August Western Kentucky Healthy Cells 2012 by Healthy Cells Magazine

WESTERN KENTUCKY

area

Promoting Healthier Living in Your Community • Physical • Emotional

AUGUST 2012

FREE

HealthyCells www.healthycellsmagazine.com

M A G A Z I N E

• Nutritional

There’s No Place like Home and Nobody like

Home Health Plus page 12

Core

Stability pg. 15

MRI-Safe

Pacemaker pg. 17

What’s in Your

Water pg. 18

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

AUGUST

2012 Volume 2, Issue 8

5 6

Digestive Disorders: Seven Tips for Better Digestive Health

This Month’s Cover Story:

Emotional: Stress Relief with Regular Massage

There’s No Place like Home and Nobody like Home Health Plus page 12

Nutritional: The Goodness of Grapes

Physical: Ten Tips for Playing It Safe in the Water This Summer

Strength And Fitness: Core Stability and Why it is Important to Athletes

Grief Recovery: Right or Happy

Advanced Technology: MRI-Safe Pacemaker Relieves Paducah Woman’s Fainting Spells

Healthy Hydration: So What’s in Your Water?

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:

Peace of Mind: Want to Get 200K Miles Out of Your Car? Tips to Help

1711 W. Detweiller Dr., Peoria, IL 61615 • Ph: 309-681-4418 Fax: 309-691-2187 info@limelightlink.com

Community Services: The Retired and Senior Volunteer Program of McCracken County

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.

GERD: Taking Steps to Manage Acid Reflux Disease

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.

24 25

Vision Care: Is Modern Technology Hurting Your Eyes?

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.

digestive disorders

It’s Probably Something You Ate Seven Tips for Better Digestive Health

Dr. Gary Bodnarchuk

Submitted by Lourdes

ary Bodnarchuk, MD, a board-certified gastroenterologist at Lourdes, has seven tips for people who suffer from digestive disorders. “Heartburn, bloating, constipation and diarrhea are common symptoms of a variety of digestive disorders,” he says. “Here are some lifestyle changes that can help you maintain proper digestive health.” 1. Eat plenty of fiber, including both kinds: insoluble (vegetables and whole grains) and soluble (nuts, seeds and oat bran). 2. Low-fat yogurt is a good source of the healthy bacteria your digestive tract needs to do its job. 3. Drink plenty of water, which helps dissolve soluble nutrients. 4. Avoid eating too many foods that are high in fat, especially if they’re fried. They interfere with digestion, as do cigarettes, excessive alcohol, caffeine, and chocolate.

5. D airy products cause digestive problems in some people. If you’re plagued with diarrhea and bloating, try eliminating dairy from your diet to see if you are “lactose-intolerant.” 6. Eat at regular hours and chew your food well. Don’t eat a big meal before going to bed. 7. Exercise regularly. It’s good for your digestion—and many other things. “If symptoms persist,” says Dr. Bodnarchuk, “see your doctor.” For an appointment with a Lourdes gastroenterologist, please call 270-443-0777.

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

emotional

Stress Relief with Regular Massage By Jenny Stephens, LMT, Jenny's Day Spa

tress comes in various forms and degrees. We all suffer from stress. We just can’t avoid stress. Most of us are able to cope with little things that we are exposed to in our day-today life. We just don’t let things irritate us. Mild Stress: The type caused from day-to-day life. You may feel just a little tired, have a few aches and pains, and, once in awhile, Page 6 — Healthy Cells Magazine — Western Kentucky — August 2012

be easily irritated. On occasion you may have the blues or just a little depressed. Stress: This type is much more involved and may have underlying physical problems: chronic infections, allergies, feeling depressed, and full of anxiety all of the time. Viral infection can cause stress, headache, neck, shoulder, and back pain, nervousness and lack of

concentration. Grinding your teeth, crying, and being ill tempered can all be attributed to stress, as is not getting enough peaceful and restful sleep. Severe Stress: This type is the most dangerous to your well-being and health. You are afraid and feel hopeless and helpless. At this point you are very depressed and may wish to “give up.” You are exhausted mentally, physically, and emotionally and wish to withdraw from society. You now need to seek help from your doctor. Several things you can do to stop stress before it gets a hold on you: • T ake time for yourself each day. (Schedule this into your lists of things to do). • D o deep stomach breathing at least ten minutes each day. • M ake a pro and con list of things that make you happy and things that make you unhappy. • Make changes in your life to make things easier and less stressful. • T ake time to play and laugh. • T ake time to relax, unwind, and rejuvenate so you can be your best to help those that depend on you. Over 75% of health problems are caused by stress. Prolonged stress may lead to major health problems such as angina, asthma, heart disease, depression, high blood pressure, ulcers, and many other health problems. Do not under estimate the power of touch. Massage, reflexology, and energy work are all touch therapies that promote relaxation, and balancing of the body, mind and soul.

Massage does a body good. Not only is massage totally relaxing, unwinding, and rejuvenating, but it is very therapeutic. Individuals that receive regular massages, and/or reflexology do not get sick as often as others and when they do, they don’t get it as bad or keep it as long. Receiving a massage once a month is good, but more frequent is best. Get a massage today and sleep better tonight! 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.

“I finally decided to get my walk-in tub from RE-BATH and I can bathe again safely!” If you or a loved one has had to give up the therapeutic benefits of a relaxing, refreshing bath, then you should consider a walk in tub. A deep, full body warm soak or therapeutic massage is great for arthritis pain, rheumatism, back pain and other common ailments. The freedom will change your life. A walk in tub makes it easy to get in and out of the tub and enjoy the comforts of bathing. They are designed to give you the freedom to bathe on your own in safety, comfort, and convenience. There is no more struggling to get in and out of the tub. Walk in tubs make warm baths accessible to people who thought they’d never enjoy the luxury on their own again. We prepare your home for independent, easy living with a walk-in tub. It is a fact. The main reason that people move out of their home and into assisted living or nursing homes is because of the fear of slipping and galling. The number one place for falls to occur is in the bathroom. A walk-in tub represents a sound investment into the future, it enhances the value of the home, and enables our clients to stay safely and independently in the home they own. Re-Bath is the leading manufacturer of acrylic walk in tubs complete with ADA compliant chair-height seats. Our “outswing door” allows full passage in and out of the tub without having to step around. The low threshold makes for easier access, and grab bars are built in for safety. All Re-Bath walk in tubs come with a lifetime warranty against leaks. Call Re-Bath today at 270-444-6649 for a free in home consultation and let them prepare your home for independent, easy living with a walk in tub.

