Medical Directory 2014

2014

regional medical directory

a regional listing of Physicians & Medical Services

Access to Mayo Clinic expertise close to home.

Working together with Mayo Clinic expands our resources to solve tough patient problems. We strive to deliver the best possible care for our patients, and with electronic access to eConsults and AskMayoExpert through the Mayo Clinic Care Network, we have world-class expertise at our fingertips.

Our 250 doctors in 50 specialties at Billings Clinic can access treatment plans and other medical resources online 24 hours a day. In addition, our physicians can work together with Mayo Clinic specialists on hard to solve diagnoses and treatment recommendations. The best part is our patients don’t need to travel, and can receive care right here at home.

To schedule an appointment at Billings Clinic, call (406) 238-2501 or 1-800-332-7156.

Billings Clinic Downtown 801 North 29th Street (406) 238-2500 Billings Clinic West 2675 Central Avenue (406) 238-2900 Billings Clinic Heights 760 Wicks Lane (406) 238-2575 Billings Clinic Miles City 620 South Haynes Avenue Miles City, MT 59301 (406) 233-7000 Stillwater Billings Clinic 710 N. 11th Street Columbus, MT 59019 (406) 322-1000 Beartooth Billings Clinic 2525 North Broadway Red Lodge, MT 59068 (406) 446-2345 Billings Clinic Cody 201 Yellowstone Avenue Cody, WY 82414 (307) 527-7561

Health Questions? Need a Physician?

Call Billings Clinic HealthLine, 24 hours, 7 days a week.

255-8400 or 1-800-252-1246 Email: health@billingsclinic.org

To find out more, visit www.billingsclinic.com/mayo 2

2014 Regional Medical Directory

The 2014 Regional Medical Directory is a special advertising section of The Billings Gazette.

Index Billings Clinic............................................... 2 Physicians, Surgeons, Specialists & other Professional Practices ....................................................... 4 Dentistry ..................................................... 4 Brewer Dental Center Ear, Nose & Throat ..................................... 4 Ear, Nose & Throat Associates Orthopaedic ................................................... 5 Powell Valley Healthcare

Sales & Marketing Director Dave Worstell Retail Sales Manager Shelli Scott Classified & Digital Sales Manager Ryan Brosseau Special Sections Coordinator Linsay Duty Section Designer Nadine Bittner

Access the 2014 Regional Medical Directory at www.billingsgazette.com/ specialsections

Physician Listings .................................... 6 OB/GYN ...................................................... 6 Big Sky OB/GYN Orthopedic Surgeon ................................... 6 Powell Valley Healthcare Clinics, Hospitals & Rehabilitation Facilities ........... 7 Children’s Psychiatric Care/ Genetic Services ......................................... 7 Shodair Children’s Hospital Clinic ............................................................ 8 Fuller Family Medicine

Hospital ...................................................... 9 St. Vincent Healthcare Medical Center ..........................................11 Glendive Medical Center Ultrasound .................................................13 Picture Perfect Ultrasound Retirement & Assisted Living ............................15 Assisted Living ..........................................15 Autumn Springs Assisted Living Nursing Home Facility ................................16 Valley Health Care Center Senior Living ..............................................17 Marquis Grand Park Senior Living ..............................................19 Westpark Village Retirement Support Services ........................................... 20 Financial .................................................... 20 First Interstate Bank-Bozeman Health Plans ..............................................21 New West Health Plan EBMS ........................................................ 24

Articles

Germaphobes 101: Expert tips to stay healthy ............................................................................................... 4 Food safety measures that can prevent illness .............................................................................................. 6 How to reduce your risk of diabetes................................................................................................................ 8 How to cut back on sugar in your diet ........................................................................................................... 10 Reasons to include more dairy in your diet................................................................................................... 12 Why do we need fiber? ................................................................................................................................. 13 Skin cancer a concern no matter the season ............................................................................................... 14 Did you know! ................................................................................................................................................ 15 Tips for safer home medication storage and consumption ........................................................................... 16 Take a proactive approach to stress ............................................................................................................. 17 Dispelling five common myths about depression ......................................................................................... 18 The diagnostic power of sound .................................................................................................................... 19 Create a peaceful and healthy sleeping environment................................................................................... 20 Tips to help your baby sleep at night ............................................................................................................ 22 Early warning signs of Alzheimer’s disease .................................................................................................. 22 Simple facts about pregnancy ...................................................................................................................... 23

2014 Regional Medical Directory

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physicians, surgeons, specialists & other professional practices

GERMAPHOBES 101: Expert tips to stay healthy (BPT) - Before you know it, the chilly weather will be here and so will the dreaded cold and flu season. While even the most avid germaphobes can’t control every germ from reaching their family, you can take extra precautions to keep a healthy home this year.

Follow these expert tips to get rid of germs - once and for all.

Clean kitchens Brandpoint Content

According to the National Sanitation Foundation, more than 20 percent of foodborne illnesses come from mistakes in the kitchen.

dentistry

ear, nose & throat

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Steven A. Butler, M.D.

Brian T. Pelczar, M.D. Cynthia A. Kennedy, M.D.

St. Vincent Healthcare

Restorative Treatment One coupon per visit Coupon must be presented Expires December 31st, 2013 Mon‐Fri 7am‐7pm & Saturdays 7am‐5pm 2900 Central Ave & 710 Main Street

406‐656‐6100

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According to the National Sanitation Foundation, more than 20 percent of foodborne illnesses come from mistakes in the kitchen. The bacteria that could be

in the raw chicken you’re cutting up for tonight’s casserole can instantly spread once you wipe your hands on the dish towel. So here’s how to stay vigilant: • Stop sponges from spreading bacteria that you just cleaned up. Replace sponges regularly and wash them thoroughly with soap after using. You can also kill harmful bacteria by tossing a damp sponge in the dishwasher or by zapping it in the microwave for approximately 30 seconds. continued on page 2

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.entabillings.com

2014 Regional Medical Directory

Germaphobes continued

small surfaces like the bathroom faucet handle dust container routinely, but when was the can be home to 6,267 bacteria per square inch, last time you cleaned the vacuum upholaccording to WebMD. Keep the bathroom stery tool or brush roll? Rather than sucking • Wipe down countertops, faucets, refrigera- cleaner by taking the following steps: up allergens, these attachments could be tor and oven handles, cabinet knobs, light spreading them throughout your home.

• Before mold takes hold, launch an attack on switches and the telephone regularly with shower gunk by cleaning tiles, shower cur• The washing machine is actually swarming soapy water or disinfectant wipes. tains and doors with an all-natural cleanser; with bacteria that can find their way onto • To control the spread of bacteria in and not bleach which can eat away at grout. For your clothes - and eventually you. Kitchen around the kitchen sink, a hands-free faucet extra cleaning power, heat diluted vinegar towels and undergarments are the biggest will make a significant difference by limitin a bowl and pour into a spray bottle. To culprits and can harbor bacteria, such as saling the number of surfaces you’ll have to prevent mildew and mold build-up in the monella and E. coli, which detergent doesn’t touch, especially while cooking. Simply wave shower, leave the shower doors open when kill. To prevent harmful germs from spreadyour hand over the ready sensor or place not in use. ing, combine these items together and wash your hands below the spout to start the flow with hot water and non-chlorine bleach. Take of water. Bacteria are instantly washed away • Keep surfaces clean and disinfected-to extra precaution by cleaning the washer out reduce the spread of stainand odor-causing - rather than lingering on the faucet handle. with a disinfecting wipe after washing a load bacteria. Did you know, on an unprotected in hot water.

