Premiere Issue Iowa City Healthy Cells 2012

Genesis Pediatric Therapy Offers Therapies Unique to the Region page 10

Age Related Macular Degeneration page 12

New Options Are Available for Those Suffering from Acne or Varicose Veins page 22

Welcome HomeProviding Care for the Entire Family page 14

PREMIERE 2012 FREE

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

TM

IOWA CITYareaPromotingHealthier Living in Your Community • Physical • Emotional • Nutritional

INFINIT

Premiere Issue 2012 — Iowa City — Healthy Cells Magazine —

letter from the editor

YouhaveopenedHealthy Cells Magazinebecauseyoucareaboutyourhealth.Sodowe!Everyarticle inthispublicationwillprovideyouwithuseful informationpertaining tophysical,nutritional,andemotionalhealththatyoucanrefertoagainandagain.Healthy Cellsservesseveralpurposes:

1.Togetpositivehealthcareinformationtothepublicinawaythatisaccessibleandconvenient.Iknowhowbusyyourlivesare,which iswhyHealthy CellswillbeavailableFREE inawiderangeoflocationsthatyoualreadyfrequent.Thiscopyisyourstokeeportopassalongtosomeonewhocanuseit.

2.Toprovideconnectionstolocalhealthcareprofessionalswhocancommunicatetheirexpertiseonnewtopicsandinnova-tionsthatyoumaynotbeawareof.

3. Tobeacommunityresourceandprovideawayforvariousnon-profitgroupstogainneededexposure. I thinkyouwillenjoyreadingabouttheRonaldMcDonaldHouseandallthewonderfulservicesandsupporttheyprovidetofamiliesintimesofcrisis.

It’sveryexcitingfortheIowaCityareatohaveitsowneditionofHealthy Cells.Healthy Cells MagazinewasfirstpublishedinMarchof1999inthegreaterPeoria,ILarea.Sincethattime,ithasgrownduetothegenerosityofitsreaders,advertisersandtheloyalmedicalcommunity. IopenedmyfirstHealthy CellsintheQuadCitiesinMarchof2010,andamamazedandhumbledhowit’sbeenembracedbythecommunity.IlookforwardtothesameexperiencewiththeresidentsoftheIowaCityarea.AsaUniversityofIowagraduate,it’slikeI’vecomehomeagain! Theinitialresponseandsupportfromareaprofessionalshavebeenoverwhelminglypositive.IwouldliketothankShuvaRahimwithAccentPhotography,whodoesthephotographyforboththeQuadCitiesandIowaCityeditions. Iwouldespecially liketothankthegroupof“foundingadvertisers”thatmadethisfirstissuepossible.TheysharemybeliefandvisionthatHealthy Cells willbeapositiveeditiontotheIowaCitycommunity.Pleasere-memberthisisaFREEpublication.Theadvertisersinthispub-licationbelieveenoughinprovidingpositivehealthinformationtothepublicthattheywerewillingtopayforitsoyouwouldn’thaveto. Whenyouvisit thesebusinesses,pleaseremember to letthemknowyouappreciatetheirsupportforthisnewmagazine.Theywillbedelightedtoserveyou!

Thankyou!

LaurieHutchesonOwner,HealthyCellsofIowaCity

The advertisers in this

publication believe enough in

providing positive health

information to the public that

they were willing to pay for it

so you wouldn’t have to.

Healthy Cells Owner, Laurie Hutcheson, with her husband Geoff, sons Jake, Matthew and Drew and dog Gracie.

Welcome to the Premiere Issue of Healthy Cells Magazine of Iowa City!

This Month’s Cover Story:Volume 1, Issue 1

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Letter From The Editor:WelcometothePremiereIssue

Healthy Homes:FireSafety

Emotional:“killerClichésAboutLoss”

Nutritional:“MyPlate”ReplacesFoodGuidePyramid

Physical:GenesisPediatricTherapyOffersTherapiesUniquetotheRegion

Healthy Vision:AgeRelatedMacularDegeneration

Medical History:APioneerinBloodCollectionandStorage

Healthy Tips:BeatingtheFluthisSeason

Healthy Feet:21stCenturyBunionCare

Connection:StrengtheningRelationshipsThroughPictures

Advanced Treatment:New State-of-the-Art Treatments HelpPatientsSufferingFromAcneorVaricoseandSpiderVeins

Prostate Health:ThatSurgeryCanMakeaGuyImpotent

PREMIERE 2012

HealthyCellsMagazineisintendedtoheightenawarenessofhealthandfitnessinformationanddoesnotsuggestdiagnosisortreatment.Thisinformationisnotasubstituteformedicalattention.Seeyourhealthcareprofessionalformedicaladviceandtreatment.Theopinions,statements,andclaimsexpressedbythecolumnists,advertisers,andcontributorstoHealthyCellsMagazinearenotnecessarilythoseoftheeditorsorpublisher.

HealthyCellsMagazineisavailableFREEinhightrafficlocationsthroughouttheIowaCityarea,includingmajorgrocerystores,hospitals,physicians’offices,andhealthclubs.HealthyCellsMagazineispublishedmonthlyandwelcomescontributionspertainingtohealthierliving.LimelightCommunications,Inc.assumesnoresponsibilityfortheirpublicationorreturn.Solicitationsforarticlesshallpertaintophysical,emotional,andnutritionalhealthonly.

Mission:TheobjectiveofHealthyCellsMagazineistopromoteastrongerhealth-consciouscommunitybymeansofofferingeducationandsupportthroughthecooperativeeffortsamongesteemedhealthandfitnessprofessionalsintheIowaCityarea.

HealthyCellsMagazineisadivisionof:

1711W.DetweillerDr.,Peoria,IL61615Ph:309-681-4418Fax:[email protected]•www.healthycellsmagazine.com

Forinformationaboutthispublication,contactLaurieHutcheson,ownerat563-650-1876,[email protected]

Ronald McDonald House Charities® of Eastern Iowa

Providing Care for the Entire Family page 14

“I wish to thank all of the advertisers who make this magazine possible. They believe enough in providing positive health information to the public that they are willing to pay for it so you won’t have to.”

Laurie Hutcheson


About 3,500 Americans die each year in fires and about18,300areinjured.Youcanstopthefirebeforeitstarts.Usethis factsheet to learnhowtopreventa fire inyourhome

andknowwhattodoifyouhaveafire.

Stop an alternative heater fire before it starts:•Keepthefireinsidethefireplacebymakingsureyouhaveafire-

placescreenlargeenoughtostopflyingsparksandrollinglogs.•Haveyourchimneyinspectedatleastonceayear.Tarbuild-up

insideofthechimneycancausethechimney,roof,andthewholehousetogoupinflames.

•Spaceheatersneedspace.Keepitemsatleastthreefeetawayfromeachheater.

•Whenbuyingaspaceheater,onlybuyonewithasafetyfeaturethatautomaticallyshutsoffthepoweriftheheaterfallsover.

•Carefullyfollowmanufacturers'setupandmaintenanceinstructions.•Forwoodstovefuel,useonlyseasonedwood-neverusegreen

wood, artificial logs, or trash. Seasoned wood looks dark, orgraywhencomparedtogreenwood.Seasonedwood iswhiteontheinside.

Fire Safety

•Keroseneheatersarenotallowedinmostplaces.•Ifyouuseakeroseneheater,onlyusethetypeof fuel listed in

theinstructions.•Allowyourheatertocoolbeforerefuelingandonlyrefueloutdoors.

Be prepared for a fire:•Oneof thebestways toprotectyourselfandyour family is to

haveaworkingsmokealarmthatcansoundfastforbothafirethathasflames,andasmokyfirethathasfumeswithoutflames.Itiscalleda"DualSensorSmokeAlarm."Asmokealarmgreatlyreducesyourchancesofdyinginafire.

•Prepareanescapeplanandpracticeitoften.Makesureevery-oneinyourfamilyknowsatleasttwo(2)escaperoutesfromtheirbedrooms.

To learn more on how you can prevent fires and fire deaths, please contact your local fire department's office phone number (not 911) or visit www.usfa.fema.gov or www.ready.gov.

healthy homes

— Healthy Cells Magazine — Iowa City — Premiere Issue 2012

emotional

Wehaveallbeeneducatedtoacquirethings.Wehavebeentaughthowtogetaneducation,getajob,buyahouse,etc.Therearecolleges,universities,tradeschools,andtechni-

cal schools.Youcan takecourses invirtuallyanything thatmightinterestyou. Whateducationdowereceiveaboutdealingwithloss?Whatschooldoyougotolearntodealwiththeconflictingfeelingscausedbysignifi-cantemotionalloss?Lossissomuchmorepredictableandinevitablethangain,andyetwearewoefullyill-preparedtodealwithloss. Oneofthemostdamagingkillerclichesaboutlossistimehealsallwounds.WhenwepresentopenlecturesonthesubjectofGrief

❣Recovery®,weoftenaskifanyoneisstillfeelingpain,isolation,orlonelinessastheresultofthedeathofalovedone20ormoreyearsago.Therearealwaysseveralhandsraisedinresponsetothatquestion.Thenwegentlyask,“if time isgoingtoheal, then20yearsstillisn’tenough?” Whilerecoveryfromlossdoestakesometime,itneednottakeasmuchtimeasyouhavebeenledtobelieve.Recoveryistotallyindi-vidual.Thereisnoabsolutetimeframe.Sometimesinanattempttoconformtootherpeople’stimeframes,wedoourselvesgreatharm.Thisidealeadsustoanotherofthekillercliches—youshouldbeoveritbynow.

