Family Guidance Center

~ is Htn.

I

Substance Abuse - Family Suppon - Anger Management

120 NOM Third Street· lronlon, OH 45638

Phone: (740) 414·2245· Fu:: (740) 532-0557

Programs Available ADD and Sulnt"11« Abu .. Trrarmml - Overcome dependency on opiate. Monday (2 years+) IO:ooam & 5:00pm, n.e$day !0:00am & 5:00pm,

Wedne:;day 5:00pm, Thur:;day !0:00am & 5:00pm, Friday 3:00pm.

New Btginnings - ESlablish and maintain a drug and alcohol free lifestyle. Wednc5<layall:OOpm.

Anger Manag .......... ' - Develop sefl-«>nlroi skills and learn to d"a/ with anger in a productive manner.

Auntring - Improve understanding of developmental issues and appropriate discipline I«hniques for all ages. Seven-week dass thaI rne<:ts once po:'r week

for two hours. Individual Parenting Classes.

Women's Empow"""tJIl - Meet with women 18 years and older (0 help overcome pa5llrauma. Wednesday IO:OOam.12:noon.

F.o:mily Suppurt· Develop skills to maintain and strengthen the family unit. In.home training in parenting skills, budgeting. housekeeping, hygiene, etc.

________________________ www.T.iSUteHealthandWe ll ness .com ______________________ _

Digestive Trouble?

DON'T SUFFER IN SILENCE

Digestive diseases aren't always pleasant to

talk about ... but they arc more common than you might think! King's Daughters provides

compassionate, effective treatment of digestive

disorders including:

• Abdominal Pain • Divert iculitisl

• Celiac Disease Diverticulosis

Chronic Constipation! • Gl Cancers • Diarrhea • IBSIIBD

• Crohn's Disease • Pancreatitis

• CERD • Ulcers

Rojkum.1t W .. ,..,., 1.1 ,0

KDMS . Gastroenterology Medical Plaza A • 617 23rd 5t., Suite 425 • Ashland, KY

(606)327-1760

..... Unty,M,Q

Tri-State Digestive Disease Associates Medic,,1 Plaza A 617 23rd St., Suite 11 Ashland, Ky_

(606)324-3188

KING'S DAUGHTERS

kdmc.com

___________________ www.Tr iSut .. HealthandW .. ll n ..... com __________________ _

DR . BRIAN K. BAILEY

:\ccepting \t'\\ Patients. Self-Pay :\{'('cpled

\\illk -Ins \\l'lroIlW • . ·\crept -\11 Insurancl'

\"0 Rdl'rrals \('t'ded

324-FOOT (324-3668) :;00 14th SI, Ashland, KY --lltO[

o YES I want to subscribe to Tri-State Health & Wcllncss l\1agal inc for SIS/year - 12 Issues

Payments By Crt.-dit Card:O Amcx O Visa O Mastcr Qoiscon:r Credit Card Number: ................................................................. . Card Holder"s Name: .............................................................. . Card Exp. Dale: ......... (Month) ............ ( year) CSC: ............ . BiliingAddress: ................. ........... . ......................... . City: .................................... Slall': ......... Zip: ...................... ..

I authorize one lime charge of$15 subscription fcc to my crt."<lit card provided herein.

AuthoriZ<."<I signature: .................................................... .

By Chl"Ck Make check IXIyablc 10 "'Tri·Slall' Health and Wellness Magazine"

Shipping Addn:ss: D Same as credit card billing address Name: . Address: .. City: .................................... Slale: ......... Zip: ... .

"In Touch With Your Healthl" 5 ..... 1,,, Indud~,

FREE Spinal S<fHnlng • • rm . .. i_ f<dJu.tlng THhn iquo On·Sit. X.Ray .l(In ... io"'.,.. Th."jMU, k Ma~ Sy~y lMfapeutk Systom • • Pllysiot .... 'apy

ExpertWtt"... •• 5PG<H & School I'Io\"kal E>:am.

Dr: Jason A Moore 900 20th Street HlJ/ltrngtOll,1NV 25703 TeJep~; )04·52)·7891 Fax 800-765-7~97

drmoore@HCAICcom

Drug 5<fft'nlngs ' Prod""" and moro_

We aim 10 ~uc.te.,.,. pal~1< about ChilO­p!octlc.nd Ollie< natu,.1 ~uijon. to common h8llh~. '" ord., 10 moIN.!. you 10 toke . more KIille and ,.,,~>ibIe role in

"'''<King...-..J ..,..>ntoiniflg )'01>' own heohh ., wdI ... , .... ~ ~n<I )'01>.

Vis;t 1,I$.t: www.HCAIC.(om

SUBSCRIBE o TRI-STATE

Please mail if to

AdVice Media 1533 Eagle I)rh'e i\lol"l'hcad, KY 40351

MAGAZINE

www.TriSut .. HealthandW .. ll n ..... com

Contents May2015 6 Naliooal Hospital Week: Count on Kilg's Daughters ... Now and in the Futu:e

8 Summer is the Season fcr """'"

9 Is Your Pan Relieved While U~ng the Affected Joint?

1 0 Good for the BocIy. Good for the Brain Exen::ise Improves Cogn~ive FUlCIiOn

1 2 Ost~s101 1 3 Unraveling the My$tetY ol lhe Bmin

1 4 Do Yru Have Cataracts?

15 Whf_

1 6 C<>onoocopy ""'''''' CoIorectai Cancer Risk

1 9 Does Your Back Ache?

20 Ar1hlilis in Feet

21 Financial Aid

2 4 Do You, or Someon You Love, Need Assistance with Managing Ivlger?

26 Skin Cancer OM with KDMS Cancer Specialists

27 Knock Knock Who's There? Knee! Knee VVho! Knee'd You Ask!

28 Keep Kids on Track with A Supert1ero &Jmmer

30 You Don" Have to Give In to Hair Loss

3 1 Spiritual W ellness Gimy Gave OJt, but She Neve!" Gave Up

c<:,,~TR>-$1AT£ HEol.THl W£\.LNEss ...... 7(0'5. .. ow- _ . _ ..... __ ..... --- .. _"' .. .... -- ........... ....-. ---_ ..... _ ....... _ ... _drn>-S"JAn; ....... 11<' WEllHESS_' __ . 1RJ.

STATE ....... THlWEWE$S_l ___ ........ _ .... d,"''''''_''''' _ ... .. __ ""-$l.T£oE.W.Tl< l lYElW£SS_ l __ ...... __ ...

...... _ ... _ .. _.. • ..... _ ThO .... "_ . .. TRl-STATEHEAlTH~WH1HESS

_5 ___ ""'''_''._''' __ ~ot _

ASHLAND

l/VWW,momingpointe.com

SECURITY I DIGNITY

Senior Living &' Alihein,." M~n;;ry Care

PEACE of MIND

Written infonnation ~lating 10 this community or facility's

services and policies is available upon request.

_____________________ www.T'iSUteHe ~ lt h~ndWe ll ness _ com ____________________ _

6 Hulth 8. Wellnen Ma~ 201 S - T'i -State Edition

NATIONAL HOSPITAL WEEK • MAY 1 0 - 1 6

Count on King's Daughters ...

now and in the future A hosPital is more than a place where people go to heal, it is a part of the community

that fosters health and represents hope. From providing treatment and comfort

to the sick, to welcoming new life into the world, hospitals are central to a healthy and

optimistic community.

lhe roots of King's Daughters in the community are deep' the hospital was founded in 1899 by a group of women under the auspices of the International Order of King's Daughters and Sons with the wholehearted support of the medical community.

for more than 116 years. King's Daughtcrs has sen'ed the healthcare needs of the community. growing and evolving as the comnmnity has changed. In recognition of National Hospi ta l Week. May 10-16, King's Daughters salutes its medical staff, team members and partners who Ii"e our mission each and evcry day,

~'Ihere is a fundamental transformation under way in both the way heahhcare is dcli"ered and how it is paid for,~ said CEO Kristie Whitlatch. ~Hospitals arc no longer responsible for just caring

for the sick. lhey must now promote healthy lifestyles and intervene early to forestall poor hea lth,~ she said.

lhese new responsibilities are not something a hospital can do on its own, Partnerships and affiliations are critical. She pointed to two affiliations announced o"er the past year of examples orhow things arc evolving,

"lhc Cleveland Clinic affiliation is a good example of how we can Ie,-erage our skills and expertise while tapping into the knowledge of a world-renowned hospital to dri'-e better care and improve population hcalth,~ she said. Also, a partnership with the University of Kentucky's Markey Cancer Center allows King's Daughters to bring

___________________ www.T'iSUteHealthandWe ll ness _com __________________ _

cUlling-edge cancer research to the people of this region. making the cancer journey more comfortable and convenienl for patients and families. she noted.

Partnerships. coalitions and affil iations help King's Daughters:

• Creale a patienl and family-centered system responsive to those il serves

• Drive fundamental change in how we deliver care

• Better coordinale care among patienlS. families and providers

• Educate and support patients and families making difficult decisions

• Usc healthcare dollars wisely

• Impro"e patient experiences and health outcomes

Over the coming months and years, King's Daughters will focus on six key areas:

• Forming a comprehensive primary care network. Primary care is the cornerstone upon which all hcalthcare is built and the best specialists and advanced technology arc of little use if people cannot gain access to the most fundamental of healthcarc services.

Tri-State Editi"n - May 201 S Health & WeUne» 7

and care providers and nurse-managed telephone triage is a reality. 'Ihroughout the coming year. we will be further integrating scheduling our physician practices through the access center.

• Investing in helping those with chronic diseases such as diabetes. heart failure and COPD better manage their disease by providing highly personalized care, ease of access and knowledgeable advice.

• Integrating all parts of the heallhcare delivery system through the Electronic Heallh Record. Our EHR ensures that your medical records are available to your heaJthcare providers throughoul Ihe King's Daughters system, whether you arc seeing a physician in Ihe office, at the Urgenl Care, in the Emergency Department or during a hospital admission. Our EHR allows you to sec and review your own medical r<xord, any time of the daj' or nighl. through a secure Inlernet connection.

• Controlling costs

• Building a flexible workforce able to deli,-er quality care in a variety of settings based upon customer needs and preferences.

"We are experiencing a pivotal and transformative moment in healthcare,n Whitlatch said. "But we arc excited and optimistic

• Crealing an accessible, responsive access cenler. Already. our about the new challenges and opportunities to fulfill our access cenler is providing hundreds of people wilh quick, commitment to deliver world-class healthcare - and wdlness - to seamless and CO""('nient access to King's Daughters physicians our friends, famil ies and neighbors throughout the tri ·state.~

_____________________ www.T'iSUteHealthandWe ll ness_c"m ____________________ _

8 He~llh '" Well",," May 201 S . Tri·State Edition

Summer is the Season for Braces T he first day of summer isjust around the

bend, bringing with it a glorious season full of lazy days. barheques and endless

sunshinc . But in addition to all that summer fun, parents may also want to consider scheduling an onhodonties exam for their kids - and gelling a head stan on belleT oral health.

When it comes to onhodontics for children, Summer is by far the mOSt convenient time of year to begin treatment. Free from the complications of school year scheduling and extracurricular activi· tics. kids can complete up to a quaner of their treatment time before school stans in the fall -and begin the new year well on their way to straighter. healthier teeth

Kids of any age may be eligible for braces: but as noted in previous anicles. we believe that children around the age of seven arc at an ideal developmen. tal stage for evaluation. Parents can get kids started with a complimcntal)' consultation. during which an onhodontist will assess the child·s teeth and detcnnine whether 01" not braces arc recommended.

