health & fitness 2016

7212019 Health amp Fitness 2016

httpslidepdfcomreaderfullhealth-fitness-2016 112

A Special Supplement to THE STANDARD NEWSPAPER bull WAUKON IA

Health

Fitness

amp

Cmunity 2016

Thankfulevery day

Piggottshave newappreciation

for healthfamily ampfriends

The Greg and Rosie Piggott family from left front row Samuel and Anna Sonderman Middle row

Thomas and Emma Sonderman Kaia and Justin Piggott holding Bennett Rosie and Greg Piggott Backrow Mike and Stacia (Piggott) Sonderman holding Jacob and James Piggott (Submitted photo)

Michelle

Schwartzhoff20-plus year

battlewith Multiple

Sclerosis

The Schwartzhoff family Left to right Christian Brett and Jackie Heffernan

Tim and Michelle Schwartzhoff and Conner and Carson Schwartzhoff(Submitted photo)

Laughter Yoga

benefitsmind and

body

CERECmakes

proceduresmore

convenientfor Waukon

Dentalpatients

Do I need podiatric careDr Greg Valkosky DPM

of Gundersen Health System sums up the attention given to a part of the

body not given much attention

Waukon Wellness CenterWaukon Park

and Recreationcombine resourcesoffer patrons more

Pastor Laura Gentry of Our Savior Lutheran Church leads by examplein a local laughter yoga session

Dr Linda Carstens standing and Dr Jessica Wilke seated examine 3D images taken by theChairside Economical Restoration of Esthetic Ceramics (CEREC) machine



Do I need podiatric careby David M Johnson

Your feet Five toes a heeland arch which support your

ability to stand walk and runThis pretty much sums up theattention given to a part of thebody not given much attention

Even though on averagean individual takes 8000 stepsa day and the slightest discom-fort of the feet immediately lim-its mobility the foot often doesnot generate the care and con-cern that it deserves So whatabout the feet Just as thereexists specialists responsible

for coronary heart health forcancer ailments and other af-flictions of the body the foot is

an individual appendage of thebody that has its own special-ists

The podiatrist and podiatric

medicine offer that specializedknowledge and expertise in thecare and health of the foot Oneof those specialists is Dr GregValkosky DPM a podiatricsurgeon at Gundersen HealthSystem Dr Valkosky boardcertified by both the AmericanBoard of Foot and Ankle Sur-geons and the American Boardof Podiatric Medicine and aFellow of the American Collegeof Foot and Ankle Surgeons

has been involved in podia-try for some 22 years gainingan interest in the field after a

friend accidentally shot himselfin the foot while hunting Askedhow one would best describepodiatric medicine Valkosky

answered that ldquoin the strictestsense it is the treatment of thefoot and ankle really the onlybranch of medicine that givesattention to a specific bodypartrdquo

If you visit Dr Valkosky orany of the other podiatrists thatare practicing in our communityor the surrounding communi-ties you will discover that theirattention will deal with specificaspects of the foot and ankle

Patients are evaluated in anumber of ways including bio-mechanics (how the foot func-tions) Further evaluations mayinclude an assessment of pre-vious trauma vascular statusand nerve function Underlyinghealth concerns such as cor-onary insufficiency or diabeticcomplications are addressedwhen attempting to treat a pa-tientrsquos particular problem withhis or her feet Podiatric med-

icine is all about the foot andankle but a personrsquos overallhealth plays a direct role in thehealth of their feet Wounds tothe feet along with the wear-ing of improper shoe gear are

among top reasons a visit tothe podiatrist can be required

Most people will experiencesome sort of foot condition intheir lifetime and if no attentionis given to the disorder it couldescalate to a more profoundandor severe problem in thefuture For example diabetesleads to poor circulation in the

feet which makes it difficult tokeep the feet warm In additionif there is a cut blister or ulcerthis decrease in blood flow canencourage infection and af-fect a patientrsquos ability to heal

their wound This leads to fur-ther complications and conse-quences including amputation(70000 Americans with diabe-

tes lose a foot each year)Other conditions include

gout muscle pain from tendini-tis and arthritis which causesstiffness pain and swelling inthe joints Your feet might alsodevelop warts called plantarwarts calluses corns athletersquosfoot plantar fasciitis on the bot-tom of the feet or a bunion onthe side of the foot by your bigtoe

When you are experiencing

health issues or pain and wantto schedule an appointmentwith your local podiatrist DrValkosky would like to sharewith the public that this visitis a non-painful examinationThe exam will identify what iscausing the ailment or painWhile a diagnostic test like anx-ray might be ordered a visu-al exam and verbal health his-tory review will many times beenough to properly diagnose

the condition and determine aproper course of treatment If

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FitnessHealthamp Wednesday January 13 2016Page 2

Dr Greg Valkosky DPM

Podiatric care

Continued on page 4

501 Rossville RdWaukon IA 52076

Phone (563)568-9675

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108 2nd St NW 102 bull Waukon IA

Offering fitness amp yoga classes for all ages



Post Office Box 499 1650 Allamakee Waukon Iowa 52172

Edna Wyninger LMT Reflexologist

Phone (563) 568-2176 bull Toll Free 877-457-4541Fax (563) 568-2184

Dennis C Montet PT

PhysicalTherapy Clinic PTC

Clinical study is latest most significant step in 20-plus year battlewith Multiple Sclerosis for Michelle Schwartzhoff of Dorchester

by Brianne Eilers

In September of 2015 Mi-chelle Schwartzhoff of Dorches-ter traveled to California to takepart in a StemGenex Adult Adi-pose Clinical Study for MultipleSclerosis The former MichelleHeffernan was diagnosed withMultiple Sclerosis (MS) whenshe was 25 years old and shenoted that in December sheturned 47

ldquoIrsquove been very luckyrdquo

Schwartzhoff said ldquoThe majority of my life no one knew(about the MS)rdquo Schwartzhoffexplained that it wasnrsquot untilthree or four years ago whenshe had to start using a caneto ensure she could get aroundsafely that her symptoms be-came more visible as she wasbeginning to have balanceproblems with her right leg andissues with her right foot be-coming numb Prior to that her

symptoms were mostly senso-ry

Schwartzhoff has been bat-tling with the unseen symp-toms of MS for a long time Shesuffered from intense fatigueneurologic pain and brain fogwhich is a symptom that affectsthe mindrsquos ability to think clear-ly

ldquoSometimes I would forgetwords or forget how to say awordrdquo she explained

Schwartzhoff is a consultantwith Dell in its Healthcare Con-sulting Group and her job re-quires her to travel a lot whichhas not been without some tri-als and tribulations especial-ly if she would go into a flareDuring a flare a disease canrapidly intensify She relatedone of the worst flares shersquodever had was while she wasaway for work in Oswego NY

ldquoI could feel that something

was happeningrdquo she explained

She eventually lost the abilityto speak and ended up in thehospital She could still writeso she had to communicateby writing notes to the staff atthe hospital She explained thatshe had MS but they tested herfor other issues like a strokelater determining that it was theMS causing the problems Shewas in the hospital for two dayson IV steroids then flew homethe third day and finished her

treatment at homeSchwartzhoff noted that in

the past she also temporarilylost the use of one of her armsldquoI called it my baby armrdquo sheremembered noting that herarm was similar to that of an in-fant that hasnrsquot quite figured outhow to control their limbs yet

