1. Art and Diseño

Family Guidance Center
~
is
Htn,.
Substance Abuse - Family Suppon - Anger Management
120 Nonh Third Street· lronlon, OH 45638
Phone: (740) 414-2245· Fax: (740) 532-0557
I
Programs Available
ADD and Suint",," Abu .. T...... rmmt - 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.
Wednesdayall:OOpm.
Anger Manag..........' - Develop sefl-«>n lroi skills and learn to deal with
anger in a productive manner.
Aumring - Improve understanding of developmental issues and appropriate
discipline I«hniques for all ages. Seven-week dass thaI rne<:ts onCe J>C'r week
for two hours. Individual Parenting Classes.
Women's fmpown....trU - Meet with women 18 years and older to help overcome
pa5llrauma. Wednesday IO:OOam.12:noon.
m
o
c
_
s
s
e
n
l
l
e
W
d
n
~
h
t
l
~
e
H
e
t
U
S
i
'
T
.
w
w
w
_______________________
.
F.omily Suppurt· Develop sldlls to maintain and strengthen the family unit.
In.home tmining in parenting skills, budgeting. housekeeping, hygiene, etc.
_______________________
INrUSION
SOLUTIONS
www.infusionsolutions.org
FOR REFERRALS
• Cardiac Perfusion
CAll TOll FREE 888·446·6348
TOll FREE FAX 866·606·4663
PROVIDERS FOR OYER 100 NETWORK PAYERS
• Pain management
• Chemotherapy
• Hydration
• Chelation
.IVIG
(Imm
• IVIG (Immune
Globulin)
• Remicade
• Interferon
--
• Anticoagulant
• Colony Stimulating Factors
• Others upon Request
~::::::::::::::::::::::::~~~w:ww:.~,,~,,;,,:',:."~.:,,~,":.~".;w~.~,"~.:,,~,:o:m~:::::::::::::::::::::::::::::
DO YOU SUFFER FROM
A DIGESTIVE DISORDER?
Digestive disorders disrupt the lives of over
sixty million Americans every year.
DR . BRIAN
:\ccepting
\t'\\
K.
BAILEY
Palien ts. Self-Pay :\{'('cpled
\\illk -Ins \\l'lroIlW • ,· \crept -\11 Insurancl'
\"0 Rl'i'l'rrals \('{'ded
324-FOOT (324-3668)
:;00 14th St, Ashland, KY 41101
If you're not
I~t~:. ~~~;~ ~:~;
:~~ you need from
medications,
11
or you suffer from the following symptoms,
Tri-State Digestive Disease Associates can help treat:
• Modet1lte to Sa..... AIxIomln.1 p'ln
• SlOm.eII pain
(upper and lower, teft Of light.lde)
• GUIIOe.ophag..1Renux 01.....
(GERO)
• CrotIn', OiMalle
BRAIN SURGEON
Ondrej Choutka, M.D.
A board·cert;fied, fellowshiptrained neu rosurgeon, Or_Choutka
specializes in:
• Oll!lculty . wallowlng and 1111081 pain
• Inn.mm.tory Bowel Syndrome (IBSIIBD)
• Sku ll base surgery
• Chtonlc constipation
• CIv'onk: dl.rrh ..
• Rectal bINding .nd bloody .~
• Excess". gal. bIoeling
• DivertiwlitillOive<ticulo...
• 8rain aneurysmlbleeds
• C.llac DI...se
• UVerOl.....
• 8rain tumor.
• B.rren', Esoph*O\l'
• E;o:o».lIII. nau .... vomitlrog
• Stomach Ulcers
• Surgery to treat stroke and
Moyamoya disease
• Microvascular surgery
Tri-8tate Digestive
Disease Associates, P.S.C.
Caring is what we do best
• Peripheral vas.cular surgery
• Treatment of trigeminal neuralg ia
Referrals/second-op inion consults
welcome,
(606) 324-3188
6 17 23n;1 Street. Suite II
Ashland. KY 41101
Mi::t\aeI D. ~ MD
Cher)t L 6ascom. MD
::::::::::::::::::::::=============:W~W~W~.~'~"~S;";'~'~"~':~lth~ndWell ness_com _____________________
Contents
February 2015
6
Singing Praises
Gospel Singer's Heart Antlythn1ia
Under Control Thanks to
Implantable DeIrice
8
20
Go Red For Women2015 Fact Sheet
21
Your Abdominal Cramps
Could Be Diverticul~is
ForWomen'sEyesOnty
10 Don't Let Your Frtness
Resolutions Get the Best of You
(Again)
1 1 Pregnancy and HPII
Exist..
12 Perfection
15 Does Your Deotist Know
2 2 Dig~ized X-Rays (eRMA)
24 OphU"m<O<ogy 101
2 5 """""'. y~ '001 ""
Signal Heart Concefns
Doesn't
Which Medications You Are Takr.g?
26
Be Proactrve
of
29
Reactive) When Comes to
Basketball Related Injuries
IMPROVING SM IL ES IN AS H LAND KY SINCE 1980
~ nstead
16 Home Intusio'l Therapy
18 One In Six PeopE Have a
Pituijary Tl.ITOI": Could You Be
One of Them?
~
Your Child's Oral Health
3 1 Spiritual Wellness
Stay Married To Your Sweetheart
"In Touch With Your Health/"
Servke. I..dude :
FREE Splnol 5<reenlngs ' DIv... Hi«I MJuotlng TKhnlque
On·Slte X-""Y • 1(IIIfllot.ope • Tl\e"peulic Masuoge
5Y'*91 The<apeuUc System • • PhyIJotke<.py
Expert W........ • 5po.... & 5<1I00I Phyluol Exam,
Drug s.:-..Ing • • Prod""".nd mor._
.....
--- _"' . ... -- ........... _... __ .....
.
c<:,,~TR_ATe
HEAl.THl W£U.NEss . . . . . . 7(015. ..
ow- _
....-.
._ .....__
_ _ ... _
.... _drn>-SlAn; HEAl.1l<' W£U.NESS_' _ _. 1RJ.
STATeoE.W.1l<'WEw.€$S_l_ . . . . . . _
........ _
... od1,"' ... _ . . . . ,
_
..... __ fR1..S1.n;oE.W.THl l'l'ElW£SS_ l _ _ ....... _ _ ....,
...... _
... _ . _ ' "
. ..... _
""' ...." _... TroSTATEoE.W.1H'WH 1HESS
_
_
__
__
__
_
__
___
_
_
l_
_
_
_
"_
"_
"_
_
"_
'_
"_
'_
_
~"'_
Dr: Jason A Moore
900 20th Street
HlN1!1ngtOl1. w.;
25703
Telephone: 304-523-7891
Fax: 800-765-7497
drmoore@HCAICcom
We lim to eduute our potienU . bout ( hi..,.
pro<;ti( .nd Other ",,'ural""ufion, to common
hH~h ~m; in 00:1 ... '0 motiv.,. r:>u to
take. ""'"' KliYo and ~pon!.iblo role in
~tO/I"9
and ma.,tal"ng row own health .,
.......1as the people ~nd )'0\1.
Visit us lit: www.HCAIC.com
'c;;;;;;;:;:;;;-=====================
www.T' i SUteHe~lth ~ ndW e ll ness_com
6
Health &0 Wei lneH February 2015 . Tri·SUte Ed ition
•
raises
Gospel singer's heart arrhythmia under
control thanks to implantable device
or Larry Shannon, gospel music is a passion. The
6S·year·old Ashland Oil retiree records his Own CDs
from a home studio and visits local churches to sing
and play keyboards. But there's one night of church singing
he won't SOOIl forget.
F
"] knew ] was
going down, so
I grabbed my
chest and said ']
think I'm having
a heart atta ck ...
I'm serious.'''
On Oct. lS, Shanllon was visiting New Life
Fellowship in Russell. Ky., and was singing
a song called "The Love of God."
"I feel li ke too many times people get
caught up in the music rather than the
message; Shannon said. "So I was telling
them to pay real close attention, especially
to the third ven;e."
However, when the third verse came
around. Shannon felt a sudden crushing
pain on the left side of his body.
"I knew I was going down, so I grabbed my
chest and said 'I think I'm having a heart
attack ... I'm serious;" Shannon said. That's
the last thing he remembers about that
evening.
Two King's Daughten; nurses, Reese and Will Irby, attended
that church senrice, and immedia tely began CPR and
continued until an ambulance arrived. Paramedics shocked
him twice at the church to revive him, and once again in the
ambulance. Once stabilized. he was transported to King's
Daughters.
"This church service probably had only about SO people in it,
but I believe the Lord made sure there were people there to
take care of me; Shannon said.
The heart team at King's Daughters
determined Shannon had experienced
ventricular tachycardia, a serious heart
arrhythmia. A cardiac catheterization
revealed no blockages in his arteries,
but to control Shannon's arrhythmia.
electrophysiologist Terence
Ross, M.a., placed an implantable
cardioverter defibrillator, or ICD. An
ICD continuously monitors the heart's
rhythm and can instantly shock it back
into normal rhythm.
Terence ROil, M.D.
elKtrophysiolQ9ist
About a month after the incident, Shannon was back to
singing. and was able to retl.lrn to New Life Fell owship to
finish the song that was so suddenly interrupted.
"I still owed them the third verse; he said. "I don't know if
they were expecting it or not, but I just went ahead and went
up there and sang the third verse. It felt great ... especially
when I think of everything that could've happened ."
DON 'T PUT IT OFF: If you're having symptoms such as an irregular heartbeat.
get it checked out. To make an appointment with one of OUf cardiologists, call
us at (606) 324·4745 .
KINGS
DAUGHTERS
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.TriSut e HealthandWe ll neu.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
m
o
c
_
d
n
s
s
e
n
l
l
e
W
~
h
t
a
e
H
e
t
U
S
i
r
T
.
w
w
w
_______________________
.
Tri-State Edition - February 201 S Health & Wel lne»
7
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
8
Health &0 WeilneH February 2015 . Tri·State Ed ition
FOR WOMEN'S EYES ONLY
T
hiS article is for women who have had children,
abdominal surgelles andlor spina l surgeries.
wr.y? Because over Ihe lasl 35 years we have
seen a recurring pattern. of loss of musc le slrength in
Ihis population of women. When th iS loss of Slrength
goes On over a period of years Or de<:ades we see the
spinal structures breaking down .... primarlly. your
bones, spinal joinls and discs.
