www.mountainadvocate.com
Health Wellness ISSUE 7 • SUMMER 2010
Magazine
A message from the Knox County Health Department
Health Wellness Magazine
is a publication of
Mountain
Advocate C;:?7 ?D9$
214 Knox Street • Barbourville, KY 40906 Ph (606) 546-9225 • Fax (606) 546-2830 www.mountainadvocate.com
Contents
ISSUE 7 SUMMER 2010
Be a True Animal Lover
7
Spaying or neuturing your pet is good on many levels
Women unlikely survivors of heart disease President / Publisher
JAY NOLAN Vice-President / Production
Women twice as likely as men to die from first heart attack
Wellness Center nearing reality
12
DAN KISSICK
Facility to offer much-needed health management opportunities
Editorial Director
Summer Safety 101
EDDIE ARNOLD Contributing Writers
13
The heat is here, now is the time more than ever to play it safe
EDDIE ARNOLD HEATHER GRIMES ALICIA GAMBREL CHARLES MYRICK MICHELLE MAY, MD JILL BRYANT, ARNP
Coalition pushes for smoke-free dining
Graphics Director / Design
Food or Feelings
CHARLES MYRICK
8
14
Initiative pushing for all restaurants to go smoke-free is gaining ground
Old hospital gets a new lease on life
15
Facility under renovation to become new nursing school
16
Overeating can often be linked to a person’s emotional state Advertising Director
WANDA BLEVINS
Head Hunger: Coping with your triggers for overeating
Advertising Sales
Time of day, location, and other factors contribute to obeisty problem
18
NANCY NAPIER www.mountainadvo
Thank you to Family Health Care Associates, Knox Veterinary Services and ObesityHelp Magazine for contributing to this issue. Additional copies of this issue may be requested by contacting us at (606) 546-9225 or visit us at www.mountainadvocate.com. ©2010. Mountain Advocate Media, Inc. All Rights Reserved. Mountain Advocate Media, Inc. does not endorse any specific doctor, medical practice, prescription or technique discussed herein. The articles, opinions, and data provided are for informational purposes only. Before embarking on any major lifestyle change, or beginning medical treatment, we encourage you to consult your primary care physician or your local hospital first.
cate.com
Health Wellness On the MMER 2010 ISSUE 7 • SU
Magazine
Cover
Still going strong at 100 PAGE 4 Relief after Disaster PAGE 6
Health is a ‘community affair’ PAGE 17
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 3
Still going Strong at Ethel Girdner of Little Poplar Creek says working hard and taking care of yourself is the key to a long life. At the age of 100, she should know. In April of this year, dozens of her friends and family members gathered to help Girdner celebrate her 100th birthday. Even though she is 36,500 days old, Gird-
ner is still active. “I still get up and work around my house and out in my garden and flowers every morning,” she said. “I am beginning to feel my age, but I just go on and try to knock off the bad feelings.” In addition to working hard, Girdner has had some help in keeping herself healthy from her longtime physician and
Serving the Community for More than Ten Years
THE HEART CLINIC OF SOUTHEAST KENTUCKY Anantha Krishna MD, FACC, FACP, FCCP BOARD CERTIFIED IN CARDIOVASCULAR DISEASE SPECIALIZING IN HEART & VASCULAR DISEASE FELLOW OF AMERICAN COLLEGE OF CARDIOLOGY
Services Include: • Consultation • Stress Test (Nuclear) • Echocardiography
• Holter/Event Monitoring • Cardiac Catherization • Vascular Ultrasound
For Appointment and Referral Call BARBOURVILLE
CORBIN
606-545-7227
606-528-2558 1040 Cumberland Falls Hwy.
(Near the new Knox Co. Hospital)
(Across from Kroger)
215 Treuhaft Blvd. Suite 4
4 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
1
100 close friend Dr. Anantha Krishna. “I was one of his first patients when he first came to Barbourville,” Girdner said. “He’s a good doctor.” Recently, to mark her 100th birthday, Krishna and staff presented Girdner with a bouquet of flowers and a gift certificate for a new pair of shoes. “She has been a patient of mine for a long time,” Krishna said. “She is my oldest patient.” Girdner said she plans to remain active for as long as she can. “I believe in hard work. I’ve worked hard all my life. There was a women that came into my doctor’s office one day. She said to me ‘you sure have taken care of yourself.’ I thought to myself ‘you don’t know what you’re talking about. I have worked since I was a small girl.’ I think it’s good for people to work.”
