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WinterSpring reg_b 2_27.qxp:Layout 1 3/2/09 10:11 AM Page 17
Spring 2009
Childhood cancer p.4
Hearing loss p.8
Home health care p.9
Allergic or intolerant? p.10
S P E C I A L
R E P O R T
coping with depression
today. tomorrow. together.™
p.6
You can eat healthy during tough economic times
tissue, so the body uses it very efficiently.
Rising costs for energy and food can make
trips to the grocery store more expensive for
the average American family, but there are
ways to eat healthy for less.
Buying whole produce instead of individual
servings is a first step to getting more fruit
and vegetables into your family’s diet while
saving money.
Stacey Gusman, nurse practitioner at Our
Lady of Victory Hospital in Stanley,
has some good advice for
families coping with
higher food costs and
tighter budgets.
“There are many
ways to save and
still eat a
healthy
diet.”
Planning ahead, shopping sale items for
healthier foods, and looking for generic or
store brands also can help keep costs down.
Buying protein on a budget can be a little
more difficult. When buying meats, you
should look for leaner cuts and less prepared
items. Pre-marinated meats might seem like a
good idea, but you can marinate meat at
home for far less. Meat purchases are often
significantly more expensive than protein
substitutes like beans, eggs, or peanut butter.
You can save money by choosing meat
substitutes for some of your meals.
Ironically, the most economical sources of
animal protein also have the highest protein
quality. The protein in foods like eggs and milk
most closely match the protein of human
Whole grains, seasonal
produce, legumes, and
eggs give you the most
value for your food dollar.
Minimizing the purchase of prepared foods is
another way to save money and eat healthier.
Buying less-processed grains in bulk is
another way to add value to your grocery
dollar. Gusman recommends plain brown rice
instead of boxed rice mixes and big containers
of quick-cooking oats instead of individual
packets of instant oatmeal.
Eating seasonally is another good way to
stretch your budget and maintain good
nutrition. In summer, melons go a long way,
and they are some of the healthiest fruits
around. Watermelon and cantaloupe are full of
Continued on page 11.
“
Each of us is given 24 hours
a day. Use each moment to
encourage, build up, and help
the people you live with, work
with, and love. A life lived in
this way is lived without regret.
In this Issue:
4
Childhood cancer
6
Coping with depression
8
9
Do you have hearing
loss?
Home health care
10 Allergy testing
10 Dear Doctor:
Chocolate and diabetes
Congratulations to Amy Diedrich
of Amherst, Wisconsin, winner
of the Ministry Health Care Gift
Packet. Her name was drawn from
our online and reply card surveys.
2
On the cover:
“Downy Delight” is an airbrushed
painting by Jerry Gadamus.
Gadamus’ style and sensitivity are
evident in the smooth softness of
his painting. Using only an
airbrush, Gadamus has become
one of America’s most popular
wildlife artists.
To view this or other works by
Jerry Gadamus, contact Thunder
Mountain Press at 800.452.7574
or visit them at thunderart.com
Is there an artist you would recommend?
Contact us: ministryhealth.org/spring2009
Health Connection Spring 2009
“So teach us to number our
days, that we may apply our
hearts unto wisdom.”
today. tomorrow. together.™
– Psalm 90:12 KJV
”
lth
a
e
H
e
k
Li nection?
Con se return
If you have questions or comments
about the topics in this publication,
call 800.236.2426 or contact us at:
[email protected]
Health Connection
Attention: Creative Services Manager
404 S. 3rd Avenue
Wausau, WI 54401
Plea ard inside
the c issue.
this
ministr yhealth.org/healthconnection
WinterSpring_b 2_27.qxp:Layout 1 3/2/09 10:48 AM Page 3
This spring, stretch ... don’t strain
As the days get longer and the weather warms, people want to get outside and get active.
Whether you need to lift heavy objects, you want to start running, or you’ve decided to
clean out your garage, make sure your workout doesn’t overwork your muscles.
Strained or sore muscles hurt and can keep you from doing what you want to do.
Reaching and bending in ways that we are not accustomed to can pull or strain muscles.
According to the American Academy of Orthopaedic Surgeons, the best thing you can do
before you start to exercise or do heavy work is stretch.
Your muscles should be warm before you start stretching. Take a brisk
walk to warm your muscles, then stretch to improve
flexibility, movement, and reduce your risk of injury.
Stretch slowly and gently. Don’t bounce. Stretching
should never hurt.
Start with an easy upper body stretch. Stand with your
feet shoulder-distance apart and lace your fingers together.
With your palms upward, push your arms slightly back and up. Hold for
30 seconds. For a variation, bend slightly to the left and hold, then the right.
For more tips, call us at 800.236.2426 or
visit ministryhealth.org/spring2009.
Fatigue or heart attack?
Your friend complains of being tired and
starts rubbing her jaw. Sweat breaks out on
her forehead; she pales and can’t catch her
breath. She may be having a heart attack.
Know the signs and call 911!
• Chest pressure that feels full or tight and
lasts a few minutes
• Pain in the shoulder, jaw, neck, or arms
• Chest discomfort with dizziness, fainting,
sweating, nausea, or shortness of breath
During a heart attack, people may rub their
chests, rub their arms, mop sweat from their
brows, or hold their heads in their hands.
