METRO EAST area Promoting Healthier Living in Your Community • Physical • Emotional
NOVEMBER 2013
FREE
HealthyCells
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www.healthycellsmagazine.com
• Nutritional
Embracing the Science Behind Exceptional Skin Care
Revealing Your Options for Total Body Rejuvenation Options to Help Alleviate Lower Back Pain
Business Profile Hospice of Southern Illinois
M A G A Z I N E
Maryville Women’s Center • Routine & High Risk Obstetrics • Infertility • Female & Laser Surgery • Menopause • Urine Loss Treatment • Tubal Ligation
Tina Gingrich, MD, FACOG Kimberly Sanford, MD Lynn Billhartz, PA-C Tammy Young, APN, CNM
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PLEASE READ READ ALL ALL COPY COPY CARE CAREFULL CARE CAREFULL Y. CHECK CHECK SPELLING SPELLING AND AND PHONE PHONE NUMBERS. Results and patient experience may vary. Ask us if CoolSculpting is right for you. CoolSculpting for non-invasive fat reductionPLEASE is cleared for the flank andY.abdomen. CoolSculpting isNUMBERS. a registered trademark and Once Once proof proof is is approved approvedNewspapers Newspapers will will not not accept accept responsibility responsibility forfor incorrect incorrect copy copy oror layout. layout. PROOF PROOF If changes If changes and and oror approval approval have have not not been been submitted submitted byby deadline deadline your your adad will will run run asas is.is. theCoolSculpting logo and the Snowflake design are trademarks of ZELTIQ Aesthetics, Inc. © 2012. All rights reserved. IC1228-A
letter from the editor
A Voice of Generation I By Xavier Ludwig
H
Dear Readers,
As the new editor of Metro East Healthy Cells Magazine, I did not know what to write about in my first editorial. Then my fourteen-year-old son who is an aspiring pediatric surgeon asked me if he could make the introductions and explain why he wishes to take on the endeavor of many more years of school and this editorial. So let me introduce Xavier Ludwig:
Robert Ludwig Robert Ludwig
Publisher, Creed Media Group publisher@creedmediagroup.com 618-407-5281
eroes come in all shapes and sizes. When someone my age is asked about what a hero is: Spiderman, Ironman, or the Hulk usually come to mind. There are some that are more down to earth and think that policemen and firemen constitute a true hero, and they do. To me, a hero is someone that sacrifices just little parts of themselves to do good for others. My parents could be considered heroes, for they sacrifice so much to make my life better than the one they had. But when I think of the word “hero,” in its true definition, only one name comes to mind: Justen Barrow. In 2007, when my father and I first moved back to his hometown in Illinois from Tennessee I thought the whole world had turned upside down. I moved from a major city to a small town of only 400 people, most of which, I found out later, were related to me. But the one friend, the one person that made Irvington feel like home was Justen Barrow. He was a few years older, but went out of his way to greet me and to make sure that I knew everyone in school and to ensure everyone that the new kid was under his protection and guidance. Justen was different from anyone I had ever known, or ever will. He was born different. To look at him initially would bring sorrow or pity, but Justen would never allow that. He always had a smile on his face and a kind word for others. Justen brightened up any room that he walked into with his infectious laugh and go-get-em attitude. He made you thank God for placing someone like Justen in your life, and also question God for taking him away from us. At the too young age of 16, Justen passed on Jan. 6, 2012. His last year was spent in and out of the hospital fighting complications from a rare form of cancer and leukemia. But through all of that, he remained Justen: a die-hard sports fan, an incredible upbeat friend, and a hero to all that knew him. A group was formed in Irvington while Justen was battling his illness, Justen’s Army. There were fundraisers to help with his medical expenses, and classes to make people aware of the how they could not only help Justen, but the millions of kids around the world that suffered the same disease that eventually took Justen from us. One of the most important things that I learned is that any one of us have the possibility to be a hero like Justen. We have the capability of saving or enhancing dozens of lives by saying seven little words to our parents: “I want to be an organ donor.” I know this is something that kids our age should not have to think about. No one likes to think about what could happen, but just know that it could. And what better legacy to have, than to help save others like Justen. We are too young to make a decision like this ourselves, but we can inform our parents now that if anything does happen to us we would like the chance to help others. It is as simple as saying to them, “I want to be an organ donor.” With the holiday season upon us, we are taught that it is a time of giving. We can give the cards to our classmates, we can give a bracelet to our girlfriend, we can make breakfast for our mom, but we can also give the gift of life to at least eight other people by saying to our parents, “I want to be an organ donor.” I often question why God takes a true angel from our lives, like he did with Justen. But I also think that everything He does is for a purpose. Maybe, just maybe, it took God taking Justen from us so that I could write this column and become a Pediatrician. If just a small percentage of those who read this column say those seven easy words, and actually have a conversation with their parents, thousands of lives could be saved and Justen’s Army marches on. “I want to be an organ donor.” Below are websites that you and your parents can visit to learn more about becoming an organ donor: LifeGoesOn.com: Illinois’ organ donor registry. OrganDonor.gov: the National organ donor registry. November 2013 — Metro East Area — Healthy Cells Magazine — Page 3
NOVEMBER 2013 – Volume 2, Issue 11 Cover and feature story photos by Ed Ferguson Photography
This Month’s Cover Story:
Schaberg Dermatology Embracing the Science Behind Exceptional Skin Care
5
Mind and Body: Options for Total Body Rejuvenation
8
Emotional: Signs and Symptoms of Stress
10
Nutritional: Do You Suffer from Postprandial Somnolence?
12
Physical: Alleviate Lower Back Pain
17
Composing a Massage: A Wonderful Art Form
18
Fact or Fiction: Dispelling the Myths of Hospice
20
Sleep Health: Claustrophobic with CPAP?
21
Business Profile: Quality of Life at the End of Life
24
Community Calendar: Support Groups Calendar
25
Coping with Loss: Grief and the Holidays
25
Ear Health: What Should I Do About Tinnitus?
page 14
For advertising information, contact Robert Ludwig, owner. Phone: 618-407-5281 publisher@creedmediagroup.com
www.healthycellsmagazine.com/metroeast
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
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 Metro East area. Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher. Healthy Cells Magazine is available FREE in high traffic locations throughout the Metro East area, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Metro East area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.
