Discover Rush Spring 2014 by rushmedicalcenter


									  it’s how medicine should be
                                                   |   spring 2014

                                                                          T h e

                                         begin nings
                                                                          issu e
                              The beginning of Rush Medical College preceded the incorporation of the city of Chicago by two days.

                    At the beginning of life, humans have either blue or gray eyes. Permanent color isn’t set until a child is about one year old.

                            After the Great Chicago Fire of 1871, the city experienced a new beginning called “the Great Rebuilding.”

                          Beginning in 2004, sports medicine doctors from Rush began serving as team physicians for the Chicago Bulls.

     Chicago streets were designed on a grid, beginning in the Loop at the intersection of State (which runs north-south) and Madison (which runs east-west).

                          The CTA Blue line runs 24 hours a day, beginning at O’Hare International Airport and ending at Forest Park —
                                           stopping at the Illinois Medical District to drop off patients heading to Rush.
                                                                                A GREAT
                                                                                b eg i n n i ng
                                                                                A c r y, a b r e a t h — a n d s o i t b e g i n s

    A baby is born — wet and a little cold but hardwired to shift from the                                              first time. Mom’s milk hasn’t arrived yet, but her
                                                                                                                        breasts contain colostrum, which provides many
    warmth of mom’s womb to breathing, eating and thriving independently.
                                                                                                                        protective factors and all the nutrients and fluid a
    Newborns aren’t on their own, of course. In the           THOSE FIRST 20 MINUTES Most babies take                   newborn needs.
    first 20 minutes of life, they’re the center of a lot     their first breath just seconds after birth. “With that      Soon after delivery, the medical and nursing
    of attention. And according to Robert Kimura,             breath, the baby’s blood vessels open, and you sud-       staff is assessing not only baby’s breathing, but
    MD, a neonatologist at Rush University Medical            denly have blood flow to the lungs,” Kimura says.         heart rate, muscle tone, reflexes and skin color-
    Center, the attention babies get in the delivery          “The newborn is now taking in oxygen and getting          ing as well. The results — the Apgar score — tell
    room sets the stage for the rest of their lives. That’s   rid of carbon dioxide.”                                   doctors whether an infant needs additional medi-
    why Rush brought its labor and delivery, neonatal,           That exchange is key because every cell in the         cal attention. At five minutes old, most newborns
    and obstetrical surgery services together on one floor.   body needs oxygen. “If a baby doesn’t get enough          score above seven (out of 10), which means
                                                              oxygen, those cells can be injured,” Kimura says.         they’re adjusting well to life outside the womb.
                                                              “And that can mean a lifetime of problems, from              That’s the beginning every mother-to-be imag-
                          Robert Kimura, MD, is
                          a neonatologist who first            learning disabilities to cerebral palsy.” Fortunately,    ines, and it’s what happens for most full-term
                          envisioned the benefits of           most newborns begin breathing just fine.                  babies. However, for the small percentage born pre-
                          having the neonatal intensive          A baby’s first breath is quickly followed by a first   maturely or with a medical problem, doctors who
                          care unit near labor and            cuddle. Most full-term babies born at Rush are            specialize in treating newborns — neonatologists —
                          delivery more than                  snuggling on their mom’s chest within moments.            intervene. At Rush, that intervention takes place on
                          20 years ago.
                                                              This helps stabilize the baby’s temperature and           the eighth floor of Rush’s hospital, the Tower, in the
                                                              is also a chance for the baby to nurse for the            new, specially designed Rush Family Birth Center.


