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Vol. 14 • Issue 2 • November 2016

Lung HEALTH Inside this issue Children and Pneumonia

Psychological Issues of COPD

Sing for Your Lung Health


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

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WRITERS Angela S. Hoover Jean Jeffers Dr. Tom Miller

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FEATURES

COLUMNS

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Various Elements Cause Lung Infections

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INTEGRATIVE MEDICINE Using Antibiotics Wisely

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HEARING Tinnitus (TINN-a-tus)

Complications of Pneumonia: What You Need to Know

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Overview: Keeping Your Lungs Healthy

Harleena Singh Tanya J. Tyler (editor)

COLUMNISTS/GUESTS John A. Patterson MD, MSPH, FAAFP

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CONTENTS

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NOVEMBER 2016: LUNG HEALTH

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November 2016

MIND BODY STUDIO

Dr. Brewer

AUDIOLOGY ASSOCIATES

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When Children Have Pneumonia

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Understanding the Psychological Issues of COPD

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Sing for Your Lung Health

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What is ARDS? Traumatic disease makes breathing difficult

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FAMILY DOC Lung Cancer Screening is Important

Rachel McCord PROOF FITNESS

FITNESS The 4 Most Underrated Exercises You Should Be Doing

Lauren Ashley German

HIGHGROVE AT TATES CREEK

Dr. Rick Graebe

FAMILY EYECARE ASSOCIATES AND VISION THERAPY

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Dr. Johnston

SENIOR LIVING The Search for Senior Living: The Starting Line

Warning Signs of Lung Disease

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Vaping Vs. Cigarettes Which is Safer?

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FAMILY VISION Vision Is Learned – and it can be Relearned

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10 Ways to Protect Your Lungs Breathe better and reduce your risk of lung disease

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NEWS MAKERS Clips from Current Health News

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Why Do Some Non-Smokers Get Lung Cancer and Some Smokers Don’t? Answer could lie in genetics

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FOOD BITES

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NATURE'S BEAUTY Peanuts

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RECOVERY There are Many Paths to Recovery

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INJURY CARE Concussion Symptoms and Treatment

RECOVERY WORKS

Howard D. Markowitz, MD

BLUEGRASS INJURY CARE CENTER

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

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

DEPARTMENTS Events Calendar

FROM THE

EDITOR

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

Dear Friends, We sometimes take automatic body functions for granted. Do you ever stop and think about how you breathe? Do you ever pause to be consciously aware of the air going into your lungs and then flowing back out into the atmosphere? Mindful breathing is one of the basics of yoga, and it’s easy to see how taking a moment to concentrate on something you do thousands of times over your lifespan can make you slow down and appreciate every breath you take. This month’s issue of Health & Wellness is all about lung health, covering topics ranging from COPD to pneumonia to

how singing can improve lung health. Learn the signs and symptoms of lung disease, and hear us iterate the age-old time-tested tried-andtrue admonishment for lung health: DON’T SMOKE! As you read and learn, remember the saying: Life is not made up of the moments you take a breath, but of the moments that take your breath away. Here’s to your health,

Tanya

Health&Wellness is a proud product of

ROCKPOINT Publishing

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

859-368-0778 e-mail brian@rockpointpublishing.com © Copyright HEALTH&WELLNESS Magazine 2016. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.

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November 2016

Laughing is a great exercise to increase lung capacity.

Overview: Keeping Your Lungs Healthy QUITTING SMOKING, TAKING VITAMINS CAN IMPROVE LUNG HEALTH By Harleena Singh, Staff Writer The lungs are essential respiratory organs, situated near the backbone on either side of the heart. They work continuously to keep out dirt and fight off germs. However, many harmful substances can damage the airways and threaten the lungs’ working ability, which can lead to lung diseases. Some common lung diseases are tuberculosis, asthma, bronchitis, pneumonia, cystic fibrosis, chronic obstructive pulmonary disease (COPD), emphysema, acute respiratory distress syndrome (ARDS) and lung cancer. There are many things you can do to keep your lungs healthy. Making simple lifestyle changes, embracing healthy habits and incorporating dietary changes can help your lungs. Quit smoking, if you smoke. Even secondhand smoke is highly toxic and can cause damage to your lungs and your overall health. Try to improve indoor air. A late 1980s NASA study found several houseplants act as natural air purifiers because they filter out

common volatile organic compounds (VOCs), including benzene, formaldehyde and trichloroethylene. Plants should be in 10- to 12-inch pots and you need to use at least two plants per 100 square feet of space. Get indoor plants such as aloe vera, ferns, spider plants, peace lilies and dracaenas. Keep the foliage dust free, and don’t overwater the plants; this may lead to mold growth, and mold is not good for lungs. Practice breathing exercises. Practice deep-breathing exercises, which strengthen your lungs and help clear out toxins that may have built up in them. Sit in a quiet, relaxing place. Close your eyes and breathe deep through your nose. Count to five, slowing your inhaling the entire time. Hold your breath for a few seconds, then exhale slowly. Repeat this exercise six to eight times daily to cleanse your lungs and keep yourself stress free. Laugh. Laughing is a great exercise to increase lung capacity. It clears your lungs by forcing stale air out and allows fresh air to enter more areas of the lungs.

Keep your house as free from dust as possible. Dust is difficult for anyone with lung problems. Get rid of dust magnets such as drapes and carpeting. Vacuum regularly. Play an instrument. Learn to play a wind instrument such as the tuba, oboe, flute, saxophone, mouth organ or clarinet to improve your lung health. Use your lungs’ capacity to the fullest when you play these instruments. This gives your lungs a regular workout and helps improve their air capacity. Singing also works the diaphragm and keeps your lungs healthy. You could also try to blow up a few balloons daily, using deep breaths, to increase lung capacity. Eat antioxidant-rich foods. Eat lots of antioxidant-rich foods, which are good for your lungs. A 2010 study found people who consumed the most cruciferous vegetables, such as cauliflower, cabbage, broccoli, kale and bok choy, had half the risk of developing lung cancer compared to those who consumed the least amount. Take vitamins D and B. Try taking vitamin D and vitamin B. A study presented at the recent annual meeting of the American Thoracic Society showed people with COPD might benefit from taking high doses of vitamin D. Miek Hornikx, a physical therapist and doctoral student at the Catholic University of Leuven in Belgium, reported that 50 COPD patients given high doses of vitamin D (100,000 international units)

monthly in addition to standard rehabilitation showed improved exercise capacity and respiratory muscle strength. According to a study published in the Journal of the American Medical Association, having a higher blood level of certain B vitamins is linked with a substantially lower risk of lung cancer. Including good sources of vitamin B6, folate and methionine in your daily diet may help lower lung cancer risk by maintaining healthy DNA. Vitamin B6 is found in a variety of foods, including chicken, rainbow trout, tuna, salmon, chickpeas, ready-to-eat breakfast cereal, avocados, bananas and baked potatoes. Folate-rich foods include lentils, black beans, cooked spinach, broccoli, asparagus, avocados and artichokes. There’s some evidence that consuming more than two drinks a day increases lung cancer risk, even in people who have never smoked. Alcohol metabolizes to acetaldehyde, a known carcinogen. It may also disrupt folate levels in the body, damage lung cells and DNA and impair the liver’s ability to detoxify carcinogens. If you drink, limit your intake to one a day for women and two a day for men. About the Author Harleena Singh is a professional freelance writer and blogger who has a keen interest in health and wellness. She can be approached through her blog (www.aha-now.com) and Web site, www.harleenasingh.com. Connect with her on Twitter, Facebook and Google+.


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Various Elements Cause Lung Infections Learn about pneumonia, bronchitis, other conditions By Harleena Singh, Staff Writer

The lungs are exposed to many potentially infectious agents, but serious infections rarely occur, a testament to the extraordinary natural defenses of the respiratory tract. A lung infection can be caused by various elements. It can be very painful and uncomfortable. The most common infections are bronchitis, asthma, pneumonia and tuberculosis. They can arise from the presence of microorganisms such as fungi and bacteria or viruses that are present in the lungs. You need to treat the infection before

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it worsens and grows into a more severe problem. Lower respiratory tract infection is the more common name for pneumonia. It can trigger other health problems as well. Pneumonia can occur due to various factors such as a nosocomial infection or the environment. It usually affects those who have a weak immune system, such as the elderly, children and pregnant women. Bronchitis is usually caused by a viral infection, though it may arise from the presence of bacteria.


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The most common infections are bronchitis, asthma, pneumonia and tuberculosis.

Some common symptoms of a viral lung infection are a cough, mild fever, sore throat, a runny nose and occasionally an earache. Other rare symptoms include wheezing, dehydration and difficulty breathing. In severe cases, a person with a viral lung infection may display blue lips. A bacterial lung infection is mainly the result of methicillinresistant Staphylococcus aureus (MRSA). The most common symptom, in this case, is inflammation, which is a result of the release of histamine by infected cells. This causes swelling in addition to the production of mucus. Skin irritation may also occur, making the patient’s skin appear red and dry and feel itchy. Other symptoms include shortness of breath, cough, fever, aches, pains, chills, tiredness and urinary tract infections. A lung infected by Candida can result in a condition similar to the flu and pneumonia. Common symptoms are a cough, sore throat, mild fever, fatigue, muscular pain and runny nose. A pseudomonas lung infection is also a bacterial infection but it mainly occurs in patients who are very ill. Pseudomonas aeruginosa, the bacteria that causes this condition, is known as an opportunistic

pathogen, meaning the bacteria usually does not cause illness unless the patient’s immune system is already compromised. Tsunami lung, also known as melioidosis, is another bacterial lung infection. If it is not treated with antibiotics, the infection can travel through the bloodstream to the brain, where it can produce abscesses and cause neurologic problems, including paralysis. Usually, antibiotics and antiviral medications are given to cure lung infections. These can be accompanied by fever reducers and cough medicines. A lung infection can be contagious. If you are around someone with a lung infection, wash your hands as often as possible with soap and water or use a hand sanitizer. You can try to prevent getting a lung infection by soaking in a warm bathtub to improve your breathing, especially if you add a few drops of eucalyptus oil. A humidifier can help your body combat the infection; the warmed mist can loosen mucus. A hot compress can also help get rid of thick mucus. Quit smoking because this makes the mucus worse. Deep-breathing exercises help improve blood flow and prevent lung infection. Refrain from

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strenuous activities that could put extra stress on your chest and lungs. Drinking warm water, herbal teas and broth helps reduce the buildup of mucus and soothes the back of the throat. Crushing a garlic clove and swallowing it with some water also helps, since garlic is known for being a natural antibiotic. Cloves and ginger combined help fight lung infection as well. Polyphenols, present in green tea, help reduce swelling in the lungs and that makes breathing easier. See a doctor if you are suffering from a lung condition, especially if any of the symptoms described above worsens or if you have a fever of over 102 degrees F (39 degrees C), find it hard to breathe and if you have a persistent cough with or without pus. Seek medical aid if you are over 65 years old, if a child showing these symptoms is less than 2 years old, if you have other health conditions or a compromised immune system, if you are undergoing chemotherapy or are on medication that affects your immune system.

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Complications of Pneumonia: What You Need to Know

COMMON INFECTION CAN BE EFFECTIVELY TREATED By Dr. Tom Miller, Staff Writer Pneumonia is a common lung infection caused by bacteria and viruses that are present in the air we breathe. The immune system usually fights these

invaders off, preventing them from infecting the lungs, but there are occasions when the germs can overpower the immune system. Pneumonia has been known throughout human history. Hippocrates and Maimonides recog-

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nized pneumonia in the early history of medicine. Today pneumonia can be treated effectively with medications, but complications can present serious problems for vulnerable individuals. High-risk groups include infants, children, the elderly and those who are immune impaired. Pneumonia and its symptoms can vary from mild to severe. One of the most serious complications is pleural effusion, which is the accumulation of fluid in the thin space between the layers of tissue that line the lungs and chest cavity. When this fluid accumulation becomes infected, you may need to have it drained through a chest tube or surgically removed. Another complication involves bacteria that enters the bloodstream from the lungs. When this occurs, the infection can spread to other organs, potentially causing organ failure. With a lung abscess, pus forms in a cavity in the lung. The abscess is usually treated with antibiotics. Sometimes surgery or drainage with a long needle or tube placed into the abscess is needed to remove the pus. When the pneumonia is severe or a person has chronic underlying lung diseases, the individual often develops breathing difficulties. This is when a ventilator becomes necessary to help the patient breathe while the infected lung heals.

