Health & Family Journal, August 2015 by Health & Family

Health&Family FREE TAKE ONE! • FREE TAKE ONE! • FREE TAKE ONE! Southern Kentucky

Vol. 11 Issue 8 • August 2015

A PUBLICATION OF THE COMMONWEALTH JOURNAL

Journal

LCRH

Health Career Explorers Program Also in this issue: • Why We Love Our Pets • Thoroughly Modern Minister: Rev. Amanda Musterman • The Case of the Old Love Letters

• Safe Drinking Water: On Tap and on the Go • Panic Attacks • Donna Whitaker: A Woman on the Move • Breastfeeding: A Healthy Choice for Mothers And much, much more!

ALTON BLAKLEY FORD South Highway 27 • Somerset, Kentucky

(606) 678-5181• (800) 467-8511 www.altonblakley.com

pAnIc aTtAcKs Panic Attacks are sudden SURGES of overwhelming FEAR that come without warning and without any obvious reason, often lasting anywhere from 10-30 minutes.

TREATMENT WORKS. Are you or someone you know struggling with feelings or behaviors that may be associated with Panic Attacks? We can help. Adanta, a CARF Accredited facility, offering outpatient mental health and addiction treatment services.

CALL US. 1.800.954.4782 X 0 Southern Kentucky Health & Family Journal - August 2015

Health Family INDEX Journal Southern Kentucky

Volume 11 Issue 8 August 2015

PUBLISHER Rob McCullough

EDITOR-IN-CHIEF Ken Shmidheiser

CONTRIBUTING WRITERS Cindy Lackey Tim Minton

Tricia Neal Catherine Pond

LAYOUT & DESIGN Pam Popplewell

Exploring Medical Field Opportunities at LCRH By Tricia Neal.............................................. 5 Term vs Permanent Insurance: Which is Right for You? Edward Jones Advertorial.......................... 9 Why We Love Our Pets By Tim Minton......................................... 10

Safe Drinking Water: On Tap and On the Go By Cindy Lackey

Complex and Atypical Total Rehab Center Advertorial................ 24

Caring for Animals is a Very Rewarding Job Lake Cumberland Animal Hospital Adv... 13

ADVERTISING

Mike Hornback/ Advertising Director Mary Ann Flynn

Case of the Old 26 The Love Letters

Kathy M. Lee Mike McCollom Amanda McIntosh

By Catherine Pond

Kraig Price Craig Wesley Southern Kentucky Health & Family Journal is a publication of and is distributed by Newspaper Holdings, Inc. All rights reserved. No part of this publication may be reproduced or stored for retrieval by any means without written permission from the publisher. Southern Kentucky Health & Family Journal is not responsible for unsolicited materials and the publisher accepts no responsibility for the contents or accuracy of claims in any advertisement in any issue. Southern Kentucky Health & Family Journal is not responsible or liable for any errors, omissions, or changes in information. The opinions of contributing writers do not necessarily reflect the opinion of the magazine and its publisher. ÂŠ 2015 Newspaper Holdings, Inc.

Southern Kentucky Health & Family Journal P.O. Box 859 Somerset, KY 42502 Email:

mhornback@somerset-kentucky.com 4

Panic Attacks By Jamie S. Burton, Adanta..................... 31 Aging Well and Staying Healthy Comfort Keepers Advertorial................... 34

Breastfeeding Can Be A Healthy and Enjoyable Choice for New Mothers

By Catherine Pond

Donna Whitaker: A Woman on the Move By Don White........................................... 17

Thoroughly Modern Minister

By Catherine Pond

Senior Calendar Lake Cumberland Regional Hospital....... 46

Cover Photo: Health Career Explorer Ayden Strunk, 16, is trained to volunteer at the information desk at LCRH, one of the many areas where students train during the program. - Photo by Tricia Neal

Southern Kentucky Health & Family Journal - August 2015

Young people considering careers in the medical field in the Somerset area have the unique option to test the waters in a real hospital setting at Lake Cumberland Regional Hospital through a program called Health Career Explorers. The Health Career Explorers program is open to youth ages 14-20, and is sponsored by LCRH through the Boy Scouts of America’s Learning for Life program. While it is a branch of a Boy Scouts program, it is open to males and females. In order to be eligible to become an Explorer, the young person applying must have completed the 8th grade. He or she can be in high school, a home school program, or college. Melissa Lancaster, program coordinator and director of hospitality and health ministries at LCRH, says LCRH has hosted Explorers from all the local public and private schools as well as several from surrounding counties. Explorers meet on the third Thursday of every month from September through May. Program content includes presentations of various health career options by a variety of health

Tricia Neal

care professionals – from physical therapists to radiologists to surgeons to Hospice workers - as well as handson demonstrations at LCRH in many specialty areas. The Explorers also visit off-campus health-related agencies for a broader view of health care throughout the community.

“The meetings give students an inside understanding of what people do in these various careers. Some of the speakers will even discuss topics like starting pay for certain careers, required education, and which schools offer the best training in certain areas.”

-Melissa Lancaster Program Coordinator

In addition to monthly meetings, Explorers have the opportunity to serve as hospital volunteers throughout the year as their schedules allow. The volunteers shadow professionals in

Southern Kentucky Health & Family Journal - August 2015

Medical field opportunities at LCRH various departments, provide support for guest services, and help with other outreach and service-based projects within the community, such as Relay for Life events. The volunteers usually work for a couple hours each week, and maybe more during the summer months. The hours they spend volunteering at LCRH count toward any volunteer hours they may need for school, Lancaster notes. The young people involved in the Health Career Explorers program may not necessarily be interested in becoming nurses or surgeons. There are many other types of careers needed to keep the health care industry running, and opportunities are provided to see all aspects at LCRH. “I try to tell the students that health care includes a whole city of jobs,” Lancaster says. “From public relations to the medical aspects – all of those things are a part of health care. I want them to think broader than doctors and nurses.” Ayden Strunk, 16, a homeschooling student from Madison County, says he might be interested in going into pathology and forensics – which may 5

Health Career Explorer Ayden Strunk, 16, is trained to volunteer at the information desk at LCRH, alongside Sherry, who has 18 years of experience at the hospital.

not land him in a hospital setting in the future. However, he says his Explorer experience at LCRH is helping him learn how to interact with others in a professional setting and learn about the different branches of the many jobs in the health care field. So far, his main job has been to work at the front desk at LCRH, using the computer to get information for visitors. “I’m learning what it’s like to be on the office side of health care,” he says. One of the highlights of his experience so far has been taking a “care cart” filled with books, toys, and other small treats to patient rooms. Because of Ayden’s interest in pathology, he has agreed to receive some additional training on top of his Explorer experience so that he’ll be allowed to work in the lab at LCRH – an area where Explorers aren’t normally allowed to work hands-on. “If we can adapt the Explorers’ experience to what they think they might want to do with their lives, we certainly will try to do that,” says Susan Wilson, director of marketing and community relations at LCRH. 6

“Some of the young people will fall into a certain area as they start coming more often,” Lancaster says. Those who seem to enjoy working in rehabilitation

or some other specific area might be scheduled to spend more time there when they come. Once an Explorer has completed 25 hours of volunteer service, he or she can opt to observe a surgery. Ayden was able to watch gastrointestinal surgery firsthand, and he says he was impressed with how accommodating the surgeon and others in the room were. “The doctor told me everything he was doing, and he also had medical students in the room with him, so I was able to listen to what he was telling them,” Ayden says. “Even the anesthesiologist took time to explain how everything worked.” Taylor Reynolds, 14, a student at Pulaski County High School, doesn’t have a career goal in mind yet, but she says being a Health Career Explorer is helping her decide whether she would like work in a health care environment in the future. Taylor has only been involved in the program for a few weeks. She has performed volunteer duties such as filing and getting water pitchers for patients. Kaylee Mize, 15, also a student at

Health Care Explorers Taylor Reynolds and Kaylee Mize prepare to visit a patient on the surgical unit at LCRH. The girls provided fresh ice water and a healthy dose of cheer as they visited the patients.

Southern Kentucky Health & Family Journal - August 2015

Southwestern High School students Ally VanHook and Hannah Mills discuss visiting some special patients with LCRH medical unit nurse Melanie. Ally and Hannah were preparing to take the Care Cart around the unit.

Southern Kentucky Health & Family Journal - August 2015

PCHS, says she loves children, and is considering becoming a pediatrician. While she hasn’t been able to work around patients yet, she has been familiarizing herself with the hospital in other ways, particularly helping in the cafeteria. “Even though I haven’t been coming here long, from the first day, they have made us feel needed,” Kaylee says. When students have completed the program, they can list their experience on their resumes. They are also able to earn awards Rachel Carter, a student at Saline Christian as they School, and Seth Bennett, a student at Somerset progress High School, put on gloves in preparation for through their volunteer session at LCRH as part of the their training Health Career Explorers program.

– such as the Presidential Volunteer Service Award – which will also benefit them as they begin to search for employment in the future.

