Health&Wellness August 2018

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Vol. 15 • Issue 11 • August 2018

HEADING

BACK TO SCHOOL? UK HEALTHCARE’S KENTUCKY CHILDREN’S HOSPITAL PROVIDES YOUR STEP-BY-STEP EMERGENCY PLAN

VISION H E A LT H

ALSO INSIDE Tiny Screens and Vision Problems

Smart Apps for Visually Impaired

Learn About Lazy Eye

ADVICE FOCUSING ON THE CARE OF YOUR EYES.

My hearing aids don’t define me — I do.

I didn’t realize that my hearing loss was affecting me until it began affecting him.

That’s when I made the choice to take charge of my hearing.

My family physician referred me to Audiology Associates. The moment I walked in the door, I knew I had found my hearing care home. Audiology Associates was patient, informative, and compassionate — my appointment felt more like a conversation than a consultation. We talked about my current lifestyle and how I could maintain — even improve — my hearing with their help and my determination.

Does David’s story sound familiar?

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Read our article in this month’s issue to learn about the use of oral appliances for sleep apnea treatment.

• Local Breweries onsite • Games for Kids and Adults • Special surprise guests • Tours of both The Willows & Legacy Reserve at Fritz Farm ®

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Pet Friendly

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AUGUST 2018: VISION HEALTH

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COLUMNS IMAGING Sleep Apnea

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MASSAGE More Hospitals Adopting Massage Therapy

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FAMILY VISION Learn About Lazy Eye

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GENERAL DENTISTRY Common Sleep Disorder

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FUNERAL Never too early to Plan for Retirement

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INTEGRATIVE MEDICINE S.T.O.P. : A Simple Mindfulness Practice

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YOGA: Many Health Benefits

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COSMETIC DENTISTRY Many Denture Possibilities Available

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FAMILY DOC New Screening Device Available for Patients with Diabetes

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Tiny Screens Can Cause Big Vision Problems

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PAIN TREATMENT: Mild Treatment

Brian Lord / Publisher David Bryan Blondell / Golf & Special Sections Director Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative Anastassia Zikkos / Sales Representative Kim Wade / Sales Representative Janet Roy / Graphic Designer WEBSITE & SOCIAL MEDIA PROVIDED BY

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FITNESS TRAINING Make Your Morning Hours Count ORTHOPAEDICS: Sports Medicine Doctor

Publishing

Health&Wellness Magazine can be found in 20 central Kentucky counties and is distributed to over 90% of medical facilities, including chiroprator’s, eye doctor’s and dentist’s offices. You can also pick up your FREE copy of Health&Wellness at most grocery and convenience stores as well as many restaurants throughout Central KY.

FEATURES

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READER TESTIMONIAL Aging Life Care Solutions

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ROCKPOINT

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CONTENTS

Health&Wellness is a proud product of

Retinal Detachment

Age-Related Eye Problems Are Normal

859-368-0778

e-mail brian@rockpointpublishing.com

Your Child's Emergency Plan

Tri-For-Sight Supports UK Eye Research Fund

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© Copyright HEALTH&WELLNESS Magazine 2018.

All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited.

Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.

Nature's Beauty

GOLF: FITNESS & LIFESTYLE

FROM THE

EDITOR

Tanya J. Tyler, Editor | Share your story: editor@healthandwellnessmagazine.net

Dear Friends, I’ve been wearing glasses since I was in 6th grade. Oh, I fought having to wear them. I would hide them from myself and just hated being seen in them. Nowadays – older and wiser but still nearsighted – wearing my glasses is second nature. It’s the first thing I do every morning. I have embraced the preciousness of eyesight and acquiesce to the fact that if I want to see clearly now, I have to wear my glasses. But now and then I ponder the possibility of having LASIK surgery. I’ll have to look into it.

This month’s issue of Health&Wellness explores other aspects of eye health, from age-related eye problems to the effect our tiny phone and tablet screens may have on our vision. Our good health is in our hands. Wouldn’t it be great to combine heart health and eye health? Check out the article about the upcoming Tri-For-Sight triathlon. The run, bike and swim will do your heart good and you’ll be raising funds for eye research for the University of Kentucky Department of Ophthalmology and Visual Sciences. You don’t need 20/20 vision to know it’s a winwin for a lot of people.

Here’s to your good health,

Tanya

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Tiny Screens Can Cause Big Vision Problems PRACTICE SAFE HABITS TO PROTECT YOUR EYES

By Angela S. Hoover, Staff Writer For many people, their SMART phone has replaced their computer. Checking the weather, reading the news and emails, keeping up with social media and even typing documents are all done on a SMART phone these days. Using any electronic screen can cause eye issues, but staring at these tiny screens can make problems worse because the font is smaller. Here are a couple of difficulties you may encounter and ways to safeguard your vision.

Computer Vision Syndrome Nearly one in four people complain of eyestrain from reading text on screens. Eyestrain can result from a variety of factors. One is how frequently you blink your eyes. The average blink rate is

about 15 times per minute, but the rate is reduced by half when looking at a screen. Eye fatigue is another cause of eyestrain. Eyes can become fatigued if you are constantly reading small fonts on a small screen, squinting and straining for long periods. The combination of blurred vision, headaches, tired eyes, muscle strain and dry eye is called Computer Vision Syndrome.

The Dark Side of Blue Light The body uses the cycle of the sun’s light to guide its internal circadian rhythm – the biological clock. Important bodily functions happen during sleep, but light at night can throw the circadian rhythm out of whack. Sleep suffers and then health suffers, even increasing risks for cancer, diabetes, heart disease and obesity.

Blue wavelengths, which are beneficial during daylight hours because they boost attention, reaction times and mood, are more disruptive at night. The intense blue light of SMART phones, tablets, computer screens and even LED lights can affect sleep patterns. Blue light can decrease levels of melatonin twice as much as other wavelength colors of light, according to Harvard Medical School researchers. A reduction in melatonin levels makes it difficult to fall asleep. This is why using any device with a blue screen in bed, especially with the lights off, is not advised.

A University of Toronto study found melatonin levels were comparably the same in individuals who wore blue-light-blocking goggles in a room brightly lit with blue light and individuals in a

dimly lit room not wearing the goggles. This further validates blue light as a more potent suppressor of melatonin than other forms of artificial light.

Safe Screen Practices Changing practices when using SMART phones and other electronic devices with blue backlighting usage may eliminate these issues. Follow the 20-20-20 rule: During every 20 minutes of usage, look away and stare at something at least 20 feet away for at least 20 seconds. This exercise will help rest the eyes and prevent the fatigue and strain that lead to headaches and blurred vision. It is especially important for children to practice the 20-20-20 rule since their eyes are still developing.

Don’t use any devices in bed, close to bedtime or in the dark for extended lengths of time.

Avoid using a SMART phone or other blue-lit electronic device at least 20 minutes prior to going to sleep – ideally two to three hours beforehand.

If your blue-lit screen usage is high, especially at night, wear blue-light-blocking glasses or goggles.

Inexpensive sunglasses with orange-tinted lenses block blue light, but they also block other colors.

Glasses that block only blue light can cost up to $80. Apps that filter the blue/green wavelength at night are also available. If you notice your vision is not returning to normal, especially after enacting good, safe screen practices, see an eye doctor.

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Retinal Detachment A HEALTHY INTACT RETINA IS IMPORTANT FOR CLEAR VISION

By Jean Jeffers, Staff Writer The eye is a marvelous organ. Sight occurs when light rays enter the eye through the cornea. The cornea bends the light, which passes through the pupil, a size-changing hole in the iris. The iris works somewhat like a shutter in a camera, allowing light to pass through. After it passes through, the light hits the eye’s crystalline lens. The light rays are then focused onto the retina. The retina converts the light rays into impulses. These impulses travel through the optic nerve to the brain, where they are interpreted as images we see.

According to the American Academy of Ophthalmology, a healthy intact retina is the key to clear vision. A thick gel called the vitreous is attached to the retina. On occasion, clumps of gel in the vitreous cast a shadow on the retina and the individual sees small dots, specks, strings or clouds.

As we age, the vitreous may shrink and pull on the retina. When this occurs, the patient may notice flashing lights or have the sensation of seeing stars. While usually there is no problem with the vitreous as it moves away from the retina, once in a

while the vitreous makes a forceful pull, tugging so hard it may cause one or more tears. If a tear in the retina happens, fluid may pass through, lifting the retina off the back of the eye. This process has been described as similar to wallpaper being peeled off a wall. When the retina is pulled from the back of the eye, it is called a retinal detachment. Symptoms include blurry vision and a shadow or blindness in part of the visual field.

Retinal detachment is a very serious problem that usually results in blindness unless surgically treated. With retinal detachment, bleeding from nearby blood vessels adds to the problem, making vision that much more cloudy. Generally, the patient cannot see at all.

Treatment, which occurs soon after diagnosis, includes (for milder problems) a laser to seal the tears in the retina before the detachment occurs or a gas bubble that helps the retina float back in place. Treatment for severe detachment includes a scleral buckle used to push the eye wall up against the retina and removal of vitreous or scar tissue pulling on the retina (this method is used for the largest tears). Success depends on the location and extent of the detachment and how early the detachment is detected. If treated early, the results are usually better. If the macula is left undamaged, the prognosis is excellent.

Retinal detachment occurs more commonly with age. Cataract surgery may be a factor in the formation of the condition. Myopic patients are also more susceptible. Prevention includes protective eye wear to prevent eye trauma. If you have diabetes, control your blood sugar levels.

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See your eye care specialist yearly and more frequently if you have risk factors for retinal detachment. Be alert to symptoms of new flashes of light and floaters.

Sources American Academy of Ophthalmology (www.aao.org)

About the Author Jean Jeffers is an RN with an MSN from the University of Cincinnati. She is a staff writer for Living Well 60+ and Health & Wellness magazines. Her work has been seen in Christian Living in the Mature Years, Diabetes Health and Infinity Magazines.

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August 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

Age-Related Eye Problems Are Normal SOME CAN BE CORRECTED WITH GLASSES OR SURGERY

By Harleena Singh, Staff Writer Once you’re in your 40s, your vision starts to change.

You may need glasses to see up close; you may have more trouble adjusting to glare or distinguishing some colors. These changes are a normal part of aging. But you are also at higher risk for developing eye diseases and conditions such as age-related macular degeneration, cataracts, diabetic eye disease, glaucoma, low vision and dry eye. Take a look at some of these problems: Presbyopia. Presbyopia is when you can’t see close objects or small print clearly. You may not notice any changes until around age 40 years. It’s easy to correct with reading glasses and contacts.

Age-Related Macular Degeneration (AMD). AMD is a disease that slowly destroys

sharp, central vision, which is needed for seeing

objects clearly and for common daily tasks such as reading and driving. Some studies suggest regular exercise, such as walking, can reduce the risk of AMD by up to 70 percent.

Cataract. A cataract is a clouding of the lens in the eye. Vision with cataract can appear cloudy or blurry, colors may seem faded and you may notice a lot of glare. Cataracts often form slowly without pain, redness or tearing.

