Health Beat 2017

HealthBeat 2017

Your comprehensive health and nutrition directory of the area’s local businesses.

An Advertising Supplement of the Lewiston Tribune and Moscow-Pullman Daily News

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For Life's Little Emergencies Tri-State Minor Care Center CONVENIENTLY LOCATED on the Tri-State Memorial Hospital campus.

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EMERGENCY

Immediate treatment for lifethreatening injury or illness. Call 911!

• shortness of breath • Numbness in the face, arms, or legs • Heavy, uncontrollable bleeding • Moderate to severe cuts and burns • Severe broken bones • High fevers • Poisoning

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Treatment right away for non-lifethreatening injury or illness.

• When you cannot get in to see your primary care provider • Nausea, diarrhea, and vomiting • cough, and congestion • Allergies and rashes • Migraines and earaches • Minor broken bones • Minor cuts and burns • Sprains or strains • Infections

PRIMARY CARE

Treatment for non-urgent health issues.

• Regular checkups and physicals • Flu shots and vaccinations • Health screenings • Nausea, diarrhea, and vomiting • cough, and congestion • Allergies and rashes • Migraines and earaches • Disease management •

Your Health Is Our First Priority!

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Table of Contents Alzheimer’s & Dementia Care Assisted Living Audiology & Tinnitus Blood Center Chiropractic Clinic Dentistry

Foot Care Health Foods Hearing Aids Home Health Care

Home Medical Hospital/Medical Center

Medical Clinic Medicinal Marijuana Oncology Optometry Orthodontics Pharmacy Physical Therapy Plastic/Reconstructive Surgery Podiatry Rehabilitation

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Guardian Angel Homes Wedgewood Terrace Senior Living Community Brookdale Senior Living Simon Audiology & Tinnitus Inland Northwest Blood Center Elm View Chiropractic Clinic Leavitt Family Dentistry, Dr. Erin Leavitt & Dr. Nathan Leavitt Dentistry “4” Children, Dr. Jeremy Wiggins Dentistry by Design, Dr. Jonathan Nash Maplewood Dental, Dr. Bill Perez Orchards Shoe Shop Rosauers Huckleberry’s Puretone Hearing Aid Service Opportunities Unlimited, Lewiston A Compassionate Care Company Alternative Nursing Services Wasem’s Pharmacy and Home Medical Gritman Medical Center St. Joseph Regional Medical Center Tri-State Memorial Hospital & Medical Campus Snake River Community Clinic Clearwater Medical Clinic MJ’s Pot Shop Cancer Care Northwest Bryden Family Vision, Dr. Jason Ritter Klemp Optometry, Dr. Daniel Klemp & Dr. Enjoli Cooke Pickard Orthodontics, Dr. Michael Pickard Rosauers Pharmacy Dynamic Physical Therapy Peak Performance Physical Therapy Ozeran Plastic & Reconstructive Surgery, Dr. Steven E. Ozeran Dr. Cory Brown Kindred Traditional Care and Rehabilitation Life Care Center of Lewiston Prestige Care & Rehabilitation Regency Pullman

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The Magic Trunk

Sponsored by Linda Vestal • Guardian Angel Homes

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y name is Linda Vestal. I have been an assisted living administrator for 18 years. It has been my honor to serve the greatest generation that has ever lived.

My love for my job all started with my grandmother. My grandmother was the most wonderful women I have ever met. If I had a time machine I would love to go back in time just so I could meet up with her in the 1920’s and become her best friend. Her zeal for life, her outrageous laugh, her love of god, and her unending commitment to service of others is what inspires me to this day.

My grandmother learned to drive at the age of 10. She was a working women. She danced the Cancan and the Charleston. She yodeled. She loved to camp. She knew how to shoot. She owned her own restaurant. She was a modern women for her day.

And then, she got Alzheimer’s.

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Grandma was never very forthcoming with information about herself as a young women. I would ask her about what it was like for her growing up and she would just talk in generalities, until the day we moved her in to my aunt’s house. At that time her Alzheimer’s had progressed enough that she could not live alone anymore. My grandmother had this giant trunk in the basement of her home that was always locked. When the trunk got brought in my aunt’s house on moving day something wonderful happened.