Less noticeable symptoms include:
• Unusual chest, stomach, or
abdominal pain
• Shortness of breath
• Nausea or dizziness
• Numbness in the arms
• Unexplained anxiety or fatigue
• Palpitations, cold sweat, or
paleness
Seconds count during a heart attack. If you
notice these symptoms, call 911 right away.
For more information, call 800.236.2426 or
visit us at ministryhealth.org/spring2009.
Have a favorite recipe?
Submit it for a healthy makeover:
ministryhealth.org/spring2009
An ounce of prevention ... priceless
A simple lifestyle change can save you
thousands in health care costs. Consider the
results of the Diabetes Prevention Program
(DPP)* study of people at risk of developing
Type 2 diabetes. The participants were
overweight, had higher than normal blood
sugar levels, had experienced gestational
diabetes, or were older than 60.
The DPP conducted two tests to lower risk:
one implemented a lifestyle program, changing
diet and exercise. The other used the drug
Metformin to reduce risk.
The people participating in the lifestyle change
program showed the greatest reduction in the
risk of developing Type 2 diabetes – 58
percent; 71 percent for those over age 60.
Those who modified their diets and exercised
(walked) at least 30 minutes a day, 5 days a
week, lost an average of
15 pounds in the first year of the study.
The people taking the drug Metformin only
reduced their risk by 31 percent.
Those involved in the study also lowered the
risk of developing health conditions associated
with high blood glucose
levels such as heart
disease, stroke,
blindness, gum
infections, kidney
disease, nerve
problems, and amputations.
The cost of a healthy lifestyle – minimal.
The value of the results – priceless.
For information on the DPP study or Type 2
diabetes, visit ministryhealth.org/spring2009 or
call 800.236.2426.
*Study conducted by the National Institute of Diabetes
and Digestive and Kidney Diseases (NIDDK), National
Institutes of Health
Soups
White Chicken Chili
1 Tbsp. olive oil
1 medium onion, chopped
3 garlic cloves, minced
3-1/2 cups fat-free chicken
broth
3 15 oz. cans of white navy
or great northern beans
1-1/2 lbs. chicken breasts
1 4.5-oz. can chopped green
chilies
2 tsp. ground cumin
1 tsp. dried oregano
Cayenne pepper
In large pan, cover
skinned chicken breasts
with water and simmer
for 15 minutes. Drain,
cool, and shred chicken.
In large sauce pan, heat
oil over medium-high
heat, sauté onions until translucent. Add garlic,
chilies, cumin, oregano, and cayenne and sauté 2
minutes. Add undrained beans and chicken stock
and boil. Reduce heat and add chicken. Season to
taste with salt and pepper.
Ladle into bowls and garnish with sour cream,
cheese, or cilantro. Serve with tortilla chips.
Nutritional Analysis: Calories 338, Protein 32.7 g, Total Fat 6.6 g, Saturated Fat 1.46 g,
Carbohydrates 37 g, Fiber 9.1 g, Cholesterol 36.28 mg, Sodium 162.37 mg
Few things are more heart
wrenching than hearing about
Childhood
cancer
emotionally prepare
children for upcoming
treatment and often stay
with them during the
procedures.
Today, more than 7 out of 10 children can be cured
... comfort
B
y design, the body’s cells interact
with each other as they grow,
function, live, and die. Childhood
cancer occurs when cells grow
uncontrollably, develop abnormalities,
destroy neighboring cells, and spread to
other organs and tissues. These rogue cells
steal nutrition away from healthy cells, sap
strength, destroy organs and bones, and
weaken the body’s immune system.
The causes of childhood cancers remain a
mystery, but seem to be related to random
and unpredictable changes or non-inherited
mutations in the genes of growing cells. Right
now, there is no way to effectively predict or
prevent the changes that cause leukemia
(blood cell cancers), lymphoma, cancer of the
brain and nervous system, or bone cancer –
the most common childhood cancers.
Diagnosis
for children
also poses a
challenge
and may
be delayed
because
cancer
symptoms
mimic
other
illnesses. Cancer’s initial signs – fever, swollen
glands, frequent infections, anemia, and
bruises – may be overlooked in the early
stages.
As a result, at the time of diagnosis, cancer
is usually more advanced in children as
compared to adults. The growth hormones
that children produce may also make cancer
aggressive and allow it to spread more easily.
Eight out of 10 times, when a child is
diagnosed, the cancer has already spread to
other parts of the body.
4
A special place
designed for
... children
When a child has cancer, it is important to
seek treatment from a pediatric oncology
program. The Cancer Center at Saint Joseph’s
Children’s Hospital (SJCH) has the region’s
only pediatric oncology program. “It is
certainly unique in Central Wisconsin. We’re
the only medical center that can offer pediatric
oncology services and a full range of services
for children with cancer and blood diseases,”
said Michael McManus, MD, Marshfield Clinic
pediatric oncologist on staff at Saint Joseph’s
Children’s Hospital. “Many different types of
physicians with many areas of expertise all
work together: the oncologists, the surgeons,
and the radiation oncologists. The team really
gets to know the family and the children, and
that’s good.”
... preparation
The Child Life Program at SJCH, the only one
of its kind in the region, works closely with
children, families, and health care providers to
minimize the stressful and potentially negative
impact of hospitalization. Child Life specialists
offer children a friendly face and support.
