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LEXINGTON, Ky. (Feb. 26, 2015) — The body of artwork left behind by Shirley Mason offers visual clues into the famous psychiatric patient's creative mind and her struggle with dissociative identity disorder.
Today the topics of creative expression and psychiatric medicine will converge during a special grand rounds session titled "Creative and Madness: The Art of Sybil." Presented by the UK Arts in HealthCare program and the UK College of Medicine, the grand rounds session will explore the psychiatric case of Shirley Mason, or "Sybil," whose diagnosis of dissociative identity disorder (formerly known as multiple personality disorder) was made famous by the 1973 book "Sybil" and made-for-television movie starring Sally Fields. The session will also address the value of art therapy in the clinical setting.
The presentation on dissociative identity disorder will be led by Dr. Daniel Nahum, professor emeritus in the University of Kentucky Department of Psychiatry and chair of the psychotherapy scientific section for the World Psychiatric Association. Fran Belvin, a certified art therapist, will also give an overview of how art therapy is employed in many clinical areas at UK HealthCare.
The grand rounds session, which begins at 5:30 p.m. in the Pavilion A Auditorium, will be held in conjunction with the official opening of an art exhibit featuring 40 original works by Shirley Mason. The artwork was donated for exhibition by art collector and former Lexington resident Jim Ballard. The exhibit opening will run from 5 to 7 p.m. in the West Gallery, which is the hallway leading to the Emergency Department located on the ground level of the hospital. Refreshments will be provided.
Dr. Cornelia Wilbur, the psychiatrist who was deeply involved in Sybil's treatment and co-authored the book about her life, served as a faculty member for the University of Kentucky Department of Psychiatry in the 1970s. Many long-time faculty members in the Department of Psychiatry remember Wilbur's unorthodox methods and passion for treating patients whose psychiatric diagnoses were attributed to traumatic experiences.
The grand rounds session is open to all UK faculty members and other interested individuals. Participation qualifies physicians for continuing education credits through UK HealthCare CECentral. For more information about obtaining CE credits, contact Vanessa Webb at firstname.lastname@example.org.
MEDIA CONTACT: Elizabeth Adams, email@example.com
LEXINGTON, Ky. (Feb. 26, 2015) -- Most symposia are highly intellectual affairs, offering lectures and poster sessions designed to bring the latest information on a designated topic to attendees.
The Clinical Neuroscience Winter Expo will go a step further, offering interactive, real-time instruction on the latest advancements in the neurosciences and stroke care.
"We wanted this to be very different from traditional symposia, so the Expo was designed to be highly interactive," said Dr. Michael Dobbs, interim chair for the University of Kentucky's Department of Neurology and director of UK HealthCare's Stroke Network. "Through the use of interactive learning methods and patient simulation equipment, our goal is to help attendees learn by doing and translate this new-found experience to current treatment practices."
The Expo, March 6 and 7, 2015, is presented by the Kentucky Neuroscience Institute, Office of Clinical Simulation, and the UK HealthCare/Norton Healthcare Stroke Care Network.
Three different tracks are available to attendees: medical, interventional and research, and tracks are staggered throughout the day so that attendees are able to follow a single track or cherry-pick from each track according to their interests.
The keynote speaker will be Dr. Avindra Nath, clinical director of NINDS, the director of the Translational Neuroscience Center and chief of the Section of Infections of the Nervous System at the National Institutes of Health in Washington D.C., who will present "Cracking the Code of Neuroinflammatory Disorders."
Pointing to the fact that the human and economic impact of neurological disorders is exacerbated by a prevailing shortage of neuroscience specialists and the burgeoning aging population, Dr. Dobbs emphasized that augmenting multi-specialty provider groups’ neuroscience awareness and knowledge base is key to improving equitable access and patient outcomes.
"Our goal with the Winter Expo is to provide that guidance in a new and interesting way, to the ultimate benefit of patients."
For more information about the Expo or to register, go to http://neurowinterexpo.com/.
