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GETHealthy

Spring/Summer 2017

Between Health & Life: Norton

Dawne Gee’s

stroke scare

Let the CLUTTER GO!

What is a MIDWIFE?

At-home ALLERGY FIXES

CONTENTS Spring/Summer 2017

Why a little pain doesn’t always hurt...................

The health benefits of

2

Let it go! Declutter your life for . better health and happiness.........................................

4

Featured physician Jae Y. Jung, M.D., Ph.D........................................................

6

Dawne Gee’s recovery from stoke .........................

7

How one busy family managed a health crisis....................................................................

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Family together time.....................................................

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What is a midwife?.......................................................... 7 ways to knock out allergies at home............ Philanthropy

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Young breast cancer survivor’s story....................

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Class and event calendar...........................................

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Mother’s Day Ways to show mom some love on May 14 Looking for a way to honor mom? Try one of these ideas: 1. Help her plant a garden. 2. Write from the heart in a handmade card. 3. Better yet, go for a walk and tell her how much you love her, and why. 4. Call her (not text, not email). Go old school and talk on the phone. 5. Get everyone out of the house and give her some alone time.

Try this 1 WAY TO



We cannot direct the wind, but we can adjust the sails.” –Dolly Parton

PRACTICE GRATITUDE

Today, make it a point not to complain, criticize, gossip or put yourself down. It will take intention, but you can do it. Notice how much more energy negative thoughts take. Notice how much happier you feel when you are positive. Try it again tomorrow!

Get Healthy

Healthy eating means more than watching fat or calories. It also means knowing where your food comes from and how it was grown.

In addition to being more humanely raised, grass-fed beef, for example, has more nutritional benefits than “factory farmed” beef. It is: • Antibiotic-free

What is local food? It’s food grown (or

• Hormone-free

raised) and harvested close to your home. When it is ready for eating, it travels a much shorter distance than foods coming from the industrial food system, which can travel up to 3,000 miles to reach your plate. Fruits and vegetables lose important nutrients during that journey. You may think you are choosing healthy when you snack on a piece of broccoli, but you could be getting about half of the vitamin C content as it had when it was picked. Eating local also means choosing grass-fed meat from area farms. Grass-fed means the animal is raised on pasture, where it is able to graze and eat what its body was made to consume, which is better for both the animal and humans.

• Higher in omega 3s • Ounce for ounce, lower in calories and . saturated fat • High in vitamins A and E • Rich in taste and protein As an added benefit, when you eat or shop local, you are putting money back into our local economy. The small family farmers you are supporting return their profits to the community as they spend it on farmrelated needs and other goods.

LOOK LOCAL FOR

at Norton HEALTHCARE Want to get more great articles like the ones in this magazine? Sign up for our weekly Get Healthy e-newsletter to have them delivered directly to your email inbox. It’s free! Sign up at NortonHealthcare.com/ News.

Look for local beef and produce in Norton Healthcare cafeterias! They offer a variety of local produce and grass-fed beef burgers every Friday. All cafeterias are open to the public.

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WHY A LITTLE PAIN DOESN’T ALWAYS HURT

Living with pain? Changes to your diet and lifestyle can help relieve pain. Here are some ways:

Foods for pain relief

More than one-quarter of . U.S. adults have chronic pain

Salmon

Ginger

Turmeric

Exercises for pain relief Painkillers aren’t the only answer

Y

ou don’t have to look far to find news about the opioid drug crisis. It is the catalyst for the heroin epidemic and frightening rise in drug overdoses. In many cases, the problem starts innocently with seeing a doctor for pain. Opioids are prescription painkillers, including Vicodin, Percocet, hydrocodone and fentanyl. If you sustain an injury, need surgery or have been living with a chronic condition, it’s important to understand that the goal is not necessarily to be completely pain-free. “Individuals feel pain differently and respond to pain relievers differently,” said Daniel Kean, M.D., pain management specialist. “It’s important you have clear expectations about pain before surgery, during recovery from an injury or after a diagnosis of a painful condition.”

About our pain management specialist Daniel Kean, M.D., physical medicine and rehabilitation, sees patients at Norton Rehabilitation Physicians, Norton Healthcare Pavilion, Suite 185, 315 E. Broadway, Louisville, KY 40202; (502) 629-5455

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Managing your pain-relief expectations • Can you live with it while your body heals? • Do you have financial or insurance limitations to your options? • Are you willing to put time into trying different methods?

Light weightlifting

“When you understand what is causing the pain and why, you can work with your doctor as a team to make better decisions about how to manage it,” Dr. Kean said.

Yoga or other stretching

Walking

Other ways to relieve pain

–Joyce Retz

Need help managing pain? Your first stop should be your primary care physician. He or she can make a plan for relieving pain based on your personal needs. Need a physician? We can help find the right one for you. Call (502) 822-2613 or visit MyNortonDoctor.com.

Get enough sleep

Massage

Meditation

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Let it go! Robert Trachtenberg photo

.

Declutter your life for better health and happiness

C

hew on this: Clutter is stuff. But clutter is never about stuff. If you didn’t get a chance to see professional organizer Peter Walsh at Norton Healthcare’s “Go Confidently” event in April, then read on. A motivational speaker, Walsh is known around the globe from his TLC series “Clean Sweep,” his appearances on “The Oprah Winfrey Show” and his collection of books on decluttering and getting organized. His practical advice on cleaning up your home and your life for better health and happiness is needed now more than ever as we navigate a world of overconsumption. Too much buying, too much stuff, too much food, too much to do. Consumption turns into clutter, and clutter is killing us. “It’s a false notion that more is better or that . material things amount to happiness,” Walsh said. . “Stuff can end up owning you, and all of a sudden you’re robbed of peace of mind, calm, being centered — and that’s where everything goes off the rails.”

