Hugh Jackman, #WearSunscreen & Your Family: What Do You Need to Know?

Hugh Jackman, #WearSunscreen & Your Family: What Do You Need to Know?

My husband and I have four children, all ages six and younger (that’s what happens when you go to medical school). Right now, their favorite movie is “The Greatest Showman” starring Hugh Jackman. He is famous in the entertainment industry for his singing, dancing and acting abilities, along with his devilishly handsome good looks.

However, he’s also famous in the dermatology world as he has publicly battled basal cell carcinoma not once, but five times in the past including a recurrent basal cell carcinoma on his nose. Hugh posted pictures on Instagram with the hashtag #wearsunscreen to help raise public awareness and encourage good sun protection behavior.

Most Common Type of Skin Cancer

Basal cell carcinoma is the most common form of skin cancer. In fact, it’s the most common cancer overall. It develops after repeated sun damage over time. You might notice it as a pink scaly patch. Or, it might be a raised pearly bump, almost pimple-like that never seems to go away. Sometimes basal cell carcinoma will bleed after minor trauma or for no reason at all.

Second Most Common Skin Cancer

Are there other types of skin cancer? You bet! The second most common form of skin cancer is squamous cell carcinoma. This type of skin cancer may appear as a growing lump, often with a rough surface. But, it also could be a flat, reddish patch that grows slowly and may be tender. Sometimes these grow quickly on the skin in a volcano-like fashion. Squamous cell carcinoma can be serious in some cases and spread beyond the skin to lymph nodes if not treated properly or within a reasonable amount of time.

Most Well-Known Skin Cancer

Finally, the skin cancer with which most people are familiar, is melanoma. Melanoma can be a life-threatening skin cancer, especially if not caught early. The warning signs for melanoma are summed up in the “ABCDE” algorithm.

  • A = asymmetry (one half doesn’t look like the other)
  • B = border (irregular, ill-defined or funny-looking shape)
  • C = color (one spot that has multiple colors within it, such as different shades of brown or black. Red, white or blue colors are occasionally seen in melanoma)
  • D = diameter (a majority of melanomas are greater than 6mm when diagnosed, which is the size of a pencil eraser; however this doesn’t mean that smaller spots aren’t worrisome)
  • E = evolving (a mole that is changing in size, shape or color)

Ways to Protect Yourself and Your Family

So, what can you do to reduce your risk for skin cancer? Protect yourself! Make sun protection a priority, not only for yourself but for your family. If you have children, make it your goal to not let them burn. Like never. Never ever.

Here are some tips I use with my own family:

  • Everyone needs sunscreen when outside. This includes just playing outside, going to the pool, going on walks, whatever it may be. The two types of sunscreen available are:
    • Chemical sunscreens: (the active ingredients are long words that are hard to pronounce, such as oxybenzone)
    • Physical sunscreens: (the active ingredients are zinc and/or titanium, easy to pronounce)

I prefer zinc/titanium-based sunscreens because they stay on better, cause less skin sensitivity issues and are better at preventing sunburn in my opinion. Examples of this type of sunscreen include Neutrogena Sheer Zinc SPF 50 or CeraVe Hydrating Sunscreen SPF 50. Overall, any sunscreen is better than none. And don’t forget, it needs to be reapplied every 2-3 hours.

  • Make hats your friend. Put them by the door you use most often to go outside. Put one in your car. I don’t know HOW many times a patient has told me, “I didn’t plan on being outside that long!” Never travel without a hat!
  • Buy rash guard swim shirts or other sun protective clothing for yourself and your family. Yep, I make my kids wear long-sleeve swim shirts to the pool. Sorry kids, but you’ll thank me later. SPF 50+ clothing is available for swimmers, golfers, fishermen, etc., at local stores such as Scheels but also on well-known websites such as www.coolibar.com. Trust me, it’s worth the money to invest in good sun-protective clothing.
  • Put on a layer of sunscreen to your face and neck every morning. Use it before applying makeup. There are some really nice, light sunscreens available over the counter. My most recent favorites for this purpose are Neutrogena Sensitive Skin Face Liquid Sunscreen SPF 50 or La Roche-Posay Anthelios Ultra-Light Tinted Mineral Sunscreen SPF 50.
  • Finally, come see me! If you are worried, questioning a spot on your skin or just want a once-over, you should visit me at South Lincoln Dermatology or see a board-certified dermatologist in your area.
Gina Weir, MD

Gina Weir, MD

Dr. Weir is a dermatologist with South Lincoln Dermatology.

2625 Stockwell
Lincoln, NE 68502

402-421-3335

Life Is Full of Puzzles

Life Is Full of Puzzles

The other week I went to Omaha to visit my sister, her husband and our foreign exchange student visiting from Norway. Bjorg stayed with us during the ’62-’63 school year. Although we’ve seen each other about every seven years, all of us understand those transatlantic trips get more difficult with age and our visits may be numbered. We made the most of every minute we were together. During the week, we went to the Henry Doorly Zoo, Lauritzen Gardens, Old Market, Joslyn Art Museum and more. Each site was special and we loved the time to explore and get reacquainted with each other and the venue.