Ready to begin
On the eighth floor, you’ll find the following:
» The Renée Schine Crown Neonatal Intensive
                                                                                                         Easy as 1, 2, 3 ...
  Care Unit (NICU).                                                                                      Beginning the new year
» 10 individual labor and delivery suites, each
  with two neonatal stations for parents wel-
                                                                                                         with practical pledges
  coming more than one baby. The suites offer                                                            The new year is a great time to turn over a new leaf. But
  the best space for vulnerable babies: low                                                              transforming your good-intentioned New Year’s resolutions into
  lighting, quiet and privacy for families.                                                              healthy habits takes a strong strategy. Jason Ong, PhD, a clinical
» Newborns rooming in with their parents —                                                               psychologist at Rush University Medical Center, offers three
  for the very best beginnings.                                                                          pieces of advice for setting your goals:
» Neonatologists, 24/7, every day of the year.
  Rush was the first NICU in the Chicago area                                                                     Make your target tangible. “You can say you
  to have at least one neonatologist on-site at                                                            1      want to lose weight or decrease stress, but these
  all times. Other specialists on duty include                                                           are really concepts, not goals,” Ong says. “It’s hard to
  advanced practice neonatal nurses and NICU-                                                            gauge the progress of a concept.” However, if you say you
  trained respiration therapists.                                                                        want to lose 10 pounds in the next three months, you have
» 55 NICU beds.                                                                                          a realistic, concrete goal and a way to measure your success.

                                                                                                           2  your brain can be easier if you modify your envi-
                                                                                                                 Take control of your surroundings. Retraining

                                                                                                         ronment. Want to eat more fruits and vegetables? Have
                                                            obstetricians and                            some prepped for when you’re in a hurry or idly looking for
                                                            neonatologists at                            something to snack on. Have a weakness for the sweets
                                                    rush can help you have your                          in the office break room? Don’t linger after refilling your
                                                                                                         coffee cup.
                                                    own new beginning. Visit
                                                                                                           3  People who focus on putting tangible steps into
                                                                                                                 Remember it’s a journey, not a destination.

                                                                                                         practice do better than those who just fixate on the end
                                                                                                         goal. “When basketball players come to the line to make
 THE BEGINNING OF A NEW MODEL                       way, the dream-come-true space Kimura and            free throws, those who pay attention to mechanics make
 During the planning stage for the Tower, Kimura    his colleagues designed departs from a set-up        more shots than those who are only thinking about win-
 and his colleagues had a rare opportunity: to      that’s common in many hospitals, where the           ning the game,” Ong says.
 create the optimal obstetrics, labor and deliv-    NICU may be a few floors away — or even
                                                                                                                                  Jason Ong, PhD, specializes in
 ery, and neonatal intensive care unit (NICU)       across town.                                                                  addressing factors that interfere with
 facility. Based on their years of experience,         After delivery, families move across the sky                               sleep. He also works with the Rush
 that meant making sure the best staff and the      bridge to the mother-baby unit on the Atrium’s                                University Prevention Center, where
 most advanced equipment were together, in          eighth floor. Newly renovated suites offer privacy                            he promotes using mindfulness-
 close proximity.                                   for quality time together. “The mother-baby unit                              based techniques, such as relaxation
                                                                                                                                  and breathing exercises, to help
    On the Tower’s eighth floor, the center’s new   has space not only for babies and moms, but
                                                                                                                                  support lifestyle changes.
 labor and delivery rooms, with their large win-    also for dads, siblings and other family mem-
 dows, city views and natural light, have all the   bers,” says Kimura.
 necessities and amenities to support mothers          Kimura believes the Rush Family Birth Center
 during labor, including birthing balls, showers    is a model for the next generation of obstetric
 and help with pain management. And if a            and neonatal care in hospitals. “When people
 baby needs additional care, neonatologists,        see it, they often say, ‘Why isn’t everyone doing
 surgical operating rooms and the NICU are just     this?’” Kimura says. “Our hope is we’ll be cop-
 steps away. This provides the ready availability   ied. That would be a great compliment — but
 of needed staff in those unpredictable occa-       even better, it would mean more babies and
 sions when a baby needs help at birth. In this     moms receiving optimal care.”

