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Vol. 17 • Issue 11• August 2020
ACTIVE
SENIORLIVING GET OUT THERE AND ENJOY THE WORLD!
ALSO INSIDE SENIOR
SERVICES DI
REC TORY
Become a Road Scholar
Susan Barkman at Richmond Place
Hiking Tips for Seniors
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FEATURES
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Become a Road Scholar 11 Ways to Prevent Falls Hiking Tips for Seniors Should You Use Nutrition Supplement Drinks? Move it or Lose it! Susan Barkman Inspires at Richmond Place Older Adults at Higher Risk for COVID-19 What You Need to Know About Non-Hodgkin Lymphoma
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CONTENTS
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AUGUST 2020: ACTIVE SENIOR LIVING
COLUMNS INTEGRATIVE MEDICINE: Mindful Self-Compassion FAMILY DOC: Seniors are Susceptible to Depression
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SENIOR SERVICES DIRECTORY PET HEALTH NATURE'S BEAUTY FOOD BITES
DEPARTMENTS
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Dear Friends,
It has certainly been a challenging year. We didn’t get the summer we expected, did we – no picnics or barbecues, no Fourth of July parades and who knows when or even if the kids will get back to school? But even in the midst of a pandemic, life goes on, so in this issue of Health&Wellness, we look at some of the issues facing senior adults. From knee replacement to travel to the effects of COVID-19 and depression on this particular demographic, we want to make sure you stay informed and cognizant of what is going on. And we want you to get out there and enjoy the world! Learn in this issue about Road Scholar, an organization that arranges and hosts worldwide expeditions for lifelong learners. Having recently moved to a beautiful, mountainous state, I started hiking and I was really getting into taking treks with my faithful dog, Winston, at my side… until I broke my leg coming down Moon Mountain. Now I have to spend the rest of the summer in a cast – not the summer I expected. But I won’t let this daunt me. As soon as I’m cast-free and healed, I will be out there exploring the mountains again. Like our senior friends, I try very hard not to let anything get me down and count me out. I hope you do, too! Here’s to your health, Tanya
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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2020
By Health&Wellness Staff Travel is on hold for now due to the worldwide COVID-19 pandemic, but that doesn’t mean you can’t plan for the time when you can answer the call to go and explore this and other countries. To help with your dreaming and preparing, check out Road Scholar, a senior-friendly travel program that’s “open to all inquisitive explorers.” With more than 5,000 excursions to 150 countries – from Albania to Zimbabwe – and all 50 states, you can hit the road in ease and comfort, ready to learn and experience the world. Many Road Scholar participants are over age 50 years. Road Scholar was founded in 1975 as Elderhostel by Marty Knowlton and David Bianco. It was rebranded Road Scholar in 2010 to reflect its growth and evolution. In 1985, the organization began offering trips for grandparents and their grandchildren. The programs are all inclusive. This includes lectures presented by experts, field trips, lodging, most meals, gratuities and group
transportation. Road Scholar has negotiated special fares and routings for international flights. It also has scholarships for people who don’t have the resources to go on a Road Scholar learning adventure. Caregiver Grants provide a respite from the emotional and physical demands of being a caregiver. Road Scholar will even help you offset the costs of arranging substitute care while you’re on a Road Scholar learning adventure. You can design your particular Road Scholar experience to be as involved as you want. The trips have different levels of structure, from detailed itineraries full of learning experiences to lightly structured schedules with lots of free time. The levels range from Easy Going (keep walking to a minimum) to On Your Feet (some walking during the day; able to get on and off a coach; able to stand for a few hours when learning in museums) to Keep the Pace (spending most of the day exploring) to Let’s Go – you’re game for anything. Grandparent Adventures will take you and your grandchild(ren) to intriguing places in the United States and abroad. Grouped under
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interests such as animals and wildlife, fantasy, myths and legend, film and theater, sports and active outdoor adventures, you and your grandchild can choose a journey together and find yourselves bonding as you learn more about the world. The Road Scholar Assurance Plan, included at no extra cost to participants, provides 24-hour assistance in the event of an emergency during your program. This includes emergency medical evacuation, assistance with lost or delayed baggage and lost, stolen or damaged baggage insurance. The Plan does not provide protection for cancellations, interruptions or travel delays. Road Scholar strongly suggests you consult with your primary care physician to assess your overall health and fitness prior to embarking on a tour. While Road Scholar is committed to providing reasonable accommodations to enable those with disabilities to participate in programs in the United States, its ability to do the same for programs outside the United States is more limited.
FOR MORE INFORMATION AND TO REQUEST A CATALOGUE, GO TO WWW.ROADSCHOLAR.ORG
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HandWmagazine
11 WAYS TO
PREVENT FALLS By Health&Wellness Staff
As we age, falls become more likely. Physical changes, health conditions and medications can all be culprits that make seniors lose their balance and fall. Falls are the leading cause of injury among older adults, according to the Mayo Clinic. They result in hip fractures, cuts and even serious head and brain injuries that can be fatal, says the Centers for Disease Control and Prevention. But there are some simple things you can do to prevent falls:
1. Declutter your house and remove potential fall hazards. Get rid of boxes and move furniture that is in your way. Secure loose rugs with double-faced tape, tacks or a slip-resistant backing (or remove them altogether). Store clothing, dishes, cups, food, pots and pans and other necessities within easy reach. Clean up spills at once. 2. Install grab bars in your bathtub or shower. Use a bath seat so you can sit down while showering with a handheld shower nozzle. Install nonslip mats in the tub. Switch out your regular toilet seat for a raised one or install handles on it to help you get up. 3. Make sure you have adequate lighting around your home, inside and out. Place night lights in your bedroom, bathroom and hallways. Replace traditional switch plate covers for ones that glow in the dark. Keep working flashlights handy (check the batteries often). Install bright lights on your front and back porches. 4. Add hand rails. Consider adding hand rails along all the walls in your house, as well as on both sides of stairways. 5. Wear sensible shoes. High heels, flip flops and shoes with slick soles are notorious for making older people slip and fall. Walking in slippery socks can also make you stumble. Wear properly fitting sturdy shoes with nonskid soles. 6. Invest in a call bracelet or necklace – just in case. These devices summon help when you fall and cannot get back up. They can be a real lifesaver. 7. Take your time. Moving slowly and carefully and watching where you’re walking will go a long way in helping you prevent a fall. Pause after moving from lying down to sitting and from sitting to standing.
