Premiere Issue Boulder Healthy Cells 2011

New Hope for Pets with

Cancer page 17

Skin Cancer Awareness &

Prevention — While Living a

Mile High page 22

Wise Life Insurance Decisions

page 25

Premiere issue 2011 FREE

PromotingHealthier Living in Your Community

• Physical

• emotional

• Nutritional

GREATER BOULDER COUNTY

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

TM

Alleman Family DentalTaking the Scare Out of Dental Care

page 14

Premiere Issue 2011 — Boulder County — Healthy Cells Magazine —

welcome letter

Welcome to the Greater Boulder County Healthy Cells Magazine premiere issue.

BoulderCounty isblessedtohaveaccesstosomeofthegreatestoutdooractivitiesinthecountryandmoreimportantlypeoplewhotakeadvantageof theseactivi-ties.Beingphysicallyactiveisagreatstartindevelopingyourownpersonalhealthprogram.Weneedtobeequallyawareofouremotionalandnutritionalhealthneeds. Healthy Cells Magazine brings a unique perspec-tivetothehealthconscienceindividual.Themajorityofthearticlesarewrittenbylocalhealthcareprofessionalsandbecauseof this they tend to appealmoredirectlyto the needs and concerns of people in and aroundBoulderCounty.Howweasindividualsdealwithourhealthdecisionscanbegreatlyinfluencedbythosearoundus.Healthy Cells Magazinewillpresentapositiveandinforma-tivehealthbasedcontentfromlocalpeoplewhoknowthelocalcommunitybest. When dealing with your personal or loved one’shealth it is importanttokeepinformedofhealth indus-tryresearchandtechnology.Betterawarenessofyourphysical,emotionalandnutritionalneedswillhelpyoumakebetter decisions, stay healthier and indoing sohelpthosearoundyou. LookforyourownFREEissueofHealthy Cells Maga-zineathundredsoflocationsthroughoutBoulderCounty.Feel free to takeacopywithyouandpass it along tosomeonewhomayalsobenefit fromit.TheadvertisersinHealthy Cellswouldlovetohearfromyouorhaveyouvisit.Boththeadvertisersandauthorsarecommittedtohelpingyouwithyourhealthneeds,questionsandlifestyle.Mythanksgoesouttothemandtoyouasthereader. Iamexcitedtobringyouthisfirstissueandlookfor-wardtomanymoredowntheroad.Feelfreetocontactmewithanyquestionsatbrian@healthycellsmagazine.com.Havefunandstayhealthy!Sincerely,

BrianCoates,OwnerHealthyCellsMagazine,GreaterBoulderCounty

“Our goal is to

provide you with

the information

you need to live a

healthier life.”

Volume 1, Issue 1

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Welcome Letter:FromTheOwner

Hearing Technology:Tinnitus

Emotional:ABriefBehavioralInterventionCanReduceDepressioninStrokeSurvivors

Nutritional:HeartHealth

Physical:“WhenShouldIFixMyBunion?”

Environmental Health:Earth-FriendlyHouseholdTipsMadeEasy

Salt Therapy:SaltGivesBreathofLifetoGirlWithCysticFibrosis

Veterinary Technology:NewHopeforPetswithCancer

Children’s Health:KnowtheGLOW

Healthy Benefits:MoreOliveOilinDietCouldCutStrokeRisk

Family Health:WarmWeatherSafetyforOlderAdults

Healthy Aging:SkinCancerAwarenessandPrevention

Women’s Health:StrangeMigrationsandKillerCramps

Healthy Living:Carl’sCalltoBike

Future Planning:WiseLifeInsuranceDecisions

P R E M I E R E I S S U E

Mission:TheobjectiveofHealthyCellsMagazineistopromoteastrongerhealth-consciouscommunitybymeansofofferingeducationandsupportthroughthecooperativeeffortsamongesteemedhealthandfitnessprofessionalsinBoulderCounty.

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

HealthyCellsMagazineisavailableFREEinhightrafficlocationsthroughouttheGreaterBoulderCounty,includingmedicalfacilitiesandotherwaitingrooms.HealthyCellsMagazinewelcomescontributionspertainingtohealthierlivingintheGreaterBoulderCounty.LimelightCommunications,Inc.assumesnoresponsibilityfortheirpublicationorreturn.Solicitationsforarticlesshallpertaintophysical,emotional,andnutritionalhealthonly.

HealthyCellsMagazineisadivisionof:

1711W.DetweillerDr.,Peoria,IL61615•Ph:309-681-4418Fax:[email protected]

Foradvertisinginformation,contactBrianCoates,ownerat720-398-0968,[email protected]

2011This Month’s Cover Story:

Taking the Scare Out of Dental Care page14


Onein6AmericansSufferfromTinnitusandmosthavebeentoldthereisnothingthatcanbedoneabout it. Ifyousufferfromringinginyourearsoranyotherpersistentnoisesuchasahigh

pitchedwhining,buzzing,hissing,humming,whistling,ticking,clicking,roaringorothersoundsyoumayhavetinnitus. Theconstantnoisefromtinnituscancauseserioushealthprob-lems,includingemotionaldistress,anditmayhaveanenormousim-pactoneverydayliving. Tinnituscanbeasymptomofanotherphysicalproblem,aresultofanaccidentorasideeffectofmedication.Manytimestinnitushasnodeterminablecause.Assuch,manyhavebeentoldthereisnothingthatcanbedoneandthatit’ssomethingtheymustlearntolivewith.Thisissimplynottrueinmostcasesandtinnituscanbesuccessfullyevaluatedandtreatedbyatrainedprofessional. Treatmentplans for tinnitusshouldbecustomized for the indi-vidual,theirlifestyleandtheseverityofthetinnitusitself.Forexample,oftentimespeoplewithtinnitusalsohavehearing loss.Newhearingaidtechnologycanbeveryeffectiveatmakingindividualswithhearinglosslessawareofthetinnituswhilewearingthehearingaids.Hearingaidsmaymakeiteasiertohearoverthetinnitussoyoudonotneedtostrugglewithhearinglossandtinnitussimultaneously. Hearingaidstypicallyworkbyblockingoutannoyingenvironmentalnoisessuchasfannoise,carnoiseoranyothersteady-statenoise,butforpatientswithtinnitus,thismaymakethesoundsoftinnitusmoreno-ticeable.Manypeoplewithtinnitusalsohavesensitivitytoloudsounds(hyperacusis),sohearingaidsneed tobespeciallyprogrammed toensurethatsoundsarewithinthepatient’sloudnesstolerancelevels.Aprofessionalhearingaidfittingcansolvethistrickyproblem. Ifyouhavebeentoldthatthere’snothingthatcanbedonetostoptheaggravatingnoiseinyourhead,takeheart.

Medical Breakthrough in Tinnitus Treatment EnterNeuromonics-adevicedesignedspecificallyforthetreatmentoftinnitus.Neuromonicsisnotahearingaidoradevicetomaskthesound.

It’satechnologicalbreakthroughintreatmentforthisdebilitatingdisease.Neuromonicsreducessymptomsquicklyandlastslong-termbecauseitaddressestheunderlyingneurologicalcausesoftinnitus.Itisalsotheonlyclinicallyvalidated,FDA-clearedtreatmentforpeople18andover.

Neuromonics 101 Neuromonicsisanon-invasiveprocedurethatrequiresnomedicineorsurgery.Neuromonicstreatmentbeginswithathoroughhearingevaluationtodeterminetheexactfrequencyandpitchofthesoundthatisbothersome.Thatpitchisthenembeddedintomusicforyoutolistentoonadevicesimi-lartoanMP3player.Thecustomizedmusichelpstore-trainyourbraintoignoretheannoyingsounds.Neuromonicsoftenprovidesimmediate,andmoreimportantly,long-lastingrelief.TherevolutionaryNeuromonicsTinnitusTreatmenthasbeenshowninclinicaltrialstoresultinasignificantimprove-mentintinnitussymptoms.Over90%ofpeoplewhosufferfromtinnitusexperiencedarelieffromtinnitus,animprovedabilitytofallasleep,asenseofcontrolovertheirtinnitus,andreduceddisturbancefromtheirtinnitus. TheNeuromonicsTinnitusTreatmentPlan involves listening to anacousticsignal,embeddedinmusic,whichiscustomizedforeachperson’suniquehearingprofile.Thispleasantandrelaxingsignaltargetsyourbrain’sneuralpathwaysandre-programsthemtofilteroutthetinnitussoundwhilereducingthedisturbanceandimpactoftinnitusonyourqualityoflife. Overaperiodofsixmonths,thetreatmentisdeliveredbylisteningtoapersonalizedmedicaldevice-theNeuromonicsProcessor-foracoupleofhoursaday.Itiscompactandlightweightwhichmakesiteasytoincorporatetreatmentintoyourlifestyle. ThereareveryfewAudiologistsinColoradowhospecializeinthetreatmentoftinnitus.Dr.JulieEschenbrenner,Au.D.hasundergonespecialtrainingintheevaluationandtreatmentoftinnitus.AprogramofvisitswithDr.Eschenbrennerhelpstoguideandsupportyourprogressthroughouttreatmenttoensureyoureceivemaximumbenefits.

