain management services in partnership with your primary care treatment. There is some belief that the combination of complimentary approaches in medicine, such as Allopathic, Chiropractic, Homeopathic, and Naturopathic offer physicians and patients the best opportunity for patient pain relief. There are procedure-based services that can create customized pain management programs that will enhance standard treatments. Pain management clinics can offer procedures for patients with acute and chronic low back and neck pain, lumbar and cervical radiculopathy, herniated and bulging disc, degenerative disc disease, post laminectomy syndrome (CRPS/RSD), post herpetic neuralgia, neuropathic pain, head and arthritis pain. After completion of the procedures, patients will always be instructed to follow up with your primary care physician for future evaluations and therapies. Procedures performed under fluoroscopic (X-ray) guidance:

beautiful, bright smile is one of the most admired features on your face. It lights up a room and helps you stand out from the crowd. A dingy smile can be made into a bright, white smile in just a matter of hours with the Sapphire teeth whitening treatment. The Sapphire teeth whitening system can be performed in the office and continued at home. The Sapphire In-Office Teeth Whitening Treatment The Sapphire teeth whitening gel is made with 35 percent hydrogen peroxide and a de-sensitizing agent. The gel is applied to each tooth directly making sure to avoid getting the gel on the gums. After the gel is applied, a special light is used to activate the gel. The gel absorbs the blue light and the ingredients in the gel start to attack the stains on your teeth. The absorption of the blue light and the hydrogen peroxide help accelerate the whitening process resulting in beautiful, white teeth. Whitening your teeth with the Sapphire System takes about an hour. Patients are encouraged to listen to music, watch TV, read, or just take a relaxing nap while the procedure takes place. In about an hour, the teeth whitening treatment will remove the stains on your teeth and you will once again have the beautiful smile you deserve. At Home Teeth Whitening After you’ve experienced the Sapphire System at a dental office, your dentist will provide a Sapphire at-home teeth whitening kit with custom trays. This kit uses the same whitening gel used during the in-office treatment. However, the at-home kit does not use the light to activate the gel. The gel will keep your teeth white throughout the year. For all your dental needs or for more information on whitening your teeth or on dental health, call Troy Family Dental at 667-8020 today or visit online at TroyFamily Dental.com.

• Epidural steroid injection at lumbar • Thoracic and cervical regions • Epidural steroid injections • Transforaminal selective nerve root blocks • Facet nerve blocks at cervical • Thoracic and lumbar areas • Lumbar sympathetic blocks • Celiac plexus block and chemical neurolysis for cancer pain • Stellate ganglion blocks • Ganlion impar blocks • Trigger point injections

• Occipital nerve blocks • Intercostal nerve blocks • Radiofrequency neurolysis of facet medial nerve and sacroiliac joints • Sacroiliac joint injections • Spinal cord simulators trial/ implantations • Lumbar discography • Percutaneous disc decompression (nucleoplasty) • Pain pumps • Various peripheral nerve blocks include ilioinguinal, gemitofemoral, iliohypogastric, lateral femoral cutaneous, and supraorbital nerve blocks

We are all self-healers—by sharing knowledge, we can expand pain management options and improve your results. Vigilant Anesthesia Care & Pain Management, LLC offers procedure-based services in our Glen Carbon office and can also create customized pain management programs that will enhance your standard treatments. The Vertebral Axial Decompression (VAX-D) is also available. Vigilant Anesthesia Care & Pain Management, LLC has offices conveniently located in Belleville, Glen Carbon, Highland, Waterloo, and Red Bud. Please call our office for more information: 618-288-6722 or our toll free number: 855-288-5200 to schedule an appointment. We welcome the opportunity to serve you and your family. October 2012 — Metro East Area — Healthy Cells Magazine — Page 23

breast health

Self-Breast Exams and How They Can Save Your Life By Stephanie Dykstra, Imaging Center

