Saturday, January 7, 2012

Lifestyle change: Group helps people with celiac disease as well as others who have gluten intolerance

by Alyssa Harvey, The Daily News, originally published on 1/7/2012


When 3-year-old Aidan Meredith had surgery to remove his tonsils and adenoids, his parents found out he had an issue that they didn’t quite expect.


“They did an upper and lower scope because we had concerns over weight loss, loss of appetite and upset stomach,” said Nicole Meredith, Aidan’s mother.


Meredith and her husband, Brad, found out Aidan has celiac disease, an autoimmune disorder in which the body reacts to the protein gluten, which can be found in wheat, bran, rye and some oats. The disease makes it difficult to absorb and digest nutrients through the small intestine. Symptoms include diarrhea, constipation, abdominal cramping, joint pain, fatigue, certain rashes, low iron or anemia, low vitamin D, low calcium and mood irritability.


“We were upset and worried about the lifestyle change. We were kind of relieved we could put a finger on what was going on,” Meredith said. “We were wanting to make sure he would be OK. We didn’t know much about celiac at the time.”


The Edmonson County family decided to find help at the new Celiac Support Group, which helps people with the disease as well as others who have gluten intolerance. The group meets from 5:30 p.m. to 6:30 p.m. the first Tuesday of each month at The Medical Center Health and Wellness Center at Chandler Park.


“We’re trying to learn everything we can and what’s best to eat,” Meredith said. “We want to make sure he’s getting enough nutrition and eating the right things.”


The Heart and Pain Management Center of Bowling Green’s Dr. Fred Gott – a specialist in cardiology, internal medicine and pain management – is facilitator of the group. He has an intolerance not only to gluten, but also to wheat, milk, onions and sulfites.


“I was diagnosed about five years ago, but I’ve had symptoms for more than 20 years,” he said. “I was becoming malnourished from it.”


After eating a food with gluten, Gott would have to lie down and prop up his legs on pillows. “With milk, in 24 hours I’m over it. With wheat, it takes a week or so,” he said. “It happens if I eat even a trace of wheat.”


The support group had its first meeting Tuesday evening. Jean Nehm, who was at the meeting, later talked about her own diagnosis of celiac disease, which came in January 2007. The Bowling Green woman went to the meeting to share what she has learned with others.


“I think of how scared and alone I felt,” she said. “From January to May, I didn’t know what I was going to do.”


For Mother’s Day, one of her daughters presented her with Bette Hagman’s cookbook, “The Gluten-Free Gourmet.” Since then, Nehm has received several of Hagman’s cookbooks from her daughters.


“It was like a breakthrough. One of the best parts was learning how to mix your own flour,” she said. “I can just go to that when I have to cook.”


Nehm said she and her husband eat a gluten-free diet, although her husband doesn’t have celiac disease. They don’t eat out very much.


“There is hidden wheat all over from soup to salad dressing and ketchup,” she said. “We’re eating well. I’ve always liked to cook, so it’s not a problem.”


Nehm said her gluten-free foods don’t taste bland or like cardboard.


“It’s absolutely delicious,” she said. “I use plenty of spices.”


Jeannie Atwood of Bowling Green said she is happy about the new support group.


“I’ve been saying for a while now that we needed one,” she said. “I would love to see people come for support and tell what they’re going through.”


Atwood found out she had gluten intolerance after experiencing other health issues.


“I have had problems with my thyroid and osteoporosis with a high risk of fracture of the hip,” she said. “I prayed that God would send me to somebody who would not look at just my thyroid.”


She began having tests in March. After doing a saliva test and bloodwork, Atwood’s doctor had her do a 21-day elimination diet. She found out she had intolerances to corn, soy, dairy, wheat and gluten. Since she has taken those things out of her diet, her health has improved and she said she feels blessed to be getting well.


“My cholesterol was also out of whack. It dropped 50 points,” she said. “My thyroid is in normal range.”


Atwood said that when she eats at restaurants, she finds it easiest to partake of the salad bar.