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Try Peter Walsh’s 31 days to get organized challenge. Here’s a taste:

How does clutter impact physical health? . The stress caused by living in a cluttered environment can elevate hormones that cause the body to hold on to excess weight. In Walsh’s book “Lose the Clutter, Lose the Weight: The Six-Week Total-Life Slim Down,” he cites a study that found people whose houses were considered very cluttered were 77 percent more likely to be overweight.



Peter Walsh

Don’t know where to start?

It all comes down to having a space that creates the life that you want.”

DAY 1

Choose one drawer

in your home to organize.

DAY 3

Declutter under your bed.

DAY 2

Get rid of sweaters you no longer wear.

–Peter Walsh

“Clutter and being overweight reflect our too-busy lifestyle,” he said. “We buy too much stuff, eat too much food and don’t pay attention to the state of our bodies or our homes.” Clutter also can worsen allergies and asthma because of added dust and dander. In addition, clutter can cause physical manifestations of mental health issues, such as anxiety or depression. To gain control of your clutter, begin by removing items from your home that are not meaningful. Your possessions should bring you joy and comfort. If they don’t, you don’t need them. “If the stuff in your home doesn’t make your heart sing, what’s it doing in your most intimate of spaces?” he said. Once clutter is removed, you will find it easier to take better care of yourself. You will have more energy, a more positive attitude, and you’ll be more in tune with your body and what you’re putting into it.

DAY 4 Declutter your luggage.

DAY 5

Organize and manage your

gift-wrapping supplies.

DAY 8 Choose one sink in your home and clean it.

DAY 6

Declutter and organize your nightstands.

DAY 7 donation basket.

Find seven things to put in a

DAY 9 DAY 10

Declutter and organize wallets, purses and pocketbooks.

DAY 15

Declutter one desk drawer.

DAY 20

Learn more about decluttering in Walsh’s new book, “Let it Go,” then sign up for the next Go Confidently speaker events. Register at NortonHealthcare.com/GoConfidently. July 19 • Janice Kaplan Transform Your Life Through Gratitude Oct. 18 • Gretchen Rubin The Four Tendencies for Happiness and Better Habits

Get back in touch with someone.

DAY 25 Declutter your jewelry.

–Jennifer Reynolds

Learn More

Declutter and organize your digital life.

DAY 31 List three new challenges you’ll commit to.

Find the whole list at PeterWalshDesign.com/Get-Organized.

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“Even for cancer patients, it’s striking how many will stoically put up with nausea, vomiting and diarrhea but completely fall apart over a disfiguring facial rash,” Dr. Jung said. “We now have very good treatment options to relieve their suffering.” Dr. Jung is the only dermatologist in our area using oncolytic virus therapy to treat melanoma. Oncolytic simply means the virus infects and kills cancer cells. This breakthrough therapy delivers a harmless form of herpes virus direct to a cancerous lesion, where it triggers the body’s immune system to fight the cancer. According to the Centers for Disease Control and Prevention, skin cancer is the most common cancer in the United States, and melanoma is the most serious form of skin cancer. Melanoma Jae Y. Jung, M.D., Ph.D., with a patient at Norton Cancer Institute diagnoses are responsible for 75 percent of all skin cancer deaths. Kentucky ranks among the aving “skin in the game,” a phrase largely nation’s top 10 states for incidence of melanoma. credited to money maven Warren Buffet, means investing in something in which you Immunotherapy is a game-changer have a personal stake or buy-in. While Buffet was for patients. We’re seeing an amazing referring to financial investments, he could easily have number of new therapies for skin cancers been describing Jae Y. Jung, M.D., Ph.D., an oncologic and inflammatory skin conditions.” dermatologist who recently joined Norton Cancer

H

Institute. As the first cancer specialist in the Louisville area with a subspecialty in oncologic dermatology, Dr. Jung has a personal stake in helping patients whose quality of life is taken by severe skin diseases.

Jae Y. Jung, M.D., Ph.D.. Medical degree: Washington University, St. Louis, Missouri Residency: Washington University, St. Louis, Missouri Fellowship: University of Utah Department of Dermatology,

Salt Lake City Office location: Norton Cancer Institute – Downtown, 676 S. Floyd St., Louisville, KY 40202; (502) 629-2500



–Jae Y. Jung, M.D., Ph.D.

“We’re seeing extraordinary results with oncolytic virus therapy,” Dr. Jung said. “Two of my past patients had complete remissions.” Dr. Jung cares for patients at high risk for skin cancer and serious skin-related complications that can stem from chemotherapy, bone marrow transplant or metastasis to the skin from other cancers. She also treats graft versus host disease. This is a potentially serious complication associated with bone marrow and organ transplants in which transplanted immune cells attack the patient’s body. –Menisa Marshall

