dangers

					The School Districts of Armstrong and Indiana Counties   summer 2011




                                ExtrEmE
                                ExErcisE
                                              dangers
                                              & triumphs


 your summer sun
 safety guide

 is your job
 hurting your health?

 how your bad habits
 can actually be good for you
    Armstrong Surgical Associates is
    committed to providing the highest levels
    of surgical care for their patients. Each of
    our surgeons is board certified and
    maintains up-to-date training on the latest
    treatment techniques for surgical
    problems. They offer a wide spectrum of
    general surgery, colon and rectal surgery
    and endoscopic procedures.

    No matter your needs, Armstrong Surgical
    Associates will have an answer. Pacemaker
    placement, gallbladder and colon surgery,
    gastro-intestinal surgery, along with
    treatments for skin lesions, breast masses,
    hernias, and rectal diseases are covered by
    our staff. We also specialize in the
    treatment of Lower Extremity Venous
    Disease (VNUS). It is a minimally invasive
    procedure that eliminates varicose veins,
    and is virtually pain-free.

    Please inquire if you do not see your
    subject of interest, or if you have further
    questions regarding a topic listed above.




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                     4 Convenient Community Locations
 North Apollo                        Indiana                             Blairsville            State College
1902 River Road, P.O. Box 97      8075 Rt. 286, Hwy W                    857 Rt. 22, Hwy W   2766 W. College Ave., Suite 200
724-­478-­5361                  724-­479-­0442                      724-­459-­6236            814-­308-­9397

                          GIFT CERTIFICATE         www.hoffchiropractic.com

                                 Complimentary First Visit &
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                                                          Fun in the Sun!
You’ve worked so hard to get that bikini body ready for the summer, don’t lose your momentum. As the weather begins to turn
warm and sunny it is easy to shift your priorities to outdoor activities. I do too! However, try not to lose your commitment to
                                                                                                                                             School diStrict SuperintendentS
                                                                                                                                             Ms. Margaret a. DiNiNNo, superintendent
                                                                                                                                                                                                 School diStrictS of armStrong
                                                                                                                                                                                                 and indiana countieS                                                                               welcome
                                                                                                                                             apollo-ridge school District

your health and wellness.                                                                                                                    Dr. staN J. Chapp, superintendent
                                                                                                                                             armstrong school District
There are an ever increasing number of opportunities to be outdoors and maintain or even enhance your current level of fitness. It           Dr. taMMy J. WhitfielD, superintendent
                                                                                                                                             Blairsville-saltsburg school District
is easy to find others with your same passion for outdoor exercise. Exercising with a partner or group almost always make the

                                                                                                                                                                                                   Summer Makes Fitness Fun
                                                                                                                                             Mr. Chris M. DeViVo, superintendent
experience more enjoyable. Running, walking, biking, hiking, walking a round of golf, swimming, a game of tag with your kids, and            freeport area school District
                                                                                                                                             Dr. ViNCeNt r. DelCoNte, superintendent
even washing your car are great ways to make the most of the outdoors and stay fit. As you embark upon your outdoor quest it                 homer-Center school District

is important to make sure to focus on your levels of hydration.                                                                              Dr. DeBorah M. ClaWsoN, superintendent
                                                                                                                                             indiana area school District
Unlike the indoors, the sun and the wind facilitate a more rapid dehydration if you are not consuming liquids. Keep the following in         Dr. JaMes a. BuDzilek, superintendent
                                                                                                                                             leechburg area school District                             Welcome to the 2011 summer issue of                                       healthy living. Employees from the school
mind. During exercise, water is the best fluid replenishment for most individuals, although sports drinks help replace lost electro-         Dr. fraNk J. garritaNo, interim superintendent
lytes during high intensity exercise exceeding 45 to 60 minutes. Individuals who sweat profusely during exercise and whose sweat             Marion Center area school District                    Community Health magazine! Take a                                              districts of Armstrong and Indiana coun-
                                                                                                                                             Mr. thoMas J. kakaBar, superintendent
contains a high amount of sodium (you may notice salt stains/rings on your athletic wear) should choose sports drinks and ensure             penns Manor area school District                      moment and check this publication out.                                         ties share personal accounts of their efforts
that their diet contains adequate sodium to prevent hyponatremia (water intoxication). It is easy to prevent dehydration with a              Ms. tiNa M. hazelet, superintendent
                                                                                                                                             purchase line school District                         You will find approaches to wellness and                                       toward a healthier lifestyle and school
variety of refreshing beverages, so drink up! (http://www.acefitness.org/fitfacts/fitfacts_display.aspx?itemid=173)                          Dr. DaViD g. BlozoWiCh, superintendent
                                                                                                                                             united school District                                topics that promote the essentials of self-                                    programs that have been implemented to
                                                                                                                                             technology centerS
HYDRATION HINTS                                                                                                                                                                                    care, family and community health care.                                        enhance the health of students and staff.
                                                                                                                                             Ms. Carol J. fry, administrative Director

  Drink 17-20 ounces of water two to three hours before the start of exercise.                                                               indiana County technology Center                      It’s packed with information that can help                                     Readers will be empowered to rethink
                                                                                                                                             Ms. DaWN koCher-taylor, admin. Director
  Drink 8 ounces of fluid 20 to 30 minutes prior to exercise or during warm-up.                                                              lenape technical school                               you, your family and school community get                                      healthy living and make choices that will
  Drink 7-10 ounces of fluid every 10 to 20 minutes during exercise.                                                                         regional education Service agency
                                                                                                                                                                                                   healthy, stay healthy, and live well.                                          result in getting healthy, staying healthy
  Drink an additional 8 ounces of fluid within 30 minutes after exercising.                                                                  Dr. roBert h. CoaD, executive Director

  Drink 16-24 ounces of fluid for every pound of body weight lost after exercise. Hint: Rehydration occurs faster in the presence            ariN intermediate unit 28                                  Our health is a lifetime of choices we                                    and living better.
of sodium, regardless of whether this is provided in a sports drink. (http://www.acefitness.org/fitfacts/fitfacts_display.aspx?itemid=173)   conSultantS
                                                                                                                                                                                                   make (some good, some bad). Make a good                                            Our communities are truly encouraging
                                                                                                                                             Chris M. holuta
                                                                                                                                             executive Vice president, reschini group
                                                                                                                                                                                                   choice this summer. Get fit. It’s easy to                                      one another to adopt a healthier lifestyle.
Remember to have fun!                                                                                                                        roBiN W. hope
                                                                                                                                             Vice president, educational accounts,
                                                                                                                                             reschini group                                        say we are going to make a healthy choice                                      Because of this publication, we are able to
Sincerely,                                                                                                                                   community health magazine                             toward personal fitness. The hard part is                                      share self-care and community health care
                                                                                                                                             editorial adviSory Board
Eric J Neal, Chief Executive Officer, Y of Indiana County                                                                                    apollo-riDge sD                                       doing it. All too often we get tied up with                                    for improved wellness.
                                                                                                                                             Cristine kostiuk, kostiukc@apolloridge.com
                                                                                                                                             arMstroNg sD                                          our job or family demands and the resolu-                                          Share your stories of health and well-
                                                                                                                                             luann M. fee, lfee@asd.k12.pa.us
                                                                                                                                             BlairsVille-saltsBurg sD                              tion to get fit falls by the wayside. Summer                                   ness with us at editor@cmghealth.net.
                                                                                                                                             James Brida, brida@b-ssd.org
                                                                                                                                             freeport area sD                                      is the perfect time to make fitness a part
                                                                                                                                             todd p. o’shell, toshell@freeport.k12.pa.us
                                                                                                                                             hoMer-CeNter sD                                       of your life. What better time of year to be
                                                                                                                                             kathy Bonarrigo, cbonarrigo@homercenter.org
                                                                                                                                             iNDiaNa area sD                                       outside enjoying the sun and getting fit!
                                                                                                                                             Dr. Deborah M. Clawson, dclawson@iasd.cc
                                                                                                                                             leeChBurg area sD                                          Think about including your family or
                                                                                                                                             patricia r. Camp, pcamp@leechburg.k12.pa.us

                                                                       FOR YOUTH DEVELOPMENT                                                 MarioN CeNter area sD
                                                                                                                                             paul Dehaven m, pdehaven@mcasd.net
                                                                                                                                                                                                   friends in summertime activities that pro-
                                                                                                                                                                                                   mote fitness. The likelihood of having fun
                                                                       FOR HEALTHY LIVING
                                                                                                                                             peNNs MaNor area sD
                                                                                                                                             thomas J. kakabar, kakabatj@pennsmanor.org
                                                                                                                                             purChase liNe sD                                      and sticking with it on a regular basis is
                                                                       FOR SOCIAL RESPONSIBILITY
                                                                                                                                             Dr. susan sibert, siberts@plsd.k12.pa.us
                                                                                                                                             uNiteD sD                                             greater when shared in the company of
                                                                                                                                             Christopher theys, ctheys@unitedsd.net
                                                                                                                                             iNDiaNa CouNty teChNology CeNter                      those you enjoy.
                                                                                                                                             Dr. Diana rupert, drupert@ictc.ws
                                                                                                                                                                                                        Inspiration for getting started with a

                                     Summer Fun in the Sun!
                                                                                                                                             leNape teChNiCal sChool
                                                                                                                                             kathy Bartolovic, bartkat@lenape.k12.pa.us
                                                                                                                                             ariN iNterMeDiate uNit 28                             summer fitness program can be found in
                                                                                                                                             Dr. robert h. Coad, Jr., rcoad@arin.k12.pa.us
                                                                                                                                             ariN iNterMeDiate uNit                                the pages of this publication. Community                                       Tina Hazelet
                                                                                                                                             Jeannette e. lemmon, jeannette@arin.k12.pa.us
                                                                                                                                                                                                   Health is a collection of motivational                                         Superintendent
        The YMCA has several opportunities for you                                                                                           pa sChool BeNefits
                                                                                                                                                                                                                                                                                  Purchase Line School District
                                                                                Bring this ad with you and get                               robin hope, rhope@reschini.com
                                                                                                                                                                                                   stories and wellness resources that inspires
        and your family to have fun and stay fit this                                                                                        CoMMuNity MagaziNe group

                                                                                  10% off of any 1 program                                   Mark hornung, mhornung@cmgms.com

        summer including:                                                                                                                    CoMMuNity MagaziNe group

                                                                               enrollment for the summer 2011.                               David Minnis, dgminnis@zoominterent.com

           Mack Park Swimming Pool                                                                                                           community magazine group

           Summer Day Camp for children ages 3-16                                                                                            larry perrotto | ChairMaN
                                                                                                                                             Mark hornung | MaNagiNg       DireCtor

                  2011 Theme—”Passport to Play”                                     Y of Indiana County                                      Carole sharwarko | eDitor-iN-Chief


           Swimming lessons at the Y and Mack Pool                                   60 Ben Franklin Rd.                                     Bret figura | art   DireCtor

                                                                                                                                             kelly rehan | assoCiate
                                                                                                                                                                                                   1550 s. indiana ave., Chicago, il 60605 | (312) 880-0370 | editor@cmghealth.net | advertiSing call (312) 880-0370
                                                                                                                                                                                                   letterS to the editor | send comments and letters to letters@cmghealth.net. Due to the high volume of mail we receive, we can’t respond to
                                                                                     Indiana, PA, 15701
                                                                                                                                                                        eDitor
                                                                                                                                                                                                   each letter. We reserve the right to edit all submissions. letters published become property of Community Magazine group. Community Health
           FREE Group fitness classes for members                                                                                            sigrid lupieri | staff   Writer
                                                                                                                                                                                                   is always accepting news and calendar items. to publicize support groups, lectures, classes or other health-related items, please e-mail them to
                                                                                       724-463-9622                                          emily lytle | graphiC     DesigNer                    editor@cmghealth.net. this magazine and its content are for general consumer educational use only. Nothing contained in this magazine is or should

           FREE Clubs for members including:                                          Www.ICYMCA.org
                                                                                                                                             Janis Mendelsohn, M.D. | MeDiCal    eDitor
                                                                                                                                                                                                   be considered or used as a substitute for medical advice, diagnosis or treatment by a licensed medical practitioner. Nor do the armstrong and indiana
                                                                                                                                                                                                   Counties school Districts endorse any of the products or services marketed by advertisers in this issue. Community Health magazine content is
                                                                                                                                             kathy MacNamara | regioNal          sales MaNager     published to educate consumers about health care and medical issues that may affect their daily lives. as always, please consult your physician.
              5K, Triathlon, Biking and Stroller
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                          School’s Out for Summer:                                                                                                         armstrong/indiana                                      contents
                  Get Back in Shape at Boyer Family Chiropractic and Fitness Center
                                                                                                                                                                                                              VoluMe 1 | ISSue 4

Had a rough year? Now that the school year is over, it    known as vertebral subluxation, is corrected with
is time to get in shape for summer fun. Do your wrists    a very specific hands-on adjustment. Dr. Boyer’s
and elbows hurt from washing dishes or correcting         specific adjustments can help with headaches,
papers? Does your back and knees ache from                migraines, shoulder problems, tennis elbow, carpal
                                                                                                                                                                                                              1 1 LOCAL NEWS
                                                                                                                                                                                                              fuel up to play 60
mopping or standing all day? Does your head throb         tunnel, acid reflux, low back pain, knee problems,
                                                                                                                                                                                                              is an in-school program
from the stress of the school day? Are you having         and sprained ankles.                                                                                                                                that encourages healthy
trouble sleeping from visions of lesson plans and                                                                                                                                                             eating, along with at least
papers dancing in your dreams?                            But why stop there? Dr. Boyer’s philosophy is to                                                                                                    60 minutes of daily physi-
                                                                                                                                                                                                              cal activity. after applying
                                                          provide a complete continuum of healthcare which
                                                                                                                                                                                                              for a grant, homer-Center
Let’s face it; school employees have one of the           is why Boyer Family Fitness Center was opened.                                                                                                      high school recently
hardest professions out there. It takes a toll on their   Studies show, 20 minutes of exercise a day helps                                                                                                    awarded $1,700 to support
bodies! In a recent study 41.5% of school employees       reduce stress and prevent dangerous killers like                                                                                                    the program.
acknowledged their jobs as a high-stress profession.      colon cancer and heart attacks.
Fortunately, a balanced diet, exercise and consistent
chiropractic care is a wonderful combination in           Boyer Family Chiropractic and Fitness Center
helping to alleviate everyday aches and pains and         believes in helping to achieve an optimal lifestyle
stress associated with your job.                          through natural healthcare and exercise. To learn
                                                          more about how Dr. Boyer can help, call the Indiana
Boyer Family Chiropractic and Fitness Center has          or Elderton location. Discover how Dr. Boyer uses his
treatment option for ALL school employees. Through        motto: “find it, fix it, leave it alone.”
chiropractic care, nerve interference in the spine,

                                                                                                                     30over the limit
                                                                                                                      What happens when you conquer a marathon? For some,
                                                                                                                      it’s a one-and-done experience marked by a medal tucked in
                                                                                                                      the back of a dresser drawer. For others, it’s a launching pad
                                                                                                                      into the ultimate endurance challenge—the ultramarathon.
                                                                                                                      Find out what inspires some people to push their physical,
                                                                                                                      mental and emotional limits, and what you need to know
                                                                                                                      before you send in your race registration. By Tracy Loope


