Health&Wellness November 2021 by Rockpoint Publishing

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Vol. 19 • Issue 2 • November 2021

SENIOR HEALTH

ALZHEIMER’S & MEMORY

NEW

ALZHEIMER'S TREATMENT SENIOR

SERVICES DI

REC TORY

ADUHELM RECENTLY APPROVED BY FDA

WHAT’S THE DIFFERENCE? COMPARING ALZHEIMER’S DISEASE & DEMENTIA

“With Today’s Breakthroughs, You Too Can ELIMINATE Type 2 Diabetes, Obesity, Hypertension, IBS, Fatigue & MUCH More!” "Dr. Miller worked with my other doctors and I walked away from Diabetes, Hypertension, Obesity, Fatigue and

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Rick Flannery, was taking 17 medications a day. He was taking 8 Oral meds and 4 Insulin Injections daily for Type 2 Diabetes. He had Hypertension, High Cholesterol, Sleep Apnea, and Obesity, weighing over 246 lbs. Rick’s A1c was 9.2. NOW 6.7 and OFF all meds for Type 2 Diabetes, Hypertension and Cholesterol. He’s eliminated 16 drugs a day (costing thousands a year) and he’s lost over 83 pounds! Q: Rick, why did you go to Dr. Miller? A: “My Type 2 Diabetes was terrible and my health was getting worse. I had High Blood Pressure and I really needed to lose weight, but couldn’t. I heard of Dr. Miller and the results he gets.” Q: You’ve been seeing other medical doctors for your Type 2 Diabetes and Hypertension, what about Dr. Miller was different? A: “Dr. Miller made it clear, something was not working correctly in my body. He said his approach is to uncover and reveal exactly what that is. Dr. Miller really takes the time to listen and looked at my whole health history. He makes it clear that Type 2 Diabetes, Hypertension and Obesity are being caused by something. My other doctors just didn’t take the time to do this, they just gave me more and more medications. I knew these were just masking symptoms and not fixing anything. Dr. Miller makes complete sense.”

Q: What does Dr. Miller do to find out what’s not working correctly inside your body? A: “Dr. Miller doesn’t mess around. He has an Amazing blood panel lab through Lab Corp. He then does a ‘Functional Medicine’ Computer Assessment. It is very impressive to see. Q: Rick, what did Dr. Miller recommend for you to eliminate your Type 2 Diabetes, Obesity and Hypertension? A: “Dr. Miller just lays it all out so clear. He started off by seeing me every week to

ensure I would eliminate the Diabetes, He has amazing printed instructions on lifestyle improvements to eliminate all poor health and then stay healthy.” Q: What are the results of your treatment from Dr. Miller? A: “My results are great! My A1c went from 9.2 to 6.7, after 15 years on medications. I’ve eliminated all my drugs for Type 2 Diabetes, Hypertension or Cholesterol and I’ve now lost 83 pounds! I highly recommend Dr. Miller. I got my health and life back!”

Integrated Care | Nutrition | Chiropractic Dr. Mark A. Miller, DC and Associates, PLLC

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You have the right to rescind within 72 hours any agreement to invest in services that are performed the same day in addition to advertised free services.

AS SEEN ON

Health&Wellness is a proud product of

NOVEMBER 2021: ALZHEIMER’S & MEMORY

FEATURES

Alzheimer’s Disease & Dementia: What's the Difference?

CONTENTS 6

The Peace of Knowing It's All Going to Be OK Top 10 Alzheimer’s Signs and Symptoms

New Treatment Available for Alzheimer’s Disease

Forgetfulness in Your 40s: Simple Slip-ups are Normal and Common

Slowing the Effects of Alzheimer’s Disease

Sleep & Dementia: Catching Your Z's Can Stem Off Disease

Is There a Link Between Heart Disease and Dementia?

Dysautonomia as a Complication of COVID-19 and Its Delta Variant

COLUMNS

Health&Wellness Magazine can be found in 20 central Kentucky counties and is distributed to over 90% of medical facilities, including chiroprator’s, eye doctor’s and dentist’s offices. You can also pick up your FREE copy of Health&Wellness at most grocery and convenience stores as well as many restaurants throughout Central KY.

DENTISTRY "Baby" Teeth Play a Big Role in Oral Health

FAMILY DOC Experiencing Memory Loss? Signs to Discuss With Your Doctor

INTEGRATIVE MEDICINE The Pandemic of Stress, Loneliness and Memory Loss

7 30

NATURE'S BEAUTY: Tamarind

FOOD BITES

859-368-0778

e-mail brian@rockpointpublishing.com

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© Copyright HEALTH&WELLNESS Magazine 2021. All rights reserved. Any reproduction of the material in this magazine in whole or in part without written prior consent is prohibited. Articles and other material in this magazine are not necessarily the views of Health&Wellness Magazine. Health&Wellness Magazine reserves the right to publish and edit, or not publish any material that is sent. Health&Wellness Magazine will not knowingly publish any advertisement which is illegal or misleading to its readers. The information in Health&Wellness should not be considered as a substitute for medical examination, diagnosis or treatment.

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FROM TANYA J. TYLER

EDITOR Dear Friends,

The mother of a friend of mine was diagnosed with Alzheimer’s disease recently. It is such a sad disease, affecting not only the patient but her family and friends as well as it slowly steals her memory and mangles her personality. It is distressing to see my friend’s mother’s decline. This is a woman who received a fullride scholarship to engineering school (she turned it down to become an English lit teacher). This is a woman who was gentle and soft spoken, who never argued or raised her voice. Now she can’t follow simple directions. Now she can’t remember how to

walk downstairs. Now she is aggressive. She has her moments of clarity, but as time goes on, these moments are becoming few and far between. My friend is sad: “I’m like a ghost,” he told me. But he visits his mother and tries to help her grasp her fleeting memories and will continue to love and cherish her. In the face of mental decline, it’s the least – and the best – we can do. Here’s to your health, — Tanya

ALZHEIMER’S DISEASE & DEMENTIA: WHAT’S THE DIFFERENCE? People often use the terms Alzheimer’s disease and dementia interchangeably, but in reality they describe quite different conditions. Alzheimer’s is an example of dementia, but not every type of dementia is Alzheimer’s. There are specifications that set Alzheimer’s apart from general dementia and other conditions that can induce memory loss.

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By Health & Wellness Staff Dementia is a syndrome describing a wide range of symptoms that impact a person’s ability to perform everyday activities independently. These symptoms make it hard to remember, think clearly or make decisions. In simplest terms, dementia is a decline in mental function, and it is usually irreversible. The earliest stage of dementia, known as mild cognitive impairment, is considered to be forgetfulness beyond what is expected from aging. Alzheimer’s, on the other hand, is a neurodegenerative brain disorder that causes memory problems. It is named after German physician Aloïs Alzheimer, who first described it in 1906. Alzheimer’s accounts for nearly 60 percent to 80 percent of all forms of dementia diagnosed annually. In most cases, people with Alzheimer’s at first experience memory trouble. They are able to fully function physically until the end stages of the disease. (In contrast, another

type of dementia, Parkinson’s disease, leads to significant physical complications that are often present in the earlier stages of the disease, occurring even before memory issues begin to surface.) Alzheimer’s progressively and irreversibly destroys memory and thinking skills. Age, of course, is the biggest risk factor for the disease. Dementia may actually be caused by stress, anxiety, depression, vitamin deficiency or thyroid issues, and these conditions are treatable and often reversible. Your primary care physician can perform tests to determine exactly what is going on and design a treatment protocol to ease symptoms. To help determine whether patients have dementia, doctors talk to the patients and their close family members about recent changes in behavior, personality or memory. They may also administer a mental status exam that includes mental-skill challenges. A physical exam can flag specific types of dementia caused by vascular disease (strokes) or Parkinson’s disease.

