health magazine - july
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July's Health MagazineTRANSCRIPT
Vol. 5, No. 10July 21, 2010
2 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
710 N. Illinois Ave.Carbondale, Illinois 62901
618-529-5454 • 800-228-0429fax 618-529-3774
www.thesouthern.com/health
PublisherBob Williams
Executive EditorGary Metro
EditorCara Recine
618-351-5075 • [email protected]
Advertising DirectorAbby Hatfi eld
618-351-5024 • abby.hatfi [email protected]
Art Direction/Design/ProductionRhonda M. Ethridge
Circulation/Database Marketing CoordinatorKathy Kelton618-351-5049
Online CoordinatorJ. C. Dart
The Southern Health Magazine is a monthly publication of The Southern Illinoisan. Contact us via mail at 710 N. Illinois Ave., Carbondale, IL 62901, or at PO Box 2108, Carbondale, IL 62902. Copyright 2010 by The Southern Illinoisan. The Southern Illinoisan (USPS 258-980) is owned by Lee Enterprises, Inc. of Davenport, Iowa. All rights reserved. For more information call 618-529-5454 or 618-997-3356, or visit us online.
JULY 21, 2010In This IssueIn This Issue
A brighter smile
Health News 3
Upcoming Events 4
Age to Perfection 5
The Dog (and Cat)
Days of Summer 8
His Health 10
Her Health 11
Kids’ Health 11
INSI
DEIN
SIDE
Ever
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ueEv
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ssue
6Want whiter teeth? Here’s what you need to know
Welcome!
Dr. Neil Sharma, chief resident at the Carbondale Family
Medicine Residency Program at Southern Illinois University
School of Medicine, talks about a critical aspect of growing
older in his new column, Age to Perfection. Did you know
the most common mood disorder among Americans 55 and
older is depression? Even more startling, perhaps, is that if
you are a male 85 or older, you have more than four times
the risk of suicide than any other age group. Don’t neglect
to read this article if you are or care for an older person.
There are answers, and there is help. Find out what to look
for and what to do on Page 5.
Writer Jodi Hawkins takes on the issue of pet health.
For those of us who own pets, their health is as important
as another family member. ‘We may eat and talk a bit
diff erently, but we share a home and an unbreakable bond,’ writes Hawkins.
Get some surprising facts and a few simple tips that can keep your pet safe and
healthy during the Southern Illinois summer. The story begins on Page 8.
And, fi nally, writer Joanna Gray explores options for whitening your smile.
There are many treatments available, both over the counter and administered
professionally by local dentists. Which should you choose, if you are considering
it? The answers lie in your age, the state of your teeth and what you’re willing
to do. And there are some risks involved. Be sure to read the story, beginning on
Page 6.
– Cara Recine
Comments and suggestions? Comments and suggestions? We look forward to hearing from you.
Send an e-mail to [email protected] the latest health and fi tness news, pick up
Tuesday’s Southern Illinoisan for Mind & Body news. Check
out www.thesouthern.com/lifestyles for more features.
Metro
RecineCO
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July 21, 2010 ■ Th e Southern HEALTH Magazine ■ 3
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Just think of how much emotional pain could be avoided if humans knew just when to exit a romantic relationship? Knowing whether to break up or stay together is a question that often lacks an easy answer.
Researchers at the University of Rochester say they have devised a test to tell if a relationship is going to fall apart. The test involves uncovering what people really — meaning really — think of or feel about their partners. Previous studies show people are often unable or reluctant to express their true feelings about their partners. “That assumes that they know themselves how happy they are, and that’s not always the case,” a coauthor of the study, Ronald D. Rogge, explained in a news release.
Rogge and his colleagues devised a test in which volunteers supplied their partner’s fi rst name and two other words that related to the person — like a pet name or distinct characteristic. The volunteers then watched a monitor as words were presented. The words conveyed positive ideas, such as “vacation” and “peace” along with the
partner-related words they supplied or bad ideas, such as “tragedy” and “criticize,” and the partner-related words.
The respondents were asked to press a bar when they saw various words. One test featured the bad and partner-related words, and the other the good words and partner-related words. The idea was to get people’s automatic reactions to the words. If people have generally good associations with their partners, they would perform the “good words” task easier than the “bad words.”
That is, in fact, what happened. The volunteers who found it easier to associate their partner with bad things, and had greater diffi culty associating their partner with good things, were more likely to separate over the next year.
Such a measure could be useful to therapists in trying to uncover feelings clients are unwilling to divulge and to differentiate the nature of the problem in a relationship, the authors wrote.
The study was released in the journal Psychological Science.
