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Vol. 16 • Issue 4 • January 2019



My hearing aids don’t define me — I do. I didn’t realize that my hearing loss was affecting me until it began affecting him. That’s when I made the choice to take charge of my hearing.

My family physician referred me to Audiology Associates. The moment I walked in the door, I knew I had found my hearing care home. Audiology Associates was patient, informative, and compassionate — my appointment felt more like a conversation than a consultation. We talked about my current lifestyle and how I could maintain — even improve — my hearing with their help and my determination.

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COSMETIC DENTISTRY Resolve to Preserve Your Smile


The Real Physical Cause of Depression Could Be Inflammation


FAMILY VISION Ortho-K: an Alternative to LASIK


Schizophrenia Has a Genetic Component


INTEGRATIVE MEDICINE Mindfulness Can Help Us Be Kind


Alzheimer’s Association Offers Safety Tips for Cold Weather


FUNERAL Finding the Right Words to Help Children Cope with Death


IMAGING The Foundation of Whole Health


GENERAL DENTISTRY Braces: Could they Help Your Smile?


Recognizing and Coping with Mental Illness


Overweight Individuals More Susceptible to Dementia


9 Ways to Improve Emotional Health


Mental Health Screenings Can Help the Family: Early identification is Best


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

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Tanya J. Tyler, Editor | Share your story:

Dear Friends, Happy new year and welcome to 2019! A new year is like a blank slate, clean and ready to be written on. Perhaps you will write a new bucket list on your blank slate. Perhaps you will challenge yourself this year to do something you’ve always wanted to do – take a cruise or a class, go skydiving, finish that novel in progress. Whatever you’re planning for 2019, remember an important part of your life is your Health & Wellness. The old saying is true: When you have your health, you have everything. Make this the year you concentrate more fully on maintaining all those healthy habits you’ve had hammered into your head and heart over the years. Don’t put it off any longer, whether it’s quitting smoking, starting and sticking to a new exercise regime or modifying your diet. Make this the year it all comes together for you. We promise to continue providing information about everything you need to live a healthy, happy life and to motivate you to make those necessary and life-enhancing changes. Here’s to your health,


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January 2019



By Dr. Tom Miller, Staff Writer The American Psychiatric Association (APA) defines mental illnesses as health conditions involving changes in emotion, thinking or behavior or a combination of these. Mental illnesses are associated with genetic predisposition, biochemical imbalances, learned thinking and behaviors, distress and/or problems functioning in social, work or family activities. Statistics on mental illness shared by the APA suggest: • nearly one in five (19 percent) of U.S. adults experience some form of mental illness; • one in 24 (4.1 percent) has a serious mental illness; and • one in 12 (8.5 percent) has a diagnosable substance use disorder. The American Psychological Association says mental health is defined as the way one’s thoughts, feelings and behaviors affect and influence one’s life. Good mental health leads to positive selfimage and, in turn, satisfying relationships with friends and others. Having good mental health helps us make good decisions and deal with life’s challenges at home, work or in school. Mental health includes our emotional, psychological and social well-being. It affects how we think, feel and act. It also helps determine how we handle stress, relate to others and make

choices. Mental health is important at every stage of life, from childhood and adolescence through adulthood and old age. Several factors contribute to mental health, including biological factors, such as genes and brain chemistry, life experiences, such as trauma or abuse, and culture within and beyond family history. A majority of individuals have mental health concerns from time to time. A mental health concern may become a mental illness when ongoing signs and symptoms cause frequent stress and affect a person’s ability to function appropriately and effectively in their daily life. Prevention can play an important role in addressing mental illness in our lives. An important first step is to face those early signs and symptoms and work toward managing your health, says the Mayo Clinic. Getting routine medical care and an annual physical is very important in managing your mental health. Work with your family physician and/or a therapist to learn what might trigger your symptoms. Include trusted family members and friends for support and know when and how to get help if an intervention appears necessary to you or others. Develop an awareness of good healthy thinking and behavior by maintaining good eating and sleep habits, along with regular physical activity. It is important to realize mental illness is treatable. In most cases, symptoms can be managed with a combination of medications and

psychotherapeutic interventions. Should any signs or symptoms of mental illness occur in your life, seek guidance early from your family physician and get care from a mental health specialist who is trained and licensed to treat mental disorders. Understand the importance of getting professional treatment because mental illness usually doesn’t improve on its own. If left untreated, it may worsen over time and lead to more serious problems. Additional information on signs, symptoms, diagnoses and treatment options are available on the Mayo Clinic Web site at Sources and Resources

• American Psychiatric Association ( • American Psychological Association ( • Mayo Clinic (

About the Author Thomas W. Miller, Ph.D., ABPP, is a Professor Emeritus and Senior Research Scientist with the Center for Health, Intervention and Prevention, at the University of Connecticut, and Professor, Department of Gerontology, College of Public Health, and Department of Psychiatry, College of Medicine, at the University of Kentucky.

January 2019

The Real Physical Cause of Depression Could Be Inflammation By Angela S. Hoover, Staff Writer Inflammation, especially systemic inflammation, has been found to be a root cause of nearly every physical malady. Inflammation makes the immune system kick into hyper gear, often leading to damage. This cause-effect mechanism between inflammation and the immune system is now implicated as the physical cause for depression. Rather than chemical imbalance(s) in the brain, an overactive immune system that does not switch off after a trauma or illness causes inflammation throughout the body. This widespread inflammation may be at the heart of depression. The immune system triggers an inflammatory response when it feels threatened, sparking wideranging changes in the body in anticipation of needing to heal a wound. It has taken so long to establish this connection because until recently

scientists believed the brain was entirely cut off from the immune system because of the bloodbrain barrier. A growing body of research has shown a connection between treating inflammation and alleviating depression. It has also been shown inflammatory processes can trigger phenomena that resemble mood disorders. Scientists now believe depression can be treated with anti-inflammatory drugs. But when doctors use inflammatory drugs to boost the immune system, some patients become depressed. Research has also shown that people who have suffered severe emotional trauma in their past have inflammatory markers in their bodies, suggesting their immune system is constantly firing. “It’s pretty clear inflammation can cause depression,” said Prof. Ed Bullmore, head of the department of psychiatry at the University of Cambridge. “There is a very robust association between inflammation and depressive symptoms. We give people a vaccination and they will become depressed. The question is, does the inflammation drive the depression or vice versa, or is it just a coincidence? In experimental medicine studies, if you treat a healthy individual with an inflammatory drug like interferon, a substantial percentage of those people will become depressed. So we think there is good enough evidence for a causal effect.” Scientists in conjunction with Janssen Research & Development LLC, H. Lundbeck and Johnson & Johnson Innovation in London are investigating whether anti-inflammatory medicines could benefit patients. In a two-stage project, the teams


will examine the immune systems of patients with depression that have not responded to conventional treatment. They will also use animal models to establish more precisely the relationship between immune-related markers found in the blood and brain function and behavior. The second stage of research will carry out “proof-of-concept” experimental medicine trials, using anti-inflammatory drugs in patients who have been identified according to their specific immunological profile. “Neuro-inflammation has been increasingly implicated as a key player in a wide range of brain disorders including depression and Alzheimer’s disease,” said Dr. Stevin Zorn, executive vice president at Lundbeck Research USA. “This partnership is an exciting opportunity to increase our understanding of the important role of emerging immune and neuronal interactions in these disorders and to point us toward new avenues to develop breakthrough treatments for them.” One promising treatment for depression on the horizon is the use of electrical stimulation to change the signals between the brain and the immune system. Prof. Kevin Tracey, president and CEO of the US Feinstein Institute for Medical Research, discovered the brain controls production of an inflammatory chemical called TNF. If released in high doses, TNF can be fatal, causing people to literally die of shock. Tracey has recently developed an electrical device that switches off the chemical. “This is the tip of the iceberg of a new field called bio-electric medicine,” said Tracey. “This is a new way of thinking about medicine.”