The fatigue was one of hermore frustrating symptomsSchwartzhoff said it was tak-ing her longer to do everything

and she continued to keep

working her job and traveling

Monday through Friday Beingfatigued she said she prettymuch only had enough energyto get up and go to her jobsitesbut that was about it ldquoI had togive 150 to do normal thingsand I just really wasnrsquot enjoyingitrdquo she said Even at home shereally didnrsquot have the energyto go out and be social or vis-it with people She didnrsquot evenenjoy camping in the summeranymore an activity her fam-

ily loves to do After hours onthe job she usually spent timein her hotel rooms just trying torest up for the next day

INSURANCE REASONS

ldquoPeople might wonder whyI have a job where I travel somuchrdquo she says then ex-plained that in her previous job her medical expensesgot so high that the insurancecarrier stopped covering her

medication costs in a way that

Schwartzhoff could afford Pri-

or to the insurance compa-ny not covering costs of themedication Schwartzhoff hadbeen able to reduce the num-ber of flares shersquod have in ayear by taking Rebif which isan interferon drug that costsabout $5000 a month Whenher insurance dropped herSchwartzhoff couldnrsquot affordto pay that monthly expenseand needed to find a companythat could cover the cost of her

healthcare Dell is a huge com-

pany so the benefits of work-

ing for them are a little peaceof mind knowing that she hasinsurance coverage

When the Oswego NY inci-dent happened Schwartzhoffnoted that she had been offRebif for about eight monthsHowever insurance did notcover the clinical study so ear-lier in 2015 Schwartzhoff and

FitnessHealthamp Page 3Wednesday January 13 2016

Schwartzhoff

Continued on page 6

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indicated CT or MRI scans maybe suggested to help diagnosea foot condition or health prob-

lem that is troubling a patientMedications either applied di-

rectly to the feet or taken oral-ly physical therapy or surgicalprocedures are all part of the

arsenal a podiatrist has at hisor her disposal to improve the

health of the feetWhen reviewing the health

history of a patient family histo-

ry plays a part in foot health justas it does with heart diseasecancer and diabetes Inheritedcharacteristics such as ingrownnails are just one of many ele-ments that may lead to a dete-rioration of the health of yourfeet The important thing toremember is there are a num-ber of factors including familyhistory disease poor foot careand even poorly tting shoesthat play a role in the health of

your feet and without medicalcare your feet will suffer Be-sides seeing your family doctorandor podiatrist you shouldgive your feet a frequent lookover yourself to ensure yourfeetrsquos health

Besides this visual exam-

ination proper common sensecare of the feet will also pro-vide protection Simple things

like dry and clean socks will dowonders Dr Valkosky warnsthat not keeping the feet dryleads to health issues like ath-letersquos foot ldquoAthletersquos foot fun-gus loves warm and dark envi-ronments which lead to thingslike warts and in extreme cir-cumstances trench footrdquo

This podiatrist strongly rec-ommends that people whoexpose their feet when usingpublic showers like gym show-

ers and locker room showerswear shower shoes never togo bare foot and when nishedwith showering dry the feet offcompletely before dressingAlso excessive sweating of thefeet will lead to athletersquos footand other complications so an

application of an anti-perspirantcan remedy the situation

Footwear is extremely im-

portant and choosing the rightshoe will determine comfort orpain Valkosky recommends arm sole and heel support withpossible arch support addedThis will give the foot the pro-tection and support neededAgain individual inspection ofthe foot will give a good readif the shoe is properly ttedblisters abrasions and improp-er wear on parts of the foot willindicate that your shoe is not

tting correctlyPodiatrists at the Center

for Podiatric Care and SportsMedicine in New York City rec-ommend that you may wantto loosen the lacing of yoursneakers Skipping the twomiddle holes in your lacing andlooping them vertically on thesides of your shoes will giveyou more comfort when youare experiencing high archesand redness and pain on the

top of your feet although youmay lose some stability

Whether you are young orold the health of your feet isinstrumental if you desire day-to-day comfort without theworry or bother of pain that thefeet might have due to improp-er care Dr Valkosky wants tostress that the podiatrist is anexpert foot and ankle doctorthe podiatrist has the knowl-edge and expertise needed to

deal with the function of the footand ankle and will effective-ly treat any health issues thatmight afict the feet and an-kles Broken bones in the footbroken ankles diabetes fun-gal infections and other healthissues will all be addressedwhen you visit your podiatristHe or she will offer remediesand healing to eliminate theseafictions and discomfort

As you grow older the feet

and ankles experience a greatdeal of wear and tear becausewe use them constantly theconstant use often resulting inhealth issues like injury If wewish our feet to perform theway we would like them to per-sonal care and when neededyour podiatrist can provide thatexpertise so you may continueto walk run and jump

As Dr Valkosky adds ldquoatsome point in our lives we all

will need podiatric care andoften several times throughoutour lives From an infant witha club foot to a teenage athletewith an overuse injury from anemergency trauma such as afractured ankle to an elderlypatient suffering from a diabeticulceration podiatrists provide alifetime of foot carerdquo


Podiatric care

Continued from page 2

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313 WEST POST POSTVILLE

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Hours

Mon-Thur 5am-9pm Fri 5am-7pm Sat 8am-5pm Sun 1pm-5pm

YMCA is more than just a gym a lockerroom or a wellness center The ldquoYrdquo is a place

where everyone feels welcome Buildingcharacter and values are priority 1

Benefits of Belonging to the ldquoYrdquo bull Cardiovascular amp Strength Training

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313 West Post St PostvilleOffer Valid through Feb 29 2016

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FREE PASS

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Farm Home Commercial Life amp Health



Waukon Dental and FamilyDentistry Associates of Monona

are hosting their 26th Annual

and Dental Associates ofPrairie du Chienis hosting its 22nd Annual

HAVE A

HEART

DAY

Dental Associatesof Prairie du Chien PC

820 S Marquette Rd Prairie du Chien WI bull 608-326-6886wwwdentalassociatespdccom

ldquoWhe HealthChanging Smiles

e Createdrdquo

Waukon Dental18 1st Ave NW Waukon IA

563-568-4528wwwwaukondentalcom

This is an opportunity for kids ages 4-18 who have not recently seen a dentist to receivefree dental work The following procedures will be availableprovided at no charge

Due to time and room constraints we may have to limit the number of services per patient

Exams X-Rays Fillings Extractions amp Sealants

Saturday February 13 2016Doctors will be providing dental services at

NO CHARGE

Unlike typical crowns whichrequire you to wear a temporary and

return for a second appointment

CERECRESTORATIONS

are createdWHILE YOU WAIT

right in OUR OFFICE

Color matched metal free and highlydurable CEREC delivers the results you

need in a single appointmentwhether you need a

full crown veneer or a bridge

Drs Fohey Carstens and Wilke and ourdental team have received specializedtraining on the CEREC state-of-the-art

3D camera to create a digital impressionof the affected tooth This digital image

replaces the physical impression requiredin traditional procedures While you wait

your all-ceramic restoration will be createdin our onsite milling machine Then wersquoll

fit polish and bond the restoration -

ALL IN ONE APP OINTMEN T

Want to learn more Ask us what CERECcan do for your smile

At O ur W auk o n amp P r ai r i e

d u C hi e n Lo c at i o ns

Family DentistryAssociates of Monona

101 Franklin St Monona IA bull 563-539-4651wwwfamilydentistrymononacom

FIRST CONSULTATION

AT NO CHARGE

TASC INC - 2213 MT OLIVET ROAD WAUKON IAPhone 563-568-4060 bull Fax 563-568-4550

Training AdvancementSkills in theCommunityTASC

ldquoInspired by the values of

compassion dignity and respect we build brighter futuresrdquo

CEREC technology makes crowns other restorativeprocedures more convenient for Waukon Dental patientsby Brianne Eilers

