Health & Wellness 2013

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Healthy Weight
Loss Habits p.6
September 29, 2013
Glencoe Advertiser and Sibley Shopper
To v i ew a c opy, go t o www. gl enc oenews . c om - c l i c k on s pec i al s ec t i ons
Project Harmony p.2 | Hoarding p.5
Picky Eater or Problem Feeder p.12
FAQS: Affordable Health Care Act
and MNSure p.3
and more!
Health & Wellness
- 2 - Sunday, September 29, 2013
By Lori Goebel, PHN
Project Harmony is a treatment
support/recovery maintenance
program which targets women who
are pregnant or parenting children
up to the age of 8.
To be in the program, women
have to be currently in a chemical
dependency treatment program;
have been in treatment in the last
six months; are planning to enter a
treatment program in the next
three months; or are pregnant and
using drugs or alcohol.
Project Harmony uses a multi-
disciplinary team, including a pub-
lic health nurse, licensed alcohol
and drug counselor and a recovery
coach to closely work with women
towards an alcohol and substance-
free pregnancy and healthy family
Our goal is to help pregnant and
parenting women live alcohol
and/or drug free by reducing barri-
ers to obtaining treatment, achiev-
ing sobriety and by supporting
their recovery.
This is a voluntary program with
no income requirements. Services
are free and women are followed
closely for 6-12 months with meet-
ings several times a month at
home and by phone calls
with members of the
Project Harmony team.
Along with education,
support, resources and
referrals, there are other
benefits of the program
for participants that in-
clude: bus tokens, gas
cards, home safety sup-
plies, and possible emer-
gency needs funding.
This is a program of the
Community Health Serv-
ices and is a five-year
grant from the Min-
nesota Department of
Human Services, Alcohol
and Drug Abuse Division.
For more information
or to make a referral,
please call Lori at
McLeod County Public
Health: 320-864-3185, Patty at
Sibley County Public Health: 507-
237-4000, or Ann at Meeker
County Public Health: 320-693-
Project Harmony Program
Help pregnant and parenting women live alcohol and drug free
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Coborn’s ......................................15
Contemporary Dental ....................7
Dunbar Dental ..............................7
Farm Bureau................................15
First Choice Pharmacy ..................6
Gauer Chiropractic ........................6
Glencoe Family Chiropractic ......10
Glencoe Regional
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Grand Meadows ............................2
GuidePoint Pharmacy ..................6
Gustafson Family Dentistry ..........8
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Hutchinson Health Clinic............15
McGuire Family Chiropractic ........9
McLeod County Public Health ......8
McLeod Publishing, Inc. ..........9,12
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Morreim Pharmacy........................4
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From the TOPS Club book, Real Life:
The Hands-on Pounds Off Guide
TOPS Club, Inc. is a nonprofit, non-
commercial weight loss support and
wellness education organization with
thousands of chapters in the United
States and Canada. TOPS does not
pay celebrities to endorse us, and we
do not promise quick fixes or promote
unrealistic images of the “perfect”
Instead, we focus on health. True
health is not a flat stomach, a certain
pants size, or even a number on the
scale. Health is having the energy and
stamina to do the things you love with
the people you care about. It is about
enjoying the life you are living in the
body you work hard to take care of –
no matter how “imperfect” that body
may seem.
Weekly TOPS meetings, led by volun-
teers, focus on making small, steady
lifestyle changes that provide lasting
weight loss and better health. That is
what we mean by “Real People, Real
Weight Loss.”
TOPS meets in Glencoe at the First
Congregational Church on Tuesday
evenings. Weigh-ins start at 5:30 p.m.,
followed by a meeting at 6 p.m.
For more information, call Gloria
Hilgers at 320-864-4175 or Judy Mad-
den at 320-864-5495.
Taking Off Pounds Sensibly (TOPS)
Sunday, September 29, 2013 - 3 - Health & Wellness
Information compiled from and
There are a lot of questions
about the details of the Affordable
Care Act, often dubbed Oba-
On March 23, 2010, President
Obama signed the Affordable Care
Act into law, putting in place com-
prehensive reforms that improve
access to affordable health cover-
age for everyone and protect con-
sumers from abusive insurance
company practices.
Each state had the option to use
the Health Insurance Market place
or create its own. Minnesota has
created its own called MNsure.
What is MNsure? What will it
MNsure is a new online market-
place where individuals, families
and small businesses will be able
to get quality, affordable health
coverage that fits your budget. You
may even qualify for a low-cost or
free plan.
MNsure will offer:
• An easy-to-use website where
you can search and compare
• A hotline you can call to talk
with someone about your options
and places where you can sign up
in your community.
MNsure will do many things. It
• Be a one-stop place to shop for
health insurance plans.
• Lay out plan options side-by-
side for easy comparison.
• Ensure that plans meet certain
baseline benefit standards.
• Let you know if you qualify for
tax credits or financial assistance.
• Let you know if you qualify for
a low-cost or free plan.
• Allow you to apply and enroll
online in health benefit plans.
• Show you what your potential
cost will be.
• Give you examples of average
costs for common health services.
• Show you quality ratings for
hospitals and clinics in your com-
When does MNsure open?
Enrollment starts October 2013.
Health plan coverage begins Jan.
1, 2014.
Who can use MNsure?
Initially, individuals who are not
covered under an employer’s plan
and small businesses with up to 50
employees can use MNsure. Large
employers may be allowed to par-
ticipate in 2017.
Does everyone have to purchase
health insurance?
Yes. Beginning Jan. 1, 2014, all
U.S. citizens and legal residents
will be required to obtain health in-
surance coverage. Many will be
covered by an employer plan, some
will qualify for health programs,
and others will purchase it them-
What happens if I do not buy
Starting in 2014, you will pay a
tax penalty. The penalty will in-
crease over time:
• In 2014, it will be the greater of
$95 per adult or 1 percent of tax-
able income.
