Health

June 14, 2011

Health The Examiner

• TRACEY SHAFFER

Super tomatoes | Page 4

Free &

easy

Tips for arthritis sufferers | Page 9

• LARRY JONES Picking produce | Page 2

• NUTRITION 4 • WELLNESS 2-3 • CALENDAR 7

Page 2 Tuesday, June 14, 2011

wellnes

Choosing fresh produce Summer is the time to get outside and play with your children, go to the lake, take vacation, garden and go to the farmer's market for fresh produce. Whether to grow your own produce or buy it from the grocery store or open markets, vegetables and fruit add tremendous benefits to meals. Fresh produce is low in fat, sodium and calories. When you eat fresh produce, you really do get more “bang for your buck.”

It is also important that you be picky about your produce. Whether you are a gardener or a consumer, all produce is not equal. Getting your fresh produce home to discover that it is rotten can be aggravating and is a waste of your hardearned money. Shop carefully wherever you purchase fresh produce.

Start by examining each vegetable individually. Sometimes you may find a single rotten piece mixed in with a good group of produce.

Bananas are a good example.

Look for bright color. Darkened coloring and browning is a sign of age in vegetables so they must be consumed in a short period of time.

Check for firmness and crispness. Wrinkles are not attractive on humans or vegetables. Avoid wilt on leafy vegetables. Avoid potatoes that

Larry Jones Larry Jones is director of the Independence Health Department. have soft spots or wrinkles or that are green.

As you handle fresh produce, remember others have done the same.

Some foods taste better at room temperature. Bananas, melons, onions, potatoes, sweet potatoes, tomatoes and winter squash can be stored in a well-ventilated area away from direct sunlight.

Some produce ripens on the counter, including avocados, kiwi, nectarines, peaches, pears and plums. After they are ripe, they can be placed in the refrigerator. Other fruits need to be stored in the refrigerator at 40 degrees or below. Use the crisper drawer for whole produce.

Health watch

Store fruits in separate crispers from vegetables. Fruits give off ethylene gas which causes vegetables to spoil faster. Vegetables also give off odors that can be absorbed by fruits.

It is not recommended that you wash fruits and vegetables until you are ready to prepare them. Fresh produce has a natural protective coating that helps keep in moisture and freshness. Washing before storage causes spoilage.

Many fruits and vegetables can be purchased precut, bagged or packaged. Items like lettuce, spinach or pre-wrapped fruit are ready to eat.

However, it is important that the package indicates that the contents have been pre-washed.

If you have fruits or vegetables that need to be peeled, wash the produce under running water.

Do not use detergent or soap. If you purchase fresh squeezed fruit or vegetable juices, keep them refrigerated or on ice to avoid foodborne illnesses.

Buying and growing local is a great way to purchase fresh fruits and vegetables because you can ask the grower questions and you know exactly where the produce was grown. Buy local when you can or grow your own fresh produce for better health.

CHILDREN’S HEALTH

Dental care and low-income kids A study using research assistants who posed as mothers of a 10-year-old boy with a fractured front tooth seeking an urgent dental appointment measured dentists’ willingness to provide treatment to children with Medicaid/CHIP. The study found that even when calling Medicaid-enrolled dentists, only 68 percent of children with Medicaid/CHIP were given an appointment, compared with 100 percent of privately insured children with the same injury. The authors say serving low-income families is a vital step toward improving oral health for children.

– American Academy of Pediatrics

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Tuesday, June 14, 2011 Page 3

wellness

Know what’s lurking in your yard Common plants can damage skin It may not be just “leaves of three” that merit caution in the garden. While poison ivy, poison oak and poison sumac are among the most notable of plants that don’t mix well with human skin, there are other very common garden plants that could be getting under your skin this summer. Mild skin rashes can develop from plants like tomatoes, squash and cucumbers, in much the same way as their three-leaved cousins.

Allergic contact dermatitis or plant dermatitis is inflammation in the skin leading to swelling, redness and extreme itchiness. After coming in contact with a plant with which you are allergic, you may develop a skin rash within minutes or up to 48 hours. The rash can range from mild to severe and may take multiple exposures before the rash is identifiable.

This is because the body is slowly building up an antibody to fight off the allergen.

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Bryan Hughes GUEST COLUMN Bryan Hughes is in family practice at St. Mary’s Medical Center in Blue Springs.

Depending on how allergic or sensitive the skin is, you don’t even have to touch the actual plant to have a reaction. Just a small amount sap or oil on your clothing when touched may be enough to cause a rash to develop.

Allergenic plants include many flowers like orchids, tulip bulbs, chrysanthemums and dahlias. The pollen in these plants can cause hay fever, asthma and other allergic reactions.

Stinging plants have nettles. Touching a net-

tle can cause a toxic reaction, although rarely with lasting effect.

Plants having thorns such as roses, blackberry and raspberry bushes can cause infections from punctures or scratches. Even some parts of plants we eat are poisonous, such as the leaves of rhubarb, and the leaves of tomato plants which have caused problems for small children and livestock.

The best way of avoiding these irritants, is to keep something between you and them. Keep these tips in mind: n When working in the yard or garden wear gloves, long-sleeve shirts and long pants. n Wear work shoes or boots and leave the open-toed shoes or sandals for the pool. n After handling plants, always wash your hands and other exposed skin before eating, drinking, smoking or touching sensitive body parts. n Never burn plants that may be toxic. Toxins can be transmitted through the smoke. n Wash all work clothes separately in hot water. Clean your shoes with rubbing alcohol or strong detergent and water.

After contact with a skin irritant plant, wash the exposed areas thoroughly with soap

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and water. Use hydrocortisone cream to treat irritation and inflammation of the skin. Antihistamines may alleviate the itching, burning and redness.

