November Bloomington Healthy Cells 2011 by Healthy Cells Magazine

BLOOMINGTON/NORMAL

November 2011

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HealthyCells

Promoting Healthier Living in Your Community

• Physical • Emotional • Nutritional

www.healthycellsmagazine.com

M A G A Z I N E

A Legacy of Fighting Pain Dr. Benjamin Taimoorazy and

The Guardian Headache and Pain Management Institute pg. 20

Vertimax System

Extraordinary Expectations

When is Plastic Surgery The Answer?

pg. 38

pg. 40

pg. 46

Can you Hearing the words ‘You Have Cancer?’ “I did. Not once, but twice. What I couldn’t Imagine was that Illinois CancerCare works along side some of the largest academic centers in the World to find better treatments and therapies through cancer research. I had the best that medicine had to offer, while staying close to my family and friends.” To learn more, visit: illinoiscancercare.com Eastland Medical Plaza 1 1505 Eastland Dr. Suite 110 Bloomington, IL 309.662.2102 | 1.866.662.6564 www.illinoiscancercare.com

264698_ILCC_sam_Bloom horiz.indd 1

10/10/11 11:28 AM

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

Experience the best pain doctors right here in your area.

1015 S. Mercer Ave. Bloomington, IL 61701

Pictured Ramsin Benyamin, MD and Ricardo Vallejo, MD PhD

(309) 662-4321

www.millenniumpaincenter.com

November 2011 — Bloomington — Healthy Cells Magazine — Page 3

NOVEMBER Children's Foot Health: Shoe Shopping—Not Just for the Faint of Heart Infant Health: Healthy Babies are Worth the Wait Physical: Experts in Human Foundation Repair Emotional: Depression and Children Nutritional: Know Your Farmer A Natural Approach: Birth by Hypnosis Lung Cancer: Early Diagnosis—What You Need to Know American Diabetes Month: Healthy for the Holidays Spine Health: Avoid a Degenerative Cascade Down Syndrome Awareness Month: Understanding and Living with Down Syndrome Stroke Prevention: A Medication Review Blended Services: Pain Management + Chiropractic = Success Traumatic Brain Injury: Patient and Family Adjustment Hormone Imbalance: Long Term Weight Management Success Cervical Cancer Vaccination: Is HPV Vaccine Right for My Child? Athletic Performance: Vertimax System Balloon Sinuplasty: New Treatment for Chronic Sinus Infection Women's Health: Extraordinary Expectations Healthy Skin: Facials for A-List Skin Hypotonia: Decreased Muscle Tone in Infants and Children Negative Body Image: When is Plastic Surgery the Answer? Deep Venous Thrombosis: More Common than You Think

This Month’s Cover Story:

Volume 6, Issue 11

A Legacy of Fighting Pain Dr. Benjamin Taimoorazy and The Guardian Headache & Pain Management Institute page 20 Cover and feature story photos by élan Photography

7 8 9 10 12 14 17 19 23 24 26 28 30 32 34 36 38 39 40 42 44 46 48

Hormone Levels: Important to Your Health

2011

The Staff at Guardian Headache & Pain Management Institute, L-R Amber Lindell, Manager; Nancy Jarnagin, Nurse; Pam Norfleet, Medical Assistant/Receptionist; Dr. Benjamin Taimoorazy For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, ceash7@gmail.com Healthy Cells Magazine and Pastelle Magazine are both a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com www.healthycellsmagazine.com and www.pastellemagazine.com Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

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

Experience the Difference. “I could not have received better care anywhere else than at OSF.” Maureen Iverson — Bloomington, Illinois

A regular mammogram saved Maureen Iverson’s life. During a visit to OSF St. Joseph Medical Center, Maureen’s radiologist found a calcification in her left breast. After a stereotactic breast biopsy at OSF St. Joseph Medical Center, her doctor suggested a lumpectomy. “The follow-up care I received at OSF made me feel confident in my medical team and at peace with myself in what was a very stressful situation,” said Maureen. Maureen’s surgery was a success and the following week she was told all of the margins around the calcification were clear. “The high quality equipment matched the top notch staff. I don’t think I could have received better care anywhere else than at OSF,” said Maureen. It’s the little things we do that make the biggest difference. At OSF St. Joseph Medical Center, we prepare every day for patients like Maureen. The compassionate care, a gentle touch, and the feeling of family…at the hands of expert medical teams using specialized technologies and treatments – to care for you and your family.

Experience the Difference at OSF St. Joseph Medical Center. For more patient stories, visit us at www.osfstjoseph.org. 2200 E. Washington St., Bloomington, IL 61701 (309) 662-3311 www.osfstjoseph.org

November 2011 — Bloomington — Healthy Cells Magazine — Page 5

Podiatry

Physical Therapy

MRI

Surgery

EMG

Human Foundation Repair No building stands long without a solid, stable foundation. A strong base is necessary to ensure the long life of the structure that towers above it. So it is with the foundation of the human body: the feet.

Dr. Gerald Paul, DPM Treatable Conditions of the Foot

• • • • • • •

bunions hammer toes plantar fasciitis warts heel spurs fractures trauma

Foot and Ankle Surgery

Dr. Brian Hamm, DPM Foot and Ankle Surgery

For more information, or for an appointment, call

309-663-6461

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

freestanding surgery center in central Illinois and the only one certified for overnight stay. Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services. Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.

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

Page 6 — Healthy Cells Magazine — Bloomington — November 2011

hormone levels

Important to Your Health By Doug Higgins, R.Ph., Doug’s Compounding Pharmacy

ave you ever stopped to think about the role of hormones in the female or male body? Hormones serve to regulate the body, acting as messengers to manage body functions and chemistry. When an imbalance occurs, it can affect the entire body and a number of ensuing health issues can occur. Bio-identical hormone replacement therapy, often referred to as BHRT, is one method of addressing hormonal imbalance. Most commonly, people think of the sex hormones when evaluating BHRT needs, but there may be other needs as well, such as the adrenal hormones (DHEA or cortisol) or nutritional needs. The basis of BHRT is to evaluate several hormone levels and replace the hormones that are deficient. A saliva sample is one way of evaluating hormone levels. It’s easy-to-do and non-invasive and is effective for measuring hormone levels in both women and men. Most often, the hormones evaluated with saliva testing include: • E strogens – Estrogen hormones (estrone, estradiol, and estriol) have over 400 functions in the body. They stimulate growth of breast and endometrial (uterine) tissue in women and prostate tissue in men. Estrogens also have an impact on the heart and circulatory systems, skin, thyroid, digestive and bone health and many other body functions. • P rogesterone – Progesterone is often called the “feel good” hormone. It balances the stimulating effects of estrogen. Progesterone improves bone mineralization and helps with PMS type symptoms including irritability, mood swings and fatigue. • Testosterone – Testosterone is most often thought of as increasing sexual interest, but its effects are far reaching as it serves to enhance muscle tone and strength, skin health, energy and good mental health. • D ehydroepiandrosterone(DHEA) – DHEA enhances immune system function and helps reduce the incidence of many diseases associated with aging. It also affects muscle strength and aids with sleep in addition to other benefits. • C ortisol - Best known as the energy hormone, cortisol also plays a role in immune function and sugar metabolism.

Family Adoption

Mediation & Divorce Estate Planning Real Estate

Based on the results of saliva testing and consultation with the individual, a qualified compounding pharmacist, together with a physician, nurse practitioner, or physician’s assistant who specializes in BHRT, can assist in creating a customized plan of care to optimize the balance of each hormone. Whether you are a woman experiencing symptoms of perimenopause or menopause, such as hot flashes, low libido, mood swings or irregular menstrual cycles; or are a male experiencing weight gain, low sex drive, irregular sleep patterns or fatigue; hormone balancing may be the answer to improving your physical health and well-being. To learn more about hormonal imbalance and bio-identical hormone replacement therapy, contact Doug’s Compounding Pharmacy at 877-642-DOUG(3684) or visit their website at www. dougsrx.com. Established in 2000, Doug’s Compounding Pharmacy, serves patients throughout the state and is located at 137 N. Market Street in Paxton.

Hip Joint Resurfacing

An alternative to Total Hip Replacement Surgery

Brian Sipe, DO

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

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

•

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

•

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

Amy L. McFarland, Attorney at Law 309-827-8900 ■ www.bloomingtonlegal.com November 2011 — Bloomington — Healthy Cells Magazine — Page 7

children's foot health

Shoe Shopping

Not Just for the Faint of Heart! By Melissa J. Lockwood, DPM, Heartland Foot and Ankle Associates, P.C.

h, those dreaded words! “Mom, I need a new pair of shoooooeeesss!”. With all the fashion choices that both girls AND boys have to make, it’s no wonder that parents dread heading out to the mall for some new kicks. Below are some tips to make that process a whole lot smoother: • Make sure to pick up a good structured gym shoe for your active student. A properly made shoe will not only last longer and provide more support, but student’s who are in the correct size and type of shoe will ultimately have fewer injuries. • H ave your children’s feet measured every 6 months – those toes grow and they will often need 1-3 pairs of shoes for gym class each school year. Tight shoes can lead to ingrown toenails which is another dreaded phrase that mom’s do not like to hear!! Typically 1-2 pairs of dress shoes will suffice for any given school year. • F or both gym and dress shoes, you should be able to press your thumb at the end (toe box) of the shoe and not feel the tips of your child’s big or 2nd toes. You want a little growing room in the toe box to avoid bumping those toes on the end of the shoe when running and playing! Page 8 — Healthy Cells Magazine — Bloomington — November 2011

•W orn out shoes can lead to ankle injuries from the lack of support. An ounce of prevention… Saves you a trip to the podiatrist! Shoes should be firm and not too ‘soft’ around the middle. Perform a twist test – hold the shoe end –to –end and try to twist it lengthwise – if there is a lot of wiggle and give, it is time for a new pair! • M easure feet in the afternoon – everyone’s feet swell, even kids! So make sure to perform those shoe shopping tasks in the afternoon! • For specific sports, look to your coach, trainer, and podiatrist for guidance on what to purchase. There are some great shoes for basketball that might work well for tennis – but neither beats a well made soccer cleat on the field! Use your local resources and check out our website and blog for updates on specific shoes and styles that might help your student athlete all year round! Here’s to a happy child, mom, and some happy toes! For more information on purchasing children’s shoes, please contact Dr. Lockwood at 309-661-9975 or www.heartlandfootandankle.com.

infant health

Healthy Are Worth The Wait By Rowena Vergara, Communication Coordinator, March of Dimes

n the last 20 years, expecting moms have been able to schedule their due date to accommodate vacations, family visits or even to secure an astrological sign. Early, elective deliveries are more common than one may think throughout OB/Gyn offices across the country. But according to March of Dimes, the nonprofit organization on pregnancy and baby health, important brain and organ development occurs in the last few weeks of pregnancy. The truth is, it is not always safe to induce labor before 39 weeks of pregnancy if there is no medical need. But just 25 percent of women know a full-term pregnancy must last at least 39 weeks, according to research published in the December 2009 Obstetrics and Gynecology issue. This year, March of Dimes launched a public education campaign to raise awareness about the important development that occurs in those last few weeks. The campaign, “Healthy Babies Are Worth the Wait,” encourages women to allow labor to begin on its own if their pregnancy is healthy. The campaign is also online at: www.marchofdimes.com/39weeks. The local March of Dimes Heartland Division is partnering with Advocate BroMenn Medical Center and OSF St. Joseph Medical Center to help educate expectant moms about this very important issue. Babies born after 37 weeks of pregnancy are actually considered full-term. But the difference between a baby born at 37 weeks and at least 39 weeks can be dramatic. New research has shown that a baby’s brain at 35 weeks weighs only twothirds of what it would weigh at 39 to 40 weeks. The overall risk of death is low for babies born prior to 39 weeks. But the risk still doubles for infants born at 37 weeks of pregnancy when compared to babies born at 40 weeks, for all races and ethnicities. March of Dimes encourages women to ask their health care provider why he or she is recommending a scheduled delivery, if that is the case. Women should know if there is a problem with their health or the health of the baby, which would warrant an early delivery. Women should ask about the risks or long-term effects of induced labor and delivering c-section. March of Dimes believes if more mothers are aware of the vital brain and organ development that occurs, they will more than likely be willing to allow labor to begin naturally. In addition to moms and dads, March of Dimes is working with health care professionals to reverse this trend. Across the

country, 25 total hospitals in five states (California, Florida, Illinois, New York and Texas) are piloting a toolkit, released by March of Dimes leaders, as well as hospitals and clinicians, on eliminating elective deliveries prior to 39 weeks. This toolkit was initially geared toward hospitals in these five states because these states account for nearly 40 percent of all deliveries nationwide. With chapters nationwide, March of Dimes works to improve the health of babies by preventing birth defects, premature birth and infant mortality. For the latest resources and information, visit www.marchofdimes.com.

