I I I • ••• I I I - Tri-State Health and Wellness ...tristatehealthandwellness.com/wp-content/uploads/2017/07/HW_TriKY...I I • ••• I I I I I I I I I I I I I I I

George Aitken, M.D.

••• • ••• I I I I I I

I I I I I I

I I I I I I

The region's premier orthopedics and sports medicine team is here for you.

Providing sports medicine services to Marshall University, Kentucky Christian University, Shawnee State University and 30 area high schools.

Jared Bentley, M.D.

Steven Michael Felix Carawan, Chambers, Cheung, M.D. M.D. M.D.

Matthew Ellsworth, DPM

Offices in Ashland, Portsmouth, Jackson ,

Prestonsburg & Wheelersburg

(606) 408-8999

KING'S DAUGHTERS

Charles Andy David Steven Gerry Giangarra, Gilliland, Jenkinson, Novotny, Trinidad, M.D. M.D. M.D. M.D. M.D. kingsdaughtershealth.com

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contents JULY 2017 6 Great Orthopedic Care Spanning Our Region

8 Care Companions of Ohio

9 Children Deserve Healthy Feet. Too!

1 1 Living with a Wound

1 2 NEUROMEDICINE: King's Daughters Establishes Epilepsy Monitoring Unit

1 3 State of the Art Memory Care Facility

1 4 A Cool New Way to Treat A-FIB

1 6 The Right at Home Difference

1 8 Mountain Games 2017

CONTACT US PUBLISHER'ACCOUNT EXECUTIVE

Jill Vice [email protected]

Editor' Business Manager.'Oistribution

Lisa Minic [email protected]

CREATIVE DIRECTOR

Sonny Grensing [email protected]

To get your article published and for ad rates, call606.748.0538

2 0 Leaders in Cancer Prevention & Treatment: Medical Oncologists

2 1 YMCA: Helping Parents Help Kids Grow Healthy, Strong, Confident

2 2 Is It Time for New Hearing Aids?

2 3 Revolutionary Diagnostic Screening Services

2 4 Protecting the Precious Gift of Sight

2 6 When to Seek Care from a Vascular Specialist

2 7 Opioids Part 11

2 8 Less is More: Could a Minimally Invasive Procedure be Best for You?

30 Spiritual Wellness: Heart Talk

adVIC~ Tri-State Health & Wellness Magazine can be found in most Tri-State area medical

facilities including: hospitals, doctors' offices, gyms, grocery & convenient stores, plus many

other Tri-State loations. Pick up your free copy of

TRI-STATE HEALTH & WELLNESS Magazine today.

CCopyrlght TRI..STATE HEALTH & WELLNESS Magazine 2017. All rights retetVed. Arryrepi'Oductlon of tho matetlal Wl this magazine in whole or in part Mhoul written prior consent is prohibited. Articles and other material in this Magamo aro not neeossarily tho views of TRI-STATE HEAlTH & WEllNESS Health & Wellness Magazine. TRI· $TATE HEALTH & WELl.NE$$ Health & Wollness Magazir\0 ro$01\'0$ thO right to pvtllish and Odit, Of' not publi$h 3ny material thai is senL TRI-STATE HEALTH & WELLNESS Heatth & Welnes.:s Magazine wll not krlowWlgty pubfish any

advertisement which is ilegal or misleading to it& readers.. The information in TRI.STATE HEALTH & WELLNESS Health & WellnHS Magazine shtMcf not~ oon$ll'Ued as a ~e fOI' mediCal examinatiot'l, diagnosi$.. 01 ttNtrnent.

Regency Mmwry Care is a 26-bed facility where residents can enjoy person ... cetuered mm1ory care with iudividualized S11pport iu daily activities. Our n<W sutc-of-the-att senior care community is

designed to help f:unil id grow closer while dewloping r)('W fricn<bhiJ)$ with our ~p«i211y 1r2incd staff. Our profe$$ional .u~tf offers around-the-dock e~rc and support to ensure our residents rcm.~in as in<kpmdcnt

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Regency Memory Care

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www. rc:mcmo rycare.com

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and dining ~~s.. as wdl.u quiet arc~ for reluation oc \•isiting with f.amily and friends Next door. our si$ter facility. Wind$0r C'..:~re O:ntc:r olf'('r$ robust nuning and therapy S<'rvicts should our rcs.idcnu ncxd them On 2 fCMJ)f)DtyOr OUf(IQfknt baSi$.

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6 Health & Wellness July 2017 - Tri-State Edition

ASHLA N D

PR E STO N SBURG

J ACKSON • PORTSMOUT H • • WHEELERSBURG

GREAT ORTHOPEDIC CARE SPANNING OUR REGION

Hip & Knee Replacement Patients who choose to participate in the Rapid Recovery program can expectto:

• Get betterfaster

• Have less pain

• Be up and walking just hours after surgery

• Go home sooner

• Have a coach ready to help them before and after surgery

Much of the program's success can be attributed to the personal coach, who motivates the patient to reach their goals quickly, safely, and with less stress.

The coach: • Attends Joint School

education class with the patient

• Attends appointments with the patient before surgery.

• Helps prepare the home for the patient following surgery

King's Daughters highly skilled orthopedic team is dedicated to improving quality of life through compassionate care. From Portsmouth, Ohio, to Prestonsburg, Ky.,

and in between - our fellowship trained surgeons and support staff are dedicated to restoring motion and getting patients back to their daily activities.

Skilled in total joint replacement procedures of all types, including hip and knee replacement, our team knows the importance of quality care and speedy recovery.

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Joint Replacement The Direct Anterior Hip Approach makes it possible for patients to get out of bed and begin walking within hours of surgery ... with less pain, shorter recovery times and fewer movement restrictions.

Through our new Rapid Recovery program, patients go home in 24 to 48 hours and get back to their normal lives in a matter of days. Introduced in late 2016, Rapid Recovery helps reduce pain and supports more complete restoration of function following joint replacement surgery.

"Rapid Recovery is a more personal approach to care that helps you get back on your feet again:· said Felix Cheung, M.D., chief of orthopedic surgery at King's Daughters. "And it's also part of the reason why you can expect to spend less time in the hospital for a total joint replacement:'

Orthopedists participating in the program include Drs. Cheung, Gerry Trinidad, M.D., jared Bentley, M.D., and George Aitken, M.D. The Rapid Recovery team includes nurses, physical therapists and an orthopedic nurse navigator.

Sports Medicine Sports medicine is a sub-specialty of orthopedics that deals with the prevention, diagnosis, treatment and rehabilitation of injuries suffered during athletic activity. The goal of treatment is to heal and rehabilitate injuries so patients can quickly return to their athletic activities. Sports participation causes wear-and-tear on the body, and can lead to orthopedic injuries. Athletes are susceptible to injuries - stress fractures, chronic pain and tearing or stretching of internal structures. Treatment can involve surgery, orthotics, physical therapy and rest. Sports medicine physician Andy Gilliland, M.D., and physician assistant jeremy Kaltenbach specialize in this area.

Concussion Management Concussion is one of the most serious and prevalent medical problems in high school athletics today. As part of its ImPACT Program, King's Daughters offers free baseline testing to high school and college athletes, funded in part in by the Glow Run SK, which is 9 p.m. Friday, july 28 in downtown Ashland.

-------------------- www.TriStateHea lthandWellness.com -------------------

George Aitken, M.D.

Charles Giangarra, M.D.

Jared Bentley, M.D.

Andy Gill iland, M.D.

Steven Carawan, M.D.

David Jenkinson, M.D.

Testing provides information regarding the severity of injury and a standard for evaluating recovery.

Testing is offered for high-impact athletes at universities and high schools including Paul G. Blazer, Russell, Boyd County, Pairview, Elliott County, East Carter, West Carter, Ironton, South Point, Rock Hill, Dawson Bryant and Kentucky Christi an University.

Evidence suggests after two or three concussions, recoveries are n1ore problematic and effects tend to last longer.

"We have adopted a rule: Three concussions in a calendar year means the ath lete should consider sports retirement;' Dr. Gilliland said. "Our ability to be aware on the sidelines is so important and could prevent an athlete from having long-term effects from a high school head injury:•

Tri-State Edition - July 201 7 Health & Wellness 7

Michael Chambers, M.D.

Steven Novotny, M.D.

Felix Cheung, M.D.

Gerry Trinidad, M.D.

Locations KDMS Orthopedics & Sports Medicine 613 23rd St., Suite G30 Ashland 1279 Old Abbott Mtn Road Prestonsburg (606) 327-0036

George Aitken, M.D. 617 23rd St., Suite 3, Ashland (606) 324·3903

David Jenkinson, M.D. 613 23rd St., Suite 310, Ashland (606) 325·1765

KDMS Portsmouth Orthopedics & Sports Medicine 1729 Ki nneys lane, Suite 102, Portsmouth, Ohio 14395 State Route 93, Jackson, Ohio 8750 Ohio River Road, Wheelersburg, Ohio (740) 351 -0980

Jackson

• wrence

KING'S DAUGHTERS

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8 Health & Wellness July 2017 - Tri-State Edition

COMPANIONS OF OHIO

I f you are worried that your loved one isn't getting proper nutrition, is unable to clean the house, do laundry, attend appointments,

or church, take a bath, socialize or take care of themselves like they used to, then Care Companions of Ohio is here to help.