LEXINGTON, Ky. (Feb. 25, 2015) – The National Cancer Institute recently awarded a two-year, $357,743 grant to University of Kentucky Markey Cancer Center researchers to study the role of a certain protein in aggressive cancer metastasis.
The lab of Kathleen O'Connor, professor in UK's Department of Molecular and Cellular Biochemistry, studies how tumor cells interact with their environment to make cancer more aggressive.
Specifically, O'Connor's lab studies a protein called integrin α6β4, a protein that integrates signals from its environment so that cells can respond properly and die off if they are in the wrong context. This protein can cause carcinoma cells to take on some of the worst properties of cancer, including invasion, metastasis and drug resistance.
The integrin can selectively increase the expression of genes that cause cells to become particularly invasive and metastatic through a process known as DNA demethylation, but O'Connor says they do not yet know how these specific genes can be regulated.
"Through this study, we expect that understanding how the integrin affects this process will tell us more about how specific DNA demethylation occurs, as well as how cancers can become more invasive without mutating the DNA," O'Connor said.
MEDIA CONTACT: Allison Perry, (859) 323-2399 or firstname.lastname@example.org
LEXINGTON, Ky. (Feb. 26, 2015) - University of Kentucky employees who successfully quit smoking and/or using tobacco for 30 days as part of UK’s Quit and Win contest were honored at a reception at the UK Student Center on Tuesday afternoon.
“Quitting smoking is the single most important thing you can do for your health,” said Janie Heath, dean of the UK College of Nursing, who recognized contest winners at the reception. “We are here today to celebrate your success. We believe in you.”
Winners of five cash prizes provided by UK HealthCare were announced.
The winner of the $1,000 prize was Lauran Devine, a nursing care technician at UK HealthCare. The $500 cash prize winners were: Clarence Barton Switzer Jr., a carpenter with the UK Physical Plant Division; and Christine Johnson, human resources manager in the UK College of Fine Arts
The $250 cash prize winners were: Pamela Thompson, a medical technologist at UK HealthCare; and Benjamin Travers, a patient clerical assistant at UK HealthCare
“I am happy UK recognized the hard effort it is to quit smoking and helped motivate my desire to quit …I feel better than I have in a long time, and I would like to encourage others to quit smoking as well,” said Johnson.
UK supports its employees who want to quit using tobacco products by offering free tobacco treatment programs and medications. If individuals enroll in one of the programs, they can receive up to 12-weeks of FREE Nicotine Replacement Therapy (NRT). Anyone can also purchase low-cost NRT at on-campus pharmacies, hospital gift shops, and convenience stores to manage cravings while on UK’s tobacco-free campus. Learn more here: www.uky.edu/TobaccoFree.
UK’s Quit and Win Contest marked the end of UK’s five year tobacco-free anniversary celebration starting on Nov. 20, 2014. UK HealthCare and UK’s Tobacco-free Task Force joined together to sponsor the first ever Quit and Win Contest at UK. The Contest ran from Jan. 16 to Feb. 16 and was open to UK faculty and staff, including employees of any affiliated corporation, 18 years of age or older and current tobacco users. Contest enrollees and their buddies received weekly tips to quit and resources to help them via email during the 30-day contest. For more information on the contest: http://www.uky.edu/TobaccoFree/quit_win.html.
Media Contact: Ann Blackford at 859-323-6442 or email@example.com
For decades, cardiologists opened blocked coronary arteries using balloons and followed that by implanting stents (mesh-like devices) that act like scaffolds to maintain the patency of the artery. Traditionally, stents are a permanent implant made of metal. The ABSORB IV trial will test a new stent called the Absorb Bioresorbable Vascular Scaffold (BVS), a scaffold made of a polymer that can be completely absorbed by the body after the artery heals. As with metal stents, the BVS is covered by a drug coating that prevents excessive scar tissue from re-narrowing the artery. The BVS, the coating and the drug all dissolve approximately 12-24 months after the procedure. The hope is that the artery recovers its ability to respond to the heart’s needs for more blood flow with activity.
Gill is one of 40 centers in the U.S. participating in this landmark clinical trial, which aims to enroll 3,000 patients nationwide.