                                                                                                                  36      hard
                                                                                                                          work
                                                                                                                  If you’re one of the many poor
                                                                                                                                                     40       LocaL
                                                                                                                                                              prescripTion
                                                                                                                                                     The economy is still struggling
                                                                                                                                                                                          44              hurTs
                                                                                                                                                                                                          so good
                                                                                                                                                                                           Let’s face it; you’re going to
                                                                                                                  souls who has a maniacal           and big box stores are putting        be bad anyway. you might as
                                                                                                                  manager or an ultra-competitive    mom-and-pops out of business          well make it worth your while.
                                                                                                                  colleague, your work environment   left and right. So why is it that     you’ve been told your whole
                                                                                                                  can be a tremendous source         independent, neighborhood             life that things like alcohol, sun
                                                                                                                  of stress. Learn the best way      pharmacies are thriving? When         exposure and goofing off are
                                                                                                                  to approach sensitive work         it comes to medical advice and        harmful for you. But these nine
                                                                                                                  situations and make peace          products, the personal touch          “vices” might actually be good
                                                                                                                  with the most common office        might be just what the doctor         for your health. In moderation,
                                                                                                                  stressors. By emiLy schmiTT        ordered. By haLey shapLey             of course. By aLLecia vermiLLion

                                                                                                                                                                                         C o m m u n i t y H e a lt H   summer 2011   7
                                                                                                                                                                                                                     armstrong/indiana                         neWS+noTeS




                                                                                                                              Fuel Up
                                                                                                                              to Play 60
                                                                                                                              Nutrition, exercise help
At Ols e n C h i r O p r ACt iC , we utilize different
                                                                                                                              foster better students
techniques to work on correcting the source of the                                                                            By Jennifer mifflin

problem, not just treating your symptoms, in order to help
you achieve optimal health.                                                                                                       the statistics are staggering. the
                                                                                                                              Centers for Disease Control estimated in
                                                                                                                              2009 that nearly 17%, or 12.5 million, of
                                                                                                                              american children and adolescents ages
Our state of the art practice will introduce you to a new
                                                                                                                              2 to 19 are obese. since 1980, obesity
perspective on chiropractic care, rehabilitative therapies,                                                                   prevalence among children and adoles-
                                                                                                                              cents has almost tripled.
nutritional supplements and most importantly, your overall                                                                        Many schools are taking a proactive
health. dr. ryan Olsen and the staff at Olsen chiropractic                                                                    approach to help combat this growing
                                                                                                                              epidemic. the research shows proper
are 100% committed to you! here at Olsen chiropractic                                                                         nutrition coupled with daily exercise fos-
                                                                                                                                                                           catch on. and as far as parents and edu-      really struggle with being fit. if this
                                                                                                                                                                           cators are concerned, it couldn’t come as     will help just a few individuals become
you will start to become healthier, feel better and                                                                           ters self-esteem and cognitive function,
                                                                                                                                                                           a better time.                                more active and make healthier choices
                                                                                                                              and just may even help boost test scores.
understand what chiropractic is truly about.                                                                                      fuel up to play 60 is an in-school
                                                                                                                                                                               as soon as karen Woods, a physi-          then it has been well-worth any time
                                                                                                                                                                           cal education teacher at homer-Center         invested,” Woods says.
                                                                                              dr. ryAn Olse n An d fAm i ly   program that encourages the availabil-
                                                                                                                                                                           high school, found out about the pro-             after applying for a grant, fuel up
                                                                                                                              ity and consumption of nutrient-rich
                                                                                                                                                                           gram, she knew it would be a home run         recently awarded the school with a
                                                                                                                              foods, along with at least 60 minutes of
                                                                                                                                                                           for her school.                               $1,700 donation to support the pro-
                                                                                                                              daily physical activity. the program was
                                                                                                                                                                               “Being a p.e. teacher, it seemed like a   gram. Woods says schools participating
                                                                                                                              founded by the National Dairy Council
                             A r m str O n g A n d i n d i AnA c O u nt y                                                     and the National football league, and is
                                                                                                                                                                           good fit to be involved in this program. i    in the program write at least two
                                                                                                                                                                           believe the issues addressed in fuel up       “plays,” one that supports healthy nutri-
                                s c h O O l d i st r i ct e m P lOye e s                                                      based on a mutual commitment to the
                                                                                                                                                                           to play 60 are important, and kids            tion and the other based on physical
                                                                                                                              health of the next generation. the model
                                                                                                                                                                                                                         activity.
                                                                                                                              of helping kids make healthier choices
                                                                                                                                                                                                                             the program at homer-Central is
                                                                                                                              is starting to
                                            help us to provide make-A-Wish kids with a dream come                                                                                                                        student-led by members of its fitness
                                                                                                                                                                                                                         Club. the money awarded was allo-
     true. come to our office and donate $29 to make-A-Wish and we will provide:                                                                                                                                         cated to host a year-end school-wide
                                                                                                                                                                                                                         field Day and healthy snack day. to
                                                                                                                                                                                                                         kick off the event, students organized



                                           }
              • Initial exam                                                                                                                                                                                             an assembly in which they spoke to the

              • Consultation                          FREE                                                                                                                                                               student body and led them through
                                                                                                                                                                                                                         some simple exercises to encourage
                                                  $300 dollar value
              • X-rays                                                                                                                                                                                                   them to sign up for the program and to
                                                                                                                                                                                                                         be physically active.
                                                                                                                                                                                                                             More than 50 homer-Center
     Call us today or stop in for details!                                                                                                                                                                               kids signed up to participate at
     (All existing patients receive a free adjustment. Offer valid through September 30, 2011.)                                                                                                                          fueluptoplay60.com or in the cafete-
                                                                                                                                                                                                                         ria at lunchtime. When they signed up,
                                                                                                                                                                                                                         they received a digital dashboard from
                                                                                                                                                                                                                         the site. the students got digital incen-
                                                                                                                                                                                                                         tives and rewards from the website, and

                                          (724) 548-1040
                                                                                                                                                                                                                         homer-Center plans provided snacks at
                                                                                                                                                                                                                         no cost by utilizing the grant money.
                                                                                                                                                                                                                             “our students have really embraced
                                             www.olsen-chiro.com                                                                                                                                                          the program. We had a great response
                                                                                                                                                                                                                          with sign-ups and the students seem
                                      By th e d r ive r ’s li c e n s e c e nt e r                                                                                                                                         excited about it,” Wood says. “our
                                                                                                                                                                                                                           faculty, staff and administration
                        159 Butler road, suite 2A | Kittanning, PA 16201                                                                                                                                                   have also supported the program
                                                                                                                                                                                                                            whole-heartedly.”


                                                                                                                                                                                                                           C o m m u n i t y H e a lt H   summer 2011   9
neWS+noTeS            armstrong/indiana                                                                                                                                                                                  armstrong/indiana                      neWS+noTeS




      A Day at the Fair
      Wellness fair uses fun, engagement to teach kids healthy lifelong habits
      By dr. SuSan m. SiBert, DireCtor of CurriCuluM aND feDeral prograMs, purChase liNe sChool DistriCt                                                                                                               All Together Now
      “Dear Mrs. Risinger,
      Thank you for organizing the wellness fair.
      I had a great time, learned at a lot and had fun.
      You rock.”
                                          Dale Bouch



     D
               ale wrote that thank-you note
               as a fourth grade student at
               Purchase Line North Elementary
      School in 2008. He’s now finishing his
                                                                                                                                                                     kindergarten students in sue lieb’s class at
      seventh grade year at Purchase Line                                                                                                                  south elementary school participate in group exercise
      Junior-Senior High School and he still                                                                                                                   as Miss horner directs them over the loudspeaker.
      remembers the event.                                                                                                                                     the all Children exercise simultaneously program
         The Purchase Line School District                                                                                                                      encourages everyone at schools in purchase line
      employee who rocks and founded the                                                                                                                        school District to get a healthy start to their day.
      annual spring fair is Cindy Risinger,
      a certified elementary school coun-
      selor and student services department
      chair. Students in grades three and
                                                          Third-grade students Caitlin Hark
      four from North Elementary and South                                                  ins and Kayla Bell (from left)discus
                                                                                                                                 s with school counselor
                                                          Cindy Risinger meaning of peer
      Elementary Schools come together for                                               pressure and what to do if they
                                                                                                                           feel pressured by friends.
      a day of wellness activities at South
      Elementary School each May.                   three to five minutes at each station.               prize, like a friendship bracelet or
         The event began in 2003. At that           Children carry tote bags they've deco-               lantern. Another table that’s a big hit
      time, wellness initiatives in Pennsylvania    rated to the various booths to collect               with the kids is the Try Me table, spon-
      schools were beginning to crop up in          an item from each station.                           sored by the food service department.
      response to requirements of healthier             Featured stations have included den-             Pupils enjoy samples of fruits and vege-
      school meal and general wellness poli-        tal health, where a dental hygienist gives           tables. The PTA and several other groups
      cies. Purchase Line found a real gem in       each pupil a toothbrush and toothpaste,              also sponsor booths, and at the end of the
      Risinger when she began working in the        and four nutrition stations developed by             rotation, names are drawn for additional
      district the prior year.                      senior high school students from Jessica             prizes, like water bottles.
         “Immediately I knew we should target       Subich’s Family and Consumer Science                    While the third-graders are rotating
      the event to third- and fourth-graders,”      class. All four of the stations focus on             through the stations, the fourth-grad-
      Risinger says. “They are at a develop-        nutrition, like healthy snacks, the food             ers are outside with physical education
      mental level when they are starting to        guide pyramid, and whole grain and                   teacher Julie Horner and high school
      select their own extracurricular activi-      complex carbohydrates. The elementary                student athletes who operate fitness
      ties and make independent food choices.”      pupils love the assembly activities, such            stations.
         Held each spring, third-graders            as making a quick snack called ants on                  “Even though the annual fair is a one-
      rotate through wellness stations in           a log, which features celery with peanut             day event, it’s a culminating activity that
      the multipurpose room, and fourth-            butter and raisins.                                  reinforces healthy practices the students
      graders participate in physical                   The school nurse, Jill McKinney,                 learn as part of the district’s health cur-
      activities outdoors on the tennis court       hosts a station on grooming and self-care            riculum and wellness policies,” Risinger
      or fields on campus.                          where the kids play a Jeopardy!-style                explains. “It’s our hope that the sug-
         On the day of the event, third-grad-       game and answer questions to win a                   gestions for healthy habits the children
      ers are grouped into four sections and        prize. Evergreen Boys and Girls Club of              learn at the fair become part of their
      rotate every 45 minutes to designated         Western Pennsylvania sponsors a booth                daily lifestyle, and support them in being
      areas of the fair. Students spend about       on friendship which provides a small                 better students.”



10   summer 2011     C o m m u n i t y H e a lt H                                                                                                                                                                           C o m m u n i t y H e a lt H   summer 2011   11
neWS+noTeS            armstrong/indiana                                                                                                                                                                                            armstrong/indiana
                                                                                                                                                                                                                                          monitor                            neWS+noTeS
                                                                                                                                                                                                                                                                             xxxxxxx




      Dynamic Duo
      Two Highmark tools connect you
      with help and answers




                                                                                                                                             Empty Classrooms, Full Bellies
      Post-hosPital case management                                      Blues on call health care coaches
      Returning home after being hospitalized can be stressful. You      You just arrived home from a doctor’s appointment, and now
      need time to recover, but you have prescriptions to pick up and    questions race through your mind. What are the side effects of
      doctor’s appointments to keep. To ease the transition from         my new medication? What will the doctor-recommended test            Summer food service program nourishes families
      hospital to home, Highmark provides its members with case          really entail? Where can I turn for more in-depth information       By Jennifer mifflin
      managers who will assist you through the process. Case manag-      about my new diagnosis? If this is a situation you have recently
      ers are registered nurses, social workers and psychologists who    encountered, there is an available program to assist you in find-       each school day, the national School              Armstrong School District also serves lunches                  Fast Fact
      work as a team to address health care issues.                      ing the answers to your medical questions.                          lunch program serves nutritious meals to              at some of its schools and delivers lunches to the              Each school day,
                                                                            Blues On Call, a free, confidential service offered to           more than 28 million children nationwide.             community library, summer school, day camps                       The National
                                                                         Highmark members, connects you with a health coach who will         The NSLP estimates Pennsylvania schools served        and football camps.                                               School Lunch
      these licensed professionals can help you:
      prepare for an upcoming hospitalization                            help you find information to help put your mind at ease.            more than 186 million free or reduced school              “The summer food service program is                         Program serves
                                                                                                                                             lunches during the 2004-05 school year. With high     extremely beneficial to many families in our                    nutritious meals
      readjust at home after a hospitalization                           health coaches are specially trained registered nurses,             unemployment rates and a tenuous economy still        school district, especially now with high unem-                   to more than
                                                                         respiratory therapists and dietitians who can:                      hitting families hard, those numbers will likely      ployment rates in our area,” says LuAnn Fee,                   28 million children
      understand services for which you may be eligible                  provide answers to everyday health-related questions.               continue to climb.                                    director of Food and Nutrition Services at                         nationwide.
      and how to obtain them                                                                                                                                                                                                                                            The NSLP
                                                                         help you identify health risks of prescriptions or procedures.
                                                                                                                                                 During the school year, children of low-income    Armstrong School District. “We are very happy
                                                                                                                                                                                                                                                                        estimates
                                                                                                                                             families are able to eat breakfast and lunch for      to be able to help these families in any small way
                                                                                                                                                                                                                                                                     Pennsylvania
         If you’re a Highmark member and you’ve recently been hos-       offer ongoing assistance with chronic conditions such as            free, or at reduced prices. But when summer comes     we can.”                                                       served more than
      pitalized, a Highmark case manager may call and check in with      diabetes, coronary artery disease and asthma.                       along, many are left with no meal options, often-         Fee estimates the Dayton Elementary School
                                                                         alert you to additional resources.
                                                                                                                                                                                                                                                                       186 million
      you a few times a week to assure you are having a problem-free                                                                         times creating a nutritional void in children’s       will host about 60 to 70 people per day this sum-                school lunches
      recovery. For example, a case manager helps you understand         help you make informed decisions about your health care and
                                                                                                                                             lives. Experts say good nutrition is essential to a   mer. Centers where families can visit together                      during the
      your medicines as well as making sure you are taking them as       treatment.                                                          child’s growth, learning, productivity and overall    foster a great deal of camaraderie. Children, 18                     2004-05
      prescribed.                                                                                                                            well-being.                                           and younger, can eat for free, while their parents                 school year.
                                                                                                                                                 At Armstrong and Purchase Line School             can purchase a meal at a reduced rate. A family of
      if you have more serious concerns, a case manager                     These coaches are available 24 hours a day, seven days a         Districts, summer break doesn’t mean kids bellies     three or four can realistically get a hearty, nutri-
      can assist you with:                                               week to help you in non-emergency situations. A health coach        go empty. The districts keep cafeteria doors open     tious meal for about $3.
      Multiple medical concerns and level of care needs                  does not take the place of your physician, but he or she can        during the summer months to continue to offer free        “This is a program that is very good for the
      financial anxiety and caregiver options
                                                                         become an important member of your health care team. After          meals to children age 18 and younger.                 entire community. We live in an area where people
                                                                         your first call, your personal health coach may follow up with          The Armstrong School District, in conjunc-        take care of their children. And the school dis-
      assistance with locating helpful community resources               you to determine if you have more questions about your health       tion with the Community Action Program,               trict is more than happy to help out families during
                                                                         concerns. Blues On Call also may mail you information about         delivers bag lunches to parks, playgrounds and        tough times. It’s one less thing they have to think
         This free service is included as part of your benefits plan,    such valuable resources as support for making treatment deci-       recreational areas across the Armstrong School        about,” Fee says.
      and participation is voluntary. It is available to members, eli-   sions or tests necessary to manage your condition and keep you      District area. The school district packs the              Other members of the community, such as
      gible spouses and dependents. Even if you have not been            feeling your best.                                                  lunches, and the Community Action Program             Rural Valley United Methodist Church, volunteer
      recently hospitalized, you may be interested in learning how a        To talk to a health coach, call (888) BLUE-428.You can also      delivers and monitors them.                           to prepare and distribute the meals. Fee manages
      Highmark case manager can be a key part of your health care        get information online at www.highmarkbcbs.com, by log-                 This partnership has been going on for more       a staff of eight to 10, who work two- or three-hour
      support system. Learn more about this service by calling           ging on and searching the “Health Library” under the “Health        than 10 years and has reached about 300 chil-         shifts per day.
      (800) 596-9443.                                                    Topics” tab.                                                        dren every day throughout the summer at 10 to             “They don’t do it for the money. They believe in
                                                                                                                                             15 different sites. In addition to this program,      helping families,” she says.