“Killer Clichés About Loss”Healthy Cells magazine is pleased to present the first in a series of feature articles on the subject of Grief ❣ Recovery®. The articles are written

by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses [Harper Perrenial, 1998]. The

articles combine educational information with answers to commonly asked questions.


Itisbadenoughthatwell-meaning,well-intentionedfriendsattackuswithkillercliches,butthenwestartpickingonourselves.Westartbelieving that we are defective or somehow deficient because wehaven’trecoveredyet. Ifwetakejustthetwokillerclicheswe’vementionedsofar,wecanseethattheyhavesomethingincommon.Theybothimplythatanon-actionwillhavesometherapeuticorrecoveryvalue.Thatbywaiting,andlettingsometimepass,wewillheal.Let’saddathirdclichetothebatch—youhavetokeepbusy.Manygrieversfollowthisincorrectadviceandworktwoorthreejobs.Theyfilltheirtimewithendlesstasksandchores.Attheendofanygivenday,askedhowtheyfeel,invariablytheyreportthattheirheartstillfeelsbroken;alltheyaccomplishedbystayingbusywastogetexhausted.

Now,withonlythreebasickillerclicheswecanseverelylimitandrestrictourabilitytoparticipateineffectiverecovery.Itisnotonlythatpeoplearoundustellusthesecliches,inanattempttohelp,butweourselveslearnedandpracticedthesefalsebeliefsformostofourlives.It istimeforustolearnsomenewandhelpfulbeliefstoassistusingrievingandcompletingrelationshipsthathaveendedorchanged.

QUESTION: Ihaveheardthatittakestwoyearstogetoverthedeathofalovedone;fiveyearstogetoverthedeathofaparent;andyounevergetoverthedeathofachild.Isthistrue?

ANSWER:Partoftheproblemisthephrasegetover.Itismoreac-curatetosaythatyouwouldneverforgetachildwhohaddied,anymorethanyouwouldeverforgetaparentoralovedone.Anotherpartoftheproblemisoneofthosekillerclicheswetalkedabout,thattime,ofitself, isarecoveryaction.Althoughrecoveryfromlossdoestakesometime,itistheactionswithintimethatleadtosuccessfulrecovery.

TheprimarygoalofGrief❣Recovery®istohelpyou“grieveandcomplete” your relationship to the pain caused by the emotionalchangescausedbydeath,divorce,andotherlosses.Successfulap-plicationoftheprinciplesandactionsofGrief❣Recovery®allowyoutohavefondmemoriesnotturnpainfulandhelpyouretakeahappyandproductiveplaceinyourownlife.Inaddition,youregaintheabilitytobeginnewrelationships,ratherthanattemptingtoreplaceoravoidpastrelationships.

Next month: “Less Than Loved Ones — Hopes And Dreams” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA 91413. Call [818] 907-9600 or Fax: [818] 907-9329. Please visit our website at: www.grief-recovery.com.

“Grief ❣ Recovery® allow you to have

fond memories not turn painful and

help you retake a happy and productive

place in your own life.”

Why call AMT of Iowa?

Advanced Medical Transport’s EMS professionals are trained and equipped to deliver specialized

medical transports throughout the state and region and are known for

an uncompromisingdedication to patient care.

At AMT, we are:• Compassionate

• Impeccably professional • Quick to respond

• Cost-wise • Technologically advanced

Call today to learn more:

Iowa City 319.341.7799 Dubuque 563.583.6237


nutritional

“MyPlate” Replaces Food Guide Pyramid

First Lady Michel leObama and AgricultureSecretary Tom Vilsack

unveiled the federal govern-ment’s new food icon, My-Plate, toserveasareminderto help consumers makehealthier food choices. My-Plateisanewgenerationiconwiththeintenttopromptcon-sumerstothinkaboutbuildingahealthyplateatmeal timesandtoseekmoreinformationtohelp themdo thatbygoing towww.ChooseMyPlate.gov.ThenewMyPlate iconemphasizesthefruit,vegetable,grains,proteinanddairyfoodgroups. “Thisisaquick,simplereminderforallofustobemoremind-fulofthefoodsthatwe’reeatingandasamom,Icanalreadytellhowmuchthis isgoingtohelpparentsacrossthecountry,”saidFirstLadyMichelleObama.“Whenmomordadcomeshomefromalongdayofwork,we’realreadyaskedtobeachef,areferee,acleaningcrew.Soit’stoughtobeanutritionist,too.Butwedohavetimetotakealookatourkids’plates.Aslongasthey’rehalffulloffruitsandvegetables,andpairedwith leanproteins,wholegrainsandlow-fatdairy,we’regolden.That’showeasyitis.” “Withsomanyfoodoptionsavailabletoconsumers, it isoftendifficult to determine the best foods to put on our plates whenbuildingahealthymeal,”saidSecretaryVilsack.“MyPlateisanun-complicatedsymboltohelpremindpeopletothinkabouttheirfoodchoicesinordertoleadhealthierlifestyles.Thiseffortisaboutmorethanjustgivinginformation,itisamatterofmakingpeopleunder-standthereareoptionsandpracticalwaystoapplythemtotheirdailylives.” OriginallyidentifiedintheChildObesityTaskForcereportwhichnoted that simple, actionable advice for consumers is needed,MyPlate will replace the MyPyramid image as the government’sprimary foodgroupsymbolasaneasy-to-understandvisualcueto help consumers adopt healthy eating habits consistent withthe2010DietaryGuidelinesforAmericans.MyPyramidwillremainavailabletointerestedhealthprofessionalsandnutritioneducatorsinaspecialsectionofthenewwebsite. ChooseMyPlate.govprovidespractical informationto individu-als,healthprofessionals,nutritioneducators,andthefoodindustrytohelpconsumersbuildhealthierdietswith resourcesand toolsfordietaryassessment,nutritioneducation,andotheruser-friendlynutritioninformation.AsAmericansareexperiencingepidemicratesofoverweightandobesity,theonlineresourcesandtoolscanem-

balance calories FindouthowmanycaloriesYOUneedforadayasafirststep

inmanagingyourweight.Gotowww.ChooseMyPlate.govtofindyourcalorielevel.Beingphysicallyactivealsohelpsyoubalancecalories.

enjoy your food, but eat less Takethetimetofullyenjoyyourfoodasyoueatit.Eatingtoo

fastorwhenyourattentioniselsewheremayleadtoeatingtoomanycalories.Payattentiontohungerandfullnesscuesbefore,during,andaftermeals.Usethemtorecognizewhentoeatandwhenyou’vehadenough.

avoid oversized portions Useasmallerplate,bowl,andglass.Portionoutfoodsbefore

youeat.Wheneatingout,chooseasmallersizeoption,shareadish,ortakehomepartofyourmeal.

foods to eat more often Eatmorevegetables,fruits,wholegrains,andfat-freeor1%milk

anddairyproducts.Thesefoodshavethenutrientsyouneedforhealth—includingpotassium,calcium,vitaminD,andfiber.Makethemthebasisformealsandsnacks.

make half your plate fruits and vegetables Choosered,orange,anddark-greenvegetablesliketoma-

toes,sweetpotatoes,andbroccoli,alongwithothervegeta-blesforyourmeals.Addfruittomealsaspartofmainorsidedishesorasdessert.

switch to fat-free or low-fat (1%) milk Theyhavethesameamountofcalciumandotheressentialnu-

trientsaswholemilk,butfewercaloriesandlesssaturatedfat.

make half your grains whole grains Toeatmorewholegrains,substituteawhole-grainproductfor

arefinedproduct—suchaseatingwholewheatbreadinsteadofwhitebreadorbrownriceinsteadofwhiterice.

foods to eat less often Cutbackonfoodshighinsolidfats,addedsugars,andsalt.

Theyincludecakes,cookies,icecream,candies,sweeteneddrinks,pizza,andfattymeatslikeribs,sausages,bacon,andhotdogs.Usethesefoodsasoccasionaltreats,noteverydayfoods.

compare sodium in foods UsetheNutritionFactslabeltochooselowersodiumversionsof

foodslikesoup,bread,andfrozenmeals.Selectcannedfoodslabeled“lowsodium,””reducedsodium,”or“nosaltadded.”

drink water instead of sugary drinks Cutcaloriesbydrinkingwaterorunsweetenedbeverages.

Soda,energydrinks,andsportsdrinksareamajorsourceofaddedsugar,andcalories,inAmericandiets.

