November Iowa City Healthy Cells 2012 by Healthy Cells Magazine

IOWA CITY area

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

NOVEMBER 2012

FREE

HealthyCells www.healthycellsmagazine.com

M A G A Z I N E

Infinity Vein Center

Comprehensive Vein Care for Varicose and Spider Veins page 14

Healthier Holiday Eating page 8 Can In-Vehicle Technologies Help Improve Driver Safety for Seniors? page 17 Stand Up to Bullying page 22

“THE FREEDOM TO CHOOSE”

MRI • CT • DIGITAL MAMMOGRAPHY • 3D/4D ULTRASOUND • BONE DENSITOMETRY • X-RAY

YOUR IMAGING CENTER IS YOUR CHOICE. When you need an elective or required imaging exam, ask for Corridor Radiology by name. We’ll save you time, money and provide outstanding care for you and your family—all within a private, state-of-the-art clinic setting with free parking! Just like choosing where to have your prescription filled, where you fulfill your imaging exam is up to you! Visit us online today at www.corridorradiology.com. EXPANDED HOURS! We’re here to serve you 8am - 8:30pm Monday through Friday, and 8am-5pm Saturdays, Sundays & holidays*. 2769 Heartland Dr., Coralville, IA NEW! Coral West Health Center Call for a tour! 319.545.7300 *Excluding Christmas Day.

Kids will spend 13 minutes watching gerbils ride a train. How about two minutes to brush their teeth? Brushing for two minutes now can save your child from severe tooth pain later. Two minutes, twice a day. They have the time. For fun, 2-minute videos to watch while brushing, go to 2min2x.org.

November 2012 — Iowa City — Healthy Cells Magazine — Page 3

N O VEMBER

2012 Volume 1, Issue 8

24 Day Challenge: Empowering Employees to Better Health

Emotional: “Exploring The ‘F’ Words” #1

Nutritional: Healthier Holiday Eating

This Month’s Cover Story:

Infinity Vein Center

Comprehensive Vein Care for Varicose and Spider Veins page 14

Physical: Ankle Sprains and Ankle Weakness

Men's Health: What Every Man Over 40 Should Ask His Doctor

Fearless Living: How to Stay Happy As You Age

Advanced Driving Assistance System: Can In-Vehicle Technologies Help Improve Driver Safety for Seniors?

Prostate Health: Where Do We Go From Rock Bottom?

Advanced Procedure: MILD: Neurogenic Claudication Has Met Its Match

Financial Health: Helping Students Manage Money

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com

Empowering Children: Stand Up to Bullying

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.

22 24 26

For information about this publication, contact Laurie Hutcheson, owner at

563-650-1876, ICHealthycells@gmail.com

Importance Of Nutrition: The Case for Supplementation Part 1 of 2

Healthy Cells Magazine is a division of:

Healthy Cells Magazine is available FREE in high traffic locations throughout the Iowa City area, including major grocery stores, hospitals, physicians’ offices, and health clubs. Healthy Cells Magazine is published monthly and welcomes contributions pertaining to healthier living. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only. Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Iowa City area.

Exercise Enthusiast: Five Ways to Find Your Fitness Motivation

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

24 day challenge

Empowering Employees to Better Health

Pamela Klim

By Pamela Klim, Advocare World Class Nutritional Supplements

s remarkably simple as the concept is, companies in the Quad Cities are finally becoming aware of the “connection” between healthy, energetic employees, and a happier, more productive work force with lower health care costs. Empowering your employees to better health has never been more of a more important issue in the workplace. Mr. Rick John, owner of the The Sedona Group, a Nationwide Staffing Company started in the Quad Cities, knows first-hand the importance of helping employees take ownership of their own health and wellness. For years, Rick has been a tremendous leader at the forefront of this corporate movement. He has graciously offered a pro-active program within the Sedona group called “Fit & Healthy.” Fit & Healthy encompasses the many components of a lifestyle of health and wellness. Recently, the Fit & Healthy Members took on a special challenge. They committed to 24 days of using high quality nutritional supplements in conjunction with a healthy eating plan, and of course, exercise. Designed to “jumpstart” the process of weight loss, leaning out, toning up, and increasing energy, it is an integral part of a lifestyle of health and wellness. The employees were fired-up with their astounding results! We had 13 participants in the challenge. I personally met with each person and took their beginning weight, inches, and “before” photos. I also helped “walk” them through the regimen of supplements and the healthy eating plan, offering some great suggestions on ‘setting themselves up’ for success! As their coach, I followed-up throughout the 24 days in order to offer guidance, support, encouragement, and answer any questions they had. In 24 short days, the 13 Sedona Group participants lost a grand total of 99 pounds and 130 inches! Their “after” photos were amazing! To say these employees are excited is truly an understatement!

The most fulfilling part of helping Companies like this, is that it creates accountability and teamwork within the workplace, which is every business owner’s dream come true! As more and more companies in the Quad Cities seek my assistance with facilitating similar challenges for their employees, I am excited to see corporate America beginning to embrace and understand the value of healthy, happy, and productive employees. I consider it an honor and privilege to be a part of this empowering movement. As a business owner or manager, I see no better investment than in that of your greatest asset—your employees! For more information on facilitating a 24-Day Challenge within your Company, please feel free to contact, Pamela Klim, an Advocare Independent Distributor, residing in Bettendorf, Iowa. Contact Pam at 563-940-2295. Email: klimwellness@gmail.com. Website: www.advocare.com/03034246. November 2012 — Iowa City — Healthy Cells Magazine — Page 5

emotional

“Exploring The ‘F’ Words” #1 Forgiveness Healthy Cells magazine is pleased to present another in a series of feature articles on the subject of Grief ❣ Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses (Harper Perrenial, 1998). The articles combine educational information with answers to commonly asked questions.

his column is the first of a trilogy in which we will probe some of the myths and mis-information about three words that are very important in the process of Grief ❣ Recovery®. The words are FORGIVENESS, FEAR, and FAMILIARITY. Forgiveness is the subject of this month’s column. It is almost a pleasure to write about forgiveness rather than talking about it. There is no subject that provokes more argument, more rigidity, or more pain than the idea of forgiveness. In fact, if forgiveness were not such an important stepping stone to successful Grief ❣ Recovery®, we would not bring it up at all. Forgiveness is one of the least understood concepts in the world, and is especially problematic in English speaking countries. Most people seem to convert the word forgive into Page 6 — Healthy Cells Magazine — Iowa City — November 2012

the word condone. The definitions in our Webster’s Dictionary illustrate the problem. FORGIVE.... to cease to feel resentment against [an offender]. CONDONE.... to pardon or overlook voluntarily; esp: to treat as if trivial, harmless, or of no importance. If we believe the two words to be synonymous, it would be virtually impossible to forgive. The implication that we might trivialize a horrible event is clearly unacceptable. However, if we used the top definition of forgive we would be on the right track.