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Pneumonia and its symptoms can vary from mild to severe.

Under normal circumstances, only air should enter the airways. Aspiration pneumonia occurs when a person inhales food, drink, vomitus or saliva into the lungs. It is more likely to happen if something is preventing the normal gag reflux. It can occur as a result of a brain injury, stroke, cerebral palsy, a swallowing problem or excessive use of alcohol or drugs. Some individuals, such as people with cerebral palsy, may find

viruses and bacteria get into their lungs through the mouth and cause repeated incidences of aspiration pneumonia. The epiglottis makes food travel toward the esophagus and away from the trachea. If the epiglottis doesn’t close the way it is supposed to, this causes a gag reflex, which can result in the deterioration of the epiglottis. When it does not work correctly, aspiration pneumonia can occur

because food and liquid carrying bacteria enters the lungs. Individuals who are at risk for pneumonia should discuss prevention and vaccination with their primary care physician. Vaccinations protect against certain bacterial and viral pneumonias both in children and adults. About the Author Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scien-

tist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

Sources and Resources • Centers for Disease Control (www.cdc.gov) • Mayo Clinic (www.mayoclinic.org)

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Using Antibiotics Wisely By John A. Patterson MD, MSPH, FAAFP Is it necessary, or even safe, to take an antibiotic for your next illness? This question is becoming a routine part of conversations between consumers and health providers. The way we answer this question has serious implications. Consumers and health care providers are both being urged to help achieve the goals of good medicine and public health: making a correct diagnosis, using antibiotics only if the diagnosis warrants and avoiding harm to patients and the general public caused by unnecessary antibiotic use. The overuse of antibiotics is contributing to an alarming increase in antibiotic resistance, leading to the emergence of untreatable, potentially fatal “superbugs.” The more bacteria are exposed to antibiotics, the more they develop resistance to them. Many bacteria that were previously susceptible to antibiotics have developed resistance that makes them difficult or impossible to treat. It is estimated that 11 million (or over half) of the prescriptions for

U.S. antibiotics written each year are unnecessary, with roughly 12 percent called in over the phone without an examination. Medical and public health authorities are sounding the alarm as antibiotic-resistant infections cause 2 million illnesses and 23,000 deaths in the United States each year. Many additional deaths result from other conditions complicated by an antibiotic-resistant infection. Responding to calls from the medical and public health communities, President Barack Obama created in 2014 the Task Force for Combating Antibiotic-Resistant Bacteria. Highlighting this issue’s importance, the Secretaries of Defense, Agriculture and Health and Human Services co-chair the Task Force. The Centers for Disease Control and Prevention (CDC) has designated Nov. 14-20, 2016 as Get Smart About Antibiotics Week. This annual observance raises awareness of the threat of antibiotic resistance and the importance of appropriate antibiotic prescribing. CDC director Thomas Frieden says, “We must be diligent stewards of antibiotics, protecting this precious resource in doctors’ offices,

homes and farms so that they are available to help us and our children in the future.” The global importance of antibiotic resistance is underscored by simultaneous international observances, including European Antibiotic Awareness Day, Australian Antibiotic Awareness Week and Antibiotic Awareness Week in Canada. Most coughs, colds and upper respiratory illnesses are caused by viruses – not bacteria. Antibiotics kill bacteria – not viruses. Therefore, it is important to use scientifically based guidelines and sound judgment to determine whether an ear, sinus, throat or chest condition is caused by bacteria or a virus. While it is not always possible to distinguish between viral and bacterial conditions, there are guidelines that help consumers, parents and clinicians make wise choices. Health care providers often treat specific symptoms (such as fever, aches and congestion) with rest, saltwater nose drops, humidification and lots of warm liquids. There is little evidence that over-the-counter cough and cold medications help children, though they can cause side effects, including death. Even many childhood ear infections resolve without antibiotics. Therefore, health care providers may not prescribe antibiotics unless the ear infection persists or worsens. Four out of five sore throats are caused by viruses and do not require antibiotics. An office exam can determine the likelihood of a bacterial infection (strep throat), which requires an antibiotic. The Infectious

Diseases Society of America recommends antibiotic use only when a strep throat is confirmed by a throat swab. Many “sinus infections” are not infections at all but are caused by allergies and may respond to allergy medication. When an infection is present, it is more likely to be viral rather than bacterial. However, there is no easy test to distinguish viral from bacterial sinusitis. Even the presence of colored mucus from the sinuses does not reliably predict a bacterial infection. Since 80 percent of sinus infections resolve within two weeks without treatment, current guidelines advise against using antibiotics in the first week of symptoms, unless the symptoms worsen after initial improvement. Although coughing can be caused by many different conditions, the majority of coughs that accompany seasonal respiratory illnesses are not caused by bacteria and do not respond to antibiotics. The CDC recommends health care providers use the term “chest cold” in their efforts to explain that bronchitis is usually caused by a virus and typically resolves on its own. Safety is a common goal of consumers and their health care providers, as we all try to avoid causing harm. Many consumers are unaware of the potential harm from antibiotics even when they are prescribed appropriately. Antibiotics are the most common cause of allergic drug reactions. These reactions can be serious and even fatal. Antibiotic-associated colitis can cause a diarrheal illness that can be life-threatening, especially


November 2016

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The overuse of antibiotics is contributing to an alarming increase in antibiotic resistance, leading to the emergence of untreatable, potentially fatal “superbugs.”

in the elderly. Asthma occurs more frequently in children born to women who received antibiotics during pregnancy. Many women develop vaginal yeast infections from antibiotics, requiring another medication to treat the vaginitis, increasing overall cost and the risk of an allergic reaction to the second drug. Health care providers and consumers have both contributed to antibiotic resistance and its alarming consequences. We are both being called upon to have frank conversations as we all strive for medical care that is safe, effective, scientific, economical, individualized, patient-centered and socially conscious. Sources and Resources • Obama Administration Takes Actions to Combat AntibioticResistant Bacteria. www.whitehouse.gov/the-pressoffice/2014/09/18/fact-sheet-obama-administration-takesactions-combat-antibiotic-resistan • Get Smart About Antibiotics. Centers for Disease Control and Prevention (CDC). www.cdc.gov/getsmart/

About the Author Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is board certified in family medicine and integrative holistic medicine. He is on the family practice faculty at the University of Kentucky College of Medicine and the University of Louisville School of Medicine, Saybrook University’s School of Mind Body Medicine (San Francisco) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers integrative medicine consultations. He can be reached through his Website at www.mindbodystudio.org.

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The Willows at Citation 859-277-0320 • 1376 Silver Springs Drive • Lexington, KY Cedar Ridge Health Campus 859-234-2702 • 1217 US Highway 62E • Cynthiana, KY trilogyhs.com •


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Cedar Ridge Health Campus 859-234-2702 • cedarridgehs.com • Cynthiana, KY The Willows at Citation 859-277-0320 • willowsatcitation.com • Lexington, KY The Willows at Hamburg 859-543-0337 • willowsathamburg.com • Lexington, KY

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November 2016

When Children Have Pneumonia Is your child at risk for contacting pneumonia? By Harleena Singh, Staff Writer

Pneumonia is an infection of the lungs. Usually it follows an upper respiratory tract infection, with symptoms starting after two or three days of having a cold or a sore throat. It then moves to the lungs. Fluid, white blood cells and debris start to gather in the air spaces of the lungs and block the smooth passage of air, making it harder for the lungs to work well. Since most forms of pneumonia are linked to viral or bacterial infections that spread from person to person, it is most common during the fall, winter and early spring, when people spend more time indoors in close contact with others. Pneumonia claims the life of a child every 20 seconds. A child’s risk of catching pneumonia increases due to premature birth, poor nutrition, lack of immunizations, breathing secondhand smoke, asthma, certain genetic disorders, heart defects, a weak immune system and spending time in a crowded place. Newborns and infants may not show typical signs of pneumonia infection. Their symptoms may include vomiting, paleness, crying more than usual and being limp, lethargic, irritable or restless. Pneumonia caused by certain bacteria, including Chlamydophila pneumoniae and Mycoplasma pneumoniae (known as atypical or walking pneumonia) usually results in milder symptoms and is prevalent among school-age children. Children with walking pneumonia may not feel sick enough to stay home, though they could have symptoms such as tiredness, headache, dry cough and a lowgrade fever. Viruses cause most pneumonia cases in preschoolers who are between the ages of 4 months and 5 years. The symptoms they display are usually a cough, sore throat, lowgrade fever, diarrhea, nasal congestion, loss of appetite and tiredness or lack of energy. Bacterial pneumonia is common among school-age children and teens and develops more abruptly than a cold or virus. Symptoms include a high fever, a cough that produces yellow or green mucus, flushed skin, wheezing, sweating or chills, dif-

ficulty breathing and a bluish tint to the lips or nail beds. Children who have been recently hospitalized or have asthma or chronic illness, use antibiotic frequently or have not been fully vaccinated against certain illnesses such as chicken pox, rubella, whooping cough, Haemophilus influenzae type B or seasonal flu are at a greater risk of developing pneumonia. The only sure way to know if a child has pneumonia is to see a doctor. The viruses and bacteria that cause pneumonia are contagious and are usually found in the fluid that secretes from the mouth or nose of someone who is infected. That person can spread the illness by coughing or sneezing. Sharing drinking glasses and eating utensils and touching the used tissues or handkerchiefs of an infected person also can spread pneumonia. Children usually get routine immunizations against H. influenza and whooping cough beginning at 2 months of age. Vaccines are now also given to fight against pneumococcus, a common cause of bacterial pneumonia. The American Academy of Pediatrics recommends all children starting at 2 months of age receive this immunization (called pneumococcal conjugate or PCV13). A series of doses needs to be given at two, four, six and 12 to 15 months of age at the same time children receive other childhood vaccines. The flu vaccine is recommended for all children ages 6 months to 19 years old, especially for those with chronic illnesses such as heart or lung disorders or asthma. Those with HIV infection might receive antibiotics to prevent pneumonia caused by Pneumocystis jirovecii. It is best to keep children away from anyone with symptoms of a respiratory infection (stuffy or runny nose, sore throat, cough, etc.). A child usually takes a few weeks to recover fully from pneumonia. The cough may last one to two weeks or longer. Though most children recover fully from pneumonia, a few may need specialized treatment for complications.


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

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A child usually takes a few weeks to recover fully from pneumonia.

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mplimentary hearing consultation!

963.2958

gy ist st y

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HEARING

–COLUMN PROVIDED BY–

Lexington • 259 Southland Dr 859.963.2958 | kyhearing.com

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

Tinnitus (TINN-a-tus) By Dr. Brewer, Audiology Associates Tinnitus is the perception of sound when no external stimulus is present. The U.S. Centers for Disease Control estimates approximately 15% of the general public, that is over 50 million Americans, experience some form of tinnitus. Of that, nearly 20 million individuals struggle with chronic tinnitus that is considered a burden, while 2 million have extreme tinnitus that is often debilitating. There are two types of tinnitus, subjective and objective. Subjective tinnitus is tinnitus that is perceived by only the patient. It cannot be heard externally; only by the individual. According to the American Tinnitus Association, more than 99% of all tinnitus cases reported are subjective. Objective tinnitus are noises that are audible to many individuals at one time. These sounds can often including hearing circulatory (blood flow) systems. This type of tinnitus occurs in less than 1% of all tinnitus cases. Many describe tinnitus as a “ringing in the ears” but there are actually thee different ways to describe one’s tinnitus; tonal, pulsatile or musical tinnitus. Tonal tinnitus is a type of subjective tinnitus that can be described as a ringing, humming, buzzing, whistling, clicking, swooshing or chirping sound. The volume at which these tonal sounds occur can vary. Pulsatile tinnitus is a form of objective tinnitus that is described by the pulsing nature of the sound. The pulsing is typically in sync with an individual’s heartbeat. If this type of tinnitus is experienced, please contact a physician so they can ensure there is no circulatory cause.