Ethel Girdner of Little Poplar Creek recently celebrated her 100th birthday with friends and family. Her long-time cardiologist, Dr. Anantha Krishna presented Ethel with flowers, a gift certificate and new shoes.
Eddie Arnold The Mountain Advocate
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 5
Relief after
Disaster For two local physicians, the sights they saw and people they met while on medical mission trips to Haiti are things they will never forget. Dr. William T. Ashburn and Dr. Paul Cooney both spent a week in the earthquake-ravaged country earlier this year, offering not only healing for the hurting, but hope for the hopeless. Cooney served during a mission trip headed up by Mission Support International. “We went to Portau-Prince,” he said, adding that this was his first mission trip to Haiti. “I’ve been on other mission trips, but never to Haiti.” He said it is difficult for people who haven’t seen the country for themselves to comprehend the scope of the devastation
wrought by the quake. “That country is already so poor, the people just don’t have anything and then you compound it with this earthquake. Just about every building is devastated,” he said, adding that when he was there, doctors were helping deal with hygiene and infection issues. Like Cooney, Ashburn said he received as much as he gave during the trip. “You receive a lot of blessings from the people hugging on you. They appreciate your work.” Ashburn said it is hard to understand the scope of the loss of human life in the quake. “About 230,000 people died in 32 seconds,” he said, adding that, given the chance, he would travel to Haiti again. “Without question, I’d do it again,” adding that people here
In a country torn apart by earthquakes and aftershocks, medical attention was at the top of a long list of necessities.
don’t understand how blessed they are compared to people in Haiti. “They didn’t have much to start with and now they have nothing.”
Eddie Arnold The Mountain Advocate
Barbourville Family HEALTH CENTER
215 N. Allison Avenue Barbourville, KY 40906
(606)546-9287
Corbin Family Health Center Barbourville Family HEALTH CENTER
140 Bryan Blvd. Corbin, KY 40701
(606)523-2005
Wm. Thomas Ashburn, M.D. Paul A. Cooney, D.O. Sarah M. Mills, P.A.-C Crystal Prewitt, ARNP Richard A. Carter, M.D.
Charles V. Stargel, M.D. Robin Pool, ARNP Anita J. Schoolcraft, F.N.P.-C Lesley Mills, ARNP
OFFICE HOURS: 8 AM-5 PM Monday-Friday 8 AM-12 Noon Saturday (Barbourville only)
Drs. Tom Ashburn and Paul Cooney traveled as medical missionaries to Haiti.
Ministering the Love of God through Healthcare
6 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
Be a True Animal Lover:
Have your pet spayed or neutered
The death toll: eight million. The victims: animals. These staggering numbers are not the result of malicious animal cruelty, but rather are the result of the neglect of animal lovers. Their crime: Failure to have their pet spayed or neutered. Each day, 70,000 puppies and kittens are born. Overwelmed pet owners post countless ads in newspapers and online communities, seeking out anyone willing to open their home to new pet. Abandoned in country hollers, many strays ramble to find any source of food or water. The lack of proper care and food results in the euthanizing of many of these pets. I found myself searching for a puppy recently after the death of my Basset Hound, Bandit. After searching online, I found an individual in Knox County giving away Chocolate Labs. I traveled deep into the boughs
of a holler to find six beautiful, but undernourished puppies looking for a home. I was able to provide a home for two of the brown beauties, and had a close friend take in a third. Their previous owners, like many other pet owners, did not see the harm in their Lab having just one or two litters. Each female dog and its liter can create 67,000 puppies in just six years, most of which will be euthanized. This is a staggering number, considering that my two new pups were from a litter of eleven. Having your pet spayed or neutered is a procedure performed by your vet under anesthesia. Your pet may be required to spend a night at the vet’s office, and the recovery time (depending on the procedure) is relatively short. Having your pet spayed or neutered reduces the already overabundant pet population, while
also providing many health benefits for you and your pet, including: 9 Possible longer life expectancy for your pet; 9 Spayed and neutered pets are often more affectionate companions; 9 Reducing life-threatening or costly health treatments for your pet; 9 Neutered cats are less likely to spray and mark their territory; 9 Reduces the risk for ovarian cancer in female cats & dogs; 9 Reduces the risk for
prostate cancer and disorders in male dogs. 9 Lessens the likelihood that your pet will roam or run away. Knox County Veterinary Services can explain other benefits of having your pet spayed or neutered. It is a small price to pay to show your love for your furry companion.