For more information on Dr. Julie visit our website: www.flatironsaudiology.com or call 303.664.9111

hearing technology

TINNITUS: What’s That Ringing

In My Ears? Submitted By Flatirons Audiology

— Healthy Cells Magazine — Boulder County — Premiere Issue 2011

emotional

Anurse-ledbehavioralinterventioncanreducethe incidenceofdepression instrokesurvi-vors,accordingtotheresultsofastudypub-

lishedintherecentissueofthejournalStroke.Theintervention,calledLivingWellwithStroke(LWWS),providedindividualizedcounselingsessionsaimedatincreasingpleasantsocialinteractionsandphysi-cal activity as a way to elevate mood, and wasdesignedtobeusedaloneorinconjunctionwithan-tidepressantmedications.ThisstudywasfundedbytheNationalInstituteofNursingResearch(NINR),acomponentoftheNationalInstitutesofHealth(NIH). Astrokeoccurswhen thebloodsupply toapartofthebrainbecomesblockedorinterrupted,leadingtobraindamageintheaffectedarea.Strokesurvivorscanexperiencearangeofaftereffects,in-cludingimpairedmobilityorparalysis,pain,speechandlanguageproblems,andalteredcognition.Asmanyasone-thirdofstrokesurvivorsalsodeveloppost-strokedepression (PSD),whichmay includeintense feelings of loss, anger, sadness, and/orhopelessness. Comparedtostrokesurvivorswithoutdepres-sion, those with PSD tend to have a poorer re-sponsetorehabilitation,alongerdelayinreturningtowork,moresocialwithdrawal,andincreaseduseofhealthcareservices.Theyarealsoathigherriskforsubsequentstrokes,cardiacevents,anddeath.Whileantidepressantmedicationshaveshownvary-ingdegreesofshort-termefficacyforPSDpatients,fewstudieshaveexaminednon-pharmacologicin-terventionsorlong-termoutcomes. Inaclinicaltrial involvingover100strokesur-vivorswhoexhibitedsymptomsofPSD,Dr.Mitch-ell’sresearchteamcomparedLWWSagainstusualpost-strokecare.Thestudyparticipantsrangedinagefrom25to88years,and59percentweremale.Inaddition,over70percenthadexperiencedatleastoneepisodeofdepressionpriortotheirstroke,and60percentweretakinganantidepressantmedica-tionatentryintothestudy.Allparticipantsreceivedstandardpost-strokeinformationandcontinuedtoseetheirprimarycareproviderforongoingmedicalcare. Those assigned to the LWWS program re-ceivedninecounselingsessionsovertwomonthswithaspeciallytrainedstrokerehabilitationnurse.Inthesesessions,thenursetaughttheparticipantsproblem-solvingskillsandhelpedthemdevelopre-alistictreatmentgoals.Inaddition,severalsessionswere devoted to improving mood by helping the

A Brief Behavioral Intervention Can Reduce Depression in Stroke Survivors

Information from The National Institute of Health


Stroke Warning Signs

• NUMBNESSORWEAKNESSOFTHEFACE,ARMORLEG,ESPECIALLYONONESIDEOFTHEBODY

• CONFUSION,TROUBLESPEAKING ORUNDERSTANDING

• TROUBLESEEINGINONEOR BOTHEYES

• TROUBLEWALKING,DIZZINESS,LOSSOFBALANCEORCOORDINATION

• SEVEREHEADACHEWITHNOKNOWNCAUSE

Immediatelycall9-1-1oryouremergencyresponsenumbersoanambulance(ideallywithadvancedlifesupport)canbesentforyou.Also,check the time soyou’ll knowwhen the firstsymptomsappeared.It’sveryimportanttotakeimmediateaction.Ifgivenwithinthreehoursofthestartofsymptoms,aclot-bustingdrugcalledtissueplasminogenactivator(tPA)canreducelong-termdisabilityforthemostcommontypeofstroke.tPAistheonlyFDA-approvedmedi-cationforthetreatmentofstrokewithinthreehoursofstrokesymptomonset. A TIA, or transient ischemic attack, is a“warning stroke” or “mini-stroke” that pro-duces stroke-like symptoms but no lastingdamage. Recognizing and treating TIAsmayreduceyourriskofamajorstroke.TheusualTIAsymptomsarethesameasthoseofstroke,only temporary.Theshortdurationof thesesymptomsandlackofpermanentbrain injuryisthemaindifferencebetweenTIAandstroke.

participantsidentifyandincreasetheirparticipationinpleasantsocialeventsandphysicalactivities,suchasbeingwithfamily, listeningtomusic,reading,solvingapuzzle,orlearningsomethingnew. “IndesigningLWWS,wereasonedthatchangingthebehaviorscommonlyassociatedwithdepressionthroughanindividualizedcoun-selingprogramwouldleadtoamoreeffectiveandlonger-lastingel-evationofmoodthanisoftenseenwithmedicationsalone,”saidDr.PamelaMitchell,theprincipalinvestigatorofthestudy. “Individualswhohavesufferedastrokeoftenmustmakeadapta-tionsintheirlivesandlearntocopewithnewlimitations,bothphysicalandcognitive.Depressionduringtherecoveryperiodcaninterferewiththeirabilitytofullyengageintheirtreatmentregimenorreturntofamilyandwork,”notedDr.PatriciaA.Grady,theNINRDirector. DepressionscoresintheLWWSgroupweresignificantlyloweraftertreatmentandataoneyearfollow-upcomparedtothecontrolgroup.Inaddition,moreparticipantsintheLWWSgroupachievedremission—withscoresnolongermeetingthecriteriafordepression—comparedtothecontrolgroupbothimmediatelyaftertreatment(47percentvs.19percent),andataone-yearfollow-up(48percentvs.27percent).Attwoyears,depressionscorescontinuedtodecreaseandremissionratescontinuedtoincreaseforbothgroups,althoughthegapnarrowedsothatthedifferenceswerenolongerstatisticallysignificant.Forboththeinterventionandcontrolgroups,patientsinremissionatoneyearhadsignificantlyhigherscoresinperceivedability,recovery,andsocialparticipationthanthosewhowerenot. “ThesuccessofLWWSshowstheimportanceof includingbe-havioralstrategiesinthecareofstrokesurvivors.Webelieveourstudyisthefirst toreportaclinicallysignificantreduction indepression inthesepatientsoveralongterm,”saidDr.Mitchell.“Wealsoshowedthatachievingremissionfromdepressionbyanymeansisanimportanttreatmentgoalthatcouldpromoterecoveryandsociability.” “Thisstudyhasthepotentialtoaddanothertoolforhealthcareprofessionals touse inhelping individualscope followingastroke,”addedDr.Grady.“Alsoofnote,theLWWSprogramincludedinstruc-tion to help family members and other informal caregivers identifyresourcesandsupportservicesasawaytoreducetheircaregivingburden,animportantaspectofcomprehensivepost-strokecare.” NINR supports basic and clinical research that develops theknowledgetobuildthescientificfoundationforclinicalpractice,preventdiseaseanddisability,manageandeliminatesymptomscausedbyill-ness,andenhanceend-of-lifeandpalliativecare.FormoreinformationaboutNINR,visittheWebsiteatwww.ninr.nih.gov. TheNational InstitutesofHealth (NIH)—TheNation’sMedicalResearchAgency—includes27InstitutesandCentersandisacom-ponentoftheU.S.DepartmentofHealthandHumanServices. It istheprimaryfederalagencyforconductingandsupportingbasic,clini-calandtranslationalmedicalresearch,anditinvestigatesthecauses,treatments,andcuresforbothcommonandrarediseases.For more information about NIH and its programs, visit www.nih.gov

“ThesuccessofLWWSshowsthe

importanceofincludingbehavioral

strategiesinthecareofstrokesurvivors.”


nutritional

Louisiana Chicken and VegetablesServes 4; 3 ounces chicken and 1/2 cup vegetables per serving

Takeacolorfulbreakfromrice,potatoes,andpasta—usecorninstead.Itisawholegrainandprovidestexture,fiber,andgreattaste,too!

4boneless,skinlesschickenbreasthalves(about4ounceseach),allvisiblefatdiscarded2teaspoonssalt-freeCajunorCreoleseasoningblend1/2teaspoondriedthyme,crumbled1/2teaspoonsalt,divideduse1tablespooncanolaorcornoil,divideduse11/2cupsfrozenwhole-kernelcorn,thawedandpatteddry

1cupchoppedredbellpepper1/2cupcarrotinmatchstick-sizepieces1/2cupchoppedonion(yellowpreferred)1/4cupwater1/4teaspoonblackpepper(coarselygroundpreferred)Redhot-peppersaucetotaste(optional)

Sprinklethechickenonbothsideswiththeseasoningblend,thyme,and1/4teaspoonsalt. Inalargenonstickskillet,heat1teaspoonoilovermedium-highheat,swirlingtocoatthebottom.Cookthechickenfor3to5minutesoneachside,oruntilnolongerpinkinthecenter.Transfertoaservingplatterandcovertokeepwarm. Addtheremaining2teaspoonsoiltotheskillet,swirlingtocoatthebottom.Cookthecorn,bellpepper,carrot,andonionfor4to6minutes,oruntilbeginningtobrownontheedges,stir-ringfrequently.Removefromtheheat. Stirinthewater,blackpepper,andremaining1/4teaspoonsalt.Spoonaroundthechicken.Servewiththehot-peppersauce.

Cook’s Tip:Ifsalt-freeCajunorCreoleseasoningblendishardtofind,youcanmakeyourowninajiffy.Justcombinethefollow-inginasmallbowl:11/2teaspoonseachchilipowder,groundcumin,garlicpowder,onionpowder,paprika,andblackpepper.Forahottermixture,stirinupto3/8teaspooncayenne.Use2teaspoonsoftheblendforthisrecipeandstoretherest inanairtightjartoseasonawidevarietyoffood,suchasbakedfries(whiteorsweetpotatoes),othervegetables,orseafood,includingcatfishandshrimp.Youmaywanttoturnonyourexhaustfanwhenusingthisandotherblackeningseasoningsovermedium-highorhighheat.

