Your Health July 2018

Your

Health Daily Journal media

JULY 2018 | In this issue:

SWIMMER’S ITCH: TREATING, PREVENTING SUMMER RASH Food safety tips for a safe summer The dangers of summer heat

PAGE 2 | FERGUSFALLSJOURNAL.COM

Dangers of summer heat When the weather is blistering hot, Dr. David Claypool, an emergency medicine physician, says you need to listen to your body.

“What starts out as heat cramps can quickly move to heat exhaustion and then heatstroke when the body loses the ability to regulate and cool itself down,” Claypool said. He adds a reminder that people should begin the day hydrated and keep hydrating.

Claypool says if you feel hot but develop chills, that’s a clear sign you need to slow down and seek cool air or water.

Heatstroke Heatstroke occurs when your body temperature rises rapidly and you're unable to cool down. It can be life-threatening, damaging your brain and other vital organs. It may be caused by strenuous activity in the heat or being in a hot place for too long. Heatstroke can occur without any previous heat-related condition, such as heat exhaustion.

Heatstroke signs and symptoms include: • Fever of 104 F (40 C) or greater.

• Changes in mental status or behavior, such as confusion, agitation or slurred speech.

• Hot, dry skin or heavy sweating.

• Nausea and vomiting.

• Flushed skin.

• Rapid pulse.

• Rapid breathing.

• Headache.

• Fainting may be the first sign in elderly adults.

• Seek emergency medical care.

If you suspect heatstroke, call 911. Then immediately move the person out of the heat, remove excess clothing, and cool him or her by whatever means available.

Heat exhaustion and heatstroke are two of the most common ailments when summer’s temperatures rise.

Cooling methods include: • Placing in a tub of cool water or a cool shower.

• Spraying with a garden hose.

• Sponging with cool water.

• Fanning while misting with cool water.

• Placing ice packs or cool wet towels on the neck, armpits and groin.

• Covering with cool, damp sheets.

Let the person drink cool water to rehydrate, if he or she is able. Don't give sugary, caffeinated or alcoholic beverages to a person with heatstroke. Also avoid cold drinks, as these can cause stomach cramps.

Begin CPR if the person loses consciousness and shows no signs of circulation, such as breathing, coughing or movement.

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Food safety tips to keep you safe this summer Foodborne illness peaks in the summer, because bacteria that are present throughout the environment and in the bodies of people and animals grow faster in the warm summer months. As outdoor activities increase, more people cook outside and without the safety controls of a kitchen.

Dr. Steven Perkins, a Mayo Clinic Health System family physician, recommends these simple steps to avoid foodborne illness:

Wash hands often Wash your hands frequently, especially when preparing food. Be sure to wash your hands after going to the bathroom, changing a diaper or handling pets.

Don’t cross-contaminate When packing a cooler, securely wrap raw meats, and keep them away from other foods. Be sure to thoroughly wash plates, containers and utensils that once contained raw meats or poultry before using them for cooked food.

Cook to safe temperatures Take your food thermometer with you. It’s better to be safe than sorry. Cook meat and poultry completely at the picnic site. Partial cooking of food ahead of time allows bacteria to survive and multiply to the point that subsequent cooking cannot destroy them.

Foodborne illness peaks in the summer. Use these tips to prevent illness during the summer months.

Refrigerate promptly Be sure you’re keeping refrigerated perishable food, such as luncheon meats, cooked meats, chicken and salads, chilled at all times. Consider putting canned beverages in another cooler, because the cooler probably will be opened frequently. If you have leftovers, do not leave them out for more than two hours. And if you have any

doubts, throw them out.

“If you suspect you have a foodborne illness and are experiencing diarrhea, high fever, blood in stools, prolonged vomiting, signs of shock, severe dehydration or confusion, you should see a doctor right away,” Perkins said. “Most foodborne illness can be treated by increasing fluid intake to replace lost fluids or electrolytes.”

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PAGE 4 | FERGUSFALLSJOURNAL.COM

Sunburns: After the redness develops If you have been sunburned, you will experience the signs and symptoms of sunburn within a few hours of exposure to the sun. The affected skin will be painful, red and swollen. In some cases it might blister.

You may also experience a headache, fever and nausea.

If you have a sunburn For sunburn relief, take these steps: •Cool the skin. Apply to the affected skin a clean towel dampened with cool tap water.

Or take a cool bath.

• Apply a moisturizer, lotion or gel. An aloe vera lotion or gel or calamine lotion may be soothing.

• Drink water to prevent dehydration.

• Don't break small blisters (no bigger than your little fingernail). If blisters break, gently clean the area with mild soap and water, apply an antibiotic ointment, and cover the wound with a nonstick gauze bandage. If a rash develops, stop using the ointment and seek medical care.

