Healthyliving winter06

To make a real difference

we believe it all starts locally.

– Diane S. Renforth

Vice President,Wealth Management & Planning

Profound, positive change is

created through Individual deeds.

– David Clark

Vice President, Commercial Lending

SERVICE:It’s our commitment. To the community and to you.

A community thrives when people get involved, people who care, people who are dedicated to their neighborhoods and their city. At First Merchants, our actions within the community are inspired by our ethic of service. It’s the same strongethic that makes us equally enthusiastic about rolling up our sleeves and putting our skills and knowledge to work for you, to ensure your financial interests are protected and thriving.

At First Merchants, we invest our skills, knowledge, experience, and dedication in service to you and our community.

David Clark : 317-844-2143 • Diane S. Renforth: 317-844-2461

WHEN ONE IS HELPING ANOTHER, BOTH ARE STRONG – German proverb

B A N K I N G • T R U S T S • I N V E S T M E N T S • I N S U R A N C E

DEPARTMENTS

ADVERTISER INDEX

FEATURES

3HealthyLiving

WINTER 06

In This Issue

7 The Bird Flu PandemicWhat You Must Know

8 Start Your Fitness Journey to WellnessThe Holidays are a Perfect Time to Begin

10 Mouth Makeovers:The Price of a Perfect Smile

13 (It’s All) About Face14 Acid Reflex Relief 16 Eye Rejuvenation17 Healthy Looking Contest Winner21 Financial and Physical Wellness

Are They Related

22 Why Bother with Estate Planning any more?

26 Finally, a Simple and Inexpensive Approach to Back Pain

28 The Definitive Guide to American Pie, Part 1

5 Teresa’s Thoughts24 Healthy Relationships30 Spiritual Health

32 Ask the Aesthetician34 Publisher’s Point

2.....................................................First Merchants7 .........................................................Fitwize4Kids12 ............................................................Mona Vie12.............................................Migun Indianapolis21........................................................Dr. Ratzman25..........................................Bear Chase Golf Club

25....Mary and Martha’s Exceedingly Chic Boutique

31 ........................................................VacuPractor

33 .....................................................Great Lengths

35.................................Hancock Regional Hospital

Back Cover......................................Clark Appliance

4 HealthyLiving www.healthylivinginfo.com

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HealthyLiving © 2006 Cartera Media, Inc. All information provided in this magazine is intended for your general knowledge onlyand is not a substitute for medical advice or treatment for specific conditions. You should seek prompt medical care for any specifichealth issues and consult your physician before starting any new fitness program.

Cartera Media, Inc. Indianapolis StaffTeresa Tanoos, Editor-in-ChiefSteve Carlock, Features Editor

Susie Wade, Marketing and SalesShawn Oertel, Advertising Business Manager

Debbie Neibold, Circulation ManagerEduardo Francisco, Online Managing Editor

IBJ Custom Publishing, Design & Layout

ContributorsJohn C. Lowe, DDS

Catherine Winslow, MD, FACS Jon D. Gabrielson, MD

Kathy BerlinSteve Waldo

Carol Juergenson-Sheets, ACSW, LCSW Kylelynn Ballard, LMA

Diane S. RenforthEric A. Manterfield, JD

Published by Cartera Media, Inc.Design and printed by IBJ Custom Publishing

Advertising Information317.891.3248

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internet www.healthylivinginfo.com

Letters to the EditorHealthyLiving MagazineSuite A5999 West Memory LaneGreenfield, IN 46140317.891.3248 ph317.891.3250 [email protected]

Subscription InformationHealthyLiving MagazineSuite A5999 West Memory LaneGreenfield, IN 46140317.891.3248 ph317.891.3250 [email protected]

Teresa Tanoos’ wardrobe provided by Mary and Martha’sExceedingly Chic Boutique in Carmel, IN.

5HealthyLiving

WINTER 06

Ilove the holiday season with its bright lights, music, traditions, family, friends, gifts, the celebration of Christ andthe New Year and so much more. But for some people, the cold and darkness of winter can bring on the blues. Ifyou are feeling lethargic, require more sleep, experience difficulty concentrating, have trouble performing simpletasks, or crave carbohydrates, you may have the winter blues or, more correctly, Seasonal Affective Disorder (SAD).

Fortunately, according to a recent study at Cornell University, 85% of those who have the winter blues can overcomethese symptoms. Proven strategies include the following:

• Use a “light box” that emits high intensities of light of 2,500 to 10,000 lux (as compared to a normal light fixture that emits 250 to 500 lux). Most pharmacies sell them. The high intensities of light improve the mood of those suffering from the winter blues because they restrict the secretion of melatonin in the brain.

• Exercise: walk, run, ski, sled or have a snow ball fight — get the juices flowing. One hour doing aerobic exercise outside (even with cloudy skies overhead) has the same benefits as 2.5 hours of light treatment indoors. Aerobic exercise rids winter blues sufferers from feelings of depression because it increases serotonin levels.

• Eat larger portions of complex carbohydrates like pasta and rice, and healthy simple carbohydrates like fruits and fruit juices during meals. Carbohydrates are effective in increasing serotonin levels in the brain.

• Sleep no more than 8 hours and expose yourself to sunlight in the early morning. Oversleeping can cause increases in levels of melatonin which can contribute to feelings of depression.

• Consult with your physician about taking a medication such as Paxil, Prozac, or Zoloft, which increase levels “of serotonin in the brain.

• Read this magazine as it contains a variety of helpful information to make you look and feel better.

Kathy Berlin with Sports of all Sorts tells us how to regulate our diet and stay fit (pages 8-9); Dr. Catherine Winslowgives us tips on how to keep our eyes and our face looking young in two separate articles (pages 13 and 16), and DianeRenforth with First Merchants Bank provides insight on managing our money and staying financially fit (pages 18-20). Thisis especially important over the holiday season when financial pressures can be more extreme than at other times of the year.

Carol the Coach helps us prioritize for the holidays (page 24) and Eric Manterfield with the lawfirm of Krieg DeVault provides tips on estate planning for life (pages 22-23). For those with back

problems Russell Notestine introduces us to the VacuPractor, an easy to use and inexpensivedevice that helps many back pain sufferers (pages 26-27). Steve Waldo shares not only someChristmas thoughts (page 30) but also provides insight on the classic American tune,American Pie (pages 28-29).

Of course, you must read our cover story about Dr. Lowe (pages 18-19). If you need adentist, are contemplating cosmetic dental work, or, for that matter, have the winter blues,Dr. Lowe is the man to see. He is not only a skilled dentist, but a kind and charmingindividual who makes you feel better every time you see him. With dental chairs thatmassage your back, a refreshing water fall in every patient room, and the opportunity toindulge in free gourmet coffee and cookies during your visit you will not think of Dr.Lowe as a dentist, you will think of him as a friend. I do.

Teresa Tanoos is a former news anchor and health reporter for NBC/WTHR-13, as well as a 25 year cancer survivor. Ms. Tanoos hosts the television series “Healthy Living with Teresa

Tanoos™”. Ms. Tanoos is passionate in her quest to educate the public about the importance of being better informed about healthcare. To contact Ms. Tanoos e-mail [email protected].

Teresa’s Thoughts


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06Bird Flu

An influenza pandemic will happen in the United Stateswithin the next few years according to infectious disease expert,Dr. Michael Osterholm. It is not a question of if a pandemicwill occur, but of when a pandemic will occur. (A pandemic isan epidemic which spreads over a large region.) If Dr.Osterholm is right, America is destined for a devastatingencounter with the influenza virus.

Scientists are especially concerned about the bird flubecause it is mutating in a manner similar to the virus thatcaused the 1918 Spanish flu which killed more than 40 millionindividuals worldwide. So far people have only contracted thebird flu through contact with infected birds. However, with 15billion chickens in China alone, the odds are that a mutantvirus of bird flu that can be contracted by humans will occur.Experts fear that the longer the virus circulates, the greater theodds that it will mutate to a strain that easily passes to humans.

According to the U. S. Secretary of Health and HumanServices, Michael Leavitt, it is anticipated that up to 90 millionindividuals in the United States will contract the flu and over45 million will require medical attention. It is quite possiblethat over 2 million people will die during the 9 to 18 monthduration of the pandemic. Some individuals estimate that thedeath toll will be significantly higher as more than 50% ofthose who have contracted bird flu elsewhere in the world havepassed away.

