Tuesday, Aug. 27, 2013

Sen. Chuck Grassley of Iowa has worked to increase the federal government's actions to protect nursing home residents from unnecessary antipsychotic prescriptions and to protect the taxpayers from improper payments for these drugs.   In light of serious warnings about using these medications in dementia patients, and significant uses of the drugs in dementia patients in nursing homes, Grassley asked for a government inspector general audit of the practice.  The audit in 2011 found that 88 percent of the powerful antipsychotic drugs being prescribed to nursing home residents with dementia carry what are called black box warnings from the Food and Drug Administration.  The warnings cite an increased risk of death in elderly patients with dementia.   With a fellow senator, Grassley wrote to the administrator of the Centers for Medicare and Medicaid Services, seeking a description of the agency's actions to protect nursing home residents from unnecessary antipsychotic prescriptions.  Today, the Centers for Medicare and Medicaid Services (CMS) announced that "the national prevalence of antipsychotic use in long stay nursing home residents has been reduced by 9.1 percent since the last quarter of 2011."  Grassley made the following comment on this development.

"The 2011 inspector general audit documented serious challenges for the federal agency that oversees nursing home safety.  The federal government was right to respond.  Seeing a reduction in the use of antipsychotic drugs in nursing homes is a step in the right direction.  However, CMS needs to continue making progress toward protecting nursing home residents from unnecessary antipsychotic prescriptions.  The right kind and right level of medication are critical to nursing home residents' quality of care.   The government needs to be sure nursing home residents are getting good care in keeping with federal standards and good stewardship of tax dollars."

Nurse Shares Steps for Releasing Pain, Forgiving
Yourself and Others

From child abuse and domestic violence to human sex trafficking and atrocities against civilians in war-torn countries, our world creates new victims daily.

Broken bones and bruises heal, but for many victims, the emotional damage is lifelong and life altering, says Amrita Maat, a nurse, child abuse survivor, and author of the inspirational new book, "Wearing a Mask Called Normal," www.maskcallednormal.com.

"Experiencing abuse can affect how you feel about yourself and how you respond to other people," Maat says. "These effects might be easy to see if you're observing them in someone else, but they can be nearly impossible to recognize in yourself without help."

The emotional and physical abuse that Maat grew up with set the stage for her to become a perpetual victim as an adult, she says. The choices she made and her interactions with others were often unwittingly self-destructive.

"Lifestyle changes that involve healthy choices include eliminating dysfunctional patterns, such as manipulation and abusive behavior - the things children of abusive parents learn from their role models," she says. "A healthy lifestyle comes first through recognizing unhealthy behaviors and then laying the groundwork for positive change."

For Maat, that groundwork begins with forgiveness.

"You have to forgive," she says. "You have to forgive yourself and you have to forgive those who've hurt you. When you're a victim, you're often angry - because you have every right to be angry, right? But anger, focusing on blame and thinking of yourself as a victim only perpetuates the dysfunction and the pain it brings."

So, how does one begin to forgive oneself and others? Maat shares the steps she put together, which helped her learn how to identify what would move her forward on her healing path. She started by creating a list of the people and circumstances she needed to forgive and systematically working through the process:

1. Identify the people who have caused you pain and why you feel that pain. This validates your pain; it was real and deserves to be acknowledged.

2. Identify the pain you feel from others and consciously release it to the universe in a personal ritual that has meaning for you. You might write it down on a piece of paper and burn it. Or speak the words out loud and blow them away.

3. Allow yourself to forgive those who have caused you pain as a means to your physical, emotional and spiritual healing.

4. Identify the people you have caused pain and recognize why you caused them pain. It's important to acknowledge that you, too, are capable of causing pain in order to forgive yourself and those you've hurt.

5. Identify the pain you have caused others with your actions.

6. Allow yourself forgiveness for the pain you have caused others as a means to your physical, emotional and spiritual healing.

While forgiving others for hurt caused intentionally is difficult, Maat says the hardest is forgiving yourself for pain you caused. But this is vital; in order to forgive others and to open yourself to positive energy, you must forgive yourself.

"From every hurtful moment, I learned something, and part of my process is to acknowledge each lesson and to be grateful for it," Maat says. "Forgiveness was possible when I released the hurt because it no longer served a purpose."