Care Companions of Ohio is fully insured & bonded. Our plan is to provide service that is tai lored around the needs of our clients & provide your loved one a li fe-long friend.

We are a Passport Provider. We also accept Private Pay, and most Insurances. Offering affordable rates for all budgets.

SERVICES OFFERED Personal Care Available 2 hours a week to 24 hours a day. Includes: bathing, dressing & bathroom assistance.

Companions/rip Games, reading, or a visit from a friend.

Shopping Groceries, the drug store or a trip for new clothes. We will assist you with your purchases and help put everything away.

Cleaning & Lawrdry Service Provided to keep things the way you want them.

Meal Preparatio11 Meals cooked in your home to your liking.

RESPITE CARE SERVICES At Care Companions of Ohio we realize that you may not need service for your loved one on an ongoing basis.

There may be times when you need us to provide care once a month when you go shopping or once a year for a two week period of vacation.

Whatever the need Care Companions of Ohio are here to help! Call today to ask about Respite Care Services.

Providitrg No11-Medical in Home Care for Seniors in ALL of Olrio.

Care Companions of Ohio may be the key you are looking for to help you or your loved one remain at home.

Our fi rst visit is FREE!

We will talk with you and your loved one to develop a personalized plan.

You can count on us being there when you need us, from 2 hours per week to 24 hours a day.

Care Companions of Ohio is a Passport Provider. We also accept Private Pay, and most Insurances. Offering affordable rates for all budgets.

Call Us Today! 740-96I-7307 / 855-703-8209

---------------------- www.TriStateHealthandWellness.com ----------------------

Tri-State Edition - July 2017 Healt h & Wellness 9

Children Deserve Healthy Feet, Too! By Dr. Brian K. Bailey, Podiatric Physician & Surgeon

Y our feet are the foundation for everything you do. Without healthy, strong feet, life can be challenging, not impossible, cer

tainly, but definitely more challenging. This is especially true for children, who have so much to learn and so many ski lls to master between the time they rake that first step and the time they walk up on the stage to receive their diplomas.

This time of year, many families are preparing to send their children back to school. While you're hitting the malls, buying school supplies and checking shot records, I'd like to suggest you think about your child's feet, too.

Whi le foot problems arc not uncommon in children, they are often under-diagnosed, which means there are kids out there who struggle with running in gym class, participating in sports, or even walking from one class to the next For some, every step is painful, and it just gets worse. Neglecting foot problems in children can have serious, long-term consequences, both physically and emotionally.

Among the problems affecting children's feet, pediatric flatfoot is the most common. It is a deformity in which the arch of the foot collapses, causing the entire sole of the foot to come into contact with the ground. Flatfoot can be present at birth, or it may be caused by injury to the tendons or bones.

Some children have flatfoot and have no problems at all, while others experience s ignificant limitations, including:

• Pain

• Weakness

• Fatigue

• Complaints about soreness or tiredness in the legs and feet

• Cramping in the feet, ankles, calves or knees

• Reluctance to play or participate in sports or other physical activities

As a parent, you may notice your child's walk seems different than others or that he/she doesn't seem to run as fast or play as long as other chi ldren.

If your chi ld bas flatfoot and no symptoms, the treatment usually consists of nothing more than watching to make sure the condition does not worsen. If the child is experiencing difficulties, there are several things we can do.

Changing shoes. Podiatrists are never big fans of flipOops and here's why - they provide no support or protection to the foot whatsoever. They are bad for everyone, but are a seriously bad choice for children with flatfoot. Investing in quality shoes with a good arch support is critical.

Reducing some activities. A period of rest may be all that is needed. This may include temporarily reducing or eliminating activities that are causing the problem. Avoiding long periods of standing and walking may also be helpful.

Shoe inserts. Custom-made orthotic shoes can be expensive, but shoe inserts can provide the arch support and cushioning needed at a reasonable price. Inserts you buy at the local Wal-Mart are not going to do the trick. Only a foot specialist can ensure your child is receiving the right kind of support, in the right places.

Physical therapy I exercises. Stretching exercises, physical therapy and other non-invasive treatments, under the supervision of a trained professional, can sometimes help by reducing inflammation and strengthening muscles and tendons.

Medications. Although everyone is a little reluctant (as they should be) to give children medications, sometimes an anti-inflammatory, such as ibuprofen, can help. Be sure to seek advice from your child's foot care specialist so the problem can be properly diagnosed and treated before giving medication. The goal is to cure the problem - not mask the symptoms!

Other foot problems in children Severs disease is an inflammation of the heel affecting the area where the Achilles tendon attaches to the heel. The condition is caused by repetitive stress to the heel, such that might occur with participation in sports like soccer, basketball, tennis or even running. II is most common in kids age 8 to 14, whose heel bone is still actively growing.

Rubbing the heel, icing it down at practice, tenderness to the touch and even changes in the way the child walks or runs can be a sign of Severs. Treatment includes R-1-C-E (rest, ice, compression and elevation). Anti-innammatory medications, such as ibuprofen, may also be recommended.

One important point about feet and young athletes: make sure your child has the right shoes to participate in sports. Baseball shoes aren't good for soccer, soccer shoes aren't appropriate for football, and sneakers won't provide the right support for runners. Always invest in new shoes. Last year's shoes .. . or hand-me-down fTom an older child .. . simply aren't a good idea. Sports can be rough and shoes wear out quickly.

Dr. Brian K. Bailey is a Podiatric Physician & Surgeo" with a private practice located in Ashland, KY. He is also a Clinical Professor of Podiatric Medicine & Surgery at Pikeville College of Osteopathic Medicine and a Personal Wei/ness Coach & Fitness Trainer. Dr. Bailey IJas written several books, including: Secrets to Happiness. Inner Peace and Health, Metabolic Syndrome 20/J. Nutrients for Prostate Cancer Prevemion and Eraclication, Breast Cancer Prevention and Wholistic Treatment, OIUI Prostate Ctwcer Prevention and Who/is tic Treatment.

Boov.MIND.SPIRIT PODIATIIC Ces'fi!R, PLLC

500 14th Street, Ashland, Kentucky, 41101 Phone (606) 324-FOOT

----------------------- www.TriStateHea lthandWe llness.com -----------------------

Providing Non-Medical in Home Care for Seniors

in ALL of Ohio Care Companions of Ohio may be the key you are looking

for to help you or your loved one remain at horne. Our first visit is FREE!

We will talk with you and your loved one to develop a personalized plan.

You can count on us being there when you need us, from 2 hours per week to 24 hours a day.

Care Companions of Ohio is a Passport Provider. We also accept Private Pay, and most Insurances.

Offering affordable rates for all budgets.

Call Us Today! 740-961-7307 I 855-703-8209

------------------ www.TriStateHealthandWellness.com ------------------


LIVING WITH A WOUND L iving with a wound not only entails the

physical care of the wound itself, such as cleaning and disinfecting, irrigating, changing

dressings and other treatment modalities; it also involves the emotional and psychological care of the patient.

The health care cost for chronic wound care in the United States ranges from 5 to 9 billion dollars annually. There are physical and emotional components to successful wound care during the entire cycle of treatment and healing. Both the physical and emotional components require professional assessment and care.

Psychological Considerations Physical pain is a common and distinct characteristic of an acute or chronic wound. There are a variety of medical treatments available to help address and manage physical pain. However, managing the psychological component of living with a wound can be more complex.

Studies show that patients who suffer from anxiety or depression about their physical condition usually experience a much slower healing process than those patients with an upbeat attitude. Emotional or psychological considerations are felt in many different ways when living with a wound. A patient who is living with a wound may experience:

• Anxiety about potential job loss, finances and overall health outcome.

• Depression over a reduced quality of life and loss of independence.

• Embarrassment about potential wound odor, visible wound drainage and wardrobe adjustments to accommodate an often-bulky wound dressing.

• Shame or feeling like a burden on family members and caregivers.

• Grief about loss of bodily function and an altered body image.

• Isolation from friends and family due to decreased mobility, depending upon location and impact of wound.

• Feelings ofwonhlessness may becomes overwhelming when multiple emotions are experienced.

... Patients w ith wounds can experience a wide range of emotions. Living with a wound, whether acute or chronic, entails lifestyle adjustments. With the proper physical and emotional suppon, patients can successfully navigate this journey.

Physical Wound Treatment Options Wounds and the pain associate with them can dramatically impact a patient's quality of life. There are many treallnent options, non-pharmaceutical, pharmaceutical, non-invasive, invasive, palliative and aggressive from which to choose. Under the direction of your health care provider, there are options for controlling acute and chronic wound pain. It may take a few different trials to find what works best for each patient and each unique clinical situation. The patience and clinical expertise of your health care provider, along with the patient's involvement in the process, w ill find the best and most effective choice.