To diagnose Alzheimer’s, doctors look for a gradual onset that is slowly worsening. Researchers have identified biological evidence of Alzheimer’s disease: neurondestroying plaques and tangles in the brain. Until fairly recently, a conclusive diagnosis of Alzheimer’s was not possible until an autopsy was performed and the brain examined and these plaques and tangles Not every were found. Today, type of a PET scan or dementia is cerebrospinal fluid Alzheimer’s. sampling can show – with 95-percent accuracy – whether such plaques or tangles are present. There is, to date, no cure for Alzheimer’s disease and only a few drugs are available to briefly control symptoms of the disease. Research is ongoing. Sources: • AARP (www.aarp.org) • The Fisher Center for Alzheimer’s Research Foundation (www.alzinfo.org)

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READ OUR PATIENT SUCCESS STORY IN THIS ISSUE, PAGE 2

November 2021

The Peace of Knowing It's All

GOING TO BE OK Life is full of ups and downs, twists and turns. All the ages and stages of life and the seasons we go through can be exciting and at times a bit scary. We work hard to mange our lives, prepare for known expenses, save for our kids’ college tuition and set aside money for retirement. But nothing fully gets us ready for what the later stages of life may throw our way, especially when you have family who are in their senior years. All kinds of new challenges can come your way, such as health issues, where to live, how to take care of estates, etc. And if we are honest, we can feel very helpless or lost. That’s what happened with Greg and Rebecca. Greg’s mom and dad are in their 80s, and Greg found himself dealing with the issues of long-term care and memory and medical care for his parents. Then came the confusing maze of dealing with Medicaid and getting them to help pay. Greg and Rebecca shared with us what led them to look for help. “Our family was faced with placing both of our parents in skilled nursing care very suddenly in the summer of 2020,” they said. “This was emotional and overwhelming on so many levels. We were confused and a little afraid because we wanted to do our best by our parents. We had many questions and were completely uncertain how to do things and not sure if we were doing things correctly. To put it mildly, we felt unsure of everything!” These times are not easy, especially in

2020 with the COVID-19 pandemic. The uncertainty of the economy and now having to navigate these tough waters of senior care added to Greg and Rebecca’s stress. That’s when they turned to the attorneys at Bluegrass Elderlaw, a legal practice that works 100 percent with all the ins and outs of senior care, from wills and trusts, estate planning, guardianship, Medicaid help and so much more. We asked the couple to share what it was like when they first worked with Bluegrass Elderlaw. “From the moment we met Katie (Katie E. Finnell, Attorney) and the team at Bluegrass Elderlaw, we were put at ease,” they said. “Not only did they answer the questions we had, but they helped us think through all the things we couldn’t possibly know, never having had to deal with these types of issues. Katie always says, ‘It’ll be fine.’ And it has been, with their guidance and reassurance. Coop (Carolyn McCown, Medicaid Paralegal) helped us in amazing ways to navigate the Medicaid process, which was pivotal in caring for our parents and their long-term needs.” We further asked them, “How did this experience with the law firm give you hope and assurance during this time?” They responded, “We were unaware of all that went into caring for our parents, and yet

We were confused and a little afraid because we wanted to do our best by our parents.

ATTORNEYS-AT-LAW

Call Today: 859-281-0048

no one ever made us feel silly for asking questions. They were prompt and efficient every time we needed help. They reassured us and made sure we could provide the best-quality care for our parents possible. Additionally, they helped us in the learning process of having parents in full-time care.” It is so refreshing to hear there are professionals who care about their work and care about their clients, both the family and the parents. “Every time something comes along that brings us stress in regarding my parents’ needs, Bluegrass Elderlaw has relieved our concerns,” Greg and Rebecca added. “We’ve never left their offices feeling anything but peaceful and calm. The reality of having loved ones in nursing home care can bring lots of concerns, because it’s the ‘unknown’ for most people. The team has removed those concerns from our family. We can’t recommend their team and services highly enough. We are eternally grateful for Bluegrass Elderlaw!” With all the uncertainty going on in our world, it’s nice to know that here in the Bluegrass there is a team who cares for our seniors and their families. Bluegrass Elderlaw has a heart to serve and use their skills, talents and passion to work with us and our families. If there is anything your family needs in the area of estate planning, probate, asset preservation, Medicaid assistance, guardianship, trusts and even Special Needs planning, we encourage you to start by talking to the attorneys at Bluegrass Elderlaw.

CONTACT

AREAS OF PRACTICE

120 North Mill St., Suite 201 Lexington, KY 40507 (859) 281-0048 www.bgelderlaw.com

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Did You Know that Madison County’s Only Memory Care Community is Expanding? EXECUTIVE DIRECTOR PRESTON GREENS PERSONAL CARE & MEMORY CARE COMMUNITY

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Every member of our team is completely devoted to our resident’s mental, physical, and spiritual needs.

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Volunteers are needed right now to provide rides to seniors and adults with visual impairments. Help provide safe, convenient transportation for some of our city’s most vulnerable, so that they can continue to get to essential appointments without fear of Covid infection. ITN will provide personal protective equipment and training. A driving and criminal background check is required.

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November 2021

TOP 10

ALZHEIMER’S SIGNS & SYMPTOMS By Health & Wellness Staff When you forget your keys – again – do you immediately wonder, “Oh, no, am I developing Alzheimer’s disease?” The Fisher Center for Alzheimer’s Research Foundation (www.alzinfo.org) says these are the top 10 signs and symptoms of Alzheimer’s disease:

1. Memory Loss. Forgetting recently learned information and being unable to recall the information later is one of the most common early signs of dementia.

2. Difficulty Performing Familiar Tasks. People with dementia often find it hard to plan or complete everyday tasks.

3. Problems with Language. People with Alzheimer’s often forget simple words or substitute unusual words.

4. Disorientation to Time and Place. People with Alzheimer’s can become lost in their own neighborhood. They may forget where they are and how they got there.

5. Poor or Decreased Judgment.

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A person with Alzheimer’s may dress inappropriately, wearing several layers on a warm day or little clothing when it’s cold. They may show poor judgment, such as giving away large sums of money to telemarketers.

6. Problems with Abstract Thinking. Someone with Alzheimer’s may have unusual difficulty performing complex mental tasks, such as forgetting what numbers are for and how they should be used.

7. Misplacing Things. A person with Alzheimer’s may put things in unusual places.

8. Change in Mood or Behavior. Someone with Alzheimer’s may show rapid mood swings, from calm to tears to anger, for no apparent reason.

9. Changes in Personality. The personalities of people with dementia can change dramatically. They may become extremely confused, suspicious, fearful or dependent.

10. Loss of Initiative. A person with Alzheimer’s may become very passive. They may sit immobile in front of the TV for hours, sleep more than usual or refuse to participate in activities they usually enjoy. If you are or someone you know is experiencing any of these signs, be sure to contact your primary care provider to find out exactly what’s going on.

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | November 2021

NEW

TREATMENT AVAILABLE FOR ALZHEIMER’S DISEASE

2003: This is the first new Alzheimer’s disease treatment offered since 2003.

