Living Well - Jan - Feb 2017

A RESOURCE GUIDE FOR YOUR GENERATION
JAN / FEB 2017
VOL. 12 ISSUE 6
ENTERTAINMENT • HEALTH • BARGAINS • LIFESTYLE
A New
Year
MAKING GREAT
CHOICES IN 2017
Looking forward to a bright,
exciting, challenging future full
of possibility and surprise!
ALSO INSIDE
Keukenhof
Gardens
Avoiding an
Audit
Writing for
Senior Adults

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Contents Jan/Feb 2017
5
7
The Floral Beauty of Keukenhof Gardens
ELDER LAW: What you don’t know about gifting,
the $14,000 annual gift exclusion, and Medicaid.
STAFF WRITERS
Donald Hoffman Charles Sebastian
Angela S. Hoover Martha Evans Sparks
Dr. Tom Miller
Tanya J. Tyler
9
Annual GAP Conference Continues to Grow
Lisa M. Petsche
TaNiqua Ward
10
11
12
13
14
16
18
21
24
25
26
27
28
29
30
31
Avoiding an Audit: Be prepared, keep good records
Chronic Fatigue Syndrome
Courageous Conversations: Time to Have a Talk
Compassionate Friends Helps When Parents Lose a Child
Finding the Right Living Option for Your Elderly Loved Ones
EVENTS CALENDAR: January – February 2017
SENIOR SERVICES DIRECTORY
FINANCIAL: The Federal Arbitration Act
8 Reflections for a New Year of Caregiving
2016 Scorecard on Local Health System Performance
How to Help with a Partner with a Mental Illness
AGE ALLOWS: Writing for Senior Adults
HOBBIES: Inventors Network KY
FAMILY VISION: Autism and Eyesight
GARDENING: Winter Garden Tips
Near-Death Experiences Bring People Into New Way of Being
FROM THE
EDITOR
Tanya J. Tyler, Editor | Share your story:
tanyaj@twc.com
ROCK POINT PUBLISHING
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Jennifer Lord / Customer Relations Specialist
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Janet Roy / Graphic Designer
Living Well 60+ is a proud product of
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Publishing
Living Well 60+ can be found in 19 central
Kentucky counties and is distributed to over
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For advertising rates and to find out
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© Copyright LIVING WELL 60+ Magazine 2017.
All rights reserved. Any reproduction of the material in
this magazine in whole or in part without written prior
consent is prohibited. Articles and other material in this
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Magazine. Living Well 60+ Magazine reserves the right to
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Living Well 60+ Magazine will not knowingly publish any
advertisement which is illegal or misleading to its readers.
The information in Living Well 60+ Magazine should not
be considered as a substitute for medical examination,
diagnosis or treatment.
Dear Friends,
As a new year begins, we are often tempted to
look back on the just-passed 12 months with a
mingling of regret and happiness. I’ve learned not
to dwell on the past. I can’t change it, so I just accept
it. I make a point to learn from my mistakes and to
urge myself to make better life choices and strive to
be a better person. As Frank Sinatra sang, “Regrets,
I’ve had a few, but then again, too few to mention.”
I’d much rather look forward to a bright, exciting,
challenging future full of possibility and surprise. I
glanced out my window just this moment and saw
the clear bright horizon. It is exciting to think about
what is over that horizon: new friends to meet,
new ideas to explore, new places to visit. When
you’re Living Well 60 Plus (and I hope you are),
the far horizon isn’t frightening, it’s exhilarating. I
hope 2017 is the year you set out with purpose and
pizzazz for that elusive dream on the other side of
your horizon.
Tanya

JANUARY/FEBRUARY 2 0 1 7
5
The Floral Beauty of
Keukenhof Gardens
Floral showcase is a
botanical treasure
tasteful garden with bulb flowers
in lovely shades of pink and
red varieties of tulips devoted to
romance and love.
The “sensory garden” is a new
inspirational garden designed by
the most famous of Dutch gardeners,
Rob Verlinden. In the sensory
garden, feeling, smell and sight are
the points of focus.
Among the most unique of
the gardens is the Delfts Blauw
garden. Midway through the 17th
century, the potters in Delft managed
to copy the Chinese bluewhite
porcelain earthenware. Delft
Blue became extremely popular.
To this day, the blue-white combination
is used widely, and in this
garden there is a wonderful assortment
of blue and white flowers.
As recent visitors to Keukenhof,
my wife and I found the “Historical
Garden” a botanical treasure.
Here the delicate, beautiful
multicolored tulips share the story
of the development of 400 years of
tulip growth and cultivation in the
Netherlands. We learned about
the origin of the tulip and found
Keukenhof is
considered the
royal supplier of
flowers.
a reproduction of the Clusius
garden, planted with tulip varieties
that have been cultivated for four
centuries. It was thanks to Carolus
Clusius that the tulip became such
an icon of the Netherlands. Any
botanist or flower lover should
include the Keukenhof Gardens
on their bucket list.
ABOUT THE AUTHOR:
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.
by Dr. Tom Miller,
Staff Writer
Perhaps one of
the most special
gardens on earth is
in Amsterdam in the Netherlands.
Keukenhof Gardens is the international
independent showcase
for the Dutch floricultural sector,
with a special emphasis on flower
bulbs. Keukenhof is considered
the royal supplier of flowers. It has
almost 100 exhibitors who give
their very best range of flowering
bulbs for display in the park.
With these bulbs, the garden
designer creates a special design
for each exhibitor. In the space of
eight weeks, Keukenhof showcases
what the Dutch floricultural
market has to offer. The focus in
the park is on the 7 million springflowering
bulbs, which is a chance
for the participating companies
to display their living catalogue.
In more than 20 flower shows,
500 growers present an enormous
variety of cut flowers and potted
plants.
The history of Keukenhof goes
back to the 15th century. The
name means “kitchen garden.”
Countess Jacqueline of Bavaria,
Jacoba van Beieren (1401-1436)
gathered fruit and vegetables
from the woods and dunes for the
kitchen at Teylingen Castle. Keukenhof
Castle was built in 1641,
and the estate grew to include over
200 hectares. In 1949, a group of
20 flower-bulb exporters came up
with a plan to use the estate for a
permanent exhibition of springflowering
bulbs. That signaled the
birth of Keukenhof Gardens Park.
The park opened its gates to the
public in 1950 and was an instant
success, with 236,000 visitors in
the first year. During the past 66
years, Keukenhof has become a
world-famous attraction. In 2016,
the 67th edition of Keukenhof
took place with “The Golden Age”
as its theme.
The variety of gardens featured
at Keukenhof make it a park to
enjoy. The inspirational gardens
provide a link to present-day floral
trends. Visitors will discover a
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JANUARY/FEBRUARY 2 0 1 7
7
ELDER LAW
What you don’t know
about gifting, the $14,000
annual gift exclusion,
and Medicaid.
by Mary Ellis Patton
Edited by Carolyn L.
Kenton
Are you afraid to
give a gift of more
than $14,000 in any one year because
you will have to pay taxes?
Are you confident that making the
$14,000 annual gift will keep you
Medicaid complaint?
If you ask an adult American
how much they can give away
each year without paying taxes,
most will automatically respond,
“$14,000.” It has become almost
a part of the American DNA. Unfortunately,
most people misunderstand
the rule.
The Gift Tax Rule
The annual gift tax exclusion is
really a reporting rule. Any gift
over $14,000 must be reported
on a federal gift tax return, IRS
form 709. This does not mean that
you pay tax on it. Gifts reported
on Form 709 count towards the
lifetime federal gift tax exclusion
(which in 2016 is $5.45 million
per person). No tax is owed until
the gift-giver exceeds total gifts of
$5.45 million.
Annual gift-givers can give to
as many people as they wish. The
$14,000 figure applies to gifts
made to each individual person –
not the total of the gifts made in a
single year.
Married couples can double
the gift amount without being
required to report. Yes, a married
couple, can for example, give
$28,000 to each of their children
(and their spouses) without having
to report the gift.
With proper planning, a married
couple can gift $10.9 million,
plus as many annual gifts as they
choose, without paying gift tax.
Why the Gift Tax Rule
Doesn’t Matter
With the gift tax exclusion being
at $5.45 million, few estates are
paying federal gift tax. In fact,
99.8% of estates do not owe gift
tax. 1 That means that only the
richest 0.2% of Americans are
actually affected by this rule.
If you want to give a large gift to
a child or another loved one, there
is likely nothing holding you back.
Most Americans will simply not
gift more than $5.45 million in
their lifetime. There is no reason
to fear, give your gift, fill out your
Form 709, and enjoy.
Gifting and Medicaid
The Gift Tax Rule is exclusively
a tax rule. It is not a Medicaid
rule. Medicaid does not take the
gift tax rule into consideration
and will penalize gifts made in the
five years prior to the Medicaid
application.
Medicaid considers any gifts
made in the five years prior to an
application for Medicaid financial
assistance to be made in contemplation
of that assistance. Thus,
Medicaid will assign a penalty
period for gifts made within the
five year “lookback” which starts
when the client is “otherwise eligible”
(eligible except for the gift)
and has applied at the Medicaid
office for assistance. Medicaid
calculates a penalty which is a
period of time of ineligibility for
financial assistance.
For clients who have done no
planning and now have a family
member residing in a nursing
home, lifetime gifting can still
be beneficial as the family may
be able to preserve up to half of
the value of the gift by “curing”
the gift in a “give-and-give-back”
or “half-a-loaf ” strategy. This
involves returning a portion of
the gift in a prescribed manner
and reapplying for Medicaid in a
timely way. This strategy should
only be done with an attorney’s
help and supervision.
Possible Tax Concerns for
Gift Recipients
While the gift-giver will likely
not have tax consequences for
giving the gift and the gift recipient
will not pay income tax on the
gift, the recipient still needs to be
aware of potential capital gains
income taxes when he wishes to
liquidate the asset. Under federal
law, the new owner of the gifted
asset retains the cost basis (often
the acquisition cost) of the gift
giver. Thus, if the gift giver’s home
is the subject of the gift and the
gift giver purchased the home for
25 percent of its current value, the
gift-recipient owner, when selling
the house, will incur a capital gain
of 75 percent of the sale price. To
avoid this result, the home can
be sold by the gift giver using his
$250,000 capital gains tax exclusion
and gift the cash.
Conclusion
If you are thinking about using
a gifting strategy in conjunction
with your estate plans, you should
contact an elder law attorney. Gifting
can be a wonderful planning
technique if you are able to weigh
the benefits and consequences.
SOURCES:
Joint Committee on Taxation,
“History, Present Law, and Analysis
of the Federal Wealth Transfer
Tax System,” March 16, 2015,
https://www.jct.gov/publications.
html?func=startdown&id=4744.
ABOUT THE AUTHOR:
Mary Ellis Patton is an associate
at Bluegrass Elderlaw, PLLC in Lexington,
Kentucky. In her practice,
Mary uses customized Powers-of-
Attorney, Wills, and Trusts to help
clients to achieve their financial,
legal, and health care goals. Mary is
licensed to practice law in bothKentucky
and Ohio. She is the author
of Chapter 13, Age Discrimination,
of the Kentucky Practice Series,
Elder Law Volume. She serves as the
Secretary to the Elder Law Section
of the Kentucky Bar. She is also a
member of the Fayette County Bar
Association and the National Academy
of Elder Law Attorneys. Mary
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magna cum laude from the University
of Kentucky in 2004. In 2007,
she graduated with her J.D. from the
University of Dayton School of Law.
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8 JANUARY/FEBRUARY 2 0 1 7
Annual GAP Conference
Continues to Grow
Keynote speaker offers insight about
adopting grandchildren
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Newtown Pike in Lexington on
March 16. Registration begins at
8 a.m. and the last session ends at
3:30 p.m. Attendance is expected to
exceed 400.
Joan Callander Dingle will bring
the keynote address. “Refocus and
Reconnect: Changing Childhoods,
Restoring Hope, Enjoying Today”
will help families parenting relatives’
children learn how to set boundaries
(personal limits). Attendees will
also learn how talking openly and
honestly in age-appropriate conversations
with children about birth
parents will empower the stand-in
parent and develop confidence and
self-esteem in the children.
Dingle knows what she’s talking
about. She is a mother, grandmother
and great grandmother
who adopted her grandson, Chad,
now 24 years old. For more than 20
years, Dingle has been speaking to
and training relative
caregivers on
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Family Magazine.
She is the author of
Raising Children of
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Raising Their Children’s Kids.
An impressive array of workshops
at the conference will cover many
of the problems people raising
children who are not their own face.
Among the workshops is “Discipline
and the Traumatized Child.”
The presentation addresses why
parenting methods and strategies
that are effective with birth children
often do not work with children
placed with relative parents after being
traumatized and/or physically
abused by the birth parents. Participants
will learn five factors that help
bring peace to their homes. The
leader will be George Humlong, the
Resource Parent Training Director
who coordinates the Special Advocates
for Education Program at the
University of Kentucky. He and his
wife became foster parents in 1992
and have taken care of numerous
children.
Trooper Robert Purdy, an 11-
year veteran of the Kentucky State
Police, will lead a workshop called
“Hiding in Plain Sight,” aimed at
educating community leaders,
caregivers and professionals working
with teens about some of the
current alcohol and illegal drug
trends affecting youth. Participants
will learn about new technological
advances that have made detection
of drugs and alcohol much harder.
Relatives attending the conference
span the caregiving spectrum.
Although sometimes surrogate
parents step in because a child’s
biological parents are in jail, became
mentally ill or died, the overwhelming
cause is drug and alcohol abuse
Joan Callander Dingle,
Keynote speaker 2017
by the birth parents. Sometimes the
only notice grandparents or other
relatives get that they have another
child to raise is a call from their local
Department of
Health and Human
Services saying
their daughter
has delivered a
baby. Routine
testing reveals the
mother has illegal
drugs in her body.
The hospital will
not release the
baby to her. Will
the grandparents
take the baby today?
Another frequent route to
second-time parenting is when
authorities remove a child from
parents’ custody because of abuse
and/or neglect. Grandparents feel
they have no choice but to accept
the child because the alternative is
to send the child to foster care.
As in previous years, volunteer
attorneys will be available for
30-minute legal consultations. The
consultations are free but you must
register. To request a consultation,
fill out the Legal Consultation
Request form on the back of the
registration form and send it in
with your registration. The limited
number of time slots will be filled in
the order received.
The GAP conference is planned
and managed by a committee of
volunteers. Co-chairs are Mary Jo
Dendy, MSW, coordinator at the
Sandersville/Meadowthorpe Family
Resource Center, and Kristina
Stambaugh, Director of Aging
and Disability Services for the
Lexington-Fayette Urban County
Government.
For more information about
the conference or for a copy of
the registration brochure, call the
Extension Office at (859) 257-5582
or go to the conference Web site,
www.gapofky.org. Registration is $5
for grandparents/relative caregivers
and $50 for professionals – social
workers, lawyers, or others – who
can earn continuing education units
by attending. The fee includes a box
lunch. You do not have to be a relative
raising someone else’s children
to attend.