mind and body
Awesome Alternatives to Surgery
Options for Total Body Rejuvenation Submitted by Ooh La La Spa, Anti-Aging & Wellness Center
A
s a new year approaches, we hear more and more about revealing a new you. This applies to anti-aging for both face and body, known as “total body rejuvenation.” With so many non-invasive technological advances, you can actually tighten, tone, trim, and improve your body and skin without the risks, pain, and cost of surgery. Feeling Like a Stuffed Turkey? Are you frustrated with your belly pooch, inner thighs, or love handles, but not ready for surgery? These areas are often resistant to diet and exercise. It’s a special kind of fat — stubborn fat! Until recently the only solution was a tummy tuck or liposuction. However, many women (and men, too!) don’t always have the luxury of time or the desire to deal with postprocedure recovery. CoolSculpting, an FDAcleared procedure, actually freezes stubborn fat. On average the treatment is one hour and it’s performed in a medical office, not a hospital or surgical center. With CoolSculpting there isn’t any downtime or needles, just an applicator that is applied to the treatment area. The applicator contains two cooling panels that literally freeze the fat, killing those cells that are then eliminated from the body. The procedure will change the way you look and feel in your clothes! Lose Your Turkey Neck! Ultrasound therapy is shown to lift and tighten loose skin on the neck (“turkey neck”), around the eyes, and on the jawline. This high-performance, physician-grade, non-surgical treatment uses ultrasound energy. Small, focused deposits of ultrasound energy are delivered just below the skin, to the same tissue layer that is addressed in a surgical procedure. By delivering ultrasound in such a strategic method, it actually reconditions the current structure of the skin while stimulating the growth of new collagen, resulting in an uplifting appearance. Eyebrows will appear more lifted, skin will look firmer and tighter, youthfulness will be restored! This treatment takes about one hour or less depending on the focus: full face, lower face, or upper face, and eyes. Because the ultrasound energy is targeting structures deep in the skin, patients may experience slight redness or tenderness in the treatment area. Other-
wise, there isn’t any downtime and you can resume your normal activities. It may take up to six months to achieve full results, which will last a year or more, especially if combined with a good skin care regimen. No More Turkey Skin — with Botox® and Fillers! These are two extremely effective, anti-aging treatments. When done in a medical office, under the care of an artistic, precise physician, Botox safely and quite easily helps to relax lines and wrinkles on the forehead, between the eyes and around the eyes. Dermal fillers, on the other hand, are used to add volume to folds around the mouth (nasal labial folds) or enhance lost volume in the cheeks and lips. When these procedures are combined, which is referred to as a “liquid facelift,” they actually mimic the enhancements of a face lift — decreased lines and wrinkles, firmer skin, refreshed appearance, in a natural, subtle way. While looking good enhances confidence, feeling good is equally as important. As the holiday season approaches, make a commitment to yourself to be healthy and happy! To learn more about the treatments described above, contact Ooh La La Spa, Anti-Aging & Wellness Center at 618-288-9117 or OohLaLaWellness.com. Complimentary consultations are available at our Medical Spa in Glen Carbon, IL. November 2013 — Metro East Area — Healthy Cells Magazine — Page 5
Patients & Families, and the Community
Did you know? Cancer, thyroid issues and infertility have been linked to TOXINS in our home and foods. 75% of household products have formaldehyde in them. There are natural solutions: TEA TREE OIL.
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•F ind general and specific disease hospice criteria • End-of-Life Resources • Create a Slideshow
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4804 South State Route 159 Glen Carbon, IL 62034 (618) 288-9450 www.schabergdermatology.com For your skin care and skin rejuvenation needs, dermatologists are the residency-trained, board-certified skin experts.
Page 6 — Healthy Cells Magazine — Metro East Area — November 2013
Cosmetology Inc. & Massage Therapy Program
Denial Anger Bargaining Depression Acceptance Hope
Why Massage Therapy at Alvareita’s College? • Be in a career field where great things happen in 9 months • Small class size • One to one attention from 3 experienced instructors • 220 hours of hands on clinicals provided on location • Approved by Illinois State Board of Higher Education • Approved by NACCAS • Financial Aid for those who qualify
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RECOVERY is possible.
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The new TrueBeam technology is a difference maker when it comes to treating cancer. As the first radiation center in the Metro East to offer this treatment and technology, Alton Memorial continues to provide the best cancer care close to home. To learn more please call (618) 433-7979.
November 2013 — Metro East Area — Healthy Cells Magazine — Page 7
emotional
Signs and Symptoms of Stress Submitted by Cornerstone Counseling, PC
E
veryone feels stressed from time to time. Not all stress is bad. All animals have a stress response, and it can be life-saving. But chronic stress can cause both physical and mental harm. Different people may feel stress in different ways. Following are some signs and symptoms of stress: Physiological/ Biological: • Suppression of immunity (reduced white blood cell count) • Blood pressure and heart rate increases • Increased appetite (weight gain) • Memory disturbances • Gastric problems • Eating problems • Breathing becomes more rapid • Dry mouth (difficult to talk, swallow) • Headache, backache, neck pain • Loss of libido • Loss of concentration • Diabetes • Chest pains • Sweaty skin • Abdominal discomfort • Restlessness Page 8 — Healthy Cells Magazine — Metro East Area — November 2013
Mental and Emotional: • Feeling out of control • Quick to lose temper • Easily frustrated • Excessive worry • Cry easily, sadness • Feeling insecure • Burnout • Restlessness • Anger, irritability • Anxiety • Depression • Mood swings • Inability to relax • Feeling lonely/isolated • Social withdrawal • Relationship conflicts • Increased alcohol/drug consumption • Increased smoking Facts About Stress • It is the reason for 85 percent of serious illnesses • It is responsible for 70 percent of visits to doctors
Hearing Is Believing with AGX Invisible Hearing Aids • 43 percent of adults say they suffer adverse health effects from stress • 35 percent of people report workplace stress as their main stressor in life • Women are two times more susceptible to stress than men • Past stressful experiences during childhood can make an individual more susceptible to stress as an adult • It is commonly linked to cancer, diabetes, immune system breakdown, and heart disease
“All animals have a stress response, and it can be life-saving. But chronic stress can cause both physical and mental harm.” Stress Relievers What relieves stress is not the same for everyone. Making certain lifestyle changes is the best start. Start with eating a well-balanced, healthy diet as well as getting enough sleep and exercise, finding healthy, fun ways to cope with stress helps most people. You can learn and practice ways to help you relax. • Deep Breathing: Oxygenates the blood, clears mind, centers the body • Exercise: Forces deep breathing, gets blood moving, releases endorphins, more energy • Meditation/Relaxation: Yoga, Tai Chi, Pilates, progressive relaxation, essential oils, pray, mantra • Time Management: Create a schedule, set goals/objectives, take breaks, learn to say “no” • Be Nice To Your Body: Eat right, drink more water, increase omega3, cut out caffeine, eliminate drugs/alcohol, quit smoking, get enough sleep, physical contact with loved ones • Socialize: Call a friend, family meals, joke around, laugh, allow help from others, play with your kids or pets, go to the park, attend a workout class • Imagery and Journaling: Look at family photo albums, create scrapbook, visualize peaceful place, take a vacation in your mind, keep a written or art journal, keep a stress journal, doodle, list the good things in your life • Positive Thought Patterns and Actions: Identify your positive traits daily, listen to motivational CD, positive self talk, “I can do it!”, remove self from negative situations, refrain from gossip, avoid toxic people, take up a hobby • And You Can Always Try: Crying, venting, getting a massage, getting a makeover, cleaning/organizing, taking a nap, exploring the outdoors, watching a sunset, going for a drive, or hiring a professional! Then, find someone you trust who will listen to you. Often just talking to a friend or loved one is all that you need to feel better. Some people cope with stress more effectively than others. It’s important to know your limits when it comes to stress, so you can avoid more serious health effects. If you or someone you know is experiencing signs or symptoms of stress, Cornerstone Counseling, PC can help. Call 618-288-8787 to schedule an appointment.