NUTRITIONANALYSIS(perserving)Calories 243TotalFat 5.5gSaturatedFat 0.5gTransFat 0.0gPolyunsaturatedFat 1.5gMonounsaturatedFat 2.5gCholesterol 66mgSodium 381mgCarbohydrates 20gFiber 3gSugars 5gProtein 29g

DietaryExchanges:1starch,1vegetable,3leanmeat

These recipes are brought to you by the American Heart Association’s Face the Fats campaign. Recipe copyright © 2009 by the American Heart Association. Look for other delicious recipes in American Heart Association cookbooks, available from booksellers

everywhere, and at deliciousdecisions.org.

Heart Health


Grilled Chicken with Strawberry and Pineapple SalsaServes 4; 3 ounces chicken and 1/2 cup salsa per serving

Grilled pineapple and fresh mint and strawberries combine with tangy lemon and a bit of hot pepper flakes to make an interesting salsa for grilled chicken.

1teaspooncanolaorcornoil

Salsa2slicesfreshpineapple,each1/2inchthick,patteddry1cupwholestrawberries(about5ounces),diced1/4cupfinelychoppedredonion3to4tablespoonschoppedfreshmintleaves1to2teaspoonssugar1/8teaspooncrushedredpepperflakes1mediumlemon

Chicken4boneless,skinlesschickenbreasthalves(about4ounceseach),allvisiblefatdiscarded

2teaspoonssalt-freesteakseasoningblend1/4teaspoonsalt

Preheat the grill on medium high.Brushagrillpanorgrillrackwiththeoil.Heat thegrillpanorrackonthegrill forabout2minutes,oruntilhot.Grillthepine-applefor2minutesoneachside.Trans-fertoacuttingboardandletcoolslightly,about2minutes,beforechopping. Meanwhile,inamediumbowl,stirtogethertheremainingsalsaingredientsexcept the lemon. Grate 1 teaspoonlemon zest, reserving the lemon. Stirthe zest and chopped pineapple intothestrawberrymixture.Setaside. Sprinklebothsidesof thechickenwiththeseasoningblendandsalt.Grillfor

5minutesoneachside,oruntilnolon-gerpinkinthecenter.Transfertoplates.Squeeze the reserved lemon over thechicken.Servewiththesalsaontheside.

NUTRITIONANALYSIS(perserving)Calories 191TotalFat 3.0gSaturatedFat 0.5gTransFat 0.0gPolyunsaturatedFat 0.5gMonounsaturatedFat 1.0gCholesterol 66mgSodium 223mgCarbohydrates 14gFiber 2gSugars 10gProtein 27g

DietaryExchanges:1fruit,3veryleanmeat


physical

Oneofthemostcommonlyencounteredstructuraldeformitiesof the foot is referred toasabuniondeformity. Theword“bunion”referstoanenlargementofthegreattoejointwhich

isaccompaniedbythebigtoedriftingtowardsandusuallyunderthesecondtoe. Reconstructivefootsurgeryisoneofthefocalpointsofmyprofes-sionallife.Asyoucanimagine,Iamsomewhatopinionatedastotheanswertotheabovequestion.Mygoalinthisarticleistobrieflyexplainthebasicprocessofevaluationofbuniondeformityandthedecision-makingprocesswhichinfluencesthechoicebetweenconservativeandsurgicalcare. Thefirstjobforanyoneconsideringtreatmentfortheirbunionistobecomeawellinformedconsumer.Whenyougotoseeaspecialisttoevaluateyourfeet,don’tgoinwiththeideathatyou’regoingtobeschedulingsurgicalrepairofthefootdeformity.Rather,goingwiththemindsetthatyouaretheretolearn,inasgreatdetailaspossible,aboutthecauseof thedeformityandtheentireconservativeandsurgicaltreatmentparadigmaswellastherisk/benefitratioofeach.Seekingreferralsfromfamilyandfriends,physicaltherapistsandespeciallyfromyourprimarycarephysicianisagoodwaytostartyoursearch.TheInternetcanalsobequiteinformativeasweallknow,andifyouwork

yourwaypastallofthefluffandslickadvertising,andfindyourwaytoreputablepeerreviewedorevidence-basedmedicalinformation,youwillfindyourselfwithaverysoundbasisforyoureducationalprocess.Iampersonallyanadvocateforandverysupportiveofobtainingmultipleopinionsaswell. I findmyselfblessedtopractice inapartof thecountrywherethepopulationisextremelywell-informed,health-conscious,activeandgenerallyquitefit.Overmymanyyears inprivatepractice,thishasstronglyinfluencedmewhenconsideringsurgicalversusconservativecareinmyrecommendations. Averybasicclassificationforbuniondeformitymightbe“mild,mod-erateorsevere”.Buniondeformitiesgenerallywillprogress“very,veryslowly”overtheyears,andatsomepointtheprogressionofthedefor-mityincreasesto“slowly”.Thatistosay,youwillnotexperiencearapidchangeinashortperiodoftimehoweverthereisarelativeincreaseintherateoftheprogressionofthedeformity.Ihavehadmanypatientswhohavesaid“youknow,I’vehadthisbunionmywholelifebutIreallyseethebigtoestartingtodriftovermoreandnowmysecondtoeisstickingupintheairandIthinkit’stimetofixmybunion”.TypicallywhenIevalu-atecasessuchasthis,IfrequentlyfindmyselfwishingthatIhadmetthisfootseveralyearsbeforewhenthedeformitywasnotassevere.

“When Should I Fix My Bunion?”By Dr. Thomas E. Shonka, Foot and Ankle Care Boulder County


Myratherstrongbiasisfoundedintheawarenessthatrepairofabuniondeformitycanbecomparedtocarpentrywork.Thelessseverethedeformity,thelesscomplextherepair.Icanhonestlystatethatmyskillsasacarpenterarechallengedonaregularbasis;bythisImeanthatmanypeoplewilltendtoputoffrepairofabuniondeformityuntilitrequiresamorecomplexrepair.Themorecomplextherepair,thegreaterthemarginoferrormaybecome.Generally,themorecomplexthecarpentryworkthegreaterthehasslefactorforthecarpenteraswellasthepatientinthepostoperativecare.Thebestexampleisthatthemoreseveredeformitiesmostfrequentlywillrequireextendedperi-odsofnon-weight-bearingaftersurgery. IhaveadefinitionofwhatIconsidera“perfectbunion”.IfIseeamoderatedeformitywhichisattachedtosomeonewhoishealthy,youngand fit, that’smy idealscenario in theoperating room. Therepairworkislesscomplexandmorereproducible.Thereisasmallermarginoferror.Healthyandfitpatientsaremotivated,theytendtohealquickerandwhenIamabletoworkwithgoodbonedensitythingsaremoresecureandpredictable.Ihaveseenmanyelderlypatientsovertheyearswithadvancedfootdeformitiesthatsignificantlyimpacttheirhealthandqualityoflifebecauseoftheimpactontheiractivitylevelastheyage.Thisistheindividualwhowouldhavebeenbestservedbyaddressingtheproblemearlierinlife. Typicallybuniondeformitiesarerepairedinanoutpatientsetting,underlocalanesthesiawithintravenoussedationprovidedbyanan-esthesiologistwhomonitorsthepatientcontinuously.OurpatientswillreturnhomeimmediatelyafterthesurgeryandIliketotellthemthattheyshouldbe“captainofthesofateam”forthefirstweekorso.Su-tureremovalwilloccuratapproximately10daysandwhentheincision

iswellhealed,aroundtwoweeksaftersurgery,Iencouragemypatientstogetintothepooltostartswimmingandbeginasupervisedphysicaltherapyrehabilitationcourse.Crutchesmaybeusedforseveraldayswhenalessseveredeformityisrepairedorfrom4to6oreveneightweeksinsomecasesofmoreseveredeformity.Regardlessofthetypeofrepairperformed,I liketotellmypatientstothinkoftherecoveryasa“six-monthhealingjourney,”mostlycompletedinthefirsteightweeks.Abouttheeighthpostoperativeweek,youwillgenerallyseeabout80%ofthehealinghasoccurred.Thefootisstillthickerthanthenon-operatedfootandwitheverystepyoutakethereisapartofyourbrainthattellsyou,“becareful-youhadsurgeryeightweeksago,”howeveryou’restartingtolookatthelightattheendofthetunnelandmostofyouractivitieshavecomebackintoyourlife.Theslopeofthehealingcurveisrathersteepandpeopleseerapidimprovementinthefirsteightweeks,andthenafterthatthingsslowdownandthefinalap-proximate20%ofhealingoccursinthenextfourmonths.Anathleteactiveinrunningsportsmostfrequentlywillreturntofullspeedabouthalfwaythroughthissix-monthjourney. Adetailedhistoryandphysicalexaminationalongwithx-rayevalu-ationisessentialinevaluatingbuniondeformity.Beingawareofthede-greeofthedeformity,thepotentialforprogressionandtherepairoptionswillgiveyouthenecessaryinformationtomakeaninformeddecision.

Dr. Thomas E. Shonka is: Fellow, American College of Foot and Ankle Surgeons Diplomat, American Board of Podiatric Surgery Fellow and Past Pres., American Academy of Podiatric Sports Medicine. He can be reached at Foot and Ankle Care of Boulder at 303-449-2000, or visit the clinic’s website at www.facboulder.net.


environmental health

According to the U.S. EnvironmentalProtectionAgency,morethan90per-centofAmericanswanttoprotectthe

environment.Despite thedesire tocare fortheearth,only33percentoftrashintheU.S.actuallygetsrecycled,and54percentgetsburiedinlandfills.Withsustainablelivingbe-comingmore top-of-mind,Ziplocwants toempowerfamiliestogetinvolvedinrecyclingefforts. Inanefforttooffsettheamountofprod-uct waste that could potentially end up inlandfillsandmotivatefamiliestodotheirparttoprotecttheenvironmentforfuturegenera-tions,ZiplochaspartneredwithRecyclebank,the leadingsustainableactionplatformde-signedtomotivateandenableindividualstomakeacollectiveimpactontheenvironment.Fromrecyclingandreusingeverydaykitch-enwaretobeingmindfulofwaterandenergyusage,familiescanincorporatethesesimple,earth-friendlytipsintotheirkitchenroutines:

Increase Recycling Efforts Recycle itemsthatyounolongerneedand participate in community recycling ini-tiatives.Communitysupportforrecyclingofcommon and uncommon goods can varyfromplace toplace. In fact, cleananddryZiplocBrandSandwich,FreezerandStorageBagsarenowacceptedatexistingin-storerecyclingbinsthatacceptplasticshoppingbagsforrecyclingatapproximately18,000participatingretailersnationwide.