By beginning onhodontic treatment for their kids during the summer months, parents can avoid a host of scheduling hassles. and also give their children plenty of time to get used to their braces before going back into a classroont environment. Although braces are much mOre subtle and com· fonable loday than in years past, patients of all ages may still be apprehensive about appearances during treatment . At Stansbul)' Onhodontics, We can provide prospective patients wilh an appli· ance model so they can see what the braces will look like on theirtceth. In addition. we offer fast. track programs for shoner trealment periods - SO

patients can get their braces on and off as quickly as possible .

STANSBURY ORTHODONTICS

c. M_t Stansbu,y, P .s.c. 2 179 Caner A""., ruhland , KY 41 10 1

(606) 329-9702

Get ahud of oral health proble ms: schedule an appointment with Dr. Stansbul)' today at 606·329·9702.

If you believe your child may be a candidate for onhodonlic treatment . cOntact our office today to schedule a complimentary first appointment. Our sunny smile spttialisls provide the best in friendly. skillful and affordable onhodontic care, and we will work with you and your child to ensure an effcclive and realistic treatment plan to suit your individual needs.

Happy summer to all our neighbors: we look forward to seeing you SOOn.

Dr. Michael Stansbury

, \,

'~I ,

WHEN TOSEE AN OATHODONn ST If you recognize any of these

s'gns '" )'O\Ir child or yourself, it might be time to schedul e a consultation with an onhodontisl.

• Early or late loss of baby tccth • Difficulty chewing or biting • Mouth breathing • Sucking the thumb 0<" fingCTS. 0<" Other oral habits • Crowded, misplaced Or blockcd-<>utteeth • Jaws that shift, make sounds, pTOlrude 01"

arc recessed

• S~h difficullY • Biling the cheek or biting into the roof of

the mouth

• Protroding ICCth • Teelh that meet in an abnormal way orOOn·,

meel at all

• Facial imbalance or asymmetl)' (fcalUrcs OUI of propon,OII to the rest of the face)

• Grinding or clenching of teeth • Inability to comfonably dose lips

To schedule an appointment with Dr. Stansbury. call 606-329·9702 today. Bring your family to ours, we look forward to seeing you soon!

_______________________ . www.T'iSUteHe~tth~ndWe ll ness . eom ______________________ _

Tri-SUte EditiDn - May 201 S Health" Wellne» 9

Is your pain relieved while using the affected joint?

If SO, you may have Psoriatic Arthritis. laura C. Reese, D.O. Boord ~, '" ~ "POdi< &..goon

Are you """' the morning alter a round Df gDlf? Does the pain subside when )'OU

exercise Dr play gDlfogain? If so, you ma)' h.a,'e Ibe same disease as tWD million OIher Amtricans, including a top rated professiDnal gDlf"'" psoriatic arthritis. a condition in which the bDdys immune system attacks healthy cells and ti"uc:, ca~'ing inflam­m, .. ion and pain in the joints and tendons, It's Dilen mis­diagnosed as tendonitis (inflammation Df the tendons around a jDint) and shouldn't be confused with DSU:Qar­

thrilis (damage ID the cartilage in ioints from Dveruse). With psoriatic arthrilis, the tendons. iDint and cartilage might be normal, but the tissue around the jDint is inflamed. You're uncomfonable when resting, but when the iDiots are used again, the pain goes away.

There's 00 denying that psoriatic arthritis is a challenge. But you don~ havc 1D let it become a roodblock. Here are some strategies ID help you take back your life!

Exe rcl lt! Exereise can make a big difference in your quality Df life with psoriatic anhrili •. MDvement keeps your jDints and tendons loose and limber, and helps mluce lhe inflammaliD" and pain Df psoriatic anhritis. Building up yDur museles decrease, the workload Dn your iDint.,

It's nDI uocomrrKl1l for people with psorialic aMbrili, 'D dcvelDP cD"u:"bidities such as cardiDvascular disea,e. diabetes and Cmhn'. disease . Exercise--­anything tha, getS yDur hean pumping and YDur jDiotS "",ving---<an help YDU IDwer ,he ri,k of devel<>ping a comDrbid CDnditiDn

Whttt you st1 out on an exerei", program, you don~ havc 10 aim for Olympic gDld. If you were active before you had psoriatic arthritis, try ID maintain a regimen as close 10 your old """",,I as possible. If you've been inactive, stArt small. In gtner'31. people with psoriatic arthritis can enjDy the following activi,ies:

1I'''lki~g is an excellen, exercise chDice; it builds strwgth and maintains iDint fluibility. Try walking in 'hDn bursts, .. y 10 minutes each. Build to half an hDur, then a full hDur. Break up yDur w.,,-kDut 'hroughout the day. A gradual approach will help prevent injuries and mAke ile",icr 'D start a new habit (and keep that habi' gDing).

C,.cli~g-oo'h indoor and outdoor-i •• good. IDw­impact <>p'ion. Pay c1<>Se attentiDn ID proper bike fi , and pedaling technique.

Y<>g" can relieve pain, relax stiff muscles and ease sore iDint • . Yoga uses cDntrolled movements. stretches and deep-breathing relaxatiDn. all Dr which helps improve YDur range Dr mD,iDn.

S .... ",,,,iltg or Wlnn-water exercise builds strength. eases stiff joints and relaxes """' muscles, Wa'er helps support your bDdy while you mo"e your joinl£

Tlli chi i. a gentle manial ans exercise wi,h origins in ancient China. While perfo""ing nuid and flowing circular mDvemems. you can relax, maint.in mobility and work on nutge or ""'tiD".

Wltichever exercises you choose. yD~r muscles will wDrk extra hard at the begiMing. Aller ex"",ising YDU might experience SDrene". You might ha,.., a hard time cooling doW1l. YDU might fccl worse 'he nex' day. This i. your bDdy 'elling yDU to ease up' The DJ)positc can also happen. As soon as any type of activity becomes less than challenging, it' ... fe tD assume your bDdy has adapted and that ifs lime fDr a ncw chal. lenge. Listen tD your bDdy to help you learn aoout the types Df ac'ivities ,hat tend tD induce pain.

Martaglng Pain The inflammali"" caused by psDriatie anhritis Can have short-te"" effects ,uch .s pain and swclling. Innamma_ I;D" can al'" cause long-'enn damage tD your jDint<. Sues •. is another aggravator, The combina,i"" of innammatiDn

and SlresS can make yDu even ""'''' sensili,.., tD pain,

YO" might nD' be able 10 banish stress fmm your life. but there are 'hings you can do tD manage the pain i, causes.

Ashland Orthopedic Associates, P,S,C, 606-833-5505

700 St. Ctvistopholr ~ MecicaI Office 8t.ting 3, SUle 200, Ashland, KY

NSAIO$ An NSA II) i. a nonS'eroidal anti.inflammaIDI)' drug. NSA II)s include D"e-r-the-counle-r med. such as aspirin and ibuprofen • • well as prescriptiDn producl$. n.ese dOlgS help tD decrease innammation. jDin' pain and .. iffneSll. They can al", make it e",ier fD' YOU'D "",ve. Tal k to yD\U" dociDr about NSA!Os. their inter. acli""s with Dther lreatments for psDriatic anhri'is. and their PDssible side effect.

A doct'" considers stronger medications when NSAII)s and aspirin fall shDrt in their resull$.

As with all t",a,ment DptiDn., always consolt wi,h your doctor aooot the risks Df taking 'hese drugs and the p<:IS$ible shDrt- and I""g.term . ide effe<:ts.

Reducing your senslt!vlty to pII!n When the pain Df psDriatic arthriti. is severe or when il docs nOi gD away wilh 'radi'iDnal psoriatic arthritis t",atmentS. yDU may want tD tal k 10 your doctor aoout medication ,hat helps reduce your sensitivity ID pain

P",scripliDn pain medications such as Gabapentin and P"'gabalin a", used to treat ncurological pain. Ce-nain an,i-depres .. nt. called nDT:ldrcnergie and specific serotDnergie. (NaSSAs) can ",duce your sensitivity ID pain as well. Cap .. icin. a compound found in chili peppers. has a numbing effect on pain rcce-pIDrs. Applying a local anesthelic like prilocaine can help minimi,.. the initial buming sen .. tiDn Df capsaicin.

J)oclDrs will ",melime. preseribe • combinatiDn of drugs. CDrtiSOT\C injections inlD "'''' jDintS can help ",heve pain . SurgeI)' may be called f.,,- in the rare cases Df unmanageable pain or 10 .. of jDin' function.

Warm water soaks and awlying heat 1D jDintS gives pain relieflD many patient • . y"", doctor may ask you to Itt a phy1ical therapist ID maximitt the strength and mobility of your jDinl$. Stress docs make your .ymptoms worse. '" your doctor may encourage you to exercise and find ways ID reduce the stress of your daily life.

Your pSOriatic anhritis will not gD away. Hut the'" are many treatment Dption, . TDgether. you and your dOCIDr should be able to find t",atmen' thai will work for yoo.

________________________ www.TriSUteHea lth a ndWe ll ness .• Dm ______________________ _

10 Hulth " Wellness May 201 S - lri·$tate Edition

Good for the Body, Good for the Brain Exercise Improves Cognitive Function

Exercise has many known benefits. including reducing the risk of cardiovascular disease and

diabetes, strengthening the bones and museles and reducing stress.

It also appears that regular physical activity benefits the brain. Studies show that people who arc physically active are less likely to experience a dct:linc in their mental function and have a lowered risk of developingAlzhcimer's disease.

Exercising severOillI times 0ilI week for 30 to 60 minutes may:

- Keep thinking, reasoning and learning skills sharp for healthy individuals

• Improve memory, reasoning, judgment and thinking skills (cognitive function) for people wilh mild Alzheimer's disease or mild C()gnitive impainnent

• Delay the start of Alzheimer's for people at risk of developing the disease or slow the progress of the disease

Physical activity seems to help the brain nOl only by keeping your blood flowing but also by increasing chemi­cals that protect the brain. Physical activity also tends to counter some of the natural reduction in brain connec­tiolls that occurs with aging.

Other studies have concluded that regular exereise increases bone strength, controls weight gain, and keeps diabetes in check. Active seniors are beneT able to take care of themselvC$, perfonn common household tasks, and remain mentally sharp.

_____________________ www.TriSUteHealthandWe ll ness_com ____________________ _

Tri-$t3te Edition - "'3~ 2015 Health & Wellnen 11

Recognizing thc numerous menial and heahh benefits of exercise for seniors, Wanda Parker, Executive Di=10r at Morning Pointe, promotes the on-site fitness classes taught by certified instructors that teach safe and effective age appmpriate exercises_ "We are happy to partner with the YMCA here in Ashland and pmvide Silver Sneaker Exercise classes in Our facility every Monday and Wednesday_" The Morning Pointe team encourages everyone 6S and over to become and sta~ physically active.

Having ..... orked wilh seniors living wilh dementia, Wanda explains, "People with Alzheimer's Disease or Dementia commonly have a higher level of restlessness or agitation atlhc end ofthc day, which experts have labeled sundownjng. This increased state of agilation, aclivity, and

negative behaviors is associated wilh high levels of fatigue and tiredness later in the day_ There­fore our exercise classes are scheduled for an earlier time in the day, when the person's agita_ tion level is usually at its lowest and mental cog­nition is al its highest."

Don't let your age or dementia StOP you from being physically active, instead let il be Ihe reason you gel moving evcry day!

(606) 833-1120 www. m orningp<l intc.com

________________________ w ww.T'iSUteHealthandWe ll ness _com ______________________ _

12 Hul th &. Wellness May lOI S - Tri-State Edition

Osteoporosis 101 O sleoporosis involves a gradual loss of

calcium, as well as Siruetural changes, causing bones 10 become thinner, more

fragile and more likely 10 break. II can al i;<) occur when Ihe body loses bone fasler Ihan il can be replaced. OSleoporosis results in more than one million hip. spine and wris! fractul"<'S annually. This dii;<)rder aITecls nearly one-half of all post­

menopausal women. the largesl group al risk for osteoporosis. Annually. women suITer more frac­lUres due to oSleoporosis than they do hean at1acks, slrokes and cases of breasl CanCer combined.

