SUMMER FUN and WEIGHT LOSS Can Coexist
Latest Advances in MINIMALLY INVASIVE Gallbladder Surgery JUST GOT SMALLER!
BRINGING HEALTH & WELLNESS to the LOCAL COMMUNITY 7 Tips for a Do You Know the STRESS-FREE VACATION SIGNS OF MEMORY LOSS?
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Mirabile M.D. Beauty, Health & Wellness 4550 W. 109th St. | Suite 130 | Overland Park, KS 66211 913.284.0459 | MediWeightloss.com | MirabileMD.com *Initial Consultation only. Must call to schedule by 7/31/15. At participating locations only. Not valid with other offers or applicable to . Value Plans. † On average, patients compliant with the Medi-Weightloss® Program lose 6.4 pounds the first week and 14 pounds the first month. Rapid weight loss may be associated with certain medical conditions and should only be considered by those who are medically appropriate. © 2015 Medi IP, LLC. All Rights Reserved
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Summer is the perfect time of year to focus on a new beginning for your loved one. At Tallgrass Creek, your family member will enjoy personalized, compassionate support from a team that tends to their physical, emotional, and spiritual happiness, as well as their medical needs. Helping your loved one feel independent, empowered, and understood is our top priority.
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Ready when the time is right. Joining the Priority List is the best way to ensure you’ll have preferred access to our continuing care neighborhood.
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Learn what makes us different from other memory care providers. Call 913-871-3674 for your free brochure or to schedule a visit. 10915180
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4 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
Bringing Health & Wellness to the Local Community T
By Elizabeth Kelley
Our Health & Wellness Partners
The Health & Wellmobile program is made possible by Diagnostic Imaging Centers, P.A., in partnership with Rawxies Healthy Snacks, SAFEKC, McCarthy Auto Group, Lauren Wants to Know, Comfort Dental, NuSound Hearing, Kansas City Pediatrics and Kansas City Health & Wellness Magazine. The Diagnostic Imaging Centers, P.A. Health & Wellmobile travels daily across the Kansas City Metro, providing its services to both employers and the general public. Free and low-cost Health Screenings, Wellness Exams, and Sports Physicals are provided by licensed medical sponsor partners. There are multiple ways to interact with the Health & Wellmobile: • Local Community Events • Sponsor Partner Locations • Charity Events • Health Fairs • Sports Physicals (middle school through professional athletes)
Services Offered:
• Blood Pressure Screening • Blood Glucose Screening • Biometric Screening • Vision Screening • Hearing Screening • Heel Scan Bone Density Screening • Concussion Screening • Sports Injury Assessments • BMI Screening…and many more!
he Diagnostic Imaging Centers, P.A. Health & Wellmobile is a massive consumer health education and wellness screening program designed to promote healthier living among local community residents while providing an opportunity for consumers to receive basic health screenings and services where they work, live and play. Our goal is to promote overall health and wellness; to motivate consumers to be proactive about their health while becoming passionate regarding their overall wellness.
Local Charity Partnerships
The Diagnostic Imaging Centers P.A. Health & Wellmobile has expanded its reach through partnerships with several local charities to promote and attend their events. The Health & Wellmobile most recently has partnered with the Kansas City Ronald McDonald House, Relay for Life, Heroes for Hospice, several local Chamber events, and many local run races benefiting a number of local charities. As the program continues to grow, building partnerships with local charities is a key area of service for the Health & Wellmobile, and they always welcome new partners.
School Partnerships
Another area of focus for the Health & Wellmobile is local students and athletes. The Health & Wellmobile has successfully built partnerships with several local schools and colleges to provide low cost sports injury assessment and sports physicals. The Health & Wellmobile has also appeared at several local youth sporting events such as baseball, soccer, wrestling, softball, track meets and volleyball. Just as with our local businesses and charity partnerships, we are always looking to welcome new student and athlete organizations and school partnerships.
Cumulus Radio Group Partnership
Through its partnership with Cumulus Radio Group offering ongoing radio and online promotion of our services, calendar, partners and education, the Health & Wellmobile is a powerful force in the communities it serves. www.kchealthandwellness.com
Our Dream and Mission
In the end, our dream and mission is to motivate consumers to proactively take charge of their health and overall wellness in partnership with local businesses, charities, schools and consumers.To find a Diagnostic Imaging Centers, P.A. Health & Wellmobile tour stop near you, please visit www.healthwellmobile.com. To learn more about our services or the partnership opportunities available with Diagnostic Imaging Centers, P.A. Health & Wellmobile, please call us at 913-274-8008 or email us at info@healthwellmobile.com.
contents
July 2015
Bringing Health & Wellness County Libraries 4 19 Johnson Available As Cooling Centers to the Local Community Summer Fun and Weight Loss 20 Pet Safety 6 Can Coexist During the Summer Months Helping Clients Win Social 21 Tips for Orientation and 8 Security Disability Cases Heading Off To College 7 Tips for a Stress-Free 9 We’re All About Those 23 Summer Vacation ZZZZZZZZZZZZZZZZZZZ’s
to Recognize and Treat 10 How Hair Loss 13 Shooting Pain in the Ball
of Your Foot?
Advances in Minimally 14 Latest Invasive Gallbladder Surgery
Just Got Smaller!
Root Canal 15 Non-Surgical Therapy Relieves Pain 16 Do You Know the Signs
of Memory Loss?
18
LISTEN UP! Protect Your Hearing On Independence Day!