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1 0 JANUARY/FEBRUARY 2 0 1 7
Avoiding an Audit
Be prepared, keep good records
by Jamie Lober, Staff Writer
All taxpayers dread it: the possibility
of being audited. An audit
is not as common a practice as you
may believe. Kentucky Planning
Partners found in 2015, the IRS audited
0.8 percent of all individual tax
returns. The IRS defined an audit as
a formal review of a tax return to ensure
information is being reported
according to current tax law and to
verify the information itself is accurate.
It does not necessarily mean
you have done something wrong.
The best way to avoid an audit
is to file a legitimate tax return and
have accurate documentation to
support it. Always double check
your return and make sure you don’t
make any careless mistakes. Make
sure you have all of your paperwork,
including bank statements and
income reports, handy before beginning.
A computer program such as
Turbo Tax can be just the helping
hand you need to avoid errors.
While filing on paper versus electronically
is a personal preference,
studies show fewer errors are made
when filing electronically, making it
less likely you will be audited.
Tax attorney Ken Sheppard
Jr. says a common cause for the
Kentucky Department of Revenue
to run an audit is failure to report
income. People don’t fail to report
on purpose. Often it is because a
W2 or 1099 was lost or arrived late.
If you forget to report something,
you can always ask for an amended
W2 or 1099.
In general, honesty is the best policy.
AARP says people should avoid
round numbers such as $1,200
or $1,500 because it suggests you
may have been estimating. The IRS
targets people it suspects may not
keep the best records, so don’t flag
yourself. One of the most common
myths about taxes is if you forget to
put your signature on the form, you
will be audited. However, the reality
is the form will be returned to you
and you will just have to sign it and
return it. It is a common mistake to
overlook certain places on the form,
such as the boxes for your Social
Security number. Do not leave
anything blank.
Kentucky Planning Partners says
whether a tax return will be audited
comes down to random selection;
information matching or comparing
reports filed from payers to
taxpayers; related examinations; or
having a transaction with another
taxpayer whose return was chosen
to be examined further. Save all
your records so if you do need to
reference anything you will be able
to find it easily. It is always better to
be prepared.
If you are self-employed, have receipts
for all the business deductions
you claim. Ordinarily those who earn
a high income are at the greatest risk
of an audit because they tend to take
more deductions and give to more
charities. Be cautious if you choose to
claim business use of a vehicle. Keep
a log of your mileage so you can
validate where you have gone.
People tend to feel more confident
about their filing if they work
with a certified public accountant.
All CPAs are accountants, but
not all accountants are CPAs. The
American Institute of CPAs defined
the job as “a trusted financial advisor
who helps individuals, businesses
and other organizations plan and
reach their financial goals, whether
it is saving for a new home, opening
a new office or planning a multibillion
dollar merger.”
If you are audited, there is no
reason to panic. It simply means the
IRS will send you a notice requesting
specific details about your return
because it is looking for clarification
on something. Do not ignore the
notice, hoping the situation will
go away. That will not happen. A
trained tax professional will be glad
to meet with you and address any
questions or concerns you have
prior to the audit.
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JANUARY/FEBRUARY 2 0 1 7
1 1
Chronic Fatigue Syndrome
Rare but debilitating disorder has
specific symptoms
by Dr. Tom Miller, Staff Writer
Chronic fatigue syndrome
(CFS) is the most common name
used to designate a significantly
debilitating medical disorder
or group of disorders generally
defined by persistent fatigue. CFS
is often accompanied by other
specific symptoms that persist for
at least six months, according to
the Mayo Clinic. This disorder
is known as myalgic encephalomyelitis
(ME), post-viral fatigue
syndrome (PVFS), chronic
fatigue immune dysfunction syndrome
(CFIDS) and other terms.
Biological, genetic, infectious and
psychological mechanisms have
been proposed for the development
and persistence of symptoms
with this disorder.
Persons with CFS may report a
wide spectrum of symptoms that
sometimes have a psychological
etiology. These symptoms may include
muscle weakness, increased
sensitivity to light, sounds and
smells, orthostatic intolerance,
digestive disturbances, depression
and cardiac and respiratory problems.
Clinical researchers suggest
as many as 75 percent of people
with CFS experience migraines.
Most migraines in ME/CFS are
undiagnosed. Other symptoms
of CFS include post-exertion
malaise, unrefreshing sleep, widespread
muscle and joint pain, sore
throat, cognitive difficulties and
chronic, often severe mental and
physical exhaustion in a previously
healthy, active person.
Fatigue is a common symptom
in many illnesses, but CFS is
comparatively rare. Estimates of
its prevalence vary widely, from
seven to 3,000 cases for every
100,000 adults. Some national
health organizations have estimated
more than 1 million Americans
and approximately a quarter
of a million people in Western
Europe have CFS. The disorder
occurs most often in adult women.
Quality of life is particularly and
uniquely disrupted in CFS.
The Mayo Clinic (www.
mayoclinc.org) notes the cause
of CFS is currently unknown,
although there are many theories
ranging from viral infections to
psychological stress. Health care
professionals recognize CFS may
be triggered by a combination
of factors. There is no single test
to confirm a diagnosis of CFS.
Because of the complexity of this
condition, when CFS is suspected,
a variety of medical tests may be
needed to rule out other health
problems with similar symptoms.
Treatment for CFS focuses mainly
on symptom relief and may include
medication and psychological
interventions. CFS may also
be treated with physical exercise,
according to the Mayo Clinic.
SOURCES AND RESOURCES:
Mayo Clinic. Chronic Fatigue
Syndrome. www.mayoclinic.org
WebMD. Chronic Fatigue
Syndrome Health Center. www.
webmd.com/chronic-fatiguesyndrome
There is no
single test
to confirm a
diagnosis of
chronic fatigue
syndome.
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1 2 JANUARY/FEBRUARY 2 0 1 7
Courageous
Conversations:
Time to Have a Talk
It’s hard to discuss end-of-life
issues but it’s important
by Tanya J. Tyler,
Living Well 60+
Editor
While it is
difficult to talk
about end-of-life issues, it’s vitally
important that you communicate
your wishes to your loved ones
well before you need to.
“It’s called having ‘courageous
conversations,’” said Dr. Shahid
Aziz, a medical ethicist and hospice
and palliative care physician
currently working with adults
and children in multiple hospitals
and hospices in the Baltimore/
Washington, D.C. area. Aziz says
advanced care planning is part of
palliative care.
“Patients say, ‘Why do I have to
talk about this now? Ask me when
the time comes,’” Aziz said. “The
fallacy in that is you never know
what will happen or when it will
happen, and a majority of people
will not be able to talk when it
does. There are diseases where
you lose the capacity to make
decisions. You don’t want to get
stuck in that situation.”
How do you start the conversation
with family and friends who
are reluctant to discuss death and
dying? Aziz says it’s as simple
as sitting down together and
showing them an article like this.
You can discuss medical ethical
questions about having your life
prolonged by artificial means
such as dialysis and IV nutrition.
You can talk about DNRs (do not
resuscitate in case of cardiac arrest)
and other types of directives.
These decisions about how you
want to live – and die – are best
made when you are still mentally
capable and clearheaded.
The bottom line is, only you can
decide what living fully and consciously
means to you. Aziz offers
the question: “What is the lowest
level of existence that is OK for
you?” You alone can answer that.
Your physician’s role is to guide
you through your illness and to be
honest about the outcomes. He or
she should ask: “Are you enjoying
your life? Is it good? What do
you want?” And he or she should
respect and enforce your wishes.
Out of his 20 years of experience
in this discipline, Aziz offers
some advice for creating a medical
directive:
• Make clear what is important
to you. If you want doctors to
stop treatment when it’s no
longer beneficial, say so.
• Note which artificial treatments
you don’t want to
prolong your life. You can also
specify a time limit to artificial
treatment.
• Choose someone who knows
what you want and don’t want
to be your advocate. Have
an alternative if possible. It
doesn’t have to be a family
member; it can be a friend.
• Be sure to check your state
laws to see if your doctor can
go against your wishes.
• Give a copy of your directives
to people close to you as well
as your doctor.
• Review your instructions
every year.
• The simpler it is, the better.
Your list of wishes does not
have to be notarized, but it does
help if it is written down so when
the time comes, your loved ones
can consult it and ensure they are
fulfilling their promises to you. If
anyone protests a decision made
on your behalf, the list can placate
them and assure them that what
is being done is what you wanted.
A directive makes it easier to
practice rational decision-making.
And you can always change the
document.
“It’s a living plan, not a dying
plan, so your doctor knows your
goals and how to manage your
care,” Aziz said. “We are working
from the goals of living – how you
want to live and how you don’t
want to live.”
Only you can
decide what
living fully and
consciously
means to you.