Musical tinnitus is the perception of music or singing. This is also known as Musical Ear Syndrome and is quite rare. Tinnitus can manifest in one or both ears, occurring intermittently or continually. The cause of tinnitus Tinnitus is a symptom of an underlying health condition. For most individuals, tinnitus is associated with damage to the ear or auditory system; however, there are roughly 200 different health disorders that can cause tinnitus as a symptom. We are going to talk about the most common causes of tinnitus. If there is concern about why an individual has hearing loss, it is pertinent they discuss this with their medical provider to determine the root cause. Hearing Loss. Permanent, sensorineural hearing loss is often associated with tinnitus; specifically age-related hearing loss and noise-induced hearing loss. Age related hearing loss often starts around 60 years of age and tends to affect both ears, specifically targeting the high frequencies. Noiseinduced hearing loss is caused by exposure to loud sounds. This includes noise from work (i.e. farming, construction, heavy machinery), hobbies (i.e. motorcycles, woodworking, concerts, shooting range) and/or by accident (i.e. traumatic noise). Obstructions in the Middle Ear. Excessive ear wax, foreign objects or dirt and head congestion can cause the perception of tinnitus due to an imbalance of pressure between different areas of the ear.

Temporomandibular Joint Disorder. The temporomandibular joint (TMJ) is where the lower jaw connects to the skull and is located in front of the ears. Damage to the muscles, ligaments or cartilage in the joint can lead to tinnitus. Traumatic Brain Injury. The brain’s auditory processing areas are damaged and can generate the symptom of tinnitus. This is a major cause for tinnitus regarding are men and women in the military. Approximately 60% of all tinnitus cases diagnosed by the U.S. Veterans Administration are attributable to mild-to-severe traumatic brain injuries. Ototoxic Drugs. Tinnitus is a side-effect to many prescription medications. Often, a patient stops experiencing tinnitus once the medication is discontinued. This should be discussed with the prescribing physician before doing so. Other medications can cause more permanent tinnitus symptoms and including specific antibiotics, some cancer treating medications, water pills, diuretics, and quinine-based medications. Again, if an individual is worried about their medications being the cause of tinnitus, please speak with the prescribing physician first. Impact of Tinnitus on an Individual Many patients have expressed tinnitus negatively impacting their life. Tinnitus can interfere with the ability to work and socialize and has also been associated with anxiety, sleep disturbances, frustration, lack of concentration, social isolation, depression and mood swings.

Treatment Tinnitus is still being investigated by researchers as to determine the location of where it is occurring in the brain. One common theory behind tinnitus is that it is the brain’s way of filling in for missing sounds it no longer receives from damage. Due to this research still taking place, there is no FDA approved cure for tinnitus. With that being said, there are treatment options that can ease the perceived burden of tinnitus. Current treatment options include hearing aids, cochlear implants and sound therapy. These options can help individuals gain some relief. If you or someone you know experiences tinnitus, take the first step by contacting an Audiologist. For further information, feel free to visit the American Tinnitus Association (www.ata.org). About the Author Dr. Brewer completed her Doctor of Audiology degree at the University of Louisville’s School of Medicine and her undergraduate degree in Speech Pathology and Audiology at Miami University in Oxford, OH. She is licensed by the state of Kentucky as an audiologist and hearing instrument specialist. She is also a member of the American Academy of Audiology, Academy of Doctors of Audiology, Kentucky Academy of Audiology and American Speech-Language-Hearing Association.   Dr. Brewer specializes in diagnostic audiologic evaluation as well as hearing aid services, including selection, fitting, and follow-up care. Her passion is to provide her patients with the most appropriate form of treatment for their hearing health care.


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

TINNITUS PEOPLE WITH TINNITUS 90% OF ALSO HAVE HEARING LOSS. Tinnitus affects 1 in 5 people. Tinnitus can be caused by hearing loss, an ear injury, or a circulatory system disorder.

HEART HEALTH

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

THE INNER EAR IS EXTREMELY SENSITIVE TO BLOOD FLOW.

TOTAL-BODY

HEALTH

BEGINS WITH

TIMES

HYPERTENSION

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

EYE HEALTH

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

SAFETY/BALANCE

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

SMOKING

BETTER HEARING

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

HEALTH

DIABETES

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

OBESITY

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

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

OTOTOXICITY

OSTEOPOROSIS A study linked osteoporosis and hearing loss, theorizing that demineralization of the three middle-ear bones may contribute to a conductive hearing impairment. 259 Soutland Dr • Lexington 859.277.0491

THERE ARE MORE THAN 200 MEDICATIONS ON THE MARKET TODAY THAT ARE KNOWN TO CAUSE HEARING LOSS (TOXIC TO THE EARS). The list of known ototoxic drugs includes: • Aspirin • Some anticancer drugs • Quinine • Some anesthetics • Water pills • Environmental chemicals • Certain antibiotics like carbon monoxide, hexane, and mercury

Sources: The National Institutes of Health (NIH) | National Institute on Deafness and Other Communication Disorders (NIDC) | National Council on Aging (NCOA) | Sergei Kochkin, Ph.D. The Impact of Treated Hearing Loss on Quality of Life - Better Hearing Institute, Washington, D.C. Retrieved from: www.betterhearing.org/hearingpedia. Frank Lin, M.D. (2014 January 22) Hearing Loss Linked to Accelerated Brain Tissue Loss. Johns Hopkins Medicine News Release. | Ha-Sheng Li-Korotky, Au.D., Ph.D., M.D. (2012) Age-Related Hearing Loss: Quality of Care for Quality of Life. The Gerontologist, Volume 52, Issue 2: 265-271 | Karen J. Cruickshanks, Ph.D.; Ronald Klein, M.D.; Barbara E. K. Klein, M.D.; Terry L. Wiley, Ph.D.; David M. Nondahl, M.S.; Ted S. Tweed, M.S. (1998) Cigarette Smoking and Hearing Loss: The Epidemiology of Hearing Loss Study. JAMA. 998;279(21):1715-1719. doi:10.1001/jama.279.21.1715 | Hull RH, Kerschen SR. (2010) The influence of cardiovascular health on peripheral and central auditory function in adults: a research review. Am J Audiol. 2010 Jun;19(1):9-16. doi: 10.1044/1059-0889(2010/08-0040). | De Moraes Marchiori LL, de Almeida Rego Filho E, Matsuo T (2006) | Hypertension As a Factor Associated with Hearing Loss. Braz J Otorhinolaryngol. Jul-Aug;72(4):533-40. Babich M., Hoffmeister D. & Doughty, A. (2009). Osteoporosis and Conductive Hearing Loss: A Novel Model of Clinical Correlation. Retrieved from: PHILICA.COM Article number 148. | American Tinnitus Association, ATA.org | www.mayoclinic.com/health/tinnitus/DS00365 © 2016 Audigy Group LLC. All rights reserved. 81705-820 2/15 POST3101-01-EE-AY

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VISION HELPS YOU IDENTIFY WHERE A SOUND IS COMING FROM.

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

November 2016

www.AGXhearing.com


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Lung Cancer Screening is Important By Lindsey Clickner, APRN, Family Practice Associates According to the U.S. Preventive Services Task Force (USPSTF), lung cancer is the third most common cancer and the leading cause of cancer death in the United States among both men and women. Each year, more people die from lung cancer than colon, breast and prostate cancers combined. The most important risk factor for lung cancer is smoking. It is the cause of approximately 85 percent of all U.S. lung cancer cases. Smoking prevalence has decreased in the past several years, but approximately 37 percent of American adults are current or former smokers. Other risk factors for lung cancer include specific occupational exposures, radon exposure, family history and a history of pulmonary fibrosis or chronic obstructive lung disease. The incidence of lung cancer increases with cumulative exposure to tobacco smoke. It occurs mostly in people who are 55 years of age or older. Lung cancer has a grim prognosis. Almost 90 percent of the people who develop it will die of the disease. In 2012, the American Cancer Society (ACS) estimated there were about 226,000 people newly diagnosed with lung cancer

and 160,000 deaths. The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) for adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. (A pack year is one pack of cigarettes a day for one year.) The ACS says there is good evidence lung cancer screening saves the lives of people at high risk (20 percent in the largest carefully controlled study) when the screening is done by experienced, high-volume lung cancer screening programs. Most lung cancer cases are nonsmall cell lung cancers (NSCLC). The majority of screening programs focus on the detection and treatment of early-stage NSCLC. LDCT has shown high sensitivity and acceptable specificity for the detection of lung cancer in high-risk persons. The USPSTF has found adequate evidence that annual screening for lung cancer with LDCT in a defined population of high-risk persons can prevent a substantial number of lung cancerrelated deaths. Of course, your best preventive tool is to never start smoking or quit now. The ACS lists the following as some of the signs and symptoms of lung cancer:

• A cough that does not go away or gets worse. • Coughing up blood or rustcolored phlegm. • Chest pain that is often worse with deep breathing, coughing or laughing. • Hoarseness. • Weight loss and loss of appetite. • Shortness of breath. • Feeling tired or weak. • Infections such as bronchitis and pneumonia that don’t go away or keep coming back. • New onset of wheezing. If you go to your doctor when you first notice symptoms, your cancer may be diagnosed at an earlier stage, when treatment is more likely to be effective. If you are con-

sidering having a lung cancer screening, be sure to discuss with your health care provider all the possible benefits, risks and harms, which include false-negative and false-positive results. About the Author Lindsey Clickner joined Family Practice Associates of Lexington this past September. Born and raised in Lexington, Lindsey is married with three boys. She received her Bachelor’s degree in Nursing in 2004 from Regis University in Colorado. She graduated from Gardner Webb University in May 2016 with a Master’s degree in Nursing and is Board Certified as a Family Nurse Practitioner.


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November 2016 –COLUMN PROVIDED BY–

FITNESS

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

The

Most Underrated Exercises You Should Be Doing

By Rachel McCord, Proof Fitness Personal Training Director As a fitness professional in a commercial gym I've seen most of the exercises you could ever imagine. With the wide world of exercise selection floating around the air in the gym as well as on the internet, it can be over whelming choosing which exercises your should into your personal program. In this article, I have compiled a list of exercises that are underrated and underused. Read on to find out which exercises you may have been skipping over that you should start adding into your routine! 1. Foam rolling I have been singing the praises of myofascial release techniques to clients and members for years now. Whether you're looking to improve athletic performance or improve your poor posture due to desk work, utilizing a foam roller is a must. Fascia, the connective tissue that encases the muscles and other internal structures, can become tight due to trauma, poor posture, or inflammation. When fascia becomes so tight that it decreases mobility, your range of motion is decreased both in and out of the gym. Decreased range of motion predisposes you to less effective movement at best and injury at worst. I recommend a high density, 36 inch roller for the most versatility and a moderate amount of pressure. Some fitness facilities offer classes on myofascial release that incorporate

foam rolling and various other techniques to release fascia properly. Additionally, any qualified personal trainer who is up to date on the latest and greatest of the fitness industry should be able to prescribe exercises specific to your fascia issues. 2. Face Pulls This exercise is one that has many benefits from both an aesthetic and postural standpoint. For those looking for and increase in size and density of the deltoid (shoulder) muscle as a whole, face pulls are great for rounding out the back of the shoulder as it meets the upper back. For those who seek postural benefits, face pulls strengthen the muscles across the entire upper back including the rear delt which can go a long way in correcting forward rotation and rounding in the thoracic spine. Although many of the lists of "most effective exercises" currently being circulated 3. Scapular Retraction Variations I categorize this exercise as a "great return for very little investment" movement! Both pushing and pulling movements require healthy shoulder movement; that means everything from push ups and pull ups to closing your car door and lifting the laundry basket. If the scapula (shoulder blades) do not move well due to poor posture, muscle imbalances, or injury, workouts and daily life skills will be less effective at best and dangerous at worst. I like to have clients begin with scapular

retraction and protraction with hands against a wall, eventually progressing to an incline plank, full plank, and even hanging variations. Strengthening the muscles used to retract and protract the scapula including the low traps, rhomboids, and serratus anterior is imperative for those who want to optimize shoulder function especially if they regularly find themselves in poor postural alignment. Because every pushing/pulling motion begins in the shoulder girdle with the scapula, it's important to understand how to isolate and move them well. 3. Monster Band Hip Hinge The shoulders and hips are currently tied for most improperly used and trained joints in the gym and daily life. A large majority of the public lacks not only the knowledge of how to execute a proper hip hinge but often also the mobility and strength to do so. Before getting clients under a barbell and any kind of heavy weight, I stress the importance of learning a hip hinge. One excellent tool for teaching the mechanics and strengthening the prime movers in the posterior chain i.e. hamstrings, glutes, and spinal extensors, is the monster band hip hinge. I secure a monster band to something sturdy like our queenax functional trainer, have the client step into the loop and position the band around their hips. The client will step forward until there is tension on the band and perform a hip hinge slowly and with control. Once the hips are fully in flexion, the client extends the hips by engaging the muscles of the posterior chain and will hold a glute contraction for approximately

2 seconds at the top of the motion. The hip hinge is a movement that beginners and seasoned lifters alike need to go back to on a regular basis. 4. Cat Cow In recent years more and more typical gym goers, cardio bunnies and meat-heads alike, have embraced the benefits of practicing yoga. One of my favorite poses is cat-cow or Bitilasana. This goes along with the scapular retraction exercises mentioned earlier but with more emphasis on strengthening the core. Many people who lead sedentary lifestyles report lower back pain which can be traced to a weak core and posterior chain. Cat cow pose works to strengthen the transverse abdominis, the deep layer of abdominal muscles that work to stabilize the internal organs and spine. It also mobilizes the shoulder blades and thoracic spine which, as I discussed, is key to safe shoulder movements patterns. Finally, if performed with proper breathing patterns, cat cow has also been shown to stimulate the adrenal glands and have a calming effect on the central nervous system. Using this movement as a warm up for the spine before weight lifting, putting space between the vertebrae after a long distance run, or even as a break from sitting at your computer are all great ways to improve spine and core health. If any of these exercises are unfamiliar to you or you would like more information on how you can optimize your fitness routine, please contact one of the fitness professionals at Proof!


