Health & Wellness

CMYK

May 2011

PRESS NEWS&&www.pressnews.com

Health & Wellness

Health & Wellness – May 9, 11 & 12, 2011 – www.pressnews.com In the Community, With the Community, For the Community

Staying fit in the golden years:Champlin, Dayton seniors exercise in new videos

Members of the Champlin Seniorcise class do some stretches during a classApril 29 at the Champlin Ice Forum. Some class members participated in aspecial video taping about exercises for people in their golden years that airs11:30 a.m. Mondays on the Metro Cable 6 channel and can be found onYouTube. (Photo by Stefanie Briggs)SENIORS/see page 6

by Stefanie Briggs

It wasn’t easy at first, but after warm-ing up to the idea some Champlin andDayton seniors have decided to show oth-ers what they learned about keepingactive and staying fit during the goldenyears of life.

Longtime fitness instructor KellyLindell of Champlin came up with idea.Lindell asked members of the city’s Parkand Recreation Seniorcise classes at theChamplin Ice Forum if they’d be willingto do some exercises on camera for a localcable television show.

Lindell has been working full timewith her own business helping elderly intheir homes and noticed one thing duringall her visits: if you don’t move it, you canlose it.

“For the last eight years I’ve seen somany clients who could be in such bettercircumstances if they had exercised,”Lindell said. “As we age fitness is moreabout quality of life and doing simplethings like taking a shower by yourself,

being able to change your sheets or getup out of a chair are more importantrather than how you look or what sizeyou wear.”

Having taught fitness classes to sen-iors in senior apartments before, makingvideos about senior exercises seemed likea natural progression, but she neededsome seniors to work out with her.

Gerry and Grethe Winship ofChamplin volunteered because the twolike to stay active.

“I thought it would be fun and practi-cal and I could learn more about fitness,”Grethe said. “One of my ideals is workingwith seniors and I felt that this was anexcellent program for seniors.”

The biggest challenge for the Winshipswas stage fright. Exercising in a class-room with other seniors while no one elseis watching is one thing, to record it wasanother.

But they enjoyed all of it.

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In the Community, With the Community, For the Community www.pressnews.com – May 9, 11 & 12, 2011 – Health & Wellness

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Plastic surgery: how it came to be, warnings about cosmetic specialists, advances in the field

by Stefanie Briggs

The origin of the word “plastic” comesfrom the Greek word “plastikos,” whichmeans “to shape or form.”

The specialty was born out of generalsurgery. It deals with problems in formand function for surgery on the largestorgan in the body: the skin.

Plastic surgeons were the “surgeon’ssurgeon,” or the doctor you would go towhen no one else knew what to do.

“We have one of the most extensivetraining to develop the skill and expert-ise it takes to deal with a variety of verydifficult problems,” said Dr. ChrisKovanda MD FACS with KovandaPlastic Surgery. “Our medical residencylength is only second to neurosurgery.”

Plastic surgery specialty was born out of general surgery. It deals with prob-lems in form and function for surgery on the largest organ in the body: theskin.

Plastic surgeons were known as the “surgeon’s surgeon,” or the doctor to goto when no one else knew what to do. Today advances in the field go into tis-sue engineering and stemcell science.

Plastic surgeons did the first handsurgeons and did the first kidney trans-plant, which resulted from research onskin grafting. Plastic surgeons were theoriginal burn and trauma surgeons andhave always been looking at new andbetter ways of doing things, Kovandasaid.

Plastic surgery isn’t only cosmetic,but includes reconstructive surgery,which runs the full age span from cleftlip and palate in infants to cancer recon-structive surgery that includes complexmicro surgical flaps.

PLASTIC/see page 14

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Hearing loss affects all ages, advanced technology brings new hope to those with hearing aidsby Stefanie Briggs

No matter if you are six months old or96 years old, anyone can experiencehearing loss.

“Sixty-five percent of those with hear-ing loss are younger than age 65,” saidAudiologist Kate Puls with MinnesotaHearing Aid Professionals.

But there is help for all.“Most types of hearing loss can be

helped with hearing aids,” Puls said.“There is a myth still that people withnerve deafness can’t be helped.

