January / February St. Louis Healthy Cells 2012 by Healthy Cells Magazine

GREATER ST. LOUIS

area

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

FREE

HealthyCells JAN / FEB 2012

www.healthycellsmagazine.com

St. Luke’s Radiology Department Sharing a Passion for Excellence pg. 12

The Benefits of Community Pharmacies

pg. 14

Treatment Options for Chronic Back Pain pg. 18

Tips for Saving Money on Taxes

pg. 24

M A G A Z I N E

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No big smiles or other joyful expressions by 6 months.

No babbling by 12 months.

No words by 16 months.

To learn more of the signs of autism, visit autismspeaks.org ÂŠ 2010 Autism Speaks Inc. "Autism Speaks" and "It's Time To Listen" & design are trademarks owned by Autism Speaks Inc. All rights reserved.

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January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 3

J A N/FEB

2012 Volume 2, Issue 1/2

Personal Health: Burning Fat Matters More Than Losing Weight

Emotional: Exploring the ‘F’ Words

Nutritional: “MyPlate” Replaces Food Guide Pyramid

Physical: Menopause

In The Community: The Benefits of Community Pharmacies

Healthy Teeth: Take Care Of Your Smile

Safety: New GPS Technology Protects Loved Ones From Wandering

Pain Management: Treatment Options for Chronic Back Pain

On The Road: Teens Offer Parenting Tips that Encourage Teen Driver Safety

Healthy Homes: Fire Safety

Patient Care: Just A Closer Walk With Thee

Diabetes: JDRF Retooled – Resigned – Recommitted to Finding a Cure

Hearing Solutions: Five Reasons to Address Your Hearing Loss If You Haven’t Already

Exercise: Hot Fitness Tips for Cold Weather

Financial Health: Tips for Saving Money on Taxes

This Month’s Cover Story:

St. Luke’s Radiology Department

Sharing a Passion for Excellence page 12

For information about this publication, contact Mike Kelly, owner at 314-558-0860, mikekelly@healthycellsmagazine.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com • www.healthycellsmagazine.com

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Greater St. Louis 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 greater St. Louis area.

I wish to thank all the advertisers for their support of Healthy Cells Magazine’s mission to bring positive health related information to our readers. Because of their generosity we are able to provide this publication FREE to you. – Mike Kelly

personal health

LIVING

Burning Fat Matters More Than Losing Weight

hen it comes to losing weight, most Americans are impatient, seeking to shed pounds as quickly as possible. But many traditional diet and exercise plans often lead to disappointment and frustration -- and can even make you less healthy. The problem may stem from the fact that basically every diet tells us we need to lose weight. But for most people, it’s more important to focus on ways to accelerate fat loss, rather than weight loss. “Many conventional diets and popular exercise routines can actually make you fatter and more frustrated,” say Dian Griesel, co-author with her brother Tom Griesel of the new diet and fitness book “TurboCharged.” “The only thing any of us wants to lose is excess body fat, not our bones, muscle, water or other essentials. Yet, these are what typically deteriorate or are lost in most diets focused on ‘weight’ loss.” The problem starts with how we are all told to measure success. A standard weight measuring scale gives little information. Someone can actually be very lean with a well-hydrated and muscular body, yet they may weigh in at a higher number than someone of the same height that is actually fatter. After all, muscle is denser than fat. “Throw away your traditional scale,” says Tom Griesel. “The only relevant measurement is your body fat percentage. This can be easily calculated with a neck and waist measurement for men, and neck, waist and hip measurements for women.” Interestingly, even if you are not overweight, a waist measurement of over 33 inches, regardless of your weight, increases health risks like cardiovascular disease. A healthy lean male should have a body fat percentage in the 8 to 18 percent range, and a healthy female between 16 and 24 percent. The younger you are, the lower the acceptable healthy range. To find out your body fat percentage, enter your measurements into the free body fat calculator designed by the U.S. Navy, available at www.turbocharged.us.com. The primary reason for excess fat is often improper diet along and a lack of activity. Stress complicates things further by triggering release of the hormone cortisol that causes the liver to produce excess sugar. The excess sugar triggers hunger, so we’re more likely to eat more when stressed and, as a result, gain more fat. The Griesels recommend a diet consisting of fruits, vegetables, nuts, seeds, meats and fish. They also suggest you gradually increase your overall activity level. Walking is a great way to reduce fat and improve your overall health, but so is cleaning your home, chasing your kids, washing your car or gardening. Activity is activity, whether you call it exercise, running errands or having fun. The most important thing is that you put together a plan that’s best for you -- one that helps you lose fat, not muscle, while living a fuller, more active life.

PHOTO SOURCE: (c) Arto - Fotolia.com

January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 5

emotional

Exploring the ‘F’ Words — #2 — Fear Healthy Cells magazine is pleased to present the ninth 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.

n our last column we explored the impact that lack of forgiveness might have on our hearts, our minds, and our bodies. This month we are going to focus our emotional microscope on the possible consequences of using FEAR to guide our recovery from significant emotional loss. Retained FEAR is cumulative and cumulatively negative. If the griever does not feel safe enough to communicate about their fears, then the fears themselves appear to be real and begin to define and limit the griever. In a play on that old phrase, “you are what you eat,”... “you create what you fear.” Fear is one of the most normal emotional responses to loss. The fear of the unknown, the fear of the unfamiliar, the fear of adapting to a dramatic change in all of our familiar habits, behaviors, and feelings.

Page 6 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

Fear is one of the most common emotional responses to loss. For example, when a spouse dies: How can I go on without them? Or, after a divorce: Where will I find another mate as wonderful, as beautiful? Those fears are normal and natural responses to the end of longterm relationships. If acknowledged and allowed, those fears and the thoughts and feelings they generate, can be completed and diminish without serious aftermath. As we learn to acknowledge and complete our relationship to our fear, we can then move on to the more important task of grieving and completing the relationship that ended or changed. But, if we have been socialized to believe fear is unnatural or bad, then we tend to bury our fears to avoid feeling judged by our fellows who seem to want us to feel better very quickly after a loss.

“Fight your way through the fear so that you will not isolate further.”

