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PLEASE TAKE ONE MAGAZINE Vol. 11 • Issue 3 • November 2013 MENTAL Health Stressed or depressed? If so, you have a lot of company. Antidepressants Mental Cause Huntington’s Disorders per Depression Disease the DSM-5

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From the Editor November 2013 5 STAFF [email protected] STAFF WRITERS: Angela S. Hoover was released this May, the widely- – Paula Caplan, Making Us Crazy – Fiona Young Brown Editor, Health&Wellness Magazine voiced criticism of the DSM5, and Herb Kutchins and Stuart Kirk, Th e how antidepressants actually cause Loss of Sadness: How Psychiatry Jean Jef ers Thomas W. Miller Ph.D. ABPP Mental and emotional wellness in depression. Other topics related Transformed Normal Sorrow into America is not faring too well, and to mental health include the use of Depressive Disorder – Allan Horwitz Clint Moore it’s only been get ing worse these past ketamine for depression, hoarding, and Jerome Wakefi eld, Shyness: How Travis C. Nunley few decades. Many factors – both postpartum depression, and the Normal Behavior Became a Sickness Annette Racond individual and societal – contribute brain benefi ts of strategy games. – Christopher Lane, Mad Science: Charles Sebastian, MA, MS, LMT to our mental health and emotional Other articles include: Cruetzfelt, Psychiatric Coercion, Diagnosis and Tanya J. Tyler Huntington’s disease, heroin, the Drugs – Stuart Kirk, Tomi Gomory outlook. Th is month we look at a few of these factors, such as alcohol, eff ects of the government shutdown and David Cohen, Th e Book of Woe: COLUMNISTS/GUESTS: confi dence, perspective, anger and on veteran’s healthcare, gum disease Th e DSM and the Unmaking of Paul L. Hester, MD - BeMedispa inactivity. Another cause for the and heart health, pet allergies, the Psychiatry – Gary Greenberg, Saving John A. Patterson MD, MSPH, FAAFP explosive jump in Americans with latest vaccines and a promising new Normal: An Insider’s Revolt Against depression and those who are taking drug treatment for Down Syndrome. Out-of-Control Psychiatric Diagnosis Willie B. Ray - Art of Strength Kettle Bell Gym antidepressants has a lot to do with We hope these articles are useful – Allen Frances, and DSM-5, Big mis- and over-diagnosing; classifying and possibly make you feel bet er if Pharma and the Medicalization of SAMPLER PUBLICATIONS: the normal low points in the human you are experiencing the blues. Check Ordinary Life – Allen Frances. John Brokamp / Publisher out the following books on the state emotional range as a clinical disorder. Janet Roy / Director of Creative Services We cover the making of the new of our mental healthcare for further Cheers to our good health, Brian Lord / Sales Manager Diagnostic and Statistical Manual details (listed by earliest publication Angela S. Hoover Kim Blackburn / Sales Representative of Mental Disorders (DSM5) that to the latest): Th ey Say You’re Crazy John Hof eld / Sales Representative Shirre R. Smith / Media Consultant INSIDE THIS ISSUE From the Cover Features ABOUT H&W 06 Mental Health: An Introduction 07 The Making of DSM-5 a proud product of a proud p 10 Antidepressants Cause Depression 08 Alcohol’s Links to Mental Health 11 Huntington’s Disease 09 Creutzfeldt-Jacob Disease 12 Hoarding 22 Everything is Now a Mental Disorder Per the DSM-5 14 Five Ways to Turn Negatives to Positives Health&Wellness Magazine can be found in 20 central Kentucky counties and Columns 15 Ready, Set... Goal: Six Steps to Ef ective Goal is distributed to over 90% of medical Setting facilities, including chiroprator’s, eye doctor’s and dentist’s offi ces. You 17 FOOD BITES 18 Government Shutdown: How it has Af ected can also pick up your FREE copy of Following Food News & Trends Veterans Healthcare Health&Wellness at most grocery and convenience stores as well as many 31 YOUR WELLNESS & ANTI AGING COACH 20 Anger Doesn’t Have to be Unhealthy restaurants throughout Central Kentucky. It Only Took Men 10 Years to Find “Bro-Tox” 24 Postpartum Depression: Don’t Try to Hide it For advertising rates and to fi nd out 32 FAMILY PRACTICE 25 how to get YOUR article published: Mindful Eating Keep It Simple: Feel Good Tips for Cold and Flu Season 859-225-4466 35 NATURE’S BEAUTY 29 Recent Developments in Vaccines e-mail [email protected] Dare to Eat a Peach Juicy Fruit Can be Enjoyed Year Round 30 Playful pets could mean annoying allergies Download the media kit at 33 Dental Health: www.samplerpublications.com 39 TOP PICKS: Scentsational Could Gum Disease be Harming Your Heart? Sweet Smell of Success © Copyright HEALTH&WELLNESS Magazine 36 Heroin Making a Comeback with Passage of 2013. All rights reserved. Any reproduction of the 41 YOUR FITNESS COACH House Bill 1 material in this magazine in whole or in part with- Overcome Depression with Strength Training out writ en prior consent is prohibited. Articles 37 Strategy Games Sharpen Your Brain and other material in this magazine are not neces- sarily the views of Health&Wellness Magazine. 38 Down Syndrome: Experimental Drug Treatment Health&Wellness Magazine reserves the right Departments Success to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not 16 In The News 40 Ketamine Fights Depression knowingly publish any advertisement which is il- legal or misleading to its readers. Th e information 26 Calendar of Events 45 Sitting Can Make You Sad and Fat in Health&Wellness should not be constued as a substitute for medical examination, diagnosis or 42 Medical Jobs from the pages of Magazine treatment. Health&Wellness is a proud product of Sampler Publications, Inc.

6 November 2013 compilation of mood disorders that wrongly lumps together potentially suicidal depression with passing bouts of sadness.” So our understanding of stress and depression are muddled; but as a society, we are clearly experiencing some existential malaise. A Gallup poll this June revealed that 70% of Americans hate their jobs or have “checked out” of them. Whether or not life is worse now than it was a generation ago, our expectations that life should be more satisfying has resulted in mass disap- pointment. “Many of us feel hopeless about the possibility of either our own escape from societal oppres- sion or that political activism can create societal change, said Levine. “So, many of us, especially young Americans, rebel by what is com- monly called mental illness.” People’s normal reactions are being mislabeled as clinical depression; so, this is not some conscious rebellion. “Try as we might to pay attention, adapt, adjust, Mental Health boring schools and sterile society, and comply with our alienating jobs, our humanity gets in the way, and we become anxious, depressed and dys- functional,” says Levine. “(Modern civilization)…can pro- The Trend Of Pathologizing The Human Experience duce only a mass man: incapable of spontaneous, self-directed activities: at best patient, docile, disciplined to monotonous work to an almost Stressed or depressed? If so, you in mental illness is due to previously ally help, and that by focusing solely pathetic degree. . . . Ultimately such a have a lot of company. under-diagnosed mental disorders. on our own stressors we become society produces only two groups of Antidepressant use in the United The most common explanations distracted from the impact of larger men: the conditioners and the condi- States has increased nearly 400% in for the mental illness epidemic are societal and economic pressures and tioned, the active and passive barbar- the last two decades, per the CDC in recent over-diagnoses of psychiatric policies; the very root cause of all our ians.” —Lewis Mumford, 1951 2011. Antidepressants are the most disorders, diagnosis expansionism, individual stress and depression. Once common for respected social frequently used class of medications pathologizing normal behavior, Big Becker blames general anxieties critics such as Mumford and Erich by Americans ages 18 to 44 years. In Pharma corruption of psychiatry about social change, economic uncer- Fromm to address the impact of mod- 2008, 23% of women ages 49-50 were and the adverse effects of psychiatric tainty and possible terrorist threats ern civilization on our mental health, taking antidepressants. medications, per clinical psycholo- combined with countless misleading such commentary is mostly absent There is now between 10 and 20 gist Bruce E. Levine, Marcia Angell, articles about what produces stress today. Levine believes the mental times as much depression as there former editor-in-chief of the New and how it operates for creating a illness epidemic is also a societal was 50 years ago, and depression has England Journal of Medicine and public consciousness steeped in the problem that has become all-encom- become a young person’s problem, numerous other authors, journalists dangers of stress. This non-stop hype passing to where we no longer notice per APA findings in 1998. In the and psychiatrists. Yet, there are addi- has amplified the uncertainties, fears it. And increasing numbers of us are late 60s, the average age of the onset tional deeper, underlying causes to all and pressures of modern life to a completely socially isolated, having of depression was 29.5 years old. this poor mental health. widespread disease status. The error nobody who cares about us.” In 1985, Now, the average is between 14 and The concepts of stress and depres- is in thinking stress is synonymous 10% of Americans said they had no 15 years old. This May, the CDC sion have become nearly meaning- with anxieties that originate from confidants in their lives; in 2004, 25% reported that a total of 13-20% of U.S. less over the decades. They are within, rather than a reaction to exter- had none. children experience a mental disorder pervasive conditions of modern nal pressures or forces from outside Underlying themes in psychiatric in a given year (for the years 2005- life. And according to two authors, oneself. The problem is thinking diagnoses are helplessness, hope- 2011). these “conditions” have become so that the tensions of contemporary lessness, passivity, boredom, fear, A large National Institute of Mental prevalent that it’s difficult to distin- life are primarily individual lifestyle isolation and dehumanization (from Health survey of adults conducted guish between normal and abnormal problems to be solved through stress loss of autonomy and community- between 2001 and 2003 found that pressures or moods because the management, as opposed to these connectedness) are features of our at some point in their lives, 46% of lines have become so blurred. Dana tensions being linked to social forces society. “Feeling misunderstood Americans met the criteria estab- Becker (One Nation Under Stress: that need to be resolved primarily and uncared about, millions of us lished by the APA for at least one The Trouble with Stress as an Idea) through social and political means, ultimately rebel against societal mental illness. and Edward Shorter (How Everyone writes Becker. demands; however, our rebellions are Became Depressed: The Rise and Shorter addressed how we’ve come often passive and disorganized, and Our state of mental Fall of the Nervous Breakdown) both to misunderstand and misuse the routinely futile and self-destructive,” concept of depression, and is critical warn that when stress and depres- health is eroding, or sion are considered as ordinary as the in the rampant use of antidepressants says Levine. “When we lack hope, energy and friends, we routinely rebel is it? common cold, we become targets for and diagnoses. Shorter says a real without consciousness of rebellion Even within mainstream psy- Big Pharma’s marketing campaigns illness of body and mind had been in a manner in which we today com- chiatry, few argue that the increase of medications that may not actu- transformed into an “amorphous monly call mental illness.”

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 7 ences spanned the globe: each confer- turn, the work group chairs, together ence had co-chairs from both the U.S. with the task force chair and vice- and another nation, and approximately chair, recommended to the successive half of the 397 participants were from APA presidents, Drs. Pedro Ruiz and outside the U.S. In each conference, Carolyn Robinowitz, nominees widely participants wrote papers addressing viewed as leading experts in their field, specific diagnostic questions, based who were then formally nominated as on a review of the literature, and members of the work groups. All work from these papers and the confer- group members were also reviewed ence proceedings, a research agenda for potential conflicts of interest, was developed on the topic. The approved by the APA Board, and were results of these conferences have been announced in 2008. published in peer-reviewed journals Since late 2007, each work group or American Psychiatric Publishing, has met regularly, in person and on Inc. (APPI) monographs. Findings conference calls. They began by from all 13 conferences are available reviewing DSM-4’s strengths and to serve as a substantial contribution problems, from which research ques- to the research base for the DSM-5 tions and hypotheses were developed, task force and work groups and for followed by thorough investigations the WHO as it develops revisions of literature reviews and analyses of The groups were created, including groups Diseases. existing data. Based on their compre- of the International Classification of covering developmental issues, gaps hensive review of scientific advance- in the current system, disability and In 2006, APA president Dr. Steven ments, targeted research analyses, and Making of impairment, neuroscience, nomencla- Sharfstein announced Dr. Kupfer as clinical expertise, the work groups ture, and cross-cultural issues. chair and Dr. Regier as vice-chair of developed the draft DSM-5 diagnostic In early 2000, Darrel A. Regier, the task force to oversee the develop- criteria. The final, approved DSM-5 the DSM-5 M.D., M.P.H., was recruited from the ment of DSM-5. They, along with was released in May 2013. NIMH to serve as the research direc- tor for the APA and to coordinate the other leaders at the APA, nominated About the Author additional members to the task force, By Thomas W. development of DSM-5. Additional which includes the chairs of the Thomas W. Miller, Ph.D. ABPP is a Miller Ph.D. conferences were held later in July and diagnostic work groups that reviewed Professor Emeritus and Senior Research ABPP, Staff Writer October of 2000 to set the DSM-5 the research and literature base to Scientist, Center for Health, Intervention research agenda, propose planning form the content for DSM-5. These and Prevention, University of the work groups’ membership, and task force nominees were reviewed The process for Connecticut and retired tenured Professor revising Diagnostic to hold the first face-to-face meet- for potential conflicts of interest, in the Department of Psychiatry, College and Statistical Manual ings. These groups, which included approved by the APA Board of of Medicine, University of Kentucky. of Mental Disorders (DSM) began liaisons from the National Institutes of Trustees, and announced in 2007. In with a brief discussion between Health (NIH) and the international Steven Hyman, M.D., (then director psychiatric community, developed of the National Institute of Mental the series of white papers, published Health [NIMH]), Steven M. Mirin, in “A Research Agenda for DSM-5” P ILATES M.D. (then medical director of the (2002, APA). A second series of cross- American Psychiatric Association cutting white papers, entitled “Age and PLAC E [APA]), and David J. Kupfer, Gender Considerations in Psychiatric M.D., (then chair of the American Diagnosis,” was subsequently commis- Psychiatric Association Committee sioned and published by APA in 2007. on Psychiatric Diagnosis and Leaders from the APA, the World Assessment) at the NIMH in 1999. Health Organization (WHO), and They believed it was important for the World Psychiatric Association the APA and NIMH to work together (WPA) determined that additional on an agenda to expand the scientific information and research planning basis for psychiatric diagnosis and was needed for specific diagnostic classification. areas. Hence, in 2002, the American Under the joint sponsorship of the Psychiatric Institute for Research two organizations, an initial DSM-5 and Education (APIRE), with execu- Research Planning Conference was tive director Darrel A. Regier, M.D., convened in 1999 to set research pri- M.P.H., as the principal investigator, orities. Participants included experts applied for a grant from the NIMH to in family and twin studies, molecular implement a series of research plan- genetics, basic and clinical neurosci- ning conferences that would focus on ence, cognitive and behavioral sci- the scientific evidence for revisions of ence, development throughout the specific diagnostic areas. A $1.1 mil- life-span, and disability. To encour- lion cooperative agreement grant was age thinking beyond the current approved with support provided by DSM-4 framework, many participants NIMH, the National Institute on Drug closely involved in the development Abuse (NIDA), and the National of DSM-4 were not included at this Institute on Alcoholism and Alcohol conference. Through this process, Abuse (NIAAA). Form Good Habits with Us! participants recognized the need for a Under the guidance of a steering series of white papers that could guide committee comprised of representa- 859-266-3810 follow us on: future research and promote further tives from APIRE, the three NIH discussion, covering over-arching institutes and the WHO, 13 confer- topic areas that cut across many ences were held from 2004 to 2008. ,]SM :L 4M`QVO\WV Œ [\]LQW(XQTI\M[XTIKMSa KWU psychiatric disorders. Planning work Expertise represented at these confer-