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Also Located In • Edwardsville, Jerseyville, Granite City, Chester, Greenville, Staunton, Waterloo November 2013 — Metro East Area — Healthy Cells Magazine — Page 9
nutritional
Do You Suffer from Postprandial Somnolence? By Patrick Miller
C
ases of postprandial somnolence in the United States can reach epidemic levels in late November. Perhaps you have seen the telltale symptoms in a loved one — a vacant expression, heavy eyelids, extreme armchair drowsiness, and a tendency to unfasten their trousers. Commonly known as “food coma,” postprandial somnolence traditionally strikes hardest after Thanksgiving dinner. Its effects can be as minor as drifting off during a football game, or as devastating as neglecting to wash, help wash, or even offer to help wash the postmeal dishes. Don’t feel guilty; it is not your fault. You have a medical condition. Although there is no vaccination or cure (other than a long nap on the couch), with a little knowledge and effort, it can be avoided. Many Americans have wrongly blamed this phenomenon on turkeys. The reasoning goes something like this: I get sleepy after Thanksgiving dinner, Thanksgiving dinner includes a generous amount of turkey, turkey meat contains tryptophan, tryptophan is converted into serotonin, serotonin is converted into melatonin, melatonin induces sleep; therefore, Page 10 — Healthy Cells Magazine — Metro East Area — November 2013
turkeys are the culprit of my food-induced lethargy. As logical as this explanation sounds, it is ultimately false because of one very important fact. Turkey is not exceptionally rich in tryptophan. It certainly contains a healthy amount of it, but not substantially more (and sometimes less) than beef, pork, chicken, tuna, soybeans, and many other protein-rich foods. Since this is the case, turkeys are innocent, and skimping on portions will not reduce the after-dinner fatigue. Even attempts at replacing turkey with ham or tofu are ineffective at keeping postprandial somnolence from rearing its slothful head. So what causes a food coma if not turkey? This is the truly confusing part because the ultimate answer is... tryptophan. It is true tryptophan is converted into serotonin and eventually melatonin by the human body, and it is the melatonin that induces the sleepiness. But, you may be thinking, how can tryptophan be causing postprandial somnolence if eating tryptophan doesn’t cause postprandial somnolence? That is a complicated question, which can only be answered by understanding how the body processes this amino acid.
Tryptophan is an amino acid. Amino acids perform myriad jobs throughout the body, but this article will focus on a single task — passing through the blood brain barrier. The blood brain barrier protects the brain from unwanted substances in the blood. Not just anything can get to the brain, but amino acids are in the long list of essential nutrients that can. They enter it as people enter a subway. They stand in line and pass through turnstiles (in this case, capillaries) one at a time. For the purposes of this analogy, only the essential amino acids will be used. The blood brain barrier and bio-chemical reactions in the brain are extraordinarily complex subjects that do not need to be understood to grasp how Thanksgiving dinner makes you sleepy. So, for this analogy only, please pretend there are only nine amino acids vying to cross the blood brain barrier. Generally, the different amino acids pass the barrier at the same rate as their blood levels — meaning, if you have a lot of tryptophan in your blood, your brain is going to get a lot of tryptophan. Again, this makes turkey look like the bad guy. Turkey might be a good source of tryptophan, but it is significantly richer in the other eight essential amino acids. For example, a four-ounce portion of turkey contains 217 mg of tryptophan and over 1,500 mg of leucine, another essential amino acid. So, despite eating a food high in tryptophan, the level of tryptophan in the blood compared to other amino acids is not increased, and, in turn, the amount entering the brain remains too little to trigger an episode of postprandial somnolence. Returning to the subway turnstile analogy, imagine the amino acids as different groups of people. So long as the ratio of people in each group remains the same, they will enter, one at a time, at the same rate
no matter how many total people there are. The only thing that can disrupt this regulated entry is if the ratio of people suddenly changes. Now pretend three of those groups of people are firefighters, police officers, and emergency medical technicians. Someone yells, “Fire!” Those three groups will immediately run off to do their jobs, making much more room for the remaining groups who know nothing about dealing with the emergency. Their rate of entry might double or triple with the removal of the other groups. This is essentially what happens to increase the level of tryptophan entering the brain. In this scenario, the firefighters, police officers, and EMTs are leucine, isoleucine, and valine — also known as the branched-chain amino acids. These guys do a lot of work with muscles, and one of their triggers (the one who yells, “Fire!”) to do this job is insulin. Insulin is released when a person eats carbohydrates, and the more carbs the more insulin. So, if someone eats a meal loaded with stuffing, mashed potatoes, and cranberry sauce, they will produce a lot of insulin. The insulin will alert the branched-chain amino acids to forget about getting into the brain and try to get into muscles instead. This greatly increases the proportion of tryptophan in the blood, thus increasing the rate it is taken through the blood brain barrier. The increased levels of tryptophan are converted into serotonin, then melatonin, and then... postprandial somnolence. In the end, it is (hopefully) clear to see that turkey is blameless, and carbohydrates are truly the guilty party in causing postprandial somnolence. This year, maybe consider enjoying the turkey and taking it easy on the carbohydrates if you want to remain sharp-minded and alert after Thanksgiving dinner. But then, on the other hand... are naps really all that bad?
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November 2013 — Metro East Area — Healthy Cells Magazine — Page 11
physical
Alleviate Lower Back Pain By Peter Anderson, MD, Illinois Southwest Orthopedics, Ltd.
N
inety percent of Americans at some point in their life will experience mechanical low back pain. In fact, back pain is endemic in society. Most people have an episode where it is somewhat debilitating, and they often end up either out of work or having to take medicine, physical therapy, etc. Due to the large number of people who develop back pain, this is a significant drain on the medical dollar. Many treatment options have been used in alleviating lower back pain such as therapy, anti-inflammatory medication, stretching, and time. Some options are a little more aggressive such as chiropractic care and even surgery. For most people, back pain is localized to the lower back area. It occasionally radiates down into the buttock. Rarely does it raPage 12 — Healthy Cells Magazine — Metro East Area — November 2013
Peter Anderson, MD
diate down the leg. If the pain does radiate down the leg at that time, the concern is that the patient not only has low back pain but may have a component of nerve root impingement as well. This makes the treatment options potentially much more difficult. Without nerve root impingement, the typical treatment for low back pain is a course of physical therapy, stretching, antiinflammatory medication, and time. Ninety-eight percent of the time the symptoms resolve, and the patient is returned to normal activity without the need for significant intervention. On rare occasions, the pain persists. For those people with continued pain or nerve root impingement, they may need more aggressive treatment. Treatments include epidural injections and nerve blocks and occasionally
“Many treatment options have been used in alleviating lower back pain such as therapy, anti-inflammatory medication, stretching, and time.” even surgery. Most people obviously would prefer to avoid this if at all possible. Typically the first step in low back pain treatment is to see your orthopedic surgeon and have an evaluation to make sure there are no neurologic or structural problems. Assuming there are none, typical treatment is instituted with anti-inflammatory medication and a short course of physical therapy. Generally a home exercise program is instituted. Therapy for longer than a couple of weeks probably is not necessary or helpful in these patients. If this treatment fails, then an MRI is typically obtained to rule out any structural or other problems. If you would like to learn more about your options regarding conservative orthopedic surgery, call Illinois Southwest Orthopedics, Ltd. in Glen Carbon at 618-288-4388 or in Granite City at 618-451-0500 or visit www.ilswortho.com.
