August Bloomington Healthy Cells 2011

areaPromotingHealthier Living in Your Community • Physical • Emotional • Nutritional

BLOOMINGTON/NORMAL August 2011 FREE

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

TM

Central IllinoisOrthopedic Surgery

Would You Rather Snore?page 26

Beating the Battleof the Bulgepage 14

Managing Stresspage 10

Helping the Aches and Pains Go Away pg. 20

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August 2011 — Bloomington — Healthy Cells Magazine — Page 3

This Month’s Cover Story:Volume 6, Issue 8

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8

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Nutritional:Are Foods "Made With Real Sugar" Healthier?

Physical:A Prescription for Wellness

Emotional:Managing Stress

Vasar® Technology:Beating the "Battle of the Bulge" in a Better Way

Medical Insurance:How to Save Money on Your Healthcare

Helping The Fight:Pics For A Cure

Surviving Parenthood:Parenting a Child With Special Needs— A Balancing Act

Headache Treatment:The Window of Opportunity

The Well-Adjusted Child:Socioemotional Competence

CPAP Treatment:Would You Rather Snore?

Healthy Feet:Little Feet Can Have Big Problems

Fitness:You're Too Busy NOT to Exercise!

Minimally Invasive Surgery:Climbing the Steps of the Evolutionary Ladder of Medicine

Healthy Finances:Back to School for Your Finances?

Know The Difference:Should You Go to the Emergency Room or Urgent Care?

Prescription Drugs:Side Effects—The Real Story

Pediatric Audiology:Hearing Loss in Children

News Flash:And the Research Says…

AUGUST

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 and Pastelle Magazine are both a division of:

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

www.healthycellsmagazine.com and www.pastellemagazine.com

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

2011

Central Illinois Orthopedic SurgeryHelping the Aches and Pains Go Away

page 20

Cover and feature story photos by élan Photography

Last month's article, The Biggest Weight Loss Liewas not printed in it's entirety. Please go to

www.JulieDostalRD.com to read the complete article.


Page 6 — Healthy Cells Magazine — Bloomington — August 2011

You've probably seen those "made with real sugar" ads on TV and heard about food makers replacing high fructose corn syrup with "real sugar" in everything from ketchup to crackers. "Real sugar"

may be the craziest comeback since platform sandals, John Travolta and the Red Sox. Though those comebacks made people grin. Sugar has NO redeeming social value! Food manufacturers want you to think that "real" or "natural" sugar is sweeter for your health. Don't fall for it. Regular readers of this column (love yah!) know we're not fans of high fructose corn syrup. Like all added sugars and syrups, it pumps your body full of empty calories, sends your blood sugar soaring faster than the express elevators at the Empire State Building, and gums up proteins in ways that load your arteries with lousy LDL cholesterol. (Hello, heart attack and stroke.) High sugar levels also increase blood fats called triglycerides, which threaten your ticker, skin and sex life. And HFCS has been poured into all kinds of food, from salad dressings to chili. Since 1960, we've gone from 0 pounds a year of HFCS to more than 50 pounds per person. Even though we've cut back some, Americans are still in sugar shock: We down 22 teaspoons of added sugars each day. That's average! And it's two to three times what your body can handle. The American Heart Association wants women to top out at six to seven teaspoons a day, and men at 10. Personally, we eat less than that. Because whether added sugars come from table sugar, organic brown sugar or raspberry syrup, they subtract from your health. Our goal for you is our goal for ourselves: zero added sugars and blood sugar below 110. Anything higher ages your arteries, which ultimately ages every part of you. That's why the new pro-sugar ads make us itch (Mehmet) and twitch (Mike). Oh, one more thing: If the fructose in HFCS indeed turns out to excel at making you gain weight, know that table sugar contains almost as much: Both it and HFCS are about half fructose. Yep, the same sugar found in fruit. But while the small amount of fructose in an apple or mango is fine because fruit's fiber slows down its absorption (so your blood sugar doesn't rocket up), the large amounts in sodas, candy, desserts and candy-topped yogurt aren't. Here's what they do to your heart, bloodstream and belt size: Added sugars spell double trouble for your waistline. First, there are the extra calories. Second, a big hit of fructose makes you overeat

by revving up ghrelin, your body's "I'm hungry" hormone, and turning down two hunger-controlling hormones, insulin and leptin. They invite diabetes. Chugging one to two regular sodas, sweet iced teas or fruit punch drinks a day raises your diabetes risk 26 percent. Why? Excess fructose drives up blood sugar levels by indirectly telling muscle cells to resist insulin's orders to absorb blood sugar. They raise your blood pressure. Downing lots of added sugars doubles your risk for hypertension. The top blood pressure numbers for people in one test who consumed the fructose in just 2.5 sodas a day were as high as 160. You (and your heart) want that number to be 115! Added sugars aren't just where you'd expect to see 'em (soda, dessert, candy). They're also hiding in deli meat, ketchup, soup, bagels, crackers, cereal and even some baby food. Thanks to a loophole, manufacturers aren't required to list added sugars sepa-rately from those found naturally in fruit, grains and dairy foods (which your body knows how to handle). You have to outsmart three food-industry tricks to find 'em:

Trick 1: "Natural" and "organic" sweeteners. Unrefined brown sugar, unrefined dehydrated cane juice, raw sugar, honey, maple syrup, molasses, barley malt, rice syrup and agave are still added sug-ars. A few of these have a smidgeon of other nutrients, but not enough to compensate for the smackdown sugar gives your body.Trick 2: Disguised names. The ingredients list may not say "sugar" or "HFCS." But there's added sugar if any of these are on the label: brown sugar, cane sugar, confectioners' sugar, corn sweetener, corn or other syrups, honey, molasses, fruit juice concentrate, cane juice, invert sugar, malt sugar or anything ending in "ose" (dextrose, fructose, glucose, lactose, maltose, sucrose). Trick 3: Multiples. Food makers are splitting up the sweeteners, so you may not spot 'em till you're halfway down the ingredients list. Keep reading, and look for more than one. Don't be fooled — but we know you're too smart for that. The YOU Docs, Mehmet Oz and Mike Roizen, are authors of "YOU: On a Diet." Want more? See "The Dr. Oz Show" on TV (check local listings). To submit questions, go to www.RealAge.com.© 2011 Michael Roizen, M.D. and Mehmet Oz, M.D. Distributed by King Features Syndicate, Inc.

Are Foods "Made With Real Sugar"Healthier?

nutritional

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


nutritional

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A Prescriptionfor Wellness

By Dr. Tom Rohde, Renew Total Body Wellness Center

I’ve been writing about various wellness topics in prior Healthy Cells issues, and I hope that you have found them informative and helpful. If you are tired of being tired, your tests are all

“normal” yet you don't feel that way or, worse yet, you seem to be experiencing more problems with your treatments than before - maybe it’s time to think outside the box and make some changes. Following are some good suggestions that you can start right now.

Gut health is a great place to start. You have to be able to digest your food and then absorb it to be able to utilize the nutri-ents to nourish your body. Treat your body like a Ferrari – you would put in the best fuel to protect your investment – do the same for yourself. Eliminate sugar. It is pro-inflammatory in the body and anything that creates inflammation is bad as all things

physical


that are destructive in your body have an underlying basis of inflammation. Heart disease, diabetes, lupus, cancer, and others come to mind. In the same way minimize other simple carbohydrates like potatoes, white rice, and breads as they convert rapidly to glucose in your body raising the inflamma-tion index. Take a daily probiotic as the bacteria in your gut are vital to digest and absorb food and they also produce antiviral and antibiotic like substances to keep you healthy naturally! Choose organic vegetables for your seven daily servings and fruits for your two daily servings. Additionally, select hormone free meats when you can. Eliminating extra toxins, antibiotics, and growth hormones utilized in com-mercial foods is well worth the investment.

Drink only purified water. If possible, invest in a reverse osmosis system for your drinking water and ice cubes as it eliminates a great majority of the toxins found in your drink-ing water. Skip the soda. The phosphoric acid in it must be neutralized to avoid damaging your body. To do this your body would need the equivalent of 33 liters of water and since none of us would wash down a 12 oz soda with that volume, it breaks down bone to accomplish the task. This slowly leads to our increasing case load of osteoporosis.