t’s Breast Cancer Awareness Month and the perfect time to remind area women of the importance of self- breast exams, coupled with annual mammograms after the age of 40, as a way to help detect any changes in your breasts or reasons for concern. Unfortunately, symptoms of breast cancer can vary widely, making it difficult to pin-point what is wrong. Some symptoms may not even be breast cancer at all—a cyst or infection can also look and feel similar to breast cancer. With that said, it’s important to know what is going on with your body by being tuned in and by taking an active role in your health. Regular doctor appointments and mammograms are key steps in staying healthy and catching any illness or disease early. Although most of us know how to successfully give a self-breast exam, below is a reminder on the important steps that can save your life. Pass it on. Each and every month, decide which day is the best day for a selfbreast exam. Breasts can change (tenderness, fullness) depending on your menstrual cycle. It is therefore encouraged to do the exam around the same time each calendar month. Many resources are available regarding the best way to give a self-breast exam, including www. breastcancer.org where the following information was published. Start by looking at your breasts in the mirror, keeping your shoulders straight and your arms at your hips. Look for usual shape, size, and color. Are your breasts evenly shaped without any visible changes or swelling? Do you notice puckering, bulging of the skin, redness/soreness/rash, a change in nipple position, or a nipple pushed in instead of sticking out? If so, contact your doctor. Page 24 — Healthy Cells Magazine — Metro East Area — October 2012

Tips for Breast Health •K now your risks by talking about family history. • T alk to your doctor about your personal risk and screening options. • P erform self exams of the breasts every month starting at age 20. • G et a mammogram every year starting at age 40 if you are at average risk. For a better experience, see a Softer Mammogram Provider. • H ave a clinical breast exam at least every three years starting at age 20, and every year starting at age 40. • E ducate yourself on how to identify breast changes and reasons for concern (lumps, swelling, redness, shape, etc.) • Improve your lifestyle—maintain a healthy weight, exercise, limit alcohol intake, limit postmenopausal hormone use, and breastfeed if you can.

After initially standing and looking at the mirror with your arms to your hips, do the same body check while your arms are up in the air, noticing any changes or irregularities. In addition, look for any kind of fluid coming out of one or both nipples. The discharge could be watery, milky, a yellowish fluid, or blood.

The next step happens while lying down. Use your right hand to feel your left breast and then switch hands, using a firm but smooth touch. Go in a circular motion, moving in circles about the size of a quarter. Cover both breasts in this manner, all the way from your collarbone to the top of your abdomen, and from your armpit to your cleavage. It’s helpful to go in the same pattern each time, and increase the pressure from light to medium to firm to make sure all tissue is being examined. The final step is to feel both breasts while sitting or standing and survey them in the same manner as listed above. Many women prefer to do a breast exam while in the shower or right afterwards when the skin is wet because it’s easier to move smoothly around the skin. Also, many stores now offer self-breast exam gloves and accessories, helping the process to be more efficient. If you notice anything irregular in either breast, whether it is a lump, change in appearance, or discharge, contact your doctor. Remember to repeat your self-exam each month and to pick one day of the year that you can make an appointment for your mammogram, if over the age of 40 or under the recommendation of your doctor. Stephanie Dykstra is a Managing Member of the Imaging Center of Alton and Imaging Center at Wolf Creek, providers of MRI, Ultrasound, X-ray and mammography. Imaging Center is certified as a Softer Mammogram Provider®, a distinction awarded only to an elite group of healthcare facilities that offers MammoPad® as standard of care. For more information, about Imaging Center and its services, please visit www.imaging4life.com.

TREATMENT of CANCER & BLOOD DISORDERS DR. WILLIAM POPOVIC MD DR. GUILLERMO RODRIGUEZ, JR MD DR. SAMUEL BURSTEIN MD DR. JOHN VISCONTI DO DR. ALFRED GRECO MD

Main sites: 4000 N. ILLINOIS LANE SWANSEA, IL 618-233-8000 WARREN BILLHARTZ CANCER CENTER 2227 VADALABENE DR. MARYVILLE, IL 618-288-6800

Satellites: ALL SITES: 618-233-8000 ST, JOSEPHS HOSPITAL CLINIC 9515 HOLYCROSS LANE BREESE, IL HIGHLAND PHYSICIAN SPECIALISTS 1212 BROADWAY HIGHLAND, IL

