Wisconsin Woman Magazine by Plus Publications

Vol. 13 No. 7 | July 2014 | Complimentary

O FASHION Taming the Beast

Cecelia

Gore Believes in making a difference

Party like a Patriot with our Dazzling Desserts

Greater Milwaukee Area

PHYSICIANS AND HEALTH CARE GUIDE

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JULY 2014

HAPPY INDEPENDENCE DAY

Judith Berger

4TH OF JULY TREATS

42 EXTERIOR RENOVATIONS

PARENT CARE

special

ADVERTISING SECTIONS PHYSICIANS & HEALTH CARE GUIDE

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CAREERS AND FINANCE

Susan Marshall | 35 LIVING WELL

Sue Ann Says | 8 BBB Tips | 40

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Cecelia Gore

GENERATIONS

Parent Care | 38 LIFESTYLE AND HOME

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COVER STORY

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INSIDE

Physicians & Health Care Guide

July 2014 WISCONSIN WOMAN | 3

JULY | Cover Story

e r o G a i l e c e C “M

Poster woman for strong females

Gore at Habitat for Humanity event.

BY JUDITH BERGER

y true self is being involved,” said Cecelia Gore. Her career path and community involvement give evidence to her introspection. As executive director of Brewers Community Foundation, which focuses on health, education, recreation and basic needs, she is thrilled to be involved in something that makes a difference. At 55, Gore is quite literally the poster woman for strong females. Her likeness graces a billboard that reaches skyward building awareness to the heights young women can achieve by attending Alverno College. “It’s a nice honor,” she said. “I’m one of four women chosen for the college’s recent campaign.” Gore graduated from Alverno College with a degree in professional communications and business, and then returned as member of the college’s inaugural master’s program receiving her MBA in 2008. She currently sits on the college’s board of trustees. Originally from Milwaukee, Gore is a graduate of Messmer High School. She attended the University of Wisconsin-Milwaukee until the college social life proved to be her academic undoing. “I went to work for Wisconsin Gas 4 | WISCONSIN WOMAN July 2014

“It’s an exciting position to have an opportunity to raise money and give it away. This taps into my passion and to address issues in our community from a nontraditional philanthropic place.”

BREWERS COMMUNITY FOUNDATION IS DOING BIG THINGS FOR EVERYDAY PEOPLE. Company; and of the 23 years that I was there, 14 were spent working in community affairs.” During her time at the Gas Company, she was appointed as the on-loan executive for United Way. “That really fostered my interest in our community -- to see such great need and how it could be affected.” By the time the utility companies merged in 2000 forming WeEnergies, Gore had earned her undergraduate degree and worked in external affairs, but she had that ‘true self’ to reconcile. “I had an opportunity to move onto the Jane Bradley Pettit Foundation as a program director.” She learned about nonprofit work, grant making and program development. “I was there for eight years and saw how the foundation impacted the community.” But the nonprofit world was changing. In the summer of 2009, Gore sold her home, got married and changed jobs. “I laughed that I didn’t know how to get to work, where any of my stuff was; and who was this man in my bed?”

LIKE GIVING COLLEGE SCHOLARSHIPS TO HARD-WORKING KIDS, CONSTRUCTING HOMES FOR DESERVING FAMILIES, PROVIDING DENTAL CARE FOR CHILDREN, AND BUILDING & REFURBISHING NEIGHBORHOOD BASEBALL FIELDS. WITH THE HELP OF OUR DEDICATED FANS, PLAYERS AND COMMUNITY LEADERS, WE’RE ABLE TO MAKE AN IMPACT NOT ONLY IN MILWAUKEE, BUT ACROSS THE STATE. WHEN A WHOLE LOT OF PEOPLE SHARE THEIR TIME, TALENT AND FINANCIAL RESOURCES, THERE’S NO END TO WHAT WE CAN ACCOMPLISH.

JOIN THE TEAM THAT GOES TO BAT FOR KIDS & FAMILIES IN WISCONSIN. FIND OUT MORE AT

BREWERS.COM/BCF

July 2014 WISCONSIN WOMAN | 5

Brewers Community Foundation City Year Team

The man in her bed was Randy Bryant, Gore’s husband since July 2009. She and Bryant knew each other through the years, but it took some conspiring on the part of friends to get them together. “They knew we would make a good pair.” Bryant, a highly accomplished professional in his own right, held a variety of senior level positions for Motorola, Inc. in Brazil, Spain and England. When he returned to his home town of Milwaukee, he became involved in the historic restoration of the city’s residential past. Bryant currently serves as president of the board of directors of the Milwaukee County Historical Society. In 2012 he was named the president and chief executive officer of Ten Chimneys. For Gore, the opportunity to work with the Brewers and lead its charitable arm of the organization was one she welcomed. “It’s an exciting position to have an opportunity to raise money and give it away. This taps into my passion and to address issues in our community from a nontraditional philanthropic place,” she said. “Mark and Debbie Attanasio want to be a part of the fabric of this community. They are actively engaged in what we are doing here.” Gore and the Brewers Community Foundation also resulted in a good match. “When leadership is behind you, it gives us flexibility and reach.” The foundation has been able to affect change in Greater Milwaukee and throughout Wisconsin. “We are impacting lives of disadvantaged youths and their families,” Gore said. The foundation funds approximately 200 organizations raising $3 million annually. “Every year, we have the capacity to do more.” With player, sponsor and fan involvement, the foundation operates on a big stage. Gore is tasked with creating fundraising strategies that make sense for the foundation and the community. “The fans love the team and the community. As the commissioner says, ‘The Brewers are a so6 | WISCONSIN WOMAN July 2014

cial institution,” she said quoting Bud Selig. You can find Gore at every home game cheering on the Brewers as fans participate in the 50/50 raffle. The popular drawing where one lucky winner splits with the foundation the proceeds raised during the game. “It’s a win-win,” Gore said. “For the fans, your chances are good, and it funds something right here in our community.” Gore’s work is a mix of hands-on efforts and administrative duties. She reviews scholarship applications and proposals and presents them to the grant review committee. “Ownership also weighs in on the decisions,” she said. “Of course, we never have enough money to meet the significant need and we always want to do more to enhance the quality of life in our community.” Gore had the opportunity to see first-hand just how great an impact the foundation’s effort can be. “We were building a playground at the Northside Y and to see the looks on the kids’ faces watching us as we worked was very moving. It was a rich and motivating experience.” Gore is always optimistic about moving the needle. “‘Optimistic’ is my word for the year,” she said. “It’s important also to realize you can’t do it all.” Gore finds strength in honesty and a persistence to work on things over time to make change. “I know I can learn something from everyone. I try to be open to that and not be judgmental.” Gore and Bryant are active in the community outside of the scopes of their careers. “That has become a part of what we do together,” she said. Along with her involvement with Alverno College, Gore serves on a number of boards including the Milwaukee Public Library Foundation and the Marcus Center Board and is involved in the City Year organization. She and Bryant have been called one of Milwaukee’s power couples. Although Gore would demur knowing that doesn’t align with her true self. l

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Our August Issue Is Featuring • Education • Living with Cancer • Alternative Health • Orthopedics July 2014 WISCONSIN WOMAN | 7

LIVING WELL | Sue Ann Says

Invigorate Your Health by

Making Exercise FUN!

s I drove home from work last week I was thinking about taking a walk in the warm weather. But the closer I got to home the more I found myself talking myself out of the walk. “I worked hard today so I should just relax and read my book.” However, when I got home, I chose to walk and once I got outside, the soft breeze tickled my skin and kept me moving. I was happy to be outside on such a gorgeous night. Exercise doesn’t mean you have to spend hours in the gym trying to burn off calories. I agree that fitness centers are fantastic places to exercise and I encourage women to join them, but there are other ways to have fun while exercising. Sue Richards, RN and Outreach Specialist of the GrapeVine Project at the Wisconsin Women’s Health Foundation, shared excellent facts with me on the benefits of exercising. “Exercise can stave off depression as exercise helps release the ‘good mood’ hormones. Exercise prevents memory loss and dementia as you age,” said Sue. Exercise reduces anxiety and improves other health issues like type II diabetes, obesity and high blood pressure. Exercise boosts your metabolism and helps you sleep. “First, find a friend, co-worker or family member who will make you accountable,” suggested Sue. “Set a goal and chart your workouts. If you post your workout chart by the back door, you should see it and be reminded to move. Build in a reward system. For example, after you walk 50 miles, buy yourself new shoes. Those incentives will keep you striving toward your goal.”

Challenge Yourself with a Virtual Exercise Trip

“A fun challenge is to choose a city or country you would like to visit and plan a virtual trip,” said Sue. She explained, “Let’s say you want to visit Alberta, Canada. During the week, keep track of how far you have biked or walked and then mark this with a pin on a large map moving toward your goal city. When your exercise miles reach a city, take time after your workout to research the history of that city. If you have children walking with you, they can learn about plants or animals native to the city. Choose a food that city is famous for, like ribs from St. Louis, and enjoy some ribs. When your trip takes you across the ocean and your pin ends up in the middle of the ocean, read about ocean dwelling animals or a famous sailing trip. If you can only walk a little bit each week, for instance, two miles, then have one of your real miles equal twenty miles on your map.” There are no hard and fast rules; make the challenge work for you! 8 | WISCONSIN WOMAN July 2014

Build Exercise into Your Work Day

Gather some of your co-workers and start a lunch hour walking group. Sue recommends, “To build up your muscles, add some push-ups into your walk. This doesn’t mean to stop and drop on the ground. You can lean up against a tree or fence and push off with your arms. Before you know it you will have completed 100 push-ups over a few days. On rainy days, walk the stairs at work.” Remember every step will keep your heart healthy.

Your Home Can Be Your Gym

Several ideas pop into my mind that will make exercise more fun at home. If you love planting a flower or vegetable garden, make this one of your main exercises. Bending over to weed the garden can build your leg and core muscles. Your dog needs exercise, too. Why not do it together? If you don’t have a dog, check to see if your neighbor’s dog needs a walk. Ask neighbors to join in to make it a team effort. Let a different person choose a new route each day to prevent boredom. If the weather keeps you indoors, keep an exercise DVD on hand, such as a dance or yoga routine. Even if you can’t do every step, you are moving and that’s what counts. Music can be inspiring and bring a smile to your face, as well as keep your heart pumping.

Water Exercise Can Be Your Key to Wellness

Swimming is an excellent exercise for your heart. But if counting laps bores you, join an aqua fitness class. Workouts in the water are less stressful to your joints. Check with your local city pools to find out if they have classes. If this isn’t your idea of fun, hit the lakes. Rent or borrow a canoe or kayak and paddle your way to wellness. Take a twist on water exercise with stand-up paddle boarding. It will help build your core muscles, provide a cardiovascular workout and is a low impact exercise.

Help a Cause with Exercise

Many communities have run/walks on weekends that you can join. Some of these events may be for a specific non-profit fundraiser, but often cities have run/ walks during their city celebrations. Organize a group of friends to walk, make some bright colored T-shirts to wear and enjoy the day!

Just Move!

Whatever exercise you choose, check with your doctor before you begin. Stay inspired! Exercise can give you a new zest for life! l REMEMBER IT ALL BEGINS 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 wwhf.org or call 1-800-448-5148.

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July 2014 WISCONSIN WOMAN | 9

WOMEN’S considerations for choosing a

PHYSICIAN BY ANNA EDLEBECK, MD INTERNAL MEDICINE PHYSICIAN

t’s been my privilege to practice internal medicine for several years. Much of what I’ve enjoyed is the opportunity to develop ongoing, trusting relationships with my patients. I especially like working with patients who are educated about their bodies and those who come with questions. In days past, many people went to doctors, listened to their recommendations and didn’t question their approach. Thankfully, this has changed in recent years – with many patients becoming more educated and better advocates for themselves, while many doctors have become better listeners and more open to input from their patients. For me, listening is one of the most important aspects of my role as a caregiver. A primary care physician (PCP) is your main health care provider in non-emergency situations. Your PCP’s role is to: •Provide preventive care and teach healthy lifestyle choices. This is one of the most important and gratifying aspects of my practice. •Identify and treat common medical conditions. •Assess the urgency of your medical problems and, if needed, refer you to the best place for care. •Make referrals to medical specialists when necessary. Most primary care physicians are family practitioners or internal medicine specialists. Some women use an OB/GYN for primary care. Recently, some clinics and physician practices have started using nurse practitioners and physician assistants as primary care providers. These professionals have excellent training in primary care, work closely with your PCP and are often more readily available than a doctor. CHOOSING A PHYSICIAN CONT. ON PAGE 12

10 | WISCONSIN WOMAN July 2014

We treat your brain from left to right.

Through extensive research and practice, our renowned specialists offer the most effective approaches to treating neurologic conditions, such as stroke, epilepsy, Parkinson’s disease and other movement disorders. We’re the only certified Comprehensive Stroke Center in eastern Wisconsin and one of only four hospitals in the country certified by The Joint Commission as a Center of Excellence for Epilepsy.

We also know medicine is more than a science, it’s an art form. We understand no two patients are the same; therefore, a holistic approach allows us to create a comprehensive treatment plan that’s right for you. Our creative thinking provides more treatment options than anyone else in the region, and gives our neurologic patients and their loved ones peace of mind that they are in the right hands.

Find a brain specialist in a location near you at froedtert.com or call 1-800-DOCTORS.

What Is Possible

3 hospitals, over 25 locations and more than 2,000 doctors. Find one close to you.

