Health&Wellness July 2017

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Vol. 14 • Issue 10 • July 2017

Women’s H E A LT H

Latest in Breast Cancer

Women and Migraines

Personal Training

Doctors optimistic about new treatment options

Complicated disease affects individuals differently

You'll see benefits over time

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July 2017

STAFF

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JULY 2017: WOMEN'S HEALTH / HEART HEALTH

INTEGRATIVE MEDICINE Befriending Your Body with Mindfulness

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FOOD BITES

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FEATURES

Personal Training: You’ll see benefits over time

Harleena Singh TaNiqua Ward

COLUMNISTS/GUESTS Becky Gaither

BLUEGRASS THERMOGRAPHY

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Thermography: Thermal imaging for early detection

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Cardiovascular Exercise: Improves Heart Health

John A. Patterson MD, MSPH, FAAFP MIND BODY STUDIO

FAMILY DOC Ovarian Cysts

Amber Ballard, APRN

FAMILY PRACTICE ASSOCIATES OF LEXINGTON, P.S.C.

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Latest Breakthroughs in Breast Cancer Treatment

FUNERAL Memorializing Loved Ones through Life Celebrations

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Regular Screening Can Catch Cervical Cancer

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Women and Migraines

FAMILY VISION Cataracts Are a Part of Aging

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Gender Matters to the Heart: Definite differences between female and male hearts

Kim Wade, Community Relations Director MILWARD FUNERAL DIRECTORS

Dr. Rick Graebe

FAMILY EYECARE ASSOCIATES AND VISION THERAPY

ROCK POINT PUBLISHING Brian Lord / Publisher Kim Blackburn / Sales Representative Jennifer Lord / Customer Relations Specialist Barry Lord / Sales Representative Anastassia Zikkos / Sales Representative Kim Wade / Sales Representative Janet Roy / Graphic Designer

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WRITERS Angela S. Hoover Jean Jeffers Jamie Lober

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CONTENTS

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NATURE'S BEAUTY Ginseng

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NEWS MAKERS Clips from Current Health News

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Home Remedies for Irregular Periods

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Signs and Symptoms of Menopause

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Midwives and Doulas: Choices for Expectant Mothers

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DEPARTMENTS

Events Calendar

FROM THE

EDITOR

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

ROCKPOINT 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. For advertising rates and to find out how to get YOUR article published:

Dear Friends, I can relate to just about every article in this issue of Health&Wellness magazine. I’m currently dealing with menopause and trying to up my cardiovascular exercise ante to stay fit and healthy. I probably should follow Dr. John A. Patterson’s advice and do more bodyscan meditation, but like many other women, finding time to do so isn’t always easy. Thank goodness I have no issues with heart disease or cancer or migraines, but it’s always good to be well informed and proactive just in case one of these health challenges do crop up. If I had to do it all over again, I would certainly opt for a

Health&Wellness is a proud product of

home birth and a midwife or doula. We hope you (or a woman you love and care for) will glean important information and tips for your (or her) Health&Wellness and stay on the right track that leads to optimum fitness, strength and happiness.

Here’s to your health,

Tanya

859-368-0778 e-mail brian@rockpointpublishing.com © Copyright HEALTH&WELLNESS Magazine 2017.

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.

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July 2017 “The trainer should find out what you want to do and make a plan that is practical,” said Melissa Miller of Transformation Personal Training.

Some people work with a trainer on and off for years while others do so for a short period of time. They learn some valuable lessons and incorporate them into their lifestyle down the road. Benefits come over time.

“We see people get stronger and lose weight, and a lot of our elderly population are able to walk up a flight of stairs without even holding on to the handrail,” said Miller.

Dedication is the key moving forward. To be successful, you need to stay committed to training.

It is normal to want results quickly, but instant gratification does not happen.

Personal Training YOU’LL SEE BENEFITS OVER TIME

By Jamie Lober, Staff Writer If you’re looking for a safe, effective program that will help you get toned, become more flexible or lose weight, personal training could be for you.

A personal trainer will teach you proper form and technique to keep you safe and injury free.

But first, he or she needs to know what your goals are – whether you want to lose weight, get healthy and tone up or train for bodybuilding, fitness competitions or powerlifting. Perhaps you’re an older person who wants to work on balance and stability.

“First and foremost, I sit down and speak to potential clients for about 30 to 40 minutes in a consultation to get an idea of what their goals and lifestyle are, to get to know the person a little bit and explain about the program,” said Jason Goodrich, owner and fitness professional at Physiques ‘N’ Weeks (www.physiquesnweeks. com). “You have to map out a schedule and decide how many times a week you will train, go over food and diet, which is the most important thing, and explain that if they want to make a change in the way they feel, their physique and their health, they will have to put the effort in.”

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Bluegrass Care Navigators named a 2017 Hospice Honors Elite recipient Bluegrass Care Navigators, previously Hospice of the Bluegrass, has been named a 2017 Hospice Honors Elite recipient

by Deyta Analytics, a division of HEALTHCAREfirst. Hospice Honors is a prestigious program that recognizes hospices providing the highest level of quality as measured from the caregiver’s point of view. Deyta Analytics holds a special recognition, Hospice Honors Elite, to honor hospices ranked above the Deyta Analytics National Performance Score on all 24 of the evaluation questions. Results for this year’s Hospice Honors Elite award equates to around 6 percent.

“Hospice Honors is a landmark compilation of hospices that provide the best patient and caregiver experiences,” said J. Kevin Porter of HEALTHCAREfirst. “I am extremely proud of Bluegrass Care Navigators for achieving this highest of honors and I congratulate them on their success.”

The Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS®) surveys ask consumers to evaluate their hospice care experiences.

Questions include how you would rate the hospice care received and would you recommend the hospice to others.

“As we prepare for our 40th anniversary next year, we are proud that consumers and patients feel we are one of the best in the country!” said Liz Fowler, President and CEO, Bluegrass Care Navigators.

Separately, Modern Healthcare has honored Bluegrass Care Navigators, naming it one of its

“2017 Best Places to Work.” The annual national award recognizes companies that continuously strive to improve their work environment and increase employee engagement, satisfaction and retention through innovative changes in the workplace. It was only the second year that Bluegrass Care Navigators participated in the program. The award is based on employees’ input about the agency and its goals, and honors health care workplaces that empower their employees to provide patients and customers with the best possible care, products and services.

“We know that creating an environment where employees can be their best is important to our ultimate goal of delivering the very best care to our patients and families. If you have ever received care from an excellent hospice team, you know it is life changing and at Bluegrass Care Navigators, it is what we do every day,” added Fowler.

About Bluegrass Care Navigators To learn more about Bluegrass Care Navigators, call 855.492.0812 or visit www.bgcarenav.org.

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Thermography THERMAL IMAGING FOR EARLY DETECTION Thermography fills a much needed gap in breast health screenings and is an excellent preventative health screening for the whole body.

By Becky Gaither, Bluegrass Thermography What is Thermography?

You may be surprised to learn that thermography is not a new technology. It’s been around for 30 years and is backed by hundreds of peer review studies. The way thermography, or thermal imaging, works is based on how cancer cells grow.

Typically, when cancer cells are growing and multiplying in a tumor, blood flow is very fast in that area. Increased blood flow makes skin temperature increase. This rise in skin temperature is what breast thermography is aiming to detect.

But we aren’t just looking at temperature alone; we can detect subtle changes in the breasts based on symmetry. We can see clear abnormalities in one breast in comparison to the other.

Breast thermography is a non-invasive physical screening. It is also "non-compressive," which means that it does not put force on, or squeeze, the breast, as is the case with breast mammography exams. In fact, thermography is done without touching your body at all. Some people are worried about the force put on breasts in a mammogram, so prefer the idea of a thermograph. Thermography is perfectly safe for women with implants or any type of breast surgery. It’s ideal for those with dense breasts where mammograms might not be able to see through the fibrous breast tissue. It’s also not age specific.

Woman of any age can have a thermogram.

However, this type of breast health screening is particularly useful for people under the age of 50.

Do I still need a Mammogram?

We believe thermography should be viewed as complementary and not competitive to mammography. They are two different types of screenings and therefore "see" different things. In fact using the two together can be

Headaches & Artery Stroke Screening

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more effective. Studies have shown the 84% sensitivity rate for mammograms went up to 95% when thermography was added as a health screenings.

All all breasts screenings, thermography has its limitations. It cannot diagnose breast cancer on its own; pathology in a laboratory is needed to diagnose cancer. So when a suspicious thermogram is seen, further screening using other modalities and following up with your health care provider is very important.

Until there is a cure for breast cancer we feel progress must be made in the fields of early detection and risk evaluation coupled with sound clinical decision making. Thermography fills a much needed gap in breast and health screenings.

Thermography is an excellent preventative health screening for men, women and children of all ages.

Not just a Breast Screening Thermography is so much more than a breast screening tool for woman. Thermography is an excellent preventative health screening for men, women and children of all ages. Half and whole body screenings can be used to monitor therapy progress or regression of certain disease or treatments. Thermography body screenings may help

Sports Injury Sprains Strains Arthritis

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with early detection of arthritis, vascular inflammation, joint or bone disease, thyroid screenings, fibromyalgia, RSD, abdominal pain, lymphatic and inflammatory concerns and much more.

