Health

September 14, 2010

Health The Examiner

• Tracey Shaffer

Go glutenfree – Page 4

Early detection Catch prostate cancer before it spreads – Page 6

Dr. Robert Biber is a urologist with Midwest Urology and Radiation. He is on a team of doctors offering free prostate screenings on September 22 at St. Mary’s Medical Center.

•LarryJones

Look out for lice – Page 3

Wellness 3-4 • NUTRITION 4 • Calendar 5, 7

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wellness

Tuesday, September 14, 2010 Page 3

How to kill head lice Head lice.

Just the words alone lead your hands to your scalp. The thought of head lice makes you cringe and creates havoc at home and at school.

It is not serious, but head lice need to be dealt with immediately.

Head lice are not found in the ground or the air. They don’t jump or fly. In fact, head lice have been around so long that dried up nits have been found on the scalps of Egyptian mummies. Head lice are not found on pets and cannot survive on pets. They are strictly a human parasite.

The Independence Health Department receives many calls about head lice at school or in daycare centers. Remember, schools and daycares don’t get head lice; people do. Because head lice are a human parasite they require human blood to survive. Head lice are spread when there is direct contact with a head or hair from an infested individual. Lice can also be spread when children share personal articles like hats, towels, brushes, helmets, and other articles.

Since they are not environmental pests, pesticide sprays for furniture and bedding are unnecessary and serious risk to health.

Vacuuming and washing clothes and linens is the safest and best way to remove lice or fallen hairs that have nits attached. If your family has head lice, you should clean thoroughly.

Head lice cannot live longer than 24 hours without a blood supply. However, head lice can live up to 30 days on the scalp if they have a constant supply of blood. That is why it is important to remove lice and nits.

There are many over-the-counter remedies for head lice. When applying these remedies it is important to follow the directions. And while these remedies are proven safe and effective, they are still pesticides. Be very careful when using pesticides on children. While pesticides are effective, manual removal is the safest alternative and the first step in treatment.

Larry Jones Larry Jones is director of the Independence Health Department.

Combs specifically made to remove lice and nits are recommended. Removing lice outside or in the garage is a good place to do this.

Here are some simple ways to get rid of the lice and their eggs, and help prevent a lice reinfestation: n Wash all bed linens and clothing that’s been recently worn by anyone in your home who is infested in very hot water (130° Fahrenheit, 54.4° Celsius), then put them in the hot cycle of the dryer for at least 20 minutes. n Dry clean any clothing that isn’t machine washable. n Have bed linens, clothing, and stuffed animals and plush toys that can’t be washed dry-cleaned. Or, put them in airtight bags for two weeks. n Vacuum carpets and any upholstered furniture in your home or car. n Soak hair-care items like combs, barrettes, hair ties or bands, headbands, and brushes in rubbing alcohol or medicated shampoo for one hour. You can also wash them in hot water or just throw them away.

Treating head lice is necessary but not difficult. It may take extra time on everyone’s part to remove the lice and nits and to clean. Check your children for head lice before they are infested. Early detection will save you time and money. A few nits are much easier to remove.

healthSHORTS Art discussion at TMC

Health care changes explained

An artist will discuss her artwork and read a poem at noon on Sept. 24 at Truman Medical Center Hospital Hill in Kansas City.

Ana Maria Hernando, an artist in residence at the Kemper Museum of Contemporary Art, is an internationally known artist and poet who lives in Boulder, Colo.

A native of Argentina, she has an exhibition at the Kemper Crossroads at 33 W. 19th St. TMC recently acquired one of Hernando’s works thanks to donors to the TMC Charitable Foundation. The event is free to the public.

The League of Women Voters of Kansas City will host a public meeting on Saturday to explain the impact of this year’s federal law that overhauls the nation’s health care system.

Missouri’s Health and Human Services Regional Director Judy Baker will review the impact of the legislation on Missouri citizens.

The event will be from 9:30 a.m. to noon at the Community Christian Church Activity Center, 32 E. 46th St. Kansas City.

