HealthBeat
2015
weather-related Joint Pain Eat Right after 50 Sleep Better at night
A Publication of the Lewiston Tribune and Moscow-Pullman Daily News
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At Tri-State Memorial Hospital, every second counts. Outstanding Stroke Care Achievement “Best Door to CT Time� Tri-State Memorial Hospital 2015 Telestroke Summit Providence Sacred Heart Medical Center MONDAY, JUNE 22, 2015
Cataract surgery common and effective requires no special maintenance and is designed to properly focus. In many cases, the eye doctor will make a small incision in the side of the cornea, where he or she inserts a tiny probe. This device will use ultrasound waves to soften and break up the lens into small pieces, which are removed by suction in a process known as phacoemulsification. The cataract lens is removed, but the thin, outer layers of the lens, called the lens capsule, are not touched. Afterward, the IOL is placed in the lens capsule. If the cataracts have advanced and phacoemulsification is not an option, the eye doctor will have to find another way to remove the lens. The IOLs used may be monofocal, fixed-focus, accommodating, and multifocal lenses, and which type of lens is best for a patientÕs needs will be determined by the eye doctor. Cataract surgery may only take 15 minutes, though patients will likely spend more time at the surgical facility to allow for prep time and post-operative evaluation. Recovery will involve the use of medicated eye drops several times daily, and a protective eye shield should be used while sleeping. As the eye recovers, a special
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pair of post-operative sunglasses are required to protect the eyes from bright light. Eye doctors also advise patients to avoid strenuous activity, including exercise, for at least the first Clouding of the lenses of the eyes, called week of recovery. cataracts, may require surgery. Water splashed in the eyes can surgery, doctors will often wait cause infection, so swimming one to three weeks before pershould be avoided and caution forming surgery on the second should be taken when bathing or eye. showering. Learn more about cataract surAll About Vision says it can take gery by speaking with your eye several weeks for the eye to heal doctor or visiting www.aoa.org. TF156265 sufficiently. If both eyes require
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As men and women age, their risk for cataracts increases. Starting at age 50, cataract risk rises, and that risk only grows more significant as men and women get older. The National Eye Institute predicts that, by the year 2050, 50.2 million Americans will experience cataracts. The lens of the eye is normally clear, but as a person ages, the lenses can begin to cloud and lead to impaired vision. Cataracts can cause blurry vision and increase the glare from lights, affecting how a person can manage daily activities. Cataracts also may make it more difficult for eye doctors to examine the back of the eye during routine visits to detect conditions such as age-related macular degeneration or diabetic retinopathy. Eye experts routinely recommend cataract surgery when cataracts interfere with daily activities, such as driving, watching television or even reading medication bottles. Surgery is a safe and common way to treat cataracts. The American Optometric Association says cataract surgery involves the removal of the natural lens of the eye, which is replaced with an artifical lens. This clear, plastic intraocular lens, or IOL,
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TABLE OF CONTENTS Assisted Living Blood Center Chiropractor Dentist
Health Foods Home Healthcare Hospital Medical Clinic Orthodontist Pathology Pharmacy Physical Therapy Progressive Care Rehabilitation Retirement Surgeons 4
Guardian Angel Homes ........................................3 Wedgewood Terrace .............................................3 Inland NW Blood Center ......................................5 8th Street Chiropractic ........................................6 Elmview Chiropractic ............................................6 Dentistry 4 Children .............................................6 Dentistry by Design ..............................................7 Maplewood Clinic / Dr. Bill Perez ........................7 Implant General Dentistry ...................................8 Rosauer’s ..............................................................9 Vig’s .......................................................................9 Alternative Nursing Services .............................10 Compassionate Care..........................................11 Seubert’s Quality Home Care ............................11 St. Jospeh Regional Medical Center .................24 Tri-State Memorial Hospital .................................2 Whitman Hospital...............................................12 CHAS (Community Health Association of Spokane) ...13 Clearwater Medical Clinic ..................................14 Snake River Community Clinic ..........................15 Dr. Wilkinson.......................................................15 Pathologist Regonal Lab ....................................16 Rosauer’s ............................................................17 Dynamic Phsical Therapy...................................18 Institute of Physical Therapy .............................18 Valley Physical Therapy ......................................19 Avalon Progressive Care ....................................19 Kindred Rehabilitation .......................................20 Life Care Center..................................................20 Prestige Care ......................................................21 Bishop Place .......................................................22 Brookside Landing .............................................21 Palouse Surgeons ..............................................23 HEALTH BEAT
MONDAY, JUNE 22, 2015
When a headache might be more Headaches are a common occurrence and may result from a host of factors, including changing weather, stress and fatigue. Headaches may be classified as tension headaches or symptomatic of sinus congestion. Migraine headaches are a type of headache that can affect vision and may be accompanied by other symptoms, such as sensitivity to light and sound. Although headaches can be painful, they often are harmless. Once a headache subsides, a person can resume normal activity. However, some headaches are indicative of a more serious condition and warrant further investigation. Should a headache fit the following criteria, it may be time to visit a doctor promptly.