“Grief is the normal and natural emotional response to loss. It is essential to correctly identify the loss so the actions of completion can begin.” For example, a griever might harbor a tremendous amount of resentment against the person who murdered his/her child. That resentment might create and consume a lot of energy which in turn might mask the pain and sadness about the death of the child. As long as the griever stays focused on the murderer they may find it impossible to grieve and complete their relationship with the child who died. The resentment, or lack of forgiveness of the murderer gives more importance and energy to the murderer than to the child. Successful recovery from the pain caused by loss requires that we focus our energy on completing our relationship with our loved one who died. By not forgiving the murderer we almost guarantee staying incomplete with the child. Grief is the normal and natural emotional response to loss. It is essential to correctly identify the loss — the death of the child — so the actions of completion can begin. The example about the murderer and the child can be applied to the perpetrator and the victim of any kind of event.

o place n s i e r s The e, let u m o h e lik u stay. help yo

If the death of a loved one was a suicide, you might need to forgive them for taking their own life, so that you could then complete what was emotionally incomplete for you when they died. Forgiveness is not our objective. Forgiveness is one of the tools we may need to employ in order to complete the relationship that ended or changed, due to death or divorce or other life circumstance. The subject of forgiveness is massive and carries with it many, many beliefs, passed on from generation to generation. We offer this column and the following questions and answers to help you determine if the definitions that were taught to you are helpful to you or if they need some updating. QUESTION: What if I have built up a resistance to the word forgive, is there any other way of approaching the issue? ANSWER: We recently helped someone who couldn’t even say forgive. She called it the “F” word, which inspired this column. We gave her the following phrase: I acknowledge the things that you did that hurt me, and I am not going to let them hurt me anymore. QUESTION: Is it appropriate to forgive people in person? ANSWER: An unsolicited forgiveness will almost always be perceived as an attack, therefore it is almost always inadvisable. It will usually provoke a new issue that will create even more incompleteness. The person being forgiven need never know that it has happened. For information visit www.griefrecoverymethod.com.

Lyse S. Strnad, MD John F. Stamler, MD, PhD Stacy L. Thompson, MD Chris E. Watts, MD “Providing quality medical and surgical eye care in Iowa City since 1954!”

New patients welcome! Eye Physicians & Surgeons, LLP

Providing “One on One” Personal care in the comfort & security of your home, apartment or facility...since 1994. • FREE CONSULTATION • FREE SCREENING • FREE ASSESSMENT Our Services Also Include: Light Housekeeping, Meals, Laundry, Transportation, Medication Reminders, & Much More!

(319)-338-3623 or (800)-338-3623 2629 Northgate Drive, Iowa City www.iowacityeye.com

Iowa QC Area 563-289-5229 • Clinton Area 563-242-2308 Illinois QC Area 309-736-7414 • Geneseo Area 309-944-3727 Muscatine Area 563-263-0530

Cataracts • Glaucoma • Macular Degeneration Diabetic Eye Conditions • Pediatric Eye care Routine Vision Exams November 2012 — Iowa City — Healthy Cells Magazine — Page 7

nutritional

Healthier Holiday Eating Submitted by Midori Gingerich, RD, LD, Coralville Hy-Vee Dietitian

eady or not, the season of joy, giving and sharing is upon us. From Thanksgiving to the New Year’s Eve parties and through the football game munchies on January 1, opportunities to overindulge in quantity and energy content (calories) are just about endless. For many, special holiday foods are deeply intertwined in our gatherings and celebrations with family, friends, co-workers, and neighbors. Does it seem to be a struggle to strike the proper balance between enjoying and overindulging? If you feel that way, you are certainly not alone. Never fear, help is near! There are many things you can do to not only help yourself manage holiday eating, but make it easier for others also. Enjoying the food of the holidays doesn’t have to add inches to your waistline. Here are a few key concepts to keep in mind to make it through the season without feeling the need to jump on a diet bandwagon come the first of January. Page 8 — Healthy Cells Magazine — Iowa City — November 2012

Remember the essentials of a balanced diet • Start each day with a healthy breakfast, including complex carbohydrates and lean protein. • Stay hydrated throughout the day, sipping water wherever you are. Did you know one sip from a drinking fountain is about one ounce of water? If there is a water fountain at your workplace, in the mall when you are shopping, or at school, stop and sip! • Fill up with fiber from whole foods such as fresh fruits and vegetables and whole grains. • Keep in mind the appropriate portions of the foods eaten at meals and for snacks. • Try to avoid stopping by for fast food when the days get hectic. Make a batch of chili, taco meat, lasagna, or baked chicken now and freeze it to pull out and heat up later. Another strategy is to keep fixings for sandwiches along with prepared veggies and grab-n-go fruits handy.

In reality, most of our time spent during the season is devoted to work and the hustle and bustle associated with the celebrations. There are likely only specific occasions during which we need to stay on top of our game. When the situation arises, follow these tips: Surviving holiday parties or “Controlling Holiday Weight Gain 101” • Don’t skip meals to “save up” on calories. It’s a poor strategy that leaves you overly hungry and likely to overeat later. Eat regularly scheduled meals and maybe even add a healthy snack before the party. • If you are concerned about there being healthy options on hand, bring a dish to share such as raw vegetables with hummus for dipping, a Greek yogurt-based savory dip with whole-grain pita chips, a Greek yogurt-based sweet dip with a tray of seasonal fresh fruits, or fresh mozzarella with tomato slices and basil. • Try to keep the “mindless munching” to a minimum at holiday dinners or parties. Grazing on the eggnog, cheese ball, and crackers, homemade sweets and the like can add a significant number of calories. • If you’re not needed for help in the kitchen, go out and toss a football or take the dog for a walk, taking the grandkids or cousins along with you. Don’t forget physical activity can burn some of the extra calories you know you are going to enjoy. • Survey the table before making your selections. Keep portions small so you can enjoy all your favorites. One taste might be enough to quench a craving or bring back that holiday memory of meals gone by. If you do take seconds, only choose the foods that are special treats or that are your favorites.

AMTof IOWA

ADVANCED MEDICAL TRANSPORT

• Eat slowly. It is not a race to eat as much as you can, as fast as you can. At most holiday gatherings, running out of food is rarely a problem. Take time to savor the turkey or rib roast. Enjoy Grandma’s green bean casserole and Aunt Millie’s caramel apple salad—maybe even strike up a conversation and ask for the recipe to be shared. It takes 20 minutes for the signal of satiety to reach our brain so the body knows it is getting nourishment. Give that mechanism a chance to kick into gear and you will feel much better after the meal and maybe not have to let your belt out at all. • Beware of the liquid calories that pass your lips. Enough said! Wise food choices are definitely essential during the holidays but remaining active is another important piece of the weight maintenance puzzle. Try not to steer too far from your normal eating and exercise routine. Don’t let one slip-up get you down. Keep all things in perspective and recognize the truth to the quote, “People are so worried about what they eat between Christmas and the New Year — but they should really be worried about what they eat between the New Year and Christmas.” If you overindulge at a party one evening, get right back on track the next day. The true pitfalls occur when slip-ups become routine. Take a step back and enjoy the reason for the season. For more nutrition information, visit one of your Hy-Vee Registered Dietitians today! Midori Gingerich, RD, LD at mgingerich@hy-vee.com or 319-351-5523 at your Coralville Hy-Vee. Cathy Gehris, RD, LD at cgehris@hy-vee.com or 319-338-9758/319-354-9223 at your Eastside Hy-Vee and North Dodge Hy-Vee. Kym Wroble, RD, LD at kwroble@ hy-vee.com or 319-354-7601 at your Waterfront Hy-Vee

Your partner in health.

Your Partner in Health AMT is here to serve you. Whether you are the person needing transportation or the one calling on their behalf, we’ll be your partner in health. We provide: • Scheduled ambulance transportation from basic life support to critical care • Demand response service for VA Hospitals • Scheduled wheelchair transportation

Call 319.341.7799 today to learn more!