The majority of allergic reactions will clear up in two to three weeks. If the symptoms persist or get worse, contact your physician for further treatment.

Finally, learn about allergenic plants that grow in your area and how to identify them.

Here are a few common ones you might not be aware of: n Sunflower n Virginia creeper n Okra n Celery n Giant hogweed n Daisy n Pumpkins n Chrysanthemum n English ivy

n Cucumbers n Tomatoes n Sweet marjoram n Sweet alyssum n Rhubarb n Hollyhocks n Asparagus n Beans n Buttercups

With some precautions, you can avoid the skin irritation and enjoy the great outdoors this summer.

But, don’t forget the sunscreen!

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Dr. Ernest H. Neighbor Dr. Ernest H. Neighbor received his both undergraduate and medical degrees from the University of Kansas. He specializes in general orthopedics with interest focused on total joint replacements.

He is board certified with the American Board of Orthopedic Surgery and American Board of Law in Medicine. In addition to his medical education, Dr. Neighbor also earned his law degree from UMKC, and served as a captain in the U.S. Air Force.

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16641 E. 23rd St. • Independence, MO 64055 816.833.2700 • www.modentistry.com

Page 4 Tuesday, June 14, 2011

nutrition

The tomato – a super food for your dad Men have special nutrition and health needs.

Heart disease and cancer are the top two causes of death in men. After lung cancer, prostate cancer is the leading cause of cancer-related deaths among men in the United States. A healthy diet that includes a variety of nutrientdense foods is essential for fighting off disease and improving overall health.

One of the ultimate super foods for dad is tomatoes. Canned tomato products are among the best sources of lycopene, a powerful antioxidant with cancer-fighting and heart-health benefits. Preliminary research has shown lycopene may have possible benefits in prostate cancer prevention. Lycopene is also believed to help keep cholesterol from becoming oxidized, which may decrease plaque build-up in arteries. An added bonus is that lycopene may also protect the skin from sun damage.

Lycopene is a bright red pigment in fruits and vegetables. It is better absorbed by the body in processed tomato products because lycopene is released when tomatoes are processed. Because lycopene is a fat-soluble nutrient, prepare or serve with a small amount of fat, such as olive oil, to help increase the absorption.

Below is a recipe to help keep dad fit and healthy:

Inside-out lasagna Serves 4 (about 1-1/2 cups each).

Tracey Shaffer Food for Thought Tracey Shaffer, RD, LD, is a Hy-Vee dietitian at the Blue Springs location The information provided should not be construed as professional medical advice. E-mail her at 1033dietitian@hy-vee.com.

Fortunately, some of Dad’s favorite foods include processed tomato products, such as pasta sauce, pizza sauce, tomato sauce, tomato soup, tomato juice and even ketchup. Watermelon, red grapefruit and papaya are also sources of lycopene.

All you need 8 ounces whole wheat rotini or fusilli 1 tablespoon extra-virgin olive oil 1 small onion, chopped 3 cloves garlic, sliced 8 ounces sliced white mushrooms (about 31/2 cups) 1/2 teaspoon salt 1/4 teaspoon freshly ground pepper 1 (14 ounce) can diced tomatoes with Italian herbs 8 cups baby spinach 1/2 teaspoon crushed red pepper, optional 3/4 cup part-skim ricotta cheese, divided All you do 1. Bring a large pot of water to a boil. Add pasta; cook until just tender, 8 to 10 minutes, or according to package directions. Drain and transfer to a large bowl.

2. Meanwhile, heat oil in a large nonstick skillet over medium heat. Add onion and garlic; cook, stirring, until soft and beginning to brown, about 3 minutes. Add mushrooms, salt and pepper; cook, stirring, until the mushrooms release their liquid, 4 to 6 minutes.

3. Add tomatoes, spinach and crushed red pepper (if using). Increase heat to mediumhigh; cook, stirring once halfway through, until the spinach is wilted, about 4 minutes.

4. Toss the sauce with the pasta and divide among 4 bowls. Dollop each serving with 3 tablespoons of ricotta.

Nutrition facts per serving: 364 calories, 9g fat, 3g saturated fat, 4g monounsaturated fat, 14mg cholesterol, 588mg sodium, 786mg potassium, 55g carbohydrate, 7g fiber, 0g added sugars, 16g protein.

Nutrition bonus: 90 percent daily value Vitamin A; 50 percent daily value Vitamin C; 20 percent daily value Folate; 22 percent daily value potassium; 21 percent, daily value calcium; 20 percent daily value iron.

Carbohydrate servings: 3. Exchanges: 3 starch, 2 vegetables, 1 lean meat, 1 fat Source: Eating Well, Inc.

Some medications don’t want to be ‘juiced’ DEAR DR. BLONZ: I am taking a pill that should not be mixed with grapefruit or grapefruit juice. I checked with my doctor and was told that it would be acceptable before or after a four-hour period. What is the scoop on grapefruit with some medications? – B.O., via email DEAR B.O.: If your medication is one of those that is affected by grapefruit, be advised that the effect of one glass of grapefruit juice can last over 24 hours.

The scoop concerning this effect begins with an appreciation that medications are viewed by our body as foreign substances. There are systems designed to protect us made up of specialized enzymes that break down and inactivate the drugs. Some of these drug-metabolizing enzymes are in the intestinal track and others are in the liver. There are limits to what they can accomplish and all this is taken into account when the effective dose of a medication is determined.