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Nick Bonura photo

Nick Bonura photo

Jae Y. Jung, M.D., Ph.D.. A physician with skin in the game

A renewed sense of thanksgiving

D

awne Gee, WAVE 3 News anchor and beloved local philanthropic supporter, was preparing for a busy Thanksgiving week. Little did she know her life would hang in the balance as she suffered a stroke on live TV. The week of the stroke, Gee knew something wasn’t right. She visited her rheumatologist, orthopedic specialist and an immediate care center all before she finally took the doctors’ advice to rest. The night before Thanksgiving she committed to herself that for

the next 24 hours she would stay off her feet, take her medication and get some rest. “My legs were swollen two to three times their normal size,” Gee said. “And I just felt bad.” Unfortunately a turn of events that connected with her personally and professionally called her out of the house on Thanksgiving Day. There had been a shooting at a well-known Louisville event. Her sister was there in all the chaos and the news station called on Gee to report live from the scene. ❱ ❱ ❱ N o r t o n G e t H e a l t h y. c o m

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❱ ❱ ❱ Continued from previous page

Dawne Gee’s recovery from stroke

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“The key with tPA is timing. The sooner the better to save brain cells from dying,” said Nadeem A. Talpur, M.D., neurologist and medical director of the stroke program with Norton Neuroscience Institute. “In order for tPA to be effective, it has to be administered within three hours (and in some cases up to 4.5 hours) of the patient demonstrating the onset of symptoms.” The emergency physician explained that if action wasn’t taken very soon, their loved one would be left in the state she was currently in — no movement on her left side and limited ability to speak. “That’s not how I wanted to be,” Gee said through her tears. Within an hour after the tPA was started intravenously, without even being aware of it, Gee was able to lift her head. Then wiggle her finger. Then lift her arm. Her family was ecstatic. She was on the road to recovery. Then, over the coming days, while in the intensive care unit, the gravity of her situation set in. Gee was overtaken by a deep feeling of depression. “The depression for me was real,” she said. “It felt like winter clothing that I could not shed. I wrapped myself in it.”

tPA

Quick facts • Considered the gold standard in stroke care • FDA-approved and saving lives for 21 years • When given promptly, it can reduce long-term effects

and disability • Called “the clot buster” • The sooner you receive it, the better your chance of

recovery Learn more about tPa at NortonHealthcare.com/News, keyword search “tPA.”

When Dawne Gee suffered her stroke on air that day in November, those around her knew the signs and acted quickly to get her life-saving help. Chief meteorologist Kevin Harned was the first to notice something wasn’t right. “I noticed that Dawne was sitting on the floor rubbing her leg while I was doing the weather. I thought something was odd then, but we’re on live TV,” said Harned, long-time friend of Gee’s. “Then I noticed as she began to give the news that she was slurring a bit and having trouble reading. Within seconds she was on the ground. I yelled out to the floor crew to call 911.” Gee attributes the crew’s fast action with saving her life. Would you recognize the signs of stroke and know what to do if your loved one or co-worker needed help? “It is important for everyone to remember that time lost is brain lost,” said Shervin R. Dashti, M.D., Ph.D., . co-director of cerebrovascular/endovascular neurosurgery for Norton Neuroscience Institute. “If someone around you is demonstrating any signs of stroke, BE FAST and call 911 immediately.”

Know the signs of a stroke: Nick Bonura photo

“No one really knew I had been feeling bad,” she said. “And I just kept telling myself, ‘You are tougher than this’ while I was covering the event at Shawnee Park.” Gee eventually left the park and was back home resting, but the pain in her legs was continuing to worsen. “I remember after the midday show on Friday my mother calling me and asking what was wrong, that I just didn’t look like I felt good during the live show. A little while later my youngest son called and asked the same thing,” she said. “I told them both that I could make it to 8 o’clock, the end of my shift. Then I would be home and could rest.” Gee remembered having some chest pain throughout the day. She had nitroglycerin pills for angina, a heart condition that causes chest pain. By the time the 7 p.m. newscast started, Gee had taken three nitro tabs and was counting down the minutes until she could go home. She told herself to just read what was on the teleprompter, “You can do that — just read.” “The 7:30 newscast started and I remember tossing to a weather segment and feeling like I had to sit down while I was off camera,” she said. “I could hear Kevin [Harned] doing his weather forecast and preparing to send it back to me, but by then I was sitting on the floor and wasn’t sure how I would get back up.” With all her might, Gee was able to pull herself up to a standing position as the camera turned back to her. She tried to speak, but she had no control. “From there, I don’t remember anything until I woke up in the emergency room,” she said. Gee was rushed to Norton Hospital. A team of physicians, nurses and medical personnel quickly assessed her condition. Within minutes they had determined she was suffering a stroke and part of her brain was being deprived of oxygen-rich blood. “My children were crying and I couldn’t hug them; my mother was crying and I couldn’t comfort her,” Gee said. Gee recalls the emergency department physician coming in to speak to her family. “He was telling them that ‘your mother’s window is closing’ — referring to the drug treatment — and my children were arguing about what to do,” she said. That drug treatment is tissue plasminogen activator (tPA).

KEVIN (and crew) CALLED IT

Dawne Gee and Kevin Harned of WAVE 3 News She credits the ICU staff for helping her rebound. “They do miraculous things,” she said, referring to her ICU team. “They gave me exactly what I needed in the moment, whether that be encouragement or a stern talking to in order to get me out of my self-pity party.” Gee had to learn to walk again, at first only a few steps at a time. “But I knew that three steps would lead to 30; and 30 steps would lead to 300 and that 300 would eventually get me back home.”

BE FAST

Balance: Is the person having trouble walking? Eyes: Is the person having trouble seeing? Face: Ask the person to smile. Does the smile look even?

Arms: Ask the person to raise both arms. Does one

arm drop down?

Speech: Does the person have trouble speaking or seem confused? Time: Time lost = brain lost; call 911 immediately.

