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SUMMER 2014

DRINK UP! 5 REFRESHING DRINKS TO TRY

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GRAY The Right Way 300+ CARE OPTIONS

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CONTENTS: SUMMER 2014

after pg.

20

36

26

Directories 38 How to Use 38 39 42 48 52 60 68 69

Directories Adult Day Care Facilities Aging-in-Place Facilities Alzheimer’s Care Facilities Assisted Living Facilities Home Health Nursing/Rehab Facilities Personal Care Facilities Retirement Communities

6

WHAT I KNOW NOW

28

BOOK CLUB

8

MY HANGOUT

30

CAREGIVER CIRCLE

14

REMEMBERING DADDY

32

IT’S HECK GETTING OLD

UPDATES AND HAPPENINGS

37

By Lucy Pritchett

By Marie Bradby

40

PRAY, GRUNT, AND GIGGLE By Bob Mueller

By Torie Temple

By Yelena Sapin

By Connie Meyer

16

By Mali Anderson

52

QUICK FIXES FOR HEALTHY EATING By Sandra Gordon

72

IT’S YOUR STYLE By Tiffany White

CARE PACKAGE FOR THE CAREGIVER

By Alissa Hicks and Tiffany White

20

COOL TREATS

26

WISE & WELL

By Melissa Donald

By Torie Temple

For advertising information, call 502.327.8855 or email advertising@todayspublications.com.

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From the Editor Volume 11 / Number 2 PUBLISHER

Hanging Tough

E

veryone needs a hangout — a place you can go to unwind and be free from the daily grind. Having a fun refuge is a nice way to nurture your social life and lower stress. Even if your time is limited because of caregiving duties or other responsibilities, try taking some time out in your favorite spot. Read my hangout list below and check out the My Hangouts feature on page 8 to find out where other people are going for a good time. • Showcase Cinemas - I am a Marvel Comics fan, so when I found out about the new Spider Man movie, I rushed to buy my ticket. The best part was that I went alone and enjoyed it equally as much as I would have had I been with friends. Being able to watch a good movie on a big screen gives me a temporary break from reality.

• Barrett Bar - My brothers and I have had many pool game showdowns at Barrett Bar. Their food is fantastic, and I have the freedom to loudly boast whenever I sink a ball. • E.P. Tom Sawyer Park - On Wednesdays, my colleague Jessica Alyea and I walk Tom Sawyer’s copious trails. We take a different trail each time, which feels like an adventure because we don’t always know where we’ll end up. Some other great hangout spots to try are Huber’s Winery and Orchard if you’re in the mood for a road trip and a nice glass of wine. Or if reading is one of your favorite pastimes, consider joining a book club. Flip to page 28 for a short list of active book clubs in town and the books they recommend.

Got something to say? We’d love to hear from you! Send an email to tiffany@todayspublications.com and put “feedback” in the subject line. Also, don’t forget to visit TodaysTransitionsNow.com to read current and archived articles or find out about upcoming events. 4 todaystransitionsnow.com | Summer 2014

Cathy S. Zion cathy@todayspublications.com EXECUTIVE EDITOR

Anita Oldham anita@todayspublications.com EDITOR

Tiffany White tiffany@todayspublications.com CONTRIBUTING EDITOR

Linda Hitt Kempf COPY EDITING

Lucy M. Pritchett ADVERTISING DIRECTOR

Susan Allen susan@todayspublications.com ACCOUNT EXECUTIVES

Teri Hickerson teri@todayspublications.com Suzy Hillebrand suzy@todayspublications.com Joyce Inman joyce@todayspublications.com Kaitlyn Tew kaitlyn@todayspublications.com MEDIA ASSOCIATE

Alissa Hicks alissa@todayspublications.com GRAPHIC DESIGNER

April H. Allman april@todayspublications.com GRAPHIC DESIGNER

Kathy Bolger kathyb@todayspublications.com ASSISTANT EDITOR/DESIGNER

Jessica Alyea jessica@todayspublications.com PHOTOGRAPHY

Melissa Donald melissa@todayspublications.com OFFICE ADMINISTRATOR

Jillian LeMaster officeadmin@todayspublications.com CIRCULATION MANAGER

W. Earl Zion COVER ART

Silvia Cabib TODAY’S TRANSITIONS is published by: Zion Publications LLC

9750 Ormsby Station Road, Suite 307 Louisville, KY 40223 (502) 327-8855 Fax (502) 327-8861 TodaysTransitionsNow.com The opinions expressed herein are exclusively those of the writers and do not necessarily reflect the position of the publisher. The staff has made good-faith efforts to provide comprehensive and accurate listings in all directories. Information included in the directories is based strictly on that supplied by each entity. Zion Publications does not endorse or guarantee any advertiser’s product or service. Copyright 2013 by Zion Publications LLC with all rights reserved. Reproduction or use of editorial or graphic content in any manner is prohibited without permission from Zion Publications LLC.


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WHAT I KNOW NOW

Mary Craik

This 90-year-old fiber artist was born on West Market Street, lived in 10 different states and two foreign countries, returned to her hometown, and now lives and has her studio and art gallery on East Market Street. BY LUCY M. PRITCHETT / PHOTO MELISSA DONALD

How did you come to be a fiber artist?

I was in my 70s before I started doing my own art. I had taken classes in art history and art appreciation. I always visited art museums wherever we lived, but it never occurred to me I could do it myself. At first I tried painting and had a ball but knew enough about art to know I wasn’t a painter. I had been sewing since I was 8, and when I saw a show here in Louisville called “Fantastic Fibers,” I decided to put my sewing skills to work. What is the best advice you ever received?

(Laughs) I tend to give advice. But, in 1976, I was a university professor at St. Cloud State University in St. Cloud, Minnesota. I filed a class-action sexdiscrimination lawsuit against the university after being turned down for a promotion. The magistrate ruled that there was no discrimination. That was on the same day that the Equal Rights Amendment failed to pass. I was devastated, but my attorney said to me, “We should appeal. You can do this, Mary.” That was the best advice. It paid off, and the appeals court ruled in

my favor. I used the money I received from that ruling to set up a scholarship fund for women at the University of Louisville. What should a woman taste at least once?

There are so many different ethnic foods. One shouldn't be afraid to try anything. What skill should every woman have?

What has helped me is the ability to problem-solve. A woman must develop skills that will provide her with an income so she can be independent and not have to depend on a man for her livelihood. What drives you now?

I am interested in politics. I follow what is happening in Louisville, in Kentucky, and in the nation. I like keeping up with current events. What is the key to a good marriage?

I was married for 59 years. For the first 25 years, my husband and I had a very traditional relationship. He made the money, and I took care of the children. As I gained more and more education and became more independent, I insisted that we have an equal partnership. It took

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Louisville native Mary Craik interprets the world around her using vivid colors and innovative designs.

me nine years to get there, and the last 25 years were wonderful. I went from being very dependent to being independent. And my husband discovered that he didn’t like having to take total control of the money. He always said I dragged him into the 20th century.

Armstrong Junior College. Its curriculum was based on the Great Books of the Western World. I read all the books on the list — from Greek history to philosophy. Those books changed my life.

When should a woman raise her voice?

I would encourage them to develop whatever skills they become aware of that they have and to reach the highest academic level they can.

To defend herself whenever somebody is doing something that is harmful to her. Persuasion can be better used to solve certain problems, but anger can be used very well if controlled. But, you shouldn’t lose it. What book or books have had an influence on you?

One specifically was Virginia Woolf ’s A Room of One’s Own. Also, in 1951, I was living in Savannah with three children and a high school diploma. My husband was stationed in Korea. I enrolled in

What advice would you give to young people?

What does the average American not understand about art?

Many people have never been exposed to or taught anything about art. They don't know what is out there, and they miss so much. If children in elementary school are taught about art, they are more likely to have their lives enriched through others’ works and may be inspired to become artists themselves.


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My

Ha ng out

BY MARIE BR AD BY PHOTOS MELIS SA DONALD

“Your sacred space is where you can find yourself again and again.” -JOSEPH CAMPBELL

Aida Touma finds peace when walking through Thurman Hutchins Park.

W

here we need to go to get back into the groove is often right under our noses. That place — where we can relax, rejuvenate, or reconnect with others — can be as simple as a reading nook or a walk in the park. As we settle into our favorite hangouts, whether it’s inside our homes or in a public space, we are really looking for ourselves.

WHAT SHE DOES THERE: “I walk there a lot around that lake. It’s eight-tenths of a mile for one lap. I do three to four times around, as much as I can.”

Meet three women who share their favorite spots, their personal escapes from daily stresses.

WHY IT WORKS: “You see a lot of people walking, jogging; you see people fishing in the lake. It’s a nice place to go. I go with friends and neighbors. It is so serene and peaceful. I do a lot of thinking and planning my day when I am walking.”

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AIDA TOUMA • Pharmacist

Aida, an active mother of four grown children and grandmother of seven, still works part-time, but she finds time for travel, her film club, entertaining her friends, and babysitting her grandchildren. This baby boomer volunteers for the Alliance Française de Louisville, the French language school and cultural organization for which she used to be president. She is also an avid reader. HANGOUT DESTINATION: Thurman Hutchins Park on River Road

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<< PAGE 8

DEANNA TINSLEY

lk, win dowT hi n gs to do: Wa k, pe opleri n shop, visit, eat, d clot h es & watch, try on n ew se decor hou a ccessories, bu y hou se decor g re fra in fro m bu yin

• Retired school principal and school district administrator

Deanna, 69, stays busy volunteering with her social club, the LINKS, whose members have a community service project that provides programs and activities on African-American history and civil rights for children at the Park Hill Community Center and a select group of girls at the Olmsted Academy South middle school. Married with two grown children and three grandchildren, she’s an enthusiastic international traveler, moviegoer, and reader. She’s hooked on the TV show Game of Thrones. HANGOUT DESTINATION: Oxmoor Mall

and Mall St. Matthews

WHAT SHE DOES THERE: “I walk through one, then walk through the other. At Von Maur, they have the lady playing the piano. I love that. At Oxmoor Mall, Panera Bread has this garden vegetable soup that I like. I walk in the mall and have lunch.” DOES SHE SHOP? “I read recently that

retired people spend 40 percent of their retired income on stuff for the home. I thought, ‘That’s ridiculous. Do I do that?’ Maybe so. I’m always bringing stuff in. When places like Cedar Lake Lodge do a pickup, I always have stuff to give away. I think it’s because I’m always bringing stuff in. This is something I need to think about.”

