SAFE CAMPING

Some people love the great outdoors and are willing to pitch a tent in the nearest glade and set up a rustic campsite. Other people prefer to camp with all the comforts of home in an RV or trailer. (This is often called “glamping.”) Whatever your preference, being prepared is essential for a safe and successful camping trip.  “Being prepared for emergency situations is critical when people are out in remote areas with limited access to phone service, hospitals and emergency help,” said Don Lauritzen.

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LET YOUR KIDS STOP AND SMELL THE ROSES AT THE ARBORETUM

Are you looking for something that can provide your children a very special opportunity? Something that at the same time will allow them to experience stimulating sensations? The place you seek is right here in Lexington on the campus of the University of Kentucky. The Arboretum is Kentucky’s state botanical garden and includes the Home Demonstration Garden, the Rose Garden and the Fragrance Garden.  Start your exploration with a stop at the Dorotha Smith Oatts Visitor Center, which is open Monday through Friday....

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KEEPING KIDS ACTIVE IN THE SUMMER

Kids these days are heading down the path leading to a sedentary lifestyle, and that makes it important for adults to spark a passion for activity in them. This will keep their bodies, brains and development on track. Summer is the right time to get them moving.

Here are five ways to encourage your kids to live and love an active and healthier lifestyle outdoors.

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Be bone smart and learn more about joint replacement at these organizations’ Web sites: 


American Academy of Orthopaedic Surgeons (www.aaos.org)

American Association of Hip and Knee Surgeons (www.aahks.org)

Arthritis is a general term for conditions that affect the joints and surrounding tissues. Joints are places in the body where bones come together. They are crucial to good health because they hold the skeleton together and support movement. Among the bone diseases humans face, bone-on-bone pain in the shoulders, knees, hips, fingers, toes or ankles makes for a very limiting journey.


The two most common types of arthritis are osteoarthritis (OA) and rheumatoid arthritis. OA, commonly known as wear-and-tear arthritis, occurs when the natural cushioning between joints – the cartilage – wears away. When this happens, the bones of the joints rub more closely against one another with less of the shock-absorbing benefits cartilage provides. OA is a painful, degenerative disease that often involves the hips, knees, neck, lower back or small joints of the hands. It usually develops in joints that are injured by repeated overuse from performing a particular task, playing a favorite sport or carrying around excess body weight. Eventually the injury or repeated impact thins or wears away the cartilage. As a result, the bones rub together, causing a grating sensation. Joint flexibility is reduced, bony spurs develop and the joint swells.


Often the first symptom of OA is pain that worsens following exercise or immobility. Treatment usually includes a range of analgesics, topical creams or nonsteroidal anti-inflammatory drugs; appropriate

BONE-ON-BONE ARTHRITIS MAKES YOU SAY: OUCH!

exercises or physical therapy; joint splinting; or joint replacement surgery for seriously damaged larger joints, such as the knee or hip.


Joint replacement surgery is performed by an orthopedic surgeon. It involves the removal of a damaged joint and the surgical replacement of arthritic or diseased bone or joint surfaces with implants that restore proper, pain-free function. All joint replacements have potential complications but patients have good reason to expect a successful outcome to their surgeries at centers specializing in joint replacement surgery. If you want to learn more about joint replacement surgery, BoneSmart (www.bonesmart.org) is dedicated to raising patient awareness about hip and knee joint replacement options.


Many other joints can be replaced surgically, including ankles, shoulders, elbows, wrists, thumbs, great toes and fingers. Some joints have both bearing surfaces replaced; others, such as the thumb or toe, might only have one surface replaced. Some implants require the use of cement, but some are specially coated to bond with the bone. Silastic finger joints may only be placed into the bone with the express intention that they will not be affixed. The flexible movement of the implant allows the fingers to move with greater freedom.

DR. THOMAS W. MILLER, PH.D, ABPP

Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scientist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

more articles by Dr thomas w. miller