• Often overlooked, the ice dispenser is a surface, bacteria can double in number evproven area of concern for yeast and mold, ery 20 minutes?

• A dusty ceiling fan can send dust mites scatwhich are a problem for those with allergies. tering to bedding and furniture, contributing Healthy home To properly clean, turn the icemaker off, to allergies and sinus infections. Ceiling-fan empty the ice and wash the bin with mild dusters are a quick and easy way to get this It’s also important to tackle the rest of the dish soap and warm water. job done. This should be done every other house with the same consciousness. Here are month if you use the fan year-round. a few tips that will keep harmful germs and Bacteria-free bathroom allergens from spreading room to room: This season take a few extra steps to prepare Hot and humid areas like bathrooms are • Clean your cleaners. You may clean out the your home to fight off bacteria. breeding grounds for bacteria. In fact, even

orthopaedic Powell Valley Healthcare Orthopedics

welcomes Dr. William J. Jarvis

Orthopedic Surgeon Dr. Jeffrey Hansen

to our medical staff.

Dr. Jarvis comes to us from Wausau, Wisconsin where he has worked at the Bone and Joint Musculoskeletal and Surgery Center for the past 15 years.

Specializing in surgery of the hand, foot and ankle

• Dr. Jarvis completed his residency in orthopedic surgery at the Henry Ford Hospital in Detroit, Michigan.

• He also completed a fellowship at the Cincinnati Sports Medicine and Orthopedic Center in Cincinnati, Ohio.

• He completed medical school at Rush Medical College in Chicago, Illinois.

• Board Certified in Orthopedic Surgery • Board Certified in Sports Medicine

Jeff Hansen,M.D.

Athletics and sports are Dr. Jarvis’s passion and he has a great deal of experience working with sports teams and events.

Dr. Jarvis joins Dr. Jeff Hansen and his team at Powell Valley Clinic, building C

Angela Redder, PA-C

Brad Mangum, FNP, DC

William J. Jarvis, M.D.

Jeff Hansen, M.D.

Powell Valley Healthcare - Orthopedics

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

7 7 7 Avenue H • 754 - 725 7 • W W W. P V H C .O RG

2014 Regional Medical Directory

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physician listings

Food safety measures that can prevent illness

Brandpoint Content

When preparing a meal, thoroughly wash any surfaces, including cutting boards, that may have held raw meat or poultry before reusing.

Metro Services

Diet and exercise are synonymous with a healthy lifestyle. When coupled with routine exercise, a healthy diet is even more effective at sustaining long-term health.

But just because the foods you eat might be healthy, that doesn’t always mean they’re safe. Food that is contaminated can lead to illness and possibly even death. For instance, even a small bite of food that’s contaminated with the botulism toxin can cost a person his or life or lead to paralysis.

While a mistake with regards to food safety can prove costly, there are ways to prevent those mistakes. The following are some food safety measures men, women and children can take to ensure their food is safe for consumption, courtesy of the United States Department of Health & Human Services. continued on page 7

Dianne M. Nagy, RNC, NP

Brenda J. Willkom, RNC, NP

Associated with Daniel M. Molloy MD, PC

Associated with Daniel M. Molloy MD, PC

since 1992

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

OB/GYN Nurse Practitioner

238-6010

Dianne Nagy, RNC, NP Board Certified

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

Brenda Willkom, RNC, NP Board Certified

Daniel M. Molloy MD, PC Providing complete and thorough pregnancy and gynecological care

Accepting New Patients Daniel M. Molloy MD, FACOG Board Certified

238-6010

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

Ieva L. Bailey, MD, PC Gynecological care for women of all ages • Surgical and nonsurgical solutions • Ideal Protein Provider • Accepting New Patients

Ieva Bailey, MD Board Certified

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238-6010 2900 12 Avenue N. Suite 245W th

2014 Regional Medical Directory

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

William J. Jarvis, m.d.

Speciality: Orthopedic Surgery Medical School: Rush Medical College, Chicago, Ill orthopedic reSidency: Henry Ford Hospital, Detroit, MI; Chief Resident Orthopedic Trauma Sports Medicine Fellowship: Cincinnati Sports Medicine and Orthopedic Center, Cincinnati, OH Board certified in orthopedic Surgery Board certified in SportS Medicine Powell Valley Clinic, Bldg. B, 777 Ave H, Powell, WY 82435 307-754-7257 • 1-888-284-9308

Jeffrey Hansen, m.d.

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

clinics/hospital/rehabilitation

Food safety continued

Marinate foods in the refrigerator

Always wash your hands before preparing or eating food

Marinating foods is very popular, especially during the barbecuing season. However, marinating foods at room temperature, when harmful germs in meat and bacteria can multiply rapidly, should be avoided at all costs. When marinating meat, poultry or seafood, always do so in the refrigerator.

Germs on your hands can contaminate food. If you’re preparing a meal, always wash your hands before the preparation begins and wash Do not use leftover marinade on cooked foods them again in between handling multiple foods. For example, if you When marinating, there is typically a significant amount of mariare handling raw meat, clean your hands before you touch other foods you will be preparing, such as potatoes or vegetables. Wash hands with nade left over. However tempting it may be to add a little extra flavor by reusing that marinade once the food has been cooked, doing so is soap and running water for at least 20 seconds. very dangerous, as the germs from the raw meat, poultry or seafood can spread to the cooked food. If you simply must make use of the Do not thaw food on the counter leftover marinade, only do so after boiling it.

Thawing food on the counter can be quite dangerous, as harmful More information about food safety is available at germs multiply very rapidly at room temperature. Instead of thawwww.foodsafety.gov. ing food on the counter, place food in the refrigerator, defrost it in the microwave or submerge food in a pot of cold water.

Do not let food cool before placing it in the refrigerator Perishable foods that are not immediately refrigerated invite illnesscausing bacteria, which can grow in as little as two hours or as little as one hour if the temperature is above 90 F. Instead of leaving perishable items on the counter, refrigerate them within two hours if not immediately.

children’s hospital

A history of caring.

Commitment to the future.

Do not taste food to check if it is spoiled The bacteria that causes food poisoning has no taste, so tasting food to determine if it has spoiled won’t do you any good, but it can cause serious illness if the bacteria is present. If you aren’t sure about a certain food, simply throw it away. To learn about safe storage times for the refrigerator and freezer, visit www.foodsafety.gov/keep/charts/ storagetimes.html.

• Residential and acute psychiatric care for children • Clinical and laboratory medical genetic services for people of all ages. Outreach clinics available locally each month.

