Health & Family, March 2015

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

Vol. 11 Issue 3 • March 2015

A PUBLICATION OF THE COMMONWEALTH JOURNAL

Jacob Ricks Basket High

Journal

Kidney Disease Colorectal Cancer Awareness Month

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Southern Kentucky Health & Family Journal - March 2015

Southern Kentucky Health & Family Journal - March 2015

3

&

INDEX

Health Family Journal Southern Kentucky

Don’t Lose Sleep Over Sleep Disorders

by Cindy J. Lackey....................................................5

Volume 11 Issue 3 March 2015

How Should You Respond to Higher Interest Rates?

Edward Jones Advertorial........................................8

PUBLISHER Rob McCullough

A Complementary Approach to Healing Fleming Wellness Center Advertorial....................17

EDITOR-IN-CHIEF Ken Shmidheiser

The Family That Plays Together Stays Together - Jacob Ricks

by Catherine Seiberling Pond................................18

CONTRIBUTING WRITERS Cindy Lackey Tim Minton Tricia Neal

Catherine Seiberling Pond Don White

LAYOUT & DESIGN

Kidney Disease

9

The Silent Situation

Pam Popplewell

by

ADVERTISING

Tricia Neal

Mike Hornback/Advertising Director Mary Ann Flynn Mike McCollom Kraig Price Janie Gumm-Wright

Vision Changes As You Age...............................42

Craig Wesley

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

mhornback@somerset-kentucky.com 4

Can Physical Therapy Help Your Rotator Cuff Tear?

Total Rehab Center Adverotiral..............................31

What You Need to Know About Colorectal Cancer Colon Cancer Alliance............................................38

Amanda McIntosh

© 2015 Newspaper Holdings, Inc.

Understanding Knee or Hip Replacement Surgery

by Tricia Neal..........................................................28

How to Prepare for and Prevent Spring Allergies

by Tim Minton.......................................................34

Kathy M. Lee

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.

Let’s Talk About ADHD Adanta Advertorial................................................26

Cholesterol and Its Relation to Heart Disease.....................................................44 Comfort Keepers of Somerset Receives Awards Comfort Keepers Advertorial.................................45 Senior Calendar Lake Cumberland Regional Hospital.....................46

D-I-S-C-I-P-L-I-N-E

13 Learning

to Forgive

by

Catherine Seiberling Pond

32

The greatest word ever spelled by

Bill Mardis

COVER PHOTO: Senior Jacob Ricks has been recognized for scoring both 1,000 and 2,000 points during his high school basketball career at Somerset Christian School.

Photo by Catherine Seiberling Pond.

Southern Kentucky Health & Family Journal - March 2015

Don’t Lose

p e e l S

Over Sleep Disorders

By Cindy J. Lackey If you have a problem with sleeping, then you are not alone.

A problem with sleeping is called a sleep disorder. Each year 40 million Americans suffer from chronic, longterm sleep disorders, according to the National Institutes of Health (NIH).

Another 20 million people experience sleep disorders occasionally.

You may shrug off your sleeping troubles, but they could be impacting your life more than you realize.

You can overcome your sleep disorder.

Simple changes in your sleep habits may

help. If not, then your doctor or a sleep center specialist can diagnose and treat sleep disorders with great success.

You Need Sleep Our bodies need sleep to function properly. Adults, in general, need seven to eight hours of sleep each night. But that varies from person to person. Some healthy adults require only five hours of sleep per night, while others must sleep at least 10 hours.

You likely know how your body reacts to a bad night’s sleep. It is harder to concentrate, and you may tend to be irritable, clumsy and forgetful. Over time, depriving your body of sleep can

Southern Kentucky Health & Family Journal - March 2015

add up to bigger problems.

Sleep deprivation affects your physical and mental health. For example, sleep is important to your immune system, so you are more likely to get sick when you do not sleep enough.

Sleep disorders, and the resulting sleep deprivation, take their toll on your life and work. They account for about $16 billion in medical costs each year, plus untold indirect costs due to lost productivity, according to NIH. Your sleep disorder could impact others, as well. Studies show that sleepdeprived people perform as poorly as or worse than intoxicated people in driving simulations and hand-eye coordination 5

tasks. That could lead to driving and industrial accidents.

Sleep Disorders There are more than 70 types of sleep disorders. The NIH divides them into four categories: 1. Problems falling and staying asleep (insomnia).

2. Problems staying awake (excessive daytime sleepiness).

3. Problems sticking to a regular sleep schedule (perhaps due to frequent travel across time zones or shift work).

4. Unusual, disruptive behaviors during sleep (such as sleepwalking and night terrors).

The three most common types of sleep disorders are insomnia, sleep apnea and restless legs syndrome.

Insomnia Short-term insomnia troubles most of us from time to time. Healthy sleep habits (outlined below) could prevent or relieve mild insomnia.

Sleeping pills may help, too. However, they lose their effectiveness after several weeks, and long-term use can actually interfere with sleep.

For more serious cases of insomnia, consults your doctor or a sleep specialist.

Researchers are experimenting with light therapy and other treatment options, according to the NIH. Sleep Apnea Sleep apnea is an interruption in breathing during sleep. Although an estimated 18 million Americans have sleep apnea, few people seek diagnosis and treatment.

Central sleep apnea occurs when the brain temporarily stops sending signals to the muscles that control breathing.

This problem could be related to certain medications, such as narcotic painkillers, or conditions, including stroke, Parkinson disease and heart failure.

Obstructive sleep apnea occurs when the windpipe collapses as muscles relax during sleep. This disorder is linked to obesity and decreased muscle tone due to aging. It causes loud snoring, but not everyone who snores has sleep apnea.

If you suffer from obstructive sleep apnea, your airflow may be blocked for 10 to 60 seconds at a time. When your oxygen level falls, then your brain wakes you enough to open your windpipe by tightening your airway muscles. You may snort or gasp, then go back to snoring. This cycle could repeat itself hundreds of times during the night.

Since sleep apnea wakes you so often during the night, your body doesn’t

get the restorative sleep it needs. As a result, your body experiences the typical symptoms of sleep deprivation — even though you may think you slept enough hours.

Patients with severe, untreated sleep apnea are two to three times more likely to have car accidents, according to the NIH. Sleep apnea can even lead to sudden death during sleep.

Symptoms of sleep apnea include loud snoring, obesity, excessive daytime sleeping and personality changes, such as irritability or depression. The loss of oxygen can lead to morning headaches, lower mental functioning, high blood pressure, irregular heartbeats and increased risk of heart attacks or stroke.

If you have these symptoms, then talk to your doctor or a sleep center specialist.

The treatment options can be as simple as losing weight or changing sleeping positions. However, special devices or surgery may be needed to correct obstructions.

You may be prescribed a Continuous Positive Airway Pressure (CPAP) device, which uses air pressure to keep airways open during sleep.

Restless Leg Syndrome Restless legs syndrome (RLS) may affect as many as 12 million Americans.

This hereditary disorder is becoming more common, especially in older adults.

It is also associated with pregnancy, diabetes and anemia.

If you suffer from RLS, then you move your feet and legs constantly, day and night, to relieve unpleasant crawling, prickling or tingling sensations. As a result, you don’t sleep well and experience the side effects of insomnia.

Drug therapies are available to treat RLS. Healthy Sleep Tips You can avoid and even correct mild sleeping disorders by using healthy sleep habits. The Sleep Foundation provides the following tips (for details, see http:// sleepfoundation.org/sleep-tools-tips/

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Southern Kentucky Health & Family Journal - March 2015

healthy-sleep-tips): 1. Stick to the same bedtime and wake-up time, even on the weekends.

2. Practice a relaxing bedtime ritual (warm bath, reading, etc.).

3. Avoid naps, especially in the afternoon.

4. Exercise daily, preferably for at least 20 minutes at least five hours before bedtime.

5. Make your bedroom cool and block out noise and light.

6. Sleep on a comfortable mattress and pillows (nine to 10 years is the normal life expectancy of a mattress).

7. Avoid bright light in the evening and expose yourself to sunlight or bright light in the morning.

8. Avoid alcohol, cigarettes and heavy meals in the evening.

9. Wind down in the last hour before bed.

10. If you can’t sleep, don’t lie in bed. Get up and do relaxing activity until you’re sleepy.

If you continue to have problems falling asleep or feeling tired during the day, then talk to your doctor or a sleep center specialist.

SLEEP DIARY

Recording your sleeping patterns may help you and your doctor identify a sleep disorder. If you notice habits or patterns that are reducing your sleep, then incremental changes may solve the problem. Or, you may realize that you need the help of a doctor or sleep center specialist.

The National Sleep Foundation’s Sleep Diary lists items to track for seven days, such as: Morning: •What time did you go to bed last night?

•How easily/quickly did you fell asleep?

•How often and for how long did you wake up during the night?

•What disturbed your sleep (noise, lights, stress, etc.)?

•What time did you wake up?

•Did you feel refreshed or tired?

•How many hours did you sleep?

Night: •How much caffeine did you drink during the day and when?

•Did you exercise? For how long and when?

•What medications did you take?

•Did you nap? For how long and when?

•Did you tend to doze during your daily activities?

•What was your mood?

•Did you consume caffeine, alcohol or a heavy meal two to three hours before going to bed?

•What did you do for the last hour before going to bed?

Print the two-page Sleep Diary: http://sleepfoundation.org/sleepdiary/SleepDiaryv6.pdf Southern Kentucky Health & Family Journal - March 2015

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FINANCIAL FOCUS

How Should You Respond to Higher Interest Rates?

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

If the Federal Reserve (Fed) raises short-term interest rates this year, as many financial professionals predict, what will it mean to you? As a consumer, you might experience the “ripple” effects if longterm interest rates eventually follow suit, affecting mortgages and other loans. But as an investor, you might quickly feel the impact of a move by the Fed — especially if you own bonds.

In fact, the value of your existing bonds might drop noticeably if interest rates were to rise. That’s because no one will give you full price for your lower-paying bonds when new bonds are being issued at a higher interest rate. So if you want to sell your bonds, you might have to take a loss on them.

Of course, if you were always planning to hold your bonds until maturity, you might not be overly concerned with falling prices.