–Michael Glover

Page 4 Tuesday, September 14, 2010

wellness

Shoulder sacrifices stability for extreme range of motion Royals’ catcher Jason Kendall is out for the season after shredding the rotator cuff of his throwing arm. Just what is the rotator cuff and why does it take almost a year for a professional athlete to return from such an injury.

Rotator cuffs, what do you know?

Lori Boyajian O'Neill

True or false?

HEALTH

1. Shoulders are “ball and socket” joints.

2. Painters are at risk for rotator cuff injury.

3. Arthritis can lead to cuff degeneration.

The rotator cuff is the term for four muscles which surround the shoulder blade (scapula) and whose tendons attach around the ball of the upper arm (humerus). The cuff raises our arms over our heads, and in multiple other directions. The tendons are vulnerable to injury through aging, overuse and acute trauma from falls, dislocations and from sliding into second base, in Kendall’s case.

Sports and wellness Dr. Lori Boyajian-O’Neill can be contacted at lori.boyajian-oneill@hcahealthcare.com.

The shoulder is basically a universal ball and socket joint with the greatest range of motion in the body. The socket (part of the scapula) is very shallow, allowing for extreme range of motion, but forming an inherently

Follow Executive Editor Sheila Davis’ journey back into the land of chemotherapy in her blog “Fighting Lymphoma - Round 2” at examiner.net

Sheila Davis

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unstable joint. What we gain in movement, we lose in stability. This vulnerability to injury is magnified in throwing sports and in jobs that require repetitive motion at the shoulder, such as painters and assembly line workers.

It is estimated that between 3 and 4 million patients visit physicians annually for rotator cuff pain. Many can be treated with medications and physical therapy. More than 300,000 are destined for surgery, with costs totalling over $3 billion. Plain x-rays and MRI can detect arthritis, bone chips, cartilage and tendon tears. Tears can be superficial or completely through the tendon. Kendall completely tore two of the four tendons and had injury to the others. Orthopedic surgical techniques have advanced remarkably from the days of large incisions and open procedures. Today most rotator cuffs are repaired through a scope.

During an average game a major league catcher makes at least 200 throws. This season

Jason Kendall has played more games (118) and innings than any catcher in the major leagues.

That’s a lot of throws, but he actually suffered a traumatic rotator cuff injury sliding into second base on July 17. Remarkably, he played in 33 of the Royals’ next 41 games.

Kendall is reported to have had a cortisone injection into the joint which is often performed to decrease inflammation and pain.

Unfortunately, it was not enough to salvage the season. Two weeks ago he underwent surgery in Los Angeles. That is the easy part. Now begins the very hard work of rehabilitation to regain strength and range of motion. With 8-12 months of recovery, the Royals are hopeful their $3.75 million catcher is ready for the 2011 season.

Answers 1. T 2. T 3. T

Celebrate celiac awareness Celiac disease, also known as gluten intolerance, is a genetic disorder that affects at least one in 133 Americans.

For individuals with celiac disease, eating certain types of wheat proteins, commonly called gluten, sets off an autoimmune response that causes damage to the small intestines.

This, in turn, causes the small intestine to lose the ability to absorb the nutrients found in food, leading to malnutrition and a variety of other complications. In adolescents this may be growth delay, severe gastrointestinal distress or even behavioral issues.

To date, there is no cure for celiac disease.

However, treatment can begin immediately. It does not require surgery, it does not require an unending dependence on medication and it does not even require repeated visits to the doctor’s office. The best and only treatment for celiac disease is an elimination of “gluten.”

Those with celiac must omit all wheat proteins found in wheat, barley, rye and even some oats. This means no more cakes, cookies, pies, pasta, breads, and even cereal – or does it? With the expanded selections of gluten-free products arriving in the market, it can be easy to live with celiac disease and still enjoy your favorite foods. Many of these products use a blend of rice, tapioca and potato flours and are absolutely delicious.