Wash any plates or cutting boards that held raw meat Raw meat as well as poultry and seafood have germs that can spread, especially if you use the same plates or cutting boards for raw meat as you do cooked meat. Thoroughly scrub any dishes that held raw meat before using them for anything else.

Do not wash meat or poultry Some recipes, especially those for Thanksgiving turkey, advice home chefs to wash meat or poultry before cooking. However, doing so can spread bacteria to the sink, countertops and other kitchen surfaces.

Despite what a recipe suggests, never wash meat, poultry or eggs.

Proud to be Montana’s only Children’s Miracle Network Hospital

Do not eat foods with uncooked eggs Eggs should always be cooked thoroughly, as they may contain harmful bacteria, including salmonella. Foods that contain uncooked eggs, such as raw cookie dough, while a tasty treat for many people, are potentially very dangerous, exposing you to harmful bacteria that could result in serious illness.

www.shodair.org

2014 Regional Medical Directory

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

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How to reduce your risk for diabetes

Metro Services

Though aging increases a person’s risk for type 2 diabetes, a healthy lifestyle that includes routine exercise and a healthy diet can help men and women reduce that risk significantly.

Metro Services

Millions of people across the globe suffer from diabetes, a term used to describe a group of metabolic diseases in which a person has high blood pressure resulting from the body’s cells not responding properly to insulin and/or inadequate insulin production. According to researchers at Australia’s Baker IDI Heart and Diabetes Institute, if the spread of type 2 diabetes continues at its current rate, there will be roughly 439 million adults with diabetes across the globe in the year 2030.

Though some cases of diabetes cannot be prevented, a healthy lifestyle can prevent or delay the onset of type 2 diabetes.

Type 2 diabetes is the most common form of diabetes, occur-

ring because the body does not use insulin properly. Initially, the pancreas will make extra insulin to account for the body’s resistance to insulin, but over time the pancreas cannot produce enough insulin to maintain normal blood glucose levels. The risk of developing type 2 diabetes increases as people age, and while there is no way to halt the aging process, there are many other ways for men, women and children to reduce their risks of developing type 2 diabetes.

Shed those extra pounds Being overweight increases your risk for a host of ailments, including type 2 diabetes, heart continued on page 9

clinic • Well Woman Exams, Birth Control • IUD Insertions/removal • Well Child Exams, Immunizations • Annual Exams • DOT/CDL Exams • School/Sports Physicals • Pre-op Evaluations • Coumadin Clinic • Laboratory Services • Diabetes Care

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2014 Regional Medical Directory

Call for appointment

651-9355

hospital

Diabetes continued

Focus on fiber Adding more fiber to your diet is another way to prevent or delay the onset of type 2 diabetes. Foods that are high in fiber tend to make people feel fuller, reducing the likelihood that you will overeat.

Fiber also helps the body control its blood sugar levels, and fiber can lower a person’s risk of heart disease. Many foods include fiber, but some high-fiber foods include beans, fruits, nuts, and vegetables.

2

Rimrock Rd Poly Dr

5

Grand Ave

3

4

Grand Ave

6 15th St W

24th St W

Central Ave

32nd St W

DIABETES

Airport Rd

1

Avoid refined carbohydrates Studies have shown that diets rich in refined carbohydrates increase a person’s risk of developing diabetes, while additional studies have shown that diets rich in whole grains protect the body against diabetes. Researchers examining the results of several studies that explored the relationship between whole grains and diabetes found that eating an extra two servings of whole grains each day can reduce a person’s risk of type 2 diabetes by as much as 21 percent. Refined carbohydrates, which can be found in white bread, white rice, mashed potatoes and many cereals, can cause sustained spikes in blood sugar and insulin levels and increase a person’s risk of diabetes.

Wicks Ln

BILLINGS, MT

Shiloh Rd

disease and stroke. According to the American Diabetes Association, losing as little as 10 to 15 pounds can make a significant difference for people looking to reduce their risks of developing type 2 diabetes. When attempting to lose weight, men and women should recognize that making lifestyle changes is a more effective way to shed pounds and keep weight off than fad diets that may promise quick weight loss but tend to be less effective at keeping that weight off over the long haul.

Successful weight loss typically involves a combination of physical activity and a healthy diet.

Include physical activity as part of your daily routine several days per week, taking it slow at first if you have not exercised regularly in quite some time. As your body begins to adapt to exercise, you can gradually increase the intensity of your workout routines.

Adopting a healthy diet is another way to lose weight and maintain that weight loss. A diet low in calories and fat is a good start. Men and women who need to lose a significant amount of weight may want to work with a dietitian and/or nutritionist to create a meal plan that is likely to produce the best results and address any vitamin or nutrient

deficiencies they might have.

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

King Ave E

King Ave W

Gabel Rd

LAUREL, MT 7

7 8

LAUREL

BILLINGS

9

HARDIN

ABSAROKEE

10 RED LODGE

11 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

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

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

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

Downtown

(3) SVPN-Internal Medicine and Diabetes (6) 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

2014 Regional Medical Directory

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

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

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How to cut back on the sugar in your diet

SUGAR Metro Services

Consuming sweetened beverages, baked goods and candy is how many people add sugar to their diets.

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Many people have a love-hate relationship with sugar. They may love how it tastes, but they also may hate the effects sugar can have on their bodies. As a result, many men and women would love to reduce their sugar consumption.

The American Heart Association reports that the average adult in the United States consumes 22 teaspoons of added sugar every day, which equals 150 pounds per year. Teenagers consume even more, averaging 34 teaspoons every day. According to Statistics Canada, Canadians consume an average of 110 grams, or 26 teaspoons, of sugar daily. These numbers are more than twice the amount of sugar a person should be eating.

Healthy fruits, vegetables and some dairy products each contain sugar. But refined sugar is what can compromise a person’s health.

When more than 10 percent of a person’s total calories come from added or refined sugar, this can prove harmful to both the mind and body.

University of California, San Francisco researchers estimate that the 130,000 new cases of diabetes documented between 1990 and 2000 could be attributed to the increase of sugar-sweetened drinks. Those who drink 1 to 2 servings of sweetened beverages are 26 percent more likely to develop type 2 diabetes in their lifetimes than those who avoid such drinks.

According to a 2008 study

2014 Regional Medical Directory

Metro Services

published in the journal Molecular Nutrition & Food Research, highglycemic foods, or those that are quickly broken down into glucose by the body, can lead to elevated rates of breakouts and acne. That’s because sugary foods and drinks may fuel inflammation and the production of excess sebum in the skin, resulting in pimples.

When a person consumes more sugar than he or she needs, the excess may be stored in the body as triglycerides, a type of blood fat. Both high triglycerides and low HDL levels contribute to the hardening of your arteries. This condition increases the risk of heart disease, stroke and heart attack.

Information published in the British Journal of Psychiatry indicates sugar may be responsible for mood swings and other mental disorders. Fluctuations in sugar levels can affect mood and metabolism.