DEXA (Dual Energy X-ray Ai>sorpliomelry) is Ihe most commonly used leSI for measuring bone mineral dcnsily. [t is one of the most accurate ways to diagnose osteoporosis . DEXA scans (also called bone densily tesls) eva[uale Ihe slrenglh of

your bones by measuring a small pan of One or a few bones. Knowing the strength of your bones ean help your doctor recommend prevemion Sleps and oSleoporosis medication, ifnccded, 10 prevenl bone loss and fraclul"<'s. The DEXA teSI can also assess an individual's risk for developing fractures. The risk of fraclure is aITeclcd by age, body weight, hislory of prior fraclure, family hislory of osteoporolie fractures and life sly[e issues such as cigarene smoking and excessive alcohol consump­tion. These faclors are laken into consideralion whcn dClennining Ihe proper Ircalment plan for pa!ients. A OEXA scan is recommended every one to two years 10 measure changes in bone densily.

The National Osteoporosis Foundation recommends bone density testing if you:

• are a post·menopausa[ woman and no! taking cslrogen.

• have a perwnal or maternal history ofhip fracture or smoking.

• arc a posI'menopausal woman who is tall (over 5 feet 7 inches) or thin (less than 125 pounds).

• arc a man with clinical conditions associated with bone loss.

• uSC medical ions thm are known to cause bone loss. including oonioosteroids sueh as Predni_ sone. various anli·seizure medications sueh as Dilantin and cenain barbiturates. Or high..:losc thyroid replacement drugs.

• have type 1 (fonnerly callcdjuvenile Or insulin­dcpendenl) diabetes, liver disease. kidney disease or a family history of osteoporosis.

• have high bone turnover, which shows up in the fonn of excessive collagen in urine samplcs.

~t'ON SECOURS KENTUCKY HEALTH SYST£M

OlBH Women's Center Bellefonte Centre I 1000Ashland Driw

606-836-PINK

• have a Ihyroid condition. such as hyper­thyroidism.

• have experienced a fracture after only mild trauma.

• have had x-ray evidence of venebral fracture or o!her signs of ostcoporosis.

OLflH's OEXA sean itlenlifies the density of bones to detennine risk for osleoporosis. fractures and broken bones. The process is quick (approximately 5 minules)and painless. Are your bones frngile? Could it be time for you 10 have a bone density test?

OLBI! oITe~ a full range of services to help ease thc risks of ostwporosis and to diagnose and treat the disease. For infonnation on osteoporosis and how to receive a DEXA-scan, contact the OLBH Womcn's Center at (606) 836-PINK.

_______________________ . www.TriSUteHeatth~ndWe ll ness.com ______________________ _

Trl-State Edition· May 201 S Health" WelineN 13

UNRAVELING THE MYSTERY OF THE BRAIN Everyth ing we do, think, know, believe,

hope for, remember. sense, and feel ,s contained in a three· pound organ

encased within a bony tompartment called the skull.

The brain is an amazing thing .. . and yet mO'it people know very little .bout it.

The brain has three major parts - the cerebrum, ceretJelium and brain stem. The cerebrum is the largest part of your brain. It sits at the top and is responsible for the higher functions suth as memory. problem solving, thinking and feeling. It also controls fine move· ments and your senses (hearing, smelling, seeing, touch, pain perteption). The cerebrum is divided into a right and a left hemisphere. with the right hemisphere responsible for func· tions on the opposite side of the body.

The cerebellum sits at the back of the head. underneath the cerebrum. Among other things, the cerebellum is responsible for contro lling coordination and balance.

The third major structure is the brain stem, which sits beneath the cerebrum, in front of the cerebellum. It connects the brain to the spinal cord and is responsible for life-sustaining func· tions including breathing, digestion, heart rate, body temperature, blood pressure and so on.

Brain tumor facts and stats While the brain may be the command center for everything that goes on in the body, it too is susceptible to disease. One of the most devas· tating of these is brain tumor.

Nearly 70,000 new cases of primary brain tumors will be diagnosed this year, according to the American cancer Society and 14,000 people will lose their battle with a brain tumor. Brain tumors are the s«ond-Ieading cause of cancer·related death in men age 20 to 39 and the fifth· leading cause of cancer·related death in women age 20 to 39.

Some brain tumors grow slowly and may become quite large before caUSing symptoms. Others may grow quickly and cause a sudden onset of symptoms, which include:

• Headaches

• Seizures

• loss of sensory and motor tontrol

• Blood clots/DVT

• Hearing/vision loss

• Fatigue

• Depression • Changes in behavior and thinking

• Hormonal imbalantes

There are mOre than 120 different types of brain tumors, which are claSsified by the types of cells within the tumor. The main types include:

Meningiomas represent 34 percent of all primary brain tumors, making them the most common primary brain tumor. They are found in the meninges, the layers 01 tissue tovering the brain.

Gliomas include all tumors arising from the gluey or supportive tissue of the brain and represent 30 percent of al l brain tumors and 80 percent of all malignant tumors.

Glioblastomas represent 17 pertent of all primary brain tumors, and S4 percent of all gliomas.

Pituitary tumors represent 13 percent of all primary brain tumors.

Treatinl brain tumors Bra in tumors are treated differently depending upon type. location. growth rate and symptoms. The five standard types of treatment include watChful waiting, surgery, ra diation therapy, che· motherapy and targeted therapy.

King's Daughters Center for Advanced Neuro­Medicine provides treatment lor a wide range 01 brain tumOfS and cancers. Surgical care is provided by neurosurgeon Ondrej (houtk.a, M.D.

Or. Choutk.a earned his medical degre<! at the University of OxfOfd Medical School in Oxford, EnglaN:! and completed resideno:y at the Univer· sity of Cincinnati . His neurosurgical fellowsh ip was completed at The Christ Hospital, Oncinnati . He also completed advanced training in cerebro­vascular surgery at the University of Cincinnati Department of Neurosurgery.

Or. Choutk.a specializes in treating brain tumors of al l types including meningioma, glioblastoma (both malignant and benign), pituitary tumors. acoustic neuroma, astrocytoma. skul l base surgery and treatment of head and neck cancers.

Or. Choutka welcomes second·opinion consults and new patients. For mOre information, please contact the office at (606) 329·1770

NeurOS\lrgeon Ondrej (holrtkio, M.D., specializes in the surgical treatment of neurological disorders aN:! disease, including cerebral aneurysm, skull base

surgery, arterial venous malformation, brain tumors, trigeminal neuralgia, peripheral nerves, stroke aN:! Mayamaya disease. His office can be reached by o:all ing (606) 329·1770.

KING'S DAUGHTERS

KOMS Neurosurgery I MedICal Plaza A, 617 23rd St., Suite 6 I Ash land, Ky. I (606) 329-1770

_______________________ . www.TriSUteHealthandWe ll ~ess_COm ______________________ _

14 Hulth " Wellness May 201 S - Tri·State Edition

C alaracts cause the lens oflhe eye 10 bcromc cloudy. AI firsl they may not affe.:1 your vision al all,

bUI as Ihey be<:ome larger your vision will bcromc increasingly blurred - it will be likc looking Ihrough frosled glass allihe lime­until eventually you may lose all your func­lional vision in your affocled eyc(s).

You may also notice olher symploms in addilion 10 the blurring of your vision. Calaracts can make sunlight or lamplight appear too bright or glaring. Oncoming headlights when you arc driving at night can be anOlher problem as Ihey may cause more glare than Ihey did before. You mighl also find Ihal colors do nOI seem as brighl as Ihey once did .

c.......H .............. _c."'- ....

TRI STATE

2841 Lexington Ave. Ashland, KY

(606) 324-2451 Carter H. Gussler, MD

John C. Gross, MD We ~ke appointments by ~fe"al only.

_____________________ www.TriSUteHealthandWe ll ness.com ____________________ _

Tri-State Editi,," - May 201 S Health & Wellne» 15

HIP Dr. Jason A. Moore, HuntingtOll Chiropractic Accident & Injury Clinic

w hiplash is a generi, tem> applied to injuries "fthe ned caused when the neck is suddenly andlor violently

jo lted in one direction and then another, creating a whip-like movement Whiplash is moSt COm­monly seen in people invo lved in motor vehiele accidcnts. bul il Can also OCCur from falls. sporn injuries. work injuries, and Olher inddents.

Wh.t stru«ures ... Injured in • whipl.sh? Whiplash injuries mOSt oflen resull ;n sprain­stra;n of the ned. The ligaments that help suppon. protecl. and restrict cxccssivc movcmenl oflhe venebrae = 10m, whieh is called a sprain. The joints in the back of the spine. called the faCel joinlS, are covered by ligamems called facel capsules, which sccm to be panieularly suscep­tible to whiplash injury.

In addition. the muscles and tendons = strained­slretehed beyond Iheir nonnal limilS, The dises between the vertebrae, which arc essentially liga· ments. can be 10m. potentially causing a disc her­nialion. The ncrve TOOlS bet",een the vertebrae may also be stretched and bewme inflamed. Even though il is very rare. vertebrae can be fractured and/or dislocated in a whiplash injury,

What .r. the common signs .nd s)'mptoms of whiplash? The most common syn'ptoms of whiplash arc pain and sliffness in Ihe neck. Thesc symploms = generally found in the areas that are "whip­lashed." For example, during a whiplash. firsllhe head is lifted up from the uppcr-<:crvical spine. This ereales a sprainlslrain in Ihe region jusl below the skull, where symploms usually occur. Symptoms may also commonly be secn in lhe fronl and back of the neck. Turning the head often makes Ihe pain and discomfort worse.

Headache. especially at the base of Ihe skull. is also a COmmOn symptom. secn in mOre than twO thirds of patients. Thesc headaches may be one­s ided (uni lateral) Or experienced On both sides

(bilateral). In addition, Ihe pain and stiffness may extend down into Ihe shoulders and anns, upper back, and even the upper chest .

In addil;on 10 the musculoskeletal symptoms. somc patienlS also experience dizziness , difficulty swal­lowing. nausea. and even blurred vision after a wh iplash injury. While Ihesc symptoms are discon­certing, in most cases. they disappear within a rela­tively short time, If they persist, il is very imponant to infonn your doctor Ihat they are not resolving. Vert igo (the sensation of the TOOm spinning) and ringing in the ears may also be seen. In addition, some palienls may feci pain in the jaw. Others will even complain of irritability, fatigue, and difficulty concenlraling, These symptoms also resolve quickly in most cases. In rare cases. symptoms can persist for weeks, months, or even years.

Anolher important and interesting aspecl of whiplash is that the signs and symptoms often do nOl develop until 2 to 48 hours after the injury. This scenario is relalively common but nOi completely understood. Some speculate that it may be due 10

delayed muscle soreness, 8 condit ion seen in other circumsumces.

s--c., """"' ........... ..-y. _ _ .... <601C'D-I'J ' OlOtSCop)<>"""_~"' __

HOW IS WHIPLASH TREATED?

s .. ,. .. actI" One of the mo5t Important npecu of whiplash management Is for the pati@flt tO stay active, unless there Is some serious Injury that requires Immobilization. p.tlents should not be afraid to move and be active, within reason. In .ddltlon, )'Our doctor will often preKrlbe an exercise or stretchln9 program. II Is particularly ImportanllO follow tnls program as pre­Krlbed, so that )'Ou can achieve the besl long-term benefits.

Chlropr.«k .... nlpua.tlon.nd phJllatlt ...... py Ice .ndlor heal are often used to help control paln.nd reduce the mUKle spasm that results from whiplash Injuries. Other physic.1 ther.py modalities. such as elec­trical stimulation and/or Ultrnound, ~y provide some short-term relief. They should not, however, replace an active­care progr.m of exercise .nd stretching. Spinal manipulation .nd/or mobiliutlon provided by • chlropnKtor can .Iso give relief In many ca5e5 of neck pain.