There is also danger in that we have been socialized to express fear indirectly as anger. While there is often some unexpressed anger attached to incomplete relationships, we usually discover that it accounts for a very small percentage of unresolved grief. It is also important not to confuse Elizabeth Kubler-Ross’s stages of dying, which includes anger, with the totally unique responses that follow a loss. An even larger danger looms in the fact that we develop relationships with and loyalties to our fears. We believe them as if they were

real. We defend them with our lives, and to some extent, it is, indeed, our lives that we are gambling with. As we develop a fierce relationship with our fears, we lose sight of our original objective, which was to grieve and complete the relationship that has ended or changed. It is as if we have shifted all of our energy to the fear so we do not have to deal with the painful emotions caused by the loss. Reminders of loved ones who have died, or relationships that have ended will often take us on a rocket ride to the PAST, where we are liable to dig up a little regret. After thinking about that regret for a while, we might rocket out to the future, where we will generate some worry or fear. The point is that those fears we generate, while they feel totally real, are often the result of some out-of-the-moment adventures. It may be helpful to remember this little phrase: My feelings are real, but they do not necessarily represent reality. While FEAR is often the emotional response to loss, in our society, ISOLATION is frequently the behavioral reaction to the fear. If isolation is the problem, then participation is a major part of the solution. Fight your way through the fear so that you will not isolate further. Recovery from significant emotional loss is not achieved alone. Next Month: “Exploring The ‘F’ Words” — #3 — Familiarity For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA. 91413. Call [818] 907-9600 or Fax: [818] 907-9329. Please visit our website at: www.grief-recovery.com.

Dr. Stephen G. Smith, MD

Chesterfield: (636) 519-8889 Bridgeton: (314) 895-8889

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nutritional

“MyPlate” Replaces Food Guide Pyramid

irst L a d y M i c h e l l e Obama and Agriculture Secretary Tom Vilsack unveiled the federal government’s new food icon, MyPlate, to serve as a reminder to help consumers make healthier food choices. MyPlate is a new generation icon with the intent to prompt consumers to think about building a healthy plate at meal times and to seek more information to help them do that by going to www.ChooseMyPlate.gov. The new MyPlate icon emphasizes the fruit, vegetable, grains, protein and dairy food groups. “This is a quick, simple reminder for all of us to be more mindful of the foods that we’re eating and as a mom, I can already tell how much this is going to help parents across the country,” said First Lady Michelle Obama. “When mom or dad comes home from a long day of work, we’re already asked to be a chef, a referee, a cleaning crew. So it’s tough to be a nutritionist, too. But we do have time to take a look at our kids’ plates. As long as they’re half full of fruits and vegetables, and paired with lean proteins, whole grains and low-fat dairy, we’re golden. That’s how easy it is.” “With so many food options available to consumers, it is often difficult to determine the best foods to put on our plates when building a healthy meal,” said Secretary Vilsack. “MyPlate is an uncomplicated symbol to help remind people to think about their food choices in order to lead healthier lifestyles. This effort is about more than just giving information, it is a matter of making people understand there are options and practical ways to apply them to their daily lives.” Originally identified in the Child Obesity Task Force report which noted that simple, actionable advice for consumers is needed, MyPlate will replace the MyPyramid image as the government’s primary food group symbol as an easy-to-understand visual cue to help consumers adopt healthy eating habits consistent with the 2010 Dietary Guidelines for Americans. MyPyramid will remain available to interested health professionals and nutrition educators in a special section of the new website. ChooseMyPlate.gov provides practical information to individuals, health professionals, nutrition educators, and the food industry to help consumers build healthier diets with resources and tools for dietary assessment, nutrition education, and other user-friendly nutrition information. As Americans are experiencing epidemic rates of overweight and obesity, the online resources and tools can em-

Page 8 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

10 Tips to a Great Plate Making food choices for a healthy lifestyle can be as simple as using these 10 Tips. Use the ideas in this list to balance your calories, to choose foods to eat more often, and to cut back on foods to eat less often.

balance calories Find out how many calories YOU need for a day as a first step in managing your weight. Go to www.ChooseMyPlate.gov to find your calorie level. Being physically active also helps you balance calories.

enjoy your food, but eat less Take the time to fully enjoy your food as you eat it. Eating too fast or when your attention is elsewhere may lead to eating too many calories. Pay attention to hunger and fullness cues before, during, and after meals. Use them to recognize when to eat and when you’ve had enough.

avoid oversized portions Use a smaller plate, bowl, and glass. Portion out foods before you eat. When eating out, choose a smaller size option, share a dish, or take home part of your meal.

foods to eat more often Eat more vegetables, fruits, whole grains, and fat-free or 1% milk and dairy products. These foods have the nutrients you need for health—including potassium, calcium, vitamin D, and fiber. Make them the basis for meals and snacks.

make half your plate fruits and vegetables Choose red, orange, and dark-green vegetables like tomatoes, sweet potatoes, and broccoli, along with other vegetables for your meals. Add fruit to meals as part of main or side dishes or as dessert.

switch to fat-free or low-fat (1%) milk They have the same amount of calcium and other essential nutrients as whole milk, but fewer calories and less saturated fat.

make half your grains whole grains To eat more whole grains, substitute a whole-grain product for a refined product—such as eating wholewheat bread instead of white bread or brown rice instead of white rice.

foods to eat less often Cut back on foods high in solid fats, added sugars, and salt. They include cakes, cookies, ice cream, candies, sweetened drinks, pizza, and fatty meats like ribs, sausages, bacon, and hot dogs. Use these foods as occasional treats, not everyday foods.

compare sodium in foods Use the Nutrition Facts label to choose lower sodium versions of foods like soup, bread, and frozen meals. Select canned foods labeled “low sodium,” ”reduced sodium,” or “no salt added.”

drink water instead of sugary drinks Cut calories by drinking water or unsweetened beverages. Soda, energy drinks, and sports drinks are a major source of added sugar, and calories, in American diets.

Go to www.ChooseMyPlate.gov for more information.

power people to make healthier food choices for themselves, their families, and their children. Later this year, USDA will unveil an exciting “go-to” online tool that consumers can use to personalize and manage their dietary and physical activity choices. Over the next several years, the USDA will work with First Lady Michelle Obama’s Let’s Move! initiative and public and private partners to promote MyPlate and ChooseMyPlate.gov as well as the supporting nutrition messages and “how-to” resources. The 2010 Dietary Guidelines for Americans, launched in January of 2011, form the basis of the federal government’s nutrition education programs, federal nutrition assistance programs, and dietary advice provided by health and nutrition professionals. The Guidelines messages include: Balance Calories • Enjoy your food, but eat less. • Avoid oversized portions. Foods to Increase • Make half your plate fruits and vegetables. • Switch to fat-free or low-fat (1%) milk. • Make at least half your grains whole grains Foods to Reduce • Compare sodium (salt) in foods like soup, bread, and frozen meals, and choose foods with lower numbers. • Drink water instead of sugary drinks.