Dr. Khaled Ziada, director of the Cardiac Catheterization Laboratories at the Gill Heart Institute, is enthusiastic about the impact this study might have for the millions of people suffering from coronary artery disease worldwide.
"We've come a long way in the treatment of CAD, starting with balloon angioplasty in the 1970s, bare metal stents in the 1990s, and drug eluting stents in the 2000s," says Ziada. "Bioresorbable stents like the Absorb BVS allow us to take advantage of using stents to keep the arteries open, without leaving behind a permanent implant.
"We hope this leads to healthier arteries and better control of patient symptoms."
Heart disease is the leading cause of death worldwide, and CAD is the most common type of heart disease. CAD occurs when arteries that supply blood to the heart are narrowed or blocked due to the buildup of fatty deposits called plaques, leading to angina (chest pain) and increased heart attack risk.
LEXINGTON, Ky. (Feb. 19, 2015) — UK HealthCare has received approval from the Kentucky Cabinet for Health and Family Services Division of Certificate of Need to add 120 patient beds. The application for the Certificate of Need to increase the number of licensed beds was filed in October 2014 and notice of approval has been received.
"This approval allows us to move forward in our strategic plan and further our mission to take care of patients throughout the Commonwealth who need our advanced subspecialty care and destination services," said Dr. Michael Karpf, University of Kentucky vice president for health affairs.
UK HealthCare’s previous licensing was for 825 beds but after experiencing consistently greater than 80 percent occupancy of its patient beds — the industry standard for efficiency — it was determined that a total bed capacity of approximately 945 beds will be required to meet future needs at UK Chandler Hospital, Kentucky Children’s Hospital and UK Good Samaritan Hospital.
"About 10 years ago, we committed to develop UK HealthCare into a research intensive, referral academic medical center to ensure all Kentuckians — no matter how complex their medical problem — could be taken care of in Kentucky and not required to leave the state for advanced subspecialty medical care," said Karpf. "This strategy, while crucial to our goal of taking care of patients in the Commonwealth, has resulted in substantial growth beyond our initial aggressive projections."
This unanticipated growth in patient volume has led UK HealthCare to change plans throughout the past decade to meet increasing demand. Although the initial proposal in 2005 was for the Pavilion A patient care facility to be constructed as a replacement facility, continued and accelerated demand has led for the need to fit-out Pavilion A as well as keep patient care areas in the original UK Chandler Hospital (Pavilion H) open and operational for the foreseeable future.
In addition to adding 120 beds, also approved was a plan to convert four acute care beds to Level II Neonatal Intensive Care Unit (NICU) beds. Overall, Kentucky Children’s Hospital’s NICU will increase from 66 to 70 beds with a breakdown of 20 Level IV beds (for the most advanced newborn care); 38 Level III beds (for severely ill newborn care); and 12 Level II beds (for intermediate newborn care).
Currently, Pavilion A is nearly two-thirds completed. It has opened in phases beginning in July 2010 with the Emergency Department that includes both a pediatric and adult Level-1 trauma center. In addition, 192 patient rooms are completed and open including a state-of-the-art 64 bed cardiovascular patient unit which opened in December 2014. Pavilion A also currently contains an observation unit, nine operating rooms including a state-of-the-art Hybrid Operating Room, 43 pre-op and post anesthesia care beds; surgery waiting area and a retail pharmacy, among other features and areas.
Construction has begun on the next two patient floors (ninth and 10th floors) with a total addition of 128 beds. Also currently under construction, or approved for construction, is replacement of the hospital kitchen and cafeteria, relocation of the Magnetic Resonance Imaging to Pavilion A, relocation of the Neonatal Intensive Care Unit (NICU) and a new entryway and family support space for Kentucky Children’s Hospital. Since 2006, UK has invested more than $763 million in modern, state-of-the-art patient care facilities.
LEXINGTON, Ky. (Feb. 16, 2015) — Between the hours of 4 p.m. and 6 p.m. on Feb. 12, Tates Creek High School student Sara Shehata's phone was buzzing out of control. The activity feeds of her social media accounts were clogging up with unread messages and tagged posts.
