2 October 2008Women typically do not gain size from strength training but they will become...

BByy MMAARRYY CCOOUUIILLLLAARRDDDo you know someone, or are

you, having difficulty stabilizing bodytemperature? Are you near or inmenopause? Are night sweats andhot flashes making life miserable?What can you do?

Since the Women’s Health Initia-tive (2002) concluded that syntheticestrogen therapy may not be healthy,women have to rethink how they takecare of themselves duringmenopause.

Contrary to popular opinion, I donot believe menopausal symptomsare a result of estrogen deficiency, butrather a symptom of hormone imbal-ance. Hormone balance is like a care-fully-orchestrated dance — everyonehas a role and for the whole thing towork, everyone needs to be presentand performing.

Estrogen, progesterone, testos-terone, thyroid, adrenal and pituitaryhormones are all important inwomen’s or men’s hormonal “dance.”If your “dance” is not working, youmay experience hot flashes, men-strual irregularities, infertility, premen-strual symptoms, painful lumpybreast, fatigue and a decrease in your

sex drive. Diseases that resultfrom hormone imbalance aremany and varied and can includefibroids, ovarian cysts, depression,hypothyroidism and autoimmune dis-orders.

Factors that can cause hormoneimbalance are chronic stress, adre-nal insufficiency, intestinal prob-lems, exposure to environmentaltoxins such as heavy metals, halo-gens (chlorine, fluoride) and/or radia-tion, impaired detoxification system,iodine deficiency, genetics and weak-ened immune system.

A comprehensive holistic ap-proach is needed if the cause of theproblem and the symptoms are to becorrected. Therapy for hormonal im-balance may include an adaptogenherbal preparation, diet, lifestylechanges, light therapy, targeted nutri-ent supplementation and in somecases, bio-identical hormones that arecompounded specifically for the indi-vidual based on their needs.

In complicated cases it may benecessary to test hormone levels inthe body. Serum testing is not accu-rate for all hormone levels due to theinability to distinguish hormones in

the body that are useable from thosethat are not. Saliva testing is fre-quently used, and for those unable toaccurately produce saliva, a new fin-ger stick test is available.

Hormone imbalance is a frequentcause of symptoms and illnesses inour stress-filled society and increasedexposure to toxins that are hormonedisrupters. Fortunately, there aremany natural options (www.johnleemd.com; www.vrp.com) for bal-ancing hormones. Read widely andtalk to a knowledgeable providerabout your symptoms, and ask if youcould have a hormone imbalance.

Let’s get living well! (Note: Submitted by Mary Couillard

posses a Ph.D., and is an AdvancedRegistered Nurse Practitioner.)

2 Healthy Living October 2008

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AAMMEERRIICCAANN OOPPTTOOMMEETTRRIICC AASSSSOOCCIIAATTIIOONNThe American Optometric Association (AOA) reminds

parents that good vision is critical for many classroomtasks - from reading books or seeing a blackboard to view-ing a computer screen. Without healthy vision, students canface unnecessary challenges not only in the classroom, butalso to their mental, physical, social and emotional wellbeing.

A comprehensive eye examination for students is one ofthe most important "to-dos" as children head back toschool, and yet it is often overlooked. Without an eye exam,many children will suffer from undetected vision problems,and some may even be misdiagnosed as having a learningdisorder.

The AOA's 2008 American Eye-Q survey, which as-sesses public knowledge and understanding of a widerange of issues related to vision and eye health, showedthat 87 percent of respondents were unaware that one infour children have a vision problem.

"Ten million school children in America have vision con-ditions that can negatively affect learning," said Dr. LeonardPress, optometrist and the AOA's Vision and Learning Spe-

cialist. "Many parents rely on vision screenings in school tocheck for eye problems, but that isn't enough. Comprehen-sive eye exams are necessary to detect problems that asimple screening can miss, such as eye coordination,moderate amounts of farsightedness and astigmatism."

According to the AOA, vision screenings are not diag-nostic, and therefore, typically identify only a small portionof the vision problems in children. Below are essential ele-ments an optometrist will check for during a comprehen-sive eye examination to help ensure learning is maximizedthrough good vision:

� Visual acuity is measured at several distances so stu-dents can comfortably and efficiently read, work on thecomputer and see the chalkboard.

� Focusing or accommodation is an important skill thatis tested. Eyes must be able to focus on a specific object,and to easily shift focus from one object to another. This al-lows the child to move visual attention from a book to thechalkboard and back.

� Visual alignment and ocular motility are evaluated.

Vision problems undetectedin one of every four children

See VVIISSIIOONN/Page 15

AASSSSOOCCIIAATTEEDD PPRREESSSSDALLAS (AP) — Heart patients

should be regularly screened for signsof depression, the American Heart As-sociation recommended last month.Depression is about three times

more common in heart attack sur-vivors and those hospitalized withheart problems than the general popu-lation, according to the recommenda-tions published in the journalCirculation. The authors said onlyabout half of heart doctors say theytreat depression in their patients — andnot all those diagnosed with depres-sion are treated.“I think we could reduce consider-

able suffering and improve out-comes,” by screening, said ErikaFroelicher, professor of nursing at theUniversity of California, San Francisco.“I know we can do more.”While there's no direct evidence

that heart patients who are screenedfare better, depression can result inpoorer outcomes and a poorer qualityof life, the panel said. Depressed pa-tients may skip their medications, notchange their diet or exercise or takepart in rehabilitation programs, theysaid.Anyone from cardiologists to

nurses to primary care doctors canand should be involved in determiningwhether a patient is depressed, saidFroelicher, who was co-chair of thepanel that wrote the recommenda-tions.The panel suggests that heart pa-

tients be screened by first asking twostandard questions: In the past twoweeks, have you had little interest orpleasure in doing things? Have youfelt down, depressed or hopeless?If the patient answers yes to one or

both, a questionnaire is recommendedto determine if the patient is depressedand the severity. If depression is indi-cated, the patient may need to see aprofessional qualified in treating de-pression, the panel said, adding thattreatment options include antidepres-sants, seeing a psychotherapist andexercise.“Some physicians are qualified to

treat it — others may be more comfort-able referring the problem to a quali-fied mental health professional,”

Froelicher said.Psychia-

trist MichelleRiba said thestatement'semphasis onfrequent screen-ing is important.“What you want

to see in a particularpatient is how they do overtime,” said Riba, past president of theAmerican Psychiatric Association,which has endorsed the heart associ-ation's recommendations.One doctor said screening isn't

enough; patients need close monitor-ing to make sure they get help.“A lot of patients with depression

don't follow up on it,” said Dr. MaryWhooley, a professor of medicine atthe University of California, San Fran-cisco, who was not on the panel.Barbara Forman, 62, struggled with

depression after her double bypassabout five years ago. She said shespent most of her time at her Engle-wood, Ohio, home sitting in her chair,frequently crying for no reason. Whenshe did get out, she was often winded,even from a walk up a sidewalk to de-liver cupcakes to her grandchild'sclassroom.“I'm thinking, is this the way it's

going to be for the rest of my life?Since I've had a heart event, is my lifeover?” she said. “It also made meafraid to do things. I didn't know howa heart attack felt. I would think, 'Isthis a heart attack?”'A couple of months after she got

home she called Mended Hearts, agroup affiliated with the heart associa-tion that provides support to heart pa-tients, and talked to someone who lether know depression was common inheart patients.Her family doctor sent her to a

psychologist, and after some initial re-luctance, she started taking an antide-pressant. That, along with starting awalking routine and volunteering withMended Hearts and the heart associa-tion, improved her outlook.“You can't sit in your house and

just vegetate,” she said. “Over the last18 months to two years — It's reallygotten better.”