My grandmother and I were looking at the trunk, I asked her if she knew where the key was. She reached into her bra and pulled out the key. Once the trunk was opened my view of my grandmother was changed forever. The real Margie was revealed. Marge the girl. Marge the young woman. As each item came out, there was a story to go with it. Stories never told. Not even to her children.

The first thing that came out of the trunk was a full length mink coat with matching hat, a flapper dress, pictures of her as a young woman, pictures of their homestead in Montana, a marriage license to a man no one had ever heard of, white helmet with a red stripe down the middle, a Bavarian women’s costume and many other treasures. Every item brought back memories for her. Memories she had never shared.

I found out that my grandmother drove moonshine from Montana to Chicago. That her father really wasn’t a veterinarian — that was just a cover for their moonshine business. She taught the cancan and the Charleston in a speakeasy in Chicago. Her mink coat had three bullet holes in it because the man that gave it to her wanted it back and she would not give it up. There were several pictures of her holding tommy guns, which she knew how to shoot.

She raced cars on dirt tracks wearing the white helmet. She yodeled on stage with Riley Puckett. Many, many great stories came out that day.

Stories I would have never heard if it wasn’t for the Magic Trunk. The Magic Trunk allowed me to meet Margret E. Campbell. Stories I would not have heard if not for the Alzheimer’s.

The last 12 years of my career has been exclusively dedicated to the excellent care everyday of Alzheimer’s and dementia residents who reside at Guardian Angel Homes.

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What is a silent stroke?

MetroCreative

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ilent stroke may not exhibit any symptoms, making it more difficult to detect.

The brain is a complex organ responsible for controlling many different bodily functions. When working at optimal capacity, the brain is a wonder to behold. When illness or trauma affects the brain, various parts of the body may not work as they should.

One of the more devastating things that can affect the brain is stroke. Stroke describes a sudden stoppage of blood from reaching the brain. Harvard Medical School states that if a large number of brain cells are starved of blood supply, they can die. With their demise, a person’s memory and ability to speak and move can be compromised.

While many strokes come on suddenly, certain factors may indicate a person is at risk. Such factors may include prior heart attacks, genetics, high blood pressure, smoking, or a prior stroke. However, in a particular type of stroke - a “silent stroke” - symptoms are far more subtle and difficult to spot.

Silent cerebral infarction, often referred to as “SCI” or “silent stroke,” is a brain injury likely caused by a blood clot interrupting blood flow to the brain, offers the American Stroke Association. Silent strokes increase risk for other strokes and can be a sign of progressive brain damage. A silent stroke is typically only noticed as a side component of an MRI of the brain. Many times patients do not recall having a stroke and never felt any symptoms. Silent strokes should not be mistaken for mini-strokes. Mini-stroke is a brief but discrete and memorable event, with symptoms

appearing for a few minutes or a few hours.

The “silent” part of a silent stroke refers to the areas of the brain that the stroke affects. Experts at Harvard Medical School explain that, during a silent stroke, an interruption in blood flow destroys areas of cells in a part of the brain that is “silent,” meaning that it doesn’t control any vital functions. Researchers say that, over time, the damage from silent strokes can accumulate, leading to more and more problems with memory. Collectively, silent strokes become silent no longer.

There are certain ways to reduce the risk of any type of stroke. These include: · managing high blood pressure and high cholesterol · quitting smoking · reducing the risk of diabetes · losing weight to prevent obesity

Assisted Living

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How to find the best hearing aid: Interpreting consumer reviews

Sponsored by Anne Simon, Au.D. • Simon Audiology & Tinnitus

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onsumer review publications can be a good However, consumer survey reviews have natural starting place when you are first looking for limitations when it comes to predicting how a patient will information regarding hearing aids. But, fare with a specific hearing aid. Asking the type of information you will find is one person how they heard with their A hearing aid brand, limited. On one hand, I am pleased to see hearing aids does not take into account feature, or accessory information in the marketplace produced variance in hearing loss shape, the that is nonessential by independent sources. On the other amount of hearing loss, or the listening for one person could hand, critical details are often missed. environment that the next person be indispensable for experiences. Most critically, these When you start wearing hearing aids, another. reviews forget about the brain—every there is a lot to learn. I’m delighted when person processes sound uniquely. The patients come to me having done the brain is the most critical factor for success with hearing work of understanding what their options are, and have aids. an idea of what to look for.

