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LeHar- LaBS WWW.LEXARLABS.COM

3221 Summit Square Place. STE 150 Lexington, KY 40509 859-543-2022

SPECIALIZING IN CUSTOM TOXICOLOGY

TESTING SOLUTIONS

Lexar labs offers world class drug con­

firmation and high complexity enzyme

linked immunoassay toxicology screen­

ing for commercial businesses, physi­

cian offices, inpatient treatment

programs. and outpatient recovery

centers throughout Southeastern

United States. We have online order

entry and results to expedite services

with typical processing within 24-48

hours of specimen receipt. We have a

Board Certified Pathologist and

Addiction Medicine specialist on

staff, available for consultation. We

can provide all collection and shipping

material for your convenience.

Please contact us if you would

like us to provide your custom

toxicologic services.

------------------ W W W . LE X I N G T 0 N HE A 1.. T H 2: 4 7 , C 0 M ------------------

Drug & Alcohol Treatment Facility Locations

GEORGETOWN 3107 Cincinnati Road

Georgetown, KV (502) 570-9313

ELIZABETHTOWN 100 Diecks Drive

Elizabethtown, KV (888) 982-1244

MAYFIELD 4747 Old Dublin Road

Mayfield, KV (270) 623-8500

On the Web On Focebook On Twitter In Your lnbox It~ OUt monltlty

neWSie1!ef_ Sign uP 0!'1"'&

Feel Absolutely, Positively Right Before You Buy

At Kentucky Audiology and Tinnitus Services, we believe the only way to know which hearing aid is right for you is to experience the benefits in your day-to-day life.

Let's Keep It Simple 1) Make an appointment for an initial hearing evaluation

2) Take home a state of the art hearing aid today. We allow you to try many different types and price levels with no commitment or deposit required

3) Take your time evaluating which hearing aid suits you best

The Choice is Yours

1517 Nicholasville Road #202 Lex ington, KY 40503

Ann L. Rhoten, Au.D., CCC/ A Doctor of Audiology

http J /kyti n n itustreatm ent.com/

------------------- W W W . t. EX I N G T 0 N H E A l.. T H 2: 4 7 , C 0 M -------------------

llging With Crace llging In Place

Tl)e Hedlth Cub For Seniors

Adult Day Healthcare with • Country Club Atmosphere! Our caring and medically-licensed staff will see to it that your loved one not only enjoys the club atmosphere, but is also in a safe and health promoting envl.ronment.

Just some of our offerings: Spa Treatments I Group Exercise Classes I Transportation Interactive Club Meetings Wonderful Breakfasts & Lunches

8 Lexington Health 24·7 I December 201 5

The Gift of Grace: Caring for the Senior You Love A s the adult children of parents in their 70s,

80s and even 90s, we worry.

Is Dad getting nutritious meals? Does Mom get lonely in that big house by herself? Do they have friends, places to go and activities to make their lives worthwhile? How long will they be able to live on their own or in your home?

You ask them: Are you doing OK? Do you need anything? Despite their answers, you worry. They have done so much for you, now you want to take care of them. But how do you do that, every day, on your own?

It 's difficult to know where to start and you know you cannot do it alone. You do not have to.

Aging with Grace is not a nursing home and it's more than adult day care. It is a medically-supervised social club where seniors gather daily to share stories, nutritious meals, common interests, and activities. It's a place where they can exercise, have a massage, get their hair and nails done, participate in activities and enjoy the company of people their own age for the day, as often as they like.

Aging with Grace was born out of the experience of local resident DG Gridley, who found herself caring for elderly parents with few to no resources. She wondered ... could a new model of senior services and care provide not only the medical needs of our seniors but also their social and spiritual needs? Could we help them "age in place" at home while providing a sense of purpose and belonging?

After her father-in-law and mother passed, Gridley devoted herself to making Aging with Grace a reality. The facility, located in the Hamburg neighborhood of Lexington, provides a place where seniors can gather daily, participate in group activities and clubs, be entertained, spend time reading and reflecting, exercise, enjoy nutritious meals, all while improving mental sharpness.

"One of the major factors for cognitive decline -dementia - is lack of socialization and mental activity;' Gridley notes. "Watching TV all day does not meet either of these needs and may actually hasten mental decline, she said;' The Washington Post recently reported on a study in california that linked watching four hours or more of TV a day to Alzheimer's disease. A sedentary lifestyle, loneliness and social isolation also seem to hasten mental decline, Gridley noted.

"So if you want Mom and Dad to have the healthi· est possible golden age, it's important that you help them get out there, get active and get involved;' she said.

One way to do this is through Aging with Grace.

"We help seniors live the fullest lives possible. We help their adult children feel comfortable and confi­dent that mom and dad are well cared for, happy and able to live independently for as long as possible, perhaps for the entirety of their lives:'

The facility holds Christian values and principles close to heart. The Golden Rule guides all they do, and pleasing God is an important part of the business. "If you truly love and want to please God, you will treat

older people as you would like to be treated. If an

older person in your life is not doing well, but thinks they are, what would you want someone to do if it were you?" Gridley asked.

It is not always easy to do the right thing for aging parents. Aging with Grace makes it easier. "We can help you make sure aging relative are well cared for,

happy, productive and engaged in life;' Gridley said. "And isn't that really all that anyone wants, regard· less of their age?"

Not only does time spent at Aging with Grace benefit the participant, but it allows the caregiver some much-needed time to devote to life's other responsi­

bilities. Sometimes you both need a "day off" or a break from the routine, and that 's OK! Give yourself

the gift of peace of mind while your senior loved-one enjoys the gift of happiness and good health.

Aging with Grace strives to make care affordable and in some cases, services may be covered by private insurance. Give them a call at (8S9) 539·2147 to

learn more.

Aging with Grace is conveniently located at the corner of Liberty and New Circle Roads. Hours are

7:30a.m. to 6 p.m. Monday through Friday and noon to 6 p.m. on Saturdays.

Follow Aging With Grace on Facebook at facebook.com/Aging·With-Grace and on Twitter @AgingWithGrace and visit their website at

AgingWithGracelnfo.org.

(859) 539-2147 AgingWithGracelnfo.org

--------------------- W W W . 1.. E X I N G T 0 N H E A 1.. T H 2: 4 7 , C 0 M ---------------------

AESTHETIC MEDICINE Botox • Oysport • Fillers • Laser • Spa and Skin Care

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LIFESTYLE MEDICINE • Bioidentical Hormone Replenishment

• Testosterone Replacement

• Optimal Aging Program

• Weight Loss and Wellness

• Hydration and Vitamin Infusions

• Health and Life Coaching

• Fitness and Nutrition

• Supplements and Nutraceuticals

• Virtual Medicine

OUR TEAM • Or. John Mullins, M.D.

• Or. James Foster, M.D.

• Or. Kristin Jones, M.D.

• Or. Tammy Nguyen don, M.D.

RSVP today for our 11Marshall Moments 11

Every Tuesday at 9am Coffee and Conversations to learn what we can do for you!

2251 War Admiral Way Lexington, KY 40509

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-Medicine

------------------ W W W . 1.. EX I N G T 0 N HE A 1.. T H 2: 4 7, C 0 M ------------------

10 Lexington Health 24·7 I December 201 5

Big Changes for Kentucky's Health Insurance

T he Kentucky Health CO·OP folded, leaving 51,000 members to find new insurance plans. On top of that, many insurance carriers

increased their rates for 2016. It can be a tough situation trying to determine your best insurance choice.

The good news is that open enrollment for health insurance is happening now. You have between now and January 31st to enroll in a plan and have health insurance effective for 2016.