Mention this Ad and receive a Free Hand-held Shower with purchase of a RE•BATH® SYSTEM August 2012 — Western Kentucky — Healthy Cells Magazine — Page 7

nutritional

The Goodness of

Grapes G

rapes have been enjoyed for their taste and beauty for thousands of years. And today’s scientific research keeps on showing that grapes are more than just a pretty fruit — they’re also very, very good for us. In fact, over a decade of research sugg ests that grapes help maintain a healthy heart and may also help defend against a variety of age-related and other illnesses. Studies are ongoing to uncover the links between grapes and heart health, eye health, brain health, joint health, cell health and preventing certain cancers. Of course, grapes aren’t just healthy, they also taste great: crisp, juicy and sweet. Kids love them. And, they’re convenient, making them truly a Super Snack. Eat them by the bunch, or toss them into recipes like these. To learn more about the health benefits of grapes from California, and to get more delicious ways to enjoy them every day, visit www.grapesfromcalifornia.com or www. facebook.com/GrapesFromCalifornia.

Keeping Cells Healthy Grapes of all colors — red, green and black — are natural sources of polyphenols, which appear to help protect the health and function of our cells. Grape polyphenols: nH ave antioxidant proper ties, which can help protect against cell-damaging free radicals. n Can influence the communication between cells that support key biological processes.

My Heart Belongs to Grapes Numerous studies suggest that consuming grapes and grape products may contribute to heart health in a number of ways. Eating a variety of grapes may help: n Improve blood flow n Lower blood pressure n Reduce oxidative stress n Decrease inflammation n Improve blood lipids

Mediterranean Grilled Chicken and Grape Skewers These quick-to-fix skewers can also serve as appetizers. Makes 4 entrée servings

Breakfast-To-Go Grape Smoothie Jump-start your day with this easy all-in-one drink. Makes 2 1/3 cups 1 1/2 c ups frozen California grapes 1 banana, sliced 1/2 cup vanilla or honey lowfat Greek yogurt 1/2 cup grape juice 1/4 cup wheat flake cereal Combine all ingredients in a blender and blend for 1 minute. Serve immediately.

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

1/4 cup extra virgin olive oil 2 cloves garlic, fresh minced 1/2 teaspoon red chili flakes, crushed 1 tablespoon oregano, fresh minced 1 tablespoon rosemary, fresh minced 1 teaspoon lemon zest 1 pound chicken breast, boneless and skinless 1 3/4 cups California green seedless grapes, picked from stem and rinsed 1/2 teaspoon salt 2 tablespoons extra virgin olive oil 1 tablespoon lemon juice, fresh In small bowl combine olive oil, garlic, chili flakes, oregano, rosemary and lemon zest. Whisk together marinade. Cut chicken into 3/4-inch cubes. Alternate chicken and grapes and thread onto 12 skewers. Place skewers into a baking dish or pan large enough to hold them. Pour marinade over skewers, coating each one. Marinate for 4 to 24 hours. Remove skewers from marinade and let excess oil drip off. Season with salt. Grill until chicken is cooked through, about 3 to 5 minutes on each side. Ar-

range on serving platter and drizzle with additional olive oil and lemon juice.

Frozen Grape and Banana Skewers with Chocolate Drizzle These delightful frozen treats are healthy, too. Makes 4 servings

2 firm ripe bananas 2 tablespoons orange juice 1/2 cup red grapes (about 16) 1/2 cup green grapes (about 16) 8 10-inch wooden skewers 1 1/2 ounces dark chocolate (60-70 percent cocoa solids), finely chopped

Line a baking sheet with wax paper. Cut the banana into 1/2-inch-thickrounds.Place in small bowl and toss gently with the orange juice. Skewer fruit, alternating two grapes for each piece of banana, and place fruit skewers onto lined tray. Place chocolate in small microwave safe bowl. Microwave for 1 minute, then stir well, and microwave another 10 seconds if necessary to melt chocolate. Using a spoon, drizzle melted chocolate onto fruit skewers. Place the tray in the freezer for at least 2 hours. Once frozen, skewers may be transferred to a sealable plastic bag where they will keep in the freezer for up to a week. Allow to soften at room temperature for 5 minutes before eating.

Seeing Is Believing Research from Fordham University, funded by the California Table Grape Commission, suggests that grapes may reduce the risk of blindness related to age-related macular degeneration (AMD). In laboratory studies, grapes offered significantly more retinal protection than the muchtouted lutein, and prevented blindness.