CHOOSING A PHYSICIAN CONT. FROM PAGE 10

If you’re looking for a PCP, you may want to consider many variables: Ask your family and friends for recommendations of doctors who they trust and with whom they’ve had good relationships. Dentists, pharmacists, optometrists and other health professionals can also be helpful. The local or state association for a specific illness is also a good resource. Wisconsin, for example has a state chapter of the American Parkinson Disease Association. Many insurance plans limit provider choices or give financial incentives for selecting from a specific list of providers. Be sure you are clear on your insurance coverage before searching for a PCP. Several websites are available to help in your search for a PCP. Froedtert & the Medical College of Wisconsin, for example, offers video profiles of more than 200 of the health care network’s primary care doctors.

Additional considerations in choosing a PCP include:

• Do you prefer a provider whose communication style is casual or more formal? Would you like a more conservative or aggressive approach to treatment? • Does the provider invite you to be involved in your care and share enough information so you can participate in making decisions? • Does the physician view the patient-doctor relationship as a true partnership?

Dr. Edlebeck

• How much do you want your provider to focus on wellness and prevention – to help you live a healthier lifestyle? • Is the provider in a setting that offers convenient access to specialists, radiology and lab services, cardiac diagnostic services, cancer care, physical/occupational/speech therapy, urgent care, etc? • Do you prefer a female physician? Why? • What do patients and colleagues say about the provider? • Is the location convenient? Are office hours convenient for your schedule?

• Is the office staff friendly and helpful? Is the office good about returning calls? • How easy is it to reach the provider? Does the provider offer an electronic medical record, use email? If you do not have a PCP and a health care problem arises, it is usually best to seek non-emergency care from a walk-in clinic rather than a hospital emergency room. This can save you time and money and ensures the ER is used appropriately, for true emergencies. Many patients go to doctor visits with a certain degree of knowledge about how the body works and what is happening. The informed patient can feel more empowered -- and often more comfortable -- so a conversation with a doctor is two-way, rather than the doctor simply diagnosing and prescribing. A doctor should truly be an ally on the journey of good health. My gratification as a physician comes when a patient leaves my office and feels comfortable with their visit, well taken care of, and on the road to better health.

Ask your family and friends for recommendations of doctors who they trust and with whom they’ve had good relationships. Anna Edlebeck practices internal medicine at Froedtert & the Medical College of Wisconsin Moorland Reserve Health Center, one of 30 Froedtert & the Medical College health care centers and clinics in southeastern Wisconsin. More than 60 physicians in primary care, obstetrics/gynecology, and 20 medical specialties practice at Moorland Reserve. Among specialty services are cardiology, oncology neurology and gastroenterology, as well as on-site radiology, lab, rehabilitation, cancer services and a walk-in clinic. If needs arise for advanced care, patients are seamlessly connected with experts at eastern Wisconsin’s only academic medical center. See http://www.froedtert. com/primary-care

12 | WISCONSIN WOMAN July 2014

PHYSICIANS GREATER MILWAUKEE AREA

AND HEALTH CARE GUIDE

July 2014 WISCONSIN July 2014 WISCONSIN WOMAN WOMAN || 13 13

2014

We get it. You’re busy. But colon cancer doesn’t care.

A colon cAncer screening cAn sAve your life. colonoscopies are one of the most effective tools for preventing colorectal cancer. in fact, 90 percent of colorectal cancer cases can be avoided or cured with early detection, making it well worth your time to get one.

We offer nAtionAlly recognized cAre At A loWer cost. new health care reform now includes many screenings as a federally covered benefit. Plus, if you have your colonoscopy at one of the five gi Associates ambulatory surgery centers, it’s the most cost-effective choice in the Nationally recognized digestive health experts

market. exceptional care at an excellent price? now more than ever, there’s no reason to avoid it.

If you’re 50 or older or have a family history of colon cancer, take the time to schedule your screening. Call GI Associates at any of our 12 locations below or visit www.wigia.com today.

Brookfield (414) 454-0600 • Cudahy (414) 908-6500 • Franklin (414) 908-6620 • Kenosha (262) 948-0720 Milwaukee (414) 908-6500 • Mukwonago (262) 569-7877 • Oconomowoc (262) 567-3600 • Racine (262) 676-6500 Watertown (920) 262-1099 • Waukesha (262) 569-7877 • Wauwatosa (414) 454-0600 • West Allis (414) 908-6500

PHYSICIANS AND HEALTH CARE GUIDE

GI ASSOCIATES-TAKING DIGESTIVE HEALTH TO THE NEXT LEVEL Innovation in digestive health for every stage of life Digestive disorders affect more than 70 million Americans, from life-threatening issues to those that hinder everyday quality of life. GI Associates in Southeast Wisconsin takes digestive health to the next level with the most advanced digestive care, treatment options and research capabilities in the nation. Our nationally recognized team of 26 gastroenterology specialists provides exceptional care for patients of all ages. We have a reputation for quality, innovation and expertise in medical and scientific communities worldwide, which attracts patients and physicians from around the nation.

WE CARE FOR: • Abdominal pain • Autoimmune liver diseases • Barrett’s esophagus • Celiac disease • Chest pain (noncardiac) • Colic • Colon polyps and cancer • Constipation • Diarrhea • Diverticulosis and diverticulitis • Esophageal cancer • Fatty liver disease • Gallstones • Gastroesophageal reflux disease (GERD)/ heartburn • GI bleeding • Hemorrhoids • Hepatitis • Hiatal hernia • Inflammatory bowel disease • Irritable bowel syndrome • Lactose intolerance • Liver cancer • Malabsorption • Obesity • Pancreatic disorders •Pancreatic-biliary cancer • Sphincter of Oddi dysfunction • Swallowing problems • Ulcers

QUALITY CARE AT EVERY STAGE OF LIFE GI Associates was one of the first private practice groups in the nation to offer pediatric services and continues to be the only in Southeast Wisconsin. Our pediatric gastroenterologists work closely with primary care physicians and families to diagnose and treat a range of digestive disorders in infants, children and adolescents, and provide continuity of care for teens as they become adults.

RENOWNED EXPERTISE

Best Practices at an Established Practice

We are a founding member of the Gastroenterology Practice Management Group, LLC, a national organization that establishes best-practice guidelines and clinical benchmarks for GI specialists across the United States. We are the largest, single-specialty gastrointestinal group in Wisconsin, with 14

offices and four ambulatory surgery centers. Our board-certified, fellowship-trained team of physicians also offers the expertise of two pediatric gastroenterologists and a transplant hepatologist.

NATIONALLY RECOGNIZED CARE GI Associates’ top ratings and national recognition are evidence of our high-quality care: • Leading medical specialists from across the country selected 17 GI Associates specialists among the top 25 digestive health doctors in Wisconsin in a Best Doctors, Inc., 2012 poll • Nine GI Associates physicians identified as “Best Doctors” by Milwaukee Magazine, based on a 2013 local survey of their peers • 2013 GI Associate physicians presented eight abstracts and two oral presentations at the National Digestive Disease Conference

EXPERT PHYSICIANS GI Associates employs physicians who serve on industry boards and professional associations to broaden their expertise. We also believe in strong interpersonal relationships, providing follow-up calls and records within one week.

CUTTING-EDGE RESEARCH Advanced Clinical Trials

Clinical trials let us enlist better treatment options by having early access to new innovations, including drug therapy and technologies not yet available to the public. The Wisconsin Center for Advanced Research, the investigative arm of GI Associates, participates in 10 to 12 clinical trials at any given time, with many accepted for presentation at the annual National GI Conference. We are one of only 20 practices in the nation that participates in a pancreatitis treatment study, and are distinguished as a national referral center for pancreatic research.

INNOVATION IN PRACTICE

Groundbreaking Procedures for Outstanding Results

and integrates the latest advances into our practice. Patients benefit from new strategies and tools that streamline care, speed recovery and improve outcomes. A recent initiative evaluated the rate at which GI Associates physicians reach the cecum during a colonoscopy. Findings indicated that they reached the cecum 99 percent of the time — well above the national average. If an exam excludes this landmark area of the colon, precancerous polyps can often go undetected.

PATIENT-CENTRIC, AFFORDABLE CARE Speedy Responses and Recoveries

We offer quick response times and keep referring physicians involved to get patients back on their feet faster. Patients: • Are almost always seen within one week of initial call for routine visits • Who have been admitted to a hospital are seen within two hours • Are able to see a specialist within 48 hours • Will have a procedure within two weeks if necessary Affordability and Satisfaction Count

GI Associates helps ensure that our patients don’t have to forgo important necessary procedures due to financial concerns. We make quality digestive health care more affordable by enlisting five ambulatory surgery centers that provide quality procedures at a lower cost than a hospital, and offering Eprescribe. To improve quality and patient satisfaction, we use research and surveys to determine attitudes and opinions about our care. Recent results show that more than 98 percent of patients would recommend GI Associates overall.

CONVENIENT LOCATIONS With 14 offices across southeastern Wisconsin, visiting GI Associates never takes more than 15 minutes. Our staff is also found at 12 area hospitals, from Kenosha to Watertown. To refer a patient or for more patient referral information, call 414-908-6500 (Milwaukee office), 414-454-0600 (Wauwatosa office) or visit www.wigia.com.

GI Associates consistently researches July 2014 WISCONSIN WOMAN | 15

PHYSICIANS AND HEALTH CARE GUIDE

WISCONSIN OVARIAN CANCER ALLIANCE

Ovarian Cancer Symptoms These symptoms are more likely to occur in women with ovarian cancer than the women in the general population.

H Bloating, gas H Pelvic or aBdominal Pain

H difficulty eating or

feeling full Quickly

H urinary symPtoms

(urgency or freQuency)

Women who have these symptoms almost daily for more than a few weeks should see their doctor, preferably a gynecologist. Wisconsin Ovarian Cancer Alliance 13825 W. National Ave., Suite 103 New Berlin, WI 53151

PhOne: 262-797-7804 email:

friends@wisconsinovariancancer.com

Have an annual vaginal/ rectal pelvic exam, and if you have symptoms ask for a transvaginal ultrasound and a CA 125 blood test.

www.wisconsinovariancancer.com 16 | WISCONSIN WOMAN July 2014

Ovarian cancer accounts for approximately three percent of cancers in women. Ovarian cancer-related deaths among women is the deadliest of gynecologic cancers. This is due in part to the fact that there is no diagnostic test and the symptoms whisper so the disease typically progresses to Stage 3 or 4 before it is detected. It is estimated that 21,980 women are diagnosed with ovarian cancer each year and 14,270 women die of the disease annually. These statistics are taken from the American Cancer Society. These heart breaking statistics were the driving force behind the creation of the Wisconsin Ovarian Cancer Alliance 14 years ago. In 1999, Joan Sagan, an oncology nurse who was diagnosed with stage 3C clear cell ovarian cancer, quickly realized the need for the Wisconsin Ovarian Cancer Alliance, a501 (3c) non-profit organization that provides education about the whispering symptoms, advocacy for funding for research for a diagnostic test and treatment options, and support for ovarian cancer patients and their families. After her treatment, Sagan assembled family, friends, medical professionals and fellow survivors to launch the Wisconsin Ovarian Cancer Alliance (WOCA). Formed in May 2000, the non-profit group has been on a fast track ever since. Key actions have included the formation of a medical advisory board, identification of outreach partners in Green Bay, Madison and as well as metropolitan Milwaukee, and the creation of annual fundraising events Nancy’s Run, Walk and Stroll in Greenfield Park on Saturday, September 20, 2014; and Comedy for a Cause in March 2015. WOCA’s informational website wisconsinovariancancer.org is resource of information about ovarian cancer, its symptoms, and current research. Be sure to visit WOCA’s website and become familiar with the whispering symptoms of ovarian cancer that include: bloating, pelvic and abdominal pain, eating difficulties and urinary symptoms such as urgency or frequency. Women who have these symptoms consistently for longer than two weeks should seek medical attention, preferably from a gynecologist. Earlier detection definitely improves out comes. The Wisconsin Ovarian Cancer Alliance’s mission is to • Increase awareness and educate people about how to recognize symptoms in order to increase early detection and improve treatment outcomes. • Support Wisconsin women battling ovarian cancer and their families. • Advocate for greater Federal research funds to diagnose and treat ovarian cancer. For more information about ovarian cancer and its whispering symptoms, visit the Wisconsin Ovarian Cancer Alliance at wisconsinovariancancer.org.

PHYSICIANS AND HEALTH CARE GUIDE

What health issues or conditions affect

WOMEN DIFFERENTLY THAN MEN? Some health issues that are common to both men and women affect women differently. Although the symptoms may be similar, the effects of the condition and the care necessary can differ significantly for women. In addition, some of these conditions might affect women primarily or more severely than men. For example, almost 12% of women in the United States are at risk for developing breast cancer during their lifetime. Male breast cancer accounts for less than 1% of existing breast cancer cases. Certain health issues and their effects on women are listed herewith.

ALCOHOL ABUSE

As many as 5.3 million women in the United States abuse alcohol, putting their health, safety, and general well-being at risk. While men are more likely to become dependent on, or addicted to alcohol than women are throughout their lifetime, the health effects of alcohol abuse and alcoholism (when someone shows signs of addiction to alcohol) are more serious in women. These health effects include an increased risk for breast cancer, heart disease, and fetal alcohol syndrome, in which infants born to mothers who drank during pregnancy suffer brain damage and learning difficulties.