Through play, they help educate and
SJCH’s Cabin and Solarium provide a
comforting, home-like atmosphere for the
child’s hospital stay, a play area, and family
room where children can socialize. The entire
area uses “positive pressure” to cleanse
contaminants from the air. This frees children
from the need to wear masks or other gear to
protect their weakened immune systems.
“I like to
be able to
play with the
dinosaurs."
Cancer treatment
Striking the delicate balance between giving
just enough therapy to cure the child, but not
cause long-term side effects, is one of the
most difficult aspects of treating childhood
cancer. Treatments can include:
chemotherapy – use of medication to kill or
eliminate cancer cells
radiation – use of high-energy light to kill
rapidly dividing cells
immunotherapy – stimulation of the child’s
immune system to destroy cancerous cells
surgery – removal of the tumor, often
accompanied by chemo or radiation therapy
Technology advances
treatment
Child Life specialists help prepare children
for medical procedures.
Today’s technology allows doctors to use 3-D
and other image-guidance methods to help
them precisely navigate and target therapies
during treatment procedures.
A powerful intraoperative magnetic resonance
imaging (iMRI) scanner located in the surgical
suite, helps doctors see beyond exposed
tissue to distinguish between the tumor and
healthy tissue. It is the most accurate way to
determine if an entire tumor is removed
during surgery.
TomoTherapy Hi-Art® is the newest technological addition in SJCH’s fight against
childhood cancer. This advanced radiation
therapy allows the medical team to customize
a treatment plan for each patient. Physicians
prescribe the dose of radiation for the tumor
as well as acceptable levels for surrounding
tissues. The system then calculates the
appropriate pattern, position, and intensity of
the radiation beam to be delivered. Computerassisted technologies allow doctors to
construct 3-D radiation fields that accurately
target tumor tissue.
The Leksell Gamma Knife®, contrary to its
name, is a non-invasive treatment for patients
with deep brain tumors and abnormal blood
vessels in the brain. A single dose of gamma
radiation is directed by highly sophisticated
computer technology. The radiation treats the
tumors and abnormal blood vessels without
harming nearby healthy tissue.
Quest for a cure
Thankfully, childhood cancer is a relatively
rare disease – but even one case is too many.
• The ACS estimates 10,730 cases of
childhood cancer were diagnosed in 2008
• For every 10,000 children, 1 to 2 children
develop the disease each year
Even though childhood cancer is rare, it is
still the #1 cause of death by disease in
children under 15 years old. SJCH’s
access to clinical trials and research helps
more children survive.
Incidence
of Cancer
5-Year
Survival Rate
per 100,000 children
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
0
100
14.8
79.6% in
1996–2003
11.5
90
80
70
60
50
40
30
58.1% in
1975–77
Affiliation with the Childhood
Oncology Group (COG), a
major research group for
the study of childhood
cancer causes and treatment,
gives SJCH access to clinical trials and the
latest research.
10
How can you help?
If you know a child with cancer, offer your
support. Cancer is not contagious, but people
often avoid cancer patients. Visit and send
cards or letters. For older
children, visits from friends are
especially important.
Also, remember the ill child’s
siblings. It is common for siblings
to feel overwhelmed, abandoned,
jealous, angry, guilty, or forgotten
because there is little time left over
for them after caring for a brother or
sister who is seriously ill. For more
information on Saint Joseph’s
Children’s Hospital’s cancer program,
call 800.236.2426.
Jack has his
childhood
back!
Jack Zamzow has
brontosaurus-sized courage.
Just ask the team that cared for
Jack while he fought a rare form of cancer.
When Jack was two and a half years old, he
had a lump on his side and came
down with what his parents
thought was the flu. When they
took him to the doctor, they
discovered that Jack was actually
battling neuroblastoma, a rare
neurological cancer.
Jack began his aggressive 14-month cancer
treatment with the oncology team at Saint
Joseph’s Children’s Hospital. The oncology
specialists treated the disease, while Child
Life specialists helped Jack stay emotionally
healthy, too. They made sure Jack was
surrounded by his favorite toys – his
dinosaurs.
20
0
1975
The most devastating differences between
adult and childhood cancer are the aftereffects that children may experience from
chemotherapy, radiation, and surgery. Since
their bodies are still growing and
developing, the impact of the
treatment may cause emotional
or physical problems. There
may also be a chance of
developing a secondary
cancer later in life.
“Each person requires unique care,”
Dr. McManus told the parents. “Treatment is
fairly involved and fairly intense using a
number of different methods – medicine,
surgery, and radiation.”
Thanks to advances in diagnosis and
treatment, 75 percent of children with
cancer will go on to live productive lives.
Finding the “cure” for children goes beyond
just removing and eradicating the cancer; it
also involves the
psychosocial, educational,
and occupational reintegration of the child into a
successful life.
Today, Jack is cancer-free, and
enjoys a normal, active
childhood. For more about Jack’s story, visit
ministryhealth.org/Jack
2004
5
Women suffer from depression twice as often
as men. This may be due to hormonal fluctuations which have been proven to affect the
brain chemistry that controls emotions and
mood. Women may suffer from depression
after giving birth (postpartum depression),
during monthly menstrual cycles (premenstrual
dysphoric disorder [PMDD]), or during the
transition into menopause. Stresses at work
and home may also cause depression.