Visiting the Joslyn Museum was an especially fun day. The four “grandparents” were joined by my sister’s daughter and her three children, as well as her daughter-in-law and her two daughters. Even though all of my sister’s grandkids live in Omaha, I don’t get a chance to see them very often. They are all incredibly active in sports, cheerleading and work—not much different from my own grandkids. I thought about it and realized I really only see my sister’s grandkids on holidays and for a few birthdays. So I was determined to make this Joslyn visit count as a time to remind them who Grandma Nancy is.

Piecing Together Time with Everyone

Where are they? It was as though the adopted grandkids were always one step ahead of me throughout the entire museum. I did catch site of the two girls entranced with Degas’ Little Dancer, but by the time we came to the piece, the girls vanished. I realized my time with Bjorg was more important, so I stopped stalking them.

The grandmas and grandpa finally caught up with the grandkids in the museum gift shop. My sister and Bjorg found the jewelry counter, my brother-in-law stayed out of the shop completely, and I was enthralled with the toys, especially a wooden puzzle. It appeared to look like a mini two-dimensional Rubik’s Cube. The girls came up behind me staring at the puzzle I was trying to complete. We knew what the puzzle should look like when completed: 12 mini cubes arranged in a 3 x 4 shape. We also knew the “try me” sample I held in my hand was in a straight line. They looked at me and challenged me to put the straight line form into the 3 x 4 completed shape.

diffiuclt multicolored puzzle

Try, Try, Try Again

I tried. I tried again, and again. What was I missing? I handed it to one of the girls. She looked at it for three seconds and completed the puzzle. She handed it over to me with this smug look on her face. I undid the puzzle and gave it to her younger sister, thinking surely this little girl wouldn’t be able to complete the task. She, like her sister, took a moment to look at the pieces, then quickly completed the task. I gasped and grabbed each girl, hugging them until they giggled with glee. They laughed hysterically at Grandma Nancy. Their laughter increased when they again challenged me to complete the puzzle. Nope, I couldn’t do it.

At the end of our visit when we were saying our goodbyes, the girls surprised me with a gift of the wooden puzzle. They said they wanted me to have it so I could practice putting it together; we had another good laugh.

Not All of Life’s Puzzles Are So Simple

When I got back to Lincoln, I looked at the puzzle in its neat 3 x 4 rectangle. How could this silly thing be so hard? I refused to touch it for a day. But the next day, I was determined to figure it out. As I began rearranging the pieces, I noticed how it was put together. How the pieces were notched and how they were held together. Oh, it now made sense. I then remembered how each girl took time to analyze the situation prior to jumping in to complete the puzzle like I had done—lesson learned.

I also noticed the puzzle’s recommended age, 3+. Was this a test of a senior citizen’s brain versus a young brain? It certainly was a good reminder for me to analyze a situation or puzzle before attempting to solve it. I also give credit to educators for not just teaching kids what to learn, but more importantly, how to learn. I am thankful I can continue to learn from all of my grandkids. Maybe Grandma Nancy should go back to school!

Nancy Becker

Nancy Becker

Grandkids & Grandparents

I have four grandchildren ages 14-17. In some ways, I’m a very typical grandma, always proud of everything the kids do and wanting to help support them in whatever way I can. In other ways, I’m not very typical. My goal as a blogger is to share my thoughts and experiences that I think are funny and meaningful as I adventure through grandmahood.

Seeing a Father’s Love For His Daughter

Seeing a Father’s Love For His Daughter

As I was watching my husband take our daughter’s senior pictures, I realized I am at a crossroads of jealousy and admiration. Jealous of the bond between my husband and our oldest daughter. He witnessed every first in her life: the first time she rolled over, her first word, her first step, her first day in daycare, her first elementary field trip, her first homecoming dance.

Our daughter wants to travel with her dad. She looks for him to get a hug after every softball game. She chooses me when she needs to shop or has forgotten something. She doesn’t even like me going to physical therapy because I talk too much.

He’s Always There for Her

Yet I admire the bond because it’s nothing unique or extraordinary. He has just showed up. He showed up when I returned to work after maternity leave. He showed up when she was a terrible sleeper and would only sleep when he rocked her in her car seat for hours upon hours. He showed up when she wanted to refurbish an old piano bench. He showed up when she wanted to play softball and the team needed a coach. He showed up when she needed a shoulder to cry on after she did terrible on a test. He shows up when our daughter is approaching curfew to make sure she is home safe and sound.

Just by showing up he has taught her many life lessons. What I have noticed the most are the lessons to love, to be adventurous and to radiate confidence.

He’s an Incredible Model of Support

We all see how my husband has modeled love to his family and his profession. He does not miss any of our children’s events. Even when he cannot physically be there, he shows up virtually and sends text messages before and after to show his support. Our daughter sees the value and the importance of showing up, as she has commented: “I don’t want to miss anything of my kids’, just like you, Mom and Dad.”

“Go on the adventure. Try it. Let’s do this.” From $100 adventure days to trying new foods to traveling, my husband has instilled a sense of adventure in our daughter. It’s both of them that now drive our family’s traveling experiences. Even when my husband takes her up a 700-foot tower just to see the views or try Pickled Wrinkles, he is encouraging her to appreciate life beyond our little town. I pray no one ever takes away the sense of wonder, the sense of curiosity and the sense of adventure he has taught her.

