Balance, Summer 2015 by Moscow-Pullman Daily News

Balance Volume 7 – Issue 2 – Summer 2015

The health magazine for Body, Mind & Motivation Published quarterly by the Lewiston Tribune and the Moscow-Pullman Daily News

PLAY SAFE

Public pools a great way to beat the heat, but there are rules to live by

STRENGTH IN NUMBERS

Weight Watchers group completes hike up Lewiston Hill

HOPE TAKES CENTER STAGE

Region’s hospitals recognize importance of palliative care

LAST ACT OF LOVE

All grieve differently

Summer 2015

â&#x20AC;&#x201A; Balance

Summer 2015â&#x20AC;&#x201A;

er.

Contents Balance – volume 7, issue 2 – Summer 2015

COVER STORY

PLAY SAFE

STRENGTH IN NUMBERS

Public pools great way to beat the heat, but there are rules to follow

Weight Watchers group completes hike up Lewiston Hill with a little help from their friends

WELLNESS

HOPE TAKES CENTER STAGE

Region’s hospitals recognize importance of palliative care

HEALTH

MENTAL HEALTH

LAST ACT OF LOVE

Everyone grieves differently

ALSO | BODY IMAGE 6 | MASSAGE 11 | SLEEP 16 ADVERTISER INDEX

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Garges, Lawrence, M.D. ........................23 Huckleberrys at Rosauers .......................5 Leavitt DMD, Erin ..................................15 Maplewood Dental ...............................21 MJ’s Pot Shop..........................................5 Ozeran, Steven, M.D. ............................22 Pathologists’ Regional Laboratory ..........9

Peak Performance Physical Therapy ......17 St. Joseph Regional Medical Center .......24 Tri-State Memorial Hospital ....................2 Valley Medical Center..............................3 Whitman Senior Living .........................23 Wilkinson, David, DDS ..........................19

Balance is published quarterly by the Lewiston Tribune and Moscow-Pullman Daily News and printed at the Tribune Publishing Co. Inc.’s printing facility at 505 Capital St. in Lewiston. To advertise in Balance, contact the Lewiston Tribune advertising department at (208)848.2216 or the MoscowPullman Daily News advertising department at (208)882.5561 or Advertising Director Angela Kay at akay@lmtribune.com. Editorial suggestions and ideas can be sent to Tribune City Editor Craig Clohessy at cclohessy@lmtribune.com or Daily News City Editor Murf Raquet at murf@dnews.com. 4

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Dropping meat to drop pounds By Dominique Wald

n any weight loss plan, a change in diet is the most effective way to see results. While some people choose to cut out carbohydrates and sugar, others are taking a more extreme approach — cutting out meat altogether. The biggest question is does it really work? Pullman Regional Hospital dietitian Melissa Francik said people must make other changes in addition to cutting out meat to see results. “Most of weight loss is diet change, but it has to be supported with something else, whether it be behavioral or physical,” Francik said. “It’s just one component in a plan that has many.” When done correctly, Francik said, vegetarian diets have proven to have both longand short-term health benefits, such as lower body mass index, lower risk of prostate and colon cancer, and lower cholesterol and blood pressure. According to a study published by the U.S. National Library of Medicine, postmenopausal vegetarian women were found to have hormonal differences that possibly led to lower rates of endometrial and breast cancer. “The important thing to note is that evidence could very well be a result of what is being eaten rather than what isn’t being eaten,” Francik said. Vegetarian diets are defined as avoiding all animal flesh, including poultry and fish. Francik said there’s a lot of flexibility in what you choose to cut and to what degree. “A lot of people will cut out meat and poultry but leave fish in their diets to get those

omega 3 fatty acids,” Francik said. For those who are switching to vegetarianism, Francik recommends talking to a dietitian to come up with an eating plan that is both healthy and feasible. She also recommends gradually introducing meatless meals into an every-day diet. It is possible, Francik said, to substitute protein foods to replace the protein one would normally be getting from meat. Some popular choices include beans, peanuts and lentils. Soy beans, such as edamame, are also proven to be a good source of protein. While switching to a vegetarian diet can help with weight loss, Francik said it’s not something she sees in a lot of her patients. She said she has seen four or five