12   summer 2011     C o m m u n i t y H e a lt H                                                                                                                                                                                        C o m m u n i t y H e a lt H   summer 2011   13
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                         Been told you need back surgery?     By Dr. Jason Jacobs



                          Spinal Decom-
                           pression Ther-
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                                                                                               that they showed improvements (Neu-
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                                                                                               3 April 1998). This treatment is effective
                      new non-surgical         over a series of visits to promote healing      for all types of disc related conditions as
                      therapeutic     de-      of the specific disc level that is symptom-     well as facet syndrome, spinal stenosis,
                      vice developed to        atic. Patients are treated fully clothed and    and post-surgical patients. There are
                      relieve the pain         fitted with a harness as they lie face down     many cases that this conservative ther-
                      associated with          or face up on a computerized controlled         apy can give relief to patients who suffer
   Dr. Jason Jacobs   bulging      discs,      table. The doctor operates the comput-          from failed back or neck surgery in a very
                      herniated discs,         erized console of the table based on an         safe treatment option.
degenerative discs, pinched nerves,            individual treatment plan. Each treatment           If you have been living with pain or
sciatic, and carpal tunnel syndrome.           takes approximately 20 to 30 minutes            numbness into your arms or legs you
Non-Surgical Spinal Decompression              and is followed by electric muscle stimu-       really need to consider a consultation
Therapy is a spinal disc rehabilitation        lation or ultrasound therapy to promote         with one of the doctors at The Rehab
program using FDA cleared technology           further healing and decrease pain. Most         Centre. Each of our four locations are
that gently stretches the spine and de-        patients find the treatment to be comfort-      fully equipped with state-of-the-art chi-
compresses the discs. This technique           able and often quick to relieve symptoms.       ropractic and rehabilitation equipment
has been shown to gently separate the              Spinal traction is highly recommended       that allows the staff of The Rehab Cen-
vertebrae from each other creating a           by Neurological Research. It was found          tre to provide the most comprehensive
vacuum effect which can induce the re-         that out of 778 cases of patients receiv-       care available to each and every one of
traction of a herniated discs or bulging       ing spinal decompression 92% said               our patients on an individual basis.



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                                                                                                                                                     Beautiful Contribution
                                                                                                                                                     Homer Center art teacher lends
                                                                                                                                                     his jewelry-making talents
                                                                                                                                                     to a good cause

                                                                                                                                                          like a perfectly balanced four-prong
                                                                                                                                                     setting, gary Wyant balances his four
                                                                                                                                                     life roles. he is an art teacher for homer
                                                                                                                                                     Center, proprietor of Wyant Jewelers,
                                                                                                                                                     benefactor to the M. Dorcas Clark, MD
                                                                                                                                                     Women’s imaging Center at indiana
                                                                                                                                                     regional Medical Center, and a husband



      How to Power                                                                                                                                   and father.
                                                                                                                                                          Wyant’s undeniable energy, along
                                                                                                                                                     with his effervescent personality, natu-
                                                                                                                                                     rally contributes to his popularity in the



      Through HoT TeMPS                                                                                                                              classroom and his success in his philan-
                                                                                                                                                     thropic and business undertakings.
                                                                                                                                                          teaching at homer Center and being
                                                                                                                                                     the proprietor of Wyant Jewelers is a
                                                                                                                                                     good mix for him, Wyant says.
      hot weather offers so much time for fun and fitness. the only prob-                                                                                 “it’s a wonderful combination,” he
      lem is, well, it’s so darn hot outside. put the cool factor back into your
                                                                                                                                                     says. “the students keep me current, the
      workout routine with these tricks provided by amy Bencic, director
                                                                                                                                                     administration is wonderful to work with,
      of physical therapy at indiana regional Medical Center.                                                                                                                                         Gary Wyant (from left), Dr. M.
                                                                                                                                                     and the hours co-exist in a reasonable                                          Dorcas Clark and Stacy Wyant



      1                                                                        4
                                                                                                                                                                                                      Wyants created to be acutione                               proudly display the diamond ring
         adJuSt your Body temperature                                                Summerize your intervalS                                                                                                                        d to support the Women’s Imag                                 the
                                                                                                                                                     and manageable timeframe. i am grateful                                                                       ing Center named in Clark's hono
                                                                                                                                                                                                                                                                                                    r.
          hop into a cold shower before your workout. a german study                 to keep your fitness level high when the mercury is too, do     for all my opportunities.”
          this year found a pre-exercise cooldown improves perfor-                   your regular cardio (whether it’s walking, running, swim-
                                                                                                                                                          teaching art appreciation and art his-   at that time for a 12-year-old boy, and            expanded his talents and artistic imagi-
      mance in the heat, probably because it lowers your heart rate            ming or biking) at a slightly slower pace, but add in 30-second
      as well as core and skin temperatures. Don’t be too chicken to           speed bursts every three to five minutes. you’ll maintain your        tory for 25 years in the homer Center         Wyant says that a love of jewelry design           nation to become the benefactors of the
      try it. even just cooling your neck or head with an ice pack may         conditioning and burn more calories without having to go all-         school District has allowed Wyant to          was born. Wyant’s passion was nur-                 annual love of life Cancer Campaign
      make a difference.                                                       out the entire time.                                                                                                tured in those early years by his parents,         to benefit the M. Dorcas Clark, MD
                                                                                                                                                       Honoring the memory                         who began giving him tools and design              Women’s imaging Center at irMC for


      2                                                                        5
            Keep taBS on your ticKer                                                 practice random actS of fitneSS                                                                               instruments for birthdays and holidays.            early breast cancer detection, now in its
             the hotter it is, the harder your body has to work. so if you           sneak in little bits of exercise with some summer-friendly        of their grandmothers,                          after attending indiana university of          seventh year.
             normally run at a nine-minute-mile pace, when the tem-                  activities. for example: Washing the car for 30 minutes
      perature hits 90 you may find yourself having to slow down to a          burns about 100 calories for a 140-pound woman; gardening                    who both died                          pennsylvania, where he majored in art
                                                                                                                                                                                                   education with a concentration in metals,
                                                                                                                                                                                                                                                         honoring the memory of their grand-
                                                                                                                                                                                                                                                      mothers, who both died from cancer,
      10-minute pace. here’s a simple way to check if you’re overdoing         burns 128. other options: throwing a frisbee, walking the dog,
      it: try to recite the pledge of allegiance. you know you’re exer-        playing a game of volleyball (all about 100 calories), mowing the             from cancer,                          Wyant opened a studio in his parent’s              the Wyants conceptualized a dia-
      cising hard enough when you have to take a quick breath every            lawn (176 calories), biking around the neighborhood (192 calories),                                                 home. soon outgrowing the space,                   mond ring signifying of the disease.
      three to six words (murmur it under your breath if you’re worried        or hula-hooping, which burns about 50 calories in just 10 minutes.             the Wyants                           Wyant moved to Canterbury office                   Wyant designed the composition,
      about getting funny looks).
                                                                                                                                                          conceptualized a                         suites, where word spread quickly of his           which includes diamonds and other rare


                                                                               6
                                                                                     protect your head


      3
                                                                                                                                                                                                   creative and unusual jewelry designs.              stones. Wyant and his wife donated
            get the dirt                                                             a mesh visor is a great way to shield your face from the
            try to walk, run or cycle on dirt or gravel paths, since                 sun while still allowing excess heat to escape from your
                                                                                                                                                            diamond ring                               Wyant’s reputation as an artistic              the ring, valued up to $13,000, to raise
                                                                                                                                                                                                   designer and craftsman grew, encour-               funds to provide mammography care to
            asphalt and concrete tend to radiate heat and reflect the
      sun’s rays, making you feel hotter. live near water? take advan-
                                                                               head. of course, don’t forget sunscreen for your nose and ears.
                                                                                                                                                       signifying the disease.                     aging him to design and build his                  the women of indiana County and sur-



                                                                               7
      tage of the breeze even on steamy days. if possible, start out with            refuel with fruit                                                                                             current shop in indiana. a lovely mix              rounding areas.
      the wind at your back, so when you’re finishing you’ll be running               they’re more than 80% water, so eating fruits like grapes,     continue his love of art, which developed     of architectural components, Wyant                    tickets to win the ring and to help
      into a headwind, which is cooler.                                               watermelon, cantaloupe and honeydew is a tasty way to          in seventh grade when his art teacher,        Jewelers, located on the old John’s                prevent breast cancer are available until
                                                                               replenish fluids and boost your energy post-workout. keep them        Mrs. kipp, recognized an avid interest in     Jewelry’s site on philadelphia street,             Nov. 3, and may be purchased by calling
                                                                               frozen for a refreshing treat. other good options: smoothies,
                                                                                                                                                     her student. she allowed Wyant to weld        opened in July 1999.                               the indiana regional Medical Center at
                                                                               frozen yogurt or Jell-o with fruit chunks. if you’ve lost a lot of
                                                                               salt (hint: your clothes have white sweat stains after a workout),    a silver band in her art class, unheard of        together, Wyant and his wife, stacy,           (724) 357-8053.
                                                                               replace sodium by drinking V8 or a sports drink.


16   summer 2011      C o m m u n i t y H e a lt H                                                                                                                                                                                                      C o m m u n i t y H e a lt H   summer 2011       17
neWS+noTeS           armstrong/indiana                                                                                                                                                                                                armstrong/indiana                         neWS+noTeS




      Hop on,                                                                                                                                 The Run-Around
                                                                                                                                              Apollo-Ridge is blazing a new trail
                                                                                                                                              for community wellness


      Get Rolling
      Local workers leave cars in the garage
                                                                                                                                                  apollo-ridge students are taught
                                                                                                                                              to be lifelong participants in physical
                                                                                                                                              activity. in order to provide a unique way
                                                                                                                                              to promote that, a group of staff mem-
                                                                                                                                              bers formed a committee to develop a
                                                                                                                                                                                            in, and will be used to maintain the trail
                                                                                                                                                                                            and make necessary upgrades.
                                                                                                                                                                                                the many benefits of the trail are
                                                                                                                                                                                            immediately evident. apollo-ridge stu-
                                                                                                                                                                                            dents will use it during physical education
                                                                                                                                                                                                                                                                     TRACK




      n
                                                                                                                                              fitness trail for the school’s campus. in     classes, extracurricular activities and ath-
               ow that warmer weather is officially here to                                                                                   addition to the roughly 2.2-mile track,       letics. physical education teachers are
               stay, you have probably noticed the increase of bicy-                                                                          10 stations (stepping posts, chin-up and      already in the process of writing a new
               clists on your daily commute to work. It’s not your                                                                            climbing bars, etc.) designed to provide      and innovative curriculum that will involve
      imagination, more people are choosing this alternative mode                             Check out                                       additional physical challenges will dot       the students’ usage of the trail while incor-
                                                                                                                                                                                                                                                                              high
      of travel, and you can, too.                                                                                                            the trail.                                    porating cross-curricular content, such as
          Allegheny County is making strides to accommodate
                                                                                        www.bike-pgh.org                                          the easy part was generating the          reading, mathematics and science.
                                                                                                                                                                                                                                                                             school

                                                                                                                                              idea and developing the layout. the chal-         along with extracurricular activities
      alternative transportation methods, giving the local commu-                    for all the resources you                                lenge was funding the $15,000 project.        like the running Club, the Community
      nity the opportunity to lead healthier, more environmentally                                                                            apollo-ridge received a $5,000 grant          fitness trail will also be an asset to the
      friendly lives. Earlier this year, the county initiated Active                 need to make the switch                                  from lowe’s to purchase material to           athletic program at apollo ridge. it
                                                                                                                                                                                                                                                                 middle
      Allegheny. This new transportation plan integrates non-auto-
      motive methods of transportation—specifically walking and
                                                                                     from four wheels to two.                                 build the fitness stations, but an addi-
                                                                                                                                              tional $10,000 was still needed to build
                                                                                                                                                                                            will serve as a safe, well-marked and
                                                                                                                                                                                            measured place for athletes to build
                                                                                                                                                                                                                                                                 school

      biking—into the county’s transportation system. The Bike                                                                                the trail itself. With budget cuts looming,   endurance and strength. in addition to
                                                                                                                                                                                                                                                           baseball & softball
                                                                                                                                              the goal seemed impossible until apollo-      serving the athletic programs currently in                           fields
      Allegheny component hopes to enhance bicycling as a mode of
                                                                                                                                              ridge received a $5,000 matching grant        place, it also holds the potential to revive
      travel in the county by creating dedicated commuter bikeways                                                                            from aCMh hospital.                           the apollo-ridge cross country program,
      and connecting them with other activity centers and transpor-      pollutants than drivers.                                                 a marketing plan was quickly devised      which would provide another fitness-
      tation modes. See the full plan at www.activeallegheny.com.            Bike Pittsburgh, a cyclist advocacy organization, is making      to generate the $5,000 needed to              related opportunity for boys and girls in
          Choosing to bike to work has a great impact on the envi-       it easier for cycle enthusiasts to make this lifestyle change. Its   obtain the matching grant. a presen-          grades six to 12.
      ronment, and your wallet. The Heinz Endowments recently            Pittsburgh Bike Map identifies the best routes for cycling and       tation was made at the March school               staff members eagerly await the
      released a report showing that smokestack and vehicle emis-        connecting neighborhoods, car-free trails and safety tips. The       board meeting and a facebook page             completion of the trail. Many employees
                                                                                                                                                                                                                                                                   elementary
                                                                                                                                              was created. the district was in the pro-     plan to make use of the trail during lunch
      sions are a continuing cause of environmental damage, illness      Bike Commuting 101 resource offers safety tips to new cyclists                                                                                                                              school
                                                                                                                                              cess of raising funds for the learning        breaks and after school.
      and death throughout the region. Vehicle emissions aren’t just     and road-sharing information for drivers. Check out www.             festival, and tied the fitness trail into         it is also important to recognize the
      harmful, they are costly. The 2010 edition of AAA’s annual         bike-pgh.org for all the resources you need to make the switch       that for an additional $1,000.                impact the trail will have on the com-
      “Your Driving Costs” study estimated the overall cost of own-      from four wheels to two.                                                 Word spread and donations started         munity. if you stop by the campus
      ing and operating a typical new sedan has increased in the             Biking to work has become so popular and successful in           to pour in from the community. lackey’s       throughout the day or evening, you will
      past year. Increasing gas prices are among the leading factors     this region, Bike Pittsburgh recently presented the first-ever       Dairy Queen put collection cans at its        see apollo-ridge already plays host to
      driving up the average cost for sedan owners. The annual costs     Bike-Friendly Employer awards to 11 companies, recognizing           windows and agreed to match the dona-         groups of walkers, entire families and
                                                                                                                                              tions dollar-for-dollar. parents, staff,      individuals. the addition of a fitness trail
      for a car driven 15,000 miles a year add up to about $8,487.       them as “leaders in Pittsburgh’s bike-friendly transformation.”
                                                                                                                                              businesses and community members,             will further motivate the community to
          Biking offers many health benefits. First, it’s a great form   Winning companies have implemented creative ways to encour-          knowing the value of this outdoor gym,        lead healthier and more active lifestyles.      projecT compLeTion goaL
      of aerobic exercise. It can help you lose weight and gain          age employees to cycle to work. Highmark Inc. was among the          began sending checks of up to $1,000 to           a 5k run/walk is being proposed for
      strength. Doctors recommend you participate in aerobic activ-      recipients for its participation in Car-Free Friday events hosted    support the fundraising effort.               the grand opening of the Community              the goal of the committee is to have this
      ity for 30 minutes a day, three to five times a week. Increasing   at downtown’s Fifth Avenue Place, and for supporting the devel-          Due to the overwhelming response          fitness trail in september 2011. in spring      project completed by the beginning of the
      your fitness level decreases your risks of diabetes, heart dis-    opment of the Car-Free Calculator to encourage people in the         from the district’s stakeholders, the name    2012, another 5k run/walk will be held          2011-2012 school year.
      ease and high blood sugar. It can also significantly reduce        region to bike and walk to work more frequently. Highmark            of the trail was changed from the apollo-     during the district’s annual learning
                                                                                                                                              ridge fitness trail to the apollo-ridge       festival. physical education teachers will       ➤➤ June 2011 - all funding obtained
      anxiety and depression. If you find yourself short on time, bik-   offers secure, protected bike parking as well as shower facilities
                                                                                                                                              Community fitness trail. even though the      also present information on a variety of         ➤➤ July 2011 - Construction begins
      ing can help. When you replace daily trips to the gym with         for employees who chose to bike to work.                             financial goal of breaking ground in June     topics ranging from nutrition to physi-
      bike commutes, you’ll have more time to do the other things            Whether you bike for fun, for your health or as your             has been met, donations are still coming      cal activity.                                    ➤➤ august 2011 - fitness station
      on your list. You will feel less stressed and more relaxed.        new method of commuting to work, you and your com-                                                                                                                     installation
          Also, when you put a bike on the road, you help reduce         munity will benefit from the efforts to live a healthier and                                                                                                        ➤➤ September 2011 - grand opening
      vehicle emissions, and you will also absorb fewer air              greener lifestyle.                                                                                                                                                     and 5k race!