Go to www.ChooseMyPlate.gov for more information.

Making food choices for a healthy lifestyle can be as simple as using these 10 Tips.

Usetheideasinthislisttobalanceyourcalories,tochoosefoodstoeatmoreoften,andtocutbackonfoodstoeatlessoften.

10 Tips to a Great Plate

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Call (319) 853-0596

Helping kids make significant strides.Genesis Pediatric Therapy

Maria Teresa Ferrer, who has a Doctorate inPhysical Therapy, provides highly specializedtreatment for youngsters with orthopedic andneurologic conditions using:

n Dynamic Castingn TheraSuitn Universal Exercise Unit (“Spider Cage”)

Also offering:

n Treatment for brachial plexus injury at birthn Constraint-induced movement therapyn Sensory integration therapyn Early intervention (birth to age 3).

Genesis Pediatric Therapy 2451 Coral Court, #1 Coralville, Iowa

powerpeopletomakehealthierfoodchoicesforthemselves,theirfamilies,andtheirchildren.Laterthisyear,USDAwillunveilanex-citing“go-to”onlinetoolthatconsumerscanusetopersonalizeandmanagetheirdietaryandphysicalactivitychoices. Overthenextseveralyears,USDAwillworkwithFirstLadyMi-chelleObama’sLet’sMove!initiativeandpublicandprivatepartnerstopromoteMyPlateandChooseMyPlate.govaswellasthesup-portingnutritionmessagesand“how-to”resources. The2010DietaryGuidelinesforAmericans,launchedinJanuaryof2011,formthebasisofthefederalgovernment’snutritioneduca-tionprograms, federalnutritionassistanceprograms,anddietaryadviceprovidedbyhealthandnutritionprofessionals.TheGuide-linesmessagesinclude:

Balance Calories•Enjoyyourfood,buteatless.•Avoidoversizedportions.

Foods to Increase•Makehalfyourplatefruitsandvegetables.•Switchtofat-freeorlow-fat(1%)milk.•Makeatleasthalfyourgrainswholegrains

Foods to Reduce•Comparesodium(salt)infoodslikesoup,bread,andfrozenmeals,andchoosefoodswithlowernumbers.•Drinkwaterinsteadofsugarydrinks.

Coupled with these tested, actionable messages will be the“how-tos” forconsumerbehaviorchange.Amulti-yearcampaigncalendar will focus on one action-prompting message at a timestartingwith“MakeHalfYourPlateFruitsandVegetables.” “Whatwehavelearnedovertheyearsisthatconsumersarebom-bardedbysomanynutritionmessagesthatitmakesitdifficulttofocusonchangesthatarenecessarytoimprovetheirdiet,”saidSecretaryVilsack.“Thisnewcampaigncalendarwillhelpunify thepublicandprivatesectorstocoordinateeffortsandhighlightonedesiredchangeforconsumersatatime.” Aspartofthisnewinitiative,USDAwantstoseehowconsumersareputtingMyPlateintoactionbyencouragingconsumerstotakeaphotooftheirplatesandshareonTwitterwiththehash-tag#MyPlate.USDAalsowants toseewhereandwhenconsumers thinkabouthealthyeating.TakethePlateandsnapaphotographwithMyPlatetosharewithourUSDAFlickrPhotoGroup[http://www.flickr.com/people/us-dagov/].

For more information, visit www.ChooseMyPlate.gov. Additional re-sources include: www.DietaryGuidelines.gov and www.LetsMove.gov.

“MyPlate is an uncomplicated symbol to help

remind people to think about their food

choices in order to lead healthier lifestyles.”


physical

Genesis Pediatric Therapy Offers Therapies Unique to the Region

By Craig Cooper, Genesis Health System

MeganRoyneverdreamedshewouldseehersonAidenrun,jumporlearntorideabike.Bornwithcerebralpalsy,hehasgonefrombeingunable towalkwithoutassistance towalkingandplaying

independently. AidenhasmadesignificantstridesthankstoGenesisPhysicalTherapistMariaTeresaFerrerandthehighlyspecializedtherapiessheprovides.Ferrerreceivedmaster’s leveltraininginOccupationalHealthinColumbia,aswell

asaDoctorateofPhysicalTherapyintheUnitedStates.Sheoffersthesenon-traditionaltherapiesattheGenesisPediatricTherapyclinicinCoralville,locatedat2451CoralCourt,#1. ContributingtoAiden’ssuccesshasbeenFerrer’sexpertisewiththeUniversalExerciseUnit;theTheraSuit;andDynamicCasting. “Thetherapieshavemadearemarkabledifference,”saidMeganRoy,anoccupationaltherapistfromDonahue,Iowa,whoalsohascerebralpalsy.“Before,Aidenwalkedwithare-versewalkerandbi-laterallegbracesandkindofdraggedhim-selfalong.Now,hecanwalkindependentlywithoutbraces.Hefallsalotless.Hecanstandononefoot;hejumps;and,he’slearningtorideabike.MariaTeresaandthesetherapieshavedonewondersforhim.”

Aiden’smother,whowalkswithcrutchesandlegbraces,isgratifiedtoseehersonaccomplishphysicalfeatsthatsheisunabletododespiteyearsofphysicalandoccupationalther-apyasachild.“IthasbeenamazingtoseeAiden’sprogress,”shesays.

Dynamic Casting DynamicCastinghashelpedAidenwalkandrunwithoutassistanceandcorrecthistoe-walkingandhipandposturalalignment.Thecast,whichhewearsfor3-4daysatatimeandthenremoves,graduallytrainshimtoputweightonhisheelwhenhewalksforamorenormalheel-toegait.

TheraSuit Duringtherapy,AidenwearsasoftsuitwithattachedelasticbandsthatFerreradjuststohelpalignhisposture,facilitatemuscleactivationandimprovehisbalanceandstrength.ThesuitalsoassistsAidenwithbodyawarenessandalignmentwhileperformingfunctionalactivitiessuchastransitionfromsittingtostandingposition.

Physical Therapist Maria Teresa Ferrer guides Aiden Roy, who has cerebral palsy, as he undergoes therapy with the TheraSuit. Ferrer offers these highly

specialized therapies at the Genesis Pediatric Therapy clinic in Coralville, Iowa.

“The beauty of these treatments is they’re non-invasive, and they’re helping

kids to be successful.”


Universal Exercise Unit, or “Spider Cage” AsuccessfultreatmentusedinEurope,theUniversalExerciseUnit suspendsAiden in themiddleof a cagewithunique sup-portprovidedbybungeecordsattachedtoabelthewears.Byeliminatinggravitational forces,hecanpracticeskillstohelphisbalance,coordinationandfunctionanddosowithasenseofse-curity.“PatientswouldhavetotravellongdistancesintheUnitedStatesortravelabroadforthisintensivetherapy,”saysFerrer,whoiscertifiedtotreatpatientswiththeUniversalExerciseUnit. FerrercamefromColombia,whereemphasisisplacedonmorefunctionaltreatmentsascomparedtosurgeriesorothermedicaltechnologies,shesays.“Thebeautyofthesetreatmentsisthey’renon-invasive,andthey’rehelpingkidstobesuccessful.”

Other services GenesisPediatricTherapyalsooffersspecializedtreatment inorthopedicandneurologicconditions,inadditionto:•Treatmentforbrachialplexusinjuryatbirth•Constraint-inducedmovementtherapy•Sensoryintegrationtherapy•Earlyintervention(birthtoage3)•Aquatictherapy•SequentialOralSensoryFeedingApproach

For more information, call the Genesis Pediatric Therapy Clinic at (319) 853-0596 or send email to [email protected].

Every year, one out of three Americans over 65 falls in the home. For older Americans, falls are the most common cause of injury. And the leading cause of potentially lethal hip fractures. Yet, almost half of home falls can be easily prevented. To learn how to make yourself, or a loved one, safer at home, visit orthoinfo.org/falls.

It was just a simple fall. Yesterday.

AAOS_Falls_half.indd 1 3/19/10 4:13:37 PM


healthy vision

benefitamongthosewhohaveeithernoAMDorveryearlyAMD.ItisimportanttorememberthatvitaminsupplementsarenotacureforAMD,norwilltheyrestorevisionthathasalreadybeenlostfromthedisease.Thegoalofthevitaminsupplements istotrytomaintainwhatvisionyoudohave. IntraocularInjections–Somepeoplewith“wet”AMDmaybenefitfrommedicinebeinginjectedintotheireye.Themedicinecanhelptheeyereabsorbthefluidand/orbloodthathasleakedintotheretinaanddecreasethelikelihoodoffurtherleakage.Mostoftenpeoplerequireseveralinjectionsoverseveralmonths.Thismaypreservemoresightoverallbutthemedicineisunlikelytorestorethevisiontonormal.Infact,despiteadvancedmedicaltreatment,manypeoplewithAMDstillexperiencesomevisionloss.

