Health&Wellness May 2019 by Rockpoint Publishing

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Vol. 16 • Issue 8 • May 2019

CELEBRATING

MOM M AY 1 2 • M O T H E R ' S D AY

FAMILY PLANNING

BEST NUTRIENTS FOR MOM AND BABY

“With Today’s Breakthroughs, You Too Can ELIMINATE Neuropathy, Obesity, High Cholesterol & More!” BEFORE TRUE HEALTH SOLUTIONS

Michael Beebe, 62, was diagnosed with Neuropathy in both his hands and his feet, and suffered from Obesity, weighing 230 lbs. He also suffered from High Cholesterol, High Triglycerides, Alcoholism and had lost his sense of smell for over 7years due to a chronic history of Sinusitis for 35 years. He was accepted as a client and NOW.. his Neuropathy is gone, sinusitis is gone, his smell has returned and he’s lost over 40 pounds and he is free from alcoholism! Q: Michael, why did you go to Dr. Miller? A: “Neuropathy was terrible and my health was simply getting worse and I was afraid of losing my feet or a hand. I had suffered poor health for years and I really needed to lose weight, and I heard of Dr. Miller and the results he gets.” Q: You’ve been seeing other medical doctors for Neuropathy and other health conditions, what about Dr. Miller was different? A: “Dr. Miller made it so clear, something was causing my Neuropathy. He said his whole approach is to uncover and reveal exactly what that is and then address that, the real problem. The other doctors just recommended more medications. Dr. Miller makes complete sense.” Q: What does Dr. Miller do to find out what’s not working correctly inside your body? A: “Dr. Miller does a very comprehensive blood panel lab he orders through Lab Corp. He goes over the actual results of his clinic’s ‘Functional Medicine’ computer assessment. It is very impressive. Q: After Dr. Miller finds what is not working correctly, what’s he do?

AFTER TRUE HEALTH SOLUTIONS

A: “Dr. Miller really does take the time and goes over everything, so I understood, and shows what needs done and what type of natural treatment he recommends fixing the problem causing Neuropathy and Obesity. It makes perfect sense seeing everything.” Q: Michael, what did Dr. Miller recommend for you to eliminate your Neuropathy and Obesity? A: “Dr. Miller started off seeing me weekly to ensure what he calls ‘the victory’ of eliminating the causes of Neuropathy and Obesity. He provides clear instructions on life-style improvements to eliminate poor health and then teaches you how to stay healthy. He just makes it all so clear and provides great printed instructions. I’m really happy I came to Dr. Miller, he literally saved my life.” Q: What are the results of your treatment from Dr. Miller? A: “My results are amazing, remarkable and life changing! My Neuropathy is gone, I can sleep better, my follow-up blood labs proved my Cholesterol is now normal and I’ve now lost 40 pounds! I highly recommend Dr. Miller!”

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IMPROVING KENTUCKY AND BEYOND, ONE SMILE AT A TIME. Read our article in this month’s issue to learn how baby’s oral health can be impacted by mommy’s oral health.

University of Kentucky College of Dentistry

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CONTENTS

MAY 2019: PREGNANCY & FAMILY PLANNING

Preparing to Conceive

Spotlight on Folic Acid

Iron: Essential for Mom and Baby

Diabetes and Pregnancy

Infertility Affects Both Women & Men

Predicting Preeclampsia

Uterus Transplant Becomes Viable Option

DEPARTMENTS 16

IN THE NEWS

EVENTS CALENDAR

NATURE'S BEAUTY

FOOD BITES

COLUMNS 8

IMAGING The Butterfly Effect of Your Health: The Thyroid

GENERAL DENTISTRY When You’re Brushing for Two

FAMILY VISION Macular Degeneration

FUNERAL Never too early to plan for retirement

HEARING WELL Hearing Aids vs. Over-the-Counter Devices

ASSISTED LIVING Laughter is the Best Medicine

FAMILY DOC Talk to your doctor about vaccinations

COSMETIC DENTISTRY Tooth Whiteners

INTEGRATIVE MEDICINE Let food be your medicine

FROM THE

EDITOR

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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© Copyright HEALTH&WELLNESS Magazine 2019. 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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Dear Friends, As the year begins to warm up, our thoughts naturally go to new life. Baby birds fill nests in trees; newborn foals scamper in the bluegrass paddocks. So it is appropriate that this issue of Health & Wellness focuses on pregnancy and family planning. You’ll find articles about prenatal care (hint: pump up your iron!) and options for fertility treatment. Another fascinating article takes us into the realm of uterine transplants – something unheard of only decades ago, but now a real (albeit very expensive) possibility. In May we also celebrate Mother’s Day, so give the mothers in your life a big hug and a thank you for all they do! Here’s to your health,

Tanya

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Preparing to Conceive MAKE MAINTAINING A HEALTHY LIFESTYLE YOUR PRIORITY By Jamie Lober, Staff Writer There are many great resources in the community for women preparing to conceive, including gynecologists, internists and healthcare professionals at the Women, Infant and Children (WIC) program at the Lexington-Fayette County Health Department. This program is incomebased nutrition education for moms-to-be. Making sure you adopt and maintain a healthy lifestyle before getting pregnant can be beneficial. This includes paying attention to nutrition and physical activity. What you eat does matter. “Specific things like eggs, milk, cheese, bread, tortillas and juice help pregnancy,” said Cristina Hiten, business services and nutrition team leader with WIC. Food-borne illnesses are of concern because you want to be extra cautious about what you absorb. “We discuss listeria and salmonella bacterium to make sure women do not end up

acquiring them,” Hiten said. “We discuss making sure all chicken products have been cooked all the way through and we advise against eating anything with raw eggs, like cookie dough or cake batters.” Height, weight and iron are checked at your initial consultation. “Iron carries oxygen in the blood and assures there is oxygen going to all places in the body, which is important for the developing fetus,” Hiten said. Taking a prenatal vitamin is recommended. “The prenatal vitamin is a first line in assisting you to get a good start,” Hiten said. General healthy choices promote the best outcome for mother and child. “We talk about limiting caffeine intake, and being active, such as brisk walking, is encouraged,” Hiten said. A doctor who knows you well will be able to give you the most useful guidance on what you can and cannot do during pregnancy. “Ideally it is important to go ahead and make the doctor’s appointment as soon as you know you are pregnant because the first trimester is considered one of the most important,” Hiten said. “That is when the cells, muscles and tissues are growing and forming.” If you have a certain condition, you want it to be under control. “We ask health questions like if you are diabetic or have hypertension because we are concerned about gestational diabetes and we want to make sure women get the support they need,” Hiten said. If you are unsure about the ins and outs of pregnancy, that is normal. “First-time moms

always have more questions,” Hiten said. But the more educated you are, the better you may feel as you go on this journey. “Planning is always very important, but sometimes pregnancies are not planned, so we want to make sure wherever you are in your state of life, you know there are resources out there for expectant parents,” Hiten said. As you take measures to become healthier as a mom, you will find you are actually at the same time giving your baby a healthier start in life.

There are resources out there for expectant parents.

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THE BUTTERFLY EFFECT OF YOUR HEALTH:

T H E T HYR O I D

elevision personality Deborah Norville of Inside Edition recently announced the nodule on her thyroid, originally brought to her attention in 2004 by an observant viewer, is now cancerous. This got me thinking about the “Butterfly Effect” since, well, the thyroid gland is shaped like a butterfly. The butterfly effect is a chaos theory that illustrates the idea that some complex systems (Norville’s thyroid cancer) exhibit unpredictable behaviors such that small variances in the initial conditions (a viewer’s observation and call in) could have profound and widely divergent effects/ outcomes. But just what does this little butterfly gland do and why should we pay attention to it – way before someone else has a chance to notice? The thyroid gland is shaped, well, like a butterfly. It lies across the cartilage of the neck above the collar bone. Its job is to stimulate metabolism and, along with the parathyroid gland (beside or near the thyroid), it controls the body’s circulating calcium levels. Many different disorders are associated with the thyroid. Basically there’s either too little or too much thyroid hormone. Although the symptoms are similar, the cause can be linked to the thyroid itself or issues with the hypothalamus or pituitary gland in the brain. Hashimoto’s thyroiditis is an autoimmune disorder that causes hypothyroidism.

Too little hormone – HYPOTHYROIDISM – can have many causes; the most common is iodine insufficiency. On a cellular level, our bodies won’t metabolize food properly, resulting in: • Weight gain • Tiredness • Cold intolerance • Muscle cramps • Joint pain

MANY DIFFERENT DISORDERS ARE ASSOCIATED WITH THE THYROID.

• • • • •

Carpal tunnel syndrome Decreased sweating Brittle hair and nails Constipation Low heart rate

Too much hormone – HYPERTHYROIDISM – can increase metabolism beyond a healthy level, resulting in: Stimulation of the body’s sympathetic nervous system (ready-for-a-fight feeling) • Fast heart rate • Palpitations • Tremor • Anxiety • Diarrhea • Weight loss Grave’s disease is the most common presentation of hyperthyroidism. You need to have a physical exam along with a blood test to evaluate whether that is your problem. Thyroid stimulating hormone (TSH) levels are the most common way to monitor thyroid health. However, a TSH blood panel may not reveal an issue. This is why a thyroid ultrasound is a very useful tool – just ask Deborah Norville. The

ultrasound can show images of both lobes, or wings, as well as the isthmus, the bridge that connects the gland. The images can detect normal vs. abnormal tissue and measure specific growths or goiters caused by excessive production. Once a nodule is detected, it may be rescanned at various intervals to determine any growth or anatomical changes over time. As in many areas of medicine, how often for how long is up for debate, but currently, it appears to be a six-month followup scan initially, then following up through three years. Ultrasound is also commonly used to guide the needle into the nodule during a thyroid nodule biopsy. It is estimated 27 million Americans have thyroid disease, and about 13 million are undiagnosed! Think about that. That little butterfly gland can cause so much chaos – and that is NOT a theory! We wish Ms. Norville well following her thyroidectomy (removal of the thyroid). Her physicians followed that little butterfly for 15 years before the outcome. I am so proud to

be a sonographer knowing the technology, skills and availability of this amazing diagnostic tool helps so many. Patient Choice Ultrasound and Thermography has boardcertified sonographers capable of producing high-quality images of your thyroid.