Several companies are offering plans this year with hundreds of options to choose from, and finding the best plan for your situation can feel overwhelming. Most people don't understand all of t heir options or know the best ways to get customized coverage at a more affordable price. With the election of Matt Bevin as the next governor, Kentucky's health insurance future has lots of questions looming with his proposed intention to move Kentucky to healthcare.gov and dismantle Kynect.

With all of t hese changes, t his is where a licensed insurance agent who represents a wide variety of carriers and plans is beneficial. As an independent agent, they are not tied to one company. Not only do they shop all of the companies on your behalf to get you the best insurance within your budget, they will also walk you through all plan aspects and make sure you don't miss out on opportunities available to you.

A licensed agent can help you: • Determine if you qualify for a tax

subsidy to reduce insurance costs. • Reduce your costs by choosing a lower

premium plan and adding supplemental

policies to customize your insurance to your specific needs. It's amazing how much money can be saved this way.

• Realize all of your options. Even if your employer provides insurance, you are not required to use their plan. And if you like your employer plan but w ish it did more, an agent can help you fill in the gaps of your employer's plan.

Dates you need to be aware of: • December 15: The last day to

have your plan be effective on January 1.

• January 15: The last day to have your plan be

effective on February 1· • January 31: The last day to have your

plan be effective on March 1·

If you miss these dates, the penalties for 2016 have dramatically increased. Don't let t hat happen! Make sure to enroll soon in a plan that fits your budget and provides the protection you need.

--------------------- W W W . 1.. E X I N G T 0 N H E A 1.. T H 2: 4 7 . C 0 M ---------------------

CORNERSTONE Securing Your Future

--------------------- W W W . LE X I N G T 0 N H E A L TH 2: 4 7 . C 0 M ---------------------

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December 2015 lexington Health 24· 7 13

MISOPHONIA, SMALL SOUNDS CAUSI G BIG PROBLEMS

(9cs59> 554·5384

By Holly Brady, Office Manager.

M aybe you've heard about Kelly Ripa from Live I with Kelly and Michael and

her aversion to soft sounds. Ms. Ripa reports having always been troubled by chewing sounds and diagnosed herself as having misophonia

(or Soft Sound Sensitivity Syndrome). She announced on her show in 2011 that

she has carefully taught her children to eat quietly (with mouti'IS closed) and she

must leave the house if her husband chooses to eat a 'juicy peach'. That doesn't sound too unreasonable. Or, does it?

The term misophonia means hatred of sound and was coined by Drs. Margaret and Pawel Jastreboff. The condition can make every day sounds, which go unno­

ticed by most people, unbearable. The trigger sounds are typically soft noises

related to the body that cause the sufferer to react. Most of us have certain sounds that annoy us such as a neighbor's dog barking, finger nails on a chalk

board or a music genre that isn't our favorite. However what distinguishes miso­

phonia from mild annoyance is the reaction to the trigger sound. The response is immediate and intense like a reflex. The list of sounds which can elicit the

response is long and varied and includes, but is not limited to: mouth sounds

(chewing, crunching, popping, spitting), breathing sounds (snoring, hiccups, nasal whistling), vocalizing ('oohs', 'aahs', singing, whistling, laughing), and even envi·

ronmental sounds (clicking keyboards, papers rustling, ticking clocks, fingers tapping). When the misophonia sufferer hears a trigger sound the typical

response is anger, crying, acting out, mimicry, and/or fleeing the situation. The

person who has misophonia is reacting to these soft sounds as if they were dan­gerous and scary. The reaction to the sound is similar to that of a burglar

breaking into our home or a wild animal was chasing us in the woods.

M isophonia typically presents in patients around the age of 10·12 and begins

with the people closest to them such as family members. It is perplexing not only

because it seems to develop suddenly with very violent outbursts but because the sounds that are triggers are not typically noticed by others. The misophonia

sufferer is often labeled as over sensitive while family members try to desensitize

the person by exposing them to the trigger sounds. Not only is this approach not helpful, it can exacerbate the problem by strengthening the reaction. When

medical professionals are consulted, the misophonic Is often advised to wear

earplugs during meal times. Unfortunately, while earplugs may be helpful at first, over lime they make the auditory system even more sensitive to sound again exacerbating the issues.

Dr. Ann Rhoten Au. D., CCC/A is an independent audi­ologist in lexington. If you know someone suffering with soft sound sensitivity, assure them there is help. With nearly three decades of experience, Dr. Rhoten offers the knowledge and the professional service each patient needs.

But there are strategies the patient can take on their own such as taking a

deep breath, explaining to others about the sounds that trigger them, leaving

the room/situation and contact a professional who specializes in the treat­ment and management of sound sensitivity issues. The good news is there is

help right here in Lexington. At Kentucky Audiology and Tinnitus Services, Dr.

Ann Rhoten uses Tinnitus Retraining Therapy (TRT) to help sufferers manage misophonia. TRT has two components: counseling/education and sound

therapy. The counseling/education component teaches the misophonia

sufferer and the family about the auditory system and the other brain struc­tures responsible for the strong reaction to the trigger sounds. This de mysti­

fies the reaction and actually normalizes it. In addition to education, TRT

advocates the use of sound therapy. Sound therapy has several goals and benefits. The first and foremost is to reduce both the perception and reaction

to the trigger sounds. The most effective type of noise to use for sound

therapy is soft steady-state noises such as the wind, rain, and motor noises delivered by either an 1-pod or ear-level device which looks like a small hearing

aid. Although, using sound therapy does not cure the condition, i t does allow the sufferer to participate in activities that were previously avoided.

--------------------- W W W . L EX IN G T 0 N HEALTH 2. 4 1 . C 0 M ---------------------

14 Lexington Health 24·7 I November 2015

Learning About Your Healthcare Benefits Can Save You Cashl Switch on the evening news on just about any given day and you will see a

story about how Americans" wages have stagnated, even in the face of

declining unemployment figures and stable inflation. Social Security

recipients will not be getting an increase in 2016. but you can bet there is

one thing that will be going up:

The amount you will pay for heaithcare.

Whether it is in the form of higher premium costs, higher deductibles and

co-insurance or the cost of the visit, test, procedure or hospitalization

itself it will cost more.

It seems sometimes there is very little one can do personally to combat

these increases. But Teresa Cole, financial manager at lexington Outpa­

tient Diagnostic Center and Open M RI, has some ideas on how you can

take steps right now to control your healthcare costs. With 20 years of

experience in healthcare billing, she is someone to listen to.

#1. Get Testing, Procedures Done Now

If your physician ordered tests or procedures for you earlier this year and

you have been putting It off, now may be the perfect time to move

forward. "By this time of year, most people have met their deductible

and some have achieved their out-of-pocket cap," Cole said. •For people

in this situation. the amount they' re responsible for could be nothing, or

dose to it .•

If you have just completed Open Enrollment at your employer, then you

should have an idea about changes to your plan for 2016. Changing what's

covered, at what level, is one way employers and insurance companies are

working to rein in costs. You may pay more for a CT scan in January than

you would now simply because of insurance changes.

Hospitals often update their fee schedule - called a charge master -

around the flrst of the year, too.

-L E X I N G T O N

DIAGNOSTIC CENTER

#2. Shop Around

Patients have the right to have outpatient testing and procedures done

wherever they like. Often, they just "go with the flow" and have it done at

the hospital where their doctor is. That decision can end up costing

hundreds, even thousands of dollars, Cole said.

"Obviously there is a d ifference between an organization like Lexington

Diagnostic- where the only thing we do is imaging-and a hospital," Cole

said. Hospitals carry a lot of overhead - inpatient beds, surgical suites,

emergency rooms and so on. *They need to have a higher fee schedule to

cover their COstS." Cole said. Lexington Diagnostic does not have those

expen.ses to pass along to its patients.

