December Peoria Healthy Cells 2011

GREATER PEORIA

area

Promoting Healthier Living in Your Community • Physical • Emotional

DECEMBER 2011

FREE

HealthyCells

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www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

Illinois Retina Institute Restoring the Gift of Sight

pg. 20

Foods for Better Brain Function pg. 14

Handling Holiday Stress pg. 24

OSF Saint Francis Medical Center’s

Comprehensive Lung Cancer Center pg. 32

including

IPMR gives you more treatment ,

Choices

Acupuncture

Acupuncture is used to treat back pain, headache and muscle pain, as well as many other conditions such as stress or menopausal symptoms.

IPMR offers the only practitioner in central Illinois licensed specifically in acupuncture.

Jay Chang, Diplomate, NCCAOM Not sure if acupuncture is right for you? Ask about a free consultation.

Call IPMR First 309.692.8110 www.ipmr.org

N

Celebrating 6060 years of service to Central Illinois, 1950-2010.

Celebrating years of service to Central Illinois, 1950-2010.

W O

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by Medi-Weightloss Clinics速

For teens and young adults

Winter is Allergy & Asthma Season Asthma

Asthma is a chronic disease that affects about 20 million americans. Its primary cause is inflamed airways in the lungs.

Asthma is the most common serious disease among children.

Many people may think winter is better for children with asthma since pollen, a common asthma trigger is low, but the cold dry air can present a challenge. Winter months signal an increase in sinus infections and upper respiratory viral infections that can trigger or worsen asthma. Faster breathing from activities such as sledding can really spell trouble since the air we breathe doesn’t have a chance to warm up. Dry cold air alone can present a challenge.

Additionally, many people suffer from “allergic asthma” which means allergens such as dust mites, mold and animal dander make their symptoms worse.

Indoor Allergens

Millions of people suffer from allergy symptoms caused by indoor allergens like house dust mite droppings, animal dander, cockroach droppings and molds. Since we generally spend more time indoors during the cold winter months people with these allergies can be faced with a long miserable winter season.

Dust Mites

Dust mite allergens are one of the most common triggers of allergy and asthma symptoms. Just count the daily hours spent in the bedroom and lounging in nice soft furnishings (especially in the winter) and you can see how this allergen can really affect us during the winter.

Pet Allergens

People are not allergic to an animal’s hair, but to an allergen found in the saliva and dander (dead skin flakes) from their pets. Just like people, our pet’s skin can become drier in the winter thus causing more dander. Also, our pets generally spend more time indoors in the cold weather.

Indoor Molds

Indoor molds and mildew need dampness and warmth. As the snow around our homes thaws and melts, some of that moisture can make its way into our basements. Or maybe you like to take nice long, warm showers in the winter which creates steam that can find it’s way into nooks and crannies in the bathroom, anyone with allergies or asthma should be able to feel good, be active all day and sleep well at night. You don’t need to accept less. An allergist can help you find relief so you can enjoy life again. My staff and i are trained to help you identify things in your home, workplace or school that may be making your asthma or allergies worse. We can develop a tailored plan that matches your lifestyle and provides the most effective treatment.

CALL NOW

309-589-5900

Dr. Julie Klemens BOARD CERTIFIED ALLERGY, ASTHMA & IMMUNOLOGY

FOR A COMPREHENSIVE EVALUATION CHILDREN & ADULTS WELCOME PEORIA EAR, NOSE & THROAT GROUP 7301 N. KNOXVILLE AVE., PEORIA, IL

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 3

DECEMBER 8

Senior Charity: Dreams

10

Physical: What to Expect After Limb Loss

12

Emotional: Helping You To Manage Your Anger

14

Nutritional: 3 Foods For Better Brain Function

16

End of Life Care: What is a Hospice?

18

Healthy Pets: Choosing a Dog Boarding Kennel

23

Vocational Assistance: Be Willing to Live Your Dream

24

Stress Tips: Handling Holiday Stress

26

Living With Chronic Conditions: Enjoying the Holidays with Fibromyalgia

28

Planning Ahead: Funerals Comfort the Grieving

30

Gift Giving Ideas for Kids: Small Gifts to Treasure

32

OSF Saint Francis Medical Center: Comprehensive Lung Cancer Clinic

34

Healthy Sleep: Comfortable Alternative to CPAP

37

Child’s Play: Toy Safety—It’s Kids’ Stuff

39

Children’s Medicine: Can Ear Tubes Help Your Child?

41

Senior Living: Staying Connected on the Spiritual Path of Aging

44

Nonsurgical Medical Procedures: Options for Painful Spinal Compression Fractures

48

Hypotonia: Decreased Muscle Tone in Infants and Children

This Month’s Cover Story:

2011 Volume 13, Issue 12

Illinois Retina Institute Restoring the Gift of Sight page 20

Cover and Feature Story Photos by Daryl Wilson Photography 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 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. 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 central Illinois.

For advertising information, contact Kim Brooks-Miller 309-681-4418 email: peoria.healthycells@hotmail.com Visit Us On Face Book Healthy Cells Magazine is a division of:

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

letter from the owner

Merry Christmas and Happy Holidays!

T

Photo Courtesy of Photography by Jill

his is such a special time of year full of parties, decorations, gift giving, great food, traditional music and spending time with loved ones and friends. There is always the excitement of the first snow and getting used to driving in snow again for the upcoming winter season.

December is a time for family traditions. Growing up, our family always enjoyed seeing “The Christmas Carol” together and opening our gifts on Christmas Eve. Even at my adult age, I still love watching the original “Rudolph.”

If you don’t have a family tradition, this is a great time to start one. For example it may be as simple as baking cookies together, reading a holiday related story or attending a Christmas program at a local place of worship. Sponsoring a needy family with groceries and simple gifts is another way to build a tradition. Whatever the activity, it will build fabulous memories for years to come.

Speaking of fun things to do for the holidays, be sure to visit the Festival of Trees.This event is sponsored by Crittenton Centers, December 2-8 at Expo Gardens. It’s a wonderful event for young and old—a terrific way to kick off the holiday season! For more information on the Festival of Trees, please call 309-674-0105 or visit www.crittentoncetners.org.

In closing, have a blessed holiday! Remember the real reason for the season and keep “Christ” in Christmas. Just think, if the blessed event had not happened over two thousand years ago, we would not be celebrating this wonderful time of year today.

Visit Us On Face Book

Warm wishes,

Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition.

Comments or questioins email: peoria.healthycells@hotmail.com

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 5

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senior charity Dreams for Seniors Charity will grant two dreams for Christmas! Help senior dreams come true!

T

he mission of Dream for Seniors Charity is to give seniors over the age of 68, who are critically or chronically ill a dream. A dream for something that enriches their lives and brings to them a pleasurable memory they can cherish the rest of their life.

Anyone can refer someone for a dream, including the seniors themselves. To qualify, seniors must live within a 50 mile radius of Pekin, be 68 or older with a chronic or critical disease and have the physical and mental ability to participate in the dreams fulfillment.

We celebrate our seniors who have shared joyous smiles and com-

Dreams Submitted by Dreams for Seniors Charity

Page 8 — Healthy Cells Magazine — Peoria ­— December 2011

passion with so many others throughout their lifetime. Dreams for Seniors Charity was founded in 2005 in Pekin, IL. by Debbie Davison, RN MS. As the owner of Home Health Care Plus in Pekin, Debbie was inspired to start the organization by a shut-in she’d been visiting named Opal, who was just turning 100. “I asked Opal if she could have any dream for her 100th birthday, what would it be?” Debbie recalled. Opal, who was known for her sense of humor, replied, “A man, Debbie. I’m lonely.” After sharing a good laugh, Debbie and Opal settled on three months of paid rent for her apartment and a month of free breakfasts, and Debbie has been granting wishes ever since. “It’s just such fun. You never know what’s going to happen,” she said.

Dreams must fall within the organization’s spending guidelines, typically between $100 and $1,000. Dreams are granted as donations are made or sponsors are identified, she added. 100% of all donations go to granting dreams. Dreams for Seniors Charity is a 501 (c) (3) non-profit organization.

Dreams over the years have ranged from computers to help seniors feel less isolated, housecleaning or yard work, personal meeting of the Chiefs Ryne Sandberg, ramp construction for wheelchairs and a round-trip bus ticket plus hotel for a trip to Texas for a family reunion.

“We have actually saved the lives of three people,” Debbie shares. In one, a gas leak was discovered in the home of a senior who had requested a new bathroom floor; another was the discovery of a squirrel’s nest blocking a woman’s chimney duct; and the third was a plane trip in the winter for a cancer survivor’s check-up at the Mayo Clinic. “She told her life was saved because her cancer had recurred, was diagnosed early and successfully treated. If

she had waited until spring to make the trip, which was her original plan, it likely would have been too late,” Debbie said.