Heather Grimes The Mountain Advocate
Do what’s right. Have your pet spayed or neutured for their health and happiness. Call for an appointment today - 545-9170 KNOX COUNTY VETERINARY SERVICES www.knoxcountyvets.com
314 High Street • Barbourville, Ky. ~ Phone (606) 545-9170 Dr. Mark A. Smith & Dr. Tammy Thomason-Smith, Veternarians
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 7
Women are unlikely
Women more likely than
Chronic diseases such as heart disease, cancer, and diabetes are the leading causes of death and disability in the United States. The Center for Disease Control (CDC) is at the “forefront” of the nation’s efforts to prevent and control chronic diseases. Coronary Artery Disease is the number one killer of women in the United States and rates in Kentucky are at all time highs (CDC, 2006). Coronary artery disease (CAD) is a disease of the heart in which plaque builds up in the coronary arteries that supply blood to the heart which leads to arteriosclerosis. This build up can lead to angina (chest pain), myocardial infarction (heart attacks), heart failure and death. CAD is the most common type of heart disease for both women and men in the United States, deaths from cardiovascular disease in women exceeds 500,000 8 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
annually. Because women a present with different sympp toms to than men, heart disease is often referred to as a “silent killer” of women. Often the k signs and symptoms are si vague, may be referred to as v gastrointestinal, hurt burn, g nausea, and fatigue etc. The n “crushing chest pain” often “c described by men, is often d not n present in women with heart disease. h Statistics show that women are also more likely w to die from their first myocardial infarction than are c men. m Women should be considered high risk if they are a diabetic, have a family history of heart disease, smoke, have hypertension or elevated cholesterol levels and are over age 55 (Bedinghaus, J., Leshan, L.,& Diehr, S. 2001). Risk factors for heart disease are common in Kentucky and according to the Kentucky Fact Sheet: 31.5% (1 in 3) of adult Kentuckians report no physical activity in the last month; 28.7% (1 in 3) of adult Kentuckians are smokers; 83.2 % (4 in every 5) of adult Kentuckians don’t consume the daily recommended amount of fruits and vegetables; 25.8% (1 in every 4) of Kentuckians are obese, based on reported height and weight; 8.9% (1 in every 10) of the adult population in Kentucky has diabetes, (Kentucky fact Sheet, 2007).
y survivors of heart disease
an men to die from first myocardial infarction According to Kentucky’s Health Profile, cardiovascular disease is the leading cause of death in 20 of the states counties, with mortality rates of 25% and higher than the National average as heart disease is one of Kentucky’s top health issues (http://ukclinicalresearch. com). Diseases of the heart were responsible for 23% of all deaths in Kentucky in 2003. Comparing Kentucky’s risk of coronary artery disease to the nation: Kentucky ranks 5th in no physical activity in the previ-
“Helping You Manage Your Health through Health Promotion and Disease Prevention”
ous 30 days, behind Puerto Rico, Louisiana, Tennessee, and Mississippi; Kentucky ranks 4th in less that 5 fruits and vegetables per day for 2005, behind Puerto Rico, Oklahoma, and Mississippi Kentucky ranks 11th in hypertension for 2005; Kentucky ranks 9th in high cholesterol for 2005 Kentucky ranks 8th in diabetes for 2005; Kentucky ranks 1st in current smoking for 2005 (Kentucky Heart Facts, 2007). The issue of the percep-
tion of the disease by women is important in understanding why women don’t recognize they are having symptoms or why that they put off treatment. Women generally do not realize the significance of heart disease, and for women it is often mistaken as a “man’s disease.” Nurse practitioners as primary care providers are in the position to apply primary prevention and health care promotion interventions in the treatment of coronary artery disease. Primary interventions include education regarding smoking cessation,
diet and exercise, weight control and lifestyle changes as well as the identification of risk factors (Hardesty, P. & Trupp, R. 2005). Heart disease can be effectively treated and in many cases prevented (Gerberding, 2007). As communities and physicians are accepting the role of nurse practitioners in primary care, we are becoming fore runners in identifying risk factors and providing education needed to prevent, diagnose and treat CAD in women. Written by Jill Bryant, ARNP for Family Health Care Associates
Family Health Care Associates
Extended Hours
Open Late to Serve YOU, Our Community!
