Health&Wellness July 2020

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Vol. 17 • Issue 10 • July 2020

WOMEN'S BLAZING THE TELEHEALTH TRAIL

H E A LT H

WOMEN’S HEART HEALTH PROGRAM BATTLES NO. 1 KILLER OF WOMEN MIDWIVES: PART OF THE FAMILY ACTIVE FOR A LIFETIME EMPOWERING WOMEN TO KEEP MOVING

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Brian Lord | Publisher David Bryan Blondell | Golf & Special Sections Director Jennifer Lord | Customer Relations Specialist Barry Lord | Sales Representative Anastassia Zikkos | Sales Representative Kim Wade | Sales Representative Janet Roy | Graphic Designer Purple Patch Innovations | Web & Social Media

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.

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Purpose, People and Passion: UK HealthCare Women’s Heart Health Program Battles No. 1 Killer of Women Understanding Depression in Women Blazing the Telehealth Trail Talking to Your Daughter About Menstruation UK's Active Women's Health Initiative Empowers Women to Keep Moving Part of the Family: Midwives Provide Care for Women Throughout Their Lives Body Image Makes a Difference in Mental Wellness

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CONTENTS

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JULY 2020: WOMEN'S HEALTH

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EDITOR Dear Friends, It was a pleasure and a privilege to work on this special issue of Health & Wellness, focusing on the women-centric care at University of Kentucky Healthcare. I got a chance to speak to some amazing women doing some wonderful work. Each of them is a pioneer or trailblazer in her own right. But you know what? None of them wants to toot her own horn or garner any kinds of kudos or accolades for the work she is doing. They simply want to make sure women have good healthcare – adequate screening for ovarian and breast cancer, encouragement to start a healthy lifestyle at a young age, a birthing experience is personal and meaningful. Our hats are off to the women at UK Healthcare. Thank you for all you do for the women of our Commonwealth!

Here's to your health,

Tanya

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PURPOSE, PEOPLE AND PASSION UK HEALTHCARE IS DEDICATED TO HELPING WOMEN TAKE CARE OF THEMSELVES

With plates that are brimming, women often have a long list of priorities – kids, careers, caregiving for older relatives, community responsibilities – that they put ahead of their own health and wellness.

UK HealthCare, the health system at the University of Kentucky, is dedicated to ensuring women of all ages learn to care for themselves throughout their lifespans.

Through education and women-centric programs such as the Gill Heart & Vascular Institute’s Women’s Heart Health Program – which features female physicians, nurses and staff and high-tech interventions – and the UK Midwife Clinic, UK HealthCare strives to help women establish and maintain lifelong health.

The UK Well Woman Clinic

at Women’s Health Primary Care, part of the Center for the Advancement of Women’s Health, provides comprehensive primary care services for women during all stages of life, by providing all age-appropriate exams and diagnostic testing in one convenient, half-day appointment. The clinic also encourages women to participate in the Women’s Health & You (WHY) research initiative, which helps advance knowledge and improve care of women.

The Active Women’s Health Initiative, started by Dr. Mary

Lloyd Ireland, focuses on encouraging girls to begin creating a healthy lifestyle and keep at it as they grow up.

No. 1 cause of death for women isn’t what you think Many women believe their major health concern is breast cancer, but the truth is heart disease is the leading cause of death among women in the United States. And Kentucky women are at a much higher risk for developing cardiovascular disease than women in other states. Women

need to know their risk factors for heart disease, such as having diabetes, a sedentary lifestyle and using tobacco.

Most of the population has attributable risk, said Dr. Gretchen Wells, medical director of the Women’s Heart Health Program. “Within the population, over 90 percent of the cardiac disease could be reduced or eliminated by controlling those risk factors.”

It’s relatively easy to start on the road to cardiac health.

Women are encouraged to: » Eat healthier (including plenty of fruits and vegetables). » Increase their intake of fiber (this supports digestive health). » Choose lean protein sources such as beans, nuts, chicken breast and seafood (to support and maintain

HEALTHY TIPS Here are some more tips for women who want to take charge of their health: » Have a bone mineral density test to detect osteoporosis. » Use sunscreen and avoid indoor tanning. » Learn your family health history. » Talk to your doctor about managing the symptoms of menopause. » Schedule a colonoscopy to catch potential colorectal problems early. » Be vigilant about maintaining your mental health. » Get enough sleep – at least eight hours per night.

bone, muscle and skin health). » Avoid added sugar, salt, saturated fat and trans fats. As a bonus, studies show when women eat healthy, everyone in their household is more likely to consume a healthy diet.

Also, women should be active for 30 minutes a day, five days a week, whether that includes brisk walking, jogging, biking, swimming or other forms of exercise.

Physical activity lowers blood pressure and cholesterol, aids with weight loss, improves sleep and can reduce depression, another major issue impacting women’s health.

Perhaps the most important action women can take – not only for their heart and their overall health – is to quit smoking. According to the UK Gill Heart & Vascular Institute, within a year of quitting, your risk of heart attack declines by 50 percent. If you need help quitting, ask your primary care provider for information about smoking cessation programs.

Get screened Cancer screening is another important way for women to stay on top of their health, said Valeria Moore, BSN, RN, Gynecologic Oncology practice manager at the UK Markey Cancer Center.

“We offer women education about

the importance of timely screening,” she said. “A lot of women don’t realize what kind of screening they need at what age.

It’s important to talk to your primary care physician to see what screenings you should be getting.”

The UK Markey Cancer Center Ovarian Cancer Screening Program, which began in 1987, provides free annual sonographic ovarian screenings to women across Kentucky with the goal of detecting cancer early.

“More than 48,000 women have received a free ovarian cancer screening through our program,” Moore said. “We love serving women and making a difference in their lives and in their treatment.”

Making childbirth beautiful Pregnant women find support before and during labor and after giving birth at the UK Midwife Clinic. They are empowered to create a meaningful, beautiful birthing experience for themselves. “Women are becoming very educated about what their options are for gynecological care and also prenatal care and birth,” said Dolores (Dee) Polito, APRN, CNM, MSN, director and chief midwife at the clinic. “Women who are healthy and want to have more decision-making ability about their birth experience often choose a midwife.”

But midwives aren’t only on the scene during labor and delivery. “Midwives are experts in women’s health,” Polito said.

“It’s much more than pregnancy that we tend to. We are primary care providers for women. We take care of women’s needs all throughout the reproductive life span.”

» Make movement and physical activity a priority. » Establish care with a great primary care provider.

Whatever you need to keep yourself healthy and active, you’ll find just the right information and support at UK HealthCare.

Visit www.ukhealthcare.uky.edu to learn more.