“MyPlate is an uncomplicated symbol to help remind people to think about their food choices in order to lead healthier lifestyles.” Coupled with these tested, actionable messages will be the “how-tos” for consumer behavior change. A multi-year campaign calendar will focus on one action-prompting message at a time starting with “Make Half Your Plate Fruits and Vegetables.” “What we have learned over the years is that consumers are bombarded by so many nutrition messages that it makes it difficult to focus on changes that are necessary to improve their diet,” said Secretary Vilsack. “This new campaign calendar will help unify the public and private sectors to coordinate efforts and highlight one desired change for consumers at a time.” As part of this new initiative, USDA wants to see how consumers are putting MyPlate in to action by encouraging consumers to take a photo of their plates and share on Twitter with the hash-tag #MyPlate. USDA also wants to see where and when consumers think about healthy eating. Take the Plate and snap a photograph with MyPlate to share with our USDA Flickr Photo Group [http://www.flickr.com/ people/usdagov/]. For more information, visit www.ChooseMyPlate.gov. Additional resources include: www.DietaryGuidelines.gov and www.LetsMove.gov.

January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 9

physical

MENOPAUSE

Natural/Alternative Treatments and Lifestyle Changes Submitted by Dr. Edward S. Levy

Natural Treatments In previous articles, we have discussed the many different changes that women experience before and after menopause. Some women have reservations about taking prescription hormones to relieve their symptoms, but feel they have to do something. Here are some things to consider when investigating your options. Some women try herbs or other products that come from plants to help relieve hot flashes. Unfortunately, being “natural” doesn’t always mean a product is safe. Some common natural products for hot flashes are: • S oy. Soy contains phytoestrogens (FEYE-toh-ESS-truh-juhns). These are substances from a plant that may act like the estrogen your body makes. There is no clear proof that soy or other sources of phytoestrogens really do make hot flashes better, but some reports suggest that it might work a little better than placebo. And the risks of taking long term high dose soy products like pills and powders are not known. If you are going to try soy, the best sources are foods such as tofu, tempeh, soymilk, and soy nuts. Page 10 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

•O ther sources of phytoestrogens. These include herbs such as black cohosh, wild yam, dong quai, and valerian root. There is not enough evidence that these herbs – or pills or creams containing these herbs – help with hot flashes. Also, not enough is known about the risks of using these products. Make sure to discuss any natural or herbal products with your doctor before taking them. It’s also important to tell your doctor about any medicines you are taking. Some plant products or foods can be harmful when combined with certain medications. “Bioidentical” Hormone Therapy Drug makers, marketers and doctors who sell these products use this term to convince patients that these drugs are more “natural” or a “safer alternative” to hormone supplements that are sold at pharmacies. “Bioidentical” is a marketing term, not a medical term. The FDA has not identified any credible scientific evidence to support claims of superior safety or effectiveness for any of these products. Remember, advertisements and marketing campaigns

do not qualify as proof. In many cases, patients receive doses of testosterone (male hormone) or progesterone (one of the female hormones) that are far above the recommended safety limits. The FDA and numerous medical organizations have warned that sellers and promoters of these supplements are not informing patients of the long-term risks and are profiting by extensive marketing of these unregulated (and expensive) products. Keep in mind that any time someone is pushing a “miracle” treatment they would like to sell you, it is for their benefit, not yours. Lifestyle Changes Making lifestyle changes may help ease the discomfort of your symptoms and keep you healthy in the long run. Try these tips. • Eat healthy food. Eating a balanced diet can give you energy and protect your health. Limit alcohol or caffeine, which can affect sleep. • If you smoke, try to quit. In addition to causing many serious health conditions, smoking may trigger hot flashes, weakens bones, and can irritate your bladder, which may become more sensitive during menopause. • G et regular exercise. Regular physical activity helps keep your weight down, improves your sleep, strengthens your bones, and elevates your mood. • Try stress reduction techniques. If you do them regularly, stress reduction techniques such as meditation or yoga can help you cope with your symptoms more easily.

“Making lifestyle changes may help ease the discomfort of your symptoms and keep you healthy in the long run. Try these tips.” • I f you’re overweight, losing weight might help with hot flashes, according to one recent study. Losing the extra weight can also help with your overall health and well-being. For more information, please contact the office of Dr. Edward S. Levy, MD at Metropolitan Ob-Gyn and Urogynecology, 314-6864990, 816 South Kirkwood Rd., Suite 100, Kirkwood, MO 63122.

January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 11

feature story

St. Luke’s Radiology Department Sharing a Passion for Excellence By Molly Burns

eet Dr. Robert Kanterman. He is the chief of radiology at St. Luke’s Hospital in Chesterfield, MO. He enjoys running, watching the Pittsburgh Steelers, listening to the Grateful Dead and traveling with his family to various national parks. He also practices medicine and has been for the past 20 years. “I wanted to become a doctor because I wanted to help people, all while intellectually challenging myself,” said Kanterman. After studying biology at the University of Miami, he received his medical degree from the University of Miami School of Medicine. He completed his residency at Mallinckrodt Institute of Radiology, Washington University/ Barnes-Jewish Hospital along with a fellowship in vascular-interventional radiology. He has been in practice at St. Luke’s for 16 years. Kanterman specializes in vascular and interventional radiology along with diagnostic radiology. He and his department of 14 other radiologists perform procedures such as biopsies, dissolving blood clots in veins and draining fluid collections and obstructed kidneys and livers. “At the Radiology Department at St. Luke’s Hospital, we’re known for handling a wide variety of procedures and handling them well,” said Kanterman. Included in this wide variety is kyphoplasty. Kyphoplasty is a minimally invasive procedure used to relieve pain caused by a bone fracture. It attempts to restore the height and angle of the fractured vertebra followed by its stabilization using injected bone ce-

ment. The procedure typically involves the use of a small balloon that is inflated in the vertebral body to create a gap within the compression in order to inject the cement. “A 26-year-old man came into my office with osteoporotic bones and severe back pain from a compression fracture due to inflammatory bowel disease. The pain in his back was so severe and debilitating that he had been out of work for months. He couldn’t make a living. After the procedure, he was back to work the next week,” said Kanterman. Kyphoplasty patients are not normally so young. Generally, kyphoplasty patients are older men and women who experience severe back pain after sustaining compression fractures in the thoracic or lumbar regions. Page 12 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