Cltn whip ..... 1M p""ntecn Gener.lly spe.klng, whiplash cannot be · prevented: but there .re some things that )'Ou can do while In • motor vehicle that may reduce the ch.nces of a more severe Injury. Always wear restra ints (I.p or shoulder belt), and ensure that the headrest In )'Our vehicle Is .djusted to the appropriate height.

HUNTINGTON CHIROPRACTIC Accident .£ Injury Clinic

Now accepting all new patients! Cl il t"d. y \" ma ke . n appointment

fa. a FREE consulta!i,,". """Intr"duct".y Hou. M ... ag e For $39.119'"

304-523-7891 Visit us at: www.HCAIC.(om

_____________________ www.T' iSUtcHea ltha ndWe ll ness .e"m ____________________ _

16 Hulth &- Wellness May 2015 - Tri-$tate Edition

COLONOSCOPY REDUCES COLORECTAL CANCER RISK C olorectal cancer is the second­

leading cause of cancer death in the United States, Appro .. mately

150,000 individuals are diagnosed with colorectal cancer annually and mOre than 50,000 individuals d ie of this d isease. Colorec­tal cancer is a disease in which mal ignant (cancer) cells form in the inner lining of the

colon Or rectum. Most colon and recta l CanCerS originate from benign wart-like growths on the inner lining 01 the colon or rectum called polyps. Not all polyps have the polentialto

transform inlO cancer. Those that do haw the potential are called adenomas, It takes mOre

than t o years, in most cases. for an adenoma to develop into CanCer. This is why some colon

cancer prevention tests are effective even if done at to-year intervals , For patients wi th

high risk lactors. the to-year interval is too long and more frequent tests are required.

"The best tool we have in the fight against colon

cancer is a screening: said gastroenterologist Cheryl Bascom. M O .. 01 King's Daughters Medical Specialties - Gastroenterology, "If caught early, colon cancer is most often

beatable."

Screening is VITAL to prevention and early detection, Screening means looking for cancer

Or polyps when patients have nO symptoms. Finding colorectal cancer belore symptoms dewlop dramatically improves the chance of survival. Identifying and removing polyps tJefore

they become CanCerOuS actually prevents the dewlopment of colorectal cancer. Refinements in screening, staging and treatment strategies

haw improved survival from this disease, with mOre than 6S percent of patients diagnosed with colorectal cancer surviving more than five years after diagnosis. The number 01 colorectal cancer survivors continues to increase, This

trend is accelerated by the increasing compli­ance to screening and the availability 01 more effective colorectal cancer treatment regimens.

Are YOU at risk for coloreetal cancer? • Ewryone Olle SO ond older - 93 percent of those diagnosed are 50 years old and older. Current recommendations are to begin screen­ing at age 50 if there are no risk factors other than age for colorectal cancers. A person whose only risk lactor is their age is said to be at awrage risk.

• Both men ond women - Men tend to get colorecta l cancer at an earlier age than women, but women liw longer SO they 'catch up' with men and thus the total number of cases in men and women Is equal.

• Anyone with 0 /Omilv history 0/ rolonctol concer · If a person has a history of two or more first-degree rel atives (parent. sibling. or child) wi th rolorectal cancer, or any first-degree rel a­tives diagnosed under age 60. the overall colorecta l cancer risk is three to six times higher than that of the general population. For those with one first-degree relative diagnosed with

colo,ecta l cancer at age 60 or older, there is an

approximate two times greater risk of colon cancer than that observed in the general popu­lation. Special screening programs are used for those with a family history of colorectal cancer. A well-documented family history of adenomas is also an important risk factor.

• Anyone with 0 personol history 0/ rolonctol concl!r or adenomos ot ony Olll!, or cone" r 0/ "ndomd rium (ut"",s} or ovory diollnos"d be/ore oge SO- Persons who have had colorec­

tal cancer or adenomas removed are at increased risk of developing additional adenomas Or cancers. Women diagnosed w ith uterine or ovari an cancer before age SO are at increased risk of colorectal cancer. These groups should be checked by colonoscopy at regular intervals, usually every three to fiw years. Women with a persona l history of breast cancer have only a very slight increase in risk of

colorecta l cancer. ________________________ www.TriSUteHealthandWell ness.com ______________________ _

Bascom said symptoms of colorectal CanCer vary depending on the location of the cancer within the colon Or rectum, though there may be no symptoms at all. The prognosis tends to be wor<;e in symptomatic as compare<! to asymp­tomatic ind ividuals. The most common present­ing symptom of colorecta l cancer is recta l bleeding. Cancers aris ing from the left side of the colon generallv caure bleeding. or in their late stages may caure constipation, abdominal P<lin and obstructive symptoms. On the other hand. right-side<! co lon lesions may produce vague abdominal aching. but are un likely to present with obstruction or altered bowel habit. Other symptoms such as weakness. weight loss or anemia resulting from chronic blood loss may aCCOmP<lnycancer of the right side of the colon. You should promptly see your doctor when you e xperience any of these symptoms.

Even if nO symptoms are present it is strongly rec­ommende<!to be screened every five to 10 year<;. Adenomas can grow for year<; and transform into cancer without producing any symptoms. 8ythe time symptoms develop; it is often too late to cure the cancer. because it may have sprea-d. Screening identifies cancer<; earlier and actually results in cancer prevention when it leads to removal of adenomas (pre-cancerous polyps).

The preferred screening test is a colonoscoPV. The entire colon and rectum can be e xamine<! during a colonoscopy to detect early signs of cancer. The procedure entails taking a very flexible, th in, lighted instrument, and very gently passing it around the entire colon. During the examination doctor<; look for any abnormalities, redness, irritation or polyps, and appropriate meaSureS are taken to determine why the irrita­tion exi sts, Or in fact to remOve the polyps. The

Tri-State

colon is both examine<!, biopsies may be taken if ne<:essary. and the removal of polyps. or smal l groops within the ~on, can be perlorme<!. Sedation is usually ured for comfort during a colo­noscopy but it is not a requirement.

The strategy for redUCing cok>rectal cancer deaths is sim~e. For normal risk individuals, begin colo­noscopy screening at age 50 and repeat the screen­ing every five to 10 years. More frequent screenings should be performed on patients with a high risk of develOjling colorectal cancer. For both average and high risk individuals, all potential pre­cancerOUS polyps must be removed.

Recen~ observations suggest regular use of non_ sterOidal anti-inflammatory drugs or aspirin, reduce the chances of colore<:tal cancer death by 3(}'50 percent. These drugs also have ris~, par­ticularly intestinal blee<!ing, and patients should consult their physician as to whether regular use of these agents is appropria~e. Folate, calcium, and post-menopausal estrogens each have a modest protective benefit against colon cancer. A high fiber (vegetables) and low fat diet, regular exercise, maintenance of norma l hody weight and cessation of smoking are also beneficial. None of the measures is as effe<:tive as or shou ld replace colore<:tal cancer screening.

Dr. Bascom re<:ently joined the King's Daughters Medical Specialties group that also includes gas' troenterologists Arthur Gaing. M.D.; Garfield Gl'3ndison, M.D.; and Rajkumar Warrier, M.D. For more information on colorectal cancer and/or colonoscopy screening please contact their office at (606) 321-1160.

Edition - May 201S Health & WelineN 17 Gosrroenterologists spedoliu in the rreO/ment of diseases and disorders of rhe digestive system, including Crohn's Diseose, Irritoble Bowel Syndrome, coloreC/ol conc!!r, stomoch ulcers,

chronic constipation and diarrhea, GfRD and liver disease.

Che ryl Bascom, M.D., earned her m~dical degree from the Univer.;ityof West Indie. in Jama ica and completed residency and "'l low.hip training at Bronx Lebanon Hospital in New York . She i. Dc>.ard-urtified in gastroenterology.

Arthur Gains, M.D., earned his med ical degr/!/! attl>e Institute of Medicine in Rangoon. Burma and comple~ed his resi­dency a~ M~ . Sinai Hospital and No"h General Hospita ls in New yo ..... His fellowsh ip in gas~roen­

~erology was comple~ed a~ Mt. Sinai/Bronx VA Ho.pi~a l ., also in New York.

Ga rfie ld Gl'3ndlson, M.D., earned his medical degree at the Univer.;ity of tm. West Indies, Jamaica, and completed resi­dency at MiIV<I Clinic, Rochester, Minn. Hi. fellowship training was completed at the Univer.;ity of Kentucky. He i. board certified in gastroenterology.

Raj ku ma r WalTler, M.D., completed medical.chaol at the University of Kera la, India. Hi. internship, residency and fellowship training was com­pleted al C~ 1.land Ho.pital in Brooklyn, N.Y. He is board cer­tified in gastroenterology.

KING'S DAUGHTERS

KOMS Gastroenterology I Medical Plaza A, 617 23rd St., Suite 425 I Ashland, Ky_ I (606) 327·1760

________________________ www.TriSUteHealthandWe ll ness.com ______________________ _

OUR LADY OF BELLEFONTE HOSPITAL 4 Imaging Services Convenient

Locations!

OLBH Imaging Oepartment M./Iin Ho<P<'"

1000 51. C,,""_ Dr ........ _. ~y.

, X,Ray • C1 Scan • MRI ·""""Of Mod~

FREE V ... , ",flUng

OLBH Ashland Imaging Cente,

eo.-.,one H~IPlaza

18'6 Co"or ..... "'_. Ky.

OLBH Imaging Center 6«"'-.",'. c .... ,.

1000 ... _ Dr;"'. "'>IlIon<!. Ky.

. Mo""""",...,... . X·Ro. , ( 1 Sun 'MRI

FREE v ..... f>3fIo:;"g

OLBH I.onton Imaging Center

1005 Eo" R;ng _ ~,,.,""" 01>00

• X·R • •

• (T s.::.... • MRI (Os>or<)

To ocho-dul<l . n . ppoInl ...... 1 .t . n. 100011on, c.n (606) Ill,EXAM (l~26).

One of the Onlr Therapy Centers in the Tri-State to Staff S Doctors of Physical Therapy &

3 Board Certified Orthopedic Clinical Specialists. Many other specialties that can't be found anywhere else ...

I*~~'!£ 1)!!!;l! THERAPY

2400 13th Street , Ashland, KY 411 02 606-329-0910 I www.premierth&rapy4u.com

'A collaborative aRRroach to ~ca/te

_____________________ www.T.iSUteHe~ lt h~ ndWe ll ness . com ____________________ _

Tri·SUte Edition May 2015 HtlaIth.w ....... 19

Does Your Back Ache? By Doullu Deitch, M.D.

I ' you an: o.perirncing low bact pain, you an: 1101 .Ione. An ntima.cd 75 10 85 pcrttm of all Americam will experic:nce lOme form of bact

plin during .heir lifClime. Although low bact plin can be quile debilitating and painful. in about 90 pctttnt of.1I case!;, pain imp""-cs without SU'Kcry. However, SO percem of all patients who suffer from an cpisook of low back pain will hn·c a recurnnt cpisook within one year.

T .... Lum~r Spl.,. 'l"he lumbar ~inc (lower back) consim of five \'cr_

tebrlc: in the """'er pan of the spi~ between the ribs and the pelvis. The bones (vCflcbrlc:) Ihal form Ihe spine in your back arc cushioned by small discs. These discs arc round and flal. with I tOllgh, OIlier layer (lMulus) Ihat surrounds a jdlylike matmal called lhe nu.<;lcus. loc:atcd bet,,-«n eath of your vcrtcbno in the ~inal column. disg at. as shock ~ for the ~inal bones. Thick ligaments .I_1ied 10 the vencbnse hold the pulpy dj",

nutcrial in piau. Of the 31 pairs of JIII ... 1 nervCS and roou, fi\'e lumbar (ll -LS) and fi ,'e sacral (S loSS) nerve pairs conncc\ beginning in the area of yOllr lower back.