For example, Cole shared the story of a family member who recently had

a chest x·ray at one of the local hospitals. "The bill was $600 just for the

hospital part. That did not include the radiologist' s fee for reading the

exam," she said. "The same test at lexington Diagnostic Center would

have cost $50. Total."

#3. If You Have an FSA, Use It Up

"Flexible Spending Accounts are a great way to plan for and pay your

healthcare costs," she said, "but only if you use all of the money you put

into the FSA. If you don't use the funds you set aside, they don't roll over.•

Every FSA is different, but in general you will need to have your testing or

procedure performed by Dec. 31, 2015, to use the FSA funds from 2015.

Some plans provide a grace period, but be sure to ask. "Know the rules so

you can take advantage of the money you've set aside:' Cole said.

The mission of Lexington Diagnostic Center & Open MRI/s to provide high quality compassionate medical imaging services at fair prices for all patients throughout the commonwealth.

- -------------------- WWW . LE XI NGTON HEA L TH 2 4 7 . C OM

Another poont of confusion with FSAs is around service and btl ling dates. "A

lot of people think that the time the bill is processed or received is what

matters when ot comes to using the FSA funds; Cole said. The only dates

that are important are the date of service and the deadline for submitting

claims, she noted.

t4. Ask About Dlscounu

At lexington Diagnostic Center and Open MRI, self-pay patients receive a

substantial discount off the Center's already low costs. "When you

compare what we charge to what others charge, and then apply the

discount, you really begin to see a significant savings; Cole noted.

Another option Is to ask about payment arrangements. "It doesn't hurt to

ask and if there is a way to make it work, we certainly will try; Cole said.

Lexington Diagnostic also accepts major credit cards, such as Visa, Master­

Card, American Express and Discover. From time to time, those companies

have no-interest promotions that could really help.

ts. Understand Your Insurance Benefits

Many people do not know or understand their health Insurance benefits,

Cole said, which can lead to some really big - and unpleasant - surprises.

"People need to take control of their benefits and understand what's

covered, what's not, and what they are responsible for."

"A huge misconception is that if they have insurance, it's going to pay for

everything; Cole said. "In most cases it is not." Patients at lexington Diag­

nostic Center always know what they are going to have to pay- upfront -

without any uncertainty or doubt.

"Our financial team is here to help patients. We collect their insurance

information up front, contact the insurer to determine what their benefit

is, and then let the patient know how much they are going to be respon­

sible for." There are no surprises, no mystery bills three months later. It

gives patients peace of mind and the ability to really budget.

lexington Diagnostic Center Is an "in network" provider for nearly all of the major insurance plans serving the Lexington area, Including:

• Anthem

• Humana

• Bluegrass Family Health

• Traditional Medicare

• United Health Care

• Cigna

• All Kentucky Medicaid managed care plans

• Worker's Compensation

December 2015 I lexington Health 24·7 15

Tetesa Colft, Flnanchll Manager, LexJngton Diagnostic Center and Open MRI

In addition, Cole said, Lexington Diagnostic accepts insurance claims associ­

ated with motor vehicle accidents.

Finally, Cole said, It Is Important to understand that hospitals are not the

only places you can receive high-quality, state-of-the-art care. lexington

Diagnostic Center and Open MRI provides the most advanced Imaging

services available, in a comfortable, convenient location. Studies are read

by board- certified, fellowship-trained radiologists who live, work and are

active participants in the lexington community. They care about their

patients, their city, and its residents.

Wishing you a happy and healthy Holiday Season from Lexington Diagnostic Center

& OpenMRI

859-278-SCAN (7226) www.LexlngtonDiagnostlc.com

1725 Harrodsburg Rood. Suite 100. lexington. KY 40504

--------------------- W W W . LE X IN G T 0 N HEA L TH 2. 4 1. C 0 M ---------------------

16 Lexington Heofth 24·7 1 December 201 5

Do 't ccept the Limits of Aging ... Fight Back with Marshall Lifestyle Medicine

M arshall lifestyle Medicine is a brand new way of thinking about medicine. Our focus is on helping you become your very best self. We know success is not an accident - it is 100 percent by design. At

Marshall Lifestyle Medicine, we can help you achieve your health and fitness goals, by design.

From our brand-new facility on War Admiral Way, to our comprehensive team of physicians, coaches and health concierge, we offer the tools, knowledge and power to achieve Optimal Aging.

What is Optimal Aging? It's true that we all grow older every single day. But that doesn't mean we have to accept declines in stamina, endurance, performance and mental acuity as part of the process! At Marshall Lifestyle Medicine, we know aging is nothing more than the accumulation of damage to the cells, tissues and organs of the body that occurs over time. Its damage that can be slowed, suspended or even reversed!

This can be achieved through a comprehensive plan that uses a wide array of tools and strategies. One of the most important of these Is achieving hormonal balance.

Hormones are secreted by glands throughout the body and serve as the chemical messengers of the brain. This system- called the endocrine system- is an extremely complex one that starts, stops and regulates an array of bodily func­tions, including: fright-or-flight (adrenaline); stress (cortisol); body temperature (thyroid simulating hormone); sleep and wake cycles (melatonin, prolactin, and TSH among others); blood pressure (angiotensin II); growth (human growth hormone); metabolism (thyroxine and triiodothyronine; sexual desire and reprcr duction (estrogen, progesterone, testosterone).

As we age, the production of some hormones slows or ceases, leading to changes in the way our bodies look, function and feel as well as the way we think and interact with others. In men, this leads to a state known as andropause and which is linked to reduced testosterone production. In women, reduced production of estrogen leads to menopause.

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • 9_

---------------------------~ MARSHALL LIFESTYLE MEDICINE

GRAND OPENING SPECIALS: To celebrate our new office, we're t reating you!

• $50 off your firsttreatment

• Purchase $100 in gift cards and receive another $20 gift card free

2251 War Admiral Way Lexington, KY 40509 • OR 20% off weight loss and

(859) 287-2515 well ness program

- .marshallllfestylemedicina.com Expires 1/31/2016

------------------------------

FOR MEN ONLY - ANDROPAUSE SIGNS

Men, you may be surprised to learn that your testosterone levels start to decline in your 30s! Have you experienced any of the following? If so, you may already be feeling the effects of low T.

• FATIGUED, FEELING BURNED OUT • DECREASED MENTAL SHARPNESS • FEELING NERVOUS, ANXIOUS, OR STRESSED OUT • DECREASED STAMINA • DECREASED FLEXIBILITY • PUFFY EYES • WEAKNESS, DECREASED MUSCLE MASS • INCREASED FAT, WEIGHT GAIN • DECREASED SEXUAL DESIRE, WEAK OR FEWER

ERECTIONS • THINNING SKIN • DIFFICULTY SLEEPING • RAPID AGING • ISSUES WITH RELATIONSHIPS

At Marshall Lifestyle Medicine, we take a comprehensive approach to hormone replenishment and balance, using the highest-quality bioidentical hormones available, combined with advanced nutrition and exercise programs; proprietary coaching techniques; vitamins; nutrients; hydration; and other lifestyle products and processes. Our program is physician-guided, unique, innovative, scientific, efficient, personalized, ridiculously easy and, best of all, proven to work.

FOR WOMEN ONLY- MENOPAUSE SIGNS

Wom en, you may be shocked to learn that peri m enopause can start as early as your 30s! The following signs may indicate periomenopausefmenopause.