Treating Children & Adults Walk-ins Welcome! Knox Plaza • Barbourville (Behind Walgreens)
(606) 546-7777 SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 9
BaptistRegional Regional Baptist MedicalCenter Center Medical Baptist Regional Medical Center is a 263-bed facility that provides residents of Whitley, Knox, Laurel, Bell Jackson, Clay, McCreary, Harlan and Campbell counties in Kentucky and Jellico, Tennessee with some of the most advanced medical technology available today. In addition to inpatient and outpatient medical and surgical care, Baptist Regional Medical Center offers state-of-the-art technology and specialized services such as: • Magnetic Resonance Imaging (MRI); • Mammography, Stereotactic breast biopsies, ultrasound and the R2 ImageChecker for early breast cancer detection • Positron Emission Tomography & PET/CT for advanced imaging for cancer detection in its earliest stages • Level II neonatal intensive care unit for new borns who require extra care; • Laser surgery; • Women’s health services in our dedicated Women and Children’s Health Care Center; • Inpatient Rehabilitation for those who have been disabled by an illness or injury in our Physical Rehabilitation Center; • Help for emotional problems and addictions through the Trillium Center; and • Specialty clinics in neurology; Ear Nose & Throat; neurosurgery; allergy; thoracic/cardiovascular surgery and dermatology. We keep up with the latest technology and research so we can be your local source for quality health care. Our doctors and medical staff receive ongoing professional training and will treat you accordingly. Whether you require specialized microsurgery or magnetic resonance imaging, we make it possible for you to stay close to your home, family and friends. Our provision of health care is not restricted to these facilities, however, as our staff also reaches out into the community in order to bring the good news of better, healthier and happier living to our neighbors.
We believe it is our duty as medical professionals to promote well-being throughout the community. Baptist Regional Medical Center’s mission is to provide quality health services to our customers using Christian values as our guide. We participate in various healthfairs and wellness programs throughout the community each year. The level of health care we provide in the region makes us proud to call it our home. Outpatient Diagnostic Center The ODC was designed for the convenience of both, physicians and patients, providing quick and convenient, state-of-the-art diagnostic testing. The ODC offers an alternative location for patients needing diagnostic studies performed where they can easily access these services without having to come to the main hospital campus. Baptist Orthopaedic Center of Excellence Baptist offers the Orthopaedic Center of Excellence (a one-stop registration, education, lab testing and pre-medication which includes pain medication and antibiotics prior to orthopaedic procedures). The goal of the program is to increase patient satisfaction and decrease post procedure length of stay. Outpatient Rehabilitation Center The Outpatient Rehabilitation Center is located directly behind Baptist Family Fitness at the north campus. Services include outpatient physical therapy and occupational therapy. Baptist Regional Apothecary The Baptist Regional Apothecary is a full service retail pharmacy located inside Baptist Regional Medical Center. The apothecary allows better accessibility for BRMC employees and family, the public and discharged patients. For more information about Baptist Regional Medical Center, call (606) 528-1212 or visit our website at www.baptistregional.com.
10 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
Baptist Family Fitness 606-526-0007
Here when you need Don’t trust your families’ us the most!health
Baptist Orthopaedic Center of Excellence 606-523-8573 Baptist Outpatient Diagnostic Center 606-523-8602
to just anyone.
BaptistWorx 606-526-4590 Trillium Center Crisis Line 1-800-395-4435 Baptist Regional Apothecarey 606-526-8334 The Briscoe Clinic at the Trillium Center 606-523-8521
Visit Baptist Regional Medical Center for all your healthcare needs.
Baptist Outpatient Rehabilitation 606-528-2149 Cumberland Valley Urology 606-528-1172 Baptist Surgical Specialist 606-526-7363 Baptist Primary Care of London 606-330-4140 Baptist Southeast Orthopaedics 606-523-1565 Baptist Express Care “Clinic at Wal-Mart” 606-528-9700
www.baptistregional.com 606-528-1212
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 11
Wellness Center nearing reality More than a decade after it was conceived, pieces of the funding puzzle for the Applachian Regional Wellness Center have come together. KCEOC Director of Development Miles Estes said funding, including $3.1 million in New Market Tax Credit funds coupled with $3 million in previous grants, will enable construction to soon begin. “We will be able to complete phase one,” Estes said, adding that crews have already began “dewatering” the site. “The building will be
delivered in about two weeks,” he explained. Once the building is on site, Estes said crews will do some site prep work before beginning actual construction. Under the terms of the construction contract, the contractor has up to 14 months to complete the project. “We hope to be able to open in August or September of 2011,” he said. Once the building is complete and ready to open, Estes said, Union College will provide most of the staffing positions except the director,
who will be hired sometime prior to opening. “KCEOC will participate and help with the financial work,” he said. The most recent design for the wellness center calls for construction of a 40,000 square-foot building, containing a swimming pool section complete with an Olympic-sized 50-meter pool, which can be divided into two smaller pools. “You could have swim practice on one end and water aerobics on the other,” he noted. The facility will also have a therapy pool, work-
12 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
out facility, locker rooms, community meeting rooms, and office spaces. The center will sit on a tract of land off Barner Lane in north Barbourville. The land was deeded to Knox Partners by the city in June 2007 with the stipulation that if the facility ever ceased being a wellness center, ownership of the land would revert back to the city.