8 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Alcohol’s sion. However, they noted that diabetes. Low to moderate one night rather than spread drinkers also tend to have higher drinking levels seemed throughout the week. A week of to sharply increase the risk of better quality sleep, another abstention does not compensate for Links to depression. (This is something depression. Furthermore, stud- one night’s drunkenness. important factor in reducing Most of these studies have looked of a chicken-egg situation. Does increased alcohol lead to ies in the United Kingdom, at red wine consumption, so you Mental depression or does the devel- China, and the United States might be asking yourselves, “What have even found that those about beer or spirits?” It looks as opment of depression lead to Health increased drinking?) who drink alcohol in mod- though you should be OK as well. It should be noted eration are likely to live Comparable studies show that what that some of the study’s longer than those who you drink – wine, beer, spirits – is authors were partially do not drink at all. One less important than how much By Fiona Young-Brown, sponsored by members Chinese study found a you drink. For example, research- Staff Writer of the alcohol industry. 20 percent lower mortal- ers found that elderly women who Nevertheless, the results ity rate among moderate drank one beer each day had better For a long time, we’ve been do seem to match drinkers when com- mental acuity and stronger memo- reminded of alcohol’s depressant what many doctors pared to teetotalers. ries than their nondrinking counter- properties, but a new study has have been saying But in case you parts. They were also less likely to found that when drunk in mod- – that alcohol can are tempted to develop Alzheimer’s disease. eration, alcohol can in fact lead to have health bene- overindulge, any As I’ve mentioned already, and I lower levels of depression. It may fits when drunk health benefits, can’t stress this enough, moderation even offer some protection against in moderation. both physical is key. If you regularly drink heavier the illness. A drink at and mental, are amounts, if you drink to help your- The study, carried out in Spain, the end of the cancelled out self sleep, or if you find yourself followed more than 5,500 people day can relieve once you cross a “needing” a drink, it may be time to between the ages of 55 and 80 stress and help to certain threshold. seek medical help for dependency. for a period of seven years. The induce a sense of And, lest you won- If, however, you simply want to study participants had no his- relaxation. It can also dered, the health ben- enjoy a sip of bourbon a few times a tory of depressive illness, or of improve heart health efits are also cancelled week, or a glass of wine with dinner, alcohol-related problems. During and lower the risk if you drink those go ahead. You may be doing your the course of the study, research- of develop- seven glass- brain a favor! ers concluded that there seemed to ing es all be a significant link between low in to moderate consumption of wine (two to seven glasses per week) and lower incidences of depres- Lexington Center for Acupuncture, Massage & Reiki Monthly Reiki Classes Turn your hands into healing hands! Reiki is Universal Life Force Energy Benefits include: Assists in resolving physical illnesses, decreases anxiety, stress and pain, improves sleep and much more... Approved for Continuing Education hours (CE hours) for Massage Therapist via the NCBTMB (provider #451005-09) CE’s for nurses pending Acupuncture • Massage • Reiki Treatments also available Robert N. Fueston, Reiki Master/Teacher and Acupuncturist 17 years of experience and member of The Reiki Alliance When you need the best in Urologic care, isn’t 3175 Custer Dr. Suite 303 Lexington, KY. 40517 it nice to know you don’t need to leave home? 859-595-2164 www.robertfueston.com LEXINGTON • DANVILLE • FRANKFORT • MOUNT STERLING • RICHMOND • SOMERSET • WINCHESTER With convenient locations throughout Central Kentucky, Commonwealth Urology offers patients a full range of urologic services: • Adult and Pediatric Urology • Vasectomy and Vasectomy Reversal • Male and Female Sexual Dysfunction • Incontinence • Prostate Cancer Root Canal Specialist • Kidney Stones - Lithotripsy • Compassionate Care • State of the Art Facility • Delta Dental Provider • Accepting Insurances & Care Credit For more information, visit CommonwealthUrology.com DONALD L. KELLEY, D.D.S., M.S. • www.endocenterlex.com • (859) 685-1068 An Associated Practice of Lexington Clinic 216 FOUNTAIN COURT • SUITE 140 • LEXINGTON, KY 40509

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 9 Creutzfeldt-Jacob Disease insomnia (FFI), and kuru. The latter is such a disruption in the system that a breakdown occurs. This phe- is prevalent in cannibalistic cultures, where brain matter is digested and nomenon reaches the brain and a By Charles Sebastian, likened to Parkinson’s sufferers, who transmitted to the living organism. “feedback loop” begins, where the Staff Writer experience a similar effect. CJD is Some studies point to CJD being brain tissue is broken down. incurable and those one in a million transferred from animal to human, Due to CJD’s ability to transmit Creutzfeldt-Jacob Disease, here- who fall prey to it often do so within the now-infamous Mad Cow Disease through contact and in ways still not after known as CJD, was first identi- weeks, while others may last (bovine spongioform enceph- fully understood, cases are handled fied in 1920 by German neurologist 4-5 years, depending alopathy) being the with extreme care. The most recent Hans Gerhardt Creutzfeldt. Alfonse on severity and prime example. example is the Greenville Hospital Maria Jacob stumbled upon the the overall Chronic System, in South Carolina, which disease shortly after, and both par- health wasting increased its sterilization proce- ties were given dual credit. CJD can of the disease dures after a CJD case was thought come about in several ways, includ- person. and to have affected 11 other patients. ing the 10-15 percent of sufferers Mental Because of the rarity of the disease who have hereditary influences. effects (roughly 200 cases in the United While the most commonly affected may States per year), detecting it can be population are those 60-65 years old, include difficult and only finds certainty the disease can easily affect people paranoia, upon autopsy. Dr. Joseph Pepe, outside of this age range. depression, of the Catholic Medical Center in CJD is termed a prion disease, anxiety, psycho- Manchester, New Hampshire, says which is an overabundance or sis, and obsessive- “The risk of exposure is extremely buildup of prions in the brain tis- compulsive behav- low, but it’s not zero.” This came sue. Prion, pronounced pree-on, iors. after Pepe assigned a staffer to work is an acronym for proteinaceous With the prion overload, amy- scrapie with 13 possibly-affected patients at infectious particles. These proteins loids – insoluble fibrous protein remain in the Center. “They took it very well. I change the shape of surrounding aggregates from inappropriately question don’t believe that people were angry proteins. This accumulation of pri- folded versions of proteins and regarding transmis- or extremely emotionally upset. We ons create tiny holes in brain matter, polypeptides naturally present in sion, as well. Aside from did the best job we could in trying which lead to many physical and the body – are formed, which actu- the myriad transmissions and to alleviate the fear.” While his words mental problems. Changes in gait, ally do the damage to the tissue, hereditary possibilities, there is the offer some modicum of comfort, posture, motor control, speech, and creating a sponge-like brain matter. acquisition of CJD through gene abstinence from questionable meat seizures top the list physically. The Other prion diseases affect the brain mutation, which may or may not products, unsterile hospitals, and “myoclonic jerk,” the involuntary, in the same fashion. These include have hereditary influences. cannibalism is advised. erratic movement of the body or a Gerstmann-Straussler-Scheinker These misfolded protein mol- part of the body, is often seen and is syndrome (GSS), fatal familial ecules exponentially grow until there Photo by Earlane Cox

10 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky thing happened when psychiatrists started prescribing antidepressants to children and teenagers. A significant percentage had manic or hypomanic reactions to the antidepressants.” Whitaker was invited to speak at the National Alliance for the Mentally Ill (NAMI) for their 2013 annual con- vention in June. Furthermore, the relapse rate for antidepressant-treated patients is much higher (44.6 percent) than it is for placebo-treated patients (24.7 per- cent), per a meta-analysis of 46 stud- ies by Andrews et al. in 2011. This analysis also found that more potent antidepressants caused an increased risk of relapse on drug continuation. A 2010 Minnesota evaluation of Antidepressants Cause patient care in the state found that only 4.5 percent of more than 20,000 patients were in remission after 12 Depression months of treatment, indicating that they had become chronically afflicted with depression during, and probably as a result of, their treatment. SSRI antidepressants block the removal of serotonin from the synapses between neurons, which floods these synapses with sero- tonin. Many studies confirm that the brain attempts to compensate for the impact of SSRIs by reducing the By Angela S. Hoover satory changes” in neurotransmitters researchers compared this to tardive as the brain resists the effects of the dyskinesia that is caused by antipsy- brain’s capacity to respond to sero- Antidepressants are the second drug, per Breggin. Dr. Breggin began chotic drugs, and dubbed the term tonin. This leads to a loss of serotonin most prescribed group of drugs in documenting antidepressant-induced tardive dysphoria (Dr. Breggin’s receptors that can reach as much as 60 percent. The blockade of sero- America. Yet more and more evi- clinical worsening and the underlying “compensatory changes”) to describe tonin reuptake causes a potentially dence emerges that they have little to physical causes. From 1999 onward, “an active process in which a depres- harmful adaptive response in the no effectiveness – even in the short several others in the research com- sive picture is caused by continued form of a persistent hypertrophy of term, that they worsen depression, munity have demonstrated the same administration of the antidepressant.” the reuptake mechanism (Wegerber that they cause detrimental changes results in their published research. They theorize that dendrite arboriza- et al. 1999). Multiple other studies in brain cell structure, and they pro- Researchers have noted for many tion, an increased branching growth show persistent biochemical changes duce serious withdrawal reactions years that chronic SSRI exposure of nerve cells, is the cause of tardive in the brain following exposure to that are sometimes life threatening. frequently makes people feel apa- dysphoria from chronic antidepres- SSRI antidepressants. Since the early 1990s, psychia- thetic or less engaged in their lives. sant exposure. Dr. Breggin has also been detail- trist Dr. Peter R. Breggin has been This apathy also includes cognitive The epidemic in mental health has ing direct toxic effects on the brain a vocal critic of Prozac and other and frontal lobe function losses, as been attributed to the adverse effects from prolonged SSRI use that causes SSRI (selective serotonin reuptake published in research by Hoehn- of psychiatric medications by many, emotional deterioration of patients inhibitor) treatments. Dr. Breggin Saric et al. 1990, Deakin et al. 2004 including investigative journalist through abnormal cell growth (neu- suggested there was little to no evi- and Barnhart et al. 2004. A review Robert Whitaker in his 2010 book, rogenesis) and decreased thalamic dence for the efficacy of Prozac, but of antidepressant literature in 2011 Anatomy of An Epidemic. Examining volume in children (tissue shrinkage there was considerable evidence that (El-Mallakh et al.) concluded that 50 years of scientific literature, from cell death). Thus far, Dr. Breggin the drug worsens depression and any initial improvements were often Whitaker concluded that although has been the only medical researcher causes severe abnormalities. These followed by treatment resistance some psychiatric medication may be to investigate toxic effects to the brain problems are largely due to “compen- and worsening depression. These effective in the short term for some people, these drugs increased the despite the fact that drug-induced likelihood that a person will become changes in brain cell structure and Yoga & Meditation chronically ill over the long term. number are always cited as reasons to not use illegal drugs. Classes for “The scientific literature shows that “Psychiatry has always been slow to many patients treated for a milder Beginners and problem will worsen in response to a respond to scientific evidence that its Experienced drug—say have a manic episode after treatments are harmful” and psychia- taking an antidepressant—and that try has a history of flouting science; Students Lexington’s longest can lead to a new and more severe therefore, the public must develop serving Yoga School its own resistance to taking antide- diagnosis like bipolar disorder,” NEW STUDENTS 322 West 2nd Street said Whitaker. He maintains this is pressant drugs, says Dr. Breggin. He SAVE 20% Lexington, KY 40507 the reason for the 35-fold increase recommends that patients judge their Call for Details 859-254-9529 between 1987 and 2007 of children mental healthcare provider in terms being classified as being disabled by of their empathy and support; if they mental disorders. “Once psychia- fail to show interest and prescribe trists started putting ‘hyperactive’ drugs during the first session, Breggin www.yogahealthcenter.org children on Ritalin, they started to advises patients to seek assistance see pre-pubertal children with manic elsewhere. a non-profi t organization established in 1981 symptoms,” said Whitaker. “Same