Men also suffer from depression, but cope in
different ways. Men may become irritable, lose
interest in activities, turn to alcohol and drugs,
become angry or abusive, exhibit reckless or
risky behavior, or throw themselves into work
or other activities to avoid talking about their
feelings of sadness, worthlessness, or guilt.
shades of blue
Women are diagnosed with
depression at twice the rate of men
20% of women
10% of men
coping with depression
T
here are times in life when it is normal
to feel sad or upset –- when you lose a
loved one, a job, or your best friend
moves away. However, when feelings of deep
sadness remain for weeks or months, it may
be a sign of depression.
Depression affects more than 19 million
Americans each year. Left untreated,
depression can affect performance at work or
school, increase family conflicts, and strain
relationships. The estimated cost of untreated
depression is about $44 billion a year in lost
workdays, decreased productivity, and other
losses. Depression can be so debilitating that
people can no longer care for themselves.
“Many people resist treatment for depression
because they believe they can treat it
themselves or that it is a personal weakness
rather than a serious medical illness,” said
Gina Koeppl, MD, clinical director, Ministry
More than 19 million
Americans suffer from
depression each year.
6
Behavioral Health at Sacred Heart-Saint
Mary’s Hospital.
“Depression can affect any person at any
age. It can be a chronic illness that requires
long-term treatment, or it can occur during
certain periods in a person’s life. The
condition can be disabling, or it can be mild
with bouts of sadness,” Dr. Koeppl said.
Young children may show signs of
depression by pretending to be sick, refusing
to go to school, clinging to a parent, or being
cranky and irritable.
Adolescents may seem sad, discouraged, or
self critical. They may also become extremely
angry, act-out or demonstrate unusual
defiance, have a change in appetite, take
drugs, get into trouble with authorities,
change friend
groups, and /
or have a
preoccupation
with
themselves.
Aging and depression
As people age, they often experience chronic
pain, illness, loss of mobility, and the loss of
loved ones. These difficult situations may
cause feelings of frustration and sadness.
Because of these challenges, the symptoms of
depression are not recognized but are often
seen as signs of aging.
• More than 2 million Americans age 65 and
older suffer from depression.
• Only 38 percent of adults age 65 and over
consider depression a “health” problem.
• Health care costs for depressed seniors are
50 percent higher than those of nondepressed seniors.
• One year after the death of a spouse, more
than 16 percent of survivors are clinically
depressed.
• Suicide among white males age 85 and older
is nearly six times the national rate.
• Nearly 58 percent of people over the age of
65 believe that it is “normal” for people to get
depressed as they grow older.
Symptoms
Treatments can help
If you have two or more symptoms that last
longer than 2 weeks, see your doctor. If you
experience five or more symptoms, you may
have clinical depression.
“Eighty percent of people seeking treatment
for clinical depression will feel better,” said Dr.
Koeppl. “Treatment must be unique to each
individual’s pattern, severity, persistence, and
history of the symptoms. The most effective
treatment often includes antidepressant
medication and psychotherapy.”
• Persistent sad, anxious, or "empty" mood
• Sleeping too much or too little
• Unintentional weight loss or gain
• Loss of interest in activities, including sex
• Restlessness or irritability
• Aches and pains that do not respond to
treatment
• Crying for no apparent reason
• Difficulty concentrating or remembering
• Fatigue, weakness, or loss of energy
• Feeling guilty, hopeless, or worthless
• Thoughts of suicide or death
Depression may be caused by hormone or
brain chemical imbalances, medication,
illness, negative self-image, or genetic
factors. It can also be triggered by negative
major life events. If your health care provider
suspects depression, you may need to have a
physical exam, lab tests, and a psychological
evaluation to rule out other conditions.
Feeling SAD?
In winter, many people are affected by
seasonal affective disorder (SAD). More than
cabin fever or the winter blahs, SAD is a
depression related to seasonal changes and
a lack of exposure to sunlight. Usually
starting in the fall and lasting through winter,
symptoms often include afternoon slumps,
decreased energy and concentration,
increased appetite, especially for carbohydrates, weight gain, decreased interest in
activities, excessive daytime sleepiness, loss
of energy with slow, sluggish, and lethargic
movements, and social withdrawal.
Call for help if:
• You cry often for no reason.
• You hear voices when you are alone.
• You think a medication may be causing
depression. Talk to your doctor before
stopping any medications.
• You think you drink too much alcohol.
Talk therapy, counseling, or psychosocial
therapy can help people identify the causes of
depression. It can also reinforce positive
coping and problem solving techniques.
Cognitive behavioral therapy, based on the
idea that thoughts determine behavior, helps
identify pessimistic, negative beliefs and
behaviors and replaces them with healthy,
positive ones.
Other treatments may
include electroconvulsive therapy (ECT)
or shock therapy,
inpatient treatment,
or neurotherapeutic
treatments, also known
as brain stimulation
therapy.
Prevention
Turn your attention to something
positive. Take action. Connect with
friends and family.
Express yourself. By exercising your
imagination (painting, drawing, doodling,
sewing, writing, dancing, composing music)
you not only get your creative juices flowing,
you also loosen up some positive emotions.
Look on the bright side. Make an effort
to notice and be thankful for the good things
in life. Consider your strengths, gifts, or
blessings. Be patient with yourself.
Depression takes time to heal.
How can I help?
If you know someone who is depressed,
encourage him or her to seek help and follow
the treatment plan prescribed by their health
care provider. The road back from depression
is sometimes long and difficult. Be patient.