About the Authors With 40 years in the field of ultrasound, Kim Davis, RDMS, RDCS, RVS, is the founder and CEO of Patient Choice Ultrasound & Thermography. Becky Chandler, ACCT, Advanced Clinical Thermographer, is a partner at PCU with 10 years of experience. PCU is located at 152 W. Tiverton Way in Lexington and can be reached at (859) 554-7360 or visit its Web site at www.patientchoiceultrasound.com.

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SPOTLIGHT ON FOLIC ACID

Ask your physician about prenatal supplements.

THIS NUTRIENT IS CRUCIAL FOR FETAL DEVELOPMENT

By Brittany Rice, M.S., Maya Hines, M.S., Niraj R. Chavan, M.D, MPH, Kevin Pearson, Ph.D., and Sara Police, Ph.D. Expecting moms, are you eating a well-balanced diet? Getting enough rest? Exercising regularly? Taking folic acid supplements? If you are pregnant or planning to become pregnant, your answer should be “yes” to each of these questions. Like diet, rest and physical activity, folic acid supplementation can influence the health of your baby. The Pregnancy Supervitamin The B vitamin family refers to a group of eight B vitamins that work collectively to support metabolism and cellular function.1 Each B vitamin has its own unique function. The pregnancy supervitamin, vitamin B9, is necessary for proper fetal growth and development.2 Although we get vitamin B9 from our diet, most research recommends supplemental folic acid during pregnancy, in addition to increased intake of folate-rich foods. Folate is the naturally occurring form of vitamin B9 found in oranges, avocados, spinach, beets, beans and eggs. Supplemental folate (folic acid or FA) is the synthetic form of vitamin B9 found in fortified, processed foods such as bread, cereals, rice and pasta. Vitamin B9 is an essential nutrient because the body cannot produce it. The Dose Matters Most Folic acid can be consumed in a multivitamin or prenatal vitamin or alone as a supplement. According to the March of Dimes, women of childbearing age should take a multivitamin or vitamin supplement containing 400 micrograms of folic acid daily. During

pregnancy, the recommended daily dose increases to 600 micrograms.3 It is relatively easy to meet this recommendation, since most commercial formulations at your pharmacy or supermarket will have 400 to 800 micrograms per dose. For Baby’s Sake! Folate is critical to the early development of the baby’s brain. Research has demonstrated its importance to the formation and closure of the neural tube. Maternal folate deficiency is associated with neural tube defects such as spina bifida and anencephaly. Spina bifida is a congenital defect where part of the spinal cord is exposed through a gap in the backbone. This can lead to paralysis of the lower limbs, permanent disability and mental handicap. Anencephaly occurs when there is incomplete development of the brain and skull. It can cause miscarriage.4 Studies have also shown folic acid supplementation can prevent congenital heart diseases, poor growth in the womb, preterm birth, low birth weight and miscarriage. According to the Centers for Disease Control and Prevention, adequate folate intake plus folic acid supplementation can reduce the risk of a baby developing these diseases by more than 50 percent.4 Taking a recommended dose daily of folic acid is a good way pregnant women and those who plan to become pregnant can prevent neural defects. If you are pregnant or planning to become pregnant, ask your physician about prenatal supplements. Your baby’s health depends on it! References

1. Kennedy, D.O. (2016). B Vitamins and the Brain: Mechanisms, Dose and Efficacy – A Review. Nutrients, 8(2), 68. doi:10.3390/ nu8020068

2. Folic acid (2018). Retrieved from www.cdc.gov/ncbddd/folicacid/ about.html 3. Folic acid (2018). Retrieved from www.marchofdimes.org/ pregnancy/folic-acid.aspx 4. Folic Acid and Pregnancy. Retrieved from www.webmd. com/baby/folic-acid-andpregnancy#1

About the Authors: This article was team written by graduate students and faculty at the University of Kentucky College

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of Medicine. Dr. Niraj Chavan is an assistant professor and physician in the Department of Obstetrics and Gynecology. Kevin Pearson is an associate professor in the Department of Pharmacology and Nutritional Sciences; his research investigates how maternal diet and behavior such as exercise can influence the health outcomes of offspring. Dr. Sara Police is an assistant professor and faculty advisor to the Nutritional Sciences and Pharmacology Students Association.

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interfere with iron absorption. Take your iron supplement with something besides coffee, tea or milk. In general, iron is best absorbed between meals as a single supplement or combined with vitamin C, which helps improve iron absorption.

Iron: AN ESSENTIAL MINERAL FOR MOM AND BABY By Dave Schnell, PhD., and Sara Police, PhD. During pregnancy, blood volume increases by about 1.25 liters. That’s a 50-percent increase from normal levels and it’s just shy of 3 pounds! Increased blood volume is essential for carrying oxygen and nutrients to a growing baby. With all this new blood comes the need for more red blood cells, and with red blood cells comes a demand for hemoglobin, the iron-containing protein in red blood cells that binds oxygen and carries it throughout the body. Because iron is so important, moms-to-be have a special need for extra iron in their diet.

the world among pregnant women and affects approximately 18 percent of pregnant women in the United States (National Institutes of Health, 2018). Low iron can also cause problems for baby. Anemic moms often have babies with anemia, which can have negative cognitive, psychological and social effects (National Institutes of Health, 2018). Anemia in mothers is also associated with increased risks of low birthweight and preterm labor (Peña-Rosas, De-Regil, Dowswell and Viteri, 2012).

Iron Deficiency Anemia Why do expecting moms need extra iron? If iron stores are too low, the body cannot make enough hemoglobin to keep up with red blood cell production, and red blood cell counts drop with rapidly expanding blood volume. The ratio of red blood cells to the total volume of blood is called hematocrit. Low hematocrit due to iron deficiency is called iron deficiency anemia (IDA). It causes extreme fatigue, shortness of breath and pica, a strange urge to eat things such as dirt or clay. Pregnant women are at higher risk of IDA because the natural expansion of blood volume puts extra demands on red blood cell production. IDA is the most common nutritional disorder in

Supplementation and Dietary Changes for Mom One way to prevent IDA is to regularly eat iron-rich foods, such as spinach, beef, tofu, broccoli, lentils and cashews. Most pregnant women take in around 14 milligrams of iron per day (below the recommended daily allowance) during pregnancy. Thus the Institute of Medicine recommends all pregnant women supplement their diet with 27 mg/d of iron during the second and third trimesters and 10 mg/d during lactation. These low-dose supplementations are less likely to cause gastrointestinal discomfort. The foods you eat affect how efficiently your body uses iron. For example, calcium and caffeine

Welcome Home.

Iron-Fortified Foods for Baby Full-term babies of a healthy birth weight usually have plenty of iron stores from mom, and breastmilk or formula has enough iron to keep up with baby’s needs for the first six months of life. However, healthy babies can be at risk for iron deficiency in the second half of their first year. Most infant cereals are fortified with iron for this reason. Talk with your pediatrician about the best time for the gradual transition from bottle to table foods. To start, cereals can be added in small amounts to formula or breastmilk and offered with a spoon. If you are pregnant or plan to become pregnant, talk with your obstetrician about testing hemoglobin levels and preventing iron deficiency anemia. References

1. National Institutes of Health (NIH) (2018). Iron: Fact Sheet for Health Professionals. Retrieved March 22, 2019 from https://ods.od.nih.gov/ factsheets/Iron-HealthProfessional/ 2. Peña-Rosas, J.P., De-Regil, L.M., Dowswell, T., and Viteri, F.E. (2012). Intermittent oral iron supplementation during pregnancy. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.cd009997 3. Institute of Medicine (U.S.). Panel on Micronutrients. Dietary Reference Intakes for Vitamin A, Vitamin K, Arsenic, Boron, Chromium, Copper, Iodine, Iron, Manganese, Molybdenum, Nickel, Silicon, Vanadium, and Zinc. Washington, D.C.: National Academies Press (US); 2001. 9, Iron. Available at https://www.ncbi.nlm.nih.gov/books/ NBK222309/

About the Authors: Dave Schnell is a research analyst in the Department of Athletic Training and Clinical Nutrition in the College of Health Sciences at the University of Kentucky. Sara Police is an assistant professor and associate director of graduate studies in the Department of Pharmacology and Nutritional Sciences at the University of Kentucky College of Medicine.

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May 2019

WHEN YOU’RE BRUSHING FOR TWO IT ’S IMPOR TANT TO CONSIDER OR AL HEALTH WHEN YOU’RE PREGNANT

here is no shortage of things to think about when you’re pregnant, from prepping for baby’s arrival to squeezing in enough rest. Unfortunately, some areas such as oral health are overlooked during pregnancy. Hormonal changes as well as behavioral changes occur for many women during pregnancy, both of which can directly affect the mouth. As the baby’s wellbeing can be impacted by the oral health of the expectant mother, special attention should be placed on oral health and any concerns should be addressed early on by a dentist. Pregnancy Gingivitis Inflammation of the gums during pregnancy, also known as pregnancy gingivitis, is caused by hormonal changes that increase blood flow to the gingiva or gums, causing them to be tender and swollen. They may even bleed during brushing or flossing. This is the most common oral health problem facing expectant mothers; up to 40 percent of women are affected with pregnancy gingivitis. It is important to recognize the symptoms and visit the dentist before it progresses. Oral bacteria present in an expectant mother’s mouth has the ability to affect both child and mother. Left untreated, pregnancy gingivitis can lead to a more serious condition called periodontal disease or gum disease. With periodontal disease, an expectant mother may experience bone loss in the jawbone, which could lead to teeth loosening or even tooth loss. Additionally, periodontal disease is associated with premature birth or low birthweight. A study published in the Journal of the American Dental Association found women with chronic gum disease were four to seven times more likely to deliver prematurely (before 37 weeks) and give birth to underweight babies when compared to moms with healthy gums.

