Wisconsin Woman Magazine April 2014 by Plus Pubs

MEDICAL

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MODEL Vol. 13 No. 4 | April 2014 | Complimentary

Puts Patient First

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Kim Seidel Dana McCullough

APRIL 2014

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FERTILITY | 9 SUMMER CAMPS | 24

Susan Marshall | 19 LIVING WELL

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Parent Care | 18 LIFESTYLE AND HOME

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COVER STORY Medical Home Model

INSIDE Be Good to Yourself

15 April 2014 WISCONSIN WOMAN | 3

APRIL | Cover Story

New Medical Home Model:

PLACES PATIENT AT CENTER OF HEALTH CARE BY KIM SEIDEL

“I finally match the way I feel inside,” says Mary Heiska-Ryan, who in real-life radiates the adage, “beautiful inside and out.” She’s lost more than 100 pounds in the past 12 months, and she continues to lose weight. “The stars were aligned right for me,” she says. Last year during a visit to Froedtert & the Medical College of Wisconsin Hartford Health Center, Heiska-Ryan asked her doctor about finding a program for weight loss. “If I could’ve done it on my own, I would’ve.” Last year, during an urgent care visit to the Froedtert & the Medical College of Wisconsin Hartford Health Center, Mary Heiska-Ryan asked about finding a program for weight loss. The 52-year-old Iron Ridge woman was referred to Edith Kolberg, RN, the clinic’s Medical Home Care Coordinator. Within 11 months, Mary lost nearly 90 pounds, and she continues to lose weight. Shown here in December 2013 with her husband, Steve, Mary said, “I have a whole new life. Now I can go sledding and get on the floor with my grandkids. I love to travel and now it is more adventurous. Just a few months ago, I would have been over the weight limit, but I just ziplined in Mexico and loved it! Plus I flew without needing to ask for a seat-belt extender. ”

4 | WISCONSIN WOMAN April 2014

When the doctor asked if she’d like the clinic’s care coordinator to contact her, Heiska-Ryan responded with an enthusiastic “yes!” Little did she know the stars were aligned even straighter than she imagined: Froedtert & the Medical College offers a newer health care model that is becoming increasingly popular in the health care industry – the “Medical Home,” also called a “Patient-Centered Medical Home.” Reflecting its name, the Medical Home places the patient at the epicenter of care.

Through the Medical Home model, a patient’s health care delivery is highly personalized, coordinated, effective and efficient. Using a team approach, the Medical Home addresses the entire spectrum of a patient’s unique health care needs, from prevention and acute illness to more focused, ongoing care for chronic medical conditions, such as obesity, diabetes, high blood pressure and asthma. “I didn’t know about this opportunity for my health,” Heiska-Ryan says. “When I heard about it, I was ready to dive in with both feet.” MEDICAL HOME continued on page 6

Learning the facts

about mammograms

could help you celebrate

more birthdays.

In Southeast Wisconsin, many women over 40 aren’t getting screened for breast cancer. The American Cancer Society and Kohl’s Cares want to remind you to take charge of your breast health and to talk to your doctor about your screening options. That’s why they’ve partnered to bring you Kohl’s Breast Health for Women, a program that focuses on keeping women healthy through prevention, screening, diagnosis, and treatment. It could save your life.

For more information, go to acskohlsbreasthealth.com or call 1-800-227-2345.

Mary, at right, receives encouragement from Care Coordinator Edith Kolberg, RN.

MEDICAL HOME continued from page 4

Team approach empowers patients The Medical Home model didn’t exist 10 years ago. Today its adoption is a growing movement in health care, and it’s offered now in our area. That’s great news for women, who often guide the majority of family health care decisions. There’s more good news – saving money. Well-designed, patient-specific plans of care can help keep people out of the emergency room and hospital, which are more expensive than routine doctor visits, says Dr. Gregory Blommel, medical director of quality and outcome for Froedtert & the Medical College of Wisconsin Community Physicians. This clinical practice group includes nearly 200 primary and specialty care physicians practicing at more than 30 Froedtert & the Medical College of Wisconsin clinics throughout Southeastern Wisconsin. The cornerstone of Medical Home is the relationship between a patient and their primary care physician. In turn, the physician leads a care team consisting of a registered nurse coordinator, pharmacist, dietitian, social worker, nurse educator and scheduler. Often, a long-term relationship develops among care teams, patients and families, Blommel says. It’s amazing to think that nearly 175 primary care providers in the Froedtert & Medical College of Wisconsin health care network are now 6 | WISCONSIN WOMAN April 2014

working together to address patients’ entire range of health care needs. “Doctors are shifting from the traditional way of providing care,” Dr. Blommel says. “Now, the nurse care coordinator and other care team members play instrumental roles in care delivery.” The Medical Home holds the power to transform the health of a community with a more patient-centered, proactive and evidence-based approach to care. The goal is to help people experience improved outcomes and a higher quality of life, Blommel says. And it starts with one patient at a time. Care providers and patients who’ve experienced care provided in a Medical Home can share countless success stories, such as reduced cholesterol, lower blood pressure and better controlled asthma. In cases of diabetes, patients are encouraged to take diabetes education classes and meet with a dietitian. Diabetes patients “have routine follow-up calls or visits with care coordinators,” Blommel continues. “In some patients, we’ve seen significant weight loss and glucose levels returning to normal.”

Weight loss through Medical Home

Heiska-Ryan’s achievement of weight loss is among those success stories. For many years, Heiska-Ryan lived in chronic pain that prevented her from keeping active, contributing to

an unhealthy weight. A 2012 knee replacement surgery left her feeling better than ever, and she knew it was time to lose weight and further improve her health. For patients like Heiska-Ryan having a Medical Home can lead to a path to better health, because it motivates people to participate in preventive care and proactive management of chronic illnesses. Together with the patient, the care team sets health goals based on the patient’s values and priorities, discusses how to achieve those goals, develops a care plan and answers questions. At her initial appointment to lose weight, Heiska-Ryan learned to set goals and count calories. “I was already eating healthy foods, but I learned about portion control,” says Heiska-Ryan. Her nurse care coordinator, Edith Kolberg, of Froedtert & the Medical College of Wisconsin Hartford Health Center, taught her about wholesome recipes, alternatives to favorite dishes, and lunch and snack ideas to bring to work. Heiska-Ryan was especially impressed with having personal contact with Edith during weekly check-ins, as well as the consistent caring, inspiration and motivation she provided. Among the many tools she’s learned to help along the way is “setting a bunch of small goals, instead of a single, long-term goal. Celebrating each small milestone has kept me going,” says the 52-year-old wife, mother and grandmother of Iron Ridge. “My ultimate goal has been to embrace this process as a lifestyle change, and that has been the only way I’ve lasted for almost a year.” Heiska-Ryan’s “bunch of small goals” included reaching a 10 percent weight loss; weighing less than her husband; and reaching “one-derland” – to weigh under 200 pounds. Her current goal is to be in maintenance mode by summer’s end. Another key to succeeding was stepping up her exercise regime. She walked on a treadmill and exercised on an elliptical machine, working her way from five to 43 minutes each day.

Her 54-year-old husband also got into the act. In the past year, he’s improved his health with weight loss as well. The couple “is the talk of the company” they both work for, Heiska-Ryan shares. “It’s a whole new life,” she says. “Now I can go sledding and get on the floor with my grandkids. I love to travel and now it is more adventurous. Just a few months ago, I would have been over the weight limit, but I recently zip-lined in Mexico and loved it.”