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January 2019

Schizophrenia Has a Genetic Component By Charles Sebastian, Staff Writer While it has long been understood how challenging schizophrenia can be for the person suffering from it and for their loved ones, the fact that mental illness runs in families is often forgotten. The inheritance of the disease becomes tricky, as with many genetic diseases, because there is a likelihood of acquiring the altered or duplicated gene that creates schizophrenia. However, this doesn’t automatically mean the disease will manifest in the same way, if at all. There is also a chance a person may not receive the gene in its normal or altered state. Either way, so many variables go toward creating the myriad of symptoms of schizophrenia that it becomes a tangle. Some of the signs of schizophrenia become

clear to others long before the thought of seeking therapy and having genetic testing become necessary. Poor hygiene, inability to focus and do tasks at hand, hallucinations (especially auditory) and having delusions about being other people or having a strong sense you are someone else are common with schizophrenia. Dr. Jeffrey Lieberman, a professor of schizophrenia research at Columbia University Medical Center, said, “The likelihood of someone developing schizophrenia is directly related to their genetic background, including how many genes they share with the family member who has the illness. While the average in the general population of developing the disease is one in 100, if someone has a parent with schizophrenia, the chances are 10 percent. If you have a sibling with the disease, it goes up to around 13 percent, and if you have a twin who is schizophrenic, the chances boost to around 50 percent.”

Because the symptoms of the disease usually don’t manifest until late adolescence or early adulthood, they can sometimes be misdiagnosed as mood disorders such as depression or bipolar disorder. Sometimes mood disorders are present with schizophrenia, in which case the person is diagnosed as schizoaffective, meaning there are symptoms for both. Professors Michael Owen and Michael O’Donovan, both of Cardiff University in Wales, have spent the past 20 years researching the genetic effects of schizophrenia, especially as they relate to other issues. O’Donovan said, “We’ve found those suffering from schizophrenia will often share the genetic and neurological components of those with limited intellectual abilities and autism.” The two professors have received numerous awards for their study, which showed causal links between pathways in the brain that create many other problems besides the long-time suspected mental illnesses. While it’s been extremely difficult to pinpoint where the duplicates or deletions occur genetically in people with schizophrenia, chromosome 22 (22q11) has long been thought to be involved in at least a small percentage of cases. The Diagnostic and Statistical Manual is the most up-to-date version of the reference therapists use to classify mental illness. Delusions, hallucinations, disorganized speech, grossly disorganized or catatonic behavior and negative symptoms (such as diminished emotional capacity) are all listed as symptoms of schizophrenia. Two of these must be present for a diagnosis of schizophrenia, and the symptoms must occur for at least a month and diminish work capacity. The manual also takes into account where drugs or psychoactives are contributing to the condition as well as considering previous speech problems, learning disabilities and autism diagnoses. It is easy and common to get a misdiagnosis, which leads to an ineffective prognosis. If you suspect you or someone you know may be exhibiting some of the symptoms described, contact a qualified mental health professional for further guidance and help.

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January 2019


ALZHEIMER’S ASSOCIATION OFFERS SAFETY TIPS FOR COLD WEATHER FAMILIES ARE ENCOURAGED TO PLAN AHEAD TO AVOID WANDERING Sixty percent of those with Alzheimer’s disease will wander at some point during their diagnosis. This is a significant safety concern for the more than 71,000 people living with Alzheimer’s in Kentucky. A person living with Alzheimer’s or another dementia may not remember his or her name or address and can become disoriented even in familiar places. In cold temperatures and winter weather conditions, wandering can be dangerous – even life-threatening. As weather becomes inclement, it is important to keep your loved one with dementia safe by taking simple precautions to prevent wandering. Carry out daily activities: Having a routine can provide structure. Consider creating a daily plan. Avoid busy places: Shopping malls and grocery stores can be confusing, causing disorientation. Night wandering: Restrict fluids two hours before bedtime and ensure the person has gone to the bathroom just before bed. Also, use night lights throughout the home or facility. Locks: Place these out of sight. Install slide bolts at the top or bottom of doors. Doors and door knobs: Camouflage doors by painting them the same colors as the walls. Cover them with removable curtains or screens. Cover knobs with cloth in the color of the door or use childproof knobs.

Monitoring devices: Try devices that signal when a door or window is opened. Place a pressure-sensitive mat at the door or bedside to alert you to movement. Secure trigger items: Some people will not go out without a coat, hat, pocketbook, keys, wallet, etc. Making these items unavailable can prevent wandering. When temperatures plummet and staying indoors is encouraged, planning ahead for your loved one can be crucial for his or her safety. The Alzheimer’s Association can help with activity suggestions, communication and learning how to identify confusion and the triggers that increase incidences of wandering. Planning Ahead • Enroll the person in MedicAlert®+ Alzheimer’s Association Safe Return®. Call 1-888-572-8566 or enroll online at • Consider having the person carry or wear an electronic tracking GPS device that helps manage location. Comfort Zone® and Comfort Zone Check-In® are two options. Visit www. for further information. • Keep a list of people for the person with dementia to call when they are feeling overwhelmed. Have their telephone numbers in one location and easily accessible. • Ask neighbors, friends and family to call if they see the person alone or dressed inappropriately. • Keep a recent, close-up photo and updated medical information on hand to give to police. • Know your neighborhood. Pinpoint dangerous areas near the home, such as bodies of water, open stairwells, dense foliage,

tunnels, bus stops and roads with heavy traffic. • It’s helpful to know if the individual is right- or left-handed. Wandering generally follows the direction of the dominant hand. • Keep a list of places where the person may wander, such as past jobs, former homes, places of worship or a restaurant. Should a loved one go missing, especially in colder temperatures, experts recommend calling 911 as soon as possible so a Kentucky Golden Alert or other public notification can be issued. In addition, file a report with MedicAlert+ Alzheimer’s Association Safe Return at 1-800625-3780. First responders are trained to check with MedicAlert+ Alzheimer’s Association Safe Return when they locate a missing person with dementia. You do not need to be enrolled in MedicAlert+ Alzheimer’s Association Safe Return in order to file a missing report. Kentucky Golden Alerts are a public notification system that may be used to assist in the safe recovery of a missing adult who has a verified mental or cognitive impairment, including but not limited to Alzheimer’s disease, and whose disappearance poses a credible threat to the health or safety of the person. About the Alzheimer’s Association

The Alzheimer’s Association is the leading voluntary health organization in Alzheimer’s care, support and research. Our mission is to eliminate Alzheimer’s disease through the advancement of research; to provide and enhance care and support for all affected; and to reduce the risk of dementia through the promotion of brain health. Our vision is a world without Alzheimer’s. For more information, visit