ADUHELM RECENTLY APPROVED BY FDA By Health & Wellness Staff The U.S. Food and Drug Administration (FDA) recently approved Aduhelm (aducanumab-avwa), a new medication to help treat Alzheimer’s disease, through its accelerated approval pathway. Current Alzheimer’s medications only help with symptoms. Aduhelm is the first to treat the underlying disease process. It is manufactured by Biogen, and it was developed in partnership with Eisai, a Tokyo-based pharmaceutical company. It is the first new Alzheimer’s disease treatment offered since 2003. According to Biogen, Aduhelm is a monoclonal antibody therapy – lab-made antibodies that attack certain cells – that is directed against beta-amyloid plaques, a buildup of protein fragments in the brain. These plaques are widely thought to influence the disease’s progression. As Alzheimer’s worsens with time, the plaques spread across the cortex and affect how cells signal each other. Aduhelm attacks the plaques, lowering the amount of them present in the brain and hopefully stopping them from causing widespread damage. Aduhelm has only been studied in people with mild cognitive impairment or

mild dementia resulting from Alzheimer’s. The FDA did not put any restrictions on who can receive the new medication. The approval of Aduhelm has not been without controversy. Ten out of 11 members of an expert panel the FDA consulted voted against approval. They questioned if enough evidence was available to support its potential benefits. Aduhelm is given as an intravenous infusion once a month. Each infusion takes about an hour to administer. Side effects may include temporary swelling in the brain, headache, dizziness, nausea, confusion and vision changes. Rarely, someone may have an allergic to the medication, including swelling of the face, lips, mouth, or tongue and hives. “We believe this first-in-class medicine will transform the treatment of people living with Alzheimer’s disease and spark continuous innovation in the years to come,” said Biogen CEO Michel Vounatsos. “We are grateful for the contributions of thousands of patients and caregivers who participated in our clinical trials, as well as for the dedication of our scientists

and researchers. Together with the healthcare community, we are ready to bring this new medicine to patients and begin to address this growing global health crisis.” Continued approval for

Aduhelm as a treatment for Alzheimer’s disease may be contingent upon verification of clinical benefit in confirmatory trials. If it fails to show a clinical benefit, the FDA can take it off the market.

November 2021 | Read this issue and more at www.healthandwellnessmagazine.com |

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FORGETFULNESS IN YOUR 40s

SIMPLE SLIP-UPS ARE NORMAL AND COMMON By Meagan Kingren and Sara Police, Ph.D. “Where are my keys? Have you seen my wallet?” Forgetfulness can be frustrating, especially when it impacts your schedule and your life. Simple slip-ups are normal and common, but frequent memory-related challenges can signal something more serious. The brain changes with age as protecting hormones and proteins, blood flow and the size of the brain itself decrease. The table below highlights the different symptoms associated with normal aging and those of more serious memory issues such as dementia and Alzheimer’s disease. Occasional memory slips are a standard part of aging and are often not signs of something more serious. It is also possible your forgetfulness is a function of stress. Increased cortisol (the stress hormone) production can negatively impact the hippocampus, making it harder to store memories. Anxiety and depression are other common culprits of forgetfulness, and medications often list memory loss as a side effect. Menopause – the normal transition from reproductive to nonreproductive status that can last several years – is a common cause of forgetfulness, with nearly 70 percent of menopausal individuals reporting memory issues. Anxiety, depression, poor sleep and hot flashes can negatively impact brain function in addition to the hormonal changes that occur in menopause. Estrogen, a steroid hormone involved in storing information, decreases during menopause and can increase forgetfulness. As your body adjusts to this transition, memory problems are often temporary. Regular exercise is important for protecting your muscle strength and keeping your bones and heart strong, but exercise can also help boost your mental health, including memory and cognition. Aerobic exercises such as walking, jogging, swimming, cycling and dancing stimulate physiological changes in the brain,

Normal Aging

Dementia and Alzheimer’s Disease

Forgetting a word or name

Having trouble carrying on a conversation Misusing and forgetting words

Forgetting a payment

Problems handling monthly financials

Difficulty learning a new task

Difficulty performing daily tasks, such as getting dressed or making a cup of coffee/tea

Needing to look up directions but not getting lost in a familiar area

Unable to follow directions Getting lost in areas you know well

Misplacing your keys but being able to find them

Always misplacing things and being unable to remember where you put them

Aware you are forgetful/having memory issues

Others must alert you to your forgetfulness Unaware you are having memory issues

such as reduced insulin resistance and inflammation, and increased production of growth factors (to affect the growth of new blood vessels in the brain). According to Harvard Health, research has shown the parts of the brain that manage thinking and memory are larger in people who exercise regularly versus those who do not. Mental exercise also helps prevent forgetfulness. Learning a new language and new skills helps engage your brain, warding off the natural effects of aging. Even individuals who are not suffering from forgetfulness can benefit from participating in tasks that target memory, attention and problem solving. There are numerous apps you can utilize on a smartphone, but jigsaw puzzles and card games can also do the trick. It’s normal to forget things, but serious memory problems can make everyday tasks difficult and decrease one’s quality of life. Talk with your doctor to determine whether your memory and cognitive problems are normal or to find out what may be causing them. Adverse reactions to medication, depression, grieving, stress and lack of sleep can all impair memory and cognition. Some strategies for dealing with forgetfulness include following a daily routine; planning tasks with memory tools such as calendars or notes; putting your wallet or purse, keys, phone and glasses in the same place every

day; volunteering in your community; getting enough sleep; avoiding drinking a lot of alcohol; and getting help if you feel depressed for weeks at a time. About the Authors: This article was written by Ms. Meagan Kingren, a graduate student in the Nutritional Sciences and Pharmacology Students (NSPS) Association within the Department of Pharmacology and Nutritional Sciences at the University of Kentucky with supervision and contributions from faculty advisor Dr. Sara Police.

References: • Gava, G., Orsili, I., Alvisi, S,. Mancini, I., Seracchioli, R. and Meriggiola, M.C. Cognition, Mood and Sleep in Menopausal Transition: The Role of Menopause Hormone Therapy. Medicina (Kaunas) (2019). PMID: 31581598. • Harvard Health Publishing • Maki, P.M. and Thurston, R.C. Menopause and Brain Health: Hormonal Changes Are Only Part of the Story. Front. Neurology (2020). PMID: 33071945. • Peters, R. Ageing and the brain. Postgrad Medical Journal (2006). PMID: 16461469. • U.S. Department of Health & Human Services/ National Institutes of Health Website (www.nih.gov)

November 2021

Dentistry.

“BABY” TEETH PLAY A BIG ROLE IN ORAL HEALTH By Dr. Kelly Dingrando, University of Kentucky College of Dentistry

e get two sets of teeth, so it’s okay if good oral health habits take a little while to form, right? Not exactly. Oral health is essential for everyone to consider – even for parents and guardians to keep in mind before they see their child’s first tooth! The lesson here is don’t wait to start forming healthy habits, even with baby teeth. Before baby’s teeth start showing, they are there. Some baby or primary teeth are almost fully developed at birth. It may seem too early, but even babies can develop tooth decay. In severe cases of decay, tooth extraction may be necessary. For elementary-aged children, tooth pain is the No. 1 cause of missing school hours. Even when children are in school, dental-related pain can negatively effect learning. Beyond tooth pain, tooth decay can lead to sometimes life-threatening infections in the body. Dentalrelated issues, such as tooth decay-related problems, are a leading cause of emergency room visits and hospitalization in young children. Besides avoiding dental pain, which may affect learning and other activities, keeping baby or primary teeth in good condition is important for various health and developmental reasons. Children will keep their baby teeth for around eight to 10 years. During this time, primary teeth help children chew food, speak and hold space for the arrival of their permanent teeth.