Exercise is vital to extended health. You don’t need to train to become a world class athlete. I like walking – it’s easy, safe, and a cheap way to get started, and you can do it anywhere. If you are overweight or obese, as an ever increasing part of our society is, then weight loss is an important health promoter to add to your list of things to do. Gradual loss due to dietary changes mentioned above and increasing your exercise are the best avenue. To be suc-cessful long term you may need to look at your hormones, at your adrenal function, and consider evaluating your toxin load as that interferes with metabolism. If those systems are not optimized it will make losing harder, and regaining easier. I can help with those evaluations.

Supplements are an integral part of any wellness program. No matter how well we choose our organic foods, even the freshest fruits and vegetables don’t have the nutritional qual-ity that they did 100 or even 50 years ago! I suggest that we are all deficient, particularly in magnesium and the B

vitamins as they are water soluble and are rapidly flushed out of the body. Taking a good multivitamin that has a strong B complex component, or adding in a B complex to your pres-ent daily vitamin twice daily to keep your urine a bright yellow color all day long is a good place to start as B vitamins are vital to so many metabolic processes in the body. Similarly people are often deficient in magnesium which helps with headaches, sleep problems, and a variety of other issues. Vitamin D is a supplement I have been recommending for years but seems to have become popular in the last year and with good reason. We are nearly all deficient in this, especially if we live north of Atlanta, Georgia’s latitude. We need levels at 50 and higher to help manage diabetes, prevent various cancers, and help with the management of lupus, rheumatoid arthritis, and other inflammatory diseases as Vitamin D is really structured like an anti-inflammatory steroid hormone! Fish oil is another vital supplement every-one should take regularly. It is also anti-inflammatory and helps with cell wall structure and is wonderful to help man-age abnormal lipid levels, in particular triglycerides. There are many other helpful supplements, but it is important to take them with a doctor’s supervision.

Dr. Rohde is a board certified Family Physician who incor-porates an alternative model of health care in a traditional medical setting. The focus of Renew Total Body Wellness Center is to help people identify what is amiss in their body and preventing their optimal function by using advanced testing modalities. For more information and to start edu-cating yourself, consult his website www.DrRohde.com. You may call 217-864-2700 to schedule a personal evaluation.

A Prescriptionfor Wellness

By Dr. Tom Rohde, Renew Total Body Wellness Center

physical


you may experience stomach cramps because of the emotional stress of an upcoming job interview. Stress is a normal part of life and in small quantities, stress is actually helpful — it can motivate you and help you be more pro-ductive. However, too much stress, or a strong response to stress, is harmful. It can set you up for general poor health, as well as physical and psychological illnesses like infection, heart disease, and depression. Ongoing stress can lead to anxiety and unhealthy behaviors like overeating and abuse of alcohol or drugs. It is important for people to be able to manage the stress that they have. Stress management involves controlling and reducing the tension that occurs in stressful situations by making emotional

Stress is a widely used term that means different things to dif-ferent people. In general, stress is a feeling of emotional or physical tension. It can come from any situation or thought

that makes you feel frustrated, angry, or anxious and can affect the way you think, act and feel. Emotional stress usually occurs in situations people consider difficult or challenging. What may be difficult for one person, such as speaking in public, may be easy for someone else. Physical stress refers to a physical reaction of the body to various triggers. For example, the pain experienced after surgery is an example of physical stress. Physical stress often leads to emotional stress, and emotional stress often occurs as physical stress. For example,

Managing Stress

emotional

Submitted by Dr. Anjum Bashir


and physical changes. This is easy to say, but much harder to do. Many people don’t even realize that they are under stress because they have felt that way for so long. Other people realize their stress, but feel powerless to do anything about it. To manage stress, you must first recognize and address the source. This can be difficult, because stress may come from almost every area of your life and the sources may not be con-scious. A first step is to take an inventory of what you think might be making you "stressed out," trying to be as honest with yourself as possible:• What do you worry about most?• Is something constantly on your mind?• Is there something that you fear will happen?• Do you have daily hassles such as arguments with family members?• Do you feel overwhelmed by everything you need to do?• Does anything in particular make you sad or depressed?

Once you have acknowledged that your stress level is unhealthy, the following suggestions may help you develop your own indi-vidual stress management program. • Physical Activity: Exercise is a proven stress reliever. Walk for

just 20 minutes a day, especially outside when the weather is nice. Take regular breaks if your job requires sitting for most of the day.

• Nutrition: A poor diet puts the body in a state of physical stress and weakens the immune system. This form of physical stress also decreases the ability to deal with emotional stress, because not getting the right nutrition may affect the way the brain pro-cesses information. Don’t skip breakfast, cut back on caffeine, and eat on a regular schedule.

• Social Support: Make an effort to socialize. Even though you may feel tempted to avoid people when you feel stressed, spending time with people you enjoy usually helps people feel less stressed. Volunteering or helping others can be an amazing stress-reliever.

• Relaxation: Learn about and try using relaxation techniques, such as guided imagery, listening to music, or practicing yoga or meditation. These may take some practice, but most people find that they work. People who have outside interests, hobbies, or other ways to relax are better able to handle stressful situations

• Attitude: A person's attitude can influence whether or not a situation or emotion is stressful. Some people are naturally more optimistic and are better able to shake off a negative situation or event. Try to eliminate the negative “self-talk” that may be permeating your thinking and replace it with positive statements.

• Make Time for Yourself: Get enough sleep, say no to extra commitments when possible, schedule “me time”, not just the “free time” that is left over after you do everything else.

Managing stress is not an easy thing to do. If these stress man-agement techniques do not work for you, then it’s smart to get professional help. Mental health professionals can help you inden-tify the sources of your stress and help you learn stress manage-ment strategies, including relaxation techniques. For more information, please contact Anjum Bashir, MD at 309-808-2326. His office is located at 205 N. Williamsburg, Suite E in Bloomington.

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There’s nothing more frustrating than working hard at some-thing but not getting the result you want. For some people, diet and exercise are not enough to create the physique

they’re hoping for. So, more Americans each year are also using surgical options to smooth out those problem spots. According to the American Society of Plastic Surgeons, 1.6 mil-lion cosmetic surgical procedures were performed in 2010 in the United States, an increase of nearly two percent from the prior year. Of these, 203,000 procedures were liposuction, representing an increase over the 198,000 procedures performed in 2009. As liposuction becomes more common, significant advance-ments have been made in technology and techniques, creating less invasive procedures with reduced recovery time, while also providing patients with effective body contouring results. VASER® (Vibration Amplification of Sound Energy and Reso-nance) is the brand-name for technology using sound waves in liposuction procedures to dissolve fatty tissue prior to removal. First developed in 2001 by Sound Surgical Technologies, LLC, the VASER® Lipo system – the third generation of this technology – recently received FDA approval and is available in the McLean County area. “We’re thrilled to have this cutting edge technology available for our patients,” states Dr. Paige Holt, a Bloomington-area board cer-tified Plastic and Reconstructive Surgeon who uses the VASER®

Lipo system. “Along with improving a patient’s satisfaction with their body, this technology significantly improves the overall experi-ence,” she adds. VASER® liposuction uses ultrasound waves – the same high fre-quency sound waves used to check babies during prenatal exams – to break up fat cells prior to removal. The targeted area is injected with tumescent fluid (a special saline solution) which numbs the area,

makes the local blood vessels smaller, and temporarily expands the target area making fat cells easier to remove. Small incisions in the skin are made and a narrow probe is inserted into the target area to emit ultrasonic frequencies, vibrating the fat cells free from the surrounding material. The fat cells then combine with the tumescent fluid which is gently removed from the body by suction. Using the VASER® technology to loosen the cells before removal allows the surrounding blood vessels, nerves, and con-nective tissues to remain unharmed. “My patients are very pleased with results from VASER® Lipo procedures,” shares Dr. Holt. “I’ve noticed they return to work quickly, and report having much less pain, bruising, and swelling as compared to patients who have experienced traditional liposuction,” she continues. “I love the way I look!” raved Ann, a patient of Dr. Holt. “Now, how many times do women truly say they love the way they look?” she mused. The VASER® technique is considered less complicated than tradi-tional liposuction, typically resulting in lower overall cost. Some pro-cedures can be performed in one office visit with the patient awake, while others situations may require sedation at a surgical center. Either way, the VASER® technique can typically be completed as an outpatient procedure, allowing the patient to recover in the comfort of their own home and in less time than traditional liposuction.