November 2011 — Bloomington — Healthy Cells Magazine — Page 9

physical

Experts in Human

Foundation

Repair By Alexander Germanis

o building stands long without a solid, stable foundation. Whether it’s made of steel-reinforced concrete and stands on granite bedrock or if it consists of cedar piles driven into the spongy loam of swamplands, a strong base is necessary to ensure the long life of the structure that towers above it. So it is with the foundation of the human body: the feet. Dr. Gerald Paul, DPM and Dr. Brian Hamm, DPM, foot and ankle surgeons at McLean County Orthopedics (MCO) are both experts at helping their patients maintain a healthy base for the building of their body. Having both served their residencies in Indianapolis and having cut their teeth there on thousands of surgeries in a two year period, Dr. Paul—a 1991 alumnus of ISU—and Dr. Hamm—a native of LeRoy—were then able to take their cumulative experience and bring it back to benefit those in the familiar territory of central Illinois. And a lot of experience is necessary when dealing with a part of the body that Dr. Paul refers to as “such a unique structure with the stresses that it takes. It’s completely different than any other part of the body—the little bones and the stress they take with running or the thousands of steps we take every day.” That much stress on such a foundation can result in a variety of problems: bunions, hammer toes, plantar fasciitis, warts, heel spurs, and of course trauma to any number of the 26 bones in the foot (28, if one includes the sesamoid bones imbedded in the tendon at the base of the big toe). All of these problems are tackled by the podiatrists at MCO, using a variety of techniques. And some of those techniques have been improved upon over the last several years. “Arthroscopically we’ve been able to do more procedures,” Dr. Hamm explains. “There are always new techniques to increase blood flow and oxygenation of the tissue.” An ultrasound therapy known as shockwave treatment can be used to combat plantar fasciitis, a condition characterized by pain in the band of ligaments running from the heel to the ball of the foot. Drs. Hamm and Paul also perform Weil osteotomies, a procedure in which a metatarsal bone is shortened or moved in order to correct or alleviate several painful foot issues. Page 10 — Healthy Cells Magazine — Bloomington — November 2011

The thing all of these techniques have in common is they are devised and carried out to minimize or eliminate pain. Feet are not supposed to hurt any more than a house is supposed to have cracks in its foundation. And in order to maintain a strong base both in building and body, the number one word is support. “The vast majority of things I see that work up the line—[problems with the ankles, knees, hips, back, neck, etc.]—is the lack of support or control of a good shoe or orthotic system in a shoe,” Dr. Paul says. Dr. Hamm elaborates: “[Also key is to have] the appropriate support and/or cushion to match the surface that you’re doing the activity on; it should also match the activity. There’s a different shoe for someone who’s doing a low impact type of activity on a soft surface than there would be for someone who is a long distance runner and is doing a lot of impact running on a hard surface. It’s so important to have the right shoe for the right activity and the right surface. One shoe does not cover every situation that you get into.” Stretching comes next. The simple act of stretching the tendons and ligaments in the foot and ankle when one wakes up or before one exercises can pay dividends when it comes to avoiding painful foot issues. Prevention is the name of the game when it comes to children too—recognizing issues during the formative ages of three to six. Attributing foot discomfort in children to “’growing pains’ is not a good diagnosis,” Dr. Paul advises. “There’s usually a reason if it’s pretty consistent pain. Getting that checked is a big thing.” Indeed vigilance in making sure the building of the body retains its stable base throughout life is why podiatrists are the foundation experts.

For more information, you may contact McLean County Orthopedics at 309-663-6461 or www.mcleancountyorthopedics.com. Their office is located at 2502 E. Empire in Bloomington. Dr. Paul serves as team podiatrist for ISU and Illinois Wesleyan Athletics as well as for the Bloomington Extreme. Dr. Hamm is board certified in foot and reconstruction rearfoot/ankle surgery.

We changed our name, not our mission.

PROUD TO BE:

Adjusting to the changing health care needs of seniors.

HeritageOfCare.com/change November 2011 — Bloomington — Healthy Cells Magazine — Page 11

emotional

Depression and Children Submitted by Dr. Anjum Bashir

any people do not realize that depression in children and teens is a serious illness; as many as 1 in every 33 children may have depression and it may be as high as 1 in 8 for teens. It can be hard to understand how a young child could be suffering from depression and challenging teen behavior may be normal or may be a sign of depression. Because the symptoms and treatment of depression can be very different for young children than for teens, we shall deal with them separately. Let’s start with children in grade school or younger. Is it Depression? Depression is much more than just a feeling of sadness or a bad mood. Young children may not be able to verbalize their thoughts and feelings and normal behaviors vary from one childhood stage Page 12 — Healthy Cells Magazine — Bloomington — November 2011

to another so making a diagnosis can be especially difficult. Typical symptoms include: • Not wanting to be with family or friends, refusal to attend school • Being afraid of things that they normally are not afraid of • Angry outbursts • A cting much younger than actual age for example, bedwetting or clinging to parents • Continual sadness, tearfulness or irritability • Signs of self-destructive behavior, such as head-banging • Not wanting to do fun things that they used to enjoy. • Too little or too much interest in eating. • A significant change in sleep habits • Physical complaints, pretending to be sick • Worry that a parent will die

An experienced psychiatrist or mental health professional will conduct a very detailed evaluation to determine if problems are typical behavior changes or those associated with more serious problems. A different type of depression called dysthymia may be diagnosed if the sadness or irritability is not as severe, but the child’s negative mood and outlook on life becomes the normal part of the child’s world. Children with dysthymia often have very low self-esteem, have problems sleeping and eating, and withdraw from social interaction. Dysthymia is every bit as serious as depression and is often overlooked and attributed as the child’s personality. Diagnosis for either disorder is made based on the number of behaviors, the severity, and how long the behaviors have lasted. What should you do? Significant life events such as a death in the family, birth of a sibling, a divorce, or a move can bring on symptoms of depression. However, depression usually isn't caused by one event or reason, but is more often the result of several factors. If you have any concerns about the mental, behavioral, or emotional symptoms in your child, it’s very important to seek help right away. Treatment usually produces better results if started early. Consult your child's doctor or health care provider first. Your doctor should be able to rule out physical causes for your concerns and determine if your child needs further evaluation by a specialist such as a psychiatrist or psychologist with experience working with children.

needs. It is important to understand the various treatment choices, which usually include talk therapy and/ or medication. Medications can be effective and necessary when the benefits outweigh the risks, but young children handle medications differently than older children and adults. Doctors should carefully consider the dosage and each child must be monitored very closely. Medication should be used with other treatments and services such as family therapy or behavior management techniques. What else can I do to help my child? Children with depression need guidance and understanding from their parents and teachers. Frustration, blame, and anger may have built up within a family before a child was diagnosed. Parents and children may need special help to undo these unhealthy interaction patterns. Most parents feel that it's their job to ensure the happiness of their kids. When your child is depressed, you may feel guilty because you can't cheer him or her up, or you may think that your child is suffering because of something you did or didn't do. This isn't true. Depression can be frightening and frustrating for your child, you, and your entire family. With the proper treatment and your help, your child can start to feel better and go on to enjoy the teen and adult years. For more information about depression or any mental health issue, you may contact Anjum Bashir, MD at 309-808-2326. His office is located at 205 N. Williamsburg, Suite E in Bloomington.

Treatment options for children Once a diagnosis is made, your child's specialist will recommend a treatment plan tailored to their individual problems and

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November 2011 — Bloomington — Healthy Cells Magazine — Page 13

nutritional

Know Your Farmer By Adrienne Tucker, Ph.D. Associate Director of The Green Institute at Heartland Community College

now your farmer, know your food is a Presidential led initiative to strengthen local and regional food systems. Why do you need to know your farmer? Being an educated consumer means you know how and where your food was grown, which helps in making healthier food choices for you and your family and also fosters an appreciation for the hard work that went into raising and growing your BLT sandwich. A grocery store tomato pales in comparison to a straight from the garden tomato. This is because the grocery store tomato was harvested prior to ripening to prevent spoiling when it was shipped thousands of miles to reach the store. While we may appreciate this process when we can easily purchase tropical fruits like mangos, bananas and pineapples, it is disheartening to know produce that can easily be grown in central Illinois has traveled so far. Purchasing local food can be beneficial for our wealth, health and Page 14 — Healthy Cells Magazine — Bloomington — November 2011

environment. When you seek out locally sourced herbs, meat, eggs, cheese, produce and baked goods, you are stimulating the local economy, which translates into new job creation. Knowing your farmer means you know how your food was grown and what pesticides, if any, were involved. Opting for locally sourced products also reduces “food miles” or the distance food travels from production point to the consumer, which correlates into less greenhouse gas emissions. Visiting your local farmers’ market is an excellent way to purchase local food, oftentimes straight from the farmer who raised the freerange chickens, harvested the eggplant, baked the breads, etc. Grocery stores may also stock locally sourced produce in the summer and meats, cheeses, and baked goods all year round, so check labels to see where it was produced. You may be surprised! Joining a CSA, or Community Supported Agriculture, is another option to attain weekly produce and/or meat from your local farmer. The winter is when CSAs

start advertising for new memberships that start in the spring. Some restaurants are also supporters of locally sourced food, even in the winter, thanks to greenhouses. Finding these sources may require a bit of work, but once you see and taste just how fresh the food is you will be happy you invested the time. These fall and winter months are also the ideal time to start planning your own vegetable garden. There is nothing more rewarding than going out your back door to pick some fresh produce and herbs for that evening’s dinner. Having your own garden also allows you the ability to try out different types of fruits and vegetables that are not typically available in the grocery store. Now you can try purple carrots that taste just like their orange counterparts, but contain more antioxidants. Or how about heirloom tomatoes, which come in many different colors, shapes, sizes and flavors. If you have a sunny window, you can even grow some herbs and lettuces all winter. Growing your own food at home and shopping farmers’ markets can teach children what raw produce actually looks like; they will learn

that baby carrots do not exist in nature, that raw produce was once covered in dirt, and that bugs can be beneficial. Naturally having your own garden whether in containers on a patio or a large plot in your yard requires manual labor, which is great for the mind, body and spirit. It also draws you outside to perhaps develop a new found appreciation for the nature that supports your food. Isn’t it time you met the farmer who grows your food? For more information contact: Adrienne Tucker, Ph.D., Associate Director of the Green Institute at Heartland Community College, at Adrienne.Tucker@Heartland.edu. The Green Institute supports a wide range of campus initiatives, educational programs and community activities related to sustainability, energy conservation, renewable energy, recycling, retro-commissioning and other environmental technologies. www.heartland.edu/greenInstitute, http://www. facebook.com/greeninstitute.hcc

