September Peoria Healthy Cells 2012

Low TestosteroneSigns and Symptoms pg. 30

Rebounding FromDepression pg. 34

Home HemodialysisOffers Many Benefits —Affiliated Home Dialysis Centers pg. 36

Introducing Our New Surgical Facility page 20

SEPTEMBER 2012 FREE

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7301 N. Knoxville Ave, Peoria, IL

This Month’s Cover Story: Volume 14, Issue 9

8

10

12

14

16

18

24

26

28

30

32

34

36

38

40

Ending Alzheimer's:Research and Volunteers are Crucial

Nutritional:Where Is the Sodium Coming From?

Physical:Leaky Gut–The Syndrome Linked toMany Autoimmune Diseases

Emotional:Finding Determination in the Face of Limb Loss

The Sandwich Generation:Piecing Together The Medicare Plan Puzzle

Personal Success:My Success Can Be Your Success

Addiction Recovery:Addiction, Sobriety, "One Day at a Time"and the 12 Steps

From AMI to NAMI:Mental Illness Awareness Week

Healthy Workplace:Dealing with Difficult Coworkers

Men's Health:Low Testosterone Signs and Symptoms

Healthy Pets:The Real Cost of Pet Shop Puppies

Depression:Rebounding

Affiliated Home Dialysis Centers:Home Hemodialysis Offers Many Benefits

Technology Tips:Helping Aging Loved Ones toExplore the Digital Frontier

Healthy Sleep:Secondhand Snoring?

SEPTEMBER

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not sug-gest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare pro-fessional 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 650 locations, including major grocery stores throughout central Illinois as well as hospitals, physicians’ offices, pharmacies, and health clubs. 12,000 copies are published monthly. Healthy Cells Magazine welcomes contributions pertaining to healthier living in central Illinois. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

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 central Illinois.

2012

For advertising information, contact Kim Brooks-Miller

309-681-4418 email: [email protected]

Healthy Cells Magazine is a division of:

1711 W. Detweiller Dr., Peoria, IL 61615 Ph: 309-681-4418 Fax: 309-691-2187

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Cover and feature story photos by Daryl Wilson Photography

Prairie Spine & Pain InstituteIntroducing Our New Surgical Facility…As Part of Our Integrated Care Model page 20

September 2012 — Peoria — Healthy Cells Magazine — Page 5

Photo Courtesy of Photography by Jill

Have you ever been disappointed? Has someone close to you let you down or broken your heart? Maybe a situation did not turn out as planned, or you just received some unexpected news that changed everything. Everyone has experienced disappointment at one time or another, and it can be easy to become discour-

aged or depressed, especially when it seems as if everything is falling apart. But there is good news—even in the midst of disappointment. We have a choice. Dr. Charles Stanley wrote an article entitled: “Disappointments are Inevitable: Discouragement is a Choice.” In his article, Dr. Stanley focused on trusting God with our disappointments and dwelling on the positive events that have happened in our lives. God wants what is best for us, and He will direct our steps on the right path if we trust in Him. Faith has helped to sustain many people, including me, in times of disappointment and discouragement. No mat-ter what circumstances have brought us to a place of discouragement, we must trust that God is always in control. Proverbs 3:5, 6 and Hebrews 13:5, 6 are timeless passages for reassurance during difficult times. Disappointments are inevitable, but we can choose how we respond to them. Make the right choice today.

Sincerely,

Kim Brooks-Miller, Owner, Healthy Cells Magazine, Greater Peoria Area Edition. Comments or questions call: 309-681-4418 or e-mail: [email protected]

Note: To view Dr. Stanley’s message on “Overcoming Discouragement,” visit intouch.org, select video archives and click on this title.

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Page 8 — Healthy Cells Magazine — Peoria — September 2012

The statistics are troubling, but are the first step in understanding the true scope of Alzheimer’s disease.

• Every 68 seconds, another American develops Alzheimer’s disease. By the year 2050, if no cure or prevention is found, two people will be diagnosed per minute.

• An estimated 5.4 million Americans today are living with Alzheimer’s disease.

• By midcentury, that number is expected to skyrocket to 16 million people, a 170 percent increase.

Sitting at number six on the top 10 causes of death in the United States, Alzheimer’s disease is the only one in which there currently is no way to prevent, cure, or even slow down its progression. This fact underscores the need for funding to advance further research. The two keys to elimi-nating this disease are well-funded studies and clinical trials, and an ample supply of volunteers to participate in these trials. Right now, there are more than 100 studies related to Alzheimer’s and other dementias underway. Many of these efforts to eradicate the disease come from the generous donations from those involved in the annual Walk to End Alzheimer’s events. Thousands of people participate in the Walk to End Alzheimer’s, and though they walk for different people, they all walk for one reason—because they want to someday live in a world without Alzheimer’s. The Walk brings people and families closer while increasing awareness of the disease. The funds raised are vital to funding the programs and ser-vices provided by the Alzheimer’s Association-Central Illinois Chapter. The world is starting to pay attention: A flurry of news reports have centered on the research findings announced at the Alzheimer’s Asso-ciation International Conference in July. This year’s conference in Vancouver was highlighted by advances in prevention methods, early warning signs of the disease, and even treatment possibilities. Researchers presented findings showing that people who sleep too little or too much had lower average cognition than those who slept seven hours a day. This sleep deficiency is cog-nitively equivalent to aging by two years. In another report, researchers found that alcohol use later in life leads to an increased risk of cognitive decline. From these studies, experts say it is clear that noticing the early warning signs of cognitive decline and being able to alter habits is a key step in preventing the disease. For treatment possibilities, researchers found that stem cells have the ability to “re-grow” our brain cells, or to at least slow the progres-sion of dementia in the brain. More news out of Vancouver: Early results of an immune therapy featuring intravenous immunoglobulin (IVIG) have shown that “stabilizing” the progression of Alzheimer's is possible.

Participants in the study reported no decline in cognition, memory, daily functioning and mood, even after three years of taking the drug. The participants in these clinical trials are instrumental in the work to find a cure. According to the Alzheimer's Association: “Ground-break-ing research is going on that could have a measurable impact on the lives of current and future Alzheimer's patients. But a lack of volunteers for Alzheimer's clinical trials is significantly slowing down this research and the development of new Alzheimer's treatments. Recruiting and retaining trial participants are now the greatest obstacle, other than funding, to developing the next generation of Alzheimer's treatments.” The Alzheimer's Association’s free TrialMatch® program makes it easy for people with Alzheimer’s and their families to sign up for a trial right for them. Visit www.alz.org to learn more. The reach of Alzheimer’s is steadily growing, but these key scientific findings provide a level of hope that has not been achieved until now. As further research is done, preventing, treating and curing the disease may not be far off. Until that fateful day, the Alzheimer's Association-Central Illinois Chapter will continue to provide support to the thousands of area resi-dents living with the disease or helping care for someone who does.

For more information, contact the Alzheimer’s Association, Central Illinois Chapter headquarters located at 606 W. Glen Ave., Peoria. Office hours are 8:30-4:30 p.m., Monday-Friday. Call our 24-hour helpline: 800-272-3900. Visit our website at alz.org/Illinoiscentral. Available services: information & referral, counseling, family educa-tion, support groups, helpline, professional training, safety tracking devices, advocacy.

Research andVolunteers are Crucial

By Dan Calabro of the Alzheimer’s Association-Central Illinois Chapter

Ending Alzheimer's


Ending Alzheimer's

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Patient Story


You may have heard the buzz about the effects of sodium on your heart. Eating too much

sodium can lead to high blood pres-sure, increasing your risk of heart attack or stroke. So since hearing that buzz, you may have started leaving the salt shaker on the table, and spicing up your food in healthier ways, maybe using lemon juice, balsamic vinegar or other spices...or you’re using far less or elimi-nating salt in recipes. Now here’s the bad news: You may not be doing enough to lower your risk of high blood pressure, which raises your odds of coronary heart disease or stroke. That’s because up to 75 percent of the sodium in the average American diet comes from salt added to pro-cessed or restaurant foods. In other words, we often don’t even know we’re eating it; and, while cutting table salt is wise, it may only be putting a tiny dent in your sodium total. “Sodium shows up in canned soups, salad dressings, and even products that don’t immediately come to mind when we think of “salty’ foods, such as pasta, bread and cereals,” said Rachel Johnson, PhD, RD, a professor of nutrition at the University of Vermont and a volunteer for the American Heart Association. With so much salt in our food, it’s no wonder the average American gets 3,436 milligrams of sodium per day. That’s more than double the American Heart Association’s recommended limit of 1,500 milligrams. Manufacturers use salt to preserve foods and modify flavor, and it’s included in additives that affect the texture or color of foods. Sodium is an essential nutrient, but very little is needed in the diet. In an ideal world, we’d all handpick fresh ingredients and cook them at home, thus ensuring a low sodium intake. In the real world, however, we don’t always have time to cook; and, who doesn’t enjoy eating out from time to time? So, what’s a real-life solution to uncover this hidden enemy?