Participating in the 5th Annual Spread the Love-A-Thon organized by the University of Kentucky Division of Adolescent Medicine and Stop Youth Suicide Campaign, Shehata expected to reach many of her peers with positive messages, or "lifelines." During the Love-A-Thon, lifelines were texted, tweeted, posted, emailed or spoken to peers on the phone.
But Shehata, president of the Tates Creek High School student organization that championed the event, didn't expect to get all this love in return.
"I'm having fun, and I think everyone else is too," she said.
A record 160 high school students sent out thousands of uplifting messages to peers during the hour-and-a-half Spread the Love-A-Thon on Feb. 12. The annual event aims to prevent teen suicide and depression through peer-to-peer encouragement. Suicide is the second-leading cause of death in the high school age group, and many teenagers silently struggle with depression and anxiety. Dr. Hatim Omar, chair of the UK Division of Adolescent Medicine, said one kind word can help to dissolve a youth's thought of suicide.
Ashley Whittington, a Tates Creek High School student who participated, was hastily calling all her friends in an effort to tally up the most lifelines. She said it's often hard to tell if her classmates are dealing with negative feelings.
"I don't know what they are going through at home," she said. "Sometimes my friends don't show their emotions — they just cover them up with a smile."
For the first time, UK's Division of Adolescent Medicine hosted the event at Tates Creek High School in collaboration with teacher Amanda Sewell, who directs the school's Family, Career and Community Leaders of America (FCCLA) chapter. Students part of the FCCLA helped promote the event with 1,800 handcrafted invitations passed out to classrooms. The students organized a resource fair on Feb. 11 to make mental health resources available during school lunch hours. Several students from other Fayette County schools, as well as Scott County and Jessamine County schools, attended the event.
Sewell knows depression and thoughts of suicide affect students at her school. The Love-A-Thon provided a platform for teens to talk openly about the reality of suicide and realize a simple act of kindness can be a powerful form of prevention.
"Suicide has been that disease that we can't talk about," Sewell said. "For these kids, this is important. You don't have to keep it under the rug; you can talk about it, you can get help."
At the end of the event, more than 50 prizes, including a flat-screen television, were awarded to students who reached the highest number of peers through lifelines. Students also enjoyed free pizza, candy and a photo booth. The event received additional support from The Ridge Behavioral Health System.
MEDIA CONTACT: Elizabeth Adams, firstname.lastname@example.org
LEXINGTON, Ky. (Feb. 23, 2015) -- “Love.” Just saying the word aloud arouses a cadre of images and feelings. Most people think of marriage when they think of love, but love takes on many faces -- deep friendship, time with family, enjoying an activity or hobby, or spirituality are just a few ways to experience love.
In the words of Mohandas Ghandi, “Where there is love, there is life.” Whatever allows you to feel loved, repeat often. Love is a powerful medicine and provides a critical ingredient for a healthy life.
Prolonged exposure to stress alerts the body to release the stress hormones known as adrenaline and cortisol, which leads to an increase in heart rate and elevated blood pressure. Long-term activation of adrenaline and cortisol may put you at risk for heart disease; anxiety/depression; digestive problems, and/or weight gain.
Have you ever watched a UK basketball game on TV with friends and found yourself experiencing affection and sense of shared purpose with a group of strangers who clamor together to root for Big Blue? According to psychologist Barbara Fredrickson, “love blossoms virtually anytime two or more people - even strangers --connect over a shared positive emotion.”
Studies suggest that those who have healthy, loving relationships also experience less illness. Doctors say that people who engage in productive and positive conversations with those they love foster a higher immune system response than those who argue or shut the other person out. By changing the way in which we approach an argument, we reinforce our overall health as well.
Studies have found that couples who work out together are more likely to maintain their membership or routine for a longer period of time. Additionally, healthy competition in loving relationships can result in attaining a productive level of “pushing-it-to-the-limit.”
There have been numerous studies that link love and longevity. The results reveal the need for humans to experience social acceptance and a sense of belonging in both public and private realms. Couples who remain open to new ideas and conversations experience less depression or feelings of isolation.