1. You milht
wonder why?
It is due to .11 your
muscles being wea k .nd
ligament<
la.
afte r
del ivery and Ihe inlernal
spinal structures are
Ihen absorbing all of the
stress you PUI on your
body. In leaching you
how to use the body
can prevent back pain from
occurring not only after child birth but for life.
2. WHAT NOT TO 00
Next, we laughtthem not to bend at the waislas it
further stretches OUI Iheir already loose bKk
muscles. ligaments, and joints. Also, 00110 pUllhe
baby on the hips when wa lking or doing household
chores such as cooking. laundry. etc. OQing thiS
helped Ihem adapt to new patterns of movemenl
so they could master this before discharge.
PREVENnON IS THE KEY
This is rea l'v unfortunale, as this can be prevenle<l with
Ihe proper course of exerc ise for strengthening. enduro
ance and ~nowledge 01 how to use all 01 your mu.cles
10 prevent low bKk Injuries.
GREAT OPPORTUNITY
Way bild in 1980, I waS approached bv 3 OB/GYN
Doctors to he lp Ihem keep Iheir new mothers out of
Iheir wa iting rOOm. due to back pain. Most new
mothers were coming back 10 Iheir OB doctor for back
pain and alilhe doctors could offer were pills and Ihev
saw th iS was nOI working and asked for my help.
PROPER EDUCAnON TRULY WORKS
By 1980, I had Seen enough people suffering from low
back pain from various causes to think Ihis should be
prevt!nlable.
So, I worked to put logether a program to teach new
mothers how 10 strengthen Iheir pelvic Ooor muscles.
abdominal and low back muscles, and how 10 use all 01
Ihese te> prolecl their low backs when Ihev gOl he>me to
real life (back Ihen most mothers stayed )·4 days in the
hospital so we had an average of 2·3 ,"sits to teach
Ihem plus a booklello lake home).
YOUR ONLY PROTECTION
Perhaps, most importantly was Ihe few simple
strengthening e xercises we had Ihem de> on an
every other dav ba.is to en.ure proper .trength·
en ing of Ihe weak muscle groups. Why ? The on ly
thing you have in your body te> protect al l your spinal
structures such as your vt!rtebrae, joints, ligament.
. _-
24OO!3Il1 Street
AsIlIand. KI" 41102
1490 Diederich 8Ml
RLIS$I!I, KI" 41169
(p) 60&329-0010
(p) 6Ofr833.!14-44
GtIyson CIlnlc
512 NCarol M3Ione 8Ml
Gmysoo. KI" 41143
(p) 6Q6.47W157
THE PRICE OF HAVING WEAK MUSCLES
So the end result for having weak muscles is pain
3·6 weeks alter delivery and if you fast forward a
few years or detades we see women who are still
very weak in alilhese muscle groups that are now in
more serious trouble.
WE ERAOlCATEO BACK PAIN FOR NEW MOTMERS
WITH THIS PROGRAM
ANO THI51SALL PREVENTABLE I
Pan 2 of Ihis artitle for women will g<)over and outline
the muscle group weakness patterns we see daily in
women who have had children. aDdominal surgery
and or low back surgery and how 10 fix this problem.
WHATTOOO
We also taught the new mothers how to lift cor·
rectly using their back & belly muscles and hip & leg
muscles. We taughllhem how to position Ihe bassi·
netle so Ihey would be at no risk for bending at the
waist and 10 nc)1 put the baby on their hips as thiS
further stretches out the already loose hip muscles.
Next, we taught them how to set their back and
abdominals for lifting any object at home such as
laundry bilsl<.ets, or 10 pu~ng baby in their car seat.
TAKING HOME WHAT TMEY LEARNED
They received a booklel Ihat went over proper
si~ng p<>S\ure. with .mall roll. or pillows behind
their backs again so as 10 keep their spinal column
in a norma l position. In the booklet were alilhe
position. 01 lilting a new mother has to do, showing
correctlechnique to reinforce Iheir new learning.
AshIIIid Clinic
and discs, is MUSCLE. If your muscles are weak all
the stress you put on your body daily bypasses your
muscles and goes to your spinal structures lhal were
never meant to bear these stressful forces.
I""""" ClInk
209 N 2nd SIMt Suite A
Ironton,OII 45638
(P) 740-534·1 410
Physical Therapy with a
'Hands-On' Approach
Can ForYour FR EE Consu ltation Today!
I~~v!£1}!!!o~
THERAPY
Ashland Clinic
2400 13th Str_ t
As hland, KY 41102
606-329-0910
www.premiertherapy4u.com
_.-
10606 lIS IIoOJte 23
.........
l.ucas'oille, OIl 45648
(p) 740-259-0.252
(p) 740-3S4·5001
~""
1033 Gaia SIMt
P\IrWnQo.Jth, 011 4~
~"CHnk
11826 Galil Pile Suite 8
Wheelersbutg. 011 4>694
(p) 740-574-46\6
--
231213lhStreet
Ashland , KI" 41101
(p) 606-326-0.241
I
I
- - - - - - - - - - - - - - - - - - - - - - - www .TriStateHealthandWellness.com - - - - - - - - - - - - - - - - - - - - - - -
10 fMllth .. Wellneu feb'ua.y
201 S
T,,·Suu Ed.t.on
Don't Let Your Fitness Resolutions
Get the Best of You (again)
OI~
I
the clr and ...ukOUl righl .f\cr ...uk, befon: you
get diSlracted .... ith things 10 do It horne, If you
h.~ gi~ up or slacked off on workouts, set I
lime. stick 10 it for t~ rest Ofl~ rnot1th. It only
takes 21 days 10 make a habit!
f you'll: like many
Americans. you
made a rcwlUlion 10 impro~c your health
and gt1 fit. You starled off areat. going to the
gym or taking a walk multiple times. week. It is
one month since you Slaned and life is taking
over, it is bec<nning easier and easier to make
excuses to skipa workout. Researth shows that by
the end of February, nearly 73 pereent of people
",110 seI filne$$ goals gi'<e them up for one reason
KHP It F.e$h
Rt'f'J\ember to enjoy excn::i~. Hate t~ ~admill?
Try. Spin or Dar Method class. Lo~e the ~admin
but usc i, all the time? OIallcngc ~If by
trying. new program. No maller how often you
use lhe gym iI's importanl to try somCIhing new to
stay motivated and boosl you. fitness level.
oranot~.
WbC1~
liming to lose weight, ,et fit, or tlllin for
an athletic event. simply SC11ing • rewlution
d~n't guarantee success. Those who give up cite
a number of stumbling blocks when it comes 10
achieving their fitness goals:
I'
• 42 pcn:cnt say it's too difficult 10 follow a diet
or workout regimen
• 38 pcn:ent say it's 100 hard 10 get back on
track once they fall off
· 36 percent say it's hard 10 find time
All too often .• ewlution$ become less ofa priority
and people put whal they wanted 50 badly in
January on hold till the following Jan uary. It's a
vidous cirele,
How can you ensun: this doesn) happen 10 you?
This year will be diffC'mlt. By following these
tips you'll be able 10 stay focused and meet your
fitncss goals this yea •. This will be the yea. you
keep on track to not only meet but exceed your
fitness reSOlution.
GIV4Ilt. Rest
~:vcryone gets sick 0tlCe in a while or ealS a piece of
cake a mend's birthday parly. Don'1 beal yourself
up .... hen you skip a day 11 the gym or ha,'e • dietary
slip up! Tomorrow is another day. Plus studies
show that laking. break from exercises is actually
• &ood thing. A simple day off here and there (II()I
entire weeks al a time though) wi]] help repair
muscles. prevent injury from ovcruse and even
prevent burnout.
Hold Yourself Accou nt.bl,
Studies show that keeping lral:k of your progress can
help you succeed. Log )'OU' weight each week (for
rroore KCUIlIle read try the same time once • week in
the morning). write down what you cat and reeord
how you'K feeling regularly in I journal. Keeping I
rttOrd will let you see bow many calories you'n,: consuming, diseoVCT unhealthy patterns and identify
areas for improvement.
The Buddy System
Slill looking for that extra push? Encouragc a friend
or • family member 10 set a fitness goal as well.
Res.ean:h shows that people who have someone 10
lean on are the rrIOSI successful II diet and excn::i~
programs. Try cooking a rncallOgether or e,..", swap
healthy rttipcs. You can alw SC1 up e:tcn::ise dates.
[1'S ~ll5ier to follow through when you know wmeone
else is counting on you!
COIInl Sheep
Sleep is your best friend and you don't "'WlttO get
on ~ bad side:. Lack of sleep o;an cause "''eight
pin by IlIising appC1i1O-$limuLaling hoUIIOIICS,
such II ronisol. Besides, the bctto:r rested you an:,
the more likely you are 10 get up and hil the gym!
Aim for a minimum of 6-8 hours of p=ious
slumber a night
Trill Yourself
Sometimes Staying foo;used on your goili requires
Sft It,. Ach ieve it
.Iinle
incentive now and then. Along the w.ly set
TIle best ..... y 10 achie,'C yow goal is 10 see i1. This
mini goals. Wbcn you l1tain I mini goal. indulge
can be IS easy as ....riting your goal 00...'0 and disin somC1hing. How does I day of pampering
playing il some .... ~ you'lI see every day.
sound? Relu and enjoy. mani ' pedi or a mll5sage.
Ho....ever. you can use other visual reminders as
well. Fore.tamplc. a picturcofyourselfwhen you
Working on your fitness? Why nol buy new
....ere more physically fit or an anicle of clothing
workout clothes, sneakCf!l or fitness C<juipmen1.
you wanl to fit inlo again seem silly, but an: all
Pencil It In
Trimming your waistline via the kilchen? Try
powerful physiCIIl reminders. Keep these visuals
Find I ...·orkOUllimc that ...uks for you - and stick 10
buying. new kilChen tool to ~lp you prepare
in "arious 1oI:.lions 10 keep you moti~lled. Try
i1. Some: people find il easier to ~ their workOUIS in
your healthy meals. Try and " 'oid rewarding
banging them around your home, on the fridge or
yourself with food beeause that could lead 10
first thing that ""y excuses won'l pop up during the
c~en at your desk at ....ork.
day. Not I morning pcrwn? Throw your gym bag in
getling off1nlc:k.