Assuming your bond issuers don’t default — and defaults are rare among “investment grade” bonds — you will continue collecting regular interest payments until your bonds mature, at which point they will be redeemed at full face value.

Furthermore, just owning bonds can help you diversify your portfolio, which might otherwise be dominated by stocks and therefore be susceptible to big swings in value. (While diversification can help reduce the effects of volatility, it can’t guarantee a profit or protect against loss.)

However, it’s still useful to be aware of the effects of rising interest rates on bonds of different maturities. Typically, when rates rise, long-term bonds will fall in value more than short-term bonds. So if you only owned long-term bonds, your portfolio

could take a bigger hit than if you owned both short- and long-term bonds. Again, this might not be a big issue if you intend to hold bonds until they mature — but if your plans change, a drop in value in your bond holdings could be cause for concern.

Furthermore, if you just owned longterm bonds, your money would be tied up, thereby not allowing you to take advantage of newly issued, higher-paying bonds.

You can help protect yourself against the potential negative effects of rising interest rates by incorporating a “fixed-income ladder” in your portfolio.

You can build this ladder by purchasing fixed-income securities — such as corporate or municipal bonds — in various maturities.

With your ladder in place, a portion of your portfolio matures at regular intervals.

Consequently, you can benefit from any increase in interest rates by reinvesting your maturing bonds at the higher rate. And if interest rates should fall, you still have your longer-term bonds working for you.

(Generally, longer-term vehicles pay higher rates than shorter-term ones.)

Even if the Fed does raise short-term rates in 2015, it doesn’t necessarily signal the start of a trend. Interest rate movements are notoriously hard to predict — and you probably won’t help yourself by trying to “time” your investment decisions based on where rates may be heading.

But techniques such as a fixed-income ladder can work for you in all interest rate environments. So as you think about how you’ll invest in bonds in the years ahead, keep this type of “all-weather” strategy in mind. It may be able to help you keep the “guesswork” to a minimum.

This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.

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Southern Kentucky Health & Family Journal - March 2015

Kidney Disease:

The Silent Situation

By Tricia Neal We hear and read a lot about taking care of just about every part of our bodies – from our eyes to our colons. This month, the focus is on two organs which, many times, don’t get as much attention, but which are vitally important in keeping us alive: The kidneys.

Kidney disease is the eighth leading cause of death in the United States. Ten percent of the population of the United States has chronic kidney disease. The disease is more common in women; however, men with chronic kidney disease are 50 percent more likely than women to progress to kidney failure, which is much more serious.

Kidney specialist (also known as “nephrologist”) Dr. Clifford Matthews talked to Southern Kentucky Health and Family about good health habits, kidney disease, and the treatment of kidney failure.

Dr. Matthews says many people know that the kidney is an excretory organ, ridding the body of waste - but not many people realize it is also an endocrine organ, regulating and releasing certain hormones which affect other functions in the body. For example, the kidneys produce a hormone which stimulates bone marrow to make red blood cells.

An insufficient kidney, Dr. Matthews explains, can lead to anemia. The kidneys also produce an enzyme which metabolizes vitamin D. Therefore, the kidneys are related to calcium metabolism, which aides bone health.

There is also a correlation between blood pressure and kidney function, Dr. Matthews says. The kidneys produce a hormone which regulates blood pressure.

Obviously, then, good kidney function is necessary in maintaining many aspects of a healthy body. When an individual’s

Clifford C., Matthews, M.D., specializing in nephrology, graduated from Heidelberg University Medical School in Heidelberg, Germany (shown in the framed photo behind him.) Dr. Matthews completed his residency at the Medical College of Ohio in Toledo, Ohio, and a fellowship in nephrology at the University of Kentucky Chandler Medical Center in Lexington, Ky. He has been practicing in Somerset, Ky., since 1990.

kidneys fail, treatment is needed – usually dialysis, or sometimes a kidney transplant – in order to prolong life.

Many individuals don’t reach the stage of kidney failure, but instead live with chronic kidney disease. Chronic kidney disease means your kidneys are damaged, and aren’t working as well as they should.

Diabetes and high blood pressure are the first and second leading causes of kidney failure. About 40 percent of people with diabetes will develop chronic kidney disease. Patients with either of these conditions should address and control them to reduce the chances that kidney disease could progress.

According to Dr. Matthews and

Southern Kentucky Health & Family Journal - March 2015

other experts, other ways to prevent or control kidney disease include: Eating a “reasonable” diet, low in fat and salt; avoiding obesity by restricting your calorie intake; exercising most days of the week; not smoking; limiting alcohol intake; making sure you have adequate fluid intake; and having regular check-ups.

Dr. Matthews also says prolonged use of anti-inflammatory drugs, such as Motrin, Aleve, and Tylenol, can also lead to kidney malfunction, so those should be used wisely.

“People assume that these medicines are over-the-counter, so they’re safe,” he says. “But they can be very harmful to the stomach and kidney, and they 9

can induce heart attacks and cause liver damage when consumed in high and long doses.”

Annual wellness exams are important, Dr. Matthews says, because kidney disease is usually only detectable through tests provided during those check-ups.

According to the American Kidney Foundation, nine out of ten individuals who have Stage 3 kidney disease don’t know they have it.

“It’s a silent situation,” Dr. Matthews says. But if a test comes back abnormal following a regular check-up, the situation can be investigated further, and treatment can begin. If chronic kidney disease is detected soon enough, further damage could be prevented.

Individuals with kidney failure can be treated with hemodialysis or peritoneal dialysis, both forms of “renal replacement therapy,” both of which are offered in Somerset, Ky. Dr. Matthews says the most common therapy is hemodialysis (with the patient’s blood being put through a solution which clears it of poisons,) while only a small

percentage of patients use peritoneal dialysis. The main reason for this is that, since peritoneal dialysis is performed at home, the patient must have the ability to learn to take the treatments on his or her own, Dr. Matthews says. If the patient is debilitated or elderly, peritoneal dialysis is usually not the best option.

Hemodialysis treatments can be obtained at the local dialysis center, Fresenius Medical Care. Dr. Matthews says German-based Fresenius is the largest provider of outpatient dialysis services in the world. There are two outpatient dialysis centers in Pulaski County – one in Somerset, and one in Burnside. The two facilities treat approximately 150 dialysis patients.

There is also an inpatient unit at Lake Cumberland Regional Hospital for current hospital patients.

A Pennsylvania native, Dr. Matthews graduated from Miami University in Oxford, Ohio, with degrees in German and chemistry, and then went on to attend the Max Planck Institute in Heidelberg, Germany, from 1972 until 1979. There,

Matthews participated in kidney calcium and muscle metabolism research. After returning to the United States, Matthews completed a residency in internal medicine in Ohio, and then performed his fellowship studies in nephrology at the University of Kentucky. After receiving his training, he joined UK’s faculty as an assistant professor of medicine.

Dr. Matthews then came to Somerset from Lexington to become medical director at the then-newly-opened Somerset Dialysis Center (now Fresenius Medical Care.) He has been working out of his own office and working as a consultant with Lake Cumberland Regional Hospital since 2005.

Dr. Matthews and his wife, Annetta, have two children and three grandchildren.

Tricia Neal Freelance writer

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Southern Kentucky Health & Family Journal - March 2015

Dr. Clifford Matthews checks one of his patients, Hugh Akin, who is undergoing kidney dialysis in the inpatient dialysis unit at Lake Cumberland Regional Hospital. Mr. Akin was diagnosed with Stage 5 kidney disease several years ago. A Russell Springs resident, he has been traveling to Somerset for dialysis three days each week.

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Southern Kentucky Health & Family Journal - March 2015

Learning to

Forgive

The Healing Path to Better Health and Well-Being

By Catherine Pond “I discovered that I, survivor of Auschwitz and Mengele’s experiments, I had the power to forgive. I am not possessed by anger and fear. I can rise above it. And to me, that is the ultimate victory.”

- Eva Kor, Voices of Auschwitz, CNN Special Report As fallible human beings, forgiveness can be one of the most difficult processes for us to negotiate. We’ve all heard religious interpretations and directives and have seen church signs like, “Forgive your enemies: it messes with their heads.”

In truth, whatever your faith or even if agnostic, forgiveness is arguably essential to both our emotional and physical health.

We might never forget, and aren’t expected to, but to become unstuck from the ill-feelings, we need to forgive and ultimately learn to let go.

Each person’s journey is their own but harbored anger and resentment can lead to bitterness and even poor health. Forgiveness—even if we never need or want to see the person again— is the path.

Every major religion in the world speaks of forgiveness and provides directives: it is as universal as love. This article includes several approaches to forgiveness and highlights quotes

Mike Bruce, at a talk, with his friend Tigger. Often called ‘Tigger’ as a child for his facial features, he hated the character, but his mother said that one day he would appreciate his qualities. As an adult he has embraced the same positive enthusiasm for life.

[Photo: courtesy of Mike Bruce]

Southern Kentucky Health & Family Journal - March 2015

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“For if you forgive men their trespasses, your heavenly Father will also forgive you. But if you do not forgive men their trespasses, neither will your Father forgive your trespasses.”

- Matthew 6:14 & 15

from every major religion about it.

Mike Bruce, 40, also known as “Mike the Machine” for his strongman career, is a fitness trainer with his own private gym that he opened in Somerset in 2008. He often shares his journey in public talks, as he gave recently at First Baptist Church. Mike is also witness to how people judge based on appearance: while he might look like a tattooed tough guy, he has a soft and compassionate heart. We are often shown the loud and bullying trainer approach on television programs but Bruce is the exact opposite: kind, humble, and with a supportive “as you are able to do it” approach to fitness training.

His success as a strong man did not come easily to him as he had to surmount childhood abuse—and to ultimately forgive to move forward in his life, both spiritually and emotionally. As a child his first stepfather beat him, starved him—and repeatedly threw him into the refrigerator—while his mother, unaware, was at work. He was suicidal at 13 and hospitalized.

Mr. Bruce entered his life at 14—his mother’s new husband and the man

that would adopt him and give him his name. Mike said, “he showed me that a man can love a child without brutality, but with love and compassion.” This was a life-changing revelation for Mike Bruce.