Listen. Understand and never belittle feelings
or concerns. Be there.
For more information, visit
ministryhealth.org/depression
or call 800.236.2426.
Facing a
job loss?
There’s no sure way to prevent
depression. However, taking steps to control
stress and boost self-esteem may help.
Friendships and social support, especially in
times of crisis, are also important. Early
treatment can prevent depression from
worsening.
Losing a job can
have a negative impact on
you socially, emotionally, physically, as
well as financially. Take proactive steps
to manage your emotional response.
In addition to getting professional help, here
are five things you can do to feel better.
Be realistic. Maybe it’s time to assess
your skills and develop the skills you need.
Exercise. Take a brisk 5- to 30-minute walk
every day – or dance, jog, or bike if you prefer.
You may not feel like being active, but once
you get in the habit, you will notice a
difference in your mood.
Create a budget. Reduce daily expenses
so you don’t fall behind financially.
Nurture yourself. Depression can affect
appetite – some people may not feel like
eating at all; others might overeat. Eat plenty
of fruits and vegetables and eat regularly.
Increase consumption of foods containing
tryptophan, such as poultry, bananas, eggs,
and legumes. (See recipe on page 3.)
Get out and socialize. Don’t isolate
yourself. Talk to friends, family, and others.
There may be a job prospect in the next
conversation.
Identify troubles, but don't dwell on them.
When you know why you’re feeling blue, talk
about it with a caring friend, or pour your
heart out to a journal.
Set goals. Your job loss is temporary.
There will be other opportunities.
Schedule your day. We all function better
with a sense of purpose.
Manage your stress. Read, exercise, or
learn a new skill.
Stay healthy. Eat right, sleep, and exercise.
7
What’s that?
Could it be
hearing loss?
H
earing loss is one of the most
prevalent chronic conditions in the
United States. Contrary to popular
belief, hearing loss not only affects the older
generation, but younger people as well. There
are many causes of hearing loss, including,
but not limited to: genetics, noise exposure,
middle-ear issues (frequent infections, ear
drum problems, etc.), head trauma, diabetes,
certain medications, aging, and so on.
“Hearing loss can have a significant
effect on the quality of life of both the
individual with the loss as well as friends
and family members,” said Karen Teter,
Au.D., audiologist, Ministry Medical Group
in Rhinelander. “Effects of untreated hearing
loss may include depression, anxiety,
paranoia, social isolation, and the like.
Increasingly, the medical community is
recognizing a high prevalence of emotional
problems as a result of untreated hearing
loss.”
Because hearing is so important to a healthy,
happy, fulfilling life, it is important for anyone
suspecting hearing loss to seek a hearing
evaluation. If you frequently experience the
following symptoms, contact your health care
provider for a hearing test:
• You ask others to repeat a lot.
• You often don’t hear what is being said.
• You have difficulty hearing when background
noise is present.
• You have ringing in the ears.
• You avoid social situations because you
cannot hear.
• You have difficulty hearing the television.
“Hair cells can be damaged by a single
exposure to an ‘impulse’ sound, such as an
8
(National Council on the Aging, May 1999, study conducted by the
Seniors Research Group, www.ncoa.org)
performed in a sound-treated booth to ensure
an accurate diagnosis. Typically, hearing tests
take about a half-hour. They consist of
listening to tones and speech to determine
where your hearing loss occurs (i.e. what
pitches) and how well you understand speech
in spite of that hearing loss. A bone
conduction test would also be performed to
determine if the hearing loss is due to a
middle ear issue (such as a problem in the
eardrum or in the bones of the middle ear) or
an inner ear or nerve problem.
Get tested
If there is concern about the health of the ear,
you may need to see an ear, nose, and throat
physician.
A hearing test should be performed by a
licensed audiologist. Audiologists are trained in
the anatomy, function, and disorders of the
ear. The hearing test should always be
When aids are needed
Our amazing ears ...
... are designed to transmit
sound waves to our brains.
Sound waves enter the outer
ear and travel through the ear
canal to vibrate the eardrum.
The eardrum sends these
vibrations to three tiny bones in
the middle ear, which increase the
vibrations and send them to the
snail-shaped inner ear called the
cochlea. The cochlea’s elastic membrane
contains sensitive hearing structures called
hair cells, which convert sound energy into
electrical signals that travel to the brain.
Hearing loss affects more
than nine million Americans
over the age of 65 and more
than 10 million between the
ages of 45 and 64.
Those who may need
hearing aids will be
happy to know that
there have been
significant
advances in hearing
aid technology in recent
years. Hearing aids have become smaller,
more cosmetically appealing, and much more
comfortable to wear.
Today’s hearing aids can be fine-tuned and
tested to specifically fit your hearing loss and
lifestyle. Many are also able to self-adjust to
your environment. Hearing aids can make a
remarkable improvement in your overall
quality of life and well-being.
explosion, or by exposure to loud sounds for
long periods of time,” said Patti Todd, Au.D.,
audiologist, Ministry Medical Group in
Stevens Point. “Once damaged, hair cells
cannot grow back.”
If you suspect you have hearing loss, don’t
hesitate – speak to your physician or
audiologist. He or she will help you set up a
hearing test, diagnose your hearing loss, and
make recommendations about treatment.