January 2019 | Read this issue and more at |   HandWmagazine

RECOGNIZING AND COPING WITH MENTAL ILLNESS BE SURE TO PRACTICE SELF-CARE AND WATCH FOR RED FLAGS By Jamie Lober, Staff Writer January – the beginning of a new year – is a good time to consider your mental wellness. “We all have mental health,” said Marcie Timmerman, executive director of Mental Health America of Kentucky. “It is a spectrum between how bad it might be, such as one bad day, or something clinically relevant.” Knowing the signs of mental illness is the first step to helping yourself or others. “Typically the line is when sleep, work or day-today living is affected for two weeks or more,” Timmerman said. “If [your feelings are] pervasive and persistent for several days a week, if you are anxious about things that other people are not anxious about, if you have worries that are keeping you up at night or interfering with your ability to work or drive, you want to get help as soon as possible. That is when you need to see a physician or therapist.” The Bluegrass State just got a state mental health report card that was not impressive. The report said almost 22 percent of Kentuckians have a diagnosed mental illness of some kind. “Kentuckians have mental illness at higher rates than other places as well as higher rates of youth getting treatment for mental health issues,” Timmerman said. Depression, bipolar and anxiety are most frequently diagnosed. The reason for the big numbers is unclear. “One suspicion is a shortage of child therapists and psychiatrists throughout the state and a tendency to assume youth are being youth or teenagers are being teenagers [when they act out], and high school years are tough,” Timmerman said. Sometimes the hardest part is identifying the problem. “If someone is missing a lot of work and that is uncharacteristic of them or if someone’s mood changes

suddenly with no clear trigger, those are signs,” Timmerman said. Hopelessness is another red flag. It is important for people to feel they have value and others want and need them. Be patient with yourself or a loved one after diagnosis. “One of the big misconceptions about mental illness in general is people think it is a disabling condition,” Timmerman said. “People can recover from mental illness. There are working people who are fine on medicines with additional therapy.” If you are seeking treatment, contact your insurance company and act right away. “It often takes people 10 years to get assistance for mental health issues because there is usually a 10-year lag between symptoms becoming bothersome and getting treatment,” Timmerman said. Fortunately, families are talking about mental health more, especially at this time of year when some people may experience seasonal affective disorder. Something as simple as light therapy or medication can help in that situation. “People who have holidayrelated stress, anxiety or depression need to set better personal boundaries, have a better sense of planning and learn how to prioritize their time and efforts,” Timmerman said. When you recognize the issue and have a tool box of coping strategies at your fingers, you will be fine. Self-care is critical to mental well-being. “Take a mental health day or do something you like every day, whether it is a hobby,

talking to a friend or making sure you have one person in your life you can depend on,” Timmerman said. Social gatherings and support groups can be helpful, as well as therapy. If you feel more comfortable in an online space, that is an option too.

Self-care is critical to mental well-being.

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January 2019





s the new year begins, you’ve probably made several healthrelated resolutions: lose weight, exercise more, go to sleep at a reasonable hour each night. Along with these, why not make some resolutions to improve your dental health? Our teeth were meant to last a lifetime. With proper care – such as brushing, flossing, cutting back on sugary food and drinks and regularly visiting your dentist – this goal can be achieved. Here are some tips for keeping your resolve to maintain a strong, healthy and beautiful smile: Learn to properly brush your teeth. According to the American Dental Association (ADA), you should keep your brush at a 45-degree angle to your gums and brush across the sides and tops of your teeth with back-and-forth strokes. Hold the brush vertically and use shorter strokes to focus on the back of your teeth where plaque, a sticky film-like substance filled with bacteria, often builds up. The buildup of plaque under and along the gum line can trigger gum disease. The ADA recommends brushing for at least two minutes twice a day. Set a timer on your phone to help you hit the mark. As well, make sure your toothbrush is the correct size. Use ADA-approved toothpaste; it will have the amount of fluoride suitable for adults and children who are past a certain age. Brush after every meal and change your toothbrush every few months. Drink fluoridated water and brush with fluoride toothpaste. Fluoride has the unique ability to prevent tooth decay by hardening tooth enamel, thus reducing your risk of decay. Fluoride helps in the mineralization of your bones and teeth, which is essential for keeping them strong. Bacteria living in the mouth produce acids that can damage tooth enamel, a process called demineralization. Fluoride slows down the loss of minerals from tooth enamel and accelerates the repair process by putting minerals back into the enamel. This is called remineralization. Fluoride supplements are recommended for those who do not live in areas with fluoridated water, but be careful not to take in too much fluoride. If you smoke, quit (that may be a separate resolution). Smoking and chewing tobacco do horrible things to your teeth. Not only do these activities cause staining and bad breath, they are also significant risk factors that cause gum or periodontal disease (inflammation around the teeth). Advanced stages of periodontal disease can result in tooth loss. Your dentist can make recommendations for programs to help you stop smoking. Floss properly. Flossing can remove food and plaque that are beyond your toothbrush’s reach. Use a clean piece of floss up to 18 inches long for each tooth. Reach between your teeth to get to the germs stuck there and use a gentle sawing motion to release them. Some people find floss picks easier to use, but they are not always as effective as traditional floss. Follow flossing and brushing with a therapeutic mouthwash. Antibacterial rinses prevent cavities and minimize the chance of gum disease when included in your overall dental hygiene plan. You can even try using a tongue scraper, which helps remove bacteria on the tongue and also freshens your breath.


Consider the dental health needs of the rest of your family, too. Take your child for an initial dental visit by age 1 year. When a child’s teeth first appear, be diligent about wiping them with a clean damp cloth after he eats or nurses. When the child is older, teach him how to properly brush his teeth. Demonstrate good dental health habits and help your children follow your lead. Dental health has been linked to other chronic ailments, such as diabetes and heart disease. Talk to your dentist about these conditions and enlist her help in making sure you have a plan in place to keep them under control. Regular check-ups and cleanings will help you keep your smile this year and beyond. Get started on your resolution by calling Adkins Family Dental at (859) 543-0333 to make an appointment or visit to learn more about maintaining a healthy mouth. About the Author

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

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



Family Vision.


January 2019 | Read this issue and more at |   HandWmagazine




hen you were first diagnosed with nearsightedness (myopia), did you resign yourself to wearing eyeglasses for the rest of your life, thinking nothing else could be done to improve your eyesight? Many innovations have been made in the treatment of myopia over the years. Most people are familiar with LASIK or refractive surgery, but a viable alternative you may not have heard of is orthokeratology. Orthokeratology, also called ortho-k, uses specially designed rigid gas-permeable (RGP) contact lenses to change the front surface of your eye (the cornea). This reduces or corrects myopia. You wear the lenses overnight and wake up seeing clearly all day long without the hassles of conventional glasses or contacts. While you sleep, the lenses reshape the cornea to correct your vision. Today’s technology makes ortho-k easy to implement. To assess whether a patient is a good candidate for ortho-k, a scan is made of the cornea and lenses are manufactured for a precise reduction in the eye’s optical imperfection. The cornea is very elastic and the ortho-k lenses basically help it reshape itself. Ortho-k can be effective even if you have a low degree of astigmatism. Ortho-k particularly suits people who participate in sports or work in dusty, dirty environments that can make wearing contact lens or glasses difficult. Your eye doctor will perform a thorough eye examination before you undergo ortho-k. This will give him a chance to assess the health of your eyes and determine how effective the procedure will be for you. The speed and accuracy of the treatment varies with each individual. If your doctor determines you are a good candidate for ortho-k, he will fit you with the RPG lenses in progressive stages. The goal is to make the cornea less curved and more spherical. Most of the visual changes you’ll notice occur in the first few weeks, and it requires frequent examinations and progressive lens changes. Stabilization procedures follow at a slower pace over the next few months. The time frame is usually between one and three months. You must wear retainer lenses or the cornea will revert to its original shape. Most ortho-k patients are at least 18 years old. Ortho-k offers several advantages over LASIK surgery: Both eyes are done at the same time, there is no post-operative pain or hazy vision and changes over time can be handled without surgery. Perhaps most important of all, ortho-k is reversible and can be modified if necessary. And it is less expensive than LASIK. However, should you choose to have LASIK surgery in the future, ortho-k does not preclude this option. The goal of ortho-k is to correct your vision to 20/20 without having to wear eyeglasses or contact lenses during the day. In FDA trials, more than 65 percent of patients were able to achieve 20/20 visual acuity after wearing the reshaping lenses overnight. For more information about ortho-k and to find out if you are a good candidate for the procedure, call Family Eyecare Associates at (859) 879-3665. About the Author

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


ABOUT FAMILY EYECARE ASSOCIATES 105 Crossfield Drive, Versailles, KY 40383 • 859.879.3665 •

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Integrative Medicine.