Thert" arc numerous c.u.cs of low back pain. with the most common culprits being hl:miated discs. lumbar spinal stenosis, and Ollcoanhritis. A neu, rologist can hl:lp you dcienniM and trt"1! the cause oryour back pain.

D1agnollngYourLow 8Kk Pain Diagnusis is made by • ocurologist based on your hislQry, symptoms, a physical examination and the results of diagnus!ic studics, if n«essary. Some palients m;oy be treated conscrvatively and then undc:f&o imaging studies if medication and physical therapy are inc:ff«ti''e. lbesc lests nuy include:

• Computed Tomography Sean (CT or CAT scan)

, DilCOJlf"phy

' EI«!romyoll"'phy (EMO)

COnHfY.tlw. (NonsurglClI) Tr .. ,m.nt Options Treatmen. options includc physic.l therapy, back exercises. weight red"". ion, s teroid inj«tiofU (epidural Sleroids), nonsteroidal . nti_innunma_ lOry medications, reh.bilitation aDd limited Io<livily. All ofthcsc tre.tment opIions an .imed I! relieving the innunmalion in the back and irrita­lion orne .... e roolS. Physicians usually recommend four 10 six weeks (If conse ..... live therapy before considcring surgery.

If low back pain o<:curs after. recent injury - such IS a car ao;cidcnt, • (all or sports injury - you should call your ncwologlsl immediatciy. If then: an: lIny neurological symptomS, you should ~k medical care Immediately. If there are no neurologi· c.l problems {i.e. numbness. ,,-caI<ncss, bo,,-e] and blidder dysfunction).)'0\1 may benefit by beginning conscrvative lrealm""t at home for two 10 thn:e days, You may la~c anti_;nnammalOry medical ions su<:h IS aspirin or ibuprofen and reslric! strenUO\l$ ICti~ilies (or a (ew days.

If low back pain gelS wone or cIocs not improve after two to three days of home tre'lmC1'It, contact. ncurolosi$l . The physician can c"alUite you and pcrfonn a neurological cum in the office to

, Nc .... 'eConductionStudics(NCS) DOUGLAS DEITCH. M.D.

""'enni~ which ncn'e TOOl is ~ing irritaicd. IS ... ·ell IS rule OU\ 0Ibtt snious nv:dical condilions. If there are clear signs that the """..: TOOl il being com_ pres..:d, your physician can prescribe medications to relic\'c the pain. swelling and inilation; he or she also may recommend lirnit.lion ofactivili~s. lfthcsc !",~uocm oplions do 1\01 provide ",lief within 1"'0

weeks, it may ~ time 10 rontider other diagnus!ic studies and possibly surgery.

wto.n Su,,1'rY1s N~$oIry WIlen conservative lJeaunent for low bact pain docs

not provide relief, surgery nuy be needed. You nuy be. candidare for surgery if:

• !lKk and leg pain limits nonnal aClivi!y or impairs Y0ll1 quality of life

• You de\'el,,!, progressive rM:urological deficits. such IS lei weakness and/or numbness

- You expericro::c loss of nortNl bo ... ·cl and bladder funclions

- You havc difficulty standing or Wilking

• Medication and physical therapy are incffcctive

' You are in reasonably good he.lth

Ir lUlJC1'Y is m:ommendcd. ~ h;a,'e a vlriety of ~ions ,\,.ilable 10 help relie-.·e pressure 00 the "",,'e roots. If then: are ",\'eral ...,.".., roots

and disg causing the pain or ifthe-n: is degeneration and inslability in the spinal t(llumn, the neurosur· geon may oj)! t(l fuse !he vc:rtcbrae IOgether with bone ,,,,n. aDd slabilize the venebrae with insnu­menlllion, including mcul plates, scrt",,'S. rods and cages. A su«cuful fusion will pm'CIlt!be: disc from bulginl or herniating again. Followilll' fllsion pro­cedure •• patient nuy pin rcslOrcd mobility in !be: back, including !be: ability .0 bend o\'ct'. lie or she: will mosl likely ""perience ~ mobility after surgery than before. In addilion, lhe palien! may require pos!opemti\'c physicaltherary.

' Magnetic Re-sonance lmagillJl (M IU) 1450 DI ED ERIC H BLVD. The ~rM:filJ of surgery should always ~ weighed

• Myleograrn RUSSELL KY 41169 carc:fully "'II.inst its risks. Ahhough a Iarg<: pcn:cnt_ .gc of low back pain patients rcpon sil"if.cam pain

• Scl«~ ive Ner.'e Root Block 606-836-5 S6S relief.ftersurgay, thm: is no paranlee that swgery • X-rays will help C\<er)' iDdividual. _____________________ www.TriSUteHeatthandWelinen.com _ ___________________ _

20 Hulth &- Wellness May 201 S - T'i-$tate Edition

Arthritis in Feet By Dr. Brian K. Bailey, Podiatric Physician & Surgeon

A rthritis of the foot is inflammati{)1l and swelling of the synovium. the soft tissue and lining of the joints in the

foot. An increaSl' in the fluid within the joints is usually present as well. One or both feet may be affected. This condition can develop al any age, but is most common in P"Ople overthe age of 50. Arthritis currently affe<:ts almost half of the adult population in the United States. and its preva­lence is increasing:

Although arthritis is a well-known cause of joint pain, arthritis in the foot or feet may not cause symptoms. On the oth« hand. some people with arthritis in the feel be<:ome disabled and unable to walk . Because the feet bear the weight of the body. it is impossible for arthritis sufferers to avoid the foot pain that accompa­nies load-bearing, and for this reason the feet !;cern more susceptible to arthritis than other parts of the body.

Symptoms of ArthritiS In Feet Common symptOmS of arthritis in the feet include joint pain or tenderness, joint stiffness or reduced motion. joint swelling. and difficulty in walking. There are 33 joints in each foot, any of which may be affected. The anatomic areas most commonly affe<:ted by arthritis are: the ankle (the tibiotalar joint). the hindfoot (including the subtalar or talocalcaneal joint, the talonavicular joint. and the calcaneocuboid joint). the midfoot (the metatarsocuneifonn joint). and the great toe (in particular the first metatarsophalangeal joint, which is also where bunions usually develop).

Causes of ArthritiS In Feet Arthritis may develop for a number of reasons and is associated with a variety ofillnesSoeS. The three types of arthritis that most commonly affect the fCl'l are:

Os/eoarthrilis, the most common type of foot arthritis. is a condition in which joint cartilage is damaged as a result of wear and tear that occurs over time. It is also known as degenerative arthri­tis because it progresSl's slowly and the associ­ated pain and stiffness generally WOI'SCO.

Rheumll/oid Ilrlh,ilis is an irritation of the joint lining (the synovium) that results when one·s own immune system attacks and destroys cartilage. This inflammatory disease usually affoxts multiple joints in the body.

POSI_IrIlUmlllic Ilrlh,ilis can develop after an injury to the foot. such as a broken bone. tom ligament. or moderate ankle sprain. It may nOI manifest until years allcr the injury. and may occur regardlcss of whcth« the joint injury was initially treated.

Diagnosing ArthritiS In Feet To diagnosis arthritis. your doctor will ask you a series of questions about your symptoms. such as wh= and whcn the pain began. how ollcn it occurs. and whether it is ,,"'orse at night or when walking. Your doctor will also ask about past injuries to the foot, and what type ofshocs you weM.

After a thorough medical history and physical exami­nation, your doctor may perfonn a gail analysis. which evaluates how you walk, measures stride, and tests the strength of the ankles and feet. Additional tests may include:

X_rays

Bone scans

• Computed tomography (Cn

• Magnetic resonance imaging (MRI)

Arthritis Trf atment A diagnosis of arthritis docs not noxcssarily mean that your quality of life will decrease. By seeking treatment early and taking an active role in the man­agement of your arthritis, you can control the pain and limit damage to your joints. Left untreated. however. anhrilis can eventually lead to foot and ankle dcfotmilics.

A treatment regimen for arthritis in the foot Or fect may include nonsurgical therapies and/or surgery. There are many nonsurgical treatment options. and they are often used in combination with one anoth«. These can be divided into thrtt categories: medical therapy. orthotics. and medications.

Arthritis RiSks and Complications In most cases, arthritis cannot be cured and the disease will continue to progress. Even with the best of treatment. arthritis of the foot and ankk

may continue to cause you pain or require you to limit your activities. Severe disability from

arthritis is rare, however, and usually Seen in persons with rheumatoid anhritis.

Frequent use of anti_inflammatory medications is known to cause gastrointestinal UpSC1. People wilh rheumatoid anhritis arc at higher risk for

complications. such as peripheral neuropathy. infection, and skin or musele problems.

Preventing ArthritiS in Feet Although it may be impossible to prevent arthri_ tis from dcveloping. the conditions that lcad to it can be corrc.;ted. For instance. if you have

osteoanhritis. correcting any faulty mechanics that lead to the joint not moving properly may

prevent further joint damage . Wearing proper footwear Or cuStOm orthotics prescribed by your podiatrist will ensure that the foot and ankle joints are properly aligned. If you have a rheu­matic disease. such as gout. controlling your uric acid kvcl can reduce the incidence of the

associated arthritis.

Or. Brilln 1(. Bailey is II Podialric Ph, .. ici .. n & Surgeon his private pr(lc/ice is located in Ash/and, KY. lie is a/so an Adj .. net Profes­sor of Podilllric Medicin£ & Surgery a/

Pike,-ilfe College of Ol/eopothic Medicine lind a PersonG/ U'n/ness COQch & Fitness Trainer. lie is the AUlhor ofSecnrs 10 Hap­piness, Inn", Peoce Gnd lleollh. Health Unlimited Publishing. 0 1997. Metllboiie Syndrome lOll, Amazon Digital Services, Inc. 0 1011 and Jl/UlrienlS f"r ProSIGle Cllncer Preo-ention Gnd ErlldicGlion, 1015.

BOOY·MtNO·S~I~tT POOtAntC CENTE~. PLLC

u 500 14th Street, Ashland. Kentucky, 41101

Phone (606) 324-FOOT

________________________ www.T.iSUteHeallhandWe ll ness.com ______________________ _

Tri-State EdItion - May 2015 Health & Wellnen 21

FINANCIAL AID

The process of finding moncy for collegc can be very complicated. An Independent College Counselor can assist in directing

families to the best staning place,

# 1 The Free Application fOT Student Aid, belleT known as FAFSA, is this staning place. Once the application is processed you will know e~actly how much money will be available from federal assis­tance programs and grnnts, how much can be borrowed wilh federal loans. and how much will be lhe responsibility of the family, The fA f SA can be filled out starting January 1st of each year. hllps:l/faft(ud.govi

#2 The next step is 10 look for ways to cut college costs , Scholarships may be available. HO'"',ever, you must apply early. Keep trnck of all the impor­tanl dates, Considering the cost of college. no sehol­arship is tOO small. Don't forget to speak with Ihe admission counselor of the sehools where you have been accepted. Ched wilh your high sehool coun­scling office .

Now this is where your Independent College Coun­sclor can help. We can help schedule all these important dates and keep you on track.

#3 Now to figure oul the cost. Check out this simple calculator to get yOU started. hllps:llbigfulUre.coll~g~bourd. o'Klpay-for-<:oll~gd

college-cosrs./coliege-c<nIS-<:aICIIlalor

We can help here also. Your dream sehool may not Seem affordable, but we may help you figure out ways to save money and still realize your dream. We can also help you look at some other options you may not have considered.

