HealthyOR Just Hype? Smartphone!
Transcription
HealthyOR Just Hype? Smartphone!
health you spring and Get off your Smartphone! The Hidden Risks of Too Much Technology Injured? Sore? Find Relief with Physical Therapy THE PALEO DIET: Healthy OR Just Hype? 2014 contents volume 30 • number 1 16 the Dangers of Gadgets More media might do more harm than good. Plus: When’s the right time for your child’s first smartphone? 4 Reaching Out Anderson’s outpatient services include advanced, unique therapies to treat a variety of health conditions, from injuries to balance disorders. Anderson Hospital Board of Trustees: Mark Shashek, Chair Millie J. Belobraydic; Gary Ceretto; Robert L. Ciuferi; Greg Coffey; Richard Dawdy; K. Max Eakin, M.D.; Frank L. Flanigan; Joseph G. Hagerty; Sue Ann Hepler; Rev. Mark Maynard; Jeff Parres, M.D.; Lendell Phelps; Dale Sauer; Joseph Smith; Nancy Thomas; Ginger Trucano; Kay Werner; Judy Wiemann; Patrick Zimmermann, M.D. Natalie A. Head Communications Director 12 when knee pain persists Anderson Hospital is a not-for-profit 154-bed health care facility operated by Southwestern Illinois Health Facilities, Inc. A full-service hospital, Anderson strives to meet the health care needs of the surrounding communities through a family-oriented health care delivery system that is cost-effective and quality-driven. 22 Eat Like a Caveman If you do not wish to receive this community mailing, please call 618-391-6409. www.andersonhospital.org 7 The Right Time to Deliver Your Baby Waiting until 39 weeks is crucial for baby’s development. Try these solutions if your aches and pains just won’t stop. If you’re wondering whether you should try the Paleo diet, read up on the pros and cons first. 28 Achieving Balance Learn what might be causing your balance disorder — and how Anderson Hospital can help. 30 Community Calendar Join Anderson Hospital for special events, support groups, classes and more. health you and 2 Keith A. Page President & CEO Spring 2014 Articles in this magazine are written by professional journalists or physicians who strive to present reliable, up-to-date health information. Our articles are reviewed by medical professionals for accuracy and appropriateness. No magazine, however, can replace the care and advice of medical professionals, and readers are cautioned to seek such help for personal problems. Health and You is published and printed in the United States. All models used for illustrative purposes only. (SP14) I didn t ” know that. “ ’ 183,517 Total number of patients treated with Anderson Hospital services in 2013. Surgical procedures performed at Anderson Hospital in 2013. 2,400 Patients who benefited from our Wound and Ostomy Care specialists. Babies delivered at Anderson Hospital every year. 925 9,492 1,700 Patients treated in our 24/7 Cardiac Cath Lab. Total number of DaVinci Robotic Surgeries performed in 2013. 1 300 Anderson’s #1 priority is our patients. We’re good to know. andersonhospital.org | facebook.com/AndersonHospitalIL 3 news Reaching Out: Introducing Expanded Outpatient Therapy Services Anderson Hospital’s Outpatient Therapy Services continue to grow to meet the health care needs of area residents. Now located within the Anderson Wellness Center at 2133 Vadalabene Drive in Maryville, the new Outpatient Therapy Services Department offers a state-of-the-art facility and convenient location for physical therapy, occupational therapy, speech therapy and aquatic therapy. Whether you’ve had an injury, are recovering from an illness or have been living with chronic pain, Anderson Hospital Outpatient Therapy has coordinated solutions for outpatient treatment. With special expertise in orthopedics, we offer cutting-edge technology and proven techniques to identify the problem and create a recovery plan. Patients work one-on-one with a licensed therapist — something most private clinics cannot offer. Why Choose Anderson for Outpatient Therapy? Join us for o ur Open Hou se with FREE screenings! See page 31. Here are a few reasons. Patients receive: • One-on-one treatment from a licensed therapist • Up to one-hour sessions • The latest therapy technology • Direct access to Anderson Hospital resources • A diverse mix of specialists collaborating for best results Anderson Hospital Outpatient Therapy is a place where excellence in treatment and advanced technology come together to help people live their best. We offer many specialties that you cannot receive at other outpatient facilities. Here’s a look at some of the services we offer. Orthopedic/sports medicine Our experienced staff provides exceptional treatment strategies for patients following orthopedic surgery and athletes returning to their sport from injury. Neurological services Our staff can assist you in rehabilitating or maximizing your function when coping with a neurological disorder, such as a stroke, brain injury, multiple sclerosis, ALS or Parkinson’s disease. 4 Upper extremity rehabilitation VitalStim® Our specialty trained staff provide therapy for upper extremities, including strength, coordination and ergonomic training, adaptive equipment training and splinting. Education on home modifications to increase independence in daily activities is provided as an important component. This noninvasive therapy for dysphagia (difficulty swallowing) uses an electrical current to stimulate the muscles responsible for swallowing. On-site aquatic therapy The physical properties of water, such as buoyancy and turbulence, provide assistance or resistance to movement, depending on the needs of the patient. We have a 12-by-16-foot heated pool where you receive one-on-one coaching. No need for swimming skills, but a doctor’s referral is required. Women’s and men’s pelvic health program Specially trained staff can treat a multitude of pelvic health concerns for men and women, including pre- and postpartum issues, urinary or fecal incontinence, painful scars, vulvodynia (chronic vulvar pain) and painful intercourse. Balance/vestibular therapy Our therapists use advanced NeuroCom® equipment and work closely with Anderson’s audiology professionals to assist in diagnosing and providing treatment for balance and vestibular problems. (See page 28 to learn more.) Lymphedema services Certified therapists provide comprehensive lymphatic therapy for cancer survivors as well as individuals who develop edema (fluid accumulation) for other or unknown reasons. Myofascial release/ craniosacral therapies This therapy uses hands-on touch to treat areas that need pain relief and improved function. Dry needling This technique uses a thin needle to stimulate a trigger point beneath the skin. It is an effective treatment for acute and chronic pain, rehabilitation from injury, and even pain and injury prevention, with very few side effects. Kinesio taping Just as the name suggests, this therapy uses a special elastic tape to correct joints. Kinesio taping gives stability to injured muscles and joints — without affecting their range of motion and circulation in an adverse manner. Call 618-391-5827 to make your appointment! 