June Bloomington Healthy Cells 2011

areaPromotingHealthier Living in Your Community • Physical • Emotional • Nutritional

BLOOMINGTON/NORMAL

Blackberry®

Thumbpage 18

To “Friend” or Not to “Friend”page 30

“Natural” May Not Mean Safepage 40

Heartland FitnessPutting the “Personal” in Personal Training

page 20

June 2011 FREE

HealthyCellsM A G A Z I N Ewww.healthycellsmagazine.com

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June 2011 — Bloomington — Healthy Cells Magazine — Page 3

This Month’s Cover Story:Volume 6, Issue 6

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Healthy Aging:Mental Health Strategies

Physical:Heavy Metals and Health

Emotional:Don't Worry, Be Happy

Nutritional:Guiltless Ways to Enjoy Guilty Pleasures

Healthy Feet:Easter Eggs and Your Feet?

Repetitive Stress Injuries:BlackBerry® Thumb

Medication Overuse:Too Much of a Good Thing

Prostate Cancer:Diagnostic Imaging With an Emphasis on MRI

Anxiety Disorders:Panic Attacks

Skin Cancer:Sun Smart

Social Networking:To "Friend" or Not To "Friend"

Make a Joyful Noise:Five New Reasons to Sing Out

Diabetic Health:Medical Nutrition Therapy for Diabetes

Identity Theft:Protect Yourself and Your Piggy, Part II

Eat to Defeat Cancer:Color, Color, Color

Dietary Supplements:"Natural" May Not Mean Safe

Brain Vaccine:You Don't Want to Get a Brain Tumor!

Interactive Websites:YoungHorizon.com

Man's Best Friend:Summer Grooming for Pets

Interventional Pain Techniques:Radiofrequency for Chronic Pain

JUNE

Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the greater Bloomington-Normal area.

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.

Healthy Cells Magazine is available FREE at over 450 locations, including major grocery stores throughout the Bloomington-Normal area as well as hospitals, physicians’ offices, pharmacies, and health clubs. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Bloomington-Normal area. Limelight Communications, Inc. assumes no responsibility for their publication or return.

Healthy Cells Magazine is a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: [email protected]

For information about this publication, contact Cheryl Eash, owner, at 309-664-2524, [email protected]

2011

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.”

Cheryl Eash

Heartland Fitness:Putting the “Personal” in Personal Training page 20

Cover and feature story photos by élan Photography

Mark Bode, Exercise Physiologist, Jessica Guest, Personal Trainer, Jill Usiak, Exercise Physiologist.


Page 6 — Healthy Cells Magazine — Bloomington — June 2011



healthy aging

There are several things that can help in building or maintain-ing good mental health. One is to develop coping strategies. Throughout life, we encounter many different kinds of stressors and need to find effective ways to cope and manage our emotions in response to these stressors. Some people have difficulty in coping with certain stressors, especially those that relate to aging, such as increased physical health problems or loss. A health psy-chologist is able to assist people in developing and utilizing coping

Mental Health StrategiesBy Andrea R. Smith, Psy.D., Psychology Specialists Ltd.

When we think of health, physical health is probably the first thing that comes to mind. However, mental health is also a vital part of maintaining overall wellness. The dictionary

defines mental health as “emotional and psychological well-being that allows a person to function socially and meet the demands of everyday life.” As we go through life, it can be more challenging to continually work on improving our mental health, but it becomes no less important.


strategies, such as relaxation, finding and engaging in pleasurable activities and processing feelings of loss. Another way to help promote good mental health as we age is to practice mastery and autonomy. Mastery is participating in activities that you do well. Autonomy is to be able to exert a sense of independence when doing tasks. As the body ages, activities that used to come easily are now more challenging and require assistance from others. This can cause a diminishing sense of self-worth. However, finding new tasks that can be done well and focusing on what one is capable of doing independently is one way to help promote good mental health. Participating in frequent, moderate exercise can benefit mental health in many ways. Exercise releases endorphins and other brain chemicals, which are the body’s natural pain killers and mood boosters. Exercise also reduces cortisol levels, which is a stress hormone that is produced in greater quantities during times of stress. People that exercise regularly are better able to fight off mild depression. Not only does exercise help to reduce depressive symptoms, it can also help to prevent depression by increasing the body’s natural ability to cope. Another way to preserve mental health and increase coping abili-ties is to have adequate social support. This means having those people in your life that you feel comfortable discussing your thoughts and feelings with. Sources of social support can be friends, family, co-workers or even staff at a nursing facility. Discussing concerns with others can be helpful because this allows for the discussion of various ways to approach and solve a problem. This is similar to that old saying, “Two heads are better than one.” Most people feel better when they have someone to share good news with as well.

Having realistic expectations and being open and flexible to new experiences is very important to maintaining good mental health. Changes in cognition and physical health are easier to cope with when people utilize input from health professionals in order to create realistic goals. Some people hope desperately for a goal that is unlikely to be achieved. For instance, if someone has been repeatedly told that they will not walk again, it is bet-ter to work on maintaining muscle strength and accepting their physical health limitations. Additionally, being open in terms of expectations can make it easier to adapt to unexpected changes in life. This can be challenging as people get older. Just as we work on maintaining good physical health through-out life, it is equally important to consistently work on mental health. Combining all of these concepts can help to maximize one’s ability to cope with the challenges that the aging process often presents. However, there may be times when it is neces-sary to consult with a health psychologist for assistance in learn-ing how to best utilize your strengths, learn skills and make long lasting changes. A health psychologist is also uniquely qualified to help you overcome barriers and cope with changes in physical and mental health that occur over time.

FormoreinformationyoumaycontactPsychologySpecialistsat309-706-3190oronlineatwww.psychologyspecialists.com.PsychologySpecialistsprovideservices tohelppeoplewithalltypesofphysicalandemotionalpain.Theyhave therapistsandoffices throughout theBloomington-Normalarea.DrSmith isapost-doctoralpsychologyresident.

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Diabetes uncontrollable?

Blood pressure giving you fits?

Weight you can’t shed, even with a “clean” diet and a regular exercise program?

Fatigue you can’t get beyond?

Aches and pains you can’t control?

If you continue to struggle with maladies that you and your doctor can’t control; and you’re really on the up and up as far as your diet and exercise; and you’re taking your medications regularly yet you

just can’t reach your goal – start to think about heavy metal toxicity.

What are heavy metals? Lead, Mercury, Cadmium, Aluminum, Arsenic, Copper, Iron, and Nickel as well as a new kid on the block – Gadolinium. You’ve no doubt heard of them, but haven’t thought of them damaging your body. We are living in a chemical soup and each day we are exposed to more toxins. Think of the recent nuclear disaster in Japan and the worry about radioactive materials drifting across the ocean – a rea-sonable concern. Yet we don’t think about the daily toxins dumped into the environment in other countries that drift across the oceans and land on our soils and in our water. China has no ecological con-cerns with the huge growth of their industrial base to supply us with cheap goods! Think of the forest fires in Texas: when trees burn, they release heavy metals such as arsenic. These metals are absorbed from the soil and stored in needles and leaves, which fall back to earth and enter the water and the food chain. The problem with metals and our health is their environmental per-sistence. Water travels through the rocks and soil, leaching metals out, and is then used for a drinking source. Metals are mined, pro-cessed, and refined in smelters emitting fumes into the environment where they last almost indefinitely. Lead from gasoline and paints persist and pose a daily threat. Dental fillings with mercury and other metals like silver, tin, copper, and zinc – known as amalgam – leach mercury vapors when you chew and are absorbed into your body. Look at the youtube video “smoking tooth” to understand this daily exposure hazard. This is worrisome if your child has more than one and if an adult has more than 4 fillings! There is also the problem of addition. Two relatively small doses of two different metals may have a dramatically enhanced effect when present together. For instance, the presence of lead (which is every-where) makes mercury many times more toxic. Smokers beware! The primary heavy metal in cigarettes is Cadmium – far deadlier than nico-tine. Metals can directly and indirectly damage DNA which increases

physical

Heavy Metalsand health

By Thomas Rohde, M.D., Renew Total Body Wellness Center

Heavy Metals


the risk of cancer (we call this genotoxicity). Cancer risk is also increased due to irritation or immunotoxicity which means they alter your immune system whose primary function is to destroy and clean up abnormal cells that could turn into cancer. A number of metals are known to be carcinogenic. Remember the movie “Erin Brockovich”? The presence of toxic metals in our systems is highly significant for they are capable of causing serious health problems by interfering with normal biological functioning. Heavy metals disrupt metabolic function in two basic ways: First, they accumulate and thereby disrupt function in organs and glands such as the heart, brain, kidneys, bone, liver, etc. Second, they displace nutritional minerals that provide biological func-tion. For example, enzymes are catalysts for virtually every biochemi-cal reaction in metabolism. So, instead of calcium being present in an enzyme reaction, lead or cadmium may be there in its place. Toxic met-als thereby critically disrupt enzyme activity and can lead to ill health.

What Can You Do? You could live in isolation on an organic farm, but we already dis-cussed that metals are in the air, soil, and water, so there is no safe haven. The next best solution is to remove as much exposure as you can. Drink filtered water from a source that safely removes the biggest burden of metals, reverse osmosis is best. Think about having your dental amalgams removed SAFELY by an environmental dentist that has special training. Decrease your fish intake. This is our biggest daily intake of Mercury as fish concentrate water and food contamina-tion in their body and then we get it from them. I suggest not more than one serving of big fish (tuna, swordfish, grouper, marlin, etc) a month. Ocean caught fish are better than farmed fish.