Anna Marie Urban, tenant at Melrose Meadows and John Scully, EMT for AMT of Iowa

AMTofIowa.org • 319.341.7799 • 2228 Heinz Road • Iowa City, Iowa 52240 November 2012 — Iowa City — Healthy Cells Magazine — Page 9

physical

Ankle Sprains and Ankle Weakness Submitted by Dr. Brad Bussewitz, Professional Foot and Ankle Care

Figure 1: Notice the weak ankle ligaments allowing the foot to suspend unrestrained from the leg.

t’s a safe bet that you have experienced an ankle sprain or know of someone who has. Ankle sprains are one of the most common lower extremity orthopedic injuries treated each year. The injury typically has immediate pain and swelling and typically improves anywhere from a few days to weeks after the injury occurred. There are, however, more serious variations of the routine ankle sprain that require more specialized treatment. Furthermore, there are sprains that become chronically painful and unstable and may deserve a closer look.

Page 10 — Healthy Cells Magazine — Iowa City — November 2012

Ankle sprains are most common in the younger, athletic population, yet some of the delayed symptoms become noticeable years or even decades later. The ankle is vulnerable in certain positions. “Typically the foot is plantarflexed (pointed downward) at the time of a classic inversion or ‘rolling’ ankle sprain. The ankle becomes unlocked and the ligaments are vulnerable in this position”, Dr. Bussewitz explains. As the foot inverts, ones body weight puts the ligaments on stretch and if the force is severe enough, the ligament can become injured or completely torn.

There is a group of three ligaments that make up the outside of the ankle joint. The most anterior or forward ligament (located in front of the outside ankle bone) is most commonly injured. As the injury becomes more severe, the second and third ligaments may tear or stretch as well (Figure 1). Ankle sprains are graded based on severity of damage to the ligaments. “Typically a Grade I sprain improves in days, a Grade II sprain improves in weeks and a Grade III sprain improves over months,” says Dr. Bussewitz. The initial treatment depends on the severity of the injury. A Grade I injury requires the well-known PRICE regimen: Protect, Rest, Ice, Compression, Elevation. Grade II and III injuries typically require a walkingboot to be worn for a period of time followed by a lace-up style brace to allow transition back to full activity. “A version of ankle sprain, known as a ‘high ankle sprain’, may require surgery to stabilize ligament that connects the two long bones of the leg”, says Dr. Bussewitz, “the more classic inversion ankle sprain is treated conservatively or nonsurgically initially.” Those with a history of recurrent ankle sprains or a single more severe sprain may begin to experience pain or instability years after the injury. The instability is often described as a weak or unstable ankle when walking or running on uneven surfaces or downstairs. “The ligament complex loses its integrity and can display damage to the sensory nerves that help stabilize the ankle and offer feedback to the brain about where the foot is relative to the body,” adds Dr. Bussewitz. Bracing and physical therapy are proven techniques for ankle instability and pain. If these conservative efforts fall short, surgical repair is recommended. The clinical (bedside) exam may be combined with X-rays and MRIs to confirm the appropriate diagnosis prior to surgery.

"Those with a history of recurrent ankle sprains or a single more severe sprain may begin to experience pain or instability years after the injury." The surgery involves repairing the ligament by tightening it and at times utilizing a nearby tendon to add stability. In some cases, an ankle scope is performed at the same setting to allow a cleanup of the inside of the ankle joint. Dr. Bussewitz adds, “When the ligaments have been damaged, over time the ankle my develop inflammation and small islands of cartilage damage, the scope allows us to repair this damage at the same time the ligaments are repaired through mini-incisions.” This type of surgery is outpatient and recovery involves a period of crutch or knee-caddy use to allow the area to solidify. The goal of the repair is to allow complete recovery of both pain and a sense of gained stability. If you have a history of ankle sprains or a recent severe sprain and have pain or a feeling of weakness, set up an appointment and allow a specialist to go over the diagnosis and possible treatment options. For more information on understanding ankle injuries or other foot and ankle pain and various treatment options, visit www.ProfessionalFootAnkle.com or call 319-337-2021 for an appointment.

e s a e l P

let Healthy Cells advertisers know you saw their ad in

“Like” us on Facebook! Healthy Cells – Iowa City

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

then push hard and fast

in the center of the chest.

Hands can do incredible things.

November 2012 — Iowa City — Healthy Cells Magazine — Page 11

handsonlycpr.org

men's health

What Every Man Over 40 Should Ask His Doctor Information from www.statepoint.net

nnual physicals may not be at the top of every man’s to-do list, but these visits are crucial for longevity -- especially for those men over 40. There’s no better time than your checkup to have all your looming health questions answered. Make the most of your next visit by composing a checklist of things you’d like to talk about during your appointment. No matter how healthy you feel, there are some discussion points you’ll definitely want to cover Prostate Cancer Screening Prostate cancer is the most common non-skin cancer in America, affecting one in six men, according to the Prostate Cancer Foundation. If you’re a man over 40, there are several major risk factors that you need to know about. If you are African-American, or have a family history of prostate cancer, talk to your doctor about your prostate health, beginning at age 40. The older you are, the more likely you are to be diagnosed with this potentially lifethreatening illness, but that doesn’t mean younger men are not also diagnosed. In fact, one in every 38 men aged 40 to 59 is diagnosed with prostate cancer. Talk to your doctor about when you should begin screenings and how you can lower your risk of diagnosis. Be proactive! Visit the Prostate Cancer Foundation website at www.PCF.org for more information on risk factors, and to access a list of prevention tips.

Integrative Medicine combines the therapies of complementary, alternative, and conventional medicine. We offer an integrative approach for Diabetes. We can help you work to lower blood sugar, blood pressure, and cholesterol naturally! We also Specialize in Bioidentical Hormone Replacement Therapy! Stephanie Mellor, DNP, ARNP, ANP-C, GNP-C, CCCN 1260 3rd Ave, SE, Suite B Cedar Rapids, Iowa 52403 www.integrativehealthandhormoneclinic.com Phone 319-363-0033 Fax 319-363-4411 Page 12 — Healthy Cells Magazine — Iowa City — November 2012

Your Heart’s Health According to the Centers for Disease Control and Prevention, heart disease causes more than one in four deaths of men in the United States. To get an accurate gauge of your risk, be honest with your doctor. He or she can’t advise you properly if you don’t share all the facts on your habits -- good and bad. Have your blood pressure and cholesterol tested at recommended intervals. Ask your doctor if your levels are normal and what you can do if they aren’t. If you don’t currently get regular physical activity, your doctor can advise you on safely easing into an exercise program. Diabetes Risk Many people have the misconception that if something is wrong; their bodies will let them know. But diabetes often begins without symptoms. Your risk factor for developing diabetes goes up if you are overweight, have high blood pressure, or a family history of the disease. Ask your doctor if you need to be screened. In the meantime, lower your risk for diabetes by maintaining a healthy weight. Your doctor is a great resource for helping you form an effective weight management plan. It’s vital for men to manage their risks for life-threatening diseases like prostate cancer, and one of the best ways to do that is with regular visits to the doctor. If it’s been over a year since your last appointment, call today to schedule a visit.

fearless living

How To Stay Happy As You Age Information from www.statepoint.net PHOTO SOURCE: (c) Monkey Business - Fotolia.com

ife has its inevitable ups and downs, and the challenges we experience might not always seem fair. But there’s no need let your happiness depend upon life’s uncontrollable circumstances. “What you want and what you get are not always one and the same,” says Amy Shea, author of the new book “Defending Happiness and Other Acts of Bravery,” a collection of short stories about her life’s journey with adversity. “The key is to find what makes you happy and defend it.” In her book, Shea details how tough circumstances have not deterred her from living life on her own terms. For example, she ultimately came to view her battle with breast cancer as a gift of opportunity. “What is possible to do in one’s life changes remarkably when one fears death more than embarrassment,” she says. Shea has experienced poverty, divorce, cancer and the daily woes of aging, parenting and being parented, but believes that come what may, she is prepared to defend her right to be happy. She offers these insights for those seeking happiness as they age: • Your emotions do not need to be an automatic reaction to what happens to you. By believing that, you abdicate choice. It is not life that is happy or not. It’s you.