5 Anderson Hospital’s BAB Y FAI R • Enjoy FREE gifts for you and your baby! • Meet local physicians! Learn how to keep kids of all ages safe with our special safety section featuring: • Choking prevention and treatment • First aid and emergency care • Hand hygiene • Fire safety • Helmets and bike safety • Alcohol and drug prevention Sunday May 4th 1- 4 p.m. You’re invited to the area’s largest party for moms and moms-to-be! Booth space is available! Call Lori at 618-391-6426 Join us at the Collinsville Gateway Center Free Admission! 6 m at e r n i t y The Right Time to Deliver Your Baby You can’t always control when you give birth. But if you do have a choice, waiting until 39 weeks gives your baby the best chance at a healthy start. The average pregnancy lasts 40 weeks. For years, babies who arrived anytime from three weeks before to two weeks after their due dates were considered “term.” But increasingly, doctors recognize that babies continue to grow throughout pregnancy. For instance, their lungs, brains and livers fully develop between 37 and 39 weeks. The American Congress of Obstetricians and Gynecologists has recently updated its definitions. As a result, you now may hear your doctor refer to births this way: 37 to 38 weeks...................... “Early term” 39 to 40 weeks.........................“Full term” Week 41.................................. “Late term” Week 42 or later.....................“Post-term” Special care If you do have a C-section, your doctor can help make sure your baby has reached term. Babies born after 37 weeks may need more special care than those born after 39 weeks. They face an increased risk for: • Trouble breathing or staying warm • Difficulty eating •Jaundice • Learning and behavior problems • Hearing and vision impairment Of course, you may have no choice but to deliver early. Your doctor may decide that the benefits of an early delivery by either inducing labor or having a C-section outweigh the risks. ● Follow your baby’s schedule If you’ve had a healthy pregnancy, health experts advise waiting until labor occurs naturally instead of scheduling a cesarean section ahead of time. Having a C-section when you don’t need one may increase the health risks to you and your baby. If you aim to schedule your child’s birth, talk with your doctor about your reasoning and all the benefits and risks. The Right Place for Your Baby Learn why more families choose Anderson Hospital than any other hospital in southern Illinois for their birth experience. Go to www.andersonhospital.org. Hover over “Anderson Centers,” then click on “Pavilion for Women.” 7 f o r wo m e n Growing Stronger After Breast Cancer The research is clear: Exercise, such as walking three to five hours each week, helps breast cancer survivors live longer and enjoy life more. But, simply stated, breast cancer treatment — surgery, radiation and chemotherapy — can be exhausting. During and after treatment, women may not view exercise as a priority or they may be too tired to participate in a standard exercise program. That’s where physical therapy (PT) comes in. PT especially designed for breast cancer survivors can help women safely regain their energy, range of motion and strength. Preventing and controlling lymphedema Beating fatigue Exercise, which helps promote lymph drainage, may reduce the symptoms of lymphedema. Other PT care for lymphedema includes massage and bandaging. ● Fatigue, one of the most common side effects of breast cancer treatment, keeps many women from exercising. That’s a shame, because exercise actually relieves fatigue. A physical therapist can help a tired woman feel peppier by suggesting coping strategies, such as scheduling demanding activities for times when she feels more energetic. To accommodate fatigue, a physical therapist should tailor an exercise plan so that it begins with the easiest movements, such as chin tucks and shoulder rolls. As the patient grows stronger, the therapist will often increase workout time and add more advanced exercises, such as working a pulley attached over a door top. 8 Breast cancer or its treatments, such as the surgical removal of lymph nodes or radiation therapy, may result in lymphedema. In this condition, fluid from the woman’s lymphatic system can’t be absorbed into the bloodstream. Excess fluid may then collect in the arm next to the treated breast, causing swelling and soreness. Other symptoms include: • A tight feeling, pain, aching or heaviness in the affected arm • Trouble flexing joints in the affected limb Pelvic Floor Disorders: Common and Treatable They’re not the kind of moments you discuss at the dinner table. But they happen every day to millions of women nationwide. Your pelvic muscles form a sling that holds up your bladder, uterus and other pelvic organs. Childbirth, pregnancy, obesity or simply the passage of time can weaken these muscles. Often the result is incontinence, or being unable to control when you go to the bathroom. Also, your uterus or the top of the vagina may drop into the vagina. This is called pelvic organ prolapse. In one national study, nearly onefourth of women ages 20 and older had symptoms of at least one pelvic floor disorder. The condition is more common with age. It affects half of women ages 80 and older. What to watch for Signs of a pelvic floor disorder may include: • Urine leaks when you sneeze, jump or lift something heavy • Trouble holding bowel movements until you reach a bathroom • Feelings of fullness, discomfort or pain in your lower abdomen • Feelings of heaviness, fullness or pulling in the pelvis • A sensation that something is falling out of your vagina • Pain during sex • Difficulty having a bowel movement or emptying your bladder Check your pelvic health Talking with your doctor about these problems can help you get treatment. Lifestyle changes, such as avoiding caffeine or losing weight, may resolve the problem; so can medication. Other therapies include pelvic strengthening exercises known as Kegels. For women with more severe symptoms, a device called a pessary can also be inserted to hold the uterus in place. If these treatments don’t help, surgery is an option. ● Keeping You Well Ask your primary care doctor how outpatient PT could improve your life. Anderson Hospital’s Outpatient Therapy includes specialized therapies for pelvic health concerns and lymphedema. Turn to pages 4 and 5. 