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Enhance magazine helps you take a bite out of Summer.
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April/MAy 2009
www.enhance4life.com
the scents and senses of spring
K A n s A s C i t y
H E A l t H A n d W E l l n E s s
JuNE/JuLY 2009
www.enhance4life.com
K a N s a s C i t Y
H E a L t H a N d W E L L N E s s
enhance
www.enhance4life.com
JUne/JU
lY2009
take a bite out of summer
Dr. Glenn M. AmundsonPrimary SpecialtySpinal Disorders
Sub-SpecialtiesSpinal surgery andUpper Extremity Surgery
HOSPITAL
HEARTLAND
SPINESPECIALTY
&
Did you know?
“I have never been in the hospital before for anything and was a little
apprehensive. From the minute I walked in the door and was treated
so kindly and respectfully by the staff, it was a load off of my mind.
Everyone was first rate: my surgeon, his nurse; the hospital nurses;
front desk personnel; the person who brought my food, and the person
who cleaned my room. Their care was outstanding and first class.”
Jim Mendenhall, Kansas City, MO
Outstanding patient care is within reach. Dr. John M. Ciccarelli
Primary Specialty
Orthopedic Surgery
Sub-Specialties
Cervical, Thoracic, Scoliosis
Correction, Revision Spinal Surgery
Workers’ Compensation
To learn more, visit www.hssh.org/changinghealthcare
Vein Clinicof greater kansas city
“Dedicated to the evaluation and treatment of all venous disorders”
913-541-3377 | www.veinKc.com 10600 Quivira Rd | Suite 230 | Overland Park, Kansas
Yes, people notice
Treatment is covered by your insurancewhen you use an approved provider like the
Vein Clinic of Greater Kansas City.
Procedures are done right in the office,with local anesthesia, allowing you to
immediately resume your daily activities.
. . . but you don’t have to live with varicose veins
Charles E. Stuckey, M.D., F.A.C.S.
Craig D. Barbieri, M.D., A.A.F.P.P R O U D PARTN E R
4
the summer of freedom
from the editor
suMMEr brings tHE WArMtH
of tHE sun, opEn WindoWs
And bEAutiful EvEnings on
tHE dECK. It’s also a reminder of childhood…the freedom of summer… running barefoot, playing outside, long days at the lake, fresh garden goodies, barbecues and outdoor sports. Summer is the combination of so many great activities, and just like our health, it is the synthesis of these activities that create memories and nurture our minds and bodies. At Enhance, we work to provide strong content that integrates key elements of healthy living: medical innovation, complementary health, active living and healthy eating. In this issue, we highlight the KU Integrative Medicine Center, whose aim of integrative medicine is care that is patient-centered, proactive and continuous in nature. Fortunately, because we live in America, we have the freedom and opportunity to make choices, including choices about our healthcare. As you become your own health advocate, Kansas City offers a wealth of practitioners to support your needs. Kansas City is also home to a vast playground of recreational activities worth incorporating into your wellness program, including some fabulous bike
trails. Summer in KC is a great time to dig out the bikes and go for a ride. Growing up, we would take family bike rides around the neighborhood.
My favorite event was the Fourth of July,
when my Dad would help my brothers and me weave red, white and blue streamers through our wheel spokes. We rode the streets, parading our patriotic tribute to America. As you consider fun summer outings like biking with your family, take a look in this issue for info on great local trails, runs and walks, wines to pair with barbecue and the best of outdoor theater. Here in the United States of America, we enjoy freedom as a way of life. This Independence Day, let’s salute America and the courage, dedication and heroism of our great country. As you celebrate with family, food and fireworks, take a deep breath and a moment to rejoice in our life as a free nation. God bless America!
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Letha A Steffey785-691-9780
At Carondelet Heart Institute, we have a lifetime approach to patient relationships. Your physician on day one is your physician for life. Our depth of expertise and our investment in your life ensure that you receive superior heart care and ongoing support. You can count on us to be there for you — so you can be there for your family.
To learn more, visit carondelethealth.org.I-435 and State Line Road Kansas City, Missouri 816-943-2787
We won’t show up at your family reunions.But we want to make sure you do.
How sweet i roamed from field to field, and tasted all the summer’s pride.
– william Blake
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enhance magazine
7
voluME 1, issuE 5June/July 2009
executive editorletha A. steffey
creative directordennis Esser
art director and copy editorColleen Cooke
contriButing photographersjonathan braswell, denise Williams
contriButing writersryan brown, paige deruyscher, louise pollock gruenebaum, Kerry Hinrichs, Quinn Katherman, Michael A. levine, dr. joe schneider, d.o., pujan roka, trieste vanWyngarden
advertisingto advertise, please call Mark Williams,[email protected]
puBlishersMark Williams, letha steffey
Enhance Magazine is published by Enhance publications. Any information contained within this publication should not be considered a substitute for consultation with a licensed physician. Enhance publications, its affiliates, employees, contributors, writers, designers, and its Editorial board of Advisors (“publisher”) accept no responsibility for inaccuracies, errors or omissions with information for the claims made by Advertisers. publisher expressly assumes no liability for any damages whatsoever that may be suffered by any patient, purchaser or user for any products or services advertised or mentioned editorially herein. you expressly agree that your use of the information in Enhance is at your sole risk. photographs of any model in Enhance in no way suggest or imply that the subject has undergone any procedure or used the products showcased. Every effort is made to ensure accuracy in the information provided. Enhance publications assumes no responsibility or liability for errors, changes, or omissions. photography and material in the publication as well as design may not be copied or reproduced in any form without the written permission of: Enhance Magazine, 7111 W. 151st st.,overland park, Ks 66223.phone: 913-269-9227, fax: [email protected] rights reserved. ©2009 Enhance publications.
www.enhance4life.com
in this issuea different approach
local interest
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JuNE/JuLY 2009
www.enhance4life.com
K a N s a s C i t Y
H E a L t H a N d W E L L N E s s
enhance
www.enhance4life.com
JUne/JU
lY2009
take a bite out of summer
ThE corE curEdon’t let aches and pains hold you back. feel better with pilates.
Grillin’ and chillin’ignore conventional wisdom: you can drink white wines with barbecue.
raw food MovEMEnTEating fresh, whole foods is a good idea, but can it be taken too far?
GrEEn clEaninGMake a healthier home by cutting chemical cleaners.
EMoTional inTElliGEncEimprove your emotional quotient through meditation.
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Trail MixExplore Kansas City’s many bike trails.
ouTdoor ThEaTErsummer nights come to life.
ST. JoSEph inSTiTuTE for ThE dEafHelping children and families discover a whole new world.
ThE proGraM for inTEGraTivE MEdicinEEmerging technologies meet healing-oriented medicine at Ku Medical Center.
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capTurE ThE SuMMEr Sungrab some sun but protect your skin against damage.
hEalTh BiTSbenefits of ocean water; natural headache remedies; swimming for your health.
fooT carEtake care of the hardest working part of your body.
pEriphEral nEuropaThylearn to recognize the symptoms and causes of this painful disorder.
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Brian E. Healy M.D. David J. Clymer M.D. Scott R. Luallin M.D. Greg R. Van den Berghe M.D. Matthew T. Kneidel, M.D. Valerie A. Deardorff, M.D.
Over 15 million Americans will suffer from a shoulder injury this year.Shoulder injuries most commonly occur during athletic activities involving excessive, repetitive and overhead motion, such as swimming, tennis, pitching and weight lifting. Injuries can also occur during everyday activities or falls.
How does the shoulder work?The shoulder is a ball-and-socket joint with three main bones: the upper arm bone (humerus), collarbone (clavicle), and shoulder blade (scapula). These bones are held together by muscles, tendons, and ligaments. The shoulder joint has the greatest range of motion of any joint in the body and is more likely to be injured.
Symptoms of shoulder injuriesSymptoms may include pain, swelling, numbness, tingling, weakness and popping.
What causes shoulder injuries?A sudden or acute injury may occur from a fall on an outstretched arm, a direct blow to the shoulder or an abnormal twisting or bending of the shoulder. Pain may be sudden and severe. Bruising and swelling can develop soon after the injury. If nerves or blood vessels have been injured or pinched, the shoulder, arm or hand may feel numb, tingly, weak, cold or may even look pale or blue.
Treatment options?Treatment for a shoulder injury may include first aid measures, physical therapy, medicine and in some cases surgery. Treatment depends on: n The location, type, and severity of the injury n When the injury occurred n Your age, health condition and activity level
Do I need to see the doctor if I have a shoulder injury?n Does the shoulder or collarbone look twisted or bent out of shape?
n Do you have pain or tenderness in your shoulder? n Has your hand or arm turned pale, white, blue, or cold after a shoulder injury? n Do you have numbness or tingling in or below your shoulder? n Do you lack the strength to carry out daily activities? n Do you have swelling in or around your shoulder? n Does it feel like your shoulder could pop out or slide out of the socket?
n Do you have pain that wakes you up at night?
Prevention tips n Stay in good overall physical shape. Exercise and stay active. n Eat a nutritious diet with enough calcium and vitamin D, which helps your body absorb calcium.
n Warm up well and stretch before any activity. n Wear protective gear during sports or recreational activities.
n Maintain good posture.
Brian E. Healy M.D. David J. Clymer M.D. Scott R. Luallin M.D. Greg R. Van den Berghe M.D. Matthew T. Kneidel, M.D. Valerie A. Deardorff, M.D.
Over 15 million Americans will suffer from a shoulder injury this year.Shoulder injuries most commonly occur during athletic activities involving excessive, repetitive and overhead motion, such as swimming, tennis, pitching and weight lifting. Injuries can also occur during everyday activities or falls.
How does the shoulder work?The shoulder is a ball-and-socket joint with three main bones: the upper arm bone (humerus), collarbone (clavicle), and shoulder blade (scapula). These bones are held together by muscles, tendons, and ligaments. The shoulder joint has the greatest range of motion of any joint in the body and is more likely to be injured.
Symptoms of shoulder injuriesSymptoms may include pain, swelling, numbness, tingling, weakness and popping.
What causes shoulder injuries?A sudden or acute injury may occur from a fall on an outstretched arm, a direct blow to the shoulder or an abnormal twisting or bending of the shoulder. Pain may be sudden and severe. Bruising and swelling can develop soon after the injury. If nerves or blood vessels have been injured or pinched, the shoulder, arm or hand may feel numb, tingly, weak, cold or may even look pale or blue.
Treatment options?Treatment for a shoulder injury may include first aid measures, physical therapy, medicine and in some cases surgery. Treatment depends on: n The location, type, and severity of the injury n When the injury occurred n Your age, health condition and activity level
Do I need to see the doctor if I have a shoulder injury?n Does the shoulder or collarbone look twisted or bent out of shape?
n Do you have pain or tenderness in your shoulder? n Has your hand or arm turned pale, white, blue, or cold after a shoulder injury? n Do you have numbness or tingling in or below your shoulder? n Do you lack the strength to carry out daily activities? n Do you have swelling in or around your shoulder? n Does it feel like your shoulder could pop out or slide out of the socket?
n Do you have pain that wakes you up at night?
Prevention tips n Stay in good overall physical shape. Exercise and stay active. n Eat a nutritious diet with enough calcium and vitamin D, which helps your body absorb calcium.
n Warm up well and stretch before any activity. n Wear protective gear during sports or recreational activities.
n Maintain good posture.
We’ll get youback in the game.
Jenny Chandra, M.D. Bill Hussey, Administrator 913.642.0200 | www.c-ortho.com
Specializing in Orthopedic surgery, sports medicine, foot & ankle issues, hand and upper extremities and shoulder injuries.
Carondelet Orthopaedic Surgeons, P.A.
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The rose is the June birth flower. Rose is known as the flower of passion, as the ancient Greeks believed that Aphrodite the goddess of love gave a rose to Eros the god of love. Roses have many flower meanings according to their color and number of roses in a bouquet. All roses symbolize love and appreciation.
in victorian times each flower had its own secret meaning:n red roses mean you love the
receivern pink roses mean you have not the
passion of red, but still have feelings of love
n dark pink roses mean you have gratitude
n light pink roses mean admiration or sympathy
n white roses mean innocence, purity, secrecy and friendship
n yellow roses mean dying love or platonic love
n yellow roses with red tips mean friendship or falling in love
n Burgandy roses mean beautyn Blue roses mean mysteryn green roses mean calmn purple roses mean protection and
maternal or paternal love.
The larkspur is the July birth flower, representing lightness and levity. The larkspur is a tall flower and is a variety of delphinium. It is a prized cut flower and blooms between June and September. It is poisonous to livestock.
The larkspur is an old favorite for the garden as it provides tall, beautiful spike flowers. Larkspur is easy to grow and comes in a variety of colors with spikes of flowers one to two feet tall.
health bits
july birth flower: larkspur
june birth flower: rose
SensitivityUnderstanding and compassion surround you when you visit a women’s health specialist at Truman Medical Centers. We know the health of every woman is different, so we believe her healthcare should be too. Whether it is mammograms, menopause, pregnancy or delivery, our person-first approach puts patients before profits which means our doctors never have to compromise on care. Our dedication and sensitivity to differences is just one example of why we have earned the trust of thousands of women and recognition as a Center of Excellence in Women’s Health. Discover Truman Medical Centers.
For a well-woman’s consultation, call 816.404.3855.
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08TMC014_Full_Page_rev_Womens_8.75x10.875.indd 1 3/16/2009 11:28:48 AM
When you need surgery, choose Heartland Women’s Health Care for our experts in minimally invasive surgery.
William K. Seifert,D.O., FACOG, FACOOG
Heartland Women’s Health Care
www.heartlanddocs.com • 816-452-3300
Surgeons using the da Vinci® System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Heartland Women’s Health Care is a full service private practice focusing on obstetrics, gynecology, infertility and women’s wellness care.
When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most e� ective treatment for a range of gynecologic conditions.
For complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci® Surgical System may be the most e� ective, least invasive treatment option.
� e team at Heartland Women’s Health Care, P.C., has now performed more benign GYN Robotic Surgery than anyone else in the Kansas City area.
James H. Morgan, D.O., FACOOG
Ian M. Rosbrugh, M.D.
Joy E. Saunders,D.O., FACOOG
Patricia Mooney Smith, M.D., FACOG
Sarah E. White,M.D.
North Kansas City Health Services Pavilion • 2790 Clay Edwards Drive, Suite 530 • North Kansas City, MO 64116
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When you need surgery, choose Heartland Women’s Health Care for our experts in minimally invasive surgery.
William K. Seifert,D.O., FACOG, FACOOG
Heartland Women’s Health Care
www.heartlanddocs.com • 816-452-3300
Surgeons using the da Vinci® System can operate with greater precision and control, minimizing the pain and risk associated with large incisions while increasing the likelihood of a fast recovery and excellent clinical outcomes.
Heartland Women’s Health Care is a full service private practice focusing on obstetrics, gynecology, infertility and women’s wellness care.
When medication and non-invasive procedures are unable to relieve symptoms, surgery remains the accepted and most e� ective treatment for a range of gynecologic conditions.
For complex hysterectomies and other gynecologic procedures, robot-assisted surgery with the da Vinci® Surgical System may be the most e� ective, least invasive treatment option.
� e team at Heartland Women’s Health Care, P.C., has now performed more benign GYN Robotic Surgery than anyone else in the Kansas City area.
James H. Morgan, D.O., FACOOG
Ian M. Rosbrugh, M.D.
Joy E. Saunders,D.O., FACOOG
Patricia Mooney Smith, M.D., FACOG
Sarah E. White,M.D.