18   summer 2011    C o m m u n i t y H e a lt H                                                                                                                                                                                            C o m m u n i t y H e a lt H   summer 2011   19
neWS+noTeS              armstrong/indiana                                                                                                                                                                                                   armstrong/indiana                         neWS+noTeS




      Get out and About
      Summertime events and attractions in Indiana and Armstrong counties
      By Jennifer mifflin
                                                                                                                                                   An Energizing Idea
                                                                                                                                                   P.E. teacher brings fitness center to Lincoln High School
                                                                                                                                                   By Jennifer mifflin
      Summer is a great time to relax and kick back on the porch,
      but with all the fun things to do in Indiana                                                                                                     in an era when school budgets
      and Armstrong counties—why would you want to?                                                                                                are casualties in a tenuous economic
                                                                                                                                                   environment, physical education pro-
      events                                           MuseuMs                                        Wineries                                     grams and amenities are slowly being
                                                                                                                                                   eroded from school curriculums, leaving
      31st annual ellwood city festival                armstrong county historical                    foxburg wine cellars                         a big gap in fitness awareness, education
      JuLy 1-3, 11 A.M.-10 P.M.                        museum and genealogical library                65 Main st., foxburg
      ewing park
                                                                                                                                                   and activity levels.
                                                       300 N. Mckean st., kittanning                  (724) 659-0021
      ellwood City                                     Come explore the rich history of armstrong     foxburgWine.com                                  Lincoln High School, part of the
      More than 200 arts and crafts booths             County. starting the first week of april the   Montgomery underground Winery                Ellwood City Area School District, is one
      featuring a wide variety of canvas and slate     armstrong County historical Museum and         130 Montgomery lane, rural Valley            of the lucky schools that has been able to
      paintings, as well as handmade crafts from       genealogical society is open from noon to      (724) 354-4340
      candles to curtains, jewelry to stained glass,                                                                                               advance its fitness objectives amidst a cli-
                                                       4 p.m. thursdays. the museum is also open      MontgomeryundergroundWinery.com
      wooden gifts to woven hammocks.                  the first sunday of every month from                                                        mate of cutbacks. In August, just in time
                                                       1 to 4 p.m. (excluding holidays).              pine creek underground winery                for the 2010-2011 school year, the school
      celebrate our country                            (724) 548-5707                                 118 state route 1034, templeton              inaugurated the Ellwood City District
      in the country – Smicksburg                      aChMgs.yolasite.com                            (724) 543-1011
      JuLy 2-4                                                                                                                                     Wellness Center to serve the staff and stu-
      Downtown smicksburg                                                                             raspberry acres winery                       dents at Lincoln High School.
      (814) 257-0192                                   Parks                                          250 Clawson road, Blairsville                    Health and physical education teacher
      smicksburg.net                                                                                  (724) 459-0611                               Lisa Leonberg also serves as the school’s
      free horse-drawn wagon rides.                    ewing park
      More than 20 specialty shops                     ellwood City                                   walnut hill winery
                                                                                                                                                   wellness center coordinator. According                   For the staff, having accessibility to a
      and many unique restaurants.                                                                    638 turner Drive, Blairsville                to Leonberg, securing funding just hap-

      indiana county lions club
                                                       r.c. Stiefel park                              (724) 459-0132                               pened to take place at the right time.                  state-of-the-art fitness center, for free,
                                                       ellwood City                                   WalnuthillWinery.com                             “The school was in the process of add-
      fourth of July celebration
      JuLy 4                                                                                                                                       ing on an addition and there was some
                                                                                                                                                                                                               is an enormous perk of the job.
                                                                                                      windgate vineyards and winery
      700 Carter ave., indiana
                                                                                                      1998 hemlock acres road, smicksburg          empty space left over that was not allot-
      (724) 465-7732                                                                                                                               ted for. We saw it as a perfect opportunity    only what makes a great fitness center, but   weight machines and free weights, as well
                                                                                                      (814) 257-8797
      flea market, demolition derby, games,
      fireworks and a variety of food booths.
                                                                                                      WindgateVineyards.com                        to create a fitness center, and went to the    also the needs and wants of her students.”    as heart rate monitors, jump ropes and
                                                                                                                                                   board of education to present our case,”           Currently the fitness center is only      other exercise accouterments.
      hoodlebug Summerfest                                                                                                                         Leonberg says.                                 open for students and staff. The plan,            All the students and staff were given
      JuLy 10, NooN-8 P.M.
                                                                                                                                                       The plan was to equip the space,           Leonberg says, is to one day make the         an orientation on the equipment and
      25 W. Church st., homer City
      (724) 479-2184                                                                                                                               which is about 1,400 square feet, into a       center a fitness destination for the entire   utilizing proper technique. The overall
      parade, ethnic food booths, 5k race,                                                                                                         state-of-the-art fitness center.               community. For now, they are focused on       impression was positive.
      duck race, kid zone, bicycle poker run,                                                                                                          Webster’s Fitness Products in              the students. While the center will abso-         “Students, parents and the staff all
      entertainment and craft booths.
                                                                                                                                                   McMurray was the supplier of all the           lutely be utilized by athletes, Leonberg      love it,” Leonberg says. And for the staff,
      christmas in July - idlewild park                                                                                                            fitness center’s equipment. The com-           wants to attract all students to fitness,     having accessibility to a state-of-the-art
      JuLy 25-29                                                                                                                                   pany designs and provides equipment            and help them adopt healthy habits for        fitness center, for free, is an enormous
      route 30, ligonier                                                                                                                           and assessment software for high               their lifetime.                               perk of the job.
      (724) 463-7505
      VisitindianaCountypa.org
                                                                                                                                                   schools and middle schools throughout              In Leonberg’s experience, working             Webster says Lincoln High School did
      see santa and experience holiday cheer.                                                                                                      Ohio, Pennsylvania and West Virginia.          with seventh and eighth graders is criti-     things right when they developed the fit-
      see the parade of trees and vote for                                                                                                         Leonberg and Webster’s owner, Tom              cal, as getting them interested in fitness    ness center. “Physical education has been
      your favorite.                                                                                                                               Webster, collaborated on a design and          at this age sets a standard for the rest of   shoved in a corner, and we’re now start-
                                                                                                                                                   presentation and went before the board         their lives. “With the obesity epidemic       ing to see the consequences. Centers like
                                                                                                                                                   of education. Funding to the tune of           so prevalent, it’s crucial to get kids mov-   these provide enhanced fitness, help stu-
                                                                                                                                                   $63,000 was allocated. And the school          ing. And when you start introducing and       dents manage stress and adds to their
                                                                                                                                                   was also awarded with a separate grant         educating them about leading an active        overall well-being,” says Webster.
                                                                                                                                                   from Highmark for $9,400.                      lifestyle at this age, they are more likely       And according to Webster,
                                                                                                                                                       “Lisa was very focused and knew what       to develop a love for fitness rather than     Pennsylvania is at the forefront of fitness
                                                                                                                                                   she wanted for her school,” Webster says.      seeing it as a chore,” Leonberg says.         education and is an example to the rest of
                                                                                                                Windgate Vineya
                                                                                                                                  rds and Winery
                                                                                                                                                   “She understands all the concepts of not           The center boasts a cardio section,       the country.


20   summer 2011       C o m m u n i t y H e a lt H                                                                                                                                                                                              C o m m u n i t y H e a lt H   summer 2011   21
   You don’t have to live with                                                                                                                                                                                                                                         monitor                          Women

painful varicose and spider veins.
Should I Have My Veins Evaluated?                                            I had a free screening at a
                                                                                                                                                             Don’t Get
Q & A WITH A VEIN SPECIALIST: While finishing charts at the
end of my day, I took a few moments to listen to my staff answer
questions for a patient on the phone. The questions asked were very
important as were the answers that were given. Here are some
examples:
                                                                             health fair and was told that
                                                                             I don't have venous disease,
                                                                             but I still have aching, pain
                                                                             and discoloration at the
                                                                                                                                                             Roasted
                                                                                                                                                             Can a tan ever be good
                                                                             ankles. What should I do?                                                       for you? By haley Shapley
What is Phlebology?                                                              While free screenings can be
    Phlebology is the branch of medicine that deals with veins and the       informative, remember that this is
disease of veins. Two organizations dedicated to the advancement of          just a brief glance into a patient's
this field are The American College of Phlebology and the American           venous system. A complete venous                                                Thanks to the popularity of that
Venous Forum.                                                                exam and venous mapping by a                                                    bronzed beachy look, tanning beds
                                                                             board-certified phlebologist is best                                            continue to be widely used, even
Why should I see a board- certified phlebologist to evaluate                 to determine if a patient has venous                                            after being declared “carcinogenic
my varicose veins                                                            disease.                                                                        to humans”—the highest cancer
   When it comes to any aspect of your health care, it is important to           Since a proper venous ultrasound
                                                                             is such an integral part of this                                                risk category—by the International
be proactive in the choice and research of who will become medically
responsible for your evaluation and treatment. Though venous                 evaluation, the American College of                                             Agency for Research on Cancer.
disease is not always a visible ailment, it can be a serious health          Phlebology has set requirements for it
problem leading to more serious issues, so choosing a specialist, or         that include the following:
                                                                             • A venous ultrasound should be ordered by a                                       Although some claim tanning beds are beneficial                  Throw wrinkles, age spots and burns into the mix, and
board certified phlebologist for your venous care is a wise decision.
                                                                                physician.                                                                   because they help the body produce vitamin D, most of us         tanning is a wholly unappealing and dangerous proposi-
   Board certification in phlebology identifies a physician who has
                                                                             • A lower extremity ultrasound should study the entire leg, from ankle          get enough of that in our daily lives, no man-made tanning       tion. But if you still want that sun-kissed look, you’re in luck.
taken the extra step of becoming specialized in the treatment of
venous disease. Not only is the physician often a member of                     to groin. Failure to identify and treat all sources of reflux may result     device needed. And the trade-off for the vitamin is a big one:   Self-tanners have evolved to the point that they can provide
organizations such as the American College of Phlebology (ACP) and              in outright treatment failure.                                               Research shows tanning bed users are more likely to develop      the illusion of a tan, minus all the drawbacks of getting your
the American Venous Forum (AVF) but they have met additional                 • Evaluation of the venous system should be performed with the patient          melanoma. The chance of getting the potentially fatal cancer     darker shade from UVA and UVB rays.
requirements set by the certifying board. After meeting these                   in the upright position. Sitting or lying down are inappropriate for         rises by a staggering 75% for those who tan before the age of       “It’s an alternative that’s going to be a whole lot safer,” says
requirements, he or she must then pass a certifying exam allowing the           the detection of reflux or the measurement of vein diameters.                30. Yet nearly 30 million Americans still visit indoor tanning   Dr. Max Adler, a dermatologist in Dallas.
physician to identify him or herself as board-certified.                     • A venous ultrasound should be performed by a trained physician or a           salons every year. Of those, 71% are girls and women ages           But not all fake tans are created equal. Below are Adler’s
                                                                                registered vascular ultrasound technician (RVT) and then                     16 to 29.                                                        dos and don’ts for safely getting that golden glow.
Is membership the same as board certification?                                  interpreted by a physician.
                                                                                                                                                                                                                              don’t use tanning pills: tanning pills are not approved by the fDa. they
    This question is particularly important as it defines the specialty of
a phlebologist. While a physician may be a member of many different          If I have had an evaluation elsewhere, can I still be evaluated                                                                                  typically contain carotenoid color additives derived from substances similar
                                                                                                                                                                                                                              to beta-carotene, which gives carrots their orange color. But they also often
organizations, these organizations only require an interest in the field     in your office?                                                                                                                                  use canthaxanthin, a chemical that can deposit in the eyes as crystals, causing
for joining. Thus membership is unlike board certification where                 Of course. A free evaluation is commonly ‘ free’ because patients                                                                            injury and impaired vision.
qualification is determined through training and testing. Here’s how         are often not meeting with a physician, a physician assistant or a nurse
                                                                             practitioner, so this visit cannot be billed to insurance. However, most
                                                                                                                                                                           signs of skin cancer
the ACP defines its board certification: “The establishment of a Board                                                                                               if you notice any of these signs of skin cancer,
                                                                                                                                                                                                                              don’t use tanning accelerators: “Most of those are formulated with amino
Certification Exam brings recognition to both the field of phlebology        insurances allow for a second opinion. If you have any questions                                      talk your doctor:
                                                                                                                                                                                                                              acids, and they’re promoted as stimulating your own tanning process, but most
and those providers in the field who have the knowledge, skills and          about the second opinion being covered, contact member services on                                                                               of the evidence says they don’t work, and they may be dangerous,” adler says.
experience to provide quality care to phlebology patients.”                  the back of your insurance card.                                                                                                                 “We don’t know the short-term and long-term ramifications yet.”
                                                                                                                                                                • a skin growth that increases in size and appears pearly,
                                                                                                                                                                translucent, tan, brown, black or multicolored
                                                                                                                                                                                                                              don’t use tanning beds: “uVa is concentrated in tanning beds and will pene-
                                                                                                                                                                • a mole, birthmark, beauty mark, or any brown spot that:
                                                                                                   This Industry Insight was written by Theresa Schneider.                                                                    trate deeper into the skin,” adler says. “the skin after many exposures tends to
                                                                                                                                                                   » changes color
                                                                                                                                                                                                                              be leathery, and it doesn’t have a normal appearance or texture to it.” the uVa
                                                                                                   Terrance R. Krysinski, MD                                       » increases in size or thickness
                                                                                                                                                                                                                              rays in tanning beds also work to virtually incapacitate white blood cells in the
                                                                                                   General Surgeon                                                 » changes in texture
                                                                                                                                                                                                                              top layers of skin, potentially making people more susceptible to skin cancer.
                                                                                                   Board Certified Phlebologist                                    » is irregular in outline
                                                                                                   Vein Institute of Pittsburgh                                    » is bigger than 6mm or ¼ inch
                                                                                                   724.934.VEIN (8346)                                                                                                        do use bronzers and extenders: in these products, the chemical dihydroxyac-
                                                                                                                                                                   (about the size of a pencil eraser)
                                                                                                                                                                                                                              etone reacts with the top layers of the skin, turning them a slightly darker shade.
                                                                                                                                                                   » appears after age 21
                             724-934-VEIN (8346)                                                                                                                • a spot or sore that continues to itch, hurt, crust, scab,
                                                                                                                                                                                                                              few people are allergic, and they can easily be applied at home. the trick is
                                                                                                                                                                                                                              getting an even, non-splotchy application. practice applying evenly, or go to a
                                                                                                                                                                erode or bleed                                                salon where it’s sprayed on. Bronzers do not, however, provide skin protection,
                                                                                                                                                                • an open sore that does not heal within three weeks          so sunscreen must still be worn when going outside.