Adding supplements to increase kidney and liver health and detox-ification function are a great idea. Start with Silymarin for your liver and think about N-acetyl cysteine (NAC) and Alpha lipoic acid for both kidneys and liver detox. Next add reasonable amounts of metal miner-als to interfere with toxic heavy metal binding in the body. Chelated Magnesium glycinate 100mg three times daily (we’re all deficient), small doses of Zinc (25 mcg) and Selenium (100-200mcg) fills up the binding sites so the bad metals can’t stick around. Finally, add daily chelators that bind and eliminate metals from the body like Chlorella, a green algae. Similarly cilantro and aged garlic can be helpful. Environmental hygiene, dietary change, supplementation to help the body heal and excrete heavy metals, and finally chelation may be utilized. Chelation is the use of a specific product that seeks out and binds heavy metals to itself, and is then excreted from the body via urine, stool, sweat, or saliva. Oral chelation with various compounds works well for some metals and is generally well tolerated. If you’re not testing – you’re guessing! Blood work to determine present exposure and body levels are a good start but are insensitive to stored levels that are bound to your body’s tissues and organs. You will need to have a specialized urine test to accurately determine your levels so that an action plan can be developed.

Formore informationcontactThomasRohde,M.D.atRenewTotalBodyWellnessCenter inDecatur, IL,217-864-2700,orgoto their web site: www.DrRohde.com. Dr. Rohde specializes inMetabolicor FunctionalMedicine. This is aunique,personalizedapproachtotheevaluationofyourbody’s functiontounderstandtherootcauseofyoursymptoms.

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emotional

What exactly is happiness? Is it a bright spring day after a dark and dreary winter of blizzards? Or is it a night out with your significant other or some friends? One thing is

for sure, happiness is a state of being that everyone should enjoy! Below is a list of my favorite “be’s.” But don’t worry, these won’t sting you; they may give you new perspective to live life by!

Be Grateful: It is difficult to experience the magnitude of happi-ness when we do not take time to stop and smell the roses. Get-ting caught up in the stress of a career or illness can put a damper on enjoying the finer things in life. Make it a habit to tell yourself what you are grateful for throughout the day. If you are more visual, try keeping a journal. Taking the time to reflect on life helps expand our identity and enjoy the beauty of the world.

Be Human: Don’t expect to be happy all the time. Humans expe-rience a wide range of emotions every day to a varying degree. Happiness is also not a form of luck. Humans are not born happy or unhappy. It is something we can choose to be. Happiness does not always come overnight either. By reading this article you are already taking the right steps to make happiness your ultimate goal in life. When life happens, it is up to you how you react to it.

Be Active: Avoiding life and making excuses to be active can be damaging to your physical and emotional health. Unleash your inner child. You are not getting any younger! Find happiness and get moving by taking walks, playing with your children or grand-children, gazing at the stars, or even joining a club or class that allows you to associate with similar people with similar interests.

Don’t Worry, Be HappyBy Lisa Mulchek, Illinois State University Intern,

Advocate BroMenn Community Wellness and Women’s Center


emotionalWhen we exercise on a regular basis, not only do we begin to see results, but we increase our self-esteem because we are taking steps towards self-improvement. It is never too late to get involved.

Be in the Moment: Too often we hear, “I will be happy when I get the big promotion, or once I finish graduate school.” Why does life have to be so miserable during the in between stages? Every occasion or challenge in life should be an opportunity to grow as an individual and learn from yourself and others. Wake up each morning with a purpose, spend each day with joy, and fall asleep each night with peace in your heart.

Be Positive: Nobody likes a Negative Ned/Nancy! If you want to be happy, surround yourself with positive people. Happiness is contagious! So leave the negativity at the door. When we fill our minds with judgment and criticism it reflects in our actions. If you find yourself feeling like a victim, control your thoughts and take a more positive approach. This might require some practice but if you learn to make it a habit you will see and feel positive results.

Be Nice to Yourself: Positive self talk is one of the best things you can do for yourself. In order to become completely happy, you must come to terms with every aspect of yourself. If you tell your-self every morning that you are beautiful, you will start to believe it. Naturally, we must learn to be good for ourselves if we want to be good for others.

Be nice to others: It is amazing how a random act of kindness can change a person’s life. Can you think of a time when you gave

to someone expecting nothing in return? Simple helpful gestures can make a world of differences and bring an abundance of hap-piness into your life. Share your time with friends and loved ones and always remind them how much they mean to you.

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Comfort foods – everyone has them. Whether it’s an old family recipe or foods we indulge in by our own creation, more often than not, the ingredients contain high amounts of calories, sugar,

fat or salt. These ingredients tend to leave us feeling not so comforted when we realize what we actually ate. Why not have the best of both worlds? Let’s enjoy our comfort foods without feeling guilty by making a few minor recipe substitutions to modify the fat, sugar and salt content.

nutritional

By Kim McClintic MS, RD, LDN and Bethany Harris, ISU Dietetic Intern Center for Healthy Lifestyles, OSF St. Joseph Medical Center

Keep in mind, we all have our own preferences so be creative at home and try various substitutions. What works for one person may not be desirable for another so trust your taste buds! When preparing a recipe calling for butter, vegetable oil or shortening take the amount listed and cut it in half. Then replace the other half with ingredients such as applesauce, pureed fruits, like bananas or peaches, or pureed vegetables, like carrots or zucchini. An inexpensive source of pureed food is baby food or you can head to the baking section at the local grocery store and pick up “fruit based fat replacers” from the shelf. If the recipe calls for butter, oil or shortening for brown-ing or sautéing, try using broth, wine or water. For milk or milk products, cheese, cream cheese, etc. substitute the low-fat or fat free versions. You can either use half regular and half of the lower fat version or simply use the low-fat or fat free option in place of the higher fat product. When it comes to replacing sugar in a recipe, again, it’s your preference. You can reduce it by half, and then to add flavor - consider spices such as cinnamon, vanilla or almond extract, nutmeg, allspice, cloves, and so on. Try different spices and see what you like more. Put a little in at a time and do taste tests along the way. Variety can help keep your taste buds stimulated and keep you from getting burnt out on some of your favorite foods. Replacing salt in a recipe can be seen as outrageous to some people. But how do you know how flavorful a recipe can truly be if the only thing that you ever seasoned it with is salt? When working with a recipe that calls for salt, you can either, cut it in half or take it out completely. Instead of salt, try adding flavor with sodium-free herb and spice blends. Stroll down the seasoning isle at your local grocery store and try a few different spices. Other great replacements for salt are garlic powder, onion powder, celery seed, flavored vinegar, citrus juices from limes, lemons or oranges, and minced garlic and onion. Many recipe ingredi-

Apple Raisin MuffinsOriginal Ingredients2 cups all purpose flour1/2 cup white sugar3 teaspoons baking powder1/2 teaspoon salt3/4 cup apple juice1/3 cup vegetable oil1 egg1 cup apples, peeled, cored

and finely diced1/3 cup raisins

Substituted Ingredients1 1/2 cups all purpose flour1/2 cup whole wheat flour (get

more fiber!)1/4 cup white sugar2 teaspoons cinnamon3 teaspoons baking powder3/4 cup 100% apple juice1/4 cup vegetable oil1/4 cup unsweetened applesauce2 egg whites OR ¼ cup egg sub-

stitutes1 cup apples, peeled, cored and

finely diced1/3 cup raisins

Original Recipe196 Calories7 Grams of Fat31 Grams of Carbohydrates3 Grams of Protein1 Grams of Fiber18 Milligrams of Cholesterol202 Milligrams of Sodium

Substitute Recipe96 Calories5 Grams of Fat25 Grams of Carbohydrates3 Grams of Protein1.5 Grams of Fiber0 Milligrams of Cholesterol107 Milligrams of Sodium

Nutrition Analysis: 1 serving = 1 muffin

Directions:1. Heat oven to 400 degrees F. Grease bottoms only of 12 muffin cups

or line with baking cups. 2. In a medium bowl, combine flour, sugar, baking powder, cinnamon;

mix well. In a small bowl, combine apple juice, oil, applesauce and egg whites; blend well. Add dry ingredients all at once; stir just until dry ingredients are moistened (batter will be lumpy.) Gently fold in chopped apples and raisins. Be careful not to over-stir.

3. Fill cups 2/3 full. Bake for 18 to 20 minutes or until toothpick inserted in center comes out clean. Cool one minute before removing from pan. Makes 12 muffins.

Guiltless Ways toEnjoy Guilty Pleasures


nutritional

ents, such as broths, dressings, and canned products, come in a reduced sodium version so try using those instead. The only time you cannot substitute or eliminate salt in a recipe is when making products containing yeast. Salt helps aid the fermentation of the yeast needed when baking breads or other yeast products. Recipe substitutions do not have to compromise flavor. They merely provide you with an option to make your not-so-healthy treats a little more health friendly, allowing you to enjoy them with less guilt!

For more helpful cooking and nutrition tips, call or visit OSFSt.JosephMedicalCenter’sCenterforHealthyLifestylesat(309)661-5151orwww.osfstjoseph.org/CHL.

Super Simple Recipe Make-Over Brownies from a Box

Directions: Follow individual manufacturer’s directions located on the box.

