April Western Kentucky Healthy Cells 2012

WESTERN KENTUCKY

area

Promoting Healthier Living in Your Community • Physical • Emotional

APRIL 2012

FREE

HealthyCells www.healthycellsmagazine.com

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m a g a z i n e

• Nutritional

Lone Oak Pharmacy: Combining Personalized, Old Fashioned Service With the Latest Technology page 12

Woman Pleased With Anterior Approach Hip Replacement page 5 JPMC Offer Endoscopic Ultrasound and ERCP page 18 Growth Hormone Stimulators

page 21

MORE PEOPLE CHOOSE LOURDES FOR CARDIOVASCULAR SURGERY THAN ANY OTHER HOSPITAL IN THE REGION.

Drs. James O’Rourke, Scott Sanders, Omid Javadi and Daniel Jung

The region’s most sought-after physicians.

Innovative, less invasive surgeries that allow you to recover more quickly.

New technologies that give hope to our most fragile patients.

The construction of Kentucky’s only twin hybrid operating rooms.

And above all, a sacred commitment to help save lives.

A Sacred Mission of Healing. eLourdes.com/heartandvascular.asp

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 3

APRIL

2012 Volume 2, Issue 4

5

Orthopedic Surgery: Brookport Woman Pleased With Anterior Approach Hip Replacement

6

Emotional: “Im Fine… And Others Lies”

8

Nutritional: Comfort Food Recipes

10

Physical: Dry Eyes and Mouth?

15

Women’s Health: Blood Disorders

16

Continuity Of Care: Kentucky’s Health Information Exchange (KHIE)

17

Effective Therapy: The Benefits of Frequent Massage: A Powerful Healthy Ally

18

Advanced Healthcare: Gastroenterologists at JPMC Offer Endoscopic Ultrasound and ERCP

21

The Aging Process: Growth Hormone Stimulators

22

Financial Health: 4 Ways to Help Kids Make Cents of Finances

23

Safety Facts: Smoke Alarms Save Lives.

24

Insurance Programs: Workplace Wellness

25

Children’s Health: Unlock Your Child’s Reading Potential

This Month’s Cover Story:

Lone Oak Pharmacy: Combining Personalized, Old Fashioned Service with the Latest Technology page 12

Cover and feature story photos by fike fotos

For advertising information, contact Kelly Rosa-York, owner Office: 270-362-4180 • Cell: 309-696-3694 P.O. Box 432, Gilbertsville, KY 42044 kelly@healthycellsmagazine.com Healthy Cells Magazine is a division of: 1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

Mission: The objective of Healthy Cells Magazine is to promote a stronger health-conscious community by means of offering education and support through the cooperative efforts among esteemed health and fitness professionals in the Western Kentucky area.

Healthy Cells Magazine is intended to heighten awareness of health and fitness information and does not suggest diagnosis or treatment. This information is not a substitute for medical attention. See your healthcare professional for medical advice and treatment. The opinions, statements, and claims expressed by the columnists, advertisers, and contributors to Healthy Cells Magazine are not necessarily those of the editors or publisher.

Healthy Cells Magazine is available FREE in high traffic locations throughout the Western Kentucky area, including medical facilities and other waiting rooms. Healthy Cells Magazine welcomes contributions pertaining to healthier living in the Western Kentucky area. Limelight Communications, Inc. assumes no responsibility for their publication or return. Solicitations for articles shall pertain to physical, emotional, and nutritional health only.

orthopedic surgery

Brookport Woman Pleased With Anterior Approach Hip Replacement

By Western Baptist Hospital

M

arlene Kineman had trouble sleeping at night because of arthritis in her hip. "I was having pain in my hip area, and it woke me up at night," said Kineman, 74, of Brookport, Ill. Kineman is well rested since having a hip replaced through the anterior approach in October.

The new approach is to the front (or anterior) of the hip joint, rather than from the side or back. Rehabilitation is accelerated, and hospital time is decreased because the hip is replaced without detaching the muscle from the pelvis or femur, as required in other surgical approaches.

Orthopedic surgeon Burton Stodghill, M.D., performed Kineman's surgery. "We are having great success with the anterior approach," Stodghill said. "Patients find their post-operative recovery is significantly shorter and their pain is significantly less.

They have essentially no problems with dislocations and are able to return to their normal lives quickly, with minimal interruptions to their daily routine."

Kineman said her physical therapist was amazed at how well she got around after surgery. "I could walk without a cane after five weeks," she said. "It worked very well for me."

Stodghill's partner Stephen Jackson, M.D., also performs the procedure, as well as orthopedic surgeon Ted Jefferson, D.O. "It's been available for a long, long time, but it was difficult to do," Dr. Jefferson said. "A new operating table became available that makes it easier, so it's becoming more and more popular. It's taking the hip replacement world by storm."

Western Baptist will offer a free hip and knee screening on Saturday, April 21, at Baptist Rehab Center, 115 Kiana Court. Appointments are required; phone (270) 575-2895 for reservations. A physical therapist will examine and offer exercise tips or refer for more specialized treatment. An orthopedic surgeon will offer a consultation, if needed. Registration is limited to people with hip or knee pain not related to an injury currently being treated.

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 5

emotional

“I’m Fine... And Other Lies" Healthy Cells magazine is pleased to present another in a series of feature articles on the subject of Grief Recovery®. The articles are written by Russell P. Friedman, Executive Director, and John W. James, Founder, of The Grief Recovery Institute. Russell and John are co-authors of WHEN CHILDREN GRIEVE - For Adults to Help Children Deal with Death, Divorce, Pet Loss, Moving, and Other Losses - Harper Collins, June, 2001 - & THE GRIEF RECOVERY HANDBOOK - The Action Program For Moving Beyond Death, Divorce, and Other Losses [Harper Perrenial, 1998]. The articles combine educational information with answers to commonly asked questions.

A

common thread running through the previous articles we have written is the mis-information we were all subjected to about processing the normal emotions caused by loss.

We do not want to create any new loss issues by blaming our parents in particular or society in general for having passed on ineffective ideas, skills, and tools for dealing with loss. All we want to do is help establish that what we have been using to process our sad, painful or negative feelings hasn’t worked, and that we need to acquire more effective tools for dealing with loss events.

Much of the incorrect information we learned and practiced may have convinced us not to show our REAL feelings at any cost. We were taught to bury any feelings that dealt with sadness. We were taught: “Laugh and the whole world laughs with you, cry and you cry alone.” This and hundreds of other cliches about dealing with sad feelings taught us to lie about how we felt. And even the lying was protected under other mis-information like: “don’t burden others with your feelings.”

When we make public appearances we often ask a large audience this question: “Do you like being lied to?” Of course no one says yes. Our next question is: “How many of you have ever said I’M FINE when you were feeling terrible?” Every single hand in the audience goes up.

