MOSAIC 10th Anniversary Health Edition // 2013

A Loyola Student Social Justice Magazine MOSAICstaff EDITORIAL T EDITOR-IN-CHIEF Anna Heling the EXECUTIVE EDITOR Abby Kleckler

S H MANAGING EDITOR Shannon Barnet spiral CONTENT EDITOR Madeline André

E PHOTO EDITORS Roberta Anglin and Jasmine Sanborn E of life PUBLIC RELATIONS Amanda Crohan and Kathy Fazekas ASSISTANT EDITORS Amanda Bonafiglia, Mason Dowling,

C

Chiara Milioulis, Brittany Nelson, Jillian Schwartz and Ally Watt

C SALES REPRESENTATIVES Zack DeBiasi, Megan Escutia

N and Caroline Kaszycki

DESIGN O MANAGING EDITOR E Shannon Barnet HISTORY

PHILOSOPHY Design Director Kathy Avila ANTHROPOLOGY L I COPY CHIEF Grace Hyun As readers enjoy the MULTIMEDIA EDITOR Mason Dowling ONLINE EDITOR N’Jameh Camara L C content of this year’s ADVERTISING MANAGER Alexis Zarifis magazine, they will DESIGNER Kendra Cusic S notice a small, but special E DESIGNER Anjali Lakha symbol at the end of G each story. This symbol, FACULTY ADVISORS D known as the spiral of EDITORIAL John Slania E life, has been dated back Design Jessica Brown N thousands of years. There EDITORIAL LOCATION are many interpretations O A Loyola University Chicago, School of Communication as to its meaning, one of F S 51 E. Pearson, St., Chicago, IL 60611 A R T which is that it stands for the cycle – birth, life and VISIT US ONLINE OUR MISSION: death – and mosaicmag13.wordpress.com our mission: GOOD HEALTH. Printed by Vision Integrated Graphics ThroughThrough the the University’s University’s Core Core Curriculum Curriculum and and its its many many majors majors and and minors, minors, the the College College of ofArts Arts and and Sciences Sciences is dedicatedis dedicated to the to Jesuitthe Jesuit tradition tradition of a Transformativeof a Transformative Education Education in the in disciplinesthe disciplines encompased encompased by the by humanities,the For more information on Mosaic or the Journalism Program at natural sciences, and social sciences. We encourage our students to acquire, experience, and reflect on knowl- humanities, natural sciences, and social sciences. We encourage our students to acquire, experience, The School of Communication, contact [email protected] edge,and andreflect then on decide knowledge, what it andmeans then for decide them inwhat terms it meansof individual for them choice, in terms action, of individual commitment, choice, and action, service to others.commitment, and service to others. Mosaic 3 MOSAICMAGAZINE celebrating 10 years MOSAIC contents Featured story: Children’s Memorial Hospital helps patients heal using entertainment pg 34 the 2004 2005 2006 10th issue

The illustration, designed by Managing Editor Shannon Barnet, features a doctor to highlight the focus on health. The design team created covers and the final you see is a collaboration of the best. PROFILES TRENDS 2007 2008 2009 MOSAIC AIDS/HIV RESOURCES pg 10 EATING DISORDERS pg 22 10th Anniversary AIDS/HIV COUNSELING pg 12 SMOKE-FREE SCHOOLS pg 38 Health Edition // 2013 TACKLING CONCUSSIONS pg 14 ELECTRONIC FILING pg 40 DOCTOR HEALTHCARE ON WHEELS pg 16 BURNOUT pg 44 HOMELESS & INDEPENDENT pg 18 INTERNET ADDICTION pg 48 FOOD PANTRIES pg 26 DETOX DIETS pg 52 FREE DENTAL CARE pg 28 FLEXIBLE EATING pg 56 CARING FOR THE FRAGILE pg 30 SLEEP DISORDERS pg 60 CANINE COMPANIONS pg 42 EFFECTIVE ACUPUNCTURE pg 64 END-OF-LIFE ISSUES pg 66 2010 2011 2012 2013

A Loyola Student Social Justice Magazine Mosaic 5 MOSAICeditors’ note

Dear Readers, of the Patient Protection and Affordable Care Act (also known as ObamaCare). The stories in this issue give you he word health represents far more than an a glimpse of the many faces of health and healthcare: absence of illness, 30-minutes of physical important trends in the medical field, inspiring human activity or a serving of vegetables at dinner; success stories and profiles highlighting individuals and T it reflects our fears, our struggles, our health-related organizations in Chicago. Our hope is triumphs, our confusion, our...lives. that each person who picks up a copy of Mosaic will find While the reality is that we may find ourselves – or our stories that they can relate to or learn from in some way. loved ones – instantaneously transported to the abyss of ill We would like to thank all of the students who worked health, we are not alone. Standing in front of us, behind us so hard to make this magazine what it is. We also want to and with us for support are our fellow Americans. As often give a special thanks to the editorial and design advisors, as our country is lamented for being too individualistic, John Slania and Jessica Brown, respectively, for their illness can serve as a rallying cry for complete strangers passion and guidance throughout its formation. to stand up together and fight to protect the health of Finally, we want to thank you, the reader, for picking up someone they’ve never met. a copy of Mosaic and supporting all of our efforts. Enjoy! With its focus on health, this 10th-anniversary edition of Loyola’s Mosaic magazine demonstrates this support To health and happiness, and is more relevant than ever, given the implementation Anna Heling and Shannon Barnet

Mosaic 7

Your Future Starts Here

We are proud to support the efforts of all Loyola students as they make their future. So, if you’re looking for help in choosing a career or support with your internship or job search, stop by and see us. We’re easy to find. Conveniently located in Sullivan Center/Suite 295 Lake Shore Campus

Career Development Center YOU www.luc.edu/career FINISH. ADULT EDUCATION PROGRAMS The finish line is within your reach. At Loyola’s School of Continuing and Professional Studies, we offer degrees specifically for working adults. Visit LUC.edu/AdultEd. “It’s a nice system because it’s very partner,” he said. personal,” Patterson explained. “We “Don’t be afraid think it’s empowering to people. We re- to talk about ally give them some choice in what they testing, status POSITIVEVITAL can have. Most pantries offer a little bit and past part- of selection, but I think we do it better.” ners.” According to the Centers for Dis- But for those SIGNS ease Control and Prevention, 550,000 who are HIV Americans have died from AIDS-relat- positive or who orky Giesting, 38, moved ity of people with HIV or AIDS live at ed complications, and approximately have AIDS, Vital 1.1 million are currently living with Bridges can be a Written & Photographed by: to Chicago 10 years ago or below the poverty level ($23,050 per with no insurance, no year for a family of four, according to some form of the disease. In fact, 6 in helpful resource. ALLY WATT job, and a debilitating the Department of Health and Human 10 young people infected with HIV Clients who C disease. He is one of the Services), Vital Bridges has five loca- aren’t aware of their condition, accord- meet the organi- estimated 20,000 peo- tions around Chicago. There are also ing to the Centers for Disease Control. zation’s income ple in Chicago who lives with HIV or locations in the suburbs of Oak Park had the eighth largest popu- and health re- An array of eclectic items along a wall mural create a lation of people living with HIV or quirements can AIDS. and Elk Grove Village. vibrant and upbeat feel at Vital Bridges. Without any resources, Giest- Michelle Patterson, associate direc- AIDS at the end of 2009. Chicago and fill out an order its suburbs accounted for 78 percent of form for food, Vital Bridges Center ing turned to Vital Bridges Center on tor of development at Vital Bridges, Giesting, who was first introduced this population, according to the AIDS in which they can select a certain num- Chronic Care, an organization said that the five locations are spread to the program as a client 10 years ago, on Chronic Pain Foundation of Chicago. ber of options from each food category. that aims to provide free food, out so resources can be available to as was able to get back on his feet with the Kevin Nicols is an employee at the They offer, fresh produce, frozen meats, provides resources shelter, care and education for many people as possible. help of Vital Bridges. Now he volun- center on Halsted, a service that offers fish, fresh dairy, and a variety of starch- those afflicted with HIV or “Most of our clients don’t have a teers at the organization and no longer free HIV testing, support and educa- es and canned goods. The volunteers at to sustain the lives of AIDS. car,” Patterson said. “They’re on public needs its services. He focuses on pro- tion to the LGBTQ community. He said Vital Bridges then pick out the request- “Before I came here I was transit, so we try to situate near those viding to others the warm service that those suffering with the LGBTQ community’s large popula- ed items and bring them to the client. nervous and scared—petri- places that will be easily accessible.” originally drew him in. tion might help explain the higher rate Giesting, however, insisted that HIV and AIDS fied is probably closer to it,” Each location provides its cli- “Now I try to make everybody feel of HIV and AIDS among Chicago resi- it’s more than the food selection that Giesting said. “But they sat ents with nutrition counseling and like family,” he said. “My goal is to make dents. makes Vital Bridges so successful. me down and described dietary management, groceries, everyone smile at least once every time Nicols stressed the importance of “Most places are very clinical. You go what I needed to do and re- housing assistance, and case man- they’re here, even if they don’t think preventative measures that everyone in, sit down, see your case manager, go ally put my mind at ease.” agement. Patterson believes it’s they want to.” For people like Giest- the food and nutrition that makes should take. to your support group,” Giesting said. ing, Vital Bridges is there Vital Bridges different from most “Always keep safe, use protection, “But here, I felt like family the very first to help. Since the major- health clinics or food pantries. and have an open dialogue with your day I came.”

HOW HIV IS SPREAD

Not using a condom when having Having multiple sex partners or Sharing needles, syringes, rinse Being born to an sex with a person who has HIV. the presence of other sexually water, or other equipment used to infected mother—HIV All unprotected sex with someone transmitted diseases (STDs) can prepare illicit drugs for injection. can be passed from who has HIV contains some risk. increase the risk of infection during mother to child during sex. Unprotected oral sex can also be pregnancy, birth, or a risk for HIV transmission breast-feeding. As CEO of the Test Positive Aware Network in Edgewater, Bill Farrand ensures that those diagnosed with HIV or AIDs have access to many TESTING resources, the kind he didn’t have when he was diagnosed with HIV in 1990.

POSITIVE one before I go to bed.” days, but in the end I was really

Since then, there have been changes lucky,” Farrand said. in how people get treatment and how He left the theater world after they handle the diagnosis. Farrand achieving his dream role and The CEO of the Test Positive Aware Network strives to has been living within the positive realizing that he would never feel improve care and counseling for those with HIV/AIDS community for over 20 years and has fulfilled in that career. Farrand seen how the epidemic used to be in the then moved back home to Illinois front of people’s minds, but has since to take care of his parents and Written & Photographed by faded from conversation. ended up in the vastly different care offered in San Francisco was good “I’ve seen a lot of changes over the field of corporate banking. However, he but limited. According to him, HIV care MADELINE ANDRÉ years in adapting to how the epidemic is discovered that a banking career wasn’t still lacks the information exchange and changing; how healthcare is changing,” fulfilling for him either. connection between patient and doctor Farrand said. “I really enjoyed it for a while, that comes with a traumatic diagnosis Farrand noted that while the but then I felt like I really needed to like HIV. medications may be better, there do something that was a little more “Even those with good insurance are more government programs and meaningful,” he said. might be getting 15 minutes of their regulations that outline who can get the Farrand left the bank and entered a doctor’s time,” he said. “They may not care and at what price. TPAN however, graduate program for counseling the be getting a lot of sympathy or support helps each person figure out which same week that he started an entry- from the doctor, and we try to fill in programs they qualify for and how to level support position at TPAN. He saw that gap.” ou’re positive and you have been for a really long time.” apply for them to receive adequate care. the inspiring changes that its services Jeff Barry, director of publications at Y Farrand started out in theater in made in people’s lives and decided that The Network, described Farrand’s work “ at TPAN as successful. Those are the words Bill Farrand neighborhood ushered you out as comfortably as 1984 after graduating from Illinois he would stay with the organization “He has all the right people in the heard when he picked up the phone in Test Positive Aware Network - possible,” Farrand said. Wesleyan University and moved to until he became CEO. right places to move TPAN forward, 1990. The voice on the other end was known as TPAN - not only provides Farrand described how traumatic New York City to pursue his dream role After only a few short years and especially at a time when a lot of calling from an HIV study Farrand medical care and counseling for and stressful an HIV diagnosis was at as Bobby in “A Chorus Line.” He moved many job titles later, Farrand was organizations are failing,” Barry said. had participated in seven years earlier. those living with the disease, but also the time that TPAN was created. to San Francisco in 1991 for his career named TPAN’s CEO in 2011. Farrand’s TPAN board member Paula Basta of Farrand sent blood samples to his provides support and informational “Back then, HIV was pretty much a after learning he was HIV positive and said his work encompasses what he has the Chicago Department of Family and doctors, who compared them to earlier groups for family members and trained death sentence,” he said. “At that point eventually landed the role of Bobby. learned throughout his other careers Support Services said Farrand’s ability samples taken from the study. The counselors. The staff helps clients in time you didn’t know how long you He also met and lost a partner to AIDS while living HIV positive. to listen to everyone is a main reason doctors discovered that he had been with different forms and program would remain well.” after only a few short years. Farrand “At a different time in my life, I was for his success. living with HIV for years, yet he never applications that need to be filled out in When Farrand learned he was himself similarly went through a period a person who had to utilize the services “His strength is that he has a real knew it. order to receive affordable care. positive, there were very few medication of poor health related to HIV. of a place like TPAN and the public grasp on the community and is a good “It was pretty traumatic,” Farrand TPAN was founded in 1987 by a options available. One such option was “It was rough ... it’s probably what health system to get my care,” Farrand listener to the clients, staff and board,” said. group of people who wanted to focus a form of drug therapy commonly people feel like when they have said. Basta said. Fast-forward 20 years later and on living a full and happy life with HIV, called the “HIV cocktail” that included chemotherapy...I was bedridden for 10 Farrand recalled that the medical Farrand is now happy and healthy, rather than treating the virus like a many medications. working in what he calls his “third ticking time bomb. “When ‘the cocktail’ came out, I HIV damages a person’s body by destroying specific blood cells, called career,” as the CEO of the Test Positive “[The creators of TPAN] wanted a think I was taking 26 pills a day, and Aware Network in Chicago’s Edgewater place to help you live, not a place that they were timed,” he said, “Now, I take CD4+ T cells, which are crucial to helping the body fight diseases.