About Amrita Maat

Amrita Maat is a nurse who reached a turning point in her life when she was injured while trying to avoid the advances of a physician who had sexually harassed her for years. For the first time, she stood up to an abuser by taking the man to court. But she had waited too long under the statutes, so she did not get her day of justice. Because of the nature of her memoir, Amrita Maat is a pseudonym.

More Than 100 State Cooling Centers Open Across Illinois

CHICAGO - With hot weather expected this week, Governor Pat Quinn today is urging residents to take advantage of the state's cooling centers. This summer, Governor Quinn opened more than 100 cooling centers around Illinois in order to help those without air conditioning beat the heat.

"The combination of high heat and humidity is dangerous for people and pets alike," Governor Quinn said. "I urge residents to take the proper precautions to stay safe as another hot summer comes to an end."

The cooling centers are located at Illinois Department of Human Services (IDHS) offices throughout the state. IDHS cooling centers are open to the public during regular business hours from 8:30 a.m. to 5 p.m. In addition to the IDHS cooling centers, the Illinois Tollway Oases in the Chicago area are available 24 hours a day, seven days a week.

Governor Quinn and the Illinois Department of Public Health are also encouraging Illinois residents to watch for signs of heat-related illnesses. Symptoms of heat-related illness include headaches, skin that is hot to the touch, increased body temperature, loss of consciousness, seizures and irregular heartbeats.

To stay cool and avoid illness, people should increase their fluid intake but avoid drinks with caffeine, alcohol and sugar; decrease strenuous, outdoor physical activity and remain in air-conditioning when possible.

The Illinois Department on Aging also encourages relatives and friends to make daily visits or calls to senior citizens living alone. When temperatures and humidity are extremely high, seniors and people with chronic health conditions should be monitored for dehydration and other effects of extreme heat. Additionally, seniors should eat lighter meals, take longer and more frequent rests, and drink plenty of fluids.

To find a cooling center near you, call the IDHS hotline at (800) 843-6154 or visit www.keepcool.illinois.gov.

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DAVENPORT, Iowa - August 26, 2013 - Genesis is making the cafeterias at its three Quad-Cities hospital campuses available to the public to provide relief from the heat during the current Heat Advisory.

The cafeterias at Genesis Medical Center-East Rusholme Street, Genesis Medical Center-West Central Park and Genesis Medical Center-Illini Campus will be open to the public from 9 a.m. to 5 p.m., today, Monday, August 26
and Tuesday, August 27.

The cooling station locations are:

• Genesis Medical Center-East Rusholme Street, 1227 East Rusholme St., Davenport.

• Genesis Medical Center-West Central Park, 1401 West Central Park St., Davenport.

• Genesis Medical Center-Illini Campus, 801 Illini Drive, Silvis.

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by U.S. Senator Chuck Grassley

At the end of this year, the coverage provisions of the Affordable Care Act will take effect.  Regardless of what a person thinks about the massive changes the law will make to America's health care system, it's important to understand the economic impact of the health care law's regulatory burden and 23 tax increases.

The reality is that the Affordable Care Act creates multiple levels of new government regulation and the cost of the law is covered with taxes and penalties on businesses and consumers who already pay for their insurance.  Health insurance premiums are expected to jump significantly as insurers shift costs to comply with mandated health care benefits.

The law also continues to cause great uncertainty among employers.  The employer mandate requires companies with at least 50 workers to provide health insurance to those who work at least 30 hours.  In anticipation, some employers have cut back hours or added part-time staff instead of full-time positions.  The Bureau of Labor Statistics' recent employment report shows that of the 162,000 jobs added in July, a disproportionate share is skewed towards lower-wage, part-time work.  The ranks of part-timers being hired are swelling due to the uncertainty created by the employer insurance mandate.  The White House in July unilaterally decided to postpone the employer mandate, but the one-year delay does not remove the future burden on employers.  The delay also opens up insurance subsidies to fraud, as the IRS likely will not be able to certify if those who apply legally qualify.