                A brand-new start
                                     BREAST CANCER: FACING THE FEAR, THEN LETTING IT GO
                                        As a little girl, Karen Lewis lost four aunts to breast cancer. Karen was petrified that she would
                                         die as they had, and her fear grew with age.

                                             At 40, she had her first mammogram. After evaluating the findings and noting an abnormality, the radiologist recom-
                                             mended Karen return in six months. Instead of six months, Karen waited six years.

                                                  FINDING AN ALLY
                                                   “I thought if I did nothing, whatever it was would just go away,” Karen says. But after years of worrying, Karen dug deep
                                                    to find the strength to get another mammogram. In doing so, she laid the groundwork for beginning a new chapter in
                                                     her life. “I knew I had to take care of myself,” she says. The second mammogram revealed something suspicious, and
                                                      Karen’s anxieties skyrocketed. Finally, at the urging of a friend, Karen sought the help of Andrea Madrigrano, MD, a
                                                      breast cancer surgeon at Rush.
                                                                                                                                                           Andrea Madrigrano,
                                                       A biopsy confirmed Karen had an early form of breast cancer, ductal
                                                                                                                                                           MD, performs minimally
                                                       carcinoma in situ, in which abnormal cells appear in the milk ducts. Her                            invasive breast cancer
                                                        cancer had the potential to spread into her breast tissue and lymph                                surgery that spares
                                                            nodes, which is why treatment was crucial. “I was crying, but Dr.                              breast tissue. Her
                                                                Madrigrano touched my arm and said, ‘You are not going to die                              research interests
                                                                                                                                                           include preserving
                                                                   from this,’” Karen recalls. “She always made time for me. She
                                                                                                                                                           fertility during cancer
                                                                      made me feel like I was her only patient.”                                           treatments.

                                                                          TOUGH CHOICES
                                                                              Because Karen’s disease affected a large portion of her breast, Madrigrano recommended
                                                                                 a mastectomy. Karen then made a seemingly odd request: She asked Madrigrano to
                                                                                    remove both breasts.
                                                                                          “We approach each patient’s treatment individually — for some patients a
                                                                                           breast-sparing operation and radiation therapy may be in order; for others a
                                                                                               mastectomy,” Madrigrano says. “We don’t take removing a cancerous
                                                                                                 breast, much less a noncancerous one, lightly. But considering Karen’s
                                                                                                 almost crippling anxieties, it was the right call for her.”

                                                                                                   A NEW PERSPECTIVE
                                                                                                   Today, Karen feels confident for the first time. “That fear I carried
                                                                                                   around since I was nine is gone,” Karen says. And now that she’s faced
                                                                                                                down breast cancer, she’s conquering other fears as well.
                                                                                                                She speaks publicly to share her experiences and help
Treatment and breast reconstruction: It’s personal                                                              others. And for the first time ever, she is self-assuredly
The best course of treatment for breast cancer depends on one thing: you. If you’ve been diagnosed with         wearing sundresses, thanks to her reconstructive surgery
breast cancer, it’s important to know as much about your cancer as possible, says Andrea Madrigrano, MD.        performed by plastic surgeon George Kouris, MD. “After
For example, what is the stage, location or size? Are there genetic factors?                                    something so life-changing, all these little fears seem like
  It’s also crucial that you are aware of all your treatment options. That’s why Madrigrano recommends          no big deal.”
a second opinion and the involvement of a team of breast cancer specialists. “Your cancer is unique to
you,” she says. “Your decisions should be based on the nature of your cancer, your doctors’ perspectives          CLICK   meet other breast cancer specialists at rush
and your preferences.”                                                                                                    through our breast cancer video playlist at

                                                                                                                                Edward Hollinger
                                                                                                                                Jr., MD, PhD, is
                                                                                                                                a surgeon who
                                                                                                                                specializes in kidney,
                                                                                                                                liver and pancreas

                                                                                                           give Tom one of his. But there was one compli-
                                                                                                           cation: Liam and his wife were expecting their
                                                                                                           second daughter — their own new beginning —
                                                                                                           in five months. “We thought, ‘OK, how can we
                                                                                                           time the surgery around the baby?’” Liam says.
                                                                                                              Their daughter was born in mid-January. The
                                                                                                           next month, surgeons at Rush removed one of
                                                                                                           Liam’s kidneys and transplanted it into Tom’s body.
                                                                                                           “When I woke up, I felt better immediately,” Tom
                                                                                                           says. “I felt like a new person. It was amazing.”