JANUARY/FEBRUARY 2 0 1 7
1 3
Compassionate Friends
Helps When Parents Lose
a Child
Support, hope and comfort are
essential for coping
by TaNiqua Ward, M.S., Staff Writer
The loss of a child is one of the
most devastating experiences a
parent may face. You are not only
losing a child; you are also losing a
piece of yourself, and your future
will be forever changed.
Compassionate Friends is an organization
that supports families
that have lost a child. Its mission
statement says: “When a child
dies at any age, the family suffers
intense pain and may feel hopeless
and isolated. The Compassionate
Friends provides highly personal
comfort, hope and support to every
family experiencing the death
of a son or a daughter, a brother or
a sister or a grandchild and helps
others better assist the grieving
family.”
Over 57,000 children under
the age of 19 years die annually
in the United States, according
to the American Association for
Marriage and Family Therapy. Regardless
of the age or the cause of
a child’s death, it is still devastating.
It is important for families to
seek help and support when facing
such a difficult time.
Compassionate Friends is
available in hundreds of locations
around the United States. Families
come together and provide emotional
support to one another. The
people who are part of the group
have gone through similar experiences
and are also going through a
grieving process. Everyone suffers
loss differently based on culture,
religion and the relationship with
the child who died. There is not a
certain way to mourn the loss, so
it is important to be surrounded
by people who understand what
you are experiencing. You can seek
help through family therapy and
support groups such as Compassionate
Friends, but there are ways
you can help yourself:
• Try journaling your thoughts
and feelings. Sometimes it is
easier to write what you are feeling
instead of sharing it verbally
with others.
• If you feel comfortable, talk
about your child. Share memories
with people close to you. It
may be painful at first, but it can
also help you heal.
• Engage in activities with your
family. Try to maintain some
sort of stability even though life
may seem to be out of control.
Your family can help you find
that sense of control and some
enjoyment.
Families mourning the loss of
a child should allow the grieving
process to take place. There is no
timetable on how long you should
grieve and it is important to be
patient with the process. It is also
good and helpful to find ways to
honor and remember the child as
well. The love of a lost child unites
the Compassionate Friends group
and brings its members together.
To learn more about how this
group can help you, visit www.
compassionatefriends.org.
Compassionate
Friends is
available in
hundreds
of locations
around the
United States.
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1 4 JANUARY/FEBRUARY 2 0 1 7
Finding the Right Living
Option for Your Elderly
Loved Ones
Involve the care recipient in
making the choice
by Tanya J. Tyler,
Living Well 60+ Editor
As parents and other loved ones
age, a prime concern is finding a
place for them to live. Many senior
housing options are available,
forming a continuum of care that
seeks to make the transition to each
stage easy.
You could choose to help your
parents age in place in their own
home, hiring home care personnel
to help with daily living activities
such as cooking, laundry, grocery
shopping, taking medications and
bathing. You might make modifications
to the house, such as installing
easy-access tubs and showers.
You could choose to move them
into your own home and care for
them yourself. Or you could find
an independent living community
where your parents would interact
with people of the same age and
have moderate supervision. This
option is best for those who are
still in good shape mentally and
physically and can take care of
themselves without assistance.
But if their health begins to fail
or they suffer a setback such as
a heart attack or stroke, the next
option could be an assisted living
facility. Here they will be closely
monitored by staff and get help
with daily living activities. These facilities
offer apartment-style living
and often have amenities such as
exercise rooms, restaurant-quality
dining and opportunities for shopping
and other off-site activities.
When the care recipient
becomes incapacitated to the
point where he or she needs more
intensive care, you can choose to
place him or her in a skilled nursing
home. Residents receive 24-hour
supervision, health management
support, physical or occupational
therapy if necessary, meals and
medication. Patients with Alzheimer’s
disease or other dementia can
be placed in a memory care facility
especially designed for these challenging
conditions.
Continuing care retirement communities
encompass the options of
independent living, assisted living
and skilled nursing on one campus,
so an elderly person can smoothly
transition from one level of care to
another as needed in a familiar environment.
This option is becoming
increasingly popular.
Unfortunately, many people put
the decision off until a crisis hits.
“I wish I could say people get
proactive, but I’ve learned everybody
waits for that crisis,” said
eldercare expert Barbara McVicker,
author of Stuck in the Middle:
Shared Stories and Tips on Caring
for Mom and Dad and Before Things
Fall Apart: Preparing to Care for
Mom and Dad.
McVicker cared for her aging
parents for 10 years while raising
her children and working as
a development director. She had
discovered her father sent $68,000
to scammers in Canada who told
him he had won the Canadian
lottery and needed to pay taxes on
the winnings. Other events could
trigger the sudden need to find
an appropriate place for an ailing
parent.
“It could be a phone call that
says, ‘Mom’s in the emergency
room; she’s broken her hip,’”
McVicker said. “We encounter that
crisis and we haven’t had the conversation
about where they will go.”

As difficult as it may be, the time
to discuss all the options is now.
“The best gift families can give
each other is to talk about it sooner
rather than later,” McVicker said.
“By not bringing up the topic, it
makes all the aspects of caregiving
– financial, emotional, physical –
difficult.”
With people living longer,
caregiving can easily be a 15-year
unpaid job. “Caregiving is a marathon,
not a sprint,” McVicker said.
She helped her parents stay in their
own home for several years, but
eventually they moved to a continuing
care retirement community.
“There’s a point at which you either
need to hire skilled people, such as
RNs, or move to a place that can
provide the level of care it takes,”
McVicker said.
People sometimes hesitate to
move a parent into another type of
facility because the parent has said,
“Don’t ever put me in a nursing
home.”
Legacy Reserve
at atFritz Farm
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JANUARY/FEBRUARY 2 0 1 7
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“We say OK, and as the situation
deteriorates, we feel limited by that
promise,” McVicker said. “There
are so many great options now, but
our parents have in mind the old
nursing home ‘warehouse’ model
and don’t understand how different
and how engaged and how their
health can even get better by being
in some of these other situations.”
McVicker advises making visits
to different care facilities with your
parent before he has to choose one.
This can help him see what the
facility is like and he can talk to staff
and residents about their experiences.
It’s most important to reassure
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availability)
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together,’” McVicker said. • Crown options • Classic Molding Subway is Tile now. Back Splashes • Sports Bar
• Cul
• Spacious Living• Area Walk In Showers • Cultural Arts Center • The
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• Crown Molding • Crown Molding
• Five Dining Options
• Five Dining Options
• Indoor Saltwater Pool
• Indoor Saltwater Pool
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Sports
Sports
Bar
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•
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Arts
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Center
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Over Over 100 100Social Socialand andEducational Life Enriching Events Monthly!
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LEGACYRESERVEKY.COM