           16000 Perry Highway, Suite 2, Warrendale • 6507 Robinson Center Dr., Pittsburgh                                                                                                  sourCe: skiN CaNCer fouNDatioN




                                                                                                   Mars Area | Winter 2010 | incommunitymagazines.com 23                                                                                                     C o m m u n i t y H e a lt H   summer 2011             23
                                                         Advertisement
                                                                                                                                                                                                                                                    monitor                      men


          10 Reason Why Mills Chiropractic Center Should Be
          Your First Choice for Chiropractic and Wellness Care

1. Our doctors are unsurpassed in their knowledge, skill and         7. All doctors are skilled in chiropractic pediatric and
   commitment to our patients.                                           maternity care. We have helped hundreds of children
2. Professionally trained staff that is committed to ensuring            regain their health safely and naturally.



                                                                                                                                                                                                                           care
   first class service to every patient.                             8. We offer regular seminars on a wide range of topics



                                                                                                                                                                                                                    e with
3. A complete system of patient education to assist each                 related to a wellness lifestyle to educate encourage and



                                                                                                                                                                                                               handl
   patient in making the best decisions for their family’s               inspire our patients to a healthier life.
   healthcare needs.                                                 9. Our patients receive the benefit of having two doctors consult
4. Doctors are skill in a wide range of the latest chiropractic          on their case to ensure the absolute best care possible.
   techniques in order to meet each patient’s individual             10. We offer professional staff dedicated to handle all your
   needs.                                                                insurance needs as well as consult with you on making




                                                                                                                                               When
5. We provide over ten years of experience in successfully               care affordable for you and your family.
   helping thousands of patients with a wide range health
   conditions.                                                       Dr. Mills is a certified chiropractic wellness practitioner (C.C.W.P.).




                                                                                                                                               Workouts Hurt
6. We offer a beautiful newly renovated professional facility        He offers regular health seminars relating to healthy lifestyle,
   complete with digital x-ray, video patient education, the         family wellness, exercise, nutrition, stress reduction and the role                                                                                                       for those whose fitness goals have
   highest quality supplements and spinal rehabilitation.            of chiropractic in expressing true health.                                                                                                                           transformed from looking good in a
                                                                                                                                                                                                                                          swimming suit to looking good in a
                                                                                                                                                                                                                                          three-piece suit, Melanie limanowski
                                                                                                                                                 Feel the burn, avoid the pain                                                            offers the following suggestions to keep
                                                                                                                                                 By phil arvia                                                                            workouts effective and pain-free:
                                                                                                                                                  Eventually, every man—except maybe he who has strictly followed an acai berry             ➤➤ variety. Mixing up classes at the
                                                                                                                                                                                                                                          gym is a great idea. or do the bike
    Chiropractic Care... Health for Life
                                                                                                                                               and vampire blood smoothie regimen since his 20th birthday—hits the moment.
                                                                                                                                                                                                                                          instead of the elliptical. Muscle confusion
                                                                                                                                                  You’re exiting the shower, and you find that sucking in your stomach no longer
                                                                                                                                                                                                                                          avoids plateaus and overuse injuries.
    At Mills Chiropractic, we provide a world class healthcare                                                                                 uncovers hints of a hibernating six-pack. There is no angle, no amount of steam on
                                                                                                                                                                                                                                            ➤➤ the rule of 3s. Make sure your pro-
    experience. Our doctors are proficient in many chiropractic                                                                                the mirror that can camouflage the love handles, which, let’s all agree, no one loves      gram includes cardio, strength training
    adjusting techniques from traditional hands-on adjustments to                                                                              and are being used as handles with alarming infrequency.                                   and stretching. “problems come if you
    very gentle low force techniques.                                                                                                             OK, so it’s time to do what we’ve always done, right? We hit the gym, or the tread-     ignore one of those,” limanowski says.
                                                                                                                                               mill, or that dusty, heavy bag in the corner of the basement. We eat a few more salads,    “then you lead to breakdowns in the
    Beyond our life enhancing chiropractic adjustments we offer                                                                                hold the cheese, knock off a few pounds and tone up a bit.                                 musculo-skeletal system.”
    spinal rehabilitation techniques to promote lasting improvement                                                                               Except, especially when those 30s are shrinking in the rearview mirror, what we’ve        ➤➤ heat and ice. know when to use
                                                                                                                                               always done is now doing something very different.                                         heat (for muscle stiffness) and ice (for
    in your overall health. Our regular healthcare classes provide you
                                                                                                                                                  Oh sure, there’s that first blush of muscle soreness that our inner masochists          inflammation/swelling). then actually
    with the knowledge and motivation you require and are always                                                                                                                                                                          use them. a bag of frozen peas on your
    a huge success. We promise to provide you with unsurpassed                                                                                 so deeply appreciate. It’s the sort of ache that prompts a grunting shoulder roll, a
                                                                                                                                                                                                                                          balky knee for 20 minutes will do won-
    chiropractic care in an inspirational environment, but most                                                                                hand clapped off a pec, and the thought, “One day, and I already see a difference.”
                                                                                                                                                                                                                                          ders after a run (any more than a half
    importantly we promise to treat you like family!                                                                                              Then, several days down the road, you bend down to pick something up and notice
                                                                                                                                                                                                                                          hour, and you’re probably not getting
                                                                                                                                               the floor seems awfully far away. It’s been a week since you descended the steps for the   any benefit from the extra time).
                                                                                                                                               morning paper without using the railing. Or your shoulder checks have been replaced          ➤➤ Build up slowly. if you’re lifting
                                                                                                                                               by nervous glances to the side view mirrors.                                               weights, work all the muscle groups, not
      If You Would Like Help With:
                                                                                                                                                  All of a sudden, you’re acutely aware of the difference between soreness and pain.      just the ones you see in the mirror. start
      • Headaches • Fibromylagia • Asthma • Back Pain
      • Neck Pain • Improving Your Child’s Health                                         Mills Chiropractic                                   Working out isn’t working out. You’re asking yourself, “Am I building myself up, or
                                                                                                                                               tearing myself down?”
                                                                                                                                                                                                                                          with light weights and build up the reps.
                                                                                                                                                                                                                                          then go heavier.
      • ADHD • Stress • Carpal Tunnel • Depression
                                                                                                Center                                            Melanie Limanowski, a doctor of physical therapy at Physical Therapy and Sports           ➤➤ Buddy system. avoid boredom
                                                                                      115 South Belmont Drive | Kittanning, PA                 Injury Rehabilitation suburban Chicago, suggests the misguided among us might be           by working out with others (a personal
      If You Would Like To:                                                                                                                                                                                                               trainer or a friend) and by setting attain-

                                                                                      724-548-7999
                                                                                                                                               doing more harm than good.
      • Live A Healthy Life • Live Without Pain • Have Hope                                                                                                                                                                               able goals.
                                                                                                                                                  “The biggest thing with exercise is that when you’re doing too much, sometimes
      • Have More Energy • Be More Active • Be Less Sick                                                                                                                                                                                    ➤➤ Stretch. seriously. and, just because
      • Be Fit • Have Healthy Children • Lose Weight                                          www.millschiropractic.com                        dysfunction occurs with repetition,” she says.
                                                                                                                                                                                                                                          it’s so important, let’s mention stretch-
                                                              

                                                                                                                                                                                                                                          ing again. “you need to keep the muscle
                                                                                                                                                                                                                                          length,” limanowski says.


                                                                                                                                                                                                                                           C o m m u n i t y H e a lt H   summer 2011   25
                                                                                                                                                              I WILL
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                     Hear better than you have
                                                                                                                                                                often pretend to understand
                      in years, with e-patient™                                                                                                                 what people say. Even when
                                                                                                                                                               my surroundings are quiet, it
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                                                                                                                                                              HEAR      My wife says that our
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                                                                                                                                                              BETTER
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What is e-patient?                                      To experience e-patient for yourself or a loved



                                                                                                                                                              YEAR
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           1011 Water St • Indiana | www.indianaaudiology.com
                                                                                                               Hearing system fittings and follow-up       1011 Water St • Indiana
                                                                                                                care, including in-office service.              a member of


                                                                            Sara Webber, Au.D., FAAA, CCC-A
                                                                                  Licensed Audiologist                             www.indianaaudiology.com
     SenIorS         monitor                                                                                                                                                                                                                                         monitor                          famILy




      In the Line
      of Fire
      Avoid heat-related illnesses by having a plan
      for staying cool in the hot summer sun
      By haley Shapley




      a
              s summer temperatures rise, so does the risk
              of heat-related illnesses. No one is immune
              from falling victim to the sun’s sizzling rays, but
      seniors are especially vulnerable.

      an increaSed riSK
          Even if you’ve had years of experience dealing with heat,
      your body may not be able to adjust to it the same way it once
      did. Chronic medical conditions can complicate the way you
      react to hot weather, as can prescription drugs. “The body
      may not be as efficient as it used to be at sweating or mak-
      ing adjustments for the heat,” says Dr. Larry Mellick, an
      Emergency Department physician at MCGHealth Medical
                                                                                                                     sympToms of
                                                                                                                     heaT sTroke
                                                                                                                                                Help Your Family
                                                                                                                                                Beat the Heat
      Center in Augusta, Ga. “Because of that, [seniors] may be more                                                 of all the types of heat
      vulnerable to heat injury.”                                                                                    stress, heat stroke is
          And while a little extra sun might not sound like such a                                                   the most serious. With
                                                                                                                     this heat illness, the
      bad thing, the most serious heat-related illness, heat stroke,      helping Someone elSe
                                                                                                                     body is unable to          By allecia vermillion
      can cause brain damage, organ failure and even death. That’s           To make sure you stay safe,             cool itself off, and
      why it’s extremely important to know the signs of heat-related      Mellick recommends using the               emergency treatment            Hot summer weather can be uncom-                    have air conditioning, sultry nights can                encourage dehydration.
      illness and have a plan for what you’ll do if you start to feel     buddy system. Have someone who             is required. If you see    fortable for adults, and even moreso for                interfere with sleep and make children                     If your home doesn’t have air con-
      overheated.                                                         will watch to see if you’re becoming       these signs and            kids. Children’s body surface area makes                cranky and uncomfortable. Below are                     ditioning, the library is a great place to
                                                                          adversely affected by the heat, and        symptoms in someone,       up a much greater portion of their over-                some simple ways to help your family stay               escape the hot temperatures. Movie the-
      Be prepared to perSpire                                             vice versa. If you’re at home during       call 911 immediately.      all weight than adults, according to Texas              cool in the sizzling summer months.                     aters, malls or local community centers
         “If you know you’re going to be out in the heat—if you’re        a heat wave, check in with a friend         Hot, dry skin            Children’s Hospital. Because of this, chil-                Have kids drink one or two glasses                   should also offer air conditioning and a
      going to an event of some kind where you can’t avoid heat           or family member a couple of times         or profuse sweating        dren are more susceptible to dehydration                of cold water an hour before going out-                 place to relax for a few hours.
      exposure—plan accordingly,” Mellick says. “Plan replacement         a day, just to be sure all is well.         Hallucinations           and other heat-related illnesses.                       side to play. The colder the water, the                    Set up a fan near your child’s bed and
      fluids, plan how to keep yourself cool, know where the nearest         If you see people who are get-           Chills                       Many kids spend summer months in                    faster it absorbs. Avoid giving kids soft               give kids a washcloth soaked in lukewarm
      air conditioning is and dress appropriately with light clothing.”   ting overheated, get them into the          Throbbing headache       sports leagues, or simply playing outside               drinks, fruit juice, and other caffein-                 water to sponge down their arms, legs and
                                                                          shade, if possible, and start doing         High body                in the hot sun. And if your home doesn’t                ated or carbonated beverages, which can                 forehead at bedtime.
                                                                                                                     temperature
        Also, keep these tips in mind:                                    whatever you can to cool them off—
                                                                                                                      Confusion/dizziness
       Pay attention to the weather reports.                             spray them with water, put them
       Drink plenty of cool water.                                       under a fan, and place ice packs            Slurred speech            5 griLLed veggies your kids wiLL Love
                                                                                                                                      SouRCE:
       Carry a portable fan, and have one in your home if you            under their armpits and around
      don’t have an air conditioner.
       Avoid caffeine and alcohol, which dehydrate you.
                                                                          major blood vessels. If they exhibit
                                                                          the signs of heat stroke, call 911
                                                                                                                                 CENTERS FoR
                                                                                                                             DISEASE CoNTRoL
                                                                                                                              AND PREVENTIoN
                                                                                                                                                 there’s something about the grilling process that transforms
                                                                                                                                                 vegetables from dinnertime foe to a completely different, even
                                                                                                                                                 enjoyable food. sweeter vegetables, with their higher sugar con-
                                                                                                                                                                                                                                  3  corn on the cob: this is a classic kid’s dish and for good reason. Corn is
                                                                                                                                                                                                                                     light, sweet and more fun to eat when it’s still on the cob. plus it responds
                                                                                                                                                                                                                                  beautifully to the grill.
       Avoid direct sunlight.                                            right away.                                                            tent, get slightly caramelized over the flames, while just about
                                                                                                                                                 any vegetable tastes better with that hint of smoky flavor off
                                                                                                                                                 the grill. here are a few kid-friendly favorites.
                                                                                                                                                                                                                                  4   Summer squash: another sweet vegetable with flavors that are ampli-
                                                                                                                                                                                                                                      fied on a barbecue. the heat (and a coating of olive oil) also softens up
                                                                                                                                                                                                                                  squash’s texture, making it friendlier to younger palates. plus, it comes in
         It’s also important to pace yourself and take the time to        Know your riSK
      acclimate to the warmer weather. “Don’t push things and
      don’t rush it, but get out there and get your body exposed to
                                                                             Above all, be realistic about how damaging hot weather
                                                                          can be, and make sure you’re prepared for it. “Be aware and
                                                                                                                                                 1 portobello mushrooms: even kids who are averse to mushrooms embrace
                                                                                                                                                   a portobello off the grill, where it becomes more like a steak and less like
                                                                                                                                                 a mushroom. a little melted cheese helps too.
                                                                                                                                                                                                                                  some fun and unusual shapes.