Mosaic 13 Hunter Hillenmeyer works as an the top five reported injuries in high school athletes are knee, advocate after suffering five concussions shoulder, back, wrist and head-related injuries.

but also for other prominent injuries. of recovery time for the brain to heal it- here in that there is so much awareness The seminars are open to the public self. This recovery time differs depend- around concussions and that affects the so parents, coaches, and the athletes ing on the person and the injury. 1,800 people in the NFL,” he said. “But themselves are encouraged to attend. A The last of the speakers at the semi- the NFL is kind of the thought leader for specialist in each field of popular injury nar is Hillenmeyer. Although Hillen- college and high school youth sports.” gives a brief presentation on causes, meyer is not a doctor, after playing The main purpose for the Midwest symptoms and prevention methods football for 20 years, he is somewhat of Orthopaedics at Rush seminars is to get surrounding the injury they are dis- an expert on the injuries that athletes the message out that student athletes cussing. Most of each seminar, however, can sustain on the field. He explained who have sustained a head injury should is dedicated to discussing concussions. that he had seen a specialist at least one proceed with caution. Some studies are “Across the nation, it is estimated time for each injury that had been dis- already underway at Rush, such as a that about 1 million sports-related head cussed during the seminar. study on whether or not strengthen- injuries occur every year, in just high “Maybe the real moral is don’t let ing neck and shoulder muscles helps school athletes alone,” said Dr. Jeffrey your kid play in the NFL,” Hillenmeyer prevent head injuries. According to Mjaanes, orthopaedic physician and joked. Mjaanes, research will continue to director of Chicago Sports Concussion Hillenmeyer started his football ca- evolve, and a better understanding of Clinic at Rush. The problem, Mjaanes reer in Nashville, Tennessee, at Mont- solutions and prevention methods will explains, is that up to 90 percent of gomery Bell Academy and was on the be tested and recommended. these injuries go unreported. team when they won the state champi- For the first time ever, participation Illinois recently became the 32nd onship in 1998. Hillenmeyer then went rates in the sport of football are decreas- state to adopt a concussion law. The on to play for Vanderbilt University ing because parents are seeing the risk new law in Illinois states that a student from 1999 to 2002. During his time of head injuries, that accompany the athlete and his or her parent must sign there, he won many awards, including game, outweighing the benefits. As for a written form that acknowledges the the First-team All-SEC and Academic Hillenmeyer, he hopes this will change concussion policy from the Illinois All-America honors. He also led the and is excited to be a part of it. High School Association. In addition, nation in most tackles per game. “I think it’s a great game and think EX-BEARS an athlete who is removed from play, Hillenmeyer was originally drafted that it has to change to be sustainable, as a result of a concussion or suspect- by the Green Bay Packers, but was cut but I think that things like this and rais- ed concussion, must be evaluated by a from the team in 2003. He was then ing awareness are important steps in LINEBAKER TACKLES physician and receive written clearance picked up by the , the that process,” he said. “I think that the before partaking in practice or games Packers’ rival team. He played for the awareness now is there to get some of again. Bears until he suffered a concussion these things done and if I can play a role As research in the field of concus- while playing at the 2010 season open- in that, I’m happy to.” CONCUSSIONS sions broadens, discoveries are made er against the Detroit Lions. He was every day about the severe conse- placed on injured reserve until he was Everybody who Written by Brittany Nelson quences that can result from the injury. released in early 2011. has [second- Photographed by Jennifer Okray Mjaanes talked about a condition called Although his career ended abruptly, second-impact syndrome. Returning to Hillenmeyer sees why it is necessary to impact syndrome], the sport too soon, after a first diag- leave the game behind. ou walk onto the field, Hunter Hillenmeyer spent eight conducted by Midwest Orthopaedics at nosed concussion, and getting hit again “At what point do you get so sus-“ if they live, are the crowd is cheer- years as a linebacker for the Chicago Rush and the Illinois Athletic Trainers causes this condition. The second hit ceptible to another concussion that it’s ing, and you can feel Bears, but after feeling the effects of Association, the top five reported in- causes rapid swelling to the brain and just – you can’t do your job and you neurologically the energy complete- his fifth career concussion during a juries in high school athletes are knee, is, in half of the reported cases, fatal. shouldn’t be playing? I’d reached that devastated.” ly take hold of you. season opener in 2010, he was placed shoulder, back, wrist and head-related “Everybody who has this, if they live, point,” he said. You are still not feel- on injured reserve. Since then, he has injuries. are neurologically devastated,” Mjaanes Post-NFL, Hillenmeyer now spends — Dr. Jeff Mjaanes, Y ing 100 percent after become an advocate for concussion Hillenmeyer, in partnership with said. Mjaanes explained that “neuro- his time raising awareness for the same that hard hit a few weeks back, but you awareness and prevention. Midwest Orthopaedics at Rush Uni- logically devastated” means the per- condition that caused him to step away director of Chicago get ready for the kick-off anyway. You “This has sort of become my cause in versity Medical Center, gives seminars son would no longer live a normal or from the field. Hillenmeyer explained Sports Concussion have no idea it is the last game you will life after football,” said Hillenmeyer, 31. at Chicago-area high schools that cre- healthy life. To prevent this, he said that the impact that the NFL is having. ever play. According to a six-month study ate awareness not only for concussions, it is essential to give the athlete plenty “I think that we are at a neat time Clinic at Rush

14 Mosaic Mosaic 15 SHARING IS CARING CareVan brings healthcare to needy citizens around Chicago

Written & Photographed by SHANNON BARNET

Tarayven Pope, 12, gets a flu shot while her brother waits to receive several vaccinations at a community health fair.

he large white van is Side, is one of those places. The area by Chicago Public Schools for free. community for medical care for low- Morita said. “So more people from Morita said. “Eventually, the vans went emblazoned with the is a neighborhood struggling with These immunizations include shots income families. Brown worked with these communities got sick, more on to start vaccinating children in other faces of smiling people. poverty and crime. At a recent health for whooping cough, tetanus, polio, Illinois Sen. Kimberly Lightford to people were hospitalized. That’s when parts of the city as well.” The “CareVan” isfair in Columbus Park, Rayford Pope, chickenpox, MMR (measles, mumps organize the participation of a number we realized that there was a need to get According to Morita, the Chicago T somewhat of a symbol 54, and a father of two, expressed his and rubella) and hepatitis B among of medical services, including the the vaccines out to people who didn’t CareVan program is going strong, for the Chicago Department of appreciation for the health department others. The van also offers influenza CareVan mobile immunization nurses. necessarily have access to health care.” administering anywhere between 5,000 Public Health’s traveling road show to program while his daughter Tarayven, vaccinations for no “out of pocket” cost. “Pretty much everyone here, every In order to get the vaccines out, a and 10,000 vaccinations a year. The bring health care to the second city’s 12, and son Raymarreon, 7, waited for The Columbus Park community doctor and nurse, is volunteering today. van was sent to the Chicago Housing program may be looking to expand its neighborhoods. their shots. event lasted for several hours on a They all believed in this same vision of Authority. services to include screenings and tests The CareVan chauffeurs nurses and “I’m not working. I’m disabled so I Saturday afternoon, when it would be helping out these families,” Brown said. “The van went from housing for blood pressure and HIV as well as medical supplies around Chicago’s don’t have health insurance or coverage more likely for community members to Dr. Julie Morita, medical director authority complex to housing authority obesity prevention programs. underserved communities so that for my kids,” Pope said. “This program be able to attend. The nurses had their of the Chicago Department of Public complex to combat measles,” inner-city families can receive flu shots is important. My kids need these shots hands full with a large turnout. Health, said the CareVan program and other vaccinations. The van can so they don’t get sick and they wouldn’t “We’ve been going nonstop since we was started not long after the Chicago often be seen parked outside health fairs be able to get them without this.” got here at 9:30 a.m.,” said one nurse. measles outbreak in 1989 and 1990. sponsored by the health department or According to Pope, the shots his kids “We’ve had so many families bring in More than 3,000 Chicagoans reportedly the office of a local alderman. get from the mobile immunization kids for vaccines and we’ve let each one fell ill during the epidemic. The CareVan is the face of a project and an occasional check-up at know that we have flu shots as well.” “When we looked at who was partnership between the health a local free clinic are the only medical Native Chicagoan Alicia Brown, 45, affected, we saw that a lot of department and Blue Cross and Blue care his kids are able to receive. started organizing the community fair the poor, less well-served Shield to bring health care services to The CareVan, which visits Chicago at Columbus Park in early October. people who didn’t places in the city where medical care is churches, childcare centers, community Brown, who is medically retired have access to health hard to come by. events, schools and other locations, from the Illinois National Guard and care were affected Columbus Park, located in the provides children under the age of the Chicago Fire Department, is a more seriously by the Austin neighborhood on the far West 18 with all of the vaccines required registered nurse who saw a need in the measles epidemic,”

16 Mosaic Mosaic 17 Each member of the Back On My Feet organization received a T-shirt personalized with the number of miles they have completed with the program.

efore sunrise on a dential members, who live in a local fa- brisk fall morning in cility. When they start, all members are the Lakeview neigh- given running gear, including custom- borhood, a group of fit running shoes. They typically run Chicagoans stood to- between one and four miles a day, on Bgether in a dimly-lit a route through a Chicago neighbor- Whole Foods parking lot and recited hood. As the miles accumulate, they The Serenity Prayer: can earn other incentives such as run- ning watches and hats. God grant me the serenity to accept While each team meets three-to- the things I cannot change; four times a week for 5:45 a.m. runs, courage to change the things I can; the program is not just about the exer- and wisdom to know the difference. cise. Members who show dedication to the program can take financial literacy Aside from sporting party hats and classes, earn job placement opportu- frosting-stained shirts for the two-year nities, and participate in social events anniversary celebration, this was no or- throughout the city. dinary group. This was a running group Camacho is a residential member on for the homeless, and each member was the Lakeview team, meaning he lives at trying to help one another get back on the nearby Young Men’s Christian As- their feet. sociation (YMCA) while he strives to become healthy and independent. But gram, he wasn’t in the best health and Runners differed in their abili- lived at a community home. Just three ties. Some had quick shallow breaths, for him, the early morning wake-up calls are already worth it. months later, he had lost more than 12 while others breathed easily alongside pounds, decreased his blood pressure, their steady pounding of the pave- “I’m motivated by this,” Camacho said. “To say that you did something, and moved into an apartment of his ment. own. “I still say I’m not a runner,” Carmelo that you accomplished something, ear- ly in the morning, it’s a good feeling.” “I feel totally free,” Zamora said. Camacho, 56, said. “I hate running. But “When you have your own place, you it’s a fun thing and it sets me for the Omar Zamora is another success whole day, you know? I feel happy, and story with Back on My Feet. When See next page energetic.” 62-year-old Zamora joined the pro- Camacho is a member of Back on My Feet, a national non-profit orga- Carmelo Camacho nization that helps the homeless and and volunteer Jay other underserved groups become Ohms. Although independent, successful and healthy Camacho says he through running and goal setting. The still hates to run, Homeless get back on their feet national organization that launched in he gets up early 2007 is funded primarily by individu- multiple times a Written & Photographed by als, foundations and corporations, in- week to run with the cluding Comcast and Marriott Hotels. Lakeview chapter. ANNA HELING The Chicago chapter of Back on My Feet, which launched in 2010, consists of 47 residential members that make up four running teams. They are look- ing to add another team sometime this year. Teams are made up of non-resi- dential members (volunteers) and resi- JO URNAL M The Loyola Journalism Program wants to Back on my Feet’s four Chicago chapters gather to celebrate their second anniversary. The national nonprofit aims to I help homeless people become independent and successful through running and goal-setting. acknowledge the hard work of our journalism S students, and commitment to knowledge and truth feel the freedom to do whatever you Terri Rivera, the executive director ago, when she visited one of the finan- want to do at the time you decide to do of the Chicago chapter, said one of the cial literacy classes offered at Back on representened in these pages. Like any ‘ism’ our it. You feel independent.” greatest parts of the program is help- My Feet. She said she walked in and Not only is Zamora relishing in his ing to change the stigma surrounding thought she was in the wrong room. program exemplifies a distinctive practice, system, new space, but he said the program has homelessness. “It was all different types of people: and philosophy of reporting with integrity coupled brought him a burst of energy as well. “One of the things is that there’s white, black, Mexican, women, men,” “[The volunteers] motivate you for different levels of homelessness,” she she said. “Everyone was clean and re- with using the latest technological advances to tell your health—physically and mentally,” said. “So there’s people that work who ally nice. It was my first real interaction he said. “You also make good relation- are homeless. There’s parents who are with homeless people and it definitely stories that people need to know about. ships with people and get a good educa- homeless. It’s not always the men who was not what I was expecting. I’m hop- tion. They make you feel like you’re part you see under the bridge.” ing people who join our program see of their family.” Rivera said her own perceptions what I saw.” The program’s benefits extend to the about homelessness changed her sec- One such person is 26-year-old Jay CONGRATULATIONS TO THE MOSAIC STAFF! volunteers and staff too. ond day on the job a little over a year Ohms. Ohms started volunteering for Back on My Feet in June of 2011 and I’m motivated by this. To say that you is now the Lakeview team leader. He, like many others, had no idea what to did something, that you accomplished anticipate coming in to the experience. “I think I expected some total dis- something, early in the morning, it’s a connect between the guys living at the “ good feeling.” ‘Y’ versus the volunteers,” Ohms said. “It couldn’t be further from the truth. — Carmelo Carmacho, member It’s not the 5:45 morning runs that keep me coming back here. It’s the people.”