Glaucoma. Glaucoma is a group of diseases that can damage the optic nerve. Usually associated with high pressure in the eye, it affects the side or peripheral vision. If you don’t catch glaucoma early, it can lead to permanent vision loss.

Diabetic Eye Disease. Diabetic eye disease is a leading cause of blindness. The most common form is diabetic retinopathy, which occurs when diabetes damages the tiny blood vessels inside the retina.

Low Vision. People with low vision find everyday tasks – reading mail, shopping, cooking, watching TV, writing – difficult to do, even with regular glasses, contact lenses, medicine or surgery.

Dry Eye. Dry eye occurs when the eye does not produce tears properly or tears that are not of the correct consistency and evaporate too quickly.

Dry eye can make it hard to perform some activities, such as using a computer or reading for an extended period of time.

Tearing. This occurs when your eyes make too many tears, which can happen if you’re sensitive to light, wind or temperature changes.

You can take steps to prevent damage to your

eyes. When you’re outdoors in the daytime, always wear sunglasses that shield your eyes from 100 percent of the sun’s harmful ultraviolet rays. This may help reduce your risk of cataracts, pinguecula (a yellowish, slightly raised thickening of the conjunctiva on the white part of the eye) and other eye problems. Be sure to wear safety glasses when working with tools or participating in active sports to help prevent eye injuries that potentially could cause permanent vision loss. People who smoke are at greater risk of developing AMD, cataracts, uveitis (an inflammation of the uvea, the middle layer of the eye) and other eye problems.

Regular eye exams become more important as you reach your senior years. The American Optometric Association recommends annual eye examinations for everyone over age 60 years.

Sources • All About Vision (https://www.allaboutvision.com/) • American Optometric Association (AOA) (www.aoa.org) • Cleveland Clinic (https://my.clevelandclinic.org/) • National Eye Institute (https://nei.nih.gov) • WebMD (www.webmd.com)

About the Author Harleena Singh is a freelance writer and blogger who has a keen interest in health and wellness.

She can be approached through her blog (www. aha-now.com) and Web site, www.harleenasingh. com. Connect with her on Twitter, Facebook and Google+.

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August 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

SLEEP APNEA

C A N B E A S YM P TO M O F S O M E T H I N G M O R E S E R I O U S

atient Choice Ultrasound and Thermography is now offering home sleep study kits. You may be asking yourself why a diagnostic imaging center is introducing sleep testing. The human body is kind of like the old children’s rhyme: “The knee bone is connected to the thigh bone.” There’s more of a correlation than one may think.

Nearly seven out of 10 Americans experience frequent sleep problems.

Sleep problems and lack of sleep can affect everything from personal and work productivity to behavior and relationships.

Sleep apnea is one of the most common sleep disorders affecting approximately 20 million adults in the United States; an estimated 80 percent are undiagnosed. Many people are unaware a sleep disorder is the underlying cause of their health problems. Others may be aware but are uninformed about the severe consequences of untreated sleep apnea.

Some of the patients we see for cardiac conditions, such as hypertension, arrhythmia (abnormal heartbeat) and even heart failure and heart attacks actually have an SLEEP APNEA underlying sleep disorder contributing to their cardiac disease. The same is true for vascular, CAN BE CAUSED renal, thyroid and multiple other diseases.

Individuals with sleep apnea are more likely

BY A PERSON’S to have heart attacks, heart failure, stroke, PHYSICAL atherosclerosis and arrhythmia. It can make high blood pressure worse. After undergoing STRUCTURE treatment for sleep apnea, most patients see improved blood pressure, allowing a reduction in OR MEDICAL their medications. Insufficient sleep can prevent CONDITIONS. the body from using insulin properly. A large percentage of those with type 2 diabetes have sleep apnea, and obesity increases a person’s risk for both disorders. There is an increased risk for pancreatic, renal and skin cancers, autoimmune disorders, hypothyroidism, glaucoma and pregnancy complications such as gestational diabetes or high blood pressure and delivery of an underweight baby. Sleep apnea can also worsen asthma and increase body inflammation. The cognitive and behavioral disorders from sleep apnea can result in memory loss or decreases in attention, vigilance, concentration, motor skills and verbal and visuospatial memory. It can lead to dementia in older adults and learning disabilities in children. There is also an increase in motor vehicle accidents as a direct result of sleep disorders.

Sleep apnea can be caused by a person’s physical structure or medical conditions. These include obesity, large tonsils, tumors in the upper airway, endocrine disorders, neuromuscular disorders, heart or kidney failure, certain genetic syndromes and premature birth.

Sleep apnea is characterized by frequent breaks or pauses in breathing during sleep, causing interruptions in the sleep pattern. Often the sufferer does not fully wake up and is unaware of the severity of their sleep disturbance. These interruptions to restful sleep cause powerful and dangerous effects within the body. Sleep apnea disrupts the way the body takes in oxygen and can affect circulation, which makes it hard for the brain to control how blood flows in the arteries and the brain itself. The death rate from all causes is higher in patients with moderate to severe sleep apnea.

Sleep studies for apnea are usually conducted at hospitals or sleep labs.

Of the roughly 3.5 million sleep tests performed each year, about 80 percent can be done at home. Home sleep tests have become increasingly popular with patients, physicians and insurance companies over the past decade.

Home sleep tests are more convenient than having a sleep study in an unfamiliar lab. And it can take weeks to get an appointment. Patient Choice Ultrasound now offers convenient home sleep kits at a fraction of the cost.

Your family doctor can order this examination directly through us. Once you have completed the test in your own home with the Alice Night One sleep kit and bring it back, PCU will upload your data to be interpreted. The recorded readings will be interpreted by sleep medicine specialist Pamela Combs, MD, FACP Diplomat, ABSM, ABIM/SM. A report will be sent to your physician within a few days.

If you have just one of these symptoms, you may benefit from a sleep study: • sleepiness and fatigue that persists more than two to three weeks; • napping; • snoring; • regular difficulty staying asleep at night; • pauses in breathing or gasping for breath when sleeping; and • feeling so tired when you wake up in the morning that you cannot function normally during the day.

Proper diagnosis and treatment of sleep apnea or any other sleep disorder decreases the feeling of sleepiness and safety risks and improves memory. After a sleep study, an estimated 85 percent to 90 percent of patients get better sleep. We like to minimize the steps for patients by providing as close to a one-stop shop for your health care needs as possible. Now we can provide sleep kits for a comprehensive sleep study at a deep discount, just like everything we provide. Your family physician can provide the order and Patient Choice can provide the study at your convenience, seven days a week.

About the Author About the Author: With 40 years in the field of ultrasound, Kim Davis, RDMS, RDCS, RVS, is the founder and CEO of Patient Choice Ultrasound at 152 W. Tiverton Way in Lexington. PCU can be reached at (859) 554-7360 or by visiting its Web site at www.patientchoiceultrasound.com.

ABOUT PATIENT CHOICE ULTRASOUND & THERMOGRAPHY

PATIENT CHOICE

152 W. Tiverton Way, Lexington, KY • 859-554-7360 • www.patientchoiceultrasound.com Offering inclusive, transparent pricing for diagnostic imaging including Ultrasounds and Thermography. We strive to make healthcare less of a hassle and more about empowering patient choice.

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August 2018

SMART APPS ENHANCE THE WORLD FOR THE VISUALLY IMPAIRED

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A series of apps have been developed that are available for vision impairment.

LEARN BRAILLE OR FIND OUT WHAT IT’S LIKE TO HAVE A VISION PROBLEM

By Dr. Tom Miller, Staff Writer What does it mean to be visually impaired?

The Centers for Disease Control and Prevention says a visually impaired person’s eyesight cannot be corrected to a “normal” level.

Visual impairment is the functional limitation of the eyes or visual system. Like the term legally blind, visual impairment is not a functional definition; it is a classification system. It does not tells us much about what a person can and cannot see.

Eye disease causes low vision.

This is when visual acuity is 20/70 or poorer in the better-seeing eye and cannot be corrected or improved with regular eyeglasses (Whittaker and Scheiman, 2015).

Visual acuity is a number that indicates the sharpness or clarity of vision. A visual acuity measurement of 20/70 means someone with 20/70 vision who is 20 feet from an eye chart sees what a person with unimpaired (20/20) vision can see from 70 feet away.

A series of apps have been developed that are available for vision impairment. None can substitute for the professional examination of an ophthalmologist or optometrist, but SMART technology provides options for the layperson to review their visual acuity.

EyeXam is available free for both Android and Apple devises.

It lets you gain an estimate of your vision against the 20/20 benchmark and also includes tests for color perception, astigmatism and eye dominance.

Self-monitoring is an important ingredient in the future of health care. An Amsler Grid app can test and monitor vision changes related to macular degeneration

or other distortion in a person’s vision field resulting from damage to the macula. For individuals who are losing some ability to see things normally, some SMART apps may offer assistance. One is the Big Clock HD. This app will provide a larger figure of a clock for telling time. It also displays the date in regional format and has a programmable timer-based alarm.

Other SMART apps assist in magnifying what you are reading.

EyeCBest is a Web browser that increases the readability of Web sites and is fully customizable – the user can change the font, size and boldness of any Web site text. The iRead app, a magnifier designed by an ophthalmologist, can enlarge and brighten reading material such as a menu in a dim restaurant. For people who need a magnifying glass but cannot take it everywhere, there is a Magnifying Glass app – just point your phone to the object being viewed and the app will magnify it. The application has a light as well and can also freeze-frame what you’re reading.

The Magnifying Glass with Light for Apple devices is great for magnifying small font on menus, medicine bottles, receipts and more.

Some SMART apps are designed for those who are seriously visually impaired or blind. Be My Eyes assists blind persons with important everyday tasks such as reading labels and receipts. The Braille app provides a Braille table and a simple quiz for reading and writing.

Braille Tutor teaches Braille and the Braille Writer translates text into Braille.

The NantMobile Money Reader is for blind or visually impaired people who have difficulty recognizing currency. It tells the denomination and helps make sure you’re paying the proper amount at the cash register. It can also check that you receive the right amount of change. This app supports more

than 20 currencies and several languages.

If you want to know what visually impaired people experience, the Braille Institute developed VisionSim to give people with healthy vision a chance to see what the world looks like to someone with macular degeneration, diabetic retinopathy, glaucoma, cataracts or other eye diseases. It applies special filters to simulate the symptoms of these diseases.

Sources

visually-impaired • Whittaker, Stephen G., Scheiman, Mitchell and Sokol-McKay, Debra A. (2015) Low Vision Rehabilitation.

About the Author Thomas W. Miller, Ph.D., ABPP, is a Professor Emeritus and Senior Research Scientist, Center for Health, Intervention and Prevention, University of Connecticut and Professor, Department of Psychiatry, College of Medicine and Department of Gerontology, College of Public Health, University of Kentucky.