- - - - - -- - -- - - - - -- - -- - - www.T .. SuleHult~.ndW.lln.. s.com _ __ _ _ _ _ __ _ __ _ _ _ _ _ __ _
Tri-State EdItIon - February l01 5
~alth'
Wellness
11
PREGNANCY
ANDHPV
By Navi!a Modi. M.D., Otos!etricianlGynecologis!
A
ny cxptttant mother is naturally concerned about various conditions that can
harm her unborn baby. HPV is n'1 exception. Fortunately. in mOSt cases, HPV CauSeS nO
problems to either the mother '1r baby during
pregnancy.
Let's first get an understanding '1f what IIPV is.
HPV is soon for human papillomavirus. There are
actually mOre than 100 different typeS of HPV that
can infcct humans_ Some of these types cause no
signs or symptoms. Others can cause symploms
such as COmmOn warts Or genital warts. HPV can
also cause prc<:ancc-rous changes or cancer, includ·
ing cervical cancer.
Depending '1n Ihe lIPV Iype, the body's own
immune system may be able to dTcct;vely get rid
of the virus. In SOme cases. however. Ihe body is
nOI able to completely get rid of it In Ihese cases.
treatment is focused on lhe symptoms. nOI a cure.
Pasl HPV Infe Clions and Pregnancy
If you were infccted with HPV and il got beller.
either with Or without treatment, il is unlikely Ihat
symploms will return during pregnancy. You will.
ho"'cver. wanl to let your healthcare provider
know if you have had HPV. This is because the
virus can cause lissue changes t'1 occur more
rapidly during pregnancy.
m
o
c
_
s
s
e
n
l
l
e
W
d
n
~
h
t
l
~
e
H
e
t
U
S
i
r
T
.
w
w
_______________________
w
If HPV is diagnosed because of an abnonnal Pap
smear. the healthcare pr'1vider may recommend a
colposcopy. During this procedure, the healthcare
provider USC$ an electric microscope to look mOre
For women who have genilal warts, the healthcare
pr'1vider will also monilor lhe situali'1n cl'1sely.
although trealmcnl may nOI be rc<:ommendcd . Thi~
is because the warts often get better on their OWn Or
soon after delivery. If treatment is recommended.
several different Oplions are available.
.
There has been n'1 research t'1 show lhat contracl·
ing HPV during pregnancy increases the risk for
misearriage, pretenn delivery, prcc<:lampsia, Or
other pregnancy complicalions_ Thus. HPV is nol
routinely tested for during pregnancy. However. an
HP V diagnosis can be made during pregnancy
b«ause '1f genital warts or an abnonnal Pap smear.
closely at Ihe vagina and cervix. A small piece '1f
tissue (known as a biopsy) may be removed ifheor
she sees something suspici'1us. If there is no
evidence of cancer. Ihe hcalthcare provider will
usually rc<:ommend waiting until after pregnancy
10 lreat Ihe abnonnal cells.
ACCEPTING
NEW PATIENTS!
Women's Care Group
King's ~ughters Medial Center
Medical Plaza B
613 Brd St. Suite 130. Ashland. KY 411 01
(606) 326-9833 1(606) 324-6634 (Modi)
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
12
Hulth &- We llnen
Februar~
201 S - Tri·State Edition
Doesn't Exist..•
We can all benefit from a little guidance.
,•
W
ben you get a new job, you
usually have 10 do a good amount
of train ing before you get any
real responsibility. Unfortunately, being a
parent doesn't work the same way. Nobody
makes you take a training course on how to
raise a kid, but it's not a bad idea. That's why
there are parenting classes. It's next to impos_
sible to be good at something witbout
pr&etice, so wby not practice your parenting
skills? Whether you have a newborn or a
teenager, it's never too late to try and learn
effective parenting techniques.
1
!
Your own parents might have taught you
effective techniques as they were raising you,
which you might choose to continue as your
bring up your cbildren. Parenting classcs
provide you with another option. One of the
benefits of parenting classcs is staying up to
date on the newest and most effective parenting techniques.
Parenting cluses can also help take some of
tbe mystery out of being a parent They can
teach you what 10 expect, effective ways 10
discipline and the best ways to prepare your
children for school. They can also help you
work through specific problems you might be
having or prepare for a transition in the evenl
ofa divorce or some other unforeseen circumstance. 00 top of all Ihal, parenting classes
also give you an opportunity to connecl wilh
otber parents who are most likely going
through a lot oflhe same experiences as you.
________________________ www .Tri StateHe a lth a nd w e ll nen.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Tri-State EdItIon -
_______________________
Febr~ary
ZOl 5 liealth' Welinesl
13
. www.TriSUteHe~lth~ndWell ness_com ~~~~~:::::~~~~~~~~~~~~~
She still can.
"'laking sure our residems eat .....,U-balanced meals is one of the man)' ways Morning Pointe
relieves the chaUcnscs of providing care for your loved one. Our Food Service Direetor engages
the residents in menu planning and secks the freshest ",,",onal fruits and vegelables to
complement our homemade meal,!
Com e mee r o ur slaff and take a personal tour.
(606) 833-1120
.
.
ww w. morn ln g po ln (e.com
Sen ior Lk;ng &
,\ lzhcimcr's Memory Carc
1000 Add ington Drive
Ru sse ll, KY 41169
Wri!lcn information relaling
to Ih,s community or faClhl}'~
ser-;C.s and policies is
",... ibbk upon rtqU($!
4
OUR LADY OF BELLEFONTE HOSPITAL
Imaging Services
OLBH Imagi ng Department
110>"" ..
1000
St_ C"""_ Dfive. , , _ .
• X·R."
• CT San
Moin
• MR,
• ..,It'• ..,.....
2
' ....
• HUC"" Medklno
. . . ....., m.tve dI Vinci surgeries
OLBH Ashland
ImagIng Center
,
OLBH Imaging Center
8oI1ef"" •• Contr.
Ky_
FREE v..., ""';00
. JE:IIIC'*-Ind
.a
1II1i1l111ton
Convenient
Locations!
eo."",'ono
1000 A _ 0. .... A..... "". >(y.
- f'lammog'Oj>/Iy
_ X- Rov
- CT Su n
_ MR.
FREE Valet
"""'in!I
OL BH Ironton
Imaging
Center
HO<Iieo' PO ...
1816 Cor'o< " "..
King'< Daughle" Medical Cente,
Medical Plaza B
_",,,..,,,,ocI
613
23,d. 5t. 5uite 130
A<hland.
324-6634IModil
~0<C0u<I..,,,"""' .........
~:::::::::::~...:::.____~~~. www.TriSUt .. Healtha.~":.;w;;;.;. ;":.;,;,:.,;o:m
;-::::::::::::::::::::::=
A ........... Ky .
KY 41101
- X-Ray
- X ·Rov
_ Echoc:otdlogrom
_MR I(~)
_ CT ScOll
16061326-9833
16061
To ocht<l" .. a n . l>I)Oint .... n' ., a ny
o<w
M"",
location ••• U (506) In-EXAM (l Sl2&).
Tri-State EditIon - February lOt 5 liealt h ' Wellness
15
Does your dentist know which medications you are taking?
Are they causing your dry mouth and other oral concerns?
c
hmnic dry mQuth is a wmmon pmblem
that affects aoout 25% of all adults.
It is not a disease. but a symptom Qf a medical
diwrder or a side effe.:t of certain medications,
such as antihistamines. decongestants. pain killers,
diuretics and many Qthers.
Dry mouth, also called xerostoma. results from an
inadequate OQW of saliva. Saliva is the mouth's
primary defense against de.:ay and maintains the
health of the soft and hard tissues in the mouth.
Saliva washes away f<Xlli and other debris. neutral.
izes acids produced by bacteria in the mouth and
provides disease-fighting substances throughout
the mQuth. offering first line prote.:tion against
microbial invasion or overgrowth that might lead
to disease. Without saliva. extensive tooth decay
can alSQ occur.
Some of the most Wmmon and irritating problems
associated with dry mouth include a constant SQI"C
throat, burning sensation. trouble speaking. dimcuhy swallowing. hoarseness Or dry nasal
passages.
Otlrer symptoms of dry moutlr include:
-Bad breath
· A sticky. dry Or SOre mouth
· Crncking at the COmeR of the mouth
· A red and parched mouth
-Blisters and mouth ulcers
· A pebbled look to the tongue
-Difficulty eating dry Or spiey f<Xllis
· Waking up with a dry mouth at night
Your dentist Qr hygienist can re<:Qmmend various
methods 10 restore moisture. There are numerous
treatment options. including artificial saliva, oral
rinses, sprays, toolhpastes, gels. gum, lozenges,
and patches that can hclp restore moisture. We recommend drinking water frequently. In SOme cases,
we re<:ommend that the patient use a custQm-madc
tray containing Ouoride.
Due to risk of toolh decay. it is essential to lreal
teeth wilh Ouoridc. There are many different types
of Ouoride available. Your dentist and hygienisl
will help provide the best oplion for your n«<is.
Applications of Ouoride are mQre effe.:tive in preventing decay and ncw cavity fonnations than
regular oral hygiene practices alone. Suggested
oral hygiene practices include' brushing, rinsing.
and interproximal aids. The dental hygienist will
help detennine which products will be mOSI
useful aCCQrding tQ YQur needs and instruct you on
how to use them properly. Routine dental appointmentS offer oral health benefits as well as overall
health benefits.
If left untreated, chronic dry mouth Can increase
)'Qur risk for developing cavities. Other risk factors
that can increase cavities may include. but are not
limited to:
. Active decay Or cavities in previous 12 months
· High tiers of cariogenic bacteria
• Poor oral hygiene
After a thorough examination. including a review
of medications and lifestyle habits. your dentist
can accurately detennine the cause of yQur dry
mouth and the right course of treatment for you.