Lancaster says more than 100 young people are currently enrolled in the Explorer program, with most of them attending the monthly meetings and also

Explorer Morgan Belcher, at left, learns about volunteering in LCRH’s surgery waiting room from Joan Steinmetz and Madelyn Trombly, as Melissa Lancaster, director of hospitality and health ministries, looks on. Lancaster also coordinates the Health Career Explorer program at the hospital.

participating regularly as volunteers, and with the remainder solely participating in the monthly meetings. The Health Career Explorers post at LCRH has received a national award three years in a row, due in part to the high number of participants involved and the fact that the program is offered year-round. Beginning Explorers must pay a small fee and experience a two-and-a-half hour orientation, which is the same orientation experienced by all hospital employees, before starting. They must also undergo a TB skin test. For more information about the Health Career Explorers program, contact Melissa Lancaster at (606) 6783573 or melissa.lancaster@lpnt.net. Tricia Neal, a former CJ reporter, is now a freelance writer for Health & Family Journal

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Southern Kentucky Health & Family Journal - August 2015

FINANCIAL FOCUS

Term vs Permanent Insurance:

Which is Right for You? What’s your most valuable asset? While you are still working, this asset may actually be your future income — so you need to protect it. And you can do so by maintaining adequate life insurance, which can help provide your family with the financial resources necessary to meet critical expenses — such as mortgage payments, college tuition, and so on — should you pass away prematurely. But what type of insurance should you purchase? There’s no one “right” answer for everyone, but by knowing some of the basics of different polices and how they relate to your specific needs, you can make an informed decision. CHUCK SOBIECK

FINANCIAL ADVISOR

BY APPOINTMENT ONLY 71 IMAGING DRIVE SOMERSET, KY 42503 BUS. 606-678-0326 TF. 800-585-2659

www.edwardjones.com Edward Jones Member SIPC

As its name suggests, term insurance is designed to last for a specific time period, such as five, 10 or 20 years. You pay the premiums and you get a death benefit — that is, the beneficiaries of your policy will collect the money when you pass away. In general, term insurance may be appropriate for you if you only need coverage to protect a goal with an “end date,” such as paying off your mortgage or seeing your children through college. Term insurance may also be a reasonable choice if you need a lot of coverage but can’t afford permanent insurance.

These variable accounts will fluctuate in value more than a fixed-rate policy, so you will need to take your risk tolerance into account when choosing among the available permanent insurance choices. Permanent insurance may be suitable if you want to ensure a guaranteed death benefit for life, rather than just for a certain time period. Permanent insurance may also be the right choice if you have a high net worth and are seeking taxadvantaged ways of transferring wealth. Still, you may have heard that you might be better off by “buying term and investing the difference” — that is, pay the less costly premiums for term insurance and use the savings to invest in the financial markets. However, this strategy assumes you will invest the savings rather than spend them, and it also assumes you will receive an investment return greater than the growth potential you receive from permanent insurance. Both assumptions are just that: assumptions, not guarantees. If you are considering the “buy term and invest the difference” route, you will need both a consistent investment discipline and a willingness to take a greater risk with your money, in hopes of higher returns.

Why is permanent insurance more costly than term? Because, with In any case, your financial professional permanent insurance, your premiums can review your situation with you and don’t just get you a death benefit — help you determine whether term or they also provide you with the potential permanent insurance is best suited for opportunity to build cash value. Some your needs. But don’t delay. If you have types of permanent insurance may pay even one other person depending on your you a fixed rate of return, while other income to maintain his or her lifestyle, policies offer you the chance to put money you need to be covered — and once you into accounts similar to investments are, you’ll consider those premium dollars available through the financial markets. to be well spent. This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.

Southern Kentucky Health & Family Journal - August 2015

Why we

Love

Tim Minton

our pets

“No matter how close we are to another person, few human relationships are as free from strife, disagreement, and frustration as is the relationship you have with a good pet.”

- Dean Koontz

I recently went on vacation with my wife and kids. As much as I enjoy the vacation, it amazes me how much planning and preparation is required before going away for a week. There is the obviously packing and securing reservations. But, that’s just one of many tasks that have to be completed. You must have all your work caught up before you leave (because you know when you get back there will be a accumulation upon your return), have your car serviced, make sure the lawn is taken care before you leave, ask someone to pick up the mail, and on and on. But, for our family the one task we always dread about going on vacation is that we will not see our two house dogs for an entire week. These pets are 10

aged 11 and 12 and have been a part of our children’s lives and are extensions of the family. Every time we return from vacation both we humans and the canines rejoice in a celebratory reunion from having spent time away from each other. Yes, I can spoil them sometimes and find myself conversing in “baby talk” like I would towards a toddler just to see their tail wag and embrace me with a friendly, caring stare. No matter how bad of a day I’ve had, when I return home they are always there to greet me with unconditional love and loyalty. They don’t care how difficult things might have been for you that day... They’re just happy you’re home! Examples like above sometimes

make me question (that some of my non-pet friends and family members have been asking for years), and that I occasionally ask myself at times --is, Why do those of us who love animals voluntarily add to the responsibilities and expenses that crowd our already hectic lives? What, in short, is in it for us? After all, we love our pets. Two thirds of Americans live with an animal, and according to a 2011 Harris poll, 90 percent of pet owners think of their dogs and cats as members of the family. The simple answer is that it makes us happy. The alternative, (and unthinkable alternative for our family), would be having no pets-and I can’t even begin to imagine a happy life for myself that

Southern Kentucky Health & Family Journal - August 2015

doesn’t include at least one four-legged companion sharing my home with me. Why do pets make us happy? Why is it that even though we know all the work and responsibility involved, even though we know we will have to bear the eventual heartbreak of watching our pets grow old, even though we know we will someday lose them altogether-why, then, do we still regard the prospect of sharing our homes with cats or dogs with such a pleasure? According to Gwenn Cooper from Psychology Today, the simplistic truth is it’s so easy to make an animal happy-so much easier than it seems to be to make other people happy. When my dogs have their favorite food, their favorite toys, and their favorite lap to cuddle in, they’re so deeply happy they practically radiate it. Their happiness isn’t complicated by complex relationships that occur amongst humans and human happiness. Cooper elaborated, “There’s no concern that showing happiness too openly might make the happiness go away, the way, for example, you might not want to appear too enthusiastic in the earliest stages of a romantic relationship... If there is a purer, less complicated joy than that of making an animal happy, I have yet to experience it.” The veterinary association website, petMD, even offered a Top 5 list for why we love our pets:

#5 Not a Chef? Not a Problem. Dogs really don’t care if you’re a five-star culinary artist, or if you can barely open a can of soup. Nope. They will pretty much eat up anything you give them (though if you follow your vet’s advise, you’d probably be best

sticking to quality dry and wet food).

#4 An Instant Exercise Partner Living in a world of couch and computer potatoes means it’s sometimes hard to become motivated, go outside, and get all healthy and fit. But a dog? One look at that furry face when you go near the leash and you’re walking out the door (and let’s face it, with some dogs, it’s running) for at least 30 minutes a day. It doesn’t even feel like exercise!

#3 The Cheapest Therapist Around When you’re feeling down and thinking no one loves you, you always have a snuggle partner to make you feel better. They let you know that no matter what, they love you, and always will.

#2 (Wo)Man’s Best Friend, Forever Unlike the latest gadget or gizmo, you’ll never grow tired of your pet. From the infancy of a puppy or kitten, to the regality of an old dog, pets are a constant source of surprises and

Southern Kentucky Health & Family Journal - August 2015

rewards. They’re like an old friend that has grown to adore you over the years.

#1 Love! Your pet likely waits at the door when they know you’re coming home. They can dance or purr for you with excitement when they see you. And they’re always ecstatic to see you. No matter what. Thus, if behavioral science studies can help explain the affection we have towards pets, what are some other benefits of maintaining and owning a pets? Writer Sarah Grace of The Animal Planet advocated several health benefits that pet owners enjoy: •If the idea of cuddling with a pet to help ward off allergies seems a little backwards to you, the following may come as a surprise: University of Wisconsin-Madison pediatrician James E. Gern has conducted a number of studies that demonstrate having a pet in the home can actually lower a child’s likelihood of developing related allergies by as much as 33 percent. In fact, his research -- as published in the Journal of Allergy and Clinical Immunology -- shows that children exposed early on to animals tend to develop stronger immune systems overall. •One of the fringe benefits of taking on the responsibility of pet ownership is that animals can be an instant icebreaker, whether they’re with you or you’re just using them as a topic of conversation. Of course, few people would suggest getting a pet solely

for this purpose, but it’s hard to overlook the fact that pets provide a great means for improving your socialization skills across the board, especially in terms of meeting and interacting with other pet owners. •Many pet owners would agree that a pet can fill your heart with love. So maybe it’s only fitting that the presence of a pet can help improve the overall health of that organ, too. The Centers for Disease Control and Prevention (CDC) and the National Institute of Health (NIH) have both conducted heartrelated studies on people who have pets. The findings showed that pet owners exhibit decreased blood pressure, cholesterol and triglyceride levels -- all of which can ultimately minimize their risk for having a heart attack down the road.