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

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Senior Living Placement Local business owner helps families navigate senior living choices Finding a senior living community for a loved one can be difficult and can cause loved ones and family members great frustration and, often times, disappointment. That is what Susan Neville, owner of Lexington’s newest Senior Living Placement service, saw when she was working in the industry over the last 8-plus years. She has worked in all levels of care including independent living, assisted living, personal care, skilled care, home care and memory care. “I saw a need that families have when they are faced with these decisions. I took a leap in faith and started Silver Lexington. I saw the need to have someone local (I am a Lexington native) who knows the senior living industry and use my knowledge to help seniors and their families. This can be a very overwhelming process.” That is what Ruth Perry realized before she met Susan. “One of the biggest advantages to using a senior living placement service like Silver Lexington is that the owner, Susan Neville is local. Having her knowledge on all the senior living communities was very beneficial for me. I was still in physical therapy rehab when I met Susan, she was readily available to come and meet with me. After our meeting, Susan set up appointments for her and I to go and tour different senior living communities. I had very specific needs and Susan narrowed down my choice to a couple of communities that were most appropriate for me. Having someone to accompany me on the tours and having the guidance was great… but her personality is what connected me.” Ruth Perry, client of Silver Lexington The senior population is growing and so are the senior living communities in Lexington. “There is a misconception that a nursing home is the only option for seniors. That is so far from the truth. Lexington and surrounding counties have some great communities with more opening soon. There are a lot of advantages to senior living communities such as maintenance-free living, restaurant style dining, transportation, social engagement and exercise,” says Susan.

One of the biggest advantages to using a senior living placement service like Silver Lexington is that the owner, Susan Neville is local. Having her knowledge on all the senior living communities was very beneficial for me.

— Ruth Perry

About Silver Lexington If you would like to learn more about Silver Lexington and how they can help you whether it be an immediate need or one in the distant future give Susan Neville a call at 859-351-5890. Stay connected and follow on Facebook @silverlexingtonseniors. Find additional information on www.silverlexington.com

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

Understanding the Psychological Issues of COPD Seek help for symptoms of depression, anxiety By Dr. Tom Miller, Staff Writer Chronic obstructive pulmonary disease (COPD) makes it difficult to empty air out of the lungs. About 64 million people worldwide carry a diagnosis of COPD. In the United States, about 15 million adults have COPD. There is a growing body of research evidence (Burgess, Kunik, Stanley, 2005) that COPD is a physical condition with significant psychosocial consequences. The stigma arises because individuals’ behavior, such as smoking, is associated with those who have COPD, holding them responsible for their disease. To add to this, persons with COPD are often supplied

with oxygen equipment. They experience some bodily changes and sometimes face a disruption in their social interactions. Having COPD can create for both patient and family

an extremely distressing lifestyle. For the patient, CPOD can result in anxiety, panic and, in some cases, functional depression because of breathing difficulties. Anxiety is sometimes displayed in restlessness, muscle tension, loss of concentration and irritability. Physical symptoms such as shortness of breath, chest pains, tingling sensations, trembling, feelings of faintness and choking can perpetuate the patient’s anxiety and lead to panic disorder. Professional care may be necessary if the symptoms persist. Failure to discuss these complications with your primary care physician or health care provider can lead to more serious mental health issues. The symptoms of depression associated with COPD include loss of interest or pleasure in everyday activities, sleep disturbances, weight changes, fatigue, poor con-

COPD is a physical condition with significant psychosocial consequences.

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@healthykentucky

centration and, in some rare cases, thoughts of death. There are effective treatment options that can help you manage COPD. Treatment choices include both drug and non-drug protocols that are suitable for emotional problems. The non-drug treatment options include short-term psychotherapy and cognitive behavioral interventions. It is often beneficial for both patient and caregiver to participate in this level of care. A credentialed psychotherapist can help the patient and caregiver better understand the links between the symptoms of COPD itself, psychological overlying factors and managing COPD. Sources and Resources • Berger, P. (2006). Social changes and stigma in chronic obstructive pulmonary disease. www.uic.edu/nursing/ research/research/abstracts/behavioral.htm#berger1 • Burgess, K. Kunik, S. and Stanley, B. (2005). Chronic obstructive pulmonary disease: Assessing and treating psychological issues in patients with COPD. Geriatrics, 1818-1821.


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Sing for Your Lung Health Patients improve when learning vocal techniques By Angela S. Hoover, Staff Writer

Research has shown singing can ease breathlessness that stems from such conditions as asthma, chronic bronchitis, COPD and emphysema. Britain’s top hospitals, including the Harefield Hospital and Royal Brompton Hospital in London, have been using Singing for Breathing classes to treat lung-ailment patients since 2013. Singing workshops include techniques on how to relax the stomach muscles. They mirror the same techniques used by physiotherapists to teach people with chronic respiratory problems, according to Dr. Nicholas Hopkinson, consultant respiratory physician at Royal Brompton Hospital. But adding singing to these techniques makes it all the more fun. People who struggle to breathe adapt their breathing patterns to help them get as much oxygen as possible. There are helpful and harmful breathing adaptions. An example of a harmful adaptive breathing technique is taking short, shallow breaths. To combat this, singing workshops teach patients to relax the stomach muscles, allowing air to be drawn into the whole upper body while using the same muscles to support the breath going out. The classes also work on slowing down the outgoing breath, which increases oxygen absorption in the body. Gentle stretches to release tension across the body are also incorporated. Singing techniques emphasize breathing methods for certain compromised patients, teaching them to not put full force into the first millisecond of breathing and helping them learn how to pass air across the vocal cords steadily over time. They also learn to use the muscles of the upper body, along with improved posture, to hit the notes correctly. And it’s better than a karaoke night – no one cares who can or cannot sing well. Singing therapy has been backed by two research trials carried out at the Royal Brompton Hospital. The research looked at the physical and psychological impact of weekly singing therapy on patients with respiratory diseases, compared to a group attending a weekly film club and those receiving standard medical treatment. Using a quality-oflife measurement known as the SF36 score, it was found in trials that singing produced a significant improvement in physical health. It’s not just the British who are singing for lung health. The University of

Saskatchewan started group therapy singing sessions in 2011 for COPD patients to improve their breathing techniques. “People who sing for a living have better control of their breath and more lung capacity – they breath differently,” said Donna Goodrige, RN, a nursing professor at the university. Evidence for singing to improve lung functions goes back even further to a 2010 study done at the Southern Illinois University School of Medicine. It showed daily singing helped reduce shortness of breath in COPD patients. Gasping for air makes a breathing problem worse and can even lead to a build-up of carbon dioxide in the blood, which can result in respiratory failure. On the flip side, singing techniques encourage a deeper, more controlled breath. Practicing singing techniques over time can improve the whole musculature around the lungs. Trained singers can hold notes longer than the average person because they know how to optimize their lung capacity. Vocal coach Claire Alsop suggests visualizing your lungs expanding by holding your arms in front of you like a ballerina, then moving them outward as you breathe in. Keep the shoulders down and knees bouncy with feet slightly apart at the “10 to two” position (like the hands on a clock). Breathe out with a “teff” sound and feel your diaphragm pushing the air out. Patients can practice various singing techniques alone or in a group setting, making it a social activity that builds confidence and staves off loneliness.

Your LOCAL resource for Senior Living in Lexington and Surrounding Communities!

Before you begin your search for senior living... Do you need help navigating the complicated options of in-home health care, assisted living, memory care of independent living? We’ve worked in senior living for over ten years and can save you time and money when searching for placement for your friend or loved one.

Call Silver Lexington! Our service is free to you. 859.351.5890 | www.silverlexington.com It is my mission to help guide your family through what may be a very difficult time because I have been there. – Susan Neville, Owner: Silver Lexington


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

NOVEMBER 2016

Ongoing Al-Anon

Free support group for anyone affected by someone else’s drinking. Local meetings and information at www.LexingtonAl-Anon.org or call 859.277.1877.

Thursdays:

Mindfulness-Based Stress Reduction (MBSR) 8 week Thursday series beginning with orientation October 13th. The "gold standard" mindfulness course. Learn to promote resilience, prevent burnout, cultivate compassion and manage stress-related chronic conditions. Instructor: John A. Patterson MD, MSPH, Mind Body Studio 517 Southland Drive, Lexington, KY 859373-0033. Full details at www.mindbodystudio.org/?page_id=1262 UK employees see Wellness Program benefits here- https://www.uky.edu/hr/ wellness/bewell/mindfulness-basedstress-reduction

ages and levels of physical condition. 10:30am–11:30am. Donation only (great portion of all donations go to the Backpack Food Program at Ashland Elementary.) Inspiring, Educating & Supporting our World through the Moving,  Visual & Healing Arts! Daily classes, therapies, workshops & a great spot to host your next event! 309 N Ashland Ave Ste.180, Lexington, KY 40502. 859-721-1841. www.centeredlex.com

Tuesdays

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

Mondays

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

Mondays & Wednesdays MELT Method Hand, Foot and Body Healing Class by Shayne Wigglesworth

Mondays and Wednesdays at 12pm - Discover pain-free living at any age! Enjoy a gentle foam roller class to reduce pain, inflammation, stress, anxiety and more! MELT Method certified instructor Shayne Wigglesworth will teach you healing techniques you can use for self care at home. All materials and rollers are provided. Perfect for all ages, body types and experience levels. Learn more at www.centeredlex.com or call 859-721-1841

Tuesdays

Community Flow This weekly restorative class integrates gentle yoga, breathing techniques, meditation and wellness tips for all

Tuesdays

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

1st Tuesdays

Lupus Support Group: Living & Coping with Lupus The Lupus Foundation of America support groups are intended to provide a warm and caring environment where people with lupus, their family members, caregivers and loved ones can share experiences, methods of coping

and insights into living with chronic illness. Imani Baptist Church, 1555 Georgetown Road, Lexington from 7:00pm–8:00pm first Tuesday of every month. 877-865-8787. www.lupusmidsouth.org

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

2nd Tuesdays

PFLAG Support for LGBTs and Families We are a support group of family members and allies united with LGBTQ* individuals. Our meetings provide a safe, confidential space where you can feel respected and accepted wherever you are in your journey or family struggle. Monthly speakers help us to broaden our understanding of these issues in our families and in society. Lexington meetings are held the 2nd Tuesday of each month, 6:30 at St. Michael’s Episcopal Church, 2025 Bellefonte Drive. Frankfort chapter meets the 3rd Monday of the month, 5:30 at the Unitarian Community, 316 Wilkinson Blvd. More information and resources at www.pflagcentralky.org For questions, call 859-338-4393 or info@pflagcentralky.org. *lesbian, gay, bisexual, transgender, queer and questioning.

Wednesdays

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

Call or visit website for reservations.