•D on’t forget to simply sit from time to time and do some inner wandering. Original thought happens a lot more easily this way than while texting on the treadmill. •L ife is neither fair nor kind — but it is full of beauty and humor, and open to direction. •W hen it comes to picking your battles, energy is like eye cream: expensive. So use just what you need and put it right where you want it. •A ging won’t be smooth and firm and flawless, but it is not the enemy. In fact, there are certain things about youth you won’t miss at all. •A ll of us have individual wiring that can get buried from time to time under habits we’ve formed. Be deeply committed toward the wiring that makes you happy. •V iew life as a dynamic creative disturbance and don’t forget to show up — it’s worth whatever trouble it takes. More insights can be found in Shea’s new book and online at www. DefendingHappiness.com. Whether you’re experiencing adversity or simply going through the daily annoyances — you can empower yourself by going after, and protecting your happiness.

November 2012 — Iowa City — Healthy Cells Magazine — Page 13

feature story

Infinity Vein Center Comprehensive Vein Care for Varicose and Spider Veins Infinity Skin Care & Infinity Vein Center Promote Skin and Vein Wellness for Beautiful Skin from Head to Toe

lmost everyone can look at their skin and find a brown spot, wrinkle, loose skin, or signs of premature aging. Millions of Americans also suffer from unsightly spider veins or deal with the pain, throbbing, and fatigue caused by varicose veins. So, when is the right time to speak to someone about these common skin conditions and where is the best place to start? Start with a complexion expert: a dermatologist! Infinity Skin Care and Infinity Vein Center, run by Kimberly K. Schulz, MD, Board-Certified Dermatologist, offers this area’s most comprehensive services for cosmetic dermatology and vein care. As a dermatologist, Dr. Schulz is passionate about offering the most advanced skin care menu anywhere and she’s also committed to educating each and every patient about the importance of routine skin maintenance and sun protection. Having an on-site dermatologist overseeing every aspect of the practice means that patients with skin conditions such as acne, eczema, or rosacea can comfortably enjoy their treatment without feeling stigmatized by their condition or fearful of what’s being placed on their skin by uneducated providers. It also means that the skin care services are cutting-edge and delivered with medical precision and properly sterilized instruments. Products and procedures are stronger and more effective than those available without a physician’s presence. Dr. Schulz has been providing outstanding skin and vein care to patients from all over the state of Iowa for over ten years. Following Infinity Skin Care’s move to an expanded Coralville location in 2010, Dr. Schulz opened Infinity Vein Center so she could offer comprehensive vein care to patients of all ages. In addition to helping her cosmetic dermatology patients maintain beautiful skin from head to toe, she is especially excited to offer the state-of-the-art Venefit™ procedure for patients who have lived with the painful and often debilitating symptoms of venous disease. Page 14 — Healthy Cells Magazine — Iowa City — November 2012

Imagine life without varicose or spider veins! Infinity Vein Center in Coralville offers a comprehensive menu of vein treatments. Over 25 million Americans suffer from venous disease. Do you suspect that you may be one of them? Venous disease, also known as venous insufficiency, causes many symptoms. These include bulging varicose veins, swollen and/or fatigued legs, pain and throbbing. In its more advanced stages, venous disease causes discoloration, ulcers, or open wounds that won’t heal. Who is at risk for venous disease? According to Kimberly K. Schulz, MD of Infinity Vein Center, there are many factors that contribute to varicose veins. These include: • A family history of varicose veins: If you have a close biological family member with varicose veins, you are at higher risk for also developing them. •O besity: Being overweight often contributes to the formation of varicose veins, with the added pressure on the legs and ankles causing the veins to bulge and blood flow to be disrupted. • Gender: Both women and men are at risk for varicose veins, though the problem is most common in women. Men are often more resistant to seeking out medical treatment for their symptoms, which puts them at risk for more advanced disease.

•S tanding: Persons who spend excessive amounts of time on their feet have a greater chance of experiencing varicose veins than those who do not stand all day. Patients with a sedentary lifestyle are also more likely to develop varicose veins. • Age: Older men and women (50+) are more prone to venous disease than younger patients. • Multiple pregnancies: Women who have been pregnant multiple times are at increased risk of varicose veins. While so many of the U.S. population suffer from this condition, only a small percentage will seek treatment. Many patients shy away from treatment because they mistakenly think the treatments are going to be too expensive to consider, or that they will have to endure a long recovery period. Other patients remember the invasive “vein stripping” procedure of the past and are not aware that new alternatives exist. The The Venefit™ procedure is an outpatient treatment performed with a local anesthetic. state-of-the-art alternative to vein stripping is called the Venefit™ procedure (previously known as the VNUS® Closure procedure), an endovenous radiofrequency (RF) ablation procedure designed to heat, shrink, and close diseased saphenous veins (large leg veins) in approximately three minutes of virtually painless treatment with minimal after-effects for the patient. The outpatient procedure is designed to treat the medical condition known as venous reflux disease, and is not considered cosmetic surgery. Best of all, the procedure is covered by most national insurance programs. “Our venous disease patients are very happy with the Venefit ™ procedure,” said Dr. Schulz, a leading dermatologist in the Corridor. “They are amazed at how quickly the procedure is completed and how little discomfort they feel, and they are pleased to be able to walk out after the procedure and resume normal activities the next day. I have found the treatment outcomes to be excellent—the procedure is successful in closing the vein, and the patients’ quality of life imSclerotherapy is a 30-minute session that treats spider veins on the legs, calves and thighs. proves immediately.” Under local anesthesia, a catheter is “This is a tremendous technological leap beyond vein stripping, threaded into the diseased saphenous vein through a small puncthe traumatic surgery that was previously used to remove diseased ture, and RF energy is transmitted through the device to heat and veins,” said Dr. Schulz. “It is enormously gratifying to provide a seal the vein walls. The body subsequently re-routes blood flow patient with resolution to a medical issue they may have struggled through healthier leg veins, restoring normal circulation, and the with for decades.” varicosity symptoms quickly dissipates. Clinical studies have found Dr. Schulz is joined by Sandy Lanier, PA-C; Bre Lewis, Vascular the procedure more than 97 percent effective at the one-year folSonographer; Mia Grefe, Medical Assistant; Laura Tuttle, Patient low-up visit and virtually painless for most patients. As a medical Coordinator; and Joni Carson, Office Manager. The team is happy necessity, the procedure is covered by Medicare and most private to welcome and treat patients from all over the state of Iowa in health insurance plans.

November 2012 — Iowa City — Healthy Cells Magazine — Page 15

feature story continued Varicose Veins Before

Varicose Veins After

Frequently Asked Questions About Venous Disease* Q: Can venous disease be prevented? A: For mild forms of venous disease, lifestyle changes may be recommended to control symptoms. Managing risk factors such as blood pressure and weight and staying physically active can all help ease the pressure on the veins in the legs.