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•Need a little motivation in the exercise department? Dogs can act as the perfect personal trainer, if only because most of them need to be walked several times a day. Research conducted by the National Institute of Health also supports this claim -- including one study of more than 2,000 adults, which found that dog owners responsible for walking their pups are less likely to be obese than dog owners who pass the duty off to someone else or those who don’t own dogs at all. Walking the dog can help you lose or at least maintain weight. •Pets are a great way to beat the blues. Not only are they known to they offer unconditional love, but they may also give their owners a sense of purpose, which can be crucial for those feeling down in the dumps. Pets also combat feelings of loneliness by providing companionship, which can boost your overall mood and even bring you feelings of joy and happiness. Thus, whether it’s for emotional comfort or for physical health advantages, one can rest assured that all that maintenance required to own a pet can reap rewards for its owner.

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Southern Kentucky Health & Family Journal - August 2015

Caring for animals is a very rewarding job

Lake Cumberland Animal Hospital, located at 361 Langdon Street in Somerset (between lights 4 & 5 just behind Kroger) is a full-service, small animal hospital. Veterinarians Dr. Cynthia Donovan DVM, Dr. Eric Greenwell DVM, Dr. Carol Crosslin DVM, and veterinarian assistants are experienced and prepared to handle any situation.

Lake Cumberland Animal Hospital offers a wide variety of services including, medical care for sick and injured pets, well-pet care for all pets (including pediatric and senior patients), general surgical services, dental services, behavioral consultations, microchipping and laser therapy. They also offer boarding and daycare services in a climate-controlled boarding facility which is equipped with a sprinkler system in case of emergencies. Caring for animals is a very rewarding job and they take it very seriously. Lake Cumberland Animal Hospital is dedicated to provide compassionate medical and surgical care for their patients, personalized services to their clients, and an enjoyable work place for their employees. They continuously work to improve their knowledge and skills and strive to conduct their practice with the highest of ethical standards. They take special pride in the personal

care they give their patients and are proud to be advocates for the health and welfare of all pets in their community. Lake Cumberland Animal Hospital is open Monday, Tuesday, Thursday and Friday from 8 am - 6 pm; and Saturday 9 am - 5 pm. They are closed on Wednesday and Sunday. Emergency services are available after hours. Just call the office phone line to obtain information about the veterinarian on call. For appointments or information, call (606) 678-CARE (2273) or visit their website at www.lcvets.com. Information and news about animal care can also be found on their Facebook page.

Lake Cumberland Animal Hospital offers a wide variety of services, which include the following: • Medical care for sick and injured pets • Preventative care for all pets including pediatric and senior patients • General surgical services • Dental services • Behavioral consultations • Boarding and daycare • Micro chipping • Therapy Laser • Customized vaccination schedules for your pets lifestyle • Bathing

Lake Cumberland Animal Hospital

• Dietary counseling • Medical condition counseling • Radiology • Most laboratory services in house

www.LCvets.com

361 N. Langdon Street • Somerset, KY 42503 • (606) 678-CARE (2273) Southern Kentucky Health & Family Journal - August 2015

Lake Cumberland Regional Hospital

Breastfeeding can be a healthy and enjoyable choice for new mothers by

Tricia Neal

While it’s not a choice all mothers make, the staff at Lake Cumberland Regional Hospital hopes new moms will breastfeed their babies – and they are ready and willing to provide support in many forms to help mothers along on their breastfeeding journeys. Breastfeeding used to be just about the only method of providing nutrition to newborns, but as storebought formula became more popular, breastfeeding moms took a bit of a back seat to bottle feeding moms for several decades. Now, however, with each passing year, advocates for breastfeeding, including the American Academy of Pediatrics, are strongly encouraging

exclusive breast milk – no formula, pacifier, food, water, supplements, or cereal - for a least the first six months of a baby’s life. Between the ages of six months to one year, it is recommended that the mother begin adding solid foods to baby’s diet. And after the baby turns one year old, it is recommended that breastfeeding continue until weaning is “mutually desired,” explains Leisa Phillippi, RNC, MSN, IBCLC, paranatal educator at Lake Cumberland Regional Hospital. The majority of nurses in the labor and delivery and nursery departments of LCRH have taken a course to become a Certified Lactation Counselor. “The odds are, if you’re here, your nurse has been certified in helping others with breastfeeding,” says Erica

Anderson, RN, BSN, nurse manager of women’s and children’s services at LCRH. Some other nurses are Certified Lactation Consultants, and Leisa Phillippi is an International Board Certified Lactation Consultant, which means she has received extra training and has had at least three years of experience exclusively helping women with breastfeeding issues. At LCRH, 33 percent of new mothers give their babies breast milk exclusively during their hospital stay. Sixty-two percent of new mothers breastfeed, but not exclusively, during their stay. “We would love to see those numbers get higher,” Anderson said. “The national averages are 40 percent and 75 percent. But in this region, we’ve come a long way, and that’s partly because we

Perinatal Clinical Coordinator, Leisa Phillippi teaches a free breastfeeding class on the 2nd Tuesday and 2nd Saturday each month at the hospital. For more information or to register, call 606-678-3145 or 678-3176.

Southern Kentucky Health & Family Journal - August 2015

Leisa Phillippi, RNC, MSN, IBCLC, and Erica Anderson, RN, BSN, nurse manager of women’s and children’s services at LCRH, check to ensure a labor and delivery room is ready for the next expectant mom.

have set some goals and tried to raise awareness in the last three years.” LCRH offers several programs to help new parents, especially to help mothers learn about breastfeeding. Lullabies at Lake Cumberland is an annual event geared toward women who are pregnant, who have just given birth, or who are thinking about having a baby. Those who attend get a tour of the hospital, information about services available, visit exhibitors’ booths, and are treated to refreshments and door prizes. This year, Lullabies at Lake

Cumberland will be held from 1-3 p.m. August 29 in the basement of the East Tower at LCRH. For more information, call (606) 451-3940. Babies who are born at LCRH receive “Kangaroo Care,” which involves lots of skin to skin contact between mother and child immediately after and in the days following birth to encourage breastfeeding – and so that the baby can receive other benefits such as regulated body temperature and levelized blood sugar. Even dads – who sometimes feel left out of the bonding experience when

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Southern Kentucky Health & Family Journal - August 2015

mom is breastfeeding – can participate in Kangaroo Care by having skin to skin contact with the baby after he or she has been fed. Free breastfeeding classes are offered at LCRH for expectant mothers on the second Tuesday and second Saturday of every month. The staff at LCRH also attempts to educate the entire community by handing out free shopping bags at downtown Somerset’s Market on Main weekly event. The bags are printed with the words “Eat Local” along with a

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breastfeeding symbol. “Education is a huge component in making the decision to breastfeed,” Anderson says, adding that many expectant mothers believe breastfeeding should be an easy, natural process – and then get discouraged if it doesn’t work well right away. “Moms think it will be easy, but it’s not always easy. It’s a learning process for the baby and for the mother. We tell them to give it at least ten days, and then it’s usually smooth sailing after that. … We want to help mothers learn why they should choose breastfeeding, and we hope they’ll decide to breastfeed while they’re in the hospital and also when they go home with their babies. We want to do everything we can to help them be successful.” Phillippi says many new mothers become concerned over whether their baby is getting enough nourishment from breastfeeding because they can’t “see” how much their baby is swallowing, as opposed to being able to measure formula in a bottle. “We try to tell them to watch the number of times Julie Stevens, MSN, APRN, NP-C, listens to three-year-old Katelyn Gallo’s they are changing their diapers and watch their heart as her two-year-old sister, Madelyn, and their dad, Dr. Dan Gallo, baby’s weight (as two good indicators of whether look on. Julie works with Dr. Gallo at Lake Cumberland Medical Associates they are consuming enough,)” Phillippi says. “They Pediatrics and Family Practice. should be eating 8 to 12 times in a 24 hour period. … Many mothers have the idea that they should be breastfeeding on a schedule, but that’s not how breastfeeding works. Breastmilk is digested quicker, so they need smaller amounts with each feeding. A newborn’s belly is marble-sized, and, as the mother’s milk comes in, the baby’s belly grows.” Phillippi also educates new mothers about how their own breastfeeding bodies work. “Breast milk at 20 weeks is made especially for that baby,” she explains. “So if you have your baby prematurely, your milk is made especially for a premature baby. As your baby grows, and starts eating cereals, your breast milk adjusts itself to the baby’s needs. No formula can do that.” Julie Stevens, MSN, APRN, NP-C, at Lake Cumberland Medical Associates Pediatrics and Family Practice, sees babies and mothers after they’ve left LCRH – and she’s seen firsthand some of the long term benefits of breastfeeding for both the mother and the child. Stevens says breastfed babies tend to have lower rates, as babies and later in life, of respiratory infections, ear infections, gastrointestinal infections, and more – mainly due to the antibodies they get from their mothers through breast milk. Breastfeeding is believed to lower the risk of SIDS (Sudden Infant Death Syndrome) in infants. Mothers who breastfeed have a smaller chance of developing diabetes if they had gestational diabetes during their pregnancies, lower occurrences of several types of cancer, and a lower risk of developing hypertension, Stevens says. Breastfeeding is also “a natural resource to take off pounds” after giving birth, Stevens adds, because it helps the uterus shrink back to its normal size faster. New mothers don’t have to feel overwhelmed by the prospect of breastfeeding their babies for an entire year or longer – and, at the same time, they shouldn’t set their expectations of breastfeeding too high. Every breastfeeding experience is Two-year-old patient Madelyn gives different, and most are not smooth sailing from beginning to end. But with some Julie Stevens a big hug at the end of her basic knowledge and support from trained staff, breastfeeding can be an enjoyable, check-up. healthy choice for both mother and baby. 16