For more information about UK Women’s Health Primary Care, visit www.ukhealthcare.uky. edu/services/primary-care/ womens-health.

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July 2020 | Read this issue and more at www.healthandwellnessmagazine.com |

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Dr. Gretchen Wells, medical director of the University of Kentucky Gill Heart & Vascular Institute’s Women’s Heart Health Program, with team.

Gill Heart & Vascular Institute Women’s Heart Health Program UK Good Samaritan Medical Office Building 125 E. Maxwell St. Second Floor, Suite 200 Lexington, KY 40508 859-323-3231 www.ukhealthcare.uky.edu/gillheart-vascular-institute

FACTS FROM THE WOMEN’S HEART HEALTH PROGRAM »

Studies have shown women with coronary artery disease often visit their doctors later than men do, and women with coronary disease may have fewer cardiac diagnostic procedures performed on them.

»

Women who have diabetes are at much greater risk for coronary artery disease.

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Women with dyslipidemia (bad cholesterol) require special attention because the national guidelines for ideal cholesterol levels in women vary slightly from those in UK HealthCare men.

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Hormone replacement therapy in women with coronary artery disease is complex UK_HealthCare and requires special attention by a skilled medical team to stay current on the recommendations from emerging research.

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Get enough sleep – at least eight hours per night.

July 2020

TAKE IT TO

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WOMEN’S HEART HEALTH PROGRAM BATTLES NO. 1 KILLER OF WOMEN

Coronary artery disease is a major issue in women’s health care – in fact, heart disease is the No. 1 killer of women in the United States, says Dr. Gretchen Wells, medical director of the University of Kentucky Gill Heart & Vascular Institute’s Women’s Heart Health Program.

Heart disease is also the leading killer of women in Kentucky. And Kentucky women are at a higher risk for developing cardiovascular disease than women in other states. That’s why the UK Gill Heart & Vascular Institute has a cardiology program focused on the heart health needs specific to women in Kentucky.

Led by Dr. Wells, the Women’s Heart Health Program addresses the unique cardiac demands of women with a specially tailored program. Its one-of-a-kind, thorough approach provides personalized heart care for women by a predominantly female group of physicians, nurses and staff.

“The Women's Heart Health Program came out of our recognition that cardiovascular disease in women is different from what we see in men,” Wells said. “Not only are the symptoms different, but the diagnosis and treatment may be different as well.”

As part of a comprehensive spectrum of care available at UK HealthCare, patients of the Women’s Heart Health Program have access to the most advanced treatments for cardiovascular disease in pregnancy, chest pain, hypertension, hyperlipidemia, coronary artery disease, congestive heart failure, valvular heart disease, microvascular disease and spontaneous coronary artery dissection (SCAD). Providers perform a personalized risk assessment for each patient and then design an individualized prevention and treatment strategy.

Advancing treatments through research In the past, women who have had chest pain and abnormal stress test results but no diagnosis have had no further options. But now, by utilizing Volcano ComboMap testing,

UK is the only site in the Commonwealth with the ability to definitively diagnose microvascular disease.

UK is also the first site in Kentucky for the Women’s Ischemia Trial to Reduce Events in Non Obstructive CAD (WARRIOR) trial – providing access to the nation’s first large, randomized controlled research study for women with cardiac symptoms but no significant blockage on testing. Finding solutions and treatment options for a diagnosis of SCAD will take a lot of research, and UK HealthCare is the sole location in Kentucky participating in the iScad Registry with the mission of improving patient care and driving scientific discovery.

Understanding that prevention is key when it comes to heart disease, this Gill team is made up of not only a physician, physician assistant and nurses, but patients also have access to a registered dietitian and cardiopulmonary rehab experts to help improve their overall health.

Women sometimes overlook heart disease symptoms Women sometimes are dismissive of their heart disease symptoms and delay seeking treatment more often than men. “Women tend to attribute their symptoms to things other than heart disease,” Wells said. “When they have profound fatigue, they know something’s not right, but they may attribute it to anxiety or depression. Many women have different symptoms, and anything out of the ordinary, they should take seriously and investigate.”

Unfortunately, women often are not diagnosed with heart disease until they have had a major event. They often experience heart attack symptoms that differ from the

crushing chest pain many men have. Some women do present that way, but fatigue, shortness of breath and nausea are other signs. Additionally, other female-specific disorders can increase a woman’s risk of heart disease, including diabetes (as well as gestational diabetes), hypertensive complications during pregnancy and low levels of estrogen after menopause.

“All of these position a woman to develop heart disease later in life,” Wells said.

“It’s important we identify these women early and get them on treatment so we can hopefully prevent these events from occurring later.”

Heart disease is not inevitable, nor is it incurable. “We know from many studies that heart disease is largely preventable,” Wells said. The best actions women can take to ensure heart health are: » Do not smoke. » Maintain a healthy weight. » Manage blood pressure. » Keep a healthy cholesterol balance. » Maintain blood sugar in range. » Eat a healthy diet.

“Most of these things we’re talking about that are good for your heart are fairly lowtech,” Wells said.

A family history of heart disease is a red flag, but even under those circumstances, it can be controlled. “We can’t pick our parents but we can mitigate the risk factors,” she said.

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Integrative Medicine.

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July 2020

MINDFUL JOURNALING

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odern research shows journal writing is an effective, simple, inexpensive and convenient form of self-care. The goal is the interior heartfelt experience that results from mindfully paying attention to your emotions. You may wish to save your writing, but you can also destroy what you’ve written. The goal is connecting to your unique, internal wisdom, intuition and self-knowledge – identifying your emotions and writing them down, not necessarily keeping a written product.

Medical, Emotional and Spiritual Benefits of Mindful Journaling Emotionally expressive journal writing can help improve sleep, blood pressure, arthritis, asthma, pain, wound healing and immune function. Mindful journaling can relieve the distress of anxiety, depression, grief, cancer survivorship, anger, loneliness, traumatic events, eating disorders and addiction.

Mindful journaling can increase your sense of mental, emotional and spiritual well-being, promote resilience and enhance emotional intelligence. It can nurture creativity, improve communication and relationships and help you live in tune with your deepest meaning, purpose and values.

Mindful journaling can ignite a personal passion for your unique life path by cultivating acceptance, gratitude, happiness, forgiveness and compassion.

Limitations of Mindful Journaling Most people describe journal writing as a positive experience.

Therapeutic journal writing can provide insight into life’s problems and relieve mental, emotional and spiritual suffering.

However, journal writing should not be considered a substitute for professional help when your

level of distress is severe. Physical pain and emotional suffering may require professional help from medical or mental health providers or from pastoral counselors. Like medication, journal writing can have side effects. Writing only about the details of traumatic events could make you feel worse.