Influenza is especially contagious because individualsbecome infected with the flu virus a day before they feel sick.During that period of time the infected individual unwittinglyspreads the virus on everyone with whom he comes in contactusually by coughing, sneezing, or shaking hands. Health careworkers treating those who are ill will be repeatedly exposed tothe virus. Many will become sick themselves or, in the interest

of taking care of an ill family member, simply not show up forwork.

The impact of a pandemic on America’s health care systemwill be overwhelming. Hospitals, managing their budgets moreclosely than ever before in history, consistently operate at 90%of capacity. When a pandemic occurs hospital hallways andnearby schools will be full of patients. Medical students,nursing students, and retired health care workers will bepressed into service.

Similarly, only 105,000 mechanical ventilators are availablein the United States. Approximately 80,000 of those are in useevery day for routine medical care. In a pandemic, sufficientventilators will not be available for individuals suffering fromlung crippling influenza.

Additionally, the economic implications of a pandemic areenormous. Factories will come to a halt as workers fall ill orrefuse to leave home and expose themselves to the influenzavirus. The United States relies on the exchange and supply ofgoods and services from all over the world, but with apandemic borders will be shut, certain food supplies will be cutoff, and a wide variety of medicines and pharmaceuticals willbe unavailable or in short supply. Moreover, because thenation’s supply of chlorine could likely be cut off, waterprocessing plants will not be able to fully function and citywater will be unsafe. All the money in the world will not beable to purchase surgical masks and flu vaccine.

For these reasons, you need to prepare now for the comingflu pandemic. At a minimum you should do the following:

• Set aside a 4 to 5 week supply of nonperishable food inyour home;

• Stock up on a 2 month supply of water;• Purchase a 4 to 5 week supply of surgical masks (the

sides need to be sealed, cloth across the face will notwork);

• Talk with family members about what to do in the eventof a pandemic.

THE BIRD FLU PANDEMICW H A T Y O U M U S T K N O W

7HealthyLiving

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HL: How do you recommend individuals regulate their diet over the holidayseason?

KB: Watch what you eat and eat smaller portions. Preferably, eat healthy, but if you musthave pecan pie, make it a very small piece. As a personal trainer, I help those that I workwith understand a healthy diet. I send them information on nutrition. Food is the greatestmedicine an individual can put in his or her body. And, it’s not just what you eat that daythat affects your energy and stamina. It is also when you eat it. For example, what anathlete eats the week before can drastically affect how they perform during a practice orcompetition. Unfortunately, nutrition is a constant struggle as we have to combat fastfood, busy schedules and poor eating habits. Thebetter you eat, the better you will feel.

During the holiday season it is especially difficult to stay in shape—our regular exercise and diet habitstypically get put “on hold” for gift shopping, movie watching, and attending holiday parties wherescrumptious meals and unhealthy snacks are ours for the taking. Yet, in order to stay healthy we need to stayfocused on both our diet and our fitness routine.

We recently talked with Kathy Berlin, Sports Performance Director at Sports of All Sorts on the Northeastside of Indianapolis, to find out how her sports performance programs can help people reach their fitnessgoals:

Start Your Fitness Journey to Wellness: The Holidays are a Perfect Time to Begin

9

HL: For those of us who are interested in just gettinginto shape and avoiding the extra pounds during theholiday season, what do you recommend?

KB: As Nike says, “Just do it.” That is the best commentthat can ever be made about exercise. And, with theholidays coming up, get out and do something. Onaverage, most Americans gain one pound during theholiday season (not the five or six they think). Theproblem is, they don’t take that pound off afterwards soit adds up. If people just got out and walked for thirtyminutes 5 to 6 times during this holiday season, theycould avoid adding that single pound.

My experience is that people struggle with the “too”syndrome: too busy, too tired, too cold, too hot, tooexpensive, too far, too stressed. Quit finding reasons tonot do something. Too many fitness “experts” sugar coatthe truth and tell Americans that they can lose weightby exercising 2 to 3 times a week for 20 minutes. If youwant to lose weight, it takes 5 to 6 times a week;maintaining your weight and achieving HEART benefitstakes 2 to 3 times a week. The consensus is that if youtell people to exercise 5 to 6 times a week, they’ll bediscouraged and not do anything. However, people needto know the truth and the truth is the vast majority ofAmericans need to exercise. It does not have to be anelaborate weight or cardio program lasting 45 to 60minutes. Take your dog for a walk 5 to 6 times a week.Too cold? Bundle up. Too stressed? Exercise is excellentfor relieving stress. Too busy? This is your health – yourlife —we are talking about. You need, you must, maketime for yourself and you need to do it now!

HL: With respect to your particular expertise, what isthe difference between sports performance trainingand regular training/exercise?

KB: Sports performance is geared toward making anindividual more athletic. We focus on improving anathlete’s speed, power, agility, strength, balance andflexibility.

HL: What kind of programs do you offer and arethere different levels of difficulty to accommodatevarying skill levels? Do you offer personal training aswell?

KB: We offer speed and agility classes, weight trainingclasses, power classes, and circuit training classes. Eachclass is geared toward a different goal and is often set upto accommodate a particular age, say 9 to 10 year oldsor 15 to 16 year olds. We also have both a women’s anda men’s group, average age of 50 for the women and 45for the men, who perform speed and agility drillsas well as weight training. We also work withindividuals one-on-one for both strengthtraining and sports performance training.Many of my adult clients like the fact thatthey are “committed” to a workout byhiring a trainer.

HL: Do you recommend that only athletes enroll inyour training sessions?

KB: I consider every individual who performs an activityan athlete--the woman who is walking 2 miles a day,someone participating in a cardio class, the older adultwho still plays soccer. These are not what peopletypically think of when they envision “athletes”.However, from the moment we learn to walk, we areworking on “athletic” skills of balance, stabilization, andmovement. Our program is unique in that we treatindividuals as athletes, which means that we focus onfunctional training that helps with everyday life. Our70-year old “athletes” (men and women) use freeweights and bench, squat and deadlift, along withperforming core and other functional training. In ourphilosophy, “there is a great athlete inside each of us.”

HL: What does it cost to enroll in one of your trainingprograms?

KB: Our training programs vary in cost, depending on thenumber of people in a group. If you are doing one-on-one training, the cost is $55 per session (for 12sessions). The group prices are categorized by athleteand adult programs. The prices for athlete groupsessions are as follows: for 4 to 6 athletes, it is $200 perathlete, or $16 per session; for 11 to 15 athletes, it is$125 per athlete, or $10.40 per session. The athletegroup sessions meet twice a week, for 60 minutes, for asix-week period. This gives the athletes 12 total hours oftraining.

For adults, the cost is lower, as we usually focus moreon resistance training and don’t do as much speedtraining. Therefore, for 6 adults the price is $120 peradult; for 8 adults the price is $100 per adult and for 10adults the price is $85 per adult. In both types of groupsessions, you get a break in the per-session price as youincrease the number in your group.

HL: What is the most rewarding aspect of your job?KB: I love working with the athletes, regardless of his or

her age. I have athletes who have been with me since7th grade and are now juniors in high school. I haveliterally watched them grow as athletes and individuals.I enjoy going to their events and seeing them compete. Iwork with high school athletes who are in college andthey email and send me pictures of their college events.I have adults who have worked with me for years that Iconsider to be good friends. This job is all about peopleand helping them achieve goals. My clients arewonderful people and I enjoy seeing each of them worktoward their goals and being a part of that process.

HealthyLiving

WINTER 06

Kathy Berlin is the Sports Performance Director at Sportsof All Sorts, located at 6002 Sunnyside Road,

Indianapolis. With over 14 years experience in trainingand coaching, Kathy is dedicated to helping athletesof all ages maximize their potential by improvingperformance, decreasing injury risk, and educatingathletes on nutrition and training. For more

information about Kathy’s sports performance classesand other programs offered by Sports of All Sorts, please

call 317.823.9555 or visit the company’s website atwww.soasindy.com.

10 HealthyLiving

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By Dr. John C. Lowe, DDS

A re you embarrassed to smile in public? Do you grin with your lipstogether when your picture is taken? Have you caught people staring atyour twisted coffee stained teeth?

Many reasons exist to want straight white teeth. You feel more confident. You are notafraid or embarrassed to smile in public. And, it is easier to chew your food when your teethare configured properly. Put simply, a perfect smile is good for you and your health.

Americans are more focused on dental hygiene and the appearance of their teeth than anyculture or nationality. Consequently, it is increasingly less common to see someone’s “natural”smile. Consumers, inspired by celebrity ivories on television, the silver screen, and in magazines,have become less tolerant of discolored, twisted, or chipped choppers. In response, Dentists havebecome more aesthetically aware of patient interest in pursuing the perfectsmile.