Nutrition Analysis: 1 serving = 1/20 of the recipe

Original Ingredients1 package dry mix1/2 cup vegetable oil2 eggs1/4 cup water1 cup prepared chocolate

frosting

Substitute Ingredients1 package dry mix1/2 cup pureed baby prunes or baking prune puree4 egg whites OR ½ cup egg

substitute1/4 cup waterDrizzle with 1/4 cup chocolate syrup topping and dust with 1 Tbsp powdered sugar

Original Recipe216 Calories10 Grams of Fat32 Grams of Carbohydrates2 Grams of Protein0 Grams of Fiber22 Milligrams of Cholesterol112 Milligrams of Sodium

Substitute Recipe115 Calories1 Grams of Fat25 Grams of Carbohydrates2 Grams of Protein2 Grams of Fiber0 Milligrams of Cholesterol93 Milligrams of Sodium

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Easter Eggs and Your Feet? By Sam Fowler, PMAC, Office Manager, Heartland Foot and Ankle Associates

healthy feet

Last month, families across the country dyed and hid colorful Easter eggs. You wouldn’t think of using one of these beautiful creations

on your tootsies, but many consumers are using a dangerous egg on their feet. They are using the cheese grater-like egg-shaped foot file found in the “As Seen on TV” aisle at local stores, which will hereafter be referred to as the Egg File. This Egg File is essentially an oval file that scrapes dead, callused skin from the bottom of the feet and contains the scrapings in its shell. This is not a one-time fix for calluses. Whatever caused the calluses to form in the first place is not changed by using the Egg File, and they will come back over time. There are certain patients who should never use products like the Egg File. Patients who are diabetic, have poor circulation, lack the ability to feel pain, have neuropathy, have difficulty seeing their feet, or have difficulty healing should never use this or similar products. A sharp file cannot distinguish normal versus callused skin, which leaves a huge risk for cuts and abrasions. If a person is over zealous in filing their calluses, they could end up going too deep, which can lead to sores, infection, and worse. Another concern is that you must be certain that what you are filing is actually a callus. Calluses are com-monly confused with warts. Warts are caused by a virus, and using a file can spread the virus, thereby spreading the wart to other parts of the foot. Also, warts tend to have blood vessels that come close to the surface, so using this product on a wart will greatly increase the chance of bleeding. If you own an Egg File, it is not advised to share it with other members in your family. Sharing the Egg File will increase the risk of spreading diseases, including athlete’s foot. Additionally, the files that come with the Egg File will eventually wear out. Once this happens, they will become much less effective in removing cal-luses cleanly, and there will be an even greater chance of damaging healthy skin. Before using the Egg File, make sure you know what you’re treating. A trip to your podiatrist will be a smart investment in your feet, and will be much less painful than a visit after the damage is done. So when you think of Easter eggs or any eggs, remember to be cautious of the “Egg File”.

Formoreinformationonanyfoot-relatedprob-lem,pleasecontactDr.LockwoodatHeartlandFootandAnkleAssociatesat309-661-9975orwww.heartlandfootandankle.com.


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freestanding surgery center in central Illinois and the only one certified for overnight stay. Located across route 9 (Empire) from the old Bloomington airport, MCO treats all types of orthopedic conditions and offers a comprehensive range of services. Most patients can call for an appointment, although there are some insurances (i.e. Health Alliance, OSF) that first require referral from a primary care physician.

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repetitive stress injuries

Do you own a smart phone, PDA, or another type of mobile device? Do you spend an extensive amount of time typing on your device? Have you noticed aching and throbbing

pain in your thumbs or sometimes other fingers? What about numbness and tingling in your fingers? If so, you may have what the media has termed “BlackBerry® Thumb”, a condition that mir-rors the “Nintendonitis” coined in the 80’s. Neither of these terms officially exists in the annals of medicine. However, these symp-toms are typical of a repetitive stress injury (RSI), also known as repetitive strain injury, that is real and potentially serious. Repetitive stress injury is a musculoskeletal disorder that dam-ages tissue because of repetitive demands and movements to a single muscle group, instead of a single traumatic event. These types of injuries occur when mechanical fatigue in tendons and ligaments cause small tears and inflammation in the connective

tissue and tendons. The condition is worsened by not allowing the connective tissue sufficient time to rest and repair itself. A classic example of an RSI is carpal tunnel syndrome. Symptoms of RSI include recurring pain or soreness in the affected area; tingling, numbness, coldness or loss of sensation in the affected area; and loss of grip strength, weakness or fatigue. Overuse injuries, such as RSI, occur because there is insufficient recovery time between demands of muscle groups, such as frequent use of the thumb on a smart phone. The American Society of Hand Therapist (ASHT) issued an alert that stated, “heavy uses of electronic devices, such as BlackBerry® or iPod, could lead to hand ailments.” The organization stated that “handheld electronics may require prolonged grips, repetitive motion on small but-tons and awkward wrist movement that could lead to hand, wrist and arm ailments such as carpel tunnel syndrome and tendonitis.” Other

BlackBerry® ThumbBy Brian K. Hudson, DO, PharmD


experts support this consumer alert, saying that too much “thumbing” can cause injuries, especially to those people with underlying condi-tions, such as arthritis, that repetitive motion can aggravate. The treatment goals of “BlackBerry® Thumb” would be that of tendonitis, to relieve pain and reduce inflammation. The most effective treatment is rest from the repetitive movement. Limit the constant use of thumbs, take frequent breaks, type only when nec-essary and keep communications short. Other therapies include ice to the affected area, splinting with a thumb brace, and over the counter pain relievers such as acetaminophen, ibuprofen, or naproxen sodium. If the condition persists, consultation with a physician may be necessary to determine the severity of the injury and the need for more advanced treatment options such as corti-costeroid injections, physical therapy, and surgery. Some physicians may use corticosteroids that are injected around the tendon to reduce inflammation and alleviate pain, however, corticosteroids injections increase your risk of tendon rupture. Patients suffering from RSI may benefit from strengthen-ing exercises and physical therapy. A therapist can help design an exercise specific regimen to strengthen the force-absorbing capability of the muscle-tendon unit. In extremely rare cases and depending on the degree and type of tendon tear, surgery may be considered. Damaged tendons may be repaired or removed to promote the formation of more healthy tissue. In select individuals, surgeons can repair full-thickness ten-don tears to reduce pain and restore function. Typically, advanced treatment options are only considered after other treatments are exhausted and as with all medications and procedures, there are potential side effects and risks.

As mobile devices become more and more popular, “Black-berry Thumb” and other types of Repetitive Stress Injuries will likely increase. So “thumbs up” to smart use of smart phones.

Formoreinformation,contactDr.BrianHudson,CentralIllinoisNeuroscienceFoundation,1015S.MercerAvenue,Bloomington,IL61701,(309)663-1522.TheCentralIllinoisNeuroscienceFoun-dation(CINF)isanon-profitorganizationdedicatedtoenhancingneurologicalhealthcarethrougheducationandresearch.

"Repetitivestressinjuryisa

musculoskeletaldisorderthat

damagestissuebecauseof

repetitivedemandsand

movementstoasinglemuscle

group,insteadofasingle

traumaticevent."


feature story

specifically those trained in helping others benefit from exercise, being a part of the conversation. “Over the years, through Heartland Home Medical Supply, we have met people with all types of conditions that could be either eliminated or the progression slowed through exercise appropriate to their abilities. Most were either not exercising, didn’t know what exercise to do or what would be appropriate for them, or wanted to lose weight but needed encourage-ment and direction,” Rousey explains. From these conversations, the goal

Heartland Fitness, one of the newest fitness facilities in town, evolved over a period of time and through several circumstances of people being in the right place at the right time. The facility opened in

October of last year. Kate Rousey and Cindy Guest co-own both Heartland Home Medical Supply and Heartland Fitness. Rousey shares that the thought of open-ing a gym never really crossed their minds until conversations regarding what people needed and wanted in a gym coincided with the right people,

Heartland FitnessPutting the “Personal” in Personal Training

By Becky Wiese

• Do the terms workout, fitness routine, or personal trainer make you break into a sweat? • Do you feel convinced that you need to start an exercise regimen, but the idea of looking like you don’t know

what you’re doing in front of other people who obviously do know what they’re doing convinces you to start some “other” day?

• Do you shy away from anywhere that puts your workout on display in front of floor-to-ceiling windows? • Does the thought of working with a personal trainer automatically give you visions of dollar signs and echoes

of a cash register’s cha-ching?

If you answered “yes” to any of the above, or if you’ve just not found the ideal gym that fits your needs and wants, the staff at Heartland Fitness welcomes you to check out their facility and fitness options.

Personal Trainer Jessica Guest and client Nancy Osborne doing post-workout stretches.


feature storyof providing a fitness facility that wasn’t intimidating and felt like a personal, but better staffed, home gym came to the forefront.

As to the right people, they just fell into place. Mark Bode had been working at another facility when a friend of his, who happened to be the delivery tech for Heartland Home Medical Supply, told him about a “new gym” that needed staff. Mark holds a bachelor’s degree in exercise physiology and specializes in strength and weight conditioning. The benefits he stresses to clients include increased strength and an increased metabolic rate that helps with weight loss and muscle repair. Jessica Guest needed to do an internship to complete her degree in sports management. The timing worked out perfectly for her to complete her internship and then stay on staff at Heartland Fitness as a certified personal trainer. “I help a lot of clients with weight loss programs through circuit training, weight training, and moral support,” says Guest. Programs are based on individual needs and wants; Guest motivates and encourages her clients to reach the goals they themselves have helped set. Jill Usiak is a registered respiratory therapist who worked with clients through the services of Heartland Home Medical Supply. But she also holds a master’s degree in exercise physiology and has a strong interest in helping clients feel better through exercise. “Our personal training is very personal,” says Rousey. “The exercise routine will be designed specifically for you; you’ll be expected to reach your goals because [Mark or Jessica] will be there to help you reach every step.” In other words, no slouching allowed.

All fitness staff are CPR and AED certified. They conduct a preliminary consultation with new clients that involves finding out what the person’s needs and wants are relative to an exercise program; conducting a physi-cal assessment consisting of a health history, a blood pressure reading, body fat testing, and physical measurements; obtaining background infor-mation about illness or injury; and performing cardiovascular and flexibility evaluations. The Heartland Fitness staff specializes in helping people who don’t know what to do or where to start in terms of a fitness program. Rousey, a nurse herself, affirms the reasoning behind the vision. “We want the indi-viduals, no matter what age, to improve their health through education, strength training, flexibility, cardio, and weight loss with personal guidance and encouragement from our personal trainers.”