Grapefruit doesn’t interact with medi-

Ed Blonz On Nutrition Ed Blonz, Ph.D., is a nutrition scientist and author. Send questions to: “On Nutrition,” Ed Blonz, c/o Newspaper Enterprise Association, 200 Madison Ave., New York, NY 10016. E-mail him at ed@blonz.com. cations directly. If that were the case, a four-hour time window might make sense because after that time, the grapefruit and the pills would not run into each other. The issue with grapefruit is that it contains compounds that bind with a key breakdown enzyme, preventing it from doing its work. It can take a

while, sometimes well over a day, for the enzyme to get back to its fighting form.

With grapefruit in the system, an affected medication is able to enter the body rapidly and persist for an unpredictable length of time. This results in abnormally high, and possibly dangerous, levels of the drug. Both grapefruit and its juice are at issue here. This is not a significant problem with lemons, limes, tangerines or sweet oranges. The Seville (sour) orange, however, contains these same enzyme-inhibiting compounds, and citrus that is a cross with a grapefruit, such as a tangelo, would also be involved.

There is more information at tinyurl. com/2axep6o, or you can ask your physician or pharmacist.

How healthy are dried fruits?

DEAR DR. BLONZ: How do dried, unsugared fruits like apricots, prunes, pineapple and papaya compare with fresh fruit? – I.K., Livings-

ton, N.J. DEAR I.K.: Drying is one of the oldest forms of food preservation. The removal of water, usually accomplished through the use of heat, slows or stops the growth of spoilage organisms that require a certain amount of water to survive. Sulfur compounds are often used to preserve the color and texture, so people who are sensitive to sulfur compounds should carefully read labels on fruit packages or bulk-food bins. You can usually find unsulfured dried fruits at most natural food stores.

The nutritional value of dried fruit is comparable to that of fresh fruit, which makes it a healthy, convenient treat with a long shelf life. Keep in mind, though, that the lack of water makes dried fruits much less filling than their fresh counterparts. A dried apricot, for example, while containing the same number of calories as a fresh one, is only one-fifth its size and won’t satisfy hunger as well.

Dried fruits are more concentrated sources of calories and fiber.

Page 6 Tuesday, June 14, 2011

health

Beware the little bug that hides in your food • Semi-private & private suites • Skilled unit: Express Recovery • LTC beds now available • Contracts with most insurance agencies • Same day evaluations, if you arrive before 3:30pm • Amenities include theatre & beauty/barber shop • Skilled rooms, include TV, phone & cable • Vibrant activities for our residents

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E. coli area bacteria that commonly cause illness and sometimes death. The recent outbreak of food-borne illness in Europe, which has sickened 2,600 and caused the deaths of more than 25, has been linked to E. coli suspected to be hiding in the seeds of raw bean sprouts.

In the season of barbecues and picnics, we backyard chefs must be especially careful.

E. coli, what do you know: T or F? 1. Most E. coli infections are traced to poor food handling at restaurants. F 2. E. coli normally lives in intestines of humans and animals. T 3. Most strains of E. coli are harmless. T E. coli, short for Escherichia coli, has many strains, like different people in the same family.

Some are potentially more harmful than others (just like people). E. coli is normally found in the intestines of humans and animals, including cows and pigs, which we eat with enthusiasm. At slaughter, contamination of meat from intestinal contents often occurs.

Many well-known restaurant chains, including White Castle, have served hamburgers tainted with E. coli. However, most food-borne illness can be traced to poor food-handling at home. Undercooked or unpasteurized foods are usually the culprits.

Not so long ago, restaurants would ask how you wanted your burger cooked, rare, medium, well-done and everything in between. Most do not risk this anymore and cook the burger thoroughly. For backyard grillers, this means cooking until there are only clear juices and to the recommended 160 degrees F. Another danger is in placing cooked burgers on the same bloody plate used to transport the patties to the grill .... you know who you are!

The average hamburger either sold in bulk or already in patties purchased by consumers in grocery stores or restaurants from wholesalers is a hodgepodge of meat from many different cows. Large slaughterhouses combine the meat, package it, and ship it across the country.

This presents particular challenges to public health authorities during an outbreak as they try to trace the tainted meat back to a slaughterhouse and then to a particular farm. Steak eaters generally do not get sick because, unlike hamburger, the E. coli is on the surface and is killed by the high cooking temperature.

Raw vegetables and fruits have been implicated in outbreaks of food poisoning, often with E. coli as the cause. Washing the food

Lori Boyajian O'Neill Sports and wellness Dr. Lori Boyajian-O’Neill can be contacted at lori.boyajian-oneill@hcahealthcare.com. before eating it usually is effective. However, as we have seen with raw bean sprouts, E. coli can hide.

Bean sprouts, usually sprinkled on salads and sandwiches, are generally seen as healthful. But, some public health experts believe that the bacteria hide in the seeds making cleaning difficult.

Raw milk and juice is another source of E. coli. As of 1987, raw milk cannot legally be sold across state lines and is regulated by states. The popular juice manufacturer Odwalla, pulled its unpasteurized apple juice off of the shelves in 1996 after the product was identified as the source of an outbreak of E. coli strain O157: H7 which sickened many and led to the death of a young child. E. coli O157:H7 is particularly mean, causing bloody diarrhea and kidney failure.

E. coli is certainly not the only disease-causing bacteria, but it is in the news once again because of the outbreak in Europe. Likely, before the summer is over, there will be some smatterings of E. coli-caused disease, even in this metro area. Backyard grillers, beware.

That mouth-watering pink-centered burger may be a masterpiece on the plate, but it can be toxic. Why do you think restaurants put disclaimers on their menus about undercooked items increasing the risk of food-borne illness?

Most often, the unhealthiest place to eat is at our own homes.