Fortunately, men and women looking to curtail their sugar consumption can do so in a variety of ways. continued on page 11

Sugar continued

which reduces the temptation for overeating.

Use whole grain pastas and breads when cooking, and opt for these foods when dining out.

Enjoy a sugar-free or low-sugar breakfast You may begin the day with a sugar rush if you consume too much sugar at the breakfast table. This will inevitably result in a sugar crash, after which you may overeat or gravitate toward more sugary products. Starting the day with whole grains and lean proteins is a healthier way to fuel the body at breakfast time.

Stock up on fruits and vegetables When you crave something sweet, grab a piece of fruit or a sweet vegetable, such as corn or beets. You will be consuming fewer calories and eating less processed sugar.

Opt for whole grains Whole grains have a lower glycemic index than refined grains, which means they won’t turn into a sugary powder keg in your body.

They also will help you to feel fuller longer,

Research the amount of sugar in foods Read labels and ingredients to determine if sugar is hiding in the foods and beverages you consume. Anything that ends with the suffix “ose” is a derivative of sugar. Some restaurants will even add sugar to foods that don’t need them to make them irresistible and addicting, which is often the case with kids’ meals.

Cut sweetened drinks from your diet entirely Many people consume a substantial amount of sugar in their beverages. To avoid overconsumption of sugar, opt for water, unsweetened teas or diluted 100 percent fruit juice if you need something sweet.

By cutting down on sugar, a person can gradually reduce his or her dependency on the sweet stuff and not even miss it. This may lead to improved dental health and a host of other medical benefits.

Access the 2014 Regional Medical Directory at www.billingsgazette.com/ specialsections

medical center “I had my gallbladder removed by Dr. Nichols in January 2013. I knew beyond a shadow of a doubt I was going to be in the best of hands, because I had worked as a CNA with the same people who I knew would be caring for me. From my surgery to my recovery, I was taken care of by some of the most compassionate and caring staff, nurses and fellow co-workers a gal could ask for. After my experience as a patient, I knew I wanted to come back to GMC when I finished nursing school in May, and that’s just what I did.” ~ Cassandra Caudill GMC Acute Care Nurse

When you are here, you are home.

Offering the most advanced technology in surgery Laparoscopic General Surgery Services

Trauma Appendix Colonoscopy Gallbladder Hernia Colon and Rectal Gastrointestinal Colon Resection Gastroscopy Mastectomy & Breast Biopsy 2014 Regional Medical Directory

www.gmc.org 800.660.4325

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Reasons to include more dairy in your diet

Metro Services

A healthy diet can improve quality of life and reduce a person’s risk of developing disease or other negative health conditions.

For example, a diet rich in fruits and vegetables can boost the immune system and promote cardiovascular health, lowering your risk of heart disease in the process.

While the benefits of including fruits and vegetables in your diet are widely known, the medical benefits of dairy are often overlooked. The following are a handful of ways that dairy products like low-fat milk, cottage cheese and yogurt can make a nutritious and beneficial addition to your diet.

Dairy packs a proteinand calcium-laden punch

DAIRY

Metro Services

One major benefit of dairy is it’s a great source of vitamin D, which can improve bone health and might help reduce your risk of cancer.

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Dairy may help lower your blood pressure Men and women with high blood pressure might benefit from including more dairy in their diets. In a study of 5,000 adults, Spanish researchers found that those who reported consuming the most low-fat dairy products were more than 50 percent less likely to develop high blood pressure than those who consumed less low-fat dairy. Though researchers are not certain as to the reason behind low-fat dairy products’ impact on blood pressure, some theorize that their calcium and protein content are likely behind the benefit.

Dairy benefits your bones

Dairy has long been known to improve bone density. But it’s not One cup of nonfat yogurt can just seniors who benefit from the provide as much as one-third of your daily recommended calcium bone-strengthening impact of dairy. Youngsters who consume intake and nearly 20 percent of dairy can also expect an increase your daily recommended protein intake. Though dairy products like in bone mass, which can make them ice cream don’t pack the same nu- less susceptible to injuries like tritious punch as yogurt, healthier broken bones. Seniors who consume dairy to improve their bone fare like reduced-fat cheese and density should know that a recent skim milk can go a long way toward meeting your daily intake study from researchers at the Institute for Aging Research found of protein and calcium. that not all dairy products are Dairy is a great source of equal when it comes to improving bone density. While milk and vitamin D yogurt were linked to higher bone In addition to providing sufmineral density, dairy products ficient calcium and protein, dairy like cream and ice cream contain also helps men, women and chilless protein, calcium and vitamin dren boost their vitamin D. That’s D and more fat and sugar than yoespecially important in the winter gurt and milk, and these products months when people tend to get may actually be associated with less exposure to the sun. Expolower bone mineral density. sure to the sun is a natural way Though there are many ways to boost your vitamin D, but the men and women can improve their shorter days and colder weather overall health, it’s important to of winter can make it hard to get consider the nutritional value of sufficient vitamin D during that dairy when making any alteratime of year. Dairy products like tions to your diet. low-fat milk can boost your vitamin D, which can improve your bone health and, according to recent research, might help reduce your cancer risk.

2014 Regional Medical Directory

Why do we need fiber?

Metro Services

Many food products boast added fiber on their packaging.

Breads, cookies, beverages, and so much more contain extra fiber in response to the public’s growing desire to consume foods with high levels of dietary fiber, which medical professionals claim is an essential element to a healthy diet.

Despite that publicity, many consumers remain in the dark about the role fiber plays in the body.

About fiber Many people are aware of the importance of including fiber in the diet, but few people understand the importance of dietary fiber. Fiber is an essentially indigestible substance that is found mainly in the outer layers

of plants. Fiber will pass through the human digestive system virtually unchanged from when it was consumed and without being broken down into nutrients. Fiber is classified into two types: insoluble fiber, which will not dissolve in water, and soluble fiber, which can be dissolved. Insoluble fiber is typically found in whole grain products, dark leafy vegetables, green beans, wheat bran, corn bran, seeds, nuts, and skins of fruits and vegetables. Soluble fiber comes from foods like oats, nuts, fruits, and dried beans.

Fiber and digestion Fiber is essential to digestion.

The Harvard School of Medical continued on page 14

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2014 Regional Medical Directory

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Fiber continued from page 13

Fiber and blood sugar

number of grams of fiber consumed on a daily basis.

The slow absorption of carbohydrates also • Eat more bran, as bran has the highest fiber regulates the absorption of sugar into the content of any food at about 25 to 45 percent. bloodstream.

This can prevent sugar spikes Health advises people should get between 20 that may be dangerous to those with diabetes. • Consume whole fruit instead of juice. Whole to 30 grams of fiber each day, though many It also may be able to help reduce the risk of people do not consume that much fiber. Fiber fruits have more fiber in them and fewer adds bulk in the digestive system, which helps developing type 2 diabetes, according to a calories than juices. Eating fruit can help study published in the New England Journal of soften stool and flush out the intestines. It you to feel fuller longer. assists in making bowel movements more fre- Medicine in May 2000.