If there is a question about your response to journaling, speak with a trusted medical, mental health or spiritual counselor.

Growing Gratitude Research in positive psychology suggests gratitude is strongly predictive of emotional wellbeing. I have found growing gratitude is simple and powerful.

My personal journaling practice is What Went Well and Why, developed by psychologist Martin Seligman, PhD. Seligman recommends reviewing your day at bedtime and writing down three things that went well and what you did to create the conditions for these things to happen. Over time, gratitude can be felt at surprisingly unexpected moments during daily life. The seeds of gratitude were always there. They take root, sprout, grow and blossom when they are watered, fertilized and cultivated by regular journaling.

Mindful Journaling Techniques Psychologist James W. Pennebaker, PhD., suggests you should not begin a journaling practice by writing about illness, pain and suffering. He recommends you start by writing about a teacher or book that positively influenced your life.

He also suggests writing a letter to yourself as a child to help mobilize self-nurturing feelings.

How would you advise and speak to yourself as a child? Pennebaker suggests this simple exercise for anyone bothered by a stressful event or past turmoil:

A relationship with “Dear Diary” is a timehonored way to connect emotionally to your own heart as a trusted friend.

1. Write for 20 minutes per day for four days.

2. Write about a major conflict or stressor in your life, something personal and important.

3. Write without stopping until you feel a good stopping point; don’t worry about spelling and grammar.

4. Write for your eyes only.

Nobody else has to know what you have written.

5. If writing makes you feel worse – stop.

Alternatively, you can simply write as emotions arise on the spot.

Grief is a particularly unpredictable emotion, its waves coming and going without warning. Writing down and capturing these waves in the moment, as they occur, can be extremely helpful in grief recovery.

The Three-Question Journal This short, self-nurturing practice is suggested by Rachel Remen, MD, for bedtime each night. Reflecting back on your day, ask yourself three questions: What surprised me today? What touched my heart today? What inspired me today? Write down your answers, or simply let them relax your body, quiet your mind and open your heart as you fall asleep.

When I regularly practice mindful journaling, my days become more alive with surprises, inspirations and moments that touch my heart. I wish the same for you.

Resources

• James W Pennebaker, Writing and Health: Some Practical Advice http://homepage.psy.utexas.edu/ homepage/faculty/pennebaker/ Home2000/WritingandHealth.html • What Went Well and Why? (aka Three Blessings or Three Good Things) Martin Seligman, PhD. (video 2:06) https://www.youtube.com/ watch?v=RT2vKMyIQwc • Keeping a Three-Question Journal https://www.mainemed.com/sites/ default/files/content/Three%20 Question%20Journal.pdf

About the Author: Dr. John A. Patterson chairs the Lexington Medical Society’s Physician Wellness Commission, is past president of the Kentucky Academy of Family Physicians, is board certified in family medicine and integrative holistic medicine and is a certified Physician Coach. He teaches mindfulness for the UK Health and Wellness Program, Saybrook College of Integrative Medicine and Health Sciences (Pasadena) and the Center for Mind Body Medicine (Washington, D.C.). He owns Mind Body Studio in Lexington, where he offers integrative mindbody medicine consultations and classes, specializing in mindfulness for stress-related chronic conditions and burnout prevention. He can be reached through his website at www.mindbodystudio.org.

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517 Southland Drive, Lexington • 859.373.0033 • www.mindbodystudio.org Offering integrative medicine consultations and experiential health and wellness education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship with each other and the earth.

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About twice as many women as men experience depression.

UNDERSTANDING DEPRESSION SEVERAL FACTORS INCREASE A WOMAN’S RISK

By Dr. Tom Miller, Staff Writer Depression is a common but serious mood disorder. It reveals itself through symptoms such as hopelessness, pessimism, irritability, guilt, helplessness and decreased energy or fatigue lasting at least two weeks or longer. About twice as many women as men experience depression. Several factors may increase a woman’s risk of depression.

Some mood changes and depressed feelings occur with normal hormonal changes women experience, although these alone don’t cause depression. Other factors, such as personal life circumstances, can lead to a risk of depression.

Pubescence may increase some girls’ chances of developing depressive symptoms.

Post-puberty depression rates are higher in females than in males. Because girls typically reach puberty before boys do, they’re more likely to develop depression at an earlier age than boys. This depression gender gap lasts

until after menopause. The exact interaction between depression and premenstrual syndrome remains unclear. It’s possible cyclical changes in estrogen, progesterone and other hormones can disrupt the function of brain chemicals such as serotonin that control mood. Inherited traits, life experiences and other factors appear to play a role as well.

During pregnancy, hormonal changes occur that can affect mood. Many new mothers experience crying spells after giving birth or find themselves sad, angry and irritable. Postpartum

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Sources and Resources

• Mayo Clinic (www.mayoclinic.org)

OPENING SUMMER 2020

SPONSORED BY UPTOWN HOUNDS 466 Angliana Avenue | Lexington, KY 40508 859-255-2275 | www.UptownHounds.com

pet health

Looking for the best pet care options for the health and wellness of your 4-Legged friends? Then welcome to our “Pet Health” Section, where we will bring you the finest businesses in Central Kentucky that will tend to the care and well-being of our furry loved ones.

In this issue we feature “Uptown Hounds,” an upscale pet resort in downtown Lexington that will pamper your pooch in the way he or she deserves, as well as all the good things that are happening at the Lexington Humane Society.

ANIMALS FIND SECOND CHANCES

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AT LEXINGTON HUMANE SOCIETY

he life-saving work the Lexington Humane Society (LHS) provides is accomplished by our community’s desire to give animals another chance at a healthy and happy forever.

Every program LHS has in place guides animals in their journey to adoption day. The Second Chances program was developed as a way to provide extraordinary treatment for animals in need of special medical intervention that would otherwise prevent them from thriving.

Second Chances funding assists with inten-

sive surgeries, diagnostic work, equine rescue, prescriptions, formula for foster care and special food – resources that many animals in need would typically not receive. Having an on-site veterinarian and in-house pharmacy allows us to stretch our dollars further, in turn helping a greater number of special-needs animals each year. Typically, an amputation surgery would cost at least $800.

However, we are able to perform the same surgery on-site for approximately $250. Bladder surgery normally costs up to $3,000, yet our cost is only

$1,000. The average amount spent on each Second Chances animal is approximately $1,000.