October 2008 Healthy Living 3

Dr. Johnny Newcom & Staff; Lonna Starnes & Ashley Thomas

Health Quest Wellness Center913 South Main Street • Marion, Kentucky

270.965.2600“Proud To Be The Team Doctor For Rocket Football”

Chiropractic care forfamilies in Crittenden and

surrounding counties.Dr. Johnny Newcom is a graduate of

Logan College of Chiropractic in St. Louis, MO.Tracye Newcom; Dietician, Private Practice & Clinical Work

Thank You To Our Patients ForA Successful 3 1/2 Years In Marion

AMA: Heart patientsshould be screenedfor depression

BByy SSEERREENNAA DDIICCKKEERRSSOONNThe benefits of strength training for

women are amazing. Women are be-ginning to realize just how important aproper strength training routine is fortheir overall health. Over the lastdecade, researchers have made ex-tremely compelling arguments for thebenefits of strength training forwomen. Below I have listed what I feelare the top benefits.Benefits women receive from

strength training:

1DDeeccrreeaassee tthhee rriisskk ooff oosstteeooppoorroossiiss:By building strong bones withstrength training you are preventingand fighting osteoporosis.

2IInnccrreeaassee mmeettaabboolliicc rraattee: Addingmuscle increases our metabolism

naturally. The first secret of weightloss is increasing your metabolic rate,by increasing the calories you burn ona daily basis. Which takes us to thesecond secret of weight loss.

3IInnccrreeaassiinngg lleeaann mmuussccllee mmaassss: Eachpound of lean muscle mass burns

35-50 calories per day. So, if youbuild 10 pounds of lean muscle massthen you burn between350 and 500 calories.The general public tendsto tie strength trainingwith bulky muscles; weare talking about leanmuscle mass here. Thistakes us to the next ben-efit.

4FFeeeelliinngg aanndd llooookkiinnggbbeetttteerr: Strength training reduces

overall body fat, defines and tonesmuscles and builds confidence.Women typically do not gain size fromstrength training but they will becomephysically stronger. Which leads tothe next benefit.

5BBeeccoommee pphhyyssiiccaallllyy ssttrroonnggeerr: Liftinggroceries, children, laundry and

daily chores become much easier.Research studies conclude that evenmoderate weight training can increasea woman’s strength by 30 to 50 per-cent.

6RReedduuccee rriisskk ooff IInnjjuurryy: Strengthtraining also builds connective tis-

sues and increases joint stability. Thisacts as reinforcement for the jointsand helps prevent injury. The strongerwe are the less chance of an injury.This becomes even more important aswe grow older.

7IImmpprroovvee bbaallaannccee: Also important aswe grow older, balance. Strength

training builds a strong foundation.Strengthening our legs and core sec-tion means an increase in overall bal-ance and coordination.

8IInnccrreeaassee aanndd rreessttoorree bboonnee ddeennssiittyy:Strength training prevents and fights

osteoporosis by building strong bones.Research has found that strength train-ing can increase spinal bone mineraldensity (and enhance bone modeling)by 13 percent in six months. This cou-ples with an adequate amount of di-etary calcium, can be a women’s best

defense against osteo-porosis.

9IImmpprroovvee yyoouurr aatthhlleettiiccppeerrffoorrmmaannccee iinn

ssppoorrttss,, eexxeerrcciissee aanndd lliiffeeiinn ggeenneerraall: Whateversport you play, strengthtraining has been provenover and over again toimprove overall perform-

ance while decreasing the chance ofinjury. Golfers can significantly in-crease their driving power. Cyclist andrunners are able to continue for longerperiods of time with less fatigue. Justclimbing the stairs or leisure walkingbecomes more enjoyable.

10RReedduuccee rriisskk ooff hheeaarrtt ddiisseeaassee aannddddiiaabbeetteess: According to Dr. Barry

A. Franklin of William Beaumont Hos-pital in Royal Oak, Mich., strengthtraining can improve cardiovascularhealth in several ways, including low-ering LDL (“bad”) cholesterol, increas-ing HDL (“good”) cholesterol andlowering blood pressure. When cardio-vascular exercise is added, these ben-efits are maximized. In addition, Dr.Franklin noted that strength trainingmight improve the way the bodyprocesses sugar, which may reduce

4 Health Living October 2008

Do you Smile or Frownwhen you get on the scale?We Can Help You:• Lose Body Fat• Gain Muscle• Feel Stronger• Get Motivated• Live Healthier• Have More Energy• Increase Self Esteem• Improve Performance

For information on Personal Training or Group Training Call:

Full Body Fitness StudioSerena Dickerson at 270-704-1871

OCTOBER - GROUP FITNESS CLASSESMONDAY TUESDAY WEDNESDAY THURSDAY FRIDAYAM - 8:30

ABC Workout(Arms, Butt & Core)(Full Body Workout with Cardio and Strength)

PM - 5:00Beginner

3-2-1 Workout(Legs, Butt & Core)

PM - 6:00ABC Workout(Arms, Butt & Core)(Full Body Workout with Cardio and Strength)

AM - 8:30Yoga for Flexibility & Fitness

Beginner & Intermediate

PM - 2:50-3:30Kids Fitness &Yoga at CCESFree to CCES Students

PM - 3:40-4:15Adult Fitness at CCES

AM - 6:30Yoga for All Levels

(Flexibility, Strength& Balance)

AM - 8:30Strength & Balance

PM - 5:00Beginner

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PM - 6:003-2-1 Workout(Full Body Workout with Cardio and Strength)

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PM - 3:40-4:15Adult Fitness at CCES

PM - 6:15Strength & Car-

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AM - 8:30-9:153-2-1 WorkoutIntervals of 3 min Strength2 min Cardio1 min Abs

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All above classes are held at FULL BODY FITNESS STUDIO 177 Nunn-Jent Rd., Marion, KY unless noted otherwise.

Classes are $5 per class, monthly and session packages available. For more information, please contact Serena Dickerson at 270-704-1871. Personal Training Available by Certified Personal Trainer in private gym.

Get a jump start on your New Yearʼs Resolution for 2009! Full Body Fit Camp - January 2009 - See Next Weekʼs Press For Details

Strength trainingThere’s more than meets the eye

Will I bulk upif I weight train?ANSWER: Female hor-

mones are in most casesnot capable of buildinglarge muscles.

Q

See SSTTRREENNGGTTHH/Page 12

Is a spouse’ssnoring keeping

you awakeat night?It can be a symptom

of a life-threatening ailmentin need of quick attention

October 2008 Health Living 5

October is Breast Cancer Awareness Month

Schedule a mammogram withCHS Diagnostic Imaging staffduring October and receive afree gift, offer good through

October 31st.

To schedule your mammogram atCrittenden Health Systems

Call 965-1073

Serving our community for 65 years

www.crittenden-health.org

CCRRIITTTTEENNDDEENN HHEEAALLTTHH SSYYSSTTEEMMSSSnoring might be a bit annoying to

someone who has to listen to it. Butfor the person making all the noise, itcan also be a symptom of a danger-ous condition called sleep apnea.

Loud snoring, punctuated by peri-ods during which there is no breath-ing, is the primary symptom of sleepapnea. The condition can have majorpsychiatric and medical effects, in-cluding disruption of everyday life.

It even appears in literature — calledthe Pickwickian syn-drome, named for ayoung character inDickens' Pickwick Pa-pers who kept fallingasleep in the middle ofconversations.

Sleep apnea can becaused by a physicalblockage of the breath-ing pathway or by anabnormality in the brain center thatcontrols breathing.

The results in both cases are thesame: a decreased level of oxygen inthe blood, a rise of carbon dioxideblood levels and disorganized sleep.

Sleep disorganization at night canbe so severe that the individual experi-ences chronic fatigue, a tendency tofall asleep during the day, decreasedability to perform complicated mentaltasks and decreased alertness in gen-eral.

Published reports have linked theseeffects both to auto and work acci-dents. Prolonged sleep apnea can alsoresult in high blood pressure and heartdisease.

Sleep apnea often occurs in se-verely obese people. Its cause insome cases may be as simple as en-larged tonsils or adenoids that blockthe breathing passage during sleep.Whatever the cause, the first clue todiagnosis usually is loud, intermittentsnoring and medical attention should

be sought.The definitive diagnosis sometimes

requires a sleep study in which the pa-tient spends one or two nights hookedup to monitors in a sleep center. Onesuch center can be found at Critten-den Hospital.

You may be a candidate for a sleepstudy if you answer yes to one ormore of the following questions:

� Do you snore?� Have you been observed to stop

breathing during sleep?� Do you fall asleep

inappropriately, such aswhile eating, driving ortalking?

� Do you ever wakeup from sleep feelingshort of breath or withyour heart beating fast?

� Do you have ahistory of hypertension?