So, as you can see, baby or primary teeth deserve attention and care. Helping children develop good oral health habits early on is very important. Parents and guardians can consider the following points when looking to support their child’s oral health needs: • For infants, wiping gums daily with a clean, moist washcloth will aid in clearing away harmful bacteria. When teeth start to show, use an infant toothbrush with a small amount of fluoride toothpaste (just the size of one grain of rice) to clean them gently. • Don’t put baby to sleep with a bottle; this allows the sugars in milk to convert to acids that weaken tooth enamel (the protective outer shell on teeth). When baby has two touching teeth, it’s time to start flossing. • Help children brush at least twice a day for two minutes each time, preferably with fluoride toothpaste (use an amount the size of a pea for kids ages 3 years and up). Children before age 8 years do not have the manual dexterity to properly brush their teeth and may need an adult’s help with brushing. If you haven’t already started helping them, they should also floss once a day when teeth start touching – cavities between teeth can happen and they are not fun. • You may want to try to make a fun family routine, like brushing together if possible. Let kids brush to their favorite song. Consider if your child might be motivated by a sticker chart or getting a routine high five after each brushing. You might also consider letting them pick out their next toothbrush so they can select their favorite color or character design. Children generally need to replace

their brush every three to four months to ensure they are using a brush in good condition. • Provide and encourage nutritious snacks and water over sugary drinks and foods. Water helps wash away sugar and particles of food that can lead to oral issues. Limit sugary “fun foods” to special occasions. Healthy snacks are low in sugar and high in helpful nutrients. Ideas for healthy snack options include yogurt, cheese, carrots, apples and nuts. • Schedule a visit with a dentist twice a year, starting when a child’s first tooth appears but no later than their first birthday. Please don’t wait until they start school. As soon as teeth appear, children can develop cavities! Visiting the dentist regularly at an early age allows children to become more relaxed with dental exams and can help them DON’T feel more comfortable WAIT TO should they ever need to visit the dentist for a START dental emergency. FORMING • Parents and guardians can take additional steps GOOD to ensure their child will HABITS be comfortable visiting the dentist. Consider sharing a book about going to the dentist before the child’s visit and talk about how the dentist and their team like children and are there to help protect teeth and smiles. Be mindful of how you explain going to the dentist so children avoid thinking the dentist’s office is a scary place to go. Keeping these tips in mind can help children develop good oral health habits to protect their smile over a lifetime. About the Author: Dr. Kelly Dingrando is an assistant professor at the University of Kentucky College of Dentistry. As a pediatric dentist, her interests are in preventing tooth decay, dental public health issues and educating the next generation of dentists. Dr. Dingrando sees patients at UK Dentistry at Turfland, 2195 Harrodsburg Road. More information about UK Dentistry is available at www.ukhealthcare.uky.edu/dentistry.

ABOUT UK HEALTHCARE DENTISTRY Clinic Info: 859-323-DENT (3368) • ukhealthcare.uky.edu/dentistry UK Dentistry offers expert, personalized care for the general and specialty dental and oral health needs of adults and children – empowering smiles across Kentucky and beyond.

“I WAS DETERMINED TO FIND A WAY.” Dr. Sheryl Irwin’s cancer diagnosis came as a shock. A primary care physician, she had always been healthy and active—but when a local hospital in Massachusetts told her she had peritoneal carcinomatosis and only a few months to live, she knew there had to be more options. That’s how she found Dr. Joseph Kim, a specialist in a cancer treatment called CRS and HIPEC. In this procedure, surgeons remove visible tumors in the abdomen, then bathe all the abdominal surfaces in heated chemotherapy to kill any invisible microscopic cancer cells. Dr. Irwin and her family made the 14-hour drive to UK HealthCare’s Markey Cancer Center to undergo the procedure with Dr. Kim. More than a year after her diagnosis, Dr. Irwin isn’t just living—she’s hopeful and looking forward to more healthy years ahead. Dr. Irwin is proof of The Power of Advanced Medicine.

NATIONALLY RANKED CANCER CARE Because we’re changing how Kentucky treats cancer. Because Kentuckians deserve more healthy years. Because we never stop researching, innovating and caring. That’s why UK HealthCare’s Markey Cancer Center has once again been ranked among the best cancer centers in the nation — because we rise to the challenge, every day. See how at ukhealthcare.com/cancer

The Power of Advanced Medicine

November 2021

E V E NTS NOVEMBER 2021 Daily

Centered: FREE First Yoga Class Ready to relax, create, connect, heal, move and learn? Begin your journey to a happier, healthier life. Centered offers a variety of in-person and virtual classes as well as workshops and continuing education trainings on a schedule of unique and recurring events. All are taught by experienced instructors of their movement or healing styles of choice. Classes are available by membership, package, or individual purchase, as well as sometimes donation. Enjoy your first yoga class for free! Visit centeredlex.org to find a class.

HOSTING A HEALTHY EVENT IN CENTRAL KY? Share with our readers by e-mailing details to: brian@rockpointpublishing.com LACE UP! Check out our online Race Running Calendar. Find your next local 5k, 10k or marathon: healthandwellnessmagazine.com

School. This KIDS ONLY race is being powered by Grassroots Running Club & RaceRise. This race has everything that the races that mom and dad run but is just for kids. Commemorative race T-shirts, chip timing, overall and age group awards, team/school competition, DJ, race photos and a delicious smoothie when you finish. The race will start/finish at Liberty Elementary School and run along the paved Liberty Trail. Visit runsignup.com/ Race/KY/Lexington/RisingStarsKids3K for details and to register.

Daily

Keeneland Tours Home to spectacular Thoroughbred racing and the world’s largest Thoroughbred auction company, Keeneland welcomes guests to celebrate timeless beauty via a Morning Works Tour or Behind-The-Scenes Tour. Visit tickets.keeneland.com/tourtickets/ to check date availablility and purchase tickets.

November 6

The Kentucky Book Festival The Kentucky Book Festival is a daylong, in-person celebration at Joseph-Beth Booksellers in Lexington, KY on Saturday, November 6, featuring 140 authors. Festivities begin at 10:00 a.m. Eastern Time and will include great authors like Gwenda Bond, H.W. Brands, W. Bruce Cameron, Elin Hildebrand, Silas House, Matthew Pearl, Sam Quinones, Crystal Wilkinson, and more! Visit kybookfestival.org for full schedule.

November 7

Rising Stars Kids 3K Finally a race just for kids which has all of the features & fun of the big adult races! Join us for the 2nd Annual Rising Stars Kids 3K on Sunday, November 7th at 3:00pm at Liberty Elementary

ARE YOU IN NEED OF A MAMMOGRAM? WOULD YOU LIKE A TAKE-HOME COLON CANCER SCREENING KIT? HAVE YOU RECENTLY BEEN DIAGNOSED WITH CANCER? Give us a call today! We may be able to help you!

(859) 309-1700 www.kycancerlink.org Sponsored in part by:

November 2021

November 8 – 14

November 25

Celebrate Lexington's best pizza... it's Lexington's biggest pizza party! During Lexington Pizza Week two unique, off-menu slices or small pizzas will be featured for $6 at participating restaurants. Each location will feature a meat option and a vegetarian option. Many locations have a gluten free crust option (additional charge). For the ultimate pizza experience try a pizza paired with a well crafted beer. Visit www. lexingtonpizzaweek.net/what-is-pizza-week for locations and pizza descriptions.

Join us for the 38th annual Thoroughbred Classic 5K on Thanksgiving Day, Thursday, November 25, 2021 at 9:00AM at Lexington’s historic Keeneland Race Course. Every Thanksgiving morning, runners and walkers from across the country come to Lexington, Kentucky, to take part in the Thoroughbred Classic 5K. Organized by Bluegrass Runners, the Thoroughbred Classic is a family-friendly event that benefits several local charities. We continue to be able to make an amazing amount of donations to local charities, typically over $40,000! Visit runsignup.com/Race/KY/Lexington/ ThoroughbredClassic5KKayCollinsMemorialMile for details and to register.