AN OLDER ADULT FALLS EVERY SECOND OF EVERY DAY
August 2020
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8. Talk to your doctor about the side effects of any medication you are taking. Be aware that some medications can make you dizzy or sleepy and this may make you fall. 9. Have your vision tested every year. If you can’t see where you’re going, you will take a misstep and have a fall sooner or later. Get glasses to help you see better and more clearly. 10. Consult an occupational therapist. He or she can give you many more expert tips for fall prevention. 11. Stay active. Physical activity such as walking or water exercise can help you build strength, muscle and balance. A great exercise for older people is tai chi, which incorporates slow, deliberate movements and helps improve coordination. Yoga can also help with flexibility. With a little foresight and ingenuity, you can create a fall-safe home. Sources:
• Every Day Health (www.everydayhealth.com) • Mayo Clinic (www.mayoclinic.org) • WebMd (www.webmd.com)
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HIKING TIPS FOR SENIORS
GET OUT IN NATURE AND IMPROVE YOUR HEALTH By Health&Wellness Staff Today’s seniors are an active bunch. You won’t find them sitting on the front porch in rockers, watching the world go by. They are out there in the midst of things, eager to find new adventures and enjoy new experiences. For on-the-go seniors who love a challenge, hiking can be an exhilarating hobby. It can be as vigorous as you want (think Rocky Mountain climbing) or just a way to take in local scenery. Regular hiking can reduce arthritis, ease joint and knee pain, boost bone density and improve cardiovascular health. If you want to give hiking a try, here are some tips for getting started: • As always, check with your primary care physician before beginning any new, potentially strenuous activity. • Start with a short hike on an easy trail and gradually build up to longer, more challenging
hikes. You can find local trails on sites such as www.alltrails.com. Obey posted trail rules. • Take water, a snack such as a banana or energy bar and emergency gear such as a lighter, a flashlight and a whistle. You may also consider bringing a first-aid kit, a knife or multitool and a trash bag. You can stash all these items and more in a sturdy backpack. • Check the weather before you go. Remember if you are hiking in the mountains, the temperature drops the higher you go, and often the weather changes quickly. (In general, you can expect the temperature to go down about 5 degrees Fahrenheit for every 1,000 feet you climb.) And be aware of the time of day – you don’t want to get stuck on a trail when darkness falls. • Dress appropriately – and even bring extra layers. Wear long pants and long-sleeved shirts so your legs and arms aren’t scraped by branches
and bushes. Put a spare pair of socks in your backpack in case your feet get wet. • What about footwear? A good pair of sneakers or trail runners will suffice, but if you want to invest in hiking boots, make sure they fit well, have a good grip, support your ankles and are waterproof. • Hiking or trekking poles are good for balance and allow you to gain better footing along the trail. They can help when you’re hiking up steep places and they can help you keep your footing when going downhill. • Always be aware of where you’re walking. Watch your step even on a trail that seems smooth and accessible. Limit distractions such as wearing headphones. You need to have all your senses alert. Listen instead to the music of nature all around you – leaves rustling, a brook rippling down the mountainside, birds singing.
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• Let someone know where you’re going to hike and when you expect to return. If something unfortunate happens, your contact person will be able to direct rescue crews to where you might be. • If you encounter wildlife, keep your distance – don’t approach them. Most of the time wild animals are just as eager to avoid you as you are to avoid them. • And last, but certainly not least, be respectful of the environment and of the other hikers who will walk the same path. Don’t litter; take your trash back out with you. Don’t try to blaze your own trails or create shortcuts. Don’t break branches or dig holes or otherwise damage the trees and natural beauty you encounter. Leave everything you find in the wilderness where it belongs – even rocks. One motto to remember is: “Leave only footprints; take only memories.” Now lace up your hiking shoes and get out there! The wonderful world awaits. And the mountain views are worth it! Sources and Resources • • • • •
American Hiking (www.americanhiking.org) Cris Hazzard (www.hikingguy.com) Road Scholar (www.roadscholar.org) Spark People (www.sparkpeople.com) Trekology (www.trekology.com)
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MINDFUL SELF-COMPASSION
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our compassionate human desire to take good care of others is critical to the well-being of your family, friends, co-workers and community – and taking good care of yourself is the foundation for your care of everyone else. However, it is sadly true that we often take better care of others than we do of ourselves. It’s as if we need a new Golden Rule: Do unto yourself as you do unto others. We would never say or do to someone else some of the things we say and do to ourselves. Some of our actions toward ourselves are hurtful, negative, critical, judgmental, demeaning and harmful, even to the point of injury, self-neglect, illness and premature death. Our negative self-talk and self-judgments can fuel anxiety, depression, risky behaviors, cravings and substance abuse and aggravate symptoms of stress-related chronic conditions. Research increasingly shows you are more likely to stay physically, mentally and emotionally healthy if you consciously, intentionally and regularly practice compassionate self-care. Here are three practices to consider as part of your compassionate self-care tool kit to promote resilience, manage stress, prevent burnout and cultivate compassion. These practices do not replace medical treatments. Consult your medical provider before adding these practices to your treatment plan. Heart Awareness Your heart is much more than a muscle and a pump. We all feel emotions in the center of the chest, an energy center that Eastern philosophies refer to as the mind or soul as well as the heart. Recall your own experience of loss and grief, love and romance, fear and anxiety. You may recall that much of that experience involved the energy
center in the middle of the chest. In his poem Two kinds of intelligence, the Sufi poet Rumi (1207-1273) describes the intelligence of the heart as “a spring overflowing its spring box – a freshness in the center of the chest.” American author Pearl Buck (1892-1973) uses a similar analogy: “Inside myself is a place where I live all alone and that’s where you renew your springs that never dry up.” Although you can be aware of your heart anywhere, anytime, it is helpful to begin an intentional, dedicated heart-centered awareness practice. This can be as simple as one to two minutes a day whenever you remember to be heart aware. You may also be more formal about cultivating heart awareness and include it in your other self-care practices, being heart aware as you exercise physically, weaving awe and gratitude for the heart into your exercise routine. You may include a few minutes of heart awareness in your contemplative practice of prayer, yoga or meditation. You can practice sitting, reclining or lying down. Adjust your body so you are as comfortable as the position permits. Without any expectation of results or particular experience, simply let your attention rest in the heart center. You may find it helpful to feel physically the sensation of the breath moving into and out of the lungs, oxygenating the blood and flowing into and out of every cell in the body. Some people easily feel their heart beating in their chest and all over the body. Those who find this initially challenging can access this interior sense by first feeling the pulse at the wrist or neck or abdomen. However, it is not necessary to feel the pulse in the body in order to practice mindful, heart-centered awareness. Simply rest with an attitude of curiosity and openness and connect to the
May I be safe. May I be happy. May I be well. May I be peacefully at ease.