Conclusion: Nobody likes being lied to...and everybody lies about their feelings. If this were a physical illness it would be an epiPage 6 — Healthy Cells Magazine — Western Kentucky ­— April 2012

demic and the Center for Disease Control would be granted billions of dollars to find a cure.

Every time we lie to others we lie to ourselves. Our subconscious mind hears the lie and continues to bury the feelings generated by the initial event. Unresolved losses are cumulative, and cumulatively negative. In as much as time does not heal the pain caused by loss, neither does lying about our feelings.

It would be impossible to cure such a massive problem in a single column, but let’s try for a little bit of recovery. Allow yourself to believe that the subconscious will take actions based on conscious commands.

When we lied and said we were fine we told it that there was no problem so it need not search out a solution. The net effect is to allow the cause of the problem to go unattended and re-bury itself. The next time it attacks we may not be able to recognize the cause or source of the attack.

A major key to recovery is to process every feeling in the moment you have it. It does not require any special skills to tell the truth about what you are feeling. For example: How are you? — I’m having a tough day, thanks for asking. Notice that the answer is truthful but does not invite any help or advice. It also has the capacity of serving notice that you are not on your game and the other party can respond accordingly. When you say “I’m fine,” but you’re not, you have sent a very confusing message.

QUESTION: Sometimes I tell people “I’m fine” and they don’t believe me, why not?

ANSWER: Approximately 20% of your ability to communicate is verbal, leaving about 80% as non-verbal. Non-verbal communication includes tone of voice as well as facial and body signals. When our

“Unresolved losses are cumulative in as much as time does not heal the pain caused by loss, neither does lying about our feelings.” verbal and non-verbal signals do not match, most people will respond to the non-verbal. So when you lie, most people can SEE it.

Next month: “Exploring The ‘F’ Words” — #1 — Forgiveness For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061-382 Sherman Oaks, CA. 91413.

Call [818] 907-9600 or Fax: [818] 907-9329. Please visit our website at: www.grief-recovery.com.

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IT’s NOT A Mystery, IT’S An Imbalance We at Strawberry Hills Wellness Center are focused on helping our patients become the you, you know you can be.

4793 Village Square Drive Suite A-1, Paducah, Kentucky 42001

www.StrawberryHillsWellnessCenter.com

270-444-3947 April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 7

nutritional

Comfort Food Recipes From Jackson Purchase Medical Center

M

ayfield, KY—If you’re looking for cozy home cooking, try the satisfying Comfort Food Recipes at www.JacksonPurchase. com. This month Jackson Purchase Medical Center features homemade favorites that will indulge your comfort food craving. Easy one-pot recipes for stews, pot pies and paella are perfect for Sunday dinners, weekend parties and weekday leftovers. These healthy recipes for comfort food are one-pot meals the whole family will love.

In the mood for stew? Go to www.JacksonPurchase.com for an Easy Beef Stew that you can cook days ahead. Or, try a Chicken Stew that’s filled with flavor and only one gram of fat per serving. For a soulsatisfying dinner, there’s a classic Chicken Pot Pie made with a light and crispy crust. You’ll find more stick-to-your-ribs one-pot recipes at www.JacksonPurchase.com.

Watch our cooking video on Health eCooking at www.JacksonPurchase.com to learn how to make this hearty meat and potatoes dinner—Shepherd’s Pie. Watch the video: www.JacksonPurchase.com. Click Health eCooking recipes.

Health-care publisher Baldwin Publishing (www.BaldwinPublishing. com) produces Health eCooking® for Jackson Purchase Medical Center.

Go to www.JacksonPurchase.com to watch Health eCooking videos.

Recipe Copyright © 2012 Baldwin Publishing. Permission to reprint recipe is hereby granted; all other rights reserved.

Health eCooking is a registered trademark of Baldwin Publishing.

®

Shepherd’s Pie Recipe Topping 1 1/2 lb (about 3 large) Yukon Gold potatoes or sweet potatoes, peeled and quartered 2/3 cup skim milk 2 Tbsp reduced-calorie trans fat free margarine 1/4 tsp ground nutmeg 1/8 tsp cayenne pepper 2 green onions, thinly sliced 1/2 tsp salt Black pepper to taste Filling 1 lb lean ground beef 2 Tbsp olive oil 1 1/2 cups chopped onions 2 large carrots, chopped 3 oz cremini mushrooms, sliced (about 1 cup) 1 Tbsp tomato paste 1 tsp fresh thyme leaves, or 1/4 tsp dried thyme 3 Tbsp dry sherry or red wine 2 1/2 cups reduced-sodium beef broth 2 Tbsp all-purpose flour Black pepper to taste

Page 8 — Healthy Cells Magazine — Western Kentucky ­— April 2012

Make topping: In a 4-quart saucepan, add the potatoes and cold water to cover by 2 inches. Bring to a boil and cook over medium-high heat until the potatoes are tender, about 20 minutes.

In a colander, drain the potatoes. Return potatoes to pan and mash. Set aside.

In a small microwave-safe bowl, combine the milk, margarine, nutmeg and cayenne. Microwave on high for 20 seconds, or until margarine is melted. Add the milk mixture to the potatoes and stir until smooth. Add the green onions and season with salt and black pepper. Stir gently. Set aside.

Make filling: Preheat oven to 375°. Line a rimmed baking sheet with foil; set aside. Heat a large skillet over medium heat.

Add the beef and cook until just browned. Add the oil to the pan and heat until hot. Add the onions, carrots and mushrooms, and sauté, stirring occasionally, until the vegetables are tender, about 10 minutes. Add the tomato paste, thyme, sherry and broth, and bring to a simmer over medium-high heat, stirring constantly. Stir in the flour and cook for 1 minute. Simmer, uncovered, until the mixture is thick and bubbly, about 15 minutes. Season with black pepper to taste.

Pour the beef mixture into a deep 8-inch baking dish.

Spoon the mashed potatoes over the beef and place baking dish on lined baking sheet. Bake until the shepherd’s pie is bubbly around the edges, about 30 minutes. Cool for 10 minutes before serving.

Yield: 8 servings Nutrition Facts (per serving): Calories: 293; Fat: 12g; Saturated Fat: 4g; Cholesterol: 47mg; Sodium: 401mg; Carbohydrates: 26g; Fiber: 3g; Protein: 19g

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 9

physical

Dry Eyes and Mouth?

You May Have Sjögren’s Syndrome

I

f your eyes and mouth feel as dry as a desert, there are many possible causes, such as bad air quality and certain medications. But if you have long-lasting, uncomfortable dryness in your eyes and mouth, along with fatigue or pain and swelling in some of your joints, you may have a condition called Sjögren’s syndrome.