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

physical

Ten Tips for Playing It Safe in the Water This Summer Submitted by Jackson Purchase Medical Center

ummer is in full swing and few things feel better on a hot day than cool water. Whether you head to the pool, the beach, or the lake when you take a dip, consider these 10 tips for staying safe in and around the water: • T ake swimming lessons. Statistics show that younger swimmers are typically better than older swimmers. If you are an adult who can’t swim, consider a weekend swimming lesson. And if you have a child who has not yet learned to swim, sign them up for lessons as soon as possible. Learning to swim at an early age builds confidence and encourages water safety for a lifetime. • N ever swim or boat alone. Not only is swimming/boating with a friend more enjoyable, it’s also smarter. Having someone there to assist in an emergency could save a life. • I nstall barriers and keep a close eye on children. Children between the ages of one and four, who drown in an at-home pool, are usually under parental supervision and out of sight for

less than five minutes. Pool barriers can help restrict access to the pool. It is also important to teach children to ask before going near the water, and to remove pool toys, whenever possible, as they can attract a child’s attention and draw them to the water. • Do not use air-filled toys as flotation devices. Pool noodles, water wings and blow-up rafts are not designed to be used in place of personal flotation devices. If you are on a boat, or are a new or unsure swimmer in any body of water, be certain to use a U.S. Coast Guard-approved personal flotation device. • Wear a U.S. Coast Guard-approved personal flotation device (PFD) when boating. According to the Centers for Disease Control and Prevention (CDC), 72 percent of boating incidents are drowning incidents, and nine out of 10 people who die from such incidents aren’t wearing personal flotation devices. Even if you’re a strong swimmer, a PFD is a good idea when on the open water.

We Feel Your Frustration … ...Weight Gain...Weight Loss Resistance ...Fatigue...Anxiety...Irritability...Depression ...Hot Flashes...Night Sweats...Insomnia ...Decreased Sex Drive...Migraine Headaches

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 Page 10 — Healthy Cells Magazine — Western Kentucky — August 2012

270-444-3947

•K now your limits. Swimming can be a lot of fun, but if you’re not a strong swimmer, or if you’re just learning to swim, don’t go in water that’s so deep you can’t touch the bottom. And don't overdo it or try to keep up with skilled swimmers. • L earn CPR. Effective bystander CPR, provided immediately after sudden cardiac arrest, can double or even triple a victim’s chance of survival. Need a crash course? Visit www.redcross. org. • Don’t mix alcohol and water activities. Alcohol use is involved in a large percentage of swimming and boating incidents. Alcohol can dull your judgment, response time, balance, and the body’s ability to stay warm. • U se caution in natural water settings. Statistics show that as people get older, drowning incidents are more likely to occur in natural water settings. Be careful when boating or swimming in these areas. Unexpected rocks, branches, waves, or water temperatures can easily take a swimmer or boater by surprise. • Pay attention to local weather reports. When at the beach or in natural water areas, pay attention to weather reports and know the color of the flags that warn beachgoers of potential threats. Keep an eye out for dangerous waves, debris, and/or rocks. “About 3,500 Americans drown each year, averaging 10 deaths per day. Drowning is the sixth leading cause of unintentional injury death for people of all ages, and the second leading cause of death for children ages 1 to 14 years,” says Annalee Paul, M.D., a pediatrician at Jackson Purchase Medical Center. “Sadly, many drowning deaths could have been prevented, which is why taking simple precautions, like those listed above, are so important.” To learn more about keeping your family safe in the water, visit www.redcross.org, keyword “water safety.”

Jackson Purchase Medical Center Offers Educational Events Jackson Purchase Medical Center will be hosting several educational events to the general community during the month of August. 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, August 7, 14, 21 and 28 from 6:00 p.m. – 8:30 p.m. in the Private Dining Room and Saturday, August 11 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.

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

feature story

There’s No Place like Home and Nobody like Home Health Plus By Kimberly Gregory Russell

Staff pictured (left to right) sitting: Lei Ann Brown, RN, Administrator; Darlene Bartholomew, Patient Care Coordinator. Standing (left to right): Rachel Morgan, Receptionist; Jimmie Joyce, RN, Field Nurse; Robin McCarty, PTA; Susan Story, RN, Field Nurse. Page 12 — Healthy Cells Magazine — Western Kentucky — August 2012

“

here is just something special about them. After my home health nurse visits, I feel more cheerful and more confident. The people at Home Health Plus really do care about people, and I knew that from the first moment I called them,” states Jimmy Wilson of Murray, Kentucky. Wilson is a client of Home Health Plus, and he’s eager to share his experience with them. Mr. Wilson had used another service in the past, and he explained that the other service was just fine, but he immediately realized that Home Health Plus was just “a little different” in their personal investment in and compassion for people. Wilson explains, “Even though I had never met the administrator when I first called them to get some information and advice, I felt like she genuinely wanted to make sure I was okay. Now I am a patient with Home Health Plus, and my nurse is so positive and upbeat. I know that my family and I are important to her. It makes a difference, that special connection.” Home Health Plus is located in Murray, Kentucky, and has been serving Calloway County for nearly one year. Home Health Plus has as its mission to provide exceptional care to both patients and their families. As Darlene Bartholomew, Patient Care Coordinator, explains, “We work to be an advocate for our patients. We believe strongly in educating and empowering patients so that they can have a better quality of life. We do this through investing in our patients and their families personally, and by building caring and supportive relationships.” Many people may wonder what defines home health care and who would benefit from the services provided by home health professionals. Home Health Plus offers skilled nursing services to patients who are “homebound,” meaning it is a taxing effort to leave home safely. Homebound, however, does not mean bedbound. The clients served by Home Health Plus are patients who need special assistance that cannot be easily provided by family members or friends. These clients need skilled health care to assist in recovery and improve overall quality of life. Many clients of Home Health Plus are recovering from injuries or surgeries. For example, patients who have had knee, back, or hip surgeries are often great candidates for the services of Home Health Plus, which can ease the often challenging transition from hospital to home to everyday life. Ideally, home health care, which is supervised by a physician, is meant to help a homebound patient receive the services they need to assist in recovery while allowing the patient to remain at home. Lei Ann Brown, administrator and experienced registered nurse, explains that statistics indicate that home health provides caregivers an opportunity to see patients in their own environments, which can allow nurses to “assess them and their needs more clearly.” She adds that “statistics indicate that recovery for home health patients is much stronger. They are in their own environment in their own surroundings. They can be with their family and their pets, they can eat their own food, and they feel much more