                                                                                                           A NEW NORMAL Edward Hollinger Jr., MD, PhD,
                                                                                                           who performed Tom’s surgery, says that kind of
                                                                                                           immediate improvement is common in living donor
                                                                                                           transplants. “A kidney from a deceased donor
                                                                                                           can sometimes take longer to work, but with a
                                                                                                           living donor it tends to work well right away,”
                                                                                                           Hollinger explains.
                                                                                                              Tom and Liam still had to recover from their
  GETTING A NEW KIDNEY — AND WAKING UP A NEW PERSON                                                        surgeries, each taking time off before returning
  During the summer of 2012, Tom Bresnahan felt like he was living in a fog.                               to work. And Tom continues to take medicines to
                                                                                                           keep his Wegener’s in check and prevent his body
  “I was tired all the time,” says the 39-year-old Chicago police officer.
                                                                                                           from rejecting his new kidney.
  “My head felt like it was full of water. Looking    Michele Bailey, DO, a primary care doctor at Rush,      But new beginnings are giving way to a new
  back, I don’t know how I got up and went to         who ordered tests that revealed two things: Tom      normal. Liam’s daughter turned one last month;
  work every day feeling like that.” Only since his   had Wegener’s granulomatosis, a rare condition       Tom and his wife now take walks — which
  new beginning has he been able to take stock of     that causes inflammation of the blood vessels.       before would have been too tiring for him —
  how bad his symptoms had gotten.                    And this condition had blocked blood flow to his     and might even go on a celebratory vacation.
    The symptoms — fatigue, achiness, sinus           kidneys, which were failing.                         “We’re thinking about Europe,” Tom says. “Or
  pain — progressed slowly over several years. “I                                                          maybe Australia.”
  would say, ‘Oh, I’m getting old,’” Tom says. “Or    TWO NEW BEGINNINGS “I got a call that Tom
  doctors would think I had a sinus infection.” By    was in the hospital,” remembers his younger                      did you know? some people
  2012, though, he was beginning to realize some-     brother, Liam Bresnahan. “The next day we                        have three or four kidneys. learn
  thing else must be wrong.                           found out he was going to need a new kidney.”        why — and read more organ donation
    That August, he made an appointment with          Liam, 34, knew right away that he wanted to          facts — at