He’s Helped Bolster Her Confidence

Even though our daughter does not have the confidence to decide where or what she wants to eat, that is completely overshadowed by the confidence she radiates in other circumstances. When our daughter wanted to learn how to play softball, my husband was there to play catch with her each day and to coach her. Now when she steps in the batter’s box or centerfield, you can see the confidence in her eyes. When she wanted to learn about photography, he spent hours helping her develop this skill. Now when she is behind the lens, you can see her smiles knowing she just took the perfect picture.

He is always there. Always. He is determined to not miss anything as she begins the last of all of her high school activities: the last softball game, the last One-Act performance, the last track meet and the last time she walks down the senior hall. As our daughter walks across the stage to receive her diploma, I am sure there will be a hug and a tear shed between dad and daughter. I am sure at that moment I will have a few tears. However, those tears will be of joy and admiration, as I have had a front row seat watching the bond of a father and daughter grow, just because her father showed up.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

What Happened to Cuddling?

What Happened to Cuddling?

I know I can’t be the only mom out there that has zero sex drive. I recently reached out to other moms and this topic was one of the most discussed.

For me it’s not just my sex drive, it’s cuddle time that is also nonexistent. Anytime my husband rubs my back in bed he expects more. It’s like the line in a Brad Paisley song, “When you say a backrub means only a backrub, then you swat my hand when I try.” What happened to just cuddling or showing affection? This could be a main reason to my low sex drive—that and kids. Let’s face it, moms are tired!

However, I definitely think it has to do with your relationship with your partner. I never feel like having sex if my husband doesn’t show me affection and “creating moments” in the normal moments of life. Let me explain.

The Importance of Moments

Wrapping his arms around me while doing the dishes, grabbing me and randomly dancing, kissing me tenderly on the forehead – this is creating a moment. I want to feel desired just like the old days.

But telling him to be more affectionate never works. If anything that drives him farther away. Since I have to order him to be affectionate, it was evident that he didn’t want to. Begging for kisses and hugs feels lousy, even if he complies. Not only did I feel needy and undignified doing it, but it pushed him further away as well.

Turning Toward My Husband’s Needs

I considered that he may not be feeling loved either, even if you are being affectionate with him. Fortunately, rather than telling him what he should do, I tried to naturally restore the romance by being my best self again.

When I started acting like he is smart, capable and strong, that went a long way toward bringing back the make out sessions, snuggling, and yes, even sex.

I realized we became robotic when it came to sex—everything was the same every time. After some communication on how I was feeling, we decided to change things up. He was feeling the same way and was willing to try. After trying different things and having it more often than once a month, it increased my sex drive and helped us become more affectionate throughout the day.

Remembering to Let Myself Have Fun

Granted, it’s not always easy when the kids are sick, you’ve worked a 12-hour day and the mortgage is late. But if you can’t remember what you like to do and let yourself do it, you’re not showing much affection for yourself.

Fretting is not going to make him more affectionate. But dancing the Macarena at the grocery store? It definitely could. After all, you were all smiles and laughter when he first put the moves on you.

Let’s all yell this song loud and proud, “Girls just wanna have fun!” The more you appreciate yourself, the more he will see you for you, and give you what you really want: fun, cuddle time, and yes, even sex!

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

Healthy Teeth for Your Baby and Toddler: When to See the Dentist, How to Prevent Cavities, & Other Dental Issues

If you’re the parent of a baby or toddler, you may think you have plenty of time before making her a dental appointment. After all, if she doesn’t have any teeth coming in, what’s the point? But that’s not necessarily the case. In fact, it’s never too early to get a good start on healthy teeth.

How Soon Should My Baby or Toddler See the Dentist?

As a pediatric dentist, I recommend getting kids in for their first dental checkup before their first birthday. This way we can make sure we’re preventing cavities before they occur. And for the teeth that are already in, we get a chance to see what the enamel looks like. At this age we also can determine if there is a higher risk of your child getting cavities. If we see issues that could lead to cavities we will visit with you about your child’s diet and oral hygiene, because these are important for developing healthy teeth.

And once children begin going to the dentist, I urge parents to bring them in every six months. If we identify that a child has cavities starting to form, we can catch them early.

 

Ways You Can Help Prevent Cavities and Other Dental Issues for Your Infant or Toddler

Diet

  • Reduce or eliminate sugar from their diet. You might be surprised to learn that some things that seem healthy really aren’t, because they contain a lot of sugar. This is especially true with juice and chocolate milk. My recommendation is not to give kids juice. If I give my little three year-old a small glass of juice, she’ll drink it and want more before you know it! It’s too much sugar.
  • Get them started on water. It’s a healthy habit for all of us. Having your child drink water at an early age builds healthy habits for life, plus it helps their body function properly.
  • Mind the temptations. Once kids move to solid foods, temptations are everywhere. Whether it’s coming from grandparents or parents, we like to spoil our kids. So it’s tough to want to spoil them, but then also be mindful of the sugar they’re taking in. I urge parents to be mindful of candy, cookies and chips – all of the processed treats. That includes gummies and fruit roll ups! They sounds healthy, but I call them the ‘dreaded fruit snacks’ because they create a lot of cavities. As a parent, I get it. They’re easy. But please, try to avoid purchasing those fruit snacks!