Pregnancy Tumors These are another common condition during pregnancy. They are an overgrowth of tissue that occurs most often between the teeth, generally during the second trimester. These bumps are not cancerous and usually go away on their own after the baby is born. They appear red and almost raspberry-like and bleed easily due to an increased number of blood vessels. In more severe cases, pregnancy tumors may become bothersome and prevent normal eating and speaking. In such instances, a dentist can safely and quickly remove the affected tissue under a local anesthetic. As plaque, a sticky film containing bacteria, is often a trigger for the presence of pregnancy tumors, following good oral hygiene practices can help avoid their development. Morning Sickness Morning sickness can wreak havoc on an expectant mother’s oral health. Stomach acid that makes its way into the oral cavity can weaken and damage tooth enamel, the outer protective covering of the teeth. After an episode of vomiting, it is best to rinse the mouth with water or mouth rinse. Wait 20 to 30 minutes before brushing because that may spread acid around the mouth rather than removing it. Dietary Considerations Expectant mothers should know frequent snacking on foods high in carbohydrates and sugar leads to a better environment in their mouth for the creation of bacteria called Streptococcus mutans. This bacteria produces acid that weakens enamel and increases the risk of tooth decay. Vegetables, lean proteins and low-fat dairy are healthier snacking options. Also, keep in mind foods eaten during regular meals typically cause less harm than snacking throughout the day because more saliva is released

during a meal. Saliva helps remove food from the mouth and eliminate cavity-causing acid. Drinking plenty of water while reducing the consumption of sugary drinks also helps eliminate acid and will help with overall oral hygiene. When you’re unable to brush after meals or snacks, rinsing the mouth with water is another helpful way to reduce acid. Brushing for Two In addition to an association between periodontal disease and premature birth or low birthweight, an expectant mother whose oral health and hygiene are lacking can pass destructive bacteria to her newborn, increasing the baby’s risk for developing a cavity very early in life. A baby’s teeth can start to decay as soon as they appear. Besides helping the baby avoid the potential pain associated with treating a cavity, protecting these teeth is essential for eating, speaking and much more. It is important for women to maintain good oral health before becoming pregnant and to continue

visiting their dentist during their pregnancy. Having regular dental checkups will help prevent oral problems and allow early detection of the issues that do occur while they are easy to treat. In addition to visiting a dentist regularly and alerting them to any changes in oral health, oral hygiene practices such as brushing at least twice daily and after each meal when possible, using a fluoride toothpaste approved by the American Dental Association and flossing at least once per day are also beneficial. Following these tips will give both mom and baby a reason to smile. About the Author:

Dr. Stacie Maggard is an assistant professor at the University of Kentucky College of Dentistry. Her clinical interests include general, implant and cosmetic dentistry for all ages. More information about UK Dentistry is available at www. ukhealthcare.uky. edu/dentistry.

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

May 2019

DIABETES AND PREGNANCY PREPARE AND TAKE CARE OF YOURSELF IF YOU HAVE DIABETES AND ARE EXPECTING

Gestational diabetes is usually a temporary condition.

By Jean Jeffers, Staff Writer

“Dear Henry, sit down, please. I have something to share with you, some really good news: I am pregnant.” For most women, it is a most joyful occasion – letting her husband know she is pregnant. But a to ensure a healthy pregnancy. The University of Cincinnati. She is a staff women with diabetes needs to pre- weeks of pregnancy. During that writer for Living Well 60+ and Health team can give you advice, but you pare for and make specific plans time, there are particular risks to must use the information they give & Wellness magazines. She has a before getting pregnant to ensure the baby if the mother has unconnovel newly published on Amazon, you. the health of mother and baby dur- trolled diabetes, including birth Journey Toward Healing, now being ing the pregnancy. defects, particularly of the brain or discounted. Diabetes is a disease caused by spine. There is also a chance the About the Author: high levels of blood sugar in the baby will be born early, weigh too Jean is an RN with an MSN from the body. This happens when the body much, have breathing problems or does not make insulin or does not have low blood sugar after birth. use insulin correctly. Diabetes can For the pregnant woman, longcause serious health problems, term health conditions such as eye including heart disease or stroke, problems and kidney disease could blindness and kidney failure. It worsen. There is also the very real can also cause problems during danger of developing preeclamppregnancy. sia. If the pregnancy has reached Sharing One C Type 2 diabetes is common in 37 weeks and preeclampsia develadults, especially those over 45 ops, the obstetrician may want years of age and who have a family to deliver the baby early. Before history of diabetes or weight issues that time, other measures must be Sharing One Commitment to Faith,  Family Sharing OneCare Commitment to Fai such as obesity. Diabetes during employed to help the baby develop BestKYFriends™ pregnancy may be the result of as much as possible before he or 5220 Grey Oak Lane | Nicholasville, 101 Se Adult Day40356 Program having type 2 diabetes before preg- she is born. 859-885-3000 I BridgepointeAssistedCare.com 859-8 5220 Grey Oak Lane I Nicholasville, KY 40356 Sharing One Commitment to Faith, Care  Fam nancy or acquiring diabetes durBeing obese at the time of preg• Assis • Offering Assisted Senior Care and Memory Care 859-258-2226 I BestFriendsAdultDay.org ing pregnancy, a condition called nancy is another risk factor that 5220 Grey Oak Lane | Nicholasville, KY 40356 101 Sexton Way I Midway, KY 40347 Open • The Best Friends™ Approach toMon Care- Fri, 7:30 am - 5:30 pm • Kentu Bes gestational diabetes. 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Family Vision.

May 2019

MACULAR DEGENERATION LEADING CAUSE OF VISION LOSS

ge-related macular degeneration (AMD) affects the macula, an area inside the back of the eye in the center of the retina. This is where the eye focuses for recognizing faces and reading. The retina records images we see and sends them via the optic nerve from the eye to the brain. AMD occurs when the central portion of the retina begins to deteriorate, affecting a person’s ability to read, drive, recognize AS YOU faces or colors and see objects in fine detail. AMD GROW is the leading cause of vision loss in older adults. According to one source, the prevalence of AMD OLDER, IT is estimated to reach epidemic proportions of 6.3 BECOMES million Americans by the year 2030. MORE There are two types of AMD, wet and dry. Wet AMD is a progression of dry AMD, not a separate IMPORTANT condition. Macular degeneration begins when TO HAVE waste products, called drusen, build up under the macula. This is called dry AMD; it causes blurring REGULAR EYE and distorts vision. As the condition progress, EXAMS. abnormal blood vessels grown beneath and into the retina, causing swelling, bleeding and changes in vision. This is called wet AMD because the abnormal blood vessels begin to leak. Most people have dry AMD. Risk factors for AMD include age, genetics and environment, although research has not yet been able to show exactly why the cells in the macula begin to deteriorate. Smoking doubles the risk of developing AMD. At present, AMD is incurable. In early stages, it does not affect vision, but as the disease progresses, patients may have wavy or blurred vision. For instance, the straight edge of a door or sentences

on a page in a book seem wavy. You may also notice a gray or dark area in the center of your visual field. In its most severe form, the condition causes the patient to lose central vision completely. People with very advanced AMD are considered legally blind, although they may retain peripheral vision. Treatment may include an option called laser photocoagulation or photodynamic therapy (PDT). Another treatment involves injecting the patient with a drug activated by a laser that selectively destroys and seals the leaking blood vessels. Although it is not a cure, the drug and laser treatment can probably slow the rate of vision loss. Some sight may be retained, but lost sight cannot be restored. The most common and effective treatment for wet AMD is anti-VEGF therapy, which entails injecting a chemical called vascular endothelial growth factor directly into the eye. It inhibits the formation of new blood vessels behind the retina and may keep it from leaking. As you grow older, it becomes more important to have regular eye exams. That is how most cases of AMD are detected. A specific test looks for drusen and pigment or color changes in the retina that may signal AMD. Your eye doctor may have you print out and use an Amsler grid with which you can discern visual changes that might indicate AMD. About the Author

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

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

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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2019

Infertility Affects Both Women and Men CONSULT A SPECIALIST FOR HELP By Jamie Lober, Staff Writer It may surprise you to know men and women can be affected by infertility almost equally. The American Pregnancy Association names declining sperm counts, testicular abnormalities and decreased reach of climax as causes of infertility in men. For women, the causes include tubal blockage, endometriosis, polycystic ovarian syndrome and advanced maternal age, which affects egg quality and quantity. Infertility is on the rise. There are many factors for it, one of which may be couples are waiting until later in life to start a family. There is also an increase in sexually transmitted diseases such as chlamydia that can block tubes and prevent pregnancy from happening in general. Some people wonder how long they should try to conceive before they declare themselves infertile. The American Society for Reproductive Medicine encourages women to see their doctor

Resident Perspective

Jacqueline Lester (Jackie) first came to Tanbark as a short term rehab patient. She then transitioned over to being a Resident in a Personal Care apartment and has thoroughly enjoyed the 8 months she has been living at Tanbark.

if they are under 35 years of age and have been trying to conceive for more than 12 months or if they are over 35 years of age and have been trying to conceive for over six months. Fertility treatments can be mild to invasive. They can be as simple as lifestyle changes or modifying diet and taking vitamins or they can involve advanced treatment such as medication or assisted reproduction. You may have heard about in vitro fertilization (IVF), a process in which eggs are extracted, a sperm sample is retrieved and the sperm and egg are combined in a laboratory dish. The resulting embryo is transferred to the uterus. Success rates for IVF depend on many variables, including the cause of infertility, age of the parents-to-be, lifestyle choices and reproductive history. To find out what option may be best for you, the Centers for Disease Control and Prevention (CDC) suggests couples see a reproductive endocrinologist. The specialist will gather a medical and sexual history from both partners. If you agree, the specialist may do a semen analysis, tubal evaluation and ovarian reserve testing. The doctor will consider how long you have been infertile and ask your prefer-

ence for treatment after understanding the risks versus rewards and success rates of the options. Everything is individualized and tailored to the particular couple’s needs and situation. RESOLVE, the National Infertility Association, says the best thing you can do is listen to your body, get regular checkups and share helpful information with your doctor. Early detection and treatment of any problems are vital to having a positive pregnancy outcome. You can start with your gynecologist, who can discuss strategies such as how to better time intercourse with ovulation. The good news is there is a lot of help available, and it is highly unusual that a couple will not find an option that can be successful for them and allow them the chance to raise a happy, healthy family.