It seems like these days ev-eryone is busy and time is aprecious commodity for mostindividuals When a patientnds out that they need to havedental work such as a crownwhich requires more than oneappointment and a coupleweeks of waiting time betweenappointments it can becomeproblematic

In July of 2015 Waukon Den-

tal began using a new piece ofequipment the Chairside Eco-nomical Restoration of EstheticCeramics (CEREC) machinewhich takes a process that re-quired a couple of weeks downto one visit lasting a few hours

Dr Jessica Wilke explainedthat before the CEREC ma-chine if a patient required re-storative work like a crownthey would have to come in foran appointment to get an im-

pression made and then weara temporary crown for a weekor two while the permanentcrown was manufactured at alab After that the patient need-ed to make another appoint-ment to get the crown placed

Now the dentists and dental

assistants of Waukon Dentalcan do all of that in their ownofce within the same day ldquoItrsquosthe same technology the labsare usingrdquo Dr Wilke noted Themachine can create crownsbridges crowns under partialsand veneers

Patients using the CERECcan expect to go in for theirappointment and a 3D cam-era is then used to take digitalimpressions Traditionally the

impressions were made witha mold and patients had to sitin the chair for a time with themold material in their mouths inan impression tray waiting forit to harden If the impressionwas not accurate they wouldhave to do another one Theimpressions were then sent outto a lab for design and manu-facturing

Using CEREC technologynowadays once the 3D images

are done the dentist or dentalassistant can begin work ondesigning the crown right awayOnce the design phase is com-pleted the machine will beginmilling the restoration in theofce

ldquoSome patients like to be

able to watch their restorationbeing maderdquo Dr Wilke notedldquoOthers just grab a magazine orwatch some TV and relaxrdquo

Dr Wilke Dr Linda CarstensDr Mark Fohey and all of thedental assistants are trained touse the CEREC machine ldquoOnenice thing about this is that theassistants do a lot of designingof the crownsrdquo Dr Carstenssaid adding that the assistantsenjoy the challenge She also

noted that because the assis-tants can take the 3D imagesand design the crowns it freesup the dentists to be able to seeother patients in that time

Once the crown has beenmilled the patient has itchecked to be sure it ts prop-erly and it is then red in anoven which gives the crown itscolor and shine After that thecrown is bonded to the tooth

At Waukon Dental they have

noticed that with the CERECrestorations they can be moreconservative in the preppingmeaning that they donrsquot need totake away as much tooth struc-ture which can mean less sen-sitivity issues for the patientrsquos

teeth In the past if the crown

did not t properly the processwould have to start over againwith impressions to be sent tothe lab Both Dr Carstens andDr Wilke noted that using theCEREC machine if there is anissue with how it ts the crowncould be remade immediatelyin the ofce but that is not avery common occurrence

Dr Wilke explained that therestorations produced by theCEREC machine are made

of porcelain and they are col-or-matched metal-free andhighly durable The cost of a

restoration procedure using the

CEREC technology is the sameas a traditional method but re-quires signicantly less timewith the whole CEREC processgenerally running between twoand three hours Dr Carstensnoted that since they beganusing the CEREC machine inJuly they have done over 70restorations She also addedthat the CEREC machine tech-nology is being used in the sis-ter ofces to Waukon Dental

Dental Associates of Decorahand Dental Associates of Prai-rie du Chien




Thornton Manor Nursing Center 1329 Main St Lansing bull (563) 538-4236

Thornton Heights Assisted Living 1329 Main St Lansing bull (563) 538-4335

Thornton Manor OutpatientTherapy Clinic

1329 Main St Lansing bull (563) 538-4236

Thornton Manor Nursing Home in scenic Lansing is committedto enriching the quality of life of each resident we serve

Our 60 bed nursing facility provides the following servicesbull Medicare Part A and Part Bbull Licensed Therapy in our Therapy Clinicbull Post Operative Rehab bull Wound Carebull Antibiotic IVs Enteral Nutrition

Peritoneal Dialysisbull MRSA Care bull Hospice Servicesbull Respite Servicesbull Restorative Program maintaining highest

level of functioningbull Medicare and Medicaid Certified

We take great pride in creating a safe clean and comfortable environment for our residentsOur monthly calendar is filled with a variety of opportunities planned by activity staff

residents family members and volunteers All rooms are newly redecorated and residents are encouraged to make them as personal as possible Our resident council

plans special activities and events and even helps in menu planning

Thornton Manor Outpatient Therapy Clinic offers PhysicalOccupational and Speech Therapy services from Rehab Visions TMOur new therapy clinic offers spacious treatment areas with therapyequipment and services as found in hospital therapy departments Enjoy the quality and convenience of therapy services without

the travel time Licensed staff will schedule appointments to meet your needs Take advantage of this unique service offered in the

community and surrounding area Medicare and Medicaid certifiedPrivate Insurance and Workers Compensation are welcomed

You will feel welcome from the

day you first move in Discover a

lifestyle full of pleasant surprises in

thoughtfully designed apartments

Thornton Heights offers 3 two-

bedroom and 10 one- bedroom units

with courtyard patios or scenic

views of the surrounding bluffs

At Thornton Heights enjoy nutritious meals nursing services activities secure surroundings including an emergencyresponse pendant system respect for privacy and an environment which fosters your independence and freedom

You will also have access to skilled nursing services from Thornton Manor Nursing Center Enjoy access to OutpatientPhysical Occupational and Speech therapy services in our new therapy clinic adjacent to Thornton Heights

Thornton Heights is a state certified Assisted Living facility Financial Assistance is available

her family did some fundrais-ers to help cover the expensesof the procedure which camewith a price tag of close to$20000 ldquoThe community wasamazingrdquo Schwartzhoff said

noting that it was hard to haveto ask for help but the com-munity stepped up and helpedraise the money needed for theprocedure

Schwartzhoff began looking

Schwartzhoff


at her options about a year agoShe felt she had to try and dosomething because her battlewith MS was just becoming toomuch She began with supportgroups on social media sites

like Facebook and MS web-sites She tried to blog withpeople but found that method

seemed to have a lot of nega-tivity She also began readingarticles about MS treatmentsand researching them Shenoted that her sisters DawnThorsten and Toni Young havemedical backgrounds so theyhelped her with her research tond a treatment that would beright for her

The rst option she lookedat was a stem cell treatmentin Panama City Panama

Schwartzhoff explained thatthrough her research she foundthat the procedure used stemcells from umbilical cords butthat the side effects includedrejection or cancer and thosewere not chances she was will-ing to take She also lookedinto the StemGenex trial in Cal-ifornia This procedure uses thepatientrsquos own stem cells andthere were no known side ef-fects The procedure was also

a same-day procedureSchwartzhoff noted that shecould also read testimonialsfrom patients who had beenthrough it and contact them viaemail ldquoI noticed a lot of similari-ties between my symptoms andtheirsrdquo she said of the patientsin the study