Better communication and outreach improve patient care

The Medical Home encourages more specific communication between the doctor and patient. Because of this, Dr. Deborah Haas, a family practice physician at Froedtert & the Medical College of Wisconsin, has experienced improvements in her practice and among many of the patients she serves. Prior to working under the Medical Home model, Dr. Haas knew what she wanted her patients to achieve, but she didn’t have readily available resources to clearly define, monitor and provide guidance in achieving those goals. Simply advising a patient “to lose weight” doesn’t work, she says. Now utilizing Medical Home, she provides specifically targeted educational material with information about to improve their personal health situation. She also makes referrals to the nurse care coordinator, who brings in others members of the care team as needed. “My patients have become more invested and more accountable for their health care,” Dr. Haas says. “Standardized protocols and tools are available to everyone on the team in the electronic medical record. We now all use the same evidence-based, best practice guidelines for specific diseases and illnesses.” The Medical Home model addresses both physical and mental illnesses. The team helps the patient set goals, and then follows up. Doctors ask for the patient’s input as well. “Now I have the opportunity to look at my patients from a much more comprehensive perspective,” says Dr. Haas, who utilizes counseling and personal training approaches to tap into patients’ motivation to get well and stay well. “We know that medicine can only

do so much,” Dr. Haas says. “And we know that making small changes in a lifestyle can make a big difference. I’m doing a better job because I’m communicating about these matters. I’m taking the time to print out my recommendations and giving them to my patients. We review the summary and discuss suggested lifestyle changes, and then review this during their next visit.” Another benefit of the Medical Home is its capability to host a vast database of patients’ clinical information, including vital data, such as whether patients are behind on screenings or immunizations. “We now reach out to people who aren’t up-to-date, recommend screenings and help them make informed decisions about what they want to do,” Dr. Haas explains. The team approach continues to be used in these important outreach services. “The teamwork is outstanding; we’re all working and heading in the same direction,” Dr. Haas says. “Life gets busy and tests like mammograms or colonoscopies are not usually the first thing at the top of someone’s mind.” Yet screenings like mammograms, pap smears and colonoscopies, help keep people out of the emergency room and hospital, where costs run higher than a routine office visit. Through this model, emphasis is placed on care coordination, disease prevention and early detection, which again can save families money in their health care budget and improve health and quality of life. “In this team-based approach, the continuum of care is greatly improved,” Dr. Blommel says. “The tremendous gap in providing health care to populations at-large is tightened through the Medical Home.” The Patient-Centered Primary Care Collaborative evaluated the effectiveness of the Medical Home model, and reported results that show better outcomes than the traditional approach to health care. Reduced mortality, fewer preventable hospital admissions for patients with chronic diseases, lower Medicare spending and improved patient compliance with recommended care were among the positive findings, Dr. Blommel says. “As patients age, many develop chronic problems. With the Medical Home, patients feel more like they have a ‘home’ for high quality, coordi-

Edith Kolberg, RN, Care Coordinator,

Froedtert & the Medical College of Wisconsin Hartford Health Center

Patients have very individual needs and I enjoy working with them in ways that are meaningful to them. It’s rewarding when I collaborate with my patients to create a health improvement plan that works for them and to witness people become motivated to improve their health by making lifestyle changes. My roles are many – educator, sounding board, coach, motivator, and cheerleader, to name a few. It’s important to make people aware of opportunities available to improve their well-being and to keep them engaged in the process.

Nikki Teasdale, RN, Care Coordinator,

Froedtert & the Medical College of Wisconsin Jackson Health Center

Patients are often challenged when navigating a complex health care delivery system, and I partner with them on their journeys by providing access to valuable screenings, tests, education, and support. I enjoy working together with patients to help them become more proactive than reactive in managing their health care. By focusing on chronic disease prevention, health maintenance and wellness, we help patients improve their own quality of life.

nated care,” Dr. Blommel says. In addition, patients have same-day appointment availability, 24-hour access to an on-call physician, extended clinic hours and access to tools that allow clinicians to provide care based upon specific cultural and language needs. Patients feel a better sense of caring in this process, and ultimately, we can improve quality of life – all while striving to reduce some of health care’s unnecessary costs. It’s an important initiative in the movement toward improving value in health care.” l Kim Seidel is a writer based in Wisconsin, who specializes in parenting, health and family issues. Visit www.seidelink.com for more information.

April 2014 WISCONSIN WOMAN | 7

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We have the largest, most comprehensive IVF and egg donor programs in the state, along with a refund policy if your treatments don’t result in a baby. We support all your needs including comfort, privacy and education.

To find a specialist, call 1-800-DOCTORS. For information, visit froedtert.com/fertility.

What Is Possible

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Fertility Problems

How will doctors find out if a woman and her partner have fertility problems?

Doctors will begin by collecting a medical and sexual history from both partners. The initial evaluation usually includes a semen analysis, a tubal evaluation, and ovarian reserve testing.

How do doctors treat infertility?

Infertility can be treated with medicine, surgery, intra-uterine insemination, or assisted reproductive technology. Many times these treatments are combined. Doctors recommend specific treatments for infertility based on— • The factors contributing to the infertility. • The duration of the infertility. • The age of the female. • The couple’s treatment preference after counseling about success rates, risks, and benefits of each treatment option.

What are some of the specific treatments for male infertility?

Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by an

urologist who specializes in infertility. A reproductive endocrinologist may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility.

What medicines are used to treat infertility in women?

Some common medicines used to treat infertility in women include— • Clomiphene citrate (Clomid®*) is a medicine that causes ovulation by acting on the pituitary gland. It is often used in women who have polycystic ovarian syndrome (PCOS) or other problems with ovulation. This medicine is taken by mouth. • Human menopausal gonadotropin or hMG (Repronex®*; Pergonal®*) are medicines often used for women who don’t ovulate because of problems with their pituitary gland—hMG acts directly on the ovaries to stimulate ovulation. It is an injected medicine. • Follicle-stimulating hormone or FSH (Gonal-F®*; Follistim®*) are medicines that work much like hMG. It causes the ovaries to begin the process of ovulation. These medicines are usually injected. • Gonadotropin-releasing hormone (Gn-RH) analog are medicines often used for women who don’t ovulate regularly each month. Women

who ovulate before the egg is ready can also use these medicines. Gn-RH analogs act on the pituitary gland to change when the body ovulates. These medicines are usually injected or given with a nasal spray. • Metformin (Glucophage®*) is a medicine doctors use for women who have insulin resistance and/or PCOS. This drug helps lower the high levels of male hormones in women with these conditions. This helps the body to ovulate. Sometimes clomiphene citrate or FSH is combined with metformin. This medicine is usually taken by mouth. • Bromocriptine (Parlodel®*) is a medicine used for women with ovulation problems because of high levels of prolactin. Prolactin is a hormone that causes milk production. *Note: Use of trade names and commercial sources is for identification only and does not imply endorsement by the U.S. Department of Health and Human Services. Many fertility drugs increase a woman’s chance of having twins, triplets, or other multiples. Women who are pregnant with multiple fetuses have more problems during pregnancy. Multiple fetuses have a high risk of being born prematurely (too early). PreFERTILITY continued on page 11 April 2014 WISCONSIN WOMAN | 9

Q&A:

metriosis, a previous pelvic infection, fibroids or menstrual irregularities, those are reasons to see a doctor before a year of trying.

WITH DR. GRACE M. JANIK BY DANA McCULLOUGH

The number of women who give birth for the first time in their 30s and 40s has quadrupled since 1970, says Dr. Grace M. Janik, a reproductive endocrinologist and director of the Reproductive Specialty Center (www.reproductivecenter.com). In fact, Dr. Janik, who has a particular interest in endometriosis, says nearly 90 percent of patients she sees are over age 35. She shared with us her advice for women who are trying to conceive.

What advice do you have for women trying to conceive?

Fertility After Age 35

Fertility begins to decline in a woman’s late 20s and early 30s, but turning 35 is not like Cinderella where you hit midnight and turn into a pumpkin. It’s a slope of change and there are many options if you’re under age 42. It’s not impossible after age 42, but it’s more difficult. Be proactive. If you have any history of problems such as endo-

What else should women know before trying to conceive?

Lubricants can be toxic [to sperm] and people may not be aware of it. Also, stress can make fertility worse, so some women may need a stress-reduction program.

What fertility tests do you recommend for women age 35 and up?

A fertility work-up can be done in two to three cycles. Ovarian reserve is one of the key things in patients over age 35. We’ll do blood tests on Day 3 of the cycle for FSH (follicle-stimulating hormone), LH (luteinizing hormone) and estradiol, as well as for AMH (anti-mullerian hormone). We also look at the basal antral follicular count. Additionally, cultures will be taken to make sure the there’s no infection. An evaluation of the anatomy can make sure the fallopian tubes are open and there

are no fibroids or cysts. A semen analysis is important.

What lifestyle changes do you recommend?

Having an ideal body weight is helpful and not smoking is key. Alcohol may impact fertility. You need to make sure to have enough folic acid to prevent neural tube defects. The website www.lifechoicesandfertility.com is a helpful resource.