1 6 JANUARY/FEBRUARY 2 0 1 7
Events
Calendar
JANUARY
Sun Mon Tue Wed Thu Fri Sat
Ongoing
Yoga Health & Therapy
Center Classes
Our Yoga Classes feature slow
stretch with gentle breathing,
and relaxation techniques.
Class size is small, to provide
careful instruction. Yoga classes
are offered Mon through Thurs
(daytime and evening), and Sat
mornings. Our Meditation Starter
Course teaches simple ways
to focus and quiet the mind;
5-week sessions are offered on
Sundays at 5:30 pm. A nonprofit
organization operating
since 1981, The Yoga Health &
Therapy Center is located at 322
W. 2nd St. Free private parking
is provided for most classes. For
more information on fees and
scheduled dates and times, call
us at 859-254-9529, or email us
at info@yogahealthcenter.org
FEBRUARY
Sun Mon Tue Wed Thu Fri Sat
1 2 3 4 5 6 7 1 2 3 4
8 9 10 11 12 13 14 5 6 7 8 9 10 11
15 16 17 18 19 20 21 12 13 14 15 16 17 18
22 23 24 25 26 27 28 19 20 21 22 23 24 25
29 30 31 26 27 28
Send us your event listings
List your event for FREE if it’s free to the public*.
E-mail your event information to brian@rockpointpublishing.com
(*$35 fee for events that are not free to the public)
Sit and Get Fit
Mondays and Fridays, 9:30am-
10:30am. FREE! This event is
a seated controlled exercise/
movement class to improve
strength, flexibility, balance
and coordination. It is taught
by Anne Graff, MS, OTR/L,
Occupational Therapist certified
by the American Senior Fitness
Association as a Senior Fitness
Instructor and trained in Body
Recall. Also included are: Fall
Prevention and Recovery, Fun
Movements to Strengthen
Body and Mind, Improve
Posture and Core Conditioning,
Wellness Education, Relaxation
Techniques, and Music.
The Charles Young Center is
located at 540 E. Third Street.
Parking is available on Shropshire
Avenue or Lewis Street,
Lexington, KY. Ages 60 and older.
For more information, please
contact Alexis Edge at 859-246-
0281 or aedge@lexingtonky.gov.
Swing Lessons
Every Tuesday: 8pm–10pm at
Tates Creek Recreation Center,
1400 Gainesway Dr. $5.00 per
person per lesson. Call for more
information: Glenn and Rosalee
Kelley 859-233-9947; OR Peter
and Robin Young 859-224-3388.
Community Yoga Class
with Lauren Higdon
Every Tuesday 10:30am–
11:30am at Centered Studio,
309 n Ashland ave suite 180
in Lexington. This weekly
restorative class integrates
gentle yoga, breathing
techniques, meditation and
wellness tips for all ages and
levels of physical condition.
Classes may include chair yoga,
restorative, yin yoga, tai chi,
and more. Perfect for beginners
as well as experienced yogis!
Donations-based class.
Community Flow
This weekly (Tuesdays)
restorative class integrates
gentle yoga, breathing
techniques, meditation and
wellness tips for all ages and
levels of physical condition.
10:30am–11:30am. Donation
only (great portion of all
donations go to the Backpack
Food Program at Ashland
Elementary.) Inspiring, Educating
& Supporting our World through
the Moving, Visual & Healing
Arts! Daily classes, therapies,
workshops & a great spot to
host your next event! 309 N
Ashland Ave Ste.180, Lexington,
KY 40502. 859-721-1841.
www.centeredlex.com.
Lupus Support Group
Living & Coping with Lupus:
meets 1st Tuesday of every
month at Imani Baptist Church,
1555 Georgetown Road,
Lexington from 7:00pm–8:30pm.
The Lupus Foundation of
America support groups are
intended to provide a warm
and caring environment where
people with lupus, their family
members, caregivers and loved
ones can share experiences,
methods of coping and insights
into living with chronic illness.
www.lupusmidsouth.org
877-865-8787.
MELT Method Hand,
Foot and Body Healing
Class by Shayne Wigglesworth.
Mondays and Wednesdays
at 12pm - Discover painfree
living at any age! Enjoy
a gentle foam roller class to
reduce pain, inflammation,
stress, anxiety and more! MELT
Method certified instructor
Shayne Wigglesworth will teach
you healing techniques you
can use for self care at home.
All materials and rollers are
provided. Perfect for all ages,
body types and experience
levels. Learn more – call/online:
www.centeredlex.com
859-721-1841
Mindfulness-Based
Stress Reduction
MONDAYS (THRU MARCH 13)
8 week series beginning with
Monday Jan 9th orientation.
The “gold standard”
mindfulness program. Learn
to promote resilience, prevent
burnout, cultivate compassion
and manage stress-related
chronic conditions. Instructor:
John A. Patterson MD, MSPH,
FAAFP. Mind Body Studio 517
Southland Drive, Lexington,
KY 859-373-0033. Full details
at www.mindbodystudio.
org/?page_id=1262

January 7-13
Keeneland’s Behind the
Sales Scene
8am–9:30pm at Keeneland.
$25. Keeneland is offering
guests an opportunity to
experience a behind-thescenes
look at the world’s
leading Thoroughbred auction
house. Tour Guides will lead
guests throughout the grounds
to get an in-depth look at
sales operations. Experience
includes watching the morning
workouts and touring the
world-renowned Keeneland
Sales Pavilion, auction ring
and outside show ring where
some of Thoroughbred racing’s
greatest horses have been
sold.
January 9
Diabetes Support Group
9-10 am, Senior Citizens
Center, 195 Life Lane (behind
Southland Christian Church
on Richmond Road). Free.
Sponsored by the Lexington-
Fayette Co. Health Dept. For
more information, call (859)
288-2446.
January 17
Eat, Move, Lose Weight
Support Group
12 – 1 pm, Lexington-Fayette
Co. Health Department PH
Clinic South, 2433 Regency
Road. Free weight-loss support
group appropriate for anyone
wishing to lose weight or
maintain weight loss. Share
struggles and ideas with
others. Held first and third
Tuesdays most months. For
more information or to preregister,
call 288-2446.
January 19
Fayette County
Diabetes Coalition
Monthly Meeting
1 pm, Public Health Clinic
South, 2433 Regency Rd,
Lexington. Open to anyone
interested in enhancing
diabetes awareness and
education in the community.
For more information, or to
attend, call 859-288-2347.
January 24
Health Chats about
Diabetes
10 – 11 am, The Refuge Clinic,
2349 Richmond Road Suite
JANUARY/FEBRUARY 2 0 1 7
220, Lexington. Free. Join us
to discuss tips to manage and
control diabetes in practical
ways. For more information,
call 288-2446. Sponsored by
the Lexington-Fayette Co.
Health Dept.
January 24
Health Chats about
Diabetes
4-5 pm, Nathaniel Mission,
1109 Versailles Rd, Suite
400. Free. Sponsored by the
Lexington-Fayette Co. Health
Dept.. For more information,
call (859) 288-2446.
February 3
1964: The Tribute
Since the early 80’s, “1964”:
The Tribute has been thrilling
audiences all over the globe
with what Rolling Stone
Magazine has called the “Best
Beatles Tribute on Earth”.
8pm–10pm at the Lexington
Opera House. Admission
$39–$49. 401 W. Short St.,
Lexington. 859.233.4567 for
more information.
February 9-12
Kentucky Sport, Boat &
Recreation Show
Shake off the cabin fever
and enjoy great outdoor
products, exclusive deals, and
entertainment that includes
fishing, farm animals, and zip
lining! Thurs-Fri 2pm-9pm;
Saturday 9am-9pm; Sunday
10am-5pm and Lexington
Center and Rupp Arena. $10
Single Day Pass; $5 Kids. 430
West Vine Street, Lexington.
859.233.4567 for more
information.
February 11
Athens Schoolhouse
Antiques Show
Repurpose antiques,
collectibles and architectural
salvage for one-of-a-kind
decor. The monthly show
features a unique collection
of curiosities for your Home
& Garden. Occurs on the
2nd Saturday and Sunday
of every month. $2 for both
days. 10am-5pm. 6270 Athens
Walnut Hill Pike, Lexington.
859.255.7309 for more
information.
February 17-19
Rodgers +
Hammerstein’s
Cinderella
This lush production features
an incredible orchestra, jawdropping
transformations and
all the moments you love - the
pumpkin, the glass slipper, the
masked ball and more - plus
• Companionship
• Light Housekeeping
Saturdays
thru March 25
Lexington Farmer’s
Market
1 7
Every Saturday at Cheapside
Park visit the Lexington Farmers’
Market! You can purchase herbs
and spices, honey, beeswax,
candles, body care products,
organic products, eggs, meats
and fresh, seasonal produce.
8am-1pm.
some surprising new twists.
Presented by Broadway Live &
The Opera House Fund. Times:
Friday 7:30pm; Saturday 1pm
and 7:30pm; Sunday 1pm
and 6:30pm at the Lexington
Opera House, 401 W. Short
St., Lexington. For tickets and
details, call 859.233.3535.
Home Care by Seniors for Seniors
There’s a huge difference in the kind of home care you can receive from someone who really
understands what your life is like as a senior. Your concerns and need for independence.
Someone who like you, has a little living under his or her belt. Our caring, compassionate seniors
are there to help. We offer the services you need to stay in your own home, living independently.
• Meal Preparation
• Transportation
. . . and more!
KY 500239
Like getting a little help from your friends ® Call us today!
If you are interested in becoming a service Provider we would like to hear from you too.
(859) 408-1145
www.seniorshelpingseniors.com/lexington
©2016 Seniors Helping Seniors. Each offi ce is independently owned and operated. All trademarks are
registered trademarks of Corporate Mutual Resources Inc. Not all services are available in all areas.