Experience the difference 2406 E. Washington St. | Bloomington, IL 309 | 662-8418 eastlandchiro.com Chris Hoelscher, D.C. Stacy Hieronymus-Kong, D.C. Steve Gagliano, D.C. November 2011 — Bloomington — Healthy Cells Magazine — Page 15

One More Reason to Choose CPO Saravanan Sundarakrishnan, CPO, LPO Saravanan Sundarakrishnan is a certified and licensed orthotist/prosthetist who knew from the very beginning of his training that he “was meant to do this.” Using the engineering skills he learned from his dad while working in the medical field to help patients, Saravanan has a special interest in caring for the prosthetic, orthotic and pedorthic needs of children. This interest in technology is fueled by his commitment to patients. Saravanan’s goal with all of his patients is to listen intently and ensure that he’s providing them with the best overall care. Comprehensive Prosthetics & Orthotics is committed to restoring mobility and quality of life for patients of all ages, with a full range of orthotic and prosthetic services and an on-site fabrication laboratory.

www.cpousa.com Page 16 — Healthy Cells Magazine — Bloomington — November 2011

Call today to schedule your appointment at

1.888.676.2276

a natural approach

Birth by Hypnosis By Rick Longstreth, Certified Hypnotherapist

any expectant mothers are concerned or even fearful about the pain they may experience during childbirth. While some mothers plan to use an epidural, spinal block, or medication for pain relief, others may prefer a more natural approach to the birth process. In addition, labor and delivery does not always go as expected, so even if you plan to have medicated pain relief, it is a good idea to also have an alternate plan in the event you should need it.

"The more you can relax and work with birth and stay out of fighting the process the more smoothly it can go."

At the same time, the biggest challenge in birth is to relax deeply and completely. The primary reason for this challenge is your conscious mind! While your body, on a cellular level, knows exactly how to birth your baby, the conscious thinking mind assumes it needs to manage, control, and direct the process. This creates difficulties in relaxing and allowing the birth process to flow as smoothly as it is designed to. The more you can relax and work with birth and stay out of fighting the process the more smoothly it can go. How do you keep your mind on track, and out of the way? Hypnosis is very effective in creating deep skills for relaxation, staying calm, and controlling your reaction to labor. This then conquers the relaxation challenge, keeps you out of the fear-tension-pain spiral, increases your coping skills while diminishing your perception of pain. These skills create an opportunity for your body to do what it is designed to do; birth gracefully and smoothly.” For more information, you may contact Rick Longstreth, CH, at AHHH Hypnotherapy at 309-261-2564. His office is located at 2310 East Oakland Ave., Suite 11B in Bloomington.

There are many natural and non-traditional methods for managing labor pain including water immersion, reflexology, acupuncture, breathing methods and relaxation techniques. One method that is increasingly being used is hypnosis. While hypnosis and other natural methods do not eliminate the pain, they allow the mother to be in control of the process so that the pain is perceived differently and thus greatly minimized. There are many different thoughts and methods behind using hypnosis to aid in childbirth. Some are taught like a birthing class and also include general information about the birth process and what to expect. Hypnosis in a class setting does not really focus on hypnosis, so it may not be the best choice. Birth by Hypnosis is one choice that is done mainly one-on-one. It is most effective and more importantly is baby focused. Using this method the mother will still want to take a class to receive the general information. Birth by Hypnosis teaches the mother to do self hypnosis to relax her mind and body to aid in the birthing process. The same techniques can then also be utilized for fear removal and other mental or physical habits. If you’d like to try hypnosis, you want to learn from a certified hypnotherapist who is specially trained in Birth by Hypnosis techniques. Why does hypnosis work so well to alleviate the pain associated with childbirth? Nancy Allin, a certified hypnotherapist sums it up best. “If a laboring woman is afraid or nervous about birth and then tenses up against the contractions, she creates pain, which then scares her more, she tightens up more, and it hurts more. This turns into a nasty downward spiral. Given this negative cycle it is easy to see that regardless of a your plans for birth (medicated vs. unmedicated, hospital vs. out of hospital, etc.), your most useful skill, is the ability to remain calm, while relaxing deeply and completely. November 2011 — Bloomington — Healthy Cells Magazine — Page 17

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

Page 18 — Healthy Cells Magazine — Bloomington — November 2011

lung cancer

Early

Diagnosis What You Need To Know By Nathan Schober, ISU Dietetic Intern and Mary Kay Holloway RD CSO LDN

ovember is not just for football games, family gatherings, or trying to be the one who can eat the most turkey. It is also Lung Cancer Awareness Month. While much is heard through the year about preventing cancers - getting mammograms to prevent breast cancer, or colonoscopies to prevent colon cancer - little is heard about lung cancer. Yet, lung cancer is the most deadly type of cancer in men and women. More deaths per year are caused by lung cancer than for breast, colon, and prostate cancers combined according to National Institute of Health. What is lung cancer? There are two major types of lung cancer. One is Non-Small Cell Lung Cancer (NSCLC), responsible for 80-90% of lung cancer diagnoses, which is a slower growing cancer. The other is Small Cell Lung Cancer (SCLC) which is responsible for 10-20% of diagnoses, spreads quickly, and is almost exclusively caused by smoking. Smoking is the leading cause of both types of lung cancers. The more cigarettes smoked per day and the longer a person has been a smoker increases the risk. Second hand smoke also causes around 3,000 deaths per year from lung cancer. Other risk factors include air pollution, radon gas, asbestos, and a family history of lung cancer. Symptoms of these cancers include: a cough that doesn’t go away, coughing up blood, shortness of breath, wheezing, chest pain, and losing weight without trying. Early lung cancer may not cause any symptoms. Finding it early is critical to increase the chance of survival and is why working with your healthcare provider is so important. One of the most challenging aspects of lung cancer has been to find a screening test to detect cancer before a person develops any

symptoms. Generally, X-rays are the common method of screening for lung cancer, but they are not able to detect lung cancer at an early stage. Research continues to look for ways to identify lung cancer early. Examples include recent clinical research which has been able to determine the effectiveness of using spiral computed tomography (CT) scans that may be substantially more useful than standard X-rays. Another study, the International Early Lung Cancer Action Program (I-ELCAP), reported 85% of lung cancer can be diagnosed at its very earliest stage by using annual low-dose CT screening. Also, the National Lung Screening Trial (NLST) was another study conducted that found using low-dose CT scans on former smokers prevented 20% more deaths than the standard x-ray screening test did. However, you should be aware that neither of these tests are current standard of care and may not be reimbursed by insurance. Lung cancer is one of the most deadly cancers, but research for early detection continues. Until we know more reduce your exposure to smoking and second hand smoke. Also be aware of your exposure to the other risk factors mentioned above. See your doctor if you have any of the symptoms and if you are at high risk talk with your doctor about your options for screening. For more information you can go to the Community Cancer Website at www.cancercenter.org or Lung Cancer Alliance www.lungcanceralliance.org The American Cancer Society www.cancer.org National Cancer Institute www.cancer.gov

November 2011 — Bloomington — Healthy Cells Magazine — Page 19

feature story

A Legacy of Fighting Pain Dr. Benjamin Taimoorazy and The Guardian Headache & Pain Management Institute By Alexander Germanis

verything has a history. Every person has a background. Unfortunately, so often are we ingrained in our own present, we fail to think about what past course of events have shaped someone else. What experiences might have brought another individual to decide to tread their particular path in life? A patient sitting in the waiting room of Dr. Benjamin Taimoorazy’s Guardian Headache & Pain Management Institute in Bloomington is most likely not dwelling on where the man who began the Page 20 — Healthy Cells Magazine — Bloomington — November 2011

clinic came from or even why he does what he does. But it is his background—the road he traveled—that molded him into the man who many patients have come to trust as their deliverer from pain. A Changing Homeland Although Dr. Taimoorazy’s forebears had lived in Russia, his parents immigrated to Iran where he was born and raised in the country’s capital of Tehran. This had been during a period in which

That work has been far from stationary, however. For three years he worked as the staff anesthesiologist at OSF St. Joseph Medical Center. In 1998, he started Anesthesiology Consultants at what is now Advocate BroMenn Regional Medical Center. In 2006, he was voted Physician of the Year by the employees of that institution. In 2008, he penned a book entitled Before You Go Under—a compilation of answers to all the questions and concerns posed to him by patients before they underwent anesthesia and, subsequently, surgery. Also as an aid to patients, as well as to the anesthesiologists who watch over them, Doctor Taimoorazy invented and patented a device which allows patients to breathe easily on their own while under anesthesia. Maintaining ties to his background, the doctor dubbed the device with a word from his native Assyrian language—Napas, meaning, literally, the breath.

Review of patient imaging scans.

Guardian Headache & Pain Management Institute With such a curriculum vitae as his, one would think Dr. Taimoorazy’s contributions to his field would be sufficient, but

living in Iran was, by the doctor’s estimation, “like living in Paris… It was better than Europe.” After taking Iran’s equivalent of the Medical College Admission Tests—along with over a million other prospective doctors—he was one of only 300 accepted to the best medical school in the country, the University of Tehran. He then served his internship in what he refers to as “the Mayo Clinic of the Near East at that time.” That time soon became one of war and pain. The war between Iran and Iraq had begun and Dr. Taimoorazy’s hospital was the funneling point of casualties from all the fronts of that struggle. It was a time of “major change,” he recalls. Dr. Taimoorazy left Iran because of his Christian faith. Here history repeated itself. As Dr. Taimoorazy left his homeland behind, he mirrored his grandfather’s hegira from Russia after the Bolshevik Revolution of 1917. The arch-physician in the court of the czar, the elder Dr. Taimoorazy had known his ties to the former regime had made him a target, so he had sought haven to the south. Fortunately, as his expertise had been recognized in his new home, Dr. Taimoorazy the elder had been able to continue in the medical field, serving as a provincial surgeon general in Iran. Some seventy years later, as his grandson left Iran under similar circumstances, the legacy of the Taimoorazy family continued.

