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FREE TAKE ONE! • FREE TAKE ONE! • FREE TAKE ONE! Southern Kentucky

Vol. 10 Issue 2 • February 2014

A PUBLICATION OF THE COMMONWEALTH JOURNAL

Heart Month • Set Your Mind to Save Your Heart • Fighting Heart & Soul for CHD •The Dangers of Heart Disease •Wear Red Day

JOURNAL

Bridal Features

Cancer Prevention

‘Bear’ With Us


FINANCIAL FOCUS

Investors Can Learn Much from Super Bowl Teams

If you’re a football fan (and probably even if you aren’t), you are aware that we’re closing in on the Super Bowl. This year’s event is unique in that it is the first Super Bowl held in an outdoor, cold-weather site — New Jersey, to be specific. However, the 2014 game shares many similarities to past Super Bowls in terms of what it took for the two teams to arrive at this point. And some of these same characteristics apply to successful investors.

Here are a few of these shared traits:

BOBBIE HAHN, CFP®, AAMS®

FINANCIAL ADVISOR

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

www.edwardjones.com Edward Jones Member SIPC

A good offense — Most Super Bowl teams are adept at moving up and down the field and crossing the goal line. And good investors know how to choose those investments that can provide them with the gains they need to keep moving toward their own goals, such as a comfortable retirement. That’s why, at every stage of your life, you will need to own a reasonable percentage of growth-oriented investments, such as stocks and stock-based vehicles. A strong defense — Even a good offense usually isn’t enough to vault a team into the Super Bowl, which is why most participants in the Big Game also have strong defenses. Similarly, the best investors don’t just put all their money in a single type of aggressive instrument and then forget about it — they know that a downturn affecting this particular asset class could prove extremely costly. Instead, they “defend” their portfolios by diversifying their holdings among a range of investments: stocks, bonds, government securities, certificates of deposit, and so on. And you can do the same. Keep in mind, however, that although diversification can help reduce the impact of volatility on

your portfolio, it can’t guarantee a profit or always protect against loss. Perseverance — Every team that makes it to the Super Bowl has had to overcome some type of adversity — injuries to key players, a difficult schedule, bad weather, playoff games against good opponents, etc. Successful investors have also had to overcome hurdles, such as bear markets, bad economies, political battles and changing tax laws. Through it all, these investors stay invested, follow a long-term strategy and continue to look for new opportunities — and their perseverance is often rewarded. You can follow their example by not jumping out of the market when the going looks tough and not overreacting to scarysounding headlines. Good coaching — Super Bowl teams contain many fine players, but they still need coaches who can analyze situations and make the right decisions at the right times. Smart, experienced investors also benefit from “coaching — in the form of guidance from financial professionals. It’s not always easy for busy people to study the financial markets, stay current on changing investment-related laws, monitor their own portfolios and make changes as needed. By working with a financial professional who knows your situation, needs, goals and risk tolerance, you will find it much easier to navigate the increasingly complex investment world. As we’ve seen, some of the same factors that go into producing a team capable of reaching the Super Bowl are also relevant to investors who want to reach their own goals. By incorporating these behaviors and attitudes into your own investment strategy, you’ll be following a pretty good “game plan.”

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

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Southern Kentucky Health & Family Journal


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&

Health Family Journal Southern Kentucky

7

Set Your Mind to Save Your Heart

Volume 10 Issue 2 February 2014

by

PUBLISHER

Cindy J.

Lackey

Rob McCullough Ken Shmidheiser

CONTRIBUTING WRITERS

Investors Can Learn Much From Super Bowl Teams Edward Jones...................................... 2

Tim Minton Tricia Neal Janie Slaven Don White

LAYOUT & DESIGN Pam Popplewell

Fighting Heart and Soul for CHD

13

by

ADVERTISING

Don White

Mary Ann Flynn

Heart Healthy Foods Comfort Keepers..............................10

Kathy M. Lee Mike McCollom

The Connection Between Heart Disease and Hearing Loss Southern Hearing.............................12

Amanda McIntosh Janie Gumm-Wright

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

Wear Red Day

20

by

mhornback@somerset-kentucky.com 4

The Dangers of Heart Disease by Tricia Neal...................................16

Tricia Neal

The Healing Power of Exercise by Tricia Neal...................................17 Women and Heart Disease Susan Wilson, LCRH.......................22

Steps Can You Take 32 What to Prevent Cancer? by

© 2014 Newspaper Holdings, Inc.

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

Michael E. Pope DMD Completes Extensive Continuing Education Southern Dental Group...................... 5 Caring for the Heart in the Home Helping Hands.................................... 6

Mike Hornback/Advertising Director

Craig Wesley

Special Bridal Section

INDEX

EDITOR-IN-CHIEF

Doug Eads Cindy Lackey Bill Mardis

Pages 26-31

42

Tim Minton

“Bear” With Us by

Amazing Facts About the Human Heart..................................23 Surgery vs. Physical Therapy Total Rehab Center...........................36 Oh My Aching Knees Lake Cumberland Rheumatology...41

Don White

Local Legend Coaches by Doug Eads...................................44 Senior Calendar..............................46

COVER PHOTO: A large black bear, similar to the cover photo, raided a deer feeder on Bolt House Ridge in the Ano community.

Southern Kentucky Health & Family Journal


Michael E. Pope DMD Completes Extensive Continuing Education Courses The Dawson Academy, one of the leading international organizations for post-graduate dental education, is proud to announce that Michael E. Pope DMD, of Somerset, KY has completed the Academy’s extensive continuing education courses. By taking these courses, Dr. Pope has made a commitment to help his patients achieve longterm optimal oral health. The Dawson Academy is where dentists Michael E. Pope DMD go to gain a better understanding of not only teeth, but also the muscles and systems that control them. The Dawson Academy is committed to creating “Complete Dentists.” Ultimately, patients of these Complete Dentists will notice considerable benefits, and a dental experience unlike any other they’ve ever had.

WHAT IS A “COMPLETE DENTIST?”

At The Dawson Academy, dental professionals like Dr. Pope learn to examine and treat teeth as part of the overall oral system, not just as stand alone elements. This unique approach helps dentists identify causes of problems, rather than simply treating the symptoms. For example, you may have a chipped tooth you would like repaired. The Dawson Academy’s philosophy teaches dentists to not only repair the tooth but determine the underlying cause(s) that led to the chipped tooth in the first place. This comprehensive approach to treatment of dental problems results in long-term stability, optimal oral health and beauty – that lasts. In addition to hands-on clinical treatments, The Dawson Academy teaches dentists to treat each patient individually. Every patient receives a thorough examination so the dentist can better understand the patient’s specific wants and needs. This examination will provide you and your dentist with a complete picture of what is going on in and around your teeth, so that a comprehensive treatment plan can be developed. The benefits pay dividends to patients for the rest of their lives. This may sound like a no-brainer, but this approach, for whatever reason, is rare. We at The Dawson Academy congratulate Dr. Pope on completing our courses and we wish him continued success. For more information about Dr. Pope please contact 606-678-0874 or visit www.southerndentalgroup.net. For more information about The Dawson Academy, please call 800-952-2178 or visit www.TheDawsonAcademy.com.

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Care of the Heart in the Home

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Helping Hands Personal Care

One of the most common medical conditions in the United States is a heart attack. According to the Mayo Clinic, a heart attack occurs when the blood flow to the heart is blocked by a clogged artery. The lack of blood to the heart can damage or cause irreversible destruction to the heart. While a heart attack was often fatal years ago, with the leaps in technology in recent years, most people survive heart attacks and go on to live normal lives. It is important to get proper care following a heart attack to prevent another one. The majority of care following a mild heart attack will occur at home. There are two major lifestyle areas to be addressed; dieting and exercise, you will need to reform your habits to properly care for your body. 1) Medical experts will strongly recommend following a hearthealthy diet. Eating vegetables, fruits, whole grain, and lean meats and staying clear of fats are important in helping to change some of the bad habits that you may have adopted. Taking a daily vitamin, quitting smoking and reducing the amount of alcohol consumed also are necessary to help prevent a second and possibly more severe heart attack. 2) The second important component of home care is exercise. Start off gradually and then slowly increase the amount of physical activity that you get. Among the recommended types of exercise are walking, bicycling, swimming and using an elliptical trainer. Cardiovascular exercises are important to healing your heart and to help prevent a future heart attack. Once you get home from the hospital, slowly take up some of your regular daily activities. A sense of normalcy is important in home care following a mild heart attack. Care after Heart Surgery For some individuals, surgery may be required. If this applies to you, most likely you will be given a set of instructions on care during the first phase of recovery, which lasts about six to eight weeks. Those who have had minimally invasive surgery may have a shorter recovery time. Sometimes self-care instructions are given directly to the patient. Typical instructions include: Care of the Surgical Incision In order to take proper care of an incision after surgery, it is important to: • Keep the incision clean and dry. • Use only antibacterial soap and water to cleanse the area. • Eat a healthy diet to help healing, including increased protein. Call your health care provider if symptoms of infection appear. These signs may include: • Increased drainage or oozing from incision. • Opening of the incision line. • Redness or warmth around the incision. • Increased body temperature (greater than 100.4°F or 38°C). You should also call the doctor if the sternum (breast bone) feels like it moves or if it pops or cracks with movement. Pain Relief after Surgery Some muscle or incision discomfort, itching, tightness, and/or numbness along the incision are normal after surgery. However,

See Care, page 40

Southern Kentucky Health & Family Journal


Set Your Mind

to Save Your

by

Cindy J. Lackey

“You just have to set your mind on it and do it,” Dennis Alexander explained. “It’s like anything else … just put your mind to do it, and you can do it,” George Gill echoed. Wise advice from two Somerset residents who made hearthealthy changes in their lifestyles. Their success stories may inspire you to take the first step toward the proper diet and exercise that your doctor recommended at your last check-up.

t r a e H

more of it out of their own pocket,” Weigel said. “As a result, it behooves people not to become ill. We will no longer be able to afford disease that shouldn’t happen.”

Heart of the Matter Cardiovascular disease (heart disease) and stroke, combined, are the leading cause of death in Kentucky. In fact, heart disease accounts for more than one out of four deaths in Kentucky. Fortunately, many of the major risk factors for these conditions can be prevented and controlled. Those include: • Tobacco use • Diet • Physical inactivity • Obesity • Alcohol • High cholesterol levels • High blood pressure • Diabetes mellitus “Most of the health problems that I see in my office and the hospital on a regular basis are based on poor choices,” said Joseph G. Weigel, M.D., who is a general internist at Lake Cumberland Medical Associates in Somerset. “Especially in this part of the country, we make ourselves ill,” he said. “Most of the diabetes and cardiovascular diseases, such as heart attack and stroke, come from body size, poor dietary choices, poor sleep, sedentary lifestyle and smoking.” “Hereditary and environmental factors, such as secondhand smoke, contribute to these diseases, and those may be difficult to control,” he added. “For the most part, however, we can make decisions to reduce our risk of vascular diseases and diabetes.” “A normal body weight, regular physical activity and the absence of tobacco are critical,” he explained. “If everybody in this country did those three things, the level of active disease would drop so precipitously as to make our health care industry unrecognizable.” Our nation’s health care industry is changing, giving more incentives to make wise health decisions. “Health care costs are escalating, and folks will be paying February 2014

Dennis and Vickie Alexander walk regularly at Rocky Hollow. By changing their diet, Dennis was able to shed 30 pounds and cut in half his medications for diabetes, high cholesterol and high blood pressure.