Better than a well-equipped home gym One of the more unique aspects of Heartland Fitness is its size: It’s not a mega-gym with 15 treadmills, 22 elipticals, and countless other exercise machines. Instead, it has the look and feel of a well-equipped home gym…but better. It’s sizable enough for five different exercise apparatuses, weight bench, open floor, and storage for free weights, medicine balls, and other equipment. Heartland Fitness emphasizes that it is one of the first “medically based” fitness facilities in the area. This claim is based on the focus of creating a personalized workout program for each individual, regardless of their age or physical limitations. “We work with people who need pulmonary rehab, cardio rehab, arthritis, or back/knee/joint issues,” explains Rousey. Another unique option available at Heartland Fitness is the TheraCycle. This machine, created specifically for people with debilitating diseases such as Multiple Sclerosis, Parkinson’s disease, cerebral palsy, fibromy-algia, and other conditions which limit physical activity and coordination, provides a whole body workout. Results include increased mobility, flex-ibility, and balance; reduced stress on joints; improved muscle tone and cardiovascular fitness; and enhanced endurance and general health.

Co-owners Kate Rousey and Cindy Guest.

Dave Mizer, doing his Phase 3 cardio rehab workout on the recumbent elliptical.


The TheraCycle literally moves the user’s arms and legs—basically doing the exercise for them. This is a huge benefit for people who suffer from diseases or physical conditions that prevent them from exercising. They get the same benefits as if they had moved their body on their own. “We have a client with Parkinson’s disease whose physical therapist recommended she try the TheraCycle,” says Bode. After using it consis-tently for three months, her physical abilities were markedly improved. “She was really, really happy with the results.” So happy, in fact, she was reti-cent about going out of state for the winter. Hard to believe given Central Illinois winters, but it’s a testament to the benefits of using the TheraCycle. Plans for the future include offering group sessions for various ages and interests. Mind you, “group” is a relative term: While some gyms have classes for groups that end up being 15-20 or more people, Heartland Fit-ness group sessions max out at about five. “We’d even like to see families come in to work out together,” declares Rousey. Another option on the horizon is the VertiMax sport-specific workouts that strengthen and improve performance. This program, used by profes-sional athletes to increase vertical gain, maximum speed, and explosive power development, develops an athlete’s physical abilities to perform at maximum ability. Heartland Fitness does not have year-long contracts that lock people in. Low monthly fees encourage clients to come as often as they can to reach their fitness goals—another reason why it’s like having your own personal gym.

A client’s perspective Dave Mizer’s health and fitness story is typical: After being active in his youth, he found that exercise and fitness fell by the wayside as he aged. He paid the price, however, by not only being out of shape, but also by suffering a heart “incident” last year that resulted in angioplasty, two stents, and eventually a pacemaker. After completing his eight-week session of cardio rehab, he decided to continue his workout routine. Through a series of events, namely running into a friend from high school who happens to be Kate Rousey’s husband,

Larry, Mizer found out about Heartland Fitness. He started soon after the facility opened. One of the things Mizer likes best about Heartland Fitness is the personal connection, both with the personal trainer (Mark) and with his workout buddies, Al Snedden and Ned Leiken. “There’s a level of comfort because we all know why we’re there. Plus the social connection makes you want to go—it helps you commit to the routine, holds you accountable for being there, and helps you work toward your personal goals.” Having the personal trainer there to supervise and give advice and encouragement is beneficial in many ways, according to Mizer. “Mark is good at identifying everybody’s reasons for being there—he won’t put you in a program that’s uncomfortable. Plus, since he’s so familiar with each one of us, if someone slows down, he checks on us to make sure we’re okay.” “I recommend [Heartland Fitness] to anyone who’s been hesitating” regarding their fitness, Mizer adds. “We all want to feel as good as we can” regardless of age or background. Personal connections and a smaller, more intimate setting are exactly what Kate Rousey and Cindy Guest envisioned for Heartland Fit-ness. “We wanted to be a fitness facil-ity that wasn’t intimidating and felt like your own personal gym. Our goal is to put the ‘personal’ in personal training.”

Heartland Fitness is located at 716. E. Empire, Suite 2 in Bloomington.

Call 309-808-2390 or click www.heartlandfitness.org

for more information.

feature story continued

Exercise physiologist, Mark Bode spots clientBryant Cawley while lifting.

Snedden, doing his Phase 3 cardio rehab workout on the elliptical.


medication overuse

Headache is one of the most frequently encountered pain conditions with two in every three adults affected at some point during their lives. Headaches are classified into two

categories: primary, such as migraine, and secondary, such as a headache resulting from sinus infection. It may seem drastically odd, but it is a proven fact that pain killers used to alleviate headaches can actually result in a change and worsening of the underlying primary headache condition. This is called medication overuse headache or MOH for short. Dr. Kud-row was the first to investigate and validate this fact in a landmark study more than 30 years ago. Basically, excessive use of acute treatment headache medications may result in MOH. These medi-cations include Triptans such as Imitrex, Ergotamine, Butalbital, NSAIDs, Acetaminophen and narcotics. Every patient suffering from migraine or other types of headache should be alerted about MOH by his or her health care professional. MOH is typically a mild to moderate bilateral pressure type headache with fluctuating severity. The diagnosis of MOH is clinically very important since patients rarely respond to preventive headache medications while overusing acute treatment remedies.

The diagnostic criteria for MOH are as follows:• Headache present on 15 or more days in any given month• Regular overuse for more than three months of one or more of

the acute treatment medications• Headache has developed or markedly worsened during medica-

tion overuse

Too Much of aGood Thing

By Dr. Benjamin Taimoorazy, Guardian Headache and Pain Management Institute

• Headache resolves or reverts to its previous pattern within two to three months after discontinuation of the overused medication

Primary headaches such as migraine are believed to occur due to activation of neural pathways within the brain. It is postulated that imbalances in neurotransmitter levels, such as serotonin, may result in most primary headaches. Many headache medications work by decreasing serotonin activity. Pain relieving effects of acute treatment medications is explained in part by decreasing serotonin receptors in the brain. However, chronic daily use of these medications results in an increase in the number of these receptors. This may react with serotonin causing increases in the firing of these pain provoking nerves and increased headache activity. This condition returns to normal slowly after medication withdrawal, typically requiring two to three months for full correc-tion. MOH can be avoided by judicious use of acute headache treatment medications. This the second in a series of articles geared to increase aware-ness and understanding of different types of headaches and other chronic painful conditions and the available diagnostic and thera-peutic options for each individual disorder.

Formoreinformation,youmaycontactDr.BenjaminTaimoorazyatGuardianHeadacheandPainManagementInstitute,309-808-1700, www.theGuardianPainInstitute.com. This new practice islocatedat2203EastlandDrive,Suite#7,inBloomington.

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prostate cancer

Diagnostic Imaging with anEmphasis on MRI

By Peter Baumgartel, M.D., Advanced MRI

Prostate MRI is used for both diagno-sis and treatment of prostate can-cer, which affects the walnut-sized,

male gland located beneath the bladder. MRI defines the anatomy for surgeons to operate and for radiation oncologists to administer high energy radiation to shrink and destroy a malignant tumor. MRI delin-eates the prostate gland and surrounding tissue in exquisite detail by detecting dif-ferences in the magnetic properties of var-ious tissues. In fact, according to Dr. Don Stacy, a radiation oncologist at the Com-munity Cancer Center, the gold standard for prostate volume is the prostate MRI volume. “Prostate MRI provides improved definition of the prostate boundary and intraprostatic structures compared to [other medical imaging options such as] prostate ultrasound and CT.” The initial diagnosis of prostate can-cer relies primarily on a blood test called the prostate specific antigen level (PSA) and a rectal examination by a physician. The PSA level is usually increased in patients with prostate cancer, although false positive elevations occur in patients with benign prostatic enlargement. Men who have an elevated PSA level often undergo prostate biopsy consisting of needle sampling of various portions of the prostate gland, which may confirm a sus-pected cancer diagnosis. For patients who have a persistently elevated PSA despite absent tumor on biopsy, a pros-tate MRI may show an abnormality that could then be more specifically targeted during a repeat biopsy. Once a prostate cancer diagnosis is established, the type of recommended treatment and the prognosis depend, in part, on the extent of disease, or stage. Microscopic cancer cells discovered during treatment for benign prostatic enlargement are classified as stage 1. MRI also assists physicians regarding treatment selection for larger and more extensive tumors (stages 2-4).


prostate cancer

MRI is especially helpful in guiding radiation therapy. MRI pre-cisely depicts the size, shape, and location of the tumor, and the surrounding normal anatomy. The radiation oncologist uses MRI to define the borders, determine volume, distance from nearby structures, and other parameters that guide treatment planning. The oncologist will then compute a dose of ionizing radiation that can be maximally directed toward the tumor while avoiding the adjacent tissue. Dr. Stacy adds, “Radiation dose to the rectum is significantly reduced when prostate MRI data is utilized for radia-tion planning.” The radiation is usually given as a series of treat-ments over the course of several weeks. The ability to demonstrate fine anatomic detail depends on the type of MRI scanner equipment, particularly the strength of the magnetic field. Most traditional MRI scanners in use today have a field strength of about 1.5 Tesla (T). “State of the art” scanners have a higher field strength of 3.0 T, greatly enhancing the amount of useful information obtained. Proximity of the prostate gland to the MRI’s radiofrequency coil also affects image quality. Traditional scanners generally require an endorectal coil, which are not only uncomfortable, but can also disturb the perirectal anatomy and can potentially decrease the precision of images used for therapeutic radiation. The newer 3T MRI scanners are powerful enough to obtain good images without the need for endorectal coils. MRI images provide unmatched detail, although other imaging tests can also have a role in diagnosing and treating prostate can-cer. A CT scan be performed in a matter of seconds, but depends on subtle differences in density to distinguish adjacent structures. One disadvantage to using CT, according to Dr. Stacy, is that “pros-

tate CT significantly overestimates the volume of the prostate com-pared to prostate MRI.” The ionizing radiation used for CT is also undesirable. However, CT is useful for patients who cannot have an MRI due to other health reasons, such as a cardiac pacemaker. Ultrasound, performed with an endorectal probe, provides real-time, video-like imaging which is useful during a needle biopsy. Compared to CT and MRI, it is relatively inexpensive, and it uses sound beam technology with no ionizing radiation. But image detail is limited, and it cannot be used for tumor mapping and treatment planning. For these reasons, “prostate MRI is consis-tently better than prostate ultrasound in staging operable prostate cancer,” says Dr. Stacy. MRI is often used to detect tumor recurrence after treatment. This might involve imaging the prostate itself, the detection of lymph node spread, or the evaluation of a painful bone or a bone that appears abnormal on another test. A technique called MRI spectroscopy is being increasingly used to determine the chemical properties of tis-sue. Prostate cancer cells often have elevated levels of a chemical called choline which can be determined with spectroscopy for both initial diagnosis and the detection of recurrent disease. The unique information provided by MRI has aided physicians who diagnose and treat patients with prostate cancer and is helping researchers in the ultimate goal of disease prevention.