20 Mosaic Unattainable body images featured in media continue to adversely affect adolescents and influence eating disorders

Written by STARVING Brittany Nelson FOR “I remember thinking I was fat as young as four.” This comment may be alarming to some, but for Caroline Rothstein, it is part of her struggle, her story.

Rothstein, a Wilmette native now could have something to do with it. ical eating habits but whose habits do ATTENTION living in New York, fought a decade- “With the focus on ‘fighting obesity,’ not fit specifically into anorexia nervosa long battle with anorexia nervosa and many messages are out there that en- or bulimia. Some individuals in the ED- bulimia. She was just 11 years old at the courage kids to not accept themselves,” NOS category may have a mix of symp- onset of her illness. Astrachan-Fletcher said. “I also think toms from both disorders. For example, “I was a recipe for an eating disor- that as adolescents lose weight, society a person who binge eats regularly and der,” Rothstein, 29, said. “I struggled is very reinforcing until the weight loss purges less than 2 times per week does with my relationship with food and my reaches a life-threatening potential.” not fit in the anorexia or the bulimia body starting at such a young age.” Rothstein said her experience with category and therefore defaults into the Hospitalizations for eating disorders eating disorders aligns with this think- EDNOS category. in children under the age of 12 doubled ing and was rooted in ideals found in While many believe a child’s biggest from 1999 to 2006, according to a CNN the media. worry should be about whose kickball article. “I began with dieting and restriction team to be on or who to take to the Following suit, programs that spe- of food in 1995 and it was mostly based middle school dance, some experts say cialize in adolescent eating disorder on magazine images, television and these worries have now transformed recovery have cropped up across the commercial messages,” Rothstein said. into making sure they’re not tipping the country, including in Chicago. Kristen Anderson, a licensed clini- scale. Insight Behavioral Health Centers cal social worker from the University “When you are a young kid, ado- opened its Northbrook Intensive Out- of Chicago, said the increase in ado- lescent, there is a joy and fun in go- reach Program about a year ago. In Sep- lescents with eating disorders may also ing to 7/11 and having a big Slurpee,” tember, an intensive outreach program be, in part, because of a new category of Rothstein said. “I missed out on that with new treatment plans opened at a eating disorders. freedom, that liberation.” downtown Chicago location. “Due to the inclusion of the catego- The treatment for adolescents fight- Dr. Ellen Astrachan-Fletcher works ry of Eating Disorders Not Otherwise ing eating disorders differs from that of with adolescents who suffer with eating Specified (EDNOS), these numbers the treatment for older adults. disorders in the program at Insight. Al- may appear to be rising,” Anderson Insight’s intensive outreach program though she is not if sure these numbers said. for adolescents fighting eating disorders are continually on the rise, she suspects EDNOS is a category for children society’s concern with body image and adults who suffer from severe atyp- See next page

olgagrandascott.blogspot.com Mosaic 23 I began with dieting and restriction of food in 1995 and it was mostly based on magazine images, television and commercial messages.” “ — Caroline Rothstein, anorexia nervosa survivor

focuses on family-based treatment. want to fix yourself.” Rothstein, a spoken-word poet, This method is tailored to adolescents Rothstein has recently gained fame posted a link to her poem “Fat” on Lady with anorexia in the first three years of from the fans of Lady Gaga because of Gaga’s fan page, which recounts her their disorder. her video blog called “Body Empower- battle through vivid and honest words. “With these kids, if we can get their ment.” She said the goal of her blog is “The next day I was getting tweets brains re-fed quickly enough, the rest to create dialogue and discussion about from all her fans and then she even of the treatment movews much more eating disorders. tweeted the link to my poem,” Roth- smoothly,” Astrachan-Fletcher said. Rothstein began blogging her story stein said. “That next night, it went vi- Family-based treatment, however, after becoming a resource for the Na- ral.” goes beyond just focusing on the pa- tional Association of Anorexia Nervosa For adolescents currently at a loss tient with anorexia. Getting the family and Associated Disorders (ANAD) with their disorder, Rothstein shares a involved in the recovery process is es- This nonprofit corporation is dedi- message. sential to success. cated to the treatment and preven- “The goal in life is to discover your One method under the umbrella tion of eating disorders through both core and nurture it,” she said. “Embrace of family-based treatment is Dialectic its own treatment centers and partner your authenticity and find triumph in Behavioral Therapy. This treatment is centers. adversity. There is no need to struggle rooted in teaching skills in a two-part They also have “resource people.” in silence and pain.” format. One goal is getting patients to These contacts are accept themselves as they are, and the fully recovered other is to be motivated to change. from an eating The patients and their families learn disorder and are skills to deal with the disorder and available for people tackle it head-on. who are currently “It is important to also include the suffering from an families when treating adolescents with eating disorder eating disorders,” Astrachan-Fletcher who wish to seek said. “They face the eating disorder and advice or support. maladaptive coping, as a team.” “Five years ago, It isn’t always enough that the fam- a girl from ANAD ily of an adolescent suffering from an contacted me and eating disorder is simply aware of the said she had never problem. met anyone like me “My family knew early on because of who was recovered omailchacurls.com the obvious food restriction,” Rothstein and suggested I put it said. “But just because family knows, all on YouTube,” Obsession with numbers on a scale can cause people it doesn’t mean recovery; you have to Rothstein said. to make bad decisions with their eating habits.

24 Mosaic Mosaic 3 Written & Photographed by Kathy Fazekas

are for Real knows the true meaning of the monthly or daily food option. phrase, “When life hands you lemons, make The monthly option is essentially food for a week, depend- lemonade.” ing on family size. The client usually receives a chicken, some Food Consider a recent incident when the Edge- smaller meats, canned veggies, beans, pasta, tomato sauce and C water food pantry was delivered a truckload of oatmeal. It also comes with fresh fruit, vegetables and bread, lemons. Since Care for Real provides food for those in need, but items tend to vary depending on what has been donated. organizers were delighted. The daily option allows the clients to come in Mondays, “There is a great deal of things you can do with lemons,” Wednesdays, Fridays and Saturdays to receive breads and For said Doug Fraser, executive director of Care for Real. vegetables. If you are a part of the Loyola University Chicago commu- The people that come in for the daily food option tend to nity, it is possible that you have unknowingly passed Edge- be retired or refugees who are on a fixed income, using the water’s food pantry more than a few times. Tucked away on daily foods as a supplement to their own personal grocery Sheridan Road, between Balmoral and Berwyn Avenues, is shopping. Care for Real, a food pantry that has been serving the sur- “We are proud of the fact that there is no reason to go hun- rounding community for 42 years. gry,” Fraser said. “You might be eating kale and English muf- Thought The food pantry provides to people who have fallen on fins for the week, but we will never run out of food on that hard times and acts as a safety net and a supplementary t a b l e .” source of food for people in need. Care for Real refers to the In 2008, the average client used Care for Real four times a people it helps as “clients,” and on average distributes 60,000 year, but in 2010 the number went up to seven visits per year. Food Pantry Keeps Community Hunger At Bay pounds of food per month. Fraser believes that the number of clients is higher this Care for Real receives 80 percent of its food from local year because food prices have increased. retailers such as Trader Joe’s, Whole Foods, Aldi, Jewel-Os- Care for Real uses about fifteen volunteers each time it co and Costco. The other 20 percent is purchased from the serves food. The average volunteer stays with the organization Greater Chicago Food Depository, which mainly consists of around six-to-nine months. However, there are many volun- time-sensitive items such as eggs and milk. teers who have been around for years and have made Care for The big retailers provide a large amount of the food that Real their home away from home. Care for Real gives to their clients. Bread that is produced Fred Mc Intoush, 64, has volunteered at Care for Real for daily and remains unsold at the end of the day is one of the two years. He heard about it from a friend. He walked past popular items retailers donate, along with a variety of other one day and decided to go in. Mc Intoush helps four times a products that are either perishable or not selling well. week with the food set-up and distribution, and he seems to Clients are eligible to receive food if they live within Care have developed friendships with many of the regulars. for Real’s geographic area (Foster Avenue to Devon Avenue “When you are blessed, if you don’t share that blessing then or Western Avenue to Lake Michigan) and fall into a certain you don’t get all out of it as you should,” Mc Intoush said. income level. If clients are outside the specified geographic Some of Care for Real’s volunteers are clients who are area, Care for Real will serve them once and then refer them choosing to give back. The food pantry has been seeing a dif- to a pantry closer to their home. ferent demographic of volunteers in response to its Facebook Surprisingly, Care for Real does not encounter many page, including 30-to-40-year-olds who are looking to get in- homeless clients. volved. “If we serve 200 people in a day, we’ll serve one homeless Casey Nielsen, 32, a music teacher, has volunteered with person,” Fraser said. “We give them foods that they can eat the organization for 18 months. Nielsen comes in once a week right away. Things that open easily and don’t require cook- and said that his favorite aspect of volunteering is the feeling i n g .” of having done something. Though clients are of all ages and backgrounds, many tend Along with providing food for the community, Care for to be elderly. They serve a very diverse group of clients. Real also supplies clothing and pet foods. It sees about 1,200 The “shopping” process for clients is very systematic. Cli- client visits a month for clothing and receives about 200 bags ents come in and are ushered into a waiting area where they of clothes every week. Care for Real considers itself a family are checked into a computer. Then clients decide between a to the community. “When you need help you come here and if we can help Opposite page: Keeping shelves stocked at food pantries you we will,” Fraser said. “You wouldn’t wait until you were has become increasingly difficult over recent years. homeless until you would go ask a family member for help, so take that same approach with us.”

Mosaic 27

( : I have been without a smile for 30 years, and Goldie’s is giving me my smile back.” start “ — Gregory Thomas, Goldie’s client made it her life’s work to bring smiles back to those who are Once a month, Goldie holds a lottery for those wanting less fortunate. to get in the program. At 6 a.m., potential clients call into “[Goldie’s] is about bringing out the potential in a person,” Goldie’s and the first lucky dozen people are admitted into with a said Dalton, “It’s about bringing out that smile.” the dental program. After an initial screening, patients are It all began when Dalton raised her hand in church to enrolled in the program for as long as they require the care. volunteer to tutor at an Evanston homeless shelter alongside Goldie’s offers an array of services, from tooth extractions Joy Murphy, who later became a co-founder of Goldie’s. and cleanings, to X-rays and root canals. The services at “When I first got into this I was worried about how they Goldie’s have become increasingly important after individual smile would look at me because I was so blessed and they weren’t,” public aid was cut, leaving individuals with much less dental said Dalton. “But I was amazed at the reaction. They were so coverage. appreciative and showed so much humility.” Of all of the services offered, Goldie’s is working on Goldie’s Place was founded in 1996 after Dalton and increasing its denture program. Recently, Goldie’s grant has Murphy, along with Roberta Friend, sought to correct the allowed them to improve their denture services, and hired its problems they saw with other homeless shelters. The dental first staff dentist this year. Goldie’s Place: program grew out of pure chance. Dr. Brian Homann was among the initial students to work “The start was serendipitous,” Dalton said. “Dr. Bill Bjork, at Goldie’s while he was still a dental student at UIC. Goldie’s who was a friend of Roberta’s, wanted to do dental work just partners with the dental schools at University of Illinois in dental clinic offers to do it. He started off with a little storefront on Clark Street Chicago and Kennedy-King College in Chicago several with only a couple of dental chairs and a karaoke machine to times a month, allowing dental students to gain real-world sing to patients so they wouldn’t get nervous.” experience. affordable care From these humble beginnings, the Goldie’s Place dental “It is a great program because is really gives the students program has blossomed into a full clinic that features two a chance to be in control,” Homann said. “In most other X-ray machines, six chairs, and a staff led by Dental Clinic settings it is much more regimented, but here the students Written & Photographed by Director Shamika White, who at one time struggled to smile take control.” herself. For the most part, Goldie’s is reliant on the charity of ZACK DeBIASI “Growing up I always had bad teeth, got teased and was others. All denture work must be sent out and is done for afraid to smile,” White, 30, said. “I wasn’t able to afford dental free by outside companies. Goldie’s also relies on a staff of care, so I joined the military, which gave me the opportunity volunteer dentists who come in as often as they can to care to get dental care and to go to school.” for patients. White now manages the clinic, which sees between 60 and On top of dental work, Goldie’s offers interviewing and othing expresses a person’s happiness like a 80 new patients each year. To obtain dental care, clients must resume building workshops to help their unemployed big toothy grin. Gregory Thomas, a homeless be registered with one of Goldie’s partner homeless shelters. clients get back to work. The center also has a closet full of and unemployed Chicagoan, has not had this professional clothes for clients to borrow for interviews. luxury for most of his life. Thomas lost nearly N At first glance, dental care and employment help seem all of his teeth as a result of not having access unrelated, but Goldie’s proves that the two work together in to affordable dental care. a close relationship. That’s where Goldie’s Place comes in. Goldie’s Place is a “The overall goal is to teach them about employment, homeless support center and the only free dental clinic in give them something to wear and then give them a smile, so the Chicago area. they can find work and remove themselves from the cycle of “If someone sees you and sees that you don’t have teeth, homelessness,” Homann said. then they won’t want to hire you,” Thomas said. “I have been without a smile for 30 years, and Goldie’s is giving me my smile back.” Goldie’s Place at 5705 N. Lincoln Ave. is the only free Johanna Dalton, 66, the director of Goldie’s Place, has dental clinic in the Chicago area.