• Take a pain reliever such as ibuprofen (Advil, Motrin IB, others) to help with the discomfort and swelling of sunburn. Some sunburn relief medications are gels.

• Avoid more sun exposure while your skin heals from the sunburn.

• Apply an over-the-counter hydrocortisone cream if your sunburn is severe.

If over exposure to the sun has left you in pain, red and swollen, use these few tips to help ease discomfort on your way to recovery.

•Seek medical care for large blisters, such as those that cover the back. Large blisters are best removed because they rarely remain intact on their own. Also seek

medical help if you experience worsening pain, headache, confusion, nausea, fever, chills or signs of infection, such as blisters with pus or red streaks.

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Sunless tanning: What you need to know Don't want to expose your skin to the sun's damaging rays, but still want that sun-kissed glow?

Consider sunless tanning products. Understand how these products work — and the importance of applying them carefully and correctly.

How do sunless tanning products work?

Sunless tanning products, also called self-tanners, can give your skin a tanned look without exposing it to harmful ultraviolet (UV) rays. Sunless tanning products are commonly sold as lotions, creams and sprays you apply to your skin.

Professional spray-on tanning is also available.

The active ingredient in most sunless tanning products is the color additive, dihydroxyacetone (DHA). When applied, dihydroxyacetone reacts with dead cells on the skin's surface to temporarily darken the skin and simulate a tan. The coloring typically wears off after a few days.

Most sunless tanning products don't contain sunscreen. If a product contains sunscreen, it will only be effective for a couple of hours. The color produced by the sunless tanning product won't protect your skin from UV rays. If you spend time outdoors, sunscreen remains essential.

What about sunless tanning pills?

Sunless tanning pills, which typically contain the color additive canthaxanthin, aren't safe.

When taken in large amounts, canthaxanthin can turn your skin orange or brown and

cause hives, liver damage and impaired vision.

Is sunless tanning safe?

Topical sunless tanning products are generally considered safe alternatives to sunbathing, as long as they're used as directed.

The Food and Drug Administration (FDA) has approved dihydroxyacetone for external application to the skin. However, the FDA states that DHA shouldn't be inhaled or applied to areas covered by mucous membranes, including the lips, nose or areas around the eyes because the risks of doing so are unknown.

If you're using a sunless tanning product at home, follow the directions on the label carefully and don't get the product in your eyes, nose or mouth. If you're going to a sunless tanning (spray tanning) booth, ask how your eyes, lips, nose and ears will be protected and how you will be protected from inhaling the tanning spray. Options for protecting yourself while applying or having a sunless tanning spray applied include wearing goggles, nose plugs or a nose filter and lip balm.

What's the best way to apply a sunless tanning lotion?

• Exfoliate first. Before applying a sunless tanning product exfoliate your skin with a washcloth. This will help remove excess dead skin cells. Spend a little extra time exfoliating areas with thick skin, such as your knees, elbows and ankles. Dry your skin.

• Apply in sections. Massage

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Not all sunless tanning products are alike. With the information below, you can better inform yourself before looking for the faux glow. the product into your skin in a circular motion. Apply the tanner to your body in sections, such as your arms, legs and torso. Wash your hands with soap and water after each section to avoid discoloring your palms. Lightly extend the product from your ankles to your feet and from your wrists to your hands.

• Wipe joint areas. Knees, elbows and ankles tend to absorb more of sunless tanning products. To dilute the tanning effect in these areas, gently rub them with a damp towel.

• Take time to dry. Wait at least 10 minutes before getting dressed. Wear loose clothing and try to avoid sweating.

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Back-to-school checklist for families with asthma (StatePoint) For the more than 6 million children in the U.S. living with asthma, gearing up for another school year involves much more than picking out a new pencil case and backpack. Accounting for nearly 14 million lost school days each year, asthma is one of the main illness-related reasons that students miss school.

With better asthma management, children are able to feel healthy, safe and ready to learn!

For a full toolkit and free resources from the American Lung Association, visit Lung.org/asthma-inschools.

To get ready for a successful school year, the American Lung Association recommends this back-to-school checklist for families with asthma: 1. Schedule a checkup with your child’s physician. Use your yearly checkup to create or revise your Asthma Action Plan, check the effectiveness of asthma medication and dosage, get prescriptions for backup medications for your school nurse and coaches, as well as ensure your child knows how to use his or her asthma medicines.

2. Assess your child’s readiness

According to nearly 14 million lost school days each year, asthma is one of the main illness-related reasons that students miss school. The American Lung Association recommends this article’s back-to-school list to prepare students with asthma for the next school year. to self-carry medication. All 50 states have laws that allow children to self-carry and use their

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asthma inhalers at school. Use the American Lung Association’s Self-Carry Assessment Tool to see if your child is ready to carry and self-administer asthma medication. The assessment tool will help parents create a plan for children not yet ready to self-administer medication, as well as help children learn the necessary skills throughout the school year.