· Cariogenic die! - carbs and sugars
· Many multi-surface restorations
· Irregular dental care
· Suboptimal Ouoride exposure
• Presence of exposed TOOt surfaces
m
o
e
_
s
s
e
n
l
l
e
W
d
n
~
h
t
t
~
e
H
e
t
U
S
i
'
T
.
w
w
_______________________
w
• Xeroslomia (medication. radiation. Or
disease-induced dry moulh)
.
We re<:ommend our patients to bring in a CUITCTlI
list of their medications and vitamins dosage and
frequency. This allows us to review which medications eQuid cause Qr wntribute to dry mouth.
_______________________
16
He-Ith & W.II""SI F.brul'Y 2015
Tr;·Slue Ed,"on
Tri-State Edition
Febru .. ), tOl 5 He,lth & Well""..
Home Infusion Therapy
For patients requiring specialized infusion therapy.
I
nlusion Solutions otf.. rs home InfU'Slon therapy HfVkH H
an alt.. r~ 10 the hospiul Httina by maldna i'I po..ible
for ~nu 10 receive hllMech Infusion therapy In the
comfort of their own 1Iom<'s.
This a'H"ment helpS identify iny potential Issues Ihal could
adversely affect the patient. (onducte-d on an on,oInt basis
via telephon .. throulh ItI<! nursin, Of phiormacy stiff, thb
iSHlSment ob$ervt:'$ any potential >iM effects and mediuotion problems and outcomes.
Home Infusion Therapy Profeuionils
The hi,hly s!<illed tum of p<Olenlonals i l Infusion SoIuriom
~ a multl-diiICipiinary, com~Ssionil" app.-well to are
for home Infus;oo Ihel'3PY pillenu.
Hilhly skilled teim members lener.ally Indude:
•
•
•
•
•
Home inlu.ion .... iSI .. red nurse
Home Infusion clinical technklan
Hpm .. infusion pharmaclsl
Home Infusion account '11<'<lalill
Hpm .. lnfusipn dellV<'ry technician
COmprehensive Patient Aueument and Training
Th .. home Infusion contracte-d rellstere-d nurH, who is lamiliar
with all typoi's of poi'ripheraland centl'3ll1nes for Intl"3V<'nous
infusion, performs i comprehens'" iSHssment with ..Kh
nursinl visit. Th .. nurse alro t.-.ins the patient or areliver on
how to properly administer ~H:it!ons at holTI<'.
Bue-d on patient needs ind phvskian ordef$, a Pharmacisl and
Reli'iwed Nurse IoIows the patient's procress and tie'IeIo9s i
~tlent-specifk plin of are. The n ....... monitors the patlent's
procress thl"OlJli'Ioullhe lhe.-.py and will report prOlress or
compliatSons 10 the orderlna physIdan.
Professional Pharmacy Assessment
The Infusion philrmadst poi'rforlTll' a thorOUlh pharmacy ISHIS""",I incIudin,:
•
•
•
•
medial history review
mediation ilJertY history
medH:irion profile review
rev;ewof any mediatlorl·relited problems and outcome.
Delivery Direct to the Pitlent's Home
The hom .. infusion delivery techniciin 6eli .... rs all r>eces~ry
supplies for Infusion directly tQ th.e patlent'S hplTl<'. Iiome
infusiQn has I>Hn prpV<'n tp be a ~fe and e ffecti .... alt .. rnative to inpatient Ci'e fo< many disuse slItes and therapl .. s.
Fpr miny patients, re.:eivln8 treatment at hQme Is
preferable to inpatient cue.
Diseases commonly requirinl infusion therlpy Include
infectipns that i re unrespons ive to ora l antiblotl(s,
cancer and cancer·related pain, dehydration.
gastrointestinal disuses or disorders w~ lch preV<'nt
normallunctioning 01 t~"'3Strointestinal system,
and more. Other conditions !ruted with specialty
infusion therapies may Include ancers. con8estive heart
lail~re. (rohn's Disease, immune deftclencies. multiple
sclerosiS, rh .. umatoid arthritis. and more.
By far. the ma;or home Infusion Ih.erlples are IV antibiotics,
pr.. ilCribed primarily lor .uch dia,lIOSes as cellulitis. Hpsls.
and osteomyelitis; other dillinows Inclucle urinary tract
infections, pneUmOflY, sinusitis and more.
Insur.ante Cover.ale Review
The home infusion a«Ollnt speclalisl rmews a patient's
insuranc .. benefits prior to Infusion thel'3PY. The patient and
caregi .... rs are then inlormf'd pi COY'O!rag .. and any financial
responsibility.
INrUSION
SOLUTIONS
WE LOOK FORWARD TO HELPING YOU.
For more InformatiQn On servicellvallable from Inf ... slQn SolutiQns. please all tI'll ' .... 1-888-446-6348.
ASK YOUR PHYSICIAN IF HOME INFUSION
IS RIGHT FOR YOU?
www.infusionsolutions.org
FOR REFERRALS
I
CALL TOll FREE 888-446-6348
TOU FREE FAX 866-606-4663
PROVIDERS FOR OVER 100 NETWORK PAVERS
SEIMHG IUNTUfJ(Y,OHIO & WESTVlllGltrIA
17
Tri-State EditIon - February 201 S liealt h ' Wellness
19
liIb and Ima&ln ln& tenin&ls IIsed to dla&nosls
pituitary tumors.
To make the diagnosis, '/'Our dOdor may order various
types of tests and procedures.
Blood and urine tests will measure '/'Our hormone
levels and blood sugar va lues. These tests can identify
other conditions that might cause your symptoms,
and therefore rule out a pituitary adenom a.
A specialiled blood test, called inferior petrosal sinus
sampling, seleds blood from each side of the pitu ·
itary and can be us~ to rule out the pituitary gland
as the source of hormonal disease.
Your dOdor may want '/'Ou to receive an MRI or CT
scan of '/'Our head. The scan will look for a tumor in
'/'Our pitu itary gland. YOU also may be referred to an
endocrinologist, a doctor who specializes in diseases
of the endocrine glands and the hormones that those
glands produce.
Treatment and Surgical Options
Treatment for a pituitary adenoma depends on what
hormones the tumor is se.:reting . Several treatments,
including surgery, may be used together to provide
the best care for the patient.
EndolCOPic Endona... ' Approuh (EEA)
For most patients, the best treatment is to remove
the pituitary tumor. Generally, the preferred
method for this surgery is the Endoscopic Endonasal
Approach (EEA). This approach allows surgeons to
see the p itu itary gland well without making an
open incision.
During the HA surgical procedure, the pituitary
tumor is removed through the nose and nasal
cavities, and recovery time is faster than with a traditional approach. The rema ining pituitary gland is
e~ plored carefully to che.:k for other leSions, and all
abnorma l tissue is removed.
Stereotactic Radiosurgery
Stereotactic R;KIiosurgery use<; highly focused beams of
radiation to shrink the tumor. This treatment method is
us~ in patients whose tumors do not respond to
surgery or to medication.
M edi~on
Med ications may be used to reduce the level of
hormones that the pituitary produces. You may receive
medication after surgery if a large tumor in the pitu·
itary is affecting surroonding structures.
If'/'Ou would like mOre information about pitu itary
tumors, speak with your ph~ician or care provider.
Should you need advanced care or treatment, the
physicians of King's Daughters can help. With specialists In endocrinologv and neurosurgery, our
team can help.
KDMS Medical Specialties Neurosurgery
KINGS
DAUGHTERS
MEDICAL SPECIALTIES
Call 1· ggS· 371- kDM C lor the na me
of a King 's Daughters neurosu r,eon ,
I Medical Plaza A, 617 23rd St., Su ite 6 I Ashland, Ky. I (606) 329-1770
________________________ www.Tr iSUteHe althandWe ll ness.com _______________________
20
Ke.lth" W...."
February 201 S
Tr.·SUte EdItIon
GO RED FOR WOMEN®
2015 FACT SHEET
Women .rt wong. We art smart. We soIWl problems. Wome n a n do anything
~n Can do. ... nd, \~.e Ill! some things we'.. _n btUtf at _ dying of heart
disease and st.o ke. Like btea king !)arritfsl Go Re-dl ... nd htlp btea k the one
.galnst hea.t disease.
II's not just a man's dIsease. Each year, 1 in 1 women die of heart disease and
".oke. But _ an change that because 8(J peKt<11 of ardlK rterllS an be prewnted with eduatlon .rod lifeslJ\e changK.
When ~ «II'I"Ift 10 beatong he.rt disuse IOrod stroke. change an bt the CUrt. Make
10 change it GoftI!dForWomen.org.
Go Red for Women Is.oout much more than _.ring red on Natrona! Welf Red
Day. It's ~t making 10 change.
fACT 1: Heart disease and strolle affecl women of all ethni<:il!ts.
• c:..diollasculoor dise.se'! "e the luding ause of death to. Alrian-Arne';';"n
women. kining rIN.1y SO,OOO "nnwlly.
• Only 4~ of ...1rIan-American women arod 44.of Hispllftlc women know
that hef,.t diseise is their gr~at"'t health ..... Compilred with w. of
ClIua...n women.
• Of ...fria .... Arner\an women ages 20 and older. 48.9'110 haw Ql"diollasculoor
disuse. Yet. only 20910 believe they lI.e at risk.
Hert a .. a few ways)'O\l aon make a change today:
• Only so. of Afrlc.n· ... merian womo!n are awa.e of lhe sigf>'l .nd symptoms of
i hea.t altlCk.
• Go to GoRe-dForWomen.org to learn what )'0\1 can do to .educe )'O\Ir . isk of
hea.t disease and st.o ke.
• Hispanic women a.e hkely to develop heart disease 10 yea .. earlie. Ihan
Caucflloon wo~n .
• Encou."9'I!)'O\I' fa mily and friends to take ~II steps toward healthy lifestyle
d>oi<:es to .educe their ri!.k for heart disease and strolle. too.
• Only 1 In 10 Hispani<: WOfrIt<1 say they have been Info.med that th~y If~ ot a
higher . Isk.
