Health&Wellness October 2016

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Vol. 14 • Issue 1 • October 2016

OCTOBER BREAST CANCER

AWARENESS MONTH

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OCTOBER 2016: CANCER AWARENESS

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FEATURES

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Overview: Breakthroughs in Cancer Research

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October is Breast Cancer Awareness Month

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HEARING Hunting and Hearing Loss

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What Causes Cancer?

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Lifestyle Medicine for Cancer Survivors

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FAMILY DOC Prostate Cancer Often Successfully Treated

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Exercise Works! Here's some Proof.

FITNESS 5 Most Common Mistakes Made in the Gym

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5 Cancer-Fighting Superfoods

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Dealing With the Side Effects of Chemotherapy

BODY CONTOURING Winning the Battle Against Stubborn Belly Fat

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Signs and Symptoms of Breast Cancer

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General Facts About Leukemia

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NEWS MAKERS Clips from Current Health News

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Animals Play Vital Roles In Healing

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NATURE'S BEAUTY Pumpkin

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FOOD BITES

Dr. Keith Applegate, FAAFP

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

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Bone-on-Bone Arthritis Makes You Say: Ouch!

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Women Encouraged to Have Breast Health Screenings

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Things You Need to Know About an Abnormal Mammogram Result

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Osteopenia and Health

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Yeast Transforms Quickly Into Hydrocodone

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DEPARTMENTS

Events Calendar

FROM THE

EDITOR

Harleena Singh Tanya J. Tyler (editor) TaNiqua Ward, M.S.

COLUMNISTS/GUESTS Dr. Brewer

AUDIOLOGY ASSOCIATES

Sonja Gregory

WRAP ME DAY SPA

Rachel McCord PROOF FITNESS

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

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

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WRITERS Angela S. Hoover Jean Jeffers Jamie Lober Dr. Tom Miller

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INTEGRATIVE MEDICINE Mindful Eating for Healthy Mind and Healthy Body

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STAFF

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CONTENTS 12

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October 2016

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

Dear Friends, It’s October, so you know what that means: pumpkin lattés and Breast Cancer Awareness Month. This issue of Health & Wellness Magazine contains articles about detecting and dealing with breast cancer; one raises an important question about mammograms.

That’s something all women should thoroughly discuss with their primary care physicians, while at the same time practicing selfexaminations. Breast cancer is a subject that hit close to home for me when my mother passed away from it about 20 years ago. Although this may mean I am predisposed to breast cancer myself, I know tremendous strides in research

and treatment have been made, so while I am vigilant, I am not obsessed by the possibility of developing breast cancer. I know one day there will be no more pink ribbons.

We have a lot of information about many other types of cancer for you this month, as well as articles about arthritis, a system that battles belly fat and, yes, pumpkins. Be informed and take charge of your health. As always, we’re glad we can be here to help you.

Here’s to your health,

Tanya

Health&Wellness is a proud product of

ROCKPOINT Publishing

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

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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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Overview: Breakthroughs in Cancer Research Hope lies ahead in new drugs, enzymes, blood tests

Experts said treatment on the basis of DNA tests could become the norm within five years.

By Harleena Singh, Staff Writer According to experts, a drug made from tree bark is being combined with radiation therapy to cure cancer. The drug, called combretastatin, is derived from the bark of an African bush willow and leaves normal blood vessels untouched.

It works by destroying developing blood vessels, which tumors generate to supply themselves. Used on its own, however, it leaves a “rim” of

cancerous cells at the edge, allowing the disease to return.

The results were published in the journal Cancer Research. Dr. Barbara Pedley, head of tumor biology at the Cancer Research Campaign’s targeting and imaging group at the Royal Free Hospital and University College Medical School in London, said, “This combination can produce long-term cures. Scientists believed the outer tumor cells might rely on the body’s normal blood vessels, which is why combretastatin could not kill them.”

Experts now hope to start human

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016 trials of the combination therapy as the next stage.

An international study found a combination of two drugs that helped allow the immune system to fight cancer, ipilimumab and nivolumab, stopped the deadly skin cancer melanoma from advancing for nearly a year in 58 percent of cases. (Though a skin cancer, melanoma can spread to the lungs, liver, bone, lymph nodes and brain.)

The study was designed and led by Memorial Sloan-Kettering Cancer Center in New York City.

New research on prostate cancer sufferers shows stopping the disease could be as simple as “switching off ” a molecule known as DNAPKcs, which could knock out major pathways that control metastasis before it begins. It is a type of enzyme known as a repair kinase that fixes broken or mutated DNA strands in cancer cells. Because of this enzyme, defective cells that should normally self-destruct are kept alive.

A recent study appears to show that a revolutionary approach to treating cancer using DNA tests can shrink tumors at six times the rates of conventional medicine. This means around one in three women who are currently undergoing gruel-

ing rounds of chemotherapy could be spared this drastic treatment because of clues in their genetic profile. The findings, presented at the latest American Society of Clinical Oncology meeting in Chicago, come from 346 early stage clinical trials, which used precision methods. Experts said treatment on the basis of DNA tests could become the norm within five years. Clinical trials involving more than 13,000 patients found those given treatment using the targeted methods saw their disease stalled and tumors shrink at rates far beyond those of standard treatment.

Experts have found cells within the malignant brain tumor, called glioma, rely on fats to fuel growth, which contradicts previous scientific belief that tumor cells require mainly sugars to make energy. Glioma is the most common form of primary malignant brain tumor in adults and remains one of the hardest-to-treat cancers. Dr. Elizabeth Stoll with Newcastle University’s Institute of Neuroscience is the lead author of the groundbreaking study. In the study, scientists showed glioma cells grow more slowly if they are treated with a drug known as etomoxir, which prevents the cells from making energy with fatty acids.

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

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Connect with her on Twitter, Facebook and Google+.

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Australian researchers claim they have discovered an existing medication (denosumab) that could potentially prevent breast cancer in women carrying the faulty BRCA1 gene. This would mean women with high genetic risk of breast cancer have the option to delay or prevent the disease without making the big decision to have their breasts surgically removed. The identification of these cells means doctors can try to inactivate them before they become cancerous by targeting them with denosumab.

Dr. Shana Kelley at the University of Toronto developed an extremely sensitive blood test that uses sensors on a chip to detect cancer mutations. This non-invasive test is fast and simple to perform.

It is now being developed as an alternative to tissue biopsies to detect cancer, monitor how patients respond to therapy and personalize treatment decisions.

Pain from advanced cancer that has spread to the bone can be treated with radiation therapy; however, the pain can temporarily get worse before getting better. Dr. Edward Chow of the Sunnybrook Research Institute in Toronto and the NCIC Clinical Trials Group based at Queen’s University in Kingston led

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A mammogram is a screening that can detect breast cancer in the early stages.

October is Breast Cancer Awareness Month Learn more – get screened

By TaNiqua Ward, Staff Writer Breast Cancer Awareness Month is a time to recognize and celebrate a nationwide annual campaign to give people more information about the disease. Breast cancer is the

mostly commonly diagnosed cancer in women, according to the World Health Organization. One in eight women will be diagnosed with breast cancer in their lifetime; fortunately,

early detection and treatment virtually ensures a high survival rate.

Abnormal cell growth that invades healthy cells in the body broadly defines cancer. Breast cancer occurs the same way. It begins as cancer cells that invade surrounding tissues; eventually the cancer cells can spread to other parts of the body, according to the National Breast Cancer Foundation.

Everyone should know the signs and symptoms of breast cancer.

Women should perform monthly breast self-exams to see if there are any changes in the breasts. You can do this exam standing up in front of a mirror, lying down or when you’re in the shower. If there are changes to

one of your breasts, contact a health care professional as soon as possible.

Some of the most frequent signs include a change in the way the breast or nipple feels, a change in breast or nipple appearance and nipple discharge.

The third Friday in October each year is National Mammography Day. Women are encouraged to make an appointment for a mammography to see if they are at risk for breast cancer.

A mammogram is a screening that can detect breast cancer in the early stages. Research indicates you are at higher risk of developing breast cancer if it is part of your family history.

There are a few ways you can reduce your risk of getting cancer:

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• maintain a healthy weight; • stay physically active; • follow a well-balanced diet full of fruits and vegetables; • do not smoke; and • limit alcohol consumption.

These are just a few good habits to adopt for a healthier lifestyle that may help lower your risk of developing cancer. The most important things you can do are having regular breast exams and going to your health care professional on a basis. This October, be sure to participate in events that bring awareness and raise funds for research and the prevention and treatment of breast cancer.

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Cancers that are linked to certain behaviors can be prevented.

What Causes Cancer?

Mutations in cellular DNA, damage to cells among common factors

By Harleena Singh, Staff Writer The body is made of billions of tiny cells, and cancer is caused by changes (mutations) to the DNA within the cells. Cancer starts when cells grow out of control and crowd out normal cells, making it hard for the body to function optimally. It can start anywhere in the body and can spread to other parts of the body.

Each cancer is different according to its biology and pathophysiology.

According to the American Cancer Society, cancer is the second most common cause of death in the United States. The number of new cancer cases is expected to rise by about 7 percent in the next 20 years, according to the World Health Organization (WHO).

Doctors don’t know for sure what causes cancer. However, each cancer is thought to start initially from one abnormal cell. Perhaps certain vital genes that control how cells divide and multiply are altered or damaged and make the cell abnormal. If the abnormal cell survives, it may multiply out of control into a malignant or cancerous tumor.

Certain risk factors that may increase the chances of one or more cells becoming abnormal and leading to cancer include: Age The older you are, the more likely you are to develop cancer, which could be due to an accumulation of

damage to cells over time. Also, the body’s defense system for fighting abnormal cells may weaken as you become older.

Chemical Carcinogens A carcinogen, such as radiation, can damage a cell and may make it cancerous. The more exposure to a carcinogen, the greater the risk in most cases. Workplace chemicals such benzene, asbestos and formaldehyde could lead to the development of certain cancers if you worked with them without protection. Exposure to nuclear fallout and radioactive materials can increase the risk of leukemia and other cancers.

Smoking Smoking causes nearly one in four of all cancers; about one in 10 smokers die from lung cancer. If you smoke, you are likely to develop cancer of the mouth, throat, bladder, pancreas, esophagus and lung.

Sun Exposure Too much sunburn and sun exposure (radiation from UVA and UVB rays) can increase the risk of developing skin cancer.

Infection Certain germs such as bacteria and viruses are linked to certain cancers.

For example, there is a link between human papillomavirus (HPV) and cervical cancer. People infected with the hepatitis B or hepatitis C virus have an increased risk of developing liver cancer.

Genetic Make-up Some cancers have a strong genetic link. For example, in some childhood cancers, the abnormal gene or genes that trigger a cell to become cancerous are inherited. Common examples are inherited breast cancer and ovarian cancer genes. People with Down’s syndrome may develop malignancies such as testicular cancer and leukemia.

Weak Immune System People who have a poor immune system are at a higher risk of developing certain cancers, especially people with AIDS or those on immunosuppressive therapy.

Lifestyle Factors These, along with your diet, can increase or decrease your risk of developing cancer. Fruits and

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016

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vegetables are rich in minerals and vitamins and contain antioxidants, so eating plenty of them will reduce the risk of developing certain cancers. The recommendation is to eat at least five portions of fruits and vegetables daily. If you eat a lot of red meat or too much fatty food, if you drink too much alcohol, if you do not exercise regularly and are obese, your chances of developing certain cancers increases.

Most cancers occur due to a combination of the factors mentioned above. Cancers that are linked to certain behaviors can be prevented.

Choosing to quit smoking or drinking alcohol reduces the risk of several types of cancer, especially of the lung, liver, mouth and throat. Skin cancer can be prevented by staying in the shade and protecting yourself with a hat, wearing a full-sleeved shirt when in the sun and using sunscreen.

Sources and Resources

www.cancer.org www.mayoclinic.org www.medical newstoday.com www.news-medical.net

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INTEGRATIVE MEDICINE

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

Lifestyle Medicine for Cancer Survivors

By John A. Patterson MD, MSPH, FAAFP A cancer survivor is anyone who has been diagnosed with cancer, from the time of diagnosis through the rest of his or her life. Modern medical, radiation and surgical treatments have led to a growing population of cancer survivors, who now number over 12 million, or one in 25 Americans.