–Lynne Choate

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Turning LEMONS into LEMONADE

Most recently, Wagner had an accident at the playground and broke his leg. Through MyNortonChart, Elizabeth was able to see when his X-rays were available, manage his upcoming appointments and pay his bills under the same profile as hers and Eamonn’s. “It’s through unfortunate, unexpected events like these, that ease and convenience of health care really matters, especially when you have a family and both parents work,” Elizabeth said. “Thankfully, now we are all healthy and ready for a vacation!” –Nicholas Clark

Nick Bonura photo

HOW ONE BUSY FAMILY MANAGED A HEALTH CRISIS

E

amonn and Elizabeth Murphy, of Louisville, had dreams of what a lot of couples want in life — to get married, experience the joys of being newlyweds, have children, a “white picket fence” and live happily ever after. All in a perfect world, right? Nobody dreams about the curve balls that life inevitably throws us. In March 2015, Eamonn and Elizabeth welcomed their first child, Wagner. “We were so excited when we found out we were pregnant,” Elizabeth said. “But we knew that life was going to change dramatically. It wasn’t just about ‘us’ anymore.” The couple were immersed in parenthood — loads of diapers, sleepless nights, feedings and keeping tabs on Wagner’s health and development — when a major curve ball was thrown their way.

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What can MyNortonChart do for you? Whether you are faced with a complex health issue or just need to keep up with yearly well checks, MyNortonChart takes the confusion out of keeping up with your family’s health. It’s fast, free, easy and, most of all, convenient — available 24/7 from any device with an internet connection. • Schedule appointments • View test results • Communicate with your providers • Request prescription refills • Pay your bill • Schedule a video visit with a provider (Norton eCare)

Eamonn, Wagner and Elizabeth Murphy Shortly after Wagner’s birth, Eamonn was diagnosed with testicular cancer, a common — and often curable — disease in young men. “It was a really stressful time in our lives,” Elizabeth said. “But Eamonn and I tried to stay positive and knew we could get through this with the amazing support of our family and friends.” Fast-forward to surgery, and today Eamonn is cancer-free. “Regular CT scans and screenings are a part of my post-recovery care,” he said. “It’s always good to have that peace of mind that everything is OK and you’ve got a team of doctors behind you.”

• Access your child’s or family member’s medical records

Appreciating convenience Through Eamonn’s diagnosis and the frequency of appointments and communication with doctors, the couple found out about MyNortonChart, a secure online patient portal that allowed them to access and manage Eamonn’s appointments, messages with his physicians, test results and bills. “The last time MyNortonChart benefited us was a reminder we received that it was time to schedule Eamonn’s CT scan,” Elizabeth said. “MyNortonChart is so accommodating with the hustle and bustle of our everyday lives.”

Learn more Learn about additional features and get started with MyNortonChart at NortonHealthcare.com/MyChart.

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6 surprising benefits

W

of family time W

Need a fun family activity? Join Norton Children’s Prevention & Wellness for a two-day Fruit and Boot Camp. Learn a new recipe and a new way to get active with your school-age kids. Choose from one of the following free sessions. Register by calling (502) 629-KIDS.

Fruit and Boot Camps Tuesdays, June 6 and 13 • 6 to 7:30 p.m. Ujima Neighborhood Place 3610 Bohne Ave. Louisville, Kentucky Tuesdays, July 18 and 25 • 6 to 7:30 p.m. Norton Children’s Medical Center 4910 Chamberlain Lane Louisville, Kentucky Thursdays, July 20 and 27 • 6 to 7:30 p.m. The Hall at Shively Community Center 1902 Park Road Louisville, Kentucky

e all know the benefits of being active and eating healthy foods: Good nutrition and regular physical activity strengthens and nurtures our bodies and minds. But wait, it gets even better! Involving the whole family in physical activity and meal prep has added benefits, including improved academic scores, higher self-esteem and reduced risky behaviors among kids! Let’s look at meal time: Here are six surprising If you involve kids in the benefits of sharing meals kitchen, they not only learn basic cooking skills that build and activities as a family. confidence, but it teaches Builds confidence them useful life skills. Eating in kids together provides critical conversation that promotes family bonding and broadens Promotes family kids’ vocabulary. Kids who bonding eat meals with their family regularly have better grades, Can lead to better and are less likely to get in grades trouble or try risky behaviors. Families who cook at home also are more likely to eat Less likely to get healthier meals, contributing in trouble to better overall health. Being active with the Less likely to try whole family not only is more risky behaviors fun, but also promotes much of the same bonding and Improves benefits as sharing meals. vocabulary Best of all, everyone has a little fun together! Set a goal of doing something active together each week, then a few times a week, working toward a daily goal. Go on a family hike, ride bikes around the neighborhood, play ball, set up an obstacle course, create a family circuit exercise around the house, or simply turn on the radio and show off those dance moves. –Jenita Lyons