HEART DISEASE

Heart disease is the leading cause of death for women in the United States. Although heart disease is also the leading cause of death for men in the United States, women are more likely to die following a heart attack than men are. In addition, women are more likely than men are to experience delays in emergency care and to have treatment to control their cholesterol levels.

MENTAL HEALTH

Women are more likely to show signs of depression and anxiety than men are. Depression is the most common women’s mental health problem, and more women than men are diagnosed with depression each year.

OSTEOARTHRITIS

Osteoarthritis is the most common form of arthritis. It causes joint pain, stiffness, and swelling. Arthritis is the leading cause of physical disability in the United States. The condition affects almost 27 million people, and affects more women than men.

SEXUALLY TRANSMITTED DISEASES

The effect of STDs/STIs on women can be more serious than on men. Untreated STDs/STIs cause infertility in at least 24,000 women each year in the United States. STDs/STIs often go untreated in women because symptoms are less obvious than in men or are more likely to be confused with another less serious condition, such as a yeast infection.

STROKE

More women than men suffer a stroke each year. Although many of the risk factors for stroke are the same for men and women, including a family history of stroke, high blood pressure, and high cholesterol. Some risk factors are unique to women. These include: • Taking birth control pills • Being pregnant • Using hormone replacement therapy, a combined hormone therapy of progestin and estrogen designed to relieve menopausal symptoms • Having frequent migraine headaches • Having a thick waist (larger than 35.2 inches), particularly if post-menopausal, and high triglyceride (blood fat) levels

URINARY TRACT HEALTH

Women are more likely than men are to experience urinary tract problems. For example, urinary incontinence affects twice as many women as men due to the way the female urinary tract is structured.

STRESS

According to a recent survey by the American Psychological Association, stress is on the rise for women. Women are more likely to report having stress, and almost 50% of all women in the survey, compared to 39% of the men, reported that their stress had increased over the past 5 years. Stress also has unique effects on women. A recent NICHD study found that stress might reduce a woman’s chance of becoming pregnant.

July 2014 WISCONSIN WOMAN | 17

PHYSICIANS AND HEALTH CARE GUIDE

EVANS CHIROPRACTIC & PAIN LASER CLINIC Are you in pain? Feel like you have tried everything to relieve your pain? Have you tried Class 4 MLS robotic therapy? Probably not, because if you had, it’s more likely than not that you would be feeling much better by now. Class 4 lasers are the wave of the future in managing and treating a wide variety of inflammatory disease processes. Back pain, neck pain, headaches, shoulder pain, hip and knee pain, to name a few, are all examples of inflammation or disease. “Basically, if you are in pain, you are inflamed,” says Dr. Eliesha Evans, of Evans Chiropractic and Pain Laser Clinic in New Berlin, WI, who has been helping people resolve their pain syndromes for more than 25 years. Dr. Evans said, “I am shocked by the stories I hear about what our patients have gone through before coming to our office for care.” In most cases, their pain syndrome has not been thoroughly evaluated and the true cause of the pain syndrome has gone undiagnosed. With the changes going on in the healthcare system, all too often the physician is not given enough time with their patients to address their problem completely. They are given a prescription and sent on their way. Because Dr. Evans owns and operates her own clinic, she is able to spend whatever time she needs to make an accurate diagnosis and formulate a comprehensive treatment plan for her patients. Another benefit that Dr. Evans has by owning and operating Evans Chiropractic and Pain Laser Clinic is that she is able to offer the most cutting edge therapies available on the market today. The therapy that really sets her clinic apart from the rest right now is the Class 4 MLS robotic laser system that she has in her office. “I purchased this particular laser in 2012 after a six month trial period. The treatment

results were so spectacular that I couldn’t imagine practicing without it,” Dr. Evans said. “The bottom line is that the treatment outcomes my patients are experiencing with the class 4 MLS system far outweigh the clinical outcomes we achieved prior to implementing this system,” said Dr. Evans. For example: Jim S. had three lower back surgeries to alleviate low back and sciatic pain. The surgery failed and he had constant low back, buttock and leg pain and weakness. They sent him to physical therapy which only made him worse. After treating with Dr. Evans and receiving the Class 4 laser MLS system therapy he has only occasional back pain after gardening or heavy lifting. “Before going to Dr. Evans office I had pretty much given up on ever being able to do anything I enjoy, now I am planning on going on a fishing trip this July. I am very grateful to Dr. Evans and her staff for all they have done for me,” Jim said. “My knees were killing me for years on and off, more on than off,” Tom J. said. “I had given up golf and was hardly able to walk most days. Dr. Evans got rid of my knee pain and then helped me to walk better so that they didn’t go bad again.” If you or a loved one is suffering with pain that just isn’t going away, you owe it to yourself and/or to them to call today for your Complimentary Consultation with Dr. Eliesha Evans to see how this revolutionary new therapy can help. The Class 4 Laser MLS therapy system is safe, effective and has no dangerous side effects. It is FDA approved and Dr. Evans received special certification to use this cutting edge technology and is recertified each year for updated protocols.

8/31/14

18 | WISCONSIN WOMAN July 2014

PHYSICIANS AND HEALTH CARE GUIDE

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 patientsâ&#x20AC;&#x2122; 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!

ADVANCE PHYSICAL THERAPY SERVICES, LLC

Physical therapists can help reduce and manage pain, including low back pain, which affects up to 80 percent of Americans during their lifetime. Physical therapy that mobilizes the spine along with specific exercises can help alleviate the pain and can have long-lasting effects. If you are at risk of heart disease, the American Heart Association encourages seeing a physical therapist for the initial treatment of pain resulting from tendinitis/bursitis, degenerative joint problems (osteoarthritis), and inflammatory joint problems (rheumatoid arthritis), rather than prescription pain medication. Physical therapists are a great alternative to medication and surgery for musculoskeletal pain due to their extensive knowledge in anatomy correction of faulty posture. Research shows individuals who receive active physical therapy experience greater improvement in function and decreased pain intensity. No matter what part of your body hurts, a physical therapist can help you alleviate or manage pain without costly medication or other invasive methods, in many cases. Let the experienced staff of physical therapists at Advance Physical Therapy Services, LLC provide you with the quality interventions needed to help manage your musculoskeletal concerns.

July 2014 WISCONSIN WOMAN | 19

PHYSICIANS AND HEALTH CARE GUIDE

MAMMOGRAMS STILL WARRANTED DESPITE EVIDENCE THEIR VALUE IS OVERRATED BY DR. DAVID LIPSCHITZ

Every week, one of my patients tells me, “I hear I do not need to have a mammogram — it causes more harm than good.” This impression comes from numerous studies, primarily from Europe, that have questioned the value of mammograms. The most radical proposal, published in The New England Journal of Medicine, recommends mammogram screening for breast cancer be abandoned. This report, proposed by the Swiss Medical Board, examined the conclusions of a number of research studies demonstrating the value of mammograms. It determined the conclusions might be erroneous. Based on its analysis, mammograms for breast cancer did not prolong life and often resulted in unnecessary surgery that led to a significant incidence of complications. At worst, the needless additional tests, biopsies and even therapy for cancer that would never cause harm may lead to increased mortality and greater suffering. Their report states that at best, mammograms may save one life for every 1,000 mammograms performed over a 10-year period. Needless to say, this report has led to a storm of controversy in the medical community. Until now, studies have never suggested abandoning mammograms, although the United States Preventative Services Task Force recommends beginning mammograms at age 50 and performing them every 2-3 years, rather than annually. What does a mammogram look for? An abnormality is identified in about 6-8 percent of women. In some cases, this abnormality is clearly benign, and in others, a finding may either diagnose a cancer or suspicious lesion that should be evaluated further or rescreened in 6 months. In many women who have a suspicious lesion, additional more-detailed imaging studies and biopsies are performed. Finally, and with a great deal of relief, most are told that no cancer was identified. In some, a tiny cancer is identified, leading to surgery, and on occasion, radiotherapy and chemotherapy. Then why this controversy? Opponents of mammograms have closely evaluated very large studies and are of the 20 | WISCONSIN WOMAN July 2014

belief that many small cancers may resolve spontaneously and that treatment, therefore, is unnecessary. False positives, unnecessary biopsies and anxiety are all worth it if early detection of a cancer prolongs life. If a woman has an annual mammogram for 10 years, the chance of a false positive leading to further testing is almost 50 percent. And the earlier detection of cancer does not improve life expectancy or reduce breast cancer death. No question the defenders of mammography disagree that the test does more harm than good and strongly believe that deaths from breast cancer have been dramatically reduced. While this controversy rages, and scientists have widely differing opinions, it does seem reasonable that women continue to have mammograms but be more attuned to the potential benefits and harm. Perhaps an annual mammogram might be too frequent. If a mammogram is normal, there is little evidence to suggest delaying the next test for 24 months will identify more cancers than an annual test. In women who have no significant risk factors for breast cancer, a test every three years might be adequate. But this should be limited to women who have no family history of breast cancer (mothers, sisters, aunts, grandmothers), have never had an abnormal mammogram or breast cancer, and have not taken oral contra-

ceptives for 10 or more years. There are even genetic tests that can be performed to identify women who are at an increased risk of developing breast cancer. The value of mammograms in women older than 75 is questionable. Most important medical organizations do not have firm recommendations for mammograms within this age group. For example, the American College of Physicians recommends mammograms every two years for women between the ages of 50 and 75 and is against mammograms in women either older or younger than these ages. In contrast, the American Cancer Society recommends a mammogram every one to two years beginning at age 40. It does seem that in health nothing is absolutely certain. However, until much more information becomes available, please have a mammogram. If you are one of those unlucky few who have developed a cancer, I have no doubt that early detection will dramatically increase remission rates and that the test will have saved your life. Dr. David Lipschitz is the author of the book “Breaking the Rules of Aging.” To find out more about Dr. David Lipschitz and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate Web page at www.creators.com. More information is available at: DrDavidHealth. com.

PHYSICIANS AND HEALTH CARE GUIDE

CENTER FOR WEIGHT LOSS Why most of the weight loss programs out there in the clinical world don’t work! Really! It all started in the genomic laboratories where I studied the genes and hormones that affect obesity and metabolism. I always wondered why most of the weight loss programs out there in the clinical world don’t work! Soon enough I realized that most of those programs don’t address the scientific concepts behind obesity. Now with our new exciting program for weight loss, we approach the problem differently, we gear your metabolism towards fat burning so you get rid of the abnormal fat in your body while you preserve the muscles. We train you in a simple way to lose fat weight, and to increase your energy level while you feel less hungry. Why is our program different? It’s based on solid scientific concepts supported by novel research, it’s easy and simple… and it works

Marwan Aly, MD, MPAS, PA-C Center for Weight Loss Milwaukee WI

LAKESHORE MEDICAL CLINIC The physicians and staff of Lakeshore Medical Clinic believe health care is best delivered at the community level. Since 1991, our primary care practice has grown to include 15 neighborhood clinics staffed by more than 100 primary care and specialty physicians. Our providers are available to deliver exceptional primary care and specialty services including: Audiology, Allergy, Asthma and Immunology, Breastfeeding Medicine, Cardiology, Chiropractic Medicine , Counseling, Dermatology, Diabetes Management, Endocrinology, ENT, Gastroenterology, General, Colorectal and Vascular Surgery, Geriatrics, Hematology/Oncology, Infectious Disease, Laser Liposuction, Lipidology, Neurology, Orthopedics, Physical and Occupational Rehabilitation, Podiatry, Radiology including Digital Mammography, Urology, and Weight Management. Personal attention - always. That’s the Lakeshore Medical Clinic philosophy. We make that commitment because when you choose a Lakeshore physician, you get an entire medical team devoted to your health. Our doctors and staff are committed to delivering the highest quality care to every one of our patients. Schedule an appointment today by calling 414.766.9050.

LOSE WEIGHT, LOOK AND FEEL GREAT

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With our Advanced weight loss program you will trigger your brain into releasing fat that is stored in your body. The nutrition that’s in the fat goes back to feed you, this way you can go on a lower calorie diet without being hungry. The first 10 days you could lose anywhere from 10-15lbs and feel great. Next thing you know your clothes are loose, but not your skin. Why? Because you are losing fat and excess water weight not muscle like all other diets!

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July 2014 WISCONSIN WOMAN | 21

PHYSICIANS AND HEALTH CARE GUIDE

OBESITY AND DIABETES: A Deadly Combination DR. DAVID LIPSCHITZ

Type 2 diabetes is occurring with ever-increasing frequency in young adults and even children. This alarming statistic is the result of an increase in obesity and sedentary lifestyles. Reduced muscle mass and increased fat contribute to a condition known as metabolic syndrome, which is associated with insulin resistance. For reasons that are not clear, increased body fat and reduced muscle make it more difficult for insulin to pump sugar into cells. In susceptible individuals, diabetes occurs

impaired blood supply to the lower limbs. High fat levels also cause the liver to enlarge, leading to declines in liver function. The altered metabolism that accompanies diabetes causes the deposition of carbohydrate products in the smallest arteries called arterioles. This substance, known as sorbitol, causes changes in these vessels that provide critical blood supply to every important organ. Over time, these vessels become blocked, and

Diabetes is a devastating disease. Lifestyle changes are not a cure, but they can delay by decades or prevent the development of diabetes.. when, despite increased insulin concentrations, blood sugar rises to abnormally high levels. Diabetes is a chronic illness affecting numerous organ systems. These changes account for the majority of diseases accompanying diabetes and contribute to much of the suffering. The most serious is elevated cholesterol and triglycerides, which lead to wide-spread vascular disease and a high incidence of heart attacks, strokes and

22 | WISCONSIN WOMAN July 2014

blood supply to many tissues is compromised. This involvement of small arterioles is called “diabetic microangiopathy.” The most important organ systems affected are the peripheral nerves, retinas and kidneys.