What options exist for couples with difficulty conceiving?

Our center treats infertility in all aspects—from simple treatments to in vitro fertilization (IVF). Treatment should be individualized to each patient. Some programs focus on IVF as the central option given to patients. It’s a very good option, but about twothirds of people can be treated with therapy not involving IVF. If surgery is needed, it’s important to ask questions about surgical outcomes. If you’re not comfortable with options given, get a second opinion. l

Reproductive Specialty Center Reproductive Endocrinology & Infertility, Urology, and Advanced Minimally Invasive Surgery

Helping families grow since 1990

Dr. Grace Janik

• Excellence in treating female and male infertility with individualized treatment plans • World leaders in minimally invasive surgery with expertise in endometriosis, fibroids, and tubal disease • IVF pregnancy rates of over 50% in women under 40 • Named in Milwaukee Magazine’s “Top Doctors” survey consistently since 1992 • Most major insurance plans accepted and cost effective pricing for non-covered services

Grace Janik, MD • Charles Koh, MD • Douglas Dewire, MD Water Tower Medical Commons 2350 N. Lake Drive, Suite 504, Milwaukee 414-289-9668 www.reproductivecenter.com

10 | WISCONSIN WOMAN April 2014

Reproductive Specialty Center

FERTILITY continued from page 9

mature babies are at a higher risk of health and developmental problems.

What is intrauterine insemination (IUI)?

Intrauterine insemination (IUI) is an infertility treatment that is often called artificial insemination. In this procedure, specially prepared sperm are inserted into the woman’s uterus. Sometimes the woman is also treated with medicines that stimulate ovulation before IUI. IUI is often used to treat— • Mild male factor infertility. • Couples with unexplained infertility.

What is assisted reproductive technology (ART)?

Assisted reproductive technology (ART) includes all fertility treatments in which both eggs and sperm are handled outside of the body. In general, ART procedures involve surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body or donating them to another woman. The main type of ART is in vitro fertilization (IVF).

How often is assisted reproductive technology (ART) successful?

Success rates vary and depend on many factors, including the clinic performing the procedure, the infertility diagnosis, and the age of the woman undergoing the procedure. This last factor—the woman’s age—is especially important. CDC collects success rates on ART for some fertility clinics. According to the CDC’s 2011 Preliminary ART Success Rates, the average percentage of fresh, nondonor ART cycles that led to a live birth were— • 40% in women younger than 35 years of age. • 32% in women aged 35–37 years. • 22% in women aged 38–40 years. • 12% in women aged 41–42 years. • 5% in women aged 43–44 years. • 1% in women aged 44 years and older. Success rates also vary from clinic to clinic and with different infertility diagnoses. ART can be expensive and time-consuming, but it has allowed many couples to have children that

otherwise would not have been conceived. The most common complication of ART is a multiple fetus pregnancy. This is a problem that can be prevented or minimized by limiting the number of embryos that are transferred back to the uterus. For example, transfer of a single embryo, rather than multiple embryos, greatly reduces the chances of a multiple fetus pregnancy and its risks such as preterm birth.

What are the different types of assisted reproductive technology (ART)?

Common methods of ART include— • In vitro fertilization (IVF), meaning fertilization outside of the body. IVF is the most effective and the most common form of ART. • Zygote intrafallopian transfer (ZIFT) or tubal embryo transfer. This is similar to IVF. Fertilization occurs in the laboratory. Then the very young embryo is transferred to the fallopian tube instead of the uterus. • Gamete intrafallopian transfer (GIFT), involves transferring eggs and sperm into the woman’s fallopian tube. Fertilization occurs in the woman’s body. Few practices offer GIFT as an option. • Intracytoplasmic sperm injection (ICSI) is often used for couples with male factor infertility. Sometimes it is also used for older couples or for those with failed IVF attempts. In ICSI, a single sperm is injected into a mature egg as opposed to “conventional” fertilization where the egg and sperm are placed in a petri dish together and the sperm fertilizes an egg on its own. ART procedures sometimes involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who cannot produce eggs. Also, donor eggs or donor sperm are sometimes used when the woman or man has a genetic disease that can be passed on to the baby. An infertile woman or couple may also use donor embryos. These are embryos that were either created by couples in infertility treatment or were created from donor sperm and donor eggs. The donated embryo is transferred to the uterus. The child will not be genetically related to either parent.

Surrogacy

Women with no eggs or unhealthy eggs might also want to consider surrogacy. A surrogate is a woman who agrees to become pregnant using the man’s sperm and her own egg. The child will be genetically related to the surrogate and the male partner.

Gestational Carrier

Women with ovaries but no uterus may be able to use a gestational carrier. This may also be an option for women who shouldn’t become pregnant because of a serious health problem. In this case, a woman uses her own egg. It is fertilized by her partner’s sperm and the embryo is placed inside the carrier’s uterus. l April 2014 WISCONSIN WOMAN | 11

LIVING WELL | Sue Ann Says

Sue Ann Says…

Breast Cancer Does Not Care What Age You Are:

ANYONE IS VULNERABLE

his month I want to share a story of courage and survival with you. Tommi found a lump in her breast during self-examination. “It was large enough that I knew I needed to see a doctor,” said Tommi. “I met with my doctor and by Friday that week I had an ultrasound. The radiologist that read the ultrasound was confident that it was a benign tumor. I felt great but was concerned and asked for more testing to be done especially since there was a history of cancer in the family. The following Monday I had a needle biopsy performed. The biopsy slides came back with the diagnosis of breast cancer. I was just 33 years old.” Tommi is my daughter. I want to share her journey as a young woman who survived breast cancer, not just because she is my daughter, but because breast cancer can strike a woman at any age. It is a myth that young women do not get breast cancer and studies show that the possibility of

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1-(262) 548-9148

12 | WISCONSIN WOMAN April 2014

breast cancer in young women is on the upswing. By sharing Tommi’s story with you, I hope to raise awareness that women of all ages need to be advocates for their own health.

Looking at Life in a Different Way

After the diagnosis, Tommi was scheduled for a mastectomy to stop the spread of the cancer. “Surgery went well. I found out how important nurses are. After surgery it’s difficult to even sit up.” Soon Tommi began chemotherapy treatments. “The anti-nausea drugs that I took were quite good but emotionally it was hard. This was a very clarifying time in my life. What I thought was important was not. It makes you look at life in a different way. It makes you pause,” she said.

Family Support was Crucial to My Recovery

“I had a strong support system during this time. I was fatigued and keeping people up-to-date was overwhelming. My mother and my sister went with me to appointments and helped me remember all the information that I was being told. They kept other family and friends informed of my situation. My dad and brother were great, too!”

I Didn’t Lose Control to Cancer

“It was important for me to continue a normal routine. I worked and tried to continue with my daily chores. I found out that it was better for me to be prepared than for cancer to continually throw me something I wasn’t ready for. For instance, I knew I would be losing my hair from the chemotherapy. So before chemo began I chose my wig and scarves and had them ready. You don’t want to go out and choose a

wig or scarves when you don’t feel good,” shared Tommi. I decided when I wanted to shave my hair and my brother shaved it for me. I was able to take control of a few small, but important things in my life.”

Cancer Support Groups Played a Role in Recovery

“A support group was started at the Wisconsin Women’s Health Foundation. I met a group of young women who were all diagnosed around the same time as me. We were having some of the same experiences so we could share our feelings. Out of the support groups we came up with the SAS continued on page 14

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Of the nearly 6,000 hospitals in the U.S., less than seven percent have Magnet Recognition. The American Nurses Credentialing Center (ANCC) honors organizations that demonstrate excellence in nursing practice and adherence to national standards and best practices. A hospital that has been recognized by the Magnet Recognition Program® is one that has met the specific standards set forth by ANCC. These standards define the highest quality of nursing practice and patient care. Magnet designation is an honor to hospitals like Cancer Treatment Centers of America® at Midwestern Regional Medical Center that demonstrate t Quality patient care t Nursing excellence t Innovations in professional nursing practice To learn more about nursing excellence at CTCA®, call 800-950-2822 or visit cancercenter.com/midwestern.

Conveniently located off I-94, just south of the WI-IL border in Zion, IL.

April 2014 WISCONSIN WOMAN | 13

SAS continued from page 12

idea of holding wellness camps, where experts brought us information on everything from diet to exercise to massage all in one morning. We ended up being amazing pillars of strength to each other for over two years,” said Tommi.