• £xpIIoin 'WhiIt ~ means to Go Red" by lhilring the foIlowWI9 ICrortym:
• Only 1 In 4 Hispooni<: women isaware of trUtment options.
Get Your NumbtrJ; Ask yor..- doctor to check you. blood ~.
cholesterol and gluc;ose.
fACT 4: WOi.oeo. who all! inYo/IIed with the Go Re-d For 'It'Gmen ~tlivt
healthlef IMs..
Own You. lifestyle: Stop !lTIO/I;ing,. """ weigh!, bt ~Iy Ktrve and
eat he.~hy.
Raise You. Voice: Advocate for more WOf\"I4!OH .... ted .Hea.ch
IOrod education.
• Nearly ~ haw made at te.st one healthy betlaYlor clllnge.
Educate You. family: Make healthy food chokes for )'0\1 ")'0\1' family.
TeICh )'O\Ir jdds t~ Importance of slaying IClivt.
Donate: Show )'OU' support with. donation of time Or money.
• More than one-Ihifd III, Iosl weight.
• More than so. lllve Inc:.eao;ed their exercise.
• 6 out of 10 have changed their diels.
• More than 40'16 have chec:ke-d their cholesterol levels.
FACTS "'BOUT CARDIOVASCULAR DISEASES
• One Ihlrd has talked with their doctors aboul dewloplng heart health plans.
FACT 1: c:.rdioll.K1.IIoo. diseases ause orw in Ih.~ women's deaths each yea ••
ki"ing approximately one wom.Jn 1M!!)' minute.
fACT 5: When )'0\1 9ft i~ In supporting Go Red For Women by ~ting,.
furodra.sing and lhilring )'0\1' story, more lives art Sived.
• An H lotn.Ited 43 million WOh",,, in the U.s. irt lIffected by urdioll.K1.IIoo.
diSNSeS..
• ~ of hea.t dIsease Ind stroke rterlts could be ptrterlted.
FACT 2: SI~ 1984. more womo!n Ihan men havt died tlCh year from heart
disease" st.oke.
• Fewer women than ~n survive their firs t hurt attack.
• The symptoms of heart "tICk can be difftft<1t in women 'I"J. men, and are often
misundtfstood _ even by some ~ns.
• Women haw. higher lifetime risl: of strolle than men.
• Today. rlNrly lOO Itwe< women die from hef,rt diseise and woke each ~
• Doth in women has decrt.o;ed by rrw:rre than 30 peKefilover the past 10 yurs.
ABOUT GO RtO fOR WOMEH
Go Re-d for Womer. is the American Heart Assoc!.tion's ~tJoni,I movement to end
heart disease and st.olce In women because it's not JUII • man's d lSNse. In file!,
more women than men die every ye ... /tom hea.t disease.nd stroke. The good
news Is thaI 8(J perct<11 of cardiac events can be prevented with education and
lifestyle changes. Go Red For Women a.dvocates for mo.e research and 'wifter
aclion for wo~n's heart health. The American Hearl Assoclatlon's Go Red For
Wornt.n fTIOvtment Is nationally sponsored by Maty's, wilh .ddrtional support
f.om OUr cause supporters. For moll! Information, ~se visit
GoRedforWomen.o' 1l or a1l 1-888'MY-HEART {1-888.fi!l+3278J.
_ 'SI, _ _ ..
_ _ ..... _ _
"'(;0 ... _
.. _ ... " " " " _ .. ........
• Each year. about SS.ooo more women than men haw! " stroke.
- - - - - - - - -- - - - - -- - - - - - www.T"StateHulth.ndWeliness.tom _ __ _ _ _ __ _ _ _ _ _ _ __ _ _ _ __
Tri·$tate Edition •
Februar~
2015 Health /I< Wellneu
21
Your Abdominal Cramps
Could be Diverticulitis
By Cheryl L Bascom, M.D. and M ichael D. Canty, M.D.
Tri·St ate Digestive Disease Associates, P.S.C.
When it comes to vegetables. the most recommended foods arc potatQCS·sweet and regular.
but unpeeled because most of the beneficial fiber is in the peel. Squash. peas. cauliflower,
broccoli. spinach and turnip greens are also very beneficial.
D
iverticulitis is a common intestinal disease thai
affects many adul!s, most ofwhom are nol even
aware that they have it unlil serious symptoms
appear. Most often it is found in middle-aged men. but it can
affCCI anyone at any age.
Contrary to older infonnation, you
like strawberries and raspberries.
If the symptoms arcn~ relieved and they remain !ievcrc. the intestines will likely bcoomc
infected. When infection !ietS in. the polyps are getting larger and the wall of your intestine is
bulging with the mattcr accumulated therein. If the condition reaches this point. emergency
surgery is generally performed to avoid the bursting of the infected area.. which in tum would
dump into your abdominal cavity. causing potentially fatal sepsis. similar to a rupturOO
apIXndix. Provided you are under medical supervision and your blood is monitored closely.
surgical intervention will he pcrfo""ed well before the condition progresses to that point.
During regular surgery for the disease, an incision is made in your lower abdomen, the
defective part of your colon is removed and the surgeon makes sure that there is absolutcly
no contamination in your abdomcn before closing the wound.
It is difficult for patients to know if they are affected because.
prior to Ihe onset of inflammation Or infection, mOSI never have
any symptoms and simply are not aware that they have the con·
dition . The polyps typically arc found in the large intestine. but
have been reported in the small inlestine. stomach and esopha·
gus as well. While the di"cnicula are inactive and I\Ot inflamed.
you ma~ experience some symptoms that arc common to many
other conditions, making it difficult to know that something
more serious could be wrong.
Recovery time depends On the severity of the infection but can he from as few as two weeks to
several months. During this time it is very important that your blood be closely monitored and
you stick to a strict diet plan that is given to you by your health can: team.
If you are suffering from the symptoms of diverticulitis or if you think that you may have it.
you should sec a doctor immediately. Complieations can arise. such as a tear within the colon,
which can put your life in danger. To prevent your chances ofdcvcloping diverticulitis, you
should be sure to consume a diet that is rich in fiber. Also. drink plenty of water and sec your
doctor as SOOI"l as you fcar that tho:rc may be something wrong. The earlier you address the
issue, the more likely it is that you will not need surgery.
The onset of the condition lISuall~ manifests itself with mild to
sevcre abdominal pain and cramps. nausea and modcrate fevcr.
The primary treatment option is absolute bed rest. with an
accompan~ing regimen of antibiotics and strict observance of
what ~ou cat and drink . Generally. during in.home treatment.
you will be restricted to a liquids..:>nly diC1 along with the pre·
scribed antibiotic regimen . After a few days. you will be advised
to stan on a high. fiber diet. avoiding the processed foods that
were probabl~ the cause of the disease in the first place.
Tri-State Digestive Disease Associates, P.S.C.
Caring is wha t we do best
(606) 324-3188
Can cemln foods help?
Thrn: are certain foods that can aid in the prevention or manage·
61 7 23rd Street, Suite II
Ashland. KY 41101
Cheryl L Bascom. MD
m
o
e
.
s
s
e
~
l
l
e
W
d
n
~
h
t
l
~
e
H
e
t
U
S
i
r
T
.
Mictlael D. Canty, MD
w
w
w
ment of symptoms. Consuming whole·wheat breads and cereals.
bran flakes. whole-wheat English muffins and beans such as black.
navy and kidney varieties as well as unpccled pears and apples can
be benefICial in prc"enting and eliminating inflanunatiQll.
.
also cOnSume nutrient· rich berries with small seeds
Dietary chllnges don't work. Now what?
Ifcareful diet modifications do not resolve the problem and you continued to experience pain.
bloating and gas, you may be suffering from a more sc,·crc fo"" of diverticulitis, which could
be life threatening.
This condition occurs
when an abnonnal pouch
folTT\S in Ihe intestinal tract.
When the diverticula in
your intestines. which are
also called polyps. become
filled with digested or par.
tially digcsted food that
gets SluC\: Ihere and causes
inflammation . If inflammali<m turns into infection, diverticuli ·
tis can be life Ihreatening. However. with early detection. Ihe
disease can be effectively controlled with a healthy. whole·
foods diet.
_______________________
ma~
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
22
Hu lth '" Wellr.ess February 201 S - Tri-S ta te Edition
Little Known X-ray Analysis Proves Whiplash Injuries
DIGITIZED X-RAYS (eRMA)
Dr. Jason A. Moore, Huntington Chiropractic Accident & Injury Clinic
CRMA stands for Computerized Radiographic
Men suration Analysis. Many times this process is
referred to as "digitized x_rays .H
This is a teslthal Analyzes Ihe angles and distances
between bones in the spine uses a Computer and
X-rays, which are a certain type of Radiograph. The
purpose of the lesl is to accuralely assess damage 10
the spine.
decide On a treatment plan largeted at the injured
area . It is also helpful for tracking changes in a
patient's condition and for deciding when to
make referrals to pain managcmcnl specialists,
neurologists, or surgeons. Many doctors take
repeat x·rays every 3-5 years to monitor Iheir
palicnlS ' conditions ,
,.,.... IS-I SItioo "_ 1_ ,. , by dlc Tllonldc ...
-,~
Mensuration has been used by doclors for nearly
100 years to figure out when a patient's spinal
bones are misaligned due to injury, aging, or congenital defoxts. Mensuration compares a patient's
spine to a nonnal spine .
s...-1loou_S-'...
In SOme cases, motion segment aiteralion Can be
easily seen with motion x-rays, However, sometimes you necd a method of analysis when injuries
aren't so obvious, That's where the AMA Guides
come in, and hcre's what they say:
...,........--...--'.~
J
~.
. '-- IT' .