“We’ve just met so many wonderful, deserving dream recipients and their families. It’s an honor to be able to make their dreams come true,” said Debbie who (along with dedicated volunteers) has granted 60 dreams since founding the charity.

We don’t do structural/home remodeling dreams, bill payments or requests for cash.

Sometimes, seniors who are referred for dreams decline for various reasons. Don Bolander, a Parkinson’s patient, declined a wish for himself but asked the group to buy a microphone system for the Parkinson’s Support Group. “People who have Parkinson’s lose the volume of their voice, so some of our members were having trouble hearing others when they spoke,” said Bolander’s wife, Val. While Debbie and volunteers of the charity love granting seniors’ wishes, she encourages everyone to adopt a senior neighbor or friend to help with errands or whatever they need. “We can’t help everybody, but if everyone helps just one person, it will make such a positive difference,” she suggests. “I keep a computer talent bank, and any talent anyone offers gets listed because you never know what the next dream is going to be,” Debbie said.

Future plans for the charity includes adding to our web site dreams approved but waiting for donations in order to be granted.

A dream may touch someone’s heart and helping to be part of the dream coming true is incredible!

For more information on how to request a dream, donate or volunteer, call 309-353-7300 or visit www.dreamsfor seniorscharity.org.

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(Black

physical

What to Expect After Limb Loss

By Robin McRae, CP, LP, Comprehensive Prosthetics and Orthotics

A

ccording to the National Limb Loss Information Center, in the United States there are approximately 1.7 million people living with limb loss. It is estimated that one out of every 200 people in the U.S. has had an amputation. The most common reasons for amputation are vascular complications (mainly diabetes), cancer and trauma. Regardless of the reason for an amputation, every individual’s personal experience of limb loss is unique; many amputees have successfully overcome the loss or absence of a limb and regained function and a positive outlook.

When faced with amputation there are many questions and concerns that go through one’s mind. The more information a person has prior to surgery the better the outcome can be. There will be many questions along the way as one prepares for amputation and the best course to take is to communicate with those who will be a part of the rehabilitation team. A physician, physical therapist, occupational therapist and prosthetist are those who will help an individual become a successful wearer of a prosthetic device but it is ultimately up to the individual to take charge of his/her care and their life as an amputee.

Once surgery has been completed there are several methods of post-operative care a surgeon may use, depending mostly on current health status, condition of the residual limb and the potential one has Page 10 — Healthy Cells Magazine — Peoria ­— December 2011

to become a prosthetic candidate. After the initial surgical dressing is removed, a person may receive a device that is intended to control edema, protect the limb, provide a way of early gait-training during therapy; or a combination of all three.

Rehabilitation begins soon after surgery. Physical therapy begins in the hospital and usually continues once discharged home. Once a person has been fit with their first prosthesis, usually 6-8 weeks after surgery, depending on the individual; therapy is then continued in an out-patient therapy setting.

When the physician has given clearance to begin the process of obtaining a prosthesis, the prosthetist will take a cast or scan of the residual limb. This will provide him/her with a model to make the prosthesis. Prior to this appointment he/she will have assessed the individual needs and goals of the amputee. This includes but is not limited to the current or expected activity level of the amputee, weight, occupation or leisure activities, current health status, and the condition of the residual limb. This information is extremely important when determining the components and which type of prosthetic device is most suitable.

A clear plastic diagnostic socket is made from the model; this is used for the initial fitting. The diagnostic socket allows the prosthetist to make

changes to the fit of the prosthesis or to change the alignment as the amputee begins to walk in therapy. Typically the diagnostic socket is utilized for one to two weeks during physical therapy or until an appropriate fit has been established.

Once the fit of the prosthesis has been determined and no immediate changes are needed, a definitive (permanent) prosthesis will be made. A definitive prosthesis is a much stronger and more durable version of the diagnostic socket that was used in the fitting process. This socket is constructed of carbon fiber, nylon, resin and other materials that give it its strength. The look of the prosthesis can be as original as the individual or it can be made to resemble the other leg by adding a soft foam shaped cover.

To become a successful wearer of a prosthesis it is best to follow the recommendations of the physician, prosthetist and physical therapist and it is imperative to follow through with all appointments and call when there are any questions or concerns. Facing limb loss can be a very challenging and stressful time in a person’s life and being as prepared as possible by talking to the professionals who will assist after amputation or even other amputees is a positive way to begin the process.

Robin McRae is a Certified/Licensed Prosthetist 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.

Immediate Post-Operative Cast

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 11

emotional

Helping You To

Manage Your Anger

By Joe Croegaert, MSW, LCSW

Page 12 — Healthy Cells Magazine — Peoria ­— December 2011

I

have worked over 30 years in the field of Social Work and I would like to think that during this time I have developed a growing expertise in the area of anger management by working with persons struggling with the handling of anger problems in their personal lives, relationships, families, workplace and community. I would like to share some of these thoughts for personal action in the article that follows.

•P ersons often struggle with anger management issues because of some past trauma experience(s) and or the life scripts to which they have been exposed. Certainly our societal economic stressors also contribute to anger management issues, especially for those who appear to have a pre-disposition for these kinds of problems. Often, persons who have been exposed to violence and trauma as they were growing up are the persons who appear to be predisposed to having anger management issues. At times, the male myth belief system may be a factor in setting up one’s pre-disposition. In this first step, one must become self-aware of our own pre-dispositions in order to assist in handling feelings of anger.

• T he second step in working with one’s anger is to be aware of your triggers. What words, interactions, tone, etc. tend to make one angry? One should try to become aware of their own triggers and with this awareness, practice using the principle of ‘think before you act’. If a person is aware of their triggers, they can try to take a major step in managing their anger by practicing this ‘think before you act’ principle. In practicing this step, if possible, one may want to step away from or separate themselves from the person or situation that is beginning to make them angry.

•T he third step that one can take in managing their own anger is to practice using some mindful exercises to try to help one relax and diffuse these anger feelings. There are a variety of exercises that one can do carrying out this third step. A person can practice: slow, deep breathing; use a progressive relaxation technique where you tense your different muscle areas and then relax these muscle areas one by one; use a technique called imagry or focusing where the individual thinks of a pleasant scene and tries to concentrate on this scene – maybe it’s a scene on a beach or sitting amidst prairie flowers or sitting on a fishing boat on a calm blue lake.

• A fourth step may involve the person to seek some assistance from a professional Counselor and their Physician or Psychiatrist. One may need to participate in Counseling in order to more affectively work past and current experiences and to expand upon the steps noted above. An individual may also want to consult with your Doctor about trying an anti-depressant medication or mood stabilizer, if the self-help and Counseling is not affectively managing one’s anger issues.

Hopefully, the above stated steps are helpful to an individual to better manage their anger, using self-help and seeking outside Counseling medical consultation if necessary.

Joe Croegaert is a Counselor in the Practice of Chapin & Russell Associates, 3020 W. Willow Knolls Drive, and he can be reached by calling 309-681-5850.

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 13

nutritional

3

Foods For Better

Brain Function

S

By Mike Roussell, PhD.

o much of what is written in nutrition today focuses on fat loss nutrition and diets but today I wanted to switch gears and talk about how you can use your diet to improve your health specifically your brain function. There are lots of supplements on the market that promise improved focus, energy, and brain output but these are all short term fixes that are chalk full of stimulants and B Page 14 — Healthy Cells Magazine — Peoria ­— December 2011

Vitamins (to be completely honest mega dosing regular B vitamins is NOT going to help your brain).

Today I’m not going to talk about the short term fix (even thought I do have what I call the ‘Mind Mastery Stack’ which is what I use on days that I have long and important test/exams). Instead, let’s look at three things that I do every day to improve the function of

my brain over the long term so hopefully as time goes on I can hold onto my ‘marbles’ and delay losing them :) 1. Eat blueberries - This probably comes to no surprise as the brain boosting benefits of blueberries essentially started the super food revolution. The antioxidants in these dark brain boosting nuggets have been shown time and time again to improve cognition and memory. Despite the well-publicized and documented benefits of blueberries I still find that most people aren’t eating them on a regular basis (are you?). I’m talking about eating them every day.

You don’t need to eat organic or fresh ones either. Frozen blueberries are convenient, more cost effective, and just as nutritious. Start making a habit of eating 1 cup of blueberries every day.

