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Wednesday, 15 June 2016

Princess Health and June 15th, 2016 Revisiting-What's This All About?. Princessiccia

Princess Health and June 15th, 2016 Revisiting-What's This All About?. Princessiccia

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June 15th, 2016 Revisiting-What's This All About?

This is essentially a "Tweets Only" in consideration of my schedule this evening. But I did want to republish something I wrote a very long time ago. It's called, "What's This All About?"

What's this all about?

It's about progress, not perfection. It's about how you feel, not a number. It's about you and for you, not about or for anyone else. It's about living, not dying. It's about dreaming, not dreading. It's about freedom, not imprisonment. It's about opening your mind to the possibilities, not closing it to the changes. It's about acceptance, not rejection. It's about nourishing, not depriving. It's about a broadly consistent importance level, not short bursts of narrow focus. It's about wanting, not forcing. It's about doing your best, not trying to do another's best. It's about today, not tomorrow, or next week or the first of the month or January 1st. It's about committing to consistency with all your heart and holding on tight, not a halfhearted commitment easily released with the slightest breeze. It's about you deserving better, because you do. It's about you being important, because you are important.

Today: I maintained the integrity of my maintenance calorie budget, I remained abstinent from refined sugar, I actively engaged in support, I exceeded my water goal and I'm about to workout before bed. That workout will show in the tweets of tomorrow's edition.

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Thank you for reading and your continued support,
Strength,
Sean
Princess Health and Court of Appeals orders Lexington abortion clinic closed for now. Princessiccia

Princess Health and Court of Appeals orders Lexington abortion clinic closed for now. Princessiccia

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By Al Cross
Kentucky Health News

Reversing a lower court's ruling Wednesday, the Kentucky Court of Appeals said Lexington's only location for legal abortions must stop performing them pending a lawsuit by the state that seeks to require it to be licensed as an abortion facility.

Fayette Circuit Judge Ernesto Scorsone declined in March to issue an injunction to close EMW Women�s Clinic on Burt Road, saying that the state failed to show that it was likely to win its lawsuit and that allowing it to stay open in the meantime would cause any irreparable injury. He found that the clinic was operating legally, and closing it would be �against the public interest� because it is the only clinic that routinely provides abortion services in the eastern half of the state and the right to an abortion is constitutionally protected.

But the facility is licensed as a physician's office, not as an abortion clinic, and a three-judge panel of the Court of Appeals, all of them women, unanimously agreed with the administration of Gov. Matt Bevin that it needs the latter license to operate legally. The judges said Scorsone had misinterpreted the licensing requirements and didn't give proper weight to the evidence, which was that all the clinic does is perform abortions and related procedures.

The clinic's owner, Dr. Ernest Marshall of Louisville, testified that the Lexington business "originated as a doctor's office" but has narrowed its line of work in recent years, especially after his partner died in December 2013. He said it was a simple facility compared to his EMW Women's Surgical Center in Louisville, which is licensed as an abortion facility and performed 2,773 abortions last year compared to 411 at the Lexington facility, which does abortions only in the first 12 weeks of pregnancy.

Scorsone said Marshall "has a strong argument" that he didn't need an abortion license because the Cabinet for Health and Family Services reached that conclusion after its last previous inspection in 2006 and the clinic doesn't have $1.5 million worth of equipment, at which point an abortion-clinic license is required. But the appeals court pointed out that state law says an abortion facility is "any place in which an abortion is performed" and "We see no reason why an exemption determination should be determinative a decade later," after the nature of the facility had changed.

The appeals court said Scorsone also erred in saying denial of an injunction wouldn't cause irreparable injury, because the cabinet and the citizens would be harmed "if the cabinet is not allowed to correct the alleged violations of its licensing requirements." It said that is a legal presumption that Marshall could have rebutted but did not. It also cited the cabinet's latest inspection, which found "expired medications, defective equipment, [a] torn examination table and dust accumulation."

In granting the injunction prohibiting abortions at the facility, the court said "There is a substantial legal issue as to whether EMW Lexington qualifies as a private physician's office, where it performed only abortions in the last year."

As for the availability of abortions in the eastern half of the state, the three judges said Marshall presented no evidence regarding "the location of the women EMW Lexington serves" and noted that it refers women past the 12th week of pregnancy to its Louisville facility. "As the cabinet points out, this case is not about a woman's right to an abortion," Judge Allison Jones wrote.  "The cabinet is not seeking to prevent women from obtaining abortions [but] to enforce its right to regulate the manner in which abortions are performed in this commonwealth." Judges Sara Combs and Debra Lambert joined in the opinion.

Princess Health and Forrest W. Calico, national leader in rural health care, dies at 75. Princessiccia

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Forrest W. Calico
Dr. Forrest W. Calico, a nationally recognized expert on rural health-care quality, died Monday at his home near Crab Orchard "after striving against multiple myeloma for several years," said his obituary in the Lexington Herald-Leader. He was 75.