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 11 that have a wide range of applications in genetic testing, research, and forensics. Commonly made in the laboratory by solid-phase chemical synthesis, these small bits of nucleic acids can be manufactured with any user-specified sequence, and so are vital for artificial gene synthesis, poly- merase chain reaction (PCR), DNA sequencing, library construction and as molecular probes. In nature, oligo- nucleotides are usually found as small RNA molecules that function in the regulation of gene expression (i.e., microRNA), or are degradation inter- mediates derived from the breakdown of larger nucleic acid molecules. The search continues for the huntingtin protein that begins the breakdown process. By binding to Huntington’s the gene and destroying its instruc- tions to the healthy, unaffected cells, it could possibly stop the process, Disease especially if caught early. Dr. Don W. Clevelend, chair of the UC San Diego department of cellular and molecular medicine claims, “This finding (in lab rats) raises the prospect of a ‘hun- By Charles Sebastian, falling and poor movement; heart highest occurrence of Huntington’s tingtin holiday,’ which may allow for Staff Writer disease and pneumonia are common. remains a stark 700 per 100,000 clearance of disease-causing species Huntington’s is another of those dis- people afflicted. There is the tempta- that might take weeks of months to eases for which stem cell research has tion to think geography is the culprit, Huntington’s Disease, or reform. A single drug treatment could Huntington’s chorea, as it was for- given insight, though the ethical posi- without understanding the genetic ‘reset the disease clock’ and provide merly known, is a disease affecting tion of these procedures continues to and hereditary components. long-term benefits.” the nervous system. Victims eventu- be hotly debated. Charles Oscar Waters, in Robley Dr. Milton Wexler founded the ally lose motor control and develop Due to its inheritability, Dunglison’s Practice of Medicine Hereditary Disease Foundation in a myriad of possible psychiatric Huntington’s is often tested for in (1842), was the first to describe 1968, after experiencing Huntington’s problems. The disease most com- immediate family members of suf- Huntington’s, dubbing it “magrums.” in his family. Marjorie Guthrie, the monly appears in people 35-44 years ferers. Prenatal testing is becom- This was a form of the already-known widow of Woody Guthrie, had a old, but there are many cases of its ing more prevalent with increased “chorea,” a term used to describe major role in starting the Committee development in younger populations. medical awareness and advances in the jerky movements that came to Combat Huntington’s Disease, Autosomal dominant mutation is the testing procedures. According to with its development. It was George after her husband succumbed to the cause and happens when the hunting- the researchers Driver-Dunkley and Huntington; however, who more disease in the late 60s. The aforemen- tin gene is affected, producing and Caviness in their paper, “Huntington’s thoroughly examined and described tioned groups were the primary moti- replicating a dangerous misinstruc- Disease,” published in a 2007 the disease and it was he who noticed vators for awareness and connecting tion. issue of Neurology and Clinical the link between family members, research with the populace. Since that People are affected in slightly dif- Neuroscience, the malady affected who all presented with the same time many organizations and founda- ferent ways, though there are charac- 5-10 people per 100,000 worldwide. symptoms. tions have developed to eradicate this teristics that usually accompany every Ethnicity is a factor; as people com- In the June 21, 2012 issue of genetic time bomb. case: changes in mood and thinking; ing from Western European stock Neuron, an exciting new treat- poor balance and a change in walk- average 7 in 100,000, while those ment was described that may halt ing patterns; myoclonic (jerk-like) of Asian and African descent run and possibly reverse the effects of movements; and mental decline, with about 1 in 1 million. Contrast these Huntington’s. “Antisence oligonucle- dementia being the end result. 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12 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Disorder (OCD), where a fixation develops on objects. Sometimes this is a general fixation, where any and Hoarding though they have no intrinsic value all objects may be kept and stored, to the owner. Then there are those who fixate on a certain thing; books, for instance, are common items By Charles Sebastian, Staff Writer Charleses S Sebebasa tiana , StStafaff f WrWrititerrer By collected not necessarily for their value to the individual, but for the Unless you’ve been living in a cave obsession of storing them and hav- ing them available. Hoarding often the last six years, you’re familiar with occurs in people who have other psychological issues: depressions, the show Hoarders, which A&E finally anxiety disorders, and attention-def- icit hyperactivity disorder (ADHD), cancelled after 82 episodes. It was the top the list. The Diagnostic and Statistical most watched show on the channel for Manual (DSM), which is the go-to text for psychological disorders and years. The Learning Channel’s version, mental diseases, claims that an OCD diagnosis is the cause when 1) The Hoarding: Buried Alive, experienced hoarding is driven by fear of contam- ination or superstitious thoughts; 2) similar viewership. The hoarding behavior is unwanted or highly distressing; 3) The individ- ual shows no interest in the hoarded items; and 4) Excess acquisition is only present if there is a specific The obsession with reality televi- to hoard items can come from many ing the Great Depression was instru- obsession with a certain item. sion eludes many of us, but especial- sources, the most common is a mental in my own father becoming At the University of California- ly the fascination with people who prolonged feeling of doing without. a hoarder. This included frequenting San Francisco’s Department of keep items that most of us would This can originate in poverty, or in garage sales and acquiring thousands Psychological Nursing, assistant throw away in a heartbeat. “One times when there is a general fear of items that wound up buried at adjunct professor Monica Eckfield man’s meat is another’s poison,” as about not having those things neces- his television and radio shop on has noticed two types of hoarders. the saying goes. While the tendency sary to sustain life. Growing up dur- Old Vine Street. When he retired in “There are those ‘impulsive acquir- 1985, much to my mother’s chagrin, ers,’ those who obtain items for he brought it home to a huge garage personal interests and keep them. he had built for the express purpose Then there are the ‘obsessive worri- of storing these gems and delights. ers,’ those who feel they must hold While many who have endured on to items should the need arise hardship and doing without fall prey for them.” She has observed men to this form of overcompensation, fall into the previous category quite many do not. Therefore, periods often, and women into the latter. without cannot be the sole claim Getting help is simply a matter of for this bit of insanity. Those con- asking for it. Like so many mental cerned with eschatological aspects issues; however, one must get past of human behavior, meaning overt denial and realize there is a problem concern with the end of days, often first. • Genetic Hair Loss fall into the practice of hoarding, • Chemotherapy feeling certain they will need the • Alopecia many accumulations they spend so • • Cosmetic Hair Replacement much time gathering. Compulsive hoarding is often linked to Obsessive Compulsive 859.263.9811 Hair Institute offers several surgical and non-surgical hair l il restoration options, including Virtual Reality®, full and partial prostheses, hand-knotted wigs, and human hair extensions. Compulsive hoarding is often linked - Laser Light Hair Therapy - Full Cranial Vacuum Prostheses - Surgical Hair Restoration Options - Enhancements and Integrations to Obsessive Compulsive Disorder (OCD), where a fixation develops on 1795 Alysheba Way Suite 7101 Lexington, Kentucky 40509 objects. HAIR REPLACEMENT • HAIR RESTORATION • HAIR EXTENSIONS Professional • Confi dential • Meticulous AMERICAN HAIR LOSS www.hairinstitutelexington.com COUNCIL ®

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14 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky ing as a first-aider, our trainer told me the job means you can support your one key thing that I have never for- family. So you’re a good parent. You’re gotten. Never use the words, “Don’t good at helping other people. You are panic.” The word the listener hears a good yachtsman. You get the idea. is: PANIC! Instead you should say something like, “Keep calm.” Over the 4. Sleep. years, I’ve found that to be true, what- Problems often seem better after ever the situation. What we say affects a good night’s sleep. And if you can’t our mood so keep the words positive, sleep, try to fix some other perspec- whether to yourself or to others. How tive to the issue. How will this prob- many times a day do you tell yourself lem affect your life in five years or “I suck”? Maybe instead, you need even five months? Is it going to be to tell yourself that you need a little something you don’t even remember? help or, to paraphrase Edison, you’ve So why let it bother you now? found another way that doesn’t work so you’re closer to the solution! 5. Look for shades of 2. Smile. grey. I know, I know. When you’re in All too often when we’re faced with a bad mood, there is nothing worse a problem, we instantly see it as an Five Ways to Turn than someone else telling you to all-or-nothing situation. Look for the smile. But it works. Even faking a middle grounds that may hold the Negatives to Positives smile or a laugh can kick your brain solution. into positive mode. If you have time, And one bonus tip: Eliminate two watching a favorite comedy can also words from your vocabulary: can’t help. and should. All they do is make you By Fiona Young-Brown, it can be possible to take those daily feel bad about yourself and what Staff Writer annoyances – you know the ones, they niggle for no reason – and make 3. Remind yourself of you’re not doing. Focus instead on The song says, “You’ve got to them more bearable. While you can’t what you are good at. what you can do and what you want to do. accentuate the positive, eliminate the change the way you feel, sometimes If you’re having a bad day at work, There is no magic trick to make all negative.” But is it really that easy to you can change your outlook. The it can be easy to let those feelings spi- negatives disappear but with these turn a frown upside down? Obviously following tips might help: ral until you feel that you’re no good tips, you can at least make them more a case of clinical depression can’t at anything. Before that happens, bearable…and maybe even find be cured simply by thinking happy 1. Use positive words. focus on the things you are good at. something to smile about! thoughts and smiling. Nevertheless, Many years ago, when I was train- You’re having a bad day at work, but Are You Injured? Are You Disabled? WE CAN HELP • Auto Accident Injuries • Work Related Injuries/ SPENCER Workers’ Compensation • Motorcycle Accidents S • Nursing Home Neglect/Abuse L L GG • Tractor & Trailer Accidents • Social Security Disability • All Wrongful Death Cases • Long-Term Disability LAW GROUP • All Personal Injury Cases Insurance Claims • Immigration Hablamos FREE Español CONSULTATION Fee Deducted From Settlement Kelly P. Spencer & Associates 252-HELP (4357) • 1.800.980.0207 535 Wellington Way / 3rd Floor • www.kellyspencerlaw.com

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 15 Write down your goals and make sure they’re specific. Write them in the present tense like they’ve already been achieved Identify these individuals. What’s two requirements for success. Once in it for them? How can you cre- you program your mind for success, ate a win-win situation? What will you can make your dreams a reality. you have to offer them to get their To access The Unbreakable Laws cooperation? Single out the friends, of Self-Confidence: How to Tap family, acquaintances, and business the Infinite Potential Within train- associates that can help you on your ing program featured in this article, way to success. please visit: www.seminarsonde- mand.com. 6. Plan To Winckc: Make a list of everything you About the Author need to do and break down your Annette Racond, who is a Certified goals, obstacles, and the individuals Health Coach, has had her work pub- you need to contact. Once you have READY, SET… GOAL: everything written down, organize lished in The New York Times, The Miami Herald, Chicago Sun-Times the items in sequence and priority. and Newsday, along with numerous What do you need to do first? What other major publications. Six Steps to Effective Goal Setting is your top priority and what is least important? Setting your goals and putting your game plan on paper are By Annette Racond, Staff Writer your goal begins moving towards you, too. Choose the one goal that’s In his seminar - The Unbreakable most important to you whether it’s Laws of Self-Confidence: How to a health, financial, or career goal. Now Accepting New Patients! Tap the Infinite Potential Within - Think about this goal as you go Brian Tracy, among the world’s most through your day and you’ll feel sought-after seminar leaders, offers happy, empowered, and motivated. six steps to goal setting. What’s more, you can access the entire 3. Obstacle Course: seminar through www.seminarson- Figure out what obstacles you’ll MORGAN demand.com. So, follow the below need to overcome in order to achieve advice and put yourself on the map! your goals. What is standing in your Primary Care way? What is required to get you 1. Get To The Point: back on track and how can you avoid Decide exactly what you want to potential detours? Many experts esti- achieve in the various areas of your mate that 80 percent of the obstacles Pediatrics life. Make your goals crystal clear. standing in the way of your success What do you want in the area of self- are within you, while the remaining Internal Medicine improvement? Do you want to eat 20 percent are external. What is lack- healthier, run marathons, or com- ing within you that is preventing you Women’s Care pete in triathlons? What are your from achieving your dreams? Weight Loss goals for business and career? Do Same Day you want to start your own compa- 4. Learn To Earn: ny? What do you want to accomplish What one skill would you need Appointments in your personal life? Deciding what to master to help you achieve your you want is a critical first step. You major goal? It might be a skill you’re may initially want to pick one major uncomfortable performing or one (859) 278-0805 goal to focus on. you don’t particularly like. Yet learn- 1725 Harrodsburg Rd ing that one skill could put you on 2. Write Away: the map. You might be only one skill Suite 210 Write down your goals and make away from achieving your goals, so Lexington, KY 40504 sure they’re specific. Write them in don’t let that hold you back. morganprimarycare.com the present tense like they’ve already been achieved. For example, I’ve 5. People Power: Hours: lost 15 pounds. It’s important to set What people could help you most Mon-Fri: 9am-5pm deadlines, so it’s not open-ended. in accomplishing your goals and how As you inch towards your goal, could you secure their cooperation? Laura Hummel, MD John Morgan, MD

16 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky in the Consoles Could Be Used To Smart Phones & Gaming Monitor Dementia Patients Philip Moore of Birmingham City University, UK, and colleagues in the UK, Japan and Spain have studied how motion sensors in smart phones and gaming consoles Blood Test For Depression like Microsoft’s Kinect, can non- invasively monitor dementia patients in their homes to gauge agitation and aggression. Dementia diagnoses, such as Alzheimer’s, inevitably lead to an MDDScore, launched by Ridge agitated and aggressive phase of the Diagnostics, is the first ever blood test Clock Genes Linked To illness that causes many problems for depression that screens biological for the patient and others. Newly indicators for depression, such as Depression diagnosed dementia patients could inflammation and neurochemicals; continue to live independently with such although Ridge Diagnostics will monitoring devices that can monitor not divulge which neurochemicals their movement’s and voice patterns for MDDScore tests for. It will provide a signs of the disease’s progression. The Malfunctioning circadian rhythms score that suggests how likely it is that researchers theorize that such devices seem to be an underlying cause in the patient has depression. Studies could distinguish between everyday patients with major depressive disorder compare the MDDScore to be as movements and sounds and otherwise (MDD), per research published in accurate at making a diagnosis as a uncharacteristic violent movements Proceeding of the National Academy rigorous evaluation. The test will soon and shouting. Computer scientists of Sciences in May. MDD sufferers had be available with a doctor’s order. are helping the researchers develop already been known to have disrupted software and non-invasive sensor sleep and circadian cycles, but the exact technologies that can be implemented mechanism as to why was not clear. This in mobile systems and the camera and research showed a disrupted expression microphones of gaming consoles. of major clock genes in autopsied MDD patients, as compared to control individuals. “It’s as if they were living in Trial To Test Alzheimer’s s a different time zone than the one they Prevention died in,” said senior author Jun Li of the Study: A Subset of University of Michigan. “We think the depressed individuals are more likely to Children May Have Been be out-of-sync with the regular wake- M sleep timing. Our data also suggests that Misdiagnosed With Autism The first clinical trials to test if their daily cycles are not only shifted, drug treatments before dementia but also disrupted. That is, they sleep can prevent Alzheimer’s began in by the wrong clock, and when they do September. The trial will test two new sleep, the quality (of sleep) could be drug treatments. One is an antibody different from normal sleep. If we can Children with a genetic disorder called gantenerumab that binds to all understand how depression and poor called 22q11.2 deletion syndrome have forms of aggregated amyloid beta and sleep reinforce each other, we may be probably been misdiagnosed with autism helps remove them from the brain. The able to find better treatment, perhaps by because some of the social impairments other is a monoclonal antibody known finding better ways to break the cycle.” and developmental delay are similar, as solanezumab that binds to soluble per researchers with the UC Davis MIND Institute. The study found that monomeric forms of amyloid-beta after 20-50% of 22.q11.2 deletion syndrome they are produced, allowing them to be children were diagnosed with autisms cleared before they clump together to did not meet the strict diagnostic criteria form beta-amyloid plaques. for autism. This is important because treatments designed for children with autism, such as discrete-trial training methods, can exacerbate anxiety in 22q11.2 deletion syndrome children.