� Do you sweatprofusely at night?

Fortunately, almost all patients canbe helped. Some will be required tosleep wearing a special mask that pro-vides a continuing flow of oxygen. It'scalled CPAP (continuous positive airpressure) and the therapy is extremelyeffective.

When the cause is physical ob-struction of the airway, minor surgerythat removes the tissue blocking theairway often can relieve the problem.Losing weight also helps reduce thetendency to have blockage.

Drugs such as tranquilizers andsleeping pills should be avoided be-cause these drugs can worsen anydisorder of breathing and possiblycause life-threatening interruption ofrespiration.

(Note: Crittenden Health Systemsstarted as Crittenden Hospital in 1944and today includes a 48-bed acute-care facility, a home health agency,emergency services facility and a spe-cialty clinic.)

For the personmaking the noise,it can be a symp-tom of a danger-ous conditioncalled sleep apnea.

“

TTHHEE AASSSSOOCCIIAATTEEDD PPRREESSSSA landmark study of one the most

agonizing decisions faced by menwith early prostate cancer – Should Ihave surgery? Or should I wait andsee if it spreads? – found that forthose under 65, operating clearlysaves lives, cutting the death rate bymore than half.

For men over 65, however, the juryis still out. These men account for themajority of prostate cancer patients.

Because of the findings, youngermen “are much less likely to be en-couraged to watch and wait,” said Dr.Durado Brooks, American Cancer So-ciety director of prostate cancer.

Prostate cancer is the most com-mon type of cancer in American menafter skin cancer. About 232,000 newcases and 30,000 deaths are ex-pected this year in the United States,according to the cancer society.

Often, doctors recommend“watchful waiting,” because in manymen, the tumor grows so slowly thatthey die of something else before thecancer ever kills them. Also, surgeryto remove the diseased prostate car-ries its own risks: impotence and in-continence.

The latest study, published inThursday’s New England Journal ofMedicine, followed Scandinavian menunder age 75 for a decade after sur-gery, an unusually long period forsuch research. Overall, it found thatsurgery reduces deaths from anycause – not just cancer of theprostate – by nearly half.

About 9.5 percent of those whogot surgery and 15 percent of those inthe watchful waiting group died within10 years of being diagnosed. But allthe benefit appeared to be among menunder 65, where the watchful waitinggroup had more than double the deathrate of the surgery group.

The lead author of the study com-pleted earlier this year, Dr. Anna Bill-Axelson of University Hospital inUppsala, Sweden, said urologists whofavor surgery over watchful waitingwill now be able to say that in youngermen, “there is finally proof it saveslives.”

Surgery “is ideal for the patientwho is curable and going to live a longtime,” said Dr. Patrick Walsh, a pro-

fessor of urology at Johns HopkinsMedical Institutions who in 1982 in-vented a nerve-sparing type ofprostate surgery that sharply reduceschances of impotence and inconti-nence.

Prostate cancer strikes one in sixAmerican men during their lifetime,killing one in 33.

About 60,000 Americans undergoprostate cancer surgery each year. Aman’s age, his overall health, how ad-vanced the cancer is and how aggres-sive it appears under the microscopeare among the factors doctors use indeciding whether to recommend sur-gery.

But some recent research hasshown that even slow-growing tumorscan become more lethal after 15years.

The latest study began in 1989.Researchers at 14 hospitals in Swe-den, Finland and Iceland studied 695men, most of them with tumors thathad not spread beyond the prostateand were considered moderately ag-gressive. Their age averaged justunder 65. Half got prostate surgery;the other half were assigned to watch-ful waiting.

Preliminary results released in2002 showed only that the surgerycut deaths from prostate cancer.Three more years of follow-upshowed a reduction in overall mortal-ity.

Among all men in the study, after10 years, those getting surgery had a44 percent lower rate of death fromprostate cancer, a 26 percent lowerrate of death from all causes, andsharply lower rates of cancer spread.

Brooks said longer-term researchis needed to determine how the resultsapply in this country, where prostatecancer usually is diagnosed at an ear-lier stage by the PSA blood test; theScandinavian men mostly were diag-nosed when the tumor was largeenough to be felt on a rectal exam.

Surgery or not?Prostate cancer surgery best choice for men under 65


Variety of fruits,vegetables morethan decorativetable adornmentTTHHEE AASSSSOOCCIIAATTEEDD PPRREESSSS

Orange tomatoes. Purple broccoli.Heeding dieticians' message that a

rainbow of colors offers balanced nu-trition, plant breeders have begunbulking up some traditional fruit andvegetable selections with still morenutrients.

“Before, they were breeding forhigher yields, stronger plants, produceeasier to ship andmore ornamental inappearance,” saidGrace Romero, leadhorticulturist with W.Atlee Burpee & Co.,America's largesthome gardener seedcompany.

“Now they'relooking at improve-ments in flavor andsmell in addition to more nutrients.Enriching the colors is attached to nu-tritive value.”

Many naturally occurring plant pig-ments also are the stuff of disease-fighting phytochemicals andantioxidants: concentrations ofcarotenoids, for example, which givefruits and vegetables distinctive yel-low, orange and reddish hues. Or an-thocyanins, which give strawberriesand beets their trademark tones.

“The most nutritious colors are therainbow colors,” said Lilan Cheung,

director of health promotion and com-munication with the Harvard School ofPublic Health. “Nature has endowedeach fruit and vegetable variety withcertain vitamins, minerals, fibers andmore.”

No single food contains all thenecessary nutrients, but different plantcolor groups when eaten in combina-tion fulfill the average person's dailyrequirements.

“Orange and green, definitely, weshould have something from thesegroups every day,” Cheung said.“Purple or blue, dark green and or-ange. Reds don't need to be part ofthe daily diet mix but they should beeaten frequently.

“People should be eating nine ormore servings of fruits and vegetablesper day,” Cheung said. “The more, thebetter.”

We're not talking just fresh fruitsand vegetables. Nutrient levels alsoare high in produce that has beencanned, frozen, dried or processedinto juice.

Burpee is working in particular onelevating their tomato, broccoli andpepper products, Romero said.

“Tomatoes with more yellow andorange, although reds are still the con-

sumer favorite. Research papersshow orange tomatoes have more vi-tamins than red tomatoes,” she said.“Something purple would have moreanthocyanins than something that'swhite. Purple broccoli, for instance.”

Here are some rainbow groupings,along with their disease-fighting capa-bilities:

� Red: Tomatoes, beets, radishes,red bell peppers. Lycopene, found intomatoes, is known to reduce prostatecancer risk.

� Green: Spinach, broccoli, brus-sels sprouts, cabbage, green peppers,kale, collard greens, peapods, aspara-gus. “Phytochemicals lutein and zeax-anthin are found in spinach, collards,kale and broccoli,” Cheung said.

“These antioxidants may protect theeyes and fight against free radi-cals — harmful substances inour body caused by smokeand pollution.”

� Yellow and orange: Car-rots, pumpkins, yellow pep-pers. Especially rich in

beta-carotene, which strength-ens the immune system.� Blue and purple: Eggplant.

Loaded with antioxidants called antho-cyanins that may prevent heart dis-ease by blocking the formation ofblood clots.

� White: Garlic, white onions.“These pungent vegetables add flavorto foods so you can cut back on thesalt,” Cheung said. “The onion familycontains allicin, which has anti-tumorproperties. Garlic is being studied forits potentially beneficial role in pre-venting heart attacks and strokes, al-though the research is stillpreliminary.”

Rainbow of colors provides healthy diet

People should beeating nine or moreservings of fruits andvegetables per day. Themore the better.

Lilan CheungHarvard School of Public Health

“


Scott R. Graham, M.D.Beverly Jones, A.R.N.P.

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KKEENNTTUUCCKKYY HHEEAALLTTHH AANNDD FFAAMMIILLYY SSEERRVVIICCEESS CCAABBIINNEETT RREELLEEAASSEE

With influenza season here and an amplesupply of vaccine expected this season, Gov.Steve Beshear is urging Kentuckians to get aflu shot or nasal vaccine spray and to encour-aging parents to make sure children older thansix months also receive protection against theflu.