For these reasons, cosmetic dental procedures requested in theU.S. have grown substantially over the last ten years. TheAmerican Academy of Cosmetic Dentistry estimates that at-home whitening products have become a $300-million-plusmarket,.

Of course, the inlays that result in a perfect smile oftenrequire substantial financial outlays. Depending on howmajor a change a person seeks in their smile (and thecondition of the teeth to begin with), terrific teeth can costanywhere from $300 for basic brightening to nearly$100,000 for a complete restructuring of your mouthincluding some plastic surgery. Fortunately, such acomplete restructuring is seldom necessary, and rarelysuggested.

Common cosmetic dental procedures and their typicalcosts include the following:

Bleaching: The most requested cosmetic dentalprocedure by far is teeth bleaching. According to theAmerican Academy of Cosmetic Dentistry, it is the“biggest bang for the buck” at $400 to $1,200, dependingon your needs and the procedure used. Whitening can causesensitivity or inflammation of the gums. Also, creating auniform color for all your teeth can be a problem as whitening isineffective in bleaching prior dental work such as crowns, veneers,or fillings. If overdone, teeth can become unnaturally, “glow in thedark” white — you don’t want that.

Mouth Makeovers

Mouth Makeovers: The Price of a Perfect Smile

Braces or Invisalign: Braces are frequently seen in highschool corridors and, increasingly, in corporateboardrooms. According to the American Academy ofCosmetic Dentistry, braces are the second most requestedcosmetic service in America. Patients can either wearbraces or use a less noticeable system such as Invisalign—clear plastic trays worn over teeth that gradually shiftthem. Invisalign costs more than traditional braces, but thetrays can be taken off in social circumstances. Braces oftencause discomfort and gum tenderness when they areapplied or tightened. At a cost of $1000 to $5000 permouth, braces are not cheap, but affordable financing isusually available.

White Fillings: Filings no longer need to be silver or gold.White fillings last longer, don’t conduct heat or cold, arerelatively easy to repair (metal fillings must be replaced),bond to the tooth (metal is just a filler) and add strengthto the tooth (metal weakens it). White fillings also expandat about the same rate as a tooth when heated, while metalexpands faster and can cause cracked teeth. Plus, whitefillings look better. At $150 to $700 per tooth, white

fillings are relatively inexpensive, but are not alwayscovered by insurance.

Tooth Reshaping: Reshaping is a verysimple and fairly common procedure in

which a dentist uses sandpapered discs ora drill to change the shape of the toothby making it smaller, rounder orsmoother. When used to smooth out achip, it often prevents a tooth from re-chipping. At $100 to $500 per tooth,reshaping is relatively inexpensive.

Bonding: At $500 to $1000 pertooth, bonding is a less expensiveand less permanent alternative toveneers. Bonding can be used tochange the color and shape ofteeth, close gaps, cover chips andfix other flaws. Bonds are typicallymade from resins that match thecolor of existing teeth. You shouldknow that to affect the bond, a

small portion of tooth structuremust be removed. Bonds can chip,

discolor and wear over time, and mayneed to be touched up from time to

time.

Veneers: Thin porcelain coverings (veneers) are placed on thetooth to correct discoloring, chips, abnormal shape, andother flaws. Veneers may be used to close spaces betweenthe teeth or fix a large gap between front teeth. They dorequire some removal of tooth structure. Veneers cost$1,000 to $2,000 per tooth and may need to be replacedover time.

Crowns (Caps): A crown, like a hat or cap, is placed over atooth to change the shape or color of a tooth, or to coverbroken teeth or chips. Crowns can be made of gold,porcelain or a combination of both. Crowns cost $1,000to $3,000 per tooth. As with bonding, crowns require partof the underlying tooth structure be removed. Crowns canbreak, chip, or come loose unexpectedly. Also, gold crownsconduct heat and cold and, through expansion, have beenknown to crack teeth nearby.

Bridges: Similar to a bridge over a river or highway, bridgesmay be used in your mouth to close gaps or replaceexisting teeth. For example, if a front tooth is knockedout, a crown can be placed on each tooth on either side,and a third crown (or bridge) is fixed in between to fill thespace. Bridges typically cost $1,000 to $3,000 per tooth. Ifproblems with your bridge work arise, the entire bridgeoften must be replaced.

Implants: Implants are a very drastic and invasive procedureused for lost or severely damaged teeth. The implantprocedure requires surgery to place the implant in thejawbone. The implant is then connected to a metalanchor, and a crown is placed over it. An advantage overbridgework is that neighboring teeth are not affected. At$3,000 to $5,000 per tooth with abutment and crown,implants are expensive. A small percentage of implants failand must be removed especially if you are a smoker,diabetic, or have osteoporosis.

With all these advances in cosmetic dentistry, a perfectsmile is available for anyone. Of course, the price of theperfect smile depends on the current condition of yourteeth.

To learn more about Dr. Lowe and his practice, Contemporary DentalConcepts (CDC), visit www.indycdc.com or e-mail

[email protected]

WINTER

06


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WINTER 06

The standard facelift has seen some refinements over the years as

well. A more natural look, and one that ages well, is achieved by

pulling upward on the jowl, restoring volume to the cheeks and

rejuvenating the face and neck. Incisions are well hidden, and the

down-time in my practice has been minimized to about 10 days.

I use the Aesthera PPx on all patients after one week to “zap” bruises.

This has made a tremendous difference in getting patients back to work

sooner. Herbal supplements and dietary changes are used to

minimize down-time as well. Procedures can be combined- I offer

Threadlifting with blepharoplasty, for example, to maximize results.

My experience as an expert in plastic surgery of the face and neck

has allowed me to perfect techniques for a natural rejuvenated look that

keeps people guessing. I take great pride in knowing most of my clients

are asked what they did to their hair, not who their surgeon is. That is

the perfect scenario for successful enhancement, not gross alteration.

atural restoration of beauty in the face is the most common request from patients seeking to look as good as they feel. Today, rejuvenation does not require a general anesthetic, post-operative nausea, pain and significant time off work. Many options exist to achieve personal goals depending on time, financialconstraints and objectives. When is the right time to get started?Basically, when you start looking older than you feel. The youngerthe process starts, the less the face needs to look refreshed, and thelonger the results will last. It is never too early to start good skincare and sun protection to protect and maintain your look.You may be surprised at the little things that make hugeimprovements for you!

Actual pre and post-operative views after mini-liftFor more before and after photos, visit www.indyface.com

.

What women are talking about

By Catherine Winslow, M.D., F.A.C.S.

N

Catherine Winslow, MD, FACS, is one of the most qualified surgeonsin the nation to give cosmetic options and results to clients.A fellowship trained facial plastic surgeon, Dr. Winslow is a formerConsultant to The White House and Chief of Facial Plastic Surgery at Walter Reed Army Medical Center. She servesas a Board Examiner after achieving the highest board scorein the nation. She recently was awarded the TorchBearer Awardby the State of Indiana. She is an Assistant Professor at IndianaUniversity School of Medicine, and has a private practice in Carmel, Indiana.

Before/immediately after Juvederm

Everyone is seeking a minimally invasive, minimal downtime fountain

of youth. That is possible today, with several options:

1. Botox. This is wonderful for minimizing forehead furrows and

crows feet.

2. Injectable fillers. A variety of filler options exists, with the key

differences being cost and longevity. Fillers restore volume to the

lips, smile lines and folds with no down-time. The newest filler,Juvederm, offers wonderful results and may be longer lastingthan comparable treatments, with less swelling and lumpiness.

3. Skin treatments. Chemical peels, dermabrasion and laser resurfacing

can take years off the face with minimal downtime and little pain.

4. Contour Threadlift. A minimally invasive suture with

barbs in one direction, this “mini-lift with a string” is done in the

office under local anesthesia.

5. Chin, lip and cheek implants. Implants allow for permanent

volume restoration and are placed under local or light sedation.

Chin implants greatly improve neck contour as well.

6. Neck liposuction. Also performed under local or light sedation,

fat removal in the neck leads to significant improvement in neck

contour (making the turkey gobbler quiet!).

7. Mini-lift. A modification of the facelift, the down-time is about

one week, and it can be done in the office under sedation.