Lexington Pizza Week

Nov. 16 – Dec. 7

Grief and the Holidays Workshop/ Support Group A four-week support group for those who have experienced the death of a family member or a friend, as we prepare for the upcoming holiday season. These sessions will consist of grief education, coping with grief during the holidays and supportive sharing. Group will meet on Tuesdays from 10:30-12:00 p.m. via Zoom. November 16 through December 7. This group will be facilitated by Renee Mullins, LCSW and Holly Bender, LCSW. For more information or to register, please call 859.277.2700. Space is limited. Visit bgcarenav.org for details.

38th Annual Thoroughbred Classic 5K

Nov. 26 – Dec. 31

Southern Lights Holiday Festival Celebrating its 28th year at the Kentucky Horse Park, Southern Lights presented by Friends of Coal is a magical holiday tradition for thousands of families throughout the Bluegrass and beyond. See over a million twinkling lights from the safety of your car and enjoy a stroll through the Holiday Village featuring safe and family friendly activities for all ages. Drive through the lights nightly, November 26-December 31 (Closed Christmas Eve) from 5:30-10:00 pm. Avoid the hustle and bustle of the holiday season and check this item off your list by pre-purchasing your $25-percarload tickets (ticket pre-sale opens Nov. 1): www.khpfoundation. org/southern-lights/.

Eligibility Requirements:

Free Mammograms and Pap Tests

All I Need to Know is Where I Need to Go! Call 1-844-249-0708

• Age 21 or older • Has a household income less than 250% of the federal poverty level • Has no health insurance (no Medicare,

no Medicaid, or no private health insurance)

November 2021 | Read this issue and more at www.healthandwellnessmagazine.com |

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Your Family, Your Health, Our Passion Family Practice Associates of Lexington, P.S.C. Proudly serving Kentucky for 35 years.

NEW

• Family Practice • Pediatrics • Internal Medicine • Primary Care for your entire family!

Hamburg Pavilion Location

Brannon Crossing Location

1775 Alysheba Way #201

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859.278.5007 www.fpalex.com

Family Doc.

November 2021

EXPERIENCING MEMORY LOSS? SIGNS TO DIS C U S S WI TH YOUR D OC TO R

s we age, we often become more forgetful, but is it possible to distinguish between normal age-related memory changes and dementia or Alzheimer’s disease? Alzheimer’s typically progresses slowly. There are three general stages: early, middle and late. With early-stage or mild Alzheimer’s, symptoms may not be very apparent. A person may still be able to drive, work and participate in social activities, despite occasionally forgetting familiar words, having trouble remembering names or losing objects. Another sign in the early stage is asking the same questions over and over. The person may have trouble identifying a familiar object or use the wrong name for it. They may put things in unusual places. As the disease progresses to middle-stage or moderate Alzheimer’s, the symptoms become more pronounced. The person may forget their address or telephone number or personal history and events. They sometimes forget basic hygiene such as bathing, brushing their teeth or combing their hair. Their sleep patterns may change – sleeping during the day and becoming restless at night. Damage to nerve cells in the brain can make it hard for the person to express their thoughts and perform routine tasks without assistance. This often leads to frustration and anger and unexpected ways of acting out. Be aware this stage can last for many years. Late-stage or severe Alzheimer’s presents with symptoms that include loss of ability to communicate and significant personality changes. The person may experience “sundowning syndrome,” a state of confusion that occurs in the late afternoon and lasts into the night. Sundowning behaviors may include anxiety or aggression. It can also lead to pacing or wandering. This is usually the point when the patient needs extensive care beyond what families can give. The patient may need around-the-clock assistance with activities of daily living. There is no single diagnostic test to determine if a person has Alzheimer’s. To diagnose Alzheimer’s, the person’s physician will look at their family medical history, evaluate overall health and perform mental cognitive status tests. These tests evaluate memory, thinking and simple problem-solving abilities. A mini-cog test asks the patient to remember the names of three common objects and repeat them a few minutes later. The examiner will also ask the patient to draw a clock, placing the numbers in the correct order, and then indicate a time specified by the examiner. The results of this brief test can help a physician determine if further evaluation is needed. More comprehensive mental cognitive status tests are often given by a neuropsychologist to evaluate executive function, judgment, attention and language.

Find a checklist of questions to ask your doctor at www.alz.org. It is important to rule out other factors that may be causing the memory loss and confusion, such as medications or other diseases. Common causes of dementia-like symptoms are depression, untreated sleep apnea, side effects of medications, thyroid problems, certain vitamin deficiencies and excessive alcohol consumption. These conditions often may be reversed with treatment. The Alzheimer’s Association (www.alz.org) has many helpful resources for people facing dementia or Alzheimer’s, including a checklist of questions to ask your doctor. About the Author Mary H. Henkel, MD, is a native of Ashland, KY. She graduated from Transylvania University with a bachelor of arts degree in biology. She earned her medical degree from the University of Kentucky College of Medicine in 1992. She is part of UK College of Medicine’s community-based faculty. She joined Family Practice Associates of Lexington in 1996. Dr. Henkel’s goal as your family doctor is “to help you and your family maintain outstanding health and lead full, eventful lives.”

ABOUT FAMILY PRACTICE ASSOCIATES OF LEXINGTON TWO LOCATIONS: 1775 Alysheba Way, Ste. 201 and 615 East Brannon Road, Ste. 100 • 859.278.5007 • www.fpalex.com Proudly serving Kentucky for over 35 years, Family Practice Associates of Lexington is a group of primary care providers who are dedicated to giving family-centered care from birth to later years.

November 2021

SLOWING

THE EFFECTS OF

ALZHEIMER’S DISEASE

By Jean Jeffers, Staff Writer The hallmark of Alzheimer’s disease is an individual’s cognitive decline. Some memory problems are normal with aging. Cognitive decline that happens quickly or hampers day-to-day activity is termed dementia. Alzheimer’s may damage brain The dementia cells and cause dementia, making it hard presented by to remember, learn and communicate. It Alzheimer’s cannot may cause changes in personality as well as depression. be prevented but it The dementia presented by Alzheimer’s may be slowed. cannot be prevented, but it may be slowed. What can help you stay healthy and avoid this disease and/or slow the progression of the effects of Alzheimer’s? What can slow the speed of the development of dementia? Healthy habits lived each day are the key. Some healthy habits that accomplish this slowing of dementia include: • Managing bodily health. Having some disease processes, such as obesity, diabetes and high blood pressure, may increase your risk for Alzheimer’s. Therefore, eating a healthy diet and losing weight are appropriate defense measures. You can’t go wrong eating healthily. • Avoiding fad diets. Eat a rainbow of colors with a variety of fruits and vegetables. A diet high in fruits, vegetables and whole grains reduces your risk for chronic disease and it may also protect brain function. The antioxidants in leafy greens and dark-skinned and cruciferous vegetables such as broccoli, cabbage and turnips are especially protective. Other good choices include beets, Brussels sprouts, cauliflower, eggplant, kale, red peppers and spinach.