We are reminded, now more than ever, that we must lean on each other for support. Even during these unprecedented times, we are sure our community will continue to rise to the occasion when there are animals in need. Every dollar counts when providing life-saving care to animals waiting to meet their forever families. They need us. We need you. Donate today to give an animal their second chance.

pet health by Uptown Hounds 13

SUMMER MEANS G” IN P P O H S P O T -S E “ON S AT UPTOWN HOUND

By David Bryan Blondell, Special Sections Dir.

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s a pet owner, are you tired of dragging around your beloved pooch to two, three, or four different places for the services & products your dog needs? Then make your summer more restful by eliminating all those extra trips: give Uptown Hounds a try for the “One-Stop Shopping” of Grooming, Daycare, Boarding, Food, Gifts and numerous Playtime options!

America’s Uptown Hounds Luxury Resorts was created as an all-inclusive, high-quality, highenergy environment where your four-legged family member can play, primp, relax and stay.

And let’s face it — you AND your pooch deserve the best single place available when it comes to providing them everything they need.

Conveniently located in downtown Lexington near office buildings, the University of Kentucky campus and all of the downtown hospitals and healthcare facilities, Uptown Hounds’ guests — pets and their owners — have a multitude of luxurious amenities to enjoy.

Uptown Hounds features large, plush hotel suites for short- and long-term boarding, private daycare rooms, a top-notch grooming Salon & Spa and a boutique with the finest of toys, treats, food and pet-related merchandise. In addition, extremely large heated indoor and manicured outdoor play areas provide your pooch the most fun and friendly environment possible. Moreover, the beautiful marble floors and walls and the upscale fixtures that are part of the facility’s luxurious decor simply reflect the upscale treatment your four-legged member of royalty deserves.

UPTOWN Continued on Page 14

Enjoy “ONE-STOP SHOPPING” at Uptown Hounds!

www.UptownHounds.com

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pet health by Uptown Hounds

July Dog Days of Summer

EVENTS PRESENTED BY

with Oscar Diggs

Dog Days of Summer are Here! We are thrilled to partner with Oscar Diggs during the month of July for the Dog Days of Summer. Stop

by Oscar Diggs located in downtown Lexington and enjoy an animal-themed cocktail and a meal for your pooch on the patio.

A portion of sales from the cocktail and pup meals will benefit the homeless animals at the Lexington Humane Society.

Visit AdoptLove.net for more information.

Join the Lexington Humane Society for a virtual version of our annual Critter Camp. Kids will learn about kindness and compassion, animal advocacy, and responsible pet care through a mixture of online and offline activities at home. The best part is you will receive a take-home camp kit delivered directly to your house by an adoptable animal! Ready for some “furtual” fun?

Visit AdoptLove.net to register!

UPTOWN continued from Page 13

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In addition to Uptown Hounds’ weekly daycare services, a special new weekend daycare schedule is now available: Saturday and Sunday from 8 a.m. to 5:30 p.m.!

Also inquire about the “Daycare Referral Bonus.”

The Daycare Services at Uptown Hounds are considered second to none, with newly expanded weekday hours of 6:30 a.m. to 7:30 p.m. Monday through Friday to make it more convenient for working owners. In addition, there are new weekend daycare hours: Saturday and Sunday from 8 a.m. to 5:30 p.m. Once there, the friendly Pet Services Staff makes sure your dog is well-cared for and is having a happy, fun stay with up to three play-time sessions with its new-found friends (grouped by weight and activity level).

Individual playtime and extra attention is also offered, as is supervised usage of the popular 30-foot-by-50-foot outdoor pool during its seasonal operation.

Which brings us now to summertime, the most anticipated time of the year for owners and pets alike: the opening of the oversized doggie-only pool!

Fondly referred to as the “Cool Pool,” this very popular and in-demand venue provides hours of fun for Uptown Hounds’ clients (and guests; dog vaccines required) to bring and watch their dogs romp and stomp and have the best time of their lives! Towels and lifejackets are available; the staff will provide supervision for pool use during daycare or boarding visits. For further enjoyment, poolside chairs

and tables with large umbrellas surround the pool, giving shade and a comfortable place to rest for owners and swimmers alike.

Summer is here, and “One-Stop Shopping” is a reality that will fulfill your pet’s needs at Uptown Hounds. They recognize the proper, professional care of your pets is among the most important considerations you have — and for anyone wanting to give as much love and special care to your dogs as they give you, this summer please give America’s Uptown Hounds Luxury Resorts a try.

Please visit their website at www.UptownHounds.com or call Guest Services at (859) 2552275. A new texting service is now available as well — text any questions or boarding requests to (859) 255-2275. Uptown Hounds is conveniently located just off South Broadway at 466 Angliana Avenue, just a half mile from downtown and a block from The Red Mile. They invite you to a quick tour of the facility and look forward to welcoming you and your dog as a part of the Uptown Hounds family!

Note: As the conditions surrounding the pandemic and its restrictions change, please call Uptown Hounds or visit their Website to verify what services are currently being offered or affected.

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TWO OPTIONS AVAILABLE UK TeleCare UK TeleCare allows you to continue with regularly scheduled primary and specialty care appointments through a video visit with your provider.

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BLAZING THE

TELEHEALTH TRAIL B

efore the rise of telehealth during the COVID-19

pandemic, oncologists at the University of Kentucky Markey Cancer Center had already begun embracing innovative ways to leverage technology to serve women in Eastern Kentucky diagnosed with gynecological cancers.

For patients who can’t travel easily to Lexington for care, the Gynecologic Oncology Telemedicine Program has made it possible to see a physician without leaving home. Virtual appointments allow women diagnosed with uterine, ovarian, vulvar, vaginal and cervical cancers to stay in their communities, at their local hospital or clinic, while consulting with a UK HealthCare gynecologic oncologist.

This reduces visits patients must make to Lexington. Patients can use telemedicine appointments for most of their care, including initial consultations, second opinions and reviews of tests.

“In July 2019, we started service with healthcare providers and clinics in Eastern Kentucky,” said Valeria H. Moore, BSN, RN, Gynecologic Oncology practice

manager at the UK Markey Cancer Center. “We are currently working with Middlesboro (Cumberland Valley Medical Surgical Associates) and St. Claire Regional Medical Center in Morehead, and we are starting communications with ARH Hazard and ARH Prestonsburg.” Other sites include King’s Daughters Medical Center in Ashland, Tug Valley ARH Regional Medical Center in South Williamson and ARH Hospital Community Clinics in Harlan. This form of care delivery has been a blessing to women in the area. “This enables patients to have a consult visit with a gynecologic oncologist, and then they are brought to UK if they need surgery,” Moore said. “All their follow-up visits are done via telehealth, and they are able to get chemo and radiation in their hometown.”