Use “Smart” Kitchen Supplies Whenbuyingsuppliesforyourkitchen—whetheranappliance,cookingpanorpieceofcutlery—choosedurableandhighqualitykitchenwaretowithstandthetestoftime.Also,saveenergy(andpo-tentiallyreduceyourgasbill)byusingsmallerapplianceswhencookingsmallamountsoffood.Forexample,heatingwaterinanelectrickettleratherthanateapotonthestoveorcookingsmallormediumsizedportionsoffoodinthemicrowaveinsteadoftheregularovenuselessenergy.

Store Meals in Reusable and Multi-Purpose Containers Whenpreparingandstoringmealsforthefamily,tryusingZiplocBrandContainers,whichareavailableinavarietyofsizesandshapes.Theynotonlyhelpfamiliesstayorganizedandgetmoreoutofmeals(andreducewaste)bykeepingfoodfresh,buttheyarealsomicro-waveable,freezer-safeandareperfectforstoringleftoversorcarryinglunchtowork.

Conserve the Household Water Supply Foracoldbeverage,keepacoolpitcherofwater in the fridge insteadof letting thetaprununtilwatergetscold.Refillonewaterglassorreusablebottlethroughoutthedayso therewillbe fewer items towash.Aftereating,don’trinsedisheswithwater—justscrapeofftheexcessfoodandloaddirectlyintothedishwasher.TestsbyConsumerRe-ports showed that pre-rinsing usually isn’tnecessaryandbyskipping ityoucansave20gallonsofwaterperload.

ThroughitspartnershipwithRecyclebank,Ziplocisofferinganotheroptiontogetinvolvedandhelptheenvironmentbyincentivizingfami-liestoinspirechange.Together,theyarecom-mittedtomotivateandrewardconsumerswhotakesustainableactions.Toearnrewards,visitwww.recyclebank.com/ziplocandpledgetore-cycleZiplocBrandBagsandpackaging.Soon,speciallymarkedpackagesofthebagswillbeavailableforpurchase.Simplyenterthecodefrominsidethemarkedpackagesatwww.Re-cyclebank.comandstartearningpointswhichcanberedeemedforprizes.LearnmoreaboutZiplocandRecyclebankrecyclingeffortstodivertmillionsofpoundsofwastefromlandfillsatwww.ziploc.com/sus-

tainability.Additionally,sharerecyclingandearth-friendlytipsbyjoiningtheFacebookcommunityatwww.Facebook.com/Ziploc. Familieseverywherehaveanewoption inrecycling.CleananddryZiplocBrandSandwich,FreezerandStorageBagscannowberecycledatexistingin-storebinsatapproximately18,000participatingretaillocationsthatacceptplasticshoppingbagsforrecycling.It’saneasywaytoprotecttheenvironmentforfuturegenerations.Hereisalistfromwww.PlasticBagRecycling.orgofsomeoftheitemsyoucanrecycleatin-storerecyclingbins:•CleananddryZiplocBrandBags•Plasticgroceryorretailbags•Newspaperbags•Dry-cleaningbags•Breadandproducebags•Toiletpaper,napkinandpaper-towelwraps•Plasticshippingenvelopes•Cleanplasticbagslabeled#2or#4

Contactyourlocalretailerwithacollectionbinoryourlocalrecy-clingcompanyforafulllistofitemsthatcanberecycledinyourcom-munity,astheywilldifferbylocale.

Earth-Friendly Household Tips Made Easy

Photo courtesy of Getty Images


salt therapy

Nightafternight,JaymeWarnerwouldanxiouslylieinbedhear-ingcoughing,gaggingandgaspingfromthebedroomdownthehall.Itwasheryoungersister,Katie,strugglingwithcystic

fibrosis,alife-threateninglungdisorder. “Itwasterrifyingtolistento,”saysJayme.“Nooneinourfamilycouldsleep.It’sreallyscarywhensomeoneyoulovecan’tbreathe,whentheyjustcan’tgetenoughoxygenin.” Fortunately,Katiehasfoundreliefthroughaninexpensivesourcesomemayfindsurprising-salt. By inhalingconcentrated,vaporizedsalt twiceadaythroughanebulizer,Katiesuccessfullyfightsthedebilitatingsymptomsofcysticfibrosis.HerrecoverywassodramaticitinspiredJayme,16,towriteanessayaboutthefamily’sexperiencewithsalttherapy. Heressay,“Salt:SavingLivesOneBreathataTime,”wonfirstplaceintheseniordivisionoftheprestigiousDuPontChallengesciencecompetition,whichattractednearly10,000participants. Theessay,andKatie’sstory,isanotherexampleofhowsaltisanessentialnutrient,vitalforgoodhealth,saysLoriRoman,presidentoftheSaltInstitute,theworld’sleadingauthorityonsalt(sodiumchloride). “WehopeJayme’swinningessayshinesabrighterscientificspot-lightnotonlyonsalt’sroleintreatingcysticfibrosis,butonthemanyotherwayssaltisoneofnature’sgreathealingagents,”saidRoman. Katie,now7,continuestouseanebulizertwiceadaytoinhalevaporizedsalt,calledhypertonicsaline,whichisalmosttwiceassaltyasthewater intheAtlanticOcean. It’salsosterile,sotherearenogermsinit. “Throughaprocessofosmosis,”Jaymewroteinheressay,“thesaltwater,orthesaltintheairata7percentconcentration,basicallygoesintothecellsanddrawsoutthemucusfromthecells.It’sloose

inthelungsandeasiertocoughup.” ThisallowsKatietosleepandgotoschool,withlittlecoughingordifficultybreathing.ThedarkcirclesunderKatie’sexhaustedeyesaregoneandawell-defined“six-pack”ofstomachmusclesshebuiltupfromcoughingisalmostgone,too. “She’sstillprettystrong,butit’snotfromcoughing,justfromplay-ing likeakid,”saysJayme,asophomoreat IntechCollegiateHighSchoolinNorthLogan,Utah,whowona$5,000savingsbondandatriptoDisneyWorldforherwinningessay. JaymeandKatiehavebecomesaltevangelistsofsorts.TheytellothersaboutKatie’sdramaticimprovementwithsalttherapyandhowtheirgrandfather’sallergiesalsoimprovedaftermovingtoahousenearthesaltyairoftheocean.

Not only is salt good for you, it tastes good, they say. “Iamadie-hardsaltfan,”saysJayme.“SoisKatie.Inachoicebetweensweetandsalty,it’ssaltyalltheway.Weparticularlylikeseasalts.Weputitonvegetablesbecausenomatterwhatyoudotosomevegetablestheycannottastegoodunlessyouaddalittlebitofsalt.” Jaymeknowshersister’sbodywastellinghersheneededmoresalt.Nowthatshehasit,thehouseisquietatnight,witheveryonesleepingpeacefully. “Toknowsheissafeandwon’tstrugglebreathingisahugerelief,almostasiftheworldistakenoffyourshoulders,”saysJayme.“Shecanrunaroundandplayatrecessbecausesaltgetsthatmucusoutofherlungs.Shecanbeakid.”

For more information, please visit www.aboutcysticfibrosis.com.

Gives Breath of Life to Girl With Cystic Fibrosis


Taking the ScareOut of Dental Care

By Christine Venzon

Dentistry isn’t what it was 20 years ago, it’s actually muchnicernow.”SosaysDr.DanielAlleman,DDS.“Materialshavechanged,techniqueshavechanged,andthetimeinthechair

isnotasuncomfortableasitwasinthepast.There’snothingtobeafraidof.” Dr.AllemanandhiswifeDr.BreckglynAlleman,DDS,aretheteambehindAllemanFamilyDental,ageneralandcosmeticdentalpracticeinBoulder.Ifthosecomfortingwordsdon’tcomfortyou,you’renotalone.InarecentsurveybytheBritishDentalHealthFoundation,visit-

ingadentist rankedsecondamongtencommonfears, trailingonlyheights,andaheadofspiders,snakes,flying,andgoingtothehospital.InaMaristCollegepoll,55percentofrespondentssaidtheywouldrathershopforaswimsuitthanseeadentist. It’spartoftheAllemans’goaltoreversethatthinking.Theirstate-of-the-art facility,opened in2008, isequippedwith the latest tech-nology. “It’sphenomenal, it’sgreat. It’s fun tosee theadvances indentistryatthistime.”Andthoseadvancesmakeabigdifferenceinmakingthepatient’sexperienceapositiveone.