January 2019


Be kinder than necessary, because everyone you meet is fighting some kind of battle – J.M. Barrie (author of Peter Pan)


s our annual holiday of giving comes to an end, we often begin a new year full of hopes, intentions and resolutions to take better care of ourselves. Many of us also vow to take better care of others. We want to be more kind. But it’s hard to be more kind to others when we feel our own cup of kindness is running low or is completely empty. It is difficult or impossible to relieve the suffering of others without first wisely managing our own suffering. Self-care is not selfishness. It is a necessary foundation for a life of service, values, purpose, meaning, mission and caring for others. Our Epidemic of Stress Several medical and public health reports in the past year describe an epidemic of stress in America. The American Psychological Association reports more than half of Americans consider this the lowest point they can remember in U.S. history. The American Psychiatric Association reports anxiety in Americans is increasing sharply. A recent Blue Cross Blue Shield report found major depression is increasing dramatically, especially among millennials and adolescents. A Cigna insurance survey found loneliness is at epidemic levels. The Centers for Disease Control and Prevention reported suicide rates have increased sharply. Over 47,000

lives were lost to suicide in 2017 alone. U.S. life expectancy, a snapshot of the nation’s overall health, has declined twice in the past three years, fueled largely by preventable “deaths of despair,” including suicides, drugs and alcohol. There is so much suffering in our own families, work places and communities. Relieving this suffering will take dedicated efforts at the national, local and individual levels. An important ingredient in our recipe for relieving suffering is kindness to ourselves and kindness to others. Mindfully Saying ‘No’ Can Be Kind This year is the 50th anniversary of the death of Thomas Merton, the 20th century’s best known Catholic monk. From his home at the Abbey of Gethsemani in Trappist, KY, Merton wrote about the violence we impose on ourselves by the “rush and pressure of modern life.” Merton wrote, “To allow oneself to be carried away by a multitude of conflicting concerns, to surrender to too many demands, to commit oneself to too many projects, to want to help everyone in everything is to succumb to violence.” The same message can be heard in the teachings of Swami Satchidananda, founder of Integral Yoga and inspiration for the Ornish Lifestyle Program for heart disease: “Let nothing destroy your peace.” Mindfully, gently and kindly saying “no” can preserve your inner peace. It is a sign of good health to be kind to yourself by knowing your own limits and slowing

down before your cup of kindness is empty. Your own self-care is the true foundation for your caring for others. Mindfulness can help us all slow down by simply being aware of the experiences that usually pass us by unnoticed. Cultivating Mindfulness with Simple Awareness Mindfulness practice begins by having an intention to be present to your own life. We begin by paying attention to what is actually happening right now rather than living so much in the past and the future. With this intention to pay attention, we notice our mind has arrived where our body already was and always is – the here and the now. For this reason, we refer to mindfulness of the body as the first foundation of mindfulness practice. You can practice mindfulness right now – noticing what you are actually experiencing, noticing the sensations you feel anywhere in the body – sensations of warmth where your clothing touches your skin, sensations of coolness where the air touches your skin, sensations of the eyes viewing these words, sensations of the breath moving in and out of the body. You can also notice thoughts as the normal wandering mind wanders and thinks. It is helpful to simply let thoughts be reminders to return your attention to sensations in the body and the breath. Rather than being judgmental and self-critical for having so many thoughts, we bring kindness to ourselves and feel our cup of kindness filling up with every breath, letting every thought

remind us to come home to the present moment. A health-promoting lifestyle includes healthy eating, physical activity, restful sleep, social support, time in the outdoors and a daily dose of intentional self-care. Mindful self-care can help you be kind to yourself. Being kind to yourself helps you be kind to others. An epidemic of kindness can be part of the solution to our epidemic of stress. Sources and Resources

Audio recordings with guided Loving Kindness meditations can be found at the Mind Body Studio website at http://www.mindbodystudio. org/?page_id=1594.

About the Author Dr. Patterson is past president of the Kentucky Academy of Family Physicians and is certified in physician coaching, family medicine, mind body medicine, yoga therapy, integrative holistic medicine and mindfulnessbased stress reduction (MBSR). He is on the faculty at the UK College of Medicine, Saybrook University’s College of Integrative Medicine and Health Sciences (Oakland) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations and group classes. He can be reached through his Web site at


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





January 2019 | Read this issue and more at |   HandWmagazine





s a funeral director, I am sometimes asked what is the best way to talk with grieving children about death. While every situation is unique, here are some suggestions from Alan D. Wolfelt, Ph.D., for communicating with your child in most circumstances. Be honest and open. The child’s ability to cope with grief will depend upon your being honest and open about the death. While you may think not talking about death will help your child forget about it, you may actually be causing your child to feel confused and alone.

Share your feelings. A natural part of healing is understanding others are grieving similar to you. Allowing your children to see you crying and afraid will help them understand they are not alone in their grief. Experiencing grief together will help everyone heal together.

Answer questions directly. When your child asks you questions, don’t be afraid to honestly answer them. Keep answers as short and positive as you can. Avoid euphemisms. Young children take things literally. It is better to say “Grandmother has died” rather than “Grandmother is asleep.” Abstractions are often confusing and children cannot cope with something they don’t truly understand. Protecting children from the truth doesn’t help them conquer their grief. Express support through physical gestures. Holding, hugging and snuggling are ways to show affection and comfort your child during their time of grief. When talking about the death or the child’s grief, be sincere and relaxed. Do your best to make sure your child understands it is OK to express how they are feeling. Sometimes it’s easier for older

children to talk without direct eye contact or while doing something else, such as riding in the car, walking, cooking or doing another activity together. Be as casual as possible. If a conversation seems too difficult for your children, allow them to express themselves through drawing, writing, singing or whatever they are more comfortable with. Be sure to attend to your own grief. If you are a family member, most likely you are also grieving the loss of the person who died. When you are overwhelmed by death, it’s hard to think of anything else, including the needs of those around you. It’s important for you to carve out time for and honor your own grief. If you are responsible for the full-time care of a child, you will have to do the same for him or her — creating time for him or her to grieve with you and separately. Giving attention to another’s grief can be challenging when a loss has shaken you deeply, but try your best to be available to your child. If, under-

standably, you just can’t do it right now, find another loving adult who can. If the task is too large for you and your circle of friends and family to handle, enlist a professional counselor or seek the help of grief support groups as needed. Remember to be gentle with yourself. And remember you are doing the best you can. About the Author

Angie Walters has been a funeral director for five years. She recently joined Milward Funeral Directors, the 37th oldest continuously operated family business in the United States. Milward has three locations in Lexington, including its Celebration of Life Center at 1509 Trent Boulevard. Angie can be reached at Milward Funeral Directors-Broadway at (859) 252-3411.