Many diabetics suffer from peripheral neuropathy, which causes a great deal of pain and discomfort. As the condition progresses, sensation in the lower limbs is lost, making it difficult to recognize heat, pressure or even minor injury. This leads to skin breakdown and ulcers, usually on the feet, that are very difficult to heal. Because the small blood vessels are inadequate, the problem becomes even worse and very difficult to manage. Visits to a surgeon are often necessary, special shoes are needed, and recovery is difficult. Some medications can help the pain, providing some relief, but the damage to arterioles and nerves is permanent. Nerve involvement also affects the bowel and penis. Functional changes in the bowel occur, leading to a condition called “diabetic enteropathy.” The stomach becomes partially paralyzed, causing abdominal pain and bloating. Involvement of the colon causes both constipation and explosive diarrhea, which often occur at night. Impotence is another common complication occurring because both the nerve and blood supplies to the penis are impaired. Impaired nerve supply prevents the penis from getting the message to become erect, and impaired blood supply makes engorgement impossible. Small blood vessels in the retina become occluded. This causes retinal damage, making the retina prone to detachment. To improve blood supply, small blood vessels proliferate. However, they are fragile and prone to rupturing, causing sudden bleeding into the eye and making diabetes one of the most common causes of blindness. CONTINUED ON PAGE 23

PHYSICIANS AND HEALTH CARE GUIDE

CONTINUED FROM PAGE 22

While these problems cause a great deal of suffering, it is involvement of the kidneys that leads to life-threatening illness. Chronic renal failure gradually develops, and sometimes kidney damage causes excessive loss of protein and electrolytes from the body. Kidney disease raises the blood pressure and aggravates the elevated cholesterol that occurs with diabetes, increasing the risk of heart attacks, strokes and heart failure. Diabetes is a devastating disease. Lifestyle changes are not a cure, but they can delay by decades or prevent the development of disease. Children are getting this disease because of their dietary habits, substantial weight gain and lack of any form of exercise. Inactivity and overweight also precipitates the illness at an older age. It may take many years for this illness to manifest, so at-risk individual’s blood sugar should be screened. If diabetes is diagnosed, it should be an urgent wake-up call for health reform. Weight loss and exercise, by decreasing fat content and improving muscle mass, can often revert metabolism to normal, making more therapy unnecessary. If weight loss and exercise are inadequate, numerous medications are available that can keep blood sugar controlled and prevent the devastating complications of the illness. Please remember it is never ever too early or too late to pay attention to your health. Dr. David Lipschitz is the author of the book “Breaking the Rules of Aging.” To find out more about Dr. David Lipschitz and read features by other Creators Syndicate writers and cartoonists, visit the Creators Syndicate Web page at www.creators.com. More information is available at: DrDavidHealth. com

CHOLESTEROL, CALCIUM AND VITAMIN D Here’s another reason to take that calcium and vitamin D supplement (to get a little bit of sunshine) — those bone building nutrients may also help your cholesterol levels. A new analysis of data from the Women’s Health Initiative found that supplements of vitamin D and calcium might modestly improve cholesterol numbers. Previous studies were inconclusive, according to Tufts University Health and Nutrition Letter (June 2014). It’s always best to get most of your calcium through your diet and supplement to fill in the gaps, however, getting enough vitamin D from dietary sources alone can be challenging. A glass of milk provides 100 International Units and most other food sources are less. The recommended RDA for vitamin D for both men and women is 600 IU for ages 19 to 70 and 800 IU for ages 71 plus. In the new study of supplemental vitamin D and calcium’s cholesterol effects, published in the journal “Menopause,” researchers looked at data on 576 participants over an average of six years. Participants were randomly assigned to either 1,000 mg of calcium plus 400 IU of vitamin D supplements or a placebo. The original trial of the Women’s Health Initiative focused on fracture risk and colorectal cancer in postmenopausal women, rather than cholesterol levels. But a subset of the study group had lipid and vitamin D blood levels tested at baseline and years one, three and six. Supplementation was association with an average 4.46 mg/dL decrease in unhealthy LDL cholesterol compared to the placebo group. Triglycerides also decreased in the supplement group, while healthy HDL cholesterol levels increased. Every 38 percent increase in vitamin D levels in response to supplementation was in association with a decline of 1.28 mg/dL in LDL cholesterol. You can also boost your vitamin D levels with just a few minutes of sun exposure. Body fat acts like a storage battery for vitamin D. During periods of sunlight, vitamin D is stored in fatty tissue and then released when sunlight is gone. Our amazing bodies manage the vitamin D it makes itself, so we don’t have to worry about combining sun and supplements. Information courtesy of the Tufts University Health & Nutrition Letter

July 2014 WISCONSIN WOMAN | 23

PHYSICIANS

Cancer News

AND HEALTH CARE GUIDE

GENOMICS: IS THE FUTURE OF CANCER CARE FINALLY HERE? E S

Advanced genomic testing. Have you heard of it? Not everyone has, but in the fight against cancer it’s an exciting development. It’s more than a promise for the future. It’s giving hope to many cancer patients today.

WE CAN NOW FIGHT CANCER AT A GENETIC LEVEL. Cancer care has become far more personalized, customized right down to the DNA in the individual tumor. We can now fight cancer not just by attacking cancer cells, but by reading the DNA contained in the genes of those cells to discover possible new treatment options. This may allow for more precise treatment and may allow physicians to discover possible abnormalities in the gene sequences, better understand the DNA alterations driving the growth of a tumor, and then potentially tailor treatment plans based on the findings.

Cancer Treatment ADVANCED GENOMIC TESTING ENABLES MORE PRECISE CANCER TREATMENT. “We can now target therapies specifically against mistakes in a cancer cell’s genes,” according to Donald Braun, PhD, Vice President of Clinical Research at Cancer Treatment Centers of America® (CTCA). Advanced genomic testing gives oncologists a snapshot of gene activity within a cancer cell. Our understanding of the role specific genes play in the growth and spread of cancer has enabled a major advancement in how we approach the treatment of cancer. Until recently cancer has been defined by the organ in which it is first discovered: if it’s in the breast, it’s been called breast cancer; if it’s from the lung, it’s lung cancer, etc. Now we realize that one particular type of cancer doesn’t necessarily behave the same as all the other cancers. The ability to design a more precise treatment plan based on the genetic profile of a tumor may create a whole new spectrum of more targeted treatment options and potential new avenues of hope for the patient.

A sample of a patient’s cancer tissue or biopsy of a tumor is sent to a genomic sequencing lab.

Normal genes and genes linked to cancer are sequenced from extracted DNA.

24 | WISCONSIN WOMAN July 2014

Data is analyzed to identify mutations that are critical to certain functions of the tumor.

Doctors use lab analysis to find a treatment appropriate for genetic variations identified.

Michael Kayser, DO, FACMG, consults with a patient on her genetic testing results.

PUTTING THE PATIENT IN CONTROL OF THE CANCER JOURNEY. Patients should ask if advanced genomic testing is offered at their clinic or hospital, and whether it is an option to help guide the treatment plan for their cancer. A patient should always be well informed by the care team as to all the options available for treatment and therapy. Ideally patients should work with a team of oncology experts, empowered to customize a plan for their specific situation. The objective of the treatment plan should be to maintain quality of life during treatment with the ultimate goal being full recovery.

Philadelphia Chicago Atlanta Tulsa Phoenix

Cancer Treatment Centers of America® (CTCA) is a national network of five hospitals in the U.S. with expertise in treating patients who are fighting complex or advanced stage cancer, although many patients with an early stage diagnosis seek treatment at CTCA® as well. We combine world-class treatment with an integrative approach to care to reduce side effects and maintain quality of life during cancer treatment. If you or someone you love has advanced stage or complex cancer call 800-950-2822 or go to cancercenter.com.

Precision cancer treatment is changing the way we fight lung cancer When Kathy came to us, she had stage 4 lung cancer and was struggling with shortness of breath. Today, one year later, she’s enjoying an excellent quality of life and more time with her family— with the help of the precision medicine we’re using at Cancer Treatment Centers of America® in suburban Chicago. With advanced genomic testing, our physicians are able to identify abnormalities in a patient’s tumor. This helps reveal therapies to target their cancer and tailor the treatment options.

Learn more at

cancercenter.com/lung

800-950-2822

Kathy Stigler

Hartford, WI Lung Cancer Patient

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

No case is typical. You should not expect to experience these results.

PHYSICIANS AND HEALTH CARE GUIDE

RENT A DAUGHTER For nearly 30 years, aging adults and those who love them have found Rent-A-Daughter to be a compassionate and loving provider for their needs. We are a family owned home care agency with a mission to help older and convalescing adults live independently by providing non-medical home care. Because of the communicative and nurturing spirit of the business and the intentional matching between caregiver and client, Rent-A-Daughter is a seamless extension of the love, warmth and compassion people receive from their own families. Together, our owners, office support staff and caregivers create a network of people who are committed to providing care for those we serve. Our core belief at Rent-A-Daughter is that every person, throughout every season of life, is deserving of love and respect. Since 1985, we have had the privilege of embodying that belief by helping older and convalescing adults live their lives to the fullest. Celebrating each of life’s seasons, we are committed to providing caring hands for aging hearts.

Just like family, Rent-A-Daughter provides an extra pair of hands, a warm heart and a friendly smile to make each day easier. Call us when you or someone you love could use help with cooking, shopping, running errands and other domestic needs.

26 | WISCONSIN WOMAN July 2014

CEDAR COMMUNITY Based in the hills of the Kettle Moraine in West Bend, Cedar Community has been honing a tradition of quality care since 1953. Originally a nursing home, Cedar Community has expanded to provide assisted living; inpatient and outpatient physical, occupational and speech therapy; subacute (short-term) rehabilitation for those recovering from surgery or illness; and comprehensive home health, hospice and supportive (non-medical) care in six southeast Wisconsin counties. As the nation’s 86th largest not-forprofit continuum of care provider, Cedar Community care teams boast the region’s lowest readmission rates, making them the provider of choice for rehabilitation and nursing care. To learn more, visit www.cedarcommunity.org or call 262.306.2100.

PHYSICIANS AND HEALTH CARE GUIDE

ST. CAMILLUS HOME HEALTH SERVICES St. Camillus Home Health Services has been providing personalized and compassionate care to residents of Milwaukee, Waukesha, Ozaukee and Racine County residents, in the privacy of their home. Our highly trained team offers a comprehensive network of home health services to meet your needs. St. Camillus team offers: registered and licensed practical nurses, certified nursing assistants, homemakers, companions, physical, occupational and speech therapy, hospice aides, social workers and geriatric care managers. Services may be covered by Medicare, Medicaid or private insurance. St. Camillus Home Health Services provides all levels of personalized care right in the home, 24/7.

St. Camillus Home Health Services 10101 W. Wisconsin Avenue, Wauwatosa, WI 414-258-2418

INTEGRATIVE DENTAL SOLUTIONS

Every day, doctors and holistic health-care practitioners are discovering the importance of a healthy mouth in achieving better health. The philosophy of Dr. Mahn, Dr. Shetty and Dr. Socias at Integrative Dental Solutions (IDS) in Pewaukee is to give you a smile that is both healthy and beautiful! Their main focus is to make sure they understand all of your concerns. After a thorough initial examination (which includes all digital x-rays, as well as a low dose 3-D CT scan), you will have the opportunity to get all of your questions answered during a 30-minute private consultation. “Patients love the fact that we provide them with a comprehensive treatment plan that spells out exactly what will be done, how long it will take and how much it will cost,” says Sarah Damato, long time office manager. “Because we are so efficient, patients are often surprised at just how affordable this type of care can be – we even use technology to help our patients maximize insurance coverage for these services.” The best part is that IDS offers a $39 “Gift of Health” special that makes it affordable to discover what high-tech, holistic dentistry can do for you.

Ingo Mahn | ingo@drmahn.com Are you a Facebook user? Sign up as a fan of MyNaturalDentist.com

GOOD HEALTH STARTS HERE

A HEALTHY BODY STARTS WITH A HEALTHY MOUTH

COME MEET THE DOCTORS WHO LISTEN AND DISCOVER WHY PEOPLE FROM ALL OVER THE MIDWEST START THEIR JOURNEY TO BETTER HEALTH AT:

INTEGRATIVE DENTAL SOLUTIONS The EXPERIENCED Team - Dr. Supriya Shetty Dr. Ingo Mahn Dr. Laura Socias

Accredited IAOMT Accredited Huggins Alliance On-site Naturopathic Doctor

in PEWAUKEE

262.