Dental Hygiene

  • Brush those teeth twice a day as soon as they come through the gum tissue, using a soft toothbrush. Your child’s age doesn’t matter. Once they get teeth, we’ve got to take care of them.
  • When you brush your child’s teeth, just gently massage the teeth. At this point you’re getting rid of plaque and keeping everything clean and healthy.
  • Use a very small amount of fluoride toothpaste. For your infant, who is not able to spit out the toothpaste, just a tiny bit of fluoride toothpaste, the amount of a grain of rice, is plenty. This is enough to help prevent decay.
  • Use whichever flavor your child likes or will tolerate. My daughter says our mint toothpaste is too spicy! She likes the fruity flavored toothpastes and those are just fine.

 

A Word About Pacifiers and Thumb Sucking

Parents often ask me about these behaviors and how they affect dental development. The question I get most often from parents is: Will this cause their teeth to grow in out of line? Unfortunately, it can. When a thumb or pacifier is in your child’s mouth, it pushes on structures in the mouth, whether it’s the teeth or bone structures, and moves them. Timely intervention is really important here.

  • Pacifier – Try to wean your child from this early on. At around a year or 18 months old, I like children to be done with the pacifier. It could be molding the upper arch and changing the shape of your child’s palate.
  • Thumb Sucking – The longer your child sucks his thumb or fingers, the higher the risk of changing the shape of his arch or palate. I recommend parents work on this habit and get it conquered by age three.

Start Early for Your Child’s Good Dental Health and Habits

I hope these tips are helpful for you. Taking your kids to the dentist early on gives them a good start on great dental health and habits, and helps get them comfortable with the environment of a dentist’s office. This also helps them have great dental experiences when they come to their dental home.

Want more dental care tips for your infant or toddler?

Get even more information from our ten minute podcast!

Marty Killeen, DDS

Marty Killeen, DDS

Marty is a pediatric dentist with Wilderness Station Pediatric Dentistry.

8 Ways You Can Prevent & Manage Diabetes

8 Ways You Can Prevent & Manage Diabetes

Diabetes is a silent disease affecting the lives of millions each year. Chances are you know someone with diabetes—a friend, family member or maybe even you. I am one of the millions living with diabetes. As a certified diabetes educator, I work to educate myself and others about how to prevent diabetes from impacting your life and how you can take care of yourself and improve your health if you have diabetes.

What Is Diabetes?

Diabetes happens when your body does not properly use the sugar in your body. The different types of diabetes are related to the reasons the body is not using the sugar. This excess sugar causes clogs in the blood stream, leading to complications.

Type 2 diabetes is the most common. With type 2 diabetes, the body either doesn’t produce enough insulin, or it resists insulin. Insulin helps keep your blood sugar level from getting too high.

Symptoms of Type 2 Diabetes

  • Increased thirst
  • Frequent urination
  • Hunger
  • Fatigue
  • Blurred vision

However, in some cases, there may be no symptoms.

Risk Factors for Developing Type 2 Diabetes

  • Having prediabetes
  • Being overweight
  • Being 45 years or older
  • Having a parent, brother or sister with type 2 diabetes
  • Being physically active less than three times a week
  • Previous gestational diabetes (diabetes during pregnancy) or given birth to a baby who weighed more than nine pounds
  • Being African-American, Hispanic/Latino-American, American Indian or Alaska Native (some Pacific Islanders and Asian Americans are also at higher risk)

How Do I Manage Diabetes?

We must help our bodies use the sugar. When I think about how best to care for diabetes I think about BALANCE. It’s all about eating healthier, exercising more and taking better care of ourselves.

Balance in diabetes can mean a lot of things – both in terms of preventing diabetes and taking care of yourself if you have diabetes. We all know if we don’t care for ourselves, then we can’t care for others.

8 Ways to Take Care of Yourself

Here are eight areas that I focus on and share with others to take care of yourself.

1. Eat Mindfully

  • Don’t eat in front of the TV
  • Take small bites
  • Taste your food
  • Add protein and fiber to feel full

2. Take Time to Exercise & Be Active

  • Park farther away
  • Stand during commercials
  • At a minimum, commit to five minutes of exercise…it’s better than zero

3. Be Consistent When Taking Medicine

  • Place your medicine where you will see it
  • Use an alarm to remind yourself when to take your medicine
  • Mark your calendar so you know you took your medicine
  • Follow your doctor’s advice

4. Find Ways to Decrease Stress

  • Take ten deep breaths
  • Get five minutes of quiet – put yourself in timeout if you have to! (your kids will find this intriguing)

5. Add Vegetables so Meals Aren’t Meat or Carbohydrate-Heavy

  • Add lots of color
  • Make a meal plan
  • Don’t fight it…just get creative!

6. Find Ways to Keep Your Whole Family Active

  • Go swimming together
  • Go to the zoo
  • Take the kids shopping
  • Use active video games like Wii or YouTube

7. Find Ways to Eat at Home, Even When You Don’t Want to Cook

  • Cook freezer or microwaveable meals
  • Cook in the crockpot
  • Plan ahead and prepare the day or weekend before

8. Eat More Fruits & Vegetables

  • Look for sales (canned and frozen often are on sale)
  • Take vegetables from neighbors or coworkers who grow them
  • Grow your own garden
  • Buy what’s in season

Taking a Goal & Making It SMART

Much of what I do in my job is help people figure out how to achieve their goals. For instance, I would love to lose ten pounds. How can I do that? I can exercise more and eat less. However, these plans are vague. When making goals, we have to make the goal SMART.