24 It's Hot Outside! is Juvenile Arthritis 26 July Awareness Month Your Diet 27 Could Be Causing
Your Insomnia?
Safety – Make Sure 28 Beach Your Beach Time
Remains Fun and Safe
Rates 29 Melanoma Have DOUBLED Over the
Last Three Decades
Glimpse 30 Aat Firsthand God's Mighty Work
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6 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
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8 Health l y 2 02015 15 – K n s a s C i City ty 18 Health& &Wellness WellnessJ uMay - aKansas
t is a frustrating feeling to work hard your whole life to support yourself and your family only to suffer a debilitating injury or illness that cuts your career short. It's even more frustrating when Social Security, the government safety-net that you have been contributing to for years, denies your claim to collect Social Security Disability benefits. At the Law Offices of Sharon J. Meyers, in Kansas City, Missouri, we understand how the frustration caused by not being able to go to work is compounded by the stress of facing mounting bills and not having sufficient income to pay them. Our first message is not to panic if your initial application for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI) has been denied. Some 80 percent of firsttime applicants are denied benefits by the Social Security Administration. 0VS $PNQFOTBUJPO )JOHFT 6QPO :PVS 4VDDFTT We take all SSDI and SSI cases on a contingency fee basis, which means you do not pay attorney fees unless your claim is approved. It is common and important to appeal a denial of an initial SSDI or SSI claim. The key is to be persistent. And it helps to enlist the services of an experienced Social Security disability lawyer who understands the complex application process. 0VS FYQFSJFODFE MFHBM UFBN — and it truly is a team effort at the Law Offices of Sharon J. Meyers — has helped thousands of Missouri and Kansas residents receive the full disability benefits they deserve. We are a local firm that was established in 1981, and we are entirely focused on Social Security disability law.
We know what sort of information wins Social Security disability cases. Once you select us to represent you, we take the lead in gathering all of the medical records and additional information that is necessary to support your claim. We handle all communication with your doctors, submit all forms to the Social Security Administration and monitor every deadline for you. We present your strongest legal arguments to the decision-makers who will approve your claim, including the administrative law judge (ALJ), if your case reaches that level. 5IF *NQPSUBODF 0G 5SFBUJOH &BDI $BTF *OEJWJEVBMMZ Although we have seen every sort of situation imaginable in more than 30 years of practicing Social Security disability law, we still review each case on its own merit. We use the best practices, but we don't follow formulaic approaches. Bringing your unique story to life for those who will review — and ultimately approve — your claim is the best way to ensure success. It is our mission to help hard-working Kansas and Missouri residents obtain the benefits they have earned. The first step to receiving your benefits is providing us with the opportunity to review the facts of your case during a free consultation, so we can recommend the best steps to take. To talk with a Social Security disability lawyer serving Kansas and Missouri, call 816-753-3929 and schedule a free consultation. You can also contact us online at www.SharonMeyersLaw.com and someone from our legal team will get in touch with you.
4050 Pennsylvania Avenue, Suite 210 Kansas City, MO 64111 Phone: 816-753-3929 Fax: 816-753-0274 www.SharonMeyersLaw.com
www.kchealthandwellness.com www.kchealthandwellness.com
Attorney Sharon J. Meyers Attorney Sharon J. Meyers comes from a family of successful lawyers. She received her Juris Doctorate from the University of MissouriKansas City School of Law in 1981. She has been in private law practice since 1981, specializing in the area of Social Security disability law. Ms. Meyers has firsthand personal experience with disability benefits, having battled leukemia 25 years ago and relying on disability income to help get her through that fight. She is a sustaining member of the National Organization of Social Security Claimants' Representatives, the Missouri Bar and the National Lawyers Association. She also is a member of the Kansas City Metropolitan Bar Association, and both Kansas and Missouri Federal District Courts. She serves on the board of directors of the National Chronic Fatigue Syndrome and Fibromyalgia Association.
K a n s a s C i t y – J u l y 2 0 15 Health & Wellness
We’re All About Those ZZZZZZZZZZZZZZZZZZZ’s By Larry Pribyl, DDS
E
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Oral Appliance Can Improve Snoring and Sleep the First Night!
ver notice how many more mattress stores there are these days? Even the major retail chains are focusing more on the sale of mattresses. I believe the focus has to do with increased awareness of how important it is to our health and well-being to get a good night’s sleep. Retailers are cashing in on this trend but it’s not just about having a great surface to lie down on each night. Americans are getting less sleep than ever. According to the National Sleep Foundation, adults need 7 to 9 hours every night. If you’re one of those who typically gets only 5-6 hours, you may be more tired than you realize. A study from the University of Pennsylvania states that adults who sleep 6 hours or less are twice as likely to report drowsy driving. That’s a major safety concern for all of us!
