Medical Directory by Billings Gazette

2013

Regional Medical Directory

A regional listing of Physicians & Medical Services

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2013 Regional Medical Directory

The 2013 Regional Medical Directory is a special advertising section of The Billings Gazette.

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Index Fuller Family Medicine........................................... 2 Clinics, Hospitals & Rehabilitation Facilities.................................................................11 Physicians, Surgeons, Specialists & other Pro Children’s Psychiatric Care/ fessional Practices................................................. 4 Genetic Services..................................................11 Cardiology............................................................. 4 Shodair Children’s Hospital Powell Valley Healthcare Hospital................................................................15 Dentistry................................................................ 4 Billings Clinic Dean P. Sullivan, DDS Hospital................................................................17 Ear, Nose & Throat................................................ 5 St. Vincent Healthcare Ear, Nose & Throat Associates Vein Clinic.............................................................18 Orthopaedic........................................................... 5 Rocky Mountain Vein Clinic Joseph M. Erpelding MD Orthopaedic........................................................... 6 Retirement & Assisted Living...............................19 Powell Valley Healthcare Assisted Living.....................................................19 Marquis Grand Park Physician Listings.................................................. 8 Nursing Home Facility......................................... 20 Cardiology............................................................. 8 Valley Health Care Center Powell Valley Healthcare Senior Living........................................................ 21 Orthopedic Surgeon.............................................. 8 Westpark Village Retirement Powell Valley Healthcare OB/GYN................................................................ 9 Support Services.................................................. 22 Big Sky OB/GYN Financial.............................................................. 22 First Interstate Bank-Bozeman Health Plans ....................................................... 23 New West Health Plan EBMS.................................................................. 24

Articles Is chicken soup the ultimate cold medicine?.................................................................................................... 4 Simple ways to protect your bones................................................................................................................. 10 Snacking doesn’t have to be unhealthy.......................................................................................................... 11 Water essential to human health.................................................................................................................... 22 What to do if someone is choking................................................................................................................... 18 Do you hear what I hear?............................................................................................................................... 14 Depression: not a character flaw but a real illness............................................................................................ 7 Recommended immunizations for adults........................................................................................................ 15 How to floss more effectively.......................................................................................................................... 19 How to make informed health care decisions................................................................................................. 13 Get the facts about mold and your health......................................................................................................... 6 Make your diet work for you............................................................................................................................ 16 How to encourage kids to be more physically active........................................................................................ 8 Common children’s eye injuries...................................................................................................................... 12 Popcorn health quiz........................................................................................................................................ 17 Smart choices can reduce your risk of cancer............................................................................................... 20 Simple ways to reduce fatigue........................................................................................................................ 21

2013 Regional Medical Directory

Physicians, Surgeons, Specialists & other Professional Practices

Is chicken soup the ultimate cold medicine? (Metro Services) - There are many treatments for the common cold. Perhaps no solution is more utilized than a hot bowl of chicken soup. People have chased away chills and sniffles with rich broth and savory vegetables for centuries. But is chicken soup really the miracle medicine upon which so many rely? Chicken soup has long been touted for its ability to treat a cold. As far back as the 12th century, Jewish philosopher and physician Maimonides recommended

it for colds. Although it would seem that chicken soup being good for colds is simply an old wives’ tale, there is really something substantial to the claims. Any hot liquid or beverage can soothe throats that are sore from coughing or a postnasal drip from colds. Liquids in any form can help prevent dehydration and slow down runny noses, which exacerbate congestion and sinus pain. In 1978, researchers published a study in the journal Chest stated that sipping chicken

Dentistry

Billings Denture Clinic Metro Services Chicken soup has long been used as a common cold remedy, and with good reason.

Dean P Sullivan, DDS

Cardiology

Cardiologist Dr. Paul J. LaVeau

in the Heart of the Big Horn Basin Cardiology Services Include:

• Outpatient

Clinic Cardiology Services • Pacer/ICD Services • Echocardiography • Stress Echocardiography • Electrocardiography Interpretation • Holter Monitoring 24 Hour Heart Monitor • Event Monitoring Heart events monitored • Consultative

for a more extended period of time, i.e. 30 days

Experience Us! 777 Avenue H, Powell, WY 307-754-7257, 1-888-284-9308 www.pvhc.org

Robert A Bronecki, DDS

Dentures and Partials ImPlant SuPPorteD ProSthetIcS Same Day relines and repairs www.billingsdentureimplants.com • General Dentistry • Implant Supported Crown & Bridges • Cosmetic Personalized Dentures www.billingsmtdds.com

OFFICE HOURS Prompt Emergency Health and Care Financing OAC Dental Insurance Accepted 926 main St, Suite 23 - heights

2013 Regional Medical Directory

Orthopaedic Billings Orthopedics and Sports 290012 12ththAve Ave N. N, Suite 305E 2900 Ste 305E Billings,MT MT 59101 59101 Billings, (406) 237-5750(406)237-5745 (406)237-5745faxfax (406)237-5750 www.orthodoc.aaos.org/josepherpelding

soup or even just hot water could help clear clogged nasal passages. Another benefit to chicken soup is its nutritional value. Most recipes for chicken soup include many different vegetables -- from carrots to celery to leeks to even leafy greens, like spinach. The inclusion of the vegetables helps increase the nutritional value of

the soup, particularly the antioxidants in the meal. Antioxidants, such as vitamins and minerals in produce, can help improve the immune system response of the body. According to WebMD, adding fruit and vegetables of any kind to your diet will improve your health. Some foods are higher in

See a Board Certified Orthopedic Surgeon on your FIRST VISIT.

Diagnosis and treatment of Hip, Knee,

Shoulder, Elbow, Hand, Foot and Ankle!

Providing a full range of general and sub specialty orthopedic operative and non-operative care

continued on page 7

Ear, Nose & Throat

EAR, NOSE & THROAT ASSOCIATES

Dr. Dabov M.D.

• Sports Medicine

~~Adults, Children & Infants~~

Steven A. Butler, M.D.

• Trauma

Brian T. Pelczar, M.D.

• Workmans Comp Cynthia A. Kennedy, M.D.

Dana Fink, P.A.-C.

St. Vincent Healtheare

Dr. Erpelding M.D. Sean Demars, M.D.