• Avoiding trans fats. Trans fats are found in baked goods such as donuts, sweet rolls, pies and cakes. These fats are listed as hydrogenated vegetable oil or partially hydrogenated vegetable oil. They are not conductive to weight loss or overall health. • Getting your omega 3 fatty acids. These are found in fish such as tuna, mackerel and herring. • Staying physically active. Do something that raises your heart rate for at least 30 minutes five times a week. Walking, hiking, bicycling and swimming are good examples. Engage in these activities with others. That makes it easier to continue doing them. • Considering vitamins. Talk with your doctor about the pros and cons of taking vitamins or supplements. • Stimulating your brain. Challenge yourself to learn something new. Read to stay informed. Do crossword puzzles. Take a class at a local junior college. • Staying social and maintaining friendships. A lunch with a friend is a social event. • Working on your mental health. Your cognitive health is largely determined by how well your brain is able to function and how well you think, reason and problem solve. Cognitive health includes remembering things, learning things and using language. A healthy brain goes hand in hand with a healthy body. Many of the things you do to help your body health also help your brain health.

SLEEP & DEMENTIA

CATCHING YOUR Z’S CAN STEM OFF DISEASE By Health&Wellness Staff Not getting enough sleep can lead to serious health problems – even dementia. Only about one-third of U.S. adults get the recommended eight hours of sleep each night. Being sleep deprived for longer periods of time can have serious consequences.

Research shows people diagnosed with dementia are more likely to have had issues with sleep in the past. Getting adequate rest is important for keeping your brain functioning well. Sleep is the time when your brain rests, relaxes and recharges. You wake up refreshed and ready to face another day when you get enough

rest. When you don’t, you may find your entire body reacts negatively. You’re in a bad mood, your thinking is clouded and your muscles are weak or even ache. Chronic sleep deprivation may lead to a higher risk of heart attack or stroke. One study suggests sleep deprivation could increase your dementia risk by 20 percent. Another

For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | November 2021

IS THERE A LINK BETWEEN

HEART DISEASE AND DEMENTIA? STUDY SHOWS CERTAIN MIDLIFE RISK FACTORS INCREASE PROBABILITY OF DEMENTIA By Health&Wellness Staff According to the National Institutes of Health, a long-term study showed certain heart disease risk factors in midlife, such as diabetes, high blood pressure and smoking cigarettes, are associated with an increased risk for dementia. The mechanisms that cause these diseases are different, but there is a connection between them. Dementia can be caused by a number of disorders, such as strokes, brain tumors, Alzheimer’s disease and late-stage Parkinson’s disease. Most forms of dementia slowly worsen. Past studies suggest problems in the vascular system – the heart and blood vessels that supply blood to the brain – can contribute to the development of dementia. Researchers have detected a higher risk of dementia among people with prehypertension, in which blood pressure levels are higher than normal but lower than hypertension. These risk factors increase the risk of a process called atherosclerosis – the buildup of fatty plaque in the key blood vessels that supply the heart, brain and many other important organs and tissues. Atherosclerosis is the process underlying many types of heart disease, including heart attacks, high blood pressure and heart failure, as well as strokes and vascular dementia. Vascular dementia, the second most common type of dementia,

Set a bedtime routine to alert your brain sleep time is approaching. study found missing just one night of sleep can lead to extra beta-amyloid in your brain. Beta-amyloid is a protein that plays a role in developing dementia. Not getting enough sleep is only one potential risk factor for developing dementia. But just because you’re currently struggling with sleep right doesn’t mean you’re guaranteed to develop dementia. That being

has strong links to heart disease. It is a result of many tiny strokes that, over time, cause brain cells to die. As more and more areas of brain tissue die, people with vascular dementia start to develop problems with thinking and memory. As the population ages, dementia is becoming a greater health concern. It is important to control vascular risk factors such as high blood pressure early in life in an effort to prevent dementia as we age. Optimizing heart health is one of the best ways to lower your risk of developing dementia. You can do this by: • Becoming more physically active. • Controlling high blood pressure and high cholesterol. • Quitting smoking. • Getting treatment for diabetes. • Watching your weight. • Adding more vegetables and whole grains to your diet and cutting down on red meat. Be sure to talk to your doctor about your risk factors and follow his/her suggestions for maintaining good heart health – and defeating dementia. Sources: • American College of Cardiology (www.acc.org) • National Institutes of Health (www.nih.gov)

said, there are steps you can take to start sleeping better. • Discuss your sleeping concerns with your healthcare provider. He or she may recommend you undergo a sleep study to rule out medical conditions such as sleep apnea that could be impacting your ability to sleep and rest well. • Go to bed and get up at the same time every day, even on the weekends. • Make sure your room is cool and dark. • Put your devices (phone, iPad, etc.) away at least an hour before you go to sleep. • Don’t sleep with the TV on.

• If you can’t fall asleep after about 20 minutes, get up for a while before trying to sleep again. Don’t lie there fretting about not being able to sleep. That only makes it worse. • Avoid caffeine and alcohol later in the day. • Don’t nap during the day. • Set a bedtime routine to alert your brain sleep time is approaching. Take a hot bath, write in your journal or listen to a relaxing playlist. • Move your body during the day, but try not to do strenuous exercise less than four hours before bedtime.

Integrative Medicine.

T H E PA N D E M I C O F

STRESS, LONELINESS & MEMORY LOSS

ublic health officials are alarmed by the COVID-19 pandemic’s associated mental health pandemic of stress, anxiety, depression, loneliness, substance abuse and suicide. People of all ages are experiencing mental slowing, fatigue, trouble thinking and memory loss. U.S. Surgeon General Vivek Murthy, M.D., is focused on loneliness and stress as public health priorities, saying, “Loneliness is associated with a reduction in lifespan similar to that caused by smoking 15 cigarettes a day.”

widespread electronic social media, many people feel isolated. This was happening before the COVID pandemic and has gotten worse. Clearly, online social networks can be helpful but are not the kind of support required to combat emotional isolation and its adverse health effects. However, even though in-person classes and meetings are curtailed or cancelled, technology also provides access to meaningful interpersonal support from peers and groups with which we are affiliated in ways that are meaningful and rich in purpose and values.

Authentic Social Connections.

Managing Stress.

Pandemic-related isolation from family, friends and co-workers is associated with increasing brain fog in people without previous cognitive impairment. It is worsening in those with preexisting memory loss. Despite

Serious psychological distress and loneliness can be caused by social isolation, fear of contracting COVID, financial strain, job insecurity, home schooling, uncertainty about the future, political polarization, increasing

violence and bad news. Stress and resilience are major research topics at the Veterans Administration and the Department of Defense. They are creating a research network seeking non-pharmacologic approaches to chronic pain and PTSD among active duty military and veterans. They focus on traditional military camaraderie as well as individual mind-body practices such as art, movement, faith, prayer, mindfulness and meditation. Murthy says, “Stress is not evidence of weakness or a personal failure but a reality of life and we have to collectively figure out how to address it … Supportive relationships, exercise, sleep and meditation can benefit children, adults, workplaces, homes, schools, public health and medical providers and their patients.” The Department of Homeland Security promotes mindfulness and meditation to its employees.

Importance of Physical Exercise.

Regular physical exercise increases oxygen to the brain and can shift body chemistry to relieve stress, depression, anxiety and memory loss. Happily, the choice of physical activity can be highly personal. Choosing an activity one enjoys increases the likelihood of regular practice and long-term commitment. Yoga, gardening, aerobics and walking illustrate the widely accessible range from which one can choose to reduce stress and promote resilience. Having a buddy with whom to exercise can help keep us motivated and combat loneliness. Emotional Well-Being.