Tommi’s Advice for Young Women

“You know your body best. Listen to that inner voice. You need to open the communication with your doctor. You want to catch things early so you may need to point out a symptom to your doctor. You are your own best advocate. It is never too early to think of your health.” “Fertility is an issue that young women with breast cancer face that older women do not face. Treatments such as chemotherapy can cause problems with fertility. You need to have those conversations with your doctor so you can be empowered. Even if you are single, you need to ask your doctor about fertility options because this is a whole new dynamic in your life.” “If you can find a support group with women of your own age who are diagnosed around the same time, you can gain so much from each other,” said Tommi. “Gilda’s Club has young cancer support groups,” she added.

My Thoughts and Hopes

I believe it is much more difficult to see your own daughter go through breast cancer than yourself. Seeing her go through surgery and chemotherapy was extremely hard, but she had and still continues to have a strong spirit and positive attitude. This year Tommi is ten years cancer free! Tommi asked her doctor questions because she knew something wasn’t quite right with her body. I want you to open that conversation with your doctor and ask questions. Be an advocate for your own body and health. l Because it all beings with a healthy woman… Sue Ann Thompson is founder and president of the Wisconsin Women’s Health Foundation (WWHF), a statewide non-profit organization whose mission is to help Wisconsin women and their families reach their healthiest potential. WWHF provides programs and conducts forums that focus on education, prevention, and early detection; connects individuals to health resources; produces and distributes the most up-to-date health education and resource materials; and, awards grants and scholarships to women health researchers and related community non-profits. To learn more, visit www.wwhf.org or call 1-800-448-5148.

Don’t Miss the May Issue of Wisconsin Woman Magazine Check out our special advertising sections: • Salute to Nurses • Mother’s Day Gift Guide • Education • Taking Care of Your Parents

14 | WISCONSIN WOMAN April 2014

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MILWAUKEE MEDICAL WEIGHT LOSS AND MEDISPA From laser hair removal and microdermabrasion to a variety of medical weight loss options, we provide only the most advanced aesthetic and medical services in a friendly, comfortable and professional environment. We are committed to helping you, and take your needs and goals seriously! We offer effective, reliable expertise and guidance as you work toward the path of a healthier life! Our weight loss program is medically supervised by a physician and nurse practitioner, with expertise in the area of weight management. We want to be especially supportive of our patients’ efforts at weight loss as we provide them with the tools necessary to achieve a healthier life. Our goal is to help people lose weight quickly and safely by offering an effective, reliable approach to weight loss which will provide our patients with long term success. Milwaukee Medical Weight Loss and Medispa has an extensive list of medispa services as well. We offer laser hair removal(featuring the vectus laser, the fastest, most comfortable laser ever made)chemical peels, dermafrac skin rejuvenation system featuring facial micro-channeling technology and much more. All services are performed by our licensed esthetician who has over ten years of laser experience and medical skin care expertise. Another professional we have on staff is our registered nurse who offers Botox and Derma Fillers. She has over 14 years of experience with these types of injections to help you look years younger. At Milwaukee Medical Weight Loss and Medispa we help real people achieve real results!

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Yourself BE GOOD TO

EON CLINICS

It’s time for a second chance If you are one of the millions suffering from debilitating gum disease, soft enamel, or ill-fitting dentures, you needn’t suffer any longer. With the help of Eon Clinics, thousands have already regained their confidence and oral health with permanent, non-removable smiles supported by dental implants. Our one-day procedures provide new smiles that look, feel, and function like natural teeth, giving our patients a new lease on life.

HOW DO WE DO IT? At Eon Clinics we focus exclusively on the placement and restoration of dental implants, making our team of doctors among the most experienced in the Midwest. Our “all-in-one” centers allow us to provide all aspects of dental implant treatment in one convenient location. Each patient receives focused attention from a board-certified prosthodontist, board-certified surgeon, and specialized lab technician. Our state-of-the-art, in-house dental laboratory and diagnostic equipment allow our team to collaborate more efficiently and achieve superior results. There is no need for multiple visits to multiple offices to complete your treatment anymore. All-in-one centers allow more control than ever, making treatment highly predictable. So predictable, in fact, we offer a Lifetime Guarantee on our complete-jaw restorations.

IT’S EASY TO GET STARTED! Upon arriving for your first visit to Eon Clinics you will be greeted by a Treatment Coordinator who will gather information about your personal goals and specific dental needs. To develop the ideal treatment plan for you, a complimentary 3D CT scan will be taken to evaluate whether you are a candidate for dental implants and determine your treatment options. You’ll discuss the advantages and disadvantages of each option with your Treatment Coordinator and Clinical Director, which will enable you to make an informed decision on which treatment option is best for you. Financing is available for those who need to make monthly payments in order to move forward with their 16 | WISCONSIN WOMAN April 2014

preferred option. Best of all, the complimentary appointment is a no-pressure opportunity to gather information.

NOT CONVINCED? TAKE IT FROM OUR PATIENTS... Going to Eon Clinics was the best thing I have ever done for myself. I can smile again! My clients and my family have noticed the difference in me. I never thought that the process would go so smoothly. I’m a true fan. Thanks so much to the whole staff at Eon, and especially to the wonderful caring doctors. Love you all. - Joan Barrett My experience at Eon Dental Clinic was superb. I had been losing teeth, had bridges and then partials. The partials were attached to my permanent teeth. Because the partials weakened these teeth, they started breaking. I looked into having implants done, but this entailed more than a year to have bone grafting done on my jaw bone. Because I had lost so many teeth, I decided I needed something much quicker. At my initial meeting, everything was explained very well. Any questions I had were answered thoroughly. On the day of my surgery, I found the staff to be very kind and respectful as to how I was doing and feeling. I was given exceptional information on what to expect and what I could and could not do. I was also given pain medication to take, but did not need it. It is amazing to me that having all my teeth removed would be virtually painless. My follow-up appointments were the same - with the staff most helpful and courteous. I am so pleased at my new appearance and have recommended Eon Clinics to many people. - Barbara Schneider

Well where has the time gone? This spring will be four amazing and wonderful years since I have had this life altering procedure. I never imagined in the beginning that it would have changed me so much. My health issues with my heart have totally been resolved - I no longer have periodontal disease, my headaches are gone. I have traveled and been able to snorkel and dive, things I couldn’t enjoy before because I was worried about my teeth on the mouth piece. I am not afraid to speak to people and my husband now calls me his Social Butterfly… I don’t know how to thank everyone at Eon Clinics enough for everything they have done for me. I feel like they are a part of my family; I enjoy coming into see everyone for my checkups and love talking to anyone who is thinking about having this done. I was once told that life is a journey - well thanks to everyone here, my path is a lot easier today. If you ever wondered what it would be like, you have made the right choice to let Eon Clinics help make your path a lot easier, too. Thanks, Eon. P.S. My family thanks you, too... a happy mom means a happy house. - Tina Hauptman

â&#x20AC;&#x153;I was really impressed with the doctors. It was great to walk out with teeth the same day of the procedure and not have to wait.â&#x20AC;? -Tina

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20700 Swenson Drive Waukesha, WI

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CAREERS | Building Stronger Women

A GREAT PLACE TO WORK AND LIVE Studies of successful small businesses make these recommendations: let employees at all levels make key decisions, groom leaders from within, offer generous traditional and non-traditional benefits, constantly hunt for new ways to improve the employee experience, share a sizable slice of profits with employees, and teach them to read company financial statements so they grasp how their job is connected to the success of the organization. These challenges are often handed off to the human resources department to take care of, but the fact is that every person in an organization contributes to making it a great or not-so-great place to work.

How can you help create a great place to work?