9 fitness Get Fit to Improve Balance Everyone can appreciate how important it is to have a healthy heart or stronger muscles. Even people who don’t think much about flexibility might stretch before exercising. But not many people consider their sense of balance or how to improve it. Keep in mind, though, without the ability to stay on your feet, it would be difficult for you to exercise at all. Imagine trying to work out while suffering from dizziness, and you can see how essential your sense of balance really is. Balance is at the core of all physical movement. A good sense of balance can help you avoid injury, improve your athletic performance and, if you are an older adult, maintain your independence. According to the Centers for Disease Control and Prevention, one out of every three adults age 65 or older falls each year. Falling is the leading cause of injury among this age group. You can avoid becoming a statistic. Balance can be improved through specific movements, just like any other physical measure. Give the following a try. Strength training Tree Pose 10 Why it works: Picture the muscular Do legs of gymnasts and soccer players. this at Their strong legs give them a solid home! foundation and a better sense of balance. Lower-body moves such as squats, lunges, leg extensions and calf raises are good ways to improve your balance. These moves can be done without special equipment, either in a gym or at home. Try this: The plank. Get in the starting position for a push-up and lower your elbows to the floor, so that only your forearms and toes support your weight, then hold. Tai chi and yoga Why it works: A series of slow, mindful movements, tai chi is a good, low-impact way to improve your balance. Tai chi improves your body’s strength and flexibility from the core muscles to your ankles, providing a more solid foundation. It also helps you develop a greater awareness of your body and the way it moves. Yoga provides similar benefits. Try this: The tree pose in yoga. With both feet planted firmly on the floor, slowly bring one foot up to the opposite leg’s thigh or calf. Then hold. Water-based training Why it works: In a study of athletes’ sense of balance, swimmers scored below only gymnasts and soccer players. Water-based classes are also a good option for anyone with physical limitations, whether caused by a medical condition or an injury. Your buoyancy in water allows you to work on balance techniques in ways that aren’t possible on land. Try this: If swimming laps doesn’t appeal to you, try a water-based exercise class such as ai chi, a form of tai chi done in a pool. Lunge Standing exercises Why it works: Simple standing exercises done for a few minutes each day can have a major impact on your sense of balance. Examples include heel-to-toe walking for 20 steps or lifting one leg for 10 seconds while holding on to the back of a chair or the wall for balance. As you build endurance, you can increase the repetitions and duration of these exercises. Standing exercises can be done almost anywhere — and as often as you want. Try this: A one-leg stand while in line at the grocery store. Use the handle of the cart to provide support. ● The Wonders of Water Anderson Hospital’s Wellness Center offers aquatic therapy for patients with orthopedic, neurological, pulmonary or cardiac-related conditions. We have a 12-by-16-foot heated pool, and each patient receives one-on-one private treatment. No need for swimming skills, but a doctor’s referral is required. Call 618-391-5827 to make an appointment. 11 o rt h o p e d i c s Are You Getting the Right Treatment for Knee Pain? If you have arthritis, don’t let it keep you from enjoying life. Persistent pain may mean it’s time to take a fresh look at your treatment plan. Your knee pain has gotten worse. You wake up in the morning with aching joints, and it feels like a chore just to get out of bed and get ready for the day. The same-old over-the-counter pain relievers hardly help. Sound familiar? If you have knee osteoarthritis, your treatment may need an update as time goes by. What works in the beginning may not be effective for the long haul. Possible solutions It may be beneficial for you to try nondrug treatments, including: • Self-care methods, such as hot baths and showers, use of a heat wrap or cold pack, and regularly scheduled rest to avoid overexertion • Acupuncture or massage therapy • Physical therapy • Ultrasound or TENS (transcutaneous electrical nerve stimulation) treatments Medication matters Talk with your doctor about options for stepping up your medication therapy. He or she may recommend: • A nonsteroidal anti-inflammatory drug (NSAID) or duloxetine (Cymbalta) • Prescription pain medication • Topical pain-relief creams and sprays 12 • Injection of pain medicine or corticosteroids into the knee joint to reduce pain and inflammation • Injection of hyaluronic acid substitutes to lubricate the knee joint When surgery is an option If your knee arthritis has become disabling, you may benefit from surgery. Surgical procedures can remove loose pieces of bone and cartilage, smooth the surface of the knee joint or reposition the joint to reduce pain. A surgeon can also replace all or part of the knee joint with a synthetic joint. Talk over treatment options carefully with your doctor. It may take some trial and error to find the right combination of treatments for you, but the end result is worth the effort. ● If It Doesn’t Get Better These three indicators may be a sign it’s time to re-evaluate your