“I’ve used kyphoplasty for the past five or six years as opposed to the traditional vertebroplasty because I have more control over where the cement goes, and, therefore, I feel I can achieve better results for patients,” said Kanterman. Results for patients may vary. However, most experience pain relief within 48 hours after the procedure. Kanterman and his team are careful to determine which patients will benefit from kyphoplasty. “We do our best to refer patients we can’t help with this procedure to other services that could be beneficial for them,” said Kanterman. The Interventional Radiologists Kanterman is one of four interventional radiologists at St. Luke’s Hospital. Dr. Gregory Jamroz, Dr. Thomas Watson, Dr. Fazal Majeed, who joined the department in January, and Kanterman all perform kyphoplasty and other diagnostic and therapeutic procedures at St. Luke’s. They are often able to see patients quickly. Sometimes they are able to diagnose the problem and provide treatment the same day or the next day. “They are all terrific radiologists. They are friendly and respectful to their patients and do the best they can

for them,” said Kanterman. “We are all different, but among the four of us, we bring a high level of skill and competency to our job.” Providing Excellent Healthcare The quality of St. Luke’s radiologists is reflective of the hospital in which they work. According to HealthGrades®, St. Luke’s is the only Missouri hospital recognized as one of America’s 50 Best Hospitals™, ranking among the top one percent in the nation based on superior clinical quality. “St. Luke’s has excellent patient care and outstanding support services. Everyone knows each other. Patients and co-workers will just stop by to say ‘hi.’ It has a very close-knit and congenial atmosphere,” said Kanterman. Though his day at work may be hectic, it is also extremely rewarding for Kanterman. “Whenever we can give that patient pain relief, it is just amazing. We help people get their lives back.” St. Luke’s Hospital is located at 232 S. Woods Mill Road in Chesterfield. For more information about the procedures and services provided by Dr. Kanterman and the Radiology Department (including kyphoplasty), please call St. Luke’s Hospital at 314.434.1500 or visit www.stlukes-stl.com. January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 13

in the community

The Benefits of By Lynn Schmittgens, R.Ph.

he New Year signals new goals, new resolve, and of course, new insurance! Many plans begin new deductibles January 1st as well as changes in the list of drugs covered, co-pays, and new requirements for Prior Authorizations (insurance requires justification for a certain therapy). Usually, the pharmacist is the one to break the bad news to both the doctor AND the patient. “Your co-pay has increased.”, “The deductible has reset again.”, “The medicine you have been taking is no longer ‘preferred’ by your insurance.”, or a pharmacist’s personal nightmare: “your insurance requires mail order.” Who makes these decisions? How are they made, and who really benefits? Page 14 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

Pharmacy Benefit Managers (PBMs) are the largely unregulated power players in the pharmaceutical supply chain. PBMs administer the drug benefit of health insurance plans for private companies, unions and government agencies. They process and pay prescription drug claims, they develop and maintain the list of prescription drugs covered by a particular drug benefit plan (aka “the formulary”), they contract with pharmacies, and they negotiate discounts and rebates with drug manufacturers. Most patients are unaware of PBMs. This year they have come into the spotlight as Medco and Express Scripts are negotiating a merger. Many people didn’t realize that their Anthem/Blue Cross pharmacy benefit was contracted through Express Scripts, however contract

disputes between Walgreens and Express Scripts have forced them to find a new pharmacy home. Are these changes really good for you? Each of the giant PBMs owns a mail order drug company and attempts to drive its customers away from community pharmacy and into the mail order firm it owns. They say mail order is more convenient and cost saving, but what they don’t say is that they make more profit for every prescription filled through mail order. A mail order pharmacy will not call your doctor for refills, nor do they advocate for their patients. It’s possible that mail order may actually jeopardize a patient’s quality of care. A U.S. Pharmacopeia study documented temperature fluctuations including exposure to extreme heat during shipments, which can diminish some medications’ effectiveness. Remember, pharmacists cannot advise patients on medicines dispensed by another pharmacy. So if you have questions about your mail order prescription, you’ll have to try to reach someone on the phone through a phone tree, which can be a frustrating experience. Having a local pharmacy home staffed by people you know and trust is such an incredible asset. Your community pharmacist is a valuable resource regarding your health and medications, and other support available to you. For the new mother with a cranky infant, how often has your pharmacist walked the floor with his own baby? All his experience advising hundreds of new parents about remedies available and myths that might be dangerous is available to you in one conversation. Can you get this relationship in mail order?

For the middle generation who are caring for their aging parents and children, and who are beginning to have health challenges themselves, the support of a good pharmacist is vital. Trying to help aging parents is as confusing as caring for that infant. Who knew bladder infections are a common cause of confusion in the elderly? Or that medicines well-tolerated in middle age suddenly cause problems in older adults? Your pharmacist does. For the person faced with a chronic illness, pharmacists can help you learn to manage your illness, diabetes, asthma, hypertension, arthritis, and more. When confronted with a frightening diagnosis, the face to face time with a caring, professional pharmacist invested in your health is priceless. Plus, your pharmacist may be the person who can help you understand a new diagnosis and treatment options - because they know you. Your relationship with your local community pharmacy is essential. It cannot adequately be replaced by mail order; your pharmacist cannot be replaced by mail order any more than your doctor can be replaced by a computer program and “Evidence Based Medicine.” These personal relationships make all the difference in your healthcare. Lynn Schmittgens and her husband Tom are Registered Pharmacists who have worked in the Saint Louis community for over 30 years. They own the Medicine Shoppe Pharmacy® in Affton located at 7922 Mackenzie Rd. They offer free home delivery and are open Monday - Friday from 9:30 am - 6 pm, and on Saturday from 9 am - 1 pm. Express Scripts, Blue Cross, Caremark, MO HealthNet, Medicaid, Medicare Part D, Missouri RX and most other insurance plans are accepted. Feel free to call Lynn at 314-638-3535 if you have any questions.

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816 S. Kirkwood Road Suite 100 ( Kirkwood MO 63122 January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 15

healthy teeth

Take Care of

Your Smile T

here’s a lot more that goes into a great smile than just keeping the pearly whites, well, white. Protecting tooth enamel plays an important role in having a beautiful and healthy smile.