3. Set up an appointment with your school nurse. Remember to bring in your updated Asthma Action Plan and back-up medications. Take this time to sign all required medical forms, discuss whether your child can self-carry their own quick-relief inhaler, as well as deliver any special instructions when it comes to physical activities and asthma emergencies that may happen during the school year.

4. How’s the air in there? Take a moment to talk to your child’s teacher about asthma, what trig-

gers might bring on an attack and what to do in an emergency -- whether that be to head directly to the school nurse or use his or her quick-relief inhaler. This may also be a great time to talk about the air quality in the classroom. Mold, fragrances and idling buses can all be asthma triggers for your child.

5. Introduce yourself to the PE teacher and any coaches. Kids with asthma shouldn’t have to miss out on playing outside or participating in gym class. You can quickly put teachers’ and coaches’ minds at ease by talking about exercise-induced asthma, ways to manage symptoms and what to do in an emergency.

6. Have fun! While it may take some proactive organizing at the start of the school year, you are helping to ensure that your child is safe and active throughout the school day. Take a deep breath and enjoy a healthy 2018-19 school year!

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Let’s Start Walking Walking is a great form of exercise, and here are some of the benefits: •It is the easiest form of exercise and you need no equipment.

•Beginning walking can help to decrease weight that in turn lowers risks for many health related diseases, such as diabetes, heart disease and stroke.

• Walking approximately a mile a day has been shown to increase ones whole-body bone density preventing osteoporosis especially in the lower extremities.

• Walking improves overall heart strength, increases your overall stamina for more endurance with activities later in the day.

• Walking and exercise have been related to improving sleep.

It is recommended to walk at a speed of 3-4 miles per hour, therefore it may take approximately 15 minutes for 1 mile.

Many times a question is how many blocks equal 1 mile, and on average the answer would be 10 street blocks or 20 avenues blocks, as they are sometimes shorter, however, this varies with the sizes of the blocks. Therefore it is a better plan to go for time and such as 15, 20 or 30 minutes.

If you are just starting out it is advised that if walking outside make a plan for a short walk one way, returning to home halfway of your planned walk, (in case you are tired and need to rest or plan somewhere that there may be a bench halfway), and then continue your walk around a different block or direction if you still feel good.

Two other points include to make sure and have a good supportive cushioned shoe for walking, and make sure to hydrate yourself with water before, during and especially after your walk.

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There are multiple benefits to walking including exercise, weight loss, increasing bone density, strength and stamina, and improving sleep.

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PAGE 8 | FERGUSFALLSJOURNAL.COM

What is swimmer’s itch?

Identifying, treating, preventing a summer rash

By Sarah Huffman sarah.huffman@fergusfallsjournal.com

When most people swim, they come prepared with sunscreen to protect themselves from the sun’s rays as well as bug spray to fight off mosquitoes. They also know to look out for sharp objects along the shore and to be careful not to swim out too far. However, one thing that they may not know about is to take precautions against swimmer’s itch.

For many people, Swimmer’s Itch is something they have never experienced, but for those that have, they will never forget it. Swimmer’s itch, also known as cercarial dermatitis, is the result of a microscopic parasite that burrows into the skin of swimmers and causes a skin rash. The skin rash often looks like a bunch of small red pimples or blisters and can be intensely itchy.

While this is uncomfortable, it is not dangerous and typically will go away on its own after a week or more.

According to the Centers for Disease Control and Prevention,

FERGUSFALLSJOURNAL.COM | PAGE 9 swimmers may notice they have swimmer’s Itch just minutes or days after swimming in fresh or salt water and they feel a tingling, burning or itching sensation,” Lake Region Healthcare pediatrician Angela Folstad said. “As for treatment, “The reaction is allergic, rather than infection in origin, so antibiotics are not needed. The treatment goal is to make the affected individual more comfortable, use of corticosteroid creams and oral antihistamines may help to reduce the discomfort. Rashes that itch tend to be more ‘itchy’ when warm, so keeping the skin cool is important, compresses help a great deal. A number of parents have also mentioned that Epsom salt, baking soda and colloidal oatmeal baths have helped their children, as well as baking soda paste - it is certainly worth considering.”

The parasite that causes Swimmer’s Itch is called cercariae and it relies on snails, birds and other small mammals to live. At certain points in its development, the larvae are in the open water searching for a host and this is when they sometimes attach themselves to people.

However, people are not suitable hosts like geese, ducks or swans would be, so they soon die, but not before leaving the affected persons with swimmer’s itch.