Lifestyle choices such as healthsupportive nutrition, maintaining a healthy weight, participating in regular physical activity, practicing stress management, seeking group support and practicing spirituality are important components to consider in a cancer survivor’s recovery and prevention plan. Such lifestyle choices may help prevent recurrent cancer and the development of new cancers. They also may help prevent and treat many other common medical conditions.

Major cancer advocacy groups provide guidelines for lifestyle behaviors based on solid medical research evidence. These guidelines are the place to start in developing your own plan for living well as a cancer survivor. They help cut through the hype

and promotion for unproven cancer therapies.

The American Cancer Society (ACS) recommends cancer survivors experiencing nutrition-related issues consult a registered dietitian (RD) for personal, individualized nutrition counseling. Special nutritional needs may arise during cancer treatment and recovery that are best handled by an RD with additional training as a certified specialist in oncology (CSO).

Your treating oncologist or your primary care provider can make this dietary referral.

The ACS offers general guidelines about nutrition for cancer survivors, including achieving and maintaining a healthy weight. An RD can assist you in determining a reasonable target weight in conjunction with your oncologist or primary care provider.

The ACS suggests choosing whole grains rather than refined and processed grains (whole wheat instead of white flour, whole old-fashioned oats instead of quick oats, brown rice rather than white rice); eating 2 cups of vegetables and 1½ cups of fruit daily; limiting or avoiding the consumption of processed meat and red meat; and

avoiding alcohol or limiting consumption to no more than one drink daily for women and two drinks daily for men. Women at high risk for breast cancer are advised to consider avoiding alcohol completely.

Research has not demonstrated any conclusive benefits from dietary supplementation with the antioxidant vitamins C and E, carotenoids or other phytochemicals. In fact, some harm has even been found in using them. The ACS recommends cancer survivors not use such supplements.

Smokers in particular are warned to avoid high-dose beta-carotene supplementation, which was associated in two studies with an increase in lung cancer in smokers. The ACS and several nutrition organizations suggest if supplemental vitamins and minerals are taken at all, they should be limited to a balanced multivitamin/mineral providing no more than 100 percent of the daily value for most nutrients.

Many groups recommend such a multivitamin/mineral supplement be taken only every other day to avoid causing unintended harm.

The ACS also recommends resuming or beginning regular physical activity as soon as possible after the cancer diagnosis, aiming for 150 minutes per week of moderate physical activity (ballroom or line dancing, leisurely bicycling, general yard work and gardening, doubles tennis, brisk walking, water aerobics, ice or roller skating, horseback riding, canoeing, yoga, downhill skiing, golf, volleyball, softball, baseball, badminton, mowing the lawn, walking and lifting as part of your job) or 75 minutes of vigorous physical activity (aerobic dance, biking

faster than 10 miles an hour, heavy gardening, hiking uphill, jumping rope, speed walking, jogging, fast swimming, singles tennis, circuit weight training, cross country skiing, soccer, racquetball, basketball, heavy manual labor at work). Strength training is recommended at least two days a week.

A National Cancer Institute fact sheet explains that while the exact mechanism is unknown, psychological stress can affect tumor growth and spread. For some people, there seems to be a relationship between attitudes, emotions, the immune system and cancer. Psychological factors, especially feelings of helplessness and hopelessness or suppressing emotions, seem to impact the growth or spread of cancer in some survivors. It seems prudent, therefore, to recommend stress management as part of your lifestyle treatment plan. Even if there is no connection between a given individual’s cancer and stress, the many positive side benefits of stress management can improve overall mental and physical health.

Religiosity and spirituality are receiving long-overdue attention from medical researchers. Most studies examining this issue have found greater religiosity and spirituality are associated with lower risk of onset of cancer, lower rate of progression of cancer over time and improved longterm survival compared with people for whom religiosity and spirituality are less important parts of their lives.

Many cancer centers are now integrating conventional biomedical cancer treatment, nutrition and physical activity education and comprehensive lifestyle programs personally tailored

October 2016

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Lifestyle choices such as health-supportive nutrition, maintaining a healthy weight and participating in regular physical activity are important components to consider...

to individual needs. Such programs include support groups, spiritual assessments and support, coping skills and stress management using mind-body skills (including relaxation, imagery, meditation, mindfulness, yoga, tai chi, humor/laughter therapy, journaling and artistic expression).

These comprehensive lifestyle programs will likely become a universal standard as we continually improve the art and science of caring for cancer survivors.

Sources and Resources

• American Cancer Society Guidelines on Nutrition and Physical Activity for Cancer Prevention www.cancer.org/Healthy/EatHealthyGetActive/ ACSGuidelinesonNutritionPhysicalActivityforCancerPrevention/index • Cancer Treatment Centers of America www.cancercenter.com/complementary-alternative-medicine/mindbody-medicine.cfm • National Cancer Institute Psychological Stress and Cancer: Questions and Answers www.cancer.gov/cancertopics/factsheet/Risk/stress • National Institute of Mental Health.

Fact Sheet on Stress www.nimh.nih.gov/health/publications/stress/fact-sheet-on-stress. shtml

About the Author Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine and integrative holistic medicine. He is on the family practice faculty at the University of Kentucky College of Medicine and the University of Louisville School of Medicine, Saybrook University’s School of Mind Body Medicine (San Francisco) and the Center for Mind Body Medicine (Washington, D.C.).

He operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations. He can be reached through his Website at www.mindbodystudio.org.

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EXERCISE WORKS! HERE'S SOME PROOF. COMMUNITY AND SUPPORT FOR YOUR FITNESS JOURNEY Whether you’re a seasoned “gym rat” or you’re just starting out on the road to fitness, Proof Fitness wants to help you reach your health and wellness goals...

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An all-inclusive health and fitness club, Proof Fitness keeps its focus on the people who come to its facilities to lift, sweat, kick, cycle, dance, tone and improve their health.

“We really do pride ourselves on great community and customer service,” said Lauren Burton, marketing coordinator for Proof Fitness. “We make a huge effort to get to know all of our members and everything about them. We want to help them from beginning to middle to end on their fitness journey.”

With two locations – one in the heart of downtown Lexington and the other in Tates Creek Centre – Proof Fitness offers its members a wide variety of exercise options, such as cardio equipment, free weights, Queenax Functional Fitness Equipment (the only one in this region), indoor tracks and studio classes such as kickboxing, hot yoga, PiYo, BootyBarre, TRX (suspension training) and high-intensity training.

“We have all the specialty boutique classes that you’ve seen around Lexington and around the country all under one roof,” Burton said.

Some classes are exclusive to Proof Fitness.

“We’ll take popular workouts and adapt classes and create them,” Burton said. “And we’ve got our own specialty classes that are unique to us. We’re always creating new classes to keep things interesting and different for our members.”

The two locations have distinct clientele.

“Our clients downtown are young professionals and business people,” Burton said. “A lot of UK students come to this one. Tates Creek is in a residential area. A wide range of people work out there because it’s close to where they live. We have a lot of high school students that work out there during the off season.” Both locations offer child care.

When you first come to Proof Fitness, a representative will meet with you to learn what you want to get out of your membership.

“We’ll sit them down and talk to them about their history, their goals and any kind of big life things that they’ve been through, because we want to create something just for them,” Burton said. “We create a personal fitness program for each member. Everyone who joins gets two free fitness program designs.”

The first program is intended to jumpstart members and acclimate them to the gym. With that program, they receive classes and a couple of personal training sessions for free. Their rep helps create workouts they can do on their own, and they have a follow-up at the end of the first month to check their progress.

“We’ll check back in and see if they need anything additionally from us,” Burton said. “Maybe they’ll say, ‘I need some help,’ so they’ll get with a personal trainer.”

Some members prefer to work one-on-one with a trainer. Several highly skilled and educated trainers are on hand to help exercisers, both novice and veteran, get the most out of their workout sessions. Between both locations, there are about 15 trainers, Burton said. There are also numerous studio instructors.

“Our trainers are awesome,” said Burton. “They’re all certified and educated. They’re constantly getting more certifications and doing more education outside of Proof just so they can keep up with the latest workouts and be the best trainers they can be for all their clients.”

The trainers are diverse enough to suit the diverse membership.

“Maybe one member wants to train with an older woman or one member wants to train with a younger guy,” Burton said. “We definitely try to have something for everybody.”

Proof Fitness taps into elite technology to help you keep track of your progress and motivate you when you need it. For instance, a heart-rate monitor device shows what zone you’re in, how long you’ve been in that zone and when you need to drop to another zone or pick it up.

“Our cardio equipment is really cool and top of the line because there are

a lot of technological benefits to it,” Burton said. “You can connect our app to it and track your workouts through that.”

Proof Fitness wants potential members to know there’s more to working out than just coming to the club, doing your particular thing and then leaving.

“We wanted to make this like a health club with a spa-like atmosphere, where you’re not just coming to work out and leave, but you want to stick around and enjoy the amenities,” Burton said.

One of those amenities is the in-house café called Caldo, which combines the healing powers of whole foods with chef-prepared specialties such as locally sourced grass-fed bone broth, raw salads, fermented foods and smoothies. Another amenity that recently became available is Belle Vie Med Spa, which will offer a variety of treatments and services, including Botox, facials and massages.

Of course there are locker rooms, but they are definitely not like the ones you might have tolerated in high school.

These are upscale locker rooms with a lounge area, saunas and steam baths, as well as showers.

Clients generally come to Proof Fitness to lose weight or maintain their current fitness. Some have seen chronic illnesses improve. But they all appreciate another benefit they often find.

“A lot of them will tell you, ‘I joined because I wanted to lose weight’ or ‘I joined because I was struggling with some type of illness,’” Burton said. “But after they’ve been a member for a while, they’ll say, ‘I’m glad I joined here and I’m staying here because of the community and how I feel.’ The people here, the trainers, and the people you work out with – they keep you coming back.”

Your Passion is Our Proof. www.prooffitness.com 4101 Tates Creek Centre Drive, Suite 164 Hours: Mon.-Thurs.: 5 a.m.-11 p.m.

Friday: 5 a.m.-9 p.m.

Saturday: 7 a.m.-7 p.m.

Sunday: 8 a.m.-6 p.m.

859-559-0222 230 West Main Street, 7th Floor Hours: Monday-Friday: 5 a.m.-9 p.m.

Saturday: 7 a.m.-7 p.m.

Sunday: 8 a.m.- 6 p.m.

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Other convenient locations: 259 Southland Drive, Lexington, KY Prestonsburg • 1428 N Lake Dr Pikeville • 5425 N Mayo Trail, Ste 201

Hunting and Hearing Loss

By Dr. Brewer, Audiology Associates It’s almost that time of year.

Guns are being cleaned, license are being renewed and cameras are making their way into woods everywhere to scout potential hunting grounds. There is so much to think about but one of the most important components of hunting is often overlooked: Hearing Protection.

So why does hearing protection matter? Let’s remember that normal conversation occurs around 60 dB. A blast from a gun can often exceed 140 dB. According to OSHA, danger of noise exposure begins at 85 dB. Without proper hearing protection it is very easy to see how someone can lose their hearing if exposed to gun shots on a regular basis. This includes hunting. A study completed by the University of Wisconsin (Recreational Firearm Use and Hearing Loss, 2000) found men between 48 and 92 years of age were at a greater risk of high frequency hearing loss. They also found this risk increased seven percent every five years of hunting completed. Unfortunately, hearing loss caused by noise exposure often happens gradually and goes unnoticed until the amount of hearing loss becomes significant overall. As a result of this gradual decline, people often feel they can go without their hearing protection because they do not notice those changes occurring suddenly.

Another reason hunters do not wear hearing protection often enough is because, and I hear it said all the time, “If I wear hearing protection when I am out hunting I won’t be able to hear fellow hunters or the rustle of leaves”. That is not the case with today’s technology! There are several options for technology to help protect hearing

but also hear sounds necessary while hunting. Most importantly, whoever is doing the hunting needs to take the time to research which options are best for their budget and needs.

What does the NRR rating really mean?

As many already know, NRR stands for Noise Reduction Rating.

When an NRR rating is given, it does not mean that the sound someone is being exposed to is reduced by that number. For example, a gunshot goes off at 120 dB. If an NRR rating is 33dB, it does not mean you can subtract 33dB from the 120dB noise. So how is it calculated? Rule of thumb: Take the NRR rating, subtract seven and then divide by two. Let’s use our example again. If the gunshot is 120dB and the NRR is 33dB, the actual dB you subtract from the noise is 13dB ((33-7)/2) which means your new level of exposure is 107dB. This number is still well above the range for potential damage. The take away: the higher the NRR rating, the better when it comes to hunting!