• AppAdvice https://appadvice. com/applists/show/apps-for-the-

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August 2018

YO U R M O S T I M P O R TA N T B AC K - TO - S C H O O L TO - D O:

YOUR CHILD’S

EMERGENCY PLAN

CHOOSE A CHILDREN’S HOSPITAL

WRITE IT DOWN

INCLUDE IMPORTANT INFO

LIST EMERGENCY CONTACTS

KEEP IT UPDATED

Prepare a plan so that, no matter what, your child will receive the best care possible.

August 2018

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At a minimum, update your child’s emergency medical plan every year before school starts—but you can also update it when your child receives any sort of medical care.

What’s on your back-to-school to-do list? If you’re like most parents, that list probably includes shopping for school supplies, buying new clothes to replace what your kids have outgrown and planning out after-school activities and childcare. But you may be overlooking one vitally important back-to-school to-do item: creating or updating an emergency medical plan for your child or children.

You know your child better than anyone, and you know where you’d take them in an emergency—but what if an urgent medical situation occurs when you’re not there? Creating an emergency medical plan and providing it to your child’s school, sports team, babysitter or other caretaker can help you rest easier, knowing that no matter what, your child will receive the best care possible thanks to your planning.

Here are five recommendations for crafting an emergency medical plan that works for your family. It only takes a few minutes, and it can make a world of difference when it matters most.

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Choose a Children’s Hospital

When it comes to caring for kids, all hospitals are not created equal. Most hospitals have some pediatric specialists available, but children’s hospitals offer dedicated facilities, specialists and services just for kids—available around the clock. With teams of doctors, nurses, therapists and surgeons who have dedicated their careers to caring for kids, children’s hospitals offer the kind of care kids deserve.

UK HealthCare’s Kentucky Children’s Hospital is the only children’s hospital in the region, serving kids across the Commonwealth. Kentucky Children’s Hospital (KCH) also has the only pediatric emergency department in the region,

designed and staffed to meet the special needs of kids. Not having to share an emergency room with adults can help make a scary situation a little less scary for kids, and dedicated pediatric specialists who know how to treat and talk to children can make all the difference in an emergency.

Specifying that you want your child taken to KCH if a hospital visit is necessary can save valuable time, and will ensure they receive advanced, specialized pediatric care as soon as possible when it matters most.

2

Write it Down

Whether your child is heading back to school or going to school or daycare for the first time, this time of year involves plenty of paperwork. Many schools or daycares will have you fill out a form that includes a space to list your child’s pediatrician, and some also request that you list a hospital of choice for your child. You can always specify your preferred hospital, whether or not your school or daycare’s forms include a place for it—your child’s teachers and caretakers won’t complain about having more detailed care information available in case of an emergency.

In addition to any required forms or paperwork, it’s always a good idea to have a written medical emergency plan handy

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August 2018

YOUR LOCAL CHILDREN’S HOSPITAL UK HealthCare’s Kentucky Children’s Hospital offers the most advanced care for children in Central and Eastern Kentucky, with more than 30 specialties and sub-specialties, a staff of pediatric experts and a unique family-centered approach. Learn more about what makes Kentucky Children’s Hospital different at kentuckychildrens.com.

for teachers, coaches, babysitters and other caretakers. Have copies available for school, daycare, sports teams, sleepovers and babysitters, and update it frequently. Having this information readily available will help ensure that your child receives the right care if a situation occurs when they’re away from you.

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Include Important Info

Every child is different—and you know your child better than anyone. You know their likes and dislikes, their fears and strengths, their history and needs. If a medical situation occurred and your child required care when you weren’t available, what sort of information would be important for their healthcare provider to know to give them the best care possible?

This vital additional information can include medical details, like allergies to medications, foods, or other materials, as well as relevant medical history like surgeries or chronic conditions that could affect your child’s care. But there’s other information that’s also important for your child’s care. If they have a comfort item like a treasured blanket or toy that would make their experience a little easier, that’s important for teachers, doctors and nurses to know. If they’re scared of the dark or claustrophobic, that’s also important to put in their medical emergency plan.

At a children’s hospital like KCH, staff can use these details about your child to improve their care and their experience, whether it’s a quick visit to the emergency department or a longer stay. KCH also has dedicated Child Life Specialists on staff—trained team members who specialize in making hospital stays easier on kids through the power of play. It’s one more way KCH meets the needs of the children in the hospital’s care.

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List Emergency Contacts

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Keep It Updated

Your child’s emergency medical plan is far from the only place that will list your contact information— but it may be the first place a teacher, coach or babysitter checks in case of an emergency. It’s important to include as much contact information for yourself as possible. List two phone numbers, like your cell phone and office number, if available, and specify which numbers can be reached by text.

In addition to your own contact information, add contact information for at least two trusted additional caretakers.

This could be your spouse, your child’s grandparents, aunts or uncles, or a long-time babysitter. If you can’t be reached or are out of town when an urgent situation occurs, having additional contact information for others who are invested in the care of your child is vital.

Creating an emergency plan for your child is the most important step in the process. But children grow quickly and are constantly changing, so keeping that plan updated is important. At a minimum, update the plan every year before school starts—but you can also update it when they have any sort of medical care, including check-ups and vaccinations. If you or any of your emergency contacts move or change phone numbers, be sure to update that contact information as soon as possible.

If you have multiple children, create an individual plan for each child. Whenever you update one, take a minute to check the other for accuracy.

Developing a written emergency medical plan for your child doesn’t take long, but it can mean everything in an emergency situation when every minute counts. Be sure your child receives the care that’s right for them by proactively creating a medical emergency plan, specifying that they receive care at a children’s hospital, and including the most important information so teachers, coaches, babysitters and healthcare professionals can provide the best care for your child. It may be the most important thing you do during your back-to-school preparations.

Family Vision.

August 2018

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LEARN ABOUT LAZY EYE

azy eye is a term that is often used for three different conditions. One of those conditions is ptosis, which is a droopy upper eyelid that occurs after someone suffers nerve damage. If one eye does not see as well as the other, this is called amblyopia. Most commonly, the term lazy eye is for strabismus, when the eye either turns in (esotropia) or out (exotropia).

If one eye turns up, this is called hypertropia. This condition is rare.

Amblyopia causes more vision loss in children than all other causes combined. With amblyopia, the parts of the brain concerned with visual processing do not function properly. Vision is learned. In early development, a child relies more on the sense of touch to make sense of the world. Around age 3, vision begins to be the dominant sense, but the brain must learn how to see.

Normally, vision is binocular, which means the eyes move and work together. This is essential for good vision. The eyes must work together with the brain. If the brain doesn’t get clear input and images from both eyes, it may decide to make things easier on itself and draw more visual information from the good eye because it focuses better. Subsequently, the brain ignores input and images from the eye that has poorer vision.

Amblyopia occurs when the eyes fail to work together properly and one eye becomes more dominant. The problem originates in the brain when it does not fully acknowledge the images the amblyopic eye sees. This is called suppression. The brain perceives two mismatching images or blurry vision so it throws one image out to avoid creating double vision. This condition may cause problems with movement perception and visual acuity. There may also be loss of depth perception. The symptoms of amblyopia are not always obvious.

Can amblyopia be treated? Although amblyopic vision is not readily corrected by either glasses or contact lenses, current vision research proves the brain can change, develop and recover from amblyopia with occupational, physical and visual therapies. This adaptive ability of the brain, which is called neuroplasticity, makes it possible to treat amblyopia at any age, even in teenage children and sometimes adults. Vision therapy offers eye exercises and other treatments for amblyopia. While patching the better-seeing eye is often recommended as a treatment protocol and is utilized with children who have amblyopia, it should be used sparingly.

General consensus is to patch for only a few hours at a time. Another treatment uses atropine eye drops. These dilate the pupil and blur close-up vision in the better-seeing eye, thus encouraging the use of the eye with poor vision.

The only way to definitively diagnose amblyopia is through a comprehensive visual acuity examination. As with other conditions, early detection is best in order to get a jump on treatment and prevent vision

AMBLYOPIA OCCURS WHEN THE EYES FAIL TO WORK TOGETHER PROPERLY AND ONE EYE BECOMES MORE DOMINANT.

loss. Amblyopia is fixable, but it takes a while with therapy. Contact Family Eyecare Association to schedule an exam.

About the Author Dr. Graebe received both his B.S degree in Visual Science and Doctorate of Optometry from Indiana University. He is a Behavioral Optometrist and learning expert. He has been in private practice here in the Bluegrass area for the past 32 years.

ABOUT FAMILY EYECARE ASSOCIATES 105 Crossfield Drive, Versailles, KY 40383 • 859.879.3665 • www.myfamilyvision.com

Family Eyecare Associates

We exist to consistently provide you with the finest, most complete eye care available. Our goal is to develop a life-long relationship with you and your family, both as our patients and our friends.

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Funeral.

August 2018

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NE VER TOO EARLY TO

PLAN FOR RETIREMENT longer? If necessary, do you have a specific independent senior living or nursing home where you’d prefer to live? Senior living facilities are popping up all over town. Similar to the drugstore boom, the need for senior living facilities is greater than ever. If you haven’t, now is a great time to schedule a tour so you can find facilities you prefer if you should need to get more personalized care.

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hether you’re a boomer or the child of a boomer, you may have started talking about the next 10, 20 or even 30 years and planning for the retirement years.

If you have already had the retirement conversation and started planning, congratulations – you are doing yourself and your family a favor by considering and possibly making decisions about the many choices you have available to you.

If you haven’t, don’t worry, you aren’t alone. I highly encourage you to start learning about, thinking about and discussing your future retirement with your family so they aren’t left in the dark wondering what Mom or Dad prefers.

Finding a way to start talking with loved ones about retirement and the future is the difficult part. Here are a few topics to start with: Retirement Age Just because you can retire at age 65 years doesn’t mean you have to or want to. Many people choose to work beyond retirement not because they need to but simply because their job is their passion. If you enjoy working, you should continue doing so. Perhaps consider cutting back your days so you can pursue other activities you enjoy or always wanted to do. If you are ready to throw in the towel and can afford to do so, by all means retire and enjoy life.

Finances If you’re going to retire, you certainly need to know how you will cover your expenses. No matter how old you are, it is a good idea to meet with a professional who can help you get your financial affairs in order.

THE LEXINGTON COMMUNITY OFFERS A SPECTRUM OF SERVICES TO SENIORS.

Legal Affairs Have you written a will or set up a trust? Do you need to deal with other legal affairs? If not, when you die, your family is likely to spend a lot of time and money in probate court handling your legal and financial affairs. Take time now to finalize your legal affairs. You can always make changes.

Funeral/Life Celebration While no one really likes to plan for death, it is one of those things on the “have to” list. That is, if your goal is to ease the burden on your family. There are literally over 100 decisions that need to be made at the time of a person’s death. Planning in advance is simply a responsible thing to do and one your children will greatly appreciate.

Things to consider include whether you will pay for the funeral/ life celebration now or through life insurance and specifying what you want done with your remains (burial or cremation) and where you want them placed, as well as how you’d like your life celebrated.

Planning all these aspects allows your family more time to grieve their loss at the time of your death.