The American Pregnancy Association says a woman’s most fertile time is during ovulation, typically between day 11 and 21 of the menstrual cycle.

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May 2019

I N

T H E

N E W S By Angela S. Hoover, Staff Writer

CRISPR Babies Crisis: Urgent Need For Regulation Chinese researchers first edited the genes of a human embryo in a lab dish in 2015. This led to a global outcry and pleas from scientists not to make a baby using technology. As the gene-editing tool CRISPR became cheaper and easier to use, genetically engineered humans created through in vitro fertilization became a very real possibility. A team at the Southern University of Science and Technology in Shenzhen, China, recruited couples to gene-edit their babies in vitro last November. The goal was to delete a gene called CCR5 in hopes of making the babies resistant to HIV, smallpox and cholera. They used CRISPR to modify the embryos before they were transferred into the women’s uteri. One couple gave birth to twin girls. It was later revealed the team, led by He Jiankui, performed genetic experiments on fetuses as late as 6 months gestation. Over the course of the first months of 2019, mystery, controversy and eventually condemnation surrounded these Chinese CRISPR babies. In February it was reported the twins’ brains were changed in ways that enhance cognition and memory. New research has shown the same alteration introduced into the girls’ DNA – the deletion of the gene CCR5 – makes mice smarter and improves human brain recovery after stroke. Jiankui’s experiment was widely condemned as irresponsible and the Chinese government launched an investigation (although it is speculated the government was more aware of what happened than it is telling the international community). In March, a prominent group of 18 scientists and bioethicists from seven countries called for a global moratorium on introducing germline editing into human sperm, eggs or embryos to make genetically altered children. Some of the scientists had originally developed CRISPRCas9. They do not call for a moratorium on genome editing of somatic cells, which would not affect future generations. The group published their commentary in the journal Nature on March 13. U.S. National Institutes of Health director Francis Collins endorses a global moratorium. Other scientists, including Nobel Laureate David Baltimore of the California Institute of Technology in Pasadena, oppose a moratorium. Baltimore denounces such a ban as “draconian” and “antithetical to the goals of science.”

Same-Sex Success In Mice Mammal reproduction requires an egg and sperm, but genetically altering eggs and sperm has allowed for single-sex breeding in mice. Researchers at the Chinese Academy of Sciences modified the genomes of eggs to resemble those of sperm and vice versa, resulting in mice born from femalefemale unions that survived well into adulthood to become mothers themselves. The male-male union babies were short-lived in comparison. The results were published Oct. 11 in the journal Cell.

CHINESE RESEARCHERS FIRST EDITED THE GENES OF A HUMAN EMBRYO IN A LAB DISH IN 2015.

Funeral.

May 2019

NE VER TOO EARLY TO

PLAN FOR RETIREMENT

hether you’re a boomer or the child of a boomer, you may have started talking about the next 10, 20 or even 30 years and planning for the retirement years. If you have already had the retirement conversation and started planning, congratulations – you are doing yourself and your family a favor by considering and possibly making decisions about the many choices you have available to you. If you haven’t, don’t worry, you aren’t alone. I highly encourage you to start learning about, thinking about and discussing your future retirement with your family so they aren’t left in the dark wondering what Mom or Dad prefers. Finding a way to start talking with loved ones about retirement and the future is the difficult part. Here are a few topics to start with: Retirement Age Just because you can retire at age 65 years doesn’t mean you have to or want to. Many people choose to work beyond retirement not because they need to but simply because their job is their passion. If you enjoy working, you should continue doing so. Perhaps consider cutting back your days so you can pursue other activities you enjoy or always wanted to do. If you are ready to throw in the towel and can afford to do so, by all means retire and enjoy life. Finances If you’re going to retire, you certainly need to know how you will cover your expenses. No matter how old you are, it is a good idea to meet with a professional who can help you get your financial affairs in order.

THE LEXINGTON COMMUNITY OFFERS A SPECTRUM OF SERVICES TO SENIORS.

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

living or nursing home where you’d prefer to live? Senior living facilities are popping up all over town. Similar to the drugstore boom, the need for senior living facilities is greater than ever. If you haven’t, now is a great time to schedule a tour so you can find facilities you prefer if you should need to get more personalized care. Funeral/Life Celebration While no one really likes to plan for death, it is one of those things on the “have to” list. That is, if your goal is to ease the burden on your family. There are literally over 100 decisions that need to be made at the time of a person’s death. Planning in advance is simply a responsible thing to do and one your children will greatly appreciate. Things to consider include whether you will pay for the funeral/life celebration now or through life insurance and specifying what you want done with your remains (burial or cremation) and where you want them placed, as well as how you’d like your life celebrated. Planning all these aspects allows your family more time to grieve their loss at the time of your death. Activities Retirement does not have to be the equivalent of sitting in front of the television all these remaining years. It can be if you want, but it can also be filled with a lot of enjoyment with friends and family. It could include traveling, volunteering, reading or quilting, exercising, caring for grandchildren, attending spiritual activities, cooking and so much more. The choice is yours. Enjoy life to its fullest. But also learn about the resources available to you and your family for your retirement. The need for senior resources varies widely depending on how independent or co-dependent an individual is during his or her senior years. The Lexington community offers a spectrum of services to seniors. In fact, there seems to be more senior services than ever before. Our community is preparing for an increased demand from boomers who have or are about to enter their retirement years along with their parents who are living longer than previous generations. About the Author

Healthcare Will your children or home health care take care of you in your home or theirs? Is it time to downsize so you can live in your own home longer? If necessary, do you have a specific independent senior

Mary Gateway has been a funeral director at Milward Funeral Directors for 15 years. Milward, the 37th oldest continuously operating family business in the United States, has three locations in Lexington. Mary can be reached at the Broadway location, 159 North Broadway; by email mgatewood@ milwardfuneral.com; or by calling (859) 252-3411.

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

May 2019 | Read this issue and more at www.healthandwellnessmagazine.net |   HandWmagazine

Predicting Preeclampsia: BLOOD TESTS ARE FORTHCOMING By Angela S. Hoover, Staff Writer Preeclampsia is serious condition that affects up to 9 percent of pregnant women. Once known as pregnancy poisoning, it is the second most frequent cause of death for pregnant women. About 76,000 of the 10 million pregnant women worldwide die each year from preeclampsia. About half a million babies die annually from preeclampsia – 10,500 in the United States. Early in a normal pregnancy, the spiral arteries – blood vessels that feed the uterus – open up like funnels to provide the fetus blood and oxygen. In preeclampsia, this remodeling process does not occur normally. The opening of the funnel is too narrow to give an adequate blood supply to the fetus. Preeclampsia can develop into eclampsia (the word comes from the Greek eklampsis, meaning lightning bolt) – a life-threatening complication characterized by seizures and coma.

Preeclampsia progresses rapidly. The signs and symptoms don’t appear until after the 20th week of pregnancy, so the only options are to monitor the mother closely and/or deliver the baby early. In its most severe forms, preeclampsia can lead to brain hemorrhage, edema (excessive watery fluid) of the lungs and kidney failure. Babies delivered prematurely as a result of preeclampsia often suffer lifelong problems, such as cerebral palsy, epilepsy, blindness, deafness and learning disorders. Risk factors for preeclampsia include a history of high blood pressure, obesity, carrying more than one baby and being under 18 years of age or over the age of 40 years. Symptoms include decreased blood platelets, headaches, visual disturbances, sudden weight gain, swelling in the legs and feet and proteinuria – a high amount of protein in the urine. Proteinuria is a telltale sign that a pregnant woman has already developed preeclampsia. Researchers have developed about 70 prediction models for preeclampsia in the first trimester, but these screening protocols are complicated and expensive to implement. A 2018 study led by Kypros Nicolaides, a professor of fetal medicine at King’s College in London, showed detection of preeclampsia in the first trimester was possible using a combination of 17 tests called Screening Program for Preeclampsia (SPREE). SPREE combines maternal risk factors and medical history with testing for four predictors of preeclampsia. However, the SPREE protocol isn’t a practical solution for many clinical settings. These screening methods use complicated

algorithms, sophisticated sonography and other equipment often unavailable to women and doctors in low-income countries. Nicolaides led a clinical trial in 2017 with 1,620 pregnant women at high risk of early-onset preeclampsia that showed those who took a daily dose of 150mg of aspirin beginning in the 11th week to the 14th week of pregnancy reduced their risk of preeclampsia by 62 percent, compared to those who took a placebo. A 2018 meta-analysis of 16 clinical trials of aspirin for preeclampsia, led by epidemiologist Stéphanie Roberge of the National Institute of Excellence in Health and Social Services in Quebec, found high-risk women who took a daily dose of aspirin reduced their risk of preeclampsia by about 70 percent if the dose was more than 100mg and began before the 16th week of pregnancy. Aspirin may play a role in the remodeling of spiral arteries, a process that is complete by 16 to 18 weeks of pregnancy. Researchers have been pursuing a simple, portable and inexpensive blood test to detect preeclampsia in the first trimester. From 2016 to 2018, an international research group at Vienna University of Medicine analyzed preeclampsia biomarkers. Initial results show the doctors were able to rule out preeclampsia within one week of taking a sample. Oxford Nanopore Technologies is trying to develop a handheld, mobile-sized DNA sequencing device to test for preeclampsia with a drop of blood from the finger. One day clinicians will be able to give mothers a simple blood test to catch preeclampsia.