Living with Macular Degeneration Yourophthalmologist(EyeM.D.)candetectearlystagesofAMDduringacompletemedicaleyeexamination. Tohelpyouadapt tolowervisionlevels,youreyedoctormayrecommendlow-visionopticaldevicessuchasmagnifyingdevices,aclosed-circuittelevision(screentoenlargesmallprint),large-printreadingmaterialsandtalkingorcom-puterizeddevices.Thesedevicescanoftenenablepeopletocontinuetoenjoymanyoftheirfavoriteactivities. Formore information,pleasecontactTheAmericanMacularDe-generationFoundationatwww.macular.orgortheFoundationFightingBlindnessatwww.blindness.org.

For more information on Stacy Thompson, MD, or Eye Physi-cians and Surgeons, LLP, call 319-338-3623 or visit our website at www.iowacityeye.com.

Age Related Macular Degeneration

By Stacy Thompson, MD, General Ophthalmologist, Eye Physicians and Surgeons LLP

ItseemedappropriatetowriteaboutthissubjectsinceFebruaryisAgeRelatedMacularDegeneration(AMD)awarenessmonth.It isdefinitelyatopicofinteresttomanyasAMDistheleadingcauseof

severevisionlossinCaucasiansoverage65.

I am often asked “What is Macular Degeneration?” AMDisadegeneration/deteriorationofthemacula.Manyolderpeopledevelopmaculardegenerationaspartofthebody’snaturalagingprocess.Themaculaistheverycenterpartoftheretinathatallowsus tosee finedetailsclearlyandperformactivitiessuchasreadinganddriving.Whenthereisdiseaseofthemacula,thecentralvisioncanbeaffectedcausingblurryvision,darkareasand/ordistor-tion.AMDaffectsyourabilitytoseenearandfarandeverythinginbetween.AMDcanmakesomeactivitiessuchassewingorreadingdifficultorimpossible. AlthoughAMDdecreasesthecentralvision,itdoesnotaffecttheperipheralorsidevision,andtherefore,AMDalonedoesnotresultintotalblindness. Even inmoreadvancedcases,peoplecontinue tohavesomeusefulvisionandareoftenabletotakecareofthemselves.Inmanycases,AMD’simpactonthevisioncanbeminimal.

Types of Macular Degeneration “Dry”(atrophic)maculardegenerationisthemostcommonform.Itiscausedbyagingandthinningofthetissuesofthemacula.Visionlossisgenerallygradual.Depositsundertheretinacalleddrusenareacommonfeature.Drusenaloneusuallydonotcausevisionloss,butwhentheyincreaseinsizeand/ornumber,thisgenerallyindicatesanincreasedriskofdevelopingadvancedAMDandthusanincreasedriskofvisionloss. “Wet”(exudative)maculardegenerationaccountsforabout10%ofallAMDcases.Itresultswhenabnormalbloodvesselsformunder-neaththeretinaatthebackoftheeye.Thesenewabnormalbloodvesselsleakfluidorbloodandblurthecentralvision.Visionlossmayberapidandsevere.

What are the risk factors for Macular Degeneration? Theexactcausesofboth“dry”and“wet”AMDarenotcompletelyunderstood.GeneticsappearstobeamajorfactorinmorethanhalfofthecasesofAMD.Otherriskfactorsmayincludeadiethighinfat,cigarettesmoking,exposuretobrightsunlight,heartdisease,highcho-lesterolandhighbloodpressure.

How is Macular Degeneration Treated? NutritionalSupplements-Peoplewithmoderatestagesof“dry”AMDcanlowertheirriskofdevelopingadvancedstagesofAMDbytakingahigh-dosecombinationofvitaminA(betacarotene),vitaminC,vitaminEandzinc.Supplementsdonotappeartoprovideany


healthy vision medical history

Bloodwasurgentlyneeded forwounded troopsaswar ragedacrossEurope in1940.Dr.Drewwaschosenbythe InternationalTransfusionAssociationtoorganizethe“BloodforBritain”project.The “Blood for Britain” project collected, processed, and trans-ported14,500unitsofplasma—allwithin fivemonths.Dr.Drew’sscientificresearchhelpedrevolutionizebloodplasmatransfusion,sothatpooledplasmacouldreadilybegivenonthebattlefield,whichdramaticallyimprovedopportunitiestosavelives. FearingtheUnitedStateswouldbedrawnintoWorldWarII,theU.S.armed forces requested thedevelopmentofasimilarbloodcollectionsystem.Dr.Drewestablishedaneffectiveplasmacollec-tionandpreservationorganization—amodelfortoday’svolunteerblooddonationprogram.Dr.Drewadvocatedanopportunity forAfricanAmericanstodonatetoadesegregatedbloodbank. Dr.DrewreturnedtoFreedmen’sHospitalasChiefofSurgery,andtoHowardUniversityasProfessorandChairoftheDepartmentofSurgery.There,Dr.Drewmadewhatheconsidered tobehisgreatestcontribution tomedicine: teachingandhelping tocertifyhundredsofblacksurgeons.In1944,hereceivedtheNAACPSprin-garnAwardforhiscontributionstohumanity. Marriedin1939,Dr.Drewandhiswife,Lenore,hadfourchildren:(Bebe(forbloodbank),Charlene,Rhea,andCharles).Dr.DrewdiedApril1,1950,inatragiccaraccident.Itwaswidelyrumoredthathediedfromlackofpropermedicaltreatmentduetothecolorofhisskin.Thisrumorhasbeenprovenincorrect,asfellowdoctorswhowerealsointheaccidenttestifiedtothefactthatDr.Drewdiedfrominjuriessustainedintheaccident. Without the efforts of Dr. Drew, blood collection and storagewouldnotbewhereitistoday,andsavingallthelivesasaresult.

Throughout time, therehavealwaysbeendoctorswhoweregroundbreaking in their field,andoneof thosedoctorswasDr.CharlesDrew.

Dr.CharlesDrewwasanAfricanAmericandoctorandresearcherwhoseknowledge,visionandleadershiphelpedrealizethepossibil-ityofbloodcollectionandstorage;hisdiscoveriesinthe1930sand40sservedasamodelforthefutureofbloodbanking.Dr.DrewwasborninWashingtonDC.Heattendedapublicschoolinthenation’scapital,andgraduated in1922 fromPaulLawrenceDunbarHighSchool.He continuedhis education atAmherstCollege inMas-sachusetts,wherehewrestledwith the rigorsof academicsandservingascaptainofthefootballteam. GraduatingfromAmherst,DrewacceptedapositionatMorganStateCollege,teachingchemistryandbiology,aswellascoachingfootball.HismedicaleducationbeganduringtheGreatDepressionatMcGillUniversitySchoolofMedicineinQuebec,Canada.ThoughDrewworkedasawaiterwhileastudentatMcGill,hegraduatedsecond inhisclassof137.ElectedtoAlphaOmegaAlpha,DrewlaterbecamevicepresidentoftheMedicalHonorSociety.In1933,heearnedMDandCM(mastersofsurgery)degrees. Following internships at Royal Victoria Hospital and MontrealGeneral,Dr.Drewwasappointedtoaresidencyinsurgery(1936-1938)atHowardUniversity’sFreedmen’sHospital.Amedicalresi-dencyatNewYorkCity’sPresbyterianHospitalenabledhimtodopost-graduatework atColumbiaCollegeofPhysicians andSur-geons. There,hemethismentorandcollaborator,Dr.JohnA.Scudder.Dr.Drewgraduated fromColumbiawith thedissertation,“BankedBlood:AStudyinBloodPreservation.”HewasthefirstAfricanAmer-icantoreceivetheMcScDegree(doctorofscienceinmedicine).

Dr. Charles Drew: A Pioneer in Blood Collection and Storage

By Mississippi Valley Regional Blood Center

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feature story

Apprehension,trepidation,fear.AllarecommonfeelingsparentsfacewhencomingtotheRonaldMcDonaldHouseofIowaCityforthefirsttime.ForGinaTenPas,itwasnodifferent.

“ItwasascorchinghotJulydaywhenIfirstlaideyesontheRon-aldMcDonaldHouse.Iwas39weekspregnantandI,alongwithmyhusbandandtwoyoungchildren,drovefromDesMoinestocheckintotheRonaldMcDonaldHouseinIowaCity,”saidGina. TheTenPas’unbornsonwasscheduledtomakehisarrivalthenextday.However,itwasn’tgoingtobeatypicaldeliveryasJohnPeterhadbeendiagnosedwithHypoplasticLeftHeartSyndrome,orincommonterms,theleftsideofhisheartwasseverelyunderdeveloped.Withinthefirstfewdaysofhislife,JohnPeterwouldundergothemostcom-plicatedheartsurgeryinpediatrics.