October 2012 — Metro East Area — Healthy Cells Magazine — Page 25

root canal

Ask The Dentist By Dr. Anna Smith, Dentistry With TLC Q: I need a root canal and a crown fast. What are my options? A: You can now have your root canal and your permanent crown completed in just one visit to your dentist. It used to be very common for root canals to require two or three appointments with your dentist. Then having a crown made would require about two more appointments, if everything worked perfectly. All of these visits to the dentist added up to costly time away from work and away from the family. There is good news! Now it is possible to have your root canal and your permanent crown completed comfortably in just one appointment. Dental technology and techniques now allow root canals to be completed in just one visit, usually in about 30 minutes to an hour. Technology also allows the dentist to make your permanent crown the very same day, usually in about 30 minutes. With this technology you don’t have to wear a temporary crown for several weeks or get numb again at additional visits to the dentist because there are no additional visits needed!

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Dr. Anna Smith is the owner of Dentistry with TLC in Godfrey, Illinois where she has been practicing general dentistry for over eight years. She has been providing one-day root canals and CEREC technology crowns for her patients for the past five years. Dr. Smith does not limit her practice to root canals and crowns. She personally performs all types of family, surgical, cosmetic, laser, minimal sedation dentistry and braces. Dr. Smith has been awarded “TOP DOCTOR 20112012” of all Fastbraces dentists worldwide.

This technology is called CEREC dentistry. In order to make your permanent crown in just a few minutes the CEREC dentist will use a small camera to take digital pictures of your tooth. The pictures are loaded into a computer program that allows the dentist to design your personal crown for a custom fit. The computer will send the design to a milling machine in the dentist’s office and the permanent porcelain crown will be created in just a few minutes. Many patients enjoy watching the CEREC machine make their crown. With CEREC technology, dentists are now able to do in just one appointment what used to require at least four appointments to complete. Patients are always excited to learn that CEREC technology does not cost more than older techniques. CEREC technology allows patients to have their work done in just one appointment for the same cost as if it had taken four or five appointments! I perform one-day root canals Dr. Smith designs a crown on the and CEREC crowns for my patients every day, computer while a patient watches. and my patients appre- CEREC technology allows this patient ciate having their work to have three months worth of done in as little time as possible so they can be traditional dentistry completed in just anywhere besides the one visit to Dentistry With TLC. dentist. “When my tooth shattered I called Dentistry With TLC and I was able to see Dr. Smith within an hour. She worked me into her schedule and completed my root canal and my new crown the same evening. I got it all done at one appointment!” –Debra O., Alton, IL

community support

October is Breast Cancer Awareness Month Submitted by the American Cancer Society

mong women, breast cancer is the most frequently diagnosed cancer other than skin cancer. Breast cancer is also the secondleading cause of cancer death in women (after lung cancer). The American Cancer Society is the most effective breast cancer-fighting organization in the world. • The American Cancer Society is doing the most to help people with breast cancer today and is working tirelessly to find cures to end the disease tomorrow. • The American Cancer Society invest more in breast cancer research than any other cancer and have played a role in nearly every major breast cancer research breakthrough in recent history. • Today, one in every two women newly diagnosed with breast cancer reaches out to the American Cancer Society for help and support. • The American Cancer Society is available 24 hours a day with information, answers, and emotional support for women and their caregivers. Thanks in part to the American Cancer Society and its many supporters, countless Americans who have never had breast cancer and more than 2.9 million who are surviving the disease will celebrate another birthday this year. How is the American Cancer Society bringing a world with less breast cancer and more birthdays to life? By helping people stay well and get well, by finding cures, and by fighting back against the disease.