Inexplicably, I am now craving a medium rare cheeseburger. Honey, fire up the grill and call the doctor. As a Swami once said, “Crave for a thing, you will get it. Renounce the craving, the object will follow you by itself.”

Answers: 1. F 2. T 3. T

Tuesday, June 14, 2011 Page 7

health

healthCALENDAR Items for the Health Calendar may be e-mailed to jill.ritchie@examiner.net or mailed to: The Examiner, P.O. Box 459, Independence, Mo. 64051, attention Jill Ritchie. The following items are for June 15 through 21, unless otherwise stated.

Raytown NEW DAY AL-ANON, 10 a.m. Wednesday, Blue Ridge Trinity Lutheran Church. 353-5446.

Bereavement groups

Blue Springs Widowed Persons support group, 7 to 8:30 Blue Springs p.m. Monday, St. Mary’s Medical Center, Annex A. BRAIN DANCE FOR CHILDREN, for ages 2 to 4, 224-0677 or 229-8093.

10 to 10:30 a.m. ($30); for ages 5 to 7, 10:45 to 11:45 Independents Singles Ministry grief a.m. ($35), Fridays June 17 through July 8, Vesper Hall. support group, 7 p.m. Tuesday, First United Call 228-0137 to register.

Methodist Church. 228-3788.

FREE HYPNOSIS SEMINARS – Stop Smoking Adult Bereavement support group, from 6:30 to 8 p.m. June 21; Weight Loss sponsored by St. Mary’s Medical Center, 1:30 to 3:30 Management from 6:30 to 8 p.m. June 22, A Healthy p.m. several times throughout the year, Vesper Hall.

Change Hypnotherapy, 1133 W. Main St., Suite 203.

To register, 655-5490.

To register, call Mike at 816-560-6903.

Independence YOGA, MEDITATION & RELAXATION Bereavement support group, 7 to 8:30 TECHNIQUES, sponsored by Mental Health America p.m. Wednesday, Columbian Adult Day Care Center. of the Heartland, 6:30 to 8:30 p.m. June 21, First 836-8303.

Christian Church of Blue Springs, 701 N.W. 15th St. The Compassionate Friends, for those Persons with depression and related mental health dealing with the death of a child, 7:30 p.m. conditions are encouraged to attend, as well as Thursday, Walnut Gardens Community of Christ. Call caregivers and healthcare professionals. Free. To Barbara Starr, 229-2640, or the hotline: 531-6464. register, call 913-281-2221.

Other Independence Infant loss group, sponsored by Carondelet CENTERPOINT AUXILIARY FUNDRAISER, 7 a.m. Health. 655-5582. to 7 p.m. today and Tuesday, outside the hospital’s cafeteria, 39th Street and Jackson Drive. Dillard’s will Fitness feature a boutique, with items especially for Father’s Independence Day. Proceeds will be used to provide scholarships Gentle Tai Chi for those 50 and older, 6 p.m. to students pursuing a medical career, charities in Monday, The Palmer Center. Free. 325-6200.

Eastern Jackson County and supplies for patients LOW IMPACT EXERCISE, 9 a.m. Monday, (especially children).

GLUTEN-FREE GALA, 5 to 7 p.m. Thursday at 23rd Street Hy-Vee; 10 a.m. to noon Saturday at Noland Road Hy-Vee. Stop by the HealthMarket and sample a variety of gluten-free foods.

DIABETES STORE TOUR, 10 a.m. to 11 a.m. June 22 or 4 to 5 p.m. June 23, Noland Road Hy-Vee. A registered dietitian will show you foods to help keep your blood sugar in check. Free. Meet at the customer service desk.

KID’S COOKING CLUB, 6 to 7 p.m. June 22 or 10:30 to 11:30 a.m. June 23, 23rd Street Hy-Vee dining area. Cost, $3. Registration and payment deadline, June 21. Register at the customer service.

For questions, call Amanda at 816-500-6778.

Kansas City SEVEN LEVELS OF HEALING introductory class, 6:30 to 8:30 p.m. June 20, Kansas City Cancer Center-South, 1000 E. 101st Terr. Free and open to the public. Contact Betsy.Bennett@usoncology.com or call 816-584-4832.

Spotlights

Yourtake Wednesday, Friday, Fairmount Community Center.

254-8334.

Wake Up Workout, 9 a.m. Monday, Wednesday, Friday, The Palmer Center. 325-6200.

Walk to the Beat, 8 a.m., Monday-Friday, Fairmount Community Center. 254-8334.

PEPPI exercise classes, 10:15 a.m. Monday, Wednesday, Friday, The Palmer Center. Free. To register, 325-6200.

PAVEMENT POUNDERS 9:15 to 9:45 a.m.

Tuesday, Friday, The Palmer Center. 325-6200.

SITTIN’ FIT chair exercises class, 10:30 a.m.

Tuesday, Thursday, The Palmer Center. Free. 325-6200.

STRETCH AND TONE, 9 a.m. Tuesday, Thursday, The Palmer Center. Cost, $1. 325-6200.

ZUMBA GOLD, dynamic workout to Latin and international rhythms, 10 to 10:45 a.m. Wednesday, Palmer Center. Cost, $2. 325-6200.

TAI CHI by the Three Dragons Way, 6:30 to 8:30 p.m. Wednesday, Sermon Center. Cost, $35 for a four-week session; $40 for a 5-week session. 3257370.

WALK TO THE BEAT, 2 to 3 p.m. Friday, The Palmer Center. Free. 325-6200.

Blue Springs Swimnastics, 9 to 10 a.m. Monday, Wednesday, Friday; 8 to 9 p.m. Monday, Wednesday, Centennial Pool-Plex. Cost, $3.75 per visit. 228-0137.