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

2433 Regency Road. Free weight-loss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

November 9

Fayette County Diabetes Coalition Monthly Meeting 3 pm, Public Health Clinic South, 2433 Regency Rd, Lexington. Open to anyone interested in enhancing diabetes awareness and education in the community. For more information, or to attend, call 859-288-2347.

November 10

Veterans Aid & Attendance Seminar Join us to learn more about the Veterans Aid and Attendance Pension which provides benefits that reduce the cost of care for veterans and surviving spouses who require assisted living. A light breakfast will be provided. 10-11am at the Lexington Public Library, Eastside Branch, 3000 Blake James Drive, Lexington, KY 40509. Please RSVP to Lauren Ashley by November 7th at 859-245-0100.

Fridays

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

November 10

November 1

AARP Smart Driver Safety Course

12 – 1 pm, Lexington-Fayette Co. Health Department PH Clinic South,

EVENTS Continued on page 29

Eat, Move, Lose Weight Support Group

This safety course discusses the changes that occur with aging and how that


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

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

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

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

Spouse Loss Support Group Tuesdays 6-7:30pm. Hospice of the Bluegrass. A five-week support group for individuals who have experienced the loss of a spouse or significant other. Contact Lexington office at (859) 277-2700 for more information or to register.

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

Free Transportation to Cancer Screening Fayette County residents can receive free transportation through HealthLink Transit, a partnership between Kentucky Pink Connection & the Lexington--Fayette Urban County Government. Transportation provided by taxi or gas cards to cancer screening. Call (859) 309-1700 to arrange a ride.

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

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

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

Survivors of Suicide First & third Tuesday of the month, 6-7:30pm, Center for Grief and Education. For adults affected by the loss of someone by suicide. Contact the Lexington office at (859) 2772700 for more information or to register.

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

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

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

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

ANAD Overcoming Eating Disorders Support Group Free support group for people who want to improve their relationship with food and body image. Safe, comfortable place. Facilitated by Megan Roop, RYT, supervised by Tina Thompson, MS, RD, LD, Bluegrass Nutrition Counseling, sponsored by ANAD. Introduction meeting on October 3 from 7:15-8:30pm at Bliss Wellness Center, 2416 Sir Barton Way, Ste 125. 8 week session Oct 17-Dec 5 from 7:15-8:30pm. Contact Megan Roop 561-779-0290 for details.

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

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

Mind Body Studio The Mind Body Studio is a service of John A. Patterson MD, MSPH, FAAFP, certified in family medicine, integrative medicine, mind body medicine and integral yoga, Dr. Patterson specializes in stress-related chronic disease and burnout prevention for caregivers and helping professionals. Mind body skills and lifestyle behaviors may help prevent and provide safe, effective and affordable relief of chronic conditions that are often poorly controlled by conventional medicine alone. Our integrative medicine consultations, group classes, workshops and coaching can help you meet your unique health and wellness needs through experiential education to help you mobilize your natural healing ability by integrating mind, body, spirit and our relationship to each other and the earth. Visit our website to schedule an appointment with Dr. Patterson or see a schedule of classes in yoga, mindfulness, meditation, Pilates and dance. “Mindful, empowered self care is the heart of healing” 517 Southland Drive, Lexington 859-373-0033 www.mindbodystudio.org

Monthly Reiki Classes

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

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

Taoist Tai Chi Society

Ongoing Journey Circle

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

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

Free Cardio Classes

Consumer Support Groups (Individuals with a Mental Illness) Every Sunday, 869 Sparta Court, Lexington. 2:30-4:00pm. 859-309-2856 for more info. NAMI Lexington is a local affiliate of NAMI, the “National Alliance on Mental Illness”  we provide numerous support groups and recovery programs for families and Individuals living with mental illness.

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

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


SENIOR LIVING

–COLUMN PROVIDED BY–

highgrove at TATES CREEK

4251 Saron Drive, Lexington, KY 859.245.0100 | HighgroveAtTatesCreek.com

The Search for Senior Living:

truly something for everyone. The search for senior living is a process take your time, remember that this is your decision and feel empowered by the fact that you are in control of your future.

THE STARTING LINE

About the Author

nities! Make a list of communities that meet your criteria, prepare your questions and make preliminary contact by phone or email. This will help you narrow your list down and determine which communities you’d like to visit in person. 5. Schedule a tour (or two) In-person visits are extremely by Lauren Ashley German, Highgrove at Tates Creek important when it comes to making an informed decision. Don’t be afraid to ask questions and take careful notes. Consider asking a friend or family Choosing a in the monthly rent at a community. member to join you. When you arrive, senior living com- Also keep in mind other financial munity can be an resources that may be available to you, are you greeted promptly? Do the staff overwhelming such as long-term care insurance or the take time to get to know you so they can best meet your needs? Does it feel process. Whether you are looking for Veterans Aid & Attendance Pension yourself or a loved one or whether you which is available to veterans and their like a place you could call home?   are planning for the immediate or dissurviving spouses in need of assisted If your first tour isn’t what you tant future, these five steps will get you living. Fees and expenses are different expected, don’t be discouraged. Every started on the right track. at every senior living community so community is different and there is   when collecting information be sure 1. Determine the level of care   you get a clear picture of what the rent Make a checklist of everything you includes. need from a community in terms of   assisted services. This list may include 3. Niceties vs. necessities meal preparation, assistance with Think about what you are looking bathing, medication management, for in regards to amenities and desires. housekeeping or transportation. Or Then make two lists – first, your perhaps you don’t need any services at “must- haves” which should include this time, but are looking to downsize whatever is non-negotiable in makwhile removing the stress of home ing this move. Perhaps it’s important maintenance from your life. This step for you to stay close to your current is important because it will help you neighborhood or that the community narrow down the type of community is pet friendly. Next, make a wish list and level of care you need. Keep in of those things you hope to find in a mind any current health issues as well community, such as a fitness center, as future concerns – it’s important to gardening space or restaurant-style plan for today and tomorrow. dining. These should be items that   you’d like to have, but are willing to 2. Set your budget live without. Take a careful look at your finances   and know what you are comfortable 4. Do your research spending each month. Remember that Now that you’ve determined the many of your current expenses, such level of care needed, created your as taxes, utilities and maintenance of checklists and set your budget, you are your yard and home, may be included ready to start reaching out to commu-

Lauren Ashley German is the Community Relations Director at Highgrove at Tates Creek, a premier senior living community opening fall of 2016. Formally with the Alzheimer’s Association, Lauren Ashley has had the privilege of working with families across Kentucky dealing with all levels of dementia as well as the senior living communities that serve them. Lauren Ashley can be reached at 859-245-0100 or lagerman@traditionsmgmt.net.

Take your time. Remember that this is your decision.


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

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EVENTS continued from page 26 can affect driving. Held on the second Thursday of every month from 11:30am–4:00pm at Don and Cathy Jacobs Health Educational Center, UK HealthCare's Chandler Hospital Pavilion A, 1000 S. Limestone Street, Lexington, KY. Call for reservation (859) 323-1890. $15 for AARP members, $20 non-members. Those who complete the course should be eligible for automobile premium discount through their car insurance providers for at least three years.

bags, Mary Kay, Short Stuff Gifts, jewelry and hand-crafted items. Morning Pointe Senior Living Center: 150 Shoreside Drive, Lexington, KY.

November 22

Health Chats About Diabetes 10 – 11 am, The Refuge Clinic, 2349 Richmond Road Suite 220, Lexington. Free. Join us to discuss tips to manage and control diabetes in practical ways. For more information, call 288-2446. Sponsored by the Lexington-Fayette Co. Health Dept.

November 15

November 29

12 – 1 pm, Lexington-Fayette Co. Health Department PH Clinic South, 2433 Regency Road. Free weightloss support group appropriate for anyone wishing to lose weight or maintain weight loss. Share struggles and ideas with others. Held first and third Tuesdays most months. For more information or to pre-register, call 288-2446.

Are you interested in learning more about end-of-life care? Are you curious about the vast array of services Hospice of the Bluegrass offers? Join us for our monthly Lunch & Learn series on the last Tuesday of each month at noon for an informative conversation about our work. Lunch will be provided and each session will be led by a knowledgeable Hospice of the Bluegrass administrator. This overview will touch on how hospice services work and the services provided. This is a free event. Register by emailing or calling (859) 296-6895.

Craft and Vendor Show Public are welcome to tour the facilities and enjoy the craft/vendor show from 10am-3pm. Show includes Tastefully Simple, Coach Purses,

If you are hosting a health-related event that is free to the public, list it here for FREE! (Events that are not free to the public can be posted in our calendar for $35). E-mail your event date, location, description and contact information: brian@rockpointpublishing.com

Hospice of the Bluegrass Lunch & Learn

Eat, Move, Lose Weight Support Group

November 19

Send us your event listings

November 22

Reiki Practice & Introduction to Reiki 6:30pm- 8:30pm. 2508 Wallace Avenue, Louisville, KY 40205. Free.  Those with Reiki come to practice & receive the Reiki energy. Those who do have not Reiki training—come for an introduction/question & answer.  Contact JoAnn Utley at 502777-3865 orjutley5122@bellsouth. net to register.  More info at  http:// joannutley.byregion.net

It’s time for your new beginning. Residential Treatment for Drug and Alcohol Abuse Intensive Outpatient Program Medically Assisted Inpatient Detoxification Home-like Environment

3107 Cincinnati Road, Georgetown, KY 40324

502-570-9313

Call the Recovery Works Admissions team today!

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FAMILY VISION

–COLUMN PROVIDED BY–

Family Eyecare Associates 105 Crossfield Drive, Versailles, KY 40383 859.879.3665 | www.myfamilyvision.com

to correct visual-motor and/or perceptual-cognitive deficiencies. Vision therapy helps individuals develop normal coordination and teamwork between the eyes. Supervised therapy sessions include procedures designed to enhance the brain’s ability to conby Dr. Rick Graebe, trol eye alignment, eye tracking and eye teaming, eye focusing abilities, eye Family Eyecare Associates and Vision Therapy movements and/or visual processing. The vision therapist will use specialized computer and optical devices, Vision involves parents and physicians can see some over 70% of the eye problems, usually only a complete including therapeutic lenses, prisms and filters. Visual skills are reinforced neural pathways eye exam can reveal how the child is and made automatic through repetiof the brain. Vision is more than eye really seeing. tion and integration with motor and sight. Vision is the only body system Early treatment of amblyopia is that continues to develop after birth. generally simple, involving eyeglasses, cognitive skills. The therapy rehabilitates the brain, creating new pathways, Vision involves the way the eyes and eye drops, eye patching and vision and helps it readjust the compenbrain interact. It takes approximately therapy. Vision therapy (neurothree years for the eyes to learn how visional perceptual therapy) can help sation techniques it has learned. Scientific research shows children to work together. When they do stimulate the brain to relearn how to not, it can result in the eyes turning see. Visual therapy creates an environ- respond quickly to this treatment protocol; the average patient will show in (esotropia) or out (exotropia), ment where the brain receives more crossed eyes (strabismus) or lazy information and feedback about what over a 3-year jump on their skill levels eye (amblyopia). To correct these the eyes and the visual system can do. in just 30 weeks. The American Optometric problems, the brain must learn how This type of individualized, superAssociation recommends preschool to use the eyes together – in essence, vised treatment program is designed the patient must relearn how to see. Fortunately, the brain is quite resilient and adaptable, and with vision therapy, problems can be effectively Vision therapy (neuro-visional treated and the patient can achieve normal eyesight and healthy vision. perceptual therapy) can help The period from birth to age 6 development is critical for vision. stimulate the brain to relearn Anything that interferes with clear vision in either eye during this period how to see. can result in amblyopia. If one eye sees clearly and the other eye sees a blur, the brain will suppress or ignore the eye with the blur. However, the child who has a problem with his or her vision does not know he or she is not seeing properly. The brain compensates for the problem and the child gets used to the way he or she sees, thinking it is “normal.” While

Vision Is Learned –

AND IT CAN BE RELEARNED

children receive a complete vision exam at the ages of six months, three years and five years. A comprehensive eye exam will test visual acuity at near, eye-teaming skills, eye-focusing skills, eye-movement skills and letter and word reversal frequency. This is important because vision problems can lead to learning difficulties. Children who have visual perception disabilities have trouble making sense out of what they see because of the way their brains process visual information. Early detection and correction of visual dysfunctions can have a tremendous impact on a child’s ability to see, read and learn. 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.