Southern Kentucky Health & Family Journal - August 2015

Donna Whitaker

woman

move A by

on the

Don White

Southern Kentucky Health & Family Journal - August 2015

Think you can pin a label on Donna Whitaker Russell? Good luck with that. First of all, you’ll have to track her down. You might find the 50-year-old grandmother riding the backroads of Kentucky on the Kawasaki 650 she fondly calls Bonnie Blue in memory of her dad. The native of Ano and Burdine Valley resident began riding around age 10 or 12, when her dad, Bonnie, operated a motorcycle repair shop directly across from her home on Hwy. 1675. When not riding bikes, she gets her kicks from a regular exercise routine that includes a fair amount of running. Family members, including husband Tommy, join in, but it’s Mom who usually leads the way. Over the last three years, she has competed in many 5ks in the Pulaski County area. Her greatest accomplishment thus far? Finishing third in her age group at the Horse Capital half marathon in Lexington that drew 1,800 runners last May, It’s a far cry from the beginning days some four years ago, when she says she “couldn’t run three tenths of a mile without stopping.” The woman who decided she wanted to go into health care coming out of high school and worked as a nurses’ aide at Lake Cumerland Medical Center from 1983-85, has been a caregiver for her mother, the former Phyllis Mayfield, age 85. During the school year, you’ll find the petite ,brown-haired member of Immanuel Baptist Church serving as a home school teacher. It’s a role she has played for all four of her children, including graduates Lesley Caroll, 28, Morgan Hughes, 25, Shelby Russell, 23, and currently son, Seth, 17, who is entering his senior year. Only Lesley ever attended public school, completing second grade before her mom decided she “didn’t like the way she was being taught to read. I looked at Pictured left: Donna on an early morning run near her Burdine Valley Home.

Donna and family from left, Seth, Shelby, Morgan, Lesley, Donna and Tommy.

what they were doing and decided I could teach that.” Behaviors her child was observing on the school bus were also a concern. It has been an experience the Pulaski High graduate of the class of 1983, says she “would definitely do again.” Morgan is a registered nurse at Lake Cumberland Regional Medical Center; Lesley, a stay-at-home mom; Shelby is employed as a receptionist, and Seth has ambitions of becoming an electrician, engineer or carpenter. Donna gives her father lots of credit for her skills as a multi-tasker. “Without any training, Dad became a respected motorcycle mechanic and bass guitar player. “He just figured things out,” she says of the handsome man who drove a bulldozer for Ikerd & Bandy Coal Company, logged, and performed often at the Renfro Valley Barn Dance alongside daughter Mary Lou Mink, now 64 and a physical therapist. Growing up, Donna was among all male cousins and became a bit of a tom boy, riding motorcyles as early as age 10 or 12 and playing basketball on a hoop near her dad’s shop. She would go on to play basketball for two years at Shopville and at Pulaski High in her junior year following consolidation. As a youngster, Donna was an avid horseback rider, 18

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Southern Kentucky Health & Family Journal - August 2015

Motorcyle riding has become a part of Donna’s life once again.

but that came to a halt when she wed and sold her horse, Sunny, to help pay for an air-conditioner at her new home.

“Yep, I had to sell Sunny to get air,” she says. She met her future husband on a blind date and they were wed in 1984. From nearby Short Creek and six years older than she, he was a military man who served in the National Guard for 29 years before retiring. For 27 years, the Shopville High grad was employed by Coca Cola in Somerset and now commutes to the Bluegrass Army Ordinance Depot in Richmond. On Sundays, you’ll find him in the choir at Immanuel Baptist, where he can look out over the crowd and see nearly all members of his close-knit family, sharing a pew. He may take an extra close look at his wife since it’s the last time he’s likely to see her still for a whole week.

Don White is a freelance journalist/writer The latest reward received by Donna from the 2015 Horse Capital Marathon.

Southern Kentucky Health & Family Journal - August 2015

Safe Drinking Water: On Tap and On the Go

Cindy J. Lackey

In America, safe drinking water is at our fingertips. Whether you open a water bottle on the go, or you turn on the tap for water from a public water system, you can be confident that your water has met federal and state safety standards. In Kentucky, there is more good news. “Kentucky is viewed as a ‘water rich’ state, thanks to abundant rainfall and more navigable miles of waterways than any other state, except Alaska,” said Gary Larimore, executive director of the Kentucky Rural Water Association (KRWA), a nonprofit organization that assists public water and wastewater systems. “Kentuckians should never worry about the safety of their local water supply,” Larimore added. “I know what wonderful professionals we have taking care of our water in Kentucky. Especially in the Somerset area, you’ve been blessed with a wonderful supply of water with Lake Cumberland and the treatment facility is top of the line.” And when it comes to water bottled in Kentucky, our laws are some of the toughest in the nation.

Drinking Water Safety Standards

Contaminants are the focus of our nation’s drinking water safety standards. All drinking water (bottled and tap) contains contaminants picked up from natural and human sources as the water travels over land or through the ground. Examples include minerals, salts, bacteria and viruses. Some contaminants are considered harmless to human health. Minerals, for example, can actually add flavor. However, certain contaminants are unsafe, and federal and state laws limit their amount in our drinking water. Contaminants are reduced through treatment and filtration methods, which vary among public water services and water bottlers. The U.S. Environmental Protection Agency (EPA) limits physical, chemical, microbial and radiological contaminants in water provided by public water systems, or “tap water.” Tap water is typically treated

Climax Spring Water is a trademark brand of King Bottling, Inc., which is located in Climax, Ky., in neighboring Rockcastle County.

Southern Kentucky Health & Family Journal - August 2015

with chemicals, which are cost effective and continue to disinfect the water as it travels through pipes. The U.S. Food and Drug Administration (FDA) applies the EPA’s contaminant limits to bottled water. Also, like all foods regulated by the FDA, bottled water must be processed, packaged, shipped and stored in a safe and sanitary manner and be truthfully and accurately labeled. Water bottlers tend to use non-chemical treatments, which are more expensive but have less impact on taste. State agencies work with the EPA and FDA to enforce the federal regulations, and states may impose tougher standards. If contaminants may have entered a public water system, then a boiled water advisory is issued. By boiling tap water before consuming it, customers kill any contaminants. For bottled water, recalls may be issued. The Niagara company made news this summer when it voluntarily recalled 14 brands of water because one of its water sources reported finding E. Coli in its spring. The contaminant was never found in the water delivered to bottling plants or in the bottled

The Somerset Water Treatment Plant, which is less than two years old, has the latest filtration technology. Plant superintendent Chuck Mounce held up one of the straw-like strands from the plant’s membrane filtration system, which can remove even the tiniest of microscopic contaminants, including viruses and Cryptosporidium.

water, and no one reported an illness, but Niagra shut down production, disinfected its bottling lines and issued the recall, “in an abundance of caution and in the interests of consumer safety.”

These pipes within the Somerset Water Treatment Plant carry the water that has finished the treatment process and is ready to send to customers.