Ultimately, the best hearing protection you can provide yourself is wearing dual. How is this calculated? Take the highest NRR rating of the two and add five. Example: Insert foam earplug (NRR 29) + earmuffs (NRR ~27) = NRR is 34 dB. Effective Ways to Protect Your Hearing Sound Suppressors and Silencers Some states allow you to use a sound suppressor/silencer when using firearms. In order to determine if they are allowed in the Commonwealth of Kentucky I called the Cabela’s here in town

and they were extremely helpful!

Sound suppressors and silencers are legal in the Commonwealth however, you cannot just go buy one. They require a special license and registration, however, the investment is worthwhile in the long run, as it could potentially save your hearing or at minimum prevent damage from accumulating as rapidly.

Options for Hearing Protection 3M Peltor, Howard Leight Lightning or Howard Leight Thunder are excellent options with an NRR of 30dB! Not to mention they run about $25-30.00 total.

For a complete list of hearing protection ranging in NRR ratings for ear plugs and ear muffs please visit: www.coopersafety.com/ noisereduction.aspx.

Ineffective Ways to Protect Your Hearing Hearing aids. First, most hearing aids do not provide the proper seal to fully protect your ears against the blast from a gunshot. Second, built into hearing aids is an attack time. This is to protect your hearing against a steady state noise like a firetruck or some loud noise that the aids can recognize and then, within milliseconds, compress the signal to prevent damage. While this is functional for a steady state noise, this is NOT enough with a gunshot. Due to the attack time, the gunshot has already done its damage to your ears before the hearing aids are able to compress the signal.

Another ineffective way to protect hearing is with ill fitting protection. If protection is not properly inserted or worn, the NRR rating no longer matters. Please take the time to ensure protection is properly in place to prevent further damage from happening.

Signs of Hearing Loss from Hunting and Shooting Which hand is your dominant hand while shooting? Because of the way sound travels and the position of your head while holding the firearm, the opposite ear is affected first. For a right handed shooter, the left ear would be affected first and vice versa. If hearing loss is detected in one ear, conveniently the ear closest to the firearm, it’s time to contact an audiologist. Request diagnostic testing to be completed in order to better understand the current state of hearing abilities. Additionally, protect your hearing!

Conclusion I believe we can all agree that hunting can lead to hearing loss. It’s important to take the time and do some quality research to make sure you are protecting your hearing as much as possible. Should you still have questions, contact a local audiologist. Any one of them would be happy to help you in protecting your hearing.

About the Author

Dr. Brewer completed her Doctor of Audiology degree at the University of Louisville’s School of Medicine and her undergraduate degree in Speech Pathology and Audiology at Miami University in Oxford, OH. She is licensed by the state of Kentucky as an audiologist and hearing instrument specialist.

She is also a member of the American Academy of Audiology, Academy of Doctors of Audiology, Kentucky Academy of Audiology and American Speech-Language-Hearing Association.

Dr. Brewer specializes in diagnostic audiologic evaluation as well as hearing aid services, including selection, fitting, and follow-up care. Her passion is to provide her patients with the most appropriate form of treatment for their hearing health care.

There are several options for technology to help protect hearing but also hear sounds necessary while hunting.

COGNITIVE DECLINE Those with untreated hearing loss experience A 30%–40% GREATER DECLINE in thinking abilities compared to those without hearing loss.

TINNITUS PEOPLE WITH TINNITUS 90% OF ALSO HAVE HEARING LOSS. Tinnitus affects 1 in 5 people.

Tinnitus can be caused by hearing loss, an ear injury, or a circulatory system disorder.

HEART HEALTH

Hypertension can be an accelerating factor of hearing loss in older adults.

THE INNER EAR IS EXTREMELY SENSITIVE TO BLOOD FLOW.

TOTAL-BODY

HEALTH

BEGINS WITH

TIMES

HYPERTENSION

THERE IS A SIGNIFICANT ASSOCIATION BETWEEN HIGH BLOOD PRESSURE AND UNTREATED HEARING LOSS.

EYE HEALTH

If you have vision and hearing loss, your ability to target sound location is compromised. The amplification from hearing aids helps compensate for the vision loss.

SAFETY/BALANCE

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Studies show that a healthy cardiovascular system — a person’s heart, arteries, and veins — has a positive effect on hearing. Inadequate blood flow and trauma to the blood vessels of the inner ear can contribute to hearing loss.

SMOKING

BETTER HEARING

CURRENT SMOKERS HAVE A 70% HIGHER RISK OF HAVING HEARING LOSS THAN NONSMOKERS.

HEALTH

DIABETES

HEARING LOSS IS TWICE AS COMMON IN PEOPLE WITH DIABETES COMPARED TO THOSE WITHOUT.

OBESITY

Adults whose blood glucose is higher than normal but not high enough for a diabetes diagnosis have a 30% higher rate of hearing loss compared to those with normal blood sugar.

HIGHER BODY MASS INDEX (BMI) AND LARGER WAIST CIRCUMFERENCE ARE ASSOCIATED WITH INCREASED RISK OF HEARING LOSS IN WOMEN.

OTOTOXICITY

OSTEOPOROSIS A study linked osteoporosis and hearing loss, theorizing that demineralization of the three middle-ear bones may contribute to a conductive hearing impairment.

259 Soutland Dr • Lexington 859.277.0491

THERE ARE MORE THAN 200 MEDICATIONS ON THE MARKET TODAY THAT ARE KNOWN TO CAUSE HEARING LOSS (TOXIC TO THE EARS).

The list of known ototoxic drugs includes: • Aspirin • Some anticancer drugs • Quinine • Some anesthetics • Water pills • Environmental chemicals • Certain antibiotics like carbon monoxide, hexane, and mercury

Sources: The National Institutes of Health (NIH) | National Institute on Deafness and Other Communication Disorders (NIDC) | National Council on Aging (NCOA) | Sergei Kochkin, Ph.D. The Impact of Treated Hearing Loss on Quality of Life - Better Hearing Institute, Washington, D.C. Retrieved from: www.betterhearing.org/hearingpedia. Frank Lin, M.D. (2014 January 22) Hearing Loss Linked to Accelerated Brain Tissue Loss. Johns Hopkins Medicine News Release. | Ha-Sheng Li-Korotky, Au.D., Ph.D., M.D. (2012) Age-Related Hearing Loss: Quality of Care for Quality of Life.

The Gerontologist, Volume 52, Issue 2: 265-271 | Karen J. Cruickshanks, Ph.D.; Ronald Klein, M.D.; Barbara E. K. Klein, M.D.; Terry L. Wiley, Ph.D.; David M. Nondahl, M.S.; Ted S. Tweed, M.S. (1998) Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study. JAMA. 998;279(21):1715-1719. doi:10.1001/jama.279.21.1715 | Hull RH, Kerschen SR. (2010) The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. Am J Audiol. 2010 Jun;19(1):9-16. doi: 10.1044/1059-0889(2010/08-0040). | De Moraes Marchiori LL, de Almeida Rego Filho E, Matsuo T (2006) | Hypertension As a Factor Associated with Hearing Loss. Braz J Otorhinolaryngol. Jul-Aug;72(4):533-40. Babich M., Hoffmeister D. & Doughty, A. (2009). Osteoporosis and Conductive Hearing Loss: A Novel Model of Clinical Correlation. Retrieved from: PHILICA.COM Article number 148. | American Tinnitus Association, ATA.org | www.mayoclinic.com/health/tinnitus/DS00365 © 2016 Audigy Group LLC. All rights reserved. 81705-820 2/15 POST3101-01-EE-AY

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VISION HELPS YOU IDENTIFY WHERE A SOUND IS COMING FROM.

PEOPLE WITH MILD HEARING LOSS (25 dB) ARE more likely to have a history of falling. Every additional 10 decibels of hearing loss increases the chances of falling by 1.4.

October 2016

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Prostate Cancer Often Successfully Treated OPTIONS INCLUDE ACTIVE SURVEILLANCE, RADIATION OR HORMONE THERAPY

By Dr. Keith Applegate, FAAFP, Family Practice Associates There is good news about prostate cancer. It is one of the most common cancers men develop (the American Cancer Society says about one man in seven will be diagnosed with prostate cancer during his lifetime), but it is often treated successfully, especially when detected early, still confined to the prostate.

The prostate is a walnut-sized gland that makes some of the fluid that is part of semen. According to the Mayo Clinic, prostate cancer may cause no signs or symptoms in the early stages. As it advances, you may experience trouble urinating, see blood in the semen, have pain in the pelvic area and struggle with erectile dysfunction. Factors that can increase your risk of developing prostate cancer include being older (over age 50 years), African American and having a family history of prostate or breast cancer.

Your physician may opt to perform a prostate screening if you have any risk factors. In a digital rectal exam (DRE), your doctor inserts a gloved, lubricated finger into your rectum to examine your prostate for any abnormalities in texture, shape or size. With a prostate-specific anti-

gen (PSA) test, a blood sample is drawn and analyzed for PSA, a substance the prostate gland produces naturally. It is normal to find a small amount of PSA in the bloodstream.

A higher than normal level may indicate prostate infection, inflammation, enlargement or cancer.

Treatment depends on what stage the cancer is at when it is discovered. Your options include active surveillance – keeping an eye on the prostate and having regular PSA tests, DREs and possibly biopsies – especially if the cancer is at a very early stage. Active surveillance is generally for cancer that is expected to grow very slowly, is confined to a small area of the prostate and is not currently causing symptoms.

Another treatment option is external radiation therapy, which uses high-powered energy beams such as X-rays or protons to kill cancer cells.

With brachytherapy, small radioactive seeds are placed directly in your prostate tissue. The seeds deliver a low dose of radiation over a long period of time. You can expect to experience side effects such as painful, frequent or urgent urination and erectile dysfunction.

Hormone therapy is a fourth type of treatment frequently used for prostate cancer. It incorporates med-

ications that stop your body from producing testosterone, on which cancer cells rely to help them grow.

Hormone therapy is used mainly in men with advanced prostate cancer to shrink the cancer and slow the growth of tumors. Side effects may include erectile dysfunction, hot flashes and a reduced sex drive. You may also choose to undergo prostatectomy – removal of the prostate gland.

Be sure to discuss your concerns about prostate cancer and possible treatment protocols with your primary care physician or urologist.

In the meantime, adopt healthy lifestyle changes – regular exercise, eating a healthy balanced diet, forgoing smoking and limiting alcoholic beverage intake – that may not only protect you from prostate cancer but improve your overall wellness and life expectancy.

About the Author

Dr. Keith Applegate co-founded Family Practice Associates of Lexington in 1987. Dr. Applegate’s objective is “to have a helpful and rewarding doctorpatient relationship that results in a healthier you.”

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FITNESS

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859.559.0222 | www.prooffitness.com 4101 Tates Creek Centre Drive, Suite 164 AND 230 West Main Street (7th Floor)

5 Most Common Mistakes Made in the Gym

By Rachel McCord, Proof Fitness Personal Training Director It goes without saying that when it comes to health and wellness, exercise is a must. Gyms across the nation stay packed with people striving to better themselves inside and out through various fitness avenues. As a fitness professional who has trained hundreds of individuals with goals ranging from fat loss and muscle building to quality of life and posture rehabilitation, I've seen all manner of people and their efforts in the gym; the good, the bad, and the ugly. In this article, I've amassed the top five mistakes I see made in the gym. Read on to discover if you may be making some of these mistakes and to find their respective solutions!

1. Following the wrong training program for your specific goals.

When it comes to a workout program, the first word that comes to mind as a priority is individualization! A program centered around fat loss for a 50 year old female with arthritis in both knees is going to differ vastly from a program for a youth athlete striving to improve sports specific skills like agility and explosiveness. Elements of a proper training program include training frequency, exercise selection, intensity, rep range, rest time, and more. While some movement is

superior to no movement at all, ensuring that your effort is moving you closer to your specific goal is key.

If you are a gym newbie, the safest most effective move is to speak with a professional. Whether it's hiring a trainer, getting involved in group instructor led classes, or having a pro write you a program to follow on your own, winging it is not advisable for safety and effectiveness!