What is tooth enamel?

Enamel is the thin outer covering of the tooth. It’s the hardest tissue in the human body and it helps protect teeth from the wear and tear that comes with chewing, biting and grinding. It also helps insulate teeth from hot and cold, making it possible to enjoy ice cream or hot coffee. While enamel is hard, it can chip or crack. Once the enamel layer is lost, it cannot regenerate.

What causes enamel erosion?

Enamel erosion happens when acids wear away the enamel on teeth, which can lead to the loss of tooth structure. The calcium that’s in saliva will usually help strengthen teeth after you have a small amount of acid, but too much acid prevents that from happening. Enamel erosion can be caused by a number of things: n Excessive consumption of carbonated drinks — sodas and other carbonated drinks contain high levels of phosphoric and citric acids, which can dissolve the enamel on your teeth quickly. The more you drink, or the longer you hold the drink in your mouth, the more damage is done. n Fruit drinks (some acids in fruit drinks are more erosive than battery acid) n Dry mouth or low salivary flow n Diet (high in sugar and starches) n Acid reflux disease n Gastrointestinal problems n Medications (aspirin, antihistamines) n Genetics (inherited conditions) n Environmental factors (friction, wear and tear, stress and corrosion)

Protecting Tooth Enamel

There are some simple things that you can do to help take care of your enamel and keep your teeth healthy: Brush and floss daily. Mom and the dentist are right. Keeping your teeth clean prevents enamel-damaging elements from building up. Be sure to brush for two minutes at least twice a day. Use fluoride toothpaste. Fluoride is a tooth strengthener, so it should be a part of your twice-daily brushing routine. For fluoride toothpaste with enamel care built in, consider ARM & HAMMER® Complete Care™ Enamel Strengthening toothpaste. It’s the only toothpaste with fluoride and LiqPage 16 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

uid Calcium®, which strengthens enamel while gently removing plaque and whitening teeth. Learn more at www.ahcompletecare.com. See a dentist for regular check-ups and cleaning. Not only will it help keep your teeth cleaner, but also your dentist can detect problems before you can — which means a small problem can be taken care of before it becomes a big one. Drink sodas in moderation. Sodas can be 10 times more corrosive than fruit juices in the first three minutes of drinking, according to a study published in the Academy of General Dentistry (AGD) journal “General Dentistry.” The acids in the beverages damage your enamel, which then allows bad bacteria to get to the tooth. If you’re not going to avoid sodas or fruit juices, rinsing after enjoying these types of drinks can help. Be careful about other beverages, too. Another study by the AGD found that the damage caused by noncola and sports beverages was three to 11 times greater than cola-based drinks, with energy drinks and bottled lemonades causing the most harm to tooth enamel. Sports beverages contain additives and organic acids that can advance dental erosion. These organic acids break down calcium, which is needed to strengthen teeth and prevent gum disease. Sip with a straw. Drink sodas and fruit juices with a straw, which helps acids to bypass the teeth. Be mindful of snacking. Eating foods which are high in sugar and starches increases the amount of acid in your mouth. If you can’t avoid snacking, brush your teeth afterward or at least give it a good rinsing. Snacking on celery, carrots or apples helps clear away loose food and debris. Chew sugar-free gum. It increases saliva production, and saliva has minerals that helps strengthen teeth. Choose a sugar-free gum that has xylitol, which can reduce acids. Wait one hour to brush your teeth. Because acid weakens enamel, brushing immediately after consuming highly acidic food or drinks, like wine, coffee, citrus fruits and soft drinks, runs the risk of wearing away the enamel in its weakened state. Taking good care of your teeth lets you show off a great smile — and a healthy mouth — for a long time.

safety

New GPS Technology Protects Loved

Ones From Wandering Offers Peace-of-Mind to Caregivers

major concern caregivers have in caring for their aging family members, especially those with Alzheimer’s disease, is to protect them from wandering. Many people suffering from forms of dementia wander from their residence and forget their way back. New GPS technology, however, is offering a promising solution. GPS tracking devices are used for many safety objectives, like the tracking of children or teenagers, but one of the areas where these devices can have the largest impact is in the protection of our senior citizens with some form of dementia or Alzheimer’s, according to Jenaro T. Centeno, Principal, i-TAG - Identity Solutions in St. Louis. “GPS tracking devices operate through global positioning satellites and have additional features such as live monitoring from any internet-enabled computer, geofencing to establish a perimeter, text and email alerts and an SOS call function,” Centeno says. Approximately the size of a nine-volt battery, the GPS tracking device operates with a battery that lasts a week on average and is rechargeable, according to the company website. “I-TAG along may be small but it is the most intelligent, affordable personal GPS location product on the market,” says Centeno. “It is tied to a very instinctive, easy-to-use web portal for device location. In addition, the device is so small, it can be placed on your children, pets, cars, bikes, or anything else you can imagine that needs to be located at a moment’s notice.” Geofencing is one of the most touted features of the device. The i-TAG along GPS can be programmed with a geofence – an area in which the person wearing it can travel, but if they leave that area, an alert will be sent via text or email. “Programming the geofence is

easily done on our web portal,” says Centeno. “Now if your loved one leaves the geofence, you will automatically receive an email or a text message.” For institutions like assisted living facilities, the geofence feature creates a safety net that allows you the option of offering a better quality of life with more independence while at the same time protecting patients and providing peace of mind to both administrator and caregivers. “You can log on at any time to check on the whereabouts of your loved one or you can view a report of their activities throughout the day,” he adds. In addition, the i-TAG-along GPS is equipped with an SOS button. “If your loved one becomes disoriented, all they would need to do is press the button which will send a message to your phone or email letting you know where they are and that they need help.” For more information on the i-TAG along GPS, please contact i-TAG – Identity Solutions at 980-254-8290 or visit our website at www.i-tag.biz/1801.html. January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 17

pain management

Treatment Options for

Chronic

Back Pain By Stephen G. Smith, MD

X-ray or ultrasound to perform accurate and safe injections to both diagnose and treat pain. This approach works to restore the functional status of the patient without depending on medications or surgery as first lines of treatment. There are many types of pain disorders and a wide spectrum of therapies from conservative to the most advanced interventional techniques. Three of the more advanced treatments are Platelet Rich Plasma Injection Therapy, Spinal Cord Stimulation (Neurostimulation), and Qutenza® Patches.