Eat Well Changing your diet may be easier than you expect, too. “You just have to set your mind on it and do it,” Dennis Alexander found when he lost 30 pounds in three months. Alexander, 58, was diagnosed in 2002 with Type 2 diabetes, as well as high cholesterol and high blood pressure. He had a family history of diabetes. “My numbers just kept going up, and I was looking at taking more and more medicine to bring them down,” Alexander said. “Last year, Dr. (Anthony) Stugan said he would give me something to change my life, and it has.” Stugan recommended that Alexander adopt the “Eat to Live Diet,” based on a book of the same name by Joel Fuhrman, M.D. It focuses on nutrient-dense foods — such as whole grains and vegetables — to satisfy hunger with fewer 7


calories. Within a week of starting the diet in August, Alexander’s medications were cut in half — from six pills a day to only three. “After the first week of the diet, I wasn’t feeling well, and I was afraid I wasn’t eating enough,” Alexander said. “When I went to Dr. Stugan, I found out that my blood pressure, cholesterol and diabetes had improved so much, that my medicines were too strong. That’s why I felt bad.” Within three months, he had lost 30 pounds. In December, he began walking at Rocky Hollow. He now walks four miles a day, six days a week. “My goal is to get off all my medicine, and Dr. Stugan says that possible,” said Alexander, who is a retired bridge inspector for the state highway department. “I just feel a lot better now. Walking is a big help.” Was he excited to start the diet back in August? “I’m like anyone else, I dreaded it,” Alexander admitted. “I’ve always liked vegetables, so that made it easier. I lost five pounds the first week. After that, it wasn’t that hard. We played around with the foods to find what we liked. We use spice for flavor. We adapted it to match our tastes. I don’t really crave anything. After a while, ‘regular’ food just didn’t taste right.” It helped that his wife, Vickie, follows the diet, too, even though she has no health problems. “I’m trying to support Dennis,” she explained. “I don’t want to eat something he can’t.” “The older you get, the more things happen, so it helps to be in good shape,” she added. “If you eat the best you can and exercise, it helps you across the board, whatever comes.” Get Moving Starting an exercise routine may not be as hard as you think. “It’s like anything else … just put your mind to do it, and you can do it,” according to George Gill. Gill was diagnosed with high blood pressure, which runs in his family, in 2005. About that time, he started running. “I still take blood pressure medicine, but I think I would be in a George Gill runs daily after work. He different spot now began the heart-healthy habit eight if I hadn’t started years ago, and now he calls running running,” Gill said. “addictive.” 8

“Stress alone would have taken a toll on my health without the running.” “Running is a great stress reliever at the end of the day,” explained Gill, who owns a trucking company. “I start working early in the day, so it’s better for my schedule to run after work, and it helps me burn off stress.” Gill added, “I got my weight down by running. I lost 15 pounds. I feel healthy. I get enjoyment out of running. For me, it’s addictive.” Gill started walking after his children left for college. “It was just something I picked up and started doing it,” he said. “Walking turned into running. Now, I probably run in 15 races a year. I run 5Ks and 10Ks, and I’ve run six half marathons.” Prepare If factors beyond your control trigger heart disease, your wise health choices up to that point will be critical. Just ask Malenda McCalister of Eubank. She displayed no risk factors for heart disease when she This powerful image came from the personal suffered a massive testimony of Gail, a 55-year-old woman who reversed heart attack her downhill slide into diabetes and heart disease. while living in Gail decided she had to change her health after her daughter began checking on her during the night, Indianapolis at to make sure she was still alive. She began her age 30, 10 days transformation by exercising five minutes a day. after giving birth Now, she can walk 5K and no longer has diabetes, high blood pressure, high cholesterol or metabolic to her son. syndrome. See Gail’s story — and many other She underwent personal testimonies about heart disease and stroke triple bypass prevention — in the Million Hearts™ video collection at http://millionhearts.hhs.gov/resources/videos.html. surgery at the time. The damage to her heart was extensive, so a pacemaker and defibrillator were implanted later. “The doctors said that if I had not been taking care of myself, that I would have died,” McCalister said. “Because I had exercised, ate right, never drank and never smoked, I was able to live.” In the five years since her heart attack, she has learned that she was struck by Spontaneous Coronary Artery Dissection, or SCAD, “a relatively rare and poorly understood acute coronary event which typically affects a younger, otherwise healthy population,” according to SCADResearch.org. The exact cause of SCAD is unknown, but changes to the body during pregnancy seem to be a factor. “It is frustrating to wear the label of ‘heart disease,’ even though I did not make the poor choices associated with it,” McCalister admits. Still, she has become an advocate. She volunteers with the

“I was digging my grave with a knife and fork.”

Southern Kentucky Health & Family Journal


Your Health Is In Good Hands With The Cardiac Care Specialists Now performing Transradial (ARM) approach to heart catheterizations. A cutting edge procedure performed by Dr. Iqbal Malenda McCalister (center) attended the Go Red for Women® fashion show on Nov. 8, 2013, with her daughter, Alivia, and husband, Jack. Malenda’s healthy lifestyle saved her life when a rare condition triggered her massive heart attack at age 30.

American Heart Association to raise awareness of SCAD and the symptoms of heart attack in women. She is helping plan the local Heart Walk next fall, and she hosts Go Red Girlfriends Heart Parties. She also has joined a SCAD research study being conducted by the Mayo Clinic. McCalister — who calls herself a “stay-at-home, homeschooling mom of two” — encourages others to follow the low-sodium diet that is now her routine. She checks nutrition labels faithfully and passes along her shopping tips, such as which taco shells have no sodium and which sour cream is the best option. Take the First Step Now your mind is set on a healthy heart. How do you reach that goal? The best place to start is your doctor. An exam will give you a clear picture of your risk for heart disease and stroke. From there, your doctor and you can make a plan for preventing or controlling these problems. Online, you can research heart disease and stroke prevention at: • Million Hearts Initiative (led by the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services) — http://millionhearts.hhs.gov • American Heart Association/American Stroke Association — http://www.heart.org Locally, free publications and programs on diet and exercise are available at: • Lake Cumberland District Health Department, 500 Bourne Avenue, Somerset, KY 42501, 800-928-4416 (toll free) • Pulaski County Extension Office, 28 Parkway Drive, Somerset, KY 42501, 606-679-6361 February 2014

DR. IBRAIZ IQBAL, MD, M.P.H., F.A.C.C., F.A.C.P. Board Certified in Cardiology and Fellowship Trained In Intervention Cardiology and Heart Failure Dr. Iqbal has extensive training in all modalities of cardiology, interventional cardiology, peripheral interventions & heart failures. Dr. Iqbal has been seeing patients in Pulaski and Wayne Counties for nine years and counting.

❤ Ischemic work up with echo stress test, stress echo, angiography and coronary intervention. ❤ FFR and IVUS guided intervention of heart. ❤ Angiography and treatment of blockage in legs. ❤ Heart Failure work-up and treatment. ❤ Syncope evaluation, work-up and treatment with holters, event recorder and tilt table. ❤ Arrhythmia evaluation and treatment. ❤ Pacemaker evaluation ❤ Structural heart disease evaluation with echo

The Heart Center of Somerset, PLLC 104 Hardin Lane, Suite B • Somerset (606) 677-1112 Hours: M-F 8:15am-4:30pm • Friday 8:15am-2pm 9


Heart Healthy Foods

The concept that particular foods promote healthier hearts is not new. It is a fact that a well-balanced nutritional diet contributes to good health throughout a lifetime. For many people, the risk of diseases such as Type II diabetes, high cholesterol, heart disease and coronary artery issues may be reduced by consuming healthy diets. While it is important to begin healthy eating habits early in life, it can be just as vital to good health when healthy eating practices are followed in later years. The effects of some illnesses can be controlled and perhaps averted by practicing good nutritional habits. Eating well is especially important for seniors who become more susceptible over time to the effects from aging and symptoms of illnesses that afflict the elderly. Seniors often battle loss of appetite, challenges in cooking healthy foods for one, and other health-related obstacles. These challenges affect their overall health and well being which allows them to continue living independent lives in their own homes. For these reasons, it is critical seniors consume healthy foods

and snacks that promote good health. A doctor should be consulted before making any diet changes, “With these challenges in mind, Comfort Keepers® has researched what experts advise are the top 10 best foods for health,” says Sarah Short Owner of Comfort Keepers in Somerset. Many of these foods take little or no time to prepare and can be added to existing diets to add nutritional components that promote better heart health. Berries and grapes: While blueberries are a number one choice because they contain high levels of antioxidants, other berries such as raspberries, strawberries and even red grapes are beneficial. Add a handful of berries to your morning cereal, or munch on grapes for a healthy snack. Fish: Salmon, mackerel and tuna are good sources of omega-3 fatty acids. Experts advise having fish at least twice a week for maximum benefits. Whole grains: Choose breads, cereals, oatmeal, pasta and even snack crackers made of whole grains to reduce risk of

About Comfort Keepers

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

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Southern Kentucky Health & Family Journal


heart disease and other chronic diseases. Soy: Daily servings of soybeans like edamame, tofu, soy milk and yogurt are excellent sources of soy protein, linked to reduced risks of cardiovascular diseases, weight loss, and some types of cancers. Nuts: Almonds, walnuts and pecans as daily snacks can reduce the risk of blood clots and may facilitate healthy arterial lining. Olive oil: Olive oil contains a healthy type of fat that, when consumed in moderation, may help reduce risk of heart disease and promotes lower cholesterol levels. Beans and lentils: Packed with protein, beans and lentils also contain levels of magnesium, iron and potassium that can support muscle and organ function, blood flow, and healthy bones. Choices of beans include chickpeas, kidney beans and black beans, all of which can be added to salads or soups. Red and green lentils are also excellent choices to add in soups. Fruits and vegetables: Think color. Dark leafy green, deep reds, yellows and oranges found in spinach, cooked tomatoes, squash and oranges are some choices. Daily intake of these foods has been linked to lower blood pressure, reduced risk of heart disease, and possible decreased risk of some cancers, along with lowered risk of eye diseases and digestive issues. Yogurt: Yogurt containing live and active cultures is considered a probiotic by scientists. Research shows probiotics are connected with lowering some risk factors for

cardiovascular disease. Tea and coffee: Flavonoids found in both may reduce heart disease. Studies found that those who drink 3-6 cups of green and black tea or 2-4 cups of coffee a day are at lower risk for heart disease. However, go easy on the sugar added to these beverages to avoid complications sugar may cause! “Good heart health does not depend on food alone. Physical exercise, not smoking and other factors are crucial to maintain healthy heart function,” says Short. Being aware of bodily changes during the aging process plays a large part in maintaining overall good health. Seniors should also visit their doctors regularly to ensure early detection of any issue that may involve the heart.