Start by recognizing that you do make a difference. Whether you’re aware of it or not, people watch what you do so be mindful of the standard you’re setting. Get involved in your work. Learn as much as you can about how your job impacts other departments or the customer. Ask about things you don’t understand in a spirit of curiosity and learning, not with the intention of demanding change. Take responsibility for where you want to be and ask for help in getting there. The most influential people at work are not always the ones in corner offices. People who study their business and gain a deep understanding of how things work often find themselves in a position to suggest new methods. These people rarely get angry when things go wrong. Instead, they diagnose situations then offer potential solutions. You’ve probably heard it a hundred times, but your attitude is contagious. If you show up at work interested in learning, you’ll carry yourself differently than someone who is there because they have to be or who thinks they know all the answers and everyone else is dumb. Who would you rather be around? What can you do if you’re stuck with a negative boss or you sit next to a nasty co-worker? First, disengage emotionally from their negativity. They are going to be themselves no matter what you do, so don’t invest any time in

The Great Place to Work Institute defines a great place to work as one in which employees trust the people they work for, have pride in what they do, and enjoy the people they work with. According to the Institute, trust between managers and employees is the primary defining characteristic of the very best workplaces. trying to change them or feeling bad about yourself because of the way they are. When dealing with your boss, keep conversations focused on the work that needs to be done. Ask questions if you don’t understand her direction. Seek information, not affirmation, and repeat back the things she asks you to do so she can verify or correct her instruction. Take notes. By dealing with a bad boss professionally and dispassionately, you contribute to a positive working environment by not fueling her bad behavior or adding stress to your own life. The same is true for a nasty co-worker. If you don’t need to interact with the person, don’t. And don’t talk about her behind her back. That’s poison in any organization. Which brings me to one last point. Watch your language and tone of voice at work. Snide comments are hurtful, not only to the person who’s being criticized, but to everyone who happens to overhear them. When you need to correct someone, do so with an attitude of teaching or helping. Keep your voice calm as you offer new information. A sharp tone of voice creates tension and discomfort and adds to overall work stress. The bottom line for anyone who seeks a great place to work is to take responsibility for your own contributions. Make sure the things you do and say help to foster an environment in which employees trust the people they work for, have pride in what they do, and enjoy the people they work with. By the way, this advice applies at home and in your community, too. You can make any place you are a great place to be. l •

••• Susan Marshall is an author and speaker whose book, “How to Grow a Backbone: 10 Strategies for Gaining Power and Influence at Work,” has been translated into multiple languages and is especially popular in Asia. Her work is dedicated to building strong leaders who create successful organizations, transform school systems, and develop leaders at all levels. You can reach her at (262) 567-5983 or susan@backboneinstitute.com

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April 2014 WISCONSIN WOMAN | 19

BBB-

Helping Wisconsin Women for Over 75 Years

BY: LIZ FREDRICHS, EXECUTIVE VICE PRESIDENT – BBB OF WISCONSIN, INC.

or over 75 years, the Better Business Bureau (BBB) has helped people find and recommend businesses, brands and charities they can trust. We started the whole idea of business reports, first in print, then over the phone, and finally on the internet. While the BBB is a local, private, non-profit organization, we provide a nationwide reach in providing scam alerts, business reporting, and complaint assistance. In a world of ever increasing marketing messages and blatant self-promotion, BBB offers unbiased, objective information to help people make good buying choices. Our mission is to advance marketplace trust and our vision is to create an ethical marketplace where buyers and sellers can trust each other. Our online business reports are called BBB Business Reviews. Most people don’t know that every company in the U. S. and Canada can create a free BBB Review and receive a rating by registering their business with the BBB. We encourage all busi-

nesses to register with the BBB because the use of BBB data has increased significantly over the last several years. For instance, in the last 30 days we’ve had nearly 250,000 visitors to our website. Nationally, the BBB.org website is ranked in the top 1% of all sites for traffic. While any business can have a BBB Review, only Accredited Businesses support the BBB financially. Their support allows us to provide all of our services free to the public. Accredited Businesses are locally owned or operated in Wisconsin and support BBB efforts to expose unethical companies and charities. In addition, the Accredited Businesses are evaluated annually, their licenses verified, and their advertising reviewed to meet our Standards of Trust for honesty and transparency. Our website, www.bbb.org/wisconsin, provides timely information on local area news and alerts that help businesses and consumers save money and avoid scams. The most common regret we hear from a consumer is, “I wish I would have checked with BBB before I did business with this company. I would have saved myself a lot of trouble!” With a quick, easy search, you can determine if there might be any potential problems before you move forward with a company. And now you can access our information on any mobile device as well. Today, on our BBB website, customers can review a business. Customers wanted BBB to offer a platform where they could share an experience, whether good or bad. We do not allow anonymous reviews. The customer must have had an interaction with the business, and we do allow the business time to review and respond to the review before it’s posted to their online report. Customers can still request BBB assistance by filing a complaint, and we will facilitate a resolution with the company. Complaint services are free to the public and offered for any business. Complaints are not posted to a company report until the complaint process is completed and closed. Both customer reviews and complaints stay on a company BBB Review for three years.

Other services we provide include:

bbb.org/wisconsin/shredfest

• Annual Student of Integrity Scholarship. Started in 2010, our Foundation has awarded over $32,000 in scholarships. • Education and information to the public by providing industry tips and trends through our website, press releases, blogs, social media and presentations to business and consumer groups. • Investigations that have assisted local enforcement agencies in shutting down fraudulent companies in Wisconsin. • BBB AutoLine, which helps consumers with a lemon law complaint or vehicle defect. • Charity Reports • Shredding events to help assist in protecting an individual’s identity. Our next on-site SHREDFEST event is Saturday, May 10, 9:00 am – 11:30 am at Layton State Bank – S. 104th and Lincoln Ave. l

Take a moment to check out our website today www.bbb.org/wisconsin to see how we can help you before you make your next buying decision! Facebook “f ” Logo

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LIFESTYLE | In Fashion

SPRING 2014 FASHION TRENDS:

Evolution NOT Revolution! A new fashion season is always overwhelming – even to those of us whose business it is to translate the trends. I find it’s easier to understand if we corral the season’s myriad of trends into a catch phrase or two.

MODERN MOD

Twiggy and Edie Sedgwick are muses. Black and white reign as the prominent color scheme. Graphics are head to toe, and materials shine, shine, shine. There’s a “Space Age” feel to fabrics, and futurism is interpreted in clean lines and hologram effects. Materials and prints: mesh nylon, geometric shapes, striped patterns, coated surfaces, vinyl and neoprene.

PUNK PLAYGROUND

Take a trip back to the ‘90s: pretty in pink! But pastels have never looked less innocent. School girl innocence is counterbalanced with blacks and dark gothic hues. Nineties-style combat boots and plaids keep the princess in check. Playful prints and unexpected combinations expand everyone’s fashion horizons. Materials and prints: polka dots, lace, denim, floral prints, plaid and leather.

ANCIENT ODYSSEY

The drape of the fabric evokes a Greek goddess; gladiator style sandals ground the look. Colors are sun-bleached or blinding white against a background palette of beige, terracotta, gray, limestone and clay. Materials and prints: chiffon, linen, suede, gauze, distressed crepe de chine, embossed and distressed surfaces.

ZEN RETREAT

Strong influences from Eastern retreats inspire this trend. Silhouettes evoke images of pagodas and Asian interior décor, draping of Geisha satins, and precise origami pleating. Nature’s strong influence is evident in floral prints and bamboo fabrics. Materials and prints: silk, printed chiffon, Asian floral prints, printed satin and embossed stitching on chiffon.

VIRTUAL JUNGLE

Shocks of tropical colors splash throughout and against a dark background. Jungle foliage, fruits and animals abound in digital prints. Materials and prints: tropical prints, geometric trial designs, digital prints, black-based floral and palm prints, exotics and mesh and netting. What’s essential to remember is that a new season does not mean a REVOLUTION for your closet, but an EVOLUTION! Glance at this article again. My bet is you have pieces in your closet that fit into each of these five trends. (For example, what’s more VIRTUAL JUNGLE than your animal print blouse?) It’s just a matter of thinking about those pieces in a different way and in new combinations. In a word: EXPERIMENT! l •••• Happy Spring. Yours in fashion, Faye