Real time Xray imaging to pinpoint specific nerves A Fresh Start in the U.S.A. prior to performing each procedure. Before coming to America, Dr. Benjamin Taimoorazy lived for a short while in Germany. in February 2011, he opened the Guardian Headache & Pain While there, he passed medical equivalency tests in order to Management Institute and a new era in pain management began. reenter the medical field once he arrived in the states—a field he Dr. Taimoorazy’s background as an anesthesiologist makes him reentered without further hiatus. “I came to the U.S. on a Friday an expert in the field. “Pain management is an extension of the in September,” he recollects, “and Monday I had a residency in specialty of anesthesiology,” he explains. “Anesthesiologists were internal medicine already secured. I had nothing else to stop me the first ones to really start going into this field. Anesthesiology is from moving forward.” really on the forefront of pain management.” America definitely proved to be the land of opportunity for the That statement is often put into practice at the Guardian Headgood doctor. After serving his residency in Chicago, he was offered ache & Pain Management Institute, where the latest technology is work in Bloomington and has ever since been living and practicing utilized in managing, lessening or eliminating a patient’s chronic pain. in central Illinois. November 2011 — Bloomington — Healthy Cells Magazine — Page 21

feature story

continued

Application of Low Level Laser Therapy (LLLT) for wrist pain. One such procedure is radiofrequency neurotomy. Real-time x-ray imaging and sophisticated nerve detecting machines are used to aid the doctor in pin-pointing the exact location of paincausing nerves, at which point a radiofrequency machine generates heat at the tip of a needle in a neuro–disruptive or destructive procedure, effectively eradicating the source of the pain. A number of spinal problems are also tackled: cervical and lumbar radiculopathy, where the nerve root branching off from the spinal cord is pinched or injured by other parts of the spine; facet joint syndrome, where facet joints along the spine become stressed or damaged, causing a loss of cartilage and, subsequently, bone spurs; and whiplash or cervical acceleration/deceleration (CAD), where the neck is rapidly forced beyond its normal range of motion, damaging ligaments, joints, vertebrae and muscles in the neck. Other painful problems such as fibromyalgia and myofascial pain syndrome are managed by varied techniques ranging from pharmacologic and physical techniques to the use of Low Level Laser Therapy (LLLT). Combating Head Pain Where the Guardian Headache & Pain Management Institute really excels is in the treatment and management of a type of pain experienced by a vast proportion of the public: headaches. “The headache is something not a lot of physicians like to deal with: it’s very common, it’s a symptom of a lot of different things…it’s time consuming,” Dr. Taimoorazy explains. It is, therefore, the specific interest the institute takes in regards to headaches that makes it such a boon to chronic headache sufferers. Not only do they treat secondary headaches—caused by trauma, disease, or metabolic disorders, but they also aid with the primary headaches: tension, migraine and cluster—the latter of which is recognized by a rapid onset of stabbing, debilitating pain. It was through an experience in treating a patient with these cluster headaches that helped Dr. Taimoorazy really realize the scope of relief and happiness his work can bring others. This patient, a man who had suffered up to eight times a day every day for twenty years, came to the institute for help. His years Page 22 — Healthy Cells Magazine — Bloomington — November 2011

of seeing specialists around the country had only netted him a list of prescription drugs and no relief. But Dr. Taimoorazy approached this case as he does every case of chronic headaches—like a detective, “reconstructing the entire thing from the day that headache started…digging deeper and deeper,” he explains. “We find that a lot of misdiagnosed migraines are actually cervicogenic headaches. They are coming from the joints in the cervical spine; they have the exact same symptoms.” This particular investigation allowed the doctor to aid the man so his fifty-plus headaches a week were reduced to only one—one minor enough to be treated by Tylenol. “Sometimes I don’t even believe it myself,” Dr. Taimoorazy beams. “Some of these results are beyond my wildest imagination.” However, headaches are, as aforementioned, only one of the institute’s foci. “I hope we can build on it, become a larger institution,” the doctor aspires. “Focus not only on headaches but all types of chronic pain: back pain, neuropathic pain, cancer pain.” As the fifteenth physician in his family line, the drive to heal runs in Dr. Taimoorazy’s veins. But even should his words presage the continuity of his family’s legacy, it is not necessarily in honor of his background or his family history that he perseveres and strives to excel in his labor. “It’s very rewarding,” Dr. Taimoorazy admits. “It’s difficult work, but when you get to give the patient that degree of relief…I honestly feel awesome. That’s why I came to this field of medicine. To see this for myself and to enjoy, with the patient, this relief.”

For more information, you may contact Dr. Benjamin Taimoorazy at Guardian Headache & Pain Management Institute, 309-808-1700, www.GuardianPainInstitute.com. They are located at 2203 Eastland Drive, Suite #7 in Bloomington.

American Diabetes Month

Healthy for the Holidays By Brittney Junker, MS RD LDN, Registered Dietitian, Advocate BroMenn Medical Center

s we turn the calendar to November, we know that the holidays are quickly approaching. Typically, this means gatherings and parties with large amounts of food that may not be so nutritious nor help keep our waistlines in check. Along with the approach of the holidays, November is also designated as American Diabetes Month®. Today, more than 25 million children and adults in the United States have diabetes. Both prevention and treatment of this disease involves healthy eating, so let’s take a look at how we can be in control of healthy eating during the holidays: • If you are going to a family potluck, bring at least one dish that you know will be a healthy choice. Have the dish be vegetable or fruitbased when possible, and make recipe substitutions, such as fat-free plain Greek yogurt instead of high-fat sour cream in a dip. • Scan the buffet table before you pick up your plate. It’s always better to have a plan. Decide, for example, to pile your plate with 3 healthful options, such as vegetables, fruit, and lean protein, and indulge in a small portion of your favorite treat. • Migrate away from the food. Even after we’re finished eating, we usually like to hang out in the kitchen or near the buffet table. Instead, focus on conversations with family members or play a game with the kids. •B e assertive. You do not have to say yes to every offer of food or drink. Gifts of food can be plentiful at holiday time. Ask yourself, are you just eating that pie in order to please the gift giver? Your good health is at stake! •D on’t save up your calories. If you know you have a holiday party or dinner, don’t starve yourself in anticipation. Eat regularly throughout the day so that you are not ravenous when you arrive. •S tay active. In the midst of gatherings, shopping, and the overall stress of the season, exercise tends to be placed on the back burner. There is an incredible amount of benefit in regular exercise, including weight loss or maintenance, improved blood sugar and energy levels, and stress relief. Continue to exercise regularly throughout the year. Workplace Wellness During the Holidays During the holidays, it is common to have indulgences in the office break room. These treats can be tempting to the eye, but harmful for our health. Just one holiday frosted sugar cookie can contain up to 350 calories, which means you would have to walk for 90 minutes just to burn that amount of calories. Here are some tips for staying healthconscious at work: •B ring your own healthy snacks. Yogurt, fresh fruit, vegetables and low-fat dip, low-fat string cheese, whole wheat crackers, and small portions of almonds or peanuts are great to bring to work.

• Sip on water throughout the day. Bring a reusable water container and add a slice of lemon or lime for a splash of flavor. • Hide the candy dish. Out of sight, out of mind. One piece of candy here and there throughout the day can really add up calorie-wise. Stay healthy this holiday season with these tips! Brittney Junker is a Registered Dietitian with Advocate BroMenn’s Diabetes and Nutrition Services. For more information about services available, call 309-268-5952 or visit www.advocatehealth. com/bromenn/diabetes.

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Spine Health

Avoid a Degenerative Cascade By Jeffrey K. Wingate, MD, Orthopedic & Sports Enhancement Center

pine problems are a common source of pain and disability in today’s world. As science and our ability to image and understand these problems has advanced, we can now treat back and neck pain as we have never been able to previously. Disc degeneration represents one of the most common sources of spinal pain. We know that it is the soft tissues and the moving parts of the spine that wear out first. The bone is very stable, and unless osteoporosis or thinning of the bone occurs prematurely, the bones of the spine seldom cause problems. When we discuss spinal problems, it is important to understand the concept of a motion segment. The motion segment is defined by 2 vertebral bodies or bones, with all of the intervening joints, ligaments, discs, nerves, and attached muscles that actually allow it to work. The bones cannot move, so we move through the surrounding soft tissues, and that is where most spine dysfunction begins. The most common injury to the spinal motion segment is an annular tear, which is a tear of the tough ligamentous covering of the disc that seals and protects the function of that disc space. When the annulus tears, two things commonly happen. First, chemicals that normally live within the confines of that disc space begin to leak out, directly producing pain and inflammation. This ultimately leads to drying out of the disc and loss of the disc’s ability to hold onto water content. Secondly, it unlocks the normal pattern of motion where the two bones on either side of that disc function in an integrated or coordinated relationship. Now, when motion occurs, the two bones might move to a certain point before something clunks or gives way. This often feels like the spine has “given way,” quite possibly with sharp pain and muscle spasm. We refer to this loss of coordinated motion as “instability” of the motion segment. In early years, it most likely represents microscopic or subtle loss of function. As the body reacts to this instability, inflammation is produced by our immune system. The body fights hard to stabilize this instability by forming arthritis in the facet joints, which share the same loads that we place on our discs. Every disc space will share with 2 facet joints along the back of the spine. As these become arthritic and stiff, we begin to see changes on XRays. When we experience stiffness and pain with sitting, standing, and/or bending over, particularly when we pick up things, it tremendously increases the loads on these same tissues. This is all exacerbated by the fact that we cannot heal the tear on the back edge of the disc (most typical location). Instead, we fill in the torn edges with scar tissue that will never function as well as the natural ligament cover. The damaged area scars in and we forget about it, until the next time that it occurs, quite possibly and most probably at the same point which has been permanently weakened. Rehabilitation and learning to use our supporting core muscles, determines how well we do in managing these problems long-term. Genetics play a role in spine health. Other disease processes creep into the mix, such as diabetes, heart, lung, kidney, and liver problems. Social factors such as alcohol and nicotine usage are quite prominent in the full degenerative “cascade” that follows.

Page 24 — Healthy Cells Magazine — Bloomington — November 2011

Not everything that hurts in the spine comes from this cascade, though the end result usually pulls the soft tissue problems into the same equation. Young athletes, particularly those who participate in hyperextension and back bending activities on a regular basis, can experience stress fractures that may lead to secondary problems with the discs and ligaments. A careful history and exam can pick up many of these things, but imaging with XRays, MRI’s, and CT Scans becomes very important. After all, the spine is buried in the middle of our bodies. It has far-reaching effects on many other organ systems - most importantly on our continued ability to function and maintain health. Take care of your spine and it will keep you happy for a long time to come. For more information, you may contact Dr. Wingate at the Orthopedic and Sports Enhancement Center, 309-663-9300. His office is located at 2406 E. Empire in Bloomington. Dr. Wingate recently joined the practice, and specializes in the treatment of spine problems.

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Down Syndrome Awareness Month

Understanding and Living with

Down Syndrome By Tim & Bethany Romer, Easter Seals Ambassadors

fter months of bedrest and time in the hospital, Alexander Joseph Romer arrived weighing 5lb 6oz. Nothing could have prepared us for seeing our baby in the Neonatal Intensive Care Unit (NICU) with tubes, wires, and monitors attached. At one day old, Alex went into surgery, which we knew about ahead of time, but that didn't make it any easier. After 6 weeks in the NICU, we brought our baby home. Our baby with Down syndrome. During our pregnancy, we learned there was a chance our child would have Down syndrome. It was only a chance, but we began preparing….just in case. But how do you prepare for this? We got a new crib, we talked about names and wondered if it was a boy or a girl. We got a book about Down syndrome and did research on the Internet. After a sonogram, we developed certainty that our baby would, in fact, have Down syndrome. We didn't tell many people at first; as an expectant mom, I needed to get to the point where I could say the words without tears. We told our family, and they reacted as we did, “this is our baby and we will love that baby no matter what.” There were tears...lots of them. We cried that our child may not be able to talk to us, that we may be looking at a life full of surgeries, and we cried knowing that our 3 year old, Timmy, may someday have the

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Page 26 — Healthy Cells Magazine — Bloomington — November 2011

sole responsibility of taking care of his sibling. Looking back, we needed to cry. But this is the family we are supposed to have - that we want, love and would never change. For us, it was a progression. We started out with hope that it wouldn't happen and that turned to a bit of sadness and lots of worry for our baby’s health. Once we got through acceptance, Down syndrome took a back seat for us and has pretty much stayed there. It is not the focus of our lives or the focus on Alex. It is simply part of him. Today, Alex is 19 months old, and our family is helping him learn to eat table foods, walk, and use sign language to communicate. Alex's low muscle tone has made everything happen later: later to hold his head up, later to sit up, later to eat solids, later to crawl, later to talk, and the list goes on. We’ve learned to be patient with his development. We’ve accessed services through Early Intervention and Easter Seals to support his development. Our therapists have become like family, and they have made our journey much easier. Our hopes and dreams for Alex are exactly the same as for Timmy. We want him to reach his potential and be happy and healthy. We expect Alex to be an active part of our family and society. We want him to go to school, to have friends, and to live his life fully. We are excited to watch him grow. He amazes us all the time and we expect he will continue to amaze us. We love Alex and absolutely couldn't imagine our life without him! October is Down Syndrome Awareness month. For more information on Down Syndrome, you may contact Easter Seals at 309-663-8275. Erin Rogers, Executive Vice President of Programs at Easter Seals, facilitated the writing of this article.