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 17 El Salvador has banned the use of since March 2011. June 10 of this year, FOOD BITES glyphosate (RoundUp) and 52 other a three-judge panel at the Court of agriculture chemicals this September. Appeals for the Federal Circuit ruled The ban was spurred by a mysterious the plaintiffs could not bring a lawsuit chronic kidney disease (CKD) that has to protect themselves from Monsanto killed thousands agricultural laborers because Monsanto had made promises throughout Central America’s Pacific that it would stop its long-standing Coast, as well as those in Sri Lanka practice of suing growers whose and India during the past two years. crops inadvertently contain traces of Grocery – stopped using it in school lunches. Now, four more have placed orders Scientists have not yet definitively Monsanto biotech genes due to wind Manufacturers for the upcoming school year: Illinois, identified the cause, although evidence contamination with patent infringe- Association Sued Pennsylvania, Texas and Virginia (but points to toxic heavy metals contained ment. Monsanto has sued and won not in Harrisonburg city). Using LFTB in pesticides. Soil and water samples at least 100 cases against farmers for Over GMO Labeling & reduces costs by about 3 percent, from one heavily CKD-affected El patent infringement. The 73 plaintiffs, Money Fraud which although may initially seem Salvadorian village showed high levels comprised of American organic and paltry, it adds up when multiplied of cadmium and arsenic; and all 42 conventional family farmers, seed busi- by 31 million school children each villagers with CKD reported having nesses and public advocacy groups, Moms For Labeling, a non-profit applied pesticides without protective including the Cornucopia Institute organization, filed a lawsuit against day. Reports surfaced of ammonium equipment. Two chemicals in par- petitioned the U.S. Supreme Court hyrdroxide’s health risks and the secre- the GMA in September for illegally cy within the beef manufacturing and ticular – 2,4-D and glyphosate – have to reinstate their right to seek full concealing the identity of campaign fast food restaurant industries in 2012. become of particular interest to inves- protection from Monsanto’s “invalid donations in an effort to block com- Yet ammonium hydroxide isn’t a new tigators in El Salvador and Sri Lanka. transgenic seed patents.” Jim Gerritsen, pulsory GMO labeling in Washington addition to food products; it’s included Several long-term studies around the an organic seed farmer in Maine and state. They claim the GMA is launder- in puddings, cheeses, gelatins and cer- world have proven glyphosate causes one of the plaintiffs had this to say: ing money by making donations to tain condiments. Since 1974, the FDA liver and kidney toxicity, failure and “We have been farming for almost 40 the anti-GMO labeling advertising classifies is as a GRAS – Generally premature death. years and we have never wanted any- campaign on behalf of the food indus- Recognized As Safe – substance. thing to do with Monsanto. We believe try giants that it represents. The GMA Although, what the FDA considers The Monsanto we have the right to farm and grow has been the chief donor funding the GRAS is often at odds with scientific good food the way we choose. We “No on Initiative 552” advertising literature and consumers’ viewpoints Protection Act don’t think it’s fair that Monsanto can campaign. Washington will vote on and wishes. Whether or not ammonia- trespass onto our farm, contaminate the Initiative this month. Connecticut soaked LFTB is harmful, or if it’s a The Monsanto Protection Act and ruin our crops and then sue us for passed a compromise deal earlier this matter of disgust over calling cartilage expired in September and will not infringing on their patent rights. We year; the state will enact legislation and fat “meat” that has been tradition- return. This provision protected don’t want one penny from Monsanto. if four other states pass GMO label- ally considered pet food grade, it boils Monsanto and other biotech firms American farmers deserve their day ing laws. State compulsory labeling down to information and choice just from being sued for harmful damages in Court so we can prove to the world laws need to be passed because if the like GMO foods for most consum- and denied the courts or regulatory Monsanto’s genetically engineered federal government enacts a voluntary ers. “This issue is really about labeling bodies from halting GMO produc- patents are invalid and that farmers program there be no oversight and more than it is about nutrition,” said tion and sale even if it was found to be deserve protection from Monsanto’s states will be prevented from enacting Mark Bishop, vice president of policy harmful for human consumption. It abuse.” Monsanto’s GE seed technol- tougher, compulsory labeling laws. had been tacked onto a government ogy has created a rampant rise in super for the Healthy Schools Campaign. “Whether in our homes or in our funding measure and lasted for three weeds with more than 49% of U.S. Pink Slime Meat Back schools, we want to make informed months. farmers reporting glyphosate-resistant in School Lunches choices. We want to know what’s in weeds on their farms in 2012 com- our food.” The fact that LFTB filler’s Monsanto Ruling pared to 34% in 2011. There have also nutritional aspects are not known as been problems with Monsanto’s GE The controversial ammonia-washed Challenged at the insecticide-corn causing super insects meat scrap filler referred to as lean compared to beef leaves parents and U.S. Supreme Court in resistant to Bt toxin in the corn.” other consumers unsettled. finely textured beef (LFTB) will be in school lunches in 7 states next September year in order to cut costs. After the El Salvado Bans controversy surrounding pink slime Monsanto RoundUp, The “Organic Seed Growers and this time last year, all but three states Trade Association (OSGATA) et al. – Iowa, Nebraska and South Dakota Other Chemicals v. Monsanto” case has been ongoing Cardinal Hill “Cardinal Hill Home Care is an extension of the quality care offered by Cardinal Hill Rehabilitation Hospital” Serving Fayette, Franklin, Jessamine, Madison and Woodford Counties (859) 367-7148

18 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Government Shutdown: How It Has Affected Veterans Healthcare By Thomas W. Miller Ph.D. the time frame for benefits to In Honor of our Veterans ABPP, Staff Writer returning veterans. The VA claims system has continued to face criti- While the recent Congressional cism in the past, partly due to its logjam realized through a “govern- inefficiency and delays in processing ment shutdown” did not directly the paperwork related to ratings and affect healthcare delivery to vet- eligibility of veterans for the ben- erans currently being serve by the efits that they have earned. Department of Veterans Affairs, The good news is that the those waiting for eligibility ratings Veterans Health Administration have gained no speed in seeing has already received funds for their ratings realized. While veter- 2014. The Department of Veterans ans are somewhat protected from Affairs (VA) hospitals and medi- the impact of the government shut- cal clinics were able to stay open MOVE IN SPECIAL ting down, veterans shouldn’t break for inpatient and outpatient care services. Additionally, GI Bill edu- out the roses and Champagne. Savings of up to $6180 When the government decides cation benefits, survivor’s benefits New residents only, select one bedroom apartments. to shutdown, it could further the and pensions for beneficiaries will not be affected by the government Must move in by November 30, 2013. time it would take to decrease the present veterans’ backlog of dis- shutdown. Life insurance, home loan applications and Certificates – Since 1985 – ability claims. While medical ben- of Eligibility (COE) were being efits given to veterans by the VAs were not affected, the VA’s regional processed. offices had limited resources to However, the National Institute process claims and make a variety of Health (NIH) isn’t faring as well of decisions. There are about as the VA. NIH reported that that 434,681 pension and compensa- 73 percent of its staff had been fur- tion claims in the VA that must be loughed leaving patients unable to 6900 MMason HHe dadlley y RRo dad •• LLexinggton,, K KYY 4040505044 processed. Additionally, another get the health care treatments they 69 need. The shutdown turned away 8 8 8555999-222777888-999000888000 736,666 claims are awaiting a some 200 patients receiving experi- decision (Department of Veterans www.LafayetteLexington.com Affairs, 2013). Although the agency mental treatments for their cancer ©2013 Five Star Quality Care, Inc. introduced a new system to speed related medical conditions. Some 30 Pet Friendly of these patients were children diag- up processing claims, a government Offering Independent Living, Personal Care, Skilled Nursing Care shutdown takes away from the nosed with end stage cancer. progress made in the VA to shorten

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 19 receive pay for the furlough period. Congress did so after the 1995 and 1996 shutdowns, but may not this time, because of the demonization of federal workers by some lawmak- ers. The uncertainty of being able to meet expenses, paying bills and providing for families can create stress and concern in these families. ONLY Anxiety related to the shutdown may have a profound influence on not only the workforce who are fur- loughed, but also the poor, home- $30/month less, less educated, elderly and the infirm because uncertainty in our lives can always be a stressor. According to the American Psychological Association (2013), the stress of uncertainty that may be experienced by the most vulner- able in our society can be a reaction to short-lived situations like the pressures some may realize during the government shutdown. Stress becomes dangerous when it inter- feres with one’s ability to live a normal life over an extended period of time. Those experiencing such stressors may feel tired, unable to concentrate, sleep, eat nutritionally or become irritable at first. With unresolved conflict, this may lead to more serious anxiety disorders and clinical depression. Stress can also damage one’s physical health and well-being. The APA web site offers several suggestions for the reader in Psychological dealing with stress during economic uncertainly that may be helpful in Aspects related coping with the stresses of govern- to Government ment shutdown. www.apa.org/help- center/economic-stress.aspx Shutdown There may also be mental health Sources & Resources: related aspects when politics lead to American Psychological Association a government shutdown. According (2013) Tips for Managing stress dur- to the Office of Personnel ing economic uncertainty. Retrievable Management (OPM), approximate- at: http://www.apa.org/helpcenter/ ly 1.3 million federal employees economic-stress.aspx NO contract! will be kept on the job - so called “excepted” employees - while about Department of Veterans Affairs 800,000 federal employees will be (2013) Veterans healthcare during A highly personalized approach to health and sent home for the duration of the Government Shutdown. Retrievable government shutdown. Those who at: http://www.va.gov/ wellness. Fun and invigorating group fi tness for are asked to keep working during a shutdown will be paid once a Office of Personnel Management ALL fi tness levels! budget deal to resume government (OPM), Current Status of the OPM. operations is passed. For those who Retrievable at: http://www.opm.gov/ are not “excepted” and are not work- policy-data-oversight/snow-dismissal- CLASSES INCLUDE: ing during the shutdown, Congress procedures/current-status/ will determine whether they Spinning • Zumba • Pilates Yoga • PiYo • Boot Camp We offer a variety of specialty programs: While medical benefits given to veterans by Prenatal Yoga, Mom+Baby Yoga, Pilates for Athletes the VAs were not affected, the VA’s regional www.facebook.com/HealthwoRx offices had limited resources to process Conveniently located at the Lexington Green Mall claims and make a variety of decisions. Stop by or call 859-260-4354 for more information

20 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Anger night a week and this irritated her. approaches Stan. “Honey, there is express anger, or we can suppress Other than that, he was always atten- something I would like to talk with it and store it in our body and hang tive to her, helped with the kids, and you about. I know you have to work onto it for years. Sometimes it is Doesn’t was home every night. Yet she kept hard for your job, but lately I have felt triggered much later and we erupt kind of disregarded. I believe you are forcefully in situations where only hearing herself replaying the theme of his being a jerk. It came to a head one spending too much time with your a mild anger response is called for. Have To Be night after he had come home from work and not enough time with me Therefore, it is important to try to one of his evenings with the guys. recognize when you are angry, what and the kids. How can we work this Unhealthy Beatrice attacked him verbally, calling out? ” you are angry about, and try to deal Stan says he realizes things have with the anger in a healthy way. him names. Finally, after discussing her situation with a friend, Beatrice gotten out of balance. He asks his wrote a letter to her husband tell- wife to accompany him on the golf About the Author By Jean Jeffers, Staff Writer ing him of her concern. They talked outings on weekends, agrees his assis- Jean is an RN with an MSN from about it, coming to a compromise. tant can do some of the travel and University of Cincinnati. She writes free- Shelly chips a tooth after having promises to be home for dinner each lance and is recently published in Living $600 worth of work done on her What do all of these women night. Well -50Plus, has articles in Diabetes teeth. She bombards her husband have in common? They have been Linda is relieved to hear this plan Health and Infinity Magazine, and has with her displeasure, and is late pick- angry, have dealt with their anger and feels better. Her headaches begin a web site discussing medical issues on ing up the kids from school. Finally, in unhealthy ways, then have found easing and her neck pain diminishes. The Examiner, an online publication. she calls the dentist, makes an more constructive expressions of Linda has used a healthy expres- She lives in Cincinnati. appointment, and asks for a financial their anger. sion of anger. plan. Anger may be a tough emotion to handle. It requires practice. Too often Jim is angry at a boss who fired After a breakup with her husband in the heat of the moment, words are him. He tends to take it out on and pending divorce, Joyce develops expressed that are best left unsaid, or, his wife of twelve years. There colitis and has the time and expense as the vignettes indicate, other ways is a rocky three months, after of doctoring. She finally admits she of handling anger play out. Anger can which the couple go for mar- is angry and makes an appointment leave us with ill health or weaken our riage counseling and Jim’s with her counselor. immune system. anger surfaces. He comes Judy Ford, in her book, “Getting to see the real reason for While hanging a picture frame with Over Getting Mad,” says there are his anger and he decides to a hammer, Alice smashes her finger. two sides to anger. “On the one side, work on being forgiving of When her husband gets home from anger is a nearly necessary emo- his former boss. He and his playing golf, she’s fuming and lets him tion, which when used productively, wife take an extended vaca- have it, not making up until dinner. allows us to develop ourselves and tion and are okay with each our relationships. On the other side, other once again. Helen stays up too late watching a when anger covers up pain and fear, it Jim has found the source of his movie, is late for work the next day, clogs our energy, dilutes our joy, and anger and a way to let it go. and bungles a job. Her boss berates keeps us off track, going in circles, her, and angry at herself, she gets a making no headway. Instead of help- Ed Gutfreund, a counselor prac- headache and goes home early. The ing us, anger becomes self-defeating.” ticing in the Cincinnati, Ohio area, next morning she exercises before Becoming aware of our anger, and has this to say about anger: “Anger going to work. recognizing it, is a giant first step is a problem when we do not have toward being free. adequate awareness of our feelings. After some trepidation, Laura asks When we recognize and express the for a raise from her boss who says Linda’s anger has been building anger appropriately, there is a ‘loosen- maybe next year. She feels miffed as toward her husband for weeks. His ing of the physical tension’ and ‘relax- she puts it, turns in a report late, and late night working, his business travel, ation of the self-protective system’ takes a sick day when she is not ill. and his every week-end golf games (fight or flight) associated with the Soon, she lets go of the anger and gets with work buddies have become too feeling. We feel better. “ back to a satisfactory performance. much. Adds Gutfreund: “Anger may be Linda hinted at her displeasure but healthy. It is there to inform us that Beatrice repeatedly says to herself nothing changed. Finally she decides something is irritating or dangerous. that her husband is a jerk. He had to have a talk with her husband. One It is what we do with the anger that been going out with his buddies one evening after the kids are in bed, she matters.” He goes on to say, we can DO YOUR EARS RING? We go beyond hearing aids. Have you been told there is nothing you can do? There is! Call for more info (859) 554-5384 Dr. Ann Rhoten, Audiologist 1517 Nicholasville Rd. #202 Lexington, KY 40503 www.kytinnitustreatment.com [email protected]