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Hearing Well.

HEARING AIDS VS. OVER-THECOUNTER DEVICES:

W HY D O E S O N E CO S T S O M U C H M O R E?

ne of the most common questions I get after recommending hearing aid technology to a patient is: Why are they so expensive? This question not only stems from pricing advertised by local hearing healthcare providers, but also overthe-counter (OTC) devices that can be purchased for a fraction of the cost. Many patients will look at the dollar amount and focus on it. There is so much more to take into consideration when investing in the appropriate technology. The true value of amplification is overlooked when someone focuses on the bottom line only. Let’s talk about some of the major differences between hearing aids and OTC devices that may shed some light onto this cost discrepancy.

CHEAP HEARING AIDS ARE … CHEAP Did you know OTC hearing aids are usually not true hearing aids? Soon legislation will be in effect to help consumers understand what they are purchasing, but because no regulations are being enforced at this time, consumers are often being very misled. A hearing aid is a device programmed specifically to a hearingloss prescription. Each frequency within the hearing aid is adjusted independently to make sure the patient is getting the volume they need when they need it. How does this differ from OTC options?

These are essentially amplifiers. All frequencies are being either turned up or down, with no individuality. This can cause patients to feel lowfrequency sounds are too loud or high-frequency sounds are too soft. Not to mention there is danger some sounds can cause even more hearing loss because the settings are at unsafe levels. WHAT ABOUT BACKGROUND NOISE? I am going to be the bearer of some bad news here, but it’s the honest truth: There is absolutely no way to completely get rid of background noise. I hear people promise this to patients all the time and it breaks my heart and infuriates me both at the same time. The reason we cannot get rid of background noise is because the devices are turned on. In order for the device to understand what sounds it needs to make louder, the microphones have to be working. This means noise is going to slip into the microphones as well. Think about your ears and brain. They are always on, but when the sound is sent to your brain, it decides what to focus on and what to ignore. The same is true for hearing aids. OTC devices do not have the appropriate technology within them to separate speech sounds from noise. Because of this, there is no way for the devices to effectively lessen the amount of noise being heard. Hearing aids, because

of their advanced technology, have the ability to differentiate background noise from the intended speech signal. The microphones within the hearing aids sample the environment every few milliseconds, making changes based on what is heard. When background noise is recognized, specific algorithms go into effect to help lessen the amount of background noise while increasing the intentional speech signal, thus creating an improved signal-to-noise ratio. This has significantly helped patients in more complex listening environments. PROGRAMMING CAPABILITIES What happens when the OTC device breaks? Can the buyer send it in for repair? And where do they go for help with their questions? Local providers are unable to answer questions regarding such devices because we have no programming capabilities. It’s not because we don’t want to; it’s because the devices are not capable of being programmed. Purchasing hearing aids from a hearing healthcare provider affords a completely different experience. Typically hearing aids come with a two- to three-year warranty for repairs. If there are questions, that provider should be able to answer them via phone or email. Like most providers I know, I welcome questions. We want our patients to understand everything there is to know about the hearing aids they are wearing!

PROFESSIONAL ADVICE A local audiologist is the best place to start. On top of the technological differences, part of the reason for investing more in hearing aids is because of the service you will receive. When fitting a patient with hearing aids, providers take time to ensure the patient understands the hearing aid technology, how the device works, all the parts and pieces, how to insert and remove it, how to change batteries ... the list goes on – and that is just at the first appointment. Hearing aid verification is also completed to ensure the hearing aids are actually doing what they are supposed to do. This allows the audiologist to confirm the patient is getting as much benefit as possible. Adjusting to the hearing aids may take a few appointments, but those adjustments are done with ease because of this advanced technology. Fine tuning ultimately allows providers to give patients the listening experience they want and deserve. AN AUDIOLOGIST CAN HELP Finding the right professional is a personal decision. No matter who you chose, be confident in that choice. Make sure the hearing healthcare professional is willing to take the time to answer your questions and guide you through the process of better hearing. A trusted and valued relationship with your educated professional will make all the difference.

ABOUT COMMONWEALTH AUDIOLOGY 204 Bevins Ln. B. | Georgetown, KY 40324 | (502) 642-4322 | www.commonwealthaud.com Dr. Tiffany Brewer completed her Doctor of Audiology (Au.D.) at the University of Louisville’s School of Medicine and her undergraduate degree in Speech Pathology and Audiology at Miami University in Oxford, Ohio. She is licensed by the state of Kentucky as an Audiologist and Hearing Instrument Specialist. She is also a member of the Academy of Doctors of Audiology, the American Speech-Language-Hearing Association, the Kentucky Speech-Language-Hearing Association, the Kentucky Academy of Audiology and the American Academy of Audiology. Dr. Brewer specializes in diagnostic audiologic evaluations as well as hearing-aid services, including selection, fitting and follow-up care. She thrives on patient success and is passionate about providing patients with as much information as possible so they can make an informed treatment decision.

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May 2019

LAUGHTER IS THE BEST MEDICINE

USING HUMOR IN DEMENTIA CARE

here is nothing funny about a diagnosis of dementia. That being said, there are many ways to make the life of someone with the diagnosis more enjoyable. The Best Friends™ approach to dementia care claims humor can be the best medicine: no prescription needed! With dementia, we often focus on what is lost, not what is still there. A sense of humor sticks with us, fortunately, along with many other qualities, including past accomplishments and character. Who cares if the person knows what day of the week it is? Who cares if they remember what they had for lunch? Are those things really important? Nope! Forget the silly stuff and start being a little silly. Humor can present itself at any time. I was walking through the OUR LOVED ONES memory care neighborhood at WITH DEMENTIA Bridgepointe at Ashgrove Woods, and I saw two of our male residents ARE WITTY AND standing in the hallway chatting away. HILARIOUS I said, “What are you guys up to?” One of them replied, “If we knew, we AND HAVE wouldn’t be here!” All three of us had ACCOMPLISHMENTS a good laugh! Everyone loves a joke, including AND QUALITIES THAT persons with dementia. A quick oneGO WAY BEYOND A liner or easy-to-follow joke can make someone’s day. Self-depreciating DISEASE. humor is always a hit. I’m an easy target, so I tend to use this type of humor more frequently. They say laughter is contagious. It can improve quality of life and ease negative thoughts. Making someone laugh is a way of redirecting from other behaviors and can turn a bad mood into a good one. Treating someone with dementia like a REAL person is what it’s all about. We should always look at the person first, not the disease. Our loved ones with dementia are witty and hilarious and have accomplishments and qualities that go WAY beyond a disease. You don’t lose a sense of humor and a chuckle can come easily. So let your hair down, dance like no one is watching (hopefully they aren’t) and don’t FORGET to laugh. About the Author About Tracy

Tracy Byrne is the Community Relations Director at Tracy Byrne is the Community Bridgepointe at Ashgrove Woods. Tracy earned her Master’s in Relations Director at Bridgepointe at Ashgrove Woods, a Christian Social Work from University of Louisville with a specialization in Care Community that integrates Gerontology. Since, she has gained certification as a dementia the Best Friends™ Approach into trainer Best all care services. Tracy earnedin herthe MSSW in Friends™ Approach and served within local state organizations within her field. Gerontology in 2013.and Since, she has gained numerous awards and certifications as a dementia caregiver and served within local and state organizations within her field.

TRACY AND BILL

ABOUT BRIDGEPOINTE AT ASHGROVE WOODS

how to rovide.

5220 Grey Oak Lane | Nicholasville, KY 40356 859.971.4911 • www.BridgepointeAssistedCare.com Bridgepointe is part of Christian Care Communities, Kentucky's largest faith-inspired, non-profit provider of senior living, services and long-term care. 5220 Grey Oak Lane | Nicholasville, KY 40356

Christian Care Communities, Kentucky’s largest faithprovider of senior living, services and long-term care.

Your Family, Your Health, Our Passion Family Practice Associates of Lexington, P.S.C. Proudly serving Kentucky for 35 years. • Family Practice • Pediatrics • Internal Medicine • Primary Care for your entire family!

Hamburg Pavilion Location

Harrodsburg Road Location

1775 Alysheba Way #201

2040 Harrodsburg Rd, Ste 300

Lexington, KY 40509

Lexington, KY 40503

859.278.5007 www.fpalex.com

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2019

Family Doc.