Early Intervention

ach year, one in every 800 babies is born with Down syndrome, a condition that delays development. Down syndrome is a disorder caused by an extra 21st chromosome. It is not caused by any action of the child's parents, but chances of having a baby with Down syndrome do increase with maternal age. Children with Down syndrome have low muscle tone and physical markers such as almond-shaped eyes, a horizontal crease on one or both palms of their hands, and delayed developmental milestones. They also have an increased risk of hearing impairment, heart defect, and respiratory infections. Today we know that children with Down syndrome can grow up to be productive, independent members of our community, thanks to the care and support of informed parents and professionals. Early detection is important - it allows family support and education to begin early and leads to intervention services. In our community, we’re fortunate to have a number of resources to support children and families living with Down syndrome such as Early Intervention, the Central Illinois Down Syndrome Organization (CIDSO), and Easter Seals.

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stroke prevention

A Medication Review By Brian K. Hudson, DO, PharmD

hy do the medications we use to prevent stroke differ from patient to patient? Some are on blood thinners, while others are only on the old quoted “an aspirin a day keeps the doctor away”. The answer is that strokes have different causes and people have different risk factors, therefore, different medications are used to accomplish the common goal – stroke prevention. What causes a stroke? A stroke is when there is a sudden lack of oxygen reaching the brain due to inadequate blood flow. There are two reasons this can happen. The first is called an ischemic stroke. This type is caused by lack of normal blood flow to the brain due to a clot or atherosclerosis. The other and less common type is a hemorrhagic stroke in which there is a rupture of a blood vessel. Approximately 85% of all strokes are ischemic. They can either be caused by a blood clot from a cardiac source or by the narrowing of an artery (stenosis) due to atherosclerosis. Depending on what has caused the stroke and taking into account your other medical conditions, your doctor will decide which treatment is best for you. The goal of treatment with medications is to reduce your risk of having another stroke. Anticoagulants There are two types of medications used for ischemic stroke prevention; anticoagulants and antithrombotics. Anticoagulants, commonly called “blood thinners”, work by preventing the formation of blood clots that can travel in the blood stream and clog the arteries to the brain. The anticoagulants are typically prescribed when a stroke is attributed to a cardiac source. Warfarin (Coumadin®) works by inhibiting the synthesis of vitamin K dependent clotting factors. By doing this the blood is less able to produce blood clots. The dose is highly variable and requires monitoring to ensure the medication is in the appropriate therapeutic range. The major adverse effect is bleeding. It also has numerous drug and food interactions, so it is important to talk with your doctor or pharmacist when starting any new medication while taking warfarin. Dabigatran (Pradaxa ®) is a new anticoagulant called a direct thrombin inhibitor. This medication was approved in 2010 for the prevention of stroke in patients with atrial fibrillation. It works differently than warfarin by stopping the final process in clot formation and does not require the frequent blood monitoring. The common side effects include bleeding and gastrointestinal problems such as heartburn and abdominal pain. Antithrombotics Another class of medications used for ischemic stroke prevention is called antithrombotics or antiplatelet medications. They work by preventing the sticking together (aggregation) of platelets in the blood that could cause a “platelet clot” to form in the arteries that supply blood to the brain. The antithrombotics are typically prescribed when a stroke

is attributed to a noncardiac source such as carotid artery disease or atherosclerosis. The medications in this class include aspirin, clopidogrel (Plavix®), Ticlopidine (Ticlid®), and the combination product aspirin/ Dipyridamole (Aggrenox®). Aspirin functions by irreversibly inhibiting the platelet COX enzyme. The normal function of the enzyme enhances local platelet aggregation and clotting within the blood. Common side effects include gastrointestinal problems and easy bruising. Aspirin is commonly prescribed as the first line agent in noncardiac causes for stroke prevention because it is effective and inexpensive. Clopidogrel (Plavix®) and Ticlopidine (Ticlid®) are antithrombotics that irreversibly inhibit platelet aggregation by binding to the ADP receptor, thereby preventing the normal function of the platelet to bind to fibrinogen which promotes clot formation. Bleeding, diarrhea, and rash are the most common side effects. The use of ticlopidine is falling out of favor due to a small but life threatening risk of patients developing thrombotic thrombocytopenic purpura (TTP) and aplastic anemia. Aggrenox® is a combination product that contains a low dose of aspirin and the additional antithrombotic medication dipyridamole. The aspirin works as described above while the dipyridamole works by binding to platelets and disrupting normal platelet function. It promotes chemical secretion from the platelet that inhibits platelet aggregation. Common side effects include headache, bleeding and gastrointestinal effects like heartburn, abdominal pain and ulcers. Current guidelines Current guidelines on secondary stroke prevention recommend antiplatelet agents rather than oral anticoagulation to reduce the risk of recurrent stroke in most noncardiogenic causes. Aspirin, the combination of aspirin and dipyridamole, and clopidogrel are all acceptable options for initial therapy. Anticoagulants are the preferred choice for patients with cardiogenic causes. However, there may be other reasons or medical conditions for your doctor to choose a different medication regimen. Medications alone do not completely prevent your risk of having a stroke. 80% of strokes can be prevented with lifestyle changes. High blood pressure and diabetes are the major risk factors so controlling your blood pressure, blood sugar, and cholesterol levels are crucial. Other risk factors for stroke include cigarette smoking, obesity, physical inactivity and excessive alcohol consumption. You can significantly reduce your risk of having a stroke by taking the medications prescribed by your doctor and making lifestyle modifications. For more information, contact Dr. Brian Hudson, Central Illinois Neuroscience Foundation, 1015 S. Mercer Avenue, Bloomington, IL 61701, 309-663-1522. The Central Illinois Neuroscience Foundation (CINF) is a non-profit organization dedicated to enhancing neurological healthcare through education and research.

Medications Used In Stroke Prevention Anticoagulants “Blood Thinners” Coumadin - Warfarin • Pradaxa - Dabigatran ®

Antithrombotics “Antiplatelet Medications” Aggrenox® - Aspirin & Dipyridamole • Aspirin Plavix® - Clopidogrel • Ticlid® - Ticlopidine* * not commonly

Page 28 — Healthy Cells Magazine — Bloomington — November 2011

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Chiropractic

= Success By Ji Li, M.D., Applied Pain Institute LLC

uch, that hurts! Depending on whether your pain is acute or chronic you may be just entering, or already a part of, today’s continuum of healthcare for pain management. There are many avenues of treatment available, all with the same goal: return you to a level of comfort and healing so you can continue with your active lifestyle. Pain patients enter the spectrum of care at various points and seek different avenues of care based on individual preference and beliefs about healthcare. Regardless of whether you practice holistic care or strictly adhere to medical pain management, it is important to understand that the majority of pain patients benefit from a blend of services. In our practice, we have found the right model of treatment for many patients is a combination of pain management and chiropractic treatment. The patients who actively participate in “combination care” sustain long lasting pain relief. We will look at several examples of how pain management and chiropractic care complement each other. Neck and back injury: Chiropractic patients are often wellness oriented and follow with their chiropractic physicians for years. Most patients get significant improvement after treatment; but some patients may not seem to make rapid progress when the condition is intractable pain. We treat these patients with various nerve blocks and injection treatments to reduce their pain quickly, so that they can continue their chiropractic care. In addition, many of our patients who received conventional pain management get sustained pain relief from chiropractic treatments that the injections alone would not be able to achieve. Chiropractic manipulations which are the hands-on procedures help better alignment of spine, relax muscles and ligaments and improve blood circulation. The treatments can deliver positive energy to patients, enhance rehabilitation and physical conditioning. With this collaborated treatment model, our patients achieve prolonged pain relief and live a normal life. Vertebral fractures: Chiropractors are aces at diagnosing and treating spine pain. However, when an x-ray reveals a fractured vertebra, especially in the presence of osteoporotic changes, bone healing is compromised. A board certified pain management physician can provide interventional care called vertebroplasty, to seal Page 30 — Healthy Cells Magazine — Bloomington — November 2011

the fracture and reduce pain. After treatment, these patients return to chiropractic care for on-going maintenance and wellness. Pregnancy: During pregnancy, as the baby grows, ligaments and muscles stretch to compensate for the added “baby bump”. These changes, especially in later months of pregnancy, can cause intense low back and pelvic pain. If low back pain was an issue before pregnancy, the woman may have used traditional medical pain management such as oral pain medications and steroid injections to alleviate pain. During pregnancy, this kind of care is usually avoided as a safety precaution for the baby. An alternative solution is a referral to chiropractic care. Dr. Monica Schnack, DC from Schnack Chiropractic, offers manipulation and teaches home stretching exercises to reduce discomfort associated with pregnancy. Once the pregnancy ends, the patient may be able to resume medical pain management care. Shingles: A condition caused by chicken pox viruses, shingles pain can linger long after the initial blisters have subsided. Patients may find benefit from chiropractic care to relieve pain; however, when the pain persists, it usually indicates significant damage to the nerves. This condition is called post-herpetic neuralgia which is very painful, especially when the condition exists on the face, head and neck. Referral to a board certified pain management physician may be necessary. For these patients, treatment with different injections and nerve blocks as well as oral and topical pain medications are quite effective. When the extreme pain resolves these patients can return to chiropractic care. As you can see from these examples, regardless of where you start on the spectrum of providers, and based on the root cause of your pain, you may benefit from implementing a combination of care. The collaboration of pain management and chiropractic care is a successful model. For more information on integrating advanced pain management and holistic treatments, you may contact Dr. Ji Li, M.D., Applied Pain Institute at 309-662-0088 www.appliedpaininstitute.com They are located at 1015 S. Mercer Ave. in Bloomington. Their practice integrates advanced pain management and holistic treatments.

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November 2011 — Bloomington — Healthy Cells Magazine — Page 31

traumatic brain injury

Patient and Family Adjustment By Jason J. Siewert, Ph.D., Psychology Specialists, LTD.