wisdom and intelligence of your heart without expectation. As your attention wanders off to sounds and thoughts, simply return your attention to the center of the chest and your intention to be heartaware. Mindful Self-Massage Intentionally connecting with your body is a powerful antidote to stress. Bringing an attitude of openness, inquiry, discovery, kindness and compassion to your mind, body and heart can help you live mindfully at home, at work, alone and with others. The first foundation of mindfulness is mindfulness of the body. While rubbing or gently pressing with the fingertips, bring an attitude of kindness and friendliness to the act of touching your body as you move either from head to feet or from feet to head. Feel your body touching your body. Feel your body being touched by your body. Let thoughts come (without following them and thinking them) and let them go (without rejecting them or pushing them away), simply returning your attention to the physical sensations in the body and the very clear intention to be kind and friendly toward your self. Loving Kindness The compassion practice of loving kindness can be a particularly warm and soothing antidote to the stress of life, isolation and unhappiness. My mindfulness classes always end with a brief loving-kindness practice. Some people refer to the practice as a meditation. Some refer to it as a prayer. I describe it simply as a mindfulness tool to keep in your self-care tool kit for regular use anywhere, anytime. There are several versions of loving-kindness practice for yourself and for others. Begin by sitting or lying down
with eyes open or partially closed, then repeat the phrases above once or twice silently to yourself. After performing any of the three practices above, you may find it helpful to journal about your experience. The mindful self-compassion practices of heart awareness, self-massage and loving kindness can help you mobilize your natural inner pharmacy for self-care and healing. It can uplift your spirits, open your heart, promote resilience, manage stress, prevent burnout and heal social isolation and loneliness. Keep these practices in your selfcare tool kit for use anywhere, anytime. Resources
• I have recorded two versions of Loving Kindness practice at the Mind Body Studio Web site. They can be listened to or downloaded at www.mindbodystudio. org/?page_id=1594
About the Author: Dr. John A. Patterson chairs the Lexington Medical Society’s Physician Wellness Commission, is past president of the Kentucky Academy of Family Physicians, is board certified in family medicine and integrative holistic medicine and is a certified Physician Coach. He teaches mindfulness for the UK Health and Wellness Program, Saybrook College of Integrative Medicine and Health Sciences (Pasadena) and the Center for Mind Body Medicine (Washington, D.C.). He owns Mind Body Studio in Lexington, where he offers integrative mind-body medicine consultations and classes, specializing in mindfulness for stress-related chronic conditions and burnout prevention. He can be reached through his website at www.mindbodystudio.org.
ABOUT MIND BODY STUDIO Mind Body Studio
517 Southland Drive, Lexington • 859.373.0033 • www.mindbodystudio.org Offering integrative medicine consultations and experiential health and wellness education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship with each other and the earth.
SHOULD YOU USE NUTRITION SUPPLEMENT DRINKS? DO YOU NEED A BOOST TO ENSURE YOU’RE GETTING ENOUGH PROTEIN? Health&Wellness Staff Report For many individuals who are concerned about their appetite, weight loss or gain or health problems that make eating solid food difficult, nutrition supplement drinks are viable alternatives. Products such as Boost and Ensue, which come in a variety of flavors, are often used to provide protein and other nutrients to people who need a little boost to ensure they are able to keep their strength up and increase their intake of nutrients. Protein is vital for building and repairing muscle and bone. It also helps maintain your immune system. It makes enzymes and hormones and transports nutrients throughout the body. Protein gives you energy and helps your body recover from illness, surgery, wounds and fractures. Unlike carbohydrates and fats, protein isn’t stored in the body. You get it from eating assorted foods, such as lean chicken, fish, eggs, vegetables, cheese, nuts, peanut butter, whole grains and brown rice. The amount of protein you need depends on factors such as your age, weight and activity level. For healthy adults over age 19, the recommended dietary allowance is a minimum of 0.36 grams of protein per pound of body weight per day. For adults over 65, experts recommend even more protein – about 0.5 gram per pound of body weight per day. If you have trouble hitting the recommended numbers, a nutrition supplement drink could help make up the difference, filling in the gaps with the extra calories. Most nutrition supplement drinks are carefully balanced to
provide a beneficial, healthy mix of protein, carbohydrates, fat, vitamins and minerals. They are very convenient to use, which makes them even more appealing. Be sure to read the labels so you know exactly what is in the drink – especially note the amount of sugar if you are dealing with diabetes. Your doctor may recommend a nutrition supplement drink if you: • have lost weight; • are inactive or not as active as you could or should be; • are recovering from an injury or surgery; or • have difficulty chewing solid foods. While you may not need a prescription or a go-ahead from your doctor before trying a nutrition supplement drink, it’s still a good idea to check with him or her to make sure the ingredients in the drink will not interfere with any medicines you are currently taking. For example, according to the Harvard Health Letter, some drinks contain vitamin K, and sudden changes in vitamin K intake may interfere with the effect of the blood thinner warfarin (Coumadin). Nutrition supplement drinks are intended to serve as a meal supplement, not as an addition to a full meal. By themselves they provide just what is needed, but drinking one with or after a meal will provide too many calories. That can lead to weight gain and complications associated with obesity, such as diabetes and high blood pressure. If you’re replacing a meal, look for a drink that offers about 400 calories per serving. If you don’t particularly like the taste of any of the nutrition
supplement drinks available at the grocery or pharmacy, you may want to try making your own. Blend regular or nondairy milk with protein powder and fruit. To make fortified milk, mix one quart of whole or low-fat milk with a cup of powdered nonfat milk. You can also mix fruits or vegetables in Greek yogurt,
cottage cheese or milk to create a protein supplement specific to your needs and tastes. Sources
• Boost (www.boost.com) • Harvard Health Letter (www.health.harvard.edu) • Livestrong (www.livestrong.com)
“ YOU WANT TO KEEP MOVING, WE’LL KEEP YOU MOVING.” Donna Martin has always been an extremely active person—teaching, coaching and playing sports. Soon after retiring from teaching, Donna began to play pickleball—a paddleball sport that combines tennis, badminton and table tennis. But when she started to experience swelling and pain in her knees that was impacting her ability to play, she sought help at UK Orthopaedic Surgery & Sports Medicine. Dr. Kyle Smoot and Dr. Stephen Duncan identified the source of her pain: arthritis. Thanks to regular corticosteroid injections in her knees, Donna has been able to stay active and pain-free so she can continue to play pickleball, coach cheerleading, and enjoy her retirement the way she wants to. Donna is proof of The Power of Advanced Medicine.
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FIND A SURGEON WHO’S AN ATHLETE Patty Lane is a world-class triathlete. The fact that she needed a new hip wasn’t going to change that. Once she realized something was wrong, she found Dr. Stephen Duncan at UK Healthcare Orthpaedic Surgery & Sports Medicine. An athlete himself, he developed an approach that would get Patty the hip she needed and get her back to the sport she loved. With her successful hip replacement behind her, she’s back to racing. A member of Team USA Triathlon, she competes all over the world—and with her new hip, nothing can stop her. Patty is proof of The Power of Advanced Medicine.