1 8 JANUARY/FEBRUARY 2 0 1 7
Senior Services
DIRECTORY
About the Directory
Living Well 60+ is striving to make your search for local
senior services a bit easier. We know there are many
companies available to assist seniors in central Kentucky
– so many that beginning a search to fit your need can
seem like a daunting task.
That’s why our directory features a collection of local
companies and organizations who have a solid track
record of providing exceptional assistance. We hope it
becomes a useful starting point in your search for quality
senior services.
Category Key
County Offices & Meal Programs
Health Care Systems & Hospitals
Transportation, Personal Shopping, Errands
Senior Day Centers, Adult Day Centers &
Respite Care
In Home Care (Non-Medical)
In Home Medical Care
Mental Health, Family & Caregiver Support, Advice
Disability & Rehabilitation
Medical Equipment, Supplies & Monitoring Systems
Finances & Estate Planning, Trusts/Wills,
Reverse Mortgage
Funeral Arrangement & Pre-Planning
Legal Services
Home Repair & Maintenance
Skilled Nursing Facilities, Personal Care Homes,
Long-Term Care
Senior Independent Living & Retirement Housing
Real Estate / Rent- Subsidized Housing For Independent
Living
Moving, Estate Sales, Downsizing Services
Fitness, Healthy Eating & Healthy Living
Healthcare, Medicare Help and Insurance
Vision Care
Does your
business
provide
excellent
senior
services?
call us for a spot
in the directory
859.368.0778

JANUARY/FEBRUARY 2 0 1 7
1 9
HEALTH CARE SYSTEMS
& HOSPITALS
Lexington Clinic
1221 S. Broadway
Lexington, KY 40504
859-258-4000
IN HOME CARE
(NON-MEDICAL)
Accessible Home Care
366 Waller Ave. Ste. 112
Lexington, KY 40504
859-313-5167
www.accessiblebluegrass.com
Assisting Hands
1795 Alysheba Way, Ste. 7105
Lexington, KY 40509
859-264-0646
www.assistinghands.com/lexington
Senior Helpers of the
Bluegrass
3070 Harrodsburg Rd. Ste. 240
Lexington, KY 40503
859-296-2525
www.seniorhelpers.com/lexington
Seniors Helping Seniors
Where seniors who want to help are
matched w/ seniors looking for help
710 E. Main Street
Lexington, KY 40502
859-408-1145
www.seniorshelpingseniors.com/
lexington
IN HOME
MEDICAL CARE
Medi-Calls
1055 Wellington Way #215
Lexington, KY 40513
859-422-4369
Saint Joseph Home Health
2464 Fortune Dr. Ste. 110
Lexington, KY 40509
859-277-5111
www.saintjosephanchomecare.com
DISABILITY &
REHABILITATION
YMCA of Central Kentucky
239 E. High St.
Lexington, KY 40502
859-254-9622
ymcaofcentralky.org
Drayer Physical Therapy
Institute: Winchester Center
160 Pedro Way
859-745-2152
www.drayerpt.com
Drayer Physical Therapy
Institute: Richmond Center
1054 Center Drive, Ste. 1
859-625-0600
www.drayerpt.com
Drayer Physical Therapy
Institute: Lexington
Perimeter Center
600 Perimeter Drive, Ste. 175
859-268-1201
www.drayerpt.com
Drayer Physical Therapy
Institute: Lexington
Beaumont Center
1010 Monarch Street, Ste. 150
859-219-0211
www.drayerpt.com
MEDICAL EQUIPMENT,
SUPPLIES &
MONITORING SYSTEMS
Baptist Health Lifeline
859-260-6217
www.centralbap.com
FINANCES & ESTATE
PLANNING, TRUSTS/
WILLS, REVERSE
MORTGAGE
Attorney Walter C. Cox, Jr
& Assoc. LLC
2333 Alexandria Dr.
859-514-6033
www.waltercoxlaw.com
info@waltercoxlaw.com
LEGAL SERVICES
Bluegrass Elder Law
120 North Mill Street, Ste 300
859-281-0048
www.bgelderlaw.com
HOME REPAIR &
MAINTENANCE
Mountain Waterfalls
Award-Winning Water Features
859-684-0642
www.mountainwaterfalls.net
SENIOR INDEPENDENT
LIVING & RETIREMENT
HOUSING
Mayfair Village
3310 Tates Creek Rd.
Lexington, KY 40502
859-266-2129
www.mayfairseniors.com
Windsor Gardens of
Georgetown Assisted Living
100 Windsor Path
Georgetown, KY 40324
502-570-0540
marsha@goodworksunlimited.com
ARE YOU DISABLED?
HAVE YOU APPLIED FOR SOCIAL SECURITY DISABILITY?
ARE YOU CAUGHT UP IN RED TAPE?
An experienced Social Security Claims Advocate can help you:
• By assisting you in filing your initial application.
• Filling out and filing your appeals.
• Gather medical and other important information to submit to Social Security.
• Contact your doctors to obtain a report of your medical condition.
• By obtaining documents from your Social Security file and review them.
• By presenting opening and closing statements at your hearing that
will state how you meet the Social Security listing of being disabled.
For a FREE CONSULTATION of your claim call
Patsy R. Hughes, Disability Claims Advocate,
1-859-263-7780.
NO FEE IS PAID UNLESS YOU WIN
Rose Mary C. Brooks Place
200 Rose Mary Dr.
Winchester, KY 40391
859-745-4904
www.brooksplace.org
The Lafayette
690 Mason Headley Rd.
859-278-9080
www.lafayettelexington.com
Ashland Terrace
475 S. Ashland Ave.
Lexington, KY 40502
859-266-2581
www.ashlandterrace.org
Hometown Manor Assisted
Living Community
Georgetown, Lawrenceburg,
Shelbyville
859-229-5914
www.hometownmanor.com
St Andrews Retirement
Community
300 Stocker Dr.
859-625-1400
www.standrewsplace.org
Hometown Manor Assisted
Living Communities
2141 Executive Drive, Lexington
(859) 317-8439
www.hometownmanor.com
Morning Pointe Senior
Living Residences
233 Ruccio Way, Lexington 40503
859-554-0060
Lexington East Facility
150 Shoreside Dr., Lexington
859-721-0350
The Lantern (Alzheimer’s Care)
225 Ruccio Way, Lexington 40503
859-309-4867
www.morningpointe.com
MORE LISTINGS
ON NEXT PAGE

2 0 JANUARY/FEBRUARY 2 0 1 7
SERVICE DIRECTORY, CONTINUED
REAL ESTATE /
RENT-SUBSIDIZED HOUSING
FOR INDEPENDENT LIVING
Turf Town Properties, Inc.
124 Kentucky Ave.
Lexington, KY 40502
859-268-4663
www.turftown.com
Briarwood Apartments
1349 Centre Parkway
Lexington, KY 40517
859-272-3421
glickco.com
MOVING, ESTATE SALES,
DOWNSIZING SERVICES
Caring Transitions
1411 Delaware Ave.
859-543-9848
www.CTLex.net
Lexington Life Services
859-797-8157
lexingtonlifeservices.com
Hall’s Moving Service, Inc.
SENIORS SAVE 5%
258 E. 2nd Street, Lexington
859-231-0428
FITNESS, HEALTHY
EATING & HEALTHY
LIVING
Yoga Health & Therapy Center
322 West Second Street
Lexington, KY 40507
859-254-9529
www.yogahealthcenter.org
Well Fed Meals
1301 Winchester Rd. #17
Lexington, KY 40505
859-539-5863
www.wellfedmeals.com
HEALTHCARE,
MEDICARE HELP &
INSURANCE
Kentucky Health Solutions
2333 Alexandria Drive
Lexington, KY 40504
Direct 859-312-9646 | Office 859-309-5033
www.kentuckyhealthsolutions.com
VISION CARE
Medical Vision
3288 Eagle View Ln. Ste. 300
Lexington, KY
859-278-9486
www.medicalvision.com
TRANSPORTATION, PERSON-
AL SHOPPING, ERRANDS
Superior Van & Mobility
4734 Rockford Plaza
Louisville, KY 40216
1-800-458-8267
www.superiorvan.com
ATTORNEYS-AT-LAW
Call Today: 859-281-0048
www.bgelderlaw.com
120 N. Mill St., Ste. 201
Lexington, KY 40507
Carolyn L. Kenton - Mary Ellis Patton - Amy E. Dougherty
Take Control of Your Future!
Our dedicated, multi-generational, and experienced team of
attorneys helps families address the planning and implementation
issues of becoming elderly, dealing with disability, and handling
death transfers.
When planning for your future and the future of your loved ones, you
deserve peace of mind throughout the process. At the law office of
Bluegrass Elderlaw PLLC we listen carefully to your objectives, clearly
and thoroughly explain the options to best achieve your goals, and
equip you to approach your future with confidence.
Asset Preservation
Estate Planning, Wills and
Trusts
Medicaid Planning and Crisis
Planning
Powers of Attorney
Guardianship
Medicaid Applications
Special Needs Trusts and
Planning
THIS IS AN ADVERTISEMENT

FINANCIAL
The Federal
Arbitration Act:
Its Scope and Application
to Nursing Home Admission
Contracts
by Bobby E.
Reynolds, J.D.;
LL.M (Taxation)
Nursing homes
are inserting
arbitration clauses into their
admission contracts with more
frequency. The Federal Arbitration
Act (“Act”), 9 U.S.C. § 2,
often questions the enforceability
of such clauses. Therefore, it
is of the utmost importance that
counsel advising nursing homes
understand the laws applicable
to the validity of arbitration
clauses related to admission
contracts and the finer nuances
and complexities that may present
problems to nursing homes
desiring to enforce such clauses.
A clause requiring the parties
to submit claims to binding arbitration
can be compulsory solely
if federal diversity jurisdiction
exists. Federal law preempts any
state laws proscribing enforcement
of arbitration clauses. 1
Notwithstanding, the Act
renders “valid, irrevocable, and
enforceable” any “written provision
in any maritime transaction
or a contract evidencing a
transaction involving commerce
to settle by arbitration a controversy
thereafter arising out of such
contract or transaction, . . . or an
agreement in writing to submit to
arbitration an existing controversy
arising out of such a contract, transaction,
or refusal.” Accordingly,
although the Act is applicable to
“transactions,” “contracts,” and
“controversies,” pursuant to Sections
1 and 2, the Act becomes
operative only if the controversy
stems from a contract or
transaction involving interstate
commerce.
Various cases from multiple
jurisdictions illustrate the operation
of the Act. In Marmet
Health Ctr., Inc. v. Brown, 132
S. Ct. 1201 (2012), the United
States Supreme Court held that
West Virginia’s proscription
against pre-dispute agreements
to arbitrate personal-injury or
wrongful-death claims against
nursing homes was a categorical
rule that prohibited arbitration
of a particular type of claim,
conflicted with the terms and
coverage of the Act, and accordingly,
was preempted.
Kentucky cases illustrate how
Kentucky construes the Act
and its various provisions. For
instance, the Kentucky Court of
Appeals held that an arbitration
clause did not apply to a wrongful
death claim initiated by the
beneficiaries of the deceased
nursing home resident. 2 In Ping
v. Beverly Enterprises, Inc., 376
S.W.3d 581 (Ky 2012), the Kentucky
Supreme Court held that
a durable power of attorney did
not grant the agent the authority
to bind the nursing home
resident to binding arbitration
as the contract of admission
mandated. The court held that
the language contained in the
power, which granted the agent
the authority to manage the
resident’s property and financial
affairs and to make health
care decisions, did not grant
the agent authority to agree to
binding arbitration when the
arbitration agreement was not
a condition of admission to the
nursing home.
A Kentucky appeals court held
that parents, who by statute are
empowered to make health care
decisions for an adult disabled
child, do not have the authority
to bind that child to binding
arbitration with a nursing home
in which the child resided. 3 In
yet another Kentucky case, the
Kentucky Supreme Court held
that an agent acting under a
power of attorney lacked the
authority to sign an arbitration
agreement because the power of
attorney did not explicitly grant
the power to agree to arbitration.
4 In yet another Kentucky
case, a nursing home resident’s
verbal directive to her son did
not include any apparent or
actual authority to agree to
arbitration. 5
Commerce clause cases can
be extremely complicated
and very fact specific, leaving
courts to struggle with the often
complex question of whether a
transaction involving interstate
commerce. This Article will set
forth a few cases illustrating
application of the commerce
clause. It is left to the reader to
consult various treatises discussing
the subject. 6 However, the
above-referenced cases illustrate
various application of the Act
to specific factual situations, especially
in Kentucky. Residents
and others having standing to
sue must carefully examine the
specific arbitration clause if they
desire to challenge it.
SOURCES:
1. Allied-Bruce Terminex Cos. V.
Dobson, 513 U.S. 265 (1995).
2. HQM of Pikeville, LLC v.
Collins, 2014 WL 3537039 (Ky.
Ct. App. July 18, 2014).
3. Stanford v. Rowe, 2012 WL
4208924 (Ky. App. Sept. 21,
2012).
4. Extendicare Homes, Inc. v.
Whiman, 2015 WL 5634309
(Ky. Oct. 9, 2015).
5. Kindred Healthcare, Inc. v.
Henson, 2014 WL 1998728
(Ky. Ct. App. May 16, 2014).
6. See Tribe, Laurence H.,
American Constitutional Law,
Volume I (Foundation 3d ed.
2000).
ABOUT THE AUTHOR:
Bobby E. Reynolds has been an
attorney in Kentucky for several
years. He practices law in Nicholasville,
Kentucky, having previously
clerked for a Judge on the
United States Court of Appeals
and having obtained an LL.M in
taxation from the University of
Florida College of Law Graduate
Tax Program. Mr. Reynolds also
teaches continuing legal education
to attorneys in Kentucky.
Email: bobby@summitcrt.com
Phone: 859-270-6193
Conflict Resolution & Trainings
400 Etter Drive, Suite 1
Nicholasville, Kentucky, 40356
Famil
Co
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Ca
Pa
Busin
W
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Te
Famil
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Ca
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Indus
Pl
Bu
www.summitcrt.com
Phone: 859-305-1900