2. Fish Oil - If you read my blog on a daily basis you know that I LOVE fish oil. I don’t love the fishy taste - that’s not what I mean. I do love the drug like effects that they have. Research aside I have seen firsthand with family and clients noticeable improvements in the memory of people taking 2-3g of EPA/DHA each day in as little as one month. That is truly amazing. There is also a fascinating body of research that is starting to build showing the beneficial effects of high dose fish oil in people with Alzheimer’s disease. Plus if you are pregnant and take fish oil you can boost your child’s I.Q. by a couple points as well (I know a couple points isn’t going to make your son/ daughter the next Steve Jobs but every little bit helps right?)

3. Low Impact Carbs - Want to know America’s #1 killer? Uncontrolled blood sugar levels. Seriously. Excess blood glucose is ‘toxic’ to your body. Controlling your blood sugar will also help you man-

age inflammation (inflammation is now being implicated as one of the major driving forces behind the aging process). Elevated blood sugar levels lead to increase glycation (basically this is when glucose molecules stick to things that they shouldn’t, like proteins or amino acids). This can lead to the formation of advanced glycation endproducts (AGEs). AGEs have been not only implicated in the aging process but cancer, neurodegeneration (bad for brain function) and heart disease. Bad news huh? How can we avoid this? Controlling your blood sugar is as simple as controlling your carbs. To do this, I recommend that you focus on eating low impact carbs - broccoli, chick peas, spinach, peppers, and black beans. When you prevent the blood sugar roller coaster from happening in your body each day you will provide your body and brain with a constant flow of energy throughout the day. This will fight the formation of AGEs and slow the inevitable neurodegeneration.

We all want to be smarter, think more clearly, and remember more stuff right? The three simple nutrition strategies that I have outlined above will directly impact on how your brain functions. As I mentioned in the beginning these are not quick fix blast your body with stimulant strategies. Eating blueberries, taking fish oil, and eating low impact carbs will help you improve your brain function over time (and hopefully slow the aging process as well). This is easy stuff to do - make it happen.

Author, speaker, and nutritional consultant Mike Roussell, PhD is known for transforming complex nutritional concepts into practical nutritional habits. Dr. Roussell holds a bachelor degree in biochemistry from Hobart College and a doctorate in nutrition from Pennsylvania State University.

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 15

end of life care

What is a Hospice?

By Dawn Stroup, HCC and Kathy Smith RN, CHPN

T

he primary objective of hospice is to maximize quality of life. Hospice provides services to relieve symptoms, manage pain, and give emotional and spiritual support to both the patient and family who decide to forego curative treatments in favor of comfort measures.

Medicare Certified hospice organizations respect the right of the patient and family to: enjoy the best possible quality of life; have their values and wishes honored; experience dignity in their care; receive care in their environment of choice; know what to expect throughout their care and receive continuous support.

Who is eligible for hospice?

A common misconception is that hospice care is only for those diagnosed with terminal cancer. Hospice services are available for individuals, who according to their physicians, have entered the last six months of life if the disease progression were to run its normal course.

Medicare Certified hospice organizations provide care for patients being treated for a variety of medical conditions including: heart disease, Alzheimer’s, respiratory disease, liver or renal disease, stroke or coma, neurological disease, AIDS/HIV, as well as cancer.

How do I know if I need hospice?

Patients may benefit from hospice services if they are experiencing some of the following:

• Frequent hospitalization • Loss of appetite or progressive weight loss • Deteriorating mental abilities • Recurrent infections requiring repeated antibiotic treatments How do I get on hospice?

A physician has to certify a patients’ eligibility for hospice care. Hospice Care Consultants and Hospice Nurses will work with each patient and their physician to obtain all necessary information to help determine hospice eligibility. The hospice team will help guide the hospice patient and their family through this difficult decision.

What can I expect hospice to do for me?

Hospice care is provided by an interdisciplinary team of professionals and trained volunteers. Hospice care is directed by the patient and managed by our team which includes: A medical director working conjunction with your personal physician, experienced nurse case managers, on-call nurses, social workers, physical therapists, dieticians, hospice aides, chaplains, bereavement counselors, and other auxiliary services as needed. The hospice provider assures all medications, medical equipment and supplies related to the patients’ terminal illness are provided and paid for. On-call staff is available 24 hours a day 7 days a week.

Farmington Country Manor AWARDED Facility of the YEAR

KIM THOMAS

Director of Nursing of the Year

ROBIN WEFENSTETTE Business Office Manager of the Year

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Page 16 — Healthy Cells Magazine — Peoria ­— December 2011

JENNIFER BAKER Administrator of the Year

If I live in a nursing home can I get hospice?

Absolutely, hospice care provides services wherever patients call home: • Patient’s home or apartment • A friend or relative’s home • Assisted living facility • Nursing home • Hospital if medically necessary.

How do I pay for it?

Hospice is a fully covered Medicare and Medicaid benefit, unlimited in length, and is also covered by many private insurance companies.

Most plans cover hospice care, medications, supplies and equipment related to the hospice diagnosis with no out of pocket expenses to the patient. Many hospices have programs to provide services to the underserved or indigent person without ability to pay. Check with your local hospice for their policy.

Hospice Compassus is a family of community-based hospices.

Our nationwide network is a vast resource, benefiting both patients and families. Hospice Compassus has a common culture around three core values: compassion, integrity, and excellence. Our primary goals are to provide the highest quality hospice care and services in every community in which we operate, and to be both the hospice provider of choice and the hospice employer of choice. . For more information regarding hospice care or Hospice Compassus contact our caring staff at 2000 W Pioneer Parkway, Peoria: 309-691-0280.

MEDICAL BILLING ALLIANCE, INC. Partnering with physicians and practices since 2006

From our family to yours, may you enjoy a season filled with health, happiness and joy!

We look forward to our partnerships in the upcoming year!

SEASON’S GREETINGS FROM MEDICAL BILLING ALLIANCE Alicia Butler, Director of Marketing 7309 N. Knoxville Avenue, Suite 200, Peoria, IL 61614 309-691-6225, ext. 231 • abutler@medicalbillall.com

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 17

healthy pets

Choosing a

Dog Boarding Kennel

28 th A

Submitted by Waggin’ Tails Resort, Inc.

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crittentoncenters.org

Page 18 — Healthy Cells Magazine — Peoria ­— December 2011

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o matter how much you love Fido or Fifi, sometimes you have to travel and you can’t take your dog with you. These are dog boarding kennels where your dog can stay overnight, and they may also provide day care, too.

Since pet lovers spend nearly $40 billion annually taking care of their pets, it’s no surprise that boarding facilities are becoming more and more upscale. But just like hotel chains, the level of service the visitor receives and the quality of the facility vary widely.

Many boarding facilities are single owner-operated establishments, but increasingly there are companies with multiple locations, again much like hotel chains.

Many veterinarians offer dog boarding, but because their focus is on providing care to dogs that are sick or injured, the facilities they offer may be simple and sparse, often just a cage type arrangement with a concrete floor. They also do not necessarily have the time give your dog the play time and attention he needs, and social interaction with other dogs will probably be minimal.

The advantage to using your own vet is that your dog will be familiar with the facility and perhaps the staff members, so it will cut down on potential separation anxiety. And of course you don’t have to worry about his receiving medical attention if he needs it.

It is advisable that you visit the dog boarding kennel before making the decision to board your dog. Ask to see the area where your dog will sleep. Your senses will tell you if this is a place you want your dog friend to stay. Is it clean? How does it smell? How noisy is it? Does it look to be overcrowded with constant barking?

Other considerations are the size of the kennel where your dog will sleep. Find out policies such as how often your dog will be fed, how often he will be given fresh water, how often will he have an opportunity for potty breaks or other exercise outside the confines of the kennel space. Find out how large the exercise area is. Look for signs that the staff cleans up frequently after the dogs. You need to observe and interact with the staff, to see if these are individuals who genuinely love caring for dogs, or they are people who are just there because they needed a job.

You should find out if the facility is licensed or bonded. And make sure the facility has a relationship with a veterinarian. They may ask you to sign a form allowing that vet to treat your pet rather than having to call the vet you normally use. An important consideration is whether the facility is staffed 24 hours a day. If you wouldn’t leave your dog all alone at home overnight, you don’t want him to have to endure that at a boarding kennel that will probably feel strange to him anyway.

Cost is also a consideration. Many facilities have a base fee, but lots of add-on amenities that taken in total can run into a lot of money. These are extra services such as individualized play time with a staff member, extra walks, extra treats, etc. It’s best to find out these costs up-front rather than returning to a nasty surprise when they give you the invoice upon your return.

Boarding facilities are becoming so elaborate that in some cases they rival human resort spas: the question is whether you will be having as much fun on your vacation as your dog is. Televisions, swimming pools, massage, ice cream treats, nature walks, and being read to at bedtime are all part of the services offered these days at upscale boarding facilities.