You can prevent noiseinduced hearing loss
In addition to the ambient noise of life, we
generate sounds from radios, televisions, and
other appliances. At safe levels, these sounds
don’t affect our ability to hear – but when they
are too loud, too close, or last too long, they
can cause permanent noise-induced hearing
loss (NIHL).
“Symptoms of NIHL increase gradually,” said
Dr. Teter. “Over time, NIHL impairs the ability
to hear the high frequencies associated with
speech. A person with mild to moderate
hearing loss may have difficulty hearing in
groups or if there is other noise in the room.
NIHL can be detected with a hearing test.”
Protect your hearing
• Avoid loud noises.
• Wear hearing protection in loud
environments.
• Protect the ears of children.
Know the risks
According to a recent survey of audiologists,
several factors were
identified that
contribute to NIHL
and may cause
an increase in
risk in children
8 – 12 years
of age.
Source: The National Institute on Deafness and Other Communication Disorders (NIDCD)
There’s no place like home for recovery
T
here are times when people need
additional care after hospitalization,
illness, or injury.
While some people are referred to a nursing
home for rehabilitative stays, others opt to
recover in their own homes with the support
of professional home health services.
In the comfort and familiarity of home,
patients and families work with a team of
home health professionals to restore health
and independence, while addressing the
effects of the illness or disability.
The home health team
Registered nurses provide care supervision,
wound care, medication management, and
pain control in cooperation with the patient’s
physician.
Physical therapists help patients develop
relaxation, cardiac rehab, therapeutic and
rehabilitative exercises, assess pain relief
and use electrical, manual, and thermal
biofeedback methods. They also help the
patients walk and maintain posture, improve
balance, re-educate muscles and stimulate
senses in addition to retraining in self-care,
transfer, and wheelchair independence when
necessary.
Occupational therapists help patients
establish daily living skills with home assistive
equipment and home accessibility adaptations
when necessary. Occupational therapists also
help the patient regain range of motion, coordination and balance, and strengthening through
motor skills exercises.
A variety of specialists are available to
help patients with at-home recovery.
This Medicare-certified service allows a
specially trained medical team to visit the
patient’s home several times a week to
provide care and teach the patient and the
caregiver how to give care or self care. This
empowers the patient while helping to build
independence and confidence.
Medicare and some insurances require the
patient to meet the homebound guidelines,
which state that the person has a normal
inability to leave home or that leaving home
requires considerable effort due to their
medical condition. Being homebound doesn’t
mean they can never leave home – just that
Due to shortened hospital
stays, patients may require
more care after discharge.
leaving the home for treatment causes great
difficulty or discomfort. The home health team
can help make that determination.
If someone you know is anticipating hospitalization or surgery, ask your health care
provider about the qualifications of home
health services. Your physician can help you
arrange for them.
For more information on Ministry Home Care’s
services, call 866.740.1166 or visit ministryhomecare.org/homecare.
Speech / language pathologists help patients
with articulation, language disorders, or any
difficulty the patient may have swallowing.
Certified home health aides provide personal
care to patients, including bathing services and
hair care.
Medical social workers help address
patients’ social, emotional,
or financial concerns.
Home health care can be used for rehabilitation after surgery, as continuing recovery
after hospitalization or nursing home stays, or
as intervention for a worsening health
condition.
9
allergic or
intolerant?
diets involve eliminating a
suspect food from your
diet for a few weeks to
see if symptoms
disappear and then
reintroducing the food to
see if symptoms reappear.
Common food allergies include
soy, wheat, dairy, and nuts.
Allergy treatments
A test can tell for sure.
M
ost people recognize sneezing, a
runny nose, and itchy, watery eyes
as the symptoms of airborne
allergies to dust, pollen, or pet dander.
But, what about the symptoms caused by
food-borne allergens?
If you experience abdominal cramping,
diarrhea, nausea, or vomiting after eating dairy
products, do you know if you are suffering
from lactose intolerance or a milk allergy?
Since both conditions have many of the same
symptoms, testing ensures that you can be
treated effectively.
“Allergies are an abnormal response by your
immune system to something that should
not otherwise cause problems,” said Shishir
Sheth, MD, ear, nose, and throat specialist with
Ministry Medical Group in Rhinelander.
“During an allergic reaction, the immune
system overreacts to the allergen, producing
an antibody called immunoglobulin.”
“Severe allergic reactions, anaphylaxis, are lifethreatening reactions that cause swelling
throughout the body,” said Michael Thielman,
MD, otolaryngologist with Ministry Medical
Group in Stevens Point. “If you have anaphylactic reactions, always carry an epinephrine
self-injector (Epi-pen) and instruct those with
you to call 911 if you begin to have a reaction.”
A skin test is one way that allergists test for
the possible causes of allergies.
10
Testing for allergies
To determine the cause of allergies, the
allergist may conduct several types of tests.
Skin tests expose the skin to potential
allergens through a skin prick, scratch test, or
skin injection to check for a reaction.
Blood tests known as radioallergosorent
(RAST) tests may be used to look for specific
antibodies in the blood.
Elimination diets are used to test for non-lifethreatening food allergies which can cause
eczema, asthma, vomiting, or diarrhea. These
Avoidance. If a person has dust allergies,
rugs, carpeting, stuffed animals, and other
items that trap dust should be removed from
the living area. Dust mite-proof casings for
pillows and mattresses should also be used.