David Valencia, M.D

Yellowstone Medical Center

Call Day or Night 2900 12th Ave. N., Billings 238-6161 • 1-800-648-6274 Suite 330W www.billingsentandrevivefacialandlasercenter.com

• Joint Replacements

Advanced

Orthopedic Care

2013 Regional Medical Directory

Get the facts about mold and your health (Metro Services) - Mold can grow in many areas of a home. Though not always dangerous, mold can, in certain instances, cause serious illness. Experts estimate that there are tens of thousands of different types of mold in the world. A type of fungi, molds are single-celled or multicellular organisms without chlorophyll that reproduce by spores and live by absorbing nutrients from organic matter. Fungi can be classified as molds, mushrooms, rusts, mildews and yeasts. Some of the common types of molds found indoors include cladosporium, alternaria, penicillium and aspergillus. The Centers for Disease Control and Prevention states that molds can be a health hazard to some people. Some individuals are more sensitive to molds than others, and may experience any-

thing from a mild allergic reaction gen to grow, mold fares best to severe symptoms, such as in areas that are poorly ventrouble breathing or other complitilated. cations with their lungs. • Warmth: Mold can grow in Mold spores travel very easily temperatures between 40 through the air and can also travand 110 F. Therefore, unless el on people and pets. Coming it’s below freezing outdoors, in contact with mold in one locathere’s a good chance mold tion and then traveling to another spores are thriving. can cause spores that hitched a ride to dislodge in the new area. Mold’s versatility to live in a People who may have never had variety of areas and feed on just mold problems at home before about anything makes it a formican find that mold quickly takes root if mold spores have been accidentally brought into a home. In addition to moist areas, molds flourish in other conditions as well. • Food source: Molds are not picky eaters and can feed on various materials, including wood, fabric, wallpaper and drywall. • Air: Although mold needs oxy-

dable foe. But there are natural ways to tackle it. Mold thrives in moist conditions, so removing the source of moisture is the primary way to control mold growth. Invest in a dehumidifier if your home is plagued by moisture. Dehumidifiers are especially useful in basements and crawlspaces where moisture tends to

continued on page 7

Orthopaedic

Orthopaedic Surgeon Dr. Jeffrey Hansen Specializing in surgery of the hand, foot and ankle Jeff Hansen, M.D.

Dr. Hansen is certified by the American Board of Orthopaedic Surgery 777 Ave. H, Powell, WY 307-754-7257, 1-888-284-9308 www.pvhc.org Steamy bathrooms promote mold growth.

2013 Regional Medical Directory

Metro Services

Depression: not a character flaw but a real illness (BPT) - A broken leg means a trip to the emergency room. Chronic back pain leads to a battery of tests and time off work. Even a virus will get you some words of sympathy. But if you say you have depression, there’s a good chance you’ll get a quizzical look and dumb silence. Depression is a serious illness affecting one in 10 Americans. And while the medical establishment has long known how serious depression can be, it still remains something of a mystery to many people. Often, the advice to someone who admits to a friend that they have depression is “it’ll pass” or “shake it off.” Because there are no bandages or crutches involved, there’s a tendency for friends, colleagues and even family to mistake clinical depression as simply a case of the “blues.” While studies vary somewhat on the exact percentages, it is generally believed that about 50 percent of Americans see depression as a personal weakness and a similar percentage of

Soup

continued from page 5 antioxidants than others. The three major antioxidant vitamins are beta-carotene, vitamin C and vitamin E. You’ll find them in colorful fruits and vegetables -- especially those with purple, blue, red, orange, and yellow hues. Therefore, be sure to add these colors to your cold-fighting soup. Additional studies have shown that chicken soup is a great cold reliever. In 2000, researchers at the University of Nebraska exposed neutrophils, white blood cells that fight infections, but also may cause inflammation, to diluted chicken broth. These cells slowed their movement,

people suffering from depression don’t seek treatment. • Difficulty concentrating, re“Being a mental health care membering details and makprofessional, these statistics are ing decisions absolutely alarming,” says Dr. • Fatigue and decreased enDouglas G. Jacobs, associate ergy clinical professor of psychiatry at • Feelings of guilt, worthlessHarvard Medical School and the ness and/or helplessness founder of Screening for Mental • Feelings of hopelessness Health, Inc. “We have to bridge and/or pessimism this understanding gap and the • Insomnia, early-morning only way is through education wakefulness or excessive - in schools, in the mainstream sleeping media, through the work of non• Irritability, restlessness profits, in fact by any means nec• Loss of interest in activities or essary.” hobbies once pleasurable, inOne can observe the “undercluding sex standing gap” in everyday life. • Overeating or appetite loss The word “depression” is often • Persistent aches or pains, used to describe simply “feeling headaches, cramps or digesdown” - the bad days or weeks tive problems that do not ease that soon pass. But when those even with treatment feelings last two weeks or more, • Persistent sad, anxious or they could be signs of actual de“empty” feelings pression (formally called major • Thoughts of suicide, suicide depressive disorder or clinical attempts depression). According to the National InstiLooking at the list, it’s not hard tute of Mental Health, symptoms to see how someone suffering of depression may include the with depression could conceivfollowing: ably “explain away” their depres-

which would help reduce some symptoms of colds. Although a family recipe was used for the study, other soups were tested, and most store-purchased chicken soups worked the same way. The majority of the symptoms from colds are caused not by the cold virus itself, but by the body’s response and fight against the invading virus. Many of these effects, like clogged noses and headaches, are some sort of inflammation. Therefore any food that can reduce inflammation may have cold-fighting benefits as well. Although chicken soup may not eliminate all cold symptoms, it has enough beneficial properties to alleviate many complaints from colds.

Mold

continued from page 6 be a problem. It’s also good to avoid using bleach to address a mold problem. Although bleach is an excellent disinfectant, it is not always successful in killing mold spores. The most it may do is whiten areas where the mold is growing. Plus, bleach has its own strong aroma and can be noxious to breathe in at high doses. Instead of bleach, consider all-natural methods of controlling mold. Straight vinegar reportedly kills 82 percent of mold. Using it in a spray bottle on mold can help to kill it and keep it at bay. Tea tree oil and grapefruit

2013 Regional Medical Directory

sion. But this situation is gradually changing. One important stride that’s been made is in the area of screenings for depression. Put simply, a screening is a questionnaire that gives the participant a clearer idea of whether or not they may have symptoms of depression and should seek clinical help. They are not meant to be diagnostic, but at the same time they are an anonymous, “low exposure” first step. And they are, intrinsically, educational.

If you, or someone you know, may be suffering from depression, you can visit www.helpyourselfhelpothers.org to take a screening. It is free and anonymous and available 24/7. If you or someone you know is in immediate danger because of thoughts of suicide, call 911 immediately. If there is no immediate danger but rather a need to talk to someone, call the national suicide prevention line at 800273-TALK (800-273-8255).

seed extract are also very effective at eliminating mold. Unlike other methods of mold removal, grapefruit seed extract does not have an odor. Keeping a home ventilated is another way to fight mold. Mold prefers somewhat stagnant conditions, so allowing fresh air into the house can make it harder for mold to thrive. In bathrooms and kitchens, use exhaust fans or open windows to reduce the humidity and moisture left behind. Mold can be an irritant to people who are sensitive to the spores, but in many cases, mold is more of an eyesore and a nuisance than something a homeowner needs to worry about. Using some smart strategies to reduce its growth can keep mold under control.