For more information, you may contact Dr. Paige Holt at the Center for Cosmetic and Laser Surgery, 309-663-1222, online at www.osfplasticsurgery-bloomington.org or www.drpoulter.com. Her office is located at 1505 Eastland Dr., Eastland Medical Plaza 1, Suite 350 in Bloomington. More information about Vaser technology can be found at www.vaser.com

Beating the“Battle of the Bulge”

in a Better WayBy Linda Hankemeier

vaser® technology


medical insurance

Healthcare is continuing to get more and more expensive, despite many efforts to control costs. There are likely a great number of reasons for this, and I don’t believe any solution is going to

be easy or arriving quickly. There is, however, one way you can start saving on your healthcare today, especially if you are relatively healthy. Many families (and businesses too) are switching to higher deductible insurance plans in order to save money on their monthly premiums. High-Deductible Health Plans (HDHPs) were given a push by 2003 legislation granting tax preferences to funds set aside to pay for out-of-pocket medical expenses—conditional on enrollment in a plan having a minimum deductible of $1,200 for individuals and $2,400 for families (for year 2011). There are two major advantages of high deductible plans. First is that they will lower healthcare costs by causing patients to be more cost-conscious, and second is to make insurance premi-ums more affordable for the uninsured. A self-paid high deductible insurance plan will likely cost even less than paying for your employer sponsored insurance plan. For example, a high deductible plan for my family of five costs me around $230 per month with a major insurance carrier. Unfortunately, more and more employers are unable to afford health insurance for their employees, so maybe you need to obtain insurance on your own anyway. For those that still have insurance through their employer, many businesses have already started switching their health insurance plans to high deduct-ible plans to save the company money. These plans are often coupled with a Health Savings Account (HSA) to offset upfront expenses. A high deductible plan may not be for everybody, especially if you have ongoing medical problems. But if you and your family are rela-tively healthy, it makes sense. By taking care of your health, like watch-ing your diet and regular exercise, you can continue to save on your healthcare expenses. You get to keep more of your own money if you keep costs low by staying healthy and avoiding the doctor. A high deductible plan also gives you choice. You can shop around for better price and service, rather than going only where your insurance carrier dictates. Many doctor’s offices across the country are offering a lower

price by accepting only cash for their services, which can save you even more money. By not having the administrative costs of insurance paperwork and billing, the doctor passes the savings on to you. How high is too high? Insurance carriers offer even up to a $10,000 deductible plan. What is right for you is a personal choice. Often these high deductible plans are coupled with a HSA (Health Savings Account) that can offset some of the upfront expenses. I doubt many will choose a deductible that high, but a $10,000 deductible is still better than not having insurance at all. That way, if a family member does have some sort of catastrophic event requiring hospitalization, it won’t bankrupt you (although you may have to sell that new car!)

For more information, visit www.familyquickcare.com

How To Save Money On Your Healthcare

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Pics for a Cure

helping the fight

Millions of people are diagnosed with cancer every day and most people know someone that is affected by a can-cer diagnosis. Warren King, owner and photographer of

Photos by Warren in Bloomington, has found new purpose in pho-tography after his wife was diagnosed with stage 1 breast cancer. Warren has developed “Pics for a Cure”, an organization based on the love of photography and the wish to make a difference. For Warren, the fight against cancer is very personal. Many of his loved ones have fought cancer, including his father, mother, best friend, and wife. At the beginning of his wife’s continuing fight against cancer, Warren asked himself, “How can I help fight this monster disease?” and that is when he came to the decision to refocus his business and create a photographic organization to raise funds towards a cure. Warren’s desire is to use his talents in photography to do his part in fighting this devastating disease and support finding a cure.

By Karen Tucker

Pics for a Cure is a socially aware organization focused on mak-ing a difference with the craft of photography. Pics for a Cure has dedicated 25% of all funds received to the betterment of humanity with a focus on cancer research. Currently the organization is developing professional and aspiring photographer sponsorships with a club like atmosphere. The organization also offers profes-sional photographer networking through their sponsorships and collective marketing programs. Warren's desire is to focus Pics for a Cure around all levels and areas of photography. As the orga-nization grows, new and exciting opportunities for photographers and supporters will be posted on their Facebook page.

For more information, please visit www.picsforacure.com


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surviving parenthood

Most parents would agree that parenting requires a very dif-ficult balancing act, even in the best of situations. Raising a child with special needs adds significantly to this bal-

ancing act. Parents are constantly balancing everyday life – work, school, homework, meal preparation, bedtime, and household maintenance. And for parents of children with special needs, there are additional obligations to be met - appointments with doctors, various therapists, counselors, teachers, and follow through activi-ties or exercises to do at home. The National Family Caregivers Association (NFCA) Research has shown that 40-70 percent of family caregivers show clinically significant symptoms of depres-sion with approximately a 25-50 percent of these caregivers meet-ing the diagnostic criteria for major depression (2006 “Assessment of Family Caregivers: A Research Perspective.”) Prevention of, and help for depression that results from the challenges of parenting a child with a special need is critical. Counseling can help parents achieve balance in key areas to prevent more significant problems.

Emotional Stress: Some stress is healthy. We need some stress in order to keep our bodies ready to react to ”fight or flight” situ-ations. However, too much stress can negatively impact our well-being as evidenced in changes to appetite, arousal, attention, and mood. Given the extra stressors experienced by parents of children with special needs, it is not uncommon to struggle with anxiety and depression.

Self-Care and Physical Needs: Taking time out to care for our-selves often gets pushed to the bottom of our list of priorities. However, as parents we are at our best when we have taken care of ourselves. If time is limited, efficient forms of self-care through-out the day can be effective. Take 5 minutes a few times a day and tend to yourself!

Social Relationships: Parents often feel that they are the only ones who can care for their child’s special needs. This feeling lim-its options for babysitting, which limits opportunities to establish and/or maintain social relationships. Make sure to take the time to create and sustain friendships that nurture your well-being.

Discipline: Discipline can be a unique struggle for parents of chil-dren with special needs. Parents might experience feelings of guilt or self-blame about their child’s challenges, and feelings of guilt can lead to too much tolerance of negative behaviors. Tolerance of negative behaviors may also be the result of feeling bad for all the child has to cope with. All children, special needs included, need consistency, structure, clear expectations, and limits.

Advocacy: Parents are their child’s best advocate. As a child’s needs become more significant, so does the need for advocacy. So how does one develop and maintain positive relationships when access to needed services often feels like an uphill battle? • Learn all you can about your child’s special needs. • Familiarize yourself with your child’s legal rights, such as the

Individuals with Disabilities Education Act (IDEA), the American’s with Disabilities Act (ADA), and the Individualized Education Pro-gram (IEP) laws and requirements.

• Avoid placing blame. • Identify goals. Be a working partner with the professionals

involved with your child. • Take a supportive family member or friend along with you to

meetings.

Having Fun: Parenting a child with special needs is, first and foremost, parenting. Parent’s interact and play games with their children, and while a special need may require that we modify our play, play is still a necessary part of our parent-child relationship. Find a fun activity your child enjoys and build it into their bedtime or bath-time routine.

Spirituality: Spirituality is the area from which your life purpose and meaning is derived. This might make it the most important area in your life balance. Be aware of the times throughout your day that you demonstrate your values and beliefs. Acknowledge that positive effort.

None of this is easy and it may seem even more daunting with the extra stressors that come with having a child with special needs. Balance is the key to living life to the fullest, so you can be the reasonably stressed, cared for, social, spiritual, and fun parent-disciplinarian-advocate that your child needs and you deserve to be.

For more information on parenting while raising a child with spe-cial needs or for information on counseling services, contact Kath-leen Bautista at 309-663-8275 or visit www.ci.easterseals.com.