2. Choosing a singular training modality.

This is a big one! I can't count how many people I've observed and/or spoken with who limit themselves to one type of exercise. Although yoga, weight lifting, running, cardio on an elliptical or step-mill, and boxing are all great options, only participating in one opens the door to limiting your potential and being less well rounded than a person who cross trains among multiple disciplines. Challenge yourself to explore multiple fitness avenues and, although we all have our favorites, strive to keep a balance!

3. Fueling your workout incorrectly.

I recently read a headline titled "Half the world is dying from overeating, the other half from starvation". This seems to be a theme not only out in the world but in the

gym also. Busy soccer moms bustle into the gym and straight into an hour long spin class after subsisting all day on a skinny latte, a string cheese and half of what their kids didn't eat for lunch; over-worked business men go out for lunch with their company regularly, indulge in everything, drink two energy drinks as their afternoon snack and come to hit the heavy weights before heading home to hit the heavy drinking before another day. The body is a finely tuned machine much like an automobile. If you want it to perform above average, you have to give it above average fuel! Before and after your workouts strive to find a healthy balance of wholesome carbohydrates and lean proteins. Save healthy fats like nuts, avocados, and health oils for less active times during the day when quick energy is not needed but slow burning fuel is more appropriate.

Hydrate well during and after your workout.

4. Having unrealistic goals.

Patience seems to be a virtue many gym goers lack. Expecting the body to adapt to exercise stimulus instantly would be like trying to rebuild the pentagon on your lunch break.

Whatever your goals may be, instant results do not exist. Although you can maximize your results potential by choosing an appropriate program, getting professional help, dialing in your nutrition, getting adequate rest, and aligning the rest of your lifestyle

with your goal, nothing replaces doing the work and investing your time in a healthy process. For the average person, any regimen that promises more than 12 pounds of fat loss per month or 4 pounds of lean mass gain per month is unhealthy long term at best and illegal at worst!

5. Avoiding Resistance Training I saved this point for the last because it is near and dear to my own heart. As a former ballet and then ballroom dancer, cardio and muscular endurance training was my arena.

Prior to my involvement in the fitness industry, the heaviest thing I lifted on a regular basis was my purse and I looked at the weight area of the gym as "the guy's side"! Although I was in excellent cardiovascular shape and had exceptional flexibility, I lacked strength and the muscle definition I desired. While this point applies to both genders, as a rule women are more hesitant about weight training than men. Some assume weights will make them big and bulky while others simply don't know where to start in the weight room. Regardless, resistance training for over all health including maintaining lean mass, increasing the metabolism, increased energy levels, and maintaining healthy bone density is a must! I recommend a minimum of 3, 30 minute sessions per week.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016

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5 Cancer-Fighting Superfoods Plant-based foods are allies in the battle against disease

By Harleena Singh, Staff Writer

According to Richard Béliveau, Ph.D. at the University of Québec in Montreal and author of Foods to Fight Cancer, “All the studies on cancer and nutrition point to eating plant-based foods for their phytonutrients and other special compounds.”

Here are five “superfoods” that are touted as having the ability to fight cancer.

1. Broccoli Along with other cruciferous vegetables such as cabbage, kale and cauliflower, broccoli contains special plant compounds that may have cancer-fighting properties. But broccoli has the maximum amount of sulforaphane, which boosts the body’s protective enzymes and removes cancercausing chemicals, according to Jed Fahey, ScD. It helps fight cancers of the breast, lung, liver, skin, stomach, prostate and bladder. According to research, the more the broccoli, the

better, so add it wherever you can – in your salads, omelets and even on your pizzas!

2. Tomatoes Tomatoes are the best dietary source of lycopene, a carotenoid that gives them their red hue. According to a study in Nutrition and Cancer, lycopene was found to stop endometrial cancer cell growth. Other studies show lycopene has the potential to fight prostate cancer. Tomatoes also help fight cancers of the stomach and lung. The maximum benefit comes from cooking tomatoes because the heating process increases the amount of lycopene your body can absorb.

3. Berries Berries of all kinds are full of cancer-fighting phytonutrients. They also contain antioxidants, which studies show protect the body from cell damage that could lead to cancer

of the skin, bladder, lung and breast.

Black raspberries in particular contain high levels of phytochemicals called anthocyanins, which slow the growth of premalignant cells and prevent new blood vessels from forming and potentially feeding a cancerous tumor, according to Gary D. Stoner, Ph.D., at the Ohio State University College of Medicine. Berries help fight oral cancer as well as cancers of the colon and esophagus. A half-cup serving of berries a day may help your health.

4. Garlic Phytochemicals in garlic may stop the formation of nitrosamines, which are carcinogens formed in the stomach when you consume nitrates, a common food preservative. According to the Iowa Women’s Health Study, women with the highest amounts of garlic in their diets have a 50-percent lower risk of cer-

tain colon cancers than women who ate the least. Garlic helps fight breast, colon, esophageal and stomach cancers.

5. Tea It contains flavonoids, which are known for their antioxidant effects.

Kaempferol, a particular flavonoid, has shown protective effects against cancer. Margaret Gates, a doctoral candidate at Harvard’s School of Public Health, suggests consuming between 10 to 12 milligrams of kaempferol daily (the amount found in four cups of tea) offers protection against ovarian cancer. A separate study showed a link between consuming flavonoids and reducing the risk of breast cancer, though it had no effect on breast cancer risk among premenopausal women. Both black and green tea contain catechins, though you get more antioxidants from green tea.

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Dealing With the Side Effects of Chemotherapy You can handle adverse reactions to treatment in a number of ways

By Harleena Singh, Staff Writer

According to the American Cancer Society, your doctor can choose from more than 100 chemotherapy drugs to fight cancer. Chemotherapy destroys cancer cells in the body as the medicines target the dividing cells, but the normal cells in the blood, nose, nails, mouth, etc. also divide rapidly because chemotherapy affects them as well. The cancer cells cannot repair themselves well enough, but the healthy cells can repair the damage chemotherapy causes.

When the normal cells are damaged, it triggers certain side effects such as hair loss, mouth sores, skin and nail changes, loss of appetite, nausea or vomiting, tiredness and lack of energy. You may also experience changes in hearing, sex and fertility and memory and concentration.

Chemotherapy can have an adverse effect on the blood and immune systems. It can cause constipation and diarrhea and damage nerves and muscles.

Most chemotherapy side effects go away after you have finished treatment, but some may take a long time to dissipate completely. Here are some ways to deal with the main side effects of chemotherapy:

Lacking energy or feeling tired This is the most common and debilitating side effect of chemotherapy. It includes feeling drowsy, confused and exhausted. To deal with it, let people help you with shopping, housework, gardening and driving.

Save your energy by allowing your body time to recover. Plan activities for the time of day when you feel the most energetic. Try to eat a balanced meal with plenty of fruits and vegetables. Relaxation and meditation exercises may improve your sleep and give you more energy.

Nausea or vomiting and appetite changes During chemotherapy, some drugs may change the taste of food.

Sometimes you may not like food you enjoyed before or you may crave foods you don’t usually eat.

Chemotherapy can also make you feel sick or even vomit. There are medicines that help most people with this symptom; they are usually given in the form of injections, tablets, liquids and wafers. If you feel you are likely to vomit, breathe deeply and gently through your mouth. Remain hydrated to keep your fluid levels up.

Sip fluids all through the day rather

than drinking a lot all at once. Having small meals can help; just be sure to eat and drink slowly and chew your food well. Eating a little ginger may help manage nausea and vomiting, says the National Cancer Institute.

Save your energy by allowing your body time to recover.

Hair loss This affects most people going through chemotherapy in various ways, depending on the drugs taken.

After the treatment, the hair grows back, but during the time when hair loss is most apparent, many people feel unattractive, sad and vulnerable.

To help you handle with these emotions, keep your hair and scalp clean with a mild shampoo. Limit the use of hair dryers, rollers and harsh styling

products. Use vegetable-based dyes or those with few chemicals if you want to dye your hair. Wear sunglasses or glasses to protect your eyes from the sun and dust, especially if your eyelashes fall out. Wear a turban, cap, wig, hat or scarf to make yourself feel comfortable and confident.

Mouth sores Some chemotherapy drugs may cause mouth sores and infections or ulcers. Radiation on the neck, chest and head may cause dental and gum problems. In such cases, use a soft toothbrush to clean your teeth twice a day and soothe mouth sores and tender gums with plain yogurt. If toothpaste irritates your mouth, use a mixture of half a teaspoon of salt with four cups of water. Use mouthwash to help heal mouth sores. You can make a homemade mouthwash by dissolving a teaspoon of bicarbonate of soda or salt in a glass of warm water; rinse four times daily. Blend foods to make them easier to eat and avoid hot, spicy, acidic or coarse foods. Do not smoke or drink alcohol, as this irritates the mouth.

You can find more tips about managing chemo side effects at: www.cancercare.org and www.webmd.com.

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859.338.5030 | wrapmelex.com 1031 Wellington Way, Suite 230, Lexington, KY

Winning the Battle Against Stubborn Belly Fat Multi-level approach required to lose the bulge

By Sonja Gregory, Wrap Me Day Spa Belly fat. We’ve tried working it off, sculpting it off, freezing it off. We’ve tried laser lights, lipo lights, body wraps. You name it, we’ve tried it. But still our middle seems determined to hold onto every last inch we are working so hard to lose. Why do we call it stubborn belly fat? Because it’s so hard to shed! Stubborn belly fat is just that –determined to stick with us through thick and thin. Oh, if only our friends could be so loyal.

From experience, we already know or will someday find out maybe just how much of our attention it takes to lose that belly fat hugging us so tightly around our middle. It requires a multi-level approach. It begins with our positive attitude, our nutrition

and hydration, our exercise routine and sleep hygiene. Now a new tool has been added to our options. Used in Europe by millions to successfully sculpt their middle into a slim belly, the AirPressure BodyForming System called Slim Belly works best when incorporating the multi-level approaches listed above. Three times a week, you just add an easy-to-wear belt around your middle while performing your aerobic or cardiovascular exercise, and belly fat is shed in a way you’ve only dreamed of.

How does it work? When we exercise, it’s not unusual to break a good sweat almost everywhere on the body and still feel cool to the touch on the belly or backside. This

is because these areas typically have low circulation, making it hard for the body to access the fat stored there to metabolize it. Try it yourself. Next time you’ve engaged in a good workout, touch these cooler areas of your torso and notice their temperature in relation to the other (sweaty) parts of your body. This is one reason stubborn belly fat is so hard to lose. What to do?

Wearing a Slim Belly System belt brings circulation to this problem area by gently massaging your middle with alternating air pressure applied uniformly across your torso.

Alternating chambers fill with air and then release their pressure, massaging areas of stubborn belly fat, bringing improved blood flow and lymph circulation. This makes fat cells more accessible to be burning as fuel during a workout.

You can’t buy a Slim Belly system and leave it in your drawer, though; it must be used regularly at least three times a week while you are active to get the good results promised.

Ideally, a 30-40 minute period of activity where you get your heart rate up to 180 minus your age yields best results. Measurable changes can be seen in as little as two weeks. Some users report an immediate visible benefit of a tightened and toned appearance to their skin and a reduction in the appearance of stretch marks. All these are bonuses worth the little effort it takes to strap on this easy-to-wear device.

The results my clients typically see with this system make them want to get out and use it. As the inches lost accumulate each week, your motivation to get going and get moving will only increase with each passing workout. After dinner each evening, don’t hit the couch, hit the sidewalk!

One of the most effective programs

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successful users of the Slim Belly belt enjoy is simply walking their neighborhood streets half an hour after dinner three times a week. Their belly fat simply disappeared as it was successfully metabolized as fuel.

When calculating the cost of a Slim Belly System, take into account the number of uses you will enjoy with it and the benefits you will get from owning your own personal unit. Easily portable, Slim Belly will fit compactly into your suitcase for traveling. No need to miss a session if you’re not home; it’s easy to strap on your Slim Belly belt and be active whether away on business or pleasure.

When you experience your stubborn belly fat giving way to this innovative system, you will only be encouraged to use it more, not wanting to miss even one session. Regular use is the key to its success.

So there’s no need to sculpt your fat off or freeze it or light it up. Slim Belly has a proven track record in its country of origin, Germany, where it has been used exclusively in gyms with amazing success.* Data compiled from millions of users in 18 countries over seven years has documented its impressive performance.