The secret to becoming a sodium sleuth is knowledge.

“Whether you’re walking down a grocery store aisle or ordering at your favorite restaurant, there are ways to avoid sodium if you know what to look for,” Johnson said. In the supermarket, your best ally is the Nutrition Facts Label on product packages, which lists how much sodium is in each serving. As

Where Is the Sodium Coming From?

Submitted by the American Heart Association

nutritional

a guideline, to include a “sodium free or salt free” claim on the label, a product cannot exceed 5 milligrams of sodium per serving. A product with a “low sodium” claim must not exceed 140 mg per serving. A “no salt added or unsalted” claim on the label does not mean the food is “sodium free.” Compare the sodium content between various products and choose the one with the lowest amount of sodium. Also, look for products with the American Heart Association’s Heart-Check Mark on the label. This red and white icon guarantees that a product meets the association’s sodium requirement of less than 480 milligrams per portion. When eating out, choose restaurants where food is cooked to order. Remember that communication is key. Ask your server about the sodium content of menu items, and when ordering, specify that you want your dish to be prepared without salt. Of course, avoid table salt as well as high-sodium condiments and garnishes such as pickles or olives. For more tips, see the American Heart Association’s online content on “Dining Out.”

Step up to fight heart disease at the Tri-County Heart Walk on October 13 at Liberty Park in Peoria! Enjoy free health screen-ings, health and fitness information, heart-healthy food, and a one to three mile walk along the riverfront. Start your team today at www.peoriaheartwalk.org.


nutritional

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Sunday Pork Roast with Vegetables Serves 4: 3 ounces pork and 1/2 cup vegetables per serving

Once you get this easy-to-assemble dinner in the oven, you can sit back and relax. A small amount of brown sugar and apple juice sweeten the pork, and the vegetables get a lot of flavor from the pan juices.

Ingredients: Cooking spray1lb. boneless center-cut pork loin roast or pork tender-

loin, all visible fat discarded1 tbsp. frozen apple juice concentrate, thawed1 1/2 tsp. light brown sugar1 1/2 tsp. garlic powder1 1/2 tsp. dried oregano, crumbled1 1/2 teaspoons dried thyme, crumbled1 1/2 teaspoons paprika1/2 teaspoon pepper2 small red potatoes, cut into 1/2-inch cubes1/2 cup baby carrots1/2 cup bite-size cauliflower florets1/2 small zucchini, cut into 1/2-inch cubes1/4 small red onion, cut into 1/2-inch dice

Directions:Preheat the oven to 375°F. Lightly spray a 13x9x2-inch bak-ing pan with cooking spray. Brush the pork on all sides with the apple juice concentrate.

In a small bowl, stir together the brown sugar, garlic powder, oregano, thyme, paprika, and pepper. Set aside 1 teaspoon of this mixture. Spread the remaining mixture all over the pork, pressing so it adheres. Put the pork in the baking pan. In a medium bowl, stir together the potatoes, carrots, cauliflower, zucchini, onion, and reserved 1 teaspoon brown sugar mixture. Place around the pork. Lightly spray the pork and vegetables with cooking spray. Bake for 55 minutes to 1 hour for the pork loin roast (40 to 45 minutes for the pork tenderloin), or until the pork registers 160°F on an instant-read thermometer and the vegetables are tender when pierced with a fork. Cover the pan loosely with aluminum foil. Let stand for 5 minutes before slicing the pork.

Nutrition Analysis (per serving)Calories 227, Total Fat 7.5g (Saturated Fat 3.0g, Trans Fat 0.0gPolyunsaturated Fat 1.0g, Monounsaturated Fat 3.5 g)Cholesterol 64 mg, Sodium 62 mg, Carbohydrates 14g, Fiber 3g, Sugars 6g, Protein 2 g,

Dietary Exchanges: 1 carbohydrate, 3 lean meat

This recipe is brought to you by the American Heart Asso-ciation’s Patient Education program. Recipe copyright © 2009 by the American Heart Association. Look for other delicious recipes in American Heart Association cookbooks, available from booksellers everywhere, and at heart.org/recipes.


Hyperpermeability or "leaky gut" syndrome is the name given to a very common disorder in which the cells lining the intestines become "leaky" due to inflam-

mation. The abnormally large spaces present between the cells of the gut wall allow the entry of toxic material into the bloodstream that would normally be eliminated. The gut becomes leaky in the sense that bacteria, fungi, parasites, undigested protein, fat, and toxic waste, which are normally not absorbed into the bloodstream in the healthy state, pass through a damaged, hyperpermeable gut membrane. This can be verified by special gut perme-ability urine tests or microscopic examination of the lining of the intestinal wall.

Common Causes of Leaky Gut • Infections such as fungal overgrowth, parasitic infections • Drugs like NSAIDS, chemotherapeutic agents • Crohn's disease or Ulcerative Colitis • Celiac disease • Chronic alcoholism • Strenuous exercise • Food allergies

Leaky Gut and the Connection to Autoimmune Disease Leaky gut syndrome is almost always associated with autoimmune disease. In fact, reversing symptoms of autoimmune disease depends on healing the lining of the gastrointestinal tract. Any other treatment is just symptom suppression. An autoimmune disease is defined as one in which the immune system makes antibodies against its own tissues. Diseases in this category include lupus, alo-pecia areata, rheumatoid arthritis, polymyalgia rheumatica, multiple sclerosis, fibromyalgia, chronic fatigue syndrome, Sjogren’s syndrome (dry eyes & dry mouth), vitiligo, thy-roiditis, vasculitis, Crohn’s disease, ulcerative colitis, urti-caria (hives), Type 1 diabetes, and Raynaud’s syndrome. Fortunately, doctors are beginning to realize the essential role that the gut plays in these diseases. Understanding the leaky gut phenomenon helps us see why allergies and autoimmune diseases develop and how to design therapies to restore intestinal integrity and reverse leaky gut.

Inflammation is a key trigger for leaky gut Inflammation causes the spaces between the cells of the gut wall to become larger than usual. Then the protein molecules are absorbed before they have a chance to be completely broken down. The immune system starts mak-ing antibodies against these larger molecules because it recognizes them as foreign, invading substances. Antibod-

Leaky GutThe Syndrome Linked to Many Autoimmune Diseases

By Jeff Robins, RPh

physical


ies are made against these proteins, which are derived from previ-ously harmless foods. The immune system becomes hyperstimulated and over-reactive to substances that are not necessarily supposed to be dangerous. Human tissues have proteins & antigens that are very similar to those on foods, bacteria, parasites, candida, or fungi. The antibodies created by the leaky gut phenomenon against these antigens can get into various tissues and trigger an inflammatory reaction in that tissue when the corresponding food is consumed or the microbe is encountered. Autoantibodies are thus created and the inflammation becomes chronic. If this inflammation occurs in a joint, autoimmune arthritis (rheumatoid arthritis) develops. If it occurs in the brain, myal-gic encephalomyelitis (chronic fatigue syndrome) may be the result. If it occurs in the blood vessels, vasculitis (inflammation of the blood vessels) is the resulting autoimmune problem...and so on. If the antibodies end up attacking the lining of the gut itself, the result may be colitis or Crohn’s disease. If it occurs in the lungs, asthma is triggered on a delayed basis every time the individual consumes the food which triggered the production of the antibodies in the first place. It is easy to see that practically any organ or body tissue can become affected by food allergies created by the leaky gut. Because the foods can trigger delayed reactions, it can often be very hard to pinpoint the triggering entity.

Leaky gut may cause increase risk of infection and sensitivity to environmental chemicals This ongoing inflammation also damages the protective coating of antibodies normally present in a healthy gut called IgA. Since IgA

helps us ward off infections we become less resistant to viruses, bacteria, parasites, and candida. These microbes are then able to invade the bloodstream and colonize almost any body tissue or organ. In the clinic we often find patients with leaky gut or autoim-mune disease also have microbial infections ongoing in the gut. Not only can leaky gut create food allergies as the proteins we consume are activating antibodies, but also the microbes in the gut can cross over into the blood stream creating a toxic burden that over-whelms the liver's ability to detoxify. Often in severe cases of leaky gut, patients will develop sensitivities to perfume, cigarette smoke or other environmental chemicals. Common complaints are also "brain fog", confusion, poor focus/concentration, or memory loss.