November 2013 — Metro East Area — Healthy Cells Magazine — Page 13
feature story
Embracing the Science Behind Exceptional Skin Care Providing state-of-the-art therapies to treat skin diseases and conditions using the latest medical science and surgical procedures, Schaberg Dermatology offers evaluations and individualized treatment plans for skin conditions in people of all ages. By Sara Browning
Evaluating Acne to Maximize Treatment Results
W
ith its unique approach to skin care, Schaberg Dermatology is founded on strong clinical dermatology with the latest in skin rejuvenation. The practice combines consultations and procedures to improve the cosmetic look of the skin with an understanding of the science behind skin repair and recovery. Focused on Full Health Dr. Susan Schaberg, a board-certified dermatologist and an elected fellow of the American Academy of Dermatology who founded Schaberg Dermatology in April 2007, approaches problems of the skin, hair, and nails from a scientific, medical standpoint. Unlike some others who Page 14 — Healthy Cells Magazine — Metro East Area — November 2013
offer skin care and cosmetic treatments, Dr. Schaberg, as a boardcertified dermatologist, is trained in the science of skin health and skin pathology. “I focus on the whole health of a person’s skin, not just from a cosmetic perspective but also from a scientific approach,” she explains. “This scientific, medical focus distinguishes Schaberg Dermatology from spas that are only concerned with the aesthetic appearance of the skin.” The science of dermatology is the hallmark of a board-certified dermatologist. Dr. Schaberg’s training included intensive study and training in skin disease and health. Dr. Schaberg completed her internship
in internal medicine and pediatrics at Creighton University/University of Nebraska Medical Center. She then completed a three-year dermatology residency at the University of California, Irvine (UCI) where she was selected to be both a chief resident and a clinical research fellow based on her academic achievement. At UCI, Dr. Schaberg received extensive training in skin surgery and laser technology. Her training at UCI included rotations at the renowned Beckman Laser Institute in Irvine, heavy emphasis on the diagnosis and treatment of common and rare skin diseases and conditions and surgical treatment of skin diseases in all ethnicities. “Someone who is trained only in the cosmetic aspect of the skin might not be able to identify certain skin cancers or diseases,” says Dr. Schaberg. “As a dermatologist, I have been trained in the diseases of the skin, and I am able to recognize skin diseases and conditions by noting a patient’s symptoms and examining the skin. For example, aging skin may have wrinkles and brown spots, but these signs could also indicate melanoma, which often begins as a brown spot. Without training in dermatology, a non-specialist might not be able to recognize melanoma when he or she sees it.” Overcoming Acne Schaberg Dermatology offers a wide range of services designed to help patients enjoy healthy, youthful-looking skin. Acne can affect patients of any age group. Schaberg Dermatology offers the entire range of prescription acne treatments, including topical agents, antibiotics, and hormonal agents. Some individuals require more intense treatment for clearer skin. In such cases, Schaberg Dermatology provides acne facial treatments, including deep cleansing, facials, clarifying clay masks, clinical extractions, medical level microdermabrasion, and medical grade chemical peels. Schaberg Dermatology also offers acne laser treatment. Red light therapy is a gentle light treatment that clears blemishes by killing bacteria, calming inflammation and shrinking sebaceous glands. The Isolaz laser treatment uses broadband light and gentle suction to destroy acne-causing bacteria and remove excess oil and dead skin cells. New Laser Technology Patients will benefit from exciting new developments in laser technology at Schaberg Dermatology. The Fraxel Re: Store Dual Laser Resurfacing restores skin, reversing years of sun damage, wrinkles, or acne scarring to achieve an outcome that is fresh, healthy, and youthful. The laser removes pigmented lesions, such as melasma, age spots, and sun spots on the face, neck, chest, back, hands, and arms and also smoothes wrinkles and acne scars. The Thermage Non-Surgical Skin Lift is “one of best and most effective ways to tighten skin without surgery,” according to Dr. Schaberg. “One Thermage treatment will provide improved tightness and recontouring. This procedure is particularly good for causing a subtle brow lift, jowl lift, and neck lift and is also available to firm and tighten the face, eyelids, abdomen, arms, thighs, knees and buttocks. Moreover, we have the very latest technology to make the treatment comfortable.” Patients can experience the ultimate rejuvenation with a combination of Fraxel and Thermage laser treatment. “The combination of a single Thermage treatment to tighten skin, followed by a series of four Fraxel laser treatments to resurface the skin provides patients the synergy needed for the most advanced skin rejuvenation treatment possible without surgery,” says Dr. Schaberg. A new approach to laser skin enhancement, Clear & Brilliant Gentle Laser Resurfacing is an FDA-approved, fractional laser device that prevents the early signs of aging. Clear & Brilliant is gentler than Fraxel but provides a higher level of treatment than chemical
A Skin Cancer Screening Exam peels or microdermabrasion. The Clear & Brilliant Permea option is especially good for melasma. Says Dr. Schaberg: “Clear & Brilliant helps patients recover the glow of younger-looking skin. Skin is given a renewed, ultra-soft and smooth texture, and the procedure is comfortable, fast, effective, and affordable for patients with a quick recovery time. It is safe and effective for all skin types.” The Liposonix Non-Invasive Body Contouring is a revolutionary, non-surgical laser body contouring treatment that is ideal for patients who are close to their ideal shape but who have stubborn areas of the stomach or love handles that diet or exercise cannot remove. “High-intensity focused ultrasound (HIFU) is directed below the surface of the skin in order to heat the targeted fat tissue,” according to Dr. Schaberg. “The treated fat tissue is removed through the body’s natural healing process, leaving patients with a thinner, more contoured waistline. Patients will typically achieve a waistline reduction of approximately 1 inch within 8-12 weeks following a single Liposonix treatment. A Full Range of Laser Treatments Schaberg Dermatolgy offers patients a full range of laser technology. Laser hair removal is accomplished with the Candela GentleLASE and November 2013 — Metro East Area — Healthy Cells Magazine — Page 15
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GentleYAG lasers. The GentleLASE is an alexandrite laser that works best on people of lighter skin types while the GentleYAG is a 1064 ndYAG laser that works especially well on people of darker skin types. GentleYAG is also very effective for chronic bumps in the beard and groin areas. Laser tattoo removal at Schaberg Dermatology is done with the Candela TriVantage laser, which incorporates Q-switched 755 nm, 532 nm and 1064 nm wavelengths. Schaberg Dermatology uses recently developed R20 protocol. This protocol involves performing 4 laser treatments at the same visit and is 50-85 percent more effective than traditional laser tattoo removal. Advanced Fluorescence Technology offers a variety of skin treatments. The absorption of light energy into the skin fades redness and shrinks dilated blood vessels. Brown spots are exfoliated, and skin texture is refined. The Laser 360 procedure includes Advanced Fluorescence Technology, Pixel (fractionated erbium laser) and superficial skin tightening. Additionally, toenail and fingernail fungus can be treated with the GentleYAG, which heats and kills the fungus with minimal discomfort. Visit www.schabergdermatology.com and click on Services for a complete list of laser treatments. Other Aesthetic Services Schaberg Dermatology combines the practice of medicine with cosmetic technology, providing patients with several aesthetic procedures. Botox Cosmetic is a quick, nearly painless procedure that injects botulinum toxin into key muscles of facial expression to relax muscles and reduce wrinkles in motion. FDA-approved fillers, such as Juvederm, allow patients to see immediate results that can take years off the face in just a few minutes. Filler injections into the smile lines, cheekbones, lips, and marionette lines decrease wrinkling and laxity. Microdermabrasion polishes the skin with Schaberg Dermatology’s crystal-free system, diminishing fine lines, abnormal pigmentation, age spots, whiteheads, and improving the appearance of acne discoloration to provide an all-over glow. A series of chemical peels allow patients to experience improvement in epidermal texture, tone and lessening of superficial lines. And no skin care regimen is complete without the daily cleansing, correction and protection skin care products provide, including cleansers, growth factors, retinoids, antioxidants, and sunscreens. All products sold at Schaberg Dermatology have been researched, tested and hand-picked by Dr. Schaberg as the most advanced products on the market. Visit www.schabergdermatology.com, and click on Aesthetic Services for a complete list. Setting Up a Consultation Patients who participate in a skin care consultation will meet with a registered nurse who has been trained by Dr. Schaberg. During this personalized appointment, patients have the opportunity to discuss their individual skin care needs and develop a skin treatment plan. The consultation incorporates the use of the Visia Digital Skin Imaging technology that provides patients with a special photographic record of their skin health. Looking Ahead Dr. Schaberg looks forward to continuing to provide her patients with the best possible dermatological care and treatment, based on the latest medical science and incorporating the latest skin care technology. “I want to continue to focus on total skin health, providing cosmetic treatments as necessary, and emphasizing the importance of sun protection and early detection of skin cancers. I base both my medical practice and cosmetic practice on the science of dermatology, and this Page 16 — Healthy Cells Magazine — Metro East Area — November 2013