TALK TO YOUR DOC TOR ABOUT

VACCINATIONS RECOMMENDED VACCINES HAVE BEEN PROVEN TO BE SAFE AND EFFECTIVE.

he Centers for Disease Control and Prevention (CDC) recommends immunizations for 16 different vaccine-preventable diseases for infants, children and adolescents under the age of 18 years. Many parents have good questions about vaccines, such as: “Why are so many vaccinations recommended? What are the side effects of vaccines? Are vaccines safe? Are vaccines safer than actually getting the disease?” Thinking carefully about your child’s medical care is very important, and your doctor is happy to talk with you about all your concerns and questions. Through many decades of study, the recommended vaccines have been proven to be safe and effective. They not only protect your particular child or children, they also protect the larger community. With the eradication or lessening of deadly diseases such as smallpox, diphtheria, pertussis, rubella and polio, everyone can live healthier lives. Vaccination does make a difference. Even when small communities decide not to vaccinate, the United States can face epidemics of dangerous diseases that can cause meningitis, seizures and even death. As the CDC says

on its Web site (www.cdc.gov), it is always better to prevent a disease than to treat it after it occurs. Vaccines contain the same antigens that cause diseases, but at lower levels. Antigens are molecules that make you sick. Antibodies are molecules from your immune systems that fight antigens. Antigens in vaccines are weakened, but are strong enough to make the immune system produce antibodies that lead to immunity. When your immune system sees that disease again, it will remember how to fight it so you don’t get sick. Immunization of infants and children should begin early in life when they are most vulnerable to life-threatening diseases. Full-term newborn babies have some immunity right at birth because they have antibodies they got from their mothers. However, this immunity goes away by the first nine months of life. Pediatricians and family physicians recommend following a deliberate schedule of vaccinations. This schedule can vary slightly from office to office depending on your insurance and doctor and if your child has a chronic disease. Your child will likely receive

immunizations at birth and at 2, 4, 6, 12, 15 and 18 months of age. Many of the immunizations require multiple doses or booster shots. Some vaccinations given to children less than 1 year old include: • Hepatitis B vaccine, which protects against chronic liver disease; • DTaP vaccine, which protects against diphtheria, tetanus and pertussis (whooping cough); • Haemophilus influenzae type b (Hib) vaccine, which protects against meningitis; • Inactivated poliovirus vaccine (IPV); • Pneumococcal conjugate vaccines (PCV), which protects against pneumonia; and • Rotavirus vaccine, which taken by mouth and protects against a diarrhea illness. Some of the vaccinations given to children older than 1 year old include: • Measles, mumps, and rubella (MMR) vaccine; • Varicella (chickenpox) vaccine; and • Hepatitis A vaccine.

When your child turns 11 years old and enters 6th grade, he or she is required to receive a booster shot of DTaP as well as varicella and the first shot of the meningococcal vaccine. He or she should also receive the human papillomavirus vaccine (HPV), given as three shots over six months. Recommended for both girls and boys, this vaccine prevents genital warts and certain types of cancer. When she heads off to college, you might want to make sure your child receives a booster shot of the meningococcal vaccine. Living in a dorm is a big risk factor for meningitis. Every year, children age 6 months and older should receive the flu vaccine. They are at risk for serious health problems that may arise with the flu. Protect your children – and the countless people around you. Talk to your doctor about immunization and be sure to share your concerns with him or her. About the Author

Dr. Amanda Foxx grew up in Lexington, KY. After graduating from Furman University in Greenville, S.C., Dr. Foxx attended medical school at the University of Kentucky and graduated in 2011. She then completed her residency in combined Internal Medicine and Pediatrics at UK in May 2015, where she was Chief Resident from 20142015. Dr. Foxx has a special interest in preventative care and women’s health. She enjoys taking care of all patients from newborns to the elderly. She joined FPA in August 2015.

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 2040 Harrodsburg Rd., Ste. 300 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 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.

May 2019

may

events MAY 2019

! W E N

Submit your healthy event listings: brian@rockpointpublishing.com

AC E R E N I ONL ENDAR C A L magazine.net s dwellnes healthan -calendar.html /race

Daily Tuesday/Friday Fridays Centered Community Space Gentle Community Yoga Argentine tango Centered Studio at 309 N. Ashland Ave. Suite 180 in Lexington has a community space where we welcome community groups to gather at no cost. Get in touch with Centered to arrange this for your group. 859-721-1841

Mondays Post-partum Support Group

with Lauren Higdon & Terry Fister

Every Tuesday and Friday at 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.

wed

with Sarah Wylie Van Meter

Every Monday at 11:00am Attending this group will give birth parents a time and safe place to feel supported and be in community during their postpartum time journeys. Those who join will be in attendance to each other and to themselves as we exchange ways to care for our own bodies, our emotions, our babies, and our partnerships. Babies of all ages and stages are welcome. Come with or without your baby/babies and don’t fret if you arrive late. Donations-based class. Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington.

Mondays Mindfulness Meditation with Brent Oliver

Every Monday 8:00pm-9:00pm at Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington. Mindfulness Meditation is a welcoming meditation community open to everyone. We define mindfulness as concentration power, sensory clarity, and equanimity all working together. Donations-based class.

Passionate and Romantic– Mindful and Meditative. A uniquely transformative social skill, art form and movement therapy. No partner or dance experience required. Friday evening 7:30-9:00 PM.  You may drop-in to any class (this is not a series.) Cost $10. Instructors: Dr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington,

KY 859-373-0033. Full details at http://www.mindbodystudio. org/?page_id=214.

May 1 Saucony X Fleet Feet: Run Your World Trail Series

Get ready to go off-road. This spring, Fleet Feet is teaming up with Saucony for the Run Anywhere:

Wednesdays Mindfulness and Relaxation for Health

Relax the body, quiet the mind, open the heart. Arrive 6:00-6:30 and deeply relax, instruction 6:308:00 PM. Mobilize inner resources for promoting health, preventing burnout and managing stressrelated chronic disease. Study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discussion. Instructor: John A. Patterson MD, MSPH, FAAFP, Cost $10. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http:// www.mindbodystudio.org/?page_ id=1055.

Last Thursdays La Leche League Monthly last Thursdays 1:00-2:00pm at Centered Studio, 309 N. Ashland Ave. Suite 180 in Lexington. This is a free support group for breastfeeding mothers. Siblings welcome.

ARE YOU IN NEED OF A MAMMOGRAM? WOULD YOU LIKE A TAKE-HOME COLON CANCER SCREENING KIT? HAVE YOU RECENTLY BEEN DIAGNOSED WITH CANCER? Give us a call today! We may be able to help you!

(859) 309-1700 www.kycancerlink.org Sponsored in part by:

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2019 Fleet Feet / Saucony Trail Run. This event will get you ready to hit the trails for the first time or go where you've never been before. Join us for an amped-up group run at a local trail where our staff and partners will provide off-road running and outfitting tips and Saucony will demo trail running shoes. We’ll cap things off with a celebration and refreshments—and a chance to win a prize or two. Visit healthandwellnessmagazine.net /race-calendar.html for more information.

May 5-26 Prenatal Yoga

May 2-30 Prenatal Yoga

May 11 Down to Earth Garden Club

Feel Better. Be Stronger. Prepare for Birth. Our classes are beneficial for moms & babies during all stages of pregnancy. Emphasis is on safety and no yoga experience is needed. Come breathe with us! All trimesters welcome, no previous yoga experience required. Dropins welcome, class packages also available. 6:30–7:15pm, Baby Moon, 2891 Richmond Rd, Ste 103; www. babymoonlex.com.

May 3 Finish the Fight at Night 5K Glow Run/Walk

Registration includes event t-shirt and a glow necklace! Mount Sterling Police Department will control traffic during this event. All proceeds go to the American Cancer Society to help provide cancer research and services/ programs for local cancer patients. Main Street and Broadway, Mount Sterling, KY. For more information about the race, the Montgomery County Relay for Life and the American Cancer Society please visit healthandwellnessmagazine.net /race-calendar.html.

May 5 The Great Cake Race 5K/1M This is the perfect event for an avid runner, someone participating in their first 5K, or a family wanting to get some exercise and support a worthy cause. Plus, race start isn't until 4pm. The Great Cake Race 5K/1M will feature a beautiful new course along the rolling hills of Keeneland, bands, inflatables, and much more. Visit healthandwellnessmagazine.net /race-calendar.html for more information.

Feel Better. Be Stronger. Prepare for Birth. Our classes are beneficial for moms & babies during all stages of pregnancy. Emphasis is on safety and no yoga experience is needed. Come breathe with us! All trimesters welcome, no previous yoga experience required. Dropins welcome, class packages also available. 2–3:15pm, Baby Moon, 2891 Richmond Rd, Ste 103; www. babymoonlex.com.

Plant Sale: Community Fundraiser

Every May, the Down to Earth Garden Club holds a special plant sale community fundraiser. The plants are grown, nurtured and generously donated by each club member. This wonderful community benefit will be held rain or shine. Natives, Herbs, Fruits, Vegetables, Perennials, Wildflowers, Grasses, Hostas, Shrubs, Trees, Annuals, Container Gardens, Succulents, Irises, Decorative Containers, Gardening Books, and many plants for sun or shade will be available for purchase during this spring event. Come support your community while adding beauty to your garden! The 2019 sale is on Saturday, May 11th, from 9 A.M. to 12 P.M. at Woodland Christian Church, 530 E. High St. in Lexington, KY. Please visit our website http://www. downtoearthky.com

May 11 Throo the Zoo 5K

Dash over and join us on May 11th at 8:00 a.m. for the 26th annual Throo the Zoo 5K run/walk. Enjoy the wildest 5K in town as you race "Throo" the Zoo alongside some of your favorite Zoo residents like giraffes, rhinos, flamingos, bears, and more! The course will take you on a journey past 2 NEW Zoo habitats opening in Spring 2019. Colobus Crossing invites you to marvel as colobus monkeys and Schmidt’s red-tailed monkeys leap and swing from place to place in front of your eyes and maybe even directly overhead! Our majestic Snow Leopard Pass will transport you to a small Himalayan village in Nepal and provide information about the elusive snow leopard — plus you’ll learn how villagers are striving to live in balance with

the snow leopard to support conservation of the species. Visit healthandwellnessmagazine.net /race-calendar.html for more information.

all pregnant women planning to breastfeed! Registration Required. 6-8pm, Baby Moon, 2891 Richmond Rd, Ste 103; www.babymoonlex. com

May 11 Newborn Prep

May 19 Candy Mountain Music

We'll focus on how to care for your infant and the new family dynamic, as well as answer the many questions new parents have during those first few weeks. We'll cover bathing, cord care, feeding schedules, and sleep, and offer tips and tools for soothing a fussy baby and easing the transition for mom, partner, and baby. All first-time parents need this class! Registration Required. 3–5pm, Baby Moon, 2891 Richmond Rd, Ste 103; www. babymoonlex.com

BABIES: Growing a Garden

May 11 John's Run Local 8k

Learn how to manage pre-diabetes through healthy eating and physical activity. Class starts May 21 and lasts 12 months, 5:30-6:30, online. FREE! Contact Melissa Smith (melissar.smith@ky.gov or 859288-2473) to sign up or for more information.