“

t's always different when you're in it.” I have been known to use this phrase when I begin working with a new patient who has experienced a traumatic brain injury. It is easy to guess how one might respond, but when that experience becomes real and irreversible, emotions grow stronger, adjustment becomes difficult and limitations are quickly felt. Initial feelings of being shocked or overwhelmed are common, as are other responses that we often associate with grief. At its core, a serious traumatic brain injury introduces an instant need to cope with loss, combined with a lack of clarity about how much loss initially exists and how much can be expected to return with time. With few exceptions, a traumatic brain injury is the result of an unexpected accident, rarely giving the patient or their family any time to prepare for its effects in a meaningful way. In some families this creates conflict or resentment; in others, a burden is felt as supportive people adjust their priorities to be available. Families can be thrust into the position of having to decide whether to pursue long-term rehabilitative care, an option that provides safe, healthy, 24-hour care, but keeps the patient from the comforts of their home. At times, the patient sees these decisions and sacrifices and starts feeling like a burden. A traumatic brain injury is almost always a serious challenge for the patient and a strain to their family and friends. Page 32 — Healthy Cells Magazine — Bloomington — November 2011

For all medical science has come to know about the areas of the brain and their roles in thinking, speaking and movement, a traumatic brain injury remains a process of exploration and discovery for patients and doctors alike. Seldom is a serious head injury limited to a single area of the brain that performs a single task; multiple abilities can be affected in ways that range from very blatant and obvious to very minor and hard to discover. The process of adjusting to a brain injury and coping with its effects is often a test of one's ability to tolerate a slowly-unfolding picture of one's long-term recovery. Individuals who like to have fast, simple, clear answers to health questions can struggle quite a bit with the first few days or weeks after a major head injury. To be most helpful to someone with a recent injury to their brain, it is important to keep two things in mind. First, be patient. All brain injuries are unique, but many include problems with memory and speech. Be prepared to help the patient remember names, dates or important details. In terms of speech, remember that just because somebody has a problem speaking smoothly does not necessarily mean that they are unable to hear and understand perfectly. As frustrating as it can be to speak to somebody who struggles to get the words out, it can be much more frustrating to the patient, who knows exactly

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what they want to say but cannot make the words flow. Reassure the injured person that you know how frustrating the situation is, and give them the time they need to communicate. It may be necessary for them to write things down to convey them to you, so be open to alternative ways of communicating. Second, do not be afraid to ask questions. Ask doctors about the injury, ask social workers about resources in your area that may be helpful to you, and ask the injured person to explain what is difficult for them and how they are doing. If you do not understand, ask more questions. Do not be afraid to ask for any information you want or need and try hard to understand what it is like to be in the injured person's shoes. My position as a psychological provider in inpatient medical settings rarely allows me to talk about prevention. I am almost always called to respond to the results of an accident, not to speak to individuals before one occurs. As a professional who has been involved in hundreds of brain injury cases, I can say that seeing “not wearing a helmet” anywhere in a medical chart can be sad and disappointing for the treatment team. The difference between an accident with and without a helmet is often very significant. Wearing the proper headgear can mean the difference between a few minor scrapes and emergency surgery. If you participate in motorcycling, bicycling or other activities where helmets are recommended, always wear the proper safety equipment. Psychology Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain. For more information, you may contact Psychology Specialists at 309-706-3190 or visit www.psychologyspecialists.com.

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hormone imbalance

Long Term

Weight

Management

Success A continuation of last month’s article…

By Dr. Tom Rohde, Renew Total Body Wellness Center

ot Hormones? We all do of course and they support hundreds of vital functions in our bodies but at some point in our lives we start to have imbalances. This is highly variable and can happen at any age, so there is no “magical” time for hormonal imbalances as these can strike in the teen years or they can wait for menopause or andropause (men) to occur in our middle years. How do you know? Get your levels measured! If you’re not testing – you’re guessing! I personally prefer saliva testing to evaluate hormone levels as these are more specific and measure only the active tissue levels which affect your body’s response to them. Blood testing is unfortunately more commonly performed, however, blood testing measures your total inactive and active hormone levels circulating in your blood (which is your hormone storage pool) and then the lab mathematically determines your active levels by subtracting the total hormone value from your blood protein levels to give you a calculated number of the active component. This still does not measure the active tissue hormone levels which are exerting an effect on your body. Tissue and blood levels can markedly differ. How do hormones affect weight? When women have too much estrogen and not enough progesterone to balance these two Page 34 — Healthy Cells Magazine — Bloomington — November 2011

then you become “estrogen dominant”. This means that it causes things in your body to grow because estrogen is a growth hormone and is normally in charge of building up your womb’s lining to support a pregnancy in the first half of your cycle. Progesterone offsets this in the second half of your cycle and slows this growth effect. Estrogen is an equal opportunity growth hormone and makes all cells grow – fat cells for one, and tumor cells for another – not only do you gain and retain your weight, but you increase your risk for cancers of the breast, uterus, and others as well. It’s like putting Miracle Grow on your lawn – it makes the grass green but it also makes the dandelions and crabgrass grow if those happen to be present. Men have the same problem. When our Testosterone levels start to decline at some point our estrogen levels become higher and also create an “estrogen dominant” environment. If you already have a build-up of fat, say in your tummy (the “Dunlop disease” as it done lopped over your belt), then you will make more estrogen which allows you to store more fat and the cycle continues to worsen. Here’s a clue: erectile dysfunction is often the first sign of testosterone dipping below estrogen levels. But far worse long term than erectile dysfunction is the growth of abnormal cells in the body from the excess estrogen – it increases our risk of prostate cancer and others! Don’t think of the blue pill first, get your hormone levels measured and fix the more serious underlying problem! Got heartburn? I’ve written a lot about gut dysfunction and this is a vital component to long term weight management. If your gut isn’t functioning properly, you won’t be successful with your weight long

term. Heartburn, bloating, belching, constipation, loose stools, or irritable bowel are all symptoms of underlying problems that haven’t yet been diagnosed. Don’t reach for the easy fix like the purple pill or Mylanta and get hooked on expensive medications – figure out what’s going on to cause the symptoms – and fix it! If you don’t digest your foods properly you can’t absorb the nutrients your body needs to function healthfully. This interferes with proper weight management! Weight loss is NOT just calories in vs. calories burned. If it were that simple we would all have a normal healthy weight when we wanted to and we would be able to maintain it with little effort. There is usually a lot of body chemistry that needs to be evaluated and re-balanced to make you truly successful in the long term. Don’t spend money on another weight loss program, physician supervised or not, until you have all the information in hand to make you successful long term. Remember: If you’re not testing – you’re guessing If you missed part I or would like to know more about gut health to fix this important portion of long term weight management, pick up past issues of Healthy Cells or read past articles online www. HealthyCellsMagazine.com For more information on weight management, thyroid function, hormone evaluation and management, or antiaging medicine please see Dr. Rohde’s web site: www. DrRohde.com or call 217-864-2700 to schedule a consultation for the next step to a healthier life. Read last months article "Biochemistry and Weight Management" online at: http://issuu.com/healthycells/docs/1011_bloomhc-web

November 2011 — Bloomington — Healthy Cells Magazine — Page 35

Cervical Cancer Vaccination

Is HPV Vaccine Right for My Child? By Dr. Rachel Dalton, OB/Gyn

here has been a lot of talk in the political media about the HPV vaccine. Just what is this vaccine that is creating such controversy? Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States. HPV causes the majority of precancer and cancer of cervix. HPV sometimes plays a role in other cancers as well, including cancers of the vulva, vagina, penis, anus, and

have or have been exposed to HPV. Even if after first intercourse, vaccination should still be offered to cover the HPV types an individual has not been exposed to. The Centers for Disease Control and Prevention (CDC) recommend routine vaccination for girls ages 11 to 12, and for young women ages 13 to 26 who have not already been vaccinated. Also, the CDC states that Gardasil can be given to boys and young men ages 9 to 26, if you and your physician decide it's right for your son. Cervarix is approved to be given at age 10 to 25 years. Are there side effects or contraindications? The side effects associated with HPV vaccines are a flu-like syndrome (low grade fever, muscle ache), and pain at injection site. Using a heating pad or taking over-the-counter pain medication may help with these side effects. The only contraindications are anaphylaxis (severe allergic reaction) to HPV vaccination. Though the HPV vaccine is not recommended in pregnancy, there is no increased risk of birth defects. In addition, HPV vaccine is okay with breastfeeding.

throat. More than 100 types of HPV exist, including 30 genital types, and 15 associated with cervical cancer. The “low risk” HPV types cause genital warts (types 6 and 11) and the “high risk” HPV (types 16,18) cause abnormal pap smears and eventually cervical cancer. What vaccines are available? Currently the FDA has approved 2 vaccines for prevention of cervical cancer: Cervarix (approved in 2009) and Gardasil (approved in 2006). Cervarix vaccination includes only the high risk HPV types 16 and 18; whereas Gardasil includes the low and high risk HPV types 6, 11, 16, and 18. Either Cervarix or Gardasil vaccines are given in a series of three doses at 0, 2, and 6 months and can be given at the same time as Hep B series. When should my child be vaccinated? The HPV vaccination is best if given before the age of first intercourse, especially since 60-80% of sexually active Americans either Page 36 — Healthy Cells Magazine — Bloomington — November 2011

What have studies shown? Studies of Gardasil have shown that the vaccine is close to 100% effective in preventing abnormal/precancerous pap smears and genital warts. These studies are large (more than 20,000 young women) and excellently conducted. Paps are still recommended yearly for women starting at age 21, vaccination is NOT treatment for women that already are known to have HPV virus. For healthy adolescents, 90% of HPV infections will resolve within 24 months. To reflect this information, in 2010 the American College of OB/Gyn changed their recommendations; now, young women begin pap exams (screening for cervical cancer) at age 21. Screening and early intervention using examination, pap smears, and treating precancerous lesions has already reduced cervical cancer rates by 75%; an effective vaccine PLUS conventional screening could reduce cervical cancer rates by more than 90%. If you would like to discuss whether HPV vaccination is appropriate for you or your daughter, please make an appointment with Dr. Rachel Dalton at 309-454-3456. She is accepting new patients, all insurances, and is located at the office of Dr. Harold Nord.

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Athletic Performance

Vertimax System By Courtney Keenan, Editorial Intern, Illinois Wesleyan University

he Vertimax is a revolutionary new workout machine designed to improve performance in all sports. Not only does it build core strength, improve balance, and increase speed, it is a complete body workout so it will improve the vertical jump in a basketball player or a track runner’s explosive power off of the blocks. The goal of the VertiMax machine is to improve performance by taking a specific motion involved in any sport, and recreate it using resistance that will not be present in an actual game. In this way, athletes can train with extra resistance to improve strength while performing motions specific to that sport. The machine looks like a ground pulley system, but it relies on resistance through adjustable cables that are hooked to harnesses that load up to eight different parts of the body, such as the hips, ankles, or arms. The customizable bands can be loaded on several different areas of the 12 sq. ft. platform, which allows for hundreds of different resistance settings and exercises. Heartland Fitness provides training on two of the newest V8 machines. Their diverse staff can utilize the Vertimax for all types of athletic skill sets, focusing on each individual athlete and their goals. Measurements are taken before and after training to track progress. Mark Bode, says that, “Since we first got the system two months ago, we’ve had a lot of interest from area athletes, especially young athletes in junior high and high school.” VertiMax can increase a team’s overall athletic skills resulting in improved performance during competition. Heartland Fitness can accommodate as many as ten athletes at a time by using the two VertiMax. Special team discounts are offered for teams that wish to train together. According to Bode, athletes will usually train with the VertiMax three times per week in hour-long sessions. A typical VertiMax workout includes five exercises with six sets of each exercise, the final set performed without resistance. Exercises that can be executed with the VertiMax include quick jumps, power jumps, cutting drills, and

sliding drills off of the platform. Some of the main improvements Bode has seen with the use of the VertiMax are, “increased vertical leap and lower body strength as well as better agility. It is a great tool to give younger athletes especially, the push to move up to the next level of competition.” The VertiMax is a unique sport performance enhancer, shown through its rapid growth in popularity over the past few years. The last 4 out of 5 Super Bowl champions and 21 of last year’s 25 top-ranked major college football training programs own and use the VertiMax. It is used by top MLB teams, NHL Stanley Cup winners, top-ranked European soccer clubs, and the NCAA Division I Basketball Elite Eight teams, and over 70% of Division 1 Universities and thousands of high schools use the VertiMax. According to the company website, “VertiMax training systems are currently being used by anyone from an elite, professional athlete to a middle school student trying to make the team or move into starting lineup. Athletes will quickly improve overall athleticism and become more competitive at any level of competition while core and functional training abilities provide benefits to all people of all ages.” For more information about the Vertimax Training System you may contact Heartland Fitness at 309-829-8122. They are located at 716 E. Empire at the corner of Linden and Empire, next to the Constitution Trail. They are one of the few facilities in the area with a Vertimax Machine available for use. Heartland Fitness Staff includes: Former collegiate volleyball player Jessica Guest, Bachelor of Arts in Sports Management and ACE Personal Training certification; Mark Bode, Bachelor of Science in Exercise Science with emphasis on sports specific strength & conditioning; and Alton Ingram, an experienced skills coach with extensive training in the Vertimax system.