                                                                                                                                                       CLINICAL TRIALS AT RUSH

                                                                                                                                                    MIND-BODY MEDICINE
                                                                                                                                                    AND ULCERATIVE COLITIS
                                                                                                                                                    The Department of Gastroenterology is conduct-
                                                                                                                                                    ing a study to determine if one of two eight-week,
                                                                                                                                                    mind-body medicine courses has an effect in re-
                                                                                                                                                    ducing stress and impacting the course and severity
                                                                                                                                                    of ulcerative colitis. Both courses have been shown
                                                                                                                                                    to benefit other aspects of health and well-being.
       Food for thought: Fat linked to memory loss                                                                                                  Participants will be enrolled in one of two separate,
       People with high amounts of belly fat are more than three times as likely to develop memory loss                                             eight-week mind-body courses.
       and dementia later in life, according to researchers at Rush — and it’s linked to the liver’s hanker-                                          Participants must meet the following criteria:
       ing for a protein that’s also relished by the brain. The study, which appeared in the August 2013                                            • Have a clinical diagnosis of moderately severe
       issue of Cell Reports, found that the liver burns belly fat with the help of the protein PPARalpha,                                            ulcerative colitis
       which the brain uses for memory.                                                                                                             • Be between the ages of 18 and 70
          The liver works extra hard in people who have a large amount of belly fat, using up the                                                   • Have at least one documented flare-up of ulcer-
       PPARalpha. And if the liver doesn’t have enough PPARalpha around it to use, it turns to                                                        ative colitis within the past year
       other parts of the body, including the brain, to find more. The brain’s hippocampus, which                                                     This is a partial list of inclusion and exclusion cri-
       plays a role in memory and learning, is essentially starved of PPARalpha. More research is                                                   teria. For more information, contact Annika Gorenz
       needed to find a way to maintain normal PPARalpha levels in the brain to potentially prevent                                                 at (312) 942-1181.
       memory loss. In the meantime, exercise and eat healthy to keep belly fat in check and stay
       sharp mentally.                                                                                                                              OBESE ADULT AND GUT BACTERIA STUDY
                                                                                                                                                    The Department of Clinical Nutrition is conduct-
       Testing testosterone uncovers tie to Parkinson’s                                                                                             ing a study to investigate whether promoting gut
       There may be yet another reason for men to consider keeping an eye on their testosterone levels.                                             health through the use of a new dietary strategy
          A new study by researchers at Rush showed that a sudden decrease in testosterone (the                                                     can improve the health of obese adults. Partici-
       male sex hormone) may cause symptoms that are connected to Parkinson’s disease, a disorder                                                   pants will be asked to take a dietary supplement
       of the nervous system that causes tremors and slow movement. The findings were published                                                     for three weeks and will be required to complete
       in the July issue of the Journal of Biological Chemistry.                                                                                    four visits to Rush University Medical Center.
          “In men, low levels of testosterone have already been linked to problems such as loss of                                                    Participants must meet the following criteria:
       sexual function and muscle mass,” says Kalipada Pahan, PhD, the study’s lead author and a                                                    • Be between the ages of 18 and 65
       neuroscientist at Rush. “Now we know that preserving healthy testosterone levels in males                                                    • Be a healthy, clinically obese adult
       may be an important step to avoiding Parkinson’s disease.”                                                                                   • Have no chronic diseases (e.g., heart disease, dia-
          Researchers found that as testosterone levels decreased, nitric oxide levels went up. When                                                  betes)
       too much nitric oxide is produced, neurons — which transmit information throughout the                                                         This is a partial list of inclusion and exclusion
       nervous system — may begin to die, leading to symptoms of Parkinson’s. Testosterone therapy                                                                criteria. For more information, contact
       is sometimes used to treat problems associated with low levels of the hormone, but it’s still                                                              Krista Shawron at (312) 563-3907.
       too early to say if it would help treat Parkinson’s symptoms. “We’re excited by our find-
       ings,” Pahan says. “If we can build on the results, our hope is that it will help lead to a viable                                           For other current clinical trials,
       treatment.”                                                                                                                                  visit

    DISCOVER RUSH is published as a service         Chief Executive Officer                          information in DISCOVER RUSH comes
    for the rush community.                         larry J. goodman, md                            from a wide range of medical experts.
                                                                                                    models may be used in photos and
    rush uniVersitY medicAl center                  For information about DISCOVER RUSH,            illustrations. if you have any questions         rush is a not-for-profit
    1700 w. Van buren st., suite 456                contact erin thorne at     about your health, please contact your           health care, education
    chicago, il 60612-3244                          or (312) 942-3215. For general information      health care provider.                             CALL
                                                                                                                                                     and research enterprise                                    about rush or for help finding a physician,      © rush university medical center                 comprising rush university
                                                    call (888) 352-RUSH (7874).                     cum29839                                         medical center, rush
                                                                                                                                                     university, rush oak park
    pleAse note: All physicians featured in this publication are on the medical faculty of rush university medical center. some of the physicians    hospital and rush health.
6   featured are in private practice and, as independent practitioners, are not agents or employees of rush university medical center.
| s At u r d AY

                                  RUSH UPCOMING EVENTS
                     Free clAsses For Your heAlth                       |   spring 2014
F r i d AY

                    CLICK     For a complete and up-to-date list of community wellness
                              events at Rush and online health seminars, visit
         , where you can also find presentations                  Rush Generations
                   from previous talks.