Therapeutic swim, 10:15 to 11:15 a.m., Monday, Wednesday, Friday, Centennial Pool-Plex.

Cost, $3.75 per visit. 228-0137.

Crosstrainer aerobics, 9 to 10 a.m.,

What health initiatives is your city thinking about implementing?

Bob Headley Grain Valley mayor pro-tem This year we're working closely to improve on our new insurance carrier to try and get the most savings for our employees. Most corporations are doing that.

CONTINUED ON PAGE 8

Randy Rhoads Lee’s Summit mayor For our employees, we have wellness programs they can involve themselves in.

For the public, we have a wide variety of activities for them all year round.

Addiction groups

Independence Straight Talk, Narcotics Anonymous, 7 p.m., Tuesday, Thursday, Friday, First Baptist Church.

Narcotics Anonymous Help Line: 531-2250.

Living Free – Al Anon meeting, 7:30 p.m.

Wednesday, 1723 Appleton Ave. 461-0039.

Blue Springs ALCOHOLICS ANONYMOUS, meetings available daily, most sessions are closed, and there are beginner meetings also, 1428-B W. U.S. 40 (behind Betty’s Diner). There is a total of 29 meetings per week. For times, call 228-7921.

CHAPEL HILL AL-ANON, 6:30 p.m. Monday, Wednesday, Thursday; 9 a.m. Saturday, 1428-B W. U.S. 40 (behind Betty’s Diner).

BLUE SPRINGS ALATEEN, 3 to 4 p.m. Sunday, 1428-B W. U.S. 40 (behind Betty’s Diner).

David Bower Raytown mayor There are a lot of activities for the public.

For us today, this is a good promotion to being active. We need more things like this. All the mayors here get along great.

– Jeff Martin

Page 8 Tuesday, June 14, 2011

health

healthCALENDAR CONTINUED FROM PAGE 7

Medical Center-Lakewood. 373-4415, Ext. 1175.

Monday, Wednesday, Vesper Hall. 228-0181.

Prenatal and postnatal exercise classes, 9:45 a.m. Monday, Wednesday, Friday, 300 N.W. Mock Ave. 655-5400.

Weight room for ages 50 and older, 8 a.m. to 5 p.m. Monday, Wednesday, Friday, 8 a.m. to 9 p.m.

Tuesday, Thursday, Vesper Hall. Cost, $10 per month; $2 per visit; $96 for a year. 228-0181.

Yoga — For beginners and beyond, 2 to 3 p.m. Tuesday, Thursday, Vesper Hall. Cost, $2.50 per class. 228-0181.

YOGA-GENTLE FLOW, 6:45 to 8 p.m. Tuesday, Vesper Hall. Cost, $8 per visit, $48 for six classes. 2280181.

Tai Chi, 8:30 to 10 a.m. Tuesday, Vesper Hall. Cost, $2.50. 228-0181.

Stretching exercise, 10 to 11 a.m., Tuesday, Thursday, Vesper Hall. Cost, $1.50. 228-0181.

ARTHRITIS FOUNDATION EXERCISE PROGRAM for older adults, 10:30 to 11:15 a.m. Wednesday and Friday, Vesper Hall. Cost, $1 per session. 228-0181.

Stretch AND TONE, 9 to 10 a.m. Friday, Vesper Hall. Cost, $2.50. 228-0181.

AQUA-AEROBICS, noon to 1 p.m. Saturdays, Centennial Pool-Plex. Cost, $3.75 per visit. 228-0137.

Raytown Tai Chi, 11 a.m. Thursday, Elliott Place Retirement Community. Free. 313-6800.

Kansas City PACE (People with Arthritis Can Exercise), 10:30 to 11:30 a.m., Tuesday, Thursday, Truman

Miscellaneous

Independence MATERNITY UNIT TOURS, Centerpoint Medical Center. Call 751-3000 for dates and to register.

Food handler/manager permit training classes, food handler classes, 3:30 p.m. Thursdays at Truman Memorial Building, 1 and 3:30 p.m.

Wednesdays, Independence Health Department.

There is a fee. To register, 325-7803.

Blue Springs Break Time Club, sponsored by Shepherd Center of Blue Springs, 9:30 a.m. to 2:30 p.m.

Wednesday, Timothy Lutheran Church. For older adults with some physical and/or mental limitations.

A donation of $10 to the cost of the program is suggested. 228-5300.

Prenatal/Infant/Child programs

Independence WIC NUTRITION PROGRAM, for women who are pregnant, breastfeeding or gave birth less than six months ago, 404-6460 or 257-2335.

Blue Springs WIC NUTRITION PROGRAM, for women who are pregnant, breastfeeding or gave birth less than six months ago, 220-1007.

Blue Springs/Lee’s Summit Tough Love support group, for families dealing with unacceptable adolescent behavior, 7:30 to 9:40 p.m.

Tuesday, First Christian Church. 913-492-1200.

CONTINUED ON PAGE 10

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Carmel Hills

Long Term Care Our long term care services are designed for individuals who need 24 hour nursing care. These residents may be chronically ill, frail, or experiencing a very slow recovery from an illness or injury. Our long term care units offer private and semi-private rooms including room furnishings, multiple common areas and dining lounges. We offer respite care or vacation care that allows families an opportunity to take a brief break from the demands of round- the- clock care giving.

A truly innovative concept in post-acute care, designed especially for women, doesn’t just meet the needs of those recovering from an acute illness, injury or exacerbation of a disease process.

Sunset Place

at Carmel Hills The dedicated Alzheimer’s Unit offers dedicated, caring and compassionate staff well trained to assist residents in living their lives to the fullest. We offer structured activities designed to maximize interaction with each resident.