The tax increases prescribed in the Affordable Care Act to raise $1 trillion over a decade include :

  • a 2.3 percent excise tax on the sale of medical devices effective January 1, 2013, increasing the cost of hip and knee replacements and other medical innovations that our aging society has come to depend on to extend quality of life;
  • a tax penalty on individuals for not buying qualifying coverage effective January 1, 2014, that gradually increases over the next three years.  In 2014 the penalty tax is limited to $95 or 1 percent of taxable income, whichever is greater, but by 2016 the tax grows to $695, or 2.5 percent of taxable income.  In the years following, the penalty will increase by a cost-of-living adjustment;
  • a payroll tax hike on higher-income taxpayers, lifting Medicare Part A's tax bite to 2.35 percent from those workers' paychecks;
  • a 3.8 percent surtax on investment income for higher-income taxpayers;

·         a tax increase that limits contributions to Flexible Savings Accounts (FSAs) to $2,500 and eliminates tax-free reimbursements for over-the-counter medicine for both FSAs and Health Savings Accounts;

  • limits on medical itemized deductions;
  • an excise tax on insurers of employer-sponsored, high-end health plans, effective in 2018;  this change places a punitive tax on those who have health coverage to help pay for those who do not;
  • annual fees on prescription drug manufacturing and health insurers; and,
  • a 10 percent tax on indoor tanning services.

Expanding access to health care coverage for the uninsured has broad support and steps need to be taken to increase access to coverage, especially for individuals, and to increase transparency and competitiveness in the cost of health care services.  But the new federal taxes, excises, penalties, mandates and fees in the Affordable Care Act come with tremendous economic costs.  What's more, the health care law won't bend the spending curve on exploding health care costs or encourage medical innovation.

All things considered, just as Washington can't tax our way to prosperity, the federal government can't tax its way to universal health care coverage without inflicting more harm than good.

Monday, August 26, 2013
Red Cross rewards blood donors as summer winds down

PEORIA, Ill. (Aug. 26, 2013) ? With the arrival of Labor Day and the unofficial end to summer, the American Red Cross encourages eligible donors to roll up a sleeve and give blood or platelets to help ensure sufficient supplies over the holiday weekend.

Those who present to donate between Aug. 26 and Sept. 9 could win one of five $1,000 American Express gift cards, and all donors will walk away with the instant gratification that they may be helping to save more than one life.

"The summer may be coming to an end, but the work of the Red Cross is far from over," said Shelly Heiden, CEO of the Red Cross Heart of America Blood Services Region. "As you make plans for this Labor Day holiday, please also make time to give blood and help patients who depend on your lifesaving donation."

While thousands of people answered the call for blood and platelet donations issued by the Red Cross earlier this summer, an urgent need remains for platelets and types O negative, A negative and B negative blood. The summer months can be especially difficult to collect enough blood and platelet donations to keep pace with patient needs.

"Patients in local hospitals often can't take a break to enjoy the holiday," Heiden said. "But blood and platelet donors can give these patients a chance to enjoy this time with family and friends - simply by rolling up a sleeve."

Live a story. Give a story. Donate blood or platelets. Call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org/summer for more information and to make an appointment to help save lives.

Upcoming blood donation opportunities:

Henry County

Aug. 28 from 2-6 p.m. at First Christian Church, 105 Dwight St. in Kewanee, Ill.

Sept. 5 from 12-6 p.m. at First United Methodist South Campus Building, 302 N. State St. in Geneseo, Ill.

Sept. 7 from 10 a.m. to 1 p.m. at Walgreens, 500 S. Main St. in Kewanee, Ill.

Sept. 9 from 1-6 p.m. at Alpha United Methodist Church, 211 N. Scandia in Alpha, Ill.

Mercer County

Aug. 28 from 2-6 p.m. at Alexis Community Center, 204 W. Palmer Ave. in Alexis, Ill.

Rock Island County

Sept. 4 from 1:30-5:30 p.m. at American Red Cross of Quad Cities, 1100 River Drive in Moline, Ill.

Scott County

Aug. 30 from 10 a.m. to 1 p.m. at Hy-Vee, 4064 E. 53rd St. in Davenport, Iowa

Whiteside County

Aug. 27 from 1-5:15 p.m. at River Bend Senior Center, 912 Fourth St. in Fulton, Ill.