Eddie Arnold The Mountain Advocate
Summer Safety 101 The heat h is h here and d it’s’ the h American way to get to a body of water somewhere to help endure the dog days of summer. Accidents and sickness tend to mar any fun you may have, so take time to observe a few safety precautions. Before you head out to the water park, lake, ocean or a pool, make sure you and your children know how to swim. Knowing a few simple basics of swimming can mean the difference between life and death. Union College offers swimming lessons with groups and private lessons. These are available for children ages three and up. Call Barbara Teague at 606-546-1231 at Union for more information. The Barbourville City Water Park is one of many great places to beat the heat and enjoy the great outdoors. To be safe while having fun always take the following precautions: • •
•
•
•
Learn to swim: Swimming is an important personal safety skill and a great way to stay in shape. Swim only when lifeguards are present: Lifeguards are there for your protection. Follow their directions and all rules. Swim with a friend: Drowning often involves single swimmers. A friend can signal for help if a problem develops. Avoid alcohol and narcotics: Besides being illegal in Knox County, alcohol use and narcotic use is one of the leading causes of drowning-related deaths in the United States. If you are taking prescription narcotics for pain, consult your physician before embarking into water of any depth. Supervise children: Watch children closely even when lifeguards are present.
Take your ‘D’ in moderation! A day in the sun can take its toll. The following tips will protect you from overexposure. • Drink water: Your body needs plenty of water to prevent dehydration on hot summer days. Pay special attention to children. They can become dehydrated more quickly than adults. • Use sunscreen: Sunburn is painful and unhealthy. Use sunscreen with an SPF of 15 or higher and reapply frequently. • Protect your eyes: Wear sunglasses to protect your eyes from the sun’s ultraviolet rays. • Wear appropriate clothing: Wear light loose flitting clothing to keep cool and a hat to keep you shaded. Overexposure to the sun will not only increase your risk for uncomfortable and potentially scarring sunburns, but also increases your risk for developing skin cancer.
Charles Myrick The Mountain Advocate
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 13
Coalition pushes for smoke-free dining A group of health professionals, cancer patients and survivors, and concerned citizens from across the tri-county area are working to prevent cancer and offer support to those who have been stricken with this dreaded disease. The Tri-County Cancer Coalition, a non-profit organization, meets the second Tuesday of each month at various locations, recently released information about the danger of smoking and exposure to second-hand smoke. They note that secondhand smoke is a mixture of smoke given off by the burning end of the tobacco product, coupled with the smoke exhaled by the smoker. According to studies, this smoke contains over 4,000 chemical compounds, 40 of which are known as Class A carcinogens. They note that as little as five minutes of exposure
to second-hand smoke can stiffen the victim’s aorta as much as smoking a cigarette. According to the coalition, exposure to secondhand smoke is associated with at least 35,000 coronary heart disease deaths a year. In an effort to reduce the public’s exposure to second-hand smoke, the coalition recently released a list of restaurants in Knox County that are now smoke-free (see list on this page). According to a study entitled “The Health of Kentucky” released by the Kentucky Institute of Medicine, 27 percent of Knox County adults and 24 percent of high school age students smoke. The study also shows that lung and related cancer tops the list of the most deadly forms of cancer in Knox County, followed by prostate, breast, and colorectal.