Health Risks of Losing Sleep So maybe you’re good about getting to bed at a decent hour but it’s the quality of sleep you’re getting—or not! And it’s not just the hours we THINK we are sleeping because if you sleep with a person who snores, you ARE losing sleep as well. But more importantly, if YOU are the snorer, your health could be at increased risk. Do you wake up tired? If you sit quietly in the afternoon do you start to doze? Do you always seem to nap if someone else is driving? Possible Causes of Snoring Snoring is a sound that is produced by a vibration of the soft palate and sides of the throat when air rushes against them. The noise occurs when the airway is narrow or collapses and the muscles fail to maintain their normal function. There are several causes for snoring that include fat deposits in the throat, large tonsils or a long soft palate or uvula. People who snore may be experiencing Obstructive Sleep Apnea (OSA) – a true medical condition which may cause high blood pressure and cardiovascular problems. Epworth Sleepiness Test The Epworth Sleepiness Test is one method you can use to confirm your lack of restful sleep. Use the following scale to choose the most likely number in each situation: • 0 – Would never doze off or fall asleep in this situation • 1 – Slight chance of dozing in this situation • 2 – Moderate chance of dozing in this situation • 3 – High chance of dozing or falling asleep in this situation Score your answers to these questions using the scale above. 1. Sitting and reading _______ 2. Watching television_______ 3. Sitting, inactive in a public place (theater, meeting, etc.)______ 4. As a passenger in a car for an hour without a break_______ 5. Lying down in the afternoon when circumstances permit_____ 6. Sitting and talking to someone______ 7. Sitting quietly after lunch without alcohol_____ 8. In a car, while stopped for a few minutes in traffic______ Total score: _______
If your total score is 1-6, chances of Obstructive Sleep Apnea are less likely. If your total score is 7-8, you are average. If your score is 9 or higher, Obstructive Sleep Apnea is more likely and you should seek the advice of your primary care physician or sleep dentist.
Snoring Can Be Eliminated or Greatly Reduced Dr. Pribyl has a special interest in patients who wish to manage their sleep apnea and snoring with an oral appliance. Seventy-five percent of patients who choose this method can see improvement the first night. Their snoring can either be eliminated or greatly reduced. Visit our website www.tmjsleepapnea.com for more information, or call us at 816-795-1000. Larry Pribyl, DDS, has been in private practice over thirty five years. He has his Master of Excellence: American Academy of Craniofacial Pain, he is a Diplomate: American Board of Dental Sleep Medicine, and a Diplomate: Academy of Clinical Sleep Disorders Disciplines. He specializes in treating head, neck, and facial pain as well as dental sleep medicine. His training comes from experts in these fields where he has acquired hundreds of continuing education hours in post graduate studies.
www.kchealthandwellness.com
10 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
How to Recognize and Treat
Hair Loss
By Meena Singh, MD
M
any individuals will experience alopecia or hair loss over their lifetimes. There are many types of hair loss, as well as both surgical and non-surgical treatments to help. The first and most important aspect to mitigating ongoing hair loss, and restoring and re-thickening hairs, entails properly recognizing the type of hair loss. Hair loss or alopecia can be divided into two general categories: Non-scarring and scarring.
Non-scarring Hair Loss
There are several types of non-scarring hair loss. These types of hair loss are not typically permanent; however, if left untreated, these forms of alopecia can eventually lead to permanent loss. 1) Telogen Effluvium: The hair grows in three phases: Anagen (growing), Catagen (resting) and Telogen (shedding). Normally, 85 to 90 percent of the scalp hair is in the anagen phase, 2 to 3 percent is in catagen, and 10 to 15 percent is in telogen. We should normally shed between 100 and 150 hairs daily. However, if a stressor occurs (i. e. thyroid abnormality, iron deficiency, hormonal changes, medication change, pregnancy, hospitalization, or serious illness), up to four to six months later, the hair cycle can shift so that 20 to 40 percent of the scalp hair sheds, or enters the telogen phase. This is usually manifested as significant shedding and decreased overall thickness of the hair. This entity is typically temporary, with the hair shifting back to normal cycling six to 12 months after the inciting stressor has been resolved. Rarely, telogen effluvium can be ‘idiopathic’—where no cause is found and the hair loss is chronic. 2) Androgenetic Alopecia: Male and female pattern hair loss are the most recognizable forms of hair loss. Without treatment, this hair loss can become permanent. This entity leads to
progressive miniaturization of the hairs in the affected area with each hair cycle, until the hair can no longer grow back. The best treatment of Androgenetic Alopecia is preventative! It is better to prevent or slow down the hair loss, than to wait until the hair loss becomes noticeable to the public. At that point, it is more difficult to achieve regrowth with medication and may warrant treatment with surgical hair restoration. 3) Alopecia Areata: This entity is a less-common form of non-scarring alopecia. Alopecia Areata is an autoimmune condition, in which the immune system attacks the bulb of the hair follicle, causing the hair to fall out. It can leave large, completely bald circular patches or diffusely bald areas. 4) Traction Alopecia: Traction Alopecia is typically loss around the hairline caused by tight hairwww.kchealthandwellness.com
styling practices such as tight ponytails, braids, weaves and dreadlocks. Tight hairstyles cause tenderness and inflammation around the hair follicles. Without stopping the inciting problem and treating the hair loss, Traction Alopecia can eventually lead to permanent, scarring hair loss.