• Extreme pain: If the headache comes on very suddenly and is characterized by extreme pain, it may be a sign of an aneurysm. This occurs when a blood vessel in the brain tears and cuts off blood supply to a part of the brain. Aneurysms are treatable if medical attention is promptly sought. • Head injury: Headache following sports injuries or head trauma should be checked by physicians. Injuries can cause brain swelling and buildup of fluid inside of the skull. • Neurological issues: If the headache is accompanied by neurological issues, such as slurred speech, problems moving your limbs, changes in vision, confusion, or memory loss, see a doctor. • First-time headache for
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older adult: Headaches in adulthood following a lifelong pattern of headaches may be nothing to worry about. However, if you are 50 or older and suddenly are experiencing acute headaches, it may be a sign of something serious. • Headache and stiff neck: Bacterial and viral forms of meningitis can cause a headache along with a stiff neck and, in some instances, vomiting. If these symptoms all coincide, you should be tested. • Headache type changes: If symptoms of recent headaches are unlike past symptoms, it may
be wise to talk to a doctor about the changes. Changes can include increased frequency, different pain locations or anything other new symptoms. Headaches are often innocuous, but in some instances, they may be signs of something serious. Visit a doctor to rule out more serious implications of headaches.
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Treating weather-related joint pain Early spring is often marked by wind and rain that precedes the more welcoming warmth synonymous with late spring and summer. Rainy, damp conditions may be great for homeowners looking to revitalize their lawns and
gardens, but such conditions can wreak havoc on achy joints, especially for those who experience arthritis. Although there is no concrete proof to link aching joints and muscles with damp weather, rheumatologists are often asked why achy joints and
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muscles tend to ache that much more in damp weather. Dropping barometric pressure, which occurs when rain is on the horizon, may cause tissues to swell. Swelling tissues in already inflamed joints can add to pain, especially if these tissues push into nerves and muscles in the area. According to a survey published in the journal Pain, two-thirds of people living with chronic joint pain believe there is a link between their pain and weather changes. Changes in humidity and temperature also may play a role, affecting pressure all over the body. Joint pain may not be the only effect, as some people get headaches as well. While spring may be a painful time of year for sufferers of joint pain, there are steps such men and women can take to alleviate some of those aches. When rainy or cooler temperatures loom, try these ideas. • See your doctor. If your pain is growing more severe, consult with your doctor, who may be able to develop a plan that helps you deal with the changing
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seasons more comfortably. Doctors may suggest chiropractic manipulation, or physical therapy or prescribe pain medications. • Keep the body warm. Cold limbs and joints may be more prone to stiffness and pain. Dress in layers and use heating pads to combat chilly temperatures. • Exercise painful joints. Rely on low-impact exercises, such as walking or swimming, to loosen up stiffness in the body. Loosening up and stretching before any intense workouts is recommended. Rainy weather may be in the forecast, and that can mean increased pain for those with achy joints. Working with a medical professional can help take the ouch out of seasonal changes.
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Ingredients that help fight inflammation Those outside of the medical profession may consider inflammation a negative thing. However, inflammation is an attempt by the human body
to heal itself. Inflammation that does not overstay its welcome can help protect the body from bacterial and viral infections. Inflammation can be poor for health when it is a constant occurrence. Autoimmune diseases often trigger inflammatory responses even when there is no threat of infection, and that can cause the immune system to damage its own tissues. The right diet can help reduce instances of
inflammation, and the following are some ingredients to consider eating more of to fight symptoms of inflammation. • Ginger: Researchers at the University of Michigan Medical School found that ginger supplements reduced markers of colon inflammation in a select group of patients. In the study, conducted over a period of 28 days, 30 patients were randomly assigned either two grams of ginger root supplements per day or a placebo. After 28 days, patients who had taken the ginger supplements had significant reductions in inflammation. That’s a considerable finding, as colon inflammation has been linked to a higher risk of colon cancer.
• Turmeric: Used primarily for flavoring, turmeric is a spice closely related to ginger and contains polyphenolic compounds known to help in the fight against inflammation. Turmeric can be added to stews and sauces, and some studies have indicated that it can alleviate the pain caused by osteoarthritis, a potentially painful condition that occurs when the joints’ natural shock absorbers break down. • Extra-virgin olive oil: Extra-virgin olive oil is a staple of the Mediterranean diet, an approach to eating that emphasizes fish, fruits, vegetables, beans, and whole grains. The Mediterranean diet can reduce inflammation, and it also has
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been linked to a lower risk of heart attack and heart disease. It may even help prevent stroke and Alzheimer’s disease. • Vegetables: Men and women who eat lots of different vegetables may be less likely to develop inflammation. According to a study by the American Gut Project, people who eat more than 25 species of plants per week have a greater assortment of bacteria in their stomachs than those who eat fewer than 10 per week. That’s because the greater variety of produce and legumes helps to increase the amount of healthy bacteria lining human stomachs, and that healthy bacteria helps to reduce instances of inflammation.
• Omega-3 fatty acids: Omega-3 fatty acids, commonly found in certain types of fish, help suppress cytokines and other inflammatory chemicals. Salmon, herring, sardines, and anchovies are loaded with omega-3 fatty acids, and eating fish twice a week can not only reduce inflammation but also decrease levels of LDL cholesterol, often referred to as bad cholesterol. A certain amount of inflammation is a good thing. But men and women who find themselves routinely battling inflammation may want to make certain dietary changes to counter their inflammation problems.