“IwasfilledwithapprehensionandworrythefirstnightattheRonaldMcDonaldHouse.Weweredownrightscaredforourlittleboyandtheeffectsthiswholeexperiencewouldundoubtedlyhaveonourothertwochildrenwhoweretooyoungtounderstandthegravityofthesituation,”addedGina. ExperiencesliketheTenPas’arenotuncommonforfamiliestravelingtotheRonaldMcDonaldHouseofIowaCity,a31-roomfacilitylocatedjustthreeblocksawayfromtheUniversityofIowaChildren’sHospital.FamiliesoftencometotheRonaldMcDonaldHouseexperiencingagreatdealofstressanduncertaintybecauseoftheirchild’scondition. Thankfully,theHousehasbeenaroundfor26yearsandanticipateshowtohelpfamiliesliketheTenPas’navigatethejourneyofhavingacriticallyillchild.LocatedjustthreeblocksfromtheUniversityofIowa

WELCOME HOMEProviding Care for the Entire Family Siblings Abigail & Caleb look after their new brother, John Peter.

John Peter, diagnosed with Hypoplastic Left Heart Syndrome, lies in bed with his stuffed monkey following surgery.


Children’sHospital,theHouseprovidesa“homeawayfromhome”forfamiliestobeneartheirsickkid.Thegoalistoprovideeverythingafamilyneedsduringtheirstaysotheycan,instead,focusonthehealthoftheirchild. “Wehadsomuchstressandworryinourlives.Buttheonethingwedidn’thavetoworryaboutwaswherewewouldeatandsleep.Iremembereatingawarmmealoutsideonthedeckonaplatethatwasn’tmade of Styrofoam, and getting somemuch-neededfreshair,”saidGina. Evenotheramenitieslikethechildren’splayroom, the downstairs game room,fully-stocked pantry and kitchens, freelaundry,wirelessinternet,library,andfreeparkingpassesplaya largerole inmak-ingthepathfamiliestakeeasier.Thelarge

backyardwithaplayground,patiodeck,andwoodedareamaketheHouseawelcomingplaceforsiblings,too. “Westrivetokeepfamiliestogetherasmuchaspossible,”saidSamBurke,FamilyServicesCoordinator.“Because it’sbeenshownthatkidshealfasteriftheirparentsandfamiliesarenearbyandinvolvedintheirmedicaltreatment.” TheTenPas’stayedsix fullweeksasJohnPeter’ssurgeryandrecoveryhaditsupsanddowns.Theirinitialapprehensionandworryfadedasmuchasitcould,andtheTenPas’foundthemselvescon-nectingwiththeotherfamilies. “Ifeltasthoughwehadjustjoined‘theclub’…Iwascomfortedtoseethesefamiliespushingforwardandthrivingdespitetheirdifficultsituation.Thewarmthfromtheirsmilesremindedmethatthisdidn’thavetobeahorrible,lonelyexperience.Wewereinthistogether,”addedGina. JohnPeterisnowactinglikeanormalbabyandisnextheartsurgeryisquicklyapproaching.Hisoldersister,Abigail,andbrother,Caleb,arelookingforwardtocomingtotheir“otherhome,”theRonaldMcDonaldHouseofIowaCity. “ThankstotheHouse,ourchildrenhavefondmemoriesoftheirbaby brother being born,” added Gina. “The Ronald McDonaldHousehelpedholdournewfamilyoffivetogetherwhenweneededitthemost.”

Expanding Its Reach Thecareandconcernforthehealthandwell-beingof children isn’t solely limited to the Ronald McDonaldHouseofIowaCity.Infact,thereachofRonaldMcDonaldHouseCharitiesofEasternIowa(RMHCofEasternIowa)stretchesbeyondthewallsoftheHouse. Over thepast fouryears,RMHCofEastern Iowa’sgrantsprogramhasimpacted7,900EasternIowachildrenbysupportingover30areanon-profitswhoseprojectsorprogramsbenefitthehealthandwell-beingofchildren.In2011,RMHCofEasternIowaawarded$37,000to10dif-ferentnon-profitorganizations. BethPfohl,Grants&ScholarshipsCoordinatorat

RMHCofEasternIowa,remarks“theprogramfitswellwiththemissionofthisorganizationbycreating,findingandsupportingorganizationsthatdirectlyimprovethehealthandwell-beingofchildren.Theorgani-zationsimpactedbythegrantsprogramhelpRMHCofEasternIowaextend itsmission farbeyondtheRonaldMcDonaldHouse in IowaCity.” Alsosince2008,RMHCofEastern Iowahasofferedgraduatinghighschoolseniorstheopportunitytoreceiveascholarshiptoaidwithcollegetuition.AmberHeinrich,asenioratIowaStateUniversity,wasthefirstrecipientofamulti-yearscholarship. “Thescholarshiphashelpedmereducemycollegefinancialburdenthatmoststudentsencounter,”saidAmber.Beyondthefinancialhelp,thescholarshiphasbeensignificanttoAmberbecauseithastaughtherlifelessonofwhyvolunteeringissoimportant. “Iknewthatvolunteeringcouldmakeadifference,but Ihonestlydidn’tknowhowmuchofadifferenceuntilIstartedvolunteeringattheRonaldMcDonaldHouse.Thepeoplewhostaytherejustappreciatethelittlestthings,likehomemadebrowniesorplayingwiththekidsintheplayroomforalittlebit.Youtrulyseehowmuchofadifferenceyoucanmakeinaperson’slifejustbydoinganicedeedorvolunteeringinyourcommunity,”addedAmber.

feature story

The Ten Pas Family shortly before John Peter’s arrival into the world.

The Ronald McDonald House of Iowa City, located just three blocks from University of Iowa Children’s Hospital.


IftheRonaldMcDonaldHouseofIowaCityisthecornerstoneprogramofRMHCofEasternIowa,thenitsvolunteersarethebricksandmortaroftheorganization. “Ourorganizationthrivesonitsvolunteers,”saidKristinRoberts,ExecutiveDi-rector,RMHCofEasternIowa.“Wecouldn’tpossibledowhatwedo,orbewhowearewithoutourvolunteers.”Lastyear,alone,volunteersgaveanaverageof500hourspermonth,savingRMHCofEasternIowatheequivalentofthreefull-timepaidstaffmembers. “IlookforwardtomyMondaynights—evenworkmyschoolschedulearounditsoIcancome.Familiesarehereforreasonsthey’drathernotbe,butthepeoplethatmakeuptheHouse,whetheritbeothervolunteers,stafforthefamilies,havecreatedthewarmestenvironment,”saidweeklyvolunteerKelsiKellen. Whetherit’sanindividualIn-House,weeklyvolunteer,agroupprovidingamealforthefamilies,oraserviceorganizationlookingforaproject,thereisawayforanyonetomakeadifferenceatRMHCofEasternIowa.JustaskGinaTenPas,“OurfamilyisoverwhelminglygratefulforallthevolunteersanddonationsthatkeeptheRonaldMcDonaldHouserunningsmoothly.”

To learn more about Ronald McDonald House Charities of Eastern Iowa, head to www.rmhc-easterniowa.org. Or, “like” RMHC of

Eastern Iowa on Facebook at www.facebook.com/rmhceasterniowa. Please call the Ronald McDonald House at 319-356-3939 to arrange

a tour of the facility and get a first-hand look at the outstanding work done by this organization.

feature story (continued)

“A Home Away From Home”

Ronald McDonald House Charities of East-ern Iowa is a 501(c)(3) non-profit organizationdedicated to creating, finding, and supportingprograms that directly improve the health andwell-beingofchildren. Servingas thecornerstoneprogramofRon-aldMcDonaldHouseCharitiesofEastern Iowa,theRonaldMcDonaldHouseofIowaCityservesabout1,700familieseachyear.Sincethefacilityopenedin1985,familiesfromall99Iowacoun-ties,all50states,andover56foreigncountrieshavecalledtheRonaldMcDonaldHouseofIowaCity their “homeaway fromhome.”TheRonaldMcDonaldHouse isoften full,operatingaround90%occupancythroughouttheyear. TheRonaldMcDonaldHouseof IowaCity isdesignedasaplaceofrefugeforanyfamilytrav-eling to the community seeking critical medicalcareforachildage21orunder.NofamilyiseverturnedawayfromaroomattheRonaldMcDonaldHousebecauseofinabilitytopaythesuggested$15.00pernightroomfee.In2011,over50%offamiliesstayingat theRonaldMcDonaldHousewere unable to afford thenominal rate. TobeeligibletostayattheRonaldMcDonaldHouseofIowaCity,afamilymustresideat least20milesawayfromtheHouse. Commonareasinthe27,000square-footRon-aldMcDonaldHouseincludealargekitchenarea,recreationroom,guestlibraryandcomputerroom,laundryfacilities,playroom,andmore.Alsoavail-able for families isa largebackyardwithaplay-ground,patiodeck,andwoodedareaforexploring.

Donations Welcome Functioningasanon-profitorganization,RonaldMcDonaldHouseCharitiesofEasternIowaoperatessolelyonprivategifts.Besidestheneedformon-etarygifts,theorganizationacceptsitemsfromitsWishList.