Scarring Hair Loss
There are several types of scarring hair loss. They are caused by inflammation around the hair follicles that eventually heal over with ‘fibrosis’ or a scar. These entities can be treated if diagnosed early. The goal of treatment is to stop the progression of the inflammation to allow the hair to regrow. However, once the scarring has begun, it becomes difficult to achieve regrowth. 1) Lichen Planopilaris (LPP): For unknown reasons, LPP is typically seen in middle-aged Caucasian women. It typically leads to tender, burning,
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and/or itchy areas in the front of the scalp with redness, scaling, and bumps around the affected hair follicles. 2) Frontal Fibrosing Alopecia (FFA): FFA is considered to be a variant of LPP; however, it is more commonly seen in post-menopausal Caucasian women. These women experience gradual hairline recession and eyebrow loss. 3) Central Centrifugal Cicatricial Alopecia (CCCA): For unknown reasons, CCCA affects predominantly women of African descent. It can be accompanied by traction alopecia, and may be related to a history of tight hairstyling practices or pomade use. It starts with mild tenderness and hair loss on the crown of the scalp. If left untreated, it can be a chronic progressive condition, leading to cosmetically-disfiguring balding. 4) Discoid Lupus Erythematosus (DLE): DLE is an autoimmune condition that typically only affects the skin. However, rarely, these individuals can develop systemic lupus erythematosus. When DLE affects the scalp, it can cause reddish-purple or brown plaques with hair loss in the affected areas.
Non-Surgical Treatments for Hair Loss:
Many people are not candidates for hair transplantation. In addition, even those that are surgical candidates, may need to address the issue of ongoing hair loss. Non-surgical treatments for hair loss include topical treatments, oral medication and laser devices. Minoxidil (brand name Rogaine) is an FDA-approved direct stimulator of hair growth. It works in 88 to 90 percent of individuals with Androgenetic Alopecia to slow down the progression of hair loss, re-thicken hairs that have thinned, and regrow hairs that have not been permanently lost. We recommend using the 5 percent foam once daily for both men and women. This solution is just as effective; however, it contains a potential irritant and some complain that it is too greasy. Finasteride (brand name Propecia) is FDA-approved in men only. However, it may be indicated in post-menopausal women with Androgenetic Alopecia. It blocks the effects of dihydrotestosterone on the hair follicle. The product works in up to 92 percent of users to stop the progression of hair loss, and can also rethicken and regrow hair. Up to 1 to 2 percent of men may experience sexual side effects.
Spironolactone is a diuretic that functions as an anti-androgen medication in women. At high doses, it can block hormonal influences on hair loss in women. It is not typically used as monotherapy for hair loss, but usually as an adjunct to minoxidil. At these higher doses, women can experience irregular periods, muscle cramps, increased potassium and lightheadedness, therefore, we typically start at lower doses to gauge tolerability. Low-level laser light stimulation devices can also stimulate hair thickening and regrowth. There are many devices on the market. In addition, I typically recommend it as an adjunct to other more well-studied treatments, such as minoxidil and finasteride. Platelet Rich Plasma (PRP) is a preparation taken from a patient’s own blood in which the platelets are enriched in concentrated plasma. PRP increases dermal papilla cells, which are decreased in individuals with balding, and potent hair growth stimulators, Fibroblast growth factor-7 and Betacatenin. In addition, mice treated with PRP have quicker transitions into the growing phase of hair than untreated mice. When used as an adjunct to hair transplantation, hair follicles pre-treated with PRP can demonstrate better density and graft survival. Because of the improved hair growth seen with hair transplantation and the above-mentioned animal studies, hair specialists have started using PRP as primary treatment for male and female pattern balding, as well as Alopecia Areata. PRP treatment is particularly attractive for women who have not seen great results with minoxidil, and young men who may not be suitable candidates for finasteride or hair transplantation.
Surgical Hair Restoration
Modern hair transplant surgery is an exciting and gratifying method to restore hair on a thinning scalp. It entails removing hair from the back of the scalp – which is generally thicker and grows longer – and placing it in the front of the scalp. This surgery works because the hair in the back has a different genetic destiny than the hair in the front. www.kchealthandwellness.com
Unlike hair transplants in previous decades where “hair plugs” were used, follicular unit transplantation aims at restoring thinned areas while creating a natural, undetectable appearance. We achieve this by using small, follicular groupings of one to three hairs while creating a very natural-looking hairline. When performing hair transplantation in men, the most important aspect is creating a natural appearing hairline. Because it is difficult to predict the future extent of hair loss, it is also pertinent that ongoing hair loss is accounted for, so that the cosmetic improvement looks natural today and 20 years from now. Fortunately, most women experiencing hair loss are helped with a combination of both medical and surgical therapies. Many women are candidates for hair transplantation. With the use of follicular unit transplantation with one to four follicular unit grafts, very good cosmetic, natural-appearing results can be achieved. Women are often more concerned about the ‘see-through’ nature of the scalp, as opposed to regression of the hairline or loss at the crown of the scalp. The net cosmetic outcome and density will reflect the amount of hairs transplanted minus the ongoing hair loss. In addition, placing the hairs predominantly in the frontal scalp, as opposed to diffusely spreading it throughout the involved areas will lead to a better cosmetic outcome. KMC Hair Center treats all of the above-mentioned hair loss types using a combination of the above therapies. If you are experiencing hair loss and would like to explore your options, contact us for a consultation to see what treatments can work for you. Call 913-631-6330 or visit KMCHairCenter. com to learn more.
6333 Long Ave, Ste #360 BMO Harris Bank Bldg Shawnee, KS 66216 913.631.6330 KMCHairCenter.com
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14 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
D
Latest Advances in Minimally Invasive Gallbladder Surgery Just Got Smaller!
r. Christopher Daggett with Advanced Surgical Associates is among the first physicians in the Kansas City area to provide micro-laparoscopic gallbladder removal surgery (cholecystectomy).