Southern Kentucky Health & Family Journal - August 2015

Our Local Tap Water

More than 95 percent of Kentucky residents are served by the state’s 446 public water systems. Most of the state’s drinking water is drawn from surface water sources, such as lakes, rivers and springs. The public water systems must test their water regularly for more than 100 contaminants, such as bacteria, nitrates and other chemicals. If a contaminant exceeds federal limits, then the water system must fix the problem and notify its customers of the violation. “On the whole, Kentucky’s water systems do an outstanding job, and the utilities in the Somerset area always rank in the top of well-run facilities,” Larimore said. “If you look at the violation list, there are very few in that area. Rest assured that you have topnotch water professionals working for you daily.” “With a brand new treatment plant comes cutting edge filtration technology,” Larimore added. He was referring to the Somerset Water Treatment Plant, which began 21

operation in November 2013. To serve most of Pulaski County and parts of several surrounding counties, the plant treats roughly 8 million gallons of water daily, with the capacity to handle twice that amount. “We serve 120,000 customers across Pulaski, Lincoln, Rockcastle, Russell and Wayne Counties, which includes the water districts that buy water from us,” said Chuck Mounce, plant superintendent. Southeastern Water Association, Western Pulaski County Water District, Science Hill Water Department and Eubank Water System purchase water from the City of Somerset Water Service. As a result, Somerset supplies all drinking water in Pulaski County, except in Burnside, which has its own water treatment plant, and Bronston, which purchases water from the Monticello Utility Commission. “You probably only stop to think about your water when there’s a problem, like a boiled water advisory, but I want people to know that our staff works 24 hours a day, seven days a week to make sure we have a safe water supply,” Mounce said. “There are so many safety measures in place,” Mounce said. “All plant operators must be certified by the state, which requires at least three years of training. We run a series of 32 tests daily on the water as it goes through the plant. We pick up 32 samples from the distribution system each month to test

Safety of Well Water The water quality in private wells and cisterns used for drinking water is not regulated by the state or federal government. For testing and treatment options for well water, contact the Environmental Services Office of the Lake Cumberland District Health Department, 500 Bourne Avenue, Somerset, KY 42501, 679-4416. To learn more about well water, visit http://water.epa.gov/ drink/info/well.

This unit uses salt, water and electricity to create the sodium hypochlorite that disinfects water at the Somerset Water Treatment Plant. By generating its own sodium hypochlorite one day at a time, the plant no longer needs to store sodium hypochlorite on site, which is safer for the public.

for E. coli. We report monthly to the state. We publish an annual consumer confidence report that shows all test results, including contaminants. State inspectors do random checks at the plant or distribution system.” “Our staff live in this community, and they take great pride in their service and keeping the public safe,” Mounce added. “They are excellent professionals.” The plant employees 15 people, and 12 staff members are certified by the state to operate the plant. The plant’s source water intake can be seen at the Waitsboro Recreational Area. “When water enters the plant, we add aluminum sulfate, sodium hypochlorite, lime and carbon,” Mounce said. “Those chemicals kill any germs, settle out turbidity, adjust the pH, and improve taste and color. Then, the water goes through flocculation, which means stirring. From there, it goes to settling basins where impurities fall out. Then it is introduced to filters, which remove any particles that remain. Finally, it’s

ready to enter the distribution system.” The plant uses membrane filtration — the newest technology available. “The new system filters out the tiniest of contaminants,” Mounce said. “It won’t let viruses or Cryptosporidium through. This protects the public.” Another safety feature at the new plant is generation of sodium hypochlorite. The plant uses salt, water and electricity to create the sodium hypochlorite needed to disinfect the water. “At the old plant, we had to buy sodium hypochlorite and store it on site,” Mounce explained. “If there had been a spill, the evacuation area would have been a 10-mile radius. Now, we only store salt, which is harmless, and turn it into sodium hypochlorite each day.” To learn more about the safety of your tap water, ask your water utility for a copy of its annual consumer confidence report, or CCR. The CCR, which is required by federal law, will list any contaminants found in your tap water. The local water utilities just recently

Southern Kentucky Health & Family Journal - August 2015

King Bottling, Inc., bottles water from this Rockcastle County spring, which originates in the Daniel Boone National Forest.

issued their 2014 CCRs, which are also called water quality reports. To request a copy, call your utility at the number below: •Bronston Water Association – 561-5209 •Burnside Municipal Waterworks – 561-4216 •Eubank Water System – 379-2211 •Science Hill Water Department – 423-4109 •Somerset Water Services – 561-4626 •Southeastern Water Association – 678-5501 •Western Pulaski County Water District – 679-1569

Kentucky’s Bottled Water

Kentucky is one of a few states that sets tougher bottled water standards than the FDA. In fact, Kentucky classifies a facility that bottles water as a public community water system. Water that is bottled in Kentucky meets both FDA and state safety standards. The Kentucky standards do not apply to bottled water that is sold in Kentucky but produced outside the state. There are only a handful of water bottling facilities in Kentucky, but one is located very close to us. King Bottling, Inc., is in Climax, Ky., which is nine miles from Mt. Vernon in Rockcastle County. “We’re regulated like any public water utility in Kentucky,” said David King, plant manager for King Bottling. “We do the same testing and training. Kentucky is a lot more stringent than the FDA.” So what sets apart water bottled at Climax from local tap water? Taste and freshness, according to King. Southern Kentucky Health & Family Journal - August 2015

“The big difference is our water source,” King said. “The spring is naturally clean, and the water tastes good.” Since 2003, the company has bottled water from a spring that originates in the Daniel Boone National Forest. “This wooded mountain range ensures a limitless supply of high quality, great tasting, pure spring water,” according to the company website, www.climaxky.com. “Spring water is the premium in bottled water,” King added. “If you see ‘purified’ on the label, that probably means it’s tap water. I would say 80 percent of bottled water is probably tap water.” “Our treatment and filtration processes are different from city water, too, and that helps preserve the flavor of our spring water,” King explained. “We add nothing to our water while treating it. Instead of adding chlorine, we use an ozone process, which attracts and kills anything in the water. We filter our water a lot closer than most city water. It is sealed in bottles immediately, instead of traveling through miles of pipes.” King Bottling produces two trademark brands: Climax Spring Water and Aquaperfect Spring Water. The company also bottles its water with private labels for other companies to sell. The company will produce bottles with custom labels, with a minimum order of 100 cases. If you want to know more about the safety of your bottled water, contact the bottler listed on the label. You can ask for the latest testing results for that product, and compare those results with the EPA standards for tap water (see www.epa. gov/safewater/mcl.html).

Tap and Bottled Water Safety for Immuno-Compromised Persons

Some people may be more vulnerable to contaminants in drinking water than the general population. Immuno-compromised persons — such as people who are undergoing chemotherapy, people who have undergone organ transplants, people who have HIV/AIDS or other immune system disorders, some elderly and infants — can be particularly at risk from infections. These people should seek advice about drinking water from their health care providers. EPA/CDC guidelines on appropriate means to lessen the risk of infection by Cryptosporidium and other microbial contaminants are available from the Safe Drinking Water Hotline (800-426-4791).

Source: Somerset Water Service Water Quality Report for Year 2014

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Southern Kentucky Health & Family Journal - August 2015

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by Catherine Pond

Southern Kentucky Health & Family Journal - August 2015

CASE old Love Letters

The

of the

A Pulaski County Mystery

As a young girl I devoured Nancy Drew books one at a time, like secret confections. I found the teenage sleuth a perfect role model for my young and fearless imaginings. While life didn’t exactly lead me to the CIA or PI work, I went into historic research and writing instead—and I still love a good mystery. In the past year after Brenda Russell assumed her new job as director of God’s Food Pantry she soon found a cache of old letters in a plastic box in a file drawer. “I was cleaning out file cabinets and came across them, back in the corner,” she said. Inside she discovered a written historical summary preface, typed neatly on a modern computer, but with no credit as to who had compiled it. She shared the box with Mike Hornback, board chairman and advertising director at Commonwealth Journal, and he then passed them to me. “Write a story about them,” he said. I was intrigued (as Nancy Drew surely would have been). Most of the letters are from the 1890s courtship of William H. Tibballs and Mary (aka Mamie) Allen of Elihu. With no real context and a few historic clues, I wasn’t even sure how to approach the assignment. There were no family members that I could find from the few leads and I hit only dead ends, even on Facebook. As much as I enjoy reading memoirs and biographies, and collections of letters of famous people, it also seemed strange and voyeuristic to be literally opening someone’s personal letters. I’ve kept and saved most letters I’ve received in the past several decades. I even have a stash of love letters from my father to my mother that I can’t quite bring myself to read: she wrapped them carefully in special Southern Kentucky Health & Family Journal - August 2015

blue ribbon and put them away in our farm attic. Now I have them hidden away in a box in Kentucky. Call it the family hoarder, I mean “historian,” in me. In recent years letters have become precious offerings in today’s modern world, tangible paper relics from the age before email, cell phones, and texting. Letters are a dying art form now all too easily replaced by a quick email, a post on Facebook, or rapid texts fired off into cyberspace. And that was it—the crucial angle to this article. These letters between two young Kentucky sweethearts in the 1890s deserved to be read and shared. They kept the Cincinnati Railroad Post Office fairly busy between Somerset and Elihu, when mail used to come through twice a day, and now only a few short miles down the road from Main Street by car. They are written in cursive—another dying means of correspondence—and Will has a much neater hand than Mamie (who usually wrote in pencil so her letters are harder to read). He also seems the more prolific writer but her letters are usually longer and prone to musing. In the 1800s and through the middle of the 20th century, it was common for young lovers or anyone to exchange letters back and forth when apart, even if it was across town or further away during wartime or travel. One wants to honor them when found and someone in Somerset, maybe a Tibbals family member, had the idea to bring them to God’s Food Pantry: perhaps if not a donation of food, then one of history. According to the historic research that was compiled with the letters, William Howard Tibbals (1865-1944) and Mary N. Allen (1868-1964) were married in 1892. He was twenty-six and she was twenty-three. He was a pharmacist with what would become W.H. Tibbals and Sons and later Tibbals Rexall Drug, from 1902-1971 and co-owned with 27