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22 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Everything Is Now A Mental Disorder Per The DSM-5 By Angela S. Hoover Psychology. Psychiatrists resigned the DSM’s inattention to the context maceutical companies and research. from the revision working groups to in which symptoms occur can medi- “The DSM evolved as a language of The first Diagnostic and Statistical protest against various criteria. One, calize normal experiences. communication between clinicians Manual of Mental Disorders (DSM) emeritus professor of psychiatry at Frances and Spitzer warn that and researchers,” says psychiatrist was published by the American the University of British Columbia the DSM-5 will create more mental David Goldbloom, current chair of Psychiatric Association (APA) in John Livesley, resigned last summer patients because it makes it easier to the Mental Health Commission of 1952. It listed 106 disorders (then from the Personality and Personality qualify patients as having a mental Canada. Frances points out that even called “reactions”). The 1994 DSM-4 Disorders Work Group of the DSM-5 illness. Already, it is common for modest changes in diagnostic criteri included 365 diagnoses. Several because he so appalled by the vague- patients to receive medication rather can lead to outbreaks of mental illness books have been written by journal- ness, inconsistency and “stunning than concerted counsel from busy because of the power and ingenuity ists and mental health professionals disregard for evidence” that character- doctors and psychiatrists. This is of pharmaceutical marketing. As an during the past 20 years detailing the ized the process of revising diagnoses precisely why loosening diagnostic example, he cites the incident rates lack of science behind the DSM, the of personality. “Alas,” he said, “the criteria is so problematic. “Psychiatry of attention deficit disorder having over-diagnosing of psychiatric disor- DSM is influenced by a large number wants to be just like the rest of medi- tripled in the United States ever since ders, and the pathologizing of normal of factors besides scientific evidence.” cine, and a lot of practitioners have a small amendment was made in the behaviors. The latest edition, the Thomas Insel, director of the stopped listening to people,” said Joel DSM-4. Frances argues it is naïve to DSM-5, was published in May 2013 National Institute of Mental Health Paris, chair of McGill University’s presume that pharmaceutical compa- and has received the harshest criti- (NIMH) stated that the DSM’s department of psychiatry and author nies will not make a meal out of new cism of all DSMs. diagnostic categories lack validity, of An Intelligent Clinician’s Guide semantics. Eli Lilly has already begun “I will not buy DSM-5. I will and that “NIMH will be re-orienting to the DSM-5. To Paris, the biggest clinical trials of its antidepressant not use it. I will not teach it,” said its research away from DSM cat- flaw of the DSM-5 is its ideology that Cymbalta for “bereavement-related psychiatrist Patrick Landman, of egories.” Psychiatrist Allen Frances, mental illness is solely neurobiologi- depression” thanks to the DSM-5 Université de Paris VII, in Psychology the former chair of the DSM-4 task cal and psychosocial factors are not now labeling mourning as Somatic Today, where several professionals force and professor emeritus at Duke important. “This is the position that Symptom Disorder. The enmesh- have voiced their fierce opposition University, advises against the use or has taken over academic and clinical ment of the drug companies’ agendas in blogs. Petitions were signed by teaching of the new diagnostic manu- psychiatry over recent decades, and it and industry-funded experts in psy- thousands of mental health practi- al. Frances calls the DSM-5 “a travesty has led to a serious over-prescription chiatry has been well documented tioners and boycotts are underway of careless suggestions that will likely of medications,” per Paris. by journalists and psychiatrists over in North America and Europe. Open turn our current diagnostic inflation But it’s not just the “looseness” the past several years. However, with letters to the APA were written by into hyperinflation.” Psychiatrist of criteria that can lead to mis- and the DSM-5, this conflict of interest the British Psychological Society and Robert Spitzer, former chair of the over-diagnosing of disorders; it’s also is even more blatant. It was reported the American Society for Humanistic DSM-3 task force is concerned that the conflict of interest with phar- that “69 percent of the DSM-5 task

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 23 force members report having ties to lions of anxious new “patients”. One the pharmaceutical industry” in the only needs to have one of four symp- We have what no other e have what no other journal PLOS Medicine in 2012. toms, and “excessively” worry about at W It’s long overdue for patients to least two areas of life. Worried about reconsider accepting diagnoses and your job and finances as your bank homecare company has... homecare company has prescriptions without hesitation when account nears zero? You’ve got GAD. the director of NIMH, two former chairs of DSM task forces, and a large Behavioral Addictions = contingency of the mental health pro- Anything we like to do a lot fessionals are pointing out the pseu- The DSM-5 creates a slippery slope doscience of the DSM and the influ- with this concept that can easily make ence of the pharmaceutical industry. a mental disorder of everything we Following are some disturbing additions or changes found in the like to do a lot. DSM-5 per Frances. Binge Eating Disorder = Disruptive Mood Excessive eating 12 times in 3 months Dysregulation Formerly known as gluttony, now Disorder = over eating in 22.5 out of 270 meals is Temper tampers in children a psychiatric disorder. The good side of this is it replaces Our Peopler People diagnosing normal childhood behav- Drug Addiction = ior as bipolar disorder. Bipolar disor- First time substance abusers Ou der, mood swings between depres- Despite the very different treat- sion and excitability, skyrocketed ment needs for first time abusers and as a childhood disorder by 40-fold hardcore addicts, both will be lumped between 1994 and 2003. together by definition. This should The quality of life you enjoy depends on the satisfy insurance criteria during Major Depressive admission to treatment centers. quality of care your receive. Our caregivers Disorder = Adult Attention go beyond caring for patients to Grief and mourning Normal grief that is an expectable Deficit Disorder = ...caring about them. and necessary reaction to death will No longer only for children now be pathologized, medicalized Maybe this will legitimize the ● RNs & LPNs ● Therapists and trivialized as it is now included in already large illegal secondary mar- major depressive disorder. ket in diverted prescription drugs. ● Home Health Aides (Physical, Speech ADHD in both children and adults ● Homemakers & Occupational) Somatic Symptom has already been widely criticized as being over-diagnosed. New York Disorder = psychiatrist Norman Sussman believes Medicare/Medicaid/Commercial Insurance/Private Pay Worrying about your diagnosed psychiatrists are conspiring with phar- Joint Commission accredited medical condition maceutical companies to sell more Medically diagnosed patients who ADHD drugs. No matter when you call you will speak display “excessive and disproportion- ate thoughts, feelings and behaviors” Autism = with an experienced associate who can in relation to an illness clearly have a Not the epidemic we were sold, psychiatric problem, per the DSM-5. after all help you with all your home care needs. If chronic pain causes you to fret, your Changes in the definition of autism For more information call: physician can deem you are being will mean lowered rates: 10 percent unreasonable and declare you disor- per the DSM-5 work group, or 50 dered. This new disorder could affect percent per outside research groups. 15 percent of cancer patients and 25 Autism advocates fear a disruption in percent of chronic pain patients. needed school services. There are no drugs that specifically treat autism or Saint Joseph-ANC-ANC Minor Neurocognitive Asperger’s disorder; however, other Home Ca Disorder = drugs are often prescribed to address Home Carere The forgetfulness of old age the symptoms of mood and anxiety. This misdiagnosis of normal human aging will create a large false Post-Traumatic Stress positive population of people who are Disorder = not at special risk for dementia. 859-277-5111 More misdiagnosis The existing problems with diag- Generalized Anxiety nosing PTSD in forensic settings can 2464 fortune drive,suite 110 Disorder = be further compounded, per Frances. lexington, ky 40509 Everyday worries in a bad economy www.saintjosephanchomecare.com Small changes to the already fuzzy boundary between GAD and the worries of everyday life can create mil- Proudly serving Central Kentucky since 1985

24 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky a higher-than-normal instance in women in the lower social-economic Postpartum situation, Malek said. “We know that in the somewhat lower social-economic situations, postpartum depression tends to be depression: higher, but it can affect all income levels,” he said. Signs of postpartum depression include long crying spells, mood Don’t Try to Hide It swings, anxiety, sadness, irritability, decreased concentration and trouble sleeping, according to mayoclinic. com. “The most common sign is the crying spells,” Malek said. “They will have long crying spells, irritability, and it can be more severe as in the detachment from the child or the family.” Malek said there are treatments that can help a new mom, and it’s important that women know that help is out there. “For those that can afford it, cogni- tive therapy helps,” Malek said. “Most of the time, they’re going to be placed on antidepressant medication.” Malek said there are several keys to recovery, and proper treatment usu- ally takes about six months. “If left to resolve on its own, it can take up to a year to go away,” Malek said. “We know that with medica- tion, we need to treat for about six months, otherwise, the relapse rates are higher.” Most importantly, a new mom suf- By Clint Moore, Staff Writer birth, according to Dr. Sherif Malek, “You’ll see these women, and fering from postpartum depression an OBGYN at Saint Joseph Hospital they’ll come in and they’re smiling needs a solid support system in place. The pending birth of a baby can in Mount Sterling. and everything, but when you look at “The other thing that really helps set off powerful emotions, ranging “I don’t know that they’re ashamed them, you can tell that something is is for (the mom) to have a really good from excitement and joy to fear for a or embarrassed,” he said. “Sometimes not right, and you start asking them support network; people like family mother. But oftentimes, it can result I think that they don’t know what it question, and really, it’s depression or friends who can help them out, in something unexpected — postpar- is, and I think it’s supposed to be a and they kind of mask it,” he said. especially in new moms,” Malek said. tum depression. joyful and happy time, and they don’t Postpartum depression can affect “That’s a big plus for them.” According to mayoclinic.com, feel like that. It’s more of why do I feel just about every mom, but there is many new moms experience a wide this way when I should feel this way?” range of emotions following child The exact cause of postpartum birth. But some new moms can fall depression remains a mystery in the into a deep, long-lasting postpartum medical community, but in most depression. cases there are some telltale risk fac- Postpartum depression isn’t a char- tors. Those include hormonal factors, acter flaw or a weakness. Sometimes and family history. it’s simply a complication of giving “One is if they had it in a previ- ous pregnancy. So if they’ve had it previously, they’re at risk,” Malek Postpartum depression isn’t a said. “Secondly, if they’ve had any Chiropractic depression prior to the pregnancy or character flaw or a weakness. during the pregnancy, then they’re Pain and Injury Center much more likely to have postpartum Sometimes it’s simply a depression. We’re not sure what it is; Pain relief now! we’re not sure if it’s exactly hormone; we think that’s what it is, or at least Health for a lifetime. it’s part of it, but it’s not the only fac- complication of giving birth, Chiropractic Care, Nutritional tor that goes into it.” Counseling, Corrective Exercise Postpartum depression also goes according to Dr. Sherif Malek, an and Spinal Posture Screenings by several other names, including Dr. Rob Kennedy B.S., D.C. postpartum blues and the smiling OBGYN at Saint Joseph Hospital 859-275-1962 blues. 340 Legion Rd., Suite #2 Often times, Malek said, women in Mount Sterling. Lexington, KY 40504 attempt to hide it by putting a smile on their face, but their eyes and body www.cpiclexington.net language tell a different story.

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 25 Keep It five tips for staying up and running positive, so look on the bright side. tooth. Use garlic, turmeric, oregano Change your outlook; take yoga; and ginger when cooking for their this winter. start meditating; spend quality time flu-fighting properties. Don’t forget Simple: 1. Hands Up: with friends and family; or do what- to drink plenty of water – not only It’s no surprise that washing your ever it takes to calm your mind. when you feel like you’re getting sick hands is one of the best ways to but make it a daily habit. Feel Good Tips endure cold and flu season. After 3. Field of Dreams: applying soap, run your hands under Sleep has been making headlines, 5. Hop. Skip. Jump: for Cold and Flu warm water for 20 seconds or sing and the importance of getting qual- Whatever you choose to do, get “Happy Birthday” two times. In ity sleep can positively impact your moving. Exercise can be enjoyable Season addition, it’s important to clean areas life on many fronts. Studies have if you find out what works for you. and items such as light switches; shown that individuals who sleep Running a 5K might work for some remote controls; door knobs; and less than seven hours a night are people, yet other individuals prefer By Annette Racond, Staff Writer keyboards. Carry your own pen more susceptible to getting sick than breaking up their exercise regimen when filling out forms in public people who are getting their ZZZ’s. into 15-minute increments. Once Minimizing your chances of places. It’s also a good idea to steer For starters, skip the evening news your body gets into the exercise getting sick during cold and flu clear of eating chips and other good- (which isn’t conducive to sleep any- groove, you’ll actually start craving season doesn’t have to be costly or ies from platters and bowls at par- way) and go to bed an hour earlier. movement. Take the stairs; walk complicated. It’s important to be ties. Good habits don’t have to be Start winding down an hour before through the mall; hike in the park; mindful and use good judgment. complicated or costly. So, wash up, bedtime, so you’re calmer and more train for a race; or take an aerobics Jodi Chmielewski, owner of Bikram sanitize areas conducive to germs, relaxed by the time you hit the pil- class. You just might have fun in the Hot Yoga Lexington, is convinced and steer clear of people suffering low. process! of the importance of yoga in staying from the cold or flu! healthy. “Yoga and meditation are 4. Bite Right: integral for anyone who wants a life 2. Stress Less: Not only will you that’s in balance. You’ll gain mental An abundance of stress over an look better if you eat clarity and focus. Such practices extended period of time can impact right, but you’ll can transform your mind and body, almost every aspect of your life, also feel better. Try giving you a more positive outlook including jobs, relationships, and eating fruits and on life from the inside out. As a your lust for life. It can also make vegetables in a vari- result, you’re more likely to stay you physically sick. Studies have ety of colors to get an healthy during cold and flu season.” shown that people who are extreme- abundance of nutrients Although many of the below practic- ly stressed are more likely to get sick to boost your immune es may sound simple at first glance, when exposed to a cold or flu than system. Eliminate or mini- most of us could use a refresher someone who isn’t overstressed. mize sugar. Oranges, berries, course every now and then. Here are There’s no downside to being and apples can satisfy your sweet Senior Retirement Community Rose Mary C. Brooks Place Rose Mary C. Brooks Place We’re Not Almost Home. We are Home. Assisted Living Now Renting The Cottages Studio and One Bedroom Buy now and choose Apartments your options! Schedule Your Free Tour Today! Gracious Independent & Assisted Retirement Living Conveniently located on the Bypass in Winchester. Only minutes from Hamburg with easy access to Interstates 64 and 75. For more information contact Linda Winburn at 859-737-6406 www.brooksplace.org