Recent advances in minimally invasive surgery aimed at diminishing incision size have led to the development of micro-laparoscopic surgical instruments. The increased level of complexity using such instruments requires a higher level of surgical skill compared to traditional laparoscopy. Having performed General Surgery in Eastern Jackson County and the Kansas City Metro for more than 30 years, Dr. Daggett describes this procedure as a significant improvement for laparoscopic surgery. A new smaller micro-laparoscopic instrument is benefiting cholecystectomy patients and demonstrating great success. It requires a 50% smaller incision at the surgical opening versus traditional laparoscopic cholecystectomy or robotic surgeries. CareFusion, a leading global medical technology company, recently launched its new micro-laparoscopic line, with surgical instruments as small as 2.7 mm in diameter, half that of the standard 5 mm or 10 mm. Hand instrumentation is made of a proprietary ceramic titanium alloy material to provide strength comparable to standard 5 mm laparoscopic instruments.
About the Gallbladder
The gallbladder is a pear-shaped organ beneath the liver. It collects and concentrates a digestive liquid called bile that is produced by the liver. Bile is released from the gallbladder into the small intestine after eating, aiding in digestion. Gallbladder problems are typically caused by the formation of gallstones, which are small hard masses made up of cholesterol and bile salts that form in the gallbladder or in the bile duct. These may show up in X-rays and other imaging tests. It's uncertain why some people form gallstones and there is no known means of prevention. These stones tend to block the flow of bile out of the gallbladder causing swelling, sharp abdominal pain, vomiting, indigestion and occasionally, fever. In the United States, there are 20-25 million newly diagnosed gallstone patients each year. However, most people with gallstones don't know they have them. It is quite common to have stones in the gallbladder that cause no symptoms. When they do affect your health, surgery to remove the gallbladder is usually recommended.
Less Scarring and Discomfort
Dr. Daggett is trained in the newest techniques to treat gallbladder issues and relieve your pain. If you are a candidate for micro-laparoscopic surgery, smaller incisions provide the benefit of less patient discomfort and less scarring as they eliminate the need to close the incision site with sutures in some procedures. Better cosmetic results are achieved through incisions that do not require stitches, as scars are virtually invisible. In addition, candidates appropriate for this approach tend to have shorter hospital stays with less postoperative discomfort.
Micro-laparoscopy may not be appropriate for some patients who have had previous upper abdominal surgery causing dense scar tissue, or who have some pre-existing medical conditions such as obesity. A thorough medical evaluation by your personal physician, in consultation with a surgeon trained in micro-laparoscopy, can determine if this method of gallbladder removal is an appropriate procedure for you.
Up-to-Date Technology
Using the most up-to-date technology, your treatment will be safe, convenient and tailored to your specific needs. Rest assured, Dr. Daggett will have you back to your normal activities as quickly as possible. To learn more or to schedule a consultation, please call Advanced Surgical Associates at 816-246-0800 or visit online at www.asakc.com. Christopher Daggett, D.O.
Dr. Daggett is a board certified general surgeon who was born and raised in Kansas City. He completed his residency at Lakeside Hospital in 1983 and immediately went into a solo general surgery practice in the Kansas City area. Dr. Daggett is Program Director of the General Surgery Residency program at Kansas City University of Medicine and Biosciences (KCUMB). Advanced Surgical Associates (ASA) is a leader in providing minimally invasive general surgery for residents in Eastern Jackson County and the Kansas City Metro. The laparoscopic techniques of Christopher Daggett, D.O., Adam Kramer, D.O. and Christie M. Brock, D.O. benefit patients by allowing for shorter recovery times and minimal scarring.
www.kchealthandwellness.com
3460 NE Ralph Powell Road Lee’s Summit, MO 64064 816-246-0800 . www.asakc.com
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16 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
DO YOU KNOW THE SIGNS OF MEMORY LOSS?
How to recognize and treat the first symptoms
T
oo often, the first signs of memory-related disorders like Alzheimer’s or dementia are dismissed as part of normal aging. The earlier you recognize the symptoms for what they are, the sooner you can help your loved one get the proper care and treatment. According to the senior health experts at Tallgrass Creek, a continuing care retirement community in Overland Park, the following signs may indicate something beyond the typical “senior moment”:
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Your Tallgrass Creek Medical Provider
Confusion and forgetfulness Some of the most common signs of Alzheimer’s include forgetting important dates, failing to retain recently learned information, confusion with time and place, and asking for the same information over and over again. Difficulty problem-solving Another common sign is a change in the individual’s ability to follow directions or work with numbers. This may include trouble concentrating or following a familiar recipe.
or even recognizing themselves in a mirror. Other people may struggle to find the right words or to follow a conversation. Changes in personality Symptoms of Alzheimer’s sometimes include changes in mood. A person may become fearful, suspicious, depressed, withdrawn, or agitated, especially when a familiar routine is interrupted.
Vision and speech problems Some individuals develop difficulty reading, determining colors, perceiving spatial relationships,
Impaired judgment Memory loss may cause people to give away large sums of money or reveal sensitive information. Other people may dress inappropriately or neglect normal grooming.
I know the signs. Now what? Here’s the good news: there are a wealth of memory care options available right here in the Kansas City area. According to the senior specialists at Tallgrass Creek, look for a provider with a dedicated memory care neighborhood where your loved one can pursue activities, remain involved, and feel safe and comfortable—all while receiving individualized care.