feature story

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Seeing Is Believing Digital x-rays are oneexample. Computerizedimages of patient’s teethsave time as images aretransmitted directly to thecomputerscreen.Mostim-portantly,they’rebetterfordiagnosis. “We are usingthe computer to zoom inandoutofapicture,”saysDr. Alleman. “It can blowsomethingup.Itcancom-pareittodifferentyears,soyou can see tooth decayprogress.Ifsomeonehasasmallcavitythatmayhavebeen starting a year ago,we can show them thedifference insizefromthisyear.” Alleman Family Den-tal is also among a grow-ing number of practicesthat does early detectionscreeningsfororalcancer,adiseasethatkillsanaverageof one person every hourof every day in the UnitedStates, according to theOral Cancer Foundation.Suspect tissue is identifiedusingaVelscope,ahand-held device that shines ablue light in the patient’smouth.“Itdetectsearlycel-lularchange,”Dr.Allemanexplains.“Ifsomethingisgrowinginthedeeplayersofthetissuethatwecan’tseeunderregularwhitelight,withjustoureyes,itshowsupasadense,darkspot.Itdoesn’tdiagnosecancer,sowecan’tsay,“oh,yeah,that’sabsolutelycancer,”butithelpstode-termineifsomethingneedstobelookedatinfurtherdepth.” Earlydetection iscritical,becauseoralcancerhasan80to90percentsurvivalratewhencaughtearly.Unfortunatelythemajorityofcasesarefoundlate,droppingthesurvivalrateto55percent. “That’swhywedo it for every singleperson thatwalks in thedoor,”Dr.Allemansays,“whethertheysmokeorthey’veneversmokedintheirlife,becausealotofpeoplethink,ifIdon’tsmokethenI’msafe.However,that’snotalwaysthecase.”Also,henotes,“therenowisshowntobeacorrelation(oforalcancer)withHPV,humanpapillomavirus,andtheincidenceofHPVishigherthanitwas25to30yearsago,andgenerallytargetsayoungerpopulation.It’sourjobashealthcareprofessionalstobethereonthefirstlineofdefense,todowhatwecantoreversethatrateofmorbiditythathasn’tchangedinthelasthalfcentury.” Technology can give patients better understanding of what’sgoingon,whichalsocalmstheirfears.Forexample,saysDr.Alleman,“We’vejustinvestedinanintra-oralcamerathatweusetotakepic-turesofpatients’teethsothey’reabletoseewhatwe’reseeing.Wehaveaprogramthatdisplaysanimationscalled‘ToothIQ.’Itshowswhattheprocedureslooklikesothatpeoplecangetavisualofwhatwe’redoing.”

Technologyisn’ttheonlytrickintheAllemanFamilyDentalbag:havingbothafemaleandmaledentisthelps“becausetherearesome(patients)thatpreferawomandentistoramaledentist.It’sthesamethingwiththespecialiststhatweuseforpatientreferrals.Wetrytohaveagoodmixofbothmenandwomen.” Dr.Allemandescribestheirpracticeas“ajointeffort.”Forsomereason,however,“mywifetendstoworkmorewithkids,andifsome-oneneedsarootcanaloratoothtakenout,it’susuallyme.” Stillnotconvinced?“We’regettingsomeLCDmonitorsoverourchairssopatientscanwatchmoviesandjustrelax.” Themixofprofessionalexpertiseandpersonaltouchseemstoreso-natewiththeirpatients.“CheckusoutonGoogle,”Dr.Allemanurges.“Wehaveoverahundredgoodreviewsfrompatients.Wereallyappreci-atethepositivecomplimentsconsideringdentistsaregenerallyfeared.”Brushing Up on Self Care Alloftheseadvancesintechnologyandsciencedon’t letyouoffthehookconcerningpersonalresponsibilityforyourhealth.Quitetheopposite:the latest findingsunderscorethe importanceoftheold-fashionedadvicetobrushtwiceadayandflossdaily.“We’renoticingthatalotofpeoplearereallydoingtheirbesttotakecareofthemselves,”saysDr.Alleman.“Boulder isaveryhealthycity. Iwouldsay,however,thatalotofpeopledon’tfloss.Whenpeoplestart to incorporate that into their routine,weusuallyseea lotofimprovementwithgumtissuehealth.”


Healthygumsdomorethanhelpyoukeepyourteeth.AsDr.Allemanpointsout,“Yourmouthistheopeningtoyourbody.Withunhealthygumtissue,therearealotofbacteriainthemouththat’sbadbacteria,whenyou’reswallowingandtakingitinsystemicallyitcanleadtootherproblems.Therearestudiesthathavecorrelatedperiodontal(gum)diseasewithheartdisease.” Howso? It’sthoughtthatthesamebacteriathatcausegumdiseasealsocontributetofattybuild-uponarterywalls.Theycouldalsoleadtoinflammationofthebloodvessels.Bothconditionscanincreaseyourriskofhavingaheartattackorastroke. “Wedon’twantthattobetaken lightly.Westressthe impor-tanceofcleaningthoseareasverywellandmakesurepeopleun-derstandwhyit’simportanttoflossonadailybasis,brushtwiceaday,andnotignoresomethingforalongperiodoftime.”Calling Boulder Home TheAllemanshavebeenBoulderitesonlya fewyears.TheymetasdentalstudentsatStateUniversityofNewYorkatBuffalo,but“I’vealwayswantedtoliveinColorado,”Dr.Allemansays.TheOhionativecametolovethestatefrombackpackingthroughthemountainswithhischurchgroupasateenager.HeandBreckglyncompletedtheirresidenciesinAlamosainthesouthernpartofthestatein2007“andwedecidedthatwewantedtostay.WefoundaplaceinBoulder,andhereweare.” In thatshort time, thecouplehasmadeaheftypersonal in-vestmentinthecommunity’squalityoflifebeyonddentalcare.“As

apractice,wesponsoracoupleofdifferent teams in theyouthbaseball leagues, theBoulderYouthSportsLeague,mainly thefallsports. I’mnowthevice-presidentofourcountydentalsoci-ety.We’re just tryingtogiveasmuchbacktothecommunityaspossible.WereallylikeBoulder.It’sagreatplace.Coloradoisanawesomeplacetolive.” Their latestcontributiontothecommunity:anine-month-olddaughter. “We’re trying tobalanceherwithworkandeverythingelse,”saysDr.Alleman.“Wetrytoleaveworkatwork,butsome-timeswe findourselvesworkingonpaperworkathome,on theweekends, things like that. We always try to carve out time tospendwithfamily,becauseasI’mwatchingmydaughtergrow,Ithinkwow,she’sgrowingreallyfast!SoI’vegottomakesurethatIspendasmuchtimewithheraspossible.”And,hestresses,“Mywifedoesthesame.She’sdefinitelydoneagreatjobwithbalanc-ingworkandhome.”

For more information about Alleman Family Dental, call 303-499-7133

or visit us at www.allemanfamilydental.org. We are located at 2760 29th Street,

Boulder, CO. Make your appointment today.

feature story continued


veterinary technology

Doyoucurrentlyownapet?Doyoucon-sideryourpettobeamemberofyourfam-ily?Ifyouansweredyes,thenyouarenot

alone.Recentsurveyshaveshownthatover80%ofpetownersviewtheirpetsasmembersofthefamily,andmoreandmorepeopleareseekingthehighestqualityofcaretotreattheirpetsforseri-ousillnesses. However, in spiteof tremendousadvance-mentsinhumanmedicineoverthelast20years,surprisinglyfewhumantreatmentsareeveropti-mizedforuseincompanionanimals.Forexample,whileover900drugsareindevelopmenttotreathumancancers,therehavebeenonly3approvedcancerdrugsfordogsandcats.Itisparticularlyfrustratingforthosewhohavelostabelovedpettoaseriousillness-knowingthattheirpetmighthavelivedlongerorsufferedless-hadsomeofthose human advancements been adapted forveterinaryuse. Severalnewcompanies(oneofwhichisbasedinFortCollins)havefoundawaytocapitalizeonthisproblem–byadaptingpromising,butexploratorynewhumantherapiesforuseindogsandcatsintherapidlygrowingveterinarymarketplace. Manynewhumantherapieshavegreatpo-tentialtobenefitanimals,whichoftenexperiencesimilardiseasesandrespondtosimilartreatments.For example, companion animals can developcancer just likepeople - theygetbrain,breast,bone& lungcancer, lymphomaandmelanoma,andscientistshavediscoveredthatthemalignantcellsareoftenbiologicallycomparable. CancerisaleadingcauseofdeathinpetsintheUSovertheageoftwo,anditisestimatedthatalmosthalfofallpetsovertheageof10willde-velopcancer.Lymphomaisoneofthemostcom-monanddeadlycancersindogsandcatstoday.Whilehumanchemotherapydrugsareoftenuti-lizedinitially,nearlyallanimalsultimatelyrelapse,leavingveterinarianswithfewviablemedicalop-tions. Current efforts are underway to developveterinary-specific cancer treatments for lym-phoma,whichcouldprovidenewalternativesforpetssufferingfromthisdeadlydisease.Onedrugcurrentlybeingexploredworksbyspecificallytar-geting,andultimatelykilling,cancerouscellsfoundinlymphoma. FurtherworkisbeingplannedinconjunctionwithpetownersandveterinariansattheCSUVet-erinaryTeachingHospital.CSU’sCollegeofVeter-inaryMedicineranksamongthetopinthenation,and itsAnimalCancerCenter isconsidered thelargestcompanionanimalcancerresearchcenterintheworld. Theultimategoalistorevolutionizethetreat-mentofcancerfordogsandcats.