Psychological Treatment Options There are many facets to treating the psychological effects o f living with a wound. There are the physical wound care treatments, and also the less tangible, emotional and psychological treatments. Some of the treallnent methods and approaches that help patients recover psychologically during wound care include:

• Medical treatment delivered by an empathetic and compassionate care giver helps a wound patient cope with the reality of their medical condition. One effective method that offers positive reinforcement to a patient during treatment is digital photography. It is often difficult for a patient to acknowledge slow and steady improvement of a significant wound. However, if a care giver takes a weekly or bi-weekly digital photograph of the wound, the healing process can be more easily recognized and acknowledged by the patient.

• Modern wound care with specialized treatments and waterproof, low profile dressings can help to reduce pain, wound drainage, odor and leakage. Waterproof dressings can also allow the patient to shower more easily.

• Become educated about the wound condition the patient is dealing to help allay anxiety about the healing process.

• Suppon groups for patient and family members (caregivers) will allow open sharing with others in a similar s ituation.

• Relaxation techniques such as controlled breathing or guided imagery can help release tension.

• A stress management program can help develop coping mechanisms.

• Reduce isolation by VISlllng with family and friends on a regular basis. Social interaction keeps the patient feeling vital to society and the family dynamic.

• Embrace one enjoyable ac11v1ty each day: hobbies, a new interest, listen to music or read a good book. This diversion will have a positive impact on the patient's overall mental status.

• Professional counse ling sessions can be a helpful outlet to vent feelings to a neutral party. A licensed therapist can offer professional suggestions for effective coping mechanisms.

While living with a wound, a patient needs competent medical care that addresses the physical aspects of wound treatment, as well as a creative approach to psychological treatment and support. Professional staff, family, friends and self-directed health care all contribute to the success of the selected course of treatment.

The wound care program at Kingsbrook Lifecare Center is convenient for those patients living with a wound and the pain that may accompany it.

For more information about the wound care program and other services provided at Kingsbrook call 606-324-1414

KINGSBROOK ---------------------

LIFECARE CENTER

-------------------------------------------- www. T riS tateHea I thandWe II ness. com ---------------------------------------------

12 Health & Wellness July 2017- Tri-State Edition

NEUROMEDICINE

King's Daughters establishes Epilepsy Monitoring Unit

It's estimated that about 5 million people in the U.S. have epilepsy, a disease that affects the neuronal activity in the brain, often characterized by seizures.

While the public tends to believe that anyone who has a seizure must have epilepsy, that's not necessarily true. Anyone can have a seizure under the right conditions. By definition, epilepsy occurs when a person experiences two seizures more than 24 hours apart and no underlying cause can be found.

Things that can cause seizures include an infection of the brain or central nervous system, brain injury, sleep deprivation, high fever, eclampsia, brain tumors, and some psychiatric conditions. Diagnosing epilepsy can be especially difficult because patients are unaware of what is happening to them during the seizure.

King's Daughters new Epilepsy Monitoring Unit (EMU) is designed to facilitate accurate diagnosis of events suspicious for seizure activity. Located on the SJ nursing unit, patients are admitted for two to five days of EEG monitoring. The monitoring includes video and audio recording of patient behavior in an effort to capture episodes and identify/characterize these events.

Patients admitted to the EMU remain in the room for the duration

of the stay, except for diagnostic testing that may be required. During this time, they are attached to an EEG mach ine by electrodes, which continuously monitors brain activity.

While admitted, the neurologist may discontinue any seizure medication they have been taking or use other methods, such as photic stimulation, sleep deprivation or hyperventilation to induce seizure. Patients are encouraged to bring books, magazines and other activities to help them pass the time while admitted to the EMU. Additionally. patients are asked to have one responsible adult family member stay with them throughout the admission.

The patient is continuously monitored by EEG. Nursing care is provided by a Neuroscience Care Center nurse and a neurology technician/ LPN. EMU admissions are restricted to MondayThursdays. Most insurance companies require pre-certification for an EMU admission.

King's Daughters neurologist Omar Elghawanmeh, M.D., is medical director of the unit. For more information about the EMU at King's Daughters or epilepsy treatment, please call Ki ng's Daughters Neurology at (606) 408-2820. Patients are seen by physician referral.

---------------------- www.TriStateHea lthandWellness.com ----------------------

Regency Memory Care is a 26-bed facility

where residents can enjoy person-centered

memory care with individualized support

in daily activities.

Our new state-of-the-an senior care community is designed ro help families grow closer while developing new friendships with our specially trained staff. Our professional staff offers aroundthe-dock care and support to ensure our residents remain as independent and active as possible.

Our memory care center offers three levels of care options that range from minimal assistance with activities of daily living to more comprehensive assistance in a comfortable, safe, home environment.

Conveniendy located in East Central Kentucky, our facility offers private and semi-private living quarters, open community and dining areas, as well as quiet areas for relaxation or visiting

Tri-State Edition - July 2017 Health & Wellness 13

with family and friends Next door, our sister facility, Windsor Care Center offers robust nursing and therapy services should our residents need them on a temporary or outpatient basis.

Services Include: • Staff support 24/7 • Dining services • Medication administration • Moments Matter activity program • Worship services

Regency Me~,lO"'JI Ca1e

130 Sterling Way, Mt. Sterling, KY 40353 Phone 859.520.5111 Administrator 859.398.8875 www.rcmemorycare.com

-------------------- www. Tr iStateHealthandWellness.com -------------------


A COOL NEW WAY TO TREAT A-E

Arctic Front device for cryoablation provides new treatment tool • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Electrophysiologist Ola Khraisha, M.D., performed the medical center's first cryoablation for atrial fibrillation in June using the Arctic Front Advance cryoballoon catheter. The procedure was performed in the electrophysiology lab at King's Daughters Medical Center. Team members Cody Sturgill, Lisa Bradley, Sheena Stone, and Elizabeth Preston assisted.

The Arctic Front Advance cryoballoon delivers a refrigerant through an in flatable balloon to freeze t issue and disable unwanted electrical circuits that contribute to paroxysmal atrial fibrillation, or PAF.

Arctic Front Advance is a safe, effective, efficient and straightforward medical device for treating PA F. This secondgeneration technology builds upon the proven effectiveness of the original Arctic Front cryoballoon. The two technology platforms have been used to treat more than 100,000 patients in more than 800 centers worldwide. Because of its balloon shape, Arctic Front Advance allows physicians to reach and treat pulmonary veins (the site of unwanted electrical currents that trigger AF) quickly and efficiently.

This new technique expands the tools available to King's Daughters electrophysiologists - Dr. Khraisha, Terence Ross, M.D., and John Van Deren, M.D., in the treatment of atrial fibrillation and other heart arrhythmias.

Ola Khraisha, M.D. electrophysiolog ist

--------------------- www.TriSta teHealthandWellness.com --------------------

GENERAL SURGERY. GREAT SU GEONS.

From left, surgeons Tim Wheeler, M.D.; Kevin Miller, M.D.; Adam Martin, M.D.; and Roderick Tompkins, M.D.

To find a surgeon, visit kdmc.com or call our Care 24/7 line at

1-844-324-2200 KING'S

DAUGHTERS

...

MAKING

MEMORIES

ONE SUMMER

AT A TIME SUMMER DAY CAMP

Ashland Area YMCA

Ages (Kindergarten) 5 years - (61h Grade) 12 years

Monday thru Friday 7:30 AM-5:30 PM

$15 Members I $20 Non· Members• All children attending camp for the day must be here by lOAM.

We will need a REGISTRATION PACKET filled out and a CURRENT IMMUNIZATION RECORD for each child before they can attend .

Activities include .... swimming, structured games, free play and arts and crafts.

Your child wi ll need .... lunch, swim suit and towel each day. We will be serving breakfast before 8:30AM and an evening snack after swim.

•we accept State Subsidy

ASHLAND AREA YMCA 3232 Old 13th St, Ashland, KY • (606) 324- 6191 • ashlandareaymca.org

------------www.TriStateHea lthandWellness.com ------------


The Right at Home Difference W hether your loved one needs a little

extra help around the house, daily medical assistance or just someone to

check in throughout the week, Right at Home's in-home care could be the answer.

In-Home Care is Personal to Us Most of our staff have or bave bad loved ones in need of care. In-home care is very personal and important to us. We truly take pride in improving the lives of others. Right at Home hires loving care-staff who are specially trained to provide care services. We believe our caregivers and care services can help your loved ones maintain independence for as long as possible - within the comfort of their own home.

FAQs About Right at Home Making a decision about caregiving for a loved one is never easy. To be comfortable with your options, you need answers. We hope the following information is a good start. If your questions aren't completely answered, call us. We'll be glad to speak with you about your specific family situation.