Sjögren’s (pronounced SHOW-grins) syndrome affects as many as 4 million people nationwide. Men and women of all ages can develop the condition, but it most often shows up in women in their 50s and 60s. The disorder is 9 times more common in women than in men.

Sjögren’s syndrome arises when the body’s immune system, which ordinarily attacks invading bacteria and viruses, starts killing off the body’s own moisture-producing cells. The condition can occur on its own or alongside other diseases, such as lupus or rheumatoid arthritis, in which the immune system mistakenly attacks parts of the body.

In some cases of Sjögren’s, the immune system attacks several parts of the body, including the eyes, mouth, joints and internal organs. Because the disorder has such varying effects, diagnosing Sjögren’s syndrome can take a long time.

“The average time to diagnose Sjögren’s is about 7 years from the first symptoms, because the symptoms can be very subtle,” says Page 10 — Healthy Cells Magazine — Western Kentucky ­— April 2012

Dr. Gabor Illei, head of the Sjögren’s Clinic on the NIH campus in Bethesda, Maryland.

Physicians use several tests to make a diagnosis. These include measuring tear and saliva flow, blood tests, and biopsies. In the biopsy test, a surgeon removes a small saliva-producing gland from the lip and looks at it under a microscope. The blood tests and biopsies let physicians know if the body’s immune system is attacking salivaproducing cells.

Since so many of the body’s systems can be affected, people with Sjögren’s syndrome often need to see several specialists. These can include an ophthalmologist for the eyes, an oral disease specialist or a dentist who has experience with dry mouth, and a rheumatologist, who can manage and coordinate care.

Many treatments for Sjögren’s syndrome aim to relieve the symptoms of dryness. For patients with mild dryness, over-the-counter artificial tears can help with dry eye. Sips of water and sugar-free candies can help with dry mouth. Because saliva usually protects teeth from decay, people with dry mouth need to be careful to avoid sugary candies, and to take care of their teeth.

For more severe symptoms, several medications are available or in development. Two current drugs boost saliva production, and

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another can increase tear production. Some promising new drugs are being tested to treat symptoms that affect other parts of the body.

The Sjögren’s Clinic at NIH has several ongoing clinical trials under way. “We are very patient oriented,” says Illei. “We do clinical studies. Some are just observational, so we follow the disease over time. Some are interventional—for example, trying out a new treatment.”

The goal of the clinic is to find the causes of Sjögren’s syndrome and how to treat it. If you have Sjögren’s syndrome and are interested in participating in a clinical trial, learn more about trials near you at http://clinicaltrials.gov.

Sjögren’s syndrome is a chronic condition, and there is no cure.

However, treatment can improve symptoms and prevent problems like cavities and eye infections. Sjögren’s syndrome can be complex, but a primary care doctor or rheumatologist can help you manage your treatments and all the hurdles along the way.

1

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For more information, please visit www.nih.gov.

(270) 554-7944

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 11

feature story

Lone Oak Pharmacy:

Combining Personalized, Old Fashioned Service with the Latest Technology

Front Row L to R: Michael Richards, Ashley Kell, Mark Warth (Pharmacist), Michelle Lowe (Owner), Shannon Wilson (Pharmacist), Judy Archie, Shari Carrell Back Row L to R: Laura Shields, Valerie Beals, Heide Watson, Kim Stack, Sherece Boyd, Ashley Canter

“

I

t’s a rare person who can take care of hearts while also taking care of a business,” states a plaque on one of the shelves in Michelle Lowe’s office at Lone Oak Pharmacy. After just a few minutes visiting with Michelle, one quickly realizes that she is indeed one of those rare people who is both an effective, organized, innovative business person and also strives to use her education, training, and natural talents to serve her community. Michelle Lowe, along with her husband Dewaine, is the owner of Lone Oak Pharmacy, which has been serving the region for over ten years. In an age in which large chain stores seem to dominate most markets, including the pharmacy business, many people might wonder what keeps a small, family-owned pharmacy not only alive but actually thriving.

Michelle explains that she had a very specific vision for the kind of pharmacy business she would build. This business would not be Page 12 — Healthy Cells Magazine — Western Kentucky ­— April 2012

purely profit motivated or organized in the typical “corporate” structure.

Instead, Michelle believed her business could flourish while also filling a need in the community by offering unique services, personal attention, caring staff, and a comfortable environment. Her goal is that customers, upon just one visit to the Lone Oak Pharmacy, will see the difference between an independently owned pharmacy versus what they typically experience at a large chain.

Michelle suggests, “People need to know that they can expect more from their pharmacy. Our goal at Lone Oak Pharmacy is to know the names of our customers, and I’m proud to say that we do in most cases. Not just that, we often know their doctors, their various medications, their work schedules, and their lives in general. We care about them.” Unfortunately, several misconceptions seem to exist about smaller, independently-owned pharmacies, and many custom-

ers would be surprised to learn a few interesting facts about these types of businesses. In today’s economic environment, where every penny seems to count for so much more than it did in more prosperous times, customers assume that an independent pharmacy cannot compete with the larger chain stores. For this reason, many pharmacy customers choose to sacrifice personal service and overall satisfaction with the pharmacy experience in order to save money. What they do not realize is that many independent pharmacies, because they have joined together and formed a network, do indeed compete with the large chains both in terms of price and insurance coverage accepted.

It is hard to imagine that a trip to the pharmacy could be considered anything but a chore, yet another list of obligations in an already hectic day. Walking into Lone Oak Pharmacy, though, a new customer will immediately sense that this isn’t the “typical” pharmacy experience.

Not only does the facility offer a charming waiting area just in case a customer might have to wait for a few moments, but it also provides visitors with a sense of fun because of the “boutique” atmosphere that has been carefully and artfully created. Even if their prescription is ready, most likely shoppers will enjoy taking a few moments to browse the unique gift items that the store stocks. Overall, this pharmacy is proof that a pharmacy can actually be a pleasant place to visit.

Sterile Compound Room

However, Michelle Lowe’s pharmacy offers much more than the casual observer would notice. The mission at Lone Oak Pharmacy is for the employees to spend their time saving the time of the customers. Michelle, who is a mother as well as a pharmacist, approaches customer service by asking the question, “How would I most like to be treated in this situation?” For example, if she knows that a shipment has not arrived, and a customer is waiting on that prescription, she will find a way to personally contact that customer and find a way for that person to access the prescriptions needed, even if that means that the customer might have to use another pharmacy on that occasion. She understands that when people or their families do not feel well that they are at their most vulnerable and frustrated. This empathy she feels for her customers motivates her to continually promote to her staff, “Let’s make the difference in these people’s lives today. If only one good thing can happen to them today, let’s be that one good thing.” Michelle, with her desire to provide the best service possible, has made the commitment to provide customers with the best staff possible. The

pharmacy is well-staffed and has several different employees who actually specialize in various services and products offered by this unique business.