North Kansas City Health Services Pavilion • 2790 Clay Edwards Drive, Suite 530 • North Kansas City, MO 64116
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The next time a headache strikes, try one of these natural remedies:n massage therapy relieves a headache by releasing the tension that causes the throbbing pain.n reflexology involves massaging your feet or hands to stimulate the reflex region that is connected to certain desired glands, organs and nerves.n shiatsu Press gently on the web between your thumb and index finger. Hold that pressure for 15 seconds, breathing slowly. Repeat this several times.n aromatherapy Use diluted laven-der essential oil. Put one drop of the oil mixed into half a teaspoon of jojoba oil.n herBal remedy Feverfew is a preventive medicine that works to prevent headaches from occurring in you. Feverfew’s key compound is
parthenolide, which regulates the pulsating blood vessels in your brain. This controls the tension and headache. Others to consider: Gingko leaf, Jamaican dogwood, skullcap and valerian.n diet Consider giving up dairy products. Avoid foods containing chemicals like nitrites, sulfites and MSG, which dilate capillaries in the brain, increasing blood flow and causing pain. Some of the trigger foods are processed meat products, red wine, caffeine, salt and chocolate.n meditate Imagine the pain flowing out of your head; you may combine this with a deep breathing exercise.n migraine relief Prepare a juice: Add 200 ml of spinach juice with 300 ml of carrot juice. Drink it regularly. Alternative-ly add 100 ml each of beet and cucumber juices with 300 ml of carrot juice.
n Adults should get a baseline eye disease screening at age 40, according to a new recommendation from the American Academy of ophthalmology.
n the group now recommends that adults with no signs or risk factors for eye disease get a baseline eye disease screening at age 40 – the time when early signs of disease and changes in vision may start to occur. based on the results of the initial screening, an ophthalmologist will prescribe the necessary intervals for follow-up exams.
n for individuals at any age with symptoms of or at risk for eye disease, such as those with a family history of eye disease, diabetes or high blood pressure, the Academy recommends that individuals see their ophthalmologist to determine how frequently their eyes should be examined.
n More information: www.aao.org, www.geteyessmart.org
july is eye safety and injury prevention month
natural headache remediesNatioNal HeadacHe awareNess week: JuNe 1-6
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Ocean water is deeply rejuvenating to the skin. Even the texture of the water helps keep the skin healthy by acting as an exfoliator, getting rid of dead skin so that healthy, new skin can shine through. Therapeutic benefits of bathing in salts have been known for centuries. King Solomon presented the Queen of Sheba with dead sea salts on her visit to the Holy Land. Cleopatra was a frequent user of beauty formulations including bath salts. Sea salt is beneficial to the skin. Skin absorbs sea salts, vitamins and any other substances it comes into contact with. Sea salts can have a wonderful effect on circulation and metabolism; they’re relaxing, regenerative and stimulating. While there is no direct medical cor-relation between ocean water and health, a dip in the big blue can be rejuvenating. n Salt is not only essential to life but also necessary for good health. Human blood contains 0.9 percent salt-sodium chloride, the same saline solution used medically to cleanse wounds. Salt main-tains the electrolyte balance inside and
outside the cells.n Salt water has beneficial effects on skin, hair and sinuses. Salt therapy is often used to help rejuvenate cells and to eliminate toxins. In the 5,000-year-old Indian tradition of Ayurvedic medicine, salt water is used to flush out the sinuses. Saltwater does various things, like removing mucus from the nose, reducing nasal stuffiness, and reducing postnasal drip. Saline also removes 80 percent of allergens, thins out thickened secretions, and shrinks swollen membranes. If creating a saline solution at home has such an impact, inhaling the benefits straight from the ocean has similar positive effects.n perhaps the most important benefit the ocean has is the impact it can have on the spirit. The tides keep coming in and going out with the same consistency, no matter what state life is in. So if ever you’re feeling overwhelmed or stressed, or tired or alone, just go to the shores of that mighty ocean. Every time you return, it will offer you an abundance of gifts.
are travels to tHe oceaN iN your vacatioN plaNs?
benefits of ocean watersalt of the seasea salts contain many minerals beneficial to the body:n magnesium important for both
combating stress and fluid retention, slowing skin aging and calming the nervous system
n calcium Effective at preventing water retention, increasing circulation and strengthening bones and nails
n potassium Energizes the body, helps to balance skin moisture and is a crucial mineral to replenish after intense exercise
n Bromides Act to ease muscle stiffness and relax muscles
n sodium important for lymphatic fluid balance (important for the immune system)
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913.901.9000 | www.skcsurgicenter.com10730 Nall Avenue | Suite 100 | Overland Park, KS 66211
SKCS Otolaryngology Specialists
Visit our Web site for a complete listing of specialists.
• Ear Surgery• Nose Surgery • Laryngoscopy• Esophagoscopy• Bronchoscopy
Head and Neck Surgical Associates, Inc.5701 W. 119th Street, Ste. 425Overland Park, KS 66209
913.663.5100
Head and Neck Surgery of Kansas City, PA12200 W. 106th Street, Ste. 310Overland Park, KS 66215
913.599.4800
Mark J. Maslan, M.D.
David T. Rudman, M.D.
Thomas P. Eyen, M.D.
Robert F. Thompson, M.D.
Steve F. Ellis, M.D.
Mark S. Walton, M.D.
Stuffy noses … scratchy throats … aching ears — being sick sure can put a crimp in family fun.
The highly trained ENT Specialists at South Kansas City Surgicenter understand you want to be well; you want to get on with your life. That’s why we use advanced tools like Coblation®
technology and the LandmarX® ENT Image Guided System to help patients feel less pain and recover more quickly from:
• Tonsil and Adenoid Surgery• Image-Guided Endoscopic Surgery• Sinus Surgery
• Ear Tubes
Our pediatric-trained anesthesiologists are here to help you, and your family, get back in the swing of things quickly, too. We treat you like family, so you can treat your family to more fun.
Get Back in the Swing!Don’t let illness interfere with your next family play date
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upcoming runs/walks | www.runkansascity.com |
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saturday, June 6, 7 a.m.Hospital Hill run, Kansas City, Mo., www.active.com
friday, June 12, 9 p.m.night flight 5K, lee’s sum-mit, Mo., www.active.com
saturday, June 20, 7 a.m.run the good race, 5K, Kansas City, Kan.www.santuaryofhope.org
saturday, July 11psycho psummer trail run, 50K & 15-Mile, Kansas City, Kan., www.psychowyco.com/id75.html
wednesday, aug. 1Win for KC Women’s tri-athlon, smithville lake, Mo. join hundreds of women who have challenged themselves, including 219 first-timers in 2008, in this all-women’s short course triathlon. Win will help you every step of the way with training, nutri-
tion and fitness programs and events. the energy of this premier all women’s race is contagious and inspiring. www.winforkctri.org
Swimming is not only extremely pleasant this time of year; it is also excellent for your body and your mind. Swimming is an aerobic exercise that keeps oxygen flowing throughout the body for the duration of the swim. Therefore, it improves your overall cardiovascular fitness.
swimmingn lowers your blood pressuren lowers cholesteroln raises your energy levelsn helps you lose body fatn has also been known to help decrease
anxiety and stress and alleviate depression
Because your body is made up mostly of water, you are well supported in the water. Therefore, this means there is less stress on the areas of your body you don’t want to be overworking, like the joints and bones. This allows you to work harder in the areas that need the workout, like the muscles.
benefits of swimming
Treating Cancer Pain
A DV E R TO R I A L
To people living with cancer, life is precious. When pain becomes a part of each day the quality of life is eroded.
Not everyone with cancer experiences pain, but one of out three people undergoing cancer treatment does. If you have advanced cancer – one that has spread or recurred – your chance of experiencing cancer pain is even higher.
HOW Pain can affect quality Of life
• disturbed sleep • impaired ability to work • exhaustion • sadness, depression and worry • diminished appetite • simple pleasures are impaired or given up
Even if you believe you can tolerate the pain, consider this: by living in pain, you are depriving those who love and care for you the full pleasure of your company.
Pain tReatMentThere are many different ways to treat cancer pain. The ideal way is to remove the source of the pain, for example, through surgery, chemotherapy, radiation or some other form of treatment. If that cannot be done, pain medications can usually control the pain.
Based on the severity of your pain, your physician will determine the right pain treatment for you. For some kinds of pain related to cancer, non-prescription medications may be sufficient. For other degrees and kinds of pain, prescription medications are used.
MetHOds fOR deliveRing Pain MedicatiOns
• Oral • Injection • Transdermal, via a patch • Infusion pump
tHe iMPlantable infusiOn PuMPPeople with certain kinds of chronic pain may be candidates for intrathecal drug delivery therapy. This may be appropriate for chronic pain sufferers where more conservative therapies have failed to adequately help. An implantable infusion pump delivers pain medication to the intrathecal space surrounding the spinal cord. Because it delivers medication directly to the pain receptors in the spinal cord, effective pain relief may be achieved with smaller doses compared to oral pain medication.
It’s important to understand that many people with cancer will use one or more methods to achieve good quality pain management. Work with your health care provider and pain specialist to determine which pain treatment options are best for you, the risk factors, and side effects.
Treating Cancer Pain
A DV E R TO R I A L
To people living with cancer, life is precious. When pain becomes a part of each day the quality of life is eroded.
Not everyone with cancer experiences pain, but one of out three people undergoing cancer treatment does. If you have advanced cancer – one that has spread or recurred – your chance of experiencing cancer pain is even higher.
HOW Pain can affect quality Of life
• disturbed sleep • impaired ability to work • exhaustion • sadness, depression and worry • diminished appetite • simple pleasures are impaired or given up
Even if you believe you can tolerate the pain, consider this: by living in pain, you are depriving those who love and care for you the full pleasure of your company.
Pain tReatMentThere are many different ways to treat cancer pain. The ideal way is to remove the source of the pain, for example, through surgery, chemotherapy, radiation or some other form of treatment. If that cannot be done, pain medications can usually control the pain.
Based on the severity of your pain, your physician will determine the right pain treatment for you. For some kinds of pain related to cancer, non-prescription medications may be sufficient. For other degrees and kinds of pain, prescription medications are used.
MetHOds fOR deliveRing Pain MedicatiOns
• Oral • Injection • Transdermal, via a patch • Infusion pump
tHe iMPlantable infusiOn PuMPPeople with certain kinds of chronic pain may be candidates for intrathecal drug delivery therapy. This may be appropriate for chronic pain sufferers where more conservative therapies have failed to adequately help. An implantable infusion pump delivers pain medication to the intrathecal space surrounding the spinal cord. Because it delivers medication directly to the pain receptors in the spinal cord, effective pain relief may be achieved with smaller doses compared to oral pain medication.
It’s important to understand that many people with cancer will use one or more methods to achieve good quality pain management. Work with your health care provider and pain specialist to determine which pain treatment options are best for you, the risk factors, and side effects.
To arrange a consultation: 816-763-1559 Outside the metro area: 1-800-200-PAIN
www.kcpain.com
WHEN PAIN RELIEFIS ALL THAT MATTERS…Pain interferes with your daily life, takes away your ability to enjoy simple tasks, sometimes even keeps you from getting a good night’s sleep.
We practice pain management
exclusively, and we offer a wide
spectrum of today’s state-of-the-
art pain treatments.
Our progressive, growing group
cares for nearly 35,000 patients
in two private clinics and in six
hospital-based locations in the
metro area.
We provide evaluation, diagnosis
and treatment of: neck and back
pain, muscle pain, joint pain,
post-surgical pain, shingles,
osteoporotic fractures, failed
back syndrome, radiculopathy,
neuropathic conditions
KC Pain Centers
Meet our doctors
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toEs take care of tHe Hardest-workiNg
part of your body – your feet by trieste van wyngarden
It’s the sock-free season again – that time of year when flip flops and pedicures make a comeback and everyone’s feet, for better or for worse, are in plain public view. Most people enjoy the freedom that warm weather brings. But if you’ve got foot problems, you may be dreading such a public display. If you’re one of those people whose dogs are aching for relief from painful, bothersome or unsightly issues, then read on. We’ve gathered info on some of the most common foot problems, and we hope that you – and your feet – will benefit from what we’ve discovered. “Each person walks about 100,000 miles in a lifetime – that’s the equivalent of four times around the equator,” says Dr. Lawrence Mandel of Research Medical Center. He says that people usually don’t come to him until their feet have been bothering them for several months. “Your feet are not supposed to hurt,” he says. “Your bones, ligaments, and joints are designed to work in concert with one another. When something gets out of balance, that’s when you start to have problems.”
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bunions A bunion is, in the words of Mayo Clinic, “an abnormal, bony bump that forms on the joint at the base of your big toe. This big toe joint becomes enlarged, forcing the toe to crowd against your other toes. This puts pressure on your big toe joint, pushing it outward beyond the normal profile of your foot and resulting in pain.” Bunions are caused by pointy, high-heeled or too-tight shoes. They can also occur if you inherited your grandmother’s foot structure or if you’ve had certain past injuries. Arthritis can also cause them. “The foot is mechanical,” Dr. Mandel says. “If the ligaments and other structures aren’t working properly, your bones get out of place and start sticking out where they’re not supposed to.” Bunions really cause problems when they rub against your shoes, causing inflammation and pain.
treatmentto treat bunions, make sure your shoes comfortably accommodate your foot shape. Certain padding or shoe inserts are made for cushioning bunions.
hammertoes and mallet toes A hammertoe is a toe that is bent at the middle joint of the toe, while a mallet toe is bent at the upper joint. They are both caused by shoes that are too short or too high. They can both also be caused by genetic malformations, arthritis, nerve or muscle damage from diabetes or a foot injury.
treatmentthe obvious choice is to switch to roomier footwear. According to Mayo Clinic, your longest toe should have a half inch of space between it and the tip of your shoe. And be sure to choose heels that are low enough to allow your toes to stretch out and lie flat.
your doctor may also suggest exercises like picking up marbles with your toes, or stretching your toe muscles. this will strengthen the muscles and allow them to stretch flat again.
surgery will depend on the amount of flexibility you have. your doctor might make a small incision to release the tendon if your toe has some flexibility. for rigid toes, your doctor might realign tendons or remove some pieces of bone.
callouses and corns Callouses and corns are thick, hardened layers of skin caused by excessive friction against a bone that sticks out. “They’re the exact same thing except for location,” Dr. Mandel says. “Corns occur on or between the toes, and callouses are on the bottom of the foot.” They are usually caused by ill-fitting (either too tight or too loose) shoes or going without socks. For healthy people, corns and callouses will go away when you eliminate the source of friction.
treatmentn Trimming. don’t try this at home,
though, as breaking the skin by shaving or cutting corns could cause serious infection. your doctor can do this during a visit.
n Salicylic acid. patches are avail-able to reduce corns and callouses. your doctor may also suggest using a pumice stone or metal file to remove dead skin before applying a clean patch periodically.
n antibiotic ointment. this can reduce the chance of infection.
n Shoe inserts. if the cause is an underlying foot structure issue, custom-made shoe inserts can help prevent future corns and callouses.
n Surgery. As with all other foot prob-lems, surgery might be an option in extreme cases.
try this at home:n soak your feet in warm, soapy
water, then go after those corns or callouses with a pumice stone.
n over-the-counter pads can cushion the places where corns and cal-louses develop.
n Moisturize your skin regularly.n Wear polyester-cotton blend socks
(they wick away moisture better than all cotton) and comfortably fitting shoes.
an important message for diaBeticsthe combination of diabetic numbness of the limbs and poor circulation caused by diabetes-induced high cholesterol, diabetics are at high risk of developing foot problems without knowing it. it is common for a diabetic to step on a tack, get a cut or have an ingrown toenail and not feel the pain. because of poor circulation, their bodies can’t heal the wound. An infection grows and moves up the leg, causing severe infection and eventual amputation.
n Check your feet every day
n go to the doctor immediately if you see anything abnormal
n don’t ignore po-tential problems with your feet
n get check-ups regularly
ingrown toenails Ingrown toenails are, well, exactly what they sound like. Parts of the toenail grow into the skin, causing swelling, redness or infection. If the nail becomes thick and yellow or brown, a fungal infection might have developed. In any case, it’s a good idea to visit a podiatrist for advice. Leaving an ingrown toenail untreated, especially for diabetics or others with vascular diseases, could lead to serious infection or even eventual limb loss.
treatmentto prevent ingrown toenails, you should trim them straight across and leave them just long enough to cover the tip of the toe.
dry, cracked heels This is mainly a cosmetic problem, but seriously cracked heels can cause painful fissures that bleed. Staying on top of this is particularly important for diabetics and those with vascular problems. Dry, cracked heels are caused by hot, dry weather, inactive sweat glands, constant walking with uncovered feet (flip flops and sandals count as uncovered) or obesity.
treatmentthere are some great powerful moisturizers out there, so moisturize your feet every day. try applying a moisturizer at night and then wearing socks to bed (this might not be practical in Kansas City in August, but it’s something to keep in mind).use a pumice stone to remove dry skin and try wearing socks with shoes as often as possible. you can also try wearing shoes with good shock-absorbing qualities.
heel pain Dr. Mandel says that this is the most common reason people come to see him. “There’s a band of tissue on the bottom of the foot called the plantar fascia,” he says. “Excessive pulling or stretching of the plantar fascia will cause inflammation in the tissues connected to the heel bone. Usually, patients will complain of getting out of bed in the morning and putting their foot down and feeling such bad pain that they can hardly stand.”
treatmentHeel pain can often be alleviated by proper orthotics. but dr. Mandel warns that any soft-soled support is really no support at all. the arch of your foot needs solid, custom-made support that won’t bend when under pressure. “your arches have to support 100 percent of your weight, so proper support should be able to withstand between 100 and 400 pounds – whatever you weigh,” he says.