Spider Veins Before

Spider Veins After

The following can also help control varicose veins and other signs and symptoms: • Avoiding prolonged standing • Elevating the feet above the thighs when sitting, and above the heart when lying down • Avoiding clothes that are tight around the waist, thighs or legs • Strengthening calf muscles through an appropriate exercise plan Since varicose veins cannot always be prevented, it is important to talk to a vein specialist about treatment options before the condition progresses and symptoms worsen.*

their professional, caring and private clinic. The offices are located in City Center Square in Coralville, providing spacious amenities and free, convenient parking. Infinity Vein Center also offers other varicose and spider vein procedures: Microphlebectomy Microphlebectomy is a method of surgical removal of bulging veins. This vein treatment is completed on an outpatient basis at the Infinity Vein Center office using local anesthesia. Puncture incisions are tiny (stitches are not necessary) and typically leave small, imperceptible scars. Post-operative discomfort is minimal. After the vein has been removed by phlebectomy, a bandage and/or compression stocking is worn for a short period of time. Foam Sclerotherapy In addition to traditional sclerotherapy for spider veins, Infinity Vein Center also offers foam sclerotherapy for patients with larger leg veins and varicose veins. Foam sclerotherapy entails injecting a foamed solution into the vein, causing the vein to close down.

Q: Do I have to wear compression hose? A: Infinity Vein Center requires its patients to wear compression hose for a minimum of one week following treatment. Many styles, sizes and colors are available and a prescription will be provided at the initial consultation. Q: What can happen if I overlook my varicose veins? A: The Venefit™ procedure for diseased veins can be effective in eliminating venous reflux and symptoms, and also in preventing the condition from progressing. If left untreated, venous insufficiency can progress to a more serious form of venous disease that will often have increasingly worse symptoms over time that may be more difficult to treat. Q: My family physician told me that I should not worry about my varicose veins, is this true? A: Many physicians discouraged treatment when vein stripping was the only treatment option available, due to poor results. However, with the advanced and minimally invasive treatments currently available, anyone with varicose veins should consult with a vein specialist. *Resource: www.RethinkVaricoseVeins.Com.

Sclerotherapy A specialized solution is injected into the spider veins, causing a “scarring down” of the vessel so it can no longer be seen. Sclerotherapy is more effective, less painful ,and less expensive than laser treatment of spider veins on legs. The number of sessions needed depends upon each individual patient, but one is often enough. Many patients are surprised to find out that a 30-minute session of sclerotherapy costs just under $300! Sclerotherapy for spider veins is not covered by insurance.

as they create a red and purple web-like appearance near the surface of the skin. Patients with spider veins on their legs, thighs or buttocks often shy away from wearing shorts and swimwear because of these nuisance veins. The best way to determine if you have spider veins or varicose veins is to schedule a consultation with a vein specialist who can review your symptoms and determine the proper course of treatment.

A common myth is that spider veins and varicose veins are the same thing. Symptomatic varicose veins are caused by venous insufficiency and therefore treatment is medically necessary. Spider veins are superficial surface veins that are not symptomatic; however, they can be quite unsightly

Infinity Vein Center, the medical office of Kimberly K. Schulz, MD, is located at 1100 Fifth Street, Suite 210 in Coralville, Iowa. The location is wheelchair accessible. To find out more about Infinity Vein Center, visit www.infinityveincenter.com or call 319-337-5355 to make a consultation appointment.

Page 16 — Healthy Cells Magazine — Iowa City — November 2012

advanced driving assistance system

Can In-Vehicle Technologies Help Improve Driver Safety for Seniors?

Dr. Mathew Rizzo MD

By Jennifer Brown, University of Iowa Hospitals and Clinics

he University of Iowa Aging Mind and Brain Initiative (AMBI) will partner with Toyota Collaborative Safety Research Center (CSRC) to study how older drivers interact with in-vehicle technology that’s designed to help improve driver safety. These technologies, including advanced driving assistance systems (ADAS), aim to help improve car safety by assisting drivers with various aspects of driving, including navigation and wayfinding, handling the car, and negotiating traffic situations. The UI team will explore whether these systems help older drivers who may be at risk of impaired driving because of declines in attention, cognitive skills, and reaction time that can occur as we age.

"We want to know how people with different cognitive capabilities interact with these systems so that we can help improve their design." "The issue is these systems, which are intended to help drivers, do so by providing the driver with additional information. This extra information input has the potential to distract or confuse a driver, or to be misunderstood by the driver," says Matthew Rizzo, MD, AMBI director and UI professor of neurology. "We want to know how people with different cognitive capabilities interact with these systems so that we can help improve their design." The three-year project will use a high-fidelity driving simulator called SIREN (simulator for interdisciplinary research in ergonomics and neuroscience), which is housed at UI Hospitals and Clinics, to evaluate how older drivers react to and interact with various types of ADAS. The study will also investigate the learning curve for older drivers as they acclimate to ADAS. "We are interested in studying the human/machine interface for drivers of all ages, although this study will focus specifically on older drivers," Rizzo says. "We want to know if these systems can be designed better so that drivers understand the system and are not overwhelmed by the information." In addition to guiding the development of new technologies, especially ADAS, to make them helpful to senior drivers, the study findings also will inform educational interventions aimed at improving driver safety. The program is one of seven new partnerships between Toyota CSRC and research institutions across North America. The UI is

A subject uses a high-fidelity driving simulator called SIREN (simulator for interdisciplinary research in ergonomics and neuroscience), which is housed at UI Hospitals and Clinics. Photo courtesy of UI Health Care Marketing and Communications.

one of 14 research institutions and agencies that currently partner with the CSRC to conduct auto-safety research. For more information about the new and existing projects, visit the redesigned Toyota.com/csrc. In addition to Rizzo, the UI research team includes Steven Anderson, PhD, associate professor of neurology; Nazan Aksan, PhD, associate research scientist; Shaun Vecera, PhD, professor of psychology; and Jeff Dawson, ScD, professor of biostatistics. The UI Aging Mind and Brain Initiative is a multidisciplinary collaboration of neuroscientists, biologists, behavioral scientists, engineers, computer scientists, social scientists, public health researchers, pubic policy experts, and others at the UI that aims to explore and improve mind and brain health across the lifespan. For more information about the AMBI, visit http://ambi.uiowa.edu/.

• Reconstructive Surgery • Implants • Diabetic Foot Care • Sports Medicine/Orthotics www.ProfessionalFootAnkle.com Dr. George Sehl

Two Locations: 805 S. Gilbert St., Iowa City Coral West Health Center 2769 Heartland Dr., Coralville

319.337.2021

Dr. Brad Bussewitz

Fellowship Trained Foot & Anke Surgeon

November 2012 — Iowa City — Healthy Cells Magazine — Page 17

prostate health

Where Do We Go From Rock Bottom? Eighth in a series of excerpts from “Making Love Again” The subject matter of this book is of a personal and explicit nature, and may not be suitable for younger or ultra-conservative readers. By Virginia and Keith Laken

ressed only in my nightgown, I still felt warm, cocooned on my couch, alone in the near-dawn solitude. I’d been up for almost an hour now, awakened by a dream. I’d thought I could go back to sleep, but dark thoughts had begun to worm their way into my tired consciousness: cancer, impotence, a troubled marriage. Sleep became impossible, and I had gotten up to try and untangle the knotted threads of my life. “Gin?” Keith’s voice was sluggish — and surprised. “Whatcha doing up so early? You all right?” “Yeah, I’m all right. I just couldn’t sleep.” Keith came and sat next to me on the couch, putting his arm around my shoulder. He looked at me with concern. “Keith, I need to tell you what I’ve been thinking about. Will you stay and listen?” He looked a little apprehensive. “Uh…sure Gin.” He said hesitantly. “I’ve been sitting here tonight trying to figure out what’s gone wrong between us,” I told him. “And one thing that’s come to me is that for months I’ve been living in a state of denial. But tonight I finally let myself look at what’s really happened. And the truth is, I know I can’t go on pretending. I have to accept the fact that your impotence is permanent…because if I don’t, we’re going to stay stuck right where we are, and that scares me.” Tears started rolling down my cheeks. I reached for Keith’s hand and closed my palms over his as if I were praying. “Keith I’m afraid. Afraid we might lose what we’ve worked so hard for.” Page 18 — Healthy Cells Magazine — Iowa City — November 2012