Physicians Listings

How to encourage kids to be more physically active

sters choosing a more sedentary lifestyle are dangerous, as it increases their risk for high blood pressure, high cholesterol, type 2 diabetes, respiratory ailments and joint problems, among other things. What’s more, numerous studies have found that obese or overweight children are more likely to become obese or overweight adults, which highlights the importance of embracing a physically active lifestyle as a youngster. Parents know it’s not always easy to get kids to be more physically active. But the following are a few tips parents might find useJupiterimages ful when encouraging their kids to embrace a more active lifestyle. Kids who embrace physical activity from a young age are less likely to be overweight or obese as adults.

(Metro Services) - When today’s parents reflect on their childhood, many likely recall seemingly endless days spent playing outdoors. But when today’s kids become tomorrow’s parents, chances are their recollections won’t recall nearly as much time spent idling the days away under the sun. According to the Centers for

Disease Control and Prevention, roughly 17 percent of American children and adolescents between the ages of 2 to 19 are obese. In Canada, where self-reporting data collection methods have made such statistics more difficult to quantify, the prevalence of overweight and obesity in children is also on the rise, ac-

Cardiology

Orthopaedic Jeffrey Hansen, m.d.

Paul J. LaVeau, md Specialty: Cardiology Medical School: Medical College of Georgia, Augusta, GA Residency: Wilford Hall USAF Medical Center, Lackland AFB, Texas Fellowship: Cardiology & Interventional Cardiology: Yale University School of Medicine – Section of Cardiology, New Haven, CT

Powell Valley Clinic, Bldg. B, 777 Ave H, Powell, WY 82435

307-754-7257, 1-888-284-9308

cording to the Canadian Community Health Survey. The rise in overweight or obese children is likely a byproduct of several factors, not the least of which is that many of today’s kids prefer to play a video game on the couch instead of going outdoors and being physically active. The potential ramifications of young-

Give toys that encourage physical activity Kids love toys, and their toys will often dictate how they spend their days. Instead of buying the latest video game console, give kids toys that encourage them to be active. This can include balls, bicycles, jump ropes, or even a backyard swing set. Kids who embrace these activities at a young age are more likely to continue doing so into adolescence and adulthood.

Speciality: Orthopaedic Surgery Medical School: University of Washington, Seattle orthopaedic reSidency: University of Washington, Seattle hand Surgery FellowShip: Gothenburg University, Gothenburg, Sweden Board certiFied in orthopaedic Surgery; Certificate of Added Qualification (CAQ) in Hand Surgery Powell Valley Clinic, Bldg. C, 777 Ave H, Powell, WY 82435 307-754-7257, 1-888-284-9308

2013 Regional Medical Directory

Physicians Listings

Reduce time spent in front of the television Parents who can effectively minimize the amount of time their child spends in front of the television, whether reducing their time spent watching television or playing video games, will likely be more successful at instilling a love of physical activity as well. The American Academy of Pediatrics recommends parents limit their child’s time in front of the television to one to two hours per day, and that includes

the time children spend playing video games. To further reduce kids’ time watching TV, don’t allow televisions in their bedrooms, as that will only make it harder to monitor just how much time kids are spending in front of their TVs.

couraging physical activity. Instead, find a physical activity that your child finds fun and encourage his or her participation. This might be nontraditional kids’ sports like cycling or jogging or activities like dancing, hiking or even bird watching. Once a child Remember that physical exhibits a healthy interest in a activity should be fun physical activity that you have Not all kids are athletic, and deemed safe, encourage it. some will likely bemoan participating in recreational sports Set a positive example leagues. But that doesn’t mean Kids, especially younger chilparents should give up on en- dren, look up to their parents and

often try to emulate what Mom and Dad are doing. Parents can make the most of that adoration by setting a positive example and being physically active themselves. Go for a nightly bike ride or a walk around the neighborhood with your youngsters in tow. Whatever physical activity you choose, you can bet your children will express an interest in it as well, and that’s a great way to make them more enthusiastic about having a healthy and active lifestyle.

OB-GYN

Big Sky OB-gyN

Ieva L. Bailey, MD, PC

Providing health services to women of all ages. Specializing in obstetrics and gynecology.

• Surgical and nonsurgical solutions • Ideal Protein Provider • Accepting New Patients

2900 12th Avenue N. Suite 245W

238-6010 • www.bigskyobyn.com

Gynecological care for women of all ages

238-6010 2900 12 Avenue N. Suite 245W

Ieva Bailey, MD

Board Certified

Brenda J. Willkom, RNC, NP

Dianne M. Nagy, RNC, NP

Nurse Practitioner in Women’s Health Care since 1993 238-6010

OB/GYN Nurse Practitioner

Associated with Daniel M. Molloy MD, PC

Brenda Willkom, RNC, NP Board Certified

2900 12th Avenue N. Suite 245W www.bigskyobgyn.com

since 1992

238-6010

Dianne Nagy, RNC, NP Board Certified

Thomas F. Kent MD, PLLC

2900 12th Avenue N. Suite 245W www.bigskyobgyn.com

Daniel M. Molloy MD, PC

Serving all of your gynecological needs for over 30 years

Providing complete and thorough pregnancy and gynecological care

Accepting New Patients

238-6010 Thomas F. Kent MD Board Certified

2900 12th Avenue N. Suite 245W www.thomaskentmd.com

Daniel M. Molloy MD, FACOG Board Certified

2013 Regional Medical Directory

238-6010

2900 12th Avenue N. Suite 245 W www.bigskyobgyn.com

Simple ways to protect your bones (Metro Services) - As men and women age, many take steps to improve their overall health. These steps can be as simple as cutting back on dinner portions or as significant as joining a gym and committing to an exercise regimen. One of the best things men and women can do to improve their health, as well as their quality of life, as they age is to protect their bones. Though some are aware of the importance of protecting their bones, which weaken as the aging process progresses, leaving older adults susceptible to fractures, many might not know that protecting their bones is quite simple. Whatâ&#x20AC;&#x2122;s more, many of the roughly two million bone fractures caused by osteoporosis, a medical condition in which the bones become brittle from loss of tissue, are preventable. Men and women who heed the following tips to help protect their bones can reduce their risk of fractures as they age. Get your calcium and vitamin D Calcium and vitamin D promote bone health, and many people are aware of those effects. However, a 2005 study published in the Journal of Clinical Endocriology found that 52 percent of postmenopausal women on osteoporosis treatment had insufficient levels of vitamin D, despite being told by their doctors to take both vitamin D and calcium. If your diet does not include adequate vitamin D, which can be found in fortified dairy products, egg yolks, and fish, then vitamin D supplements can help meet your needs. Calcium can be found in a variety of products, including fortified cereals and juices, dark leafy greens like broccoli, almonds and a host of dairy products. Visit your physician Few people might know that bone health is actually measurable. A bone density screening

can assess your bone health, while FRAX(R), an online tool developed by the World Health Organization, evaluates an individualâ&#x20AC;&#x2122;s risk of fracture based on a host of factors, including age, weight, height and your medical history. FRAX(R) models give a 10-year probability of fracture, which can help prevent injuries down the road for those people whose risk might not be immediate. The National Osteoporosis Foundation recommends all women begin receiving bone density screenings at age 65. However, women with additional risk factors, including smokers, those with low weight or a thin frame, family history of osteoporosis, late onset of menstrual periods, and a history of anorexia or bulimia, should consult their physician about screenings regardless of their age.