He says that proper support works 80 percent of the time in cases of heel pain. fifteen to 20 percent of the time a patient’s foot will require surgery to fix the problem.
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resourcesdr. lawrence Mandel and dr. william cruceoffices in Kansas City, Mo., and lee’s summit, Mo.; call 816-444-1100 for an appointment or visit www.drlawrence mandel.comresearch Medical Center, www.research medicalcenter.com, 816-276-4000
dr. ali davis practices for Kansas City internal Medicine (www.kcim.com) and Menorah Medical Center (or www.menorahmedical center.com). Contact 913-498-6000 for an appointment.
dr. Mark Green, dr. Jacob Goldstein and dr. John riley, prac-tice at the Center for foot Care in Kansas City, Mo. saint joseph Health Center office 816-943-1111 or plaza time building office 816-561-7388 or visit www.centerforfootcare.com/appointment.php for an appointment.
dr. Thomas Boldry and dr. paul Gorby practice at Comprehensive foot Care Centers in liberty, Mo. Call 816-455-1155 or visit www.compfoot.com/1_appt.php for an appointment.
dr. david laha and dr. Jennifer phillips prac-tice at KC foot special-ists in overland park, Kan. Call 913-338-4440 or visit www.kcfoot.com for an appointment.
Ancient healing wisdom and modern chiropractic technology:
• Chiropractic
• Acupuncture
• Applied Kinesiology
• Clinical Nutrition
• Detoxifi cation
• ZERONA LipoLASER®
• Cold Laser
The long-anticipated FDA-approved Lipo-LASER by Erchonia has arrived at Mladenoff Clinic in Overland Park, Kansas.
ZERONA® is a new body-sculpting procedure designed to remove fat and contour the body without invasive surgery.
The non-invasive laser helps the body absorb fat by stimulating biological function. Excess fat is then removed naturally by the body without the negative side effects and downtime associated with more invasive procedures such as liposuction.
ABOUT THE PROCEDUREDuring the procedure patients most often do not feel anything, the laser that is being administered is a low level laser that does not produce heat, it is completely noninvasive, and has never shown any recorded side effects.
Low Level Lasers have been in use for over 40 years for treatment of many different conditions such as chronic pain, wound healing, and many other orthopedic conditions.
• The 100% painless process requires six 40-minute treatments performed over the course of two weeks.
• During the procedure, the laser light is visible, but there is no sensation during or after the treatment.
• There is no pain, no swelling, no needles, no bruising and no recovery time.
• Normal activity resumes immediately. • The treatment works for both men and women.• The most commonly treated areas are the lower abdomen
(belly), fl anks (love handles), buttocks and thighs. • Other treatment areas can include the neck, arms, back and
knees.
This is not a quick weight loss program. We target the adipose tissue to remove the excess fat and successfully shape the body for a more desirable outcome.
913-491-1071Dedicated to your wellness needs and interests11021 Metcalf Ave, Overland Park, KS 66210
www.MladenoffClinic.com
No dieting, no crunches, no liposuction and still
lose inches? Yes you can!
With the ZERONA® treatment you now have an alternative to a shapelier fi gure without having to endure the fear and sometimes painful process of a surgical procedure.
New Zerona LipoLASER® is now in Kansas City – only at Mladenoff Clinic. Lose up to 10 inches from your hips, tummy and thighs in two weeks or less.
No dieting, no exercise, no needles or liposuction! Safe, easy, painless and FDA approved.
Dr. Evan Mladenoff, DC Dr. Diana Mladenoff, DC
View video of the procedure at www.mladenoffclinic.com
Ancient healing wisdom and modern chiropractic technology:
• Chiropractic
• Acupuncture
• Applied Kinesiology
• Clinical Nutrition
• Detoxifi cation
• ZERONA LipoLASER®
• Cold Laser
The long-anticipated FDA-approved Lipo-LASER by Erchonia has arrived at Mladenoff Clinic in Overland Park, Kansas.
ZERONA® is a new body-sculpting procedure designed to remove fat and contour the body without invasive surgery.
The non-invasive laser helps the body absorb fat by stimulating biological function. Excess fat is then removed naturally by the body without the negative side effects and downtime associated with more invasive procedures such as liposuction.
ABOUT THE PROCEDUREDuring the procedure patients most often do not feel anything, the laser that is being administered is a low level laser that does not produce heat, it is completely noninvasive, and has never shown any recorded side effects.
Low Level Lasers have been in use for over 40 years for treatment of many different conditions such as chronic pain, wound healing, and many other orthopedic conditions.
• The 100% painless process requires six 40-minute treatments performed over the course of two weeks.
• During the procedure, the laser light is visible, but there is no sensation during or after the treatment.
• There is no pain, no swelling, no needles, no bruising and no recovery time.
• Normal activity resumes immediately. • The treatment works for both men and women.• The most commonly treated areas are the lower abdomen
(belly), fl anks (love handles), buttocks and thighs. • Other treatment areas can include the neck, arms, back and
knees.
This is not a quick weight loss program. We target the adipose tissue to remove the excess fat and successfully shape the body for a more desirable outcome.
913-491-1071Dedicated to your wellness needs and interests11021 Metcalf Ave, Overland Park, KS 66210
www.MladenoffClinic.com
No dieting, no crunches, no liposuction and still
lose inches? Yes you can!
With the ZERONA® treatment you now have an alternative to a shapelier fi gure without having to endure the fear and sometimes painful process of a surgical procedure.
New Zerona LipoLASER® is now in Kansas City – only at Mladenoff Clinic. Lose up to 10 inches from your hips, tummy and thighs in two weeks or less.
No dieting, no exercise, no needles or liposuction! Safe, easy, painless and FDA approved.
Dr. Evan Mladenoff, DC Dr. Diana Mladenoff, DC
View video of the procedure at www.mladenoffclinic.com
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tHEAtEr undErThE STarS
complementary health
suMMEr nigHts in KAnsAs City CoME to lifE At outdoor tHEAtErs
by Quinn katherman
The smell of fresh-cut grass, a beautiful landscape, the sound of children playing and the sight of a silver moon rising are all a part of what makes outdoor theater such a healthy, magical experience. You can pack a healthy picnic and soak up nature in some of the area’s best parks while you enjoy a top-notch theatrical performance with friends and family. Whether you plan to bring the kids or just escape for a night with adults, all you’ll need is a blanket, a couple lawn chairs and a cooler to relish an evening of arts and entertainment this summer.
the starlight theatreSwope park, 4600 Starlight road
Since the 1950s, Kansas City Starlight Theatre has been a hub for Broadway performances and concerts. “(Starlight) is probably the most unique theater venue in Kansas City, and it’s one of only three outdoor theaters of its size that are still operational in the U.S.,” says Barb Schulte, communications manager at Starlight Theatre. With the ability to seat about 8,000, the outdoor theater is designed for audiences to enjoy the spectacle of nature surrounding them while they are entertained by some of Broadway’s best touring shows every summer. “We are on 16 acres within one of the largest parks in Kansas City – Swope Park. It’s a spectacularly beautiful place at an affordable price,” Schulte says.
2009 shows“Legally Blonde The Musical,” June 30-July 5, 8:30 p.m. “Anything Goes,” July 13-19, 8:30 p.m. “Chitty Chitty Bang Bang,” July 28-Aug. 2, 8 p.m. “Chicago,” Aug. 11-16, 8 p.m. “Mamma Mia!,” Sept. 8-13, 8 p.m.
detailsBe sure to get there a little early to check out the free backstage tours and pre-show entertainment.
admissionTickets start at $9 per show, and season tickets are available for $50.
www.kcstarlight.com 816-363-7827
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tHEAtEr undErThE STarS
complementary health
suMMEr nigHts in KAnsAs City CoME to lifE At outdoor tHEAtErs
by Quinn katherman
The smell of fresh-cut grass, a beautiful landscape, the sound of children playing and the sight of a silver moon rising are all a part of what makes outdoor theater such a healthy, magical experience. You can pack a healthy picnic and soak up nature in some of the area’s best parks while you enjoy a top-notch theatrical performance with friends and family. Whether you plan to bring the kids or just escape for a night with adults, all you’ll need is a blanket, a couple lawn chairs and a cooler to relish an evening of arts and entertainment this summer.
the starlight theatreSwope park, 4600 Starlight road
Since the 1950s, Kansas City Starlight Theatre has been a hub for Broadway performances and concerts. “(Starlight) is probably the most unique theater venue in Kansas City, and it’s one of only three outdoor theaters of its size that are still operational in the U.S.,” says Barb Schulte, communications manager at Starlight Theatre. With the ability to seat about 8,000, the outdoor theater is designed for audiences to enjoy the spectacle of nature surrounding them while they are entertained by some of Broadway’s best touring shows every summer. “We are on 16 acres within one of the largest parks in Kansas City – Swope Park. It’s a spectacularly beautiful place at an affordable price,” Schulte says.
2009 shows“Legally Blonde The Musical,” June 30-July 5, 8:30 p.m. “Anything Goes,” July 13-19, 8:30 p.m. “Chitty Chitty Bang Bang,” July 28-Aug. 2, 8 p.m. “Chicago,” Aug. 11-16, 8 p.m. “Mamma Mia!,” Sept. 8-13, 8 p.m.
detailsBe sure to get there a little early to check out the free backstage tours and pre-show entertainment.
admissionTickets start at $9 per show, and season tickets are available for $50.
www.kcstarlight.com 816-363-7827
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the theatre in the parkShawnee Mission park, renner road and Mable fitch Memorial drive
Sprawling across 10 acres within Shawnee Mission Park, The Theatre in the Park is celebrating its 40th anniversary season and producing four musicals this year. The Theatre in the Park holds auditions every year and selects talent from within the community to star in the annual productions. “It’s a really family-friendly atmosphere. Kids aren’t chained to a seat, as they are at more formal venues, and there’s the opportunity to move around and have some fun before the show starts,” says Tracie Holley, The Theatre in the Park coordinator.
2009 shows“Seven Brides for Seven Brothers,” June 12-14 and June 18-21 “Disney’s High School Musical,” June 26-28, July 2-5 and July 9-12“The Wedding Singer,” July 17-19 and July 23-26 “The Wizard of Oz,” July 31-Aug. 2 and Aug. 6-9
admissionTickets are $8 for adults (11 years old and up), $6 for children (ages 4 to 10), and children three and under are admitted free. Season tickets are available, as well as reserved seating.
detailsBring blankets and lawn chairs to set up around 7:30 p.m. for shows that typically begin at 8:30 p.m.
www.theatreinthepark.org 913-631-7050
gladstone theatre in the parkoak Grove park, 76th and n. Troost
Gladstone Theatre in the Park is a free outdoor theater in Oak Grove Park that is a timeless family tradition. “We’ve been doing this for 22 years now and we’ve never had to charge for it,” recreation supervisor Tina Spallo says. A result of community involvement and desire to provide quality entertain-ment, Gladstone Theatre in the Park is designed for a great family experience.
2009 shows“Once Upon A Mattress,” July 10-12“Footloose,” Aug. 7-9
details“We allow for people to place their blankets at 3 p.m. or later each day of the production,” Spallo says. And because space fills up quickly for the free shows, you’ll want to get there early to claim your patch of grass. While you wait for the production to start, get some energy out by walking the half-mile trail, playing volleyball and let kids hang out at the playground in Oak Grove Park. Shows begin at 8:30 p.m. and feature music by The Northstar Community Band.
www.heartoftheweb.net/ gladstonetip 816-436-2200
the heart of america shakespeare festival Southmoreland park, 47th & oak Street
Every summer, Southmoreland Park across from Nelson-Atkins Museum of Art flutters with the sounds of The Heart of America Shakespeare Festival.
2009 showThe comedy “The Merry Wives of Windsor,” June 16-July 5
admissionAdmission is free, but you’ll feel like you should have paid. “We are a fully professional theater company – this isn’t community theater – so the quality of the acting and the pro-duction itself are professional,” executive director Lisa Cordes says.
detailsThe show begins at 8 p.m., and gates open at 6 p.m. for first-come, first-served seating, so you can bring a blanket or lawn chairs to save your spot. Pre-show activities include juggling, storytelling and a puppet show by Paul Mesner Puppets, who perform a 20-minute rendition of the current production. “People always comment about how it brings people in the community together. The admission is free, so we tend to get a really diverse audience, and I think it’s healthy for people to be able to get that sense of community,” Cordes says.
www.kcshakes.org 816-531-7728
complementary health
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Freedom. Independence. Control over your own destiny. Whether you are 5 or 85 years old, riding a bike can generate these feelings when you put your feet on the pedals. Kansas City offers a plethora of great opportunities for bike riders of any skill level – from the novice to the advanced. For some, riding a bike offers a form of exercise and relaxation. For others, it becomes their primary mode of trans-portation. Whatever your motivation is, riding a bike can lead to increased healthy living.
trAil MixdisCovEr KAnsAs City’s MAny biKE trAils tHis sEAson
by ryan Brown
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bike ridiNg safetyBy following a few basic tenets of bicycle safety, riders can ensure that not only will their ride be uneventful, but they will not harm or endanger others when they are out on the road. “A rider’s first responsibility is to make sure that he or she is being safe,” says Jack Rogers, an Olathe resident who has ridden a bike for the past 27 years. “There’s no excuse for careless riding.” An estimated 300,000 people are hurt every year in biking-related injuries, and Rogers says that most of them could be avoided. “Most injuries occur when someone isn’t paying attention or tries to do something they’re not capable of doing,” Rogers says. “Bike riding is simple but not when people start adding degrees of difficulty to it or taking unnecessary risks.”