Psychological test can help predict whether the love will last
4 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
upcomingevents
Blood Drives
July 21: 1-6 p.m. Washington County Hospital, NashvilleJuly 21: 2-6 p.m. American Legion Post 127, MurphysboroJuly 21: 3-7 p.m. American Legion Hall, Du QuoinJuly 22: 10 a.m.-2 p.m. SIUC Student Center Health Services, CarbondaleJuly 22: 2-6 p.m. Mount Calvary Lutheran Church, De SotoJuly 23: 12:30-4:30 p.m. Physicians Filing Service, Mount VernonJuly 23: 1-6 p.m. River Radio at Osage Community Center, Cape GirardeauJuly 23: 1-5 p.m. Medicine Shoppe, Mount VernonJuly 26: 10 a.m. to 6 p.m. Heartland Regional Medical Center, MarionJuly 26: 2-7 p.m. McKinley Avenue Baptist Church, HarrisburgJuly 26: 2-6 p.m. Southwest Christian Church, Mount VernonJuly 27: 2-7 p.m. Whittington Church, WhittingtonJuly 27: 2-6 p.m. Woodlawn Community Building, WoodlawnJuly 28: 2-6 p.m. Laborer’s Local 1197, McLeansboroJuly 28: 4-8 p.m. Church of Jesus Christ of Latter Day Saints, CarbondaleJuly 28: 4-8 p.m. Marion First Church of God, MarionJuly 29: 10 a.m.-2 p.m. Center for Medical Arts, CarbondaleJuly 29: 2-6 p.m. Six Mile township Building, ZeiglerJuly 29: 2-6 p.m. United Methodist Church, CoultervilleJuly 30: 11 a.m.-3 p.m. Orthopedic Center of Southern Illinois, Mount VernonJuly 30: 2-7 p.m. Fox 23 My 49 at University Mall, CarbondaleJuly 30: 2-7 p.m. Fox 23 My 49 at West Park Mall, Cape GirardeauAug. 1: 9 a.m.-1 p.m. Zion United Church of Chirst,MarionAug. 1: 11 a.m.-3 p.m. Moose Lodge, ChesterAug. 3: 2-6 p.m. Faith Lutheran Church, Mount VernonAug. 17: 1-6 p.m. United Methodist Church, Eldorado
Conferences, Workshops and Events
Southern Caucaus MeetingWhen: Noon, Thursday, July 29Where: Mount Vernon Chamber of CommerceSpeaker will be Linda Warner, president of Ilinois Coalition of Mental Health and aging. For more information pelase call Juanita Suro at 618-385-4309 ext. 230.
Classes, Seminars and Support Groups
St. Elizabeth’s Evening Childbirth ClassWhen: 6:15-8:45 p.m. Tuesdays, July 13-Aug 17 Where: St. Elizabeth’s Hospital, BellevilleRegistration: 618-234-2120 ext. 2300This six-week series teaches relaxation techniques, controlled breathing, off ers pain control options. Included are an introduction to inductions and Cesareans, a discussion of infant care and a hospital tour of labor, delivery, postpartum and nursery. Comfortable clothing is recommended for participants. Call for more information and fee schedule.
SIH Bariatric Surgery Support Group When: 5 p.m. Thursday, Aug. 19Where: Herrin HospitalRegistration: 618-988-6171Monika Plumb, Ph.D. will present Maintaining Friendships after Bariatric Surgery. This support group is for pre-surgery patients and is a service provided by New Life Weight Loss and Advanced Laproscopic Surgery.
SIH Breastfeeding Basics ClassWhen: 3-5 p.m. Wednesday, July 21 and Aug. 11Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration Center, 866-744-2468Learn the benefi ts that breastfeeding provides to both baby and mother. A certifi ed lactation consultant will share information and give suggestions to help get breastfeeding off on a good start. Free.
SIH Bariatric Surgery Information SeriesWhen: 3-4:30 p.m. Thursday, July 22 and Aug. 5 or 5-6:30 p.m. Thursday Aug. 12Where: Herrin Hospital, Conference Room B/CRegistration: Pre-registration necessary; 618-988-6171Considering undergoing Bariatric Surgery? Dr. Naresh Ahuja will discuss the lifestyle changes needed for a better quality of life. Free, but pre-registration is required.
Western Baptist Hospital Grandparenting ClassWhen: 5-6 p.m. Thursday, July 22Where: Western Baptist Hospital, PaducahRegistration: 270-575-2229This class is designed to provide grandparents and older caregivers with updated medical information, safety tips and a refresher on how to care for new babies.
SIH Mended Little HeartsWhen: 6 p.m. Thursday, July 22 Where: Memorial Hospital of Carbondale, Conference Room CRegistration: Stephanie Hill 618-318-2863Mended Little Hearts connects families in crisis with other parents who have survived the shock of learning a child has a heart problem. The group meets the fourth Thursday of every month at 6 p.m. Free.
SIH Young Mothers Childbirth ClassWhen: 6-8 p.m. Mondays, July 26-Aug. 16 Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration Center 866-744-2468The class is designed specifi cally for the young pregnant woman. The young mother is welcome to bring her support person or people. Content will include a tour of the birthing center, as well as a birth video. The young mother’s special needs will be addressed. The class meets on Mondays for four weeks. Free.
St. Elizabeth’s Sibling Preparation ClassWhen: 6:30-8 p.m. Monday, July 26Where: St. Elizabeth’s Hospital, Belleville Ob Classroom, 4th FloorRegistration: 618-234-2120 ext. 2300Classes teach relaxation techniques, controlled breathing, off er pain control options as well as an introduction to inductions and Caesareans. The class includes a discussion of infant care and a hospital tour of labor and delivery, postpartum and nursery. Call for more information and fee schedule.
‘I Lost a Child’ Support GroupWhen: 6:30 p.m. Tuesdays, July 27 and Aug. 3, 10 and 17Where: Christian Covenant Fellowship Church, CartervilleRegistration: 618-549-0721 ext. 65291
Western Baptist Hospital Breastfeeding ClassesWhen: 6:30-8:30 p.m. Tuesday, July 27 or 9-11 a.m. Saturday, Aug. 17 Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Atrium ClassroomRegistration: 270-575-2229Class helps expectant mothers prepare for the breastfeeding experience. Free.