Aug. 28 from 10 a.m. to 2 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Sept. 4 from 2-6 p.m. at American Red Cross, 112 W. Second St. in Rock Falls, Ill.

Sept. 4 from 10 a.m. to 2 p.m. at Focus Services, 1100 First Ave. in Rock Falls, Ill.

How to donate blood

Simply call 1-800-RED CROSS (1-800-733-2767) or visit redcrossblood.org to make an appointment or for more information. All blood types are needed to ensure a reliable supply for patients. A blood donor card or driver's license or two other forms of identification are required at check-in.

Individuals who are 17 years of age (16 with parental consent in some states), weigh at least 110 pounds and are in generally good health may be eligible to donate blood. High school students and other donors 18 years of age and younger also have to meet certain height and weight requirements.

About the American Red Cross

The American Red Cross shelters, feeds and provides emotional support to victims of disasters; supplies about 40 percent of the nation's blood; teaches skills that save lives; provides international humanitarian aid; and supports military members and their families. The Red Cross is a not-forprofit organization that depends on volunteers and the generosity of the American public to perform its mission. The Red Cross is supported in part through generous financial donations from the United Way. For more information, please visit redcross.org or visit us on Twitter at @RedCross.

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2 Doctors Say Unrecognized Airway/Breathing Issues are Prompting Facial Changes and a Host of Chronic Problems

What's it like to be an English bulldog? More people are finding out, say integrated health specialists Dr. Michael Gelb and Dr. Howard Hindin.

"A bulldog's airway passages are quite restricted because of the shape of its face, and they are often especially vulnerable to illnesses such as cardiac disease and cancer," says Dr. Michael Gelb of The Gelb Center in New York (www.gelbcenter.com), a holistic dentist known worldwide for pioneering integrative treatments.

Dr. Hindin of the Hindin Center for Whole Health Dentistry (www.hindincenter.com) partners with Dr. Gelb in a multidisciplinary approach to treating chronic disease affecting millions of Americans.

"Our faces are becoming more like a bulldog, with smaller mouths, bigger tongues, misaligned teeth and bigger necks - all of which changes the structures of our mouths and makes breathing significantly more difficult," Dr. Hindin says.

The doctors say that's creating a health crisis.

They say these issues are often associated with Airway, Breathing and Sleep (ABSleep):

• ADHD and other children's issues: Ninety percent of our brains are developed by age 12. Obstructions and even increased effort in breathing cause children to have sleep disorders, and the effect is a range of related problems, from attention deficit hyperactivity disorder, to obesity and diabetes. The good news is that much of this is preventable - at 6, 18 and 30 months of age, doctors can predict children who are likely to develop behavioral and cognitive disorders due to poor breathing. Treatment is often complex and requires a team approach. Removal of tonsils and adenoids are among preventative measures, along with palatal expansion and myofunctional therapy. Additionally, early intervention can improve the shape of a child's face, lips and smile.

• TMJ: As our faces are becoming pushed in and our mouths are getting smaller there is increased pressure on the TMJ as well as increased muscle tension and clenching.

• Sleep apnea: People with sleep apnea can stop breathing hundreds of times each night. Each time this happens, the brain triggers the person to awaken, ever so slightly, in order to resume breathing. Up to 90 percent of people with obstructive sleep apnea have not been diagnosed, according to the American College of Physicians. Sleep apnea is just one of the disorders that can have serious lifelong consequences. But the causes are easily corrected. Children who snore loudly are twice as likely to have learning problems and are more likely to develop behavior problems and ADHD.

• Chronic headaches: Morning headache is one sign of obstructive sleep apnea. As the face is pushed in, nasal breathing is obstructed and mouth breathing results in a forward head posture. This puts a strain on the muscles and nerves at the base of the neck which increases headache.

• Other sleep disorders: You do not need to have apnea to have a sleep disorder that will interfere with performance and health. Snoring, restless leg syndrome and simple daytime drowsiness can be a signal that you are not getting the proper quantity and quality of restorative sleep. If you are suffering from chronic pain, inflammation, poor performance or behavior problems, consider looking into airway-breathing treatment.

About Michael Gelb, D.D.S., M.S.