Now Keith’s eyes were filled up, too. “Gin, our marriage is the most important thing in my life, and I’d do anything to keep you happy, you know that…but that’s what makes this whole thing so damn hard to live with. I want to be a good husband to you. But I don’t know how to do that anymore. Without desire, I have to force myself to get in the mood, which doesn’t feel right. It makes me not want to keep trying. I can’t face it.” “Gin, you use the word ‘impotent’ to describe me. And I guess that’s the right word. But I shiver whenever I hear you say it. I hate that word and everything it implies. Being ‘impotent’ makes me feel like I’m just…taking up space. That I’m powerless to do anything for you — or anyone.” For the first time since our ordeal began, I didn’t try to comfort Keith or persuade him that his perceptions were wrong. Instead, I listened to him quietly and intently. And because I did so, I finally shared some of his pain. “Gin, I’ve been acting like a victim. Just giving up and letting impotence ruin my life. I don’t want to keep doing that. I want to do something to help myself. The only question is what…I don’t know, maybe I need to see Dr. Barrett again.” “Keith, listen…it’s not just you who needs to change. I do, too. We both need help. And somehow we’re going to find it.” Later that morning, I called Dr. Barrett. Haltingly, I brought him up to date. “We need some help, Dr. Barrett, and…we don’t know who to turn to.”

I could hear him scribbling a note. “I think Keith’s suffering from depression, Virginia. I want Keith to see the chief of psychiatry here, Dr. Rome. If anyone can help, he can.” Laptop Notes, January 10, 1996 When I said I wanted help, I thought maybe Dr. Barrett would give me another kind of shot or something, not suggest a psychiatrist! It’s just one more thing I have to hide. Especially from Dad. All my life he’s called shrinks “quacks” and said the people who see them are “weak.” Now I’m going to see one. Well, so what? Right now I’ll use anything or anyone who might be able to help me.

Journal Entry. January 15, 1996 I’m surprised Dr. Barrett suggested a psychiatrist. I never would have thought Keith needed one — or that he’d ever agree to actually see one. But once again he’s surprised me. In a way, his quiet acceptance makes me sad. It shows just how desperate he really must be. During the time Keith and I waited for his appointment with Dr. Rome, our fighting eased dramatically. And our talking continued. While we came up with very few answers to our problems, we did do a lot of talking. At that moment in time, it felt like we needed to talk. And be listened to. Not once or twice, but over and over again.

Laptop Notes, January 25, 1996 Finally, Gin’s stopped telling me everything’s going to be okay. Not that I don’t want things to be okay, but the truth is, they’re not. Now I can tell her how I really feel.

Journal Entry, February 1, 1996 I feel like I’ve put down a heavy burden, and I’m focusing on where we go from here instead of always looking back. I don’t know if we’ll ever get back to a complete marriage again, but at least we seemed to have stopped going downhill… and we’re talking. As each day passed and the meeting with Dr. Rome drew near, we both grew nervous. Neither of us had ever been to a psychiatrist and we didn’t know what to expect. What was he going to ask? How personal was he going to get? Would he think we were okay? As it turned out, our fears were groundless. Next Month: Advice From an Expert The book Making Love Again: Hope for Couples Facing Loss of Sexual Intimacy is available at Amazon.com and many major book sellers.

The Sedona Group Took the Advocare 24-Day Challenge! “Advocare World Class Nutritional Supplements”

Premier Program:

“The 24-Day Challenge”

Lose Weight~Lean Out~Tone Up!

The Jumpstart Program Sweeping the Nation

Total for 13 participants: 99 pounds & 130 inches lost in 24 days!

Pamela Klim, Independent Distributor of Advocare World Class Nutritional Supplements. 563-940-2295 (Cell/text) klimwellness@gmail.com www.advocare.com/03034246

November 2012 — Iowa City — Healthy Cells Magazine — Page 19

advanced procedure

MILD

Neurogenic Claudication Has Met Its Match By Mississippi Valley Pain Clinic PC

requently, the vagaries of age creep along until one day we can’t do the things we used to do effortlessly. Spinal stenosis and its symptoms are one of those vagaries. It can get a little complicated to understand but a brief description can help. As we age, the shock absorbers in our spines, which are known as discs, deteriorate in a way that causes them to shrink in height. All of us have probably noted that we get shorter as we get older. The configuration of the spine is such that if one part loses height then the connected parts must as well. One of those other parts is a ligament known as the ligamentum flavum and it will normally provide stable tethering of the spine. It does not shrink down as its sister, the disc, does; so it responds in a different way, it wrinkles like a sock that sags. This internal wrinkle can crowd the central canal of a spine so that nerves and blood vessels are pinched, particularly when the blood vessels are carrying more blood. Those vessels carry more blood from the lower part of the body when we are upright and when we are walking. The symptoms that occur when this picture emerges are that we cannot stand or walk for long before pain develops in the back, buttocks and legs. It goes away fairly quickly when we sit or lie down because the blood supply carried in those spinal vessels of the cenPage 20 — Healthy Cells Magazine — Iowa City — November 2012

tral canal drops below a critical level so that the nearby nerves of the spinal cord are not crowded. Leaning forward also can change the configuration of the spinal central canal and lead to relief as well. These symptoms are called neurogenic claudication. We have all seen folks in the store aisles leaning over their shopping carts seeking enough relief to complete the shopping trip. We have also seen many partners at the front of the store sitting patiently as they themselves cannot walk far enough even with the shopping cart crutch to ease their discomfort. It used to be thought that this problem caused inflammation of the spinal nerves and if we treated inflammation with steroid injections or other anti-inflammatory medicines, then the nerves would calm down and the pain would go away. Experience suggests that the “go away” part is temporary because the primary problem is not inflammation but obstruction in the central spinal canal. It can be surgically decompressed but that is not available to everyone because it is a complex operation that some people cannot have because of other health issues. Now there is another option. MILD is an acronym for minimally invasive lumbar decompression. That is a mouthful, but it is simply a procedure done under local anesthesia and sedation where the wrinkle of the ligament is reduced enough such that the crowding of the nerves does not occur when we stand and walk. You can learn more and see a video of the procedure at http://www.mildprocedure.com. It is now available in the Iowa City area. Contact Mississippi Valley Pain Clinic PC at 563-344-1050 for more information.

financial health

Helping Students Manage Money Information from www.familyfeatures.com

oney management is one skill that can be difficult for young adults to master as they head off on their own. But no matter what stage of life – whether they’re entering college or the work force – every young adult should learn how to handle their money. Establish a Budget Sit down together with your student and map out all monthly expenses. Include room and board or rent, books, supplies, food, personal care and medications, transportation, gas, entertainment (including dining out, movies and walking around money, etc.), and payment for phone, mobile devices, cable and Internet access. Then, figure out income. This can include money from a job, financial aid, student loans and any support from you. Income and expenses need to balance. There are plenty of online tools you can use to figure out a budget. Some, such as www.Mint.com or some bank websites, can help students manage their budgets, making it easy for them to take care of it themselves. There are also budgeting tips and worksheets at websites such as www.SmartAboutMoney.org.