• HOT FLASHES • MOOD SWINGS, DEPRESSION, ANXIETY • INSOMNIA • VAGINAL DRYNESS • DECREASED LIBIDO • FATIGUE • THNNING Of SKIN • MENSTRUAL CHANGES (REDUCED FLOW, ABSENCE) • RELATIONSHIP ISSUES • INSOMNIA • VAGINAl. DRYNESS • INCREASW FAT, WEIGHT GAIN • DECRI\ASED MUSCLE MASS • MENTAL FOG • COLD INSt.;NSITIVITY L_ __

-------------------- W W W . LE X IN G T 0 N HEA L T H 2. 4 1. C 0 M --------------------

Our approach addresses many age-related problems that cause undesirable to physical, mental and emotional changes, includ ing adrenal fatigue, low T, meno­pause, sleep and mood d isorders, weight gain, irritability, energy loss, malaise, and loss of muscle mass.

We custom design each client's program to address the body's particular needs based on the results of comprehensive laboratory testing and body composition analysis to achieve optimal outcomes. Achieving hormonal balance is just one part of the Optimal Aging program. We also provide:

• Advanced nutrition support and guidance

• Hydration and vitamin infusions

• Customized fitness regimens

• Personalized coaching

• A 24/7 care team model

• Pharmacy-grade supplements and naturaceuticals

December 2015 Lexington Health 24· 7 17 We provide a virtual care and communication platform that allows you to maintain contact with Marshall Lifestyle Medicine no matter where your new, adventurous life takes you I

Other services available to you through Marshall Lifestyle Medicine include:

• Cosmetic/plastic surgery

• Advanced aesthetics

• Engaged wellness programs

• Physician-supervised medical weight loss

• IV hydration therapy

• Vitamin infusions

• Lifestyle coaching

At Marshall Lifestyle Medicine, we help you feel your best, maintain your edge and maximize your l ife, regardless of your age. It's time to get going again. Give us a call at {859) 287-2515. Accept nothing less I

Marshall L1festy le Med1cine

$ 2 0 G I F T C A R p: ,: Marsho lllifestyleMedic ine.com 11 ~

Marshall Lifestyle Medici n e,H 2251 WAR ADM IRA L WAY, LEXINGTON, KY I (859} 287· 2515

John Mullins, M.D. James Foster, M.D. Kristin Jones M.D. Tammy Nguyendon, M.D.

--------------------- WWW .t.E X I N G TON H E A L T H 2: 4 7 . CO M

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---------WWW .t.EX I NGT0NHEA L TH 2: 47 .C0 M ---------

December 201 S I Lexington Health 24· 7 19

LeHal'"" LaBS

Revolutionary Diagnostic Screening Services

L exar Labs is a national full service clinical reference laboratory which

offers specialized diagnostic screening and personalized service options allowing healthcare providers to personalize patient treatment plans, aximize patient quality of care, and reduce the overall cost of treatment.

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

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

Lexar Labs is fully certified by CLIA, CAP, and state proficiency programs, to ensure the highest quality standards, accuracy, and regulatory requirements are met.

Please contact us at 859-543-2022 for more information.

---------------- W W W . 1.. E X IN G T 0 N H E A 1.. T H 2: 4 7 , C 0 M ----------------

20 Lexington Health 24·7 I December 2015

Family Support is Important for Addicts, Especially During the Holidays

T he holidays usually evoke images of family bliss: - Uncle Joe carving up a big turkey for a traditional family

dinner, Aunt Mary bestowing her wonderful gifts, Grandma sharing cherished stories with the children.

The reality is that this dreamy scene usually is nothing more than that-a dream. For many families, the holidays can be a time of great anguish, strife, and overindulgent behavior that is later regretted. This stress can be par­ticularly severe for families of active sub­stance abusers or recovering addicts. For these families, the thought of managing sub­stance abuse issues while maintaining peace and unity can be overwhelming- and mishan­dling these issues can lead to further estrange­ment from the addict or a relapse for the recovering person.

Managing Expectations One of the most important steps families with substance abuse issues can take is to explore their expectations for the holidays. Far too often, families have expectations that don't reflect reality but instead are rooted in Norman Rockwell paintings or holiday movies such as White Christmas.

Holding onto expectations of perfection­such as that an addicted family member will be magically "cured" over the holidays­can be a recipe for disaster. That's because the inability of a family member to meet these expectations can lead to even more frustration, stress, and despair among his or her relatives.

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Is Intervention a good Idea or not7 Another tricky issue is whether the holidays are a bad time for a family intervention or whether it is the perfect opportunity. Mooney believes the holidays can be a good time for a family to confront an addict because the holidays often are one of the only times of the year when family members are together in the same place.

It's a great way to get somebody's attention when his or her family is willing to do this during the holidays.

When family members see a loved one strug­gling with addiction right in front of them during the holidays, it may be tempting to jump in and intervene. But any successful interven­tion must be planned, no matter when it is carried out.

Intervention is an art because you need to know who the key players are, which family member can move things along, which family member may sabotage things," she says. "An interven­tion that is not planned sets you up for failure, which can be seen as one more black mark for the family or for the individual.

Supporting the Recovering Addict It is natural for a family to be concerned that a loved one recovering from an addiction may relapse over the holidays. The family's approach to relapse prevention must be balanced~ne that takes the threat of relapse seriously without stifling the recovering person's ability to enjoy the season.

Relapse prevention should begin before the holidays. Families should sit down with their recovering members and ask them what can be done to make them feel comfortable during the holidays, what challenges they foresee, and whether there is anything that may trigger cravings for drugs or alcohol. It also is helpful for a family to discuss these issues with a recovering addict's sponsor and attend Alcoholics Anonymous (AA) or Nar­cotics Anonymous (NA) meetings to connect with other families.

Although families may be tempted to ban alcohol outright from their celebrations, this is not necessarily the best approach. You have to be able to respect the needs of the person in recovery, but that doesn't mean you need to take all of the alcohol out of the house. Walking around on eggshells wanting to make things perfect for them just creates a lot of tension.

1 ~Recovery

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Mayfield, KY (270) 623-8500

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Call us TODAY 502-570-9313 www.recoveryworksky.com

December 2015 I Lexington Health 24· 7 21

Families should realize that not all of the members may be happy with the presence of the recovering person. For example, family members who were treated badly by the indi­vidual while he or she was using may angrily air grievances that have been bottled up for years. And some family members may resist the recovering person because that person's sobriety exposes the addiction of other family members.

If a loved one does relapse, the family needs to confront it and take action. Among the steps that can be taken are contacting the person's sponsor, taking him or her to AA or NA meetings, and offering to take the person to a treatment facility.

The key is to take the relapse seriously without overreacting so much that it causes the user to feel crushing guilt or shame.

Learning to Let Go No matter what types of addiction-related chal­lenges families face during the holidays, they won't be well equipped physically or emotion­ally to handle these challenges unless they find time for self -care. Some good self-care strate­gies include getting adequate sleep, eating a well-balanced and nutritious variety of food, engaging in regular exercise, and taking time for quiet restoration.

Family members must realize they can do only so much to bring an addict into treat­ment or help keep a recovering addict clean and sober. That can be especially difficult to accept when a family has seen a loved one recover and relapse over and over again.

It may be extremely difficult, but families must come to peace with the idea that an addicted family member often needs to reach a personal low to fmally make a change and accept recovery.

Facnilies of active substance abusers and people in recovery may need extra support managing festive but stressful holiday celebrations. If you have any questions or would like some sound advice on how to handle potential problems that may arise call Recovery Works today.

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22 Lexington Heolth Z-4·7 1 December 201 5

WHAT DO YOU GIVE THE PERSON WHO HAS IT ALL?~~-By Dr. Nicole Freels, FACFAOM

H ow about pampered feet? As we all know, when your feet hurt, your entire body hurts. Conversely, when your feet feel pampered and well cared for, you feel good all over. The gift of a pedissage, pedicure or

other specialized service is a perfect way to show you care.