691.4555 WiNaturalDentist.com

July 2014 WISCONSIN WOMAN | 27

PHYSICIANS AND HEALTH CARE GUIDE

COLUMBIA ST. MARYS

Columbia St. Mary’s Helps This Young, Working Mom Battle Breast Cancer

When Cheryl Halverson was diagnosed with breast cancer at Columbia St. Mary’s (CSM) Hospital Ozaukee, she was shocked and scared. “When you get diagnosed with cancer, you face some really dark days,” Cheryl says. “You never think you have to face your mortality at 42 years old.” Cheryl discovered the lump in early October 2012 while performing a routine self-checkup. Initially, she didn’t think much of it. She was young, had always been healthy and spent most of her life running marathons, triathlons and working out. She had no family history of cancer. “I really thought I was the picture of health,” she says. “I was pretty shocked by the diagnosis.” Having a background in market research, Cheryl put her analytical mind to work right away. With the support and guidance of her CSM care team, she sought out second and third opinions, spoke with friends who had successfully battled breast cancer and scoured the Internet. 28 | WISCONSIN WOMAN July 2014

“I went to Froedtert and then traveled out to Memorial Sloan Kettering Cancer Center in New York,” she says. “I felt as a 42-year-old with two young kids I needed to do all I could to fight this battle and beat it so it would never come back. And I was so appreciative of the staff supporting me and my need for information.” When the other opinions came back with the same diagnosis and treatment plan as Columbia St. Mary’s, Cheryl’s decision ultimately came down to relationships and comfort—and the confidence she had in her CSM cancer care team. “They didn’t just treat me medically, they supported me from an emotional standpoint as well, whereas if I went to a different hospital, I’d just be a number. I felt really at home and at peace.” Fortunately, Cheryl also had Peggy Long, her CSM Nurse Navigator, by her side every step of the way. Cheryl says she wouldn’t have been able to get through her cancer treatment without Peggy’s endless support and encouragement. Just 11 days after her diagnosis, Cheryl had a lumpectomy and a sentinel node biopsy. She underwent four rounds of chemotherapy followed by 33 rounds of radiation. Peggy helped foster a caring environment, explaining her diagnosis and treatment plan, answering any and all questions, scheduling all of her appointments and lending emotional support. “At first I thought Peggy was going to be there to navigate my appointments. But then it became, Peggy is going to answer my questions. And then Peggy is going to support me emotionally,” Cheryl says. “And every time I was here, somehow Peggy showed up by my side, held my hand, cheered me on, and reassured me. So she became a really

integral part of the overall treatment program. I don’t think I could have gotten through it without her.” Nurse Navigators are a key component of CSM’s full continuum of cancer care. They spring to action immediately. Often within minutes of receiving a breast cancer diagnosis, a patient will receive a call from one of CSM’s Nurse Navigators. “In the beginning, when you can’t even think yet, when you can’t even process yet, you don’t even know what to be thinking about – somebody’s got your back and is watching over you,” says Deb Theine, who was CSM’s first Nurse Navigator in 1997. “That brings such a sense of peace for the women.” At CSM, the Nurse Navigator CARES.

C – COORDINATES care and appointments

A – ANTICIPATORY

guidance, prepares patient for the next step

R – Sets up REFERRALS to doctors and support staff

E – EDUCATES patient about diagnosis, treatments and side effects S – SUPPORTS

patient and family throughout the cancer care “The whole idea is to work with the patient from the moment of diagnosis through treatment and into survivorship or palliative care,” Deb says. Today, Cheryl is happy and healthy and enjoying life like never before. “I took away really great life lessons. In a way, I feel richer as a person,” she says. “I’m just grateful and I cherish each day. Emotionally when you’ve been through what I’ve been through, you just are so grateful and so appreciative of each day and all the little moments you have.”

Columbia St. Marys

Amelia Coffaro, Shorewood

Wouldn’t let cancer take her dreams. Or her glow. Cancer can change your life. But it doesn’t have to change who you are. Amelia Coffaro was a normal 28-year-old woman in New York City, working as a photographer and living her dream. But when she was diagnosed with Stage 3 Inflammatory Invasive Breast Cancer, she decided she would fight the cancer without giving up on her dreams. Amelia’s cancer care team was quickly assembled and immediately got to work on her treatment plan. “I love that I have this team of women who are strong and caring. It’s a great thing,” she says. “I feel like I’m in the best hands possible.”

patient, she continues to use her camera as an expression of herself. She’s even been documenting her experience. “You don’t know what’s going to happen, you just need to let go and trust that these doctors will see you through. The only thing you can choose is your attitude. You choose to be positive and you can choose to be happy.” Our world-class cancer team will integrate the best staff with the most advanced technologies and innovative treatment methods to fight your cancer, while nurturing you. Body, mind and spirit. It’s an approach that’s allowing more and more people to keep their glow.

As a photographer, she found solace and inspiration through her viewfinder. Now as a cancer columbia-stmarys.org/cancer_care Glow Amelia WI Woman.indd 1

July 2014 WISCONSIN WOMAN 29 6/12/14 6:53:33| AM

PHYSICIANS AND HEALTH CARE GUIDE

CONNECT HEARING

Social connectedness is an important “habit” of the longest lived people “One of the biggest challenges to staying connected is hearing loss. Several key studies show that as people lose their hearing they are more prone to depression. It’s harder for them to stay socially connected. It’s harder for them to stay connected with their family.” Says Dan Buettner, author of The Blue Zones; Lessons for Living Longer from the People who’ve Lived the Longest. Buettner states that people are evolutionarily designed to socialize and suggested “something you can do proactively- right now- is get the technology you need so you can hear better. It stacks the deck in your favor for more connectivity”. Hearing loss is a common problem in modern society due to the combined effects of noise, aging, disease, and heredity. According to the American Academy Of Audiology, approximately 36 million Americans have hearing loss. One in three developed their hearing loss as a result of exposure to noise. Noise induced hearing loss (NIHL) is caused by

damage to the hair cells that are found in our inner ear. Hair cells are small sensory cells that convert the sounds we hear (sound energy) into electrical signals that travel to the brain. Once damaged, our hair cells do not grow back, causing permanent hearing loss. Whether younger or older, most people don’t notice their own hearing loss, and wait too long to get help. Someone with noise inducing hearing loss may not even be aware of the loss, but it can be detected with a hearing test. The Connect Hearing network of providers are proud to be a part of the rehabilitative process for patients with permanent hearing loss, and focus on helping people stay connected through the sounds of life. Please call toll free, 888725-1511 to set up an appointment for a free evaluation at any one of our Connect Hearing network providers in your area.

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Being outdoors isn’t as enjoyable if you can’t hear the sounds of nature all around you. At Connect Hearing we understand this. As the strongest network of Hearing Care Professionals in the country, we are committed to helping more people stay connected to the sounds of life through better hearing, better care and the best state-of-the-art digital hearing aids the world has to offer.

Take advantage of these special offers all month long: • Connect Hearing Price Match Guarantee‡ • 0% Financing† • Free Hearing Consultation

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*Certain types of hearing loss may require a hearing aid model that is not appropriate for the Two Week Free Trial. See clinic for details. Lyric excluded. ‡ As a member of the Connect Hearing network, if we don’t already have the lowest price, we will match any valid competitor quote or advertised price on hearing aids within 60 days of purchase. † 0% financing offer is subject to credit approval. If at the time of your application you do not meet the credit criteria previously established for this offer, or the income you report is insufficient based on your obligations, we may not be able to offer this financing. Complimentary hearing screening and consultation required. Some restrictions apply. Offer expires 7/31/14.

30 | WISCONSIN WOMAN July 2014

PHYSICIANS AND HEALTH CARE GUIDE

ROGERS MEMORIAL HOSPITAL In 1907, Dr. Arthur Rogers and his wife Theresa opened their dream hospital with the help of shareholders. Originally built as a palatial home in the beautiful woods surrounding Nashotah Lake, the Mason M. Hill Mansion became home to the Oconomowoc Health Resort. Over the years, other buildings were added when the need arose. It was important to Rogers that he continue to be on top of modern treatment methods and these were reflected in treatment programs provided. This brief history is important because Dr. Rogers set a precedent that is still followed today. More than one hundred years later, Dr. Rogers’ legacy continues to thrive. Rogers Memorial Hospital is now part of Rogers Behavioral Health System and is recognized as both a local and national leader in psychiatry and addiction services. At Rogers, patients receive specialized treatment in a variety of levels of care for depression and other mood disorders; obsessive-compulsive disorder and anxiety disorders; eating disorders; and addiction. Rogers has long responded to community need; in addition to its home campus in Oconomowoc, it now has locations in West Allis, Kenosha, Brown Deer and Madison, with its first out-of-state location opening in Tampa, FL, in fall 2014.

In 2014, one in four people are living with a mental illness; the patients at Rogers are there for one reason. To heal and learn tools to help them create a life worth living. Clinically, the hospital focuses on a person-centered, collaborative approach focused on the unique needs of each patient. The staff at Rogers believes that creating a relationship with patients is the best way to ensure their care is both personal and successful. “For over a century, we have been quietly offering hope, help and healing through comprehensive, quality care,” states Paul Mueller, CEO. “We are proud to treat people of all ages, from 5 to 105, with specific programs and education to help them fully understand their illness.” In addition to caring for patients, Rogers advocates for better understanding of mental health and the need to reduce stigma through one of its key corporations, Rogers InHealth, which focuses on sharing stories of recovery from the voices of people who live it. Hear the stories at www.rogersinhealth.org.

To learn more about services Rogers offers, visit www.rogershospital.org. Rogers Memorial Hospital 800-767-4411 | rogershospital.org

Our specialists have one focus. Your mental health.

At Rogers Memorial Hospital, our compassionate team effectively treats children, teens and adults for eating disorders, OCD and anxiety disorders, depression and mood disorders and addiction. The result? Life. Worth. Living. Oconomowoc | West Allis | Brown Deer | Madison | Kenosha 800-767-4411 | rogershospital.org

MEMORIAL HOSPITAL

July 2014 WISCONSIN WOMAN | 31

PHYSICIANS AND HEALTH CARE GUIDE

DR. ALEX COLQUE PLASTIC SURGERY & SKIIN

Synergy and Expert Level Care Can Help You Achieve the Results You Desire Cosmetic enhancements are becoming more and more popular as they have become better, safer, and less invasive to achieve. There are many options for treatment modalities that have flooded the market to help improve your appearance. These range from helping your skin appear more youthful to freezing your body fat with noninvasive procedures. Because these treatments are so common, it can be difficult to determine who to trust and where to go if you are interested in these enhancements. A unique relationship at Alex Colque Plastic Surgery and Skiin anti-aging lounge allows a more comprehensive cosmetic environment to achieve maximum results with today’s technologies. Alex Colque Plastic Surgery and Skiin anti-aging lounge combined together to provide the synergy of a one-stop location to meet all of your cosmetic needs. The Luxe feel upon entry of this 4,000 square foot antiaging lounge is anything but stuffy. The level of concierge service is impeccable from the appointment reservation to the service to check out. The skiin menu hosts a variety of advanced skin care services with results in mind that include laser hair removal, Viora skin tightening, Oxygen Facials, microdermabrasions, Coolsculpting, botox, filler and more. Dr. Alex Colque is a board-certified plastic surgeon who specializes in cosmetic surgery for facial rejuvenation and body enhancements. He has a unique approach to cosmetic procedures of the face such as facelift, eyelid lifts, brow lift, and rhinoplasty. This approach helps patients meet their individual desired results. Combined with the offerings of Skiin, such as their signature oxygen facial, you can restore the natural beauty of your face. Dr. Colque does not just lend his name as medical director of Skiin, his practice is integrated into all of the anti-aging lounge treatments and en32 | WISCONSIN WOMAN July 2014

hancements. His office and practice are on site to complete the synergy of expert level cosmetic results. “Our point of difference from a service level is not only the experience and on going education of our aesthetics team, but the value we bring to guests through our skiinsider membership program,” says Krysa Skaramagos lead Aesthetician of Skiin. “Our goal is to provide customized long term skin health programs for every skin type in any age group with value. With our skiin signature Oxygen Facial we combine a diamond tip technology microdermabrasion treatment along with an oxygen infusion of 87 vitamins and minerals that build and repair the barrier function of the skin.” This is certainly the crème de le crème in skin care services, starting in Hollywood years ago, this RED CARPET ready treatment leaves your skin nourished from the inside out. Members are also priveledge to INsider promotions throughout the year. The synergy is not only evident with facial cosmetic treatments but with body enhancements as well. Under the direction of Dr. Alex Colque, Skiin’s staff of highly trained aestheticians with over 70 years of combined experience offer the most advanced laser hair removal for all skin types, noninvasive skin tightening, massage, and Cool Sculpting. Cool Sculpting is an innovative noninvasive treatment to reduce body fat. It requires no incisions, no anesthesia, and no surgery to freeze body fat cells and eliminate them from the body. “Cool sculpting is becoming a more popular treatment and is in many cases replacing liposuction as the preferred way to reduce body fat,” says Dr. Alex Colque. Skiin has a dedicated Cool Sculpting team that has been certified, and expertly trained by Dr. Colque himself to understand the anatomy, science, and physiology behind body fat and the cool sculpting technology to

give you optimal results. In Wisconsin, the most popular body enhancement surgeries are breast augmentation with implants, tummy tucks, and liposuction. Dr. Alex Colque performs all of these procedures with exceptional attention to detail and long-term results. He was trained by members of the group of plastic surgeons who invented the silicone breast implant and has published research as well as book chapters on cosmetic breast surgery and breast implants. He combines his education, training, and experience with the most advanced technologies and techniques to give his patients outstanding, natural results. Another popular treatment offered by Dr. Alex Colque is the mommy makeover. This procedure is a combination of breast enhancement and body contour techniques. This can include breast augmentation, breast lift, breast reduction, tummy tucks, body lifts, and liposuction to help restore a woman’s body to her pre-pregnancy state. “It used to be that women were resigned to living with these natural changes in their bodies, but now more than ever, women are seeking to reverse these changes to the more youthful appearance they enjoyed before having children”. The synergy expertly trained, board-certified plastic surgeon Dr. Alex Colque and the experience of the aestheticians at Skiin antiaging lounge along with the luxury facility make this relationship one you will definitely want to join. “We have you covered for all of your cosmetic needs from head to toe,” says Alex Colque M.D.