comfortable in their own home.” One of Home Health Plus’s goals is to decrease and ultimately eliminate the need for re-hospitalizations due to complications. Other advantages of choosing home health care include more privacy than would be possible in a more public facility, elimination or decrease in transportation problems, lower healthcare costs, and more convenience for family and other visitors. Brown also explains that a physician’s order is a requirement for home health care, but anyone who is unable to take care of his or her own medical needs is able to request these services. Both Brown and Bartholomew speak passionately about the field of home health care. They each mentioned the rewarding feeling of bringing a smile to someone’s face and the fulfillment they feel just by being able to be a positive force in the lives of others. According to Brown, “At Home Health Plus, we look for nurses with compassion and fun, positive attitudes. Our nurses care about building relationships, providing exceptional care, and making meaningful connections with our patients. Nurses and therapists at Home Health Plus have a genuine concern toward people.” Brown adds that it is also essential that home health nurses have the ability think quickly and creatively because sometimes situations must be assessed quickly in order to get the best outcome for the patient. The nurses of Home Health Plus provide services such as wound care, incision care, assessments, injections, assistance with medication or medical equipment. The registered nurses and therapists who work for Home Health Plus have a broad range of medical experience so that they can work well with patients who have a variety of needs. They provide education and training for patients in areas such as disease process management, self-catheterization, August 2012 — Western Kentucky — Healthy Cells Magazine — Page 13

feature story

continued

catheter care, injections, and new or adjusted medications. Skilled observation and assessments are another nursing service that Home Health Plus nurses offer. The nurses can help to determine, for example, changes in medical conditions, wound healing processes, and overall management of any other medical conditions. Another important service that the nurses provide is a safety assessment of the home in order to ensure that the home itself is an environment that can assist in, rather than complicate, recovery. However, Darlene Bartholomew explains that patients do not need to be nervous or feel awkward about this process. She explains, “Our nurses are not there to judge. They aren’t worried about your dust or your décor. They simply want to make sure that the home is safe and that anything unsafe is addressed and adjusted.” Lei Ann Brown adds that the nurses take the time to get to know each patient and his or her own unique situation. She explains that because of the nature of home health and the fact that home health nurses have more time to care individually for each patient, there is more of an opportunity to provide education and support to patients and the families. Many patients, according to Brown, are considered non-compliant because they do not truly know how to take ownership of their condition and do not understand their treatment or their care plans. Therefore, one important thing Home Health Plus nurses and therapists do is help patients “own” their condition and learn how to be compliant so that they can recover and improve their overall quality of life. One fact that many people may not be aware of is that home health is covered by Medicare of private insurances. Home Health Plus also accepts VA and is currently in the process of being certified to accept Medicaid. Interested potential clients can speak with the team at Home Health Plus to discuss insurance coverage and insurance companies are directly billed, which leaves patients with one less worry during their recovery. Brown and Bartholomew add that all of their billing is done at a home office Page 14 — Healthy Cells Magazine — Western Kentucky — August 2012

(Health Management Associates, Inc.) based in Lexington, Kentucky, which saves them a great deal of time and energy. Because they do not have to direct a great deal of effort toward this aspect of the business, they have more of an opportunity to work directly with patients and also with their staff. They can concentrate on the thing that matter most to them, which is, “people…not dollars,” according to both Brown and Bartholomew. Home Health Plus can coordinate with other service providers. For example, if a patient needs a sitter/caregiver 24 hours per day, Home Health Plus has relationships with several local agencies and can help arrange those services for clients and their families. This service is certainly a valuable one because it is much simpler for a person to make one phone call and arrange for all needs to be met. Bartholomew explains that Home Health Plus knows that people struggling with illness or recovering from surgery or injury feel both vulnerable and stressed, as do their families. Therefore, Home Health Plus seeks to make the process of getting help much more simple and worry free. “We just feel that it’s both an honor and a privilege to be able to come into people’s homes and take care of them, and we take that responsibility very seriously. When people choose to call us and try our service, we know that they are trusting us with their health and their recovery. We treat them just as we would want our own loved ones treated,” says Darlene Bartholomew. Jimmy Wilson, who chose Home Health Plus as his home health provider is very pleased with the decision he made. He explains that he feels better “inside and out” after a visit from his home health nurse. Lei Ann Brown notes that Mr. Wilson, along with all the clients they serve, is part of the family that Home Health Plus has sought to create. She explains, “We have a great team here with huge hearts. Anyone who chooses Health Plus, whether as a staff member or a client, becomes part of our family.” Home Health Plus strives to meet and exceed the standards for quality home health care by providing a respectful and knowledgeable nursing staff, polite and compassionate service, clear and accurate information and care plans, responsive and available staff who are there when needed, professional and attentive assessments of the home, and dedication to privacy and dignity. Besides these qualities, Home Health Plus provides less tangible but exceptionally important components of care to their patients: compassion, kindness, and love. Though love alone cannot heal a wound, it certainly makes a great difference when it comes to recovery and overall quality of life. As a Home Health Plus, Inc. patient, you have the right to exceptional care, so allow us to have the privilege of taking care of you – our main focus. All of our services are coordinated between our home health professionals and the physician. So, call us today at 270-753-5656 or toll free at 1-855-270-2272. We are located at 1900 N. 12th Street, Suite G Murray, KY 42071. Visit our website, www.hhpky.com,to learn more about qualifying for home health care services and the services we can provide.

strength and fitness

Core Stability and Why it is

Important to Athletes By Adrianna Troutman, PT, DPT, Heartland Rehabilitation Services