Activities Retirement does not have to be the equivalent of sitting in front of the television all these remaining years. It can be if you want, but it can also be filled with a lot of enjoyment with friends and family. It could include traveling, volunteering, reading or quilting, exercising, caring for grandchildren, attending spiritual activities, cooking and so much more. The choice is yours. Enjoy life to its fullest. But also learn about the resources available to you and your family for your retirement. The need for senior resources varies widely depending on how independent or co-dependent an individual is during his or her senior years.

The Lexington community offers a spectrum of services to seniors.

In fact, there seems to be more senior services than ever before. Our community is preparing for an increased demand from boomers who have or are about to enter their retirement years along with their parents who are living longer than previous generations. One such resource you may want to consider are Senior Information Fairs. One of these fairs will be held at Milward Funeral Directors, 1509 Trent Boulevard, on Thursday, Sept. 6 from 10 a.m.-2 p.m. It is hosted by Milward Funeral Directors and The Willows at Hamburg. Guests will have an opportunity to talk to many vendors about financial planning, legal issues, estate planning, funeral pre-planning, senior activities and transportation and senior living communities. It’s essentially a onestop location for gathering a lot of information. A light lunch will be provided at no charge or obligation. Door prizes will be given away, too. To RSVP, call (859) 272-3414 before Sept. 4.

About the Author

Healthcare Will your children or home health care take care of you in your home or theirs? Is it time to downsize so you can live in your own home

Kim Wade has been a marketing consultant for more than 20 years, specializing in the funeral industry. Currently, she is the Community Relations Director for Milward Funeral Directors, the 37th oldest continuously operating family business in the United States, which has three locations in Lexington. Kim can be reached at marketing@milwardfuneral.com or by calling (859) 252-3411.

ABOUT MILWARD FUNERAL DIRECTORS Downtown: 159 North Broadway 859.252.3411 • Southland: 391 Southland Drive 859.276.1415 Man O'War: 1509 Trent Boulevard 859.272.3414 • www.milwardfuneral.com

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Tri-For-Sight Supports UK Eye Research Fund

August 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

It’s difficult to imagine life without sight. Each year, thousands of people lose the battle with macular degeneration, diabetic retinopathy or glaucoma. The University of Kentucky Eye Research Fund supports work that helps doctors and scientists better understand and treat these diseases.

The Susan Bradley-Cox Tri-For-Sight Triathlon supports their work. This fun, short, local triathlon helps raise money for this research. All proceeds from Tri-For-Sight go directly to fund the UK Department of Ophthalmology and Visual Sciences Research Fund.

What is a triathlon? It is an athletic contest consisting of three different events, typically swimming, cycling and long-distance running.

Some events eliminate the swimming portion and replace it with kayaking. These events or races can be short in distance, like the Tri-For Sight, which is normally called a Sprint Triathlon. Next are the Olympic-level distances. The longest triathlon most people are aware of is the Iron Man. The half-Iron Man covers a total of 70.3 miles. A full Iron Man is over 140.6 miles, which is a bit extreme. There are even Ultra-Triathlons that are double the Iron Man distance. However, the most common events you will find are the Sprint and the Olympic triathlons. In a Sprint Triathlon, the combined activities of swimming, biking and running cover a distance of 15 miles. People of all ages, body types and athletic abilities compete in these events. We encourage you to come watch or consider participating in the Tri-For-Sight on Sunday morning, September 9th, as an athlete or volunteer.

To be healthy in life, you have to stay active and eat right. This is what motivated Susan Bradley-Cox to begin participating in triathlons at age 42 years. Before this, she had never competed in such an endeavor.

“I developed my active lifestyle as a young girl growing up in Paducah, Kentucky,

where I took an early interest in cheerleading, swimming and acrobatics (gymnastics),” she said. “These activities taught me an appreciation of physical activity and I now find emotional release through physical expression.”

Susan noted when she was growing up, there was not much for young girls to do athletically.

“Girls didn’t really compete back then,” she said. While she stayed active in college and early adulthood, it did not have much of an impact on her life. In 1982, Susan joined the Todd’s Road Stumblers, an informal group of runners who met each Saturday morning to run and enjoy each other’s company. One of the members, John Sensing, invited her to be part of a brand-new sport being formed called a triathlon. Susan was encouraged to do a triathlon at Spindletop Hall, a UK Faculty/ Alumni/Staff Club. At the time, she did not even own a good bike, so she borrowed one.

She set out on her new adventure and has never looked back. In her first-ever triathlon, Susan won the women’s division. Since then she has been an inspiration for many people of all ages.

“I feel I have been blessed with the ability to achieve physically and I want to share my talents and experiences with others,” Susan said. “I have been competing in Masters Swimming and triathlons since the ’80s.

I have been blessed to win 11 National USAT championships. I have also had the opportunity to be part of the USA Triathlon Team since 1989.”

Susan also qualified to participate on the National Team and was part of the team that first helped the sport of triathlon become an Olympic event. “I have had the opportunity to travel all over the world representing the United States, winning 12 ITU World championships in triathlon in my age division,” she said. “I competed in the 1986 Hawaii Ironman World

Susan Bradley-Cox participating in a triathlon.

Championship, which was one of the highlights of my triathlon career.”

Currently, Susan is the head coach of the Wildcat Masters Swim Team at UK and teaches water aerobics at Pinnacle in the winter and Spindletop Hall in the summer. “This allows me to inspire others to move their bodies and thus be healthier, happier people,” she said. “I am also the Lexington triathlon coach for the Kentucky Leukemia/Lymphoma Society. The participants on the team raise money for the cancer research at the University of Kentucky and I coach them to compete in a triathlon.”

Susan says she receives many benefits from staying active.

“Physical exercise makes me feel refreshed and positive, which results in a healthy release of tension,” she said. “This for me is a personal accomplishment, one that has helped me grow and feel better about myself, but also one I am happy to share with others.”

Susan joins us in encouraging our Health & Wellness readers to get out and move. Go watch or maybe even sign up for a local race.

Triathlons happen all year long, and men and women of all ages, body types and stages of life are staying healthy by keeping active and being part of events such as the Tri-For Sight. For more information, visit www.triforsight.com.

SUNDAY, SEPTEMBER 9, 2018 7:45 AM * THE CLUB AT UK’S SPINDLETOP HALL * All athletes get a long sleeve T Shirt and a finisher’s medal! * Registration at www.triforsight.com

Yoga.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2018

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YOGA

HAS MANY HEALTH BENEFITS and Health unit offers a broad range of services including yoga. Check out the link in the sources below for more information, including short yoga videos.

Approaches By Condition “As someone who has been an M.D. for over 20 years, I can tell you yoga is quite simply the most powerful system of overall health and well-being I have ever seen,” said Dr. Timothy McCall, author of the excellent reference book, Yoga as Medicine – The Yogic Prescription for Health and Healing. In his book, Dr. McCall features the way yoga helps various conditions, including:

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hile yogis have understood the immense benefits of yoga since its inception, the evidence is in and continues to be reinforced study after study: Yoga is good for you. Health benefits for lower back pain, high blood pressure, anxiety, depression and more are now clear. If you are seeking to quench your curiosity about the research-based evidence, here are just a few resources to get you started: • The Journal of Complementary Therapies in Clinical Practice • National Center for Complementary and Integrative Health • Harvard Health Review Benefits of Yoga as a Solution There are numerous benefits to applying yogic understanding and methods to treating ailments including, but not limited to: • Holistically addressing the condition(s) in the larger context of bodies and lifestyles • Continuously considering the individual’s understanding of his or her own condition(s) • Overall benefits for the body and the mind • Affordable as a private lesson with a well-qualified yoga instructor • Does not require a prescription from a health care provider • No associated side effects such as those caused by pharmaceutical prescriptions Seeking Yoga Support Yoga Therapy: There is a difference between attending a yoga class and working with a well-qualified cohort for yoga therapy. If you are seeking relief for a condition or you want to make progress toward a goal specific to your state of being, consider seeking a yoga therapist. By working with a highly qualified yogi one-on-one, you will get custom guidance and advice.

Private Lessons: Try a private lesson. Prices begin around $60 per session. Seek to work with someone with whom you can feel comfortable, who understands what is ailing you and can work with you to set goals to improve your condition(s).

Integrative Clinics: Integrative clinics are becoming more prevalent across the nation. In Central Kentucky, the University of Kentucky’s Integrative Medicine

Anxiety/Panic Attacks: Get to the root of anxiety with breath regulation and awareness of thought patterns. Notice if the movement solicited from your breath is concentrated in the chest and, if so, practice abdominal breathing with slower, deeper breaths. You can rewire your brain to avert anxiety.

Back Pain: Recognize there are many causes of back pain, including, but not limited to, sciatica, sprained ligaments, arthritis, postural problems, scoliosis, vertebrae-rib misalignment, limited or excessive joint mobility and daily life. Surgery is often an inadequate treatment with long-term ramifications. Physical practice of yoga poses can address the complex root causes.

Carpal Tunnel Syndrome: Look beyond the location of the discomfort to the position of the wrists, the muscular balance of the forearms and postural considerations that affect the muscular chain leading to your wrists.

Habitualize awareness of these areas throughout your daily life to address the root causes and ultimately resolve the issue.

Depression: You may have an overactive sympathetic nervous system and elevated cortisol levels. Seek to adjust your posture, elongate your spine, lift your lungs and breathe more deeply. Let go of muscular tension in your abdomen, face and everywhere else. Set aside time to look for and address root psychological causes.

Sources and Resources • Book: Yoga as Medicine – The Yogic Prescription for Health and Healing (McCall, 2007) • Resource: Integrative Medicine and Health at UK (https://ukhealthcare.uky. edu/integrative-medicine-health) • Article: The Distinction Between a Yoga Therapy Session and a Yoga Class (https://yogainternational.com/article/view/The-Distinction-Between-a-YogaClass-and-a-Yoga-Therapy-Session) • Resource: National Center for Complementary and Integrative Health (https:// nccih.nih.gov/health/yoga/introduction.htm) • Resource: Harvard Health Review (https://www.health. harvard.edu/exercise-and-fitness/introduction-to-yoga)

About the Author Lauren Weaver is the Yoga Center Coordinator with Healing Arts Yoga at Lexington Healing Arts Academy. She can be reached at laurenweaver@lexingtonhealingarts.com.

ABOUT LEXINGTON HEALING ARTS ACADEMY Lexington 272 Southland Drive, Lexington, KY 40503 • 859.252.5656 • www.lexingtonhealingarts.com Healing Arts LHAA is a licensed, accredited school offering career education and services Academy in Massage, Personal Training, and Yoga.

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APPOINTMENTS AVAILABLE WITH FPA PROVIDERS AT BOTH LOCATIONS

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HAMBURG OFFICE

1775 ALYSHEBA WAY SUITE 201

SPRINGS OFFICE

2040 HARRODSBURG ROAD, SUITE 300 CHECK US OUT ON THE WEB

fpalex.com

859.278.5007

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Family Doc.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2018

NE W SCREENING DE VICE AVAILABLE

FOR PATIENTS WITH DIABETES

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eople who have diabetes must be vigilant about their eyes.