28 Mosaic Mosaic 29 ALMOST HOME 120: Number of days the transitional program lasts. 800: number of children served in Naperville since AHK opened. A Chicago-based rehabilitation center helps children beat the odds, gives them hope and the comforts of home. 6,000: number of children in Illinois who are medically fragile

Written & Photographed by ABBY KLECKLER

Left to right: JJ plays ‘So Big’ with his nurse, Mer- issa, as they watch the snow falling outside; Angel enjoys the playful companionship of Jessica who comes to AHK twice a week to volunteer with the children in Naperville; AHK celebrate Halloween in the Coleman Foundation Family Room.

he elevator doors opened children, those who are in stable “Our home is where company never downtown Chicago. “Every child has the right to grow “All of our nurses have one thing to what looked like an condition but have severe disabilities. stops coming,” said Kathy Stegman, “Chicago is the urban home, and up in a home, and there’s no vehicle in common, that they love our special upscale condominium, They require around-the-clock care director of nursing at the Naperville Naperville is the more residential for that to happen unless you have an populations,” Stegman said. “We just complete with a modern and often need a tracheotomy tube or facility. “We always have visitors and home,” said Judith McLean, the director organization like this,” she said. “Every start out with unique, caring nurses T kitchen, spacious living ventilator. parents and children and the staff here, of marketing and communications, child we take care of – it’s as if it were from the get go.” room, and wide-open playroom. Just AHK has two locations—one tucked so this is a house where company just “and Deborah was the one with the one of my own children staying here.” A final component of AHK is respite off the playroom was a nursery housing away in the heart of downtown Chicago comes and goes.” vision for Chicago.” AHK’s transitional care program lasts care for those who already made it two white cribs with colorful striped near Lurie Children’s Hospital and The Naperville location has served Deborah Grisko always knew she for up to 120 days. Parents bring in all of home once before. The children in this blankets and walls decorated with another in the rural area of Naperville. more than 800 children since opening wanted to become a nurse growing up. their child’s home medical equipment. program receive the same care as those bright artwork. This care facility helps children in a in 1992. Set on two-and-a-half acres of “I like every day to be new and As part of the program, the children in the transitional program, but parents But this was not a traditional nursery. way wholly unique to Illinois. The two land surrounded by trees and walking different,” she said, “and I like to know begin therapy while the parents learn are allowed to bring their children to Thirteen electrical outlets flanked both facilities can each provide care for 12 trails, the home allows families to that I learned something new every day, about the medical care needed for their the facilities for up to two weeks a year cribs, confirming the special situations patients at a time. Eighty percent of the literally get a breath of fresh air. and I’ve been able to do that here.” child, including meal preparation. for any reason. of the children who stayed in this families the nonprofit serves live at or “You know often it’s the first time After 20 years of medical experience, “By the time [the parents] leave us, Grisko believes respite care is crucial particular nursery. below the poverty level. out of the hospital,” Stegman said. “The primarily in emergency room and they’re going to be not only competent to keeping families together. “These children will never go to With more than 6,000 children in children come here, and they get to go critical care, Grisko joined Almost but confident, just like they were a “I’ve had children come in here, college,” said Deborah Grisko, president Illinois who are medically fragile, one- outside for the first time in months and Home Kids six years ago. She is a nurse,” Grisko said. “We want them to and the parents say to me they haven’t and CEO of Almost Home Kids. “They third of these children living in Chicago, m ont h s .” mother of five children. Her third son, be an expert.” even gone out to dinner in like 10 years will never take dance lessons.” AHK provides families with a place to With half of the children coming Tom, has Down syndrome. She has A medical director comes in to see themselves,” she said. “They will come These children will have a chance to learn about caring for their child and from Lurie Children’s Hospital, Almost been an advocate for inclusion of those the children three days a week, while back a week later, and they look like go home though. AHK is a transitional preparing for life at home after a long Home Kids recently chose to expand with special needs for years, so AHK nurses are present 24/7. For every one they are 10 years younger. That is the care facility for medically fragile hospital stay. in 2012, opening a second facility in just made sense. child at AHK there are three nurses. most amazing thing to see.”

30 Mosaic Mosaic 31 IT’S COOLER BY THE LAKE

Loyola University Provost John Pelissero pro vost Image courtesy of luc.edu CONGRATULATIONS! To the editors of Mosaic Magazine and the authors whose works are published in these pages. We are proud of the work Welcome Ramblers! and efforts of all our Journalism students. The Office of First-Year Experience is dedicated to the success of freshman The Office of the Provost and transfer students. You are important to Loyola and we’re so glad you are here! At FYE, we will welcome you into the Loyola Community and encourage you to make the most of your Loyola experience. We support your learning and growth as a well-rounded individual as you work toward becoming a Loyola graduate. Written & Photographed by SKYLIGHT TV: MASON DOWLING he production booth STARRING YOU stirs with activity, de- spite only housing two In this Hospital, the children people. Multiple mon- T itors display timelines, aren’t only patients; they’re stars. video clips and partially written scripts. What appears to be the central room for a news agency, however, lies in the middle of a children’s play ward, high above the Windy City at Lurie Children’s Hospital of Chicago. Skylight TV has been an ever- evolving part of Children’s Me- morial for almost 20 years. The station is a closed-circuit channel reserved for children’s entertain- ment and is put on entirely by hospital staff and volunteers. René Roy, 57, is the man be- hind the cameras, and he puts the children’s entertainment first. “The purpose of Skylight TV is to support the healing environ- ment here in the hospital and to help patients and families have fun, and celebrate living while they’re here trying to get better,” Roy said. Roy, born and raised in Bucks County, Pennsylvania, has always See next page

René Roy, left, hosts Skylight TV’s most popular event, Hospital Bingo. Logan Schissler, brother to a patient at the hospital, plays along. had a flair for the dramatic. He spoke of putting on home- made carnivals for his friends when he was younger. “I would blast out of my house in the morning, and I would go to all of my friends’ houses, telling them that we were going to have a carnival, or a show, or some other kind of special event,” he said. Despite the home brew nature of the shows, Roy’s creative desires only grew. He attended the Boston Conservatory and earned a degree in drama and musical theater, eventually touring off of Broadway for six years where he met his wife, Celeste. His love of performance led to involvement in musi- cal and theatrical production and teaching theater, which all culminated from a Master’s degree from Northwestern Uni- versity in 1985. Eventually, while working as a professor of theater at Na- tional Louis University, Roy came in contact with Children’s Memorial Hospital and its fledgling Kaleidoscope TV pro- gram. While teaching, Roy volunteered and worked with the program for 15 years, becoming a full-time employee and lead producer of the show at the end of the summer in 2012. Throughout his tenure, Roy has focused on making Skylight the best it could possibly be. Four days a week, Skylight produces a series of games and Roy enjoyed describing what Skylight provides to patients shows that patients can watch from their rooms. These shows Roy speaks with a patient over speaker-phone. Skylight and family at Lurie Children’s Hospital. include Bingo, stories and special guest events, all of which TV takes many steps to be sure that patients who are “Skylight TV is a way for us to create community in this The children at Skylight play games like Bingo to win give the children something to look forward to and chances bed-ridden can still play the game and participate. environment, both inside the hospital and with the larger small prizes. Roy says activites like these let the patients to win small toy prizes. community here in Chicago and the world,” said Roy. have fun and celebrate living. Those patients that are well enough to be mobile often join Roy down in the Family Life Center to play the games with “I tell people that I’m a professional distraction, and I take him while they are being broadcast, acting as a live audience it very seriously. I’m here to make children hopefully feel a for the show. little better,” Moeller said. “I think that René hasn’t simply “That’s one of the things that distinguishes Skylight TV; influenced Skylight TV. I think Skylight TV, as it is now, is we have a live studio audience of patients and families in the because of René.” heart of the hospital,” Roy said. When he spoke about Skylight TV’s future, Roy merely Hannah Bailey, 18, of Hobart, Indiana, was a patient at smiled. Children’s Memorial three years ago, and she recalls Skylight “I know it sounds trite and cheesy, and maybe even makes TV fondly. a great headline of a marquis…but we’re in the middle of a “I liked Skylight because of how light-hearted it was,” Bai- state-of-the-art facility, in one of the busiest and most excit- ley said. “You could play Bingo from your room on TV, and ing cities in the country. Really, the sky’s the limit.” call in if you won.” Bailey recalls a specific event during her stay involving Skylight TV, where she was allowed on the show as a guest Skylight TV is a way for us to play her ukulele and sing. Roy enjoys retelling the event. to create community in this “I stopped and listened to the song, and I realized it was about her,” he said. “Everyone was quiet, just listening. It was environment, both inside the g re at .” hospital and with the larger Bailey became something of a celebrity within the hospi- “ tal, going on to star in several YouTube videos. community here in Chicago Community is a large part of why Roy does what he does. Skylight TV builds community, not just with the children and the world.” and their parents, but with staff also. He explained how some patients are unable to move or speak well, and nurses will call in on their behalf when they win a prize. — René Roy Rachel Moeller, 31, Roy’s co-worker at Skylight TV, works as the technical director.

36 Mosaic Mosaic 37 cessation program to assist smokers in quitting in response to the new policy.” Kassar hopes that the University of I think that more campuses going Illinois’ change will motivate other uni- smoke-free reflects the growing transition versities to discuss the possibility of a smoke-free campus. nationally with so many cities enacting “I think [the change] is going to general bans.” those universities that are already con- BANNING sidering becoming smoke-free to act “ — Amy Gray, VP of Student Sife at Aurora faster,” he said. “By the time we decided to go smoke-free and the chancellor had the OK, I was notified that other Some people say a heightened schools. It also banned any kind of schools were considering it.” awareness about when smoking habits smoking within 15 feet of these en- Guerra adds that many current THE smoke-free universities, such as the form and knowledge about fewer col- trances. lege students smoking could explain Since 2008, several universities in Il- University of Illinois, are willing to help the new trend of smoke-free campuses. linois have had relatively painless shifts other schools that are considering the The Surgeon General recently re- to their smoke or tobacco bans. Aurora transition. ported that almost no one starts smok- University, for example, bans smoking “We’re the flagship institution in the ing after the age of 25. The chance to of all tobacco products in school build- state,” Guerra said. “We hope to form SMOKE a working model for other universities reduce the number of college students ings, cars on campus, as well as on the Colleges across Illinois move toward a tobacco free environment who would begin or continue smok- grounds as a whole. and provide technical assistance.” ing was a strong incentive for Michele “Honestly, the change was really Guerra, director of the University of Il- positive,” Gray said. “There were very Written by linois at Urbana-Champaign’s Wellness few complaints, and I’d say the new ALLY WATT Center. policy was embraced by students, fac- “Many studies have proved the dam- ulty and staff.” ike many students on a col- , Wheaton College, College aging effect of secondhand smoke. Guerra also described generally pos- 48.6 percent of the lege campus, Keenan Kas- of DuPage, McHenry County College, Rush There’s no safe amount. But prevention itive feedback from students at the Uni- U.S. population is sar found himself exposed University and City Colleges of Chicago. was a big standout,” she said. “College versity of Illinois. protected by 100 to cigarette smoke on an al- A tobacco-free campus means all tobac- smoking is an easy way to form the “By and large, students have been percent smoke-free most daily basis—but not by co products, including cigarettes, cigars and habit, and prevent it. We wanted an en- very supportive of the ban, but of course workplace, restaurant, choice. pipes, are not allowed on campus grounds vironment to promote healthy habits.” there’s a wide variety of opinions on it,” and bar laws. Illinois L “Every time I [went] into or in campus buildings. A smoke-free cam- The ability for colleges and universi- she said. “I’ve gotten emails that were has the Smoke-free an undergraduate library on campus, there pus only restricts the use of tobacco prod- ties to implement a smoke-free ban has very supportive of it, some angry and [was] an unavoidable cloud of smoke near the ucts, which can include the inhaling, exhal- also become easier because less college against it, some just against it. Some Illinois Act entrance that I [was] exposed to,” said Kassar, ing, burning or carrying of a lighted product. students are smokers. In 2006, less than were both for and against it. But overall a senior business administration major at the School policies vary between schools on 20 percent of college students smoked. it’s been very positive, and we have the Cigarette smoking University of Illinois at Urbana-Champaign. whether they allow tobacco use in privately This is a decline from the roughly 30 feedback area on our website to address is the leading cause “Especially in the crowded areas, like around owned vehicles that are on campus property. percent of college student smokers in everyone’s concerns.” of preventable death buildings between classes, or on the quad, I But Illinois isn’t the only state moving to 1999. Resources like April Bailey, the to- in the U.S. It kills [was] exposed to it.” prevent smoking among college students. Amy Gray, assistant vice president bacco program manager of The Ameri- 443,000 every year (1 Kassar wanted to change this problem. There are about 826 colleges and universities for student life at Aurora University, can Lung Association in the Greater in every 5 adults). “I was talking with my friend about the in the U.S. that have enacted a smoke-free ban suggests that governmental bans may Chicago area, can be helpful to schools effects of secondhand smoke and basically on campuses, according to the Americans for make the transition easier for colleges. seeking a move to a smoke- or tobacco- 45.3 million people or I asked myself, ‘Why don’t I do something Nonsmokers’ Rights Foundation. This num- “I think that more campuses going free campus. about this?’ So I wrote up my first resolution ber is almost double the number of colleges smoke-free reflects the growing transi- “[We] can provide technical assis- 19.3 percent of all adults ban,” Kassar explained. “It all started with with a smoke-free ban in 2010. tion nationally with so many cities en- tance to campuses working on adopt- smoke cigarettes. that discussion.” Some smoke- or tobacco-free schools in- acting general bans,” she said. ing a tobacco-free policy,” Bailey said. After a year-long process, the University clude the University of California, Purdue Illinois enacted the Smoke-free Il- “Our toolkit offers a variety of resources On average, smokers of Illinois at Urbana-Champaign announced University, Harvard Medical School, Univer- linois Act on Jan. 1, 2008, which pro- to guide a campus through the process die 13 to 15 years earlier in October that it would join the 12 other sity of Michigan, Creighton University, City hibits smoking in most public places and sample policies from other colleges than non-smokers. universities in Illinois that have smoke-free University of New York and University of Or- and workplaces, including offices, res- that have already adopted a policy. We or tobacco-free campuses. Some of these are egon. taurants, bars, libraries, theaters and also can assist in setting up a smoking