Alex Colque Plastic Surgery and Skiin anti-aging lounge are located at 21675 E. Moreland Blvd. Waukesha, WI 53186. 262-781-9000 | 262-657-5446 www.ACplasticsurgery.com www.LoveMySkiin.com

PHYSICIANS AND HEALTH CARE GUIDE

PROHEALTH CARE- TAKE CONTROL OF CHRONIC PAIN Spinal cord stimulation reduces pain and renews life For the 100 million Americans who suffer from chronic pain, just making it through the day is a remarkable accomplishment. There was a time that this was true for area residents Leanna Wienzierl, Michael Townsend and Michael Dowske. They only found temporary pain relief from medications, injections and therapy. It wasn’t until they tried spinal cord stimulation that they tamed their pain and returned to more active lifestyles.

HOW DOES IT WORK? Spinal cord stimulation delivers mild electrical pulses to the spine. The pulses block pain signals from reaching the brain, and replace the pain with a tingling sensation. The electrical signals are delivered to the spine through a small wire, or lead, attached to a device about the size of a matchbook that is implanted under the skin. The strength of the electrical impulses can be adjusted and programmed for each patient’s needs and controlled remotely. Patients interested in spinal cord stimulation receive a trial treatment prior to undergoing the permanent implant procedure. During the trial, the device delivering the signals remains outside the body and no surgery is involved. Should the patient find relief and want to proceed with the implant, the procedure itself can take as little as 60 minutes.

LEANNA’S STORY OF A LIFE RETURNED Waukesha’s Leanna Wienzierl, age 52, had been struggling with pain that travelled from the bottom of her spine, across her hips, down both legs and all the way to her toes. Wienzierl says that she was so depressed, she didn’t want to talk with her husband or even eat.

After two and a half years, Wienzierl hadn’t found answers or relief. That’s when Dr. Stanya Smith, a neurologist on staff at ProHealth Care, entered Wienzierl’s life. Dr. Smith ordered an MRI to determine the cause of Wienzierl’s extreme pain. “Dr. Smith called me with the results of the MRI and said she wanted to see me right away,” said Wienzierl. Dr. Smith explained that Wienzierl’s condition was rare. Her spinal cord nerves were twisted and knotted. Surgery wasn’t an option because of the risk involved. Dr. Smith referred Wienzierl to ProHealth Care’s pain management services. “I just love Dr. Smith,” said Wienzierl. “She’s fantastic as a person, and I am so thankful to her for giving me a diagnosis and referring me to Dr. Noto.” Louis Noto, MD, a pain management specialist at ProHealth Care, determined that Wienzierl was a potential candidate for a spinal cord stimulator implant and recommended a trial period. “I was so scared,” admitted Wienzierl, “but Dr. Noto put me at ease. The result of the trial implant was fantastic.” Dr. Noto proceeded with the permanent implant. For Wienzierl, there was no looking back. “It’s the best thing that ever happened to me,” she exclaimed. “I don’t have to take pain medications and my mind is clear. Now, I can walk, lift and squat. And most importantly, I can be a wife again, a mom to my daughters and grandmother to my grandchildren. I am so happy now.”

YEARS OF WELDING TOOK ITS TOLL ON MICHAEL TOWNSEND Michael Townsend, 47, of Helenville, worked as a welder and fabricator for 20 years until intense pain in his spine made working too difficult. “I tried pain killers for a year, and then muscle relaxers and physical therapy,”

said Townsend. This regimen helped at first, but the effectiveness wore off. Townsend was admitted to ProHealth Care’s Waukesha Memorial Hospital for three days due to complications from type 2 diabetes. His kidneys had shut down, he stopped taking medications and was in intense pain. Dr. Noto assessed Townsend’s situation and suggested spinal cord stimulation. The device was permanently implanted in April 2013, and has been effectively blocking Townsend’s pain since. “Sleeping is a lot better, too,” Townsend admitted. “I keep it on at night, but I shut it off if I’m feeling well.”

CAR ACCIDENT’S LASTING IMPACT Waukesha’s Michael Dowske, age 60, suffered from chronic pain as the result of a serious automobile accident. To take the edge off of persistent pain, Dowske was taking morphine twice a day. “I also took hydrocodone. I was losing the ability to multitask. These pain killers resulted in a roller coaster cycle, so I asked Dr. Noto to help get me off the drugs,” said Dowske. Dr. Noto determined that Dowske was a candidate for spinal cord stimulation. While nervous at first, Dowske realized he couldn’t continue living with the pain and the medications. After recovering from implant surgery, Dowske sings its praises. “I control the stimulator throughout the day, adjusting its settings. I recommend the device to others who are suffering from chronic pain,” said Dowske.

To learn more about treatment options for chronic pain, contact ProHealth Care 262-928-7246.

July 2014 WISCONSIN WOMAN | 33

Pro-Health Ad You get what You deserve. the best. Respect is at the heart of everything we do. You can expect nothing less when you select a ProHealth Care doctor. Each is exceptionally skilled and experienced, dedicated to treating you like the unique individual you are. And to make it even easier to access care, we offer ProHealth Care MyChart so you can send messages to your doctor, request appointments, view test results and refill prescriptions online, anytime. To find a physician near you, call 262-928-2745 or visit ProHealthCare.org/Doctors.

34 | WISCONSIN WOMAN July 2014

CAREERS | Building Stronger Women

HOLES IN OUR

LISTENING

ake a break from talking today and you may discover something that everyone seems to know but few do anything about. There are tremendous holes in our listening! Think back to a meeting you attended recently during which you took a mental vacation. Someone was offering information, sharing a point of view or contesting something previously said. One minute you were there; several minutes later you tuned back in only to realize you missed something. There was a hole in your listening. If you attend church, you may have experienced this during a sermon. At conferences, in team meetings, even during the same tired argument with a friend or loved one, this lapse of attention often brings unintended consequences. Someone feels slighted, ignored or disrespected. Tiny seeds of ill will get sown, however innocently. You may have seen someone take a mental vacation while you were speaking. It is unsettling and can be particularly frustrating if what you were sharing was of particular importance to you—or them. Listening intently is hard work. Sometimes people are so predictable, you can finish their sentences in your head before the words come out of their mouths. In these cases, you allow your mind to wander elsewhere because you know what’s

coming. As Rachel predictably harps on another department’s inadequacies during your team meetings, you may find yourself thinking about lunch. Resist this urge; stay in the meeting. When Rachel’s rant is over, ask for her best suggestion to improve the situation. She may be completely taken aback, which is okay, but don’t leave it there. Gently but persistently nudge her for an answer. Allow silence. Let her think. Stay engaged with the process even if you are tempted to vacate mentally while she considers your question. If you slip away momentarily, you may miss—or misunderstand—her answer. When you carry assumptions about people into a conversation, you are less likely to listen to what they have to say. These assumptions may be positive or negative, but bringing them with you provides an exit to a conversation that almost assures you will leave with a faulty understanding of what transpired. The old game of telephone is a perfect illustration of what happens. The first person whispers a sentence to the second person. The second person whispers the same sentence to the third person and so on until the last person who speaks the sentence out loud offers something completely different than what was originally spoken. We laugh at this, recognizing our imperfect listening and interpretation skills. Thus

ends the game and our attention to the dilemma it creates. Let’s not leave it there. Let’s use this awareness to get better. Certain words tear holes in our conversations; words like ‘always’ and ‘never.’ “You always have to have the last word,” and “You never say thank you,” cause people to mentally check out of the discussion. Nowhere is this more apparent and painful than in the recurring arguments we have with loved ones over money or time or help around the house. Be mindful of the words that punch holes in your conversations. Stop yourself from saying them and force yourself to stay engaged when others use them with you. The more diverse our workplaces and communities get, the more challenged we are to mend the holes in our listening. It can be unsettling to recognize that your new neighbors or the newest employees in your department have a very different way of living than you do. The foods they eat, the language they use, the way they dress, how they discipline their children (or not) can be significantly different from what you consider to be correct or proper. Learning to have meaningful discussions about these differences can be very difficult. Mending the holes in your listening is imperative if you are to understand and learn from them. And they, from you. Take a break from talking today. Pay attention to the times people tune in and out of conversations. Note what happens as a result. If someone asks why you’re so quiet, simply say that you are listening for holes. 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

ggNnniEdolMiurbOtWs llahsraM nasuS :yb

July 2014 WISCONSIN WOMAN | 35

FINANCE | with Terry Savage

BY:TERRY SAVAGE

hat do you wish you had known about your spouse or partner before you married or moved in together? Were you surprised to find out that he or she had bad credit, huge student loans or even a bankruptcy? Did you know about his or her habit of overspending — or about his or her stingy nature with money? And why didn’t you discuss those things in advance? Those are all issues that contribute to our high divorce rate and explain why so many couples who move in together in a romantic haze do not make their relationship last. Money is the last taboo subject. And failure to discuss those issues and make a plan for 36 | WISCONSIN WOMAN July 2014

handling money and overcoming differences is the reason so many marriages and relationships end in divorce court or in lawsuits challenging who owns what and who owes what. Those are the reasons I have just co-authored “The New Love Deal: Everything You Must Know Before Marrying, Moving In, or Moving On!” (Amazon.com $15.25). My co-authors are Gemma B. Allen, a well-known divorce attorney, and Judge Michele Lowrance, who recently retired after 20 years on the bench in divorce court to start her own mediation service for those divorcing or creating prenups. We all share the same belief that if people put as much effort into planning their marriage or relationship as they do in planning the wedding, they

would have far more successful outcomes. So right from the start, let me say that talking about the practical issues of your life together does not destroy the romance. In fact, quite the opposite is true: It is the essence of romance to be open, honest and trusting enough to reveal your personal fears and hopes as they relate to your finances. If you fear your beloved won’t be understanding about past money mistakes, then you don’t have a very sound basis for creating a life together. And if you feel compelled to hide your financial issues, you must know that sooner or later they will surface to impact your future.

T HAVING THE TALK

We know it’s not easy to open up about money. That’s why “The New Love Deal” is a guide to having the talk — complete with suggestions for setting the scene, creating the opportunity and a checklist for the typical emotional responses that will arise. After all, there are basically only two types of money personalities — savers and spenders. For better or worse, they tend to fall in love with each other, thereby setting the scene for potential conflict. Those basic tendencies come from your genetic makeup, your childhood experiences and life’s lessons so far. At this stage of your life, it’s difficult to change your own money personality — not to mention impossible to change the person you love. The best you can do is to set up systems that avoid inevitable conflict. For example, you could decide (based on your incomes and ongoing obligations) to each contribute a set amount monthly to be automatically deducted from your personal checking account and put into a joint account for household bills. That lets each maintain separate funds for personal use. But just covering monthly expenses is not enough to build a financial future together. Each should also be contributing to an IRA or retirement plan at work. And you might want to add a joint money market account to save for larger expenses such as a down payment on a home. Plus, if one is paying down student loans or still in school or staying home to raise children, you’ll need to figure out how that impacts your financial future together, while respecting the need of each to have some financial independence. Whether you’re a young couple just starting out or further along your career path, it makes sense to discuss how you will handle money in your relationship. Otherwise, money can become the center of a battlefield that is more about power than about accounting. That also applies to an even greater degree in second marriages, which are complicated by the obligation to support children from a previous marriage.

This kind of discussion would also benefit those just planning to move in together. Otherwise one might be building equity in a condo, while the other only has receipts for paid electric and cell phone bills. Same-sex marriage has its own set of complications, as we explain in fast-changing laws that are different for states and federal issues. (We constantly update those legalities on our website, TheNewLoveDeal.com, where you can also post questions on our blog.) The strategies for dealing with relationships in all the new forms are not so different. They do involve some planning, often using financial advisors and lawyers, to make sure that your deal creates financial fairness — which is not necessarily the same as financial equality.

T PRENUPTIALS AND COHABITATION AGREEMENTS

Now, while you’re most in love and involved in building your future, is the time to put your shared agreement in writing. You hope it will never be used to divide your assets and your memories, but since nearly 50 percent of marriages (and cohabitations) end in

While you can put many points in your agreement (some of the more outrageous demands are highlighted in the book), it is typically the financial arrangements that will be taken to court. And the court always holds jurisdiction over issues related to children. Be aware that a prenuptial agreement becomes part of the dissolution of a marriage in your state’s family court. But a cohabitation deal is a civil contract if it comes to court should a conflict arise when you part. Each is a serious legal procedure. As we explain clearly, the deal you make is the deal you take. There will be no special allowances for last-minute deals signed under pressure just before you walk down the aisle. The time to start working on your agreement is when you decide to get married or move in, so there is plenty of time to do it correctly. We even have advice on choosing the right kind of attorney (and possibly mediator) to make sure the process goes smoothly. So throw away your old preconceptions about prenuptial agreements as unromantic and typically made by a wealthy older man to protect his fortune against a greedy young gold digger! Today, the wealthier or high-

Whether you’re a young couple just starting out or further along your career path, it makes sense to discuss how you will handle money in your relationship. a split, it is wise to be prepared. You can use our checklists to guide you through the process, but you do need to follow the legalities for creating an agreement that will hold up in court if that ultimately becomes the case. You each must be separately represented by qualified attorneys. And you need to make full disclosure of all assets and your entire financial situation in order for your deal to be enforceable.

er-earning spouse is just as likely to be a woman as a man. Couples are less likely to come into a marriage with few assets and little experience. “The New Love Deal” is designed to help you become aware of the choices and avoid the conflicts, to building a loving and trusting relationship that will last as long as you hope and dream it will. And that’s The Savage Truth.