Smoke-Free Restaurants: Arby’s (Barbourville and Corbin) Beef O’Bradys Dairy Queen (Barbourville) Hillbilly’s Lee’s Famous Recipe Chicken (Corbin) Lil Philly’s Long John Silvers (Corbin) McDonalds (Barbourville and Master Street in Corbin)
Subway (Barbourville and Corbin) Taco Bell (Barbourville) Tammy’s Cafe Wendy’s (Barbourville and Corbin) Yamato Steak House
14 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
Eddie Arnold The Mountain Advocate
Old hospital gets a new lease on life Nursing and health occupations students from across Knox County and the region will soon be able to get their education right here in Barbourville. Recently, the Knox County Fiscal Court was awarded a grant to do hazardous materials cleanup on the old Knox County Hospital, a building that will be the new home for Union College’s Nursing and Allied Health Programs classes. During the May 27 meeting of the Knox County Fiscal Court, a resolution to
adopt mitigation measures of the old hospital was approved, allowing progress to begin on the cleanup. The first stage of cleanup for the hospital consists of the disposal of hazardous materials, including asbestos. The $100,000 grant for
cleanup efforts stems from the USDA Brownfields Grant. The USDA Brownfields Grant allocated $75,000 in money and $25,000 for income for the old Knox County Hospital cleanup project. In the May 27, 2010 meeting of the Knox County Fiscal Court, Judge-Executive J.M. Hall indicated that Union College had committed up to $25,000 toward the additional cost of the cleanup. The hospital, located at the corner of High and Broadway in Barbourville, is slated to be the new home of Union College’s Nursing and Allied Health Program. In early April, Union president Ed De Rosset said that $500,000 in funding for the project had been announced
by U.S. Congresman Harold “Hal” Rogers. Those funds were expected to be in hand by sometime this month, De Rosset said. Once all the pieces of the funding pie for renovation of the old hospital is finished, De Rosset said it will take about two years to complete construction. De Rosset said the college plans to begin an RN to BSN program as soon as they get accreditation approval from the Southern Association of Colleges and Schools.
Heather Grimes The Mountain Advocate
Knox County
C O O P E R AT I V E E X T E N S I O N S E RV I C E
Phone: 546-3447 Programs available: Agricultural programs, soil testing and gardening • 4H communication events and 4H school programs • Family and Consumer Sciences Activity Programs • Expanded Food and Nutrition Programs (EFNEP) including healthy eating and budgeting
• • • • • • • •
Complete Family Dentistry Air Abrasion Nitrous Oxide Teeth Whitening Dentures/Partials Crown/Bridges Root Canals Tooth Colored Fillings
Most insurances accepted.
Call
545-7715 for an appointment
(located across from Barbourville Post Office)
Call the extension office on other programs available. Renata Farmer - County Extension Agent • Family and Consumer Sciences Wayne Kirby - County Extension Agent • Agriculture Melane Mays - County Extension Agent • 4-H & Youth Development
SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 15
Food &
Feelings
Emotions are common triggers for eating. People sometimes eat to cope with stress, distract themselves from difficult emotions or stuff down feelings they don’t know how to express in a healthier manner. However, boredom, anger, anxiety, loneliness, stress and other feelings are a natural part of our lives, and eating won’t make them go away. In fact, eating in response to these feelings disconnects you from important information about what you need. For example, “I want brownies” might really mean “I want comfort,” “I need a reward,” “I wish I had a friend to talk to,” or “I wish I could tell you how I really feel.” The food you eat to deal with feelings comes with strings attached—weight gain and regret. But more importantly, it denies you the opportunity to discover and satisfy your true needs. Since eating cannot meet your emotional needs, those unmet needs trigger overeating again and again. The way to break out of this pattern is to stop judging yourself when you overeat and instead try to figure out what you needed that drove you to eat when you weren’t physically hungry. Examining your current eating behavior can be a powerful
source of information about your inner self and your true needs and wants. Once you have identified the emotions that triggered the urge to eat, seek ways to comfort, nurture, calm and distract yourself without turning to food. Michelle May, MD, a physician and recovered yo-yo dieter, is the author of Am I Hungry? What to Do When Diets Don’t Work, available at www.AmIHungry.com.
Dr. V. Wigna Kumar, M.D. FRCS (ENG) FRCS (EDIN) FICS (USA)
• F e m a l e I n c o n t i n e n c e S u r g e r y ( M i n i m u m In v a s i v e ) • Ur ina r y Lea kage • P el v i c Pr ol ap s e • L ap aro scopic Hyst ere ctomy • Ge ner al a nd L apa rosco pic S ur ger y
YALI N I E M E DICS 1 HOSPITAL DRIVE KNOX COUNTY HOSPITAL Barbourville, Kentucky 40906
Call for an appt. (606)545-5539
PCH... Dedicated Medical Professionals Offering Quality Care For Your Family
Dr. Uyi Idemudia INTERNAL MEDICINE
Dr. Uyi and his staff are currently accepting patients in Bell and Knox Counties, with ofÀces located at the PCH Medical Clinic, Flat Lick, KY and on the third Áoor at PCH. Dr. Uyi specializes in internal medicine, including the management of hypertension, diabetes, conjestive heart failure, coronary artery disease and arthritis for patients 18 and above.