CLINICAL STUDY

IN CALIFORNIA

September 20 Michelle and

her husband Tim traveled toCalifornia for the procedureThey had to arrive a coupledays early per protocol from theclinic Due to her job with DellSchwartzhoff was fortunateenough to have accumulat-ed enough airline miles to getthe tickets for her and her hus-band She also used points fortheir hotel stay so that also cutdown on some expenses Theonly expenses they had to pay

out of pocket besides medicalwere for foodHer procedure was Septem-

ber 22 Their hotel was closeenough to the clinic that shecould walk there She spentabout ve hours at the clinicShe described her procedureduring which she was awakefor the entire thing

ldquoThey did a mini-liposuctionto get the adipose tissuerdquo shesaid The adipose (body fat)

tissue was then taken to thelab for the cells to be cleanedand the stem cells were collect-ed The stem cells were themmixed with Schwartzhoffrsquos ownblood for injection She re-ceived injections in her spineknees bladder hip and up into

her nose The process wasnrsquotterribly painful ldquoMy stomachwas sore but that was aboutitrdquo she said She even walkedback to the hotel afterwardsHer biggest concern was thefour-hour ight back home butshe was able to sleep on theairplane

SEEING IMPROVEMENT

Since the procedureSchwartzhoff has been seeingimprovements ldquoIrsquom seeing re-ally good thingsrdquo she said Herfatigue and brain fog are gone

and she is starting to feel morecondent and comfortablewalking without her cane asshe feels her right leg is gettingstronger and she is regainingmore feeling in her right foot

ldquoBefore I did this I couldnrsquoteven pick up my two-and-a-half-year-old grandsonrdquo shesaid ldquoNow I can pick him upand play with him I donrsquot feellike itrsquos a burden to watch himlike I did before Itrsquos something I

love doing but in the past I alsodreaded it a littlerdquoSchwartzhoff has three

sons Bret Carson and ConnerCarson and Conner are still inschool and living at home ldquoIcan help Carson and Connerwith their homework at nightnowrdquo Schwartzhoff said Sheis also looking forward to beingable to go out and enjoy timewith co-workers and seeing thesights when she is traveling for

workSchwartzhoff noted thatduring this whole process shenever consulted with her doc-tors or neurologist prior to herclinical study After the proce-dure when she did talk to herneurologist she noted that hedidnrsquot agree with the stem cellstudy and didnrsquot seem particu-larly interested ldquoNot all doctorsare supportive of this but I feltit was what I had to do for merdquo

she saidFor those who might not beready for such a big step shenoted that attitude is a reallyimportant factor in dealing withany chronic disease ldquoWhenmy attitude was worse I feltsickerrdquo she said In Schwartz-hoffrsquos case she was at a pointwhere she felt she had to trysomething and the StemGen-ex Adult Adipose Clinical Studywas what she felt was the right

thing for her ldquoNot everyone ex-periences the same resultsrdquoshe explained but for MichelleSchwartzhoff and her familythis clinical study has producedpositive encouraging resultsand she is looking forward tobeing able to enjoy life again




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For a complete list of services visit crossingriversorg

Thankful every day Piggotts have new appreciation for health family amp friendsby Lissa Blake

Itrsquos sometimes easy to take

good health for grantedBut a rural Waukon couplehas learned to appreciate it ev-ery day since experiencing anordeal that could have left oneof them crippled for life

Greg Piggott a 1969 Wau-kon High School graduate andhis wife Rosie (Regan) a 1972Waukon High School graduatespend their days milking a herdof about 60 Holsteins Beingdairy farmers and milking twice

a day keeps both of them ingood physical shape for theirage

ldquoI remember the last time

Greg had a physical the doctorsaying lsquoWhatever yoursquore doingkeep doing itrsquordquo said Rosie

A GAME CHANGER

Work on the farm was busi-ness as usual for the Piggottsuntil a life-changing event lastMarch turned their world upsidedown

ldquoIrsquoll never forget that day Itwas March 9 I had just gottenover the flu a week before andhad been feeling finerdquo saidGreg

But when Greg tried to get

out of bed for the 530 ammilking that morning thingswere far from fine

ldquoIt was a Monday morning

and I woke up feeling a littletired When I tried to stand upmy legs felt funny I sat back

down and tried it again I toldRose I couldnrsquot get out of bedso she gave me some ibupro-fen and called my son to comehelp milkrdquo he said

After Rosie left Greg triedto get out of bed a few moretimes to no avail and decidedto call for an ambulance ldquoTheyshowed up and scared the heckout of Roserdquo he remembered

Greg was taken to VeteransMemorial Hospital in Waukon

where Dr David Schwartz sug-gested it might be a case ofGuillain-Barreacute Syndrome

ldquoHe talked with La Crosse

and I ended up going by ambu-lance Once I arrived they didan MRI and a spinal tap But I

was getting worserdquo said GregTwenty-four hours into hisordeal he was almost com-pletely paralyzed from theneck down The hospital in LaCrosse WI quickly confirmedDr Schwartzrsquos theory and pre-pared to transfer Greg to MayoClinic in Rochester MN buthad to delay the trip for severalhours due to a snowstorm

THE TREATMENT

Once he finally arrived inRochester Mayo began a dai-ly regimen of IVIg treatmentThe treatment intravenous im-

munoglobin is often used onpatients with immune deficien-cies

ldquoBy the third day I was hospi-talized I was transferred to theICU because I was having trou-ble breathingrdquo he said

They intubated Greg per-forming a tracheotomy to insertthe tube through which he hadto breathe Doctors also insert-ed a feeding tube and catheter

ldquoI basically laid there forabout four weeks like thatrdquo saidGreg

FitnessHealthamp Page 7 Wednesday January 13 2016

Piggotts

Continued on page 9

800 Darby Drive Monona IA(563) 539-4528

We would love for you to join the funCome and see for yourself

Call Randee Blietz to set up a tour (563) 539-4528

Garden ViewSenior Community

Y Independent Assisted LivingY Assisted Living

Y Memory Care

EqualOpportunity

Housing Provider

Because the Journey Matters

Apartments available to rent We provide

health services wellness programming

housekeeping laundry services and meals

17 First St NW Waukon bull 563-568-6378

jadeccssbteknet

Many sty les of Smart Phones

f or sale

bull US CELLULAR bull NETWORKING SUPPLIES

bull DESKTOP PUBLISHING bull COPY SHOPPE

Use theWorkout Appampor Activity

App to trackyour exerciseamp movements

throughoutthe day

Get Healthy in the New Year

Use withPurchased Apps that

will helpwith yournew yearexercisegoals

P ur c has e Apps t ai l or e d t o y our w or k out s t y l e s amp ne e d s

Apple Watch

Samsung Gear S2




Veterans Memorial HospitalWAUKON IOWA bull (563) 568-3411

ldquoExceptional Care by Exceptional People Right Here at Homerdquo

Thank You for Aowing

Us to Care for OurFriends andNeighbors

Cardiac Rehab

Home Care

Nursing MRI

MaageThera

SurgeryServices

UltraSound

DiabetesTeam

Laboratory EMS

Skied Care

Maography Materni Services



Our providers bring Mayo Clinic care to you

For an appointment call

568-3449 or 1-800-707-2045 (toll-free)

mayoclinichealthsystemorg

Mayo Clinic Health System ndash Franciscan Healthcare in Waukon

Outstanding local health care same day appointments and extended hours

Specialists from La Crosse and Decorah visit Waukon regularly

Steven Perkins DOFamily MedicineBenjamin Nesseim MDFamily Medicine Benjamin Ross MDFamily Medicine