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Bluegrass Thermography 1029 Monarch St., Ste. 140 Lexington, KY 40513 www.bluegrassthermography.com 859.489.5000 Becky Gaither is a Level 3 Advanced Clinical Thermographer and has been screening clients in and around the Lexington area for 7 years.

Bluegrass Thermography offers breast screenings, half-body and whole-body screenings. To schedule a screening or for more information, please call 859.489.5000. SAVE 10% ON YOUR SCREENING WHEN YOU CALL BY 7/31/17.

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including lowering your risk of high blood pressure, high cholesterol and diabetes. Here are a few tips to start a walking routine: Begin with Short Distances Start off walking just five to10 minutes a day and gradually increase your distance and time as you feel more comfortable.

Pay Attention to Heart Rate and Breathing Walk at a pace that challenges you and increases your heart rate, but don’t overdo it.

Try not to get short of breath. You should still be able to talk and carry on a conversation while you are walking.

Walk with Someone Find a walking buddy. You’ll have someone to socialize with while on walks as well as someone to hold you accountable. Or you can walk with your dog. According to research published in The Gerontologist in March 2016, dog walkers had better health than non-dog walkers, including fewer chronic health conditions, lower body mass index (BMI), fewer limitations on activities of daily living and fewer doctor visits.

Cardiovascular Exercise Improves Women’s Heart Health TAKE A WALK AND REAP THE BENEFITS

By TaNiqua Ward, Staff Writer Heart disease kills millions of Americans each year. It is the leading cause of death for both men and women. The most common heart disease in the United States is coronary artery disease (CAD), which leads to heart attacks. One way to reduce your risk of CAD is to make some lifestyle changes, such as healthy eating, stress management and physical activity.

Physical activity is an essential part of being heart healthy. The American Heart Association (AHA) says you need at least 150 minutes of moderate-intensity physical activity each week.

This includes walking, biking or any other activity you enjoy that gets you up and moving.

Physical activity can improve your overall quality of life and reduces your risk of developing

cardiovascular disease by 30 percent to 40 percent, according to the AHA. One form of physical activity is cardiovascular exercise. Cardio means “heart” and vascular means “vessels that circulate fluids.”

Cardiovascular exercise increases your heart rate, which then increases the circulation of blood and oxygen throughout the body. It is important to get your heart rate up and pumping faster on a regular basis. This will help keep your heart healthy and help you avoid getting tired and experiencing shortness of breath from simple daily activities.

One of the easiest ways to start incorporating cardiovascular exercise into your daily routine is walking. Walking is an inexpensive and safe form of exercise. Walking as few as 30 minutes a day can give you numerous health benefits,

Try Other Exercises Once you are comfortable with the walking aspect of cardiovascular activity, it may be time for you to try other forms of exercise such as biking or swimming. You can also try using cardiovascular exercise equipment such as an elliptical or a Stairmaster machine.

Research shows 80 percent of heart disease can be prevented. Other studies prove individuals who participate in regular cardiovascular exercise live longer than those who don’t. Make it your mission to live a longer heart healthy life, but be sure to check with your primary care physician before beginning any exercise program, especially if you have been inactive for a while.

Walking is an inexpensive and safe form of exercise.

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July 2017 | Read this issue and more at www.healthandwellnessmagazine.net |

Latest Breakthroughs in Breast Cancer Treatment DOCTORS OPTIMISTIC ABOUT BLOOD TESTS, GENETICS, NEW DRUGS

By Angela S. Hoover, Staff Writer There are an estimated 2.8 million breast cancer survivors in the United States, a testament to the more than 25-year decline in mortality, according to the American Cancer Society. Still, 231,000 women will be diagnosed with the disease this year, and about 40,000 will die. Fortunately, there have been some exciting breakthroughs in breast cancer detection and treatment recently.

Blood Tests Last fall, international researchers discovered isotopes carbon-13 and nitrogen-15 in certain proportions in a tissue sample can reveal the

presence of cancer. This means doctors may be able to detect breast cancer with a blood test in a few years, according to lead researcher Guilaume Tcherkez. The results were published in the journal Nature. The current “best method” of detection – mammograms – are inaccurate 16 percent of the time, which results in misdiagnoses and false positives. A breast cancer blood test is already in development in France. In the United States, gene-sequencing company Illumina is working on a liquid cancer biopsy that can detect any cancer, enabling early detection. Illumina expects the product to be on the market in three years.

Drugs Triple-negative breast tumors are aggressive, fast-growing cancers more common in women under 40. They kill a quarter of patients within five years. The drug PIM-1 inhibitor, already in trials for fighting leukemia, attacks cancer cells resistant to chemotherapy. PIM-1 is a molecule found in leukemia patients. Scientists at King's College, London, and the Institute of Cancer Research found the PIM-1 molecule helps triple negative breast cancer cells survive by telling the cancerous cells to ignore “death signals” from toxic chemo drugs. The scientists claim giving the PIM-1 inhibitor can make cancerous cells vulnerable to chemo again. The research findings, funded by the charity Breast Cancer Now, were published in the journal Nature.

Other research found the combination of two cancer drugs, trastuzumab (Herceptic) and lapatinub (Tyverb), eliminated all signs of cancer in 11

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percent of patients in 11 days. In 17 percent of the cases, the drug combination caused the tumors to shrink so significantly that chemotherapy was not warranted. The results from this combination further uncovered the role and function of the HER2 protein that halts the growth of a certain type of tumor in one out of 10 breast cancers, according to Science Daily. Better understanding of the HER2 protein revealed the RAS protein is responsible for reactivating HER2. The combination acts as a tyrosine inhibitor, which is under further study for other cancer treatments.

Last February, the FDA approved the drug Palbociclub. When used with the breast cancer drug Letrozole in trials, the combination stopped cancer progression in postmenopausal women with a treatable but incurable type of chronic breast cancer (ER-positive, HER2-negative advanced breast cancer) for an average of 20.2 months, about double the time with just Letrozole alone.

Genetics Last May, researchers at Cambridge Research Institute found 93 genes whose mutations convert a normal breast cell into a cancer cell. They shared their findings with universities, pharmaceuticals and biotech companies to start developing new drugs. Researchers from the Wellcome Trust Sanger Institute and the European Bioinformatics Institute sequenced the genomes of breast cancer CANCER Continued on Page 28

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cervical cancer. The Pap test is the best way to find cervical cell changes that can lead to cervical cancer. If you are 26 years old or younger, you can get the HPV vaccine, which protects against types of HPV that cause most cases of cervical cancer.

Assessing cervical cancer with the International IT’S THE SECOND MOST COMMON TYPE OF CANCER Federation of Gynecology and Obstetrics (FIGO) staging system helps oncologists decide how far FOR WOMEN WORLDWIDE the disease has progressed. The staging, based on a clinical exam, uses a TNM designation: The area where the cervical cells may become • Tumor (T) describes the size of the original

By Harleena Singh, cancerous is called the transformation zone. This is tumor; Staff Writer the area around the opening of the cervix that leads • Lymph Node (N) indicates whether the to the endocervical canal, cancer is present in the lymph the narrow passageway that Cancer that starts in the nodes; and runs up from the cervix into cervix (the narrow open• Metastasis (M) indicates The Pap test is the best way the womb. The cells in the ing into the uterus from the whether cancer has spread to transformation zone don’t to find cervical cell changes vagina or the neck of the womb) is called cerviother parts of the body, such as suddenly change into cancer. cal cancer. It is the second most common type the liver, brain or bones. that can lead to cervical Instead, the normal cells of of cancer for women worldwide, but because it Once the T, N and M scores cancer: develops over time, it is also one of the most pre- the cervix initially develop are determined, an overall cerpre-cancerous changes that ventable types of cancers. vical cancer stage is assigned. turn into cancer.

Most cervical cancer is caused by a virus called Most cervical cancers are squaCervical cancer tends to human papillomavirus, or HPV, which can be mous cell carcinomas, which occur during midlife, usucaught through sexual contact with someone who develop from cells in the exoally between 35-55 years of has it. (Not all types of HPV cause cervical cancer, cervix. They often begin in the age. It rarely affects women however.) Other risk factors include smoking, transformation zone. Most other under the age of 20. Thus, having a weakened immune system, Chlamydia cervical cancers are adenocarit is important for women infection, a diet low in fruits and vegetables, being cinomas, which develop from to continue cervical cancer screening until at least overweight, long-term use of oral contraceptives, gland cells. Cervical adenocarcinomas, which age 70. Usually, early cervical cancer does not using an intrauterine device (IUD), having muldevelop from the mucus-producing gland cells of cause symptoms. Regular screening through Pap tiple full-term pregnancies, being younger than 17 smears and HPV tests can help catch precancerous at your first full-term pregnancy and having a famSCREENING Continued on Page 28 cell changes early and prevent the development of ily history of cervical cancer.

Regular Screening Can Catch Cervical Cancer in Early Stages

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July 2017 | Read this issue and more at www.healthandwellnessmagazine.net | –COLUMN PROVIDED BY–

Mind Body Studio 859.373.0033 | www.mindbodystudio.org 517 Southland Drive, Lexington

Befriending Your Body with

Mindfulness

By John A. Patterson MD, MSPH, FAAFP Being disconnected from or being self-critical of your body can have serious health consequences.