Treating an Actinic Keratosis “Precancer” offers distinct advantages for patients in the diagnosis and treatment of skin conditions and diseases as well as in skin rejuvenation.” Dr. Schaberg emphasizes the importance of seeing a board-certified dermatologist for individuals experiencing skin trouble. “A dermatologist can help patients watch for the long-term effects of the environment, aging and disease processes and suggest programs to help them care for their skin in ways non-dermatology trained providers cannot,” says Dr. Schaberg. “For your skin health and skin rejuvenation needs, dermatologists are the only residency-trained, board-certified skin experts.” Dr. Schaberg says she is very proud to work in the community where she grew up. “My roots are here. My family goes back many generations in Madison County. My great-grandfather was an Edwardsville Fire Chief. This is also the area where I went to high school and to undergraduate school. I am very grateful to have had the opportunity to have a homegrown practice in this community where so many friends and family acquaintances are my patients.” Dr. Susan Schaberg is a board-certified dermatologist and elected fellow of the American Academy of Dermatology. Dr. Schaberg graduated from Southern Illinois University Edwardsville in 1986. After graduation, she put her undergraduate degree in chemistry and math to use as a beer chemist at Anheuser-Busch, Inc. where she discovered an interest in business and went on to pursue an MBA at the Kellogg School of Northwestern University. After working as a product manager at Kraft and Pet, Inc., she felt her professional life was missing something. She then decided to go to medical school and obtain her MD from S.I.U. School of Medicine. She completed her internship in internal medicine/pediatrics at Creighton/U.N.M.C. and her dermatology residency at University of California, Irvine (U.C.I.), serving as chief resident in her final year. At U.C.I., she also served as a clinical research fellow, investigating cutting-edge dermatology treatments and medications.
For more information on Schaberg Dermatology, visit www.schabergdermatology.com, or call 618-288-9450 to schedule an appointment. Schaberg Dermatology is located at 4804 S. State Route 159, Glen Carbon, Illinois.
composing a massage
A Wonderful Art Form Submitted by Alvareita’s College of Cosmetology and Massage Therapy Program
M
assage can be considered an art form. Schools teach the science of massage, but each individual therapist develops their own massage art. When thinking about music, one ponders that “a symphony must be like the world — it must contain everything,” said Gustav Mahler, composer and conductor. That sentiment applies to massage also; massage “must contain everything.” Each massage session is a new composition, tailored for the specific client. Where music uses volume, tone, rhythm, and instrumentation; massage uses pressure, quality of touch, strokes of different duration, rhythm, and instruments: thumbs, palms, fingers, handheld tools, or simply two hands. David Lauterstein wrote in The Deep Massage Book: ‘‘The human hand, acting in concert with the heart, mind, and spirit, is arguably the most sophisticated tool in the known physical universe. With its pressure and warmth, guided by intelligence, care, and inspiration, we can work with muscles and fascia, literally remodeling the human form and dramatically altering each and every human function.”
Massage therapists help their clients step out of the usual, the repeated realm into a new experience. Paraphrasing philosopher Gaston Bachelard: “One would say that touch in its newness, opens a future to experience.” It is the responsibility of the therapist to help reawaken the client to see, to experience, to accept the living beauty within, to feel the goodness within, to see the important inner truths. As the therapist composes the symphony of massage techniques in response to past stresses and developed virtues, he or she facilitates a better future for that client. The client remembers that their body is uniquely theirs and is designed to heal, repair itself. A well-written symphony touches us, awakens emotions within us; so as a well-planned massage composition has the power to touch the mind, the body, and the spirit. Massage — a wonderful art form! For more information about massage therapy, contact Alvareita’s College of Cosmetology and Massage Therapy Program at 3048 Godfrey Road in Godfrey, IL, or visit the website at www.alvareita.com. Call 618-466-8952 to make an appointment. November 2013 — Metro East Area — Healthy Cells Magazine — Page 17
fact or fiction
Dispelling the Myths of Hospice Submitted by Heartland Hospice
Myth: I thought that if my mother was under the care of hospice, she could no longer go to the hospital if she needed to. In the past year, she has been hospitalized several times because her pain got out of control. Truth: While hospice strives to manage pain and other uncomfortable symptoms outside of the hospital, a hospice patient always has the choice of whether or not go to the hospital. The Medicare Hospice Benefit covers short-term general inpatient care in the hospital when a patient’s symptoms can no longer be managed in another care setting.
Truth: Hospice provides care wherever the patient calls home, including, but not limited to, assisted living facilities, skilled nursing facilities, independent living facilities, and personal homes.
Myth: I always thought that “hospice” was a place, like that building that I passed on the way home from work. Truth: Hospice is a philosophy of care, not a place. Hospice care can be provided in any place the patient calls home, whether that is a personal home, a skilled nursing center, assisted living facility, or anywhere else.
Myth: I didn’t consider hospice care early enough because Dad was still getting blood transfusions regularly. We weren’t ready to stop because each time he would get one, it seemed to make him feel better for a few days and we just wanted him to feel like himself for as long as possible. Truth: The Medicare Hospice Benefit may cover chemotherapy, radiation, blood transfusions, or other treatments if those treatments are providing comfort for patients eligible to receive the benefit (life expectancy of 6 months or less if the illness runs its normal course).
Myth: I didn’t know that hospice could help take care of my dad in his assisted living apartment. He could have really benefited from the support from the hospice caregiving team. Page 18 — Healthy Cells Magazine — Metro East Area — November 2013
Myth: The doctor said I had to sign a Do Not Resuscitate (DNR) order for my wife in order for her to get hospice. I just couldn’t do that; it seemed so final. Truth: A patient can receive hospice without having signed a DNR. The hospice regulation actually says that hospices cannot discriminate against patients because of any advance directive choices.
Myth: I thought that hospice was only for patients with cancer. I didn’t realize that my husband who suffered from Alzheimer’s disease could have benefited from support from the hospice caregiving team too. Truth: More than 60 percent of hospice patients nationwide have diagnoses other than cancer. Many patients have other diagnoses or advanced stages of chronic diseases like pulmonary disease, Alzheimer’s disease, renal disease, HIV/AIDS, and cardiovascular or neuromuscular diseases. Myth: I was under the impression that I had to be available as the designated caregiver 24 hours a day in order for my mom to get hospice. Truth: While some hospices require caregivers prior to the patient being admitted, Heartland does not. We help coordinate community resources to keep the patient at home as long as possible and then, help the patient find an alternative location to receive care when care at home is no longer possible. Myth: M y dad lives at home. We weren’t considering hospice for Dad because we thought it was too expensive. Between the doctor’s visits and the cost of medications today, we have to save everything we can to make sure we can care for his ongoing needs. Truth: The Medicare and Medicaid Hospice Benefits cover services at 100 percent, so there is no cost to the patient. If patients have private insurance or managed care, Heartland assists in checking their benefit coverage to make sure patients and families understand any potential medical out-of-pocket costs.