their son Henry, at 104 North Main Street (where the veterans’ monument is today). The couple would settle at 212 North Maple Street where they raised their seven children: Henry, Howard, Tom, and David; Mildred (Hunt), Alice (Gribbin), and Ruth (Sears). Based on some information enclosed with the letters, Ruth and her husband Ernest Sears eventually lived at the Tibbals family home in the early 1960s. Linda Tibbals Lye, a granddaughter to Will and Mamie, is recorded as having done historic research on-line in 2000. There she mentions that William was a direct descendant of Thomas Tibbals who came from England on the ship “True Love” in 1633 and lived in New Haven, Connecticut. The letters reveal the emergent twoyear courtship between Will and Mamie who likely knew each other from church and often

attended services together at Johnston’s Hall on Main Street. Sometimes they write brief notes regarding details as to their next meeting or maybe going to a lecture on Africa at Owens Opera House, or an excursion to Frankfort, picnics, and even the circus coming to town. There are longer letters, too, that convey much about Somerset in the 1890s. As was the custom of the day, Will came out to Elihu every Sunday afternoon that he could to court Mamie, presumably by horse or train. He often saw her in town, too, and even mentions seeing her pass his pharmacy one day. They began their courtship in September 1890 and married within two years. The last letter before their marriage was written from Will a few weeks before—yet none of the letters mention their coming nuptials so planning must have been discussed in person. A few more letters are preserved from later in their marriage, written from Mamie to Will while he was in hospital in Cincinnati. And there are few speeches written by their daughter Mildred. Above all, these letters are a time capsule of affection, quiet moments, town and country pursuits, the strong cord of church activities, and a couple’s blossoming love and devotion—how precious and even rare. But how they ended up in a file drawer at God’s Food Pantry is another question—perhaps someone reading this can help solve the mystery? On the day I went to find the Tibbals’ grave in the Somerset Cemetery it had just rained and the clouds were clearing. I took a dozen or so photographs of the couple’s headstone in the changing light of early evening.

entine l a V e h t Somerset, KY, 9 y that r r o s s .19.1890. y e r k e a Miss Mamie,— tm a h “Am v t t u b ived, If agreeable, would r r ot my a g r e r v e e v e n be pleased to n rI o f sp en d I w S o u n a n d a d y afternoon with you told I us even I ? . P t le w a e n se f e a n s sw e a er r .– p d n y a a birthd t it up n r u b t o n t e s r Truly Yours, e d h a h y e h t wanted d i a W.H. Tibbals she s am r t e t u f b a , t s i y da after s r e c P.S. I am really a r t t.” i r i e d h n ashamed of myi t f t r u o eve n se lf l . l Y i ou w k n ow y why don’t you? e afraid th

Southern Kentucky Health & Family Journal - August 2015

2014 & 2015

One captured a rainbow prism, for a lack of a better term. Friends whom I showed it to commented that it looked like there was a heart shape at the top of it. I’ve taken thousands of photographs over the years and have never seen this anomaly. Perhaps William and Mary were letting me know that they approved of my intrusion into their lives. I’d like to think so. Now that their letters have been found and shared, their words will live on and they will never be entirely forgotten. And it was very nice to meet them. NOTE: As the original letters are delicate, fading and a bit difficult to read—they are 120 years old, after all!—I have completed a typed transcription of the correspondence and plan to scan them. If you want to read these letters in their entirety, a transcription of this correspondence will be given to the Pulaski County Historical Society for their files, and also available to read online at my website at CatherinePond. com (for now). Catherine Pond The original is a letters will be freelance writer returned to God’s Food Pantry. Southern Kentucky Health & Family Journal - August 2015

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Southern Kentucky Health & Family Journal - August 2015

PANIC ATTACKS

Imagine that you are going about your daily life – fixing lunch for your kids, getting ready with peers for a big meeting, eating in a restaurant with your friends, driving your car, crossing a bridge, getting ready to speak in public, shopping at the grocery, sitting on the couch at home – when suddenly, you’re gripped with panic. Your heart races, you can’t breathe, you start sweating and feel nauseous, your hands shake. You’re certain you’re dying. Plenty of people don’t have to imagine this: They’ve experienced it. A panic attack is a sudden surge of overwhelming fear that comes without warning and without any obvious reason. It is far more intense than the feeling of being “stressed out” that most people experience. Attacks can happen anywhere and at any time. Signs and symptoms develop quickly and abruptly and usually reach their peak within 10 minutes, often lasting no longer than 20-30 minutes. Signs and symptoms of a panic attack include a combination of the following:  Racing heartbeat  Difficulty breathing  Feeling as though you “can’t get enough air”  Terror that is almost paralyzing dizziness  Lightheadedness or nausea  Trembling  Sweating

 Choking or choking feeling  Chest pains or discomfort  Hot or cold flashes  Sudden chills tingling in fingers or toes (“pins and needles”)  Fear that you are about to die or losing control  Feeling unreal or detached from your surroundings

You probably recognize some of the signs and symptoms as the classic “flight or fight” response that human beings experience when we are in a situation of danger. But during a panic attack, these symptoms seem to rise from out of nowhere. They occur in seemingly harmless situations - they can even happen while you are asleep. In addition to the above signs and symptoms, a panic attack is marked by the following conditions:  It occurs suddenly, without any warning and without any way to stop it.  The level of fear is way out of proportion to the actual situation; often, in fact, it’s completely unrelated.  The panic attack passes in a few minutes; the body cannot sustain the “fight or flight” response for longer than that. However, repeated attacks can continue to recur for hours. A panic attack is not dangerous, but it can be terrifying, largely because it feels “crazy” and “out of control.” Panic disorder is frightening because of the panic attacks associated with it, and also because it often leads to other complications such as phobias, depression, substance abuse, medical complications, even suicide. Its effects can range from mild word or social impairment to a total inability to face the outside world. In fact, the phobias that people with panic disorder develop do not come from fears of actual objects or events, but rather from fear of having another attack. In these cases, people will avoid certain objects or situations because they fear that these things will trigger another attack. Because the symptoms of panic are very real, the anxiety is so traumatizing, and the whole experience is new and strange, a panic attack is one of the worst experiences a person can have. There is always the nagging fear, “When will this happen to me again?” Southern Kentucky Health & Family Journal - August 2015

I D E N T I F Y I N G PANIC D I S O R D E R Only a licensed healthcare provider (doctor or therapist) can diagnose a panic disorder. There are certain signs you may already be aware of, though. Many people experience occasional panic attacks, and if you have had one or two such attacks, there probably isn’t any reason to worry. The key symptom of panic disorder is the persistent fear of having future panic attacks. If you suffer from repeated (four or more) panic attacks, and especially if you have had a panic attack and are in continued fear of having another, these are signs that you should consider finding a mental health professional who specializes in panic or anxiety disorders.

TREATMENT Panic attacks and panic disorder are treatable conditions. They can usually be treated successfully with self-help strategies or a series of professional therapy sessions. Cognitive Behavioral Therapy Cognitive behavioral therapy is generally viewed as the most effective form of treatment for panic attacks, panic disorder, and agoraphobia. Cognitive behavioral therapy focuses on the thinking patterns and behaviors that are sustaining or triggering the panic attacks. It helps you to look at your fears in a more realistic light. Exposure Therapy In exposure therapy for panic disorder, you are exposed to the physical sensations of panic in a safe and controlled environment, giving you the opportunity to learn healthier ways of coping. You may be asked to hyperventilate, shake your head from side to side, or hold your breath. These different exercises cause sensations similar to the symptoms of panic. With each exposure, you become less afraid of these internal bodily sensations and feel a greater sense of control over your panic. Medication treatment for panic attacks and panic disorder Medication can be used to temporarily control or reduce some of the symptoms of panic disorder. However, it doesn’t treat or resolve the problem. Medication can be useful in severe cases, but it should not be the only treatment pursued. Medication is most effective when combined with other treatments, such as therapy and lifestyle changes, that address the underlying causes of panic disorder.

S ELF -HELP T I P S FO R PA NI C AT TA C K S A ND PA NI C DI S O RDER When it comes to panic attacks, professional treatment and therapy can make a big difference. But there are many things you can do to help yourself, too:

Learn about panic. Simply knowing more about panic can go a long way towards relieving your distress. Read up on

anxiety, panic disorder, and the fight-or-flight response experienced during a panic attack. You’ll learn that the sensations and feelings you have when you panic are normal and that you aren’t really losing control. 32

Southern Kentucky Health & Family Journal - August 2015

Avoid smoking and caffeine. Smoking and

caffeine can provoke panic attacks in people who are susceptible. As a result, it’s wise to avoid cigarettes, coffee, and other caffeinated beverages. Also be careful with medications that contain stimulants, such as diet pills and non-drowsy cold medications.