For more information, you may contact Advanced MRI at309-665-0640.Theyarelocatedat1709JumerDriveinBlooming-tonandhavetheonly3TMRIscannerinBloomington-Normal.

Obstructive Sleep ApneaOSA is a serious, potentially life-altering, health issue. People with this disorder

stop breathing during sleep for 10-45 seconds at a time, occurring up to 400 times every night. This usually wakes the person, or their partner, resulting in

neither getting enough rest.

The person having the breathing interruptions will usually not remember waking throughout the night, but may notice sleepiness during the day—or the

feeling of not being able to get enough sleep.

• An estimated 5 to 10 percent of adults in the US have OSA• Of these, 85 to 90% have not been identified• Sleep apnea can affect persons of any age

• It is more common among those 40 years of age or older

Please contact your physician if you believe you have symptoms of sleep apnea.

Functional Medicine and Hormonal Evaluation

OVERWHELMED?TIRED OF BEING TIRED?

Dr. Rohde can help!

3798 E. Fulton Ave. Decatur, IL 62521

www.DrRohde.com217-864-2700


anxiety disorders

Panic Attacks Submitted by Dr. Anjum Bashir

Panic attacks are far different than the sweaty palms and pounding heart that people commonly experience when faced with a stress-ful situation such as a job interview, an important presentation, or

speaking in front of a group. Panic disorder is a real illness characterized by sudden attacks of intense fear, usually accompanied by a pound-ing heart, sweatiness, weakness, faintness, or dizziness. During these attacks, people with panic disorder may flush or feel chilled; their hands may tingle or feel numb; and they may experience nausea, chest pain, or smothering sensations. Panic attacks usually produce a sense of unreal-ity, a fear of impending doom, or a fear of losing control. People who have panic attacks sometimes believe they are having a heart attack, losing their mind, or even on the verge of death. An attack usually builds to a peak within 10 minutes, but some symp-toms may last much longer. Additional attacks may follow within a few hours or days. Panic attacks come on without warning at any time of day or night. People can’t predict when or where an attack will occur, so it is understandable that between episodes there is intense worry and dread about the next attack, which can then develop into panic disorder. Panic disorder affects about 6 million American adults and is twice as common in women as men. Panic attacks often begin in late ado-lescence or early adulthood, but not everyone who experiences panic attacks will develop panic disorder. Many people have just one attack and never have another. Scientists do not know what causes panic disorder, but it tends to run in families.

People who have full-blown, repeated panic attacks can become very disabled by their condition and should seek treatment before they start to avoid places or situations where panic attacks have occurred. For example, if a panic attack happened in an elevator, someone with panic disorder may develop a fear of elevators that could affect the choice of a job or an apartment, and restrict where that person can seek medical attention or enjoy entertainment. Some people’s lives become so restricted that they avoid normal activities, such as grocery shopping or driving. About one-third become housebound or are only able to confront a feared situation when accom-panied by a spouse or other trusted person. When the condition pro-gresses this far, it is called agoraphobia, or fear of open spaces. Early treatment can prevent panic attacks from leading to more seri-ous conditions. However, people with panic disorder may sometimes go from doctor to doctor for years and visit the emergency room repeatedly before someone correctly diagnoses their condition. This is unfortunate, because panic disorder is one of the most treatable of all the anxiety disorders, responding in most cases to certain kinds of medication or certain kinds of cognitive psychotherapy, which help change thinking patterns that lead to fear and anxiety.

For more information, please contact Anjum Bashir, MD at309-808-2326.Hisofficeislocatedat205N.Williamsburg,SuiteE,inBloomington.


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skin cancer

When faced with a diagnosis of skin cancer, why should you choose a plastic surgeon? Plastic surgery

is a medical specialty concerned with cor-rection and restoration of form and func-tion - exactly what you need as skin cancer treatment may require surgery to remove

cancerous growths. Plastic surgeons can surgically remove cancerous and

other skin lesions using specialized techniques to preserve your health and appearance. Removal of skin cancer often requires extensive training and experience to not only remove

the skin cancer entirely, but also to restore your natural appearance. Treat-ment of skin cancer with plastic surgery

is designed to maximize cure rates and minimize any resulting disfigurement in appearance. Proce-dures range from simple excision of the cancer to more advanced treatments including reconstruc-tion using advanced flap techniques to repair the skin. Of course, no surgery is without scars, but a plastic surgeon will make every effort to avoid any scars that might change your appearance. Skin cancer is the most common form of can-cer in the United States. One in five Americans will develop skin cancer in the course of their lifetime, with more than one million skin cancers diagnosed annually. Contrary to popular belief, only 23 percent of lifetime exposure occurs by age 18. About 65 percent of melanoma cases can be attributed to ultraviolet (UV) radiation from the sun. The incidence of melanoma is increas-ing faster than that of almost any other cancer.

Sun SmartBy Glori Traeder, CNP


Follow These Simple Tips to Protect Yourself While in the Sun• Generously apply broad spectrum, water-resis-

tant sunscreen with SPF of 15 or greater to ALL exposed skin areas. Reapply EVERY TWO HOURS while exposed to the sun (even on cloudy days), and reapply after swimming or sweating.

• Read sunscreen labels. Look for “broad-spec-trum” protection with an SPF of 15 or greater. Look for sunscreen containing Avobenzone (Par-sol 1789) and Ecamsule, Zinc Oxide or Titanium Dioxide in concentrations of 6% or greater. Both of these ingredients are very protective and safe for sensitive skin and children over 6 months. Most sunscreen products expire after 2-3 years. Follow label instructions on how to correctly apply sunscreen.

• Don’t cheat yourself out of proper protection. Apply about 1 ounce (palm sized) of sunscreen to cover the average adult skin (including arms, legs, neck and face).

• Cover up! Wear clothing to protect any skin exposed to the sun. Dark colored, tightly woven, lightweight, dry fabrics protect best. Hold the clothing up to the light; if you can see through it, the UV rays of the sun can get through.

• Wear a hat with a least a 2-3 inch brim. Better yet, a shade cap can be purchased at many sports/outdoor stores.

• Made in the shade - that’s you! Especially between 10 am- 4pm when the sun’s rays are super strong. Find a shady spot if your shadow is shorter than you!

• Don’t be caught without your sunglasses. UV blocking sun-glasses can help protect your eyes from sun damage. Check the sunglass label for the following: “UV absorption up to 400nm” or “meets ANSI UV requirements”. Large framed and wraparound sunglasses protect from more angles.

• It’s head to toe you know! Examine your skin head-to-toe every month. If a mole or freckle has any of the ABCDE’s (Asymmetry, irregular Borders, Color changes, Diameter larger than a pencil eraser, Evolving mole that grows or changes shape or color) get it checked out.

For more information, you may contact Dr. Paige Holt at the Center for Cosmetic and Laser Surgery, 309-663-1222 or online at www.osfplasticsurgery-bloomington.org.

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In schools across the country teachers and administrators are debating the question of whether to “friend” their students on Facebook. Some schools have taken a strong stand and banned

“friending” students until graduation. Others have not created a policy but rely instead on the good intentions of their teachers. As we have worked with schools across the country this year, we have found ourselves in the middle of some interesting and varied debates on this subject in many schools. However, we want to present some arguments for staying away from “friending” students.

• Teachers, like parents, are not and should not be “friends” with their students. While they should certainly be friendly, supportive, caring and nurturing, they should also be careful to balance the line of role model and educator and not confuse being friendly with being “buddies”. Facebook and the Internet have blurred the boundaries between adults and kids. Yet it is in the clear under-standing of these boundaries that allow kids to grow best and it is at times in the blurring of those boundaries that kids can become confused and at risk.

social networking

To “Friend” orNot to “Friend”

By Doug Foedman and Marje Monroe, M.S.W., Co-Directors of ChildrenOnline.org


• “Friending” on Facebook may imply a special relationship that the teacher does not mean to convey. The question may arise: Why friend one student and not the other? Is there a special relation-ship that exists for students who are “friended” and doesn’t exist for those who are not? “Friended” students may feel they have special access to a teacher that non-friended students don’t have.

• An educator, parent or role model who are “Facebook Friends” with teens, may find themselves responsible for the content found on the teen’s account. Often adults are faced with what to do when the student uses inappropriate language, discusses drinking, sexual behavior or bullying behavior. What exactly is the adult’s responsibility as an observer? If the adult just simply observes without commenting the teen may assume the adult is sanction-ing the behavior. In addition, words or images on Facebook may be changed rapidly leaving adults seeing only small portions of the teen’s account and missing some negative behavior. Yet, the adult’s presence on the site indicates sanctioning everything.