Get out and exercise Exercise is another great way to protect your bones. Unless you suddenly embrace competitive weightlifting, exercise wonâ&#x20AC;&#x2122;t increase your bone density, but it will help you maintain the bone density you already have. Something as simple as walking can help maintain bone density, as can other weight-bearing activities like jogging. Cardiovascular weight-bearing activities can be coupled with strength training, which recent studies have found may improve bone mineral density, something that could delay the onset of osteoporosis and reduce your risk of fracture. A gym will likely have all of the strength-training materials you will need, but you can also purchase some hand weights or additional resistance training products to ensure your bones are getting adequate exercise. Consult a physician before beginning an exercise regimen, especially if you have recently had a fracture. More information about proMetro Services tecting your bones is available at Regular exercise is a powerful way to ensure your bones maintain their strength www.nof.org. in between visits to the doctor.

2013 Regional Medical Directory

Clinics, Hospitals & Rehabilitation Facilities

Snacking doesn’t have to be unhealthy (Metro Services) - Snacking often elicits mixed reviews. Some health plans say that it is important to eat several small meals or snacks during the day to keep metabolism rates in check. Other information states that snacks can be a person’s undoing, causing unnecessary weight gain -especially when snacking is frequent. These mixed feelings can be a little confusing. The National Health and Nutrition Survey supports snacking. The survey found that people who eat snacks in addition to three meals a day had higher levels of nutrients in their diets. But not all snacks are a good idea. Consuming a fattening bag of potato chips is an unhealthy approach to snacking. However, a piece of dark chocolate or a handful of nuts can add essential nutrients to a person’s diet. Many different snacks make healthy additions to a person’s diet. Two to three snacks a day

may be all that’s needed to help keep a person feeling satiated and less likely to overeat at meals. Here are some healthy snack ideas. Olives: A handful of olives can quench a salty craving and provide essential fatty acids that may help to improve heart health. Hummus: Hummus is made from chickpeas, which are naturally low in fat and high in fiber. This dip will keep you feeling full. Edamame: These are a variety of soybeans that are sweeter, larger and more easily digested than other soybeans. They are a natural source of antioxidants and isoflavones. Banana and chocolate: Rolling a banana in semi-sweet chocolate chips can satisfy a fruit and chocolate craving. Dark chocolate bark: Melt dark chocolate and add a desired fruit, such as dried cranberries, cherries, or raisins. Enjoy a small piece, which will be high in

antioxidants, to fend off hunger pangs. String cheese: An individual serving of low-fat mozzarella or Monterey Jack string cheese offers a serving of dairy and protein to keep you full. Smoothie: Whip up a smoothie made from protein-rich Greek yogurt and some frozen fruit. Add a dash of fruit juice and blend. Enjoy as a meal replacement or a refreshing snack. Fruit: There’s no better snack than fruit. Keep a bowl of fruit or some homemade fruit salad on

hand and enjoy a small portion when you want to fill up without consuming too many calories. Whole-grain crackers: Fiberfull grain crackers can satisfy salty cravings as well as fill your stomach with something hearty. Men and women can choose among a variety of healthy snacks throughout the day. Smart snacking can mean reducing feelings of hunger and increasing the amount of nutrients in the body. Snacks also may be an integral component of a healthy weightloss plan.

Children’s Hospital

A history of caring. Commitment to the future. • Residential and acute psychiatric care for children • Clinical and laboratory medical genetic services for people of all ages. Outreach clinics available locally each month. Proud to be Montana’s only Children’s Miracle Network Hospital

Metro Services Fruit and vegetables remain some of the more healthy snacks a person can enjoy.

www.shodair.org

2013 Regional Medical Directory

(406)444-7500 • 1-800-447-6614 2755 Colonial Drive • Helena 11

Metro Services Eye injuries in children frequently occur but are largely preventable.

Common children’s eye injuries (Metro Services) - The active lives that children lead often lead to a few bumps and bruises along the way. While a few bandages and antiseptic creams are par for the course when caring for a child, parents worry about more significant injuries, including eye injuries. According to the Boston Children’s Hospital, any injury to your child’s eye should be considered a medical emergency. Unlike the heart, lungs and brain, there is not much natural protection for the eye beyond a thin eyelid. This makes it easy to suffer an eye injury, especially for kids who play sports. The American Academy of Ophthalmology says that eye injuries are a significant health problem in the United States, second only to cataracts as a cause of visual impairment. Each year, more than 2.5 million eye injuries occur, and 50,000 people permanently lose part or all of their vision. Nearly half (47.6 percent) of all reported eye injuries occur in people between the ages of 18 and 45. Children ages 0 to 18 experience roughly 25 percent of those injuries. Projectiles and flying debris account for the vast majority of eye injuries across all age groups. Among children, some of the more common injuries occur when children are participating in various sports, including: • hockey • archery • darts • BB guns • bicycling • sports that involve rackets • baseball • boxing

• basketball Toys, fingernails and even chemicals are responsible for some eye injuries in children. It is important to note that 90 percent of all eye injuries can be prevented by using protective eyewear. Some sports organizations mandate that children use protective eyewear. But even if it isn’t mandatory, parents should urge children to wear safety goggles.

Hyphema: This is a condition of blood in the anterior chamber of the eye where fluid normally flows in and out to nourish eye tissues. Hyphema is caused by an injury, and blood can be seen in the eyeball. It requires prompt medical attention.

Eyelid lacerations: This is a cut on the eyelid. An eyelid laceration may be paired with bruising or even corneal abrasion, depending on what struck the eye.

Common Eye Injuries Certain injuries to the eye are more common than others. Here is a look at the various Fractures: The orbit is the bony area types of injuries that can occur. around the eyeball, and an orbital fracture is when the bones around the eye are broken. Chemical burns: This is when a child gets This may cause severe eye damage dependany type of chemical into the eye. Chemicals ing on where the eye was struck. It definitely may be household cleaning objects. These requires immediate medical assistance, and injuries require immediate medical attention facial reconstruction may be necessary. because they can cause permanent vision loss. Burns: Sunburn not only occurs to the skin but can affect the eyes, too. It is important to Bruising: Black eyes or ecchymosis oc- wear UV-protective sunglasses outside. curs from some sort of trauma to the eye. The tissue around the eye becomes bruised, Prevent Eye Injuries but usually the eye itself is spared. However, Eye injuries are largely preventable. Wearonly a doctor can determine if the eye is un- ing eyewear during sports is essential. Frescathed. quent washing of hands and avoiding touching the eyes can prevent the transfer of Corneal abrasions: The cornea is the debris from fingers to the eye. All chemical clear, dome-shaped covering at the front of products should be kept out of reach. If chilthe eye. A foreign item entering the eye, like dren use cosmetic products, they should not sand or debris, may scratch the cornea. It be applied around the eye. also can become scratched by a fingernail or Knowing the risks to the eye and how to an insect that flies into the eye. A doctor can prevent injury can help ward off serious indetermine the severity of the abrasion and if juries. any treatment is required.