Doesn't it just give you a warm sensation right now thinking of a luxurious pedicure at Lexington Podiatry? Yes, that's right, we're a podiatry practice that does pedicures I But a pedicure at Lexington Podiatry is d ifferent than any you are likely to experience at a nail salon. Here's how:

1. We adhere to the highest standards of sanitation. After all, Lexington Podiatry is a medical practice. Our soak basins are one-use, disposable. We don't use the bacteria-laden "whirlpool" type water baths. Rather, our footbaths are a combi­nation of warmth and vibration that feel great without the potential for cross contamination associated with recirculating water pumps. No need to worry about giving a fungal infection for Christmas I

2. Did I mention that all of the instruments are sterilized between clients to hospi tal standards? Because they are!

3. Our PEDSpa is private, comfortable, luxurious, and even serene. You won' t be lined up on display with five other ladies getting a pedicure at the same time. No interruptions, no annoying conversations taking place two chairs down. When you get a pedicure at Lexington Podiatry, you get individual attention in your own suite.

4. Talk about pampering ... how about a complimentary glass of champagne, a mimosa, soft drink, tea or coffee while we take care of your feet? Could a pedicure get any better?

5. Our polishes contain anti-fungal agents so you never have to worry about catching something from the last person who had her nails painted M idnight Red .

2700 Old Rosebud Road, Suite 110 • www.lexpodiatry.com • (859) 264 1141

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6. Our licensed master cosmetologist is also my medical assistant. She works with me every day and shares my high standards for our patients and clients. And because she works w ith me in the clinical practice, she is knowledgeable about foot anatomy, common problems and other health issues that need follow up. If she spots something, I know about it .

7. Speaking of high standards- because our stan­dards are so high, ours is the one place that people with chronic conditions such as diabetes, neurological disorders, circulation problems, as well as those being treated for cancer can enjoy a pedicure w ithout worry. If you have a family member or friend you'd like to treat - we'll give them a very good, safe and enjoyable experience!

We offer both 30-minute Express packages and 60· minute Signature packages. Whichever you choose, you or your recipient w ill be the sole focus of our attention. Every package includes our unique pedi· ssage - a relaxing massage of the feet, ankles and calves that increases circulation, reduces tension, and just helps you feel good all over!

Want to make it extra special? You can customize your INSTANT spa gift certificate. Choose from many different holiday styles and the value or the service(s). If you don't know which service your recipient would like best, opt for a monetary amount. They can use it l ike cash on anything from PEDspa services to sl ippers to nail polish to pedissage when they redeem their certificate! Our INSTANT gift cards can be purchased onl ine or from your phone and sent directly to the recipient or you can print the gift card and wrap it up so you can present it yourself!

NEW YOU SPECIAL 2016 After the hustle and bustle of the holidays,

wouldn't a PEDSPA experience be a great YOU gift? Schedule any 60 minute PEDspa service for January

or February and receive your choice of: 10 minute aromatherapy lower leg scrub add-on

OR 10 minute hot stone pedissage treatment add-on

FREE Mention Promo Code: Health24/7

(859) 264 ·1141

Enjoy a complimentary glass of CHAMPAGNE, MIMOSA or choice of hot tea, coffee or soda during

your appointment.

• •

Giving the gift of pampered feet couldn't be any easier. Just visit our website at lexingtonkypodiatry.com/ pedspa/ to purchase gift cards and see all our services. If you want to get more bang for your buck, follow us on Facebook- we will be posting flash sales and discounted gift card deals through­out December!

SHOPPING TRIPS Black Friday may have passed already, but we at Lex· ington Podiatry know your shopping isn't done! Here are some tips to keep your feet happy and healthy while you're wrapping up the Christmas season:

1. Wear shoes w ith enough room in the toe box. Forget the pointy-toe ballet flats or heels. If you're on your feet, you need support!

2. Battle long lines, heel pain and foot fatigue by wearing custom or semi-custom orthotics. (If you don't already have them, contact the office!)

3. Watch out I There will be people hustling for the best deals and you could get tripped up if you're not aware of your surround ings.

December 2015 Lexington Health 24· 7 23

4. Never underestimate the power of moisture­wicking socks - remember, fungus loves a moist

dark environment. We suggest Or. Comfort or

Aetrex brands

5. Relax when you're done! Soak those tired feet

in a shallow tub of warm water and Epsom salts.

6. Sick of retail shops w ith long lines and huge

crowds? Check out our online deals! You can purchase PEOspa gift cards instantly. Treat your

feet!

For more information about products available in

our office, or to schedule an appointment, please call the office at (859) 264-1141. We are conve­

niently located at 2700 Old Rosebud Road, Suite

110, in Lexington.

2700 Old Rosebud Road, Suite 110 • www.lexpodiatry.com • (859) 264 1141

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24 Lexington Health 24·7 I December 2015

Orangetheory Fitness Puts Metabolic Science to Work

N icholas DeMichele was 306 pounds when he joined Orangetheory Fitness in September. By November, he had lost SO pounds, won

$2,500 in a weight loss challenge, and was well on his way to having the energy, stamina and endurance he had always wanted.

All because Orangetheory Fitness is different. Way dif­ferent.

An Orangetheory workout drives excess post-exercise oxygen consumption, or EPOC. EPOC is an "afterburn" period that can last up to 36 hours in which the metabolism functions at a higher level, burning more calories than normal.

Orangetheory workouts are designed to produce this state, with intervals of about 12 to 20 minutes in the orange/red zone, said Ashley Jones, an Orangetheory trainer. In the orange zone, participants are working at about 84 percent of their maximum heart rate.

Participants wear a heart rate monitor throughout the class, which tracks their performance and displays i t on large TV monitors they can see during the workout. "You can actually see how you're doing, how much time you've spent in the orange zone, and how many calories you're burning," Nick said. After each class, members receive an e-mail summary of their workout that provides data including how many calories they burned and how much time they spent in each zone. Orangetheory Fitness has their own app that includes several functions for members to use inside or outside the studio. Members can track their progress and set personal goals as well as set up challenges for themselves.

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For Nick the heart rate monitoring was helpful. "Seeing the statistics really motivates you because you know what you are achieving as you are doing it ." Seeing the physical results - pants that were getting too big and acknowledgement from friends and co-workers- helped, too.

There is no gym intimidation at Orangetheory, Nick noted, because classmates are too busy trying to achieve their own targets. "There is no intimida­tion, you never feel like you don't belong," Nick said. "Everyone is focused on their own statistics and achieving that Orange Zone."

Workouts are tailored to each individual's needs and abilities. "At the beginning of each class, the t rainer asks you if you have any injuries or issues that need to be accommodated:' Nick said. "Then they work with you to make sure you get a good workout while making allowances for any problems you might have."

During week five of the six-week challenge, Nick had surgery. The trainers worked w ith him to ensure he could participate safely. As a result, he was able to get three workouts in that week ... something that probably would not have occurred at another facility.

The trainers - Hannah, Ashley, Tyler and Brooke- played a major role In Nick's success. "They notice if we are working hard and give us great feedback and motivation before, during and after workouts," he said. Nick was on Ash ley's team during the Challenge. Not only did she motivate him during workouts, but she emailed every member of her team inspirational and motivational messages, answered their questions and helped them feel powerful.

Every Orangetheory workout is different. Some workouts focus on strength, some on power, others on endurance and core. "You can go there seven days a week and you'll never do the same workout twice," Nick said. Variety helps keep participants interested and helps avoid workout and weight loss plateaus, Jones said. Every Orangetheory workout is developed by a team of Kinesiologists and every Orangetheory Fitness studio in t he world does the same workout on the same day; and these workouts change every single day.