“It is a fairly common summertime skin condition, affecting those that spend time in freshwater lakes and ponds...if your lake has many birds, you are at higher risk for the condition. You are also at higher risk, if you remain in the shallow water and tend to air dry after swimming…,” Folstad said.

To tell if a lake is or will be affected is difficult as it relies on a variety of factors. In addition, it is impossible to tell how long an affected lake will stay in that condition, though it is typically not too long and may clear up within a season.

In order to reduce the risk for swimmer’s Itch, Centers for Disease Control and Prevention encourages swimmers to avoid lakes with known cases of recent swimmer’s itch. Also, as soon as swimmers get out of the water they should towel off and take a shower. Another tip they offer is to stay away from lakes with a lot of snails on shore.

“Swimmer’s itch can certainly put a damper on fun summer activities, but does not tend to be worrisome. The concern would be a secondary

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Swimmer’s Itch can be a nuisance to summer fun. Always make sure to towel off and shower after swimming in lakes and rivers. infection which can occur if scratching opens the skin and subsequently becomes infected with bacteria. Signs and symptoms would be pain, rather than itching, discharge, inflammation and fever, at which time a medical appointment is appropriate,” Folstad said.

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What you should know about Rocky Mountain spotted fever A Wisconsin woman has died of Rocky Mountain spotted fever in what Wisconsin health officials have confirmed is the first documented death from the infection in the state.

“Rocky Mountain spotted fever is an uncommon but very serious tick-borne illness that can lead to death if untreated,” Dr. Bobbi Pritt, a parasitic diseases expert at Mayo Clinic said. “It is very rare in Wisconsin. Only 69 cases have been reported from this state during the past five years. And most, if not all, of these infections were likely acquired outside of Wisconsin. However, we know that locally acquired cases have been reported from Wisconsin’s neighboring state, Minnesota. So it’s not a surprise that a patient exposed to ticks in Wisconsin got this potentially deadly infection.”

Rocky Mountain spotted fever is caused by infection with a bacterium called Rickettsia rickettsii. In the Upper Midwest, it is transmitted through the bite of a Dermacentor variabilis tick, also known as a "wood’ tick" or "American dog tick." However, other ticks in the U.S. also can transmit this pathogen. Pritt says it is most commonly reported from patients in the southeastern and south central U.S. Missouri, Arkansas, North Carolina, Tennessee, and Oklahoma have the most cases each year.

Those infected with the tick-borne disease may begin to show symptoms three to 12 days after being infected.

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• Chills.

• Severe headache.

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• Nausea and vomiting.

• Confusion or other neurological changes.

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A rash caused by Rocky Mountain spotted fever. The infectious bacteria is typically spread by wood ticks in the Midwest. PROVIDED. "Rocky Mountain spotted fever is another tick-borne disease that residents of Wisconsin and other states need to worry about. And therefore it’s essential to take steps to avoid all tick bites. People often think that 'black-legged ticks' – also known as 'deer ticks' are the only ones to worry about, but the dog ticks are also important to avoid," Pritt said.

To prevent tick bites, you should: • Avoid areas where ticks and mosquitoes live.

• Use repellent with 30 percent or more of DEET. • Wear clothing to cover arms and legs.

• Tuck pants into socks while hiking.

• Perform a thorough tick check after being outdoors.

"With ticks, some of it is knowing where their habitat is — staying out of low-growing vegetation, bushes, shrubs — so something as simple as staying to the middle of a path," Pritt said. "If you’re going on a hike, stay in the middle. Avoid the grasses — the tall grasses on either side."

Pritt also recommends using insect repellent. "Wearing permethrin on your clothing and spraying a repellent on your skin, especially if you’re going out into the deep woods and you really think you’re going to be exposed, that’s going to be your maximum prevention method."

Why summer increases your risk of kidney stones Most people know that when the weather heats up, drinking plenty of water can prevent dehydration.

But you may not know that consuming lots of liquid in the heat of summer may also reduce your risk of developing kidney stones.

Dr. Ivan Porter II, a Mayo Clinic nephrologist, says more patients go to the doctor with painful kidney stones in summer than during any other time of the year. He has tips to help you prevent getting kidney stones this season.

When the temperatures rise, so does your risk of developing kidney stones, especially if you’ve had one before.

“When thinking about what a kidney stone is, you have to think about what a kidney does, and the kidney filters out toxins, takes out things that shouldn’t be there. And

the way it gets rid of it is by putting it into the urine.”

Porter says if you get dehydrated, your urine can become concentrated to the point where stones form.

“There are things you can do to try to combat that.”

Dr. Porter has summer time tips to help you prevent kidney stones.

First, drink plenty of fluids: eight to 10 glasses a day.

“The other thing you can do is try to avoid some of the foods that tend to show up around summertime.”

