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Vol. 10 Issue 6 • June 2014


g n i v i Surv r e m m u S s t c e s n I


Working Together:

•LCRH •EMS • Air Methods of Kentucky

For Better Patient Care

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In Business for 51 Years Southern Kentucky Health & Family Journal

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The ABCs of Old School Restoration

Health Family Journal Southern Kentucky


Volume 10 Issue 6 June 2014

PUBLISHER Rob McCullough


By Don White

Ken Shmidheiser

CONTRIBUTING WRITERS Steve Cornelius Cindy Lackey Tim Minton

Local Legend

Tricia Neal Janie Slaven Don White

By Steve Cornelius

LAYOUT & DESIGN Pam Popplewell


Mike Hornback/Advertising Director Mary Ann Flynn Kathy M. Lee Mike McCollom Amanda McIntosh Janie Gumm-Wright Craig Wesley

Southern Kentucky Health & Family Journal is a publication of and is distributed by Newspaper Holdings, Inc. All rights reserved. No part of this publication may be reproduced or stored for retrieval by any means without written permission from the publisher. Southern Kentucky Health & Family Journal is not responsible for unsolicited materials and the publisher accepts no responsibility for the contents or accuracy of claims in any advertisement in any issue. Southern Kentucky Health & Family Journal is not responsible or liable for any errors, omissions, or changes in information. The opinions of contributing writers do not necessarily reflect the opinion of the magazine and its publisher. © 2014 Newspaper Holdings, Inc.

Southern Kentucky Health & Family Journal P.O. Box 859 Somerset, KY 42502 Email: 4

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Oh, My Aching Knees! Lake Cumberland Rheumatology...................18 Life Throws You Curves Total Rehab Center........................................19

Dealing With Summer’s Pesky “Critters” by Tim Minton................................................5

Annual Health Expo LC Health Department...................................20

What Vacations Teach Us About Investing Edward Jones.................................................8

Dr. Jonathan E. Ricker by Tricia Neal...............................................22

Working Together for the Best in Patient Care by Tricia Neal.................................................9

Migraine: Not a Regular Headache by Cindy Lackey...........................................25

Aging Gracefully Comfort Keepers...........................................14

Common Migraine Triggers by Cindy Lackey...........................................28

The ABCs of Old House Restoration by Don White...............................................16

How to Get a Better Night’s Sleep..................34 Senior Calendar............................................38

COVER PHOTO: Air Evac of Kentucky is working with the Lake Cumberland Regional Hospital and the Somerset-Pulaski County EMS to provide the best in patient service.

Southern Kentucky Health & Family Journal

Dealing With Summer’s Pesky “Critters”:

by Tim Minton

Mosquitoes, Ticks, Chiggers

During the summer, we must take the good with the bad. The warm days of summer, that permit for increased opportunities spent outside for enjoyment or entertainment, will ensure those insects and other pests will also be out there with us. We will examine three of the most common pests common in Kentucky’s climate region: mosquitoes, ticks, and chiggers. And, what measures we can take to avoid these as much as possible.


Ah, mosquitoes, my most despised “summer bummer” causing all those irritating, itchy bites. I seem to be a mosquito magnet. I am on a blood thinner for a medical condition, and if one is around, it’s like he senses it, and yells out to all of his buddies, “Hey, ‘fellas, there’s an all you eat buffet over here!” The mosquito population is highly dependent upon rainfall. These insects require standing water for their eggs to hatch and for their larvae to develop. The West Nile Virus (WNV) is most commonly transmitted to humans by mosquitoes. U.S. media outlets began bringing attention to the WNV when the Center for Disease Control (CDC) began monitoring an June 2014

increase with US deaths associated with WNV from previous years. Despite the sensationalism, in 2013 the CDC reported only three cases of the WNV in Kentucky with only one recorded death. However, that still doesn’t take away from the nuisance mosquitoes cause with their itchy bites. Provided are the most common techniques and prevention methods to combat mosquitoes: •Of course, there is the obvious application of mosquito repellants. They are sold in sprays, lotions, or candle repellents. Everyone seems to have their preferred choice. But, when camping or hiking just remember to bring one with you to avoid rampant bites. Especially, when you know you will be around high grass, and areas prevalent with water like creeks and ponds. •Keep your lawn mowed and bushes trimmed. This eliminates having a nice place for mosquitoes to rest. •Keep spare tires and other items that collect water stored in a sheltered area. This cuts down on the amount of rain these items can collect. Empty standing water from buckets, boats, planters, wheelbarrows, etc. •Make sure roof gutters drain properly to prevent standing water. •Change the water in bird baths at least once a week or install a fountain or dripper to keep the water moving. •Keep your body covered as much as possible. Yes, mosquitoes can find their way through the fabric, but it helps to cut down on the number of bites. If you have an infant lying or resting in a carrier while outdoors, consider covering him or her with a mosquito

net. The mosquito netting has fine holes big enough to allow breezes to easily pass through but small enough to keep mosquitoes and other biting insects out. •Plant mosquito deterring plants around your yard such as citronella, marigolds, basil, lavender, and catnip. •Carry around a mosquito swatter with you for outside barbeques or picnics. The swatter, usually made of a thicker metal or plastic, is mounted on the end of a springy wire, dramatically increasing your chances of hitting a stationary mosquito by increasing the momentum of the swat. If a mosquito lands on you attempt to flick it off before it can bite.


Unlike mosquitoes, ticks are not really insects (See the below section about chiggers). The University of Kentucky’s Department of Agriculture released a recent publication providing answers to the most asked questions about ticks and the diseases they transmit. Besides their repulsive appearance, ticks are vectors of potentially debilitating and lifethreatening diseases. Lyme disease, in particular, has attracted national attention and is now the number one arthropod-borne disease in the United 5