Also, be sure to ask about the staff-to-resident ratio. You don’t want the staff to simply check in on your loved one now and then; you want engaged residents and compassionate, one-on-one care. At Tallgrass Creek, for example, the full-time doctors and care associates get to know your loved one on a personal level, understanding their likes, dislikes, and unique interests. This creates meaningful relationships for both resident and staff. Next steps To speak to the memory care experts at Tallgrass Creek, call 913-284-0981 today. You can also request a complimentary brochure detailing all of the continuing care options available.
Receive a FREE “Memory Care Checklist” with tips to help you select the right option for your loved one.
Call 913-284-0981.
www.kchealthandwellness.com
Austin T. Welsh, Jr., M.D. Dr. Welsh received his bachelor's degree from Yale University in New Haven, Connecticut, and his medical degree from Boonshoft School of Medicine in Dayton, Ohio. He completed his residency in Family Medicine at Mercy Medical Center in St. Louis, Missouri. Dr. Welsh is Board Certified in Family Practice with added qualifications in Geriatric Medicine; he trained at the Geriatrics Fellowship program at the John A. Burns School of Medicine in Honolulu, Hawaii. He joined Tallgrass Creek in October 2007.
Tallgrass Creek is accepting reservations for assisted living and memory care. Call (913) 284-0981 for more information, or request a brochure.
(913) 284-0981 13800 Metcalf Avenue Overland Park, Kansas 66223 www.EricksonLiving.com/Tallgrass-Creek
LISTEN UP! PROTECT YOUR HEARING 18 Health & Wellness J u l y 2 0 15 – K a n s a s C i t y
ON INDEPENDENCE DAY!
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en million Americans have suffered hearing damage due to noise. Many think the irreversible hearing loss caused from noise only occurs with exposure over time, such as with factory or farm machinery. However, nothing could be further from the truth. A noise-induced hearing loss can also occur from one sudden blast of sound… even from a single firecracker. According to the American Pyrotechnics Association, consumption of fireworks in the United States has risen dramatically over the past decade, from 152.2 million pounds in 2000 to over 207.5 million pounds in 2012. As more and more Americans come into contact with fireworks, it becomes increasingly important that people follow sound safety measures, including wearing hearing protection. Ear Plugs Can Help Protect Your Hearing Most firecrackers produce sounds starting at 125 dB (decibels) in loudness, which is 40dB above what is considered to be safe. Our best advice is for you to leave the fireworks to the professionals and sit a comfortable distance from the display, where you can enjoy the colors, lights, and sounds, but not expose yourself or your family to the loud noises. To protect your hearing, make sure you are wearing ear plugs and that they are securely in place before the show begins. And be sure to keep them in for the entire show. Disposable ear plugs are practical, inexpensive, comfortable, and readily available. Disposable ear plugs are made of a soft foam or silicone material and are typically available at local pharmacies and sporting goods stores. These ear plugs come in adult and children’s sizes. It is very important that you
purchase the correct size of ear plugs for your family in order for them to work as they should. With a snug fit, disposable ear plugs are effective in adequately blocking out dangerously loud sounds. However, if they do not fit or are not inserted correctly, disposable ear plugs cannot provide the amount of protection stated on the packaging, and may not protect your hearing at all. Custom-Made Ear Plugs Custom-made ear plugs are the best choice for those who need daily or frequent hearing protection. Custom ear plugs are laboratorymade from a mold of your ear taken by a trained audiologist or hearing instrument specialist. They are available in a wide variety of colors and materials, from very soft silicones to harder acrylics. The advantage of the softer ear plugs is that they change shape slightly as your ear canal changes shape when talking or chewing, thereby continuing to seal during those activities. Being custom-made, ear plugs molded to your ear are comfortable for extended periods of use. In www.kchealthandwellness.com
addition, these ear plugs can be tuned with special filters, venting, handles and cords to target specific activities. For example, an ear plug made for a musician to use in a concert or on stage would be made to filter much differently than an ear plug made for a motorcycle enthusiast, hunter, or race car driver. Also, depending on the activity the custom-made ear plug is designed for, most can be made to where you can hear speech and music while protecting your hearing from the loud sounds that are harmful.
The Dangers and Signs of Loud Noise Exposure: You have pain in your ears after leaving a noisy area You hear ringing or buzzing (tinnitus) in your ears immediately after exposure to noise. You suddenly have difficulty understanding speech after exposure to noise, you can hear people talking but cannot understand them.
Johnson County Libraries
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Available As Cooling Centers The Johnson County Department of Health and Environment, in cooperation with the Johnson County Library, encourages citizens who need a place to cool down during hot days to visit one of 13 library branches. All of these facilities will be available during normal business hours. Libraries offer many services in addition to a cool place to rest and restore. You can read books, magazines and newspapers, or access the Internet.
Tips to Stay Safe in the Heat
The Johnson County Department of Health and Environment recommends the following to stay safe in the heat: • Drink more fluids (non-alcoholic), regardless of your activity level. Check with your doctor if you have restrictions related to fluid intake. • Stay indoors and, if at all possible, stay in an air-conditioned place. If your home does not have air conditioning, go somewhere cool— even a few hours spent in air conditioning can help your body stay cooler when you go back into the heat. • Electric fans may provide comfort, but when temperatures are in the high 90s, fans will not prevent heat-related illness. • Wear lightweight, light-colored, loose-fitting clothing.