• In 2015, it
will be the
greater of
$325 per
adult or 2 per-
cent of taxable
• In 2016, it
will be the
greater of $695 per adult or 2.5
percent of taxable income.
• After 2016, the tax penalty in-
creases annually based on a cost-
of-living adjustment.
• A person will only pay one-
twelfth of the total annual penalty
for each month without coverage.
• The penalty for a child is half
that of an adult.
• A maximum penalty would be
calculated based on
premiums for plans of-
fered through MNsure.
Are there excep-
Yes. The law will pro-
vide exceptions for:
• Individuals and
families below a cer-
tain income.
• People who cannot
afford the coverage
that is available.
• Individuals who
have been uninsured
for less than three
• Members of Ameri-
can Indian tribes.
• People who do not
obtain coverage be-
cause of religious ob-
Can I lower my cost?
Maybe. You may qual-
ify for a low-cost or free
plan. Tax credits (called advanced
premium tax credits) are available
to individuals making $45,960 or
less and a family of four making
$94,200 or less. The amount of as-
sistance is based on a sliding
scale, so the higher your income,
the lower the amount of assis-
I have a pre-existing condition.
Can I buy insurance through MN-
Definitely. Starting in 2014, no in-
surer can deny anyone health in-
surance based on health status,
inside or outside of MNsure.
Can I buy health insurance
somewhere other than through
Yes. How-
ever, tax cred-
its (advanced
premium tax
credits) for in-
dividual and
family buyers
can only be
obtained if
you purchase
your health coverage through MN-
I am young and healthy. Why
should I buy health insurance?
Accidents or sickness can hap-
pen to anybody. The average cost
for a broken arm using hospital
emergency services is $2,500.
Who wants to be stuck with that
kind of bill or other unexpected
health care costs? Everybody uses
the health care system at some
point in his or her life. It’s a smart
move to plan ahead and be pre-
I am worried that I will not have
access to my doctors if I buy a
plan on MNsure.
Insurers who offer plans outside
MNsure also will offer plans on
MNsure, and their network of doc-
tors will likely be the similar to what
is in place today. It all depends on
which plan you choose whether
your doctor is part of the network.
You will be able to look for your doc-
tor in the offered plans and choose
the option that works best for you.
Will Medicare eligible individu-
als be able to purchase supple-
mental coverage?
At this time, supplemental cover-
age plans are not planned for the
first year of operation.
I buy insurance through a bro-
ker. Do I have to use MNsure?
No. You can purchase a plan out-
side MNsure if you would like. Keep
in mind, however, that tax credits
(advanced premium tax credits) for
individual and family buyers can
only be obtained if you purchase
your health coverage through MN-
sure. Many agents/brokers also
will be able to offer you a plan
listed with MNsure.
FAQs: Affordable Care Act and MNsure
Blue Cross and Blue Shield of Minnesota has plans with
low monthly rates — perfect for people who live a healthy
lifestyle but want to be protected just in case.
Give me a call, and I’ll help you find a plan that fits
within your budget.
Authorized independent agent/agency for Blue Cross® and Blue Shield® of Minnesota,
a nonprofit independent licensee of the Blue Cross and Blue Shield Association
Mary Adelmann
Professional Insurance Providers
613 E. 10
St., Glencoe, MN 55336
Health & Wellness
- 4 - Sunday, September 29, 2013
Mission Statement
To support and promote the elimi-
nation of relationship violence
through education, empowerment,
protection and advocacy.
Celebrating 20 years of service to
McLeod County families seeking
assistance and pursuing violence-
free lives, McLeod Alliance for Vic-
tims of Domestic Violence is a
private, nonprofit organization lo-
cated in Hutchinson.
Since it first opened its doors in
1993, McLeod Alliance has served
3,765 victims of domestic vio-
lence. Advocates work to keep fam-
ilies safe and to educate McLeod
County communities on its serv-
ices. Legal advocates can assist
victims with the civil and criminal
court systems. A bilingual advocate
provides Spanish interpretation for
non-English speaking clients. A
weekly support group offers a non-
judgmental “feelings and self-help”
gathering for victims.
The Alliance provides advocacy
for direct victims of domestic vio-
lence, as well as support to friends
and family with questions about
how to help their loved ones es-
cape an abusive relationship.
As a private, nonprofit agency,
the Alliance funds its services
through federal, state and county
grants, as well as fundraisers and
private donations. The Alliance also
depends on the generosity of
McLeod County communities,
which provide monetary and in-
kind donations.
Volunteers are an important part
of McLeod Alliance, assisting with
fundraisers, direct client services
and more.
McLeod Alliance is overseen by a
volunteer board of directors that
meets monthly. Board members
actively participate in fundraising
as well as assure that the Al-
liance’s activities are in support of
its mission.
Board of Directors
Linda Senst – Chair
Scott Rehmann – Vice Chair
Jane Otto – Secretary
Jackie Backen – Treasurer
Jody Winters
Dan Hatten
Patti Lowinske
Carla Wegner
Robert Carlson
Executive Director
Rhonda Buerkle
Advocacy Coordinator
Glynis Vacek
Legal Advocate
Jill Barrall
Bilingual Advocate
Nora Young
McLeod Alliance for Victims
of Domestic Violence
PO Box 393
Hutchinson, MN 55350
(320) 234-7933
(800) 934-0851
Crisis line available 24 hours
a day!
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Sunday, September 29, 2013 - 5 - Health & Wellness
By Janet Yeats, MA LMFT
Co-founder of
The Hoarding Project Chair,
MN Hoarding Task Force
Gov. Dayton has declared Sep-
tember Hoarding Awareness
Month in Minnesota. This year is
the second in a row in which the
governor made this important
This declaration is important be-
cause there is such a need for Min-
nesotans to understand accurate
facts about hoarding disorder.
Hoarding is a mental health dis-
order that has implications for our
public safety. You or your family
members may not hoard, but you
are impacted by hoarding disor-
der – we all are – and we need to
know more about this diagnosis
and what to do about it.