38 Mosaic Mosaic 39 GOING ELECTRONIC

Physicians ditch paper records to improve access, organization Written by ROBERTA ANGLIN

yle Berkowitz, a doctor and IT guru, never $44,000 over five continuous years under the Medicare According to Health fully realized the importance of electronic Electronic Health Record (EHR) Incentive Program. IT, 39 percent of office- health records until one potentially dangerous In order to implement the entire system nationwide, the based providers in the U.S. experience opened his eyes. Congressional Budget Office projected that the incentive started using at least a basic L In 1993, when he was 27 years old, Berkowitz payments would cost about $22.5 billion. electronic health records was working with a patient and using paper records. He The Office of the National Coordinator for Health IT system by 2011. The prescribed amoxicillin to the patient who later ended up was set up in the Bush Administration to help healthcare adoption rate of electronic breaking out in a rash. Berkowitz reviewed the patient’s paper providers adopt electronic healthcare records in their offices. health records in Illinois is record and saw that the patient was allergic to penicillin. The goal is to have electronic health records at all healthcare about 29 percent of office- The doctor had no way of electronically being alerted of the locations, according to Peter Ashkenaz, spokesman for the based providers. The rate of prescription error. Office of the National Coordinator. physicians with electronic “It was one of the hardest hitting messages that I ever “Ultimately, the benefit, once it becomes implemented health records is 56 percent had that...I am not perfect, and I can use help and use the across doctors’ offices, is for patients to be able to have in Cook County. technology to help me with things that are very basic, but electronic versions of their health records that they can take The trend is growing, you can’t see everything on a paper record,” Berkowitz said. from provider to provider,” Ashkenaz said. but not all physicians can Today, Berkowitz, 46, is the medical director of IT and Participation in the EHR Incentive Program is voluntary, afford to make the change. Innovation for Northwestern Memorial Physicians Group in but Congress has mandated payment adjustments to Dr. Errol Baptist, 67, is a Chicago. Berkowitz focuses on how to use health information Medicare-eligible professionals under the incentive program, physician in pediatrics and Morgan Marsh, 21, is a student nurse at Loyola University technology in a way that makes life easier for physicians. This who do not become meaningful users of the electronic health adolescent medicine in Rockford, Ill. He projects that his Hospital in Maywood. She thought the electronic medical specifically includes the use of electronic medical records. record technology. electronic health records program would cost him $40,000, record system was easy to learn. “I was very interested in electronic medical records These payment adjustments will begin on Oct. 1, 2014, for and even with financial incentives from the government, he “I think they’re beneficial because you have to do so much to make things easier to read and more organized and Medicare-eligible hospitals, and Jan. 1, 2015, for Medicare- would not be able to pay for the system. charting in the medical field and it’s so much faster to be able accessible,” Berkowitz said. “They also have the potential to eligible professionals. “I don’t like my patients being exposed to other people,” to do that on a computer once you learn the system,” Marsh influence the doctor at the right time.” Providers eligible for only the Medicaid EHR Incentive Baptist said. said. Berkowitz is one example of the large trend of converting Programs will not be subject to payment adjustments, The Alliance of Chicago for community health services is Electronic health records can be shared between certain to electronic health records. according to Ashkenaz. addressing the issue of these expensive systems. The Alliance software, especially within a hospital. Many vendors, Electronic health records capture all of the demographic, Those who advocate for the use of electronic medical is a limited liability corporation that owns four community however, sell electronic health record systems, and there is insurance and clinical information of a patient in one digital records believe they improve efficiency and reduce the health centers in Chicago. These centers serve the uninsured, still no universal system of working with electronic records. record. number of errors made by doctors and nurses. With vulnerable, homeless, at-risk and severely and mentally ill If a patient goes to a different doctor or a different state, in Many hospitals and doctors in the U.S. are converting everything digitized, many people, however, question the populations in Chicago. many cases their records cannot be easily transferred. their records electronically after President Barack Obama privacy of electronic records. According to Andrew Hamilton, the chief operating officer Dr. Lyle Berkowitz works toward a solution for the inability passed the American for the Alliance, all of the centers use the same software for Recovery and Reinvestment their records that can be sent to the different locations in the to communicate records between systems. He believes the Act in 2009. The Act, a part The more computers can help become a city. key to improving the quality of these systems is learning how of the stimulus package, ubiquitous part of the patient’s life, then the “The Alliance’s main focus for these health centers is to properly implement them. Berkowitz also thinks that the gives financial incentives to to provide the health information technology systems,” U.S. does not have a shortage of primary care doctors but a hospitals and doctors who doctor becomes more of an overseer that helps Hamilton said. problem with using them efficiently. are using electronic health figure out when things aren’t working well and He also believes these systems pay for themselves and “The more computers can help become a ubiquitous records. “ result in both time and monetary savings for the patients. part of the patient’s life, then the doctor becomes more of Any doctors and hospitals helps explain things better to the patient.” Patients no longer have to fill out paperwork every time they an overseer that helps figure out when things aren’t working eligible for electronic health go to the doctor’s office, and they don’t have to retake any well and helps explain things better to the patient,” Berkowitz records can receive up to — Dr. Lyle Berkowitz, IT Director diagnostic tests that they took with their previous doctors. said. “That is where we start becoming more efficient.”

40 Mosaic Mosaic 41 he lights flickered on and illuminated the long gray Seeing the dog for an hour a week just concrete room, occupied gives them a little bit of extra motivation.” with nothing but a few T tables and chairs. Just — Bethany Tap, Corps volunteer minutes later, though, the once-empty room filled with life. Dogs wagged their “ tails and jingled their collars in antici- pation of meeting their human com- panion for the next eight weeks: area “[The women who started the pro- teens from an outpatient rehabilitation gram] just said, ‘let us bring in our center. dogs,’ then they realized there was such Located at Haymarket Center in a need for it, and it was such a [welcom- Chicago’s West Loop, this psychosocial ing] addition to the programming that program run by Canine Therapy Corps it just kind of grew from there,” said takes place in a rented community cen- Bethany Tap, 33, a volunteer and office with each specific need. For example, if ter. With breeds ranging from beagles to manager at Canine Therapy Corps. one patient’s arm lacks mobility, ther- pit bulls, the program pairs a dog with a With the growing interest in therapy apy involves throwing a ball or giving teen in a court-ordered outpatient sub- dogs, the organization started using the the dog signals with that arm. stance abuse recovery program. universal certification test for therapy “That’s a lot different than just a It’s only the first day of the program, dogs and modified it over the years visitation; the dogs are working as the SIT. STAY. but both the teens and dogs quickly to ensure that the dogs were ready to therapist,” Tap said. “A lot of the time open up to each other, learning more withstand anything in any program— they’re trying to work through injuries about who they will be meeting with from being around wheelchairs to chil- and they’re tired and frustrated and once a week for the next two months. dren pulling their tails. seeing the dog for an hour a week just VOLUNTEER. The program has had a positive ef- “The participants in the programs gives them a little bit of extra motiva- fect on patients, like 18-year-old Dele- that we work with are getting really up tion.” Canine companions aid in therapy on who previously struggled with sub- close and personal with the dogs, so the Canine Therapy Corps has come stance abuse. dogs have to be rock solid,” Tap said. a long way from that small group of Written and Photos by JILLIAN SCHWARTZ “It’s part of my rehabilitation pro- The certification process is either women, largely due to donations from gram; I had the choice not to come, but pass or fail and requires the dog to suc- other organizations and a yearly ben- I’m glad I did,” Deleon said. “It helps cessfully complete all of the tests in or- efit. The donations fund the growing me learn about the world and makes der to become a therapy dog. Exercises program that keeps the people coming me feel a whole lot better.” range from tolerating a stranger’s touch back long after they’ve finished their Canine Therapy Corps started small, to obeying basic commands while dis- therapy sessions. but has grown to include this psycho- tracted. The test is tough enough that “We have people who live on the social program as well as many other it takes most dogs two to five times to South Side of the city and come back programs, including university and pass. Trainers are available to help the after they graduate the program when hospital visits. Located in the Lakev- dogs along the way if volunteers are they’re not required to be here,” said iew neighborhood, Canine Therapy struggling to teach the dogs on their Callie Cozzolino, 33, the Canine Ther- Corps was founded 21 years ago when own. All of the dogs in the program apy Corps director of operations. “Last three women decided to take their dogs are owned by the volunteers, who work session, one of the volunteers would go to visit the elderly at a nursing home. with them and bring them to the differ- and pick this guy up, and I would drive The Chicago-based network has come ent locations of the programs. him home after because he wanted to a long way since then, with more than One of the programs works in geri- be here so badly.” 60 certified therapy dogs. Volunteers at atrics at the Swedish Covenant Hospital Tap said that these animals can reach Canine Therapy Corps go to nursing in Lincoln Square. These adult inpa- people in a way that many therapists tients are often stroke victims who are homes, hospitals, schools, libraries, and cannot. Opposite page: several dogs in need of physical therapy. The hospital “[Patients are] at their best when rehabilitation centers to work with peo- breeds are used at the Canine ple in need, either to offer emotional therapist will brief the Canine Therapy they’re with us,” said Tap. “That’s just Therapy Corps to help patients support or aid in therapy for those with Corps volunteer on the patient’s situa- the power of dogs that we believe in so physical disabilities. tion so the dog can be prepared to help much.” with their recovery.