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Highlighting the Connection between Heart Disease and Hearing Loss during

In the hearing health community, system—a person’s heart, arteries, the president to proclaim February we’ve long recognized the link between and veins—have a positive effect on “American Heart Month” to urge heart disease and hearing health. So hearing. Conversely, trauma to the Americans to join the battle against for the first time this year, the Better blood vessels of the cochlea can cause cardiovascular disease. The Heart Hearing Institute (BHI) is joining with damage, negatively affecting a person’s Truth®—a national awareness the National Heart Lung and Blood capacity to hear. campaign for women about heart Institute (NHLBI) and the American In a study published in the American disease sponsored by NHLBI and Heart Association (AHA) to promote Journal of Audiology, Raymond H. partner organizations—established American Heart Month in February Hull and Stacy R. Kerschen did a National Wear Red Day® to give and to celebrate National Wear Red comprehensive review of research women a personal and urgent wakeup Day®—the first Friday in February that has been conducted and found call about their risk of heart disease. when Americans nationwide wear red that the negative influence of impaired For more information and to schedule If you are one of the 50 million people who suffer from to show their support for women’s heart cardiovascular health on both the your free hearing evaluation please call tinnitus, also known as ringing in the ears, you know disease awareness. This year, National peripheral and central auditory system 606-678-4010. that finding relief is critical to your well-being. ®National Wear Red Day is a registered trademark of HHS and Wear Red Day®is being observed on and the potential positive influence of ™ February 7, 2014. improved cardiovascular health on these AHA. At Southern Hearing Aid we carry a line of Siemens It is extremely important for the same systems has been found through a hearing aids that have a special tinnitus control feature hearing health community to encourage sizable body of research. to help alleviate your stress and tension and provide a awareness of heart disease, it’s relation BHI sees our participation in ™ more peaceful state of mind. to healthy hearing, and actions people American Heart Month and National can take to protect both their heart and Wear Read Day® as an important The Siemens portfolio features tiny, nearly invisible hearing health. contribution we can make to saving hearing aids and even a waterproof, dustproof and Coronary artery disease, usually millions of lives in our country. Not Expires: 1-31-14 sweatproof hearing aid. referred to as simply “heart disease,” only is it a way to raise awareness of is the most common form of the life-saving importance of protecting of the Newest and Best cardiovascular disease. It is a disorder your heart—but it’s an opportunity Hearing Aid Technology! of the blood vessels of the heart that to highlight the connection that heart Learn aids can help you better andOur even provide can lead to ahow heart hearing attack. A heart health hashear on hearing health. efforts attack happens when an arteryrelief becomes also will in help inform people with heart from ringing the ears. blocked, preventing oxygen and disease that their hearing may be at Call 606-678-4010 schedule free demonstration! (YOUR CHOICE) nutrients from getting to the heart.today torisk and that ityour is important for them to (Source: U.S. Department of Health and include hearing checks as part of their with Your Siemens Human Services, National Institutes routine medical exams. Pure Call Hearing System of Health, National Heart, Lung, and There is one way you can participate Southern Hearing Aid, Inc. Blood Institute, The Heart Truth™ in American Heart Month and National Expires: 1-31-14 National Awareness Campaign for Wear Red Day®. today and our Hearing Aquaris • Schedule a hearing screening at Women about Heart Disease). Care Overall blood flow affects the Southern Hearing Aid Professionals for you or your vascular pattern of the cochlea. Studies loved one. will provide you with show that Since 1963, Congress has required Ace a healthy cardiovascular

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Southern Kentucky Health & Family Journal


Fighting

Heart & soul

for

by

Don White

Often, when Kim Clark hears about a child having a life-threatening congenital heart defect, she can’t hold back the tears. While most parents never have to face dealing with the crisis, the 31-year-old ex-cosmetologist has two children born with serious congenital heart defects. Dealing with the multiple surgeries needed by Aubrey, six, and the one open heart surgery done on Austin, 8, transformed the East Hills resident into a leader of efforts to increase awareness of the problem present in one out of every 100 babies. The progress has been tremendous. Last year she and others teamed up to fight for regulations requiring a pulse oximetry test. They celebrated in April when their measure signed into law at February 2014

CHD

the Children’s Hospital in Louisville. According to the Kentucky Cabinet for Health and Family Services, the test can increase a CHD baby’s chances of survival to 85 percent. It was a major victory, but Kim, who is now married to Casey County native Daniel Clark, 36, and the mother of healthy 22-month-old Easton, isn’t finished with the fight. The former cheerleader and allaround athlete in high school is a leader of the local “Heart Moms” organization, a group that works to increase awareness and holds benefits to aid CHD research. Last year, a “Hugs for Heart Babies” event featuring a silent auction, dinner and dancing was held at The Coal Reserve in Somerset.

The auction resulted in a considerable amount of money for research and the goal is to repeat the event this year. Currently a location suitable for holding 50-60 people is being sought, as well as donation of items for the auction and cash donations. Kerrington’s Heart Inc., a Kentuckybased support group, will benefit from this year’s event that will be held in mid-February or early March. February is Heart Month and Feb. 7-14 CHD Week. “Heart Mom” meetings are held every three months at different venues in Pulaski County. “These meetings give us moms of CHD kids a few hours away from our situations and a chance to talk, or just relax and do a craft,” says Kim. 13


The next session is Feb. 24 with the Clark’s church, West Somerset Baptist, as the possible meeting spot. Kim also uses Facebook to teach out to others facing CHD issues, and she is adamant about the need for parents to obtain information regarding their child’s heart as soon as possible. “Everyone should inquire about the condition of their baby’s heart at the 20week ultrasound. Too often parents are only concerned about learning the sex of their child and fail to ask questions. Says statistics show the importance of seeking answers. “More babies die every year from congenital heart disease than from all forms of cancer combined. It’s the

14

number one cause of death.” As for Austin and Aubrey, they’re doing just fine, although Aubrey may face certain restrictions throughout her life and have some type of intervention. Both are in school at Northern Elementary and Austin plays basketball on a team coached by his dad, an employee of TTAI, at Rocky Hollow. Audrey has missed only two days of school due to illness and her brother has perfect attendance. It’s been nearly a year and a half since Audrey’s condition has required surgery. She had her first procedure when two weeks old and 11 more after that. In April, the entire family will make

a trip to Disney World thanks to the “Make-A-Wish” Foundation. Meanwhile, Kim encourages anyone who would like more information about CHD or Heart Moms and anyone with items to donate to the upcoming silent auction to get in contact with her. She can be reached at 305-4152 or via her Facebook page under the name Kimberly Pierre Clark.

Don White is a freelance journalist/writer

Southern Kentucky Health & Family Journal


Your Heart, Your communitY our mission is to prevent and treat heart disease, so you can have a healthy and productive life. Committed to quality healthcare in the Somerset area, Baptist health offers two convenient locations.

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February 2014

15


Have a PLAN to Avoid HEART DISEASE

Tricia Neal emergency room with chest pains can undergo a heart catheterization within a matter of hours. “When an ambulance comes to your house, you are hooked up to an EKG that goes directly to the hospital’s cath lab,” Shoptaw explains. “If a blockage is found, we can get you to the cath lab and get your artery open in less than an hour from when you arrive at the hospital.” In the past, patients with blockages would have had to wait until the next day to undergo a heart catheterization. Obviously, the new method has proven to be a life saver. Patients at LCRH now have access to 24-hour cardiology coverage thanks to the cardiology hospitalist program. Surgeons like Shoptaw are now also offering coronary artery bypass grafting as an alternative to heart stents. This procedure restores blood flow by bypassing a blockage, and is a safer option for certain groups of patients such as diabetics. Sometimes heart disease leads to blockages in veins in patients’ limbs – and help for those issues is now available at LCRH in the form of a practice called “endovascular limb salvage.” For more information about these procedures, contact Cardiothoracic Surgical Associates of Lake Cumberland at (606) 451-0300. You can also meet Dr. Shoptaw this month as he will be the featured speaker, focusing on heart health, at “Dine with the Docs,” Tuesday, Feb. 11, in the basement level of the East Tower at LCRH. A free dinner will be served at 5:30 p.m., and the program will begin at 6:30 p.m. Reservations are required by calling (606) 678-3274. by

What disease is the number one killer in the United States? Some may be surprised to learn that it’s not cancer. Heart disease is the biggest culprit, causing the most death and disability in both men and women in America. One in every four deaths in the United States is caused by heart disease. While the disease affects more men than women, there is a strong campaign in America to educate women about the disease – because the disease has vague symptoms for women, and, therefore, it’s often misdiagnosed. “A woman might go to the emergency room three to four times on average with vague complaints before she is finally diagnosed with coronary disease,” says cardiothoracic, vascular and endovascular surgeon Dr. James Shoptaw Jr. “While a man will complain of severe chest pain, a woman might just feel fatigued or say she’s just not feeling very well.” For both men and women, certain habits or lifestyles can increase the risk for heart disease. Shoptaw mentions smoking, obesity, and a sedentary lifestyle as “big risks.” Patients who have diabetes or who suffer from hypertension or high cholesterol are also at risk of developing heart disease. Many risk factors can be overcome by making lifestyle changes, such as exercising more and eating healthier – but, in today’s fast-paced world, sometimes those changes aren’t easy. “You need to ask yourself where you are now, and where you want to be,” Shoptaw says. “You really have to carve time out of your busy schedule to make time for a workout program. You have to plan. It doesn’t happen by chance.” Years ago, eating out might have been a once-a-week treat, Shoptaw says. Most meals were eaten at home, and most dinners included chicken or fish and vegetables. “Now, people work and then take their kids to practices, and they’re out until 9 p.m., so they grab something 16

Dr. James Shoptaw says it’s important to have a specific plan to avoid coronary disease.

at the drive-thru on the way home,” he says. “It’s difficult to plan to eat healthily.” All hope is not lost, though. “You can eat a healthy diet in a fast food environment,” Shoptaw says. He suggests trying restaurants like Subway, where meals can consist of a turkey sandwich or a salad. In general, avoid fatty foods and prepared foods, and eat more grains, fruits and vegetables. Exercising can mean different things for different people. For those suffering from arthritis, water aerobics might be a good choice. For those with other types of joint pain, a treadmill or stationary bike will prove to be less stressful than running. Those already suffering from heart disease or other illnesses may need to exercise in a monitored environment. Regardless of which routes are taken toward healthier eating and exercising, a level of commitment is required. Simply put, “if you don’t set up a plan to avoid getting heart disease, you’re planning to fail,” Shoptaw says. Of course, the goal is to avoid getting coronary disease. But for those who suffer from its symptoms, advanced treatment options are available. At Lake Cumberland Regional Hospital, patients brought to the

Tricia Neal is a freelance writer

Southern Kentucky Health & Family Journal


Healing Power by

Tricia Neal

“When you’re stressed out, it helps if you can pound the pavement for a while.” Dr. Hossein Fallahzadeh knows a lot about stress. He also knows about the healing power of exercise. Born in Iran, Fallahzadeh left for England to study medicine when he was 18 years old. Within a few years, he would become a general surgeon with a very full schedule – a prime example of a life full of stressful situations. Fallahzadeh had been active his entire life. He was a mountain climber in his youth – not by choice, but because that was the way of life. “I’m from a mountain village,” he

explains. “You have to climb if you want to go anywhere.” When Fallahzadeh was in his mid30s, another doctor exposed him to running – an activity which would become somewhat of an addiction throughout the rest of his life. How does a busy surgeon find time to run? Fallahzadeh says he squeezes it in whenever he can – and sometimes that has been at odd times. “While I’m working, I can go run on the Cumberland Parkway, come back, shower and change, and then go back to work,” he says. “A lot of times, I’ll jog to work.” He jokes that he’s been

of Exercise

The

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February 2014

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stopped many times for “roadside consultations” as he runs. If he’s busy through the week, he tries to make up for lost time on weekends. In addition to running, Fallahzadeh plays soccer every Sunday and works on his upper body strength in the gym on a regular basis. He also enjoys playing tennis. And just last year, Fallahzadeh traveled to Chile to participate in a 3,000-foot mountain climbing challenge. The course took him six miles up the mountain and six miles down. “They tried to discourage me because they looked at my age,” he says. Several participants quit, but he successfully completed the climb. While soccer and tennis are great forms of exercise, Fallahzadeh notes that those types of fitness activities require the presence of other individuals. “When you run, the only things you need are a pair of shoes and a bit of

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time, and you can do it whenever and wherever you want,” he says. “You don’t have to arrange it with anybody else.” Having the convenience of an indoor facility – Fallahzadeh uses the Somerset Family Fitness Center – helps during cold and rainy weather. Fallahzadeh says running relieves stress, invigorates him, and helps clear his mind. “There are many benefits,” he adds. “Exercise burns calories, and your metabolic rate goes up so you also burn more calories when you’re not exercising. … It’s better than sitting in a chair with your cell phone or your iPad.” Now that Dr. Fallahzadeh, age 73, is semi-retired, he says it’s easier to find time to exercise. He tries to run at least 30 miles weekly in addition to his soccer playing and his weight training. His advice to other individuals who are aging: “The best thing we can do for ourselves is to exercise and to be careful what and how much we eat.”