July 2014 WISCONSIN WOMAN | 37

GENERATIONS | parent care

How Seniors Make

DECISIONS

BY DOUG MAYBERRY

: When my husband was alive, he made

most of our major spending decisions, such as purchasing a car, hiring a home repairman and choosing financial investments. After three years without him, I am finding it more and more difficult to cope with these kinds of details. I do not accomplish as much, and I am depressed because I am simply not up to it. What can I do?

: Widows and widowers often find themselves with the same problem and are probably experiencing a little depression, too. I believe the key to moving forward and becoming more comfortable in making right decisions is opening up communication with family, friends and neighbors. They can become a major support because they, too, have their own concerns and can be more knowledgeable about certain issues. I believe many people become more assured and are able to minimize stress by sharing their questions and needs with others. I rarely chat with someone without learning by listening and asking questions. Do not be shy or hesitant to open up.

Obviously, professionals can help with changes that happen after losing a spouse, but many of us are reluctant to pursue this option. It is a small thing, but recently when I signed some legal documents, my attorney recommended I sign the original papers with a blue pen instead of black. I asked why, and he said that if I should need to make copies, they would reproduce in black so I easily identify the original. I made copies last week, and his idea was a great tip. Lawyers and professionals offer seminars regularly about aging topics. Attending these events could help with your decision making.

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38 | WISCONSIN WOMAN July 2014

Traveling in Style:

SUMMER’S TRAVEL ESSENTIALS

Orvis offers versatile style and performance with its “Passport Collection.” Shown: the crossover V-neck sport dress in coral, $98

BY SHARON MOSLEY

re we there yet? Summer is almost here, so it’s time to start thinking about heading out for some fun in the sun. Start packing your suitcases! Here are some stylish items you might want to include in your travel wardrobe this season: --JERSEY SEPARATES. Of course, you can pack your favorite denim, but there’s nothing that beats the comfort of soft, stretchy separates that are wrinkle-free, whether you’re on an airplane or riding in a car. Think a long midi skirt, tunic top or wide-leg pants. You can mix and match all week long. --A SKORT. The best of shorts and skirts, the skort is making a comeback and is perfect for traveling when you want to be a little more dressed up. Culottes are a longer cousin of the skort and great traveling companions, too. --WHITE PANTS. This is another basic that you can dress up or down. I like the summery look of white capri pants, but longer white trousers are also a great option for dinners out when teamed with a cotton jacket or sweater. --THE MAXI DRESS. Oh, yeah, this one covers a multitude of skin sins while also looking elegant and chic. Choose a black solid one for a more polished look at night; a striped

or printed one for a stroll on the beach. For even more coverage, pack a light cardigan or lightweight shawl. --THE SPORTY DRESS. It’s a shorter dress that’s long on style. Wear it to work or wear it shopping in Paris. In a bright color like coral, it’s a winner. Drawstring tank dresses are another way to add a sporty touch to your travel wardrobe. --THE TUNIC TOP. This is an easy piece to wear over everything, from swimwear to leggings. It’s the perfect layering piece over tank tops. And it can double as a dress if it’s long enough. Just remember to consider the sheer factor. --THE CROPPED JACKET. A runway favorite, the short jacket is another great layering piece to take along on vacation. In denim, it’s still got the cool, and, of course, the Moto-jacket in leather is the ultimate instyle even at the beach. If a jacket is too hot, then a cotton vest is a stylish alternative. --THE CAFTAN. The caftan is a glamorous way to dress in your free time -- around the pool or at the beach. Choose an exotic print, and you may even want to wear it for dinner on the patio back home. A caftan will make you feel like a movie star no matter where you are. --FLAT SANDALS. Yes, some of you may want to pack those pumped-up wedges for your trip, but when you’re stumbling over the rocky roads to the ruins at Tulum, Mexico, then you may wish you had your trusty sneakers. Athletic shoes and loafers have come a long way in the style department. And embellished flat sandals or sophisticated slides are sexier than ever.

Looking for...

assisted living, rehab, nursing home, hospice care, senior apartments, an adult day center or in-home services ...for an older adult?

We Can Help. Living Options Service

(414) 220-8600 www.living-options.org www.caregiversupportnetwork.org www.interfaithmilw.org July 2014 WISCONSIN WOMAN | 39

BBB Your FREE Consumer M.D.

ave you suffered recently from a computer virus? Been compromised by a phishing scam? Had to reconstruct your credit history? Given money to a bogus charity? Your BBB Consumer M.D. is here to help you with these all too “common ailments.” The BBB reports and exposes fraud, scams, and dishonest businesses every single day. We report our findings through the news section of our Wisconsin BBB website, social media, and in partnership with Wisconsin media outlets. We even provide consumers and businesses with a national portal called “Scam Source” to report scams so that we can begin to investigate and alert local communities before they become victims. We are the “go to resource” for free, up-to-date consumer information on the local marketplace. Every single day we have nearly 7,000 people checking Business Reviews at the Wisconsin BBB website to validate

that businesses are operating in a trustworthy manner and to verify what kind of customer experiences others have had with a company. Many of the people seeking our assistance with a complaint only contact us after a problem occurs. We often hear people say “I should have checked with the BBB first.” As your trusted go-to resource, BBB provides unbiased information to help you make good purchasing decisions. We provide an online community where buyers and sellers can trust each other. All of our resources are free and supported by local accredited businesses who have signed BBB Standards of Trust. These standards encompass ethical business practices that are foundational to operating their businesses with integrity, and allow BBB to monitor them as an independent third party. Only BBB Accredited Businesses are evaluated, verified, and monitored on an ongoing basis against our Standards of Trust. In today’s environment, information is as close as your cell phone. Nearly everyone can quickly and easily research a company online before they choose to buy their products and services. But where do you go to get good content, unbiased and educational information without the marketing message? Here’s where BBB prescribes a dose of uncluttered, clear, concise information available on our mobile-ready BBB Business Reviews. Any company in North America can register with BBB and create a free Business Review without participating in our accredited business program. While we are not able to fully monitor these non-accredited companies, we do encourage them to join our online community because at BBB we believe everyone has the right to do business with a company they can trust. Registering a business with complete and transparent information helps the BBB develop content on that business. BBB Reviews contain information on a business’s history, structure, their products, services, their customer service experience and customer reviews. Any issues concerning a company’s advertising practices or government actions are also included in these reports. The BBB is here to help protect you from scams and substandard businesses through our unbiased information. Join in the community that believes education and information can cure the “Who do I trust?” question. Connect with your BBB at bbb.org/wisconsin the next time you want current consumer and business news or to check up on a company. Use Business Reviews before your next purchase. You’ll be glad you did. Facebook “f ” Logo

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LIFESTYLE | In Fashion

TAMING THE

BEAST

...

YOUR CLOSET NEEDS HELP

took a couple of days off recently to catch up on yard work and to make sure my closet was ready for summer. But, just like the yard work, the job of closet cleaning is never-ending. How times have changed! I remember when you had a Summer Closet and a Winter Closet – PERIOD! But, with the technological advances in fabrics (tropical wools, lightweight cashmeres, tissue weight leathers), many of my beautiful things can be worn year round. That’s the good news…but, it does require a shift in thinking. Consider these “Modern Closet Truths”: The job of cleaning/editing/rearranging your closet is ongoing. Ideally, you spend a few minutes in your closet every day – and that’s time beyond just putting the clothes away that you wore that day. Vow to touch every piece in every closet twice a year. I pride myself on an edited closet, and yet I found pieces that I didn’t remember I had….and, even worse, things I didn’t remember buying! YIKES! Only move to a distant closet those things you don’t have room for in your main closet. If there’s sufficient room in your main closet for your summer things, but a few winter jackets remain, just move them to the back of the closet. It makes your fall closet switch out less time consuming. Be ruthless: if you haven’t worn something in a calendar year, force yourself to TOSS, DONATE, or CONSIGN. Also, if something looks worn, get rid of it…or, vow to only wear it gardening. Things don’t fit? Out with them! If you love a pair of pants, but they’re too long to wear with your ballet flats, start a Seamstress Pile. (And take them to the seamstress TOMORROW!)

Continually search for the best way to store things. No matter how carefully I fold my sweaters, they crease. So, I hang them over felt hangers (several on one hanger). Roll your scarves and put them on a shelf where you see them every day rather than in a drawer. Treat yourself to matching hangers – you are worthy! But, most important? LET GO OF PERFECTION. Make peace with the fact that managing your closet is an ongoing process. Again, I find a few minutes every day not only tames the beast but slowly and surely evolves it into a closet I’m proud of. Own the process! Yours in fashion, Faye Wetzel Founder/Owner Faye’s Boutiques, Brookfield and Mequon www.fayes123.com BE LOYAL. SHOP LOCAL. l July 2014 WISCONSIN WOMAN | 41

AT HOME | Decor TO BE MAINTENANCE FREE

A good exterior investment for homeowners is anything that makes the exterior of the house low maintenance or maintenance free. This can be any composite material such as fibercement and engineered wood, or fully synthetic materials such as vinyl siding and windows. Also, aluminum trim installed over the existing wood trim on the house is a very popular option for many homeowners. Siding, soffit, and fascia allow you to appreciate the beauty of your home and require little to no maintenance. Also, roofing is a project many homeowners don’t appreciate fully until after it’s done. Replacing the roof provides peace of mind that a homeowner’s largest investment is protected.

EXTERIOR HOME RENOVATIONS WITH BEST RETURN ON INVESTMENT

n local exterior remodels, homeowners focus on seeing the greatest return on investment, according to members of the Milwaukee/NARI Home Improvement Council, Inc., the area’s leading home improvement and remodeling resource for 52 years. Though the trend is evident in all aspects of remodeling, outdoor projects especially are viewed in terms of getting back what’s put in – and with good reason. With a return of 73%, replacing steel entry doors has the highest ROI of any remodel according to Remodeling Magazine’s Cost vs. Value Report. In fact, seven of the top ten are exterior remodels, including garage doors, vinyl siding, wood and vinyl window replacement, and wood and composite deck additions. Because each home and situation is different, the type of project with the best return depends on what the homeowner is trying to achieve. Which exterior remodeling choices help to reduce costs most? Which have the biggest impact on quality of life? Which improve the value of the home and its ability to sell?

TO LOWER ENERGY COSTS

One way to get back remodeling dollars is by lowering energy costs. This is most effective if the homeowners plan to stay in their home for the long term. If this is the case, new energy efficient windows and doors are often the best bet. Windows, doors, and attic insulation will give homeowners the fastest way to recoup their initial investment, and over time those projects will pay for themselves. How much will homeowners save? In the case of windows, replacing single pane windows with energy efficient double- or triple-paned windows can drop heating and cooling bills an average of 20 to 30 percent. It will vary based on the quality of the old windows. Insulated siding also will pay for itself, but it will take more time to do so. 42 | WISCONSIN WOMAN July 2014

TO SELL THE HOME

Decks are another area of the home that can produce a high return on investment. The cost of replacing or adding a deck to a home depends a lot on building materials. Milwaukee/NARI members suggest building a deck that matches seamlessly with the house, while choosing materials and sealants that will help your outdoor living area stand out to prospective buyers. Windows that save energy are always a selling point. The look of the windows matters, too. You can enjoy the looks and comfort of new maintenance free vinyl windows. They come in a variety of exterior colors and interior wood grains. Curb appeal isn’t all about looks, members warn. Buyers want a home that’s trouble-free, especially with regard to the roof. When homeowners are in transition and looking to sell within the next couple of years, having a new roof installed is best for resale purposes. Nowadays, buyers always want to know the condition of the roof, and if there’s any question about the integrity of the roof, it ends up either being a deal breaker or the sale goes under negotiations, which can be a long drawn out and stressful process for both parties. Siding, soffit, and fascia are other common exterior projects done to help homeowners sell their home. Another option is improving the front entry of the home with a little color, such as a new aluminum storm door.

LIFESTYLE | A Man’s Perspective

From the Mouths of Babes…

•••• 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.

ver since I met my wife, what she wanted most of all in life was to become a mother. While she had a successful career as a Registered Nurse, it was raising our kids that was the most important thing to her, and being biased, it shows. One night after our first child was born, I saw my wife, Maria, writing in a spiral notebook – a thick one like you would use for multi-subjects in high school or college. I asked what she was doing. Writing a note to our daughter was the answer. You see, my wife keeps a notebook for each kid that includes her description of their life events, as well as random writing when she feels the urge to put pen to paper on their behalf. From baptism to confirmation, graduation and birthday parties, sporting events, plays, dance recitals and scouts, she has captured precious moments. When each kid turns 18, she gives them the notebook. One of the best parts is her capturing things they say that makes us crack up with laughter. Things, if not written down, you might forget. Here are a few: “Why is Barney (the purple dinosaur) holding his head in his hands?” Actually, Barney was at a birthday party we had and it seems someone hit his car that was parked. Explain that to a child! Once when I shaved my beard, one daughter screamed and pleaded with me to “Please put it back. I don’t like your face this way. It scares me.” “I’m as hot as a pumpkin, and as sweaty as a snake.” Huh? “What does JC stand for?” Jesus Christ. “You mean Jesus Christ Penny’s?” LOL I am sure a computer program exists to help do this today, but I have to admit, there is something special about these notebook binders. It is in her own handwriting. Each entry is dated. Most are really quick, but memorable reads. She will hand out the 3 of 4 soon, as my daughter Maddie will turn 18 by the time this is printed. Each of our children has read the notebook after it was given to them right away and laughed at the things they said growing up. It has helped create a bond between Maria and them. It also is an old-fashioned way to preserve their youth and share memories with their children. What special things do you do for your family? Anything unique, different or crazy? As kids grow up way too fast these days, this may be Maria’s way of helping them hang onto their youth just a tad bit longer? I love that she does this for our kids.