Stay away from overly salty, processed foods and meats.

“That increased sodium will increase your risk of kidney stones.”

And if you’ve ever had a kidney stone, you know how painful they can be.

FERGUSFALLSJOURNAL.COM | PAGE 11

Permethrin: Pesticide aids in tick prevention There's new evidence to support a decades-old strategy for preventing tick bites that lead to all sorts of nasty diseases, including Lyme disease and Rocky Mountain spotted fever.

The remedy involves spraying your clothing with permethrin — a pesticide that's chemically similar to extracts of the flowering chrysanthemum plant.

Back in the 1980s, the U.S. military conducted several tests on a synthetic version of the plant-derived pesticide. When it was shown to be effective in preventing the bites of insects and ticks, the military began to purchase uniforms for soldiers that are factory-treated with permethrin.

Now, many outdoor enthusiasts are converts, too.

"I love being outside — whether it's hiking, biking or climbing," says Danny Quinteros, who lives in Washington, D.C., and works at REI. Quinteros is planning a hike of the Appalachian Trail, which cuts through many tick-infested areas. And because of the rise in tick-borne diseases, permethrin has become part of his protection routine.

He takes a can and sprays it on a T-shirt.

"You want to stay back about 6 to 8 inches away from the clothing," he says. He applies an even coat, then flips the T-shirt over to spray the back.

In addition to treating his clothes with permethrin, Quinteros wears a DEET-based repellent to cover his exposed skin when he's outdoors. Together, he says, these two strategies are very effective.

There's scientific evidence to back up Quinteros' observations.

"There are several studies that provide pretty compelling evidence that wearing permethrin-treated clothing has the potential to reduce tick bites," says Neeta Connally, a medical entomologist who oversees the Tickborne Disease Prevention Lab at Western Connecticut State University.

The most recent study, published in May in the Journal of Medical Entomology, comes from researchers at the Centers for Disease Control and Prevention.

Researchers purchased 10 different types of permethrin-treated clothing, including T-shirts, socks and pants from Insect Shield, a purveyor of pretreated clothing. (Bugsaway is another brand of permethrin-treated clothing, and Cabela's sells socks treated with the insecticide.)

The scientists let loose different species of ticks on a bit of treated cloth from each sample — a piece of cloth the size of a playing card.

"We wanted to see how long [the ticks would] have to be in contact with the clothing to be incapacitated and die," says Lars Eisen, a research entomologist for the CDC

Permethrin, a pesticide similar to extracts of flowering chrysanthemums, can help prevent tick bites that lead to diseases such as Lyme disease and Rocky Mountain spotted fever. in Fort Collins, Colorado, and one of the study's authors.

The ticks quickly become irritated after being exposed to the pesticide, Eisen says.

"They essentially start flipping backwards and start rolling off the treated clothing," he says.

The black-legged tick — also known as the deer tick — which can transmit the bacteria that cause Lyme disease, was one of the species tested.

When black-legged nymphs (young ticks that are no bigger than a poppy seed) came into contact with the treated clothing, it took them "less than a minute" to receive a dose of permethrin that killed them, Eisen says.

And even though the ticks don't die instantly, the permethrin quickly incapacitates them so they're unable to bite.

So, if permethrin-treated clothing is so effective, why don't more people use it?

For example, in one Lyme prevention study published in 2009 that Connally and her team conducted in Connecticut, less than 1 percent of study participants said they ever wear treated clothing.

And even though awareness is growing, she says, a more recent survey "found that many respondents were uncertain about the effectiveness and safety of treated clothing."

Permethrin has been registered with the Environmental Protection Agency since

1979, and the EPA periodically re-evaluates it.

It's an EPA-registered product, "which means it must be studied for safety," Connally says.

According to the EPA website, "All exposure scenarios showed that permethrin factory-treated clothing is unlikely to pose any significant immediate or long-term hazard to people wearing the clothing." Using permethrin spray according to directions to treat your own clothes should also pose little risk, the agency says.

The National Pesticide Information Center notes that some people who inadvertently get the insecticide spray on their skin may experience temporary tingling, redness or irritation at that site, but not serious symptoms.

Permethrin lotions and creams are also routinely used to treat head lice and scabies in people 2 months of age and older.

"I absolutely wear permethrin-treated clothing," say Connally, who has no financial ties to makers of permethrin or the treated clothes.

And she says many of the researchers in her lab wear treated overalls to protect themselves while doing research.

"When I think of the potentially serious illnesses that my family members or I could get from a single tick bite, I feel very comfortable wearing treated clothing," she says.

PAGE 12 | FERGUSFALLSJOURNAL.COM

Methods to quantify the yips and golfer’s cramp SCOTTSDALE, Ariz. — Almost every golfer knows the feeling.