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Southern Kentucky Health & Family Journal


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February 2014

19


RED

Wear by

Tricia Neal

LCRH helps community take charge of their Day health through free event

It’s February. What better month to focus on the heart? Known nationally as “Heart Month,” people all over the country take advantage of this time to increase awareness about cardiovascular disease – the number one killer of men

20

and women. “Throughout the month, Lake Cumberland Regional Hospital will be encouraging everyone to learn more about heart disease and stroke and to take notice of their own heart health,” said Susan Ramsey Wilson, marketing and community relations director for LCRH. Heart Month will kick off locally with National Wear Red Day. “This special day is designed to help raise awareness of women’s heart disease, since the disease has stereotypically been known as a man’s disease. We’re encouraging everybody all across the region to choose February 7 as their own special Wear Red Day by wearing their favorite red clothing,” said Wilson. “This simple act of many people wearing red on one specific day is an important part of helping raise awareness about women’s heart disease.” But Wear Red Day is about much more than a choice of clothing. LCRH is also helping community members take charge of their own heart health by organizing special National Wear Red Day activities from 10 a.m. to 2 p.m. on February 7 at Somerset Mall. The public is invited to this free event, and the first fifty female heart disease survivors will receive special recognition. “We want to invite ladies from all over the region, along with the important men in their lives, to join us for this great day of activities,” said Wilson. “It will be a wonderful opportunity to learn about heart disease, learn more about your own health, and start - or stay - on a path to good health.” The event will feature entertainment, exercise demonstrations, healthy snacks, and exhibitors who will provide important information about heart health, healthy lifestyles, healthy diets, smoking cessation, in-home care, exercise and relaxation. Cardiac specialists’ offices will be an important part of the Wear Red Day activity as well. Staff members will provide information about cardiovascular disease, and physicians will be on hand, as their schedules allow, to meet attendees and to answer questions. Participants can also take advantage of the opportunity for a number of free health screenings as well as some extra pampering with hand massages and nail painting – red, of course, for heart month. Many Somerset Mall stores will be actively involved in the event. Door prizes provided by the exhibitors will be awarded at the end of the day. “This year, we are celebrating our tenth year of LCRH sponsoring Wear Red Day activities, so we’re having a big birthday party,” Wilson noted. “We’ll have heart-healthy Southern Kentucky Health & Family Journal


birthday cupcakes, fun birthday games, and prizes in addition to our usual wide array of important information about heart health, healthy lifestyles, relaxation, and services available.” Wear Red Day activities were originally held at Lake Cumberland Regional Hospital, but the event has grown so much each year that organizers eventually found it necessary to relocate to Somerset Mall. “We are grateful to (mall manager) Carol Tucker and Somerset Mall for allowing us to host the event at their facility,” Wilson said. “There is always plenty of parking, lots

Local residents Sam and Betty Adkins are decked out in red for a recent Wear Red Day event at Somerset Mall. The event features free health screenings, free information, snacks, prices, and more.

Lake Cumberland Regional Hospital CEO Mark Brenzel shares a light moment with the staff of Cardiothoracic Surgical Associates at a recent Wear Red Day event. Wear Red Day is held annually in February at Somerset Mall.

February 2014

of room for our exhibitors, and the mall stores often have special activities going on in conjunction with Wear Red Day. Now we are able to accommodate more than 50 exhibitors at the event and in excess of 500 attendees.” For more information about the event, or to learn how you can be involved in raising awareness about women’s heart disease, please call 606-678-3264. National Wear Red Day is a registered trademark of HHS and AHA.

21


n HEART e m Wo &

Susan Wilson LCRH Heart disease is typically stereotyped as a man’s disease – and indeed, is the #1 killer of men in the United States. It is the #1 killer of women, too. In fact, more women die of cardiovascular disease than from the next four causes of death combined, including all forms of cancer. What is heart disease? Coronary heart disease - often simply called heart disease - is the main form of heart disease. It is a disorder of the blood vessels of the heart that can lead to heart attack. A heart attack occurs when an artery becomes blocked, preventing oxygen and nutrients from getting to the heart. Heart disease is one of several diseases of the heart and blood vessel system, also known as cardiovascular diseases. Other cardiovascular diseases include stroke, high blood pressure, angina (chest pain), and rheumatic heart disease. Sometimes women aren’t too concerned about heart disease because they think it can be “cured” with surgery or medication. Sadly, this isn’t true. Heart disease is a lifelong condition-once you get it, you’ll always have it. Of course, procedures such as bypass surgery and angioplasty can help blood and oxygen flow to the heart more easily. But even after surgery, the arteries remain damaged, and unfortunately, the condition of your blood vessels will steadily worsen unless you make the necessary lifestyle changes. What are risk factors for heart disease? As our understanding of heart disease has expanded over the years, we now know that women of all ages need to take action to protect her heart health. About 80 percent of women ages 40 to 60 have one or more risk factors submitted by

22

DISEASE

for heart disease, which dramatically increases a woman’s chance of developing heart disease. However, heart disease can begin early, even in the teen years, and even women in their 20s and 30s need to take action to reduce their risk of developing heart disease. Risk factors include: • High blood pressure • High blood cholesterol • Diabetes • Smoking • Being overweight • Being physically inactive • Having a family history of early heart disease • Age (55 or older for women) According to research compiled by the NHLBI, having just one risk factor doubles your chance of developing heart disease. Some risk factors, such as age and family history of early heart disease, can’t be changed. For women, age becomes a risk factor at 55. After menopause, women are more apt to get heart disease, in part because their body’s production of estrogen drops. Women who have gone through early menopause, either naturally or because

they have had a hysterectomy, are twice as likely to develop heart disease as women of the same age who have not yet gone through menopause. Family history of early heart disease is another risk factor that can’t be changed. If your father or brother had a heart attack before age 55, or if your mother or sister had one before age 65, you are more likely to have heart disease. There are, however, many risk factors that you are able to control. Regardless of your age, background, or health status, you can lower your risk of heart disease-and it doesn’t have to be complicated. By doing just 4 things— eating right, being physically active, not smoking, and keeping a healthy weight—you can reduce your risk of heart disease by as much as 80 percent. Find out your risk and take steps to prevent and control it. Talk to your physician to get more answers. Start taking action today to protect your heart. If you are overweight, smoke, have high cholesterol, or are inactive, you can start making healthy changes to minimize your risk of heart disease You can make changes gradually, one at a time. But making a decision to take that first step them is very important. Eliminating risk factors that you can control improves your chances of avoiding heart disease – but keeping the status quo with more than one risk factor can have serious outcomes, because risk factors tend to “gang up” and worsen each other’s effects. The message is clear: Every woman needs to take her heart disease risk seriously-and take action now to reduce that risk. For more information about heart disease or National Wear Red Day®, visit www.hearttruth.gov. or www. goredforwomen.org

Southern Kentucky Health & Family Journal


Amazing FACTS About the Human Heart

Every Valentine’s Day homes and businesses dress up the decor with cupids and hearts to celebrate a day all about love and affection. The heart shape has been used to symbolically represent the human heart as the center of emotion and romantic love. Hearts symbolizing love can be traced back to the Middle Ages. Those familiar with human anatomy realize that an actual heart bares very little resemblance to the ideographic heart shape used in art and imagery. Similarly, the human heart really has nothing to do with human emotions. Despite this, there are many interesting components of the heart, and a man or woman truly cannot love or live without one. The heart as an organ is relatively small in size. It is roughly the size of a fist and weighs only 11 ounces on average. Although diminutive, the heart is responsible for pumping 2,000 gallons of blood through 60,000 miles of blood vessels each day. It accomplishes this by beating 72 times a minute in a healthy adult. All of the cells in the body receive blood except for the corneas in the eye. The heart works harder than any other muscle in the body. In a fetus, it begins beating at four weeks after conception and will not stop until a person’s time of death. Even then, sometimes the heart can be revived. A heart can also continue to beat outside of the body provided it has an adequate oxygen supply. Although many people refer to all of the blood vessels in their body as “veins,” they’re actually a combination of veins and arteries. Veins carry fresh, oxygenated blood to the body through arteries. The main artery leaving the left heart ventricle is called the aorta, while the main artery leaving the right ventricle is known as the pulmonary artery. Blood traveling back to the heart flows through veins after it has passed the February 2014

lungs to pick up oxygen. The thumping noise that is heard while the heart is beating is actually the chambers of the heart closing and opening as blood flows through. While the heart may not be the cornerstone of emotions, it can be affected by feelings. Studies have shown that a “broken heart” is a real occurrence, according to Live Science. Bad news or a breakup with a loved one can put a person at increased risk for heart attack. This type of trauma releases stress hormones into the body that can stun the heart. Chest pain and shortness of breath ensue but can be remedied after some rest. Conversely, laughter and positive feelings can be beneficial for the heart. Research has shown that a good laughing fit can cause the lining of the blood vessel walls -- called the endothelium -- to relax. This helps increase blood flow for up to 45 minutes afterward. Although having a big heart colloquially means that a person is loving and goes out of their way for others, physically speaking, a big heart is unhealthy. An enlarged heart can be a sign of heart disease and compromise the heart’s ability to pump blood effectively. Left untreated, it can lead to heart failure. There is good reason to get amorous with a loved one on Valentine’s Day or other times during the month. Being intimate can provide a physical workout, in some instances doubling a person’s heart rate and burning up to 200 calories. That’s the equivalent of a brisk 15-minute run. Also, a study of 2,500 men aged 49 to 54 found having an orgasm at least three times a week can cut the likelihood of death from coronary disease in half, according to The New England Journal of Medicine. The heart is an amazing organ responsible for sustaining life. Although it is not directly tied to love and emotions, without the heart such feelings wouldn’t be possible.

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Southern Kentucky Health & Family Journal


&

Health Family Journal

Southern Kentucky

Special Bridal Section

invitations

Wedding

Wedding invitations often provide guests with a first glimpse of a wedding’s style. Invitations also may serve as the means by which distant friends and relatives find out about a couple’s pending nuptials if a formal announcement was not made. Amid the flourishes of calligraphy and impressive paper stock is information that speaks to the importance of the day when two people will be joining their lives together. Guests will learn not only the time and the place of the wedding from the invitation, but also the formality of the event and the scope of the party that will follow. Couples should keep certain things in mind as they begin to design their wedding invitations. * Have a good idea of your potential guest list. Before shopping for wedding invitations, it is key to have a strong idea of just how big the wedding will be and how many guests will be invited. This way you will know how many invitations you will need. Invitations vary in price, so cost may be a consideration if your guest list is extensive.