Yesterday was National Celiac Awareness Day. Sept. 13 was British physician Samuel Gee’s birthday. Dr. Gee, born in 1939, is credited with being the first to identify the link between celiac disease and diet. “If the patient can be cured at all, it must be by means of diet.”

With the gluten-free diet becoming much easier to live with and enjoy, it truly can be a

Tracey Shaffer Food for Thought Tracey Shaffer, RD, LD, is a Hy-Vee dietitian at the Blue Springs location E-mail her at 1033dietitian@hy-vee.com. reason to celebrate.

Gluten-Free Pumpkin Bars All you need: 1 pkg Full Circle spice cake mix 3 large Omega eggs 3 tbsp milled flax seed ½ cup canola oil 1 cup canned pumpkin 1 tub Betty Crocker Cream Cheese Frosting 1/3 cup chopped walnuts All you do: Preheat oven to 350 degrees F. Grease 9-by-13-inch pan. Combine cake mix, eggs, flax seed, oil and pumpkin in large bowl.

Beat at medium speed with electric mixer for 2 minutes. Pour into pan. Bake 36 minutes. Cool completely. Frost bars with cream cheese frosting. Sprinkle walnuts on top. Enjoy!

health

Tuesday, September 14, 2010 Page 5

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 Sept. 15 through 21.

Addiction groups

Independence Straight Talk, Narcotics Anonymous, 8 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 471-7229.

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).

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 p.m. Monday, St. Mary’s Medical Center, Annex A. 2240677 or 229-8093.

Independents Singles Ministry grief support group, 7 p.m. Tuesday, First United Methodist Church. 228-3788.

Adult Bereavement support group, sponsored by St. Mary’s Medical Center, 1:30 to 3:30 p.m. several times throughout the year, Vesper Hall. To register, 655-5490.

Independence Bereavement support group, 7 to 8:30 p.m.

Wednesday, Columbian Adult Day Care Center. 8368303.

The Compassionate Friends, for those dealing with the death of a child, 7:30 p.m. Thursday, Walnut Gardens Community of Christ. Call Barbara Starr, 229-2640, or the hotline: 531-6464.

Other Infant loss group, sponsored by Carondelet Health. 655-5582.

able adolescent behavior, 7:30 to 9:40 p.m. Tuesday, First Christian Church. 913-492-1200.

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

Kansas City Truman Medical Center-Lakewood WIC Nutrition Program, for women who are pregnant, breastfeeding or gave birth less than six months ago. 404-4WIC.

Screenings/Immunizations

Independence Blood pressure for those 50 and older, 9:30 a.m. to 1:30 p.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.

ALZHEIMER’S SUPPORT GROUP, 6 p.m. Tuesday, Fairmount Community Center. Lead by Monica Benson. 254-8334.

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.

Bob Boaz Kansas City

“Restaurants that serve oversize portions. They should cut them down, reduce the sizes.”

Paulina Maliwat Independence

“It’s a convenience issue.

We have an overabundance of food in this country and a lot of people in other countries have little. And people turn to food when they face personal problems; it’s used to soothe them.”

Gladys Green Independence

“It’s too easy to get a lot of food, like at buffets. That’s the real reason.”

– Jeff Martin

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Prenatal/Infant/Child programs

Blue Springs Blue Springs/Lee’s Summit Tough Love support group, for families dealing with unaccept-

What do you think is the real reason behind the nation’s obesity epidemic?

We’re here for you.

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.

| Yourtake |

Becky Culbertson, RPH

On the historic Independence Square Mon.-Fri. 9:00-6:00 Sat. 9:00-Noon

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.

Breast Cancer SUPPORT GROUP, 5:30 to 7:30 p.m. Thursday, Centerpoint Medical Center. Call 6988691.

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 2298108.

Fibromyalgia/Chronic Fatigue, Blue Springs Wellness Group, 7 to 8:30 p.m. Thursday, James Walker Elementary. 220-7356.