MOIion of the individ..al 59ine segrntnts cannot be
by a physical eumlna.ion but i. C\-.. Iu"ed .... ith ne,ion and ulension roon ,~nol"a",. (seo:
Figures I ~-3a lhrough is,x). "M
- ----~
A.' IA 0.-. Po 317 (SIb «i 20(1)
When """ ine ~_ .. ys are nonnal and "",'"", U;ouma is
abscn'. moo;"" segontnt att~ .. tion i.~; thu., flex·
ion and ~",nSIon , ·ny. art ,nd",.. <:<1 ",,/,. ....lItn !he
physician SU'lpe<1S ntOIlon se~n' ahtratl"" from
hi •• ooy '" li nding, on """ine "_"Y" ~
"10'' Go';';" p. 319 (5oh «i 100')
WhyuseCRMAl
CRMA is important !O patients, doctors, and
lawyers . For patients, it visually shows them where
they are injured. [I also helps Ihem undersland that
common defenses to whiplash injuries are smokescreens invented by insuraru;e companies. Finally,
for patients it can explain the paHems of pain they
experience:
)
requires use of the AMA Guides, and almost all
doctors rc<:ogniu them as authoritative, ll>e
AMA Guides say that the only objective way to
assess pennanent spinal injury is to look for
"motion segmenl aitcralion ," And the AMA
Guides also say that il would be "rare" for a patient
to have molion segment alteration without trauma:
o~her
del~ rm ined
"MA Gu;;".p,
For lawyers, CRMA provides objeclive, visual
medical evidence ofpennancm injury. Simply pul,
CRMA helps patients prove their injuries in court.
[n order to introduce scientific evidence in court, it
must be reliable and seientifically sound. Because
CRMA uses decadcs-old mensuration lechniques
approved by Ihc American Medical Associalion, Or
AMA, it is acceptahle for use in court.
l79(loIIooI. 200t)
This statement is important for 1"'0 reasons. Firsl,
it means lhat a doctor must tak~ Ihe right x-rays to
detennine whether motion segmen~ alteration
exists. Most ofthe limc in thc emergency room fol·
lowing a car wrec k, ER doctors DON ' T lake .hese
x-rays. Why not? The ER doc knows specifically
what hc's looking for - broken bones - so he
orders specific x-rays for that purpose, The doctor
does NOT order the x-rays required by lhe AMA
G uides because it requires forward and rear
bending, which can make fractures in the neck too
small to see on normal x·rays far worse. So, ~hese
bending x-rays simply aren'tlaken untillhc patient
has had some time to heal. So, the tests 10 sec if
motion segment inlegrily is lost is perfonned laler,
m
o
e
.
s
s
e
n
l
l
e
W
d
n
~
h
t
t
~
e
H
e
t
U
S
i
r
T
.
w
w
w
.
For doctors, CRMA assists with a "differential diagTh' Medical Basis forCRMA
nosis," which is the process doclors use to rule Out
The mensuration method most commonly used
other SOureeS of pain. Insurance companies like to
today eomes from the American Medical
blame other sourees, such as
"somatofonn
Associalion's Guidelines for Ihc Evaluation of Perdisorder," "secondary gain," and other buzzwords
manenl lmpainnenl (AMA Guides). It is the gold
thai really mean faking. C RM A objeclivcly disstandard for impairment evaluation . For instance,
proves faking . Since CRMA identifies the location
the Arkansas Workers' Compensation Commission
and extent of pennanent injuries, it helps the doctor
_______________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Tri·SUte Edition· February 201 S Health" Wellnen
23
because someonc clse treats that condition in a
non-emergency situation. Also, a loss of motion
segment integrity can be difficult to diagnose in the
lOR because tissue swclling restricts thc movemcnt
necessary \0 obtain the proper bending x-rays
required. Finally, the patient needs sufficient time
to heal so thatthc tfUC, permanent cxtent ofthc loss
of motion segment integrity shows up.
With thc computing power available today, il also
made sense for doctOJ$ to usc computer.! to perform
mensuration calculations. Thc result is a faster,
morc accurate, and repeatable mensuration report .
One doctor I've spoken 10 Soays the hand-mensuration method took about 15-30 minutes. but the
computerized version takes a trained technician
only 30 seconds! That's a huge lime saver.
Thc statcmcnt is important for another rcason . It
tells u S that motion segment alteration CANNOT
be diagnosed from a physical examination . So.
without the proper x-rays. onc just can't Soay what
the true cxtent of spinal injury is,
CRMA has been tested by researcher.!, who have
confirmed it is more accurate and repeatable than
hand methods. For this reason, CRMA is generally
accepted in evidence-based medicine as a reliable
method Qf aS$Cssing spine damage. Most research
articles published on the spine today use computerized mensuration tools.
Once the x-rays arc taken. the angles and distances
betwecn spinal bones arc precisely measw-ed and
compared to a 'normal' spine. The American
Medical Association determines what is nonnal :
Case Study: Cotehing 0 Def ense Doctor Cheoti~g
with CRMA
Below we show an example of mensuration perfonned by hand to show how error.! can creep into
the process. Can you tell what's wrong with the
image? Here's a hint: irs a small detail the doctor
taking the ~-ray overlooked.
f ig .... , 5-l< 1.."., of MOIioo Segmen' In'.gri'Y'
--
C. .... kal Spin<
.
AMA Go";';" ""'" p, • 1M • . 100»)
..... of Mohon .$..pIm1lmqn,y. ArIp'"
MOl"", (s.ntal Roue"",). Lutnbor Spine
..... , _
Analysis
-- ---
.,
'.
- - ---
~teri< ed
.-
\'
\:,
A \1A 0IH<In, &rna 1"
"
",,- '"
'"
Re!>ott
"
,
"
AMA G<oidH 00'\
. ~,
, -,
J
(....., 20(1)
FOR MORE INFORMATION VISIT:
As shown here, in the cervical spine any differ·
ence in angles more than 11° qualifics as a loss of
motion segment integrity in the cervical spine.
There are other figures available in the AMA
Guides to measure different kinds of spinal
abnormalities. as follows:
moore-ch lropractlchuntington,comlmistakes
Did ) '11" set! the error? The patient's chin isn't
touching her chest. That means the x-ray wasn't
taken in a full range of motion. whieh Can spoil the
accuracy of the result. The doctor who took the
x-ray did so for an insurance CQmpany, and he had
a reason to fudge the test, The doctor who perfonned the computerized report caught the error.
And, the computerized report shows that the angle
is so abnonnalthat a correct ~-ray will likely show
a loss of mQtion segment integrity.
Curr.nt M.thods in eRMA
m
o
e
.
s
s
e
~
l
l
e
W
d
n
a
h
t
l
a
e
H
e
t
a
t
S
i
r
T
.
w
w
w
Until the last 20 years Or so. doctors perfonned
mensuratiQn by hand using x_rays, a light box. and
a grease pencil. In the last 20 year.!. more doctors
and clinics started using x-ray machines that take
x_rays digitally, rather than with film (just like
digital cameras havc replaced film cameras).
________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
24
Hulth &- We llnen
Februar~
201 S - Tri-State Edition
What treatments are available for my eyfll
Ophthalmology 101
Adults 20 to 64 years of age: Adults with no
signs or risk factors for eye disease should get
an eyc disease sereening at age 40-the time
when early signs of disease and changes in
vision may start to happen. Based on the results
of thc initial screcning, your ophthalmologist
will let you know how often to return for
follow-up exams.
Adults 65 years or older: Every one to twO ye.1ffl,
as recommended by your ophthalmologist.
What happens during an eye examination?
Your ophthalmologist and his or her assistants
ask about your CUTTcnt symptoms and review
your medical history. Eye drops to dilate your
eyes mayor may not be used during the exam.
The examination typically evaluates:
• visual acuity;
• need for eyeglasses or contact lenses
(rcfraetion);
• eyelid health and function;
coordination of cye muscles:
• pupil response to light;
• side (peripheral) vision;
• intraocular pressure (pressure inside the eye):
• the anterior segment in the eye (the area in
front of the lens, including the cornea and iris);
- thc interior and back of the eye.
Your ophthalmologist can provide you with
thc treatment you need or, in some cases, may
refer you to a subspecialisl.
Somc cye conditions cannot be cured. Nevcrtheless, your ophthalmologist can offer counseling and support while monitoring your
condition.
Can vision loss be preyented?
Many eye diseases do not cause symptoms for
months or years. Therefore. regular visits to
your ophthalmologist are as important as
regular visits to your family physician. In
many cases, early treatment of glaucoma,
diabetic eye disease, crossed eyes and some
forms of macular degeneration can prevent
loss of sight and even blindness.
Together, you and your ophthalmologist Can
work toward the goal of protecting your sight
through early diagnosis and treatment of eye
conditions.
Tri-Stat. Ophthalmology
(606) 324-2451
TRI
Carter H. Gussler, MD
John C. Gross, MD
m
o
c
.
s
s
e
n
l
l
e
W
d
n
~
h
t
l
~
e
H
e
t
U
S
We t~k e ~ ppO l ntm e nts by f efe rr~ l only.
i
_____________________
Some eye diseases are treated with medication, such as eye drops or pills. Other diseases
may reqU1re laser surgery or other surgical
procedures.
2841 Lexington Ave. Ashland, KY
f
Because of an increased risk for glaucoma.
people of African or Hispanic descent should
see an ophthalmologist even if they have no
othcr signs of or risk factors for eye disease.
Your ophthalmologist will let you know how
often to return for follow-up cxams.
T
Based on the examination, your ophthalmologist will let you know how oftcn to retW11 for
follow-up exams.
Ill.>
Newborn. pre-school and pre-teen: Eye exams
should be given by a pediatrician, family doctor
or ophthalmologist at thc following intervals:
• newborn to 3 months
• 6 months to 1 year
• 3 years old
• 5 years old
• later as needed
.
You should have ~our eyes examined by an
ophthalmologist if you have any ofthesc signs
or risk factors for eyc disease:
• decreased vision, evcn if temporary;
• distorted vision;
• new floalers (black "strings" or specks in the
(vision) andlor flashes of light;
• a curtain or veil blocking vision;
• haloes (colored circles around lights);
..
.
• an cye IIlJury or cye paIn;
• red eye;
• bulging of one or both eyes;
misaligned eyes;
• double vision;
• loss of peripheral (side) vision;
• high blood pressure
• diabetes me ll itus;
• AIDS;
- thyroid disease-related eye problems
(Graves' disease);
• a family history of eye discase;
• excess tearing;
• eyelid ablll.>rmalities;
panicular problems or risk
factors, reoommcndcd inielVals for eye exams are:
W
When should I see an ophthalmologist?