Discover love in new ways by deciding to accept it in all that you see around you every day. Whether it is found in the ray of sunshine on a fresh spring day or a walk around the block with a good friend, drink it in.
Brad Schwarz is Division Director and Associate Professor in the Division of Physician Assistant Studies in the UK College of Health Sciences.
This column appeared in the February 15, 2015 edition of the Lexington Herald-Leader.
Because a quick response can mitigate the effects of a stroke, it's critical to know the warning signs and get help as soon as possible, says Lisa Bellamy, director of the Stroke Care Network under the UK HealthCare/Norton Healthcare umbrella. That's why the network created SCOPE -- Stroke Community Outreach Prevention and Education Program.
“We call stroke a brain attack," says Bellamy. "Even young children can recognize stroke symptoms, and we emphasize the importance of calling 9-1-1 if they think someone is having a stroke. We want them to have a sense of urgency because once the damage happens from a stroke, it’s irreversible.”
These young students caught on quickly, she said.
“Every second, brain cells die and if too many die, your body just can’t work,” said 10-year-old Jamison Gordon, explaining what happens when blood flow to the brain is interrupted. “A stroke can easily kill you if you don’t catch it in time.”
FAST stands for Face, Arms, Speech and Time. For example, if a person’s face or smile is distorted because the muscles aren’t receiving signals from the brain, that’s a clear indication to call for help. Likewise, if the victim cannot raise one arm overhead or if their speech is garbled, it’s best to summon an ambulance. And the time factor is crucial: the sooner a stroke victim gets emergency care, the higher their chances of surviving a stroke with minimal deficits.
Stroke is the No. 1 cause of disability and the No. 5 cause of death in the United States. ACE P.E. teacher Kristi Landversicht booked SCOPE because she thought this age group could comprehend the basics. “The information is pretty easy to learn and good to know,” said Landversicht, who planned to quiz the students in their next class.
While SCOPE's colorful PowerPoint and cartoon video clips presented details in child-friendly terms, they didn’t sugarcoat the seriousness of the topic. “You can literally save a life,” Crystal Vires-Smith, SCOPE clinical associate, told students gathered in the gym.
Vires-Smith and SCOPE co-chair Carrie Sawyers touched on how the brain is the control center for the body and noted how a clogged artery or burst vessel can cut off crucial blood flow. “Every second lost, there’s more damage to the brain,” Sawyers stressed. “It’s an emergency. It’s a 9-1-1 event if there ever was one,” Vires-Smith added. The youngsters also asked poignant questions such as “Are the results permanent?” “Can you have a stroke twice?” and “Can stroke be contagious?”
The good news is that stroke is mostly a lifestyle event – that is, lifestyle choices can make a difference in the risk factors – and 88 percent of strokes are preventable. That’s why half of SCOPE’s “Brain Protector” lesson emphasized how students can reduce their risk through healthy living such as avoiding cigarette smoke, exercising regularly outdoors, and eating nutritious foods. “If I start at a young age, I’m less likely to have a stroke,” said 10-year-old Cooper Handshoe.
UK’s Bellamy agreed that establishing healthy habits in childhood is a great strategy. “The ideal scenario with stroke is you prevent it before it happens,” she said. “But there are risk factors you can’t do anything about like your family history, so we try to focus on the risk factors that can reduce the incidence of stroke.”
The Stroke Community Outreach Prevention and Education Program (SCOPE) offers free “Brain Protector” sessions for elementary schools. To schedule, call clinical associate Crystal Vires-Smith at (859) 218-0954.
Article co-authored by Tammy L. Lane , FCPS
LEXINGTON, Ky. (Feb. 12, 2015) — The American Board of Addiction Medicine (ABAM), located in Bethesda, Maryland, recently accredited the University of Kentucky Department of Psychiatry's Addiction Medicine Fellowship Program.
There are only 27 such ABAM-accredited programs in the U.S.
“We are delighted to be recognized for our excellent work in addiction medicine, which emphasizes screening, intervention, and treatment, and makes treatment more readily available to those who need it,” said Dr. Lon Hays, chair of the Department of Psychiatry in the UK College of Medicine.