Customers can count on Lone Oak Pharmacy to provide other valuable services. For example, Michelle Lowe is a certified diabetes educator, who can work individually with clients to assist them in managing this condition and improving their overall quality of life. Michelle’s fifteen years in diabetes education and her continual research and training in the field offer diabetes patients the most up-todate information about diabetes education and care. Her colleague Judy can also train diabetes patients to use various equipment and supplies.

Additionally, the pharmacy offers nutrition and wellness consultations to clients who simply want to feel their best. According to Michelle, “Lone Oak Pharmacy believes in a holistic approach to your health and well-being. Natural medicines, vitamins, and herbal therapies can play an important role in preventing many health problems as well as complimenting traditional drug therapies.” The pharmacy offers both pharmaceutical quality products and scientifically-based nutritional advice.

Being a full-service facility, Lone Oak Pharmacy also proudly offers medical equipment and supplies. Yet again, the compassionate team at this family-owned and family-focused business understands that “Going home from the hospital, recovering from surgery, or caring for a loved one can be a stressful occasion.” For this reason, customers have access to a full line of quality products such as wheelchairs, walkers, canes, diabetic supplies, ostomy appliances, bathroom equipment, and other medical supplies. And not only will the staff work with the doctor to determine the products needed, but they will also deliver the products to the home and demonstrate their proper use to patients.

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 13

feature story

continued

In today’s world, it is rare that customers are fortunate enough to have access to a true “one stop shop,” yet that is what Lone Oak Pharmacy aspires to be.

Definitely the most unique and fascinating feature of the Lone Oak Pharmacy is its strong commitment and background in compounding.

The term “compounding” has gotten a great deal of attention recently in our region, and many people would be surprised to learn that Michelle has nearly twenty years of professional compounding experience. A graduate of the University of Kentucky, which has a strong heritage in compounding, Michelle began her career in Bowling Green, Kentucky, working with a pharmacist mentor who was deeply committed to and passionate about compounding.

When asked how her passion for compounding grew and eventually became a huge part of her career, Michelle shared her “light bulb moment” regarding compounding. When she first began practicing pharmacy in Bowling Green, a hospital approached her pharmacy about compounding drugs for a three month old heart transplant patient.

It was explained that the compounded drugs that would be created especially for this patient would allow the child to go home from the hospital 12 weeks earlier than he could if the drugs could not be made.

Because they were able to compound this medication, the patient came home that much earlier, providing both convenience and bonding time for the family while saving hundreds of thousands of dollars in hospital bills. It was this experience that made Michelle a believer in compounding, and in her daily work, the benefits of compounding continue to dramatically present themselves.

For those unfamiliar with the term or the origin of compounding, it is important to understand a bit of background. First, “compounding” involves preparing medications specifically formatted to fit an individual patient’s needs. It is the origin of the field of pharmacy itself. According to America’s Pharmacist, a prominent pharmacy journal, “Pharmacy’s heritage spans some 5,000 years, and centers on the provision of pharmaceutical products for patients. In the early years of American pharmacy, compounded formulas were the primary source for medications.” Between the years of 1800 to around 1950, the primary role of American pharmacists was to “mix and make” medicines according to the prescriber’s orders. However, when large drug companies began to dominate the market, the demand for compounding decreased, and Page 14 — Healthy Cells Magazine — Western Kentucky ­— April 2012

by 1970, almost 100% of all prescriptions dispensed were manufactured commercially, states the Professional Compounding Centers of America (PCCA).

Many consumers are now just beginning to learn more about compounding and understanding its benefits. Of course, it’s also essential that myths are dispelled. For example, compounding is highly regulated, and compounding pharmacists are to participate in a great deal of yearly continuing education.

Additionally, the products used as well as the facilities at Lone Oak Pharmacy. In addition, it is important to understand that physicians are active participants in the process because compounding pharmacists are required to have a prescription from a physician compounding relationship as a “triad”—a three-way partnership between the patient, the physician, and the pharmacist. All of these parties work together to ensure that the patient receives the most appropriate and beneficial treatment possible.

Nearly all consumers, or at least someone they know, could benefit from utilizing compounding services. For example, patients who have allergies to ingredients in certain drugs, patients who require a different dosage (such as pediatric patients), or patients who require a different method of delivery (such as changing from a pill to a liquid) can benefit from compounded medication. Additionally, compounding pharmacists like Michelle can often compound a medication that has been discontinued, as long as that medication was not discontinued for safety reasons. For example, of a drug company feels a medication is no longer profitable and makes it unavailable, a compounding pharmacist can still provide that drug to a client.

Though compounding services are now being offered through several pharmacies in the region, Lone Oak Pharmacy has one thing that nobody else in the region can offer, which is a sterile compounding lab facility located in the pharmacy itself. This kind of lab allows the pharmacy to offer even more compounding options, and it is a project in which Michelle takes a great deal of pride. She’s very excited about the potential for important services the sterile lab can provide for our community.

Michelle Lowe is both a caring business woman and also an innovative professional who strives to anticipate the needs of her community and meet those needs with both a kind heart and a keen mind. Lone Oak Pharmacy, with its unique approach to customer service and its variety of products available, is definitely worth a visit. You may have a dog who needs an ointment for his allergies that isn’t available from a manufacturer, a child who will only take medication if it’s bubblegum flavored, a family member who needs her drugs delivered to her, a condition that requires a drug that your doctor or hospital cannot access, or the simply the desire to be treated with kindness and individual attention at your pharmacy. Regardless of what you special need you may have when it comes to your pharmacy, it’s highly likely that Lone Oak Pharmacy can meet that need and meet it with a smile.

For more information, please contact Lone Oak Pharmacy and Compounding Shoppe at (270) 554-7944.

Located at 3535 Lone Oak Road Paducah, KY.

women's health

Blood Disorders B

lood is essential for life. It carries oxygen and nutrients to every part of the body. Blood also fights infections and heals injuries.

Therefore, disorders of the blood can have a great effect on your health.

You can protect your health by understanding the symptoms of common blood disorders. If you think you may have one of these conditions, talk to your doctor. With early diagnosis and the right treatment, many women with blood disorders are able to live full and healthy lives.

Blood disorders Blood disorders are diseases that affect one or more parts of the blood. The symptoms depend on the part of the blood affected: • Bleeding disorders prevent the blood from forming clots, which stop bleeding after an injury.

• Clotting disorders cause blood to clot too easily, creating a condition called thrombophilia.

• Anemia is a condition in which the blood has too few healthy red blood cells.

• Disorders of the bone marrow, such as leukemia, may affect the production of blood cells.

It is important to have blood disorders diagnosed and treated as early as possible. Proper treatment can relieve symptoms and prevent complications.

Living with blood disorders Blood disorders do not have to interfere with your day-to-day activities, work, or quality of life.

