PAP SMEAR: TEST LOOKS FOR PRESENCE OF PRECANCEROUS CELLS

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

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WHAT IS A MEDICARE WELLNESS EXAM?

A Medicare Wellness Exam is a preventative screening visit your provider wants you to have once a year. This visit is free and is separate from your annual physical exam (if your plan covers annual physicals). Traditional Medicare does not pay for a physical – it only covers a Wellness Exam.  What is a Wellness Exam? The visit is covered once every 12 months (11 full months must have passed since your last visit). It is designed to help prevent disease and disability based on your current health....

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ORAL HERPES

Oral herpes is an infection caused by a specific type of the herpes simplex virus. This condition, also called HSV-1 or sometimes cold sores or fever blisters, creates painful sores on your lips, gums and tongue, as well as the roof of your mouth and sometimes the inside of your cheeks. It may even affect your nose and chin. Symptoms of oral herpes include swelling in the lymph nodes, fever, tiredness and aching muscles. While the initial infection with oral herpes occurs most often in children ages 1-2 years, ….

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CHECK WITH YOUR DOCTOR BEFORE STARTING AN EXERCISE PROGRAM

You hear it all the time: “Before beginning any exercise program, see your doctor.”


It’s good advice, especially if you’ve been sedentary and are now determined to get back into shape. It is important to consult a physician about your current state of health so you can be aware of possible limitations or problems that could arise while you’re working out.


People who have heart trouble (including prior heart attack or family history of heart disease), a heart murmur and/or arthritis are strongly urged to seek the advice of their physician before becoming physically active. If you have a chronic medical condition such as diabetes or high blood pressure or risk factors such as smoking or being more than 20 pounds overweight, you need to get the go-ahead from your doctor. Other people specifically directed to get medical clearance include men aged 45 and older and women aged 55 and older.


A thorough check-up with your doctor will help you decide which exercises will benefit you most. Your doctor may recommend a stress test to determine your heart health. When your doctor records your base weight, blood pressure, heart rate and other measurements, you’ll have something you can use to track your progress and see how much you improve over time.

The Physical Activity Readiness Questionnaire or PAR-Q from the Canadian Society for Exercise Physiology is one way to determine if you can start increasing your activity level. It can help rule out underlying health concerns that could worsen with exercise. It consists of seven questions that you answer with either a “yes” or “no”:


1. Has your doctor ever said you have a heart condition and should only do     physical activity recommended by a doctor?

2. Do you feel pain in your chest when you do physical activity?

3. In the past month, have you had chest pain when you were not doing physical     activity?

4. Do you lose your balance because of dizziness or do you ever lose     consciousness?

5. Do you have a bone or joint problem (back, knee, hip) that could be worsened     by a change physical activity?

6. Are you currently taking medications for your blood pressure or a heart     condition?

7. Do you know any other reason you should not do physical activity?


If you answered “yes” to one or more of these questions, check with your doctor and get cleared for exercise before you start. You may be able to do any activity you want, as long as you start slowly and build up gradually. Set a goal of exercising for 30 minutes five times per week. You may have some limitations an experienced personal trainer can help you adapt to. Talk to your doctor about the kinds of activities you want to participate in and ask about intensity, duration and frequency. Once you start your program, report any problems, such as chest pain, dizziness or shortness of breath, to your doctor so he or she can help you adjust your routine accordingly.

WHITNEY ADAMS

Whitney Adams is originally from Mt. Olivet, Ky. She is married with two children and enjoys reading and cooking. Whitney received her bachelor’s degree in Nursing (RN) in 2000 from Eastern Kentucky University and has experience in a variety of nursing roles, including cardiology and pulmonary. She graduated from EKU in May 2016 with a master’s degree in nursing and is board certified as a Family Nurse Practitioner. Whitney’s interests include women’s health as well as general adult and pediatric medicine. She joined Family Practice Associates of Lexington in September 2016.

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