Parenting a Childwith Special NeedsA Balancing Act

By DeeAnne Reimers, MA, LCPC and Carla Morris, MA, LCPC


headache treatment

Cervicogenic headache is a pain referred to the head from a source in the cervical spine. The international headache society recognizes cervicogenic headache as a distinct

disorder, since injuries to upper cervical spine joints can cause headache after head trauma or after whiplash. The estimates of prevalence of cervicogenic headaches may be as high as 17% in the general population. A variety of nerves in the head and neck are involved in head pain conditions. However, the final common pathway is through a prominent nerve with multiple connections called the trigeminal nerve. This nerve, also known as the fifth cranial nerve, provides sensation to virtually most of the head and neck structures. The mechanism underlying the cervicogenic headache involves the connections between cervical and trigeminal nerves. This allows for upper cervical pain to be referred to the head. Cervicogenic headaches are usually only on one side (unless there is bilateral cervical spine problem) and is aggravated by neck movements and external pressure on the back of the neck. Pain is usually of moderate intensity and is not throbbing. There may be associated symptoms of nausea and vomiting, eye pain, blur-

ring of vision and sensitivity to light and sounds. The pattern and the nature of the connections in the nervous system as described above, creates the window of opportunity, where numbing of the nerves in the cervical spine, may relieve the patient of the head pain condition. The procedures may range from occipital nerve blocks or a cervi-cal epidural steroid injection to numbing the nerves supplying the joints of the upper cervical spine. The results are usually a dramatic relief from a headache and neck pain condition that was unrespon-sive to conventional medical therapy for many painful years. This the fourth 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.

For more information, you may contact Dr. Benjamin Taimoorazy at Guardian Headache and Pain Management Institute, 309-808-1700, www.theGuardianPainInstitute.com . This new practice is located at 2203 Eastland Drive, Suite #7, in Bloomington.

The Window of Opportunity By Dr. Benjamin Taimoorazy, Guardian Headache and Pain Management Institute


feature story

Surgery Is Not Necessarily the First Choice Dr. Nord began in 1980 as a solo practitioner of orthopedic care and surgical treatment. His office was located in the old Mennonite Hospital building in downtown Bloomington for nine years. When Brokaw Hospi-tal and Mennonite merged to form BroMenn (now Advocate BroMenn) and the downtown facility closed, Dr. Nord took advantage of the new office building that St. Joseph Hospital (now OSF St. Joseph) had con-structed and relocated his practice to Eastland Medical Plaza I, where patients continue to receive treatment today.

The aches and pains of life haven’t really changed much over the years. Knees, hips, shoulders, and other body parts wear out over time through use and over-use. While knees still hurt,

hips still ache, and shoulders throb, the advances in medical tech-nology and treatment options have changed significantly over the past 30 years. So much so that it’s easier than ever to make the pain go away. The overarching goal of Dr. Larry Nord and Dr. Brett Keller and their staff at Central Illinois Orthopedic Surgery is to help their patients enjoy life with minimal pain.

Central IllinoisOrthopedic SurgeryHelping the Aches and Pains Go Away

By Becky Wiese


feature story

Both Dr. Nord and Dr. Keller, who joined the practice in 2005, treat a variety of orthopedic problems, but the majority relate to knees, hips, and shoulders. Treatment includes anything from non-invasive pain medication to total joint replacement. “We practice orthopedics first and orthopedic surgery second,” says Dr. Nord, meaning they prescribe a variety of conservative measures such as behavior modification (losing weight and home exercise regimens), non-steroidal anti-inflammatory medication, intermittent cortisone or hyaluronic acid injections, activity restrictions, orthotic bracing, ambulatory aids (such as a cane, walker, or crutches), and physi-cal therapy in an effort to alleviate a patient’s pain without surgical intervention. These “stop gap” measures can work for a relatively long period of time, especially for those patients who do not want to have, or for other medical reasons can’t have surgery. But the stop gap measures do not heal the damage, and at times, surgery is the best and only remaining option. In cases of trauma to the joint, surgery may be necessary immediately. Dr. Keller agrees. “When we’ve tried everything and the patient is still dealing with pain, and the pain is causing a lifestyle change such that the patient can’t work or do simple things they enjoy doing or even get a good night’s sleep, then joint replacement can change people’s lives.”

Changes and Improvements Over the Years Both physicians concur that perhaps the biggest change in orthopedic surgery over the past 50 years has been the advent of minimally invasive procedures. For example, in the 1980s when Dr. Nord began his practice, arthroscopy had just been introduced. Prior to arthroscopy, the protocol to work on knees or shoulders included “opening up the joint” with a large incision, which neces-sitated a lengthy hospital stay. “Thirty years ago, 75% of orthopedic surgeries were done in a hospital. Now less than 15% take place in a hospital. The vast majority are done in an outpatient facility; the patient goes home the same day and rehabs in an outpatient reha-bilitation facility. That’s been a big transformation during my years of practice,” says Dr. Nord. Arthroscopy is one type of minimally invasive surgery in which several (2-4) small incisions are made allowing the surgeon to insert a special scope and instruments to work inside the joint. The inci-sions are normally less than the diameter of a pencil. These proce-dures can be done in an outpatient facility, a less expensive option than hospitalization. Because the incisions are so small, the patient has less down time, a faster recovery, and less damage to surround-ing muscles, ligaments, and tendons. “Typically patients have a faster return to full range of motion, as well as a quicker rehab,” says Dr. Keller. Arthroscopic surgery is used to repair knee problems such as torn meniscus, anterior cruciate ligament (ACL), and medial collateral ligament (MCL), and is especially beneficial for debriding, flushing, and cleaning areas within the joint caused by early stage arthritis. In shoulders, arthroscopic procedures are used for impingement syndromes, rotator cuff inju-ries, and dislocations. Minimally invasive surgical techniques provide even greater advantages in joint replacement procedures. Dr. Keller explains that for a knee replacement, a traditional incision is 8-12 inches; now, using minimally invasive methods, the incision is only 3-4 inches and the quadriceps tendon is not cut. In addition to a faster recovery from the surgery itself, the patient has a faster return to full range of motion because there is less trauma to the body dur-ing surgery. Similar benefits are reaped through a minimally inva-sive hip replacement surgery. Smaller incisions, less muscle and soft tissue damage, and faster recovery make this an appealing option for many patients.

Because all orthopedic surgeries entail some degree of reha-bilitation, Central Illinois Orthopedic Surgery offers physical therapy services through the Neuro Ortho Rehab Center, located on Eldo-rado Road in Bloomington. This state-of-the-art facility includes 7,600 square feet of equipment and space which allows physical therapists and assistants to work with each patient to regain their physical mobility and range of motion post surgery. “It’s very ben-eficial for our patients because the physical therapists work with the physicians and the patients very closely,” says Dr. Nord.

Options for Each Patient With the variety of treatment options and strategies available, Dr. Nord sees himself primarily as a source of information for patients. When a new patient comes to his office, he does a complete medi-cal history and physical exam, performs the necessary testing to obtain information regarding the patient’s problem, then makes a diagnosis. His focus at that point is to lay out the various treat-ment options, from the simplest to the most aggressive, so that the patient can have input as to what they want and need from treat-ment. “We try to find the best option for the patient, but ultimately it [the treatment] is the patient’s decision. We’ll do everything we can to get our patients well.”

Future Technology Offers Even More Options Surgical techniques are not the only elements of orthopedic care that have changed over the years. New materials, medications, and


feature story continued

computer technology have greatly impacted the type, quality, and success of treatment. For example, the materials used to make replacement hips and knees have improved so much that current tests show the wear properties to be virtually life-long. “Early hips and knees lasted about 15 years and then needed to be changed,” explains Dr. Nord. But the materials currently used to make replace-ment joints, high-tech polyethylene and metal, have shown the potential to last 20-30 years in lab studies, greatly decreasing the likelihood of needing to be replaced. Computer technology continues to make significant advances for medical treatment. Dr. Keller currently uses a cutting edge technol-ogy called “computer-assisted navigation” to assist in total knee replacement surgeries. This technology allows him to perfectly align the new knee by using infrared trackers placed on the knee dur-ing surgery. The trackers send information to the computer through a series of range of motion movements, giving the surgeon very specific information regarding alignment. CIOS is one of the few practices that offer computer-assisted navigation for knee replace-ment surgery. Future advances in knee replacement include creating a custom-ized replacement that is perfectly fitted to each individual’s anatomi-

cal uniqueness. This will be done with customized cutting blocks provided by sending an MRI and/or CT scan of the knee prior to surgery to a company that will use the images to create custom molds. The patient will end up with a customized knee that fits per-fectly because it is designed using images from their own body. It will feel like a more natural knee and have an improved range of motion, both enhancements that benefit patients. Dr. Keller credits new technology for the ability to help patients enjoy active lifestyles longer. Changes in techniques for surgery, new pain management therapies, and computer technology have made great strides in patient care. He sees that continuing in the future, with additional changes, new techniques, and ongoing research on issues such as cartilage restoration leading the way for enhancing patient treatment. Current and future technological and medical advances prove that much can be done to alleviate or eliminate the pain associated with wear and tear on the body’s joints over the course of a lifetime. Central Illinois Orthopedic Surgery will continue to be on the cutting edge in order to best serve their patients.