SIH Childbirth Refresher ClassWhen: 6-9 p.m. Wednesday, July 28 Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration, 866-744-2468For mothers and fathers who already have children but would like to brush up on their pregnancy and birthing skills. Free.
Western Baptist Sibling ClassWhen: 5-6 p.m. Thursday, July 29Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Atrium ClassroomRegistration: 270-575-2229This class helps prepare children ages 2 to 9 for the arrival of a new brother or sister.
SIH BabyTALKWhen: 6:30 to 7:30 p.m. Thursdays, July 29 and Aug. 5 Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration, 866-744-2468This program, facilitated by a child development professional, encourages parents to create nurturing relationships with their children and reinforce positive parenting practices. The program is sponsored by Memorial Hospital of Carbondale, Southern Region Early Childhood Programs and WSIU Public Broadcasting. Free.
St. Elizabeth’s Saturday Childbirth ClassWhen: 9 a.m.-1:30 p.m. Saturday, July 31 and Aug. 7Where: St. Elizabeth’s Hospital, BellevilleRegistration: 618-234-2120 ext. 2300Classes teach relaxation techniques, controlled breathing, off er pain control options as well as an introduction to inductions and Caesareans. The class includes a discussion of infant care and a hospital tour of labor and delivery, postpartum and nursery. Comfortable clothing is recommended for participants. Call for more information and fee schedule.
Western Baptist Relaxing from WithinWhen: 5-6:30 p.m. Tuesday, Aug. 3Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Atrium ClassroomRegistration: 270-575-2229Class designed to help expectant mothers become more familiar with relaxation techniques. Distraction methods, breathing, birthing positions, comfort measures and massage will be taught. Participants are asked to bring a blanket, pillow and support person. Free.
SIH Southern Illinois Parkinson’s Support GroupWhen: 1 p.m. Wednesday, Aug 4Where: SIH complex, University MallRegistration: 618-684-4282For Parkinson’s disease suff erers and their family, friends or caregivers. Group meets the fi rst Wednesday of every month. Free.
Western Baptist Prepared Childbirth ClassWhen: 5-8 p.m. Thursday, Aug 5 and 12 or 9 a.m.-3 p.m. Saturday, Aug. 21 Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Meeting Room A-BRegistration: 270-575-2229Class designed for expectant parents in second or third trimester.
Western Baptist Prepared Childbirth Refresher ClassWhen: 5-8 p.m. Thursday, Aug 5 Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Meeting Room A-BRegistration: 270-575-2229Class designed for expectant parents in second or third trimester.
SIH Prepared Childbirth CourseWhen: 9-4:30 p.m. Saturday, Aug. 7 and 6-8:30 p.m. Tuesdays, Aug. 10-31 Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration Center, 866-744-2468Mothers and fathers will prepare both mentally and physically for participation, sharing and individual satisfaction in pregnancy, labor, birth and introduction to parenthood. Reservations required.
Western Baptist Hospital Diabetes ClassWhen: 1-4 p.m. Monday, Aug. 9 and Wednesday, Aug. 11Where: Western Baptist Hospital, PaducahRegistration: 270-575-2918All classes are led by Kathy West, certifi ed diabetes educator, and follow the American Diabetes Association (ADA) guidelines. Free. Registration is suggested.
Ostomy Support GroupWhen: 3-4 p.m. Aug. 12Where: Herrin Hospital, Conference Room 1CRegistration: 618-942-2171
Western Baptist Cesarean Birth ClassWhen: 5-8 p.m. Thursday, Aug. 12Where: Western Baptist Hospital, Paducah, Doctor’s Offi ce Buildling 2, Conference Room ARegistration: 270-575-2229Helps prepare mothers for a Cesarean birth. Women wishing to take the Cesarean birth class will attend the second class of the Prepared Childbirth series.
SIH Big Kids and Babies Sibling ClassWhen: 10 to 11 a.m. Saturday, Aug. 14 Where: Memorial Hospital of CarbondaleRegistration: SIH Physician Referral and Event Registration Center, 866-744-2468 Designed for children 3 to 7 years old, this class off ers upbeat information on becoming a big sister or brother. They are encouraged to bring a stuff ed animal or doll so they can practice holding, diapering and being a good helper.
Southern IllinoisWorkshops and Seminars
July 21, 2010 ■ Th e Southern HEALTH Magazine ■ 5
Dark cloudy skies, bone chilling winds and rain all make for the perfect recipe for disaster. You may say to yourself, “What is so disastrous about that?” Well listen closely to this: It is estimated that 20 percent of Americans older that 55 years suffer from mood disorders. The most common of these is depression.
On top of that, if you are a male 85 or older, you have more than four times the risk of suicide than any other age group. The direct
and indirect cost of depression in all ages is estimated to be nearly $44 billion a year, and that is on the rise.
What puts you at risk for depression? One major cause is multiple illnesses. Whether these are short term or long term, the more illnesses you have, the more likely you are of being depressed. Also, it is found that one’s ability to function normally, both physically and mentally, puts you at risk. Family history of depression, age, gender and race also play a role in depression.
Let’s focus on things we can change. A daily multivitamin may replenish your daily intake of any defi ciencies in your diet, if advised by your doctor. Volunteering your time, taking care of a pet, limiting your alone time and visiting people can all improve your mood and improve your outlook. Eating a healthy diet and exercise is a good way to start warding off the evil spirits of depression.