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hile women today have more choices than ever when it comes to childbirth, midwifery is as old as time. In the U.S., the first licensed midwives date back to the early 1700s. At a time when there were few doctors and it was considered indecent for a man to attend a birth, midwives played a vital role in bringing a new life into the world while keeping the mother safe during the oftentimes dangerous delivery. There are many types of midwives certified to perform a variety of functions. Midwives who practice in the medical setting are certified nurse midwives (CNMs). They are highly trained nurse practitioners who are board certified in midwifery. “Certified nurse midwives provide the full scope of obstetric and gynecologic care,” said Julie Mease, CNM. “We see women of all ages, including those who are beyond their childbearing years.” Mease’s primary focus is care of women who are pregnant or in their childbearing years. This includes both general gynecologic care as well as obstetrics. She differs from an OB/GYN in that she offers greater support for women seeking a natural, places an emphasis on natural, unmedicated birth or an alternative birth plan. “During labor, a midwife provides hands-on, holistic support for the woman and family,” Mease said. “In addition, I am medically trained to deliver the baby, just like an obstetrician.” Midwifes are sometimes confused with doulas. . A doula offers labor support but does not have the medical training nor the responsibility of delivering . the baby. “A big part of my job also is education. I typically spend more time with the woman during appointments to educate and offer support so that she can make the best choices for herself and her baby,” Mease said. “This starts before conception and goes well beyond childbirth.” –Jennifer Reynolds

What is a midwife?

Women have options when it comes to giving birth, including who delivers the baby.

Think a midwife is right for you? Julie Mease, CNM, is accepting new patients at Advocates for Women’s Health, a Part of Norton Women’s Care – St. Matthews. To schedule an appointment, call (502) 423-9595. A midwife: • Gives holistic support during labor and natural childbirth • Educates on family planning, pregnancy and birthing options • Supports individualized birth plans • Delivers babies • Cares for women at all stages of life, including gynecologic care

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7 ways to knock out allergies without medication

Want to avoid “medicine head” but get some relief from allergy symptoms? Try these quick fixes you can do at home. Saline nasal spray: Use it daily to clear away . pollen; start using it before you feel symptoms.

Change your clothes when you come inside: Leave the pollen at the door (or in the hamper). If you’ve been outside for a long time, take a shower before changing into clean clothes.

Save outdoor workouts for evening: Most pollen is released from trees and plants in morning and midday, so plan your outdoor workout for the evening.

Essential oils: Peppermint and eucalyptus oils can relieve hay fever symptoms. Use them in a room diffuser for relief, or combine them with coconut oil and massage into your temples. Lemon and tea tree oils can be mixed with purified water and a little vinegar, then sprayed around your home.

Sunglasses: Never leave home without them. Sunglasses keep pollen out of your eyes, reducing itchy, watery peepers. Himalayan salt lamps: They purportedly remove dust, dander and other particles from the air, leaving you with fewer allergy and cough symptoms.

Eat more chicken (or at least stay away from beef): Studies show that people who eat trans oleic acid, found mostly in beef and dairy, are three times more likely to have hay fever symptoms than those who eat very little of it. “If you have moderate seasonal allergies, these fixes can definitely provide relief,” said Rachel Alexander, APRN, nurse practitioner with Norton eCare. “Unfortunately, our location in the Ohio Valley can cause severe symptoms, in which case antihistamines or prescription medications may be necessary. However, these at-home remedies could lessen how much medication you need to take.” –Jennifer Reynolds

Sorry, honey! Studies prove eating local honey doesn’t help with allergies. But that doesn’t mean you shouldn’t eat it! It’s a tasty alternative to sugar, and buying local helps your community and the local bee population.

Need fast relief for allergies? If at-home fixes and over-the-counter medicine aren’t doing the trick, get fast relief with a trip to a Norton Immediate Care Center. Find the location nearest you at NortonHealthcare.com/ICC.

Need long-term management for allergies? Then it’s time to see a primary care provider. We can help you find one at MyNortonDoctor.com.

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Baby boomers: Be proactive!

Get screened for

H

HEPATITIS C

epatitis C virus (HCV) is responsible for more deaths in the U.S. than HIV. Baby boomers make up 75 percent of all HCV cases, yet . 80 percent do not consider themselves to be at risk.

Top risks for HCV • Born between 1945 and 1965 (baby boomers) • Received a blood or organ transplant before 1992

Patients who test positive can be seen within 72 hours for evaluation and treatment at Norton Infectious Disease Specialists. Treatment with medication generally runs from 12 to 24 weeks, depending on how advanced the disease has become.

80 people per month

• Received dialysis for a long period of time

are diagnosed with HCV

• Injected or inhaled illicit drugs

at Norton Healthcare alone.

• Have HIV • Received a tattoo in an unsterile environment The Centers for Disease Control and Prevention recommends that all baby boomers get tested for chronic HCV. Many of those infected may not have symptoms for years and often do not know they have the virus. Chronic HCV is a very serious illness. Left untreated over time, it can cause liver disease, liver failure and even liver cancer. But it is curable if caught soon enough through screening and follow-up care. The reason for the high rates among baby boomers is not entirely understood. One possible cause is infection from medical equipment or procedures before universal precautions and infection control procedures were adopted. With the help of a grant from Gilead Sciences, Norton Healthcare is increasing its screening for chronic hepatitis. In addition, Norton Infectious Disease Specialists has hired additional physicians and added a second location to meet growing demand.

Norton Healthcare screened more than

22,000 people

for HCV from May 2016 to January 2017. For most people, chronic hepatitis shows no symptoms until liver problems have developed. If you’re a baby boomer, be proactive. Discuss the screening with your primary care physician. It’s best to be in the know! –Ron Cooper

Learn more Need a primary care provider? We can help find one close to you. Call (502) 822-2613 or go to MyNortonDoctor.com.

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CHECK YOUR CUPS!

Young breast cancer survivor urges other women to advocate for their health

Talk to your doctor if you have any of these signs.