Be a treatment foster parent.

Care for a child with emotional, behavioral, physical or medical needs. Call (414) KID-HERO or visit kidhero.chw.org.

140684

July2014 WISCONSIN WOMAN | 43

AT HOME | Recipes

t’s easy to throw a 4th of July party that looks like you worked on it for weeks, even if you just started the planning process. Celebrate the holiday in style by serving classic entrees everyone loves and focusing your attention on delicious, easyto-make desserts. With the right recipes, your sweets will be as captivating as the colorful spectacle of fireworks above. l HOT CINNAMON FIREWORKS CAKE: Crushed cinnamon drops add color and a slight hot cinnamon flavor to the inside of the cake, while simple melted candy details make the cake look like a firework bursting. l QUICK PICKLED STRAWBERRY HAND PIES: Pies you can hold in your hand are perfect for a picnic, and this one has a special flavor. With the current love affair with all things pickled, we filled the pies with a pickled strawberry filling. The filling balances sweet and sour for an uncommonly delicious mini pie your party guests will love. l NO-BAKE CHEESECAKE STAR POPS: Fun star-shaped pops of no-bake cheesecake will be a hit with adults and kids alike. Drizzled or dipped in melted Candy Melts candy, these festive star pops are easy to shape in star-shaped silicone treat molds.

l MIXED BERRY AND LEMON MINI ICEBOX CAKES: Sweet, light and airy, these mini icebox cakes pack a refreshing burst of creamy flavor, perfect for the summer. Vanilla wafer cookies are stacked in a flavor-filled mixture of fruit and whipped cream and refrigerated until ready to serve.

HOT CINNAMON FIREWORKS CAKE Yield: 12 servings

2 3/4 2 1/2 2 2 6 1 1/2 1 1 1 3

cups all-purpose flour teaspoons baking powder teaspoon salt cups (4 sticks) butter, softened cups granulated sugar eggs teaspoon vanilla extract bottle (6 ounces) Cinnamon Drops, crushed box (1.5 ounces) Blue Colorburst Batter Bits cup sifted confectioners’ sugar to 4 tablespoons milk Red, white and Royal Blue Candy Melts candy, melted Red, white and blue colored sugars

Preheat oven to 350°F. Spray pan with vegetable pan spray.

HOST A PATRIOTIC BASH WITH DAZZLING DESSERTS

44 | WISCONSIN WOMAN July 2014

In large bowl, combine flour, baking powder and salt. In second large bowl, beat butter and sugar until light and fluffy. Add eggs one at a time, scraping bottom and sides of bowl often. Add vanilla; beat until well combined. Add flour mixture and beat at low speed until just combined. Fold in Cinnamon Drops and blue Batter Bits. Pour into prepared pan; smooth out top. Bake 60 to 65 minutes or until toothpick inserted in center comes out clean. Cool in pan 10 minutes on cooling grid. Remove from pan and cool completely. In large bowl, whisk together confectioners’ sugar and milk. Drizzle melted candy onto cake to look like fireworks. Sprinkle sugars onto melted candy.

NO-BAKE CHEESECAKE STAR POPS Yield: 6 servings

1 1/4 3/4 1 1 1/8 1

QUICK PICKLED STRAWBERRY HAND PIES Yield: 8 hand pies

1 3/4 1 1/4 10 5 1/2 1 3 1 1

cup red wine vinegar cup water cup sugar, plus additional for sprinkling teaspoon salt black peppercorns sprigs fresh thyme, plus 1/2 teaspoon roughly chopped fresh thyme leaves, divided teaspoon pure vanilla extract pound fresh strawberries, hulled and cut into quarters (or eighths if berries are very large) tablespoons cornstarch egg package (14 ounces) refrigerated pie crusts

envelope (2 1/4 teaspoons) unflavored gelatin cup granulated sugar cup boiling water package (8 ounces) cream cheese, softened teaspoon pure vanilla extract teaspoon salt bag (12 ounces) royal blue Candy Melts candy Lollipop Sticks

Prepare 6-cavity Mini Star Silicone Mold with vegetable pan spray. In small bowl, combine gelatin, sugar and water; whisk until com足pletely dissolved. In large bowl, beat cream cheese, vanilla and salt with electric mixer until smooth. Gradually add gelatin mixture, beating well. Scrape bottom and sides of bowl. Continue beating until fully combined. Pour into prepared pan. Refrigerate 2 hours or until completely set. Carefully unmold cheesecakes onto cookie pan. Melt small amount of Candy Melts candy. Dip lollipop stick in melted candy and insert 3/4 way into cheese足 cake stars. Freeze 30 minutes or until firm. In large bowl, melt remaining Candy Melts according to package directions. Drizzle or pipe candy over cheesecake stars as desired. Refrigerate 10 minutes or until set. Keep refrigerated until ready to serve. Note: Some cream cheeses are firmer than others. Firm is best for this recipe. Choose a brand name, full fat cream cheese for best results.

In small saucepan, stir together vinegar, water, 1 cup sugar, salt and peppercorns. Add thyme sprigs. Cook over medium heat, stirring occasionally, until boiling; let boil 3 minutes. Remove from heat and stir in vanilla. Pour over cut strawberries, until fully submerged in liquid. Cover and let sit at room temperature 4 to 8 hours. Preheat oven to 400属F. Line cookie pan with parchment paper. Strain straw足berries from pickling liquid and discard peppercorns and thyme. Toss berries with cornstarch until evenly coated. In small bowl, whisk egg with 1 tablespoon water until smooth. Unroll pie crusts and cut with 3 1/2inch round cutter. Each crust yields 8 rounds. To assemble pies, top half of rounds with about 3 tablespoons of berry mixture each. Brush edges of rounds with egg wash. Cut out a hole or pierce remaining rounds with fork. Place on top of berries. Using a fork, press edges of crusts together tightly to seal. Transfer to prepared cookie pan. Brush tops of pies with egg wash and sprinkle with granulated sugar. Bake 18 to 22 minutes, or until pies are lightly golden and filling is bubbling. Cool slightly before serving. July 2014 WISCONSIN WOMAN | 45

PETS | Dog Talk

Dogs Die in Smart Cars, Too

t’s not snowing in California, or in Chicago. In fact, it’s hot -- unusually hot. Downtown Los Angeles hit a record-breaking 99 degrees last week. San Diego is on fire. Even coastal SoCal, typically much cooler, has been experiencing 90-plus-degree days. And today, May 19, in Indio, it was 94 degrees under an unrelenting desert sun. Why the weather report? Because also today in Indio, a sheriff smashed a car window to save two tiny terriers from death by heatstroke. It was a Smart car. Don’t judge a driver by her vehicle. The temperature inside the car was 134 degrees, according to Riverside County Animal Services spokesman John Welsh. For the math-challenged, that’s a difference of 40 degrees from outside to inside. “Anyone in their right mind should know that you don’t leave an animal in a car on a day like today,” said Riverside County Animal Services Commander Rita Gutierrez. Anyone in their right mind. But what about all of the people who are out of their right minds, or who are legally in their right minds but still make boneheaded moves like this? Last week, police officers in Coachella Valley arrested 29-year-old Charu Cata Khanna on charges of felony cruel-

{

ty to an animal resulting in death. She left her dog locked in a car with the windows closed for hours in a Del Taco parking lot. It was 100 degrees outside. In California, it is a felony to leave a dog in an unattended vehicle under conditions that could endanger the animal’s health, including heat, cold and lack of ventilation and adequate food and water. In California, it is legal for police, emergency responders, animal control officers and peace officers to do anything within reason to remove an animal from a vehicle under such conditions. Thirteen other states have similar laws, and beyond those, many states have broadened their definitions of and stiffened their penalties for animal cruelty. Most people -- certainly people in their right minds -- don’t want their dogs to suffer horrible deaths. Most of us wish our dogs could live as long as we do. This column, this information, it’s obviously not targeted at the socio paths who do this kind of thing on purpose. Those people are beyond the reach of words on a page. It’s for all the people who don’t think, who don’t believe it could happen to them, who say “I’ll just be a minute,” when really they’ll be five or 10 -- and that just might be too many minutes. It can happen that fast.

46 | WISCONSIN WOMAN July 2014

In 10 minutes, a car’s internal temperature can climb 15 degrees. In just three minutes, your dog’s brain could already be impacted. Dogs sweat only through their paws. Panting is how they otherwise cool themselves, but it’s an inefficient system in close quarters with poor ventilation -- a.k.a., a car. Young dogs might not have a fully developed temperature-regulating system. The organs of older dogs might not be operating at their full potential. Brachycephalic dogs (Pugs, Bulldogs, Boston Terriers, Lhasa Apsos, Pekingese, Shih Tzus, Boxers, Bull Mastiffs) are prone to heatstroke due to small nasal passages that make circulating air for cooling challenging. But no matter the dog, it’s always a gamble, a round of Russian roulette with a life other than our own. It isn’t worth the risk, and it isn’t fair to take it. Our dogs are safer and happier at home than in a parking lot. And if you see a dog locked in a car and in distress, call 911 and take it from there. It’s the right thing to do.

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! It’s a Dog’s Life!”

LIFESTYLE | Entertainment

ACTIVITIES FOR ALL

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Senior Day at the Zoo

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of the biggest items in the ByTwo Karen Ellenbecker 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.

Answer Man 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,

PLANTING TOMORROW’S

TODAY EmmaDREAMS By Brad Olson

TRAVEL

$20,628 for two persons, and $31,322 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

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IT MAKES ME

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By Tom Frazier

PLUS Inside

When your child has special needs

SENIOR MONEY Low income health care and middle class tax cuts 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

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C A MERON M ACKINTOSH ’S SPECTACUL AR NEW PRODUCTION OF

A N D R E W L L O Y D W E B B E R ’S WHERE TO GO

FIREWORKS DISPLAYS…. Milwaukee Lakefront Fireworks

VISIT THE WISCONSIN STATE FAIR

July 3, 9 p.m., Veterans Park. Check with your town, village or city for a schedule of times for fireworks in your area.

640 S. 84th St., West Allis, from July 31 through August 10. Visit www.wistatefair.com or call 1-800884-FAIR.

ENJOY THEATRE…. Phantom of the Opera Marcus Center for the Performing Arts 929 Water St., July 23 – August 3. Visit marcuscenter.org or 414-273-7206.

ENJOY THESE SUMMER ACTIVITIES IN AND AROUND THE MILWAUKEE AREA…. Bastille Days Cathedral Square Park, Milwaukee. One of the most popular French-themed festivals, July 10 – 13. Visit www.easttown.com for details.

LAKE COUNTRY ART FESTIVAL July 12, Naga-waukee Park 651 State Rd 83, Delafield, 9 a.m. – 4 p.m. Visit lakecountrywomensclub. org for details.

GERMAN FEST 200 North Harbor Drive Milwaukee, July 25 – 27. Visit Germanfest.com.

TASTE OF LAKE COUNTRY Pewaukee Lakefront July 25 – 26, food, music and much more. Visit positivelypewaukee.com.

WASHINGTON COUNTY FAIR 3000 Pleasant Valley Road (Hwy PV) West Bend, July 22 – 27. Visit www.wcfairpark.com or call 877-6775060.

RUN/WALK/GOLF Wheels & Heels Rush on Festa Italiana 5K Run/Walk/Roll July 18, Henry Maier Festival Grounds. Participants will enjoy the view of the Milwaukee lakefront and gain free admission to Festa Italiana. Visit spinalcordwi.org.

CAPUCHINS’ RUN/WALK FOR THE HUNGRY Support the House of Peace and St. Ben’s Community Meal 2-mile or 5K run, chip timed, July 25, 7 p.m., Summerfest grounds. Visit capuchinsrunwalkforthehungry.org.

JEFF VICKERS MEMORIAL OPEN July 26, benefiting the Leukemia Research Foundation at Ironwood Golf Course, Sussex. Visit JeffVickersmemorial.org.

VISIT YOU LOCAL PARKS….. Waukesha County Park System has something for everyone all year! Biking, boating, dog exercise areas, camping, golf, swimming, trails, ice arenas and much more. Visit waukeshacounty.gov for all the highlights.

WHERE TO GO TO SUPPORT HOMELESS ANIMALS? Feasting for Fido

ON SALE NOW! JULY 23 - AUGUST 3 MARCUS CENTER

M arcusCenter.org • Ticketmaster.com • 414-273-7206 GROUPS 10+ SAVE! CALL 414-273-7121 EXT 210

Wisconsin Humane Society’s annual event, July 10, 5:30 – 8:30 p.m. Visit wihumane.org for tickets and more information. July 2014 WISCONSIN WOMAN | 47

CMYK / .eps

It’s Your Call! Enjoy phone conversations confident you’ll catch every word! The CapTel® Captioned Telephone shows you captions of everything your caller says. s

Includes built-in answering machine

Extra large display screen with variable font sizes & colors

Includes free captioning service (no monthly fees or contracts required)

CapTel® 840i

Don’t miss another word!

Captioned Telephone 48 | WISCONSIN WOMAN July 2014