I have found what I believe to be the “gold standard” company of the nutritional supplement industry, Body Wise International. They offer the kind of product and quality I am proud to stand behind. Here are several features that impressed me:

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FDA pharmaceutical license
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Bio-potentiated nutrition
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Krebs cycle chelation
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Aqueous coating – no chemical solvents, no plastics, no shellac
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Cold processing
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Exceptional products that make supplementation easy, focus on lifestyle education, and an opportunity to teach and impact a person’s choices for health are some of the elements of what I see to be a new and uplifting career that utilizes my nursing experience, skills, and knowledge.

The nutritional supplementation industry will realize an 80% increase in sales in the next 2-3 years. I believe many individuals will seek out and accept some level of professional input as the industry is unregulated and often overwhelming for many people.

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I am particularly excited with the spiritual movement opening new perspectives in body-mind-spirit for wellness and health. There is Light at the end of the disease maintenance medical model and this Light is getting brighter as more and more people proactively seek alternatives to achieve optimum health.

Think of all the modalities – Reiki, Touch Therapy, Rolfing, Craniosacral therapy, to name a few – that were fringe therapies a decade ago. They are now gaining respect and are commonly integrated into care plans and health regimes.

I am excited about crossing over into wellness nursing and have decided to focus on nutrition and supplementation. I chose this field because I no longer believe in the statement “if you eat a balanced diet you will get all the nutrients you need.” This may have been true about 50 years ago, prior to processing foods to the point where almost all benefit is lost. What benefit remains is outweighed by the toxins included in processing, specifically hydrogenated oils.

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This condition is called “thyroid storm,” and it is marked by fever, very rapid heart racing, heart failure, and confusion or coma. Early diagnosis of this condition is needed in order for therapy to be successful and for the patient to recover.

Treatment involves the administration of high doses of antithyroid drugs, beta-blockers, and steroid hormones. In elderly patients, hospitalization is sometimes required if the hyperthyroidism causes heart complications.

With all of the innovations being pumped into the fitness industry, from virtual reality, multimedia kiosks and interactive coaching systems, health clubs are finally starting to offer technologies that have been available for years in other industries. But does all this innovation, much of it aimed at providing greater service and support for members, mean the end of fitness staffs? The answer is no.

When technology first entered the manufacturing arena, many pundits predicted lights-out factories, in which products were made and no one needed to be present to help the process. Companies that attempted such factories, however, mostly failed. That isn’t to say that automation hasn’t improved the way factories are run. It’s just that the human touch is still required. And the same will be the case for the fitness industry.

The key to successful implementation of automation has been identifying how people and automated systems can best complement each other to provide a superior product or service. Automate the wrong thing, and your customers will leave in droves.

In a health club, instructors are traditionally responsible for three general areas: program setup, ongoing performance coaching and member retention. Applying technology products to set up programs is hazardous. Members have widely varying goals, and to gain confidence will often want to work directly with an instructor. Technology products that attempt to set up workouts usually do so based on several questions and the results of a few sample exercises. The resulting workouts are generally flawed as a result.

For example, an instructor prescribing a bicep curl weight based on a one-rep max on the chest press assumes a consistent ratio of muscle group strength from person to person. This is scientifically flawed. As a result, the weights prescribed from a computer are either too high (liability risk) or too low (poor results).

Similarly, prescribing weights over an eight- to 12-week period has been attempted by several technology products. However, this assumes a predetermined improvement rate. When a professional coach is involved, the coach would prescribe weights based on actual performance over time.

Applying technology products to member retention tasks is similarly difficult. A computer is not going to be particularly good at providing the emotional boost necessary to remotivate someone who isn’t getting results. Nor will it be able to understand in necessary detail a member’s explanation of which exercises are causing pain, or a shift in goals. These are all areas that require a professional instructor.

Technology products, however, can be good at the repetitive and mundane tasks that instructors don’t have the time to do — namely ongoing performance coaching. Once an instructor has set up a workout and taught the member proper technique, a computer can repetitively coach the member on proper form. A computer will never tire of watching every rep performed by every member on every machine, and comparing it to the instructor’s guidelines to provide feedback. This removes the member’s burden of having to remember all the elements of proper form, and the instructor’s burden of watching every member perform every exercise.

Similarly, technology products are good at record keeping and analyzing results. A computer system can effectively store a workout card so that members don’t have to write down their results. Once stored, a computer is effective at combing through the database quickly and accurately. It can identify all the members who have, say, plateaued, or who have been using poor form. These are members who need personal attention to be retained, which is the instructor’s job.

With this division of labor, computers are focused on what they are good at, and instructors are focused on their strengths. Together, the instructor and computer system can provide the customer superior service and value.