KAnsAs City biKing trAils
Helmet How-toThe top priority for a safe bike rider should be making sure you have the proper equipment before even getting on the bike. A helmet is necessary, as the majority of serious bike injuries result from head trauma where the rider was not wearing a helmet. A helmet should not be too big or too small and should not be worn so far back on the head that the forehead is showing. Make sure the straps are snug around your chin to pre-vent the helmet from pulling or twisting around your head.
Helmet’s oN – Now wHat?Riding a bike in a safe manner requires that the bike is the right size for you. While on the bicycle, stand straddling the top bar so your feet are flat on the ground, with 1-3 inches of space between you and the top bar.
good for your Heart aNd HealtHEveryday cycling, where the exercise leaves you breathing heavily but not out of breath, is an effective and enjoyable form of aerobic exercise. Cycling can help you lose weight because it burns the energy equivalent to a chocolate bar or a couple servings of alcohol in an hour (about 300 calories). A 15-minute bike ride to and from work five times a week burns off the equivalent of 11 pounds of fat a year.
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A nine-mile course that features hard-packed singletrack with some hills and a few obstacles. this is a good course for beginners and families but can also offer an intense workout for the experienced rider. the park entrance is just off 8th and oak in north lawrence.
A five-mile course offering fast singletrack and technical sections, with lots of climbs and descents. there are also several rock and log obstacles, and the park offers a variety of difficulty levels. the roads within the park are also popular training grounds for local cyclists, with some big climbs and tight corners, making it one of the most challenging routes in johnson County.
designed and built specifically for serious mountain biking (advanced skills). Most area riders describe the trail as more “physical” than “technical.” there are nearly 24 miles of singletrack trail and two miles of old abandoned campground roads. the trail consists of many hills, tight turns, off-camber sections and fast and technical rocky sections. individual sections of the trail are marked with names corresponding to the map and blazed in blue and white. in general, white sections are more technical than the blue, though some blue areas are still considered difficult.
A short, slow trail that offers some required technical skills from the off-shoots of the main trails. Experts and beginners alike will enjoy this intense workout.
Has several miles of trails (12+ miles) that run along both sides of the blue river. the old road bed that runs along the west side of the river is an easy trail that drains well and is suitable for nearly all riders. for those wanting a bit more challenge, there are several off-shoots from the road bed (advanced beginner to intermediate). Hard-core riders should check out the bo Ho Ca and Mountain trails east of blue river road along with the Wagon trail. these intermediate to expert trails contain several challenging sections but were designed so an intermediate rider can ride nearly all of it by simply bypassing/walking over the obstacles that beckon the experts.
features many interconnecting loops that feature some elevation change, a couple of log crossings, rooted steep sections and a creek crossing complete with waterfall. this trail is difficult to navigate without someone that knows their way – so be prepared to take your time on this one.
bike trails in kansas city
resourceswww.earthriders.comwww.mobikefed.orgwww.dirtworld.comwww.trails.com
local riding cluBsKansas City bicycle Club (KCbC): www.kansascitybikeclub.camp7.orgjohnson County bicycle Club (jCbC): www.jcbikeclub.orglawrence bicycle Club: www.lawrencebicycleclub.orgwww.kansascyclist.com/bikeclubswww.kcbikefed.org
KAnsAs City biKing trAils
lawreNce river trail, lawreNce, kaN.
sHawNee missioN park
perry lake mouNtaiN bike trails
baNNer park
blue river parkway
krug park, st. JosepH, mo.
the Kansas City area offers lots of biking opportunities for riders of all skill levels. from beginners to the advanced cyclists, there is something for everyone who is looking for a challenge and fun form of exercise.
4831 West 136 St, Suite 200 • Leawood, KS 66224Proudly serving Johnson County for over 20 years
913-685-2171 www.primodentist.com
A beAutiful smile cAn mAke you more
loveable, successful and happy!We’ll prove it to you!
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The sun is an incredible source of energy and power. Not only does it provide food for plants, heat for weather patterns and a source of inspiration for musicians and poets, the sun is absolutely essential for life on this planet. So how could it be so bad for the skin? The answer is the same for everything else in our lives: moderation. Alcohol can decrease our chances for heart attack, coffee can decrease our risk of colon cancer and fat in our diet is essential for normal homeostasis of our cells. However, in excess these products can be detrimental to our health and well being. The same goes for the sun. Natural sunlight in the UVB wavelength converts vitamin D to a usable form that our bodies need for bone health, ability to fight
cancer and even stave off heart disease. Unfortunately, UVB does not penetrate through window glass, so the warmth of the sun we feel driving in our cars is not really improving our health much. Sunlight also has the ability to release endorphins, making us feel good, and just like with drugs or alcohol, we can actually get addicted. Two independent studies done at Wake Forest and the University of Texas showed that people who were chronic tanners could become addicted. At UT, they used a variation of a simple questionnaire commonly used to screen for alcoholism. The Wake Forest study showed that frequent tanners experienced withdrawal symptoms when given a medication to block the opiate “feel-good” receptors.
health and wellness
CApturE tHE summer glow
grab some vitamiN d-ricH suN, but make sure you protect
your skiN agaiNst damage by dr. Joe schneider, d.o.
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suNscreeNsMost name brand commercial sunscreens available in our area guard against uvA and uvb; however, a few do it a little better than others. uvb is more responsible for causing skin cancers, while uvA, with its longer wavelength, penetrates deeper into the skin, affecting the elasticity and causing premature aging of the skin. those with zinc oxide or titanium dioxide provide superior coverage because they physically block the harmful uvb and uvA rays instead of just chemically blocking them. A newer chemical used now in the united states is Mexoryl (ecamsule). it can block the shorter wavelength of uvA, which has a dual threat of causing premature aging of the skin as well as skin cancers. Midwest Medical specialists recommends Elta Md brand sunscreen because it contains zinc oxide, titanium dioxide and Mexoryl.
moderatioN is keyso what is the right amount of sun to get? factors such as how far from the equator you live, what time of day you go out and the amount of pigment naturally in your skin all make a difference. generally speaking, for a caucasian person living in the Kansas City metro area, you would need about five minutes of sunlight on your face and arms three times a week to get the currently recommended daily amount of vitamin d. darker pigmented African-Americans would need about twice that. Having said that, the current recommendations are in question because of a recent, large-scale study showing that most Americans are not getting enough vitamin d. the perfect amount of sun is probably just less than what it takes to get tan. in general, dermatologists recommend about 10 minutes of sun per day on the face and uncovered arms. if this makes you turn pink or red, decrease the amount by a few minutes.
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n TEa BaGS: place cold, wet tea bags and/or a rag drenched in the tea over the affected area, keeping the bags/rags cold. do this for at least one hour as often as you can (three or so times a day) until it fades. tea works as an antioxidant and pulls the heat out of your body
n lucaS papaw oinTMEnTn rEGular yEllow MuSTard: once it
dries, wash it off and this will prevent it from blistering
n viTaMin E “oil”n vinEGarn aloE vEran yoGurT: Create a yogurt-based paste
with barley and turmeric
natural sunburn remediesonce you have a sunburn, much of the damage has already been done. However, there are a few things to help the healing process. it is essential to restore the moisture back into the skin with moisturizers. Creams tend to do a better job than lotions.
safe suN practicesthere has been some scrutiny lately about the use of sunscreens. some groups claim that sunscreen actually increases the risk of skin cancer because people tend to stay out in the sun longer. the use of sunscreen should be part of safe sun practices, but not the only part. safe sun practices include avoiding the midday sun if possible, standing in the shade when given the option, and the use of a hat and sunglasses. Many dermatologists advocate the use of tightly woven, high spf clothing such as Coolibar or solumbra, especially for people who are allergic to components of sunscreens.
summer cHemicalsWith summer upon us, we are exposed to a few more chemicals than in the winter, such as chlorine from pool water. those who are acne prone might get some benefit from the drying effects of the chlorine, but for most of us, it simply makes our skin too dry. While there is a push to use non-chlorine methods to keep swimming pools clean, such as ozone or salt. to my knowledge, there are no public pools in the Kansas City area that have adopted such technology. A few options are available for residential pools, however. pristiva inc., based in overland park, uses salt water instead of chlorine for the maintenance of a clean pool. Another option is ozone technology, which cleans water with activated oxygen, and is currently being marketed for use in hot tubs. Whether you prefer to swim in chlorine, salt or even pond water, it might not be a bad idea to rinse with fresh water, using a moisturizing cleanser like dove and using moisturizing creams to lock in the hydration.
“The perfect amount of sun is probably just less than what it takes
to get tan.”
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Basal cell carcinoma (Bcc)by far, bCC is the most common skin cancer. the chief cause of bCC is too much sun and therefore is mostly seen in the head and neck region. bCC starts as a small pink bump with rolled borders and continues to slowly grow, destroying the skin. Although it rarely spreads to other parts of the body (metastasize), it can be locally destructive and disfiguring. treatment is generally surgical removal; however, some early bCC’s might be cured with a topical cream.
aNtioxidaNtsMuch research has been done lately to support the use of topical antioxidants. vitamin C has been shown to decrease the formation of “sunburn” cells. these are skin cells that have absorbed enough ultraviolet radiation to cause permanent damage. Most of these sunburn cells will probably die; however, those that do not die have decreased ability to repair damage to the dnA and may end up turning into cancer. one great product available from skinCeuticals is CE ferulic, a combination of powerful antioxidants proven to decrease the number of sunburn cells generated after exposure to uv radiation. it is available in many Kansas City area dermatology offices. the most popular topical antioxidants shown to protect the skin against inflammation, sun damage and carcinogenesis are vitamins A, C and E, and flavanoids such as grape seed extract, green tea extract and soy isoflavone. the newest antioxidant to gain recognition is coffeeberry extract; however, a few small studies have only found benefit in skin texture.
taN before tHe taN?should you tan prior to going on vacation to build up a base tan so you don’t burn? tanning prior to vacationing to a sunny getaway sounds like a good idea since it is much better to tan than to burn; however, tanning is not without consequences. A tan is the body’s defense against damage to the dnA of our skin cells. over time, this damage ages our skin and causes skin cancers. you would do yourself a favor to simply practice safe sun techniques while on vacation, rather than tanning. And although tanning beds that have uvA bulbs will boost your vitamin d levels, a vitamin supplement is much safer. the positive effects of the sun are all transient. once you stop getting sunlight, the benefit is gone. However, the negative effects that too much sun has on your health last a lifetime. a bad sunburn you got at the pool on your 10th birthday could set you up for your first skin cancer at age 50. As few as five blistering sunburns in you life virtually assures you a skin cancer at some point.
health and wellness
the big three: most common skin cancerssQuamous cell carcinoma (scc)often from too much sun exposure, but can be caused by viruses (Hpv), chronic wounds and burn scars. looks like a rough, dry patch at first, then evolves into a crusty area that tends to bleed with little trauma. A little more likely to metastasize, especially if found on mucous membranes such as the lips. if caught early, treatment is simple, and if caught at the earliest stage, a topical cream might be curative.
melanomausually starts as small dark spot or grows from an existing mole. the AbCs of melanoma are a convenient way to remember the warning signs. Asymmetry (not a circle or oval), border (irregu-lar), color (more than two colors or two shades of any color), diameter (incre-asing in diameter), evolution (change). Another technique used by dermatolo-gists is “the ugly duckling sign,” a mole that does not look like the rest of your moles. Any new mole that pops up after the age of 40 should be evaluated. if you catch melanoma at its earliest stages, you have essentially 100 percent survival rate if it is excised with proper margins. if you ignore it, you have essentially a 100 percent chance of dying from it.en
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Indeed, your skin is magnifi cent. We help you keep it that way. Please, call us. We can assess your skin condition and develop a personalized healthcare regimen that will keep your magnifi cent skin in the game.
Skin is magnifi cent. It regenerates. It keeps us cool. It keeps us warm. It is, in fact, your body’s largest organ. And, just like the rest of you, it deserves plenty of TLC.
That’s our job. Johnson County Dermatology offers a full range of general and surgical dermatologic services. Our physicians and highly trained staff use the most advanced technology available to help with:
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On any summer Saturday in the Kansas City area, hungry locals can visit one of several farmers markets abuzz with sell-ers of fresh, colorful, healthy fruits and vegetables. Bump into someone there, and you might be rubbing elbows with a raw foodist – one of a growing group of people who choose to eat only whole, raw foods that are prepared without cooking. We’ve spoken with an experienced raw food advocate and a local nutritionist to understand just what a raw foods lifestyle is and to find out the pros and cons of eating raw.
so, what are raw foods? Lisa Markley M.S., R.D., L.D. is a nu-trition educator and outpatient dietitian at University of Kansas Medical Center. Markley says that a raw foods lifestyle in-volves following a diet composed mostly of uncooked whole foods, including fruits, vegetables, sprouted nuts, grains and seeds. “Uncooked” means that they are prepared in a way to avoid being heated to more than 118 degrees, in theory to avoid the destruction of enzymes the body needs for proper disgestion. Raw foods are prepared by dehydration, juic-ing, blending and of course by eating them whole.
why it’s doneMaureen Veto Slater has been following a raw foods lifestyle for years. She attri-butes her raw food diet with a complete turnaround in her health and well-being several years ago. “It’s not a new idea,” she says. “This is just the human diet. It happens to be get-ting a lot of attention right now, but this is just getting back to how people used to eat before processed food.” She adds that raw foods have been popular on the east and west coasts for a long time. “The Midwest is just catching up,” she says. Slater heads up the Kansas City Raw Food Meetup Group, a community organization that has been together since 2006. The group currently has more than 550 members. “Some raw foodists eat 100 percent raw,” Slater says, “but there are no hard and fast rules. Some people eat 75 or 80 percent raw.” The point, she says, is to add as much whole, raw food to your diet as possible.The group often trades recipes at their gatherings, including basics like nut-based salad dressings and such gourmet offerings as cashew ice cream or pizza. So why go to all the effort to eat raw? Markley says that raw foods have great
iNcludiNg fresH, wHole foods iN your diet is a
very good idea. but caN it be takeN too far?
by trieste van wyngarden
raw foodS MovEMEnt
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meetupthe Kansas City raw foods Meetup group hosts potlucks and gatherings. www.meetup.com/raw-Kc
to read about Maureen veto slater’s story and her reasons for advocating a raw food lifestyle: www. rawliberation.com
More local healthy eating resources:kcfoodcircle.comkccua.org
lisa Markley, Ms, rd, ld, nutrition educator, works in the program in in-tegrative Medicine at the university of Kansas Medi-cal Center. for an appointment, call 913-588-6208 or visit http://integ rativemed.kumc.edu
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health benefits. “Eating raw foods can increase the amount of health protective phytochemicals, vitamins and minerals in the diet,” she says. “Raw foods are also very high in fiber, which can help promote bowel regularity.” But, she warns, some people may experience uncomfortable gas and bowel activity from eating large amounts of raw foods.
enzymes: to live or not to live? Raw food advocates say that cook-ing food destroys nutrients and kills enzymes the body needs for proper diges-tion. According to living-foods.com, “all cooked food is devoid of enzymes. Cook-ing food changes the molecular structure of the food and renders it toxic.” Markley agrees that certain nutrients, particularly water soluble vitamins, are lost with cooking. But, she says, “cook-ing certain foods can also make certain nutrients more concentrated and more bioavailable to the body.” The body, she says, produces digestive enzymes on its own, so it’s not imperative to eat solely foods that still have enzymatic activity.
the drawBacks While no one disputes the nutritional benefits of eating raw, whole and healthy, Markley points out several reasons why going “strictly raw” can cause problems in the long run. “This diet must be very carefully planned,” she says, “to obtain an adequate balance of nutrients.” Without the proper balance, malnutrition and illness can occur. Markley cites anemia, depression, amenorrhea (absence of a menstrual period), hormonal imbalances and eating
raw foods movemeNt
disorders as possible effects of adopting a completely raw food diet. Also, raw foodists often have to rely on additional vitamins to get the complete nutrition they need. “That can be expensive,” she says She warns that following a strict raw food diet is not safe for children, pregnant women or people with chronic illness. And there are more personal reasons for why a raw food lifestyle can be challenging. “It takes a commitment to stick with it,” Slater says. “And sometimes friends and family don’t understand why you eat the way you do.”
alternative to medicine? Slater’s health was spiraling downward when she turned to raw foods several years ago. She was bedridden and on 15 different medications. “My organs were shutting down,” she says. After a trip to the hospital, Slater decided to turn to natural living plant food. “Within months, I was healthy again.” Many raw foodists say they feel healthier, more full of energy and more connected and focused than when they ate what they call the American diet. They believe that illness occurs not from what the body lacks, but from what remains in the body after digestion.