women who decided to cut out meat for weight loss purposes in the four years she has been working as a dietitian. Francik also said it can be perfectly healthy for children to be raised on a vegetarian diet. One thing to remember, she said, is that children need higher intakes of iron and zinc because they don’t absorb it as well as adults do. Pregnant women can also be on a vegetarian diet, as long as they’re supplementing with adequate amounts of protein, she added. “The important thing to tell yourself is you don’t have to be an extremist about becoming a vegetarian, if that’s what you decide to do,” Francik said. “By starting small you’re going to develop an eating plan that’s healthy and right for you.”

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Summer 2015

Body beautiful Positivity movement encourages women to accept who they are By CHELSEA EMBREE

ichela Dalsing has traded in her sweatpants for spandex. The Pullman resident has been an athlete nearly her whole life, but it wasn’t until she got involved with the Rolling Hills Derby Dames that she found a group of women who helped her see her body as beautiful. “Back in high school, I wore a lot of baggy sweatpants. Sweatpants were like my go-to,” Dalsing said. “I was 50 pounds lighter than what I am in high school, and I wouldn’t even go to practice in spandex in Tribune/Barry Kough high school.” The definitions of a body image changes through the years, between different groups of people, and between nations. Dalsing is part of a growing number of women investing in body positivity, a Salsbury said. you’re going to think, ‘Oh, I don’t look like movement that encourages women to work The image of female beauty in America that, and that’s what’s beautiful,’” she said. on accepting and loving their bodies at any — tall, thin, full-chested, with blonde hair Ashley Centers of Moscow, who was and every shape, size, age and skin color. and blue eyes — is a limited one, she said. first introduced to body positivity at the UI The movement may have roots as far “A lot of people don’t think about the Women’s Center, recognized the negative back as the fat acceptance movement that fact that our idea of beauty is extremely effect that media can have. was part of the second wave of feminism in Western and very white,” Salsbury said. “The media tells us that we need to look a the late 1960s. Lysa “There are many certain way and act a certain way and think Salsbury, director of “A lot of people don’t think about cultures around the a certain way, and if we don’t, then we’re not the Women’s Center the fact that our idea of beauty is world where having worthy of anything or anyone,” Centers said. at the University of Centers, who uses a wheelchair, said extremely Western and very white. a curvy body is seen Idaho, believes the body positivity “is a struggle every single There are many cultures around the as a sign of fertilcontemporary body world where having a curvy body is ity and wealth and day,” but that she recognized the importance positivity movement seen as a sign of fertility and wealth is desirable. … In of working toward it. has a lot to do with some cultures, very, “These are the only ones we’ve got,” she and is desirable.” women pushing very dark skin is re- said. “There are multiple different things Lysa Salsbury back against idealally highly prized.” that you can do to try to change your body, director of the Women’s Center at the University of Idaho ized beauty stanSalsbury said and some of it is good and some of it isn’t dards. advertising plays a good. But I think before we can make any “I think it’s a result of … women spend- significant role in shaping what American change that’s going to really stick, we have to ing all this money on diet pills and regimes women think is beautiful, noting the averbe comfortable with the body that we have.” and certain types of exercise, and realizing age woman sees 3,000 images of idealized What Centers does to work toward that not only does it not work, but even if beauty daily. accepting and loving her body includes they achieve the goals and the results that “To see 3,000 images of airbrushed and thinking of at least one thing she likes about they’re looking for, they’re not any happier,” photoshopped models every single day, it before going to sleep each night.

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Courtsesy Michela Dalsing

(LEFT) Michela Dalsing’s self-image continues to climb as a member of the Rolling Hills Derby Dames. She is among a growing number of women who are part of the body positivity movement. (ABOVE) Finding support through groups or friends can be helpful in improving your body image.