The Addiction Medicine Fellowship program at UK will help physicians understand the biopsychosocial framework for individuals with addiction, and/or substance abuse-related health conditions.
“Fellowship programs like UK's will also help ensure that trained physicians are able to prevent, recognize and treat addiction and address common medical or psychiatric conditions related to the use of addictive substances,” said Hays.
The Addiction Medicine Fellowship at UK builds on a long history of addiction research and treatment. The fellowship program provides one year subspecialty training, which is offered to physicians already trained in primary care specialties (internal medicine, family medicine pediatrics, obstetrics and gynecology) and other specialties.
LEXINGTON, Ky. (Feb. 10, 2015) -- The University of Kentucky's Kentucky Neuroscience Institute, Office of Clinical Simulation, and the UK HealthCare/Norton Healthcare Stroke Care Network have joined forces to offer a new kind of symposium for neuroscience and stroke care.
The Clinical Neuroscience Winter Expo, set for March 6 and 7, will be an informative, interactive event exploring the latest advancements in the neurosciences and stroke care.
"We wanted this to be very different from traditional symposia, so the Expo was designed to be highly interactive," said Dr. Michael Dobbs, director of UK HealthCare's Stroke Network. "Through the use of interactive learning methods and patient simulation equipment, our goal is to help attendees learn by doing and translate this new-found experience to current treatment practices."
Three different tracks are available to attendees: medical, interventional and research tracks are staggered throughout the day so that attendees are able to follow a single track or choose from each track according to their interests.
The keynote speaker will be Dr. Avindra Nath, clinical director of the National Institute of Neurological Disorders and Stroke (NINDS), the director of the Translational Neuroscience Center and chief of the Section of Infections of the Nervous System at the National Institutes of Health in Washington D.C., who will present, "Cracking the Code of Neuroinflammatory Disorders."
LEXINGTON, Ky. (Feb. 5, 2015) — Women spotted in red at the University of Kentucky Chandler Hospital on Feb. 6 aren't celebrating Valentine's Day early. Rather, they're signifying their support of heart health awareness as part of National Wear Red Day, celebrated on the first Friday of every February, and the inaugural National Wear Red Day Symposium.
Sponsored by the Department of Pharmacology and Nutritional Sciences, the symposium brings together UK HealthCare experts from pharmacology and nutrition, cardiology, the Gill Heart Institute, and internal medicine to discuss the impact of heart disease on women. According to the American Heart Association, heart disease or stroke account for the deaths of one in three women every year. Fortunately, 80 percent of cardiac events can be avoided with health care education and lifestyle changes.
The National Wear Red Day Symposium, held from 10 a.m. to noon in MN 563 UK Chandler Hospital, will include presentations from the following UK HealthCare experts:
• Dr. Susan Smyth, medical director, Gill Heart Institute
• Dr. Lisa Cassis, interim vice president for research, University of Kentucky
• Dr. Allison Bailey, director of ambulatory and preventive cardiology and associate professor of medicine
• Debra K. Moser, professor and Linda C. Gill Endowed Chair, College of Nursing
• Dr. Florin Despa, associate professor, Department of Pharmacology and Nutritional Sciences
The symposium is free and open to the public. Experts will highlight lifestyle changes to prevent cardiac events, which include checking cholesterol, increasing exercise and working with a doctor on a cardiac health plan. Participants are encouraged to wear red. Following the symposium, attendees can participate in an open round table session with lunch provided and a photo shoot.
This event is celebrated in conjunction with Go Red for Women Day, which was initiated in 2003 as a campaign to raise awareness of heart disease and stroke in women. For more information about heart health for women, visit www.goredforwomen.org.
LEXINGTON, Ky. (Feb. 4, 2015) -- Adolescence is a time of transitions. Increasing independence, maturity, and hormonal changes may predispose teenagers to occasional mood and impulse fluctuations. However, some teenagers experience more than just normal mood changes and are clinically depressed. According to the American Academy of Child and Adolescent Psychiatry, about 5 percent of children and adolescents may have depression at any given time.