Dr. Michael Gelb is an innovator in airway, breathing, sleep, and painful TMJ disorders pioneering Airway Centric. He has studied early intervention for sleep disordered breathing (SDB) specializing in how it relates to fatigue, focus, pain and the effects all of these can have on family health. Dr. Gelb received his D.D.S. degree from Columbia University School of Dental and Oral Surgery and his M.S. degree from SUNY at Buffalo School of Dental Medicine. He is the former Director of the TMJ and Orofacial Pain Program at the NYU College of Dentistry and is currently Clinical Professor in the Department of Oral Medicine and Pathology at the NYU College of Dentistry. He is a co-inventor of the NORAD, or Nocturnal Oral Airway Dilator appliance that reduces snoring by positioning the patient's tongue and jaw so that airways stay open. He co-founded the Academy of Physiologic Medicine and Dentistry (APMD) and a non-profit to prevent the proliferation of chronic disease in the U.S. based on airway, sleep and breathing awareness, research and education.

About Howard Hindin, D.D.S.

Dr. Howard Hindin is trained in all aspects of general dentistry. Since the 1990s, his practice has also focused on cosmetic dentistry, temporomandibular joint disorders and craniofacial pain. He is a graduate of New York University College of Dentistry. An acknowledged pioneer in the relationship between dental issues and whole body health, Dr. Hindin is President (2000-present) of the Foundation for the Advancement of Innovative Medicine (FAIM). He is also an active member of the American Academy of Pain Management, American Academy of Cranio Facial Pain, American Academy of Dental Sleep Medicine, Academy of General Dentistry, American Dental Association, International Academy of Oral Medicine and Toxicology, and the New York State Society of Acupuncture for Physicians and Dentists and is the co-founder of the American Association of Physiological Medicine and Dentistry (AAPMD).

(DES MOINES) - Gov. Terry E. Branstad and Lt. Gov. Kim Reynolds today sent a letter to President Obama and U.S. Health and Human Services Secretary Kathleen Sebelius, accompanying the Iowa Health and Wellness Plan waivers for federal approval.

 

The letter highlighted the bipartisan efforts in Iowa to design and implement the new Iowa Health and Wellness Plan, which is an Iowa-based solution for health care. The Iowa Health and Wellness Plan is an opportunity for the administration to demonstrate state flexibility in implementing health care reform.

 

In the letter, Branstad and Reynolds state:

 

Our plan passed with bi-partisan support and is designed to increase access, drive personal health ownership, and reform our health care delivery system to pay for quality, not quantity of health care delivered.

...

The successful implementation of the IHWP is now in your hands. We want to be innovative and implement a program that improves the health of Iowans. We have been encouraged by our success in working with HHS, but our current Iowa Care waiver expires at the end of this year. Replacing the expiring Iowa Care program with the modern Iowa Health and Wellness Plan is of paramount importance to our state and our citizens. Any delays in approval may severely disrupt the coverage of many Iowans. We hope that you and your team will grant an expedited approval of our waiver requests so we can move forward on our bipartisan plan to improve health outcomes in a way that works for the State of Iowa.

 

The pair also extended an opportunity to meet on the waiver when they are in Washington, D.C., next month.

 

The letter is found HERE.

 

The Iowa Health and Wellness Plan waiver request will be posted HERE.

 

# # #

2 Experts Say 'Cheat Days' Can Do a Body GOOD


It's hard to stick to a low-calorie diet day after day to lose weight, but new research shows you don't have to, says Dr. Susie Rockway, a veteran nutritional and biochemical expert in the U.S. health industry.

"Recent studies show you can lose 10 to 30 pounds in eight weeks through alternate-day fasting," she says. "Every other day, dieters in the study ate only lunch - no breakfast or dinner - between noon and 2 p.m. The following day, they could eat whatever they wanted. Not only did they not 'gorge' as expected on the feed days, most had an easier time sticking with it."

Dieting is as much about the mind as it is about the body, and most people have a difficult time staying with any sort of very strict regimen, says Sebastien Hebbelinck, a 20-year-plus veteran of the nutraceutical industry.

In the alternate day fast studies conducted by Dr. Krista Varady of the University of Illinois at Chicago, participants on average consumed only 110 percent of their energy needs on feed days, Rockway says. Lunch on fast days was 400 to 500 calories for women and 500 to 600 calories for men.