2013 Regional Medical Directory

How to make informed health care decisions (Metro Services) - The typical health care patient has changed in recent years. No longer are individuals putting all of their health care decisions into the hands of nurses and doctors. Patients are more informed than ever before and are interested in taking a more active role in their own care.Thanks to the Internet, people are able to access information that, in the past, was not easily available. A few decades ago, medical data may have been elusive and filled with confusing jargon the layperson might not have understood without a crash course in biology. However, today there are different websites that clearly spell out information about certain illnesses and diseases. This means that patients may no longer be walking blindly into appointments with doctors. Facing an illness is never easy, and the decision-making abilities could be hampered by emotions and the desire to improve as quickly as possible. Patients who do not have all of the facts may have to rely solely on the expertise of caregivers and physicians when making important health care decisions. By knowing the avenues of information, a patient can find assistance with careful decision-making. While learning about an ailment is important, there are some things to consider. The Internet isnâ&#x20AC;&#x2122;t foolproof Many online medical sites are very reliable and offer a wealth of pertinent information. They can be good starting points when seeking out information on a particular condition. It is in your best interest to visit sites that are well-known and monitored by respected medical affiliations. Other sites may be peppered with exaggerated claims or misinformation. Therefore, do not go by online information alone.

Seek other avenues of information You should never hesitate to seek a second opinion or go to a published medical journal to find out more about a condition. You have rights as a patient to be comfortable with the advice doctors give and be as involved in your treatment as you want to be.

Metro Services

Donâ&#x20AC;&#x2122;t self-diagnose It can be easy to use the Internet as a means to narrowing down symptoms and making assumptions about what ailments you may have. Instead of using the Internet to self-diagnose your condition, leave the diagnosis up to your doctor and rely on online information after you are diagnosed. This can improve your understanding of the condition and any potential treatment options. Online forums could be more harm than help Many people turn to online forums and blogs to gain more insight into particular diseases. While these forums may be good sources of support, information published on these sites could be misleading, inaccurate

2013 Regional Medical Directory

or unsafe. Before trying any proposed treatment, it is best to consult with your doctor. Having a general knowledge of a medical condition can enable health care consumers to make more informed decisions about their situations.

Do you hear what I hear? What you need to know about noise-induced hearing loss (NIHL) in adolescents (BPT) - Due to the increased use of earbuds, adolescent hearing loss is up 5 percent over the last decade, which now affects 20 percent of U.S. adolescents ages 12 to 19, according to the Journal of the American Medical Association. It’s no surprise the increase in popular portable digital media player ownership from 18 percent to 76 percent over the past five years, along with frequent use at loud volumes, has contributed to young people losing their hearing. “Since hearing loss in children and teens is on the rise, it is important for adults to play an active role in prevention and seek out methods to minimize hearing loss, such as understanding safe volume levels,” says Michelle Atkinson, vice president of Energizer North America Marketing. “Ensuring your children have the appropriate products can make a big difference in their lives.” Noise induced hearing loss is caused by exposure to loud sounds and usually occurs gradually over time, according to the Better Hearing Institute. Since this form of hearing loss is painless and invisible, it would be difficult for you to detect the problem in your children and grandchildren. But, there are things you can do to help prevent NIHL. “Even minimal hearing loss can result in educational and behavioral problems in children”, said Lara Noble, Au. D., CCC A, Chief Audiologist of the Center for Hearing and Speech of St. Louis. “It is important for people to practice safe listening habits with the kids in their life.”

ing to the TV, radio and personal audio devices at a softer level. • Get high-quality ear buds with noise cancelation or sound isolation properties. • Use 60 percent of a device’s volume for no more than 60 minutes at a time, since the longer the duration of exposure, the greater the risk. • Download a noise meter app to determine the sound levels in your environment. • For an affordable and effective way to protect your hearing, use earplugs. Do you need a hearing aid? Don’t miss out on important moments in your life. If you experience any of the symptoms below, you should contact your physician and ask for their referral on a hearing specialist: • Your lack of hearing starts to interfere with your normal way of life. • You have trouble understanding people on the phone. • You have a hard time following conversations when people are speaking at the same time. • You misunderstand others when they are talking to you. • Your family and friends complain you’ve got the volume too loud on the TV or radio.

For more information on these symptoms, visit www.healthyhearing.com. For those who need a hearing aid, Energizer ZEROMERCURY hearing aid batteries are a superior solution. The batteries are Safe listening tips recently improved and more powerful than • Turn it down. Get into the habit of listen- ever, and with EZ Turn & Lock packaging that

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Recommended immunizations for adults (Metro Services) - Memories of childhood days when every visit to the pediatrician seemed to culminate in a needle in the arm may drum up an accelerated heartbeat each time you walk into the doctor’s office as an adult. But the chances you’ll be given a shot are slim, right? Not necessarily. Despite what many think, immunizations do not always cease once you’ve reached a certain age. There are certain recommended inoculations that adults can receive to protect themselves from illness. Although many people receive

the brunt of their vaccines early on in life, you’re never too old to give up on immunizations entirely. The Immunization Action Coalition, in conjunction with the Centers for Disease Control and Prevention, list certain vaccines that are recommended for adults. If you are planning on traveling overseas, there may be more vaccines you need to prevent illness or injury. By the time you reach 65 years of age, it is advisable to have checked off this list of immunizations and work with your doctor to create a vaccination schedule.

Influenza: This vaccine is recommended annually in the fall or winter. Pneumococcal polysaccharide (PPSV): Individuals between the ages of 19 to 64 should check with their health care provider to see if they require this vaccine. Smokers may need one to two doses. Individuals 65 and older are recommended to get this vaccine if they have never before been vaccinated. Tetanus, diphtheria, pertussis (Tdap): This is an adult version of the combined whooping cough vaccine. If you are an

2013 Regional Medical Directory

adult and frequently come into contact with infants, it is adviseable for the infants’ safety to have received a whooping cough vaccine. Tetanus is required every 10 years. Hepatitis B: If you have a specific risk for Hep B, you may need to take this vaccine. It is given in three doses. Hepatitis A: Again, risk factors will signify if you need this immunization. This is a two-dose vaccine. Human papillomavirus

continued on page 15

Immunizations continued from page 14

(HPV): HPV is responsible for many cases of cervical cancer. It is advisable for women age 26 or younger or men age 21 or younger to receive the HPV vaccine. This vaccine is given in three doses over six months. Measles, mumps and rubella: Measles has slowly been making a comeback despite have nearly been eliminated in the United States. Adults should have at least one dose of MMR in their lifetime. Check with a doctor if you require a second dose. Varicella: If you’ve never experienced chickenpox, or only received one dose of this vaccine when younger, you may require

another dose. Chickenpox outbreaks can be more severe in adults. Meningococcal: This vaccine is recommended for individuals ages 19 to 21 who live in a residence hall or close contact with others. Meningococcal is best known as a cause of meningitis and sepsis. It can be transmitted through saliva and occasionally through close, prolonged general contact with an infected person. Shingles: The zoster vaccine is administered to keep shingles at bay. Shingles comes from the same virus that causes chickenpox, and individuals who have had chickenpox are at a higher risk for experiencing shingles, which can be very painful, later in life. The vaccine is recommended for those ages 65 and up.