April 2014 WISCONSIN WOMAN | 21

LIFESTYLE | A Man’s Perspective

in N e h t U t F u P e W

! N O I T C N DYSFU T

his month I want to share a story of courage. My kids like to sit around and compare both sides of our families - my side and my wife’s side of the family tree. (You do it, too, you just don’t want to admit it.) Invariably, the topic turns to which side is stranger than the other. Let’s face it; we all have a little weirdness to our families. What one family considers normal, another may think bizarre. For instance, we use a lot of sour cream in our house. It wasn’t until recently that my eldest daughter’s friends were kidding me and my wife about the first time they saw the “vat” of sour cream at our dinner table. Sorry, we consider it a condiment. Of course, the differences reach beyond food and venture into clothing styles, personal habits, and choices. We do not have a TV on our main level in the house. Most

find that really strange, but when we removed it, we noticed more conversations happening among the family and more reading taking place. We even played more games as a family. It was fun when my kids started dating. They get, at least a glimpse, of another family unit. I always tell them if you think our family is strange, wait until you meet some others. Now, none of my kids are married yet, but I do look forward to the day when I hear that we are not as crazy as they thought growing up. The other thing we often talk about are those “perfect families.” They have smart kids, Smart parents, are always well behaved in public, always dressed to the nines, volunteer, support each other and make me wonder. I always ask, what are they hiding? Perhaps I am a skeptic, but the more perfect they seem, the more dysfunctional they probably are. That’s my theory and I am sticking to it. Sibling fighting, not getting along and learning how to deal with others close to you is, in my world, a natural part of growing up. Those that do not experience this are likely the outcasts of our society. They will have more of a shock going through life than my dysfunctional clan. The world is not a perfect place and my family being imperfect is perfectly fine with me. So back to that question, which side of our family is more dysfunctional? In my case, I have to say it’s a tie. Now, my kids and wife may differ, but I already know that I’m the only normal one among them. Except for that tick when I drive, the way I yell, that thing about where my hair brush is and…. l

MEET OUR FAMILY! SportS

Senior Day at the Zoo

Social Security

SPRING | SUMMER ISSUE

After Bad Ideas

page 9A

Packers Golden Girl page 20A

August 30th

Adoption through foster cAre

Section b

Find Your Future in Assistance in Living page 2B

Family

fun

check out our calendar of events

The BenefiTs POMMER:

This is a generous tax break page 3A

Volunteer

STATE CAPITOL SpotLight COMMENT

By Matt Pommer

STATE CAPITOL Don’t keep COMMENT Matt Pommer unneededBypapers page 5A

By Bruce Nemovitz

orgAnizAtionAL tipS

PLUS Inside

When your child has special needs

By Aunt Emma

By Karen Ellenbecker

HEALTH CARE Under the federal Affordable Care Act (Obamacare) low income persons were to receive health care by expanding eligibility for Medicaid to 133% of the Federal Poverty Level (FPL). This equals $15,282 for one person,

IT MAKES ME

AGING ISSUES

By Tom Frazier

MOVING IN THE RIGHT DIRECTION 8/20/13 9:28 AM

recently passed state budget, both in & ofJulie terms moneyEllenbecker and people affected, -Lipsky were the decisions to reject increased federal dollars to expand health care for low income people (Medicaid), and to provide tax cuts for “middle class” individuals.

TRAVEL

PLANTING TOMORROW’S

TODAY EmmaDREAMS By Brad Olson

in Business

It’sabout All the

Eyes Women’s Clubs Bring Change

Knowing the Secret to Leadership

for a family of four. But, when the Supreme Court ruled on the constitutionality of the Affordable Care Act (ACA), it said that states could not be forced to expand Medicaid. Governor Walker and majority Republicans in

CRABBY

Women

Sara meaney

ARENAs continued on PAgE 13A

MONEY Low income health careMan and middle class tax cuts Answer Two of the biggest items in the $20,628 for two persons, and $31,322

By Bruce Nemovitz

Sept WW Pages.indd 1

SENIOR

APRON STRINGS SENSE

Emma

plus FALL FAShion &

involved

Jerry, Marie, daughter lisa and son Tony at last year’s Tent Event. See page 19b for details on the August 25 event.

Once upon a time, the popular question of the day may have been, “After they’ve seen Paree, how do you keep them down on the farm?” This question was asked circa the late 19th century. But now in modMONEY SENSE ern day Southeastern Wisconsin, the question often is, “Why not join the many happy and knowledgeable By Karen Ellenbecker people who& are dining at the ever-popular Palmer’s Steakhouse, nestled alongside the picturesque Bark Julie Ellenbecker -Lipsky River in downtown Hartland? More than taste buds are satisfied there. What is the secret to Jerry and Marie Arenas’ success? There is none. This answer is obvious: Serve great food. Do so in satisfying quantities and the diners will come. We won’t even mention the good drinks served from their bar. In fact, they do so on such a regular basis that Jerry and Marie know most

TRAVEL

Maintain your home MOVING IN THE page 7ARIGHT DIRECTION

Are you Sandwiched?

3/7/13 2:00 PM

EDITORIALS

ELLENBECKER:

NEMOViTz:

Taking Care of Mom and Dad with Kids

MF Pages SPRING\SUMMER 2012.indd 1

EDITORIALS

Vol. 14 No. 3 | March 2013 | Complimentary

Vol. 14 No. 9 | September 2013 | Complimentary

StAy in ShApe without A gym

of being BeinG

Jerry and Marie Arenas work toward a cure

August 2013 Vol 26 No. 8

COMPLIMENTARY

A Sister’s Legacy

Shape Up!

of Greater Milwaukee

FALL / WINTER 2013 | CompLImENTARy

of Greater Milwaukee

The Disease that Whispers

FRAzIER continued on page 3A

HERMAN WHITE WRITES APRON STRINGS ARTS ENTERTAINMENT By Aunt Emma Answer Man

SENIOR

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8/5/13 12:13 PM

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2/18/13 10:05 AM

calendar

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IT MAKES 60 ME By Jack Pearson

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the WRIGHT SIDE of By Enis Wright

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HERMAN WHITE WRITES

publishers of award winning ARTSthe ENTERTAINMENT calendar

50 PLUS NEWS MAGAZINE, WISCONSIN WOMAN MAGAZINE 60 AND MILWAUKEE KILLING TIME FAMILY MAGAZINE SPORTS

By Jack Pearson

the WRIGHT SIDE of By Enis Wright

with Jim McLoone

For advertising information for Wisconsin Woman call 262.367.5303 ext. 16 and for 50 Plus call 262.367.5303 ext. 12

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•••• Grant A. Johnson is the founder and CEO of Brookfield-based Johnson Direct, a full service, measurable marketing firm. He has four children from 14 to 21 and has been married to his wife, Maria, for over 23 years.

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Rocky Mountain High: A John Denver Tribute starring Ted Vigil

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Tickets $38 â&#x20AC;˘ Box Office: 414.273.7206 MarcusCenter.org â&#x20AC;˘ Ticketmaster.com Groups of 10+ Save! Call 414.273.7121 Ext.210 April 2014 WISCONSIN WOMAN | 23

Summer Camps FINDING THE BEST FIT FOR YOUR CHILD

t’s never easy leaving your child in the hands of a caregiver, but as parents it’s inevitable there are times when we need to—perhaps because the economy necessitates both parents work, or you’re a single parent who needs a hand. Choosing a day care or summer camp can be a stressful decision for parents. So, what are the most important things to consider? Much of what a parent should look for comes down to the atmosphere and the gut feeling you get when you check it out, say area experts. The most important thing that kids get in day care and summer camps are the relationships they make and the most lasting and deepest impressions. I would focus on the staff. Ask questions like, does the center have a stable staff (i.e. minimal staff changes throughout the week, as well as low overall turnover)? Is the staff actively interacting with the kids? Do I feel like my child will get the attention and care I would expect? Does it feel secure? Will the staff listen to what’s important to me? Does the staff look bored or “fried”?

What your child will do throughout the day at day care or summer camp is another crucial point; after all, you want your child to learn while still having fun. Children should be able to participate in both large and small-group activities, and have the freedom to explore what activities interest them and give children flexibility and choices rather than mandating what they do throughout the day. l

When deciding what camp is best for your child, try to: 1. Visit the camp in person ahead of time. 2. Talk to other parents and children who are familiar with the camp you’re interested in for your child. Word-of-mouth is one of the greatest resources for parents. 3. Talk to the camp’s director. This person sets the tone for the camp, especially since he or she is the one who hires the staff and is responsible for how the camp is run. 4. Ask questions. Some important questions to ask include: l l l l

• Overnight Resident Camp • Boys and Girls, Ages 7-16 • Traditional and Specialty Activities • HORSES, teen programs, and adventure trips

• Sessions from 4 days to 1 or More Weeks of Summer Fun! • Kids love us; Parents trust us • Online Registration Available

Plymouth, WI

800-741-6931 • www.anokijig.com 24 | WISCONSIN WOMAN April 2014

What is the child-to-staff ratio? Do you do background checks on the staff? What is your safety policy? Can my child come home if he or she wants to?