Getting a yearly mammogram is the most important action women can take to find breast cancer early—before physical symptoms develop— when the disease is most treatable. By following the American Cancer Society’s breast cancer screening guidelines, women can take steps to stay well: • Yearly mammograms should begin at age 40 and continue for as long as a woman is in good health. • A breast exam should be part of a periodic health exam – about every three years for women in their 20s and 30s and every year for women age 40 and older. • Women should know how their breasts normally look and feel and report any breast change to a health care professional right away. Breast selfexam is an option for women starting in their 20s. The American Cancer Society also recommends that women at high risk of breast cancer—because of family history, a genetic tendency, or certain other factors—be screened with MRI in addition to mammograms. They may also need to begin screening at a younger age. Women should talk with their doctor about their history and whether they should have an MRI along with their mammogram, and at what age they should start screening. In addition to finding breast cancer early with mammograms, women can help reduce their breast cancer risk by making healthy lifestyle choices such as staying at a healthy weight, getting regular exercise, and limiting their alcohol intake. Join the American Cancer Society on Saturday, October 27 at the Alton or Belleville Making Strides Against Breast Cancer Walk. For more information about Making Strides Against Breast Cancer or to get involved, visit makingstridesillinois.com or call 618-288-2320.

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metroeastplasticsurgery.com October 2012 — Metro East Area — Healthy Cells Magazine — Page 27

financial health

Choosing a Medicare Plan Five Steps To Selecting The Plan That’s Best For You By Ross Westreich, Vice President of Humana’s Central Illinois Medicare Market

ou’ve just turned 65 years old and you’re eligible for Medicare, or maybe you’re already a beneficiary, but you’re thinking about searching for a better deal. What do you do next? Here are five simple steps to selecting the best Medicare plan for you. Step One: Review your medical spending Give yourself a “health care audit.” Review your records and receipts to see how much you spent on health care. Don’t forget to include charges from physicians, hospitals and pharmacies—they all count. Many insurance companies provide annual summaries that track your spending for you. You can also ask your doctor’s office or pharmacy for information. Step Two: Identify future health care needs While you don’t have a crystal ball, you can estimate what health care services you might need. Think about whether you have a condition that requires ongoing care, whether you need to stay on your current medications, or if you need annual screenings. When you know all of this, use online resources such as www.FamilyHealthBudget.com, a Humana sponsored website, to estimate your actual costs. Step Three: Think about what you need from your Medicare plan You’ve looked at what you spend, now think about other things, including cost, benefits, and networks. Here are some things to consider: • C ost: How much will you pay for premiums, deductibles and copayments? Plans with lower premiums may have higher outof-pocket expenses (the amount you pay when receiving care, such as copayments, deductibles, and coinsurance). The inverse is also true: if you’re paying a higher monthly premium, your outof-pocket costs may be less. • B enefits: Does the plan include prescription drug coverage? Does it include additional benefits, such as a gym membership? • D octor and hospital choice: Do the doctors, hospitals, pharmacies, and other providers you use accept the plan? A health maintenance organization (HMO) requires you to see doctors in its network, whereas a preferred provider organization (PPO) provides you with more flexibility, but potentially higher out-ofpocket costs. Step Four: Explore your options There are many resources that can help you understand all the plan options available: • State Health Insurance Program (SHIP): All states have a SHIP that gives free local health insurance counseling. For information for Illinois, visit http://insurance.illinois.gov/ship/. You can also call 1-800-548-9034. If you use a TTY, call 1-217-524-4872. • Medicare: www.medicare.gov enables you to find and compare Medicare prescription drug plans and health plans in your area. You can also call 1-800-MEDICARE (1-800-633-4227). Page 28 — Healthy Cells Magazine — Metro East Area — October 2012

•A merican Health Insurance Plan (AHIP): www.healthdecisions. org/guide, a resource from the health insurance industry trade group AHIP, offers an easy-to-use, interactive online publication. Once you understand the options available to you, you can visit the Websites of the specific health plans and compare. Use tools like those available at www.humana-medicare.com/humana-medicare-drug-plan/medicare-rx.asp to compare plans, calculate prescription costs and learn about value-added wellness programs. Step Five: Find out if you qualify for extra help If you have limited resources, you may qualify for help paying for your Medicare health coverage. To find out if you qualify, contact your local Medicaid office or call the Social Security Administration at 1-800-772-1213. If you use a TTY, call 1-800-325-0778. No matter which Medicare health plan you’ve chosen previously, you can switch to a different plan between in early November through December of each year. If you are satisfied with your existing coverage, you don’t have to do anything. You will be automatically re-enrolled for the same plan. Use this time to make sound choices and get a full understanding of your options. After all, this is an important decision that you are committing to for an entire year. At the end of the day, few things are as important as your health and health care.