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ERRANDS / 1001 Crossfield Drive TRANSPORTATION Versailles, KY 40383 Ashland Terrace 859-753-2000 475 S. Ashland Ave. www.daisyhillseniorliving.com ITNBluegrass Lexington, KY 40502 Offering Certified Assisted Living 1206 N. Limestone Street 859-266-2581 & Independent Living—A Villa Lexington, KY 40505 www.ashlandterrace.org Community. Services We Offer: 859-252-8665 EXECUTIVE DIRECTOR PRESTON GREENS PERSONAL CARE & MEMORY CARE COMM • 45 residential suites with SENIOR LIVING (MEDICAL) www.ITNBluegrass.org optional floor plans • Full dining services with three IN-HOME CARE meals daily • Housekeeping and laundry Richmond Place services 3051 Rio Dosa Drive • 24-hr assistance/3-hr well checks Lexington, KY 40509 • Medication reminders and Bluegrass Home Care Services 859-269-6308 Ext. 125 monitoring 1002 Park Central Ave., Ste. C RichmondPlaceSeniorLiving.com • Full range of social activities Nicholasville, KY ABOUT 40356 TIFFANEY Richmond Place offers • Beauty/Barber Salon 859-334-0744 From the capital of horse country, to a State Registered N to a Master’s Degree, to Executive Director, Tiffa independent living, licensed • Emergency support systems BluegrassHomeCareServices.com is committed to living her dream in helping those i personal care and memory care. • of support byand becoming the leader of our brand We are a personal companion Personal Care & Memory Care community in Lexin We have cared for seniors for care agency that specializes 34 years. We provide the largest in providing professional and independent apartments in town Join Uscare For Lunch compassionate home in the MEET (and meet Tiffaney!) with full sized kitchen, laundry Bluegrass area to individuals with Preston Greens invites you to lunch to learn how yo room, six acre courtyard and among Alzheimer’s, the first to make our elegant community your n dementia, Parkinson’s Home Helpers heated pool. CHOOSE YOUR WEDNESDAY DATE disease, those recovering from November 20th • December 4th • Decembe 1795 Alysheba Way Suite 4107 illness and/or injury, seniors, new NOON Malone’s Prime • 3373 Tates Creek Road • Lexington, Lexington, KY 40509 moms and those with special needs. Seating is limited - RSVP today 859.274.453 859-797-3127 www.homehelpershomecare.com/ Preston Greens Visit our leasing office to learn what sets lexingtonky Preston Greens apart from the rest. 1825 Little Herb Way Herb Lexington, KY 40509 859.309.1897 1825 Little Way From a few hours a week to 24/7 Lexington, KY 40509 care, we'll tailor a personalized OPENING SPRING 2020 PrestonGreensSeniorLiving.c 859-274-4070 homecare plan to fit your lifestyle. PrestonGreensSeniorLiving.com • Personal Care .. Preston Greens is a brand new D. E • Light Housekeeping U luxury senior living community ofIN • Parkinson's Care NT
A Time a Place for Everyth
®
Tiffaney Clay
859.274.4533
CO
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August 2020 | Read this issue and more at www.healthandwellnessmagazine.com |
IN-HOME CARE, CONT.
Alliance Medical & Home Care Senior Helpers of the Bluegrass 3070 Harrodsburg Rd., Ste. 240 Lexington, KY 40503 859-296-2525 seniorhelpers.com/lexington Senior Helpers of the Bluegrass is Central Kentucky's trusted provider of dependable, professional Home Care and support for seniors and their families. We are a helping hand when you need it most. Proudly serving Lexington, Frankfort, and all surrounding counties.
Accessible Home Care 3150 Custer Drive, Ste. 303 Lexington, KY 40517 859-313-5167 www.accessiblebluegrass.com Serving the Bluegrass since 2006, Accessible Home Care is one of Lexington's premier home care agencies. Our direct care professionals keep our clients safe and independent at home. Call us at 859-313-5167 for a FREE in-home consultation.
Hands In Hand, LLC 364 Meadowcrest Park Lexington, KY 40515 859-361-5612 CAREgiving & TIMEsaving • Companionship • Grocery Shopping & Put Away • Light Housekeeping • Plan & Prep Meals • Run Errands • Organize and Declutter Additional services available upon request. *No Minimal Time Requirements*
HandWmagazine
specializing in downsizing, move management, estate sales, house clear-outs. With 10+ years of experience serving seniors in the Lexington area, we make it easy! Call for a free consultation. Bonded and insured. Offering Estate Auctions to help our clients sell their lifelong possessions. Items sold through our online auction site: Lex.CTBids.com.
3716 Willow Ridge Road Lexington, KY 40514 859-296-9525 www.alliancelexington.com Alliance Medical & Home Care is a medical staffing agency, but we also provide non-clinical home care: offering personal care, Carolyn L. Kenton - Mary Ellis Patton - Amy E. Dougherty respite care, light housekeeping, Take Control of Your Future! errands/ transportation, Our dedicated, multi-generational, and experienced team of medication reminders, meal attorneys helps families address the planning and implementation Transitions ofand handling preparation, and companionship. issues of becomingSmooth elderly, dealing with disability, death transfers.
Central Kentucky
HEALTH INSURANCE
When planning for859-447-4853 your future and the future of your loved ones, you deserve peace of mind throughout the process. At the law office of Bluegrass Elderlawsusan@smoothtransitionscky.com PLLC we listen carefully to your objectives, clearly and thoroughly explain the options to best achieve your goals, and www.smoothtransitionscky.com equip you to approach your future with confidence.
KY Health Solutions 2365 Harrodsburg Rd, Ste. B235 Lexington, KY 40504 859-309-5033 www.kentuckyhealthsolutions.com An independent health insurance agency providing Individual and Medicare health plans from several insurance carriers offering in Kentucky. Medicare planning is our specialty by helping folks with either a Medicare Supplement, Part D Prescription Drug plan, or the Medicare Advantage plan. Feel free to contact us directly for a no-cost consultation.
ESTATE AUCTIONS, DOWNSIZING & RELOCATION SERVICES
Smooth Transitions® specializes in household downsizing, move management, estate dispersal, house clean-outs, decluttering and organizing, and everything in between.
SENIOR LIVING PLACEMENT
ATTORNEYS-AT-LAW
Call Today: 859-281-0048 Bluegrass Elderlaw, PLLC www.bgelderlaw.com
120 N. Mill St. #201 120 N. Mill St., Ste. 201 Lexington, KY 40507 Lexington, KY 40507 859-281-0048 Asset Preservation www.bgelderlaw.com Estate Planning, Wills and Trusts At Bluegrass Elderlaw, our team of Medicaid Planning and Crisis attorneysPlanning work with you to help Powers of Attorney you find peace of mind. Guardianship Practice areas include: Medicaid Applications Special Needs Trusts and • Estate Planning Planning • Wills THIS IS AN ADVERTISEMENT • Trusts • Powers-of-Attorney • Asset Preservation • Guardianship • Medicaid Planning and Applications • Special Needs Planning • Estate Settlement and Probate
Elder Care Law of Kentucky Silver Lexington 859-351-5890 www.silverlexington.com Silver Lexington Senior Living Placement Service can help navigate the overwhelming process of finding the right senior living community. I will work one on one with families to find a community that best fits your needs based on budget, care level and location.
LAW / TRUSTS / WILLS Caring Transitions Premiere Estate Auctions 859-543-9848 1411 Delaware Avenue Lexington, KY 40505 www.CaringTransitionsLex.com www.Lex.CTBids.com Caring Transitions is the nation’s largest professional resource
Group helps families with estate planning and legal issues facing older Kentuckians. If you need help with long term care or are concerned about elder abuse give us a call.