Leaky gut also causes malabsorption and nutritional deficiencies Finally, leaky gut may contribute to a long list of mineral defi-ciencies because of the ongoing inflammation and damage to carrier proteins. The most common are iron deficiency, vitamin B12 deficiency, magnesium deficiency which can lead to fatigue, neuropathies, or muscle pain. Zinc deficiency due to malabsorption can result in hair loss or baldness as occurs in alopecia areata. Copper deficiency can occur in an identical way leading to high blood cholesterol levels and osteoarthritis. Further, bone problems develop as a result of the malabsorption of calcium, boron, silicon, and manganese.

For more information, contact Essential Wellness Pharmacy located at 4625 N. University, Peoria, IL 61614. Call: 309-681-8850 or visit us online: www.Essentialwellnesspharmacy.com.

physical

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emotional

Dealing with the loss of a limb, whether it is after months or years of fighting a non-healing wound or because of an accident that only took minutes to occur, can be as traumatic as the surgery

itself. Being able to cope with the loss often times can be the hardest part of dealing with amputation and for many individuals, finding the determination to do so is the key. For Gary Troutman, finding that determination to deal with an injury to his right arm began with multiple trips to several types of physicians. First being referred to a foot and ankle specialist in Peoria, IL, then a pain specialist in Des Moines, IA and finally ending with a chance visit to an orthopedic specialist in Rochester, MN. While each specialist had their own theory as to why Gary was in such pain, he was never able to find relief from the extreme discomfort no matter what type of treatment

he went through. He became very frustrated and was determined to find a solution. While Gary was out clearing brush on his farm, a 3-inch thorn from an Osage Orange Tree had speared his wrist joint. Although it didn’t hurt at the time and bled only a single drop of blood, Gary never gave the incident a second thought—until he lay in his hospital bed after his surgeon stated that he acquired a fungal infection in his wrist. Unfor-tunately, the infection destroyed all of the bones in his wrist and there was no way to stop the infection. Finally, Gary had an answer to his problem, but the solution meant amputation below his elbow. Gary’s determination to finally be rid of the pain and discomfort he battled for so many months, allowed him to cope with the loss of his arm and he was able to accept the enormous impact it would have on

Finding Determination inthe Face of Limb Loss

By Robin M. McRae CP, LP, Comprehensive Prosthetics & Orthotics


emotional

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his lifestyle. He knew that he could obtain a prosthetic arm that would allow him to continue to participate in the activities he loved. He also knew that it would not be the amputation that would limit him in any way, but a general lack of determination. Luckily for Gary, he was deter-mined from the beginning to return to an active and healthy lifestyle and would not allow anything to get in his way of accomplishing just that. For upper extremity amputees, the array of components available has increased significantly since the recent wars have sent so many veterans home with amputations. That array includes bionic hands which have fingers that can move independently of one another and grasp objects, much like the human hand; to shoulder, elbow and wrist joints that are powered by myo-electric (electrical impulses in muscle) sites on the body. More commonly used in upper extremity prosthet-ics is a body-powered prosthesis which utilizes certain muscle groups through harnessing to control the elbow and/or terminal device (hook or hand). Every amputee is different and each has specific goals and desires that are addressed by the prosthetist, physician, and thera-pist when deciding on the most appropriate and beneficial prosthetic design to use. Thankfully, sheer determination is what has allowed Gary to return to the activities he once enjoyed with both hands. He has learned how to modify his surroundings and his equipment to achieve his goals, most importantly not letting limb loss slow him down. Thanks to Gary’s resourcefulness and ingenuity, he has been able to modify a number of tools in his work shop and on his farm that allow him to continue wood working, gardening, running his tractor and skid steer, and also, of course, taking evening rides on the 4-wheeler to enjoy the beauty of nature on his property with his lovely wife.

Robin McRae is a Certified and Licensed Prosthetist at Compre-hensive Prosthetics & Orthotics, Inc. (CPO). CPO provides orthotic and prosthetic care to patients throughout Central Illinois. With unmatched patient care and dedicated professionals, CPO also houses an on-site fabrication department where custom orthoses and prostheses are designed and created for each patient. CPO can be reached by calling toll free 888-676-2276. Visit the website at www.cpousa.com.


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While stopping at dad’s for a quick visit, you see their mail and all the stuff about Medicare. Dad says all of the insur-ance information is very confusing and he just wished

there was only one choice. Life today is active, especially for women aged 45–56 who care for both their parents and children. These people are caught in the “sandwich generation” and these columns are focused on issues affecting you. The Medicare Plan choices can be confusing, especially during the Annual Enrollment Period from October 15–December 17 every year when people can change plans. This column will address the global options in this and the next issue. The first information needed is whether your parents have a group plan or must buy their own Medicare Plan. The first choice is to determine if they wish to stay with Original Medicare (OM) or choose a Medicare Advantage Plan (MA). OM is the governmental program started in 1965; MAs are where a private insurance company set up benefits (at least as good as original Medicare), services the plan, and pays claims. A number of private companies can offer MAs. Both OM and MAs have their advantages and disadvantages and it is most important to consider one’s personal situation. To know which one is best for mom and dad, you must understand how OM and MAs work. Most people who have OM buy a gapfiller to pay the co-pays not paid by Medicare. They also buy a Medicare Prescrip-tion Drug (Part D) plan. Most commonly, MAs have co-pays, and work much like group insurance with an out-of-pocket maximum. If the person does not have drug coverage, MAs can include RX coverage. MAs may also include coverage for services not covered by OM such as dental, vision, and hearing. Most MAs also have provider networks and it is important to understand: if you must go to network doctors (HMO) or if a person can go to any Medicare doctor, but the plan pays better for network providers (PPO).

So which type of plan is best for mom and dad? People incur-ring a lot of medical expense such as oxygen, chemotherapy, or having surgery may be best covered under OM and a good gapfiller. Note: MAs have co-pays—the co-pay for oxygen and chemotherapy may be 20% of the bill up to the out-of-pocket. Conversely a person in good health or a person who is no lon-ger going to be aggressive with their treatment may find an MA to work well. In many cases, the big difference between the two types of Medicare Plans is the premium. MAs may have a substantially lower premium. More information can be found at www.medicare.gov or www.MRMS-INC.com. Talk with qualified insurance agents. Their help can be invaluable. You may pay the same premium if you enroll online, but you have the agent’s future help. Helping mom and dad and caring for your children simultane-ously is not easy. It is very helpful to discuss and plan for reason-able future events, and a sandwich generationer should guide their parent through these issues including the primary issue of safety, while being careful not to take all control away from a parent. Once again, it is important to start talking, making suggestions and guiding early, do not wait for a crisis. If you would like a list of “questions to ask in different aspects of care”, see our website and look under the “Patient Advocacy Division.”

For more information, contact Medical Reimbursement and Management Services, Inc., focusing on the issues of the elderly: legal, financial, residential, and healthcare issues. Call: 693-1060 or 1-800-383-1061. Website: www.MRMS-INC.com. Location: 809 W. Detweiller Dr., Peoria, IL 61615.

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Most people who go by Susan Shaw’s house know it before they get there. How? Easy, it’s the smell of fresh baked goods coming from her business, Central Illinois Events

and Catering, in Elkhart, Illinois. Whether it’s her breads, pies or one of seven types of butter cake, Susan Shaw’s business is prospering. The recipe for her success was simple: mix equal parts passion, determination, training, family support and the assistance of The Department of Human Services, Division of Rehabilitation. But as Susan will tell you, the road to success was a challenging one.

In 2002, Susan was successfully employed as a customer service order correspondent in Springfield, Illinois. “I handled the orders from the initial call from the sales representative, till the time the supplies were picked up and taken away.” Susan balanced her hectic work schedule with the real passions in her life—her family and her baking. “I always loved baking and cooking for my family and also for people through my church. Baking has always been my passion!” It was then that the road became bumpy. Susan was home recovering from a surgery when she noticed that she didn’t feel well. “I remember I just felt faint, sort of flu-like

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Susan’s business has picked up in a short period of time. “I now go to many of the farmers markets in the area. I also stay busy with catering, and after the beginning of the year I’ll start providing cooking classes. Things have really turned out very well.” Success for Susan is a recipe she doesn’t mind sharing.