Hoarding disorder impacts at
least 2-5-percent of the population
of Minnesota. I believe that num-
ber is low – just the tip of the ice-
berg. When we add the impact of
hoarding on family members,
friends, neighbors, professionals
who work with hoarding, this num-
ber increases exponentially. Likely,
millions of Minnesotans are im-
pacted by this misunderstood diag-
You might be wondering, “What
does hoarding disorder have to do
with health and wellness?” I would
like to suggest to you that hoarding
has an awful lot to do with issues
of health and wellness. Here are
some reasons to connect hoarding
disorder to health and wellness.
People who hoard can be nega-
tively affected by their own behav-
Often, hoarding behaviors can
isolate the person who hoards from
their family, friends, neighbors, and
community because they experi-
ence a deep level of shame about
the hoard. Of course, this isolation
and withdrawal affects not only the
person who hoards but also those
who care about them.
For a majority of people who
hoard, unresolved trauma and loss
lies underneath their hoarding be-
haviors. Without processing the
grief from these losses, many peo-
ple who hoard live with deep sad-
ness, avoidance, and unrecognized
trauma symptoms.
Families and friends of people
who hoard do not recognize that
there are underlying issues that
lead a person to hoard. They lack
understanding of why their loved
one hoards and, because of that
misunderstanding, they may issue
ultimatums or require the home be
cleaned out before they will have
communication and connection.
Losing support of family and
friends, becoming isolated, strug-
gling with difficulty in understand-
ing their own behaviors, can lead
the person who hoards to experi-
ence stress and more loss.
When kitchens become hoarded,
food may be more difficult to ac-
cess, the physical health of the per-
son who hoards can become
negatively affected.
We know our brains and bodies
need adequate nourishment in
order to function well – when a per-
son who hoards does not get the
nourishment they need, they may
experience memory problems,
physical ailments, and other un-
healthy symptoms.
Hoarded homes can have nega-
tive impacts on physical health be-
cause they become dwellings of
disorder and, potentially, disease.
Homes that do not have at least
3-foot wide paths on stairways,
hallways, and in the rooms of the
house increase risk of falling, as
well increase the risk that First Re-
sponders will not be able to access
a homeowner who has a medical
The inability to keep a home
clean because of too much stuff in
each room increases risk of respi-
ratory diseases. Additionally,
hoarded homes that have animals
in them increase the possibility of
ammonia smells that are un-
healthy to the brains of humans
and animals.
So, what can you do? How can
we respond to such an overwhelm-
ing issue that impacts so many? I
have suggestions for your consider-
Educate yourself about hoarding
disorder. Although resources are
few, there are some good re-
sources to help equip you for un-
derstanding: websites that provide
helpful, up-to-date information –
www. t hehoardi ngproj ect . org,, www.chil
There are also some excellent
books I can refer you to for further
knowledge: Stuff by Randy Frost
and Gail Steketee; The Hoarding
Handbook by C. Bratiotis, C.
Schmalisch, and G. Steketee; Dirty
Secret by Jessie Sholl (a Minnesota
The DVD “My Mother’s Garden”
is an excellent documentary about
how a mother’s hoarding behaviors
negatively impacted her life and
the life of her children.
If you are a person who hoards,
seek professional help to better un-
derstand why you hoard and how to
change the behaviors. Please know
that if you could change your be-
havior on your own, you would
This is a difficult diagnosis, and
often we need help to change our
behaviors that are too big for us to
handle alone. Seek out profession-
als who work with hoarding disor-
der who can be helpful to you. (The
Hoarding Project and the Interna-
tional Obsessive Compulsive Disor-
der Foundation can be of
assistance to help you find experi-
enced professionals in the field.)
If you have a family member or
friend who hoards, your ability to
develop compassion and under-
standing for your loved one is key.
Rather than trying to get them to
change their behaviors, develop
and maintain your relationship with
them. Spend time together, go
places together, have coffee, see a
movie, whatever it is that will de-
velop your relationship, do that!
Leave the hoarding behaviors off
the table for now. Instead, deepen
your relationship together and mu-
tual trust. When your loved
one is sure that you accept
them regardless of their
hoarding, they have the
freedom to possibly make
If you are a professional
interested in working with
hoarding disorder, get
trained! The current com-
munity responses of forced
cleanouts of hoarded
homes do not work – they
are ineffective, expensive
and do not last.
Instead, learn how to bet-
ter assess and diagnose
hoarding disorder, the un-
derlying reasons for hoard-
ing behaviors, and effective
treatment strategies.
The Hoarding Project of-
fers trainings for profession-
als (both mental health and
non-mental health professionals)
who can assist in your educational
As well, the Minnesota Hoarding
Task Force is a group of profession-
als working together to create ef-
fective community responses. The
task force is always looking for
more professionals to join this im-
portant work, and has a page on
The Hoarding Project web site for
you to gather more details.
Hoarding disorder is a challeng-
ing diagnosis that has multiple im-
pacts on health and wellness. I
believe there is hope; accurate in-
formation is available, therapeutic
and educational resources are ac-
cessible. The more Minnesotans
know, the more change can hap-
Hoarding disorder and the community
Health & Wellness
- 6 - Sunday, September 29, 2013
By Laurie Gauer
Certified Health Coach
“I wanted to punch my doctor,”
said Natalie Flood. She had a heart
attack and her cardiologist was
telling her that 60 pounds really
needed to come off. She was 46
years old.
Obesity is the No. 1 cause of dis-
ease and dysfunction in America.
Besides heart disease, being over-
weight can lead to Type II Diabetes,
some types of cancer, skeletal and
joint problems, and more. Even
being just 20 pounds overweight
puts you at risk, especially if the fat
is concentrated around your mid-
Natalie, who lives in Chaska, led
a high-stress, hectic life; how could
she possibly lose weight, which
would require eating better and ex-
“My typical day started with a cof-
fee shop stop  consisting of a
pumpkin loaf and a Chai Tea -
loaded with carbs and sugar,” said
Natalie. “I would not eat all day due
to my schedule and ‘dieting’ men-
tality. I’d return home in the
evening ravenous and eat every-
thing I could find to charge my bat-
tery and numb my stress.”