Diabetes is the leading cause of new cases of blindness among adults between the ages of 20 and 74 years, and 45 percent of patients with diabetes develop diabetic eye disease, which can lead to severe vision loss or even blindness, according to www.DiabetesSightRisk. com. One complication of diabetes that affects the eyes is diabetic retinopathy. In this condition, blood vessels become blocked and prevent areas of the retina from receiving blood and nutrients. This can lead to diabetic macular edema, which occurs when the damaged blood vessels leak fluid into the macula.

At Family Practice Associates, we now offer fundus photography to screen for retinopathy in patients with diabetes. The procedure takes about five minutes and is covered by Medicare and most insurances. It takes color photographs of the retina and offers an automatic evaluation.

The diagnostic report includes retinal images, which are reviewed and read by a board-certified ophthalmologist. A referral/screening plan clearly details next steps you can take to enhance your eye health.

Sometimes you may need to see a retinal specialist, who will perform additional tests. With fluorescein angiography, the specialist injects a dye into your arm and takes photos as the dye passes through your eye. This test helps the specialist detect any closed, damaged or leaking blood vessels. A second special test is an imaging test called optical coherence tomography. It produces a cross section of the retina and is useful for revealing any swelling in the eye tissue.

To keep tabs on possible diabetic eye disease, patients with diabetes are encouraged to get a dilated eye exam every year in addition to routine visits with their primary care physician. This type of exam often detects problems a regular vision test cannot. Your doctor will put drops in your eyes to dilate and enlarge the pupils, the openings at the center of the iris. Enlarging your pupils allows your eye doctor to see more of the inside of your eyes to check for signs of disease. Using a special magnifying lens, the doctor checks the retina and optic nerve for damage.

The National Institute of Diabetes and Digestive and Kidney Disorders (www.niddk.nih.gov) says your eye doctor may conduct other tests to measure the pressure in your eyes; your side or peripheral

A DILATED EYE EXAM IS IMPORTANT FOR PEOPLE WITH DIABETES

vision; and how well you see at various distances. You may also need to keep seeing a general ophthalmologist or optometrist if you have other medical conditions that affect your eyes, such as glaucoma, or if you wear eyeglasses or contact lenses.

A dilated eye exam could be the deciding factor in preserving your sight. Early detection, timely treatment and follow-up care could reduce your risk of diabetes-related blindness by 95 percent. Another way to keep your eyes healthy is to keep your blood glucose and Hgb A1C numbers as close to your targets as possible. Also, be sure to regulate your blood pressure. High blood pressure can damage the tiny blood vessels in the retina. Follow your doctor’s recommendations and take your medications as directed.

About the Author Dr. Gerhardstein is a native of Fort Thomas, Ky. He is a graduate of Northern Kentucky University and the University of Kentucky College of Medicine. He joined Family Practice Associates of Lexington in 2003. His specialty is family practice. Dr. Gerhardstein shares Nietzsche’s philosophy: “That which does not kill us only makes us stronger.”

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 2040 Harrodsburg Rd., Ste. 300 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 30 years, Family Practice Associates of Lexington is a group of primary care providers who are dedicated to giving family-centered care from birth to later years.

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READER TESTIMONIAL

August 2018

Aging Life Care Solutions HELPS CHILDREN HELP THEIR PARENTS

By Loretta Taylor When the time comes to find help for aging parents, the team at Aging Life Care Solutions is here to answer your questions and help you find solutions to the challenges of growing older. A client shares her testimony here.

What were the circumstances that led you to contact Aging Life Care Solutions?

My brother and I needed help. Yes, our parents had done exceptionally well, but they were now 89 and 91 years old. Until just the last few years they were reasonably self-sufficient. Then their needs began to change considerably. More signs of dementia, personality changes and physical inabilities – all of these factors led my brother and me to an elder care attorney.

It was in this office that my brother and I, with our two daughters, were introduced to Aging Life Care Solutions nurses Debbie Kitchen and Billie May. They immediately shared with us an understanding of the dilemmas and concerns we had for our parents.

Little did we know at that time that these two nurses from Aging Life Care Solutions would become vital to our success with the best care for our parents and also become good friends!

Why did you choose Aging Life Care Solutions?

Upon arriving at our parents’ house for the very first time, these two experienced nurses developed a friendly bond with our parents. Our parents loved their beautiful home and their mountain heritage. Debbie and Billie were superior listeners and encouraged our parents to talk about their past and home. Our parents were excited to show them around their house and thoroughly enjoyed the visit. Getting a chance to view their home also aided Billie and Debbie’s awareness of modifications to the house that might help with our parents’ safety. Probably the most important reason we chose Aging Life Care Solutions over other agencies was the character and sincerity of Debbie and Billie.

How did Aging Life Care Solutions help you and your parents?

My brother and I both live in Florida in the winter; we are retired. Our children live in Lexington and help us while we are in Florida.

The problem is our children are still working and if either of our parents were hospitalized or needed to go to the doctor during the day, we would need someone to go to the hospital with them until either my brother or I could fly back

Bottom row (left to right): Launia and Oliver Caudill.

Top row (left to right): Mike Caudill, Ronnie Taylor, Loretta Taylor, Hollie Dickerson.

from Florida. On two different occasions while we were in Florida, our parents did have to go to the hospital. The grandchildren stayed with them as long as possible, but they needed to get back to work.

Aging Life Care Solutions took over and stayed at the hospital with them. They had the authority through the paperwork we had signed to share all information from the doctor with the family and give updates until my arrival back to Lexington from Florida. What a blessing!

Aging Life Care Solutions’ nurses started coming to visit my parents every week. These visits were happy times for my parents, who enjoyed the conversations. The visits also provided the nurses with valuable interactions, assisting in their discovery of our parents’ changing physical and emotional needs.

The nurses managed all their medications.

Medications can be a real problem for the caregiver of a loved one with dementia. It can only be administered by a family member, nurse or other authorized person. Our parents by this time were unable to administer the medications to themselves due to their dementia. This was a real important service to the family. Often medications can be a source of conflict between loved ones and family members.

Aging Life Care Solutions shared our parents’ possible needs or changes to their care plan with us each week. It was wonderful having a

ABOUT AGING LIFE CARE SOLUTIONS

professional nurse helping with their safety. It was also comforting knowing the nurses were available to assist should an emergency arise, especially since my brother and I were gone in the winter.

Would you recommend Aging Life Care Solutions to families who are struggling to find the best guidance for their aging loved ones?

It is important not to neglect yourself and your family when you are the caregiver for your elderly parents. Aging Life Care Solutions can provide many services to assist you with both needs. If you want superior-quality help for your loved one, Aging Life Care Solutions can help you by providing professional nurses with years of experience. They will not only work out a personalized plan for your loved one, but they will help you carry out the plan.

With their help, you will have more peace of mind about the health and well-being of your loved one, plus allow a more balanced life for yourself during this challenging time.

Tamela R. Jennewein, JD, MPS, MA

Debbie Kitchen, MSN, RN

Billie May, MSN, RN

1890 Star Shoot Pkwy. Ste. 170-165, Lexington • 859-629-4454 • www.aginglifecaresolutions.com Aging Life Care™️ Solutions (ALCS) is a team of experienced Aging Life Care Professionals, dedicated to helping senior adults and their families find solutions to the challenges of growing older. Locally owned and operated.

August 2018

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Do You Have...

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Source of Yuma E. Coli Romaine Found Federal officials first announced on April 13 an E. coli outbreak linked to romaine lettuce grown and produced in the Yuma, Ariz., area. Federal investigators found the source of the outbreak of E. coli O157:H7 on July 28: canal water. The Food and Drug Administration (FDA), Centers for Disease Control and Prevention (CDC) and state partners collected sample of water, soil and manure in the Yuma growing region. The investigators used whole genome sequencing (WGS) to make the match. This process takes a bit longer than other testing methods, but it’s like DNA fingerprints for pathogens, say investigators at both the CDC and the FDA. In all, 218 individuals became ill from the outbreak in 36 states and in Canada; 27 of those developed hemolytic uremic syndrome, a type of kidney failure; and five died, according to the CDC’s final report. Laboratory testing of other environmental samples continues and the FDA is still working to discover how the E. coli bacteria entered the water and the ways it could have contaminated romaine lettuce in the region.

august

AUG. EVENTS Thursdays Mindfulness-Based Stress Wednesdays Mindfulness and Relaxation for Health

Relax the body, quiet the mind, open the heart. Arrive 6:00-6:30 and deeply relax, instruction 6:30-8:00 PM Mobilize inner resources for promoting health, preventing burnout and managing stress-related chronic disease. Study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discussion.

Instructor- John A. Patterson MD, MSPH, FAAFP, Cost $10. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033 Full details at http://www.mindbodystudio.org/?page_id=1055

Fridays Argentine tango

Passionate and Romantic- Mindful and Meditative. A uniquely transformative social skill, art form and movement therapy. No partner or dance experience required. Friday evening 7:30-9:00 PM. You may drop-in to any class- this is not a series. Cost $10. Instructors: Dr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http://www.mindbodystudio.org/?page_id=214

Reduction (MBSR)

The “gold standard” mindfulness program. Orientation 6-8 PM Thursday night August 9th followed by 8 Thursday night sessions. Learn to promote resilience, prevent burnout, cultivate compassion and manage stress-related chronic conditions.

Instructor- John A. Patterson MD, MSPH, FAAFP Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at www.mindbodystudio.org/?page_id=1262 UK Wellness Program offers deep discount for UK employees, retirees and spouses.

August 18 A Day of Mindfulness for Body, Mind and Heart

9AM-4PM. Promote resilience, manage stress and prevent burnout. Help you mobilize your own inner resources for healing. Learn mind-body skills for managing stress-related chronic conditions. Relax the body, quiet the mind and open the heart. Facilitator- John A. Patterson MD, MSPH, FAAFP Mind Body Studio 517 Southland Drive Lexington. Pre-registration required by calling 859-373-0033 and emailing john@mindbodystudio.org Full details at http://www.mindbodystudio.org/?page_id=1020 UK Wellness Program offers discount for UK employees, retirees & spouses.

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Pain Treatment.

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August 2018

ALLEVIATE PAIN WITH MILD TREATMENT

he Pain Treatment Center of the Bluegrass is the largest freestanding facility in Kentucky dedicated to the treatment of pain. It hosts 11 physicians of varying specialties and subspecialties, all who have the goal of pain alleviation and management.

Dr. Steven Ganzel, one of the doctors practicing at the Center, has recently added Minimally Invasive Lumbar Decompression (MILD) treatment to his list of services for those seeking relief from pain and suffering.

“Vertos Medical, Inc. is the company that developed the MILD Treatment,” Dr. Ganzel said. “They supply the necessary instrumentation to those doctors trained in the technique. I trained in this specifically because I saw the benefit it was giving many patients, and now I’ve been offering it to those who meet the criteria and seeing a great deal of success.”

What are the criteria to receive the treatment?