S – Specific: I will increase my exercise by five minutes each day.
M – Measurable: I will exercise an extra 25 minutes per week.
A – Achievable: I can add five extra minutes of exercise per day while watching TV.
R – Realistic: I can add five minutes in the evening and increase my exercise. I don’t have time to increase my exercise by 30 minutes a day, but I can add five minutes a day.
T – Time-bound: I will increase my exercise and reevaluate by the end of the month. If no improvement is seen, I will change my goal strategy.

Get the Help You Need to Prevent or Manage Diabetes

If you’re concerned about developing diabetes or struggling with your diabetes or weight management (which could lead to diabetes), there is help waiting for you. Bryan Diabetes Center has nurses who are certified diabetes educators and licensed medical nutrition therapists/registered dietitians who also serve as diabetes educators. Insurance often covers this kind of education.

Bryan Health Diabetes Center

Learn more about how diabetes impacts the lives of millions every single day, get management tips, and easily schedule an appointment to speak with a diabetes expert at Bryan Health today!

We’re here to help you manage your diabetes or get on track to prevent getting diabetes in the future.

Ask your provider for a referral to Bryan Diabetes Center today! We have three locations:

  • Bryan Medical Plaza, 1600 S. 48th St.
  • Bryan LifePointe Campus, 7501 S. 27th St.
  • NorthPointe Family Medicine, 5901 N. 27th St., Suite 102

Check out these resources:

Samantha Beckler

Samantha Beckler

Health Expert

Samantha Beckler is a Certified Diabetes Educator with Bryan Diabetes Center.

My Husband’s “Me” Time

My Husband’s “Me” Time

My husband’s job includes weird hours – some nights, weekends and overnight trips. Recently, he started a night class for graduate school. When he isn’t at work or school, he uses about 50% of that time for himself (i.e., playing sports). I know it’s important for him to keep himself sane and healthy, but I wish he wanted to spend more time with us. I am feeling pretty lonely.

I LOVE being home with the kids but I still want him to have a parenting role beyond a provider. I know it’s wrong for me to feel resentful, especially since I take time for myself, but recently we got into an argument about how he spends his time.

After nine years of marriage, I realize that no marriage is ever 50/50. There will always be one partner that does more on any given day. Forget about it being fair because that doesn’t exist.

“Me” Time or Family Time

My marriage benefits when we both have time for ourselves, either to pursue our own interests or just relax. Personal time allows us to maintain our individual identities, provides opportunities to do things we like to do, and allows us to feel like we have some control over our lives. Alone time can actually help to keep our relationship fresh and less stressful. However, this past weekend, I was angry that my husband wanted to spend his “me” time playing softball.

I spend several hours a week at the gym, so why was it so difficult for me to see that he needs time, too? It wasn’t the game that made me upset, it was the fact that he didn’t want to spend time with me and his family.

Getting on the Same Page

I came to the conclusion that personal time needs for each person varies from couple to couple. What’s most important is that we agree on how much time we want to spend together and apart. The problem that I had with softball was that my husband never communicated to me that he needed that time for himself. If it were handled correctly, we’d each feel like we are getting our fair share. I was feeling that work and school should be included in his “me” time because those times are when I’m home by myself with the kids. However, he thought that that time should not be included. It was a communication breakdown. We both needed to take a step back and realize how the other person was feeling.

During these times, perceptions are more important than the actual number of hours. Even if we spend very little time together or apart, the relationship is fine if that’s what we both want. If either of us has different perspectives, however, the amount of time together or apart can be a source of conflict. He was feeling suffocated, while I was feeling insecure and isolated.

Dedicating Time to Each Other

We often have different ideas as to how much time should be dedicated to each other and ourselves. I tend to want more couple time, usually because I regard it as important for bolstering my marriage and making sure there’s solidarity as a couple. My husband, on the other hand, tends to prefer more time on his own. Now that we know where each other stands and realize what we both need, and our communication is open and honest, my husband spending a couple hours a week at softball seems like an okay trade to me.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Relieving Lower Back Pain

Relieving Lower Back Pain

As an interventional radiologist, I see many patients who suffer with lower back pain. It is immensely rewarding to offer my patients treatment options that:

  • Are effective
  • Done as an outpatient procedure with short recovery times
  • Provide immediate pain relief
  • Reduce the need for opioid pain medications

An interventional radiologist is a doctor that performs minimally invasive procedures through small nicks in the skin while using image guidance such as real-time x-ray, ultrasound or CT. Most procedures are outpatient and can be performed with just a local anesthetic.