087-043 copy 2013

Elizabeth LeschenskyMSN FNPFamily Medicine

David Schwartz MDFamily Medicine Michelle Mertens-Dodgen APNPFamily Medicine

A BIG DECISION

Because Gregrsquos conditionhadnrsquot really improved in four

weeks doctors told Rosie sheneeded to be thinking aboutwhat the next steps for himwould be and suggested along-term nursing home situa-tion might be necessary

ldquoThe doctor said because ofhis age sometimes they donrsquotcome out of this But I saidlsquoHersquos not a typical 63-year-oldpersonrsquordquo remembered Rosie

Rosie said she struggledto make the best decision for

Greg not wanting to give up onthe idea that he might get bet-ter ldquoThey were pushing to sendhim to Cedar Rapids Lake CityMN Madison WI Des Moinesor the Quad Cities I called myinsurance company and askedif he couldnrsquot just stay in Roch-ester until we see how hersquos do-ingrdquo she said

But although the insurancecompany conceded to Rosiersquosrequest the doctors were ad-

amant about moving him to anursing home

LOOKING UP

Rosie said although doctorshad said Greg needed to move

on she kept hoping he wouldget better before he had toleave the hospital Then just as

he was set to be transferred hestarted moving his upper arma sign that he was regainingsome control of his muscles

ldquoThe next day they took histrach out and capped it Gregstarted talking and while hewas talking our son called upand asked for the ration for drycows and he was able to tellhimrdquo remembered Rosie

A LONG ROAD

Soon thereafter Greg wasmoved to a facility in Lake CityMN where for the first time hetried to sit up and balance onhis own

ldquoItrsquos surprising how muchyou can lose your muscle ifyoursquore not using itrdquo said GregldquoI had a therapist on either sideand a nurse behind me Whenthey told me to balance myselfI worked up quite a sweat tryingto do thatrdquo

STARTING FROM SCRATCH

As the days inched by andGreg gained more and morecontrol of his body he had tobasically relearn how to do ev-

erything ldquoI had to learn to swal-low go to the bathroom brushmy teeth hellip everything had

shut downrdquo he saidAlthough doctors told Greg it

can take one or two years forsomeone to get back to nor-mal he was back walking withthe help of a walker after 10weeks Between his therapysessions he did what he couldin bed exercising all the time

ldquoI still donrsquot have 100 percentof the balance I used to but Iregained the majority of mystrengthrdquo he said

He was able to return homeJune 5 just shy of three monthssince he was stricken

ABOUT THE DISEASE

According to the Mayo Clin-ic website Guillain-BarreacuteSyndrome is a rare disorderin which the bodyrsquos immunesystem attacks its nervesWhile the exact cause of Guil-lain-Barreacute is unknown it is of-ten preceded by an infectious

illness such as a respiratoryinfection or stomach flu

ldquoThey told me it could becaused by a regular flu virusYour body fights off the flu butthe virus doesnrsquot stop attack-

ing It eats the coating on yournerves so they canrsquot send anysignalsrdquo said Greg

TRULY BLESSED

Rosie said she feels she andGreg are ldquotruly blessedrdquo that heemerged from his three-monthhospitalization in as good ofshape as he did ldquoTo hear peo-ple talk itrsquos gone both waysSome people are fine andabout 10 percent donrsquot recov-er In some cases people havedied from itrdquo said Rosie

The Piggotts also are thank-

ful their children Justin Stacia(Sonderman) and James for allof their help with chores whiletheir dad was incapacitatedldquoI just couldnrsquot have done thiswithout our kidsrdquo said Rosie

Rosie added she is alsothankful for the way the Wau-kon community rallied be-hind them ldquoWe just canrsquot sayenough to thank all the familyfriends and the community whohelped us throughhellip from help-

ing with crops to saying prayersand bringing us gift cards andfoodrdquo said Rosie

STAYING POSITIVE

Rosie said throughout

Gregrsquos recovery many doc-tors and nurses commentedon Gregrsquos positive outlook ldquoHe

had a good attituderdquo said Ros-ie

Greg said while he tried tostay positive he was at timesextremely frustrated duringhis initial recovery ldquoItrsquos terriblewhen you try to talk to your wifeand she canrsquot always under-stand yourdquo he said

But both of them stayedhopeful throughout the ordeal

ldquoPeople started telling memaybe it was time for us to re-

tire But wersquore pretty situatedin farming and wersquore not quitereadyrdquo said Rosie

Greg said he is happy tobe back at work which he haslearned to think of a little differ-ently since he recovered ldquoNowI look at it as therapyrdquo saidGreg

When asked what he tookaway from his experience withGuillain-Barreacute Syndrome Gregsaid he no longer takes his

health for granted and that hecontinues to push himself to getstronger every day

ldquoYou canrsquot get mad at theworld You just have to keepgoingrdquo he said


Piggotts




To learn more about our rehab therapy

services call (563) 568-3447 in Waukon

and (563) 864-7425 in Postville

Waukon amp Postville WAUKON

WELLNESS CENTER WAUKON IA bull 983080563983081 5689830850074

wwwwaukonwellnesscentercom

The Ultimate 8 A 12 week challenge to help you kick your unhealthy

habits and get you out of your physical ruts

WINMONEY

Visit the service desk for complete rules and details

SIGN UP TODAY12 Week Challenge Runs

FEBRUARY 1 983085 APRIL 25 2016

Round 1 bull February 1 - 294 Cumulative body weight loss _________________________

Round 2 bull February 29 - March 28 6 Cumulative body weight loss _________________________Round 3 bull March 28 - April 25

8 Cumulative body weight loss

Waukon Wellness CenterWaukon Park and Recreation combine resources offer patrons moreby Lissa Blake

The year 2015 saw some bigchanges for the Waukon Well-ness Center and Waukon Parkand Recreation Department

The biggest transition is the

merging of the Waukon Park

and Recreation Departmentand the Waukon WellnessCenter to become the WaukonPark and Recreation WellnessDepartment

As a result Jeremy Strub

was hired as the new director

bringing considerable experi-ence to the Wellness Center inhis native Waukon after serv-ing as director of the NortheastIowa YMCA in Postville Strubsaid since the Wellness Cen-ter opened in November of2007 it has worked to providea safe and activity-driven placefor Waukon and its communitymembers Changes to how theWellness Center does businessincludes a new 24-7 (24 hours

a day-7 days a week) member-ship and web-based computerprogram called Rec Desk

Strub said the Rec Desk pro-gramrsquos features include the abil-ity for parents to register andpay for programs online likeBiddy Basketball and a varietyof other recreation programsfor both youth and adults Inaddition Rec Desk will allowpatrons to reserve and pay forshelters and camping at the

Waukon City Park and checkon the availability of gym spaceat the Wellness Center

ldquoThere are so many benetsthis program will allow for the

Park and Rec Wellness Depart-

ment and its usersrdquo said StrubTo view the Rec Desk fea-tures on the website visit wau-konrecdeskcom