How long have you been in business? Right at Home was founded in Omaha, Nebraska in 1995. Our local office was opened in 2009.

What kind of home care services do you provide? Right at Home provides numerous home care services across the country to families just like yours. A full list of services is available here. To see how we might be able to help your family specifically, take our Care Assessment. To see how we help families just like yours, read our Care Profiles or read our in-home care customer testimonials.

Where do you provide services? Our local office is part of an international network of in-home healthcare. Right at Home has hundreds oflocally owned offices all across the United States and throughout the world.

Are your caregivers insured and bonded? Yes. Every caregiver is a Right at Home employee. To help ensure the safety and well being of our clients, we perform a criminal history background clearance and then cover each caregiver with general liability and workers' compensation insurance.

_,--- --


Willi have a choice of who comes to my home? Yes. We encourage your involvement in the decision-making process. And with our proprietary screening and selection system, you can rest assured that we do our best to take the guesswork out of matching the right caregiver to you and your family. However, you must be satisfied. We always try to accommodate any requests you may have for a change in caregivers (as allowed by law).

Will my family member always receive care from the same caregiver? Our goal is to establish a long-term caregiving relationship with your loved one. Should your family want to request another caregiver for any reason, we'll search for a match until your family is happy. We undcrs1and that a strong rapport and trust with a caregiver is vital to a successful home care experience.

lf your loved one receives care for many hours in a day or at different times of the day throughout the week, it may be necessary to schedule more than one caregiver in a given week. If your family requires multiple caregivers, our goal is the same: we want you to be satisfied and happy. We'll do what it takes to make sure we achieve that goal.

Can Right at Home help with medications? Some Right at Home locations can administer medications. Check with your local Right at Home office on the services they can provide to your loved one. Regardless of whether a local office can administer medicine, they can always assist in reminding individuals to lake their medications. In fact, medication reminders are one of our most requested services. We can also report any side effects and assist with pre-measured medication packages.

Can I change or discontinue the services my loved one receives? You can change the number or type of service we provide your loved one whenever it's necessary. We understand the care situation can quickly change, so we're as flexible as possible with your loved one's care. Plus, you're never bound to a long-tenn contract, so you can discontinue your relationship with Right at Home at your discretion.

How can I verify a shift was completed? Right at Home uses several tools to track our caregivers. First, we usc simple timesheets fi lled out by each caregiver. Then, we usc a combination of Internet-based solutions to verify time and attendance. This allows you to have a written record of services within the home where care is provided.

Tro-State Edition - July 2017 Health & Wellness 17 And we can provide written verification at any time. Also, our itemized invoices are always sent after services are complete. This lets you ask any questions about rime or date of care, and it allows us to make any schedule adjustments before your invoice is sent.

Do I need a physician's authorization for your services? No. You don't need pre-authorization, prc-qualificalion, certification or even a prescription for Right at Home's services. You choose the services you want, when to start those services and how oflen those services arc used.

If you request assistance with billing a private insurance policy (such as long-tcnn care insurance) for our services, we're happy to help with the entire "benefits coordination" process. This includes providing any documentation you need for reimbursement by an insurance carrier.

What are the costs of your home care services? Every family we serve receives a Custom Care Plan specific to their needs and budget. Several factors help determine the exact cost:

• Number of hours of care per week

• Level of home care services received (non-medical, disease specific, etc.)

• Area of the country where services are provided

Our home care services are typically billed on an hourly basis. This makes it easy to make a Custom Care Plan for you. To discuss the exact rates for the services you may need, contact our office. We'll set up an in-home consultation to begin discussing a Custom Care Plan and the rates for each service on your plan.

We always provide a written rate sheet prior to initiating care services. Rates will never be increased without at least thirty days notice.

Are home care services covered by insurance or Medicare? Medicare does provide an Eligibility Tool to sec if your family qualifies, but they typically don't pay for lhe type of hourly personal care service that Right at Home provides. Right at Home may be able to provide documentation to third parties such as long-term care insurance companies that could help you obtain the best coverage possible.

Additionally, Right at Home has preferred relationships with many companies who either fully reimburse or partially reimburse for home healthcare.

Typical accounts for reimbursement include reverse mortgage, health savings accounts (HSAs) and flexible spending accounts.

We also work with reimbursement programs like the Veterans Aid and Allendancc Benefit, which is a benefit paid in addition to 1he monthly pension paid to Veterans and surviving spouses wbo require our services.

Do I pay the caregiver directly? No. You (or an authorized representative) are only invoiced after the completion of services. Usually, this happens weekly. You never have to pay caregivers directly. And you'll never be asked to pay an additional fee to any employee.

How is the privacy of my personal lnforma·· tion maintained? We adhere 10 all applicable federal and state guidelines related to privacy of personal and healthcare information. This starts once we have a fonnal services agreement, before a caregiver even comes to your family member's home. The written service agreement stipulates the exact restrictions on the use of your information, which clarifies that even unauthorized individuals will not be given access to information without a client's - or legally authorized representative's - formal consent ..

Your infonnation is never sold to a third party under any circumstances. In fact, only the office personnel and caregivers who are directly involved in your services will have access to information related to the care of your loved one.

Right at Home care services seems like a good choice. What's the next step? Give us a call. We'll arrange a time to visit you, your family and/or any authorized representative to fully discuss your particular home care situation and how Right at Home might help.

Together, we'll go over the care your family needs and the care we provide. We'll answer all of your questions regarding in-home care services and costs. Then, we'll begin pulling together your Custom Care Plan and matching your loved one with the right caregiver. Usually, care can begin within a mailer of a few days.

ln_C.,..&An-

www.rahrivercities.com 1866-453-2128



MOUNTAIN GAMES 2017 By lauren Francis

Mountain Games ZO 17 Is A Festival Celebrating Our Appalachian Heritage By Inviting, Competing In, Watching, And Experiencing All The Things Our Ancestors Used To Do Just To Survive In The Mountains, Hills, And Hollers.

M ountain Games 2017 is a festival celebrating our Appalachian heritage by inviting, competing in, watching, and

experiencing all the things our ancestors used to do just to survive in the mountains, hills, and hollers.

The only all-female team to compete in last year's Mountain Games plans to return for the Mountain Games 20 17 competition and this time enter their children.

"Mothers of Dragons" aims to bring a full contingent of seven members. Last September one woman had a sore back, which reduced her to donning a T-shirt to cheer on her teammates.

"We left some blood on the battle field," says spokeswoman Cassie Miller, noting that that team member Amanda Day cut her leg during the steel walking event. However, after getting a pair of stitches, Day returned to action.

"It was a great way to support the community, be with friends, and enjoy camaraderie and competition, not just give money," Miller says. "This September we're going to put our kids in it and form a separate team."

Launched last year in the wake of record-breaking Summer Olympics performances by Team USA, the Mountain Games are Central Appalachia's version of the familiar Highland Games. To say they were a hit is an understatement. The event drew about 220 participants and more than 350 spectators, and another 200 volunteers working behind the scenes.

"My goal is to double this year's turnout," says Velma Workman, Development Outreach Coordinator for the Cabell Huntington Hospital Foundation. "Moving out past Labor Day weekend should help. So will having people who were there last year, the word of mouth is already great."

"My grandson competed and now his whole Boy Scout troop wants to do it. People from several companies have said, 'Oh, now I get it and are trying to put teams together, " said Workman.

Thanks to parttctpants and sponsors who supported the games, the inaugural event raised more than $30,000 for the Hoops Family Children's Hospital.

The games will again feature competition on an obstacle course, feat of strength, big foot hunting, coal mining, rock climbing, shelter building, archery, steel walking, target shooting, and tomahawk throwing. A new twist will be added this year: a logging competition and demonstration by STIHL Timber Sports Champions.

The events arc open to aU ages, with entrants invited to compete individually or as a team for the titles of Mountain Man, Mountain Woman, Mountain Youth, and Mountain Team. Adults and youth ages I 0 and up will compete on the adult course, while children under I 0 will compete in the Family Zone. Events in the Family Zone include long jump, bucket ball, pool noodle games, ladder golf, giant sling shot, boat races, obstacle course, basketball shoot, and softball throw.

The day also features SK and I OK races on trails around Heritage Farm. They include an opening climb of three-tenths of a mile at a 12 percent grade, and a similar climb later for I OK runners. Runners must register by Sept. 5.

For Miller, the most challenging event of the Mountain Games was the tomahawk throw. Whi le not that physically challenging, it demands precision, and form. "The most fun was the obstacle

course," she says. "You're competing against yourself and you want to compete against everyone else's times too. I was nervous, seeing how fast others did it. It was a good way to get your heart rate up in two minutes."

After the female squad completed their events, they hung around to enjoy sandwiches from La Famiglia, sip on sodas, and watch a demonstration by an expert chain saw cutter.

They would have stayed longer, but around 2 o'clock the moms bad to shuttle kids to soccer games and other events.