• Pass up on refined flours. Opt for whole quent, preventing constipation. A diet high in grains whenever eating bread, cereal and fiber helps reduce the risk for hemorrhoids and Fiber and cholesterol baked goods. Try to aim for grains that have diverticular disease.

Soluble fiber has been shown to help lower at least three grams of fiber per serving. blood cholesterol concentrations by decreasing Fiber and weight loss • Increase your consumption of beans. Beans the absorption of cholesterol and bile acids in are relatively inexpensive, fi lling and tasty.

While fiber is often associated with improv- the small intestines. When less bile acid is absorbPlus, they pack a great deal of fiber, protein ed, the body must use stored cholesterol to make ing regularity, that is not its only role. Fiber, and other important nutrients. more, lowering blood cholesterol as a result. particularly soluble fiber, that can be slowly The American Heart Association reports great- • Take a fiber supplement if you feel you are digested will prolong the digestive process, er reductions in low-density lipoprotein, or helping to keep the stomach fuller longer. not getting enough fiber in your daily diet.

LDL, cholesterol among people who consume Feeling full can help a person eat healthy Gummy fiber chews can be tasty ways to get portions. Fiber-rich foods are also less calorie- diets high in soluble fiber compared to diets fiber. low in saturated fat and cholesterol alone. dense. This means you can eat more and feel • Opt for fresh fruit and vegetables for snacks fuller without consuming tons of calories. over processed foods.

How to increase fiber consumption Increasing fiber consumption may help men and women looking to lose weight.

While many products include added fiber, here are some of the best ways to increase the

Skin cancer a concern no matter the season Skin cancer can affect anyone, and overexposure to the sun, a key risk factor for skin cancer, can occur at any time of year.

Whether it is a hot, sultry day spent by the pool or a chilly day skiing the slopes, any exposure to the sun can result in skin damage that can increase a person’s risk for skin cancer. Plus, certain areas of the body are more susceptible than others.

How does skin cancer form?

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Adults and even children are susceptible to skin cancer when spending time outdoors.

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When DNA, the material that encodes genetic information in all cells of the body, is damaged and the body cannot repair that damage, a person’s risk for cancer increases. Damaged cells begin to grow and divide uncontrollably.

Damaged skin cells that divide and spread can cause skin cancer.

Because skin cancer tumors gen-

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erally form in the outer-most layer of the skin known as the epidermis, skin cancer may be more readily apparent and detectable than many other cancers in the early stages.

The American Academy of Dermatology says that 1 in 5 Americans will develop some form of skin cancer in their lifetime, while the Canadian Skin Cancer Foundation says that basal cell carcinoma, the most common form of skin cancer, affects 50,000 to 60,000 Canadians each year.

Where is skin cancer most likely to appear?

Skin cancer is most likely to appear on the areas of the body most exposed to the sun. These include the head, face, neck, arms, and legs. Those who are bald or balding can also have skin cancer continued on page 15

Tips for safer home medication storage and consumption

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Now is the time to clean out the medicine cabinet and brush up on medication consumption and storage tips.

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(BPT) - Allergy season is behind us and before flu season strikes, now is the time for consumers to clean out their medicine cabinet and brush up on medication consumption and storage tips. A recent data brief from the Centers for Disease Control and Prevention (CDC) reveals that almost 50 percent of Americans take at least one prescription drug per month.

“Many of us keep multiple medications, both prescription and over-the-counter, in the house,” says JeQuithia Sims, pharmacy technician program chair at Everest College in Arlington, Texas.

“But when stored or consumed incorrectly, medication can cause unexpected consequences.”

Everest campuses across the country offer a pharmacy technician program that prepares students, through technical and practical training, for careers in aiding licensed pharmacists. Here Sims shares 10 pharmaceutical best practices to keep in mind when organizing the medicine cabinet.

Storing your medication Store in a cool, dry place While it varies by manufacturer, this rule stands true for most medications. A few simple storage locations might be in a medicine cabinet, on top of a dresser or on a designated shelf. If you have children, be sure to keep medications up high and out of reach.

Keep away from light Light can degrade medication more quickly than intended, so it’s important you don’t store medication in light-fi lled places such as a windowsill or under powerful indoor lighting.

Honor the expiration date Whether it’s an over-the-counter or prescription medication, old pills degrade over time and can cause a bacteria imbalance when consumed. Most medication

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expires after one year, so use this as a rule of thumb when revisiting old pills. Before picking up that 500-count bottle of pain reliever because it’s a “better deal,” ask yourself if your household will consume all 500 pills that year. If not, it might be safer to grab the smaller bottle, and re-stock yearly.

Do not flush When disposing of expired, discolored, or unused prescription medications, be mindful of proper disposal practices by throwing medications away in the household trash or through your community’s medication disposal program. One of the easiest options is to take your unused or expired medications to your pharmacy and they will dispose of them properly.

Flushing or pouring medication down the drain harms the environment, as sewage systems are not capable of removing medicines from the water released into lakes, rivers and oceans.

USING YOUR MEDICATION Note the warning label Even if you’ve taken the medication for years, it’s always a good idea to look at the warning label for consumption directions, as your doctor may have altered your dosage or the manufacturer slightly changed the consumption directions.

Consuming liquids is not the same as consuming water If the label instructs you to consume with water, be careful not to consume with other beverages.

Juices and acidic drinks can cause the medication to break down faster than normal and hot drinks, such as coffee or tea, cause coated pills to melt too quickly in the stomach - not the intestine, where it’s intended to break down. This may produce side effects as harmful as stomach ulcers. continued on page 17

Medication continued

Your pharmacist is your friend Don’t forget that your pharmacist is an expert. When in doubt about the safety of consuming a medication for any given reason, your pharmacist is there to answer your questions.

Don’t lose the dropper

It might seem the same to use a household spoon with liquid medication, but the dropper or spoon provided by the pharmacy has been measured specifically for your intended dosTIPS FOR KIDS age. Research shows that silverware teaspoons Children are not small adults can vary between one to nine milliliters If a medication is intended for adult condependent upon design, making them an unresumption only, keep in mind that it cannot liable tool for medication.

simply be given to children in smaller doses.

Instead, seek a medication specifically designed for children.

Medicine is not candy Although referring to medicine as “candy” around children might be a tempting tactic to entice them to take it, parents should be wary of what might happen when they are not around. Children can easily get ahold of medication, consume large amounts and overdose.

Take a proactive approach to stress Few men and women can avoid stress. Be it a byproduct of a hectic work environment or the result of juggling a family and a career, stress is a part of life for many adults. In fact, according to a report from the American Psychological Association, 77 percent of adults experience physical symptoms of stress on a regular basis. The APA also notes that job pressure is the leading cause of stress, followed by money and health.

Many adults cannot envision a scenario in which they aren’t worrying about work or their finances, so it’s easy to assume there’s little they can do to reduce their stress levels. However, there are several proactive steps men and women can take on a daily basis to reduce their stress levels in an attempt to live a healthier life.