“The best way to protect yourself and yourfamily against the flu is to receive the flu shotor nasal vaccine spray. This year the federalgovernment has released new recommenda-tions that emphasize the need for most childrenover six months of age to receive annual fluvaccinations,” said Gov. Beshear. “Ensuringthat all eligible children and adults are vacci-nated helps protect the health of our communi-ties at large, by reducing the flu’s spread andseverity.”

The Centers for Disease Control and Pre-vention’s (CDC) Advisory Committee on Immu-nization Practices’ (ACIP) updated recommen-dations for the coming flu season include:

� Annual vaccination of all children age five

to 18 years; � Children six months through four years

(59 months) continue to be a primary focus ofannual vaccination efforts because these chil-dren are at a higher risk for flu complicationscompared with older children;

� Children six months to eight years shouldreceive two doses of vaccine if they have notbeen vaccinated previously; and

� Healthy, non-pregnant people from twoto 49 years can receive either the flu shot orthe nasal vaccine spray.

The focus on increasing vaccination amongchildren reflects the serious health effects theflu can potentially cause among this popula-tion. Children younger than two years old –even healthy children – have a high risk ofending up in the hospital if they get the flu, andchildren two to five years old are more likely tobe taken to a doctor, urgent treatment center oran emergency department due to the flu, ac-cording to the CDC. Each year in the U.S., asmany as 20,000 children under age five arehospitalized because of the flu.

Kentucky expects local health departments

and private providers to have plenty of vaccineon hand for this year’s season, and clinicshave already been scheduled at many locationsaround the state. For information on vaccineavailability, Kentuckians should contact theirhealth provider or local health department.

“It’s important that children and others re-ceive a flu vaccine each year to ensure maxi-mum protection,” said Kraig Humbaugh, M.D.,state epidemiologist at the Department for Pub-lic Health.

The flu season can begin as early as Octo-ber and last as late as May, but usually peaksbetween January and March. September, Octo-ber and November are good months to be vac-cinated for flu because it takes about twoweeks for immunity to develop and offer pro-tection against flu. However, vaccination canbe given any time during the flu season. Infec-tion with the flu virus can cause fever,headache, cough, sore throat, runny nose,sneezing and body aches.

Immunization is strongly recommended toprotect Kentuckians 65 and older and thosewith a chronic disease such as heart disease,

cancer, asthma or diabetes. Healthy individuals50 to 64 are also strongly recommended to re-ceive flu vaccine.

In addition to flu vaccine, the officials en-couraged all adults 65 or older and others inhigh-risk groups to ask their health careprovider about the pneumococcal vaccine. Thisvaccine can help prevent a type of pneumonia,one of the flu’s most serious and potentiallydeadly complications.

Caused by bacteria, pneumococcal diseasecan result in serious pneumonia, meningitis orblood infections. According to the CDC, pneu-mococcal disease kills more people in the U.S.each year than all other vaccine-preventablediseases combined. Nationally, between20,000 and 40,000 deaths are attributable toflu and pneumonia each year, with more than90 percent of those deaths occurring in peopleage 65 and older.

For more information on influenza diseaseor the availability of flu immunizations, pleasecontact your local health department or visitDPH’s flu Web site at www.chfs.ky.gov/dph/Influenza.htm.

Governor encouraging Kentuckians to get flu shot

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Nurse Practitioner, FNP-C

Dr. Bret A. Wittmer - Center For Integrative Medicine

240 East Ayr Parkway - Madisonville KY - 42431www.CWBR1.com | www.MedicalHeroesWanted.com

Tri-Rivers Healthcare, PLLC“General Surgery, Internal & Family Medicine

William E. Barnes, M.D., F.A.C.S.Michael P. Gavin, M.D., F.A.C.S.Ghassa Yazigi, M.D., (Dr. G)

Terry W. Boone, PA-CC. Ann Day, A.R.N.P., C-F,N.P.

Deborah Deguire, A.R.N.P., C-F,N.P.C. Jill Croft, A.R.N.P., N.P.-C

Salem Medical Clinic • Salem, KY ......................227700--998888--33229988Marion Physicians Clinic • Marion, KY ............227700--996655--44337777Smithland Medical Clinic • Smithland, KY ......227700--992288--22114466

Iwas just 15 years old —my mother only 42 —when her diagnosis of

breast cancer came.She carried many titles — mother of

seven children, wife, homemaker, reg-istered nurse, Sunday school teacherand church youth leader. As one mightimagine, she was the central figure inour family.

My mother's illness, hospitalizationsand medical treatments brought aboutrole changes within our family unit.There were five children still at home —two younger sisters, two youngerbrothers and myself. Somehow,through it all, my father found thestrength to assume management of thehousehold, provide childcare and tendto my mother's increasing needs — notto mention working many long hoursand accepting overtime when he couldto pay the mounting medical bills.

With each passing day my mothergrew weaker against this force that hadinvaded her body. We took care of herand of each other as much as wecould. There was little attention to emo-tional needs; our focus was on survivalas a family. My brothers, sisters and Ididn't understand exactly what washappening, but weknew it wasn't good.Outwardly, our familymaintained a sense ofcalm — on the insidethere was chaos, as ourfamily was in crisis. Asa family, we nevertalked much about mymother's diagnosis, hergrave prognosis or fataloutcome. Never did weallow ourselves to thinkthat our mother might die. I guess wewere afraid of the harsh reality of it all.

After her radical mastectomy and amonth of radiation treatments, ourmother — who had always been vibrant— returned to some of her usual activi-ties. This was a glimmer of hope for usall. Maybe, we thought, the monsterhad been defeated.

For a short while, our family re-sumed a period of normalization. Wecelebrated holidays, graduations andeven took a short family vacation.Mother wanted to live each day to thefullest. Only she realized how preciousher time was. She never missed an op-portunity to help others or teach usabout having faith in God, love and theimportance of education. In lookingback at this short period in our lives, Irealize that we were all secretly dealingwith the fear that Mother's cancer

would reoccur, but we could never ex-press it, as if talking about it mightbring it back.

Mother remained symptom-free fora little more than a year, but then cameanother shattering blow — metastasis tothe bone. Once again, our family wasthrown into crisis.

Over the next two years mymother's condition deteriorated. Shebecame weaker and was confined tothe bed much of the time. Her paingrew intense. There were no homehealth agencies, no hospice organiza-tions; we received little professionalguidance. Family, friends and church

members did what theycould to help us. AsMother becameweaker, we seizedevery opportunity tocare for her, secretlyfearing it would be ourlast. Individually, and asa family, we had startedthe bereavementprocess. We silentlygrieved for the loss ofhope for a future to-

gether as a family. Mother was supposed to grow old

with my father, see her children matureinto adults and play with her grandchil-dren. My younger siblings were notable to grasp the gravity of the situationbut I could; I could see the fear andsadness in the eyes of my mother andfather. The spark that had always beenso bright in my mother's eye was nowfading.

Although we lost sight of the future,Mother never gave up, never lost hope,and never lost her faith in God. She be-lieved in miracles. Truly, she believedthat life was a miracle, a gift from God.And she lived her life accordingly.

When the end came, only four shortyears after her diagnosis, she accepteddeath as another sacred part of life — ajourney not an end. Even at death, shedid not consider herself a victim, but

rather a victor.For us, the bereavement

continues; so many thingstrigger memories of Mom.Those four years weredefining years for us. We learnedto survive, to meet challenges head-on and to work together. I have learnedthat there are many things far worsethan death and that life is a very fragilegift to be used wisely. Albert Einsteinonce said, “There are only two ways tolive your life. One is as though nothingis a miracle. The other is as thougheverything is a miracle.”

For families and women every-where, the words “breast cancer” gripour attention. It is perhaps the diseasethat women fear the most. Certainly,many more women die of heart dis-ease, but it's still breast cancer thatwomen dread the most. Whatever thebasis of your fears, they appear wellfounded when one looks at the statis-tics:

� Breast cancer strikes one out ofevery eight women.

� There are 180,000 new cases di-agnosed each year.

� Each year 46,000 women will dieof the disease.

Fortunately, with early detection thecure rate is approximately 95 percent. Alot has been learned since my motherwas diagnosed. Early detection andtreatment give women the best chancefor cure and survival.