How your brain interprets sound, how well you process in noise, what volume is comfortable for you, what Audiology & Tinnitus environments you are most often in are all important factors that are not present in a consumer survey.

Generally speaking, there are three major factors that are critical for a happy marriage between patient and hearing device. These factors are beyond the scope that a consumer survey can address.

1. Your hearing loss is as unique as a finger print.

There is no one-size-fits-all solution to hearing loss.

Different devices have different ‘aptitudes’ in terms of which hearing loss features they best respond to.

You need a comprehensive picture of your unique hearing situation.

2. Identifying the specific device that is the best fit for you and your hearing loss.

3. To tie the first two factors together: that device has to be programmed appropriately for your hearing needs.

You can learn a great deal of what to look for and what questions to ask from consumer surveys. But to find the hearing aid that works best for you, there is no substitute for working with an audiologist who is committed and able to adapt to the unique shape of your hearing loss.

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How common is carpal tunnel?

MetroCreative

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ncreased hours spent on computer keyboards and digital devices can put people at risk for a relatively common and oftentimes painful condition that affects mobility in the wrist. Carpal tunnel syndrome, or CTS, can cause numbness, pain and tingling in the hand or arm as a result of one of the major nerves of the hand - the median nerve - being compressed in the wrist.

The American College of Rheumatology says that CTS may be the most common nerve disorder experienced today, affecting between four and 10 million people in the United States alone.

· What is the carpal tunnel?

The carpal tunnel is a passage that forms in the wrist on the palm side of the hand. It is located just beneath the skin surface. The National Institute of Neurological Disorders and Stroke says the carpal tunnel is a narrow,

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rigid passageway of ligament and bones. Eight small wrist bones form three sides of the tunnel. The width of the tunnel is only about an inch. Injury or inflammation to the tissues inside of the carpal tunnel can shrink the space of the tunnel, eventually pressing on the tendons and the median nerve that runs through this narrow area.

· The role of the median nerve When compression occurs in this area of the wrist, a key nerve is affected. The median nerve originates in the neck and runs through the arm. The median nerve passes through the carpal tunnel at the wrist and goes into the hand, providing feeling to the palm side of the thumb and to the index, middle and part of the ring fingers (although not the little finger). It also controls some small muscles at the base of the thumb.

· Symptoms of carpal tunnel Weakness of the hand as well as tingling and numbness are the two most common symptoms of CTS. The numbness particularly affects four of the fingers. It can occur when holding a phone, book, newspaper or steering wheel or engaging in just about any activity that involves the hands. CTS also may wake a person up from sleep.

· When to see a doctor If pain and tingling are affecting activities and sleeping patterns, individuals should see their doctors.

Various nonsurgical remedies and therapies may help. If left untreated, any condition that affects nerve function may lead to permanent nerve and muscle damage.

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Taking care of your teeth: Chew on these essential tips

MarthaStewart.com • Sponsored by Dentistry 4 Children

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hat takes just five minutes a day and could dramatically affect your long-term health? Hint: It doesn’t involve exercise, vitamins, or any of the latest wellness fads. Stumped? Read on for the answer!

We head to the gym and the yoga studio, eat our fruits and veggies, even embark on monthlong cleanses—all in an effort to stay healthy. But one of the best things for our well-being takes just minutes a day: properly caring for our teeth.

“The mouth is a window to the rest of the body,” says New York City dentist Gregg Lituchy. Over the past decade, medical professionals have discovered that good oral hygiene doesn’t just keep your whites pearly.

· Reboot Your Routine

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There’s growing research showing possible links between chronic inflammation of the gums—known as periodontal disease—and heart disease, diabetes, and possibly even Alzheimer’s disease.