For more information, visit www.ciosortho.com

or call 309-662-2278.


Last month's article, The Biggest Weight Loss Liewas not printed in it's entirety. Please go to

www.JulieDostalRD.com to read the complete article.

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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Every parent desires the best for their children, and works to raise happy, healthy, successful members of society. The well-adjusted child is one who is also socioemotionally com-

petent. Socioemotional competence is vital to the social outcomes children achieve, such as making friends, being accepted and liked by other children and engaging in effective social interaction with peers. It is the ability to act effectively and appropriately in social situations. There are significant consequences for children who do not have these abilities. Socioemotional competence is strongly associated with peer acceptance, academic success, and emotional well-being; and it predicts later adjustment in adulthood. Lack of socioemotional development is closely related to more negative outcomes, for example, increased risk for dropping out of school, delinquency, criminality, suicidality and adult psychopathology. Socioemotional competence consists of three specific sub-skills: emotional expressiveness, emotional understanding and emotional regulation. Emotional expressiveness refers to the balance of positive and negative emotions, the frequency of specific emotional displays,

the intensity of emotional expressions, the duration of specific emotions, and the speed of their emotional onset. Feeling gener-ally positive emotions oneself makes it easier to focus on others’ emotions, while high levels of negative affect contribute to difficulty in developing empathic responses towards others. Children who demonstrate emotional understanding are adept at identifying emotion expressions and situations, and they are able to identify the causes of their own and other’s emotions. They are typically more sensitive to others’ feelings, and thus, better able to regulate their interactions with others. Conversely, peer relations are problematic when children have difficulty reading others’ feelings and intentions, and are unable to understand the causes and consequences of feeling states. Emotional regulation is the managing of the emotional arousal that accompanies social interactions. Emotional arousal is unavoid-able as children are immersed in their daily routine, and negative emotions are experienced. Children must learn ways to tolerate and endure such encounters. Children who are able to understand emotion, to express a wide range of emotions in appropriate contexts, and who are able to

SocioemotionalCompetenceBy Phillip Foster, PsyD, Psychology Specialists, Ltd.

the well-adjusted child


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regulate their own emotional expressions are consistently seen as more socially competent by their teachers and peers, are more well liked, and are more accepted. Parents have considerable influence over their children's devel-opment of socioemotional competence by: • Modeling emotional responses• Teaching, especially when their children experiences negative

emotion situations• Reacting appropriately to their children's emotional expressions

Parent-child interactions may in fact be the most significant con-text for practicing social skills that are necessary outside the family domain. Children who are viewed by teachers and others as being more socially competent generally have parents who demonstrate positive emotional expressiveness, for example concern, affection, and understanding. Parents who interact with their children using negative emotional expressions, such as harshness, anger or dis-gust, have children who are reported to be less socially competent. Parents who notice their child having difficulty in the context of peer interactions may want to examine their own interactions with their child to determine if there is a correlation. Parents need to rec-ognize their child’s feelings, affirm them and model which emotions are appropriate in different situations. Parents must teach their child how to handle emotional situations.

For more information, you may contact Psychology Specialists at 309-648-0782 or visit www.psychologyspecialists.com. Psychol-ogy Specialists is a group of doctors and counselors with a broad range of specialties who help people with all types of physical and emotional pain.


Continuous positive airway pressure (CPAP) is the most effective treatment for obstructive sleep apnea. We know it works! Yet many people quit using their CPAP machine.

Why? Do they prefer feeling sleepy all day due to a poor night’s sleep? Do they enjoy annoying the other members of the house-hold with their loud snoring? Probably not. Some people do not want to even consider using a CPAP machine because the idea of sleeping with a mask on their face is not particularly appealing. While this may be true, it’s not as bad as you might think. The vast majority of CPAP users find that they feel so much better after getting a good night’s sleep that it is worth the slight adjustment of using a mask at night. Using a CPAP means that the pauses in breathing that are typi-cal with sleep apnea won’t interrupt your sleep throughout the night. You’ll feel more attentive and better able to work dur-ing the day, and your bed partner will most certainly prefer the gentle hum of the CPAP to the loud snoring. Some people start with CPAP treatment and then quit. They don’t allow enough time to get used to it. They give up too soon because it feels a little strange at first and the flow of air is something people aren’t familiar with. Other people may stop because they don’t bother to request adjustments to the mask that would make it more comfortable. This is one reason why it is important to work with a home medical equipment provider that is experienced and knowledgeable about CPAP machines. There are many different kinds of CPAP machines to choose from and you want someone that can help you select the machine that is best for you. CPAP masks come in differ-ent shapes, sizes, and materials. Some fit over your nose and mouth; others only cover your nose. Some masks can be worn with eyeglasses. The fit of the mask is of utmost importance, not only for comfort, but also to keep air from leaking out. If you're not happy with the type you're using, a qualified home medical provider can suggest switching to a different kind that may work better for you. The person you work with can also give you tips for helping to adjust to using the CPAP machine. CPAP machines require some maintenance. You should bring in your CPAP machine once a year for a pressure check to ensure that the machine is continuing to deliver the prescribed pressure. Your home medical equipment provider should be able to provide replacement filters, masks, and hoses for your machine. Some people feel better after the first night of CPAP. They immediately wake up feeling refreshed, alert, and in a better mood. For other people, it may take a week or even a month to adjust. They may have trouble falling asleep at first. Some of the problems can be frustrating, but don’t give up! The benefits are worth it.

For more information, you may contact Heartland Home Medi-cal Supply at 309-829-8122.

Would YouRather Snore?

By Kate Rousey, Heartland Home Medical

cpap treatment


healthy feet

Children’s feet may be small, but unless adults consider the spe-cific needs of young walkers, problems for those children may loom large. Shoes will protect children's feet, but if fit incorrectly,

they can do more harm than good. A few simple guidelines for deter-mining proper size and type of shoe along with professional care can help you get the right fit for your growing children. When a child first begins to walk, shoes are not necessary for the indoors. Shoes may even impede a child's development and progress. Allowing toddlers to go barefoot or to wear just socks helps the foot to grow normally and to develop its musculature and strength, as well as the grasping action of toes. When walking outside however, babies' feet should be protected in lightweight, flexible footwear made of natu-ral materials. The feet of young children may be unstable because of muscle problems which may make walking difficult or uncomfortable. A pedi-atric examination by a podiatrist may detect any underlying defects or conditions which may require immediate treatment or consultation. Once the child is ready for shoes, to get the right size, make sure there is 1/2" space between the child’s longest toe and the end of the shoe. Remember that it’s natural for small children to curl their toes when trying on new shoes. To get the right width, make sure you can pinch a small amount of the shoe’s material across the top of the foot. If you have a toddler, check shoe fit every three or four months since children’s feet grow rapidly. The type of shoe you pick is important to ensure proper fit. Shoes should have thin, soft soles and be flexible enough to bend very easily across the ball of the foot. Flexible soles help children develop their sense of balance. Do not assume a given size will fit the same for dif-ferent brands of shoes. Avoid man-made materials because they limit breathability. Hand me down clothes are great—but not shoes. Second hand shoes can create improper balance because they may have worn out unevenly by the previous owner. Some foot problems require professional help. Infants’ feet that curve excessively inwards or outwards can be corrected with shoes that are modified and fitted with arch support. By age three, when children develop a heel to toe gait, excessively flat feet should be fit by a podiatrist with a custom molded shoe insert (orthotic) or a pre-fabri-cated insert to assist bones to develop in correct alignment. Infants and toddlers feet are normally fat, flat and flexible. Normally, these qualities decrease until about age seven. Children’s feet grow rapidly during the first year, sometimes reach-ing almost half their adult foot size. This is why I consider the first year to be the most important in the development of the feet. With a well coordinated effort between parents, myself, and shoe fitters, you can ensure that your child gets the right shoe to keep them happy and active as they grow and play!