• Take care of your health. For some disorders, there are steps you can take to prevent symptoms and dangerous complications.

• Take care of your emotions. You may have symptoms, such as heavy menstrual bleeding or fatigue, that affect your life on a daily basis. You may also face fears about your own health or the health of your children. Counseling can help you cope with your disorder and make informed choices about your health.

• Get diagnosed. If you have a family or personal history of blood disorders or symptoms, talk to your doctor. You may need to be tested.

• Get the treatment you need. Al- though many blood disorders cannot be cured, treatments can relieve your symptoms and help you feel better.

For more information, please visit www.womenshealth.gov.

Causes of blood disorders Many blood disorders are inherited. If you have a history of a blood disorder in your family, you might have a higher risk of developing the disorder yourself or carrying the gene for the disorder. Blood disorders may also be caused by: • other diseases or conditions • the side effects of medications • a lack of certain nutrients in your diet Blood disorders can be acute or chronic. Acute blood disorders occur suddenly and last a short time. For example, rapid or excessive blood loss may cause acute anemia. Once the bleeding is stopped and blood levels return to normal, the anemia is cured.

A chronic blood disorder is a disorder that develops slowly or lasts a long time. Many chronic disorders, such as sickle cell anemia, cannot be cured. But the symptoms can be treated.

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2006 Lone Oak Road Paducah, KY 42003 www.heathhealthfoods.com April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 15

continuity of care

Kentucky’s Health Information Exchange (KHIE) Submitted by Suzanne Farmer, Lourdes Public Relations Coordinator Lourdes Hospital

L

ourdes Hospital has become one of the first hospitals in Kentucky to exchange clinical data with Kentucky’s Health Information Exchange, or KHIE. Sharing or exchanging key clinical information is one of the primary goals of healthcare reform. By connecting to the KHIE, Lourdes demonstrates its continued commitment to patient safety and to providing the highest quality care possible. “Providing timely clinical data to the right people at the right time can dramatically help to ensure positive outcomes, especially for patients who may not be able to provide that information in their time of need,” says Andy Adams, Director of Relationship Management for Lourdes Hospital.

The Kentucky HIE was created in response to an August 2009 executive order from Kentucky Governor Steve Beshear to help ensure interoperability or the ability to share data across various health systems.

Secretary Janie Miller of the Cabinet for Health and Family Services (CHFS) executed an administrative order on Feb. 23, 2010 officially creating the Kentucky Health Information Exchange Coordinating Council and six specialty sub-committees. “By participating on the Provider Adoption and Meaningful Use Committee, I was able to really get in on the ground floor of the development of the KHIE and to get an appreciation of what it can do for caregivers,” states Adams.

By connecting to the KHIE and with the patient’s consent, Lourdes Hospital can send and receive a variety of information about a patient’s prior care.

Key clinical information includes medical problems, procedures, medications, medication allergies, demographics and lab results. Other participating hospitals and providers can send and retrieve information as well. “Participating in the KHIE just makes good sense and more importantly provides for better continuity of care,” added Adams. “It’s not just a regional or state initiative, but a national health initiative.” The KHIE is designed according to national standards to ensure interoperability among disparate health records systems. Through connectivity to the National Health Information Network (NHIN), the KHIE can support health information exchange across states.

Participating hospitals and providers access clinical data through the KHIE Community Portal or Virtual Health Record (VHR). “The VHR offers a comprehensive electronic health record using a secure browser,” states Tammie Jones, Clinical Informatics Specialist for Lourdes Hospital. The VHR presentation is like a traditional clinical chart, with tabs to segregate patient information into clinically relevant groups for easy chart review. The KHIE Community Portal makes it possible for providers with EHR technology to share and exchange patient data regardless of the type of information system or EMR used at each source.

For more information, see the Governor’s Office for Electronic Health Information website at http://khie.ky.gov.

Take a trip to Nelson Pharmacy

Home of the old-fashioned soda fountain • Oldest, continued operating drugstore in county • Most up-to-date pharmaceutical services availabe • Computerized pharmacy department • Fast, friendly service with competitive prices • Preferred provider with most insurance plans

1112 Main Street • Benton, KY • 270-527-3616 Page 16 — Healthy Cells Magazine — Western Kentucky ­— April 2012

effective therapy

The Benefits of Frequent Massage: A Powerful Health Ally Submitted by Jenny’s Day Spa Here's the beauty of bodywork: Its benefits are compounded when massage is utilized as a frequent therapy. The more you get, the more it does.

There's no denying the power of bodywork. Regardless of the adjectives we assign to it (pampering, rejuvenating, therapeutic) or the reasons we seek it out (a luxurious treat, stress relief, pain management), massage therapy can be a powerful ally in your healthcare regimen.

Researchers say the incredible benefits of massage are doubly powerful if taken in regular "doses." Professionals at the Touch Research Institute at the University of Miami explain the more massage you get, the greater benefits you reap. Here's why: The Health Benefits Experts estimate that upwards of 90 percent of disease is stressrelated. And perhaps nothing ages us faster, internally and externally, than high stress. While eliminating anxiety and pressure altogether in this fast paced world may be idealistic, massage can, without a doubt, help manage stress. This translates into: • Decreased anxiety.

• Enhanced sleep quality.

• Greater energy.

• Improved concentration.

• Increased circulation.

• Reduced fatigue.

Furthermore, clients often report a sense of perspective and clarity after receiving a massage. The emotional balance bodywork provides can often be just as vital and valuable as the more tangible physical benefits.

In response to massage, specific physiological and chemical changes cascade throughout the body, with profound effects. Research shows that with massage:

• Asthmatic children show better pulmonary function.

• Arthritis sufferers note fewer aches and discomforts.

• Burn injury patients report reduced pain and anxiety.

• High blood pressure patients demonstrate lower diastolic blood pressure and stress hormones.

• Premenstrual syndrome sufferers have decreased water retention and cramping.

• Preterm infants have improved weight gain.

Research continues to show the enormous benefits of touch--which range from treating chronic diseases, neurological disorders, and injuries, to alleviating the tensions of modern lifestyles. Consequently, the medical community is actively embracing bodywork, and massage is becoming an integral part of hospice care and neonatal intensive care units. Many hospitals are also incorporating on-site massage practitioners and even spas to treat post surgery or pain patients as part of the recovery process.

Help Yourself to Health Here's the beauty of bodywork: Its benefits are compounded when massage is utilized as a frequent therapy. The more you get, the more it does.

Taking part in this form of regularly-scheduled self-care plays a huge part in how healthy you'll be and how youthful you'll remain with each passing year. Budgeting time and money for bodywork at consistent intervals is truly an investment in your health. And remember: just because massage feels like a pampering treat doesn't mean it is any less therapeutic. Consider massage appointments a necessary piece of your health and wellness plan, and work with your practitioner to establish a treatment schedule that best meets your needs.