“Ninety-five percent or the vast major-ity of people with sensorineural hearingloss can be helped with hearing aids.”

If a hearing aid is not appropriate, areferral for a medical intervention isdone, she said.

Puls said it is important for an audiol-ogist or hearing aid specialist office touse a probe microphone assessment tosee how a hearing aid is doing in one’sear.

She said it is also imperative to edu-cate those in need of hearing aids onwhat a hearing aid can or cannot do sothere are realistic expectations. HEARING/see page 14

Advancements in hearing aids havecome a long way too.

“Hearing aids are cosmetically better,are more advanced and easier to use,”Puls said. “Finding what works for youdoesn’t have to be complicated, over-whelming or hard to handle.”

Wireless technology that’s benefitedpeople with cell phones has become agreat benefit to improving hearing aids.

Puls said that hearing aids can nowconnect people via Bluetooth technologyto hear computers, TV and phones better.Also remote microphones allow people totalk at a normal level with a person whosuffers from hearing loss wirelessly.

“Lastly assistance can take the formof wireless communication between a setof hearing aids allowing for moreadvanced hearing in noisy environ-ments,” she said.

Many people who come to theMinnesota Hearing Aids Professionaloffices are interested in what’s new inhearing aid technology.

Hearing loss can happen to people at any age. Many audiologist offices seepeople from a year old to 99-years-old. Advances in wireless technology havebrought a new frontier of hearing aids to fit anyone’s lifestyle and needs.

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SENIORS/from page 2

“We enjoyed the exercises, the friend-ship and the fact that we can watch thesevideos at any time and go through theexercises,” Gerry said.

For Bonnie Maxson of Dayton joinedSeniorcise at the Ice Forum to keep herbody limber.

“The best way to do that is with regularexercise,” Maxson said. “This is extremelyimportant for our community. All seniorsshould do exercises regularly and stayactive while they age. This is a gift tothemselves.”

Seniors need to stay active and thesevideos are nice for those who prefer theprivacy of their own home, Maxson said.

“They can get a tremendous benefitwhile following the simple exercises withus,” she said. “There are no videotapes orDVDs to load and the show has a setschedule, which makes it an easyreminder.”

The shows air on Metro Cable Channel6 and can also be found on YouTube.

Lindell found three businesses to helpfund the exercise video project, whichinclude her business Comfort Keepers InHome Care, and also Osseo Commons

Gerry Winship of Champlin does some stretches during a Champlin Park andRecreation Seniorcise class April 29 at the Champlin Ice Forum. Winship andhis wife Grethe volunteered to show their exercise moves in special videos forpeople in their golden years that airs as a show series on the Metro Cable 6channel and can be found on YouTube. (Photo by Stefanie Briggs)

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Ruby Johnson of Champlin learnedabout herself in the process of helpingmake the exercise videos.

“I’ve learned unfortunately how bad outof shape I’m in and how important it is tokeep exercising after my recent retire-ment,” Johnson said. “It is terribly impor-tant to try and exercise and encourageothers to make it a way of life.”

Johnson said the program isn’t just forher peers either.

“I would say everyone could benefitfrom seeing it and getting motivated toexercise, even a lot of young people areoverweight and need to exercise more sothis could help anyone at any age,” shesaid.

Lindell hopes the videos will be motiva-tion and become a way to change peoples’perceptions on getting old.

“Now our hopes are that all the hardwork making the shows will help peoplelive stronger healthier lives,” she said.

But that will only become a reality ifpeople watch and exercise, Lindell said.

The show airs on Metro Cable Channel6 at 11:30 a.m. every Monday. Here’s alink to one of the shows on YouTube:http://xr.com/nxyx.

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Maple Grove employees lose weight in Hennepin County’s ‘Way2Go’ initiativeby Stefanie Briggs

Losing weight can be a challenge, butmore than 100 employees of DataRecognition Corporation in Maple Groveare working together to meet that chal-lenge head on.

For almost a year now employees at theeducational service business have beenspiking volleyballs, working on their golfswing, walking and watching their eatinghabits to find sustainable ways to loseweight.