In the Orangetheory model, there are five basic metabolic zones: gray, blue, green, orange and red. Green, the middle zone, is the base zone. During the 60·minute workout, participants will move along green, orange and red, spending between 12 and 20 minutes in orange and red. "Time spent in these zones is what creates the after-burn effect," Jones said.

During the PUSH, participants move into the orange by rowing or running faster or simply increasing the incline. The idea is to achieve 84 percent of the target heart rate. To achieve the red zone, partici­pants are encouraged to GO ALL OUT. ALL OUTS are designed to get you into the Orange/Red Zone - these are very brief bursts of exercise where the member gives everything they have.

"So you're not trying to achieve the same pace as the distance runner next to you; Nick said. "You only need to push yourself into the orange or the red. Everyone is working at their own pace, and the monitors let us see where we are and how we're doing.•

"It's all very positive. The trainers pay very close attention to us and they can see that we're working extra hard and they encourage us every step of the way.•

For Jones, working at Orangetheory Fitness is like a dream come true. "It's so rewarding for me to see them succeed, to be a part of that," she sa id.

December 201 5 I lexington Health 24·7 25

People o f all ages and body types find a home at Orangetheory. Runners, profes­sional athletes, people who've never worked out and seniors, side by side, achieving t heir goals, Jones said. In fact, second p lace in the Weight Loss Challenge was won by a woman in her late 60's who had previously lost 100 pounds but had plateaued. During the challenge, she lost 30 pounds and about 10 percent of her body fat!

Jones, who holds a master's degree in kinesiology and health promotion from the University of Kentucky, is an ACE certified personal trainer. Her colleagues carry similar credentials, providing evidence-based, sound instruction and motivation to Orangetheory members.

"This is absolutely the career I wanted," Ashley said, "I want to go to work in the morning and I am deeply motivated to help these people achieve their goals and dreams!"

"I think one of things that's specia l about Orangetheory is our trainers. We know that what we do and say makes the class, and each of us is dedicated to making every workout the best experience for our members every time," Jones said. "Our interest in them extends way beyond the one hour workout they spend with us."

Want to find out how Orangetheory Fitness can help you achieve your goals? Go to www.OTFLEX.com to register for three free introductory classes. Orangetheory Fitness Lexington is located at 2369 Richmond Road, Suite 120.

2369 Richmond Road, Suite 11120

Lexington, KY 40502

{859) 898-1077

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26 Lexington Health 24·7 I December 2015

UKFCU Can Help You 11Wrap Up1'

Those Christmas Surprises T he Christmas season ... it is the one time

of year that we both love . . . and fear. There is so much joy. Friends, fami ly, cel­

ebrating the birth of Jesus. It is easy to be caught up in the spirit of things and, next thing you know, those January bi lls are out of control.

If you are like most people, you have probably got your shopping list all set and budgeted. You might even have a Christmas Club check to cover the gifts. It is all reasonable, planned and manageable. What about those extras that go along with Christ­mas? We are not talking about the unexpected gifts or tbe stocking stuffers that never make it on the list. No, we are talking about the ordinary expenses that help make Christmas extraordinary:

1. The tree and all the trimmings. If your artifi­cial tree is ready to be replaced, it is going to cost you (especial ly now). Expect to pay $100 or more depending on type, height, pre-lit and other factors. Are you a natural tree family? They can be pricey too - expect to pay $60 to $80 or more! Don't forget replacing light strings, decorations, garland, door wreath and all the rest. It can really add up! Budget price tag: $250.

2. Baubles, bows and wrapping paper. Unless you stocked up at the end of last season, or you wrap everything in newspaper, expect to pay $5 or $6 a roll. Bows, ribbons, gift tags, boxes, tape and package decorations can add another dollar or two. Budget price tag: $50 (20 gifts at $2.50 per gift).

3. Greeting cards. Even if you ma.ke them yourself, they are still expensive. With postage nearly 50 cents a card, it is not long before we are talking about real money! Budget price tag: $20 (20 cards at $ 1 per card, postage included).

4. Travel. We bear a lot about air travel, but nearly all holiday travel is by personal car, and the average trip over the Christmas/New Year's holidays is 275 mi les. Because mpg bas improved over the years - and gas prices are lower - travel during the holidays is not as expensive. However, you still have to consider tire wear, oi l changes etc.

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Using the IRS's mileage reimbursement rate of57.5 cents per mile, your holiday trip will cost you $I 58.70. Add in cost of food and beverages along !he way and your budget price tag is $200 ... and that is assuming no hotel stay, dining out, car repairs or other expenses while you are away.

S. Utilities. One of the most notable parts about the holiday season is Christmas lights. We love to show our Christmas spirit, and outdoor displays do make the dark days of December more bearable. There is a cost. Incandescent bulbs are cheaper to purchase, but cost up to three times more than LEOs to operate. If you usc 30 strings of incandescent bulbs (15 on the tree, I 5 outside) and power the lights four hours a day for 30 days, your budget price tag isS 162! (3,000 lights at4 kwh per bulb, 9 cents per kwh cost, 120 hours of operation)

6. The holiday meal. This can be a whopper! Assuming you get tbe turkey, ham and trimmings all on sale and make everything from scratch, there is still a good chance you will spend $50 or more. Add a couple bottles of wine and you are pushing the S I 00 mark, easy.

Total for just these expenditures - a whopping $782. And we haven ' t talked about the gifts you might buy for yourself, the cost of holiday attire, getting your hair and nails done, taking the kids to sec the Nutcracker, the office carry-in or any of the other stuff that make the hoi idays so special.

It is no wonder so many people arc shocked when January rolls around. If you have not been saving all year for all of these expenses, it can really hun. The University of Kentucky Federal Credit Union is here to help ease the shock of January bills.

Here's how:

• A UKFCU Holiday Loan. Available through Dec. 3 1, a UK!'CU Holiday Loan oiTers lower interest rates than commercial credit cards with 12-month loan repayment. Minimum amount is $I ,000; maximum is $2,500.

• UKFCU credit card. Our credit card rates are some of the lowest around, wilh straightforward tem1s and no hidden fees. Any interest you pay is reinvested in the credit union and its members in the form of lower loan rates and high-quality services. Our points program allows you to earn points that you can use to purchase gifts (for yourself or others) or to treat yourself to some well-earned travel.

• Gil\ cards. Want to give someone a gift, but just don ' t know what they want (or need)? early 20 percent of all holiday gifts come in the form of a g il\ card. They are simple, easy and tasteful. Best yet, gil\ cards allow the recipient to buy what they want, when they want and, with a UKFCU Visa gi 1\ card - wherever they want! Stop by your nearest branch today and cross a few names off your list!

While you arc visiting with us, be sure to ask about joining our Christmas Club. We can help you budget for all of your Christmas expenses next year, not just the gifts, but also everything that makes the holidays special.

Stop by one of our branches or give us a call at {859) 264-4200 or 800-234-UKCU (8528).

We are here for you.

-( • ·-

Let your smartphone be your banker with UKFCUI Mobile banking is the next big thing in the financial world - and consumers' lives - because it is conve­nient, easy, flexible, and allows consumers to keep track of their accounts any time, day or night.

Now, mobile banking is easier than ever with the University of Kentucky Federal Credit Union's new mobi le banking app. The app is free and there are no additional charges for using mobile banking.