For more information about properly fitting your children for shoes or if your children are having foot problems, please contact Dr. Melissa Lockwood at 309-661-9975 or www.HeartlandFootAndAnkle.com.

Little Feet Can Have BIG Problems

By Melissa J. Lockwood, DPM,Heartland Foot and Ankle Associates, P.C.

For more information contact Edward W Pegg MD LCC

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What was the best part of the school day when you were a kid? Recess, of course! Most adults have strayed too far from allowing themselves time to play, exercise, or even

relax during the day. It’s important to regularly take a break from your adult responsibilities, get your heart pumping, breathe some fresh air and stretch your muscles. Adults need to get into the mind-set of thinking of exercise as “grownup recess”. Do you think you are too busy to fit in regular exercise? Think again. Exercise helps the body deal with the stress of daily life in many positive ways: • Exercise allows your body to go into a meditative state.

When you exercise you focus on what your body is doing at that time, not on the stresses of the day. The constant breathing and motion of some activities, such as jogging, walking, swimming and bicycling can provide a feeling of tranquility and calmness.

• Exercise allows time for introspection. If you are doing soli-tary exercise, it allows time for reflection. It can provide the alone time that may be lacking in your life.

• Exercise increases your self-confidence. As you exercise, you begin to recognize that your body is strong and is capable of doing increasingly harder activities. If you are participating in a social or group activity, knowing that you are part of something larger than yourself also aids in boosting your self-confidence and self-worth. Your teammates are relying on you to be present at the activity and provide your skills to the team.

• Exercise can provide an outlet for frustration. It is much more socially appropriate to vent your anger or frustration by pounding it out on the treadmill than exploding at a co-worker, friend, or family member.

• Exercise encourages sound sleep. High levels of stress can cause restlessness at night and prevent you from entering deep sleep states.

Some tips:• Change it up! Many people get bored with doing the same activ-

ity day after day, and then end up stopping their exercise routine altogether. If you walk most days of the week, for example, try signing up for a yoga or hula hoop class once a week. It will break up the routine and give you something to look forward to.

• Play like a kid! What activities did you enjoy doing as a child? Baseball or softball? Dance classes? Roller skating? Sign up for a class doing something you loved, join a team, or just dust off the roller skates in your garage. Whether competitive sports, solo activities, or doing something with a partner, the goal is to figure out how to move more to get in some daily exercise. Make it fun!

• Play with the kids! Your children or grandchildren will love beat-ing you in a hardy game of tag or simply playing catch with you. Don’t have children? Borrow some! There are always children in any neighborhood that are up for a good game of “beat any adult at any game they suggest”!

• Schedule it in! You don’t have any hesitation scheduling other things - ball games for your children or doctor’s appointments for yourself. Schedule your exercise with the same attitude. If your calendar is too full to jot in some exercise time for yourself, you probably need to let something go. This may mean cutting back on TV time at night, trying to get home from work earlier, or asking your significant other to take on dinner preparation so you can use that time to exercise. Remember: Any extra minutes you spend exercising are minutes spent investing in a healthier you!

Advocate BroMenn Community Wellness offers several exercise classes if you are looking to start an exercise routine or to boost your current routine. Zumba Gold, Zumba Toning, Yoga, and Pilates are all offered several times weekly and are led by experienced instructors. Call 309-268-5900 for more information.

You’re Too Busy NOT to Exercise!

By Christie Rocke, RN, BSN, Community Wellness,Advocate BroMenn Medical Center

fitness


2502 E. Empire • Bloomington • 61704www.mcleancountyorthopedics.com

The Future is Here

McLean County Orthopedics (MCO) is well known in Illinois. Founded in 1976 by Dr. Jerald Bratberg, a graduate of Harvard Medical School, MCO has always attracted the finest health care professionals, including its nine physicians, 11 therapists, and over 60 employees. MCO also started and spun-off The Center for Outpatient Medicine (TCOM), which is the largest

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.

McLean County Orthopedics The future is minimally invasive surgery. Smaller incisions equal less tissue damage which means quicker recovery and less pain. Our Physicians are trained in minimally invasive surgery and the latest surgical techniques.

For more information, or for an appointment, call 309 - 6 6 3 - 6 4 6 1

Minimally Invasive Procedures• Knee and Shoulder Arthroscopy Including Rotator Cuff Repairs• Total Joint Replacement• Spinal Fusion and Decompression

Surgery EMGMRIPhysical TherapyMinimallyInvasive Surgery

Left to right: John G. Atwater, MD; Mark J. Hanson, MD Joseph A. Novotny, MD; Joseph B. Norris, MD


minimally invasive surgery

Climbing the Steps of theEvolutionary Ladder of Medicine

By Alexander A. Germanis

Evolution. It is a term that sparks controversy in both anthropologi-cal and theological circles. But in

the field of surgery, evolution is undeni-ably real. Since the days of trephination and hastily amputating limbs, surgical procedures and mankind’s understand-ing of the human anatomy have taken monumental leaps forward. Perhaps the most recent evolution-ary step in medicine is that of minimally invasive surgery—a step so recent, in fact, that physicians like orthopedic surgeon Dr. Joseph Novotny and his colleagues at McLean County Ortho-pedics (MCO) can personally com-pare its advantages to their own prior experiences with older, more invasive procedures. According to Dr. Novotny, minimally invasive surgery is an “evolu-tion [that’s] taken many years.” An eye-blink in the scope of medical history. But “minimally invasive” is a term that is usually bandied about, often with-out being fully understood. Although it seems self-explanatory, it is often thought of in vague terms and even holds different meanings depending on the specific surgery being performed. Until somewhat recently, dam-age to muscle and other deep tissue had almost always been a necessity of surgery. This weakens the patient, prolongs recovery and adds to post-operative pain. In its most simple


description, minimally invasive surgery requires the surgeon to per-form their work through a smaller incision than what was normally used in the past. Depending on the site of the surgery that incision can vary greatly in size. On the small end of the scale, a minor incision is made through the skin through which an arthroscope can be inserted. An arthroscope is a long, flexible tube containing bundles of fiber optic filaments. Light is sent through some of these filaments while other fibers act as a camera, allowing the surgeon to view the interior surgical site. Arthroscopes can vary in size, but they can be as small around as a mechanical pencil lead. And there’s evolution in arthroscopy as well. “We’re expanding [the techniques] yearly if not monthly,” says Dr. Joseph Norris, a sports physician who specializes in arthroscopic procedures at McLean County Orthopedics. Although used a great deal now, especially in sports medicine by surgeons like Dr. Norris, arthroscopy is not synonymous with minimally invasive surgery. With joint replacement, a big enough incision still needs to be made to accommodate the new compo-nents. However, these incisions are much smaller now than they used to be. And naturally, when it comes to making cuts into a patient’s body, smaller usually equals better; but there is a point where there is such a thing as too small. After all, as a branch on the evolution-ary tree of medicine, minimally invasive surgery has taken steps in its own evolution. Dr. Novotny explains the learning curve with minimally invasive joint replacement: “We’ve gone through these big incisions and then… we just kept going smaller and smaller…to the point where we saw the complication rate starting to go up.

We had to back off,” he says. “We were making incisions too small. There is kind of a happy medium between ‘maximum’ and mini-mally invasive surgery.” That happy medium of incision size has brought with it the ben-efits of smaller scars, less post-operative pain and shorter recovery periods, but other methods have undergone evolutionary progress in order to make minimally invasive surgery even less invasive. Muscle tissue can be dilated—essentially pushed aside or spread apart with little to no damage done to the tissue. Techniques in frac-ture care are becoming less invasive as well. “Percutaneous guides help us to insert hardware through puncture holes instead of expos-ing the whole area with a large incision,” adds MCO's Dr. Mark Han-son, an orthopedic surgeon whose work focuses on arthroscopic surgery and minimally invasive fracture care. Ultimately, tissue dilation along with smaller incisions, percu-taneous guides and arthroscopy lead to less time in the hospital or clinic, less time recovering and a reduced need for post-op pain-killing narcotics. The most critical purpose of minimally inva-sive surgery is summed up by MCO’s Dr. John Atwater, a spinal surgeon who also uses minimally invasive techniques: “We want to get our patients up and moving…It’s all about the patients: getting them back to work, getting them back to their lifestyle.” If for no other reason than that, minimally invasive surgery has proven to be an evolutionary step in the right direction.