n estimated 50 million Americans suffer from persistent pain each year. According to the American Pain Foundation and the American Pain Society, back pain is the leading cause of medically related work absenteeism. However, joint pain and postherpetic neuralgia can also lead to absenteeism and significant changes in life style. What Is Interventional Pain Management? Interventional Pain Management provides a method for diagnosis and treatment of pain and pain related disorders. The interventional approach uses

Platelet Rich Plasma Injection Therapy When the human body becomes injured there is a natural healing process that occurs to repair damaged tissue. The body signals platelets and other components in our blood supply migrate to the site of the injury and release various factors which heal and rebuild the injured tissues. In Platelet Rich Plasma Therapy (PRP), these platelets are concentrated, harnessed and are introduced to the injury site in an injectable form. PRP is a newer treatment that uses the patient’s own blood to treat ligament and joint pain from an injury or from overuse. Blood is drawn from the patient, placed into a centrifuge, and spun to separate the platelets from the other components. After a few minutes, the concentrated platelets are removed from the same tube and reintroduced into the patient at the site of the injury.

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on the road Traditional nonsurgical therapies for acute and chronic tendon injuries have limited potential to alter the long-term course of the disease process. PRP is a simple, low cost, low risk treatment that is done right in the doctor’s office and the results are permanent. PRP injections can be helpful for the treatment of the shoulder, elbow, wrist and hand, knee, hip and sacroiliac joints. Results may vary depending on the patient and the severity of the condition. Most patients show a gradual improvement within 1- 3 months. Additional injections may be necessary if the patient does not feel any improvement at their follow-up visit.

“The interventional approach works to restore the functional status of the patient without depending on medications or surgery as first lines of treatment.” Spinal Cord Stimulation Spinal Cord Stimulation (Neurostimulation) has the advantage of having a 5 to 7 day trial period. If successful the system is surgically placed under the skin. It sends mild electrical impulses to the epidural space near the spinal cord. The electrical impulses are delivered through a lead (a medical wire). These tiny electrical impulses block the pain signal from reaching the brain. This treatment works well for failed back surgery syndrome, neuropathy, and can also be used for various circulatory diseases. Qutenza® Patch A Qutenza® Patch is a treatment that can provide relief from post-shingles nerve pain (Postherpetic Neuralgia). It is a single, 1 hour, localized treatment that is done in the office. Qutenza® is a patch containing prescription – strength capsaicin, which is the substance in chili peppers that gives them their heat sensation. It is the first and only treatment of its kind to deliver a high concentration of capsaicin directly into the skin. Dr. Stephen G. Smith of Midwest Pain Center is an interventional pain specialist who provides progressive individualized care plans specifically designed to alleviate each patient’s pain. He encourages patients to get involved with their own healing process without necessarily focusing on pain medications. He works closely with the referring physician and the patient’s primary physician in order to give patients the best possible care. For more information about pain management and treatment options available please contact Midwest Pain Center with locations in North County and West County at 636-519-8889 or visit us online at www.midwestpaincenter.net.

Teens Offer Parenting Tips that Encourage Teen Driver Safety

Are you able to give your teenager the car keys with confidence? Photo courtesy of the National Youth Leadership Council

t is estimated that 35 percent of teen casualties are due to vehicular driving accidents, making it the leading cause of death among teenagers in the U.S., according to the National Highway Traffic Safety Administration. Through their participation in a high school program called Project Ignition, thousands of young people have worked tirelessly to change the driving behaviors of their peers. Here are some tips from students in Project Ignition: • Ask your teen about what it’s like being in the car with other teens, and what distractions there are to handle. • Role-play with your teen so that he can become comfortable saying things like, “We both want to live, so let me answer your phone or text while you drive.” • Help your teen get involved with programs at school like Project Ignition. • Set family ground rules for texting and calling while driving. Your teen needs to know what the consequences will be if the rules aren’t followed. • Model the behavior you want your teen to exhibit. Project Ignition, a service-learning program coordinated by the National Youth Leadership Council and funded by State Farm, makes grants available to public high schools in the U.S. and Canada. The program provides young people the opportunity and tools necessary to address teen driver safety issues in their communities by linking public service to academic curriculum. Additional information can be found at www.sfprojectignition.com.

healthy homes

Fire Safety A

bout 3,500 Americans die each year in fires and about 18,300 are injured. You can stop the fire before it starts. Use this fact sheet to learn how to prevent a fire in your home and know what to do if you have a fire.

•K erosene heaters are not allowed in most places. • If you use a kerosene heater, only use the type of fuel listed in the instructions. • Allow your heater to cool before refueling and only refuel outdoors.

Stop an alternative heater fire before it starts: • K eep the fire inside the fireplace by making sure you have a fireplace screen large enough to stop flying sparks and rolling logs. • H ave your chimney inspected at least once a year. Tar build-up inside of the chimney can cause the chimney, roof, and the whole house to go up in flames. • S pace heaters need space. Keep items at least three feet away from each heater. • W hen buying a space heater, only buy one with a safety feature that automatically shuts off the power if the heater falls over. • Carefully follow manufacturers' set up and maintenance instructions. • F or wood stove fuel, use only seasoned wood - never use green wood, artificial logs, or trash. Seasoned wood looks dark, or gray when compared to green wood. Seasoned wood is white on the inside.

Be prepared for a fire: • O ne of the best ways to protect yourself and your family is to have a working smoke alarm that can sound fast for both a fire that has flames, and a smoky fire that has fumes without flames. It is called a "Dual Sensor Smoke Alarm." A smoke alarm greatly reduces your chances of dying in a fire. • Prepare an escape plan and practice it often. Make sure everyone in your family knows at least two (2) escape routes from their bedrooms.