The company was chosen as one of 15workplaces in Hennepin County to partic-ipate in the Way2Go! initiative, a one-yearprogram that promotes weight mainte-nance and teaches employees how tomake healthy choices funded through theStatewide Health Initiative Programthrough the county. The yearlong programcomes to an end this June.

“We’ve had a great relationship withHennepin County Health at Work andlooked forward to this exciting weightmaintenance initiative,” said DRCemployee Jenny Kahler.

Kahler has been coordinating the pro-gram with the county for the company.

Data Recognition Corp. employees play volleyball together regularly as partof the Way2Go! initiative weight management program, which has been help-ing more than 100 employees at the business manage their weight through dietand exercise.

“At the six-month weigh-in 72 percentof employees had either lost or main-tained their weight,” Kahler said. “Thiswas exciting to see, especially since oursix-month weigh-in was during the holi-day season when many people gainweight.”

The company has implemented a nutri-tion and physical activity policy.

“With the help of the Way2Go! team Icreated a healthy vending policy, whichallowed us to get a 100 percent healthyvending machines,” Kahler said. “I amcurrently working on a physical activitypolicy, which would allow employees toparticipate in health and well-beingevents.”

Such events include things like “Lunchand Learns,” exercise classes, WeightWatchers and more during business hoursas individuals’ work schedules permit, shesaid.

“Our 100 percent healthy vendingmachines have been very popular andgives people a healthier alternative tocandy bars and chips,” Kahler said.

WAY2GO/see page 8

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WAY2GO/from page 7

It hasn’t been easy to get everyoneinvolved.

“Our biggest challenge with theWay2Go! program, like with many well-ness programs, was getting male partici-pation,” Kahler said. “We offered smallincentives at each weigh-in to encourageeveryone to participate.”

What has also helped is starting com-pany teams for golf, softball and volley-ball, which draw men and women of allages and abilities.

“We have found that having a range ofprogramming options allows us to engagea larger number of employees,” Kahlersaid. “The Way2Go! program has helpedemployees be more conscious of theirweight and how their choices can impacttheir weight.”

DRC gets monthly Way2Go! newslet-ters that provide helpful information andmotivation, she said.

“We now have a scale in a very busypart of our building,” Kahler said.“Walking by the scale reminds people tomake better food choices and to stayactive.”

The program also helps employeesmotivate each other, she said.

“Employees can often be seen talkingwalks or even having walking meetings,”Kahler said.

Many employees have lost weightthrough the Way2Go! program and aresharing their new healthy habits withfamilies and friends, she said.

“Being involved in the Way2Go! pro-gram has encouraged me to make small,yet sustainable changes in the way I eat,”said DRC employee Jennifer Nicklin.“This has been more effective for me,rather than going for the quick, dramaticresults that are harder to maintain.”

Nicklin protests she’s no poster childfor the program, but feels like she cankeep up with this program more than anyothers she’s tried in the past.

Both recommend the Way2Go! initia-tive to other businesses and corporationslooking for something that brings employ-ees together and helps them improvehealth.

“Improving the health of your employ-ees is a win-win,” Kahler said. ”Employeesfeel much better and are ultimately moreproductive at work.”

And in these rocky economic times, it isa low cost way to get a wellness programstarted.

Only health snacks in vending machines and having its own farmer’s marketfresh produce has been one way employees at Data Recognition Corp. in MapleGrove have been working on being fit and healthy together.

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CMYK

Dental health greatly affects overall health by Stefanie Briggs

Many dental health professionals mayknow the links between a healthy mouthand healthy body, but most patients areoften unaware of the direct connection.

Dr. Jamie Sledd, with Arbor LakesDental sees everyday with her patientshow important it is to understand themouth’s connection to the rest of the body.

DENTAL/see page 11

“A dentist can observe signs or symp-toms that can direct us to conditionsoccurring in the rest of your body,” Sleddsaid. “A dry mouth may indicate broaderhealth issues.”

There is a link between poor oralhealth and heart disease, she said.

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DENTAL/from page 9

“Premature labor has been shownwith pregnant mothers who have peri-odontal disease,” Sledd said. “Diabetesincreases the risks of infections associ-ated with the gum tissue.”