Call 606-337-7779 for an appointment • Walk-ins welcome.
Pineville Community Hospital Flat Lick (606) 542-5866
(606) 337-3051
850 Riverview Avenue, Pineville, KY 40977 Patient’s Room 337+4+Room Number
16 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
Health is a ‘community affair’ Volunteer group gets grant for outdoor exercise stations A group of local volunteers are working to make being healthy a community affair. The Healthy Communities Coalition of Knox County recently received $3,000 in grant funding. This funding will be put to great use under the supervision of Belinda Prichard, an RN/ Health Educator at the Knox County Health Department. The grant will be used to purchase several different types of exercize machines. These machines will include a row machine, chest pull down, leg press, rowing machine and others. These machines will be placed along the inside of the walking track at the Thompson Park.
Exercise stations will be set up within the park containing different pieces of the machines. These stations will be available for use year round. In addition to these stations, there will also be Zumba classes held at the Barbourville Water Park. “We are working hard”, says Prichard. If anyone is interested or would like to get involved, the Healthy Communities Coalition meets at 10:00am on the fourth Tuesday of each month at Union College’s Black Technology Center. Among the issues
discussed at the meetings are nutritional awareness. Prichard said, “Anybody that has an interest in being part of the coalition is welcomed to come.” They even have something for the kids. Nutrition classes will be held for 3 and4 year olds July 28 and 29 at the health department. If interested call Belinda Prichard at 546-3486.
Alicia Gambrel The Mountain Advocate
511 Knox Street Barbourville, Ky 40906
(606) 546-3171 George F. Hammons, RPh Jackie Evans, RPh Karen Hubbs, PharmD Frankie J. Hammons, PharmD SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE • SUMMER 2010 • 17
Head Hunger:
This article was written by Michelle May, MD, and has been abbreviated from the original version. For the complete story, see our magazine online atwww.mountainadvocate.com/health
Coping with your triggers for overeating A message from the Knox County Health Department Biggie Size:
Do you sometimes confuse “head hunger” with “body hunger”? If you’re sensitive to food cues, weight management becomes much easier when you’re able to recognize the triggers in your environment and break the associations that lead you to overeat simply out of habit. Let’s take a look at just a few of the common triggers for overeating and strategies for coping more effectively.
By the Clock: Society programs us to follow a schedule, so like Pavlov’s dog, we’ve learned to salivate when the bell rings. The reality is that it’s more convenient to eat at certain times than others, so it takes effort to listen to your hunger cues. Strategy: Though it’s challenging to change this routine, you can adapt it to fit your own needs. Learn to pace yourself by observing your natural hunger rhythms. You’ll probably notice that you get hungry every 3-6 hours, depending on what and how much you ate at your last meal and how active you’ve been. Keep a healthy snack handy to satisfy hunger that doesn’t conform to mealtimes. If you’re consistently tempted to snack right before a meal, consider moving the mealtime up or adding more protein to your previous snack.
Restaurants often serve overly large portions to make their customers feel that they are getting value. Strategy: Be prepared to have extra food wrapped up to go as soon as you feel satisfied, or estimate how much you think you’ll need and wrap up the rest even before you start eating. If you leave the food sitting in front of you, you’ll be more likely to keep nibbling. Remind yourself that you’ll get to enjoy that food again when you’re hungry. You can also share an entrée or order an appetizer-sized portion. By learning to recognize and cope more effectively with your head hunger, you’ll begin to break free from old, problematic habits. You’ll find yourself eating less, feeling more satisfied and meeting your needs more appropriately. To get a one-page handout called “101 Things to Do Instead of Eating When You’re NOT Hungry,” visit http://amihungry.com/ enews.shtml. Michelle May, MD, a physician and recovered yo-yo dieter, is the author of Am I Hungry? What to Do When Diets Don’t Work, available at www.AmIHungry.com.
High-Risk Times: Many people have times of the day that are high-risk for overeating. For example, you may experience a late afternoon energy slump or a tendency to munch when you come home from work to transition into your evening. Strategy: Know when you’re most at risk and develop an alternate strategy. For example, create a Recharge Ritual or Transition Time that helps you relax or unwind. Save a favorite magazine or book to read, call a friend or walk your dog instead. Create a list of things to do instead of eating. Keep the list (and any necessary supplies) handy and make a commitment to try one of these activities before eating simply out of habit.