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“I don’t like it a lot of days, but I’m still here. It’s still working. And those are good things,” Centers said. Friends have also helped her along in the process. One friend took the idea of a swear jar and had Centers pay one dollar whenever she said something negative about her body. For Dalsing, the friends she made participating in roller derby also helped her start thinking differently. “It’s really nice to be a part of a group of women that are like, ‘Yeah, you’re beautiful, we love your curves, we love your shape,’” Dalsing said. “So once you hear that message enough, it becomes your thought process.” Dalsing originally got involved with roller derby because she was looking to lose weight, but after a few months of practices, her motivations shifted. “Now I’m realizing that self-betterment isn’t necessarily weight loss. It’s about being with a wonderful group of women who build me up, who make me feel powerful,” she said.

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Strength in numbers Weight Watchers group completes hike up Lewiston Hill with a little help from their friends By JOEL MILLS

embers of the Clarkston Weight Watchers chapter hopped off the scale this spring and hiked up

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the Old Spiral Highway. While the classic Weight Watchers program focuses on closely watching and recording what one eats, exercise is only encouraged, not mandated. So when Pat Baker, a member of the Clarkston group, and a couple of her friends did the 7.3 mile walk up the twisty road last fall, they got an idea. “We were talking about it throughout the year, so we got excited,” said Lynne Beck, one of the friends. “Pat announced it

at one of their Saturday meetings, and they picked a date.” Baker said there are typically 30 members of the Clarkston chapter, and about 10 committed to the steep walk on the morning of Sunday, April 19. She was confident in her abilities since she’d done it before, but the others weren’t so sure. “None of the other ladies had ever attempted it, and were real nervous about whether they could do it or not,” she said. But strength comes in numbers, and the

(LEFT) The Clarkston Weight Watcher Ladies climbed to new heights, putting their doubts and fears aside. Hiking up the Spiral Highway to the top of Lewiston Hill was for many a great achievement having never attempted anything like this before. Names of Ladies in Photo (L-R): Michelle King, Debbie Estlund, Brenda Johnson, Joan Wilson, April Outland, Patricia Baker, LouAnn Carter and Betty Weissenfels

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women leaned on each other for encouragement. “When we met up at the bottom of the hill, Pat generally stayed toward the front of the group, and I was kind of the caboose to make sure that the people who were struggling were able to make it to the top of the hill,” Beck said. “We just all kind of stayed together, and encouraged one another, and made it to the top,” Baker added. While only women participated in the walk, they were of diverse ages, from those in their 40s to one woman who was 82. Baker said many were surprised that they were able to make it to the top, but the companionship definitely played a part in the accomplishment. “I’m sure there were a number of ladies who went home and put their feet up for the rest of the day,” Baker said. “But we were all very encouraging, and cheerful, and everyone was giving high-fives and hugging at the top.” Baker credits the Weight Watchers program for her own weight loss and good health. Two years ago, she weighed 220 pounds. Now, she is down to 130. “That’s a combination of going to the meetings, working the plan and getting out and walking and exercising,” she said. The walk was so successful that another is being planned for some time this fall after the weather cools down. That will be another climb up the Old Spiral Highway, but Baker said future walks will take advantage of the area’s other great walking venues. Those interested in joining Clarkston Weight Watchers may attend their regular 8:30 a.m. Saturday meetings at the Valley Community Center, 549 Fifth St. in Clarkston.

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Health benefits of wine Moderation is key By Samantha Malott

esearch is now showing some alcoholic beverages — like wine — can provide heart and anti-inflammatory benefits when consumed in moderation, according to Samantha Ramsay, a registered dietitian nutritionist at the University of Idaho. An anti-inflammatory, simply put, reduces inflammation in the body that can commonly be referred to as pain, swelling and fever. Chronic inflammation can cause chronic pain and lead to heart disease and other age-related diseases, according to a January article by Rachel Pomerance Berl for U.S. News. Stress, environmental toxins, physical activity and diet all have a part in an individual’s inflammatory state, she wrote. Ramsay said anti-inflammatories can be beneficial for cardiovascular health, arthritis, general aches and pains, and even when recovering from injury. These benefits, however, can be obtained from other nonalcoholic beverages, which may be a better option, she said. Melissa Sanborn with Colter’s Creek Vineyard and Winery in Juliaetta said red wine contains antioxidants beneficial for the body. Antioxidants are agents such as vitamins E and C that allow for oxidation to occur in the body’s cells and fight off cell damage. Other antioxidant rich drinks, aside from red wine, include green tea and some juice-based drinks like pomegranate, orange and grape juice. Ramsay said moderation is key when it comes to absorbing any health benefits from your favorite alcoholic beverage. She said “moderate consumption” equals about one glass or serving for women and two glasses or servings for men. If a person consumes more than the