Getting the program up and running involved almost 18 months of hard work. “We had to develop contracts with the sites, and we had to credential our providers with those sites,” Moore said. But it was also a labor of love. “It’s something that is near and dear to all of us,” she said. “We see the hardships of our patients trying to drive two, three, four hours to get here for their surgery, and then they have to come back for all the follow-up visits. So we have an agreement with these hospitals that we’ll do their surgery here, and they’ll get their chemo and radiation there.”

The Gynecologic Oncology telehealth program eases many burdens for women who have cancer surgery and then must undergo chemo. “Some patients are on four- to six-hour chemo regimens and couple that with a two-hour drive, that in itself is exhausting,” Moore said. “We really want to make our services available to those surrounding counties and all those who have transportation problems.

It will be one less thing for these patients to worry about and deal with on top of a cancer diagnosis.”

Eastern Kentucky has a high rate of cervical as well as lung and blood cancers.

“A lot of the people in those areas prior to the Affordable Care Act did not have health insurance,” Moore said. “Part of cervical cancer prevention is screening.

Many of our patients haven’t had a Pap smear for 15 or 20 years. Some never had a Pap smear.” Even after having an abnormal Pap smear, some women did not receive treatment because they didn’t have the means to go see a specialist. “So having our providers in their community will make a big difference,” Moore said.

An important component of the program is education. The providers will reach out to younger women and teach them about the importance of regular Pap smears, mammograms and screenings.

It is well known that early detection of cancer results in the best outcome.

The UK Markey Cancer Center Ovarian Screening Program started in 1987. This screening is for all women over 50 or who have a family history of breast or ovarian cancer. Moore says almost 48,600 women have received a free ovarian cancer screening through this program.

A pelvic ultrasound is the primary way ovarian cancer is detected in the early stages. “The program at Markey is one of only a few in the United States,” Moore said. Genetic counselors are available to help women assess their risk for different types of cancer.

When a patient finishes treatment, there are still many protocols in place to help maintain good health, and a survivorship clinic, too. “Once a patient has gone through chemotherapy and radiation, there are screenings they undergo to monitor their long-term health,” Moore said. Patients receive a personalized care plan as well as information about diet and areas of overall health, including physical, spiritual and financial well-being, that will support their recovery from surgery, chemotherapy and radiation.

To further facilitate and celebrate survivorship, Markey Cancer Center offers a variety of support groups should a patient wish to participate. “We help find the right support group for that woman,” Moore said. The Gynecologic Oncology Clinic is located in the WhitneyHendrickson Building on the third floor.

It’s a good sign for the future of healthcare to see hospitals working closely with one another to offer these types of programs to women in need.

“We wanted to demonstrate that telehealth could work for cancer patients,” Moore said. “Our goal was to set a standard and an expectation that could be reproduced in all the cancer clinics. We love serving ladies and making a difference in their lives and in their treatment. We hope we are trailblazers.”

This enables patients to have a telemedicine consult visit with a gynecologic oncologist, and then they are referred to UK if they need surgery.

—VALERIA H. MOORE, BSN, RN, GYNECOLOGIC ONCOLOGY PRACTICE MANAGER AT THE UK MARKEY CANCER CENTER

The UK HealthCare Gynecologic Oncology team treats women with cancers that affect the reproductive system, including cervical, uterine, ovarian, vaginal and vulvar cancer.

Treatment options include minimally invasive surgery and the latest offerings of radiation therapy and chemotherapy.

For more information, call (859) 257-4488 or visit www.ukhealthcare.uky.edu/ markey-cancer-center.

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July 2020

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PAP SMEAR:

TEST LOOKS FOR PRESENCE OF PREC ANCER OUS CELLS

MOST CERVICAL CANCERS CAN BE DETECTED EARLY IF A WOMAN HAS ROUTINE PAP TESTS.

By Shelby Riggs, APRN, Family Practice Associates of Lexington, P.S.C.

A

Pap smear is a procedure that screens for cervical cancer. Most women should start getting Pap smears at age 21 years and every three years after. It should be a part of your annual physical exam. The test looks for the presence of precancerous or cancerous cells on the cervix, the opening of the uterus or womb. During the procedure, cells from the cervix are scraped away. It is not painful and takes less than 10 minutes to complete.

You may bleed a little after the test is completed. Tell your doctor if discomfort or bleeding continues the day after the test.

Most cervical cancers can be detected early if a woman has routine Pap tests. This means treatment can start before the cancer spreads and becomes a

serious problem. The Pap test also screens for human papillomavirus (HPV), the virus that causes genital warts and cervical cancer. All sexually active women are at risk for contracting HPV. HPV types 16 and 18 are the primary causes of cervical cancer. The HPV virus can lie dormant for years and then suddenly become active. If you have HPV, you may have an increased risk for developing cervical cancer.

The Pap smear does not detect other sexually transmitted diseases.

To prepare for your Pap smear, do not have sexual intercourse, douche or use spermicides the day before your test. Let your doctor know if you are menstruating; this may affect your results, so you may need to reschedule your test. Relax by taking deep breaths as your doctor slowly inserts a device called a speculum into your vagina. The speculum keeps the vaginal walls open and provides access to the cervix so your doctor can collect the

necessary cell samples from it.

The samples are sent to the lab to be tested for the presence of abnormal cells. If your results are normal, this means no abnormal cells were found. Abnormal test results do not mean you have cancer.

It only means abnormal cells were found on your cervix, and some of them could be precancerous. Your doctor may recommend doing a colposcopy to take a closer look at your cervical tissue. During a colposcopy, your doctor will use light and magnification to see the vaginal and cervical tissues more clearly. In some cases, your doctor may also take a sample of your cervical tissue to do a biopsy.

For patients over age 30, if you have HPV testing done and both the Pap test and HPV test are normal, you can be tested every five years.

You may need more frequent Pap smears if you are HIV positive or if your immune system has been weakened by chemotherapy. You may not need to have a Pap test if you have had a total hysterectomy.

Women over the age of 65 years who have had three negative tests within the past 10 years may be able to stop having Pap smears. Be sure to discuss stopping with your primary care physician.

About the Author

Shelby Riggs is originally from Northern Kentucky, but has resided in Richmond, Kentucky for many years. After working for nearly 10 years as a hospital RN, Shelby decided to further her education and graduated as a Board Certified Family Nurse Practitioner in August 2017 from Indiana Wesleyan University. Shelby’s experience in pediatrics and endocrinology and her personality make her an excellent fit for FPA. She enjoys women’s health and pediatric issues but can see any patient from child to adult. She is available for new patient, well-child and preventive adult visits, as well as routine office visits.

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 615 East Brannon Road, Ste. 100 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 35 years, Family Practice Associates of Lexington is a group of primary care providers who are dedicated to giving family-centered care from birth to later years.