Personalized behavioral management designed to encourage participation in a calm environment.

We provide semi private and private rooms, complimentary cable television, nutritionally balanced meals and rehabilitation services.

For those seeking short term medical and or rehabilitative services, we focus our efforts on working closely with patient and family and strive to achieve the most successful functional outcomes.

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Tuesday, June 14, 2011 Page 9

cover story

Get moving to prevent arthritis pain

Health Watch

By Steve Bernardi and Dr. Gary Kracoff | GateHouse News Service

T

he warm weather provides a wonderful opportunity to enjoy the outdoors. But it can also serve as a painful reminder for people with osteoporosis, arthritis and other bone and joint diseases of the perceived limitations of their bodies.

Activities such as gardening, biking, boating and even Decrease stress. We now have a much better sense of exactly how bad stress is for the body. In the case of bones and joints, stress can be particularly damaging because over time it will weaken the body’s adrenal response, and this can contribute to osteoporosis.

Stress must be dealt with in whatever way works, including psychotherapy, yoga and meditation, and even the creation of a daily period of relaxation.

Spend 30 minutes every day doing something you love, whether it is reading, working out or doing a puzzle. Try to choose an activity that keeps either your brain or body active.

Improve your diet. White flour and white sugar have a direct correlation to inflammation and must be reduced to the greatest extent possible.

In particular, soda does serious harm to bones, by literally leaching calcium from the bones. On the other hand, whole grains, omega 3s (found most often in non-farm raised fish), avocado and nuts can help to strengthen bones.

walking can seem like too much to bear, and the temptation is all too great to stay inside.

But it doesn’t have to be this way, and even people with advanced bone and joint diseases can find a way to get outdoors and get active.

Here are four steps to take to a pain-free summer: Use supplements to reduce inflammation and strengthen bones and joints, which allows people with osteoporosis and arthritis to have less pain and achieve a greater range of motion than previously thought possible. Calcium, vitamin D3, vitamin K2, magnesium and fish oil should all be considered and evaluated. There are also herbal supplements that can safely reduce inflammation as well as homeopathic creams that do the same.

It should also be noted that it is important to choose the right form of calcium and other supplements. Calcium carbonate, for instance, may not be as effective as other forms of calcium. Check with your doctor or pharmacist.

Be physically active.

Start small. Don’t overdo it.

Go for walks and gradually increase the distance. Some very light weightlifting can be helpful. For individuals for whom walking a distance is simply too painful, consider trying this: buy a mini-trampoline and, while seated, simply bounce up and down. This will increase agility.

Gardening can be a terrific activity because it includes bending, stretching and lifting.

Be sure to use pads and other equipment that will decrease stress on the knees.

Most important, if the exercise creates soreness the next day, don’t stop. Continue with the exercise and it will further improve the body’s agility and response.

TIP OF THE WEEK

ARA

Keep kids safe near water

Here are five tips for keeping children safe in and around water this summer: 1. Teach children to swim. Research shows that parents are the most influential factors in whether or not a child learns to swim. Only 13 percent of children from non-swimming households will ever learn to swim, according to the University of Memphis.

2. Make sure a responsible adult is watching the water at all times. Drowning can be completely silent, and typically, when a child drowns, the parent or caregiver has been away from the child for less than five minutes, according to the Consumer Product Safety Commission.

3. Remind kids to always obey the rules of the pool, not to jump on or dunk other swimmers and not to jump or dive unless they know how deep the water is.

4. Require kids to always swim with a buddy.

5. Remember, you don’t have to be at a pool to drown. Lakes, rivers, large puddles and any other bodies of water also require caution. – ARA

Briefly l Health

Breast cancer grants awarded The Greater Kansas City Affiliate of Susan G. Komen for the Cure has awarded 22 grants totaling nearly $917,000 to programs providing breast cancer services in the greater Kansas City area.

Some of the current grants funded include Saint Luke’s Cancer Institute’s Mobile Mammography Program; Social Welfare Board’s Breast Cancer Prevention Program; and Cancer Action’s Breast Cancer Patient Services. For more information on all grants awarded, visit www.komenkansascity.org.

Nomination open for health board The Missouri Foundation for Health is accepting applications from people wishing to be

considered for nomination to its Board of Directors. Five board positions are available each year. Directors govern MFH’s efforts to provide funding to nonprofits that improve the health of the state’s uninsured and underserved residents MFH is the largest nongovernmental funder of community health activities in the state, and is one of the largest health-care conversion foundations in the nation. It distributes $40 million to $50 million in grants and awards annually. MFH’s region covers 84 Missouri counties and the city of St. Louis.

Board members serve unpaid three-year terms, and must live in the MFH service region (see map at www.mffh.org/content/448/serviceregion.aspx). Applications must be postmarked no later than Aug. 12. To download an application, visit http://www.mffh.org/content/476/ mfh-board-application.aspx. For more informa-

tion, visit www.mffh.org or call 314-345-5500 or 800-655-5560.

Adopt a duck Thousands of yellow rubber ducks will be racing down Brush Creek during the 2011 Duck Derby from 11 a.m. to 3 p.m. June 26 at the Country Club Plaza.

All proceeds from this fun-filled family event benefit the Children’s Therapeutic Learning Center, an accredited preschool serving children with developmental disabilities and special healthcare needs since 1947. They serve more than 700 students across seven counties in the Kansas City area.

In addition to the race, there will be entertainment, food, inflatables, games, chalk art, music and more. Sponsors will also participate

in a special “Duck-orating” contest and event attendees will be able to vote for the “Best Dressed Duck.”