BOUNCY HOUSE

Another popular addition atthe Wellness Center has beenthe new bouncy house avail-able for kids fourth grade andunder ldquoThe original one wasused so much that our bouncyhouse developed some holesrdquo

said StrubWhile attempts were madeto patch the holes it was timefor the bouncy house to be re-placed Thatrsquos when some lo-cal grandparents stepped in tohelp ldquoA group of our memberswho bring their grandkids instarted a fundraiser hellip Within ashort period of time the neces-sary funds were raised to pur-chase a new onerdquo said Strub ofthe new attraction

MEMBER DRIVEN

Today the Waukon Well-ness Center has expanded tomore than 1000 members a

variety of cardio equipment a

wide range of strength-trainingaccessories and a number ofgroup exercise classes Class-es include interactive workoutsindoor cycling cardio Latindance Zumba cross trainingrunning club SPY (sculpt Pi-lates and yoga) outdoor bootcamp and more

ldquoWe have more group exer-cise classes than ever imag-ined Itrsquos quite impressiverdquo saidStrub adding ldquoWe should be

so proud to have a facility ofthis caliber right in our back-yardrdquo

WHATrsquoS NEXT

Strub said now that Park andRec and the Wellness Centerhave combined the sky is thelimit with regard to setting t-ness goals ldquoOur staff is hereto help you reach your tnessgoals and to provide motivationand inspiration when neededrdquo

he saidFor more information con-tact the Waukon Park and Rec-reation Department at 563-568-0074

TOLL FREE

1-866-382-4259EARL Operated under Northeast Iowa Community Action Corp

Providing Safe ReliableTransportation for Allin Allamakee Clayton Fayette

Howard and Winneshiek Counties

Easy Affordable Reliable Life Changing

FitnessHealthamp Wednesday January 13 20160

819 11th Ave SWWaukon IA

Store 563-568-3293Pharmacy

563-568-3668

Health amp Wellness Conts trade

Cost Saving Programs and Products for You and Your Family

Exercise EquipmentFitness Accessories Athletic Shoes

and Apparel for Everyone

F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN

FOR ILLNESS IN JUR Y CARE Your bus y li f e doesnrsquot stop when

you or your child

get sick or in jured Turn to Gundersen Health S ystem

f or treatment o f minor in juries illnesses and other

medical needs With se veral locations throughout

northeast Iowa you ne ver ha ve to tra vel far for qualit y healthcare Same-da y ap

pointments are

a vailable when needed so you can get back to

li ving your li f e

Call toda y to schedule your appointment

Gundersen Wauk on Clinic (563 ) 568-3000

Gundersen Lansing Clinic (563 ) 538-4874

Gundersen Post ville Clinic (563 ) 864-7512

gundersenhealthorg

Gundersen Lutheran Medical Center Inc | Gundersen Clinic Ltd | 9862_1213

Laughter Yoga benefts mind and body by Susan Cantine-Maxson

New Yearrsquos greetings ofteninclude wishes for health andhappiness What better wayto achieve happiness thanthrough laughter After all theadage states that laughter isthe best medicine

Pastor Laura Gentry of OurSavior Lutheran Church inLansing would attest to thebenets of laughter on bothmental and physical healthdescribing Laughter Yoga as aglobal movement for health joyand world peace The simplepremise is that anyone canlaugh

Gentryrsquos webpage (wwwlaughinglauracom) and TheLaughter Yoga Universitywebpage (wwwlaughteryogaorg ) cite research which toutslaughter as a means to boostheart health strengthen theimmune system relieve painnaturally reduce stress controlblood sugar improve sleep

quality support emotionalhealth increase social skillsand expand creativity andproblem solving

As a practitioner and leaderof Laughter Yoga Gentry hasled numerous workshops

authored books and laughedher way to better health Manytypes of yoga involve particularpostures or poses but LaughterYoga according to Gentry isthe easiest yoga in the worldldquoYou laugh you breath - thatrsquositrdquo she said

Those who have participatedin her workshops agreeLongtime Lansing residentGrace Zeigelmeier said ldquoIparticipated for many years Italways made me feel betterYou donrsquot even have to thinkabout something funny youcan just physically laugh and itmakes you feel betterrdquo

A MASTER OF

LAUGHING YOGA

Gentry holds a Master ofDivinity degree and a Masterof Arts degree from PacicSchool of Religion in BerkeleyCA A Luther College alumnuswho majored in art theaterand dance she is the foundingdirector of the Iowa School of

Laughter Yoga which offersperiodic seminars and onlinecourses as well as an annualLaughFest of the MidwestGentry is a Master Teacher ofLaughter Yoga and was nameda Laughter Ambassador by

the international LaughterUniversity in Bangalore IndiaShe has presented laughterand motivational programs onsix continents and developed anumber of resources includinga book a lm and seven CDsHer husband William a fellowartist and minister is pastorof the First CongregationalChurch of McGregor Togetherthey run a production companycalled The Gentry Joint

Gentry became involvedwith Laughter Yoga when shewatched a BBC documentarycalled ldquoThe Human FacerdquoGentry explained ldquoI learnedabout the laughter clubs ofIndia There people gather inparks for no political or religiousreason they just meet to laughI was compelled by the ideabecause Irsquove experienced thehealing power of laughterrsthand I suffered from anulcer when I was 18 but itdisappeared once I startedlaughing regularly with friends

at college The stress lifted andI felt wonderful It was then thatI made a personal commitmentto use laughter as a wellnesstool So when I heard that therewas a way to gather peopletogether to laugh contagiously

I was inrdquoTen years ago Gentry

went to Los Angeles CA overThanksgiving weekend to takeher rst Laughter Yoga Leadertraining seminar When shereturned she started Iowarsquosrst (and now longest-running)laughter club at her church andstarted doing some volunteerlaughter programs aroundthe area She continuedldquoSuddenly everybody seemedto need laughter and so Istarted the Iowa School ofLaughter Yoga and my laughterwork began to growrdquo

BENEFITS OF

LAUGHTER YOGA

Gentry laughs every dayas many people do But dopeople laugh enough Gentryexplained ldquoThatrsquos what I foundwhen I rst began practicingLaughter Yoga I was convincedthat I was already a laughingperson but when I started doinglaughter lsquoworkoutsrsquo with this

method I realized I felt a wholelot better My stress didnrsquotseem so oppressive anymoreIn fact I joke with people thatafter doing a laughter workoutyour life will still be a mess butyou just wonrsquot care so much

anymore And thatrsquos really thetruth Life will still be difcultbut when you laugh youchange your perspective Itgives you a little distance fromyour problems so they start toappear manageablerdquo

In addition to the stressmanagement Gentry feels thatshe has boosted her immunesystem Laughing improves thefunction of T-cells that ght offinfection Gentry claims thatshe hasnrsquot missed a day ofwork due to illness in a decadeand feels she is sick far lessoften than before she beganher practice of Laughter YogaShe attributes her health toher daily regimen of LaughterYoga Gentry said ldquoCold andu season just pass right byand Irsquom laughing instead ofcoughing Itrsquos been incrediblerdquo

Laughter also relieves painGentry says that she canattest to this through her ownexperience with recoveringfrom a broken collar bone

Gentry explained ldquoI took it asa challenge Could I handle thepain of a broken bone by just


Laughter Yoga

Continued on page 12

FitH lthW d d J 13 2016P 12



Scenic AcresResidential Care Facility SCENIC A CRES OFFERS AN ALTERNATIVE TO NURSING HOME CARE