* Decide on the formality of the wedding. Will you be hosting a black tie affair, or will it be a casual gathering at the shore? Guests infer many things about the wedding from the invitations, which should match the formality of the event in style and the sentiments expressed. An ornate invitation written with classic wording suggests a more formal affair, while a whimsical invitation with less formal wording could indicate a more laid-back event. * Dare to be different by playing with invitation sizes and shapes. 26

tip sheet

Rectangular cards are standard for wedding invitations, but you can explore your creativity by choosing more modern, artsy invitations. Circular invites or scalloped edges can add some whimsy to the wedding mood. Invitations that fold out or are embellished with ribbon or other decorations can be appealing. Just keep in mind that cards that are not the standard shape and size could be more costly to send. Always have the entire wedding invitation weighed and priced at the post office so you will know what the postage will cost. * Choose a legible font and text color. Your invitation may look beautiful, but it may prove ineffective if it is difficult to read. Do not risk guests misinterpreting the date or the location because they cannot read the writing on the invitation. Steer clear of pastel or yellow text colors, and remember to have a high contrast between the color of the invitation and the text you are using for easy reading. * Keep the invitation simple. It may be tempting to load the invitation with lots of information, but all you really need are the key pieces of information, such as the “who,” “what,” “where,” and “when.” Crowding the card will take away from its aesthetic appeal. Most stationers will suggest a separate, smaller insert in the wedding invitation for the reception information and response card. Never put information such as where you are registered or “no kids allowed.” This is material better reserved for word of mouth or on a wedding Web site. * Do some math. It is important to know your dates so you can receive the invitations on time, mail them out, and give guests enough time to respond. A good rule of thumb is to mail out the invitations at least two months before the wedding. Have an RSVP date of no more than three to four weeks before the wedding, giving ample time to the caterers and accommodating anyone who procrastinates in sending in a response. You will need the final headcount in order to confirm seating arrangements and plan for centerpieces and favors. * Handwrite the envelopes. Your invitation will look more impressive if you address them by hand, rather than printing them off of a computer. If your handwriting is not very neat, consider hiring a professional calligrapher to write out your envelopes. * Make it easy for guests to respond. Be sure to place a stamp on the response card envelope and have that envelope already addressed with your home address so that guests will have no excuses not to mail a response back promptly. * Always order extra. Mistakes happen, and you may need to send out a few extra invitations that you hadn’t originally counted. Always order extra invitations just to be on the safe side. And don’t forget you will probably want to keep one as a keepsake for yourself. Southern Kentucky Health & Family Journal


timing

Careful

makes weddings go off without a hitch

As any holiday host can attest, timing is crucial to getting a meal out hot and ensuring each course is ready for the table. Timing is equally important when planning a wedding. Various elements must come together in the right order to create a seamless day for couples and guests alike. In addition to organizing floral deliveries, ensuring the wedding party arrives on time, and getting hair and makeup done promptly, couples who will be having their ceremony in a different location from the reception will need to spend more time factoring timing into their wedding day equations. Factors like traveling to and from the site, as well as hunger pangs and potential weather-related complications, will need to be considered. Many couples choose to have their ceremonies and receptions at the same site, a decision that makes scheduling much easier. Once the ceremony is over, guests simply go inside or to another area of the grounds to begin the reception. Some traditionalists, though, prefer to have their ceremony in a place of worship and then travel to a separate reception location afterward. Both scenarios are acceptable, but the latter option requires a little more planning. Couples will need to know when the church or temple is available for the ceremony and when the reception hall will be open to guests. Some weddings are held after daily masses or other religious ceremonies. An afternoon wedding may end a few hours before the cocktail hour begins at the reception site, leaving guests with time to kill before the reception. Couples can try to remove as much time between the reception and ceremony as possible by coordinating with their catering managers. If finances allow, couples can request the wedding reception begin early. This way guests can arrive at the cocktail hour and comfortably mingle among themselves. These requests are common, and many catering managers will be happy to meet requests to keep a bride and groom’s business. If this is not possible, couples have a few alternatives. If the reception site is a good distance away, the travel there may take up the idle time. Otherwise, the bride and groom may need to come up with another plan. In some instances, a family member opens his or her home up to some of the guests, who may enjoy light refreshments. It may be possible to use a cafeteria or gathering space at the ceremony site for a little while as well. If the photographer plans to take outdoor photos between the ceremony and reception, the couple can invite some guests along to witness the shots or be a part of the photo shoot. Thoughtful couples also can provide other accommodations, such as letting guests know about local restaurants where they can spend a little time and grab a small bite to eat before the reception begins. Hotels affiliated with the wedding party may be able to host guests during these in-between hours as well. The hotel bar or a conference room might be ideal spots for guests to kill some time. Couples also can arrange something with the reception hall. While the party room or cocktail area may not be ready until the designated time, the site may have an attached restaurant, salon or gardens, where guests can relax as they wait for the start of the festivities. Timing all of the elements of a wedding day properly can be challenging. Guests’ comfort and needs should always be a priority. February 2014

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Wedding showers continue to break from tradition Rain showers on a wedding day may bring good luck, but they are seldom coveted. However, a different type of shower altogether is often highly anticipated and can help couples feel like they’re one in a million. Wedding showers are gift-giving parties held for couples about to get married. The custom began in the nineteenth century and continues to present day, primarily in North America and Australia. Guests traditionally “shower” the bride-to-be with all the necessities (and some fun extras) that she will need after she ties the knot. These gifts will help the soon-to-be-married couple establish a home together. Bridal showers are steeped in tradition, but today’s bridal showers continue to veer off the beaten path. Nowadays, bridal showers feature fun and games much like a party having nothing to do with a wedding. TheKnot.com, a Web site that aims to help couples plan their weddings and all the events leading up to the big day, identifies these key trends in modern bridal showers. * Couples’ showers: Modern couples who like to be all-inclusive are now planning bridal showers that cater to mixed audiences. Dubbed a “couple shower,” these parties include female and male friends and relatives. Gifts are still the main focus of the event, but they’re varied and include guy-friendly items within the mix of household goods. * Power showers: Many are familiar with the terms “man cave” and “bromance,” but few may know that there are now wedding showers geared entirely around the groom. Known as “power showers,” these events focus on the groom-to-be, who is showered

•Weddings •Receptions •Parties •Reunions

Gifts are still important, but new trends in wedding showers have shifted the focus of these events.

with a bevy of gadgets and power tools that are certain to stock his future garage. The parties are decidedly more testosterone-friendly and can include golf outings, poker nights or action movie flicks as possible themes. * Destination/activity showers: Rather than having guests hang around a restaurant watching gift after gift get unwrapped, some bridal parties opt to throw an activity shower. These showers are focused around a particular activity. For example, ladies may be treated to a day at the spa. Other ideas include horseback riding at a stable or a day at the ballpark. Because hosting an activity shower for dozens of people may get expensive, these types of showers may be reserved for only your closest friends and family members. * Bride-involved showers: The idea of walking into a room and being surprised by friends and family members is appealing to some brides-to-be but not everyone. Some brides prefer not to be surprised by a shower and actually would like to have a role in the planning of the party. However, this is delicate ground on which to tread, considering there may be differences over where the party is held and even the overall experience of the party. These type of showers should be discussed before any plans are made, and tasks should delegated in accordance with those plans. It is customary for a bridal shower to take place before a wedding. But new trends have emerged that are shaking up the way showers are planned and held. TO THE GROOM: We know you want to get the biggest diamond for your bride and one that is in your budget. We offer twice the size & quality of diamonds & wedding sets than other stores.

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Southern Kentucky Health & Family Journal


How to approach

Music

Music often plays an important role on festive occasions, and wedding days are no exception. The right music can make a wedding day that much more meaningful, while the wrong music can make a couple’s big event memorable for all the wrong reasons. Though music selection might seem like one of the easier decisions couples must make, those about to tie the knot typically must make a host of music-related decisions regarding their wedding day, including whether to choose a live band or a deejay to perform at their wedding receptions. While the reception is when music might be most on display, couples planning their weddings must think beyond the reception when setting the musical tones for their weddings.

Ceremony

The ceremony itself often sets the tone for a couple’s wedding day. A beach wedding, for example, often creates a laid back atmosphere, while a ceremony held in a large church or temple often sets a more formal tone. Music played during the ceremony also goes a long way toward setting the tone couples hope to establish. When choosing music for the ceremony, couples should first consider the venue where they are tying the knot. Some, such as houses of worship, may have rules pertaining to what can and cannot be played inside the venue. Classical, hymnal or processional music often makes the best fit when weddings are taking place in more formal venues. Outdoor weddings tend to give couples more leeway. But in general couples don’t want to choose any music that’s too loud or over-the-top for their ceremonies. Keep in mind that while the music played during the ceremony can set the tone for the day, this music can vary significantly from the music played during the reception. A favorite performer may not be appropriate during the ceremony, but that doesn’t mean the couple can’t dance to that artist’s music during the reception. Live musicians can add a more elegant feel to the ceremony, but such performers also can be costly. Playing prerecorded music may not be as elegant as having a live performer, but it can cost a lot less and still make for an enjoyable day and evening.

Reception

Many couples prefer deejays to live bands for their wedding receptions. Deejays can play favorite songs as couples and their guests know them, while bands can only play their own renditions of those songs. Another thing to consider when choosing between a deejay or live band for the reception is the venue itself. Some venues are smaller and unable to accommodate a full band, while others may not have ideal acoustics, making it difficult for a live band to sound as good as they might in a more music-friendly environment. The formality of the event should also come into consideration February 2014

on your

Wedding Day when choosing between a live band or a deejay for the reception. Deejays spinning the latest top 40 hits may stick out like sore thumbs at especially formal weddings, while a classical orchestra likely won’t fit into the laid back theme of a beach or destination wedding. Couples tying the knot outdoors may need to consider equipment when choosing bands or deejays to play their weddings. For example, some venues do not provide equipment, such as microphones and speaker systems, to couples for their ceremonies. Renting such equipment can be costly, but couples can often skirt such charges by hiring deejays or bands who lend couples their equipment during the ceremony. Deejays or bands who will loan and set up the necessary sound equipment for outdoor ceremonies merit extra consideration. When discussing music to be played during the reception, couples must consider their own musical tastes as well as those of their guests. A wide range of popular music tends to go best at wedding receptions, as guests are more likely to dance to songs they recognize. Avoid any music that has the potential to offend guests, opting for lighter, happier tunes instead. Whether hiring a band or deejay, couples should make a list of no-play songs or artists and make sure that such lists are included in their contracts. Music plays an important role on couples’ wedding days. Though choosing music for the ceremony and the reception is often fun, couples must take such decisions seriously. 29


Choosing the right wedding reception

Favors

Planning a perfect wedding is no small undertaking. From scheduling venues and hiring vendors to tasting menus, lots of decisions must be made when planning a wedding. But when the pieces fall into place, the entire day can be magical. One of the final components of weddings are the favors guests will take home with them as mementos of the festivities. Though favors don’t require immediate attention, that does not mean couples should wait until the last minute to made decisions regarding their wedding favors. Brides- and grooms-to-be should not underestimate the importance of handing out wedding favors, a tradition with a rich history. A wedding favor is considered a symbol of good will to guests, and there are many different wedding favors on the market. Finding the right one can take a little work. It is usually a good idea to find something that suits the theme of the wedding and is both long-lasting and practical. Try to avoid anything that is too kitschy. A couple’s budget should be considered when choosing wedding favors. A couple may want to give their guests lavish gifts but should only do so if their budget allows. It may be challenging for couples to find favors that fit the theme of their wedding, as well as their own personalities and budgets. But it can be done. The following are some favor-finding guidelines.

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Be Creative

Wedding favors can be just about anything, so there’s no need to stick to Jordan almonds or wine bottle stoppers. The more creative couples are, the more receptive their guests will likely be. For example, for an autumn-theme wedding, fill mason jars with the ingredients for a spiced cake and give the recipe directions on a tag. For a summer wedding, gift guests with a sun and surf survival bag, full of sunblock, a beach towel and sunglasses. Complete the theme Some weddings follow a particular theme from start to finish, and wedding favors should stick with that theme. Couples who will showcase their love of travel on their wedding days may want to give guests keychains or purse holders that feature popular landmarks around the world. Those who are admitted beach bums may want to present a small fishbowl with sand and a goldfish inside, reminiscent of days at the seashore.

Go Traditional

Couples who opt for universally appealing favors can lean toward some popular options, such as silver cake servers, candlestick holders, decorative photo frames, or engraved keepsake boxes. Aim for favors that have utility. Otherwise, favors may end up collecting dust on someone’s shelf. Food and beverage gifts are fun Food favors mean guests can enjoy their gifts and not have to worry about finding space inside their homes to display trinkets. Food favors can be lavishly decorated cookies, fine chocolates, petit fours, small bottles of champagne or cupcakes decorated like the wedding cake. Favors are often integral to wedding celebrations. Selecting a favor that will be appreciated and fit with the wedding is often a fun and stress-free part of planning a wedding.