Myth: I wanted to learn more about hospice, but thought I had to wait for the doctor to bring it up first so he could order it for my brother. Truth: Patients can choose for us to meet with them and discuss the benefit of hospice at any time. We cannot provide hands-on care to a patient without a physician’s order. We work with each patient’s physician to identify each patient’s individual needs. Myth: I was so scared to even say “hospice.” I thought that it meant I had to give up. Give up hope. Give up trying. Give up praying for a cure. Truth: In order to receive hospice, the patient must be eligible and have an understanding that hospice focuses on comfort care (palliative), not cure. But, patients and families do not have to be “ready to die” before getting the care they need and deserve. Hospice helps patients and families deal with what is happening to them on their own terms and in their own time frame. It is important to get hospice early so that the benefit can help patients prepare and get ready for what is happening; it is not required that patients be ready prior to receiving care. Heartland Hospice is always here for you. Contact us at any time — 24 hours a day, seven days a week — just to talk or to arrange a visit. Anyone can call. We are always happy and ready to help. Call 618-632-0304.
Home Instead Senior Care offers non-medical home CAREGiving services to seniors in your community. We can assist your loved one with:
1 in 3 women suffer from urinary incontinence and pelvic organ prolapse.
You are not alone! Treatment options are available Dr Travis L. Bullock is fellowship trained in Female Pelvic Medicine and Reconstructive Surgery
Our Center for Continence Care and Pelvic Medicine offers: • Minimally invasive procedures for stress incontinence (leakage with coughing, sneezing, and exercise) • Treatment of urgency and urge incontinence • InterStim and Botox therapy for neurogenic and overactive bladder • Laparoscopic/Robotic and vaginal procedures for pelvic organ prolapse
Companionship Services Personal Services Respite Care Alzheimer’s Care Short-Term Recovery Incidental Transportation Medication Reminders Meal Preparation Laundry and Ironing Services St. Clair/Monroe Counties: 618.234.7640 Madison County: 618.346.5008 Jersey/Calhoun/Green Counties: 618.639.2273 Hourly rates vary based on your needs.
Call us today for a free, Care Consultation, and we can assess your loved one and help your family today. Each Home Instead Senior Care Franchise Is Independently Owned and Operated.
Offices in Maryville, IL and St. Louis, MO 6812 State Route 162 Suite 200 Maryville, IL 60262 (618)288-0900
12855 N. Forty Drive Suite 375 St. Louis, MO 63141 (314)567-6071 November 2013 — Metro East Area — Healthy Cells Magazine — Page 19
sleep health
Claustrophobic with CPAP? By Dr. Anna Smith, Dentistry with TLC
Dr. Anna Smith
S
leep apnea is a common condition and occurs when a person stops breathing during sleep. Most people are instructed by their physicians to use a CPAP to help them breathe. However, about half the people directed to use a CPAP are unable to tolerate the device. They stop using it within just one week. Many times these people feel hopeless. They are unaware of another more successful and comfortable option. In most cases, patients instructed to use CPAP therapy can instead use a comfortable and affordable oral appliance. This appliance looks like a retainer and is only worn while sleeping. Most patients who use the appliance report sleeping better, feeling more rested, snoring no longer, and getting up less frequently at night. Many lose weight, lower their blood pressure, and have their doctor take them off medications! Dawn Wakeford of Alton explains, “I felt restrained and smothered when I tried to use a CPAP. Now that I use an oral appliance, I can breathe normally while I sleep. I can even talk and answer the phone with it in my mouth. The best part about my oral appliance is that I feel more confident I won’t die in my sleep because I can now breathe!” Rosie Krekeler from St. Louis reports, “Getting an oral appliance was the best thing I could do for myself! Before, I used a CPAP but I felt claustrophobic and didn’t like it. Now that I use an oral appliance, I sleep better. Also, I don’t have to get up as often in the night to go to the bathroom, and it’s much easier to care for than my CPAP. I’m so thankful that I saw Dr. Smith explaining the oral appliance on a Channel 4 news program.” Since 2006, the American Academy of Sleep Medicine has recognized and recommended oral appliance therapy as a successful method for sleep apnea treatment. Commonly, CPAP sufferers are never informed about oral appliance therapy. Most sleep physicians routinely give their patients options of CPAP, surgery, and weight loss, but often fail to mention oral appliance therapy. People like Rosie discover oral appliance therapy from watching television, reading articles, or hearing about it from a friend. Iona Snedeker of Bunker Hill learned about the oral appliance from a friend, “One of my friends who uses an oral appliance suggested I see Dr. Smith after hearing me complain about my CPAP. My CPAP mask never fit right and sometimes my face would be marked for hours. My eye would swell up due to the air leaks. Since I’ve been using an oral appliance, I can sleep twice as long without waking up, and I’ve lost weight. I feel like walking and going places again! I would spend the money on this appliance again in a minute, no second thoughts. I love that it is small, easy to care for, and makes traveling easy.” Dr. Smith has a 99 percent success rate treating patients with oral appliance therapy. She is the only dentist in the St. Louis area to achieve “Platinum Partner” status from Somnomed, an oral appliance manufacturer, for her dedication to successfully helping patients use oral appliances. To learn more about oral appliance therapy, read real patient’s experiences, and watch Dr. Smith’s television interviews about sleep apnea, visit www.DentistryWithTLC.com. Call 618-4669367 to schedule a consultation with Dr. Smith and discover if an oral appliance is an option for your unique situation.
Page 20 — Healthy Cells Magazine — Metro East Area — November 2013
Hospice of Southern Illinois
Quality of Life at the End of Life November is National Hospice Month
Beyond these general criteria and a considerable list of other regulations, hospice can offer other services or specializations to meet the unique needs of their patients and loved ones. Consider the following extra programs and services Hospice of Southern Illinois provides as an example: • H ospice of Southern Illinois’ Phone Application: A way to reach out to tech-savvy referral sources, employees, patients, and families for a more interactive and personal hospice experience. • W e Honor the Veterans Program: A program of the National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs inviting hospices to join a pioneering program serving those who have served us.
•C aringBridge.Com: An online space to connect, share news, and receive support • Pet therapy program • Relais Bonne Eau: A community hospice home • Free grief support groups • R esource for filling out Advance Directives and other end-of-life planning information Not all hospices are the same; however, hospices all across the country are advocates for quality of life at the end-of-life. During National Hospice Month in November, there is an extra push for hospice awareness and addressing end-of-life issues. Take part in National Hospice Month and share this article with someone you know who does not need hospice. It is a great way to help spread hospice awareness and inform them to make health care decisions now for peace of mind later.
No one has to go through the dying process alone. Hospice of Southern Illinois can help. For more information on hospice care, contact Hospice of Southern Illinois. They are located at 305 S. Illinois Street in Belleville. They can be reached at 618-235-1703.
business profile
H
ospice is a special health care option for patients and families who are faced with a terminal illness. A multidisciplinary team of physicians, nurses, hospice aides, social workers, bereavement counselors, and volunteers works together to address the physical, social, emotional, and spiritual needs of each patient and family. The hospice team provides care to patients in their own home or a home-like setting regardless of the patient’s age or ability to pay. There are many things to consider when making a decision about hospice, so it is important to consider the extra services that a hospice provides that will be the best fit for the patient and their family. All hospices are regulated by Medicare guidelines to provide care to patients who meet the general hospice criteria: • The patient has a terminal illness with a prognosis of six months or less (if the prognosis takes its normal scientific progression). • C omfort care and symptoms management become the primary focus. • C urative treatment is no longer the patient’s choice or option.