Page 38 — Healthy Cells Magazine — Bloomington — November 2011

balloon sinuplasty

New Treatment for

Chronic Sinus Infection By Steve Wilson

inusitis is one of the most common chronic health problems in the U.S., afflicting 37 million Americans each year. Patients suffer headaches, congestion, fatigue and other symptoms. This condition significantly impacts an individual’s physical, functional, and emotional quality of life. Historically, sinusitis patients were limited to two treatment options: medical therapy such as antibiotics and topical nasal steroids, or conventional sinus surgery such as Functional Endoscopic Sinus Surgery (FESS). Medical therapy can help alleviate symptoms in as many as 80% of patients but is inadequate for the rest. For them, sinus surgery is often the best option. However, FESS is a conventional surgery that requires bone and tissue removal in order to open up blocked sinus passageways. In lieu of a desired treatment, approximately 900,000 patients each year elect to live with painful sinus conditions. However, a clinically proven, minimally invasive technology for treating chronic sinus inflammation is available. Balloon Sinuplasty uses a small catheter and balloon to quickly open and expand blocked sinuses. This new tool for accessing, cleansing, and enlarging the natural drainage pathways of the paranasal sinuses is a quantum leap forward in the treatment of recurrent and chronic sinusitis. The minimally invasive nature of balloon sinuplasty technology results in significantly less discomfort and risk for the patient and is leading to a paradigm shift within our specialty in the surgical treatment of paranasal disease. Chronic sinusitis is an inflammation of the sinus lining lasting three months or more, and is one of the most commonly diagnosed chronic illnesses. It is most commonly caused by bacterial, viral, and/or microbial infections. Structural issues such as blockage of the sinus opening can also lead to chronic sinusitis. If the opening is closed, normal mucus drainage may not occur. This condition may lead to infection and inflammation of the sinuses. Common signs and symptoms: • Facial pain, pressure, congestion or fullness • Difficulty breathing through the nose • Discharge of yellow or green mucus from the nose • Teeth pain • Loss of the sense of smell or taste • Headache • Fatigue • Sore throat • Bad breath Sinuses are air-filled pockets that surround the nose. Each sinus has an opening through which mucus drains. Chronic sinusitis sufferers do not experience the normal drainage which keeps the sinus healthy. There is an alternative treatment in endoscopic sinus surgery with Balloon Sinuplasty technology. A small, flexible balloon catheter is placed through a nostril into the blocked sinus passageway. The balloon is then inflated to gently restructure and open the sinus passage-

way, restoring normal sinus drainage and function. That means faster recovery times and less post-procedure discomfort. The international, multi-center study, CLEAR, published in the prestigious journal, Otolaryngology-Head and Neck Surgery, confirmed at all time points (24-week, one-year and two-years) earlier clinical validation that the Balloon Sinuplasty instruments are safe and effective for opening blocked sinuses. The CLEAR study reported: • 91.6% functional patency rate at one-year; 70 patients (217 sinuses) • No serious adverse events at two-years; 65 patients (195 sinuses) • Symptom improvement for 85% of patients across the two-year postsurgery period Sinusitis patients who are considering their options can learn more about the Balloon Sinuplasty technology by visiting www.balloonsinuplasty.com and speaking with their family physician. Steve Wilson is Communication Director at Proctor Hospital, Peoria, IL. November 2011 — Bloomington — Healthy Cells Magazine — Page 39

women's health

Extraordinary Expectations Submitted by Dr. Joe Santiago, Ob-Gyn Care Associates; Dionne Otto, Doula, The Birth Experience; Dr. Karl Oliger, Chiropractor, Align Life; Dr. Kate Holt, Psychologist, Psychology Specialists

n extraordinary pregnancy is what we desire for all soon-tobe moms. A variety of services and resources are available that provide expectant moms with the tools and knowledge they need to help achieve this goal. A board certified Ob-Gyn physician, a chiropractor, a massage therapist, a doula and a psychologist can all be part of your team to help you pursue your ideal pregnancy and to advocate for you and your child. An experienced Ob-Gyn provider is most important to increase your chances of an uncomplicated pregnancy and delivery. A recent initiative in Bloomington-Normal is to ensure babies get the full 39 weeks they need inside Mom for the best possible outcome. This allows the heart, lungs, brain and immune system to mature and gives baby a better chance at a healthy start. Many think that if the lungs are mature, the rest of the baby will be too. This is not necessarily true, for example, if baby’s brain is not mature it can cause complications with feeding. Healthy babies are worth the wait! How can a chiropractor help you while pregnant? During pregnancy postural changes are inevitable due to weight changes. The spine and its surrounding structures will shift in order to accomPage 40 — Healthy Cells Magazine — Bloomington — November 2011

modate the added stress on your neck and back. This additional stress can cause or increase existing pain in these areas. A chiropractor can assess your areas of concern and formulate a treatment plan to help you have a more comfortable and less physically taxing pregnancy. A common concern during pregnancy is when the baby is not in head down position for birth. The Webster Technique, reported as being over 80% effective in helping relieve the tension in the mother’s pelvis that may be hindering the baby from turning to the proper position, can be performed by a trained chiropractor. The technique involves analyzing and correcting the position of the sacrum, the muscles of the low back and the anterior abdominal wall. Many mothers have reported a more comfortable pregnancy and a better overall birthing experience after being treated in this way. Every expectant mom needs a little pampering. A pregnancy massage by a licensed massage therapist is not only relaxing, but is designed to decrease tension and swelling and increase circulation. A prenatal massage is done in the side lying position, which is more comfortable and is the best possible position for your baby.

In pursuing your ideal pregnancy you may want to consider hiring a doula. A doula provides education, information and emotional support to you and your family throughout your pregnancy by meeting with you on a regular basis, being available to answer questions or to share the highlights of your pregnancy. She can help you develop a birth plan so you can feel more confident about your decisions and your wishes for your baby’s birth. Having a doula present puts expectant mothers and their families more at ease; knowing they will have additional support throughout labor and delivery. It has been shown that women who feel supported throughout pregnancy and birth report having a more positive birth experience. An added bonus, statistics show having a doula reduces the chances of a cesarean birth and also reduces many medical interventions. The birth of a baby can often trigger a mixture of emotions. Many women experience a sense of sadness or anxiety in the days after birth. These feelings are commonly referred to as the “baby blues” and differ from postpartum depression because the feelings tend to go away within a few weeks. Postpartum depression is a term that is used to describe more severe symptoms of depression in women following childbirth and may develop anytime within the first year. Women with postpartum depression may experience sadness, feeling overwhelmed, have crying spells, changes in appetite, difficulty falling or staying asleep, thoughts of hurting oneself or the baby, lack of interest in the baby, low levels of energy, and a sense of hopelessness regarding the future and/or excessive feelings of guilt. This can happen to any mother. If you are experiencing any symptoms of postpartum depression, talk to your doctor about treatment options to ensure the health of your baby and yourself. Your doctor may suggest an anti-depressant medication and/or a referral to a mental health professional experienced in treating depression. Your Ob-Gyn provider will help you achieve your goals for a happy and healthy pregnancy. Consider a team approach: consult a chiropractor, doula or therapist and treat yourself to a massage. This team can be your best cheering squad! Most importantly, give your baby the full 39 weeks to develop. Even miracles take a little time.

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your holiday spirit. SO MANY OPTIONS TO FIT ANY BUDGET Choose from some of the latest decorating options, from the traditional, to the extravagant—we have it all. Our comprehensive service covers everything, and we’ll drop by frequently during the season to check and replace bulbs that may have gone out due to weather conditions. When the season is over, our professional staff will take down your decorations.

For more information you can contact Dr. Joe Santiago, ObGyn Care, 662-2273, www.obgyncare.com. Dionne Otto, The Birth Experience, www.thebirthexperience.net. Dr. Karl Oliger, Align Life, www.alignlife.com/clinics/bloomington/why-choose-us.html. Dr. Kate Holt, Psychology Specialists, www.Psychologyspecialists.com.

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The earlier you call the better. We tend to get busy as the season draws close.

for the Presentation, “Extraordinary Expectations”, Held at Ob-Gyn Care, 1505 Eastland Drive, Suite 500 in Bloomington. The Evening Includes Food and Free Giveaways. For More Information, Call 309-662-2273 Or Wecare@Obgyncare.Com.

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E-mail: golfgreen@grics.net November 2011 — Bloomington — Healthy Cells Magazine — Page 41

Healthy Skin

Facials for A-List Skin By Karen Sutcliffe, Licensed Esthetician, K Skin Spa

o you want skin that looks and feels fabulous? Consider a facial. A professional facial will refine your pores, deep cleanse the skin, remove toxins, exfoliate dull dry skin and infuse your skin with vitamins and antioxidants. If you are new to facials, here are the benefits of each step and what to expect We begin with a consultation that includes finding out about your skin concerns and what you would like to improve. Your skin is examined under a magnifying light as well as a woods lamp. Both give clues as to the condition of your skin. We can see if your skin is oily, if there is a buildup of dull, dry skin or if you are dehydrated, to name a few common skin issues. Next an appropriate cleanser is chosen that is usually a deeper cleanse than you can do at home. With the help of ultrasound tools we can use ultrasonic vibrations to gently exfoliate the skin. Two different cleansers may be used if appropriate as the entire process is customized to what your skin needs. Cleansing prepares your skin for the next step of exfoliation. Exfoliation is one of the most important aspects of a professional facial. By exfoliating the dry surface cells you are stimulating cell renewal, which slows down as we age, and bringing new skin cells to the surface faster. Exfoliation helps your skin to hold moisture, helps products penetrate better, increases circulation, helps to unclog pores and generally rejuvenate the skin. Another benefit for women is that your makeup goes on smoother. There are many different types of exfoliators ranging from extremely gentle enzymes to stimulating chemical exfoliators. Gentle enzymes work well on sensitive or rosacea skin while more stimulating exfoliators increase collagen and elastin production, unclog pores, resurface the skin and even out skin tone. It is important to stimulate collagen and elastin as they are the support structures of the skin. The type of exfoliator chosen depends on your individual skin. Different masks are chosen to help with various skin issues. If the exfoliation was fairly stimulating, a calming mask with arnica may be Page 42 — Healthy Cells Magazine — Bloomington — November 2011

used. If we are dealing with clogged pores, then a clay mask will help draw out impurities and detoxify your skin. Aging skin can benefit from peptides, vitamins and antioxidants. A mask can help tighten and tone your skin, clear up blemishes, hydrate, nourish the skin or calm and soothe irritated skin. Occasionally, it may seem like a facial causes breakouts. If someone has a lot of clogged pores, a facial can stimulate those clogged pores to come to the surface where they can heal and clear up. Sometimes the clogged pores will come up on their own as a breakout or sometimes you can feel bumps under your skin that just want to hang out there. If you have clogged pores, then regular exfoliating facials will improve your skin, although it may take some time depending on the extent of pore clogging and the products you are using at home. Facial massage and a neck and shoulder massage are an important and enjoyable finishing step. More than just relaxing, massage can stimulate blood and lymph circulation which improves metabolism, activates sluggish skin, and reduces under eye puffiness and sinus congestion. There are many different variations of facials, but they will all improve your skin and most will also provide for a relaxing experience. Using professional products with active ingredients at home that target your individual skin issues will help to improve your skin on a daily basis. While a single facial treatment will greatly benefit your skin, regular facials will give you the best results over time to keep your skin looking its’ best. For more information or a skin consultation, you may contact Karen Sutcliffe at K Skin Spa, 309-242-1899, Info@kskinspa.com, www. kskinspa.com. K Skin Spa is located at 110 E. Jefferson St. in Downtown Bloomington, inside Roxanna & Co. Skin care services include microdermabrasion, organic facials, spray tanning and waxing. Karen is available to discuss any questions you have about your skin and appropriate home care products.