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Green Smoothie(Use any combination of fruits, greens and water)1 banana2 peachesHandful of spinachPure water (about 2 cups)
RAW FOODS MOVEMENT
raw food recipesVisit one of the KC Raw Food Meetup’s monthly potlucks and you’ll soon learn that trading recipes is standard practice when a group of raw foodists get together. Try these scrumptious options provided by Maureen Veto Slater:
“The human body has a desire to keep its pipes clean,” Slater says. “What it can’t get rid of it tries to melt away, but those things turn into harmful toxins.” Markley believes there’s a more likely factor for improved health in those who choose raw foods. “Some of the health benefits that are being linked to adopting a raw foods diet can more likely be attributed to the increased intake of fresh, whole foods and the removal of refined, processed, high-fat, high-sugar foods from the diet, rather than the fact that the food is not cooked.”
The impORTAnT TAke-AWAyS Slater says the most important thing to remember is that eating raw isn’t an all-or-nothing deal. Even if you replace one meal a day with raw foods, you’ll enjoy some benefits, not only in eating things good for your body, but also by NOT eating harmful processed foods. Another tip? Fill up on salad first. “Learn how to make a great salad,” she says. “Have a huge, awesome salad at the beginning of your meal, then eat normally.” Markley’s advice is to inform yourself and work with someone who can help you make the right decisions for you. “I help people choose foods that are appropriate for their body by assessing their individual biochemistry through lab work,” Markley says. “That way I know my patient’s nutrient status, digestive function, presence of food sensitivities, etc. before making dietary recommendations or changes. It’s important and beneficial to meet with a qualified health care practitioner before making serious health-related decisions and major lifestyle changes.”
Kale Salad with lemon-avocado dreSSinGKaleOlive oilHimalayan sea saltLemonAvocadoTomatoesGreen onions
Chop kale, add oil and massage greens. Add salt and lemon, massage until tender. Squeeze avocado onto greens, massage in for a tasty salad dressing. Add tomatoes, green onions or any other combination of veggies.
RAW FOOD ReSOuRceSSome great places to find raw foods this summer:
39th Street Community Market – www.39thstreetmarket.comCommunity Farmers Market at Brookside – www.farmerscommunitymarket.comKC Organics Farmers Market at Minor Park – www.kcorganics.comWhole Foods – www.wholefoods.comGreen Acres – www.greenacres.com
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kAleHelps reduce the risk of cancer and cataracts. it is also a good source of folate and calcium. it has the highest antioxidant ability of all the leafy green vegetables. it is also rich in the phytochemical lutein.
STRAWbeRRieSraise the antioxidant levels in the body and are also a rich source of vitamin C. The ellagic acid they contain appear to inhibit the growth of tumours. They are also a good source of salicylic acid.
summer raw foodsAppleSKnown as a cleansing food, contain fiber, antioxidants and fruit flavonoids. The most important of the flavonoids in apples is quercetin, which has anti-inflammatory as well as anti-cancer actions. Apples contain vitamin C as well – more so in green apples than in red ones. Apples can reduce blood cholesterol levels, counter constipation and diarrhoea, help joint problems and help prevent diseases in general.
bluebeRRyMany health benefits, including the highest antioxidant ability of all fresh fruit. They also have effective anti-inflammatory, anti-blood clotting and antibacterial effects. in the past they were often used to combat diarrhea and food poisoning. They are also thought to have anti-aging properties.
blAckbeRRyA good low fat source of vitamin e and it helps to fight infection. it also contains salcylate, which is thought to lower the chance of heart risk. it also contains vitamin C, phenolic acids and folate.
ReD peppeRAn excellent source of vitamin C, contain high antioxidant levels and are linked to a reduced risk of heart disease.
SWeeT cORnA good source of folate. it also helps protect against age-related macular degeneration and helps fight free radicals in the retina. it provides more starch and more calories than most vegetables. it is high in iron and potassium and is also a good food for steadying blood sugar.
AlmOnDSrich in vitamin e and are a useful source of calcium. it may help reduce the risk of heart disease and can also lower blood cholesterol levels.
pecAnSAn important source of ellagic acid. Pecan nuts are a good low fat source of vitamin e and also have anti-cancer effects. They can also, if eaten correctly, lead to lower cholesterol levels.
RAW FOODS MOVEMENT
HealtHyPeoPle = HealtHyCommunityHEALTHYKC
Vein Clinicof greater kansas city
“Dedicated to the evaluation and treatment of all venous disorders”
HEALTHYKC PROUD PARTNERS:
HealthyKC org
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a whole new worldST. JOSeph inSTiTuTe FOR The DeAF | kAnSAS ciTy, miSSOuRi
MOST PeOPLe ASSUMe WHen THey MeeT A deAF PerSOn that they’ll need sign language
to communicate. While this can be an effective way for those with hearing loss to connect with
one another, many hearing people are unable to understand them. | For this reason, it can be
difficult for deaf people to find a meaningful place in the mainstream culture. There’s an exciting
new option for those who wish to become a part of the hearing world. it’s called the auditory-
oral approach, and it’s helping to restore the dreams that many families have for their children.
STOry By pAige DeRuyScheR PHOTO By DeniSe WilliAmS
A liFe-chAnging miSSiOn
The mission of St. Joseph institute began in 1837 when two sisters of St. Joseph of Carondelet traveled from Lyons, France to St. Louis, where they founded the first school for the deaf west of the Mississippi river. For the next century, they and several other sisters visited universities throughout the world, devoting their lives to developing more effective teaching techniques.
in 1934, they advanced a new teaching method – the oral approach – and became one of the first schools in the world to teach deaf children to talk. Today, campuses can be found in indiana, illinois and Missouri. St. Joseph institute for the deaf–Kansas City Campus (or SJi-KC) is the only agency in the greater Kansas City area that helps deaf children to speak.
AuDiTORy-ORAl meThOD
SJi-KC does not teach sign language. instead, it uses something called the auditory-oral method to “unlock” language for deaf children by teaching them to listen, think and speak. The goal is to help the children enter mainstream education and function independently in the hearing world. They are trained to develop listening skills with the use of digital hearing aids and cochlear implants. This gives them access to language, which fosters the ability to read, write and reach their educational potential.
WhAT AbOuT Sign lAnguAge?SJi-KC recognizes that some families will choose sign language to help their deaf chil-dren communicate. The institute recognizes the value of sign language and respects the choice that individual families make.
While some in the deaf community are concerned that the auditory-oral method will have adverse effects on the community’s cohesiveness, others have begun to embrace diversity. Well-regarded members of the deaf community have received cochlear im-plants, and the national Association for the deaf has stated that it “recognizes all tech-nological advancements with the potential to foster, enhance and improve the quality of life of all deaf and hard of hearing persons.”
eARly inTeRvenTiOn
Hearing loss is the most frequent birth defect in the U.S. The earlier a child’s disability is identified and treated, the more successfully he or she will be able to integrate into the mainstream culture. Specialists at SJi-KC begin working with families when the child is only a few weeks old, partnering with parents as the child grows to help them incorporate language into daily activities. Since the most critical time for language development is during the first six years of life, early parent involvement is vital. Parents are encouraged to participate in learning sessions and to continue the education at home.
in the past, a person with profound hearing loss would graduate from high school with the literacy level of a fourth-grader. Today, with early intervention and auditory-oral education a child can reach higher reading levels, achieve high school proficiency and find success in college and adult life.
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One-OF-A-kinD eDucATiOn
SJi-KC’s academic classrooms serve children ages 3 to primary grades. each student has an individualized program designed to meet his or her unique learning needs. A typical day includes a one-on-one session of intensive speech and language therapy as well as participation in small groups that focus on auditory rehabilitation and language training. Trained educators of the deaf teach core subjects and facilitate hands-on experience activities (group play, role playing, etc.). Children are tested regularly on their articulation, language development, auditory improvement and academic achievement. Currently, SJi-KC serves 61 students who come to school year-round. They are often referred from Missouri First Steps and Kansas infants and Toddlers – local ser-vices designed to assist special needs children in the first three years of life.
Because SJi-KC is a non-profit orga-nization, parents can have up to 70 percent of the school’s $19,700 tuition reimbursed. Only half of the school’s costs are covered by tuition and fees. The other half is made up of contribu-tions from individuals, businesses, foundations and community groups, plus an annual golf tournament.
“I don’t know what the future holds, but I know it won’t be limited by a lack of hearing.”
–PArenT OF A SJi-KC STUdenT
cOchleAR implAnTS
A cochlear implant is a small electronic device that helps provide a sense of sound to a person with hearing loss. it consists of an external portion that sits behind the ear and a second part that is surgically placed under the skin.
Unlike hearing aids, which amplify sounds so they can be detected by damaged ears, cochlear implants bypass damaged portions of the ear and directly stimulate the auditory nerve. They can enable one to hear conversation and thus learn spoken language with relative ease, particularly those with severe-to-profound hearing loss.
Because cochlear implants are a relatively new technology – approved by the FdA for adults in 1984 and for children in 1990 – many people are unaware of the profound effect this technology can have on the life of someone with hearing loss. Coupled with intensive post-implantation therapy, implants can help young children to acquire speech, language and social skills.
Most insurance plans will cover the cost of cochlear implants, which can cost between $40,000 and $60,000.
ReAching beyOnD The WAllS
SJi-KC also offers:n individual outpatient speech, lan-
guage and listening therapy for children and adults with hearing loss
n Standardized academic, language and listening evaluations
n Consultations with school systems to help meet the needs of children with hearing loss and to aid children in transition to mainstream school settings.
n Hearing peers who model activities, learn and play with SJi-KC students. it’s an opportunity for hearing children to learn about others’ differences while supporting the development of their deaf peers.
The Audiology Clinic partners with Midwest ear institute, KU Med Center and Children’s Mercy Hospital to offer all types of amplification devices – from small hearing aids to the most powerful hearing instrument available.
FOR mORe inFORmATiOnJeanne Fredriksen, SJi-KC Program directorSt Joseph institute for the deaf8835 Monrovia St., Lenexa, KS 66215www.sjid.org913-383-3535
hearing your bestAnd now they’re hearing their best...
AssociAted Audiologists, inc. is the area’s premier audiology
and hearing aid practice. We offer the latest open-fit digital hearing aid
technology available. Open-fit instruments provide superior sound quality,
comfort and cosmetic appeal.
our services include:
• Accurate Diagnosis of Your Hearing by University Trained Audiologists
• Hearing Aid Service and Repairs
• Diagnosis and Treatment of Dizziness and Balance Disorders
• Tinnitus Evaluation and Management
The Area’s Premier Audiologyand Hearing Aid Practice
OUR OFFICES ARE CONVENIENTLY LOCATED IN:
> Overland Park Saint Luke’s South Medical Building 913-498-2827
> Prairie VillagePrairie VillageOffice Center913-262-5855
> Shawnee MissionShawnee MissionMedical Building913-403-0018
> LeavenworthCushing Medical Plaza913-682-1870
Associated Audiologists is led by James A. Wise, Ph.D., F.A.A.A., president, and Tim Steele, Ph.D., F.A.A.A., vice president.
AssociAted Audiologists
For more patient testimonials and hearing resources visit
www.hearingyourbest.com
“These new hearing aids are terrific. I don’t even feel them in my ears and they’re practically invisible.” – Len Dawson, Hall of Fame Quarterback
“The first thing I noticed was that I could hear construction sounds down the street, dogs barking and sirens. I hadn’t heard those things in years.” – Lisa Kallsen
“I spend a lot of time in the car and the hands-free Bluetooth technology was an important feature for me.” – Hadley Warwick, D.V.M.
(actual size)
hearing your bestAnd now they’re hearing their best...
AssociAted Audiologists, inc. is the area’s premier audiology
and hearing aid practice. We offer the latest open-fit digital hearing aid
technology available. Open-fit instruments provide superior sound quality,
comfort and cosmetic appeal.
our services include:
• Accurate Diagnosis of Your Hearing by University Trained Audiologists
• Hearing Aid Service and Repairs
• Diagnosis and Treatment of Dizziness and Balance Disorders
• Tinnitus Evaluation and Management
The Area’s Premier Audiologyand Hearing Aid Practice
OUR OFFICES ARE CONVENIENTLY LOCATED IN:
> Overland Park Saint Luke’s South Medical Building 913-498-2827
> Prairie VillagePrairie VillageOffice Center913-262-5855
> Shawnee MissionShawnee MissionMedical Building913-403-0018
> LeavenworthCushing Medical Plaza913-682-1870
Associated Audiologists is led by James A. Wise, Ph.D., F.A.A.A., president, and Tim Steele, Ph.D., F.A.A.A., vice president.
AssociAted Audiologists
For more patient testimonials and hearing resources visit
www.hearingyourbest.com
“These new hearing aids are terrific. I don’t even feel them in my ears and they’re practically invisible.” – Len Dawson, Hall of Fame Quarterback
“The first thing I noticed was that I could hear construction sounds down the street, dogs barking and sirens. I hadn’t heard those things in years.” – Lisa Kallsen
“I spend a lot of time in the car and the hands-free Bluetooth technology was an important feature for me.” – Hadley Warwick, D.V.M.
(actual size)
lost baseball gloves
comfy couches
family dinners
settling down with a good
book
Leanne, Orthopedic patient
There’s nothing like the comforts of home. Which is why, at North Kansas City Hospital, our goal isn’t about getting you into the hospital. It’s about getting you out — and back to the things you love. That’s why we’ve worked so hard to create our Orthopedic Center of Excellence that offers everything from complete joint replacement procedures to physical therapy. So we can help patients like Leanne get back to the ordinary. And that’s the most extraordinary work we do.
GETTING YOU BACK TO WHAT YOU MISS THE MOST.
You’ll like the way we treat you.
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JamieEnhance
For more information about our Northland Orthopedic Center visit www.northlandorthopediccenter.org.
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by cuTTiNg chEMical clEaNErsBy pAige DeRuyScheR
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lost baseball gloves
comfy couches
family dinners
settling down with a good
book
Leanne, Orthopedic patient
There’s nothing like the comforts of home. Which is why, at North Kansas City Hospital, our goal isn’t about getting you into the hospital. It’s about getting you out — and back to the things you love. That’s why we’ve worked so hard to create our Orthopedic Center of Excellence that offers everything from complete joint replacement procedures to physical therapy. So we can help patients like Leanne get back to the ordinary. And that’s the most extraordinary work we do.