Those are just a few examples of themany associations between poor oralhealth and overall health.

It also is important to keep yourmouth help for the ability to speak welland have a beautiful smile, she said.

When it comes to tooth decay, it canbe an indication of bacteria present,which can lead to an abscess with infec-tion present, Sledd said.

That’s why it’s important to complete-ly clean the mouth every day withbrushing, flossing and using any othertools that may be appropriate. Fluorideis also critical to keeping your teethstrong, she said.

But are there products that do moreharm than good for your teeth, mouthand consequently the rest of your body?

“Whitening toothpaste is not harmful,but can cause tooth sensitivity,” Sleddsaid. “Over the counter mouth guards

used to protect your teeth from grindingcan cause more problems by being too‘chewy’ and can encourage you to grindmore.”

Also anything that is high in sugar orhigh in citric acids can be harmful toteeth, gums and the mouth. Sleddwarns that if you drink bottled water besure it has fluoride.

She also warns about whiteningkiosks in shopping malls.

“They are not regulated and pose con-cerns about sterilization techniques andpotential harm to the gum tissue if notapplied appropriately,” Sledd said.

But you can’t go wrong with fluoridat-ed toothpaste, rinses and water. Xylitolgum can help fight tooth decay. Sleddsaid over-the-counter products thathelp with a dry mouth can help preventtooth decay.

With proper maintenance it’s not toohard to have a healthy mouth that con-tributes to overall health.

“It is important to be able to chewproperly to maintain appropriate nutri-tion,” Sledd said.

For more information visit theAmerican Dental Association at:www.ada.org.

The right activities can help improve spine healthby Stefanie Briggs

Many of the ways to improve spinehealth includes improving overall health.Good nutrition, daily exercise, good fluidintake and enough rest are simple ways tohelp you keep your spine healthy.

“Maintaining a healthy spine isdependent upon many things, but mostimportant is getting involved in an active,healthy lifestyle to prevent the onset ofback pain and enjoying life to the fullest,”said Dr. Daniel Hanson with the MidwestSpine Institute.

Exercises such as Pilates, kettle bellsand Yoga are exactly what many spinesurgeons and spine care professionals saycan help develop a strong “core.” Theseactivities emphasize working the musclesaround the spine and pelvis or the “core.”

These types of activities focus on build-ing these muscles and stretching the mus-cles and ligaments around these areasand a full set of exercises can often bedone under 20 to 30 minutes. Developingan exercise program one can adhere toand practice four to five times a weekshould be included as part of a daily rou-tine of good health. Other areas of spine

health include good nutrition, fluid intakeand getting enough rest, Hanson said.

Many websites list various core-stabi-lizing exercises and are helpful when try-ing to get the core in shape or add exercis-es to an established routine. Though get-ting expert advice from a physical thera-pist, athletic trainer or chiropractor aboutthese types of exercises can be helpfulwhen beginning a core-strengthening pro-gram.

“We can injure our spines because ofmany reasons,” Hanson said. “As a normalprocess of aging we develop arthritis. Ourdisks or the cushions between our verte-bral bodies can dehydrate and lose water.We can become more susceptible to degen-erative conditions of the spine that cancause pain.”

Spine related pain can sometimes beconfusing because of the fact that not onlycan someone develop pain localized to theback and neck, which can narrow downthe causes of that pain, but one can alsodevelop referred pain and pain that radi-ates into the arm or leg, he said.

SPINE/see page 13

Yoga is a great way to work your body’s “core” and spine. Yoga, Pilates andother activities help focus building those muscles around the spine and pelvis,which is just as important as other parts of the body, often more so.

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The numbers add up to keep kids healthy, immunizations more important than everby Stefanie Briggs

A few numbers can add up big time tokeeping children healthy. The numbers5,2,1 and 0 have become a motto forhelping parents remember best prac-tices for their child’s health at SouthLake Pediatrics.

According to Dr. Mary Meland, thepractice uses the numbers as a catchyway to make an important concept stick.The five equates to children eating fivefruits and vegetable servings a day, thetwo means only two hours of television,video games or computer screen timeeach day, the one is an hour of daily

exercise or activity daily and zero ishow many sweet drinks children shoulddrink.