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ThinkStock Even adults need vaccinations, so be sure to check with your doctor and ensure you are up to date.

An apple a day just isn’t enough.

A complete physical is one of the best forms of preventive medicine. Certain screenings and tests are recommended based on your age, gender and health status. Screenings help your doctor provide more complete, personalized care. Early detection saves lives. Call 238-2501 or 1-800-332-7156 to schedule an appointment with your physician today! If you don’t have a physician, call Billings Clinic HealthLine at 255-8400 or visit www.billingsclinic.com Billings Clinic, 801 North 29th Street Billings Clinic West, 2675 Central Avenue Billings Clinic Heights, 760 Wicks Lane Primary Care providers are also available at the following locations: Billings Clinic Columbus Beartooth Billings Clinic Billings Clinic Miles City Billings Clinic Cody

Age

18-49 50+

Health Screenings for Men and Women* Physical Exam: Every 1 to 5 years depending on risk factors Blood Pressure: Every health contact or at least every 2 years Cholesterol and HDL Test: Baseline at age 20; every 5 years, if normal Tetanus Immunization Booster: Every 10 years Influenza Vaccine: Annually Pneumococcal Vaccine: At age 65, or younger if at high risk Skin Exam: Every 3 years Rectal Exam: Annually over age 40 Stool Check for Blood (Stool Occult Blood): Annually Colonoscopy: Every 10 years or Sigmoidoscopy: Every 3 to 5 years Hearing Test: Every 10 years; every 3 years after age 50 Eye Exam: Every 2 to 4 years Women: Pap and Pelvic Exam: Annually Women: Clinical Breast Exam: Annually over age 18 Women: Mammogram: Baseline at age 40; annually after age 40

Men: Prostate Exam: Annually

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Men: PSA (Prostate Specific Antigen) Lab Test: Annually *Your doctor may recommend different screening guidelines based on your risk factors.

Make your diet work for you (Metro Services) - Daily exercise is a great way to stay healthy well into your golden years. When coupled with a healthy diet, a workout regimen becomes even more effective. For those adamant about working out but unsure of how to maximize their workouts, the answer might just lie in your daily diet. Fitness fans who learn how to make their diets work for them often find their workouts become even more effective, improving both how they feel and how they look. The following are a few tricks of the trade for men and women who want to make their diets work for them.

hours. If you like to workout after a long day at the office, eat a light snack, ideally an hour before you expect to begin your workout, so your blood sugar won’t be too low. In addition, a light snack before a workout might provide some extra energy that will come in handy when you hit that treadmill or start lifting those weights.

Choose the right snacks A snack before working is alright; just make sure it’s the right snack. A bag of potato chips, for example, is not an ideal preworkout snack, as it might produce an adverse effect, making you feel sluggish as you prepare to exercise. Fresh fruit, energy Don’t discard breakfast bars or drinks, granola bars or Many men and women pre- even a fruit smoothie will quell fer to work out in the morning, your hunger and help you mainwhen temperatures might be tain proper blood sugar levels. more amenable to a morning jog or gyms might be less crowded Find something to eat after you than during peak hours. How- exercise ever, morning exercise enthusiEating after you exercise is also asts should know that a healthy important. After working out, eatbreakfast before working out can ing a meal with carbohydrates provide them with more energy, will promote muscle growth and leading to a more effective work- recovery, restoring your fuel supout. plies that were lost during your Men and women who don’t eat workout. This will come in handy before their morning workouts tomorrow when you want to work are bound to feel more sluggish, out again. Eating protein after a as the majority of the energy workout is also important. Dofrom the previous night’s din- ing so is beneficial when trying ner has already been used up. to build muscle, and protein also A light breakfast of whole-grain promotes muscle repair. Many fitcereal or bread paired with low- ness experts feel the meal after fat milk an hour before working a workout is the most important out can provide the added boost meal of the day, but just be sure your body needs and make your yours contains both carbohymorning exercise routine that drates and protein. much more effective. Fruit, including bananas or a few apple Don’t forget fluids slices, can also do the trick. Just Fluids are part of your diet as try to avoid working out on an well, and they’re especially imempty stomach and give yourself portant when exercising. Whethenough time between eating and er your typical exercise routine working out for the added energy is vigorous or not, you are goboost to take effect. ing to lose fluids when working out, sometimes a large amount Don’t overdo it of fluids. The American College A small meal prior to working of Sports Medicine recommends out is generally the best way to men and women emphasize go. You can workout after a large drinking fluids, ideally water, bemeal, but you’ll need to give your- fore, during and after their workself more time between eating outs. It’s important to stay hyand exercising, ideally several drated throughout the day, but it’s

Metro Services An exercise regimen can be even more effective when paired with the right diet.

very important to begin a workout with adequate fluids in your body and to replenish those fluids during and after your workout as well. Water is adequate for those whose workouts are 60 minutes or less, but choose a sports drink if you workout for more than an hour at a time. The sports drink

2013 Regional Medical Directory

will help you maintain your electrolyte balance and give you more energy as you’re working. Diet and exercise make great bedfellows, and men and women can use their diets to make their workouts that much more effective.

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Popcorn health quiz

A MEMBER OF ST. VINCENT HEALTHCARE 2

Airport Rd

Poly Dr

Grand Ave

15th St W

5. About how many kernels are in one cup of popped popcorn? a. 800 b. 1,000 c. 1,600

King Ave E

Gabel Rd

LAUREL, MT 8 9

LAUREL

BILLINGS

HARDIN

ABSAROKEE

11 RED LODGE

12 CODY, WYOMING

Heights

West End

(2) SVPN-Heights Family Practice 32 Wicks Lane P-406-237-8300

(1) SVPN-North Shiloh 2223 Mission Way P-406-237-8989

(9) SVPN-Absarokee Medical Clinic 55 N Montana, Absarokee, MT 59011 P-406-328-4497