GETTING YOU BACK TO WHAT YOU MISS THE MOST.
You’ll like the way we treat you.
190 1 A 100% 100% 4c8.75x10.875
JamieEnhance
For more information about our Northland Orthopedic Center visit www.northlandorthopediccenter.org.
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1. sponge A sponge’s pores make it difficult to disinfect. Wiping surfaces with a dirty sponge will only transfer bacteria from one item to another. Use pure cellulose sponges and run them through the dishwasher or boil frequently to sterilize.
2. dish rags Always rinse well and allow to dry for several hours (bacteria can only live for three hours without moisture).
3. kitchen sinkA haven for bacteria like Salmonella and E. coli. Scrub the drain area as far down as you can with baking soda and a toothbrush to get rid of food particles and grime.
4. wet laundryAdd a few drops of tea tree oil to laundry detergent to help disinfect. Don’t let laundry sit between wash and dry cycles; this gives germs a chance to multiply. Wash all undergarments in hot water and make it the last load of the day.
5. bathtub Many bathtubs have more bacteria than garbage cans! Use a natural soft scrub once a week to clean handle and faucet areas and remove germy soap scum and bath rings.
6. floorsClose the toilet seat before flushing to avoid spraying on bathroom floor. Try to clean kitchen and bathroom floors weekly with hot water and a natural solution – especially if you have children. Mist floor areas near toilet and kitchen sink periodically with vinegar to kill germs.
7. kitchen garbageUse a trashcan – preferably stainless steel – with a pedal opener to avoid having to touch it regularly. Clean bin once a week with a natural soft scrub.
8. toys Dunk in vinegar instead of bleach to wash. Use the washing machine or dishwasher to clean if possible.
9. phoneWipe down weekly with very hot water and vinegar.
10. cutting boardConsider using different cutting boards for produce, bread and meat. If possible, run your cutting boards through the dishwasher or hand wash them with a natural cleaning solution.
10 favorite bacteria hangoutsAt the risk of sounding germ-a-phobic, we want to make you aware of these uninvited guests!
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There’s a loT of concern about how we treat the earth’s environ-ment these days. But many of us forget that the environment begins in our own homes. Indoor pollution caused by common household cleaners can gradually make us sick as the chemicals accumulate in our bodies over time. Some awareness and a few simple choices could help ensure a healthy future for you and your family. The average household contains anywhere from three to 25 gallons of toxic materials, most of which are in cleaners. There are more than 80,000 chemicals on the market in the U.S., and no law requires manufacturers to list all ingredients or to test them for safety. Chemicals commonly found in homes have been linked to allergies, birth defects, cancer, chronic fatigue, depres-sion, psychological abnormalities, skin reactions, headaches, joint and chest pain, dizziness, loss of sleep and asthma. Chemical levels can be up to 70 times higher inside the home than out. (Even cleaners sitting in old containers at the back of a pantry can leak harmful gasses into your home!) The fact that women working in the home have a higher risk of cancer is most likely because of the products they use on a daily basis.
The gOOD neWSMost exposure to household chemicals is preventable. Choosing a safe, natural alternative for the things you commonly use can be a fairly simple process; many individuals and companies have already done the research and created the products. Your part is becoming aware of what’s in your cabinets, disposing of chemi-cals safely and choosing the toxic-free alternative that best suits your budget and personal needs. (Call MARC at 816-701-8226 to locate a hazardous waste disposal for discarded items.) Jennifer Jessup, a Kansas City mom, recently went through this process when
June is home Safety month
10 chemicAl culpRiTSWhether you choose a reputable “all-green” company or hand pick your cleaners from various manufacturers, here are 10 of the most harmful cleaners you’ll want to replace:n Air freshenersn Ammonian Bleachn Carpet and
upholstery shampoo
n dishwasher detergents
n drain cleanern Furniture polishn Laundry productsn Mold and mildew
cleaners n Oven cleaner
she joined a health and wellness company that offers an affordable way to help people detoxify their homes by choosing natural products. “I wasn’t aware of the toxicity in my house when I started,” she says. “I just wanted to work from home and be with my 2-year-old. But the more research I did, the more I realized how harmful our indoor environment has been.” That’s why Jessup joined the Mom Team (www.uhohmommy.com), stay-at-home moms who help others create healthy living spaces for their families. “I want to know that when I give my daughter a bath or see her playing on the kitchen floor, she’s not absorbing toxins,” she says, “and I want to let others know they can make that choice, too.” Jessup says natural cleaners don’t have to be more expensive than what you have in your home right now. It’s often just a matter of switching stores.
heAlThieR chOiceSGreen cleaning alternatives:www.indigowild.com (a KC manufacturer)www.mrsmeyers.comwww.ecover.comwww.seventhgeneration.comwww.simplegreen.com
resources:Jennifer Jessup, green cleaning consultant, 913-226-6205Hazardous waste disposal, MArC 816-701-8226
local green housecleaning services:www.agreenwayhome.comwww.maidbrigade.com
sizzling
hen house hereford beef• superior tenderness
• robust flavor
• exceptional juiciness
• minimally processed
• no artificial flavors, colors or preservatives
product ofunitedstates
summer grilling event
PRODUCT OF THE UNITED STATES
Each week we’l l of fer a select ion of our Al l-American , USDA Choice , Cert if ied Hereford Beef Sold In Cryovac®. Cut & Save instruct ions
inc luded or we’l l cut and wrap to your spec if icat ions - FREE!
What You’ve been Craving
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&Grillin’ chillin’
The sun is out – the heat is on and it’s time to fire up the grill and open up some Shiraz, Petite Sirah or even a rose or Gewurztraminer (pronounced Ga-vertz-tra-meener)? That’s right: You CAN drink white or pink with your meal if you want to. The Fourth of July is just around the corner (one of the biggest and best barbecue days of the year) and the air will soon be saturated with the wafting smoke of grills lighting up for the next two-plus months. Often the sauce is sweet and has a hot n’ spicy kick (sorry Memphis BBQ-lovers; that’s how we roll in Kansas City). Your meat, chicken, ribs, even salmon, tuna and Chilean sea bass will soak it up like sponges. Depending on how much sweetness is in the sauce and whether you’re heavy or light on the heat makes a big difference on what wines will work. So which wine styles pair well with the savory spices every wanna-be chef uses to concoct their special blends of sauces to glaze a plethora of grilled entree choices? Personal preference is always the right way, but here are a few general thoughts on pairing.
yOU CAn drinK WHiTe WineS WiTH BArBeCUe
By michAel A. levine
sizzling
hen house hereford beef• superior tenderness
• robust flavor
• exceptional juiciness
• minimally processed
• no artificial flavors, colors or preservatives
product ofunitedstates
summer grilling event
PRODUCT OF THE UNITED STATES
Each week we’l l of fer a select ion of our Al l-American , USDA Choice , Cert if ied Hereford Beef Sold In Cryovac®. Cut & Save instruct ions
inc luded or we’l l cut and wrap to your spec if icat ions - FREE!
What You’ve been Craving
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Lots of spice calls for big fruit and less tannin. Lighter wines like Beaujolais or soft dry roses (which are fabulous in the summer, because they are reds you can chill for better flavor) have more fruit and good acidity so they will help to sim-mer the flame of your hotter sauces or marinades. If you are barbecuing lighter meats like pork, good old Gewurztra-miner (whites from Germany or France) works wonderfully especially if it’s very spicy, or you could try a nice Califor-nia Pinot Noir if the marinade is a bit sweeter. The same is true for duck, game hens and even chicken. The wines with more fruit work better with the complex flavors of BBQ sauces and marinades. For the basic “Top Chef,” the main ingredient becomes the focus. Many who enjoy the flavors of blackened cow (or lamb) see it as the perfect time for their big bold reds to make an appearance and guess what: they’re right. The generally big tannins are subdued by both the marbling and char level of the beef, lamb or other red meat you have decided to feature. So what reds are best for the meati-est of meats? Again, it depends on your palate and tolerance. For me, because you asked, a juicy California Cabernet Sau-vignon (big fruit, bigger tannins), a bold Syrah (a.k.a. Shiraz) from Australia (big fruit, big smoke and big spice) or a Petite Sirah (juicy, powerful and one of my fa-vorites). For a true change of pace maybe you’ll entertain a Tempranillo from Spain – still a perfect pairing for that beautiful piece of meat you’ve been caring for over an open flame … a bit softer but good spice and subtle tannins will make it a nice option. Whatever you do this season be sure to do it with a great bottle of wine – it will make the food taste better and, of course, the food will make the wine taste better too!
geWuRzTRAmineRn Husch (CA): www.
huschvineyards.com ($15)
n domaine Hering (Fr): www.vins- hering.com ($18)
ROSen Susana Balbo Crios
Malbec (Ar): www.dominiodelplata.com ($14)
n Forte Canto negroa-maro rosato (iT): www.svimports.com ($13)
beAuJOlAiSn George duboeuf
(Fr): www.duboeuf.com ($17)
n Maison Louis Jadot (Fr): www.louis jadot.com ($15)
pinOT nOiRn Hahn estates (CA):
www.hahnestates.com ($16)*
n daniel Schuster (nZ): www.daniel schusterwines.com ($22)
SyRAh/ShiRAzn Marquee Signature
(AU): www.marquee selections.com ($12)*
peTiTe SiRAhn Macchia Bodacious
(CA): www.macchi awines.com ($22)
cAbeRneT SAuvignOnn Wellington (CA):
www.wellington vineyards.com ($16)*
great options for BBQ wines
* Ridiculously good values; not that the others aren’t but these really stood out!
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Process first four ingredients in blender until roughly chopped and well incorporated. Pour over the steak and marinate at least two hours or overnight.
Fire up the grill on high! Remove steak from marinade and coat gen-erously with salt and pepper. Grill on high – two minutes on each side for medium rare.
Let rest five minutes after remov-ing from grill. Slice against the grain and enjoy.
1 cup loosely packed cilantro
½ cup olive oil½ cup red
wine (good drinking wine)
3 cloves garlic2-3 pound flank
steakSalt/pepper
steak marinade chicken marinade½ cup honey½ cup vegetable oil½ cup orange juiceJuice from ½ lime1 tablespoon peanut oil1 teaspoon your favorite
hot chili sauce (or sub ¼ teaspoon chili powder)
2 cloves of garlic½ teaspoon dried cumin½ teaspoon salt½ teaspoon pepper¼ teaspoon cinnamon4 thighs or split breasts
– bone in, skin on
Process all ingredients other than chicken on food process until well incorporated. Coat chicken and marinate for at least two hours. Fire up the grill on medium! Once hot, place chicken on grill and cook for roughly 10 minutes, turning 2-3 times to ensure even cooking.
Let rest for 2-3 minutes, then serve and enjoy.
344 South 291 Hwy, Liberty, MO 64068816-415-4638 • fax: 816-415-4639
www.mothernaturesmkt.com
STORE HOURSMon-Sat: 10 a.m.-8 p.m.Sun: noon-4 p.m.
• Friendly, knowledgeable staff – you will always be greeted!
• Gluten-free products
• Free range eggs, meat, poultry
• All major supplement lines
SHOP, LEARN…
BE HEALTHY!
Mother Nature’s Health Market provides the fi nest quality fresh, natural, organic and whole foods, nutritional products, body care products and health information in a fun comfortable clean, safe environment. products, body care products and health information in a fun comfortable clean, safe environment.
No one cares for you like mom
4111 PennsylvaniaKansas City, MO 64111
Hours:Sunday 11 a.m.-9 p.m.Mon-Wed 11 a.m.-9 p.m.Thur-Fri-Sat 11 a.m.-10 p.m.
816-531-9600
www.teadrops.us
The rejuvenating experienceof sipping a flavorful tea carries with it an
almost endless list of health benefits
W e S T P O r TfeaturingHigH grade loose leaf teas
• Black, oolong, green, pu-erh, white, herbal tisanes
BuBBle teas
• All kinds of flavors –not just made out of tea, but are also made with milk or fresh fruit, and can be shaken, steamed or blended with ice.
• High quality espresso drinks and other beverages are also served alongside delicious gourmet pastries and snacks.
variety of tea Hardware (unique pots, cups, etc.)
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FindinG bAlAnceEMErgiNg TEchNOlOgiEs MEET hEaliNg-OriENTEd
MEdiciNE aT ThE ku iNTEgraTiVE MEdical cENTEr STOry By keRRy hinRichS PHOTOS By JOnAThAn bRASWell
When it comes to alternative health practices, few modern medical institutions have embraced the union between conventional and alternative medicines. But at the University of Kansas Medical Center in Kansas City, the Program in Integrative Medicine is setting a new standard of excellence in well-documented research, incomparable patient care and a staff of exceptionally educated physicians and medical students. Along with fewer than 50 schools based at academic centers across the nation, KU has joined the Consortium of Academic Health Centers for Integra-tive Medicine in the hopes of sharing information and ideas, and providing a national voice for integrative medicine. Under the direction of Dr. Jeanne A. Drisko, the Program in Integrative
Medicine is committed to providing a healing environment to patients using science-based orthomolecular and nutritional medicine. And because it is based at an academic medical center, the approach allows patients to work with all healthcare providers to develop a diagnostic and therapeutic regime appropriate for each individual. As defined by the National Center for Complementary and Alternative Medicine at the National Institutes of Health, Integrative Medicine “Combines mainstream medical therapies and CAM (Complementary Medicine) therapies for which there is some high-quality scientific evidence of safety and effectiveness.” In other words, Integrative Medicine is a healing-oriented medicine that takes account of the whole person – mind, body, and spirit and includes all aspects of lifestyle.
4111 PennsylvaniaKansas City, MO 64111
Hours:Sunday 11 a.m.-9 p.m.Mon-Wed 11 a.m.-9 p.m.Thur-Fri-Sat 11 a.m.-10 p.m.
816-531-9600
www.teadrops.us
The rejuvenating experienceof sipping a flavorful tea carries with it an
almost endless list of health benefits
W e S T P O r TfeaturingHigH grade loose leaf teas
• Black, oolong, green, pu-erh, white, herbal tisanes
BuBBle teas
• All kinds of flavors –not just made out of tea, but are also made with milk or fresh fruit, and can be shaken, steamed or blended with ice.
• High quality espresso drinks and other beverages are also served alongside delicious gourmet pastries and snacks.
variety of tea Hardware (unique pots, cups, etc.)
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A legAcy in inTegRATive meDicineA gifted healer, scientist and health care advocate, Hugh D. Riordan, M.D., strong-ly supported orthomolecular medicine, the practice of preventing and treating disease by providing the body with opti-mal amounts of natural substances. Dr. Riordan left a legacy with KU that helped define the program’s current research and education values and its pursuit of excellence. Director Jeanne Drisko, M.D., is the recipient of the Hugh D. Riordan, M.D. Endowed Chair for Orthomolecular Medicine and Research, sharing his pas-sion for preventing and treating disease by providing the body with the vitamins, minerals, amino acids, trace elements, and essential fatty acids it needs to achieve and maintain optimal health. In-travenous vitamin C is just one example of a natural substance being used suc-cessfully in the treatment of a significant health condition. Research shows that vitamin C at high doses, used in conjunction with chemo-therapy or radiation, kills cancer cells in the early stages of cancer. Though it is
difficult to predict which patients will re-spond well to vitamin C treatments, the results of a PET scan are often used as a guide. When the PET is positive, chances are good the vitamin C will be effective.