Causes and Treatment Options for Lower Back Pain

A good physical exam with the addition of proper imaging of the spine when needed helps determine the cause of back pain. Initial diagnostic and treatment options may include:

  • Fluoroscopy – A technique that uses x-rays to obtain real-time moving images of the body
  • CT-guided steroid facet joint injections – Facet joints are part of the spine’s bony framework; the injection uses local anesthetic

Low Back Pain and SI Joint Pain

The sacroiliac joint (also known as SI joint) is the joint between two bones which are located in the back of your pelvis, on the left and right side. SI joint pain includes lower back pain that feels dull and aching. It can also spread to the hips, buttocks and/or groin. Some of the most common areas where you might feel SI joint pain is in the buttocks, lower back or side of the thigh.

Low Back/SI Joint Pain Treatment

If steroid injections relieve lower back pain for only a short time, a rhizotomy procedure can be performed to relieve the pain for a longer period of time. A rhizotomy procedure involves placing special needles that heat up the sensory nerves. This effectively burns a small segment of the nerve so that pain impulses can’t be sent. Pain relief lasts until the small segment is healed, which usually takes one to two years.

Sciatica

Sciatica is pain, numbness or tingling caused by a problem with the sciatic nerve. This is a large nerve that runs from the lower back, through the buttocks and down the leg. Sciatica is most commonly related to a compressed nerve in the lumbar spine from a herniated disk.

Sciatica Treatment

If physical therapy or over the counter anti-inflammatory/pain medications have not been effective, an epidural injection of steroid/anesthetic can help confirm the diagnosis and offer temporary and sometimes long-term relief.

Lumbar Spinal Stenosis

Lumbar spinal stenosis is narrowing of the spinal canal, or passageways in the spine. These passageways contain the spinal cord and nerves. The narrowing is most often caused by degenerative changes in the spine as we age. The spinal cord and the nerve roots that exit the spinal canal can become pinched. Symptoms include pain, numbness and/or cramping in the legs when walking or standing. Sometimes the symptoms can be relieved by leaning forward when sitting or walking, such as leaning over a shopping cart to decrease the pain.

Lumbar Spinal Stenosis Treatment

For moderate spinal stenosis, a small implant about the size of a dime can be placed between the bones (spinous processes) in your lower back. These bones can be felt by placing your fingers down the center of the back. The implant increases the space where your nerves exit the spine, relieving your pain.

Diagram of lower back pain

Osteoporosis

Osteoporosis affects more than 50 million people in the United States. As we age, our bones become thinner, increasing the risk of spinal compression fractures. These fractures can result from a fall, lifting something or sometimes from no event at all. If you have severe back pain that gets worse when you move, this could be caused by a compression fracture.

Treating Compression Fractures of the Spine

Minimally invasive treatments such as kyphoplasty and SpineJack vertebral augmentation stabilize the fracture and decrease pain. These procedures insert bone cement into the proper areas of the spine to ease your pain. The procedures take less than an hour. Most patients have immediate pain relief and go home the same day.

View videos to learn more about these procedures and how they relieve pain

Kyphoplasty Treatment: Esther’s Story

SpineJack Treatment: Duane’s Story 

Get Relief for Your Lower Back Pain

If you suffer from back pain and would like to learn more about our minimally invasive therapies to relieve your pain, call Bryan Interventional Radiology at 402-481-3095.

To schedule a consultation, call the Bryan Scheduling Center at 402-481-5121.

Interventional Radiologists

Advanced Radiology at Bryan Medical Center

The interventional radiologists of Advanced Radiology at Bryan Medical Center offer expertise and options to treat your back pain.

Being at the forefront of advances in medicine allows Advanced Radiology to offer patients the latest treatments in addition to current treatments. Dr. Budler was one of the first 10 physicians in the United States and the first in Nebraska trained on the SpineJack procedure. The Advanced Radiology team has the most experience in Nebraska in performing vertebral augmentation procedures like the SpineJack to relieve back pain.

Meet interventional radiologists of Advanced Radiology at Bryan Medical Center: Michael Budler, MD; John Allen, MD; Kyle Pfeifer, MD; Jeffrey Himmelberg, MD!

Grandmas Get Pimples

Grandmas Get Pimples

One day last week, I woke up with a sore in the corner of my lips. I didn’t think much about it but the next morning it was bigger, redder and hurt just a tad. It wasn’t time to call the doctor, but I wanted to keep my eye on it.

What started as a stressful week worrying about my skin ended in a lovely moment with my granddaughter.

Do I have a cold sore?

My husband always struggled with cold sores so when my spot first appeared I asked what he thought. He didn’t think it was a cold sore. Skeptically, I asked him if you spread cold sores by kissing. He laughed at my question and went out the door to play golf. The love and support were overwhelming! I could never complete with golf.

On the third day, the center of my sore was getting dark and hard. Even though the spot was only the size of a pinprick, I decided to apply Campho Phenique cold sore cream and burn it to death. By the fourth day, there was no change.

I tried to occupy my time by running errands. I ran over to my daughter’s house to drop off a book. My daughter wasn’t home so my granddaughter came to greet me. She gave me a big hug and then looked at me. She started to laugh hysterically.

Did I have food in my teeth, or something hanging from my nostril? It took about two seconds of laughter before she squealed, “Oh, my gosh, Grandma. You’ve got a zit on your face!” A zit at my age? How could that be?