Hebbelinck, the CEO of Apax Business Development, which produces the water-soluble fat-binding supplement Lineatabs, www.lineatabs.com, offers these other suggestions for indulging your taste buds while losing weight or maintaining a healthy weight.

• Eat your bigger meals earlier in the day. Avoiding large meals at dinnertime is effective in helping to lose weight, particularly abdominal fat. In fact, another fasting study -- presented at this year's American Diabetes Association conference - showed that dieters who ate big meals at breakfast and lunch and skipped dinner lost more weight than participants who ate six small meals a day.

• Don't belly up to the buffet bar. Whether it's a cheat meal or a cheat day, throw all those studies out the window if you gorge on huge quantities of food. Eat controlled portions of healthy, nutritious foods. You can enjoy a nice lunch with a glass of wine and even a dessert, but don't go back for seconds and don't order the Decadent Chocolate-for-Four if you have no plans to share!

Rockway adds the following tips based on her nutritional and biochemical expertise.

• Include plenty of fiber and water (stay hydrated!). Unlike most nutrients in foods, we don't absorb fiber. It passes through our digestive tract, and if it's soluble fiber, it can help us feel full since it forms viscous gels. High-fiber foods include legumes, beans, avocados, nuts, whole fruits (versus juice), and whole-grain foods such as whole wheat spaghetti. On a cheat day, you may splurge on    a higher fat hamburger or fries, which case this is the perfect time to take a fiber-rich fat-binding supplement such as Lineatabs before the meal to help prevent some of the excess fats from being absorbed. Rockway likes Lineatabs because, unlike other fat-binding supplements, it dissolves in water and is consumed as a beverage, making the fiber soluble in the stomach and immediately available to bind to fats. It then forms a viscous fiber in the small intestines to form a barrier to reduce absorption. AND you get the fluid your body needs!!

• Healthy eating: Plan meals that are higher in lean protein and lower in simple carbohydrates. This will help you avoid a sugar spike that will leave you feeling hungry soon afterward. It also stabilizes your insulin levels, and protein foods are the most satiating.  If you are satisfied after you eat, you will be less likely to snack later. Some great high-protein choices include turkey or chicken  breast, pork loin chop, tuna and salmon and whey protein shakes. Avoid foods high in simple carbs, such as syrups, soft drinks and jams.


About Dr. Susie Rockway, Ph.D., C.N.S.

Dr. Susie Rockway, Ph.D., C.N.S., is a veteran nutritional and biochemical expert and decades-long health industry expert. Rockway has worked for multiple companies in executive capacities, including as an executive director of product development, a director of research, and a manager for science developing health and wellness products, where she communicated nutrition and new science updates to consumers. She has also designed testing strategies for clinical efficacy studies.

About Sebastien Hebbelinck

Sebastien Hebbelinck is an internationally recognized business entrepreneur who has been active in the nutraceutical industry for more than two decades. He is the founder and CEO of Apax Business Development, a 21-year-old company that has experienced major success in Europe with the dietary supplement Lineatabs, www.lineatabs.com. The product contains Solusitan, an all-natural fat-binding complex contained in an innovative delivery system that dissolves in water, making it immediately available in the stomach to bind with fat molecules in food.

Hey everyone!  Its Cherie here from Integrative Health Group in Bettendorf Ia.  We are bringing on an exciting product launch and I will be incorporating it with my wellness and life coaching!  It is for assistance in weight-loss, building lean muscle, or just plain getting those nutrients you need daily!  We are gluten free at our house so this is a life saver because we not only shake it but we cook and bake with it too!
I will be holding an introduction to this new item at our office THIS SUNDAY @2pm.  The office address is 2884 AAA Court Bettendorf, last office just before the AAA building!  PLease come and check it out and PLEASE bring friends!  There will be a couple giveaways!
Along with this i will be doing a challenge!  I am personally on day 17-JOIN ME!
Check it out here before you come..or if you cant come you can always contact me for more info ( i do one on one 90 day challenges or can come to your office & have one!) or just order right from my site if you'd like.
Thanks so much for all your support & loyalty!  Feel free to share this with anyone you think could benefit!
Cherie Henningsen, M.A. Marriage & Family Counseling

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