For more information on the latest efforts to treat cancer in companion animals, please go to www.vet-dc.com or www.csuanimalcancercenter.org

New Hope for Pets with Cancer


children’s health

When Megan Webber downloaded family photos offherdigitalcamera,shefoundtheusualproblemsthatneedtouchingup—someweretoodark,somewere

alittlegrainy,andsomeneededalittlered-eyeremoval.Someofthepicturesofher5-year-oldson,Benjamin,hadagoldenglowinhislefteye. “Benjaminhasalwayshadafreckle inhis lefteye,”saidMegan,“soIthoughttheflashwasjustadifferenceduetothecoloringofhiseyeandignoredit—Ievendidred-eyecorrec-tiontoremoveitfromphotos.”Butwhenhersisternoticedthatsameglowinsomefamilyvacationpicturesshehadtaken,shegaveMeganaconcernedcall. “Shesaiditwasprobablynothing.ButshehadseenonatelevisionshowthatthiscouldbeasignofatumorintheeyeandrecommendedIhavehimseen,”saidMegan. Benjamin’spediatriciandidn’t findanything,buthesentthemtoaspecialistwhourgedthemtocome inrightaway.Theywerestunnedtolearnhewaslegallyblindinhislefteye. “He’dneverbumpedintowallsorrubbedhiseyes—he’devenjustpassedthepaddleeyetestinthedoctor’soffice,”saidMegan.“HislefteyecouldnotseealetterEthesizeofafullcomputerscreeneightfeetaway.” Scansofhiseyeshowedawhitemass,whichhadbeencausing the reflection in thephotograph.After testingandatensefewdays,theydiscoveredthatBenjaminhadCoats’Dis-ease,alife-longdiseasethatcandamagetheeyetothepointwhereeyeremovalisnecessary.Fortunately,Benjamin’sprob-lemwascaughtearlyenoughfortreatment. “WhileBenjaminhashadthreeeyesurgeries,wewereveryluckytohavecaughthisdiseaseintime,”saidMegan.“Had itbeenmoreadvancedBencouldhave immediatelylost his eye. We are so grateful to Dr. Tom Lee and thedoctorsatTheVisionCenteratChildren’sHospitalLosAn-geles.Withouttheworkthattheydosomanyfamilieswouldnothaveaccess to thequalityandcaliberofcare that isprovidedthere.” Benjaminisdoingwell,andisahappy,thrivingfirst-grader.“HewearsprotectiveNikeshatterproofglasseswhichtheother

Clues to Childhood Eye Diseases Could Be Hiding in Plain Sight

Benjamin with his father Brian Webber in The Vision Center at Children’s Hospital Los Angeles

Photo courtesy of Getty Images and Know the Glow


kidsthinkareprettycool,”saidMegan.“Theglassesareprimarilytokeephisunaf-fectedeyesafe,forwithoutthateyehewouldbeblind.”

A vision to help other children Megansaidthatshedoesn’twantanymoreparentstomissthesignsofpoten-tiallylife-threateningeyediseases. “Weareamazedthatsomethingsosimple,justtheglowinaphoto,wasallthatwasneededtospotthisdisease,”shesaid.“Ifthereisawaythroughourfamily’sexperienceweareabletogetthemessageoutabouttheglow,weareanxioustodoso.We’vecreatedacampaigntoraiseawareness.”TheKnowtheGlowcampaigniscombiningtheeffortsofconcernedindividuals,corporationsandphysicianswhoarepioneersinthefieldofpediatricdiseasesoftheeye. “Ican’ttellyouhowmanykidscomeinwithadvancedeyediseases;it’satrag-edy,”saidDr.TomLee,directoroftheRetinaInstituteinTheVisionCenteratChil-dren’sHospitalLosAngeles.“Parentsdon’trealizetheyareanimportantpartofthediagnosis.Theywillseethissignbeforedoctorswill.Everychildhashadthisscreeningprocess—allittakesisforparentstoopenupthephotoalbum.” Thewebsite,www.KnowTheGlow.org,hasinformationonthediseasesthatcanbeindicatedbytheglow.“HadIknownabouttheglowearlier,Dr.LeecouldhavesavedmoreofBen’svision,”saidMegan.“KnowingwhatitfeltliketopossiblyfaceafataloutcomeandknowingthatIignoredsuchahugeredflagthatwasrightthereinfrontofme,Idon’twantanotherparenttohavetosufferthroughthatoranotherchildtoneedlesslylosetheirsightortheireyesduetoalackofawarenessoftheglow!”

Know the Facts•1in80childrenareatriskofgettingTheGlow.•80percentofchildhoodblindnessispreventable.•80percentofRetinoblastomaandCoats’Diseasecasesarediagnosedinitiallybya

parentthroughaphotograph.•TheGlowisanindicatorof15eyediseasesandcancers.•Insomecases,TheGlowcan leadtotheremovalof theeye,blindness,and, in

extremecases,death.

Disorders Related to the Glow Abnormalitiesperceivedthroughtheredreflextest can indicate several types of diseases,suchas:

•Amblyopia•Cataract•Choroidal•Coats’Disease•CongenitalCataract•Coloboma•Norrie’sDisease•PHPV•RefractiveError•RetinalDetachment•RetinalDysplasia•RetinopathyofPrematurity(ROP)•Retinoblastoma•Strabismus•Toxocariasis•Trauma

If you believe you have seen a glow,youshouldobtainareferral immediatelytoapediatric ophthalmologist for diagnosis andtreatment.

TextGLOWto90999todonate$10.

ScanthiscodewithyoursmartphonetowatchavideowithmoreofBenjamin’sstory,orvisithttp://bit.ly/EyeGlow.

RetinoblastomaRetinoblastoma (reh-tin-oh-blast-oma) is a malignant cancer of early childhood that arises from immature retinal cells in one or both eyes. Retinoblas-toma can start growing at any time before birth up until about 3 years of age. Occasionally, it is not detected until ages 7 or 8.

Coats’ DiseaseCoats’diseaseisarareeyedisorderinvolvingabnor-mal development of the blood vessels of the retina,whichlinetheinteriorchamberoftheeye.Asvariouscomponentsofbloodleakintotheretina,fluidaccumu-latesundertheretina.Theresultmaybelossofvision,particularlycentralvision,anddetachmentoftheretinafromotherlayersoftheeye.

Benjamin wears a patch one hour a day to help strengthen his eye.


healthy benefits

More Olive Oil in Diet Could Cut Stroke Risk

Seniors who preferred the oil had 41% drop in the attacks vs. those who rarely ate it

Addingoliveoiltoyourdietmayreduceyourriskofstroke,anewstudysuggests.Researchersfoundthatolderpeoplewhousedoliveoilinten-sively--meaningtheyregularlycookedwithitanduseditinsaladdressing

--were41percentlesslikelytohaveastrokethanthosewhorarelyconsumedit. The leadauthorof thesix-yearstudy,CeciliaSamieriof theUniversityofBordeauxinFrance,saidwhyoliveoilmighthelpreducetheriskofstrokeswasunclear.Butitmightresultfrompeoplereplacinglesshealthfulsaturatedfatswithmono-unsaturatedoliveoil,sheadded.“Wecan’tinferfromourstudywhichaspectsofoliveoilpreventstroke,”Samierisaid.But“itmaybeasubstitutioneffect.”Thus,eatingfewersaturatedfatsimprovesthehealthofoliveoilusers.Priorresearchhaddocumentedoliveoil’santi-inflammatorybenefit,sheadded.Propertiesoftheoilitself,includingoleicacidorpolyphenols,couldalsoholdthesecrettotheoil’sprotectiveeffect,saidSamieri,apost-doctoralfacultymemberintheuniversity’sdepartmentofnutritionalepidemiology.Polyphenolsareanti-oxidantnutrientsthatreduceinflammationinthevascularsystem,accordingtothestudy.Oleicacid,afattyacid,makesup80percentofoliveoil. ThestudyispublishedintheJune15onlineeditionofNeurology.Stroke,anoutcomeofpoorvascularhealth,isthethirdleadingcauseofdeathintheUnitedStates,accordingtotheAmericanHeartAssociation.Strokesresultfromvascularbleedingor,morefrequently,ablockageofbloodflowtothebrain.Dietshighinfoodscontainingsaturatedfat,suchasmeatandbutter,havebeenlinkedtostroke.Inthestudy,researcherslookedathowmucholiveoil7,625Frenchpeopleaged65yearsandoverroutinelyused,rangingfromnone (23percent) tomoderateuse incookingordressing (40percent), tointensiveuseincookinganddressing(37percent).Theparticipantsprimarilyusedextra-virginoliveoil,andthestudycontrolledforstrokeriskfactors,suchashighbloodpressure,exercise,smokingandalcoholuse. Afternearlysixyears,148strokesoccurred.Butthosewhousedoliveoilthemosthada41percentlowerriskofstroke,comparedtothosewhousednone.Theoverallstrokeratewas1.5percentfortheoliveoiluserscomparedto2.6percentfortheothers,accordingtothereport.Asecondstudysamplehadsomecontradictoryfindings,theresearchnoted.Oleicacidwasmeasuredinthebloodof1,245participants.Amongthatgroup,27strokesoccurred,witha73percentreducedriskofstrokefoundinpeoplewithhigherlevelsofoleicacid,thestudyfound.Butthehigherlevelwasalsolinkedtohighercon-sumptionofbutterandgooseorduckfat,which“mayexplaintheunfavorablepatternofriskfactorsassociatedwithhigherplasmaoleicacid,”accordingtothefindings.Anutritionexpertcautionedthatpeopleshouldnotoveruseoliveoilinanefforttoimprovehealthbecauseitisahigh-caloriefat. “Thetakeawayfromthestudyisthatadiethighinoliveoildoeshaveapro-tectivebenefit,butweneedtolookfurthertofindouthowmuchisbeneficialwhilestillmaintainingalow-fatdiet,”saidHeatherDavis,aclinicaldietitianatLenoxHillHospitalinNewYorkCity.ShesaidthattheAmericandietisrarelylackinginfat,whichisneededforhealthyskinandhair,andforprocessingcertainvitamins.“Weneedtolookfurthertoestablishanupperlimit,”saidDavis.Whiletheresearcherswereunsuccessful inestablishinganumericalvalueforoptimaloleicacid,“it’sgoodthattheideaisoutthere,”shesaid.Shesaiditisimportanttocontinuetheresearch.“Weknowoliveoilisbeneficial,butitwouldbeadvantageoustobeabletodetermineaprotectiverangeinapatient’sblood,”Davisnoted. FundingfortheresearchcamefromtheFrenchgovernmentandLipidsforIndustry,SafetyandHealth,anallianceofacademiaandindustry.