Minutes after a picture-perfect drive down the fairway, a cascade of inexplicable missed putts leads to a disappointing triple bogey.

Golfers’ lapses in play sometimes are blamed on a mysterious twitching condition called “the yips.” But are yips physical or psychological? In a new Mayo Clinic study, published this month in Medicine & Science in Sports & Exercise, researchers combined multiple methods to quantify golfers’ yips and identify those with a neurological cause.

“These findings are important because they could offer athletes with a type of yips called ‘dystonia,’ or ‘golfer’s cramp,’ improved treatment options,” Charles Adler, M.D., Ph.D., a Mayo Clinic neurologist and the study’s lead author said. “Previously, there was no way to identify those with golfer’s cramp using quantitative methods.”

The yips is a disorder in which golfers complain of an involuntary movement — a twitch, a jerk, a flinch — at the time they putt or even when they chip. This interferes with their ability to perform that activity.

The study examined 27 golfers who all appeared to have the yips before the study. Researchers from Mayo Clinic and Arizona State University videotaped subjects putting 10 times with both hands and 10 putts with the right hand only, with each attempt 10 feet away from the hole. They collected data on wrist and arm movements, putter movements, and whether there was co-contracting muscle activation in the forearm muscles.

When reviewing video of the putts, researchers noted that five golfers had what appeared to be a neurologic cause for their golfer’s cramp. These five golfers had greater acceleration of wrist and arm movement, as well as much more variability in wrist acceleration and rotation.

Nine of the other golfers the researchers examined also had the yips, but their conditions did not appear to be neurologic in nature (not dystonic). The remaining 13 golfers did not experience any yips during their putts. The golfers with a neurologic cause had more putts with the yips and co-contraction with two hands. They also had no change with the right hand only. In contrast, the other golfers had much fewer putts with the yips and co-contraction with two hands. This was followed by a marked increase in the yips and co-contractions when putting right hand only.

The “yips” or golfer’s cramp can be deterimental to anyone’s game on the links. A new Mayo Clinic study has found a way to quantify this and is looking for potential treatments in the future.

“More research in this arena is needed, but we are encouraged by our findings,” Dr. Adler says. “Hopefully, specific treatment options will emerge that can help people overcome the yips in golf and other activities.”

FAMILY ADVENTURE RUN Saturday August 11th 2 Miles: Mud. Water. Hills.

Obstacles.

Fergus Falls Area Family YMCA 1164 N. Friberg Ave. Fergus Falls, MN 56537 218-739-4489 l www.FergusFallsYMCA.org

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FERGUSFALLSJOURNAL.COM | PAGE 13

Things to know about traveler’s diarrhea Don't drink the water. That's the advice you may have heard for avoiding traveler's diarrhea. While it's a good start, the devil is in the details.

"There are more nuances to it than just avoiding drinking the water," Dr. Cindy Kermott, a Mayo Clinic preventive medicine physician said. "Foods and drinks that come in contact with water can put you at risk too."

One traveler’s diarrhea culprit could be ice cubes in your drink. Kermott says ice cubes can carry the bug that creates pain in your belly and a cramp in your vacation.

“People don’t think about the water that’s in those ice cubes,” she says.

Kermott says another common way people develop traveler’s diarrhea is by eating raw, sliced fruits.

“Those fruits are washed in water. You can’t have those.

You can have fresh fruits, but you have to peel it yourself,” she says.

In addition to the fruits you peel, Kermott suggests eating only well-cooked meals and drinking bottled water. Avoid salads and raw, cut vegetables. If you must use tap water, boil it first.

If you do get traveler’s diarrhea, avoid caffeine and dairy products, which may worsen symptoms or increase fluid loss.

But keep drinking fluids.

Traveler’s diarrhea usually resolves itself without treatment.

However, it’s a good idea to have doctor-approved medications with you when you travel to high-risk areas, in case diarrhea persists.

Although not drinking water is a good start when traveling, other things such as not having drinks with ice cubes may prevent an uncomfortable vacation.

We’re Searching for Volunteer

Nominations

Fergus Falls the Magazine will be honoring area volunteers in the Fall 2018 issue.

If you know someone who is fuelled by selfless motives and generous intentions, please contact zach.stich@fergusfallsjournal.com.