"This year we'll put our kids in it and make a day of it," Miller says. "It was the perfect way to feel you accomplished something by raising money for the Children's Hospital and pushing yourself to the limit of your comfort zone. It was a great way to spend a Saturday."

The Mountai11 Games 20 I7 will last from

10 A.M. to 4 P.M. 011 Sept. 23. 0111i11e reg

istratioll ope11ed March I at a cost of 540

for the games as a11 i11dividual a11d 525

for the 5-K a11d I 0-K. Team registratio11

is also ope11 a11d available. Same-day reg

istratioll will he ami/able for i11dividual

games at the Christ Temple Church

parki11g lot.

Tickets to watch can be purchased on the day of the event at the farm. For more information, visit their page Heritage Farm Museum.


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LEADERS IN CANCER PREVENTION & TREATMENT

MEDICAL ONCOLOGISTS Today, more people are surviving a cancer diagnosis than ever before. This

success is due to prevention efforts, educat ion, screening and early detection, better information sharing, and the development of new medications and surgical techniques.

One of the specialties on the forefront of cancer treatment is the medical oncologist. After completing medical school, these professionals complete a three-year residency in internal medicine and then an additional three years of training (called a fellowship) in hematology/oncology.

King's Daughters Oncology Center of Excellence includes four of these high ly trained professionals and an advanced nurse practitioner, with a fifth physician set to join the program this summer. Today, we(\ like to introduce you to our hematology/oncology team.

David Goebel, M.D. Dr. Goebel earned his medical degree from the

University of Kentucky College of Medicine in 1986 and completed internship and residency at Temple University Hospital in Philadelphia. His fellowship training in hematology/oncology was completed at UK. He has been in practice since 1993.

AI the beginning of his college career, Dr. Goebel thought he might enter the ministry. But at college,

he felt pulled toward medicine and the opportunity to help people. It was during his residency training that he was introduced to the field of oncology. •u was an interesting field and I really enjoyed getting to know the people," he said. 11le best part of being an oncologist is the ability to relieve someone~ suffering ... both physically and psychologically, he noted.

Galena Salem, M.D. Dr. Salem was in middle school when she decided

she wanted to become a physician. Her grandfather was diagnosed with prostate cancer and died of it. •I wanted to treat cancer because my grandpa didn't receive any treatment."

Dr. Salem earned her medical degree from the University College of Dublin in Ireland and completed her internship and residency at Cleveland Clinic

Foundation in Oh io. She completed fellowship training in oncology/ hematology at The Ohio State University in Columbus in 2013.

The pace of change in oncology is swift and dramatic. "Almost every month, there is a new chemo drug or biologic therapy:· she noted. ·oncology is constantly changing:·

Chad Tarabolous, M.D. Dr. Ta.rabolous earned his medical degree from

the University of Southern California Keck School of Medici ne in Los Angeles and completed his internal medicine residency at Temple University Hospital, Philadelphia. He completed his oncology/hematology fellowship training at the University of Maryland Medical Center in Baltimore.

Dr. Tarabolous first realized he wanted to be a doctor in college. He had a strong interest in science and the opportunity to shadow physicians solidified his interest in the field.

Vinay Vermani, M.D. Dr. Vermani was in fifth grade when he first thought

about a career in medicine. As a doctor, "I thought I can pro,~de services and make a living in any part of the world, wherever there were people." Medicine matched perfectly with his interest in science and his fascination with the human body.

Over the course of his 32-year career, Dr. Vermani has seen a lot of changes in oncology. When he first

started, the field was new and upcoming. "It had a lot of potential for change;' he said, "and I've always been interested in learning new things:· Over the decades, he's had many opportunities to fulfill that desire. ·we have a lot of new antiemetics, more targeted treatments, immunotherapies and medications than ever."

Eva Joseph, APRN Nurse practitioner Eva joseph, APRN, works

alongside the physicians in the King's Daughters Oncology Center to provide care for patients and their families. joseph wanted to be a nurse since she was very young. She worked as an oncology nurse in the center for several years and then decided to move to the next level in her career by becoming a nurse practitioner.

"When I started, I gave a lot of chemotherapy in the hospitaL" Joseph recalls. "Now, most of it is done in the clinic. And there are so many more treatment options available for our patients:' The best part of her job, though is caring for people. "I love my patients and feel privileged to be a part of their care team. It's so exciting to see patients complete chemotherapy.

King's Daughters Oncology Center of Excellence is located on the fifth fl oor of Medical Plaza A, 617 23rd St ., Ashland. For more information, please call the center at (606) 325-2221.

KING'S DAUGHTERS

----------------------- www.TriStateHea lthandWe ll ness.com -----------------------

Tn-State Edotlon - July 2017 Healt h & Wellness 21

YMCA: Helping parents help kids grow healthy, strong, confident

F or most people, the YMCA means swimming laps in the pool, lifting weights, a pickup game of basketball or maybe even

a yoga class.

But for many, when they hear YMCA, they think "child care." The YMCA of America is one of the largest providers of child care services in the U.S., with programs across the country designed to help kids grow strong, learn, stay safe, learn to live a healthy life, and to practice social responsibility.

"The YMCA's mission is to build strong kids, strong families, and strong communities. We can think of no better place to start than in the early years of

life; said ------ ----' ___ _ of the Ashland Area YMCA.

•we cherish each and every child who comes to us for care, and love them for t heir unique talents, thoughts and personalities," said. "We strive to provide a responsible, loving, caring, honest and respectful environment in which children can learn and grow.•

The Child Care program at the Ashland Y is a year-round, state-certified program that offers age·specific classes during the school year, August through May. The day care program serves infants and toddlers, from 12 to 36 months of age. The pre·school program serves kinds from age 3 to kindergarten, with a focus on school readiness.

The Y provides afterschool programs for students kindergarten through fifth grade as well as summer day camp experiences.

The Y's school year begins in August and is tied to the start of the Ashland Independent school year. Students are registered full-time status, five days per week. An annual registration fee is due in August of each year. Child care fees are pre -paid at the beginning of each week.

Children who are fully potty trained, age 2 and up, have the added advantage of swimming lessons, taught by certified Y lifeguards. · we put an emphasis on swimming because it's more than just a recreational activity," said. "It's a skill that can save a life and we think It's critical that kids begin to learn how to swim as soon as possible:·

The Ashland Area YMCA is the only child care program in the area that provides swimming lessons for its students.

The child care program begins every morning at 6:30 a.m., when students begin to arrive. At 8 a.m. daily, students receive a nutritious breakfast, provided by the Y. Following breakfast, kids participate in activities designed to help them learn, develop social skills, and develop healthy habits. Lunch is served beginning around 10:30 a.m., depending on the child's age. Parents are responsible for providing a nutritious lunch that includes vegetables, fruits and proteins.

Lunch is followed by rest time, then with free time, structured play/lessons or physical activity. "We believe that children learn through play. Therefore, we provide an environment that allows children optimal opportunities for self-exploration and hands-on learning." Student-teacher ratios for children 12 year to 36 months are 6:1; for kids over the age of 2, the ratio is 10:1.

Special programs are held throughout the year to celebrate holidays, including Christmas, Easter, Grandparents Day, etc.

School-age program The Y's afterschool program runs 2:45 to 6 p.m. Monday·Friday. Bus transportation from Poage and Hagar elementary schools is provided. Students enrolled in the afterschool program receive help with homework, and participate in structure play, arts and crafts and free play. An afternoon snack is provided by the Y.

The Y also provides Day Camp programs for school·age children during teacher in-service days, select nationa l holidays, school vacations, and bad weather days.

YMCA child care staff members undergo a criminal background check and drug testing. Certification in infant, child and adult CPR is required, as is first aid training. In addition, YMCA child care staff undergo a six-hour training program focused on health, safety and sanitation.

"We are proud of the quality program we provide at the YMCA," said. "And we invite you to learn more about how the Y can be your partner in caring for your children."

For more information about child care at the Ashland Area YMCA, to arrange a tour, or to learn more about requirements for enrollment, please stop by the membership desk; call the Center at 606-324-6191 or email child care Director Kelly Hunley at [email protected].

The Ashland Area YMCA is located at 3232 Megan Neyer Way (old 13th Street ), in Ashland.



IS IT TIME FOR NEW HEARING AIDS? By Ann L. Rhoten, Au.D., CCC/A

I f you have been on the hearing aid journey, either personally or with someone you care about, you know how difficult it can be. First t he denial. Then the bar

gaining. And finally, the recognition that being able to hear clearly is j ust as

important as being able to see, maybe more so After being asked which was more important hearing or sight, Helen Keller replied, "The problems of deafness are

deeper and more complex, if not more important, than those of blindness. Deafness is a much worse misfortune. For it means the loss of the most v ita l stimulus--the sound of the voice that brings language, sets thoughts astir and keeps us in the intellectual company of man."