2 2 JANUARY/FEBRUARY 2 0 1 7
LIVING INDEPENDENTLY
IS EVEN BETTER WHEN
YOU HAVE A LITTLE HELP.
Living in a comfortable community with staff always on-hand to help you with
the tasks of daily living can go a long way in reducing the amount of time you
spend worrying. That’s why we’re here.
Schedule your visit today!
PERSONAL CARE
AND SO MUCH MORE
The Willows at Hamburg
859-543-0337 • 2531 Old Rosebud Road • Lexington, KY
The Willows at Citation
859-277-0320 • 1376 Silver Springs Drive • Lexington, KY
Cedar Ridge Health Campus
859-234-2702 • 1217 US Highway 62E • Cynthiana, KY
trilogyhs.com •

JANUARY/FEBRUARY 2 0 1 7
2 3
GET FIRST DIBS ON LIVING
LIFE TO ITS FULLEST.
People do better when they’re active, engaged, and in comfortable surroundings. It also
doesn’t hurt to have a safe place with highly trained medical staff. That’s why we’re here.
Call today and ask about becoming one of our first residents and a member of our Founder’s Club.
FOUNDER’S CLUB BENEFITS
$0 Move-in Fee
Priority Admission
First Choice Floor
Plan/Location
Exclusive Invites
Event Recognition
PERSONAL CARE
AND SO MUCH MORE
OPENING EARLY 2017
2710 Man O’War Blvd. • Lexington, KY 40515
859-213-0298 • willowsatfritzfarm.com •
A Trilogy Health Services Community

2 4 JANUARY/FEBRUARY 2 0 1 7
8 Reflections for a New
Year of Caregiving
Questions and suggestions may
prompt resolutions
by Lisa M. Petsche, Staff Writer
Whether you are new to caregiving
or have been at it for a while,
you may find yourself feeling overwhelmed
and worried about your
ability to handle all the responsibilities
involved in looking after
a person with a long-term health
condition.
What better time than the start
of a new year to reflect on your role
and how you may be better able to
manage it. Take time to honestly
answer the following questions and
consider the advice offered here.
1. Do you accept the realities of
your care receiver’s condition?
• Give yourself permission to
experience all emotions that
surface.
• Grieve losses, but don’t dwell
on them. Adapt your goals and
expectations.
• Recognize there will be good
days and bad days.
2. Are you open to learning
new things?
• Educate yourself about your
care receiver’s diagnosis and
share the information with
family and friends to help them
understand.
• Be open to learning practical
skills, such as proper transferring
and bathing techniques.
Mastering these tasks will make
caregiving as safe and easy as
possible.
• Find out about community
services in your area that can
help. The local office on aging is
a good resource.
3. Do you keep communication
lines open?
• Involve your care receiver (if
able) and other family members
in decision making as
much as possible. Don’t shoulder
the responsibility alone.
• Develop a partnership with involved
healthcare professionals.
Share information about your
care receiver, ask questions,
seek advice and offer opinions
and suggestions.
• Keep family members informed
Talk openly
with your care
receiver about
his or her
wishes.
of changes in your care receiver’s
status. Don’t act as if things
are okay when they’re not.
4. Are you prepared for
changes and challenges?
• Find out what to expect during
the course of the illness in
terms of symptom progression
and caregiving skills, medical
equipment and community
supports that may be needed.
• Talk openly with your care
receiver about his or her wishes.
Discuss living arrangements,
outside help, surrogate decision
making, medical intervention
and end-of-life care and funeral
arrangements. Be careful not to
make promises you may not be
able to keep.
• Help your care receiver get his
or her affairs in order, including
completing paperwork such
as advance directives, powers
of attorney and a will. Consult
with a lawyer who is familiar
with eldercare issues.
5. Are you open to simplifying
your life?
• Keep a caregiving log so you
don’t have to rely on memory
when it comes to medical history.
Include notes about medications
tried and their results;
acute illnesses; hospitalizations;
tests; diagnoses; treatments;
and surgeries.
• Keep relevant medical, financial,
legal and other documents
organized in a binder or filing
system for easy access.
• Seek ways to streamline your
life. Set priorities and stick to
them. And let go of the need for
perfection.
• Take things one day at a time.
Learn to live in the moment
and focus on simple pleasures.
6. Do you practice self-care?
• Look after your own health.
Make it a priority.
• Find something relaxing you
can do to give yourself a daily
break at home.
• Schedule regular breaks from
caregiving duties. Take a couple
of hours, a day or an overnight.
7. Do you have supportive
people in your life?
• Stay connected to friends and
outside activities.
• Find someone you can talk
with openly, who will listen and
empathize.
• Talk with other caregivers. Join
a community support group or
an Internet group.
8. Are you receptive to help?
• Recognize that you can’t and
shouldn’t do everything alone.
• Accept offers of help. Ask other
family members to share the
load. Be specific about the type
of help that’s needed.
• Research and take advantage
of respite services in your community.
ABOUT THE AUTHOR:
Lisa M. Petsche is a social
worker and a freelance writer
specializing in boomer and senior
health matters. She has personal
and professional experience with
eldercare.
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JANUARY/FEBRUARY 2 0 1 7
2 5
Foundation Releases 2016
Scorecard on Local Health
System Performance
Compares health access,
quality, cost, more
by Angela S. Hoover,
Staff Writer
The Commonwealth
Fund, a
private foundation,
has released its 2016 Scorecard on
Local Health System Performance
(LHSP). This is the foundation’s
second evaluation; the first report
was released in 2012.
This year the scorecard measures
changes in local area performance
over recent years. For most localities,
this is anywhere from 2011 to
2014.
The scorecard compared health
care access and quality, avoidable
hospital use, costs of care
and health outcomes. Of the 300
communities evaluated, there was
overall improvement in terms of
fewer uninsured residents, better
quality of care in doctors’ offices
and hospitals, more efficient use
of hospital and fewer deaths from
treatable cancers. However, there
are still vast differences between
measurable areas throughout many
local health systems. Fortunately,
Lexington saw many improvements,
including improvements in:
• adults with age-appropriate
vaccines;
• home health patients who got
better at walking or moving
around;
• home health patients whose
wounds improved or healed
after surgery;
• risk-adjusted 30-day mortality
among Medicare beneficiaries
hospitalized for heart attack,
heart failure, pneumonia or
stroke;
• colorectal cancer deaths;
• hospital admissions among
Medicare beneficiaries for
ambulatory-care sensitive
conditions for those aged 75
and older;
• Medicare beneficiaries with
dementia, hip or pelvic fracture
or chronic renal failure who
received a prescription drug
that is contraindicated for that
condition;
• Medicare beneficiaries who
received at least one drug the
elderly should avoid;
• Medicare 30-day hospital readmissions;
and
• uninsured adults ages 19 to 64.
Lexington saw an increase in
obesity, which was the most notable
measure of decline from the
2012 LHSP Scorecard. For more
details on this report, visit www.
commonwealthfund.org/interactives/2016/jul/local-scorecard/.
In addition to this scorecard, the
Commonwealth Fund partners
with AARP to produce the Long
Term Services and Supports
(LTSS) Scorecard. This scorecard
is a multidimensional approach to
measuring state-level performance
in areas that assist the elderly,
adults with disabilities and family
caregivers. This evaluation system
began in 2011.
One driver for creating the
LTSS Scorecard is the aging Baby
Boomer generation, some of
whom will be in their 80s in about
a decade. For this group and the
generations that follow, individuals
will have fewer family caregivers
to provide unpaid help. At present,
there is no national solution, which
means these challenges are up to
individual states to address. Some
states are doing better and some
are doing worse in these matters.
The second evaluation of states’
LTSS services was done in 2014.
Five areas were considered: affordability
and access, choice of
setting and provider, quality of
life and care, support for family
caregivers and effective transitions.
The highest ranking state across all
five dimensions was Minnesota.
Kentucky was dead last across the
board. The 2014 LTSS Scorecard
results are available at www.
longtermscorecard.org/2014-
scorecard#.WFi_z-kUW74.
The next LTSS Scorecard has
not been released yet. For ongoing
research and reports pertaining to
long-term care and family caregiving,
visit AARP at www.aarp.org/
ppi/issues/caregiving.
The scorecard
measures
changes in
local area
performance
over recent
years.
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2 6 JANUARY/FEBRUARY 2 0 1 7
How to Help with a Partner
with a Mental Illness
Support groups can offer strength & hope
by TaNiqua Ward, M.S., Staff Writer
Many relationships have their
ups and downs. No relationship
is perfect. It takes a lot of work to
sustain a relationship, and having
a partner with a mental illness can
have a significant impact.
The National Alliance of Mental
Health (NAMI) (www.nami.org)
defines mental illness as a condition
that affects a person’s thinking,
feelings or moods. If you are
living with a mental illness and are
already in a relationship, you may
wonder whether you should tell
your partner about your mental
illness. If you are single and want to
be in a relationship, you may wonder
if a relationship is right for you.
You can build a relationship while
dealing with a mental illness if you
receive support and acceptance
from your partner.
Recent research has found
there is a correlation between the
type of relationship an individual
has and the effect it can have on
mental health. If an individual is in
a healthy relationship, the partner
that is struggling may fight off their
mental illness. However, if an individual
is in an unhealthy relationship,
mental illness can worsen and
the person may develop even more
problems. In addition, both partners
in the relationship can struggle
with symptoms of mental illness,
says marriage and family therapist
Pierre Imlay, MEd, RMFT. It is important
for couples to seek professional
help if one or both partners
have a mental illness.
Here are a few tips to maintain
a healthy relationship while facing
mental illness:
• Learn about the illness and
treatments – Research the
illness and educate yourself as
much as possible. Also, make
sure your partner is receiving
the appropriate treatment for
his or her illness.
• Seek out professional help
– Learn from a health professional
how you can help your
partner. Make sure your partner
is following the instructions
received from the health professional.
Counseling can also
help with the struggles you may
encounter. It provides balance
and guidance in a situation that
can easily become toxic under
the wrong circumstances.
• Maintain positive communication
– Keep encouraging your
partner. Continue to show and
state that you love him. Let her
know she has your support.
• Check in with one another –
Talk to one another regularly.
Share feelings, needs and expectations.
Try to schedule a regular
time to talk, such as during
dinner or before bedtime. Make
sure you are on the same page.
This also helps with accountability
in the relationship.
• Learn from the struggles –
When situations occur, allow
them to be a learning experience.
Reevaluate the situation
afterward and think of ways
you will handle it better next
time. Grow from every experience.
While adjusting to the stresses
of loving someone with a mental
illness, it is important to identify
sources of support. Consider
joining a family support group to
meet other people going through
the same struggles you may be
experiencing. Talking to them can
provide hope and understanding.
Research has shown family-based
programs improve the well-being
of individuals with mental illness,
as well as that of their partners
and families. Join a local family
support group to get the education
you need and help your
loved one overcome his or her illness.
You can find support groups
at your local hospital or health
department or you can contact
your local chapter of NAMI.