WHY THE MALLS? “I want to see what’s

new, and it’s visually stimulating. It’s nice to have something new — a pair of earrings, shoes. It’s fun to browse. Sometimes it’s like going to an art gallery.”

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Deanna Tinsley looks forward to window shopping.

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<< PAGE 10

“It takes me into a complete state of relaxation.”

Being on her yoga mat is a great stress reliever for Dr. Lisa Bauman.

DR. LISA BAUMAN • Certified yoga therapist and instructor specializing in mindfulness and meditation

Lisa, 58, a dentist-turned-yoga-instructor and owner of My Place For Yoga, spends her day caring for the bodies and spirits of others. She has a busy household that includes two daughters (one in college, the other in law school), her mom, her husband Dr. Greg Nunnally (also a dentist), and a new puppy. She is the go-to person for guidance with the daily stresses of life. HANGOUT DESTINATION: Her yoga mat. WHAT SHE DOES THERE: “I’m just with me, myself, and I.” WHY THIS WORKS: “It’s a way to take my mind away from the external world and calm my mind, calm my body, and just deepen my breath. It just takes me into a complete state of relaxation. Honestly, my nervous system starts calming when I lay out the mat. It’s pretty incredible.”

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Whe re do you lik e to ha ng out in th e su m m ertim e? Let us kn ow at Toda ysTra nsition sNow.co m.


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Connie’s World

Remembering

Connie Meyer writes regularly for Today’s Transitions. You can reach Connie at ConnieL605@aol.com.

DADDY T

his Father’s Day will be the 17th I have celebrated without Daddy. When he died, I remember thinking I had lost my greatest source of material. Little did I know then just how large Daddy would loom in my life, mind, and heart. As my oldest son, Ross, gets older, I now realize that as long as I have him, Daddy will never die. In death, Daddy remains larger than life. On Father’s Day, I remember Daddy with a rush of emotions, not the least of which is guilt. No matter how hard I tried or what I did for him, I felt it was never enough. Growing up as an only child, I was extremely close to my mother. Because my father worked nights and slept during the day, we never really spent a lot of time together. This was probably for the best since we used the time we did have together to argue. Daddy was extremely narrow-minded and opinionated. He was always accusing my mother and me of “gangin’ up on him.” Only now do I realize that we probably did, at least subconsciously if not intentionally. There were many things about Daddy that I came to view differently as I aged and raised teenagers of my own. I finally understood that his need to dominate came from intense insecurity. He had to quit school in the eighth grade because of the Depression, so hard work became his only means to security and self-esteem. The only thing that was as important to Daddy as work and money was being loved. I guess he felt that the harder he worked and the more money he saved, the more love and respect he could gain. Understanding this intellectually did not reduce the emotional toll he could take. No matter how hard I tried, it seemed impossible to love Daddy enough. Such neediness found expression at the most vulnerable times. 14 todaystransitionsnow.com | Summer 2014

Whenever he was hospitalized, Daddy’s body may have been weak, but his spirit was strengthened by his resolve to continue his role of master manipulator. I realize now that he could not have been so good in this role if I had not allowed myself to be such an easy target. Instead of ignoring him, I always found myself falling prey to the same old guilt routines. I remember when he was in the hospital, a typical conversation went as follows: “Daddy, I’m going home for a while. I have to fix dinner so I won’t be back until tomorrow, OK?” ( I always said “OK?” as if I actually expected him to agree, releasing me from any guilt.) Daddy would answer, “Yeah, well, you just do what you gotta do. I reckon I’ll manage somehow. I don’t need nobody noways.” (My interpretation: “Go ahead and desert me, you lousy daughter!”) Of course I’d be right back at the hospital early the next morning. “How did you sleep last night, Daddy?” I’d ask. Daddy would answer, “Humph, reckon I never slept worth a durn. They wake you ‘bout ever’ half hour. If you ain’t sick when you come in, you’ll be half-dead for sure before you get out!” (My interpretation: “They’re trying to kill me, and you left me alone, you lousy daughter!”) “Well, you look good, Daddy,” I’d always say. “How was your dinner last night?” Daddy would answer, “Humph, I hardly ate a bite. You know I can’t eat this here hospital food. It’s worse’n dog food and ‘bout chokes me to death. Reckon I gag ever’ time I even try!” (My interpretation: “They’re trying to poison me, you lousy daughter!”) Of course, I would leave and return later with something homemade. Daddy’s intense need for attention was so exhausting whenever he was in the hospital that we would tease about advertising and

paying for visitors. Daddy simply could not get enough attention, sick or well. It didn’t matter who was brought up in any conversation, Daddy would always manage to discuss them in relation to his favorite topic — himself. Examples of such conversations went as follows: “Daddy, you know my friend Franie moved recently.” “Yeah, I know Franie. You know she always was crazy ‘bout ME!” “Daddy, you know my friend Pam just had surgery.” On Father’s Day, “Yeah, reckon I know Pam all right I remember since she was just a Daddy with little sprout of a thing. a rush of You know she always emotions, not was crazy ‘bout ME!” the least of These responses which is guilt. from Daddy used to drive me crazy until I realized that he was never going to change. All I could do was change how I viewed and reacted to him, and that only happened after I acknowledged how much like him I really am. Mother is who I wanted to be, but Daddy is who I am. I have his same desperate need for approval. (I just control it better.) I have his same love of talking. (I don’t control it at all.) I am just as narrow-minded and opinionated to my sons, I’m sure, as Daddy was to me. The only difference is now I’m right and my sons are wrong! This Father’s Day, I will remember with gratitude one of the last conversations I had with Daddy before he died. . . “Daddy, is there anything you need? The nurses seem really nice.” “Humph, reckon they’re nice all right. Why, all them nurses are plum crazy ‘bout ME!” “I’m sure they are, but not half as much as I am. I love you, Daddy!” Thanks for the memories....


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Updates & Happenings BY ALISSA HICKS & TIFFANY WHITE

| news you can use + events not to miss |

Take a

Bite! Chef Leon Padgett gives Heartsong Memory Care residents something to look forward to when he makes his lemon cheesecake with blueberry basil topping. This perfect summer dessert is made with eggs from chickens raised at Heartsong. “It is a staff favorite because we are providing a pretty organic dessert with lots of nutrition — not just empty calories,” he says.

PHOTO MELISSA DONALD

Chef Padgett, who previously worked at Wild Eggs and Napa River Grill, uses fresh ingredients from the facility’s gardens. And he isn’t afraid to add something new to the menu. “One thing I’m really proud of is that I brought edamame one day,” he says. “It was a huge risk, but the seniors loved it!” Chef Padgett prepares three meals a day plus morning and afternoon snacks.

Leon’s Cheesecake

with Blueberry Basil Topping 4 eggs 4 8-oz. packages cream cheese, softened ½ cup honey

Blueberry B asil Topping

Find Us Online

ow.com TodaysTransitionsN u need has everything yo alth to know about he egiver car s, ior sen for e car and issues, food, style, entertainment. Take a peek!

In a bowl or cup, dissolve ¼ cup co rn starch in ¼ cup cold water and set aside. In a saucepan, combine these ing redients and bring to a boil: • 1½ cups water • 1 cup blueberries •1 cup basil, finely chopped • ¼ cu p sugar Boil for approximate ly 5 minutes. Purée with immersion blender and strain. Bring str ained blueberry mixture back to a boil. Stir in corn starch mixture; co ntinue stirring until thickened. Add ½ cup fresh blu eberries and set as ide.

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Zest of one lemon Juice of 2 lemons 1 tsp. vanilla

attachment on Blend ingredients in a stand mixer using the paddle more rustic with mine like (I tency consis d desire to m-low low to mediu cracker crust. graham e favorit your pockets of cream cheese). Pour into minutes. 30-40 for oven gree 350-de in bake and top the Foil-wrap ls for the middle After the first 20 minutes, check at 10-minute interva slicing. before s minute 20 y imatel approx Cool runny. not to be set, rry Basil Bluebe with top and plates Place individual slices on dessert and sprig of lemon of slice thin d twiste with h garnis d, desire If Topping. a light dusting of fresh basil before serving. Or top with lemon zest and . texture visual for sugar powdered

PAGE 18 >>


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<< PAGE 16

Life After Cancer Frazier Rehab Institute, Southern Indiana Rehab Hospital is helping cancer survivors get on the path to healing through the STAR (Survivorship Training and Rehabilitation) Program. The certification program provides employees with training in the latest oncology rehab care. Emphasis is placed on using techniques that have been shown to improve the health and quality of life for cancer survivors. CONTACT: sirh.org/star-program

Short But Sweet Genesis Healthcare is making rehabilitation a pleasurable experience for short-stay patients with the opening of a Transitional Care Unit at their Regis Woods facility. The new wing includes 43 private rooms, separate sitting areas, kitchenettes, hardwood flooring, and flat-screen TVs. Patients also have access to private lounges and rehabilitation equipment located inside a 3,000-square-foot gym.