The clinicDr. Drisko’s vision for the program in Integrative Medicine is centered on providing a level of patient care that is highly personal. “We are striving to continue to improve patient care and education, to continue the fellowship of next genera-tion health care providers and to write, research and create a model for health-care,” she says. “We take care of people, we listen, we value what our patients say and we provide comprehensive health care.” Because the team is so committed to treating the whole person and not just the ailment, the initial consultation is extensive and thorough. Prior to the first appointment, patients are encouraged to complete a 20-page questionnaire to include a comprehensive health his-tory. The consultation itself should be expected to last no less than an hour
meeT The TeAm n Jeanne A. drisko, Md, director of the
Program in integrative Medicinen Garrett Sullivan, Md, integrative
Medicinen Lisa Markley, MS, rd, nutrition
educatorn elizabeth Schrick, rn, infusion nurse;
research Assistant
DeFining The meDicAl AcROnymSMd – doctor of medicineMS – Master of sciencerd – registered dieticianrn – registered nurse
cONVENTiONal MEdiciNEThe use of synthetic drugs, radiation and surgery to treat most health conditions.
alTErNaTiVE MEdiciNEA catchall phrase for any therapy that is typically excluded by conventional medicine. These therapies are generally closer to nature, less expensive and less invasive, though there are exceptions.
cOMplEMENTary MEdiciNEAlternative medicine practices that are used in conjunction with conventional ones. For example, using ginger syrup to prevent nausea during chemotherapy. Together, complementary and alternative medicines are often referred to by the acronym CAM.
iNTEgraTiVE MEdiciNECombines mainstream medical therapies and CAM therapies for which there is some high-quality scientific evidence of safety and effectiveness.
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and sometimes more, depending on the individual’s history and current health condition. Following the consultation, the physi-cian will recommend the appropriate tests for review and evaluation. These tests may include measuring vitamin and mineral levels in the blood, testing adrenal function and examining hor-mone panels and neurotransmitter func-tion in the brain, as well as completing urine tests – all of which are specifically tailored to each patient and will aid the physician in addressing the root of any concerns. The physician and patient will then meet to discuss recommendations and a treatment plan, if necessary. The con-sultation and subsequent recommenda-tions will always embrace a holistic view of health and of life balance, including proper nutrition, vitamins and supple-ments, long-term maintenance and well-ness care, exercise and mental health. Patients are encouraged to become their own health advocates, investing the time and energy it takes into achieving and maintaining optimal health. The partnership then, between physician and patient, is based on relationship, appro-priate testing, previous health concerns and current health condition. It is truly a uniting of mind, body and spirit to assure the whole person is healthy and well.
DeFining The pROgRAm Intravenous vitamin C infusions are a cornerstone of the program’s current offerings. In addition to aiding in fight-ing cancer, there is a broad spectrum of medical uses for vitamin C. It is said to neutralize and even eliminate a wide variety of toxins in the body, greatly augmenting the immune system’s ability to negate bacterial and fungal infections. And most of us know that taking higher doses of vitamin C during cold and flu season can be helpful in boosting our immune systems. In addition to 10 vitamin C infusion chairs for administering the intravenous vitamin C, the program also currently includes traditional and alternative medi-cine therapies, a fellowship in integrative medicine, nutrition education services and a teaching kitchen and well-docu-mented and ongoing research. One such research program currently under way involves the evaluation of bio-identical hormones in early menopause. This pilot study is designed as a prospec-tive double-blind, placebo-controlled study comparing four groups of women who are within seven years of meno-pause. The short-term goal of the study is to provide safety information for bio-identical hormone use by surrogate markers for cardiovascular disease, with secondary evaluation of the breast
the principles of integrative medicinen A partnership between patient and
practitioner in the healing process. n Appropriate use of conventional and
alternative methods to facilitate the body’s innate healing response.
n Consideration of all factors that influence health, wellness and disease, including mind, spirit and community, as well as body.
n A philosophy that neither rejects conventional medicine nor accepts alternative therapies uncritically.
n recognition that good medicine should be based in good science, be inquiry driven and be open to new paradigms.
n Use of natural, effective, less-invasive interventions whenever possible.
n Use of the broader concepts of promotion of health and the prevention of illness, as well as the treatment of disease.
n Training of practitioners to be models of health and healing, committed to the process of self-exploration and self-development.
Source: Andrew Weil, M.D., author, physician and proponent of alternative medicine
casE sTudy: a sTOry Of iNspiraTiONintravenous vitamin C can be instrumental in the fight against cancer. When a woman in her 60s arrived at the clinic with advanced ovarian cancer, the future looked dim. She had already undergone surgery to remove the tumor, followed by chemotherapy. But even following surgery and conventional treatments, a portion of the tumor was left behind her stomach. Working with an oncologist at the medical center, physicians in the Program in integrative Medicine ad-ministered intravenous vitamin C with great success. The tumor was eliminat-ed, and five years later she is healthy and her body shows no signs of cancer.
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and uterus and to collect information about bone preservation. Results of the study should prove that bio-identical hormone replacement therapy provides a safe alternative to standard hormone replacement therapy. Though patients are encouraged to continue care with a primary care physician, physicians at the Program in Integrative Medicine consistently meet and treat patients for anything from basic health and wellness evaluations to such ailments as fibromyalgia, fatigue and adrenal problems, endocrine problems, healthy aging and cancer. Services offered to children include a variety of issues ranging from gastrointestinal to ADD and autism.
eDucATiOn: inTegRATive meDicine FellOWShipThe program has as its primary mission the integration of conventional Western medicine with complementary and alternative medicine. There is a very strong emphasis on education, groundbreaking research and clinical services. Because complementary and alternative medicine was excluded from conventional education and research settings and activities for so long, there is a lot of work to be done to explore and validate the many diverse approaches to prevention and disease. Medical students may elect courses in integrative medicine. Those participating in the fellowship assist the integrative medicine team in conducting weekly patient chart reviews. Students and
residents are encouraged to join in discussing patient symptoms, labs, recommendations and progress. The patient benefits by the input of so many experts, while medical students and residents witness firsthand the benefits of integrative medicine and the role it plays in natural healing.
The FuTuRe OF inTegRATive meDicineAchieving great health means a combination of so many elements. At the KU Program in Integrative Medicine – and to so many holistic healthcare providers worldwide – simply treating health conditions and ailments is no longer enough. Instead of looking at our bodies as the living, breathing organisms they are, capable of so much positive change, often we choose to simply mask the problem and tolerate less than optimal health. “The body is so wonderfully constructed that it has the ability to heal itself,” Dr. Drisko says. “If something becomes off balance, the addition of vitamins, minerals and therapies that address energy and core issues will help the body to get back on center.” By identifying the root cause of any issue, physicians grounded in the philosophies of integrative medicine are able to find more natural, science-based medicine and therapies that work with the body, not against it. It is a partnership that will continue to thrive on the passion that healthy people mean a healthy community.
Quick clinic FAcTS n The clinic currently provides
healthcare services for men, women and children.
n The clinic partners with all areas of the KU hospital system, and accommodates referrals from others physicians and facilities.
n The three components of the Program in integrative Medicine include the clinic, research and an educational structure for medical students and residents in the teaching of integrative medicine.
n Patients should be prepared to pay with cash, check or credit card at the time of service. Alter-native medicine fees are not typi-cally covered under traditional health insurance plans, including Medicaid and Medicare.
n The clinic is open 8 a.m.- 4:30 p.m. Monday-Friday, and is closed on holidays.
n Phone consults are available to patients outside the Kansas City region.
n The clinic is located on campus at the KU Medical Center.
n KU will be expanding the program during 2009. See highlights (next page).
ADDiTiOnAl ReSOuRceS“Beating Cancer with nutrition,” by Patrick Quillin: Highly recommended for anyone diagnosed with cancer.Visit the KU Program in integrative Medicine Web site for an extensive list of other informative Web sites and resources and for additional information: http://integrativemed.kumc.edu.
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looking ahead: expanding the programnatUropathic doctorA primary care physi-cian who has a doctor of naturopathic Medi-cine degree. naturo-paths provide century-old proven, natural, non-toxic therapies with modern-day advances in science to treat all aspects of health. A naturopath is also trained in al-lopathic (conventional) medicine and can use these methods to treat, when necessary.
acUpUnctUreA method of healing developed in China 2,000 years ago. Typi-cally, acupuncture in-volves penetrating the skin with thin metallic needles that are ma-nipulated by the hands or by electrical stimu-lation. experts sug-gest that the needles used in acupuncture regulate blood flow and stimulate immune function changes by rebalancing the body’s vital energy.
meditation therapyA method of achieving relaxation and consciousness expansion by focusing on a mantra or a key word, sound or image while eliminating outside stimuli from one’s awareness.
maSSaGe therapy The scientific ma-nipulation of the body’s soft tissues to normalizing those tissues. it includes applying fixed or mov-able pressure, holding and/or causing move-ment of or to the body. Generally, massage is known to affect blood circulation, reduce muscular tension, affect the nervous system through stimu-lation and enhance tissue healing.
yoGaA method of physical and mental exercises designed to help achieve enlightenment. On the physical level, yoga postures are designed to tone, strengthen and enlighten the body. On the mental level, yoga uses breathing techniques and meditation to quiet, clarify and discipline the mind.
KU inteGrative medical center
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health and wellness
dOn’T LeT ACHeS And PAinS HOLd yOU BACK.
FeeL BeTTer WiTH PiLATeS
By Quinn kATheRmAn
CUre
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diScoverinG the core
beneFiTS OF pilATeSn establishes core strengthn improves posture, balance and
coordinationn Creates longer, leaner musclesn increases strength and flexibilityn Helps prevent injuryn Adaptable to different levels and
needsn Low-impact, easy on the jointsn Heightens body awarenessn Promotes the health and wellness of
body and mind
“For most of us, we’ll be slouched at the computer for part of the day and what happens is we roll those shoulders forward and they get out of alignment, and we end up with upper neck pain, or back pain or even headaches,” says Dr. Angela Stapleton, physician at Shoal Creek Family Medicine and Allergy and Medical Director at Ageless Vision Medi-cal Aesthetics. Dr. Stapleton has been practicing Pilates for about six years. You’ve probably tried a cocktail of pain relievers, ice packs, heating pads, maybe even a new mattress thinking that might be the solution to your daily aches and pains. But have you tried Pilates?
FinDing The cOReMost people know what and where “the core” is on their own bodies. But do you know how to engage your core? It’s not merely flexing your abdominal muscles or doing a sit-up, which was my assump-tion upon entering my first Pilates class. Your core consists of the deep abdominal wall, basic spinal muscles and the muscles in the pelvic floor and diaphragm, which serve as the foundation for your body’s movement. This might seem self-explanatory until you’ve been in a Pilates class with a licensed instructor
and you realize that you had no idea how to move those muscles. Lying on my back with my legs bent at a 90-degree angle and a small, foam ball between my feet, I really wasn’t feeling anything except the cushy mat under me. As the instructor, Pam Valdes, owner of Balanced Fitness, LLC, licensed Pilates mat instructor and personal trainer, walked around the room making adjustments to some of the other students, I tried to listen and correct myself. When she approached me, she gave me some corrections and told me to pull my tailbone in. Even though this sounds like a simple task, it took a couple tries for me to correctly interpret her instructions because my body was so used to operating within a certain alignment – an unhealthy alignment, as it turns out. “You have to focus on what you’re doing. It takes a lot of concentration to get those muscles working the way your instructor is telling you,” Valdes says. Once I mastered the art of pulling my tailbone in, I felt muscles working that I never knew existed. I was discover-ing new functioning parts of my body. I walked out of class feeling recharged, delightfully sore and maybe a little taller.
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is ThErE a TwiNgE iN yOur lOwEr back? do your shoulders feel tense at the end of a long day? Are you constantly trying to rub the pain out of your aching neck? After years of ignoring, and thus accepting, these general aches and pains, we tend to forget what it’s like to live without the discomfort.
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pilATeS bAckgROunDPilates was developed 90 years ago in Germany by Joseph Pilates to facilitate the rehabilitation process for soldiers returning from war. The exercises he created helped them regain health by strengthening, stretching and stabilizing core muscles. Eventually, the practice of Pilates became popular among professional dancers as a way to prevent injury or rehabilitate an old injury. And since the 1980s, Pilates has been available to the masses. Pilates lengthens and strengthens the muscles, which helps correct imbalances in the musculature. By engaging the core, we create a solid base of support for movement and stabilize the spine, pelvis and shoulder girdle. “The more range of motion you have, the more (activity) you can do without pulling muscles,” Valdes says. “Pilates himself had a great analogy; he said to think of the trunk of a tree, which has to be nice and strong so that its limbs can blow in the wind. And that’s how it is in Pilates – you want the core to be strong so that the rest of the body can move freely by relying on the core for basic strength.” Valdes says one of the goals of Pilates is to commit the precise movements and the feeling of correct postural alignment to muscular memory so it becomes second nature, enabling you to have confidence and grace in your daily movements.
WhO cAn DO pilATeS?Almost anyone can do Pilates. But Pilates is especially helpful for athletes, dancers
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and people with back pain, chronic fatigue, rheumatoid arthritis, osteoporosis – or for anyone looking to improve their posture or lose a few inches. If you do suffer from a condition or have back or joint problems, it is best to first consult a physician before practicing Pilates. Also, if you do have a condition or injury, make your instructor aware of it so that they can help you modify the moves accordingly. “A lot of physical therapists now in-clude Pilates in their programs because of the posture, strengthening and flexibility benefits. (Pilates) is helpful to all the joints in our body,” Dr. Stapleton says. Chad Helmer, orthopedic and sports medicine physical therapist at S.E.R.C. in Liberty, agrees that Pilates plays a big role in physical therapy. “We use some form of Pilates in almost all of our programs because we share the same philosophy in that it’s key to have a strong core to transfer the force of energy through the body,” Helmer says. “Everything we do requires a good, strong core, not only to transmit the energy, but also to protect the spine.” But Valdes makes a good point, which emphasizes the importance of concentra-tion, breathing and precision in Pilates: “Anything that can strengthen your muscles can hurt your muscles if you overdo it. So you really have to be tuned in to your body during class,” Valdes says.
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WhAT pilATeS cAn DO FOR yOuThe benefits of Pilates are endless. But what Pilates does best is strengthen the spine and core muscles that, over time, can become weak with age, stress or injury, and as a result we might experience other problems with the body. “Muscle imbalances can have a lot of uncomfortable effects on the body, and Pilates is really good for correcting those imbalances that we have to live with every day,” Valdes says. “It doesn’t happen overnight, but your spine will get stronger. Many problems we have with our bodies tend to stem from a weak back.” “As a therapist, first and foremost is the benefit of prevention of injury,” Helmer says. “Also, if you have a strong core, you’re typically able to perform your daily activities at a higher and safer level. And Pilates certainly offers you the tools to become stronger.” According to Valdes, “Pilates was meant to be a form of fitness and well-ness, not weight loss.” So while the focus in Pilates is not on weight loss, it is an added benefit that makes it undeniably appealing. What I so lovingly refer to as my “belly pooch,” the lower abdominal area that’s difficult to work and seems to grow even more stubborn with age, is one of the ar-eas that you are focusing on with Pilates. “Pilates is a great way to lose weight and inches,” Dr. Stapleton says. “As we lose inches around our tummies, we actu-ally decrease our risk of diabetes. One
of the main risks for diabetes is our waist circumference. And that weight
around the middle is so metaboli-cally unhealthy, whether you’re 25 or 65, that doing something that
targets the core area of the abdomen and back area can make a huge difference.”
pilATeS veRSuS…You don’t have to be a gym rat or a body builder to lose inches and gain strength. In most cases, all we need is our own body weight in order to get the most desirable results. “In lifting weights, you’re shorten-ing the muscle,” Valdes says. “In Pilates, you’re lengthening and stretching the muscles while you’re working them, which is why the result tends to be a more long, lean look. Instead of add-ing weight, which will add bulk, we are stretching the muscles out and strength-ening at the same time.” However, Pilates should not be your only form of exercise. Dr. Stapleton says it’s important to have a cardiovascular activity to complement your Pilates workout. “Pilates is not aerobic; you still need to combine it with an aerobic program so that you get all of the cardiovascular benefits,” Dr. Stapleton says. “But Pilates is low-impact, which is very helpful for people who already have osteoarthritis or joint pain in their hips, neck, back or knees – it’s something that almost any-one can do.” High-impact forms of exercise can be very hard on our bodies. For instance, if you are a runner, Pilates can be an important restorative addition to your workout. “Other forms of exercise are rejuve-nating, but they wear on you – you feel that wear and tear on your body – but with Pilates I feel the opposite, I feel like I am helping my body,” Valdes says.