Winslow Facial Plastic Surgery

755 West Carmel Drive, Suite 116

Carmel, Indiana 46032 • 317.814.1104

(IT’S ALL) ABOUT FACE

Before/after chin implant

About the author:

HealthyLiving www.healthylivinginfo.com

HL: If I have heartburn or acid reflux on a regular basis, should I beconcerned?TF: Many Americans have heartburn on a regular basis. Forty-four percentexperience reflux at least once per month. However, you should be concerned ifyou are constantly popping antacids or your symptoms are unrelenting. Twentypercent of those who experience reflux need a doctor’s care.

HL: How do you tell common heartburn from GastroesophagealReflux Disease (GERD)?Dr. JG: The three primary signs of GERD are heartburn, regurgitation, andtrouble swallowing. Additional symptoms include getting full too quickly,abdominal pain or nausea after you eat, and bad breath that has the smell ofsulphur. If you have one of these symptoms every now and then, you probablydo not need to be concerned. If you have one or more of these symptoms on aregular basis you need to see a physician.

HL: If you do not have heartburn is it still possible that you haveGERD?TF: The symptoms of GERD are not always consistent. Fifty percent of thosewith GERD do not experience heartburn.

HL: If I do not have heartburn, does that mean I have nothing tobe concerned about?

Dr. JG: No, heartburn is just one symptom. If you are experiencing some of theother acid reflux symptoms such as regurgitation, trouble swallowing, abdominalpain, or nausea on a regular basis you need to see a physician right away to

address the true underlying cause of such symptoms.

HL: What is GERD? Do GERD sufferers really need to be concerned?Dr. JG: Gastroesophageal Reflux Disease is a condition in which the liquid content of

the stomach regurgitates (backs up or refluxes) into the esophagus. This liquid back upcan inflame and damage the lining of the esophagus. The type of esophageal damage and

health problems which may result from GERD varies but may include ulcers, asthma, larynxinflammation, lung infections, sinus infections, and sometimes cancer. Esophageal cancer isthe fastest growing cancer in the United States and is of particular concern.

More Americans suffer from Acid Reflux at this time of year than any other. According to theAmerican Gastroenterological Association, roughly 10 percent of the population experiences

heartburn or acid reflux symptoms at least once a week. The reason for this pattern ofsuffering is simple; we eat more at this time of year than any other. We eat because of

the holidays. We eat because we are cold. We eat because we are depressed. And weeat because we have nothing better to do. For whatever the reason, we eat and weexperience heartburn and acid reflux.

To provide our readers with insight on how to secure relief from thiscommon problem, the editors of Healthy Living Magazine talked with Dr. JonGabrielsen, MD (Dr. JG) at Hancock Regional Hospital and TomFranceschini (TF), the Clinical Director of the Heartburn and SwallowingDisorders Center at Hancock Regional Hospital.

Acid Reflex Relief

Acid Reflex Relief

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HL: What causes GERD?Dr. JG: The causes of GERD are many and complex. We

have seen several instances where GERD was caused byan individual wearing clothes that were too tight, butthe cause of GERD is usually not that simple. Typicalcauses of GERD include malfunctioning of the loweresophageal sphincter (LES), hiatal hernias, defectiveesophageal contractions, and abnormal emptying of thestomach. The LES is a ring of muscle that surrounds thelower most end of the esophagus where it joins thestomach. A proper functioning LES muscle preventsacid from the stomach from coming into the esophagus.Malfunctions of the LES can occur for a variety ofreasons and result in acid reflux.

HL: If an individual has GERD, what should they doto obtain relief?

TF: If you only experience acid reflux or heartburn everynow and then, over the counter antacids such as Tumsor Maalox usually work. If you experience GERD on aregular basis as many Americans do, you need to seeyour physician. Typically a prescription medication suchas Nexium or Prilosec can be helpful.

HL: Many individuals do not like to rely onprescriptions, what can be done to minimize relianceon prescription medication?

TF: Where applicable we always recommend lifestylemodification. GERD symptoms can often be addressedby reducing the intake of high fat foods, alcohol, andcarbonated beverages. Individuals with heartburn or acidreflux problems also should not smoke. Similarly, beingphysically fit reduces the chance that you will haveGERD. Exceptions exist, but I have seldom seen aphysically fit individual with GERD. It is nocoincidence that as obesity in America has become moreprevalent so has GERD and the health problems relatedto GERD.

HL: If lifestyle modification does not work, what canan individual with acid reflux do to obtain relief?

Dr. JG: I cannot emphasize enough the importance ofseeing a licensed physician. Prescription medicationoften will resolve the problem. More prescriptions arefilled each year for acid reflux than for any othercategory of health problem. However, prescriptions arenot always the answer, surgery may sometimes benecessary.

HL: Do the prescription medications on the marketreally work?

Dr. JG: The short answer is yes, the prescriptionmedications on the market work very effectively.However, individuals frequently do not take theirmedications as prescribed. For example, acid refluxsufferers are usually given a prescription that requiresthem to take their medication once or twice a day, butthey often only take their medicine when theyexperience heartburn or an acid reflux symptom. If themedicine is not taken properly, it will not workproperly. Also, some acid reflux problems simply mustbe addressed by surgery.

HL: What type of surgery is typically performed?Dr. JG: The type of surgery necessary depends upon the

underlying problem. Sometimes an endoscope can beused to repair internal esophageal problems. On manyoccasions minimally invasive laparoscopic surgery isnecessary. Laparoscopic surgery, for example, isfrequently used to repair hiatal hernias. Such surgeriesare very common and very successful. Over 75,000GERD related surgeries are performed each year.

HL: What is a hiatal hernia?TF: A hiatal hernia occurs when your stomach pushes up

through your diaphragm. When this happens thediaphragm, which was helping the lower esophagealsphincter (LES), exerts pressure either unevenly or in adifferent location than the LES resulting in the refluxseal being out of sync and more susceptible to leakage.

HL: What is the one thing you want our readers toknow about GERD?

Dr. JG: I want Healthy Living readers to know two things:1) Eat healthy. If you eat healthy food in reasonableportions you substantially reduce the risk of GERD; 2) If you are frequently experiencing GERD symptomssee a physician as soon as possible. GERD can causeserious health problems including depression, asthma,lung infection, and cancer. Effective medications andprocedures exist that can relieve your suffering.

Dr. Jon Gabrielsen, M.D., F.A.C.S., is a general surgeon in Greenfield, Indiana andthe Medical Director of the Heartburn and Swallowing Disorders Center at

Hancock Regional Hospital. His father, Cam, and his grandfather, Ted, are alsoboth general surgeons at Hancock Regional Hospital.

Tom Franceschini, M.S., C.C.C. is the Clinical Director of the Heartburn andSwallowing Disorders Center at Hancock Regional Hospital.


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Actual pre and post-operative views ; lower eyeliftNo fat was removed but the midface was lifted

For more before and after photos visit WWW.INDYFACE.COM..

The Eyes Have It!

Eye RejuvenationBy Catherine Winslow, M.D., F.A.C.S.

Before/after brow and upper eyelift

The eyes have it… and if “it” includes bags, wrinkles or furrows,an aged, angry, sad or tired look is the result. The eyes are the win-dows to the soul, and you don’t want saggy curtains around them!Rejuvenation of this region- the forehead, upper and lower eyelidsand midface- is one of the most requested procedures in facial cos-metic surgery today. The benefits are enormous- from perking upone’s self-esteem to competing in the job market more effectively. Mypatients want a fresher, more youthful look that appears very naturaland is difficult or impossible to tell that cosmetic surgery was done.With surgery around the eyes, the “wow” factor can easily beachieved, leaving friends and family guessing.

The aging process becomes noticeable as we enter our thirties andforties. Several changes occur that lead to “old eyes:”

Winslow Facial Plastic Surgery

755 West Carmel Drive, Suite 116Carmel, Indiana 46032 • 317.814.1104

The tail of the eyebrow starts to drop, making extra eyelid skin noticeable. Muscular contraction causes wrinkles in the forehead, crows feet and between the brows. Eyelashes become sparse and short, and the fat pad on the cheekbone drops. This forms hollowsunder the eyes and allows the fat in the orbit to bulge. The skin showssigns of sun damage, to include fine lines, irregular pigmentation and loss of elasticity. Improvments can easilty be accomplished with a variety ofminimally invasive techniques, or more formal surgical options.Botox works beautifully for wrinkles caused by muscular pull.These include the crows feet, forehead furrows and deep linesbetween the brow. I usually do not recommend a filler for the linesbetween the brow, due to the well-known complication of tissuenecrosis (death) leading to a scar. Fillers such as Restylane andJuvederm work well for the hollows or tear trough under the eyes.Resurfacing with a chemical peel can dramatically improve finelines and skin elasticity under the eye non-surgically with minimal down-time.