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

Rethinking Fusion RNA and Cancer The assumption that so-called chimeric RNA – genetic material that results when genes on two different chromosomes produce fusion RNA – is a sign of cancer is now being questioned. Hui Li, PhD, with the University of Virginia Department of Pathology and his colleagues at the UVA Cancer Center have demonstrated work that shows fusion RNA is not always indicative of cancer. Rather, these fusions can be a normal, functional part of genetic programming. “This is actually a doubleedged sword for cancer diagnosis and treatment,” Li said. “It basically says the old practice of finding any fusion RNA and claiming it’s a cancer fusion is over. We can’t just say, ‘OK, we found a fusion, it must be a cancer maker, let’s translate it into a biomarker (to detect cancer).’ That’s actually dangerous because a lot of normal physiology also has fusion RNAs. There’s another layer of complexity.” In an essay published in the journal Trends in Cancer, Li wrote: “This is the main concept we want to let the field of cancer biology know: This kind of thing exists in normal physiology. It’s not cancer specific. There’s a danger to assuming everything is cancer. Don’t rush to judgment about all of these chimeras you find in cancer cells, because they could occur in normal cells.” The thinking on fusion RNA has been so instilled as to be a law, and Li wants to overturn it. “Traditionally, there have been all these assumptions coming back to the central dogma that genetic information is passed from DNA to RNA to proteins,” he said. “Because the gene is defined as the molecular unit of hereditary information, people don’t assume the units of their RNA and protein products can mix with each other.” Even Li was initially skeptical when the results bore out the normality and functionality of fusion RNA. “It was hard for us to believe at first. We were surprised to see such a thing could occur in normal physiology and at such a high frequency.” How or why these fusions occur or how frequently they do so is still unknown. Li is creating a database of naturally occurring fusions to help identify normal chimeras from the ones that might be signs of cancer.

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MAKERS Factor in Crohn’s Disease Cause Found Biological Link Found Between Zika Infection and Guillain-Barré Syndrome Scientists with six Columbian hospitals and Johns Hopkins Medicine researchers say they believe they’ve found the strongest biological evidence to date linking Zika virus infection and GuillainBarré syndrome. While epidemiology data have long suggested a close relationship between the two, this study supports the correlation with immunological and viral evidence of Zika infection in a substantial number of people with Guillain-Barré. Guillain-Barré is a rare, potentially paralyzing disorder of the nervous system that appears days to weeks after infection with viruses or bacteria. It’s called a postinfectious immune condition because it occurs when a person’s immune system attacks the myelin sheaths that protect the body’s nerve cells, often resulting in muscle weakness, pain, sensory deficiencies and, in some cases, paralysis. This study is believed to be the largest of its kind to document the role of Zika infection in increased rates of Guillain-Barré, according to Carlos A. Pardo, M.D., associate professor of neurology and pathology at the Johns Hopkins University School of Medicine and an expert in neuroimmune and infectious diseases, including GuillainBarré. The work was published in the Oct. 5 issue of The New England Journal of Medicine.

New research from the Case Western Reserve University School of Medicine has found possible causes of Crohn’s disease. The underlying cause of Crohn’s disease is unknown. It is believed to be due to a number of factors, including genetics and a malfunctioning immune system. Previous research has shown certain bacteria are linked to the disease. The Case Western team now believes fungi may also play a role. Fecal analysis of Crohn’s and Crohn’s-free patients showed strong fungal-bacteria interactions in those with Crohn’s disease. Two bacteria – E. coli and Serratia marcescens – and one fungus called Candida tropicalis were significantly higher in Crohn’s patients than the healthy subjects. The researchers believe these bacteria and fungus interact in the intestines. They work together to produce a biofilm that adheres to the intestines and can lead to inflammation, which causes the symptoms of Crohn’s disease. The researchers suspect these organisms evolved together so they could protect each other. It was also observed that the sick patients had significantly lower numbers of beneficial bacteria in their guts than the healthy participants. The researchers caution against assuming the bacterial and fungal makeup of the intestines are the sole causes of Crohn’s disease; other factors are likely to play a role as well. Crohn’s disease affects about 700,000 Americans. It is a debilitating, chronic inflammation of the gastrointestinal tract that causes severe abdominal pain, persistent diarrhea, weight loss and fatigue. There is currently no cure for the condition, which can sometimes cause life-threatening complications.


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

What is ARDS? Traumatic disease makes breathing difficult By Jean Jeffers, Staff Writer Acute respiratory distress syndrome or ARDS is a disease in which fluid leaks into the alveoli, the tiny air sacs in the lungs where oxygen is delivered. It causes distress, making it hard to breathe adequately, and results in poor oxygenation of the cells. The fluid in the lungs makes it difficult to properly inflate the lungs, which is necessary for the exchange of gases (oxygen and carbon dioxide) to occur. This hampers respiratory movement, making breathing that much more difficult. This situation is very dangerous and may rapidly deteriorate. Impaired oxygen supply to the tissues sometimes causes respiratory failure. Such a catastrophic event calls for special assistance to the patient. Patients with respiratory failure are generally placed on a ventilator or machine that breathes for them. The ventilator provides high doses of oxygen and positive pressure to the damaged lungs. This treatment gives the lungs time to heal. If the inflammatory disease persists, there may be scarring of

the lungs, which is the fibrotic stage of ARDS. During this stage, the lungs can literally “pop,” causing a collapsed lung, also called a pneumothorax. The American Lung Association (ALA) says there are about 200,000 cases of ARDS each year in the United States. ARDS is a very serious traumatic disease, and even with the best of medical care, between 30 percent and 50 percent of those diagnosed with ARDS die from it. Likewise, according to the ALA, other serious complications may occur along with ARDS, including pneumonia, other infections, blood clots and kidney failure. Symptoms of ARDS include shortness of breath, often severe in nature, a cough and fever. The patient’s pulse will be rapid and his breathing fast. A few people experience chest pain, though many do not. Those with very low oxygen levels may have a bluish color to their nails and lips. They may also have low blood pressure. ARDS may be due to direct injury as well as pneumonia, aspira-

tion of stomach contents into the lungs, near drowning, lung bruising from trauma and smoke inhalation. Indirect injuries causing ARDS include pancreatic inflammation, severe infection (sepsis), blood transfusion and medication reactions. Only some of those with these injuries develop ARDS. ARDS patients are generally treated in an intensive care unit. The goal of treatment is to sustain the patient on breathing support and treat the cause of ARDS. The National Institute of Health (NIH)

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says treatment involves medications to alleviate the infections, reduce inflammation and remove fluid from the lungs. Some people recover from ARDS while others continue to have health problems. Quitting smoking helps the recovery process. Some people go to pulmonary rehab. Living with ARDS may cause fear, anxiety, depression and stress. If you experience any of these symptoms, get professional counseling. Join a patient support group to help you adjust to living with ARDS.

ARDS patients are generally treated in an intensive care unit.


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F OD BITES

By Angela S. Hoover, Staff Writer Cancer and Sugar-Sweetened Beverage Link Better Defined A study by researchers at the Louisiana State University Health Science Center in New Orleans suggests age is an important factor in the association between cancer and sugar-sweetened beverages. Based on their results, the researchers recommend focusing intervention programs that seek to reduce consumption of added sugar on people of lower socio-economic status, young males and cervical cancer survivors. Sugary beverages have been associated with obesity, diabetes, cardiometabolic diseases and some cancers. The consumption of sugar is an important risk factor for cancer survivors. The study was published in the October 2016 issue of the journal Translational Cancer Research. Cool Cinnamon Adding cinnamon to your diet can cool your body by up to 2 degrees, say researchers from the Royal Melbourne Institute of Technology University in a study published in the journal Scientific Reports. It may also contribute to a general improvement in overall health, according to the report’s authors. It is noted that when pigs feed at room temperature, carbon dioxide gas increases in their stomachs. “Cinnamon in their food reduces this gas by decreasing the secretion of gastric acid and pepsin from the stomach walls, which in turn cools the pigs’ stomachs during digestion,” said project leader Kourosh Kalanter-zadeh with RMIT’s School of Engineering. This research is part of a larger RMIT gut health study using swallowable gas sensor capsules, or smart pills. Gut gases are a byproduct of digestion and could provide valuable insights into the functioning and health of the gut, said Kalanter-zadeh. Contaminated Chicken Could Be Cause of Spread of Superbug MRSA A new study from George Washington University shows a form of superbug methicillin-resistant Staphylococcus aureus (MRSA) can spread to humans through the consumption and handling of contaminated poultry. “We’ve known for several years that people working directly with livestock are at increased risk for MRSA infections, but this

is one of the first studies providing compelling evidence that everyday consumers are also potentially at risk,” said Lance Price, PhD, director of both the Antibiotic Resistance Action Center based at the Milken Institute School of Public Health and the Translational Genomics Research Institute Center for Food Microbiology and Environmental Health in Santa Monica. “This poultry-associated MRSA may be more capable of transmitting from food to people,” said the paper’s lead author, Jesper Larsen, PhD, a scientist and veterinarian at the Statens Serum Institut, Denmark’s equivalent of the U.S. Centers for Disease Control. The researchers found 10 urban Danes who did not work on farms and didn’t have direct contact with food animals that were infected or colonized with this newly discovered strain of MRSA. The strain of poultry-associated MRSA was not found in Danish livestock but could be traced to poultry meat imported from other European Union countries. Further, the MRSA strains in these urban Danes were virtually identical to each other,

suggesting they were all exposed to a common source, most likely the contaminated poultry meat. “Our findings implicate poultry meat as a source for these infections,” said Robert Skov, MD, head researcher of this study. “At present, meat products represent only a minor transmission route for MRSA to humans, but our findings nevertheless underscore the importance of reducing the use of antibiotics in food-producing animals as well as continuing surveillance of the animal-food-human interface.” Other research has suggested modern farming practices have led to the rising tide of superbugs like this new strain of MRSA. Currently, food inspectors do not test poultry and other food products for MRSA contamination; instead, they focus on salmonella and other food-borne pathogens. “We need to expand the number of pathogens that we test for in our food supply, and we need international leadership to reduce unnecessary use of antibiotics on industrial farms around the world,” said Price. “This isn’t a problem unique to the EU or Denmark. Superbugs don’t respect political or geographical boundaries, so we have to work together to address this public health threat. I’m not sure our international trade agreements are prepared to handle the specter of superbugs in meat.”

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Cinnamon could contribute to a general improvement in overall health.


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NATURE’S BEAUTY

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Peanuts

Little legume is pretty potent By Tanya Tyler, Editor/Writer You almost have to feel sorry for school kids today. So many of them have peanut allergies, which means they are missing out on enjoying that age-old staple of lunchtime yumminess: peanut butter and jelly sandwiches. Peanuts are a great healthy snack. According to Planters.com (and they know their peanuts), eating nuts in moderation – including peanuts and most tree nuts – can help keep your heart healthy. The U.S. Department of Agriculture in its dietary guidelines for 2015 recommended consuming 5 ounces of nuts, seeds and soy products per week. Most peanuts and tree nuts contain significant amounts of monounsaturated and polyunsaturated fats. They are naturally cholesterol free and contain 0 grams of trans fat. Added to a sensible diet, they can even help reduce LDL or bad cholesterol. Nuts are good sources of many other nutrients, such as dietary fiber, several B vitamins, antioxidant vitamin E, magnesium, potassium and copper. The DASH diet (Dietary Approaches to Stop Hypertension) touts eating four to five servings of nuts a week because eating them can help lower blood pressure. (Of course, you probably want to be careful about overindulging in salted peanuts.) According to a study, eating peanuts just two or more

times a week was associated with a 58-percent lowered risk of colon cancer in women and a 27-percent lowered risk in men. Peanuts can also help fight gallstones. You can get these benefits from eating a daily tablespoon or two of peanut butter. Try spreading it on your breakfast waffle or adding it to your morning smoothie. Peanuts are an excellent source of resveratrol, a polyphenolic antioxidant that has been found to protect against certain cancers, heart disease, degenerative nerve disease, Alzheimer’s disease and viral and fungal infections. Resveratrol is also found in red grapes and red wine. Recent research shows peanuts are as rich in antioxidants as many fruits, rivaling blackberries and strawberries, and they have far more antioxidants than apples, carrots or beets. Your best bet is to buy organic peanut butter because it does not contain hydrogenated fats and sugar.