• Keep in mind educators or adults who are “friends” on a teen’s account, the teens in reverse are “friends” on the adult’s account. The adult may have adult language or situations inappropriate for teens. The adult may have college friends, romantic relationships or other issues that should not be available to his or her students.

• If a teacher initiates a friend request the student may feel pres-sured to accept. Such a request may be uncomfortable for the student. Keep in mind that the relationship between teacher and student typically contains an element of power for the adult. Per-ceived or not, this power (over grades, recommendations, etc.) can make for an uncomfortable relationship when the boundaries between friend and teacher/student becomes blurred.

With the blurring of lines on the Internet, especially Facebook, it is hard today to know what is best in caring for students online. However, it is always best to keep the lines as clear as possible and let the teens know that kids are kids and adults are adults. We do not recommend “friending” students. Their healthy development may be counting on it.

ChildrenOnline isdevoted to thesafetyofchildrenand teensonlineandhasmanyresourcesforparentsontheirwebsite,includ-ingafreemonthlynewsletter.Co-DirectorMarjeMonroeislocatedinthegreaterChicagoareaandoffersworkshopstoschoolsandparentsonInternetsafety.

About Children Online Children Online offers innovative and comprehensive workshops on Internet safety and online education to stu-dents, parents, faculty and administrators. Their approach, unique in the field of Internet safety, combines a thorough understanding of Internet technologies, child development and counseling, to focus on the impact of the internet on the social, emotional and language development of young people. Doug Fodeman and Marje Monroe, experts in tech-nology, counseling and education, work together to provide invaluable research and tools for parents and schools with practical real-life solutions to the issues faced by young people online. Since 1997, Marje and Doug have spoken to thousands of students, teachers and parents. They have several publications in the area of Internet safety and offer a free online newsletter. More detailed information can be found at ChildrenOnline.org.

Eckelmann-Taylor Speech and Hearing Clinic is one of the largest in the Midwest, with more than 12,000 patient visits per year. This important teaching, research, and service resource offers critical clinical services to the general public as well as the campus community.

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A New Magazine For the Women of Bloomington-Normal


make a joyful noise

The YOU Docs love good music (one of us, Mehmet, cranks up Springsteen in the operating room; the other, Mike, is a huge fan of both classical piano and Frankie Valli). But when it comes

to singing, we don’t care if you’re first soprano in the church choir or just belt out off-key oldies in the shower with the door locked. Burst-ing into song lifts your health in ways that surprise even us (and might make the cast of “Glee” America’s healthiest people). The benefits should get you singing out even if you can’t carry a tune in a bucket.• Lower your blood pressure. You may have heard the heartwarming news stories about a woman in

Boston whose blood pres-sure shot up just before

knee-replacement surgery. When drugs alone weren’t enough, she began singing her favorite hymns, softly at first, then with more passion. Her blood pressure dropped enough for

the procedure, which went off without a

hitch. Now, we’re not suggesting you trade blood pressure treatment for a few verses of “Amazing Grace.” But try adding singing to your routine. It releases pent-up emotions, boosts relaxation and reminds you of happy times, all of which help when stress and blood pressure spike.• Boost your “cuddle” hormone. Yep, oxytocin, the same hormone that bonds moms and new babies and that makes you and your part-ner feel extra-close after a romp in the hay also surges after you croon a tune with your peeps (your pals, not those marshmallow chicks!). • Breathe easier. If you or someone you know is coping with chronic obstructive pulmonary disease, singing just twice a week could make breathing feel easier and life feel better. In fact, in Eng-land there are “singing for breathing” workshops. The benefits, said one person with the lung disease: “It makes me feel on top on the world ... and it makes COPD a lot easier to live with.” Why wait for a workshop? Try crooning a tune or two on your own.• Find serenity after cancer. Surviving cancer (whew) is a majormilestone, but afterward you still have to cope with the memories (tests, diagnosis, treatments) and quiet the “will it come back” wor-ries. Vocalizing can help you blow off steam and stress. Turns out that singing actually calms down the sympathetic nervous system (which tenses up when you do) and boosts activity in the parasympathetic nervous system (which makes you relax).• Rewire the brain after a stroke.

Plenty of people who’ve survived a stroke but lost the ability

to speak learn to com-municate again by

singing

Five New Reasons to Sing OutEven if You Can’t Carry a Tune

By Michael Roizen, M.D., and Mehmet Oz, M.D.


their thoughts. Singing activates areas on the right side of the brain, helping them to take over the job of speaking when areas on the left side no longer function. Called Melodic Intonation Therapy, it’s used in some stroke rehab programs, and insurance may cover it. Ask about it if someone you love has speech difficulties from a stroke. That’s not all singing can do. It also helps everyday health, increasing immunity, reducing stress for new moms, quieting snoring, easing anxiety in ways that also may ease irritable bowel syndrome, and just making you feel happier. That’s a great return on something you can do in your car, with your kids, in a local choir group, while watching “American Idol” or even (you knew we were heading here) in a glee club. Here’s how to put the “glee factor” to work for you: • Off-key? Squeaky? Tone-deaf? You may get more out of it! In one study, amateur singers felt a rush of joy after warbling, but trained professionals didn’t experience any extra elation from sing-ing. Too bad for them; good news for us and you. You don’t have to be good to feel the benefits! • Hymns? R&B? Hip-hop? It doesn’t matter. Just choose tunes that mean something to you. You’ll pour more heart into singing, and conjure up good memories and healing feelings. You like almost everything? Songs that let you hold long notes tend to pack in more emotion, so “Summertime” by George Gershwin may work better than “Boogie Woogie Bugle Boy.”• Get the kids in on the act. Thanks to the television show, glee clubs (also called show choirs) are getting hot in schools across the U.S. and Canada. That’s great, because kids get a special set of benefits from musical expression, including better grades, less risky behavior, even higher SAT scores. Now there’s a good rea-son for all the “gleeks” to belt out “Don’t Stop Believing!”

TheYOUDocs,MehmetOzandMikeRoizen,areauthorsof“YOU:OnaDiet.”Wantmore?See“TheDr.OzShow”onTV(checklocallistings).Tosubmitquestions,gotowww.RealAge.com.(c)2011MichaelRoizen,M.D.andMehmetOz,M.D.DistributedbyKingFea-turesSyndicate,Inc.

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diabetic health

Nutrition and diet play an important role in helping people with certain diseases manage their health. For people with diabetes or renal diseases, proper diet and nutrition can help prevent and

reduce complications from their conditions. Medical Nutrition Therapy (MNT) is a therapeutic approach by a registered dietitian who evaluates food choices and eating patterns and counsels people about nutrition and lifestyle changes to improve their health. MNT has been shown to reduce the need for medication, prevent costly complications, improve self-care behaviors, and create optimal health outcomes. MNT nutrition services are covered by Medicare, however, a phy-sician referral is required. Other insurance providers (Humana, Blue Cross Blue Shield of Illinois) may also include MNT as a covered benefit. The first year you are diagnosed with diabetes you are eligible for three hours of individual MNT consultation by the end of the year. The next

Medical NutritionTherapy for Diabetes

By Julie Dostal, MS, Certified Diabetes Educator

year you are eligible for two hours of MNT and every year after that you are eligible for two hours. Medical Nutrition Therapy includes extensive monitoring and fol-low-up. The first step is an initial assessment of nutrition and lifestyle assessment, followed by nutrition counseling, information regarding managing lifestyle factors that affect diet, and follow-up visits to moni-tor progress. Not all dietitians are Medicare providers, so it is important to consult with a dietician that can bill Medicare for services.

For more information, you may contact Julie Dostal, Certi-fied Diabetes Educator and Registered Dietician, at 309-830-0711e-mailJulie@JulieDostalRD.comoronlineatwww.JulieDostalRD.com.Herofficeislocatedat2101EastlandDr.inBloomington.


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Like most crimes, identity theft is some-thing that is generally

considered only after it has occurred, but by then significant damage has usually been done. Some-times a few simple preven-tative measures can mean the difference between identity security and fraud. What can you do to protect yourself?• Don’t let your debit/credit

card leave your sight, including at restaurants where wait staff process your bill.

• Shred all financial records no longer needed for tax or business purposes. Destroy junk mail loan and credit card applica-tions—never simply toss them in the trash basket.

• Refrain from disclosing bank details requested via unsolicited phone calls or emails; if you submit information via website, be sure that the site is secure. The web address should begin with “https”, usu-ally indicated by a lock icon on the bottom right of the browser window.

• Never carry around more cards than you need. If the credit card you pull out of your wallet only a couple times of year goes missing, when would you notice?

• Consider canceling retail credit accounts that you seldom use. Unless you’re a frequent shopper receiving special incentives, you’ll usually be better off to use a debit card, general charge card or cash.

• If you photocopy financial documents on a non-personal copier, be sure it does not store images in its memory.

• Sign up to block unwanted credit card offers (www.optoutpre-screen.com).

• If you engage in substantial electronic activity—financial or informa-tional—consider enrolling with an identity theft monitoring service such as Identity Guard or Lifelock, just to name a few.*

• Have a state ID card issued to you in addition to your driver’s license, and store that ID in a safe or safe deposit box. If your license is ever stolen, you will still have a legal photo ID, but you need to be sure it is kept current.

• Do not respond to email from the IRS; they do not contact taxpay-ers via email.

• Obtain a free annual credit report and check for discrepancies (www.annualcreditreport.com). Anyone with a stellar credit rating is an attrac-tive target for identity thieves, so periodically check your credit report.

• Keep a list of contact information and account and card numbers for each vital organization that you would need to contact in an identity theft situation, but keep it in a secure place.