An 18-year-old woman had bilateral breast implants at an out-of-state clinic. Since her early teens, she had wanted this surgery because she thought her breasts were too small and unattractive. When she saw me the week after her surgery, her breasts were painful, tender, red and obviously infected. She was now ashamed and deeply regretted her decision to alter her body based on social pressure and images from media and advertising.

After we controlled her infection, she required another surgery to remove the implants.

A 55-year-old woman’s cardiologist referred her to me for mindfulness training and stress reduction to help her manage her multiple chronic medical problems. She had been compulsively eating for years and confessed to regularly eating as much as 4,000 calories in a single meal. Her facial expression and body language spoke of her hopelessness and exhaustion. In a telling example of the crucial importance of body awareness, she consistently expressed difficulty feeling any physical sensations in her body during body-scan meditation. She was literally out of touch with herself. Tragically, soon after our second meeting, she died from organ failure of both her heart and lungs.

These stories illustrate how being disconnected from and criticizing

your body can put your health at risk.

Increasingly, mind-body research shows you can transform self-criticism of your body into self-acceptance and self-compassion. Mindfulness practice is fundamentally about training the mind to pay attention, and it begins by paying attention to your body.

Mindfulness also emphasizes presentmoment awareness, in contrast to our frequent habit of thinking about and living in the past and the future. The body is a perfect place to begin this practice since it is our constant companion and is always in the present moment – always in the here and now.

Body-scan meditation is one of the foundational practices of Mindfulness-Based Stress Reduction (MBSR). This practice invites a compassionate self-regard for your physical body as you direct your attention to one area of your body at a time.

Attention is focused sequentially on each part of the body in turn. Moving your attention through the entire body, you are encouraged to focus on the tactile sensations in your body, befriending, welcoming and accepting non-judgmentally whatever sensations are present. When you are aware your attention has wandered to thinking, judging, hearing sounds or feeling emotions, you simply bring your attention back to the physical sensations in the body.

Some people find body-scan meditation feels like “coming home.” One of my students said, “I feel like I am in my own skin for the first time in my life.” Those with physical pain

may experience their pain in a new way, sometimes finding they are less distracted by the unpleasant sensations as they learn to attend to the simultaneous pleasant sensations in other parts of the body. Even those with significant physical discomfort often report their relationship to the pain changes over time. While the actual pain level may either diminish or remain the same, there may be less suffering caused by the emotional reactivity often associated with chronic pain. The vicious cycle of pain/ emotional reactivity/muscle tension/ increasing pain is often interrupted.

As pain and discomfort are experienced in the context of compassionate self-regard and non-judgment, one’s overall quality of life may be enhanced even without an overall reduction in the perception of pain.

A core principle of mindfulness training is that “there is more right with you than there is wrong with you, regardless of your condition.”

Another core principle is that all conditions are workable. These can be new and revelatory concepts for people who don’t like their body or have long-standing chronic physical or emotional pain and suffering. The body scan and other mindfulness practices give people an opportunity to directly experience the truth of these principles right in their own bodies and in the growing calmness, hopefulness and equanimity experienced during formal practice sessions and informally in their daily lives.

Two other fundamental practices of MBSR are also based on body awareness: mindful hatha yoga and sitting meditation with awareness of breathing. Just as in body- scan meditation, the instruction in mindful hatha yoga is to pay close attention to the physical body, thoughts and emotions during movement and in static postures. Even sitting meditation is based primarily on attending to the physical sensa-

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tions of breathing. You may feel the breath most clearly as it enters and leaves the nostrils. You may feel it most clearly as the belly expands and contracts with each breath. The invitation is to avoid postures or movements that cause pain while simply attending fully to physical sensations in the body or the breath.

A critical moment in all these practices is when you notice your attention has wandered off to thinking, sounds or emotional reactivity.

At these moments, you are reminded to be gentle with yourself, bringing deep kindness to the so-called “distraction” and simply returning your attention to the practice, whether it’s body scan, hatha yoga or awareness of breathing. Training the mind to pay attention takes time, patience, selfcompassion and a commitment to regular practice.

After only a few sessions of body scan, you may begin to spontaneously bring awareness to the body during everyday activity at home or work, alone or with other people. You may more readily pick up on early warning signs such as self-judgment or muscle tension. You may notice you are more relaxed in meetings and conversations. You may notice you are listening more and listening with kindness.

You may use the wait in the grocery line or at the traffic light to bring kind attention to the breath, a body area that deserves your attention, the body as a whole or to a growing sense that your life is OK. Over time, the formal practice of body-scan meditation and other mindfulness practices may change your relationship to your body, mind, emotions – and your life. Your health may benefit as well.

Sources and Resources Body-scan meditation. I have recorded two versions (5 minute and 40 minute) available at http://www.mindbodystudio. org/?page_id=1594

About the Author Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine, integrative holistic medicine, mind-body medicine, hatha yoga, yoga nidra, Mindfulness-Based Stress Reduction (MBSR) and physician coaching. He is on the family practice faculty at the University of Kentucky College of Medicine, Saybrook College of Integrative Medicine and Health Sciences (San Francisco) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers mindfulness classes, coaching and integrative, mind-body medicine consultations. He can be reached through his Web site at www.mindbodystudio.org.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2017

Women and Migraines COMPLICATED DISEASE AFFECTS INDIVIDUALS DIFFERENTLY

By Jamie Lober, Staff Writer If you suffer from migraines, you’re not alone.

“Migraine is the third most prevalent illness in the world, affecting about a billion people, which is about 18 percent of American women,” said Cathy Glaser, president of the Migraine Research Foundation.

Since migraine is a complicated disease, all women are affected differently. “‘Migraine’ is an umbrella phrase,” Glaser said.

“A woman might get menstrual migraines during a certain point in her menstrual cycle or a migraine with aura, a hemiplegic migraine, an ocular migraine or she might have chronic migraines.”

Migraines can occur at any time in your life.

“The prime time is between ages 25 and 55, which are your peak productive years,” Glaser said.

Menstrual migraines occur up to two days before and up to three days after a period begins.

They are triggered by hormonal fluctuations such as estrogen withdrawal and are treated

July Special

with the same medications that help other kinds of migraines. Hormonal contraception can make things better for some women, but it can make things worse for others. If you suffer from migraines, you should discuss your pregnancy plans with your doctor because some migraine medications can affect your ability to conceive and may damage the fetus.

Migraines worsen during perimenopause because of the intense hormonal fluctuations women encounter. The good news is the prevalence of migraines drops significantly after age 60, so if you have one after reaching that milestone, it is wise to investigate the causes of the pain with your doctor to eliminate other medical problems.

There are typical signs and symptoms of migraine, but each attack can vary. “It is a neurological disease and not a headache,” Glaser said. “So some people do not get head pain, but they have visual disturbances, nausea, vomiting, dizziness, sensitivity to sound, light and smell, food cravings, tingling or numbness. Attacks last between four and 72 hours and after you may continue to feel unwell for a while.”

Unfortunately, the cause of migraine is unknown. “There is a genetic component but also some environmental factors that turn the genetic switch on,” Glaser said. “It is complicated, but 90

percent of people who suffer migraines have a family history.”

Getting proper treatment is the key to managing migraines. “Only 50 percent of people who suffer migraines are ever diagnosed,” Glaser said. “That means the other 50 percent are selfdiagnosing and could be making their condition worse.”

Medications are available for prevention and treatment of migraines, so it is worth seeking guidance. There are also some promising developments on the horizon.

“There is a new class of drugs currently being investigated called CGRP that target Migraine a different pathway than has been targeted in the past,” is the Glaser said. These drugs are third most all still in clinical trials and are not available yet to use. prevalent Until migraines are fully understood, it will not be posillness in sible to develop the kind of the world. targeted treatments that could prevent them from becoming chronic. “We are never talking about cure; we are talking about control and management,” Glaser said. “The most important thing is for people to manage their expectations and understand that this is not just a headache, so you will not be able to cure it. But there are things you can do to help yourself if you are proactive in seeking out information and treatment options.”

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July 2017

F OD BITES

By Angela S. Hoover, Staff Writer

Ruby Ring Red Onions Fight Cancer

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Ontario-grown red onions have strong cancer-fighting power against breast and colon cancers cells, as compared to other types of onions, according to a University of Guelph (Ontario) study published in Food Research International this June.

Onions are superfoods; they contain the highest concentration of the flavonoid quercetin, but this Ontario variety, Ruby Ring, has the highest levels in the world, as well as higher levels of anthocyanin. “Anthocyanin is instrumental in providing color to fruits and vegetables, so it makes sense that red onions, which are darkest in color, would have the most cancer-fighting power,” said the report. “We found onions are excellent at killing cancer cells,” said Ph.D. student Abdulmonem Murayyan.

“Onions activate pathways that encourage cancer cells to undergo cell death. They promote an unfavorable environment for cancer cells and disrupt communication between cancer cells, which inhibits growth.”

Olive Oil May Prevent Brain Cancer

Oleic acid, the primary ingredient in olive oil, has been shown to prevent cancer-causing genes from functioning in cells and may help prevent cancer from developing in the brain, say researchers at the University of Edinburgh. Studying the effects of oleic acid on the cell molecule miR-7, which is active in the brain and is known to suppress the formation of tumors, the researchers found the fatty acid prevents a cell protein called MSI2 from stopping production of miR-7. The results were published in the Journal of Molecular Biology this June.