W E PROVIDE SUPERVISION AND SERVICES BASED

ON INDIVIDUAL NEEDS

bull 24-Hour Supervision

bull Nutritional Meals and Snacks

bull Administration of Prescribed Medications

bull Transportation and Staff Supervision for Activities

bull Transportation and Staff Supervision for Medical Appt

Please call for additional informationregarding residential care

563-245-2640St Olaf IA

563-568-0012bull 202 Rossville RdWaukon

563-539-4699 bull 808 S Main Monona

Take Wellness to Heart

Choose From Our FreshFit Sandwich Menu or

Create Your Own Salad

Wishingyou a happy

amp healthynew year

For more information call (563) 568-2204

Allamakee Substance Abuse Prevention

laughing The doctor offeredme pain killers but I ran theexperiment on myself andfound that I didnrsquot even need

Tylenol as long as I laughedfor about 20 minutes every fourhours I was actually surprisedat how effective laughter wasrdquo

Gentry has a daily routine ofdoing deep mindful breathingand laughing She elaboratedldquoI know laughing alone soundsstrange but it makes you feelenergized and happy Manyof my students told me theyrsquodlike to develop a daily practiceof laughing but they just donrsquot

have time So I created a CDcalled lsquoLaugh Your Way Therersquoto help them laugh while theywere driving to work It has been

my most popular album and Ifind that I use it myself becauseitrsquos easy to add laughter to myday while Irsquom in the carrdquo

Laughing on purpose - orlaughing intentionally - actuallyrewires the brain Gentryexplains It reinforces thelaugh response so the morea person laughs the more heor she wants to laugh Humoris not necessary for practicingLaughter Yoga but if a person

does practice it his or her senseof humor naturally increasesGentry described the personalbenefit of consistent practice

ldquoAfter many years of utilizingthis practice I find that lifeitself is funny It has freed meto laugh at myself and laugh atthe many complex problems ofour world Rather than feelingstuck or hopeless about varioussituations the laughter sparkscreative problem-solvingideasrdquo

OBSTACLES TO

ACCEPTANCE

People hear the term ldquoyogardquoand feel that it will be toostrenuous for them because itbrings images of people in oddposes Laughter Yoga does notinvolve those poses it simplyinvolves breathing Anyonecan practice it Laughter Yogais practiced in nursing homeswith dementia patients whomay not understand why theyare laughing People can sit ina chair and fully participate Ifa person can physically laughand breathe they can becomea practitioner

The second reason peopleare reluctant to get involved isbecause they think it is too silly

Gentry stated ldquo As childrenwe were all silly We playedand allowed our creativeimagination to run wild Yet

as we grew up many of uswere encouraged to put awaychildish things and act moremature Yes adults must growup and be responsible butwe must never stop playingThis leads to a host of healthproblems like high bloodpressure and heart diseaseThroughout our lives we havethe deep need to playfullyconnect with others and enjoythe sheer delight of being alive

Our culture however doesnot allow for many appropriateopportunities for us to exerciseour playful nature Laughterclub is one such place You cancome and laugh as loud as youwant You can be childlike withyour fellow laughers and noone will question it It gives youlicense to cut loose relax andtruly be yourself without the useof substances like alcoholrdquo

The simplicity of the conceptis the essence of its successBecause it is so simple somepeople dismiss it as being toosimple or too childish to work

Rick Gramlich of Lansing isa founding member of the local

Laughter Club which meetsevery Wednesday eveningfrom 6-630 pm He is also acertified Laughter Yoga Leader

and has attended meetings for10 years People from toddlersto senior citizens are welcomeGramlich said ldquoFor all theyears I have participated inLaughter Yoga it has allowedme to get in touch with myinner child on a regular basisand reap the benefits to myphysical emotional and mentalwell-beingrdquo

Gentryrsquos webpage wwwlaughinglauracom includes

numerous testimonials fromworkshop participants atvarious venues such as trainingworkshops for companieshealth events church programsand conferences attesting tothe benefits of Laughter Yoga

LOCAL LAUGHFEST

A local training seminarcalled ldquoLaughfest of theMidwestrdquo has been held the lastseveral years with May 13-15scheduled as the dates for thisyearrsquos event Those interestedin participating should contactPastor Laura Gentry at OurSavior Lutheran Church inLansing


Laughter Yoga




Do I need podiatric careby David M Johnson

Your feet Five toes a heeland arch which support your

ability to stand walk and runThis pretty much sums up theattention given to a part of thebody not given much attention

Even though on averagean individual takes 8000 stepsa day and the slightest discom-fort of the feet immediately lim-its mobility the foot often doesnot generate the care and con-cern that it deserves So whatabout the feet Just as thereexists specialists responsible

for coronary heart health forcancer ailments and other af-flictions of the body the foot is

an individual appendage of thebody that has its own special-ists

The podiatrist and podiatric

medicine offer that specializedknowledge and expertise in thecare and health of the foot Oneof those specialists is Dr GregValkosky DPM a podiatricsurgeon at Gundersen HealthSystem Dr Valkosky boardcertified by both the AmericanBoard of Foot and Ankle Sur-geons and the American Boardof Podiatric Medicine and aFellow of the American Collegeof Foot and Ankle Surgeons

has been involved in podia-try for some 22 years gainingan interest in the field after a

friend accidentally shot himselfin the foot while hunting Askedhow one would best describepodiatric medicine Valkosky

answered that ldquoin the strictestsense it is the treatment of thefoot and ankle really the onlybranch of medicine that givesattention to a specific bodypartrdquo

If you visit Dr Valkosky orany of the other podiatrists thatare practicing in our communityor the surrounding communi-ties you will discover that theirattention will deal with specificaspects of the foot and ankle

Patients are evaluated in anumber of ways including bio-mechanics (how the foot func-tions) Further evaluations mayinclude an assessment of pre-vious trauma vascular statusand nerve function Underlyinghealth concerns such as cor-onary insufficiency or diabeticcomplications are addressedwhen attempting to treat a pa-tientrsquos particular problem withhis or her feet Podiatric med-

icine is all about the foot andankle but a personrsquos overallhealth plays a direct role in thehealth of their feet Wounds tothe feet along with the wear-ing of improper shoe gear are

among top reasons a visit tothe podiatrist can be required

Most people will experiencesome sort of foot condition intheir lifetime and if no attentionis given to the disorder it couldescalate to a more profoundandor severe problem in thefuture For example diabetesleads to poor circulation in the

feet which makes it difficult tokeep the feet warm In additionif there is a cut blister or ulcerthis decrease in blood flow canencourage infection and af-fect a patientrsquos ability to heal

their wound This leads to fur-ther complications and conse-quences including amputation(70000 Americans with diabe-

tes lose a foot each year)Other conditions include

gout muscle pain from tendini-tis and arthritis which causesstiffness pain and swelling inthe joints Your feet might alsodevelop warts called plantarwarts calluses corns athletersquosfoot plantar fasciitis on the bot-tom of the feet or a bunion onthe side of the foot by your bigtoe