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 National Psoriasis Foundation, 10 a.m. to noon first Saturday, Truman Medical Center Lakewood boardroom. Contact, Deborah Kirmse, 254-5850 or 254-4238.

National Psoriasis Foundation, 6 to 8 p.m.

Saturday, Truman Medical Center Lakewood boardroom. Contact, Deborah Kirmse, 254-5850 or 254-4238.

Other Agoraphobia, 7 p.m. 649-9863.

Adult Survivors of Childhood Sexual Abuse, daily meetings, Metropolitan Organization to Counter Sexual Assault. 931-4527.

Groups sponsored by Carondelet Health. For the BreathEasy group call 655-5236; and for cancer group call 224-3489.

National Organization of Circumcision Information Resource Center, 913-652-1542 or visit www.nocirc.org.

Weight Management

Independence T.O.P.S. Mo. 291, 6:15 to 7:15 p.m. Monday, St. Michael’s Episcopal Church. 461-0811.

Continued on Page 7

Page 6 Tuesday, September 14, 2010

health

Catch prostate cancer early Survival rates are as high 90 percent if caught during regular screening ing free prostate screenings on Sept. 22 at St. Mary’s Medical Center, which is sponsoring the event.

Dying from prostate cancer is slow and The free screening is a $60 to $80 value for painful. The cancer doesn’t attack vital organs patients with health insurance. Without insuruntil the end. Rather, it slowly eats away at ance, the screening costs around $200. bones, causing chronically “We’re looking for somesevere pain. one who has never been “It’s a painful demise,” tested before or hasn’t been said Dr. Robert Biber, a longto a doctor for years,” Biber ■ What: Free prostate screening time urologist with Midwest ■ Where: St. Mary’s Medical Cen- said.

Urology and Radiation.

There will be two parts to ter, 201 NW R.D. Mize Road The good news is pros■ When: 5 to 7 p.m. Wednesday, the screening. Doctors will tate cancer is easily treatfirst draw blood that will be Sept. 22 able if detected early. The sent for laboratory testing.

■ Details: Screenings are by survival rate is above 90 appointment only by calling 816-228- The prostate-specific antigen percent.

(PSA) test measures the level 3335 Early detection, like any of protein in the blood. Doccancer, through prostate tors will take additional tests screening is key. depending on the level of PSA. That’s why Biber and six doctors are offerMen who are 40 years old and older should get the PSA test along with a physical exam at least once a year, especially if the cancer was prevalent in the man’s family. Men age 45 to 50 should definitely get the PSA and examination.

The second half of the exam is a digital (finger) rectal examination.

The testing should be complete in about 10 to 15 minutes.

Biber said people avoid getting an examine and there’s a sense of nervousness about it.

Prostate cancer develops in the prostate, a gland in the male reproductive system.

What makes the cancer dangerous is the Providing comprehensive, compassionate absence of symptoms.

By Michael Glover

michael.glover@examiner.net

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FASTFACTS ■ More than 70 percent of men diagnosed are age 65 and older.

■ Prostate is the second most common cancer in American men.

■ 217,730 new cases of prostate cancer have happened this year. So far, 32,050 people have died of the cancer.

■ More than 1.8 million men in America are survivors of prostate cancer.

■ The risk of a man getting prostate cancer is greater than the risk of a woman getting breast cancer.

“At the onset, there are none,” Biber said.

But because of its slow-growing nature and more common among older men, most of the cancerous cells never grow enough to cause symptoms and most men who have prostate cancer will never become aware of it in their lifetimes. However, there are aggressive forms of the cancer that can cause noticeable symptoms like painful urination, blood in urine or frequent urination.

If not tested and left untreated, the cancer can spread into the bones and lymph nodes.

When this happens, it’s extremely hard to prevent the cancer from escaping to other areas of the body, Biber said.

“It’s very curable when confined to the prostate,” he said. “This is when we want to detect it.”