All these amenities may sound wonderful, but your primary considerations when choosing any dog boarding kennel facility are: will your dog be safe, comfortable and well-cared for.

For more information on dog boarding, doggy daycare or grooming services, please contact the Waggin’ Tails Resort, located at 1445 Timberline Road, Goodfield, IL, 309-642-9299 or waggintailsresort@gmail.com.

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 19

feature story

Illinois Retina Institute

Restoring the Gift of Sight

By Mary Hilbert

E

yesight can arguably be considered the most important of the five senses. With the ability to visually perceive one’s environment, other senses including hearing, touching, smelling and tasting become secondary. Sight directly impacts one’s ability to work, to drive, to communicate, to move, and perform many other functions that are crucial to maintaining a high quality of life. When poor vision or blindness is experienced, navigating day-to-day life becomes much more challenging.

When it comes to the sense of sight, the retina can be considered the film of the eye. This sensitive nerve tissue developed from the brain provides an individual with the sensation of sight and peripheral vision.

Vitreous gel that fills most of the eye cavity is tightly connected to retinal tissue at several locations. There are a number of conditions including the aging process that can lead to shrinkage and collapse of the vitreous body in the eye, resulting in abnormal pulling on retinal tissue, tears of retinal blood vessels that cause bleeding in the eye, retinal tears, detachments and macular holes.

Dr. Kamal Kishore with state-of-the-art Digital Angiography System that provides information regarding circulation inside the eye. Results are available instantly and reviewed with patients and their families.

Page 20 — Healthy Cells Magazine — Peoria ­— December 2011

What is the Illinois Retina Institute?

The Illinois Retina Institute founded by Dr. Kamal Kishore in 2003 specializes in the diagnosis and treatment of retinal and vitreo-retinal conditions of the eye. The practice has offices located in Peoria, Peru and Galesburg, offering outstanding retinal care to residents in central and northern Illinois. Conditions treated by the Illinois Retina Institute include age-related macular degeneration, diabetic retinopathy, retinal tears and detachments, macular holes, macular puckers, inflammation, eye injuries and complications from previous surgery.

Retinal conditions are a common problem, with macular degeneration being the leading cause of blindness in the United States. According to Dr. Kishore, the diagnosis of macular degeneration is expected to double over the next decade as the American population ages. Aside from the aging process, diabetes is a known contrib-

Melissa K performs a high definition OCT scan of the macula. This latest generation scanner guides therapy for Macular Degeneration, Diabetic Retinopathy and other eye conditions. uting factor to retinal disease and blindness among the 20 to 45 age group, with diabetic retinopathy affecting at least 50 percent of all diabetics. With careful follow-up and treatment, blindness resulting from diabetes can be prevented. “Modern treatment can stabilize vision in most patients with wet macular degeneration. Many other retinal conditions such as retinal detachments, retinal tears, macular wrinkle and macular holes are treatable,” Dr. Kishore said, “We are different from an “eye care” group in that all our resources are devoted to the diagnosis and treatment of retinal diseases. All of our employees are knowledgeable in the care of retinal conditions, including symptoms that might be indicative of serious problems.”

What Makes a Retina Specialist?

Becoming a retina specialist requires approximately 14 years of post-high school education, including four years of college, four years of medical school, four years of residency in Ophthalmology and two years of special training in the field of the retina. All retina specialists are ophthalmologists, but very few ophthalmologists are specialty trained in retina. A retina specialist receives additional training in the areas of macular degeneration, diabetic retinopathy, retinal tears and detachments, macular wrinkle or hole, eye inflammation, eye injuries and complications from previous eye surgery.

Who is Dr. Kamal Kishore?

Dr. Kamal Kishore boasts more than 20 years of practice in Ophthalmology, the medical branch that focuses on the study and treatment of eye disorders. With more than 14 years of experience in the field of vitreo-retinal surgery, Dr. Kishore has been published extensively in peer-reviewed journals, has contributed several chapters to textbooks discussing vitreo-retinal surgery, and has given lectures and presentations relating to the specialty of the retina. Dr. Kishore presented two research posters in Vancouver in 2010 and one in Boston this year. He also presented three challenging cases at a meeting of retina specialists in Hawaii this year. One of his papers was published in an ophthalmology journal in September, and several more are in the pipeline. Dr. Kishore does not hesitate to accept and treat complex cases, many from other retina specialists.

State-of-the-art Care For Patients All Illinois Retina Institute offices are equipped with state-of-the-art equipment for retinal care. Angiography, a test to look at the circulation inside the retina, similar in concept to angiography for the heart or brain is performed at all three offices using a high-resolution digital photography system. Results are available instantly and can be reviewed with patients and their families immediately after tests are completed. The latest generation of OCT scanner is available at December 2011 — Peoria — ­ Healthy Cells Magazine — Page 21

feature story

continued

both the Peoria and Peru offices. “This machine uses laser to generate cross-sectional images of the macula in high resolution to better guide treatment of macular degeneration, diabetic macular edema, and several macular conditions,” Dr. Kishore said, “We are equipped with a cold laser for macular degeneration, one of the few in downstate Illinois. Both Lucentis and Avastin are available in our offices, and the decision for use of one medication versus another is dictated by a patient’s condition. We believe that all proven technologies should be available in a modern office and we should use what is best for patient care.”

With an electronic health record system, Illinois Retina Institute patient medical information is available at every location, and even from home. “This will result in improved patient care, and prompt communication with the patient’s other health care providers,” Dr. Kishore said.

State-of-the-art equipment is not the only feature putting the Illinois Retina Institute on top when it comes to high quality patient care. The staff of the Illinois Retina Institute now includes Dr. Anthony Ekong, Illinois’ only dual trained specialist in the retina and uveitis outside of Chicago. Having Dr. Ekong with the practice allows patients across the state to stay closer to home for specialized care.

Patient Education “We are aware that most patients and their families have a very limited knowledge regarding retinal conditions,” Dr. Kishore said, “Most people know signs and symptoms of heart attack and stroke, but very few know the symptoms of wet macular degeneration or retinal tear and detachment. We have devoted extensive resources to patient education, including brochures and our own articles published in local magazines and available on our web site. Patients are extensively counseled on what to expect during and after surgery. We are available around the clock to answer their questions and concerns in a compassionate manner.” A few symptoms of retinal diseases that Dr. Kishore says to be on watch for include cloudiness or a partial loss in vision, floaters and distortion in the center of the eye.

Melissa H enters patient information into their new electronic health records system that improves patient care by making patient records available around the clock from any office location.

One Patient’s Experience Gregory Kellen, 43, was only 18 years old when he experienced his first detached retina. Kellen was born extremely near-sighted, one of the greatest contributing factors to retinal detachments. Kellen underwent multiple procedures in the suburbs of Chicago to repair the retina, but years later it became torn again. Referred to Dr. Kishore by his optometrist, the Mendota police officer who relies heavily on his eyesight for his career underwent a new procedure to correct his vision.

From the moment Kellen walked through the doors of the Illinois Retina Institute, he says he was assured by staff that he would be receiving the best of care. Before undergoing surgery, Kellen was asked by the nurse how he was feeling. “She told me not to worry, because Dr. Kishore is a perfectionist,” Kellen said. The next morning Kellen recalls taking off his bandage and being able to see without corrective lenses better than he had in years. “I am truly grateful for the gifted talents of Dr. Kishore and his staff, from his office staff to his surgical team, they have always treated me with respect, dignity and compassion” Kellen said, “He has given me the gift of sight back.

I am forever grateful. I have nothing but good things to say about Dr. Kamal Kishore and the Illinois Retina Institute.”

For more information on the Illinois Retina Institute, call 309-589-1880 or visit www.illinoisretinainstitute.com. Referrals are not needed to schedule an appointment.

Page 22 — Healthy Cells Magazine — Peoria ­— December 2011

Jenni makes an appointment for a patient using their new EHR (electronic health records).

vocational assistance

You Must Have Courage To

Be Willing To Live Your Dream Submitted by the Department of Rehabilitation Services

F

or many of us the weekends are a time for rest and relaxation; but for Donna Adams and her family, it's literally a celebration!

Donna is the owner of a wedding and party planning business which specializes in creating themed weddings.

Working out of her home allows Donna to be close to her family and they, in turn, have helped make her business a success.

Donna's husband, who is skilled at carpentry, designs and build sets, backgrounds and props. Her immediate and extended family assist her in setting up the table arrangements and other specialty items for weddings and parties. This family support, coupled with the flexibility of working from home, allows Donna to have assistance on days when her Fibromyalgia and Osteoarthritis make it difficult for her to complete certain tasks.