• If you must be out in the heat, limit your outdoor activity to morning and evening hours. • Exercise in an air-conditioned place and drink two to four glasses of cool, non-alcoholic fluids each hour. A sports drink can replace the salt and minerals you lose in sweat. • If you have to be outside, try to rest often in shady areas. • Protect yourself from the sun by putting on sunscreen of SPF 15 or higher and wear a wide-brimmed hat and sunglasses.
People at Greater Risk for Heat-Related Illness
Although anyone at any time can suffer from heat-related illness, some are at greater risk than others. Be sure to check regularly on: • People aged 65 or older. • People taking certain medications, including narcotics, sedatives, and diuretics. • Toddlers left in cars and infants less than one year old. • Athletes who are not used to working out in warm environments. • People who work outside. • People who have a mental illness or are physically ill, especially with heart disease, high blood pressure or diabetes.
Library hours vary by location. Call (913) 826-4600 to check hours of operation for your nearest Johnson County Library branch, or visit the Library website at www.jocolibrary.org/locations www.kchealthandwellness.com
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Tips for Orientation and Heading Off To College
By Rachel Lewis
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uddenly it’s July and the time to head off to college is fast approaching. College is usually the first time most students are independent and living away from their parents. It is the time when students are able to discover who they are away from the people they have grown up around. However, transitioning into college can be difficult, and many students experience bumps and stalls along the way. We have come up with some tips for you to help ease the transition. 1. Attend Orientation Orientation matters. It offers students their first real glimpse of the school that will be their home for the next four years. You are able to meet other incoming freshmen, begin to find your way around campus, possibly get assigned an academic advisor, and finally sign up for classes. Find out if you and your roommate are attending orientation together and make plans to meet up if you are. 2. Get Organized Your college experience is all on your shoulders. You will no longer have your parents there to make sure you stay on top of your homework or study for your tests. Make sure you know how you study best and prepare ahead of time. Grab the tools you will need to make sure that you can stay on top of the workload. 3. Understand the Differences Between High School and College In college, you get to choose not only which classes you take but also when you take them. Unlike in high school, you won’t have 7 or 8 hours of classes
a day and homework every night. You might only have one or two classes a day instead. That is why being organized is so important, and why recognizing the differences between the two levels of schooling can make a large impact. 4. Take Care of Yourself College is a new experience and you want to be healthy to maximize its potential. Late night study sessions, all-nighters, and a fast food diet are some of the top contributors as to why college students get sick. Staying healthy by taking care of your basic needs allows you to have more fun with your friends. 5. Get Involved Now is the time to try new things. Join a club that interests you, attend a lecture series, check out the theatre performances, join an intramural team, or anything else that appeals to you. College is not just about the education but is also about the wealth of experiences your campus offers. Check them out! These are all tips that can help ease the transition and get you ready for college. A bonus tip that many parents will appreciate is for you to do your laundry. Wash your clothes, as you are officially an adult. On that note, you should wash your sheets too. Don’t wait until you come home so your parents can do it. Summer Leadership Program If you are looking for something else to do this summer before you head off to college, Success Skills Weekly is offering a summer leadership program in conjunction with the Leadership Institute of Greater Kansas City. That may be something that you want to try to gain 12 hours of leadership training for your resume. Remember to get ahead and stay ahead! Call To Learn More! For information on the Success Skills Weekly program or the Summer Leadership Program at the Leadership Institute of Greater Kansas City, please contact us at info@SuccessSkillsWeekly.com or call 1-877-872-5019 for more information. www.kchealthandwellness.com
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Rachel Lewis
Rachel Lewis graduated with honors from the University of Kansas in just three and a half years in December, 2010, and has already written a book and started her second business. She has been interviewed by the New York Times, USA Today, Fox Business and has been cited in an article in Forbes on successful businesses. She has worked with students from middle school through college helping with goal setting, confidence building, study skills, and getting ready for "the real world." She launched Success Skills Weekly with her mother and brother to assist students with critical skills that are needed for success, but not being taught anywhere. Rachel is a member of the Junior League of Kansas City, and was selected as a Belle of the American Royal in 2011 and has been an active volunteer for the BOTAR and the American Royal organizations. She is also an Assistant Dance and Cheer Team Coach at her high school alma mater.
1-877-872-5019 www.SuccessSkillsWeekly.com If you would like more information about a success skills program for your middle school, high school or college age student, please visit www.SuccessSkillsWeekly.com, email Rachel directly at rachel@successskillsweekly.com or call 1-877-872-5019.
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Could Your Diet Be Causing Your Insomnia?
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nsomnia is one of the most common sleep disorders, with chronic insomnia affecting one person in ten. While there can be several reasons why people suffer from insomnia, scientists have discovered that what we eat plays a significant part in our ability to sleep well. What is insomnia? Insomnia is a sleep disorder wherein people are unable to sleep long enough to allow them to awake refreshed. For some, insomnia manifests by being unable to get to sleep at all, while others are able to sleep soon after retiring, but then wake after only a few hours and find they cannot return to sleep. Common symptoms of insomnia are lethargy, irritability and an inability to concentrate. However, insomnia can also have more serious effects, such as suppressing the immune system to make people more vulnerable to infections, as well as increasing the risk of high blood pressure, heart disease and Type 2 diabetes. Causes of insomnia Stress and anxiety are often the major causes of insomnia, but food and drink have been found to cause insomnia too. Beverages that contain caffeine, such as cola, coffee and, to a lesser extent, tea, can act as stimulants, producing adrenaline that will keep you awake, whilst a heavy alcohol intake will force your body to work harder to detoxify, inhibiting your ability to reach a restful level of sleep. Mealtimes may also be playing a part in your inability to sleep well. Going to bed soon after eating a large meal, or even soon after snacking, can cause indigestion, heartburn and acid reflux. Spicy foods, hot foods and even meals that have been high in fat will also cause these digestive problems.