Pharmacotherapy. Medications are used to
control allergic symptoms. Antihistamines or
nasal steroid sprays may be prescribed.
Immunotherapy. Involves a series of
injections to desensitize the person’s immune
system – usually over a span of 3 to 5 years.
Sublingual immunotherapy. This treatment
involves placement of drops under the tongue
and is an alternative to injections.
For more information about allergy testing,
contact your health care provider.
I was recently diagnosed with diabetes.
Can I still eat chocolate?
Yes. Scientists are finding more evidence
that chocolate is a nutritious food, with a place
in the diet for almost everyone – even people
who have a diabetic condition.
Chocolate products should not be blamed for
high blood sugar levels, especially as most
chocolate products result in lower blood
glucose insulin responses when compared to
other common foods such as white bread.
Far from being empty calories, chocolate
contains iron, zinc, magnesium, calcium,
vitamin A, riboflavin, niacin, and thiamine.
Chocolate doesn’t raise blood cholesterol
levels, nor does it seem to contribute to
heart disease. In fact, research hints that
sensible amounts of chocolate may be good
for your heart due to its natural antioxidants.
Chocolate, like no single food, can ever be
called “fattening.” It is the amount of food
eaten that will determine whether it
contributes to body fat. But food is only half
of the equation; exercise and activity are also
crucial to maintaining healthy glucose levels.
The sensory properties of chocolate, such as
the aroma, taste, and feel, trigger the release of
endorphins, nature’s “happy chemicals.” The
good news – you can still enjoy chocolate, but
please do so in moderation!
Do you have a health question?
Ask it at ministryhealth.org/spring2009
Home health care
patients get connected
Home health patients can now receive
convenient, high-tech support in the
comfort of their homes with telemonitoring
through the telehealth program.
es
Eating seasonal
produce is a great
way to stretch a
budget
Continued from page 2.
antioxidants, and are also terrific sources of
potassium. Apples and oranges are around
all winter, when they’re at their peak. Buy
them by the bag and you’ll save a bundle.
A box of super sweet Clementines may be
$7, but you get up to 30 fruit for that price –
a cost of just 23 cents each.
Dried beans are a great source
of nutrition in any diet
and cost very little.
Any type you like –
pinto, black, red,
kidney – are full
of nutrition and
count as both a
vegetable and a
protein. You can
add beans to many
dishes – soups,
salads, stir-fries, rice, and
pasta. Canned legumes also have great
nutritional value and are
among the best buys anywhere. (See
recipe on page 3.)
Eating better on a budget also involves
ditching some of the food with little or no
nutritional value. Sugar-water beverages –
of all colors – are a total waste of money.
If you really need a sugared beverage for a
luncheon or dinner, consider homemade
iced tea or lemonade. Both are easy to
make and are healthy.
Patients attach small, easy-to-use
monitoring units to their telephone lines to
transmit their vital signs directly to a nurse
at the Ministry Home Care office. The
readings are monitored by health professionals who work with each patient’s
personal physician. Abnormal readings
prompt follow-up, which may include a
nurse visit or consultation with the patient’s
doctor for updated orders or guidance.
The telemonitoring equipment is adapted to
each patient’s needs. Blood pressure,
pulse, pulse oximetry, and weight are
among the statistics that can be monitored.
In addition, individualized questions can be
posed to the patient on the monitor, such
as, “Are you feeling short of breath?” and
“Did you remember to take your
medications?”.
Readings are taken as frequently as needed
to provide the highest level of patient care.
For more information on Ministry Home
Care’s telemonitoring program, call
800.397.0270.
Betsy Wacker, PA-C,
provides care to
patients in Stanley
Physician Assistant Betsy Wacker, PA-C,
joined Victory Medical
Group’s Stanley Clinic and
the medical staff of Our
Lady of Victory Hospital in
February.
She is a highly skilled
physician assistant who
can provide:
Betsy Wacker, PA-C
If you need a savory snack, consider ditching
the chips and pretzels. Make popcorn in a
hot-air popper. It’s an inexpensive, whole
grain snack. Spray popcorn lightly with butterflavored popcorn spray (it has no calories),
and flavor it with herbs or just a little salt.
• Patient history assessments
• Diagnosis and treatment for acute and
chronic illnesses
• Physical examinations for all ages including
well-child exams (Health checks)
• Prescriptions
With these tips, you and your family can eat
better, save money, and have healthier
bodies even in tough economic times.
Wacker has a special interest in caring for
children and adolescent patients, with an
extensive background working with foster
care and adoptive families. Her 15-year career
as a physician assistant includes caring for
patients at Luther Midelfort Clinic and
Marshfield Clinic. She also worked as the
medical director for the Lalamba Association
in Sudan, Africa, where she cared for patients
and facilitated medical training for eight
African doctors.
Wacker received her Bachelor of Science
degree in psychology at UW-La Crosse and
her associate of applied science / physician
assistant from Cook County Hospital Physician
Assistant Program in Chicago. She is certified
by the National Commission on Certification of
Physician Assistants. She also earned a
master’s degree in herbalism.
Wacker lives in Chippewa Falls where she
enjoys spending time with her family and pets,
hiking, and gardening.
To make an appointment with Betsy Wacker,
call 715.644.5530.
Family practice
physician returns to
Thorp
Victory Medical Group
(VMG) is pleased to
welcome Bill Hopkins, MD,
back to the area.