26 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky events ing, skilled relaxation, Biofeedback, body November 12 sion. Skill set: Ayurvedic mind body typ- scan, guided imagery, journaling, self Health Chats about Diabetes massage, mindfulness meditation, and 6:15-7:30, UK Polk Dalton Clinic, 217 mindful gentle yoga. John A. Patterson MD, MSPH, FAAFP, Board certifi ed- Lexington-Fayette Co. Health Dept. and Family Practice and Integrative Holistic UK Healthcare. For more information, call Medicine, Faculty member- UK College of Elm Tree Lane, Free. Sponsored by the Medicine, U of L School of Medicine, (859) 288-2352. NOVEMBER 2013 and Saybrook Graduate School of Mind November 12 Body Medicine. Sliding scale based on need $25-95. Pre-registration required www.mindbodystudio.org. 859-373-0033. La Leche League of Lexington monthly meeting November 4 Lexington-Fayette Co. Health Dept. and November 10 7:15 pm, Baby Moon, 2891 Richmond Lexington Parks and Recreation. For Rd. FREE, open to everyone. For more Breastfeeding Class more information, contact Jill Chenault- Central KY Reiki Services: information, call April at 859-351-9865. Wilson at 389-6678. Reiki Celebration! 6:00 – 8:00 pm, St. Joseph Hospital-East Ever wonder what Reiki may do for you? November 13 Dr.. $25 per couple, only for those deliver- November 8 Looking for a place to come together with Women’s Hospital, 170 N. Eagle Creek ing here. Register by calling 967-2229 Breastfeeding Class like minded individuals and share this Mommy-to-Mommy Support or online at www.saintjosephhealthcare. 10:30 am – noon, Boyle County Health beautiful healing energy? Want a place Group org/baby. Department, Danville. FREE, open to that offers classes that are CEU approved 1 – 2 pm, Boyle County Public Library, for Nurses and other healthcare profes- Danville. FREE. Monthly topic: Recipe November 5 everyone. For more information or to pre- sionals and also offers fun workshops Exchange. For more information, call register, call 859/583-1007 or 859/236- with animals and nature etc? Then join us Elizabeth at 859/583-1007 or 859/236- Eat, Move, Lose Weight 2053. at Central KY Reiki Training & Services @ 2053 Hunter Hill Farm! Professional Women’s Support Group November 8 Life Coach and Usui/Karuna Reiki Master/ 12 – 1 pm, Lexington-Fayette Co. Health Teacher Jennifer Shaw invites you to our November 13 Department PH Clinic South, 2433 Go Red for Women Luncheon Reiki Celebration each and every month Car Seat Check-up Clinic Regency Road. Free weight-loss support Location: The Lexington Center- Heritage on the 2nd Sunday @3pm. If you are new group appropriate for anyone wishing to Hall. Key Note Speaker: Martha Lanier, to Reiki come for an intro. If you are al- 2-4 pm, Auto Tech Services, 780 Win- lose weight or maintain weight loss. Share Heart Attack Survivor - “The Power of ready practicing,come share and receive. chester Road. Free, by appointment: call struggles and ideas with others. Held fi rst Women - Managing Life’s Stresses” Everyone is welcome. Come to the peace 859-323-1153 to make an appointment. and third Tuesdays most months. For Time: 9:00 am - 1:00 pm. Schedule: 9 am of the country, mins. from the city and Sponsored by Safe Kids Coalition. more information or to pre-register, call Registration; 9:30 & 10:30 Educational experience a Reiki treatment -everyone 288-2352. Break Outs & Heart Healthy Expo; 11:30 gets 15 mins on the table! Discover how November 13 November 5 Luncheon, Key Note Speaker and Macy’s Reiki can take you to the next level of your Breastfeeding 101 Survivor Fashion Show. Special Appear- life! Registration required:859-492-2109, 6:15 – 7:45 p.m. Baptist Health-Lexington Low-Impact Aerobics Classes ance: “The Bats” - Wild Women & Song! or [email protected] Education Center, 1720 Nicholasville Contact for Tickets and Information: 6-7 pm, various fi tness classes 7-8 (859)997-4601/ [email protected]. November 10 Rd. (Building E, lower level), FREE, only pm, William Wells Brown Community Ticket Information: Corporate Tables for for those delivering at Baptist Health- Center, 548 East Sixth Street. Weekly 10: $1,250, patron Tables for 10: $1,000, Breastfeeding 101 Lexington, registration not required. You through December. Weight room also individual tickets: $100. 4-5:30 p.m. Baptist Health-Lexington may call (859)260-6357 or (859)260-4354 open 5 – 9 pm. Free and for adults age Education Center, 1720 Nicholasville for questions regarding classes. 18 and above. Sponsored in part by the November 9 Rd. (Building E, lower level), FREE, only Lexington-Fayette Co. Health Dept. and for those delivering at Baptist Health- November 13 Lexington Parks and Recreation. For Animal/Nature Reiki Workshop Lexington, registration not required. You more information, contact Jill Chenault- Have ever wished you could relate to your may call (859)260-6357 or (859)260-4354 Healthy Holiday Cooking Class Wilson at 389-6678. dogs, cats, horses on a different level for questions regarding classes. 6:30 – 8 pm, Southern Hills United Methodist Church, 2356 Harrodsburg Rd. November 5 where you could offer them more love, November 11 Help your family work with their healthy comfort and support? Would you like to living goals this holiday season and taste Breastfeeding Essentials II strengthen your connection to nature and Diabetes Support Group samples of holiday recipes. Sponsored by fulfi ll that part of you that knows there is class something more? Then join us for a fun 10-11 am, Senior Citizens Center, 1530 the Lexington-Fayette Co. Health Dept. 7:15 – 8:45 pm, Baby Moon, 2891 day on the farm in giving and receiving Nicholasville Road, Free. Sponsored by For more information, call (859) 288-2352. Richmond Rd., $28, follow-up to Breast- the beautiful energy of Reiki. Learn for the Lexington-Fayette Co. Health Dept. November 16 feeding Essentials I class. Visit www. yourself how grateful and accepting the For more information, call (859) 288-2352. baby-moon.org to register. Universe is to this loving healing spiritual energy. Increase your well being & one- November 11 Nursing Your Infant November 7 ness in a life changing way with nature Bluegrass Babywearing Group 9 am – 12 noon, UK Good Samaritan Hospital, Conference Room A, 310 S. and animals. Reiki Level I required. If not “Babies’ Best Start” a student from Central KY Reiki -please 11:30 am, Baby Moon, 2891 Richmond Limestone St. $25 per couple, only for Breastfeeding class bring copy of your certifi cate. 10-4pm. Rd. FREE. For more information, visit those delivering at UK. For more informa- tion or to pre-register, call 323-2750. $55. Snacks & lite lunch provided. To reg- 5:30 pm, Madison Co. Health Dept, 216 ister or more info. 859-492-2109, info@ http://www.facebook.com/groups/blue- Boggs Lane, Richmond. FREE! For more jennifershawcoaching.com grassbabywearers/. November 17 information or to pre-register, call 859- 623-7312 or 859-986-1192. November 9 November 12 Natural Childbirth Series November 7 A Day of Mindfulness for Body, Fayette Co. Diabetes (weekly to December 15), 2:30 – 4:30 pm, Baby Moon, 2891 Richmond Rd., $178 Coalition Meeting Low-Impact Zumba Classes Mind and Spirit 9-11am, 805A Newtown Circle, Lex- per mama/couple. Visit www.baby-moon. org to register, or ring 859.420.MAMA 6-7pm, various fi tness classes, 7-8 Mobilize your inner resources for healing ington. Open to anyone interested in (6262). Practice self-care approaches for promot- pm, William Wells Brown Community ing health. Learn mind-body skills for preventing & educating about diabetes in Center, 548 East Sixth Street. Weekly managing stress-related chronic condi- the community. For more information, call through December. Weight room also tions. Relax your body, quiet your mind 288-2310. open 5 – 9 pm. Free and for adults age and open your heart. Cultivate your innate 18 and above. Sponsored in part by the happiness, peacefulness and compas- NOVEMBER Events Continue Page 28

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 27 ONGOING EVENTS Bluegrass Ovarian Cancer Center For Women’s Health GrassRoots Yoga Classes more information, contact Mark Johnson Support Center Classes Chair yoga - 10:30 - 11:30 am Tuesday at (859) 288-2391. Exists to assist Central Kentucky women Held at Frankfort Regional Medical and Thursday / Hatha Vinyasa Flow - 5:30 and their loved ones during diagnosis, Call Mediline at 502-226-1655 or toll-free to 6:30 pm Thursday / Yoga Basics for Yoga • Meditation • Stress treatment and survival of ovarian and other 800-242-5662 to register or for more Stress Relief – 5:30 – 6:30 pm Friday. Reduction gynecological cancers. Come meet with us information. Classes include: Partial proceeds from all yoga classes The Yoga Health & Therapy Center of- the third Wednesday of every month at 7pm • Prepared Childbirth benefi t the Latitude Artist Community for fers daytime and evening Yoga classes at Joseph Beth Booksellers, Bronte Bistro • Baby Care For The Early Weeks adults considered to have disabilities. with slow stretch, breathing awareness Cafe meeting room. • Breast Feeding Basics All instructors certifi ed through Yoga and relaxation training. Small classes • “That’s My Baby” Alliance. For more information, visit www. provide personalized instruction. New Perinatal Loss Grief Group • Sibling Classes grassrootsyoga.org. yoga students receive a series discount. First Tuesday of the month, 7pm, Center Meditation classes and ongoing group for Grief and Education. A group for Cancer Classes ANAD Overcoming Eating practice sessions available for all levels. parents who have experienced loss due The American Cancer Society offers Disorders Support Group Stress-Reduction classes based on to miscarriage, stillbirth or infant death. women undergoing cancer treatments the Free support group for people who want Yoga principles and practical skills also Contact Debbie Mueller at (859) 260-6904 opportunity to attend the Look Good... to improve their relationship with food offered. Free parking provided for most for more information. Feel Better workshop. This free workshop and body image. Safe, comfortable classes. For information, please call helps women deal with the appearance- place. Facilitated by Megan Roop, RYT, 859-254-9529 or visit www.yogahealth- Compassionate Friends related side-effects of cancer treatment in supervised by Tina Thompson, MS, RD, center.org. Support Group a private setting. Each participant receives LD, Bluegrass Nutrition Counseling, A support group for parents, siblings, a complimentary custom cosmetic kit. sponsored by ANAD. Introduction Mind Body Studio or grandparents who have lost a child The American Cancer Society offers meeting on October 3 from 7:15-8:30pm The Mind Body Studio is a consulta- regardless of the child’s age or length Prostate Cancer Educational and Support at Bliss Wellness Center, 2416 Sir Barton tion and educational service of John A. of time that has passed since that day. Classes called Man to Man for men with Way, Ste 125. 8 week session Oct 17- Patterson MD, MSPH, FAAFP. Certifi ed The meeting is the 1st Tuesday of every prostate cancer. This is an educational Dec 5 from 7:15-8:30pm. Contact Megan in family medicine, integrative medicine, month 6:30pm - 8:30pm at Hospice of and networking program that provides Roop 561-779-0290 for details. mind body medicine and integral yoga, the Bluegrass, 2321 Alexandria Drive, information about prostate cancer and Dr. Patterson specializes in stress-related Lexington. Also meets the 1st Tuesday of treatments options. For more information Health Chats on Diabetes chronic disease and burnout preven- every month 7pm-9pm at Hospice East, about these classes, please call Kristy 5-6pm. Third Tuesday of every month. tion for helping professionals. Mind 417 Shoppers Drive, Winchester. Doors Young at 859-260-8285. For cancer Nathaniel Mission Free clinic, 616 body skills and lifestyle behaviors may open one-half hour before meeting times information 24 hours a day, please call DeRoode St. Free. Sponsored by the help prevent and provide safe, effective to provide the opportunity to visit with old 1-800-ACS-2345 or go to www.cancer.org. Lexington-Fayette Co. Health Dept and UK and affordable relief of chronic condi- friends and acknowledge new ones. Healthcare. For more information, call (859) tions that are often poorly controlled Survivors of Suicide 288-2395. Spouse Loss Support Group First & third Tuesday of the month, by conventional medicine alone. Our group classes, workshops and individual Tuesdays 6-7:30pm. Hospice of the 6-7:30pm, Center for Grief and Education. Free Cardio Classes consultations and coaching can help you Bluegrass. A fi ve-week support group For adults affected by the loss of someone 9-10am. Every Saturday morning in the meet your unique health and wellness for individuals who have experienced by suicide. Contact the Lexington offi ce at month of February at Body Structure needs through experiential education to the loss of a spouse or signifi cant other. (859) 277-2700 for more Medical Fitness Facility, 2600 Gribbin Drive, help you mobilize your natural healing Contact Lexington offi ce at (859) 277- information or to register. Lexington. This class will increase your ability. Visit our website to schedule an 2700 for more information or to register. heart rate and respiration while using large appointment with Dr. Patterson or see Bosom Buddies muscle groups repetitively and rhythmically a schedule of classes in yoga, mindful- Coping After Loss A support group designed to meet the to create a great workout. (859) 268-8190. ness, meditation, Feldenkrais and dance. First Wednesday of the month, 5:30- ongoing needs of women with breast “Mindful, empowered self care is the 7pm, Center for Grief and Education. cancer. The purpose of Bosom Buddies Taoist Tai Chi Society heart of healing” 517A Southland Drive, A brief educational program offering is to create a safe and comfortable We offer classes in Louisville and Lexington. Lexington. www.mindbodystudio.org. an introduction to grief information and environment in which women diagnosed All classes are led by nationally accredited 859-373-0033. hospice bereavement services. Contact the with breast cancer can receive information volunteer instructors in a friendly and helpful Lexington offi ce at (859) 277-2700 for more and emotional support during and after environment. The meditative movements Monthly Reiki Classes information or to register. treatment. Meets are the third Thursday of of taijiquan can reduce tension, increase every month 7:00pm at the Franklin County fl exibility and strength, and improve Turn your hands into healing hands! Free Transportation to Cancer Health Department (PHC Building) 851 East circulation and balance. To contact us, Reiki is Universal Life Force Energy Learn to improve your mind, body, West Connector, Frankfort, KY. Screening phone 502.614.6424 or e-mail kentucky@ and spirit! Classes taught by Robert taoist.org. Fayette County residents can receive BRCC Volunteer Opportunities N.Fueston, Reiki Master/Teacher and free transportation through HealthLink The Bluegrass Rape Crisis Center provides Consumer Support Groups Acupuncturist, 17 years of experience Transit, a partnership between Kentucky a 24-hour crisis line, hospital and court (Individuals with a Mental and Member of The Reiki Alliance. Ap- Pink Connection & the Lexington--Fayette advocacy, crisis intervention counseling, proved for Continuing Education hours Urban County Government. Transportation long-term therapy, and information and Illness) (CE hours) for Massage Therapist. CE’s provided by taxi or gas cards to cancer community referral to victims of sexual Every Sunday, 869 Sparta Court, Lexington. for nurses pending. Register online at screening. Call (859) 309-1700 to arrange assault as well as family members and 2:30-4:00pm. 859-309-2856 for more info. www.robertfueston.com. 859-595-2164. a ride. friends. Volunteers at BRCC have the NAMI Lexington is a local affi liate of NAMI, unique opportunity to provide valuable the “National Alliance on Mental Illness” we Ongoing Journey Circle 2nd Chance Ambassadors direct services to those impacted by sexual provide numerous support groups and Lexington: a support/volunteer group assault. Volunteer opportunities: Crisis recovery programs for families and This circle meets the 4th Sunday of every month and is for those who are comprised of organ transplantation Line Volunteer, Medical/Legal Advocate. Individuals living with mental illness. experienced in the practice of journey- recipients, donor family members, those on For more information, please call: (859) the waiting list and community members 253-2615. Low-Impact Aerobics Classes ing OR are interested in learning more about this ancient spiritual practice. Join interested in transplantation meets the 3rd 6-7pm and 7-8pm. William Wells Brown us every month as we will be journeying Sunday of each month at Word of Hope Stop Smoking Class Series Community Center, 548 East Sixth on different topics that will be discussed Lutheran Church, located at the corner 5:30-6:30, weekly until April 17. Tates Street, Lexington. Weekly until mid- at time of circle. Please feel free to bring of Man O’War and Armstrong Mill Road. Creek Library, 3628 Walden Dr. Based on May. 2nd hour offers a variety of other Meetings begin at 4:30. For questions, the Cooper-Clayton method. $10/week movement classes, including boot camp drums, rattles etc. Questions or need directions or have questions? Please please contact Charlotte Wong, Education for 10 weeks covers the cost of nicotine and Yoga. Free and for adults age 18 feel free to email/call me: 859-492- Coordinator, Kentucky Organ Donor replacement. Call 288-2457. and above. Sponsored in part by the 2109,[email protected] Affi liates Lexington offi ce at (859) 278-3492 Lexington-Fayette Co. Health Dept. and or toll free (800) 525-3456. Lexington Parks and Recreation. For