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Southern Kentucky Health & Family Journal


How to stay

Energized

throughout your wedding day

A couple’s wedding day is the culmination of months and months of planning. For most, it is one of the most memorable, magical days of their lives, filled with fond moments of time spent with close friends and family. As enjoyable as a wedding can be, most brides and grooms who have already tied the knot can attest that a wedding is a long, often tiring day. It is very easy for energy levels to wane. To ensure you have enough energy to last through to the final good-bye of the evening, follow these suggestions to remain energized. * Recognize your wedding day is a very long day. It’s possible to rise quite early in the morning to begin prepping with makeup, hair styles, wardrobe and more. If the party is an evening reception, it could last until the wee hours of the night. You may find yourself up for nearly 24 hours, when the cameras will be flashing and the video rolling throughout. Naturally, you’ll want to look your best throughout. * Get a good night’s sleep the night before. Get to bed early the night before so you will get ample sleep and look rested. It is understandable that nerves and excitement may get the best of you and make it difficult to fall asleep. If you often grow anxious and struggle to fall asleep before big events, talk to your doctor prior to the wedding to ask if you can be prescribed a one-time-only sleeping pill that will ensure you get to sleep promptly. Do not take this medication with alcohol, and be sure to take it only if you can get a full 7 to 8 hours of sleep. Otherwise you may experience medicine hangover. * Enjoy a hearty breakfast. At breakfast on the morning of your wedding, consume a combination of carbohydrates and protein. The carbs will provide the initial burst of energy you need to get going, and the protein will keep you feeling full. A combination of whole wheat toast, fresh fruit and Greek yogurt makes for a filling start to the day. * Stay hydrated. Although drinking a lot of water can result in more frequent trips to the bathroom -- which can be cumbersome for brides wearing their gowns -- it is essential to stay hydrated. Dehydration can result in headaches, weakness and dizziness and may make you feel cranky. Be sure to consume water throughout

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Remembering to eat well and drink plenty of fluids can help couples stay energized throughout their wedding days.

the day. * Pack some snacks. The time between breakfast and the cocktail hour of a wedding may be significant. In your wedding “survival” kit, be sure to pack some easy snacks to eat. Trail mix can be nibbled for a boost of energy, and a banana can take the edge off of hunger pangs. Avoid anything messy that can drip onto clothing or get stuck in your teeth. Arrange to have snacks stowed in the limousine or another mode of transportation so that you can refuel on the way to the ceremony or in transit to the reception. * Don’t overdo it with caffeine. It may be tempting to lean on an energy drink or a super-size cup of coffee to give you the boost you need. But caffeine is only a temporary fix. After the effects of the caffeine wear off, you could find yourself more tired than before and crash at an inopportune time during the day. Instead, a brisk walk outdoors may recharge your batteries. Afterward, time spent on the dance floor enjoying the reception will likely stimulate some adrenaline to keep you going. * Eat dinner. When family is beckoning and the photographer needs to get yet another pose, it is easy to skip dinner. Be firm with your decision to enjoy your meal. After all, you paid for it and it should not go to waste. Besides, sitting down to dinner enables you to rest and absorb the atmosphere of the wedding. * Continue to drink plenty of water throughout the night. Alcoholic beverages may be flowing, but too many spirits can compromise your energy levels. Be sure to balance the booze with hydrating fluids, such as water or juice. Weddings take up the entire day, and it can be easy to succumb to a lack of energy as the day progresses. But by heeding a few tips, it’s possible to remain in top form throughout the entire wedding.

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31


What

s p e St by

Can You Take To Prevent

Tim Minton

Dr. N Mullai, MD Hematology and Oncology Center, PLLC Somerset, KY

Though cancer deaths are decreasing nationwide, cancer is still the secondleading cause of death among Americans. The American Cancer Society estimates that one of every four deaths in the United States is due to cancer. Certainly, cancer is no stranger to Kentucky since it continues to rank worst in the country with its number of cancer deaths. Kentucky had a lung cancer death rate 50 percent higher than the national average, ranking it highest in the nation. It also ranked higher than average in colon, prostate and breast cancer death rates. Cancer treatment techniques are improving with contemporary, medical technology and research. Dr. N Mullai, MD, with the Hematology and Oncology Center, PLLC in Somerset has been specializing in hematology and oncology for over 20 years. Dr. Mullai asserts, “We have came a long way with cancer diagnosis. Whereas it used to be a death judgment we can now treat and manage cancer with better results.” In addition, Dr. Mullai considers cancer prevention methods to be something that not everyone is following but they should be. Which leads to the question, how can cancer be prevented? First off, 32

Cancer?

prevention is scientifically recognized as action taken to lower the chance of getting cancer. The aim is reducing the number of new cancer cases to evade the number of deaths caused by cancer. “Unfortunately, we don’t precisely know of any certain links that may cause cancer in a patient,” states Dr. Mullai, “with some cancers we are unable to provide a cure so the best thing a person can do is follow cancer prevention suggestions.” There are many common beliefs or speculations about causes of cancer as research continues to evolve. This is because many things in our genes, our lifestyle, and the environment around us may increase or decrease our risk of getting cancer. However, it’s well accepted that your chances of developing cancer are affected by the lifestyle choices you make. So, if you’re concerned about cancer prevention, take comfort in the fact that some simple lifestyle changes can make a big difference with risk factors associated with cancer. The Mayo Clinic has proposed these six cancer prevention tips to reduce your chances from acquiring cancer: #1 Don’t use tobacco Avoiding tobacco -or deciding to stop using it - is one of the most important health decisions you can make and also an important part of cancer prevention. Using any type of tobacco puts you on a collision course with cancer. Decades of research have consistently established the strong association between tobacco

use and various types of cancer. As a single exposure that is relatively easy to measure accurately, this extensive body of evidence has led to the estimation that cigarette smoking causes 30% of all cancer deaths in the United States. Smoking causes about 90% of lung cancer deaths in men and almost 80% in women. Smoking may also cause cancer of the voicebox (larynx), mouth and throat, esophagus, bladder, kidney, pancreas, cervix and stomach. Even if you don’t use tobacco, exposure to secondhand smoke can increase your risk of lung cancer. Adults who are exposed to secondhand smoke at home or at work increase their risk of developing lung cancer by 20% to 30%. Concentrations of many cancer-causing and toxic chemicals are higher in secondhand smoke than in the smoke inhaled by smokers. “When people are exposed to similar environmental risk factors, such as smoking exposure in the same household, they also become at risk of cancer. Second-hand smoke can become as bad of a risk as smoking itself,” proposes Dr. Mullai. #2 Maintain a healthy diet Although making healthy selections at the grocery store and at mealtime can’t guarantee cancer prevention, it might help reduce your risk. Consider these guidelines: Eat plenty of fruits and vegetables. Base your diet on fruits, vegetables and

Southern Kentucky Health & Family Journal


other foods from plant sources — such as whole grains and beans. The World Cancer Research Fund (WCRF) report assessed that fruits and non-starchy vegetables comprised the greatest consistency with correlations between dietary factors and “probable decreased risk” against cancer. Limit alcohol intake. With respect to dietary factors that may increase cancer risk, the strongest evidence in the WCRF report was for drinking alcohol. The evidence was judged to be “convincing” that drinking alcohol increased the risk of cancers. A large number of studies provide strong evidence that drinking alcohol is a primary risk for liver cancer and that drinking alcohol regularly increases the risk of getting mouth, voice box, throat, and colon cancers. Daily consumption of around 50g of alcohol doubles or triples the risk for these cancers, compared with the risk in nondrinkers. If you choose to drink alcohol, do so only in moderation. The risk of various types of cancer increases with the

amount of alcohol you drink and the length of time you’ve been drinking regularly. Limit fat. Eat lighter and leaner by choosing fewer high-fat foods, particularly those from animal sources. High-fat diets tend to be higher in calories and might increase the risk of overweight or obesity — which can, in turn, increase cancer risk.

#3 Maintain a healthy weight and be physically active Maintaining a healthy weight might lower the risk of various types of cancer, including cancer of the breast, prostate, colon and kidney. Conversely, obesity is being increasingly recognized as an important cancer risk in addition to other harmful health conditions. Overweight is defined as a body mass index (BMI) of 25 to 29, and obesity is defined as a BMI of 30 or higher. The WCRF report has shown that being overweight or obese substantially raises a person’s risk of getting postmenopausal breast cancer and cancers of the prostate, esophagus, pancreas, colon, gallbladder, and kidney. Physical activity counts, too. Adults who participate in any amount of physical activity gain some health benefits. In addition to helping you control your weight, physical activity on its own might lower the risk of breast cancer and colon cancer. As a general goal, include at least 30 minutes

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February 2014

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of physical activity in your daily routine — and if you can do more, even better.

#4 Protect yourself from the sun Skin cancer is one of the most common kinds of cancer - and one of the most preventable. Exposure to ultraviolet (UV) rays from the sun and tanning beds are considered to be the most important environmental factors involved with developing skin cancer. To help prevent skin cancer while still having fun outdoors, protect yourself by seeking shade, applying sunscreen often, and wearing sun-protective clothing, a hat, and sunglasses

#5 Get immunized Cancer prevention includes protection from certain viral infections that may reduce cancer incidence and deaths. You can talk to your doctor about immunization against: Hepatitis B. Hepatitis B can increase the risk of developing liver cancer. The Hepatitis B vaccine is also recommended for sexually active adults who are not in a mutually monogamous

relationship; people with sexually transmitted infections; intravenous drug users; and health care or public safety workers who might be exposed to infected blood or body fluids. Human papillomavirus (HPV). HPV is a sexually transmitted virus that can lead to cervical and other genital cancers. HPV vaccines are given as a series of three shots over 6 months to protect against HPV infection and the health problems it can cause. The U.S. Food and Drug Administration (FDA) approved a human papillomavirus (HPV) vaccine for females aged 9–26 and males aged 9–21. HPV vaccines offer the best protection to girls and boys who receive all three vaccine doses and have time to develop an immune response before being sexually active with another person. That’s why HPV vaccination is recommended for preteen girls and boys at age 11 or 12 years. #6 Get regular medical care and screenings Regular self-exams and screenings for various types of cancers can increase your chances of discovering cancer early, when treatment is most likely to be successful. Research shows that screening as recommended helps prevent cancer by either finding precancerous lesions before they become cancerous or finding the cancer at an early, often highly treatable stage. “Although screening programs are technically not a cancer prevention method, they do help catch cancer in the early stages to aid in cancer treatment. The screening guidelines are different

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34

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for each cancer, but anyone in their 40’s or 50’s should begin to talk to their practitioner about what screening programs might be needed depending on the individual’s health condition, “ affirms Dr. Mullai. Some of the most common cancer screenings include breast (mammograms); cervical (Pap tests); and colon (polyps discovery). The six suggestions considered above are not exhaustive. Research is constant and ongoing to find better prevention, treatment, and even a cure for cancer. “Scientifically we do not know what exact agents cause a person to receive cancer. Until we do, everyone should follow good habits and guidelines with prevention programs to help reduce the risk of developing cancer,” states Dr. Mullai. Cancer prevention programs can result in rewards that will last a lifetime. Most importantly, cancer prevention is something you can take into your own hands to self manage your health.

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Southern Kentucky Health & Family Journal


WE HAVE YOU COVERED

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February 2014

35


Surgery

vs. Physical Therapy Which is Best For Me?