“It’s all about eating whole foods and no processed foods. You’ve got to be really careful that it doesn’t have gluten in it,” she said. “It comes in so many things. Read the labels and research.”


More people are aware that those with celiac disease and gluten intolerance need gluten-free foods, Atwood said. She has been to gluten-free restaurants and products are available in many stores.


“If you’ve got it, now’s the best time in history to have it,” she said.


Gott said he copes with his intolerances by reading labels carefully before he eats anything. Some foods he enjoys eating include avocados, eggs, potatoes and whole-grain rice.


“I have my own beef slaughtered and packaged,” he said. “I don’t eat anything if I don’t read the labels.”


Gott said he wanted to have a support group so that people can get together and help each other. Having celiac disease or gluten intolerance can be difficult.


“The social impact is immense. Sharing a meal together is a sign of friendship,” he said. “If you don’t do that, you’re considered anti-social. If you don’t eat what they serve, they get offended.”


Even as a doctor, Gott runs into challenges. In situations such as potlucks, he often brings food that he can eat.


“Medical meetings are hard,” he said. “They have all these gourmet foods that I can’t eat.”


He also made some other lifestyle changes so that he won’t feel isolated.


“I have taken up ballroom dancing,” he said. “It’s about socializing and not eating.”


Meredith said that when the family returned home from the hospital, they cleared their shelves, went to the grocery store and stocked up on as many gluten-free foods as they could. Since then, they have noticed improvements in their son’s health.


“He knows that his stomach feels better. He told his dad, ‘Daddy, my stomach feels better,’ ” she said. “Now he’s saying he’s hungry. He’s wanting to eat. He has always liked fruits and vegetables.”


Aidan has been able to eat safely at preschool. Meredith packs his lunch with gluten-free foods. The family is adapting to his diet.


“My husband’s not big on bread in the first place, plus I’m trying to cut back on the carbs, so it’s a big help,” she said. “So far we’ve not been overwhelmed by it.”


Meredith said she’s thankful for the support group.


“We were so excited when we saw that there were other people to talk to and get good ideas and support from,” she said. “The other people were so helpful, and that was a big relief.”


— For more information about the support group, call 745-0942.


Copyright 2012 News Publishing LLC (Bowling Green, KY)

Monday, January 2, 2012

Region health survey in mail

by Robyn Minor, The Daily News, originally published on 1/2/2012


A community health survey was sent to thousands of southcentral Kentuckians last week with the goal of getting to the root of health issues affecting the region.


The relatively short survey – which was mailed to 60,000 residents in Commonwealth Health Corp.’s Wellness News and appears on the Daily News’ website and will be sent elsewhere – asks questions such as: “Which of these health issues is the most important for you and your family?”


Answers include obesity, drug abuse and addiction, heart disease, lung cancer, diabetes, none of these, or other” and “What has been helpful in keeping your family healthy? Support of family members; Support of friends; Wellness program at work; My doctor/health care provider; Support group/Health education class; Being physically active; Quitting tobacco use; Healthy eating; or Controlling stress.”


The information gathered from the survey will be used as part of a comprehensive health plan for the region being developed by the Barren River Community Health Planning Council. The council has been meeting since September and so far has established what members perceive to be the top health issues in the region, including obesity, drug abuse and addiction, diabetes, lung cancer and heart disease.


Now it’s residents’ turn to see if they agree with those concerns and to help identify any gaps in services to help manage those issues.


“This is something we’ve done for a long time, only not in such a structured way,” said Doris Thomas, vice president of CHC, the parent company of The Medical Center.


Performing a community needs assessment is a formal requirement for nonprofit hospitals under the Patient Protection and Affordable Care Act, Thomas said. The assessment must be done at least every three years.


Thomas said organizers of the survey this year thought it would be a good idea to partner with the Barren River District Health Department in doing the survey through the council.


“We are very focused on improving the health of residents,” Thomas said. “The council allows us to work collaboratively with other key stakeholders throughout the region.