For more information or to schedule your appointment, please contact Jenny Stephens at 270-415-3444. Jenny’s Day Spa is located at 4793 Village Square Drive, Suite J, Paducah, KY. April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 17

advanced healthcare

Gastroenterologists at JPMC Offer Endoscopic Ultrasound and ERCP

By Jackson Purchase Medical Center Ruben Cuadrado, M.D.

J

ackson Purchase Medical Center has specialists who treat a broad range of conditions that affect the digestive system and provide recommendations to maintain health and prevent disease. All of the gastroenterologists are board certified in gastroenterology and endoscopy. Dr. Anita Torok is one of the only physicians in the region who performs endoscopic ultrasound (EU) – an exceptional tool to locate hard-to-find tumors. EU combines a regular endoscopic exam with a sonograph to locate tumors or other abnormalities in the esophagus, stomach and colon. “We are able to view not only the gastrointestinal tract, but also tissues and organs including lymphnodes,” said Dr. Torok. “Cancerous cells can hide between the layers that make up the wall of the GI tract. She

Monte Finch, D.O.

“We are able to view not only the gastrointestinal tract, but also tissues and organs including lymphnodes,” said Dr. Torok.

Jackson Purchase Medical Center Offers Educational Events

Anita Torok, M.D.

Jackson Purchase Medical Center will be hosting several educational events to the general community during the month of April.

The Bariatric Support Group will meet on Tuesday, April 24th at 6:00 p.m. in the Community Conference Room. The meeting provides open discussion among those who have had Bariatric Surgery and those interested in the surgery. For more information about participating with this group, call 270-251-4169.

Diabetes Group Sessions are held the first two consecutive Mondays of the month from 8:00 a.m. – 11:30 p.m. Registration is required. Class participants will learn self care behaviors that can reduce the risk of diabetes complications. One-on-one sessions can also be scheduled. To register call 251-4580 or (877) 554-JPMC. Stroke and Brain Injury Survivors Support Group is held the first Monday of each month from 11:00 a.m. – noon in the second floor conference room of the Jackson Purchase Medical Pavilion. Jackson Purchase Medical Center is very excited to provide information, education, and support to those who have experienced a stroke or brain injury. Survivors of stroke or brain injury, or those interested in serving on a planning committee for this group, are welcome to attend. Information and activities for caregivers will also be provided at selected times. Please call 251-4121 for information on upcoming meeting topics.

Childbirth Classes will be held on Tuesdays, April 3rd and 10th from 6:00 p.m. – 8:30 in the Private Dining Room and Saturday, April 14th from 9 a.m. – 4 p.m. Classes are FREE of charge but pre-registration is required. Class participants will become familiar with topics such as physiologic changes in late pregnancy, warning signs in late pregnancy, breast-feeding information and support, labor and delivery, coping techniques including breathing and relaxation, available pain medications and anesthesia, cesarean section, hospital policies and procedures and newborn care. To register call 251-4580 or (877) 554-JPMC.

Shane Hendon, D.O. Page 18 — Healthy Cells Magazine — Western Kentucky ­— April 2012

Conditions treated include: • Barrett’s esophagus • Colon polyps and cancer • Gallbladder and biliary tract disease • Gastroesophageal reflux (heartburn) • Hepatitis/liver disease • Inflammatory bowel disease (IBS) • Pancreatic diseases • Peptic ulcer • Problems with the digestive system

T:10”

added that endoscopic ultrasound can penetrate and separate layers so tiny tumors can be found and treated. EU can also be used to diagnose pancreatitis and bile stones and to apply therapeutic aid to drain noncancerous pancreatic cysts. Both Dr. Ruben Cuadrado and Dr. Torok provide quality colonoscopy exams and comprehensive consultative services. This means more accurate detection of polyps and cancers, fewer complications from procedures and fewer days in the hospital.

In addition, Dr. Monte Finch and Dr. Shane Hendon are active staff physicians who provide quality colonoscopy and upper endoscopy exams. They are also experienced with diagnosing and treatment of liver diseases. Jackson Purchase Medical Center also has the only practice that offers endoscopic retrograde chilangiopancreatography (ERCP)to detect and treat blockages of the common bile duct that, when left untreated, can result in pain and infection. “off the hook”

You may not understand everything kids say.

But that’s ok. You don’t have to be perfect to be a perfect parent. Because kids in foster care don’t need perfection. They need you. AdoptUsKids.org

For more information, or to make an appointment, call our free physician referral service at (270) 251-4580 or (877) 554-JPMC(5762).

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April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 19

Over the river and through the woods to the trauma center we go.

All-terrain vehicles can go 60 mph and weigh 600 pounds. Yet, many owners think of them as just big toys. Consider the facts: 136,000 ATV-related injuries were treated in hospitals and doctors’ offices in 2004. Accidents happen when ATVs are operated in the wrong place, under the wrong conditions, by people too young or too inexperienced in ATV safety measures. If you must ride an ATV, use your head — the right way. A public service message from the American Academy of Orthopaedic Surgeons and the Orthopaedic Trauma Association.

For recommendations on ATV safety, visit orthoinfo.org and ota.org.

ORTHOPAEDIC TRAUMA ASSOCIATION

the aging process

Growth Hormone Stimulators

By Strawberry Hills Wellness Center

even reverse some of the negative physical changes we associate with the aging process.

While simply replacing growth hormone seems like an obvious solution, it can be an expensive and possibly painful undertaking (costly daily injections). Alternatives do exist. There are specific amino acid powders that can be dissolved in water and taken once or twice daily.

The goal of this treatment is for these additional amino acids to stimulate your body’s pituitary gland, resulting in an increased secretion of growth hormone levels, hopefully pre-age 30 levels. This method is preferred by many because of its safe and inherently natural aspects, basically it’s letting your own body decide the amount of growth hormone to produce as opposed to some predetermined dosage administered by injection.

Here are just some of the benefits associated with properly balanced growth hormone levels…

• 8.8 % potential increase in muscle mass within 6 months • 14.4% average loss in fat after 6 months on regular diet • Increased energy • Enhanced sexual performance • Regrowth of heart, liver, spleen, kidneys and other organs that shrink with age • Greater cardiac output • Superior immune function • Increased exercise performance • Lower blood pressure • Improved cholesterol profile • Stronger bones • Younger, tighter, thicker skin • Hair regrowth • Wrinkle removal • Cellulite reduction • Sharper vision • Decreased depression • Increased memory retention • Improved healthy sleep

A

nyone that watches television, follows the latest news, or even reads the sports page is well aware that “growth hormone” is getting a fair share of media attention these days. Growth hormone is the hormone found in the body that is responsible for cell rejuvenation. The reason so much attention is being paid to this hormone is the fact that recent studies have shown that cell production starts to decrease in adults at ages as early as 30 years. Further research indicates that replenishing this hormone may slow down or

These benefits are very exciting, for years we have thought that the changes associated with aging were inevitable, and while growth hormone seems indeed to benefit the cosmetic changes of aging such as wrinkles and fat gain, the more important and exciting aspect is the important role it plays in our cardiovascular, liver, kidney and bone function, not only rejuvenating these organs but enhancing their performance. In addition increased levels of growth hormone have shown a potential of benefit to perimenopausal women by enhancing bone mass, increasing energy levels, elevating mood, increasing memory, improving sleep, increasing muscle mass and decreasing fat and cellulite levels.