Recognizing the importance of our hearing is the beginning of the journey. Quality hearing aids, if well cared for, can last up to seven years. Most recent ly, a longtime patient replaced a hearing aid that was twelve years o ld. For most people, replacement is recommended every three to five years, and possibly more often depending on lifestyle, health changes and other factors.

How do you know if i t is time to investigate new hearing aids? Here are some questions to ask yourself.

Are my hearing aids obsolete? Hearing aid technology advances in leaps and bounds, w ith a revolution occurring about every five years. Today's hearing aids offer more featu res, more compact technology and greater discretion than ever before. Many new hearing aids

connect directly to your iPhone without any add itional equipment needed. They also now have rechargeable batteries, that w ith only one charge can last up to 24 hours. If your hearing aids are fou r or five years old, t here is a good chance they are obsolete! You just cannot imagine the improvements t hat have taken place in the past five years ... until you hear them for yourself!

Are your hearing aids work ing properly? Hearing aids wear out, some more quickly than others do. After all, they are exposed to moisture, dust, dirt, hairspray and ear wax most all day long everyday. They can be damaged when dropped or even in the process of changing batteries. If you have noticed a decline in their performance (the change could be gradual or it could be sudden), your hearing aids may be fail ing. Most hearing aids can be repaired, at least in the first five to seven years, but after that time, it becomes more costly to get new parts. You may be able to get your aids repaired, but there is a good chance it will be accomplished with used parts.

\' } Dr. Ann Rhoten Au. D., CCC/A is an independent audi

ologist in lexington. If you know someone suffering

with hearing loss, assure them there is help. With

nearly three decades of experience, Dr. Rhoten offers

the knowledge and the professional service each

patient needs.

Are you having trouble following conversations again? Remember, hearing loss is a progressive, degenerative condition. If you are having trouble following conversation again, if you've started turning the 1V up louder, or you've noticed that you just aren't hearing things as well as you used to, your loss may have worsened. It is time to get back to the audiologist and get things checked out.

Your needs have changed When you first purchased your hearing aids, your circumstances were likely different than they are today. Perhaps you were still working and it was important for you to be able to follow discussion in a large conference room. Maybe you now have a more active lifestyle than before and you need aids t hat can keep up with you. Or- and this happens frequently- you may have purchased just the most basic hearing aids back then but now you have a few more resources and want to step up the technology or features.

Your health has changed Arthritis and similar conditions can make it difficult for users to change the batteries or handle their heari ng aids. If you are having more t rouble handling your hearing aids because of changes in your physical health, new hearing aids can be a real boost.

For example, if changing the battery is a real problem, consider purchasing hearing aids with rechargeable batteries. You will only have to change the batteries about once a year! If you do not want to go t he rechargeable route, consider moving to an over-the-ear device. Generally, they have a larger battery door that those with dexterity problems find easier to manage.

If you have become a little more forgetful, new devices can adjust themselves automatically to the environment so you do not have to remember to program your aids. They can detect whether you are engaged in a one-to-one conversation, if you are in a car, or even if you are in a crowded room with lots of ambient noise.

You've fallen in love with being able to hear Many people, when they fi rst purchase hearing aids, are full of doubts. Will the aids really help me, wi ll I be able to wear them comfortably, will I be embarrassed, and do I really need them?

After living with hearing aids for three or five years, their attitudes change. They become more open about hearing loss and sometimes even become advocates to their friends, families and co-workers. The second time around, patients become more interested in really using the technology to enhance their l ives. Advanced features, new technology and compatibility with other electronics (such as Bluetooth), become far more important than the first time.

If you suspect your hearing aids are not serving you as well as they used to, call my office at (859) 554-5384 to schedule a consultation and start hearing again !

Dr. Rhoten is an audiologist with Kentucky Audiology & Tinnitus Services, PLLC, 1517 Nicholasvi lle Road, Suite 202, Lexington, KY 40503 • (859) 554-5384, or visit her online at www.kytinnitustreatment.com

---------------------- www. Tr iStateHealthandWellness.com ----------------------


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Lexar Labs uses cutting edge equipment and the highest quality of standards to support your practice and patients. Lexar partners with a multitude of specialties at various locations, including hospitals, pediatrics, psychiatry, pain management, family practice, internal medicine, OBGYN, Addiction Medicine, and similar.

Lexar's end-product is customized, detailed and easy to interpret. We offer unparalleled personal consultation with our technical personnel, pathologists, toxicologists, pharmacologists, and addictionologist allowing healthcare providers to deliver the best quality of care to their patients. Lexar Labs has the capability to deliver confirmatory results in 24-48 hours of receipt of specimen through a multitude of reporting mechanisms- Electronic Health Records, online provider portals, email, and/or Fax.

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Protecting the Precious Gift of Sight

T aking care of one's eyes is a lifetime responsibility, but one that pays great dividends. Fortunately, eye care isn 't difficult,

usually requiring no more than a little common sense and following four basic rules.

Rule #1 - Protect 'em When you're outside, wear sunglasses that protect against UVA and UVB rays. Exposure to UV AJUVB rays has been linked to both cataracts and macular degeneration, a condition that steals sight s lowly, generally affecting people in their later years. Your sunglasses should block 99 percent of UVAJUVB rays. Consider purchasing wraparound sunglasses, which provide further protection.

Wear safety googleslsafety glasses whenever you're working with materials that may become airborne and injure your eyes. If you're an athlete, wear appropriate eye protection for your sport.

Contact lens wearers must follow the specific hygiene instructions regarding cleaning, storage and insertion of their lenses. Never, ever place a lens in your mouth to "rewet" in and then in your eye! Follow your doctor's recommendations regarding lens replacement and report any irritation or difficulty wearing the lenses immediately. If you smoke or use tobacco products, quit. Tobacco use is linked to development of cataracts, damage to the optic nerve and macular degeneration. If you've tried to stop smoking before with no luck, keep trying. On average, it takes up to 30 quit attempts for the daily smoker to fmally stop for good. Talk to your doctor about strategies and medications that can help.

Rule #2 - Feed 'em A healthy, well balanced diet is essential. Choose foods that are high in omega-3 fatty acids, lutein, zinc, and vitamins C and E. These nutrients may help in preventing development of eye diseases later in life. Foods high in these nutrients include:

• Green leafy vegetables like spinach, kale, and collards

• Salmon, tuna, and other oily fish

• Eggs, nuts, beans, and other nonmeat protein sources

• Oranges and other citrus frui ts or juices

• Oysters and pork

Maintaining a healthy weight can help you avoid diabetes, which is the leading cause of blindness in adults. Just about every body system - including the eyes - benefits from physical activity and exercise. Something as easy as a 30-minute walk every day can help.

Rule #3 - Set'em up for success If your job requires a lot of computer use or close-up work, you'll want to make sure your glasses/contacts prescription is up to date and appropriate for the type of work you're doing. For computer work, move the screen so your eyes are level with the top of the monitor. This will position you to look down slightly at the screen. Situate the monitor so that there's no glare from lights or windows. If you can't move the monitor, purchase an anti-glare screen to help.

For close-up work, consider investing in magnifying lenses that will reduce the strain on your eyes. Take an "eye break" every 20 minutes: Look 20 feet away for 20 seconds. Get up at least every two hours and take a 15-minute break.

Rule #4- Check 'em Everyone should have their eyes examined periodically. Babies should have their eyes checked at six months, around three, and before entering kindergarten/first grade. If there are no problems, checkups should continue every two years. If the child requires vision correction, exams should happen annually.

Tri-State Ophthalmology 2841 Lexington Ave., Ashland, KY

(606) 324-2451

---------------------- www.TriStateHea lthandWe ll ness.com ----------------------


Adults should have their eyes examined every two years. More frequent eye exams may be recommended, based upon overall health and any vision problems that might exist. Persons with diabetes should have their eyes examined at least once a year.

The following conditions should be checked out promptly, even if it's only been a few months since your last eye exam:

• Bulging of one or both eyes

• Dark curtain or veil that blocks your vision

• Decreased vision, even if temporary

• Distorted vision

• Double vis ion

• Excess tearing

• Eyelid abnormalities

• Halos (colored circles around lights)

• Injury to the eye

• Loss of peripheral (side) vis ion

• Misaligned eyes

• New floaters (black "strings" or specks in the vision) and/or flashes of light

• Pain in the eye

• Motion sickness, d izziness or trouble following a moving object with your eyes

• Any change in vision, especially if it follows a head injury

Where to turn The medical professionals who provide care for the eyes are called ophthalmologists. Ophthalmologists are licensed physicians who have graduated from an accredited medical school and completed residency training (and sometimes a fellowship) in ophthalmology. Ophthalmologists can prescribe eye glasses and contacts to correct poor vision; diagnose and treat medical conditions affecting the eyes; and perform surgery to treat conditions such as cataracts, drooping eyelids, and detached retinas.

Is it time for you to start taking better care of your sight? Tri-State Ophthalmology has been providing comprehensive eye care for people Ashland, Boyd County and surrounding areas since 1963. Ophthalmologists John Gross, M.D., and Carter Gussler, M.D., have more than 50 years of experience treating everything eye related, from routine eye exams to surgical procedures.