When you are experiencing

health issues or pain and wantto schedule an appointmentwith your local podiatrist DrValkosky would like to sharewith the public that this visitis a non-painful examinationThe exam will identify what iscausing the ailment or painWhile a diagnostic test like anx-ray might be ordered a visu-al exam and verbal health his-tory review will many times beenough to properly diagnose

the condition and determine aproper course of treatment If

wwwgreatrivercarecom

Great River Care Center

Compare for yourself why Great River Care Center is rated

a5-Star facility Go to wwwmedicaregovnhcompare

wall to wall carpet private 2 piece bathroom

single bed side table comfy chair large closet

flat screen TV in-house cable wireless internet

Our deluxe rooms are perfect for someone requiring rehabilitation

after a surgery along with receiving our 5-star care and services

Great River Care Center offers

private deluxe rooms with all the comforts of home

Our private deluxe room are over 220 sq feet of comfort including

All the Comforts of Home


Dr Greg Valkosky DPM

Podiatric care

Continued on page 4

501 Rossville RdWaukon IA 52076

Phone (563)568-9675

wwwRestoreHearingAidscom

Hearing screening and consultation

Clean and check of your current hearing aids

Preview of the latest technologyFREE

copy 2015 NuEar All Rights Reserved 10315-15

EXCLUSIVE GRAND OPENING

HEARING EVENT

Call (563) 568-9675 to

schedule your appointment today

JANUARY 12TH THROUGH 14TH

$800 OFFMSRPon a set of premium

SDStrade II hearing aids

Expires 1142016

GettlebellStrength amp

ConditioningContact Jeff or Elaine for more information on how tobecome the superhero that yoursquove always wanted to be

563-568-8166 or 563-568-8165 FOR CLASS TIMES

Train to get

superhero

strong

108 2nd St NW 102 bull Waukon IA

Offering fitness amp yoga classes for all ages






Dennis C Montet PT



by Brianne Eilers


















INSURANCE REASONS










Schwartzhoff

Continued on page 6





Natural bull Safe

bull Effective





Steps Ramps








HOME SAFETY

Stop here forHand


You Need for

Your Home





(IF PAYING IN FULL)

bethbirgygmailcom

51 N 5th St Lansing IA(563) 538-4471



Do you know


A Choice in

Hospice Care


Oelwein West Union

8003350711 or 3192834489








Join our community































Podiatric care


NEIA YMCA


bull 563-864-9622 bull

Hours







bull Water Fitness


NEIA YMCA


ONE

FREE PASS









HAVE A

HEART

DAY




e Createdrdquo







NO CHARGE



CERECRESTORATIONS


right in OUR OFFICE















FIRST CONSULTATION

AT NO CHARGE






























































Schwartzhoff








CLINICAL STUDY

IN CALIFORNIA








SEEING IMPROVEMENT

















Medical Center

6083572000

Emergency Room

6083572222

Clinics

6083572500


6083572525


6083572700





bull Child Care







bull Obstetrics


bull Sleep Studies

bull Surgery













A GAME CHANGER














THE TREATMENT







Piggotts

Continued on page 9






Y Memory Care

EqualOpportunity

Housing Provider






jadeccssbteknet


f or sale





throughoutthe day





Apple Watch

Samsung Gear S2








Cardiac Rehab

Home Care

Nursing MRI

MaageThera

SurgeryServices

UltraSound

DiabetesTeam

Laboratory EMS

Skied Care






568-3449 or 1-800-707-2045 (toll-free)






087-043 copy 2013



A BIG DECISION








LOOKING UP





A LONG ROAD










ABOUT THE DISEASE





TRULY BLESSED






STAYING POSITIVE













Piggotts












WINMONEY





















BOUNCY HOUSE



MEMBER DRIVEN






WHATrsquoS NEXT



TOLL FREE








563-568-3668





F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga







Dennis C Montet PT



by Brianne Eilers


















INSURANCE REASONS










Schwartzhoff

Continued on page 6





Natural bull Safe

bull Effective





Steps Ramps








HOME SAFETY

Stop here forHand


You Need for

Your Home





(IF PAYING IN FULL)

bethbirgygmailcom

51 N 5th St Lansing IA(563) 538-4471



Do you know


A Choice in

Hospice Care


Oelwein West Union

8003350711 or 3192834489








Join our community































Podiatric care


NEIA YMCA


bull 563-864-9622 bull

Hours







bull Water Fitness


NEIA YMCA


ONE

FREE PASS









HAVE A

HEART

DAY




e Createdrdquo







NO CHARGE



CERECRESTORATIONS


right in OUR OFFICE















FIRST CONSULTATION

AT NO CHARGE






























































Schwartzhoff








CLINICAL STUDY

IN CALIFORNIA








SEEING IMPROVEMENT

















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A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








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ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











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ACCEPTANCE












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CLINICAL STUDY

IN CALIFORNIA








SEEING IMPROVEMENT

















Medical Center

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Clinics

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throughoutthe day





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568-3449 or 1-800-707-2045 (toll-free)






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ABOUT THE DISEASE





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WHATrsquoS NEXT



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F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



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Medical Center

6083572000

Emergency Room

6083572222

Clinics

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bull Child Care







bull Obstetrics


bull Sleep Studies

bull Surgery













A GAME CHANGER














THE TREATMENT







Piggotts

Continued on page 9






Y Memory Care

EqualOpportunity

Housing Provider






jadeccssbteknet


f or sale





throughoutthe day





Apple Watch

Samsung Gear S2








Cardiac Rehab

Home Care

Nursing MRI

MaageThera

SurgeryServices

UltraSound

DiabetesTeam

Laboratory EMS

Skied Care






568-3449 or 1-800-707-2045 (toll-free)






087-043 copy 2013



A BIG DECISION








LOOKING UP





A LONG ROAD










ABOUT THE DISEASE





TRULY BLESSED






STAYING POSITIVE













Piggotts












WINMONEY





















BOUNCY HOUSE



MEMBER DRIVEN






WHATrsquoS NEXT



TOLL FREE








563-568-3668





F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga









Cardiac Rehab

Home Care

Nursing MRI

MaageThera

SurgeryServices

UltraSound

DiabetesTeam

Laboratory EMS

Skied Care






568-3449 or 1-800-707-2045 (toll-free)






087-043 copy 2013



A BIG DECISION








LOOKING UP





A LONG ROAD










ABOUT THE DISEASE





TRULY BLESSED






STAYING POSITIVE













Piggotts












WINMONEY





















BOUNCY HOUSE



MEMBER DRIVEN






WHATrsquoS NEXT



TOLL FREE








563-568-3668





F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga






568-3449 or 1-800-707-2045 (toll-free)






087-043 copy 2013



A BIG DECISION








LOOKING UP





A LONG ROAD










ABOUT THE DISEASE





TRULY BLESSED






STAYING POSITIVE













Piggotts












WINMONEY





















BOUNCY HOUSE



MEMBER DRIVEN






WHATrsquoS NEXT



TOLL FREE








563-568-3668





F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga












WINMONEY





















BOUNCY HOUSE



MEMBER DRIVEN






WHATrsquoS NEXT



TOLL FREE








563-568-3668





F l u S ho t s

A va i la b le

FiH l hP 11W d d J 13 2016



WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga




WHERE YOU TURN


you or your child





pointments are


li ving your li f e





gundersenhealthorg










A MASTER OF

LAUGHING YOGA








BENEFITS OF

LAUGHTER YOGA








Laughter Yoga







ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga






ON INDIVIDUAL NEEDS







563-245-2640St Olaf IA






Wishingyou a happy

amp healthynew year











OBSTACLES TO

ACCEPTANCE












LOCAL LAUGHFEST



Laughter Yoga


health & fitness 2016

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