Through his journey, especially after he fully embraced the message of Christianity (“on May 16, 2007 at a Florida strength show”), he says he learned how to love, how to forgive, “I learned to forgive through Christ.” In doing so he has been able to let go of some tremendous baggage and heal his wounds.

This has admittedly helped his personal power as a strong man and gym owner, and as a man of God. It has also helped him to counter the hate and negativity he has experienced in his lifetime. “I am genuinely happy for others and want to share what I have learned. If you hold all negativity it will bring you down. I have becomce more peaceful. I have become a maximized man. ” “(You have to) Let it go—you can

“If I have harmed anyone in any way either knowingly or unknowingly through my own confusions I ask their forgiveness. If anyone has harmed me in any way either knowingly or unknowingly through their own confusions I forgive them. And if there is a situation I am not yet ready to forgive I forgive myself for that.”

–from a Buddhist prayer

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never change the past. The person you despise will never change. ‘I don’t like you, but I forgive you,’ now that is power.”

Psychiatrist Karen Swartz, MD, a director at the Johns Hopkins Mood Disorders Center in Baltimore, Maryland, has found in her work that letting go of grudges is beneficial to your optimum health. It is a universal topic that affects everyone and not necessarily tied to religious belief (although many people see the two as inseparable). Journalist Lauren Sandler interviewed Swartz in 2014 for a web article. Here are some of the questions and answers, and potential solutions for those seeking to forgive: Should we see all violations of faith and trust as forgivable—or are some things simply unforgivable? There are some things that you really want to forgive, you want to move past, you want to have a future relationship with someone. And there are some things that are simply too horrible to forgive and to forget—like violence against a child, abuse. But I think there’s a big difference between seeing things as forgivable and having it be the consuming factor in your life. Forgiveness does not always include reconciliation, and having a relationship with someone in the future is about whether they are reliable and dependable and trustworthy, and sometimes you’ve broken trust in a way that you can never have a relationship again.

Do we erroneously associate

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Southern Kentucky Health & Family Journal - March 2015

forgiving with forgetting? I think people sometimes have an expectation of forgiveness that it’s absolution.

Forgiving isn’t giving absolution where you say, it’s done, we never have to think about it again. If someone’s done something really thoughtless, you think about them differently. You trust them differently. You have a different relationship with them.

Is some of that unhealthiness maintained in someone who will not forgive? If someone is stuck in an angry state, what they’re essentially doing is being in a state of adrenaline.

And some of the negative health consequences of not forgiving or being stuck there are high blood pressure, anxiety, depression, not having a good immune response. You’re constantly putting your energy somewhere else.

Would you explain the physical health benefits of forgiveness? There has been excellent work that looks at what gets better after forgiveness training. Blood pressure is lower.

People report needing fewer medicines.

They report having better sleep. They report physically feeling better and having fewer physical complaints.

And even that forgiveness can have health benefits? It can. To many of us I think we wonder, what does it even mean to forgive on that level if you’re not completely letting something go?

But the brain does understand that.

The basis of cognitive behavioral therapy is your thoughts drive your feelings and emotions and can drive your behavior. So if you think about it, if you stay on negative thoughts all the time, you’re constantly in a negative, very tense state. It’s going to spill over into your thoughts about lots of other relationships. Can you trust people?

And so it has lots of implications that are beyond just that one relationship.

Learning to Forgive Forgiveness training is a combination of cognitive behavioral therapy and relaxation techniques, but the goal is the same: Identify the problem, give

it time and get objective input. That input doesn’t have to come from a mental health professional. It could come from a close friend or a religious adviser.

[For the full interview go to www. hopkinsmedicine.org –Summer 2014 newsletter] “And by the Mercy of Allah, you dealt with them gently. And had you been severe and harsh-hearted, they would have broken away from about you; so pass over (their faults), and ask (Allah’s) Forgiveness for them; and consult them in the affairs. Then when you have taken a decision, put your trust in Allah, certainly, Allah loves those who put their trust (in Him).”

- Holy Quran, 3:159 Catherine Seiberling Pond Freelance writer

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Southern Kentucky Health & Family Journal - March 2015

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A Complementary Approach to Healing What makes Fleming Wellness Center so unique is that we use the latest technology to determine exactly what herbs will balance your body. We believe that when your body is balanced you will feel better and be a healthier you. Have you ever wondered what kind of herbs your body needs? How can you be sure they can help you?

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This will give the practitioner a reading through a computer. The practitioner can test things like viruses, parasites, bacteria, and

numerous other environmental factors. The practitioner can also test emotions and outside influences that may also effect your health. Homeopathic remedies, herbal tinctures, and or enzymes are tested on the machine until a balanced reading is given. It is truly a revolutionary modern way to see exactly what herbs will bring your body back into balance.

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Southern Kentucky Health & Family Journal - March 2015

17

The Family That Plays Together Stays Together Star player Jacob Ricks sets the basket high

By Catherine Pond The license plate on Jacob Ricks’ bright red truck says “BA11ER” and his Cardinal red-painted bedroom brims with many of his trophies and awards while displaying some major University of Louisville homage. The Ricks home is an enjoyable place to visit—as some of Jake’s teammates often do—and it’s the kind of place where every parent wants their teenager to hang out. A family-centric environment with lots of gentle ribbing and support, and a mutual love and respect for each other—and the game of basketball.

While his family and others are quick to point out his many talents and admirable “mad skills,” Jacob (aka ‘Jake’), 18, is one of the humblest young men you are likely to meet in today’s ‘selfie’ world.

Incredibly, a few years ago Jake packed up several bags of his trophies and awards from earlier in his brilliant career. “They didn’t mean anything—the memories were more important to him,” said his mother, Ronda Ricks, who “almost cried” when he threw 18

Jacob Ricks in action at a recent game (photo: KCAA)

Southern Kentucky Health & Family Journal - March 2015

them away.

As serious in his studies (he has only ever gotten one “B”—in the 3rd grade—and his teacher felt guilty about it) as he is about sports, Jake has had an exceptional senior year at Somerset Christian School (SCS) both as president of the National Honor Society (with a 4.0 average and two AP classes) and a 2,000+ point scorer as captain of the varsity basketball team, where he has been a starter for four years.

According to SCS athletic director Guy Crubaugh, “Jacob is an amazing student, athlete, and person” and noted that he is also captain of the school’s soccer and baseball teams (where he has also been a starter throughout his high school career). Principal John Hale added, “Jacob is a good role model for our students and others in the community.”

Jake has been involved in team sports since he was five years old. His older brother Justin, 22, said Jake is good at whatever he sets his mind to playing (“except golf,” said a self-deprecating

Jacob Ricks emerges from the locker room with some of his varsity teammates, pre game. The team enjoys a great camaraderie under Ricks’ captaining.

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Jake). At first he was intent upon baseball and excelled in that sport, too, but by middle school a love of basketball took firm hold. Senior pastor of First Baptist Church, French B. Harmon, coached Jake in basketball early on, and said that he is “everything you want as a student-athlete” and to this day admires his “outstanding work ethic, leadership and poise. Jacob represents all that’s good about amateur athletics—integrity, passion and loyalty.”

“Basketball just kind of happened,” Jake said. Brother Justin, who played basketball at SCS several years ahead of him, was also influential. They were able to play together on the varsity team when Justin was a senior and Jake was still in 8th grade—and often on their paved driveway, of course.

Now basketball has become a family affair. While Justin is in his second year of coaching the boys’ SCS junior varsity basketball team, father Alan, 48, is in his first year of coaching the girls’ basketball teams (JV and varsity)— including daughter Ali, 13. Devoted Jacob Ricks and Summer Phelps were elected as senior representatives to the basketball mom Ronda, 47, cheers from Homecoming Court at SCS. the sidelines and is involved in all of their pursuits (while also office manager for Waterdog Plumbing, husband Alan’s family business). Meanwhile, Justin’s girlfriend Cassie Bray, 20, is now assistant girls’ basketball coach at SCS after playing at Somerset High School for three years. This is a family that lives and breathes basketball but they are also a family divided on one major issue— some are UK fans while others cheer for Louisville.

Last year the SCS varsity boys’ team had nine graduating seniors, which could have been a major blow to team morale and potential. There were other obstacles: one coach had health problems and there were rescheduled games because of winter weather. “Jake knew he would have to step it up (this year).

I don’t think he realized how big a role he would have or what kind of year it would be,” father Alan said. Jake added, “It was challenging taking on a new role as the leader of the team and going from Senior Night at SCS—from left Justin, Alan, Jacob, Ronda, and Ali Ricks, with Coach the third-scoring option as a point guard Kirk Stickley.

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Southern Kentucky Health & Family Journal - March 2015

to the ‘go-to’ guy when we need a clutch basket.” [That’s a player who can make a basket under pressure when especially needed in the game.]

Jake averaged 14 points a game last season vs. 34.1 per game in his final one.

Already a big scorer, Jake earned his 1,000 points status in his junior year (in 2013) and in January received his 2,000 honor at the Kentucky Christian Athletic Association (KCAA) All “A” State Tournament in Lexington. He is not only the first player at SCS to hit 2,000 points he is ranked 1st in the state and 8th in the nation in average points-per-game.

And he’s his own record-breaker, too: Jake broke the point record per single game (42) at SCS with a 47 in December 2014. A few weeks later he topped that with 48 points. On February 13, 2015 in his last game at SCS he broke his own pergame record again with a 56 point game (in a 69-64 win against Bethel Christian Academy). Jake amassed a total of 2,353 points in his varsity career (1,021 of those scored in the current season).

On February 7th, at the SCS

Alan Ricks, center, high-fives some of his basketball team at SCS.

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Homecoming and the final home game of the season, Jake was honored along with four other teammates and their families—Brandon and Jeremy Griffith, Teng Yi Huang, and Luke Huffman—as departing seniors. In a tie game until the end of the third quarter with Heritage Christian Academy, the varsity boys won 45-38. Jake would probably tell you only if asked but 34 of the 45 points were scored by him. It’s been that kind of year.