                   Culture of a Woman’s Heart                                                    Older adult and
t h u r s d AY

                   note date change: saturday, Feb. 22                                           caregiver programs
                   8 a.m. to noon
                                                                                                 Unless otherwise stated, the Rush
                   searle conference center
                                                                                                 Generations programs below are
                   professional building, Fifth Floor
                                                                                                 held at Rush University Medical
                   1725 w. harrison st.
                                                                                                 Center, Searle Conference Center,
                   You may be aware that heart disease affects women differently than
                                                                                                 Fifth Floor (Elevator II, Professional
                   men, but did you know that your ethnicity can have an impact as well?
                                                                                                 Building), 1725 W. Harrison St.
                   Join experts at Rush for an informative program that will outline your risk

                   factors based on your ethnicity and explain how you can take charge of        Maintaining Your Bone
                   your heart health. Breakout sessions include African-American, Asian,         Health
w e d n e s d AY

                   Caucasian, Latina and Southeast Asian groups.                                 wednesday, march 26
                                                                                                 1 to 3 p.m.
                   Join us from your computer:                                                   At any age, you can take steps to
                   Sensitive Topics: Online Discussion Series                                    keep your bones strong. Join us to
                   tuesday, march 11: Symptoms and Treatment of Irritable Bowel                  learn from experts at Rush how to
                   Syndrome                                                                      maintain bone health as we age.
                   thursday, march 27: Treatment Options for Urinary Incontinence                Presenters will discuss how best to
                   tuesday, April 8: Colon Health and Colon Cancer Prevention                    maximize bone health by maintain-
                   Join physicians from Rush for a free, online discussion series on topics      ing an active lifestyle, participating in

                   you may not want to discuss at your next dinner party. From your own          bone-building exercises and eating a
t u e s d AY

                   computer, you’ll learn how to take charge of your health and reduce your      calcium-rich diet.
                   risk factors for a variety of conditions, and about the available treatment                                               Stroke: Know the
                   options. All seminars begin at noon and include a brief presentation fol-     Pelvic Health                               Warning Signs
                   lowed by a question-and-answer period.                                        wednesday, April 30                         wednesday, may 28
                      Submit questions during the discussion or in advance via Twitter using     1 to 3 p.m.                                 1 to 3 p.m.
                   the #rushhealthchat tag or send an email to             Changes in pelvic health frequently         Did you know that stroke is the third
                   For more information or to register, visit          occur as we age, but experienc-             most common cause of death in the

                                                                                                 ing frequent urinary urges, pain and        United States and occurs more fre-
                   Arthritis of the Knee: Surgical and                                           incontinence should not be ignored.         quently in older adults? Come hear
m o n d AY

                   Nonsurgical Treatment Options                                                 Come hear from experts at Rush and          experts from the Comprehensive
                   wednesday, April 9                                                            participate in a discussion about pelvic    Stroke Program at Rush explain the
                   6 to 8 p.m.                                                                   health, including common physical           two main types of strokes and how
                   Armour Academic center                                                        changes that occur with aging, and          you can reduce your risk and learn how
                   600 s. paulina st., room 976                                                  hear about the latest treatment options     to recognize and respond to the warn-
                   Arthritis in your knee can make even simple daily tasks hard to complete.     available.                                  ing signs.
                   Join experts from Rush as they discuss nonsurgical and surgical treatment

                   options at this free event.
                                                                                                    Because space is limited, please call to reserve
s u n d AY