As those of us who are emotional
eaters know, unmanaged stress
sends us reaching for high-fat
and/or sugary comfort food.
On top of that if you are not
sleeping well, your body signals you
to eat more and does not signal
you to stop.
And if your job not only requires
sitting at a
desk most of
the day, but
also long
hours, your
body does
not get to
move much
to burn
those extra
After a
year of her
husband’ s
gentle plead-
ing, Natalie finally lost the 60
pounds with the help of a struc-
tured diet and the support of a
health coach.
“After a few days of consistently
fueling my body - every 2-1/2 to 3
hours - with nutrient dense food
and learning to incorporate small,
daily healthy habits,” Natalie said,
“I started feeling much better.”
Dieting alone does not work. How
many of us have lost weight only to
quickly gain it back. You also must
replace un-
h e a l t h y
habits with
h e a l t h y
h a b i t s .
Here are a
few habits
you can
a d o p t
Eat 5-6
nut r i e nt -
d e n s e
m e a l s
throughout the day to keep your
blood sugar even.
Eat your first meal within one
hour of waking to rev-up your me-
Use a 9-inch plate and a salad
fork at dinner: you will be satisfied
with smaller portions.
Fill half your plate with vegeta-
bles and fruit, a fourth with a lean
protein and a fourth with a healthy
Stand instead of sit. An extra two
hours of standing can burn up to
120 calories a day.
Wash dishes by hand. (And
dance while you are washing!)
When feeling stressed, take slow,
deep breaths.
Wind down an hour before bed-
time for more restful sleep.
“A few years ago on I was on a
path to disease,” said Natalie.
“Today, at age 50, I live life full out!
My 60 pounds are gone. I continue
on my path to health feeling better
than I have in twenty years.” 
Laurie Gauer is a certified health
coach at Gauer Chiropractic Clinic
in Glencoe. Since the end of May,
Laurie and her husband Scott
Gauer, D.C., each lost 20 pounds -
Laurie was a tight size 10 and is
now a comfortable size 6 - and are
adopting new habits to keep it off
and create their optimal health.
You can lose weight and keep it off...
one small habit at a time
Natalie Flood, before and after.
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Sunday, September 29, 2013 - 7 - Health & Wellness
The dentists serving the Glencoe area encourage
you to help your children practice good oral
hygiene. Keeping your kids’ teeth strong now
can lead to a lifetime of healthy habits.
Pictured, from left to right, front: Brittany Stepien, dental assistant;
Sheila Czech, dental assistant; Dr. Shawn Knorr, dentist; Char
Sullivan, lab coordinator; Denise Lueders, dental hygienist. Back
row, left to right: Tanya Reichow, dental hygienist; Bobbi Ehrenberg,
dental assistant; Sheryl Voight, dental hygienist; Karla Ardolf, office
manager; Marilyn Vinkemeier, receptionist.
1015 Greeley Ave., Glencoe, 864-3129
Pictured, from left to right, front: Tricia Gueningsman, office
manager; Dr. Bill Dunbar, dentist; Dr. Jalissa Kruckman, dentist.
Back row: Irene Grochow, RDA/front desk; Tara Wisch, RDH;
Rachel Anderson, RDA, Debra Duchene, RDH; Missy Scharfen-
camp, RDA, Bethany Becker, RDH; Jen Kuseske, RDA.
1126 Ives Ave., Glencoe, 864-3215 - res. 864-6304
Helpful Dental Hints
To Keep You Smiling!
✔ See your dentist regularly
✔ Brush and floss
✔ Eat the right foods
✔ Use of fluoride and
Pictured, from left to right, front row: Beth Buckentin, dental assistant;
Dr. Thomas Schoeneberger, dentist; Joleen Nelson, hygienist; back row,
left to right: Deb Rannow, financial coordinator; Stacy Stotts, office
manager/dental assistant; Jennifer Pokornowski, hygienist; Joyce
Burandt, scheduling coordinator.
1010 Greeley Ave., Glencoe -
Health & Wellness
- 8 - Sunday, September 29, 2013
Dr. Nicholas Johnson, D.C
920 10
St. E., Glencoe
Chiropractic Office Hours:
Mon. & Wed. 7:30 a.m.–6 p.m.
Tues. & Fri. 7 a.m.–12 p.m.
Thursday 1 p.m.–7 p.m.
“Working WITH people to improve their health, and in turn lives,
through the use of chiropractic, nutrition, and lifestyle care all
with the goal of achieving optimal health in EVERY patient.”
Now offering Acupuncture with
Valerie Hanna, RN LAC, helping patients heal.
• Injuries & Illness
• Allergy Elimination
• Help children with ADHD & Autism
using NAET (see
Call 320-583-0105 to set up an appointment.
1004 S. 1
ST. • SUITE #1
Mission: Central Minnesota Senior Care, Inc. seeks to provide quality care,
to promote dignity and respect all who receive services.
• Home and Apartment Settings
• Private Bedrooms
• 24 Hour Awake Staff
• Assistance with Personal Cares
• 24-Hour Nursing Available
• Medication Administration
• Transportation to Medical
Appointments and Outings
• Family-Style Meals
• Public Pay, Private Pay and
Long Term Care Insurance
106 3
Ave. NW, Arlington
Dr. John D. Gustafson, D.D.S
Dr. Jared J. Gustafson, D.D.S
Gustafson Family
Your Partner in Care for Life
linic n C o gt lin r A
(507) 964-2271
n MN o gt lin r A
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(507) 964-2271
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r a n o lm udies, Pu t ep S le
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660 3r
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(507) 248-3433
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B/GYN , O yy, r t aat di o , P yy,
(507) 237-5523
(507) 237-5523
Questions? Call 507-964-2271
Call 507-964-2271
tions: ca o L
op Winthr
erson nd He
d ylor Ga
on rlingt A
our Partner in Car Y
e e for Lif our Partner in Car
Sunday, September 29, 2013 - 9 - Health & Wellness
106 Ferry St.,
Phone: (507) 665-2238
Fax: (507) 665-3789
Mon.-Fri. 8-5:30
Thurs. 8-7;
Sat. 9-4
Sun. Closed
– Anytime by appointment –
*Where our Product, Price and People make the difference!