A lesson in skincare

My granddaughter had bad acne between 8th and 11th grade. It caused her a lot of grief and she made many trips to the dermatologist. After multiple trial and errors, they finally found a plan that worked and she no longer gets as anxious over the situation. Bottom line, she’s an expert and knows what a zit looks like and how to contain it.

I had her look at my lips so she could be 100% sure it was a pimple. Tears were streaming down her face from laughing. She’d never heard of a grandma having a zit. The bump was definitely a zit and not a cold sore and it was in the corner of my mouth.

I was shocked. I hadn’t had a pimple in at least 45 years. I’m struggling with age spots and dry, blotchy skin, but now I need to add zits to the list?

My hysterical granddaughter knew exactly what to do. First, she gave me a hug. Second, she quickly found a tube of Clearasil and gave me application instructions. Clean the area, then gently dab the Clearasil to the pimple. She told me it would be gone in two days. I thanked her for the advice, although I really did remember how to get rid of pimples. Unfortunately, my routine for getting rid of pimples always started with popping them. I didn’t tell her that.

Returning the favor

After our session, she gave me a high five and said, “You’ve always been there to give me advice and I’m glad I can now return the favor.” Wow! She really is growing up. I know I will always need technology advice, but this was different. Getting sentimental over a zit is another new experience for me. As we hugged goodbye, her final comment to me was, “At least you’re not going to prom tonight!”

Nancy Becker

Nancy Becker

Grandkids & Grandparents

I have four grandchildren ages 14-17. In some ways, I’m a very typical grandma, always proud of everything the kids do and wanting to help support them in whatever way I can. In other ways, I’m not very typical. My goal as a blogger is to share my thoughts and experiences that I think are funny and meaningful as I adventure through grandmahood.

Plastic Surgery after Babies…Yay or Nay?

Plastic Surgery after Babies…Yay or Nay?

Saggy breasts, excess skin and my favorite, the love pouch. Like most women, my body changed after having kids. It wasn’t until I knew I was done having babies that I considered plastic surgery.

Mothers, by nature, are givers. We take care of our children, our husbands, our coworkers, other family members and friends…all before we think of ourselves. It’s rare for a mom to schedule time or activities just for herself, without feeling some degree of guilt that she’s taking time away from her family or work.

My body image is directly related to my self-esteem and how I view myself. When I feel fit, healthy and sexy, everyone benefits. My family sees a happy, confident, energetic mother who serves as a great role model.

Finding Pride in a Mother’s Body

I am proud of this body. It made two beautiful children. This is the body God gave me and I’m grateful. I’ve put in the work, I’ve lost over 40 pounds in the last year and a half, and I continue to workout and eat healthy almost every day. I’m full of energy and overall happier with my transformation. Yet, the excess skin is still there, and I’m self-conscious of my mid-section and my nonexistent boobs. I want to look as good as I feel. My children see me push through every workout. They see me say no to desserts (most of the time). Now, I want them to see my happiness. I want to see my gains in the mirror but all I see is a big stomach.

It is NOT selfish or vain for a woman to want to look good! A mother deserves to look as fit, youthful and toned as she can. Who wouldn’t want to look their very best physical self?

How a mother feels about herself as a wife and a woman is integral to her body image and self-esteem. When we look our best, we feel more secure and reflect that to others, exuding confidence, happiness and overall attractiveness. When a mother feels confident about her body, she is happier overall, her marriage benefits and so does her relationship with her children.

The Pros and Cons of Having Plastic Surgery

I know the pros and cons of having plastic surgery but the struggle I can’t seem to come to terms with is: how can I explain to my daughter that you should love yourself the way you are and that the way you look on the outside doesn’t matter, then turn around and get plastic surgery to fix something about me? However, she sees me struggle and my want for something I can’t seem to obtain on my own. Should that be enough justification? Does it make me a bad mom to say one thing and do another?

For a mom to want to take care of herself and feel youthful, feminine and attractive is NOT self-centered or unreasonable.

Having a surgical procedure is a BIG DEAL. Surgery should not be taken lightly, and planning for recovery time and help with child care, driving and the usual activities of daily living after plastic surgery is extremely important.

As long as you can afford the time needed for surgical recovery, have help in caring for your children and understand fully the risks of surgery, I can completely understand why a mom would consider going under the knife! However, knowing that you should love your body and yourself is the main priority. If you’re happy with yourself but want to enhance or better your body, then there’s no problem with considering plastic surgery.

Schedule Your Free Consultation

Did you know Dr. Cassidy Mitchell, plastic and reconstructive surgeon, offers free consultations to answer your questions and help you decide if plastic surgery is right for you.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

Foods & Exercises to Reduce Your Arthritis Pain

Foods & Exercises to Reduce Your Arthritis Pain

The pain and discomfort of arthritis can have a big effect on your quality of life. A good exercise program and a healthy diet have been shown to increase your mobility (ability to get around) and provide medication-free pain relief.

3 Areas of Focus to Reduce Your Arthritis Pain

As a nurse practitioner, I believe knowledge is power. Here are three items I share with my patients to improve their daily life with arthritis:

  • Foods to avoid because they can increase inflammation and arthritis symptoms
  • Foods that can decrease some of your arthritis pains
  • Exercises you can do without causing stress and pressure on your joints


Foods to Avoid if You Have Arthritis

There are certain types of foods that are considered pro-inflammatory, meaning they can increase inflammation. In general, more inflammation equals more pain, specifically in your joints.