What does your financial institution do to help protect you? It would be great if all financial institutions (FI) could guarantee hacker-proof computer systems, but unfortunately they cannot. However, they are examined regularly to ensure that their informa-

tion technology systems and data acquisition and storage practices are prudent and compatible with their stated policies. In addition, FI’s that issue cards should be able to monitor, on some level, whether their cardholders’ transactions appear to be con-sistent with their past purchasing history and/or personal information they currently have on file. Any FI worth its salt takes proactive measures to protect its cus-tomers, and if you are concerned, do not be afraid to ask your per-sonal banker or branch manager what measures they take to protect you. Your FI should be concerned with keeping your identity—and your piggy—secure!

Dena McDonald is the Marketing and Sales Manager for FirstFarmers State Bank, 4001 GE Road, Bloomington. First Farm-ers State Bank, established in 1875, is locally owned with loca-tions in Minier, Delavan and Bloomington and on the web atwww.firstfarmers.com.

*Researchdifferentservicesbeforecommittingsoyouknowexactlywhatyouwillbechargedandwhatservicesyouwillreceive.FirstFarmersdoesnotendorseorpromoteanyparticularservice.Anidentitymonitoringserviceisnosubstituteforyourownduediligenceandregularaccountmonitoringandcannotguaranteeabsoluteprotection.

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Through the years of following the research and teaching nutri-tion for cancer prevention I have used the motto: COLOR, COLOR, COLOR. Get as much color as possible on your

plate and through the week from minimally processed whole foods which include vegetables, fruits, beans, whole grains, spices and herbs. The research consistently shows that the plant nutrients (phytochemicals) provided by these foods can help our body in multiple ways. They help the immune system fight better, the DNA replicate correctly; the liver and colon do their clean up job better, help to decrease the inflammation responses, and can help the hormones in our body run more smoothly. These actions are some of the ways our body fights off cancer cells. Recent research is now showing another amazing action of the same colorful foods. That action is called “Anti-angiogenesis.”

According to the Angiogenesis Foundation, angiogenesis is defined as the growth of new capillary blood vessels in the body. It is an important natural process in the body used for healing and reproduction. The body controls angiogenesis by producing a precise balance of growth and inhibitory factors in healthy tis-sues. When this balance is disturbed, the result is either too much or too little angiogenesis. Abnormal blood vessel growth, either excessive or insufficient, is now recognized as a “common denomi-nator” underlying many deadly and debilitating conditions, includ-ing cancer, skin diseases, age-related blindness, diabetic ulcers, cardiovascular disease, stroke, and many others. The list of dis-eases that have angiogenesis as an underlying mechanism grows longer every year. Angiogenesis-based Medicine - restoring the body’s natural control of angiogenesis — is a new, comprehensive

eat to defeat cancer

Color, Color, ColorBy Mary Kay Holloway, RD CSO LDN, Community Cancer Center


approach to fighting disease. By using new medical treatments that either inhibit or stimulate angiogenesis, doctors are prolonging the lives of cancer patients, preventing limb amputations, reversing vision loss, and improving general health. Anti-angiogenesis, therefore, is the process of stopping the growth of capillary blood vessel. When we think about protection from cancer, it would mean stopping the blood supply to a tumor and basically “starving the cancer”. Currently, new anti-cancer drugs are being developed that do just this. However, one of the questions being studied now is, “can the foods we eat starve the cancer?” The Angiogenesis Foundation is conducting scien-tific research comparing the anti-angiogenesis potency of foods, including specific varieties of fruits and vegetables. They are also looking at how the cooking, processing and preparation of foods affects their cancer fighting properties. The answers are not black and white, but some convincing evidence shows the benefits of eating a variety of colorful plant based food such as vegetables, fruit, beans and legumes, whole grains, spices and herbs, mush-rooms, and even fish. While we wait for more definitive answers we can look to the majority of research pieces which repeatedly show that not one food but a diet full of the above food and regular physical activity may have a positive relationship to reducing cancer risk. Using the words of Dr William Li of the Angiogenesis Foundation, “We can eat to defeat cancer by eating our chemotherapy (COLOR, COLOR, COLOR of all the foods mentioned above) three times a day.”

For easy to prepare, colorful and tasty plant based recipes go to www.cancercenter.org and follow the nutrition links. Enjoy!


Many people take dietary supplements in an effort to be well and stay healthy. With so many dietary supplements avail-able and so many claims made about their health benefits,

how can a consumer decide what’s safe and effective? Following is a general overview of dietary supplements and information that everyone should be aware of.

What are Dietary supplements? Dietary supplements were defined in a law passed by Congress in 1994 called the Dietary Supplement Health and Education Act (DSHEA). A dietary supplement is a product that:• Is intended to supplement the diet• Contains one or more dietary ingredients (including vitamins, min-

erals, herbs or other botanicals, amino acids, and certain other substances) or their constituents. Herbal supplements are one type of dietary supplement, and may contain a single herb or mix-tures of herbs. “Botanical” is often used as a synonym for “herb.”

• Is intended to be taken by mouth, in forms such as tablet, capsule, powder, softgel, gelcap, or liquid

• Is labeled as being a dietary supplement. Research has shown that some uses of dietary supplements are effective in preventing or treating diseases. For example, scientists have found that folic acid (a vitamin) prevents certain birth defects, and a regimen of vitamins and zinc can slow the progression of the age- related eye disease macular degeneration. Also, calcium and vitamin D supplements can be helpful in preventing and treating bone loss and osteoporosis. Research has also produced some very promising results suggesting that other dietary supplements may be helpful for other health conditions, for example, omega-3 fatty acids for coronary disease, but in most cases, additional research is needed before firm conclusions can be drawn.

Federal Regulation of Dietary Supplements Federal regulations for dietary supplements are very different from those for prescription and over-the-counter drugs. • A manufacturer does not have to prove the safety or effectiveness

of a dietary supplement before it is marketed. A manufacturer is permitted to say that a dietary supplement addresses a nutrient deficiency, supports health, or is linked to a particular body func-tion (e.g., immunity), if there is any research to support the claim. Such a claim must be followed by the words “This statement has not been evaluated by the U.S. Food and Drug Administration (FDA). This product is not intended to diagnose, treat, cure, or prevent any disease.”

• Manufacturers are expected to follow certain “good manufacturing practices” (GMPs) to ensure that dietary supplements are pro-cessed consistently and meet quality standards.

• Once a dietary supplement is on the market, then the FDA moni-tors safety. If it finds a product to be unsafe, it can take action against the manufacturer and may issue a warning or require that the product be removed from the marketplace.

• Once a dietary supplement is on the market, the FDA monitors product information, such as label claims and package inserts. The Federal Trade Commission (FTC) is responsible for regulating product advertising; it requires that all information be truthful and not misleading.

The Federal Government has taken legal action against a number of dietary supplement promoters or Web sites that promote or sell dietary supplements because they have made false or deceptive statements about their products or because marketed products have proven to be unsafe.

Safety Considerations of Dietary Supplements If you are thinking about or are using a dietary supplement, here are some points to keep in mind: • Keep in mind that although many dietary supplements (and some

prescription drugs) come from natural sources, “natural” does not always mean “safe.” For example, the herbs comfrey and kava can cause serious harm to the liver.

• Tell your health care providers about any dietary supplements you take to give them a full picture of what you do to manage your health. This will help ensure coordinated and safe care. Some dietary sup-plements have been found to interact with prescription or over-the-counter medications that you take.

• If you are planning to have surgery, certain dietary supplements may increase the risk of bleeding or affect the response to anesthesia.

• If you are pregnant or nursing a baby, or are considering giving a child a dietary supplement, be aware that most dietary supplements have not been tested in pregnant women, nursing mothers, or children.

• Be aware that an herbal supplement may contain dozens of com-pounds and that its active ingredients may not be known.

• It is possible that what’s on the label may not be what’s in the bottle. Analyses of dietary supplements sometimes find differences between labeled and actual ingredients and the amount of the active ingredient may be lower or higher than the label states. That means you may be taking less—or more—of the dietary supplement than you realize.

Many people can benefit from taking certain vitamins or dietary sup-plements, but be sure to know what you are taking and get information on it from unbiased, reliable sources.

Formoreinformation,youmaycontactEastlandChiropracticandWellnessCenterat309-662-8418,www.eastlandchiro.comTheyarelocatedat2406E.WashingtonSt.inBloomington.

“Natural”May Not Mean Safe

Submitted by Jessica Hoelscher D.C, Eastland Chiropractic & Wellness Center

dietary supplements



brain vaccine

body’s immune system to attack the remaining tumor. This is not a novel idea. Our immune system probably is already responsible for attacking malignant cells that have differences on their surfaces than our normal cells. If the immune system did not keep a watchful eye, almost all of us would prob-ably die of cancer at some point in time. The immune system, however, is not perfect, and once a tumor gets a foothold it can be very difficult for these immune cells to destroy the tumor mass. Dr. Linda Liau conceived the idea of activating or enhancing the immune system’s response against tumor. Her idea was to vaccinate mice against the “mark-ers” on the tumor cells. These represent proteins on the cell sur-face that are unique to the tumor cell but not seen in brain cells. In her work, she took mice that had brain tumors and extracted their immune cells, also known as den-dritic cells. She then also took some of the tumor from the mouse

and grew both cell types up together. This allowed the dendritic cells to come in contact with the tumor cells and become aware of the specific proteins that were present on their surface. She then took these dendritic or immune cells and infused them back into the mice. These “smart cells” tell the immune system to attack only the bad tumor cells. The results of this study were astounding with 25% of the mice being cured of their tumor. Those that were not cured had a much longer longevity than was possible before with radiation and che-motherapy alone. In 2005, this study was started on humans with glioblastoma tumors. The results have been very encouraging. In a small phase I trial, the two year survival of patients with glioblas-toma went from 26 percent to 80 percent. Although not all patients enjoy the cure rate that was seen in the mouse study, most patients showed prolonged viability, usually measured in years, with some of the patients alive at eight to nine years. While this is not yet a cure for cancer, it is a huge step in the right direction. As with most breakthroughs, we answer some questions but create many more.