Rice Bran is Highly Nutritious

The outer covering of the rice grain, rice bran is highly nutritious and a rich source of proteins, fats, minerals and micronutrients such as B vitamins. Unfortunately, rice bran is removed from whole-grain rice during processing. It could have benefits for human health and nutrition, say researchers at Colorado State University, who published their findings in the open-access journal Rice this June. A single serving of rice bran – 28 grams – provides more than half of a person’s daily requirements of important vitamins such as thiamine, niacin and vitamin B6, said study author Prof. Elizabeth Ryan. Previously, rice bran was thought to be only useful as a source of lipids and has not been used much in human health and nutrition because it is considered an animal feed. However, its high nutritional value warrants greater public health attentions, says Ryan. Using a sophisticated biochemical technique called mass spectrometry, researchers were surprised to find vitamins and amino acids make up nearly 50 percent of the total small-molecule content (cofactors). In total, they found 453 metabolites, including 65 that have been shown to have potential medicinal and health-promoting aspects, as well as 16 that had not been reported for rice bran before. Searching the literature, the authors found some rice-bran compounds had previously been identified to have anti-inflammatory, anti-microbial and anti-hypersensitive properties. Rice bran also has a protein content of 12 percent to 15 percent that deserves attention, as it could address nutritional shortages in parts of the world.

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Gender Matters to the Heart

thicker with age, but a woman’s muscle maintains its size or gets smaller, decreasing the heart’s filling capacity. This was the first study to use long-term MRI scans to observe left ventricle structure and function over time.

DEFINITE DIFFERENCES BETWEEN FEMALE AND MALE HEARTS

Ancient thinkers waxed poetic over how men’s and women’s hearts differ, but there are actual anatomical differences that impact diagnoses and treatments of the heart. Here are some ways men’s and women’s hearts differ:

Function and Performance Although the female heart is smaller, it beats faster than a man’s, even during sleep, says Dr. Marrianne Legato of Columbia University. A woman’s daily average heart rate is 78-82 beats per minute, compared to men’s 70-72 beats per minute. It takes a woman’s heart longer to return to baseline after a beat.

Size and Structure Women’s hearts are smaller and, at 118 grams, weigh 60 grams less than men’s. Their veins are 1 millimeter thinner than men’s, making them more sensitive and liable to shrivel. The finer veins in a female heart make it work harder. Valve structure is also comparatively looser, said Dr. Ahmet Karabulut, cardiology specialist at Acidadem University Atakent Hospital in Istanbul. Women’s arteries have tiny openings, on average1.5 millimeters, compared to men’s hearts 2.5 millimeters.

Female and male hearts grow differently over time, according to research published in the journal Radiology in October 2015. Studying nearly 3,000 adult hearts (ages 45-84) for 10 years, researchers focused on the left ventricle heart chamber that pumps oxygenated blood out of the heart into the body. As people age, the left ventricle’s capacity to pump blood declines, but this decline happens differently in men and women. In men, the heart muscle around the chamber grows larger and

Conditions and Diseases For unknown reasons, women’s hearts are more sensitive to drug effects, Karabulut said. The female heart’s natural rapid heart rate and looser valve structure can cause palpitation and shortness of breath more frequently than in men, as well as more valve disorders, said Karabulut. According to the National Institute of Health, these “floppy” valves are more prone to mitral valve prolapse and can progress to the point where the valve between the upper and lower left chambers no longer closes properly. This requires surgery to repair or replace.

Women’s hearts are more likely to develop clots than men’s. This risk increases in women who use birth control and smoke. Women have a 59-percent risk of stroke related to high blood pressure, compared with men at 39 percent, said Karabulut.

Women’s heart veins are more resilient against heart disease. Compared to men, there is a 10-year difference in the development of cardiovascular diseases. However, this difference disappears after

By Angela S. Hoover, Staff Writer

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menopause. Coronary artery disease also afflicts men earlier than women, and sudden cardiac death (death within an hour of the onset of symptoms) is more common in men. But women’s hearts are less durable after a heart attack. Women have a higher risk of death after a heart attack.

Diagnostic Tests and Treatments Symptoms of heart disease do not present as easily in women, who have atypical complaints. While chest pain is more prominent in men, women can often have shortness of breath, weakness, fatigue and bloating as prominent symptoms. Women also have a higher chance of diastolic dysfunction, which means their hearts become stiff and do not relax between beats. Men are more likely to suffer systolic dysfunction, which means their hearts become weak and floppy and have trouble pumping blood. Since diastolic dysfunction is harder to detect, women’s heart problems may be underdiagnosed.

It’s important to note women are susceptible to potentially lethal arrhythmias from taking medication to stabilize rhythm that is effective for men.

In some women, arterial plaque builds up as an evenly spread layer along artery walls. This is not treatable with procedures such as angioplasty and stenting that flatten the bulky, irregular plaque in some men’s arteries. For some women, drug treatment is a better option than angioplasty or stenting.

Larger hearts are easier to work with, so most women receive heart transplants from men. But female hearts cannot be used for heart transplants in men.

Female and male hearts grow differently over time.

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FAMILY DOC

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Ovarian Cysts: 1175 Alysheba Way, Lexington KY 859.278.5007 | fpalex.com

WHAT YOU NEED TO KNOW

By Amber Ballard, APRN, Family Practice Associates of Lexington, P.S.C. An ovarian cyst is a sac filled with fluid or semisolid material that forms on or within an ovary. These cysts are highly common, especially during the childbearing years. According to the American College of Obstetrics and Gynecology, ovarian cysts are less common after menopause; however, postmenopausal women who have an ovarian cyst are at higher risk for developing ovarian cancer. In most cases, cysts are harmless and typically go away on their own.

There are several different types of cysts. The Cleveland Clinic says functional ovarian cysts occur as a result of ovulation (the release of an egg from the ovary). When the follicle fails to release the egg and the fluid stays within the follicle, a cyst forms.

These cysts generally shrink without specific treatment within one to two months or one or two menstrual cycles. They can cause significant discomfort but cause no true harm on the body.

Dermoid cysts, which develop from an egg, can contain tissue, hair or teeth. Cystadenomas cysts, which develop from ovarian tissue, can contain water or mucous. Both of these types of cysts can grow significantly and cause twisting (torsion) of the ovaries, resulting in severe pain.

Endometriomas occur when women suffering from endometriosis have abnormal endometrial tissue growth on an ovary.

The Office of Women’s Health in the Department of Health and Human Services (www.womenshealth.gov) says some women have ovaries that naturally make recurring small cysts. This disease process is

called polycystic ovarian syndrome (PCOS). This hormone-related condition can cause problems with the ovaries themselves, as well as difficulty in conceiving.

Ovarian cysts are sometimes found during a routine pelvic exam; however, most are identified after a woman comes into the physician’s office complaining of lower unilateral or bilateral pelvic discomfort. Ultrasound is used to help providers identify the type of cyst and its shape, size and location.

Most cysts are small and do not cause problems or display any symptoms.

These are called simple cysts. Some larger cysts can cause pelvic pain, dull back ache, a bloated sensation, pain during intercourse or abnormally painful menstrual cycles. Larger cysts that can cause torsion of the ovary typically are identified as complex cysts. Complex cysts need frequent monitoring via ultrasound and may require surgical removal if they show no improvement over time.

Perhaps your provider has told you

that you have a cyst. While he or she may reassure you there is nothing to worry about, be mindful of your symptoms and seek medical attention if you experience increasing pain with fever and vomiting; sudden, severe abdominal pain; faintness, dizziness or weakness. These symptoms could mean your cyst has ruptured. Cysts that bleed or rupture may lead to serious problems. If any problems with urination occur or the abdominal pain doesn’t go away, contact your provider for further evaluation.

To treat cysts, hormone therapy is frequently used to help prevent ovulation. In preventing ovulation, you decrease your changes tremendously of developing functional cysts.

If your cyst is large enough, causes severe pain, and/or has not resolved after several menstrual cycles, you may need surgery. About 8 percent of premenopausal women develop cysts large enough to require surgery.

Laparoscopy is the procedure of choice, where the surgeon makes a

small incision in the abdomen and inserts a small device that lets him or her view the reproductive organs and pelvic cavity. The cysts can be removed via this tiny incision; it can be made slightly larger if needed without being too invasive. The cyst will be sent for testing to determine if it is cancerous. If it is, then removing one or both of the ovaries may be recommended.

About the Author Amber Ballard is a native of Beattyville, KY, and currently lives in Lexington, KY, with her husband and two children. She was a NICU nurse for five and a half years before receiving her MSN in Nursing in 2011. Amber has experience in primary care and urgent care, but has a specific interest in women’s health and pediatrics. She joined FPA in September 2014.

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July 2017 | Read this issue and more at www.healthandwellnessmagazine.net |

june events

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JULY 2017

Submit your healthy event listings: brian@rockpointpublishing.com

Mondays Free Yoga Classes for Vets,

Servicemembers and their Family Members

Every Monday from 9:30am–10:30am at Ageless Yoga Studio, 611 Winchester Rd., Suite 200. 859303-6225. Pre-register online at agelessyogastudio. com. Click “class” tab to sign up now! Email info@ agelessyogastudio.com for more info.

Mondays & Wednesdays MELT Method Hand, Foot and Body

Healing Class by Shayne Wigglesworth Mondays and Wednesdays at 12pm - Discover pain-free living at any age! Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home. All materials and rollers are provided.