Chose a non-invasive, supportive approach to dealing with your stubborn belly fat by wearing a Slim Belly System. It’s available exclusively at Wrap Me Day Spa for $599 and is available in two sizes to fit most men and women. With an AirPressure BodyForming System by Slim Belly, you’ll experience no down-time and amazing real-time results.

Sources and Resources

*https://cdn.shopify.com/s/ files/1/0857/7426/files/IMSB-Study_ Local_Fat_Burning_English_10282012. pdf?11043006144898446424

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$

Treat yourself

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OFF

System THE FUTURE OF BODY CONTOURING Hurry – offer ends soon!

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October 2016 | Read this issue and more at www.healthandwellnessmagazine.net |

OCTOBER 2016

Ongoing Al-Anon

Free support group for anyone affected by someone else’s drinking.

Local meetings and information at www.LexingtonAl-Anon.org or call 859.277.1877.

Thursdays: Oct 13, 20, 27

Mindfulness-Based Stress Reduction (MBSR).

8 week Thursday series beginning with orientation October 13th. The "gold standard" mindfulness course.

Learn to promote resilience, prevent burnout, cultivate compassion and manage stress-related chronic conditions. Instructor: John A. Patterson MD, MSPH, Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at www.mindbodystudio.org/?page_id=1262 UK employees see Wellness Program benefits here- https://www.uky.edu/hr/ wellness/bewell/mindfulness-basedstress-reduction

Mondays

Free Yoga Classes for Vets, Servicemembers and their Family Members Every Monday from 9:30am–10:30am at Ageless Yoga Studio, 611 Winchester Rd., Suite 200. 859-303-6225. Preregister online at agelessyogastudio. com. Click “class” tab to sign up now!

Email info@agelessyogastudio.com for more info.

Mondays & Wednesdays

MELT Method Hand, Foot and Body Healing Class by Shayne Wigglesworth Mondays and Wednesdays at 12pm - Discover pain-free living at any age!

Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home. All materials and rollers are provided. Perfect for all ages, body types and experience levels.

Learn more at www.centeredlex.com or call 859-721-1841

Tuesdays

Community Flow This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition.

10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving, Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event!

309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841. www.centeredlex.com

Tuesdays Swing Lessons

Every Tuesday, starting September 30: 8pm–10pm at Tates Creek Recreation Center, 1400 Gainesway Dr. $5.00 per person per lesson. Call for more information: Glenn and Rosalee Kelley 859233-9947; OR Peter and Robin Young 859-224-3388.

Tuesdays

Community Yoga Class with Lauren Higdon Every Tuesday 10:30am–11:30am at Centered Studio, 309 n Ashland ave suite 180 in Lexington. This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all ages and levels of physical condition. Classes may include chair yoga, restorative, yin yoga, tai chi, and more. Perfect for beginners as well as experienced yogis!

Donations-based class.

1st Tuesdays

Lupus Support Group: Living & Coping with Lupus The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping and insights into living with chronic illness. Imani Baptist Church, 1555 Georgetown Road, Lexington from

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7:00pm–8:00pm first Tuesday of every month. 877-865-8787. www.lupusmidsouth.org

r Yoga Iyenga gton of Lexin

2nd Tuesdays

PFLAG Support for LGBTs and Families We are a support group of family members and allies united with LGBTQ* individuals. Our meetings provide a safe, confidential space where you can feel respected and accepted wherever you are in your journey or family struggle.

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

$

10 OFF IR YOUR F

REGISTER

ION ST SESS

“Yoga teaches us to cure what need not be endured and endure what

TODAY!

Kim Blitch, CIYT 859-230-2510 Kbblitch@yahoo.com The Mind Body Studio 517 Southland Dr

cannot be cured”

— BKS Iyengar

Iyengarlex.com

RENT THIS CABIN

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

Wednesdays Mindfulness and Relaxation for Health

6:30-8:00pm (come as early as 6:00 to slow down and relax). No prior experience of yoga or meditation required. Mobilize your inner resources for promoting health, self care and managing the stress of caregiving, burnout and chronic disease, cultivate your innate happiness, peacefulness and compassion, study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discussion. Cost $5–$10. Instructor- John Patterson MD, MSPH, FAAFP. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at http://www. mindbodystudio.org/?page_id=1055

Fridays

Argentine Tango “Dance of the Heart” Passionate and Romantic, mindful and Meditative, a uniquely transformative social skill, art form and movement therapy, no partner or dance experience required, Friday evening 7:30-9:00 PM. You may drop-in to any class- this is not a series. Cost $10. Instructors: Dr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at http://www. mindbodystudio.org/?page_id=214

October 1

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/vendor show from 11am-3pm. Show includes

Call or visit website for reservations.

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

Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items. Morning Pointe Senior Living Center: 233 Ruccio Way, Lexington, KY.

October 11

Understanding Your Medicare Options: Presentation 1pm at the Beaumont Library in Lexington at 3080 Fieldstone Way. This presentation is designed to help new beneficiaries and their caregivers a better understanding of the Medicare program. Even those who currently have Medicare coverage could benefit from this detailed overview. Topics will include an introduction to Medicare including what Medicare covers, supplemental Medicare Health plans including Medicare Supplements, Medicare Advantage plans, and Part D prescription drug coverage. This session is a 45-minute presentation that includes time for scenarios and Q&A time. To RSVP, call 859-312-9646

October 13 AARP Smart Driver Safety Course

This driver's safety course discusses the changes that occur with aging and how that can affect driving. Held

EVENTS Continued on page 29

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016

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

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

Compassionate Friends Support Group A support group for parents, siblings, or grandparents who have lost a child regardless of the child’s age or length of time that has passed since that day. The meeting is the 1st Tuesday of every month 6:30pm–8:30pm at Hospice of the Bluegrass, 2321 Alexandria Drive, Lexington. Also meets the 1st Tuesday of every month 7pm-9pm at Hospice East, 417 Shoppers Drive, Winchester. Doors open one-half hour before meeting times to provide the opportunity to visit with old friends and acknowledge new ones.

Spouse Loss Support Group Tuesdays 6-7:30pm. Hospice of the Bluegrass.

A five-week support group for individuals who have experienced the loss of a spouse or significant other. Contact Lexington office at (859) 277-2700 for more information or to register.

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

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

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

2nd Chance Ambassadors Lexington: a support/volunteer group comprised of organ transplantation recipients, donor family members, those on the waiting list and community members interested in transplantation meets the 3rd Sunday of each month at Word of Hope Lutheran Church, located at the corner of Man O’War and Armstrong Mill Road. Meetings begin at 4:30. For questions, please contact Charlotte Wong, Education Coordinator, Kentucky Organ Donor Affiliates Lexington office at (859) 278-3492 or toll free (800) 525-3456.

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

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

Survivors of Suicide First & third Tuesday of the month, 6-7:30pm, Center for Grief and Education.

For adults affected by the loss of someone by suicide. Contact the Lexington office at (859) 277-2700 for more information or to register.

Bosom Buddies A support group designed to meet the ongoing needs of women with breast cancer.

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

BRCC Volunteer Opportunities The Bluegrass Rape Crisis Center provides a 24-hour crisis line, hospital and court advocacy, crisis intervention counseling, long-term therapy, and information and community referral to victims of sexual assault as well as family members and friends. Volunteers at BRCC have the unique opportunity to provide valuable direct services to those impacted by sexual assault. Volunteer opportunities: Crisis Line Volunteer, Medical/Legal Advocate. For more information, please call: (859) 253-2615.

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

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

ANAD Overcoming Eating Disorders Support Group Free support group for people who want to improve their relationship with food and body image. Safe, comfortable place.

Facilitated by Megan Roop, RYT, supervised

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

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

on Yoga principles and practical skills also offered. Free parking provided for most classes. For information, please call 859-254-9529 or visit www.yogahealthcenter.org.

Mind Body Studio The Mind Body Studio is a service of John A. Patterson MD, MSPH, FAAFP, certified in family medicine, integrative medicine, mind body medicine and integral yoga, Dr. Patterson specializes in stress-related chronic disease and burnout prevention for caregivers and helping professionals. Mind body skills and lifestyle behaviors may help prevent and provide safe, effective and affordable relief of chronic conditions that are often poorly controlled by conventional medicine alone.

Our integrative medicine consultations, group classes, workshops and coaching can help you meet your unique health and wellness needs through experiential education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship to each other and the earth.

Visit our website to schedule an appointment with Dr. Patterson or see a schedule of classes in yoga, mindfulness, meditation, Pilates and dance. “Mindful, empowered self care is the heart of healing” 517 Southland Drive, Lexington 859-373-0033 www.mindbodystudio.org

Monthly Reiki Classes

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

Turn your hands into healing hands!

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

Taoist Tai Chi Society

Ongoing Journey Circle

We offer classes in Louisville and Lexington.

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

This circle meets the 4th Sunday of every month and is for those who are experienced in the practice of journeying OR are interested in learning more about this ancient spiritual practice. Join us every month as we will be journeying on different topics that will be discussed at time of circle. Please feel free to bring drums, rattles etc. Questions or need directions or have questions? Please feel free to email/call me: 859-492-2109,info@jennifershawcoaching.com

Free Cardio Classes

Consumer Support Groups (Individuals with a Mental Illness) Every Sunday, 869 Sparta Court, Lexington.

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

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

Yoga • Meditation • Stress Reduction The Yoga Health & Therapy Center offers daytime and evening Yoga classes with slow stretch, breathing awareness and relaxation training. Small classes provide personalized instruction. New yoga students receive a series discount. Meditation classes and ongoing group practice sessions available for all levels. Stress-Reduction classes based

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

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Signs and Symptoms of Breast Cancer Be aware of how your breasts normally look and feel

By Harleena Singh, Staff Writer

Breast cancer is a tumor that starts in the cells of the breast. It can spread or metastasize to other parts of the body. Detecting breast cancer as early as possible gives you a better chance of successful treatment. You can keep up with your breast health by knowing how your breasts normally look and feel. A sign, such as a rash, can be observed and recognized by a doctor or healthcare professional. A symptom, such as pain or tiredness, is something only the person experiencing it can feel and know. A doctor should check unusual symptoms.

The most common symptom of breast cancer for many women is a mass or lump. However, many women have breast lumps; nine out of 10 of these lumps are benign, which means they are not cancerous.

Most benign breast lumps are cysts (sacs of fluid) and are very common.

Some are fibroadenomas – a collection of fibrous glandular tissue, common in younger women under 30 years of age – and some are areas of normal lumpiness that are more obvious just before a period.

Initially, breast cancer has no symptoms. However, as the tumor develops, you may notice the following signs:

• Swelling in the armpit or a ple that may be bloody, clear or marble-like area under the skin, another color. It is usually caused which may be a sign that breast by benign conditions but may be cancer has spread to the lymph due to cancer in some cases. nodes. Although these lumps and • Unexplained swelling or/and swellings are often painless, they shrinkage of the breast, especially may be tender. if it is on one side only.

• A change in the contour, size, tex• A lump in the underarm or breast ture or temperature of the breast. that persists after your menstrual A pitted, reddish surface that cycle. Often this is the first apparresembles ent symptom the skin of of breast an orange cancer. These could be lumps are usuMany women a sign of ally painless advanced and are visible have breast lumps; breast canon a mammocer. gram before nine out of 10 of • A change they can be felt in the nipor seen. these lumps are ple, such as Other signs dimpling, include pain benign. retraction, or tenderness itching, in the breast; ulceration a noticeable or a burnflattening or ing sensaindentation tion. A on the breast, scaly rash of the nipple may be indicating a tumor that cannot be Paget’s disease, which could be seen or felt; or an area that is different associated with an underlying from any other area on either breast. breast cancer.

These signs and symptoms do • Unusual discharge from the nipnot necessarily mean cancer. Blood-

stained nipple discharge, inverted nipples or a rash can also be due to other medical conditions. However, you should see your doctor to be sure. He or she can refer you to a breast clinic.

Later, other signs and symptoms occur as cancer grows larger or spreads to other parts of the body, including other organs. These include weight loss, bone pain, nausea, loss of appetite, jaundice, headache, double vision, muscle weakness and buildup of fluid around the lungs.

Inflammatory breast cancer, a rare type of breast cancer, can have different symptoms. The whole breast may feel hard, can be very sore and look red and inflamed. The skin sometimes looks like an orange peel because the pores stand out in the inflamed area.