If you would like more information on growth hormone and its potential benefits contact the staff at Strawberry Hills Wellness Center at (270) 444-3947 or visit us at 4793 Village Square Dr. Suite A1 Paducah, KY 42001.

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 21

financial health

4 Ways to Help Kids Make Cents of Finances F

inancial literacy is as important as learning the ABC’s. By teaching financial and entrepreneurial practices at a young age, children will be better prepared for their financial futures.

Photo courtesy of Getty Images

The first step is to get started, so start with these educational activities: Start Talking: Try a simple question such as, “What is investing?” Questions are conversation starters and shouldn’t be complicated. The key is to teach through open communication that allows kids to discover – rather than be told – the answers.

Starting Thinking: Most kids are impulsive and fixate on things that are interesting. It’s tough to get them thinking beyond “now” when it comes to money. Overcoming that helps kids understand the basic principles of budgeting. Challenge them with questions such as, “Are you still going to want that expensive sweater in a month, or would it be better to save toward something else?” Helping kids grasp the concept of “value” instills a sense of financial ownership and responsibility. Remind them that once they spend the money, it’s gone.

Start Practicing: Kids learn through repetition. The more they do something, the better they get. No matter what age the child is, present her with scenarios that require practicing different financial principles. For example, during the summertime give your child $20 to set up a lemonade stand. Ask her, “What types of products will you need to buy to make lemonade? How much will those items cost? How many days do you plan to have the lemonade stand open?”

Don Thomas

Attorney At L aw

Personal Injury, Wrongful Death, Criminal Law 1101 Poplar Street Benton KY 42025 270-527-2425 270-527-2405 (fax) www.donthomaslawoffice.com Page 22 — Healthy Cells Magazine — Western Kentucky ­— April 2012

Asking these questions will not only help her work through the answers, but will also increase her understanding of simple business terms such as “overhead” and “profit.” Additionally, contributing more “investment” money to the fledgling business opens up dialogue about investors and stocks. It takes a little imagination to come up with scenarios, but it can be a fun learning opportunity for the child and the parent.

Start Investigating: The Internet provides a wealth of financial learning tools for children and parents. Of course, parents should monitor what their children are viewing online, but there are some invaluable educational sites, such as www.smckids.com, which features webisodes for Secret Millionaires Club (SMC), an animated series starring Warren Buffet as he mentors a group of kids.

Featured on The HUB network, as well as the website, the SMC series is an innovative way to teach sound financial and entrepreneurial practices to young people. Modeled after the lessons instilled

by Mr. Buffett in the animated series, SMC’s "Learn & Earn" Promotion – sponsored exclusively by www.creditreport.com – also offers interactive educational tools for parents and kids.

The bottom line: Stop waiting. It’s never too early to start teaching financial lessons.

For more fun and engaging financial resources, or to watch “The Secret Millionaires Club” webisodes, visit www.smckids.com.

safety facts

Smoke Alarms Save Lives.

Install. Inspect. Protect.

By United States Fire Administration

Fire Safety Tips for Your Home Smoke Alarms • Place properly installed and maintained smoke alarms both inside and outside of sleeping areas and on every level of your home.

• Interconnected smoke alarms are best because if one sounds, they all sound.

• Get smoke alarms that can sound fast. Because both ionization and photoelectric smoke alarms are better at detecting distinctly different, yet potentially fatal fires, and because no one can predict what type of fire might start in a home, the USFA recommends that every residence and place where people sleep be equipped with a) both ionization and photoelectric smoke alarms, or b) dual sensor smoke alarms (which contain both ionization and photoelectric smoke sensors).

• Test smoke alarms monthly and change alkaline batteries at least once every year, or as instructed. You can use a date you already know, like your birthday or when you change your clocks as a reminder.

• Consider buying a long-life (lithium) battery-powered smoke alarm, which may last up to ten years with no battery change.

Install smoke alarms away from air vents.

Install smoke alarms on the ceiling or wall, at least 4 inches from corners or according to manufacturer’s instructions.

If a smoke alarm sounds during normal cooking or when bathing, press the hush button if the smoke alarm has one. Open the door or window or fan the area with a towel to get the air moving. Do not disable the smoke alarm or take out the batteries. If this happens often, the smoke alarm will need to be relocated.

To view smoke alarm guidelines for your state, obtain the Install.

Inspect. Protect. Campaign’s “State-by-State Smoke Alarm Guide” at www.usfa.dhs.gov/smokealarms.

Residential Fire Sprinklers • If possible, install residential fire sprinklers in your home.

• Avoid painting or covering the fire sprinkler, because that will affect the sensitivity to heat.

• Do not hang decorations, plants, or other objects from the sprinkler or pipes. For more information on Residential Fire Sprinklers, please obtain the Install. Inspect. Protect. Campaign’s “Residential Fire Sprinkler Fact Sheet.” Escape Planning • Prepare and practice an escape route with all residents in the home, including children.

• Know two ways to exit from every room in your home.

• Make sure safety bars on windows can be opened from inside your home.

• Crawl low, under smoke.

• Feel closed doors. If hot, use another exit. Identify a place to meet household members outside.

• Call 9-1-1 or the local emergency number after you escape.

• Never go back inside a burning home.

• Fire Safety Walkthrough • Keep clothes, blankets, curtains, towels and other items that can be easily set on fire at least three feet from space heaters, and away from stove burners.

• Place space heaters where they will not tip over easily.

• Have chimneys cleaned and inspected annually by a professional.

• Clear away trash, flammables and decorative materials.

• Always use a metal mesh screen with fireplaces and leave glass doors open while burning a fire. • Never leave cooking unattended.

• Be sure your stove and small appliances are off before going to bed.

• Check for worn wires and do not run cords under rugs or furniture.

• Never overload electrical sockets.

• Keep lighters and matches out of the reach of children.

• Never leave cigarettes unattended and never smoke in bed.

• Make sure cigarettes and ashes are out. The cigarette needs to be completely stubbed out in the ashtray or run under water.

For more fire prevention information and campaign materials, visit www.usfa.dhs.gov/smokealarms.