Perfect for all ages, body types and experience levels. Learn more at www.centeredlex.com or call 859-721-1841.

Mondays & Wednesdays Lexington Area Parkinson's Support Group

Mondays and Wednesdays at 12pm Free daytime and evening discussion groups for people with PD and their care partners. Daytime meetings held the 4th Monday of each month at noon. Evening meetings held on 1st Wednesday of each month at 6:00 pm. Both group meetings held at Crestwood Christian Church, 1882 Bellefonte Drive, Lexington, KY. For more details contact Elaine at 859-2771040 or by email info@parkinsonslexington. com. Please visit our website atwww.parkinsonslexington.com to get more details about these meetings and other free events held

by LAPSG.

Tuesdays Community Flow

This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. 10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving, Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event! 309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841. www.centeredlex.com.

Tuesdays Swing Lessons Every Tuesday: 8pm–10pm at Tates Creek Recreation Center, 1400 Gainesway Dr. $5.00 per person per lesson. Call for more information: Glenn and Rosalee Kelley 859-233-9947; OR Peter and Robin Young 859-224-3388.

Tuesdays Community Yoga Class with Lauren Higdon

Every Tuesday 10:30am–11:30am at Centered Studio, 309 n Ashland ave suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more.

Perfect for beginners as well as experienced yogis! Donations-based class.

Tuesdays & Thursdays Free "How to Stay Young" Class Triple Crown Chiropractic and Wellness offers a free class twice a week explaining how to keep your body young through chiropractic care. Free spinal screening available

for anyone who attends the class. To register for the class, please call 859-335-0419. Questions to pr.triplecrownchiro@gmail.com. Triple Crown Chiropractic and Wellness: 1795 Alysheba Way #4103 Lexington, KY. Free gift from the office to those who attend the class!

1st Tuesdays Lupus Support Group:

Living & Coping with Lupus The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping and insights into living with chronic illness. Imani Baptist Church, 1555 Georgetown Road, Lexington from 7:00pm– 8:00pm first Tuesday of every month. 877-8658787. www.lupusmidsouth.org.

2nd Tuesdays PFLAG Support for LGBTs and Families

We are a support group of family members and allies united with LGBTQ* individuals. Our meetings provide a safe, confidential space where you can feel respected and accepted wherever you are in your journey or family struggle. Monthly speakers help us to broaden our understanding of these issues in our families and in society.

Lexington meetings are held the 2nd Tuesday of each month, 6:30 at St. Michael’s Episcopal Church, 2025 Bellefonte Drive. Frankfort chapter meets the 3rd Monday of the month, 5:30 at the Unitarian Community, 316 Wilkinson Blvd. More information and resources at www.pflagcentralky.org For questions, call 859-338-4393 or info@pflagcentralky. org. *lesbian, gay, bisexual, transgender, queer and questioning.

Wednesdays Mindfulness and Relaxation for Health

Relax the body, quiet the mind, open the heart.

6:30-8:00 PM (arrive at 6 to relax before class). No

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2017

prior experience of yoga or meditation required.

Mobilize inner resources for promoting health and managing the stress of caregiving, burnout and 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 Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http://www.mindbodystudio.org/?page_id=1055

Fridays Argentine Tango

“Dance of the Heart” 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. 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

July 3 Fifth Third Bank Presents Lexington's Fourth of July Festival

Lexington's Fourth of July fun will kick off on Monday, July 3 with the Great American Pie Contest and Ice Cream Social and will feature many family friendly events over the four day festival!

Fireworks start at 10pm on Tuesday, July 4. Join the Fifth Third Bank Presents Lexington's Fourth of July

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Festival Facebook event page for more details and event updates!

July 4 Bluegrass 10K

Join us for the 41st Annual Bluegrass 10K on Tuesday, July 4, 2017 at 7:30am. Our certified 10,000 meter course weaves through the main business and historic district in downtown Lexington. The race is is part of Lexington's Fourth of July Festival sponsored by Lexington Parks and Recreation and the Downtown Lexington Corporation. Visit https://runsignup.com/Race/KY/ Lexington/Bluegrass10000 for details & to register.

July 5 Gestational Diabetes Class

July 5 Diabetes Support Group

2:30 – 3:30 pm, Ballard Griffith Towers, 650 Tower Plaza, Ballard Cafeteria. Free. Sponsored by the Lexington-Fayette Co. Health Dept. For more information, call (859) 288-2446.

July 13 Diabetes Prevention Program Series

July 15 Doggie Day Out LEXINGTON FARMER'S MARKET

Cheapside Park, Downtown Lexington 7am–2pm

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RENT THIS CABIN

In the Beautiful Red River Gorge CAMPING CABINS AND PRIMITIVE CAMPSITES ALSO AVAILABLE

Call or visit website for reservations.

(606) 668-2599 ksbrown@mrtc.com www.kentuckywildflowersllc.com

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1 – 2 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road.

Free class for pregnant women diagnosed with Gestational Diabetes to learn about controlling blood sugar to have a healthy pregnancy. For more information or to pre-register, call 288-2446.

12 -1 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road.

Free year-long intensive program helps overweight adults or those diagnosed with pre-diabetes reduce their risk for developing full diabetes.

Begins with weekly meetings. For more information or to pre-register, call 859-288-2347.

Saturdays

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Join us at Morning Pointe of Lexington East from 1–3pm for "Doggie Day Out"! Several vendors will be set up in our parking lot offering helpful tips and fun things to do with your dog. 150 Shoreside Drive, Lexington, KY 40515.

859.721.0350 for details.

July 15 28th Annual Fun Camp for Children with Diabetes

8 am-4 pm, Camp Shawano at 3775 Newman Road, Lexington. Call 859-881-3046 for information and to register.

July 18 Eat, Move, Lose Weight Support Group

anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

July 20 Farmer's Market Festival

10am-2:00pm, Bourbon County Health Department, 341 East Main Street, Paris. Enjoy Art Studio on the Move’s kids' art & crafts RV, music, a scavenger hunt for the kids, cooking demonstrations, car seat checks, & more! WIC participants can receive coupons for purchasing fresh fruits and vegetables. For more information, call 859-9871915 Ext. 4117.

July 24 Health Chats about Diabetes

10 – 11 am, The Refuge Clinic, 2349 Richmond Road Suite 220, Lexington. Free. Join us to discuss tips to manage and control diabetes in practical ways. For more information, call 288-2446.

Sponsored by the Lexington-Fayette Co. Health Dept.

July 25 Making the Move to Senior Living

Pat Borg, Real Estate agent with Weesner Properties will be discussing the real estate market (getting your home ready to sell, etc.) Bluegrass Crossroads Move Managers, BethAnn Hayden and Robin Johnson will be sharing helpful tips on downsizing. Lunch will be provided. Reserve your seat with Lisa Stone 859-608-9070. Morning Pointe of Lexington East, 150 Shoreside Drive. Lexington, KY 40515. 859.721.0350.

July 25 Breastfeeding Essentials I Class

7 – 9 pm, Baby Moon, 2891 Richmond Rd., $30, open to everyone. Visit http://www.babymoonlex. com/ to register.

12 – 1 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road.

Free weight-loss support group appropriate for

ONGOING EVENTS Continued on p.23

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July 2017 | Read this issue and more at www.healthandwellnessmagazine.net |

Home Remedies for Irregular Periods

To combat oligomenorrhea, it is best to avoid foods and drinks that contain sugar, caffeine and saturated fats because they can disrupt the body’s natural hormonal balance. Opt instead for lean meats, whole grains, vegetables, fruits and low-fat dairy. Here are some home remedies for irregular periods:

HERBS, FRUIT, SEEDS MAY GIVE YOU SOME RELIEF

Juices Juices made from fruit and vegetables can help you manage irregular periods. They ensure you have adequate nutrients and vitamins.

By Harleena Singh, Staff Writer Irregular periods are medically known as oligomenorrhea. A woman may have irregular periods from the time she starts menstruating during puberty until she stops at menopause.

Oligomenorrhea can occur due to improper diet, anorexia, weakness, stress and intense exercise.

Fruits and Vegetables Vegetables such as bitter gourd can be very effective in the treatment of irregular periods.

Consuming its juice once or twice a day for a few weeks can help. The pulp of the aloe vera plant or its juice is beneficial, too. Extract the aloe vera gel from an aloe leaf, mix in one teaspoon

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of honey and consume it daily before breakfast for three months (except while you’re on your period).

Seeds Cumin seeds mixed with sesame seeds and honey are supposed to be a great home remedy for irregular periods. Many seeds are paired with coriander and cilantro to make them more effective. Grind radish seeds and add two large spoonsful of the powder to one cup of buttermilk and drink once daily for three months.

Add two tablespoons of fennel seeds to a glass of water and let it set overnight. Strain and drink it daily to regulate your period. Coriander seeds have properties of emmenagogue, a substance that stimulates menstrual flow. Boil one teaspoon of coriander seed with two cups of water and REMEDIES Continued on Page 28

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EVENTS continued from page 21

Bluegrass Ovarian Cancer Support

Cancer Classes

GrassRoots Yoga Classes

Exists to assist Central Kentucky women and their loved ones during diagnosis, treatment and survival of ovarian and other gynecological cancers. Come meet with us the third Wednesday of every month at 6:30pm at Joseph Beth Booksellers, Bronte Bistro Cafe meeting room.