Kentucky Elder & Estate Lawyer Group 110 East Third Street Lexington, KY 41042 877-808-9553 kentuckyelderestatelawyers.com Kentucky Elder & Estate Lawyer
444 East Main St. Ste. 201, Lexington, KY 40507 12910 Shelbyville Rd. Ste. 124 Louisville, KY 40243 160 East Main St. Georgetown, KY 40324 P. 859-298-2150 | P. 502-219-4754 F. 866-823-0490 | www.eclky.com We work with you and your loved ones providing professional elder law and estate planning services. Our goal is to help protect you, your money, and what matters most in your life—quality of life for you, your loved ones, and your peace of mind with “Life Care Planning.”
SENIOR LIFE PLANNING
Aging Life Care Solutions
1890 Star Shoot Pkwy. Ste. 170-165 Lexington, KY 40509 859-629-4454 www.aginglifecaresolutions.com
August 2020
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Move it or lose it!
STAYING ACTIVE
PROMOTES A HEALTHY LIFE
Susan Barkman inspires at Richmond Place Staying active in life is one of the greatest tools to keep you healthy and living. From big things like exercise and diet, to simple things like healthy hobbies that keep you up on your feet and engage your heart and mind, it's amazing how activity can promote a healthy life as you age. Susan Barkman, a resident of Richmond Place Senior Living, embodies the meaning of health and wellness through activity. Like many people, she was active in her early life. As a young lady, she played field hockey, was on a swim team and specialized in equestrian hunting/jumping. She was drawn to the sport growing up because her Dad played Polo and he introduced her to horses and lessons at age 6. Susan explained, “If you are fooling around with horses, there is a lot of heavy-duty work to be done like cleaning out stalls.” She never thought of it as exercise, but it was. She said “You must have strong legs and a strong core for horse jumping. "Back then, people did not think of exercise the same as they do today. People just stayed active. Now days you must do something like conditioning or organized exercise classes.” She continued riding horses until she turned 66 years old and dealt with a vertebrae injury. After her back surgery her husband suggested she pump the breaks on horse riding, and she is now thankful for that. Nutrition has also been important for Susan throughout the years. "I eat a lot of protein and vegetables.” Early on
growing up, her mother fostered a healthy food relationship, allowing bread only on sandwiches during lunch. "We never had rice or pasta, and only potatoes that had the skin on them,” because her mama said “that’s where all the vitamins and minerals are.” And, of course, desserts very sparingly. Susan is thankful for her early habits formed in life because now as a senior she is able to stay active and engaged; perfect for her because sitting around is not in her vocabulary. If she is ever just sitting around, she feels the urge to get up and do something constructive – a trait also engrained in her from her mama. Susan is grateful for her time living at Richmond Place where she is able to participate in lot of different of activities. She enjoys gardening out in the 6-acre park as well as utilizing the gorgeous grounds to get in her 3-mile walk every day and swim in the courtyard pool. She also loves that she can walk inside the building on rainy days and still get her steps in. Also, what helps her stay healthy is connecting with other people. Susan is a very social person and really loves the friendships she has formed at Richmond Place through activities. She enjoys wine club, brain games/trivia, arts
3051 Rio Dosa Drive, Lexington, KY 40509 859-269-6308 Ext. 125 RichmondPlaceSeniorLiving.com
and craft classes and more. Susan and her husband have also really enjoyed going on the Richmond Place outings around greater Lexington to places such as the Kentucky Horse Park, restaurants and shopping. Susan is looking forward to more activities in and outside the community resuming after COVID. She wants to get more involved and try new things when the opportunities present. She also enjoys spending time with her grandbabies and family because they keep her moving, busy and having fun! Facetime and Instagram have been a saving grace to stay connected with her family during COVID restrictions. We love sharing stories of people staying strong and healthy! Susan's "move it or lose it!" attitude is truly an inspiration to us all. Richmond Place Senior Living values and fosters an environment for their seniors to stay active and engaged. They offer a connected retirement life in a community of new friends with access to an incredible range of services and amenities that allow you to enjoy a maintenance-free, fun lifestyle.
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WEAR A MASK AND USE IT PROPERLY – IT SHOULD COVER THE NOSE AND MOUTH.
HandWmagazine
August 2020
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OLDER ADULTS AT
HIGHER RISK FOR COVID-19 By Health&Wellness Staff From the very start of the COVID-19 pandemic, older adults have been placed in the high-risk category. The chances of developing a severe illness from COVID-19 increases with age, according to the Centers for Disease Control and Prevention (CDC). The CDC says eight out of 10 COVID-19-related deaths reported in the United States have been among adults aged 65 years and older. The greatest risk for severe illness from COVID-19 is among those aged 85 or older. An older adult who contacts the disease may require hospitalization, intensive care or a ventilator to help them breathe. They could even die. Why are older adults at higher risk for contacting COVID-19? One reason is this population frequently has underlying medical conditions that compromise their health and immune system, hindering the body’s ability to cope with and recover from illness. These conditions include diabetes, cancer, chronic obstructive pulmonary disease (COPD) and lung disease. The coronavirus attacks the lungs, which are responsible for delivering oxygen to the bloodstream and removing carbon dioxide. As we age, the lungs lose some of their elasticity and resilience. Coupled with other health issues an individual may have, COVID-19 can cause a loss of airway and respiratory function. What can you do to lower your chances of succumbing to COVID-19? Over the past few months the world has been dealing with the pandemic, some simple measures have proven to be very effective: • Wash your hands frequently with soap and water or hand sanitizer containing at least 60 percent alcohol. • Avoid large gatherings; limit your interactions with other people as much as possible. • Practice social distancing (6 feet of space) when you are in stores or other venues. • Wear a mask and use it properly – it should cover the nose and mouth. • Avoid those who do not wear a mask. • Avoid shaking hands or hugging. • Clean and disinfect the surfaces in your home frequently.
• Visit friends and family outdoors when possible. People from the same household can be in groups together; they don’t need to be 6 feet apart from each other. • Consider keeping a list of people you visited or who visited you and when the visit occurred. This will help with contact tracing if someone becomes sick. Contact tracing has been used for communicable disease control for many years. The process is used to identify people who may have come in contact with an infected person. Tracing the people with whom an infected individual had contact, testing them, treating them and tracing their contacts in turn helps reduce infections by interrupting disease transmission. • Get a flu shot. If everyone would follow these simple steps to prevent getting and spreading COVID-19, this pandemic will likely ease up that much quicker. Remember the symptoms of COVID-19: • Fever or chills • Cough • Shortness of breath or difficulty breathing • Fatigue • Muscle or body aches • Headache • New loss of taste or smell • Sore throat • Congestion or runny nose • Nausea or vomiting • Diarrhea These symptoms may appear two to 14 days after exposure. Emergency warning signs of COVD-19 include trouble breathing, persistent chest pain, new confusion, an inability to wake up or stay awake or bluish lips or face. If you experience any of these symptoms, please contact your primary care physician immediately. Sources:
• AARP (www.aarp.org) • Centers for Disease Control and Prevention (www.cdc.gov)
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Your Family, Your Health, Our Passion Family Practice Associates of Lexington, P.S.C. Proudly serving Kentucky for 35 years.