W

hile breast cancer in young women is rare, it happens. And it appears to be on the rise. The National Cancer Institute reports cases of younger women with advanced breast cancer have increased about 2 percent each year since the mid1970s and show no signs of slowing down. Betsy Barefoot, 25, was diagnosed with breast cancer last year. After finding a lump, things moved quickly for her, from an ultrasound to biopsy, then double mastectomy and chemotherapy. “I was not doing regular self-exams; I just randomly felt the lump,” Barefoot said. “I had no family history and I was 24, so I didn’t worry too much about it.” It was at her mother’s urging that she got the lump checked out. Because current recommendations for annual mammogram screenings start at age 40, young women need to be aware that breast cancer can still happen to them. Self-checks and annual exams by an OB/GYN are the only ways these cancers can be found.

Pick a way to self-check

Swirl

Straight up. and down

Compass

Undoubtedly, thanks to her age and overall good health, Barefoot’s recovery from surgery was smooth. She then endured the painful process of freezing her eggs in case chemotherapy damaged her ovaries. She is now on an estrogen-suppressing medication, which also could affect her ability to have children later on. Barefoot also chose to use a scalp-cooling cap during chemotherapy to help keep her from losing her hair. Despite a somewhat excruciating seven-hour process of tolerating sub-zero temperatures on her head, the cap was a great success.

Lump, hard knot or thickening in breast . or underarm

Nick Bonura photos

New pain in one spot that does not go away

Change in size . or shape

Betsy Barefoot with her oncologist, Jeffrey B. Hargis, M.D. “I started medical school at the same time I was going through chemo,” Barefoot said. “It was important to me to not look like I was going through that. I didn’t want to look any different than any other student.” While she’s been through much more than any young woman should have to face, she’s learned some important lessons. “You really have to advocate for yourself — for your health, for answers, for support,” Barefoot said. “Breast self-checks were not on my mind. Women should know that even if you don’t know what you’re doing, you should still do checks to know what’s normal.” Recognizing she was in survival mode first, taking care of her physical body, then later being hit with the mental and emotional toll of it all, Barefoot has advice for others facing cancer: “From the beginning, before you think you’re going to need it, see a behavioral oncologist,” she said. “Even if you have a strong support system, it can be overwhelming for you and for them. It’s good to have an outside third party to help you cope.”

Itchy, scaly sore or . rash on nipple

Giving back so other women can get the care they need Betsy Barefoot was this year’s Derby Divas honoree. Presented by Churchill Downs, the annual fundraising event is held each April . as a kickoff to Derby season. While the event is a fun girls’ night out, its goal is to raise funds to pay for mammograms for women who cannot afford them and to ensure every woman has access to breast care, from prevention to detection, treatment and beyond. You don’t have to be a Derby Diva to support the cause. You may donate anytime through the Norton Healthcare Foundation at NortonHealthcareFoundation.com and designate your gift to go to Derby Divas.

Swelling, warmth, redness or darkening

Nipple discharge

Dimpling or puckering of nipple or breast

–Jennifer Reynolds

16

Get Healthy

N o r t o n G e t H e a l t h y. c o m

502-822-2562

17

Spring/Summer 2017

Class&EventCalendar

Expectant parents

For Dads Only

Fruit and Boot Camp

Expectant fathers learn hands-on

Safe Sitter babysitting training

Introduction to Tai Chi

A fun two-week series designed

Prenatal and childbirth classes

baby bathing, diapering, dressing,

to teach families with school-age

For youth ages 11 to 14. Learn first aid,

stress; reduce anxiety and depression;

feeding and calming skills, along with

children how to eat right and stay

infant and child choking, babysitting

lower blood pressure; improve

Classes are held at Norton Hospital

tips on how to support mom and

active together. Registration is

business skills and more. Cost: $40

balance, flexibility and muscle

and Norton Women’s & Children’s

recognize postpartum depression.

required and space is limited. Register

includes backpack, materials and lunch.

strength; and increase concentration.

Hospital. Visit NortonBaby.com for

June 6 • 6 to 8 p.m.

by calling (502) 629-KIDS.

June 5 • 9 a.m. to 4 p.m.

Wear comfortable clothing and shoes.

class schedules.

Marshall Women’s Health & .

Tuesdays, June 6 and 13

Marshall Women’s Health & .

($50 for three-week session).

Education Center

6 to 7:30 p.m.

Education Center

May 8 and 15 • 6:30 to 7:30 p.m.

Gestational diabetes classes Expectant mothers with gestational diabetes learn about caring for self

New Mommy 101

class schedule.

Get tips, advice, sharing and the

Learn the benefits of breastfeeding, techniques and practical advice. Visit NortonBaby.com for class schedules.

Go Confidently: Transform Your Life Through Gratitude A conversation with Janice Kaplan Janice Kaplan is author of the bestselling book, “The Gratitude Diaries:

Music Together. Complimentary .

1902 Park Road

Marshall Women’s Health & .

interventions and receiving

Education Center

continuous support during labor and

Thursdays • 10 a.m. to noon

birth. (Six-week series: $25)

Norton Children’s Medical Associates .

Wednesdays, May 17 to June 21

– Broadway

6 to 8 p.m.

230 E. Broadway

Center

strengthening help moms-to-be prepare for childbirth. (Five-week series: $45)

health.

Mondays, June 5 to July 10

3015 Wilson Ave.

Infant CPR New parents learn infant-only rescue breathing, CPR and choking rescue procedures. Not a certification class.

7 to 8 p.m.

May 25 • June 2 • July 20 6 to 7 p.m. or 7:30 to 8:30 p.m.