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How to eat after 50 As people age, their dietary needs begin to change. Foods that were once staples of your diet as a youth may be restricted once you hit a certain age, while other foods you may have always avoided may now be necessary to fuel and support a healthy body. Eating healthy foods and exercising may not be enough to sustain health, as hormonal changes and other health effects as a person reaches age 50 can have a profound impact on his or her nutritional requirements. The following are a few things men and women over 50 may want to consider as they look to eat a healthy diet for years to come.
Vitamin D
Both men and women age 50 and up have a reduced ability to produce vitamin D through exposure to the sun. Extra vitamin D will be needed from foods and supplements. Everyone over the age of 50 should take a daily vitamin D supplement of 400 IU (10 µg), according to Canada’s Food Guide. Without adequate vitamin D, bone strength and health can deteriorate because vitamin D promotes calcium absorption. Vitamin D also has other roles, including helping neuromuscular and immune function and reduc-
ing inflammation.
Friendly fats
People over age 50 should increase their intake of unsaturated fats and reduce consumption of saturated fats. Nutrient-rich unsaturated fats can guard against heart conditions, protect against stroke, keep skin supple, and even help men and women maintain good neurological health. Omega-3 fatty acids can be found in nuts, olives, seeds, and fatty fishes.
Increase protein
According to Christine Gerbstadt, MD, RD, a spokesperson for the Academy of Nutrition and Dietetics, as they age, men and women need more protein in their diets to maintain their muscle mass. The amount of protein needed at a younger age no longer may be adequate. Look for lean sources of protein from fish and poultry. Beans are also a lowfat source of protein that can help fulfill daily protein requirements.
Dietary recommendations change for people age 50 and older.
the skins on fruit and vegetables and choose whole fruits over juices. Whole-grain breads and cereals also are good sources of fiber. Dry beans and lentils can add a fiber boost. Always increase fiber slowly to determine your tolerance. Fewer calories The National Institute on Aging More fiber says women over the age of 50 Eating more fiber can help with need between 1,600 and 2,000 digestive and intestinal problems, calories, depending on how such as constipation. Constipaphysically active they are. Men tion can occur when fiber intake is need between 2,000 and 2,400 not enough, coupled with a more calories per day. With each passsedentary lifestyle. The best way ing year there is a decrease in the to get fiber is through diet. Leave energy required to maintain body
weight, so caloric intake should be adjusted accordingly. More water As a person ages, his or her body may not signal it is thirsty as well as it once did, so it’s possible that you may not recognize when you are thirsty or dehydrated. The Mayo Clinic recommends around nine to 10 cups of beverages per day to remain hydrated. Eating healthy and changing one’s diet is important as a person ages, as dietary needs at age 50 may be quite different from what they were at age 30.
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How to build and maintain strong bones Osteoporosis, a disease that causes bones to become weakened and brittle over time, affects millions of people across the globe. The International Osteoporosis Foundation says an osteoporosis-related fracture occurs roughly once every 3 seconds, accounting for more than 8.9 million fractures a year. Younger individuals typically heal from fractures more quickly than older adults, who often discover that fractures greatly impede their mobility and quality of life. Bone health is important at any age, but it is particularly crucial as a person gets older. Without a strong framework of bones, the body collapses
on itself and rates of fracture increase. Fortunately, there are several ways to keep and maintain strong bones. Bones are largely made up of a protein called collagen, which is bound together by calcium and other trace minerals. Vitamin D and calcium work in concert, with vitamin D helping the body to absorb calcium so it can find its way into bones. Experts advise getting the right ratio of calcium, protein and vitamin D to safeguard against osteoporosis. The Institute of Medicine suggests that adults get between 600 and 800 international units (IUs) of vitamin D every day, and between 1,000 and 1,300 milligrams of calcium daily. Dairy products,
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MONDAY, JUNE 22, 2015
such as low- and nonfat milk, yogurt and cheese, are high in calcium. Dark green vegetables and almonds contain calcium in smaller amounts. Obtaining calcium and vitamin D through natural sources is always preferable, but doctors may suggest supplementation if foods are not providing what a person needs to meet the minimum recommended levels. Exercise is another important component of building strong bones. The National Osteoporosis Foundation says 30 minutes of exercise each day can help. Higher-intensity exercises should be mixed with lower-intensity workouts for the best results. Weight-bear-
ing exercises, such as hiking, dancing and stair-climbing, can build between 1 and 3 percent of bone. An exercise regimen also should include lifting weights or using resistance bands. Activities that promote good posture and flexibility can help improve balance and alignment of the body. Perform stretches smoothly and slowly after exercising to maintain your range of motion. Quitting smoking also can promote strong bones. Smoking has been linked to poor skeletal health in both men and women, and the longer one smokes, the greater one’s risk for fracture.