The American Cancer Society offers women undergoing cancer treatments the opportunity to attend the Look Good...Feel Better workshop. This free workshop helps women deal with the appearance-related side-effects of cancer treatment in a private setting. Each participant receives a complimentary custom cosmetic kit. The American Cancer Society offers Prostate Cancer Educational and Support Classes called Man to Man for men with prostate cancer. This is an educational and networking program that provides information about prostate cancer and treatments options. For more information about these classes, please call Kristy Young at 859260-8285. For cancer information 24 hours a day, please call 1-800-ACS-2345 or go to www.cancer.org.

Chair yoga: 10:30–11:30am Tuesday and Thursday. Hatha Vinyasa Flow: 5:30–6:30pm Thursday. Yoga Basics for Stress Relief: 5:30–6:30pm Friday. Partial proceeds from all yoga classes benefit the Latitude Artist Community for adults considered to have disabilities. All instructors certified through Yoga Alliance. For more information, visit www.grassrootsyoga.org.

Yoga • Meditation • Stress Reduction The Yoga Health & Therapy Center offers daytime and evening Yoga classes with slow stretch, breathing awareness and relaxation training. Small classes provide personalized instruction. New yoga students receive a series discount. Meditation classes and ongoing group practice sessions available for all levels. Stress-Reduction classes based on Yoga principles and practical skills also offered. Free parking provided for most classes. For information, please call 859-254-9529 or visit www.yogahealthcenter.org.

yoga tai chi

Perinatal Loss Grief Group

First Tuesday of the month, 7pm, Center for Grief and Education. A group for parents who have experienced loss due to miscarriage, stillbirth or infant death. Contact Debbie Mueller at (859) 260-6904 for more information.

Coping After Loss

First Wednesday of the month, 5:30-7pm, Center for Grief and Education. A brief educational program offering an introduction to grief information. Contact the Lexington office at (859) 277-2700 for more information or to register.

Free Transportation to Cancer Screening

Fayette County residents can receive free transportation through HealthLink Transit, a partnership between Kentucky Pink Connection & the Lexington--Fayette Urban County Government. Transportation provided by taxi or gas cards to cancer screening.

Call (859) 309-1700 to arrange a ride.

2nd Chance Ambassadors

Lexington: a support/volunteer group comprised of organ transplantation recipients, donor family members, those on the waiting list and community members interested in transplantation meets the 3rd Sunday of each month at Word of Hope Lutheran Church, located at the corner of Man O’War and Armstrong Mill Road. Meetings begin at 4:30. For questions, please contact Charlotte Wong, Education Coordinator, Kentucky Organ Donor Affiliates Lexington office at (859) 278-3492 or toll free (800) 525-3456.

Center For Women’s Health Center Classes

Held at Frankfort Regional Medical Call Mediline at 502-226-1655 or toll-free 800-242-5662 to register or for more information. Classes include: • Prepared Childbirth • Baby Care For The Early Weeks • Breast Feeding Basics • “That’s My Baby” • Sibling Classes

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Survivors of Suicide

First & third Tuesday of the month, 6-7:30pm, Center for Grief and Education. For adults affected by the loss of someone by suicide.

Contact the Lexington office at (859) 2772700 for more information or to register.

Bosom Buddies

A support group designed to meet the ongoing needs of women with breast cancer. The purpose of Bosom Buddies is to create a safe and comfortable environment in which women diagnosed with breast cancer can receive information and emotional support during and after treatment. Meets are the third Thursday of every month 6:00pm at the Frankfort Regional Hospital: Frankfort Medical Pavilion, Conference Room C. 279 King’s Daughters Drive, Frankfort, KY.

BRCC Volunteer Opportunities

The Bluegrass Rape Crisis Center provides a 24-hour crisis line, hospital and court advocacy, crisis intervention counseling, longterm therapy, and information and community referral to victims of sexual assault as well as family members and friends.

Volunteers at BRCC have the unique opportunity to provide valuable direct services to those impacted by sexual assault. Volunteer opportunities: Crisis Line Volunteer, Medical/Legal Advocate. For more information, please call: (859) 253-2615.

Stop Smoking Class Series

5:30-6:30, weekly until April 17. Tates Creek Library, 3628 Walden Dr. Based on the Cooper-Clayton method. $10/week for 10 weeks covers the cost of nicotine replacement. Call 288-2457.

ANAD Overcoming Eating Disorders Support Group

Free support group for people who want to improve their relationship with food and body image. Safe, comfortable place.

Facilitated by Megan Roop, RYT, supervised

by Tina Thompson, MS, RD, LD, Bluegrass Nutrition Counseling, sponsored by ANAD. Introduction meeting on October 3 from 7:15-8:30pm at Bliss Wellness Center, 2416 Sir Barton Way, Ste 125. 8 week session Oct 17-Dec 5 from 7:15-8:30pm. Contact Megan Roop 561-779-0290 for details.

Diabetes CHATS

Nathaniel Mission Health Clinic CHAT: 1109 Versailles Road, Suite 400 from 4pm to 5:15pm the 4th Tuesday of each month. The Refuge Clinic: New Location, 2349 Richmond Road-Suite 220, Lexington, KY, 40502. 859225-4325. Free. Sponsored by the LexingtonFayette Co. Health Dept and UK Healthcare.

Free Cardio Classes

9-10am. Every Saturday morning in the month of February at Body Structure Medical Fitness Facility, 2600 Gribbin Drive, Lexington. This class will increase your heart rate and respiration while using large muscle groups repetitively and rhythmically to create a great workout. (859) 268-8190.

Taoist Tai Chi Society

We offer classes in Louisville and Lexington.

All classes are led by nationally accredited volunteer instructors in a friendly and helpful environment. The meditative movements of taijiquan can reduce tension, increase flexibility and strength, and improve circulation and balance. To contact us, phone 502.614.6424 or e-mail kentucky@taoist.org.

Consumer Support Groups (Individuals with a Mental Illness)

Every Sunday, 869 Sparta Court, Lexington.

2:30-4:00pm. 859-309-2856 for more info.

NAMI Lexington is a local affiliate of NAMI, the “National Alliance on Mental Illness” we provide numerous support groups and recovery programs for families and Individuals living with mental illness.

Monthly Reiki Classes

Turn your hands into healing hands!

Reiki is Universal Life Force Energy Learn to improve your mind, body, and spirit! Classes taught by Robert N.Fueston, Reiki Master/Teacher and Acupuncturist, 17 years of experience and Member of The Reiki Alliance. Approved for Continuing Education hours (CE hours) for Massage Therapist. CE’s for nurses pending. Register online at www. robertfueston.com. 859-595-2164.

Al-Anon

Free support group for anyone affected by someone else’s drinking. Local meetings and information at www.LexingtonAl-Anon.org or call 859.277.1877.

Overeaters Anonymous

Overeaters Anonymous (OA) is not a diet club. We do not count calories or have scales at meetings. OA is based on the 12 steps of Alcoholics Anonymous. There are no dues or fees. OA is self-supporting through member contributions. The only requirement for membership is the desire to stop eating compulsively. Please go to oalexingtonky. org for meeting dates and times. OR are interested in learning more about this ancie

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Memorializing Loved Ones through Life Celebrations

by Kim Wade, Community Relations Director, Milward Funeral Directors If you have attended a funeral service recently, you may have noticed that it was a little more upbeat and celebratory than the services you attended when you were a young adult or child.

With the baby boom population being 75 million strong, it’s no surprise that today’s funeral services have become “Life Celebrations” instead of a room full of friends and family wearing black attire and sad faces.

This is certainly not to downplay the fact that when a loved one dies, we aren’t sad or that it is difficult to celebrate a traumatic and unexpected loss. It is simply to state that today the emphasis on funerals for many families, especially baby boomers, has been to plan the service around the things that the deceased enjoyed and the experiences he or she had during their lifetime.

The funeral industry has coined many terms to refer to these personalized and celebratory services.

Central Kentuckians likely have heard “Celebration of Life” or “Life Celebration”. Although “Life Celebrations” have been offered for many decades, families are requesting these types of services more today than in the past.

At the most basic level, Life Celebrations may include photos, vid-

eos or personal memorabilia on display at the service. Additionally, some families choose to play selections from their loved one’s play list instead of traditional funeral music and readings.

In more recent years, families are going beyond basic life celebrations.

For example, at a Life Celebration for a wine connoisseur, family and friends may choose to share a toast to their loved one with a glass of the deceased’s favorite wine. The family of an artist may turn the funeral chapel into an art gallery so friends and family can admire the works of art. A Life Celebration for a baker might incorporate baking grandma’s best cookie recipe at the reception so everyone can smell and taste the cookies.

Some of the examples of Life Celebrations mentioned are easy enough for a funeral director to carry out in a short notice. Other personal touches at a Life Celebration take more time to plan and implement.

Just like it can take 6 months to a year to plan an elaborate wedding, the possibilities for Life Celebrations are endless and should be planned well in advance of an eminent death.

Individuals and families who want to memorialize their loved one through a Life Celebration will benefit from a conversation with a local funeral director who specializes in advance planning. An advance plan will help

your family and funeral director know how you want your life celebrated.

I recently lost my grandmother and uncle and miss them dreadfully.

However, I’ve always been appreciative that our family celebrated the many good years we spent with them through Life Celebrations. Because my relatives chose a Life Celebration before they died, my family felt that they had given permission to laugh as much as we cried. I cannot tell you how wonderful it was to be in a room full of people sharing the joyful memories and laughing together instead of dwelling on death. I know in my heart that they would have wanted us to celebrate.