Appliance Brands
• Amana
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• Danby
• Broan
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see store for details.
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Which one of these kids is NOT well?
Can you tell by looking?
As part of our effort to reach out and create a healthier community, we
are hosting Kids Week at McGuire Family Chiropractic, where we will
do spinal checks for children at our own expense. This applies during
September 30 – October 4 only. Take advantage of this one time offer
to check the health of your child’s spine and nervous system instead of
waiting for a problem to develop. Call to schedule today!
Dr. Cassie McGuire, DC
215 3
Gaylord, MN 55334
“Discover the Gonstead Difference”
Check out our website for more information:
Trust Your Hearing to a “Doctor of Audiology!”
Dr. Pfaff provides the most
complete hearing care available.
Dr. Pfaff has been the hearing healthcare provider of
choice in the Glencoe/Hutchinson area for the past
21 years and always welcomes new patients.
• Experience
• Wide Selection
• Professional Care
• 60 Day Trial Period
Try any aid “risk free” for 2 weeks. Call for details
Hearing Care
Kurt T. Pfaff, Au.D.
Dr. Pfaff is an expert with
“difficult to fit” cases.
Call Today 320-864-5262
or Toll Free 1-888-931-9144
Health & Wellness
- 10 - Sunday, September 29, 2013
Keep your body in
Better Shape
with Quality
Downtown Waconia • 952-442-4242
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320-455-0345 or 1-800-955-8346
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Call to make an appointment, Mon - Fri: 7:00 am - 7:00 pm
Hutchinson and Greater Minnesota Locations
Sat: 8:00 am - 5:00 pm
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4 5-83
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Sunday, September 29, 2013 - 11 - Health & Wellness
By Bryan Fritsch,
DO, Internal
Influenza, or “the
flu,” is a viral infec-
tion that is most
common in the
winter months. It
causes a lot of vis-
its to my office every winter. So
here is what you need to know to
avoid the flu – and seeing me be-
cause of it!
What is it?
The influenza virus causes symp-
toms that affect the respiratory
system. It is not the same as the
“stomach flu” – another set of
viruses that cause infection in the
digestive system that can cause
vomiting and diarrhea.
The symptoms of influenza in-
clude fever, chills, body or muscle
aches, fatigue, headache, stuffy
nose, sore throat and cough. It can
affect people of any age, but it is
most dangerous for the elderly,
young children, pregnant women
and persons with chronic medical
conditions and weakened immune
Influenza is spread from person
to person through coughing, sneez-
ing and direct contact with sur-
faces that have been
How and why is it diagnosed?
The diagnosis of influenza is
made based on the symptoms you
have. Sometimes doctors will do
laboratory tests to help confirm the
diagnosis or to rule out influenza
as the cause of the symptoms.
The majority of people who get
influenza recover on their own
within one to two weeks. However,
influenza can lead to serious com-
plications in high-risk people. The
most common complications in-
clude pneumonia, bronchitis and
sinus and ear infections. Pneumo-
nia is the most worrisome compli-
cation and can lead to death in
some cases.
How is it treated?
The majority of people who get
the flu just need rest, plenty of flu-
ids and possibly over-the-counter
medicines such as acetaminophen
or ibuprofen to help with the fever
and body aches. (Remember: as-
pirin, or aspirin-containing prod-
ucts, should not be given to
children under the age of 18.  Al-
ways talk with your health care
provider before starting a new
medication to be sure it is safe for
Two prescription medications -
oseltamivir (brand name: Tamiflu)
and zanamivir (brand name: Re-
lenza) - are approved for the treat-
ment of influenza. These
medicines do not eliminate the
symptoms of flu, but can shorten
the duration of symptoms by a day
or two, especially if started within
24 to 48 hours of the onset of
Antibiotics are not an effective
treatment for influenza, however,
they may be prescribed by your
health care provider if a secondary
bacterial infection like pneumonia
or sinusitis develops as a result of
the influenza.
Can it be prevented?
Yes! The best way to prevent in-
fluenza is to get the flu vaccine
every year. The influenza virus can
mutate, making previous immu-
nizations useless. The yearly in-
fluenza vaccine is recommended
for all people over the age of 6
The vaccine is not 100-percent
effective. However, if you get in-
fluenza after having the vaccine,
your symptoms tend to be milder
and shorter in duration.
Other methods to help prevent
the spread of influenza include fre-
quent hand washing, effectively
covering your mouth and nose
when coughing or sneezing and
trying to avoid large, close gather-
ings of people during peak flu sea-
Influenza medications also can
be used to prevent the illness if
there has been a known exposure
to another person who has the flu.
The influenza vaccine can be
given as an injection or as a spray
into the nose. The nasal spray is
approved for healthy children age
2 and above and healthy adults
under the age of 50 who are not
The most common reaction to
the flu vaccine is soreness at the
injection site.  Infrequently the vac-
cine may be associated with mild
muscle aches, headache or low-
grade fever that improve within one
to two days. If you are allergic to
eggs, talk to your health care
provider before receiving the vac-
Do not let the flu get
to you this season!
By Barb Oberlin,
RN, GRHS Infection Control
Hands are the part of your body
that is most exposed to germs.
When you touch your eyes, mouth,
nose or food with your hands, you
transfer those germs into your
body where they can make you
Keeping your hands clean is one
of the most important things you
can do to stop the spread of
germs, especially during cold and
flu season.