Join us at the beautiful Kentucky Horse Park to honor and commemorate John Sensenig’s 40+ years of service to the local running community. John has been a fixture in the local running and walking community since opening his first local running shop in 1977. John’s Run Local 8k has grown from the desire to celebrate all he has given to the local Lexington and Central Kentucky community. Visit healthandwellnessmagazine.net /race-calendar.html for more information.

May 11 Latched: Breastfeeding Essentials

This class provides the essential information all breastfeeding mothers need to know before baby arrives. Set yourself up for success by learning about correct latch, how often to feed your baby, how to know baby is getting enough, how to prevent and solve common problems, and when to get help (and more!). This class is a must for

Candy Mountain Music is a unique, interactive, playful introduction to early childhood music and developmental play for babies 4months-actively walking. Registration Required. 12pm–12:45pm, Baby Moon, 2891 Richmond Rd, Ste 103; www. babymoonlex.com

May 21 National Diabetes

Prevention Program

June 7 Senior Safety and

Wellness Exhibition Free community education event with information and giveaways. Various experts scheduled throughout the day on Safety, Better Business Bureau, Law Enforcement, Pharmacists, Nutrition, Exercise, Scam Alert and Elder Abuse Prevention. 10am–3pm, Don and Cathy Jacobs Health Education Center, University of Kentucky Chandler Hospital. For questions contact c.pettry@uky.edu.

Saturdays LEXINGTON FARMER'S MARKET

Downtown Lexington near the Historic Lexington Courthouse. 7am–2pm.

Cosmetic Dentistry.

May 2019

TOOTH WHITENERS

he decision to get one’s teeth professionally whitened can be a big one. There are a number of factors to consider, such as cost, duration, and overall effectiveness. At Adkins Family and Cosmetic Dentistry, here in Lexington, we have been helping people with this decision for some time and have produced many happy patients through careful decision-making over the years. There are many things that contribute to staining teeth, running the gamut from eating berries to smoking to coffee and tea. Because the teeth are porous, a lot of material can get lodged over the years in the tiny holes we all have in our teeth. A good whitening plan involves using a gel to absorb into the teeth that causes the stains to be eradicated. As dental professionals, we actually take a mold of the teeth, so each case is particular to the patient. The mold allows for the smallest of cracks, crevices, and holes to be accounted for. This makes for uniform whitening for all of the teeth involved, unlike the highly uneven whitening we usually see from generic trays one might buy from a common drugstore shelf. Groceries and pharmacies are filled with tooth whitening kits promising big results, but these cheaper and basic options usually don’t whiten at all or do so unevenly. Chewing gums, special toothpastes, whitening strips, rinses, and paint-on films are all at-home methods that deliver the BESIDES THE whitener in one form or another, but MOLD AND GEL, none are on par with professional help and care. People tend to come in THERE ARE OTHER after these methods don’t work and realize they could have saved a lot of METHODS WE time and money by calling us in the beginning. OFFER, SUCH There is a myth about whiteners damaging your teeth, but this AS LASER AND is simply not true, especially as ULTRAVIOLET removing stains and discolorations is nothing but good for the teeth. LIGHT THERAPY. Many people don’t realize that the stains took quite awhile to develop – DR. ADKINS on the teeth and it takes some time to remove them, which is one reason multiple visits are necessary for a thorough whitening. It is also important to realize that once the teeth have been whitened, if the patient returns to the same activities, they will start to stain again; in other words, whitening is temporary and is relative to how much the patient is causing the teeth to be stained by what they eat, drink, smoke, etc. Besides the mold and gel, there are other methods we offer, such as laser and ultraviolet light therapy. These can be discussed during your initial consult. While caps and veneers cannot be whitened, there are other options we can discuss to get your teeth exactly where you want them regarding whiteness and brightness. Please call to set up an initial visit. We’re ready to help you with your teeth and keep you smiling.

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

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

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2019

Uterus Transplant Becomes Viable Option ABOUT A DOZEN CHILDREN HAVE BEEN BORN USING PROCEDURE By Angela S. Hoover, Staff Writer The uterus, or womb, houses and nourishes the fetus until birth. But one in five women are born without a uterus. Additionally, absolute uterine factor infertility – an abnormality of the womb that interferes with fetal development – affects 5 percent of women worldwide. Successful uterus transplants over the past five years have made this a viable option for these women as well as women who have had hysterectomies due to cancer or other problems. At least a dozen children in Sweden, the United States and Serbia have been born to women with uteri transplanted from a living relative since 2013. In 2017, a baby was born from a uterus transplant from a non-relative

donor in the United States. And last December, have been 10 recorded cadaver uterus transplants a baby was born from a uterus transplant from a in the United States, Turkey and the Czech deceased donor. Republic as of December 2018. Doctors at the The surgery, which can take about 10 hours, Cleveland Clinic attempted a pregnancy from involves connecting the recipient’s veins, artera uterus from a deceased donor in 2016, but it ies, ligaments and vaginal canal to the donated failed due to an infection. uterus. Afterward, several immunosuppression A uterus transplant performed at the Hospital drugs are required to prevent the body’s natural das Clinicas at the University of São Paulo instinct to fight off and reject a transplanted School of Medicine in Brazil resulted in the birth organ. Depending on the recipient’s medical of a healthy baby girl in December 2018. The condition, she may experiuterus was without oxygen ence menses for the first for eight hours before the time after a uterus transplant. transplant, proving cadaver Within a year, insemination uteri could remain funcThe first successful tional after cold, oxygenless occurs. Uterine transplants do not include Fallopian tubes, storage at least four times so eggs and sperm must be as long as the average time uterus transplant implanted within the uterus. after live donations. Often immunosuppression “For the girl who is getfrom a living drugs are continued throughting the (infertility) diagnoout the pregnancy. A delivery sis now, it’s not hopeless,” donor was via Caesarean section that said Kristin Posey Wallis, includes the removal of the transplant nurse performed in 2013 aatuterine transplanted uterus occurs Baylor University who between 34 to 36 weeks into works closely with women the pregnancy. and their donors. The first successful uterus transplant from a Currently, uterus transplants are expensive, living donor was performed in 2013 by Dr. Mats costing up to $500,000. Like other infertility Brännström and his team at the University of treatments, insurance companies rarely cover Gothenburg, Sweden. The recipient mother gave these procedures, which they classify as elective. birth in 2014. Worldwide, 56 uterine transplant Over time, doctors hope the costs will decrease procedures have been performed, 53 of which and insurance companies will change their stance involved women born without a uterus. These on coverage. transplants resulted in 13 babies born. There

YO U’ R E M O R E THA N YO UR AG E . YO U’ R E M O R E THA N YO UR AGE.

FIVE STAR SENIOR LIVING. WW E’E RE ORE HAN ’REMM ORETT HANA A SENIOR the SServing ENIORLIVING LIVING CC OMMUNITY . . Lexington OMMUNITY

690 Mason Headley Road 690 MasonKY Headley Lexington, 40504Road Lexington, KY 40504

859-278-9080 859-278-9080

Community for 33 years.

When you look at the faces of you look atsee the laugh faces of ourWhen residents, you’ll our residents, seethat laugh lines from a happyyou’ll life, eyes lines from a happy life, eyes that have seen it all, and smiles filled have seen it all, and smiles filled with hope for the future. with the afuture. • All hope three for meals day included We see you – and we’re here to • Free transportation 7 days a week Weyour see you – and we’re here to make life exceptional. make your life exceptional. • Expansive social programs and • Fiveevents Star Dining Experience • Five Star Dining Experience • Lifestyle360 Activities Program • Lifestyle360 Activities Program WE’RE MORE THAN • Concierge Services • Concierge Services SENIOR LIVING COMMUNITY. WE’RE MORE THAN A WE’RE A FAMILY. WE’RE MORE THAN A SENIOR LIVING COMMUNITY. SENIOR LIVING COMMUNITY. Call us toAstop by for a tour. WE’RE FAMILY. WE’RE A FAMILY. Call us to stop by for a tour.