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new year always brings reflections on the events of the past year. What made an impression, evoked a change, inspired an idea or created a memory? There were many such events for me in 2018. I started a new business at the beginning of the year, and several immediate family members suffered serious health issues. Illnesses, surgeries, transplants and final farewells among my loved ones all came in quick succession. This bittersweet tinge blossomed into a strengthened call to advocate for health screening. Patient Choice Ultrasound and Thermography is a stand-alone diagnostic imaging center. We provide diagnostic and screening healthcare and home sleep kits because sleep is an essential element in the equation of good health. Becky and I strive to serve, educate and make available the most comfortable, convenient and affordable choices in healthcare. We firmly believe the body, mind and spirit work as a unit, and a huge part of achieving balance is being empowered in your choices. OUR As healthcare professionals in diagnostic mediCOMPANY cine, Becky and I are trained in the anatomy and physiology of the body and its function(s). Patient IS A Choice is a place to have a body part examined, but REFLECTION we are here to “see” the whole person. We recognize patients are concerned about the test results OF on top of their finances and other issues unrelated SERVICING to their visit. My reflections over the past year – our first OTHERS. year in operation – got me to thinking: What’s next and what’s important? For me, all things – KIM DAVIS important stem from my faith. Our company is a reflection of servicing others. We had a “God is Our Foundation” signing party when we opened our office, a forever reminder of balance and the reason we opened in the first place. We adopted the scripture 1 Peter 4:10 – “Each of you should use whatever gift you have received to serve others, as faithful stewards of God’s grace in its various forms.” We strive to honor this principle daily. And to put this faith into practice, we now offer a prayer box for our patients to write a concern or prayer request – anonymously or specifically – and our staff will pray for them. A new year brings new hope, new opportunities and new chances in all aspects of our lives. This includes our whole health – physical, emotional and spiritual. After a year of enduring the pain of loved ones’ health issues, I hope each and every one of you consider diagnostic screening this year. We all know the sooner a health issue is diagnosed, the better the prognosis. We make it as easy as possible at Patient Choice and we work with each patient as an individual. Happy New Year and here’s to a healthy 2019! About the Authors

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



152 W. Tiverton Way, Lexington, KY • 859-554-7360 • Offering inclusive, transparent pricing for diagnostic imaging including Ultrasounds and Thermography. We strive to make healthcare less of a hassle and more about empowering patient choice.



General Dentistry.



January 2019



any people think of orthodontic treatment when they have concerns about crowded or misplaced teeth. While metal braces are often considered a rite of passage for teenagers, there are a number of issues orthodontic treatment can help address for individuals without age limits. These issues include not only teeth and occlusion (the position of the teeth when the jaws are closed) but also facial balance and aesthetics. The American Association of Orthodontists offers the following list of challenges that can typically be addressed through orthodontic treatment: • early or late loss of baby teeth; • difficulty chewing or biting; • mouth breathing; • sucking the thumb or fingers or other oral habits; • crowded, misplaced or blockedout teeth; • jaws that shift, make sounds, protrude or are recessed; • speech difficulty; • biting the cheek or biting into the roof of the mouth; • protruding teeth; • teeth that meet in an abnormal way or don’t meet at all; • facial imbalance or asymmetry; • grinding or clenching the teeth; and • inability to comfortably close the lips. A variety of orthodontic treatment options are typically available for individuals to consider. These include both the technique and the planning of parts. Orthodontists work with their teams to collect information and evaluate the unique situation of each patient they see in order to discuss the best options to address their specific condition. What works well for one person may not be the best treatment choice for another. The metal braces many people think of when picturing orth-

odontic treatment are just one among several available choices. Orthodontic appliance options include: Metal Braces: A traditional and common option, these are generally suitable for all cases due to their durability. Patients enjoy selecting from a wide variety of colorful elastics, which can be changed with each check-up visit, to wrap around each bracket. Self-Ligating Braces: This option offers several bracket types, including metal or clear options. They are usually smaller and there is no need to use colored elastic ties. Ceramic Braces: Although similar to metal braces, the brackets are made of ceramic and are thus clear. Patients may prefer this option as treatment is less noticeable, but it should be noted ceramic brackets are more fragile. Patients must take more care not to damage brackets. Clear Aligners: This treatment option has gained popularity over recent years because it offers an almost invisible treatment option for teenagers and adults. Patients will wear a series of custom trays as they progress through their treatment. Although several options are available for people to skip going to an orthodontist to obtain trays, using a direct-to-consumer option, individuals should be careful of this route. Many times patients are only asked to take an initial scan or impression of their teeth and the treatment plan does not include the benefit of additional information about their unique oral health situation, such as important X-rays. Patients many times also lack the knowledge of who exactly is planning their treatment and what that

person’s qualifications and experience may be, so they do not have the benefit of in-person check-ins to confirm treatment is staying on a desired course. Lingual Braces: In this treatment option, brackets are adhered to the back of the teeth, so treatment is not noticeable when a patient smiles. How Does an Orthodontist Help? Orthodontists have completed dental school as well as several years of additional education and training specifically in the area of orthodontic treatment. This enables them to aid in efforts to correctly diagnose and address issues in teeth and jaws. Some orthodontists will then elect to complete board certification in orthodontics to secure a voluntary credential demonstrating their commitment to ongoing continuing education. Board certification is a step beyond state required licensure. The accumulation of this training and experience make these orthodontists experts in evaluating the dental needs of patients and serving as a guide toward a correct diagnosis and therefore the best goal-oriented treatment plan for a patient’s needs. How Can You Make a Decision About Orthodontic Treatment? Many people understand they need or want orthodontic treatment to enhance their smiles. However, multiple questions may come to mind when thinking of braces, such as: How long will it take? What is the cost? How often are dental visits needed? Will teeth need to be removed? Are there new techniques to consider? Although you can easily ask a friend or a parent of a child who is currently undergoing orthodontic treatment, the best way to

answer these questions is to schedule a screening with an orthodontist. Screening appointments are available at no cost in many cases. What Else You May Need to Know Teeth should be clean, healthy and without any need of dental work before starting orthodontic treatment. Orthodontic appliances make cleaning teeth more difficult; therefore, oral hygiene should be excellent while your teeth are in braces. Additionally, after the braces come off, research demonstrates the need to use some type of retainer in order to maintain finished results. Patients should be sure to follow the recommendations of their orthodontist to help avoid shifting of teeth. About the Author:

Dr. Lina Sharab is an assistant professor at the University of Kentucky College of Dentistry. As an orthodontist and biomaterial specialist, her clinical interests include invisible orthodontics, surgical orthodontics and interdisciplinary care. More information about UK Dentistry is available at www. ukhealthcare.uky. edu/dentistry.

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

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an sleep have an impact on your health and wellness? Indeed it can. According to the U.S. Department of Health and Human Services, getting enough good-quality sleep can help protect your mental and physical health and quality of life. Reducing sleep by just two or three hours per night can have dramatic health consequences. Getting too little sleep puts you at risk for several chronic health problems, including diabetes, heart disease, obesity and hypertension. Sleep deprivation also affects your mood, productivity and learning capabilities. You may have trouble making decisions, solving problems and controlling emotions if you are sleep deprived. Driving drowsy is a serious problem, on a par with drunk driving; it is estimated to be a factor in about 100,000 car accidents each year, resulting in about 1,500 deaths. Sleep deficiency also has been linked to depression and suicide. When you sleep, your body and brain are repairing and restoring different systems, including your cardiovascular and immune systems. In particular, the brain forms new pathways to help you learn and remember information. For children and teens, sleep helps support their growth and development. Although sleep needs vary from person to person, experts with the American Academy of Sleep Medicine recommend infants aged 4 to 12 months sleep 12 to 16 hours a day (including naps); children aged 3 to 5 years should sleep 10 to 13 hours a day (including naps); teens aged 13 to 18 years should sleep eight to 10 hours a day; and adults over age 18 years should sleep seven to eight hours a day. Make getting enough sleep a priority. Go to bed and wake up at the same time every day, even on weekends. Staying up late and sleeping in late on weekends can disrupt the body’s internal sleep-wake cycle. Don’t exercise

and don’t eat heavy foods prior to going to bed. Also, avoid the stimulants nicotine and caffeine (including soda, coffee, tea and chocolate) in late evening. As well, don’t drink alcohol before turning in. Take a warm shower or bath or practice relaxation techniques. Put away your phone and turn off the TV and computer – their lights tell the brain to stay alert and awake. Make your bedroom inviting. Use soft, warm sheets and supportive pillows and mattresses. Don’t lie in bed watching TV; the light, motions and sounds will keep you awake or even prevent you from having the deep, restful sleep your body needs. Keep the bedroom temperature moderate – not too hot, not too cold. And keep it dark. Daytime naps can sometimes give you a boost in alertness and performance, as long as they are 20 minutes long or less. But if you have trouble falling asleep at night, limit your naps. If you’re worried about your sleep habits, write down how much you sleep each night, how rested you feel in the morning and how sleepy you feel during the day. Show the results to your doctor and talk about how you can improve your sleep. About the Author