                                                                                                                                                                                                                                  5   carrots: that dinnertime standby gets a lot more interesting with a bit
                                                                                                                                                                                                                                      of char—its crunchy texture converted to soft sweetness thanks to car-

                                                                                                                                                 2
      the heat,” Mellick says. Getting used to the heat gradually will    thinking about risk for heat injury,” Mellick says. “If you’re not         zucchini: Comfortingly bland with a mild flavor and medium texture,          rots’ relatively high sugar content. Carrots’ relatively small shape makes
      help your body sweat more, which is an essential mechanism          thinking about it, you’re less likely to recognize it and take             zucchini’s natural sweetness gets amplified on the grill.                    them a great candidate for grilled kebabs.
      to keeping you cool.                                                steps to prevent it.”


28   summer 2011     C o m m u n i t y H e a lt H                                                                                                                                                                                                          C o m m u n i t y H e a lt H   summer 2011          29
      CroSSIng the LIne
              Is extreme exercIse rIght for you?
                                                                                                 how goIng the dIstance
                                                                                                 and pushIng the bounds
                                                                                                   of endurance affects
                                                                                                    your body and mInd
                                                                                                            by tracy Loope




          At 3 a.m., Paige Troelstrup round-
          ed the 77th mile, staring down at
          her exhausted feet as they continued to propel her deeper into the black
          California forest. As each foot pounded down, she repeated to herself, “I’m going
          wwto finish this thing.”
             Twenty-eight hours after standing at the starting line, Troelstrup, a 29-year-old
          legal assistant from Chicago, finished the Rio Del Lago 100 Miler, a 100-mile
          ultramarathon in Sacramento, Calif.




30   summer 2011   C o m m u n i t y H e a lt H                                                            C o m m u n i t y H e a lt H   summer 2011   31
          First, she felt the “biggest sense of accomplishment         women, according to Dr. Pauline Powers, a professor of          the mental side
      one can possibly imagine,” Troelstrup recalls. Then, a           psychiatry and behavior medicine at the University of           For most long-distance runners, training and competing
      “wave of complete exhaustion” overwhelmed her. Finally,          South Florida, in a LiveStrong.com article.                     makes them feel good.
      she dealt with all the stuff that hurt, such as lost toenails.       However, easing into a vigorous training program can            “It’s a good way to mentally and physically challenge
      But despite accomplishing a huge feat, Troelstrup doesn’t        relieve some bone and muscle stress. Most often, running        your body,” Matsushita says. “I don’t know any other thing
      find the finish all that extraordinary.                          coach Forsman trains beginner runners for half mara-            that’s so achievable ... all you really need is a pair of shoes.”
          “I think anyone can do an ultramarathon if they want         thons—the fastest-growing race distance.                            But too much exercise can make you sick, according
      to,” Troelstrup says.                                                “Most people can get in the kind of shape to complete a     to Powers and Ron Thompson, a psychologist in private
          In 1998, 15,000 adventure-seekers finished an ul-            half marathon in about three months,” Forsman says.             practice, who co-authored The Exercise Balance:
      tramarathon (commonly called an “ultra”). In 2010, the               His beginner clients run three times a week and cross-      What’s Too Much, What’s Too Little, and What’s Just
      number of people who finished an ultra spiked to 46,000.         train two days week by swimming or working out on an            Right for You!
          An ultramarathon is any sporting event in which              elliptical machine.                                                 “Compulsive exercisers are like addicts, and become
      participants run a longer distance than the traditional              Running engages virtually every physiology system in        anxious and upset by skipping a workout,” according to
      marathon length of 26.2 miles, says John Medinger,               the body, Forsman says. Few exercises are better for losing     The Exercise Balance.
      publisher of UltraRunning magazine, who has completed            weight and building cardiovascular endurance.                       But how do you know if you’re simply embracing fit-
      more than 100 ultras.                                                Weight-bearing exercises like running are also great        ness or overdoing it?
          Ultra runners seek adventure and challenge, Medinger         for the bones, says Dr. J. Martin Leland III, assistant             In their book, Powers and Thompson use “ultra-endur-
      explains. Most often, people run a road marathon or two,         professor of orthopedic surgery and sports medicine at          ance sports” as prime examples of overexercising. For ex-
      and sign up for an ultramarathon as the next challenge.          the University of Chicago Medical Center. Each time             ample, they discuss the grueling Badwater Ultramarathon,
      Then they get hooked.                                            a runner hits the ground, microfractures form in the            a race that not only wears on your body but also takes time
          If road marathons are the pipeline to ultras, then this      bones. These minute fractures heal quickly and actually         away from work, relationships and other interests. Yet, for
      community will continue to expand because more people            strengthen the bones.                                           runners like Troelstrup, training just becomes part of their
      than ever before are running road marathons. In 2000,                However, overexertion can turn these microfractures         daily routine.
      299,000 Americans completed a marathon, according to             into stress fractures. To prevent stress fractures, Leland          “It’s not that hard (to fit training in),” says Troelstrup,
      MarathonGuide.com. In 2010, 468,000 people crossed               recommends, regardless of your running background, to           who runs before work at 5 a.m. with her fiancé along
      the 26.2-mile finish line.                                       not increase your mileage more than 10 percent per week.        Lake Michigan.
          People run for a variety of reasons, extending beyond            “You’re going to destroy your body if you don’t (increase
      weight loss and fitness, says Matt Forsman, a personal           mileage) slowly,” Leland emphasizes.
      running coach who owns and operates Marathon Matt in                 Most often, stress fractures affect runners’ shins, feet
      San Francisco. As marathon participation continues to            and heels, Leland says. To treat stress fractures, Leland
                                                                                                                                                                                                            “i don’t know any other
      increase, people are going the distance for more personal        puts runners on crutches to keep them off their feet for six
      reasons, such as raising money for charity; finding inspi-       or more weeks. Runners who can walk without pain can
                                                                                                                                                                                                           thing that’s so achievable
      ration or encouragement; managing job, family or rela-           start jogging, and slowly rebuild their mileage.
      tionship stress; or dealing with an emotionally traumatic            Angela Matsushita, a 23-year-old consultant from New
                                                                                                                                                                                                             ... all you really need
      event.                                                           York City, feared she developed a stress fracture in her foot
          While the benefits of cardiovascular activity are well       while training for her first marathon last summer.                                                                                     is a pair of shoes.”
      documented, all this fast footwork makes one wonder                  “I was really smart about listening to my body if I had
      whether it can become too much of a good thing.                  any aches and pains,” Matsushita says.                                                                                                   angeLa maTSuShITa,
                                                                                                                                                                                                                   maraThoner
                                                                           When the top of her foot started hurting, Matsushita
      the Physical side                                                backed off running and rested. She kicked up her train-
      When you pound 100 miles of pavement, your body is               ing again when she felt better. Her diligence paid off: She
      bound to hurt. Too much exercise can cause stress frac-          finished the ING Miami Marathon in January in about
      tures, musculoskeletal injuries, cardiovascular complica-        three hours and 20 minutes, placing third in her division
      tions, and problems with menstruation and bone loss in           and 25th among the women.




32   summer 2011    C o m m u n i t y H e a lt H                                                                                                                                                                C o m m u n i t y H e a lt H   summer 2011   33
      the Fitness Balance                                            the elliptical machine. When Spiker stepped into the corral
      When Ted Spiker, a journalism professor and health and         on race day, he still wondered if he could do it. But when
      fitness writer from Gainesville, Fla., signed up for the ING   the gun went off, he just went. About six and a half hours
      New York City Marathon, he knew he needed a balanced           later, Spiker crossed the finish line.
      training plan.                                                     “I got into better shape because of it,” he says. But, “it’s
          Running a marathon had always been in the back             really not about that. It’s about finding out about yourself
      of his mind, Spiker says. In fact, he twice signed up for      and what you can do.”
      the Disney Marathon in Orlando, started training and               While both positive and negative health effects exist for
      backed out.                                                    everyday people doing extraordinary fitness routines, find-
          For the New York City race, he created a conservative      ing your fitness balance remains the key to success.
      training plan and told the world about it through a Run-           People train and compete for different reasons—from
      nersWorld.com blog The Marathon Virgin. Having some            a thirst for adventure, desire to finish first or just to finish
      public accountability made a big difference.                   what they started. Whatever your reason, going the dis-
          To get him to the starting line, Spiker ran three days a   tance may help you discover your true physical, mental and
      week and played basketball, lifted weights or worked on        emotional potential.



                                                                            Think Before you register
                                                                            what you need to know before singing up
                                                                            for a long-distance running event

                                                                            if you think you’re ready to take your fitness to the
                                                                            next level, consider signing up for an upcoming race.
                                                                            But before you send in your registration materials,
                                                                            here are a few things to consider from marathon
                                                                                                                                        AD NAME: IndianaChiro_ai_0110_halfH
                                                                            running coach Matt forsman:                                 CREATED BY: provided; resized by EL
                                                                                                                                        LAST MODIFIED: December 13, 2010 9:15 AM CST
                                                                            •  spend six to nine months getting into a regular
                                                                            running routine. it takes time to get your body
                                                                            acclimated to the demands of running regularly.


                                                                            •  When you do sign up, go into it without lofty
                                                                            expectations of your time. Concentrate on covering the
                                                                            distance and frame your expectations conservatively.
                                                                                                                                                      To an orthopaedic surgeon,
                                                                                                                                                      a child is more than just a
                                                                            •  find a quality training program and schedule that                      small patient. Children have
                                                                            fits your needs, and stick to it best you can.                            special needs that call for
                                                                                                                                                      a special brand of care. For
                                                                            • respect recovery. about 30 to 45 minutes after a                        information on the newest
                                                                            run, consume something that has a 4-to-1 carbohydrate                     orthopaedic advancements,
                                                                            to protein ratio, such as chocolate milk or a turkey                      and the progress orthopaedic
                                                                            sandwich on whole-wheat bread. in addition, work                          surgeons are making treating
                                                                            your muscles out by stretching with a foam roller or                      serious pediatric conditions,
                                                                                                                                                      visit orthoinfo.org.
                                                                            taking an ice bath.


                                                                            •  have the proper equipment. specifically, get the
                                                                            right shoes. if you’re devoting most of your time to
                                                                            running, go to a specialty running store. though all
                                                                            you really need to run is a pair a shoes, good shoes
                                                                            make all the difference.




34   summer 2011    C o m m u n i t y H e a lt H
                                                                                                                                                                   For Molly Brown, stress was
      { jumping through hoops }                                                                                                                                    an inevitable part of the daily
                                                                                                                                                                   grind. Brown worked at a pub-
            A little workplace pressure can be a good thing, but too                                                                                               lic relations firm in Chicago in
                                                                                                                                                                   the early 2000s and says being
            much can affect your health and your work. Learn how                                                                                                   in her office was like walk-
            to deal with stress—and improve your career to boot                                                                                                    ing through a minefield. Even
                                                                                                                                                                   though she thought she had fin-
                     {       By Emily Schmitt        Illustration by Richard Belli   }                                                                            ished her work, her boss would
                                                                                                                                                                   always find some project that




                                                                                                    nes
                                                                                                                                                                   wasn’t done—though it was
                                                                                                                                 Special




                                                                                                 dli
                                                                                                          Loudmouth              Projects                          generally never assigned—and




                                                                                              Dea
                                                                                   Client s                                                                        explode with anger.
                                                                                   Meeting                   Boss     Increase               Worki
                                                                                                                                                  n
                                                                                                                       Sales                Weeke g    Se              “She imagined having conversations

                                                                         e enc
                                                                               e                                                                 nds   Resnd Out   that we never had, and she’d storm in
                                                                       nfar ls
                                                                     Co C l
                                                                                                                                                          umé
                                                                                                                                                              s    your office asking, ‘Why didn’t you get
                                                                                                                                                                   this done?’” Brown says.
                                                                                                                                                                       Brown, who now works as a writer
                                                                                                                                                                   in New York City, says the emotional
                                                                                                                                                                   and psychological stress she felt at work
                                                                                                                                                                   eventually spilled over and caused physi-
                                                                                                                                                                   cal problems. She had severe nightmares,
                                                                                                                                                                   started grinding her teeth, and developed
                                                                                                                                                                   insomnia and anxiety.
                                                                                                                                                                       “When you’re navigating a job like that,
                                                                                                                                                                   the stress level is insane,” Brown says.
                                                                                                                                                                       It’s nearly impossible to get through a
                                                                                                                                                                   day without hearing someone talk about
                                                                                                                                                                   stress. And for many Americans, the big-
                                                                                                                                                                   gest agitator in their life is work.
                                                                                                                                                                       Forty percent of workers say their job
                                                                                                                                                                   is stressful, and 25 percent list work as the
                                                                                                                                                                   top stressor in their lives, according to the
                                                                                                                                                                   National Institute for Occupational Safety
                                                                                                                                                                   and Health (NIOSH), part of the Centers
                                                                                                                                                                   for Disease Control and Prevention.
                                                                                                                                                                   NIOSH cites long hours, lack of support
                                                                                                                                                                   from co-workers and supervisors, and
                                                                                                                                                                   uncertain job expectations as just a few
                                                                                                                                                                   triggers of workplace stress.
                                                                                                                                                                       And while some stress at work can
                                                                                                                                                                   motivate employees and spur new ideas,
                                                                                                                                                                   too much unmanaged stress can cause
                                                                                                                                                                   serious health issues, such as high blood
                                                                                                                                                                   pressure, stomach problems and dam-
                                                                                                                                                                   aged relationships.