Limit the following in your diet to avoid inflammation:

  • Sugar
  • Saturated fats
  • Trans fats
  • Refined carbohydrates
  • MSG
  • Aspartame
  • Alcohol

Foods high in sodium also have been found to increase inflammation, so it’s important that you try to limit these types of foods in your diet.

Most people in America tend to have diets that are high in saturated fats and trans fats. A good step is to look at food labels and make sure these are limited, if not completely eliminated from your diet.

In general, try to avoid the inner aisles of the grocery store. Most foods in this area contain refined carbohydrates and things we need to avoid because they increase inflammation. Plus, this is where you’re more likely to find processed foods. For the most part, if you can’t pronounce the ingredient on the label, it’s probably not a good choice.

Foods and Supplements that Help Arthritis Pain

Many foods are considered to be anti-inflammatory. Lowering inflammation can decrease arthritis pain.

Include these foods in your diet to help fight inflammation:

  • Omega 3s, such as fish like salmon, dark leafy greens, olive oil and nuts
  • Cherries 
  • Green tea
  • Whole grains
  • Citrus fruits like pineapple and oranges
  • High fiber foods

Glucosamine and chondroitin supplements

Our general rule with supplements like glucosamine and chondroitin is to give it a try for about three months. If you do not notice a difference in your joints and your joint pain, stop taking it. Many times people find that after they stop taking it, they notice it really was working and making a difference. I have several patients that absolutely swear by glucosamine and chondroitin.

Exercises to Ease Joint and Arthritis Pain

Low impact exercises that don’t put a lot of pressure on your knees and ankles are good options if you have arthritis.

Low impact exercises include:

  • Swimming – try lifting weights in the water for an added workout
  • Machines like a NuStep, where you’re moving back and forth and not putting weight on your knees
  • Gentle walking
  • Weight lifting with the guide of a trainer who can show you ways to lift weights and still protect your joints
  • Yoga and Tai Chi

Take Steps to Control Your Arthritis Pain and Feel Better

By reducing inflammation, you’ll have more energy to get out and walk, stretch and do other activities. If you need a bit of direction, working with a personal trainer or a nutritionist is a wonderful option.

Knowledge is power. The more you know about your disease process, proper nutrition and exercise, the better prepared you’ll be to take steps toward feeling better and living a more active, less painful life.

Want More Information on the Ways to Manage Arthritis?

Jaimie Russell

Jaimie Russell

APRN-NP

Jaimie Russell, APRN-NP, is a nurse practitioner with the Arthritis Center of Nebraska

Where Did All My Friends Go? Maintaining Friendships After Parenthood

Where Did All My Friends Go? Maintaining Friendships After Parenthood

Our lives change when we have kids. When did welcoming your little miracle into the world segue into a funeral for your friendships?

Somewhere between all-nighters and ‘should I breastfeed or use formula?’, I stopped thinking about the friends I made over the years.

Or maybe I’m just too tired.

Whatever it is, it’s a problem.

Recently, my friend from college, whom I haven’t seen in a while even though we live in the same city and both have children, asked me my thoughts on balancing relationships outside my family. Weeks go by where I don’t see or talk to any of my friends, and I feel guilty. The catch-22 is that if I make time for my friends, I then feel guilty that I’m not spending time with my family.

Practices, Play Dates and Parties, Oh My!

We all want the best for our children and that means spending quality time together. However, I want to be a well-rounded individual and role model for my children to live a good, full life – one that involves friends.

But as busy parents, fitting in exercise, grocery shopping, laundry or just having some downtime is a struggle. My children’s activities and friendships can consume my time. I spend hours in the stands during soccer practice, waiting during dance class or juggling play dates, parties and practices with our children and their friends. This leaves my own friendships out of the equation.

I’ve also decided that as a working parent my children take priority when I get home from work or have free time on the weekends. I again neglect my friendships with the hope that I can pick them back up when our children are older.

Finding the Time for Friends

Saturday mornings are my ‘me time’. I get to workout and have brunch with some of the women I see at boot camp. I value this time. I suggest that if you have a parenting partner, negotiate who will be off-duty and when. There should be an even split. Use your respective time however you want, but be sure to include seeing your friends!

Now that my kids are slightly older, we’ve been trying to do activities that involve other families. When we head to the bowling alley, trampoline park or children’s museum, the kids get to enjoy playing with other kids and the adults enjoy spending time with other adults.

I need to take advantage of this time to make friends with fellow parents and nurture my existing friendships with other moms and dads. I want to put down social media and reach out to the friends I’ve been neglecting.

As I said, I am a working parent with a job outside the home. I like to take advantage of free time where my kids are already in childcare and invite a work friend out to lunch, meet a friend who works nearby or have a little lunch date with my husband. This helps with maintaining friendships without the help of your children.

Striking a Balance

Being a good friend may present some challenges. I’m still trying to make time for friends, but I know I’ll reap the rewards in the long run. I’m starting to see that as my children get older, my friendships are changing, and I am continuing to develop new friends.

Ultimately, striking a balance between the time I spend with my children and my adult friends will contribute to a full, healthy life.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

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