When you have
W
tional ~ears of medical education and training,
a certified ophthalmologist must pass a
rigorous two-part examination given by the
American Board of Ophthalmology,
How Often Should I Haye an Eye Exam?
W
How does an ophthalmologist
become (ertified?
After four years of college and eight addi-
Your ophthalmologist will diseuss the results
of your eye examination with you. If your
eyes are heallhy, you may need only eyeglasses or contact lenses to correct your
vision , Or you may not need any vision correction at all.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Tri-SUte Edition - February 2015 Health & Wellr.en
25
Changes in Your Feet
May Signal Heart Concerns
By Dr. Brian K. Bailey. Podiatric Physician & Surgeon
I
, . . . - - -"":'
f you're wQndering about the health Qf your
hean. try looking at your feet.
The IQwly. slepped-on. shoe-squished foot rould
very well hold clues about the state of your
coronary anerics. If your fect show signs of poor
cireulatiQII - or periphcral anerial disease - yQur
hean could be suffering as well .
Patients might enroll in a supervised exereise progr.nn.
which can improve PAD and their hean health. Medicalion can help the aneries relax so they Can walk
farther.
m
o
c
_
s
s
e
~
l
l
e
W
d
n
~
h
t
t
~
e
H
e
t
U
S
_______________________
i
In somc cases. patients have uleers and sores that a re
nQt healing, which can indicate tissue loss in Ihe
legs. Intervention is needed 10 restore c ireulation
and save the limb. Treatments include angioplasty.
SlenlS, a bypass or procedures lQ remQve plaque
from Ihc aneries.
'
It·s really hard somClimcs 10 quantify what is
51Qwing somrone down. Pooiatrists are great at
picking up on PAD. they know what to look for in
terms of skin changes. leg changes and the signs
on feel.
The earlier PA D is diagnosed. the mQre li kely Ireal ·
menl will be ctTtttive.
T
but d<:>n't realize it because the pain in their legs
limits Iheir activity.
If any signs of PA D exist. a simple. non-invasive test
called an ankle-brachial index is recommended. It
rompares the bl<:><.>d pressure in the ankles to the bl<:><.>d
pressufl: in the arms.
.
Some also havc symptoms Qf hean disease. such
as shonness of breath and discomfon in the chest,
Those with risk factors fQr PA D should be
sereencd or tested, podiatrists say. The risk factors
include :
w
The classic symptoms of PAD - pain in the legs
when walking or at rest - occurs in only 10
percent of the patients. And even lhose symplQms
can be confusing. Patients often wonder if the
ache in their legs comes from aging or anhritis.
DitTefl:nt pulses, vcry cold feet or a change in color
also could indicate a problem.
w
Many pe<:>ple have IlQ symptoms of PAD during
Ihe early stages. By Ihe lime symptoms are noticcable, the aneries often are s ignificantly blocked .
Many podialry palients sec cardiologists and family
doctors regularly because they have diabetes or
other ronditiQns lhat put them at high risk for PAD.
!l's always g<:><.>d IQ havc all()lher set of eyes
chocking the fect regularly for any sublle changes.
w
As part of February's hean health emphasis, we
are urging poople ](I have a simple test ](I ched
cifl:ulation in their feet for signs of PAD. which
QCCur,; when the aneries become naITQwed by
plaque.
Pooiatrists can regularly checks patients for Ihe subile
signs thaI could indicate PAD. A loss of hair On the
fect is Qne p<mible sign of poor circulaliQII. That
d<JCsn't mean that pe<:>plc whQ have always had
smooth, rather hairless feci ha,·c PAD .
.
The feet may nOt inVQke the same romantic
notions as the hean - few sonnets or love songs
are written in their honQT - but they deserve a linle
IQve. podialrists say.
• Being Qlder than 50
• Smoking (currently Qr previously)
• Diabetes
• High bl<:><.>d pressure
• High cholesterol
• Personal or family history of PAD, hean disease,
hean attack or strokc
• Sedentary lifeslylc (infrequent or no e xereise)
v
500 14th Str«!, Ashland, Ke ntucky, 4110 I
Phone (606) 324_FOOT
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
26
Hu lth '" Wellness February 201 S - lri-State Edition
According to the US Consumer Product Safety Commission,
more than 500,000 basketball-related injuries are treated
in hospital emergency rooms each year.
Laura C. Reese, D.O.
Boord Corti1*:I,
o.t~ ~
T
he fast·paced action of basketball can
cause a wide range of injuries. most often
to the foot. ankle, and knee. Sprained
ankles and knee ligament tears are common. Basketball players are also at risk for jammed fingCTS
and stress fractures in the foot and lower leg.
Several strategies can help to prevent basketball
injuries - from careful inspection of the play
area to using proper passing techniques.
Proper Preparation for Play
Maintain fitness. Be sure you are in good physical
condition at the Start of basketball season. During
the off-season. stick to a balanced fitnC'SS program
that incorporateS aerobic exercise. strength
training, and nexibility_ If you are out of shape at
the stan of the season. gradually increase your
activity level and slowly build back up to a higher
fitness level.
Wann up and stretch. Always take time to wann
up and stretch. Researeh studies have shown that
cold muscles are more prone to injury. Warm up
with jumping jacks. stationary cycling or running
or walking in place for 3 to 5 minutes_ Then
slowly and gently stretch. holding each stretch for
30 seconds_
m
o
c
_
s
s
e
n
l
l
e
W
d
n
~
h
t
l
a
e
H
e
t
U
S
i
r
T
.
w
w
_____________________
w
Hydrnte. Even mild levels of dehydration can hun
athletic pcrfonnance. If you have noc had enough
nuids, your body will not be able to effectively
cool itself through sweat and evaporation. A
general recommendation is 10 drink 24 ounces of
non-caffeinated nuid 2 hours before exercise_
Drinking an additional 8 ounces of water or sports
drink right beforc exercise is also helpful. While
you are exercising. break for an 8 oz. cup of water
every 20 minutes.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
rro-Sute Edition - February 201 S Health & Wellness
27
Focuson Technique
Play only your position and know where Qlher
players are on the court to reduce the chance of
collisions. Do not hold, block, push. charge, Or
nip opponents_ Use proper techniques for passing
and scoring. Do nQl forge! sportsmanship, if
someone gelS injured stop play until they receive
the assistance they need_
Use Appropriate Equipment
• Select basketball shoes that fit snugly, offer
support, and are non-skid.
• Ankle supports can reduce the incidence of
ankle sprains .
• I'rotoxtive knee and elbow pads will protoxt you
from bruises and abrasions.
- Use a mouth guard to protect your teeth
and mouth.
- If you .... ear glasses. use safety glasses or glass
guards to protect your eyes.
• Do nol ....ear jewelry Or chew gum during
practice or games_
Ensure a Safe Environment
Outdoor courts should be fre<: of rocks. holes. and
mher hazards. inside courts. should be clean. free
of debris. and have good traction.
When playing oUlSidc. environmental conditions
must be considered. Players should avoid playing
in extreme weather or on courts that are not
properly lighted in the evening.
Baskets and boundary lines should not be too
close to .... alls. bleachers ..... ater fountains. or
other structures. Baske! goal posts. as .... ell as the
....alls behind them. should be padded
Prepare for Injuries
Coaches should be knowledgeable about first aid
and be able to administer it for minor injuries. such
as facial cuts. bruises, Or minor s\J1lins and sprains.
Be prepared for emergencies. All coaches should
have a plan to reach medical personnel for help
.... ith more significant injuries such as concussions. dislocations. contusions. sprains. abrasions. and fractures.
Slife Return to Play
m
o
c
_
s
s
e
n
l
l
e
W
d
n
~
h
t
l
a
e
H
e
t
U
S
i
'
T
.
w
w
w
An injured player's symptoms muSt be commotion. and nonnal strength_ In case of concussion.
If you or your child is injured while playing basketpletely gone before returning to play_ For
the player must have no symptoms at rest or with
ball. seeking treatment from an orthopedic surgeon
example: in case of a joint problem. the player
exercise, and should be cleared by the appropriate
is the best way to ensure un seen internal injuries
must have nO pain. no swelling. full range of
medical provider
haven't occurred.
________________________
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
......- -- -- ---._......On IIle Web
On facebook
On lwitl~
In YO\l' Inbox
One of the On/r Therapy Centers in the Tri-State to Staff
5 Doctors of Physical Therapy &
3 Board Certified Orthopedic Clinical Specialists.
Many other specialties thot can't be found anywhere else ...
1*~~V!£i}!!!.a!
THERAPY
2400 13th Street , Ashland, KY 41102
606-329-0910 I www.premiertherapy4u.com
___________________ www.TriStal. Heallha.~":.:w:.~. :".~.:.:.•:o:m::=:::===:::::::::=::=:::=====~
Tri-SUte Edition - February 201 S Health" Wellneu
29
Be Proactive (instead of reactive)
When it Comes to Your Child's Oral health
O
nhodonlic lrealmenl for kids and lccns
can benefitlhem for a range of reasons.
If yoo are considering looking for dental
health remedies for your child or teenager, understanding the advantages of onhodontics might
assist you to make an informed choice.
Orthodontic treatment can help kids and
teenagers by:
At Stansbury Onhodontics, we place a firm focus
on edUl'ating parents and children ali ke on the
bencfits of onhodontic remedies and just how it
Can set up your oral health for life.
• Changes to a child's self_esteem can be a,com_
plished by repairing issues li ke missing or jagged
teeth, closing gaps, and much mOre
Dnhodontics is Ihc application of oral health care
te<:hniques designed to mend Or thwan problems
concerning teeth or jaw positioning.
O nhodontics Can be employed to help mend
chewing and jaw alignment problems, speech
problems, take Care of sensitivity, or perhaps to
mend unsightly misaligned teeth. The restoration
of a perfeclly arranged, straight smile is often the
vital cause parents seck oul an oMhodontic discussion.
Even in the cvcot you are not fussed wilh your
misaligned teeth, they can still present a risk to
your dental and overall health . Crooked teeth
offer a more difficult cleaning surface, and
reaching to those concealed cracks becomes challenging. This means an increased danger of oral
plaque accumulation and subsequently a higher
possibility OfrOi and periodontitis.