Any breast cancer symptoms you notice should be investigated as soon as possible.

Sources and Resources

www.cancer.org www.cancerresearchuk.org www.nationalbreastcancer.org www.webmd.com

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016 EVENTS continued from P. 26 the second Thursday of every month from 11:00am to 4:00pm at Don and Cathy Jacobs Health Education Center, UK HealthCare's Chandler Hospital Pavilion A, 1000 S. Limestone Street, Lexington, KY. Call for reservations: (859) 323-1890. $15 for AARP members, $20 nonmembers. Those who complete the course should be eligible for automobile premium discount through their car insurance providers for at least three years.

October 15

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/vendor show from 10am-3pm. Show includes Tastefully Simple, Coach Purses, bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items. Liberty Ridge Senior Living Center: 701 Liberty Ridge Lane, Lexington, KY

October 18

October 20 4 – 7 pm, at Southland Christian Church at 2349 Richmond Rd and Consolidated Baptist Church at 1625 Russell Cave Road. Sponsored by the Lexington-Fayette Co. Health Dept.

For more information, visit www.lexingtonhealthdepartment.org.

conversation about our work.

Lunch will be provided and each session will be led by a knowledgeable Hospice of the Bluegrass administrator. This overview will touch on how hospice services work and the services provided. This is a free event. Register by emailing or calling (859) 296-6895.

October 25

October 25

6:30pm- 8:30pm. 2508 Wallace Avenue, Louisville, KY 40205. Free.

Those with Reiki come to practice & receive the Reiki energy. Those who do have not Reiki training—come for an introduction/question & answer. Contact JoAnn Utley at 502777-3865 or jutley5122@bellsouth. net to register. More info at http:// joannutley.byregion.net

4-5 pm, Nathaniel Mission, 1109 Versailles Rd, Suite 400. Free.

Sponsored by the LexingtonFayette Co. Health Dept.. For more information, call (859) 2882446.

Free Flu Shot Clinic

Reiki Practice & Introduction to Reiki

October 25

Hospice of the Bluegrass Lunch and Learn

"Keeping Foods Safe" Nutrition Class 5 – 6 pm, Bourbon County Health Department, 341 East Main Street, Paris. All are welcome. Food demonstrations, sampling, and recipes will be provided. For more information or to register, call (859) 987-1915.

Are you interested in learning more about end-of-life care? Are you curious about the vast array of services Hospice of the Bluegrass offers? Join us for our monthly Lunch & Learn series on the last Tuesday of each month at noon for an informative

Health Chats about Diabetes

Send us your event listings If you are hosting a health-related event that is free to the public, list it here for FREE! (Events that are not free to the public can be posted in our calendar for $35).

E-mail your event date, location, description and contact information: brian@rockpointpublishing.com

October 29 Hallow-Health

Pain Management Medicine presents Hallow-Health – a FREE afternoon of healthy Halloween festivities, thrills and fun for the entire family! Costume contest, music, face painting, local health/ wellness enthusiasts, healthier trickor-treating, silent auction & much more from 12:00pm to 4:00pm at 101 North Eagle Creek Drive in Lexington. (Old Eagle Creek Library).

Check-in: 1:00 PM Walk: 2:00 PM

REGISTER TODAY! Questions? 502.585.5433 ext 843 tiffany.neal@kidney.org

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Locally Sponsored by: Transplant Center

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Scientists have made strides in determining how certain changes in DNA can cause normal bone marrow cells to become leukemia cells.

General Facts About Leukemia Learn more about types, treatment of blood cell cancer

By Jean Jeffers, Staff Writer Leukemia is a form of cancer that occurs in the blood cells. The National Institute of Health (NIH) National Cancer Institute says with leukemia, cancerous blood cells form and crowd out healthy cells in the bone marrow.

The American Cancer Society (ACS) says there are four types of leukemia: • acute myeloid leukemia (AML); • chronic myeloid leukemia (CML); • acute lymphocytic leukemia (ALL); and • chronic lymphocytic leukemia (CLL).

When leukemia is considered acute, it will progress rapidly, and if not treated, it will cause death in a matter of months. Other forms of leukemia are considered chronic. They grow more slowly, getting worse over a longer period of time. AML starts in early forms of myeloid cells, which make white and red blood cells, or platelets. ALL is a cancer of the lymphoblasts, the white blood cells that fight infection. It begins in early immature forms of lymphocytes, a type of whole blood cell. White blood cells are the most common type of blood cell susceptible to becoming cancerous. Platelets and red blood

cells may become cancerous as well.

Previous chemotherapy and radiation treatment may increase the risk of developing ALL. The ACS says ALL is not an isolated disease but rather a group of intricately connected diseases. Patients with different subtypes of ALL may have different outlooks, prognoses and responses to treatment. The ACS estimates in the year 2016, there will be about 6,599 new cases of ALL in the United States. It estimates further there will be about 1,430 deaths from ALL in 2016. ALL affects one in 750 persons.

Risk factors for acquiring ALL include being male, Caucasian and older than 70. Being exposed to high levels of radiation in the environment or having certain genetic disorders, such as Down syndrome, may also lead to ALL. Symptoms of ALL include fever, fatigue and easy bruising or bleeding. Tests that examine the blood and bone marrow are the preferred ways to detect and diagnose ALL. Certain factors may affect prognosis and treatment options. In recent years, scientists have made strides in determining how certain changes in

DNA can cause normal bone marrow cells to become leukemia cells. There continues to be new information coming out about DNA mutations (changes) in patterns of the genes.

The main types of treatment are chemotherapy; targeted therapy, where newer drugs are used to “target” specific parts of cancer cells; and stem cell transplant. Treatment of ALL usually lasts about two years.

Sometimes the condition goes into remission but comes back, and a repeat of the protocol may be done.

For More Information:

The Leukemia & Lymphoma Society 1-800-955-4572 www.lls.org The National Cancer Institute (NCI) 1-800-422-6237 www.cancer.gov.

About the Author Jean is an RN with an MSN from University of Cincinnati. She is a staff writer for Living Well 6 0Plus and Health & Wellness magazines. She has an article in the Fall 2016 issue of Christian Living in the Mature Years.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016

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MAKERS Fast-Track Approval for New Cancer Drug

Gene Editing Removed HIV from Human Immune Cells Temple University researchers shut down HIV replication permanently by editing HIV out of the human immune cell DNA. Using the CRISPR/Cas9 gene-editing technique, they were able to eliminate HIV-1 DNA from T-cell genomes in human lab cultures. When these cells were later exposed to the virus, they were protected from reinfection.

“These findings are important on multiple levels,” said lead researcher Kamel Khalili.

“They demonstrate the effectiveness of our gene-editing system in eliminating HIV from the DNA of CD4 T-cells and introducing mutations into the viral genome to permanently inactivate its replication. Further, they show the system can protect cells from reinfection, and the technology is safe for the cells, with no toxic effects.” This is the first time scientists have figured out how to prevent further infections, which is crucial to the success of a treatment that offers better protection than current antiretroviral drugs. Once patients stop taking these drugs, the HIV starts overloading the T-cells again. “Antiretroviral drugs are very good at controlling HIV infection,” said Khalili. “But patients on antiretroviral therapy who stop taking the drugs suffer a rapid rebound in HIV replication.”

There’s still more work to be done to perfect the cutting process so it can be used for something more advanced than human cells in a petri dish. The results were published in the March edition of Scientific Reports.

The Food and Drug Administration announced in early September it has given the new cancer drug Venetoclax fast-track approval for the treatment of patients with chronic lymphocytic leukemia (CLL).

CLL is one of the most common types of leukemia in adults. In a recent clinical trial, 80 percent of patients treated with Venetoclax experienced complete or partial remission of their cancer. Developed in Australia over several decades, the new drug is taken in pill form. Of the small sample of patients who have been treated with it so far, some have reported no adverse side effects at all.

“It causes no side effects.

Nothing, absolutely nothing,” Robert Oblak, a Magnetic Particles from 2013 trial participant who had recurring CLL, told Pollution Have Been Found ABC. “Quite amazing. So Human Brain Tissue even when it’s killing cells, you feel great.”

Toxic nanoparticles from air pollution have been found embedded in people’s brain tissue for the first time, and research has tentatively linked these particles to a higher risk of Alzheimer’s disease. The particles were already known to be present in the brain, but researchers had assumed the body naturally produced them. A small study by United Kingdom researchers has found they are the direct result of air pollution. The team examined brain tissue from 37 people in Manchester, England, and Mexico City who were between 3 and 92 years old. All the tissue contained particles of a type of iron oxide called magnetite, and not just traces of it – the particles were abundant; there were millions of magnetite particles per gram of freeze-dried brain tissue. The results were published in the September issue of the journal Proceedings of the National Academy of Sciences.

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Therapy dogs are often employed in public settings for their calming effects.

Animals Play Vital Roles In Healing From heart health to pain management, four-legged friends prove beneficial

By Angela S. Hoover, Staff Writer Pet owners can attest their four-legged housemates truly become integrated into the family. They can be nurturers, stress relievers, protectors, motivators for physical activity and even alarm clocks. Beyond all this, animals also play an important role in health and wellness.

Cardiovascular Health Dogs can protect hearts. Research shows a connection between dog ownership and reduced risk of cardiovascular problems, such as high blood pressure and elevated cholesterol levels. A study published in the American Journal of Cardiology found male dog owners were less likely to die within a year after a heart attack than those who did not own a dog. Other studies have found heart attack survivors and those with abnormal heart rhythms who own dogs live longer than people

with the same heart problems.

Rehabilitation Although animal therapy is mostly considered to be a tool for rehabilitating people with physical ailments or impairments, it is also helpful for cancer patients, people in long-term care facilities, chronic heart failure patients, veterans with PTSD and children with intellectual and/or developmental disabilities. The purring of a cat reduces blood pressure.

Pain Management The stress-relieving benefits and happiness that come with caring for and bonding with an animal can help alleviate pain. Studies from the Research Center for Human/Animal Interactions found interacting with animals can increase levels of the hormone oxytocin in the body. Oxytocin helps people feel happy and trusting.

It has powerful effects on the body’s ability to be in a state of readiness

to heal and grow new cells. Some clinical trials have shown that therapy animals, including dogs, cats and even rabbits, helped reduce the sensation of pain in both adults and children. A study from Loyola University found patients participating in pet therapy during recovery sometimes needed significantly less pain medication.

Physical Activity Having a dog means more daily walking will be incorporated into your life. Studies from the American Journal of Public Health and the American Journal of Preventative Medicine have shown children with dogs spend more time doing physical activity than those without dogs, and adults with dogs walk almost twice as much as adults without dogs. This is beneficial because walking as little as 30 minutes a day can improve your health.

Benefits For Babies Studies have shown that babies raised in families with pets may be less likely to develop allergies and asthma, especially if the pet is in the home before the children are 6 months old.

Children with a pet in the home are also known to have fewer colds and ear infections during their first year.

Psychological Problems Animals have been used in psychotherapy with great results. Cats and

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parrots are sometimes incorporated into therapy for individuals who tend to act out because of aggression or impulse control issues. “The animal will stay near that person until the person starts upsetting the animal, and then it will move away,” said Bill Kuesser, vice president of marketing for the Delta Society, a nonprofit group that promotes animal-assisted therapy. “The doctor then can point out the effect the patient’s behavior had on the animal. They seem to be able to work through aggression issues more effectively that way.”

Larger animals such as horses are being used to help troubled teenagers better control their behavior. The teens gain self-esteem from working with large animals, but they also learn to regulate their emotions so they don’t spook the horse.

Institutional Settings Therapy dogs are often employed in public settings for their calming effects. One study found such dogs effective in easing the anxiety of people waiting to have an MRI. Courtrooms are another setting where therapy animals are employed.

“There are more and more animals allowed in court,” Kuesser said.

“Somebody might be very upset about having to get up and testify, particularly if the person who victimized them is there. Animals have been shown to help calm people down in that setting.”

Crisis Relief Efforts Therapy dogs are being incorporated into crisis relief efforts, said Amy Rideout, director and president of HOPE Animal-Assisted Crisis Response, a group that makes therapy dogs available at crisis scenes. HOPE was formed shortly after the 9/11 terrorist attacks; social workers found therapy dogs were able to help crisis responders open up about the toll their work had taken on their psyches, Rideout said. “They don’t want to show stress. They want to find their buddies,” she said of the responders. “Many knew something was wrong, but they didn’t want to talk to a mental health professional about it.” But when a therapy dog accompanied the therapist, the responders tended to open up more.