While the popularity of Life Celebrations has increased, a funeral is

Because my relatives chose a Life Celebration before they died, my family felt that they had given us permission to laugh as much as we cried.

still about memorializing a loved one and helping families and friends cope with their loss. Your funeral director will help guide you through the entire process.

About the Author 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 operated family business in the United States which operates three locations in Lexington including its Celebration of Life center at 1509 Trent Boulevard.

Kim can be reached at marketing@milwardfuneral.com or 859-252-3411.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2017

Signs and Symptoms of Menopause HEALTHY LIFESTYLE ADJUSTMENTS MAY HELP EASE YOU THROUGH ‘THE CHANGE’

By Harleena Singh, Staff Writer Menopause is the absence of menstrual periods for 12 months – the time in a woman’s life when the ovaries cease to function and she can no longer reproduce. It is a gradual process that can occur as early as the 30s or as late as the 60s, though the average age is 51 years.

As a woman reaches menopause, her menstrual periods may occur more frequently or they may get farther and farther apart before stopping altogether. Common symptoms of menopause include fatigue, hot flashes, mood changes, stress, irritability and depression. Some women experience insomnia, headaches, joint and muscle aches and pains, changes in sex drive, bladder control problems, vaginal dryness and itching. Sometimes hot flashes are accompanied by night sweats,

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resulting in a lack of sleep and daytime tiredness. increases the risk of bone fractures.

Complications some women may develop after Heart disease risk increases after menopause. menopause include heart disease and osteoporosis. Women who had their ovaries removed surgically A hot flash – a feeling of warmth that spreads at an early age have a higher risk of heart disease. over the body, usually lasting between 30 seconds Cholesterol profiles change, with the LDL (bad) and 10 minutes – is common among women cholesterol increasing. undergoing menopause. It is sometimes followed Emotional and cognitive symptoms of menoby perspiration, according to the National Institute pause include memory problems, irritability, on Aging. Hot flashes are likely due to a combifatigue and rapid mood changes. Some women nation of biochemical and may find it hard to concenhormonal fluctuations brought trate for long periods of time. on by declining estrogen levels. Most women Some women report some Most women experience hot degree of weight gain as they experience flashes for a year or two after go through menopause. The their final menstrual period. distribution of body fat may hot flashes During menopause, the change, being deposited more for a year or lining of the urethra becomes in the waist and abdominal thinner, drier and less elastic area than in the hips and two after their because of declining estrogen thighs. The skin texture may final menstrual levels. This can lead to an change, with wrinkles and increased risk of urinary tract even acne appearing, while period. infections (UTIs), urine leaksome women may experience age or the need to urinate more hair growth on the upper lip, often. Some women experichin, abdomen or chest. ence vaginal dryness or pain Many natural products with sexual intercourse. Women also find they have been studied for their ability to relieve menohave a decreased libido. It’s common to feel less pause symptoms, but none has clearly been shown interested in sex during menopause. to be helpful. Some can have harmful side effects Rapid bone loss is common during the perior interact with other drugs. Leading a healthy menopausal years. Most women reach their peak lifestyle, including following a proper diet and bone density at age 25 to 30 years. After that, bone exercise, helps women during menopause. loss averages 0.13 percent per year, which accelerates to a 3-percent loss during the perimenopausal MENOPAUSE Continued on Page 28 years. Bone loss can cause osteoporosis, which

ARE YOU DISABLED? HAVE YOU APPLIED FOR SOCIAL SECURITY DISABILITY? ARE YOU CAUGHT UP IN RED TAPE? $ FIND OUT IF YOU ARE OWED MONEY $ An experienced Social Security Claims Advocate can help you: • By assisting you in filing your initial application.

• Filling out and filing your appeals.

• Gather medical and other important information to submit to Social Security.

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Cataracts Are a Part of Aging

SURGERY TO REMOVE THEM HAS COME A LONG WAY

by Dr. Rick Graebe, FCOVD Family Eyecare Associates and Vision Therapy If you are coming in to your 40s, you may be noticing that your eyesight is changing. You have to strain a little to read, holding the book or newspaper farther away, or you find you need to wear bifocals. You may even notice a bit of clouding of the lens of your eyes. What is going on?

Your eyes, like many other parts of the body, are showing signs of aging.

The Crystalline lens in your eye is becoming less flexible. This makes it more difficult for the lens to adjust and focus when you look from far to near. Oxidation is another part of the equation. New fibers form in the eyes, and these cause the lens to lose flexibility. This typically happens around your 40th birthday, give or take a few months. You start noticing headaches and fatigue. Your computer comes in and out of focus.

You may begin to be affected by cataracts.

As the fibers around it grow, the lens gets denser and less clear. This is due to a process called brunescence, which means browning. You may notice you need more light to see to read by. Or as you drive at night, car lights seem to have a little more glare around them. Cataracts do not appear all of a sudden. They

undergo a natural progression.

Doctors who specialize in cataract surgery recommend watching and waiting for them to grow. The rule of thumb is, as long as you can see well enough to do the things you need to do and be safe while doing them, you don’t need to do anything with the cataract. Cataract growth is a slow, insidious process; most people don’t realize their vision has been debilitated by cataracts until it gets very bad. When it starts interfering with your day-to-day activities, you have a mature cataract that is ready to be removed.

Cataract surgery has come a long way over the past few decades.

Previously, the surgery entailed cutting the eye open and using 16 to 20 stitches to put the implant in place.

These days, the surgery involves no stitches because the incision is so microscopic. The cloudy lens is removed and replaced. Formerly, the lens was not replaced, causing the eye to lose 20 percent of its focusing power. With all the technological advances today, the eye surgeon can measure the different parts of the eye and calculate exactly what power lens implant you need in order to see after undergoing the extraction. The surgery is such a straightforward procedure that you will probably be

Do you have to strain a little to read, holding the book or newspaper farther away, or find you need to wear bifocals?

What is going on?

able to return to work the day after.

People who have had cataract surgery often say it wasn’t as big a deal as they thought. They exclaim over how much better they can see and wonder why they put it off so long.

There’s little you can do to prevent cataracts, but you can stave them off by following a healthy diet and exercising, improving your oxygen intake and use.

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.

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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2017

Midwives and Doulas: Choices for Expectant Mothers PROVIDING PRENATAL CARE, LABOR AND DELIVERY AND BEYOND

By Jean Jeffers, Staff Writer Are you pregnant and planning for the birth of your child? Your pregnancy may be a special experience for you and your husband or partner as you welcome your new baby into the world. You could consider having a midwife assist you with your pregnancy, particularly through labor and delivery.

Certified nurse midwives (CNMs) and certified midwives (CMs) provide for delivery in a birthing center or at home. Using a midwife makes for a less costly experience.

A CNM is different from a CM or entry-level midwife. A CNM is an RN, a baccalaureate graduate with a BSN and subsequently trained and certified in maternity care. A CM is not a nurse but is trained and certified to care for a woman during

pregnancy. An entry-level midwife is experienced in care of the mother but is not certified. Most midwives are CNMs. According to the American Midwifery Certification Board, as of August 2016, there were 11,475 CNMs and 108 CMs in the United States. Income for CNMs ranges from $30,000 to $80,000.

A CNM: • monitors the physical, psychological and social well-being of the mother throughout the child-bearing cycle; • provides specialized information and counseling to the mother; and • identifies women who require intensive obstetrical care and women considered high-risk and refers them to more trained professionals such as an obstetrician; According to the American College of Nurse Midwives, benefits of receiving midwifery care include: • decreased risk of requiring a Caesarean; • reduced rates of labor induction and augmentation; • decreased infant mortality; • increased satisfaction with quality of care; and • less chance of perineal tears.

Another option for the expectant mother is to have a doula. A doula, according to Abbie Gibitz, “provides emotional, physical and spiritual support to the mom and her support team, attends prenatal visits, provides for education of mom and dad, is a helping presence at labor and delivery and may attend post-partum to help with breast feeding.” Gibitz says a doula assists the mother

but does not do anything medically related. She makes the laboring mother more comfortable, suggests positions to assume, looks after the father and empowers the mother.

Gibitz was a social worker and pastoral counselor when she decided to become a doula. She had a doula present at the birth of her son and found her very helpful, although she almost did not have a doula because she wanted as much privacy as possible. Once she went to birthing classes, she decided to have a doula and it was a wonderful experience.

She decided to become a doula herself to “help women have better birthing experiences.” Her Web site is www.Joyfullbirth Ky.com.

Gibitz’ training consisted of an intensive weekend of learning and attendance at a number of births. Gibitz said there are a number of good reasons for choosing a doula: you may feel safer, you may have a more empowering experience and you may want to have a way to get the father or partner involved in the birthing process.

Paulette Schalck, director of Nurse-Midwives at Good Samaritan Hospital in Cincinnati, said, “We consider pregnancy and birth as normal life processes.

Providing prenatal care, labor and delivery and beyond is what we do.”