Not one to rest on his laurels, Jake doesn’t hog the court, either, and “tries to get the team involved.” Always the coach, his father adds that Jake paces the tempo of the game, waits for the right opportunity, and shares the court. For example, in their last home game junior Luke Bartley, new to the school and team, scored a well-applauded 3-pointer in the fourth quarter which helped push the score from a near tie to a probable win. [Luke and Jake were both selected to be on the All-State team last month.]

The Ricks family laughs and jokes and will needle each other in a continual thread of amusing banter. Nothing seems to slide, no one is safe, but everyone is supported. Ronda “likes climate controlled sports,” Alan joked, “and she can’t play basketball in a driveway.”

Ronda takes it in stride and admits she’s the booster club and family social media advocate and photographer. “We have travelled with these kids, weekend after weekend, year after year, and it’s just ‘go, go, go’ for sports.” She is the family’s greatest cheerleader. Throughout their years in sports, Alan added, “The only rule we have is that if you start it, you finish it.” Ronda smiled, “You get to

Jacob Ricks’ retired jersey from his successful SCS basketball career awaits his final points total which will be well over 2,000.

watch your kids, and your husband, on the court at the same time. There is no greater feeling.”

As coaches, Justin and Alan have earned an obvious respect from their teams. They criticize where needed and praise when deserved. “Justin is a good coach and is developing every day as the future of SCS basketball. His knowledge of the game and learning how to teach the players about life and the game is ever increasing,” said varsity basketball head coach Kirk Stickley. “He is loyal to these young men and his school. It has been a joy to watch him develop.”

When asked about how she likes her dad coaching her, Ali just grinned and said, “Sometimes!” Alan added, “I don’t have a problem with it as much as Ali does.

I’m dad at home but not at basketball Jacob Ricks with some of his many awards in his Cardinal and University of Louisvilleoutfitted bedroom.

22

practice.”

Alan believes that if you’re a coach, “no matter your talent, everyone should have a chance to play (unless your score is down).” He doesn’t play favorites and neither does he dole out any sympathy. “You better not come crying to me because I’ll hurt your feelings, too.

You’ve got to be willing to try.” He’s had compliments on his teaching style on the court as he’s tried to build up the SCS girls’ basketball program in the past year. With only twelve players between JV and varsity, it’s a lot of dedication and commitment on everyone’s part.

Often asked about why they didn’t go the public school route, especially for sports, the Ricks said they always valued sports with academics in equal measure.

It is not unusual in Kentucky for parents to hold their good players back in 8th grade so they can play older and stronger in high school. [NOTE: The KCAA mandates that high school students can only play a total of eight semesters.]

There are arguable “exceptions” to this rule elsewhere but SCS is firm in their position on following it.

“Why would you hold your kid back (from 8th grade) when their grades are excellent?” a baffled Alan asked. The Ricks made the decision to send their children to Somerset Christian School because they “wanted to be where God would be” in their children’s education and formative years. According to Ronda, “If God opens the door for Jacob to play somewhere in college, it doesn’t matter. His talent should stand for itself if it’s meant to be.” Jacob nods shyly.

As for college, at this time Jake plans to attend Western Kentucky University to become a doctor of sports medicine.

As for basketball he says he “would be happy playing intramural” but intends to try out for the basketball team as a walkon if that’s how it plays out at WKU. The school is also actively trying to recruit him with other colleges, athletic director Guy Crubaugh said. Coach Kirk Stickley has worked with Jake for the past few years and considers it “a blessing” to have watched him develop as a ball player and young man. “It has been an

Southern Kentucky Health & Family Journal - March 2015

honor to be able to coach Jacob,” he said.

Ever the team player, Jake said of his years playing basketball at SCS that his “biggest takeaway is being able to play the game I love, with the influence of God always present by my team and coaches…we are all like a family.”

Jake recently received a letter from the coach of a rival team at Bluegrass Baptist School in Lexington. Wynn Harris wrote: “Not only is Jake a tremendous basketball player but he does a great job exhibiting the characteristics and qualities that the KCAA is all about.” Meanwhile, Coach Stickley is looking well beyond Jacob Ricks’ many successes at SCS: “I know one thing about Jake: whatever he sets his sights on in the future, he will give it everything he has to accomplish that goal.”

As for Jake, and true to form, he brings it back to his team: “All of my accomplishments have been good, but nothing compares to the relationships I have built with my teammates.”

The SCS boys’ varsity basketball team after their win against Heritage Christian Academy at their final home game of the season on February 7. [Jacob Ricks is #11]

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*Let’s Talk About

Attention Deficit Hyperactivity Disorder (ADHD) usually begins in children aged 12 years and younger, and can continue through adolescence and into adulthood. The National Institute of Mental Health (NIMH) reports that approximately 9 percent of children and youth age 13 to 18 years have ADHD and about 4.1 percent of American adults age 18 years and older are diagnosed with ADHD in any given year.

ADHD symptoms include: Inattention Problems staying on task Difficulty completing assignments Problems with organization Being forgetful Sometimes losing things Hyperactivity and impulsivity are often components of ADHD and may appear as: Restlessness Running about or climbing where inappropriate Being difficult to ‘keep up with’ Talking excessively Blurting out answers Having difficulty waiting for a turn Interrupting others.

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To be diagnosed with ADHD, children who exhibit these symptoms must do so in at least two settings (for example home and school), and the symptoms must interfere with, or reduce quality of life, and school or occupational performance for at least six months.

Parents of children with ADHD may first notice that their child loses interest in things sooner than other children, or seems “unfocused” or “out of control.” Teachers may notice symptoms when a child has trouble following rules or frequently seems not to be paying attention in the classroom or on the playground. It is important to exclude other medical problems such as depression, anxiety, learning disabilities, and hearing deficits which can be associated with behaviors that may appear to be those of ADHD. Since stressors or trauma can be associated with symptoms described as ADHD in children, medical records and collateral information about behaviors and situations at school, home, and during other activities need to be reviewed first to determine whether the symptoms impair the child’s quality of

life or stem from other things.

Treatment of ADHD usually entails a combination of medication, therapy, and recovery supports. FDAapproved medication treatments are available to treat individuals with ADHD, including stimulants and non-stimulant medications that reduce hyperactivity and impulsivity and improve ability to focus, work and learn.

Behavioral therapies help a child change behaviors such as organizing tasks, approaches to completing schoolwork, and coping with stressful or challenging situations.

Therapies that employ structure such as daily routines to be followed, or feedback on behavior from parents and/ or teachers can also be helpful.

Over time, children with ADHD can be taught to monitor their behavior and to

Southern Kentucky Health & Family Journal - March 2015

avoid the hyperactivity, impulsivity and inattention that can accompany ADHD. Many children, though not all diagnosed in childhood, will continue to experience symptoms of the disorder in adulthood requiring ongoing treatment and supports. Medication treatments effective in childhood can be effective for adults as well, although adults may develop other disorders that require treatments that can have negative interactions with ADHD medications, particularly stimulants, or they may develop other physical conditions that can be worsened by stimulant use such as heart disease. Therefore, it is important that individuals with ADHD continue to receive both mental health

care and care for their physical health to assure safe and effective treatment of ADHD and any other co-occurring conditions.

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Lake Cumberland Regional Hospital

Understanding knee or hip replacement surgery

By Tricia Neal Facing knee or hip replacement surgery can be worrisome, but the staff at Lake Cumberland Regional Hospital is taking steps to make sure their patients understand what lies ahead.

Earlier this year, LCRH kicked off the Total Joint Replacement PreSurgery Seminar for patients who are scheduled for total knee or total hip replacement surgeries. Patients meet with an entire team of experts who

educate patients on how to prepare for surgery, what to expect on the day of surgery and after surgery, how to manage pain and reduce the risk of complications, what types of exercises and foods will promote healing, and how to perform daily activities following surgery.

Goals are to provide patients with pre-surgery education to improve their overall patient experience at LCRH, reduce any anxiety or fear by knowing what to expect, answer any questions, and help patients return to

a normal lifestyle without pain.

Jammie Smith, RN, BSN, Total Joint Program coordinator and Surgical Unit manager, says hospital staff decided to start the program based on the needs of their patients.

“We had noticed that patients tended to have a lot of questions after joint replacement surgery,” she said. “This program gives us the opportunity to give those patients information up front.”

Patients who are scheduled for joint replacement surgeries at LCRH

A team comprised of various staff members at Lake Cumberland Regional Hospital is available to help patients who are going to have knee or hip replacement surgery know what to expect before, during, and after their procedures. Left to right are: continuous improvement manager Glenda Dixon; clinical coordinator Dianna Maybrier; total joint program coordinator Jammie Smith; therapy services director Jeff Herndon; orthopedic surgeon Dr. Daniel Yanicko; clinical coordinator Sunda Hansford; infection preventionist Judy Keen; and case manager Rhonda Sumner.

28

Southern Kentucky Health & Family Journal - March 2015

are contacted by the hospital to set up a date when they can attend one of the seminars. Seminars are held twice a month, and there are usually four or five patients in attendance per seminar.

“For the convenience of our patients, we have implemented a ‘one-stop shop’ approach, with patients receiving pre-admission testing on the same day as the seminar. We also provide a complementary concierge tour of pertinent areas to help patients and their support coach maneuver better around the hospital,” said Glenda Dixon, Continuous Improvement manager.

A “support coach” – someone who will be acting as a caregiver to the patient following surgery - is encouraged to come along to the seminar.

During the seminar, patients will meet those who will be taking care of them during their stay. Additionally, all three of LCRH’s orthopedic surgeons – Yasser A. Nadim, M.D., Robert S. Supinski, M.D., and Daniel R. Yanicko Jr., M.D., - and their staff are involved with the program.

“The seminar allows patients to meet with the team, and see who will be taking care of them so they’ll have some familiar faces when they come in to the hospital for their surgery,” Dixon said. “This pre-surgery education serves to reduce anxiety and fear patients may have before they come to the hospital.”

Previously, Dixon explained, patients would get their important pre-surgery information from a variety of sources – from their own physician, from those they met in pre-op, and from those who were administering physical therapy.

“Now they can know in advance what to expect,” she said. “They can come in feeling confident about what is going to happen, and they feel like the people they’ll be working with have got their backs.”