Peanuts, also known as goobers or groundnuts, are actually legumes and are related to peas, lentils and other beans. They play a significant role in nutrition all over the globe. Annual world peanut production is about 46 million tons. Peanuts are believed to have originated in Central America. Spanish explorers helped them spread to rest of the world. The popularity of peanuts in the southern United States can be traced to botanist George Washington Carver, who encouraged cotton farmers to grow peanuts instead of or along with cotton, which had depleted nitrogen from the soil. Peanuts put nitrogen back into the soil. Carver is credited with coming up with more than 300 uses for peanuts, but he did not invent peanut butter. One study indicates almost a quarter of children with a peanut

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allergy will eventually outgrow it. That’s good news for all those moms and dads who want to pass on the joy of a gooey peanut butter and jelly sandwich down to the next generation.

Peanuts are an excellent source of resveratrol, a polyphenolic antioxidant that has been found to protect against various diseases and infections.


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“With Today’s Breakthroughs, You No Longer Have To Live With Type 2 Diabetes, Obesity or Hypertension!” RICK FLANNERY, BEFORE

Rick Flannery, age 55, started with Dr. Miller in March 2016. When Rick first came to see Dr. Miller he was taking 12 medications a day. He’d suffered from Type 2 Diabetes for 15 years, taking 7 Oral medications and 4 Injections of insulin daily. Rick also suffered from Hypertension for 15+ years, High Cholesterol and was Overweight, weighing over 246 lbs. After just 4 MONTHS.. his A1c went from 9.2 to 7.1, after treating it for 15 years on medications. Rick has eliminated all meds for Type 2 Diabetes, Hypertension and Cholesterol and he’s now lost 58 pounds! Q: Rick, why did you go to Dr. Miller? A: “I had heard of Dr. Miller and the results he gets. My Type 2 Diabetes was very bad and my health was getting worse. I had Diabetes for about 15 years and was up to 7 oral drugs and 4 injections every day. My A1c was 9.2 and it continued to go up. I had High Blood Pressure for over 15 years and I really needed to lose weight, but couldn’t.” Q: You’ve been seeing other medical doctors for your Type 2 Diabetes and Hypertension, what was it about Dr. Miller that was different? A: “Dr. Miller made it clear, something was not working correctly in my body and he made it very clear that his approach is to uncover and reveal exactly what that is. Dr. Miller shared how something had happened inside my body, something was just not working like it had done for my first 40 years. Dr. Miller really takes the time to listen and looked at my whole health history. He makes it very clear that Type 2 Diabetes, Hypertension and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they never even talked about what was causing any of these. From the other doctors, all I got was more and more medications. I knew these were just masking symptoms and

AFTER TRUE HEALTH SOLUTIONS TREATMENT

not fixing anything. Dr. Miller made complete sense to me.” Q: What did Dr. Miller do to find out what was not working correctly inside you? A: “Dr. Miller doesn’t mess around. He has an amazing blood panel lab he orders through Lab Corp. After he gets the results, he does a ‘Functional Medicine’ computer assessment that uncovered exactly what was causing my Type 2 Diabetes and High Blood Pressure. It is very impressive. Q: After Dr. Miller finds what is not working correctly, then what? A: “Dr. Miller just goes over everything so I clearly understood. He really takes the time to make sure I understood everything and how it needed to be corrected. He just takes the time to show what exactly needs to be done, his approach and what type of natural treatment he recommends in order to fix what is causing my Type 2 Diabetes, my Hypertension and my Obesity. It all makes perfect sense once you see everything in very clear terms.” Q: Rick, what did Dr. Miller recommend for you to eliminate your Type 2 Diabetes and Neuropathy? A: “He laid out a very clear plan of care. I had seen so many of the other testimonials. Dr. Miller just lays it all out so clear. He started off by seeing me every week to ensure I would eliminate the Diabetes, and he has

amazing instructions on life-style improvements to eliminate poor health and then stay healthy. He just makes it all clear and provides great printed instructions. I’m really happy with how he treats me as a client.” Q: What are the results of your treatment from Dr. Miller? A: “My results are great! After just 4 months my A1c went from 9.2 to

7.1, after treating it for 15 years on medications. My morning sugars range from 100 – 120’s, my blood pressure is normal and I’ve eliminated all my meds for Type 2 Diabetes, Hypertension and Cholesterol and I’ve now lost 58 pounds! I highly recommend Dr. Miller and his very unique approach that really fixes the causes of so many conditions. I got my health and life back!”

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Understand that chronic cough and other symptoms are not normal.

Warning Signs of Lung Disease Is that nagging cough something to worry about? By Harleena Singh, Staff Writer

Lung disease is any problem prevents the lungs from working properly. These problems may prevent the body from getting enough oxygen. Examples of lung disease are lung cancer, asthma, chronic bronchitis, pulmonary fibrosis, sarcoidosis and emphysema. According to the Forum of International Respiratory Societies (FIRS), people are more worried about other diseases, such as cancer, heart disease and strokes, than developing chronic obstructive pulmonary disease (COPD), a lung disease. It’s important to pay attention to a nagging cough as well as other, mild symptoms because they could be the first signs of lung disease. Knowing these warning signs can help you get treatment before the disease becomes serious or life-threatening.

The American Lung Association says warning signs of lung disease include the following: Chronic cough A cough you have for a month or longer is considered chronic. This early symptom indicates something is wrong with your respiratory system. Chronic mucus production Also called sputum or phlegm, mucus is produced by the airways as a defense against infections or irritants. If your mucus production has lasted for a month or longer and you have no signs of a fever or cold, it indicates lung disease. Chronic chest pain Unexplained chest pain that lasts for a month or more, especially if it

worsens when you cough or inhale, is a warning sign. Shortness of breath It is abnormal to experience shortness of breath after little or no exertion or shortness of breath that doesn’t go away after exercising. Difficulty breathing or feeling it is hard to breathe in and out are also warning signs you should not ignore. Wheezing Wheezing or noisy breathing is a sign that something unusual is blocking your lungs’ airways or making them too narrow. Coughing up blood If you are coughing up blood, it may be coming from your upper respiratory tract or lungs. Wherever

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it’s coming from, it indicates a health problem that needs immediate attention. You can protect your lungs by quitting smoking, avoiding lung hazards and bringing the symptoms listed above to the attention of your health care providers or doctor. Understand that chronic cough and other symptoms are not normal. Take other preventive measures such as having the right vaccinations at the right time. If you are experiencing any warning signs, visit your doctor. With a spirometry test, your doctor will be able to assess the extent of your breathing and find out if you are indeed suffering from a lung disease. Consult your doctor or health care provider as soon as possible – early detection could save your life.

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Vaping Vs. Cigarettes WHICH IS SAFER? By Angela S. Hoover, Staff Writer


November 2016

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Vaping is an all-inclusive term for inhaling and exhaling the vapor produced by an electronic cigarette. It is often touted as a safer alternative to cigarette smoking and even as a means to quit smoking.

A lot has changed since electronic cigarettes hit the scene.

Others say vaping is just switching one harmful practice for another. It’s been about a decade since the first generation of electronic cigarettes hit the market, but there is still no consensus about their safety or if they are a viable method to break a nicotine addiction. Much of the confusion begins with explaining the difference between the first-generation electronic cigarettes and vaporizers. The former are the tubular sticks available at gas stations. The two most popular brands are Vuze and Blu. Both are made by tobacco companies, Imperial Tobacco and RJ Reynolds, respectively. These tubes are pre-filled with replaceable cartridges. The cartridges contain liquid nicotine and other ingredients, such as vegetable glycerin, propylene glycol and flavorings, that come from both domestic and international sources. These simple devices have very limited flavor selections and are marketed as a healthier replacement for cigarettes. But a lot has changed since electronic cigarettes hit the scene. Smoke shops and vape stores generally do not carry them because they do not taste good and the majority of people who quit smoking cigarettes in favor of vaping do not use them. Instead, vape stores carry advanced personal vaporizers (APVs or “vape pens”) and “vape mods.” Both require vials of liquids that contain nicotine and flavors. APVs, which are mostly made by Chinese companies such as Innokin, contain electronics that allow the user to regulate power levels and produce a moderate amount of vapor. They are generally priced under $100. Mods, mostly made by American companies such as Surefire and small Greek and Filipino companies, have rebuildable atomizers that can potentially produce tons of vapor. These models can be quite expensive. Most people who use these products began with the mass-market first-generation electronic cigarettes and then moved to the mid-tier APV products that have a high nicotine/low vapor composition. Those who successfully wean themselves from nicotine – or were never addicted to it in the first place – graduate to the high-end mods that have more flavor and less nicotine. The first-generation electronic cigarettes have different chemical compositions and delivery systems than APVs and mods. Smokers prefer the latter two devices, both of which contain far less nicotine than the former. Nonetheless, it’s not known if these smoking devices are indeed safer than cigarettes. It could be conjectured that they are safer simply because they have less nicotine and no tobacco or tar. APVs and mods should be the focal point of research because these devices focus more on the flavor (chemicals) and the vaporizing effect. But what other chemicals are included? And what affect does the vaporizing process have on long-term smokers who may have compromised lungs and/or asthma? No one yet knows or agrees on the answers to these questions.

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RECOVERY

–COLUMN PROVIDED BY–

3107 Cincinnati Road, Georgetown, KY 40324 502.570.9313 | RecoveryWorksKY.com

There are Many Paths to Recovery by Dr. Johnston, Recovery Works Drug addiction is a treatable chronic brain disease. Recovery is possible, but it is not always easy. One of the most important components of recovery is finding and participating in a supportive sober network. Although many people try to go through withdrawal on their own, they often find it unpleasant, uncomfortable and difficult, and so they frequently wind up relapsing. This is why a supportive network along with professional facilities that medical staff trained in addiction recovery can help them avoid falling back into their old addictive ways. Other solutions for your clients might be 12-step program that utilized by recovery programs such as Alcohol Anonymous or Narcotics Anonymous is highly successful in helping addicts move into new relationships with themselves and others. Counseling is also important for someone who is struggling to discover what it means to be clean and live soberly. Every moment of substance abuse treatment should focus on helping address potential barriers to sobriety and giving the patient tools to cope with challenges encountered in everyday life. This includes prevention of relapse. The patient seeking sobriety should find a group or a counselor with whom he or she feels comfortable. But many time there is a need for the addict to find a recovery center that

provide from them what is not available at home. The patient should also be prepared to face hard questions that may make him or her face up to past actions and present situations that are not pleasant to confront. One other factor in recovery is properly dealing with stress management. Stress Management should be part of an effective recovery-activity program. Stress can make people feel unable to cope with the ins and outs and ups and downs of daily living. Talking it over one-on-one with a compassionate counselor or sharing with an emphatic group of people who have faced and overcome similar trials and tribulations are invaluable in helping someone start down the road to recovery. People who are addicted to various substances – be it opiates or alcohol or prescription drugs – need to remember one important insight psychiatrists and counselors often share: Being addicted

does not mean someone is weak, stupid or hopeless. Drug addiction does terrible things to the brain. Drugs tap into a primitive part of the brain that often makes people do things they would not otherwise do. This makes changes in the brain that can actually be discerned in a brain scan. However, when someone starts working on recovering from her addition, the brain begins to recover and become more normal looking. It is possible to recover completely from addiction and to live a normal life once again. It is possible, but it is not easy. The first step is often to admit that one has a problem and one needs help to get sober. This provides motivation for doing the hard of work of recovering. It means telling yourself that your sobriety will be your life’s priority and you will stick to learning and performing coping skills. You would also make it a priority to learn about your disease and learn how to avoid relapse and the things that may trigger a relapse. Options for recovery include treatment centers, like the one’s offered by Recovery Works. These treatment centers can provide a person the much needed safe, drug-free environment to help get you started on the road to health and sobriety. The initial focus of a treatment center might be helping you deal with the sometimes debilitating withdrawal symptoms, which include

The first step is often to admit that one has a problem and one needs help to get sober.

a runny nose, sweating, chills, diarrhea, nausea, cramps, insomnia and joint pain. Some treatment centers offer transitional housing for those who are improving but who are not quite ready to return to the former environment that might make them relapse. Outpatient counseling and drug treatment with methadone or suboxone. This option helps the patient gradually wean himself or herself from their addictive drug, giving them hope for getting completely off the substance. Families can be an important part of someone’s recovery. The more your family understands what you have gone through and what they can do to help you, the better your recovery experience may be. You may have to work even harder to regain the trust and love of people you might have hurt when you were actively addicted. The healing of broken relationships can be another powerful motivator for someone to get help. There is no stigma or shame in trying to get professional help for what seems to be a personal problem. There is a certain amount of admirable courage for someone who has made the decision to get their life back on track and makes a private covenant to do whatever it takes to become once again a sober and productive member of society. About the Author Dr. Johnston graduated from Medical School at CMDNJ New Jersey Medical School in Newark after obtaining a Bachelor’s Degree from Rutgers Camden College of Arts and Sciences. After a three year residency at West Jersey Hospital in Voorhees he became Board Certified in Family Practice and practiced in Camden County for 26 years. Dr. Johnston is also board certified in Addiction Medicine as of 2002.