Donna had always been employed in careers where she had demonstrated the ability to be creative and help others. She started out working in restaurants and bartending. From there she worked as an Activities Associate with Alzheimer patients and then as a Certified Nursing Assistant. In 1997 she began having significant back pain and fatigue. As a result she was not able to continue working and didn't know what her future held.

In 2009, Donna visited the Division of Rehabilitation and began working with Vocational Counselor, Lynn Trovillion, in the Bloomington Field Office. As the counseling relationship developed it was identified that Donna had participated in many activities through work and hobbies that were creative. One of those activities was helping to plan weddings, a hobby that Donna watched her mother do when she was younger. With the assistance and support from Lynn, Donna successfully completed all required course work to receive her certification as a wedding planner and obtain her food sanitation certificate.

Lynn also referred Donna to SCORE (Counselors for America's Small Businesses). Through SCORE, Donna was able to connect with some other, more experienced wedding planners, develop a detailed business plan, and connect with a small business operator who gave her space and supplies in a craft store. Together, DRS and SCORE helped Donna design business cards, an eye catching portfolio, learn successful advertising methods and get

some needed business management software. Soon after, Special Moments Wedding & Party Planning was opened for business.

Donna knows that without the support of DRS and the continued support and assistance from her family, she would not be able to live her dream. She has completed several weddings already and has had a steady stream of referrals. She loves what she does, especially building a relationship with the bride and groom as she helps them to plan their special day. She feels that she is able to assist the happy couple with designing around their idea of the perfect day and to keep the event within a budget they can afford.

Donna is hopeful that someday she can expand her wedding and party planning business. Donna is thankful for the support, guidance and encouragement that she has received from DRS and her family. Donna states, "You must have courage to be willing to live your dream; age does not matter. Keep trying and become good at self-advocacy. I recommend the services that DRS offers to anyone!"

If you or someone you know has a disability and is having trouble finding or keeping a job, or is interested in furthering their career goals we can help. To learn more, call 1-877-761-9780 Voice, 1-866-264-2149 TTY, 1-866-588-0401 VP, or go to our website at drs.illinois.gov/success. Please see our ad on page __

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 23

stress tips

Handling Holiday Stress

By Dennis Crowell, True North Solutions

‘

T

is the season to be jolly. Unfortunately, for some people it’s a wonderful time of year that also brings with it unreasonable stress, unreasonable expectations, and uncomfortable emotions. The holidays are meant to be enjoyed, but many of us may allow the hype and the pressure to be more than we can reasonably bear.

Sometimes the holidays spark unpleasant memories of the past or remembering how it was in the “good old days” and how tough it is today. They can remind us of losses as well as good times, of joys as well as sorrows.

Page 24 — Healthy Cells Magazine — Peoria ­— December 2011

So what can you do differently this year to decrease the stress and enjoy the holidays more? Try these steps and see what happens. Maybe you’ll enjoy your family and festivities even more.

Have realistic expectations • Forget perfect. There is NO such thing as the perfect gift, the perfect dinner, the perfect holiday, so stop striving to create it. Just give your best effort at having the most pleasant time possible.

• Choose your own holiday fun. So often we let the media, family, and friends dictate what we are supposed to do to enjoy ourselves. That is just not fair. You don’t have to please everyone.

This is your holiday to enjoy too – that’s not selfishness, it is selfpreservation.

• Lighten up. When things don’t go exactly as you had planned (and that’s likely to happen), laugh it off. Laughter can burn up to 20% more calories than keeping that poker face or being too tense, so why not just laugh?

Keep healthy boundaries • Limit emotional involvement – not with people, but avoid getting invested in things that truly don’t matter that much. Special family dinners and holiday functions are not the time or the place to discuss serious subjects and endless tensions. Choose to table those discussions to a more appropriate time. If others try to have those conversations, simply say that “this isn’t the best time to discuss that but we can talk about it later.”

• Take control of your own life. Don’t let other people control your fun, including kids. If others are choosing not to have a good time, you don’t need to give up your good time. Find others that are having a good time and join in.

• Ask for help. We can easily get wrapped up in pretending we’ve got it all together and overwork ourselves. Instead of wearing yourself out, ask for help. Let people bring food or run errands for you if you need something. Letting others contribute to the success of the event adds to their happiness as well.

• Say no when you need to. So often we are afraid to say no or admit that we don’t have the time to do something. The truth is that we can’t do everything and we all have to prioritize.

Make self care a priority • Eat right. Eating a balanced diet will not only keep your weight down, but will have a direct impact on your overall health.

• Get some sleep. So many people in our sleep-deprive culture just aren’t getting enough sleep. An average of 6-8 hours of good sleep is recommended for maximum functioning.

• Don’t drink too much. Drinking too much doesn’t take away your troubles and can create more stress.

• E xercise. Reward yourself by treating your body to the best care possible. Daily exercise provides an emotional and physical booster and helps us manage stress better.

• Focus on relaxation. Dedicating a certain amount of time each day to actually relaxing and NOT caring about the to-do list can make you less stressed overall and more productive.

Don’t you owe it to yourself to create holidays that are a joy rather than a jolt? Take charge of your holidays and remember that there is no greater gift than the one you give yourself.

Dennis Crowell is a Licensed Clinical Social Worker at True North Solutions. He provides counseling for adults on many topics including anxiety, stress, marital concerns, parenting, and work related problems. Please contact True North Solutions at 309-589-8900 for an appointment.

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 25

living with chronic conditions

Enjoying the Holidays with Fibromyalgia

By Samantha Wheeler, LCSW, PhD.

F

ibromyalgia is estimated to affect from 3 to 6 million people in the United States. Fibromyalgia is a chronic condition. The primary symptoms of fibromyalgia are widespread pain, often including: heightened sensitivity of the skin, tingling of the skin (often needlelike), achiness in the muscle tissue, weakness in the limbs, nerve pain, concentration difficulties, poor sleep, and stomach discomfort. Stress can often increase fibromyalgia symptoms.

The holiday season can be the busiest, most stressful time of the year for many people, and particularly so in combination with a chronic illness such as fibromyalgia. People with fibromyalgia often report an increase in symptoms, typically called a flare-up, when: experiencing stress, not getting enough physical activity, and eating a poor diet; all of which usually occur during the holiday season.

However, if you get into the right mindset and develop a good plan, the holidays can be a time of great joy!

Page 26 — Healthy Cells Magazine — Peoria ­— December 2011

The first step to enjoying your holiday season is to create a good plan. Make a list of all the things you want to accomplish including which social obligations you wish to attend. The next step is to prioritize your list not only based on what’s important but combined with the activities you truly love to do. Engaging in the activities you enjoy is a natural way to reduce stress. Eliminate items on your list that are not truly necessary or enjoyable. Ask for support in completing activities you don’t like or ones that may increase your symptoms, such as repetitive present wrapping. Look for ways you can accomplish tasks on your list in a simpler way, such as on-line shopping.

Remember that saying “NO” is an appropriate answer during this busy time. Do not feel pressured to attend every function you are invited to. Focus on the ones that bring you the most joy and decline the ones that may sap you of your much needed holiday strength.

This will give you more energy and allow you to get the most out of the events you do attend.

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Remember to be flexible and realistic. Everything does not have to be perfect and the holidays are often full or surprises. When you find yourself feeling stressed, take some deep breaths and re-focus on the things you love about the holidays. Make sure to include selfcare activities in your daily schedule such as taking a bath, getting a massage, or talking to a good friend.

The holidays are full of tempting treats. It will be important to not stray too far from your normal eating habits, therefore decreasing possible symptom flare-ups. Decide ahead of time which holiday treats are a must have and stick to enjoying those. Continue to make time for your exercise or stretching routine. During the busy holidays cutting out exercise can seem like an easy way to gain a few extra minutes but may actually cost you in the long run if you start experiencing flare-ups.

Pacing yourself may be one of the most important things you can do to prevent flare-ups during the holidays. After a busy period, enjoy some much needed and deserved recovery time. Schedule your down time and stick to it. If your body starts sending you warning signs, listen! Give yourself permission to rest and take breaks by reminding yourself it will help you be fully present during the most important holiday events and traditions.

Living with fibromyalgia during the holidays does not have to be a nightmare. Careful planning and scheduling as well as sticking to your normal routines can help make the holiday season bright.