36   summer 2011   C o m m u n i t y H e a lt H                                                                                                                     C o m m u n i t y H e a lt H   summer 2011     37
                                                                                                                                                                                                                                                                                            tiPs For dealing
                                                                                                                                                                                                                                                                                            with a
                                                                                                                                                                                                                                                                                            Bad Boss
                                                                                                                                                                                                                                                                                            for many of us, work-
                                                          sense of economic security falls. In       process. People like to have clear guidelines                                                                                                                                          place stress is the result
                                                            2010, in the midst of a recession, 63    for what is expected of them, but they don’t                                                                                                                                           of dealing with a difficult
                                                              percent of workers said job security   like to be told how to do their jobs. When                                                                                                                                             supervisor. sharon arm-
                                                               was the most important aspect of      you don’t have control, it can make you feel                                                                                                                                           strong, a human resources
                                                               their job satisfaction, topping       devalued and unappreciated.                                                                                                                                                            consultant and career
                                                               pay and benefits, according to
                                                                                                                                                                                                                                                                                            counselor, offers tips
                                                                                                         Ultimately, it is important that bosses
                                                                                                                                                                                                                                                                                            on how to deal with
                                                               a Society for Human Resource          take the lead when they notice their
                                                                                                                                                                                                                                                                                            a bad boss.
                                                               Management report.                    employees are stressed out. A good leader
                                                                 “The major stressor, in the con-    will notice when the office temperature                                                                                                                                                           your boss imagines
                                                             text of all of that, is uncertainty,”   is rising and take action to diffuse the                                                                                                                                               assigning projects that were
                                                           Quick says, adding that information       situation.                                                                                                                                                                             never assigned.
                                                         gathering is the best way to manage             “A really key factor is whether the                                                                                                                                                solution: talk often about the
                                                      this insecurity.                               leadership is present or absent in the work-                                                                                                                                           work that has been assigned,
                                                          To put your mind at ease about lay-        place,” Quick says.                                                                                                                                                                    and be proactive about tell-
                                                      off rumors, Quick suggests talking to              Stress from a lack of good leadership                                                                                                                                              ing your boss the status of
                                                      your boss and reading published articles       is what led Bob Kazel to quit his job at a                                                                                                                                             those projects. let your boss
          It is also bad for the bottom line. Robin   about your industry. If your company has       Louisiana newspaper in the late ‘80s. Kazel,                                                                                                                                           know ahead of time if there are
      Throckmorton, president of Strategic            a library, find out how your specific work-    who has since moved to Chicago, says his                                                                                                                                               problems.
      HR Inc., says that while many managers          place has weathered past recessions.           boss would often disappear for hours in the
      encourage their employees to compete with           While some people’s stress stems from      middle of the day, leaving his employees to                                                                                                                                                        your boss
      each other because they think it will bring     job uncertainty, Crowley says something        scramble to get their work done. His boss’s                                                                                                                                            disappears for hours without
      better results, they could actually be creat-   as simple as the setup of your workspace       unpredictable anger left everyone in the                                                                                                                                               notice. solution: find out
      ing an inefficient workplace.                   can also be a contributor. Now that offices    office feeling on edge, and the work even-                                                                                                                                             how much your boss wants to
          “It’s definitely going to impact the pro-   have increasingly moved toward open            tually suffered as a result.                                                                                                                                                           be kept in the loop and how
      ductivity, which a lot of time employers        floor plans or cubicles, many workers feel         “We didn’t have a mentor in our office,”                                                                                                                                           much autonomy you have. then
      don’t realize,” Throckmorton says. “Some        upset by the lack of privacy or the inabil-    Kazel says. “Instead, the office had a very                                     tiPs For                                                                                               ask how they prefer to commu-
      employers think stress will motivate their                                                                                                                                     relieving              everyone reacts to stress in a unique
                                                                                               { }
                                                                                                                                                                                                                                                                                            nicate—e-mail or voicemail—and
      employees, but it decreases motivation                                                                                                                                         stress                 way. here are a few tools to help you                                           check in with them that way.
      and productivity.”                                                                                                                                                             at work                manage stress the next time you feel it.
          While stressful relationships have                                                                                                                                                                                                                                                           your boss is a micro-
      always been around, the rising number of        “We didn’t have a mentor in our office. Instead, the                                                                           IdentIfy the                  peaceful scene. Whatever      problem. An HR repre-                      manager. solution: give them
      women in the workplace has helped bring          office had a very fearful atmosphere, and probably                                                                            StreSSor                      method you choose, the        sentative is a good place                  as much information as they
      awareness to the problem, says Katherine                                                                                                                                       Whether it’s a boss, a        goal is to relax.             to start. You might also                   want, armstrong says. in time,
      Crowley, author of Working With You is          we did the minimum amount of work that we had to                                                                               co-worker or a deadline                                     reach out to co-workers.                   your boss will start to trust that
      Killing Me and co-founder of K Squared                do to prevent him from lashing out at us.”                                                                               you just can’t meet, the      SteP away
                                                                                                                                                                                                                   from your deSk
                                                                                                                                                                                                                                                 Oftentimes, they’re deal-                  you know how to do your work
      Enterprises, a workplace consultancy firm.                                                                                                                                     first step to reducing your                                 ing with the same issues,                  and that the right amount of
          “We [women] are very relational. We                                                                                                                                        stress is recognizing the     Even the simple act of        Scott says.                                work is going into it.
      need our relationships to work,” Crowley        ity to block out noise.                        fearful atmosphere, and probably we did                                         cause. If you don’t know      stepping away from your
      says. “Men are dealing with workplace               Crowley suggests hanging a “do not         the minimum amount of work that we had                                          the root of the prob-         workspace for a few min-      check In wIth                                          your boss doesn’t
      stress, too, but women are bringing it to       disturb” sign on your door or cubicle, and     to do to prevent him from lashing out at us.”                                   lem, you’re likely to take    utes can help you feel        your SuPervISor                            give you enough work. how to
      consciousness.”                                 using earplugs or an iPod to block out             Even though work can be a large part of                                     it personally, which can      less stressed out, says       This is especially impor-                  deal: Be proactive and find
          Jim Quick, a professor at The University    extraneous sound.                              what is causing your stress, it’s important                                     fuel a cycle of negativ-      Ginni Graham Scott,           tant if your boss is the                   work. ask other departments if
      of Texas at Arlington’s Goolsby Leadership          But stress doesn’t only come from out-     to remember that what you do outside of                                         ity. Once you’ve identified   whose books on work-          root of your problems or                   they need help, and create and
      Academy, says women are more aware of           side factors. Sometimes we bring the stress    the office can also affect your stress level                                    the cause of your stress,     place conflict can be         if stress is affecting your                present projects to your boss.
      the importance of relationships.                on ourselves by not vocalizing our needs.      at work. Quick says regular physical activ-                                     detach from it.               found on www.ginigraha-       ability to do your work.                   Don’t get sucked into the enti-
          “Women are designed, on average, to         This tends to happen when working in a         ity, maintaining good relationships and         photography By DreaMstiMe.CoM
                                                                                                                                                                                                                   mscott.com. “Get out of       But come prepared with                     tlement of not having to work,
      relate better, attach better and connect        team, especially if you don’t object when      seeking quiet time each day are all ways to                                     PractIce Self-talk            the situation. Take a walk,   constructive advice and                    which can make you disen-
      better with other human beings, so I think      the bulk of the work is passed on to you.      keep your stress level low. Finally, it helps                                   Instead of getting            a bathroom break—some-        suggestions on how to                      gaged. even bitter. “you want
      that women are more sensitive to conflicts          “This is a case where you need to          to focus on things that are outside of your                                     steamed at your desk,         thing to break the feeling    work through your issues,                  to make sure you’re going into
      in the workplace,” Quick says.                  take responsibility for your role in that      work and create goals for the future.                                           send yourself positive,       of stress,” Scott says.       Scott says. Depending                      work with the mindset that
          Of course, this doesn’t mean that only      stressor,” Crowley says. “Then set a bound-        “You’ve got to have a dream or you’re                                       relaxing messages. Tell                                     on the type of communi-                    you’re there to contribute,”
      women are feeling stressed at work—             ary. The next time the work is passed to       dead,” Quick says. “For people in a chal-                                       yourself to calm down or      Seek SuPPort                  cation your boss prefers,                  armstrong says. “you’re getting
      stress doesn’t discriminate against             you, you give it back.”                        lenging workplace, that dream can be                                            think about things that       If it doesn’t make you        you can draft an e-mail                    paid to work for eight hours a
      gender or industry. But it does tend to             Another common stressor for workers is     something that will keep them going and                                         make you happy. It might      feel uncomfortable, talk      or create a list of talking                day, so you might have to
      rise when the economy is bad or people’s        a perceived lack of control over their work    looking forward to the future.”                                                 even help to imagine a        to someone about your         points for a meeting.                      get creative.”


38   summer 2011      C o m m u n i t y H e a lt H                                                                                                                                                                                                                             C o m m u n i t y H e a lt H   summer 2011   39
                                                                                                                                  It’S IN dIffICuLt tImES thAt dArWIN’S “SurvIvAL Of thE fIttESt” thEOry IS
                                                                                                                                  truLy tEStEd. tAkE INdEpENdENt NEIghbOrhOOd phArmACIES, fOr ExAm-
                                                                                                                                  pLE. dArWIN mIght LOOk At thAt INduStry’S SItuAtION—ONE IN WhICh
                                                                                                                                  gIANt NAtIONAL rEtAILErS ArE pOppINg up ON ALmOSt EvEry COrNEr—
                                                                                                                                  ANd ExpECt thE bAd ECONOmy tO bE thE fINAL StrAW fOr thE LIttLE guy.
                                                                                                                                       But a funny thing happened to these
                                                                                                                                  neighborhood pharmacies during the
                                                                                                                                  recent economic downturn. From 2000 to
                                                                                                                                  2008—before the financial crisis hit—the
                                                                                                                                  number of independent pharmacies in the
                                                                                                                                  U.S. declined about 9 percent to 22,728,
                                                                                                                                  according to the National Community
                                                                                                                                  Pharmacists Association. But in 2009,
                                                                                                                                  during the worst of the recession, the
                                                                                                                                  number of neighborhood pharmacies
                                                                                                                                  grew to 23,117. So while most businesses
                                                                                                                                                                                             what to ask your Pharmacist
                                                                                                                                  were suffering, the neighborhood phar-
                                                                                                                                                                                             Pharmacists can offer a wealth of knowledge about
                                                                                                                                  macy business actually stabilized.                         the prescriptions they dispense. Before you take your
                                                                                                                                      Though many independent pharma-                        first dose, make sure you’re clear on what you’re taking,
                                                                                                                                  cies have crumbled under the pressure                      why you’re taking it and how to take it. Here are some
                                                                                                                                  of big-box retailers, such as Walgreens,                   questions to consider:
                                                                                                                                  CVS, Walmart and Target, many still                          Why am i taking the medication?
                                                                                                                                                                                              	
                                                                                                                                  exist—and are thriving. So what’s their                     	 their negative interactions with other medications?
                                                                                                                                                                                               are
                                                                                                                                  secret? It likely has something to do with                   When should i take the medication?
                                                                                                                                                                                              	
                                                                                                                                  the personal touch and connections that                      how long should i take the medication?
                                                                                                                                                                                              	
                                                                                                                                  are forged over the neighborhood phar-                       What is the appropriate dose?
                                                                                                                                                                                              	
                                                                                                                                  macy counter. The big guys might know                       	 i take the medication on an empty stomach or with food?
                                                                                                                                                                                                Do
                                                                                                                                  how to undercut prices, but the little guys                 	What side effects could i experience?
                                                                                                                                                                                                                                                          ion?
                                                                                                                                                                                              	should i avoid any foods or drinks while using the medicat
                                                                                                                                  know you.
                                                                                                                                                                                              	 i drink alcohol while taking
                                                                                                                                                                                                Can                             the medication?




                                                  MaiN photogrraphy By stephaNie Cotta; aDDitoNal photography By DreaMstiMe.CoM
                                                                                                                                      Although it’s a nice perk, a friendly
                                                                                                                                                                                              	how should i store the medication?
                                                                                                                                  greeting isn’t all that community phar-
                                                                                                                                                                                              	 there any chance i could become dependent or addicted?
                                                                                                                                                                                                is
                                                                                                                                  macists provide. They’re also some of the                   sourCe: CaNaDiaN pharMaCists assoCiatioN
                                                                                                                                  most accessible health care professionals




      the right
                                                                                                                                  around, and finding a good one could be,
                                                                                                                                  quite literally, the difference between life
                                                                                                                                  and death.
                                                                                                                                      This was the case for Richard Sutton,
                                                                                                                                  who relies on North Shore Pharmacy in




      PrescriPtion
                                                                                                                                  Huntington, N.Y. When Sutton and his
                                                                                                                                  wife grew concerned about the number of        for sundries, we would never consider             businesses increase their presence. What
                                                                                                                                  medications their doctor had prescribed,       moving our prescriptions any where                sets local pharmacies apart is their conti-
                                                                                                                                  they took their questions to their phar-       else. The personal service, including             nuity of care, says Ernie Gates, president
                                                                                                                                  macist. He warned them that there was a        sending our medications to us if we’re            of Gates Healthcare Associates, a pharma-
       THouGH BIG-Box ReTAIleRS looM                                                                                              severe negative interaction between two
                                                                                                                                  of the medicines.
                                                                                                                                                                                 on the road, is reassuring. We’re very
                                                                                                                                                                                 grateful for the attention we receive.”
                                                                                                                                                                                                                                   ceutical and health care consulting firm.
                                                                                                                                                                                                                                       “Patients are speaking to the same
       lARGe, NeIGHBoRHooD PHARMACIeS’                                                                                                Since then, Sutton’s been sold on the
                                                                                                                                  services of his community pharmacy.
                                                                                                                                                                                                                                   pharmacist at an independent [phar-
                                                                                                                                                                                                                                   macy] most of the time,” says Gates, who
       eMPHASIS oN CuSToMeR SeRVICe                                                                                                   “[The pharmacists] are often bet-          servIce seLLs                                     ran his own pharmacy in Massachusetts
       keePS THeM VITAl oN THe HeAlTH                                                                                             ter informed than the doctors who write
                                                                                                                                  the [prescriptions],” he says. “While we
                                                                                                                                                                                 It’s this personalized service that helps
                                                                                                                                                                                 independent pharmacies stand out, even
                                                                                                                                                                                                                                   for 17 years. “The owners are able to main-
                                                                                                                                                                                                                                   tain an active, local presence.”
       CARe lANDSCAPe By haley shaPley                                                                                            may stop at a large, discount drugstore        as mass retail behemoths and mail-order               Brett Williams, who has owned and


40   summer 2011   C o m m u n i t y H e a lt H                                                                                                                                                                                      C o m m u n i t y H e a lt H   summer 2011   41
                                                                                                         increased its visibility while retaining a
      Price vs. service                                                                                  loyal customer base.
      in today’s tough economic                                                                             “People know us. They know what we
                                                                                                         do for them,” says Seamus Kloos, pharma-
      climate, cost matters more than
                                                                                                         cist and co-owner of Moody Healthmart.
      ever to consumers—but service
                                                                                                         “They know if it’s an emergency, they can
      still trumps all. a 2010 study                                                                     call us at home or on our cell phones, and
      from J.D. power and associates                                                                     we’ll go in after the store is closed.”
      found that cost competitiveness
      accounts for 24 percent of
      overall satisfaction among                                                                         do they have
      customers of brick-and-mortar                                                                      stayIng power?
      establishments (compared to 10                                                                     There are, of course, challenges to being
      percent in 2009) and for 41 percent of satisfaction among                                          the little guy. While many chain stores
      mail-order customers (compared to 19 percent in 2009).                                             offer groceries and household items,
        “Consumers are spending more on health care expenses                                             independent pharmacies typically have
                                                                                                         a much smaller product range. Also, the
      in general due to various employer-implemented changes in
                                                                                                         hours are often shorter—few neighbor-
      insurance coverage,” said Jim Dougherty, director of the health
                                                                                                         hood pharmacies can compete with the
      care practice at J.D. power and associates, in a press release.
                                                                                                         convenience of chains’ 24-hour locations.
     “high-performing pharmacies aren’t necessarily those with the                                          But neighborhood pharmacies can
      lowest prices. rather, pharmacies that are focused on service                                      generally compete where it really mat-
      garner the highest levels of satisfaction.”                                                        ters—at the cash register. In most cases,
                                                                                                         people who frequent smaller pharma-
      operated the Williams Community                    compounding, or altering medications for        cies will pay prices comparable to those
      Pharmacies in the St. Louis area since             a patient’s comfort and/or safety.              at bigger stores, and patients with insur-
      1982, is definitely familiar with the ben-            Sometimes, patients have unique needs        ance will have the same co-pay no matter
      efits of this kind of care. He took over the       when it comes to medicine, so they can’t        where they go.
      original Williams location from his father,        take products as they’re originally man-           “People should know that indepen-
      who was also a pharmacist.                         ufactured. Children, for example, may           dent community pharmacies are always
          “We all really care about our patients.        need only 0.2 milligrams of a medicine          competitive price-wise, and it’s the ser-
      We know them by name, we know their                that’s available commercially in dosages        vice that really sets us apart,” Kloos says.
      children, we know what’s going on in their         starting at 1 milligram. Compounding               If a patient comes in and is concerned
      family—we’re part of their family,” Williams       pharmacists can safely make this altera-        about the price of a prescription, Kloos
      says. “It’s like you’re going to your uncle, and   tion. They can also make a solid medicine       will personally call his or her doctor to         Heart Surgeon
      your uncle’s going to take care of you.”           into a liquid for people who aren’t able to     see if there’s a less-expensive medication
          At mass retailer pharmacies, pharma-           swallow pills or create a medicine without      available.
      cists are often so overworked they can’t           preservatives, which can trigger allergies.        “We’re in the unique position of being             You don’t have to be a heart surgeon to cure
      provide the same level of care and service,           Though many neighborhood pharma-             the first health care professional a lot of
                                                                                                                                                               heart disease—just a parent with a new reason
      Williams says. Local pharmacies offer              cies employ compounding pharmacists             people talk to, which makes us very valu-
      perks like charge accounts, delivery ser-          to safely alter medications for patients,       able,” Kloos says. “We make a difference              to deliver a lifesaving message. American
      vices and custom drug alterations, known           chain pharmacies generally don’t have the       every day in the quality of [patients’] lives.”       Heart Association advocates are part of a
      as compounding.                                    equipment to provide this service, accord-         Penny candy on the counter may have                nationwide network of people dedicated to
          “With therapies becoming more potent           ing to www.WellnessHealth.com.                  gone the way of the horse and buggy, but
                                                                                                                                                               finding a cure for heart disease. They contact
      and more people being treated in their                Another benefit mom-and-pop phar-            the mom-and-pop pharmacy endures.
      homes, it’s all the more important to              macies bring to the table is their strong       Every city seems to have one, and these               legislators to ask for more funding for medical
      have a pharmacist looking out for you,”            community presence. Moody Healthmart            independent retailers aren’t disappear-               innovations, paving the way for lifesaving
      Williams says.                                     in Sparta, Ill., is spearheading efforts to     ing any time soon—which is a good thing,              medical advances like new drugs to control
                                                         help revitalize the local economy. When it      given the complexity of prescription
                                                                                                                                                               high blood pressure and lower cholesterol, and
                                                         came time to grow the business last year,       drugs today.
      the extra touches                                  they decided to build a brand new store on         Neighborhood pharmacies fill an                    advances in surgery to treat congenital heart
      Besides the relationships that are forged          the main downtown intersection. It was          important niche in the modern health care             disease. Join us and you too can save lives
      at neighborhood pharmacies, there are              a gamble, but they feel like it’s paying off.   system. A friendly face and a watchful eye            from the nation’s No. 1 killer—heart disease.
      many other benefits that keep the stores           Although Sparta’s downtown area is still        behind the counter may not be written on
      from being forced out of business by larger        a work in progress, it’s now poised for fur-    the prescription, but in many locations, it’s         Heart Disease. You’re the Cure.
      retailers. One of the most notable perks is        ther development, and the pharmacy has          just what the doctor ordered.                         www.americanheart.org/yourethecure