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How to sleep better at night The National Sleep Foundation notes that adults between the ages of 26 and 64 need an average of seven to nine hours of sleep per night. Such a sleep schedule may be ideal, but many adults juggling work and family find it difficult to get seven hours of sleep per night, much less eight or nine. While there may not be any way for adults to get more sack time at night, there are ways for men and women to get a better night’s rest so they can approach each day with as much energy as possible. • Stick to a schedule. Keeping a sporadic sleeping schedule can make it difficult to get the kind of restorative sleep that can help you maintain adequate energy
levels throughout the day. To ensure you get a better night’s sleep, go to sleep at the same time each night and wake up at the same time each day. Try to stay true to your sleep schedule on weekends, resisting the temptation to sleep in later or stay up late on Friday and Saturday nights. • Nap effectively. Men and women who have the time to sneak in a nap may find that napping is a more effective way to make up for inadequate sleep than sleeping in late in the morning. Effective napping allows men and women to recharge without affecting their ability to fall asleep at night. Napping in the early afternoon and keeping nap time to between 20 and 30
minutes can provide the energy boost you need and help you make it through the after-dinner hours without feeling drowsy. Such drowsiness can lead to
post-dinner periods of dozing that can make it difficult to fall asleep come bedtime. • Adopt a nighttime ritual. The NSF notes that a relaxing
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nighttime ritual that is noticeably different from the hustle and bustle of the rest of your day can help your body adjust for sleep, increasing the chance that you will get a more restful night’s sleep. Relaxing ways to unwind before climbing into to bed to fall asleep including reading a book, listening to calming music or taking a warm bath. Once you find something that works, stick with it. • Find time to exercise. Studies have shown that men and women who exercise regularly benefit from more restful nights’ sleep. Finding the right time to exercise is essential, as many people find that exercising right before bed elevates their heart and stimulates their
body in ways that make it difficult to fall asleep. Exercising in the early morning can provide more energy throughout the day, and come bedtime your body might be more ready to fall asleep. However, if you find yourself exercising at the expense of your sleep, try to find another time to get your workout in. • Ensure your bedroom is sleep-friendly. The NSF recommends maintaining a relatively cool temperature between 60 and 67 F in your bedroom for sleeping. In addition, eliminate any potential distractions, such as light and noise, that can negatively affect your ability to fall asleep. Humidifiers, eye shades or even machines
that generate white noise can effectively counter any distractions that you cannot get rid of on your own. A good night’s sleep is es-
sential to human health. Men and women struggling to get adequate, beneficial sleep can employ a host of strategies to improve their quality of life.
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Get relief from sunburn Sunburn is something nearly everyone will experience at least once in their lifetimes. Though men, women and children should look to prevent sunburn entirely, sometimes sunburns occur, making those exposed to too much sun uncomfortable and possibly even dealing with considerable pain. Sunburn is marked by red, sensitive skin that can be hot to the touch. Inflammation and blistering may occur. The Skin Cancer Foundation says that while sunburn may seem like a temporary irritation, it can cause long-lasting damage to the skin. Treating sunburn may require several different approaches. • Get out of the sun the moment you first feel irritation.
Your skin may not be red, but irritation may be the first indication that you are being burned by the sun. • Take cool baths or showers to relieve the pain and heat in the skin. Cool, damp towels also can do the trick. • Use a moisturizing lotion with aloe vera. Avoid moisturizers with petroleum, as they will lock in heat. • The American Academy of Dermatology notes that sunburn may lead to dehydration. Drink plenty of water to keep your body well hydrated. • Blisters may occur if sunburn is particularly bad. Do not succumb to the temptation of popping the blisters, as doing so may result in an infection.
• Take a dose of ibuprofen to reduce swelling and counteract the pain. Ibuprofen also may help prevent some long-term damage. • If a blistering burn covers more than 20 percent of the body, seek medical attention. In addition, visit your physician if a sunburn is accompanied by fever and chills. • Keep sunburn covered up with tightly woven clothing to aid in healing.
Sunburn can be painful and increase your risk for skin cancer, so prevention and treatment should be taken seriously.
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21st Century Orthodontics + Invisalign
Orthodontists have moved teeth with metal wires for more than one hundred years. Starting 16 years ago the Align corporation developed Invisalign to move teeth using plastic. Teeth move when pressure is place on them via wires, plastic, or a thumb or tongue habit. Impressions capture the form of the teeth which, along with x-rays, photographs, and a clinical
evaluation, provide the orthodontist with information to develop a treatment plan. This information is communicated to a technician that utilizes the Invisalign software to move the teeth in a cartoon little by little until they fit together and function properly. The orthodontist approves the planned movement then aligners are manufacture and delivered. Each clear aligner is worn for two weeks (less if Acceledent is used) and are removed when eating or playing musical wind instruments. We have seen many improvements with cars and computers since they were first invented and so tto with Invisalign. The predictability of movement, comfort, and quality of treatment results have all significantly improved. It is possible to move individual teeth and
specifically not move others. At least one orthodontist successfully achieved part of his board certification using Invisalign. It is possible to move each tooth in any direction to correct gapped teeth, deep bite, under bite, open bite, crowding, cross-bite, and a bad bite. Advantages over traditional braces include: flossing is easier,; no change in diet is needed; less root shortening and decalcification are seen; nickel allergy is not activated, cold sore/mouth ulces not caused, does not affect music making; and can be removed for speeches or acting. Invisalign is uniquely different from traditional orthodontic treatment. Choose an orthodontist that has significant experience
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Lewiston, ID 15
5 health screenings women shouldn’t miss A nutritious diet and daily exercise can promote long-term health, but preventative care also plays a key role in keeping adults healthy as they age. Routine health screenings can head off potential problems, preventing illnesses and possibly limiting the duration of sickness. Women may have longer life expectancies than their male counterparts, but that does not mean they can afford to overlook preventative care. The following are five health screenings women should include as part of their healthy routines. 1. Pap tests and pelvic exams: Beginning at age 21 (or earlier if
they are sexually active), every woman should get regular Pap smears and pelvic exams to test for any abnormalities in their reproductive systems. Pap smears may be suggested every two to three years depending on a womanÕs age. A routine visit with a gynecologist is recommended annually to discuss any changes or worrisome symptoms. 2. Mammograms and breast exams: In addition to conducting self examinations, women should get clinical manual breast exams. Women age 40 and older should get a manual breast exam each year and an annual or bi-annual mammogram.