treatment plan: 1 2 3 Your knee pain, soreness or discomfort has gotten worse, and regular exercise and over-the-counter pain relievers aren’t doing the job. You’re having trouble sleeping because of knee pain. Daily activities like walking, bathing and getting dressed are becoming hard for you. Is Your Home Arthritis-Friendly? With a few simple changes, you can spare your knees a lot of painful bending and twisting: • Beware the stairs. Going up and down stairs is hard on knees, so keep your purse, coat, cellphone, glasses and other things you need during the day on the main level. Make sure that all stairs — inside and out — have a sturdy handrail so that you can climb more easily. • Love your chairs. A higher seat is easiest to get out of, so add leg risers, locking casters or a firm seat cushion to your chair or sofa. You might even swap your traditional dining set for a taller pub-style table that accommodates counter-height chairs. • Prep your kitchen. Rather than standing while preparing meals, sit on a tall stool and give your knees a break. • Customize the bathroom. Install grab bars to help you get in and out of the shower and tub. A taller toilet seat with side rails (or a special comfort-height toilet) can take the toll off your knees. Say ‘no’ to Stairs! Recovering from Joint Replacement Surgery? Get individualized treatment from an Anderson Hospital orthopedic specialist. Call 618-391-5827 to make your appointment. See pages 4 and 5 to learn more. 13 fa m i ly Stay Safe This Summer While you’re making memories of sunshine to get you through the cold winter months, remember to make safety a priority. Here’s a rundown of what you need to know. Swim smart As the weather heats up, cool pools and beautiful beaches beckon. In fact, statistics show that most families with small children will enjoy aquatic activities this summer. Some less happy news: One in four adults knows someone who has drowned, and about one-fifth of fatal drowning victims are children. Other swimming risks include brain and spinal cord injuries from diving into shallow water. Emergency signs: Call for help if you can’t get a child out of the water alone. If he or she has stopped breathing, administer LEARN CPR at one of l’s Anderson Hospita s! se training cour See page 31. 14 rescue breathing or CPR if you’re trained. Watch for the following signs of neardrowning: • Chest pain •Confusion • Cough with pink, frothy mucus • Bluish skin on the face Even if the child revives quickly, call 911. Lung problems and other complications still may have occurred. Safety secrets: Never let children swim alone. Only allow diving in designated areas where the depth of the water is known. Consider enrolling your little one in swimming classes. Even children ages 1 to 4 may be less likely to drown if they’ve had formal instruction. Cool down Enjoying the outdoors? If the temperature and humidity are high, your body’s cooling system doesn’t work as well — putting you at risk for dehydration, heat exhaustion and heatstroke. Emergency warning signs: Stomach, arm and leg cramps are often the first sign of heat illness, followed by thirst, fatigue and weakness. Stop your activity, drink water and move to the shade to gently stretch. If you don’t feel better within 30 minutes, call your doctor. Seek immediate help if you or a family member has any of the following symptoms: • Skin that’s hot and dry, but not sweating •Confusion •Fainting •Vomiting • Trouble breathing Safety secrets: Schedule outdoor activities for early morning or after sunset. Drink plenty of fluids before, during and after outdoor exercise. Avoid caffeine, which contributes to dehydration. Get grilling — the safe way What’s a summer weekend without a picnic, barbecue or campfire dinner? This American tradition hosts hidden dangers, however. Each year, about 5,700 fires are started by charcoal, wood or propane grills in the U.S. And bacteria are often unwanted guests at outdoor meals, causing foodborne illness. Emergency warning signs: If a burn is the size of your palm or larger, charred, white or numb, call 911. Signs of foodrelated illness often resemble the flu. Increasing fluid intake often brings relief. But get help if you have diarrhea and: 5,700 fires are started by charcoal, wood or propane grills in the U.S. • Blood in the stool •Confusion • A fever higher than 101.5 degrees Safety secrets: To prevent fires, don’t overfill a grill’s propane tank. Don’t pour lighter fluid on already-lit charcoal. After your food is cooked, douse hot coals in water until embers are extinguished. Beat bacteria by keeping hot foods hot and cold foods cold. Wash your hands often and don’t use the same plates and utensils for raw and cooked dishes. ● Accidents happen ... ... even when you’re prepared. Anderson Hospital ExpressCare Clinics offers four locations in Bethalto, Glen Carbon, Collinsville and Highland to serve you every day. The clinics treat minor injuries and illnesses. At Anderson Hospital’s Emergency Department, we are committed to providing the most advanced, highest quality of care at the time when you need it most. In an emergency, call 911 or go to the nearest hospital. 15 16 This Is Your Brain on Has technology transformed the way we think and relate to others for the better? For many of us, electronics aren’t just nifty tools or toys anymore. They’ve become an extension of our selves. Emails, texts and social networks keep us in constant touch with coworkers, family and friends. Smartphones, tablets and laptops let us play a game, watch a video or find a restaurant on the go. Scientists are divided about the impact of all this technology on our psychological wellbeing. On the one hand, it’s an incredible resource for information and entertainment. On the other, it may contribute to fractured attention and emotional stress. For some, connecting with people on sites such as Facebook widens their social circle. But for others, it may lead to disappearing behind a screen and withdrawing from face-to-face interactions. One thing most experts agree on: Frequent use of technology can rewire your brain. That’s because the brain is built for adaptability. As it processes external data, it gradually adjusts its internal circuits. and listening to TV. While it may feel as if you’re doing multiple things at once, you’re