A native of Garrard County, Calico received his medical degree from the University of Kentucky in 1966. He also held a master's degree in public health from Harvard University. In the U.S. Air Force, he was a flight surgeon at Area 51 in Nevada, a family physician, residency director and hospital administrator, earning the Bronze Star. He was president and CEO of Appalachian Regional Healthcare from 1993 to 1999, a health-systems adviser to the federal Office of Rural Health Policy and a senior quality adviser to the National Rural Health Association. In 2007 he was named a Rural Hero by the National Rural Assembly and in 2010 entered the UK College of Public Health Hall of Fame.

In retirement, Calico remained active at the state and local levels, serving on the boards of the Foundation for a Healthy Kentucky, the Friedell Committee for Health System Transformation and the Lincoln County Board of Health. In 2012 he published a memoir, Out of the Blue, with the subtitle "How open doors and unexpected paths set the course of my life."

Calico is survived by his wife Patricia Calico, their son Jefferson and wife Cari, daughter Tricia and husband Wes Cohron, his sister Helen Eden, a nephew and six grandchildren. A celebration of his life will be held Saturday, June 18, from 2 to 5 p.m., with a memorial service at 3 p.m., at The Church at Cedar Creek at 5787 US 150, east of Stanford. Memorial donations may go to The Friedell Committee, PO Box 910953, Lexington KY 40591, or the Dr. Patricia A. Calico Endowed Nursing Scholarship at UK, 315 College of Nursing Building, Lexington KY 40536.

Tuesday, 14 June 2016

Princess Health and June 14th, 2016 Most Of All. Princessiccia

Princess Health and June 14th, 2016 Most Of All. Princessiccia

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June 14th, 2016 Most Of All

I'm having a very difficult time getting back into my exercise groove after the previous insane schedule of the last two weeks. The #morningdeal routine isn't meant to be a workout replacement, it's simply a "get the body working" type starter thing. I'll be focusing on increasing my regular workout accountability over the next couple of weeks.

Part of this, a big part, actually--will be continuing the improvement of my time management. I do not buy the nonsense that I just don't have time--that isn't true. It isn't the time. We all get the same amount. It's how I'm using my time. Can I be more efficient? Yes. It's like I'm working a combination lock, trying to find all the right grooves.

I started by taking an inventory of what I do each day and what I want to add--things I want to accomplish. The wildcard in this entire process is the workload at the studio. It plays a big role some days. I'm confident I'll find the solutions.

I'm not embracing a perspective on what hasn't been or can't be done, I'm asking how it can be done. It's embracing solutions instead of allowing excuses to release me from my personal responsibility of taking exceptional care.

And that perspective works well. I wouldn't be here today without this perspective.

I write and speak about maintaining the integrity of my food plan come what may. And I do, every single day, one day at a time. But conveniently, I've never applied the same reverence to my exercise commitments. 

My trek isn't perfect, obviously. And I've never claimed it to be perfect. I'm evolving, growing and learning more and more all the time. 

I'm not brutalizing myself over this issue. I'm dropping in bed at a reasonable hour tonight instead of running to the gym, which was an option. I'm being kind, but firm, with me. And I think that's critically important.

Today was a busy day at work. My late afternoon/evening included fantastic support interactions, both one on one and in the Tuesday night teleconference support group I co-facilitate with Life Coach Gerri and Life Coach Kathleen. I got a haircut! Yay! I was getting shaggy! And...

I maintained the integrity of my calorie budget. I remained abstinent from refined sugar. And I exceeded my daily water goal.

And I'm getting more rest tonight.

As I continue to grow, learn, evolve--I must acknowledge the plentiful goodness happening along the way. And I do--and I'm blessed. Most of all, I'm grateful. My heart, mind and soul overflows with gratitude. 

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Thank you for reading and your continued support,
Strength,
Sean

Princess Health and Potent fentanyl, mixed with heroin, drives 14.7 percent increase in fatal drug overdoses in Kentucky from 2014 to 2015. Princessiccia

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The number of drug-overdose fatalities in Kentucky rose almost 15 percent in 2015, driven by a 247 percent jump in deaths involving fentanyl, a highly potent opioid that some traffickers are mixing with heroin, the Kentucky Office of Drug Control Policy said Tuesday.

The office counted 1,248 fatal overdoses in Kentucky last year, up 14.7 percent from the 1,088 reported in 2014. Fentanyl was a factor in more than a third: 420, up from 121.

"Heroin was detected in 28 percent of cases, consistent with the previous year," the Justice and Public Safety Cabinet said in a press release. "However, as a total, heroin-related deaths increased in 2015, largely because the drug is being laced with fentanyl."