– PATHOLOGY –
Your Partner in Community Health
3. Cholesterol checks: The ideal level of total cholesterol is below 200 mg/DL. Individuals with a higher level of cholesterol may be at a greater risk for heart disease. Cholesterol screenings can alert doctors to potential trouble and help them develop plans for their patients to lower cholesterol levels. Doctors may suggest dietary changes and advise women to adopt more active lifestyles. Some doctors may even prescribe medication if cholesterol levels are especially high. 4. Skin examination and cancer screening: Women should examine their skin every month for new moles or changes in existing spots or moles to detect early signs of skin cancer. Be sure to check all areas of the body, as skin cancer can appear just about everywhere. Some doctors perform
skin cancer screenings as part of routine physical exams, or women can visit a dermatologist. 5. Bone density screening: Those with a risk for osteoporosis, such as women with fractured bones or slender frames, should be screened earlier and more regularly than women without such histories or body types. Doctors generally recommend that women receive annual bone density screenings beginning at age 65. Healthy bones will show a T-score, or the measurement to determine bone density, of -1 or higher. These suggested screenings and tests are based on general medical guidance. Women should work with their doctors to develop wellness schedules that promote their long-term health.
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Serving Your Clinical and Anatomical Laboratory Needs
People l a n o i t p Exce esults Qualit y R
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Lewiston (208)746-0516 • Clarkston (509)751-4550 Pullman (509)332-6412 • Toll Free 1-800-443-5180 16
HEALTH BEAT
Certain health screenings are recommended for women at various stages in life. MONDAY, JUNE 22, 2015
Medication safety tips for children and adults
MONDAY, JUNE 22, 2015
physician. • Question anything that you do not understand. Check the prescription for dosing information. For refills, make sure the refill information conforms to the original prescription strength. • Fill all prescriptions at the same pharmacy and develop a rapport with the pharmacist so that potential drug interactions will be flagged. Pharmacists are well versed in medications and may be able to inform you as to the safety or risk involved in taking an over-the-counter product at the same time that you are on a prescription. • Many pills look the same. If you are confused and taking multiple medications, keep medications in the original packaging and double-check the labels before taking any medications. • Use the right dosing tools. A spoon from the kitchen is not accurate for measuring out a teaspoon of medication. • If you take multiple medications, use a pillbox to keep pills organized. The box makes it easier to manage medications and serves as a reminder if you have or have not taken a medication on a given day. • Store medications as instructed on the label. The bathroom medicine cabinet may not be an ideal place to store medications, as bathrooms get damp, and that can compromise the integrity of the pills. Also, bathroom cabinets are readily accessible by all, including kids. ItÕs better to store drugs out of sight and reach of children. Keep dangerous medications locked away. • Routinely discard expired or unneeded medications.
Medicine take-back programs for disposal are a good way to remove medicines from the home and reduce the chance that others may accidentally take the medicine. • Consult with a doctor before beginning or ending medication.
Medicines play important roles in personal health. When used correctly, medications are assets, but caution should always be taken to ensure safe usage and storage of any medications.