And yet a lot of us are still cutting our sink time short: A 2012 study by the Centers for Disease Control and Prevention found that 47.2 percent of adults over 30 in the United States have gum disease. “A lot of people just brush until their mouth is minty and only floss the day before their dentist appointment,” says Jonathan Levine, a New York City– based dentist and oral-health expert. But even though the drugstore’s dental aisle teems with new products (and big promises), you don’t actually need many bells and whistles to keep your mouth healthy.

Nathan Leavitt DDS

While many of us dutifully brush our teeth, we tend to think of flossing as extra credit. It’s hard to justify skipping it, though, when you consider all the bacteria hiding in your gums. If neglected, these germs can turn into tartar, inflame the gums, and travel through the bloodstream to other parts of the body, leading to more serious health issues.

And the risk of gum disease increases with age. “Brushing only gets you so far—for adults, flossing is actually more important from a medical standpoint,” says Levine.

And it’s not enough to merely pop the floss in and out: “The goal is not just to get floss between teeth but

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to remove the plaque below the gumline,” says holistic dentist Marvin Pantangco, based in Encinitas, California.

To do that, wrap the floss around each tooth just below the gumline in a C shape, and move it back and forth in a shoe-shining motion. If manipulating regular floss is a struggle, try a plastic flossing tool or an irrigator, like the Waterpik. “I’m in favor of all of the tools out there— whatever makes it easier to make flossing a habit,” says Levine.

In terms of brushing, dentists stand by the twominute rule.There’s less consensus about whether electric toothbrushes are inherently more effective than regular toothbrushes, or simply encourage better habits because they frequently have built-in timing devices. Many dentists say you can get the same results if you practice good technique with a manual toothbrush, as long as you resist the urge to scrub. “The biggest mistake people make is to brush too vigorously, which scrapes away the enamel,” says Levine. Opt for a soft-bristled brush, and “hold it like a paintbrush, not a baseball bat.”

As for toothpastes, look for brands that don’t contain sodium lauryl sulfate (a foaming agent that causes

allergic reactions in many people); artificial sweeteners like saccharine and aspartame; or triclosan, a detergent that kills bacteria but is considered overly aggressive by some dentists. Fluoride, too, has become a controversial ingredient in recent years. Most traditional dentists say it’s the best weapon against cavities, but some experts believe there’s a link between fluoridation (largely in drinking water) and neurological and reproductive issues.

Talk to your dentist to help determine whether you want a fluoridated toothpaste or not. If you prefer to go the allnatural route, brush regularly or a few times a week with a mix of baking soda and hydrogen peroxide, which “forces high-oxygen material, which bacteria hate, under areas where they hide,” says Pantangco.

· Beyond the Basics If you have flossed, brushed, raked, gargled, and kept your biannual dentist appointments yet still have bad breath or inflamed gums, your diet may be the reason.

Sugary, acidic, tooth-eroding soda gets all the attention, but other culprits may surprise you—including dried fruit and alcohol. “What’s good for the body,” says Levine, “is usually good for the mouth, too.”

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Sugar can be hiding in plain sight MetroCreative

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he healthcare community is increasingly pointing to sugar as one of the biggest contributors to the obesity epidemic that has affected North America.

More so than fats, sugar may contribute to a number of conditions that affect overall health. The scary part is that sugar may be lurking in foods that people would not think of as “sugary.”

The average American eats between 150 and 170 pounds of refined sugars per year, according to the United States Department of Agriculture. Approximately 50 percent of U.S. adults drink one sugary beverage per day, and nearly 63 percent of children between the ages 2 and 19 consume at least one sugar-sweetened beverage per day according to a study from the U.S. Centers for Disease Control and Prevention. Data from

Statistics Canada states that Canadians consume roughly 110 grams of sugar each day.

Sugar occurs naturally in various foods, but added sugar, sometimes refered to as “refined sugar,” is turning up in many places, increasing the average person’s sugar intake as a result. The World Health Organization’s official nutrition advisors state that only 5 percent of one’s daily calorie intake should consist of sugars. This equates to approximately 30 grams per day. Children should have less - no more than 19 to 24 grams per day, depending on their ages. However, each day people are consuming more and more.

For those who think avoiding a slice of cake or skipping soft drinks is enough, consider these somewhat hidden sources of sugar, according to the health experts at Prevention.