actually switching your attention back and forth quickly from one task to another. Studies show that this often reduces your performance on each of the tasks. Plus, you may be teaching your brain to flit around restlessly. You may start having more trouble focusing and tuning out distractions even when you aren’t using gadgets — a problem in many situations, from sitting through a meeting to driving a car. Whenever you can, set aside separate blocks of time for different tasks, such as checking email, shopping online and reading your friends’ updates on Facebook. Then try not to let one activity intrude upon the other. Media multitasking Some things you’re training your brain to do may not be helpful. Consider media multitasking — using more than one type of media at a time, such as checking email on your phone while working on your computer 17 Data overload Social media sabotage The sheer amount of information now Social media sites such as Facebook and available at your fingertips is mindTwitter help meet your need to connect and boggling. Some feel empowered by 24/7 communicate. Plus, posting a flattering photo access to a wide range of news and info. For or positive update may give you a quick ego others, it’s simply boost. But online friends overwhelming. But are no substitute for the If you’re already feeling just because there are off-line kind. If you’re lonely and blue, thousands of phone already feeling lonely apps doesn’t mean and blue, spending spending endless hours you have to use endless hours with only a with only a screen them all. Find a few screen for company may for company may make that best meet your make the problem worse. the problem worse. needs, then make A 2011 report from the A 2011 report from the them your go-to American Academy of resources. Pediatrics warned about American Academy of For children the risk for “Facebook Pediatrics warned about and teens, the depression.” the risk for American Academy To fight back, put face “Facebook depression.” of Pediatrics time first. Make a rule: recommends no phones, tablets or TV limiting nonschool at meals. Look for other use of TVs, tablets, computers and video opportunities to enjoy screen-free time with games to no more than one to two hours per family and friends. Find new off-line friends day. Ground rules aren’t just for kids, though. by taking a class, volunteering for a cause or It’s a good idea to set some for yourself, too. joining a support group. ● Are You Addicted to Technology? Watch out for these signs that your use of media has crossed the line from helpful to harmful: • You spend more time browsing the Web, checking Facebook or playing game apps than you intended. • You have trouble stepping away from a device, even when you have other important things to do. • You feel restless, depressed or cranky when you cut down on how much time you spend using devices. • You do most of your socializing in the digital world — through texts and email, on Facebook or Twitter, in chat rooms or via online games. 18 If the problem starts seriously interfering with your relationships or daily life, ask a mental health professional for advice on getting your gadget habit under control. FAQs: Smartphone Smarts for Kids In this digital world of ours, more and more children and adolescents — starting at increasingly younger ages — are staring at lit-up screens, including smartphones, as they watch videos, play games and browse the Web. All this screen time adds up to an average of seven hours a day for most children. Is there a “right” age for a child’s first smartphone? No. Only you know what’s best for your child, says the American Academy of Pediatrics. Most kids begin to show interest in cellphones by middle school, when their social lives expand. Are there any health risks when a child uses a smartphone? Whether you’re texting or scrolling through Facebook, anyone spending too much time in front of a screen faces possible health risks. Sitting so much keeps your child from being more physically active. Less physical activity leads to more snacking. Next thing you know, he or she may start to gain weight, inching toward obesity. Also, since smartphones connect to the Internet, anything illicit lurking there could cross paths with your child. How can I keep my child’s or teen’s smartphone use under control? It helps to limit your child’s smartphone use and establish “screen-free” areas of your home. Also, regularly talk with your child about smartphone safety. Don’t open attachments or click links from unknown senders. Don’t give out your age, address, school or location. And tell your child to check with you first before he or she downloads anything. Remember that you’re an important role model for your child. Let him or her see that you, too, can cut your screen time and use your smartphone wisely. Tip! Take a walk with your child and together come up with fun, nondigital ideas for more physically and mentally active things to do. What about shooting baskets, learning a new board game or dancing in the living room? 19 h e a rt h e a lt h How to Detect Heart Dise You could go for years without realizing you have clogged arteries that leave you a heartbeat from a heart attack. In the early stages of heart disease, symptoms may be absent or easily missed. Even a full-blown heart attack may not have the sudden, severe chest pain you see in the movies. Some heart attacks cause symptoms so mild, people mistake them for indigestion. Could it be heart disease? Symptoms of chronic heart disease may include: • Angina. This discomfort usually signals that the heart isn’t getting enough blood to meet increased demand, often caused by physical exertion, stress or digestion. You may feel pressure or squeezing pain in the chest, sometimes radiating to the arms, shoulders, neck, jaw or back. The discomfort may be aching, heavy, exhausting, sharp or burning. It may come and go. See a doctor promptly — especially if you have chest pain at rest, which could signal a heart attack. • Shortness of breath. This possible heart attack symptom can also warn of heart failure, in which the heart fails to pump enough blood to the body. If you’re unusually breathless during physical activity, while at rest or in combination with chest pain, seek medical assistance. • Arrhythmia. If you regularly have skipped