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To learn more on how you can prevent fires and fire deaths, please contact your local fire department's office phone number (not 911) or visit www.usfa.fema.gov or www.ready.gov.

patient care

Just A Closer Walk With Thee By Rev. Pat Powers, Alternative Hospice

here are so many ways our jobs become so much more than a job. This is so true for me. Working as a Minister and working as a Chaplain are very different. Yet, they are also the same. As a Chaplain, I love having the opportunity to teach about life through the occurrence of death. One fabulous weekend, a patient of mine, Millie (name changed for anonymity), was in the final stages of her journey home. I was attending a wedding rehearsal very near her residence, and decided to stop by to check in on her and her family. They were all beside Millie’s bed, and were saying their goodbyes. Expecting her to pass soon, I stopped by again on my way home from rehearsal – she was still hanging on. I told the family that I would come back once again before the wedding on the following day to see if Millie was still with us. On that next day, Saturday, dressed in my Minister attire, I went to see Millie. She was slowly releasing this life, and was giving her daughters time to prepare for her death. We all told her she could go, that she was loved, and that she was a great Mom and an incredible Grandmother. We reassured Millie that all of her children and grandchildren would be fine, and each gave permission for her to die, saying all the right things. I went to the wedding. When it was over, I once again stopped by Millie’s home. This time, she was gone, having passed a few minutes before my arrival. I spoke prayers around the bedside with her family and the staff, and asked permission for her to leave by the front door with an “Angel Walk”, covered with a beautiful quilt. She was gently moved onto the gurney by the mortician. Her family and the staff gathered as we walked her to the front door softly singing Amazing Grace. There, we paused for prayer. The funeral director stepped back and allowed us to hold hands and circle her one last time for a goodbye prayer. In that prayer, I thanked God for giving us Millie, and an old school nurse (white stockings and starched uniform). We prayed our thanks for bringing her to the facility where she was so well loved and cared for. We spoke of our gratitude for love beyond this life, the eternal love that never dies. We called for her ancestors to meet her at the pearly gate as we give her back to God. When the funeral director stepped back in place to wheel her out the door, he had tears in his eyes, and told me he had never experienced an exit like this before. The Angel Walk practice provides dignity for the family, staff and residents, and paves the way from them to pay their respects. It’s a path on a final journey that reminds us of how special each person is to so many. Alternative Hospice encourages this practice of an Angel Walk at the death of our patients. Some facilities still hesitate to change the old practice of going out the back door, yet with education and experience we hope to change the way residents leave their homes, and go to the final rest. The Angel Walk practice is available by request at revpatpowers@alternativehospice.com.

diabetes

Retooled - Redesigned - Recommitted

to Finding A Cure By M. Marie Davis, Executive Director JDRF Metro Saint Louis/Greater Missouri Chapter

or more than 40 years, JDRF has been a leader in the search for an end to type 1 diabetes, through both research funding and advocacy. During that time, we have always talked about a cure as a singular destination: a return to normal physiology.   But today, we realize that we are engaged in a process of curing type 1 diabetes - that a cure is not just a destination but also a journey along a path. And we recognize that a part of our mission must be to help those living with type 1 today to live healthier, easier, and safer lives until we arrive at the end of that path.

“We have dropped the formal name “Juvenile Diabetes Research Foundation” from our identity and will be known simply as JDRF.” In addition, we understand that the word “juvenile” is no longer descriptive of the disease or those burdened with it. JDRF market research tells us that, today, 85 percent of those in the U.S with type 1 diabetes are adults. We must communicate that JDRF is an organization for ALL ages, and ALL stages of this disease.   The JDRF identity was created with these key considerations in mind. We have dropped the formal name “Juvenile Diabetes Research Foundation” from our identity and will be known simply as JDRF. This better reflects our commitment to work for ALL those with type 1 diabetes.

hearing solutions

Five Reasons

to Address Your Hearing Loss If You Haven’t Already

f you’re having problems hearing but haven’t yet done anything to address them, you’re not alone. Every day people put off getting help for hearing loss for a number of reasons that range from not wanting to show signs of vulnerability to being fearful of having to wear a bulky hearing aid. While these reasons are understandable, the benefits of getting hearing help far outweigh the reasons for avoiding seeing a hearing specialist. This is especially true when you take into account that hearing aids are more discreet than they’ve ever been - some can even be considered invisible. This makes it easy for someone to correct hearing loss without experiencing the discomfort or self-consciousness often associated with hearing aids. If you’re experiencing trouble hearing, here are five reasons to get help and visit a hearing care professional: 1. I ncrease your financial growth opportunity. If you have untreated hearing loss, there’s a good chance you aren’t reaching your full potential in the workplace, as you may be missing important items in conversation or unconsciously withdrawing yourself from your duties. Correcting hearing problems can allow you to perform your job to the best of your ability. 2. Improve your social life. Whether you know it or not, hearing problems can cause you to communicate ineffectively with others, which can hinder relationship building. It may also cause you to decide not to participate in activities or social gatherings as you otherwise would.

3. Improve your relationship with your family. Communication is even more important in the intimate relationships you maintain with family members. When communication is interrupted by hearing loss, it can weaken those relationships without the intention of doing so. Hearing loss can affect the subtle communication that is so important to maintaining a strong bond with your loved ones. 4. T oday’s hearing aids are no longer obtrusive. For example, U.S. hearing technology company Nu-Ear offers invisible hearing aids that are worn deep in the ear canal or are hidden behind your ear. 5. H earing aids work better than ever. Today’s hearing aids address the most common concerns of wearers, including virtually eliminating feedback (buzzing and whistling) and providing noise management technology that identifies and preserves speech even in the noisiest environments. Volume control has also become more sophisticated, so you don’t have to constantly make adjustment based on your environment. Finally, some hearing aids can connect directly with the media devices in your home including TV, MP3 player or stereo. Page 22 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

When you get help for your hearing problem, you have the potential to improve your life in ways you may have never imagined. With the right hearing aid and treatment, you can improve the way you communicate, which can help you reach your full potential and improve your relationships with those who are important to you. Southwestern Hearing Centers now have 23 locations serving the greater St. Louis area. For more information, call Southwestern Hearing Centers at 1-800-992-6316 today for your FREE Hearing Test. Don’t miss another sound.

exercise

Hot Fitness Tips for Cold Weather F

inding time for exercise during the hectic holiday months can be challenging. For many people, a fitness regime gets tossed out with the wrapping paper. This makes getting back into a consistent exercise routine for the New Year an essential but difficult battle. And during dark winter months, fewer daylight hours and cooler temperatures can decrease motivation for even the most dedicated fitness buffs. Despite discouraging factors during the winter, Americans should continue to strive to get back on track with moderate physical activity. According to the U.S. Department of Health and Human Services, most adults need at least 30 minutes of exercise five days each week to stay healthy. Here are five tips to help you get in gear and stay on the path to good health this winter. Sneak in fitness activities Biking is a fun way to get a workout, without feeling like you are working out. Bicycle commuting burns an average of 540 calories per hour. “Half of all trips we make are three miles or less, so biking instead of driving for short trips is a great way to get your daily exercise,” says Tim Blumenthal, director of PeopleForBikes.org. Find a partner Exercising with someone else will help keep you committed to physical activity. Studies show people who work out with a friend are more likely to exercise consistently. Walk with a neighbor or join a group bike ride organized by a bike store or local club. Bundle up Investing in quality winter gear will keep you ready for many different weather conditions. Dress in layers and remove clothing as you warm up. Look for light, breathable fabric that isn’t too bulky. Also, don’t forget to adequately cover your hands and feet.