NEW
• Family Practice • Pediatrics • Internal Medicine • Primary Care for your entire family!
Hamburg Pavilion Location
Brannon Crossing Location
1775 Alysheba Way #201
615 East Brannon Road, Ste. 100
Lexington, KY 40509
Nicholasville, KY 40356
859.278.5007 www.fpalex.com
Family Doc.
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SENIORS
ARE SUSCEPTIBLE TO DEPRESSION
IT IS ESTIMATED 7 MILLION AMERICANS OVER AGE 65 YEARS EXPERIENCE DEPRESSION ANNUALLY.
By Dr. Rajeana Conway, Family Practice Associates of Lexington, P.S.C.
D
epression is common among older adults. It is estimated 7 million Americans over age 65 years experience depression annually. According to the National Alliance on Mental Illness (www.nami.org), depression is more than just feeling sad. This serious mental health disorder can be incapacitating and devastating for both the patient and his or her family. However, with early detection and diagnosis and a treatment plan that may include medication, such as an antidepressant, and psychotherapy, many people with depression can and do get better. The National Institute on Aging (www.nia.nih.gov) stresses depression is not a normal part of aging. There are numerous reasons depression often hits this particular demographic so hard. For one thing, many seniors are coping with debilitating chronic illnesses, which
can cause anxiety and uncertainty. As well, some medications used to treat conditions such as cancer, heart disease and stroke can cause depressive symptoms. Social isolation is another factor. Some seniors live alone after their children move out to build lives of their own. Many of them have been widowed. Retirees no longer get the stimulation of going to the office every day and intermingling with coworkers. People with seasonal affective disorder (SAD) are susceptible to the change in seasons; less sunlight makes them more prone to depression. Genes are another contributing factor; people with a family history of depression may be more likely to develop it than those whose families do not have the illness. Depression in older adults may be related to changes that occur in the brain, such as restricted blood flow (ischemia). Especially during this pandemic, when seniors are among the most vulnerable for contracting and succumbing to COVID-19 and are missing that vital connection with
friends and family, our older friends and relatives are more at risk for developing depression. Symptoms of depression include changes in appetite and sleep patterns; lack of interest in activities you formerly enjoyed; loss of energy; feeling helpless and hopeless; physical aches and pains; and having suicidal thoughts. If you or a loved one are experiencing any of these signs, especially if they last longer than two weeks, your immediate first step is to talk to your primary care physician. There is no reason to suffer in silence or alone. When you see your doctor, be honest about your feelings. Depression can happen to anyone and there is no reason to be ashamed. Getting help quickly is essential. There are many things you can do to combat depression. Be sure to get out and exercise whenever you can. Try not to dwell on negative thoughts and watch your intake of news and social media posts. Reading a good book, taking up a new hobby, listening to music you
love or talking to a sympathetic friend are other ways to combat depression. Tap into your spiritual side through meditation, journaling or prayer. If none of these strategies work, get to your doctor right away. With time and personalized treatment, you can expect to feel like your happier self again. About the Author
Dr. Rajeana Conway, originally from Maysville, Ky., graduated magna cum laude from Xavier University in Cincinnati, Ohio, in 2011 with a bachelor’s degree in biology. She earned her medical degree from The University of Cincinnati College of Medicine in 2015 and completed her residency in internal medicine at The Christ Hospital in 2018. She is married with two daughters. Dr. Conway specializes in internal medicine and focuses on the prevention, diagnosis and treatment of adult diseases. She aims to help adults take control of their own health to become and stay well.
ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 615 East Brannon Road, Ste. 100 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 35 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.
SPONSORED BY UPTOWN HOUNDS 466 Angliana Avenue | Lexington, KY 40508 859-255-2275 | www.UptownHounds.com
pet health
Looking for the best pet care options for the health and wellness of your 4-Legged friends? Then welcome to our “Pet Health” Section, where we will bring you the finest businesses in Central Kentucky that will tend to the care and well-being of our furry loved ones. In this issue we feature “Uptown Hounds,” an upscale pet resort in downtown Lexington that will pamper your pooch in the way he or she deserves, as well as all the good things that are happening at the Lexington Humane Society.
S
SUMMER SAFETY FOR PETS
ummer has arrived, especially at the Lexington Humane Society (LHS). From dogs and kittens to guinea pigs and horses, they have it all. While the season looks different this year, there are still plenty of fun things to do close to home as you enjoy your extra time together with your pet. Whether you’re a recent adopter or longtime pet owner, here are some summer safety tips to keep in mind: 1. Keep your pet’s identification up to date and attached to their collars at all times. Invest in a microchip for your pet. The more we do with
our pets during the summer, such as taking them on hikes, the greater the risk they could slip away from us. The first thing any organization does when a pet is found is scan for a microchip and check ID tags. 2. Be aware of high temperatures. Some dog breeds are more sensitive to heat than others and can overheat very quickly. It’s important to carry water for your dog, not leave them unattended in a vehicle and be mindful of how hot concrete or asphalt can be on their paw pads. 2. Consult a trusted veterinarian about heart-
worm prevention. If you’ve been bitten by a mosquito this year, your dogs could have been bitten as well. Using heartworm prevention protects your dogs from diseases mosquitos can spread. 4. We often find ourselves landscaping our yards or adding indoor plants to our homes during the summer. Be mindful of the types of plants you choose for your space because they may not all be pet-friendly. LHS hopes you and your pets have a fun and safe summer together!
pet health by Uptown Hounds 23
ER M M U S F O ” S Y A D “DOG G” IN P P O H S P O T -S E N MEANS “O S AT UPTOWN HOUND
By David Bryan Blondell, Special Sections Dir.
A
s a pet owner, are you tired of dragging around your beloved pooch to two, three or four different places for the services and products your dog needs? As the “Dog Days” of summer drag on this August, make them easier by eliminating all those extra trips. Give Uptown Hounds a try for one-stop shopping of grooming, daycare, boarding, food, gifts and numerous playtime options.
America’s Uptown Hounds Luxury Resorts was created as an all-inclusive, high-quality, highenergy environment where your four-legged family member can play, primp, relax and stay. And let’s face it — you AND your pooch deserve the best single place available when it comes to providing them everything they need. Conveniently located in downtown Lexington near office buildings, the University of Kentucky campus and all the downtown hospitals and healthcare facilities, Uptown Hounds’ guests — pets AND their owners — have a multitude of luxurious amenities to enjoy. Uptown Hounds features large, plush hotel
suites for short and long-term boarding, private daycare rooms, a top-notch grooming Salon and Spa and a boutique with the finest of toys, treats, food and pet-related merchandise. In addition, extremely large heated indoor and manicured outdoor play areas provide your pooch the most fun and friendly environment possible. Moreover, the beautiful marble floors and walls and the upscale fixtures that are part of the facility’s luxurious decor simply reflect the upscale treatment your four-legged member of royalty deserves. The daycare services at Uptown Hounds are UPTOWN Continued on Page 24
“DOG DAYS” are Easier at Uptown Hounds!
www.UptownHounds.com
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pet health by Uptown Hounds
Lucky Dog Raffle
EVENTS PRESENTED BY
sponsored by Metronet
Don’t miss the Lexington Humane Society (LHS) Lucky Dog Raffle sponsored by Metronet! One lucky winner will receive $1,000 and all proceeds benefit the LHS animals! Raffle tickets can be purchased online at AdoptLove.net. Random drawing will be held September 11th at approximately 12pm. Need not be present to win. LHS will contact the winner!