States. However, Lyme disease is more prevalent in eastern and mid-western states than in Kentucky. Ticks prefer to live in woods, tall grass, weeds and brush. They climb onto low vegetation and attach to suitable hosts which pass by, including pets and people. Ticks are seldom a problem in well-maintained lawns although edges of property supporting tall weeds and brush can be a source of infestation. The best way to avoid acquiring ticks is through prevention: •If possible, avoid walking through uncut fields, brush and other areas likely to harbor ticks. When hiking or picnicking in these areas, wear long pants tucked into socks and consider using tick repellents. Walk in the center of mowed trails to avoid brushing up against vegetation. •Keep grass and shrubs in your yard trimmed, and clear overgrown

vegetation from edges of your property. Ticks avoid direct sunlight and will not infest areas which are well maintained. •Free-roaming pets are much more likely to become infested with ticks than are those which are domesticated. Pets may be treated with insecticide dips or sprays, although these products generally lose effectiveness in about one or two weeks. •Treating lawns with insecticides is of little benefit since this is not a preferred habitat for ticks. If insecticides are used, treatment should be concentrated in areas where pets, rodents, and other potential wild hosts of ticks are likely to frequent, e.g., dog house, fencelines, and along margins between wooded or brushy areas and the lawn. Make 1-2 applications -- the first during April or May when ticks are detected, and another, if needed, in early July. A good way to determine if ticks are present is

to drag a 3x3-ft white flannel or cotton sheet through suspected areas. Ticks will attach to the sheet and be visible against the white background. •Inspect family and pets after being in tick-infested areas, and promptly remove any ticks which are found (ticks most often attach at the neck and scalp). How can you effectively remove an attached tick? Use a fine-point tweezer, grasp the tick just behind the point of attachment and pull slowly and steadily until the tick is dislodged. Vaseline, matches, and other alternate methods of removal should be avoided. Wash the bite area, apply antiseptic and cover with a band-aid.


Like ticks, chiggers are not really an insect. They are classified as arachnids, which are close cousins of insects, and include spiders, ticks, and

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Southern Kentucky Health & Family Journal

mites. Chiggers are the juvenile form (larvae) of a certain type of mite of the family Trombiculidae. Chiggers are found throughout the world. They most commonly live in forests, grassy fields, gardens, parks, and in moist areas around lakes or rivers. Most of the larvae that cause chigger bites are found on plants that are relatively close to the ground surface, because they require a high level of humidity for survival. There are usually no dangers from chigger bites, but some can cause toxic reactions. The digestive enzymes secreted by the mite larvae and the host reaction create the typical

bite. Such bites usually are not really dangerous, but some reactions can be toxic in allergic people. Chiggers feed on dissolved skin cells, not blood. They drop off the skin usually in a very short time and often are scratched off rather quickly. Nevertheless, a reddish, swollen spot will appear where the chigger ``bit``, and intense itching usually occurs that can last about seven to 10 days. Like ticks, prevention is the best treatment. Prevention methods listed previously for ticks can be applied to chiggers as well. Use a good insect repellent and apply liberally around your sleeves, pant cuffs, sock tops. and waistbands. If that fails, mild bites are helped with baths in which starch has been added to the water and calamine lotion applied to the skin. In severe cases or infections, your doctor may prescribe antihistamines, steroid creams, or tablets to get you over an intense reaction. Even though mosquitoes, ticks and

chiggers are just as much a part of summer as baseball and fresh lemon aid, it doesn’t mean these pests have to keep us barricaded in our homes preventing the enjoyment of the outdoors and good times associated with summer. Following the prevention methods above can go a long way to ensure they don’t interfere with your summer fun.

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What Can Vacations Teach Us About Investing?





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

Summer is almost here — which means it’s officially vacation season. You may be looking forward to “getting away from it all,” but, as you know, vacations actually require a fair amount of planning. And it might surprise you to learn that some of the efforts required for successful vacations can impart some valuable lessons in other areas of your life — such as investing. Here are some vacation-related moves that you may want to transfer to the investment and financial arenas: Secure your home. If you’re going on vacation for a week or so, you may need to take some steps to safeguard your home: stopping your mail and newspaper, putting on a timer to turn on lights, alerting your neighbors that you’ll be out of town, and so on. But while it’s important to secure your home today, you will also want to help ensure it will be there for your family in the future, should anything happen to you. That’s why you’ll want to maintain adequate life and disability insurance. Know your route. If you are driving to your vacation destination, you will want to plan your route beforehand, so that you can avoid time-consuming delays and detours. And to reach your financial goals, such as a comfortable retirement, you will also want to chart your course — by creating an investment strategy that is designed to help you work towards those goals based on your specific risk tolerance, investment preferences and time horizon. Keep enough gas in the tank. As you set out on a road trip, you need a full tank of gas in your car, and you’ll have to keep refueling along the way. And to “go the distance” in pursuing your financial

goals, you will need to have sufficient “fuel” in the form of investments with reasonable growth potential. Without a reasonable amount of growth-oriented vehicles in your portfolio, you could lose ground to inflation and potentially fall short of your objectives — so, over time, you may need to “refuel” by reviewing your portfolio and rebalancing if necessary. Protect yourself from getting burned. If your vacation plans include a stay at the beach, you’ll need to protect yourself and your family from the hot sun — so make sure you’re all using sunscreen. When you invest, you can also get “burned” if you are not careful — especially if you are inclined to chase after “hot” investments. By the time you hear about these so-called sizzlers, they may already be cooling off, and, even more importantly, they just might not be appropriate for your goals and risk tolerance. Instead of becoming a “heatseeking” investor, focus your efforts on building a diversified array of quality investments appropriate for your needs. If you only own one type of financial asset, and a downturn hits that asset class, your portfolio could take a big hit. But by diversifying your holdings, you can help reduce the effects of volatility. Keep in mind, though, that diversification, by itself, can’t guarantee profits or protect against loss. As we’ve seen, some of the same principles that apply to creating a vacation may also be applicable to your investing habits. So, put these principles to work to enjoy a pleasant vacation — and a potentially rewarding investment experience.

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


Southern Kentucky Health & Family Journal



Together AIR EVAC for the best in Patient Care


Tricia Neal

Whether you’re coming to Lake Cumberland Regional Hospital by ambulance or helicopter, you can rest assured that everyone coming to your assistance is working as a team to give you the best and fastest treatment possible. “In order to improve the quality of care for our patients, we are focusing on being a team,” says J.R. Parker, RN, BSN, RCIS, senior director of ambulatory and emergency services at LCRH. “It’s no longer ‘EMS’ and ‘hospital.’ We are trying to bridge that gap by involving emergency medical providers in our communication, on our committees, and in making decisions.” Recently, a group of medical professionals representing LCRH, the Somerset-Pulaski County EMS service, and Air Methods KY3 gathered to talk about how they work as a team - and to encourage individuals to call 911 as soon as they or anyone in their care experience symptoms of a medical emergency.