“The survey is good way to start pulling in some good feedback to bring to council. Maybe it will help validate some of the key areas that we have already identified.”


Dennis Chaney, executive director of the health department, said he hopes the survey helps identify gaps in residents’ access to health care resources in order to proactively address the five health issues already identified, or maybe others that weren’t identified.


“Then I hope we can write grants and the hospitals will work more closely together to align their resources to address those gaps,” Chaney said.


Chaney said they hope to get responses from about 10 percent of the population throughout the region. For Warren County, that would be more than 11,000 people, or 28,000 for the region.


“I don’t know how realistic that is, but we want to try,” he said.


In addition to the surveys, some area residents in positions such as a community, church or education leader, patient or caregiver, might be asked to participate in one-on-one interviews with district health department staff. The interviews will help reveal personal experiences people have had in accessing health care here.


“If an individual gets a call ... I hope they will see the importance and make the time to spend some time with interviewers,” Chaney said.


Copyright 2012 News Publishing LLC (Bowling Green, KY)

2012's first birth: Honor ‘makes me feel special,’ mother says

by Deborah Highland, The Daily News, originally published on 1/2/2012


Just 91⁄2 hours into 2012, Kayla Perkins and Tyson Dewalt celebrated the birth of their second child, a girl, and the first baby born in the new year in Bowling Green.


Kay'lyn Dewalt was born by cesarean section at The Medical Center at 9:32 a.m. Sunday. She weighed 6 pounds and 11⁄2 ounces.


The infant came into the world with a head full of curly black hair and was swaddled in her mother's arms Sunday night while her proud father looked on. Perkins, who was on a morphine drip, sat up cradling her daughter looking fresh-faced, displaying not a hint of having gone through major surgery earlier in the day.


"It makes me feel special," Perkins said about giving birth to the first baby of the new year.


As the first baby of 2012, The Medical Center presented little Kay'lyn with several new items, ranging from a tiny New Year's baby hat to a baby tub filled with gifts such as bottles and teethers.


Perkins, of Bowling Green, went into labor late Saturday. She knew she would have to deliver the infant by C-section, but Perkins wasn't expecting her baby girl for another nine days. As her contractions began to come closer together Saturday night, she headed to the hospital at about 10:30 p.m.


Kay'lyn's older brother, Tyson, 5, is looking forward to welcoming his new baby sister home, Perkins said.


"He was excited," Perkins said about Tyson. "He called this morning to wish me a happy new year and said, ‘Mommy, is the baby coming out?' "


Dewalt plans to do as much as he can at home while Perkins recovers.


"It's a beautiful thing," Dewalt said about the birth of the couple's second child. "It's a blessing.


"It's a good way to open up the new year," he said.


Kay'lyn was the first of four babies born New Year's Day at The Medical Center.


Copyright 2012 News Publishing LLC (Bowling Green, KY)

Tuesday, December 20, 2011

Prescription Drug Shortage: Prescription Drug Shortage

by Alyssa Harvey, The Daily News, originally published on 12/20/2011


Southcentral Kentucky hospital officials say local facilities are being affected by a nationwide prescription drug shortage, but they are striving to continue to provide good and safe care to patients.


"It affects us every day. In my 30 years of being a pharmacist, this is the worst I've seen it," said Jim Morris, director of pharmacy at Greenview Regional Hospital. "There were 37 on the short supply list in 2006. There are over 220 on the short supply list this year. A lot of these are generic drugs where there are limited manufacturers remaining in the market."


According to the American Society of Health-System Pharmacists, a variety of drugs are in short supply. On its website, www.ashp.org, the national professional association that represents hospital pharmacists said there are various reasons for the shortage, including temporarily halted drug production because of quality problems; shortages of raw materials because of ingredient quality or severe weather; amount changes of drugs supplied to different hospital systems, community pharmacies and chain drugstores; and company decisions to stop making a product.