Most germs hide where you least
suspect. For example, did you
know there are:
• 229,000 germs per square
inch on frequently used faucet
• 21,000 germs per square inch
on work desks — about 400 times
more than the average toilet seat.
• More germs at the kitchen sink
than at the toilet.
• 1,500 germs on each square
centimeter of your hands.
Proper, thorough handwashing is
easy to do, and the health benefits
are huge. Unfortunately, many peo-
ple do not wash their hands or do
not do it well enough to make a dif-
How do you correctly wash your
Wet your hands with clean, run-
ning water and apply soap.
Rub your hands together to make
a lather. Scrub the fronts and
backs, between your fingers, and
under your nails.
Continue scrubbing for at least
20 seconds. Need a timer? Hum
the “Happy Birthday” song from be-
ginning to end twice.
Rinse your hands well under run-
ning water.
Dry your hands using a clean
towel or air dry.
When should you wash your
Before, during, and after prepar-
ing food.
Before eating food.
Before and after caring for some-
one who is sick.
Before and after treating a cut or
After using the toilet.
After changing diapers or clean-
ing up a child who has used the toi-
After blowing your nose, cough-
ing, or sneezing.
After touching an animal or ani-
mal waste.
After touching garbage.
If soap and water are not avail-
able, use an alcohol-based hand
sanitizer that contains at least 60-
percent alcohol. Alcohol-based
hand sanitizers can quickly reduce
the number of germs on hands in
many situations. However, if your
hands are visibly soiled, you should
use soap and water.
For more on handwashing, visit
the U.S. Centers for Disease Con-
trol. For a great video to help you
teach your children how and when
to wash their hands, visit
Handwashing 101
Health & Wellness
- 12 - Sunday, September 29, 2013
By Leah Siefert,
Do you worry
about what your
child eats? A
wel l - bal anced
diet consists of a
variety of foods
including pro-
teins, carbohy-
drates, fruits and vegetables.
Some kids will eat just about any-
thing. Others are “picky” eaters.
And a few are what we call “prob-
lem feeders.” The kid who eats
most anything is not worrisome,
but what about your picky eater?
As a speech-language therapist
with special training in the treat-
ment of feeding issues, I can help
you understand the difference be-
tween a picky eater and a problem
Picky Eaters
When your child only eats foods
from one category or only a few
foods in each category, you have a
picky eater. Picky eaters generally
have a limited number of foods
they will eat, usually about 30.
Picky eaters typically eat at least
one food from all the food texture
groups – crunchy, soft, etc. Picky
eaters who lose a food from their
repertoire due to a food jag - eating
the same food day after day or
meal after meal for several weeks
-  it can most often be reacquired
following a two-week break.
Picky eaters will generally toler-
ate new foods on their plates, and
will usually touch or even taste new
foods. Picky eaters are usually able
to add new foods to their diets after
10-15 exposures.
Problem Feeders
Problem feeders, on the other
hand, tolerate a much more re-
stricted range or variety of foods
than picky eaters. The number of
foods problem feeders are willing
to eat is usually less than 20.
When problem feeders lose a
food due to a food jag, the lost food
is not reacquired later on, which
further reduces the number of
foods in the child’s repertoire.
It is not unusual for children who
are problem feeders to have melt-
downs when faced with a new food.
These types of eaters generally re-
fuse to eat entire categories of
food textures or nutrition groups.
For example, they might stick to
all crunchy foods or all soft foods,
and often prefer foods of one taste,
such as salty foods or sweet foods.
Some even prefer a single color of
Problem feeders typically do not
add new foods to their diets even
after many exposures.
Cause and Effect
The causes of picky eating and
problem feeding are complex and
Some children will not eat due to
pain or fatigue with eating. For var-
ious reasons, some children have
immature or impaired chewing and
swallowing skills. Sensory prob-
lems such as disliking how food
looks, feels, smells, sounds or
tastes can also be an issue.
Other reasons can include learn-
ing or behavioral difficulties and
medical reasons. There can be
multiple other child, parent and en-
vironmental factors that affect eat-
ing habits.
Regardless of the underlying is-
sues or whether your child is a
“just” picky eater or has a more
complicated feeding problem, his
or her eating is unhealthy and
could lead to serious medical prob-
lems if not addressed.
When your child suffers from one
of these conditions, it not only af-
fects the child but the whole family.
It can be a source of frustration for
both parents and the child, and
can severely limit social aspects of
The Path to Healthy Eating
So what do you do if you have a
picky eater or a problem feeder?
The first step should be to talk to
your child’s physician about your
concerns. Together you can de-
velop a plan for helping your child
develop healthy eating skills and
habits for life.
If feeding issues are interfering
with your child’s health and nutri-
tion, your child’s doctor might rec-
ommend therapy.
The Sensory-Oral-Sequential Ap-
proach to Feeding (SOS) is the pre-
ferred treatment methodology for
picky eaters and problem feeders
alike, and is the approach we use
at Glencoe Regional Health Serv-
ices. It allows children to increase
their comfort with various foods by
interacting with them in a playful,
non-stressful way.
First, children learn to tolerate
foods in the room, then to interact
with foods by smelling, touching
and tasting, and finally progressing
to actually eating the food.
In addition to working with your
child, your therapist will help you
support and encourage your child’s
progress at home.
Feeding problems and picky eat-
ing do not have to be life-long prob-
Is your child a picky eater or a problem feeder?
McLeod County
Silver Lake
P.O. Box 188, Glencoe, MN 55336;
OR CALL 320-864-5518 TO ORDER!
2 months free
with one year
Health & Wellness Subscription Offer 2013 - 2 months free - Choose one of the following papers:
Name ____________________________________________
Mailing Address ____________________________________
Phone ____________________________________________
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payment amount:
•McLeod Co. & New Auburn
•Other MN Addresses:
•Addresses Outside MN:
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Sunday, September 29, 2013 - 13 - Health & Wellness
Statewide Health Improvement
Program (SHIP)
Statewide Health Improvement
Program (SHIP) and its McLeod
County Partners are working to-
gether to help residents have
healthier choices - to be active
and eat healthy.