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– PHARMACY – FREE Prescription Delivery by Mail
LOW Prescription Prices Every Day
Preferred Providers for Most Insurance Plans
ROSAUERS F &R OOD X Pharmacy Hours: Monday–Friday 9 AM–7 PM | Saturday 9 AM–6 PM
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Prescription and over-the-counter medications can save lives and help people of all ages manage certain conditions. When used correctly and under the guidance of a physician, medications are largely safe. ItÕs when medicines are used off-label, shared or taken in error that reactions and injury can occur. The American Academy of Pediatrics and their Healthy Children Organization warns that more than 7,000 children visit hospital emergency rooms every year for problems related to medication errors. Children are not the only ones in danger. Adults can make mistakes with their medications as well. For example, seniors who may be managing several different types of medications can inadvertently cause dangerous drug interactions by mixing the wrong pills. Pharmacists work diligently to help prevent medication errors. However, the general public can also do their part. The American Society of Health-System Pharmacists and the National Association of Boards of Pharmacy offer these medication safety tips. • When a new medication is prescribed, ask the doctor to explain more about it, including its intended purpose and any common side effects to be expected. • Make sure your doctor knows about all the medications you are taking, including nonprescription products, herbal remedies, dietary supplements, and vitamins. Some medications do not mix with seemingly innocent ingredients. Keep a running list of any medicines you take so you can easily and accurately share this information with your
322 Thain • Lewiston • 746-2377 • Pharmacy 743-6511
BUSINESS PROFILE
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How to handle setbacks in your workout routine Few things frustrate athletes more than injuries. Sudden muscle pulls or the reemergence of nagging injuries can interrupt workout regimens and put athletes on the shelf until their injuries heal. Some athletes may be tempted to fight through injuries and continue exercising, but doing so can make injuries worse and lead to even more time spent on the sidelines. Athletes who suspect they might have suffered more than minor aches and pains should consider the following approach when
dealing with sudden setbacks in their workout routines. • Visit a doctor. Medical websites like WebMD are valuable resources, but athletes should not assume that perusing such sites takes the place of visiting doctors. Selfdiagnosing an injury, whether it’s with the help of a website or simply going on your own intuition, is not safe, as many fitness-related injuries share similar symptoms that make it easy for men and women without medical degrees to misdiagnose. Doctors can determine exactly what your injury is and help get you
on the path to recovery by prescribing medications or developing treatment plans. Such treatments can be the difference between a speedy recovery and one that lasts months on end. • Recognize the importance of patience. No two people heal the same, but patience with an injury is a part of every athlete’s healing process. If you don’t allow time for an injury to heal or if you try to accelerate your healing process, the existing injury can worsen and you may even injure another part of your body while overcom-
pensating for your initial injury. Go into the healing process knowing it takes time, and be as patient as possible during your recovery. • Be careful about the rest of your body. One of the problems many athletes encounter when dealing with an injury is the effect that injury has on other areas of your body. Athletes who perform strength training may be able to continue part of their regimen even after suffering an injury, but they should make note of their form to make sure their body is not overcompensating for
– PHYSICAL THERAPY –
Institute of
Physical Therapy
Levi Frasier,
• Neurological disorders • Orthopedic injuries • Spinal Care • Sports Injuries • Geriatric Care • Post surgical Care • Work related injuries • Postural Analysis • Dizziness and Vertigo • Post Motor Vehicle Accidents • Arthritis One-on-One Physical Therapy
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ACCEPTING PATIENTS!
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Helping you get back to life!
1037 21st Street, Lewiston Across from Albertsons
We accept & bill most insurance companies. Medicare approved.
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We Offer:
• Thorough Exams • Neck & Back Pain • Personal Attention Relief • Hand, Wrist & Elbow • Shoulder Pain & Injury Rehabilitation Stiffness Relief • Post Surgical • Headache Relief Rehabilitation • Hip, Knee & Ankle • Work-Related Injury Injury Rehabilitation Rehabilitation • Orthotics • Work Conditioning
Dynamic-Physical-Therapy.com Johanna Strehle
Relieving Pain— Restoring Function
HEALTH BEAT
Larry Ohman, PT, OCS
• Sports Injury Relief • Functional Capacity Evaluations • Home Program Instruction • Overuse Syndrome Relief • Golf Fitness Assessments
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Choose wisely. Find support in your recovery process!
678 Southway Lewiston
208-746-1418
instituteofphysicaltherapy.com
Relieving Pain, Restoring Function
MONDAY, JUNE 22, 2015
Did you know? the area that is injured. Doing so can lead to new injuries or even exacerbate the existing injury. When visiting a doctor, get a specific list of which exercises, if any, you can still perform while recovering. If you plan to weight train during your recovery, reduce the amount of weight you lift, which can help ensure your form remains correct. • Report any new setbacks immediately. Some athletes suffer setbacks during their recoveries, and while setbacks can be expected, they should not just be accepted as another hurdle to
clear. Report any setbacks to your physician immediately so he or she can advise you on the next steps to take. • Return slowly. Once your injury has healed, keep in mind that you can’t just dive back in to your workout routine at full steam. Gradually increase the intensity of your workouts as your body once again acclimates itself to exercise. Injury is a reality of life for many athletes. But how athletes handle their recoveries can affect how quickly they get back in the swing of things.
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If you have psoriasis, an autoimmune skin condition marked by red, flaky patches on the body, you also could be at risk for a certain type of arthritis. Psoriatic arthritis, which causes stiffness, swelling and pain in and around the joints, affects up to 30 percent of people with psoriasis, says the National Psoriasis Foundation. While psoriatic arthritis can develop at any time, it is most common in people between the ages of 30 and 50. This type of arthritis can develop slowly or come on quickly and be severe. Just like psoriasis itself, psoriatic arthritis
tends to go through periods of flare-up and remission. Typically, the skin condition precedes the joint disease in 85 percent of patients. Keep in mind that a severe case of psoriasis will not necessarly translate into a severe case of arthritis. Psoriatic arthritis may be treated like other forms of arthritis. Doctors may prescribe anti-inflammatory drugs, antirheumatic drugs, exercise, and complementary therapies. Those who have psoriasis and have begun to experience joint pain and stiffness should talk to a doctor about potential therapies.