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Who the new technology attracts
To whom should clubs market this new equipment? And how successful might those efforts be? Dimambro says that at her club, older people and “non-jocks” are most drawn to the equipment with detailed electronic monitoring capabilities. “It appears this electronic monitoring equipment actually eliminates much of the competition and intimidation present that bothers certain groups of people in a gym,” she explains.

Dennis Piron, president and owner of Westbank Health & Fitness Center in Batavia, Ill., says at first it would seem advanced electronic monitoring equipment should appeal most to members who take their workouts seriously and are “hardcore” exercisers. “But, the reality,” he says, “is that it appeals most to people who haven’t worked out for some time and don’t know where to start with an exercise program. I think that’s because it allows them and us — as club managers — to easily track what they’re doing and make sure it’s safe, effective and appropriate.

The implications for this type of equipment appear to be limitless, Piron says. “In a service-oriented health club such as ours, I believe it’s the manager’s responsibility to keep members involved. A big part of that is goal setting,” he continues. “People need to set goals, know where they’re going, see how far they’ve gone and then set more goals. Electronic monitoring equipment answers that need.”

Piron adds that electronic monitoring equipment also helps eliminate boredom, saves a dramatic amount of time over recording exercise data with pen and paper, gives information that can complement work with a personal trainer, offers insight into causes of injuries, points out when a member is overtraining and provides greater detail than ever before regarding workout specifics.

And, because some of this equipment offers “proof” of exercise by automatically recording the information as the exercise is being done, rather than allowing the user to record their own workout results after the fact, there’s talk about health insurance companies offering health club membership/exercise discounts.

To qualify for an insurance discount, an individual would have to provide the computerized readouts this new equipment supplies, showing they did a certain number of workouts per week. Since research has proven that people who work out remain much healthier than those who don’t, insurance companies would most likely save money and might be able to charge higher, standard rates to non-exercisers.

The future of electronic monitoring
Where is electronic monitoring going? The answer from both manufacturers and health club owners seems to be that they’re not yet sure, but there are strong implications.

Flora compares the stage the industry is in with that of the office environment when computers were first making a mark. “It’s still somewhat early in the game,” he says. “Many new things are coming out. The technology is there and is advancing quickly. The wants and needs exist, as well.

“And, I believe there will continue to be much progress in this area for some time. So, the question for the health and fitness club managers contemplating whether to add this equipment now or wait and see what everyone else does is simple,” he says.

“I feel, it’s a matter of whether you want your club to offer the latest technology first and, thereby, standout from the crowd, or wait to see what becomes most popular elsewhere and play catch-up.”

Mary Pries is with Stevens & Tate Marketing Communications, St. Charles, Ill. Intelitool, Batavia, Ill. is among her clients.

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Some of these products even “recognize” users by code. This allows the equipment monitor to automatically pull up each user’s favorite program at log-on, and ask if it’s the choice again today. Others offer entertainment in addition to exercise monitoring and tracking. But how is this new equipment affecting the average health and fitness center? And, how can this information provide insight as to what this might mean for your club?

A fledgling technology
Steve Flora, president of Intelitool, Batavia, Ill., manufacturer of an electronic monitor that tracks and stores cardiovascular exercise data, believes the high-tech aspect of the industry is still in its fledgling stage. “We love to talk in this world of ours about how people are really into computers, and we’re in the information age,” says Flora. “But, the majority of people are still afraid of computers. So, if a product looks and smells too much like a computer, it may not be adopted — at least not very easily. And that’s a problem manufacturers such as ourselves are facing.

The mistake some manufactures made early on in producing electronic monitoring products was not taking the ‘human factor’ into consideration, Flora adds. “The products brought out by the first companies to break ground in this area were difficult to understand, took too much effort to utilize and ate up the users’ time,” he says. For electronic monitoring to be accepted, he says, the equipment must be as easy to use as it would be without all the gadgetry. Ideally, it should greatly enhance the equipment and make it simpler to operate, Flora adds.

James Doody Jr., chairman & CEO of Unisen, Tustin, Calif., manufacturer of a system that combines electronic monitoring and entertainment, agrees that electronic monitoring is only in its beginning phases. “Our industry is coming to a bit of a crossroads,” says Doody. “The technology is allowing collection and display of a tremendously broad range of information at a much lower cost than ever before possible. The problem,” he says, “is that no one in the industry knows for certain what information the average user is going to settle on wanting and be willing to pay for.”

Determining what technology will motivate people is no easy task for manufacturers or club owners, especially considering that what people say they want and will do is often different from what they actually do, adds Doody. “I believe the real test is to just get these products out in the market and see how they’re accepted.”