#4 Make sure that you take the ACT III your junior year - sophomore year might be even bel1er - many scholarships depend on getting a great senre. Score is not terrific? 1bcre an: lots of opponunities both online and in-person to improve. Cheek out your local public library for study books and f= mlnl.coul"SCS. Lots of websites can also help. Some may have a small COSt. but can really help. hllp://K ... ",aclSlUdcnt.org!leslprr:P!

#5 Finally, make sure that your high sehool grades are lhe very best Take the toughest classcs. Do well in high school. Scholarships are based on grades.

The College Plan IS36 Wi nchester A'·e. Sul le 211 A. hland , KY

4 11 01 ww ...... lheeollegcplan .net t h ""ollcgcp I a n $ 0 u tlook.co m

"""'''' . TriState II calt ha n dWc II ncs •. C<) m

The COLLEGE PLAN Helping students and families to navigate the college selection process.

Interest Inventories & Personality AssessmentS Leadership Skill Management School & Community Involvement Summer Internships Application & Essay Writing Scholarships & Financial Aid

Carolyn Shelton, College Plan Consultant, (606)- 83 1- S4S2 Carolyn is an experienced elc­mentary, middle, and high sehool

guidanee counselor. Shc has helped many studentS with the difficult and confusing process of application and selection of college and seholarships. Her many contactS in higher educalion are valuable as studentS search for the besl choice for their future education. Some of the awards she has received as .... ·ell as her credentials an: as follows: B,A. Lincoln Memorial Universily. M.ED and Rank I Morehead Slale University - Guidancc Coun· seling Berea College Counselor Community leadership Award 2014 Eastern Kentucky Counseling Association "Counselor of the Year" 2013 Univcrsityof Loui svilie McConnell Center for Political leadership "Chris Mal· tingly Award for OutSlanding Community Leadership" -2003 Ashland Area BusineSS and Professional Women's Association "Profes· sional Woman ofthc Year" -2003

Ann Marie Short , College Plan Con.ultant, (606) 922-5667 Ann Marie has more than 20 years experience in higher education as

a university librarian. She is familiar with the freshman experience and the transition from high sehoolto university life. She is an experi­enced researcher for summer programs. intern· shipS, camp e~periences, and the dynamics of finding the best college fit for each individual student. Her credentials are as follows: B.A. Mary Washington College of the University of Virginia. M.S.l.S University o f Tennessee.

_______________________ . www.T.iSUleHe~lIh~ndWe ll ness.com ______________________ _

~.l-Ji6rary COUNTY (KY) PUBLIC LIBRARY

Summer Reading 2015 Fun programs at all branches in June and July l

Cool reading rewards

Kickoff party Is Saturday, May 30th Programs for leens and adults IOO!

For more information visit www.thebookpwce.org

Boyd County Public Library Main. 1740 Central Ave. Ashland

{606} 329.0090

Cw/emburg. 2704 Louisa Slreet (606) 739.8332

K)'om. (K)'ol'a M111I acroSlfrom Eldu-Beernwn)

(606) 929-5346

Online brallch is open 24/7 @ www.thebookplace.Qrg

Carolyn Shelton (606) alt· 50452

The College Plan 1536 Wlncl>e<ter Ave. Suite 211

""'land Ky. ~ 1101

_tt-oIlepp/ar1....t

• Inte rest andAsoessment

• Leadership Skills hilan<lgement

• School and Community Involvement

• Summer Enrichment Pros,ams

• FlndYour8estCollege

• Appll, .. llon and Euay Writing

• KnowledSl!ofScholarshlp and Financial Aid

""" Marie Short (606)922-5"'7

Helping Students and Families to Navigate tile College Selection Process

1450 DIEDERICH BLVD., RUSSELL, KY 41169

606-836-5565 :==================-:w:w:w~'~,~"~,,~,~.~"~e~ lth ~ndwe ll ne55_com _______________ ...:==:

I

I

________________________ www.Tr iSut .. HealthandW .. ll n .. u.com ______________________ _

24 Hulth &- Wellne" May 201 S - Tri-State Edition

Do You, or Someone You Love, Need Assistance with Managing Anger?

T n the United States, studies show thai 01"1 ou, of five people sUffer fro", (mger ".o"oge",e", issues, or the inability to control their anger,

and o"e ill ,hree tu"agers struggle with the prohlem. This can manifest in a number of different ways depending upon the person and the situation. Violent compulsive behavior often defines anger management issues, but psychological abuse and verbal abuse is just as - if not more - ~ommon. A cycle that includes bad behavior followed by being on "best behavior" until angry e1<plosions again creep hack in is common when anger management is at issue.

Anger management treatment is the only way to break this cycle. Treatment stam with recognizing the signli and symptoms of anger management prohlems. The e1<peri­eneed team at Family Guidance Centercan help you learn more about anger management treatment options, no matter what your signs and symptoms may be.

What II Anger Management The term 'anger management' has been coined because there are some people who greatly struggle to deal with their feelings of frustration and anger. Those with anger management issues often lose control of their emotions when they get upset and often hurt those who get caught in the crossfire. Usually, for most people who suffer from anger issues, these actions are regrettable and a source of guilt and shame - yet they are still unable to stop themselves from repeating those behaviors the next time they are lriggered.

Signs of Anger Anger management is a slyle of psychological and behavioral ITealmeOI Ihal addresses Ihe signs and symptoms of anger prohlems al Iheir core jusl as you would with olber mental health disorders. By figuring OUI how they feel rigbl before an oUlburst - pbysically and mentally - someone struggling wilb anger issues can learn bow 10 step back and calm down before iI'S too late. Anger management is nOI aboul tamping down natural feelings bul aboul learning how 10 express anger, sadness and depression in a posilive way, without hurting self or others. Trained counselors are able to provide you with actionable steps to take before you do or"y something that you will regret.

________________________ www.TriSule He a lthand We ll nen.com ______________________ _

Tn-Sute £d",on May 201 S He.tth " Wltllneu 25

Do You Need Htlp for Anger luues If you can answer yes 10 ilJIy number of these lilllatiolU, you or the penon you observe dis­pllying these beblvion or II;tions might benefit from Ittending Inger management.

o Frequently finds themselves in I ,illlation wbere they become confrontational and violent

• Is • road rage driver Ibll yells IDd S(;reams when driving and blamcs other drivers on the road for their feelings

• Frequently e:<pcriellCcs negative thoughtl

• "etl out in violencc first, without thinking of the consequences

• Has been IrTClled for violent II;tI before, luch IS the most common: Damellic violence

• Brew or destroYI objccu when they become IDII)' or frustrated

• UKS violence and sc:rcaming to control otben Ind foree them to submit

• Enjoys violenl &lid dramatie situations

• Drinks alcobolic beveragCl ncessively and frequently, which contributes to the hIck of lelf control and bouu of anger

• Never feels fully Slti,fied with anything thlt they have, and conltantly blames others who Ill! around them for their own issues

• Hu been reprimanded II their workplace Of

day job in the past fnr I(:ting OUI of control and abovc the rules, due 10 their ill&bility to control their anger

• Lose, relationships or prefers to live in IUmultuolU relationshipllh'l.re cbaotic and fraught with argumenl

Trut Your Problem SI&n, If you aTe concerned thlt the ligns and lymptollU of Inger man.gement lilled above define your e:<pcriCDCC or the upcrieDCe of IOmcone you love, bell" is availlble. Make lure that you a1waYI put your IIfety Ind the IIfety of children in Ibe boun first: if you Of

your children are being hurt by IIOmeGne you love for Iny rel5On, do not Illy and try and bell". Oel YOlITSClf to nfety Ind, if possible, help from a distance.

If you need assistance with Inger manage­ment, COOIleI Family Guidance Ceoler for IIlOR information aboUI the opIiOlU available.

120 Hofth Third Stnet. I~ Ott 456,. Phone: (740) 41 4-2245

--------------------- www.TIISUteHult~.ndW.lln.u .com _ __________________ _

26 Hulth" Wellne" May 201 S - Tri-State Edition

Skin Cancer Q A WITH KDMS CANCER SPECIALISTS

How common Is skin cancer? On~ in fiv~ Am .. icans will d .... dop som. form of skin cancer, MoS! of d",.e a",

b...J_cell and "luamou • ..::.11 cardnom .... Melanoma. whil~ nO! the moot common.

is the mOSt serious form of ,kin cancer and continu~ to ,how ine"'asing mes.

One Amctican di~ ~ty hour from mel.noma.

If melanoma i. r«ogni«d .nd treated carly. it is .Imos. always cu .... ble. but if it

i, not. the CmCer can adv:mce and spread '0 other p.rts of ,he body. where it

becomes hard '0 treat and can be fat.1. While i. i. not the mo" common of the

.kin canee ... it causes .he mos. death •. The American Cancer Society estimates

• ha. at pr=nt. about 120.000 new ca.e. of melanoma in ,h. US are diagnosed

in a y~ ...

Are all skin cancers caused by sun exposure? Nin.ry to 95 p<"",nt of ases are Clused by ,un eltflO'ure .• nd mo .. of th ... or"

lwaI-cell and "lu.mou.-ccll Clrcinom .... Melanom. i •• bit mo", complicated

bcco.use th~re are O!h~r ri.k foctors beyond sun nflO'ure. Fortun .. dy. 'un exflO'urt

is a risk f.ctor you can control.

How do moles relate to skin cancer? Wh.n looking at a mole. we consider its . iu:. ,h.pe and color .nd then wh"h.r

tht$C characteristiCS are changing. If moles are .bnormally dark. im:gularly

colored. or increasing in , iv:. or if you h"'e many large or irregular·looking moles.

you .hould come in for an exam.

How can I tell If I am at risk for skin cancer? Risk foctors for skin cancer include exposure to .un. grt:I,e. than 50 pigmented

moles and. p<rsonal or f.mily history of okin cancer. Also. people with red or

blond h.i •. ligh, eyes. oun f.eckling .nd an inability to un arc at g""lICr ri.k.

What ore some things I can do to prevent skin concer? w. 'Ugge<t "ayingout of the sun betw""n rh. hou .. of II.m .nd 2 pm. naily U.IC

of sun$Ctttn i. impo"anr. U$C • bro.d_spectrum ,un$C.""n wirh an SPF of 30 Or

higher. Wear protecti..., clothing while outdoors. A wide·brimmed ha, i, also an

""cdl.n' inves.ment fur your .kin.

How can I tell H I have skin cancer? If during a self-aam you norice ml o. scaly .po ... pigmen[ed SpolS. 'pms rhOl ch. ng. sh.pe or siu over rime. 'PO" that blttd Or have scabs that w"n't h •• l. or 'pots .h .. remain tender beyond a few daY". you .hould come in for an exam, The bcsr way ro derermin~ wherhe •• spor is ,kin cancer i. to h.ve ir examined by a dOctor. We can oftcn ,ell wirhin seconds wherher somerhing is wrong Or ""'.

If you h."" a m"l~. i. i. imporlanr '0 check i. regularly f"r any changes. &aming 'M ABCV£ ofMdtsno""," ""'J "' ... YOUT lift: A- Asymmetry - If you d .... w • line rhrougl! [hi. m"le. rhe IWO hal,'e< will nO! march.

8- B<>rder - The borders of an early melan"ma rend to be un .... en. The edges m.y be .... ll"pcd "r norched.

C- Col". _ Having a variery <>f col" .. is .norh~r warning signal. A number <>f different shades of brown ••• n Or black could appear. A melanoma may.lso become red. blue or some orher color.

D- Diameter - Mel.nom .. usually ..... largcr in di"", .... rhan [he size of !he..--r 00

your pencil (114 inch '" 6 mm). bur !hey may some<imc:s be smaller when Ii ... dcr:cetcd .