Read This! Are you in the mood for a good mystery? Get 700 pages worth of it in Joyce Oglesby’s new book, Grandma’s Jewels and the Legacy Behind Them. Joyce says the book is “a multifaceted mystery where real life and family values connect. It depicts the legacy of Grandma Grace Willingham, who single-handedly rears children and grandchildren. Dysfunction abounds but never shakes her wisdom as she anchors the family.” Purchase it at your local bookstore or go to JustAskJoyce.com. 18 todaystransitionsnow.com | Summer 2014

Say ‘Hi’ on Skype Residents at The Villas of Guerin Woods, a nursing facility in Southern Indiana, are learning how to use the Internet to stay connected with family members. Their computer technology, called iN2L (It’s Never 2 Late) allows users to connect with loved ones through email and Skype, listen to or play music, find new interests, rekindle old hobbies, or watch their favorite movies.

Celebrate Those Who Age With Style Do you know an older adult age 85 and above who is getting the most out of his or her life every day? Nominate him or her for the Gold Standard Award for Optimal Aging presented by the UofL Geriatrics in the Department of Family and Geriatric Medicine. The winner will be honored at an awards luncheon on September 25 at the Crowne Plaza Hotel. “The award is presented for optimal aging across the full spectrum of physical health, mental health, social health, and spiritual health,” says Christian Davis Furman, M.D., vice chair for geriatric medicine. DEADLINE: July 15 @ 5pm CONTACT: 502.588.4260

Timeout For Caregivers

Caregive r winner T O D AY ’ S T R A N S I T I O N S

Bring a smile to a caregiver’s face by nominating him or her for our Care Package for the Caregiver Award. Winners will be featured in a future issue of Today’s Transitions and will win a nice prize package that includes tickets to Derby Dinner Playhouse, a gift certificate to A Taste of Kentucky, and free sitter service from Home Instead. Complete the nomination form on page 37 or go to TodaysTransitionsNow.com. DEADLINE: July 16 @ noon


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cool treats

Sunny days, hot temperatures, and humid conditions magnify the importance of getting enough fluids for our health and well-being. A simple way to cool down when the weather is hot is a refreshing iced drink. If youâ&#x20AC;&#x2122;re out and about with friends and family, there are several places around town where you can pick up a nice cold beverage. You can also quickly and easily make healthy drinks at home. Wherever you are, if it's hot outside, cool down and quench your thirst with these five drinks. STORY & PHOTOS BY MELISSA DONALD PAGE 22 >>

Pictured: Good Girl Moonshine, recipe on page 22.

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<< PAGE 20

Panera Breadâ&#x20AC;&#x2122;s Mango Smoothie: One of our editorâ&#x20AC;&#x2122;s favorite summertime drinks, this mango smoothie is a real treat. Light and creamy, this summertime favorite includes mango, banana, orange juice, and vanilla yogurt and is full of vitamins C, B6, and B12. These vitamins are known to support the immune system and increase energy. There are many Panera Bread locations in town.

Trim Healthy Mamaâ&#x20AC;&#x2122;s Good Girl Moonshine: (Pictured on page 20) If you are looking for a little zing and zip to add to your water, make a batch of this tantalizing and refreshing drink. Good Girl Moonshine is known to detoxify, clarify, and alkalize your body. Alkalizing the body helps remove high acidic levels, which are linked to pain. Add a slice of lemon for added health benefits. While lemons are known to be acidic, the body does not metabolize them in the same way as other acids. Keep a pitcher of this drink in your refrigerator and have a few glasses daily.

Good Girl Moonshine: egar 1-2 Tbsp apple cider vin r ge 1 tsp ground gin , such as 3-4 tsp powdered stevia Truvia th 4 cups water to taste - start wi ice ether and serve Mix all ingredients tog a large batch with ice. You can make erator. and store it in the refrig PAGE 24 >>


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<< PAGE 22

Gwen’s Nest Thin Mint Chocolate Chip Milkshake: This adapted recipe from Gwen’s Nest is smooth and delicious, and it’s easy to make in a blender. For a true mint look, I added spinach to the mix. You don’t taste the spinach, and it adds a perfect minty color. Plus, the added health benefits are immense! The mix of cottage cheese and almond milk makes this drink nice and creamy. You'll get a healthy dose of protein, Vitamins A, D, E, and K, and Omega 3s. Like Good Girl Moonshine, this drink helps alkalize the body, and it aids in nourishing your eyes and strengthening your bones. To reap all these benefits, the addition of spinach is essential.

.com Gwens-nest also has a moacaramel Sa ake sh ilk m inspired recipe.

Thin Mint C hocolate

Chip Milksha ½ cup cottage ch ke: eese 2 Tbsp-¼ cup heav 1½-2 cups ice y cream or half-and-half 1 cup unsweete (optional ned for a more ice-c almond milk ream-like consistency) 1 packed cup fre sh 1 ½ tsp vanilla ex spinach 1 Tbsp Truvia or Stevia tra extra ¼ tsp peppermin ct t extract ½ oz ct to taste 85% dark chocol ate Chop chocolate in small pieces an d set aside. For a garnish, use a ve ggie peeler to m ake small chocol curls to add to th ate e top of your drin k. Add all other ingr edients and pulse until ice chunks relatively small. Ad are d chopped chocol ate pieces and pu again until chocol lse ate pieces are sm all enough to fit through a straw. Blend until smoo th or desired cons Pour into a tall gl istency. ass and top with chocolate garnish .

Starbucks Iced Green Tea: Ask for this mild, flavored green tea with a hint of mint to be unsweetened, and you’ll have a refreshing drink with no sugar and no calories. Green tea is high in antioxidants and helps fight and prevent cell damage, aids in improving blood flow and lowering cholesterol, helps keep blood sugars stable, and has been proven to keep the working-memory area of the brain active. Grab an iced green tea at Starbucks, or buy your favorite green tea and create your own iced tea at home. Add a slice of lemon for extra vitamin C and to help your body absorb the healthy compounds of green tea. Starbucks has several locations in town. 24 todaystransitionsnow.com | Summer 2014

Lifebar’s The Healer: This powerhouse smoothie is full of antioxidants and has added protein, recovery, and immune-building properties. Blueberries give this drink its color, and it also contains banana, vanilla, and ginger. Almond milk is recommended for this smoothie, and I also added some local honey for a sweetener. Stevia and Agave nectar are other sweetener options. Located on Bardstown Road and in the St. Matthews Rainbow Blossom store, Lifebar is adding a third location in the Middletown Rainbow Blossom scheduled to open in spring 2015.


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Wise&Well

Tidbits, news, and tips to help you live your healthiest years yet

BY TORIE TEMPLE

UR S O Y E V

SA

N KI

“Sunscreen should be applied 365 days a year,” says Dr. Melissa Wise, a dermatologist at The Skin Group. “An SPF (sun protection factor) of 15 should be enough for most of us, but an SPF of 30 or higher is recommended. Apply one ounce — like filling a shot glass — every two hours.” Sun protection is needed even during our daily routines. Skin damage tends to occur on the left side of the body more than the right due to driving. Sun exposure while driving can also cause brown spots on the back of the hands from holding the steering wheel. Avoid this daily exposure by using a moisturizer with an SPF of at least 30.

Lost And Found

Six to eight percent of muscle mass is lost per decade after the age of 40 in women and age 60 in men. However, strength training three days a week for eight weeks can recover a decade of loss for women and two decades for men. Source: Rhonda Moss, Owner of Curves Jeffersontown

Add these to your first aid kit: Dawn Gillman, nurse practitioner at Floyd Memorial Wound Healing Center, suggests these over-the-counter bandages when creating a first aid kit: • Bandages containing silver, a natural antibacterial. These new bandages and pre-applied antibiotic bandages can be used for infected wounds where previously antibiotic ointment was applied. • Hydrocolloid bandages contain particles that absorb the liquid in a wound and create a gellike covering that keeps the wound moist and protected. • Spray bandages form a clear film over the cut and are good for hardto-cover body parts such as knees and elbows.

“Some [seniors] may think it is unsafe to start exercises because of heart disease or just because you are out of shape, but you are never too old to start. Seniors can experience improved muscle mass, making it easier to climb stairs or get on to the floor and up again.” — RHONDA MOSS, owner of Curves in Jeffersontown

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BOOK CLUB: JCC BOOK CLUB

Catching Up Here's what other area clubs are reading next:

FOOD FOR THOUGHT In Falling Snow by Mary-Rose MacColl Contact: Janet Raderer, 502.897.5986

Evie Topcik shares her journal of ”Books I've Read“ with the JCC Book Club.

Crossing Cultures BY MALI ANDERSON / PHOTOS PATTI HARTOG

MAYOR’S BOOK CLUB The Road from Coorain: An Autobiography by Jill Kerr Conway Contact: Kelly Dunnagan, 502.574.1611

T

the purpose of a geisha in Japanese society ables were pushed together in before World War II. the library of the Jewish Community With some members of JCC Center of Louisville at the hailing from outside the U.S., such last JCC book club meeting. JCC BOOK CLUB as Shashi Kulkarni, who emigrated Attendees readied themselves WHEN: Fourth Monday of the month from India, and Irina Svidler, a with books and e-readers to WHERE: Jewish Community Center native of Russia, discussion of discuss Memoirs of a Geisha of Louisville cultural differences was animated. by Arthur Golden. CONTACT: Slava Nelson, 502.238.2760 It was brought up that in many Evie Topcik facilitated countries, dating was excluded from young couples’ the discussion. She brought images and lives. For example, in the early 20th century — historical information to share with the group. when the book takes place — arranged marriages Topcik introduced characters, explained the were the norm for high society not only in Japan, relationships between them, and covered a but also in Russia, India, and other countries. short history of the region of Kyoto, including

THE RANSDELL READERS Their Eyes Were Watching God by Zora Neale Hurston Contact: Maureen Kirk, 502.893.7988

< From the book “Nowadays many people seem to believe their lives are entirely a matter of choice; but in my day we viewed ourselves as pieces of clay that forever show the fingerprints of everyone who has touched them.”