Nearly 40 percent of Americans with an Internet enabled smanpbone are already using mobile banking to:

• Check account balances and recent transactions

• Transfer money between accounts

• Receive text message and emai l alerts from financial institutions about their accounts

• Make check deposits into their accounts using !heir phones' camera function

December 20 I 5 Lexington Health 24·7 27 New to online/mobile banking? Now's the perfect time to try it out. Mobile banking can free up some serious time . .. and with Christmas shopping, holiday parties, caroling, church activities, travel and all the other festivities of the season, who couldn't use some extra time?

Signing up is easy. First, enroll in online banking. If you are not enrolled in online banking with UKFCU, visit our website at www.ukfcu.org and follow the link to mobile banking. If you need belp, just call us at (859) 264-4200 or toll free at 1-800-234-8528 and we will be happy to help.

Already enrolled in online banking? Using your smanphonc, navigate to the mobile banking page on our website and click on the link for your phone's operating system (iPhone, Android or other). The link will take you to your app store, where you can download and install the UKFCU appl ication.

Now you are all set to take advantage of the powerful tools available through mobile banking, including:

• Mobile Deposit - Simply take a picture of a cheek to deposit it into your account

• Bill Pay - Mobile bill pay is at your finger tips

• Credit Card - Your credit card transactions display on the mobile app.

• Transfer Funds - Wilhout any set up, transfer money to anolher UKFCU member.

• Locate ATMs - Using your current location find free ATMs.

• Locate Shared Branches - Using your location find other credit unions you can usc.

• Graphs - Easy to read graphs show your ex­penses to income and recent balance changes.

Once you have set up mobile banking watch !he video to get a quick overview of all the mobile banking features. And you arc good to go shopping, traveling, entertaining, skiing wherever this winter's adventures take you!

-:::::::=:....UNIVERSITY OF KENTUCKY ~ fEDERAL CREDIT UNION

- wdumM f1> brlttr b~

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28 Lexington Health 24· 7 I December 2015

Are Bad Teeth Ruining Your Life and Health? By Ruth Adkins, D. M.D.

I t seems obvious that your oral health directly affects your overall physical health, yet about 20 percent of Americans brush only once a day and half do not

floss at all. The consequences can be serious: cavities, gingivitis, periodontal disease, infection and tooth loss. Poor oral health isn't just painful; it has been linked to a surprising number of diseases, including:

• Brain abscess

• Cancer

• Dementia

• Diabetes

• Erectile dysfunction

• Heart disease

• Kidney disease

• Pneumonia

• Ulcers

In some cases, it can be argued that the condition causes poor oral heal th, such as in dementia. However, in other circumstances, it is clear that the condition is caused by poor hygiene. Take the pneumonia, for example. One research study demonstrated that improving oral hygiene while hospitalized reduced the incidence of hospital· acquired pneumonia by 40 percent. It is not a surprising result, when you consider that there ae 20 billion bacteria living in your mouth right now- and they reproduce every five hours. If bacteria are not removed regularly, they will find somewhere to go: the kidneys, lungs, brain, stomach and heart!

If your teeth are making you sick, it's time to take action The first step is to take good care of your teeth. Even if you have been lax in the past, it is not too late to start practicing good oral hygiene. I recommend brushing and flossing twice a day, using a mouth rinse, and seeing the dentist every six months. These three simple steps will make a big difference in the health of your mouth.

If you already have issues - teeth that hurt, bleeding gums, sensitivity to heat, cold or pressure, discolored teeth-do not lose hope. The great thing about modern dentistry is that there is so much more we can do for patients than just pull teeth.

We call this restorative dentistry because it is the process of restoring the mouth to both a functional and aesthetically pleasing state. This is achieved in a variety of ways, based upon severity, condition, patient preference, and financial considerations. The first step is seeing the dentist. Even if you haven't been for years, don't be afraid and don't be embarrassed. What is important is that you are making the commitment to take better care of your teeth and yourself.

During the initial visit, we will get x·rays of your mouth and do a thorough cleaning. Then it comes time for the dentist to have a look around your mouth and talk to you about any dental problems, your health in general, chronic conditions, medica· tions, family history, and goals. Based on the results of this consultation, we will establish a treatment plan and timeline.

In most cases, the first step will be to deal with cavities and periodontal disease.

Treating cavities is straightforward. We will remove the diseased portion and fill in the gap to protect the tooth from further attack by bacteria. Filling

materials include gold, porcelain, composite resin to match your tooth color, or amalgam (the "silver" fillings).

In some cases, a crown, sometimes called a cap, may be required. The crown completely covers a tooth to restore it to its normal shape and size, strengthening and improving its appearance. A crown may be neces· sary to cover and support a tooth that previously had a large filling or if the tooth is broken, deeply cracked or otherwise unable to be repaired using filling material. A crown might also be necessary to attach a bridge, a device used to replace a missing tooth.

Treating gum disease is a little more difficult . In its earliest stages - gingivitis - a deep cleaning, prescrip· tion mouth rinse and changes in oral hygiene may be all that are required. However, when gum disease has progressed beyond this, treatment can be more diffi· cult. Deep cleaning, scaling and root planing may be necessary to remove plaque buildup.

Antiseptic/antibiotic medications may be placed in gum pockets to control the bacteria and allow the gums to heal. While these measures can help to prevent further damage, it is important to note that receding gums will not return to their original state without surgical intervention.

WWW .LEX I NGTON HEA L TH 2: 4 7 .COM----------------------

Missing teeth Sadly, tooth loss is relatively common in the U.S. The National Institutes of Health report that adults age 20 to 64 have an average of 25 teeth, seven less than normal I Although tooth loss has declined since the 1970s, there are significant differences among people based on race, age, income, education and smoking.

There seems to be a rather casual attitude around losing a tooth, as if it is no big deal. It is:

• losing teeth can have a huge impact on your overall appearance and self-esteem, altering your facial features and causing you to prematurely wrinkle and look older than you are. Missing teeth can affect personal and family relationships as well as employability.

• Missing teeth can affect your speech.

• Missing teeth can cause your remaining teeth to wear down more quickly because they have to work harder (there is less surface area) to masticate your food.

• The gap allows neighboring teeth to shift and turn, creating further problems with chewing and nutrition and increasing the risk of gum disease and further tooth loss.

A dental appliance called a bridge can replace one or more natural missing teeth, thereby "bridging" the space between two teeth. Fixed bridges are cemented onto the teeth on either side of the space. If you are missing teeth and are committed to maintaining good oral hygiene, this type of bridge may be right for you. Fixed bridges can correct an altered bite, improve chewing ability and speech, and safeguard your appearance by preventing the collapse of facial features.

For many years, bridges and dentures were the only options to replace missing teeth. Today, d ental implants are becoming the standard of care, offering patients greater convenience and a more natural-looking result.

Implants are replacement tooth roots that provide a strong foundation for permanent or removable replacement teeth made to match the natural teeth. Advantages include improved appearance, speech, comfort, and oral health. Eating will be easier and pain-free. Implants are very durable and, with good care, can last a lifetime.

Dentures are removable replacements for missing teeth and adjacent tissues. Complete dentures replace all the teeth, while a partial denture fills in spaces, similar to a bridge. Complete dentures are either "conventional" or "immediate." A conventional denture is placed in the mouth about a month after all the teeth are removed, whereas an immediate denture is placed as soon as the teeth are removed.

Dentures are the choice for treating those who have lost most or nearly all of their teeth. Partial dentures are often recommended for those who have some natural teeth remaining. A denture improves chewing ability and speech, and provides support for facial muscles.

Of course, the No.1 priority for any restorative den­tistry is to preserve your natural teeth as much as possible. But if that is not possible, it is good to know that there are options. The important thing is to recog­nize the important role oral health plays in your overall physical health and take action.