For more information, you may contact McLean County Ortho-pedics at 309-663-6461 or www.mcleancountyorthopedics.com. Their office is located at 2502 E. Empire in Bloomington.

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I was one of those rare kids who looked forward to going back to school each fall, and to be honest, what I probably loved best about it was sporting my new outfit and carrying these beauti-

ful, unblemished school supplies. I was a total school supply nerd. Nothing started my year off like a shiny new Trapper Keeper and Paper Mate pens with the erasers that actually worked! However, it didn’t take long for the cover of the Trapper Keeper to get torn (and eventually fall off) or the pen erasers to wear down to nubs. After a few months, the novelty of new supplies wore off, and over time it was a bother to take care of them.

Ever feel that way about your finances? It’s easy to be excited about keeping on top of your finances when you first establish a goal or when you have a little extra money in the bank. It’s much harder to maintain that momentum when the unexpected car repair or medical bill arises or when you really, REALLY want to take that vacation. When it came to school supplies, my parents told us kids that there was a finite amount of supplies they purchased and that we should use them wisely. Although our pens, folders and notebooks endured legitimate wear (and beatings from our pubescent lack of care), we also knew that when the supplies ran out, that was it. As the semester progressed, if we needed to replace something, we could grab it from the supply cabinet (where there were some extras on hand), but we didn’t take more than was necessary. It was rare when our household ran out of supplies altogether.

How can you keep from running out? Mom told us to take just the amount we needed to start the new school year, and then she stored the rest away. In her estimation, the amount she purchased should be sufficient to last the duration of the academic year as long as we weren’t irresponsible.

She removed the temptation to hoard or over-consume, and she made it clear that there was a limited amount to work with; account-ability measures were put in place. Occasionally, exceptions needed to be made, but we knew the ground rules from the start. I’ll be the first to admit that sometimes life treats our finances like the school bus bully who takes our books and lunch money—it’s not fair, and we often do nothing to deserve it. There are just some circumstances that are beyond our control, but that doesn’t absolve us from doing something about the situations where we do exercise control.

Here are a few things you can do:• Let someone else know your financial plan to help keep you

accountable—and be honest with them. If you are part of a cou-ple, then your spouse/partner would be the obvious first choice, but if your partner isn’t the most responsible person with money, then you’d be wise to look elsewhere.

• Make your goals/needs specific. Know what you need and when you’ll likely need it.

• Make it harder to access your credit card or checkbook. We all need money, but we don’t need 10 spending methods on us at once.

• Put yourself on a cash-only plan. It’s not the most convenient, but that’s the point. If it’s convenient, it’s often too convenient.

Back-to-school season gives students a fresh start. Maybe it’s time to give your finances a fresh start, too!

First Farmers State Bank, established in 1875, is locally owned with locations in Minier, Delavan and Bloomington. Contact First Farmers’ Bloomington office at 309-663-6200 or visit us on the web at www.firstfarmers.com

Back-to-School for Your…Finances?

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By Dena McDonald,First Farmers State Bank


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know the difference

Accidents happen and people get sick, but what injuries or ill-nesses constitute as emergency room visits and which ones fall under urgent care visits?

The two options of care provide the same basic philosophy, but differences in cost, time and convenience add variety between the two. Emergency rooms are designed to treat severe injuries or ill-nesses such as: chest pain, loss of consciousness, breathing

difficulties, blood in urine, vomit or stool, traumatic experiences, suspected overdose of poisoning, loss of awareness, severe head-ache with neck pain, bones breaking through skin and severely frac-tured bones. Emergency room patients are prioritized by the seriousness of their injury, and patients with life threatening conditions always receive care first. Urgent care clinics are designed to treat walk-in patients with sudden minor injuries such as: minor breaks, burns, lacerations, sprains and rashes, cold and flu symptoms, sore throats, earaches, minor eye injuries, nausea, vomiting, diarrhea, insect bites and sports-related injuries. Usually, urgent care patients are prioritized by a first-come-first-serve basis. But when an injury or illness treads the line between an ER and urgent care visit, the decision to choose one care option over the other is sometimes a difficult one. Many people opt for an urgent care clinic to save money, and for certain non-emergency related sicknesses or injuries the cost comparisons between emergency room visits and urgent care visits are astounding. According to claims submitted to the Medica Choice Network (compiled by wisebread.com), the five most common reasons

Should You Go to theEmergency Room or Urgent Care?

By Ashley Schrader, OSF St. Joseph Medical Center

people seek care include: allergies, acute bronchitis, earache, sore throat and pink eye. Among the five listed, the average urgent care center always charges significantly less for a visit compared to emergency rooms. For example, the average urgent care center charges $97 for a single allergy-related visit, compared to an average ER that charges $345. Urgent care charges $468 less for an acute bron-

chitis-related visit, $290 less for an earache visit, $431 less for a sore throat visit and $268 less for a pink eye visit. Equally, the time spent waiting to be seen by a doctor at urgent care centers and ERs differ. Urgent care centers are not open 24 hours a day, like emergency rooms are, but depend-ing on the time of day, urgent care centers sometimes provide the quickest care to people with certain conditions, injuries or illnesses who would customarily wait for long periods of time at ERs. The Urgent Care Association of Amer-ica, for example, found 57 percent of urgent care patients wait 15 minutes or less to be seen by a doctor and around 80 percent of all visits are 60 minutes or less. Emergency rooms, on the other hand, are open 24 hours a day, seven days a week and offer care when other clinics and urgent care centers are closed. However, the wait time to be seen by a doctor is significantly increased compared to urgent care clinics. According to a report from Press Ganey, patients spent an

average of four hours, seven minutes in emergency rooms in 2009, and the time waiting has typically risen each year. But in both urgent care and emergency room visits, time of arrival is key to wait time and overall patient satisfaction. Typically, earlier arrival to urgent care centers means a shorter wait time, but weekend visits often require longer waits. A report from Press Ganey found patients who arrive to ERs between 7 a.m. and 3 p.m. evaluate wait time and overall care much more favorably than people who arrived after 3 p.m. It was also found that patients who arrived to ERs on Monday and Tuesday rank the lowest in patient satisfaction, whereas Saturday and Sunday visits rank the highest in overall care. However, no matter the cost, wait time and overall convenience, patients with emergencies should always go to an ER. If there is any question to what constitutes as an emergency call your local urgent care clinic to see if they can properly treat the injury or illness. If not, the clinic will recommend you to the nearest emergency room.

For more information about emergency or urgent care services at OSF St. Joseph Medical Center, visit www.osfstjoseph.com. If you are ever experiencing life-threatening symptoms, please do not hesitate to call 9-1-1.