To combat and prevent childhood obe-sity and being overweight, Meland saidparents must instill good eating habits,which includes rarely having childreneat fast food.

“We also advise against giving chil-dren fruit juice and sweet-tastingdrinks,” she said. “Stick to water andlow fat milk instead.”

Increasing children’s intake fruitsand vegetables is also important, butdigestion is only half of it.

“Decreasing screen time, since it’s notjust TV anymore, is the other half of it,”Meland said. “Encouraging children tobe active and playing outside, even if it’snothing organized or involving parents,is important. It doesn’t have to be any-thing fancy.”

Aware that in many families, one orboth parents are working when school isout, Meland suggests looking at what’soffered for after-school or summer pro-grams, which include outside play.

“Summer is a great time for parentsto sign their child up for active daycamps through different communityorganizations too where physical fitnessis built in,” she said.

Often programs have financial assis-tance for families in need.

Equally important to everyday inter-vention with a healthy diet and exercisefor children is having routine check upsand immunizations up to date.

“This time of year respiratory infec-tions including strep throat [orStreptococcal Tonsillitis] are veryprevalent in our community,” Melandsaid. “Coughs and ear infections aremost common for children coming intous right now.”

South Lake sees two busy times dur-ing the year. Winter and early springare busy times with respiratory illness-es, she said. Summer is the busiesttimes for check-ups, which are oftenrequired for children before returning toschool in the fall.

“Right now we have number of chil-dren receiving boosters for the MMR[measles] vaccine, which is usuallygiven at 12 months and five-years-old,”Meland said. “But because of possibleexposure to measles we’ve been givingtwo-year-olds the vaccine so they will beprotected.”

The vaccine is quite effective and 98percent protective, she said.

“We’ve seen a dramatic increase forearly booster requests,” Meland sa\id.“It’s very important to keep immuniza-tions up to date. By getting it protectothers including infants who are not oldenough to receive immunizations andhelps prevent outbreaks.”

Right now Meland said South Lakehas seen 23 cases of measles in the com-munity, 16 of those were with immu-nized children. She said quite a fewwere ill enough to be hospitalized.

For more information on vaccines andimmunizations visit: www.cdc.gov/vac-cines/.

Immunizations for young children are important to stopping the spread ofthings like measles, which has been on the rise in the metro. In fact, winter andearly spring are busy times alreayd with respiratory illnesses. Coughs and earinfections are most common for children now.

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SPINE/from page 11

Common causes of back and neck painaffecting many people include musclestrains. Lifting something improperly andnot having a strong enough core to handlethe job are common causes.

These are routinely successfully treatedwith a brief period of rest and over thecounter anti-inflammatories. Occasionallystronger pain medications and musclerelaxers are needed and most often symp-toms improve, Hanson said.

“More concerning is when a persondevelops pain radiating into their arm orleg because of nerve compression,” he said.“Unfortunately this is often associated withan area of numbness or muscle weakness.”

When this occurs, seeing a primary carephysician or spine surgeon is usually rec-ommended.

Many non-operative options still exist,but often an MRI or CT myelogram is even-tually needed to diagnose the source of thenerve compression and to focus the non-operative treatment on that nerve or area,Hanson said.

Some of the most common reasonsHanson sees children at the MidwestSpine Institute is for treating scoliosis,which is the curvature of the spine.

He also sees those with back paincaused by pars fractures, which can comefrom common sports related injuries.

“Adults will typically have disk hernia-tions in the lower back and neck,” Hansonsaid. “As we get a bit older problems suchas spinal stenosis, caused by bone spursnarrowing the spinal canal, become morecommon.”

This can prevent an older person fromstanding or walking for a long period oftime. Occasionally, instability is present inall of these conditions.

While various minimally invasive sur-gical treatments are available to solvethese problems there are often conserva-tive measures, which can be tried firstbefore proceeding with surgery, he said.

Depending on the problem or conditionthis may include bracing, core strengthen-ing, exercises or a variety of injections,which are performed to diagnose andimprove painful symptoms.