· Barbecue sauce

Foot Care

Grilling time means foods laden with flavorful barbecue sauce. Many barbecue sauces contain up to 13 grams of sugar per two tablespoons.

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Powerstep® orthotics give your feet the support, comfort and stability you need. Unlike soft insoles, Powerstep® orthotics are optimized to provide:

Eating yogurt can be a healthy part of a diet, but not when it is full of sugar. One container of fruit yogurt may contain up to 19 grams of sugar.

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These convenient snacks can pack a sugary punch. One bar can boast 12 grams of sugar.

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• Pain relief Research indicates 80% of adults experience foot discomfort. With the latest advances in foot supports from Powerstep®, you can avoid heel and arch pain.

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· Salad dressing Dousing healthy salads with dressing may increase caloric intake and sugar consumption. French, Russian and Thousand Island dressings, for example, often have high amounts of sugar per serving size - some as many as 9 to 10 grams per serving.

· Frozen foods In addition to high levels of sodium (used as a preservative), frozen entrees may have as many as 30 to 40 grams of added sugar per serving.

· Energy drinks The pick-me-up energy drinks provide is largely fueled by sugar and caffeine. Some of these drinks can

Did you know?

MetroCreative

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ndividuals visit the doctor for many different reasons.

Although serious illnesses or acute medical care may be seen as the primary reasons behind doctor visits, a relatively recent study from The Mayo Clinic suggests otherwise.

In 2013, data published in the journal Mayo Clinic Preceedings uncovered that most people visit the doctor for skin disorders, such as acne or dermitis. In the United States, 42.7 percent of the doctor visits studied were for skin ailments. Skin ailments were followed by joint disorders, back problems, cholesterol, and upper respiratory conditions.

The group BackCareCanada says 80 percent of individuals experience pain in their spine at some point in their lives, and medical expenditures with respect to lower back pain are estimated at between $6 and 12 billion annually in Canada.

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have a whopping 83 grams of sugar.

Reading product labels is the easiest way to see how much sugar is lurking in foods.

While not all sugar is bad, and naturally occurring sugar-based carbohydrates can help supply ready energy to active muscles, most sugar is made of empty calories that can pack on the pounds.

According to Dr. Pamela Peeke, author of “The Hunger Fix,” refined sugar also can cause cells to age more quickly and lead to excessive inflammation, which increases one’s risk for many diseases. Reducing sugar intake is an important component of a healthy lifestyle.

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How seniors can preserve their brains

MetroCreative

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oing jigsaw and crossword puzzles can keep the brain sharp.

Physical activity and proper diet and nutrition can help people age 50 and older maintain their physical health.

But there are also ways aging men and women can preserve brain health in an effort to prevent or delay the cognitive decline that affects millions of seniors across the globe.

It’s easy to overlook the importance of keeping the brain healthy. However, a decline in brain function can result in poor concentration, memory loss and a host of other issues. Sometimes, by the time symptoms present themselves, it may be too late to reverse any damage.

Research suggests that a combination of nutrition and mental, social and physical activities may have a greater

impact with regard to maintaining and improving brain health than any single activity. Harvard Medical School also states that volunteering, caring for others and pursuing hobbies may benefit the brains of older adults.

A study published in the Archives of General Psychiatry found participants who reported higher levels of purpose in life exhibited superior cognitive function despite the accumulation of abnormal protein depositions (amyloid plaques and neurofibrillary tangles) in the brain, a hallmark of Alzheimer’s disease. Having a purpose also may help those who do not have Alzheimer’s disease.

In addition to the suggestions mentioned above, those who want to boost brain health can consider these strategies.

¡ Start exercising the brain early on

Home Health

A study published in 2012 in the British Medical Journal examined cognitive function in people ages 45 to 70. Researchers found evidence of cognitive decline in the 45-year-old participants as well as the older participants. It’s never too early to put a brain health plan into motion.

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Reading can open individuals up to new vocabulary and scenarios that promote a stronger brain and recall ability. Enrolling in an education course at a local college, community center or online also may be beneficial.

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路 Hit the gym

doctors about which products to take.

Several studies suggest an association between physical activity and reduced risk of cognitive decline.