Photo courtesy of Getty Images

How to Stick to the Budget Prioritize needs vs. wants. It may seem like a latte every morning is a necessity to jump-start the day, but those kinds of little expenses can add up quickly. A recent study by Westwood College found that 40 percent of the average student’s budget is being spent on “discretionary” spending; included in that is entertainment (6.5 percent), apparel and services (6.7 percent), travel and vacation (4.7 percent). Have your student do the math on how much some of their “necessities” will cost them, and then talk about how to weigh purchase decisions. Find ways to spend less. A little planning can help young adults spend less and get more value for their dollar. • Cellphone – Avoid overage charges with an unlimited plan. For example, with Cricket Wireless, you can pay an affordable monthly fee for all-inclusive talk, text, data and music rate plans for some of the most popular smartphones available. Cricket also includes a service called Muve Music that gives students unlimited song downloads as part of their plan. Learn more at www.MyCricket.com. • Food – Coupons and digital deals can cut the costs of dining out.

Look into the college meal plan – and use it. Save on snacks by stocking up at the grocery store instead of buying from a vending machine or convenience store. • Clothing – Thrift stores, consignment shops and yard sales are affordable ways to find something fun to wear. • Entertainment – Encourage them to take advantage of free activities on campus with their student ID. When going out with friends, advise your student to decide how much he or she can spend, then only take that much money with them. Be smart about credit cards. Many students sign up for a credit card right away, and before they know it, they are thousands of dollars in debt. Make sure they understand the impact of interest rates. Also, discuss setting limitations on using a credit card to avoid non-academic debt, such as using it only for emergencies, travel or school expenses, or only charging what they can pay back on time the next month (including interest). Equipping your student with some basic financial skills will help them make wise money choices now and for the rest of their lives.

November 2012 — Iowa City — Healthy Cells Magazine — Page 21

empowering children

Stand Up to Bullying Information from www.familyfeatures.com

Photo courtesy of Getty Images

oing back to school can be stressful for many kids, especially if they have been the victims of bullying. According to Youth Ambassadors 4 Kids Club, an organization dedicated to eliminating bullying, a student is bullied every seven minutes in our country, and an estimated 77 percent of students will experience some form of mental or physical bullying during their school years. While the statistics are worrisome, there are measures parents and caregivers can take to help identify the signs of bullying and the anxiety it can induce so they can help their children manage through this difficult situation. Recognizing Bullying Bullying can take many forms, including hitting, threatening, intimidating, maliciously teasing and taunting, name calling, making sexual remarks, stealing or damaging personal belongings, and indirect attacks such as spreading rumors or getting others to exclude another student. It’s also no longer limited to the classroom, lunchroom or playground. Today, cyberbullying -bullying through electronic outlets such as text messages and social media sites - has made this issue a 24/7 challenge. “Bullying can have a significant impact on students,” said University of Phoenix College of Social Sciences instructor and expert on bullying Dr. John Nixon. “Children and teenagers who are bullied suffer from anxiety, fear, withdrawal, low self-esteem and poor concentration. Recognizing the warning signs is the first step toward ending the behavior.”

Page 22 — Healthy Cells Magazine — Iowa City — November 2012

Signs that your child may be a victim of bullying include: • Coming home with damaged or missing clothing or belongings • Unexplained injuries • Frequent complaints of headaches, stomach aches or feeling sick • Changes in eating habits • Loss of interest in friends or going to school • Mood and behavior changes • Trouble sleeping and/or having frequent bad dreams • Feelings of helplessness or not being good enough What You Can Do if Your Child is Bullied Establishing a process for detecting, discussing and monitoring bullying can help in more effectively reaching a solution. “It can be embarrassing for a child to admit that they are being bullied,” said Nixon. “And many kids don’t tell parents about it because they are afraid of either being blamed for the situation, or they are afraid of how the parents will react.”

“And many kids don’t tell parents about it because they are afraid of either being blamed for the situation, or they are afraid of how the parents will react.” Nixon offers some tips for what you can do: • Increase awareness – Parents must educate themselves on the signs of bullying and realize that they are not alone. • Communicate – Ask children questions about how they slept or what they are looking forward to doing in school that day. Their responses can provide a wealth of insight. • Gather more information – Ask teachers if they have noticed anything that would signal the child had been bullied. Also, check a child’s text messages and Facebook profile for signs of cyberbullying. • Develop an action plan – Put steps in place to monitor the signs of bullying to see if it persists and engage your child regularly to open up communication about the problem. • Follow through – It’s important to keep at it. Be active to both spot the signs of bullying and discuss them with the child to work toward a solution. If bullying persists, take action. Discuss the problem with the parents of the child who is bullying, if it is appropriate. Talk with your child’s teacher. If the teacher is not responsive, escalate the discussion up to the principal or superintendent if necessary. There are more participants in bullying scenarios than just the bully and the victim. “More often than not,” said Nixon, “there are bystanders. These are students who know what is going on and either encourage it in some way, or sit back and do nothing. We need more kids to stop being bystanders and take a stand against bullying.” You can find additional information on University of Phoenix degree offerings by visiting www.phoenix.edu, and more resources for helping students deal with bullying at www.a4kclub.org, and www.stopbullying.gov.

Where do you go to rehabilitate after knee surgery?

A PROVEN LEADER IN ®

After my dad’s knee replacement, the hospital gave us a list of places for him to recover and receive physical therapy. Then they gave us great advice: Ask the professional at Care eachCenter place–for theiris expertise. Heartland Health Moline rooted in theThat’s when we choose Heartland. They Moline community skilledfor nursing and rehabilitation not only had vastproviding experience my father’s conditions, they tracked his progress to services for treatment. those transitioning from hospital to home astrack well patients’ progress because we tailor his At Heartland, we carefully asbelieve long-term care services for those no longer able to manage improving success begins by measuring it. For more information about atHeartland’s home. Our dedicated team issee proud to touch the lives of track record, information below. hundreds of patients every day.

Heartland Health Care Center – Moline 833 Sixteenth Avenue • Moline, IL 61265 309.764.6744 • www.heartlandnursing.com

November 2012 — Iowa City — Healthy Cells Magazine — Page 23

importance of nutrition

The Case for Supplementation Part 1 of 2 By Dr. Stephanie Mellor, DNP, ARNP, Integrative Health and Hormone Clinic

utrition is not a foreign concept, but we may not realize how far our western diets fail to live up to proper nutrition standards. Nutrition is the science of consuming and utilizing food ingredients, the relationship between what we eat, and our wellness. Nutrition is the supply of food required by our organisms and cells to stay alive and healthy. Hippocrates, known for many philosophies including the importance of food selection, stated, “Let food be your medicine and medicine your food.” Past medical experts have been recognized with the Nobel Prize for uncovering and curing diseases linked to vitamin deficiencies like beriberi and scurvy. Clearly, the importance of nutrition cannot be understated. Good nutrition involves consumption of macronutrients, which are the fats, proteins, and carbs—which we can easily consume from food—and micronutrients, which are vitamins and minerals—of which we may be surprised to find out how deficient we are. Why supplement? Food is important, but let’s face it, our Western diets are deficient. Who among us eats five servings of fruits and vegetables each day? If you do, you deserve a round of applause. Recent surveys show only 20 percent of the population gets this recommended serving. We are instead drinking more pop and eating more sugar, salt, and french fries than past generations did. Our iron, calcium, and folic acid consumptions are lower than ever. Even for those of us who are eating adequate fruits and vegetables, USDA figures demonstrate a decline in the nutrient content in food since the 1950s. Vitamin C has decreased by 20 percent, iron by 15 percent, riboflavin by 38 per-

cent, and calcium by 16 percent. Consequently, we now need to eat more to get the same amount of nutrients we once could have. Michael Pollen discusses these changes in his book, In Defense of Food, as he makes an obvious case for how we are eating more empty foods high in calories and less in nutrients than any other generation. In addition to our foods, we also have nutrient depleted soil. Iowa’s soil in