Joe Lauria, FOX 4 meteorologist, will emcee the event.

The public can begin adopting ducks for $5 each on line now at www.kcquacks.org.

Adoption forms are available at all KC Hopps restaurants: 75th Street Brewery; 810 Zone (Country Club Plaza); O’Dowd’s-Little Dublin (Country Club Plaza); O’Dowd's-Little Dublin (Zona Rosa); Blue Moose Bar and Grill (Overland Park); Los Cabos; and Wild Bill's Legendary Steakhouse and Saloon, Kansas City.

Duck adoptions run through approximately 1 p.m. on race day. Corporate sponsorships available.

– Jillayne Ritchie

health

Page 10 Tuesday, June 14, 2011

Grandparents are special Alex Haley, author of “Roots,” once said, “Grandparents can do more for us than anyone else in the world; they sprinkle stardust in our eyes.”

Researchers recently delved into the subject of grandparenting to determine if grandparents do more than just provide “magical” moments for their grandchildren.

One thing they uncovered is grandparenting is almost a unique function of the human species. Another species, whales, also serve as grandparents.

Grandparents of today are more involved with their grandchildren than in previous generations. Some reasons are that they are living longer and are healthier and, therefore, better able to care for their grandchildren.

There are also social factors. More frequently these days, both parents work outside the home and they travel more, thus relying on the support of the grandparents to watch over the young offspring. There is no one more reliable.

Researchers found that parents in the Western world invest a significant amount of time, money and emotional involvement when it

Dr. Murray Feingold Dr. Murray Feingold is the physician in chief of The Feingold Center for Children, medical editor of WBZ-TV and WBZ radio, and president of the Genesis Fund. The Genesis Fund is a nonprofit organization that funds the care of children born with birth defects, mental retardation and genetic diseases. comes to their grandchildren. No huge scientific breakthrough in that revelation.

As someone who has medically cared for children more years than I would like to admit, let me share with you some of my anecdotal observations concerning grandparents and

healthCALENDAR CONTINUED FROM PAGE 8 Moms & Moms-to-be prenatal and postnatal class, 4:30 p.m., Monday-Friday, Family YMCA. 224-9620.

Screenings/Immunizations

Independence Blood pressure for those 50 and older, 9:30 to 11:30 a.m. Tuesday, Palmer Center. Free. 325-6200.

Support groups

Independence Domestic violence group for men, 6 to 8 p.m. Monday, Family Conservancy of Eastern Jackson County. 373-7577.

Parkinson’s, 3 p.m. Tuesday, The Fountains at Greenbriar. Call Desiree Rogers at 257-5100.

Moms Off Meth, 7 to 8 p.m. Wednesday, First Christian Church, Room 206. Free. Terri, 210-9574.

CARETAKER’S OF PEOPLE WITH ALZHEIMER’S, 5 to 6 p.m. Wednesday, Comprehensive Mental Health Services. Call Pat Aldridge, 254-3652, Ext. 222.

CHADD – Parents of Children with Attention Deficit Disorder, 6:30 p.m. Tuesday, Trails West Library. Call Teresa, 796-3659.

Parkinson’s disease, 1:30 to 3:30 p.m.

Tuesday, Sermon Center. 252-4987.

Alzheimer’s Caregivers, 6:30 p.m.

Thursday, Christ United Methodist Church. 461-1101.

Caring Communities Divorce and Step Family, 6:30 p.m. once a month, days vary, Blue Hills Elementary School. 796-6290.

Blue Springs

Overcomer’s Outreach 12-step, 7 to 8 p.m. Monday, Blue Springs Assembly. 229-3298.

CANCER support group, 6:30 p.m.

Wednesday, First United Methodist Church, Room 100. Call 229-8108.

Alzheimer’s, 7 to 8:30 p.m. Monday, St. Mary’s Manor. 228-5655.

Self-help group for people with Multiple Sclerosis, 6:30 p.m. Thursday, St. Mary’s Medical Center. Call Dixie Bozarth, 229-2851.

PARENTS OF NICU BABIES, 6:30 to 8 p.m.

Thursday, St. Mary’s Birthing Center. Moms delivering at other facilities are welcome. 655-5574, option 5.

Breastfeeding, offered by St. Mary’s Medical Center, 10 a.m. Thursday, 206 Mock Ave., Suite 101.

655-5574.

CHRISTIAN 12-STEP RECOVERY PROGRAM, 7 p.m. Friday, Blue Springs Christian Church. Call Steve, 229-7311, Ext. 243.

Lee’s Summit Diabetes, sponsored by Lee’s Summit Hospital Health Connection, 7 p.m. Tuesday, Lee’s Summit Christian Church. 524-9416 or 347-0147.

Alzheimer’s and dementia, 4:30 p.m.

Tuesday, Village Care Center Conference Room. Call Elisabeth Tyler, 347-2491.

Arthritis and Fibromyalgia, 6:30 to 8 p.m. Tuesday, every other month, Lee’s Summit Hospital. 753-2220.

Kansas City EMPOWER KIDNEY DISEASE CLASSES, 5 to 7 p.m. Tuesdays through 2011, at several area hospitals. Call 842-0076 to register.

grandchildren. n The only higher court children can go to in order to plead their case when their parents reject something they really want is grandmother or grandfather. n Grandparents accept their grandchildren unconditionally, and children are aware of this. They provide and instill a sense of pride that every child needs. n Children recognize the natural sparkle in their Nana’s eyes and the smile on PopPop’s face when they adoringly gaze upon their offspring’s offspring. No matter what they look like, there is no one cuter than a grandparent’s grandchild. n Some of the happiest memories children have are the times they spent at their grandparents’ home. They remember for the rest of their lives every nuance of the house, including that certain fragrance, a combination of odors like cooking and grandmother’s perfume.