Have you ever heard your child say? My shoulder hurts when I throw… My elbow hurts when I pitch… My back hurts after practice… I feel like I twisted my knee while running…

ou then took him/her to a doctor and the X-rays looked okay or the MRI was fine. There was really no answer other than maybe they are growing or changing how they are doing something in their particular sport. One reason these issues could be occurring is due to weak core muscles (abdominal, back, and pelvic muscles). When kids grow, they often grow fast and their muscles and tendons have a hard time catching up to their bone growth, which can result in weakened muscles, especially the core muscles. Kids need to have strong abdominals and back muscles to aide in their throwing, running, tumbling, dancing, swinging, and all other activities their sport may require. There are screening activities that

can reveal weak core muscles such as the plank exercise (see picture below demonstrated by Chaney Troutman, competitive dancer). Have your child lie down on their stomach and come up on their elbows and toes to suspend their body and hold that position for at least one minute without major shaking. If they cannot do this simple core stability exercise, they may have weak core muscles. Physical therapists are experts in identifying muscle weakness and can develop a plan to improve strength and fitness. Even if your child is “conditioning” with their sport, they may just be focusing on running and cardio type exercise. Sometimes all it takes is a few sessions to get kids and parents on the right track and prevent injuries from occurring. Help your child stay at the top of their game by conditioning and strengthening the muscle groups that could be overlooked and may be contributing to injuries. Heartland offers a core strength evaluation and program for young athletes. For more information, please contact Heartland Rehabilitation Services at 270-534-7254. They are located at 208 South 6th Street in Murray, KY. August 2012 — Western Kentucky — Healthy Cells Magazine — Page 15

grief recovery

Right or Happy Pick One! Healthy Cells magazine is pleased to present the tenth 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.

hat we believe usually dictates how we feel. Our attitudes about people and events will generate our emotional responses to them. Our attitudes and beliefs are always right, otherwise we would believe something else. Since we have practiced our attitudes and beliefs over a lifetime, we are very loyal to them. It is very common to get stuck on our rightness and lose sight of our real human objective which is to be happy. Many people believe that being right IS being happy. Most of us eventually learn that our rightness may be limiting or restricting our happiness. Our rightness about effective recovery from significant emotional losses often limits our ability to complete relationships that have ended or changed. Many of the ideas and beliefs that we were taught about dealing with our losses are incorrect and unhelpful, but after practicing them for a lifetime, they can seem to be very right. For example, we were all taught that time heals all wounds. But time does not complete anything that is emotionally incomplete in our relationship with someone who died. If we believe, with tremendous

rightness, that time is going to heal our emotional wound, we are destined to wait forever. It is essential to take a new position of rightness about which actions are most helpful to achieve effective long-term Grief ❣ Recovery®. Another example of a belief that you may have learned and practiced is keeping busy. As a response to the conflicting feelings caused by loss, keeping busy can be a dangerous short-term distraction. At the end of a busy day your heart is still broken, and the relationship may still be incomplete. Keeping busy does not complete relationships. People are often as right about keeping busy as they are about time healing wounds. In our last column, on familiarity, we said, familiar is not necessarily good, it is only familiar. By the same token, right is not necessarily good, it is only right. We tend to develop a ferocious loyalty to our rightness even though it often leads us to horrible squabbles with our mates and friends. If you think about most of the fights you’ve had, you will realize that both sides clung fiercely to the rightness of their position. Even in the aftermath, either party may have stayed on a position of rightness and refused to apologize, and thereby extended the fray. It may be time for you to examine some of your beliefs and attitudes about recovery from significant emotional loss. How you process the conflicting feelings caused by loss is dictated by what you believe. You must ensure that you have effective beliefs that can lead you towards happiness, rather than stuck in rightness. The Grief Recovery Handbook is an ideal source of effective Grief ❣ Recovery® information and actions which can lead you to completion of relationships that have ended or changed. Using correct information and actions can help you capture or recapture the happiness you deserve. You may also discover ways to apply these principles in other areas of your life. Next Month: “Is It Ever Too Soon To Recover?” For information about programs and services, write to The Grief Recovery Institute, P.O. Box 6061382 Sherman Oaks, CA 91413. Call 818-907-9600 or Fax: 818-907-9329. Please visit our website at: www.griefrecoverymethod.com.

Page 16 — Healthy Cells Magazine — Western Kentucky — August 2012

advanced technology

New Peace of Mind MRI-Safe Pacemaker Relieves Paducah Woman’s Fainting Spells Submitted by Western Baptist Hospital

Williams was transported to the Western Baptist Emergency department, where she was diagnosed with a slow heartbeat. The next day cardiologist Stephen Young, MD, implanted a MRI-safe pacemaker. Williams was adopted from South Korea when she was two years old, so she doesn’t know if family history contributed to her slow heartbeat. “Congenital problems with the electrical system of the body are sometimes hereditary and sometimes not,” Dr. Young said. “It is rare to have a slow heart rate at age 31, but the condition that causes it is not rare.” Williams has returned to work with a new peace of mind after the diagnosis and treatment. “It was affecting my daily life,” she said. “Now I feel normal. I don’t live in fear of that feeling anymore.” For more information on heart conditions and treatments, visit westernbaptist.com/heart, where you can take a free 5-minute heart risk assessment.

Volunteer with Senior Medicare Patrol (SMP) SMP is a group of highly trained volunteers, who help beneficiaries prevent and detect health care fraud through education and outreach. Qualifications: ability and willingness to communicate health care information to seniors and the general public Duties: participate in community outreach activities; distribute educational resources; assist with administrative tasks; additional opportunities available depending on experience

mily Jaeger Williams’ husband, Jason, unknowingly diagnosed her slow heartbeat years ago. “He would listen to my heart and say it was slow,” said Williams, 31, of Paducah. Unfortunately, Williams didn’t know that diagnosis was medically accurate until she passed out at home in February. “I’ve had a tendency to pass out ever since I was little,” she said. “I would just pass out at random times. At first, we thought I was hypoglycemic, but I wasn’t. Then I was diagnosed with panic attacks.” Williams, a customer service representative at Holland Medical, now believes the panic attacks were a symptom of her anxiety over fainting. On Valentine’s Day morning, Williams was walking to her bedroom when she fainted and hit her head on the floor. Her husband, who was preparing to take their six-year-old son, Nicholas, to school, called 911. “I don’t remember collapsing,” she said. “My husband said I stopped breathing for 30 seconds. When I woke up, the paramedics were there.”