36

Four studies, all published in the New England Journal of Medicine, have tried to determine the best treatment for knee pain due to arthritis and meniscus tears. All four found little difference in people who had surgery and those who didn’t. In one study, Surgery versus Physical Therapy for a Meniscal Tear and Osteoarthritis, no difference was noted in function after 6 or 12 months between the group that had surgery and the group that received physical therapy. Both groups improved. The authors stated, “Our findings suggest that both surgery and referral to physical therapy are likely to result in considerable improvement in functional status and knee pain over a 6-to-12-month period.” Another study titled, A Randomized Trial of Arthroscopic Surgery for Osteoarthritis of the Knee, concluded, “Arthroscopic surgery for osteoarthritis of the knee provides no additional benefit to optimized physical and medical therapy.” So which is best for your knee? Clearly some people require surgery. But not all. On the other hand most everyone can benefit from exercise and treatment directed at any arthritic joint. Physical therapy can promote regeneration of articular cartilage, restore motion, and improve strength in muscles around the joint which will help to protect it. If improvement in these areas doesn’t solve the problem, then other options can be considered. In fact, sometimes we send patients to an orthopaedist with the hope that they will benefit from surgery. Yet, the treatment at Total Rehab Center is still beneficial as it will likely improve the results of the surgery and shorten the post-operative rehabilitation time. In short there is no one answer for everyone. But for most people, seeing a physical therapist at Total Rehab Center is a good first step

Southern Kentucky Health & Family Journal


Mohammad Afzal, MD Internal Medicine, LLC We would like to welcome

Katelyn Perkins, PA-C

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Mohammad Afzal, MD Katelyn Perkins, PA-C Angela Collins Katessa Brock Amber Whitaker Melissa Smith Not Pictured: Connie Masten

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37


Wilson’s Cedar Point Farm

Do You

Know

Where

YOUR

Food Comes From?

from the grocery store. According to a 2012 Gallup poll the average couple spends over $170 per week on food. However, the 1500 food miles system is not a sustainable one. Local food not only is sustainable but it is good for the community as a whole. Considering the “buy local” movement is now a national trend, several farms are stepping up to consumer demand. One of the biggest movements is Community Supported Agriculture(CSA). CSA is a marketing

shares. Even though the farm is located in far western Pulaski County, during the growing season shares will be delivered to two sites in Somerset. On Tuesday and Thursday afternoons they will meet you at designated areas in Somerset for your convenience. Wilson’s Cedar Point Farm uses sustainable growing techniques and integrated pest management in the management of their produce crops. With two kids and several hives of bees

type whereby a family or household buys a weekly box (a share) of produce from a local farm. The CSA member is guaranteed the produce they receive is from a nearby farm – freshly picked and delivered within 24 hours of harvest. Wilson’s Cedar Point Farm is one of the few (if not only) Pulaski County farms that offer CSA shares. The family farm is located on South Highway 837 in the Nancy community. This season marks their 5th year offering CSA

on the farm, the utmost care is taken for their safety. The farm has passed and must pass annual 3rd party audits from the USDA. Every fruit and vegetable grown on the farm is handled in the a very diligent way to ensure that CSA shares are filled with nutritious and safe food. To become a member of Wilson’s Cedar Point Farm’s CSA, families can fill out a membership form located on their website (www.

Do you know where your food comes from? That’s a question very few people can honestly answer. According to several different studies, the average fruit or vegetable travels about 1500 miles from where it is grown to where it is consumed. Today Americans have the luxury of being able to purchase almost any fruit or vegetable at any time of the year

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Southern Kentucky Health & Family Journal


wilsonscedarpointfarm.com). The season is usually 20 or 21 weeks long starting in mid-May and ending in late September. Members will receive seasonal produce, e.g. strawberries will be in the weekly share only during May since that’s the only time of year they are produced on the farm. During the season the contents of the weekly box you receive will change depending on what is ready for harvest. Some weeks there may be as many as 10 to 12 different items in your box. Here is a partial list of some of the items that you can look forward to receiving: strawberries, greens, summer squash and zucchini, cucumbers, several different types of beans, red yellow and heirloom tomatoes, many different types of peppers, eggplant , some of the sweetest corn you will ever eat, potatoes , sweet potatoes , okra, lettuces, garlic, onions, and possibly honey depending on how well the bees work. Wilson’s Cedar Point Farm’s CSA shares are available in 2 sizes¸ full shares and half shares. The full share

is a bushel box every week and it will provide enough food for 3 or more people that enjoy 4 to 5 meals a week with fresh vegetables. The half-share is a half bushel box of produce every week, this is designed for a family of 1 or 2. They also offer an egg share (limited amounts available) which consists of a half dozen eggs per week.

Their chickens are pasture-raised and get to roam out on the grass and be chickens. If you have any questions feel free to call Joel at 606-305-8762 or you can email the farm at wilsonscedarpointfarm@gmail.com. You can download an application at www.wilsonscedarpointfarm.com.

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Care, from page 6

the pain should not be similar to what was experienced before surgery. You will be given a prescription for a pain medication before they leave the hospital. Driving after Surgery Your health care provider will decide when driving can resume after any procedure. This can be from two to four days, to as long as eight weeks, depending on the procedure. Activity after Surgery The doctor will tell your loved one when he or she is able to return to daily activities. However, for the first six to eight weeks, the following guidelines are recommended for patients recovering from heart surgery: • Gradually increase activity. Household chores can be done, but standing in one place longer than 15 minutes is not recommended. • No lifting objects more than 10 pounds. • No pushing or pulling heavy objects. • Unless restricted by doctor’s orders, climbing stairs is allowed; however, climbing up and down stairs several times during the day, especially when the patient first arrives home, is not recommended. When planning activities, try to arrange them so the patient goes downstairs in the morning and back upstairs when it is time for bed. • Walk daily. Guidelines for walking will be given to the patient upon the return home. Diet after Surgery Encouraging your loved one to eat a healthy diet will help the healing process after heart surgery. Special dietary instructions will be issued. It is common after surgery to have a poor appetite at first. If this is the case, encourage your loved one to try to eat smaller, more frequent meals. Appetite should return within the first few weeks. If it does not, contact the provider. Emotions after Surgery It is common after heart surgery to feel sad or blue. These feelings should go away after the first few weeks. If they do not, call the provider. Caregivers can assist in relieving the emotional blues by encouraging their loved one to: • Resume daily activities. • Walk daily. • Resume hobbies and social activities they enjoy. • Share their feelings with others. • Spend time with other people. • Get enough sleep. • Join a support group or cardiac rehabilitation program. Sleep after Surgery 40

Many people complain of having trouble sleeping for some time after heart surgery. Normal sleep patterns should return within a few months. Call the provider if lack of sleep begins causing changes in behavior or if normal sleep patterns do not return. Some tips to improve sleep include: • If your loved one is having pain, encourage him or her to take pain medication about half an hour before bedtime. Offer to arrange the pillows so he/she can maintain a comfortable position. • Keeping in mind that activity must be balanced with rest during recovery from surgery, encourage your loved one not to take frequent naps during the day. • Encourage your loved one to avoid caffeine in the evenings (such as chocolate, coffee, tea, and colas). • Encourage getting into a bedtime routine. By following the same rituals, a person’s body learns to know it is time to relax and get to sleep. For Caregivers and Loved One’s: Understanding How People Change Why is it important for you to know about the stages of change? Because having heart disease, a heart attack, heart surgery or a stroke is all about change — for the survivor and for you. You can help encourage the change process if you can recognize the stages your loved one is in for different health habits. This allows you to help your loved one move through the process. And you can see those health habits where you and your loved one might have conflict. Studies show that people’s ability to make a new habit permanent is based on their readiness to change. In fact, people naturally go through several different stages before a new behavior becomes a habit. These include: • Precontemplation (Not interested): Not even thinking about changing the old habit. • Contemplation (Maybe): Thinking about changing but not doing anything about it. • Preparations (Definitely a possibility): Doing something about changing, but not regularly. • Action (Doing it): Changing the old habit regularly, but for less than six months. • Maintenance (Been there, still doing it): Habit has been changed regularly for six months or longer. Roadblocks to moving forward As people encounter different roadblocks, they’re likely to slip backward into earlier stages, but they move forward to the next stage as they learn new information and skills to help make the habit stick. Your loved one will likely move through the

following stages in attempting to change lifestyle habits. Follow these tips to help remove the roadblocks to change: In precontemplation: • Learn how new healthy habits can help. • Talk to people who have made healthy changes. • Ask the healthcare providers to explain to your loved one how changing certain behaviors may reduce risk for another heart attack, stroke or heart surgery. In contemplation: • Just try the new habit. • Start with something simple and manageable: eat one meatless meal or walk around the block. • Don’t expect too much too soon. Take pleasure in the small victory. In preparation: • Set goals. • Develop and write down a specific plan for reaching the goals. • Recruit friends or family to help. In action: • Make sure the new habit includes plenty of variety so you don’t get bored. • Anticipate situations that may trigger a relapse. • If your loved one does lapse, analyze what led to the lapse and identify solutions he or she can use to cope with the problem in the future. • Help your loved one keep a positive mental attitude. Home Care Data shows that about 20% of patients are readmitted to the hospital in the first seven days after surgery. HELPING HANDS PERSONAL CARE can provide personalized home care after surgery to educate on after care, assist with all activities of daily living, provide assistance with exercise and meal planning, housekeeping and running errands. We can also assist with transportation to important appointments after surgery. Let us become part of your after care team. Our caregivers are carefully selected, educated, bonded/insured, BLS/CPR certified, receives first aid education, and continues to receive the latest home care education/training. Contact us today to schedule your free, personalized, in-home consultation at 606-636-4400 or email us at helpinghandspersonalcare@yahoo.com. For more information, please visit our website www.helpinghandspersonalcare. com. Information contained in this article are combined from several sources including Mayo Clinic, Remedy MD Medical Experts, Private Duty Today, www. memdedhearts.org, and personal and professional experiences.

Southern Kentucky Health & Family Journal


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41


‘Bear’ Us with

Bill Mardis Editor Emeritus by

How do you figure a story about a Pulaski County bear is appropriate for the February issue of Health & Family Journal? That’s easy. You read it here first. Don’t mess around with a bear and you’ll stay healthy and not be a burden on your family. See, “Health” and “Family,” we cover both. P.S. Regardless of how macho you may feel, don’t go bear hunting with a switch. That’s an old wives’ tale when they wanted their husbands out of the house and didn’t care if they came back. A double-barrel, much less a switch, is not conducive to good health on a bear-hunting trip. Shotgun pellets only get a bear’s dander up. Rooney Turner knows best when it comes to bear hunting. He sat for at least 45 minutes on the morning of November 9 and watched a big black bear eat out of his deer feeder on Bolt House Ridge. That’s at Ano, and Bolt House Ridge Road winds through this A large black bear raids a deer feeder on Bolt House Ridge in the Ano community. Rooney Turner was watching nearby in a deer blind and took this photograph. Rooney Turner photo

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Southern Kentucky Health & Family Journal


majestic countryside. Rattlesnake Crossing, an eerily remote place along Bolt House Ridge Road, is where giant rattlesnakes go to and from Baker’s Hollow. Enough about that. Rattlesnake Crossing is a story already told. We will refrain from writing about rattlesnakes in this magazine because rattlers don’t have a sense of humor and the nasty reptiles definitely don’t deserve space in a Health & Family Journal. Rooney Turner is a first cousin of State Rep. Tommy Turner, probably the most famous raccoon and bear hunter in these parts. Representative Turner broke his leg last fall when he fell off a ridge while bear hunting in Virginia. He is back on his feet and went bear hunting three or four times before going to Frankfort and the General Assembly now in session. No doubt, going bear hunting with a big gun is healthy because Representative Turner is still going strong. We make this point while still trying to justify inclusion of this story in a Health & Family Journal. Rooney Turner is a bear hunter in his own right. He doesn’t take a back seat to anybody, not even Cousin Tommy. “I was at my hunting cabin and I heard something run off through the woods before daylight. It made too much noise for a deer, so I figured it was a bear,” said Rooney, an employee of the Pulaski County Road Department for more than 23 years. No doubt what Rooney heard before daylight was a bear. “About 10 minutes after 7 after it got daylight that bear came back and laid down on its belly and ate out of that deer feeder,” Rooney related. He got a good photograph of the bear standing up at the feeder and passed it along to the Commonwealth Journal. The bear, or one of its kind, hasn’t been very nice to Rooney. “My hunting cabin is out there on Bolt House Ridge Road,” Rooney said. “About a month ago, a bear broke the windows out of my cabin. It jerked the curtains out and tried to drag out an old sink that has some grease in it,” Rooney complained. He and Tommy were in the area training their dogs when they found the damage. Kentucky has an open season on bears for both crossbows and guns. Rooney said he hunted during bear season but didn’t get a kill. “Hunters got their quota of 10 bears but none was killed in Pulaski County,” Rooney said. “The closest bear killed was in Wayne County.” After reading this, if you have an urge to go bear hunting it might be a good idea to carry a copy of this magazine in your knapsack. A wonderful bunch of doctors, dentists and nurses Bill Mardis have their telephone is Editor numbers in this Emeritus of the publication. You may Commonwealth need to call if you get Journal mauled by a bear. February 2014

BEAR FACTS

IN THE 18TH CENTURY, black bears in Kentucky outnumbered deer, elk, and other large predators. By the end of the next century, they were essentially gone from the state. Habitat loss due to human development, overhunting, and overzealous logging practices drove bear populations into the most rugged and remote parts of the Appalachians in Virginia, West Virginia, and Tennessee. But as new growth forests have matured in Kentucky’s craggy Appalachian foothills, habitat has returned and with it the bears.