JANUARY/FEBRUARY 2 0 1 7
2 7
Age Allows
Writing for Senior Adults
Age Allows is a column dedicated to the development
of a creative lifestyle for older adults. It is designed
to provide new ways of thinking about retirement, to
develop creative alternatives to living during advanced
age and to enrich the life experience for those living in
independent living, assisted living and nursing homes. It
seeks to help older adults reexamine and enhance their
lifestyles and increase their contributions to society.
by Donald Hoffman, Staff Writer
Question: I love to read, and
now feel I’d like to write. What do
I need to know about writing?
Answer: The ability to create
as a writer – in fact, through any
venue – depends on your perspective
of what you see; an emotional
connection to the subject that will
motivate you; and your imagination.
If you’ve ever had “writer’s
block,” a period of time where
words and thoughts do not seem
to flow, you will know what I
mean. The creative process will
literally “stand still” until all components
coalesce into a cohesive,
rational reason to deeply explore
an idea.
That all of these areas of experience
must connect before creativity
is born is not a new concept. It
was advanced by Jerome Brunner,
an eminent psychologist, as he
explored the complexities of the
human mind. This concept is
most important as we delve into
suitable ways to expand creative
experiences for older adults. Here
is an example:
I met William as we waited
in line at McDonald’s. We sat at
adjoining tables, continued talking
about family and life in general
and stumbled across writing as a
joint interest. William, it turns out,
has been writing for quite a while.
He is unpublished; he writes for
his own gratification. My wife and
I listened raptly as he recited one
of his “sayings,” as he called them,
and we immediately recognized
it as pure poetry. How does an
ordinary guy – someone who has
worked all of his life and is still
working while retired – find the
time and motivation to produce
exceptional creative poetry?
I know little about William
except that he is hard working –
retired but still working part time.
He has strong family and church
connections and strong ties to his
religious heritage. William values
education and proudly talks about
his daughter and her quest for a
Ph.D. He possesses an unbelievable
vocabulary and a way of putting
words and phrases together
in thoughtful sequences of great
spirituality and meaning. Since
William writes basically for himself
and reads what he writes only
within a small circle of church and
personal friends, he does not yet
recognize how important or advanced
his creative thinking skills
are nor the impact his “sayings”
might have on a larger audience.
The motivation to write comes
from many sources. In this instance,
I believe William’s motivation
grows from a strong spiritual
connection to God. Spiritual
beliefs are often enabling motivators
for individuals at all ages and
levels of society. Such connections
are highly personal in nature,
involving powerful emotional
connections and imagination,
and thus they meet the Brunner
criteria for developing the creative
thought process. William could
have communicated his thoughts
in other ways: through the visual
arts, musical experience, dance,
crafts, theater or any other form
of expression he chose. William’s
choice was to use language to
transmit his thoughts and beliefs.
He felt comfortable with words.
You indicate your love of reading,
so if you are widely read you
already know that writers write
about fictional and non-fiction
subjects. You can create a novel
or poetry or write for magazines.
That is every author’s choice to
make. The possibilities are enormous
and the process changes for
each genre and subject. Hone your
research skills and learn to make
detailed outlines focusing on the
idea and sequence of events or the
storyline and decide on the audience
you will write for. You must
decide if you want to tell a story,
relate or solve a problem, write
about yourself, create a biography,
a children’s morality tale or investigate
some other subject area.
Sometimes putting words
to paper or on a computer is
intimidating, especially to those
new to writing. This intimidation
can serve as a block to
progress. Some beginners find
it easier to use an oral approach.
There are programs designed for
the computer that automatically
take spoken words and transfer
them to the screen. You can also
record your words on tape and
later transcribe the story into
written form. Both techniques
can help a new writer transition
more easily to putting ideas on
paper.
Inventive approaches to writing
frequently appear, some well
suited for exploration by senior
adults, such as a zine. Zines
(short for magazines) offer opportunities
for beginning and
advanced writers and artists to
informally publish their work.
You simply write, draw, paint
and design your published work,
copy it, then cut it to size and
either sew, glue, or staple the
pages together. Collections of
poetry, essays on any subject,
illustrated stories, sayings or
other creative experiences suited
to reproduction on paper, once
printed and bound, are shared
within a chosen group. They are
easily critiqued and re-written at
will in a non-threatening learning
experience for older adults.
If you believe you might need
help with your writing, check
with the Carnegie Center in
Lexington, the OLLI program
at the University of Kentucky,
your local senior center or an
adult education program. All
have writing programs for older
adults and some are free. Many
independent and assisted living
residences also have structured
writing programs for residents.
Postscript: If I had not begun
talking to William, truly listened
and been open to his ideas, I never
would have discovered an answer
to this question. The importance
of openness to new ideas and the
lessening of the fear of meeting
new people is an important key to
developing creativity. My conversation
with William provided me
with motivation, an emotional
connection to my subject and an
imaginative approach to say what
I believe to be important. I am
grateful and deeply indebted to
William for his openness and his
thoughts and hope to meet him
once again.
ABOUT THE AUTHOR:
Don Hoffman is the former
director of the Donovan Scholars/
Council on Aging at the University
of Kentucky and author of
Arts for Older Adults: An Enhancement
of Life.

2 8 JANUARY/FEBRUARY 2 0 1 7
Hobbies
Inventors Network KY
Have a great idea? Here’s some help
by Angela S. Hoover, Staff Writer
Ever have an idea for a new
product or a solution to a problem?
Most people do, but they
don’t know what to do with their
ideas. That’s where the Inventors
Network KY comes in.
The Inventors Network
Kentucky is a 501c3 non-profit
dedicated to providing educational
resources and support to
inventors and entrepreneurs. It
began in 1996 in Lexington as the
Inventors Council Central KY.
“We help inventors and entrepreneurs
through education,
engagement and empowerment,”
said Don Skaggs, president of the
Inventors Council Central KY.
More than just a club, the Inventors
Network is a comprehensive
group of programs that includes
presentations from speakers,
hands-on workshops, brainstorming
sessions and networking.
The network guides individuals
through each step from idea to
production and finally selling
in the marketplace. It can even
provide referrals to private and
governmental agencies across
Kentucky.
“There are associations like
ours, but we strive to do something
very unique, especially with
our workshop programs,” said
Skaggs.
A self-described “serial inventor”
since 1991, Skaggs began
attending council meetings in
2001after he saw a newspaper ad
about it. The network has two different
types of monthly meetings.
The first meeting, which is free
and open to the public, is held the
first Tuesday of the month. It features
expert speakers and provides
networking and learning opportunities.
Topics covered include patent
law, prototyping, marketing,
sales, finances and licensing. These
meetings not only cover basic information
and instruction but also
focus on individual behaviors to
cultivate – and shun – for success.
A prevalent behavior for many is
to treat their idea or product like a
baby. But babies cost money.
“The day they stop treating
their invention or product like a
baby, it begins to be like an actual
product,” Skaggs said.
The second meeting is a
members-only workshop. These
brainstorming sessions are held
under a joint confidentiality
agreement. Here members share
ideas and explain where they’re
at and what they might be stuck
on so other members can offer
ideas and solutions. The nondisclosure
agreement protects
against idea theft.
“It’s a brainstorming session on
steroids, as I’ve heard someone
describe it,” Skaggs said. “What
happens in the meeting, like Las
Vegas, stays in the meeting.”
The workshops, which meet the
second Tuesday of the month, are
powerful for members because
it’s helpful to be around other
inventors and entrepreneurs, said
Skaggs.
“No one is totally successful if
they work in complete isolation,”
he said. “People are very helpful.”
The network launched expanded
educational classes called
the Empowered Inventing series
in 2016. These are structured,
step-by-step classes that cover
many stumbling blocks for inventors
and entrepreneurs, including
behavior change, a known root
cause of many failed inventions
and businesses, as well as explaining
processes of different stages of
development.
One important focus is protecting
new inventors and entrepreneurs
from scams, which affect
more than 25,000 inventors a
year at an estimated cost of $200
million. The network believes the
most powerful weapon against
scams is educating inventors
about the right direction to go
when spending money and time
on their invention, product or
startup.
In 2004, the network held
its first annual convention for
inventors. It is now the largest
inventor/entrepreneur event of
its kind in the Midwest. Known as
Inventor-Con, it attracts nationally
recognized speakers and exhibitors
from all over the country. The
Louisville center opened this
past September. The network
started a YouTube channel (InventorsCouncil)
to upload educational
videos and is also looking into
more ways to connect with others
in rural areas in the state. It is
also planning outreach programs
with middle and high schools,
colleges and other postsecondary
educational centers, groups and
associations.
Membership is $50 annually.
The council’s offices are located
at 4101 Tates Creek Centre
Drive, Suites 150-143. Visit www.
KYInventors.org or call (859)
201-1311.