Minnesota was one of the 19 out
of 43 states that seen a slight de-
crease in childhood obesity. This
could be in part from the efforts of
The state of Minnesota provides
funding for SHIP which works on ef-
forts geared toward reducing obe-
sity rates and health care costs. At
its core, the concept involves sup-
porting individuals’ healthy choices
by making those choices easier.
For example, encouraging people
to get outside and walk more be-
comes easier in a community with
good sidewalks. Encouraging peo-
ple to eat healthier becomes easier
when people have easy access to
fresh, high-quality fruits and veg-
Evidence shows that in addition
to providing better health for indi-
viduals, these changes can help re-
duce health care costs associated
with chronic diseases such as dia-
betes and heart disease.
Healthy eating, active living and
tobacco-free housing are some of
the perks that county residents are
receiving through the work of
McLeod County SHIP and its part-
ners. Walking school buses, pro-
motion of trails, and the use of the
farmers market are some things
that McLeod County SHIP have
been working on.
One big accomplishment is you
can use your EBT card at the
Hutchinson Farmers Market! The
city of Hutchinson, the Hutchinson
Downtown Association, Heart of
Hutch and McLeod County SHIP
have worked together to bring the
resources and tools to the Hutchin-
son Farmers Market so you and
your family can bring home fresh
vegetables, fruits and other locally
produced foods.
More and more Minnesota farm-
ers markets accept Supplemental
Nutrition Assistance Program
(SNAP) benefits when you shop
with your Electronic Benefit Trans-
fer (EBT) card.
The Hutchinson Farmers’ Market
is located at 8 Adams St. SE,
Hutchinson and is open on
Wednesdays, 2:30 PM - 5:30 PM
and Saturdays, 8 AM - Noon.
Other markets that
currently accept EBT
are Buffalo, Mankato
and Minnetonka.
You can even make
your money go further
when you shop at Hutchinson’s
farmers market with your EBT card.
For each dollar you spend, you can
also receive Market Bucks - up to
an equivalent of $5 per day - to
spend during the same trip or any-
time during the 2013 market sea-
The Market Bucks incentive is
funded by the Center for Preven-
tion at Blue Cross and Blue Shield
of Minnesota, as part of Blue
Cross’ long-term commitment to
improve the health of all Min-
McLeod County SHIP hopes to
also work with local schools, work-
sites, communities and child care
providers to make community
changes that promote healthy eat-
ing and active living such as:
• Farm to school or school gar-
• Safe routes to school or active
school day work.
• Healthy menu options at partic-
ipating restaurants.
• Healthy catering options for
• Worksite wellness efforts.
• Help communities open up
gyms, playgrounds and sports
fields during non-school hours so
more children can safely play.
• Help child care providers use
best practices for improving nutri-
tion, increasing physical activity,
and decreasing computer and tel-
evision time.
For more information regarding
SHIP, you can visit our website at
or contact Kerry Ward at McLeod
County Public Health at 320-864-
Sources: Minnesota Department
of Health, Centers for Disease Con-
trol and Prevention, and University
of Minnesota Extension
Working together to help residents
By Linda Senst
McLeod County Public Health
Anyone who has a question
about their baby’s development
can have it answered through early
intervention services.
If you are wondering about
the progress your
infant/young child is mak-
ing, please call us at 320-
864-1403 to talk about your
concerns. There is also a
state-wide Help Me Grow
number to call for ques-
tions/referrals: 1-866-693-
GROW (4769). A web site is
also available to parents:
w w w . m n p a r e n t s
Your infant or toddler is el-
igible for a free assessment.
This evaluation is done by an early
childhood teacher, who has special
training in the testing of young chil-
If any delays or concerns are
noted, there are free services avail-
able through the schools which are
provided in the child’s home at no
cost to the parents. Parents always
have the freedom to accept or re-
ject the services offered.
Sometimes young children re-
quire assistance in one, two, or
more areas. It is well known that
children who get assistance earlier
have a much better start in school.
Our state is committed to finding
kids early so that they receive the
most benefit before beginning
school. Some of the providers who
may work with your child could be
teachers, physical, occupational, or
speech therapists, and others. The
services are designed to meet the
needs of each individual child.
The Public Health sponsored Fol-
low Along Program provides an-
other way for parents to keep track
of their child’s development. This
service is free to all children in the
county under the age of 3. Parents
who enroll their child receive devel-
opmental questionnaires at 4-
month intervals, which are scored
and the results given to parents. A
nurse or a teacher would follow up
with any noted con-
This is a way to moni-
tor how your child is
doing compared to other
kids their age.
Parents also are given
tips and activities to do
with their children.
At the end of the pro-
gram, each child is given
a give and a “gradua-
tion” certificate.
Please call Public
Health at 320-864-
1403 if you would like to take ad-
vantage of this wonderful
opportunity to check on your
child’s progress.
How is my child doing, developmentally?
Health & Wellness
- 14 - Sunday, September 29, 2013
Minnesota Department
of Commerce
SAINT PAUL – As Minnesota con-
sumers start planning for their in-
surance needs in time for open
enrollment and the opening of Min-
nesota’s health insurance market-
place, MNsure, on Oct. 1, the
Minnesota Department of Com-
merce urges consumers to take a
look at the options to make the
best decision for themselves and
their households. Understanding
the difference between the terms
will help consumers find health in-
surance that fits their financial and
health needs.
As a refresher, often the terms
“rate” and “premium” are used in-
terchangeably when discussing in-
surance, which makes comparing
prices confusing to the average
company. To simplify the process,
the Commerce Department re-
minds consumers that:
• A rate (
glossary.jsp) is the average amount
an insurance company charges for
a defined package of health insur-
ance plans. For example, the rate
for your insurance might be $300
per person, per month.