Give yourself a little more leeway Work-related stress is not always a byproduct of tension with coworkers or a seemingly endless workload. For some, work-related stress starts on their way into the office and continues on their trip home at the end of the day. Sitting in traffic when you have to be at the office by a given time is a significant stressor for many men and women. In a 2011 independent study commissioned by the navigation product manufacturer TomTom®, researchers studied the

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physiological stress markers in participants’ saliva and found that both men and women experienced an increase in stress when driving in traffic, even when they did not feel their stress levels increasing.

Men had a particularly stressful experience when sitting in traffic, as their stress levels increased by 60 percent when driving in traffic (female stress levels increased by 8.7 percent in the same circumstances).

To avoid such increases in stress, leave for work a little earlier in the morning. Giving yourself an extra 15 to 20 minutes to get to the office may help you respond more positively to rush-hour traffic, reducing your stress levels as you get ready for the day ahead.

Leaving early may even allow you to take an alternate route to work that might be slightly out of the way but feature fewer motorists.

Get out from behind your desk Sitting behind a desk all day makes it easier to work through lunch, which can make your workday seem that much longer and that much more stressful.

Take a more traditional lunch break, even if it’s only to the office kitchenette or cafeteria, so you can get away from your computer and think about something other than work for a little while.

After lunch, take periodic breaks to stretch and to take a quick

breather. Get a glass of water or a cup of tea or just walk around.

Such breaks can prevent existing stress from escalating further or can help you ward off workrelated stress entirely.

Make lifestyle changes Your lifestyle can either help you prevent stress or make stress that much worse. A healthy lifecontinued on page 21

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Dispelling 5 common myths about depression the general population. Although some people with depression do experience feelings of anger and sometimes have outbursts, the vast majority of people who have depression never harm anyone.

Myth - Depression is not a big deal

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The more you know about depression, the more likely you are able to help yourself or help others.

(BPT) - There are more than 19 million adults in the United States living with depression and many more people could be suffering but are unaware that what they are feeling is depression, according to the National Institute of Mental Health. This common and treatable illness affects people from all walks of life and can significantly interfere with a person’s behavior, physical health and interaction with others.

The more you know about depression, the more likely you are able to help yourself or help others. While great strides have been made in recent years to educate the public about depression and reduce stigma surrounding mental illness, many myths still remain about the condition.

Myth - Depression is a character flaw Depression is not a personal weakness and it should be viewed as any other medical condition.

People who are depressed are often unable to function as they had in the past and struggle to accomplish everyday tasks. This is not because they are lazy or

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If left untreated, depression can lead to extreme changes in your mood, thoughts, behaviors and bodily functions, and for some people suicidal thoughts. Almost everyone who dies by suicide has given some clue or warning. Do not ignore suicide threats. Statements like “You’ll be sorry when I’m dead,” or “I can’t see any way out” - no matter how casually or jokingly said - may indicate serious suicidal feelings.

being dramatic, it is because depression is a serious health issue Myth - Depression will go that should be recognized and away on its own treated as early as possible. Both Positive thinking is not enough young people and adults who are depressed need professional treat- to cure depression. Some people who have mild depression can ment. make lifestyle changes which can help alleviate symptoms of Myth - Only certain depression, but many others need types of people have to seek treatment to get better. A depression mental health professional can Depression affects all ages, help them learn more positive races and genders. Sometimes ways to think about themselves, people believe that only certain change behaviors, cope with types of people can be depressed. problems, or handle relationships.

Even people who seem to have A clinician can prescribe medicaeverything including a good job tions to help relieve the symptoms and healthy relationships can of depression. For many people, have depression. While statistics a combination of psychotherapy show that some groups, like older and medication is beneficial. Early adults, are more likely to sufdetection is extremely important fer from depression, anyone can because 80 percent of people who struggle with the illness. It can receive some form of treatment for run in families, but anyone, even depression can learn to manage those without a family history, the condition and live a fulfi lling can be depressed. life.

Myth - Depression causes Fact - Help is available people to be violent People who are depressed are no more likely to be violent or commit crimes than members of

If you think you or someone you know might be struggling with depression, you are encouraged to visit HelpYourselfHelpOthers.org

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and take an online mental health screening. Online screenings are free, anonymous and available 24/7.

Although the screenings are not diagnostic, they do provide valuable insight helping to identify if you are exhibiting symptoms associated with depression and connecting you with appropriate treatment resources.

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 800-273-TALK (800-273-8255).

The Diagnostic Power of Sound Written by Buffy Stiles RT(R) RDMS RVT

Ultrasound Specialist at Picture Perfect Ultrasound with over 20+ years dedicated Ultrasound imaging experience

If you asked most consumers what ultrasound is used for they may reference pregnancy or looking at babies in the womb. While ultrasound is a vital part in the diagnostic evaluation of an expectant woman and unborn fetus, this technology’s applications are numerous. In today’s healthcare setting, ultrasound is utilized everyday on men, women and children to evaluate health as well as help diagnose conditions when illness is suspected.

Ultrasound, by definition, is an acoustic energy in the form of a sound wave. The word ultra means “beyond”- Ultrasound operates at a frequency above or beyond the range of human hearing, rendering it inaudible to the human ear. In the healthcare setting, ultrasound has been a viable diagnostic imaging tool for over 30 years. With continual advancements with this technology, the applications are growing in leaps and bounds. Ultrasound is a diagnostic imaging tool that is non-invasive, painless and is used every day on patients because of the low cost, accuracy and accessibility. Ultrasound does not emit radiation, unlike CAT scan or X-rays.

You lay comfortably on an open exam table, eliminating claustrophobia. The technologist will use a coupling gel on your skin surface being evaluated. This gel serves as a contact between your skin and the hand held instrument, called a transducer, the technologist will use to image with. Transducers come in all shapes and sizes; some used internally (endocavity) while most are used externally on the skin surface. A transducer is a crucial part of the ultrasound machine because it sends out sound waves and receives back those sound waves, which the machine converts into visual images of the anatomy being evaluated. In most instances, you will be able to “see” the images of their anatomy while it is happening on a viewing monitor.

What is ultrasound used for? Safe for all ages and nonspecific to gender, ultrasound is used to evaluate liver, kidneys, gallbladder, spleen, pancreas, thyroid as well as soft

tissues. If circulation is a concern, ultrasound commonly receive kidney and bladder ultrahas proven to be valuable in looking at veins sound when frequent bedwetting, incontinence and arteries throughout the body. Arteries or recurrent urinary infections occur. in the neck, arms and legs can all be evaluDiagnostic imaging tools, such as ultraated for plaque or stenosis. Ruling out blood sound, are leading the way to the future. clots or checking varicose veins are common Consumers and health practitioners alike are reasons for getting a vein ultrasound. Aslooking for alternate ways to evaluate health sessing the heart and blood flow to organs in and diagnose as needed. The many applicathe abdomen are also commonly performed tions for men, women and children coupled ultrasounds. with the low cost, non-invasiveness and lack Specifically for men, ultrasound is vital to of harmful side of effects make ultrasound the assessing the testicles and prostate, especially leading choice in diagnostic imaging. Naturowhen the PSA (Prostate Specific Antigen) pathic, holistic, alternative medicines as well blood test is abnormal. Non-pregnant patients as mainstream medical specialists agree that are often referred to evaluate the uterus and if diagnostic testing is warranted on a patient, ovaries, evaluating for fibroids or ovarian ultrasound is a quality choice. In most cases, cysts. Breast ultrasound is commonly used ultrasound is the gold standard and logical in patients under age 40 for specific regions choice for patients of all ages, no matter what of interest but not for overall breast screengender. ing. For ladies over age 40, ultrasound is frequently used with mammography, if a palpable lump or abnormality is suspected.