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INJURY CARE

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1019 Majestic Dr. Ste. 160, Lexington, KY 40513 859.523.6797 | www.bluegrasspersonalinjury.com

Concussion SYMPTOMS AND TREATMENT by Howard D. Markowitz, MD, Bluegrass Injury Care Center Cerebral concussion has become a topic of increased importance, especially with contact sports. Concussion can occur as a result of a blow to the head. It can also occur with a sever jolting of the head, where the brain “bounces around” inside the bony confines of the skull. Concussion is classified as brain dysfunction due to a closed head injury. In severe cases the brain can be irreparably damaged. However, in most cases, after a sports or automobile injury, the brain is only temporarily damaged. The signs and symptoms of a concussion can be subtle and may not be immediately apparent. These symptoms may last for a few minutes to hours, or even days and weeks. Common symptoms after a concussive traumatic brain injury are headache, loss of short term memory and confusion. There does not have to be a loss of consciousness (getting knocked out) to have a concussion. Some of the short term signs and symptoms of concussion may include: • Headache • Temporary loss of consciousness • Confusion (foggy sensorium) • Temporary amnesia (loss of events around time of injury) • Dizziness • Ringing in Ears • Nausea and vomiting • Slurred or difficult speech

• Delayed response to questions • Fatigue Some symptoms may be delayed by hours or even days after the injury, such as: • Concentration and memory complaints • Irritability and personality changes • Sensitivity to light and noise • Sleep disturbances • Disturbances to taste and smell • Depression The anatomic injury to the brain is caused by the brain not being adequately cushioned to the external forces applied. Normally, the cerebrospinal fluid, which surrounds the brain, is enough to absorb the impact of most minor head traumas. More severe impacts or acceleration/deceleration injuries are too much for the body’s normal protective measures. These abnormal forces to the brain may be impact, rotational or a combination of the two. There is no specific threshold of injury that can cause a concussion. Different people in different situations react differently. One should never say that an injury was too small to have caused a concussion. All parts of the brain are susceptible to concussive injury. The part of the brain affected will determine the specific symptoms the injured person experiences. In each affected area, the cellular activities of the brain cells are temporarily disrupted and causes

them to have a reduced metabolic state. This reduced brain cell activity is what causes the persistent post-concussive symptoms. Usually the majority of these affected cells recover to full normal activity. However, a few cells may die after injury. Repeat trauma and sports related multiple concussions, lately, have been under scrutiny. The cellular disruption is caused by an electrolyte imbalance in the brain cells. The body is working harder to resume normal balance. The injury caused reduced blood flow to the brain impedes the nutritional needs of the hard working cells and slows down the recovery process. Depending on how severe the concussion will determine if the injured person’s symptoms last a few hours or a few weeks. What is known, is that a person should be careful not to have a repeat injury to the brain until this reparative process is complete. Medical evaluation and care should be sought for injuries with symptoms of concussion. Cognitive function (mental ability) testing can easily be done to evaluate the severity of the disturbance and it can be repeated to monitor the return to normal function. Common sense should be used to determine which injuries require more emergent care. If unsure, it is always best to err on the side of caution and seek emergency care. If symptoms are mild, such as after many minor auto accidents, the evaluation may not need to be emergent. A person should seek emergency care for a head injury that has associated symptoms of: • Repeated vomiting • Loss of consciousness for more than 30 seconds • A worsening headache • Changes in behavior • Changes in physical coordination (stumbling of decreased hand dexterity)

• Prolonged confusion or disorientation • Slurred or changes in speech • Visual disturbance or abnormal pupil dilation Protective head gear specific for impact sports should always be worn when involved in that sport. Seatbelts and airbags have made a large impact on reducing head injury during automobile accidents. Recognition of concussion and proper precautions has been a large proponent of full recovery after these injuries. Eighty to ninety percent of concussions resolved within ten days. Physical and cognitive testing should be continued until all symptoms have resolved. During this time the injured person should not engage in activity that may repeat the head injury. In addition, the injured person should have cognitive rest. This would include limiting activities that involve concentration like prolonged school work, computer and cell phone texting and musical instrument use. Physical and cognitive activities can slowly be reintroduced into a person’s daily activities and monitored before the activity is upgraded to full. Younger people with concussive injuries have a higher incidence of complete recovery and tend to return to preinjury function at faster rate than older people. In closing, do not get too concerned about terminology. Concussion, Traumatic Brain Injury, and Closed Head Injury can all be used interchangeably. Treatment should be based on symptoms and not terminology. At Bluegrass Injury Care Center, we have objective computer testing to determine cognitive impairments on many levels. We recommend anyone with symptoms and mechanisms of concussion to seek evaluation by a physician.


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Breathing exercises help protect your lungs.

10 WAYS

to Protect Your Lungs Breathe better and reduce your risk of lung disease By Harleena Singh, Staff Writer Protecting your lungs is the best way to remain healthy and reduce your risk of developing lung cancer and lung disease. Learn to recognize the symptoms of lung disease, and if you have any, get medical attention as soon as possible. Here are some tips for promoting lung health: 1. Be Realistic Understand that shortness of breath, chronic cough and other lung symptoms are not normal. 2. Don’t Smoke This is the best way to protect your lungs and lessen your risk of developing lung disease. Cigarette smoke destroys tissues in the lungs

and makes them work less efficiently. Teach your children about the dangers of smoking, and be a role model by not smoking or quitting if you do. 3. Take Action Be aware and take timely action by bringing to your doctor’s notice any lung disease symptom you notice, and then follow your doctor’s treatment advice. 4. Avoid Lung Hazards These include secondhand cigarette smoke and hazards at work that can cause some lung disease. 5. Wash Your Hands Many lung diseases are very con-

tagious, so cover your mouth when you cough and sneeze so you don’t spread common viral infections such as coughs, colds and influenza (flu). Your hands can carry lots of germs that can increase your chances of falling ill, so be especially sure to wash your hands properly. 6. Practice Prevention Certain lung diseases such as pneumococcal pneumonia and flu can be prevented with vaccination. You need to be immunized if you are in a high-risk group, which includes people who are over 65 years of age, infants or anyone with a chronic health problem such as diabetes, lung disease or heart disease. 7. Pollution Educate yourself about air pollution and all you can do to reduce your exposure to it. Avoid using aerosol products and turn on the exhaust fan while cooking. Avoid breathing toxic fumes from solvents, paints and chemicals. Wear a protective mask when working with chemicals and report unsafe working conditions. At home, keep dust and other allergens to a minimum. Clean up water spills; this will prevent

the growth of mold, another lung irritant. 8. Exercise Regular exercise is good for your body and especially your lungs. It makes your lungs better and stronger. Breathing exercises help protect your lungs as well. 9. Keep an Eye on Radon Check if there are high levels of radon gas at your home or workplace. This naturally occurring gas is the second leading cause of lung cancer. People working in mines are often exposed to this gas. Almost one in 15 homes in the United States may have dangerous levels of radon. You can measure the amount of radon gas in your home with a kit found in hardware stores. You can also have a radon-abatement system installed to remove it from the air. 10. Get Vaccinated Vaccinations are essential for people with lung diseases such as asthma. You need to get yearly flu shots and stay up to date with your Tdap (tetanus, diphtheria and pertussis/ whooping cough) vaccinations.


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

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Fewer than 10 percent of lifelong smokers will get lung cancer.

Why Do Some Non-Smokers Get Lung Cancer and Some Smokers Don’t? ANSWER COULD LIE IN GENETICS By Angela S. Hoover, Staff Writer Lung cancer was so rare in the early 1900s that it was only mentioned in medical literature. Since then, the number of people who smoke has risen significantly. As smoking increased, so, too, did instances of lung cancer. Studies have consistently concurred with this cor-

relation: The more you smoke, the higher your risk of getting lung cancer. Conversely, if you stop smoking, your chances of getting lung cancer substantially decrease. Cancers are caused by abnormalities or mutations in DNA cells. These mutations make the cells grow,

divide, replicate and invade other tissues. Cigarette smoke contains many carcinogens that can damage lung cells’ DNA and initiate abnormalities that lead to lung cancer. About one in 10 smokers will get lung cancer, depending on how much they smoke, and about one in three smokers will

die of lung cancer or some other smoking-related illness. Yet not everyone who smokes gets lung cancer – and some who have never smoked nor been around secondhand smoke do get lung cancer. Why Some Smokers Never Get Lung Cancer Although smoking accounts for 30 percent of all cancer deaths and 87 percent of lung cancer deaths, fewer than 10 percent of lifelong smokers will get lung cancer, according to several studies. Even fewer will get other related smoking cancers such as throat or mouth cancer. How can this be? Firstly, the body is remarkably good at repairing itself, and some


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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | November 2016 cancer elsewhere in the body,” said David Carbone, MD, PhD, and director of the James Thoracic Center at the Ohio State University Comprehensive Cancer Center. However, 15 percent of lung cancers occur in people who have never smoked or had exposure to other carcinogens in the environment such as asbestos or radon. Several other individuals with lung cancer have had no known exposure to known carcinogens. That means about one in five of 105,590 American women who either never smoked or smoked less than 100 cigarettes in their lifetimes will be diagnosed with lung cancer. Rates of lung cancer among nonsmokers increased by 33 percent from 2000 to 2010, according to a 2012 French study. When considered its own category, non-smoker lung cancer is among the 10 deadliest cancers in the United States. It’s fortunate doctors and researchers now know non-smokers can get lung cancer since the symptoms – coughing, chest pain and shortness of breath – could otherwise be overlooked as something else. It turns out there are unique mutations in the DNA of non-smokers that are rarely found in smokers. Scientists are just now beginning to learn of these unique mutations, such as one known as the Epidermal Growth Factor Receptor (EGFR) gene. This and other genetic flaws can give non-smokers a 30-percent greater chance of developing lung cancer. Two different sets of discoveries were published in the journals Nature and Nature Genetics. It is yet unknown what causes such mutations in nonsmokers but several drugs have been designed to inhibit it, including erlotinib, gefitinib and lressa.

individuals’ bodies are better at it. However, others seem more susceptible to getting mutations from carcinogens. Only one thing can explain these differences: genetic makeup, which in turn is influenced by nutrition. Why Some Non-Smokers Get Lung Cancer Since lung cancer is so closely tied with smoking, it’s easy to assume non-smokers aren’t as likely to get it. It wasn’t until about a decade ago that most doctors considered it nearly impossible for non-smokers to develop lung cancer, especially young non-smokers. “It would have been assumed that a tumor found on the lung had spread from

Other Discoveries In a study of 900 individuals with lung cancer, both smokers and non-smokers, scientists at the International Agency for Research on Cancer found a commonality among the groups: lower levels of the amino acid methionine and B vitamins folate and B6. Likewise, individuals with higher levels of these three nutrients have a 60-percent decreased risk of getting lung cancer. It turns out these three compounds are involved in the maintenance of DNA. However, decades-long intake is needed to see this DNA protection, says Dr. Graham Colditz, a physician at the Washington University School of Medicine in St. Louis. People are not advised to try to get these nutrients from supplements but rather from natural food sources. Bananas are a good source of B6. Spinach and avocados have folate and methionine is in proteins like lean meats, fish and nuts.

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November 2016

Q: How many Central Kentuckians read Health&Wellness Magazine every month?


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November 2016

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

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