To learn more, call 1-877-761-9780 Voice, 1-866-264-2149 TTY, 1-866-588-0401 VP, or read about the Division of Rehabilitation Services at www.dhs.state.il.us. Refer yourself or someone else for services using the online Rehabilitation Services Web Referral.

symptoms. I decided to go the hospital just to make sure things were okay.” The news at the hospital surprised everyone. Susan was suffering the effects of a blood infection known as Sepsis, and was in septic shock. “My family was told I was being kept comfortable. They didn’t think I was going to make it through this.” Susan ended up losing nine of her ten fingers and all ten of her toes. “Those were the long days—I felt pretty hopeless for a while there. But I knew I had lots of family and friends to help me through this.” That support also included contacting the Department of Human Services, Division of Rehabilitation Services. Staff from DRS’s Home Services Program met with Susan and began to plan how they could help her adjust to her return home. “My work with DRS started with the very basics. They (the staff) helped me adjust to doing things without the use of fingers and toes. It really put things in perspective for me.” Little by little Susan began to increase her independence and plan for her future. She informed her DRS counselor that baking was a passion of hers that she would like to pursue for employ-ment. Susan and her counselor worked together, and shortly thereafter she began the Hospitality and Culinary Arts Program at Lincoln Land Community College in Springfield, Illinois. Having been through so much already, Susan was determined to make it work. “I knew it would be a challenge to make it hap-pen, but I was confident I could start my own business.” Susan discussed this with her counselor and they agreed to a business plan. The Division of Rehabilitation Services assisted Susan with some equipment to start her own business, as well as consultation on the business plan. The result was Central Illinois Event and Catering in Elkhart, Illinois.

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feature story

ter and ambulatory surgical treatment facility fully accredited by the Accreditation Association for Ambulatory Healthcare (AAAHC). We have also expanded our staff from 11 to over 20 employees. We expect to continue to grow in 2013.” Prairie Spine & Pain Institute offers patients a comprehensive assessment, integrated therapies and medical condition manage-ment program designed for the unique needs of patients with spine and pain conditions. The program utilizes the Gold Standards for healthcare programs from organizations such as the Institute for Clinical Systems Improvement (ICSI) and the Guided Care model by Improving Chronic Illness Care. Patients statewide have chosen

Dr. Richard Kube has launched PowerCore for Life™, a new integrated care team approach for the assessment, therapies, and management of patients with spine and pain conditions.

We don’t treat pain. We treat people with pain. This is the standard by which Richard Kube II, MD, Founder and Medical Director at Prairie Spine & Pain Institute in Peoria, has run his practice for the past three years. “We moved into our current location in April 2010, and in April 2012 we completed a significant expansion,” says Dr. Kube. “Our new 15,000-square foot facility includes a new Quality of Life cen-

Prairie Spine & Pain InstituteIntroducing Our New Surgical Facility…As Part of Our Integrated Care Model

By Sara Browning

Our new surgical facility offers immediate access to carefor all patients including those with work related spine & pain injuries.


Prairie Spine & Pain Institute for its reputation as a comprehensive integrated care solution and its provision of quick access to world class spine and pain care professionals.

An Integrated Care Approach Prairie Spine & Pain Institute is a comprehensive integrated care spine center that specializes exclusively in spine and pain for adult trauma or degenerative medical conditions. The facility offers a comprehensive assessment and integrated therapies with the core objective of creating unique medical solutions for every patient. Dr. Kube and his entire collaborative team of healthcare providers offer patients an integrated treatment care plan designed specifically for their unique spine or pain condition. “Everything we do here focuses on enhancing the quality of life for our patients. We offer an individualized plan of care for each patient with a focus on optimal outcomes and accessibility,” says Dr. Kube. Integrated care means providing patients with everything they need in a single location. Patient care resources, including a surgi-cal treatment facility and diagnostic scans, are located in the same building as Prairie Spine & Pain Institute. When patients enter, they are welcomed by a fireplace, Starbucks coffee, and big screen TVs to help make their time as comfortable as possible. Says Dr. Kube: “Now patients don’t need to go to separate loca-tions for surgery, therapy, medications and life counseling. We now make everything available in one new integrated care facility. This keeps the patient from having to navigate the waters of healthcare on their own and eliminates the frustrations that go with it.”

Building a Positive Patient Experience Prairie Spine & Pain Institute’s team of providers and specialists begins the rehabilitation process with therapies designed for each unique situation. The facility’s new PowerCore for Life™ System now enables patients to participate in their own active care plan. The facility provides all the tools needed to achieve recovery success. Prairie Spine & Pain Institute is the only practice that utilizes the PowerCore for Life™ System. The “Core” references a person’s

spine, and “Power” means getting back the function in life that a patient requires to enhance and optimize his or her quality of life. The PowerCore for Life™ System utilizes computerized functional rehabilitation equipment designed to help rehabilitate patients with work and sports injuries. The same equipment is used by all of the NFL teams, Tiger Woods and the Navy Seals. The system combines exercise with the excitement of a video game, helping patients recover faster from injury. "For many patients, physical therapy is a lifestyle change,” says Dr. Kube. “The question we asked ourselves was: How can we make physical therapy more enjoyable and engaging and help the patient forget about the pain? Our PowerCore for Life™ system engages the patient to focus on the game, which increases their focus on the therapy and exercise and decreases their awareness of the pain they're experiencing.” Prairie Spine and Pain Institute's PowerCore for Life System utilizes he interactive qualities of a game to motivate the patient. It also provides a point scoring system so the patient can person-ally follow their progress, along with the therapist. It motivates the patient to work at their maximum capacity, receive the most from their exercise session and stay actively engaged in their recovery. Prairie Spine & Pain Institute’s PowerCore for Life™ System provides patients with real-time feedback through its sensors and computer software. A patient’s position is visually represented on a computer monitor as he or she engages in rehabilitation exercises. The computer pushes the patient at various levels while stimulat-ing the patient’s movement through the desired range of motion. Patients will not only experience an increase in power but also an increase in control. The influx of power and control speeds the healing process and prevents future injury.

Integrated Care Components The most significant facet of the new PowerCore for Life™ System is its integrated care components designed to assist patients in achieving optimal recovery: Quality of Life, Restoration of Function, and Pain Reduction.

Dr. Kube with members of the Integrated care team.


Quality of Life includes:COREgoals: Working with patients’ Health Coaches, Prairie Spine & Pain Institute staff works with patients to build goals together to improve their quality of life.

COREplan: The staff at Prairie Spine & Pain Institute helps patients build a plan that helps them to achieve their life goals.

COREaction: Prairie Spine & Pain Institute staff shows patients how to take personal action with a self-care management plan.

Restoration of Function Encompasses:COREmotion: The manual therapies provided help patients regain their active motion.

COREstrength: The staff works with patients’ core muscles to help them regain the strength they need to enjoy life.

COREcontrol: Prairie Spine & Pain Institute staff works with patients to re-educate their body to improve overall balance & control.

Pain Reduction includes:COREcare: The staff listens to learn about patients’ conditions then creates the best possible medical care plan.

COREhealth: The staff helps patients understand how their overall health impacts their spine or pain condition.

CORElife: The staff helps patients integrate medical care options to enhance their daily life.

When primarily focusing on Quality of Life, the specialists at Prairie Spine & Pain Institute assign patients a health coach to help them cre-ate and achieve life goals. One example of a patient’s life goal might

be walking two blocks without pain. A health coach assists patients in developing a plan tailored to their unique need to achieve this life goal and to create steps that will help a patient gradually work toward the point when he or she no longer needs to see a healthcare provider. “At Prairie Spine & Pain Institute we focus on the whole person, not just the symptoms they are experiencing,” says Dr. Kube. “While this may sound simple, providing this level of integrated care is very com-plex. However, the benefits far outweigh the complexities of offering this type of care planning.”

For more information onPrairie Spine & Pain Institute, visit

www.prairiespine.com or call 309-691-7774. Prairie Spine & Pain Institute is located in their

newly enhanced and larger facility at7620 North University Street, Peoria, IL 61614.

feature story continued

Richard A. Kube II, MD, is a board-certified, fellowship-trained spine surgeon who is gaining an international

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Addiction is a baffling disease that afflicts not only an indi-vidual but also their family and friends. The path to recovery and sobriety can be different for everyone. One path is the

12-step program. Bill Wilson and Dr. Bob Smith published their first book, Alcoholics Anonymous (AA), also known as “The Big Book”, in 1939, outlining their 12 steps and putting forth their mis-sion to bring sobriety to others. From there, the 12-step program has been adapted and put to use for many other addictions, such as Narcotics Anonymous, Gamblers Anonymous, and Sex Anony-mous. The Big Book has now been edited many times and printed in many different languages. Alcoholics Anonymous is represented in more than 180 countries with more than 2,000,000 members. The 12-step program is intended to guide recovery. Its goal is for members to get sober, stay sober, and to help others achieve

sobriety. It is not only about stopping the addiction but also under-standing the emotional and mental causes. The program itself is defined as “designed to assist in the recovery from addiction or compulsive behaviors, especially a spiritually-oriented program based on the principles of acknowledging one’s personal insuf-ficiency and accepting help from a higher power.” The first step is the most important step, most say, because it’s the admittance that you are powerless over your addiction and that your life has become unmanageable. The following 11-steps are personal and spiritual and require a personal desire for change. The program works by providing a guideline and suggested steps toward recovery. By discussing these steps in AA meetings, and in treatment when necessary, alcoholics are encouraged (but not forced) to explore the different aspects of the AA philosophy. At Alcoholics Anonymous meetings, members are asked to speak one at a time about their own experience. The 12-step program began through Alcoholics Anonymous and now covers a large spectrum of diseases, from addictions to compulsions. It has grown to be the most widely used treatment approach not only with recovery from alcohol, but also drug abuse and other behavioral addictions. The 12-step program has gained a very large following and has positively impacted many lives.