As we age, it is thought that different illnesses are a normal fact of life; however, it is shown that regular follow-up care of long-
term medical problems with your doctor can help control or even cure different diseases. Diseases like diabetes, heart disease, stroke, cancer, chronic lung disease, infections, arthritis and different forms of dementia, as well as Alzheimer’s disease.
Family members, caretakers and anyone who comes in contact with the depressed elderly are able to help with diagnosing depression. Things to watch for are sadness, weight loss, loss of appetite, sleep disturbance (increased or decreased sleep), increase in worries and sense of impeding death. Even suicidal thoughts or attempts may occur. Alcohol abuse or even drug use may become common and diffi cult to control in such people. That is why it is important to be screened by your doctor for depression.
If you or your loved one seems to be depressed, it is as simple as A, B, C and D:
A. A complete evaluation by their primary care physician would be indicated.
B. Bloodwork should be done to rule out other diseases that can lead to depression,
such as cancer, vitamin defi ciencies, hypothyroidism, etc.
C. Control of other illnesses.D. Discussion of a depression questionnaire
with your doctor.Today, there are many medications and
other ways to treat depression. For medication options, you should speak with your doctor for the one that best fi ts you. Non-medication alternatives, such as increasing social support, speaking to a social worker and behavior modifi cations, are all ways you can help increase your mood and may also be arranged by your doctor.
This truly is an important issue in elderly Americans. If you take a proactive approach to you mental health and identify risk factors and talk with your doctor about treatment options, you will see the rain go away and Johnny come out to play.
—DR. NEIL SHARMA is chief resident at the Carbondale Family Medicine Residency Program
in the Southern Illinois University School of Medicine.
Rain, rain, go away: Dealing with depression
Age toPerfection
BY DR. NEIL SHARMA
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Here are some symptoms of depression, a treatable illness.
Talk to your doctor if you feel: Nervous Empty Worthless Restless
Irritable Unloved That you don’t enjoy things you used to That life isn’t worth living
Of if you are: Sleeping more or less than usual Eating more or less than usual
Some symptoms of depression
Alzheimer’s Association to off er free caregiver teleconference
The St. Louis Chapter of the Alzheimer’s Association will offer a free teleconference to help caregivers learn about their loved one’s strengths, supporting needs and maintaining independence.
“Understanding Behaviors and Improving Communication” will be from 6 to 7 p.m. Thursday, July 29.
Though this program is one of a three-part series of programs meant to complement one another and attendance to each is encouraged. Interested parties are urged to register even if they can only join one or two.
This conference is free to any family caregiver. Preregistration is required. To register or for information about other area activities, please call 800-272-3900.
6 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
Are your teeth as white and bright as you would like them to be? If not, you’re in good company. Recent research by the American Academy of Cosmetic Dentistry revealed that 80 percent of
Americans between the ages of 18 and 49 would like their teeth to be whiter. So it’s no surprise that Americans spent more than $1.4 billion on over-the-counter teeth whitening products in 2009, according to the same survey.
Teeth whitening or bleaching is also the most requested cosmetic dental service today. So what’s so appealing about having dazzling pearly white teeth? For one thing, it’s an easy and effective way to make yourself look a little younger and more vibrant. Plus, some people want to achieve that gleaming “celebrity” smile of their favorite actor. But most of all, it’s all about making a positive fi rst impression with your smile – and feeling good about your appearance.
Look through any magazine or watch television, and you’ll see a multitude of ads and commercials for teeth whitening products ranging from strips that you wrap around your teeth to trays fi lled with bleaching solution, to toothpastes and rinses. Most dentists also offer professional teeth bleaching services. All of these procedures promise whiter teeth. But which one is right for you? Here are some things to consider when you want to brighten your smile.
Why teeth lose their brightness
So how did your teeth get so discolored in the fi rst place? Coffee, tea, and white teeth just don’t mix. In fact, the proteins in dark colored drinks, including colas and red wine and other colored foods, such as tomato sauce and blueberries, are the culprits that cause teeth to turn dull and dingy. Smoking is another habit that stains teeth.
“People’s teeth simply stain over time,” said Dr. Christopher Hughes, owner of Hughes Dental Arts Centre in Herrin. “Just like the windshield on your car gets dirty over time, it’s the same with the teeth. Certain food proteins penetrate into the tooth structure, and an accumulation of this staining causes the teeth to darken.”
Teeth are porous on a microscopic level. That means, unfortunately, no matter how faithful you are to brushing your teeth, no amount of brushing can get into the pores of the tooth where the protein stains lie. The good news is that you can slow down the staining of your teeth by avoiding the foods that cause it, but in most cases that’s not realistic. That’s where the teeth whitening products save the day.
Be consistent for best results
“One of the fi rst things that people should know is that teeth whitening or bleaching is safe and will not damage the teeth or gums,” said Hughes. “Whether bleaching is done professionally or with over-the-counter products, it’s a safe, effective procedure.”
However, you need to be committed to using any type of teeth whitening product faithfully as directed for at least two to three weeks to see a signifi cant difference. If you don’t, you’ll get disappointing results.
“When our patients ask us about over-the-counter teeth whitening products, we tell them that they do work, and that they’re relatively inexpensive, and that we’ve heard favorable comments about them,” said Dr. Fred Whitlatch, who owns a general dentistry practice in West Frankfort. “But we caution them that these products may not work as well
for them as for someone else. They have to learn how to apply the strips themselves and follow through with the recommended course of use for the best results. We also tell them to buy two kits, because one probably won’t do it.”