Patients will hear from Sunda Hansford, RN, BSN, Clinical Coordinator for Pre-admission Testing, Preop, PACU, and the Pain Clinic. Hansford explains the importance of abstaining from food or drink before surgery. She gives them a spirometer, designed to help patients have healthy lungs before and after surgery.

She provides a special antibacterial body wash which should be used before surgery to make sure surface germs are removed from the body. She also helps them know what they can expect when they are admitted.

Jeff Herndon, P.T., Therapy Services director, will teach patients that it’s helpful to exercise in the months prior to having surgery so they can recover faster.

Herndon will also explain how much weight patients should be putting on their legs following surgery, the Southern Kentucky Health & Family Journal - March 2015

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availability of walkers or crutches and other equipment which can help with daily living, and what patients should be able to do on their own following surgery.

Judy Keen, RN, CIC, Infection Preventionist, has a goal of preventing common complications which can arise following surgery, such as pneumonia, urinary tract infections, and other infections. She encourages patients to become active as soon as possible after surgery, to wean themselves from the catheter when it is no longer necessary, and to have good hygiene. She tells patients they should follow their doctors’ instructions concerning changing bandages following surgery, and tells them what to do if any signs of infection are detected.

Dianna Maybrier, M.S., R.D., LD., Clinical Coordinator, instructs patients to make sure they eat a

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healthy diet and get plenty of vitamins leading up to their surgeries. After surgery, patients should drink plenty of fluids, eat high protein foods, and get plenty of vitamin C, zinc, and iron to promote healing.

Rhonda Sumner, RN, CCM, Case Manager, explains that her role is to assess patients’ needs, and arrange for home health care, physical therapy, or other types of necessary rehabilitation to help get patients on the road to recovery after surgery.

Smith says she tries to talk to each patient before he or she leaves the hospital to see how his or her experience has been.

“So far, we have gotten all positive responses to the seminar, and a couple patients have even offered to speak on our behalf because they felt the seminar was so helpful,” Smith said.

LCRH is in the beginning stages

of becoming certified as a Total Joint Center of Excellence by the Joint Commission, and the seminar is just one step toward making the facility eligible for this status. The certification recognizes the Knee and Hip Replacement compliance with national standards for healthcare quality and safety in a diseasespecific care. It also acknowledges the center’s dedication to continuous compliance with The Joint Commission’s state-of-the-art standards.

LCRH is also working toward Blue Distinction Certification in Knee and Hip Replacement by Blue Cross and Blue Shield. The Blue Distinction Centers for Specialty Care program is a national designation awarded to medical facilities that deliver better quality and improved outcomes for patients.

Southern Kentucky Health & Family Journal - March 2015

Total Rehab Center

Can Physical Therapy Help Your Rotator Cuff Tear?

A recent study in the Journal of Shoulder and Elbow Surgery looked at this exact question. The MOON Shoulder Group, which is a multi-center network of research teams around the country, followed a group of 381 patients with atraumatic full-thickness tears of the rotator cuff for a minimum of two years. The patients performed 6-12 weeks of physical therapy.

At the six-week mark, patients were assessed and 9% chose to have rotator cuff repair surgery.

Patients were again assessed at the 12-week mark. At 12-weeks, an additional 6% chose to have surgery. In total, 26% of patients decided to have surgery by the 2-year follow-up mark. Statistical analysis revealed that if a patient does not choose to have surgery within the first 12-weeks of rehabilitation, they are unlikely to need surgery.

Nearly 75% of patients avoided rotator cuff repair surgery by performing physical therapy

despite having full thickness cuff tears.

So what is best for your Shoulder? Clearly some people require surgery. But not all. On the other hand, most everyone can benefit from exercise and treatment directed at any injured joint. Physical therapy can promote regeneration of articular cartilage, restore motion, and improve strength in muscles around the joint which will help to protect it.

If improvement in these areas doesn’t solve the problem, then other options can be considered. In fact, sometimes we send patients to an orthopaedist with the hope that they will benefit from surgery.

Yet, the treatment at Total Rehab Center is still beneficial as it will likely improve the results of the surgery and shorten the post-operative rehabilitation time.

In short there is no one answer for everyone. But for most people, seeing a physical therapist at Total Rehab Center is a good first step.

Which is Best for Me?

Southern Kentucky Health & Family Journal - March 2015

31

It’s all about

D

E N I L P I C IS

Bill Mardis Commonwealth Journal by

It has been estimated the number of words in the English language is slightly more than a million.

A new word is created every 98 minutes or about 14.7 words per day, so an exact count is difficult.

Also, to our knowledge, no one has counted the number of words in Webster’s Unabridged Dictionary of the English Language.

Someone did wonder out loud what would be the most powerful and impacting word in Noah Webster’s dictionary first published in 1806.

Of course, there are differences of opinion, but some say DISCIPLINE, 32

The greatest word ever spelled

with implementation, makes it the most dynamic word ever uttered by tongue.

We don’t disagree. Webster’s definition of DISCIPLINE is “ ... to bring to a state of order and obedience by training and control.”

If in a state of order and obedience, your life is under control, your directions and purposes are along the straight and narrow.

For example, “I can’t quit smoking.”

You’ve heard it said a thousand times.

That’s silly. Open a package of your favorite cigarettes and leave the “smokes” in plain sight on your desk or table. Every time you get the urge to “light up” say “no,” and mean it. You don’t need a nicotine patch. You don’t need powerful anti-smoking medication. All you need is

the DISCIPLINE to say “no.”

A heavy smoker in our past had cancer of the larynx (voice box) and, after surgery, used a vibrator to speak. He had a friend, also a heavy smoker, whose hoarseness was persistent.

The concerned man with the voice box, without his friend’s knowledge, made an appointment with the specialist at Vanderbilt Hospital in Nashville who had removed his voice box. He told his hoarse friend: “You’re going to see my doctor ...

I’m taking you.”

He did, and the doctor warned: “Much more smoking and your voice box will be cancerous and have to be removed.”

Vocal cords were raw and bleeding from sinus drainage and smoking.

The specialist, also a psychologist,

Southern Kentucky Health & Family Journal - March 2015

suggested the smoker did not have willpower to stop.

“Come back next year about this time and we’ll remove your larynx,” he invited.

The smoker mulled the consequences of his cigarettes all the way back from Nashville. Eventually, he took one last, deep, delicious draw on a Pell Mell and laid the pack on his desk. A half century has passed and he is still living; still talking with his voice box intact.

To this day, craving for a cigarette is still there. A cup of Joe, without a cigarette, doesn’t taste nearly as good as it used to taste.

DISCIPLINE is not a fleeting thing; it must be worn like a topcoat ... a shelter.

The same goes for drinking alcoholic beverages.

“I’m addicted; I need a drink,” whines the imbiber.

Imagine all the advantages of a clear mind and unfogged thinking.

Have the DISCIPLINE to say “no.” and mean it.

A young man was told by his buddies: “All you need to become a regular guy is take a drink.”

“I can do that,” he thought, and he did. He became a crying drunk and there’s no sorrier creature on this good earth than a crying drunk.

On the way to a bar on a summer night, this young man realized his life had no DISCIPLINE. Acknowledging to himself the slippery slope on which he slid, he vowed never to take another drink. He didn’t. It took DISCIPLINE, but he never again touched the stuff.

Gambling is another dangerous habit. It took a carnival booth to teach a young man the folly of a game of chance.

The fancy, chiming clock in the booth was perfect for his room. It could be won by tossing a ring across a peg. He was well coordinated; the clock was as much as his.

Ring after ring was tossed. Dollar after dollar was lost. He got angry and called the booth attendant a cheater. More man than he could handle raised up from behind the booth. After barely escaping with hide intact, he would do without lunch for a week because he bet his last dollar on the forbidden clock.

DISCIPLINE came into play and he never gambled again.

A shy Kentucky boy was in the Navy. His platoon was being transferred to Lakehurst, New Jersey. The sailors stopped for breakfast at a restaurant in New York City. Looking back, the place was no more than a greasy spoon, but it was in New York City. Being from Kentucky carried with it the taint of a hillbilly, even among his buddies, all from north of the Mason Dixon.

Everybody ordered “eggs over light.” So did our Kentucky friend, not to be different. He really preferred eggs fried hard like his Momma used to cook.

There was bacon on the plate, overcooked and tough. At home, the Kentucky boy would have picked up a slice of bacon with his hand.

But in New York City!

The Kentucky sailor carefully tried to cut the bacon with a fork. His hand slipped, knocking his plate with “eggs over light” onto his lap.

The yellow mess of yolks on his dark blue dress uniform can only be imagined.

Big cities near Naval bases in those days had what was referred to as “drunk screens.” A drunk sailor who upchucked on his uniform could undress behind the screen and wait while his uniform was cleaned.

For the Kentucky boy, it was a time for reflection as he waited for the dry cleaner to finish. With considerable DISCIPLINE he made a vow: Never again will I pretend to be something I’m not. It worked well the remainder of his life.

Before we go, may we tiptoe into the world of sex, nature’s most powerful stimulant. Look, but don’t touch, might be good advice.

A DISCIPLINED life leads to stable homes, happy families with contented children.

Bill Mardis Think about it! D-IEditor Emeritus S-C-I-P-L-I-N-E may Commonwealth be the greatest word Journal Uncle Noah Webster ever spelled.

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How to Prepare For and Prevent Spring Allergies

By Tim Minton Dr. Sarah Bozeman Board-certified Allergist

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Southern Kentucky Health & Family Journal - March 2015

Looking forward to the first warm days of spring? Spring means flower buds and blooming trees. Spring is in the air-- literally. Weeds, spores, grass and tree pollens, all accompany the warm weather and increase airborne allergen levels. And, if you’re one of the millions of people who have seasonal allergies, it also means sneezing, sniffling, congestion, runny nose, itchy eyes and other bothersome allergy symptoms.

About 40 million people in the U.S.

have some type of an indoor/outdoor allergy. “Allergies are our body’s response to things found normally in the environment,” described Dr. Sarah Bozeman, MD, of Family Allergy and Asthma in Somerset, KY. Allergies have a strong genetic component -- if your parents had allergies, you’re far more likely to have them yourself.

“Most allergies develop in childhood, but in some people, they develop later after exposure to environmental factors.