So I don’t need any scientific studies to prove the importance of grandparents. Some things are just obvious.

Health watch FITNESS EQUIPMENT

What to look for in a treadmill Ergonomically correct: When using a gym treadmill, make sure the console doesn’t place your body in an awkward position. It’s important that the console slants at a more vertical than horizontal level, keeping your body in an upright position.

Shock absorbers: Running on hard surfaces can negatively affect the joints and back. Having a more cushioned platform can help prevent injury and will put less stress on the knees and ankles.

Longer handrails: Extended rails expand the running space and allow for more freedom to move. Longer handrails will give you more room to swing your arms naturally, as well as the additional safety of extended support.

– Life Fitness

Food service inspections l Jackson County The Jackson County Public Works/Environmental Health Division conducts inspections anywhere food is handled, prepared and served to the public for cities other than Independence.

Blue Springs ■ St. Mary’s Medical Center, 201 W. R.D. Mize Road – On May 1, inspectors found no sanitizing solution in sanitizing buckets; corrected.

Grain Valley ■ Kohl’s Distribution Center Elite Cuisine, 2015 N.E. Jefferson – On June 2, inspectors noted butane stored above food and clean equipment; corrected.

Lake Lotawana ■ Marina Grog and Galley, 22A Lake Lotawana – On June 2, chemical sprays bottles were observed on food prep counters around the establishment; corrected.

Lee’s Summit ■ QuikTrip, 800 N.E. Woods Chapel Road – On May 26, inspectors found no sanitizer present in the wiping cloth bucket; corrected.

■ QuikTrip, 801 S.E. Missouri 291 – On May 26, the wiping cloth bucket did not register sanitizer on the test strip; corrected.

■ Comfort Inn, 607 S.E. Oldham Parkway – On May 31, inspectors found the “Your Morning Chill” refrigerator at 55 degrees; discarded.

■ Lee’s Summit Girls Softball Association, 1201 Blackwell Road – On May 31, inspectors observed various chemicals stored next to singleservice items; corrected.

■ Lee’s Summit Baseball Association Concession Stand, 1401 Blackwell Road – On May 31, inspectors found no sanitizer available for use; corrected. Numerous mouse droppings were observed on the floor around the establishment and on shelves containing food and single-service products.

■ Lakeside Dining, 600 N.W. Shamrock – On June 1, ice and condensation were observed dripping directly into opened bags of food in the reach-in freezer next to the steam table. The food was discarded and a pan was placed under the fan unit until repaired; corrected.

■ Longhorn Steakhouse, 1676 N.W. Chipman Road – On June 1, inspectors found various potentially hazardous foods in the reach-in cooler next to the fryers were 52-60 degrees. They were above 41 degrees for less than 2 hours, so they were allowed to be moved to the walk-in cooler.

■ Mr. Goodcents, 809 N.E. Lakewood Blvd.

– On June 3, an employee was observed dipping food containers into the sanitizer solution in the three-compartment sink and then immediately putting the equipment on the drying rack.

Equipment being manually washed in a non-chlorine sanitizer solution must be fully immersed for at least 30 seconds; corrected.

– Jillayne Ritchie

health

Tuesday, June 14, 2011 Page 11

Food service inspections l Independence The City of Independence Environmental Health Division conducts inspections anywhere food is handled, prepared and served to the public within city limits. Critical violations must be handled within 72 hours.

■ Gold Lion Chinese Restaurant, 2411 S. Missouri 291 – On May 23, inspectors found a flat of whole eggs in top prep line cooler in the cooking kitchen were 80 degrees, owner was informed to put them in the trash. Inspector went to the back prep kitchen and the eggs were put into box with several flats of whole eggs inside a cooler, all eggs were 80-82 degrees outside the shell. The inspector cracked several eggs to test inside and found they were 79-80 degrees. They took the entire box, flat by flat, and crushed all the eggs into the trash. They were keeping eggs out at room temperature, not storing them in the cooler for proper temperature.

The double-door cooler in the back prep kitchen had tubs of raw chicken and beef stored above ready-to-eat food. Hand washing sink in the front cooking kitchen had food and cleaning utensils in the bottom of the sink.

■ McDonald’s 18910 E. U.S. 40 – On May 24, inspectors noted the front hand washing sink by the french fry bin had a hot water temperature of 67 degrees, should be 100-120 degrees. The hot water at the hand sink by the office tested at 125 degrees.

■ Sheridan Frozen Custard, 4052 Lynn Court Drive – On May 26, inspectors observed gaskets at all three reach-in coolers in the front part of the store with torn, broken or missing gaskets. An employee was observed with artificial nails, which are not permitted unless gloves are being used, corrected. Hand washing sink in food dispensing noted blocked with equipment. Hand washing sink nearest the custard machine was being used for other than hand washing, there was a bucket of water sitting in the sink. Soap was not provided at the hand washing sink in the kitchen; corrected.

Three dead roaches were found on the floor in front of walk-in coolers. Also, dead insects were found in the light fixture outside the office window. Pest control receipts were not located at this facility.

Copies of these receipts must be maintained at the facility.

– Jillayne Ritchie

Independence Office Internal Medicine, Family Practice 4811 S. Arrowhead Dr., Independence, MO 64055

Phone: (816) 356-5000

Avoid an emergency room or an urgent care copay.

Come to Encompass Independence Office where you only pay an office visit copay!

We have extended hours and on-site X-Ray, Lab Services, and a Pharmacy for your health care needs.

Open from 8am-8pm, Monday-Friday, and Saturday from 10am-2pm.