Common causes of back and neck pain include muscle strains and pars frac-tures, the latter of which can come from sports injuries. Many non-operativeoptions for injuries and strains still exist. It all depends on the extent of theproblem.

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PLASTIC/from page 4

“Cosmetic surgery was formed natu-rally out of the expertise and experienceit took in reconstructive surgery torestore people to ‘normal form and func-tion’ as celebrities wanted to be ‘betterthan normal’ and done incognito,”Kovanda said. “Today cosmetic surgery isa common household name and frequent-ly discussed.”

But buyer, beware, Kovanda warns.There are physicians that did not com-

plete residency in plastic surgery who areallowed to perform cosmetic surgery aftertaking shorter weekend courses or minifellowships and are not board certifiedplastic surgeons and not completed plas-tic surgical training, he said.

Those physicians who do this can statein advertising that they are “board certi-fied,” but don’t have to say in what,Kovanda said.

“It is not uncommon at meetings to seefamily practice doctors, obstetrics orgynecologist doctors and internists look-ing for education in cosmetic proceduresto supplement their dwindling insurancereimbursements across the country,” hesaid.

The best way to find out about a physi-cian practicing cosmetic surgery is tocheck their specific credentials and con-tact the board of medical specialties toverify certification in the specialty.

According to the American Society forAesthetic Plastic Surgery, the five mostcommon cosmetic procedures performedin 2010 for women were breast augmen-tation, liposuction, breast reduction andeyelid tucks or what is called blepharo-plasty.

For men, it was liposuction, rhinoplas-ty, blepharoplasty, gynecomastia or male

breast reduction and ear pinning, alsoknown as otoplasty.

The top five surgical procedures over-all in 2010 were breast augmentation,liposuction, blepharoplasty, abdomino-plasty and breast reduction surgery. Thetop five non-surgical procedures wereBotox; injectibles like Restylane,Juvaderm or others; laser hair removal;laser skin resurfacing and chemicalpeels.

“The newest advances in plastic sur-gery right now revolve around findingnew and better ways to achieve resultswith utmost patient safety and comfort,”Kovanda said. “There have beenadvances in laser and non-invasivemodalities for fat reduction such as ultra-sound, radiofrequency and even freezingthe fat for fat reduction.”

There is ongoing research into thesafety and efficacy of fat melting injectionalso known as mesotherapy, which hasnot been regulated and is still notapproved by our society, he said.

“The most fascinating advances havebeen in tissue engineering, fat graftingand stem cell science, which has somepromising applications for the future ofplastic surgery and is still being studied,”Kovanda said.

Some exciting advances have beenmade in composite or multiple tissuetransplantation such as the recent highlypublicized face and hand transplants, hesaid.

For more information or to find outabout cosmetic surgeons certificationvisit: the American Society of PlasticSurgeons at www.plasticsurgery.org, theAmerican Society of Aesthetic PlasticSurgeons at www.surgery.org or theAmerican Board of Medical Specialties atwww.abms.org.

Further information on plasticsurgery can also be found at:www.kovandaplasticsurgery.com.

The top five surgical procedures overall in 2010 were breast augmentation,liposuction, blepharoplasty, abdominoplasty and breast reduction surgery.

The top five non-surgical procedures were Botox; injectibles like Restylane,Juvaderm or others; laser hair removal; laser skin resurfacing and chemicalpeels.

HEARING/from page 5

“There are a lot of ads out there so it’shard to know what’s right for the indi-vidual,” Puls said.

Others come to get their current hear-ing aids assessed and see if they can getanything better.

“Sometimes they just want a hearingtest and see if they have hearing loss,”Puls said. “Hearing aids are expensive,but there is a wide range available andwe are usually able to address someone’s

budget and find something that fits theircosmetic preference and lifestyle.”

Hearing tests are the first way to finda baseline and see how significant yourhearing loss is.

You don’t necessarily need a doctor’sreferral for a hearing test and tests areavailable at any audiologist office. Peopleshould check with their health plans, shesaid.

For more information visit:www.betterhearing.org orwww.mhapi.com.


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