“The person has to be 66 years of age and they have to have a thickening of the ligamentum flavum,” Dr. Ganzel explained. These ligaments that run along the lower spine tend to thicken with age and degeneration of the bone and discs. The ligaments start to take on more and more burden as those other structures are compromised.

This usually leads to weakness in the lower back and legs, which is called neurogenic claudication. The pathways through the back narrow and the nerves are constricted. This can also be hastened by arthritis and other degenerative diseases. If the person has had a fusion or spinal surgery in the past 12 months, he or she is not a candidate for MILD treatment.

Why is the procedure gaining momentum now?

“When Vertos first introduced the procedure, it did well for three to four years, then went into a bit of a lull due to clinical trials and other issues,” said Dr. Ganzel. “Around 2016, it was given the full green light and is now picking up steam as a terrific procedure for pain relief.”

What are the advantages of this procedure?

“The biggest advantage is that the convalescence is minimal,” Dr. Ganzel said. “Minimally invasive means just that. We go through two small holes to do the procedure, and it takes less than an hour to do both sides. By de-bulking the ligaments, the patient will find tremendous relief, and they are usually up and about within a few days versus up to six months for some spinal surgeries. Anesthesia is usually not necessary. Some patients do require ambulatory services, which are provided by the clinic since we are a full-service facility..”

How do people get a consultation to find out if they are candidates for MILD? “I have to have an MRI to know if there is thickening of the ligament,” Dr. Ganzel said. “If a patient has had an MRI elsewhere in the last year, that will work, but longer than that allows for too many changes in the body to develop, which might result in an improper clinical decision. Just contact us at The Pain Treatment Center and we will set up a consultation.”

Dr. Ganzel adds the procedure has worked wonderfully and with great success for many qualified candidates. “I wouldn’t spend time training on it and offering it to my patients if I didn’t believe in it

100 percent,” he said. Nor would the founder of The Pain Treatment Center, Dr. Ballard Wright, have undergone the procedure himself if he didn’t believe in it; and, in fact, he did, experiencing wonderful results and allowing him to once again walk without the use of a cane.

For more information on MILD and other services at The Pain Treatment Center of the Bluegrass, call (859)278-1316 ext. 258.

ABOUT THE PAIN TREATMENT CENTER OF THE BLUEGRASS 280 Pasadena Dr. | 2416 Regency Rd., Lexington, KY • 859.278.1316 • www.pain-ptc.com The Pain Treatment Center of the Bluegrass is the largest freestanding facility in the Bluegrass Region dedicated to the treatment of pain. We specialize in treating patients for whom traditional medical/surgical methods have failed to alleviate their pain.

Fitness Training.

August 2018

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MAKE YOUR MORNING HOURS COUNT

HOW TO FEEL E N E R G I Z E D A L L DAY LONG

MAKE IT A HABIT TO IMMEDIATELY GR AB 8 OUNCES OR MORE OF WATER AS SOON AS YOU GE T OUT OF BED

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enjamin Franklin, Mark Twain, Margaret Thatcher and Anna Wintour, editor-in-chief of Vogue magazine – some of the world’s most prolific and successful folks share a common guiding principal: Make the morning hours count. Whether they tackled the biggest problems of the day first, wrote out a plan for the entire day or got in a game of tennis at 5:45 every morning, as Wintour still does, all are good reasons to ditch the snooze button. Having a regular morning routine can be the key to a productive day – especially active habits such as exercising.

An early-morning exercise routine can enhance your metabolism, encourage consistency in your routine, increase physical and mental energy, improve sleep habits and help you develop self-discipline.

Developing a morning routine is easier said than done for those who aren’t morning birds. To avoid getting discouraged, don’t set unrealistic expectations. The secret is to start small, perhaps with a five-minute workout. Once you’ve made your morning routine a habit, it will be easier to progress.

Here are some more pointers to help get you started: Yoga in Your Jammies Even before getting out of bed, do some basic yoga stretches and poses as soon as you wake. Try a wide-legged child’s pose to open up the hips and thighs; a supine spinal twist to relax and stretch the spine and abdomen; a seated forward bend to stretch the shoulders and hamstrings; and a knees-to-chest pose to stretch out the lower back. Remember to take five to 10 full breaths before moving on to each new pose.

Mini-But-Effective Calisthenics Think old-school gym class warm-ups as a full-body workout routine to get the heart pumping. Weave together a five-minute routine consisting of one minute of jumping jacks, one minute of squats, one minute of jumping rope, one minute of planking and one minute of pushups. See how many of each exercise you can do in 60 seconds. Challenge yourself to get in one more of each exercise every day.

Purposeful Walking A morning exercise routine doesn’t have to be 30 or 60 minutes to be beneficial. And you don’t always have to sweat. Set your alarm for just 15 minutes earlier, give yourself five minutes to get ready and then head out for a 10-minute walk around your neighborhood. Use the time to enjoy the sounds of nature, mentally make your to-do list and think about all the good you’ll do that day. If you’ve got the time, add an extra minute here and there throughout the week.

Hydration Energy Blast Water can make an amazing difference in your energy level by fighting off fatigue, which can be caused by overnight dehydration. Make it a habit to immediately grab 8 ounces or more of water as soon as you get out of bed and have another dose of H2O before you head out in the morning.

Meditation for Productivity Whether you have an important meeting first thing in the morning or a hectic schedule of errands, anxiety and stress can quickly zap your energy, making you less productive. Give yourself five to seven minutes (or longer if you’ve got the time) to sit quietly alone and silence your mind with a background of soothing music or the stillness of a dark room. If you allow yourself this ritual every morning, you just may find you’re calmer throughout the day with a clearer perspective.

No matter how you begin your mornings, start tracking your progress as well as your goals you want to accomplish each day. You will be surprised to realize as your morning routine advances, so do your personal and professional achievements.

Do you like to inspire people to make physical and emotional changes? Or do you need a little boost to amp up your physical fitness?

Lexington Healing Arts Academy offers both academic study in Personal Fitness Training and personalized, one-on-one workouts with our PFT interns for only $10. Visit our Web site for more information about our comprehensive Personal Fitness Training program or personal training sessions.

ABOUT LEXINGTON HEALING ARTS ACADEMY Lexington 272 Southland Drive, Lexington, KY 40503 • 859.252.5656 • www.lexingtonhealingarts.com Healing Arts LHAA is a licensed, accredited school offering career education and services Academy in Massage, Personal Training, and Yoga.

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SUNDAY, SEPTEMBER 9, 2018 * 7:45 AM * THE CLUB AT UK’S SPINDLETOP HALL SPRINT TRIATHLON individual or relay 400 meter pool swim * 12.6 mile bike * 3 mile run

DUATHLON individual or relay 2 mile run * 12.6 mile bike * 3 mile run

AQUA BIKE individual 400 meter pool swim * 12.6 mile bike

AQUA RUN individual 400 meter pool swim * 3 mile run

ENTRY FEES *prices for individual triathlon THROUGH AUG 14 $80 AUG 15 – CLOSE $90 This is a USAT sanctioned event. See website for all rates and fees as well as discounts for UK faculty, staff and students.

PARTICIPANTS OF ALL AGES WELCOME!

All athletes get a long sleeve T Shirt and a finisher’s medal!

Packet Pick Up*: Thursday, Sept. 6th CrankWorks Southland Drive Friday, Sept 7th Pannel Swim Shop, Tiverton Way Sat. Sept 8th Spindletop Hall *Times TBD – see race website closer to race date

Online registration at www.triforsight.com * follow link to registration page

Orthopaedics.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2018

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WHAT IS A

SPORTS MEDICINE DOCTOR?

f you or your child sustain an injury during exercise, sports participation, or any type of physical activity, you may be advised to see a sports medicine trained doctor for treatment. A sports medicine trained doctor has specialized training in both the treatment and prevention of sportsrelated injuries and is also knowledgeable about preventing injury in active people. These specialized doctors are board certified and have extensive additional training through residencies and fellowships. Although sports medicine doctors do work with professional and collegiate athletes, they also treat children and teens involved in sports, as well as adults who exercise for personal fitness or work in physically demanding jobs and construction workers. Examples of injuries treated by a sports medicine doctor include: • Ankle sprains • Fractures • Knee and shoulder injuries • Muscular strains • Tendonitis • Cartilage injuries • Joint injuries • Concussions Many sports injuries do not necessarily require surgery. Treatment for sports injuries can include the use of immobilization with a cast or sling, physical therapy or injections. In some severe cases, a surgical procedure to repair a torn tissue or realign bones is necessary.

Most sports medicine doctors also serve as team physicians for local teams and clubs. These physicians must fulfill many additional responsibilities, including: • Pre-participation physical examinations • Injury assessment and management • Care of sports-related and general medical needs of athletes • Sports psychology issues • Substance use issues • Education and counseling on illness and injury prevention • Coordinating care with other members of the sports medicine team, including athletic trainers, physical therapists and personal physicians, as well as other medical and surgical specialties • Communication with athletic trainers, coaches and school administration, as well as athletes and their families Sports medicine specialists are ideal physicians for the non-athlete as well. They are excellent resources for the individual who wishes to become active or begin an exercise program. For the “weekend warrior” or “industrial athlete” who experiences an injury, the same expertise used for the competitive athlete can be applied to return the individual as quickly as possible to full function.

When Should You Call a Sports Medicine Doctor?

If you or your child sustain a significant injury during exercise or sports, a potential trip to an urgent treatment clinic or emergency room may be necessary. Signs of a significant injury include severe pain, swelling, numbness and an inability to put any weight through the injured area. If none of these symptoms are present, a visit with a sports medicine doctor can usually be arranged very quickly. Bluegrass Orthopaedics has recently opened a state-of-the-art Sports Medicine and Physical Performance Center located next to the main campus in Yorkshire Medical Park off Richmond Road. The first floor is home to over 5,500 square feet of physical therapy space, including a large sports turf area, while the second floor includes

16 physician exam rooms and medical imaging. The Sports Medicine and Physical Performance Center features the most advanced technology in sports medicine and athletic care, along with a physical therapy suite with numerous amenities. To make an appointment at our new Sports Medicine and Physical Performance Center, call (859) 263-5140.

Bluegrass Orthopaedics physicians, including Dr. A SPORTS Wallace Huff and Dr. Ryan Donegan, will be seeing MEDICINE patients daily at this clinic. Dr. Huff specializes in sports medicine and regenerative medicine, while Dr. Donegan TRAINED DOCTOR HAS has a fellowship in shoulder and elbow surgery. Both these physicians come with a team of physician assistants SPECIALIZED TRAINING IN – Michael Blackburn, PA-C; Cheslee Bloyd, PA-C; and Harold Dennis Jr., MS, PA-C. Not only will these BOTH THE physicians have ample space with 16 exam rooms, but TREATMENT AND there will also be on-site medical imaging and diagnostic PREVENTION ultrasound available for patient-centered, efficient OF SPORTSmedical care.

RELATED “Our new location has been designed to offer our INJURIES patients a convenient, comfortable encounter with our physicians, therapists and staff while increasing overall efficiency and keeping our patients’ comfort first and foremost,” said Mike Fitzgerald, CEO of Bluegrass Orthopaedics. “From our new physical therapy suite, the expanded sports medicine department and our expanded patient services, Bluegrass Orthopaedics has truly developed a facility that is unlike any other in Central Kentucky.”