ABOUT THE AUTHOR:Catherine Winslow, MD, FACS, is one of the most qualifiedsurgeons to describe options for clients. A fellowship trained facialplastic surgeon, Dr. Winslow was asked to serve as the firstOtolaryngology Consultant to The White House while she was Chief ofFacial Plastic Surgery at Walter Reed Army Medical Center. She achievedthe highest board score in the nation on hers ubspecialty boards, serves as a national board examiner, and is in private practice whileholding an Assistant Clinical Professorship at IU School of Medicine.Recently awarded the Torchbearer Award by the State of Indiana, she isan expert in facial cosmetic and reconstructive surgery.

Other minimally invasive options include the Contour Threadliftfor suspending the midface. This procedure is done in the office withlocal anesthesia, results are immediate and downtime is minimal. Surgical options can make dramatic changes to the eye and brow complex.If visual field obstruction is present from overhanging skin, some of this maybe covered by insurance. A droopy brow can be lifted to restore an open,bright expression to the eyes. Incisions are usually hidden well by the hair.Eyelid skin can be removed, and fat around the eyes redraped or removedto freshen the eyes. Bags under the lower eyelids can be tightened at the sametime as upper eyelid and brow surgery to restore youth to the entire complex. Restoring youth to the eyes and face is an exciting, positive experiencefor most clients, who feel that their appearance after surgery better matches how good they feel. Procedures are designed to produce maximum resultswith minimum downtime, and the youthful changes are sought by workerstrying to increase their competitiveness, as well as people who simplyare tired of having people ask if they are sad or angry. Surgery is surprisingly affordable and painless, and is quickly becoming overwhelminglyaccepted (if not expected!) by society.

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The winner of our Healthy Looking contest is Cynthia Nord. We had manywonderful contestants, including several that really tugged at the strings ofour heart, but we could only select one winner. Cynthia, or Cindy, is aformer Colts Cheerleader, tragically injured in an auto accident 11 years

ago, which damaged her spinal cord and left her a quadriplegic.Due to the variety of strong medications Cindy has taken for years to manage her

chronic neurological pain, her once beautiful teeth have decayed. Additionally, as aquadriplegic she cannot apply her own make-up or comb her own hair. In order tocare for Cindy, her mother Sherry had to quit her high paying and time-consumingjob with Anthem. To pay for their basic needs, Sherry now works as a collegeprofessor, giving her more time and flexibility to assist her paralyzed daughter. WhileSherry is teaching, a home health aid helps Cindy eat, dress, groom and get out ofbed.

To make matters worse, Cynthia’s wheelchair accessible van was stolen, just oneweek after she applied to the Healthy Looking contest. At that time, her 20-year highschool class reunion was coming up, and Cindy was very concerned, not only abouthow she would get there – especially since she had worked so hard at planning theevent – but also about how her face would look with the premature wrinklingbrought on by years of severe pain and anguish.

Upon hearing about Cindy’s situation, many friends of Healthy Living with TeresaTanoos™ volunteered to help her look and feel better. Dr. Catherine Winslow(Winslow Facial Plastic Surgery) provided Aesthera PPx laser treatments, as well asRestylane and Botox injections to fill in Cindy’s “laugh” lines and frown wrinkles.Ashli, one of Dr. Winslow’s aestheticians, gave Cindy semi-permanent 3-D eyelashesfor the illusion of mascara-lengthened lashes. Dr. John Lowe (Contemporary DentalConcepts) provided dental veneers and a Zoom whitening treatment to give her aprettier, brighter smile. Deb Lee (Meridian Design Group) gave her a new hair colorwith highlights and an easier to care for hairdo. Kate Chu (Winslow Facial PlasticSurgery) added permanent eyeliner and eyebrow color to Cynthia’s face so she wouldno longer have to worry about her inability to apply makeup. Mary and MARTHA’sExceedingly Chic Boutique (Carmel) donated a stylish outfit and classy accessoriesto Cindy to wear to her 20-year high school reunion and ABSOLU SPA &SKINCARE provided a manicure and pedicure.

Furthermore, a local attorney, Robert Smith (Law Offices of Smith and Wade)negotiated on Cindy and her mother’s behalf with their auto insurance company, andwas able to secure a newer replacement van for them within a few weeks. Cindy wasnot only able to make it to her reunion, she was able to go with a completely newlook and a fresh smile.

Cindy is now working endlessly on raising funds to undergo an experimental stemcell procedure, only available in Beijing, China, which has helped restore varyingamounts of movement and control to others suffering from paralysis. It is Cindy’shope and prayer that she can raise the amount of funds needed for the specialoperation, and that she will be able to walk again. For more information aboutCindy’s story and the stem cell procedure, plus how you can contribute to her cause,go to www.cynthiashopetrustfund.com.

Cartera Media and Healthy Living with Teresa Tanoos magazine wants to publiclythank the above listed individuals and businesses who contributed their valuable time,talent, products, and services to making the Healthy Living contest a success. This wasan expensive, but very worthwhile undertaking. We know that Cynthia and hermother are also extremely grateful.

Healthy Looking Contest Winner


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By Diane S. Renforth VP Senior Wealth Advisor First Merchants

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Money is the number oneconcern of the averagefamily.

Two out of three rated personal financeissues as their number one concern,surpassing crime, drugs, national debt andhealth. Ninety percent of those surveyed feltthey did not have enough money.

Money matters affect health.Ninety percent agreed that money andattitude toward it had a significant effect onstress. One Hundred percent agreed thatworry over money could cause psychologicaland physical health problems.

Effect of money on health isunderestimated.

All (100%) of the wellness professionalssurveyed considered finance a wellness issue.Yet few, if any, financial wellness programsare available. Sixty-five percent agreed itwould be difficult to practice healthylifestyles when worried about money.

While enlightening, this survey raises a troublingquestion. What are the potential negative effects ofstressing over finances? Although financial concernsin and of themselves cannot be directly linked tohealth issues, the stress caused by worrying overfinances can. >>>>

Do attitudes toward money affect stress and your health? Duringthe holidays, Americans tend to spend and accumulate moreconsumer debt than normal. Does this consumer debt affectyour health and the well being of your family? That was one ofthe questions posed to a group of Wellness Professionals at arecent National Conference on Finance and Wellness. The groupsurveyed came to three significant conclusions.

Financial and Physical Wellness


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In a recent study conducted by the “Center for FinancialWell Being”, Hampton, Virginia, worry over money was sitedas the number one cause of stress in marital problems and lowself-esteem. Stress can seriously affect physical and mental well-being. It can decrease our quality of life by reducing feelings ofpleasure and accomplishment.

Stress can affect our bodies in many negative ways bothphysically and psychologically. Stress can cause:

Heart disease, stroke, high blood pressure and, in somecases, heart attacks and death.

Unstable angina—chest pain due to lack of oxygen to theheart.

Psychological disorders, anxiety disorder and depression.

Increased risk of infection. Chronic stress breaks downthe immune system leaving people more vulnerable tocolds and flu.

Digestive problems, and can also predispose a person topeptic ulcers.

Weight loss or gain, diabetes, lower back pain, sleepingdisorders.

Skin conditions such as acne, hives, psoriasis andeczema.

Sexual and reproductive disturbances.

For these reasons, next to physical health, financial wellnessshould be one of the most important goals for individuals andfamilies. However, achieving this goal can often seem like astruggle. Why?

We are living in a time in history like no other. There aremore choices, tools and resources available to us than any othergeneration in history. But resources, choice and informationalone are not enough. People are looking for sound advice.

Indeed, it has been found that the lack of a financial plan isoften a source of stress for those who have adequate financialresources. A survey conducted by Amex in 2002 stated thatsixty-one percent of those surveyed experienced moderate tohigh levels of financial stress when they could access theirretirement accounts but had no professional advice.

So how do we achieve good financial health? First, seekgood financial council. Second, there are some fundamentalprincipals you can follow while on your journey to financialwellness:

Live within your means – Many people lack a disciplinedapproach to managing their household cash flow.Implementing a simple budget can help you take controlof your money and lay a strong foundation towardfinancial security.

Don’t spend money you don’t have – The misuse of credit is thenumber one cause for personal financial stress. Do not usecredit cards to pay for common living expenses. Access acopy of your credit report through Experian, Equifax orTrans Union and learn how to read it. FinancialInstitutions use your report and FICO score to decideyour credit worthiness.