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www.123younmepreschool.net December 2011 — Peoria — ­ Healthy Cells Magazine — Page 27

planning ahead

Funerals Comfort the Grieving

By Sandra Post

G

rieving is a natural part of the human condition, but that is not to suggest that grieving is easy. It isn’t. It’s a difficult process, often a painful one that eventually leads to healing. A process suggests various components, and each one can help ease the sadness that at times is overwhelming. Grief is very personal and yet a commonality often exists even among people of different ages or backgrounds. One of the first ways to begin the healing process is in the thoughtful planning of the funeral service for the deceased loved one.

“Funerals are for the living,” emphasizes Cumerford-Hurd Funeral Director Greg Hurd. Funerals help provide a way to say good-bye and to find closure. They also allow survivors to honor the memory of a loved one. A full-service funeral includes a viewing, funeral service, and burial. Greg explains the viewing “brings the reality to the family and friends that the person has passed away.” The funeral service itself can be held at the mortuary or at a church or at the cemetery.

The burial also reinforces the finality of death.

Page 28 — Healthy Cells Magazine — Peoria ­— December 2011

According to a pamphlet by Homesteaders Life Company, “a lasting benefit of a full-service funeral is its ability to bring together support from family and loved ones, even those who have lost touch over the years.” The care and support of friends provide great comfort.

Funerals also present an opportunity to reminisce about the life of the deceased loved one. Stories are told and friendships often rekindled in loving tribute to the deceased. Such reconnections with others are so helpful for the bereaved.

Sometimes a funeral service is planned hastily or not at all. It’s difficult making decisions when sadness is so prevalent. Cost may be a factor although there are ways to make a full-service funeral more affordable.

Greg says he has heard people remark much after the fact that they wished they would have had a funeral for their loved one. “I think people come in not understanding the value of having services,” he says.

Funerals can be personalized in myriad ways and those individual, unique touches can also provide solace to survivors. Comfort

can be derived from choosing a loved one’s favorite songs, flowers or prayer cards.

Communication is so important among family members, and ideally that communication begins long before a crisis arises. Knowing what a parent or spouse would prefer for a service makes choosing much easier for the family.

“Grief after loss must have some release or it can be an unhealthy burden on one’s thoughts. Learning to cope with loss is imperative,” says Homesteaders Life Company. “A necessary part of the healing process is ‘closure’ or ‘moving on.’ Closure allows one to reconcile the loss and to continue the healing process.”

Grief counseling is available through resources like mortuaries, hospitals, churches or synagogues, through medical groups or individual professionals. Grief does not go away on its own. Time alone does not heal the sense of loss and sadness. Grief is said to be work, and it is and there are no absolutes. People grieve differently and for varied amounts of time.

Learning to cope with the absence of a loved one can be a lengthy endeavor. The process can begin immediately after the loved one’s death with the choosing of a personal, thoughtful way to say good-bye.

A funeral that allows for greater understanding that death is permanent, and that brings together friends and family to pay respects to the one who has died can be very therapeutic. The pain of loss remains unless the process of grieving begins. A thoughtfully planned full-service funeral for a deceased love one can help in beginning that process.

Additional information is available by visiting www.cumerford.com or by calling 309-274-3112 or 309-682-6616.

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gift giving ideas for kids

Small Gifts to Treasure Submitted by Bright Horizons Early Education and Preschool

“Childhood is the world of miracle and wonder: as if creation rose and bathed in light, out of the darkness, utterly new and fresh and astonishing. The end of childhood is when things cease to astonish us. When the world seems familiar, when we have gotten used to existence, one has become an adult.” —Eugene Ionesco

Y

oung children literally find the world wonderful – filled with wonder. Unfortunately, they have learned to value the store bought item over the natural; the advertised item over the unknown surprise; the contents of the package over the colorful, crinkly packaging (especially that fun to pop bubble wrap). Commercialization has taught children that the more expensive an item is, the more valuable it is and Page 30 — Healthy Cells Magazine — Peoria ­— December 2011

that the label and the endorser all matter. But parents can try to maintain some balance in their approach to gift giving by taking advantage of the young child’s openness to the world as a wonder filled place. The key is for us to believe in the power and charm of the gift and turn the giving and the receiving into a ritual. Some suggestions for inexpensive gifts for young children are: • Treasure boxes. Any small box, tin, velvety jewelry box or glasses case can be made special by decorating it and using it to store those secret treasures.

• Secret journals. A blank journal or notebook for those secret thoughts or ideas; for younger children, expressed in scribbles and drawings.

Kindred L.L.C.

Obstetrics, Gynecology & Infertility • Items to collect. Children are born to collect. They have a powerful implanted developmental disposition to acquire, sort and order pieces of the world around them from stones, shells, leaves, and pine cones to match books, stamps, glass figurines, or foreign coins and currency. Almost anything small will do.

• Stamps and inkpads. These are great to collect and use in conjunction with journals for older preschool and school-age children.

Of course, children need to be taught to be careful about stamping.

• Ribbons. Preschoolers find ribbons almost as valuable as BANDAIDS and can use them to decorate everything from bedposts to bears.

• Store-bought and homemade stickers. Young children like stickers because they are a way to literally make an impression on their surroundings (and themselves). Giving children peel-off removable labels and markers, glue, glitter, ribbons, and so forth, allows them to create their own homemade stickers that won’t ruin walls.

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There are of course several other possibilities for inexpensive gifts you can give children for party favors, holidays or special occasions.

The more we observe our children and note what ends up in the pockets of these young growing scientists, artists, and collectors, the more we can surprise them with gifts to treasure.

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 31

osf saint francis medical center

Comprehensive Lung Cancer Clinic Promoting a Multidisciplinary Approach for Effective Treatment

By Mary Hilbert

Kathi Copelen, Lung Cancer Clinic Coordinator and Jodi Stoner, Lung Cancer Center APN Navigator: “A Lung Cancer Awareness Event”

L

ung cancer takes more lives each year than any other form of cancer in the United States, according to the Centers for Disease Control and Prevention. An estimated 220 thousand Americans are reportedly diagnosed with the disease each year.

When celebrities such as Peter Jennings and Dana Reeve publically announce that they have been diagnosed with lung cancer, people pay attention, but it often isn’t until the disease strikes a family member or close friend that the need for further research and advancement in treating lung cancer is recognized as critical.

Treatment of lung cancer is not a “one size fits all” experience for patients and their families, and OSF Saint Francis Medical Center knows this. Recently OSF opened its Comprehensive Lung Page 32 — Healthy Cells Magazine — Peoria ­— December 2011

Cancer Clinic with the goal of providing a patient-centered experience that is specifically tailored to those who have been diagnosed with lung cancer. “Our Comprehensive Lung Cancer Clinic uses a multidisciplinary team of expert physicians including pulmonologists, medical oncologists, radiation oncologists, pathologists, thoracic surgeons, and radiologists to meet with the patient at one appointment to review their test results and medical history so that together as one team, they can develop an individualized treatment plan that best meets their needs,” said Advanced Practice Nurse Jodi Stoner, APN, ACNS-BC. Saving patients time and undue stress, the Comprehensive Lung Cancer Clinic team is able to provide individuals with the information

In 2011, the only cure for lung cancer is surgery if caught in the early stages. Unfortunately, according to Stoner, less than 15 percent of lung cancers are caught in the early stages. This is due to the fact that patients often do not show symptoms until later stages, and frequently lung cancer symptoms such as chronic coughing and shortness of breath can be attributed to or mistaken for other medical issues. Quitting smoking, maintaining a good diet and exercising regularly are a few recommendations Stoner gives for leading a healthy life and reducing risk of cancer. Until recently there has not been a proven tool or screening for early lung cancer detection in high risk populations, but a recent research study published by The New England Journal of Medicine showed the benefit of using low dose Chest CT scanning on specific high risk populations. The Comprehensive Lung Cancer Clinic is now offering this form of screening to individuals who may be at risk for developing cancer.

Other Services The Comprehensive Lung Cancer Clinic provides its patients with an Advanced Nurse Practitioner (APN) “navigator” who serves as a go-to person, answering questions and addressing concerns individuals may have as they folMayor Jim Ardis and Dr. James McGee: low the course of their treatment. Other services provided “November Lung Cancer Awareness Month Proclamation” by the clinic include lung cancer education, social services, pastoral care, dietary consults, hospice services, home they need in one visit rather than a string of multiple visits. “At the health services, physical therapy services, occupational therapy end of the clinic the patient leaves knowing what their plan is for services and smoking cessation assistance or referrals. their lung cancer whether it is surgery, chemotherapy or radiation or a combination,” Stoner said, “The treatment plan is shared with the For more information on the OSF Saint Francis Medical Center patient and referring physicians, providing prompt correspondence Comprehensive Lung Cancer Clinic and its services, please call and collaboration. All of this allows state-of-the-art lung cancer treat309-360-5345. ment to begin immediately.”