E- Evol .. ing _ Any change _ in 'iv: .• h.p<. rol"r. cl ...... i"n. " •• norhcr ' .... ir. or any new symptom such as blttding, itching o. c.usting - points to danger.

Look for the AIlCDE signs of melanoma. and if you s« on. or mor~. mak •• n appointment with a physician immediately. Du.ing .he coming mon.h •• we're exp<>5Cd [0 [he .un·, uhravioler .... Y" d.ily. Taking. minu[e or twO 10 ro...,r your npoocd . kin wirh 'unsetttn may jusr ..... your life. Please use 'unse.""n EVERY day. don't become a melanom' "atistic.

FREE Skin Cancer Screening Events Hosted by Kings Daughters Medical Center

Wedn esda y, May 6 begI nn ing a t 3 p .m . At the Kyova Mall on the KOMC Mobile Health Unit. Family physician Jane Strader. M.O .•

will conduct the free ~treenins. Appointment required - call1-SSS-377-KOMC.

Thursday, May 21 , begi nning a t 8 iI.m . At Tn-State Regional Cancer Center. 706 23rd 51 .• Ashland. Oncologi~t Jeffrey Lopez.

M.D .• will perform the free screening. Appointment required - call1-888-377-KOMC.

Wednesday, May 27 beginn ing at 1 p .m . At King's Oaughters Medical Specialties Flatwoods. 1109 8ellefonte Road. Family physician Jane St.ader, M.O .• will conduct the 'ree screenins.

Appointment required - call1-888-377-KOMC.

Meet our Cancer Specialists

Ck:I-..Id ~ M.D. Oncolo;y IH. moIoIoo;ry

Gc:tlen<t s.m. M.D. One oIo9Y IH""""!~y

Chc;td t"""boIou •. M.D. Oncolo;yfll.motolo;y

KOMS Tri·State Hematology/Oncology

606-325-2221 617 21rd St. Suite 19. A$hl~nd

-~ .---.............. -CoIIogot .. -

~-­-""" "', ..... --'""->ly CoIo9o .. o.-. _ --­_""--<lin< -_""'0hI0_

:=:::~---~-- .. -='''' 'Jo"..-In.-.r

--'""->ly" _~O<4d_"

-~---.-.... _ .. , '\N.

-..-...,,, .......... ----~-- .. --_______________________ . www.TriSUteHe~lth~ndWe ll ness.com ______________________ _

Knock knock Who's there? Knee! Knee who! Knee-d you ask! Everyth ing changes when the feet hit the &round. You might ask what do my lUI. have to do with my KNEES?

EVERYTliINGI

,---- It has been found that 90% of all people pronate at the ankle. Now, what does that mean? SOmpl>! p\lt the loss of foot arch. throws off your foondation of sup­port causing the inside of your KNEE to bear the stresses it was never meant 10.

II is a misconception lor many people that they howe nat .. ,. When indeed ~ is only a fa llen arch from childhood as we start walking the al'(h is so weak it cannot support OUr uppe r body weight.

If the aver.lge adult takes betwHn 6,000 and 10,000 steps each day, 7 days per week. Oller a period of 50 years, that will be mWions of times the KNEE is put in position 10 bear stress it was never meanllQ.

The other big risk factor is the weakness of your hip and thigh muscles and lack of proper support to your arch.

Most shoes do not have proper arch supports though optic~11y Ihey may look like it. Proper ~rch support c~n

AshllIId Clinic 2400 13Il1 Street AsIlIand. KI" 41102 (p) 6116-329-0010

.. _-1490 Diederich 8Ml Russel, KI" 41169 (p) 606-833.!14-44

GtIyson CIlnlc 512 N Carol M3Ione 8Ml Giaysoo, KI" 41143 (p) 6(l6.47W157

Tri-SUte ~dition - May 2014 tfe.lth.l; Wellness 27 only be made for you. We at Premier Physical & O(Cupational Therapy hall(' been using sole supports founded by Or. Ed Glaser, OPM (Doctor of Podiatric Medidne~ with great succes' in helping people to eradicate plantar fa,dfti" ankle problems, KN EE, hip, and back proble ms.

Hopefulty, you can sef! that without the prope r base ami foumlation of your foot you are going to be at serious risk in your fourth and fifth decades of your life for having KN EE problems. This is prevent· able In most cases if caught early enough.

We break our KNEE down slowly but surely with every step we til ke oll('r our lifetime, if our ankles a re not held in the proper position and the KN EE takes the brunt of ail lhe ,tre sses of our daily lives .

SOLUTION: The solution is to correct the foot pronation and 'trengthen the weak muscle s of your knees and th ighs. In orde r to solve the problem of how we break our KN EES down we musl be Ihinking on a functional basis of what we do daily that c"uses this ,

I hope the aboll(' information helps you 10 under­stand how we bre"k our KN EES down over time.

What "re ourflndin,sl Totill KN EE replace me nts are rampanl in America, and it affects females more than males.

Firsl of alt a woman's pelvis is Wider for Ihe abi lity to give childbirth and Iheir thigh bone is at a grealer angle to Ihe KN EE Ihan in men. Women hall(' a greater amount of KN EE problems than men. They wear their KNEES Out more quickty. If they a re pro· nating at the ankle and wea k at the hip and thigh mUSCles. it is almost a guarantee that they will break Iheir KNEES down ,

To learn mOre we encourage you to conlact OUr staff at Premier Physical & Occupational Therapy, 606· 325-0910. A Physica l Therapist Can help teach you how to correcl foot pronatiOfl so Ihat you won·t break your KNEES down.

A8a in, we tilke your hea lth 11('''1 seriously and we wil l do ell('rything in our power 10 help you " 'gain your lotill health, bUI we h.ve le arned it is far more important 10 PREVE NT a problem Ihan fix illalerl

Physical Therapy with a 'Hands-On' Approach

Can ForVour FREE Consultation Today!

I~.{!v!£ ~!!o~ THERAPY

Ashland Clinic 2400 13th St.ee t

A. hlend, KY 41102

606·329·0910 www.premiertherapy4u.com

I""""" ClInk _ ..... 10606 lIS Rwte 23 i.ucas'oille. OH 45648 (p) 740-259-0.252

-~"" ~"CHnk !!826 Galli Pile Suite 8 Wheelersbutg. OH 4>694 (p) 740-5744616

--23!2131hStreet 209 N 2nd ~ Suite A ironton, OH 45638 (P) 740-534·1410

! 033 Gala StiftI P\wWnQo.JIII, OH 4~ (p) 74Q.3S4·SOO1

Ashland , KV 4!!01 (p) 606-32&0241

28 Hulth" Wellness May 201 S - Tri·State Edition

KEEP KIDS ON TRACK WITH A SUPERHERO SUMMER By Whitney Lowe, BCPL Publ ic Relations Clerk

P arents are tOlal superheroes. Every day we bravely defeat the monste~ under the bed. instantly heal bumps and bn.nse5

with onc singlc kiss, clcverly disguise vcgct.ables as foods we know our kids will eat (it's ok if they think olives are grapes for JUSt a liule while longer, right?), and of coum: ..... ·c sec and hear everything. This summer there is another super­hero power that parents can add to the repertoire: Keep kids active. engaged. and sharp through eight weeh of reading and educational programs masked as sensational summer fun.

Schools Out ForThe Summer While kidsare out of the classroom. and instead in your neighbor.; pool, they often lose the skills that Ihey acquired over the school year. and tend to educationally slide backwards. According to the National Summer learning Association, students typically score lower On standardized tests at the end of summer vacation as Ihey do on the same tests at the beginning of the summer. Yet. there is a solution that doesn't involve waterproof nash· cards. Studies show that kids who read at least a few books during the summer are less li kely to lose the skills and information they've attained. Though it may seem like convincing your child to read over summer vacation is an impossible task. even for a superhero. Boyd County Public Library's Summer reading program is full of SO many great rewards and activities it won't be dif­ficult to get them on board.

Every Hero Has a Story "Every Hero Has a Story" challenges kids to read, and in tum, rewards them with awesome prizes for the time they've spent with their nOS<: in a book. Belter yet. kids can read whalever they like. and they don't have to read alone. The time you spend reading with your child counts, too. As long as your child is reading (or lislening), they're one Step closer to earning sound-activated bracelets, books, dcsignablc lunchboxcs. t_shirts, and much more! Even bigger prizes await kids who exceed their reading goals. like a frtt book each month for a whole year, and grand pri7-CS such as an iPad or Beats by Dr. Ore Headphones.

The summer excitement (and learning, shhh!) doesn't end at just reading rewards. Every ..... eek BCPL hosts fun and educational programs designed with toddlers. kids. tweens. and teens in mind. suited to wxommodate their gmdc Icvc!s and current inter_ csts. Toddle~ will love superhero themcd stoty times and crafts, while kids and !wccns can't wait to get messy and divc into cool activities. Teens will "Unmask" this summer. exploring Notorious Villains. Spectacular Sidekicks. and Gaming Heroes. Of course. kids don't have to atlCrld programs to eam \'C\>'ards - thcy JUSt have to read.

Escape the Ordinary Parents can get in on the summer reading fun. too. "Escape the Ordinary," BCPL's adult summer reading program. begins Memorial Day and runs through labor Day. Adults write brief reviews of the books they've read Over the summer for the opportunity to score reading incentives that are anything but ordinary, such as the chance to be a gueSt book reviewer for the Herald-Dispatch. or this year's grand prize. an iPad. In conjunction with the program. BPCL will present uniquc and cfCative programs to inspire your unconventional summer. Learn how to tum recyclablcs into extraordinary works of an, or rtteive simple tips. tricks and hacks on topics from organization to preservation. s"turday, July 18. is officially "Out of the Ordinary Day," and patrons are invited to bring in the oddest item that they have for a grown-up show and tell; check Out rare costumes, one-of-a-kind memorabilia. unusual heirlooms, and uncommon keepsakes galore. Added bonus, attending any Escape the Ordinary program countS as a one book review!

Capesare optional Join US s"turday. May 31, at the Central Park Bandstand for the Evcry Hero Has a Story Kickoff Party. Batman and Batgirl will be arriving to the pany in the Batmobile. ready to pose for pictures with the kids and get them geared up For the summer ahead. The day will be filled with super­hero entC11ainment that kids and parents both will enjoy. but don't woIl)' parents. you can leave your capeS at home.

Kids. twuns. and teens can stan keeping track of their reading hours On June I; adults may begin logging reviews May 25. Register online at www.thebookplace.org or visit any branch to fill out a registration form. For mOre information about summer reading programs (or superheroes). call BCPL al606.329.0090.

Boy d County Public Library

Maill.INO Cemral A"e. Ash/alld (606) 329.0090

Call etlsburg, 2704 Louisa Street (606) 739.8332

Kyova

(KJom Mall acrmsjrom Elder-Bumum) (606) 929-5346

www.thebookplace.org

________________________ www.TriSUteHealthandWell ness.com ______________________ _

IMPROVING SMILES IN ASHLAND KY SINCE 1980

BRAIN SURGEON

Ondrej Choutka, M.D. A board·c .. r@ed,f .. llowship­trained neu rosurgeon, Dr. Choutka specializes in:

• Skull base surgery

• Brain aneurysmlbl .... ds

• Brain tumors

• Surgery to tr .. at strok .. and Moyamoya disease

• Microvascular surgery

• Peripheral vascular surgery

• Tr .. atm .. nt of trig .. minal n .. uralgia

Refe ... alslsecond-opin ion consults welcome,

On tne Web

1C • ~'" ._-

30 Hulth" We llness May 2015 - Tri-State Edition

YOU DON'T HAVE TO GIVE IN TO

HAIR LOSS Hair loss un affect every part of life, from

... 'f-image and confidence to romantic and professional relationships . Hair is an

e xtremely important part of who we are, what we think about ourselves, and how others see us. Hair un even provide dues about overa ll health.