• Restoring teeth overcrowding setbacks byexpaooing the palate, or adjusting undcrbites and overbites
• Managing distressing problems like Temporomandibular Joint (TMJ) Disorder
• Whenever teeth are correctly aligned through
onhodontic treatment, maintaining tbem becomes
simpler
• Having braces and onhodontic appliances
instructs kids the significance of high quali.y
dcntal care and cnables them to take responsibility for the success of orthodontic procedures by
participa1ing in the daily care and pr01cetion of
orthodontics
If you are focusing on getting onhodontic treatment to correct your child's smile, think about
arranging a consultation with Dr. Stansbury to
discuss more aOOu. our treatment options available
to you .
Modem braces have progressed from the bulk y,
steel braces from fifteen years ago. Only thing true
for our office is we use Invisalign rctainers after we
do metal and ceramic bra~.
Dr. Michael Stansbury
WHENTOSEEAN
ORTHODONTIST
If you rccogni?-c any of these
signs in yoor child or
yoorsclf, it might be time to
schedul e a consultation with
an onhodontis!.
• Early or late loss of baby tceth
• Difficulty chewing or biting
• Mooth breathing
• Sucking the thumb or flngen, or other oral habits
• Crowded, misplaced Or blocked-out teeth
• Jaws that shift, make sounds, prolrude or
are rcecssed
• Speech difficuhy
• Bi.ing the check or biting into the roof of
.he mouth
• Protruding teeth
• Teeth thaI meet in an abnormal way ordon't
meet at all
• Facial imbalance or asymmcuy (features ou. of
proportIon to the n:sI of the face)
• Grinding or clenching of teeth
• Jnability to comfonablydO$C lips
To schedule an appointment with Dr. Stansbury,
call 606---329-9702 .oday. Bring your family '0
ours, we look forv.'ard to seeing you soon!
Dnhodontic procedures usually last from one to
three years. Get the best orthodontic .rcatment for
your kids with the hclp of Dr. SIMsbury.
For morc information on how onhodontics Can
help you Or your child, please do not hesitate to call
us at 606-329-9702 today!
m
o
c
.
s
s
e
n
l
l
e
W
d
n
~
h
t
l
~
e
H
e
t
a
t
S
i
r
T
.
w
w
w
_______________________
.
Dr. SlIlJlsbury is a leading board ecnified onhooontist offering quality care in a friendly, welcoming
environment. Stansbury Onhooonties is comrnined to providing each patient with state--of-the-an onhooontic treatment at a price that fits every budget. Whether you arc looking for the bestlnvi",lign, clear
braces or early treatmcnl for your child, Dr. Siansbury has an onhooonlic Ircalmcnl option thaI is righl
for you! Dr. Slansbury is always accepling new patients at his Ashland onhooomic pmclice. To make an
appointment please contact 606-329-9702 looay!
STAl\'SBURY ORntOOOl\'TICS
C. MIchael Stansbury
Diplom>t<. Am<lican Iloard of Orthodontia
2179 Caner A""., ruhland , KY 41101
(606) 329-9702
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Investments and Insurance
As a VIce President, senior Rnancial Advisor with U.S. Bancorp Investments, Inc. and U.S.
8ancofp Insurance services, llC, R.B. works comprehensively with his cllems as their
truste<l financial partn8f to build, preserve, and transfer their wealth through a long-term,
one-on-ooe relationship.
utililing a diSCiplined and ongoing process to address a wide range 01 wealth
R.B. Md{enzie
Voce Presiclent. Senior Financial
management Issues, R.B. helps his clients realile their financial goals.
•
•
•
•
•
•
•
Investments
losuraoce pro1ectioo
Uabllities
Ouamied Retirement PI~
1M Distribution
Corporate ~ecutlve Stock Options
Business Succession Planning
Dlnble Power 01 Attorney Issues
•
•
•
•
Giftiog to Chlldren/OescendentslOthefS
Dt.ring lile
"""
,-
ralpll.mckenzleOusbank.com
Gh¥itabIe Gifting Dl.I1ng LIIe
Titling of Assets
uecutorl&lCCeSSor Trustee Issues
•
u.s. Bancorp InV'8S1menb, Inc..
12{1 Sooth 3rd Street
Distribution Plan \0 Spoi.IseI
DescencIents at Death
IlOOtoo, OH 45638
•
ChOOtabIe inclinations at Death
Direct 740-533-4734
While R.B. wor1Is locally with his diems In the Tri Stale community, he is supported by the
vast resources of U.S. Bancofp. This allows him \0 draw 00 the extensive knowledge of
the team to develop strategies tailored to his clients' unique situations and deliver a very
high level of personaliled service.
Gallipolis
u.s. Bancorp Investmenb, Inc.
25 Cou1 Street
GaUipotis, OH 45631
Direct 740-44(l-D662
R.B. has more than 20 years of financial Industry experience and Is an 11 time President's
Club achiever. He holds ANRA sertes 7, 63, aoo 65 registra~ons, as well as OH, KY, IN and
WoIlife and health insurance licenses. R.B. has been an employee of US 8ancofp for 19 years.
[!!lbancorp.
All of [!lj serving you"
"'-"' .....
m....-.~u.c
___________________
www.T'iSUteHe~lth~ndW e ll ness_com
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Tn·State Edition· February 2015 Health & Wellness
31
SpI~ess _ _ _ _ _ _ _ _ _ _ _ _ _ __
Stay Married To Your Sweetheart
By Alex Anderson, Senior Associale Pastor at Bayside Commun ity Church
I
pla~
n the 2002 movie Cast Away, Tom Hanks
the character Chuck Noland, an extremely
punctual FedEx executive whose plane crashes
during a stOfTrl over the Pacific Ocean. lie becomes
the sole survivor and washes ashore on an uninhabited island. The thing that's moSt moving to me is his
motivation 10 try SO many failed attempts to get off
the island: his wife. He remains there for four years
heforc he is rescued. He is SO lonely Ihat he finds a
volleyball. puts a face on il and names it Wilson,just
to have somoone to talk to. It was never God 's intent
for a man Or a wOman to he alone. That's why
marriage is so awesome'
F inding Go d '. Favor
If good health has e~er been considered a fa~or of
God, then being married to a good wOman cer·
tainly has it merits. I have no medical training, bU1
over thiny years of minis~ering ~o people has
taught me 1he truth of this ~erse.
"Whoe~er
finds a wife finds what is good and
recei ves fa~or from the Lord ."
Proverbs 18:22 ISV
I have seen many long and sueeessful marriages
(including my parents of fifty·~hree years)
be1ween couples who experienced generally good
health. I know this anicle below is only about
men's hcahh, but I found it most fascinating.
Here arc a few good reasons why is it good for you to
have a long marriage to your sweethean.
I 'm on my way home, honey,
The LORD God said, "It is not good for the man to be
alone. I will make a companion for him., ..
Genesis 2:J 8
It helps Cure loneliness, It fecls good to have someone
to "belong 10". Now iI'S usually people who have
been married suc.:essfully for a while who would
even say such a Ihing. We as individuals like Our
independence and want to fight for it and hang on 10
it for as long as we can, but independence only can
take us SO far and sometimes it is a lonely trip. I love
the words, "I loney, I'm home"lbey make me feel
like some wants me (yeah, and that too).
Someone has m y h a ek.
Knowingsomoone has my back is very important and
satisfying to me. As goofy and weird as I am, I know
deep in my hean that there is one person on this
planet who will fight for me when no one else will
and it's my beaU1iful wife oftwcnty-eight years. You
need to know someone will "have your back". Life
can be too tough to be a solo act.
Two people are better off than one, for they can help
each other suc.:eed. If One person falls, the other can
rcach OU1 and help. But someone who falls alone is in
roaltrouble. Ecclesiastes 4:9·12 NLT Selected
Sex i . awel oml!!,
I read SOme research years ago that said that men
and women spend a large percentage of their time
thinking about sex. Well, I hope so, and I really don't
know what they waste their other time thinking
about. God wired us 1hat way. Sex is supposed to be
fun and ercates emotional bonds bc-t\o.'CCn a man and
a woman. That's also why it's pretty disastrous to
ha,,,, sex with someonc other than your spouse, the
person who has your back. Se~ is one of God's
greatest ideas.
"A major SUr\'ey of 127,~4~ American adults
found 1hat married men are healthier 1han men
who wcre ne~er married or whose marriages
ended in divorce Or widowhood. Men who ha~e
marital panners also live longer than men withou1
spouses; men who marry after age twenty·five get
mOre protection than those who tic the knot at a
younger age, and the longer a man Slays married,
the greater his survival advantage over his unmar·
ried peers." (Health .harvard .edu)
There arc many morc reasons 10 find your sweet·
hean, marry and have a long marriage, but I'm out
of space . So I'll close with these words from psy·
chologist James Dobson, which I give to those
who want to get married.
Genesis 1:24·25 NLT says, '-rnis explains why a
man leaves his father and mother and is joined to his
wifc, and the twQ are united into one. Now the man
and his wife were both naked, but they fel( no
shame."
"Don't marry the person you think you can live
Ami
wi1h; marry 1he only individual you think you
ean'~ live wi~hou~."
"Let your wife be a founLain of bless ing for you.
Rejoice in 1he wife of your youth. Le~ her breasts
satisfy you always. May you always be captivated
by her love," Provcrbs 5:18·19 NLT
Need I say more?
To your spiritual health,
Al ex E. Anderson
AUlhor of~he book, Dangerous Prayers
www. dangerous·prayers.eom
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ www.TriSUteHealthandWe ll ness.com _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
Surgical
Weight Loss
WE CARE
ABOUT YOUR
SUCCESS
At King's Daughters, we offer the region's
m05l advanced and successful surgical weight
loss program and are designated as a Center
of ExcellencE! by the American SOCiety of
Bariatric Surgery, The experts at King's
Daughters understand it's not just about
l~n9
weight ... it's about changing your life.
We offer everything you need to SlICCeed,
including minimally invasive procedures,
personalized nutrition plans and weight loS!
cOI.Jnselors who support you well after your
surgery.
KING'S
DAUGHTERS