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Research is now showing some alcoholic beverages can provide heart and anti-inflammatory benefits when consumed in moderation, according to Samantha Ramsay, a registered dietitian nutritionist at the University of Idaho.

recommended amounts, then health risks increase, putting a person at greater odds for cardiovascular disease, cancer and many other diseases, she said. Ramsay also added a person who does not consume alcoholic beverages will

be overall healthier, and it would be in their best interest to refrain from alcohol consumption and focus on other beneficial health behaviors. Drinking alcohol for its potential health benefits is not the best option, she said.

Massages: Great for the body, mind A good back rub provides a slew of benefits

“Your body has the terasympathetic and the sympathetic part of your nervous system. The sympathetic is By Tom Hager that fight or flight response that we get, and the back massage might seem like a terasympathetic is rest and luxury reserved for only those digest. So when you’re getwith disposable money, but as it ting a massage your body it turns out, a massage provides a variety goes into an emotional state of health benefits that make it worth the where you’re in that rest,” cost. Denning said. “And most The message is catching on — in a of the time throughout the recent survey sponsored by the American day we’re not in that state, Massage Therapy Association, 77 percent we’re in more of that fight of people who got a massage in the past or flight.” THINKSTOCK year did so because of medical reasons. Back massages can help alleviate pain in muscles that are tight or knotted, but that is hardly the only benefit, said Mandi Denning, a massage therapist at Healing Hands in Pullman. Begin your career in the thriving and “You’re going to be moving around versatile profession of massage therapy. blood and limbs and you’re going to be getting circulation moving more. People talk about toxins being in the body, Courses begin: and the massage moves around toxins,” Denning said. “That is kind of difficult • January 4th because what exactly is a toxin? ... There • June 20th isn’t research that says, ‘Yes, massage removes toxins out of the body.’ But if you ask most people who have gotten a mas• Open Fridays & Saturdays sage, especially ones that are deep tissue, they notice that they feel different.” • $30 per massage hour Denning said Healing Hands treats a variety of symptoms in patients, many of whom were referred by area doctors. In addition to increasing circulation and 405 SE Bishop Blvd., Ste. 102 loosening muscles, massages can get rid Pullman, WA 99163 of headaches, improve posture, lower (509) 334-3444 blood pressure and decrease cortisol, also www.alturacollege.com known as the stress hormone, Denning said.

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Summer 2015 11

Hope takes center stage Region’s hospitals recognize importance of palliative care BY ELAINE WILLIAMS

he hopes of patients with serious illnesses can easily get lost in a whirlwind of hospitalizations, doctors’ appointments and confusing information. St. Joseph Regional Medical Center in Lewiston recently hired Dr. Leah Jones, a full-time hospital board certified palliative care and hospice physician. Her job is to help alleviate unnecessary suffering by giving patients better tools to navigate the medical system and identify ways to continue activities that bring them joy. The addition of Jones is an indication of the growing importance of palliative care in north central Idaho and southeastern Washington. The St. Joe’s team consists of Jones, along with a director, a nurse practitioner, pharmacist, social worker

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and a chaplain. Pullman Regional Hospital created a similar team in 2010. One of the hospital’s two hospitalists is board certified in palliative care and is part of a team. Two of the members are receiving additional specialized training in the field. Syringa Hospital in Grangeville has a physician who is the medical director of its hospice program. At St. Joe’s, Jones’ goal is to encourage more physicians to refer patients to palliative care in part through correcting misconceptions about what it entails, she said. She will be part of the team that sees patients in the hospital, but won’t have her own out-patient practice. Often doctors don’t request palliative care for their patients because of the false belief that doing so

Dr. Leah Jones, a board certified palliative care and hospice physician, is seeing paitents at St. Joseph Regional Medical Center’s new palliative care suite. TRIBUNE/KYLE MILLS

is giving up the battle against cancer or other potentially life-threatening diseases, Jones said. The reality is that palliative care can be useful starting at the diagnosis of any serious illness or a hospitalization for lifechanging events such as a vehicle accident, Jones said. Palliative care is frequently delivered while patients are undergoing treatments to cure, not just manage diseases. It assists patients as they weigh the pros and cons of possible cures in relationship to how much the treatments will effect their day-to-day activities, said Katie Evermann Druffel, director of social work at Pullman Regional Hospital.