42   summer 2011       C o m m u n i t y H e a lt H
                                                                              Red Wine
                                                                              Down too many glasses of wine, and you’re
                                                                              ingesting hundreds of extra calories and
                                                                              facing a guaranteed headache the next
                                                                              morning. But studies suggest a glass or
                                                                              two on a regular basis could lower your
                                                                              risk of heart disease.
                                                                                 When it comes to drinking wine for
                                                                              health, however, there are a few caveats.
                                                                                 “[The wine] has to be red,” says Marilyn
                                                                              Tanner-Blasiar, a spokeswoman for the
                                                                              American Dietetic Association.
                                                                                 The antioxidants in red wine, known
                                                                              as flavonoids, may help lower your levels
                                                                              of LDL, or “bad,” cholesterol and increase
                                                                              your HDL, or “good,” cholesterol.
                                                                                 Studies say the optimal amount to con-
                                                                              sume is one drink a day for women, and
                                                                              one to two drinks a day for men. According
                                                                              to the Mayo Clinic, the limit for men is
                                                                              higher because they are generally heavier
                                                                              and have more of an enzyme that helps
          Sometimes, being bad can be                                         them metabolize alcohol. A serving, by
                                                                              the way, is just 4 ounces.
        so good (for you). From chocolate
      to sun worshipping, learn the hidden
       health benefits of your worst habits                                   Coffee
                      By Allecia            Vermillion                        Most people can’t get their eyes open with-
                                                                              out their morning cup of Joe, but coffee can
                     i llustr ati o n by Jam e S Ste in B e rg                do much more than just keep you awake. A
      You’d be hard-pressed to find a doctor who will                         variety of studies suggest drinking multiple
                                                                              cups of coffee throughout the day—perhaps
      tell you that downing an entire bottle of wine in                       even decaf—can decrease your risk of type 2
      one sitting is good for you. Ditto for lying out in                     diabetes, heart disease and stroke. Research
      the sun all afternoon or inhaling a bag of Dove                         out of Harvard suggests the caffeine in
      chocolates. But that doesn’t mean you have to                           coffee plays a role in fighting Parkinson’s
      kiss your favorite indulgences goodbye. It turns                        disease, liver cancer and even gallstones.
      out, giving in to your so-called vices every so                         Plus, if (in the interests of heart health, of
                                                                              course) you drank a little too much red wine
      often might not be such a bad thing after all.                          last night, caffeine is a great cure for head-
          “Research has shown us that a number of things, which we may        aches, Tanner-Blasiar says.
      feel guilty about, are actually quite good for us if used in mod-          But keep in mind that while coffee is
      eration,” says Patricia Farrell, a clinical psychiatrist and author     naturally low in calories and has zero fat,
      of It’s Not All in Your Head: Anxiety, Depression, Mood Swings          loading it with cream, sugar, whipped
      and Multiple Sclerosis.                                                 cream, flavored syrups and whatever else
          Of course, the key word here is moderation. Regularly eat-          coffeehouses throw at you isn’t doing you
      ing fattening food or spending too much time parked on the              any favors.
      couch can throw your health—and your life—out of balance.
      Ultimately, having good health isn’t about depriving yourself
      of the “bad” things you really love. It’s about learning to enjoy
                                                                                 Fast Fact if coffee is your
                                                                                vice of choice, you aren’t alone.
      them prudently, so you’ll actually appreciate them more.                  according to the harvard school
          In other words, in sma ll doses, being bad can                          of public health, 54 percent
      be quite good for you. Feel free to savor these nine                         of american adults drink
      g u i lt y ple a su r e s a nd t hei r he a lt hy side e f fe c t s .             coffee every day.


44   summer 2011      C o m m u n i t y H e a lt H                             C o m m u n i t y H e a lt H   summer 2011      45
                                                                                                        and again. Most adults need seven to nine
                                                                                                                                                                                           their mental outlook and physical health,
                                                                                                                                                                                           Farrell says.
                                                                                                                                                                                                                                           7 Foods                        that seem healthy
                                                                                                                                                                                                                                                                          but really aren’t
                                                                                                        hours of sleep per night, but very few actu-                                          When you plan your big night out,            Making positive food choices can sometimes
                                                                                                        ally get it. Consistently depriving yourself                                       your best bet might be to round up some         lead you into a minefield of artificial sweeteners
                                                                                                        of sleep can have short-term consequences,                                         friends with a good sense of humor. One         and hidden calories. Here are some items that
                                                                                                        such as impaired judgment, reduced mem-                                            small Vanderbilt University study found         appear virtuous—until you take a closer look.
                                                                                                        ory function and slower reaction time. A                                           that 10 to 15 minutes of hearty laughter
                                                                                                        night of insufficient sleep can also tem-                                          burned 50 calories.                                                                croutons and a hefty
                                                                                                        porarily increase blood pressure, which is                                                                                                                            drizzling of creamy ranch

                                                                                                                                                                                           Feeling Romantic
                                                                                                        especially problematic for people at risk of                                                                                                                          dressing? Not so much.
                                                                                                        heart disease.


                                                                                                                                                                                                                                                                              4. 
                                                                                                            As if being tired isn’t bad enough, multi-                                                                                                                              frozen meals
                                                                                                        ple studies have recently established a link                                       Sex offers a host of physical benefits—                                                  These convenience
                                                                                                        between insufficient sleep and weight gain.                                        aside from the obvious—says Daniel                                                 foods preach healthy
                                                                                                        Not getting enough sleep is now considered                                         Crosby, an Alabama-based corporate                                                 eating and portion control,
                                                                                                        a risk factor for obesity, just like overeat-                                      psychologist. It relieves stress, reduces                                          but they’re often loaded
                                                                                                        ing and a sedentary lifestyle, according to                                        blood pressure and boosts your antibody                                            with salt.
                                                                                                        the Division of Sleep Medicine at Harvard                                          levels, which can keep you from getting


                                                                                                                                                                                                                                                                              5. 
                                                                                                        Medical School.                                                                    sick. For men, regular orgasm lowers the
                                                                                                                                                                                           risk of prostate cancer, and twice-weekly
                                                                                                                                                                                                                                           1.   Diet soDa  The
                                                                                                                                                                                                                                                nutrition label may
                                                                                                                                                                                                                                                                                     yogurt  Certain
                                                                                                                                                                                                                                                                                     brands of this

                                                                                                        Chocolate
                                                                                                                                                                                           sex might cut the risk of heart attack by                                          virtuous dairy snack are
                                                                                                                                                                                                                                           entice you by promising
                                                                                                                                                                                           as much as half. By this point, it should                                          high in sugar. Steer clear
                                                                                                                                                                                                                                           zero calories, but soda
                                                                                                                                                                                           come as no surprise that intercourse also                                          of fruit-filled and candy
                                                                                                                                                                                                                                           drinkers (including the
                                                                                                        Not that you need another reason to reach                                          burns calories—an estimated four to six                                            varieties. Your best bet is
                                                                                                                                                                                                                                           diet soda faithful) are
                                                                                                        for the sweet stuff, but certain kinds of choc-                                    per minute, depending on the intensity.                                            plain or Greek yogurt.
                                                                                                                                                                                                                                           more likely to develop a
                                                                                                        olate might actually have health benefits.                                            In addition to the physical boost, love
                                                                                                                                                                                                                                           cluster of risk factors for
                                                                                                            A 2005 study, conducted in part by the                                         and intimacy can provide mental and
                                                                                                                                                                                                                                           diabetes and heart disease
                                                                                                        Hershey Company, indicated that natural                                            emotional health benefits, as well. An inti-
                                                                                                                                                                                                                                           known as metabolic

      Goofing Off                                       rays, but a great deal of research suggests
                                                        you might actually need to spend some time
                                                        outdoors, says Dr. Steve Ilardi, a professor
                                                                                                        cocoa contains healthy flavonoids similar
                                                                                                        to those in red wine. But again, these find-
                                                                                                        ings aren’t an excuse to double down on
                                                                                                                                                                                           mate relationship “serves as a safety net
                                                                                                                                                                                           and a place of refuge that allows people to
                                                                                                                                                                                           be adventurous and creative,” Crosby says.
                                                                                                                                                                                                                                           syndrome.


      Most adults feel guilty setting aside the obli-   of psychology at the University of Kansas       fudge sauce and M&Ms. To prevent weight
                                                                                                                                                                                                                                           2.    any type of  
                                                                                                                                                                                                                                                 faD Diet  Most

                                                                                                                                                                                           Full-Fat Food
      gations of work, family and life simply to        and author of The Depression Cure.              gain, stick to having no more than 1 ounce
                                                                                                                                                                                                                                           weight management
      have a little fun. As responsible adults, we         Regular sun exposure encourages your         of chocolate in a sitting.
                                                                                                                                                                                                                                           professionals will tell you
      think we must constantly focus on the “seri-      body to function better by helping regulate         A good rule of thumb is the darker
                                                                                                                                                                                                                                           that severely limiting the
      ous” stuff. However, there are physical and       sleep, appetite, energy and hormone levels.     the chocolate, the greater the benefits.                                           With the prevalence of low-fat, fat-free
                                                                                                                                                                                                                                           types of foods you eat will
      mental health benefits to spending a little          “All of those rhythms really depend on       Nowadays, it’s easy to find premium dark                                           and reduced-fat products in the grocery
                                                                                                                                                                                                                                           only make you crave them
      time daydreaming, playing video games or          direct exposure to sunlight,” Ilardi says.      chocolate in a variety of ranges—60 per-                                           aisles—plus, magazines and books touting
                                                                                                                                                                                                                                           more.

                                                                                                                                                                                                                                                                              6. 
      just having a good time.                          “When we’re deprived of sunlight, we can        cent, 85 percent, 90 percent and more.                                             low-fat diets—many people have a fear of                                                  Juice  Juices often
          “Any kind of activity that helps you laugh    actually experience depression.”                Those percentages tell you how much cocoa                                          full-fat foods. But nutrition researchers                                                 tout vitamin and
      and raises your level of joy—the immune              Sunlight is also a natural source of         is in the chocolate. In other words, they                                          are finding that full-fat dairy is partic-                                         mineral fortification,
      system directly responds to that,” says clin-     vitamin D, which helps your body absorb         show how “dark” it is.                                                             ularly beneficial, as it helps your body                                           but they can also pack
      ical psychiatrist Farrell.                        the calcium necessary for healthy bones.                                                                                           absorb fat-soluble vitamins, such as vita-                                         plenty of extra sugar

                                                                                                        Carousing
          Multiple studies have confirmed that          Although wearing sunscreen is good for                                                                                             min D, according to Tanner-Blasiar.                                                and calories. For the
      engaging in enjoyable pursuits helps              you, it blocks the body from absorbing                                                                                                 Although eating fat is essential for your                                      healthiest option, reach
      strengthen your immune system by boost-           vitamin D, and most Americans are now                                                                                              body to function properly, you should be                                           for a piece of real fruit.
      ing the number of infection-fighting              deficient. Just 5 to 15 minutes of direct       If a night out with your friends typically                                         selective about the fats you choose.


                                                                                                                                                                                                                                                                              7. 
      antibodies. One 2003 study out of Carnegie        exposure to the sun can have a positive         involves a half-dozen tequila shots and                                                “It’s not like we want you to eat the                                               low-fat fooDs 
                                                                                                                                                          photogrraphy By DreaMstiMe.CoM




      Mellon University even found that people          impact on your health, Ilardi says.             a chaser of midnight nachos, it’s proba-                                           gristle off your steak or go crazy over                                                 Keep in mind that
      with positive emotional states are less likely                                                    bly better to stay in. But spending some                                           fried chicken,” Tanner-Blasiar says. “And                                          when food manufacturers

                                                        Sleeping In
      to catch a cold.                                                                                  time cutting loose with a non-destructive                                          we still want you to avoid those trans fats                                        remove the fat from a
                                                                                                        evening on the town can help boost your                                            if at all possible.”


      Sunbathing                                        There’s nothing wrong with dragging your-
                                                                                                        mental state and improve the condition
                                                                                                        of your immune system.
                                                                                                                                                                                               If you want to incorporate fat into
                                                                                                                                                                                           your diet without feeling bad about it,
                                                                                                                                                                                                                                           3.   salaDs  For the
                                                                                                                                                                                                                                                record, salad can
                                                                                                                                                                                                                                           be wonderfully healthy.
                                                                                                                                                                                                                                                                              cookie, cracker or other
                                                                                                                                                                                                                                                                              packaged item, they
                                                                                                                                                                                                                                                                              usually replace it with
                                                        self out of bed early and tackling your to-do       Interacting with friends and loved                                             try to stick to so-called “healthy” fats,                                          sugar or sodium to fool
                                                                                                                                                                                                                                           Lettuce is good for you.
      For years, dermatologists have preached           list, but you shouldn’t feel guilty about       ones helps both healthy individuals and                                            such as nuts, avocadoes and fatty sea-                                             your taste buds.
                                                                                                                                                                                                                                           Bacon, cheese, fried
      against prolonged exposure to the sun’s           catching some extra shut-eye every now          people with chronic illness improve                                                food like salmon.


46   summer 2011       C o m m u n i t y H e a lt H                                                                                                                                                                                                                       m m m u t i y a lt H          summer 2011 47 47
                                                                                                                                                                                                                                                                      C oC om u n i n ytH eH e a l t Hsummer 2011
                                                 Advertisement




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Dr. Barnes    Dr. Cassone     Dr. Dorsch    Dr. Gatumu      Dr. Hsu         Dr. Kim      Dr. Kontir




     Dr. Nanjaiah     Dr. Parks      Dr. Pollock   Dr. Robertson      Dr. Syed    Dr. Woolcock

				
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