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hypotonia

Decreased Muscle Tone In

Infants and Children By Saravanan Sundarakrishnan, CPO, Director of Orthotics, Comprehensive Prosthetics & Orthotics Inc.

ypotonia is an abnormally severe loss of muscle tone that is usually detected during infancy. It is a state of low muscle tone often involving reduced muscle strength. Pediatric orthoses can help manage this condition. Hypotonia is not a specific medical disorder, but a potential manifestation of many different diseases and disorders that affect motor nerve control by the brain or muscle strength. Some of the diseases associated with hypotonia are Guillain-Barre syndrome, muscular dystrophy, myasthenia gravis, Werdnig-Hoffman disease, poliomyelitis, meningitis, and encephalitis. In children with hypotonia the muscles usually feel soft and doughy. An infant with hypotonia may have a “rag doll” feeling when held. The condition can affect all parts of the body, from the arms and legs to the hip, jaw and neck. Children with hypotonia can develop lax ligaments, which inhibit joint stability in the foot and ankle complex. In hypotonic patients, the heel tilts outward, and the weight line shifts medially, causing the midfoot to collapse. Once the feet are pronated, the knees and hips also become misaligned. This means the muscles that move those joints no longer work efficiently, and it takes more energy for these children to do the same work as their non-pronated peers. Page 44 — Healthy Cells Magazine — Bloomington — November 2011

Children with hypotonia tend to walk late because their feet and ankles are in poor alignment and their toes often claw at the ground for stability, causing their feet to tire. Pronation resulting from lax ligaments in children with low tone usually cannot be improved, but what can be improved is the way children learn to walk. Once a child starts to pull to a standing position, the use of orthoses can benefit by helping to improve stability, prevent future deformity and assist with alleviating pain. Orthotic intervention includes a variety of designs depending on the severity and level of involvement, including: • Semi-rigid/rigid custom foot orthoses (CFOs) include the least restrictive, full-length shoe inserts, which offer support and differing degrees of flexibility depending on the need. • UCBLs (or UCBs) are a maximum control foot orthosis(es) named after the laboratory where they were researched and developed (University of California Berkeley Laboratory). The UCBL fully encompasses the heel and holds it in a neutral, vertical position. • SureStep SMOs compress the foot through the use of an extremely lightweight, thin and flexible plastic, which allows for more natural movement of the foot and ankle while maintaining proper alignment in standing, walking, running and jumping.

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•S olid AFOs (Ankle Foot Orthoses) provides support to the ankle and foot. • A rticulated AFOs work the same way as Solid AFOs only this orthosis allows for more free motion at the ankle. Children with a wide variety of conditions also present with hypotonia in their trunks, making it difficult for them to sit up properly, stand, and walk. Some children have virtually no tone at all, and are completely unable to hold their heads up or sit up, while others are more mildly affected, with only minor deficits in sitting or walking. A simple flexible corset or a soft spinal orthosis called a TLSO (Thoracic Lumbar Sacral Orthosis) is often used for the trunk management in these children. Hypotonia is a condition that can be helped with early orthotic intervention in order to prevent abnormal growth. A combination of orthotics and physical therapy can greatly help an individual compensate for this neuromuscular disability. After the diagnosis of hypotonia is made by a physician, a qualified orthotist can assist in helping a child regain mobility and stability as well as help prevent future deformity. Saravanan Sundarakrishnan is the Director of Orthotics at Comprehensive Prosthetics & Orthotics, Inc. (CPO). CPO provides patients in Central Illinois with prosthetic and orthotic devices and care, and also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888.676.2276. Visit the website at www.cpousa.com.

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November 2011 — Bloomington — Healthy Cells Magazine — Page 45

negative body image

When is Plastic Surgery

The Answer? By Amy Kennard

aren is an active 43-year old mother of three children. She’s always stayed in good shape, but after having kids, keeping her body the way she wanted it was becoming harder and harder. No matter how much she dieted and exercised, she still had that “muffin top” as she called it, and her breasts seemed sagging and shrunken from breastfeeding. She no longer liked how her clothes fit, and she refused to get undressed in front of her husband. Her self-esteem suffered and she longed to have some semblance of the body she had worked so hard for before children. Combating a negative body image Patients seek cosmetic surgery for a number of reasons, but the most common complaint seems to be a negative body image. Dr. Jeffrey Poulter has been practicing plastic surgery in the Central Illinois area since 1992, and sees how this condition can affect a person. “In some of the worst cases, a negative body image can cause individuals to withdraw from social interaction, experience a loss of confidence which can lead to loss of opportunity, depression, or can try to compensate with extreme measures including everything from excessive makeup to disorders such as bulimia, obesity, body dysmorphic disorder, over-exercising, and excessive plastic surgery.” An ethical qualified plastic surgeon’s job starts not in the operating room, but the first time the patient walks through the door for a consultation. “I see most of my patients two to three times before we proceed to surgery – to ensure that it is what they want, to confirm why they want it, then to mark it and reconfirm. I may turn down up to 10 percent of those who come to me with a request for plastic surgery that I don’t think is necessary or I feel it’s for the wrong reasons. Other times, I may redirect them to another procedure that may help them still get the desired result.” A little may go a long way Dr. Poulter cites his “Mommy Makeovers” (body contouring procedures that help correct the two main areas of concern for

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Page 46 — Healthy Cells Magazine — Bloomington — November 2011

a woman after childbirth: loss of breast volume and shape and protrusion of the tummy) as a popular choice for the 35-50 year old age group that is most likely to seek cosmetic surgery. “At times, all that may be necessary is a simple breast lift and tummy tuck. Other times, I might recommend liposuction or a breast augmentation. But that is only after we’ve talked and I understand what outcome my patient is looking for and why they want the change in the first place.“ He continued, “In some cases, a patient may come in wanting a surgery like an eyelift and after reviewing their case I may recommend an injectable like Juvederm instead." What cosmetic surgery can and can’t do Absolutely the first question any plastic surgeon should ask their patient is, “Why do you want to change your body?” If the answer is, “Because my husband wants me to” or “I think it will help me get a better job”, Dr. Poulter says he is hesitant to accept them as a patient. “You need to have realistic expectations,” he explains, “not only of why you want the change but what you expect the results to be and what you hope to get out of it.” He continues, “Cosmetic surgery will not get you a new job, or a new lover. It won’t make you more liked or improve your life’s troubles." The following are plausible reasons for seeking plastic surgery: • Changes from pregnancy or significant weight loss • Aging and sun damage • To repair injuries from trauma • Breast reconstruction • Improve vision due to excessive eyelid skin Plastic surgery should NOT be considered if the patient is going through any kind of major life change, such as a divorce, recent death of spouse or other loved one, loss of a job, bankruptcy, even winning the lottery.

Answer these questions before proceeding Before proceeding with a plastic surgery procedure, make sure your plastic surgeon asks and fully discusses with you the following questions: • A re you healthy and have you been cleared of any other medical concerns prior to surgery • D o you have realistic expectations of the results? • D o you have a realistic impression of what you consider your “deformity”? • D o you have any significant ongoing stressors at this time? • D o you have an agreement with your significant other to proceed? • D o you understand the complications and risks involved? • W ill you be able to psychologically and financially cope with possible complications if they arise? Karen did receive a tummy tuck and breast lift and says she now feels like her “old self” again and looks even better. “I feel as if I’ve regained the confidence I had in my body before children but had been missing for so many years. I know I had the procedures for the right reasons and could not be happier with the results.” For more information, you may contact Dr.Jeffrey Poulter at The Center for Cosmetic and Laser Surgery with offices in Bloomington and Peoria. 309-663-1222 in Bloomington, 309-692-6869 in Peoria, toll-free 888-841-4108, e-mail info@drpoulter.com, or visit the website www.drpoulter.com to view before and after photos.

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November 2011 — Bloomington — Healthy Cells Magazine — Page 47

deep venous thrombosis

More Common Than You Think By Jamie Peel, OSF St. Joseph Medical Center

eep Venous Thrombosis (DVT) is a common medical condition, which happens when a blood clot forms in a vein, deep inside a part of the body. It typically occurs in the legs or thighs. While most cases of DVT’s are successfully treated, some may be fatal if people do not seek medical attention. Typically, blood clots form after an injury to help the body heal. Clots stop the bleeding in a cut or wound – a natural part of the healing process. However, when a DVT occurs, the body is creating blood clots at the wrong time. A DVT can become life-threatening when the clot breaks off and moves through the blood, causing a pulmonary embolism (PE). A pulmonary embolism is when blood flow is blocked to vital organs such as the brain, heart or lungs. When someone has a DVT, they will experience an immediate pain where the clot has formed. People who have experienced a DVT describe the pain as achy and heavy, similar to a “Charley Horse.” However, different from a pulled muscle, the leg will begin to swell and change color. The swollen area will feel warm to the Page 48 — Healthy Cells Magazine — Bloomington — November 2011

touch. This can happen immediately or could be several hours after the clot has formed. The swelling may persist indefinitely or until the clot has resolved. If people experience these symptoms, they should go to the emergency department and explain their symptoms to the staff. It is important people tell the doctor if they are having difficulty breathing, chest pain or other severe symptoms. As with most medical visits, the patient should know their family history and what medications they are currently taking. This will help the doctor diagnose the problem. Once a doctor has determined a DVT is present, several treatment options are available. The number one treatment is the use of blood thinners. Some treatments can also break up or remove the clot. This can be done with medication, which can take hours or days, or through a catheter placed in the vein in the leg. A DVT can cause lasting effects if left untreated. The best outcomes and results are seen when treatment is given immediately.

Although anyone can have a DVT, certain people are more at risk than others. DVT’s are most common in people age 60 and older and in people who fall into the following categories: • People who smoke • People with a family history of blood clots • Postpartum • Women taking birth control • Cancer patients • People who are obese • People who are on bed rest • People with varicose veins People who are at a higher risk for DVT’s can take steps to help prevent it. Patients who have had a DVT should wear a pressure sock. This helps improve the blood flow in their legs. Doctors may also prescribe blood thinners to those patients who are at high risk. To help prevent a DVT, everyone should refrain from smoking and when traveling, make the time to get up and walk around or make circles with your feet. This, too, will help increase the blood flow in the legs. According to stoptheclot.org, approximately 600,000 people are affected by DVT’s or PE’s each year and of those, 100,000 people die each year. To help prevent DVT’s from forming, patients are encouraged to talk to their primary physician to see if they are at risk for a DVT and what they can do to prevent it. For more information, please call Lisa Stevens, director of Medical Imaging and Cardiopulmonary at OSF St. Joseph Medical Center, at 309-665-4799 or visit www.osfstjoseph.org.

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217-937-5284 November 2011 — Bloomington — Healthy Cells Magazine — Page 49

We’re all athletes. Pain in your wrists affects so many parts of your life. From pushing a handcart across the warehouse. To pushing a mouse across your desk. So talk to the experts at the Orthopedic and Sports Enhancement Center. Dr. J. Anthony Dustman, Dr. Robert K. Seidl, Dr. Thomas Duhig, Dr. Chris J. Dangles and Dr. Joseph Norris can help eliminate your pain with the latest treatments.

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

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