The factors that go into setting in-
dividual and small group health in-
surance rates for a particular plan
of benefits in a particular network
of doctors and hospitals are: the
combined medical costs of every-
one in that company’s market for a
particular age, tobacco use, and
geographic area. This is called
community rating - the rates are
based on the costs of the entire
• A premium (
i cal /heal th- i nsurance- rate- re-
view/glossary.jsp) is the amount
that you and/or your employer pay
each month for your family’s plan.
For example, if a plan covers a cou-
ple at a rate of $300 per person,
per month, the premium is $600
per month.
The factors that affect the price
of premiums depend on: your age
and the age of any family members
in your plan; whether or not each
person 18 or older uses tobacco;
where you live; and the benefits in
your health plan.
In addition to rates and premi-
ums, the Commerce Department
wants to help you understand the
terms used in your health insur-
ance coverage so you can pick the
best plan option for you and your
family. Here are some important
terms that you should know:
Deductible: The amount you
must pay each year for any health
care you receive before the insurer
will pay for your services. If you do
not receive any care, you do not
need to pay this amount. Often
plans with no deductible or a low
deductible are more expensive, but
you will pay less when you actually
get care.
Copay: A flat-dollar amount that
you pay when you receive care. For
example, you may be required to
pay $20 each time you see a doc-
Coinsurance: The percentage of
the total charge that you pay when
you receive care. For example, you
may need to pay 20-percent of the
cost each time you see a doctor.
Formulary: A list of prescription
drugs that your health plan will
cover. You may pay more if the drug
you take is not on this list.
Network: All of the health care
providers that are associated with
your health plan. You generally
need to use a provider that is in
your network to get your best ben-
Out-of-pocket limit: The total
amount that you would ever need
to pay for care in a year. If you
reach this limit, you do not need to
pay for any health services you re-
ceive until your plan renews the
next year. If you do not receive
much health care, you may not
meet this limit and you would pay
It is important to remember that
the cost you pay may vary under
different policies. When shopping
for a new plan, consumers will
want to consider the deductible
ance-rate-review/glossary.jsp) and
the copay or coinsurance you
would pay when you use your
health care, as well as the pre-
mium (
you pay each month.
The Minnesota Department of
Commerce is here to help.
Call our Consumer Response
Team at 651-539-1600 or toll-free
at 1-800-657-3602 (in Greater
Minnesota) if you have any ques-
tions about your insurance or if you
believe you have been a victim of a
scam or fraud.
Anne O'Connor
Communication Director
Minnesota Department of
Office: 651.539.1463
Mobile: 651.587.7185
Fax: 651.297.1959
Health Reform 101 – Do you know
your insurance terms?
McLeod County Solid Waste &
Public Health
Car seat Recycling
McLeod County launched the
GreenSeats Program in May of
2011, the first of its kind in Min-
This program recycles expired
and unsafe infant and toddler car
seats and youth booster seats.
Car seats and booster seats have
expiration dates, typically 6-10
years after they have been manu-
factured. Manufacturer websites
are a great resource to determine
the expiration date of your particu-
lar brand and model.
Expired car seats, and those in-
volved in vehicle accidents, can be
unsafe to use. Using an unsafe car
seat places your little ones, and the
little ones of others, at risk.
When given a free car seat, or
buying a used one, be aware of the
risks unless you trust the source of
the gift or are aware of the car
seat’s history.
GreenSeats is a free program,
which means you can turn in your
expired/unsafe carseat at any par-
ticipating collection location at no
cost to you. Over 95-percent of the
car seat is recycled, saving valu-
able resources, reducing landfill
space, and saving you money!
Visit a GreenSeats collection site
near you:
McLeod County Solid Waste:
1065 5
Ave. SE
Hutchinson, MN
(800) 335-0575
Kandiyohi County Recycling
1404 22
St. SW
Willmar, MN
(320) 231-3487
Stearns County & Tri-County
Solid Waste/ HHW Facility:
3601 5
St. S
Waite Park, MN
(800) 450-6140
Again Thrift & More Store:
706 N Victory Dr.
Mankato, MN
(507) 345-2409
McLeod County GreenSeats Program
Sunday, September 29, 2013 - 15 - Health & Wellness

More information, less work.
The NuVal
Nutritional Scoring System is a food scoring
system that helps you see at a glance the nutritional value
of the foods you buy. The NuVal
System rates all foods
and beverages on a scale of 1-100. The higher the NuVal
Score, the better the overall nutrition. Scores are
displayed directly on shelf tags, scale labels and other
signage throughout the store so you can make quick and
easy nutritional comparisons between foods.
2211 11
St East, Glencoe, MN (320) 864-6132
Look for the NuVal
on all tags
the store!
The higher the
Score, the
better the nutrition.
Comprehensive nutritional information on one simple number.
More information available at
brochures are available at the coupon table at the store.
Orthopaedic &
MentaI HeaIth
Cancer CIinic
DasseI CIinic
Urgent Care Appointments:
Mon. - Thurs. 8 am - 7 pm
Fri. 8 am - 5 pm · Sat. 9 am - 12 pm
Neet o0r
Leoh W||son, M.D.
Er|n Knudtson, M.D.
Cor|no Gonzo|ez, M.D.
FecicIric: - HcL|c E:pcnc|
320-234-32º0 - Io||-|ree 800-º44-2óº0 - www.HutchHeo|
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Health & Wellness
- 16 - Sunday, September 29, 2013
ve have
what you need.
- Clinics conveniently located in
Glencoe, Lester Prairie and Stewart
- Caring medical staĖ in Family
medicine, internal medicine, midwiFery,
OB]G¥N, podiatry and surgery specialties
- z¸-bed hospital with private patient rooms
- ComFortable birthing suites that include
whirlpool tubs
- RespectFul, comForting care For seniors:
Long 1erm Care and Orchard Fstates, our senior
living apartments
This document is © 2013 by admin - all rights reserved.