Whitlatch said he has tried all of the over-the-counter products himself just to see how easy or how diffi cult they are to use. They all bleach the teeth, he said, but the challenge is to learn how to get the bleach onto the tooth surface.
BY JOANNA GRAY
A brighter smileWant whiter teeth? Here’s what you need to know
Side eff ects and cautions
Increased sensitivity of the teeth to cold or hot drinks or food has been the only reported side effect of teeth whitening products when used as directed. Not all people will experience this side effect, but people who already have sensitive teeth will most likely experience increased sensitivity after bleaching.
“The good thing is that the sensitivity tends to go away in a few days or a few weeks for most people,” said Dr. Christopher Hughes. “Also, the newer teeth bleaching products have a component in them that helps reduce the sensitivity. So, it’s still an issue, but not to the degree it used to be.”
Hughes of Herrin, and Dr. Fred Whitlatch of West Frankfort said that teeth bleaching services have been offered for at least the past 25 years, and since that time has proven to be safe and effective, with the sensitivity being the only negative side effect for most patients.
“Another important thing to be aware of is that teeth bleaching products will not bleach crowns or other dental treatments,” Hughes said. “So if a person has a crown on a tooth in the aesthetic zone – the area that we can see in our smile – he or she may need to replace the crown after bleaching if it had been made to match the color of the other teeth. If the teeth lighten and the crown doesn’t, then the patient is stuck with one dark tooth. It’s a good idea to ask your dentist before using any teeth bleaching products, especially if you have extensive dental work.”
Whiter teeth may make look healthier, but bleaching is no substitute for regular checkups and consistent dental care. “If someone has a dental problem that is actually decay, maybe a brown spot near the gums, a bleaching solution won’t make the spot white, but it will work on the rest of the tooth,” Whitlatch said. “It’s like a tan. It makes you look healthier, but doesn’t necessarily make you healthier. So having whiter teeth doesn’t always equal healthier teeth.”
So if you think your teeth should be whiter the next time you look in the mirror and smile, consult with your dentist fi rst before running to the drugstore for a box of strips or bleaching trays. Talk to your dentist about the shape of your teeth, any prominent dental work, and any sensitivity issues you may be experiencing. Get a dental exam and eliminate any decay issues. Then your dentist can advise you on what type of teeth whitening procedure or product would work best to give you a more beautiful, pearly white smile.
— Joanna Gray
CHUCK NOVARA / THE SOUTHERNMariessa Orso, a dental hygienist at Hughes Dental Clinic in Herrin, performs part of a whitening procedure on a patient.
July 21, 2010 ■ Th e Southern HEALTH Magazine ■ 7
“The biggest drawback to the over-the-counter products is that there’s a defi nite learning curve for applying them in the right position on the teeth, so they can perform as they’re supposed to,” Whitlatch said. “In some cases, the products with the preformed tray were easier to use. However, if you have relatively straight teeth, products like Crest White Strips are a piece of cake to use.”
“Some people’s teeth are more crowded, or crooked, and the strips don’t fi t to the surface of the teeth very well,” Hughes said. “If the strips don’t fi t well, then the solution can’t get onto the teeth to bleach them. The other thing is that the bleaching solution in the strips is a lower concentration than the professional products, so it can work, but the effectiveness is reduced.”
Whitlatch and Hughes, as well as many other local dentists, provide professional bleaching services for patients who want more noticeable and longer lasting results than what most of the over-the-counter products can provide. Recommendations for how long to use a bleaching treatment vary from dentist to dentist. Again, consistency in using the product as directed is the key to success.
Hughes employs what he calls a deep-bleaching technique. Patients come in for two in-offi ce applications of a professional-strength bleaching agent. The appointments are spaced out about a month apart. In between the appointments, patients use custom trays fi lled with bleaching solution. Hughes recommends that his patients wear the bleaching trays overnight so that the tooth structure get fi ve to six hours of exposure to the bleach. They don’t have to sleep with the trays, however, as long as they fi nd the time to wear the trays fi ve to six hours every day for two weeks.
“I’ve been bleaching teeth for nearly 20 years, and I’ve found that bleaching the teeth twice in the offi ce, with in-home bleaching in-between, lightens up the teeth
signifi cantly despite even the toughest stains,” Hughes said. “Also, because the character of every person’s teeth is different, it’s hard to accurately predict how long the results will last. Most people get some stains back over one to two years, but repeating the at-home bleaching will take care of that. We advise patients not to smoke and to go easy on coffee, tea, red wine and other foods that cause teeth to stain.”
Whitlatch offers a professional in-home bleaching treatment for his patients. He creates custom trays by taking impressions of the patient’s teeth. He advises his patients to wear the trays fi lled with professional-grade bleaching solution anywhere from 30 minutes to an hour per day for about two weeks for optimal results. Whitlatch has seen the result stay consistent for many of his patients for at least a year.
“It depends on the patient’s habits as to how long the results will last,” Whitlatch said. “If they drink cola, tea or coffee, the teeth will darken again. When their teeth begin to look dingy, all they have to do is purchase some more solution from us and wear the tray for one or two days or nights. The whiteness will come back.”
Both Hughes and Whitlatch warned against higher-cost “power” bleaching treatments that promise dazzling white teeth in only one in-offi ce visit of about 30 to 60 minutes. While the immediate results may be very satisfying, they relapse more quickly than traditional methods and usually require repeat and often costly treatments.