The American Cancer Society andother health organizations have devel-oped guidelines to help women andtheir healthcare providers find cancerbefore it invades surrounding tissue:

� Examine your breast monthly.Ask your healthcare provide to teachyou how to do breast self-examination.If you do find a lump or an abnormality,seek medical advice immediately. Sta-tistics show that upon finding a breastlump, women wait an average of threemonths before seeking medical advice.This time could be critical to your treat-

ment and recovery.� Make sure a healthcare provider

examines your breast every year, be-ginning at age 20. Despite the prevailingopinion that young women don't getbreast cancer, the reality is that theydo. In fact, one in every 229 womenbetween the ages of 30 and 39 will bediagnosed with the next 10 years.

� Have a baseline mammogram atage 40, a screening mammogramevery year after.

Women themselves find 75 percentof all breast cancers. Unfortunately,less than one-third of American womenreport doing self-breast examination.

My mother found her breast cancer,however, she waited three months be-fore seeking professional attention.Likewise, fewer than half of womenwho should receive a routine mammo-gram actually do. Every year 46,000American families lose a grandmother,mother, sister, wife, aunt or daughter tobreast cancer. Don't allow yourself tobecome a part of the statistics.

Life is a miracle; don't squander aprecious moment. Take care of yourbody and be proactive when it comesto your healthcare needs.

Patients who know my family his-tory often ask, “Don't you fear getting amammogram?”

“Absolutely,” I reply, “but I'm moreafraid of not getting one.”

(Note: Wyetha Wood is a AdvancedRegistered Nurse Practitioner and Certi-fied Family Nurse Practitioner at Pri-mariCare, PLLC in Princeton.)

8 Health Living 9

Onceagainranks asone of thetopfacilities inKentuckyfor qualityof careprovided. Activities Director Amanda Alvis and Resident Flo Elam

“The Quality Professionals with the Hometown Touch”201 Watson Street • Marion, Kentucky • 270-965-2218

Carol Muff, LPN, and Resident Inez Robertson

Crittenden CountyHealth & Rehabilitation CenterEvery woman’s

biggest fearA personal experience

with breast cancer by Wyetha Wood

Although we lostsight of the future,Mother never gaveup, never lost hopeand never lost herfaith in God. She be-lieved in miracles.

“


Center for Addiction and Counseling Services

308 S. Main StreetMarion, Kentucky 42064

Phone: 270-965-4300Fax: 270-965-5463

or219 N. Court Street

Morganfield, Kentucky 42437Phone: 270-389-3400Fax: 270-389-0053

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According to the CDC, an estimated 23.6 million adultsand children in the United States have diabetes. Unfortu-nately, approximately 25 percent of those with diabetes, or5.7 million people, have not been diagnosed and are un-aware they have the disease. Diabetes is unlike other healthproblems. You can't simply treat it and make it go away.However, diabetes can be managed. Proper meal planning,exercise and medication as indicated can help protectthose with diabetes from many of the serious problems re-lated to the disease.

What is diabetes? Diabetes is a disease in which thebody does not produce insulin or uses insulin ineffectively.Insulin is a hormone produced in the pancreas that con-verts sugar and starches into the energy we need for sur-vival. Insulin lowers blood sugar by acting as a key tounlock the body's cells and allows sugar to pass from theblood stream into the cells.

In Type 1 diabetes, the body stops making insulin. In-sulin injections are needed in order to get sugar out of theblood and into the cells where it is used by the cell for en-ergy. Type 1 diabetes usually strikes children and youngadults. There is no known way to prevent the disease.

Type 2 diabetes usually begins with "insulin resistance."Though the body makes insulin, the Type 2 diabetic is un-able to use insulin efficiently. As the need for insulin rises,the pancreas gradually becomes unable to produce it. Riskfactors for Type 2 diabetes include: age 45 or older; over-weight; inactive lifestyle; family history of diabetes; African,Hispanic and Native American backgrounds; and womenwho have given birth to a baby more than nine pounds.

Signs and symptoms of diabetes include fatigue, weak-ness, weight loss, blurred vision, numbness or tingling in

feet or hands and slow-healing or frequent infections. Theclassic triad of symptoms of diabetes includes excessivethirst, increased appetite and frequent urination. Symptomsmay develop quite rapidly in Type 1 diabetes. However, inType 2 diabetes the signs and symptoms develop muchmore slowly over time and may be more subtle. In fact, inearly Type 2 diabetes the symptoms are often absent andundiagnosed. Therefore, it is important to undergo appro-priate screening for diabetes in adults older than age 45and especially in those with a strong family history of dia-betes or other risk factors.

The long-term complications of diabetes are directly re-lated to prolonged elevated blood sugar. Diabetes candamage the small blood vessels in the eye, kidneys andnervous system. By keeping your blood sugar level asclose to normal as possible, you may lower your chancesof eye problems, kidney problems, nerve damage, amputa-tion (surgical loss of extremity), sexual dysfunction, heartattack and stroke. If you have diabetes it is important totake care of yourself including undergoing an annual dilatedeye exam, foot care (checking your feet every day for anyredness or irritation), and following up with your primarycare provider on a regular basis.

(Note: Lee Anna Boone and Alicia Clark are AdvancedRegistered Nurse Practitioners at Family Practice Clinic inMarion.)

SSUUBBMMIITTTTEEDD AARRTTIICCLLEELivingston Hospital and Healthcare

Services Inc., has a long tradition ofserving the community with a variety ofwellness and nutritionprograms includingcommunity healthfairs/screenings,worksite wellnessprograms and nutri-tion classes.

Crissy Carter, MS,RD, LD, has servedLHHS for five years —the last year as the Director of Commu-nity, Wellness and Nutritional Services.Carter has a bachelor of science and amasters of science both from MurrayState University. She has been a regis-tered dietitian for seven years.

Diabetes education is among themost important services offeredthrough the department. According to

the 2005 statistics from the Centers forDisease Control and Prevention, Ken-tucky ranks seventh in the nation forthe highest percentage of the adultpopulation diagnosed with diabetes.The hospital offers two series of groupdiabetes education classes in Liv-ingston, Crittenden and Lyon counties.We will be having Diabetes Self-Man-agement classes starting Nov. 18 from1 to 3:30 p.m., in the hospital confer-ence room. It will be a series of fourclasses ending on Dec. 9.

Carter also takes referrals fromphysicians for individual nutrition coun-seling on a variety of topics from dia-betes to weight management togastrointestinal diseases and anythingin between. To make an appointmentwith Carter, have your physician to callthe hospital to set up the appointment.

The hospital has several healthfair/screenings that include free choles-

terol, glucose, blood pressure, heartrate and oxygen saturation. Watch forLivingston Hospital and HealthcareServices Inc., booths at the local fallfestivals in October. All screenings arefree to the public. In order to take fulladvantage of the screenings, fast for12 hours prior.

Livingston Hospital and HealthcareServices Inc., is also starting a new ad-venture with Worksite Wellness pro-grams. These programs are taken tothe business and can include a varietyof topics and services such as em-ployee physicals, employee drugscreens, health screenings, health edu-cation classes, smoking cessation,lunch and learns and health risk ap-praisals.

(Note: Crissy Carter, MS, RD, LD,works for Livingston Hospital andHealthcare Services Inc., and can bereached at 988-7254.)

Carter

What is diabetes?

Manage diabetes with help

What is Healthy? We all have dif-ferent views on what makes some-one healthy.

Now think about this: Have youever known or heard of someonewho had such a positive attitudethey were able to overcome incredi-ble odds against certain medical is-sues, life situations, financialstressors or family problems? Doyou know someone who seemed tohave it all going for them, but endedup a tragic suicide statistic? Or thestar athlete who’s football injury in-nocently led to an addiction to painmedication?

The underlying theme to all thesestories is one’s emotional wellbeing. Another Way, Inc. specializesin the treatment of emotional andcertain mental disorders, includingsubstance abuse issues. This is avital piece of “healthy” we need torecognize and treat.

Another Way Inc., is a private,non-profit treatment center to helppeople with substance abuse andmental health issues. Help is alsoavailable for family members and

friends in order to assist them ingaining knowledge, not only to helptheir loved one, but to help them-selves as well.

Mental health and addictionsproblems affect a significant per-centage of the population. These is-sues can range from milddepression and relationship prob-lems to more serious issues, suchas Post-Traumatic Stress Disorderor suicidal behaviors.