Marshall Women’s Health & . Education Center

Thursdays • 1 to 3 p.m. Park DuValle Community Health .

life, including marriage, career and

July 19 • 6 to 8 p.m. The Olmsted 3701 Frankfort Ave.

The Hall at Shively Community Center

reducing unnecessary medical

relaxation, stretching and

4910 Chamberlain Lane

steps presentations and Heartland

Tuesdays • 10 a.m. to noon

Side Can Transform Your Life.”

Norton Children’s Medical Center

6 to 7:30 p.m.

coping with pain during labor,

Deep-breathing techniques,

6 to 7:30 p.m.

Nurturing Pathways’ first five baby

(502) 899-6300 for information.

Education Center

Tuesdays, July 18 and 25

baby healthy. Classes may include

Learn strategies for comfort and

Marshall Women’s Health & .

3610 Bohne Ave.

Thursdays, July 20 and 27

Lamaze Principles

Prenatal Yoga

can improve every aspect of your

latest information on keeping your

valet parking available. Call

How A Year Looking On the Bright Learn how the practice of gratitude

Parenting

and baby. Call (502) 629-2604 for

Breastfeeding classes

Featured event

Ujima Neighborhood Place

Norton Hospital Third-floor Conference Room May 18 • June 8 • July 6 6 to 7 p.m. or 7:30 to 8:30 p.m.. Marshall Women’s Health & .

Specialty classes/ events Mother’s Day gift of heart health

This ancient practice helps manage

Norton Health & Wellness Center

Jin Shin Jyutsu Learn the art of releasing tension and bringing balance to the body’s energies to promote optimal health and well-

May 22 • 6:30 to 7:30 p.m. Marshall Women’s Health & . Education Center

being. June 27 • 5:30 to 7 p.m. Norton Health & Wellness Center

Cancer care Yoga Nidra: Peaceful Meditation

Living well

Yoga nidra is an ancient meditation

Freedom From Smoking This free seven-week American Lung Association smoking cessation program helps you create a quitting plan, learn why you smoke, change your habits and cope with stress.

technique for stress relief and relaxation. Release muscle, emotional and mental tensions. May 4 • 5:30 to 7:30 p.m. Norton Health & Wellness Center

MyYAP Ice Cream Social

Free heart screening for women with

May 4 to June 15 • 2:30 to 4 p.m.

at least one heart disease risk factor.

Norton Cancer Institute Pat Harrison .

survivors ages 15 to 39. Enjoy ice

Includes total cholesterol, HDL, LDL,

Resource Center – Jeffersonville

cream, shakes, pies and fellowship.

triglycerides, glucose, hbA1c, blood

May 16 to June 27 • 2 to 3:30 p.m.

May 10 • 7 to 8 p.m.

pressure, body mass index, waist

Norton Medical Plaza I – Brownsboro

Homemade Ice Cream & Pie Kitchen

circumference and consultation with a

Third floor

1041 Bardstown Road

cardiac nurse.

June 5 to July 17 • 5:30 to 7 p.m.

Call early to register — limited

Norton Health & Wellness Center

Comfort Touch for Caregivers and Patients

screenings available!

Medicare and Long-term Care Planning

Meet-and-greet for young cancer

Learn simple neck and shoulder massage techniques that promote

A hospital care management specialist

comfort and relaxation for patients

and lawyer specializing in elder care

and caregivers.

will discuss Medicare and how it is

May 19 • 5:30 to 7 p.m.

connected to long-term care planning

Norton Health & Wellness Center

for you and your loved ones.

June 1 • 5:30 to 7 p.m.

May 11 • 11:30 a.m. to 1 p.m.

Norton Medical Plaza I – Brownsboro

Norton Audubon Hospital

Suite 301B

Community Room (lower level 2)

Education Center

18

Get Healthy

Call (502) 822-2562 to register for all classes and events unless otherwise noted.

N o r t o n G e t H e a l t h y. c o m

502-822-2562

19

Spring/Summer 2017

Class&EventCalendar

Vascular screenings

Health screenings

A registered vascular technologist

A variety of free or low-cost health

can perform a carotid artery scan,

screenings are available aboard

abdominal aortic scan and ankle

the Norton Healthcare Mobile

brachial index to check for vascular

Prevention Center. Call .

Marshall Women’s Health & .

Recipe sharing, sampling plus screenings

disease. $30 each or $75 for all

(502) 822-2420 for appointment

Education Center

May 10 • 6 to 7:30 p.m.

three. Call for an appointment.

and eligibility.

Calcium scoring

Kroger

A coronary calcium scan measures

Improving Neuropathy Through Exercise

MS 101

Learn techniques to improve

individuals diagnosed with multiple

chemotherapy-induced peripheral

sclerosis within the past two years.

neuropathy through exercise using

May 17 • 5 to 8 p.m.

exercise putty. Light refreshments will be served. May 22 • 6 to 7:30 p.m.

An educational program for

Marshall Women’s Health & .

Brain Games Café

Education Center

An engaging environment for

Heart care WomenHeart Support Group

Marshall Women’s Health & . Education Center

Mammograms and annual wellness

individuals with memory loss and

Hands-only CPR training

Unity Jam is a health fair

Gentle Yoga

calcium deposits in coronary

exams

cognitive issues to remain socially

June 7 • 6 to 7:30 p.m.

dedicated to providing health

arteries — an early indicator of

May 10 • 10 a.m. to 4 p.m.

Learn yoga postures, breathing and

engaged.