"It puts pressure on who's making that particular drug to put more of that drug out," said Robert McClelland, corporate director of pharmacy at The Medical Center. "There's more demand."


That demand creates a drug shortage for everyone, according to Kevin Adams, director of pharmacy for T.J. Samson Community Hospital in Glasgow.


"As soon as one company has a problem, everyone migrates to the other companies," he said. "We get a lot of back orders that occur from that."


Logan Memorial Hospital has had difficulty obtaining some medications, particularly anesthetics and antibiotics including Toradol, Zofran, Levaquin, Morphine, Valium injections and Lidocaine as well as Vitamin K, hospital Chief Nursing Officer Julia Murphy said.


"Our pharmacy has had to deal with these shortages for several months and spend several hours each day on the phone with suppliers and other facilities locating needed medications," she said. "We have had some success in obtaining needed supplies from drug wholesalers, but often at a higher than normal price."


McClelland agreed.


"Instead of, say, 30 cents a dose it may be $5 a dose," he said. "We're buying it at higher rates to be able to provide services."


Many hospitals are trying to steer away from the "gray market," which are like drug bootleggers and which charge more, Adams said.


"We order through our main wholesalers that hospitals go through or from the manufacturers," he said. "We have some that can compound products. Sometimes we have luck ordering products that are customized. They are well-trusted and well-manufactured."


Some hospitals have seen shortages not only in anesthetics, but also in drugs used to treat cancer and pain medications. The drug shortages make the cost of everything go up, but the majority of the burden falls back on the hospital, Adams said.


"It's just absorbed," he said. "With Medicare and Medicaid, we're paid what we're paid. It's not affecting how much we're paid."


Murphy said the physician team treating patients at Logan Memorial has been working to identify alternate medications.


"We continue to monitor the situation," she said. "Fortunately the drug shortages we have encountered have not affected the quality of our patient care."


Even finding alternatives can be difficult, Morris said.


"We share with 11 other HCA hospitals in greater Nashville. We start to see alternatives coming in short supply because everyone is using alternatives," Morris said. "If you announce a drug shortage, they will hoard and start buying up supplies."


President Barack Obama is trying to get drug manufacturers to tell the U.S. Food and Drug Administration about shortages before they become dire, McClelland said.


"They can ramp up production or, if the company is the sole provider, they can try to get another manufacturer to pick up that item," he said.


Adams said that if the U.S. can increase its self-reliance in producing drugs rather than rely on foreign materials to make them, then some of the issues might get better.


"You see a lot of ripple effects. Companies choose not to make products or are purchased by another company," he said. "The FDA has very stringent rules. Before a company can produce another product, there are a lot of regulations that protect the public."


Still, hospitals want to make sure patients get the best care possible, Adams said.


"We'd rather deal with the issue we can rather than compromise our patient safety," he said. "It's not just cost. It's a potential life."


Copyright 2012 News Publishing LLC (Bowling Green, KY)

New wellness center opens to the public: Officials hope site on Cave Mill Road expands center's local presence

by Alyssa Harvey, The Daily News, originally published on 12/20/2011


Eva Sadler remembers using The Medical Center Health and Wellness Center when it first opened more than 13 years ago in the Sears wing of Greenwood Mall.


The Bowling Green woman continued going there from time to time to get her blood pressure and weight checked, as well as various screenings when the center moved to the front of the mall, where it was located for about four years.


Sadler is happiest with the center’s new location at 1857 Tucker Way off Cave Mill Road, next to Chandler Park Dental. She dropped by Monday to get her blood pressure checked.


“It’s always been handy because I live near the mall,” she said afterward. “Now it’s closer. I think it’s great.”


The distance from her home wasn’t the only thing that Sadler liked about the center. “The parking is better,” she said. “I think it will make me come more often.”


The Health and Wellness Center opened the doors of its new facility to the public Monday. The first group to use it was the Girls Scouts of Kentuckiana, whose members were taking a baby-sitting class.