Depression in both adolescents and adults can manifest with complaints of sadness and crying. In contrast to adults with depression, however, adolescents also can complain of being “bored” or not enjoying activities that they used to enjoy. They may begin to draw away from friends and family or isolate themselves increasingly in their room. Since teenagers with depression may not complain of being “sad,” sometimes their behavior is confusing to school, peers, and family.
Parents may notice irritability and anger. Some teens take long naps, others have trouble falling asleep. Some lose their appetite while others eat excessively. Occasionally teens will have thoughts of death or make statements about killing themselves. Sometimes these thoughts and feelings become apparent through posts on social media. Depression is diagnosed when these difficulties begin to impair a teenager’s functioning, such as worsening performance in school, refusal to participate in activities, or more problems at home in addition to mood changes.
Scientists believe that depression is caused by both biological and environmental factors. Teenagers may have a higher risk of developing depression if a parent also has a mood disorder, like depression or bipolar disorder. At-risk adolescents may also develop depression after a stressful life event, such as neglect or abuse, medical concerns, death of a close relative, or after experiencing bullying, including cyber bullying.
Untreated depression can have a variety of consequences. Depressed teenagers are at higher risk for tobacco, alcohol or other illicit substance use and/or suicide. In fact, according to the CDC in 2010, suicide was the third leading cause of death among those aged 15-19. If a depressed adolescent talks of self-injury, death, or suicide, parents and caregivers should take those statements seriously and have the teen evaluated by a medical or mental health professional to come up with a safety plan.
Effective treatments are available for adolescent depression. After evaluation, recommended treatments can include individual therapy, family therapy, or antidepressant medication. Combined treatment (therapy and medication) is often the most effective. Lifestyle changes, such as prioritizing good nighttime sleep, moderate exercise, and seeking out positive social support, can also have a role in recovering from depression. Parents or teens can ask their physician about how to find a qualified mental health professional for further information on diagnosis and treatment.
By Dr. Amy Lynn Meadows, Director of Pediatric Psychiatry Consultation-Liaison Program at Kentucky Children’s Hospital and Assistant Professor of Psychiatry and Pediatrics at the University of Kentucky College of Medicine.
This column first appeared in the Sunday, Feb. 1, 2015, in the Lexington Herald-Leader.
LEXINGTON, Ky. (Feb. 3, 2015) – The University of Kentucky Markey Cancer Center is hosting a free patient education program on clinical trials at noon, Wednesday, Feb. 4, in the atrium of Markey's Combs Research Building.
In conjunction with World Cancer Day 2015 and the Leukemia & Lymphoma Society, UK HealthCare hematologist/oncologist Dr. Greg Monohan will present information about clinical trials. Attendees will learn why clinical trials are performed and how they work, how new treatments are developed and approved, the benefits and risks of participating in a research study, how to find local clinical trials and information about the Leukemia & Lymphoma Society.
This event is free and open to the public, and it includes lunch and giveaways. For more information or to register for this event, please call Joan Scales at 859-323-1403. Free parking is available in the Markey Cancer Center lot, or visitors may park in any UK HealthCare Garage.
The Markey Cancer Center was founded in 1983 and is a dedicated matrix cancer center established as an integral part of the University of Kentucky and the UK HealthCare enterprise. In July 2013, Markey was designated by the National Cancer Institute (NCI) to receive research funding and many other opportunities available only to the nation’s best cancer centers. Markey is the only NCI-designated center in Kentucky and one of only a handful in the country.
LEXINGTON, Ky. (Feb. 3, 2015) -- Jon Wes and Gardner Adams are 26-year old identical twins in every way. It's nearly impossible to tell them apart. Though a few people claim Jon Wes smiles more than Gardner, their mannerisms and speech are identical.
Widely proclaimed as "basically good kids," Jon Wes and Gardner didn't play many of the usual identical twin tricks on people, though they admit to switching team jerseys once or twice. Gardner says they've been pretty much attached at the hip since birth. "We both share a love of God and baseball," he says.