Marshall Women’s Health & .

heart disease. $150. Call (502)

resources to residents of West

principals of mindfulness for all levels

May 17 • June 21 • 10 a.m. to noon

4501 Outer Loop

Education Center

485-4700 for an appointment.

Louisville. This fun family event

and abilities. Bring a mat. Call .

Marshall Women’s Health & .

June 14 • 10 a.m. to 4 p.m.

will include food, music, games

(502) 899-6888 to register.

Education Center

Family & Friends CPR

and kids’ activities. Admission

This American Heart Association

Healthy heart consultations

5533 New Cut Road

event teaches adult hands-only

Complimentary one-on-one

CPR, child CPR with breaths, infant

consultation with a cardiac nurse

CPR and relief of choking in adults,

to develop a plan for reducing risk

children and infants. Must be at least

factors and connecting to healthy

A fun and relaxing hour focused on

11 years old to attend; 15 and under

lifestyle resources. Call for an

First and fourth Mondays

stress relief, pain management, self-

must be accompanied by an adult.

appointment.

11 a.m. to noon

expression and overall wellness.

Americana Community Center

Cost $10.

May 23, June 27, July 25

Mammograms only

June 22 • 6 to 8:30 p.m.

Heartstrings Program

1 to 2:15 p.m.

Marshall Women’s Health & .

For women who have experienced

Norton Medical Plaza 2 – St. Matthews

Education Center

pre-eclampsia, pregnancy-induced

Every Wednesday • 11 a.m. to noon Norton Health & Wellness Center Every Wednesday • 6 to 7 p.m. Norton Cancer Institute Pat Harrison . Resource Center – Jeffersonville

Norton Health & Wellness Center

Cancer support groups also are available.

Music Wellness and Stress Reduction For individuals with a neurological diagnosis and/or their caregivers.

Presented by the Norton

Mammograms only

Healthcare African American

May 16 • June 20 • July 18

Employee Resource Group.

9 a.m. to 4 p.m.

Aug. 12 • 10 a.m. to 2 p.m.

1000 Neighborhood Place

Darrell Griffith Athletic Center

4801 Southside Drive

Get a full events calendar!

(third floor)

diabetes or delivered a baby small

Call (502) 629-HOPE or visit

Parkinson’s Disease: The Basics

Heart screenings/ consultations

Bethel Baptist Church

for gestational age. Complimentary

Mammograms, pap smears, blood

one-on-one consultation with a

pressure, body mass index and

cardiac nurse to develop plan

blood sugar

Women’s heart disease risk assessments

for reducing risk factors and

May 20 • 10 a.m. to 3 p.m.

connecting to healthy lifestyle

3540 Garland Ave.

An overview of Parkinson’s disease, prescription medications and physical

Neurological care

therapy.

Yoga for Parkinson’s

Norton Medical Plaza I – Brownsboro

Gentle yoga class for patients and

June 12 • 1 to 4 p.m. Third-floor conference room

Free heart health screenings available for women with at least one risk factor; includes blood pressure, body mass index and waist circumference

caregivers to help maintain flexibility,

checks along with a consultation with

improve balance and reduce stress.

a cardiac nurse to discuss ways to

For details, call (502) 559-3230.

reduce risk factors for heart disease.

Thursdays • 1:30 to 2:30 p.m. Norton Health & Wellness Center

Additional screenings available Cholesterol and glucose: $13; includes total cholesterol, HDL, LDL and triglycerides HbA1c screening for diabetes: $7

Get Healthy

3628 Virginia Ave.

9 a.m. to 4 p.m.

high blood pressure, gestational

click on “Calendar of Hope.”

West End School

May 17 • June 21 • July 19

Joan Riehm Community Room.

NortonCancerInstitute.com and

20

is free. All are welcome. Family Health Centers – Fairdale

resources. Call for an appointment. Jefferson Mall Mammograms, pap smears, blood pressure, body mass index and blood sugar

May 24 • June 28 • July 26 10 a.m. to 4 p.m. 4801 Outer Loop St. Stephen Church Mammograms only

July 29 • 9 a.m. to 2 p.m. 1018 S. 15th St.

Call (502) 822-2562 to register for all classes and events unless otherwise noted.

N o r t o n G e t H e a l t h y. c o m

502-822-2562

Norton Healthcare’s mission is to provide health care in a manner that responds to the needs of our community. Part of fulfilling that mission is Get Healthy, a community wellness initiative

GETHealthy

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Between Health & Life: Norton

Norton Healthcare Inc. P.O. Box 35070 Louisville, KY 40232-5070

made up of Get Healthy magazine and NortonHealthcare.com/News. These free resources offer easy-to-understand information on interesting health topics to help you live a fulfilling life through wellness for body, mind and soul.

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Get Healthy Spring/Summer 2017 Get Healthy is published by Norton Healthcare Marketing and Communications P.O. Box 35070 Louisville, KY 40232-5070 Contact us at (502) 629-8070, or at [email protected]

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Russell F. Cox - President and CEO Medical adviser - Steven T. Hester, M.D., MBA Executive editor - Dana Allen Managing editor - Jennifer Reynolds Calendar editor - Nick Clark Creative director - David Miller Designer - Mary Lou Fitzer Copy editor - Wally Dempsey Norton Audubon Hospital Norton Brownsboro Hospital Norton Children’s Hospital Norton Hospital Norton Women’s & Children’s Hospital Norton Children’s Medical Center Norton Community Medical Associates Norton Immediate Care Centers

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