(6) SVPN-West Grand Family Medicine 2750 Grand Avenue P-406-237-4040

(10) SVPN-Hardin Clinic 16 North Miles Ave, Hardin, MT 59034 P-406-665-2205

Downtown

(3) SVPN-Internal Medicine and Diabetes (7) SVPN Broadwater/ 2900 12th Ave N, Ste. 160 W Broadwater Walk-In Clinic P-406-237-8500 2019 Broadwater Ave (4) SVPN-Internal Medicine P-406-237-5200 2900 12th Ave N, Ste. 310 W P-406-238-6900 Outside Billings (5) SVPN-North 27th Street 1139 N 27th St, Ste. A P-406-237-5454

n r -

Grand Ave

King Ave W

2. How many calories are in a small order of unbuttered popcorn at the movies? a. 400 b. 650 c. 1,000

4. About 3 or 4 cups of popcorn equals one serving of which food group? a. grain b. vegetable c. dairy

3. What causes corn kernels to turn into popcorn? a. magic b. salt c. water

Rimrock Rd

Central Ave

Popcorn Quiz 1. What type of plain popcorn offers the fewest number of calories? a. microwave b. air-popped c. movie theater popcorn

Wicks Ln

BILLINGS, MT

24th St W

PHYSICIAN NETWORK

32nd St W

some fruits and vegetables. Per unit weight, Professor Joseph Vinsonâ&#x20AC;&#x2122;s team found, popcorn contained more polyphenols than fruits like pears and apples, with most of the health benefits packed into the hulls, not the fluffy white part. Although this is not license to skip produce in lieu of popcorn, including undressed popcorn in your diet can provide needed fiber and antioxidants. Want to learn more about popcorn facts? Test your knowledge with this quiz.

Shiloh Rd

(Metro Services) - Provided it is not smothered in butter or oil-based flavorings, popcorn is a relatively healthy treat to enjoy. Dieters have long relied on plain popcorn to staunch hunger pangs. But recent research has also indicated that popcorn is much more than a fluff snack; it is a healthy one as well. In March of 2012, researchers from the University of Scranton reported to the American Chemical Society that popcorn may contain high levels of healthful antioxidants -- levels that may be equal to or higher than

No matter where you are, we have a clinic nearby.

(8) SVPN-Laurel Medical Center 1035 1st Ave, Laurel MT 59044 P-406-628-6311

(11) SVPN-Mountain View Clinic 10 Robinson Lane, Red Lodge, MT 59068 P-406-446-3800 (12) SVPN-Cody 720 Lindsay Lane, Ste. A, Cody, WY 82414 P-307-578-1800

Answers: 1: b; 2: c; 3: c; 4: a; 5: c

2013 Regional Medical Directory

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What to do if someone is choking (Metro Services) - Choking is nothing to take lightly. Without quick action, lack of oxygen can lead to anything from brain damage to death. Choking can occur anywhere. As a result, it is in everyone’s best interest to learn how to dislodge a trapped item from the airway. Southwestern Medical Center indicates that choking accounts for thousands of deaths each year across the country. It takes just four minutes without oxygen for the brain to fail, hence the need to respond quickly. Choking is one injury that doesn’t discriminate by age or gender. Youngsters are often the victims of choking because their inquisitive natures cause them to put things into their mouths that don’t belong. Kids also may try to eat foods they’re not developmentally ready to eat, increasing their risk of choking. However, adults also fall prey to choking incidents. There are a number of different behaviors that can lead to choking. • Chewing pieces of food that are too large • Eating too quickly • Laughing or talking while chewing or swallowing • Drinking excessive amounts of alcohol before or during meals

procedure of abdominal thrusts to help dislodge an obstruction of the airway that causes choking. The Heimlich maneuver is a series of under-the-diaphragm abdominal thrusts that lift the diaphragm in such a way that air is forced from the lungs to create an artificial cough that propels the lodged item out of the trachea, also known as the windpipe. While the maneuver is effective and is currently the only method for clearing a blocked airway recommended for adults by the American Heart Association and the American Red Cross, it is not something to do unless there’s an emergency. That’s because the Heimlich can be painful and even cause injury. The universal sign that a person is choking is usually grabbing at the throat. People who are choking typically make no noise, so it can sometimes be difficult to tell if someone is choking unless they appear to be in distress. It is important that only the Heimlich is done to alleviate choking. Many people think it is a good idea to give the choking individual something to drink to try to wash down the trapped food. However, this only serves to block the airway more. The Heimlich maneuver is usually learned in conjunction with other lifesaving techniques, like The Heimlich Maneuver CPR. Individuals can check with Dr. Henry Heimlich is an Amer- a hospital for classes where the ican physician who developed a Heimlich maneuver is taught.

www.rockymountainveinclinic.com Billings, MT (406) 252-8346 Toll Free (877) 251-8346 Cody, WY (307) 527-7129 Toll Free (800) 418-0346

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Retirement & Assisted Living

(Metro Services) - Dentists frequently advise patents to floss more often. Flossing is the key to preventing tartar buildup at the gum line and to reduce bleeding between teeth from enflamed gum tissue. Still, many overlook the benefits of flossing or simply do not know how to floss effectively. The purpose of flossing is to remove food particles that become lodged in places a toothbrush cannot reach, such as under the gum line and between the teeth. Flossing should not take the place of brushing. Instead, use flossing in conjunction with brushing. To floss more effectively, find a floss product that is easy to use and comfortable. Floss comes in nylon or multifilament varieties, as well as PFTE or monofilament floss. There also are floss brushes and single-use floss sticks that can facilitate flossing and cleaning teeth. Floss that’s comfortable makes flossing more en-

How to floss more effectively joyable. Otherwise, you may put off flossing if it is cumbersome or difficult. To make the most of flossing, employ the proper technique. If you have teeth that have tight contact points, you probably will want to use monofilament floss that will not shred or break apart. Others may be able to work with nylon floss. Floss also may come in waxed varieties for easier gliding between the teeth. Other floss has fluoride already on them to help prevent cavities. • To begin flossing correctly, start with a piece of floss about 18 inches in length. Wind the excess floss around your middle fingers and keep about 2 inches handy between thumb and index finger for use between the teeth. • Use a gentle sawing motion between the teeth to work the floss along the natural curve of the teeth and also where each tooth meets the gum

Flossing is an essential part of proper oral hygiene.

line. • Do not snap the floss against the gums. Doing so can cause trauma to the tissue. • Angle the floss so it forms a “C” shape and hugs the tooth. Slide the floss up and down each tooth and make sure it gently goes a little below the gum line. Repeat on the opposite side of each tooth as well. • As you floss each tooth, release clean floss from your fingers so you have a fresh area for cleaning the next tooth.

• Follow up flossing with brushing to remove any errant bits of food and plaque. Then rinse your mouth with water or mouthwash. It is advisable to floss twice a day before brushing. However, once a day will be sufficient and should be reserved for before bed.

If using flossing aides, follow the same general techniques, but use a new aide when the one you’re using becomes soiled or damaged.