Taking a multidisciplinary approach to the treatment of lung cancer becomes increasingly essential as advancements in staging techniques, surgical procedures, radiation therapy and chemotherapeutic options become available, resulting in higher complexity of treatment. “A multidisciplinary approach to lung cancer care that employs the services of multiple specialists with diverse expertise is fundamental in ensuring the right care for the right patient,” Stoner said.

Early Diagnosis Brings Best Prognosis “It is so important to detect lung cancer at the earliest stage possible,” Stoner said, “Lung cancer is the third most commonly occurring cancer in the United States with breast and prostate occurring more frequently. However lung cancer is associated with the highest cancer-related mortality.”

Dana Dexheimer, BSN - Interventional Pulmonary Lab; Kristi Williams, APN - Palliative Care Services; Kristina Marshall, APN - Critical Care Services: “Shine a Light on Lung Cancer” December 2011 — Peoria — ­ Healthy Cells Magazine — Page 33

healthy sleep

Comfortable Alternative to

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S

am, a retired utilities supervisor had struggled with snoring, headaches, daytime fatigue, and high blood pressure for years. His job required him to be on call 24/7 which only increased his fatigue.

“I guess I learned to adapt to the constant fatigue,” says Sam. “Every Wednesday we would have a meeting, and I would doze off in the middle of the meeting,” he continued. “Somehow I would still answer the questions my manager asked, but had no recollection of doing so.”

Sam’s snoring got so bad, his wife had to sleep in another room.

“Our pet parrot would even mimic the sound of my snoring, but on a much louder note,” says Sam. “When Sam would struggle to breathe at night, it really worried me,” his wife says. “He would even doze off while driving, which really scared me.”

With the advice of his physician, Sam decided to have an overnight sleep test. The results confirmed that he had severe sleep apnea and stopped breathing over 60 times an hour.

Sam’s physician suggested that he try Continuous Positive Airway Pressure (CPAP) to treat his sleep apnea.

“I always felt tense when sleeping with the CPAP machine, and could never relax,” says Sam. “The pressure of the CPAP made it hard to breath. I never felt like it was that sanitary either when I would get sick.”

“When I complained to my wife about the CPAP, she thought I wasn’t giving it a chance, so I said she should try it on,” he says. “She put it on, but only lasted 15 seconds or so, and admitted that it was pretty difficult to wear.”

After 3 months of battling with the CPAP, Sam knew he needed something else. “Because I had a deviated septum, my physician said I could try a surgery to remove the uvula in the back of my throat and move my soft palate forward. The surgery sounded awful, and I decided against it,” says Sam. “My blood pressure was out of control, even with continual increases in my medication,” says Sam. Sam’s physician referred him to a cardiologist who recommended he see Dr. Rod Willey, of the Illinois Institute of Dental Sleep Medicine for a dental sleep appliance since he couldn’t wear the CPAP. “Within the first month of using the dental appliance I noticed a huge difference in my energy levels and quality of life!” he says. “My wife is so happy because I don’t fall asleep immediately after dinner,” he continues. “We can actually enjoy spending some time together.”

“I know both of my brothers have sleep apnea, as well as some of my kids,” says Sam. “It really concerns me, because I know just how serious sleep apnea can be. Both of my parents died from heart problems at an early age, and I suspect they had sleep apnea too,” he continues. “I have told my family about the great results I have received from the appliance, and hope they can experience the same!”

Page 34 — Healthy Cells Magazine — Peoria ­— December 2011

Oral Appliance therapy is covered by most medical insurances and Medicare.

For more information on oral appliance therapy contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, with a Diplomate from the Academy of Clinical Sleep Disorders Disciplines, Dr. Willey has limited his practice to the treatment of snoring, sleep apnea, and TMJ Disorders with oral appliance therapy. To contact them call 309-319-7090 or email them at info@illinoissleepdoc.com.

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Page 36 — Healthy Cells Magazine — Peoria ­— December 2011

Dr. Young is an internal medicine physician with training in integrative and functional medicine. She emphasizes a holistic approach to healthcare through lifestyle, nutrition and stress management with a focus on restoring balance within each person to achieve optimal health.

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child’s play

Toy Safety It’s Kids’

Stuff

By Christine Venzon

L

“

ike a child with a new toy.” That image personifies pure joy and excitement. But for almost half a million kids and families every year, playing with a toy brings pain, not pleasure. The international education and advocacy group Safe Kids Worldwide reports that toy-related injuries send 217,000 kids to emergency rooms across the United States annually.

The United States has some of the strictest safety laws in the world. It has independent watchdogs like the Consumer Product Safety Commission (CPSC) to oversee the safety of toys, sports equipment, school supplies, and other items children use everyday. Toys with the most common hazards are outlawed or labeled as unsafe for younger children. That includes choking hazards like marbles and small game pieces; lead paint and other poisons; and strangulation risks, such as long cords on pull toys.

But when it comes to protecting children from unexpected hazards, parents and other caregivers are the ultimate gatekeepers — or bouncers — deciding what comes in and if needed, what gets thrown out.

The age recommendations on toy packages are a case in point.

CPSC staffers put toys through a battery of tests to make sure the age range given accurately reflects children’s abilities and tendency to chew, twist, pound, and otherwise use toys in unintended ways.

(They have a whole manual on safety testing rattles alone.) “These are recommendations that we encourage parents to follow at all times,” says Savanna Bohm, Advocacy Program Coordinator at Children’s Hospital of Illinois in Peoria.”CPSC are the experts on this topic. However, not all children are same. Parents have to look at the child and decide if this is the correct toy for that child.”

For instance, the limit for some noise-making toys — 158 decibels, louder than a lawnmower — may be too high for younger children, whose hearing is more sensitive than adults’. What’s a parent to do? Push the “play me” button when considering a toy that makes

noise. If it’s loud to adult ears, it might not be the best choice.

Again, parents might assume that kid-sized versions of electronics like computers are safe, having been developed in this age of safety-consciousness. Yet, Bohm points out, “Batteries for these types of toys are smaller and are easier to ingest, which is extremely dangerous, even fatal.”

Playtime should also be supervised, as even safe toys can be used unsafely. Also, toys need inspection for wear and tear that can render them unfit. Some damage like split seams can be safely repaired. Other fixes, however, “could affect the toy and cause other problems,” Bohm warns. Stapling or gluing broken parts, for example, “could pose additional choking hazards or poisoning dangers if ingested. Parents need to consider throwing a damaged toy away and purchasing another.”

Another wise precaution is to check the CPSC website (www. cpsc.gov) for warnings and recalls. Parents who suspect a problem with a toy can file a report through the site.

Thus the price of children’s safety is a caregiver’s eternal vigilance. However, Bohm points out, monitoring toy safety need not resemble a cross-examination, It can even be an excuse for fun and game with your child. “I really encourage parents to interact with their child’s play,” says Bohm, “which will help their child interact with others as well as bonding with their children.”

For perspective, consider that the CPSC rattle-testing regimen includes dropping a rattle 10 times from a height of 4 feet, 5.5 inches and multiple applications of 1.8 inch/pounds of torque to a rotation of 180 degrees. Making monster puppets with a preschooler sounds a lot more enjoyable.

For answers to all your questions about preventing child injury, call Children’s Hospital of Illinois Advocacy Center at 1-877-2776543. Press 2 and someone will be with you as soon as possible.

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 37

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children’s medicine

Can Ear Tubes Help Your Child?

Ear Tube

E

ar infections and fluid buildup can make life miserable for children – and their parents. Here’s important information on ear tubes, a possible route to relief:

Q. What are ear tubes?

A. E ar tubes are tiny cylinders that are surgically inserted into the eardrum. They ventilate the middle ear and prevent fluid buildup behind the eardrum.

Q. Why do children get so many ear infections?

A. T he Eustachian tube which connects the throat to the middle ear is much shorter in children than in adults, causing fluids from head colds to drain more easily into the middle ear.

By Christopher von Hake, D.O., Methodist Medical Group, Ear, Nose & Throat

Q. When is ear tube surgery necessary?

A. D octors often recommend ear tubes for children who have frequent ear infections or persistent fluid buildup behind the eardrum, especially if the condition causes hearing loss and affects speech development.

Q. What can I do to help prepare my child?

A. T o reduce your child’s stress, Methodist offers a tour of the surgery department before the day of the procedure. Explain that doctors and nurses are there to help. If your child cries or expresses fear, let him or her know that it’s OK to show these feelings.

Dr. Christopher von Hake welcomes new patients of all ages at Methodist Medical Group Ear, Nose & Throat, 7725 N. Knoxville Ave, in Peoria. Call 309-495-8520 to schedule an appointment.