The teams can also help patients and their families understand symptoms, and direct patients’ families and friends to resources so they can better care for the patients at home. With fatal diseases, the team can help pinpoint patients’ last wishes so that they get the most out of their remaining time. A patient with severe leg pain might request medication that would mitigate the pain, but not leave them so groggy that they couldn’t join in family conversations around the dinner table, Evermann Druffel said. “We hope we can help people stay in the community because that’s what they want to do,” Jones said.

Summer 2015

Hope takes center Region’s hospitals recognize importance of palliative care BY ELAINE WILLIAMS

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Dr. Leah Jones, a board certified palliative care and hospice physician, is seeing paitents at St. Joseph Regional Medical Center’s new palliative care suite. TRIBUNE/KYLE MILLS

r stage is giving up the battle against cancer or other potentially life-threatening diseases, Jones said. The reality is that palliative care can be useful starting at the diagnosis of any serious illness or a hospitalization for lifechanging events such as a vehicle accident, Jones said. Palliative care is frequently delivered while patients are undergoing treatments to cure, not just manage diseases. It assists patients as they weigh the pros and cons of possible cures in relationship to how much the treatments will effect their day-to-day activities, said Katie Evermann Druffel, director of social work at Pullman Regional Hospital.

Summer 2015

Play safe

Public pools great way to beat the heat, but there are rules to follow

changing rooms as well. “We once had a guy slip and fall in the bathrooms,” Lewiston Orchards Pool Manager Hope Mastroberardino said. “It can be slippery in there.” BY RALPH BARTHOLDT That is why lifeguards and pool managers recommend parents outfit their ith its noise, splashing and children in non-slip footwear such as heat the side decks of public rubber sole flip-flops when the youngoutdoor pools may seem a sters use area pools, whether the facility likely place for injuries to occur, but is inside or out of doors. hazards can lurk in the cool shade of the When temperatures climb beyond

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100 degrees, the cement deck around outdoor swimming pools can reach temperatures of 140 to 160 degrees, according to the National Weather Service. Skin will start to burn at 110 degrees. “A lot of times kids who are barefoot will start running on the deck because it is so hot,” Mastroberardino said. Pool safety rules require walking on the deck. Walking in footwear is more pleasant — and safer — than walking on

(LEFT) Public swimming pools provide an umbrella of safety for their swimmers with multiple lifeguards to keep an eye on enthusiastic swimmers, like these at the Lewiston Orchards pool. (RIGHT) There are a few rules that all swimmers need to keep in mind at all times. Tribune/Barry Kough

symptoms include headaches, nausea, hot and dry skin, or sometimes skin that feels cool or clammy. It is another thing they watch out for. It’s a good idea to learn to swim, whether by taking swim lessons or learning on your own — before venturing into areas that may seem challenging. Lewiston pool rules require young people to swim at least 30 meters unaided before they are allowed to slip under the ropes and into the pools’ deep ends — where the bottom drops to between 6 and 9 feet at Bert Lipps to more than 11 feet deep at the Orchards Pool. Common accidents at public pools include people getting dinged by carelessly jumping into the pool, jumping on, or too-near other people, or using diving boards and ladders irresponsibly. “We get bloody noses, some scratches,” Mastroberardino said. And then there are bees. Bees and wasps are attracted to water on hot days, so packing insect sting, or bite relief is a good idea, she said.