Establish an emergency fund or savings account – Savings andinvestments are two different things. Savings are shortterm rainy day funds in case something happens. A goodrule of thumb is to set aside 3-6 months of your currentliving expenses in a reserve account.

Pay for your retirement first – Do not invest for your retirementwith what you have left over, after you pay everyone else.You will never retire. You should work retirement savingsinto your household budget. A guideline would be saving10 – 15 % of your gross income out of each paycheck.

Protect and preserve – Having a proper Estate plan in place is asimportant as building your financial security. An estateplan will not only ensure your desires are fulfilled at deathbut can provide protection (and relieve stress) for yourfamily members, as well as possible tax benefits.

Learn – Get involved with your entire financial future. Readmagazines and books, take classes, seek counsel, and beinformed.

Get professional help – Find a good financial counselor such as awealth advisor, and utilize an attorney and CPA. Theseprofessionals are educated in all areas of financial wellness.They can help you navigate through what can sometimesbe a very complex arena, ensuring you the greatestopportunity for financial success.

Finally, healthy living is about achieving a healthy balancein all areas of life—mental, physical, emotional, spiritual andfinancial. Make time for yourself, and enjoy the journey.

Financial and Physical Wellness

Diane Renforth is a Vice President and Senior WealthAdvisor for First Merchants Trust Company

With over 18 years experience, she is an accomplished anddedicated Banking and Financial Services professional.

Her diverse background spans the areas of Wealth & Investment Management, Planning,

Trust, Merchant Services, Retail and Private Banking.

**Sources: Diseases and Conditions Encyclopedia,Center for Financial Wellness, article 10/94 and American Express survey 2002.


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Therecent publicity about estate taxreform and repeal may have led you tobelieve that you no longer need to doestate planning. You are mistaken.No matter what your financial and

family situation, estate planning is strongly advised. Even if you no longer have death tax concerns because of

the large amount ($2 million currently) which you can leavetax free when you die, you still need to arrange your affairs soyou can pass your assets to family members, charities andothers in a thoughtful manner.

Your Last Will and Testament gives your assets to thoseyou intend to benefit when you die. You can change yourwill before you die as your circumstances and wishes changeover time.

A will is your opportunity to give specific assets to thosepeople who would most enjoy or could most use them.Many wills include gifts of specific items of jewelry tochildren, in-laws, neighbors and friends. Similar gifts aremade of art work, family mementoes, vehicles and so forth.

Your will typically goes on to dispose of the rest of yourassets, either outright or in trust. This will depend on yourown situation, of course.

The married couple without children may wish to leave alltheir assets to the other spouse at the first death. But wheredo their combined assets go when the surviving spouse laterdies? Their wills might provide that the assets are to bedivided between their two families.

The married couple with young children may wish to putall their assets in trust when both parents have died. Thetrust can be for the benefit of all the children, to ensure theyhave the opportunity to complete their education. When allthe children have at least had an opportunity to graduatefrom college, the remaining assets can be divided amongthem.

The single parent’s will typically places assets in trust forthe benefit of the children. While a former spouse mayultimately become the guardian of minor children, the singleparent can name the trustee who will manage the assets forthe benefit of the children even though the childrenthemselves are in the custody of a former spouse.

The couple in a second marriage may have children fromboth prior marriages. They may want the husband’s assetsultimately to pass to his children, the wife’s assets ultimatelyto pass to her children and their assets to be divided betweenthe two families. This cannot happen without wills.

Your health care power of attorney specifies who canconsent to your medical care if you are unable to do so

yourself. If you give this power to your spouse, I recommendyou name some back ups in case both of you are down at thesame time.

Your durable general power of attorney specifies who canmanage your assets and pay your bills if you are incapacitatedfor an extended period of time and cannot do those thingsyourself. Once again, you should name one or more back upsin case your spouse is unable to perform this function.

Your living will expresses your wish that you not be keptalive artificially if your death is otherwise imminent and thereis no hope for your recovery.

It is clear that thoughtful estate planning is still requiredfor everyone, even if you no longer have any death taxconsiderations. See your attorney for his or her advice andfor your financial health. Do it now.

Eric A. Manterfield is a partner in the Indianapolislaw firm of Krieg DeVault LLP, where heconcentrates his practice in estate planning andfamily business succession planning. Theinformation in this column is not intended to belegal advice. If you would like further information,Mr. Manterfield can be reached at (317) 238-6202 or [email protected].

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06Healthy Relationships by Carol Juergenson-Sheets, ACSW, LCSW

Prioritizing for the HolidaysAlthough the holidays are meant to be a time for reflection,

gratitude and family spirit, many people feel the holidayscontribute to stress and remind them of the dysfunction intheir life. If holidays are habitually stressful or disappointing,take a pen out and identify the stressors that interfere withyour ability to enjoy the holidays. Some examples may includelack of money, traffic, loneliness, family disharmony,perfectionism, or the strain of everything that needs to bedone.

Now, put a check mark next to the stressors that you knowyou can change. Do not concern yourself with those stressorsthat you cannot change and develop a simple plan for thosestressors you can control. Remember, much of our lifeexperience has to do with our attitude. Imagine how your lifewould be different if you consciously made the choice to enjoythe moment no matter what! If you imagine yourself having ahappy holiday season, it is much more likely that you willexperience a happy holiday season. Typical holiday stressorsthat you have to purpose to enjoy include the following:

Lack of family harmony: You can’t control how others

get along. Don’t allow yourself to get caught up inthe family strife.

Lack of money: Make the conscious choice to spend

less this year. Your family will get over it.

Loneliness: If you are alone for the holidays,

volunteer your time to help others.

Unrealistic expectations: Keep your expectations

simple. When you depend on others you can setyourself up for pain.

Lack of planning: As monotonous as this may sound,

it’s important to write out an agenda for yourholidays. This is a simple procedure that triples yourproductivity.

Perfectionism: Remember, it is more important to

enjoy the holiday than to have a perfect holiday. Infact, if you enjoy the holiday you will find that it ismore perfect.

Because preparation for the holidays can be stressful, it isimportant to stay focused on the present and keep yourresponsibilities simple. As you plan for “the season” it might behelpful to spend 15 to 20 minutes prioritizing what you wouldlike to accomplish and then use these priorities to orchestrateyour routine. Take a moment to check in with your values anddecide what you would like to emphasize.

Carol Juergenson-Sheets (a.k.a. “Carol the Coach”) is a licensed psychotherapist with the Indianapolis Psychiatric Associates(Phone 329-7313) with over 20 years of counseling experience. Tune into Carol’s LIVEcall-in talk show each Saturday at 6 PM on WIBC/1070-AM or watch her TV interviews onHealthy Living with Teresa Tanoos™. If you have a personal question you would like Carolthe Coach to address in future issues of the Healthy Living Magazine, e-mail herconfidentially at [email protected].

After you prioritize what you want for the holidays, youneed to decide how you will organize them to achieve the goal.Regardless of what you decide to honor this holiday season, becognizant of the following:

Create expectations that you can control. Stay aware

of what you can do to contribute to your ownexperience.

Keep expectations realistic. If the holidays represent

intimate time with your immediate family and youhave teenagers enjoy the time they want to spend withtheir friends. If the holiday is to honor your religiousconvictions, set up some time for daily devotions.

Don’t overbook. The holidays can easily become

overwhelming, so keep them simple so you can reallyenjoy the events.

Schedule plenty of down time. Allow the holidays to

be a time when you reflect and replenish.

Stay focused on your priority. You may need to

remind yourself daily that your main focus will be toenjoy your family. If your mother-in-law isdemanding, find other things to enjoy and focus on.

Enjoy the present…not the presents. Notice what is

positive in your life and take it all in. Many peoplefind the holidays difficult because of life stressors,such as loss of a loved one, divorce, or financialinsecurity. Find opportunities to count blessings. Youcan always find opportunities for which to be grateful.

Cut this column out of your Healthy Living Magazine andplace it somewhere visible to remind you to stay in the presentand enjoy the holidays. From all of us at Healthy Living…Havea wonderful holiday!

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06VacuPRACTOR™

Americans spend billions ofdollars each year on lower back

pain, the most common cause ofjob-related disability and a leading

contributor to absenteeism. Back painis the second most common neurological

ailment in the United States — only theheadache is more common.