For more information or to arrange a consultation with Adkins Family and Cosmetic Dentistry, please call our office at (859) 543-0333. Our office is conveniently located at 2704 Old Rosebud Road, Suite 210, in lexington.

Laser Whitening

Special

$299!! exp. 1/31/2016

December 2015 Lexington Health 24· 7 29

- 859-543-0333___:-'-' '-''JfVIETIC DENTISTRY

2704 Old Rosebud Rd 1 Homburg 1 AdkinsFomllyDentlstry.com

Meet the Dentist: Ruth Adkins, D.M.D. Q: W h ere a re you o r igina lly f rom?

A. I am from Paintsville, so I'm proud to say I'm an eastern Kentucky girl. I cur­rently live in Versailles and have since graduating from the University of Louis­ville College of Dentistry in 2003.

Q. How long have you been in practice?

A. I worked in a corporate dental office after graduation and opened Adkins Family & Cosmetic Dentistry in 2007. 11ike having my own practice because it allows patients to sincerely have personal attention in a professional environ­ment with the latest technological advancements.

Q. W hy did you go into dentistry?

A. I've always had a passion to serve and help others. I enjoy working with patients and feel a.s though one of my greatest qualities is empathy. I know what it's like to be in the dental chair. I have not always had a perfect smile, but after braces and some simple cosmetic dentistry, I saw my own smile transformed. ! know improving your smile can change your life!

Q. W hat's the biggest m iscon ception people have about

cosmeti c/rest o rative dentistry?

A. That it's going to hurt or cost a lot. There really is such a thing as pain-free dentistry! It's definitely not like it was 30 years ago, and dentistry is continuing to evolve and develop new equipment, materials and techniques. Today, a patient can be in and out with very little interruption in their day. In terms of cost, there's so much more we can do and insurance companies are doing a better job covering some procedures such as tooth-colored fillings or and porcelain crowns. Some dental care is even covered under your regular health insurance because insurers recognize the link between dental health and chronic disease.

Q. W hat would you say t o someone w ho is suffering with

poor denta l health ?

A. First, don't be embarrassed or ashamed. You'd be surpri.sed at the number of people with great smiles who got there by having dental work done. We can make it happen for you, tool I see myself a.s a "'fixer." If it's broken, don't worry; we can fix it. There is nearly always a solution to every type of problem. Den­tistry is no exception.

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No maHer where you're planning to hold your next event of 40 or more, make sure you toke Zoxby's• along with you. Just select from a variety of your favorite sandwiches and sides and give us a call ot least 48 hours in advance. Mix and match from the following:

CHICKEN FINGER SANDWICH Crisp, tasty Chicken Fingerz on a toasted bun with our famous Zox Sauce•.

GRILLED CHICKEN SANDWICH Tender, grilled chicken breast on a toasted bun with Honey Muslard sauce.

COLE SLAW BAG OF POTATO CHIPS COOKIE All three sides are included.

Choose from the following:

CHICKEN FINGERZ PLATTER lightly battered chicken tenderloins. Traditional or Buffalo.

ZAMPLER PLATTER Get both of yoor Zaxby's favorites - Wings and Fingerz - in one!

WINGS PLATTER Traditional or Buffalo chicken wing$ smothered in your choke of 10 mouthwatering sauces.

CHICKEN SALAD SANDWICH PLATTER Mode with all-white-meat chicken on horu~y wheal bread with lelluce and tomatoes.

NIBBLERZ PLATTER Our clas.ic Chicken Fingerz lucked in toasted buns and $erved with Zox Sauce•.

ZAX PAK BOXED LUNCHES We prepare each boxed lunch with your choice of o sandwich o r Chicken Fingerz, plus a bog of chips, our creamy Cole Slow and a fresh-baked Chocolate Chip Cookie. Just coli ot least four hours in advance, and we'll toke core of the rest. Choose from the following:

CHICKEN FINGER SANDWICH Crisp, to sly Chicken Fingerz on a toasted bun with ovr famous Zox Sauce•.

GRILLED CHICKEN SANDWICH Tender, grilled chicken breast on a loosled bun with Honey Mustard sauce.

CHICKEN FINGERZ Four of our delectable Chicken Fingerz, fried lo perfection and served with Zax Souce•.

CHICKEN SALAD NIBBLERZ PLATTER Chicken salad, green leaf lelluce and tomatoes on our fomoos Nibbler bun.

ZALAD BAR Choose e ither fried, grilled or half-fried, hoff. grilled. Served salad-bar style.

SIDES Toter Chips Plotter ColeSlaw Gallon of Tea

DESSERTS Cookie Ploller

10 SIGNATURE SAUCES

t W"•py tt ~igiool •• '""' Tonto• ••• Node« t9;~ ~sa" • ltriy~ • BiiO • Hot HOMy M.stcrd Swott & Spicy • Honty St1o01M

Please provide 24-hour notice.

ZAXBY'S

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December 2015 Lexington Health 24· 7 31

Spl~ess--------

• • IS I

By Jodi Thomas

I was talking with a group of friends back in November, and they all were counting down the days until the Christmas season. When I mentioned that I didn't really like Christmas, my words did not compute; it was like I told them I liked to kill baby

baby kittens. I explained how, growing up in a broken home, Christmas tended to be a sad holiday for me. And now, as a mom and wife who tries to make Christmas special for my family, I get overwhelmed by all the extra things added to my plate- shopping (I don't like to shop either, by the way), baking, Christmas cards, and let's not forget moving that dadgum elf every night. "Elfie" about sends me over the edge every year. I truly dislike that I feel this way, but it's just the way it is for me.

Two things help lift me up out of my holiday funk. First, I live with Mr. Christmas. My 12-year old listens to Christmas Carols all year long; his Christmas cheer infuses joy into our holiday season for sure.

But more importantly, I go back to the basics: Jesus. I know the Christmas trees, Christmas lights, presents, snowmen, cookies, and candy canes are all wonderful. And, honestly, I do truly enjoy these things. But there's a part of the "Christmas machine• that leaves me feeling empty every year. Maybe because the heart of Christ· mas is the most simple message of all: love. 1 John 4:9-10 says:

This is how God showed His love among us; He sent his one and only Son Into the world that we might live through him. This is love: not that we loved God, but that he loved us and sent his Son as an atoning sacrifice for our sins.

Did you get that? NONE of us loved God first ... HE loved us first. In the midst of our "ugly;' our mistakes, our stubbornness, He loves Us. Each of us is special to Him, and He wants a relationship with each and every one of us. So He sent His Son.

1 John 3:16 says., "This is how we know what Jove is: Jesus Christ laid down his life for us.» God loved us so much, He sent his Son as a sacrifice; Jesus loved us so much He was wi lling to do it and literally died for us. Because they loved, they gove. That is why we celebrate Christmas. love left the glory and splendor of heaven ... love put baby skin on . .. that would be pierced with nails 33 years later . . . so that we might live. And not just live, but live w ith the abundance of His grace, mercy, forgiveness, uncon· ditionallove, hope, kindness, gentleness, and faithfulness towards us.

And this is why we give, because we've been given to. "Dear friends, since God so loved us, we also ought to love one another" (l John 4:ll). We can love, because we are loved. This Christmas, as we are thinking about the gifts we'd like to purchase for our family or friends, what intangible-yet ever more so powerful-gifts can we give to those we love? The gift of grace, of forgiveness, of acceptance. We have the power to give these, because they are ours in abundance from God.

So if you find yourself fighting for a parking space at the mall, burning your Christmas cookies, or running out of tape when you have 35 gifts left to wrap, take a deep breath. And remind yourself that, honestly, none of that matters. What matters is the price· less gift of love that God gave to us in Jesus. You. Are. loved. End of story.

Oh, and don't forget to move the elf.

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