FERGUS FALLS THE MAGAZINE

PLEASE REPLY BY SEPTEMBER 15, 2018

PAGE 14 | FERGUSFALLSJOURNAL.COM

ADVOCACY SERVICES Freedom Resource Center 125 W Lincoln Ave #17, Fergus Falls 218-998-1799

Tri-County Health Care Henning Clinic 401 Douglas Avenue Henning, MN 56551 218-583-2953

Health Resources 126 E Lincoln Ave, Fergus Falls 218-736-6050

Tri-County Health Care Ottertail Clinic 232 Minnesota Hwy 78 North Ottertail, MN 56571 218-367-6262

Someplace Safe 106 S Union St, Fergus Falls 218-739-2853 CHIROPRACTIC CARE Advanced Care ChiroCenter 801 Pebble Lake Rd, Fergus Falls 218-736-7547 Anthony Gettel, Chiropractor 255 Wildwood Trl, Fergus Falls 218-205-6588 Carlson Chiropractic 301 Lincoln Ave E, Fergus Falls 218-736-3972 Cole Chiropractic Health Center 109 N Mill St, Fergus Falls 218-736-5353 Fergus Chiropractic 1304 W Lincoln Ave, Fergus Falls 218-998-2881 Fergus Falls Spine & Injury Center 1515 W Lincoln Ave, Fergus Falls 218-739-3216 Smith Family Chiropractic 104 W Lincoln Ave, Fergus Falls 218-736-4113 Tysdal Chiropractic 402 W Lincoln Ave, Fergus Falls 218-998-1099 Vistad Chiropractic 301 N Union, Fergus Falls 218-736-5676 CLINICS LRHC Cancer Care Center 908 Cascade St S, Fergus Falls 218-736-8688 LRHC Clinic 111 West Vernon Ave, Fergus Falls 218-739-2221 LRHC Walk-in Clinic 2311 W Lincoln Ave, Fergus Falls 218-739-6800

CK Home Health 106 N 4th Ave, Fergus Falls 218-998-3778 Harmony Home Health 22279 River Oaks Dr, Fergus Falls 218-739-2320 LB Home Care 805 Channing Ave E Fergus Falls 218-998-1400

DENTAL/ORTHODONTIA Apple Tree Dental 2001 W Lincoln Ave, Fergus Falls 218-998-2218

New Dimensions 312 N Tower Rd, Fergus Falls 218-739-5856

Drs Hanley & Murphy Dentists 1409 College Way, Fergus Falls 218-739-3245

HOLISTIC HEALTH Fergus Falls Senior Citizens Program 115 Lincoln Ave W, Fergus Falls 218-736-6842

Prairie’s Edge Dental Associates 106 E Washington Ave, Fergus Falls 218-739-9634 Jayme Mace DMD 323 S Cascade St, Fergus Falls 218-736-3179 Lifesmiles 321 Western Ave, Fergus Falls 218-739-2481 Northern Lakes Dental 1108 Western Ave, Fergus Falls 218-736-4000 Riverfront Dental 124 E Lincoln Ave, Fergus Falls 218-736-5627 Stephen Whoolery DDS 219 E Lincoln Ave, Fergus Falls 218-739-2217 Swelstad Orthodontics 221 E Lincoln Ave, Fergus Falls 218-998-5000 Terry Drake DDS 210 N Cascade St, Fergus Falls 218-736-3847 FUNERAL PRE-PLANNING Glende-Nilson Funeral Home 301 E Washington Ave, Fergus Falls 218-736-7064 Olson Funeral Home 711 Pebble Lake Rd, Fergus Falls 218-736-7586 HOME HEALTH CARE Accra 119 E Lincoln Ave #103, Fergus Falls 218-736-0246

HOSPICE CARE LB Hospice 805 Channing Ave. E, Fergus Falls 218-998-1400 HOSPITALS Lake Region Healthcare 712 S Cascade St, Fergus Falls 218-736-8000 Perham Health 1000 Coney St W, Perham 218-347-4500 Prairie Ridge Hospital 1411 St. Hwy 79 E Elbow Lake, MN 56531 218-685-7300 Tri-County Health Care 415 Jefferson St N Wadena, MN 218-631-3510 INSURANCE AFLAC-Sheri Meis 1008 Frontier Dr, Ste 205 Fergus Falls 218-205-5335 American Family InsuranceAnnabelle Lee 119 Friberg Ave, Ste A Fergus Falls 218-739-3977 AMP Insurance 920 Pebble Lake Rd, Fergus Falls 218-739-3316 Arneson AgencyRosanne Brisson 109 W Lincoln Ave, Fergus Falls 218-736-5693 Bakken Insurance 115 E Lincoln Ave, Fergus Falls 218-739-2244