JANUARY/FEBRUARY 2 0 1 7
2 9
FAMILY VISION
Autism and
Eyesight:
Prisms Help Get
Systems in Sync
by Dr. Rick Graebe,
Family Eyecare
Associates and
Vision Therapy
It may surprise
you to learn eyesight and autism
spectrum disorders have a connection.
One of the major symptoms
of autism is a lack of eye contact.
Few people with autism have
trouble with their eyesight. The
problem is with the person’s ambient
visual system. The ambient
system is concerned with things
going on around us in the background.
It generally filters everything
out for us because noticing
every little thing in the visual
field would be overwhelming.
However, people on the autism
spectrum have trouble using the
central and peripheral visual
systems simultaneously, so subsequently
they have trouble filtering
things. Having autism can
be compared to walking around
with the tubes from paper
towels in front of your face. You
would move your head around
constantly, trying to check out
your environment and keep up
with what’s going on. People on
the autism spectrum tend to get
hyperstimulated when there is
In one documented case, a 14-year-old
boy who had never said more than oneword
sentences started speaking full
sentences within 15 minutes of putting
on a pair of yoked prisms.
too much peripheral movement
happening all around them.
Their ambient visual system is
not telling them that people are,
perhaps, moving in many different
directions, both forward and
backwards. Confused, needing
to feel where they are in relationship
to the things around them,
people on the autism spectrum
might start exhibiting stimming
– self-stimulatory behavior that
incorporates the repetition of
physical movements, including
flapping the arms. When the
ambient visual system works as
it is supposed to, people on the
autism spectrum don’t experience
overstimulation.
Vision therapy using yoked
prisms has been shown to help
people on the autism spectrum
tremendously, sometimes even
removing autism tendencies.
This therapy has a major impact
on the ambient vision system.
It is not a cure for autism; it is
a calming of the sensory system.
In one documented case,
a 14-year-old boy who had
never said more than one-word
sentences started speaking full
sentences within 15 minutes
of putting on a pair of yoked
prisms. The prism changes
the distribution of light on the
retina; one theory espouses the
prism resets the timing between
the ambient and focal vision systems.
When they are out of sync,
a prism can help the two systems
blend better. Yoked prisms do
what any therapy – physical, occupational,
speech – is meant to
do: create a new, more meaningful
and useful environment for
the patient. It changes input and
thus changes output.
Vision therapy is an attempt to
understand the world in which a
person on the autism spectrum
lives and moves, to understand
what makes their sensory input
different and to take steps to
improve it. It is effective for
both children and adults. Once
there is a better understanding
of what is affecting the person
with autism, vision therapy can
expand his or her peripheral
awareness and help him or her
achieve the ability to judge space
and distance so they don’t get
as overwhelmed as quickly. For
more information about yoked
prisms and the autism spectrum,
a recommended book is Mel
Kaplan’s “Seeing Through New
Eyes,” which details his work
with patients on the autism
spectrum.
ABOUT THE AUTHOR:
Dr. Graebe received both his B.S
degree in Visual Science and Doctorate
of Optometry from Indiana
University. He is a Behavioral Optometrist
and learning expert. He
has been in private practice here
in the Bluegrass area for the past
32 years.
Family Eyecare Associates
105 Crossfield Drive, Versailles, KY 40383
859.879.3665 | www.myfamilyvision.com
www.kentuckyvisiontherapy.com

3 0 JANUARY/FEBRUARY 2 0 1 7
Gardening
Winter Garden Tips
’Tis the season to prepare for spring
by Angela S. Hoover, Staff Writer
Don’t have a garden but want
to start one this spring? Then
get started this winter! Go ahead
and plan and plot where your
garden will be. Winter is not an
off-season for avid Kentucky
gardeners. Which tasks you undertake
depends on your answer
to the question: to grow or not
to grow?
The key to growing in the
winter is to only concentrate on
plants hardy enough to withstand
cold temperatures – forget
about tomatoes and corn until
late spring. There are plenty of
plants well-suited for winter
growing. Cold-tolerant plants
that can withstand even temperatures
in the teens include brassicas
– kale, bok choy, kohlrabi and
most mustard greens. Fava beans
are hardy enough to survive
temps of 10 degrees F. They are
also a good winter nitrogen fixer.
Root crops such as carrots, beets,
rutabaga and parsnips are perfect
for winter – just be sure to plant
them in a low tunnel or with a
thick layer of mulch. Low tunnels
can protect against drying winds
or compression from heavy
snows. The cold temperatures
yield sweet-tasting vegetables.
The biggest challenge to winter
gardens is temperature fluctuations
that go from very warm
to extremely cold. (After all,
this is Kentucky.) The warmer
temperatures can encourage
premature blooms and bring
pests and diseases, but sudden
freezes can halt development.
Coverings for particularly hardfreeze
nights can be purchased
or even improvised quickly with
an actual blanket. Hoops with
wire at intervals helps keep any
covering laid on top of the crop
area from touching and weighing
down on the plants. When
the freezing temperatures pass,
remove the cover. The plants will
look droopy and limp at first.
But as the sun warms them, the
intercellular water circulates and
drains and in time the plants will
perk back up.
Winter is a good time to test
your soil’s nutrient levels. Leafy
green vegetables require more
nitrogen than winter peas, carrots
or broccoli. The pH level of
soil is the most important factor.
During the winter time, the pH
level should be adjusted to a
range of 6.2 to 6.8. It’s also important
to remove any remaining
summer vegetables and add them
to the compost pile.
If you don’t wish to grow
anything this winter, plant cover
crops. Cover crops are also called
“green manure” because while
they act as a covering for the
soil, they also prevent erosion
and provide nutrients for the soil
when tilled. Red-flowering clover
is an ideal example of a cover
crop that can help build and protect
the soil in gardens or areas
of a garden that are not actively
growing a vegetable, root or
herb. Cereals such as wheat, rye,
buckwheat or oats are also great
cover crops. Clover and cereal
grains can be grown together or
alone. Another nice winter-cover
crop mix is cereal grain(s) and
legumes such as cow peas. Avoid
planting ryegrass because it is
difficult to eradicate in the spring.
Cover crops should be fertilized
at planting time and maybe once
again later in the season if they
need a boost. Come this spring,
you’ll have nutrient-rich soil to
work with for your garden.

JANUARY/FEBRUARY 2 0 1 7
3 1
Near-Death Experiences
Bring People Into New
Way of Being
Perceptions, behaviors,
lives are changed
by Charles Sebastian, Staff Writer
The subject of near-death
experiences (NDEs) has long
fascinated the public. It has made
its way into many books and movies.
These occurrences vary, from
the classic “I saw a bright light”
to “My life flashed before me” to
“I had a visitation from a family
member who passed on.” Are these
simply light-and-shadow plays of
the mind or actual experiences
on some level yet unknown to us?
Whether NDEs could one day be
proven real or not is irrelevant to
the fact that they can turn people’s
lives around and drastically change
their behaviors and perceptions.
Dr. Jim Roach, who helms
The Midway Center for Integrative
Health in Midway, has heard
numerous NDE accounts over his
many years in practice. He is the
author of the spiritual near-death
book, “God’s House Calls,” in
which he cites 45 patients who had
spiritual NDEs.
“One [patient], an alcoholic,
had a negative near-death experience,”
Roach said. “He didn’t share
details, but it shook him up. The
next two years he did everything
he could to make amends, then
had a blissful near-death experience.
Maybe it matters if we are
making the world a better place.”
Because of the different experiences
in the near-death category,
not only is there the “was it real
or only in my imagination” effect,
but the truth of some experiences
seems more or less plausible than
that of others.
“Maybe Einstein had it right: E
= mc2,” Roach said. “We look at
each other and see solid mass; in
reality, we are just an energy field.
Almost every week I encounter
someone who has been out
of body. Famous psychiatrist
Elizabeth Kübler-Ross, author of
‘Death and Dying’ and many other
books, interviewed 2,000 people
with NDEs, including blind people
who, while their doctor did CPR,
from up above could see every
detail and describe every color.”
While NDEs vary in form,
fashion and delivery, they all have
the common thread of taking the
subject out of his or her comfort
zone and somehow showing the
person something new. The experiences
bring the person into a new
way of being and dealing with the
world.
“[I have] hundreds [of patients]
with premonitions, intuitions, outof-body
experiences or [who have]
heard voices or seen visions with
positive, transformative messages,”
Roach said. “Half of my serene,
upbeat female patients have had
these experiences; they are incredibly
common but so personal they
are rarely shared.”
Until the day comes when we
can somehow prove these experiences
are real in the minds and
bodies of those who report them,
we continue to wonder about their
place in the human drama. Even if
one day NDEs are proved, tested
and accepted, naysayers would still
be naysaying. What is important
is the undeniable role NDEs play
in the human experience and how
they have shaped lives, nations and
the world.
For more information about
Roach and The Midway Center
for Integrative Health, visit www.
themidwaycenter.com.
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