Sources:http://www.12step.org/http://www.alcoholoics-anonymous.org/en_pdfs/-24_aafactfile.pdfhttp://www.aa.org/en_pdfs/p-42_abriefguidetoaa.pdfhttp://www.answers.com/topic/twelve-step

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Recovery Month September is Recovery Month, a time to celebrate sobri-ety and remember those who have been afflicted with the disease of addiction. Please join us by celebrating, and participating, in our annual Recovery Walks! on September 22 at the Illinois Institute for Addiction Recovery located on the campus of Proctor Hospital in Peoria, Illinois. To find out more, and to register, visit proctor.org, proctorgiving.org, and visit us on Facebook—you might even like us! You may also call 309-693-0414. It’s time to be on the road to recovery! For additional information or to make an appointment, call 1-800-522-3784 or visit www.addictionrecov.org. Vickie Lewis is a Corporate Services Clinician at the Illinois Institute for Addiction Recovery.


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likely find that an even greater percentage of our population suffer from some form of brain disease. NAMI continues to offer education and support in our com-munities to let our friends and neighbors know of medical innova-tions and that progress is being made. New medications are being developed, and scientific research is experiencing tremendous breakthroughs in the understanding of the brain, body, and mental illness, resulting in more effective treatments to allow people to reclaim full and productive lives. We continue to offer help and support to share and lighten one another’s burdens. As knowledge of the brain, with its complex structure, chem-istry, and function has grown, the very definition of mental illness has evolved. Yet in spite of our growth and change, the misun-derstandings about mental illness continue to plague our world. Studies show that one in four people suffer from a mental illness at some time in their lives. Our culture often wrongly imposes a stigma on mental illness. NAMI is committed to educating the public about mental illness and preventing stigma in our commu-nities. In addition, NAMI members receive alerts notifying them of potential changes in legislation which may affect the care our loved ones are receiving. We encourage awareness of and partici-pation in our governments' local, state, and national health care actions. We increase community awareness of the research being conducted into different mental illnesses and encourage support of those research efforts. Both physical and mental illnesses can be properly controlled in most instances with various treatments. We now realize that mental and physical illnesses are basically one and the same. NAMI Tri-County Illinois offers to the public the following assort-ment of educational classes during the 2012 MIAW:• Tuesday, October 9: Timothy J. Bruce, PhD will be speaking

on "Common Factors of Effective Psychological Treatments for Bipolar Disorder." Dr. Bruce is Professor and Associate Chair of the Department of Psychiatry and Behavioral Medicine at the University of Illinois College of Medicine - Peoria (UICOMP). He is a speaker who makes complicated ideas simple to understand and who enjoys answering questions from the audience.

• Thursday, October 11: A panel of experts consisting of a psychiatrist, a pharmacist, a registered nurse, a medical social worker, an individual with mental illness and a family member will answer questions from the audience.

• Saturday, October 13: A lighter topic of Humor in Medicine will be enjoyed at the annual dinner, which will be at the Embassy Suites in East Peoria, Illinois.

For more information, contact NAMI office at 309-693-0541 and/or visit our website at www.namitri-county.org

In the 1970s, a group of concerned parents in Wisconsin got together to work toward supporting and educating one another. They also wanted to help their mentally ill family members find

resources and receive the care they needed to live more com-plete, productive, and independent lives. The group, called AMI (Association on Mental Illness), grew from a small community in Wisconsin to encompass the country, and became organized as the National Alliance on Mental Illness (NAMI) in 1979. NAMI’s efforts did indeed raise awareness of mental illness and the need for support of the mentally ill and their families. Congress decided to recognize the first full week in October as Mental Illness Aware-ness Week (MIAW). NAMI now has organizations in all 50 states and thousands of local affiliates across the country The many affiliates of NAMI strive to keep up with the rapidly multiplying complexities of modern life. We are beginning to work with post-traumatic stress syndrome as it becomes recognized in military personnel as well as in victims of natural disasters and other traumatic life experiences. As we develop more efficient treatments for and a deeper understanding of all mental illnesses including drug, alcohol, gambling, sex, and even shopping addic-tion, hoarding, and other as-yet-unknown mental illnesses, we will

Mental IllnessAwareness Week

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Have you ever had that feeling of dread that you are going to have to talk to “you know who” at the office that drives you crazy? Unfortunately, most work places have a difficult person. In their

book One Month to Live (2008), Kerry and Chris Shook describe these people as sandpaper. They rub against us the wrong way. It’s abrasive, hurtful, and annoying. Dealing with that person can be difficult as you try to balance maintaining a good work environment with being happy and productive at work. Here are some ideas on how to handle those tough people.

• Examine yourself first. Always start with self examination to deter-mine that the problem really exists with the difficult person’s actions. Take some time to examine your role in the issue. Are you overreact-ing? Did your buttons get pushed? Does a pattern exist with you and other coworkers? Make sure you address your role in the problem while trying to find a remedy to the problem.

• Explore what you are experiencing with a trusted friend or col-league. Frustration, hurt, humiliation, and concern about making the situation worse can often make it difficult to objectively assess your options. By expressing those legitimate emotions first, you can brain-storm possible ways to address the situation. Be careful when discuss-ing the issue with another coworker in the same office. You do not want to be perceived as rabble-rousing or ganging up on the other person.

• Approach the person privately. Talk to the person about what you are experiencing when they do “what they do.” Use “I” statements and be specific about why it bothers you. Focus on your experi-ence in the situation and how their actions impact you as opposed to attacking or accusing the other person. Think “Hey, Sally, I just wanted to let you know that it really bothers me when you say that. I’m sure you don’t mean for it to come out like that but it does.” Instead of “Good grief, Sally, you are always saying things like that and it’s annoying.” It’s entirely possible that he or she may not be aware of their effect on you and it may come as quite a shock. Try to be pleasant and agreeable. Attempt to reach an agreement about positive and supportive actions going forward.

• Follow up. After the initial discussion, decide if a follow up conversa-tion would be helpful. If the behavior has changed, it might be impor-tant to recognize the change and effort the other person has made. It might be an opportunity to rebuild the relationship if you thank them. If the behavior hasn’t changed, determine if another discussion would have any impact or if you need to discuss it with a supervisor.

If you have tried the first four recommendations with little to no success, it may be time to involve others. Plan a talk with your boss. Prepare what you are going to say. Be objective with specific examples of the problem and how it affects your productivity and the work envi-ronment. Don’t make it about personal attacks or you’ll risk losing credibility and may appear as a whiner. Recognize that a good boss is likely to bring the difficult coworker into a joint discussion in order to find resolution. Unfortunately, there may be situations where all your attempts do not work. If that is the case, you may want to consider talking with supportive family or friends or an employee assistance counselor for more guidance. Dealing with difficult people can be tricky business. Using these strategies will hopefully ensure that you are not the difficult person other’s are trying to deal with.

Dennis Crowell is a Licensed Clinical Social Worker at True North Solutions. He provides counseling for adults on many topics including anxiety, stress, marital concerns, parenting issues, and work-related problems. Please contact True North Solutions at 309-589-8900 for an appointment.

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Low Testosterone Signs and Symptoms:Not Just a Part of Aging

Submitted by the Midwest Urological Group

Men's health

Have you been feeling unusually tired even after a full night’s rest? Do you fall asleep in your chair after eating dinner? Have you lost your edge, your sexual drive, or even the abil-

ity to achieve an erection? Have you gained extra weight—espe-cially in your abdominal region—even though your eating habits have remained the same? Do you take chronic pain medication for conditions such as diabetes, hypertension, or hyperlipidemia? If you answered yes to one or more of these questions, you may have a condition known as male hypogonadism, better known as low testosterone.

How Common is Low Testosterone After age 30, a typical man loses one to two percent of his testosterone per year as part of the natural aging process. When a man loses testosterone at a younger age or at a higher percentage, this abnormal loss may lead to male hypogonadism. The highest prevalence of hypogonadal men are over 45 years of age. There are roughly 16-20 million men in the United States that have low testosterone, and fewer than 10 percent of this group are being treated for signs and symptoms associated with the disease. The following list shows the frequently associated chronic con-ditions identified with low testosterone:

Chronic Condition PrevalenceChronic Opioid Use (painkillers) 74%Obesity 52%Diabetes 50%Hypertension 42%Hyperlipidemia 40%Erectile Dysfunction 20%

Why is Testosterone Important to Men As the primary male hormone, testosterone is vital for increase in muscle mass and strength, decrease in visceral fat, increased bone density and strength, height stimulation, bone maturation, cognitive function, libido, and erectile function. Examined exclu-sively, these attributes can have a significant impact on a man’s quality of life. However, when low testosterone levels are normal-ized, a man exhibits an amazing physical change.