A list of items included on the Wish List follows:•Paperproducts•Cleaningsupplies•Laundrydetergent•Non-perishablefooditems•Giftcardstolocalretailers

Donations canbedroppedoff at theRonaldMcDonaldHouseof IowaCity (730HawkinsDr,IowaCity,IA,52246)sevendaysaweekfrom7:30a.m.to9:00p.m.DonationstoRonaldMcDonaldHouseCharitiesofEasternIowaaretaxdeductible.

A guest at the Ronald McDonald House prepares breakfast in the large kitchen.

A look inside the Ronald McDonald House.


healthy tips

Everydayyouareexposingyour-self tobacteria,andviruses intheworkplace,atschool,through

publictransportation,withotherfamilymembersandeveninyourownhomethatcancauseyoutogetsick.Flusea-sontypicallybeginsinNovemberandcanlastuntilMay.Itisestimatedthatasmanyas20%oftheU.S.populationwillgettheflueachyear. The elderly, newborns and peo-plewithcertainchronicillnessesareparticularlysusceptible tocomplica-tionswiththeflu.Determining ifyouhavecaughtacoldortheflucanbetricky,butcertainsymptomscandif-ferentiatebetween theconditions. Ifsymptomsseemliketheflu,contactadoctorrightaway,asatestcanbedonetoconfirmtheillness.

Symptoms can include:•Nauseaandvomiting.•Fever with the flu can last 3 or 4

days. Fever with a cold is rare inolderchildrenandadults.

•Headachescanappearsuddenlyorbe severe when accompanied bytheflu.Headacheisrarewithacold.

•Muscle aches canbe severewiththeflu.

•Tiredness and weakness is oftenextremewiththefluandcanlast2ormoreweeks.Mildtirednessandweaknessisassociatedwithacold.

•Extremeexhaustioncanoccurwiththeflu,sometimessuddenly.

•Runny nose, sneezing and sorethroat are often a cold symptomandonlysometimesaflusymptom.

•Whilecoughwiththeflucanbecomesevere,amildhackingwithacoldismorecommon.

There are also steps that you can take to prevent yourself from contracting the flu: •Getaflushot-YearlyfluvaccinationsbeginaroundSeptemberand

continuethroughfluseason.Thosewhoshouldgetvaccinatedeachyearincludechildren(6months-19years),pregnantwomen,people50yearsorolder,peoplewithcertainchronicmedicalconditionsandthoselivinginlong-termcare.

•Getplentyofrest•Washyourhandsregularly•Keepyourimmunesystemstrong

Beating the Flu this SeasonSubmitted by HCR ManorCare

This health tip was brought to you by HCR Manor Care. With 60,000 caregivers nationwide, the HCR ManorCare centers and agencies are preeminent care providers in their communities. Quality care for pa-tients and residents is provided through a network of more than 500 skilled nursing and rehabilitation centers, assisted living facilities, out-patient rehabilitation clinics and hospice and home health care agen-cies. These locations operate primarily under the respected Heartland, ManorCare Health Services and Arden Courts names.

This information is for personal, noncommercial use only. For permission to reprint multiple copies, please contact our corporate office at 800-736-4427.


healthy feet

Abunionalsoknownas,halluxabductovalgus,isoneofthemostcommondeformitiesinthefoot.Thebunionischaracterizedbythegreattoedriftingoutwardasthemetatarsalboneproducesa“bump”ontheinsideofthefootnearthebigtoejoint.Abunionisaprogressivedeformity,

usuallyworseningwithageandismorecommoninfemales.Themajorityofbunionsarehereditaryandarecausedbyatendonimbalancethatleadstoboneyadaptation.Paincandevelopalongthebumpordeep insidethebigtoe joint.Alsothefootcancollapsefromthemalalignmentalongthearchcausingskinchangessuchascallousesandirritation.Otherdeformities,suchashammertoesorcurlingofthetoes,maydevelopasthebunionprogresses.Thegreattoeactsasakeystoneofthefrontofthefootandwhenitbecomesmisaligned,oftentherestofthefootmaybegintohavepain. Theinitialexaminvolvesahistory&physicalandX-raystohelpdefinetheappropriateconserva-tiveandpossiblysurgicalrecommendations.Thetreatmentoptionsarediscussedandallquestionsareanswered.“Thisvisitshouldbeeducationalforthepatientsotheycanmakeinformeddecisionsaboutwhatisbestforthem,”explainsDr.BradlyBussewitz.“WhenmypatientsandIareonthesamepageregardingtreatments,oursuccessrategoesthroughtheroof.”Successisdefinedbydeformitycorrectionandapainfreereturntoactivities.

21st Century Bunion CareUnderstand How Research and Training

Have Led to Improved Treatments

By Professional Foot & Ankle Care

Odds of a child being diagnosed with autism: 1 in 110

Odds of a child becoming a top fashion designer: 1 in 7,000

© 2010 Autism Speaks Inc. "Autism Speaks" and "It's Time To Listen" & design are trademarks owned by Autism Speaks Inc. All rights reserved.

To learn more of the signs of autism, visit autismspeaks.org

No words by 16 months.

No babbling by 12 months.

Some signs to look for:

No big smiles or other joyful expressions by 6 months.

Dr.BradBussewitz


Apainfulbunioncanbedisablingand limitonesabilitytoworkandotherdailyactivitiessuchasgolf.Conservativetreatmentsaimtorelievepressurealongthebumpandreduce irritationalongthenerve.Shoe-gearmodifications,pads,andstrapsareavailableandcanofferpainrelief.Anti-inflammatorymedicationsmayalsoprovebeneficial.Conservativeeffortsarenon-invasiveandshouldbeat-temptedpriortosurgery. Surgical treatmenthas improvedas the foothas recentlyhadasurge inresearch leadingtobettersurgical treatmentoptions.Hav-ingjustcompletedafellowshipinfootandanklereconstruction,Dr.Bussewitz,offers the latest innovations inbunionsurgery righthereinEasternIowa.Herecentlypublished“ModernTechniquesinHalluxAbductoValgus”describinghistechniquestothefootandanklesur-geonsaroundtheworld.DuringmyFellowshipyearafterresidency,IwasfortunatetotrainwithleadersfromtheUnitedStates,Europe,andAsiatogaininsightandexperienceregardingbunionandotherfootandanklesurgery,”Dr.Bussewitzsays.

“Thereisnotonebunionsurgerythatworksforallbuniontypes.Asurgeonmusthaveexperiencewithmanydifferentrepairtechniquestohaveareproducible lastingresult,”Dr.Bussewitzsays.“Iusuallyperformabonecutandsofttissuerebalancingprocedure.”AdvancesinthescrewsandplateshaveallowedDr.Bussewitztogethispatientswalkingquicklyaftersurgery.Thepost-operativepain isalsomuchimprovedusingacombinationofanesthesiaandmedications.“Usuallymypatientsarewalkingonlydaysaftersurgeryandaresurprisedbyhowlittlepaintheyexperienceaftersurgery,”saysDr.Bussewitz.Thesurgeryisoutpatient,meaningpatientsgohomeaftertheprocedure,whichheperformsatMercyHospitalortheAmbulatorySurgeryCenterinIowaCity. Dr.BussewitzhasaloveforfootandanklecareandisexcitedtobebackintheIowaCity/Coralvilleareaofferingconservativeandsurgicaltreatmentforbunionsandotherfootandanklepain.

For more information on understanding bunion or other foot and ankle pain and the various treatment options, visit www.Professional-FootAnkle.com or call (319)-337-2021 for an appointment. Dr. Busse-witz is a Fellowship trained foot & ankle surgeon practicing in Iowa City and Coralville.


connection

Why do you take pictures?It’saquestionwithmultipleanswers. Igettomeetwonderfulpeople.I’mallowedtocapturespecialmo-mentsintheirlives.AndIusethesemomentstotellextraordinarysto-riesaboutthem. Inthe4yearsI’vebeeninbusiness,Ihaveseenmyartmakeanimpactonpeople’s lives.Oneclient’sphotosresultedina long-lostclassmate toget in touchwithheraftersheposted the imagesonFacebook.AndafamilyIphotographedwhosesonunderwentalife-extendingprocedureplantedtheseedforoneofmybridestoregisterasabonemarrowdonor. In 2010, Iwascompelled togodeeper.According toDr.Rob-ertEpstein–longtimepsychologyresearcherwhotaughtarelation-shipsciencecourseattheUniversityofCalifornia-SanDiegoand isacontributingeditorofScientificAmericanMind–abouthalfoffirstmarriages,two-thirdsofsecondmarriagesandthree-fourthsofthirdmarriagesfailinthiscountry. Thinkaboutthat.Relationshipsarethemostimportantthingswehave.Yettheoddsofstayingtogetherarelow.Epsteinsaysmarriagesfailinlargepartbecauseweenterintorelationshipswithhighlyunreal-isticexpectationsandpoorskillsformaintainingthem. Theideaofphotography–myart–helpingchangethedivorceratesoundcrazy.Orisit?

BELOVED Wealwayscelebratemilestones:Agraduation.Anengagement.Awedding.Thebirthofanewbaby.Rarelydowecelebratestayingtogether.Wecelebrateanniversaries,butnevertrytocapturetherela-tionship.