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– PROGRESSIVE CARE –
Avalon Progressive Care OE "WF $MBSLTUPO )FJHIUT
– PHYSICAL THERAPY –
Valley Physical Therapy “YOU are our Focus�
433 Elm Street, Clarkston MONDAY, JUNE 22, 2015
509-758-5647
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Owner Brooksie Larson and the staff at Valley Physical Therapy offer physical therapy services including orthopedic manual therapy, treatment of chronic back pain, balance therapy and athletic/recreational injuries. Specialty programs include treatment of incontinence, prenatal, post-partum pain, fibromyalgia and osteoporosis.
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An injured athlete’s approach to recovery can go a long way toward determining how quickly he or she returns to action.
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Call Carol Galles 509-758-6770
HEALTH BEAT
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Recommended immunizations for those age 50+ Routine immunizations can keep people safe and healthy. Certain vaccinations can prevent diseases from producing symptoms, while others can lessen the duration of an illness or make conditions less severe. Vaccination schedules become a way of life for parents to young children. But vaccinations aren’t just for kids, and adults should keep tabs on their immunization histories to ensure they’re up-to-date with vaccinations for their particular age group and lifestyle. The Centers for Disease Control and Prevention warns that the elderly are more likely to die of a vaccine-preventable disease than other age groups. The immune system begins to decline
as we age, so the body can benefit from the disease-fighting boost provided by vaccinations. Individuals at any age should discuss immunizations with their doctors, but it’s a particularly important conversation for those age 50 and older. Vaccine schedules and recommendations may vary depending on where a person lives, but the following immunization recommendations are offered courtesy of the CDC. • Influenza: An annual flu shot can help prevent the nearly 36,000 deaths that occur due to flu each year in the United States. The flu vaccine is designed to combat the current strain of flu, so it is recommended anytime between September to March, which
is the prime flu season. People age 50 and older should opt for the injection rather than the nasal form of the vaccine. • Tdap: This vaccine protects against tetanus, diphtheria and pertussis and is especially necessary for people who have close contact with young infants. Pertussis, or whooping cough, can be passed on to youngsters and make them very ill. If you’ve never received a Tdap vaccine, the CDC suggests getting it at least once. Individual tetanus boosters should be received every 10 years. • Pneumococcal: Pneumococcal disease is an infection caused by the pneumococcus bacteria. It can cause pneumonia, blood infection, ear infec-
tions, and even bacterial meningitis. This vaccine is given to adults age 65 and older or to younger adults at their physicians’ discretion. • Hepatitis A: Individuals with medical, occupational or lifestyle conditions, such as healthcare workers or people with chronic liver disease, may need a two-dose series of the hepatitis A vaccine. Adults who are avid travelers to various parts of the world that may bring them in contact with animals or people who do not receive the same course of immunizations may need additional vaccines. Speak with a doctor about which immunizations are recommended before travel.
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– REHABILITATION –
DEDICATED HOPE, HEALING AND RECOVERY
Premier Facility of the Valley
Top Award Winner in Lewiston Individualized Patient Centered Activity Plan
208-743-9543 • 3315 8th Street, Lewiston • kindredhealthcare.com 20
Life Care Center of Lewiston currently has beds available for: • Long Term Care patients • Post Acute Rehab patients • Alzheimer’s / Dementia patients
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• IIn-Patient and P i d Out-Patient O P i Rehabilitation Programs • 24-Hour Licensed Nursing Care • Medicare, Medicaid, VA & Private Insurance • Resident Centered Care Model • Enhanced Dining Program Including Select Menu & Breakfast at Your Leisure • On Staff Therapists • Private Palliative Care Suite • Wound Care Specialist
If you are in need of one of these services, please contact us today as these are sure to fill up quickly. Tours available any time, come and see why Life Care Center of Lewiston is the right choice for all of your specialized care and rehabilitation needs!
HEALTH BEAT
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208.798.8500
325 Warner Dr. Lewiston, ID www.LCCA.com Joint Commission accredited
MONDAY, JUNE 22, 2015
Keep your heart running strong into your golden years Heart health should be a concern for people of all ages, but especially so for men and women over 50. That’s because, according to the American Heart Association, even men and women who are free of cardiovascular disease at age 50 are at a significant lifetime risk of developing the disease. But heart disease does not have to be an accepted byproduct of aging. For example, a 2014 study published in the AHA journal Circulation found that maintaining or increasing physical activity after age 65 can improve the heartÕs well-being and lower risk of heart attack.
In addition to increasing physical activity as they age, older men and women who understand heart disease and learn to recognize its symptoms have a greater chance of minimizing its affects and lowering their risk of having a heart attack.