or quickened heartbeats, or a fluttering feeling in your chest, talk with your doctor. Are you at risk? You can’t do anything about some heart disease risk factors, including advancing age, being male, having a family history of heart disease or your ethnicity. But you can avoid lifestyle risks such as smoking, physical inactivity and being overweight. A medical checkup can find “hidden” risk factors, like high cholesterol, high blood pressure or diabetes, which is strongly linked to heart disease. When in doubt, talk with your doctor. Don’t let a heart attack be your first sign of heart disease. If you have a hunch something might be wrong, don’t second-guess yourself — get prompt medical care. ● If A Heart Attack Happens Act fast. Quick medical help can greatly increase your chance for survival after a heart attack. People who notice symptoms wait five hours on average before they reach an emergency room. Sadly, about half of those who suffer a heart attack die before they reach the hospital. If you think you may be having a heart attack, immediately call 911. 20 Count on us. When patients experience chest pain, it is critically important that they receive care that is both urgent and appropriate. Anderson Hospital’s Chest Pain Center is the only one of its kind in Madison County. The Chest Pain Center is accessible 24 hours a day, with rapid assessment by an emergency department physician on arrival ase Some Risk Factors for Heart Disease High cholesterol Obesity Lack of physical exercise Smoking High blood pressure and nurses who are specially trained to treat patients with chest pain. With proven protocols established to transfer patients to higher levels of care, Anderson Hospital has access to the most advanced cardiovascular technology available, including a 24/7 interventional cardiac cath lab. Discover all the benefits of the Chest Pain Center at www.andersonhospital.org. Click on the link under “Anderson Centers.” 21 nutrition E at L ike a C a v eman : Should You Try the Paleo Diet? Sustainable diets come and go. the Academy of Nutrition and Dietetics But according to proponents of the caveman notes that diets rich in plant foods and lean diet, 21st-century Americans would have protein can reduce high blood pressure and better health, maintain a healthy weight and blood sugar, prevent type 2 diabetes and have a reduced risk for chronic diseases if lead to weight loss. they returned to eating like our Paleolithic ancestors did 10,000 years ago. Consider the cons In other words, if a food can’t be hunted, Even still, some nutritionists believe the fished or gathered (as in nuts and berries), following tenets of the Stone Age diet to it’s not good for you. be problematic: • Considering their small The caveman diet Diets rich in plant stature and short life spans, has its supporters and it’s a tough sell to propose that naysayers. The following foods and lean hunters and gatherers were review of this diet can protein can healthier than we are today. help you decide if it’s reduce high blood • Eliminating whole grains, worth a try or better left beans and dairy foods in the recesses of history. pressure and from your diet could cause blood sugar, and essential vitamin and mineral Explore the pros As far as fad diets are prevent diabetes. deficiencies, especially of calcium and vitamin D. concerned, the Paleo diet • Cutting whole grains, a good does have more benefits source of dietary fiber, from your meal than some. For example, eating more fruits plan could increase your risk for heart and vegetables and eliminating added sugar disease, certain cancers and diabetes. and salt is in line with the government’s 2010 Dietary Guidelines for Americans. Also, 22 • Consuming lots of high-fat, highcholesterol meat and eggs is not in line with today’s dietary recommendations. In addition, people with genetic hemochromatosis (a hereditary disease that results in enhanced iron absorption) and those taking certain blood pressure medications, diuretics, warfarin and some diabetes medications should get their doctor’s advice before following the caveman diet, according to a review article published in the American Journal of Human Biology. The bottom line Like other fad diets that promise significant weight loss and other benefits, limiting yourself to the list of foods allowed in the Paleo diet could come at a nutritional price. But taking the best advice the diet offers — eating more fruits and vegetables and less unprocessed foods, sugar and salt — is a good step toward better health. ● The Basics of the Paleo Diet ENJOY: • • • • • Grass-fed meat Poultry Wild-caught fish and shellfish Eggs Organic fruits and vegetables, including roots and berries AVOID: • • • • • • Grains Beans and peas Dairy Added sugar and salt Alcohol Processed or convenience foods Eat Better — We Can Help! Anderson Hospital offers nutrition services to help you devise a healthy diet that promotes total wellness. For more information, please call 618-391-6499. 23 w x xhxat ’ s co o k i n g table travels: Global Insights for Flavorful, Healthy Meals How do the French stay so trim? Why does Thailand have such low rates of cancer? One answer is their diet. Take a look around the world, and you’ll find that healthy eating patterns are linked to lower rates of heart disease, cancer and other chronic conditions. A recent study published in the journal Circulation examined dietary habits in 52 countries. Here’s what they found: • People who ate a typical Western diet — marked by a lot of fried foods, salty snacks, eggs and meat — had a 35 percent higher risk for heart attack than people who consumed little or no fried foods and meat. • People who ate lots of fruits and vegetables had a 30 percent lower risk for heart attack compared with those who ate few or no fruits and veggies. • Surprisingly, an Asian diet with healthy elements such as tofu and other soy foods had no effect on heart attack risk. Researchers think the beneficial effects of these foods may have been offset by high consumption of salty soy sauces. Do your taste buds yearn for a little excitement? Meet that craving by choosing nutritious foods from around the world. 