— Arthur Golden, Memoirs of a Geisha

28 todaystransitionsnow.com | Summer 2014


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“Our perception of thirst goes down as we age,” says Dr. Rangaraj Gopalraj, a geriatrician with UofL Physicians. “It is easy, especially for older adults, to dehydrate in the summer months. To avoid dehydration, get an idea of how much loved ones are drinking by filling a pitcher with water and encouraging at least 8 glasses over the course of the day. The pitcher will give you a visual measurement of how much water has been taken in.”

Caregiver

CIRCLE BY TORIE TEMPL

E

Find help from Stephen Ministries Stephen Ministries is a program in which trained volunteers can visit each week with someone in need of care or encouragement. Sherry White, a Stephen Ministry leader at Middletown Christian Church, shares how Stephen Ministries can make life’s transitions easier. What is a Stephen Minister?

A Stephen Minister is a trained volunteer who walks the journey with those experiencing difficulties in their lives. Socialization is clearly linked to happiness and lower stress levels.

How do Stephen Ministers help?

Stephen Ministers are assigned a care receiver whom they Source: Gallup 2012 visit for an hour and a half once a week. During visits, Stephen Ministers act as listening agents and supporters from an objective eye. Are Stephen Ministers counselors?

Stephen Ministers are not counselors, but they are trained to make professional referrals when needed.

How can Stephen Ministers help a caregiver?

Stephen Ministers can give support to caregivers who feel overwhelmed and let them know that it is OK to have these feelings. For more information, go to stephenministries.org or contact Middletown Christian Church.

30 todaystransitionsnow.com | Summer 2014

QUICK TIP:

Past to Present

The long-term memory of a person with dementia is almost always preserved. When visiting a loved one with dementia, Teal Busteed, therapy program manager at Regis Woods Genesis Rehab Services, suggests playing music from your loved one‘s past or reliving family events. "Anything that triggers a positive longterm memory can make for a positive visit,” she says.

3 tips for your day-to-day Nicole Downs, a certified nursing assistant and professional home health care aide for 10 years, gives suggestions on how caregivers can make each day run smoothly: 1. Stock up and organize daily needs. This makes you well prepared if there are any bumps in the road. 2. Plan activities for the week and try to stay on a consistent schedule when possible. 3. It is OK to take time for yourself. Schedule an activity you like to do, such as reading, in your day because the day will not go as well if you are stressed and overwhelmed.


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! d l O g n i t t e G It’s Heck BY YELENA SAPIN

es don’t work the way they Solutions for when our bodi

PROBLEM:

Missing Teeth

Whether lost to trauma, tooth decay, or periodontal disease, missing teeth can alter not only your appearance, but also your abilities to speak clearly and to properly chew your food. “Removable partial dentures are a really great restoration option for people looking to replace those missing teeth,” says Dr. Mary Shields of Triple Crown Dentistry. Used to fill in the gaps in the upper and/or lower teeth, “partials” are created to match your existing teeth and surrounding tissues. Partials also keep your other teeth in their proper position.

PROBLEM:

Foot Odor

It can be embarrassing, but foot odor is something we all get on occasion. The main cause of the offense is sweat. Or more precisely, the by-product of bacteria feeding off the sweat that is released from your feet and soaks into your shoes. In some cases, persistent foot odor can be a symptom of a skin infection or of an open wound, says Louisville podiatrist Dr. Fred Preuss. Diabetes sufferers who experience a loss of sensation in the feet are especially vulnerable to infections and should see their doctor if they notice any odor. 32 todaystransitionsnow.com | Summer 2014

used to

SOLUTION:

SOLUTION:

Conventional Partial Dentures

Precision Attachment Partial Dentures

The most common type of partial consists of a cast metal framework that supports the denture teeth. It is held in place by metal clasps that anchor onto your existing teeth. Some people don’t like the look of the metal partial, though, because the metal clasps can become visible when they talk or smile. Newer types of partials made out of acrylic or resin polymers are more flexible, and some people think they look better, Shields says.

Sometimes partials move or come loose when talking or eating. For maximum retention and stability, partials can be fitted with precision attachments that snap onto corresponding attachments on the existing teeth or onto implants in the jaw for a “lock-and-key fit,” Shields says. This is a more expensive option, so you may want to start with a conventional partial and invest in attachments or implants later on.

SOLUTION:

SOLUTION:

Proper Foot Hygiene

Changing Shoes

Regular foot washing followed by thorough drying, especially between the toes, can go a long way in eliminating odor. If your feet tend to do a lot of sweating, you can try applying over-thecounter antiperspirants or ask your doctor for prescription formulations, Preuss says. Over-thecounter foot soaks and topical applications available at your supermarket or pharmacy can also help.

Odor-causing bacteria like warm, dark, moist places, and shoes that are worn continuously for long periods of time are the perfect breeding ground. Older adults tend to keep shoes on all day, especially if they can’t do a lot of self-attending or are in assisted living environments, Preuss points out. Wearing different shoes every day lets the last pair you wore air out so bacteria can’t get too comfortable. So does kicking off your shoes and letting your feet breathe once you’re inside.


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2014 Medicare A and B with KY and IN Medicare and Medicaid Updates Medicare A covered services per benefit period 2014 Covered Services 2014

Benefit Period 2014

2014 Medicare Pays

2014 Patient Pays

Hospitalization

Acute 24-hour medical, rehab, nursing, multi-disciplinary care, medications, treatments and supplies for patients in a dual occupancy room unless doctor orders a private room due to medical necessity.

First 60 days................... Day 61 thru 90............... For each benefit period Day 91 thru 150............. Lifetime reserve days total 60 non-renewable Days 151 and after.........

All over $1184....................... All over $296.......................

$1184 $296

All over $592.......................

$592

Zero.......................................

All costs

Skilled Nursing & Rehab

First 20 days

100% approved costs

Zero

Days 21 thru 100

All over $148

$148

Days 101 and after

Zero

All costs

Services necessary for home care and skilled services to benefit the patient per his/her doctor

100% approved amount*

Zero

80% approved amount*

20% approved amount*

As long as doctor sees a need for continued terminal care

All with cost limits on inpatient respite care and outpatient meds

Limited cost sharing for outpatient drugs and inpatient respite care

Patient must have prior 3-day hospital stay within 30 days to be eligible for 24-hour skilled nursing care per doctor's order.

Home Health Care

Medically necessary skilled home care post hospital stay. (Need IVs, rehab, nursing)

Hospice Services

Doctor-prescribed pain control and support for terminal care.

Medicare Part B: Medical services per benefit period. Fiscal amounts are new 2014 rate changes Covered Services 2014

Benefit Period 2014

2014 Medicare Pays

2014 Patient Pays

• Physician, surgeon fees • Diagnostic-related tests • Medical supplies • Ambulance services • Physical, speech, occupational therapists

Per medical necessity

80% approved amount over deductible paid

$162 deductible plus 20% of Medicare-approved charges plus any costs over approved charges

Outpatient hospital services

Per medical necessity

80% approved amount after $147 deductible

20% approved amount after $147 deductible

Home health care

Per medical necessity

All costs

Zero

Immunosuppressive drugs

Per medical necessity

1 yr. immunosuppressive therapy post transplant

20% of cost

Blood services

As needed

80% of cost after 3 pints

First 3 pints plus 20% cost

Kentucky Medicaid = KY

2014 Medicaid Allowables

Indiana Medicaid = IN

Service

Individual KY / IN

Married Couple KY & IN (same)

Home health care......................................... Cash resources ............................................ May maintain health insurance.................... Personal maintenance allowance*............... May keep prepaid burial contract.................

Yes............................................................... Up to $2,000 / up to $1,500........................ Yes............................................................... $40 month / $52 month............................... Yes...............................................................

Yes................................................................ Up to $115,920............................................ Yes................................................................ $1,939-$2,898 monthly................................ Yes................................................................

• Some Medicare services not covered by Part A and Part B include: Long-term custodial care, routine dental care, dentures, cosmetic surgery, acupuncture, hearing aids. • Medicare Part D is the Medicare Prescription Drug Coverage plan. 34 todaystransitionsnow.com | Summer 2014

*Call 1-800-MEDICARE (633-4227) for information or visit medicare.gov/coverage


Summer 2014 | todaystransitionsnow.com

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36 todaystransitionsnow.com | Spring 2014


surgery

PHYSICAL THERAPY

MEDICINE exercise massage

relief

ACUPUNCTURE

JOINTS

ORTHOPEDICS

& reflexology ILLUSTRATION: SILVIA CABIB

PAIN

SPONSORED BY

A SPECIAL SUPPLEMENT FOR

and


Coping with

DAILY PAIN By TORIE TEMPLE

FIBROMYALGIA SYMPTOMS After 10 years of multiple doctor appointments for an assortment of unexplained pain, Linda Boley asked her doctor the question that started her journey to a diagnosis: “Could my symptoms be related?” The tests that followed ruled out leukemia and many autoimmune diseases; however, it was a pressure point test given by a rheumatologist that confirmed a diagnosis of fibromyalgia compounded with osteoarthritis. “Fibromyalgia is an autoimmune disease,” Boley explains. “The nerve endings throughout the connective tissue of my body are overly sensitive — my body is working against itself.” Boley describes the pain as a shooting, stabbing sensation when touched that can cause even a hug to be uncomfortable. The pain from the fibromyalgia is complicated by the osteoarthritis, which was brought about from the gradual wearingdown of cartilage in her feet, knees, and hips. “I have experimented with massage therapy throughout the years to relieve the pain, since my pain seems to set me back two or three days where I can barely move,” Boley says. Although she has tried pain medications in the past, they only gave temporary relief, became less effective over time, or put Boley’s head in a fog. But despite not finding complete pain relief, Boley’s passion for teaching gets her up and moving no matter what kind of soreness the morning brings. After learning the Arthritis Foundation needed volunteers to teach their Breaking the Pain Chain classes, Boley immediately jumped on board. “This is a course that meets for two hours once a week for four weeks,” Boley says. In the course, she covers the anatomy of the joints, medication, and diet as well as alternative and complimentary therapies. She rounds out the course with managing health care and finding the right doctor. “I feel like I can teach through experience and help others with pain,” she says. “It helps to have a support system that can relate to what you are going through.”