It may surp,i ... you to lu,n that ha i' loss is ,ully quite common. affectin& mo'e than 40 million men and 25 million women in the United States. Whethe' you',e a man 0' a woman, most hai' los, i. cau,ed by &enetie, . Ninety-five percent of ha i' 10", ,e",rdle" of gende" i, a ,esutt of heredity.

Fo, men, hair loss starts early - by age 30, about 25 percent of men wi ll experience thinning hair or male pattern baldness. Half of men in thel' 50s will have hai' 10" and by the time they reach thei' 80s, nearly 75 percent a'e bald 0' have hai' loss.

The ,tati,tics a,e a little bette, fo, women: about one in fou, will expe,ience hai' 10" in he, lifetime . But fo, women, ha i' 10 .. un be especia lly devastat­in& because society emphaSizes female att,active­ness and hai, is an important part of the equation.

What uu .... hair loss? No,ma l hair 10" is nothing to be a larmed about. If you find a lew hairs in the showe' d'ain every mo,nin" 0' a few In you, brush 0' comb, the'e's no need to wo'ry. Hai, ha, a no,mal g'owth-'est­,heddin& cycle and more than likely, what you',e expe,iencing is nothin& more than this.

However, if you've noticed mOfe hair in the b,ush 0, the drain than usual, it may be time to think about how you are caring for your hai'. A88ressive sham _ pooin" b'ushin& and styling Can break the hai' strand. Pulling and tvltKin& on hai' can pull it out at the 'oot. Chemical treatments such as pe,ms and ,elaxers un thin the hair ,haft, makin& it mo'e likely to b,eak and ,educin& ove,allll<>lume. Stylin& - blow d<ving, hot i,on,. tea,ing, pony tails-can all contribute to hair loss.

If you're being gentle with your hair and still e xperi­endn& mo'e hai' loss than no,mal, it may be time to conside, whethe, the,e a,e health factors at play. H.i, 100s can be. wmptom 01 numerous health con­ditions. induding: • Hypothryoidism • Ho,monai imbalances, particularly in women,

but ocusionally In men • Ringwo,m. a fungal infection mO$t commonly

seen in child'en • lack of protein in the d iet • Too much vitamin A

• Too little vitamin 8 • Anemia • Overactive immune system • Lupus • Polycystic ova<v disease • Anabolic ste'oid u ... /abuse • Trichoti llomania, a compulSive disorde, • Alopecia areata, a condition that causes hai,

to fall out in patches • £atin& diso,ders such as bulimia • ",ing

Othe, health-,elated causes of hair 10" include 'ecent childbirth, majo' su'!ery, emotional 'tress, dramatic wei&ht 10", hi&h leversJ~e'e infections and influenza. Hai, 10" associated with the,e events u,ually doe,n't appea, until seve,al month, afte, the triue,ing event.

Certain medications, in<luding ~~blood thinners and drugs p,escribed to treat arth,itis, depression. gout, heart prob lems and high blood p,essure can cau'" hair to thin. Commonly used over-the-counte, NSAIDS (non-steroidal anti-inflammatory medica­tions such as aspirin, ibuprofen and naproxen sodium~ have a lso been linked to hair 100s.

Of course, chemotherapy and ,adiation therapy, used to treat unce', are well_known causes of dramatic hai' 100s. Fortunately. thiS hai' loss is tem­porary and hai' be&ins to re&row as soon as the course oltreatment is complete.

_,*,]air By ~.'K.-i-~t.;.

(859) 363-5467

Option, fo' dealln, with hi' Ion Once you've dete,mined that your hai' 10 .. is not a symptom of a health problem. it's time to explore yo~' options for hai' 'eplacement . Th e'e a'e th'ee majo, choices:

Mediations. such as over-the-counter minoxldil (for men and wom en) and o'al Hnaste"de (fo' men only by pre"riptlonl, have been shown to help in the regrowth of hair or to slow hair loss. 80th of these a'e lon&-te,m t'eatments, not cures. Hal' re&'o~h will end il you ,top usin& or takin& the medications. Cortisone medications have been shown to aceeler­ate re&ro~h In some types of hai' loss. kI' women, topical or oral e.t,ogen, ,'on& with othe, female­speCific hormones, may be pre"ribed.

H~I' t'antpl~nUtion Is ~ su'gical procedu'e In which hai' from othe, part. 01 the .calp are trans­planted to the balding/thinning areas, usually over the course of several p'ocedu'es. While hai' t,an.plantation i. pe,manent, it can be expen.ive, and, like all su"lc31 procedures, th ere are risks assocl . ted with the p'ocedu'e.

Human hal' replacement is a n affo,dable option that offe rs a completely natural look, results without the need for su'gery 0' ongoing medica­tion., and an immediate new look. Fortunately, this cutting-edge opUon Is available In Lexington: Hair 8y Kimberly. Hai' By Kimbe"Y p'ovldes both human hal' WI&S and custom human hal'pieces. Additional service s Include: • Synthetic hair pieces and wig, • Cybe,hai, • Partial and lull bondin& .ervices • Cut and styling of hal' pieces and the client's

own hal' o Coloring • Ca,e fo, human hai, and synthetic wig. • Compa .. ionate care lor people dealin& with

cance,·,elated hai, loss

With more than 25 years of expe" ence as a stylist and mo,e than IS years speciali'ing in hai, ,eplace­ment fo, men, women, and child,en, Kimbe,ly Is a medical hal' loss specialist who understands the unique and very personal difficulties client. face. She is certlhd by th e Ame,ican Cance , Society'S Look Good Feel Bette, p'og'am.

Hai, by Kimberly offers a spa-like setting whe,e clients Can t"l On va,ious styles and looks befo,e purchasln& In a comfo't and p"vacy. Klmbe"y offers compassionate support to all client., ,ega,dless of the cause of hai' loss.

To lea,n mo'e about hal' replacement call the salon at (859) 363-5467 0' visit Hai, by Kimbe,'y online at www.Hai.ReplacementKV.com. Hair by Kimberly's Custom WI& 80uUque Is located at 2000 Famllv Ci,eie, Suite 0, LeXington, Ky.

___ ~~::::::::~:::::::~~~__ www_ HairReplacemenLKY.com www.TriSUteHealthandWe ll neSS.com ______________________ _

Tri-State EdItion - May 2015 Health & Wellnen 31 SpI~ess ______________ _

Ginny Gave Out, but She Never Gave Up By Ale~ Anderson, Senior Associate Pastor

W hile I sat wilh Ihc family in thc surgical waiting area, I saw Ihe elevator doors Qpen. It was the surgeQn. As he walked

the Iwenty-five feet Qr so from the elevator tQ the waiting room. he was looking at Ihe floor as though he was searching fQr something, maybe the ne~1 words 10 say. When he came into the waiting area, all eyes were on him. He was an older gentleman wilh many years of saving lives. He immediately sat down in one of the chairs and began 10 describe in layman's Icnns Ihe very difficult and tedious aspects ofthe surgery.

''The aneurism had groWII to the size of her SlQmach and was simply impossible 10 repair in the few preciQUs moments we had to work wilh her," he said sadly. In addilion, he said Ihat she had apparently suffered a hean anack.

Then I heard il. Whal the gentle surgCQn said ne~1 stood Out 10 me like a hammer striking a large bell. He said, "She newr gOl'e up Ihe fight; she jlVit

simply gave Out. "As these words rang through our ears, we all knew she had gone on 10 be wilh her Lord and Savior, Jesus Chris\.

11 look only a few momenlS for Ihe realily of Ihat Slalement, "She M,,(,r go,'(' up the fight; she jlVit

simply gaw out, " 10 sink inlo me like wann rays of sunshine breaking thr{mgh on a cold and snowy day. This lady's life was a living teslimony oflhat SlalC­ment. She was an eighty_year-Qld grandmother with a love for God and fQr her family. who compelled her family who compelled her to be a "fo.-.;e 10 be reckoned with." I walched as her children and grandchildren began tQ weigh out the tremendous loss and the impacl 10 their daily lives.

She had recenlly had calaracl surgery so she could cQntinue to drive hcrsclfand be presenl in Ihe lives of those God had entrusted to her care.

She had been the spiritual matriarch to this large family.

I watched two very big, strong grandsons begin to weep as they felt the loss of her presence in their lives. She was in their heans at such a deep level that it coold only be expressed with tcars. I said to Ihese young men as I hugged lhem thai they needed to "let it go" and cry. J told them she was watchiog them from Ika.·cn now and needed tQ sec if all her hard work and prayers for their lives would continue to payoff, and that it would bring her joy to see Ihem miss her. I asked Ihem neve. to forgel all Ihe life-giving. Godly ad~ice she poured into their em and heans Over the last twenty year!!.

As I drove home from the hospilal. I wondered about my life. J wondered ifit would be said of me one day, "lie nevcr gave up the fight; he just simply ga~e oul." I realized thallhe "never give up" was about love and commiunent, a somctimes rare commodity today. And that "simply giving out" was only aoout resources and nOI hear1.

As I prayed, traveling east on Manatec Avenue. I recognized how she was able IQ stay so strong all those eighty years, evcn up untillhc end of her life. lIer secret is found in the Bible, Ihe book Qf Heb"",'s in chapterl1 WT!e 1. II stales:

"We dQ this by keeping our eyes on Jesus. the champion who in;liales and perfecls our faith.

Because of the joy awaiting him. he endured the cross, disregarding ils shame. Now he is seated in the place ofOOnor beside God's Ihmnc."

It's the ongoing daily relationship wilh Jesus who died, but is not dead now. As the verse siales, He is silting in Heaven al God the Father's right hand. Why is Jesus there and not here? He is praying for us. He is there 10 ensure ..... do nOI gi.-e up Ih .. fight.

My prayer and h<:>pe for you Ihis Easter is that YQU will find a great ehureh (there are many in Sarasota and Manalee counties including my own. Ba~ide Community Church) and gQ. Not fQ' a religiQus activity. bUltQ have an authentic expcriel>Ce with Ihe God oflhe universe. I know;t may fed a liltle seary, (il was for me when J fllsi went for that purpose) but do il. God is reaL He ;s nOlhing but pure lo~e and wants a long-Ienn. even etemal rela­tionshipwith you. And ifYQU do decide to have that relationship with Him. I h<:>pe it will be said Qne day Ihat you "never gave up; you only ga~e out."

TQ your sp irilual health, Alex E. Anderson

Author Qfthe 00<:>1:, OangerQUS Prayers www.dangerous-prayers.CQm

Dedicated 10 Vi'll'inia (O;""y) Ca ......

_______________________ . www.TriSUteHe~lth~ndWe ll ness.com ______________________ _

HIGH QUALITY HEALTHCARE, NOW WITH A GREAT WAY TO MAKE IT AFFORDABLE

• e _

ZERO-INTEREST FINANCING FROM KING'S DAUG HTERS

We understand healthca.c can be expensiv". lltat's why we arc

working hard 10 improve Our processes and COSt StruCtureS and h.y"

lowered rome prices 10 help make it more affordable.

King's Daughters is partncring with Clcarlhlance' to offer a new,

uro·intCfeSt p.tientloan program. OcarBalanceo is Ihe heahhca.e

industry's leading provider of consumer·friendly patient]oan •. You

can m:ei,'c a rero-intcre.! loan with reasonable, flexible repayment

To learn more, call a Patient Financial Services expert

at (606) 547-0979 or toll-free at 1-855-253-5426,

terms 10 pay out-of·pod:e1 hospital expenses, including dcduCliblcs

and insurance copaymc"t •.

Enrollment is quick and easy-no written application is required.

You also Can add future medical bills and even consolidate balances

of immediate family members inl0 one loan. Pa)'ments arc accepted

onlinc, over Ihe phone Or by mail.

KING'S DAUGHTERS