The positive thing to remember isthat mental health and substanceabuse issues are treatable. In fact,these are some of the most treatableof all diseases and disorders. Weknow that much of the success ratedepends on the person’s willingnessto participate in their treatment, en-thusiasm to change and eagernessto comply with changing lifestyles,thoughts and behavioral patterns.

While many feel medications arethe only way to treat certain disor-ders, at Another Way Inc., we un-derstand that while at timesmedications may be necessary, sta-tistics show that therapeutic, sup-

portive relationships is the singlebiggest factor in successful recov-ery. Another Way Inc., offers thesetypes of therapeutic relationships byoffering various groups therapiesand individual sessions in a safe,supportive, confidential atmosphere.Many of our clients report feeling asif they have found another familywithin these rooms. We welcomeclients with encouragement, com-passion and a level of understandingthat will assist them in learning the“tools” to improve their overall qual-ity of life. Many clients tell they wereinitially reluctant to pursue help for avariety of reasons, such as embar-rassment or feeling judged. How-ever, the majority of clients quicklyreport how much better they feelknowing they are not alone, that anobjective, caring person is there toassist in whatever they need helpdealing.

Another Way Inc., has strived toprovide services to the residents ofwestern Kentucky, to provide a re-source for family, friends and otherswho want to help, and become a

presence in this region where peo-ple know they can turn. Through avariety of Crittenden County part-ners, Another Way Inc., has alsobeen able to serve more than 45clients in this county alone who oth-erwise would have had no or verylimited resources due to economicproblems. These partnerships areworking!

Services available through An-other Way Inc., include assess-ments and treatment for issues suchas depression, anxiety, behavioralproblems, stress, family problems,anger management, marital coun-seling and substance abuse. Ther-apy is done individually, withfamilies and in group settings, suchas untensive outpatient treatment.We offer on-site drug and alcoholtesting, as well as DUI assessmentsand services.

We are available to discuss anyquestions or concerns by contactingour office at 965-4300.

(Note: This article was submittedby the staff of Another Way Inc., inMarion.)

Because being healthyisn’t just for the body


PrimariCare, PLLCNurse Practitioners

Ellen Hedges And Wyetha WoodProvide Quality Medical Services To Patients Of All Ages

• Individual Medical Care• Annual Exams, CDL Physicals• Sports / School /Pre-Employment Exams

• Womenʼs Health Care Services• Diabetes Care And Management

• Treatment Of Acute AndChronic Illnesses

• Minor Surgical Procedures• Minor Emergency Treatment• Newborn And Well-Child Exams• Admission And Hospital Care

ELLEN HEDGESARNP, CFNP

WYETHA WOODARNP, CFNP

270-365-0310 • Fax 270-365-048011001111 WWeesstt MMaaiinn •• SSuuiittee BB •• PPrriinncceettoonn,, KKYY 4422444455

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Tumble ExtremeTumble ExtremeAerobic Schedule

Gymnastics classes availble forboys and girls ages 2 and up.

Group and private classes available.COMING IN NOVEMBER

Ladies & Childrenʼs Self-Defense ClassesClasses Are Held At Tumble Extreme, 45 Wilson Drive, Marion, KY

For more information, contact B.J. Minton at 965-5721 or 704-0832

MORNINGS�� Monday - 8:15 - 9:00 a.m. - Step Aerobics�� Tuesday - 8:15 - 9:00 a.m. - Cardio Strengthening�� Thursday - 8:15 - 9:00 a.m. - Step Aerobics�� Friday - 8:15 - 9:00 a.m. - Cardio Strengthening

EVENINGS�� Tuesday - 6:30 - 7:15 p.m. - Step Aerobics�� Wednesday - 6:00 - 6:45 a.m. - Cardio Strengthening�� Thursday - 6:30 - 7:15 p.m. - Step Aerobics

Aerobic Classes Are $3 Each or 12 Classes for $30

Try Another Way

AAnnootthheerr WWaayy IInncc..We all make mistakes, some just morethan others. But when we feel like were

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your feet. That’s where Another WayInc,. comes in. Another Way is a local

therapy and addiction counseling servicethat is here to help. Another Way is lo-cated on 308 S. Main St., in Marion.

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the risk of diabetes. Research indi-cates that weight training can in-crease glucose utilization in the bodyby 23 percent.

Strength training benefits are farmore than just the benefits listedabove. More benefits include fightingdepression, weight loss, aging grace-fully and aiding in recovery, just toname a few.

One question I am ask occasion-ally is, “Will I bulk up if a strength orweight train?”

The answer is, female hormonesare in most cases not capable ofbuilding large muscles. In fact sincemuscles take up less room than fat,women tend to lose inches whenthey strength train. Women are morelikely to tone up from strength train-ing rather than bulk up. Researchshows that women can add up to 30percent lean muscle and end up look-ing thinner, feeling stronger and

being firmer, not to mention beingmuch healthier. Strength training hasbeen overlooked as a viable weightloss method for way too long. Plusstrength training increases your me-tabolism, burning more calories…benefit No. 2.

Another question is “Don’t youthink I am to old to start strengthtraining?”

No, most definitely not. Women intheir 70s and 80s have built signifi-cant strength through strength train-ing. I train several women in their70s, they discuss frequently howmuch better and stronger they feel.Note, however, I highly recommend astrength training professional super-vise older participants.

Strength training will make you astronger, more fit, healthier and ahappier person, so get started today.A little effort will reap big benefits.

(Note: Serena Dickerson is a Cer-tified Personal Trainer and NutritionalSpecialist, as well as a Certified YogaInstructor and Group Fitness Instruc-tor.)

SSTTRREENNGGTTHHContinued from Page 4

health

Q&AQHHooww oofftteenn sshhoouulldd II eeaatt??AMost people benefit more if theyeat five to six smaller meals through-out the day, about two to three hoursapart. Some people can eat three reg-ular meals and one snack every day.The three meals should be about thesame size and should be low in fat.

QWWhhaatt iiss ssoo bbaadd aabboouutt hhiigghh--ffaattffooooddss?? AFood high in fat are usually high incalories, which could lead to un-wanted weight gain.

QWWhhaatt iiss tthhee ddiiffffeerreennccee iinn ffaattss??ASaturated and trans fats may in-crease LDL (or bad) cholesterol andincrease the risk of heart disease.Polyunsaturated and monounsaturatedfats are found in fish, nuts and low- ornonfat dairy products. These are goodfats and can be beneficial to youroverall health.

QWWhhyy ddoo II nnoott kkeeeepp mmyy wweeiigghhtt ooffffaafftteerr II hhaavvee ggoonnee oonn aa ""ffaadd ddiieett??""AFad diets offer short-termchanges, but good health comes fromlong-term effort and commitment. Werefer to this as a positive lifestylechange.

QWWiillll ddiieett ppiillllss hheellpp oorr hhuurrtt mmee lloosseewweeiigghhtt wwiitthh yyoouurr FFuullll BBooddyy FFiittnneesssspprrooggrraamm??A I do not recommend diet pills be-cause taking drugs does not help youto learn how to change eating and ex-ercise habits. Although diet drugs mayhelp you lose weight at first, they usu-ally don't help you keep the weight offand may have damaging side effects.Most diet pills have not been tested bythe FDA, which means you can't besure if the drugs are safe. In my opin-ion, making lasting changes in youreating and exercise habits is the wayto lose weight and keep it off.

QHHooww mmuucchh sshhoouulldd II lloossee aa wweeeekk??AThis all depends on how muchyou have to lose and the effort you putinto the program. Many experts be-lieve you should not try to lose morethan two pounds per week. That is areasonable goal.

QWWiillll iitt bbee hhaarrdd ttoo cchhaannggee mmyy ddiieett??A It might be hard and it may taketime, but try not to get discouraged.Your efforts will be worth it! The key isto keep trying to eat the right foods.There are several ways to help tomake it easier, ask for our help. Acouple of ideas that may help — keep afood diary and make changes slowly.

(Note: Submitted by Serena Dick-erson, a Certified Personal Trainer andNutritional Specialist, as well as a Cer-tified Yoga Instructor and Group Fit-ness Instructor.)