“Someone who is 26 years old and has very light stains on his teeth may be able to achieve good results from these treatments, but it won’t be enough for a 40-year-old person with deeper stains,” Hughes said. “One 60-minute treatment won’t make teeth look as white as they did when the person was in their 20s.”
To learn more about teeth whitening processes
and products, see the American Academy of
Cosmetic Dentistry website at www.aacd.com
SI Psychiatry is pleased to welcomeMorgan Gant to our staff.
Located at 112 Airway Drive Marion, Illinois 62959
Diagnostic InterviewPsychiatric ConsultationMedication ManagementPsychological TestingPsychological Assessment
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Other Related PsychiatricServices
We provide General PsychiatricServices Including:
Naeem A. Qureshi, MD; FAPA • Julie L. Handwerk, MD • William W. Donaldson, PhDAuna G. Searcy, APN • Gabriel A. Martin, PA-C • Rollin M. Perkins, PA-C
Sallie A. Schramm, LCPC • Yolanda Y. Gunzel, LSCWLaura Herzogg, LCPC • Kathy A. Cooper, LCSW • Morgan H. Gant, MSN, PMHNP-BC, APN
Naeem A. Qureshi, MD; FAPA • Julie L. Handwerk, MD • Auna G. Searcy, APNAlso affiliated with Harrisburg Medical Center
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CHUCK NOVARA / THE SOUTHERNDr. Christopher Hughes, a Herrin dentist, is among regional dentists who provide deep-bleaching techniques.
8 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
One year ago this month, life in my household was dramatically changed. After nine months of grieving the loss of our beloved cat, Sasha, my husband and I adopted Lexie, a 9-week-old gray tabby kitten. With her playful antics, beautiful markings and a well-received affectionate side, Lexie instantly proved to be a delightful addition to our home and hearts. She came with the typical expenses of food, toys and veterinary care, but shelling out money for this kind of joy has been more than worth it.
Along with millions of others, I consider pets to be nothing less than family members. We may eat and talk a bit differently, but we share a home and an unbreakable bond. So caring for them is just as important as it is with other relatives. While we care for our pets constantly, summertime can be especially trying for them. But making a few simple accommodations can keep them safe and healthy during this sultry season.
None like it hot
With summer well under way, we’re often reminded to stay hydrated and limit our time outdoors to the early morning and late evening hours whenever possible. The same holds true for our four-legged loved ones, some of which don’t handle the heat as easily as others.
Pets that live outdoors should be given extra provisions to be kept cool.
“If you keep your dogs outside, there should be plenty of shade and ventilation,” said Dr. Cliff Morris, veterinarian from the Saline County Veterinary Clinic in Harrisburg.
The American Society for the Prevention of Cruelty to Animals says animals with fl at faces, like Pug dogs or Persian cats, are more susceptible to heat stroke because they cannot pant as effectively. ASPCA urges owners to keep these pets, along with ones that are older, overweight or have heart or lung diseases, in air-conditioned rooms as much as possible.
Morris said keeping cats outdoors isn’t a good idea, and the Humane Society of the United States agrees. HSUS recommends keeping cats indoors to keep them safe from cars, other pets and wild animals. However, it’s often their nature to take the so-called “dog days” in stride.
“Cats can get in trouble with the heat, but they seem to be able to fi nd those cooler areas and know not to overdo it,” Morris explained. “We really don’t see that many cats come in with heat exhaustion or stroke problems, like we do with dogs.”
Summer weather can also cause an outdoor pet’s food and water to spoil quickly.
“Food poisoning is possible when canned or dry foods are left outside,” said Dr. Craig Smith, veterinarian from the Pet Wellness Center in Marion. “Provide fresh water and change it daily to prevent an area for mosquitoes to live, algae growth and other contamination.”
It’s also best to keep food and water in the shade and offer more than one water site at all times.
Rabbit owners should also be aware of their pet’s habitat limitations. Rabbits don’t handle heat well, which is why HSUS urges people to keep them indoors. In fact, ASPCA reports that rabbits can actually die of heart attacks from the very approach of a predator or vandal.
Indoor pets that go outside for even brief periods should be monitored.
“Humidity combined with heat in Southern Illinois can be deadly to animals that are unaccustomed to it,” said Dr. Ellen McNitt, veterinarian from Central Hospital for Animals in Herrin.
McNitt, who also treats animals in the hospital’s Carbondale and Harrisburg offi ces, suggests limiting outside activities of indoor
pets and keeping them on a leash to prevent overheating. At the fi rst sign of heat exhaustion (excessive panting, drooling, weakness, or staggering), wet the animal with cool, but not cold, water.
Risks and remedies
Even though summer includes several pet health risks, veterinary care should be given during all seasons.
“Keep their vaccinations up to date,” said Penny South, facility manager at Pets Are Worth Saving, a no-kill animal shelter in Anna. “Use a quality fl ea and tick control product and give monthly heartworm prevention year round.”
Parasite control can take a bit more effort in the summer, depending on how often your pet is outdoors.
“Internal parasites include intestinal worms that your pet might pick up when going to dog parks, camping or drinking from water sources besides the clean dish you provide at home,” Smith said. “External parasites include fl eas, ticks, mosquitoes and biting fl ies and gnats.”
Brushing or combing pets daily also helps to rid them of excess fur, which reduces their risk of these annoying insects as well as overheating.