Surrounding yourself with those who can empathize is an important part of coping with chronic pain and something Jacque Haysley can agree with. While volunteering to help clean up after Hurricane Katrina, Haysley contracted a staph infection that exaggerated symptoms she was already experiencing, which eventually led to an official diagnosis of fibromyalgia in 2006. “Anyone can try to sympathize, but until you talk with someone who has what you have, it’s hard to make that connection,” Haysley says. Massage therapy and physical therapy have helped Haysley strengthen the muscles in her neck and lower back, where her pain is centralized. Though these therapies have a history of causing migraines after a session, Haysley believes it is a better alternative to narcotics. Like Boley, Haysley has yet to find anything that takes away the pain completely; however, she takes comfort in listening to those who also have fibromyalgia. “I had an ‘Aha’ moment when I went to listen to Dr. Jacob Teitelbaum speak in Oklahoma,” she says. “He, too, was diagnosed with fibromyalgia and wrote a book called From Fatigue to Fantastic. Listening to someone who had been through what I was going through made me feel better knowing someone understood.” Although Haysley and Boley have never met, their advice for pain management is the same: Find the right doctor and a support group. “Find a doctor who is able to treat you correctly,” Boley suggests. “If you don’t feel like you are being heard, switch doctors. There is no rule that says you can’t seek other consultation.” Haysley agrees, saying, “It’s important to find a doctor that understands and treats your condition. Also, join a support group because the key is being with people who understand.”

“It’s important to find a doctor that understands and treats your condition. Also, join a support group because the key is being with people who understand.”

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Coping with

DAILY PAIN

MIGRAINE PAIN Waking up with a migraine was part of a regular morning routine for Dianne Hess. Diagnosed in the early ‘80s, doctors were never able to pinpoint the cause of her migraines. “Most who suffer from migraines have some sort of warning sign like an aura, but that wasn’t the case with me, making it harder for the doctors to pinpoint the cause,” Hess says. Migraines for Hess meant 18 hours in a dark room with a hot or cold pack on her head. She tried cutting down on triggers such as chocolate, caffeine, and red wine, but nothing seemed to help. After years of searching, Hess started the Imitrex injections that have been working for her for the past 15 years. “I inject the medicine into my thigh when I wake up with a migraine. I still have to stay in a dark room, but with the injection, the migraine lasts for three to four hours instead of 18.” With the right medication, Hess is down to two migraines a year. She believes being vigilant with your doctor is imperative to finding a remedy that brings the most relief. Hess tells other migraine sufferers to do the research, find out what the options are, and tell the doctor what you need.

4

ORTHOPEDICS AND PAIN SUPPLEMENT

2014

“Most who suffer from migraines have some sort of warning sign, like an aura, but that wasn’t the case with me…”


Coping with

DAILY PAIN FIBROMYALGIA

photo credit : jacob mcroberts

Jacque Haysley

HOW DO YOU FIND RELIEF? So many people have to carry on their lives with daily pain. Sometimes there is not one main answer that fixes the problem, but small changes can make a big difference.

MIGRAINE PAIN Tony Rose

Tony Rose has been suffering from migraine headaches for about 10 years. Although he has not found a magical cure, Tony has learned some things along the way to help him cope. “Four years ago my headaches became daily. About once a week I would have a headache that reached migraine level. Sometimes the migraine would last for three days. In the beginning, I dealt with the pain with over-the-counter medications. Before too long taking those medications had little to no impact on my pain.” Taking acetaminophen and ibuprofen with a cup of coffee relieved his migraines occasionally, but its effectiveness weakened over time. “The strain of daily headaches with a weekly migraine began to take a toll on my energy, attitude, and my productivity at work. Since I am a pastor, the attitudinal effect was most devastating for me.” Tony says exploring his options with Dr. Brian Plato of the Norton Neuroscience Institute, has been extremely helpful. “We have not found the exact remedy yet, but we have found a few things that are helping.” He adds, “One thing to note is that because of my recent spinal fusion surgery, I cannot take any NSAID’s (ibuprofen, aspirin, etc.) because these drugs interfere with the bone fusion. So far we have found that Sumatriptan tablets are somewhat effective if I catch the migraine at its start.” For Tony, he has found that staying active is one of the best remedies. “It keeps my mind off the pain. There are times that the pain overwhelms me, and I have to get in a dark room and go to sleep. Whenever one gets still the pain increases because one can only then (focus on) the pain.” He also uses hot and cold packs in addition to Botox injections, which Dr. Plato suggested he try. Tony has had one Botox treatment which gave him three weeks of relief and plans on getting a second round of treatment. — By Alissa Hicks 6

ORTHOPEDICS AND PAIN SUPPLEMENT

2014

Jacque Haysley, who suffers from fibromyalgia, uses massage therapy along with physical therapy to strengthen the muscles in her neck and lower back where Haysley’s pain is centralized. Though these therapies have a history of causing migraines after a session, Haysely believes it is a better alternative to narcotics. Haysley has yet to find anything that takes away the pain completely; however, she takes comfort in listening to those who also have fibromyalgia. “It’s important to find a doctor that understands and treats your condition. Also, join a support group because the key is being with people who understand.”


Have You Tried

THESE TREATMENTS?

By TORIE TEMPLE

Traditionally, a physical therapy session incorporates mechanics such as ultrasound, electrical stimulation, or mechanical traction. But as physical therapy continues to evolve, new techniques and technologies have been integrated into individual sessions, helping to make recovery time faster. DRY NEEDLING

“A newer technique is dry needling,” says Dr. John Holland, a physical therapist at Frazier Rehab. “Dry needling is where a microfilament needle is inserted just below the surface of the skin into the dysfunctional muscle with the idea of getting more playability and function.” Despite the sound of its name, which is termed due to injecting a needle without inserting a solution, dry needling is claimed to be a painless technique that can have positive results in just one session. This technique can also be known as trigger point dry needling because of the needle being inserted straight into the trigger point for reduction of pain. Staci Cummins, a physical therapist at Parkway Rehab and Nursing Center and a dry needling patient, says, “I have had it done on my left knee and it was remarkable with one treatment. Once they hit my trigger point on my knee, the pain was instantly gone. The needle does not hurt, and the only thing you may feel is a mild pinch.” According to Dr. Holland, dry needling can be used for anyone with muscular pain or soft tissue involvement. “Physical therapists have to go through specialized training to do dry needling,” he says. This is why not all facilities in Louisville offer it. Patients interested in this type of treatment should consult their current facility to see if it is offered.

KINESIO TAPE

Joey Baribeau, a physical therapist at Ellis & Badenhausen Orthopedics, adds Kinesio taping to the list of new techniques growing in popularity. “It was first made popular by Olympic volleyball player Kerri Walsh Jennings,” Baribeau explains. “She used the tape on her shoulder, which got a lot of attention.” The gold medalist used the tape to compete in the 2012 Olympics after rotator cuff surgery. The tape is a latex-free, cotton material with a heat-activated acrylic adhesive. “It is used to promote healing, soft tissue release, and for postural positioning,” Baribeau says. It also helps weak muscles move properly and can help with swelling. Kinesio taping is most popular with athletes who typically use it on shoulders, knees, and Achilles tendons. Although there are other brands of tape, Kinesio is the dominant brand used by therapists. “Patients can buy it online, but go to a therapist who knows specialized techniques for taping,” Baribeau recommends.

8

ORTHOPEDICS AND PAIN SUPPLEMENT

2014

WATER THERAPY

The Home of the Innocents Therapy Pool started as a pool strictly for the children at The Home of the Innocents, but the results were so remarkable they decided to open it to the public with the name Kay and Jim Morrissey Advanced Therapy Center. One of the physical therapists for the therapy pool, Mickey Baron, attests to aqua therapy, saying, “The buoyancy of the water helps support your body so you can do movements in the water that may be difficult on land. The hydrostatic pressure of the water also helps with circulation and the cardiovascular system overall.” Anyone, despite physical limitations, can benefit from aqua therapy. “There is a stretcher lift that goes into the water made for those who are unable to sit up going into the water,” Baron says. “There are also ramps with special wheelchairs that can go into the water along with chairs to allow sitting while exercising. “Our pool is heated to 92 degrees, which benefits the muscles, and it is also 4 feet all around making it a perfect depth for adults,” Baron explains. The therapy pool has classes for those who have Parkinson’s and arthritis, or patients can create a program on their own. Baron suggests attending one or two sessions she conducts on what to do in the water and learn how to get started on your own.