Other Sports Medicine Professionals Other professionals may work in conjunction with a sports medicine doctor to provide care. These healthcare professionals often work hand in hand with the sports medicine doctor with open door communication policies to better serve each individual patient. These include: • Physical Therapists (PTs): highly educated, licensed health care professionals who help patients reduce pain and improve or restore function, in many cases reducing the need for long-term use of prescription medications. PTs can teach patients how to prevent or manage their condition so they will achieve long-term health benefits. PTs examine each individual and develop a plan, using treatment techniques to promote the ability to move, reduce pain, restore function and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles.

• Certified Athletic Trainers (ATs): highly qualified, multi-skilled health care professionals who collaborate with physicians to provide preventative services, emergency care, clinical diagnosis, therapeutic intervention and rehabilitation of injuries and medical conditions. Athletic trainers work under the direction of a physician as prescribed by state licensure statutes.

• Certified Strength and Conditioning Specialists®: professionals who apply scientific knowledge to train athletes for the primary goal of improving athletic performance. They conduct sport-specific testing, design and implement safe and effective strength training and conditioning programs and provide guidance regarding nutrition and injury prevention.

About the Author Andrew Carlson MS, ATC

ABOUT BLUEGRASS ORTHOPAEDICS Locations in Georgetown and Lexington • 859.263.5140 • www.bluegrassortho.com At Bluegrass Orthopaedics, we want each patient to feel like they are the center focus. To do so, we combine our commitment of being the most affordable, high quality orthopaedic practice in the commonwealth. Ensuring our time-honored belief that at the core are our values, integrity, respect and compassion. For questions or to make an appointment, please call 859-263-5140.

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Massage.

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August 2018

MORE HOSPITALS ADOPTING MASSAGE THERAPY TO ADDRESS PAIN OVERALL PAIN LEVEL, EMOTIONAL WELL-BEING, RELAXATION AND ABILITY TO SLEEP WERE IMPROVED.

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anaging pain for patients in an acute care setting can be a tricky situation for hospitals. Medical professionals don’t want to undertreat, inadequately manage or overtreat pain. Any of these options could lead to unpleasant physical and psychological outcomes for patients and their families. And in the face of the nation’s opioid epidemic, hospitals and accreditation organizations across the United States are adopting complementary and integrative medicine (CIM) initiatives such as massage therapy to address pain treatment strategies, according to a study published in the International Journal of Therapeutic Massage and Bodywork.

Study Overview and Results Conducted at Flagstaff Medical Center in Flagstaff, Ariz., a nonprofit community hospital that serves a large rural area of northern Arizona, researchers provided 53 hospital patients with one or more massage therapy sessions. The sessions averaged 30 minutes each and were administered by three licensed massage therapists employed by the hospital. The most common modalities included gentle Swedish massage, acupressure, craniosacral therapy and cross-fiber myotherapy with light pressure.

The study included patients from medical, surgical and obstetrics units. Pain levels before and after massage therapy were recorded using a zero to 10 visual analog scale. The findings determined before massage, the mean pain level recorded by the patients was 5.18. After massage, the mean pain level was 2.33.

In the end, qualitative data illustrated improvement in all areas.

The most significant areas of impact reported were overall pain level, emotional well-being, relaxation and ability to sleep. This study shows integration of massage therapy into the acute care setting creates overall positive results in the patient’s ability to deal with the physical and psychological outcomes of his or her health condition, including a significant reduction of pain and an increase in relaxation, sleep and recovery time.

The study report’s primary findings show a strong correlation between reduction of pain levels after massage therapy and statistically significant differences in pain scores before and after massage. The

perception among participants of improved pain levels and less need for pain medication underscore the promise of massage therapy’s positive effect on pain management protocols.

Interested in beginning a career in massage?

If you would enjoy a rewarding career bringing the gift of human touch to patients in need, Lexington Healing Arts Academy has just the program for you. We offer 100-hour advanced training in HospitalBased Massage Therapy (HBMT), the first program of its kind in the state of Kentucky. This unique program encompasses the clinical aspect of working in the hospital setting while providing in-depth guidelines and protocols to safely work on all populations of hospital patients. View information about our full academic program at our Web site, www.lexingtonhealingarts.com.

About the Author Jeff Zutant is a licensed massage therapist (LMT) and a staff member at Lexington Healing Arts Academy. Beyond his role as massage therapist Jeff coordinates the academy's compliance efforts including student retention and placement.

ABOUT LEXINGTON HEALING ARTS ACADEMY Lexington 272 Southland Drive, Lexington, KY 40503 • 859.252.5656 • www.lexingtonhealingarts.com Healing Arts LHAA is a licensed, accredited school offering career education and services Academy in Massage, Personal Training, and Yoga.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2018

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General Dentistry.

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August 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

COMMON SLEEP DISORDER WREAKS HAVOC ON THE BODY E VA LUAT I O N BY A S L E E P S P E C I A L I S T I S E S S E N T I A L

he National Sleep Foundation estimates over 18 million adults in the United States, or about one in every 15 people, suffer from sleep apnea. Obstructive sleep apnea is a sleep disorder that interrupts breathing, resulting in disruptive sleep. Individuals suffering from obstructive sleep apnea will experience a repetitive (partial or complete) airway collapse throughout their sleep, which prevents air from reaching the lungs.

Obstructive sleep apnea is the most common form of sleep apnea disorders. It affects all ages and both sexes, although it is more common in males over age 40 years. Other risk factors include obesity, large neck circumference, retruded jaw and a large tongue, tonsils or uvula.

Common symptoms of sleep apnea include: • snoring; • shortness of breath during sleep, sometimes causing a person to wake, gasping for air; • excessive daytime sleepiness; • difficulty concentrating; • cognitive decline; • morning headaches; and • chronic drowsiness, which can impact work performance and even the ability to drive safely.

Because a lack of sleep can wreak havoc on the body, individuals who suspect a problem should ask their bed partner if they ever snore loudly, gasp for air or stop breathing. If so, they should consider an evaluation by a sleep specialist.

Sleep apnea is diagnosed by a sleep study, also known as polysomnography. It measures multiple parameters, including apnea (temporary cessation of breathing for 10 seconds or more), hypopnea (reduction in breathing flow for 10 seconds or more) and minimum oxygen saturation. Findings from the study are used to calculate the apnea hypopnea index (AHI), which consists of the frequency of apneas and hypopneas per hour of sleep. A sleep study is typically performed by spending the night at a sleep center. After a diagnosis has been confirmed and depending on the level of severity, treatment options can be discussed.

The most common treatment for obstructive sleep apnea is the use of a continuous positive airway pressure device, better known as a CPAP machine. Using a CPAP machine requires you to sleep while wearing a mask that covers the nose and/or mouth. The machine forces air into the nose and/or mouth during the duration of your sleep in order to avoid airway obstruction.

While the CPAP option is a very effective treatment, it does not always fit within the lifestyle of those suffering from sleep apnea. Many patients stop wearing it due to: • discomfort from sleeping with a mask; • bothersome machine noise; • a poor-fitting mask; • nasal and oral dryness; and • the machine not being travel friendly.

For those individuals seeking an alternative, other effective treatment options may be available. In fact, dental sleep appliances are the most common nonsurgical alternative for patients who have difficulty tolerating the CPAP device. Many medical insurance plans provide benefit coverage for oral appliance therapy. A dentist with specialized training in dental sleep medicine will help individuals find the right oral

COMMON TREATMENT IS THE USE OF A CPAP MACHINE.

appliance for their needs as well as properly fit and adjust the device.

The oral appliance is a custom-made adjustable mandibular advancement device (MAD). While wearing the device, an individual’s lower jaw and tongue are positioned forward to maintain an open airway to improve breathing. The device is similar in appearance to a mouth guard with slight modifications. It offers an effective, non-invasive treatment that requires very little change to a patient’s lifestyle. Oral appliances make no noise, are easy to care for and are very convenient for travel. Individuals interested in this option will need to speak with their sleep physician to ensure it will meet their needs. Generally, those with mild to moderate cases make good candidates for oral appliance treatment.

The effectiveness of the oral therapy can be measured by little to no snoring, waking up rested and feeling rested through out the day and ultimately by repeating the sleep study with the appliance in the mouth to compare the results with the initial sleep study.

If left untreated, sleep apnea can lead to serious complications, which include but are not limited to: • high blood pressure; • stroke; • chronic acid reflux; • memory loss; and • increased risk of death mainly with untreated severe cases.

Additional alternative methods of treatment may include surgery, such as tonsillectomies should a person’s tonsils be enlarged, and lifestyle or behavioral changes such as weight loss, avoiding alcohol, quitting smoking and sleeping in a different position. It is important to keep in mind these options may not provide a permanent solution and sleep apnea issues may return at a later time.

About the Author Dr. Thamer Musbah is an Assistant Professor at the University of Kentucky College of Dentistry. His clinical interests include dental management of obstructive sleep apnea, non-surgical treatment of oral and facial pain, dry mouth and oral lesions.

Dr. Musbah sees patients at the UK Dentistry Turfland Clinic on Harrodsburg Road. More information about UK Dentistry is available at www.ukhealthcare.uky.edu/dentistry.

ABOUT UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY Clinic Info: 859-323-DENT (3368) • ukhealthcare.uky.edu/dentistry UK Dentistry offers expert, personalized care for the general and specialty dental and oral health needs of adults and children. We're committed to improving Kentucky, and beyond, one smile at a time.

Integrative Medicine.

August 2018

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S.T.O.P.

A SIMPLE MINDFULNESS PR AC TICE

he fast pace of modern life is taking its toll on our mental and physical health. Multiple surveys in the past year have documented an alarming increase in perceived stress, anxiety, depression and suicide.

Our health – our very lives – depend on our ability to manage stress in healthy ways at home, at work, in traffic, in relationships – and simply inside our own skin. We need simple tools to bring some calm to the chaos – some peace to the frenzy – some kindness to the aggression and competition. The S.T.O.P. mindfulness practice is one such tool. This practice can take as little time as one breath or as long as you like.

“S” is for “Stop” and take Stock Aren’t there times when you just need a break, even for a minute? Make yourself a promise to recognize several times each day when you need some self-care and rejuvenation and simply stop. Step out of the unskillful, habitual reactivity of automatic pilot mode and into the present moment. Step out of the doing mode and into the being mode. Reconnect with yourself and your natural inner resources of resilience, relaxation, peacefulness and wisdom.

Really tune in, paying attention to what is happening right now, right here, without expectation, without an agenda other than a curious, open inquiry into what is actually happening inside you and around you.

Even if you don’t remember this entire sequence, just remember the word stop. Have the intention to truly inquire into the three primary domains of your experience: 1) Body – sense perceptions and physical sensations; 2) Mind – thoughts, images, plans, memories; and 3) Emotions and feelings.

Bring some well-deserved self-compassion and kindness to yourself, especially if your experience is unpleasant, stressful or painful.