Easing into new technology
Clubs interested in exploring this new technology may want to seek out manufacturers who are interested in gaining feedback about member likes and dislikes. Augie Nieto, president & CEO of Life Fitness, Franklin Park, Ill., which manufactures a free-standing, electronic monitoring station for its already-existing resistance training program, is putting the company’s new equipment to the test by placing it in select fitness centers on a trial basis to gauge acceptance.

“I have an acronym for the features I believe electronic monitoring equipment must feature to become popular,” Nieto says. “It’s R.A.R.E. That stands for Retain existing members, Attract new members, generate Revenue and offer Efficiency. If equipment can satisfy all these categories, I feel it will be accepted by club owners, current club members and potential new members.”

Celeste Dimambro, a member of the ownership team at The Works Athletic Club in New Hampshire, says she has found this new age of fitness equipment can do all four “R.A.R.E.” things and more for a fitness center. “We have an area within our club called the Personal Performance Center,” says Dimambro. “In that room, we feature a variety of progressive electronic monitoring equipment that gives members feedback on their exercise. But, not everyone can use the room, because it’s a separate upgrade option to a regular membership.” Dimambro says having this room with its special equipment has produced an entirely new form of revenue for the club from both existing and new members. It’s also allowed the club to offer more personalized training than would be possible from a budget and logistics standpoint with personal trainers.

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To ease pain and reduce swelling, take aspirin or ibuprofen if your doctor says it’s safe for you.
Drink lots of fluids.

Don’t use vinegar or baking soda on your skin; those old remedies actually dry your skin more.
Oatmeal baths and milk baths may help you feel better.

Try a lukewarm water bath. Put moisturizer on your skin when it’s still wet — right after you get out of the bath.

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Instead of a fat-laden frosting, there’s a glossy orange glaze (with some vitamin C as a bonus). We know this cake sounds a little like health food, but it will satisfy even the most demanding chocolate cake lover — though you might have to compromise and give in on the chocolate frosting (after all, the cake is pretty virtuous).

Ingredients

Cake:

1 pound sweet potatoes
2 cups all-purpose flour
1/2 cup unsweetened cocoa powder
2 teaspoons baking powder
1/2 teaspoon baking soda
1/2 teaspoon cinnamon
1/2 teaspoon salt
2/3 cup (firmly packed)
light brown sugar
1/3 cup extra-light olive oil
3 egg whites
1 large carrot, shredded
2/3 cup low-fat (1.5 percent) buttermilk
1/2 cup carrot juice
Glaze:

1 cup confectioners’ sugar
2 tablespoons orange juice
2 teaspoons grated orange zest
1. For the cake: Preheat oven to 450 degrees F. Prick sweet potatoes in several places, place on baking sheet and bake until tender, about 45 minutes. When cool enough to handle, peel and mash with a fork. Reduce oven temperature to 350 degrees F.

2. Generously spray 9-by-13-inch baking pan with nonstick cooking spray; set aside. In large mixing bowl, stir together flour, cocoa powder, baking powder, baking soda, cinnamon and salt; set aside.

3. In large bowl, with an electric mixer, beat together mashed sweet potatoes, brown sugar and oil until light and fluffy. Beat in egg whites until well combined. Fold in carrot.

4. In small bowl, stir together buttermilk and carrot juice. Alternately fold buttermilk mixture and flour mixture into sweet potato mixture, beginning and ending with flour mixture.

5. Spoon batter into prepared pan, smoothing top. Bake 35 minutes, or until a toothpick inserted in center comes out clean. Cool on a rack in pan.

6. For the glaze: In medium bowl, stir together confectioners’ sugar, orange juice and orange zest. Drizzle over cooled cake.

Dr. Stanley West, an OB-GYN endocrinologist, believes that many doctors recommend hysterectomies in part because that is the operation they have the most experience performing. West suggests that patients do their homework about their condition on the Internet and at the library. Learn what medications and drugs are available to treat the condition you have.

Patients should also ask whether the doctor is experienced at performing myomectomies or fibroid embolizations, which are traditionally offered to women who want to retain their reproductive ability. If the doctor is unfamiliar with the procedures, get a referral to a doctor who has experience with these treatment options.

And though they are not medical professionals, help and support from women who have dealt with similar symptoms and conditions is available through various chat groups, message boards and listservs on the Internet.

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Lunch
Refried beans, lettuce and tomato in small corn tortilla
1 mini pumpkin muffins
1 cup fortified soymilk

Snack
1/2 cup fruit smoothie (soft/silken tofu blended with frozen fruit, soymik)
1 graham cracker

Dinner
“Veggie burger” with tomato, lettuce and egg free mayonnaise on bun creamed spinach Peach cobbler

1/2 cup soymilk
Snack
Mini-bagel with margarine
1/2 cup soymilk