Phone 546-2210 315 Hospital Drive, Suite 6 • Barbourville, Kentucky
Dispensing a Healthier Life to You! We are committed to providing friendly, compassionate healthcare to our community at an affordable cost.
Location, Location, Location: If you eat in front of the TV, in bed or standing in the kitchen, you may feel an urge to eat just from being in those places. Strategy: Try to eat only while sitting at a table. Make it a family rule to limit eating to one or two rooms in the house. This will decrease triggers like TV and reading and help you focus on enjoying your food without distractions.
Chris and Kristen Bowling - Pharmacists/Owners, Ereka Buchanan, Destiny Sizemore and Paula Kaye Grubb
“A Good Neighbor Pharmacy” We offer a full range of immunizations and medication therapy management to eligible patients. 9We accept most major insurance, including Workman’s Compensation 9We are happy to match most competitor’s pricing! 9Convenient hours and drive-thru window 9Transferring prescriptions is as easy as making a phone call!
18 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE
SAINT JOSEPH - LONDON WELCOMES OUR THREE NEWEST FAMILY PRACTIONERS We are please ed to o annou unce that Derwood d Bash ham, D.O., Donnie Bunch, D.O. and Farhan n Javaid, M.D. have e jo oin ned Saint Jose eph - London’s me edical staff as PRIMARY CARE PHYSICIANS. Dr. Basham is board certified by th he American Oste eopathic Boarrd of Family Physicians and is a member of the American Acade emy of Familyy Physicians. Dr. Bunch is board eligible by th he American Osteop pathic Board off Fam mily Physicianss and is a member of the American Oste eopathic Asso ociation. Drr. Javaid is boa ard certtifi fie ed by the American Board of Family Mediciine and a member of the American Academy of Family Physicians. Dr. Basham, Dr. Buncch and Dr. Javaid have extensive experience e in family medicine and are dedicated to providing you with the highest level of care. CO OMPREHENSIVE SERVICES t Annu ual Physiical Examinations t Preventive Hea alth Consulttations t Care off Acute e Illnesses t Carre of Chronic Illnesses: including hyperttension, asthma, & diabetes t Osteopatthic Manual Medicin ne
Derwood Basham, D.O.
Donnie Bunch, D.O.
Farhan Javaid, M.D.
To schedule e an appointment, call 606.330.2377. Pre emier Family Health 140 06 West 5th Street London, KY 40741 ww ww. w.Sa Sain in ntJ tJos osep os ep phL h on ondo do on.or org g
Giving Our Community the Gift of Health in 2010
(606) 546-3486
261 Hospital Drive • Barbourville, KY 40906
Public Health Services
Home Health Services
Women’s Health
Providing skilled nursing, IV therapy, DME, Social Services, Respite Care, Personal Care, Medicaid Waiver, EPSDT services and the following in the comfort of your home:
Promote education and screening to detect breast or cervical cancer early. Family Planning and adult health screenings.
W.I.C. Providing nutritional and breastfeeding counseling as well as free food to pregnant women and children that qualify.
H.A.N.D.S. Outreach program to assist first-time parents with parenting skills and child development from pregnancy until the child reaches two years of age.
• Physical Therapy • Wound Therapy • Occupational Therapy • Speech Therapy • Medical Supplies
Preparedness Collaboration with local emergency response, county services, and the community in preparedness for natural and man-made disasters.
Diabetes Education Diabetes Self-Management Education and Monthly Support Meetings.
Biostatistics Keeps records for the county births and deaths as well as reportable diseases.
Environmental Health Services Health inspections to ensure safe food, water, pools and sewage.
T.B. Control Work with the state and regional epidemiologist to investigate and control infectious disease outbreaks.
Health Education To provide information and educational materials to schools, community groups, and the general public to promote health and wellness as well as prevention of diseases.
Tobacco Cessation Healthy Start Education and support in quitting smoking and spit tobacco.
G.I.F.T.S. Case management to help provide infants and children a smoke-free environment.
School Health Services On-site Nursing and Emergency First Aid including medications and well-child services as well as immunizations, serving: • Jessie D. Lay • G.R. Hampton • Girdler • Lynn Camp • Barbourville • Central Elementary • Dewitt • Flat Lick • Knox Middle • Knox Central • Appalachian School • Union College
20 • SUMMER 2010 • SOUTHEAST KENTUCKY HEALTH & WELLNESS MAGAZINE