“I like it,” said Jennifer Johnson, Girl Scouts of Kentuckiana program delivery coordinator, about the center. “It’s really well put together.”


Staffed by registered nurses, dietitians and health educators, the Health and Wellness Center has become more than a place seen by mall shoppers, said Linda Rush, director of community wellness for The Medical Center, which draws from 800 to 1,000 patron visits a month.


“It has become more of a destination point for patrons,” she said. “Before, we were in the mall and people would drop in to get blood pressure screenings.”


The decision to move came after Greenwood Mall chose not to renew the center’s lease, Rush said. They had until Dec. 31 to move.


“We started the process of looking for another place in October,” she said. “We’re starting the new year off in a new space.”


The center needed to be in a place with room to offer educational and exercise classes, blood pressure and other health screenings, body fat analysis, support group meetings and a lending health library. Rush said the new building is comparable in size to the previous location, and the center will be able to offer the same services it offered there.


“The Health and Wellness Center is a health education resource center and a department of The Medical Center,” she said.


The center also offers medical nutritional counseling, diabetes education program and the Healthy Weight Program for Kids available with doctor referral, Rush said.


“Physicians are also referring patients for regular blood pressure screenings, particularly if they’re starting a new medication,” she said. “They come in, and we track it for a few weeks.”


Rush said she is pleased with the new location.


“We’re arranging it to meet the needs of our programs,” she said. “Chandler Park is a growing area. There’s more activity happening on Cave Mill Road, and we’re still near the mall.”


Center Community Wellness Manager Andrea Norris, a registered dietitian, was teaching the baby-sitting class Monday. She said she is enjoying the new venue and believes the class will help people find out about the center.


“It’s great to gather people out here so they’ll know where we’re located,” she said. “We’re having families being able to tell other families. Hopefully that will help.”


The Health and Wellness Center’s new hours will be from 8 a.m. to 6:30 p.m. Mondays, Tuesdays and Thursdays from 8 a.m. to 4:30 p.m. Wednesdays and Fridays.


Copyright 2011 News Publishing LLC (Bowling Green, KY)

Saturday, December 3, 2011

Fighting the holiday flab: Easier access to food can bring weight gain

by Alyssa Harvey, The Daily News, originally published on 12/3/2011


Laura Young is ready to fight against weight gain during the holiday season.


The Richardsville woman has been working out regularly for several weeks at Workout Anytime, a new 24-hour gym. She works out six days a week and with a personal trainer two days a week. So far she has lost 15 pounds.


“I feel good. I feel a lot better,” she said. “I’m not worried about the holidays.”


Many people worry about putting on pounds during the season. Experts say people can navigate their way through the whirlwind of family dinners, parties and general merry-making and still either lose or maintain weight by eating healthy foods and exercise.


Ann Embry, food and nutrition services director at Greenview Regional Hospital and a registered dietitian, said people often lose their internal radar a bit during the holidays when it comes to food.


“There’s such an easier access of food, and we get this mental thing that it’s the holidays. It’s time to celebrate,” she said. “It’s OK, but the holiday season keeps going longer and longer. Instead of indulging over the holiday season, we’re indulging for two or three weeks, and that can catch up with you.”


It’s important to keep as much of a normal routine as possible, Embry said.


“I know it’s busy. Typically homemade food is healthier for us than foods on the fly,” she said. “Try to schedule shopping at times that we have time to cook. There’s something about spending money on food that makes us want to eat all of it.”


Andrea Norris, community wellness manager at The Medical Center Health and Wellness Center and a registered dietitian, suggests not skipping meals.


“It’s recommended to eat a light snack to curb your appetite so you don’t overindulge,” she said. “Eat until you’re satisfied, not until you’re stuffed.”


People should also watch their portion sizes, Norris said.


“Watch your portions so you don’t feel like you’re eliminating anything. If they’re small portions in moderation, I think that’s fine. If you eat heavy one meal, then eat a lighter meal the next time,” she said. “Try to get the smaller plates. Don’t go back for seconds. If you do, try to make a healthier choice, like vegetables and fruits.”