This could be because exercise elevates heart rate, which pumps more blood to the brain and body.

路 Supplement with DHA DHA is an omega-3 fatty acid that is dominant in the brain. Adhere to a Mediterranean diet, which is generally high in natural sources of omega3, including fish and mono-unsaturated fats from olives, olive oil, nuts and seeds. Supplements also may help, but individuals should consult with their

路 Challenge the mind Men and women can engage in challenging activities that stray from their routines. Puzzles, strategic games, jigsaw puzzles, or difficult hobbies can benefit the brain.

路 Keep a closeknit group of friends Regular conversation and social interaction is a key component of any brain health wellness plan.

Slowing cognitive decline and promoting greater brain health should be a priority for adults of all ages.

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Beating the odds: Making full recovery from 99.5 percent heart blockage

Sponsored by Gritman Medical Center

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fter she awoke from open heart surgery, a nurse told Beverly J. Jones she was blessed to be alive.

“The left main artery of my heart, that’s the one that feeds everything, was 99.5 percent plugged up,” said Beverly, who began experiencing discomfort in her back and chest in 2011, but like many women, pushed the symptoms aside as nothing serious. After living with the discomfort for some time, she made an initial visit to the doctor’s office.

“I went to the doctor but I knew there had to be more going on than what they said there was, so I went to go see Dr. Matthew Rice because he was my husband’s doctor,” Beverly said.

After telling Dr. Rice her symptoms, he immediately

Home Medical

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recommended a stress test. Beverly was so weak that she couldn’t go on the treadmill; instead, the staff injected medicine through the IV to stress her heart and tracked the results.

After reviewing her information, the cardiologist reported back to Dr. Rice, who consulted with Beverly on the next steps — which was surgery, in her case.

“Dr. Rice made an appointment for me to have surgery on January 3, 2017,” Beverly said. This was just days after the results came back, showing a 99.5 percent blockage in her left main artery. “They did the heart catheter and then left it in and put me right into surgery for a stint because if they pulled out the catheter, I would have gone into cardiac arrest,” she said.

On orders from her doctor, Beverly started Cardiac Rehabilitation in February. “Cardiac Rehabilitation is an education and exercise program,” said Kristi Holden, clinical coordinator of Gritman’s Cardiac Rehabilitation program.

“Participants receive education on understanding heart disease and medications they may be taking, (as well as) managing specific risk factors such as diabetes, smoking or stress.”

Kristi said patients can also meet with a dietitian, respiratory therapist and other health care professionals, depending on their individual needs. The staff monitors their heart rhythm while they exercise, encourages them, and helps to ease exercise-related fears, such as working out too hard. “Beverly, and other participants, like the camaraderie of the Cardiac Rehab setting,” Kristi said. “They are exercising and learning alongside others who have been through similar situations. They may visit with someone who is recovering at about the same time as they are and they visit with others who have been attending the Cardiac maintenance program for years; this gives them a different, beneficial perspective.”

Beverly is enjoying her newfound strength and stamina, but does have some advice for other women. “Do something about it, because I didn’t,” said Beverly. “I went day by day, and I didn’t take it seriously, and we need to because women’s heart problems are different than men’s.”

To find out more about Gritman’s Cardiac Rehabilitation program, call 208-882-4511.

M O N D A Y, J U N E 2 6 , 2 0 1 7

“I wanted to share my story to let people know miracles happen.”

Read Beverly’s story to learn more about Advanced Cardiac Rehabilitation at Gritman.

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Appointment companions are a smart move

MetroCreative

V

isits to a physician are just one step people make in an effort to improve their well-being.

While it’s important that everyone visit their physicians at least once a year for a checkup, seniors may need to see their physicians more frequently than other age groups.

When visiting the doctor, it is easy for anyone to miss important components of what the doctor is saying, and it’s just as easy to misunderstand certain instructions or medication information. Seniors who bring companions along to appointments with their physicians can reduce the risk of misunderstanding advice or diagnoses given by their doctors.

Data from U.S. News and World Report states that about one-third of seniors still living on their own take a companion with them to their routine doctor’s office visits.

Companions are typically spouses, but they can include children or other family members as well.