Ask yourself, “What is my experience right now?” Simply notice what’s going on around you and inside of you. Take stock of the situation. Take your foot off the accelerator and slow down, grounding yourself with some conscious, natural breaths. In the process, your pleasant experiences may be more fully nurtured and your unpleasant experiences may be less onerous.

Alternatively, you may ask, “What is absent from my experience right now?

What have I forgotten about myself, my work, my colleagues, my family?”

Allow experiences of kindness, compassion, generosity, awe and beauty and smell the roses along the way.

“T” is for “Take” a Breath Take a normal, natural breath, directing your full attention to breathing.

Even one breath experienced with your full, unhurried attention can counteract the stress response. Feel the physical sensations of each inbreath and each outbreath – sensations in the nostrils as the air moves in and out – sensations as the air moves back and forth across the upper lip – sensations as the air moves in and out of the back of the throat – sensations as the chest expands and contracts – and sensations as the belly expands and contracts.

You may find it helpful to say to yourself “in” on the inbreath and “out” on the outbreath. Use your breath as an anchor to bring you into the present moment and help you tune intentionally into your natural state of calm awareness and restful alertness.

“O” is for “Open” and “Observe” Expand the field of your awareness beyond your breathing, including a sense of the body as a whole, your posture, your facial expression and the sensations on your skin. Notice all your sense perceptions – touch, sight, sounds, smells and tastes. Expanding your awareness beyond your body, connect to the trees and all the green growing things you depend on for oxygen. Notice your thoughts and their fleeting, impermanent nature. Notice

ABOUT MIND BODY STUDIO Mind Body Studio

517 Southland Drive, Lexington 859.373.0033 www.mindbodystudio.org

that thoughts are not always facts and not necessarily true. Notice that you can intentionally choose to think your thoughts or let them go. Allow your emotions to surface, recognizing and naming them without judgment: “This is anger” – “This is joy” – “This is grief” – “This is happiness” – “This is anxiety” – “This is depression” – “I know you. I am experiencing you but you do not define me.”

Naming your emotions without self-judgment helps cultivate emotional intelligence, magnifying the benefits of uplifting emotions and reducing the power of distressing emotions. Opening your heart to your own stress, difficult emotions and suffering can nurture your natural capacity for human affiliation and social support and your capacity to help relieve the stress and suffering of other people and all living things.

“P” is for “Proceed”/new “Possibilities” After this intentional slowing down, stepping off the treadmill and out of the rat race, take the benefits of this practice into the next moment, the next task, the next meeting, the next conversation, the next relationship, informing ordinary daily activity with the physiological benefits of mindful self-care.

Notice the world around you, experiencing how things really are, tapping into your intuitive inner wisdom for what you need right now – a call or text to a friend, a quiet moment alone, a bite of chocolate, a cup of tea. Then proceed with more clarity, from a place of choice and skillful responding rather than reactive, habitual autopilot.

Proceed without any expectation of how others will act or speak or behave.

Be realistic about your inability to control the pace at which other people are moving. Know with increasing confidence you can consciously choose the pace of your own mind and body, where you place your attention and whether you perceive your cup as half empty or half full. Feel your inner relaxation response naturally balancing your stress response. With an open, curious mind, experiment with the S.T.O.P. practice several times a day, anywhere, anytime, before each meal, before starting the car, turning on the computer, bathing, brushing your teeth, taking out the trash, during conversation, going to bed, waking up in the morning – anytime, anywhere.

As you take control of where you place your attention, you will understand why mindfulness is also translated as heartfulness. Refining your ability to slow down and S.T.O.P. can help you promote resilience, manage stress, prevent burnout and cultivate compassion. Keeping a log of your practice can be extremely helpful. The following questions are taken from the S.T.O.P. practice log (2) below.

• What was the situation?

• What was going on with you when you thought to S.T.O.P.? (body, mind, emotion) • What did you notice WHILE you were practicing? (body, mind, emotion) • What did you notice AFTER your practice? (body, mind, emotion, action) • What did you learn?

Resources 1. Downloadable basic S.T.O.P. instruction summary https://palousemindfulness.com/docs/STOP.pdf 2. Downloadable detailed one week S.T.O.P. practice log https://palousemindfulness.com/practice/week4-informal.pdf

About the Author Dr. Patterson is past president of the Kentucky Academy of Family Physicians and is certified in family medicine, mind body medicine, integrative holistic medicine, mindfulness-based stress reduction, physician coaching and yoga therapy. He is on the faculty of the University of Kentucky College of Medicine, Saybrook College of Integrative Medicine and Health Sciences (Oakland) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers classes, consultations and coaching to manage stress-related conditions and prevent burnout.

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Cosmetic Dentistry.

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August 2018 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

MANY DENTURE POSSIBILITIES AVAILABLE

entures (sometimes called false teeth) stretch far back in history. These are partial or full replacements of missing teeth.

Teeth can be lost for a variety of reasons: accidents, dental malformation, tooth decay, drug use, pregnancy. For some people, losing some or all of their teeth can be very socially debilitating, so much so that many are too embarrassed to ask a well-qualified dentist about options.

When patients come to Adkins Family and Cosmetic Dentistry and ask about denture possibilities, the first thing to be determined is if they need replacement(s) in the maxillary arch (the top teeth), the mandibular arch (the bottom teeth) or both. How many teeth need to be replaced and their locations make a huge difference in how the dentures are to be made and their overall performance and effectiveness. This performance must answer several important questions. Can the patient chew food more readily? Are the teeth more aesthetically pleasing to the patient? Can the patient pronounce words and enunciate better (missing teeth often affect the ability to speak)? Does the patient feel better about himself or herself after wearing the dentures?

Many dentures are designed with a palate, meaning they actually fit into the roof of the mouth, and cosmetic WE CAN GO teeth fit right into the spaces where teeth used to be. Other dentures OVER YOUR may fit or anchor onto other teeth.

In cases where there are no teeth, PARTICULAR implants often have to be devised to stabilize the denture. When a patient CASE AND GIVE first experiences dentures, the body thinks of them as food, so there may YOU OPTIONS. be excess salivation. This goes away in two to three days as the body adjusts to the device. Every case is different, – DR. ADKINS which is why a good and well-advised consultation with a knowledgeable dentist is so important.

There are different types of denture material. One is porous and can be made quickly, but it doesn’t last long. Often patients will wear these types of dentures while a more refined heat-cured acrylic denture is being made. These look much nicer and will last many years, especially if they are cared for properly. Hygiene is extremely important with dentures. The recommendation is to brush them daily and also immerse them regularly in a solution designed to keep them germ free.

Here at Adkins Family and Cosmetic Dentistry, we consult with a lot of people about all things related to teeth. Often people will not want to even broach the topic of dentures because they believe the process will be impossible for them or the cost unfeasible. If you call us for a consultation, there is no obligation. We can go over your particular case and give you options. Patients often find there is more help with insurance than they initially thought and there may be

options that had not occurred to them pre-consultation.

Your teeth are very important for your social, physical and emotional well-being. At Adkins Family and Cosmetic Dentistry, we want you to look and feel your best in the years to come. Contact Dr. Ruth Adkins of Adkins Family and Cosmetic Dentistry for more information on tooth whitening or other dental services at (859) 543-0333.

About the Author Please contact Dr. Ruth Adkins of Adkins Family and Cosmetic Dentistry for more information on Dentures or other dental services. (859)543-0333.

ABOUT ADKINS DENTISTRY 2704 Old Rosebud Rd #210, Lexington, KY 40509 • 444 Lewis Hargett Circle #260, Lexington, KY 40503 859.543.0333 • www.adkinsfamilydentistry.com Offering two convenient locations for general, family, cosmetic, implant, teeth whitening, and reconstructive dentistry. It is our goal to ensure our patients achieve a beautiful smile that is healthy enough to last a lifetime!

August 2018

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“With Today’s Breakthroughs, You Too Can ELIMINATE Type 2 Diabetes, Obesity, Hypertension & More!”

BEFORE TRUE HEALTH SOLUTIONS

Rick Flannery, now 57, was taking 17 medications a day. He was taking 8 Oral meds and 4 Insulin Injections daily for Type 2 Diabetes. He had Hypertension, High Cholesterol, Sleep Apnea, and Obesity, weighing over 246 lbs.

His A1c was 9.2. NOW 6.7 and OFF all meds for Type 2 Diabetes, Hypertension and Cholesterol. He’s eliminated 16 drugs a day (costing thousands a year) and he’s lost over 72 pounds!

Q: Rick, why did you go to Dr. Miller?

A: “My Type 2 Diabetes was terrible and my health was getting worse. I had High Blood Pressure and I really needed to lose weight, but couldn’t. I heard of Dr. Miller and the results he gets.”

Q: You’ve been seeing other medical doctors for your Type 2 Diabetes and Hypertension, what about Dr. Miller was different?

A: “Dr. Miller made it clear, something was not working correctly in my body. He said his approach is to uncover and reveal exactly what that is. Dr. Miller really takes the time to listen and looked at my whole health history. He makes it clear that Type 2 Diabetes, Hypertension and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they never even talked about what was causing any of these. The other doctors just gave me more and more medications. I knew these were just masking symptoms and not fixing anything. Dr. Miller makes complete sense.”

Q: What does Dr. Miller do to find out what’s not working correctly inside your body?

A: “Dr. Miller doesn’t mess around.

He has an amazing blood panel lab he orders through Lab Corp.

He gets the results and does a ‘Functional Medicine’ computer assessment. It is very impressive."

AFTER TRUE HEALTH SOLUTIONS

Q: After Dr. Miller finds what is not working correctly, what’s he do?

A: “Dr. Miller takes the time and goes over everything so I understood. He takes the time to show exactly what needs done and what type of natural treatment he recommends to fix what is causing Type 2 Diabetes, Hypertension, Sleep Apnea and Obesity.

It all makes perfect sense once you see everything.”

Q: Rick, what did Dr. Miller recommend for you to eliminate your Type 2 Diabetes, Obesity and Hypertension?

A: “Dr. Miller just lays it all out so clear. He started off by seeing me every week to ensure I would eliminate the Diabetes, He has amazing instructions on life-style improvements to eliminate all poor health and then stay healthy. He just makes it all so clear and provides great printed instructions. I’m really happy with how he treats me as a client.”

Q: What are the results of your treatment from Dr. Miller?

A: “My results are great! My A1c went from 9.2 to 6.7, after 15 years on medications. I’ve eliminated all my drugs for Type 2 Diabetes, Hypertension or Cholesterol and I’ve now lost 72 pounds! I highly recommend Dr. Miller. I got my health and life back!”

I’m off all medications for Type 2 Diabetes, Hypertension, High Cholesterol and I’ve lost over 72 lbs!

Integrated Care | Nutrition | Chiropractic Dr. Mark A. Miller, DC and Associates, PLLC

(859) 223-2233

www.TrueHealthSolutionsForYou.com You have the right to rescind within 72 hours any agreement to invest in services that are performed the same day in addition to advertised free services.

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