To learn more about stroke, visit the U.S. National Institutes of Health.


family health

During the warm sum-mer months the desiretobeoutsideconsumes

much of the general public.Thisyearningforthesunresultsin numerous positive physi-calbenefitsas longascertainsafetyprecautionsarefollowed.Althoughthesunprovides thebody with essential nutrientslike Vitamin D, it can be verydangerous if thebody isover-exposed.Thisistrueespeciallyinolderadults.Whenthetem-peraturehits the low90’s, theheatcanbeaserioushealthriskfor everyone, especially thosepeopleovertheageof65. Aswegetolderourbodiesbecome much more suscep-tible todehydration andheat-related illnesses. This is due,in large part, to a number ofcharacteristics brought aboutby aging. One such charac-teristic isthatthirstsensationsdiminishovertheyears,inhibit-ingtheabilityofpeopletorec-ognize when they are nearingdehydrationandallowingforaseriouslossofwaterfromthebody.Also,theagingbodylosestheabilitytocoolitselfatarapidpacelikeitcouldwhenitwasyounger.Thisfactisespeciallydangerousbecausesometimesolderadultsdonotfeeldrasticrisesordropsinheatlevels,whichmeanstheycouldfeelfineevenwhentheweatheristoohot.Thiscouldresultindehy-dration,heatcramps,heatexhaustionorevenheatstrokebecauseofthebody’sinabilitytoeffectivelycoolitselfatanefficientrate.Anothercharacteristicincludesthethinningoftheskininolderadults.Astheskingetsthinner,itprovideslessprotectionagainsttheharshnessofthesun’srays. Healthissuesresultingfromthesuncanbeavoidedifanumberofsimple,butimportantsafetymeasuresaretaken:•Stayindoorsasmuchaspossibleduringthelatemorningandafter-

noonhours.•Ifyouexerciseoutdoorsmakesuretodosoduringthecoolerhours

oftheday—earlymorningandevening.Also,makesuretoconsultyourphysicianbeforestartinganexerciseroutine.

•Itisextremelyimportanttostayhydratedsodrinkalotofwaterandotherfluidsthroughoutthedayevenifyouarenotthirsty.

•Stayawayfromalcoholicbeveragesorthosethatcontaincaffeine,astheycanincreasetheriskofdehydration.Sportsdrinksaregood

becausetheycanhelprestoreimportantsaltsandnutrientsintoyourbodyandfightdehydration.

•Trytostayintheairconditioningifatallpossible.Ifyoudonothaveairconditioning,considergoingtoplacesthatdolikethemall,library,grocerystoreormovietheater.

•Ifyougooutside,wearahatthatcanhelpshieldyourfacefromthesun.Also,wearsunglassesandsunscreenwithSPF15orhigher.

•Donotwearheavyordarkclothing.•Donotdoanyheavyliftingorotherlaborioustasksduringthehotter

partsoftheday.•Ifyoucannotstayintheairconditioningduringthehothoursofthe

day,trytakingcoolbathsandshowerstokeepyourbodytempera-tureatanormallevel.

•Donoteat largemeals. Tryeatingsmallermeals inshorter timeintervals.

•Make sure to consult yourphysician to seehowmuch time youshouldspendinthesuneachday.

Provided by HCR ManorCare, a leading provider of short-and long-term health care.

Warm Weather Safetyfor Older Adults


healthy aging

Skincancer,according toTheSkinCancerFoundation, is themostcommonformofcancerintheUnitedStates,withmorethanonemillioncasesdiagnosedannually. It isapotentially

deadlycancer,andaccordingtotheColoradoDepartmentofPublicHealthandEnvironment,Coloradanshavea30%higherrateofmela-nomathantherestofthecountryandthatrateisrising.Thisisbe-causeweliveinasunnyclimateandatahigherelevationlevel.It isimportant forColoradanstobeawarethatUV(ultraviolet) radiationincreases10-12%every3,000feetinelevationgain. Skincancerinnotonlyincreasinginthepopulationasawhole,butmelanomahasnowbecomethemostprevalentformofcancerinwomenages25to30nationwide.Skincancerfallsintotwomaincate-gorieswhichincludemelanomaandnon-melanoma.Non-melanomasaremostcommon(suchasbasalcellcarcinoma)andarenotfatal,butneedtobetreated.Melanomasappeartobeincreasingandcanbefatal. Fortunately,skincancer ispreventableandtreatablewhende-tectedearly.ThemajorityofskincancersarefromtheexposuretoUVraysfromthesunortanningbeds.YoucanreduceyourriskofskincancerbyavoidingorlimitingyourexposuretoUVradiation.

Prevention:•Protectyourskinfromthesunbywearingprotectiveclothingsuch

asbroad-brimmedhats,long-sleevedshirtsorpants.LookforthoseproductsthatprovideaUPFrating(ultra-violetprotectionfactorforfabricwhichisdifferentthanSPFforsunscreen).UPF50+protectionblocks97.5%ofthesun’sharmfulUVrays.

•Wearabroad-spectrumsunscreen(blockingUVAandUVBrays)thatisaSPF30orhigherandreapplyaftertwohours.Applysunscreenone-halfhourbeforesunexposure.Don’tforgettowearsunscreeninthewinterandoncloudydays.Cloudsonlyblock20to40%ofUVrays.Itisalsoimportanttorememberthatsnowisasunreflectivesurface.

•Avoidexposure to thesunbetween10amand4pm.Stay in theshadeorindoors.

•Checkyourskinonaregularbasisforanychanges.Thiscanhelpdetectskincanceratitsearlieststages.Warningsignsarespotsontheskinthatchangeinsize,colororshape.Earlydetectiongivesyouthebestchanceforsuccessfulskincancertreatment.

•Wearsunglassestoprotectyoureyes.UVradiationcanleadtocata-racts,degenerationoftheretinaandevenmelanomaoftheeye.Lookforsunglassesthatblock99to100%ofUVAandUVBradiation.

For more information about skin cancer prevention, visit:American Academy of Dermatology, www.aad.orgAmerican Cancer Sociey, www.cancer.orgMelanoma Research Foundation, www.melanoma.orgShade Foundation, www.shadefoundation.orgSun Safe Colorado, www.sunsafecolorado.orgThe Skin Cancer Foundation, www.skincancer.org

For more information about Wallaroo Hat Company and the Wal-laroo Sun Protection Commitment, a donation program to benefit skin cancer research, education and prevention in the United States, visit www.wallaroohats.com.

Skin Cancer Awareness and Prevention While Living A Mile High

Submitted by Lenya Shore, Wallaroo Hat Company


women’s health

Endometriosis islinkedtopainandinfertility formany

women. Itariseswhencells likethosethat linethe uterus (the endo-metrium)attachtoothertissuesandgrowinsidethe lower belly. Theseout-of-place cells maybe just the start of aproblemthat,forsome,lastsalifetime. Endometriosis af-fects up to 1 in 10women of childbearingage.Thepainitcausescanrangefromextremetobarelynoticeable. Awoman may not knowshehasthediseaseuntilshehas troublegettingpregnant and her doc-tormakesthediagnosis.About 40% of womenwithinfertilityturnouttohaveendometriosis. “Endometriosis isan incredibly complexdisease.Itscauseshavebeenkindofamystery,andwe’renotsurehowtopreventit,”saysNIHscientistandgynecologistDr.PamelaStratton.SheandotherNIH-fundedresearchershavebeengraduallyaddingtoourunderstandingofthecondition.They’reworkingtofindbetterwaystodiagnoseandtreatendometriosis,andmaybeevenpreventit.Manyscientiststhinkthatendometriosisresultswhensomeoftheendometrialtissueshedfromtheuterusduringmenstruationflowsbackwardintothepelvis.Thisstrangemigration—calledretrogrademenstrualflow—likelyhap-penstomostwomen,butitdoesn’talwaysleadtoendometriosis. Researchersaretryingtofigureoutwhysomewomenhaveendo-metrialcellsthatstickandgrowwheretheydon’tbelong,andwhyotherwomendon’t.Thesemisplacedcells—sometimescalledlesionsorim-plants—canalsoformscarsbetweentissuesandorganslikethebladder,intestineorovaries.Surprisingly,scientistshavefoundthatthenumberandsizeoflesionsaren’trelatedtohowseverethesymptomsare. Todiagnoseendometriosis,doctorsoftenuseimagingtestslikeultrasoundandMRItolookforsignsofinternallesions.Buttheonlywaytobecertainyouhaveendometriosisiswithsurgery,usuallylapa-roscopy.Forthisprocedure,thesurgeonmakesasmallcut intheabdomenandinsertsatinylightattheendofatube,orlaparoscope.