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Talking to Your Daughter About Menstruation IT ’S A CONVERSATION YOU NEED TO HAVE

By Martha Evans Sparks, Staff Writer What women tell their daughters about menstruation seems to be a generational thing.

If you were born 65 or more years ago, your mother either told you nothing or gave you a lecture in such detail that you had no idea what she was talking about. If you were born in the 1990s or later, your mother probably told you all about it in terms she understood. Maybe you understood, maybe you did not.

Most teenagers agree it would be easier to postpone high-risk activity if they had more open, honest conversations with their parents. Telling your daughter about menstruation before she has her first period is near the top of necessary mother/daughter conversations and could ease the way for more in-depth talks as she grows older.

Menstruation, or the menstrual cycle, is the monthly flow of blood and cellular debris from the non-pregnant uterus. It begins at puberty in all women. The bleeding, often referred to as a period, usually lasts from three to seven days. A woman’s first menstrual period may come as early as 8 years of age, though age 11 or 12 years is more usual. Occasionally a girl will not menstruate until as late as age 16 years. Some menstrual discomfort is common; sometimes intensely painful cramping

occurs. The onset of menstruation is the body’s way of announcing it is mature enough to incubate a baby. Menstrual periods cease permanently usually between the ages of 45 and 55 years, a stage of life called menopause.

Most women say they took menstruation casually as youngsters, accepting their periods as just a normal part of life. For some young girls, however, it comes as a shock. By the time your daughter is 8 years old, you should have begun discussions with her about this important topic. As her mother, try to remember that you probably felt the same way she does – appalled and intrigued – when you first heard about menstruation.

One good way to start a discussion about menstruation with a young girl is to create an occasion to walk past a display of sanitary napkins or tampons in a store. Ask a casual question about whether the girl knows what these products are used for. Bear in mind your child may have already heard some things from her friends. But whatever her level of knowledge, as her mother and true friend, be open, factual and truthful.

In the conversation, it may be well to introduce her to a new word – puberty. Tell her it means her body has entered a new stage of growth and change. One of the changes puberty brings is the beginning of some bleeding that will come from an opening in her lower body.

Be sure to use correct language, never cute or crude euphemisms. You could end the discussion by purchasing some sanitary products for future use.

This is not a one-time conversation. It should be an ongoing discussion. Watch for teachable moments.

Be an “askable,” accessible parent. Be ready to answer questions such as, “Do boys have periods, too?” Assure your daughter you are there for her if she has cramps, heavy periods or more questions. She should know she will get honest answers from you and no question is considered dumb or off limits. Laying a good foundation of open conversation with your daughter now will make it easier when you move on to discussions that may include warnings against high-risk activity, including premarital sex.

As her mother and true friend, be open, factual and truthful.

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HandWmagazine

ACTIVE FOR A LIFETIME...

Photo credit: FatCamera/E+ via Getty Images

To learn more about the Active Women’s Health Initiative, visit www.uky.edu/chs/smri/activewomen For more information about UK Orthopaedic Surgery & Sports Medicine, visit www.ukhealthcare. uky.edu/ortho

Photo credit: peepo/E+ via Getty Images

July 2020

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UK'S ACTIVE WOMEN'S HEALTH INITIATIVE

EMPOWERS WOMEN TO KEEP MOVING As a teenager, Dr. Mary Lloyd Ireland fell in love with sports, including track, basketball, field hockey, and most notably, competitive swimming.

But after experiencing lower back pain, she was diagnosed with spondylolisthesis, a defect in the wing-shaped part of the vertebrae. At the time, there was no real plan of action to get her treated, rehabbed and back to an active lifestyle.

“My pediatrician asked me, ‘Why don’t you just quit doing sports?’” she said. “And that was not an acceptable answer to me.”

Since Title IX was enacted in 1972, our culture has come a long way in terms of encouraging girls and women to become involved in sports and other physical activities – a 2019 Forbes article notes that nationally, almost 43 percent of participants in high school sports are girls, an all-time high.

However, as the number of female athletes increases, so does the need for research specific to the female body. Active girls and women have unique physical issues that cause a higher risk of certain injuries and in turn, a higher dropout rate compared with male athletes. Despite the steady increase in female athletes over the decades, women overall still engage in less physical activity than men across all ages.

Ireland ultimately chose to have a back fusion surgery and resumed all her sports a year later. That experience “lit a fire” within her, she says, empowering her to compete more fiercely and later, become a sports medicine physician.

However, not all women are able to continue physical activity after injuries without a little extra support. To help reduce problems that may arise due to injuries, the University of Kentucky Sports Medicine Research Institute (SMRI) launched a new program in 2018 focused on the female athlete. The Active Women’s Health Initiative (AWHI) is one of four major research initiatives housed at the SMRI, building upon the 25-plus years of research that came to UK in 2015 with the arrival of current College of Health Sciences Dean Scott Lephart.

Co-directed by Ireland and Hanna Hoch, an assistant professor in the UK College

of Health Sciences, the AWHI promotes health for girls and women of all ages by addressing unique issues related to physical activity promotion and injury prevention, treatment and rehabilitation.

“Women’s health is so multi-factorial,” Hoch said. “To have this project focus on women, it allows us to figure out better ways to prevent and treat injuries, engage them in physical activity and help keep them active throughout life. Physical activity can improve your quality of life, but it can also negatively impact it if it leads to injuries – we want to help women become and stay active, but make sure they’re being safe as well.”

The research element of the program aims to answer sex-specific questions on both physical activity promotion and injury prevention, treatment and rehabilitation.

Since the AWHI began, Hoch has been building the basis for their future studies through a survey designed to better understand the relationships among physical activity participation, injury history and health-related quality of life among women.

Additionally, Ireland would like to initiate studies that focus on activity level of adolescents and younger children to see how physical activity at a young age might affect boys’ and girls’ overall well-being in adulthood.

AWHI’s outreach has included a focus on younger girls’ sports teams, with presentations tailored to the needs of the group. For example, female middle school

athletes have been on campus to run drills using the cutting-edge tech of the SMRI lab, while young scientists have visited to learn more about biomechanics.

The AWHI team hopes for the initiative to become a central resource for researchers, clinicians, students and community members who are seeking to support active girls and women. As physical activity in the female population continues to rise, so will the need for gender-specific work in this area.

Lephart says that this type of research has been a foundation of his team’s work since the 1990s, and it will continue to be a top priority moving forward.

For Ireland, a former Olympic team doctor who’s been practicing sports medicine at UK since 2008, the prevention angle is just as important as the treatment in her role as a physician.