Learn how to control your breathing.

Hyperventilation brings on many sensations (such as lightheadedness and tightness of the chest) that occur during a panic attack. Deep breathing, on the other hand, can relieve the symptoms of panic. By learning to control your breathing, you develop a coping skill that you can use to calm yourself down when you begin to feel anxious. If you know how to control your breathing, you are also less likely to create the very sensations that you are afraid of.

Practice relaxation techniques. When practiced regularly, activities such as yoga, meditation, and progressive

muscle relaxation strengthen the body’s relaxation response—the opposite of the stress response involved in anxiety and panic. And not only do these relaxation practices promote relaxation, but they also increase feelings of joy and equanimity. So make time for them in your daily routine.

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Southern Kentucky Health & Family Journal - August 2015

Aging Well and Staying Healthy The secret to aging well isnâ&#x20AC;&#x2122;t really a secret: stay active, eat well, and avoid those bad habits that can make you ill and cut years from your life. Easy, right? In theory, yes, but in practice these simple tenets are difficult for many people to adhere to. People form habits throughout their lifetimes that can be difficult to change once they reach their senior years. Unfortunately, the effects of these habits (inactivity, poor diet, smoking, etc.) are often not felt until the senior years. Changing these habits, though, can help seniors stay healthy and independent throughout the later years of life. One of the healthiest changes seniors can make to keep themselves independent is to get active. Being active and physically fit can strengthen the core, which helps maintain balance and reduces the risk of falls. Physical activity aids with mobility and flexibility, both critical factors for independence. Strength training not only builds muscles but also strengthens bones, reducing the risk of fractures and breaks. General physical activity is also an excellent means for reducing risk of, delaying, or controlling chronic disease;

regulating blood pressure; and releasing stress. Seniors should take the precaution of talking with their doctors, though, before engaging in any physical activity. Their doctors can recommend activities appropriate for their ages and physical abilities to avoid any injuries or illness. Ensuring they get the right nutrition is also vital to keeping seniors healthy. Many illnesses can be prevented or alleviated with good nutrition. Seniors who have difficulty knowing what to eat and how much should consult with their doctors. Eating right does not have to be bland or boring, and medical professionals can refer seniors to nutritionists who can make recommendations on healthy nutritious meals. Seniors who need help with food preparation can obtain help from professional caregivers who can help with shopping and meal preparation. Professional caregivers can also monitor what and how much of foods the senior is eating to help the senior follow prescribed diets. Other changes seniors can make can be as simple as turning off

Southern Kentucky Health & Family Journal - August 2015

the television and getting socially and mentally engaged. Interacting with peers and family can ward off depression and keep seniors from being isolated. Numerous studies have shown that social isolation increases the risk of cognitive decline in seniors and other health problems, which relates to loss of independence. Breaking unhealthy habits, such as smoking or drinking in excess, can also prevent seniors from acquiring debilitating illnesses such as chronic obstructive pulmonary disease, and help them stay healthy and independent. Adopting new habits can be easier with social support. Sticking with a fitness program is easier when seniors can do the activities with others, and it is easier to get the proper nutrition when meals are shared. Seniors who live alone and need help with some daily activities can hire professional caregivers who can help them adhere to doctor-prescribed exercise and nutrition programs as well as provide company throughout the day. For more information on

how professional caregivers can help seniors stay engaged and independent, contact your local Comfort Keepers® office today. References Consumer Reports.org. (May 2014). Healthy aging into your 80s and beyond: 5 keys to a long, healthful life. Retrieved from http://www.consumerreports.org/cro/ magazine/2014/06/healthy-aging-into-your-80s-and-beyond/index.htm. National Institutes of Health. (n.d.). Exercise: Benefits of exercise. NIH Senior Health. Retrieved from http://nihseniorhealth.gov/exerciseforolderadults/healthbenefits/01. html. NRTA and the Dana Alliance for Brain Initiatives. (2011). Staying sharp: Learning as we age. Retrieved from http://www.dana.org/uploadedFiles/The_Dana_Alliances/ Staying_Sharp/Staying%20Sharp%20Learning%20as%20We%20Age.pdf. Shute, N. (May 27, 2014). When older people walk now, they stay independent later. Shots Health News from NPR. Retrieved from http://www.npr.org/sections/health-shots/2014/05/27/316325223/ when-older-people-walk-now-they-stay-independent-later. - See more at: http://www.comfortkeepers.com/home/info-center/senior-healthwellbeing/aging-well-and-staying-healthy#sthash.nURUDbos.dpuf

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Southern Kentucky Health & Family Journal - August 2015

Reverend Amanda Musterman returns to lead the flock at Saint Patrick’s Episcopal Church When you first meet the Reverend Amanda Musterman you felt a pull towards the ministry, like a little voice calling from are immediately struck by her energy and presence—and it’s a far off place. not just her ginger hair. Short in stature, but not in demeanor, “God, I want to be able to serve you,” she said at the time. you sense she is a person that gets things done and all while “It was a transformative beginning of a long evolutionary doing so joyfully, and with both a committed sense of purpose process that began in that moment and continued in a series and humor. of smaller epiphany moments. It wasn’t immediate.” At the risk of sounding ageist, you’ve maybe heard or even Several years later she began to feel a real calling when experienced the adage of she was in her early thirties, “you know you’re old when but still had much self-doubt. (doctors) look younger After attending the University than you” (insert: cops, of Louisville with a major in pilots, teachers, ministers). chemical engineering, preaching However, in meeting or leading a church is the last Amanda you are also struck thing Musterman thought she by the notion that she’s so ever would do. against the type of a more “I wanted to be an EPA staid ministerial person, lawyer but then I took a ‘World not to mention only one Religions’ class and fell in love of three ordained female with the study of religion.” pastors in Pulaski County. She transferred her sophomore In the past year, year to Texas Christian Musterman, 37, has not University where she majored only returned to her in comparative religions and hometown of Somerset sociology, graduating in 2000. but she’s arrived as an After a year of working odd ordained Episcopal deaconjobs in Dallas, including a partin-charge. First hired by St. time youth minister, Musterman Patrick’s Episcopal Church eventually enrolled in the as a part-time lay minister, Candler School of Theology in she moved into the Atlanta, Georgia to pursue what parsonage apartment last was now a loud and emergent fall to assume a full time calling toward religious study. role at its helm. She has “I had no desire to work in a since made it her own space church but I wanted a Ph.D. in with modern furniture and sociology of religion,” she said. personal touches and shares During her last semester at it with Chloe, the adopted Candler, a friend who was a and self-proclaimed church seminarian in the Episcopal dog. Church of the Epiphany in Reverend Amanda Musterman in her study at Saint Patrick’s She is now officially a Decatur, Georgia gave a sermon Episcopal Church in Somerset. transitional deacon since that changed her life. -[PHOTO CREDIT: Catherine Pond] her ordination on March 7 “I had never seen (the rite of) in Nicholasville and will be communion treated with such ordained with full priest status this fall after a six-month respect and awe, and a feeling of reverence,” Musterman waiting period. She admits that it has been an extraordinary noted, while realizing then that she was in the midst of and transitional year, both personally and professionally. receiving “the call” to the priesthood. The voice was now Raised attending the Christian Church Disciples of Christ booming. Church in Somerset, Musterman was fifteen when she first As an Eli Lilly Resident with the Christian Church (DoC) Pictured at left: The Reverend Amanda Musterman with The Right Rev. Douglas Hahn after her ordination ceremonies in March. [PHOTO CREDIT: Michelle Dunlap]

Southern Kentucky Health & Family Journal - August 2015

Reverend Amanda at home in her modernly appointed apartment in the parish house. [Chloe is hiding on her dog bed.] -[PHOTO CREDIT: Catherine Pond]

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between 2004-06, she realized her true calling. Six months into her two-year residency, Musterman said, “I think I’m an Episcopalian!” The answer from those in her residency was, “We’ve been waiting for you to tell us that.” At the end of her residence, Musterman became the full-time youth minister to the Episcopal Cathedral in Lexington. With her master’s degree, residency, and other requirements towards the ministry behind her, Musterman has landed at her very first church, and in her hometown of Somerset. She admits that she often joked that she’d go anywhere “except Wyoming…and the only thing more hilarious would be Somerset, Kentucky.” Like many youth who can’t wait to get out of their hometowns, she admitted to vowing as a young woman never to return. Then the Episcopal bishop of Lexington called and told her about an opening at Saint Patrick’s in Somerset. “I reluctantly agreed. I never, ever wanted to come back.” In interviewing with Saint Patrick’s Musterman had an unexpected experience. “Within five minutes I felt an extreme spirit-filled connection.” So should the old saying be amended to “Be careful what you don’t wish for…?” Reverend Musterman’s journey to the Episcopal and pastoral life has been an admittedly slow process. She likens her arrival to that place of conversion and ministry in the church to finding an ideal roommate or a date. “I became a good Episcopalian because I am a great Disciple (of Christ),” Musterman realized. Musterman appreciates the bureaucratic structure of the larger Episcopal church body that allows her to focus “more on the ministry and what can be done in the community.” She points to the inclusiveness of the Episcopal church body. “When the signs on the outside of town say, ‘The Episcopal Church Welcomes You,’ they mean ALL.” She acknowledges a small but growing and diverse congregation of 120 parishioners, including sixty active participants and twenty regular visitors that aren’t on the church roster. “We’re working on the mission of the Episcopal church to restore all people to unity in God through Christ,” Musterman said. “But more specifically, what does that mean for us? How do we do this in Somerset?” The church is reemerging after several years of change and fluctuation. After a period of struggles at the church in