28 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky NOVEMBER continued from P. 26 struggles and ideas with others. Held fi rst November 24 who is searching for a way to reconnect and third Tuesdays most months. For back to fi nding their own answers, devel- more information or to pre-register, call oping confi dence in self, and learning to November 18 288-2352. Breastfeeding 101 live and trust life with an increased level 4-5:30 p.m. Baptist Health-Lexington of awareness, trust and appreciation. In The Basics: Memory Loss, November 19 Education Center, 1720 Nicholasville this class we will meet your power ani- Dementia & Alzheimer’s Health Chats about Diabetes Rd. (Building E, lower level), FREE, only mals and teachers and begin to journey for those delivering at Baptist Health- to gather information and begin to learn Disease 5-6 pm, Nathaniel Mission Free clinic, 616 Lexington, registration not required. You about the guidance they have to offer us Alzheimer’s disease is not a normal DeRoode Street. Free. Sponsored by the may call (859)260-6357 or (859)260-4354 that is benefi cial for healing and continual part of aging. It is a progressive brain Lexington-Fayette Co. Health Dept. and for questions regarding classes. personal growth and joy of life. As a disease that is the most common form UK Healthcare. For more information, call Certifi ed professional Life Coach, Usui/ of dementia. If you are concerned for (859) 288-2352. November 25 Karuna Reiki Master Teacher & Shaman yourself or someone you love – or simply Practitioner, it is my great honor to share ease, join us for this informative two-hour November 19 La Leche League of this invaluable, life changing practice want know more about Alzheimer’s dis- with you. 10-4pm. Please call or email w/ workshop. Presented by the Alzheimer’s Labor Workshop for Couples Lexington Monthly Meeting questions/register. 859-492-2109,info@ 12:30 – 1:30 pm, Baby Moon, 2891 Association, topics covered include types Richmond Rd. FREE, open to everyone. jennifer Shawcoaching.com. Cost is of dementia, warning signs, causes and 7:15 – 9:30 pm, Baby Moon, 2891 Rich- For more information, call April at 859- $85.00 snacks provided,please bring risk factors, what to do if it is Alzheimer’s, mond Rd., $40. Visit www.baby-moon.org 351-9865. brown bag lunch. and how the Alzheimer’s Association can to register, or ring 859.420.MAMA (6262). help. To register, call 1-800-272-3900 November 26 November 26 or send an email to [email protected]. November 20 Location: Lexington Public Library – Breastfeeding Class Reiki Introduction & Practice Tates Creek Branch, 3628 Walden Drive, Health Chats about Diabetes 6:30pm- 8:30pm. 1403 E. Breckinridge Lexington, KY, KY. Time: 4:00pm- En Espanol! 7 pm, Ephraim McDowell Medical Center, Street, Louisville, KY 40204. Free. Those 6:00pm. To register: call 1-800-272-3900 6 – 7 pm, Bluegrass Community Health 217 S. Third St., Danville. FREE, only for who do have not Reiki training—come or email [email protected] Center, 1306 Versailles Rd. Call Jason for those delivering here. For more informa- for an introduction & to experience tion and to pre-register, call 859-239- more information: 263-2507. November 19 2534. it. No experience required. Those with Reiki come to receive the Reiki energy & Eat, Move, Lose Weight November 22 November 26 practice on others. Free reattunement to your last level of Usui or Karuna Reiki® Support Group Find Your Voice with Beginner upon request if you have your certifi cate. 12 – 1 pm, Lexington-Fayette Co. Health Attachment Parenting Group Shamanic Journeying Contact JoAnn Utley at 502-777-3865 Department PH Clinic South, 2433 11:45am – 1:00pm, Baby Moon, 2891 or [email protected] to register. Regency Road. Free weight-loss support Richmond Rd. FREE, open to everyone.. Shamanic Journeywork is an ancient and More info at http://joannutley.byregion. group appropriate for anyone wishing to For more information visit www.baby- sacred practice compatible with net. lose weight or maintain weight loss. Share moon.org all faiths, that can open doors for anyone Send us your event listings If you are hosting a health-related event that is free to the public, list it here for FREE! E-mail your event date, location, description and contact information to [email protected]. (Events that are not free to the public can be posted in our calendar for $35).

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 29 roughly 135 million doses of vaccines. These drugs “should be considered as All nasal spray versions sold in the an early intervention therapy,” wrote United States this year will only be researchers in the journal Nature the FluMist Quadrivalent. The nasal Medicine this September. spray version is only for healthy people ages 2 to 49, who are not pregnant. Universal Influenza The quadrivalent flu shot will be suitable for everyone, including preg- Vaccine In The Works nant women and those with chronic Scientists have reached a break- health conditions. The shot-version through in developing a universal will be sold under the names Fluzone flu vaccine that can also combat Quadrivalent, Fluarix Quadrivalent future strains. The breakthrough and FluLaval Quadrivalent. This was discovered during a study at the four-in-one vaccine will be better for Imperial College, London, following children since kids tend to catch the the 2009 swine flu pandemic, and newly added strain more readily. Egg- the answer was hiding in the human free shots made with cell technology, body all along. While monitoring FluBlok, will also be available this fall more than 300 volunteers throughout for those allergic to eggs aged 18 to 49. the pandemic, they found a naturally Some vaccines will be targeted to the occurring immune response in the 65 and older population and sold as form of the CD8T cells, whose func- Fluzone High-Dose. This three-strain tion is to battle viruses. Those who vaccine quadruples the standard vac- avoided being bed-ridden by the flu cine dose in an effort to activate age- had a stronger presence of CD8T cells weakened immune systems that don’t in their blood at the start of the pan- respond as actively to regular flu shots. demic. Lead investigator, Ajit Lalvani, Another vaccine, Fluzone Intradermal, calls this discovery the “Holy Grail” of will be a skin deep prick for the needle future vaccine development. The cru- phobic ages 18 to 64. Flu vaccines take cial difference per Lalvani: the CD8T two weeks for protection to begin, so cells target the core of the virus, unlike early fall is the ideal time for vaccina- antibodies, and the immune system tion. Healthy, fit individuals should produces them in response to usual Recent Developments In a vaccination. seasonal flu, which doesn’t change, assess for themselves if they should get even in new pandemic strains. In existing vaccines, their dispatched Vaccines Possible MERS antibodies only target the surface char- Coronavirus Vaccine acteristics of the infection, which are prone to adapting and mutating. This By Travis C. Nunley, Staff Writer of those infected in China. This is The MERS coronavirus was first results in newer, more resistant strains an unsettling problem, and the only reported in Saudi Arabia in June 2012 and the need to constantly upgrade The dreaded influenza virus annu- known way to guard against it is to get and has killed nearly half of the 108 the vaccine. Since new stains of flu are ally kills between 250,000 and half yourself vaccinated. Following are the infected. MERS is an acronym for continuously emerging, the Holy Grail a million people worldwide, per the new vaccine options available this fall Middle East respiratory syndrome and would be to create a universal vac- World Health Organization. Flu pan- and the latest developments in future it is highly communicable. Scientists cine that would be effective against all demics are unusually large outbreaks vaccines. at The Autonomous University of strains of flu, per Lalvani. “We already that result in higher numbers of Madrid have engineered a strain of know how to stimulate the immune deaths. The Spanish flu outbreak of New Vaccine Options MERS that they hope will serve as a system to make CD8T cells by vac- 1918 killed tens of millions across the basis for a safe and effective vaccine. cination…Now that we know these globe. The 2009 swine flu epidemic This Fall More work remains before they can T cells may protect, we can design affected millions around the world, The relatively new quadrivalent begin clinical trials. In the meantime, a vaccine to prevent people getting and another outbreak is expected this vaccines coming out this fall will a MERS treatment using two anti- symptoms and transmitting infection year. A new bird flu strain, H7N9, guard against four strains of flu, rather viral drugs used to treat hepatitis C to others,” said Lalvani. “This could made the transition from birds to than the usual three, but they will – interferon-alpha 2b and ribavirin – curb seasonal flu annually and protect humans this February, killing a fifth be limited: about 30 million of the has been successful with lab monkeys. people against future pandemics. “Your link to hope...” Need a mammogram? Diagnosed with Central Kentucky’s fi rst sports Breast Cancer? medicine clinic dedicated to sports Kentucky Pink related head injuries. Connection Funded by Not knowing who to contact or how to access funds shouldn’t prevent women from getting breast cancer treatment or screenings. The KPC Patient Navigator Program is designed to “fi ll the gap” between breast cancer patients and needed resources. 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30 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky Playful pets could mean annoying allergies By Clint Moore, Staff Writer microscopic flecks of skin shed gests that pets that “do not have by cats, dogs, rodents, birds and hair or fur, shed or dander or Pets can be a wonderful addi- other animals with fur or feathers. produce excrement that creates tion to the family unit. But when These bits of skin can cause reac- allergic problems” may be the a child develops an allergy to Fido tions in people who are specifi- best route to go for families who or Fluffy, those allergic reactions cally allergic to these triggers.” have children who suffer from pet can be a nightmare for parents. According to lung.org, cats allergies. According to healthychildren. are the most common culprit of The website also states that org, pets are among the “most allergy attacks as roughly twice as pet allergies are usually quick to common and potent causes of many people report allergies to appear once a child is exposed to allergy symptoms.” cats, compared with dogs. the animal. Dr. Robb Rettie, pediatri- Rettie said pet allergies in chil- Also, children may need allergy cian with Saint Jospeh Pediatric dren are difficult because the pet is shots (immunotherapy) to com- Associates in Nicholasville, said it’s often a big part of the family. bat cat or dog allergies, particularly because the pet dander tends to be “I always tell folks that if they when the animal cannot be avoid- an allergen. He said sufferers typi- have a pet and they develop an ed. They are typically given for at cally display the same symptoms allergy to that pet, then I never least three years and may decrease as those fighting seasonal-type really encourage them to remove symptoms of asthma and allergy. allergies. a pet from a home,” Rettie said. Rettie said controlling the “Lots of people who have pet “Because it’s not a practical thing, symptoms and knowing family allergies will develop the runny and pets offer so many other ben- history regarding pet allergies are nose and develop the watery and efits to families as well.” the keys to having a pet-friendly itchy eyes,” Rettie said. “It’s not the Healthychildren.org suggests home. same cause as the seasonal allergy making adjustments if a child suf- “If you happen to know that because if you are allergic to pets, fers from pet allergies. your family just has terrible aller- you’re going to have symptoms Options include keeping the gies to cats, then I would not go year round. But it’s the same type pet outdoors and keeping it out out and get a pet that you know of hypersensitivity to that aller- of the child’s bedroom. Other you’re going to be allergic to, but gen.” options include frequent cleaning I would not avoid having a pet According to the American of the house, including dusting, just out of the possibility that (the Lung Association (lung.org), sweeping and vacuuming. child) might develop an allergy,” dander “is composed of tiny, even Healthychildren.org also sug- Rettie said. You have questions...we have answers! BLUEGRASS REGIONAL IMAGING, LLC PET/CT Outpatient Diagnostic Imaging Centers Specializing in CT and PET/CT scan services *Same day appointment *Same day report *Less expensive option *Superior care and experience Tell your physician that you want to go to Bluegrass Regional Imaging!! 3 convenient Lexington locations! For more information, phone our staff (859) 276-2157

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 31 Y OUR WELLNESS & ANTI-A GING C O A C H It Only Took Men 10 Years To Find “Bro-Tox” Owned and operated by Paul Hester M.D., a board certified physician, Be Medispa is a medical practice that specializes in non-surgical cosmetic enhancement and healthy aging programs. Our knowledgeable staff is focused on results and will design a personalized plan for YOU; complete with relevant treatments and medical grade products. If you wish to maintain optimal health and appearance throughout your life, we look forward to meeting YOU. By Paul L. Hester, MD, Preventive-aging Medicine, www.bemedispa.com Even with notables like David women all over the world in their In my opinion, men who use Botox versus female. That said, Botox is Beckham and Pierce Brosnan fifties still looking young and beauti- can experience positive changes in one of the safest methods to help endorsing skincare products, men ful. You are a man and you have all their skin or improvement in expres- one look young and attractive. remain reluctant to follow women the right to look great in your fifties sion lines within the first week into the skin health market. These too. And Botox is the solution to No time? days a scruffier, unshaven look, like your aging signs. You may have not Safe and Effective No worries. A Botox procedure that of Russell Brand, has become noticed, but a lot of Hollywood men Botox has been FDA approved for can be performed in a 15 minute much more popular amongst young- generally look awesome even in their just over 10 years now. One should office visit. However, if you con- er men, which means they have little old age. Looking young for your age always consult a doctor before doing stantly work and don’t give yourself need for post-shave balms. Trying is nothing to be ashamed of and one anything at all –Thousands of people some attention, you absolutely will to get men to buy into looking after effective way to address the signs of have used Botox, with little or no see signs of aging earlier than expect- their skin has become an unrealized aging is with Botox. complications; however it is impor- ed. We know facial aging accelerates goal for Specialists like me. And yet, A look at the numbers reveals tant to make sure your treatment is in the 30’s, and some men are so in the past few years, physicians have there are many men around the from a licensed medical professional busy they don’t even see that their found a product that has caught the world choosing to have Botox. Our trained in its use. Techniques vary appearance is turning old. Botox can attention of these mid-life skin mini- male patients tell us that the results widely, and the artistry of applica- malists. Dubbed ‘Bro-tox’, this new are more than about just looking tion is different with male anatomy BROTOX Continued on Page 47 attitude in male grooming is mak- younger. They claim they choose ing previously unlikely candidates Botox because it also boosts their buck stereotypes and seek out image confidence. Research from a study attention in droves. Close to half a in 2012 suggests those patients who Million men in the U.S. were report- regularly receive Botox report being ed to have had Botox injections last happier and having less symptoms year alone. of depression. It is thought that by inhibiting the ability to frown the Why Botox for men? brain does not receive the signal that Well…the results are unmatched! translates to a negative emotion. Men usually get vertical lines near Just stand in front of a mirror and their eyebrows which may initially look at yourself closely. Are wrinkles be accepted as masculine but even- cleaving your brow? Is the skin tually makes them look depressed across your forehead forming mini- and angry. He may be a happy and irrigation ditches? If the answer is jovial man in real life but those lines a resounding yes then you certainly could make him look hopeless and don’t need an anti-aging cream as serious. He gets frustrated with peo- they clearly do not work. Even gen- ple asking him if he is sad or tired. erally – look around you, beautiful Paul Hester, M.D., “You know it’s a good thing Chasity Hester, PA-C when you look and feel BEFORE better in your 40’s than you did in your 20’s!” AFTER 812 EAST HIGH STREET & 161 LEXINGTON GREEN CIRCLE, SUITE C2 LEXINGTON, KY • BEMEDISPA.COM • 859-266-5483