Luckily, many medications work to prevent several of these pests from infesting animals, which means less cost. It’s also helpful to have a few things on hand for any minor problems that arise at home. For example, some over-the-counter medications are safe to use on pets as long as they’re given in limited doses and for the right conditions. Antihistamines may be used for pets with allergic reactions to hornet, wasp or bee stings.
“An owner can administer Benedryl or its generic version to dogs at 1 milligram per pound of body weight every eight to 12 hours as needed,” McNitt said.
She also notes that cats may be given Chlor-Trimeton at a dose of 2 milligrams every 12
The American Society for the Prevention of Cruelty to Animals says animals with fl at faces, like Pug dogs or Persian cats, are more susceptible to heat stroke because they cannot pant as eff ectively. ASPCA urges owners to keep these pets, along with ones that are older, overweight or have heart or lung diseases in air-conditioned rooms as much as possible. And pet owners may be surprised to know just how quickly animals can be overcome by heat in automobiles. HSUS reports that on hot and humid days the temperature in a car parked in direct sunlight can rise by an astonishing 30 degrees per minute.
BY JODI HAWKINS
The
of Summer(and Cat)
DaysKeep your pets safer this season
JODI HAWKINS / FOR HEALTH MAGAZINEDr. Cliff Morris, of the Saline County Veterinary Service, examines Fred, an 8-month-old Bloodhound/Lab mix brought in for his vaccinations.
Dog
July 21, 2010 ■ Th e Southern HEALTH Magazine ■ 9
hours as needed for allergic reactions. These reactions are often displayed by swelling, pain, itching and hives.
“More severe reactions can occur if swelling and infl ammation affect the throat region creating breathing diffi culties,” McNitt said. “In such cases, owners should seek veterinary care immediately.”
Believe it or not, some animals even need extra sun protection. Light colored cats and dogs can become sunburned.
“If they are constantly exposed to UV light, I have seen skin cancers occur,” Smith said.
To decrease this risk, look for sunscreens made specifi cally for pets and apply as directed. Also, avoid shaving their coat too short because it provides some sun protection. Instead, leave no less than one inch of fur when grooming.
Dogs and cats may be given Pepto Bismol or Kaopectate for diarrhea. McNitt suggests one-eighth of a teaspoon given orally for every 10 pounds of body weight, every eight hours as needed for no more than three consecutive days. She warns owners to never use Tylenol (acetaminophen) or Ibuprofen on dogs or cats, and don’t give aspirin to pets that are already taking steroids or other anti-infl ammatory medications.
When in doubt, always contact your veterinarian fi rst to report health issues and ensure that medications are safe for pets.
Tips to go
Some pets enjoy traveling more than others. Those who don’t fear that taking a ride means a visit to the vet or kennel are usually quick to jump in for a stroll. But imagine riding around in the summer heat while wearing a fur coat. Ultimately, that’s the way pets feel, which is why keeping them cool isn’t always easy.
“It takes dogs a lot longer to get their core body temperature down than it does for people,” Morris said. “In fact, if a dog’s body temperature reaches 107 degrees, their life becomes jeopardized. That’s when you start to get some major organ damage.”
Pet owners may be surprised to know just how quickly animals can be overcome by heat in automobiles. HSUS reports that on hot and humid days the temperature in a car parked in direct sunlight can rise by an astonishing 30 degrees per minute.
If you must take your pets with you on vacation or long trips, consider their safety and comfort. HSUS recommends keeping pets properly restrained and inside the vehicle when driving. Special seatbelts and secured carriers keep pets from distracting the driver and offer excellent protection in case of accidents.
“Make sure to stop every few hours so they can stretch their legs,” Morris said.
First-time pet parents
According to the 2009/2010 National Pet Owners Survey, 62 percent of U.S. households own a pet, which equates to 71.4 million homes. However, if you fall into the other 38 percent and have your heart set on owning a pet, be sure to do your homework fi rst. Start by ensuring that
you can afford proper pet care.“Owning a pet is a privilege, not a necessity,”
McNitt said.Most experts advise researching the pet of
interest before acquiring one because it helps people select pets that are most compatible to their families and lifestyles.
“Consider not only the cost of adoption but also food, toys, expected and unexpected veterinary visits, medications, etc,” South said. “It compares to having a new baby.”
While cost is a concern for most of us, it doesn’t mean we have to deny ourselves the unconditional love of an animal. There are ways to make owning a pet more affordable.
“Some clients have spaced elective procedures over two to three months to better budget their pet’s health care,” Smith said. “We fi nd more interest in pet health insurances and other fi nancing options such as Care Credit.”
Many other helpful guidelines are available to new pet owners. A tip sheet provided by PAWS advises keeping pets out of garbage and doing safety checks on your house, watching for small items that pets could ingest.
“Spend as much time with your pet as possible by walking, exercising, playing and socializing it with other people and pets,” said South.
Outdoor pet hazardsThe ASPCA has compiled a detailed list of
things that pose health risks to pets, including foods, plants, chemicals, holiday items, common household objects and problem areas. The following is a list of the summer outdoor hazards they report:
Algae: Can be found in ponds or other bodies of water; certain forms can be toxic.
Antifreeze/coolant: Some types of these products contain ethylene glycol, which is highly toxic to dogs and cats, even in small amounts.
Fire pit/grill: Flames can result in serious burns and ashes can cause illness if ingested.
Fences or gates: Your pets can run away if they fi nd openings in damaged fences or gates. They can also get hurt or strangled if they get stuck.