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the hot surface in bare feet, she said. Public pools during summer months can be crowded places. Anywhere from 50 to 150 people pack into area pools daily, especially during the open and family swim times, said Andrew Light, the manager at Lewiston’s Bert Lipps Pool. Having that many people splashing, swimming, diving and playing inside pools of Olympic-size (50 meters long and 25 meters wide) to short-course size (25 meters long), makes for a potentially accident-prone environment. Pools in the LewistonClarkston Valley keep five lifeguards on duty, with three on deck at all times, pool managers said. Lifeguards do more than enforce pool rules. “We have sunscreen available, and recommend it (to patrons) if we think they are getting burned,” Mastroberardino said. Lifeguards remind patrons to drink liquids when the sun hangs near its zenith, flashing reflected light like glass shards across the deck. “They should stay hydrated, wear sunscreen, bring a towel and flip-flops,” said Payton Weakland, a Bert Lipps lifeguard. Staying hydrated, wearing polarized sunglasses and wearing hats can help prevent the onset of heat stroke, which can result through prolonged exposure to heat and sun, lifeguards said. Some

Summer 2015 15

The road to dreamtown Sleeping your way to a healthier life By Shanon Quinn

ne of the healthiest lifestyle moves a person can make is one they’re unlikely to remember and — after some preparation — can become an effortless, enjoyable routine. “Sleep is a major part of a person’s overall health,” registered polysomnographer Mark Johnson said. Johnson, who works at Gritman Medical Center’s sleep center, facilitates sleep studies that

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can diagnose narcolepsy, sleep apnea and some sleep-related seizures. A good night’s sleep can be the difference between feeling stressed, depressed and unable to focus and enjoying a bright, energetic start to each day. But all sleep is not created equal. “Good sleep is when you feel refreshed and awake and alert during the day,” Johnson said, while irregular, interrupted nights can leave you at less than your best. One of the first steps to getting the benefits of a restful night is to have a regular sleep schedule. Although most people had a set bedtime as a child few carry that habit into adulthood — but they should, Johnson said. Regardless of the

season, weekend, weekday or holiday, a regular schedule is a crucial part of reaping the benefits of healthy sleep. “It is very important to have a regular sleep schedule and very important to get up the same time every day,” Johnson said. “Getting up the same day time every day helps to reset your circadian rhythms.” Johnson said although seven to nine hours of sleep a night is necessary to stay healthy, the amount of sleep a person needs can differ depending on variables like age. “Young people need more sleep than older people,” he said. Getting to bed on time is not always the biggest challenge — the challenge may be getting

forest, a babbling brook or even soft music can help people drift off, depending on personal preference. Some sound is of value, as it minimizes sleep disruption due to the shock of a sudden noise. “Ambient noise raises the level of noise that you’re accustomed to,” he said. “I’m a big advocate of white noise.” Darkness is also necessary, especially during the warmer seasons when daylight may still be present when bedtime comes. Grauke said he

recommends heavy curtains or block-out shades to keep out any remaining daylight. Natural daylight, which contains blue wavelengths — or blue light — is beneficial to the body during the day, as it helps focus and wakefulness, but at night can throw a wrench into sleeping schedules, he said. Experts also recommend avoiding caffeine, nicotine and other stimulants during the last hours of wakefulness and avoid allowing pets in the bed.

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to sleep. In order to beat the tossing and turning many encounter, especially when beginning a new sleep schedule, board certified sleep specialist John Grauke recommends using a series of techniques that fall under the heading of sleep hygiene. Grauke said preparations for sleep should begin as early as two hours before readying for some shut-eye. One of the first issues to address is creating an environment conducive to sleep, he said. “We recommend people have a room that controls sound, light and temperature,” Grauke said. While the control of such stimuli is important, the ideal environment is often up to the individual. Grauke said most people are comfortable with a room temperature of between 68 degrees and 74 degrees year-round, but some may snooze better in slightly warmer or cooler environments. The same is true of the use of relaxing teas or aromatherapy oils and what sort of ambient noise should be present. Anything from a droning fan to sounds of the ocean, the

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Summer 2015 17

A last act of love Everyone grieves differently By Hannah Shirley

nnie Pillers said she was once told grief is the last act of love. For someone like Pillers, who encounters grief every day, this is an idea that encourages and comforts her. “When we love someone deeply and they leave us, we will have grief,” Pillers said. “We’ve earned the right to grieve and to be afraid.” Pillers has worked in grief support

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since the early 2000s, and now she’s the director of the Friends of Hospice grief support group in Pullman. She’s sat with grieving people in their 20s and grieving people in their 90s — people who have lost their spouses, parents, siblings, friends, children, pets, health and jobs. Pillers said she’s found grief is both a universal experience and profoundly personal. It’s something no two people feel the same way, but something no one can escape. “Sometimes we don’t recognize the impact of our grief,” Pillers said.