What to eat and drink to sleep well What you eat can impact upon your ability to sleep just as much as when you eat. If your evening meal does not contain any protein, your body will find it more difficult to produce the amino acid tryptophan. Tryptophan helps to boost serotonin levels in the brain, which is then turned into the sleep-inducing hormone melatonin. If your diet lacks protein, introduce protein-rich foods such as fish and lean white meat, nuts and seeds and dairy products. However, the body's need for protein does not mean that you should overdose on foods that will provide it in order to sleep well. Too much protein will have the opposite effect, because your body will increase its levels of the tyrosine amino acid that will encourage the production of adrenaline, a stimulant. Your body also needs carbohydrates because these trigger an insulin release, which helps tryptophan and serotonin to be produced. Balance protein with good carbs that are kind to your waistline, such as wholewheat pasta, wholemeal bread and brown rice. Old wives' tales A glass of warm milk is an old-fashioned remedy for insomnia, but it is one that has a basis in fact, because all dairy products provide the body with calcium and magnesium, which help the muscles to relax. A glass of warm milk will, more importantly, boost the levels of serotonin in the brain. Other beverages that may be beneficial for sleep include herbal teas, particularly chamomile tea. Whether you are an occasional insomniac or suffer from chronic insomnia, science has proved that what you eat has a direct effect on your ability to sleep. Make small changes in your diet to improve your chances of being able to get to sleep quickly and to stay asleep, so that you wake feeling refreshed and ready for the day ahead.
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Beach Safety - Make Sure Your Beach Time Remains Fun and Safe
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day at the beach is one of the favorite ways families like to spend their vacation or holiday time. However, the beach is a natural environment that may harbor a number of dangers for both children and adults. Make sure your beach time remains a happy time, free of accidents and injuries.
Sunburn No matter how much experience people have with sunburns, they always seem to forget their own individual tolerance to ultraviolet rays and suffer a painful burn. Never go to the beach without a good supply of sunscreen with an SPF of at least 30. Reapply the sunscreen frequently, even if the label says it will last for hours. Sweat and water will wash off the sunscreen, leaving you vulnerable to severe burns. Children, in particular, should be monitored carefully for sunburn. Apply sunscreen before they leave the house to allow it to penetrate into the skin and re-apply every few hours. Always carry extra clothing. If you are on the beach for a protracted period, cover up little ones with a tee shirt and long pants to prevent painful burns. Use a lidocaine containing, cooling ointment to soothe minor burns after a day on the beach. Heatstroke Beach time can be so much fun that you can forget the amount of time you've been out in the sun. Heatstroke can occur any time you are in high temperatures and are engaged in vigorous physical activity. Signs of heatstroke include high body temperature, lack of sweating, flushed skin, nausea or vomiting, dizziness, rapid heart rate and fainting. If someone in your group suffers these symptoms, immediately get them to a cooler spot. Cool down
the body with damp cloths or a fan. If the person is conscious, have them drink water to re-hydrate the body. Take them for medical treatment to prevent further damage to the brain and body organs. Water Dangers Being at the beach necessarily includes water dangers. Ensure that your family knows the rules of safe swimming so that every beach visit is a happy occasion: • Drowning dangers - Teach all family members to swim as soon as they can understand the instructions. Small children who have not yet learned to swim require constant supervision. Always assign one family member for this task to avoid confusion that leads to unattended children getting into trouble in the water. • Never dive off rocks or jetties unless you know the depth of the water for certain. Reckless diving can cause neck and spine injuries. • Heed warnings about riptides. These warnings are often posted in swimming areas. If you are caught in a sudden riptide, swim parallel to the shore until you can break free of the pull of the current. Wave your hands to call attention to yourself to get help from lifeguards or other people on shore. Foot Injuries One of the most common beach injuries is cuts and scrapes on the foot. Many beaches are strewn with rocks or fragments of seashells, many of which have www.kchealthandwellness.com
sharp edges that can easily cut the skin. In addition, beachgoers may leave pop tops, bottle caps or broken glasses behind that can be a hazard to walking with bare feet. Wearing aqua shoes or flip-flops whenever walking the beach can help to prevent these injuries. However, your beach bag should also contain a small first-aid kit that contains some Band-Aids, gauze and tape to treat minor foot injuries instead of going to the emergency room. The kit should also contain over-the-counter pain reliever such as aspirin or ibuprofen to relief discomfort from these minor injuries. Jellyfish Stings Jellyfish are aquatic creatures found in many coastal beach areas. These sea animals have long, trailing tentacles that contain thousands of microscopic barbs when in contact with human skin. The sting generally causes a burning sensation, reddish marks on the skin and itching or throbbing of the area. Some individuals may be sensitive to the toxins and may feel nausea, headache, dizziness, muscle spasms or fainting. In severe reactions, death can result. Anyone that has been stung should be carefully monitored for severe reactions. To treat minor stings, remove any visible tentacles from the skin, rinse the injured area with household vinegar for 30 seconds and soothe the area with calamine lotion or lidocaine sunburn-relieving gel. If you suspect a severe reaction, get medical attention for the victim immediately.
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