June 2014



Recovery from a medical crisis whether it be a heart attack, stroke, or other emergency - begins the moment you or a loved one dials 911. When minutes matter, patients can start taking measures to help themselves when they have the guidance of a trained professional on the phone. “The 911 operators are really the first responders in an emergency,” said Parker. “If someone is having chest pains, you have to consider it to be a heart attack until a heart attack is ruled out. If you’re advised by 911 to take an aspirin, that cuts another valuable minute off the length of time it will take for a patient to receive treatment.” “When you call 911, you’re not only talking to trained operators who can give you advice, but those operators are also collecting information while they talk to you,” said Steven Eubank, NREMTP, Operations Major for Somerset-Pulaski County EMS. “If

you’re trying to drive yourself to the hospital, and you lose consciousness, you get yourself in a situation where we just have to hope we can find you. If you call 911, even if you become unresponsive, they have gotten some information and gotten things started, and they can get people en route to you.” “Only about 30 percent of patients who feel like they are having a heart attack come (to LCRH) by EMS,” noted Melissa Johnson, MSN, ACNSBC, APRN, clinical nurse specialist for cardiac services at LCRH. “It’s important, if you feel like you’re having heart attack symptoms, to call 911 as opposed to driving yourself to the hospital. Heart attacks are the number one killer in the U.S. There can be a big difference in the outcome of a patient who calls 911, and works with EMS or Air Methods before arriving at our hospital.” The level of care available increases

greatly as soon as emergency personnel arrive. In an ambulance or helicopter, you can begin receiving medication or oxygen, or you can undergo other timesaving procedures which will help you beat the clock when you finally arrive at the hospital.

--BY AIR--

In many instances, patients of Lake Cumberland Regional Hospital arrive from other counties in the hospital’s service area. Even when a patient from Pulaski County needs assistance, however, the ride from the outlying edges of the county can be a long one. That’s when a helicopter ride can help save valuable minutes. “The thinking used to be that air medical services were reserved for trauma patients who needed to be flown out of Pulaski County,” said Eubank. “But when you live 20 miles out Ky. 192, you’re going to get to the hospital faster in a helicopter.” Air Methods, a critical care-licensed service with 12

Left to right, Melody Price, Melissa Johnson, Jeff Sexton, Steven Eubank, J.R. Parker, and Patrick Shepherd represent several different branches of a team that works together to provide patients at Lake Cumberland Regional Hospital with the best and fastest possible care from the time they are picked up by ambulance or helicopter until they are admitted to the hospital.


Southern Kentucky Health & Family Journal

helicopters and one airplane available for use throughout Kentucky, is utilized not only in trauma situations, but also for heart attack or stroke patients who need immediate attention. “We carry medications, we can provide oxygen, we have ventilators and IV pumps, and we can provide nitroglycerin drips prior to the patient’s arrival at the emergency room,” said Jeff Sexton, RN, BSN, CEN, NREMT, clinical base supervisor for Air Methods KY3. The Air Methods Corporation is the nation’s leading provider of air medical transport and the most experienced air medical operator in the industry. The company prides itself on its high Federal Aviation Administration safety rating. “Minutes and seconds count when it comes to someone’s life,” Sexton said. “Our goal is to get the patient off the ground in less than seven minutes, whether a physician is ready at the receiving facility or not.” The hospital also works with patients flown in by Air Evac and PHI. --BY LAND-In many cases, a ride to the hospital via ambulance can also shave important minutes off a patient’s medical crisis. “EMS technicians also now have the ability to start certain treatments in the ambulance, prior to a patient’s arrival in the emergency room,” explained Eubank. “We can prep a patient June 2014

for the cath lab, or we can take an EKG and transmit it to the emergency room so the staff will be prepared when we arrive.” Patrick Shepherd, RN, RCIS, director of emergency services at LCRH, added that EMS personnel can do “tremendous things for our patients” by giving medications, providing oxygen, and getting blood samples en route to the hospital. Shepherd noted another important piece of equipment possessed by EMS personnel - a defibrillator which can save a patient’s life if he or she enters cardiac arrest while on the road, and which isn’t of any help to someone 11

who has opted to drive to the hospital in a personal vehicle. --AT THE HOSPITAL-While a patient has been traveling to the hospital by ambulance or helicopter, the hospital staff has had time to prepare for the patient’s arrival. Much of the information relayed to the hospital ahead of a patient’s arrival comes through the hospital’s “on-call center,” a 24-hour hotline used by emergency workers or referring physicians to let the staff at LCRH know what type of patient is coming and what will be needed for treatment, explained Melody Price, RN, CEN, cardiac cath lab nurse manager at LRCH. For air medical service providers, Lake Cumberland Regional Hospital has become a “go to” facility for heart patients. “Lake Cumberland Regional Hospital used to be a referring facility, but now it’s known as a receiving facility,” Sexton said. “When it’s up to us to decide where a patient goes, we know

LCRH is one of the best locations for heart patients. We know what kind of service they’re going to provide, and we know that patients will be able to get into a cath lab quickly.” Because of the treatments available to patients en route to the hospital in an ambulance or helicopter, several steps can be saved once the patient arrives at the hospital. In fact, many times, heart patients are able to completely bypass the emergency room and go straight to the cath lab for treatment. After a patient’s initial treatment at the hospital, many are admitted for additional procedures or for observation. Heart patients are placed in LCRH’s cardiovascular unit, which Parker says is like a “one stop shop” where nurses who have been specifically trained in cardiovascular care are available to identify symptoms, monitor conditions, and check for new problems. If open heart surgery is needed, the hospital is staffed by two cardiothoracic surgeons - Richard

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J. Heuer, M.D., FACS, and James H. Shoptaw Jr., M.D., FACS. Whether you find yourself hospitalized due to a heart attack, stroke, or other issue, the staff at LCRH wants you to feel as if their focus is on providing you with the best care possible. “Heart patients have heart nurses,” said Johnson. “It’s the same with stroke patients. They are treated by nurses who specialize in that area to help make sure patients get the best treatment, from beginning to end.” At LCRH, the goal is to ensure that patients receive the highest level of care so they can get back to living a healthy life.

Tricia Neal is a freelance writer

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Southern Kentucky Health & Family Journal

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June 2014


Aging Gracefully:

Changes in the Taste Buds and Sense of Smell

Taste buds: Who really gives them a thought? Once you learned about them in grade school, you likely did not consider them the reason for food tasting good or bad, sweet or salty, spicy or mild. When you eat, you either like foods you are trying, or you do not. You are born with 9,000 taste buds, which work in tandem with your sense of smell as your sense of taste relies primarily on odors. Your sense of smell and taste change as you age. Between the ages of 40 and 50, the number of taste buds decreases, and the rest begin to shrink, losing mass vital to their operation. After age 60, you may begin to lose the ability to distinguish the taste of sweet, salty, sour, and bitter foods. The sense of smell does not begin to fade until after the age of 70; its

decrease exacerbates the loss of taste for those affected. The exact cause of these changes is up for debate. However, the actual reason taste and smell decline with age may not be as important as the resulting effects it has on you and your nutritional balance. For many, losing the senses of taste and smell means diminished appetites. The aroma of a delicious meal is what causes you to long for a taste. If food suddenly does not smell or taste as it once did, you may not eat as much as you should. You may lose interest in fruits, vegetables and other dishes that provide the nourishment critical to maintaining good health. Because saliva production also diminishes with age, you may also experience dry mouth and have difficulty swallowing. If you are

elderly, this can sometimes mean that eating becomes more of a chore than an enjoyment, again possibly leading to malnourishment. An additional factor is that if you do lose your sense of smell, you are at greater risk of failing to detect the scent of rancid food or poisonous gas. However, there are a some steps you can take to overcome these obstacles. If you are losing your sense of smell, install visual gas detection monitors that will alert you if any harmful gas is present in your home. Check the expiration dates on all food before consuming them, and if a container does not list an expiration date, write the date of purchase on it with a permanent marker. Add spices and seasonings to food to enhance flavor. For example, you can add garlic

to mashed potatoes or marinate your favorite meat. Losing your senses of taste and smell may not be fun, but it does not mean that the good life is over. You can prepare yourself for these changes in advance. Be prepared to accept change, adapt, and be aware of potential hazards. By doing so, you can commit to aging gracefully every step of the way.

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Southern Kentucky Health & Family Journal

June 2014


Acorn school houses prior to renovation

From left, Stanley Whitaker, Hope and Steve Higgins


Southern Kentucky Health & Family Journal

AB Cs of



Don White

Steve Higgins: “When we drive around and see old school houses falling down, we just want to buy them all and fix them up.” That may be an impossible dream, but Higgins and wife Hope are off to a good start. In the fall of 2007, the then residents of Acorn in eastern Pulaski County didn’t have to look far to find two former school buildings in a sad state of repair. They purchased the one-acre site containing the schools at auction. Two separate structures referred to as the “Big Room” and “Little Room” had served as Acorn’s schools for decades before being shut down by consolidation with Shopville Elementary in 1959. Hope’s father, the late Cooper Harris, as well as other family members, had attended Acorn, and more recently, the Higginses’ daughter, Allison, 18, had her graduation party in the larger structure that has been converted into a community center, following hundreds of hours of volunteer labor by friends and family. “She thinks it’s really neat that her party gets to be in the same building where her grandfather attended school,” says Steve, service manager for Gray Construction Company out of Lexington. The property is back in the family after a long absence. Hope’s great-grandfather, the late Lowery Harris, sold the land the schools sit on to the county school system for June 2014

Old School House Restoration

$50 in the early 1900s. An aunt of Steve, Helen Higgins Hyden, was a student at Acorn in 1950. Steve says the strong family connections, along with involvement of local historian Stanley Whitaker, were his inspiration to buy and renovate the property. Whitaker, 78, an Air Force veteran and current Acorn resident, has compiled volumes of information about the history of Acorn School, including names and photos of teachers and students. He was a student there himself in 1949-50. A dwindling number of those students and a few teachers have been attending annual reunions at the school on the third Saturday in May since 2009,when 120 showed up. There are four living teachers, according to Steve, a 1988 graduate of Pulaski High. They include Eugene Bolton, Somerset; Christine Barrett Huff of Albany; and Kenneth and Edith Holland of Kansas City. “The youngest people to ever attend school here would now be in their 60’s, says Hope, a 1993 PCHS graduate and long-time volunteer at Shopville Elementary, where daughter Molly, nine, is a student and member of the championship archery team. The former students and research done by Whitaker continue to add information to the long-history of Acorn School. The building referred to as the Little Room housed grades K through four

and was located at Low Gap, near Poplarville, before being moved to the Acorn site in 1940. Former students tell of carrying drinking water from a spring nearly a mile away and share stories passed down of the flu epidemic of 1918 that shut down the school for a month. Other than photos of nearly all former teachers that hang on a back wall, the building is little changed from the early days. A coal stove sits in the center of the room, and the walls contain words and drawings of former students. There’s even an image of long-time teacher William “Willie” Langford on one wall, complete with his ever-present pipe. Keeping memories alive and passing along the history of Acorn School to coming generations is a goal of Steve and Hope Higgins. Recently, a big step toward carrying out that mission was realized when the facility hosted fifth grade history classes from Shopville Elementary. The Higginses say they welcome groups who wish to use the community center and tour the old school. “A lot of community support went into this project, and we’d like to see everyone enjoy it,” says Steve.

Don White is a freelance journalist/writer




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Southern Kentucky Health & Family Journal

Life Throws You Curves

Margaret Acrea knows all too well about the curves life can throw at someone. Margaret was diagnosed as a child with scoliosis (curvature of the spine) that would require surgery to treat. At a very young age she underwent surgery to place metal rods in her spine to treat her scoliosis. Several years later Ms. Acrea required additional surgery to treat her degenerative spine above and below her initial surgery. With a spine full of metal rods and screws that cause pain and limit motion, Ms. Acrea does not allow that to stop her. She continues to be very active, leading a life many people can only dream of. Ms. Acrea has developed a daily routine to keep herself moving and strong as possible. Walking has become a big part of her normal daily routine, as well as a series of exercises developed by her Physical Therapist. Staying active and developing an appropriate exercise routine can make all the difference in quality of life. Many people believe that exercise is inevitably painful and would only make their aches and pains worse. The reality is quite the opposite. Physical Therapy is designed to help treat pain and improve the overall quality of life of each patient. The Physical Therapists at Total Rehab Center are skillfully trained to address your musculoskeletal aches and pain. Whether you have had a surgery, chronic pain or a recent injury our skilled Physical Therapists will be able to work with you to develop an appropriate exercise program that you can perform. Give us a call today to set up an evaluation and get your life back!! (606) 679-1761.