“The dogs made a bridge between the mental health professional and the person,” Rideout said.

There’s no denying animals have a profound emotional, psychological and physical effect on humans.

People can reap health benefits from caring for and loving an animal, and there are trained therapy animals for times when your health takes a downturn.

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NATURE’S BEAUTY

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DECORATIVE FRUIT IS A HERALD OF THE SEASON

By Tanya Tyler, Editor/Writer When autumn arrives, the seasonal decorations come out.

Among the cornstalks and scarecrows you’ll undoubtedly find see squat orange shapes and you’ll know it’s pumpkin time again.

Pumpkins, a cultivar of the squash plant, are also known as winter squash.

They are native to North America, and according to the Illinois Department of Agriculture, the Land of Lincoln grows the highest number of pumpkins in the States – a whopping 95 percent of the U.S. crop intended for processing.

Pumpkins are popular in dishes around the world – ever try pumpkin lasagna or pumpkin ravioli?

Commercially canned pumpkin comes from different types of pumpkins than those used for jack o’ lanterns at Halloween. Immigrants from Ireland and Scotland brought the carving tradition to the new land, but pumpkins were larger and easier to carve

Pumpkin than the turnips they formerly used.

This favorite filling for Thanksgiving pies can be heart healthy, boasting just 26 calories in 100 grams and no saturated fats or cholesterol. Like many other orangecolored fruit, pumpkin is high in beta-carotene. Pumpkin contains fiber, vitamins A and C and several B-complex vitamins – niacin and thiamin – in addition to potassium and essential minerals such as copper, calcium and phosphorus. Pumpkin is also an excellent source of natural polyphenolic flavonoid compounds, including cryptoxanthin, lutein and

The Land of Lincoln grows the highest number of pumpkins in the states.

zeaxanthin. Pumpkins have a special class of carbohydrates that have antiinflammatory and antioxidant properties. Eating pumpkin can regulate cholesterol and insulin. Pumpkin seeds are a good source of magnesium and zinc, which help promote heart health.

Oddly enough, people rarely eat the pumpkins they buy this time of year.

The majority of pumpkins are used for jack o’ lanterns. And while pumpkins are mainly orange or yellow, white pumpkins started to become increasingly popular in the United States around 2005.

The largest pumpkin ever grown weighed 2,009 pounds. That’s a lot of pie. The largest pumpkin pie ever made was over 5 feet in diameter and weighed over 350 pounds. It used 80 pounds of cooked pumpkin, 36 pounds of sugar and 12 dozen eggs and took six hours to bake.

Native Americans used pumpkin to treat various ailments, such as intestinal worms and urinary tract infections.

Other (supposed) medicinal uses for pumpkin include removing freckles and curing snake bites. For an exfoliating facial mask, mix 1/4 cup of pureed pumpkin with an egg, a tablespoon of honey and a tablespoon of milk. Apply for about 20 minutes and wash off with warm water.

People are not the only ones who enjoy eating pumpkin. Sometimes vets recommend feeding pumpkin to dogs and cats who have digestive problems or need to lose weight. At Health & Wellness magazine, we often encourage walking as a way to optimum health and wellness. Why not pick up the popular seasonal pumpkin latté offered at a certain coffee retailer and take your dog for a walk among the changing autumn leaves? Or how about indulging in one to keep you warm while you wait for the Great Pumpkin on Halloween night?

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FOOD BITES

By Angela S. Hoover, Staff Writer Fruit Protein Could Be New Sweetener Alternative A new sweetener alternative that tastes more like sugar than other substitutes may be possible to obtain from a fruit protein called brazzein. Brazzein is far sweeter than sugar but has fewer calories. It gained attention as a sugar substitute years ago, but making it in large quantities has been challenging.

Purifying it from the West African fruit that produces it naturally would be difficult on a commercial scale, and efforts to engineer microorganisms to make the protein have so far yielded a not-so-sweet version in low quantities.

Researchers are working on a new approach using yeast to churn out brazzein. Working with Kluyveromyces lactis, the researchers coaxed the yeast to overproduce two proteins that are essential for assembling brazzein. By doing so, the team made 2.6 times more brazzein than they had before with the same organism. A panel of tasters found the protein produced by this method was more than 2,000 times sweeter than sugar.

The American Chemical Society announced the results, which were published in the Journals of Agricultural and Food Chemistry.

Is There a Sixth Taste For Carbs?

We know our tongues can detect sweet, sour, bitter, salty and umami.

But could there be a sixth taste that explains why we go carb crazy?

A new study from Oregon State University in Corvallis suggests “starchy” might be the sixth flavor.

Every culture has a major source of complex carbohydrate. Complex carbohydrates such as starch are made of chains of sugar molecules and are an important source of energy in our diets. However, food scientists have tended to ignore the idea that we might be able to specifically taste them. Because enzymes in saliva break starch down into shorter chains and simple sugars, many have assumed people detect starch by tasting these sweet molecules. In the study, researchers gave volunteers a range of carbohydrate solutions containing long and short carbohydrate chains.

The test subjects could make out the floury flavors, even when given compounds that block the receptors on the tongue that detect sweet tastes. Starch doesn’t yet meet all the requirements to be considered a primary taste because researchers still need to identify specific starch receptors on the tongue.

Refrigerator Safety Different areas of the refrigerator can vary widely in temperature.

Since heat rises, it’s fairly obvious that the higher shelves in the fridge are warmer, but the racks on the door are warmer, too. Foods that are most sensitive to subtle changes in temperature include milk, shellfish, raw meat and fish. Known as “high-risk foods,” these items need to be kept in certain conditions or they can grow bacteria that is potentially harmful to people.

High-risk foods should be kept in the back or bottom of the fridge, as these are generally the coldest parts of the fridge.

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Different areas of the refrigerator can vary widely in temperature.

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“With Today’s Breakthroughs, You No Longer Have To Live With Type 2 Diabetes, Obesity, Neuropathy, IBS or Hypertension!"

BILLY WILLIAMSON JR., BEFORE

Billy Williamson, age 46, started with Dr. Miller in June 2016. When Billy first came to see Dr. Miller he was suffering from Type 2 Diabetes, Severe Obesity, Hypertension, IBS, Chronic Fatigue and Neuropathy.

Billy weighted over 383 lbs.

After just 2 MONTHS, Billy lost over 60 lbs! His morning blood sugars went from an average 130 to 90. Billy states all of his conditions have improved: IBS, Fatigue, Hypertension and Neuropathy significantly diminished, in just the first 2 months!

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

A: “I had heard Jack Pattie, radio host (on 590 AM), talk of Dr. Miller and the results he gets with a variety of conditions. My Obesity was very bad and my health was getting worse. I have been overweight my entire life and my MD had started me on Type 2 Diabetes pills. At 46 years old, my life was becoming severely restricted. I needed to something in a very serious way before it was too late.”

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

A: “Dr. Miller really does take the time to get a complete history of what the heck is going on with me as an individual. Dr. Miller makes it clear, something was not working correctly in my body and he made it very clear that his approach is to uncover and reveal exactly what that is. Dr. Miller really takes the time to listen and looked at my whole health history.

He makes it very clear that Type 2 Diabetes, IBS, Fatigue and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they never even talked about what was causing any of these.

From the other doctors, all I got was more and more medications. I knew medications were just covering and masking symptoms and not fixing anything. I have done a lot of previous research and Dr. Miller’s approach made complete sense to me.”

AFTER TRUE HEALTH SOLUTIONS TREATMENT

Q: What did Dr. Miller do to find out what was not working correctly inside you?

A: “Dr. Miller really doesn’t mess around.

He has an amazing blood panel lab he orders through Lab Corp. After he gets the results, he does a ‘Functional Medicine’ computer assessment that uncovered exactly what was causing my Obesity, Type 2 Diabetes, IBS, Fatigue, High Blood Pressure. It is very impressive.

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

A: “Dr. Miller just goes over everything so clearly. Dr. Miller really does take the time to make sure I understood everything and how it needed to be corrected. He just takes the time to show what exactly needs to be done, his approach and what type of all natural treatment he recommends in order to fix what is causing my Type 2 Diabetes, my Hypertension and my Obesity. It all makes perfect sense once you see everything in very clear terms.”

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

A: “Dr. Miller does not mess around, he got started right away. First, he laid out a very clear plan of care and all of the goals I was after. I started losing weight right away and in just 2 MONTHs I’ve lost over 60 lbs!

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week to ensure I would eliminate the Diabetes & Obesity, and he has amazing instructions on life-style improvements to eliminate poor health and then stay healthy. He just makes it all clear and provides great printed instructions. I’m really happy with how he treats me as a client.”

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Bone-on-Bone Arthritis Makes You Say: Ouch!

Wear and tear, overuse can lead to painful condition

By Dr. Tom Miller, Staff Writer Arthritis is a general term for conditions that affect the joints and surrounding tissues. Joints are places in the body where bones come together. They are crucial to good health because they hold the skeleton together and support movement. Among the bone diseases humans face, bone-on-bone pain in the shoulders, knees, hips, fingers, toes or ankles makes for a very limiting journey.

The two most common types of arthritis are osteoarthritis (OA) and rheumatoid arthritis. OA, commonly known as wear-and-tear arthritis, occurs when the natural cushioning between joints – the cartilage – wears away. When this happens, the bones of the joints rub more closely against

one another with less of the shockabsorbing benefits cartilage provides.

OA is a painful, degenerative disease that often involves the hips, knees, neck, lower back or small joints of the hands. It usually develops in joints that are injured by repeated overuse from performing a particular task, playing a favorite sport or carrying around excess body weight. Eventually the injury or repeated impact thins or wears away the cartilage. As a result, the bones rub together, causing a grating sensation.

Joint flexibility is reduced, bony spurs develop and the joint swells.

Often the first symptom of OA is pain that worsens following exercise or immobility. Treatment usually includes a range of analgesics, topical creams or nonsteroidal anti-inflammatory drugs; appropriate exercises or physical thera-

py; joint splinting; or joint replacement surgery for seriously damaged larger joints, such as the knee or hip.

Joint replacement surgery is performed by an orthopedic surgeon. It involves the removal of a damaged joint and the surgical replacement of arthritic or diseased bone or joint surfaces with implants that restore proper, pain-free function. All joint replacements have potential complications but patients have good reason to expect a successful outcome to their surgeries at centers specializing in joint replacement surgery. If you want to learn more about joint replacement surgery, BoneSmart (www.bonesmart.org) is dedicated to raising patient awareness about hip and knee joint replacement options.

Many other joints can be replaced surgically, including ankles, shoulders, elbows, wrists, thumbs, great toes and

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fingers. Some joints have both bearing surfaces replaced; others, such as the thumb or toe, might only have one surface replaced. Some implants require the use of cement, but some are specially coated to bond with the bone. Silastic finger joints may only be placed into the bone with the express intention that they will not be affixed. The flexible movement of the implant allows the fingers to move with greater freedom.

Be bone smart and learn more about joint replacement at these organizations’ Web sites: American Academy of Orthopaedic Surgeons (www.aaos.org) American Association of Hip and Knee Surgeons (www.aahks.org)

Many joints can be replaced surgically, including ankles, shoulders, elbows, wrists, thumbs, great toes and fingers.

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Women Encouraged to Have Breast Health Screenings

The things that are for good general health are also good for breast health.

Know your body so you can monitor changes

By Jamie Lober, Staff Writer

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MONTHLY

“About 10 percent of the women that get a mammogram will be called back for some additional evaluations if something looks questionable,” said McLaughlin. A slim number may need to get a biopsy or an aspiration.

“Sometimes we think things are probably benign and we do a follow-up in six months, but the vast majority of women do not get called back at all,” said McLaughlin.

The ACS says the most common symptom of breast cancer is a new lump or mass. Other possible symptoms include swelling of all or part of a breast even if no distinct lump is felt; skin irritation or dimpling; breast or nipple pain; nipple retraction; redness, scaliness or thickening of the nipple or breast skin; and a nipple discharge other than breast milk.

Some changes may be normal.

“There may be a change in shape, density, a lump, thickening or it could be a benign cyst or fluid-filled mass that is not cancerous,” said McLaughlin.