Deck lattice: Dogs and cats can get stuck in the openings under your deck and possibly be strangled.
Compost, particularly if moldyGasolineOilPesticidesCocoa bean shell mulch fertilizerSwimming pools and hot tubs: Never leave
your pet unattended near uncovered pools, even if they can swim.
Find out more about pet health
hazards by calling the Animal
Poison Control Center
at 888-426-4435.
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10 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
Five things guys need to do to stay healthyStaying healthy is more than an
addition to your to-do list. Instead, it makes completing your list possible.
That said, we asked a doctor, oncologist Eric Nadler, for simple steps men can take to be their healthiest. Nadler practices medicine at Sammons Cancer Center at Baylor University Medical Center and has a master’s degree in public policy.
He recommends the following, with a primary-care physician:
Have a primary-care physician: Ask friends for recommendations; interview several doctors until you fi nd one you’re comfortable with. Then, no matter how good you may be feeling, have regular checkups. “Routine health maintenance and preventative measures often have a greater likelihood of mitigating illness than all other factors combined,” he says. Let that doctor know immediately if you have sudden chest pain, shortness of breath or lightheadedness, as well as changes in strength, stamina or mental status.
Pop an aspirin a day: Do so with the approval of your newfound or longtime primary-care physician, of course; aspirin may be detrimental to some
people. For others, that deceivingly complex little pill has been shown to lower mortality in the general population.
It does so by preventing infl ammation, which may be a major factor in the development of illnesses, from coronary heart disease to some forms of cancer.
Avoid the big three — Obesity, tobacco, alcohol: “These are the three greatest drivers of illness in the United States,” Nadler says. “If we could add exercise and nutrition as countermeasures, we could likely alter more lives than all of the doctors and expensive medications in Texas.”
Think of sunscreen as macho: Use it every day, plus avoid the sun as much as possible.
Have odd-looking moles evaluated, and go to a dermatologist for regular skin checks. Sometimes the most innocent looking spots are trouble.
Yes, you really do need to have that test: Colonoscopies, which
most men should have at about age
50, can detect even early stages of colorectal cancer. They’re not as bad as you
might think. Plus, some doctors even
let you take home photos of the procedure!
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hishealth
July 21, 2010 ■ Th e Southern HEALTH Magazine ■ 11
herhealth
Cardiologists and athletes often monitor heartbeats as a way to gauge health or fi tness. But the most popular formula used to calculate maximum heart rate is inaccurate for women because it’s based on data from men, according to a study published recently in the journal Circulation.
For nearly four decades, physicians have used a simple math equation — 220 minus a person’s age — to determine the fastest rate an individual’s heart can work, measured in beats per minute. During exercise, people often try to reach between 65 and 85 percent of their peak heart rate, depending on how hard they push themselves.
Doctors use the traditional formula during exercise stress tests to estimate the risk of heart disease. During the test, a patient is monitored while running on a treadmill or riding a stationary bike. If he fails to reach at least 85 percent of his peak
heart rate during the test, he has a greater risk of dying prematurely from heart disease, research shows.
For women older than 35, however, the standard equation overestimates the risk of heart disease during a stress test, according to the authors of the new study. They concluded women should use a new gender-specifi c formula for maximum heart rate: 206 minus 88 percent of a person’s age.
Under the old formula, a 50-year-old woman would have a peak heart rate of 170. The new formula would drop it to 162.
Drink alcohol during
pregnancy and your sons
may suff er, researchers say
Study: Common heart rate formula fails women
kids’health
Serve veggies fi rst, and kids will eat them
Health offi cials and parents everywhere continue to puzzle over how to get kids to eat their fruits and vegetables.
Pennsylvania State University nutrition scientist Barbara J. Rolls made a similar discovery that she revealed in the May issue of the American Journal for Clinical Nutrition.
Rolls and colleagues worked with preschoolers and found that if you feed them generous amounts of vegetables — in this case raw carrots — as their fi rst course, they will eat more of them. Rolls and company are funded by a National Institutes of Health grant aimed at increasing
vegetable consumption in children.Here are some tips to get kids to eat more
produce: Allow your child to pick out three
fruits and vegetables of his choice at the store.
Ask your child to help you prepare the produce for the meal.
It helps to give the fruits and vegetables fun names like “x-ray eyes carrots,” according to a Cornell study.
Freeze your child’s favorite fruits in season (when they’re cheaper and delicious) for smoothies later.
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Pour into bowls and garnish with a squeeze of lemon, fresh pepper or any other favorite condiments. Caulifl ower works well as a substitute for broccoli.
Women who drink during pregnancy may be reducing their chances of someday becoming grandparents.
Danish researchers examined the sperm counts of 347 young men whose mothers
participated in the “Healthy Habits for Two” study while they were pregnant in the mid-1980s. At the time, the women completed a questionnaire about their lifestyle habits, including their consumption of beer, wine and
spirits.Linking the data on alcohol exposure
in utero with sperm counts as adults, the researchers found that sons of
mothers who consumed at least 4.5 alcoholic drinks per week during pregnancy had sperm concentration of 25 million per milliliter. That was 32 percent lower than the 40 million per milliliter measured among sons whose mothers had fewer than one drink per week while they were pregnant. (One “drink” was defi ned as 12 grams of alcohol —
roughly equivalent to a 12-ounce beer or a small glass of wine.)
12 ■ Th e Southern HEALTH Magazine ■ July 21, 2010
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