Training: core training on the SMP program, Medicare Basics, and Fraud and Abuse provided Commitment: Minimum 4 hours per month Other requirements: Criminal Background check

Contact: For more infor mation, con t a c t Eddie Jordan at (270)442-8993 o r http://www.rsvpofpaducah.org/MedPat r o l . h t m l August 2012 — Western Kentucky — Healthy Cells Magazine — Page 17

healthy hydration

So What’s in

Your Water? By Kelli Baier and Yolanda Heath, Heath Health Foods

hen it comes to the water we drink, we have an endless array of options being marketed to us as the bottled water industry continues to grow and find ways to sell us new versions of a basic and essential combination of elements (H2O). Unless your doctor has defined a specific product for your hydration needs, each of us has to decide for ourselves how to fulfill this essential need. While often asked what type of water we recommend, we always opt to educate our customers on available opPage 18 — Healthy Cells Magazine — Western Kentucky — August 2012

tions of any health-related decision without the hype or gimmicky spin so that they can feel comfortable that the choices they make are right for them. Any discussion of drinking water has to start with a municipal water supply which we are fortunate to have. If you've visited countries without this luxury, you know what a blessing this is. This understanding inevitably leads to the question, is tap water safe to drink? This stems from fear regarding what the water may

“Thanks to Home Health Plus, we spend less time at the doctors office, and more time doing the things we love”

contain that could be unhealthy. Again, the good news is our water source is regulated and consistently monitored to determine what it contains. We can go online and see the exact amounts of many of the substances that drive these fears. Chlorine is always a good example; a certain amount of chlorine plays a vital role in our system of safe water dispersal. On the other hand, when it's time to drink, most would prefer not to have the chorine in drinking water. More good news, we can take out the things we don't want in our water before we drink it. So is bottled water better than tap? This depends. A new law requires water companies to list the source of their water, and surprisingly 25 percent of bottled water comes directly from a municipal supply, and 47 percent of the bottled water sold in the U.S. is tap water that has been purified. So that means only 28 percent of the bottled water on the market is from another source such as an artesian aquifer or spring. Just as important as what might be in the water, don't forget to find out what is in the bottle. Many bottled waters come in plastic bottles containing BPA. BPA is Bisphenol A, a chemical that has been linked to an increase in certain types of cancers. Long term exposure to BPA can produce a list of unhealthy ailments. BPA free containers are available at our store and other retailers. Our water vending system requires customers to make choices in filtration and purification methods. Beyond this, many of our customers choose to add oxygenating or alkalization properties to their drinking water. Stop in anytime to learn more about water purification and the products we carry to support healthy hydration. One should always be a smart consumer of what you put in your body including what you drink! We will be happy to assist you with any questions that you may have. For more information, contact Heath Health Foods at 270-534-4977. We are located at 2006 Lone Oak Road, Paducah, KY. Sources for article: http://www.rd.com/health/rethink-what-you-drink/

Home Health Plus, proudly provides home health care services to persons in the comfort of their homes. We accept Medicare, Medicaid, and private insurance. Home Health Plus will provide services to any resident of Calloway County who qualifies for home health care. Allow us the opportunity to take care of you or your loved one today. Call us at 270-753-5656. SERVICES PROVIDED • • • • • •

Skilled Nursing Care Therapy Education Rehabilitation Medical Supplies Disease Management Treatments: Wound Care, Injections, Catheter Care

For more information about our services, contact: Lei Ann Brown, Administrator or Darlene Bartholomew, Patient Care Coordinator/Marketing.

270-753-5656 www.hhpky.com Home Health Plus does not discriminate against any person on the basis of race, color, national origin, disability or age in admission, treatment or participation in its programs, services, and activities or in employment. August 2012 — Western Kentucky — Healthy Cells Magazine — Page 19

community news

Kentucky House Majority Leader Rocky Adkins Visited Lourdes Submitted by Lourdes

entucky House Majority Leader Rocky Adkins visited Lourdes on Thursday, July 12, to discuss several issues including Medicaid Managed Care and the draft Pain Management regulations going into effect soon. Lourdes associates expressed concern about the across-the-board cuts in reimbursement from most payors and the effect that this new reality will have on access for our most vulnerable citizens, the poor and the under-served. Representative Adkins was also interested in the Lourdes Foundation and was very complimentary of Lourdes’ involvement in the community.

Now enrolling for our 2012 vegetable basket program

(270) 534-4977 Healing Ministries for Life

2006 Lone Oak Road Paducah, KY 42003 www.heathhealthfoods.com

Page 20 — Healthy Cells Magazine — Western Kentucky — August 2012

Earlier in the morning, he was the keynote speaker at the Paducah Area Chamber of Commerce breakfast. He also met with the West KY Regional Chamber Alliance and discussed their priority projects including I-69, inland waterways and nuclear projects. Rep. Adkins believes Kentucky has a bright future and healthcare professionals working together with lawmakers can make sure our communities obtain quality and efficient healthcare. For more information, visit our website at www.eLourdes.com