In April 2009, a free screening was held, and Biber has been part of numerous free screening days. Each time, they find at least six men who have turned out to have prostate cancer.

For more information, go to www.knowyourstats.org.

Preventing prostate cancer There isn’t a No. 1 method or diet that can prevent prostate cancer.

It’s mostly caused by genetic predisposition and race (black men are twice as likely to get the cancer).

Despite a good marketing campaign by vitamin and food companies, lycopene doesn’t prevent prostate cancer, according to Biber.

“There’s no hard data or studies to support this,” Biber said.

A study by the U.S. Food and Drug Administration in 2005 showed no link between lycopene and prevention of prostate cancer.

Lycopene is a bright red carotene, which is found in tomatoes and other red fruits and vegetables, has nutritional benefits if part of a balanced and healthy diet that integrates plenty of whole grains.

– Michael Glover

Tuesday, September 14, 2010 Page 7

health

healthCALENDAR Continued from page 5 T.O.P.S. Mo. 251, 9:15 a.m. Tuesday, Maywood Baptist Church. 478-0723 or 252-2392.

T.O.P.S. Mo. 331, 5 p.m. Tuesday, College Park Community of Christ. 254-7075.

T.O.P.S. Mo. 24, 9 a.m. Thursday, New Walnut Park Church. 373-6146 or 650-5262.

T.O.P.S. Mo. 100, 9 a.m. Thursday, Farview Restoration Branch. 356-5278.

T.O.P.S., 6:30 p.m. Thursday, Fairmount Community Center. 254-8334.

T.O.P.S. Mo. 892, 10 to 11 a.m. Friday, Nativity of the Blessed Virgin Mary Catholic Church. 356-9219.

T.O.P.S. Mo. 482, 10 to 11 a.m. Friday, Calvary Presbyterian Church. 452-3029.

Healthy Reflections, 10 a.m. Thursday, Sermon Center. 325-7370.

Overeaters Anonymous, 10 to 11:30 a.m.

Monday, Maywood Baptist Church. Handicap accessible. Call Wanda G., 833-2632.

Love Me Slender, 1 p.m. Tuesday, Van Horn Health Source. 418-4070.

CEA-HOW (Compulsive Eaters AnonymousH.O.W.), 8:30 a.m. Saturday, Unity Church of Independence, 14304 E. 39th St. 1-800-672-6715.

Blue Springs T.O.P.S. Mo. 772, 10 a.m. Tuesday, First Baptist Church West Annex. 228-3741.

SOS (Save-Our-Selves) Weight Management, 10 to 11 a.m. Wednesdays, Vesper Hall. Participate in this weight management program and supportive

group discussion. Cost, $1 per meeting. 228-0181.

Oak Grove Overeaters Anonymous, 10:30 a.m. Thursday, Davis Center. Call Barbara, 229-9524.

Kansas City Overeaters Anonymous, 7 p.m. Monday, Ascension Lutheran Church. Shawna, 836-8466.

Lee’s Summit Overeaters Anonymous, 7 p.m. Monday, Unity Village, Administrative Building, Room 221. Call Lisa, 833-2636.

CEA-HOW (Compulsive Eaters AnonymousHOW Concept), 6:30 p.m. Tuesday, First Presbyterian Church. Call Lisa at 679-7009 or visit www.ceahow.org.

Raytown Overeaters Anonymous, 4 p.m. Sunday, Quiet House, 65th and Elm. 353-2691.

Other Overeaters Anonymous, a 12-step program for compulsive eaters. 913-383-5933 or www.overeatersanonymous.org.

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Women’s Issues

Blue Springs Mom to Mom Lunch Club, a support group for new moms, 1 to 2 p.m. Tuesday, St. Mary’s Medical Center Professional Building, 300 Mock Ave. 655-5585.

La Leche League of Blue Springs, 7 p.m.

Tuesday, Parkview Church. For breastfeeding mothers and pregnant women interested in breastfeeding. Call Kayl, 254-5992 or Stephanie, 833-0250.

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