Strange Migrations and Killer Cramps

From www.NIH.gov

The instrumentallows thedoctor toviewpatchesofendometriosisinsidethepelvicarea.Somelesionscanberemovedduringlaparos-copy.Removinglesions—especiallydeeplesions—sometimeshelpstorelievepain. Mostoften,though,endometriosispainistreatedwithhormonetherapy,usuallybirthcontrolpills.Thesemedicationscansuppressthebody’snaturalproductionofreproductivehormonesandlightenthemenstrualflow,whichcanhelpeasepain. “There’salotofactiveresearchintothebasicbiologicalmecha-nismsofendometriosis.There’ssomuchwedon’tyetknow,”saysNIH’sDr.EstherEisenberg,anexpertinreproductivehealth.“Onceweunderstandthemechanisms,we’llhavebettertoolstohelpwomendealwiththisseriousproblem.” Sinceendometriosistendstoruninfamilies,researchershavebeensearchingforculpritgenes.Somearealsolookingformoleculesinthebloodthatmighthelpdetectendometriosiswithouttheneedforlaparos-copy.Othersaretestingpotentialnewtreatmentsinclinicaltrials. Whilethere’scurrentlynocureforendometriosis,therearewaystominimizeitssymptoms.Workwithyourdoctortoexploreyourtreat-mentoptions.


healthy living

Carl’s Call To BikeBy Carl Edwards

Despiteallthepositiveattributesassociatedwithbiking—gettingactiveandfit,reducingstress,burninglotsofcalories,andde-creasingtrafficcongestion—manycitiesandtownsnationwide

havestillnotembracedtwo-wheeledvehicles.Eventhoughthenum-berofadultswhoride towork is increasingnationwide—accordingtoU.S.Censusfigures, in2008therewasa43percent increase inbikecommutingfrom2000—thenumbersarestill low(lessthanonepercentofAmericans)andmanyareasstilldonothaveprotectedbikelanes,connectedtrailsandbikeboulevards,adequatebikeparking,orbike-friendlylaws. Ifwewanttoleveragethebenefitsofcycling—andtherebyhelpchildrenandadultsgetthephysicalactivitytheirbodiesneed—stateandlocalofficialsmustbecommittedtomakingourcitiesandtownsmorebikefriendly.Thiscanbedonebyprovidingsafeandconve-nientroutesforpeopletoride.CitiesaslargeasNewYorkCity,SanFrancisco,andWashington,D.C.,aswellassmallercommunitieslikeBoulder,Colorado,SaltLakeCity,Utah,andPortland,Oregon,areallrealizingthesebenefits.That’swhytheyarecommittingfundingandresourcestobuildnewbikelanes,installmorebikeracks,createtrails,provideeducationprograms,andsupportotherincentivesthatencour-ageevenmorepeopletoconsidertakingupriding.

The health benefits of cycling Today,adultsspendhoursatworksittinginfrontofcomputers,andchildrenspendupwardsofsevenandahalfhoursadayinfrontofascreenwatchingTV,playingvideogames,using theirmobilephones,orsurfingtheweb.Fewfamiliesspendimportanttimeout-sidebeingactive. Consequently,manyAmericansareexperienc-ingserioushealthissues,includingobesity,heartdisease,diabetes,cancer,andhypertension. Butbikingcanhelp. Notonlydoes itburnseveralhundredcaloriesperhourbutitisalsoanidealphysicalactivityforAmericansofallages,regardlessoffitnesslevel,becauseitlimitsstressonthelowerbody. It’swhybikingisalsoasafeactivityforoldergenerations.Physicalactivityforthose65yearsofageandolderhelpspreventorminimizehealthproblemsthatcomewithaging.Inarecentinternationalstudy,evidencesuggestedthatseniorswhoareactivedailyhaveareducedriskofdevelopingabout24healthissuessuchasosteoporosis,type-2diabetes,depression,variousformsofcancer,anddementia. Inaddition,cyclingallowschildrenandadultswithmobility limi-tationsandintellectualorlearningdisabilitiestotakepart inphysicalactivity.Theyareatgreatestriskforobesity,butthankfullyadaptiveandspecialequipmentisbeingdesignedtomakeitpossibleforthemtoenjoybikingoutdoors,whether itbe through thehelpofProjectMobility:Cycles forLife,whichdeliversspecializedbikestoschoolswithchildrenwithdisabilitiesandrehabilitativehospitals,orReActiveAdaptations,whichisbuildingdurableoff-roadhandcyclesthatallowriderstobikedeepintomountainandoff-roadtrails. Ifgettingactiveandfitisn’tenoughmotivationforpeopletostartriding,I’dliketomentionthatbikingalsohelpstoreducestress.What’smore,bikingmayalsohelpyoutogetaroundfaster.Forthosewhospendtimestuckinrushhourtraffic,theycouldinsteadbegettingtheirdailyphysicalactivitywhileridingthroughcitygridlock.Thismaybeof

particularinteresttoresidentsincitieslikeLosAngelesandChicago,whichwererankedbyForbesmagazineastwoof thetop10moststressfulandcongestedcities.

Making cities and towns more bike-friendly SowhatwouldmakeAmericansmore likely to rideabike towork,toandfromschool,ortorunanerrand?Well, ifcitiesandtowns provide more bike-friendly laws and establish designatedsaferoutesforbikers,peopleintheircommunitiesmaymorelikelytogetoutandride.Remember,everysectorofsociety—families,communities,andbusinesses—playaroleinhelpingAmericansgetphysicallyactive. Businesses that want to help their employees improve theirhealthandwellnesscanlearnfromcompanieslikeSeattleChildren’sHospital,whichhasabicycleprogramfor itsemployees. SeattleChildren’sHospitalprovidesaguaranteed-ride-homeprogram,abike-shareprogram, lockerrooms,bike-safetyeducation,mainte-nanceclasses,andsecurebikeparking.Theygaveaway100bikesandhelmets to employeeswhopledged to ride towork at leastfourdaysaweekyearround.Inaddition,thehospitalpledged$2milliondollarsinwalkingandbikinginfrastructureimprovementstoNortheastSeattle,whichwillprovidesafeplacesforlocalresidentstogetactive. Becauseofmodelprograms likeSeattleChildren’sHospital,moreandmorebusinessesarebecomingbike-friendlyandfollowingtheLeagueofAmericanBicyclists’BicycleFriendlyBusi-nessprogram. IencourageallAmericans to research theiroptions formakingoneortwooftheirworktripsbybike.Findoutwhichstreetsarebike-friendlysothatyoucanplotyourcoursetowork.Ifbikecommutingisnotanoptionforyou,insteadbiketoafriend’shouse,tothegym,orgetyourfamilyonabikeafterdinnerandgetridingtogether.

Carl Edwards is a championship NASCAR driver and a member of the President’s Council on Fitness, Sports & Nutrition (www.fitness.gov). He is also an avid cyclist.


future planning

What is the firstthing you thinkaboutwhenI

say “Life Insurance?”NearlyeveryoneanswersthatitissomethingIpayfor that someone elsebenefitsfromwhenIdie. This series of ar-ticles will explain whysome families continuetogetwealthier,astheyprotect their wealthacross generations. Itwill showhow thesav-viestfamiliesuselifein-surance as a separateassetclass.Itwillshowhow life insurance isprettymuchthelasttaxadvantagedassetclass. Let us begin bydefining the kinds oflife insurance. One issimply term insurance.Terminsuranceistem-porary insurance thatonly lasts foracertainnumber of years. Asyou get close to theendofyourlifeexpectancy,itisnolongeravailable. ThesecondisPermanentInsurance.PermanentInsurancewilllastforyourentirelife,andbuildscashvaluethatyoucanuseduringyourlifetime.Thecloseryouaretotheendofyourlifeexpectancy,themoreitisworth. Permanentlifeinsuranceisalmostalwayspassedontothenamedbeneficiarywithouttaxation.Itcanbeusedduringyourlifetimetoutilizeprincipleandinteresttaxfree!This isdonethroughtheuseofsur-rendersandloans.Theloansarepaidbackfromthedeathbenefitsettlementafteryoudie. Permanentlifeinsuranceisaplacewhereyoucanwarehousedol-larsthatwillgrowatinterestwhichcanthenbeusedforanypurposeyouwant.Themoneycanbeusedtofundcollegeeducation,buyacarorahouse,oritcanbeusedtoensurethatyouonlyusethesmallestamountoftaxableincomeduringyourretirementyears,givingyouawaytostayinthelowesttaxbracket. Plansthatareproperlystructuredtobuildcashvaluecanusuallybeusedtoproducealifetimeincomethatexceedstheamountpaidin.Sometimesitcanprovidetaxfreeincomefortherestofyourlife!

Forinstance,a50yearoldclientthatwillpayin$10,000peryearforthenext15years($150,000)willthenreceiveataxfreeincomeof$245,389atage70withoutanyadditionalpremiumafterage65!Shecoulddraw$1,000amonthfortherestofherlifeandneverrunoutofmoney!Thisisinthemostconservativekindofpermanentpolicyavail-able.Withadifferentstrategy,thereturncouldbesignificantlyhigher. Thebottomlineis,ifyouarefedupwithputtingyoursavingsintoataxdeferredvehiclethatlosesmoneyeverytimethestockmarketcrashes,youshouldconsiderhavinglifeinsuranceasaseparateassetclass. Lifeinsuranceisanassetclassthatdoesnotgodownwhenthemarketgoesdownandthis iswhatdefinesanon–correlatedassetclass. It is alsoanassetclass thatcanbeusedwithouthaving topaytaxesasyouuseit.Itisanassetclassthatcancontinuetogaininterestdespitethefactthatyoumaybeusingthemoneyalreadyforsomethingelse!

If you have questions about insurance, THINK BIG – Boulder Insurance Group, please visit www.thinkBIGboulder.com.

Great Financial Health Includes Wise Life Insurance Decisions

By Matt DeYoung, Owner, Boulder Insurance Group

Community Physicians Pavilion300 Exempla Circle, Suite 365

Lafayette, CO 80026

3 0 3 . 6 6 4 . 9 1 1 1 www.flatironsaudiology.com

1 in 6 Americans Suffer from Tinnitus and most have

been told there is nothing that can be done about it.

There is no need to suffer with debilitating Tinnitus

Dr. Julie Eschenbrenner, Au.D. is one of the only Audiologists in

Colorado specializing in tinnitus treatment as well as comprehensive

hearing health. Dr Julie has been successfully treating tinnitus for

over 11 years. Don’t suffer! Get your life back on track.

• Leading expert in Tinnitus Treatment • Multiple Tinnitus Treatment options • Cutting edge hearing aid technology • Accept most insurance for hearing and tinnitus evaluations.

Tinnitus: It Has a Certain Ring to It!

Premiere Issue Boulder Healthy Cells 2011

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Transcript of Premiere Issue Boulder Healthy Cells 2011