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The cause of back pain is simple: a downward, inward force is beingapplied to our lumbar region every time we stand. When we liftsomething that’s too heavy, or jump off the porch, or shovel too muchsnow, the extra downward forces and added shocks force the lowercurvature of our spine inward. Over time disks become permanentlymore wedged shaped much like a piano’s hammers develop a flatside from years of striking the strings. This makes back painprogressive. Muscles behind the spine grow shorter over timebecause the increased spinal curve shortens the distancethey need to span. As we age, less force is required to sendmuscles into spasm because the column becomes morecurved and thus weaker. . There is never an upward outwardpressure applied.

Until recently, no treatment or mechanism existed to directlyaddress the causes of lower back pain. Russell Notestine, a life longchronic back pain sufferer reasoned that no one would straighten abent fork by pulling on the ends of the fork, much less pressure is necessary if thepressure is applied against the apex of the curve. Applying this logic Notestine

came up with the idea ofapplying vacuum pressure againstthe apex of the lower spine curvefrom outside the body.

Additionally, it occurred toNotestine that part of theprevalence of lower back pain is aresult of a lack of spinal careeducation and maintenance.“We’ve all been taught to brushour teeth to stay out of a dentist’schair. I don’t see that happeningwith lower back maintenancewhich really surprises me, it’s thesecond fastest growing surgeryand it affects an estimated 80%of the population to somedegree”.

Using this logic Notestinecame up with the idea of arevolutionary approach in spinalcare. Trademarked the“VacuPractor,” the inexpensivedevice ($59.00) utilizes patentpending vacuum pressures andleverage to increase clearancesbetween vertebra in the lumbarregion and to stretch muscleswhich may be shortened or inspasm relaxing them withoutmedication.

Initial test results with theproduct are extremely promising.Notestine has received manyletters of praise. One user wrote,“… I have used theVacuPractor™ twice now. Bothtimes it was right after I gothome from work, and both times

I have slept throughthe entire night (anunusual thing forme) and got upwithout the normalcreaking, grinding

and pain! I am goingto continue to use it!?”The VacuPractor™

uses stretching to lengthenand relax muscles that are shortened

through atrophy or in spasm, “Theway you might treat a cramp in yourcalf by pulling up on the ball of yourfoot,” says Notestine. It’s theVacuPractor’s outward pull on thelower curvature that is unique to allother methods. Pulling out rather thanlengthwise is the most effective use ofpressures. Other advantages are: Theuser is in a comfortable, relaxed supineposition. Only the area of the spinethat needs change is changed. Nopressure is applied to any other area.

The VacuPractor™ is the onlydevice that pulls straight out on theover-curvature in the lower spine(lordosis). These pressures workingtogether stretch tired strained musclesallowing them to relax withoutmedication. They also relieve pressureon the disks and nerves in this area.Patients have reported amazing painrelief and added range of motion afterremarkably short term VacuPractor™therapy. The VacuPractor™ is anexcellent defense against lost timespinal injuries in the workplace.

The VacuPractor™ is extremelysafe but may not be appropriate foreveryone. If you have advancedosteoporosis or symptoms of nervedamage, such as numbness, tingling orloss of strength in a limb, hand orfoot. If you have a history of spinalsurgery, check with your surgeonbefore using the VacuPractor™. If youhave back pain accompanied by fever,chills, sweats or unintentional weightloss, see a medical doctor to rule outthe possibility of an infection ortumor.

If you have lower back pain, go tohealthylivinginfo.com and find outmore about the VacuPractor™.

Air Pocket Sealed

Trapped Air Expelled

Vacuum Pulls Spine Flat

Pain Relieved


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06Music Guide

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Music can tame the savage beast. It can inspire usand scare us to death. It can make us run longerand our workouts more enjoyable. The right useand dose of music can literally make us morehealthy and happy. Don McLean recognized this

and wrote about it in his song, American Pie. During the fall semester of 1971 (us Boomers were all in

school then), Don McLean’s lament about American Rock ‘nRoll was released and eventually rocketed to the top of thecharts as Boomers everywhere conversed about, conferred, andconsidered its meaning while they crooned its melodious tune.Opening with the death of singer Buddy Holley (1959) andending just after the Rolling Stones concert at Altamont(1970), American Pie spans the “ten years we’ve been on ourown” referenced in the third verse and speaks of McLean’sdisillusion as the innocence of the 1950’s disappeared and thesocial experiments and excitement of the 1960’s ended withoutfulfillment or fruit.

The meaning of American Pie’s lyrics has been debated foryears. Over the course of the next three issues of HealthyLiving, each verse and the chorus will be reviewed andexplained. In this issue we will examine verse 1 and the chorus.

In the first verse of this autobiographical song, McLeannostalgically reflects back on the music of the late 1950’s thatmade him “smile,” “dance,” and “happy for a while.” This verseis punctuated by Buddy Holly’s death in 1959 which McLeanread about and was touched by as a paperboy on a coldFebruary morning (February 3, 1959). As will become clearerin the second verse, the death of Buddy Holly is correlated byMcLean to the death of American music and America’s socialinnocence – “The day the music died.”

Chorus:Bye, bye,

Miss American Pie

Drove my Chevy to the levee

But the levee was dry

Them good ol’ boys were drinkin’ whiskeyand rye

Singing “this’ll be the day that I die,

This’ll be the day that I die.”

The loss of America’s social innocence is repeatedlyemphasized by the chorus. “American Pie” was not the nameof the airplane that Buddy Holly died in as is often suggested(it was a no name, single engine Beechcraft Bonanza with serialnumber N3794N)2. “Miss American Pie” is a poeticamalgamation of being “as American as apple pie” and anallusion to the 1950’s goody two shoes image of Miss America.To McLean, Rock ‘n Roll was as American as apple pie andMiss America. “Drove my Chevy to the levee” alludes to 1950’sChevrolet television commercials sung by Dinah Shore aboutdriving “along a levee.” The Chevrolet itself is an iconic symbolof socially simple 1950’s America. The Chorus also conjures upthe romantic image of going to a levee on a date. But McLeansees this image evaporating and the levee is dry.3 He concludeshis Chorus with an echo of the Buddy Holly hit “That’ll be theDay” by lamenting, “This’ll be the day that I die.”

[This is Part I of a Three Part Series. Look for “The Definitive Explanation of American Pie, Part II”

in our next issue of Healthy Living with Teresa Tanoos. ™]

Verse 1:

A long, long time ago,

I can still remember

How that music used to make me smile

And I knew if I had my chance

That I could make those people dance

And maybe they’d be happy for a while

But February made me shiver

With every paper I’d deliver

Bad news on the doorstep

I couldn’t take one more step

I can’t remember if I cried

When I read about his widowed bride

But something touched me deep inside

The day the music died.1

1 This article was written after an exhaustive review and study of information about American Pie at understandingamericanpie.com, songfacts.com, wikipedia.com, and rareexception.com as well as other web sites.

2 Found at fiftiesweb.com/crash.3 It has also been suggested that the Levee was a bar in Rochelle, New York (now known as Beechmont Tavern) where McLean lived that was closed (dry), so the boys went to drink whiskey in

Rye, New York a few miles South. In fact, both images work as is characteristic of this incredibly insightful poem/song.


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We all have Christmas memories. For some it may be that red wagon or bicycle orChristmas dress that you always wanted. For others it may be sitting around the fireplace asyou listened to a grandparent reading “Twas the Night Before Christmas.” For still others itmay be the feast and fellowship of sitting around the table eating turkey, sweet potatoes, andpecan pie as you laughed and enjoyed the company of your cousins.

For me, I remember waiting anxiously at the end of the hallway in our three bedroomhome while we waited for Dad to set up his 8mm camera and all the lights it required.While he set up the camera, our mother made cinnamon rolls. With the sweet smell ofcinnamon rolls enhancing our senses my two sisters and I elbowed each other for asuperior starting position. At the sound of father’s “Okay” we raced down the hall atfull speed before skidding to a halt on our rear ends in front of the Christmas tree.We would each shout with glee as we ripped open our presents showing each otherand then the camera what we had gotten.

Of course, this is not what Christmas is really about, is it? Christmas hasbecome too much about gluttony and greed – media and marketing – Santa andSaks – mistletoe and Macy’s. We too often get so caught up in the celebration ofChristmas that we forget what we are supposed to be celebrating.

That brings me to my other great memory of Christmas. My parents wantedus to all watch “A Charlie Brown Christmas” together. It was 1965. I was tenand too old to be watching a cartoon on television, but I would do it to helpmy younger sisters sit still. My mother made popcorn (Jiffy Pop, this wasbefore microwaves) and we all sat with our eyes glued to the black and whitetelevision (our only television set) in the living room.