Healing means going through the grief, not around it. How long this process takes varies for everyone, but generally it takes longer than people expect, and certainly longer than culture allows.

The grief that comes with loss goes beyond being sad. People might experience forgetfulness, a lack of interest in things they enjoy or their demeanor may simply be different. They may also experience physical symptoms, such as aching, trouble sleeping or a loss or increase in appetite. Sometimes, grief doesn’t feel like sadness at all — some people say it manifests as fear. Healing means going through the grief, not around it. How long this process takes varies for everyone, but generally, Pillers said, it takes longer

than people expect, and certainly longer than culture allows. In this way, it can be very painful, she said. “In our wanting to help someone, we are want to take the grief away, but it’s not something we can take away,” Pillers said. “In our effort to make you feel better, we rush to fix you, but nothing is broken. Our heart is empty for a while. There’s no fixing that. We just have to work through it.” Watching a loved one grieve can be painful, especially when the process takes longer than expected. Well-meaning loved ones might try to hurry the grieving process along, but Pillers said it’s best to be patient. “We can only deal with our grief as we’re meant to. People may say, ‘Oh, they’re avoiding their grief,’ but that’s just where they are right now,” Pillers said. “I don’t question how people open up to their grief, whether it’s a long time from now or right away. I respect what they need to do for themselves.” Exploring grief is different for every person. One person may find solace in art, the next in being active and another in church. Many who feel anxious about their grief find comfort in hearing others’ experiences and stories — that, Pillers said, is the value in a support group. “In our culture, we feel alone, because people are afraid of grief,” she said. “In a support group, we realize we’re not alone — we find some commonalities in our experiences, and find that we’re not really going crazy after all.”

Grief support groups Friends of Hospice: Free, eight-week group series. Contact Annie Pillers at (509) 595-1129 or griefsupport@palouse.com for more information or to register. Living with Loss: Free, open support group held at noon on the second and fourth Tuesdays of each month at the United Church of Moscow. Contact Glenda Hawley at (208) 882-3197 for more information. Willow Center for Grieving Children: Free children’s bereavement program offering peer support for children ages 3-18. For more information, call (208) 669-0731 or visit www.willow-center.org. Grieving children’s support groups, 7 p.m. first and third Tuesday, Seventh-day Adventist Church, 1212 19th St., Lewiston. Participants are asked to call the Willow Center at (208) 791-7192. Bereavement Support Group, coordinated through Home Health & Hospice, (509) 758-2568.