The A, B, C, and Ds of Medicare Medicare has the following four parts:

•H ospital insurance (Part A) helps pay for inpatient care in a hospital or skilled nursing facility (following a hospital stay), some home health care, and hospice care. • Medical insurance (Part B) helps pay for doctors’ services and many other medical services and supplies that are not covered by hospital insurance. • M edicare Advantage (Part C) allows people with Medicare Parts A and B to choose their health care services through a private company. • Prescription drug coverage (Part D) helps pay for medications. Most people are automatically enrolled in Parts A and B when they turn 65 years old. If you are interested in Part C, you’ll need to contact an offering company, like Humana. For details on Part D, visit www.medicare.gov.

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injury prevention

6 Tips to Protect Kids in Fall Sports Submitted by Next Step Foot and Ankle Centers

By Richard Shatz, MD, Metro East Plastic Surgery

very fall season, foot and ankle surgeons see an increase in ankle injuries among young athletes. Football, soccer, and basketball are the sports most likely to lead to sprains, broken bones, and other problems. If your children are playing sports this fall, here are six tips to that could protect your children from serious ankle injuries: 1. Get ankle injuries treated right away. What seems like a sprain is not always a sprain; in addition to cartilage injuries, your son or daughter might have injured other bones in the foot without knowing it. Have a qualified doctor examine the injury. The sooner rehabilitation starts, the sooner long-term problems like instability or arthritis can be prevented, and the sooner your child can get back into competition.

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Seven reasons to ask for Smartlipo Triplex: • T op choice: Smartlipo is the number one choice of physicians all around the world. • Less invasive: Does not carry the risks and expense associated with more invasive surgery. • S afe: Smartlipo is the only laser-assisted lipolysis with intelligent delivery systems; it is built with safety and consistency in mind. • E ffective: Proven by eight years of clinical studies. • 9 4% patient approval rate: Smartlipo is the most widely accepted and clinically studied laser assisted lipolysis system available today. It inspires total confidence. • Minimum pain and very little downtime: Most people are able to return to work in 48 hours. • L ess expensive: Since the procedure is performed in the office under local anesthesia with oral sedation, the cost is greatly reduced compared to standard liposuction. For more information on Smartlipo and other cosmetic procedures, contact Metro East Plastic Surgery and Laser Center at 618-307-5840 or visit the website at metroeastplasticsurgery.com.

2. Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child’s previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition. 3. Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn’t mix baseball cleats with football shoes. 4. Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can’t lie flat. 5. Check playing fields for dips, divots, and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That’s why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player’s foot and throw them to the ground. Alert coaching officials to any irregularities. 6. Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries. For further concerns or questions, call the doctors at Next Step Foot and Ankle Centers, Inc. Call 1-866-811-3100 to reach any one of our six locations throughout the Greater St. Louis Metro Area or by visiting our website at www.nextstepfootdocs.com. October 2012 — Metro East Area — Healthy Cells Magazine — Page 29

Welcome To 1 in 3 women suffer from urinary incontinence and pelvic organ prolapse.

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Physicians & Surgeons of the Foot & Ankle Now Accepting New Patients & Referrals Surgical Treatments and Conservative Therapies

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Dr. Brian L. Martin, DPM Dr. Lindsay D. Barth, DPM, FACFAS, Board Certified Dr. Jacob W. Lamb, DPM Dr. Krista N. Nelson, DPM (not pictured)

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Page 30 — Healthy Cells Magazine — Metro East Area — October 2012