Appointmetns PreferredNew Patients WelcomedInsurance Accepted

H. Gregory Maddox, M.D., F.A.A.F.P.Gary V. James, M.D., F.A.A.F.P.

Amy Ratley, D.O.Alicia Clark, A.R.N.P., C.F.N.P.

Lee Anna Boone, A.R.N.P., C.F.N.P.520 Gum St. • P.O. Box 559 • Marion, KY

270-965-5238Office Hours: Mon. - Fri. 8:30 a.m. - 5:00 p.m.

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Holland Medical Servicesa ROTECH company

We Care About Patient Care252 Sturgis Road, Marion, KY 42064

Toll Free: 1-800-875-2417 • Tel: 270-965-5808 • Fax: 270-965-5809We Strive To Make Everything Easier For You!

Pictured L to R: Shadonn Clark, Greg Pheral, Elizabeth Floyd andWendy Travis. Not pictured: Steve Doran, Sales Representative

SSUUBBMMIITTTTEEDD AARRTTIICCLLEEBreast cancer is a leading cause of

cancer death among women in theUnited States. Early detection suchas screening mammography withimproved therapy has been cred-ited with reducing the numberof breast cancer deaths in theUnited States and othercountries.

Mammography is

currently the primary tool for detectingbreast cancer at an early stage when it ismost curable. As well as regular screen-ing mammography, women should alsobe performing monthly self-breast exami-nations and scheduling annual clinicalbreast exams with their health careproviders.

Some breast cancer risk factors are: � Female age 40 or older;� First-degree relative (mother, sister

or daughter) with history of breast cancerbefore the age of 50 (pre-menopausal);

� Personal history of a benign breastcondition;

� Early Menarche (prior to age 12);� Late menopause (after age 52);� No pregnancies or first pregnancy

after age 30; and� Obesity and a high fat diet may also

contribute to the development of breastcancer.

All females should be taught monthlyself-breast examinations beginning at age20.

A clinical breast exam by a health careprovider is recommended annually on allfemales beginning at age 20. Routinescreening mammograms should begin atage 40 and are recommended on an an-nual basis.

(Note: This article was submitted byCrittenden Health Systems.)

131 Hospital Dr., Salem, KY 42078 • (270) 988-2299

WHERE: LIVINGSTONHOSPITAL& HEALTHCARESERVICES

WHEN: THE ENTIREMONTH OF OCTOBER

Livingston Hospital, in Salem,KY, is offering mammogramsfor a TOTAL fee (hospital &radiologist fee) of $95 thru themonth of October.

Have your physician write anorder for a mammogram, andcall us for an appointment.Call (270) 988-7274.

We urge ALLwomen to take timefor themselves & their health.

Early detection the best foe of breast cancer

TTHHEE AASSSSOOCCIIAATTEEDD PPRREESSSSNEW YORK (AP) — A computer is

as good as a second pair of eyes forhelping a radiologist spot breast can-cer on a mammogram, one of thelargest and most rigorous tests ofcomputer-aided detection found.

Like spell-checkers looking formistakes, the computers flag suspi-cious areas on X-rays for a closerlook by a radiologist. Mammogramsare used to screen women for earlysigns of breast cancer but the testsaren't perfect. In the U.S., the X-raysare read by a single radiologist andcancers are sometimes missed.

Computer-aided detection, orCAD, was developed to help radiolo-gists pick up more cancers. Approveda decade ago, these computer pro-grams are now used for about a thirdof the nation's mammograms. But thevalue and accuracy of the technologyhas continued to be debated.

Now, British researchers are re-porting results from a randomizedstudy of 31,000 women. Mammo-grams in Britain are routinely checkedby two radiologists or technicians.Researchers wanted to know if a sin-gle expert aided by a computer coulddo as well as two pairs of eyes.

They found that computer-aideddetection spotted nearly the samenumber of cancers, 198 out of 227,compared to 199 for the two readers.

In places like the United States,“Where single reading is standardpractice, computer-aided detectionhas the potential to improve cancer-detection rates to the level achievedby double reading,” the researcherssaid. Their findings were publishedonline Wednesday by the New Eng-land Journal of Medicine,

The study was done at three cen-ters in England that do a large numberof routine mammograms. Most of thewomen in the study were assigned tohave their mammograms reviewedtwice — once by a pair of experts anda second time by a single revieweraided by a computer.

“What we demonstrated was thatone reader using CAD could pick upas many cancers as the two readerscould,” said radiologist Fiona J.Gilbert of the University of Aberdeen,lead author of the study.

She said computer-aided detectioncould be used to expand screening byBritain's national health service,which now offers the test every threeyears to women 50 to 70.

The new findings are encouraging,said Dr. Carol H. Lee, a radiologist atMemorial Sloan-Kettering CancerCenter in New York.

“In the United States, it's just notpractical in most practices to do dou-ble readings by physicians,” said Lee,who is head of the American Collegeof Radiology's Breast Imaging Com-mission. “These results are reassur-ing to me that single reading withCAD can achieve that same sensitiv-ity.”

The U.S. government recom-mends mammograms every one ortwo years starting at age 40. Expertssaid there aren't enough radiologiststo give mammograms two readings,and insurers don't pay for a secondlook. Medicare does pay an additional$15 for computer-aided detection.

That extra money helped spur theadoption of the computer checks,said Dr. Ferris M. Hall, a radiologist atBoston's Beth Israel Deaconess Med-ical Center.

Computers help docs spotbreast cancer on X-rays



Dr. Steve Crider913 B S. Main St., Marion, KY

270.965.2273

- Family Dentistry- Teeth Whitening- LumineersDDDDrrrr.... SSSStttteeeevvvveeee CCCCrrrr iiiiddddeeeerrrr,,,, JJJJeeeessssssss iiiiccccaaaa TTTT iiiinnnnsssslllleeeeyyyy,,,,

CCCCaaaaggggnnnneeeeyyyy OOOOrrrr rrrr aaaannnndddd DDDDeeeebbbbbbbbiiiieeee CCCCrrrr iiiiddddeeeerrrrDr. Steve Crider earned his bachelorʼs degree from Murray State

University in 1975, and went on to graduate from the Louisville School of dentistry in 1979. He is a member of the American dentistry Association,

West Central Dental Society, Kentucky dentistry Association and is chairman of the Crittenden County Board of Health.

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HHHHSS RREELLEEAASSEEAn improved and more accessible

version of healthfinder.gov, a federalWeb site designed to help people stayhealthy, was launched last month bythe U.S. Department of Health andHuman Services (HHS).

Its new design and interactivehealth management tools make infor-mation resources more accessibleand easier to use for consumers andprofessionals.

“Many Americans struggle withcomplex health information Websites. Healthfinder.gov makes impor-tant prevention information more ac-cessible for all Americans, includingthose with limited time or understand-ing of medical terms,” said HHS As-sistant Secretary for Health JoxelGarcia, M.D. “We are proud to pres-ent healthfinder.gov as another toolfor helping Americans stay healthy.”

Healthfinder.gov’s features in-clude links to over 6,000 governmentand nonprofit health information re-sources on hundreds of health topics.Information is in English and Spanish.The improvements will help users find

what they want on those sites.For instance, Healthfinder.gov’s

Quick Guide to Healthy Living useseveryday language and examples to:

� Tell users how taking smallsteps to improve health can lead tobig benefits;

� Motivate users by showingthem the benefits of incorporatinghealthy behaviors into their lives; and

� Provide tools and encourage-ment, such as personal health calcu-lators, menu planners and recipes,tips for caregivers and printable listsof questions to take to the doctor.

Another new tool offered on thesite is myhealthfinder, which providespersonalized recommendations forage, gender and pregnancy status.

Based on their profiles, users mayreceive anywhere from five to 15 rec-ommendations. For example, two ofthe recommendations a 35-year-oldman would receive include gettingblood pressure and cholesterolchecked. Two of the recommenda-tions a 54-year-old woman would re-ceive include getting tested forcolorectal cancer and talking with her

doctor about taking low-dose aspirinevery day to help lower her risk ofstroke.

This feature was developedthrough a joint effort between HHS’Office of Disease Prevention andHealth Promotion and the Agency forHealthcare Research and Quality(AHRQ). The feature provides evi-dence-based recommendations fromthe AHRQ-sponsored U.S. PreventiveServices Task Force, an independentpanel of experts in prevention and pri-mary care.