What are the symptoms of heart disease? Heart disease is a blanket term used to describe a host of conditions, so symptoms vary depending on each individual condition. The following are some of the more widely known conditions
and their symptoms: • Hypertension: Also known as high blood pressure, hypertension is a largely symptomless form of heart disease. The AHA notes that the idea that hypertension produces symptoms such as difficulty sleeping, facial flushing, nervousness, and sweating is a misconception. Symptoms typically do not alert men and women to the presence of hypertension, highlighting the emphasis men and women should place on routine visits to the doctor’s office, where their blood pressure
can be taken. • Heart attack: The symptoms of a heart attack are different than the symptoms of heart disease that may lead to heart attack. The former can be found by visiting www.heart.org. Signs that you may be heading toward a heart attack include undue fatigue, palpitations (the sensation that your heart is skipping a beat or beating too rapidly), dyspnea (difficulty or labored breathing), chest pain or discomfort from increased activity. • Arrhythmia: Arrhythmia
– REHABILITATION –
Care Guided by a Compassionate Heart
Quality
PRESTIGE CARE & REHABILITATION THE ORCHARDS
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Brookside Landing
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– RETIREMENT –
PRESTIGE CARE & REHABILITATION CLARKSTON
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1014 BURRELL AVE LEWISTON, ID 83501 208 7434558
A Premier Retirement and Assisted Living Community
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HEALTH BEAT
Live Life to the Fullest!
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431 Johnson Ave., Orofino
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means your heartbeat is irregular, and men and women often mistakenly believe arrhythmia only afflicts those who already have been diagnosed with heart disease or have had a heart attack. But arrhythmia can affect even those men and women who have healthy hearts and no history of cardiovascular disease. Symptoms of arrhythmia can vary greatly, from a single premature beat to a series of premature beats that occur in rapid succession. Arrhythmia that lasts long enough to affect heart function may include symptoms such as rapid heartbeat, fatigue, dizziness, lightheadedness, shortness of breath, and chest pain.
How can I protect my heart? Heart healthy habits take some
effort, but men and women can protect their hearts regardless of their ages. • Get sufficient exercise. At least 30 minutes of exercise per day can protect against disease. • Quit smoking. Smoking increases your risk for a host of ailments, including heart disease. Quitting is a great way to start getting your heart and other parts of your body back on track. • Include heart-healthy foods in your diet. A diet that is rich in fruits and vegetables and low in cholesterol, salt and saturated fat promotes heart health. • Don’t drink alcohol to excess. Like smoking, drinking alcohol to excess can lead to a host of problems, such as high blood pressure, arrhythmia and high cholesterol, each of which increases your risk of heart disease. • Lose weight. Being over-
weight or obese is a major risk factor for heart disease. If you have already started to exercise daily and eat a more heart-healthy diet, then you’re on your way to losing weight. Consult your physician if diet and exercise don’t seem to be helping you to shed pounds. Heart disease kills millions of people across the globe each year, many of whom are over 50. But men and women who learn about heart disease and how to reduce their risk stand a far greater chance of fighting the disease.
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– RETIREMENT –
HOME IS WHERE YOU FEEL IT Having fun is more than a Bingo game. At home you follow your own interests, hobbies and entertainments. At Bishop Place, our Life Enrichment program lets you do just that, from water aerobics to scrapbooking to morning coffee talk to book club, the choice is yours.
Our home, your home. Come feel it.
815 SE Klemgard, Pullman (509) 334-9488 www.BishopPlace.net 22
HEALTH BEAT
Call to schedule your complimentary lunch and tour! MONDAY, JUNE 22, 2015
Yearly eye exams can reveal more than just vision trouble More evidence points to the importance of routine eye exams, not only to pinpoint potential conditions of the eye, but also to serve as windows to diseases that affect the entire body. Now more than ever it is essential to make and keep annual eye exams, as they can help to reveal the first signs of serious ailments. Doctors from around the world say dozens of diseases – from certain cancers to arthritis to high blood pressure – can show symptoms in the eye. Under the watchful and knowing gaze of an eyecare professional, individuals can get early
diagnosis and begin treatment promptly. According to Dr. Roy Chuck, chair of the Department of Ophthalmology and Visual Sciences at Albert Einstein College of Medicine and Montefiore Medical Center, there are many systemic diseases that can be seen in the eye. In addition to the conditions mentioned, jaundice can indicate liver disease while retinal detachment and bleeding in new blood vessels may indicate hypertension. By looking at the color of the cornea, some doctors can tell if a patient has elevated levels of cholesterol. Many people have
had their eye doctors be the first healthcare professional to detect the presence of their diabetes. If an ophthalmologist suspects an underlying medical condition, he or she will likely refer men and women to their primary care doctors for a more thorough examination. Going to the eye doctor can
do more than ensure your vision is sharp. It’s a life-saving decision for many people who have major health conditions diagnosed through the eyes.
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– SURGEONS –
Geoffrey Stiller, MD Derrick Walker, DO
Board Certified General and nd Cosmetic Surgeon
Board Certified General Surgeon
Juan D. Parra, MD Board Certified General Surgeon
John Visger, MD Board Certified General Surgeon
Jeffry Jones, MD Board Certified Med Internal Medicine
Complete Breast Cancer Treatment and Care Venefit Varicose Vein Treatment • Laparoscopic and Robotic Surgery Gastroenterlogy Procedures • All General Surgeries
Surgeons Palouse PalouseSurgeons.com MONDAY, JUNE 22, 2015
HEALTH BEAT
Moscow: 2301 West A Street, Suite A
208.882.1700
Pullman: 825 SE Bishop Blvd, Suite 130
509.338.0632
Colfax: 1210 West Fairview
509.338.0632
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