Whether you're noticing some vision changes, or it's just time for a "routine" check-up, Tri-State Ophthalmology welcomes you. The practice is located at 284 I Lexington Ave., in Ashland. New patients are a lways welcome; a physician referral is not required. For more information, visit Tri-State Ophthalmology on the web at tri-stateeyes.com. Or call the office at (606) 324-245 I.

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--------------------- www.TriStateHea lthandWellness.com --------------------

T he use of opium, with all its addicti~ properties, probably began in the United States during the 19th century. It has a storied history resulting from influences

attributed to its popular use around the wo~d. For centuries, most cultures used opium medically as a pain killer and reaeationally to deli~r pleasure sensations through euphoria. In 1800, frederich Serturner, a young apothecary employee, living in Hanover, Germany, chemically studied opium in an attempt to isolate its active ingredient. This young pharmacy assistant eventually isolated morphine. Morphine as an addictive product was not completely appreciated until1853, the year Dr. Alexander Wood developed the hypodermic syringe. Using a syringe to inject morphine directly into blood vessels offered rapid pain relief, a procedure quickly adopted during the Civil War. An injection of morphine was initially considered less addictive than oral use, but this was proved wrong, resulting in the thousands of Civil War ~terans addicted to morphine. During the nineteenth century, addiction momentum was fu rther fueled by a large number of Chinese immigrating into the western territories looking for work on the railroads and gold mines. These new immigrants introduced opium smoking to the United States as a part of their cultural experience. Even though opium smoking represented only a minor role in the over-all developing addiction problem, the general public worried that opium dens would lead to social corruption. finally, the last influence in the developing addiction problem of the 19th century involved opium use in patent medicines. These medications were designed for use as selfmedications, for patients with a variety of health disorders. Ulti· mately, consumers realized these fancy patent medicines were actually unregulated, unlabeled concoctions that had essentially no therapeutic value and many times, were addictive and even fatal. It is felt that the patent medicine industry was the strongest contribu· tor to the addiction problem for that generation, affecting mostly middle to upper class females. Opium smoking probably did not impact opium addiction with the same magnitude as injectable morphine and unregulated patent medicine.ln 1865, at the dose of the Civil War, morphine was routinely gi~n to injured soldiers to help manage war related injuries and illnesses often called "Soldiers Disease~ This name was given to the health conditions, soldiers sustained during the Civil War, whicll ultimately created a narcotic addiction problem. The ease of a morphine injection for painful addicted Civil War soldiers proved too tempting to resist and the availability of a bottle of elixir, laced with opium, seemed a simple remedy as self-medication. There were essentially no go~mment regulations designed to monitorthe early patent medicine industry. Most of these tonics and elixirs contained opium and alcohol, and were mixed together in some backroom. Despite the fear and danger of addiction, it was the lack of adequately available health care that prompted the wounded ~teran and trusting public to moose unproven medical altematim. Physicians during this time routinely recommended patent medicine and maintenance morphine injections, both of which contributed to the growing


Part II

addiction problem. ln addition, the synthesis of heroin in 1874 added another medication available for addiction, with physicians in denial, believing heroin was less addictive than morphine. It became a popular additive to patent medicines and was dispensed by pharmacists, physicians, and patent medicine clerks without regard to danger. In the late 19th and early 20th centuries, no one understood opium addiction or physical dependency due the use of morphine and later on heroin. The public's routine opinion, concerning opium's dependency, was an opinion of pity, since its use, was simply overlooked as needed therapy, or a misfortunate cond~ion of life.

The general public fina lly realized the dangerous medical concerns related to opium addiction and persuaded, even demanded, the federalgo~rnment investigate opium use.

lnmtigations of health care, pharmaceutical development medicinal utilization, food service, milk production, and industrial employment along with other basic necessities of life, were all found deplorable and destructive public services. The public at large cried out to legislators to help correct these conditions.

tt was following multiple newspaper articles and the publication of two books, "The Jungle" by Upton Sinclair and 'The Great American Fraud" by Samuel Hopkins Adams, that horrible living cond~ions were identified and described. Eventually, it would take the power of government, and the Theodore Roosevelt administration to develop and enforce new l egislati~ woric and exert control over miss-handling and miss-labeling commercially available products. It was because of the public out-cry and the sensitivities of the Roosevelt administration that opium addiction and poor public service were recognized as problems. It was the l egislati~ strength of Roosevelt that created a path for passage ofThe Pure Food and Drug Act of 1906. This progressive legislation did not directly address opium addiction. It only required ' truth in labeling• of commercially available products and a required listing, on the package label, of any dangerous or addicting additives in the pharmaceutical preparation. The 1906 Act was not easily passed, and at times, took herculean efforts to convince congress that a problem of this magnitude truly affected the quality of

life of United States citizens. The people invol~ in the passage of this Act and other legislation that quickly followed should be applauded for woricing through the complexities, helping to improve the American standard of life. It was following this 1906 federal legislation that the usage of narcotic laced patent medicine was forever cllanged. The Act mandated that consumers, should be notified on the package label, the ingredients added and contained in the bottles of medication, especially any available narcotic. Customers began replacing their innocent trust with mature fear of the medications they were ingesting, once the labels identified the added ingredients. Even though The Pure Food and Drug Act corrected the deceptive practice of miss-labeling pharmaceuticals, no legi.slation was available to address the addictive properties of tonics and elixirs sold privately throughout the land. In fact the addiction problem continued, due to over the counter availabil~ of opium, morphine, and now heroin. Poor healthcare, especially related to dysentery and cough due to respiratory disease, drove people to rely on self-medicating, with products available from drug stores and patent medicine deli~ry trucks. In the early 20th century, the concept of drug addiction moved from one that offered sympathy and pity for the poor addicted patient to a fearful attitude associated with drug related criminal activity. It was during this time that a transformation in the addict population required a change in the narcotic laws. These changes slowly occurred over time, but drug reformers were determined and understood that the domestic narcotic laws had to be standardized. Resistance to regulatory laws developed, especially from drug companies who had a strong narcotics business. Their fear concerned how new legal control might affect available narcotic distribution, which would limit their profit. finally, following months of legislative compromise, The Harrison Narcotic Act of 1914 was passed. This Act established the word narcotic, which represented a host of addictive products.

It required everyone legally eligible to sell, distribute, dispense, manufacture and import narcotics to register with the government. This 1914 Act has been referred to as The Harrison Narcotic Tax Act, since it required all who registered to pay an additional tax on narcotic revenue. It limited the amount of narcotic available without a prescription. The federal agency responsible for enforcing this Act was the Internal Revenue Bureau, Treasury Department.

A goal of this newly formed agency was to legally restrict physicians from writing prescriptions to patients who were addicted to morphine. The law allowed new narcotic prescriptions to be written in the normal course of practice, but it did not legally allow these prescriptions to be written for addiction maintenance. Even after the laws were cllanged, narcotics were still available from physicians, sympathetic to their addicted patients. Physicians continued to offer narcotics to this special population of people, even though this illegal activity resulted in a number of physicians being arrested. Addiction is a powerful incentive even in the face of legal restrictions and government oversight. These legal incon~niences leveled at narcotic use did not deter the addict, it just drove them to seek their morphine through illegal channels. The result was the birth of criminal drug related activity.

rht author wishes to thank the following educationolsources for their literary conllibution; Oakley Roy 2nd edition 'Drugs and Human Behavior'; Oovid T. Courtwright, "Oork Paradise, A History of Opiate Addiction in America"

---------------------- www. Tr iSta t eHealthandWellness.com ----------------------

28 Health & Wellness July 201 7 - Tr i-State Edition

LESS <

• IS

> MORE

Could a Minimally Invasive Procedure be Best fo r You? Whether you call it keyhole surgery, Band-Aid surgery, or endoscopic

surgery, minimally invasive surgery is a set of techniques that allow the surgeon to operate through very small incisions.

In minimally invasive surgery, a number of these are made, through which the surgeon inserts a small, flexible camera that allows visualization of the surgical field on high-resolution monitors. Specially designed, miniature instruments are inserted through the other ports, allowing the surgeon to take tissue samples, repair defects and remove foreign objects or tumors.

The surgical team at King's Daughters has been performing minimally invasive procedures for decades, with extensive experience in laparoscopic, endoscopic, and robotically assisted surgery.