Murthy began his tenure as Surgeon General with a listening tour, traveling extensively to cities and small towns. He was struck by a common theme. He saw people

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For advertising information call 859.368.0778 or email brian@rockpointpublishing.com | November 2021 in pain everywhere – pain behavioral approaches on an from medical and emotional individual and population conditions, memory loss, scale. Just as the reasons for this pandemic are complex and financial uncertainty, violence, multifactorial, our prevention stress of daily life and work – and treatment approaches must and the pain and grief of losing also be varied and tailored family to the opioid crisis. to the educational, cultural, Regardless of geography, urban social, religious, financial and or rural residence, race, age, medical demographics of beliefs, background or political affected individuals and groups. party, there was universal Murthy touts the benefits of recognition that stress was mindfulness and meditation – overwhelming Americans’ including practices ability to cope. that increase Among lawmakers “LONELINESS and citizens alike, the IS ASSOCIATED compassion, empathy and desire for emotional WITH A kindness – for well-being was the REDUCTION ourselves and for one issue people IN LIFESPAN others. everywhere agreed SIMILAR Psychotropic upon. Murthy ended TO THAT medications are his tour convinced CAUSED BY an essential and that addressing SMOKING 15 sometimes lifestress and emotional CIGARETTES A saving treatment well-being is critical DAY.” option. But we to maintaining our will not medicate individual health and our way out of this epidemic. the health of our society. Health professionals and Murthy passionately argues patients are also concerned for a societal, public health about the unintended dangers perspective on stress and of polypharmacy and an overemotional well-being. “When medicated society. These we have stress and emotional dangers are more common discord that prevent us from in the elderly, who are more coming together and talking about solutions to big problems likely to have multiple chronic as a country, that affects us all… illnesses, but people of all We know from data that people ages are vulnerable to the medication burdens of cost, who say they have a best friend at work are much more likely to side effects, drug interactions and the sense of dependency stay in that job, be productive and not burn out… I believe we on pills. Meditation can be practiced can build a country that is more alone, with a meditation buddy compassionate and more kind – that recognizes our emotions, or a group. Dr. Patterson offers a free weekly group class as when properly cultivated, are our greatest source of strength.” well as an eight-week intensive mindfulness-based stress Meditation. reduction (MBSR)course. Let’s Brown University School help ourselves and each other of Public Health recently manage this pandemic of stress, created a Mindfulness Center loneliness, memory problems, to apply evidence-based mental and emotional

strain by emphasizing lifestyle approaches for our family, friends, co-workers, communities, society and planet.

• U.S. Department of Homeland Security (www.dhs.gov/employeeresources/mindfulness)

Resources

Dr. John Patterson is past president of the Kentucky Academy of Family Physicians and is certified in family medicine, mind-body medicine, integrative holistic medicine, mindfulness-based stress reduction, physician coaching and yoga therapy. He teaches mindfulness and mind-body skills for the University of Kentucky, Saybrook College of Integrative Medicine and Health Sciences (Pasadena, CA) and the Center for Mind Body Medicine (Washington, D.C.). He operates the Mind Body Studio in Lexington, where he offers classes, consultations and coaching to manage stress-related conditions and prevent burnout. He can be reached through his website at www.mindbodystudio.org.

• 12 Mindfulness audio sessions Dr. Patterson has created at Mind Body Studio (www.mindbodystudio.org/?page_id=1594) • Brown Center for Mindfulness (www.brown.edu/public-health/ mindfulness/home ) • National Institutes of Health webinar, “The Public Health Consequences of Stress in America: NIH Director Francis Collins, M.D., interviews U.S. Surgeon General Vivek Murthy, M.D.” Sept 7, 2017. www.nccih.nih. gov/news/events/a-nation-underpressure-the-public-health-consequences-of-stress-in-america • Together: The Healing Power of Human Connection in a Sometimes Lonely World. Vivek Murthy, M.D., Harper Wave, New York, NY, 2020

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November November 2021 2021 | Read this issue and more at www.healthandwellnessmagazine.com |

HandWmagazine

DYSAUTONOMIA

AS A COMPLICATION OF COVID-19 AND ITS DELTA VARIANT

By Dr. Tom Miller, Staff Writer COVID-19 and the Delta variant affect different people in different ways. Most infected people develop mild to moderate illness, but some complain of symptoms lasting for weeks or months. Others have mentioned symptoms such as fatigue, headache, breathing issues and loss of taste or smell. The World Health Organization and the U.S. Centers for Disease Control and Prevention have been closely monitoring dysautonomia and the ongoing coronavirus pandemic. Dysautonomia refers to a wide range of conditions that affect the autonomic nervous system. Autonomic neuropathy occurs when the nerves that control involuntary bodily functions are damaged. The autonomic nervous system regulates functions we don’t consciously control, such as heart rate, blood pressure,

November 2021

Dysautonomia is often linked to conditions such as Parkinson’s disease and diabetes.

Are you between the age of 45-75?

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COLON CANCER SCREENING SAVES LIVES

perspiration and body temperature. The nerve damage interferes with the messages sent between the brain and other organs and areas of the autonomic nervous system. This may include the heart, blood vessels and sweat glands. Symptoms that often present themselves may include fainting, cardiovascular issues and breathing problems. Dysautonomia is often linked to conditions such as Is COST a keepinY Parkinson’s disease and diabetes. Other health conditions may be involved as well. Dysautonomia can affect a person’s blood pressure, for c G O O D You may qualify for a free B U T O N L screened Y IF temperature control, digestion, bladder function and even sexual Youare: may qualifyYfor O Ua A function. colonoscopy if you N E W S ! While many people recover fairly quickly from COVID-19, GET TE T E Dare: ! ifSyou U others may experience symptoms for months. Clinical researchers i continue to exam the cause of these extended symptoms and are U YOU MAY QUAL w now realizing some COVID-19 patients who experience extended IsIsCOST COSTa akeeping keepingyou youfrom frombeing being C O L O N O S C O Pg coronavirus symptoms may actually be dealing with a condition screened screenedfor forcolon coloncancer? cancer? called postural orthostatic tachycardia syndrome or POTS. This Uninsured or A Uninsured or Age 45-7I condition affects involuntary nervous system functions, such undersinsured under 45 may Underinsured Age 45-75 as heart rate and blood pressure, usually upon standing from a Uninsured: No public/private insurance under 45 may qualify Uninsured: reclining position. POTS can be triggered by a variety of conditions, Undersinsured: High deductible plan in some cases No insurance. withpublic/private out-of-pocket greater including viral or bacterial infections. Some researchers believe YY Omaximums O U UMM AA YY QQ UU A than A L ILFI Y F YF O FO R RA AF R FR EEE 5% individual annual income Underinsured: Uninsure coronavirus can be a trigger for POTS, as an increased number CC OO LO LO NN OO SC SC OO PY P YI FI FY Y OO U UA A RR E :E : Uninsured: NF High deductible plans of people who recovered from COVID-19 are now experiencing Underinsurede POTS-like symptoms, such as brain fog, tachycardia or increased Age45-75 45-75 out-of-pockeK No Medicare Part B Age under under 4545 may may qualify qualify in in come come cases cases heart rate and general fatigue. individual inc8 Coverage POTS can be very debilitating and requires specific treatment, 8 so an accurate diagnosis is essential. The research in this area is SCREENING SAVES LIVES A Kentucky A Kentuck Uninsured UninsuredororUnderinsured Underinsured still ongoing. So far, there have been reports Resident of people with mild but ONLY if you get tested! This program is funded by the includes legal Uninsured: Uninsured: NoNo public/private public/private health health insurance insurance COVID-19 symptoms developing POTS as Includes well. Legal Immigrants: Kentucky Colon Cancer green card ho Underinsured: Underinsured: High High deductible deductible plan plan with with out-of-pocket out-of-pocket maximums maximums greater greater than than 5%5% of of work/student Call 859-309-1700 or 877-597Screening Program greenTreatment card holders There is no permanent cure for dysautonomia. individual individual income income refugees work/student visa 4655 focuses on suppressing the symptoms and disabilities associated A Kentucky refugee to discuss eligibility! with the disease. Treatment varies from person to person; the A AKentucky KentuckyResident Resident Resident method is determined according to the patient’s constitution CREENING includes includes legal legal immigrants: immigrants: Includes S Legal and the symptoms displayed and recognized by their health care green green card card holders holders Immigrants: BUT ONLY IF YO work/student work/student visas visas provider. refugees refugees • green holders C A L L card 859 .309.1700 Funding provided by: Dysautonomia International is a non-profit organization that Don’t let cost keep you from being • work/student visa Kentucky Colon Cancer Screening Program TO DISCUSS seeks to improve the lives of individuals living with autonomic screened for colon You may qualify for a Gfree S C SC RR E Ecancer. N E N I NI N G SA SA VV ES E SL ILVI V ES E• Srefugees nervous system disorders through research, physician education, colonoscopy ifN are: BB UU T TO O N Lyou Y L YI FI F YY OO U UG G ET E TT E TNot S ET SE T D ED ! ! back for your foll B U programs. T O NMore LY IF going public awareness and patient empowerment C C A A L L L 8 5 8 9 5 . 9 3 . 0 3 9 0 . 9 1 . 7 1 0 7 0 0 O O R R 8 7 8 7 . 7 5 . 9 5 7 9 . 7 4 . 6 4 6your 5 5 deductible is T because5 information is available through the link below.