“It’s a win-win for me,” she said. “Because throughout my 30 years of practice, I’ve been trying to prevent injuries.”

And ultimately, says Hoch, the real goal is simple: inspire girls and women not just to become active because it’s good for you, but because you enjoy the process.

“Identify your dreams, and you can do them,” said Hoch, an avid runner. “I tell my daughter, I don’t go to win the races I run in, I go to run in them… it’s just a matter of identifying the resources and then deciding that you’re worth it and taking the time to help yourself and do what you want to do.”

Active girls equal healthy women.

—DR. MARY LLOYD IRELAND SURGEON, UK ORTHOPAEDIC SURGERY & SPORTS MEDICINE

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July 2020

PART OF

THE FAMILY MIDWIVES PROVIDE CARE FOR WOMEN THROUGHOUT THEIR LIVES

The UK Midwife Clinic opened in 2017 when the Lexington-based Womankind Midwives was brought into UK HealthCare.

From primary care to prenatal, birthing and postnatal care, the midwife clinic offers health services tailored to women’s needs in a reassuring environment.

The warmth, compassion and encouragement shown to every patient starts with the UK Midwife team.

“We have a lot of love for one another, which translates into a fun, supportive and teamoriented work environment,” said Chrissie Adams, APRN, CNM, who was inspired to pursue midwifery following the midwifeattended births of her niece and nephew. “This further translates into supportive, personalized care for our patients and their families.”

Welcome to the UK Midwife family

There are no patients at the UK Midwife Clinic – only family and friends.

“We see our patients as our extended family,” said JoAnne Burris, APRN, CNM, who was so moved by her own birthing experience with a midwife that she felt called to help other women in the same way. “We value listening, meeting women where they are, and empowering them to be partners in their healthcare.”

When moms have to bring their children to appointments, the UK Midwife family is there to make sure the mom is able to get the undivided attention she needs.

“The staff are always eager to entertain children, hold them, soothe them and love on them while the midwife spends some quality time with the mama,” said Dee Polito, APRN, CNM,MSN, who was always drawn to being a nurse and midwife, particularly after having three children of her own. “One day I was about to examine a mama who had her 1-year-old with her. I cracked the door open and asked, ‘Can anyone hold this baby for a minute?’ Two of our techs came racing to the room, as well as Lori from the front desk.”

The joy of bringing new life into the world is common at the midwife clinic, but occasionally,

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About the University of Kentucky Midwife Clinic The UK Midwife Clinic offers midwifery (obstetrics), gynecology and primary healthcare to women across the female reproductive lifespan, from puberty to menopause.

they experience the sad reality of miscarriage. The midwives and staff ensure these families receive comfort and guidance.

“We light candles in our waiting room when someone is experiencing a loss,” said Polito, director and chief midwife at the UK Midwife Clinic. “It’s very important to us to acknowledge those losses, especially during a time when there is so much hope and happy expectations for the future. It’s just our gentle way of saying: ‘We understand.

We are with you.’ We laugh with our patients, and we cry with them, too. We are women caring for women.”

As part of the family, the women who go to the UK Midwife Clinic are at the center of the team’s mission to provide exceptional care. “We won’t stop until every woman feels heard, cared for and respected,” Burris said.

Polito added: “We all will go above and beyond for patients who trust us with their care. We constantly strive to exceed expectations.”

A family that works well together stays together The UK Midwife family is a tight-knit group because of the respect and concern members have for one another and their patients. They show interest in people’s lives outside of the clinical space, and everyone is willing to step outside of their comfort zones when someone needs help, Adams said.

“We call our patients by first name and take special interest in their stories, trials and triumphs,” said Hayden Murrell Meza, APRN, CNM, who knew midwifery was her calling after witnessing women’s health disparities when she lived and worked for nearly three years as a healthcare provider in Uganda.

At the midwife clinic, meetings are more like friendly gatherings. When challenges arise, as they frequently do in healthcare, they only serve to strengthen the team’s cohesiveness. Problem-solving and decisionmaking are collective efforts.

“We listen to each other,” Polito said.

“We respect each other. We care about each other. We value one another’s opinions and views. Families will always have challenges to work through. Having that basic philosophy allows us to overcome those challenges and move forward.”

Care throughout the lifespan Certified nurse midwives (CNMs) are registered nurses who have earned a master’s of science degree in nursing with additional certification in midwifery. It takes about eight years or more to earn the degree and the certification. Some nurse midwives have a doctorate.

Polito has been a CNM for 22 years.

“I’ve always been fascinated by the process of pregnancy and birth, and I wanted to become an advanced practice nurse and be able to care for women all throughout the lifespan,” she said. “That’s what interested me in midwifery.”

The phrase “catch the baby” gives an understanding of the midwife’s role at a birth. “We as midwives believe the woman delivers the baby,” Polito said. “We don’t say we deliver babies because the mother delivers her own baby. We often facilitate that process and have a woman really be a part of and participate in the birth. … That’s why we say we catch the baby.”

Midwifery goes beyond pregnancy and birth. “We are primary care providers for women,” Polito said. Midwives offer different types of birth control and provide annual checkups, manage other issues such as hypertension, diabetes and substance abuse disorders, and help women through menopause.

They also make referrals when necessary.

“We really take care of women’s needs all throughout the lifespan,” Polito said.

The midwives offer compassionate care designed to empower women to create an individualized birthing experience. Patients also have access to the region’s highestlevel neonatal ICU. The UK Birthing Center is located on the third floor of UK Chandler Hospital.

Whether planning for a baby or entering menopause, every woman deserves a healthcare provider who respects her values, preferences and personal goals.

University of Kentucky Midwife Clinic 141 N. Eagle Creek Dr. Suite 200 Lexington, KY 40502 (859) 323-9897 www.ukhealthcare.uky.edu

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July 2020

BODY IMAGE

MAKES A DIFFERENCE IN MENTAL WELLNESS

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | July 2020

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CELEBRATE YOUR PHYSIQUE AND LEARN TO LOVE YOU

By Michelle Chalkey Barichello, Staff Writer How do you feel when you look in the mirror? Do you feel confident and comfortable in your body or shameful and insecure? It’s easy to find flaws when you’re trying on new clothes or taking a serious look at your physique, but the way you perceive your body makes a huge difference in your mental health and the way you show up in the world. Height, shape, weight – all your physical features are under your own judgment, and your attitudes toward them make up your body image.

A positive body image means you have a clear and honest perception of your physique. You see your body as it is rather than labeling its parts good or bad. A person with a positive body image accepts her body’s shape and size and recognizes the separation between physical appearance and her character and value as a person.

Negative body image occurs when a person has a distorted perception of her physical nature. Someone with negative body image likely feels shame, anxiety and insecurity about her shape, size or features.