In fact, starting with fruits and vegetables can be a good thing, Norris said.


“If you can start your meal with raw vegetables you don’t tend to eat as much because they’re high in fiber,” she said. “They tend to fill you up more.”


Beverages can be a roadblock to maintaining weight, Norris said.


“Beverages can be high in calories. People don’t realize they’re drinking calories,” she said. “Those calories add up. Just because we don’t feel full after we drink doesn’t mean it’s not high in calories.”


Norris and Embry agree that those who are watching their waistlines should bring healthy dishes to potlucks.


“Bring something you know is a little healthier for you that you can share with people. I always love fresh vegetables, relish trays, fruit salad – that’s a nice healthy choice,” Embry said. “If you want to do a dessert, do a yogurt parfait. It’s still good and you can put a holiday twist on it.”


Although you may feel obliged to attend an event, you don’t have to say yes to every single party or gathering, Embry said.


“If you’re really overindulging, you can say, ‘I can’t make it to eat, but I’ll come a little later.’ There’s less temptation than if you were there at the beginning,” she said. “Your meals are not going to be as bad for you as the cheese balls, summer sausages and crab dips. You can still have that fellowship, but bypass the high calorie items.”


Plan time to exercise, Norris said.


“Not only does it help with weight gain, but it also helps release holiday stress. Be realistic. Don’t try to lose pounds during the holidays. Just try to maintain your weight,” she said. “A moderate daily increase in exercise can help decrease weight gain. You burn more calories in the cold because your body temperature tries to stay warm.”


Dale Chaffin, general manager of Workout Anytime, said his staff talks to people when they join the gym to find out what they need.


“We find out what they’re interested in as far as working out and what their goals are,” he said. “We try to find out if they’re doing anything at all. If they’re not, we usually suggest starting with cardio, like walking for 25 minutes. Some people have their own routine already.”


For those who don’t like to work out around a crowd, Workout Anytime’s members are spread out over 24 hours, Chaffin said.


“It helps spread it out to where it’s never really crowded,” he said. “It’s accessible to people who work different shifts.”


Since the gym’s opening on Nov. 1, they have signed up quite a few people, Chaffin said.


“We signed over 20 new members on Monday,” she said. “It could be a mixture of us being new and being after the holidays.”


Young plans to continue exercising her way through the holidays. She said the price of having a personal trainer is worth it because being healthy now can help her avoid many doctor and hospital fees in the future.


“I’m so motivated right now,” she said.


Copyright 2011 News Publishing LLC (Bowling Green, KY)

Thursday, December 1, 2011

Medical Center begins project to update first-floor main corridor

The Daily News, originally published on 12/1/2011


The first phase of renovation of The Medical Center’s first-floor main corridor began today and will continue through Jan. 11. Updates such as new flooring, rails and paint, as well as modernization of public bathrooms, will be included in the renovation, according to a release from The Medical Center.


During this phase, two public entrances will be closed: the outpatient entrance on Park Street and the side entrance on the Second Avenue side of the campus.


All patient registration normally completed in the outpatient area will be moved to the Diagnostic Imaging Center registration area. Patients and visitors coming to The Medical Center for outpatient services or procedures should use the Diagnostic Imaging Center entrance on the High Street side of the campus.


Temporary parking will be designated in the back of the emergency room parking lot across the street from the Diagnostic Imaging Center on High Street.


Patients and visitors who normally use the Second Avenue entrance should enter through the main entrance of The Medical Center on Park Street.


Two other sections within the main corridor will be closed for renovation. Signs will be posted to direct patients and visitors through alternate routes.


The renovation will be divided into three phases to minimize inconvenience and to ensure that alternate access routes are available. Completion of the entire project is expected in early May.


The cost of the renovation is $750,000, according to The Medical Center Vice President Doris Thomas.


Copyright 2011 News Publishing LLC (Bowling Green, KY)