I still fondly remember that event. It would be politically incorrect forme to quote from the Bible at this point, so I will quote Linus from “ACharlie Brown Christmas” instead:

And there were shepherds living out in the fields nearby,keeping watch over their flocks at night. An angel of the Lordappeared to them, and the glory of the Lord shone aroundthem, and they were terrified. But the angel said to them, “Donot be afraid. I bring you good news of great joy that will befor all the people. Today in the town of David a Savior hasbeen born to you; he is Christ the Lord.….

So they hurried off and found Mary and Joseph, andthe baby, who was lying in the manger… The shepherdsreturned, glorifying and praising God for all the thingsthey had heard and seen, which were just as they hadbeen told. [Luke 2:8-20]

Can you imagine? What a Christmas memory! That is whatChristmas is really about.

Waldo’s Thoughts by Steve Waldo

CHRISTMAS MEMORIES –Or, Give Me a Comic Character Christmas

Steve Waldo is a freelance writer and an attorney who attended Dallas Theological Seminary. He is also a Sunday school teacher and speaks regularly ontopics related to the application of spirituality and faith in today’s busy world. Steve welcomes your feedback and suggestions, so feel free to e-mail him at

[email protected] or send a letter to the attention of Steve Waldo at Cartera Media, 5999 West Memory Lane, Suite A; Greenfield, IN 46140.


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What is the difference between facials and peels?Facials are a feel good, relaxing deep cleansing of the skin. Typically they include

cleansing the face and a masque application for 10 minutes followed bymassage. Benefits include increasing the blood flow to the skin and removingdead skin cells from the surface to result in a healthy glow. Peels incorporateacid, which irritate the skin cells causing them to slough off, revealing thehealthy plump skin cells underneath. This also causes the skin to go into“healing mode”, which jump starts the body’s production of collagen andelastin in the dermis to thicken the skin and soften fine lines and wrinkles.Peels range in strength and can be as mild as “no down time” (meaning youcan immediately put on your make up and go about all normal activities) tobeing red, irritated, and having your skin peel for 3-5 days. Sun damage, skincondition, lifestyle and skin objectives will determine which one is right foryou. Your aesthetician can help you determine what is appropriate for you.

Why do I need a peel?Skin cells are made at the base of the epidermis (the outer layer of the skin) and

take 28-30 days to reach the surface of the skin when we’re younger than 30.After the age of 30 this process slows down. The older we are, the slower theprocess. As our regeneration slows, we see more roughness, dullness, fine lines,and increased hyperpigmentation (brown spots). Having a peel irritates thoseaging skin cells that have started to lose their moisture and plumpness,allowing the younger plumper skin cells underneath to be seen at the surface ofthe skin. A peel also stimulates the body to create more collagen and elastin,thickening the skin to minimize fine lines.

Help, I have acne! What can I do to get rid of it?Fortunately, we have many treatment options available! Depending on the

severity of your acne it could be as easy to clear up as having a MicroPeel oncea month along with using good cosmeceutical grade products at home. Formore severe acne we would include Aesthera PPx Laser treatments once amonth. Aesthera PPx System is the only laser FDA approved for the treatmentof mild to moderate acne, including pustular acne, comedonal acne, and mildto moderate inflammatory acne (acne vulgaris). The new technology of “PhotoPneumatic Therapy” is virtually pain free! Treatments are once a month andusually require 5-6 treatments to achieve desirable results. Consultations arefree and are required to determine which treatment is right for you.

What is a MicroPeel?A MicroPeel is a revolutionary new process that removes a micro-thin top layer of

dead skin. The benefits are improved skin clarity, tone, and texture. Suitablefor all skin types and conditons, this peel removes unwanted “peach fuzz” andincludes Crygenic Therapy or “dry ice”, which kills bacteria and makes poreslook smaller and skin feel smoother! No down-time is required and makeupcan be applied immediately after the MicroPeel.

Ask the Aesthetician with KyleLynn Ballard, Licensed Medical Aesthetician

Healthy Living Magazine invites readers to send in theirown questions for KyleLynn Ballard. Mail your questionsto Ask the Aesthetician, c/o Healthy Living Magazine,5999 West Memory Lane, Suite A, Greenfield, Indiana46140 or simply email KyleLynn [email protected]. All questions will bekept confidential and names changed if selected forpublication.

33HealthyLiving

WINTER 06

Heads Up

“I have seldom used advertising, so I did not know what to expect when Iplaced a one half page ad in the Healthy Living with Teresa Tanoos™Magazine. When the magazine came out, I could immediately hear the resultsas my telephone started ringing. I especially like the idea that Cartera Mediadoes not just sell magazine advertising, they offer exposure through television,internet, and radio promotions as well. More importantly, I like the CarteraMedia staff—Teresa is especially personable and kind. They were not interestedin what was best for them and their budget, they listened to my needs and cameup with a plan that is consistent with my budget. I also appreciate that myadvertisement did not get lost in a magazine that is 70 percent advertising. Myad stood out and was not lost in 12 consecutive pages of advertising – I likethat!”

“I look forward to continuing to work with Cartera Media and itsresourceful staff. I highly recommend advertising in the Healthy Living withTeresa Tanoos™ Magazine and using Cartera Media’s unique crosspromotional services.”

Deb Lee, Beautician

A valued advertiser endorsement


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06Publishers Point by Steve Carlock

I have been trained since childhood to watch what I eat. My parents, my teachers, even special classes on health preached thefood pyramid, calorie reduction, more vegetables, less sugar, and so on. Although by no means phobic, watching what I ate hadbecome natural.

Now it appears that all that training has been for naught. Just like my six weeks of piano lessons that pulled me away frommy valuable time on the basketball court and probably prevented me from enjoying a career with Larry Bird, now I find that thehours I spent agonizing over learning the values of whole grains and fiber is down the tubes.

You see, we do not have to worry about food issues any more because our goodgovernment is going to take care of it for us. The New York Board of Health has bannedTrans Fatty Acids (Trans Fat). The Chicago City Council has similarly proposed a TransFat ban. More importantly, the Chicago City Council has already vanquished the threatof foi gras (that brown pasty stuff made from duck and geese livers) which is prohibitedby city council edict from being served anywhere within city limits. (It is myunderstanding that more than one Chicago eatery is secretly serving foi gras to select, butobviously uneducated, patrons in hidden basement dining rooms.)

My wife and I are already discussing the merits of moving to New York or Chicagowhere we know that the digestive tracts of our family and friends will forever more be safefrom the lure of lascivious livers and the threat of transfixion to truculent Trans Fats.Moreover, in the event that the food police in New York or Chicago shirk their duties, we can take comfort in knowing that wecould sue the establishment that trafficked in Trans Fat and bring an action against the city for its negligence in protecting ourhealth and welfare. The millions of dollars we would collect in compensation would only begin to pay for the pain and sufferingour arteries suffered from the ingestion of the insipid transmogrifying Trans Fat.

Come on now, Trans Fat naturally occurs in the milk and body fat of sheep, cows, and humans. Does this mean that womencan no longer breast feed? Will grocers be arrested for stocking milk on their shelves? Will we no longer see commercials withwhite mustaches? True, the National Academy of Sciences and the New England Journal of Medicine both have expressedconcern that the consumption of Trans Fatty Acids results in considerable potential harm, including cardiovascular disease, andprovides no apparent benefit. But this truth does not mean that laws need to be passed. It is also true that gravity pulls any itemof weight to the ground. That does not mean that laws should be passed making it illegal to pick up any object heavier than afeather.

We need to use common sense. We do not need more laws that defy it. Laws are like Trans Fats: we need fewer of them.Trans Fats in small amounts such as human milk andcow milk is acceptable. Trans Fats in large amounts(Crisco is 100% Trans Fat) can be harmful andcontribute to cardiovascular disease. Mind your TransFats and have a Happy and Healthy Holiday season.

If you are looking for a delicious dining experience trySullivan’s Steakhouse. Featuring succulent steaks

and seafood, an incredible wine selection, andthe finest foi gras and cognacs, Sullivan’s is alively restaurant that harkens back to the 1940’s(before my time, but so I am told). Also noticethe black tablecloths. The black tablecloths werefirst recommended by local interior designer,

Barry Lantz (a friend of Healthy Living Magazine), and arenow featured in all Sullivan’s restaurants across the UnitedStates. The food is first rate, the service is superb, valetparking is free, and the atmosphere animated. I highlyrecommend it.

Restaurant Review

Vanquished Foi Gras

Healthyliving winter06

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