June 2014


Annual Health Expo to be held June 20th The Lake Cumberland District Health Department’s 8th annual Health Expo will be held June 20, 2014 from 10:00am – 3:00 pm EST at the Somerset Mall. Be prepared to take a step back in time … to the days when gas was 20 cents a gallon, black & white TV’s were the norm, kids played outside until dark, and “hopping and bopping” was a way of life as the 2014 Expo will have a 1950’s Theme --”Healthy Happy Days!” Over 50 exhibitors are expected with information, screenings, and resources to share with our community, plus some entertainment and games along the way -- Bill Kelly will be sharing a Tribute to Elvis, performances by Missy’s Gymnastics & Dance, 1950 trivia games, Hula hoop and yoyo contests, and finally, a contest for the best 1950’s attire! So, dig out those poodle skirts, bobbie socks, penny loafers, leather jackets and join us for a fun day of learning to be healthier! The Lake Cumberland District Health Department would like to thank the following sponsors: Platinum Sponsors --Lake Cumberland Regional Hospital, Monticello Banking Company, Humana Care Source, and Gold Sponsors --Bluegrass Home Oxygen, Kroger Pharmacy, Anthem , Extreme Prosthetics & Orthotics. 20

Southern Kentucky Health & Family Journal

June 2014


Dr. Jonathan E. Ricker



Love by

Tricia Neal


Expectant moms, if you’ve ever had nightmares about delivering your baby in the hospital before a doctor has a chance to arrive, you can now lay that fear aside. Southern Kentucky Health & Family Journal

Obstetricians known as “laborists” are now staffed at Lake Cumberland Regional Hospital around the clock, every day. These laborists are local physicians who spend 24-hour shifts at the hospital, ensuring that a qualified person will be available to deliver your child no matter what time of day it is. No more waiting for your doctor to tie up loose ends at his practice or panicking when you learn he’s away on vacation. And while those local physicians are available to handle the labor and delivery process, another doctor is readily available to tend to your newborn – even if it is discovered that your baby is in need of some additional care. Dr. Jonathan E. Ricker is LCRH’s first-ever pediatric hospitalist, having come to Pulaski County in February of this year. He is also the first pediatric hospitalist in the state – “because LCRH was the first to ask for one.” Affiliated with the Kentucky Children’s Hospital, Ricker has brought his expertise in caring for newborns and pediatric patients based on the model of the Lexington hospital. One of the goals of LCRH’s pediatric hospitalist programs is to keep babies and children closer to their family members if a situation arises which requires more indepth care. “Rather than having the child shipped to Lexington or another facility, this allows us to bring those same services to this community,” Ricker says. Ricker doesn’t necessarily possess any talents that local physicians didn’t have. “I won’t be treating anything that couldn’t be treated here before as far as quality,” he explains. “The limiting factor before was the community-based pediatrician having the time to treat patients’ needs in the hospital while also running a private practice.” Ricker is able to provide “more focused, more efficient care” in the newborn nursery, the intensive care nursery, and the pediatric floor by being on-hand at the hospital full time. He is also available to help with pediatric patients who come to LCRH’s emergency room, patients who are admitted after hours, or patients who are transferred from other hospitals. While certain cases requiring specialty care – such as pediatric cancer and heart patients – are still best served at the Kentucky Children’s Hospital or other facilities designed specifically for children, many infants and children who previously would have been transported out of Pulaski County for treatment are now able to receive care close to home and family. For example, newborns with respiratory difficulties, with drug withdrawal symptoms, or who are delivered prematurely are now much more likely to be able to recover at LCRH. “One-half to one-third of these (intermediate care) babies were being sent to Lexington,” Ricker says. “Now we’re able to keep them all here. That’s good for the families and for the babies.” Dr. Ricker says he wanted to be a pediatrician from the time he was a child. He began following his dream by attending college at Southern Methodist University in Dallas, Texas, and June 2014

then medical school at the University of Texas Southwestern Medical Center. He completed his residency at the Arkansas Children’s Hospital, and then moved to Danville, Ky., where he practiced pediatric care for more than 20 years. Following that, he became an assistant professor at the University of Kentucky – which led him to his affiliation with the Kentucky Children’s Hospital. His best experience, he says, came from becoming a father to his son and daughter, both of whom are now grown. “I think you have to be a parent to be a pediatrician,” he said, “to know what’s normal and what’s not.”


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Dr. Jonathan E. Ricker is Lake Cumberland Regional Hospitalâ&#x20AC;&#x2122;s first pediatric hospitalist, available to provide full time care for newborns and pediatric patients.


Southern Kentucky Health & Family Journal

Migraine: Not a Regular Headache by

Cindy J. Lackey

If you suffer migraine headaches, or if you know someone who does, then you understand they are not regular headaches. If you have no experience with migraine, these quotes by migraine patients may begin to paint the picture

of this medical condition: •“At the beginning of my migraine, I can’t talk, I can’t think, I am completely out of it, and I can’t understand what people are saying.” •“So for years, I lost days of my life, missed family get-togethers, parts of vacations and days from work.” •“I try to explain how I feel to

my boss, friends, family or anyone who doesn’t suffer, but they don’t understand.”

So what is a migraine?

A migraine is a recurrent headache that lasts four hours to 72 hours, according to the American Headache Society (AHS). The pain is often

Jose A. Cardenas, MD, is a headache specialist serving the Somerset area. He is shown here with the staff of Lake Cumberland Neurology Associates. They are Amy Jo Philbeck (RRT), Mitzi Dowell (receptionist), Dr. Cardenas, Angel Jenkins (PA-C) and Lindsey Sexton (RN). Photo courtesy of Lake Cumberland Regional Hospital.

June 2014


Emily of Hammond, Indiana, is one of the faces you will see in the Show Purple/Show Support campaign on Facebook. The goal is to promote June as National Migraine and Headache Awareness Month. To see more photos, visit NationalHeadacheFoundation. described as pulsing or throbbing, moderate to severe in intensity, and focused in one area. Other symptoms of migraine include nausea, vomiting, sensitivity to light and/or sound, and a visual aura (seeing flashing lights, etc.). “Migraine, like any other medical condition, will have different degrees of how it affects patients,” said Jose A. Cardenas, MD, who is a neurologist at Lake Cumberland Neurology Associates in Somerset. “Most mild cases of migraine are brushed off as sinus headaches, stress headaches or tension headaches.” “Stress headaches and tension headaches, which may be called ‘regular headaches,’ are muscular skeletal pain,” he explained. “We all have regular headaches because we’re exposed to stress and tension. We treat these headaches with anti-inflammatory medications, muscle relaxers or pain killers with excellent response.” “Migraines originate at the brain 26

stem, so their mechanism is different,” Cardenas continued. “We treat migraines with neuromodulators. This type of medication modifies neurotransmitters in the brain, so they regulate how the brain perceives pain. This is important because muscle relaxers and pain killers do little for migraine headaches, and neuromodulators do not help regular headaches.” The cause of migraines is unknown, but genetic and environmental factors seem to be involved. Migraine sufferers can usually identify “triggers” for their headaches. The common triggers include sleep changes, dietary intake, stress, weather changes and menstrual periods for women. In fact, change of any kind — from caffeine intake to hormonal levels to meal times — may trigger migraines in people who are susceptible to them, according to new research summarized by the Los Angeles Times on March

28, 2014. The studies showed that the brains of migraine sufferers exist in a “delicate physiological balance,” with any fluctuations in that balance triggering a migraine.

Is migraine common?