A native of Ashland, KY, Dr. Henkel graduated from Transylvania University and the University of Kentucky College of Medicine. She joined Family Practice Associates of Lexington in 1996. Dr. Henkel’s goal as your family doctor is “to help you and your family maintain outstanding health and lead full, eventful lives.”

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 2040 Harrodsburg Rd., Ste. 300 • 859.278.5007 • Proudly serving Kentucky for over 35 years, Family Practice Associates of Lexington is a group of primary care providers who are dedicated to giving family-centered care from birth to later years.




January 2019


events JANUARY 2019

! W E N

Submit your healthy event listings:

Wednesdays Mindfulness and Relaxation for Health

Relax the body, quiet the mind, open the heart. Arrive 6:00-6:30 and deeply relax, instruction 6:30-8:00 PM. Mobilize inner resources for promoting health, preventing burnout and managing stress-related chronic disease. Study and practice in a supportive group. Gentle yoga, mindful movement, deep relaxation, sitting meditation and discus-

sion. Instructor: John A. Patterson MD, MSPH, FAAFP, Cost $10. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at

Thursdays Mindfulness-Based Stress Reduction (MBSR)

The “gold standard� mindfulness program. Orientation 6-8 PM Thursday night January 17th fol-

lowed by 8 Thursday night sessions 6:00-8:30 PM. Learn to promote resilience, prevent burnout, cultivate compassion and manage stress-related chronic conditions. Instructor: John A. Patterson MD, MSPH, FAAFP. Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at UK Wellness Program offers deep discount for UK employees, retirees and spouses.

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

Fridays Argentine Tango Passionate and Romantic- Mindful and Meditative. A uniquely transformative social skill, art form and movement therapy. No partner or dance experience required. Friday

For advertising information call 859.368.0778 or email | January 2019

evening 7:30-9:00 PM. You may drop-in to any class- this is not a series. Cost $10. Instructors: Dr. John Patterson and Nataliya Timoshevskaya. Mind Body Studio 517 Southland Drive, Lexington, KY 859-373-0033. Full details at http:// id=214.

January 5 Quit Smoking: FREE Class Are you ready to quit smoking cigarettes? Is 2019 your year to quit?! Join us for this FREE class! Let’s get a plan together. We’d love to support you in being successful. You’ll learn several healthy coping strategies and realistic healthy alternatives to help you manage withdrawal. You’ll leave class with a plan in place and the support you need to achieve this seemingly overwhelming goal! This class is a safe and non-judgemental place, don’t be afraid to join us. Preregistration is NOT required. Just show up and bring a friend who needs to quit with ya! Location: 1250 Winchester Rd, Lexington, 40505. Date: Sat., 1/5 at 2pm OR Sat., 1/12 at 2pm. For more info visit:

for runners and walkers of all experience levels. The training program features weekly group runs, training tips and nutritional information. The first 800 to register for the Norton Sports Health Training Program, and the Kentucky Derby Festival Marathon or miniMarathon, will receive a FREE Tech Shirt. Once tech shirts sell out, registrants will still be able to register to participate in the training program and receive the training manual, however shirts are only promised to the first 800 registered for both the race & training program. Visit /race-calendar.html for more information and to register.


January 9 Healthy Living for your Brain and Body

For centuries we’ve known that the health of the brain and the body are connected. But now, science is able to provide insights into how to optimize our physical and cognitive health as we age. Join us to learn about research in the areas of diet and nutrition, exercise, cognitive activity and social engagement, and use hands-on tools to help you incorporate these recommendations into a plan for healthy aging. The program will take place at the Woodford County Public Library located at 115 N. Main Street in Versailles on Wednesday, January 9th, from 2-3 p.m.  Registration is required; please call 800-272-3900. This program is provided by a generous grant from the Margaret T. Stoeckinger Foundation and the Alzheimer’s Association.

January 12 Quit Smoking: FREE Class Are you ready to quit smoking cigarettes? Is 2019 your year to quit?! (Please see "January 5" event description for details).

January 14 Memory Café The Memory Café is a monthly social group providing a safe, comfortable environment where people with memory loss and their care partners can enjoy time together and remain socially engaged with others traveling the same journey. Designed for people with memory loss and their caregivers; please no professionals. 2pm–4pm January 14. Please call April at 859-266-5283, extension 8179 for more details, including event location. This program is a collaborative effort of the Alzheimer’s Association and the UK Sanders Brown Center on Aging.

January 14 Effective Communication Strategies

Communication is more than just talking and listening – it’s also about sending and receiving messages through attitude, tone of voice, facial expressions, and body language. As people with Alzheimer’s disease and other dementias progress in their journey and the ability to use words is lost, families need new ways to connect. Join us to explore how communication takes place when someone has Alzheimer’s, learn to decode the verbal and behavioral messages delivered by someone with dementia, and identify strategies to help you con-


January 10 Norton Sports Health

Kentucky Derby Festival Training Program

The Norton Sports Health Kentucky Derby Festival Training Program is a FREE 15-week program designed

nect and communicate at each stage of the disease. The program will take place at the Lexington Public Library, Beaumont Branch located at 3080 Fieldstone Way in Lexington on January 15, 2019, from 10:30 - 11:30 a.m.  To register for this program, please call 1-800272-3900.  Registration is required.



will have two challenges entitled "Climb Big Blue" (A stair climb of the 31 story Big Blue Building) and "The Downtown Double Challenge" (A five story parking helix climb followed by a climb of the Big Blue Building). The event will feature chip timing, tech shirts (while supplies last) and overall & age group awards. Climbers will be sent off individually based on seeding. There will also be a special Military/ Public Service Division for our military/police/fire personnel. Visit /race-calendar.html for more information and to register.


January 17 New Year, New Attitude.

Finding a Healthy and Happy Mental Balance Bluegrass Care Navigators presents: James Haggie, LSW, BSW at Independent Living Café: Brookdale Richmond Place, 3051 Rio Dosa Drive. 12:00–1:00pm (lunch provided). Please call 859269-6308 ext. 103 to register.

January 26 Urban Mountain Challenge Come climb the Big Blue building for charity! Join us for the 6th Annual Urban Mountain Challenge on Saturday, January 26, 2019 at 8:30am at the Big Blue Building in downtown Lexington. This year we

February 2 Fight for Air Climb Louisville Fight for Air Climb Louisville is a signature event for the American Lung Association. Participants of all ages and fitness levels tackle National City Tower’s 38 flights to raise money for lung health and healthy air. Teams include friends, family, corporate, and firefighter units. Visit for more information and to register.