Patients may find there are many advantages to bringing someone along to an appointment. And companions may want to learn more about patients’ goals at each appointment prior to going along so they can prepare and know how to help during the appointment.

¡ Listen People tend to forget at least half of what they hear in the doctor’s office, says the Archives of Internal Medicine. This tendency may be increased when patients are nervous about the potential outcome of their visits.

Bringing a companion along means that both people are actively listening. Together, the information they’ve heard can combine to provide a full account of the visit.

¡ Taking notes Companions can jot down important notes about the appointment, such as dates and times for follow-up visits, medication advice and any other instructions that may be forgotten once the patient leaves the office. Companions can later translate the jargon-heavy language of a physician into an understandable language the patient can fully understand.

¡ Medical history Sometimes a companion can be a useful resource, calling a doctor’s attention to a patient’s prior hospitalizations and illnesses. Companions can even call attention to any medications the patient is currently taking.

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Very often a companion can operate as a patient advocate, clarifying questions or getting further information out of a doctor if the patient is hesitant to ask. If the information isn’t clear, the companion can raise red flags or ask to have the instructions put in a different light.

¡ Translation Sometimes patients need companions who speak their native languages when their physicians do not.

People are learning that bringing a family member or friend along to doctors’ appointments can be a smart way to make the most of doctor/patient interactions.

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The power of Medicinal Cannabis

Sponsored by MJ’s Pot Shop

M

edicinal cannabis can be used to alleviate symptoms caused by a number of ailments.

Marijuana, sold for medicinal purposes at local marijuana retailers, comes in a variety of forms from leafy for smoking to food products for eating and everything in between.

Products typically come in three strains, Sativa, Indica and Hybrids, which can all contain CBDs. Each is used for different ailments.

Indica strains are physically sedating while Sativas provide uplifting cerebral effects.

Because of these perceived differences, medical patients using cannabis to treat their symptoms and conditions will want to consider a strain’s classification. A medicinal shop should have councelors available to determine what will work best for you. A patient suffering from fatigue or depression may use a sativa during the day, and another treating pain and insomnia will likely choose an indica strain at nighttime. High-CBD strains, which are preferred by patients treating seizures, anxiety, pain, and a few other conditions – may be of either category, but offer little to no psychoactive effects.

Indica is a short, bushy plant that does well in indoor gardens. Its effects tend to be sedating and full body. It is typically used in the treatment of anxiety, insomnia, muscle spasms and pain. Sativa is a long, thin plant that does better in outdoor gardens. It has a cerebral effect and tends to be uplifting. This strain is used in treatment of depression, mood disorders, fatigue and attention deficit disorder.

CBD is a classification that has been around since the 18th century when differences between structure and resin production in Indicas and Sativas were first noted. The hybrid category was adopted later on, as growers began mixing genetics from different geographic locations.

Cannabinoids like THC and CBD are molecular structures and have their own medical benefits. Terpenes are the aromatic oils secreted in cannabis resin that modulate the effects of cannabinoids, and these too have their own set of effects.

Products like the ones Ethos Innovates offers come in many forms and can be found online and at local retailers. These whole-plant products are treated as a food product from seed to store shelf with extra steps to preserve the integrity of poly unsaturated fat, inhibiting degradation and ensure clean, safe cannabis. All Ethos Innovates products are made in a WSDA approved kitchen by certified food handlers. By M O N D A Y, J U N E 2 6 , 2 0 1 7

the time these products are on the shelves they have been tested at three stages by certified third party laboratories to ensure safety and cleanliness.

Ethos Innovates has sprays, beverage concentrates, topicals, serum activate oils and edibles. Each form comes in Sativa, Ithica and CBD strains all in smoke-free alternatives, that help people with various medical conditions from all walks of life.

Before using these or other cannabis products you should talk with a trained medical marijuana consultant. MJ’s Pot Shop is a medically endorsed shop where you will find a friendly, professional environment for all customers. Let their knowledgeable staff help you find the product that is right for you! Medical consultant hours are 10 a.m. to 5:30 p.m. weekdays.