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

peace of mind

Want to Get 200K Miles Out of Your Car? Tips to Help

Danny Ham

Submitted by Danny Ham’s Big “H’ Auto Mart

he average driver today estimates that a vehicle should go for more than 200,000 miles before sending it into retirement, according to a new national survey conducted by Kelton Research. With nearly nine in 10 vehicle owners more concerned with engine upkeep than their vehicle's aesthetics on the inside or outside, car owners are looking for as much longevity out of their vehicle as possible. The survey also finds that 85 percent of drivers are more concerned about the longevity of their vehicles, compared to their homes. With engine health top-of-mind with consumers in today's economic climate, the time to pay extra attention to your vehicle to help keep it running healthy is now. Even though some cars might not run as well as they used to once they reach 75,000 miles, car owners do not begin to consider their vehicle "old" until it hits the 147,000 mile mark. The reality: It's never too early to take the extra steps to promote long vehicle life. One of the most effective ways to help keep your high-mileage car "running young" is using a high-quality motor oil formulated for that purpose. Here are a few additional tips: Change engine oil frequently Sticking with the topic of motor oil, proper lubrication is tantamount to an engine's health, so you need to regularly replace your engine oil and oil filter. Frequent oil changes can prevent the buildup of harmful deposits that rob fuel economy and power, as well as make internal components work harder. Keeping your vehicle's fluids new and clean is priority No. 1 when it comes to making sure your car hangs around for a long while. Follow your vehicle owner's manual for your recommended service intervals. Check your tires You can improve your gas mileage by up to 3.3 percent by keeping your tires inflated to the proper pressure. Under-inflated tires can lower gas mileage by three tenths of a percent for every 1 pounds per square inch drop in pressure of all four tires. Properly inflated tires are safer and last longer. The proper tire pressure for your vehicle is usually found on a sticker in the driver's side doorjamb or the glove box and

in your owner's manual. Do not use the maximum pressure printed on the tire's sidewall. Tune it up Fixing a car that is noticeably out of tune or has failed an emissions test can improve its gas mileage by an average of 4 percent, though results vary based on the kind of repair and how well it is done. Check your air filter Replacing a clogged air filter on cars with fuel-injected, computercontrolled gasoline engines does not improve fuel economy but it can improve acceleration time by around 6 to 11 percent, according to a study prepared for the Department of Energy. This kind of engine is prevalent on most gasoline cars manufactured from the early 1980s onward. For more information, please contact 270-527-9433. Danny Ham’s Big “H’ Auto Mart is located at 606 Main Street Benton, KY 42025. August 2012 — Western Kentucky — Healthy Cells Magazine — Page 21

community service

The Retired and Senior Volunteer Program of McCracken County By RSVP of McCracken County

he mission of the Retired and Senior Volunteer Program of McCracken County (RSVP) is to provide a variety of opportunities for adults, age 55 and older, to actively participate in our community through significant volunteer service. The RSVP of McCracken County promotes volunteering by offering local seniors citizens the opportunity to meet a variety of community needs through volunteer service. Just as important is the significant and proven connection between volunteering and good health. Senior volunteers have greater longevity, higher functional ability, lower rates of depression and less incidence of heart disease. Our program is designed to assure that our seniors remain mentally and physically well into their retirement. Our oldest active volunteer is ninety-six years old! Currently, our 359 volunteers serve at 51 different local nonprofits and schools, providing services in a variety of community needs, but we put a particular focus on providing volunteers with programs that address critical community needs. These specifically focus on poverty, health and wellness, education, clean energy, veterans and military families, disaster preparedness, and economic opportunities. The RSVP allows seniors to help their community by giving their time, talent, wisdom and experience to your community and neighbors who need them. Through service, senior volunteers can add to the quality and health to their life. Our volunteers also save money for the organizations they serve by donating their time and Page 22 — Healthy Cells Magazine — Western Kentucky — August 2012

skills, therefore helping make limited funds go farther for organizations that address critical needs in our community. The program provides a free, supplemental insurance for all RSVP volunteers, covering liability, automobile accidental liability and accidents while volunteering. Because we provide this coverage for the volunteers, the non-profit agencies we serve are not required to pay for coverage of their own volunteers, cutting down on their expenses. Many of these organizations are too small and don't have the capacity to coordinate and recruit volunteers for themselves. Instead, they rely on organizations like the RSVP to fill their volunteer needs—for example, programs like our St. Nicholas Free Family Clinic, which serves working individuals with no health care. Also, our volunteers help with community events held by United Way, Muscular Dystrophy, Fund Runs, the National Quilt Show, Barbecue on the River, and the LowerTown Arts & Music Festival, Senior Day Out, Scam Jam, Make A Difference Day and MLK Day, just to name a few. Volunteer participation at these, and other local events, allows the events to operate at full capacity without having to incur the additional expense of hiring labor. To learn more about the Paducah-McCracken County/Hickman County RSVP, you can find us on the web at www.rsvpofpaducah.org or call us at 270-442-8993.

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Do not miss school or work for a dental appointment again!

The practice of Bohle Family Dentistry provides quality dentistry for people of all ages. A full range of services is provided including cosmetic, preventive, orthodontic, reconstructive, and oral surgery. Everything possible is done to teach our patients the way to make a dental appointment easier on themselves including the use of sedation dentistry. This practice prides itself on thorough patient education, gentle treatment methods, well trained staff, and quality patient service.

Mon Tues Wed Thurs Fri Sat

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gerd

Taking Steps to Manage Acid Reflux Disease Information from www.DontLetitBurn.com

cid reflux disease (ARD), also known as gastroesophageal reflux disease (GERD), affects nearly 19 million Americans, and is characterized by heartburn occurring two or more days a week despite treatment and diet changes. Susan had lived with the symptoms of ARD for years until she went to her doctor and was diagnosed. "I was busy and younger when my heartburn symptoms first occurred," says Susan, a retired college professor and former clinical researcher from State College, Pennsylvania, who first experienced signs of ARD years ago. "I tried over-the-counter medications, such as antacids, which helped but not enough. I went to the doctor and he explained how acid reflux happens, and suggested that I should work to better manage my stress - which is hard for me." Page 24 — Healthy Cells Magazine — Western Kentucky — August 2012

As time went on, it became harder and harder for Susan to ignore her heartburn symptoms. She began taking steps to better manage her heartburn symptoms, making several lifestyle changes, such as sleeping while propped up and trying to maintain a healthy body weight. Susan also tried to reduce her stress through such things like walking and other exercises. "Working with my doctor, we were able to find a treatment plan that was right for me, which included taking the medication Dexilant," Susan says. "I began taking Dexilant, and it helped relieve my heartburn symptoms. Each person's experience with ARD is very personal, so the best thing to do if you have or think you might have acid reflux disease, is to speak with your doctor to find out more about the condition and what might be right for you."