The ACS stresses that although any of these symptoms can be caused by things other than breast cancer, if you have them, it is best to be seen by a healthcare provider to figure out the cause.

“The whole reason for screening is to find breast cancer earlier when it is smaller,” said McLaughlin. “Smaller cancer is a lot easier to take care of and the survival rates are better.”

With early detection, prognosis is quite good. “Generally speaking, when we find breast cancers that are 10 millimeters or less, there is about a 98-percent survival rate,” said McLaughlin.

It helps to know your body. “Women should check their breasts every month after their menstrual cycle so they will get pretty good at knowing them better than anybody,” McLaughlin said.

“If changes persist, they can have their doctor check it out, get a mammogram or whatever is necessary.”

It is always better to be safe than sorry. “Most breast cancer is out of anyone’s control, but if you stay in generally good health, keep your weight down, have alcohol in moderation, exercise, don’t smoke and see your gynecologist or family internist yearly, which includes a breast exam, the things that are for good general health are also good for breast health,” said McLaughlin.

TO JOIN

“After lung cancer, breast cancer is the most common cancer there is for women, and it is on the increase,” said Dr. Art McLaughlin, oncology radiologist at Baptist Health Women’s Diagnostic Center in Louisville.

Taking charge of your health is your best defense against this known killer.

“The American College of Radiology, the Society of Breast Imaging and the American College of Obstetricians and Gynecologists all recommend annual screenings,” said McLaughlin. The simple commitment to see your doctor regularly can be lifesaving.

It’s good to get in the habit of having an annual clinical breast exam, where your doctor will feel your breasts for lumps or other changes. The monthly self-exam can also be useful. The American Cancer Society (ACS) says women with a personal or family history of breast cancer, a genetic mutation known to increase their risk such as BRCA, are at higher risk. Other women at higher risk, according to the Centers for Disease Control and Prevention, are women who: • had their first menstrual period before age 12; • never gave birth or were older when their first child was born; • started menopause after age 55; • have taken hormones to replace missing estrogen and progesterone in menopause for more than five years; • or are overweight, especially after menopause.

Women with average risk between the ages of 40 and 44 years should review the risks and benefits of screening mammograms and get one if they wish at this time. Women between the ages of 45 and 54 years should get mammograms every year. Women age 55 years and above should switch to mammograms every two years, or they can choose to continue yearly screening.

Knowing what to expect can make the visit go smoother. “The mammogram can be a little uncomfortable,” McLaughlin said. “They take two pictures of each breast and when they do that, they put your breast in a receptor and do some compressions to each side to even the breast out.” This helps the medical professionals see through different layers and densities of the breast.

The exam is not lengthy at all.

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Things You Need to Know About an Abnormal Mammogram Result Is screening really necessary?

By Angela S. Hoover, Staff Writer What scientists know but most patients don’t is that mammography isn’t the infallible tool we want it to be. In fact, the harder one looks, the more cancers one will find – but most will be harmless and will never threaten any woman’s life.

When an anomaly is found on a mammogram screening, a biopsy follows. Good news comes for some women when the biopsy results reveal no sign of cancer. But what is the actual screening result?

Most of the time, the result is “indicative of cancer” and it is ductal carcinoma in situ (DCIS). Few experts considers DCIS a cancer; it only has a small chance of ever progressing into an invasive cancer.

There are things that can look like cancer on a mammogram or biopsy but do not act like cancer in the body. They do not invade and proliferate in

BY THE NUMBERS An analysis published in the journal JAMA in 2014 shows the six possible outcomes of a mammogram. If 10,000 women have annual mammograms for 10 years, starting at the age of 50, the numbers would break down like this: • 6,130 women will get called back for more testing for something a doctor will ultimately deem not to be cancer • 3,568 women will have clean mammogram results over the course of the decade • 302 women will be diagnosed with breast cancer Of the women diagnosed with breast cancer: • 173 will survive the cancer, regardless of whether they were screened or not • 62 will die of breast cancer, despite having a mammogram • 57 will be diagnosed with a cancer that would have never hurt them • 10 will avoid dying of breast cancer

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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | October 2016 other organs. At present, there are no tools to distinguish between harmless cells and deadly ones.

Unfortunately, some medical tests compel doctors to categorize merely suspicious cells in with the most dangerous cancers. While this approach does save some lives, many women wind up with treatments – including mastectomies – they do not need.

Mammography has been a contentious issue for the past 25 years. In 1993, the National Cancer Institute dropped its recommendation that women in their 40s get screenings after finding sparse evidence of benefits. Ever since, the debate has mostly centered on what age women should start getting mammograms.

A 2012 study published in the New England Journal of Medicine calculated mammograms have overdiagnosed 1.3 million American women over the past 30 years. Most of these women had some form of treatment ranging from lumpectomies to double mastectomies, often with radiation and chemotherapy or hormonal therapy, for

an anomaly that would never have bothered them. Additionally, these treatments come with their own dangers. Receiving radiation for breast cancer can slightly increase your risk of heart disease and lung cancer. Chemotherapy may damage the heart, and tamoxifen doubles the risk of endometrial cancer. In a 2013 paper published in the medical journal BMJ, breast surgeon Michael Baum estimated that for every breast cancer death thwarted by mammography, we can expect an additional one to three deaths from causes such as lung cancer and heart attacks linked to breast cancer treatments. Last year, results from a 25-year follow-up of two landmark studies tracking about 90,000 women concluded mammography did not reduce breast cancer deaths at all.

“Find it early; save your life.”

This dominant message in mammogram campaigns offers comfort that there is something women can do to protect themselves from a scary disease. The message implies that finding early-stage breast cancer means preventing death. If this

were true, mammograms would be the only reasonable choice because finding breast cancer early is what mammograms do best. As this message became entrenched into public psyches and policies, scientific evidence was showing the message was flawed.

Breast cancer becomes lethal because it has metastasized (spread tumors around the body). More than 30 years ago when screening began, doctors assumed the disease progressed in a predictable, stepby-step manner, believing every tumor grew steadily until it invaded other parts of the body. If all cancers behaved like this, finding and treating small tumors early would prevent its spread and lethality.

Scientists now understand breast cancer is not one disease but many, and different types can behave in a variety of ways.

H. Gilbert Welch, a professor of medicine at Dartmouth College, likens these cancer behavior patterns to animals someone is trying to keep in a barnyard: Some cancers act like turtles, moving too slowly to ever pose harm. Other cancers

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act like dodos; they regress and disappear on their own. Some cancers are like rabbits that hop and cause damage in other areas of the body but are stoppable if caught in time.

The deadliest cancers are like birds cannot be captured or stopped.

Although mammograms are truly helpful for 30 percent of breast cancer cases, the problem is there is no way to distinguish rabbits from turtles, dodos and birds. When a mammogram finds something, there’s no way of knowing whether the patient is the one in 1,000 women whose life is at stake or one of the five or six in 1,000 women with something that will remain harmless. Researchers are trying to find a way to distinguish the types of breast cancers, but in the meantime the reaction is to treat anything that is found.

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Osteopenia and Health Take care of your bones and they’ll keep you moving

By Dr. Tom Miller, Staff Writer Americans must develop a better awareness of bone health and wellness. The National Institutes of Health Osteoporosis and National Resource Center (2015) suggests by 2020 half of all Americans over age 50 will have weak bones unless people make changes to their diets and lifestyle.

People who have weak bones are at higher risk for fractures. With scientific and technological advances,

people are living longer, and this means their bones need to stay strong so they can be active and enjoy life as they age. Strong bones begin in childhood. With good habits and medical attention when needed, people can have strong bones throughout their lives.

Osteopenia indicates a state of relatively low bone mass when compared to recognized scientific standards. Regardless of your age, you could have osteopenia if you never developed a high peak bone mass

as a youth or because you naturally have bones that are less dense than average. Recent research (2015) suggests a large percentage of individuals in the United States have a bone density that is considered low and they could therefore be classified as having osteopenia. Bonerelated injuries in childhood or adolescence can be another indicator of weak bones. According to the National Osteoporosis Foundation (www.nof.org), some 21.8 million American women and another 11.8

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million men have osteopenia. Each year 1.5 million older people in this country suffer fractures because their bones have weakened.

It is important to realize low bone density is one of the risk factors for osteoporotic fracture, but having osteopenia does not mean bone fractures are likely to occur. Some studies report almost half of those who have bone fractures do not necessarily have excessively low bone mass.

Thus bone mass alone does not always result in fractures.

A few decades ago, little was known about bone disease. Many physicians believed weak and broken bones were just part of old age and could not be avoided. Today, however, we know this is not true. In the past decade (in 2012), the Surgeon General has focused increased attention on bone health. The directives have emphasized that the keys to improving bone health include diet, exercise and prevention interventions.

Physicians have been encouraged to pay closer attention to patients in midlife who have osteoporosis or another bone disease and initiate treatment earlier. This can help reduce or prevent bone-related injuries and painful fractures.

Bone density is critically important for healthy bone structure. The best measure of bone density is a bone mineral density (BMD) test. It can identify osteoporosis, determine your risk for fractures and measure your response to osteoporosis treatment. The most widely recognized

Strong bones begin in childhood.

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bone mineral density test is called a dual-energy X-ray absorptiometry or DXA test. Although no bone density test is 100 percent accurate, the DXA test is the single most important predictor of whether a person is likely to have a fracture in the future.

The DXA test is painless and much like having an X-ray. It measures bone mineral density and compares it to that of an established norm or standard – the ideal or peak bone mineral density of a healthy adult – to yield a meaningful score. This results in a T-score. A score of 0 means your BMD is equal to the norm for a healthy young adult. Differences between your BMD and that of the healthy young adult norm are measured in units called standard deviations (SDs). More standard deviations below 0 are indicated as negative numbers. Thus, the lower your BMD, the higher your risk of fracture.

A family history of poor bone health or frequent fractures earlier in life can be indicators you are at risk for bone problems, so you should discuss your bone health with your primary care physician. As we age, being aware of bone density and understanding osteopenia can be important steps in preventing serious problems related to bone health. WebMD provides a good summary on this topic. It is available at http:// www.webmd.com/osteoporosis/tc/osteopeniaoverview.

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Yeast Transforms Quickly Into Hydrocodone RESEARCHERS USE GENETIC ENGINEERING TO MANUFACTURE PAINKILLER

By Angela S. Hoover, Staff Writer

In the same general way yeast can work on sugar and turn it into alcohol, the engineered yeast can take sugar, break it down and reassemble it into an opioid drug.

Yeast has already given us bread, wine and beer, but in the very near future it may be a new painkiller.

Researchers at Stanford University have genetically engineered baker’s yeast to act on sugar so that in three to five days the sugar is converted to hydrocodone. In the same general way yeast can work on sugar and turn it into alcohol, the engineered yeast can take sugar, break it down and reassemble it into an opioid drug, according to the researchers.

Hydrocodone is an opioid class drug whose chemical cousins, oxycodone and morphine, can take more

than a year to produce from poppies grown on licensed farms around the world. The poppies must be harvested, processed and shipped to pharmaceutical factories around the world.

Speeding up the process would be valuable, as would removing the need for poppies.

In this new process, DNA is introduced into yeast cells that instruct it to create a chemical assembly line.

Genes from plants, bacteria and rats are included in the genetic engineering.

“When we started work a decade ago, many experts thought it would be impossible to engineer yeast to replace the entire farm-to-factory

process,” said senior study author Christina Smolke, a Stanford associate professor of bioengineering. The experiment yields thus far have been too small for practical application as yet; it takes a whopping 4,400 gallons of bioengineered yeast to produce just a single dose of hydrocodone.

The success is the proof of concept: It can be done. It just needs to produce more.

Smolke says there’s no possibility this technique, as it currently stands, could be used to produce illicit drugs such as heroin. “It’s definitely the case that no one could take these strains now and use them for commercial production or abuse them

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BE ON THE LOOK OUT for nefarious purposes,” Smolke says. “You could get more of these compounds from eating a poppy seed bagel.”

While confirming genetically engineered yeast can produce hydrocodone and thus eliminate the use of poppies and the farmto-factory process, there is still much more work needed to begin

employing these methods.

“This is only the beginning,” Smolke said. “The techniques we developed and demonstrate for opioid pain relievers can be adapted to produce many plant-derived compounds to fight cancers, infectious diseases and chronic conditions such as high blood pressure and arthritis.”

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

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