MAKE A WISE ENERGY INVESTMENT IN 2018

Happy New Year, friends! For many of us, this is an important time of year as we work on making changes and accomplishing new goals. I hope you are very successful in whatever you choose to work on in 2018. I have some things I want to work on personally. One of my goals may be something you’ll want to consider.  One thing I want to do is maximize my investments, especially in terms of my energy. The goal in any investment is to expend the resource in such a way as to have a return that is greater....

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QUESTIONS TO ASK BEFORE HAVING SURGERY

Before undergoing any surgery, you should ask your doctor how to prepare and what to expect afterward. The American Society of Plastic Surgeons (www.plasticsurgery.org) says you need to communicate your goals and expectations to your plastic surgeon. And, of course, you should choose someone who is board certified by a reputable association such as the American Board of Plastic Surgery or the American Board of Cosmetic Surgery and who has a good amount of training and experience….

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PAP SMEAR: TEST LOOKS FOR PRESENCE OF PRECANCEROUS CELLS

A Pap smear is a procedure that screens for cervical cancer. Most women should start getting Pap smears at age 21 years and every three years after. It should be a part of your annual physical exam. The test looks for the presence of precancerous or cancerous cells on the cervix, the opening of the uterus or womb. During the procedure, cells from the cervix are scraped away. It is not painful and takes less than 10 minutes to complete. You may bleed a little after the test is completed.

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Have you made a resolution to take better care of yourself this year? Be sure to consider not only your physical health but your mental health as well.


According to a new federal report from the Centers for Disease Control, people in the United States have made great progress in some health areas —for example, they get more exercise and fewer teens smoke cigarettes — but they have lagged behind in many others, particularly in the area of mental health.


If you need an incentive to take inventory of your mental health, be aware Medicare covers a yearly screening for depression. It is part of the Annual Wellness Visit, during which you would discuss and create with your doctor a plan of preventive care for the coming year. According to Medicare Interactive (www.medicareinteractive.org), these screenings are designed to be completed by a doctor or other primary care provider to ensure you are correctly diagnosed and treated and receive follow-up care. In order to get Medicare to cover it, the depression screening must take place in a primary care setting.


The screening includes a Patient Health Questionnaire (PHQ-2 and PHQ-9) that helps discern if you may be at risk for or have symptoms of depression. If the questionnaire results indicate you are at risk

for or have symptoms of depression, your doctor will do a more thorough evaluation and, if necessary, refer you to a mental health professional for further care.


The Centers for Medicare & Medicaid Services (CMS) (www.cms.gov) says screening for depression in adults is reasonable and necessary for the prevention or early detection of illness or disability. The CMS describes depression as a mental disorder characterized by alterations in mood. The symptoms of depression have been recognized as far back as ancient times. (Hippocrates called it melancholia.) Depression is not a single disease, says the CMS; it is a syndrome manifested by a variety of diseases with distinct causes. Its origin includes psychological, social and biological factors.


Depression affects people across the age spectrum. In older adults, depression is often linked with comorbidities such as cancer, arthritis, stroke, lung disease and cardiovascular disease. Grief is another important risk factor for depression, and older people generally experience an accelerated loss of friends and loved ones as they age. Diagnosis of depression is based on a highly variable set of

MEDICARE COVERS SCREENING FOR DEPRESSION

symptoms. These symptoms include depressed mood; diminished interest or pleasure in activities the person formerly enjoyed; significant weight loss or gain; fatigue or loss of energy; feelings of worthlessness; and insomnia or hypersomnia.


Depression screening is important because it can help improve mental health and general medical outcomes. Under-recognized and undertreated mental illness is a serious social problem. It creates significant impacts on public health and the economy. One study estimates the combined U.S. direct and indirect costs of depression to be $83.1 billion, including $31.5 billion in direct costs and the remainder in indirect, mostly workplace costs. Depression is projected to be the second leading cause of disability worldwide by 2020.

DR. JEFFREY FOXX

A Covington, Ky., native, Dr. Jeffrey Foxx founded Family Practice Associates of Lexington in 1983. Dr. Foxx holds the belief that “God is first, family is second and medicine is third.”

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