Add variety Mixing exercise activities will keep your body and your brain from getting bored. If you normally run or walk, try alternative cardio workouts. If you live in an area with snow, cross-country skiing or snowshoeing can effectively burn calories. In mild climates, try riding your bike up a steep hill several times in a row – now that’s a workout. Embrace nature Consider trading your indoor treadmill for outdoor recreation. A study conducted by the Peninsula College of Medicine and Dentistry found exercising in natural environments was associated with greater feelings of revitalization, increased energy and positive engagement. Although it can be hard to get motivated when it’s chilly outside, the fresh air will provide a better workout. These tips will help you jump common winter exercise barriers. Keeping off those extra pounds during the winter will prepare you well for spring and swimsuit season. And, even more important, staying active during the winter will help you feel your best all year round.

January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 23

financial health

Tips for Saving Money on Taxes

ho isn’t looking to save a little money these days? Here are some easy ways you can save money on preparing your taxes, as well as ways you might be able to pay out a little less.

IRS Free File: More Savings, Less Taxing Looking for a fast, easy and free option to do your taxes? IRS Free File allows everyone to prepare and e-file their federal tax returns for free. And, the step-by-step, brand-name software offered by IRS’ commercial partners helps you find the tax breaks you are due. Each of the approximately 20 private-sector partners tailor their offerings based on criteria such as income, age or state residency. If you need help finding a Free File match, just select the “get help finding Page 24 — Healthy Cells Magazine — Greater St. Louis Area — January/February 2012

a Free File company” as your option. Simply enter a little information about yourself and the matches will appear. Some also offer state returns for free or for a fee. • While all the companies have different criteria, if you made $57,000 or less in 2011 — and that’s 70 percent of us — you will be eligible for at least one free tax software program. • If your income was higher than $57,000, you can still prepare and e-file your return for free by using Free File Fillable Forms. This is the e lectronic version of IRS paper forms. It’s more basic and is probably best for people comfortable preparing their own paper tax returns. It does not support state tax returns. Just go to www.irs.gov/freefile to get started.

Organize Records The IRS recommends keeping all tax-related documents for three years, in case of an audit. Keeping track of income-related documents can help you take full advantage of deductions available to you. If you don’t have the information, you might be losing out on money. What should you have handy when it’s time to fill out this year’s returns? Records such as: • A copy of last year’s tax return • Valid Social Security numbers for yourself, spouse and children • All income statements, i.e. W-2 forms, from all employers

Volunteer Income Tax Assistance If you need personal assistance to prepare your tax return, there are 12,000 Volunteer Income Tax Assistance (VITA) sites nationwide. These sites offer free help to those earning around $50,000 or less. To locate the nearest VITA site, search for “VITA” on IRS.gov. Tax Counseling for the Elderly (TCE), which is supported by AARP, offers free tax help to people who are age 60 and older. To locate the nearest AARP Tax-Aide site, call 1-888227-7669 or visit AARP.org.

• Interest/dividend statements, i.e. 1099 forms • Form 1099-G showing any state refunds • Unemployment compensation amount • Social Security benefits • Expense receipts for deductions • Day care provider’s identifying number

Did You Know? • Because of a holiday, the 2012 tax deadline is April 17. • Everyone can do their taxes for free with IRS Free File.

• If you claim EITC, it can be complex so try to avoid the common errors such as mistakes on income amounts, filing head of household when you should file as married, or claiming children who have not lived with you for more than half the year. • If you use a paid tax return preparer, make sure to seek out a reputable one. Tax professionals must sign returns they prepare and use their Preparer Tax Identification Numbers. To learn more about EITC, go to www.irs.gov/eitc and use the EITC Assistant, or ask your tax professional. All EITC claimants are eligible for free tax help from the 12,000 volunteer sites nationwide or to use Free File at www.irs.gov/freefile.

• Earned Income Tax Credit (EITC) is for working families, yet 20 percent overlook it. • Eighty percent of taxpayers get a refund. • IRS2GO is a new smartphone app that lets you track your refund. • No phone? Visit “Where’s My Refund?” at www.irs.gov. • The official website, www.irs.gov, has a new look, and the latest info.

Find Out if You are Eligible for the EITC No tax benefit offers a greater lifeline to working families than EITC. Yet, one out of every five eligible taxpayers fails to claim it, according to the IRS. Because of the economy, even more people may be eligible if they have had changes in their earned income. Here are a few things to keep in mind: • The amount of qualifying income depends on your situation. For example, married workers, who earned $49,078 or less from wages, selfemployment or farm income last year, are filing jointly, and have two qualifying children, could be eligible. The maximum credit for 2011 tax returns is $5,751 for workers with three or more qualifying children.

EITC Rules: Are You Eligible? Rules for Everyone

• Eligibility for the EITC is determined based on a number of factors including earnings, filing status and eligible children. Workers without qualifying children may be eligible for a smaller credit amount.

• You must have a valid Social Security number.

• You must file a tax return, even if you do not have a filing requirement, and specifically claim the credit. Those who typically fail to claim the EITC include rural workers and their families; non-traditional families, such as grandparents or foster parents raising children; taxpayers without qualifying children; individuals with limited English proficiency; and taxpayers with disabilities.

• Your adjusted gross income cannot be more than the limit. • Your filing status cannot be “Married filing separately.” • You must be a U.S. citizen or resident alien all year. • You cannot file Form 2555 or Form 2555-EZ. • Your investment income must be $3,150 or less. • You must have earned income.

January/February 2012 — Greater St. Louis Area — Healthy Cells Magazine — Page 25

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DIAMONDS AREN’T A GIRL’S BEST FRIEND.

Looking good on the outside begins by being strong on the inside. That’s because later in life, especially for women, strong bones help prevent fractures and height loss. Your window to build maximum bone density is now, during your late teens and early twenties. So eat wisely, get plenty of calcium and vitamin D, and do weight-bearing exercises every day. To devise a plan that’s right for you, go to aaos.org or rjos.org.