How is Low Testosterone Diagnosed Men with symptomatic low testosterone will often speak about how they don't feel like themselves anymore. They may experience constant fatigue, decreased libido, or an inability to achieve an erection. They have visceral fat and claim they no longer have the same amount of physical strength. In such cases, a few simple blood tests can determine whether the man has low testosterone. A total testosterone and a free testosterone blood test will reveal the results. A few additional tests should be performed for safety, including a digital rectal exam, prolactin, hematocrit, hemoglobin, PSA, LH, FSH, and a bone density test. If the man has low testos-terone and all other tests come back normal, it is time to discuss the options of Testosterone Replacement Therapy.

Testosterone Replacement Options Good news! Many treatment options have an excellent chance of improving a man's symptoms. Testosterone can be adminis-tered via injections, patches, gels, topical solutions, buccal treat-ments, and pellets. Increased energy, increased muscle mass and decreased vis-ceral fat, increased bone density, increased libido, better erections, and increases in cognitive function are just a few of the benefits normalizing testosterone levels can achieve. Understanding that these issues may or may not be the result of natural aging is an important first step. The next step involves setting a time to talk with your physician about your symptoms and having the appropri-ate tests administered to find out if low testosterone is indeed the issue. Men that are treated experience a significant increase in their quality of life and in the quality of their marriage. Oftentimes a man’s spouse will say: "Thank you for giving me my husband back!"

Midwest Urological Group traces its history to 1945. With eight locations, the practice is the oldest and most innovative urologi-cal medical practice in Downstate Illinois that serves both female and male conditions. For more information on low testosterone, ED or to schedule an appointment, contact 1-888-483-1637. Located at 7309 N. Knoxville, Peoria, IL 61614. Visit us on-line: www.midwesturologicalgroup.com.

Joseph J. Banno, MD


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RETIREMENT APARTMENTS■ Intimate, elegant community for those 55 or better.■ Choices of apartment styles on a month-to-month basis, no endowment fees.■ All utilities paid, except telephone.■ Array of services, from home cooked meals to housekeeping and linen service.■ Recreational, social, and educational events.

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Healthy Pets

How Much is thatPuppy in the Window Really?

The Real Cost of Pet Shop PuppiesBy Lauren Malmberg

How can anyone resist those big eyes, droopy ears, and sloppy kisses? Yes, it's hard to pass by puppies for sale in pet shops. Those little balls of fur couldn't possibly be a

problem—could they? The "papers" they come with guarantee a quality pet, right? Sadly, those assumptions don't hold true. Pet shops purchase their live merchandise—puppies—from commercial breeders. Although governed by local, state, and federal laws, these commercial operations generally fail to provide temperamentally sound, healthy puppies. Instead, uninformed buyers find themselves with dogs who have genetic disorders, poor health, or temperament problems. In addition, to further aggravate the situation, each time a pet shop sells a puppy, it creates a vacuum for the commercial breeder to fill. The more we buy, the more they breed. Commercial breeders, often referred to as puppy mills, mass produce puppies for the retail market. Now, with the advent of the internet, they even sell their pups online. They often breed dozens of different breeds with no consideration for temperament, conformation, or health. Female dogs live their entire lives in filthy cages with no socialization, no human companionship, and no activity. They receive no grooming so their coats become matted and painful, and their nails grow long and curve into their pads. They live with hundreds of other dogs and must listen to constant barking. Bred on each heat cycle, their bodies age more quickly. Once these dogs fail to cycle or produce, they get euthanized (if they're lucky). Male dogs fare only slightly better. Puppies born into these situations get pulled from their mothers long before eight weeks, shipped to pet shops, and then sold to unsuspecting buyers. These pups don't benefit from the socializa-

tion and behavior lessons that come from staying with their mother and littermates until eight weeks of age. Yet, they're the lucky ones—they get to leave the horrible environment their parents are doomed to live in. These puppies, while they may be purebred dogs, are not qual-ity specimens of their breeds. Often, they exhibit signs of ill health or chronic medical conditions that can cost thousands of dollars. In extreme cases, the puppies die. Sometimes, they develop undesirable or aggressive behaviors due to their poor beginnings or genetic dispositions. How do we stop these inhumane practices? Legislation is not enough; we have to stop purchasing puppies from pet shops and commercial breeders. If you're looking for a new dog, visit your local animal shelter where millions of dogs end up each year. Shelters have recognizable purebreds as well as all-American mutts—most young, friendly, healthy, social, and a great addition for any family. Looking for one breed in particular? Check out breed rescue groups; you can find one for virtually every kind of dog. These rescue dogs often stay in group-sponsored foster homes who help socialize and train them while awaiting new owners. Foster homes can give you a good idea about the dog's personality, behavior, health, housebreaking, habits, tricks, and more. If you still want a purebred puppy, check out a reputable breeder. A reputable breeder can be identified by their com-mitment. They breed only the best to the best, paying attention to conformation and temperament. They willingly show you the parents of the puppies so you have an idea of the kind of pet you can expect. Reputable breeders usually offer guarantees and will often take their puppies back if there's a problem. Reputable

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breeders provide veterinary care for their dogs, and they generally don't separate mom and puppies until eight to nine weeks of age. Check with your local kennel club or other dog-fancy club for refer-rals to breeders who do it right! National organizations like the Humane Society of the United States and the American Society for the Prevention of Cruelty to Animals have attacked the commercial breeding (puppy mill) indus-try full force. With campaigns like the ASPCA's No More Pet Shop Puppies, they're working to make the public aware that even one pet shop purchase hurts. Every time someone buys a puppy from a pet shop, a commercial breeder is incentivized to breed their dogs again. It's a matter of supply and demand. You can help by not being a part of the demand. Don't buy your next dog from a pet shop, consider adopting or going through a reputable breeder.

Lauren Malmberg is the Animal Control Administrator/Director for the Peoria County Animal Protection Services/PAWS. Come visit our wonderful pets, waiting for their forever home. We are located at 2600 NE Perry Avenue, Peoria, IL, 61603. Call: 309-672-2440.

A special thank you to Waggin’ Tails Doggy Daycare Resort of Goodfield, Illinois for sponsoring this article. For your doggy daycare, grooming and kenneling needs, come visit Waggin’ Tails today! Call: 309-642-9299 or e-mail: [email protected]. Demaceo L. Howard, M.D., FIPP


depression

Many people will occasionally experience periods of depression in their day to day lives. Signs of depression can include a number of symptoms: general sadness, difficulty sleeping or

oversleeping, fatigue, loss of appetite with possible sudden weight loss or the opposite with overeating and sudden weight gain, not wanting to exert self in exercise or general activities, loss of interest in pleasurable activities, difficulty concentrating, social isolation, feelings of worthless-ness, lowered tolerance to stress, and loss of endurance. Fortunately, there are a number of steps that can be taken to reduce or alleviate the feelings of depression. We all need a little push some-times to go about our daily lives and elevate our mood to positively influence all that we do. Often this can be accomplished through self-help. At other times, we may need the help of a counselor to work through these symptoms. Let me focus on some of the self-help strategies that can be imple-mented to improve our mood:• Use positive self-talk. This can be as simple as saying, “I’m OK.”

Focus on moving forward. Positive self-talk can help with this.• Engage in physical exercise for at least one half hour a day, such as

walking. Physical activity and exercise has been found to reduce the symptoms of depression and anxiety.

• If you find yourself obsessing with sad thoughts, distract yourself by doing an activity, seeing a movie, or mindfully concentrating on something positive.

• Listen to soothing music. Although be careful to avoid songs or music genres that might be a trigger for painful feelings or memories.

• Use your faith or spiritualism to lean on and gain strength.• Push yourself to go to work and stay involved with work related activi-

ties around the house. Depression has a way of engulfing more of your life if you give into it.

• Don’t neglect your sleep habits. Get eight hours sleep each night. Go to bed and get up at the same time every day.

• Talk to your spouse and friends. Reach out to those close to you and converse with them. Try to focus on positives in the conversation, being open to their support when offered.

• Make a decision to smile even if you don’t feel like it. Do this multiple times during the day. Check yourself out in a mirror so you can see your facial features when smiling.

• Focus on helping others through volunteer work or help someone else in need of support. For a few moments you will be focused on something other than yourself.

• As simple as it may seem, viewing old pictures with pleasant memo-ries can be a resource to lift your spirits.