One More Reason to Choose CPO Robin M. McRae, CP, LP Robin McRae brings a well-rounded education and professional background to Team CPO. She is an ABC certified and licensed prosthetist with her Master’s of Education in Sports Management, her Bachelor’s in Sports Studies and a minor in Health.

Robin’s patient care philosophy is driven by her holistic approach and overall function and comfort of her patients, which helps her excel in what she does.

Robin is especially well suited to support athletes, children and other active individuals who have experienced limb loss. Her clinical interests include adult and pediatric upper and lower extremity prosthetics.

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 39

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Page 40 — Healthy Cells Magazine — Peoria ­— December 2011

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senior living

Gather Together Staying Connected on the Spiritual Path of Aging

By Pastor Paul Park, Lutheran Hillside Village, a Lutheran Senior Services Community

A

t a senior living community where a colleague of mine serves as a chaplain, there’s a lady named Dorothy. Dorothy’s father was a preacher. Her grandfather was a preacher.

She had brothers and uncles and cousins who were preachers.

She ended up marrying a preacher (who, himself, was the son of a preacher), and she had a son of her own who grew up to be – that’s right! – a preacher.

To say that Dorothy has always been surrounded by a strong faith community is something of an understatement. As a result, she has a very clear understanding of her personal spiritual journey, and that’s something that has brought her a great deal of peace.

When you work with seniors, you learn that not everyone is as fortunate as Dorothy. And you learn that even the Dorothys of the world can sometimes find themselves fearful of the road ahead.

The key, I’ve found, is to understand that you don’t have to face that fear alone – there are others who will walk this road with you.

That’s why I’m such a big proponent of senior living communities. There, people from a multitude of faith traditions come together to share their journey. While their religious practices may differ, many of their spiritual needs are very much the same – finding meaning and purpose. Resolving lingering doubts and questions. And especially continuing to grow in their faith. And I have the privilege of helping them pursue those goals.

The staff at senior living communities — especially those with spiritual care as a core value — work very hard to keep their resi-

dents from falling into isolation. We all feel the need to be alone with our thoughts from time to time, but a long-term pattern of isolation can be one of the most harmful traps that older adults can fall into. It can lead to depression, ill health, and thoughts of suicide.

As a chaplain, I draw strength from my own faith, and I’ve made it my life’s work to guide others in doing the same. But there’s a reason why every major tradition emphasizes the need to gather together. We are inspired and sustained by our beliefs, but we are nurtured and supported by the people we surround ourselves with.

As the daughter of a minister, and later as a minister’s wife, Dorothy has had a lot of homes. “When I was teaching,” Dorothy says, “the kids wanted to know about my childhood. So I counted it up. I’ve had 25 different mailing addresses over the years.”

But, surrounded by her fellow travelers, her current home is turning out to be one of the best. “There’s a spirit of friendship and fellowship that prevails here,” she says. “I love it here.”

Spiritual care is an essential aspect of life at Lutheran Hillside Village. Led by Chaplain Park, our full-time chaplains offer onsite spiritual programs and 24-hour pastoral care services for individuals of all faith traditions. To learn more about our ministry of caring service, visit LutheranHillsideVillage.org or call 309-692-4600.

December 2011 — Peoria — ­ Healthy Cells Magazine — Page 41

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Page 42 — Healthy Cells Magazine — Peoria ­— December 2011

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 43

nonsurgical medical procedures

Options for Painful Spinal Compression Fractures

T

he overall aging of the population and the natural progression of osteoporosis with age has resulted in painful and debilitating spinal compression fractures. Often these fractures can occur with minimal trauma and no prior diagnosis of osteoporosis.

Thankfully, advances in minimally invasive nonsurgical medical technology have yielded Vertebroplasty and Kyphoplasty, two highly effective treatments to provide pain relief and improve quality of life in those who have suffered from these fractures.

Osteoporosis, or the thinning of bone tissue and loss of density, is a common disease. Researchers estimate that about 1 out of 5 American women over 50 have osteoporosis. The loss of bone Page 44 — Healthy Cells Magazine — Peoria ­— December 2011

By Dr. Arun Jagannathan Vascular & Interventional Radiologist for Central Illinois Radiological Associates

density occurs over years. Often a person will have a fracture due to weakened bones even before becoming aware that the disease is present. There are many causes including drop in estrogen in women after menopause and drop in testosterone in aging men, as well as corticosteroid medications, vitamin D deficiency, chronic kidney disease, alcohol abuse, smoking, low body weight, and family history.

Spinal compression fractures are fractures involving the vertebral bodies that make up the spinal column. When a vertebral body fractures, the normal rectangular shape of the bone becomes compressed, causing pain and deformity. These fractures are

mainly caused by osteoporosis, but can also be due to vertebrae weakened by cancer. These fractures are typically treated using pain control medications and possibly a back brace.

When patients symptoms do not improve with medical treatment or who are hospitalized for severe pain and immobility, the minimally invasive option of vertebral percutaneous augmentation cementoplasty is offered. Percutaneous means “done through the skin” and augmentation means “to increase” therefore the literal meaning of the procedure name is to add cement through the skin to the fractured vertebral body in order to stabilize the fracture and reduce pain.

There are two type forms of vertebral cementoplasty available, Vertebroplasty and Kyphoplasty. Vertebroplasty is a procedure in which the physician uses image guidance (real-time x-ray) to inject a cement mixture into the fractured bone through a hollow needle. In Kyphoplasty, a balloon or other cavity creation device is first used to create a space within the fractured vertebral body, with cement then injected into the cavity.

Performed by interventional radiologists, physicians who specialize in minimally invasive image guided procedures; Vertebroplasty and Kyphoplasty are done through small nicks in the skin while the patient is lying face down on the x-ray table. The majority of procedures are done with conscious sedation. The procedure generally takes less than one hour to complete and is done on an outpatient basis. The majority of patients go home within six hours post procedure. Pain relief is immediate for some patients, in others pain is eliminated or reduced within two days. Pain resulting from the procedure itself usually goes away within a week to ten days.

Benefits • Increasing patient’s functional abilities allowing return to previous level of activity • Alleviating pain •N o surgical incision—only a small skin nick with no suturing required •L ow risk of complications, less than 1% develop significant bleeding, infection, or cement leakage

Vertebral cement augmentation is an excellent procedure for symptomatic relief and further prevention of spinal fractures. This procedure can be used to treat both osteoporotic and cancer related fractures. It does not, however, treat the underlying cause of the fracture. Osteoporotic patients should be evaluated and treated with medication, calcium and vitamin D supplements as prescribed by their physician.

Lifestyle modifications are also encouraged (increasing activity, stopping smoking or alcohol intake). Patients with cancer as the underlying cause should continue with the course of therapy as prescribed by their oncologist.

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December 2011 — Peoria — ­ Healthy Cells Magazine — Page 45

Fig Cranberry Bars with Caramel Drizzle Cut into 32 bars

1 cup cranberries, fresh or frozen 2 tablespoons plus 1/2 cup

granulated sugar, divided 2 1/3 cups all-purpose flour, divided 2 cups old fashioned oats 1/2 cup packed light brown sugar 1/2 teaspoon baking soda 1 cup butter, melted 1 1/2 cups chopped Blue Ribbon Orchard

Choice or Sun-Maid Figs 3/4 cup chopped, toasted walnuts 1 cup caramel ice cream topping In small bowl combine cranberries and 2 tablespoons granulated sugar; set aside. In medium bowl stir together 2 cups flour, oats, brown sugar, remaining granulated sugar and baking soda. Stir in butter. Reserve 1 cup crumb mixture. Press remaining crumb mixture in bottom of 13 x 9-inch baking pan. Bake in 350°F oven for 15 minutes. Stir figs and walnuts into cranberries and sprinkle evenly over crust. Stir together caramel topping and remaining 1/3 cup flour; drizzle over fruits and nuts. Sprinkle with reserved crumb mixture. Bake for additional 20 minutes or until lightly browned. Cool in pan on wire rack.

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Page 46 — Healthy Cells Magazine — Peoria ­— December 2011

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Winter can be the most unsafe and difficult time of year for many folks. Many people desire to move to a warmer climate during the winter months, but do not have that luxury.

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6 1 0 W. C r u g e r A v e n u e • E u r e k a , I L 6 1 5 3 0 • w w w. e a c h . o r g December 2011 — Peoria — ­ Healthy Cells Magazine — Page 47

hypotonia

Decreased Muscle Tone In

Infants and Children

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

H

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 48 — Healthy Cells Magazine — Peoria ­— December 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.

•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.

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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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