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Shaping up for a healthier heart? Your local Medicine Shoppe® Pharmacy has your prescription for better health. We offer all of your prescription medications as well as over-the-counter products to help you stay healthy. Physical activity is important in helping you maintain healthy weight, lower cholesterol and blood pressure. Talk with your Medicine Shoppe Pharmacy pharmacist today for more healthy heart information. Jim Cherry, R.Ph. 900 East Mt. Vernon Somerset, KY 42501 Hours: M–F 9:00 a.m. – 6:00 p.m. Sat 9:00 a.m. – 1:00 p.m. ✆606-679-9227 ©2013 Medicine Shoppe International, Inc., a Cardinal Health company. All rights reserved.

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#9

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Pulaski County High School Baseball Coach

COACHES

Gilbert Wilson

Doug Eads CJ Correspondent by

As a head baseball coach at the high school level, he won a grand total of 389 games. His name throughout his coaching career became synonymous with winning baseball and championships. He won five district titles as well as five regional championships. The list of great players he had the opportunity to coach and develop over his coaching career is as long as a deep shot over the center field fence. In 2000, he became a member of the Kentucky High School Baseball Coaches Association Hall of Fame. In short, he accomplished everything possible on the baseball diamond except for winning a state title. Yes, former Pulaski County skipper Gilbert Wilson had a coaching career that most people would die for, yet as he puts it, it was a career that almost never came to be. “Truth is, I had no clue,” stated Wilson, in talking about his meteoric rise throughout the baseball coaching ranks in Kentucky during his time in the Pulaski County dugout. “Coming out of high school and college, I really thought of myself as a basketball coach,” Wilson continued. “I did coach basketball quite a bit — probably as long as I coached baseball. After I got into baseball and started learning quite a bit about the game, I just came to love it.” Well, basketball’s loss was certainly baseball’s gain in the case of Gilbert Wilson. During his tenure at PC, the Maroon faithful came to love Wilson and his team’s, because through the years, all Pulaski 44

County did under his leadership was win, and win in impressive fashion. And, to have the kind of run that Wilson enjoyed at PC, as one might imagine, he was blessed with a ton of talent over the years. Darren Burton, Daniel Carrender, Shannon Helton, Josh Anderson, Robbie Blanton, Aaron Belcher, Cole Draughn, Drew Reynolds, Justin Carter, and Brad Wilson are just a handful of the talented baseball players that went through the PC program while Wilson was calling the shots. Truthfully, there are a couple of dozen more that could easily be mentioned here — the list is just too big to name them all. Wilson began his baseball coaching career at Eubank High School way back in 1977. After the smaller high schools in the county consolidated into Pulaski County High School for the 1981-’82 school year,

it wasn’t long before Wilson found himself in the PC dugout in charge of the Maroon baseball program. He served two different stints as the Maroons head coach — 1984-’89 and 1992-’02. His legacy is simply one of winning, but as was his custom after any win his club ever garnered, Wilson — as humble a person as they come — was always quick to deflect the attention away from himself and give all the credit to his players and his coaching staff. “We did win a lot of games, but I had a lot of help along the way,” stated Wilson. “I always had great coaching staffs, and it’s well documented about all the talented players that came through our program when I was coaching,” added the former PC coach. “Coaching is one thing obviously, but you have to have good baseball players to put out there every day on the field, and I was very fortunate in that regard — we

Southern Kentucky Health & Family Journal


had some very good players come through our program.” One of those talented players — Josh Anderson — began to make a name for himself as a top-flight center fielder at Pulaski County High School under Wilson’s guidance in the late ‘90’s. Anderson went on to become an AllAmerican outfielder at Eastern Kentucky University, and later became a fourth round draft pick by the Houston Astros. Anderson eventually made it to ‘The Big Show’, playing in the Major Leagues for the Astros, along with Kansas City, Detroit, and the Atlanta Braves. Wilson says that while his former pupil and player was as gifted as they come on the baseball diamond, Anderson was an even better person away from the sport. “Not only was Josh a great player, but I went to church with him and I watched him grow up,” pointed out Wilson. “I think as much as anything else, Josh’s character helped carry him through a lot of different things,” added the former Maroon coach. “He had some hard luck when he got to the pros, and sometimes that happens to people. I can tell you this though, Josh Anderson is a fine young man.”

While Anderson may be the one guy that people point to as having the most success in baseball coming out of the PC program during Wilson’s tenure, there were many, many other great players along the way as previously mentioned. In fact, the 1999 PC baseball team is a team that Wilson — even today — feels like should have won a state championship. That team was loaded, and had as good of a pitching staff as any team in the state, led by All-State caliber pitchers Daniel Carrender and Shannon Helton, along with Robbie Blanton and Brad Wilson. That team fell just short of a state crown, and yes, in case you’re wondering, the fact that team didn’t bring a title back home to Pulaski County High School is something that still bothers coach Wilson even to this day. “I’ve always regretted it — not necessarily for me, but for the outstanding players that were on that team,” pointed out Wilson. “I thought the ‘99 team had a real shot at it, as well as the 2000 team,” said Wilson. “The ‘99 team had the pitching with (Daniel) Carrender, (Shannon) Helton, (Brad) Wilson, and (Robbie) Blanton, as

well as good defense, and that team could really hit the ball too. I don’t think honestly we knew how good we were. When I went up and watched the team’s playing in the state tournament that year, I realized pretty quick that my ballclub was better than any of them.” Of course Wilson — an Eastern Kentucky graduate — not only made a name for himself as a coach at Pulaski County, but he also coached girl’s soccer, basketball, and served as the school’s principal for three years as well as the Maroons athletic director for a number of years before retiring. Wilson accomplished a great deal during his career at Pulaski County High School. He was a great coach, mentor, friend, but an even better person, both on and off the playing field. And for that, there’s no doubt that Gilbert Wilson is a true Hall of Famer. Doug Eads is a Commonwealth Journal Correspondent

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February 2014 Calendar

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

SENIOR FUN & FITNESS CLASS Each Tuesday and Thursday, 10 a.m.11 a.m. Feb. through May 8, 2014. Lake Cumberland Cancer Treatment Center; 112 Tradepark Dr., Community Classroom. These are gentle exercises for EVERYONE- the overweight, the diabetic, those recovering from surgery, illness or injury, heart patients, and especially those who are sedentary. Every joint and muscle in the body will be utilized yet the exercises are not difficult. The purpose is to regain use and strengthen muscles and joints, improving posture and mobility, increase circulation and to enjoy fellowship with others. For more information or to register, since space is limited, call (606) 678-3274. POUNDS OFF PULASKI WEEKLY MEETINGS Each Monday through March 31 at 6:00 p.m. join us for free informational meetings on weight loss and healthy living. Meetings will be held in the LCRH Conference Centers. More information can be found online at: www.PoundsOffPulaski.blogspot.com FRIDAY, FEBRUARY 7 NATIONAL WEAR RED DAY 10th BIRTHDAY CELEBRATION To celebrate Somerset’s 10th Wear Red Day, we’re having a birthday party! Please put on your favorite red outfit and join us at the Somerset Mall from 10-2 to find out what you need to know about women’s heart disease. We’ll have door prizes, games, health screenings, and health care professionals to answer questions. Call (606) 678-3274 for more information. TUESDAY, FEBRUARY 11 DINE WITH THE DOCS LCRH Conference Center, Ste A 5:30 pm - Dinner in Chatters Café & Grill 6:30 pm - Speaker: 46

James H. Shoptaw, Jr., M.D. Cardiothoracic Surgeon Topic: To be announced Join us on the 2nd Tuesday of each month for a special complementary dinner and an informative program presented by leading medical specialists. Space is limited. Call (606) 678-3274 for your required reservations.

Arrivals prior to 6:00 pm. This will allow time for the Neighborhood residents to have their dinner.

THURSDAY, FEBRUARY 20 MOVIE-N-MUNCH LCRH Conference Ctr, Ste. A 1:30 p.m. Synopsis of “Red 2”: Retired C.I.A. agent Frank Moses reunites his unlikely team of elite operatives for WEDNESDAY, FEBRUARY 12 a global quest to track down a missing GET ACQUAINTED BRUNCH portable nuclear device.. Call (606) 6789:15 am – Free Breakfast in Chatter’s Café 3274 by Thurs., Feb. 14, for your required and Grill reservation. 10 am – Senior Friends Presentation Have you ever been a Senior Friend? Our FRIDAY, FEBRUARY 21 free breakfast is designed to offer you a PARKINSON’S SUPPORT GROUP free one-year membership if you have A support group for persons diagnosed never been a member before. Come to with Parkinson’s disease and their family and friends will meet the third Friday of this “Get Acquainted Brunch” and enjoy each month in the LCRH Small Dining a FREE delicious breakfast in Chatters Room, located in the basement by the Café & Grill while hearing about all the Senior Friends office. For additional benefits about your free NEW one-year information please call (606) 678-3274. membership – a $15 value! Call (606) 678-3274 for your required reservation by THURSDAY, FEBRUARY 27 BIRTHDAY PARTY Friday, Feb. 07. LCRH Conference Center, Ste A THURSDAY, FEBRUARY 13 2 pm –4 pm MONTHLY MEETING & VALENTINE It’s time for those February “Senior CANDLELIGHT DINNER Friend” babies to come and party. Bring The Neighborhood a friend and share an afternoon of fun, 6:30 pm games, delicious cake and ice cream. Call This event is for Senior Friends Members (606) 678-3274 by Thursday, Feb. 20, for Only. The Neighborhood Assisted Living your required reservation. and Senior Friends have partnered to celebrate heart month. Join friends for FRIDAY, FEBRUARY 28 BINGO a special Valentine’s Candlelight Dinner BINGO and fellowship at our celebration during LCRH Conference Center, Ste A this month which focuses on the Heart! 2 pm – 4 pm We will be honoring couples who have Senior Friends Members come bring a $3.00 been married 50 years or more, so when donation to the March of Dimes and spend you make your reservations please let the afternoon with “Friends”. A perfect us know how many years you have been time for fun, fellowship, & refreshments. married. The donation for this special Senior Friends will provide the coverall dinner is $5.00 per person. Donations will prize. Reservations are required and must benefit the March of Dimes. Call 606-678- be received by Friday, Feb. 21. Please call 3274 for your required reservations due (606) 678-3274 to reserve your spot. to limited seating. Please, No Early Bird Southern Kentucky Health & Family Journal


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Southern Kentucky Health&family, February 2014