April 2014 WISCONSIN WOMAN | 25

AT HOME | Crafters’ Corner

You’re just inches away from this easy craft Create your own yardstick scarf and jewelry organizer With this easy craft you are just seconds away from an inexpensive, yet practical way to display your scarves, jewelry, keys, rings, belts or other small accessories! The supply list is short and most items can be purchased at your local hardware store.

SUPPLIES NEEDED: Wooden yardstick or ruler Cup hooks (we used 3/4”) Screw Eyes (we used #212) Wooden rings, curtain or key rings Vice grips Screwdriver Drill with 3/32” bit Removable velcro

26 | WISCONSIN WOMAN April 2014

Wisconsin

! t f a r C Woman

of the month

MAKE

IT!

INSTRUCTIONS: 1. Drill holes in ruler, using inch marks to ensure hooks are equal distances apart. 2. Manually screw cup hooks into holes. 3. Place wooden ring in vice grips and score a small pilot hole with a screwdriver. Next drill hole in the wooden ring. 4. Manually screw the eye screw into the wooden ring. 5. Put picture & frame hanging removable velcro on the back of the yardstick and mount to the wall. 5. Put scarves through the wooden ring and hang on the yardstick! In less than 30 minutes you have a handmade holder that is the perfect accessory for staying organized!

SUMMER ARTCLASSES

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WEEK LONG CLASSES MEET MONDAY thru FRIDAY FOR 2 HOURS SUPPLIES INCLUDED

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AUG 4 to 8

10:30 or

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AUG 12 to 16 9:30

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April 2014 WISCONSIN WOMAN | 27

AT HOME | Recipes

INFUSE

spring CELEBRATIONS WITH GRILLED LAMB GRILLED AMERICAN LAMB SIRLOIN Serves 4 to 6

1 1/2 pounds American lamb sirloin or sirloin chops 2 lemons 3 cloves garlic, coarsely chopped 3 anchovy fillets, coarsely chopped 1/2 cup pitted black olives, plus a few for garnish 2/3 cup flat leaf parsley leaves 2 tablespoons cacao nibs 3 tablespoons extra virgin olive oil

oasted leg of lamb traditionally takes center stage for spring celebrations around the family dinner table. This flavorful recipe from Boston Chef Michael Scelfo for Grilled American Lamb Sirloin is a fresh spin on whole leg roasts, and simplifies spring entertaining. While sirloin chops are commonly found in grocery stores, consider ordering a whole sirloin roast - a portion of the leg - from your butcher for a larger gathering. Though you may be most familiar with roasting or braising, American lamb can be deliciously prepared a variety of ways. For example, this grilled lamb recipe pairs a zesty marinade with a hint of cacao for a fresh and seasonal American lamb spread. Simple marinades and rubs will bring out the best in lamb, creating a fresh flavor that enhances and tenderizes the meat. Invest in a quality meat thermometer to avoid overcooking lamb. The key to tender and flavorful meat is removing the lamb from the heat when it reaches 135 degrees. Then, let it rest before cutting, bringing the internal temperature to 145 degrees (medium rare).

SERVING TIP: Serve on a bed of Carrot & Coriander Mash, topped with Puree of Grilled Ramps. Find the full recipe and others at www.americanlamb.com.

Pat sirloin dry and place in 8-inch square baking dish. Coarsely chop zest of one lemon and place in food processor or blender. Add juice of both lemons and remaining ingredients. Roughly puree by pulsing food processor or blender several times, until mixture is smooth with some small chunks. Rub puree over meat. Loosely cover pan with plastic wrap and marinate at least 2 hours in refrigerator, preferably overnight. Remove sirloin from refrigerator one hour prior to cooking to bring meat to room temperature. Heat gas or charcoal grill so one section is approximately 450F degrees, and a second section is about 350F. When grill is hot, scrape excess rub off sirloin and place it on hot side of grill, flat side down. Sear 3 to 4 minutes per side, or until nicely charred. Move sirloin to cooler side of grill and continue to cook, covered, until it reaches 135F, approximately 25 minutes or 15 to 20 minutes per pound. (For individual chops, use medium hot grill, 4 to 6 minutes per side.) Before slicing, allow meat to rest, loosely covered with foil, for 15 minutes to bring the internal temperature to 145F (medium rare). SERVING TIP: Serve on a bed of Carrot & Coriander Mash, topped with Puree of Grilled Ramps. Find the full recipe and others at www.americanlamb.com. Source: American Lamb Board

28 | WISCONSIN WOMAN April 2014

AT HOME | Decor

MILWAUKEE/NARI OFFERS

“GREEN” Home Tips

April 22 is Earth Day, a day to inspire appreciation and awareness of the Earth’s natural resources. It’s also a day to recognize ways to be a better steward of the Earth. To do that, homeowners can reduce their home’s environmental footprint and save money on energy bills. Milwaukee/NARI Home Improvement Council, Inc., the area’s leading home improvement and remodeling industry resource for more than 52 years, offers earth-friendly tips for the home.

Green Remodeling

Select bamboo. Bamboo flooring is environmentally-friendly because it replenishes rapidly, maturing in four to six years, compared to the decades it takes usual hardwoods to become established. Consider low-flow toilets. They use 1.6 gallons per flush, compared to the 3.5 gallons used by pre-1994 models. Reuse (or donate). Many homeowners choose to repurpose or update existing items such as cabinets, appliances, or other materials. If people don’t want to refinish or find a new use for items, they can donate them to the Milwaukee/NARI Foundation Rummage Sale or organizations like Habitat for Humanity.

Strategically place windows. Windows can play a role in a home’s temperature and reduce the amount of electricity used. During winter, south-facing windows will allow more sunlight to flood and heat a room. Shade the sun in the summer to keep a space cool. North-facing windows will sufficiently light other rooms. Keep the air out. Make sure that the attic is properly insulated, and use weather stripping and caulk to seal doors and windows.

a lot of energy. When it’s time for an upgrade, choose the most efficient equipment to save money on energy bills. Let there be (energy efficient) light. Replace traditional incandescent bulbs with compact fluorescent light bulbs (CFLs) to use 75 percent less energy. Put an aerator on faucets. Aerators mix air into the stream to conserve water, while maintaining flow and pressure.

In the Home

Landscaping

Use green cleaning products. According to the Environmental Protection Agency (EPA), individuals should read labels to identify “green” ingredients – citrus, seed, vegetable, and pine oils. Purchase products with concentrated formulas, and look for the EPA “Designed for the Environment” (DfE) label on products. Homeowners can also make their own cleaning products with simple ingredients, including vinegar, baking soda, natural soap, and water. Watch the temperature. Use a programmable thermostat so energy isn’t wasted when the house is empty. Turn the thermostat down three degrees in the winter and up three degrees in the summer. Also, turn down the temperature on the water heater. Choose appliances with ratings from Energy Star. Appliances use

Reduce lawn space. Practice xeriscaping, a method that groups plants with similar watering needs or lets vegetation grow naturally, encouraging efficient or reduced watering. It also cuts down mowing time and requires less maintenance. Compost. Make it a habit to compost grass clippings, leaves, and other yard trimmings to use as a natural fertilizer rather than synthetic products. Leave grass clippings on the lawn to return nutrients back to the soil. Get rid of weeds early. Corn gluten is considered an environmentally-friendly pre-emergent herbicide to control weeds. When the first weed is spotted, pull it up and apply the herbicide Conserve water. Adjust sprinklers to ensure the grass is being watered rather than sidewalks or gutters. Use a layer of mulch around plants to reduce evaporation. Set the lawn mower blades higher so the grass is longer and less likely to dry out. For more information, visit www. milwaukeenari.org. l April 2014 WISCONSIN WOMAN | 29

PETS | Dog Talk

SEE THE PROBLEM, PREVENT THE PROBLEM A number of incidents surfaced this week to remind me of a bit of wisdom I learned in my years as a dog trainer, a snippet that will instantly make you smart like Yoda: Sometimes the best solution is prevention. “Sweetie” is a 6-year-old Labrador that was adopted from a rescue. She is aggressive, and the woman who adopted her knew it. “I thought if I loved her enough she would change,” the woman told me. Now she wants to take Sweetie to the park. Even though Sweetie is 6 years old and this woman knows nothing about dog training, she thought she “could train her not to be aggressive” anymore. If only it were that easy. A professional dog trainer could come in and teach the woman and her dog methods to modify the aggressive behavior, but there is no surefire cure. Her best course of action is active prevention -- anticipating troublesome situations involving Sweetie and taking steps to prevent them. This means: no Frisbee in the park, no off-leash excursions, no running free in the front yard, no roaming the house when there are visitors, no play dates with other dogs, no dog parks and possibly a muzzle when walking in public, even on a leash.