“Health professionals have bene-fited from online access to task forcerecommendations for years. Untilnow, consumers have not had thesame advantage,” said AHRQ Direc-tor Carolyn M. Clancy, M.D. “We arepleased to join with ODPHP to offermyhealthfinder as a personalized, evi-dence-based prevention decisionsupport tool.”

The redesign of healthfinder.govwas based on proven clear communi-cation practices. In addition, severalpossible versions of the Web site andthe new prevention content were con-

sumer tested to ensure that the site isuser friendly and that people can findwhat they are looking for. As a result,healthfinder.gov is easy to under-stand and navigate, especially forconsumers with limited health liter-acy.

Since 1997, healthfinder.gov hasbeen recognized as a key resourcefor finding the best government andnonprofit health information on the In-ternet. It has been certified by HON-code, the oldest and the most usedethical and trustworthy code for med-ical and health-related informationavailable on Internet. It has also beenrecognized by the Medical Library As-

sociation as one of the top 10 mostuseful Web sites for consumers.

The healthfinder.gov project is co-ordinated by the Office of DiseasePrevention and Health Promotion andits National Health Information Center,with the participation of a steeringcommittee of representatives fromfederal agencies, including consumerhealth information specialists, librari-ans and others engaged in providingonline consumer health information.

For more, visit healthfinder.govand the Office of Disease Preventionand Health Promotion (ODPHP) andits National Health Information Centerat odphp.osophs.dhhs.gov.

Improved Web site makes health info more accessible

TTHHEE AASSSSOOCCIIAATTEEDD PPRREESSSSLOS ANGELES (AP) — Stroke suf-

ferers can still benefit from clot-bust-ing medicine even if they receive it anhour or so beyond the current three-hour window after symptoms start, animportant new study suggests.

The finding could potentially extendtreatment to thousands more peopleeach year and prevent many frombeing left disabled. However, it doesnot change long-standing advice thatstroke victims seek immediate help ifthey feel sudden numbness or weak-ness in the face, arm or leg.

The study by European doctorsfound that the clot dissolver couldsafely be given up to 4 1/2 hours afterthe start of symptoms. Results werepublished in a recent New EnglandJournal of Medicine.

Stroke is the No. 3 killer in theUnited States and the leading cause ofdisability such as paralysis or speechloss. More than 700,000 Americanssuffer a new or recurrent stroke eachyear and more than 150,000 die. The

most common strokes result from ablood clot blocking an artery supplyingblood to the brain, starving brain cellsof oxygen.

The best treatment is giving pa-tients the drug TPA to break up theclot and open the artery. A large fed-eral study in 1995 showed that itcould save lives when given withinthree hours of the start of a stroke. Be-yond that, studies have shown thedrug can raise the risk of dangerousbleeding in the brain and may not beas effective.

However, only about a third ofstroke victims seek help that fast, andfewer than 5 percent get TPA now.Some doctors have been trying topush the time limit, and the new studyis the largest and most rigorous to testthat approach.

Dr. Lee Schwamm, director ofMassachusetts General Hospital'sacute stroke program, estimated thatnearly 20,000 more patients a yearcould be treated under the time exten-sion.

Study: Extending time ofstroke drug treatment OK


Focusedon YourHealthAt Perry Family Medical wewill treat you and your familywith respect and concern. Ourcaring staff will make it a pointto get to know you and yourhealth history, so you get thepersonalized attention youdeserve. For all of your primarymedical needs come to theprofessionals where the focusis where it belongs - on you!

• Routine Care• Physicals• Chronic Conditions• Vaccinations• Everything For• Your Family’s• Health Care Needs

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Ideally, the muscles that aim each eyeconverge so that both eyes are aimedat the same object, refining depth per-ception.

� Binocular fusion (eye teaming)skills are assessed. These skills arecritical to coordinate and align the eyesprecisely so the brain can fuse the pic-tures it receives from each eye into asingle image.

� Eye trackingskills are tested to de-termine whether thechild can track acrossa page accurately andefficiently while read-ing, and can copy ma-terial quickly andeasily from the chalk-board or another pieceof paper.

� Testingpreschoolers' color vi-sion is important be-cause a large part ofthe early educational process involvesthe use of color identification.

� Eye-hand-body coordination,critical for handwriting, throwing a ballor playing an instrument, and visualperception, used to interpret and un-derstand visual information like form,size, orientation, texture and color per-ception, are important visual functionsthat are reviewed.

� Overall eye or ocular health isdetermined by examining the struc-tures of the eye.

If these vision skills are lacking orthe eyes are not functioning properly, itcan lead to headaches, fatigue andother eyestrain problems. Parentsshould be aware of symptoms thatmay indicate that a child has a visionor visual processing problem. Be sureto tell an optometrist if a child fre-quently:

� Loses his place while reading;� Avoids close work;� Holds reading material closer

than normal;� Tends to rub his or her eyes;� Has headaches;� Turns head to use one eye only;� Makes frequent reversals when

reading or writing;� Uses finger to maintain place

when reading;� Omits or confuses small words

when reading;� Consistently performs below po-

tential.Studies indicate that 60 percent of

children identified as"problem learners" ac-tually suffer from unde-tected vision problems.According to the AOA'sAmerican Eye-Q sur-vey, only 39 percent ofadults understand thatbehavioral problemscan be an indication ofvision problems.

Early detection andtreatment provide thevery best opportunityto treat and correct vi-sion problems to help

children see clearly. The AOA recom-mends that a child's first eye examtake place at six months of age. Un-less problems are detected, the nextexam should be at age three, and thenevery two years once a child beginsschool. Unfortunately, the Eye-Q sur-vey showed that 57 percent of childrendid not receive their first eye exam untilage five or older.

"Good vision doesn't just happen,"Dr. Press said. "A child's brain learnshow to use eyes to see, just like itlearns how to use legs to walk or amouth to form words. The longer a vi-sion problem goes undiagnosed anduntreated, the more a child's brain hasto overcompensate to live with the vi-sion problem, instead of developingand learning normally."

(Note: The American OptometricAssociation represents approximately36,000 doctors of optometry, optome-try students and paraoptometric assis-tants and technicians.)

VVIISSIIOONNContinued from Page 2


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Officials:Shop forcoverageTTHHEE AASSSSOOCCIIAATTEEDD PPRREESSSS

WASHINGTON (AP) — Federalhealth officials encouraged Medicareparticipants on last week to shoparound for their prescription drug cov-erage next year because it could in-clude significant price increases orchanges regarding which drugs theplans will cover.

Overall, the landscape for prescrip-tion drug coverage won't look dramati-cally different next year. The typicalbeneficiary will still have dozens upondozens of plans to choose from, butmost people will see an increase intheir monthly premiums if they staywith the same insurer.

For those enrolled in the 10 mostpopular drug plans, the cost increaseswill range from 8 percent to as muchas 64 percent, according to an analy-sis by Avalere Health, a consultingfirm.

The monthly premium for the mostpopular Medicare Part D plan, theAARP Medicare Rx Preferred Plan, willincrease 15 percent, from $32 to $37.The next most popular plans comefrom Humana Inc. The premium for thestandard Humana plan will go up 60percent, from about $25 to $40, whilethe premium for the enhanced Hu-mana plan will go up from about $23to $38.

Still, the vast majority of partici-pants will have access to prescriptiondrug coverage for the same amount orfor less than they're paying now. Theywill, however, have to do somesearching to find those offerings, saidKerry Weems, acting administrator forthe Centers for Medicare and MedicaidServices.

“The engine behind Part D is choiceand competition,” Weems said.

The nation's 44 million Medicarebeneficiaries can choose a drug planonly, or they can choose to get all oftheir health benefits through aMedicare Advantage plan. The drug-only plans offering standard coveragewill rise from $27 to $32 next year, onaverage. Meanwhile, Medicare Advan-tage plans will rise from $18 to $21 onaverage, CMS officials said. The fed-eral government provides much largersubsidies for the latter option. Also, thepoor are eligible for drug coverage withno monthly premiums.

Medicare participants can beginenrolling in drug coverage for next yearfrom Nov. 15 through Dec. 31.

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