Formoreinformationonanyneurologicalissue,youmaycontactDr.Peggat309-661-7344.

You Don’t Want toGet a Brain Tumor!

By Edward W. Pegg, III, MD

Johnny, it’s time for your vac-cination. You don’t want to get a brain tumor.” This may

sound like wishful thinking, but recent research is actually using vaccination as a way of treating Glioblastoma, one of the most aggressive and devastating forms of brain cancer. Glioblastoma multiforme is one of the most common and most malignant primary (origi-nates in the brain) tumors of the brain. Each year, 8.2 of every 100,000 people in the U.S. are diagnosed with primary malig-nant brain tumors. They represent approximately 2% of all cancers diagnosed in the United States. Currently, 29.5 of every 100,000 people in the U.S. have primary malignant brain tumors (just diag-nosed or under treatment). Primary brain tumors form in the brain and rarely ‘seed' to other parts of the body. Malignant brain tumors usually grow at a rapid pace, taking over surrounding tis-sues in the brain, and resulting in death in less than two years after diagnosis. The single most important factor related to incidence of and survival from malignant brain tumors is age. The prognosis is more favorable in the under-40 age group. These tumors can be very difficult to treat for a number of rea-sons. First, they can remain silent for many years until they grow to a large size. The other disagreeable feature of this tumor is its inva-siveness. As the tumor grows, it does not grow as a well-encapsu-lated ball but instead sends out little fingers that infiltrate and grow through the normal tissue. By the time the tumor is discovered, it can be a large mass but may have fingers that extend well beyond the boundary of the bulk of the tumor. Neurosurgeons try to remove as much of the tumor as possible without sacrificing normal brain tissue, but because of these fingers, there is always some part of the tumor left behind. If neurosurgeons were to extend their exci-sion out far enough to include all of these little fingers, they would inevitably sacrifice a great deal of normal brain, and this would result in severe deficits that could consist of weakness, numbness and even speech disturbance. After the tumor is removed, the person can undergo radiation and chemotherapy to destroy the remaining tumor, but this often destroys healthy brain tissue as well and usu-ally only extends survival out an additional six months to a year. Because of the difficulty in removing the entire tumor, Dr. Linda Liau, a neurosurgeon at UCLA, entertained the idea of using the

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interactive websites

Every child is unique and special but sometimes they encounter emotional and behavioral problems which adversely impact their lives and the lives of others around them. In the U.S today, one in

ten children suffers from a mental disorder severe enough to cause some level of impairment. Many of these mental health problems interfere with normal development and functioning. In addition, mental health problems are often a significant contributing factor to physical health problems, such as obesity. Mental health disorders are very treatable, but often go untreated. This can lead to school failure, family conflicts, drug abuse, violence, and even suicide. To combat the stigma, shame, and myths surrounding mental disorders that prevent so many people from getting the help they need, there is a new interactive online psychiatric portal, www.YoungHorizon.com, which is dedicated to educating the community about child and adolescent mental health and wellness. This is the first of its kind in the Bloomington-Normal area. This website provides scientifically accurate and up-to-date information while maintaining an independent editorial stance.

The website includes:• A wealth of information on a wide range of childhood mental illnesses

such as eating disorders, cutting, depression and anxiety to name a few. • A special focus on Neurodevelopmental disorders such as Autism and

ADHD• A complete section that focuses on parenting issues such as bed wet-

ting, coping with crisis, and understanding teens.

• Information about various disorders, diagnosis and treatments, self screening tools for parents, special presentations on bullying and teen suicide, video panel discussion on teen suicide done by team of psychia-trists and psychologists and more

• Information on medications used in children and adolescents• An online video library on major mental illnesses in children and their

treatment.• A directory of local resources for treatment and therapy.

Mental healthcare professionals in our community are committed to promoting mental health and wellness education through useful and broad application of online communication technologies. Future goals are to inte-grate primary care providers and provide more up-to-date information on clinical issues in practice. There are also plans to add audio video lectures on some of the common psychiatric childhood illnesses. Younghorizon.com is an effort to raise awareness about childhood mental illnesses and includes all the available resources for children and adolescent mental health in our communities, making it easy for people to find whatever they need all in a single website.

www.YoungHorizon.com is an interactive online psychiatric portaldesignedandmaintainedbyDr.FaisalAhmed,aChildandAdolescentPsychiatristinBloomington-Normal.Thewebsiteisdedicatedtoeducatingthepublicaboutchildandadolescentmentalhealthandwellness,containsawealthofinformationonmanytopics,containsnoadvertisingor“pop-ups”andrequiresnolog-ininformation.

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When warm weather hits, people put away the winter coats and slip into something a little more comfortable for the higher temperatures. The four-legged family members

need a little help to make the transition, however, as pets also need to stay cool when sunny days arrive. PetSmart grooming expert Linda Erickson shares her tips on prepping pets for the sea-son with regular grooming appointments and at-home treatments that will make everyone paw-fectly happy it’s summer.

Drop the Winter Coat It’s important to help your dog get rid of their heavier winter coat so they can stay cool as temperatures rise. A bath will release the undercoat and a good brushing will get rid of the extra hair. To make sure pets are extra silky and shiny, a dose of milk bath moisturizing conditioner and regular at-home brushings will help make coats softer and healthier.

Less is Not Always More Pet parents often think shaving a dog during the summer is the answer to shedding and overheating. However, a pet’s coat actually

Summer Grooming for PetsInformation from PetSmart

man’s best friend

helps regulate their body temperature and protects them from the sun. The FURminator Shed-less Treatment is an alternative to shaving and an effective way to help control shedding and keep pets cooler.

Swimming Safety Swimming is a great activity during warm weather, but your dog will need a good cleaning after a dip in the pool or ocean. Be sure to rinse your pet after swimming to remove chemicals or irritants from their coat, as these can dry out your pet’s skin. Also, try to keep your dog’s ears clean and dry after swimming. Swab their ears with a cotton ball and use a recommended ear cleaner to help remove any waxy build-up or water left behind.

Regular Maintenance Required Dogs have regular, ongoing needs no matter the season, including coat, tooth and paw care. A good teeth-cleaning routine both at home and the grooming salon is an essential part of a pet’s health. And it’s important to help keep dogs’ paws healthy with regular nail trims and removal of any extra hair so debris won’t get stuck in their paws.


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Radiofrequencyfor Chronic Pain

During the last century pain has become a major area of inter-est for physicians. Labeled

the 5th vital sign by the American Pain Foundation, more and more evidence suggests that pain has gone under controlled. Perhaps this is one of the reasons that during the 20th century the medical community began to embrace a new field, Pain Medicine, to directly address this issue. Within this new field, inter-ventional pain techniques were and are developed with the express pur-pose to diagnose and treat chroni-cally painful conditions. One tool among many that the Interventional Pain Physician has in their treatment

By Ricardo Vallejo, M.D., PhD, Millennium Pain Center


arsenal is a procedure termed “radiofrequency neurolysis”. Below is a brief primer on this type of medical procedure to help reduce chronic pain:• Nerves in the body carry signals that convey a painful condition

to the brain. Depending upon the location of the pain (e.g. low back, neck, etc.) the nerves carrying the pain signals can be identified via physical examination and with appropriate diag-nostic tools.

• Anesthetics and anti-inflammatory medications can “numb” the nerves and nerve associated structures thus relieving pain. Elec-tricity can also affect nerves and neural structures and alter the pain signals. The latter is akin to “jamming” a radar signal to avoid detection.

• Radiofrequency (RF) signals, not unlike radio signals broadcast to your car stereo, can be used to modulate the functioning of nerves as well. These RF signals are conducted at approximately 500,000 Hz. This frequency is in the AM radio band.

• There are two types of radiofrequency procedures. One utilizes constant RF signals, while the other utilizes slightly different alternating pattern of RF signals. Both have been shown to be safe and effective in research published in medical journals.

• RF techniques are used to treat chronically painful conditions including but not limited to Trigeminal neuralgia (facial pain) also known as tic doloroux, cervical whiplash (arthritis of the spine in the neck area), lumbar arthropathy (arthritis of the spine in the low back area), sacroiliac dysfunction (resulting in low back pain), pancreatitis, and discogenic pain (pain resulting from inter-vertebral disc degeneration).

• This treatment procedure takes approximately 20-30 minutes to perform. Patients are sedated in the office and then RF needles are accurately placed adjacent to the nerve(s) of interest under x-ray guidance. Patients can expect some residual pain from the needle placement, however once the RF procedure is completed patients can anticipate pain relief within one week or so.

• Because radiofrequency is a newer technique, it is important to find a physician who performs this on a regular basis.

• Basic research is being conducted to better understand the physi-ologic mechanisms by which RF techniques produce pain relief.

In conclusion, radiofrequency offers an excellent option for long term relief in properly diagnosed patients with the above men-tioned conditions.

Formoreinformation,youmaycontactMillenniumPainCenterat309-662-4321locatedat1015S.MercerAve.inBloomingtonoronlineatwww.millenniumpaincenter.com.

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www.cinhs.com

Our Technologists who perform the exams are

certified in Radiology, CT, and MRI with over

50 years of total experience specializing in

Neuro and muscular skeleton.

• We offer 24 to 48 hour turn-around

time on reports and CD of the exams

if requested and two hours on stat

examination.

• Radiologist reading exam specialized

in modality Neuro, muscular skeleton &

general radiology.

• Bone Density Study

• MRIMagnetic Resonance Imaging

• Myelogram

• CTComputed Tomography

• X-Rays

Documents

June Bloomington Healthy Cells 2011