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October 2012 — Metro East Area — Healthy Cells Magazine — Page 31

vision health

Diabetes and the Eye By Jeffrey M. Maher, MD, Illinois Eye Surgeons

s has been well documented in the news media, diabetes has become an epidemic in the United States. As of January 2011, 25.8 million children and adults (8.3 percent of our population) have been diagnosed with diabetes. Of those, approximately 18.8 million are diagnosed and 7 million are undiagnosed. In 2010, 1.9 million new cases of diabetes were diagnosed among people 20 and older. Among those 65 and older, nearly 27 percent of the population has diabetes. It is the leading cause of new cases of blindness in the U.S. among adults aged 2074, and the total cost of treating diabetes in 2007 was estimated at $174 billion. Clearly this is a problem of enormous proportions. Many complications can arise from diabetes, and in the case of the eye, there are several main culprits. Glaucoma: This is a condition where the pressure inside the eye is too high, and over time, this causes progressive and permanent damage to the optic nerve, which transmits visual information from the eye to the brain. People with diabetes are 40 percent more likely to be diagnosed with glaucoma, and the risk increases with both age and duration of diabetes. Glaucoma is typically asymptomatic until it reaches advanced stages, at which point vision loss can be severe. Fortunately, there are many effective treatment options if it is diagnosed early enough. Cataracts: Although everyone will develop cataracts if they live long enough (a condition where the lens inside the eye gradually changes from clear to cloudy, eventually causing decreased vision), people with diabetes tend to get them at a younger age. These cataracts also tend to progress more rapidly than among the population at large. Cataract surgery today is a very safe and highly successful procedure, but diabetic retinopathy (discussed further below) can sometimes acPage 32 — Healthy Cells Magazine — Metro East Area — October 2012

Dr. Jeffrey M. Maher

celerate after cataract removal, pointing to the importance of vigilant monitoring of the overall eye health of diabetic patients. Retinopathy: If you envision the eye as a camera, the retina is like the film in the camera. It processes and makes sense of the images we see. Diabetes can affect the retina in a number of ways. There are two main categories: nonproliferative (NPDR) and proliferative diabetic retinopathy (PDR). In NPDR, capillaries in the retina dilate and become weak, which can lead to fluid leakage into the retina, called macular edema. This can then lead to decreased vision, but can often be successfully treated if diagnosed early. In PDR, blood vessels become damaged to the point of closing off, which causes new (but abnormal) blood vessels to grow in the retina. These vessels can cause many serious and vision-threatening problems, including bleeding inside the eye (called a vitreous hemorrhage), scar tissue, and even retinal detachment, which requires surgery in hopes of saving vision. Although surgical techniques have become quite sophisticated, they are not always successful and blindness does result in some cases despite all efforts. Diabetic retinopathy, in general, can progress over many years before visual symptoms are noted, and the later it is diagnosed, the less successful treatment is likely to be. Once again, regular and thorough eye examinations are critical in any diabetic patient. At a minimum, a dilated eye exam should be obtained once a year with an eye care professional. The Illinois Eye Surgeons can be reached toll free at 1-855-260-EYES or visit our website at www.illinoiseye.com. We put lives in FOCUS. Source: American Diabetes Association

flexibility regimen

Golfer’s First Tee Warm-Up Submitted by Amy Loyet, PRORehab

s the heat of summer gives way to the cooler temperatures of fall, many people are returning to the golf course. There are many injuries that can result from the modern golf swing. Commonly injured sites can include the wrist, elbow, shoulder, and lower back. The amateur golfer should adopt a warm-up program before teeing off. Described below are 10 warm-up exercises designed to allow greater range of motion from the swing phase through impact. 1. Walk: Five minutes prior to stretching walk for a warm-up. This may involve parking in the far corner of the lot or walking to the driving range. This will increase the golfer’s heart rate and allow the tissues of the body to become warm. 2. Standing Rotation Swing: In this exercise, the golfer assumes an address position with their arms crossed over their chest. The golfer then generates a slow full shoulder turn to the right with only slight hip rotation. Once end range is met, the golfer releases as in a normal follow through. The golfer should repeat this five to six times slowly. 3. Quad Stretch: Bend the knee and place the foot on a bench or back of the golf cart. Use a club for balance. Hold the stretch for 20-30 seconds and repeat two times on each leg. 4. Hamstring Stretch: Place your heel on a bench or seat of the cart with the leg straight. Bend forward at the waist. Hold the stretch for 20-30 seconds and repeat two times on each leg. 5. Low Back Stretch: Single knee to chest with the foot resting on the fender of the cart or a bench. Again, hold the stretch for 20-30 seconds and repeat two times for each leg. 6. Chest Stretch: Place the golf club behind the shoulders, holding it at either end. Make a full turn to the right slowly and then turn to the left all the way to the end of the follow-through. Repeat five times slowly, then increase the tempo of the turn for an additional five times.