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CANCER continued from Page 10

genes. They found five additional genes associated with breast cancer and 13 new mutational signatures that influence tumor development. This shows new causes for cancer and explains why the disease affects certain individuals. It also allows for precision medication individualized for each patient. Genes also play a role in whether chemotherapy will work for a patient. Now there is a test to determine this. The Oncotype Dx test analyzes 21 genes in the tumor to see if the cancer is likely to recur and to determine whether chemotherapy will be effective. This will spare thousands of women from undergoing unnecessary chemotherapy. The findings were published in the New England Journal of Medicine last September. SCREENING continued from Page 11

the endocervix, seem to have become more common in the past 20 to 30 years. Less commonly, some cervical cancers have features of both squamous cell carcinomas and adenocarcinomas; these are called mixed carcinoma or adenosquamous carcinoma.

Symptoms of the advanced disease may include irregular or abnormal vaginal bleeding, pain during sex or vaginal discharge. Treatment for most stages of cervical cancer includes surgery, such as hysterectomy and removal of the pelvic lymph nodes, with or without the removal of both ovaries and Fallopian tubes. Treatment also includes radiation therapy and chemotherapy, depending on how

much cancer has grown and whether you require a combination of treatments.

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American Cancer Society (www.cancer.org) Cancer Research UK (www.cancerresearchuk.org) Cancer Treatment Centers of America (www.cancercenter.com) National Cervical Cancer Coalition (www.nccc-online.org) Web MD (www.webmd.com)

of cinnamon powder to a glass of milk and drink for several weeks, or you could even try drinking cinnamon tea. Turmeric, a warming herb, helps regulate menstruation and balance hormones. Its antiseptic and antispasmodic properties relieve menstrual pain. Mix a quarter teaspoon of turmeric with milk or honey. Take it daily until you see improvement. Try consuming raw ginger and honey daily to get relief from irregular periods.

Be sure to consult your primary care physician before trying any home remedies.

About the Author

Sources and Resources

Sources and Resources

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+.

REMEDIES continued from Page 22

reduce it to 1 cup. Strain and drink the concoction three times a day for a couple of days before your period.

Herbs Natural herbs and supplements such as dong quai and black cohosh can help alleviate the duration and frequency of many menopausal symptoms, such as irregular periods. Herbal teas made with sage and parsley could help treat the problem. Cinnamon has hydroxychalcone, which can affect menstrual regularity. Add half a teaspoon

34 Menopause Symptoms (www.34-menopause-symptoms.com) Enkiverywell (www.enkiverywell.com) Find Home Remedy (www.findhomeremedy.com) Pop XO (www.popxo.com) Top 10 Home Remedies (www.top10homeremedies.com)

MENOPAUSE continued from Page 25

Sources and Resources

Emedicine Health (www.emedicinehealth.com) Healthline.com (www.healthline.com) Medical News Today (www.medicalnewstoday.com) MedicineNet (www.medicinenet.com) MedlinePlus (www.medlineplus.gov) National Institutes of Health (NIH) (www.nichd.nih.gov) The North American Menopause Society (NAMS) (www.menopause.org) WebMd (www.webmd.com)

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Ginseng

Getting to the root of many health concerns

By Tanya Tyler,

Editor/Writer

Ginseng is one of the most popular herbal medicines in the world, according to WebMD. The plant gets its name from a Chinese term meaning “person plant root” because the root is shaped like human legs. There are 11 species of ginseng.

(Many other herbs are called ginseng, but they do not contain the active ingredient ginsenosides.) Ginseng grows in North America, where it is endangered in the wild, as well as Asia and Korea. It is especially prevalent in traditional Chinese medicine and holistic healing arts. Native Americans used ginseng for headaches and to treat other ailments such as indigestion and fever.

Many claims have been made about ginseng’s efficacy, but there has been no solid or conclusive evidence proving it has all the health benefits attributed to it, despite the fact that its botanical name (genus), panax, means “all healing” in Greek. Some claims of ginseng benefits include memory improvement, cancer prevention, easing of menopause symptoms, lowering of blood sugar levels and treatment of heart disease and erectile dysfunction.

At any rate, the commercial sale of ginseng is a booming business; the industry brings in more than $2 billion annually. Ginseng is usually sold dried, but it is also available in powdered, capsule and tablet form.

There is no standard dosing for ginseng. Korea is the largest provider and China is the largest consumer.

According to Food is Medicine (www.draxe.com), fresh ginseng is less than four years old; white ginseng is between four and six years old and is dried after peeling; and red ginseng is harvested, steamed and dried when it is six years old. Older ginseng plants are more valuable and more expensive because ginseng benefits are more abundant in aged roots.

Ginseng is added to energy drinks or herbal teas and is also available as a dietary supplement. It is touted as a good way to help with depression and anxiety; tests on lab rats found it could be used effectively

to treat stress-induced disorders.

Ginseng is said to stimulate brain cells and improve both concentration and cognitive activities. One study appeared to show it improved the cognitive performance of patients with Alzheimer’s disease, although the improvements declined when treatment was discontinued. Some research shows ginseng tea works as a natural appetite suppressant, so many dieters turn to the root to help them battle the bulge. Chinese herbal medicine practitioners recommend adults over age 40 drink one cup of ginseng tea every day. You can use

fresh, powdered or dried ginseng root to make the tea.

There are few side effects and cautions about ginseng, although long-term use or high doses of the herb may cause headaches and dizziness and upset stomach. Some people are actually allergic to ginseng. It can interact with warfarin and some antidepressants. Many experts suggest using ginseng for no more than three months at a time. As with many dietary and herbal supplements, you would be wise to consult with your primary care physician before adding ginseng to your diet.

Ginseng is one of the most popular herbal medicines in the world.

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“With Today’s Breakthroughs,

You Can Eliminate Over-Weight, Fatigue & Pre-Diabetes!”

Debbie Callahan, age 67, started with Dr. Miller to lose weight and get her energy back. After just 4 MONTHS she’d lost over 40 pounds and NOW 48 pounds and still losing!

Q: Debbie, 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 could not lose weight, I had tried everything and I couldn’t get my weight down, and my health and energy was getting worse. I really needed to lose weight, but couldn’t.”

Q: You’ve been seeing other medical doctors, what about Dr. Miller was different?

A: “Dr. Miller made it clear, something was not working correctly in my body. 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 Obesity and Fatigue are being caused by something. Dr. Miller makes complete sense.”

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. After he gets the results, he does a ‘Functional Medicine’ computer assessment that uncovered exactly what was causing my Pre-Type 2 Diabetes, Fatigue and Over-Weight. It’s very impressive.

Q: Debbie, what did Dr. Miller recommend for you to lose weight?

A: “He laid out a very clear plan of care. Dr. Miller just lays it all out so clear. He started off by seeing me every week to ensure I would lose weight, and he has amazing instructions on life-style improvements to eliminate weight and then stay healthy. He makes it all clear and provides great printed instructions.

I’m really happy with how he treats me as a client.”

BEFORE TRUE HEALTH SOLUTIONS

AFTER TRUE HEALTH SOLUTIONS TREATMENT

I’ve lost over 48 pounds, I’ve got my energy and life back and I’m no longer Pre-Diabetic!

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

A: “My results are great, just amazing! After 4 months my weight dropped over 40 pounds and now I’m down over 48 pounds and still losing! I highly recommend Dr. Miller. I got my health, my energy, my life and my weight back!”

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.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2017

&

31

MAKERS Cancer Cells Communicate

Research Shows Cancer Cells Can Spread Earlier Than Thought It’s been understood that only after cells acquire genetic mutations that make them malignant do they proliferate out of control to eventually form tumor(s). After that, cancerous cells can form additional mutations that can enter the bloodstream and organs to establish a malignant colony. These types of metastases are responsible for more than 90 percent of cancer deaths. But two studies of breast cancer suggest this understanding is not correct for all cancers. “This finding challenges everything we thought we knew about how cancer spreads and forms metastases,” said Dr. Julio Aguiire-Ghiso of the Icahn School of Medicine at Mount Sinai in New York and lead investigator of one of the studies. These studies offer the first molecular explanation of how early cancer cells spread and why early detection and treatment often fail to prevent cancer deaths. It seems by the time a tumor is detected in a mammogram, the cells have already been seeding potentially fatal mestastases at distant sites for years, said AguiireGhiso. This also explains the failures of targeted drugs; if cancer cells left the tumor-detected area by the time of detection, the drugs are targeting the wrong area.

Earlier research with mice in 2008 suggested some cancer cells metastasize prior to detection, and so did 2011 and 2015 studies – all from different researchers.

But these two new studies are the first to identify the molecular mechanisms by which cancer cells spread before a tumor forms. They also help explain why about 5 percent of cancer patients have metastases but no original tumor (cancer of unknown primary) – malignant cells formed metastases before the original tumor was detectable. The studies, which focused on the breast cancer gene HER2, were published last December in the journal Nature.

Cancer cells communicate with each other, activating an internal mechanism that boosts resistance to common chemotherapies and promotes tumor survival, say researchers at the University of California San Diego School of Medicine.

Building upon his findings from six years ago, Dr. Maurizio Zanettis, a professor at UCSD School of Medicine and a tumor immunologist at Moores Cancer Center at UCSD Health, further unpacked the protein response UPR used to communicate with immune cells, especially those derived from the bone marrow, to impart them with pro-tumorigenic characteristics. UPR, activated in response to unfolded or misfolded proteins in the endoplasmic reticulum, often determines cell death or survival. This new paper, published in the June 6 issue of Science Signaling, reports cancer cells appear to take the process beyond just affecting bone marrow cells.

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