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Empathy training for doctors you’re “dealing with strong emotions. How do you manage when a patients’ family is mad at you? What do you do?” PHILADELPHIA - It’s hard to teach empaThe program fills the need for this kind of thy in the classroom, yet it’s one of the foun- training by allowing students to interact with dations of the doctor-patient relationship. trained actors through a webcam. It’s like a How well physicians can put themselves in Skype session on educational steroids. their patients’ shoes is directly linked with During training, students are evaluated patient satisfaction. on their performance by the “patient” and “When I was in med school, no one told receive immediate feedback on strengths and me how to do that,” said Dennis Novack, weaknesses from the actors, who have been professor of medicine and associate dean rigorously trained in what to look for. The of medical education at Drexel University program also lets students see a recorded College of Medicine. “You could watch clip of their performance, as well as prepared your mentors, if you were lucky. Or make scenes of an expert breaking bad news to a mistakes.” patient. Numerous studies have shown patients “Learning in clinical medicine is always with empathetic caregivers are more likely to multimodal,” said program co-creator stick to their doctor’s treatment plan, leading Christof Daetwyler, associate professor in the to better health department of famresults. Doctors who ily, community and “I think that this is very novel.I can better underthink a lot of people are working on preventive medicine stand their patients developing something like this.” at Drexel. To fully also are more satisunderstand the skills, Amy Windover fied with their work. he said, it helps to see director of communication skills training And hospitals know a master do it first. for the Center for Excellence in Healthcare Communication at the Cleveland Clinic. how important “I think that this patient satisfaction is very novel,” said is to their bottom line, now that it is a factor Amy Windover, director of communication Medicare considers in reimbursement. skills training for the Center for Excellence in Medical educators at Drexel have designed Healthcare Communication at the Cleveland a tool for Internet-based training for mediClinic. “I think a lot of people are working on cal students using actors – or “standardized developing something like this.” patients,” as they’re called in this context. StuToday’s medical students are especially dents get to practice what have been deemed receptive to this type of e-learning technolthe most effective communication techniques ogy, because they’ve grown up with it. “We in a simulated setting before they face real need to get with the times, because this is the patients. language they speak and we need to adapt,” The patented program develops “more she said. advanced skills, such as giving bad news, or Communication skills and empathy counseling a mom who is reluctant to give training are “taught universally at medical immunizations to a child. These are dicey, schools,” said Maryellen Gusic, chief medidifficult conversations,” said Novack, who co- cal education officer for the Association of developed the program. During medical care, American Medical Colleges. “People are doBy Sheena Faherty The Philadelphia Inquirer

20 Balance

ing it in many different ways.” Still, she said, the Drexel program is innovative because it’s taking what many schools are doing in the classroom, but making it available through the web-based platform. Additionally, a program like this could be used as a uniform format across all medical schools. In 2013, out of 140 schools that reported their methods, 84 were using computer-assisted instruction to teach clinical skills, such as empathy training. Windover notes, however, that such programs have limits. “How much of a true relationship can you have between a student and a standardized patient? And even more so with an standardized patient who is just Skyping in?” she asked. In collaboration with DecisionSim Inc., Drexel’s technology is being licensed, although neither side would say what Drexel will be paid. The technology is being unveiled under the new name, CommSim, short for communication simulation. Drexel’s technology “has been piloted in health systems,” said Bob Yayac, chief executive of DecisionSim Inc. “That was a big reason why we decided to purchase it.” Communication training needs to be repeated throughout a physician’s career, not just in medical school. That’s why Yayac says he thinks this product has potential to reach many health care systems. The Cleveland Clinic’s Windover agreed that such e-learning programs are useful for refresher training. “It’s like a booster shot for communication skills training,” she said. “It’s not just one and done.” 2015 The Philadelphia Inquirer Visit The Philadelphia Inquirer at www.philly.com Distributed by Tribune Content Agency, LLC.

Professional Care Personal Attention

CLUES ACROSS 1. Stonestreet character 4. What part of (abbr.) 7. 4th Caliph of Islam 8. Boojum tree 10. Ancient Irish people 12. Civil Rights group 13. Celery (Spanish) 14. Ed Murrow’s network 16. No (Scottish) 17. Classic dramatic music 19. Former OSS 20. Oven for ceramics 21. The Palmetto State 25. Rapid bustling movement 26. Mauna ___, volcano 27. Ridge of wind-blown sand 29. Brilliantly executed action 30. Alias 31. Head of a large company 32. Bill Nye 39. Sources of otaheite starch 41. Small amount 42. A flat or level surface 43. European cave CLUES DOWN salamander 1. Cocoa beans 44. Nickname for Robert 2. N.W. Syrian city 45. Syrian tablets from 3. Environmental condition 3000 B.C. 4. Actress Zadora 46. Lasso 5. Skulls 48. Fabrics of camel or goats 6. Technology Information 49. Old name for an area Center for Administrative in Turkey Leadership (abbr.) 50. Shock therapy 8. Central Nervous System 51. UC Berkeley nickname 9. Not shut or closed 52. Partridge Family’s Susan 11. Legal action for damages 14. Data executive 15. Hot air, trial or party

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