42 Mosaic Mosaic 43 Written by ANNA HELING

or pediatrician Andrew Public Health at the American Medical companies and longer hours, as well as Geddes, the mantra “work Association. “When you couple that a loss of autonomy due to the system we tend to take to heart hard, play hard” isn’t just a with the fact that we have a shortage of allowing them less time to spend with tired cliché; it’s a way of life physicians, you can see how it’s all kind patients. F that keeps him sane. of a perfect storm that’s building within While he said these all contribute negative feelinGs “If you take your work and all those the system.” to the problem, he stressed that many emotions home with you every night, In August, Tan and eight of his physicians’ “Type-A” personalities also you will burn out,” said Geddes, 46, a colleagues published a study in the play a role. it’s hard to“ be personal doctor at SwedishAmerican Medical Archives of Internal Medicine that “Where a lot of people put off work Group/Woodside in Rockford, Illinois. examined the prevalence of doctor they don’t have time to do that day,

“Boy, you’re going to be a tattered mess. burnout. They found that almost half doctors will say, ‘I’ll just take care of you’re going to be a I try very hard to leave work at work of the nearly 8,000 U.S. physicians they it,’” Tan said. “I think when you have and home at home.” surveyed reported experiencing at that kind of extra-working time, that After almost two decades inleast one symptom of serious burnout. creates for them a general feeling of medicine, the chasm Geddes creates These symptoms included emotional mis-balance in their work and life.” tattered“ mess between work and play is his pseudo- exhaustion, depersonalization (viewing Geddes, too, warned of the dangers prescription for avoiding burnout. patients as objects rather than human that can stem from this perfectionism. For many of his peers, however, the beings) and depression or thoughts of He said many doctors internalize you can’t concentrate workload and stress that come with life suicide. critical comments from patients and, in the white coat is becoming too much The researchers found symptoms of consequently, this adds to their stress to bear. burnout to be especially high among loads. see patients quickly “There’s an increasing level of primary care physicians. Tan said this is “You can’t concentrate on the vocal physician burnout in primary care,” said largely because of more administrative minority when the silent majority is you work long hours Litjen Tan, director of Medicine and duties stemming from insurance See next page

Doctors struggle with work load, home life and taking care of patients

44 Mosaic Almost half of the nearly 8,000 U.S. physicians surveyed reported experiencing at least one symptom of serious burnout.

really the people who are satisfied with of people. You’re not just taking care of down the hall and they’d be there to help, you [and your work],” Geddes said. patients [anymore]. For every patient at least calm me down and guide me. So “As doctors, we tend to take-to-heart you take care of, you spend two hours they are trying to prevent burnouts, at negative feelings and emotions, and doing paperwork.” least in medical school.” we want people to be satisfied. But it’s Tan’s major concern is the Act’s intent Yet Zinkel, like Tan, sees the need important to keep the perspective and to switch many preventive services from for a more substantial system-wide realize that when you do something a co-pay to free-of-charge, including overhaul. Zinkel said the growing trend good, you might not get a pat on the services such as breast cancer, colon of “churning patients out every 15 to 20 back. You have to realize you did screenings and obesity counseling. minutes” to meet a daily quota is like uinlan School something good.” “All the work with this comes down a machine that has begun replacing For Marla Wolfert, 32, having a solid to primary care physicians,” Tan said. adequate care. support system is the key to avoiding “People will want to have these services “The entire structure of health care burnout. Wolfert is a second-year fellow done because it’s free to them, and it’ll right now is forcing doctors to see of Business studying gastroenterology at Loyola prevent chronic illness down the road, patients quickly,” Zinkel said. “If that University Medical Center, meaning but who are we asking to do this?” were changed or altered, I believe the she’s completed medical school and He added that the aging baby boomer stress or burnout we see in doctors residency and will be able to call herself population and full implementation would not nearly be as bad.” Q a full practicing doctor in June 2014. of the Affordable Care Act, along with For Tan, if no change within the The career-driven Wolfert credits her a projected 30 million newly insured system is made, such as increasing the family and friends as two of the reasons Americans, wasn’t even factored into workforce or creating teams of care to “Management starts and ends with she’s not completely overwhelmed, the study. help physicians balance their workloads, despite her status as a new mom who “Primary care physicians are doing inadequate care is inevitable. has an energetic toddler running the prevention work and all that,” he “If we don’t do something pretty leadership. And leadership starts and around the house. said. “They’re the ones who have the dramatic, then a lot of our health care “You work long hours and holidays, higher burnout now, and they’re also will deteriorate because we won’t have nights and weekends. It can be straining the ones who are going to see more and the physicians to take care of the needs ends with values.” on relationships, but if you have a more patients because of the Affordable of our population,” Tan said. “We’ll good support system, it’s manageable,” Care Act.” begin to see fragmentation of care, and said Wolfert. “I feel like I’ve reached a Tan said the solution must be a in fact, we’re already beginning to see —The Department of Management good work-life balance because we [my system-based intervention but that a this. Think about how much time you family] work at it.” large-scale intervention such as this get with your physician when you go in Both Wolfert and Tan are skeptic that has never been tested or even looked at. for a visit.” the full-implementation of President He, however, said wellness training in For doctors such as Geddes, the Obama’s Affordable Care Act will make medical schools is a good place to start. diminishing time with patients takes physicians’ jobs any easier. This training is something first-year away from the reason many physicians While Wolfert looks forward to the medical student Jonathon Zinkel sees pursue the craft. switch to electronic medical records, all the time. “It’s become a lot less personal. It’s she admits that she’s concerned with the “The entire orientation, the entire hard to be personal when I have to see increasing regulation of medicine. first quarter, we got pounded on six patients in an hour,” he said. “So “Medicine is being regulated, which [available] counseling,” said Zinkel, 24, now we’re thought of as these money- is a good thing,” Wolfert said, “but it who attends Midwestern University in grubbing doctors, but it’s frustrating also creates more work, which takes Downers Grove, Ill. “I haven’t utilized because we’re trying to do good. It’s away from the reason a lot of doctors any of the services yet, but if I did feel rewarding to be able to play a role in go into medicine, which is to take care overwhelmed, all I’d have to do is walk someone’s health.”

2 Mosaic Excessive online activity is becoming so pervasive that it may eventually be classified as a psychiatric condition

BREAKING ollege student Joe Ma- a client who spent excessive amounts world whose Internet use has negative- zanec, 21, waited at the of time playing the online video game ly impacted other areas of their lives, bus stop to catch the next Dungeons and Dragons. some more seriously than others. UP WITH ride to downtown Chi- “He’s actually what started me on Emily Storms, a Loyola University C cago. He only waited five this journey because I had a young son Chicago senior, found that while study- minutes, but it seemed at the time,” Cash said. “I didn’t want ing abroad in China, she did not have to like more than half an hour. Mazanec my son to end up like this young man.” worry about her phone or the Internet was restless and could Cash opened an out- much at all. Since arriving home, she is not check the bus tracker patient clinic for Internet irritated by society’s constant pressure on his phone. and computer addiction to be online. He had given up the back in 1999 and has “I hate that I can never completely Internet for three days. not turned away from focus on one thing because people After discovering he this area of research and expect me to constantly be available spent 17 hours a day on- treatment since. to respond to them,” Storms, 22, said. line, Mazanec knew even Joe Mazanec “I just recognized “If I don’t check my phone or email or a day without the Internet would be a back then, in the mid 90s, that I was Facebook for a whole day because I’m challenge. The experience, however, seeing the trickle before the flood,” working on a paper or something, oth- was worse than he expected. Cash said. “The flood is now upon us.” er people get annoyed with me.” “I was inside my head all day, and Cash strongly believes IUD should One extreme case of Internet addic- I got a big, big migraine for like three be included in the DSM as a diagnosis. tion made the news in 2010. A couple days straight,” Mazanec said. “I just She says a diagnosis would reduce the from South Korea, wife Kim Yun- physically could not handle it.” social stigma that the Internet cannot geong and her husband Kim Jae-beom, THE While Mazanec has not sought be an addiction. neglected their daughter until she died treatment for Internet addiction, he is “People are going to take it more of malnutrition at three months old. part of a growing number of individu- seriously,” Cash said. “Right now I still The couple ironically spent their nights INTERNET als who are spending more time online. have the experience frequently of run- at Internet cafés playing online games Internet Use Disorder (IUD) is on ning into lay people and professionals in which they raised virtual children. its way to recognition by what is con- in my own field who don’t take it seri- The governments of both South Ko- sidered the bible for classifying psychi- ously and don’t get it.” rea and China have both named Inter- atric conditions: the Diagnostic and Many psychiatrists believe Internet net addiction their number one public Statistical Manual of Mental Disorders addiction may actually just be a symp- health threat. In South Korea, children (DSM). When the DSM-5 is released tom of other psychological or psychiat- are screened at 10 years old. If they in May 2013, the section on substance ric disorders. have symptoms of Internet addiction, use and addictive disorders will include Dr. Murali Rao, professor and chair both the child and their family receive IUD as recommended for further re- of the Department of Psychiatry at treatment. search. Loyola University Chicago’s Stritch “I think it’s not as big of a problem Although IUD is not yet a diagnosis, School of Medicine, became interested here yet, but I think we’re on our way to many people are being treated for In- in Internet addiction after observing a that,” Cash said. “I think we’re in a huge ternet addiction. Dr. Hilarie Cash is the very addicted patient. This patient took amount of cultural denial about it, and CEO of reSTART, a residential treat- off work to look up sexual acts online. that really needs to change.” ment program in Washington state for Further questions, however, led Rao to Treatment facilities like the reSTART those with technology addictions. a diagnosis of bipolar disorder. Internet program hope to increase awareness of “Astronomical growth of digital me- use was a symptom of this disorder. Internet addiction and to help those dia and how available and inexpensive “It will not become part of the DSM- who are suffering. The reSTART pro- and accessible it is has just fostered a 5 because they need more research, gram begins with a 45 to 90 day de- Written by ABBY KLECKLER growth in the problem,” Cash said. data-based research,” Rao said. toxification period in which the clients Illustration by KATHY AVILA Cash saw her first patient with Inter- Much of the current research relies net addiction back in the early 1990s, on anecdotes from people around the See next page

Mosaic 49 It takes down the pleasantries of talking to people. A lot of people don’t make small talk anymore.” “ — Joe Manzanec, 21 have no access to digital technology. A second phase of the program Internet addiction or other addictions,” “Their brains need to readjust back works with clients to develop a plan Rao said. toward normal,” Cash said. “The per- for them to re-engage with digital tech- Mazanec never got into Internet son goes through their withdrawal, nology, so they can hopefully use the gaming, but instead spends his hours which is experienced psychologically, Internet successfully once leaving the with social media sites and online shop- mostly, and its effects are anxiety, de- facility. ping. He plans to get a job in social me- pression, irritability, poor concentra- “This is an addiction that has to be dia and sees the benefits for consumers, tion, problems with sleep.” managed like an eating disorder be- but he has his doubts as well. After about three weeks, these with- cause no one is going to be living with- “It takes down the pleasantries of drawal symptoms stop, and the pro- out computers,” Cash said. talking to people,” Mazanec said. “A lot gram begins to focus on getting the cli- She has seen a lot of cases of Internet of people don’t make small talk any- ents back to normal with regular sleep, gaming addiction, but with an increase m ore .” lots of exercise, and challenges that in social media and online interaction. Mazanec describes the high he gets bring concrete rewards. Even those who are not gamers can be from swiping to unlock his phone. He “Rewards in the real world take a lot addicted. says he knows it’s bad, but he does it more time than rewards online,” Cash “It’s very hard to know when it is a anyway. said. “They need to learn delayed grati- common Internet activity, like spend- “Nobody wants to say they have an fication and experience the rewards of ing too much time on emails, chatting addiction,” Mazanec said, “but I’m to- their labor.” or web surfing, and when it is truly an tally addicted.” INSTITUTE OF PASTORAL STUDIES Lay-Centered Programs Preparing Gen-Next to Change the World

Check out our world-changing and Visit LUC.edu/IPS soul-expanding study options No application fee online • Master of Arts in Social Justice Community Development For more information, • Master of Arts in Spirituality call us at 800-424-1238 • Master of Arts in Pastoral Studies Institute of Pastoral Studies • Master of Arts in Pastoral Lewis Towers, 6th floor Counseling 820 North Michigan Avenue • Master of Divinity Chicago, IL 60611 20 pounds in less than two weeks. De- high-quality supplements,” Nelson sist of drinking liquids for countless tox diets are said to help people lose said. “It’s only available from a licensed hours are about not eating and starv- weight, get a clearer complexion, and health care professional.” ing the body of its natural nutrients, remove toxins from the body. Nelson’s two-week plan consists of a which can cause a rise in fat fragments, What most people don’t realize, detox shake 1-3 times a day, along with called ketones. This means that if the however, is that the majority of detox organic meats and protein, healthy fats, body doesn’t have enough calories, it diets featured in the media are essen- organic vegetables and a few organic starts to break down the by-products of tially a dietary fast. According to Shape fruits. There’s no dairy, no gluten and things in the body that should not be magazine, detox diets deplete glucose no high-allergen foods. broken down. levels, limit food consumption, and de- “It’s a challenge to do, but it “You need a specific calorie intake prive the body of energy. helps cleanse your body from the over- and you need to eat a certain amount “I’m not a proponent of this type of load of toxins,” Nelson said. of foods each day, and if you don’t, detox,” said Donna Nelson, a registered Toxins are harmful substances like there is a deterioration of the necessary dietitian and nutritionist in Chicago. mercury, fluoride and exenoestrogens things in your body,” Batista said. “It’s “It’s really faddish, but that doesn’t that accumulate within the body from all about supplementing the body the mean it’s good.” foods, makeup, detergents, skin and right way.” Detox diets, such as the master hair products. The undesirable effects For Batista, providing the body with cleanse, don’t provide the body with of toxins on health include illness, fa- the right nutrients does not involve de- enough protein to pull toxins out cor- tigue, weight gain and bad complexion, toxification; it involves healthy choices. rectly, according to Nelson. She said according to Nelson. “In general, patients should drink a they aren’t for everyone, and they can “Everyone is toxic because our bod- lot of water, try to eat more fruits, veg- be too much for a person’s system de- ies can’t handle everything we have in etables, fish, and use olive oil sparing- pending upon the individual’s daily them,” said Nelson. “Detoxification ly,” Batista said. “Things that will keep schedule. helps build the system to kick out the people healthy…that includes exercise “I was working two jobs at the time toxins.” and being active. I don’t think detox di- [I was detoxing] – one was serving so There are four bodily systems that ets are good for the patient or going to