�The introduction of illicit fentanyl into the heroin trade is producing devastating results,� Van Ingram, director of the office, said in the release. �Whether it�s manufactured to resemble heroin or a prescription pill, the cartels have made an already dangerous situation worse.�

Gov. Matt Bevin said, �I am heartbroken for the Commonwealth. More than three families a day are shattered by this epidemic of untimely death. This is unacceptable and will be vigorously addressed with every resource at our disposal.�

The report by Ingram's office listed the eight counties with the most fatal overdoses per person from 2012 to 2015. All were in Eastern Kentucky or Northern Kentucky. Here are the counties, with the number of deaths per 10,000 people: Leslie, 6.86; Bell, 6.12; Gallatin, 5.26; Knott, 4.87; Wolfe, 4.83; Floyd, 4.76; Campbell, 4.72 per 100,000 and Kenton, 4.63 per 10,000.

Counties with big percentage increases in fatal overdoses from 2014 to 2015 included Bell, from 11 to 20; Boyd, from 13 to 24; Butler, from none to eight; Harlan, from six to 10; Kenton, from 71 to 112; and Rowan, from five to 12.

Counties with large decreases included Bullitt, from 22 to 11; Grant, 13 to 6; Russell, from 13 to 7; Laurel, 18 to 10; Leslie, from nine to five; McCracken, 20 to 10; and Marshall, from 12 to fewer than five. The report does not list specific numbers for a county in years when the county had fewer than five fatal overdoses.

The figures above are based on where the death occurred. Based on the residence of the overdose victim, some counties ranked higher; for example, Powell County had 5.84 overdose deaths per 10,000 people, and Russell County had 4.95. This map shows rates based on the county where the overdose victims resided; note that it shows the death rate per 100,000 people, not 10,000 (a figure closer to the population of most counties). Click on the image for a larger version.

Monday, 13 June 2016

Princess Health and June 13th, 2016 Point Of Change. Princessiccia

Princess Health and June 13th, 2016 Point Of Change. Princessiccia

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June 13th, 2016 Point Of Change

I haven't abandoned the plan to post this blog late afternoon, however, I'm discovering that it isn't something my schedule always favors. Now, with that said, it's up to me to fashion my schedule in such a way where it's doable--each day, at an earlier time. It must start with the root cause. I'm learning I can't simply declare-- I'm posting my daily blog page by XX PM, or I'm in bed by whatever time--if I'm not first looking at what I'm doing leading up to these very important things. The earlier posting of the blog certainly opens up the possibility for more consistency in earlier bed times--but if the elements of my schedule aren't given the proper attention and modifications needed, the instability and inconsistency with this important part of my continued success, will continue.

I'm grateful to be at a place where I'm focusing on these types of concerns. It's a sign of progress and I'm choosing to acknowledge it as progress. It's a point of change made possible by the consistent stability in other areas within my plan.

Yesterday was an epic good time with my grandson Noah. No matter what challenges I'm facing, no matter the stress or emotion pressing, when I see him smile and the everything is beautiful look in his eyes, I feel connected to a peace and calm unaffected by outside influences.

I ate well today. I maintained the integrity of my maintenance calorie budget. I remained abstinent from refined sugar. I was active in support connections/exchanges. And with one more water before bed, I'll exceed my water goal for today.

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Thank you for reading and your continued support,
Strength,
Sean
Princess Health and Wellness coalition in Perry County, where life expectancy is state's lowest, gets funding from Foundation for a Healthy Ky.. Princessiccia

Princess Health and Wellness coalition in Perry County, where life expectancy is state's lowest, gets funding from Foundation for a Healthy Ky.. Princessiccia

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The Foundation for a Healthy Kentucky has funded the Perry County Wellness Coalition's three-year plan to encourage fitness and better nutrition in school-age children, "Kids on the Move!"

The wellness coalition will receive $144,450 from the foundation this year, matched by $124,944 from the community, to increase access to physical activity and provide healthier food options and nutrition education. Perry County has the lowest life expectancy in Kentucky.

"Our children are the most valuable resource we have," said Gerry Roll, executive director of the Foundation for Appalachian Kentucky, which is serving as fiscal agent for the coalition. "It's the best investment we can make as a community partner."

The health coalition will work with local schools to implement physical activity and nutrition-policy changes, collaborate with local farmers' markets for a strong farm-to-school component, and coordinate with other community agencies to create a lasting and collective impact.

The project also will implement best-practices nutrition and exercise programs in schools, support community gardens, summer feeding programs, and a "Farmacy" program to increase the purchase of healthier produce at farmers' markets and local grocery stores, among other changes to be coordinated by the agencies in the coalition.

The Appalachian Regional Healthcare hospital in Hazard will be the administrative hub for the coalition, providing leadership and sharing its expertise in promoting community health. "We have already begun these efforts by providing fitness fairs and health screenings to over 20 schools in our service area and reaching a little more than 2,500 middle school and high school age kids this year alone," said Hazard ARH Community CEO Dan Stone said.

The coalition is among seven Kentucky communities funded by the foundation's "Investing in Kentucky's Future" initiative, which is spending $3 million over five years to fund communities working to improve the health of their school-aged children. The other groups are in Breathitt, Clinton, Grant, Jefferson and McLean counties, and in Boyd and Greenup counties. Perry County was in the original announcement and recently completed its detailed plan. It shares with Breathitt and Wolfe counties the state's lowest life expectancy, 70 years.
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