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The newly ordained Reverend Amanda Musterman hugs her nephew, Samuel. -[PHOTO CREDIT: Michelle Dunlap]

Somerset, she said it had become a place where people came to heal from tragedy. “We all have broken stories and need healing,” Musterman acknowledged. “The church I want to help shape is a place of healing, for wholeness, to be restored to God from the broken parts of the spirit.” “One thing I love about the Episcopal Church,” Musterman continued, “is that the prayers maintain their identity as historic, while the other pieces of the church are in constant flux to change with the times. Our parish house [aka The Fox house: see Spring Premier] is a great example of that - the house has never veered from its identity as a healing home and in many different forms.” Reverend Musterman is referring to the building’s prior history with the Underground Railroad, as a hospital for wounded soldiers in the Civil War, for a clergy experiencing a hard time, and for its shared use as a parsonage and active church space, as well as a preschool in modern times. One of her duties is on a 1-2x a year rotation at the Lake Cumberland Hospital as an on-call chaplain. In dealing with near-death, trauma and severe illness, Musterman says, “You don’t prepare for that at all. The Holy Spirit grants you the gifts that you need in those situations.” She finds that people are “religiously comforted by what (they) are accustomed to” but acknowledges that sometimes all that is needed is a calm, spirit-filled presence and reassurance. “You try to relate in that moment.” While she never has a typical day, her week is divided fairly evenly with spending time studying scripture and writing sermons, preparing for church board meetings (with the vestry)

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Southern Kentucky Health & Family Journal - August 2015

and administrative work, as well as pastoral care within the larger community. She also spends a few days a month in Lexington with the diocese (there are two in Kentucky). Always learning, she has recently enrolled in an online class on the fundamentals of church leadership. “For a church of our size we have a lot of community outreach,” Musterman outlined. Saint Patrick’s is in a joint ministry with the Presbyterian Church for a community meal on the last Monday of each month. They assist with God’s Food Pantry, have a food box program, and host a longrunning community preschool, and an evolving youth group. “We offer a family-oriented environment with integrated services.” HHHHHHHHHHHHHHHHHHHHHHHHHH

Reverend Amanda Musterman in her church study with dog Chloe. -[PHOTO CREDIT: Catherine Pond]

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Southern Kentucky Health & Family Journal - August 2015

Reverend Musterman will be leading an upcoming confirmation class (teenagers to adults) for those who wish to join the church or who want to brush up on church history, mission, and the sacraments. She calls it a “Seeker’s Class—or Episcopal 101.” [FULL DISCLOSURE: As a confirmed, but somewhat lapsed, Episcopalian, I hope to attend.] One of the best “new” offerings of Episcopal churches in recent years is “The Blessing of the Animals.” This year it will take place on Sunday, October 4. And Reverend Musterman is also planning for her official ordination into the priesthood in the fall. So, back in Somerset again—the very last place (next to Wyoming) where Musterman wanted to be—and she is delighted. Not only does the new reverend have a congregation to work with and with whom to minister, she is greatly enjoying her pastoral and personal work in the greater community. “I feel like the mindset here is now more involved in community advancement, in arts and culture (so

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much more), and a move towards sustainable agriculture and a refocus on locally-owned small businesses.” Her parents John and Gerry Musterman still live in Somerset and her dad attends Saint Patrick’s, while her mother has stayed with the Disciples of Christ. But it is hardly a house divided: her parents are supportive and proud of their daughter. To quote from Reverend Musterman’s recent sermon, given after the Supreme Court ruling on gay marriage: “It is a good, and right, and a joyful day to be an Episcopalian…regardless of your stance (on that ruling) we share in communion with many brothers and sisters who are openly gay.” She mentioned the difficult conversations around sexuality and Christianity that have led to acceptance of the gay community. She celebrated the equality in the election of Michael Curry as the first African-American presiding bishop, and a history of women in the church. “This is the message for us today: that in the midst of a changing society, we’ve got Jesus; and in the midst of

racism, we’ve got Jesus…and in the midst of having to look deep within ourselves and having to change, we’ve got Jesus. We are part of the Jesus movement and there is nothing that is going to stop God in this world,” Musterman said. “So maybe today it’s not a right and good and joyful thing to be an Episcopalian; maybe it is a right and good and joyful thing to be a Child of God.” [AMEN!] If you wish to attend a service at St. Patrick’s Episcopal Church they are held Sundays at 10:30am, with communion held every other week, and additional services during Holy Week and at Christmas. There is music, fellowship, communion and, as the sign says outside of town, “All are welcome.” You don’t even have to be an Episcopalian. “We don’t discriminate,” Musterman twinkled. For more information: StPatSomerset. org

Southern Kentucky Health & Family Journal - August 2015

Reverend Amanda Musterman, center, holding nephew Samuel Oates, and from left: Amy Oates (sister); Brian Oates (brother-inlaw); The Right Rev. Douglas Hahn, Bishop of Lexington; Amanda; and parents Gerry and John Musterman. -[PHOTO CREDIT: Michelle Dunlap]

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August 2015 Calendar Should there be a change in location, date or time for any Senior Friends event for which you have pre-registered, we will notify you prior to the event.

TUESDAY, AUG 11 DINE WITH THE DOCS LCRH Conference Center, 5:30 p.m. - Dinner 6:30 p.m. - Program Speaker: Sam Weigel, M.D., Hospitalist Topic: To be announced Join us on the 2nd Tuesday of each month for a complementary dinner and an informative program presented by leading medical specialists. Dinner begins at 5:30 p.m. in the Chatters Café & Grill. Program begins at 6:30 p.m.. Call (606) 678-3274 for your required reservations. TUESDAY, AUG 18 MONTHLY MEETING AARP SAFE DRIVING CLASS LCRH Conference Center, Ste. A 12:00 - 4:00 p.m. Senior Friends and Lake Cumberland Regional Hospital have partnered with AARP for this (1) day four – hour session to lower your auto insurance costs. Instructed by Nancy Lindsay. The cost for this class is $15.00 for AARP members and $20.00 for non – AARP members (please make checks payable to AARP). Seating is limited. Call (606) 678-3274 by Tuesday, August 11 for your required reservations.

championship contenders. Call (606) 678- Association and spend the afternoon 3274 for your required reservation by with “Friends.” A perfect time for fun, fellowship, and refreshments. Senior Thurs., August 13. Friends will provide the coverall prize for the winner. Reservations are required and FRIDAY, AUG 21 must be received by Friday, August 21. PARKINSON SUPPORT GROUP LCRH Small Dining Room, located in the Please call (606) 678-3274 to reserve your spot. basement of the hospital. 10:00 a.m. A support group for persons diagnosed with Parkinson’s disease and their family and friends. For additional information please call (606) 678-3274. THURSDAY, AUG 27 BIRTHDAY PARTY LCRH Conference Center, Ste A 2 pm –4 pm It’s time for those August “Senior Friend” babies to come and party. Bring a friend and share an afternoon of fun, games, delicious cake and ice cream. Call (606) 678-3274 by Thurs., August 20 for your required reservations.

FRIDAY, AUG 28 GET ACQUAINTED BRUNCH LCRH Conference Center, Ste. A 9:15 a.m. - Breakfast in Chatters Café & Grill 10:00 a.m. Presentation Please stop by the Senior Friends office to pick up your free meal ticket. Have you ever been a Senior Friend? Our free breakfast is designed to offer you a THURSDAY, AUG 20 free one-year membership if you have never been a member before. Come to this MOVIE-N-MUNCH LCRH Conference “Get Acquainted Brunch” and enjoy some delicious food while hearing about all the Center, Ste. A benefits of your free NEW one-year 1:30 p.m. membership – a $15 value! Call (606) Movie: 678-3274 for your required reservation by Friday, August 21. “McFarland USA” Rated PG FRIDAY, AUG 28 Synopsis: B-I-N-G-O A cross country coach LCRH Conference Center, Ste A in a small California 2:00 – 4:00 p.m. town transforms a Senior Friends Members come and bring team of athletes into a $3 donation for the American Heart 46

Senior HEALTH & Fitness DAY Tuesday, September 29 This fun annual event will be at The Center for Rural Development from 10:00 a.m. - 2:00 p.m. Watch your newsletter for more details.

Southern Kentucky Health & Family Journal - August 2015

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