This isn’t mean; it’s smart. It’s prevention. A second call came in for help with another aggressive dog. This dog is 2 years old, lives in the country and herds sheep to earn his keep. The problem relates to one particular neighbor who bicycles in the area. The dog attacks her every time -- and, apparently, only her. This canine shepherd is otherwise “loving and trained.” In order to do its job, the dog must be allowed to run loose on the property. But the cyclist, fed up with being attacked, has threatened to call the police. The dog owner is left with a choice: Retire this dog to a fenced back yard and enlist the services of a new herding dog, one that is more interested in sheep than bicyclists, or risk losing her homeowners insurance, house, sheep and dog as the result of a dog bite. The third instance involves a Golden Retriever that suffers from fear aggression. Whenever he’s unleashed, he attacks. The answer is in the problem. Why is he unleashed? The dog owner keeps him loose in the front yard because, well, dogs like to be loose in yards. But if they bite, they can’t be loose. It’s as simple as that. Or is it? The underlying problem is that people don’t want to believe their dogs would do something bad, would hurt someone. They don’t want to believe this so deeply and strongly that they actually come to believe their dog would never harm anyone despite all evidence to the contrary. This is not helpful. This blocks that snippet of wisdom that could be so useful and makes prevention impossible. After all, if people refuse to see the problem, how can it be solved? l

Luke Skywalker: I can’t believe it. Yoda: That is why you fail. Believe it. Then prevent it. Woof! Dog trainer Matthew “Uncle Matty” Margolis is co-author of 18 books about dogs, a behaviorist, a popular radio and television guest, and host of the PBS series “WOOF!

30 | WISCONSIN WOMAN April 2014

LIFESTYLE | Entertainment

April

ACTIVITIES FOR ALL

WHERE TO GO

START PLANNING FOR THE KIDS’ SUMMER CAMPS NOW! Camp Anokijig

W5639 Anokijig LN., Plymouth, WI 53073 Visit www.anokijig.com or call 1-800-741-6931 for details.

Hoofbeat Ridge Camps 5304 Reeve Rd., Mazomaine Visit www.hoofbeat.org/day-camp/ or call 608-767-2593.

Phantom Lake YMCA Camp S110 W30240 YMCA Camp Rd., Mukwonago 262-363-5386 or visit phantomnlakeymca.com for more details.

SIGN UP FOR ART CLASSES! Artist & Display 9015 West Burleigh St., Milwaukee Kid’s and adult classes on going during the year. Apply online at artistanddisplayonline.com or call 414-4429100/800-722-7450 for more information

LOOKING TO UPDATE YOUR WARDROBE FOR SPRING? Luci Boutique 1515 Mequon Rd. #112n, Mequon 262-241-5958 532 N. Water St., Milwaukee, 414-226-0114 Visit either location to add new items to your spring wardrobe.

Design Xchange Two locations, 175 Main St., Pewaukee, 262-746-9477 & 600 Hartbrook Dr., (Hartbrook Mall) Hartland, 262-367-1010 -- www.designxchange.biz Consignment shop with something for everyone!

ENJOY A DAY OF RELAXATION AND FUN! April 5 2nd Annual Sole Sisters EXPO & Social West Allis Wisconsin Athletic Club 1939 S. 108th St., West Allis Sole Sister’s Club anniversary celebration with a day planned for learning, relaxation, fun and inspiration. Bring a friend, your mom and sister! Event starts at 10 a.m. – 2 p.m.

ENJOY THE OUTDOORS BY VISITING THE ZOO. April 5 Family Free Day at the Zoo Milwaukee County Zoo 10001 West Blue Mound Rd., Milwaukee Free zoo admission sponsored by North Shore Bank and FOX 6 from 9:30 a.m. – 4:30 p.m. Fee still applies for parking. Visit milwaukeezoo.org or call 414-256-5412 for more information.

FISHING CLINICS IN WAUKESHA COUNTY PARK SYSTEM. April 12 Menomonee, Muskego & Fox Brook Parks, Waukesha County Introduce fishing to your children (ages 15 and under) in a safe, fun, controlled atmosphere. Instruction will be provided on use of equipment and more. From 9 a.m. – 3 p.m. For details visit waukeshacounty.gov or call 262-896-8074.

A TREAT FOR THE KIDS April 12 & 13 Have Breakfast or Lunch with the Bunny at the Zoo. Milwaukee County Zoo 10001 West Blue Mound Rd. Breakfast is served at 9 a.m. Saturday only and lunch is at noon in the Zoo’s Peck Welcome Center, with a special visit from the Easter bunny, sweet treats and live entertainment and Zoo admission. Visit milwaukeezoo.org to register.

CHECK IT OUT BEFORE YOU BUY A PASS FOR THE YEAR! April 17 Neighborhood Night at Betty Brinn Children’s Museum

UPCOMING EVENTS LEARN TO SWIM IN WAUKESHA COUNTY PARKS May 1 Swimming Lesson sign up at Waukesha County Beaches Learn to swim at a Waukesha County Beach! Registration starts 8:30 a.m. – 4:30 p.m. on May 1. Call (262) 548-7801. Fox Brook Park - Brookfield - (July 21 - Aug 1) Menomonee Park - Menomonee Falls (July 7 - 18) Mukwonago Park - Mukwonago (June 16 - 27) Muskego Park - Muskego (July 21 - Aug 1) Naga-Waukee Park Delafield (July 7 - 18)

KIDS’ NIGHT OUT! May 2 Nancy Drew and Her Biggest Case Ever

Betty Brinn Children’s Museum 929 E. Wisconsin Ave. Enjoy free admission and evening hours courtesy of US Bank & FOX 6, from 5 – 8 p.m. Visit bbcmkids.org or call 414-390-5437

Todd Wehr, Marcus Center for the Performing Arts 929 N. Water St. History’s greatest teen detective makes her First Stage debut in this world premiere adventure. Visit marcuscenter. org or call 414-273-7121 for tickets.

April 20 Have a Happy Easter!

IF YOU’VE WANTED TO DO A 5K THIS YEAR, TRY THIS RACE ON MOTHER’S DAY. May 11 Run Like A Mother Race

ENJOY OUTDOORS AND LEARN AT RETZER! April 23 – 26 Retzer Nature Center’s Free Earth Week Events Retzer Nature Center S14 W28167 Madison St., Waukesha Enjoy events during the week by registration for programs by calling 262-896-8007. Visit www.waukeshacountyparks.com.

FANS OF JOHN DENVER SHOULDN’T MISS THIS OPPORTUNITY TO HEAR THIS MUSIC! April 25 – 27 Rocky Mountain High: A John Denver Tribute Vogel Hall, Marcus Center for the Performing Arts 929 N. Water. St. Ted Vigil sings a tribute to this great man. A man who looks like and sounds like John Denver puts on a polishing performance that will warm and delight all. Get tickets by calling 414-273-7206 or website at marcuscenter.org.

Hoyt Park, 1800 Swan Blvd, Wauwatosa This 5k race is for you and kids( 6 and under, 7-9, 10-11), 5K divisions 12-14, 15-18 and 5 year age groups through 70+. Run Like a Mother Race is proud to announce that the YMCA of Metro Milwaukee will be its charity partner. Please visit www.runlikeamother.com for registration and more information.

LEARN ABOUT PLANTS. May 11 Spring Native Plant, Rain Barrels & Compost Bin Sale Retzer Nature Center S14 W28167 Madison St., Waukesha Learn everything about native plants, rain gardens, composting and much more from 9 a.m. - noon. www.waukeshacountyparks.com or call 262-896-8007

April 2014 WISCONSIN WOMAN | 31

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