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January 2019



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

Possible Alzheimer’s Vaccine? Blood Test Could Diagnose Chronic Fatigue Syndrome Chronic fatigue syndrome (CFS) could soon be diagnosed by a blood test, say researchers at Stanford University School of Medicine. CFS, also known as myalgic encephalomyelitis (ME), is an inflammatory disease characterized by extreme tiredness, muscle pain, sleep disorders, headaches and flu-like symptoms. For decades the illness was dismissed as “yuppie flu” because no cause could be found. “I have seen the horrors of this disease, multiplied by hundreds of patients,” said Dr. Jose Montoya, a professor of infectious diseases and the study’s lead author. “It’s been observed and talked about for 35 years now, sometimes with the onus of being described as a psychological condition. But CFS is by no means a figment of the imagination. This is real.” Since CFS often occurs following an illness, infection or traumatic event, such as a car accident, scientists have suspected the immune system fails to shut down properly. The scientists analyzed blood samples from 192 patients with ME/CFS symptoms and compared them with samples from 392 healthy control subjects. The results showed the levels of immune system secretions called cytokines were lower in patients with mild forms of ME/CFS than in the control subjects, but elevated in patients with relatively severe cases. The new research is the first to show a concrete reason for CFS: chronic inflammation, driven by the immune system. Inflammation is the body’s way of responding to an invader. The research was published in the Proceedings of the National Academy of Sciences last summer.

A vaccine that arms the body to attack Alzheimer’s plaques and neurofibrillary tangles before they begin to shut down the brain was developed by researchers at the University of Texas Southwestern Medical Center in November. The vaccine targets both amyloid-containing plaques and tau, considered to be definitive identifiers of Alzheimer’s disease. The shot uses DNA from Alzheimer’s proteins to teach the immune system to fight these compounds and prevent them from accumulating in the brain. Prior vaccines were injected into the muscle and caused swelling in the brain. This vaccine is administered superficially into the skin and does not cause brain swelling nor does it induce inflammatory T-cell responses, says lead author Roger N. Rosenberg, founding director of the National Institutes of Health-funded Alzheimer’s Disease Center at UT Southwestern Department of Neurology and Neurotherapeutics. They hope to begin human testing soon. Their findings were published in the journal Alzheimer’s & Research Therapy.

The shot uses DNA from Alzheimer’s proteins to teach the immune system to fight these compounds and prevent them from accumulating in the brain.

January 2019




BELLY FAT IS ASSOCIATED WITH REDUCED COGNITIVE FUNCTION IN OLDER ADULTS It has been established that overweight individuals do not perform as well on tests of memory and visual-spatial ability as those of normal weight, but it wasn’t known how extra weight impacted older adults. Researchers from Trinity College in Dublin, Ireland, not only found older adults’ cognition can be impaired by excess weight, but where the weight is located matters. The researchers found a higher waist-to-hip ratio was associated with reduced cognitive function. A higher ratio of fat-free mass is likely a protective factor in cognitive degeneration. An increased secretion of inflammatory markers by belly fat has been previously associated with a higher risk of impaired cognition. “While we have known for some time obesity is associated with negative health consequences, our study adds to emerging evidence suggesting obesity and where we deposit our excess weight could influence our brain health. This has significant public health implications,” said Conal Cunningham, the study’s

senior author. The findings were published in the British Journal of Nutrition in August. Data from more than 5,000 adults over age 60 years indicates as waist-hip ratio increases, so do cognitive impairments. There has been growing evidence that obesity is linked to dementia. The National Institute on Aging,

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the National Heart, Lung, and Blood Institute and the National Institute of Neurological Disorders and Stroke enlisted researchers to investigate agerelated effects of obesity on dementia. It was the first study ever to specifically assess entire age ranges in the population of one country. Using anonymized data from hospital records for all of England from 1999-2011, the researchers looked for obese patients who had received care for or died from dementia. During those three years, 451,232 people admitted to a hospital were diagnosed with obesity. Early to mid-life obesity appears to be linked to heightened risk of dementia in later life, the researchers reported. People in their 70s with obesity were neither at heightened or lowered risk of developing dementia, while those in their 80s were 22 percent less likely to develop the disease, the findings indicated. There were some age differences between the risk of developing vascular dementia or Alzheimer’s disease; those in their 30s were at greater risk of both. A diagnosis of obesity in the 40s through the 60s

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was associated with an increased risk of vascular dementia, while the risk of Alzheimer’s disease was lower in those diagnosed with obesity from their 60s onwards. In this observational study, no definitive conclusions can be drawn about cause and effect. The findings confirm other, smaller studies that reported an increased risk of dementia in young people who are obese, but a reduced risk in older obese people. The researchers posit a possible explanation for the particularly high risk found in early to midlife: Heavier weight is associated with diabetes and cardiovascular risk factors, which are linked to a heightened risk of dementia. These results were published last summer in the British Medical Journal, JAMA and other journals. The findings have significant implications as the population of Americans with Alzheimer’s will more than double from the current 47 million Americans by 2060, according to the UCLA Fielding School of Public Health.


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January 2019




Where are you on the emotional mental health spectrum? Do you feel good about yourself and have good relationships? Are you able to bounce back from setbacks, cope with life’s challenges and keep problems in perspective? Good emotional health is important to overall health and wellbeing. When someone is in control of their thoughts, feelings and behavior, that person is considered to be emotionally healthy. This does not mean the person is happy all the time, but rather they are aware of their emotions and can deal with them, whether those emotions are positive or negative. Emotionally healthy people still feel stress, anger and sadness. If someone





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January 2019

offends them, they may feel hurt or put upon. If they have too many projects going, they may become frustrated or overwhelmed. If they are worried about something, they may lose sleep. But they know how to manage their negative feelings and they know what to do about the stress in their lives. They know when to seek help from a doctor or counselor. Research shows a link between an upbeat mental state and physical signs of good health. These include, according to FamilyDoctor. org, lower blood pressure, reduced risk of heart disease and a healthier weight. Pay attention to those things that makes you sad, frustrated or angry and try to address or change them. Let people close to you know when something is bothering you instead of keeping it bottled up inside. Try to change situations causing you stress. Learn meditation or use deep-breathing exercises to reduce your stress level. Developing resilience helps people cope with stress in a healthy way. Find a sane balance between work and play and activity and relaxation. Make time for the positive things in your life. Exercise regularly, eat healthy meals and get sufficient sleep. Avoid the overuse of drugs or alcohol.


We all need positive connections with others, so make it a point to go out with a friend or group periodically. Have someone over for dinner. Go to a movie with an acquaintance. Decide what is important in your life, what gives it meaning, and focus on that. Do what feels right to you. Be a person who forgives herself and others. Spend time with healthy, positive people. And above all, focus on everything that is a blessing in your life. People with good emotional health may still have problems. They could even have periods of depression or other mental issues. Counseling, support groups and medicines in conjunction with prayer and quiet time may help those with emotional problems cope. Sources and Resources

Family Doctor (

About the Author Jean is an RN with an MSN from the University of Cincinnati. She is a staff writer for Living Well 60+ and Health & Wellness magazines and will be publishing her first novel, Journey Toward Healing, through Amazon in early February 2019.

Good emotional health is important to overall health and well-being.