24 Here are a few ideas. Healthy Asian: Tofu, brown rice, garlic broccoli, shrimp with snow peas, chicken satay with peanut sauce, chicken stir-fry, salmon teriyaki, bok choy, spinach with sesame seeds, kimchi (spicy cabbage), green tea Healthy Mexican: Pinto and black beans, soft corn tortillas, spicy chicken, baked fish with mango salsa, shrimp veracruz, mango with lime, fresh tomato salsa, guacamole, pico de gallo, papaya sorbet, cinnamonspiced hot chocolate Healthy Italian: Whole-grain pasta, marinara sauce, polenta, pasta primavera, grilled rosemary chicken, baked or poached fish, eggplant caponata, white beans, olive oil, garlic, grapes, red wine Healthy Indian: Vegetable or chicken curry, lentil dal, tandoori chicken, cauliflower curry, brown basmati rice, cucumber raita, whole wheat chapati (flatbread), palak paneer (a spinach dish), mango lassi (smoothie), yogurt, chai tea ● Simple Fish Tacos Many Mexican dishes are loaded with fat — especially those that are deep-fried and drenched in cheesy sauces. Fortunately, it’s easy to lighten up traditional recipes by substituting lower-fat ingredients. Ingredients ½ cup nonfat sour cream ¼ cup fat-free mayonnaise ½ cup chopped fresh cilantro ½ package low-sodium taco seasoning, divided 1 lb. cod or whitefish fillets, cut into 1-inch pieces 1 tbsp. olive oil 2 tbsp. lemon juice 12 6-inch warmed corn tortillas 2 cups shredded red and green cabbage 2 cups diced tomato Lime wedges Directions In a small bowl, combine sour cream, mayonnaise, cilantro and 2 tablespoons seasoning mix. In a medium bowl, combine fish, oil, lemon juice and remaining seasoning mix; pour into large skillet. Cook, stirring constantly, over medium-high heat for four to five minutes or until fish flakes easily when tested with a fork. Fill tortilla shells with fish mixture. Top with cabbage, tomato, sour cream mixture and taco sauce, if desired. Serve with lime wedges. Serves six. Not including taco sauce, each serving contains about 270 calories, 7 g total fat, 35 mg cholesterol, 400 mg sodium, 38 g carbohydrate. 25 Potato and Pork Curry Although pork is technically a “red” meat, lean cuts of pork, including pork tenderloin, boneless top loin chop and center loin chop, are leaner than skinless chicken legs. What’s more, ounce per ounce, pork has less fat than most cuts of beef. Directions Ingredients 1 tsp. olive oil 1 medium onion, cut in wedges 2 cloves garlic, minced 2 tsp. curry powder 1 can (14 oz.) tomatoes 1 can (14 oz.) no-salt-added green beans, drained 4 potatoes (medium-sized), cooked and cut in chunks 2 cups cooked pork, cubed or in strips ¹⁄³ cup seedless raisins Place oil, onion, garlic and curry in 2-quart casserole. Microwave on high for two minutes. Stir. Add tomatoes and green beans. Microwave on high for four minutes, stirring after two minutes. Add potatoes, meat and raisins. Mix well. Microwave on high for two minutes or until hot. Season with salt and pepper, if desired. Serves four. Each serving contains about 350 calories, 6 g total fat (2 g saturated fat), 65 mg cholesterol, 200 mg sodium, 50 g carbohydrate, 7 g fiber, 26 g protein. Pasta Primavera Pasta is rich in iron and B vitamins, cholesterolfree and very low in sodium. And 1 cup of whole wheat varieties can provide as much as one-fourth of the daily recommended fiber for adults. This version of the Italian vegetarian classic is loaded with 1½ cups of vegetables per serving. Directions Ingredients 1 cup broccoli florets 1 cup sliced carrots 1 cup sliced zucchini 1 cup macaroni or rotini pasta 1 tbsp. margarine 1 tbsp. flour 1 cup skim milk ¼ tsp. dried basil 1 tsp. black pepper ⁄ 8 2 tbsp. Parmesan cheese Steam vegetables until crisp-tender. Cook macaroni according to package directions. In a small saucepan, melt margarine and blend in flour. Gradually stir in milk and seasonings. Cook over medium heat, stirring constantly, until sauce thickens. Remove from heat and blend in cheese. Pour over hot vegetables. Add macaroni and mix together. Serves two. Each serving contains about 360 calories, 8 g total fat (2 g saturated fat), 5 mg cholesterol, 200 mg sodium, 56 g carbohydrate, 5 g fiber, 15 g protein. 26 The area’s premier physician group serving the Metro East and surrounding communities EXPLORE our specialties SEARCH for a physician ACCESS your patient information online The physicians with Anderson Medical Group are knowledgeable, progressive and innovative in their field of work — yet are friendly and approachable to all patients. Known for their expertise and thoroughness, our physicians thrive on connecting with their patients, and they make it easy for patients to understand prognoses and findings. More than 15 physicians are waiting to serve you and your family. To find a doctor, go to www.andersonmg.com today! www.AndersonMG.com 27 p h ys i c a l t h e r a p y a n d a u d i o lo gy Achieving Balance When the balance system isn’t working properly, two Anderson Hospital specialties collaborate to provide successful treatment. Since learning to walk, you have probably taken for granted your ability to balance. What you may not know is that the human balance system is comprised of three systems working together: • Vestibular (inner ear) •Visual • Somatosensory (the muscle, joints and nerve sensory input) The vestibular system includes the labyrinth in the inner ear and tells the brain about movements and the position of your head. These motions are affected when you walk, ride in a car, go up or down on an elevator, or even just move your head to look at an object. The visual system relays input from your visual field to determine your body position and if you are moving or stationary. The somatosensory system combines information from your muscles, joints and skin to help the brain know how your body is positioned in space. Systems out of balance If these three systems do not work together, a variety of balance disorders can occur. This results in movement or everyday activities being very difficult or impossible to perform. Symptoms may occur short term or for a long time and can increase your risk of falling. You might feel unsteady, woozy or giddy; like you are spinning, floating or falling; or 28 experience nausea, anxiety and changes in heart rate. What happened? Balance disorders can be caused by a variety of health conditions, such as infections (viral or bacterial); blood circulation disorders; certain medications; head injury or damage to the brain (such as stroke, multiple sclerosis or