Dr. Hopkins will be
practicing in VMG’s Thorp
Clinic. “We are so pleased Bill Hopkins, MD
that Dr. Hopkins will be
joining us. His timing is perfect, as two area
physicians recently moved out of the
community,” said Cindy Eichman, president of
Our Lady of Victory Hospital.
Dr. Hopkins is a family practice physician who
can take care of your family’s physical, mental,
and emotional health through all the stages of
your lives. Family doctors are trained in all
areas of medicine. They can diagnose and
treat a full range of problems.
Dr. Hopkins received his medical degree
from George Washington University and
completed his residency at the University of
Minnesota Hospitals in Minneapolis.
Dr. Hopkins is an avid golfer, fisherman,
accordionist, genealogist, and writer. He and
his wife Mary are returning to the area to be
closer to his children and grandchildren.
To make an appointment with Dr. Hopkins, call
715.669.7279.
11
Hospitals
Calumet Medical Center,* Chilton
Door County Memorial Hospital, Sturgeon Bay
Eagle River Memorial Hospital, Eagle River
Flambeau Hospital,+ Park Falls
Good Samaritan Health Center, Merrill
Howard Young Medical Center, Woodruff
Mercy Medical Center,* Oshkosh
Our Lady of Victory Hospital, Stanley
Sacred Heart Hospital, Tomahawk
Saint Clare’s Hospital, Weston
Saint Elizabeth’s Medical Center, Wabasha, MN
Saint Joseph’s Hospital, Marshfield
Saint Mary’s Hospital, Rhinelander
Saint Michael’s Hospital, Stevens Point
St. Elizabeth Hospital,* Appleton
Clinics/ Physician Group
Affinity Medical Group* (multiple locations)
Ministry Medical Group
Amherst, Chain O’ Lakes, Crandon, Eagle River,
Iola, Laona, Plover, Rib Mountain, Rhinelander,
Stevens Point, Tomahawk, Weston, Wisconsin
Rapids, Woodruff
Victory Medical Group
Owen, Stanley, Thorp
North Shore Medical Clinic
Algoma, Fish Creek, Sturgeon Bay,
Washington Island
Now available in print or online
Home Care Services
Flambeau Home Health and Hospice
Affinity Visiting Nurses, Neenah
Dr. Kate Home Health & Hospice, Arbor Vitae
Ministry Home Care – Home Health & Hospice
Marshfield, Rhinelander, Stevens Point,
Wausau, Wisconsin Rapids
Door County Memorial Home Health
Sturgeon Bay – Home Health Care
Saint Elizabeth’s Home Health Care, Wabasha, MN
Ministry Respiratory Services & Affinity Plus**
Home Medical Equipment & Respiratory Therapy
WIVA & WIVA Fox Valley, Home Infusion Therapy**
Seasons of Life Hospice Home, Woodruff
House of the Dove Hospice Home, Marshfield
Today’s tough economy will affect people in many ways – staying healthy
will help you face times of uncertainty. Ministry Health Care wants to be
your source for helpful, up-to-date health information that you can use to
prevent illness.
Your free subscription to Health Connection provides you:
• Up-to-date information on procedures and technology
• Health tips that you can use to prevent disease
• Easy-to-understand information
Health Plan
• An introduction to health providers in your area
Network Health Plan*
Don’t lose your connection!
Long-Term Care
Fill out the reply card in this issue and let us know whether you would like to
receive Health Connection – electronically on your computer or by mail.
Door County Memorial Hospital Skilled Nursing Facility
Franciscan Care and Rehabilitation Center*
Saint Elizabeth’s Nursing Home, Wabasha, MN
Saint Elizabeth’s Health Care Center, Wabasha, MN
Ministry Behavioral Health
Ministry Health Care is committed to the conservation of
our natural resources. This publication is printed on paper
certified by the Forest Stewardship Council.
Koller Behavioral Health
Mental Health Unit – Saint Michael’s Hospital
Sacred Heart – Saint Mary’s Hospitals
Stevens Point Outpatient Clinic
Stevens Point Residential Treatment Unit
Wisconsin Rapids Outpatient Clinic
Ministry Dialysis Services
Marshfield, Merrill, Rhinelander, Stanley,
Stevens Point, Waupaca, Wausau, Wisconsin
Rapids, Woodruff
Other Services
404 S. 3rd Avenue
Wausau, WI 54401
Non-Profit
Organization
U.S.Postage
PAID
Wausau, WI
Permit No. 404
Affinity Occupational Health*
Agape Community Center
Bethany House
The Diagnostic & Treatment Center+
DCMH Rehabilitation Services
Family Health Medical & Dental Center/ La Clinica‡
James Beck Cancer Center‡‡
Ministry Dental Center
Ministry Diabetes Services
Sacred Heart Hospital Foundation Health Access Program
Saint Joseph’s Children’s Hospital
SAINTS Health Services for Business
Springer Health Access Program
* A partnership of Ministry Health Care and Wheaton
Franciscan Healthcare
‡ Affiliated with Saint Michael’s Hospital –
Ministry Health Care
‡‡ Affiliated with Saint Mary’s Hospital –
Ministry Health Care
+ Co-sponsored with Marshfield Clinic
** A limited liability company between Ministry Home
Care and Coram Healthcare

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