• It has been found that we need regular exposure to direct sunlight to keep our moods elevated. Get exposure to at least 30 minutes of sun a day. Try not to spend too much time in rooms with standard fluorescent lights.

These are just a sample of some of the self-help techniques that anyone can try to improve their mood. All of us possess the power to help ourselves improve our mood at times when we might feel depressed. Sometimes it may take a variety of these techniques to elevate our mood. There may also be times when we need the additional help of a pro-fessional counselor. Counseling can help you process any hurt and grief you may be experiencing. It can provide special assistance to lift your spirit and help you move forward. For individuals with severe symptoms of depression including those who may be experiencing thoughts of suicide or death, the assistance of an emergency responder through the services of your nearest hospital emergency room or 911 services is recommended.

Joe Croegaert is a Licensed Clinical Social Worker with the practice of Chapin & Russell Associates and can be reached by calling 309-681-5850 or 1-800-333-2095. They are located 3020 W. Willow Knolls Drive, Peoria, IL, 61614. Visit us online and schedule an appointment today at www.cra4solutions.com.

ReboundingBy Joe Croegaert, LCSW, Chapin & Russell Associates

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Patients choose home dialysis because of the many benefits it offers,” says Vicki Dick, Regional Manager of Affiliated Home Dialysis. Home Hemodialysis (HHD) has really been around since

the 1960s, but the early equipment was cumbersome and required expensive adaptations for water and electricity. Eventually HHD fell from popularity as outpatient dialysis centers opened in many neigh-borhoods. Affiliated Home Dialysis uses the NxStage System One home dialysis machine, which is portable and easy to use and maintain, with no special plumbing or home modifications required. The supplies needed are delivered to the patients’ homes. Since 2007, Affiliated Home Dialysis has been offering Hemodialysis patients the option of more frequent dialysis at their homes, and the benefits the patients have experienced have greatly increased the qual-ity of their lives. Home Hemodialysis (HHD) patients dialyze frequently,

but for shorter periods of time than traditional hemodialysis patients. “HHD comes closer to mimicking the function of the normal kidneys, so patients have less fluid and waste in the body between dialysis treatments,” says Vicki. “The result of the increased frequency, then, is improved patient health and outcomes.” “It’s just like having your own kidneys!” says Mark Stuckwisch, who has dialyzed at home at least five days a week for five years.

What are the Benefits that more frequent dialysis offers?• Improved health, fewer adverse side effects, less medication

expense, fewer hospitalizations. Your Doctor will prescribe a dialysis program for you when you qualify to dialyze at home. Most HHD patients dialyze five to six times weekly for approximately two to two and a half hours (as opposed to three times weekly with other

Home HemodialysisOffers Many Benefits

Submitted by the Affiliated Home Dialysis Centers

Affiliated home dialysis centers

“

Mark Stuckwisch


forms of dialysis,) and studies have shown that HHD patients experi-ence lower death rates, fewer and less severe negative side effects, and more favorable results overall. Realistically, the risks involved with any dialysis treatment may include high blood pressure, depres-sion, appetite alterations, fluid overload, heart issues, low blood pressure, and others. Patients who have frequent dialysis have less fluid and waste build-up because their blood is cleaned more often. As a direct result, many HHD patients have found they are taken off their blood pressure medications within weeks; they don’t have fluid restrictions imposed upon them, the pressure of excess fluid is taken off the heart and lungs, and appetite returns. HHD is a gentler form of dialysis; when dialysis is more frequent, less fluid builds up, so there is less fluid to take off, therefore there is less stress on the body. This gentler form of dialysis means less cramping, headaches, dizziness, and nausea during treatment. Studies have shown that many HHD patients are recovered and ready to perform their normal activities right away after dialysis. Mark adds, “I used to feel really worn down after dialysis, having to take a nap after I left the center. I was literally ‘out of it’ for the rest of the day. That never happens now; I live my daily life right after dialysis!” Healthier patients mean less ill-ness and hospitalizations.

• Flexibility of schedules and reduc-tion of travel-related expenses. No appointments necessary! Home Hemo-dialysis patients are able to dialyze at their leisure, making it possible to have freedom and flexibility to live their lives as they please. “Being in your own liv-ing room, sitting in your own recliner, watching your own TV at your own con-venience makes dialysis more bearable,” says patient Michael Sousa of Tiskilwa. “I don’t have to worry about going out to

the dialysis center in bad weather, and I don’t have to worry about going out to the dialysis center in good weather,” he laughs, “…when I dialyze is up to me!” Of course, dialysis patients who remain at home reduce their driving time and expense; which at this time in the economy saves lots of dollars! Most insurance providers cover patients who choose home dialysis, and qualified patients may also access Medicare and Medicaid for coverage. There is little, if any out-of-pocket expense involved in HHD.

• Knowledge, control, and involvement in treatment. Patients who choose HHD are directly involved in their dialysis treatments, their health outcomes, and their plan of care. “I have a positive outlook on my future, and a great relationship with my doctor,” says patient Stuckwisch, “I feel like less of a victim, and more like a conqueror of my condition!” This is a common outlook expressed by HHD patients, as they monitor their bodies daily, and learn to understand and gain control of their health. Mark Stuckwisch adds, “Sometimes I’m sur-prised when I’m called ‘a patient’, I rarely feel like ‘a patient!’”

Patients are selected for home Hemodialysis through a collaboration of their Interdisciplinary Care Team, including themselves and family, their nephrologist, dialysis nurse, dietician, and social worker. “There’s no place like home…” adds Vicki, the Nurse Manager for Affiliated Dialysis.

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technicians are on call 24/7 for patients who dialyze at home. For an informational appointment, call 309-698-1800.

Sister Bernadette Kouri andher caretaker Sister Marion

Michael Sousa and Family


I have never been lost,” legendary frontiersman and trailblazer Daniel Boone once said, “but I will admit to being confused for several weeks.”

Boone explored the heartland of America in a time before every inch of the natural world had been mapped. Today, the online world gives would-be explorers an ever-expanding frontier to roam, with something new to discover around every corner. For some—especially those of us who came to computer use later in life—the world on the other side of the computer monitor can seem like harsh and unforgiving terrain. If your family is trying to invite an aging loved one to stay in touch with distant relatives online, you know it’s not always easy. Here are a few helpful tips for tenderfoot explorers and practiced trailblazers alike.

First thing’s first; let’s talk about your web browser. If your aging loved one has a Windows computer, it almost certainly has a copy of Microsoft Internet Explorer installed on it. While IE works fine, there are a number of different programs that work better, faster, and (sometimes) safer than Internet Explorer. While Microsoft’s program can be crowded with options bars, menus, and extra buttons, Google’s Chrome browser offers a

much simpler web experience, with less hunting through a lot of bells and whistles to find what you want. It removes a number of barriers for inexperienced web surfers. To get started, go to www.Google.com/Chrome.

Once you have a browser you’re happy with, it’s off into “the cloud.” In a nutshell, the cloud lets you store your files online and use applications through your web browser instead of installing them on your home computer. But for individuals who have a hard time understanding Web 1.0, Web 2.0 can be even more confusing. For an easy first experience with the cloud, point your family mem-ber to Google Drive (Drive.Google.com). It offers a complete set of work tools similar to Microsoft Office (a word processor, a spread-sheet program, and much more) and it lets them save their files on Google’s network or on their home computer. One good part of this deal is, it’s absolutely free!

With all this online exploration they’re off doing, it’s important to help them keep an eye on their computer’s immune system. Do they have an antivirus program installed? If so, help them make sure it’s up to date. If not, have them visit Free.AVG.com. The AVG

Helping Aging Loved Ones toExplore the Digital Frontier

Submitted by Lutheran Hillside Village

“

technology tips


antivirus program is remarkably tough for a free program (although the paid version offers even stronger protection). While you’re at it, have them visit Malwarebytes.org. Another free program, Malware Bytes keeps computers free of “malware,” “spyware,” and other malicious little programs that can impair their machine or even compromise their security.

But, if they want the simplest online experience possible, you might want to suggest that they invest in a tablet computer like Apple’s iPad or Samsung’s Galaxy Tab. At just over a pound, they’re remarkably easy on older wrists. Touch screens and simplified menus make them a snap to use, and a universe of apps make them very, very versatile. If you can do it on a desktop computer, there’s a good chance you can do it on a tablet. Most tablets also have cameras built right in, making it super easy to upload photos right to your email program, and utilize video chat technology like Skype or Apple’s Facetime program. As any good online sherpa will tell you, there’s no guide that can tell you everything you can do online. Half the fun is in the exploration. Invite your family member to get to know message boards (like Red-dit), social networks (like Facebook and Twitter), blogs (like Huffington Post or The Daily Beast), and news aggregators (like MyYahoo). Most importantly, join them as a traveling companion. It’s no fun finding new adventures alone!