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THE WORST AILMENT Self-will does not lead to happiness

M

y Dad was a remarkable man. He liked to get up before dawn, go to daily Mass, and never missed a day of work. Self-reliant, afraid of nothing, he stood steady as a pillar when a crisis arose, dealing with a death or illness in the family or repairing anything that needed repair. In worship or in work, he set an example for everyone. Dad knew how to play too. He could throw off his years and join the children at their games. He could relax watching a baseball game or enjoy a good comedy on TV. Dad possessed a great secret: he knew how to put others first. If he bothered to think about his own needs, it was only after everyone else had been taken care of. One day I came home after school with something deeply disturbing on my mind. I had seen, for the first time, a child with a terminal cancer condition. This little boy was consumed with cancer and was unable to come to school. I told Dad about him. “Dad, it must be awful for that boy to be so seriously sick and not even able to play.” His face became very compassionate. He said,

10

“Yes, everything in life will be hard for him.” Then he added, “So few suffer from such a terrible condition at his age. There is a much more dreadful disease that can afflict every one of us if we don’t guard ourselves against it all the time.” “What’s that, Dad?” “Cancer of the ego,” he said. The more I have pondered that remark down the years, the more perceptive it seems. Our malignant concern for ourselves, he was saying, constitutes the worst threat in life. And the teachings of every religion bear him out. Repeatedly we are told that ego or self-will, our drive to be separate from the wholeness of creation, is the source of all our suffering. It keeps us from accepting others, from sympathy and

ORTHOPEDICS AND PAIN SUPPLEMENT

2014

quick understanding. Puffed up by our selfwill, we look out at the world through the distorting medium of our likes and dislikes, hopes and fears, opinions and judgments. We want everyone to behave as we think they should — the right way. When, naturally enough, they not only behave their own way but expect us to do as they do, we get agitated. And what we see through this agitation makes up our everyday reality. The word ego, as you may know, comes from the Latin word for “I.” Independent of any situation, something deep within us, as persistent as our heartbeat, constantly renews our sense of separateness. Whether we are awake or asleep our ego goes on, though we are

more conscious of it at some times more than at others. Since it is always there, we think of it as our identity, and we protect it as a miser does his gold. Not only that, we expect others to treasure it too. Ironically, this drive for selfaggrandizement has never led to happiness and never will. We cannot always have what we want; it is childish to think so. No one has the power to regulate this changing world so that he or she can continuously sing, “Everything’s going my way.” If we could do so, it would only stunt our growth. I have heard that even simple organisms placed in an ideal environment — controlled temperature, plenty of food, no stress of any kind — soon perish. Luckily, no one is likely to put us in such a situation. Self-will inevitably leads to increasing frustration and pain. What a strange situation! We desire, naturally enough, to be happy. But if we put our personal happiness at the top of the list, we only succeed in making ourselves miserable. Dad was right — cancer of the ego. His message rings true every time my ego takes over.


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By Torie Temple

Have a Seat Don’t count out yoga after orthopedic surgery. Emily Karl is a registered yoga instructor at Wellness 360 Studio, where a chair yoga class is offered for those who need light movements. Mostly everything is done from a seated position for those who can’t get on and off the floor. “Yoga is potentially a powerful vehicle for transformation,” says Karl.

Repurposed Blood

PRP or Platelet Rich Plasma is a new innovative technique used for arthritis sufferers. According to Dr. Kris Ablen, orthopedic surgeon and sports medicine physician for Floyd Memorial Hospital, PRP is an injection of the patient’s own processed blood into the joints. This process is most commonly used on knees and is showing great results.

What makes aqua therapy so effective? You lose 90 percent of your body weight, and it causes 12 times more resistance while in the water than on land, says Carlisle. This creates easier movements and stronger muscles.

“If patients want to start aqua therapy, start with an arthritis class. It is good for anyone after orthopedic surgery. After having my hip replaced seven years ago, I was back in the water, which helped me recover quickly.”

Aqua Advice

Are You At Risk for Brittle Bones? While anyone can develop the disease osteoporosis, you need to be especially vigilant if you have one or more of these risk factors: 4 You have a family history of osteoporosis 4 You’re Caucasian or Asian 4 You weigh less than 127 pounds 4 You had irregular periods or your period stopped in your teens or 20s for three consecutive months or more (not caused by pregnancy or nursing) 4 You have ever taken a steroid medication for a condition such as asthma or lupus 4 You have ever broken a bone as an adult, after low trauma, such as tripping on the curb — Sandra Gordon

Feed Those BONES 12

Buy a supplement with vitamin D3; bones need vitamin D to absorb calcium, and D3 is the most potent and effective form. Supplements may contain three forms of calcium (calcium carbonate, calcium citrate or calcium

ORTHOPEDICS AND PAIN SUPPLEMENT

2014

DID YOU KNOW?

One in two women over age 50 will suffer a fracture caused by osteoporosis.

Dody Carlisle

Aqua Fitness Instructor Mary T. Meagher Aquatic Center

phosphate). Ask your doctor which one is best for you, and consider the following: • Will you take it regularly? Many calcium supplements resemble horse pills —so if you have trouble swallowing a pill, this may not be the form for

you. You may be better off with a supplement that’s chewable, such as a flavored tablet, soft gel, or chewable candy. • How much does it cost? If cost matters, you may prefer calcium carbonate, the least expensive form of calcium.


? U KNOW DID YOic s comes from,

o ed Or thop ek words, or th d re n a G t, o h tw g s traig meanin eaning child. m , is pa opedic l lly, or th Origina treated skeleta n, ns surgeo ities in childre n te h rm ig fo a e d s tr races to using b child’s bones. the

Active Rehab Staci Cummins, physical therapist for Parkway Rehab and Nursing Center suggests, “After any orthopedic surgery, do all the exercises your doctor gives. Stay active — the more active you are, the more you are going to rehabilitate.” • Does it have side effects? Calcium carbonate causes gas, nausea and stomach pain in some women. If that’s the case, try other forms of calcium. Once you decide on a supplement, take it with meals to improve absorption by 10

to 15 percent. Also, spread your dosage equally over the course of the day. For example, if you down a 500mg supplement every day, take 250 mg at breakfast and another 250 mg at dinner. — Sandra Gordon


By Torie Temple

Newer Procedures

Professionals can now block the pain caused by severe arthritis, especially in the knee, with a procedure called Geniculate Nerve Block. This destroys the genicular nerve that sends pain sensations from the knee to the brain, says Dr. Darryl Kaelin, Chief of Physical Medicine and Rehab for U of L Physicians/Medical Director Frazier Rehab. Although this isn’t a cure for arthritis, it does make pain more manageable. DID YOU ? KNOW tion l stimula

ys lectrica “More e sed in rehab,” sa te la u u g m ti in is be you s . “When acts, it won’t n li e a K Dr. ntr and it co create a muscle nger unless you or e o c tr n s ta t e is g rt of res o, some so h as weights. S c u s s ce plu activity resistan with the mulation it will l sti electrica ote muscle prom growth.”

Custom Replacements

Orthopedic surgeon and Sports Medicine Physician for Floyd Memorial Hospital, Dr. Kris Ablen says patient-specific replacements are now possible by using imaging such as CAT scans and an MRI to make a custom implant for the patient.

What To Look for at Rehab

Rehab facilities are starting to cater to shorter-stay clients due to minimal invasive surgeries that cut rehab time in half, according to Teal Busteed, therapy program manager for Regis Woods - Genesis Rehab Services. Make sure the facility you choose offers privacy, alternative services, and access to healthy meal options.

Don’t Forget the PRE 14

ORTHOPEDICS AND PAIN SUPPLEMENT

Prehabilitation is just as important as post habilitation, says Dr. Darryl Kaelin, chief of Physical Medicine and Rehabilitation for University of Louisville Physicians as well as medical director of Frazier Rehab Institute, “Prehabilitation prepares the joint for surgery by adding strength and increasing activity level so that post-operative rehab is easier,” he explains.

2014


Caregive r winner T O D AY ’ S T R A N S I T I O N S

Meet our “Care Package for the Caregiver” contest winner! George Goodwin is the winner of our quarterly Care Package for the Caregiver Award, which includes two tickets to a Derby Dinner Playhouse performance, four hours of sitter service from Home Instead, and a $25 gift card to A Taste of Kentucky. Why He Won: George Goodwin, 81, makes time in his life to care for Jim Yent, a family friend who was diagnosed with dementia. Every day for the past year, George has been going to Jim’s house to prepare meals and spend quality time with him. George’s daughter, Gerri Marsh, says her father has a knack for being able to keep 88-year-old Jim calm. “My dad takes him to lunch,” she says. “They go on picnics in the park and feed the ducks.” George also enjoys taking Jim out for a beer to reminisce about the past. Although George has had heart surgery, arthritis, bad hips, and was recently in the hospital for pneumonia, he hasn’t missed a beat with his caregiving duties. “I just do for him what needs to be done for him,” George says. < George Goodwin PHOTO MELISSA DONALD

Do you know a caregiver who deserves some pampering and recognition? Nominate him or her for our Care Package for the Caregiver contest and tell us what makes this person stand out. The winner will receive gifts from our sponsors and be featured in our next issue. Deadline: July 16, 2014. Mail form to: Today’s Transitions 9750 Ormsby Station Rd. Suite 307 Louisville, KY 40223 Fax to 502.327.8861 or go online to TodaysTransitionsNow.com

The care package will include:

Nominator’s name: ________________________ Phone number: _____________ Email: ____________________________________________________________ Caregiver’s name: ___________________________________________________ Address: __________________________________________________________ City: _____________________ State: _______ Zip: ________________________

• $25 gift certificate to A Taste of Kentucky

Phone number: __________________ Email: ______________________________

• Two tickets to a Derby Dinner Playhouse production

_________________________________________________________________

• Four hours of sitter service donated by Home Instead

_________________________________________________________________

He/She is an exceptional caregiver because: ______________________________ _________________________________________________________________ _________________________________________________________________ Summer 2014 | todaystransitionsnow.com

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The Directories Are Now Online! Click on this page to access directory listings.