Virtual Critter Camp sponsored by Pet First Join the Lexington Humane Society (LHS) for a virtual version of our annual Critter Camp, sponsored by Pet First! Kids will learn about kindness and compassion, animal advocacy, and responsible pet care through a mixture of online and offline activities at home. Campers will have the opportunity to virtually meet animals; watch fun videos to learn about pet care, animal safety, and more; and help animals find forever homes through art, fundraising, and projects! Each day will include animalthemed crafts, activities, and on-demand guest speakers and videos. The best part is you will receive a take-home camp kit delivered directly to your house by an adoptable animal or an ambassadog! Ready to have some “furtual” fun? Camp kits are available for purchase while supplies last.
Visit AdoptLove.net to register!
UPTOWN continued from Page 23
SHEABELPETS.COM • 859.320.0274 2568 Richmond Rd, Lexington, KY 40509
In addition to Uptown Hounds’ weekly daycare services, a special new weekend daycare schedule is now available: Saturday and Sunday from 8 a.m. to 5:30 p.m.! Also inquire about the “Daycare Referral Bonus.”
considered second to none, with newly expanded weekday hours of 6:30 a.m. to 7:30 p.m. Monday through Friday to make it more convenient for working owners. In addition, there are new weekend daycare hours: Saturday and Sunday from 8 a.m.-5:30 p.m. Once there, the friendly Pet Services staff makes sure your dog is well-cared for and is having a happy, fun stay with up to three playtime sessions with its newfound friends (grouped by weight and activity level). Individual playtime and extra attention are also offered, as is supervised usage of the popular 30-foot-by-50-foot outdoor pool during its seasonal operation. Which brings us now to summertime as the mostanticipated time of the year for owners and pets alike because of the opening of the oversized doggieonly pool! Fondly referred to as the “Cool Pool,” this very popular and in-demand venue provides hours of fun for Uptown Hounds’ clients (and guests; dog vaccines required) to bring and watch their dogs romp and stomp and have the best time of their lives! Towels and lifejackets are available. The staff will provide supervision for pool use during daycare or boarding visits. For further enjoyment, chairs and tables with large umbrellas
surround the pool, giving shade and a comfortable place to rest for owners and swimmers alike. Summer’s “Dog Days” are here and one-stop shopping is an easy way to fulfill your pet’s needs at Uptown Hounds. They recognize the proper, professional care of your pets is among the most important considerations you have. For anyone who wants to give as much love and special care to your dogs as they give you, this summer please give America’s Uptown Hounds Luxury Resorts a try. Please visit their Website at www. UptownHounds.com or call Guest Services at (859) 255-2275. A new texting service is now available as well — text any questions or boarding requests to (859) 255-2275. Uptown Hounds is conveniently located just off South Broadway at 466 Angliana Avenue, just a half mile from downtown and a block from The Red Mile. They invite you to a quick tour of the facility and look forward to welcoming you and your dog as part of the Uptown Hounds family! Note: As the conditions surrounding the pandemic and its restrictions change, please call Uptown Hounds or visit their Website to verify what services are currently being offered or affected.)
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Tomatillo IT’S NOT A TINY TOMATO; IT’S TASTY IN ITS OWN WAY By Tanya Tyler, Editor Health&Wellness Let’s get it straight from the start: Despite their name, which means “little tomatoes,” tomatillos aren’t just baby tomatoes. They don’t turn red like tomatoes. Tomatillos belong to the nightshade family, along with eggplant, potatoes and peppers. They’re also known as the Mexican husk tomato, Mexican groundcherry and miltomate. In the United States, they are called jamberries, Mayan husk tomatoes and jumbo husk tomatoes. Tomatillos are integral to Mexican cuisine, serving as a base for such dishes as salsa verde (unlike many other condiments, fresh salsa made with tomatillos is a healthy choice that’s virtually free of added sugars). Sometimes they are eaten raw. Tomatillos are native to Central America and Mexico. They grow mostly in the Mexican states of Hidalgo and Morelos and the highlands of Guatemala, but they are now grown in gardens all over the world. They start out as small, spherical, green or green-purple fruit surrounded by an inedible, paper-like husk that is easily removed. Their flowers come in several colors, including white, light green, bright yellow and purple. The tomatillo’s tart flavor is its main attraction. Tomatillos are slightly more acidic and slightly less sweet than ripe and unripe tomatoes, with a lemony flavor. Tomatillos keep well if they are refrigerated for about two weeks. They keep even longer with the husks removed and the fruit refrigerated in sealed plastic bags. They are wonderfully versatile and very easy to cook with because they don’t need to be peeled or seeded. They can be roasted or grilled or fried like fried green tomatoes and are used in a wide
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range of dishes: stews, soups such as posole, salads, curries, marmalade, preserves and even desserts. Rinse tomatillos before using because they are usually covered by a sticky substance. Tomatillo varieties include purple, purple coban, toma verde (which matures in just 60 days), tomayo, amarylla (a yellow variety) and Rio Grande verde, which yields fruit as large as apples. They grow well in containers, reaching a height of 3 to 4 feet. Nutritionally, tomatillos are low in carbohydrates with just under 4 grams total per half-cup serving. They are almost fatfree and are rich sources of vitamins A and C, which both act as antioxidants against free radicals, and potassium, which helps regulate blood pressure. They provide several other micronutrients in smaller doses. The fiber in tomatillos helps lower blood cholesterol. Tomatillos are a source of phytochemicals called withanolides. These natural plant compounds have been shown to induce apoptosis, or cell death, in colon cancer cells. Withanolides are
also anti-inflammatory. Research shows withanolides can help alleviate symptoms of osteoarthritis and rheumatoid arthritis. Eating tomatillos may make living with arthritis more manageable. Tomatillos have several key nutrients that benefit eye health. Lutein and zeaxanthin are antioxidants that concentrate in the retina and help protect against environmental damage. Tomatillos also provide beta carotene, vitamin E, copper and zinc – a proven combination for slowing the progression of age-related macular degeneration, a common cause of vision loss. So say “si!” to tomatillos. Sources and Resources
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Bon Appetit (www.bonappetit.com) Morning Chores (www.morningchores.com) The Spruce Eats (www.Thespruceeats.com) Very Well Fit (www.verywellfit.com) What’s Cooking America? (www.whatscookingameric.com)
The tomatillo’s tart flavor is its main attraction.