Until now. Lastyear,I introducedBeloved–anun-stagedexclusivesessioncreatedforcouplesthathavebeentogetherforatleast3years.Be-lovediscapturingwhocouplesare–notwhattheylooklike. ShannonandAbbyMoranhavebeenmarried formore than10years.Theyhave3youngchildrenandrunabusinesstogether.TheirBelovedsession,withjustthetwointheirhome¬–nochildrenpres-ent–allowedthemtospendtimetogetherinauniqueway. “ABelovedsessionismorethanaphotoshoot–it’sanexperience!”Abbysaid.“Whatatreasureitistohavehadtheseauthentic,intimate,lovingmomentscaptured!” W.K.andNancyJunkerfeltthesameway.Theyhavebeenmarriedmorethan30years,havefuntogetherandfindthemselveslaughingalot. “Whatsurprisedmemostaboutthesessionwashowwellitwent.Iwassurprisedbyhoweasyitwas,howcomfortable,”Nancysaid.“Thesephotosweredifferentbecausewegot to justbeourselves.Wedidn’thavetopose.Wewerelaughing.Imean,itwasreal.Theyweren’tforcedsmiles.”

Beloved: Strengthening Relationships

Through PicturesBy Shuva Rahim


Beloved isn’ta fix-itsession. It’snotasessionforcouplesonthevergeofbreakingup. It isforcouplesthatremaintogether,butdon’talwayshavethetimeforeachother.WhichiswhyBelovedexists.It’slikeagreatfirstdateforcoupleswhohavebeentogetherforalongtime,achancetoshowthepersonyou’rewithhowmuchtheymeantoyou. Morethan15couplesintheIowaCity,Quad-CitiesandCedarRapidsareashavehadanexperiencewithBeloved.Andwitheachsessionthephotostheylovedmostweren’tposed,butonesshowingaconnection. WhenDarenandCurtisHarris, together formorethan7years,didtheBelovedsessiontheyalreadycon-sideredthemselvesveryclose.BelovedelevatedtheirrelationshiptoanewlevelofappreciationwhenIaskedthemtotelleachotherduringthesessionhowmuchtheyloveeachother. “YouhavestartedsomethingbetweenCurtisandI,”Darentoldme.“The‘I loveyoumorethan...’Wehavekeptitupanditisnowapartofourday.Yourtimewithusmadeadifferenceinhowwecommunicatewitheachothernow.” Aremysessionsgoingtoguaranteealong,happyrelationship?Absolutelynot.Whattheycancreate isamemorable, funexperi-encecoupleswillcherishforyears–and...perhapsonethatcaninfluencehowtheirchildrenviewthemandaffectrelationshipsforfuturegenerations.Imaginethat.

Shuva Rahim is a lifestyle photographer and owner of Accent Photo-graphics, based in Davenport and Iowa City. She specializes in photo-graphing young families, couples in love, and business professionals. You can follow Shuva on her blog (www.shuvarahim.com), Facebook (www.facebook.com/accentphotographics) or Twitter (www.twitter.com/shu-varahim). To learn more about Beloved contact her at [email protected], or at (563) 528-2035 or (319) 512-9344.

Today, orthopaedic surgeons are using state-of-the-art techniques to replace knees, hips, shoulders, ankles, elbows, even wrists – and patients of all ages are resuming active lifestyles again after years of frustration. For more on joint replacement, visit orthoinfo.org.

AAOS_ImageCampaign_PostCards_WhiteBar.indd 4 11/24/09 3:41:00 PM


advanced treatment

State-of-the-Art VNUS® Closure Procedure Treats Underlying Cause of Varicose Veins With Minimal Patient Discomfort Imagine Life Without Varicose Veins or SpiderVeins.VNUSisanewnon-invasivetreatmentwhichoffershopetopatientswhosufferfromvaricoseandspiderveins.Dr.Schulz ispleasedtoofferveinpa-tientstheVNUS®ClosureFASTcatheter,anendove-nous radiofrequency (RF) ablationdevicedesignedtoheat,shrinkandclosediseasedsaphenousveins(largelegveins)inapproximatelythreeminutesofvir-tuallypainlesstreatmentwithminimalafter-effectsforthepatient.Theoutpatientprocedureisdesignedtotreat themedicalconditionknownasvenousrefluxdisease,andisnotconsideredcosmeticsurgery.TheVNUSClosureprocedureiscoveredbymostnationalinsuranceprograms. “OurvenousdiseasepatientsareveryhappywiththeClosure®procedure,”saidDr.Schulz,aleadingdermatologistintheCorridor.“Theyare amazed at how quickly the procedure is com-pletedandhow littlediscomfort they feel,andtheyarepleasedtobeable towalkoutafter theproce-dureandresumenormalactivitiesthenextday.AndIhavefoundthetreatmentoutcomestobeexcellent–theprocedureissuccessfulinclosingthevein,andthepatients’qualityoflifeimprovesimmediately.” Under local anesthesia, the ClosureFAST cath-eter is threaded into the diseased saphenous veinthroughasmallpuncture,andRFenergyistransmit-tedthroughthedevicetoheatandsealtheveinwalls.Thebodysubsequentlyre-routesbloodflowthroughhealthier legveins, restoringnormalcirculation,andthe varicosity symptoms quickly dissipate. Clinicalstudies have found the procedure more than 97%effectiveat theone-year follow-upvisitandvirtuallypainlessformostpatients. Asamedicalnecessity,theprocedureiscoveredbyMedicareandmostprivatehealthinsuranceplans.“Thisisatremendoustechnologicalleapbeyondveinstripping, the traumaticsurgery thatwaspreviouslyusedtoremovediseasedveins,”saidDr.Schulz.“It

New State-of-the-Art Treatments Help Patients Suffering From Either Acne or Varicose and Spider Veins

By Dr. Kimberly K. Schulz, MD, Infinity Skin Care and Spa & Vein Center

Giving Acne Patients Hope: New ACLEARA™ Acne Clearing Laser System ThenewACLEARA™AcneClearingLaserSystemisabreakthroughacnetreatmentthatcombinesagentlevacuumwithpulsesofspecially-filteredlighttohelppatientsclearporesandtreatacnebreakouts.TheACLEARA™AcneClearingLaserSystem isclearedby theFDAand isappropriate forall skintypes,includingverylightandverydarkskintones.KimberlyK.Schulz,MDandherclinicalskincarepractice InfinitySkinCareandSpa inCoralville, Iowa istheveryfirstproviderinthestateofIowatoofferthissystemtotheirpatients.“Asadermatologist, Iseethefullspectrumofacnepatients,fromteenagerssufferingfromadolescentacnebreakoutstomenandwomeninmid-lifeexpe-riencingacne for the first time.ACLEARA™isa fast,non-invasive treatmentoptionforpatientsthateffectivelyreducesacneandclearsporesofoils,deadskincells,andbacteria,”explainsKimberlyK.Schulz,MD.ACLEARA™isanalternativeforpatientswhohavetriedotheracnetreatmentsthatwereunsuc-cessful,includingover-the-counterorprescriptionmedications. Acnesuffererswithoilyskinand/orlargeporescanalsoseesignificantim-provementfromaseriesofACLEARA™treatments.TheACLEARA™systemispoweredbyahandpiecethatmakescontactwiththetreatmentarea,vacuumsporescleanbyextractingsebaceousmaterials,thendeliversatargetedpulsedlight that activatesporphyrins todestroy acne-causingbacteria and reducesebumproduction.Patientsexperiencelittletonodiscomfortduringtheshortprocedureandcanresumenormaldailyactivities immediately followingtreat-ment,withnodowntime.


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Caring for the Community

isenormouslygratifyingtoprovideapatientwitharesolutiontoamedicalissuetheymayhavestruggledwithfordecades.” Sclerotherapyisatreatmentthatoffersdramaticclearingofspi-derveins.Aspecializedsolution is injected intothespiderveins,causinga“scarringdown”ofthevesselsoitcannolongerbeseen.Somespiderveinpatientswhohavelargerveinsmaybenefitfromatechniquecalledultrasoundguidedfoamsclerotherapy,whereafoamsolutionisinjectedintothevein,causingtheveintocompressanddiminish.MillionsofAmericanssufferwithvenousdiseaseandmorethan25millionAmericanssufferfromseverevaricoseveins,whichcancausepain,swelling,fatigueanddisfigurement.Halfofallseniors,includingtwo-thirdsofwomenover60,willexperiencetheconditionatsomepoint.Heredity,pregnancy,obesityandca-reersrequiringextendedstanding, likenursingandteaching,aretheprimaryriskfactors.Complicationsofvenousdiseasemayin-cludelegulcersanddangerousbloodclots. InfinityVeinCenterisfullyintegratedwithInfinitySkinCareandSpa,whichwasestablishedin2004andprovidesclinicalskincare,cosmeticdermatologyandfacialspaservices.ThepracticeisledbyKimberlyK.Schulz,MD,boardcertifieddermatologist,andpro-videsafocusonskinfitness,sunprotectionandoverallfacialandskinrejuvenation,aswellasdiagnosisandtreatmentofvenousin-sufficiency,varicoseveinsandspiderveins.Dr.Schulzandherstaffarededicatedtoprovidingthefinestcareandthemostadvancedminimallyinvasivetechniquesforthetreatmentofvenousdiseaseanditssymptoms.