tumors); an injury to a muscle or the skeletal system; or an injury or change to the visual system. Balance disorders can be assessed and treated at the Anderson Wellness Center through coordinated care provided by physical therapists and audiologists. The Physical Therapy and Audiology departments work in conjunction with your doctor and require a physician’s order. If you experience dizziness, spinning or loss of balance, first contact your doctor for a comprehensive evaluation. Therapy can assist the physician in diagnosing the problem and developing an individualized treatment plan. ● — Diane Richter, physical therapist, and Kay Guccione, audiologist If you have questions or would like to make an appointment, please call the Audiology and Physical Therapy departments at 618-391-5827. Have You Heard About Our Audiology Services? FREE 30-Day Trial for Hearing Aids! For 12 years, Anderson Hospital has provided comprehensive audiology services for both children and adults: • Comprehensive diagnostic hearing evaluations • Central Auditory Processing (CAP) evaluations • Auditory brainstem response testing • Hearing aid sales and fitting • Hearing aid repair services on all makes and models Counseling and training provided at no additional expense to you. • Assistive listening devices, including amplifiers for telephones and TVs, alarm clocks and smoke detectors • Aural rehabilitation services — achieve your best communication ability possible through strategies, training and counseling Call us at 618-391-5827 NEW LOCATION! Now located at the Anderson Wellness Center 2133 Vadalabene Drive, Maryville, IL 29 xxx Community Calendar Prenatal Care and Family CourseS Support Groups For a full list of Prenatal Care and Family course offerings, dates/times and costs, and for online registration, visit www.andersonhospital.org or call 618-391-5983. • Preparation for Childbirth Air Link A social club for individuals with pulmonaryrelated conditions. 618-391-6715 AWAKE (Alert, Well And Keeping Energetic) Support group for people affected by sleep apnea. 618-288-6124 •Sibling Class Diabetes Support Group • Breastfeeding Class • Prep School for Dads • Grandparents Are Special! • Here Comes Baby! Babysitting Class Anderson Hospita l’s Annual Baby Fair Sunday, May 4, 2014 618-391-6700 Turn to page 6 for details. Outpatient Lactation Services/Lactation Supplies By appointment. 618-391-6057 Screenings Cholesterol and Blood Pressure Screenings Held on the third Friday of every other month (upcoming dates include May 16 and July 18). $25 per screen. 618-391-6710 Prostate Screenings $10 per screen. Call for more information. 618-391-6700 Treatment Options for Erectile Dysfunction and Male Stress Incontinence Wednesday, May 28, 2014 Education for health care providers: Noon to 1 p.m. Community presentation: 6:30 to 7:30 p.m., registration begins at 6 p.m. Anderson Hospital Physician Office Building I Classrooms 1, 2, 3 30 A quarterly support group providing instruction, group support and discussion about a variety of topics related to diabetes management. 618-391-6711 Ostomy Support Group Monthly meetings led by certified wound and ostomy nurses. 618-391-5941 Pregnancy and Infant Loss Support Group Meetings are held the fourth Tuesday of every month. 618-391-5984 SHARE (Support Has A Reinforcing Effect) Monthly support group for women who have been diagnosed with breast cancer. 618-391-6703 Stroke Support Group 618-391-5230 Presented by Dr. Etai Goldenberg Dr. Goldenberg specializes in male reproduction and sexual health, medical and surgical correction of erectile dysfunction, Peyronie’s disease, hypogonadism, testosterone replacement, andrology, male urinary incontinence surgery and general urology. He practices with Urology Consultants, Ltd. at the Maryville location. Light refreshments will be served. Spouses and partners are welcome. RSVP by May 23 to 618-391-6700 xxx Anderson Hospital offers a wide variety of services, programs and support groups to help you get well and stay healthy. To view the latest offerings, visit us at www.andersonhospital.org. spring–Summer 2014 Anderson Wellness Center Open House! Metro East Illinois Heart Walk 2014 Wednesday, April 30, 2014 5 to 7 p.m. 2133 Vadalabene Drive, Maryville, IL Healthy refreshments, tours, informational booths and FREE screenings, including: • Blood Glucose •BMI • Blood Pressure • Balance Saturday, May 10, 2014 Other Programs Community Health Education 618-391-6712 Congestive Heart Failure Program 618-391-6715 CPR, ACLS, PALS Courses 618-391-6700 Diabetes Self-Management Education Programs Individual consultation and group classes. 618-391-6711 Phase 2 Cardiac and Pulmonary Rehabilitation 618-391-6715 12:30 p.m. Opening Ceremonies 1 p.m. Official Start of Heart Walk Gateway Motorsports Park, Madison, IL Heart Walk is the American Heart Association’s national campaign to get America moving. This noncompetitive walk celebrates those who have made lifestyle changes and encourages many more to take the pledge to live healthier. At the same time, the walk raises important dollars to fund lifesaving research and education, advocate for health and save lives. We need your support! Join us! To learn more and register, please visit www.metroeastillinoisheartwalk. kintera.org. Phase 3 Supervised Exercise Program for Adults 618-391-6715 Wound and Ostomy Care Services 618-391-5941 Facebook “f ” Logo Like us on Facebook and follow us on Twitter for more upcoming events and health news! CMYK / .eps Facebook “f ” Logo CMYK / .eps facebook.com/AndersonHospitalIL @AndersonHosp Get health“e” news! Find out the latest events and get health tips from a source you trust! Sign up now at www.andersonhospital.org. 31 6281M and health you Facebook “f ” Logo Facebook “f ” Logo CMYK / .eps facebook.com/AndersonHospitalIL @AndersonHosp CMYK / .eps Connect with your community hospital! • The Region’s Premier Outpatient Therapy Services • Are You Addicted to Technology? • The Pros and Cons of the Paleo Diet In This Issue of Look inside on page 6 for details. Sunday, May 4, 2014 Join us for the area’s largest party for moms and moms-to-be! FREE admission and FREE gifts! Don’t miss it. Anderson Hospital’s Annual Baby Fair 6800 State Route 162 Maryville, IL 62062-1000 618-288-5711 NON-PROFIT ORG U.S. POSTAGE PAID Long Prairie, MN Permit #933