                               You can get helpful health information in your                           your seat. For more details and to register,
                               email inbox each month with our e-newsletter,                     call (888) 352-RUSH (7874). Parking in the Rush
                   Discover Rush Online. sign up today at
                                                                                                               garage is available with validation.7
                                                                                             1700 w. Van buren st., suite 456                                   nonprofit org.
                                                                                                                                                                 u.s. postage
gottA go ... AgAin?                                                                          chicago, il 60612-3244                                               PAID
                                                                                                                                                               rush university
                                                                                                                                                               medical center
Millions of people suffer from too-frequent urges to urinate. But there are many
ways to get relief. To learn about the latest treatments and tips for overcoming
an overactive bladder, read the February issue of Discover Rush Online. Sign up
for the newsletter at


          A GLUTEN-FREE DIET —
          WHERE DO I BEGIN?
          You finally have something to attribute those
                                                                                        pick the date, DeMeo suggests the       » Finally, the key to a successful
          symptoms to: celiac disease. Now comes the realization                        following strategies:                     change is to concentrate on what
          that you need to get rid of the gluten in your diet.                          » Consult a registered dietitian          you can eat, not what you can’t,
                                                                                          who regularly counsels people           says DeMeo.
         “There’s an initial disbelief when        never suspect, such as soy sauce       with celiac disease. This pro-         “In the big picture, you actually
          people learn they have to give           and cake frosting.                     fessional can be your guide           have an abundance of choices,
          it up,” says Mark DeMeo, MD,               But the only way to help the         to eating — and learning to           and over time, your new diet will
          a gastroenterologist at Rush             small intestine heal — and stay        enjoy — a gluten-free diet.           become second nature,” he says.
          University Medical Center. That’s        healthy — is to stay gluten-free.    » Be a label reader. If any of these
          understandable, given how com-           So how do you start?                   words are on a food label, glu-
          mon gluten is. It’s a protein                                                   ten is present: barley, graham,       Celiac symptoms
          contained in wheat, barley and          YOUR GAME PLAN The best                 malt, rye, wheat, wheat germ,
          rye, which means you’ll find it in      first step is to pick a date to be      spelt or semolina. Instead, look      “Avoiding gluten is a lifelong must for
          bread, pasta and cereal made with       completely gluten-free, says DeMeo.     for alternatives like rice and        anyone with celiac disease,” DeMeo
          these grains. It also shows up in       That date shouldn’t be more than        nut flours.                           stresses. That’s because when people
          countless processed foods and           a month away — and you’ll want        » Load up on foods that are natu-       with the disorder eat even a tiny amount
          beverages — including ones you’d        to ask your doctor about specific       rally gluten-free. Look for foods     of gluten, their immune system attacks
                                                  timing. “Use this transition time       on the outside aisles of the          and damages the lining of the small
                                                  to gradually eliminate gluten from      grocery store: fresh fruits and       intestine. That damage can keep needed
                                                  your diet,” he advises. Once you        vegetables; unprocessed meat,         nutrients from being absorbed in the
                                                                                          fish and poultry; and most            bloodstream and cause diarrhea, consti-
                                                                                          dairy products.                       pation, stomach pain and weight loss. It
                                                                                        » Discover new gluten-free prod-        can also raise the risk of serious health
                                                                                          ucts. There’s a rapidly growing       problems, including anemia and even
                                                                                          variety, from pasta to pizza.         certain cancers.

                                                                                                                                             Mark DeMeo, MD,
                                                                                                                                             is the director of
                                                                                                                                             gastroenterology and
                                                                                                                                             nutrition at Rush. He has a
                                                                                                                                             special interest in helping
                                                                                                                                             adults with celiac disease
                                                                                                                                             control symptoms and
                                                                                                                                             stay healthy.

    more online                         WONDERING WHETHER YOU SHOULD GO GLUTEN-FREE? dietitian sue mikolaitis weighs in on when the trendy lifestyle
At                         choice is an actual health necessity. read “the gluten-Free glut” at

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