Call us to stop by for a tour.

www.LafayetteLexington.com I N D E P E N D E N Twww.LafayetteLexington.com L I V I N G • S H O R T-T E R M R E H A B I NSDKEI LPLEENDD E VG I N& G R• ESHHAOBRI L T -I T ET R IMO N REHAB NN UTR SLIIN TA © 2017 Star SKILLED NU R SFive IN GSenior & Living R E H A B I L I TAT I O N © 2017 Five Star Senior Living

Pet Friendly

May 2019

N AT U R E ' S

Rice IT’S A NICE ADDITION TO YOUR DIET By Tanya Tyler, Editor Health&Wellness Many of us have probably done it: showered a newly married couple with rice as they emerged from a church, ready to begin their lives together. We might not have thought much about the tiny white grains we sent sailing through the air (and no, rice does not make birds’ stomachs burst after eating it), but rice is one of the most widely eaten foods in the world, especially in China, India, Indonesia, Japan and Southeast Asia. More than 3 billion people around the world depend on rice as the staple of their diet, according to the U.S. Rice Producers Association. Rice is third in worldwide produc-

B E A U T Y

tion after sugar and maize. In Thailand, the phrase translated “to eat” literally means “to eat rice.” Rice has been part of the human diet for more than 10,000 years, originating in China’s Pearl River Valley region. Arabian travelers introduced rice into ancient Greece, and Alexander the Great brought it to India. There are more than 40,000 varieties of rice. Some you may be familiar with include Arborio; basmati; jasmine; and forbidden rice, a black rice that turns purple when cooked and has a sweet taste and sticky texture. Rice is generally classified as long, medium or short grained. When rice is cooked, the kernels swell to at least three times their original size. Rice kernels do not contain vitamin A, so people who get most of their calories from rice are at risk of vitamin A deficiency. Rice is gluten and fat free, low in sodium and an excellent source of complex carbohydrates. Brown rice is the best choice for eating because it uses the entire grain; only the inedible outer husk has been removed. The high-fiber bran coating gives brown rice its light tan color, a nutlike flavor and a chewy texture, and the oil in whole brown rice lowers cholesterol. In contrast, white

THERE ARE MORE THAN 40,000 VARIETIES OF RICE.

rice has had the husk, bran and germ removed. Brown rice is an excellent source of manganese, selenium (a trace mineral that has been shown to substantially reduce the risk of colon cancer), phosphorus, copper, magnesium and niacin (vitamin B3). Milling and polishing rice makes it lose a significant amount of its nutrients. According to The Food Network, enriched or converted rice contains calcium, iron and many B-complex vitamins, but brown rice is slightly richer in all these nutrients because they are more natural. Research is showing brown rice and other whole grains substantially lower the risk for type 2 diabetes. Rice can grow in diverse venues, from terraced hills to flooded rice paddies. Small rice seedlings are hand planted into rice paddies that are then filled with water. Arkansas, Louisiana, Missouri, Mississippi and Texas grow 76 percent of the rice produced in the United States. California supplies almost all of America’s sushi rice, according to the California Rice Commission. And why do people throw rice at newlyweds? It’s to ensure they have good luck, health, prosperity and fertility. You’d probably be better off eating rice than throwing it.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | May 2019

By Angela S. Hoover, Staff Writer

FDA Now Allows Genetically Engineered Salmon Imports The Food and Drug Administration (FDA) announced on March 8 it is lifting an import alert that prevented genetically engineered salmon from entering the United States. AquaAdvantage Salmon won the first-ever FDA approval of a genetically engineered animal intended for food in 2015. The FDA said then there was no biological difference between these and natural salmon. But Congress blocked the FDA in 2016 from allowing the fish to be sold in the United States until it finalized labeling guidelines to inform consumers the product was genetically engineered. That lead the FDA to implement the import alert. Also in 2016, Congress passed a law directing the U.S. Department of Agriculture (USDA) to set a national mandatory standard for disclosing bioengineered foods, which the USDA issued last December. The standard requires manufacturers, importers and certain retailers to disclose whether a product was bioengineered using either text, a symbol, a digital link and/or a text message. The FDA will now allow AquaAdvantage Salmon eggs, produced by AquaBounty, to be imported to the company’s facility in Indiana and raised into salmon for food. This salmon grows faster than farm-raised Atlantic salmon.

ABOUT 50 PERCENT OF FISH WILL NOT BE LABELED CORRECTLY. SOME SPECIES LIKE RED SNAPPER AND WHITE TUNA ARE MORE LIKELY TO BE MISLABELED.

Faux Sushi Dr. Jennifer McDonald, a biology professor at Fanshawe College in London, Ontario, Canada, asked her class of seniors to visit sushi restaurants and bring back samples for a lab assignment. They were to extract the fish’s DNA and find out if the fish was in fact what it claimed to be on the menu. Mislabeling fish can have serious health consequences. Researchers at Oceana found 84 percent of white tuna samples they tested in the United States were actually a fish called escolar. Escolar has been banned in Japan since 1977 because the government believes it is toxic and capable of causing extreme illness. Food allergy reactions are another possibility due to mislabeling. This can apply to shellfish and specific types of fish and fillers added to products, including gluten. The investigation of fish mislabeling in Canada started with fallout from a scandal in the European Union, where ground horse meat was being labeled as beef and pork, says McDonald. It’s easy to pass along fraudulent fish because it is purchased as fillets or pre-sliced steaks, not whole. Food fraud is a $50 billion annual industry. Olive oil, maple syrup and teas are common targets for food fraud, says McDonald. Her students found fish fraud along with some stomach-churning ingredients. “Fish mislabeling in the seafood and fish industry – even the aquarioum industry – is well-documented and something many governments are attempting to tackle with stricter rules and regulations, more enforcement and higher fines,” McDonald said. “I expected to find results that were in line with what was previously published: About 50 percent of fish will not be labeled correctly. Some species like red snapper and white tuna are more likely to be mislabeled.” Of the approximately 650 base pairs, McDonald hoped to get a workable sequence of at least 500 base pairs, but the sample only had 200 clean pairs. A salmon filet from a grocery store’s seafood counter had so much body louse in it that it overrode the fish DNA.

Integrative Medicine.

May 2019

LET FOOD BE YOUR MEDICINE

he Harvard School of Public Health (HSPH) is the world’s premier nutrition education resource. Harvard Medical School and the Department of Nutrition at HSPH developed the Healthy Eating Plate to provide the general public with up-to-date, sciencebased nutrition education. They recognized the need to provide more scientifically accurate information than is provided by the U.S. Department of Agriculture’s (USDA) MyPlate, which does not accurately reflect current, science-based nutrition advice. The USDA has a dual mandate to (1) promote U.S. agricultural products and (2) advise the U.S. public on best nutrition practices. Lobbying by special interest groups weakens the scientific credibility of the USDA’s public nutrition advice, leading to recommendations that are not entirely consistent with current scientific evidence. HSPH’s Healthy Eating Plate is based purely on a critical review of the best scientific nutrition research without lobbying pressure from special interests.

So how does the Healthy Eating Plate differ from MyPlate? The Healthy Eating Plate emphasizes the health and nutritional advantage of whole grains over refined grains, which lose nutritional value in the refining process. Switching from refined grains to whole grains can make a huge difference in your health. Whole grains retain more fiber,

vitamins, minerals, antioxidants and phytochemicals – naturally occurring chemicals with benefits for promoting health and preventing disease. Eating whole grains can help lower cholesterol and blood pressure, reducing the risk of blood clots, strokes and heart disease. Whole grains help moderate blood glucose and insulin levels, reduce cancer risk and can contribute to longer life. Refined grains such as white bread and white rice are metabolized like sugar in the body, contributing to the epidemic of obesity, heart disease and diabetes. MyPlate did not initially distinguish between whole grains and refined grains. It now suggests at least half your grains be whole rather than refined. In contrast to the USDA’s recommendation regarding protein, the Healthy Eating Plate stresses the importance of healthy protein. Based on the best available scientific evidence, consumers are urged to eat healthier proteins such as fish, poultry, beans and nuts. We are encouraged to limit red meat and avoid processed meat, which raise the risk of obesity, heart disease, diabetes and colon cancer. MyPlate does not distinguish these unhealthy protein sources from healthy ones. The Healthy Eating Plate encourages us to eat a wide variety of fruits and vegetables to obtain a healthy mix of the many nutrients they contain. We are especially urged to eat dark green, leafy vegetables and those that are red, yellow and orange. This variety can help lower blood pressure and the risk of heart disease and stroke.

It can help prevent some types of cancer, eye conditions and digestive problems. The Healthy Eating Plate also highlights the problem with our favorite vegetable: potatoes. We are advised to limit our consumption of potatoes, including French fries, since they are loaded with a form of starch that has the same effect on blood sugar as refined grains, sugar and other sweets. While MyPlate also recommends this wide variety of fruits and vegetable, it contains no advice about limiting the consumption of potatoes. The Healthy Eating Plate recommends using healthy oil, including olive, canola and other plant oils in recipes, on salads and in cooking. Healthy fats can help control cholesterol levels and benefit the heart. HSPH advises limiting the use of butter and completely avoid trans fat. MyPlate makes no recommendation regarding dietary fat. This is a serious omission and one that should be corrected in future updates to MyPlate. What should you drink? The Healthy Eating Plate recommends drinks with no calories, including plain water and unsweetened coffee and tea. It urges consumers to avoid sugary drinks, including commercial sweetened waters, which are major contributors to the epidemics of obesity and diabetes. We are urged to limit milk and dairy to one to two servings per day. High dairy consumption may be associated with increased risk of prostate and ovarian cancer. We are advised to limit fruit juice to a small glass a day because of its sugar and calorie content. MyPlate suggests dairy at every

meal, despite scientific evidence against this recommendation, and also allows fruit juice to count as a fruit serving. The Healthy Eating Plate recommends regular physical activity as part of the answer to our global epidemic of obesity. MyPlate makes no physical activity recommendation. You can be healthier and live longer by making smart nutrition choices. The Healthy Eating Plate and The Nutrition Source at Harvard’s School of Public Health are your best resources for nutrition advice for living a longer, healthier life. Recommended Resource

• The Nutrition Source, Harvard School of Public Health https://www.hsph.harvard.edu/ nutritionsource/

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, MindfulnessBased Stress Reduction (MBSR) and physician coaching. He operates the Mind Body Studio in Lexington, where he offers mindfulness classes, coaching and integrative, mind-body medicine consultations, specializing in stress-related chronic conditions and burnout prevention. He can be reached through his Web site at www. mindbodystudio.org.

ABOUT MIND BODY STUDIO Mind Body Studio

517 Southland Drive, Lexington • 859.373.0033 • www.mindbodystudio.org Dr. Patterson operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations and group classes. He can be reached through his Web site at www.mindbodystudio.org.

May 2019

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