Page 22 — Healthy Cells Magazine — Metro East Area — November 2013
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A healing ministry of the Sisters of St. Francis of the Martyr St. George
It’s a new day at Saint Anthony’s
There’s HOPE. And it’s HERE. At Saint Anthony’s, it’s the depth of our Cancer Care Team’s experience that instills confidence and great hope in our patients. An Oncology Team whose depth of experience is unparalleled in the region. Investments in the most advanced technology available this side of the river. And a collaborative approach where the entire team – Medical and Radiation Oncologists, specialists, nurses and your Patient Navigator – are with you every step of the way.
Kevin T. Palka, M.D. Medical Oncologist
Behind you. Beside you. From diagnosis, through treatments. It’s a new day, a new approach. One to give you every reason to have hope. You’re at Saint Anthony’s. Hope is Here.
WE CAN HELP (618) 474-4855
Ranked among the top 2% in the nation.
Hear Stories of Hope and meet our Cancer Care Team
at HopeIsHere.sahc.org. SHOWN: Kevin T. Palka, M.D., Medical Oncologist; Sister M. Rosalinda, R.N., Oncology; Priya Kumaraguru, M.D., Family Practice; Val Kiel, Oncology Mission Partner; Emily Albright, M.D., General Surgeon
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November 2013 — Metro East Area — Healthy Cells Magazine — Page 23 1/4/13 3:10 PM
community calendar Thur., Nov. 21/ Fri., Nov. 22: Books Are Fun sale; 9 a.m.-4 p.m. November 21; 7 a.m.-3 p.m. November 22. Call 618-463-7872 for more information.
November 2013 Mon., Nov. 4: EMS Basic Life Support health care provider classes; EMS satellite, 161 N. Bellwood Drive, East Alton; 6-9:30 p.m. Contact Debbie Woelfel at 618-258-9930 or daw5900@ bjc.org for more information. Tues., Nov. 5 / Wed., Nov. 6: Dillard’s (St. Clair Square) sale; 9 a.m.-4 p.m. November 5; 7 a.m.-3 p.m. November 6. Call 618-463-7872 for more information. Tues., Nov. 5/six-week series: Better Choices, Better Health-Diabetes; AMH Olin Wing ground floor, Room G-252; 1-3:30 p.m. each Tuesday through Dec. 17. Led by OASIS community health facilitators, the series focuses on living with diabetes and the constant struggle to lose weight, count carbs and control blood sugar. Receive a book and relaxation CD to keep. Light refreshments provided. Space is limited and registration is required. Call 800-392-0936 to register. Free. Wed., Nov. 6: “Maintain a Healthy Brain”; AMH cafeteria meeting rooms; 10-11:30 a.m. Led by Darrell Coons, Illinois outreach coordinator of the Alzheimer’s Association, this class examines how science is unlocking many of the mysteries of the brain. You can do everything “right” and still not prevent Alzheimer’s disease. Call 800-392-0936 to register. Free. Wed., Nov. 6 / Nov. 13: Prepared Childbirth series; AMH cafeteria meeting rooms; 6:30-8:30 p.m. This series of two classes includes information on the emotional and physical changes of pregnancy, birth and the early days at home. Topics covered include stages of labor, the role of your support person, routine hospital procedures and medication pain relief options. Call 800-3920936 to register. Tues., Nov. 12: Grief, Loss, Change support group; AMH Smith Wing third floor, small classroom; 6-7:30 p.m. Call 618-463-7117 for more information. Wed., Nov. 13: Skin cancer screening; AMH Cancer Care Center; 4:15-6:15 p.m. Screenings given by Dr. Noor Ahmed. Call 800-392-0936 for an appointment. Cost: free. Wed., Nov. 13: EMS Heartsaver AED and first aid class; EMS satellite, 161 N. Bellwood Drive, East Alton; 4-10 p.m. Contact Debbie Woelfel at 618-258-9930 or daw5900@bjc.org for more information. Sat., Nov. 16: Diabetes Fair; AMH Beeby Wing lobby and cafeteria; 9 a.m.-noon. Informational tables, speakers, health screenings and lunch. Call 800-392-0936 to register. Cost: free Wed., Nov. 20: Non-medication comfort techniques; AMH Hatch meeting rooms; 6:30-8:30 p.m. This class focuses on non-medication coping techniques and pain control options for expectant mothers. Call 800-392-0936 to register. Thur., Nov. 21: Diabetes support group; AMH Olin Wing ground floor, Room G-252; 1-2 p.m. Call 618-463-7526 for more information.
Tues., Nov. 26: Grief, Loss, Change support group; AMH Smith Wing third floor, small classroom; 6-7:30 p.m. Call 618-463-7117 for more information.
Community Calendar Diabetes & Wound Care Fair: Saturday, November 2; 9 a.m. to 1 p.m.; Saint Clare’s Hospital; 915 East Fifth Street, Alton. Free event features various health screenings, exercise demonstrations, chair massage, senior health information, sugar-free recipes and samples. To register for health screenings, call 618-465-2264 Heartsaver CPR & AED: Friday, November 8; 9 a.m. to Noon; Fee $35. | Healthcare Provider CPR: Friday, November 15; 9 a.m. to 1 p.m.; Fee $47 | Heartsaver First Aid: Monday, November 4; 9 a.m. to Noon; Fee $35. Pre-registration required – call 618-465-2264. Grief Support Group: Friday, November 8; 1 p.m.; Saint Clare’s Hospital, Heritage Hall. 618-463-5636 Saint Anthony’s Stroke Club: Wednesday, November 13; 6:30 p.m.; Saint Clare’s Hospital. 618-463-5259. In partnership with the American Cancer Society Look Good... Feel Better: Monday, November 18; 10 a.m. to Noon; Saint Clare’s Professional Building, Suite 308. Free class open to all women undergoing cancer treatment. To register, please call 618-465-2264 AARP Driver Safety Program: Tuesday, November 19 & Wednesday, November 20; 9 a.m. to 1 p.m.; Saint Clare’s Professional Building Auditorium. Fee for two-day course: $12 AARP members; $14 non-members. Make checks payable to AARP. To register: 618-465-2264. Men’s Prostate Screening: Thursday, November 21; 3 to 6 p.m.; Radiation Oncology, Saint Clare’s Hospital. Free for men, age 50 and over not previously screened for prostate cancer. Includes PSA blood test and digital rectal exam by James Piephoff, M.D. To register, call 618-465-2264. Caring Circle Cancer Education & Support Group: Saturday, November 16; 10 a.m; Guest Speaker: Susanne Ringhausen, Director of Saint Anthony’s Psychological Services. For information and to register, call 618-474-4855. Non-Fasting Cholesterol & Glucose Screening: Tuesday, November 19; 12:30 to 2 p.m.; Lobby of Saint Anthony’s Health Center | Thursday, November 21; 12:30 to 2 p.m.; Lobby of Saint Clare’s Hospital. Fee: $10. For information or to register for either screening day, call 618-465-2264.