7. A rm/Shoulder Stretch: Assume the address position and place one end of the club in each hand. Begin the backswing position and stretch the right arm while maintaining the right rotation of the backswing. Repeat to the left side. Repeat five times slowly each direction. 8. Shoulder Stretch: Grab the left arm at the elbow with the right. Gently pull across your body until a stretch is felt. Repeat for the other side five times each. 9. IT Band Stretch: In a standing position, cross the right foot over the left. With support from the golf club, slowly sidebend to the right side to feel a stretch in the left hip. Alternate between sides repeating five times for each side and holding 20-30 seconds. 10. P rogressive Speed Swing: Assume the address position with the club gripped in a normal manner. Begin swinging at one-fourth speed of your normal golf swing and make five swings. Increase the speed by one-fourth each time until full speed is attained (20 swings). At the end, add three swings that are 10 percent faster than 100percent. This will prepare the low back and the critical tissues for the stresses to come during the round. This pre-round flexibility regimen can offer the amateur golfer improved flexibility and decreased risk of injury. If you are injured and would like a free injury screening, please call the PRORehab Clinic nearest you. In Illinois, call 618-208-3310 for our Alton clinic, 618-307-3434 for Edwardsville or 618-624-9300 for Fairview Heights or visit our website at www.prorehabpc.com.

October 2012 — Metro East Area — Healthy Cells Magazine — Page 33

dental options

Everyday Cosmetic Dentistry By Ty Parker, DMD, PC

hrough various forms of cosmetic dentistry, patients are able to change the appearance of their smile and get the smile that they have always dreamed of. Cosmetic dentistry focuses on making your smile look as good as you feel it should. The new standard in dentistry is making the dental treatment you need both functional and beautiful.

Whitening If you are pleased with the shape and position of your teeth, but are concerned with the color, whitening can be an option. Whitening can dramatically change the color of your teeth to make them appear more white and youthful looking. At home whitening with custom trays works well for people with minimal staining. If you have deeper staining or want immediate results, you should choose to let the professionals do the deep whitening in the office for you. White Fillings Many patients are concerned about the appearance and presence of older silver fillings in their teeth. For these patients, replacing the older fillings with white, resin fillings can make their teeth have a better appearance. Silver fillings can expand and contract and make teeth crack over time. Also, they get darker over time. Modern white fillings are very durable, long lasting, and have a natural appearance.

PECIALIZING FOR

IN P AIN Y OU AND

Veneers and Crowns If you are concerned with the shape and color of your teeth, veneers or crowns can be the answer. Veneers and crowns are made of porcelain and look like natural teeth. With veneers and crowns, the doctor and patient are able to determine the shape and color of the teeth. Sometime veneers can be done without a drill, which means no tooth structure needs to be removed. Also, unlike whitening, the color of veneers and crowns will stay the same over many years. Clear Braces If you are concerned with position of your teeth, but are happy with the overall shape, clear braces can be an option. Clear braces are trays that fit over your teeth and move them into position over a period of time. Many patients prefer clear braces, because clear braces are difficult to see when worn. These are great options for patients that want to change the positioning of their teeth, but don’t want to have people know they are wearing braces. As you get the dental treatment you need, ask yourself if it will be as nice and natural looking as it is necessary for the health of the tooth. At Fountains Family Dentistry, Dr. Parker and his staff give free smile consultations to patients, so that they can determine how they would like to change their teeth in a stress free setting. If you are interested in changing your smile, consult Dr. Parker and his team at Fountains Family Dentistry for a free smile consultation. Call 618-622-1800 or visit their website at FountainsFamilyDentistry.com.

M Y

ANAGEMENT OUR F AMILY

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Offices locations in: Belleville • Glen Carbon • Highland • Red Bud • Waterloo GLEN ED

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Page 34 — Healthy Cells Magazine — Metro East Area — October 2012

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