Page 24 — Healthy Cells Magazine — Iowa City — November 2012

particular has low selenium. The foods we consume often come from commercial/industrial farming where the use of pesticides and antibiotics has skyrocketed. The mass production processes has depleted our foods even more. We should supplement to prevent vitamin and mineral deficiencies like scurvy and rickets. We now recognize that many individuals, especially in the northern cold states, may be Vitamin D deficient. Recent studies indicate Vitamin D deficiency is estimated at 36 percent for those aged 18-29, and 42 percent for those 15-49, with higher rates as one ages. We should also supplement to protect against future chronic disease. Harvard researches published a study in the American Journal of Medicine in 2002 stating, “Insufficient vitamin intake is apparently a cause of chronic disease.” Still not convinced? Nutrient depletion can occur from other medications. Of the thousands of women on oral contraceptives, how many are recommended to take a B complex supplement? Birth control depletes B2, B3, B6, B12, C, folic acid, Vitamin C, selenium, and zinc. Are you experiencing muscle pain after taking your statin cholesterol lowering medication? This may be due to the CoQ10 depletion caused by the medication. Consider supplementing with CoQ10. Those on antacids are being depleted of Vitamin B12, vitamin D, folic acid, iron, and zinc. Those on antidepressants are depleted of both Vitamin B12 and CoenzymeQ12. Nutrition is vital to health, literally. All of these alarming new trends should encourage us now more than ever to supplement. Supplementing can help assure you are getting the proper micronutrients that may be lacking in your diet due to depletion caused

"Supplementing can help assure you are getting the proper micronutrients that may be lacking in your diet due to depletion caused by medications." by medications. Not sure what to look for when choosing a supplement? Look for next month’s article on just that! Consider scheduling an appointment at the Integrative Health and Hormone Clinic with Dr. Stephanie Mellor, a provider specializing in assessing for nutritional deficiencies. This clinic also offers high quality supplements for purchase. Call 319-363-0033 or visit www.integrativehealthandhormoneclinic.com.

Here’s what our advertisers are saying about Healthy Cells... After being in business for over a year, I discovered there were still facilities and groups that knew little about Advanced Medical Transport of Iowa (AMTI). I have found Healthy Cells Magazine to be a great avenue to tell our story and advertise our services of ambulance and shuttle transportation. Having a business in the healthcare industry, Healthy Cells is a perfect fit that has a target audience we seek. AMTI is a not-for-profit company and is continually searching ways to give back to the community. Through Healthy Cells advertising strategy, AMTI is able to donate article space to other non-profit groups such as Alzheimer’s Association and United Way. All this and more makes Healthy Cells a highly regarded and informative resource to promote health for individuals and communities.

Tom Geraci, CEO Advanced Medical Transport of Iowa Iowa City, IA To Promote your Business, Contact Healthy Cells Magazine Today. 563-650-1876 ichealthycells@gmail.com

November 2012 — Iowa City — Healthy Cells Magazine — Page 25

exercise enthusiast

Five Ways to Find Your Fitness Motivation Information from www.familyfeatures.com

ven the most dedicated exercise enthusiast can hit a workout rut, but there are a few ways you can stay motivated, whether it’s adding a new class into your routine or ensuring you’re outfitted in the right gear. Read on for the latest trends in staying on track:

1. Set goals, track progress – One of the best ways to stay motivated is to set goals, track progress, and share results. A great way to keep your goals and successes top of mind is keeping a visual chart on your fridge or bedroom wall. Not only will you feel accomplished when you check off the days you worked out, but it is also an easy way to track your progress and celebrate milestones. 2. Add variety – One reason people tend to quit an exercise program is boredom, so make sure you are challenging yourself. A great way to do so is mixing up your routine with the latest fitness workouts like TRX Suspension Training or Crossfit. Not only does a varied workout regimen prevent boredom, it also ensures you’re working different muscles and areas of your body. And speaking of mixing it up, downloading a new playlist can give you the right heart-thumping boost to keep your energy levels up. 3. Buddy up – Another way to combat boredom is working out with a friend. Scheduling a workout in advance ensures you’re more likely to stick to your fitness commitments. As the old adage says, time passes much more quickly when you’re having fun. 4. Get the right gear – Whether you’re a seasoned fitness pro, or you’re just starting a new regimen, it’s important to sport the right apparel to keep you looking and feeling your best. For women, this means finding the perfect the sports bra. “There really is no getting around it,” states LaJean Lawson, Ph.D. and Champion’s sports bra expert. “Having the right sports bra is key to fitness success! Make sure that you have a style that both fits properly and is appropriate for your activity level – you’re not going to get a good workout if you aren’t comfortable.” Photo courtesy of Getty Images

DO YOU SUFFER FROM: Plantar Faciitis Headaches Ear Infections Runners Knee Te n n i s E l b o w Shin Splints

C a r p a l Tu n n e l Syndrome IT Band Contacture Sciatica A c h i l l e s Karla Te n d oAdair, n i t i s D.C. R o t a t o r C u Sarah f f I n j uGreene, ries D.C.Karla

IF SO, WE CAN HELP.

Karla Adair, Adair, D.C. D.C. Greene, Sarah Sarah Greene, D.C. D.C.

Wi t h A RT, a b n o r m a l t i s s u e s a re t re a t e d b y c o m b i n i n g p re c i s e l y d i re c t e d t e n s i o n w i t h v e r y s p e c i f i c p a t i e n t m o v e m e n t s .

319-665-2323

www.adairchiropractic.com

10 Circle Dr. Ste. 1 North Liberty, IA 52317

Page 26 — Healthy Cells Magazine — Iowa City — November 2012

Now it is even easier to find the perfect sports bra with the launch of ChampionSportsBras.com. This site offers active women educational tools and tips, such as a Bra Finder that finds the right sports bra for your active lifestyle, a Blog with healthy living tips, even a Bra Registry that will remind you when it’s time for a new sports bra. 5. R eward yourself – It’s important to reward yourself when you reach milestones – both big and small. In fact, if you set only major goals, you’re more likely to get frustrated and quit before you make much progress. Instead, set small, achievable goals for specific time parameters, as well as an overall goal. Don’t let setbacks get you down, and make sure you celebrate each time you reach a new level with something special, such as an ice cream cone, trip to the movies, or a massage.

Looking for the right fit? Large retirement communities can feel overwhelming, while small communities may not offer the amenities you desire. At Melrose Meadows we are just the right size. Small enough to offer you a cozy community environment and large enough to offer you a multitude of amenities including FREE basic cable, life enrichment and wellness programs.

Take the PLUNGE! The perfect fit is only a phone call away.

319/341-7893

www.melrosemeadows.com

John B. Dooley, MD 563.344.1050 www.mvpainclinic.com Twitter @ painchat

Like us on Facebook