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January 2019

N AT U R E ' S

Aronia Berry DON’T GET ALL CHOKED UP LEARNING ABOUT THIS SUPER FRUIT By Tanya Tyler, Editor Health&Wellness While wandering around a street festival last fall, I came upon a booth where the vendor was extolling the taste and virtues of the aronia berry. Intrigued, I drew near to take a sample and see what the fuss was about. The cookies were tasty, sweet but not overly so. I wanted to learn more about aronia berries, so I checked out my usual sources, as well as some new ones. I learned from that aronia berries are also known as chokeberries (not to be confused with chokecherries). They are a powerful antioxidant, according to this Web site. (Antioxidants, of course, protect the body’s cells from the damaging effects of oxidation.) Heal With Food agrees, calling the aronia berry



“an antioxidant superstar” with the highest antioxidant capacity among berries and other fruits. The Midwest Aronia Association calls it “the superfruit of superfruits.” Because they are high in anthocyanin, which gives them their purpleblack color, aronia berries may be able to protect cells from oxidative damage caused by free radicals. They also have high levels of proanthocyanidins, which may help improve circulation. They are low in sugar and contain numerous beneficial minerals and vitamins. Aronia berry has been found to improve the function of the respiratory and digestive systems and protect heart cells from cell membrane damage and the liver from chemical damage. Eating aronia berries will not increase your blood sugar levels if you have diabetes, and some studies show they actually can lower those levels. Aronia berries also help promote urinary tract health, even more so than cranberries, because they contain higher doses of quinic acid, which has been proven to help prevent urinary tract infections. Aronia berries can help treat stomach problems such as gastric ulcers and diarrhea. They help keep blood pressure at a normal level. They help the body produce good cholesterol and can help you fight the battle of the bulge by preventing the body from storing fat around the abdomen. Packed with fiber, aronia berries may improve

bowel health. And last but not least, aronia berries fight bacteria and viruses and boost the immune system – just what you need at this time of year when cold and flu are rampant. Wow! Who knew so many benefits could come from one small berry! Aronia berry is native to eastern North America. If you happen upon an aronia berry bush while hiking, you can eat the berries right off the bush. Aronia berries are used in wine, tea, salsa, jams, juices and ice cream. They got the moniker of chokeberry because of their astringency. They are most frequently either red or black, so the purples are a hybrid. Aronia is generally available in juice, extract and powder form at health food stores. While there is still much research to be carried out about aronia berry and its benefits, it is currently ranked as one of the top eight in the “super fruits” category. It just may be the berry bandwagon you want to hop on. Sources

• Aronia Berry News ( • Body Nutrition ( • Heal With Food ( • Superberries (

For advertising information call 859.368.0778 or email | January 2019


By Angela S. Hoover, Staff Writer

Not-So-Healthy Canola Oil Billed as healthier because it’s low in saturated fat, canola oil has been a kitchen staple for decades. But a 2017 study suggests the oil could worsen memory loss and learning ability in Alzheimer’s patients. Canola oil increased the build-up of amyloid plaques and phosphorylated tau in the brain (these form the neurofibrillary tangles suspected in the Alzheimer’s brain) and decreased the level of amyloid beta 1-40, a peptide that protects neurons from damage. The amyloid plaques were accompanied by a significant decrease in the number of contacts between neurons, indicative of extensive injury. More study is needed to see if short-term use of canola oil can cause damage, and other studies are needed to determine how extensive the damage is. It also needs to be determined if these effects are specific to Alzheimer’s. “There is a chance the consumption of canola oil could also affect the onset and course of other neurodegenerative diseases or other forms of dementia,” said senior study investigator Prof. Domenico Praticò, director of the Alzheimer’s Center at Lewis Katz School of Medicine at Temple University. The study was published in the journal Scientific Reports. Most canola is chemically extracted using a solvent called hexane, and the heat that is often applied can affect the stability of the oil’s molecules, turning it rancid, destroying its omega-3s and even creating trans fats, says Dr. Guy Crosby with the Harvard School of Public Health. Trans fats are known to trigger systemic inflammation and raise the risk of developing heart disease and stroke.

Dirty Farm Water Tied to E. Coli Outbreaks Water can be contaminated by livestock or wildlife waste, and that fecal runoff can easily make its way into farming irrigation. Fruits and vegetables carry E. coli if they’re exposed to contaminated water, and crops eaten raw pose serious risks for E. coli infection. Congress passed legislation in 2011, slated to go into effect during the first quarter of 2018, that would require farmers to test irrigation water for pathogens. Pathogens from water can be absorbed by a plant’s roots. But six months before its implementation, the Federal Drug Administration (FDA) shelved the water testing requirements and is further considering allowing some produce growers to test less frequently or find alternatives to water testing to ensure the safety of their crops. Farm groups argue water testing is too expensive and should not apply to produce such as apples or onions because they are less prone to carrying pathogens. Postponing water testing rules saves growers $12 million a year, but costs consumers $108 million per year in medical costs, according to an FDA analysis. After two major E. coli breakouts in the last half of 2018, food safety scientists were dumbfounded by the FDA’s lack of urgency to require farm-water testing. Last April’s Yuma outbreak affected 210 people in 36 states. In 2011, more than 200 people in 24 states were sickened with E. coli, resulting in five deaths. “The Yuma outbreak emphasizes the urgency of putting agricultural water standards in place, but it is important that they be the right standards, one that both meet our public health mission and are feasible for growers to meet,” FDA spokeswoman Juli Putnam said. University scientists say farmers have not shared water data with them as they try to figure out how to avoid future outbreaks. A study by FDA researchers this past May noted salmonella in irrigation water has become a public health concern. Presently, irrigation water testing is merely voluntary.

There is a chance the consumption of canola oil could also affect the onset and course of other neurodegenerative diseases or other forms of dementia




January 2019

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

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


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

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January 2019


Mental Health Screenings Can Help the Family EARLY IDENTIFICATION IS BEST By Jamie Lober, Staff Writer

Screenings are available around the clock online.

The National Alliance on Mental Illness (NAMI) strongly urges people to get a mental health screening – the earlier the better. The alliance reports approximately 50 percent of chronic mental health conditions begin by age 14 years and 75 percent begin by age 24 years. NAMI wants to bridge the gap between the time symptoms are reported and when people seek help. Early identification seems to be the clear answer. While you can always ask your pediatrician or family doctor for an assessment, you can take one in the comfort and privacy of your own home. Screenings are available around the clock online. If you go to a reputable Web site, you can trust the information you find. “Our screenings at Mental Health America are actually clinical tools, which are things you would get at a doctor’s office,” said Marcie Timmerman, executive director of Mental Health America of Kentucky in Lexington. “We have a depression test, anxiety tests and even a psychosis test if someone is concerned they may be having psychotic symptoms.” The advantage to online screening is you can take the test as many times as you wish. “Some people are using anxiety screenings to measure how severe it is day to day,” Timmerman said. “We strongly encourage the workforce screening test.” This takes a look at your work environment to see how it may be affecting your mental health. You can screen for bipolar, eating disorders or PTSD. There are even addiction tests to help gauge whether your drinking is normal or problematic. You can also make an assessment of your child. “There is a parent test that uses your opinion of your child and how you feel they are feeling to gauge whether or not to see a therapist or psychiatrist,” Timmerman said. The parent is asked to observe if the child feels sad or unhappy, is down on himself or fidgety. Children as young as 8 years old are able to self-report symptoms such as having difficulty listening to rules or sharing well. Once you have results, you are not expected to solve your issue alone. “I always encourage people to share the baseline information with their doctor even if [the assessment] is not indicating they need assistance,” said Timmerman. When you take an online test, you are helping the state gather more and improved data about mental health. “The more data we have, the more accepted it is,” Timmerman said. “It is a way to eliminate the stigma of mental health.” People are seeing more positive depictions of mental wellness these days, but there remain several things to clear up. “We are still talking about mental health in relation to violence, which is largely inappropriate because most people who commit violent issues are not mentally ill,” Timmerman said. “People with mental illness are more likely to be victims rather than perpetrators.” Your entire family can benefit from mental health screenings. “Everyone should be checking on their mental wellness,” Timmerman said. “We want it to be an equalizer and a normal part of lives.”


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Health&Wellness January 2019  

Mental Health

Health&Wellness January 2019  

Mental Health