Farmers UnionGrant Davenport 114 Lincoln Ste 2, Fergus Falls 218-735-5697 Larson Insurance 125 N Union Ave, Fergus Falls 218-739-2652 Eric Shelstad - BC&BS 225 W Lincoln Ave, #100 Fergus Falls 218-739-4451 Mullen Insurance 220 W Cavour Ave, Fergus Falls 218-739-4572 Rohde Insurance 1213 N Union Ave, Fergus Falls 218-739-3295 Scott Insurance 1403 College Way, Fergus Falls 218-739-2570 Solheim Agency, LLC 902 W Lincoln, Fergus Falls 218-736-5697 MASSAGE John Haugmo Massage 1164 Friberg Ave, Fergus Falls 218-739-2720 Poppy Seed Massage 214 E Cavour Ave, Fergus Falls 218-770-0096 Red River Massage 28943 290th Ave, Wendell 218-458-2229 Therapeutic Bodywork 301 Lincoln Ave E, Fergus Falls 218-998-3023 MENTAL HEALTH A Place To Belong 109 N Court, Fergus Falls 218-739-0797 Bridgeway Care 712 Cascade St S, Fergus Falls 218-736-8208 Lakeland Mental Health Center 980 S Tower Rd, Fergus Falls 218-736-6987 Productive Alternatives 1013 N Tower Rd, Fergus Falls 218-998-2525 Solutions Behavioral Healthcare Professionals 1220 N Tower Rd, Fergus Falls 218-998-2992 ORTHOPAEDIC SERVICES Matthys Orthopaedic 129 E Lincoln Ave, Fergus Falls 866-887-9300

FERGUSFALLSJOURNAL.COM | PAGE 15

PHARMACIES Shopko Pharmacy 226 E Lincoln Ave, Fergus Falls 218-736-7531 Thrifty White Drug 1484 W Lincoln Ave, Fergus Falls 218-736-5770

Golden Living Center 907 Marshall Ave, Henning 218-583-2965

Thrifty White Drug 107 E Lincoln Ave, Fergus Falls 218-736-5565

Mill Street Residence 802 S Mill St, Fergus Falls 218-739-2900

Walgreens 326 W Lincoln Ave, Fergus Falls 218-736-1028 Walmart Pharmacy 3300 State Hwy 210, Fergus Falls 218-739-5559

Park Gardens 215 Skogmo Blvd, Fergus Falls 218-998-4444

SENIOR HOUSING Alcott Manor 418 E Alcott Ave, Fergus Falls 218-998-7400 Ashby Living Center 112 Iverson Ave, Ashby 218-747-2995 Broen Home 824 S Sheridan St, Fergus Falls 218-998-7300

SPORTS JO U R N A L

S P OCOM MOVE ETS R11-M T S AN J O U RTON AL

ROCKETS READY TO SOAR PAGE 22

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Good Samaritan Society 105 Glenhaven Drive, Battle Lake 218-864-5231

Pioneercare 1131 Mabelle Ave S, Fergus Falls 218-998-1500 Pioneer Pointe 411 Everett Ave, Fergus Falls 218-739-7772 Pioneer Senior Cottages Memory Care 1317 Mabelle Ave, Fergus Falls 218-998-9677

Schuett Properties Park View Terrace 100 3rd St N # 1002, Moorhead, MN 56560 218-233-8548 Kaleva Apartments 205 N Walker Ave New York Mills, MN 56567 218-385-3273 Park Manor Estates 1035 Roosevelt Ave Detroit Lakes, MN 56501 218-847-2636 River Bend Apartments 222 N Whitford St Fergus Falls, MN 56537 218-736-2557 Mill Pond View Apartments 101 E Mill St Pelican Rapids, MN 56572 218-863-5085 CompassionCare 222 N Whitford St Fergus Falls, MN 56537 218-998-5307

LB Woodland Lodge 394 Woodland Dr, Fergus Falls 218-737-6100 SUPPORTIVE LIVING SERVICES Synstelien Community Services 128 E Meadowlark Ln, Fergus Falls 218-736-7322 VISION 20/20 Optical 111 W Vernon Ave, Fergus Falls 218-998-2020 FF Optometic Center 117 E Lincoln Ave, Fergus Falls 218-736-7555 InVision 810 N Baird Ave, Fergus Falls 218-736-5609 Midwest Vision 2001 W Lincoln Ave #19 Westridge Mall, Fergus Falls 218-739-2236

Sheridan House 808 S Sheridan St, Fergus Falls 218-998-7400

Otter Tail Eye Care 603 Douglas Ave, Henning 218-583-4673

SPORTS JOURNAL A great opportunity to have your ad seen by thousands of parents and grandparents in this highly anticipated magazine containing photos and stories about area teams!

FALL 2017

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WINTER 2017

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HELPING FAMILIES FOR 25 YEARS. Accra provides support to families that need help in their homes for a loved one with a disability. We'll help you navigate the different services available to you.

PCA Choice services allows you to choose a family member or friend to be your paid caregiver.

Non-Profit Home Care Agency We accept major insurance plans; Medicaid and private pay.

Call and ask about the possibilities!

Fergus Falls Office: 218-736-0246 SERVING PEOPLE STATEWIDE www.accracare.org