“Migraine is one of the most common neurological disorders,” Cardenas said. “I would say about 20 percent of my patients are dealing with exclusively migraines. We treat 30 to 40 neurological diagnoses, so it’s significant for one diagnosis to account for one-fifth of our work.” Nationwide, migraine occurs in about 12 percent of people age 12 and older, according to the AHS. Almost 1 percent of Americans suffer migraines more than 15 days out of the month, which is called chronic migraine. Migraine is about three times more common in women than men. Even children — about 8 percent of them — experience migraines. “That

Southern Kentucky Health & Family Journal

means that in the average classroom there will be one, possibly two migraine sufferers, so knowledge of the disease should prove to be very important,” said Howard S. Jacobs, MD, writing for AHS. “Migraine actually is an underdiagnosed problem,” Cardenas said. For example, self-diagnosed “sinus headache” is nearly always migraine, according to the AHS. A study of 3,000 people who said they had at least six sinus headaches in the previous six months found that 88 percent of them were actually experiencing migraine headaches, not sinus headaches. Many people use over-the-counter sinus medicines to treat forehead and facial pressure over their sinuses, nasal congestion and a runny nose, especially when there’s a change in the weather. However, those are actually migraine symptoms, and migraine medication may be a better choice. In a true “sinus headache,” which is rhinosinusitis, the symptoms include thick, discolored nasal discharge and perhaps fever.


“Arriving at the correct diagnosis is paramount,” Cardenas said. “Otherwise, the patient will receive the wrong treatment. The treatments for migraines are very different than treatments for regular headaches.” If you experience headaches more than three times a week, then you should see your primary physician. Treating yourself with too many overthe-counter painkillers can actually cause “rebound headaches.” If there are red flags of migraine, then your primary doctor will refer you to a neurologist. For example, you may be referred to a neurologist if your migraines are becoming moderate to severe or there are other associated symptoms. The neurologist will examine you and ask many questions about your headaches. Be prepared to provide details, such as: •History of your headaches, such as their type, frequency, duration, warning June 2014

signs and possible triggers. •Family history because migraines tend to run in the family. •All medications you take currently and any you have tried for headaches in the past. Migraine sufferers tell their stories on the Migraine Research Foundation web site. Below are excerpts from three stories.

“My migraines can last up to 72 hours. I try to explain how I feel to my boss, friends, family or anyone who doesn’t suffer, but they don’t understand. At the beginning of my migraine, I can’t talk, I can’t think, I am completely out of it, and I can’t understand what people are saying. I just want to go lie down for a bit. It gets steadily worse. All sound hurts and just needs to stop. I don’t understand why people can’t lower their voices, why they can’t do things more quietly. … The hardest part to explain is the throbbing, stabbing, constricting pain in my head and neck. It is indescribable.” — Chelsea “So for years, I lost days of my life, missed family get-togethers, parts of vacations and days from work. Co-workers did not understand. Many would make a point, and still do, of telling me they have a headache, so as to say ‘see, I am at work, suffering with my headache.’ My children have had to stay in the house and take care of me. While in elementary school, each of my children already knew what to do for Mama: prepare an ice bag, keep the blinds drawn, answer the phone, watch TV quietly in another room, tell friends they cannot come over and make their own lunch.” — Nancy “For those still suffering [migraines] in silence, please do whatever you can to get help. Education will help others to be more patient, sympathetic and understanding. If someone you know is suffering, please understand and help them. If you were the sufferer, wouldn’t you want someone to help you?” — Michael Source: http://www. migraine-stories.html

•Impact of your headaches on your daily life at home, school, work and beyond. Recording your headaches in a calendar or journal may help your neurologist diagnose migraine and identify triggers.


“Thankfully, there are many treatment options for migraine,” Cardenas said. “We can’t cure migraines, but we can manage them so they are less frequent and intense. They should be seen as an illness that can be managed through a partnership between patient and physician.” “I tell my patients it’s going to be a 50-50 partnership,” he explained. “I choose the appropriate neuromodulator medication. The patient needs to help us identify the triggers and then avoid the triggers to minimize the migraines. We always advise migraine patients to live healthier lifestyles. Good nutrition, regular exercise and regular sleeping patterns are all important. Patients also may benefit from yoga, physical therapy or biofeedback. We look at what’s best for their situation.” “Every two or three years, a new treatment becomes available,” Cardenas added. “The FDA even approved Botox injections to treat migraines about 10 years ago.” To learn more about migraine and to keep up with new developments, Cardenas refers his patients to the online education resources of the American Headache Society (AHS). The AHS is a professional society of health care providers dedicated to the study and treatment of headache and face pain. “This is one of the best resources,” Cardenas said. “On the home page, there is a link for patients and the public. There is very good, objective, reliable, scientifically based information that is easy to read and clear.” The AHS web site is found at http:// 27


e n i a r Mig

Cindy Lackey by

• Hormonal changes in women. Fluctuations in estrogen seem to trigger headaches in many women with known migraines. • Diet. Skipping meals or fasting can trigger attacks. Some foods and food additives may trigger migraines. • Drinks. Alcohol, especially wine, and highly caffeinated beverages may trigger migraines. • Stress. Stress at work or home can cause migraines. • Sensory stimuli. Bright lights, sun glare, loud sounds and unusual smells (perfume, paint thinner, etc.) can trigger migraines in some people. 28

Triggers • Changes in wake-sleep pattern. Missing sleep or getting too much sleep may trigger migraines in some people, as can jet lag. • Physical factors. Intense physical exertion, including sexual activity, may provoke migraines. • Changes in the environment. A change of weather or barometric pressure can prompt a migraine. • Medications. Oral contraceptives and vasodilators, such as nitroglycerin, can aggravate migraines. Source: con-20026358 Southern Kentucky Health & Family Journal


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June 2014

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Kyndal Patrick shows a lot of guts & even more heart in fighting sudden illness Kyndal Patrick, 5, with a painting she did for Easter while at East Tennessee Children’s Hospital.

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Southern Kentucky Health & Family Journal


Janie Slaven

PINE KNOT — Kyndal Patrick appears to be like any other little girl who just turned five. She’s talkative, full of energy and obsessed with the Disney movie Frozen. The only noticeable difference is how well she gets along with her little brother, Kyler, who’s two. But in April, Kyndal came home after spending 53 days in East Tennessee Children’s Hospital at Knoxville. She says the worst part of her hospital stay was “a lot of finger pokes,” when the nurses would check her blood and PICC line while she was on liquid nutrition. Her parents, Kyle and Alicia Patrick, first noticed Kyndal becoming ill as they celebrated Kyler’s birthday on January 5. It would be another month before the little girl was diagnosed with ulcerative colitis (UC), a chronic inflammation of the colon that more often strikes older children and young adults.