But for eight weeks, they weren't identical.
An accomplished shortstop and pitcher, Jon played for Asbury College and now coaches there. Gardner, who also played baseball for Asbury, was drafted by the Atlanta Braves. In top physical condition, both are avid runners, clocking 15-20 miles a week.
So it was a shock when one day last summer, Jon Wes drove to the Lexington Arboretum for his 8-mile run -- but left in an ambulance.
That evening, he began his usual route. But for the first time ever, he turned left instead of right -- a decision that saved his life.
Six miles into his route, Jon collapsed. His heart had stopped beating -- known as "sudden cardiac arrest." Because he had turned left that day, he collapsed in the middle of a concert. Some medical professionals in attendance began performing "Bystander CPR" to keep Jon alive.
"Jon was very lucky to collapse where he did," says Dr. Alison Bailey, director of Prevention and Cardiac Rehabilitation at the Gill Heart Institute and the cardiologist who cared for Jon during his stay at UK HealthCare. "'Bystander CPR' kept him alive until emergency medical personnel arrived. It's unlikely he would be with us now without it."
An out-of-hospital cardiac arrest victim’s chances of survival double or triple if a bystander is trained in CPR. Unlike traditional CPR, which uses both chest compressions and mouth-to-mouth breathing, Bystander CPR uses only chest compressions to keep blood circulating until emergency crews arrive. "By simplifying the process, it’s easier for people to remember and perform so that they will be less intimidated if they find themselves in an emergency situation," Dr. Bailey explains. "Research has shown that rhythmic chest compressions to the beat of the Bee Gee's tune 'Stayin' Alive' Hands-Only CPR demo video can deliver enough oxygen to keep the brain alive during the time the heart is not functioning."
According to the latest research, even school children can achieve acceptable levels of CPR skills proficiency in 30 minutes or less.
"In fact, many states now require high school students to learn Hands-Only CPR in order to graduate," says Bailey. "Kentucky's legislature is re-considering the bill this spring, and we're hopeful that it will pass this time."
Meanwhile, Jon's family was becoming concerned that Jon hadn't returned home from his run. Gardner met his parents at the Arboretum to look for Jon. Gardner said that at first he wasn't too concerned, since Jon sometimes hung out on a bench after his run, reading the Bible or people watching.
"We split up to search for him, and I was about a half a mile down the path when my phone rang," Gardner said. "When my dad told me what had happened, the run back to the car was the fastest half mile I've ever done."
By the time his family arrived at UK Chandler Hospital, Jon was on a ventilator. To protect Jon's brain from damage caused by a lack of oxygen during his cardiac arrest, Dr. Bailey used a procedure called therapeutic hypothermia, during which Jon was put into a medically induced coma and his body temperature was cooled temporarily. Jon awoke a few days later and has had a complete recovery.
Tests would later confirm that Jon had Brugada Syndrome, a rare genetic disease that can cause ventricular fibrillation (a lethal arrhythmia) of the heart. Sudden cardiac arrest in Brugada Syndrome patients is relatively rare, but the risk is increased if a family member has had an abnormal rhythm.
A team from the Gill Heart Institute implanted a device in Jon's chest that detects abnormal heart rhythms and will attempt to "shock" the heart back to a steady, normal heartbeat if this happens again. It's a miniature version of the paddles doctors use to bring patients back to life in television dramas. Jon will live with this internal cardiac defibrillator for the rest of his life, returning for battery changes and regular follow-up tests.
By then, Dr. Bailey knew that Jon had a twin -- an identical twin. She put Gardner through the same series of tests. He had Brugada Syndrome as well.
Eight weeks after Jon Wes had surgery, Gardner went through the same procedure to implant an ICD.
His first words out of surgery: "Hey mom -- we're identical again."
"God answered a prayer that awful day in June," said Jon. He's learned to appreciate every day instead of worrying about whether he was where he wanted to be or where he "should" be. And both he and Gardner have become advocates for Bystander CPR. "Bystander CPR is what kept me alive, and in a way it saved Gardner's life as well," says Jon.
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