quick-home-remedy.com I was constantly on my feet and mov- are responsible for ridding toxins: the cause them to be healthier, but if they ing around,” said Meghan Taylor, 21, an liver, kidneys, skin and the intestine. are going to choose one, it should be advertising/public relations and mar- All toxins travel within the body with one that involves eating healthy foods keting major at Loyola University Chi- detoxification starting in the liver. The and gaining necessary calories.” cago. “Running around and not having liver distinguishes which substances Many detox dieters, such as Taylor detox debate anything to eat for 36 hours just ran should be absorbed or filtered out of and Reinhart, also understand why the me down. I remember being on the ‘L’ the body. trend of detoxification is favored. home, and I wasn’t sure if I was going Nelson believes detox lends the sys- “I think it’s most common for wom- The liquid diet is growing in popularity despite warnings from dieticians to make it. I was so exhausted and had tems a helping hand, but some experts en because they are all looking for the a horrible headache, and I felt dizzy.” argue that detoxification isn’t needed easiest and quickest way to lose weight Written by The flu-like symptoms experienced because the body has the ability to rid or start another diet and want to by Taylor are what Nelson calls “a heal- itself of toxins on its own. cleanse,” Taylor said. “As you get older, Megan Escutia ing crisis.” “The body doesn’t need cleansing you have less time for exercise when “That is the body healing itself of from detox diets because it has systems your ‘real’ life begins. Detoxing seems toxins,” Nelson said. “It depends on to break down and rid itself of toxins,” like a way around that sometimes.” When Mary Rein- crud in my system and lose weight at consists of combining lemon juice, ma- how toxic you are but it normally sub- said Dr. Tatiana Batista, a general prac- Reinhart agrees. hart flipped through the same time. The Martha’s Vineyard ple syrup and cayenne pepper mixed sides in a day or two.” titioner in Chicago. “It’s a natural pro- “I think it’s a trend for girls my age a copy of Fitness diet and the lemonade diet [master with water. When Reinhart did this Nelson believes everyone should de- cess. Toxins are everywhere, but that’s because in our society, image is every- magazine, she was cleanse] both did the trick.” diet, she consumed the mixture 6 -10 tox but promotes a healthier detoxifica- why people eat more organic foods and thing,” she said. “There is a desire to W looking for a health The Martha’s Vineyard diet detox times a day along with an herbal laxa- tion process. use organic household products,” she look like celebrities in the magazines. regimen that she could actually sustain. consists of fruit and vegetable juices, tive tea, which is taken twice a day. The “The only detox diet I would suggest added. “You don’t need to drink some- Detox diets promise weight loss and She stumbled upon a page that assessed protein shakes, herbal teas, cleansing diet lasts for 10 days. includes eating meals and incorporat- thing to get rid of toxins.” celebrities swear by them…so girls do celebrity detox diets, and the health nut drinks, soups, and a lot of water. It is Many detox diets are linked ing a detox shake which is made from Batista believes detox diets that con- them to get their desired results.” in her decided to give two of them a try. to be consumed every day for 21 days. to celebrities like supermodel Gisele “I like being healthy, but I love to Reinhart did the Martha’s Vineyard Bündchen, who turns to the Mar- eat,” said Reinhart, 22, a communica- diet for the recommended 21 days in tha’s Vineyard diet before taking to Toxins can be accumulated through makeup, detergents, tion studies major at Northern Illinois the summer of 2011. the catwalk, and singer Beyoncé, who hair products, skin products and the environment around you. University. “I wanted to clean out the The master cleanse or lemonade diet turned to the master cleanse and lost

52 Mosaic Mosaic 53 Congratulations, Mosaic.

Loyola University Chicago School of Law joins Mosaic magazine in celebrating its 10th issue. Vegetarianism is one of the healthiest and smartest ways to eat, but FLEXING A THOUGHT ON it’s perfectly acceptable to pepper in meat and still gain all the health benefits.” FLEXITARIANISM “ — Dawn Jackson Blatner, registered dietitian and author

A new trend allows for more freedom for those considering giving up meat from meals made by certain family approachable because it’s not an all-or- lifestyles demand, but there are several members and friends,” Shalhoup said. nothing diet. People can make gradual vegetarians that resent it. The term Dietitians nationwide are praising changes in their daily routine.” “meat-eating vegetarian,” a term used the trend for its positive dietary Even for those aiming to achieve by many to describe flexitarians, is seen Written by implications and disease prevention. a completely non-meat diet, being as confusion to the true vegetarian diet. AMANDA BONAFIGLIA Flexitarians are able to increase plants, flexitarian accounts for those weak “I’m not exactly sure when someone beans and grain in their diets without moments. suddenly decided that chicken and losing protein. The minor changes in “I’m mainly vegan, but by adopting fish joined the fruit and vegetable food individuals’ everyday routines, however, a flexitarian lifestyle I am able to have group. It seems to make about as much n a night out with some The greater push for flexitarianism, to an average weight loss of 15 percent have made this trend so prevalent. fish, eggs or bread when I get the sense as the false and sensationalized friends, Sarah Fisher however, seems to be for the health and decreased occurrences of heart- “It has become a big trend for craving,” Fisher said. stories that Congress was trying found herself at a benefits the lifestyle provides. related health problems and cancer. people trying to make a lifestyle In the past couple of years, many to declare pizza as a vegetable,” restaurant with a menu The nationwide population is made “Vegetarianism is one of the change,” said Lanah J. Brennan, 31, vegetarians have embraced the trend said Kamal Bosa, 27, a vegetarian O that featured delicious up of 30 to 40 percent flexitarians, healthiest and smartest ways to eat, a registered dietitian from Lafayette, as a way to add the protein necessary blogger for Chicago Now’s To Eat or steaks and salmon. Pondering the according to a 2006 Harris Interactive but it’s perfectly acceptable to pepper La. “The flexibility of the diet makes it for health and the flexibility that Not To Eat. menu, Fisher recalled her meals for the study. Those numbers continue to in meat and still gain all the health last week and realized that she hadn’t grow, while the vegetarian community benefits,” Blatner said. eaten any meat or dairy. Overcome only accounts for 7 percent of the This diet has been fitting for those with a strong craving for salmon, Fisher population. currently practicing different forms of thought to herself, “Good thing I’m a Although the word “flexitarian” was vegetarianism who see a hole in their flexitarian,” and orders her fish without named the “most useful word of the diets. a trace of guilt. year” by the American Dialect Society Mara Shalhoup, editor of the Chicago “I don’t believe in being stuck to in 2003, flexitarianism did not become Reader, is a former pescatarian (a just one way of eating. Each individual mainstream until Dawn Jackson vegetarian who eats fish) who recently Dairy needs to find what kind of diet they Blatner’s cookbook, “The Flexitarian adopted the flexitarian diet, following are comfortable with,” said Fisher, 36, Diet,” brought it to the forefront in in the footsteps of a diet critic on her a flexitarian and stay-at-home mom 2008. The book contains more than editorial team. The flexitarian diet has Fruits from Chicago. 100 quick and healthy recipes with a not only allowed for more protein in Grains Fisher is just one of many people “flex swap” to add animal protein. The her diet, but it has also transformed her adopting a “pro-plant, not anti-meat” book contains three levels: beginner, eating habits in other healthy ways. diet, known as flexitarianism. The name advanced and expert, with the levels “I have fewer unhealthy cravings is a hybrid of the words “flexible” and referring to the number of meat-free when I know I can eat as I please; a “vegetarianism.” The basis of this diet is days a person partakes in each week. sort of reverse psychology, I suppose,” just that: the flexibility to occasionally Blatner, 37, a registered dietitian in Shalhoup said. While most people include poultry, red meat and fish Chicago and a recently converted Although the flexitarian regime Vegetables into an everyday diet. While the diet flexitarian, was close to being a specifies that there be a limit to eat this portion of does allow for occasional meat intake, vegetarian for more than 10 years. the amount of meat an individual flexitarians strive to rely more on food However, she considered herself to be consumes, that limit is dictated by the protein, most that comes from plants. a “closet meat-eater” and decided to individual’s lifestyle. flexitarians A flexitarian may only eat meat create her own style of eating. She said While many people have adopted once or twice a week, while the average she wanted to create a diet that had the the flexitarian diet due to health needs rarely eat person may include meat in their diet benefits of a vegetarian diet without a or benefits, they tend to remain with it every day. The number of flexitarians complete ban on meat. because they appreciate the change in meat has risen in recent years, partly due to It is possible to add 3.6 years to the lifestyle that has occurred as a result. the greater awareness of animal rights average lifespan by adhering to this “I’m able to eat more ethnic cuisines, activism and environmental issues. diet, according to Blatner. This is due and I no longer have to excuse myself

56 Mosaic Mosaic 57 WE ARE A STUDENT-­RUN BUSINESS ENTERPRISE. WE ARE UNDERGRADS HERE AT LOYOLA. WE BELIEVE A CORPORATION SHOULD NOT BE LIMITED TO PROFITS. IN FACT, IT IS NOT EVEN OUR MAIN GOAL. BE PART OF THE OUR ENTERPRISE BELIEVES IN THREE BOTTOM LINES: FUTURE DEVELOPMENT OF OUR OF LOYOLA ATHLETICS STUDENT EMPLOYEES, FOR INFORMATION AND TICKETS, CALL FINANCIAL STABILITY, AND (773) 508-WOLF (9653) GIVING BACK TO THE OR LOG ON TO WWW.LOYOLARAMBLERS.COM

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enny Sampras calls herself slightly overcommitted. adults from the ages of 18 to 29 due to the demands of college She sleeps five-to-six hours a day, going to bed and work. In addition, a 2009 poll by the National Sleep around 2 a.m. and waking up at 8 a.m. to do Foundation found that one-in-five teens and adults in their research, study, attend meetings and answer emails. twenties were sleepy enough to fall asleep during daily tasks. J Sampras, 20, is a junior psychology and biology “Research in the 1990s found that later sleep and wake major at the University of Illinois at Chicago. She says that patterns among adolescents are biologically determined,” the college students are sleep deprived because of the pressure to National Sleep Foundation stated. “The natural tendency for do well in school while juggling extracurriculars, a part-time teenagers is to stay up late at night and wake up later in the job and leadership positions. morning.” “Basically, too much to do. Too little time,” she said. Balachandran predicts that college students do not sleep Sampras typifies the three-fourths of Americans who are well because they are away from a home structure, not unhappy with the quality of their sleep, the two-thirds of receiving the same familial support, and because of the all women who have sleep problems, and the 45 percent of drastic changes in work demands. people globally who suffer from sleep deprivation. “[College students don’t] have their parents there to tell While college students are notoriously sleep deprived, them to get a good night’s sleep,” he said. “There are societal lack of sleep affects all age groups. Although the percentage pressures on people to do more during their work and school of adults who sleep sufficiently decreased from 38 percent d ay.” in 2001 to 23 percent in 2011, sleep deprivation has become Chicago native Jonathan Gillespie, 27, president of an epidemic over the past 10 years, said Dr. Hyrar Attarian, NeXacon Inc. and chief information officer of UR Venue, a neurologist and associate professor at Northwestern sleeps an average of four to five hours a night. He spends 12 Memorial Hospital Feinberg School of Medicine. to 16 hours a day working, but when he tries to rest, he finds Approximately 71,000 people are injured, and it difficult because of work-related pressures. approximately 1,550 people die each year due to sleep-related “When I want to go to sleep, I’m so wound up from work accidents, according to the World Association of Sleep that I’m unable to go to sleep, so I get up and continue TIRED Medicine. Lack of sleep is also coupled with monetary costs; working,” he said. a U.S. study by the association estimated the annual costs of Next to stress, lack of sleep has increased along with soaring insomnia to be between $92.5 billion and $107.5 billion. technological advances. These advances cause, what Culebras NATION Sleepiness and fatigue have also been the presumed causes calls, “intense socialization” among adults. While technology of infamous historical catastrophes like the 1989 Exxon continues to create more forms of communication, adults Valdez Oil Spill, the largest oil spill in U.S. waters, and the tend to undervalue sleep. Fatigue and sleep deprivation 1986 Chernobyl disaster, the worst nuclear power plant Balachandran explains that when people check their email, accident in history. work on their laptops, or message on their smart phones in has become a growing problem Some effects of sleep deprivation include weight gain, bed, they are bringing the worries of the daytime into their decreased performance at work and school, the increased bed. Essentially, they are conditioning their bodies to expect likelihood of car accidents, a weakened immune system, to be awake in bed rather than asleep. The light from those depression, heart disease and stroke. Major causes of lack sources is also known to shift a person’s biological clock and of sleep are stress, societal pressures, technology, and not make it harder to fall asleep, he said. placing enough importance on healthy sleep. A 2011 National Sleep Foundation poll titled Sleepy On average, people should be sleeping eight hours, said Connected Americans showed that 67 percent of people Dr. Antonio Culebras, a neurology professor at Upstate ages19-to-29 use their cell phones in bed, and 61 percent of Medical University in New York. people ages 30-to-45 watch television in bed. On average, 47 Dr. Jay Balachandran, an assistant professor at the percent of these two age groups rarely, or never, got a good University of Chicago Medical Center, however, believes the night’s sleep on weekdays. right amount of sleep is: however much is necessary for a “Smart phones and televisions in the bedroom are a potent person to function effectively and have a full quality of life. brew for insomnia,” Balachandran said. “We see a lot of patients who come to the sleep clinic with As younger generations are getting more stressed and using insomnia and a large part of that is due to people trying to more technology as a basis for constant communication, the reach the magic number of eight and getting really stressed importance of sleep has been vastly undermined. about that,” Balachandran said. Attarian states that sleep deprivation is most prevalent in See next page