June 2014

“It’s really rare to be diagnosed at her age,” Alicia said, adding that UC’s initial onset can often be managed through medication and dietary changes. However in Kyndal’s case, the disease was particularly aggressive. She lost 11 pounds and underwent four blood transfusions before her medical team recommended that Kyndal undergo surgery to have her colon removed. Kyndal’s first surgery was performed on March 28, and she was able to come home just a few days later. Alicia said Kyndal will have two more surgeries, hopefully before she starts kindergarten this fall. Her favorite parts about going to school are reading time and riding the bus. In the meantime, Kyndal is adjusting to her lifestyle changes and hoping to return to dance class, where she enjoys ballet, next semester. For now, she enjoys playing with her brother in their playhouse. “Kyler wasn’t able to come to the

hospital because he is so young,” Alicia explained. “They really missed each other.” The hospital’s Child Life program involved Kyndal in activities from board games to painting, for which she shows particular promise. Alicia also praised the Ronald McDonald House where the family stayed as well as the McCreary County community — particularly the EagleSawyer Volunteer Fire Department, Eagle Baptist youth group, and Trinity Temple Church of God — who have been so supportive during Kyndal’s illness. “People we didn’t even know were sending us things,” Alicia said, showing the reporter a booklet made by a local kindergarten class. The support the family has received inspired them to give back. They sold T-shirts emblazoned with the message “Life Takes Guts” with proceeds going to the Children’s Hospital, Child Life, a scholarship program for IBD patients,



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Kyle, Kyler, Kyndal and Alicia Patrick stand together outside their Pine Knot home.

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June 2014

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When it is 3 a.m. and you are pacing the halls of your dark and quiet house while everyone else is sleeping soundly in their beds, it may seem like you are the only person in the entire world who is not getting some much-needed shut-eye. However, many people struggle to get a good night’s sleep. Information from the National Sleep Foundation, Better Sleep Council, Centers for Disease Control and Prevention, and several other organizations indicate that between 20 and 40 percent of the U.S. population experiences insomnia. Many of the people suffering from insomnia have family histories of the condition or are also experiencing depression. Insomnia rates are higher for people over the age of 60, and women are twice as likely to suffer from insomnia than men. Among Canadians, 40 percent of a recently polled group of 2,000 individuals reported insomnia symptoms at least three times per week in the preceding month. French-speaking Canadians were less likely to experience insomnia than English-speaking residents, but researchers are unsure why. Although how much sleep

a person requires varies from individual to individual, the general consensus is that adults should receive between seven and eight hours of sleep per night to feel rested. The Institute of Medicine estimates that hundreds of billions of dollars are spent annually on medical costs that are directly related to sleep disorders, while statistics from the National Highway Traffic Safety Administration indicate that 100,000 vehicle accidents occur annually as a result of drowsy drivers. These figures underscore the importance of getting a good night’s rest and understanding how to treat insomnia in order to do so. * Insomnia may be a byproduct of a physical condition. A person dealing with side effects of certain medications, chronic pain, restless legs syndrome, sleep apnea, and a bevy of other conditions may find it difficult to sleep at night. Identifying the cause of the insomnia can make it easier to treat, so those who can’t sleep at night may have an undiagnosed condition that is affecting their ability to fall asleep. * Exercise can help promote better sleep habits. A workout will

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tire you out, increase feel-good endorphins throughout the body and raise body temperature. As the body recovers from the workout, it may feel sated and you can drift off to sleep more easily. Just do not work out too late. Aim to complete a workout two to three hours before planning on going to sleep so your body is not still amped up when your head hits the pillow. * Establish a regular sleep schedule. Humans are creatures of routine, and training the body to recognize when it is time to wake up and when it’s time to go to sleep can make it easier to enjoy a good night’s rest. Stick to a consistent schedule as much as possible -- even on the weekends. It isn’t possible to make up for lost sleep, so pull yourself out of bed at the same time in the morning, even if you didn’t get a good night’s rest. Over time you will condition yourself to accept certain times for sleeping and waking. * Get up and accept a poor night’s sleep rather than tossing and turning. It can be easy to associate the bed with wakefulness and frustration if you stay in bed and watch the clock. Getting up and reading or

listening to relaxing music can help distract the mind and relax the body. Avoid working on the computer or watching television. Bright light can reduce the production of the sleep-inducing hormone melatonin, resulting in further difficulty settling down. * Individuals can try natural remedies to induce sleep or stay asleep. In addition to good sleep hygiene and maintaining a regular sleep schedule, there are a number of herbs that can relax the body. Chamomile tea has soothing properties, and drinking chamomile tea before bed can be an effective sleep strategy. Valerian has been used as a medicinal herb since at least the time of Ancient Greece and Rome, and it can reduce anxiety and promote sleep. Melatonin supplements are produced from plant sources and can induce sleep when taken in the right amounts. Speak with a doctor about possible remedies to find a sleep system that works for you. Insomnia is a more common problem than many people may think. Recognizing insomnia as a problem and seeking treatment can help many people get on the road to a more restful night’s sleep.

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Gordon Bocock coached track and cross country at Pulaski County High School for nearly two decades, and during that time he led his teams to five state championship titles, three state runner-up titles and over 15 cross country regional titles. When Bocock arrived at Pulaski County High School in 1972, cross country and track was virtually nonexistent. By 1975, Bocock guided his Maroons Harriers to a KHSAA Class A state runner-up title. Two years later, Bocock had garnered back-toback Class AA state championship cross country team titles — 1976 and 1977. The Pulaski harriers won another Class AA state championship trophy in 1981. Then in 1987 Pulaski won the Class AAA cross country state championship, thus earning Bocock a gold or silver state championship trophy in all three of Kentucky high school’s cross country classifications — A, AA, AAA – a feat that has not been matched by another coach in the state of Kentucky. In 1989, Bocock achieved another unique first by guiding his girls track team to a Class AAA state championship team title, without the benefit a track facility on the Pulaski County High School campus. During his high school coaching 36

Pulaski County High School Cross Country, Track

Gordon Bocock

tenure at Pulaski County High School, Bocock was selected as the KTCCCA Cross Country Coach of the Year on nine different

occasions. He was named the KTCCCA Track and Field Coach of the Year twice. He was named the FCA Coach of the year on two different occasions. He coached over a dozen individual state champion athletes and had nearly 50 athletes go on to sign college athletic scholarships. Under Bocock’s guidance, the Pulaski cross country teams were always a threat to compete for a state title, but Bocock’s expertise on the sport was not just limited to coaching. During his years as coach and athletic director