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2013 Regional Medical Directory

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Smart choices can reduce your risk for cancer (Metro Services) - Cancer does not discriminate, afflicting men, women and children regardless of their race, ethnicity or gender. While there’s no way you can fully protect yourself from cancer, there are ways to reduce your risk of developing cancer. Some of the most effective ways to lower your cancer risk is to make certain lifestyle choices. Many of these choices will not only reduce your risk of developing cancer but also improve your overall quality of life. Avoid tobacco According to the Centers for Disease Control and Prevention, lung cancer causes more deaths than any other cancer. The majority of lung cancer cases are caused by cigarette smoking, and male smokers are 23 times more

likely to develop lung cancer than men who don’t smoke. Women who smoke are 13 times more likely to develop lung cancer than their nonsmoking counterparts. In addition, the United States Department of Health and Human Services notes that smoking can also cause a host of other cancers, including cancer of the larynx, mouth and throat, esophagus, bladder, kidney, pancreas, cervix and stomach. Avoiding tobacco entirely can drastically reduce your risk of developing any of these cancers. Don’t allow others to smoke around you Even people who don’t smoke might be at a significant risk of developing cancer if they allow others to smoke around them. In a 2006 report titled “The Health

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Consequences of Involuntary Exposure to Tobacco Smoke,” HHS researchers revealed that cancer-causing and toxic chemicals are higher in secondhand smoke than in the smoke inhaled by smokers. Exposure to secondhand smoke at home or at work increases your risk by to 20 to 30 percent, so don’t allow others to smoke in your presence. Avoid heavy alcohol consumption The World Health Organization notes that studies conducted around the globe have found that regular alcohol consumption increases a person’s risk of developing mouth, voice box and throat cancers. In 2007, WHO researchers published a study that found daily consumption of roughly 50 grams, or less than two ounces, of alcohol doubles or triples a person’s risk of the aforementioned cancers compared with the risk in nondrinkers. Numerous studies have also found that moderate alcohol consumption can reduce risk for other diseases, including coro-

nary artery disease. As a result, men and women should discuss alcohol consumption with their physician and, if they do consume alcohol, always do so in moderation.

Protect your skin Though lung cancer might be the most deadly cancer, skin cancer is among the most prevalent. That’s especially disconcerting, as skin cancer is largely preventable. Men, women and children who protect their skin from the sun when spending time outdoors can drastically reduce their risk of developing skin cancer, which is the most common form of cancer in the United States. Seek shade, apply sunscreen and wear protective clothing, including a hat and sunglasses, to reduce your exposure to the sun’s potentially harmful ultraviolet rays. Though anyone can develop cancer, there are many choices people can make that can drastically reduce their risk of joining the millions of people who receive a cancer diagnosis each year.

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2013 Regional Medical Directory

(Metro Services) - Fatigue can indicate a host of things. Men and women who are overworked feel fatigue, as do men and women whose diet is low on nutrition. Fatigue can also be the result of a medical condition, which only sheds light on how important it is for men and women dealing with fatigue to speak to their physician about their condition. In addition to working with a physician to fight fatigue, there are steps men and women can take reduce fatigue and start feeling more energetic.

Simple ways to reduce fatigue make it more likely that you will feel fatigued. But including daily exercise as part of your routine will not only boost your energy levels, but also improve circulation, increase your metabolism and relieve tension, an especially valuable benefit for overworked men and women.

Get some sleep The notion that sleep can help fight fatigue might sound simple, but a good night’s sleep can elevate energy levels throughout the day, helping the body rest and recover. Failing to get sufficient Get off the couch sleep, which many people find A sedentary lifestyle will only is seven to eight hours per night,

can turn today’s fatigue into to- people battling fatigue. However, morrow’s fatigue, and so on. once your blood sugar levels begin to drop, which can happen Address any sources of stress rather quickly, you will notice a Fatigue can be a side effect of rather steep decline in your enstress. Many men and women ergy level. To successfully comfind work is their primary source bat fatigue, avoid relying on quick of stress, but finances and rela- fixes that only offer temporary tionship issues can be stressful relief. as well. Whatever the source of your stress, address it and don’t Alter your eating habits allow it to fester. If it’s work, then If you’re a proponent of three look for ways to make work less large meals per day but are batstressful, whether it’s telecom- tling fatigue, then it might be time muting more often or sharing to alter your eating habits. Remore responsibilities. Exercise is place the large meals with smalla great way to relieve stress, but er meals, and snack throughout men and women fighting stress- the day to maintain high energy related fatigue should address levels. Just be sure to consume the source of the stress as well. healthy snacks and don’t forget to drink water throughout the day. Reduce sugar intake Doing so will fight dehydration, Sugar might provide an initial which can also cause fatigue. burst of energy, especially for

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2013 Regional Medical Directory

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Support Services Water essential to human health (Metro Services) - Many adults have had the virtues of drinking enough water extolled on them since childhood. Though recommendations as to how much water a person should drink each day have fluctuated over the years, it’s still safe to say that drinking a significant amount of water every day is essential for your health. Water keeps the body healthy in a number of ways. But the body loses water in a number of ways as well, each of which is part of normal human function.

For instance, a body loses water when a person breathes, sweats, urinates or has a bowel movement. The body must replace this lost fluid in order to stay healthy and avoid dehydration. In addition to fending off dehydration, water helps the body flush out wastes and maintain a healthy body temperature while reducing the risk of developing kidney stones or becoming constipated. According to the Centers for Disease Control and Prevention, water also helps lubricate and cushion joints and

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protects the spinal cord and other sensitive tissues. The body needs water every day, but there are certain instances when the body will likely need more water than usual. If you spend ample time in especially hot climates, your body will need more water, just as it might during periods of physical activity. In addition, your body will need more water when suffering from certain ailments or conditions, including fever, diarrhea or vomiting. Though many people feel drinking caffeinated beverages, including coffee and sodas, dehydrate the body, experts say moderate caffeine consumption won’t dehydrate the body. A 2000 study published in the Journal of the American College of Nutrition found that healthy people who consume moderate amounts of caffeine don’t lose more fluid than those people who abstain from caffeine. Overconsumption of caffeinated beverages might prove problematic, but moderate consumption can provide the body with the fluids it needs without causing harm. It’s best to consult a physician if you suspect you aren’t getting enough fluids, but there are also some indicators men and women can notice on their own. One such indicator is the color of your urine, which will be clear or pale yellow if your body is getting enough fluids. Urine that is dark yellow indicates the body needs

more water. Constipation or hard bowel movements may also be the result of a body that isn’t getting enough fluids. While it’s true there is such a thing as too much water, it is rare that a person drinks too much water. Endurance athletes are most susceptible if they only drink water during competitions. That’s because consuming too much water will dilute the amount of sodium in the body, creating an imbalance that can cause confusion, seizures and possibly even coma. That’s why many endurance athletes drink a sports drink that contains sodium, sugar and electrolytes during competitions. But even athletes who will be competing or exercising for more than an hour might want to choose a sport drink instead of just water to protect themselves and avoid an imbalance. Many people find they don’t drink enough water by accident. One way to combat that is to bring a bottle of water with you wherever you go. Another way is to drink water throughout the day at your office, which also gives you an opportunity to get up and stretch your legs over the course of the day. If you find water especially bland, add a slice of lemon or lime to give it more flavor. Drinking a sufficient amount of water each day helps the body function properly and fight off a host of ailments.

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2013 Regional Medical Directory