DIRECTORIES Adult Day Care Aging-in-Place Communities Alzheimerâ&#x20AC;&#x2122;s Care Assisted Living Home Health Nursing/Rehab Personal Care Retirement Communities

Larger color Enhanced listings are paid for by the facility. Those interested in Enhanced listings can call (502) 327-8855. Some facilities/services are not listed because information was not provided at printing time. If you feel your facility or service should be listed in the next directory, email directories@todaystransitions.com, or call (502) 327-8855.

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Click on the Directory names below to access the online directory listings.

Adult Day Care Directory Day program for adults who need to be monitored for safety reasons and/or need nursing care, treatments, incontinence care, and other health services. There are medical Adult Day Care facilities which must be licensed. Adult Day Care facilities that are social cannot provide nursing care. Some offer pickup and delivery services within a radius.

Aging-in-Place Communities Directory An Aging-in-Place community offers several levels of care on one campus. A resident could move into a retirement facility or assisted living facility, then utilize higher levels of nursing care when needed through personal care or nursing/rehab care. A residentâ&#x20AC;&#x2122;s room might change, but not his or her address.

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Click on the Directory name below to access the online directory listings.

Aging-in-Place Communities Directory An Aging-in-Place community offers several levels of care on one campus. A resident could move into a retirement facility or assisted living facility, then utilize higher levels of nursing care when needed through personal care or nursing/rehab care. A resident’s room might change, but not his or her address.

PRAY, Grunt & Giggle

LISTENING TO THE SOUND OF WORDS BY BOB MUELLER

I love words and catchy phrases. I especially like the following letter from a man named Robert Pirosh applying for a job requiring verbal skills. “Gentlemen, I like fat, buttery words such as ooze, turpitude, glutinous, and toady. I like solemn, angular, creaky words such as strait-laced, cantankerous, penurious, and valedictory. I like spuri40 todaystransitionsnow.com | Summer 2014

ous, gold-plated, black-and-white words such as gentlefolk, mortician, free-lancer, or mistress. I like suave “V” words as Svengali, svelte, bravura, and verve. I like crunchy, brittle, crackly words such as splinter, grapple, jostle, and crusty. I like sullen, crabbed, scowling words such as skulk, glower, scabby, and churl. I like Oh-heavens, my-gracious, land’s-sake

words such as tricky, tucker, genteel, and horrid. I like pretty-pretty, flowered endimanche words such as elegant, halcyon, Elysium and artiste. I like wormy, squirmy, mealy words such as crawl, blubber, squeal, and drip. I like sniggly, chuckling words such as cowlick, gurgle, continued on page 46


Click on the Directory name below to access the online directory listings.

Alzheimerâ&#x20AC;&#x2122;s Care Directory Alzheimerâ&#x20AC;&#x2122;s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimerâ&#x20AC;&#x2122;s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

Larger color Enhanced listings are available. Four issue rate is very reasonable $245 or $82/month. Call 502-327-8855 or email advertising@todaystransitions.com. Fall issue deadline: August 8, 2014

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Click on the Directory name below to access the online directory listings.

Alzheimerâ&#x20AC;&#x2122;s Care Directory Alzheimerâ&#x20AC;&#x2122;s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimerâ&#x20AC;&#x2122;s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

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Click on the Directory name below to access the online directory listings.

Alzheimer’s Care Directory Alzheimer’s care is provided at different levels, from assisted living to the skilled care of nursing/rehab. Some facilities accept Alzheimer’s patients into their general care, and others have separate units designed to meet the specific needs of patients with this disease.

CONTINUED FROM PAGE 40

PRAY, Grunt & Giggle

LISTENING TO THE SOUND OF WORDS bubble, and burp. I like words. May I have a few with you?” I asked a woman in her 90’s named Margaret recently what her secret of life was and she had a terrific phrase. She said you have to “pray, grunt, and giggle.” I like her phrase much better than the popular “eat, pray, love.” Margaret is so right. • Pray – I can’t imagine a day without prayer. I open and close each day with prayer. Prayer is the relationship between each person and their Higher Power. We cannot approach prayer as we do everything else in our instant gratification society. There are no prayer pills or enlightenment capsules. Any relationship is a process, not a momentary event with an instantaneous outcome. It builds with repeated contact and dialogue. With give and take, prayer is our honesty encountering God and our openness hearing God expressed on God’s terms. Like any relationship, 46 todaystransitionsnow.com | Summer 2014

prayer includes all our feelings – anger, fear and mistrust, as well as generosity, goodwill, and gratitude. Gradually, we see the events of our lives through the wisdom and detachment our spiritual relationship provides. • Grunt – How can we measure all the pain and grief we feel, and how can we put up with it? Doesn’t the grief of death weigh a ton or more? Doesn’t it stretch out to a month, a year, or longer still? Is the grief of failure lighter than the grief of despair, but maybe longer? Isn’t the grief of emptiness the heaviest of all? Whether we try to ignore or make light of it, our grief, like a ton of feathers or a ton of rocks, is all the same to us. We need to grunt. Grief shared is grief spared. If we lock our grief in, it will weigh more on us and lengthen out. If we open our hearts with grunting, weeping and words, others will help carry it away. • Giggle – Comedy is a gift of the human spirit. Sometimes it is the

only weapon we have against official absurdity. When I die and anyone thinks about it, rather than a moment of silence, I’d much prefer a moment of giggle and laughter. Sharing play is sometimes the only way we can touch another human being. Let us be grateful for the gift of true humor wherever we encounter it. It gives us strength to continue. As Oscar Wilde said, “Life is too important to be taken seriously.” Phyllis Diller adds, “A smile is a curve that sets everything straight.” Sometimes the current spirituality scene or the quest for meaning in selfhelp books can be overwhelming. Sometimes it’s refreshing to have a simple formula for your soul like “Pray, Grunt & Giggle.” Thanks again, Margaret. Bob Mueller is senior director of Mission & Stewardship at Hosparus. Visit his website at www.bobmueller.org.


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Click on the Directory name below to access the online directory listings.

Assisted Living Directory Assisted living offers minimal assistance in care, such as providing meals, helping with baths, and offering reminders to take medications. While some residents drive, scheduled transportation may be provided. Daily activities are organized, and there is around-the-clock supervision. No health care is provided, and these facilities are not licensed, but certification is required.

Larger color Enhanced listings are available. Four issue rate is very reasonable $245 or $82/month. Call 502-327-8855 or email advertising@todaystransitions.com. Fall issue deadline: August 8, 2014

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Click on the Directory name below to access the online directory listings.

Assisted Living Directory Assisted living offers minimal assistance in care, such as providing meals, helping with baths, and offering reminders to take medications. While some residents drive, scheduled transportation may be provided. Daily activities are organized, and there is around-the-clock supervision. No health care is provided, and these facilities are not licensed, but certification is required.

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Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a person’s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

QUICK FIXES for Healthy Eating Habits BY SANDRA GORDON

When making mashed potatoes, replace some of the potatoes with steamed cauliflower for extra nutrients and fewer calories.

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Sure, you can just get take-out, zoom through the drive-thru, or zap up some frozen dinners. But if you really want to eat healthier and save money — get chopping, stirring, and sautéing. “With home cooking, you know what’s in it, you can adjust it to taste, and it’s a good way to keep your portions under control,” says JoAnn Cianciulli, TV food producer and author of L.A.’s Original Farmers Market Cookbook. If you’re skeptical about the power of DIY meals, consider: Over the past 30 years, the number of restaurants in the U.S. increased 89 percent along with the average calorie intake, which rose by 615 calories, according to the United States Department of Agriculture. Can you say continued on page 58


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Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a personâ&#x20AC;&#x2122;s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

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Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a personâ&#x20AC;&#x2122;s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

Larger color Enhanced listings are available. Four issue rate is very reasonable $245 or $82/month. Call 502-327-8855 or email advertising@todaystransitions.com. Fall issue deadline: August 8, 2014

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Click on the Directory name below to access the online directory listings.

Home Health Directory Home Health Care refers to care provided in a person’s home. Medical Home Health Care is a licensed level of care that provides nursing care and personal care. (These agencies also provide non-medical care.) Non-medical Home Health Care agencies in Kentucky must be certified. Agencies in Indiana must be licensed. They can assist with the self-administration of medications or treatments, provide limited personal care, serve as companions who prepare light meals and tidy homes, and may offer transportation or errand services.

CONTINUED FROM PAGE 52

QUICK FIXES for Healthy Eating Habits

obesity epidemic? But homemade eats can reverse the trend. To help you jam-pack your family’s meals with better-for-everyone fuel — and think outside the take-out container — we polled chefs, bloggers, registered dietitians, and other foodies for their healthiest cooking tips. The gist? Small cooking changes can make a big diet difference. Here’s the dish on their top practical meal tweaks that can easily become part of your recipe for success.

Smart Swaps

• Bring home the bacon (flavor). In recipes that call for bacon, such as lentil soup or quiche, substitute smoked Spanish paprika or chipotle powder (add it when you’re 58 todaystransitionsnow.com | Summer 2014

sautéing the onions and other ingredients). “You’ll get the smoky flavor without the calories and saturated fat,” Cianciulli says. • Makeover mashed potatoes. “Replace some of the potatoes with steamed cauliflower, for a lighter texture, a boost of nutrients and fewer calories,” says Natalia Strasenko, MS, RD, CDN in New York City. • Go Greek. Substitute plain, low-fat, or fat-free Greek yogurt for just about any recipe (dips, sauces, dollops on a baked potato or nachos) that calls for sour cream, saving 45 calories per 2 T serving. Greek yogurt’s creamy texture and tangy taste mimics sour cream with little or no fat and as much as 50 percent more protein, compared to sour cream. “You’ll never know the difference,” says

Chickpeas can replace flour when thickening soups.