The end result is a runaway response in the immune system,” explained Dr. Bozeman.

According to the Asthma and Allergy Foundation of America, some of the most common triggers for allergies are: tree, grass, and weed pollens; mold spores; dust mites; and pet dander.

“Kentucky can have one of the highest allergy environments due to the seasonal changes that cause allergy symptoms for allergy sufferers,” proclaimed Dr.

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Dr. Sarah Bozeman Board-Certified Allergist

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Bozeman. What can you do about seasonal allergies? Dr. Bozeman provided helpful advice about how to control your allergy symptoms before they ruin a perfectly good spring season, and strategies to keep seasonal allergies under control.

Most allergy sufferers can use over-the-counter (OTC) medications to help treat their allergies. OTC medications often include oral antihistamines and decongestants, and nasal sprays. The most common method to ease allergy symptoms is by using an OTC antihistamine. “Taking Claritin, Zyrtec, Allegra, or the generic equivalent, can often help relieve allergy symptoms,” stated Dr. Bozeman. For people worried about antihistamines being addictive, medical research has shown you won’t get hooked on antihistamines; but, you could build up a tolerance to them. If you build up a tolerance, one suggestion is to rotate or switch brands of OTC medications for a while until you either get through the season or lower your tolerance back to normal after a few months.

If your nose remains congested, you can add a saline nasal rinse. A saltwater nose spray can be a springtime allergy sufferer’s all-natural ally. You can buy a saline-solution nose spray at your local drugstore. Or, you can conjure up your own home remedy by simply mixing 8 ounces of water with half a teaspoon of table salt in a squirt bottle. You can use this every morning when you wake up and in the evening to clear the allergens out of your nose.

You can also take a long-acting decongestant nose spray for a few days, if necessary. However, nasal decongestants should be taken on a short-term basis only. Long-term use of decongestant nasal sprays can actually worsen symptoms and cause rebound congestion (when congestion returns and gets worse) each time the medication wears off. If these treatments don’t clear your nasal congestion, you can ask your doctor about adding a corticosteroid nose spray.

Many people prefer to use oral decongestants to relieve nasal decongestion. Oral decongestants can provide temporary relief from nasal stuffiness. However, they’re designed for use with a cold (for seven days or less) while allergies can last for weeks. Also, oral decongestants can cause significant side effects, including an elevation in blood pressure. Thus, if you have high blood pressure, talk to your doctor first before trying decongestants.

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Also, look for antihistamine on the label when shopping for eyedrops to relieve itchy, watery eyes. These treat the root of your allergy symptoms, instead of eyedrops that just relieve the redness. Finally, lozenges can soothe a sore throat, which can be irritated by postnasal drip from your runny nose.

Beyond medication, what can you do to manage allergies?

There are many practical methods one can take to avoid triggers with your allergies, simply be controlling your environment.

You don’t want to have to stay indoors on a beautiful day just because you have allergies. “For outdoor allergies, you can keep your windows closed so the outdoor allergens don’t become part of the indoors. Also, you can wear pollen masks or eye goggles for outside work to keep pollen from entering the eyes and respiratory tracts,” stated Dr. Bozeman.

Other preventive methods or suggestions include: •Remove clothes you’ve worn outside; you may also want to shower to rinse pollen from your skin and hair.

•Don’t hang laundry outside — pollen can stick to sheets and towels.

•Check your local TV or radio station, your local newspaper, or the Internet for pollen forecasts and current pollen levels.

•If high pollen counts are forecasted, start taking allergy medications before your symptoms start.

•Avoid outdoor activity in the early morning when pollen counts are highest.

•Lower indoor humidity with a dehumidifier to help keep indoor air dry.

•Use a portable high-efficiency particulate air (HEPA) filter in your bedroom.

•Clean floors often with a vacuum cleaner that has a HEPA filter.

For many people, avoiding allergens and taking over-thecounter medications is enough to ease symptoms. But if your seasonal allergies are still bothersome, a visit to an allergist can bring relief. “Getting allergy tested is recommended to find out what your allergy triggers are,” stated Dr. Bozeman.

“Anyone who wants to know precisely what they are allergic to is a candidate for allergy testing. There is no exact age to be tested... even though allergies are more likely to occur in childhood, some patients don’t develop those symptoms bothersome enough until adulthood,” asserted Dr. Bozeman.

An allergist will help you determine precisely what you’re allergic to by discussing your symptoms and doing skin tests, which involve exposing you to a small amount of an allergen through a skin abrasion to see if you react. The skin is pricked slightly to allow an allergen, such as grass or mold, to enter the outer layer. After about 15 to 30 minutes, the physician will check for a reaction, such as hives or redness and swelling, which will identify the specific allergen causing your symptoms. Allergists can also test for antibodies in your blood that can signal the presence of allergies. Your allergist might ask you to keep an “allergy diary,” tracking when and where Southern Kentucky Health & Family Journal - March 2015

you have allergic reactions.

For some people, allergy shots (allergen immunotherapy) can be a good option. Immunotherapy for allergies (commonly known as allergy shots) works by exposing the immune system to small amounts of an allergen. “Allergy immunotherapy is the only method we have to cure our patients with allergies,” affirmed Dr. Bozeman. “Allergy shots are exactly what you are allergic to, diluted down to a safe level and given in incremental doses over time building your immune system up,” Dr. Bozeman explained. Over time, the body learns not to see it as a foreign invader and develops a tolerance to it. If neither OTC nor prescription medications do the trick, and you’re suffering miserably through spring, fall, or both, then allergy shots may be the answer for you. The allergist will gradually decrease the frequency of your injections. Ultimately, you’ll need them only once every month or so throughout the year, and after a few years you may even be able to

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discontinue them altogether without having your allergies return.

Seasonal and other outdoor allergies are annoying; but, you don’t have to avoid the outdoors if you suffer from allergies, nor do you have to be miserable.

If you suffer from allergy symptoms, the trick is to attempt to prevent them before

they kick in. Take an antihistamine a half-hour before you go outside to combat outdoor allergens. Also, follow the preventive, environmental methods mentioned earlier. And, see an allergist to find out exactly what you’re allergic to, and develop a plan.

y

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37

What you need to know about colorectal cancer No one knows the exact causes of colon cancer. Doctors often cannot explain why one person develops this disease and another does not. However, it is clear that colon cancer is not contagious. No one can catch this disease from another person.

Research has shown that people with certain risk factors are more likely than others to develop colon cancer. A risk factor is something that may increase the chance of developing a disease.

Studies have found the following risk factors for colon cancer: Age over 50: colon cancer is more likely to occur as people get older. More than 90 percent of people with this disease are diagnosed after age 50. The average age at diagnosis is 72.

Colon polyps: Polyps are growths on the inner wall of the colon or rectum.

They are common in people over age 50.

Most polyps are benign (not cancer), but some polyps (adenomas) can become cancer. Finding and removing polyps may reduce the risk of colon cancer.

Family history of colon cancer: Close relatives (parents, brothers, sisters, or children) of a person with a history of colon cancer are somewhat more likely to develop this disease themselves, especially if the relative had the cancer at a young age. If many close relatives have a history of colon cancer, the risk is even greater.

Genetic alterations: Changes in certain genes increase the risk of colon cancer.

Hereditary nonpolyposis colon cancer (HNPCC) is the most common type of inherited (genetic) colon cancer.

It accounts for about two percent of all colon cancer cases. It is caused by changes in an HNPCC gene. Most people with an altered HNPCC gene develop colon cancer, and the average age at diagnosis of colon cancer is 44.

Familial adenomatous polyposis (FAP) is a rare, inherited condition in which hundreds of polyps form in the colon 38

and rectum. It is caused by a change in a specific gene called APC. Unless FAP is treated, it usually leads to colon cancer by age 40. FAP accounts for less than one percent of all colon cancer cases.

Family members of people who have HNPCC or FAP can have genetic testing to check for specific genetic changes.

For those who have changes in their

animal fat) and low in calcium, folate, and fiber may increase the risk of colon cancer. Also, some studies suggest that people who eat a diet very low in fruits and vegetables may have a higher risk of colon cancer. However, results from diet studies do not always agree, and more research is needed to better understand how diet affects the risk of colon cancer.

genes, health care providers may suggest ways to try to reduce the risk of colon cancer, or to improve the detection of this disease. For adults with FAP, the doctor may recommend an operation to remove all or part of the colon and rectum.

Personal history of cancer: A person who has already had colon cancer may develop colon cancer a second time.

Also, women with a history of cancer of the ovary, uterus (endometrium), or breast are at a somewhat higher risk of developing colon cancer.

Ulcerative colitis or Crohn’s disease: A person who has had a condition that causes inflammation of the colon (such as ulcerative colitis or Crohn’s disease) for many years is at increased risk of developing colon cancer.

Diet and Lifestyle: Studies suggest that diets high in red meat and fat (especially

Inactivity and obesity have also been linked to higher risk of colon cancer.

Studies have shown that daily physical activity can decrease colon cancer risk by as much as 50 percent.

Cigarette smoking: A person who smokes cigarettes may be at increased risk of developing polyps and colon cancer.

Because people who have colon cancer may develop colon cancer a second time, it is important to have checkups.

If you have colon cancer, you also may be concerned that your family members may develop the disease. People who think they may be at risk should talk to their doctor.

SYMPTOMS Colorectal cancer first develops with few, if any, symptoms. It is important

Southern Kentucky Health & Family Journal - March 2015

not to wait for symptoms before talking to your doctor about getting screened.

However, if symptoms are present, they may include: A change in your bowel habits, including diarrhea or constipation or a change in the consistency of your stool Feeling that your bowel does not empty completely, rectal bleeding, or finding blood (either bright red or very dark) in your stool Finding your stools are narrower than usual Persistent abdominal discomfort, such as cramps, gas, pain, or feeling full or bloated Losing weight with no known reason Weakness or fatigue Having nausea or vomiting These symptoms can also be associated with many other health conditions.

Only your doctor can determine why you’re having these symptoms. Usually, early cancer does not cause pain. It is important not to wait to feel pain before seeing a doctor.

When to see a doctor If you notice any symptoms of colon cancer, such as blood in your stool or a persistent change in bowel habits, make an appointment with your doctor.