Mosaic 61 “[People need to] realize that sleep is as important as food “We’re not any different than we were when we were and water. It is a biological imperative,” Attarian said. babies and kids. Those rituals and routines help our bodies College students, like Sampras, argue that homework and and minds power down and help us sleep at night,” he said. CENTER FOR TUTORING & work assignments inhibit the possibility of healthy sleep. “Anything that is going to help you unwind a little before bed “Classes and extracurriculars take up a majority of my is going to help you sleep.” CENTERACADEMIC FOR TUTORING &EXCELLENCE ACADEMIC EXCELLENCE day,” Sampras said. “The only way I would be able to solve this The World Association of Sleep Medicine suggests problem would be by dropping a class or an extracurricular.” that people spend one-third of their lives sleeping, a basic Still, experts and doctors offer tips or “commandments” for human need, much like eating and drinking. Poor quality Small Group Tutoring healthy sleep, like establishing a regular bedtime and waking of sleep, however, renders people unable to concentrate and time, avoiding bright light in the evening and enhancing has negative effects on attention span, memory recall and bright light in the morning, exercising regularly during the learning. LUC day, avoiding heavy meals and alcohol before bedtime, and As this problem becomes more prevalent, sleep

creating an environment that is good for sleep. organizations, medical experts and doctors encourage people 1. Decide early that 2. Submit a request online at 3. We match you with two of your Balachandran suggests having a relaxing bedtime ritual to make sleep a priority in their lives. you want tutoring. www.luc.edu/tutoringrequest. classmates to form a group. like drinking a warm glass of milk, taking a shower, listening “To get better sleep, one would need to have better stress to calming music or sleeping in a quiet dark room that is cool management techniques,” Gillespie said. “We need to set with comfortable mattresses, pillows and sheets. more boundaries between work and taking care of ourselves.” A+

4. Groups are matched to 5. Your small group meets weekly 6. You excel in class! [People need to] realize that sleep is as important as food and a trained tutor. for an hour with your tutor. water. It is a biological imperative.” www.luc.edu/tutoringCENTER FOR TUTORING 773.508.7708 [email protected] & ACADEMIC EXCELLENCE Sullivan Center Rm: 245

LOYOLA UNIVERSITY CHICAGO — Dr. Hyrar Attarian, neurologist and associate professor Tutor-Led Study Halls “ What ?you think you know aboutCTAE tutoring LUC FALSE MYTH: Only students with “learning di culties” require the services of a tutor.

1. Need help onAnyone homework, can bene t from having2. Check a tutor. online Some forpeople the simply get lost 3.with Drop the by material the designated and need a FACTstudying fortutor an exam to help or them understandstudy hall before schedule they andfall behind locations in class. at location for help. Stay for a few reviewing class notes? www.luc.edu/studyhalls. minutes or the entire study hall. FALSE MYTH: People who have to hire a tutor are “dumb” or “stupid.” 2 E=MC This could nota2+b be2 further+=c2 from the truth. Tutors can help individuals learn material that may be FACT di cult for them to master. These people aren’t “dumb”; they’re smart for recognizing that they need some extra help! A+ FALSE MYTH: The Center for Tutoring and Academic Excellence is only intended for students who are4. at Ask risk questions of failing theirand get courses. help. 5. Excel in class!

The CTAE is designed for students at all levels of experience and academic ability. We are here to www.luc.edu/tutoringFACT help you discover 773.508.7708 practices that work for [email protected] you regardless of your current levelSullivan of success. Center Rm: 245

LOYOLA UNIVERSITY CHICAGO

What you think you know about tutoring

FALSE MYTH: Only students with “learning di culties” require the services of a tutor.

To the smart, hard working students who produced Anyone can benet from having a tutor. Some people simply get lost with the material and need a FACT tutor to help them understand before they fall behind in class. this magazine and the wise, caring faculty who guided FALSE them along the way: I salute each of you. MYTH: People who have to hire a tutor are “dumb” or “stupid.” This could not be further from the truth. Tutors can help individuals learn material that may be FACT di cult for them to master. These people aren’t “dumb”; they’re smart for recognizing that they CONGRATULATIONS ALL. need some extra help! FALSE – Ralph Braseth, Student Media Visit Chick-fil-A Loyola Water Tower! MYTH: The Center for Tutoring and Academic Excellence is only intended for Located at 30 E. Chicago Ave, students who are at risk of failing their courses.

on the corner of Chicago and Wabash The CTAE is designed for students at all levels of experience and academic ability. We are here to Connect with us on the web! FACT help you discover practices that work for you regardless of your current level of success. www.cfawatertower.com facebook.com/cfawatertower twitter.com/ cfawatertower In 2004, Sullivan moved to Chicago to continue said Tsoutsouris, 35. “Nothing worked. I felt her practice in the Logan Square neighborhood. awful, resigned to have a life filled with Sullivan quickly learned that acupuncture had pills and infertility, until I started a negative reputation and wasn’t as common in doing acupuncture. After only a Relieving the Midwest as it was in the West. handful of treatments with Kim, I Only recently has the acceptance increased, saw real results and felt so much she said. better.” Acupuncture provides alternative “Seeing where it was when I started out on this Tsoutsouris started receiving path and where it is now, is so entirely different,” treatment from Sullivan five years to traditional Western medicine Sullivan said. “It’s the kind of thing where people ago and swears by the holistic looked at me like I was a nut job, and now I’m not approach. Pain embarrassed to say I’m an acupuncturist.” “Acupuncture is one of the only According to the National Center for things, if not the only thing, Written & Photographed by Complementary and Alternative Medicine, 3.1 that has no downside,” Megan Escutia million people tried acupuncture in 2007 to Tsoutsouris said. “All relieve discomfort and ailments. This was an you have to do is be increase of 1 million people from five years earlier. open, be ready to person lying face down with really get to the root of the problem and figure “I think people have a better awareness of it new experiences and dozens of needles sticking out out why these things are happening.” and see how effective it is, and I think the Western be prepared to feel of his or her body seems like a Sullivan’s desire to get to the origin of the medical establishment being more supportive of good.” painful image featured in a health problem became ingrained in her while it has a huge affect on how people are responding The “good feeling” horror film. For acupuncturist she worked toward a Master’s from the American to it,” Sullivan said. “If their doctors are OK with that patients A Kimberly Sullivan, this image College of Traditional Chinese Medicine in San it, they are going to be OK with it.” like Tsoutsouris is anything but pain; it’s relief. Francisco and when she traveled to Hangzhou, Though many doctors have grown to accept acquire can only “There’s about 365 points on the body where China, for advanced training. acupuncture, not all insurance plans cover the be effective as long energy pathways run through, and when you While in China, Sullivan observed the cost of treatments. At Logan Square Acupuncture, as the process is put a needle into certain points, it affects some traditional practice of both Chinese and Western patients pay a standard $95 for the initial given a chance, she kind of change in the body,” said Sullivan, a medicine and studied with doctors in the areas consultation and $75 for follow-ups. added. licensed acupuncturist and the owner of Logan of pain management, digestive disorders and Sullivan, though, offers an alternative. “I really try to Square Acupuncture in Chicago. “The needling gynecology. “On Monday nights, I do community educate people of acupuncture points stimulates the body back Early in her practice, she gravitated toward acupuncture, it’s basically a sliding scale in their first into balance.” women’s health and designated it her main area acupuncture,” Sullivan said. “There are a good visit that it is Acupuncture is a holistic treatment, meaning of focus. amount of lower income people who stop by and medicine that it takes the entire person into account and is able want acupuncture, and I just know they can’t works and it’s to treat several conditions at the same time. It can afford to come in every week for $75, so I do very effective, effectively treat anything that Western medicine sliding scale and they can pay $20 to $40.” but you have to commit can, according to Sullivan. “I’ve seen a lot of people who come in that have to it,” Sullivan said. “Most “A lot of times, Western medicine is giving been in severe pain for years and it’s been really people see enough results band-aid solutions, temporarily relieving the rewarding to be able to treat them and see them after a couple of treatments problem but not getting to the root of the cause,” improve because of the sliding scale,” Sullivan that they’re willing to continue Sullivan, 40, said. “Chinese medicine tries to said. with it.” For Sullivan, the most rewarding part of being an acupuncturist is to see the success of treatment and the transformation of her patients, such as Natasha Tsoutsouris. Kimberly Sullivan, a licensed acupuncturist “I struggled with Polycystic Ovarian and Chinese herbalist, observes the Syndrome for years, have been to some of the traditional practice of both Chinese and top endocrinologists in the country, and been on Western medicine. every type of medication used for this condition,”

64 Mosaic Mosaic 65 50 VITAS Innovation Team 764, a multi-disciplinary Hospice Care helps terminal and multi-cultural group, discuss the patients of VITAS Percent of patients find relief Innovative Hospice Care. people who die are in pain Written & Photographed by CHIARA MILIOULIS

eam meetings convene pediatricians, gynecologists, midwives, bereavement once a week under the nurses and physicians. As the internal process when leadership of Dr. Diego medicine physician at Esperanza, the patient Remolina to evaluate the Remolina sees an average of 20 to 25 eventually dies. 10 T patients who have six patients a day, six days a week. Yet “I wanted to also likes traveling to a new place every months left to live. his true passion lies in his palliative be an advocate for the patients who are year with his wife and visiting his family The team, Team 764, is comprised of care work at VITAS on Wednesdays, dying and maybe help them make more in Colombia. Caretakers who 10 people, including a chaplain, hospice dedicated to relieving the suffering of decisions in that process,” Remolina “I think his family is his priority,” work to ease it aides, nurses, social workers and a patients with illnesses. said. Mora said. “No matter how busy he is manager. As one of the largest hospice VITAS patients are given access to a Remolina’s wife, Maria Mora, with work, he tries to set limits and be clinics in the country, VITAS Innovative chaplain and a social worker. Team 764 believes it takes courage, strength and present emotionally and physically all Hospice Care centers its meetings members go to their patients’ homes compassion to reduce people’s suffering the time.” around the challenges faced by its 40 to serve their emotional and spiritual in the last days of their life. The values of a close-knit family patients who are at the end of their lives needs. Help is available for family “Many doctors want to save lives, but are not only manifested in VITAS but and refuse hospital care. members to create photo albums or not many want to help people to die,” also in the community health center, “Are they comfortable?” is the make stuffed-animal bears for their Mora, 28, said. Esperanza, where Remolina treats 6 repeated question asked by Remolina, loved ones. They also help with their Although Remolina was not always entire families. It is common for those 35, who has made it his life’s mission to physical needs such as massage therapy sure he wanted to be an advocate for the who work at Esperanza to also become Months until... help those whose health is declining to and regular visits from nurses, hospice dying, his goal of becoming a doctor was Remolina’s patients. die peacefully and with dignity. aids and physicians. unfaltering. Christina Tanner, 44, is a midwife at “Studies have shown that 50 percent “The importance of hospice is our Born in Colombia, South America, Esperanza as well as his patient. of the patients who die, die in pain and multi-disciplinary team,” Remolina said. Remolina finished medical school when “He’s fabulous. I could go anywhere, anxiety,” Remolina said. “We try to “We are also a multi-cultural team. Some he was just 22 years old at Javeriana but he has a strong dedication to helping decrease that number and percentage of us speak Mandarin, and most of us University, a Jesuit university in Bogotá, underserved people,” Tanner said. here and give them the opportunity speak Spanish to cater to our Hispanic Colombia’s capital. Likewise, Remolina’s respect for to die more comfortably with our and Chinese patients.” Following the advice of his mentors, his patients has created praise and expertise.” Working in hospice, as Remolina Remolina decided to move to the admiration among his co-workers. Remolina divides his time working noted, is not something everyone is United States to pursue a fellowship in Teresa Monteagudo, Team 764’s with underserved populations at VITAS willing to do. palliative care and geriatric medicine manager, describes him as a star doctor. and the Centro de Salud Esperanza “In my training, I saw a lot of people at Rush Hospital and the University of “He deserves the utmost respect and Health Center, both located in Chicago’s dying and suffering,” Remolina said. Illinois at Chicago. Although he had the attention,” Monteagudo said. Little Village neighborhood. Most of his “Everybody was paying attention to the opportunity to return to Colombia and Despite his accomplishments, patients do not have access to healthcare cancer, the bad heart, the pneumonia, be a part of a large hospital, he believed Remolina is cognizant of the sacrifices or insurance. but no one was paying attention to the his true calling was working with he has made to become a doctor. Although Medicare pays for hospice patient or the relatives.” disadvantaged populations. “Leaving my family [in Colombia] benefits for patients who are going to At VITAS, it is the team’s moral Remolina enjoys watching movies and my culture is the biggest sacrifice,” die within six months, Esperanza is obligation to monitor the patients, as and reading about history in his free Remolina said. “But every year with my a nonprofit clinic with free access to well as to aid the families along the time, at his home in the South Loop. He work, those become less of a sacrifice.” THE END.

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