“Pilates himself had a great analogy; he said to think of the trunk of a tree, which has to be nice and strong so that its limbs can blow in the wind.
And that’s how it is in Pilates – you want the core to be strong so that the rest of the body can move freely by relying on the core for basic strength.”
– PAM VALdeS, LiCenSed PiLATeS MAT inSTrUCTOr And LiCenSed PerSOnAL TrAiner
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Intelligence Quotient, or IQ, was once considered de facto for measuring people’s intelligence and their likelihood for excelling in life. Not anymore. Many psychologists and behavioral scientists believe that Emotional Intel-ligence, or EQ, is more important than IQ. EQ is the ability to be aware of one’s emotions and manage or control them properly. This intelligence has become increa-singly important as it defines how a person manages challenges and complex relationships in a diverse, globalized and connected world. Daniel Goleman, who is a pioneer in the field of EQ, has said this intelligence starts with the ability to become self-aware of one’s emotions. Self-awareness can then help us to manage our emotions properly and also understand others’ emotions properly. Goleman suggests that we can create healthy social life only if we are self-aware of our emotions. Self-awareness of emotions is not an inborn skill, nor something we could learn easily. Sometimes we are aware of our emotions, but most of the time we are not. Most of us are in reactive mode when we deal with complex situations and people. We let our emotions – good or bad
– dictate our decisions and behaviors. Anger is a common experience of how we handle our emotions. When we get angry, we think and react according to how we feel about the situation. We rarely ask ourselves why we are angry in the first place. As time passes, we develop a different perspective or angle to the problem that made us angry. Rather than being reactive or realizing things over time, EQ helps us to manage our emotions appropriately and in a timely manner as they arise within us.
hOW cAn meDiTATiOn help?For ages, meditation has been a common practice in the East. Along with yoga – another popular Eastern practice – meditation is now practiced by a growing number of people in the West. One of the main reasons of its growing popularity is its benefits in enhancing mental and physical health. Medical science has already proved its effectiveness in lowering blood pressure, heart rate and stress-related hormones. Furthermore, its calming effects on our minds increases our ability to be aware of our thoughts, feelings and emotions, which makes it an effective tool for EQ.
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EMOTiONal iNTElligENcEemotional intelligence (eQ) is now widely promoted in businesses and organizations. eQ is the ability to be aware of and manage one’s emotions. experts say that an organization’s ability to handle its eQ largely determines its success or failure. The practice of meditation at an organizational level could make eQ more effective, as mental focus flourishes the basic elements of eQ, such as self-awareness and empathy.
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STill yOuR minDThere are several techniques of practicing meditation. Some experts say there are about 200 techniques that are used by people around the world. Some popular techniques include breathing meditation, light meditation, sound meditation and some unique techniques like walking meditation. The goal of all techniques is the same: to silence or still our minds. A common theme among all meditation techniques is to focus our minds on one thing, object or task, such as breathing, sound or hymns. By focusing our minds on one thing, we eliminate all other thoughts. By practicing this over and over, the state of mind reaches to a point where even the object of focus becomes diluted and only silence or stillness remains. Sages in the East believed that a silent or still mind without thoughts goes to the deeper levels of consciousness or awareness, and in that state, the mind and body becomes attuned to the nature. Although the state of conscious-ness and awareness as described by the Eastern sages could be more than what EQ demands, there is no doubt that meditation increases our ability to be aware of our state of mind, our self and surroundings, and this is what we need to enhance our EQ.
SOciAl AWAReneSS AnD meDiTATiOnSocial awareness is another competency required to enhance our EQ. This type of awareness enhances our ability to deal with other people, their feelings and emotions. One way to develop social awareness is by developing self awareness in conjunction with the awareness of others. This can be practiced by employing a practice called satsang – the Sanskrit word that broadly describes doing some-thing pure in the company of others (“sat” means pure and “sang” means com-pany of others). In satsang meditation, two or more people get together and me-ditate, usually with the help of a teacher. If a teacher is not available, the group can appoint one of the members as a leader and he or she can guide them through a certain technique or procedure. If a leader cannot be appointed, the group can use audio-visual tools to guide them through the process. Meditating in a group has many benefits. People who are less motivated to meditate can be encouraged by those who are motivated. The group creates a pool of heightened consciousness that compounds the effectiveness of meditation for every individual. Satsang meditation helps you to develop another behavioral competency
Pujan roka is the author of ”Bhagavad Gita on effective Leadership” and the forthcoming ”Karmic, inc.” He can be reached at www.pujanroka.com.
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bOOsT yOur OrgaNizaTiON hEalTh – aNd rEsulTsThe connection between organizations and meditation is not all new. The former CeO of Medtronic, Bill George, is one such business leader who attributes his personal and professional effectiveness to the power of meditation. George is a long-time practitioner of meditation. He served as the CeO of Medtronic for 10 years, and during his tenure the company’s market cap grew from $1.1 billion to $60 billion.
as described by the Eastern philosophy, which is also applicable to EQ and it is something called “presence.” The Eastern philosophy defines presence as one’s awareness of the current moment, the state of being present, and the surroundings. From the EQ standpoint, presence is the awareness of your surroundings – people and objects – and the collective mindset or collective consciousness. When dealing with people, this type of awareness is important in understanding the culture, values and mindset of the group or organization.
DO mORe WiTh leSS – OR nOThingFrom an organizational standpoint, the benefits of meditation to emotional intel-ligence reveal an important paradox to the traditional business norms. Traditional business practices encourage you to speak up to communicate effectively. Interestingly, many experts are now recommending us to listen more and speak less, which suggests self and social awareness that could be enhanced with meditation. Therefore, a few minutes of meditation every day might not be a bad idea after all. It is ironic that in today’s fast-paced world a few minutes of doing nothing – including not even thinking – can get you ahead in life.
complementary health
“pOwEr” MEdiTaTiONBecause of the high demands of professional lives, it is difficult to think of meditation as something you could practice during your hectic work hours. This might not be all true if you consider using a few minutes of your breaks at work to do power meditation. Some people prefer taking power naps – 5-10 minutes of quick nap – to tackle the lethargy that builds up in your body, especially after lunch. if you are used to taking power naps, power meditation is a good alternative.n Find a quiet location • inside (close your office door or find a quiet conference
room) • Outside – with naturen immerse yourself in meditation: silence your mind/thoughts
for 5-10 minutes
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peripheral neUropathyThE paiNful prEsENcE Of
“If I stand in place for too long, my left leg and foot doesn’t seem to be there when I start to move, so I trip. Then someone jokingly thinks I’ve been drinking.”
– PAT, 52, PeriPHerAL neUrOPATHy PATienT
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eLiZABeTH’S reALiTy iS
THe COnSTAnT niGHTMAre
OF A STABBinG, BUrninG,
PrOGreSSiVe PAin in Her
FeeT And HAndS. She suffers from peripheral neuropathy, and she believes the disease is taking over her life. “I used to be very active in my daughter Katie’s activities, as well as my own career working full-time as a social worker. I used to help out in Katie’s school and volunteer on committees,” she says. “I led a balanced and active lifestyle, doing things I enjoyed.” Now those days, according to Elizabeth, are over for her. According to The Neuropathy Association, this debilitating disease affects 20 million Americans. But it’s more common among older adults. Think of your body being wired like a computer. Peripheral neuropathy damages the nervous system’s wiring. The diseased, inflamed hardwiring of nerves disrupts the communication with muscles, skin and joints. Peripheral neuropathy can lead to numbness, pain, weakness or imbalance. But there’s hope. Elizabeth said like most people with peripheral neuropathy, the disease start-ed slowly. She felt tingling that gradu-ally progressed into pain. Elizabeth has found solace by networking with other
patients through The Neuropathy Asso-ciation. She has learned to make lifestyle adjustments in order to maintain activity and assume everyday responsibilities. Pat, a 52-year-old woman, is another profile in courage. She said her neuropa-thy came on so gradually that she didn’t think about the symptoms much until someone saw her stumble as she walked. “If I stand in place for too long, my left leg and foot doesn’t seem to be there when I start to move, so I trip. Then someone jokingly thinks I’ve been drinking.” Pat says. “My neuropathy is spreading to the bottom of my left foot and my toes on my right foot are going fuzzy-numb. I figure there’s not a whole lot I can do to stop it.” Pat underwent a nerve study and be-lieves her nervous system is not respond-ing as it should. She will see her neurolo-gist again to ask questions and educate herself on what positive steps she can take to manage her ongoing neuropathy.
cAuSeS AnD SympTOmSIt doesn’t take a village to diagnose this debilitating disease. Just ask Dr. Mazen Dimachkie, co-director of the neuro-muscular section in the Department of Neurology at the KU Medical Center. “I see this disorder has two main types, which are focal and generalized,” she says. “Focal neuropathy affects a single nerve or group of nerves like car-pel tunnel syndrome, which is most
peripheral neUropathycaUSeSn Juvenile and adult diabetesn Cancerous tumorsn nutritional imbalancesn Heredity (genetics)n Undetermined (cryptogenic)
SymptomSn Burning, tingling, or numbness in
forearms, feet or handsn Paralysisn Shooting, stabbing sharp pain
treatment optionSn Prescription medicationn Massagen Cold water plungesn electrical impulse therapyn Physical therapyn Acupuncturen Hot-cold creamsn Topical ointment
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common. There are 150 types of pe-ripheral neuropathies. That’s why it’s so important for patients to be evaluated and treated for their disease.” Dr. Dimachkie says the most com-mon causes include juvenile and adult diabetes, cancerous tumors, nutritional imbalances and heredity. More than 25 percent of all peripheral neuropathies are cryptogenic or categorized as an unde-termined cause. The worst outcome of the disease is paralysis from a severe and rapid progression of pain from the tip of toes, to mid-foot and up the leg. In those with diabetes, the rapid rise in blood sugar can lead to an aggressive and painful neuropathy. “Patients can experience a lack of balance or weakness,” Dr. Dimachkie says. “At times this disease can affect the nervous system related to the control of blood pressure or gastro-intestinal problems. It can affect the whole body.” Dr. Arthur Allen, a clinical neurologist with Neurology Consultants, says cross-ing the legs at the knees causes cross-knee palsy, a neuropathy which produces nerve damage below the knee. The common Mor-ton’s neuroma is aggravated by wearing tight shoes and running on hard surfaces. “Traumatic injury by pounding of the feet can cause such aggravated pain,” Dr. Allen says. “It can be burning or tingling in the peripheral nerve regions of the body; which are forearms, feet and hands.” Diabetic neuropathy can improve with treatment. Chemotherapy-induced neuropathy can improve with cancer treatment over time. Hereditary causes usually don’t respond as well to remedies. TReATmenT OpTiOnSNeurologists emphasize a variety of treatments on the road to pain relief. Prescription medications are the first stop. Dr. Allen suggests that medications that reduce pain messages from nerves include Neurotin and Lyrica. He also analyzes neuropathy in third-world coun-tries, which manifest itself as leprosy.
More often in modern, industrialized populations of the West does peripheral neuropathy exists in tandem with diabe-tes in adults and children. Dr. Dimachkie claims nerve inflam-mation like plantar fasciitis mimics the disease, so treatment options are dif-ferent. He gives his patients who suffer from insomnia and depression, anti-depressants combined with anti-seizure drugs. These treatments cure the pain together with resulting anxiety disorders. Aside from pharmaceuticals, nix the heating pad. It doesn’t work. But mas-sage, cold water plunges and electrical impulse therapy combined with physical therapy give green lights to fast-track relief! Dr. Allen promotes acupuncture of the hands and feet for alleviating pain. Topical applications include Ben Gay soothing ointment and other hot-cold creams. He also recommends prescrip-tion meds that are compounded espe-cially for a patient in the pharmacy. In addition, the topical ointment called Capesaicin is available over the counter and in a stronger prescription formula. Dana Winegarner, DO, clinical neurologist with Mid-America Neurosci-ence Institute, says 50 percent of their patients have diabetic neuropathy. Often, they don’t even know they have diabetes. They come in complaining of symptoms caused by damaged nerves from elevated blood sugars. And they get double diagnoses of diabetes and neuropathy. “Treatment is designed by type of neu-ropathy,” Winegarner says. “If it’s caused by cancer like lymphoma or leukemia, by treating the cause we treat the symptoms. Vitamin deficiencies of E or B-12 can be obviously cured with vitamin nutrition.” iS A cuRe On The hORizOn?Some types of peripheral neuropathy can be cured, but most cannot. Therapy is micromanaged to treat the disease and improve the symptoms. Only an experi-enced neurologist can stabilize the pain and stop more permanent damage.
FOR mORe inFORmATiOn
www.neuropathy.org The neuropathy Association
www.neurokc.comMid-America neuroscience institute, 913-894-1500
www.nc-kc.comneurology Consultants, Chartered, 913-384-4200
department of neurology KU Medical Center, 913-588-6820
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Sprained ankles are among the most common orthopedic injuries. A sprained ankle occurs following a sudden sideways or twisting movement of the foot. An ankle sprain can occur during athletic events or during everyday activities.
How does an ankle sprain occur?A sprained ankle usually occurs when a person lands from jumping or running on an uneven surface. But they also occur with more routine daily activities such as stepping off a curb or onto a slippery surface.
What happens inside the ankle when it is sprained?An ankle sprain is an injury to the ligament in the ankle. The ligaments are structures that control excessive movement of the joint. When an ankle sprain happens, the ligament is stretched too far, and is either partially or completely torn.
Symptoms of an ankle sprain?Common symptoms associated with an ankle sprain are pain with swelling and bruising. The degree of symptoms tends to correlate with the extent of the damage to these ligaments.
Early treatment options?Early treatment of an ankle sprain is the “RICE” method. Rest + Ice + Compression + Elevation
Do I need to see the doctor if I have a sprained ankle?If you have significant symptoms, you should seek medical attention. Signs that should raise concern include:
n Inability to walk on the anklen Significant swellingn Symptoms that do not improve quickly or persist beyond a few daysn Pain in the foot or above the ankle
Differentiating between a sprained ankle and an ankle fracture can be difficult, and sometimes an x-ray is needed. While moderate pain and swelling are common, the inability to place weight on the leg, numbness of the toes or pain that is difficult to manage should raise concern. Certain injuries that don’t heal within the expected time frame may require surgery.
Foot+Ankle Injuries
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Tips for preventingsports injuries1 Warm up prior to any sports activity.2 Condition your muscles for the sport.
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ALIGNED 8.75x10.875 bleed 6/3/09 11:28 AM Page 1
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AMS