About ten years ago, I helped gather data in a phase III stroke study. A phase III study is designed to measure the usefulness of a drug on large number of human patients

after lab experiments have proven successful. Phase III studies help develop drugs for the mass market, establishing their use in humans. However, human test subjects are particularly difficult to work with as an immense amount of effort and money is required to ensure patient safety. The Food and Drug Administration (FDA) designs programs to look out for patient welfare during these trials. Unfortunately, sometimes the rules the FDA imposes have unin-tended consequences. Mr. C.J. was one of my patients during the study. He had suf-fered a stroke and was eligible for the “clot-busting” drug we were testing. I administered the drug intravenously and dutifully took detailed notes of any changes in his chart. My notes were more careful than usual because this drug was under investigation and any change might prove important. Mr. C.J. soon presented with a severe case of the hiccups. I wasn’t sure whether this could be related to the study, but I recorded the event. The hiccups may prove to be a side effect of the drug (however minor). In a following check-up, I asked Mr. C.J. about the occurrence of his hiccups. He said “I’ve had these darn things for the last ten years. I get them every morning and after supper. But they clear up about 20 minutes after they start. Don’t worry Doc, it’s not your drug.” I was thankful to hear that to clear up any spurious or false claims that I might have inadvertently added to the data. I later met with the study coordinator, who helps assure that all the FDA regulations are followed, and asked her to delete the note about hiccups. She informed me that she could not make the correction. The data observed would remain in the file—it was FDA regulation. This made me uneasy as I knew that this data was mis-information. The hiccups and the drug were totally unrelated. Mr. C.J. had had these hiccups for ten years—they weren’t anymore a product of the drug than the blood blister he got from hammering his thumb the day before. This is why the “side effects” crammed on those little package inserts are little more than hundreds or even thousands of obser-vations made during patient trials. These trials may last several years and thus, may include some confounding and possibly false interpretations. Consider this: a patient with a history of ulcers begins treatment with a new drug under a phase III clinical study. He is followed over the next few years and all of his doctor’s appointments are carefully documented with exceptional care (in accordance with regulation). Eventually, during this time period his ulcers flare up, and he presents with diarrhea and fever. It goes in the chart. Sud-denly, fever and diarrhea are added to the side effects of the new drug. Other symptoms are also included from additional patients that also have confounding conditions: headaches, nausea, blurred vision, low blood pressure, runny nose, watery eyes, itchy

skin, swollen ankles, soft nail beds….. You name it, it’s probably noted as a side effect. Soon, a mass of unrelated side effects are crammed onto the insert and jammed in the new drug box. The real fun comes later, when the drug reaches the mass mar-ket. Once the drug is available – and often heavily advertised to the public - people taking the drug will get very nervous by the large list of side effects that are supposedly associated with it. I get a lot of calls asking, “How can you ask me to take this? Have you read all the things that could happen to me?!” My response is always the same. I ask the patient to “Take a step back and look at the table that is also included. A large number of the side effects are only seen in 5% of cases or less. That means that you have a 95% or greater chance that you will never experience the side effect.” Once I carefully explain this simple statistic, most patients are reassured that their medicine will not cause them harm. Everyone should be informed about any treatment or drug that they are taking and make sure their health is protected. But I ask you to be aware. Not all side effects are truly side effects of the drug. Sometimes they are simply a coincidence.

For more information on any neurological issue, you may con-tact Dr. Pegg at 309-661-7344. Christina Pegg is a student at ISU obtaining a Masters Degree in biology.

Side EffectsThe Real Story

By Edward W. Pegg MD and Christina Pegg

prescription drugs


prescription drugs pediatric audiology

As you get ready for the new school year, take a moment to think about the vital role your child’s hearing plays in his or her educa-tion. Your child spends much of his or her day listening to others.

Each day, he or she is expected to listen to the teacher and follow direc-tions. In addition to what your child hears inside the classroom, much of what he or she learns at school comes from outside the classroom, from conversations with his or her classmates. In both areas—academic and social—your child’s hearing plays a key role. It is important to detect any hearing problems before they show up on the report card or as behavior issues. If you think there is a chance your child has difficulty hearing, you should have your child’s hearing tested prior to the start of the school year. Hearing loss can be hard to spot. Children often do not complain about their hearing, and they may not have pain that could alert you that there is a problem. In fact, symptoms of hearing loss can be so subtle that adults may mistake them for signs of a different problem altogether. Behaviors that may suggest hearing loss include trouble pronouncing certain words or letters; difficulty with schoolwork or read-ing; “selective hearing” or not paying attention; misunderstanding direc-tions or responding incorrectly to questions; saying “huh?” or “what?” frequently; and asking to turn up the volume. Hearing loss in children can happen for many reasons. Some hear-ing losses are temporary, such as those caused by wax build-up in the ear canal or fluid in the middle ear. A parent should never try to treat these problems at home. Instead, your child’s pediatrician may refer you to an Ear, Nose, and Throat doctor for treatment. Other hearing losses, usually related to the inner ear or the auditory (hearing) nerve, are less likely to respond to treatment. This type of hearing loss, called “sensorineural hearing loss”, will often require intervention such as hearing aids or cochlear implants so that the child has full access to the world of sound that surrounds them. If you are concerned about your child’s hearing, or if you think your child might have a speech, learning, or attention disorder, you may request a hearing screening or a full hearing test. Hearing screenings are often done at school or at the pediatrician’s office. It is important to remember that hearing screenings cannot tell you whether your child has hearing loss. Results will tell your pediatrician if your child’s hearing needs a more thorough test. If your child does not pass a hearing screening, or if you have concerns about your child’s hear-ing for any reason, he or she should be referred to an audiologist for further testing. A visit to the audiologist will typically begin with a discussion about your concerns, followed by a complete hearing evaluation. The visit may also include an examination of the ear and ear canal along with tests to assess the eardrum, middle ear, and parts of the inner ear. At the end of the visit, the audiologist will discuss the results with you and talk about your options and the next steps you should consider. Many audiologists are comfortable testing school-age and adolescent chil-dren, but there are some situations that call for a specialist in pediatric audiology, such as testing children under the age of five or evaluating children who have difficulty with regular testing methods. In addition to their experience testing children, pediatric audiologists have crucial knowledge of appropriate interventions and support for children with

hearing loss. If your child is diagnosed with hearing loss, you should plan at least one consultation with a pediatric audiologist who can make recommendations about appropriate intervention based on your child’s needs and the available services in your area.

For more information on hearing loss or any communication difficulty or concern, you may contact the Eckelmann-Taylor Speech and Hear-ing Clinic at 309-438-8641 located at Illinois State University. Services offered include hearing evaluations for children and adults as well as speech, language and voice evaluations and treatment. Fees for ser-vice are reasonable, and a reduced fee schedule is available for those who qualify.

Hearing Loss in ChildrenBy Lindsay M. Bondurant, Ph.D., CCC-A, Assistant Professor, Illinois State University


Exper i ence the d i f f e r ence

Stacy Kong, D.C.



Eating horseradish root is the cure of ALL diseases! How’s that for a headline. How many of us would run out and buy horseradish and begin using it only to find out later the only thing we got out

of it is clear sinus passages and a burning sensation on the top of our head when we begin to eat it. Ah, but next week a new study will come out stating they didn’t find the same conclusion. As a dietitian who works in the cancer field I can say one thing; I’m grateful for research no matter how confusing it may seem to be. So with this article, I would like to educate you about scientific research regarding nutrition and diseases such as cancer and help you have a better understanding of

the 15 second sound bite or the three paragraph news release from the research abstract that you read about. To start we need to understand that science is a process of building a picture from previous information. Many times this process leads to more questions than answers. Think of a jigsaw puzzle. When we start a puzzle we look at the straight edges to see if we can put a frame around the picture. You look for clues in the pieces to see what may go together. When you pick up a puzzle with pieces missing you find that you don’t have a clear picture. Research is much the same way and oftentimes has many missing pieces. These pieces, missing or not,

And The Research Says…By Mary Kay Holloway, RD CSO LDN, Community Cancer Center

news flash


lead to discussions between other scientists as they all progress in their quest for answers. The abstract is one way the discussion keeps going. An abstract is a short summary of the research answering the ques-tions of what was studied, how it was done, who were the subjects, and what were the results. If we want to know more of the study details such as how valid it was or its context, we need to do more digging and usually this investigation leads to more questions. There are different types of studies used to answer nutrition focused research. These studies include observing eating patterns of certain populations; having people fill out questionnaires about what they may have eaten over a period of time which uses people already with a cancer diagnosis as well as people without; studies in animals and even in Petri dishes. There are also controlled studies where one group changes something in their diet while the other does not. Each of these types of research has their strengths and weaknesses however neither of them by themselves can give us the answer to the puzzle of nutrition and cancer. According to the American Institute of Cancer Research (AICR), “The most compelling evidence demonstrating an association between a particular food and lowered cancer risk only emerges when several different kinds of studies say the same thing.” While we wait for the puzzle to be put together we can look to the majority of research pieces which repeatedly show that not one food but a diet full of fruits, vegetables, whole grains, beans, and low in fat may have a positive relationship with reducing cancer risk. We can enjoy the great tasting nourishing foods while the researchers put it all together.

For more information, you may contact the Community Cancer Center at 309-451-8500, www.cancercenter.org

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August Bloomington Healthy Cells 2011