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 23

insurance programs

Workplace Wellness Submitted by Elaine Spalding, President, Paducah Area Chamber of Commerce

D

o you believe that good health is good business? If there was a proven way that you could lower your workforce’s healthcare costs, would you be interested? It is our great pleasure to introduce you to HumanaVitality, an innovative health and wellness program that inspires lifelong well-being.

Your employees want to be healthier, eat better, and look and feel their best. But the reality is daily routines get Elaine Spalding in the way of best intentions.

It doesn’t have to be that way anymore. Now there is an easier way for employees to be healthy. A way to help then take control, identify risk factors, set goals, and be motivated to adopt new behaviors.

HumanaVitality is a data-driven, rewards program that inspires lifelong well-being for everyone. By focusing on the well-being of your employees, you can lower costs. How? Fewer doctor’s visits and reduced costs to treat chronic conditions. A healthier workforce means a more productive workforce. We have the research to back it all up.

Page 24 — Healthy Cells Magazine — Western Kentucky ­— April 2012

"Your employees want to be healthier, eat better, and look and feel their best."

Let us talk to you about how we can make this program work for you and your employees. By being an active member of the Paducah Area Chamber of Commerce, you are eligible for additional discounts on Humana plans.

For more information please contact the Chamber, (270) 443-1746, your local insurance agent or Humana directly at 1-800-448-0220, extension 476-5875.

children's health

Unlock Your Child's Reading Potential F

or many parents, encouraging their child to become an active reader can be difficult. And because each child learns at a different pace, it can be hard for parents to determine how to best further their child's reading skill growth. The experts at K12 Inc., America's leader in online learning for students in grades kindergarten through 12, are familiar with the need to individualize lesson plans, as well as reading lists, to best support the success of each child.

Importantly, children often mirror the habits of their parents, including their reading habits. "Get caught reading! Nothing motivates the youngest learners like mom and dad can. If you read for pleasure, your kids will want to read for enjoyment, too," said Director of Primary Literacy, Kristen J. Kinney-Haines, Ed.D. "Also, read as a family. No matter your age, we never outgrow the enjoyment and comfort of hearing a great story read to us.

Allow everyone a chance to be the reader - even the littlest ones, who can chime in with sight words." Here are more tips for encouraging your child to read, which in turn expands their vocabulary and helps aid in further studies. Early Readers For those children beginning to learn letters and words, remember that story time alone is not the only key to unlocking their reading potential. Reading programs such as the PhonicsWorks(tm) program created by the experts at K12 are designed to help children recognize the relationship between sounds and letters, to develop fluency, and to continue to develop a more extensive vocabulary. Learn more at www.k12.com.

• Start with picture books. Remember that you must make the act of reading a story exciting. Picture books are a great way to introduce the act of reading - or simply flipping through a book - to young children.

• Let them read with you. As you read to your child, ask them to help you spell out words. Make sure you point out words as you read, to reinforce the sounds each letter, and combinations of letters, makes.

• Recommended books for early readers: "The Doorbell Rang," by Pat Hutchins, the "Frog and Toad" series by Arnold Lobel, and the "Amelia Bedelia" series by Peggy Parish.

Independent Readers As your child continues to develop their skill level, look to books they can enjoy on their own.

• Visit the library often. Updating your child's book shelf is crucial for independent readers. Parents should ensure their child has ac-

cess to books that will garner their attention and challenge their vocabulary.

• Study challenging words. Because new reading materials will provide further vocabulary, practice looking up tricky words in the dictionary with your child and encourage them to keep a list of new words and definitions learned from each new book.

• Recommended books for independent readers: "The Chronicles of Narnia" series by C. S. Lewis, "Chocolate Fever," by Robert Kimmel Smith, and "The Borrowers" series by Mary Norton.

Advanced Readers For children reading at an advanced level, it is important to ensure they are exposed to an ever-increasing library.

• Find a reading program. Enroll your child in a regional or national reading program to help further motivate their reading practices.

• Start a book club. Encourage your child to start a book club with friends. Making the act of reading a more social practice is important as your child gets older. In addition, you are preparing your child for classroom conversations focusing on reading materials for when they attend a higher educational institution.

• Recommended books for advanced readers: "The Catcher in the Rye," by J. D. Salinger, "Sense and Sensibility" by Jane Austen and "Fahrenheit 451 by Ray Bradbury."

• Want more recommendations for your readers? K12 provides a free, downloadable list based on reading skill level, visit www.k12.com.

April 2012 — Western Kentucky — ­ Healthy Cells Magazine — Page 25

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Back pain never takes a time out.

Sooner or later, most physically active people will experience back pain from a long list of potential causes. Some back problems are simple to correct, while others are more complicated and may require specialized diagnosis and treatment. Persistent back pain that compromises daily activities should not be ignored. For more information on back pain, visit orthoinfo.org or nata.org.

AAOS_NATA_BackPain_half.indd 1

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Western Baptist NICU nurse practitioner Amy Watson-Reese rocks baby Beau.

Crystal and Avery Williams

If you’re over 50 or have osteoporosis, it’s important that you don’t ignore your back pain.

It may signal a spinal fracture. See your doctor right away if you think you may have one.

Spinal fractures can be repaired if diagnosed.

KYPHON® Balloon Kyphoplasty is a minimally invasive treatment for spinal fractures that can correct vertebral body deformity, reduce pain and improve patient quality of life.

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TAKE CHARGE Don’t turn your back on back pain.

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Spine specialists actively offering KYPHON® Balloon Kyphoplasty in your local area: Dr. Allan Gocio

Dr. James Donley

Dr. Mark Crawford

Dr. Clint Hill

Lourdes Hospital

Regional Medical Center

Western Baptist Hospital

270-538-5800

270-825-7209 270-824-6655

Jackson Purchase Medical Center

270-442-9461

270-415-9970 For more information on balloon kyphoplasty call 800-652-2221 visit www.kyphon.com Medtronic maintains a list of physicians who have been trained to use, and are believed to be both active and proficient users of, Medtronic’s products and who are willing to accept patient referrals. Physician participation on this list is voluntary and free. All referrals are identified based upon geographic criteria only. Medtronic does not guarantee the accuracy of the listings or the capabilities of the physicians listed. The physicians referenced may be paid consultants of, and research cited may have been funded partially or in whole by, Medtronic.

Although the complication rate with KYPHON® Balloon Kyphoplasty has been demonstrated to be low, as with most surgical procedures, there are risks associated with the procedure, including serious complications. This procedure is not for everyone. A prescription is required. Please consult your physician for a full discussion of risks and whether this procedure is right for you. © 2008 Medtronic Spine LLC. All Rights Reserved.

MEDTRONIC Spinal and Biologics Business 1221 Crossman Avenue Sunnyvale, CA 94089 USA Tel: (408) 548-6500 16003152_026 [01]