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Sources & Resources

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Dysautonomia International (www.dysautonomiainternational.org)

About the Author: Thomas W. Miller, M.S., Ph.D., ABPP, is a Professor Emeritus and Senior Research Scientist with the Center for Collaboration on Health, Intervention and Prevention at the University of Connecticut and Professor in the Department of Gerontology at the College of Public Health and in the Department of Psychiatry at the College of Medicine at the University of Kentucky.

SCREENING SAVES LIVES

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November 2021

N AT U R E ' S

Tamarind MAKE A DATE TO TASTE AND SEE WHAT THIS TREE AND ITS FRUIT ARE ALL ABOUT By Tanya Tyler, Editor Health&Wellness Tamarind is a hardwood tree that is native to Africa but also grows in India, Pakistan and many other tropical climates around the world. Tradition says it was planted in Egypt around 400 BCE. India and Thailand produce the most tamarind – indeed, the fruit is sometimes called the date of India. The tree produces bean-like pods filled with seeds surrounded by a fibrous pulp. The pulp can be eaten on its own with some added sugar and salt. When the fruit is young, the juicy pulp is green and sour. As it ripens, the pulp becomes like a paste that tastes more sweet than sour. Tamarind fruit is a staple in Asian, African and Middle Eastern cuisine and is often used as a flavoring and as an ingredient in chutneys, sauces (such as Worcestershire sauce) and curries. Try substituting it for lemon in savory dishes to add a sour note. The fruit comes in three main forms: intact raw pods, which can easily be opened to remove the pulp; a pressed block, which involves removing the shell and seeds and compressing the pulp into a block; and tamarind concentrate, which is pulp that has been boiled down. It is also available in powder form. People in Malaya feed their babies a concoction made

B E A U T Y

of tamarind pulp and coconut milk. Tamarind paste is often mixed with sugar to make candy. The partially dried fruit of the tamarind tree is used medicinally as well as in cooking. It has long been a part of traditional medicine’s arsenal to treat malaria. It has been used to treat dry eye, constipation, fever, gallbladder disorders and many other conditions. What makes tamarind so versatile? It contains a chemical similar to mucin, which is found in the eye and helps protect and wet the surface of the cornea. It also has some ingredients that may have laxative effects. Other ingredients fight against certain fungi and bacteria. Tamarind contains polyphenols, which are naturally occurring plant compounds that have health benefits. Many polyphenols act as antioxidants in the body. These antioxidants that fight cancer-causing cells may boost heart health. It has been observed that tamarind rids the arteries of LDL cholesterol. Tamarind extract contains natural compounds that have antimicrobial effects. Studies have shown the plant itself may have antifungal, antiviral and antibacterial effects. Tamarind juice and pulp are often used to treat indigestion because they are both sweet and acidic. Tamarind contains vitamins such as E, C, B and multiple minerals and has a

surprisingly high calcium content compared to other fruits. The potassium in tamarind acts as a vasodilator, controlling blood pressure by reducing stress on the arteries and other vessels. Other healthy claims for tamarind include boosting the immune system, preventing heat stroke, supporting weight loss, aiding the development of muscle and nerves and supporting digestion. Tamarind seed appears able to lower blood sugar levels, although a person with diabetes is advised to consult with their physician before using tamarind seed to control their blood sugar. Sources • • • • •

All Recipes (www.allrecipes.com) Healthline (www.Healthline.com) Natural Food Series (www.naturalfoodseries.com) Simply Health (www.simplyhealth.com) WebMd (www.webmd.com)

The partially dried fruit of the tamarind tree is used medicinally as well as in cooking.

MIND Your Diet to Fight Alzheimer’s A recent study suggests following the MIND diet – specifically designed for improving brain health – can slow cognitive decline in individuals with Alzheimer’s disease. Alzheimer’s is associated with the unusual accumulation of protein deposits called beta-amyloid plaques and neurofibrillary tangles in the brain. These protein deposits are largely responsible for the impairment of cognitive function usually found in Alzheimer’s. Some studies suggest the Dietary Approaches to Stop Hypertension (DASH) diet and the Mediterranean diet can improve cognitive function. Based on those studies, the two diets have been combined to create a hybrid MIND diet that is specifically designed to improve brain health. The MIND diet emphasizes eating leafy green and other vegetables, as well as berries, legumes, fish, nuts and whole grains, while limiting the consumption of butter, cheese and red meat. The diet was associated with a slower rate of decline in cognitive function with aging.

Food Synergy Looks at Bioavailability Food synergy is the concept of how nutrients from different foods interact and improve (or even diminish) the absorption and bioavailability of the nutrients in the body. Bioavailability is the proportion of a nutrient in a food that is digested, absorbed and metabolized in the body. Not all micronutrients we consume are fully absorbed, which means we do not receive the most nutrition from our food.

Focusing on food synergies can be beneficial because there has always been an interest in the concept of food as medicine – consuming natural, minimally processed foods to get the most nutrition for better health outcomes. Food synergy explores how the non-random mixture of food constituents operates in concert for the life of the organism eaten and, presumably, for the life of the eater. Isolated nutrients have been extensively studied in well-designed, long-term, large randomized clinical trials. Source: Nutrition Facts (www.nutritionfacts.org)

Postbiotics Take a Stand Emerging research indicates how important gut health is for overall health. Postbiotics aren’t as well known as pro and prebitoics, but the study of this new category of functional ingredients indicate they may have wide-ranging implications for health. Postbiotics include either whole microbial cells or components of the cells that have somehow been deliberately inactivated. They are byproducts of fermentation in the intestine. When probiotics feed on prebiotics, postbiotics are produced, including organic acids, bacteriocins, carbonic substances and enzymes. Postbiotics can be found in some foods containing probiotics, such as kimchi, kefir and sourdough bread. Postbiotics are likely to have many of the same benefits of prebiotics and probiotics, including lowering blood sugar and the risk of obesity and preventing leaky gut, as well as antimicrobial and anti-inflammatory benefits. Specific strains have also been shown to have expanded benefits, including for oral health and skin health. Source: Spoon Shot (www.spoonshot.com)

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