While not a ll conditions or patients are suitable for minimally invasive surgery, when it is appropriate, patients benefit from small incisions that cause less discomfort and heal more quickly. Scars are smaller and hospital stays are shorter, reducing the overall cost for the patient. Plus, the risk of infection and other post-surgical complications is reduced. Procedures that can be performed using minimally invasive techniques include: • General - severe gastroesophageal reflux disease (GERD), gallbladder

removal, obesity (gastric bypass, gastric sleeve), gastrointestinal/rectal conditions, hernias (paraesophageal, ventral, hiatal or incisional)

• Lung - Some lung tumors

• Gynecologic - Gynecologic cancer, benign tumors, endometriosis, uterine fibroids, ovarian cysts, benign cervical disorders, conditions requiring hysterectomy, removal of ovaries and staging of lymph nodes

• Neurosurgery/Spine - Spine conditions, cervical disc hernias, lumbar disc hernias, degenerative disc disease, spinal trauma, skull base brain tumors, anterior cranial fossa (front skull base) tumors, posterior cranial fossa (back of the skull base) tumors

• Orthopaedic - ACL repair, cartilage restoration, fracture repair

• Vascular - Varicose veins, venous insufficiency, peripheral vascular disease, abdominal aortic aneurysm

• Urological - Kidney cancer, kidney cysts, kidney stones, kidney blockage, lithotripsy, prostate cancer, incontinence, vaginal prolapse

A minimally invasive approach is not always the right choice for your situation. Some patients have differences in anatomy, scar tissue from prior surgeries or health conditions that may preclude them from having

minimally invasive surgery. Regardless of the circumstance, the skill and experience of King's Daughters surgeons - and the entire surgical team broadens the available options for all patients.

Robotically Assisted Surgery Advanced technology, such as the Da Vinci Surgical System, a llows

surgeons to perform extremely delicate procedures by translating large movements into very tiny, precise actions. During a robotic-assisted procedure, surgeons work from a master console equipped with controllers that maneuver four robotic arms. Viewing high-definition, three dimensional images, the surgeon can move easily within the surgical field, while the computer translates his/her movements with precision.

Not all minimally invasive procedures are completed with robot assistance, and not all medical cases are right for robotic-assisted surgerysome patients may benefit from endoscopic or open (traditional) surgery.

TheDa Vinci Surgical System

------------------------ www.TriStateHea lthandWe ll ness.com -----------------------

Abui-Khoudoud Aitken Bastidas Bentley

Chambers Cheung Dixon Dotson Ford

Martin Miller Schmidt Thorndyke Tompkins

King's Daughters surgeons performing minimally invasive procedures include:

• Omran Abui-Khoudoud, M.D., vascular/endovascular surgery

• George Aitken, M.D., orthopaedics

• Greg Baker, M.D., otolaryngology

• Juan Bastidas, M.D., cardiothoracic surgery

• Jared Bentley, M.D., orthopaedics

• William Boykin, M.D., urologist

• Jon Brinkman, D.O., otolaryngology

• Eric Bronstein, M.D., cardiothoracic surgery

• Stephen Carawan, M.D., orthopaedics

• M ichael Chambers, M.D., orthopaedics

• Felix Cheung, M.D., orthopaedics

• Justin Dixon, M.D., urology


Boykin Brinkman Bronstein Carawan

Hou Krick Mahoney

Trinidad Van Beneden Weicker Wheeler

• Tony Dotson, D.O., obstetrics/gynecology

• Richard Ford, M.D., gynecology

• Robert Fried, M.D., cardiothoracic surgery

• A lexander Hou, M.D., vascular/endovascular surgery

• James Krick, D.O., urology

• Thomas Mahoney, M.D.,obstetrics/gynecology

• Adam Martin, M.D., general surgery

• Kevin Miller, M.D., general surgery. bariatric surgery

• Christopher Schmidt, D.O., urology

• Charles Thorndyke, M.D., urology

• Roderick Tompkins, M.D., general surgery, bariatric surgery

• Gerry Trinidad, M.D., orthopaedic surgery

• William Van Beneden, D.O., otolaryngology

• Michael Weicker, M.D., neurosurgery

• Timothy Wheeler, M.D., general surgery, bariatric surgery

For more information about minimally invasive surgery at King's Daughters, visit us at: KING'S

DAUGHTERS kingsdaughtershealth.com -------------------- www.TriStateHea lthandWellness.com -------------------

30 Health & Wellness July 201 7 - Tri-State Edition

----------------Spl~ess

Heart Talk By Alex Anderson, Senior Associate Pastor at Bayside Community Church

M y dad told me a hilariously funny story that happened when he was about 20 years o ld. He was rid ing in the backseat

of my grandfather's car with my grandfather, Jeff, driving. Grandpa Jeff's brother Uncle Walter was in the front passenger scat. So to set this up a little more, both Grandpa Jeff and Uncle Walter had suffered hearing loss. Uncle Walter's was more severe but be did not wear any hearing aid devices. He would usually turn his "good ear" towards the person talking and with a little lip-reading understand what was being said.

So according to my dad, while they were riding along, they were having a conversation with both of them talking at the same time. Grandpa Jeff was quite the talker, so he continued on and on about something which Uncle Walter could barely bear out of his good ear which was towards the passenger side window.

Apparently, Uncle Walter heard just enough of Grandpa Jell's conversation to send him on a rabbit trail of comments back to him. My dad watched this going on for the better part of five to six minutes ... of both men in the front seat talking as loud and as fast as they could ... at the same time.

Well, my dad was trying to restrain himself from laughing. So be got down in the floorboard and covered his mouth.

The conversation going on in the front scat came to a grand finale of humor when my dad heard Grandpa Jeff say to Uncle Walter, "Well Walter if you' ll shut up a minute, I'll tell you something."

My dad could not hold it in any longer. He laughed so hard that his ribs were hurting.

Having watched Grandpa Jeff and Uncle Walter trying to communicate myself, I can sec how sidesplittingly funny this was to my dad.

Both my Grandpa Jeff and Uncle Walter loved each other dearly, so they never had any ill feelings for each other, but it sure was funny to us kids and my dad to watch them carry on a conversation.

My grandpa and great uncle both had hearing issues that were obstacles that, as they got older, hindered their communication. There are other obstacles that can hinder our communication to others that are even more powerful and can even be dangerous to our relationships.

Those would be what I call heart blockages. Heart blockages are for the most part unintentional and can happen slowly over time. Heart blockages occur when we have unresolved issues that we have not allowed ourselves to share with those we live and work with.

Without a little time to clear the air, we don't a lways communicate well with one another. It's like the emotions seem to block the words we need at the moment or we just cannot talk at all .

Heart blockages can happen between best friends, coworkers, and even between entire groups of people. And I believe that ...

People can't listen until they have been heard. Now I'm like you, I don't want to be blasted by someone who has pent-up heart blockages either. But I have realized that when I give someone a "safe card" to talk first and let them have at it...the following communication seems to be more clear. less emotionally charged and better relationally.

So how docs the "safe card" work?

You sit with one other person or a group of people in an uninterrupted environment and you communicate the safe card rules:

1-only the person holding the safe card talks

2-no one leaves the room until everyone has been heard

3-you talk about how you feel

4-no criticizing or judging what others say

5 -you pass the safe card to the left when you arc through

6 -cverything said is confidential and stays in that room

The person with the safe card starts by saying ... "What I feel like saying is ... "

Usually, a few things come from "safe card" talks like:

• Conflicts get resolved

• We develop better listening skills

· We learn to let go of unresolved resentment

• There is a sense of connection and bonding

• Empathy grows within us

• Constructive expression of our feelings

• Mutual respect and understanding grows

These types of heart blockages are not fatal to your physical health, but they can adversely affect a relationship.

Watclr over your lreart witlr all dilige11ce, for from it flows tire spri11gs of life. Proverbs 4:23 NASB

So here's to a lighter and happier heart that flows with the springs of life.

To your spiritual health,

Alex B. Anderson Senior Associate Pastor at

Bayside Community Church

Author, Dangerous Prayers

[email protected]

www.dangerous-prayers.com

mybayside.church


-----------www.TriStateHea lthandWellness.com -----------

A Division of COMPARION •ACE'" Accreditation for Cardiovascular Excellence

The region's best

At King's Daughters, providing the highest quality heart care has always been our passion. We are committed to continuous improvement and independent review of our program because these help our patients and their families know they are receiving unparalleled care.

Our program has earned national recognition from the Accreditation for Cardiovascular Excellence for cardiac catheterization, percutaneous coronary intervention (PCI), and electrophysiology. We were the first facility in the entire U.S. to earn ACE accreditation for electrophysiology! We have earned accreditation from the American College of Cardiology for treatment of atrial fibrillation and heart failure and as a Chest Pain Center offering Primary PCI, an accreditation we've held for over a decade!

Our heart surgeons have consistently received the highest rating possible from their peers at the Society of Thoracic Surgeons for outcomes and adherence to their high standards for bypass surgery. CareChex, an independent ratings company, has judged King's Daughters to be the No. 1 provider of cardiac care and major cardiac surgery ... an honor we've earned every year since 2013.

It's all for you We are proud of the hard work and dedication these honors represent. But more importantly, we are proud to be able to provide world-class care to you. We pledge to do everything possible to help your heart be healthy and strong. If you need heart care, call us. Our doctors will see you within 48 hours. (606) 324-4745.

KING'S DAUGHTERS kingsdaughtershea lth .com

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