(1999 to 2002), Bocock organized, managed and nurtured the Pulaski County Invitational track and cross country meets into the most prestigious events in the entire state. Bocock has served as the KHSAA Cross Country State Meet Director since 1981, has been the KHSAA Track & Field State Meet

Director since 1992 and has been the meet director of the Mason Dixon Games (Kentucky high school indoor track state championships) since 1987. In 1986, Bocock was one of the founding members of the Kentucky Track & Cross Country Coaches Association – an organization he served

Southern Kentucky Health & Family Journal

as president on 4 different terms and he served as treasurer for 15 years. In 1989, he was named to the KTCCCA Hall of Fame. Bocock was inducted to the KHSAA Athletic Hall of Fame in 2005 for both his coaching accomplishments and his statewide contributions to the sports of track and cross country. A former Cumberlands University athlete and coach, Bocock was inducted to the Cumberlands Athletic Hall of Fame. Upon retirement from coaching and teaching at Pulaski County High School, Bocock has become the most renowned expert on the sports of track and cross country in the state of Kentucky. Bocock has also been meet director for several national cross country meets, and has been a top meet official on the national level for over 20 years. In 2010, Bocock was awarded the USATF National Officials Committee Charles M. Ruter Award â&#x20AC;&#x201C; as the outstanding running event official in the country.

Then in 2013, Bocock was awarded the USATF National Officials Committee Distinguished Service Award. Without a doubt, Gordon Bocock helped bring the popularity of track and cross country to the Pulaski county area. And he has been a big influence to the growth of the sports of track and cross country throughout the state of Kentucky.

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June 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.

TUESDAY, JUNE 10 DINE WITH THE DOCS LCRH Conference Center 5:30 p.m. – Complimentary Dinner provided by LCRH 6:30 p.m. - Speaker: To be announced Topic: To be announced. Join us on the 2nd Tuesday of each month for a complimentary dinner and an informative program presented by leading medical specialists. Dinner begins at 5:30 pm in the Chatters Café & Grill. Program begins at 6:30 pm. Call (606) 678-3274 for your required reservations. WEDNESDAY, JUNE 11 GET ACQUAINTED BRUNCH LCRH Conference Center, Ste. A 9:15 a.m. - Breakfast in Chatters Café & Grill 10 a.m. - Presentation Have you ever been a Senior Friend? Our free breakfast is designed to offer you a free one-year membership if you have never been a member before. Come to this “Get Acquainted Brunch” and enjoy some delicious food while hearing about all the benefits about your free NEW one-year membership – a $15 value! Call (606) 678-3274 for your required reservation by Friday, June 6th. FRIDAY, JUNE 13 B-I-N-G-O Small Private Dining Room 2:00 p.m. – 4:00 p.m. Senior Friends Members come and bring a $3.00 donation for The American Cancer Society Relay for Life and spend the afternoon with “Friends.” It is a perfect time for fun, fellowship and tasty refreshments. Senior Friends will provide the coverall prize winner. Reservations are required and must be received by Friday, June 6. Please call (606) 678-3274 to reserve your spot. SUNDAY, JUNE 16 HAPPY FATHER’S DAY


TUESDAY, JUNE 17 CANCER SURVIVOR DINNER Pulaski County High School Doors Open - 5:30 p.m. Dinner - 6:00 p.m. Cancer survivors may bring 1 guest and are encouraged to RSVP by calling (606) 678-0203. THURSDAY, JUNE 19 MOVIE-N-MUNCH LCRH Conference Center, Ste. A, 1:30 p.m. “Captain Phillips”- Rated PG-13 The true story of Captain Richard Phillips and the 2009 hijacking by Somali pirates of the US-flagged MV Maersk Alabama, the first American cargo ship to be hijacked in two hundred years. FRIDAY, JUNE 20 PARKINSON SUPPORT GROUP 10:00-11:00 a.m. Small Dining Room A support group for persons affected by Parkinson’s disease - open to persons with Parkinson’s disease, their family, caregivers, and friends. For additional information please call (606) 678-3274. FRIDAY, JUNE 20 LCDHD HEALTH EXPO FOCUSING ON DIABETES 10:00 a.m.-3:00 p.m. at Somerset Mall. “Healthy HAPPY DAYS” Plan to stop by and visit Lake Cumberland Regional Hospital and Senior Friends exhibit. There will be goody bags, health screenings, recipe samples, trivia games, lab vouchers and entertainment from Billy Kelly “Elvis”. Register for door prizes and a Treadmill Grand Prize. Over 50 exhibits expected. For more information about the expo, call (800) 928-4416 ext. 1162.

FRIDAY, JUNE 20, 6:00 P.M. SATURDAY, JUNE 21, 6:00 A.M. RELAY FOR LIFE OF PULASKI COUNTY LOCATION: Pulaski Co. High School Stop and visit us at the LCRH/Senior Friends tent. All of us have been touched in some way by cancer whether it has directly affected you, a family member, or a friend. Sign up to be a participant with the LCRH/Senior Friends team and collect donations from friends and family to support the American Cancer Society. Donations for the Relay for Life/American Cancer Society will be accepted in the Senior Friends office through June 20th. Call (606) 678-3274 if you would like to be part of the LCRH/Senior Friends team. There is a special Survivor Tent at the event for all Cancer Survivors to celebrate with food and fellowship. TUESDAY, JUNE 24 MONTHLY MEETING SENIOR FRIENDS 25th ANNIVERSARY LCRH Wellness Park 6:00 p.m. Senior Friends members please make plans to join our 25th Anniversary Celebration. This year we will be having a catered picnic in the shelter at the LCRH Wellness Park. We’ll have a huge anniversary cake and will need all of you to help make this a real party! We’d like for everyone who has been a member since this chapter started to participate in blowing out the candles on the anniversary cake. Free one-year membership to current members who bring 2 new members to join Senior Friends at the picnic - plus a free gift to new members! Call (606) 678-3274 by Tuesday, June 17th for your required reservation. THURSDAY, JUNE 26 BIRTHDAY PARTY LCRH Conference Center, Ste A 2:00 p.m. –4:00 p.m. It’s time for those June “Senior Friend” babies to come and party. Bring a friend and share an afternoon of fun, games, delicious cake and ice cream. Call (606) 678-3274 by Thursday, June 19th for your required reservations.

Southern Kentucky Health & Family Journal

Call our office today to schedule your free hearing exam!

Somerset: 3311 S. Hwy. 27 (606) 451-0874


Hearing Instrument Specialist

June 2014

London: 1501 S. Main St., Ste. Q (606) 330-0111


Health and Family, June 2014  
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