Talk to your doctor about when you should begin screening for colon cancer.

Guidelines generally recommend colon cancer screenings begin at age 50. Your doctor may recommend more frequent or earlier screening if you have other risk factors, such as a family history of the disease.

DIAGNOSIS

If you have screening test results that suggest cancer or you have symptoms, your doctor must find out whether they are due to cancer or some other cause. Your doctor will ask about your personal and family medical history and give you a physical exam. You may have one or more of the tests described in the Screening section.

If your physical exam and test results do not suggest cancer, your doctor may decide that no further tests are needed and no treatment is necessary. However, your doctor may recommend a schedule for checkups.

If tests show an abnormal area (such as a polyp), then a biopsy to check for cancer cells may be necessary.

Often, the abnormal tissue can be removed during a colonoscopy or sigmoidoscopy. A pathologist checks the tissue for cancer cells using a microscope.

Colon and rectal polyps are important, since some may turn into colorectal cancer over time. It is important to recognized that while not every polyp turns to cancer, experts believe that colorectal cancer typically begins as a small non-cancerous polyp. Fortunately, during a colonoscopy, these polyps can be identified and removed or

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39

destroyed--thus preventing colorectal cancer. If a polyp is large enough, tissue can be retrieved and sent for biopsy to determine the exact type of polyp.

There are four types of polyps that commonly occur within the colon: Inflammatory - Inflammatory polyps are most often found in patients with ulcerative colitis or Crohn’s disease. Often called “pseudopolyps” (false polyps), they are not true polyps, but just a reaction to chronic inflammation of the colon wall. They are not the type that turns to cancer. They are usually biopsied to verify type.

Hyperplastic - Hyperplastic polyps are common, usually very small and often found in the rectum. They are considered to be low risk for cancer.

Tubular adenoma or adenomatous polyp - These are the most common type of polyp and are the ones referred to most often when a doctor speaks

of colon or rectal polyps; about 70% of polyps removed are of this type.

Adenomas carry a definite cancer risk that rises as the polyp grows larger. Adenomatous polyps usually cause no symptoms, but, if detected early, they can be removed during a colonoscopy before any cancer cells 40

form. The good news is that polyps grow slowly and may take years to turn into cancer. Patients with a history of adenomatous polyps must be periodically reexamined.

Villous adenoma or tubulovillous adenomas - Villous and tuulovillous ademonas account for about 15% of the polyps that are removed. These are the most serious type of polyps with a very high cancer risk as they grow larger. Often, they are sessile (without a stem) making removal more difficult. Smaller ones can be removed in pieces—sometimes over several colonoscopies. Larger sessile villous adenomas may require surgery for complete removal.

Follow up depends on the size and completeness of removal.

STAGING The process used to find out if cancer has spread within the colon/ rectum or to other parts of the body

is called staging. The information gathered from the staging process determines the stage of the disease.

It is important to know the stage in order to plan treatment.

Basic Overview Stage 0: This is the earliest stage

possible. Cancer hasn’t moved from where it started; it’s still restricted to the innermost lining of the colon.

Also called Carcinoma in Situ.

Stage I: Cancer has begun to spread, but is still in the inner lining. Also called Dukes A colorectal cancer.

Stage II: Many of these cancers have grown through the wall of the colon and may extend into nearby tissue. They have not yet spread to the lymph nodes.

The Oncotype DX® test for Stage II Colon Cancer Patients.

Stage III: Cancer has spread to lymph nodes, but has not been carried to distant parts of the body. Also called Dukes C colorectal cancer.

Stage IV: Cancer has been carried through the lymph system to distant parts of the body. This is known as metastasis. The most likely organs to experience metastasis from colorectal cancer are the lungs and liver. Also called Dukes D colorectal cancer.

Staging for Colon vs. Rectal Cancer Colon Cancer Stage 0: In stage 0, abnormal cells are found in the innermost lining of the colon. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is also called carcinoma in situ.

Stage I: In stage I, cancer has formed and spread beyond the innermost tissue layer of the colon wall to the middle layers.

Stage II: In stage II, colon cancer is divided into stage IIA, stage IIB and stage IIC. Stage IIA: Cancer has spread through the muscle layer of the colon wall to the serosa (outermost layer) of the colon wall.

Stage IIB: Cancer has spread through the serosa (outermost layer) of the colon wall but has not spread to nearby organs.

Stage IIC: Cancer has spread

Southern Kentucky Health & Family Journal - March 2015

through the serosa (outermost layer) of the colon wall to nearby organs.

The Oncotype DX® test for Stage II Colon Cancer Patients.

Stage III: In stage III, colon cancer is divided into stage IIIA, stage IIIB, and stage IIIC. Stage IIIA: Cancer has spread from the innermost tissue layer of the colon wall to the middle layers and has spread to as many as 3 lymph nodes.

Stage IIIB: Cancer has spread to as many as 3 nearby lymph nodes and has spread: beyond the middle tissue layers of the colon wall; or to nearby tissues around the colon or rectum; or beyond the colon wall into nearby organs and/or through the peritoneum.

Stage IIIC: Cancer has spread to 4 or more nearby lymph nodes and has spread: to or beyond the middle tissue layers of the colon wall; or to nearby

tissues around the colon or rectum Stage IV: In stage IV, cancer may have spread to nearby lymph nodes and has spread to other parts of the body, such as the liver or lungs.

Rectal Cancer Stage 0: In stage 0, abnormal cells are found in the innermost lining of the rectum. These abnormal cells may become cancer and spread into nearby normal tissue. Stage 0 is also called carcinoma in situ.

Stage I: In stage I, cancer has formed and spread beyond the innermost lining of the rectum to the second and third layers and involves the inside wall of the rectum, but it has not spread to the outer wall of the rectum or outside the rectum.

Stage II: In stage II, cancer has spread outside the rectum to nearby tissue, but it has not gone into the lymph nodes (small, bean-shaped

structures found throughout the body that filter substances in a fluid called lymph and help fight infection and disease).

Stage III: In stage III, cancer has spread to nearby lymph nodes, but it has not spread to other parts of the body.

Stage IV: In stage IV, cancer has spread to other parts of the body, such as the liver, lungs, or ovaries.

Treatment for colon cancer depends mainly on the location of the tumor in the colon or rectum and the stage of the disease. Treatment for colon cancer may involve surgery, chemotherapy/biological therapy or radiation therapy.

Some people have a combination of treatments. Treatment for colon cancer is sometimes different than treatment for rectal cancer.

-From Colon Cancer Alliance

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41

Vision changes as you age As a person gets older certain bodily changes are to be expected. For example, muscle tone may diminish and bones can become more fragile as we age. Exercise and healthy eating may be able to stave off some of the effects of aging, but avoiding vision problems may require some additional effort.

Vision naturally diminishes as we age, but not all vision changes are related to aging. Many natural changes are not severe and may only require a minor adjustment in prescription glasses or contact lenses. Improved lighting or bigger print may help remedy other issues, including blurry text.

However, certain conditions that people blame on getting older really may be hereditary or a byproduct of an illness. There’s a difference between changes that are the result of aging and those that are not. Recognizing the differences can help individuals get the treatment necessary to prevent permanent eye damage.

Age-related changes Difficulty seeing clearly for reading and close work is one of the most common age-related vision issues.

This condition can begin as early as age 40 and worsen as a person gets older. Variation in the eyes’ ability to

focus properly is called presbyopia, and it will worsen over time.

Other normal signs of aging include problems with glare from headlights or the sun. Lens changes in the eye can cause light to be scattered rather than focused on the retina. This leads to more glare. In dim conditions, a person may find he or she needs more light to see well. That’s because muscles that control pupil size and reaction to light lose some strength.

Changes in color perception also may begin. The normally clear lens of the eye can discolor, making it difficult to distinguish between certain hues.

Conditions not directly tied to aging Certain eye disorders may become more prevalent as a person gets older, but that does not mean they are a byproduct of aging. Macular degeneration, which causes spotty loss of detail or sudden and severe loss of central vision, may occur.

This condition is a result of damage to the macula, the central part of the retina responsible for detail, color and daylight vision.

Risk factors for macular degeneration include high cholesterol, diabetes, smoking, and untreated high blood pressure. Poor circulation

to the retina is the most common cause of macular degeneration.

Glaucoma is another condition linked to aging. Glaucoma is caused by damage to the optic nerve by fluid pressure inside the eye. Patients with glaucoma typically do not exhibit early symptoms. Glaucoma is only detectable through routine vision examinations.

According to the Mayo Clinic, about half of all 65-year-old Americans have some degree of cataract formation in their eyes.

People who have cataracts may think they’re an unavoidable part of getting older. While aging may increase the risk of getting cataracts, according to Lighthouse International its true cause is unknown. Other risks include long-term exposure to the sun’s rays, high cholesterol, diabetes, smoking, and eye injury.

Illnesses like diabetes can affect eyesight in many different ways.

Proper treatment for diabetes and management of the condition can prevent a number of eye disorders.

Adults should not assume all vision changes are a direct result of getting older. Annual vision examinations by qualified eye doctors can pinpoint the cause of problems and find treatment options that are successful.

Not all vision problems are directly correlated to aging. Adults should speak with their eye doctors about any problems they may be having.

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43

Cholesterol and its relation to heart disease High cholesterol levels have long been directly linked to heart disease. But as more research into cholesterol and its relation to heart disease is conducted, some doctors are shifting their views on the relationship between the two.

Statistics from the American Heart Association indicate that 75 million Americans currently suffer from heart disease. And even though one-quarter of the population takes cholesterol-lowering medication and have reduced the fat content of their diets, the AHA estimates that more Americans will die of heart disease than ever before.

More revelations are coming to the forefront regarding cholesterol and heart disease. New research has shown that statin drugs are ineffective at reducing mortality rates in most populations. Furthermore, according to the Framingham Heart Study, which is the longest-running and most comprehensive study on heart disease to date, it was demonstrated that cholesterol intake in the diet had no correlation with heart disease.

The study found that men and women with above average cholesterol levels had nearly identical rates of heart disease compared to those with below average cholesterol rates.