Ultrasound is essential to the diagnostic evaluation of • Retirement a pregnant woman and the health of Apartments her unborn baby; for instance, congenital • Personalized conditions such as Assisted Living Down syndrome can be diagnosed early Services 2351 Solomon Ave. • Billings, MT 59102 then appropriate care (406) 652-4886 of mother and baby • Pearl Garden – www.westparksenior.com can begin. Ultrasound a 12-apartment of the infant brain can be performed memory care at the soft spot or fonwing tanel on the skull to evaluate for hydrocephalus or water on the brain. Children

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Create a peaceful and healthy sleeping environment

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It is easy to overlook the benefits of a good night’s sleep. Without adequate rest a person can be left feeling irritable, distracted and sluggish. Those who repeatedly do not get enough sleep could be facing other health problems as well. For some, the secret to getting a better sleep is modifying their sleeping environment.

Information from the Centers for Disease Control and Prevention indicate insufficient sleep has become a public health epidemic. An estimated 50 to 70 million American adults report having a sleep or wakefulness disorder, and women are twice as likely to suffer from insomnia than men. Plus, one in three people suffer from some form of insomnia during their lifetime, offers the organization Better Sleep for Life.

In some instances, lack of sleep or too much sleep might be indicative of a medical condition, but it could just be related to poor sleep hygiene and an uncomfortable sleeping environment. Making

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some changes could make all the difference.

Start with your mattress

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You will spend between seven to 10 hours in your bed each and every night. An uncomfortable mattress could be an underlying factor in your sleep problems. If your bed is several years old, it could pay to invest in a new mattress and box spring. If you sleep with your spouse and your bed is too small, upgrading to a larger size could provide the room you need. If you cannot afford a new mattress, buying a mattress topper in memory foam could mask any problems for the time being.

Balance light and dark In order to trigger sleepiness at the right time, it is essential to get at least 30 minutes of natural sunlight each day during the morning or afternoon. In the evening, begin dimming the lights to trigger the body’s natural internal clock and stimulate the production of the natural hormone melatonin, which relaxes the body into sleep. Keep a dark bedroom -- invest in blackout curtains if need be.

Consider white noise Trust doesn’t tell you it’s going to do something and then hand it off to someone else. You know exactly where Trust is when you need it. visit your local branch or firstinterstate.com

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Giving your brain a noise to associate with relaxing sleep can help you drift off more quickly. White noise can also mask other sounds that may distract sleep, such as traffic outside or a partner snoring.

White noise can come from a special alarm clock that provides soothing sounds of rain or waves. Many people find running a fan in the bedroom provides the right amount of noise and also helps circulate air throughout the room. continued on page 21

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Sleep continued

Avoid distractions

Make the bedroom a cozy retreat Your bedroom should be a relaxing sanctuary. Fill it with cozy cushions and pillows.

Make sure the room is clean and clutter-free.

Relaxing blues and purples can be soothing colors to use in decorating, and the use of lavender essential oil could also add to the relaxing environment.

Stress continued from page 17 style includes regular exercise and a nutritious diet, including one wherein caffeine and sugar consumption is kept to a minimum. The APA notes that poor nutrition is the fifthleading cause of stress in the United States, so emphasizing a healthy diet may prevent the onset of stress or reduce its symptoms. Too much caffeine and sugar can cause mood and energy swings and negatively affect your ability to get a good night’s sleep. A bad night’s sleep will only exacerbate stressful situations

When setting up your bedroom, do not fill it with electronics, such as a computer, tablet and television. These devices could contribute to wakefulness and actually impede your ability to get the rest you need.

awake, so drop the temperature down at night and dress lightly for bed. You want to feel comfortable and not too hot or cold.

If sleeplessness becomes a chronic problem and is not alleviated by changing the sleeping environment, visit a doctor.

Keep cool A cool bedroom is key to drifting off to sleep. Sweating and overheating can keep you throughout the day.

In addition to eating a healthy diet and finding time to exercise, which may prevent stress or reduce its effects, you should limit your alcohol consumption and stop smoking if you are a smoker. Excessive alcohol consumption and tobacco or drug use are negative ways to cope with stress and will only make stress worse, while avoiding such triggers may help you prevent the onset of stress.

Reduce your workload The APA study found that 31 percent of

adults admitted to having difficulty managing their responsibilities at the office and at home.

It’s difficult to reduce your workload at home, so consider doing so at the office. This can be as simple as delegating responsibilities more often or as significant as working less. Stress is associated with a host of ailments, including heart disease and a weakened immune system, so even those adults who feel they cannot budge with regard to their professional responsibilities might need to do so if workrelated stress has gotten out of hand, as the consequences of ignoring stress could prove dire.

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Tips to help your baby sleep through the night (BPT) - If you’re a new parent, the idea of your baby, preparing him or her for sleep. a full night’s sleep probably seems like just a • A little white noise never hurts. Eighteen dream. Thousands of mothers across the counpercent of surveyed parents recommended try are in the same situation. Pampers recently sound machines. Remember that your baby sponsored a survey of more than 1,000 moms was used to a lot of noise inside the womb with little ones ages 3 and younger to find and may have trouble falling asleep in total what they’re doing so baby rests comfortably, silence. Put your baby to bed drowsy but even at 3 a.m., and mom and dad can enjoy awake; this will help him or her associate that elusive full night’s sleep. Here are some of bed with sleep and the sound machine will their responses. provide the necessary white noise he or she • Check the diaper. Surveyed moms said the is used to. leading technique to keep a baby sleeping at • Make reading a routine. Your baby will fall 3 a.m. is to wrap him or her in a dry diaper asleep more quickly at night if you establish at bed time. a routine that he or she can associate with • Take a moment to cuddle. Spending time sleep. Reading to your child can be a great holding your child not only helps you develaddition to your routine. Read in a soft voice op a strong bond, it lets your baby unwind to soothe your little one and read for a set after a busy day of new sensations. Make period of time, keeping the routine in place sure cuddling time is soothing and relaxes each night.

• Incorporate low-key music. If your baby does wake up in the middle of the night, engaging him or her in low-key activities will help baby return to sleep faster. Dim the lights while you tend to your baby, speak quietly and move slowly. If baby requires your presence for a longer period of time such as for feeding - soft, smooth music is a great choice. It offers the low-key noise baby wants and is more entertaining for mom.