At Lutheran Hillside Village, we’re here to support all your aging loved one’s adventures! Peoria’s most comprehensive senior living community, we offer an active, engaging lifestyle for older adults. To learn more, call 309-692-4600 or visit LutheranHillsideVillage.org today.

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of sleep a night and if the average relationship lasts 24 years then that loss will add up to two years. The study also found that snoring affected relationships, as partners of snorers suffered from a loss of sleep and felt upset and frustrated with their loved one. “If you continually lose sleep due to a partner snoring, you build up a sleep debt and, if you don't catch up, you end up with chronic sleep deprivation. People that are sleep deprived are more likely to have a car accident, experience marital disharmony and they don't perform as well when at work,” says Dr. Rod Willey of the Illinois Institute of Dental Sleep Medicine. Treatment options for snoring and/or sleep apnea may include life-style changes, surgery, Continuous Positive Airway Pressure (CPAP), and oral appliance therapy. Oral Appliance Therapy has proven to be a very viable and scien-tifically-based treatment option for Snoring and/or Obstructive Sleep Apnea. The American Academy of Sleep Medicine issued a statement in the 2006 journal SLEEP that Oral Appliance Therapy was approved as the first line of treatment for those suffering from mild to moderate Obstructive Sleep Apnea and, in many cases, proved to be effective for severe sleep apnea as well. “The purpose of the oral appliance is to hold the jaw in a position that allows the airway to remain as open and firm as possible during sleep,” says Willey. “Oral appliances are similar to athletic mouth guards, but less bulky and completely non-invasive,” he continues. Oral sleep appliances are covered by most medical insur-ances and Medicare.

For more information on oral appliance therapy, contact Dr. Rod Willey at the Illinois Institute of Dental Sleep Medicine. As a general dentist, with a Diplomate from the Academy of Clinical Sleep Disorders Disciplines, Dr. Willey has limited his practice to the treatment of snoring, sleep apnea, and TMJ Disorders with oral appliance therapy. To contact them, call 309-565-8149 or email them at [email protected].

If you have a partner who snores, it will come as no surprise to learn researchers say you’re losing sleep over it. It’s true that sleeping with a snorer can take a toll on your health. People who sleep next

to snorers report high levels of fatigue and sleepiness and may even be at a higher risk for hearing loss. Often, snoring is due to obstructive sleep apnea, which is character-ized by episodes of interrupted breathing during sleep, which leads to regular nighttime awakenings linked with a number of health problems including heart disease, high blood pressure, depression, weight gain, and stroke. Studies show that the person with sleep apnea isn’t the only one waking up or suffering from sleep deprivation. When the apnea is accompanied by loud snorts and snoring, the bed partner may wake up as often during the night as the person with the actual sleep disor-der. One study from the Mayo Clinic in Rochester, Minnesota, found that spouses of snorers woke up, at least partially, an average of 21 times an hour, nearly as often as the 27 times the snorers who were awakened by their sleep apnea episodes. According to a British study by the British Snoring and Sleep Apnea Association (BSSAA), people with partners who snore lose two hours

healthy sleep

Secondhand Snoring?Submitted by Illinois Institute of Dental Sleep Medicine

“I had suffered from loud snoring and day-

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To look at them, you wouldn’t think

When it comes to your heart, know your EF score.Your Ejection Fraction (EF) score is used to measure your heart’s strength. And a score below 35 could mean you’re at risk for Sudden Cardiac Arrest — especially if you have ever had a heart attack, heart failure or heart surgery. Talk to your doctor about your risk for Sudden Cardiac Arrest and how the experts at HeartCare Midwest and OSF Saint Francis Heart Hospital can help with some of the area’s most comprehensive services for EF evaluation and treatment. Watch these patient stories and learn more about sudden cardiac arrest at www.heartcaremw.com/EF

they were under 35.

Terry—EF score 32Dolores—EF score 30

Betty—EF score 20

2389 1 A 100% 100% bw7.75 x 4.875

Amy JamieHealthy Cells

2389_SFMC_SCA_HealthyCells_7_75x4_875_bw.indd 1 8/8/12 3:18 PM

This isour idea ofa merger.Family... it’s far more important than profits.

That’s why inthese days of mergers and corporate takeovers, we’ve made a commitment to stay a family-owned business.

3 0 0 4 W e s t L a k e A v e n u eP e o r i a , I l l i n o i s 6 1 6 1 5

www.ClaryFunerals.com • 309-686-0166


Dialysis. Near where you live.Near where you work.14 locations in the Central Illinois area.

Home dialysis available.

(309) 698-8300

Be A Part OfThe Movement ...

Start a team or register as an individual at www.alz.org/illinoiscentral, or call the Alzheimer’s

Association-Central Illinois Chapter at 800.272.3900.

Reclaim the Future for Millions of Americans.

Tazewell County WalkSaturday, Sept. 22, 9 a.m. Mineral Springs Lagoon, Pekin

Peoria WalkSunday, Oct. 7, 2 p.m. Liberty Park on the Peoria Riverfront

Midwest Ear,Nose & ThroatAssociates

Providers:Robert T. Parrish, MDJames C. Hertenstein, MDMichael J. Gootee, MDRyan M. Hendricker, MD

Services:Head & Neck Surgery

Balloon Sinuplasty OffersMinimally Invasive Sinus Surgery

In Office Mini CT Scanner using low dose radiation

Voice and Swallowing Disorders

Hearing Evaluation & Hearing Aid Dispensing

Midwest Ear,Nose & ThroatAssociates

board certified otoLarYNGoLoGiSt

OSF Center for Health8600 N. State Rt. 91

Suite 300Peoria, Illinois 61615

Morton Medical Center1600 S. 4th Suite 120Morton, Illinois 61550

309-691-6616www.mw-ent.com

Removes New Home

Construction Debris

Reduces Allergy

Symptoms

MEINDERS AIR DUCT CLEANING INC.

Improve Your Indoor Air Quality

#1 in Central Illinois for 34 Years

309-686-9128 Peoria/Dunlap309-353-7338 Pekin

Call NOW to find out how to rid your home of indoor pollutants!

• Improve your indoor air quality and breathe cleaner air

• Help your heating & cooling system run more efficiently and save money

• Fully insured• We also clean chimneys & dryer vents

Providing caring professional service to deliver the very best in hearing healthcare to you and your family

• Diagnostic Hearing Evaluations

• Digital Hearing Aids

• Assistive Listening Devices

Doctoral and Master’s Degree Audiologists with over 45 Years Combined Experience

Trial Period with Hearing Aid Purchase

CareCredit Financing Options

Convenient Walk-In Hours at Both Locations

M o r t o n M e d i c a l C e n t e r1 6 0 0 S . F o u r t h A v e

M o r t o n3 0 9 • 2 8 4 • 0 1 6 4

O S F C e n t e r f o r H e a l t h8 6 0 0 R o u t e 9 1 N o r t h

P e o r i a3 0 9 • 6 9 1 • 6 6 1 6

www.mw-ent.com/hearing-center

• Custom Ear Plugs

• Repair of Hearing Aids

• Hearing Aid Supplies

Associated with Midwest Ear, Nose & Throat Associates, S.C.

Wheelchair and Walker Tune-up clinic

Friday, September 14th • 1:00 PM

Join us for refreshments as we offer educational materials about walkers and wheelchairs while we clean up your device

and make sure it is fitted properly and safe for use.

Cour t yard Es ta tes o f Peoria 117 N. Wes tern Avenue • Peoria, I L

www.cour t yardes ta tes .ne t/peoria

“Affordable Living for Active Seniors”

For more information please call us at:

309.674.2400

Courtyard Estatesof Peoria

pathways

Friday, November 9, 2012 • Par-A-Dice HotelCUREageous Main Event 6:30 p.m. – Midnight

JammSammich 9:00 p.m. – Midnight

Join Us for a Party You Won’t Want to Miss that Will Honor Docs that Rock in the Field of Research

Outrageously

All proceeds will directly support clinical research and education provided by:

We Are On An Outrageous Mission To Find A CURE!

For tickets or more information, visit www.illinoiscancer.com/cure

or call (309) 243-3320

271143 ILCC Curageous ad_7.75x4.indd 1 8/2/12 4:45 PM

All patients are treated with compassion, respect, experience, and expertise.

Richard A. Kube II, MD, FACSSBoard Certifi ed,

American Board of Spine Surgery Board Certifi ed,

American Board or Orthopedic Surgery

(309) 691-7774www.prairiespine.com

7620 N. University, Suite 104Peoria, IL 61614

Spine Surgery Minimally invasive spine surgery.

First spine surgeon in Illinois to perform multilevel cervical disc replacement.

Only Peoria area spine surgeon operating at an outpatient Surgery Center.

Documents

September Peoria Healthy Cells 2012