Another potential eye opener is that, in addition to cholesterol not affecting heart disease risk, eating high-cholesterol foods does not elevate blood-cholesterol levels as doctors once thought. Ancel Keys, who is considered the “father” of the theory that cholesterol contributes to heart disease, now says that there’s no connection between cholesterol in food and cholesterol in the blood.

If not cholesterol levels and the foods one eats, what, then is responsible for heart disease? Many medical professionals

Cholesterol levels may not have the same relationship to heart disease as once believed.

and researchers now believe the primary causes of heart disease are inflammation and oxidative stress.

According to Dr. Dwight Lundell, a heart surgeon and author of the book, “The Great Cholesterol Lie,” foods like refined sugars and vegetable oils used to preserve processed foods may lead to the inflammation that ultimately causes heart disease. Inflammation is the body’s immune response to a foreign invader.

Foods high in sugar and saturated fat can exacerbate inflammation. Bacteria and other unwanted substances in the body also contribute to inflammation.

To combat inflammation, people can adopt a healthy eating style. Fatty fish, whole grains, leafy greens, fiber, and nuts can help reduce inflammation.

Exercise also can reduce inflammation.

Research from Mark Hamer, PhD, an

epidemiologist at University College London, found that, regardless of BMI or weight, study participants who completed 2.5 hours of moderate exercise each week - about 20 minutes a day - lowered their markers of inflammation by at least 12 percent.

When a person exercises, muscle tissue releases a protein molecule called cytokine, which likely prompts an inflammation drop. Just about any type of workout that raises heart rate is effective in helping with inflammation.

The public may have been misinformed about just how vital it is to reduce cholesterol levels. Contrary to popular belief, high cholesterol may not have the same connection to heart disease as doctors once thought. In fact, inflammation may be the bigger component in heart disease risk.

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www.cooperchiropractic.net

Each Office is Independently Owned and Operated

Cell: (606) 305-7774 Business: (606) 678-4663 Toll Free: (800) 880-5691 Fax: (606) 678-0885 dvfoster@coldwellbanker.com www.coldwellbanker.com www.seelakecumberland.com 5383 S. Hwy 27 • Somerset, KY 42501

Southern Kentucky Health & Family Journal - March 2015

Comfort Keepers of Somerset receives 2015 Best of Home Care Provider of Choice & Employer of Choice Awards Comfort Keepers today announced that it has received the Best of Home Care Provider of Choice Award & Best of Home Care Employer of Choice Award from Home Care Pulse. Awarded to only the top ranking home care providers, based on client and employee satisfaction scores gathered

by Home Care Pulse, Comfort Keepers is ranked among a select few of home care providers across the country who have proven their ability to provide outstanding care.

“We want to congratulate Comfort Keepers on receiving the Best of Home Care Provider of Choice Award & Employer of Choice Award,” says Aaron Marcum, CEO and founder of Home Care Pulse.

“Since these awards are based on client & employee feedback, it demonstrates their dedication to providing the highest quality of care with a focus on client satisfaction as well as to providing their employees’ with a great working experience, while ensuring clients have well-trained, compassionate, caregivers.” We are pleased to recognize Comfort Keeper’s dedication to quality, professionalism and expertise in home care.”

Best of Home Care Provider of Choice & Employer of Choice award-winning providers have contracted with Home Care Pulse to gather feedback from their clients & employees by conducting live phone interviews with them each month. Because Home Care Pulse is an independent third-party company, they are able to collect honest and unbiased feedback. These award-winning providers have received the highest satisfaction scores from their clients in areas such as professionalism, services provided, compassion of caregivers and overall quality of care. In addition, they have received the

highest satisfaction scores from their caregivers in areas such as training, office communication, caregiver/client compatibility and overall job satisfaction.

“We began our relationship with Home Care Pulse back in 2012 with the goal of getting honest feedback from our clients and employees. We look at our feedback on a monthly basis in order to ensure we are on top of anything less than stellar. It is our true goal to provide excellence in everything we do. This starts with employing the best homecare team around, from our support staff to our Comfort Keepers out in the field. We have won Best of Home Care Awards every year since 2012 and could not have done this without our rock star staff” says Sarah Short, Owner of Comfort Keepers.

“Our goal at Home Care Pulse is to empower home care businesses to deliver the best home care possible,” says Aaron Marcum, CEO and founder of Home Care Pulse. “We are happy to recognize Comfort Keepers as both a Best of Home Care Provider of Choice & Employer of Choice and celebrate their accomplishments as a trusted home care provider.

To find out more about the “Best of Home Care” award or Home Care Pulse, please visit www. bestofhomecare.com.

About Home Care Pulse

Home Care Pulse is the industry’s leading firm in performance benchmarking and quality satisfaction management and serves hundreds of home care businesses across North America. They are the industry’s top resource for education, business development, certification, and proof of quality, including the prestigious Best of Home Care® awards. Visit www.homecarepulse.com to learn more about our VANTAGE program, or visit benchmarking.homecarepulse.com to learn about the Private Duty Benchmarking Study, the home care industry’s largest and most comprehensive annual study, featuring benchmarks on finance, sales, marketing, operations, and more.

About Comfort Keepers

With over 650 independently owned and operated locations, Comfort Keepers is a leader in in-home senior care to promote independent living. Services include companionship, meal preparation, light housekeeping, grocery shopping, incidental transportation, laundry, recreational activities, personal care and technology products. Comfort Keepers is locally owned and operated by Mary Perkins and Sarah Short. Short holds a Master of Social Work degree, with a specialization in geriatrics. For more information on interactive caregiving and the services that will ensure your loved ones remain living independently at home, visit us at www.cksomerset.com <http://www. cksomerset.com/> or call us directly at 606.676.9888.

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March 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.

WHEN TO KNOW IF OUR WINTER ACTIVITIES ARE CANCELLED Because concern for your safety is foremost in our minds, Senior Friends activities during the winter months will be cancelled in the event of bad weather. A general rule of thumb, if the Pulaski County School system is closed due to inclement weather (snow & ice), our Senior Friends Event (including Parkinson’s Disease Support Group) will also be cancelled that day. Even though the weather sometimes clears up by time of the activity, we would rather you be safe and not out in bad weather on wet/slick roads. However, if you have questions about the activity, please feel free to call us. Above all, be careful and stay warm during the winter season!

10:00 am – Senior Friends Presentation Have you ever been a Senior Friend? Our free breakfast is designed to offer you a free one-year membership if you have never been a member before. Come to this “Get Acquainted Brunch” and enjoy a FREE delicious breakfast in Chatters Café & Grill while hearing about all the benefits about your free NEW one-year membership – a $15 value! Call (606) 678-3274 for your required reservation by Friday, March 06.

streak that shattered all records for any American sport. Call (606) 678-3274 for your reservations by Thursday, March 12.

SATURDAY, MARCH 14 SHAMROCK SHUFFLE The 2015 Pulaski Co. Shamrock Shuffle 5K run/walk will take place on Sat., March 14 beginning at 10:00 a.m. at Stonebrook Shopping Center in Burnside.

P.O.P. WEEKLY MEETINGS This event is for racers, runners, and walkers. More information online at: 6:00 p.m. - LCRH Conference Centers Each Monday through March 30. Join us somersetpulaskichamber.com for free informational meetings on weight TUESDAY, MARCH 17 loss and healthy living. More information MONTHLY MEETING online at: PoundsOffPulaski.blogspot.com LCRH Conference Center, Ste, A

SATURDAY, MARCH 21 Raising Awareness Saves Lives 5K Get your REAR in GEAR and help raise awareness about colorectal cancer and raise funds for local colorectal cancer patients. This event is for racers, runners, and walkers. More information online at: RaisingAwareness5K.com

SENIOR FUN & FITNESS CLASS Each Tuesday and Thursday, 10 a.m.11 a.m. through May 7, 2015. Lake Cumberland Cancer Treatment Center; 112 Tradepark Drive, Community Classroom. These are gentle exercises for EVERYONE- the overweight, the diabetic, those recovering from surgery, illness or injury, heart patients, and especially those who are sedentary. Every joint and muscle in the body will be utilized yet the exercises are not difficult. The purpose is to regain use and strengthen muscles and joints, improving posture and mobility, increase circulation and to enjoy fellowship with others. For more information or to register, since space is limited, call (606) 678-3274.

TUESDAY, MARCH 10 DINE WITH THE DOCS LCRH Conference Center, Ste A 5:30 pm - Dinner in Chatters Café & Grill 6:30 pm - Speaker: Benjamin Stivers, M.D. - General Surgeon Topic: Colorectal Cancer Join us on the 2nd Tuesday of each month for a special complementary dinner and an informative program presented by leading medical specialists. Space is limited.

Call (606) 678-3274 for your required reservations.

2:00 p.m. - 4:00 p.m.

Speakers: Steward Framer & Danielle Fulk with Helping Hands Personal Care, LLC Topic: Nutrition Refreshments will be provided.

Reservations are required and must be received by March 10. Please call (606) 678-3274 to reserve your spot.

THURSDAY, MARCH 19 MOVIE-N-MUNCH LCRH Conference Center, Ste. A 1:30 p.m.

“When the Game Stands Tall” WEDNESDAY, MARCH 11 The journey of legendary GET ACQUAINTED BRUNCH football coach Bob 9:15 am – Free Breakfast in Chatter’s Ladouceur, who took the Café and Grill. Stop by Senior Friends De La Salle High School Office to pick up your meal Spartans from obscurity ticket for breakfast. to a 151-game winning 46

FRIDAY, MARCH 20 PARKINSON’S SUPPORT GROUP LCRH Small Dining Room, located in the 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, MARCH 26 BIRTHDAY PARTY LCRH Conference Center, Ste A 2 pm –4 pm It’s time for those March “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 Thursday March 19, for your reservations.

FRIDAY, MARCH 27 BUNCO LCRH Conference Center, Ste A 2 pm – 4 pm Bring a $5.00 donation for the March of Dimes. Spend the afternoon with “Friends.” A time of fun, fellowship, and refreshments, with prizes awarded for the highest scorer and the lowest scorer.

Reservations are required and must be received by March 20. Please call(606) 678-3274.

Southern Kentucky Health & Family Journal - March 2015

Southern Kentucky Health & Family Journal - March 2015

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