vision care

Is Modern Technology

Hurting Your Eyes? Information from www.vsp.com

To help educate people like Susan who have ARD, Takeda Pharmaceuticals U.S.A., Inc., the makers of Dexilant (dexlansoprazole), partnered with celebrity chef Spike Mendelsohn on the "Don't Let it Burn" campaign to raise awareness around ARD and the importance of finding ways to manage their symptoms, including diet and lifestyle changes. Lifestyle tips, music, heartburn-friendly recipes and more can all be found on www.DontLetitBurn.com. "It is very important for patients to be proactive and understand that if they experience symptoms of heartburn frequently, they should reach out to their healthcare providers to find out if what they're experiencing is acid reflux disease, and if so, what courses of action might be possible to manage this condition," says David A. Peura, MD, Emeritus Professor of Medicine, University of Virginia School of Medicine. "When I work with ARD patients, we counsel diet and lifestyle modifications, but often for many patients, a medication is also needed to manage the symptoms. One treatment option I prescribe for my appropriate ARD patients is Dexilant because it can offer up to 24 hours of heartburn relief." To learn more, visit www.DontLetitBurn.com. You can also hear from celebrity chef Spike Mendelsohn, and get tips, helpful information and facts about acid reflux disease. Lifestyle modifications are part of a treatment plan to help manage a patient's acid reflux disease. Some include: • A void common trigger foods, such as fried or fatty foods, citrus foods, onions, and tomato-based foods as well as alcohol, coffee and other caffeinated drinks, chocolate, peppermint and spearmint • M aintain a healthy body weight • E at small, frequent meals rather than large amounts of food at one time • T ry not to wear tight-fitting clothing around your waist • Elevate the head of your bed 6-8 inches • B e smoke-free Acid reflux disease can occur in both men and women, with varying severity of the disease among patients. To hear more from Spike and to learn about the treatment option Dexilant, please visit DontLetitBurn.com.

world full of personal computers, hand-held video games, smartphones and e-readers is increasing the risk of eye-related problems in many Americans. This isn’t surprising, as children and teenagers are now spending 7.5 hours a day consuming electronic media, according to a study by the Kaiser Family Foundation. Computer vision syndrome, or digital eye strain, is an increasingly common medical ailment and can affect learning and work productivity. It is now the number one computer-related complaint in the United States — ahead of carpal-tunnel syndrome. “The eyes function best when looking at something about 20 feet away. Looking at something close-up, like a computer game, text message or e-reader requires more focus, and over time, can lead to blurry vision, eye strain and headaches,” explains Dr. Leanne Liddicoat, a VSP optometrist in California. VSP Vision Care, the largest not-for-profit eyecare benefits providers in the United States, recently reported that nearly one-third of VSP patients suffer from symptoms of computer vision syndrome. However, there are easy steps parents and children can take to prevent these symptoms: • Get the right lighting. Keep bright lighting overhead to a minimum. Position your computer screen in a way that reduces reflections and glare from windows or overhead lights. • Stay back. The closer the eyes are to an object they’re looking at, the harder they have to work. A good rule is to apply the Harmon Distance (the distance between the elbow and first knuckle) when viewing anything on screen. If you or your children are holding digital devices closer than a Harmon Distance on a consistent basis, consult your eyecare provider. • Apply the 20/20/20 rule. To avoid fatigue and digital eye strain symptoms, eye doctors recommend stopping every 20 minutes to look at something 20 feet away for at least 20 seconds. Also, remember to blink frequently. • Monitor usage. Set time limits on the amount of “screen time” you and your children will have each day. For children over 2 years, limit screen time to less than two hours per day when possible. If older children need to use the computer and e-readers for homework, make sure they first give their eyes a rest after school by playing outside or engaging in other non-digital activities. Children under 2 years should have no screen time. • Get checked. It’s important you have the best vision possible when using digital devices. This starts with a comprehensive examination by an eye doctor, who may prescribe corrective lenses or glasses specially designed for digital screens. To find an eyecare specialist near you, or to learn more about combating computer vision syndrome, visit www.vsp.com. As our reliance on digital devices increases, we must be mindful of our usage and take steps to relax and refresh our eyes to reduce eye strain. August 2012 — Western Kentucky — Healthy Cells Magazine — Page 25

JoiN us iN welCoMiNg Thomas Salvucci, DO Cardiologist

dr. thomas salvucci has special training in diagnosing, treating and preventing diseases of the heart, including heart attacks, heart failure, endocarditis, pericarditis, peripheral artery disease and serious heart rhythm disturbances. He received his medical degree from the Philadelphia College of osteopathic Medicine. He completed his internship at suburban general Hospital, Norristown, Pennsylvania; residencies at Phoenix general Hospital, Phoenix, arizona and Kennedy Memorial Hospitals, stratford, New Jersey; and fellowships at deborah Heart and lung Center, Browns Mills, New Jersey.

OFFICE LOCATION Jackson Purchase Medical Pavilion 1111 Medical Center Circle Mayfield, KY 42066 For more information, call (270) 251-4090.

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skin-to-skin bonding time with your newborn, is available for our new moms, along with lactation counseling and other services. For a complete list, see westernbaptist.com/baby or phone our StorkLine at (270) 575-BABY.

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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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Spine specialists actively offering KYPHON® Balloon Kyphoplasty in your local area: Dr.Dr. Allan Gocio Donley Dr. Mark Crawford Dr. Clint HillDr. Clint Dr. Paul Dr. James Donley Dr. Mark Crawford Hill Juergens Allan GocioDr. James Lourdes Hospital Regional Regional Medical Center Jackson Purchase Western Paducah, Baptist Hospital Lourdes Hospital Medical Jackson Purchase Western Baptist KY Center Medical Center 270-538-5800 270-825-7209 Medical Center Hospital 270-442-9461 270-824-6655 270-538-5800 877-886-7246 270-824-6655 270-415-9970 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]