Having a healthy body image is an important part of mental wellness, but as we start internalizing messages about our bodies, it’s easy to develop a negative body image. This can lead to serious issues such as depression, low self-esteem and eating disorders.

In fact, research shows body dissatisfaction is the most common contributor to developing anorexia nervosa or bulimia nervosa.

If you have negative feelings about your looks, here are some healthier ways to think about your body: Celebrate your body: Take a moment to think about all the things you enjoy doing with your body, such as dancing, walking your dog, laughing, eating. Appreciate the way your body allows you to experience fun activities. The fact that your body is capable of such movement is a blessing in itself; not everyone is so fortunate.

Make a list of all the things you like about yourself: This list shouldn’t be about your physical features. Instead, focus on the inner qualities you like about yourself. Read this list often and add to it as you come across new things.

Choose to be around positive people: Surround yourself with people who are generally positive.

Spend your time with people who build you up and accept you the way you are. Positive energy is infectious.

A positive body image means you have a clear and honest perception of your physique.

Wear clothes that make you feel good: Dress in a way that flatters your figure. Choose colors that make you feel more confident.

Affirm positive thoughts: When you hear negative voices in your head denegrating your body image, reframe those thoughts with positive ones. Remind yourself that you are a worthwhile person and you are taking good care of yourself.

Treat yourself: Instead of listening to the voices in your head, become more in tune with your physical body and listen to its needs. Do you need more sleep? A relaxing bubble bath? A glass of cold water or an energizing walk outside?

Positive body image doesn’t happen immediately, but continuing these practices over time will help you reframe the way you view your body.

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Chamomile SLEEP WELL WITH THE HELP OF THE EARTH APPLE

By Tanya Tyler, Editor Health&Wellness Have you ever suffered through a bout of insomnia and had someone tell you to try drinking a cup of chamomile tea to help you sleep? Chamomile is a daisy-like plant often employed in herbal medicine. Over the centuries as people have used it, chamomile has been touted to treat a wide range of ailments, from hay fever to menstrual cramps to ulcers, hemorrhoids and, of course, insomnia. Your shower gel, shampoo or skincare lotion may contain chamomile, which is said to treat conditions such as sunburn, eczema and psoriasis. It may speed the healing of skin ulcers, wounds or burns. Two types of chamomile, Roman and German, are most frequently used in these types of applications.

Chamomile is said to have anti-inflammatory, analgesic and disinfectant properties. The plant’s flowers contain volatile oils such as bisabolol and matricin as well as flavonoids and other therapeutic ingredients. Once you’ve drunk your tea, use the teabag to help soothe your eyes.

The Flower Expert (www.theflowerexpert. com) says chamomile is probably the most widely used relaxing herb in the Western world.

It’s native in many European countries and is cultivated in Germany, Egypt, France, Spain, Italy, Morocco and parts of Eastern Europe. This “earth apple” is available as dried flower heads or as a liquid extract as well as tea. It’s called earth apple because the flowers have a scent reminiscent of apples. Its Spanish name, Manzanilla, means “little apple.”

According to Mountain Rose Herbs (wwwmountainroseherbs.com), chamomile was revered in ancient Egypt for its healing prop-

B E A U T Y

erties and was also used as an offering to the gods. In Europe, chamomile has been utilized as a panacea for digestive health. Herb Wisdom (www.herbwisdom.com) says chamomile gained popularity during the Middle Ages, when people began using it as a remedy for numerous medical complaints, including asthma, colic, fevers, inflammation, nausea, skin diseases and cancer.

Native Americans have used chamomile and related species since their introduction to the Americas. Cherokee people drank the tea to promote regularity and the Kutenai and Cheyenne tribes made jewelry and perfume out of the dried flowers. Folklore says chamomile has magical properties that attract money.

Over the past 20 years, research has confirmed many of the traditional therapeutic claims for chamomile using pharmacological methods. This research showed chamomile does have antipeptic, antispasmodic, antibacterial, antifungal and anti-allergenic capabilities. Chamomile is now included in the pharmacopoeia of 26 countries.

More recent research identified chamomile’s prowess as an anti-inflammatory and as a muscle relaxant with sedative properties. Animal studies show chamomile contains substances that act on the same parts of the brain and nervous system as anti-anxiety drugs.

Are there any precautions against using chamomile? The National Institutes of Health says pregnant women should not consume chamomile because it can trigger uterine contractions that may cause miscarriage. Also, if you are allergic to ragweed pollen, chamomile preparations may cause you to have an allergic reaction.

Chamomile may interfere with blood thinners.

Before trying any herbal supplement, be sure to talk to your primary care physician.

Sources and Resources

• Herb Wisdom (www.herbwisdom.com) • Mountain Rose Herbs (wwwmountainroseherbs.com) • The Flower Expert (www.theflowerexpert.com)

Chamomile is probably the most widely used relaxing herb in the Western world.

July 2020

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31

“With Today’s Breakthroughs, You Too Can ELIMINATE Diabetes, Neuropathy, Hypertension, Over-Weight & MORE!” BEFORE TRUE HEALTH SOLUTIONS

AFTER TRUE HEALTH SOLUTIONS

Harold Gilbert, age 56, started with Dr. Miller to Eliminate Type 2 Diabetes and Neuropathy.

After just MONTHS, Gilbert’s AIC went from 7.2 on medications to 5.9 OFF MEDS! He lost over 28 lbs., his Neuropathy, Hypertension, Acid Reflux and Body Pain are gone!

Gilbert went from 14 medications a day to ZERO a day.

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

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

A: “Dr. Miller makes it just so clear, something is causing diabetes, neuropathy and hypertension.

Something in my body is not working right. 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.”

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 Type 2 Diabetes, Neuropathy, Hypertension and being Over-Weight. It’s really very impressive.”

Q: Harold, what did Dr. Miller recommend for you to Eliminate Diabetes, Neuropathy and Hypertension?

A: “Dr. Miller laid out a very clear plan of care, he makes it all very clear and started off by seeing me every week to ensure I would win and walk away from all these diseases. I’m really happy with how he treats me as a patient.”

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A: “My results are great, just amazing! After just months my A1C went from 7.2 on over 14 medications a day to 5.9 off all the medications. My weight dropped over 28 pounds and now I'm off nearly every medication, from 14 a day! I highly recommend Dr. Miller.

I got my health and my life back!”

“My A1c went from 7.2 on medications to 5.9 off meds! I’ve lost over 28 lbs., my Neuropathy, Hypertension, Acid Reflux and Body Pain are gone and I’ve got my energy and life back!”

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

(859) 223-2233

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