32 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky and drinking there is no room in your mouth for worry, fear, anxiety, depres- sion or other distressing thoughts and FAMILY emotions. If these arise in your mind, simply bring awareness back to sip- ping and chewing. If you persistently recognize emotions associated with PRACTICE your eating habits, it may be worthy of journaling, self reflection or discussion with a professional counselor. • As you chew, notice changes in Mindful Eating food texture, temperature and taste. • Bring full awareness to each sip as you drink liquids. • After swallowing, be aware of how far down your esophagus you can feel your food or drink. • Enjoy each bite of food and the presence of friends eating with you. • Remember your intention to be aware of eating in this present moment, avoiding memories of the past and plans for the future. • Eating in silence can add a medita- tive dimension to your experience. • Limit talking to pleasant, friendly conversation rather than emotionally charged topics. • Yoga tradition advises remaining seated while eating. By John A. Patterson Mindful eating can be your gate- hunger and satiety levels. Eat only • End your meal when you notice MD, MSPH, way to the practice of mindfulness in when you are hungry, not simply your hunger is gone. FAAFP other daily activities. It can help you because it is ‘time’ to eat. • After your meal, notice the physi- cultivate a deeper level of appreciation • As you sit with your plate, wait at cal sensations of satiety and the grati- for life, bringing more joy to life and least one mindful, grateful breath or ‘When walking, tude that you have enough to eat. walk. When eating, enhancing relationships with yourself, one minute before beginning to eat or My own life has benefited greatly eat.’ ~Zen proverb other people and the earth. When drink. from mindful eating. I wish the same This classic mindfulness instruction driving, cycling • Take only the for you. is being shown by modern research to or walking on the amount of food have many health benefits. Mindfulness road, your life may that is good for Resources meditation usually focuses on the actually depend you. If you are try- Thich Nhat Hanh’s Mindful Eating breath, bodily posture, physical move- on how aware you We often eat ing to control por- Meditation ment, thoughts and emotions. The are in the present mindlessly, paying tion size, research http://deerparkmonastery.org/ goal is to enrich life by living in the moment. Mindful suggests using a mindfulness-practice/eating-medita- only time we truly have – the present eating may help more attention smaller plate. tion moment – rather than spending so you travel life’s • Appreciate the Savor: Mindful Eating, Mindful much time, mentally and emotionally, highway more to the television, hard work and lov- Life by Lilian Cheung and Thich Nhat in the past and future. safely. ing intention of all Hanh We often eat mindlessly, paying Approaching a movie, newspaper or those involved in http://www.amazon.com/Savor- more attention to the television, movie, mindful meal as a the life history of Mindful-Eating-Life/dp/0061697702 newspaper or conversation than to the mini-meditation conversation than to your food, noticing life-sustaining act of eating. We use retreat, you may any compassion The Art of Eating Meditation by Jay antacids and digestive aids to control begin to cultivate the life-sustaining act and loving connec- Michaelson symptoms created by unhealthy eat- relaxation, joy, hap- tion that arises in http://www.metatronics.net/eat/ ing habits. But eating can also be a piness and compas- of eating. you. The Meditation Diet Method by meditative practice providing nourish- sion simply from • Be aware of the Leo Babauta, ment physically, mentally, emotion- eating mindfully nutritional qual- http://zenhabits.net/mind-full ally, socially and spiritually. For adults and meditatively. ity of your food and how your food and children, mindful eating can be choices impact your health, the health About the Author a friendly introduction to meditative Tips for mindful of farm families and the environment. Dr Patterson is past president of the practice. eating • Be aware of the quality of life of Kentucky Academy of Family Physicians Mindful eating brings a 3-dimen- farm animals. and is board certified in family medi- sional, meditative awareness to the • Mindful eating does not require • Holding some food between your cine and integrative holistic medicine. preparation, serving and eating of your meditative experience or a lot of time. fingers, notice its color, shape, texture He is on the family practice faculty at food. Looking deeply into the history “When eating, just eat”. Simply pay and aroma. the University of Kentucky College of of your food, you can see the sunshine, attention to eating and drinking. Begin • Raising the cup or utensil, be Medicine and the University of Louisville rain, topsoil, farmers, truckers, grocers with one meal a day for one bite, one aware of the movement of your hand School of Medicine, Saybrook University’s and all those involved in bringing this minute, 5 minutes or the entire meal. and arm, appreciative of the body’s School of Mind Body Medicine (San food to your plate. Though religions Eventually it may become a habit at all function and wisdom. Francisco) and the Center for Mind Body honor this connection through meal- meals. • Pause between sips and bites, set- Medicine (Washington, DC). He oper- time prayers and thanksgiving, one • You can practice mindful, medita- ting down utensils and cup. ates the Mind Body Studio in Lexington, does not have to be religious to appre- tive eating alone, with others, at home • Chew each mouthful slowly, aiding where he offers integrative medicine con- ciate this universal interdependence or eating out. the digestive process. sultations. He can be reached through his underlying our food supply. • Begin by paying attention to your • Notice while mindfully eating website at www.mindbodystudio.org

For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 33 the gums and a tooth. Symptoms Prevention may be mild, but you might notice some redness, swelling or bleeding. Interventions The only treatments you usually need Prevention of gum disease should are improved brushing and flossing be an important priority for everyone. habits. More serious is periodontitis. Treating gum disease means keeping This is a more advanced form of gum the anaerobic bacteria in our mouths disease, when the infection has gone under control which is where good deeper. The bacteria release toxins that oral hygiene comes into play. In addi- make the surrounding tissue swell and tion to brushing and flossing, prevent- infected pockets form between the ing gum disease means using a mouth- teeth and gums. Over time, the infec- wash or similar product made from all tion can damage the bone beneath natural ingredients to help fight bacte- the gums, causing the gums to recede ria. It is so important to practice good from the teeth. oral hygiene daily so that you don’t Pericoronitis is a condition that end up fighting both gum disease and can develop when one’s wisdom teeth heart problems that are linked to poor only partly emerge through the gums. dental care. When this occurs, it creates an open- ing for food or plaque to lodge under Sources & Resources a flap of gum around the tooth. When Appreciation is extended to Christopher this occurs, gum tissue becomes swol- Davis DMD for guidance and assistance len and can cause pain and infection. in the development of this article If the pericoronitis is severe, the swell- ing can eventually infect one’s cheeks American Dental Association (2013) and neck region. The Association Between Gum Disease Cavities can still play a role in gum and Coronary Artery Disease. Retrieved disease. Cavities, if unattended and not at http://jada.ada.org/ treated, can irritate the gum tissue and eventually lead to gingivitis or perio- Heart Disease Health Center (2013) dontitis. There are still other concerns WebMD. Retrieved at: http://www. that we should be vigilant about when webmd.com/heart-disease/features/ it comes to good dental care. Keep your-guide-gum-disease g g y ses, missing teeth in mind that abscesses, missing teeth outh irritations can and many other mouth irritations can y irritate the gums directly or indirectly irritate the gums on, any of which and result in infection, any of which duce gum disease in can ultimately produce gum disease in patients. The American Dental Association, Dental Association, along with local dentists, recommend ntists, recommend ood oral hygiene: the following for good oral hygiene: eth twice a day 1. Brush your teeth twice a day with ADA-accepted fluoride tooth- d fluoride tooth- paste. 2. Clean between teeth daily with n teeth daily with floss or an interdental cleaner. Decay– tal cleaner. Decay– causing bacteria still linger between ll linger between Dental Health: teeth where toothbrush bristles can’t rush bristles can’t moves plaque and reach. Flossing removes plaque and between food particles from between the teeth and under the gum r the gum Could Gum Disease Be line. d diet 3. Eat a balanced diet Harming Your Heart? and limit between-meal meal snacks. tist 4. Visit your dentist regularly for profes- - d oral By Thomas W. Miller Ph.D. Streptococcus Viridans. One of the sional cleanings and oral ABPP, Staff Writer problems with advanced gum disease exams. is that the anaerobic bacteria spread When is the last time you vis- beyond the oral cavity. These harmful The Lesson n ited your dentist and had your gums microorganisms will spread to other Learned checked? Very few people are aware systems and organs within your body, of the fact that gum disease and heart including the heart and brain. Gum disease and prob-d prob- t go hand- problems have been linked by numer- lems with the heart go hand- blems are ous studies. In addition, not knowing What is Gum Disease? in-hand. Heart problems are n gum disease how to prevent gum disease may ulti- Gum disease is and an infection twice as likely when gum disease o been shown mately lead to a number of additional that is caused by bacteria in your is present. It has also been shown at treating gum medical problems. Heart complica- mouth. Gum disease is more formerly in recent studies that treating gum your chances of hav- tions and gum disease are indeed known as “periodontal disease. In its disease will lower your chances of hav- linked. In fact, nearly half of all cases early stage, gingivitis develops when ing a stroke, as well. . of infective endocarditis are caused by bacteria build up in the gap between a bacteria found in the mouth called

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For advertising information visit www.samplerpublications.com or call 859.225.4466 | November 2013 35 Peaches are believed to have originated in China, the country that is the world’s largest producer of peaches. NATURE’S BEAUTY: Dare to Eat a Peach phenolic compounds in peaches have anti-obesity properties and may help strengthen the immune system. Peaches have a good amount of beta JUICY FRUIT CAN BE ENJOYED YEAR ROUND carotene, which is essential for one’s eye health. With plenty of lycopene and lutein to help prevent macular By Tanya J. Tyler, into jam, jelly or preserves. They can Leave the juice on for 20 minutes, degeneration, peaches might just Staff Writer be made into soups or sliced into then rinse with warm water. To revi- replace carrots as the ideal fruit for salads. They flavor teas and they’re talize sagging skin, combine a pitted eyes. Give them a look-see, whatever Peaches are gener- even in schnapps! Peaches are a and peeled ripe peach in a blender the season may be. ally considered to be good source of vitamins A, B, C and with an egg white. Apply the mixture a summer fruit, but E, as well as fiber, iron and potas- gently to your face; leave on for if something’s good sium. They are also high in antioxi- 30 minutes and then rinse for you and you enjoy eating it, why dants and low in calories and can with warm water. limit it to only one season? With so help remove toxins from your body. According to a many different fruits available all They are replete with the natural recent study in year round, you don’t have to wait to plant compounds called flavonoids, California, indulge in your favorites. which have been shown to be instru- then- Peaches are well known for mental in the fight against cancer their fuzzy outer skin. (Fuzzless or and heart disease. smooth peaches are known as nec- Peaches also have anti-aging tarines.) Their flesh can be either properties. They are a good yellow or white. Like cherries, apri- source of skin-renewing cots and plums, they have a large pit alpha-hydroxy fruit acids. in the center. Fruits with this trait These acids slough are called stone fruits or drupes. off dead skin cells. Peaches are related to the rose fam- Peach juice can ily and come in two main varieties: help unclog clingstone and freestone. This dis- pores, banish tinction merely refers to whether the blemishes, lighten flesh of the fruit clings to the stone age spots and reduc- or not. Peaches are believed to have es wrinkles, giving originated in China, the country the skin a fresher that is the world’s largest producer and more vital of peaches. Georgia, California and appearance. South Carolina are the largest peach Here’s a simple producers in the United States. way to get some Georgia’s affection for peaches is of those peachy well-documented. benefits for your What makes peaches so keen? For skin: Cut a slice one thing, they are very versatile. from a fresh peach You can eat them as is or turn them and rub it on your face.

36 November 2013 | Read this issue and more at www.healthandwellnessmagazine.net | Like us @healthykentucky the abuse of illicit drugs like heroin,” Ingram said. “Tamper-proof for- mulations of popular opioids have also contributed to a resurgence of heroin abuse, and it’s cheaper and more readily available.” Some of the signs a person may be using heroin include a decline in productivity at work or school and losing interest in things that once interested them, Tomlian said. “You also begin to see a decline in personal care or hygiene as this is no longer a priority, such as taking showers or fixing their hair or other basic grooming,” Tomlian said. “You often see more high risk behavior, such as stealing money, shoplift- ing, or other ways to get money to support a drug habit. You also see overall reckless behavior in gen- eral. Another sign is withdrawal from normal relationships with friends and family and marked isolation or a Heroin Making A change in friends to those you really question as to their character or they look like they might abuse drugs as Comeback With well.” Additional signs of heroin or sub- Passage of House Bill 1 stance abuse include: • Runny nose or constant sniffing. • Needle marks on arms - and even on legs. • Speech is sometimes slurred. • Very little motivation, and no By Clint Moore, Staff Writer said Jay Tomlian, a licensed clinical Florida. Florida had very lax laws at desire to form future plans. social worker with the Alternatives one time, and people would often • Displays of hostility toward oth- The passage of Kentucky House Counseling in Danville. “They will have a ‘doctor’ there and make ers. Bill 1 in 2012, better known as the often use what they are able to get monthly or bimonthly trips to get • Possession of drug paraphernalia. pill-mill bill, made it much more in the form of prescriptions, but the their pills. Also, pills were often difficult for drug addicts to abuse normal prescriptions are now often traded for drugs and vice versa.” Tomlian said there are several prescription pain pills. costing much more than heroin.” According to data from the treatment options to help people get That is the good part. The bad The cheaper cost of the drug has Kentucky Office of Drug Control off heroin. part, according to officials, is those played a key role in its comeback, of Policy, heroin samples collected “There are several traditional addicted to pain pills are finding an sorts. and analyzed by the Kentucky State treatments, including cognitive older outlet to soothe their habit. “When oxycodone became popu- Police lab jumped 211 percent from behavioral therapies, as well as “We are seeing a lot more people lar in Kentucky, it was often referred 2010 to 2012. The lab analyzed and medications that are effective at using heroin as an alternative to to as ‘Hillbilly Heroin’ as the effect confirmed 433 heroin submissions helping patients stop using heroin,” using pills when they cannot get was so close to heroin, but it was in 2010, compared to 1,349 in 2012. he said. “Medications include their normal prescriptions; much much cheaper to obtain,” Tomlian In a news release from the Buprenorphine (Suboxone) and of this can be attributed to House said. “Now that has reversed, many KODCP, executive director Van Methadone, both of which work by Bill 1 due to the increased pres- of the ‘pill mills,’ doctor offices Ingram said heroin use often devel- binding to the same cell receptors sure put on doctors to monitor and that were pushing these, are now ops from pain prescriptions. as heroin but more weakly, help- regulate the prescriptions given,” out of business and the state has “The misuse of prescription medi- ing a person wean off the drug and worked to close down the trade to cations is often a stepping stone to reduce cravings; and naltrexone, which blocks opioid receptors and prevents the drug from having an effect. While these are effective, it is still possible to abuse these as well to achieve the same high.” We are seeing a lot more people using heroin as an If your loved one is abusing her- oin, prescription drugs or another alternative to using pills when they cannot get their illicit substance, visit http://ag.ky. gov/rxabuse or http://odcp.ky.gov normal prescriptions...” to find important information and resources. Parents can also call a toll- – Jay Tomlian, a licensed clinical free Help line at 1-855-DRUGFREE (1-855-378-4373). social worker with the Alternatives Counseling in Danville