“It is enormously gratifying

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prostate health

InMakingLoveAgain,VirginiaandKeithLakendescribeinin-timatedetailtheirstrugglewith

impotence.Itistheirstruggle,eventhoughitisKeith’simpotence.Togethertheyrecountthevarioustreatments,theanxiousmomentsandthefalsehopes,thegoodsexandthebad,thecuresthatweren’t.Andtheyreportthecorrespondingriseandfalloftheirrelationship—allwithsuchunreservedhonestythatthebookisagenuinepage-turner.”—PsychologyToday “Areyoulisteningtome?Thatsurgerycanmakeaguyimpotent!There’snowayI’drisklettingthathappentome!” “Howcanyousaythat?”Ide-manded,myvoicebecomingshrill.“Howcouldyoueventhinkofriskingyourlifeforthesakeofhavingsex?” “Havingsexiswhatmakesamanaman.Ifaguycan’tperform,hemightaswellhangitup.” “Ifyouhavecancerandyoudon’tgetridofit,you’regoingtodielongbeforeyoushould.”Tearsbegantofillmyeyesforthemillionthtime. “Thenwhatwouldhappen?” Iasked forlornly. “I’dbe leftalone.Awidow.Andwhy?Becauseyouwanttohavesex!”Keithgavemeahardstare,hisblueeyespiercing. “Gin.Listen.To.Me.”Hesaid,punctuatingeachwordwithincreasingprecision.“Ikeeptellingyou.Thisisnotjustaboutsex.It’saboutlife.WhatkindoflifewouldIhaveifIcouldn’tmakelovetoyouanymore?IfIthoughtpeopledidn’trespectme?Whatkindoflifewouldthatbe?” “Hon,Iknowsexisimportant.Iunderstandthat.Butsexisn’tev-erything.It’snotimportanttomethatwehavesex,”Ireassuredhim,“onlythatIhaveyou.” “That’snicetohear!”hesaidsarcastically.“WellyoumightnotcareabouthavingsexanymoreGin,butIdo!”“Andifmychoiceistolivelongerandbehalfaman,ortoliveashorterlifewithallmycapabilities,you’dbetterbelieveI’dratherliveashorter,morefulfillinglife!” Wehadbeenshocked,inJanuaryof1993,whenthedoctorshadfirstsuggestedabiopsy.Keithwasonlyforty-sevenyearsoldatthe

time—waytooyoungforprostatecancer.Butthebloodworkhadindicatedotherwise. Whenthefirstbiopsycamebacknegative,wehadwantedtobe-lieveweweresafe.But theexperiencehadbeensodisturbingwecouldn’tshakeit.EspeciallyKeith.Everthepragmatist,hehadwantedtobepreparedjustincase,andunderstandallhisoptions.Sohe’dstarteddoingsomeresearchonprostatecancerandtreatmentchoice. From thebeginning, the twoofushad lookedat theseoptionsfromdifferentperspectives.IhadthoughtanypotentialcancershouldbetotallyremovedfromKeith’sbody,andthus,Ionlyhadconsideredsurgery. Ourmarriagewasstrongandsupportive,ourhealthgood.Neverdidwethinkthatcancerwouldenterourlivesandcauseustostartarguingsovehemently.Wheneverwediscussedthepossibilityofcan-cerorimpotence,welostoursenseofhumor,digressingquicklyintotouchysarcasmthatmadeitimpossibletomaintainacivildiscussion.

“That Surgery Can Make a Guy Impotent”

The first in a series of excerpts from “Making Love Again” by Virginia and Keith Laken

Thesubjectmatterofthisbookisofapersonalandexplicitnature,andmaynotbesuitableforyoungerorultra-conservativereaders.


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InJanuary1995,whenitwastimeforKeith’sthirdprostatescreen-ing,wewerebothtired.Wehadbeenliving inakindofpurgatory,enduringtorturouswaitingbetweenyearlyappointment,andalwayswonderingifthistimethecancerwouldbeconfirmed.Thestressanduncertaintyhadtakenatollonus,andwetalkedaboutmakingthisourlastappointmentever. Dr.BarrettmadeafewnotesinKeith’schart,andthenlookedatus.Theresults,hesaid,werealarming.NotonlyhadKeith’sPSAlevelrisenoncemore,butDr.BarrettcouldnowfeelanoduleonKeith’sprostate.Sureenough,hesuggestedthedreadedthirdbiopsy. Keithrefused.Emphatically.Thephysicianreviewedtheimportantfactorsofprostatecancerforbothofus,emphasizingthehighdeathrate.“Pleasereconsider,”addedDr.Barrett. Wedidn’tstaylongafterthat.Keithquicklyassuredthephysicianhewould thinkabout “everything,”andpromised tocallwithin theweekwithhisdecision. The day after the appointment, our daughter phoned from herhomeinWashingtonState.ShecouldtellthatIwasupset.“What’swrong,Mom?”sheaskedinaworriedvoice. Ibrokedownimmediately.“It’syourDad.They’realmostpositivehehascancer,andhesayshewon’thaveathirdbiopsy!Sayshe’ssickofthewholething!Thenthere’streatment.Yourfather’ssoafraidofbecomingimpotent;he’dratherdiethanhavesurgery!Whatifhedoeshavecancer?”Imanagedtogasp.“Hisconcernoverkeepinghissexlifeisgoingtokillhim!” “Mom,doyouremembertheconversationyouhadwithStevenandmewhenwewereteenagersabouthowweshouldfeelaboutsex?Itseemedsoimportanttoyouthatwelearntotrulyappreciateit.Yousaidweshouldthinkofsexasachancetogiveandreceiveplea-surethroughourbodies.”Bethcontinued.“Irememberyousaying,‘Neverbeashamedorembarrassedaboutyoursexdrive.Treasureitasabeautifulgift.’Doyourememberthattalk,Mom?” OfcourseIrememberedthattalkalmost10yearsearlier.Talkingtothechildrenlikethathadbeensuchaturningpointinmyownlife. Ihadbeenraisedtobea“goodgirl”wheresexwasconcerned.Myconservative,religiousparentshadinstilledinmeabeliefthatsexwaswrongbeforemarriage,afterwhich,itbecamemiraculouslyallright.Consequently,whenKeithandImarriedattheageof21Iwasshyandhesitantinmysexualbehavior,andcertainlyinexperienced. Keithwasdifferent.Hewasliberal,daring,andanxioustoexperi-ment.Keiththoughtofsexasanaturalpatofbeinghuman,andsome-thingweshouldneverhesitatetoenjoy.Ourtwoverydifferentviewsaboutsexhadsometimescausedproblemsinourmarriage.UntilthedayIhadhad“thattalk”withthechildren.

Ithadbeensuchanawakeningtohearmyself.WhatarevelationithadbeentodiscoverthatIhadmentallyadoptedKeith’sbeliefs,buthadneveractuallyputthemintopractice. “Yes,Iremember,Beth.Asamatteroffact,itwasafterthattalkwithyouandSteventhatIdecidedtobemoreopenaboutsexmyself.” IthoughtabouthowproudIwasfordoingthat.Forchanging.Forbeingmoreopentoexperimenting.Fornotholdingbacksomuch.Inthelasttenyears,oursexlifehadbecomemuchmoresatisfyingtobothofus,mostlybecauseIhadbeenwillingtochange.Sexwasmoreexcit-ingnowthanithadeverbeen.Andweexpectedittoonlygetbetter. WhenIgotoffthephone,Ithoughtagainabouthowimportantsexreallywasinourmarriage.Forthefirsttime,IfeltsomeempathyforKeith’sfears—andhesitantlyacknowledgedtomyselfthatitmightbehardtogiveupwhatwenowhad. Butstill,Icouldn’tgosofarastoagreethatKeithshouldn’thavethisbiopsy—orsurgeryifheneededit! Intheend,Keithdidagreetohaveathirdbiopsy.Twoweekslater,theprocedurewasperformed.Cellswereextractedandsenttothepathologist.Onceagain,wewereleftwaitingfortheresults,wonderingifourliveswouldbeforeverchanged. Wehadstoppedarguing,atleastforthetimebeing.Nowwewerejustholdingourbreath.

Nextmonth:“OurCancerNightmareComesTrue” The book Making Love Again: Hope for Couples Facing Loss ofSexualIntimacyisavailableatAmazon.comandmanymajorbooksellers.YoumaycontacttheLakensatKLAKEN@aol.com


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Premiere Issue Iowa City Healthy Cells 2012

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Transcript of Premiere Issue Iowa City Healthy Cells 2012