Helping your baby get a good night’s sleep is crucial for their development and your health as well. Remember that your little one is flooded with new stimulation every day and the best thing you can do to encourage sleep is establish a soothing, comfortable routine for your child.

The early warning signs of Alzheimer’s disease Alzheimer’s disease is the most common form of dementia. It is a progressive, degenerative disorder that attacks neurons and essentially robs people of their memory and language skills. Although there is no cure for Alzheimer’s, there are therapies that can slow its neurological impact. Recognizing the early warning signs of Alzheimer’s can encourage people to begin treatments that can stave off some of the more debilitating symptoms of this disease.

Though it’s most common among the elderly, Alzheimer’s is not a normal part of aging. The Mayo Clinic says that the reasons behind the inception and progression of Alzheimer’s disease are largely unknown. It is believed damage starts a decade or more before problems become evident. Abnormal deposits of proteins begin to form the amyloid plaques and tau tangles throughout the brain, and these formations are the hallmarks of the disease. Once-healthy neurons gradually begin to lose their efficiency and ability to function and communicate with one another.

As more neurons die, entire areas of the brain shrink. The hippocampus, which is the area of the brain essential in forming memories, may soon become compromised.

Millions of people in North America are estimated to have Alzheimer’s disease and many

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others will be diagnosed. The following are the most common early signs and symptoms of the disease.

• Memory loss: According to the Alzheimer’s Organization, early memory loss can include forgetting important dates or repeatedly asking for the same information. Forgetting recently learned information and having to rely increasingly on memory aids is another potential indicator of Alzheimer’s.

• Declining cognition: Impaired reasoning or judgment, trouble finding the right words and visual and spatial issues also may be early indicators of Alzheimer’s.

• Difficulty completing familiar tasks: Those with Alzheimer’s sometimes have trouble driving to a familiar location or remembering the rules to a favorite game. People who were once good with numbers may now have difficulty balancing their checkbooks, while those who love to cook may have trouble following recipes.

• Time confusion: Another indicator of Alzheimer’s disease is losing track of time. One may have trouble understanding something that isn’t happening in the present. Alzheimer’s sufferers often forget where they are and how they got there.

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• Misplacing items: Everyone loses something at a point in time, but those with Alzheimer’s may put items in unusual places. They may sometimes accuse others of stealing when they cannot retrace their steps and find items.

• Decreased judgment: Decision-making abilities may be compromised. A person with Alzheimer’s may take unnecessary risks or give away sums of money.

• Mood changes: People with Alzheimer’s may suffer from confusion, suspicious feelings, depression and anxiety. A person may upset easily or become anxious outside of his or her comfort zones.

Age and family history of Alzheimer’s disease are the biggest risk factors. The likelihood of developing Alzheimer’s doubles about every five years after age 65, says the Alzheimer’s Organization. In addition, those with a parent, child or sibling who have developed Alzheimer’s are more likely to develop the disease than people with no such family history.

A physical and neurological exam, which may include blood tests and brain imaging, will be used to diagnose Alzheimer’s disease.

Individuals can learn more by making appointments with their doctors.

Simple facts about pregnancy

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and stretch marks can form on the breast skin.

The feet also can grow while pregnant. Ligaments loosen to help with the birthing process, Super smell and this can affect ligaments in other areas of the body, includIn addition to physical body ing the feet. Feet may flatten changes, pregnant women may notice that their sense of smell has and stretch out on the sides from added weight, and the resulting improved. Scientists hypothesize that this improved sense of smell loosening of ligaments can cause helps keep pregnant women from a change in shoe size. eating small levels of toxins that may not be dangerous to an adult but could potentially prove harmful to a small child. Whether this is true or not, strong odors can complicate feelings of sickness.

Here are some additional This is something to anticipate facts and tidbits culled from while pregnant. the millions of births that take place every year.

Morning sickness • Tuesday is the most popular Not every pregnant woman will day for babies to arrive. experience morning sickness, and It could be in part to the the name is a bit of a misnomer. growing number of planned According to PregnancyStatiscesarean deliveries. Saturtics.org, about 75 percent of all days are the slowest day for pregnant women experience the births. unfortunate side effect of morning sickness during the beginning of • More babies are born durtheir pregnancy. These feelings of ing the warm months than nausea and uneasiness may not be in the winter. reserved for the morning, either.

• In 1970, the average age They can occur at any time of the for a fi rst-time mother in day. In many cases, as the pregthe United States was 21. nancy progresses and hormones By 2012, that figure had level out, symptoms of morning changed to between 25 and sickness abate.

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Growing feet and more • Baby boys tend to outnumber baby girls. This number A woman’s stomach is not the has remained steady for the only thing that will grow during last 60 years. her pregnancy. Pregnant women often witness their bra and shoe • The average woman’s uterus sizes increase during a pregnancy. expands up to five hundred Hormones ready the breasts for times its normal size during lactation, causing swelling of the pregnancy. mammary glands and increased blood flow to the breasts. The Pregnancy can be a miracle medical advisory board of Babyand scary at the same time.

Center.com says it’s common to go Getting the facts helps reduce up one or two cup sizes, especially some of the fear and anxiety when a woman is pregnant for the many expecting women feel fi rst time. The breasts also may during a pregnancy. feel itchy as the skin stretches, up in routine prenatal exams, it is important to stay current with dental appointments during a pregnancy.

Other littleknown pregnancy facts

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What to expect during a pregnancy is a mystery to many women, particularly those who are pregnant for the first time.

Women who have just learned they’re pregnant are about to embark on a whirlwind adventure. When that adventure culminates with the birth of a child, the family dynamic as you know it will change dramatically.

Women who are entering into pregnancy for the fi rst time typically have a long list of questions concerning what to expect in the weeks and months ahead. Fear, anxiety and uncertainty about which pains and pangs are normal and which are not are common. Pregnancy is a learning experience for the mother and all involved, and many falsehoods surround pregnancy and add to feelings of insecurity. Debunking some of the more common myths surrounding pregnancy can provide some peace of mind to expecting mothers and their families.

Skip that coffee?

Many of the prevailing pregnancy myths tell pregnant women what they shouldn’t do in order to keep their fetuses healthy and safe. It is well known that alcohol and cigarette smoke can have adverse effects on a developing baby, but what about that morning cup of joe?

It is always good to err on the side of caution, but assuming everything is toxic to the child may have you walking on eggshells. Many doctors agree that drinking less than 200 milligrams of caffeine per day is safe and will not risk a preterm birth or contribute to low fetal birth weight.

Pay attention to teeth Health exams and blood tests are routine for pregnant women, and new mothers may think they have everything covered with regard to their health. But one thing pregnant women seldom give much thought is dental health. During pregnancy, increased acidity in the mouth increases the risk of tooth decay. So can vomiting associated with morning sickness. The Mayo Clinic advises that high levels of progesterone and estrogen can affect the bones and ligaments that support the teeth, causing teeth to loosen. Hormonal changes can also lead to bleeding gums and gingivitis. Although dental health may not come

2014 Regional Medical Directory

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