August 2020
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Robert, age 62, started with Dr. Miller in February, 2020. Within just 5 months he Eliminated High A-1C, Eliminated High Blood Pressure, Lost over 58 lbs, Eliminated Sciatic Nerve Pain and Has More Energy! Q: Robert, why did you go to Dr. Miller? A: “I heard Tom Leach (6.30AM radio) talk of Dr. Miller and the results he gets. I was on about 7 drugs a day, which I hated to take, and my health was getting worse. I really needed to do something to get my health and life back.” Q: You’ve been seeing other medical doctors, what about Dr. Miller was different? A: “Dr. Miller makes everything very clear as to what is causing the poor health issues and what exactly needs to be done to eliminate what is causing poor health. Dr. Miller really takes the time to listen and looked at my whole health history.” Q: What did Dr. Miller do to find out what’s not working correctly in your body? A: “Dr. Miller has an amazing blood panel lab he orders through Lab Corp. Then he does a ‘Computer Assessment’ that uncovered exactly what was causing my High A-1C (Type 2 Diabetes), Hypertension, Over-Weight and Sciatic Nerve Pain. It’s really very impressive.” Q: Robert, what did Dr. Miller recommend for you to Eliminate Your Poor Health Issues?
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August 2020
WHAT YOU NEED TO KNOW ABOUT
NON-HODGKIN LYMPHOMA By Health&Wellness Staff Non-Hodgkin lymphoma (NHL) is a type of cancer that forms in the lymph system. As part of the immune system, the lymph system helps protect the body from infection and disease by using lymphocytes, or white blood cells, which are stored in the lymph nodes. With NHL, cancer spreads via the lymph system to other parts of the body. According to Medicine Net, NHL is the sixth most common cancer. Its prevalence has been steadily increasing over the past decades. Being older, being male and having a weakened immune system can increase the risk of developing adult NHL. Signs and symptoms of adult non-Hodgkin lymphoma include swollen lymph nodes in the neck, underarm, groin or stomach; fever; drenching night sweats; weight loss; and fatigue. You may also experience a skin rash or itchy skin or have pain in the chest, abdomen or bones for no known reason. Several different types of tests can help detect NHL. These tests examine the lymph system and other parts of the body to help diagnose and stage adult NHL. One procedure utilizes magnetic resonance imaging (MRI) and the injection of the chemical element gadolinium. Gadolinium collects around cancer cells, making them show up brighter in the
MRI. Another procedure called a lumbar puncture or spinal tap collects cerebrospinal fluid from the spinal column. The type of abnormal cells identified in the sample determines whether a lymphoma is classified as Hodgkin’s disease or NHL. NHL is actually a heterogeneous group of over 30 types of cancers with differences in the microscopic appearance and biological characterizations of the malignant lymphocytes. There are two types of anaplastic large-cell lymphoma. Cutaneous anaplastic large-cell lymphoma mostly affects the skin. Symptoms include one or more bumps or ulcers on the skin. Systemic anaplastic large-cell lymphoma begins in the lymph nodes and may affect other parts of the body. It is more common in children than adults. Lymphoblastic lymphoma is most common in teenagers and young adults. Most patients with primary mediastinal large B-cell lymphoma are women who are age 30 to 40 years. Intravascular large B-cell lymphoma affects blood vessels, especially the small blood vessels in the brain, kidney, lung and skin. Angioimmunoblastic T-cell lymphoma begins in T cells. Swollen lymph nodes are a common sign. Other signs may include a skin rash, fever, weight loss or drenching night sweats. Patients may also have opportunistic
IT’S A HETEROGENEOUS GROUP OF OVER 30 TYPES OF CANCER infections because their immune systems are weakened. Signs of adult T-cell leukemia/ lymphoma include bone and skin lesions, high blood calcium levels and lymph nodes, spleen and liver that are larger than normal. Mantle cell lymphoma usually occurs in middle-aged or older adults. Patients with mantle cell lymphoma have too much of a protein called cyclin-D1 or a certain gene change in the lymphoma cells. It begins in the lymph nodes and spreads to the spleen, bone marrow, blood and sometimes the esophagus, stomach and intestines. Oncologists have to discern if the cancer is new or recurrent, indolent (slow growing) or aggressive (fast growing) or if affected lymph nodes are next to one another before deciding on a course of treatment. They must also determine what stage the cancer is in. The specific type of NHL and the stage at which it is found will determine treatment, which may include chemotherapy, radiation therapy or stem-cell transplant. Newer treatments use biologic medications – antibodies that target B cells. Sources:
• Medicine Net (www.medicinenet.com) • Navigating Care (www.navigatingcare.com)
For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | August 2020
A Road Map for FODMAPs If you frequently have bloating, gas or abdominal pain after eating certain foods, FODMAPs could be to blame. FODMAP stands for fermentable oligosaccharides, disaccharides, monosaccharides and polyols. This group of carbohydrates is found abundantly in many plant foods. During digestion, enzymes break the bonds in the carbohydrate molecules so they can be absorbed in the small intestine. You may be sensitive to FODMAPs, and that’s what causes your gastrointestinal distress. The natural process that occurs in the colon when your gut bacteria quickly ferment FODMAPs and produce gasses such as hydrogen, carbon dioxide and methane can cause serious discomfort for some people, especially those who have digestive disorders such as irritable bowel syndrome (IBS). Surprisingly, healthy foods tend to exacerbate the problem. To check if you have a FODMAP sensitivity, keep a food diary for a few weeks to monitor your reactions and identify suspect foods. It may help to cut down on foods such as apples, pears, peaches, broccoli, cauliflower, kidney beans and wheat. Eliminating these foods will minimize the amount of water drawn into the intestines during digestion and reduce fermentation action in the gut. Try low-FODMAP alternatives such as blueberries, oranges, strawberries, peppers, potatoes, spinach, rice, quinoa, tofu and pumpkin seeds. Bloating that doesn’t go away or worsens may be the result of another condition, so keep monitoring your symptoms and let your doctor know about any unusual or uncomfortable changes. Consult a dietitian or nutritionist for help in developing a beneficial, specific-to-you meal plan. Source:
• T. Colin Campbell Center for Nutrition Studies (www.nutrtionstudies.org)
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Coffee Has Varying Degrees of Bitterness Compounds contained in coffee, such as caffeine, contribute to the beverage’s bitterness to varying degrees. A recent study conducted by the Leibniz-Institute for Food Systems Biology and the Technical University of Munich offered new insights into the molecular interactions between bitter substances and bitter receptors. The latest findings from a study conducted by the Freising team of scientists confirm this interaction. Using a cell-based testing system, the team investigated five different bitter coffee constituents. Based on the results of their study, the research team assumed two of the 25 human bitter taste receptors respond to coffee’s constituents. Further studies conducted by the researchers suggest the bitter substances contained in coffee interact with each other. Many people do not have the bitter taste receptor TAS2R43 due to a genetic variation. This could explain the differences in individual coffee taste perception. Source:
• T. Colin Campbell Center for Nutrition Studies (www.nutrtionstudies.org)
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