Rene Ficek, RD, CDE, with Seattle Sutton’s Healthy Eating, in Ottawa, Illinois. • Secret sauce: Balsamic vinegar reduction. “It’s a healthy substitute for buttery, salty sauces or sugary BBQ sauce,” says Rene Ficek. Bring balsamic vinegar to a boil, then simmer until it’s reduced by half (about 20 minutes). Add a tablespoon or two of fruit-infused flavored vinegar for an additional layer of flavor, such as strawberry vinegar for chicken, or pomegranate vinegar for fish. continued on page 62


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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

CONTINUED FROM PAGE 58

QUICK FIXES for Healthy Eating Habits • Whip up a dream cream. “When you’re making whipped cream, use 1 cup skim milk plus 1 T cornstarch instead of heavy cream to reduce saturated fat,” says Jenna Allen, RD, a spokesperson for the Western Dairy Association in Denver. • Cut the cheese. To reduce a recipe’s saturated fat and calories, forget swapping in low-fat or nonfat cheese. Yuck! Instead, “cut the amount of cheese a recipe calls for in half and substitute a sharper cheese that’s naturally low-fat, such as parmesan, romano, asiago, or manchego to intensify the flavor,” says Jonas Falk, a Chicago-based chef. • Slash sugar, get zesty. With desserts, such as pudding or even your 62 todaystransitionsnow.com | Summer 2014

grandmother’s sugar cookie recipe, “cut the sugar in half and add orange or lemon zest or a teaspoon of vanilla, hazelnut, rum, caramel, or almond extract,” says Jennifer Iserloh, chef and owner of skinnychef.com. Zest can emulate sweetness and halving the amount of sugar won’t change a recipe’s texture or diminish its nutrient content. At 16 calories per tablespoon of sugar, you’ll save 256 calories per omitted cup. “You’ll put any dessert recipe on an instant diet,” Iserloh says. • Thickening trick: “Use pureed chick peas or white beans to thicken soups and sauces rather than flour and butter,” says Amanda Skrip, a Chicago natural foods chef and health coach.

Nutrition Know How

• Get picky. While preparing meals, stop and look at the recipe, or what’s on your plate and think, how can I make this meal healthier? “Pick one thing; it could be to add a vegetable, increase protein, use a leaner meat or switch from a refined grain like white rice to whole grain like quinoa,” says Dr. Samantha Brody, a naturopathic physician in Portland, Oregon. • Sneak in produce. The next time you’re making a batch of tomato sauce for pasta, lasagna, or meatballs, give it a nutrient and fiber boost by adding pureed white beans, frozen spinach, finely chopped mushrooms, and pureed zucchini, Natalia Strasenko says. • Reserve butter for baking. Forget using applesauce, pureed prunes or continued on page 70


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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

Larger color Enhanced listings are available. Four issue rate is very reasonable $245 or $82/month. Call 502-327-8855 or email advertising@todaystransitions.com. Fall issue deadline: August 8, 2014

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Click on the Directory name below to access the online directory listings.

Nursing/Rehab Directory Nursing homes are facilities that provide beds for around-the-clock intermediate, skilled, and/or rehabilitative care.

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Click on the Directory name below to access the online directory listings.

Personal Care Directory Personal Care offers residents minimal assistance for bathing, grooming, toileting, and dressing. The resident must be able to move around (even if in a wheelchair or scooter). Some health care is provided and medications are given. These facilities are licensed.

Larger color Enhanced listings are available. Four issue rate is very reasonable $245 or $82/month. Call 502-327-8855 or email advertising@todaystransitions.com. Fall issue deadline: August 8, 2014

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Click on the Directory name below to access the online directory listings.

Retirement Communities Directory Retirement communities are for those who are totally independent. Special services are provided, such as meals in a central dining area. Most people drive, but some transportation is usually offered. These communities offer no health care services and are not required to be licensed or certified.

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Click on the Directory name below to access the online directory listings.

Retirement Communities Directory Retirement communities are for those who are totally independent. Special services are provided, such as meals in a central dining area. Most people drive, but some transportation is usually offered. These communities offer no health care services and are not required to be licensed or certified.

CONTINUED FROM PAGE 62

QUICK FIXES for Healthy Eating Habits mashed bananas instead of butter in baking. Just use butter. “You don’t want butter in every aspect of your meal, but it’s okay to reserve it for dessert,” says Kristy Lambrou, M.S., R.D., culinary nutritionist at Rouge Tomate in New York City. “Dessert should taste like dessert.”

Time Savers

• Freeze onions. Onions — a decent

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source of quercetin, which can help keep blood pressure low — are a recipe staple. “Save time and money by pre-chopping all of your onions and freezing them in a baggie. You can pull them out whenever you need them to get cooking right away without any fuss or tears,” says Jennifer Fugo, a certified gluten-free health coach in Philadelphia. • Skip the rinse cycle. Don’t rinse raw chicken before cooking. “Any bacteria

present can be splashed around your kitchen, potentially contaminating other foods that don’t get cooked, such as fresh produce,” says David Acheson, M.D., a food safety expert in Washington, D.C. and former chief medical officer at the Food and Drug Administration. Any potentially harmful bacteria on chicken will be destroyed during cooking anyway. The same goes for beef, pork and fish.


Helpful Resources LAW

INSURANCE

Robin Brown, 21 years with State Farm,

says she likes to help people plan a good life:“We help people protect the things they can least afford to lose: their home, their car, their income when they’re sick or hurt, and their earning capability. The unexpected happens often in life. I want my clients to be prepared for it. We’re also here to help clients assemble and preserve wealth in the most tax efficient ways possible. We educate clients to help them take care of the people who are special to them and to plan for retirement.” Let Robin help you plan for your dreams and manage risk to protect what is yours now and in the future.

Robin Brown, CLU, ChFC, CASL Agent State Farm 4209 Shelbyville Rd, Louisville, KY 40207 502.897.6476 • robinbrowninsurance.com

SENIOR MOVING SERVICES

Timmel Law LLC – KY & IN lic. ELDER PLANNING WORKSHOPS & CONSULTATIONS NO CHARGE MEDICAID & VA BENEFIT Helping individuals and their families including those with elder or special needs issues identify, evaluate and plan for long term care, estate and life care options. Call or email to join us for a workshop where you can learn about Estate Planning and protecting your loved ones’ assets.

Timmel Law, LLC 812.590.2771 aa@timmellaw.com timmellaw.com

TRANSPORTATION

Caring Transitions

Able Care, Inc.

Senior Relocation - Downsizing - Estate Sales We offer comprehensive services customized to your needs. • Oversee entire move process • Declutter, organize and sort belongings • Inventory, photograph and appraise items • Decide best method to sell, reconcile or distribute items • Advertise/manage sales or auctions • Donate items to maximize tax benefits • Qualify and secure quotes from movers • Arrange for storage • Prepare new home for resettling

Providing non-emergency, ambulatory and wheelchair accessible transportation in Louisville, Kentucky since 2001; the door through door service is available for physician appointments, medical procedures, therapy, dialysis, radiation, and chemotherapy; as well as social functions and daily errands. Evenings and weekends with advance notice. Caregivers or family members are welcome to ride at no additional charge. Pre-paid voucher packages are available. Payment is requested at the time of service. BBB Accredited Business.

Call Owner/Director Tonna Griffin 502.413.2872 estatemovejeffersontown.com tgriffin@caringtransitions.net

P. O. Box 99381 Louisville, Kentucky 40269-0381 502.267.1911 • FAX: 502.267.3004 ablecareinc.com

If you would like to advertise in the Helpful Resources Directory, call 502.327.8855 or email advertising@todayspublications.com. – THIS IS AN ADVERTISEMENT – Summer 2014 | todaystransitionsnow.com

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It’s Your Style

BY TIFFANY WHITE / PHOTO MELISSA DONALD / MAKEUP DENISE CARDWELL, BLADES SALON & SPA

LET YOUR

SILVER SHINE Ditch your hair color and say ‘OK’ to gray. MODEL: Bernie Mudd-White, owner

of Mudd Graphic Design Resources AGE: 54

C

hoosing her natural gray hair in place of color has made daily hair maintenance much easier for Bernie. She decided to let her hair show its natural color at age 40 because coloring her hair had become a hassle and she didn’t want to put damaging chemicals on it. Bernie’s hairstylist, Whitney McKenna of Hair Strobel (3120 Frankfort Avenue, 502.899.9113), says going gray (or as we at Today’s Transitions like to say, “silver”) should be done gradually to protect the integrity of the hair. “If I have a client with medium brown hair that is 95 percent gray, I will keep coloring the hair for a little while, but would go a level lighter each time they come in, and I’d add in highlights,” she says. When the hair becomes blonde, she adds a semi-permanent silver color to the hair to closely match the hair's natural gray tone. If you want to show some gray hair but aren’t ready to abandon hair color yet, Whitney suggests using highlights around the face for softness. Since gray hair becomes more coarse, Whitney says you should use a smoothing product or Moroccan oil with defrizzing properties.

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Makeup Matters Denise Cardwell, makeup artist at Blades Salon & Spa, shares some tips on how she used makeup to complement Bernie’s gray hair. • Matched the brows to the base color near the scalp • Applied a light pink topped with a darker pink shade on her lips for dimension

• Used matte colors for her eyes and cheeks • Used a shadow to line her eyes instead of a liquid liner


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Today's Transitions Summer 2014