Page 24 — Healthy Cells Magazine — Metro East Area — November 2013
Free Skin Cancer Screening: Wednesday, November 20; 4 to 6 p.m.; Saint Anthony’s Cancer Center of Excellence - Radiation Oncology: If you have a suspicious lesion or mole, attend this screening by Noor Ahmed, M.D., Plastic & Reconstructive Surgeon. To register, call 618465-2264. Saint Anthony’s Foundation 54th Annual Snowball Dinner Dance: Saturday, November 23; Complimentary Cocktail Hour: 6 p.m.; Dinner: 7 p.m.; Lockhaven Golf Club: Chairpersons Dr. Kevin Palka, Dr. James Piephoff, and Dr. Manpreet Sandhu invite you to join them for an evening of dinner and dancing, featuring music by Smash Band! Tickets: $100 per person. Proceeds benefit Saint Anthony’s Cancer Center of Excellence. For information, call 618-463-5306. Holiday Book Fair: Monday, November 25 and Tuesday, November 26; 7 a.m. to 4 p.m. each day; Saint Anthony’s Health Center and Saint Clare’s Hospital. Sponsored by Saint Anthony’s Foundation and featuring a large variety of discounted books and gifts. For information, call 618-465-2264.
CHADD
(Children and Adults with Attention-Deficit Hyperactivity Disorder) CHADD of St. Clair County invites you to Bring your questions and concerns to this open forum of shared experiences. Free And Open To The Public ore information about upcoming meetM ings and events can be found on our website. www.chadd.net/379 or contact Kristin Weber p2pkweber@chadd.net , 618-406-0842 Volunteer Support Group Coordinator. Thur., Nov. 14th. Presentation by Vickey Few of LINC, INC. Supervisor of the Youth and Family Services Program. A Youth and Family Advocate is available to assist parents with children who have disabilities in regard to their child’s educational needs. This includes information on IDEA (special education law covering rights and responsibilities), Individual Education Plan (IEP’s) planning and process, and Section 504 of the Rehabilitation Act. Additionally, assistance is available with a child’s rights to an appropriate education, parent and school communication and transitioning from school to the workforce. Thur., Dec. 5th: Presentation by Thomas E. Kennedy, III. Law Offices of Thomas E. Kennedy, III, L.C. Special Education Law & Disability Rights. Thomas E. Kennedy, III has built a career fighting injustice and advocating for the rights of the marginalized. His commitment to improving systems that serve the poor and disabled is proven by his zealous advocacy for individuals with developmental disabilities, foster children, and minorities in the work place.
Coping with Loss
ear health
Grief and the Holidays
What Should
By Christine Juehne, Hospice of Southern Illinois
T
rying to cope with the loss of a loved one during the holiday season is not easy. The holiday season is a naturally stressful time of the year. Spending time with family, cooking, and gift giving can all be very rewarding. However, being surrounded by a lot of people, preparing food, shopping, and wrapping gifts require time and effort. The grieving process is a natural response to the loss of a significant relationship. During the grieving process and adjustment period following your loss, you can experience a wide range of emotional responses. At times, these emotional responses can be difficult to cope with and understand. In her 1969 book “On Death and Dying,” Elisabeth Kubler-Ross identified five stages of grief: denial, anger, bargaining, depression, and acceptance. There is no hard and fast solution to the grieving process. Listed below are some suggestions that may help to ease the stress and minimize the negative emotions people encounter during the holiday season. • Set boundaries on your expectations and other’s expectations. • Have a meeting or discussion with family and friends about holiday plans. • Rehearse how you will respond to difficult situations beforehand. • Observe the day in a way that has meaning for you. • Make the holiday an opportunity for healing, and a day for renewal of your physical, emotional, and spiritual needs. • Be flexible. • Re-create or change traditions. Start something new. • Bring special touches of your loved one to the holiday. • Focus on the concept of gifts and gift giving. Buy a gift for yourself as well as others. • What is the gift you were given by your loved one? • What did they teach you about life and living? • What positive qualities did they bring out in you? • What was their purpose for being in your life? • Have a plan. There are opportunities for grief support available through Hospice of Southern Illinois. If you’d like assistance from a member of our counseling services team, please call 800-233-1708 and request to speak with a member of our Counseling Services Department. Our counseling services are open to the community and Hospice of Southern Illinois families alike. Hospice of Southern Illinois, Counseling Department, facilitates monthly grief support groups on the second Wednesday of each month (3:00- 4:30 p.m.) at Relais Bonne Eau located at 7325 Marine Road, Edwardsville and on the third Wednesday of each month (3:00- 4:30 p.m.) at Garden Place Senior Living located at 351 Lockwood Drive, Red Bud. We also offer a Tree of Life Ceremony to honor and memorialize your deceased loved one. The Tree of Life Ceremony is held at 3 locations on the first Sunday in December each year.
I Do About Tinnitus?
Dr. Brandi Pettis
By Dr. Brandi Pettis, Mid America Audiology
T
innitus (“TIN-a-tus” or “Tin-EYE-tus”) refers to “ringing in the ears” when no other sound is present. Some individuals describe the tinnitus not as ringing but as hissing, roaring, pulsing, whooshing, chirping, whistling, or clicking. Tinnitus can occur in one or both ears and may be more noticeable in one ear versus the other. While not everyone experiences tinnitus, most individuals will experience brief periods of mild ringing at one time or another. For some, these sounds are constant and can be quite bothersome. Around one third of all adults have this more annoying type of tinnitus and about 10 to 15 percent of adults have prolonged tinnitus that may require medical evaluation. My patients frequently ask what causes the tinnitus to occur. While we have a good idea of where the problem originates anatomically, the exact cause of tinnitus is often unknown. There is one thing of which we are certain…Tinnitus is not imaginary. Just as fever or headache accompanies many different illnesses, tinnitus is a symptom common to many problems. If you have tinnitus, chances are the cause will remain a mystery. Possible causes of tinnitus might include: hearing loss, Ménière’s disease, loud noise exposure, migraines, head trauma, drugs or medications, anemia, hypertension, stress, cerumen build-up, certain types of tumors, caffeine, and smoking. Thus, tinnitus is a symptom of a problem. It is not a diagnosis. If you have tinnitus and have not been seen by a medical professional for this problem, you should have a medical examination with special attention given to conditions associated with tinnitus. You should also receive a comprehensive hearing evaluation by an audiologist to ascertain whether hearing loss might be the cause of your tinnitus. Hearing loss is the most commonly referenced cause of tinnitus. The hearing evaluation can help provide information about the cause and treatment options for you. There is presently no cure for tinnitus. The most effective treatment is to eliminate the underlying cause. As previously mentioned, tinnitus can be a symptom of a treatable medical condition. In some cases, the cause of tinnitus cannot be identified, or medical or surgical treatment is not an option. In these cases, the tinnitus can still be managed using a variety of other methods. Audiologists and otolaryngologists (ear, nose, and throat doctors or ENTs) routinely collaborate in identifying the cause of tinnitus and providing treatment and management. Some examples of tinnitus management options might include relaxation therapy, biofeedback, tinnitus maskers, sound machines, and habituation therapies. Consult your audiologist about what might be the most appropriate treatment for you. Remember, a treatment that is useful and successful for one person may not be appropriate for another. If you have a hearing loss, there is a good chance that a hearing aid will both relieve your tinnitus and help you to hear. An audiologist can assist with the selection, fitting, and purchase of the most appropriate hearing aids for you. Your audiologist will also help you learn how to get the best use out of your hearing aids. For more information or to schedule an evaluation, feel free to call Mid America Audiology at 1-888-531-6036 or visit our website at www.midamericaaudiologygroup.com. November 2013 — Metro East Area — Healthy Cells Magazine — Page 25
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