Marijuana has intoxicating effects and may be habit forming. Marijuana can impair concentration, coordination, and judgment. Do not operate a vehicle or machinery under the influence of this drug. There may be health risks associated with consumption of this product. For use only by adults twenty-one and older. Keep out of the reach of children.

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Coping with cancer-related fatigue

MetroCreative

F

atigue is one of the most common and frustrating side effects of cancer treatments.

While fatigue is often a result of the cancer itself, cancer treatments can also increase feelings of fatigue.

The American Cancer Society indicates that cancerrelated fatigue can be more intense than a healthy person’s feelings of tiredness. Therefore, learning how to manage fatigue can improve quality of life for the millions of people battling cancer ever day.

Cancer-related fatigue, or CRF, often is described as paralyzing. In many instances, CRF comes on suddenly and without warning and is not diminished by rest or sleep. Many of the therapies associated with cancer treatment are culprits in CRF. These include chemotherapy drugs, radiation therapy, bone marrow transplants, and biologic therapies that include using cytokines to naturally attack cancer cells.

The National Cancer Institute states that CRF can affect all areas of life by making patients reluctant or unable to partake in daily activities. Those who miss school, work or social occasions may start to experience depression or other mood changes. These occurrences can lessen quality of life and affect self-esteem.

Doctors may help those experiencing CRF find relief.

By learning when fatigue occurs, doctors may be able

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to pinpoint what is causing the fatigue and then treat it accordingly.

For example, if the cause is connected to a certain medication, alternative drug therapies may be suggested.

CRF is sometimes linked to anemia. Medications that stimulate bone marrow to produce more red blood cells or blood transfusions may help with fatigue as well, according to The Mayo Clinic.

When CRF is linked to depression, anxiety or lack of sleep, doctors may suggest selfhelp techniques, talk therapy and medications that can treat the underlying condition to improve the patient’s physical and mental well-being.

In addition, modifications can be made around the home or office to help alleviate fatigue. Ergonomic changes, such as improving chairs, repositioning items so they are within reach or adjusting office furniture to reduce having to bend over or reach overhead, may help.

Fatigue is one of the more common side effects of cancer and cancer treatments. Fatigue can have debilitating results, but patients can work with their physicians to find ways to alleviate fatigue and improve quality of life.

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Protect eyes from ultraviolet rays

MetroCreative

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wide array of sunglasses can protect eyes from potentially damaging ultraviolet radiation.

Thanks to increased awareness about the perils of exposure to ultraviolet rays and skin damage, a greater number of people routinely apply sunscreen before spending time outdoors. But while people take steps to prevent sunburns, skin cancer and premature aging, they may fail to consider that UV rays also can damage their eyes.

Just as people protect their skin from the sun, so, too, should they safeguard their eyes. Prevent Blindness America warns that the sun is comprised of UVA and UVB rays. UVA rays may hurt central vision by damaging the macula, or a part of the retina at the back of the eye.

UVB rays typically affect the front part of the eye or the

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lens and cornea. The following are some common eye conditions that can be linked to exposure to UV rays.

· Photokeratitis Excessive amounts of UV radiation over a short period of time can cause photokeratitis, which is equivalent to a sunburn of the eye. Photokeratitis may occur after spending long hours at the beach or skiing without proper eye protection. UVB rays cause photokeratitis, and these rays can burn the cornea, potentially causing pain and temporary vision loss.

· Macular degeneration According to the American Optometric Association, macular degeneration is a deterioration of the part of the retina that is responsible for sharp, central vision.

In addition to UV rays, chronic exposure to shorterwavelength visible blue and violet light can be harmful to the retina. The sun and many artificial light sources, such as LEDs and smartphones, emit blue light. Some blue light can be beneficial, but some can be harmful to the eyes. Lenses that absorb harmful blue light or block it can prevent retinal damage.

· Pterygium Pterygium is a growth that forms on the outer portion of the eye, or the cornea and conjunctiva. The World Health Organization says that prolonged UV exposure can contribute to this condition. Pterygium may extend over the cornea and reduce vision, requiring surgical

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removal.

· Cataracts UV exposure also can contribute to the formation of cataracts. Prevent Blindness America says a cataract is a clouding of the eye’s natural lens, the part of the eye that focuses the light people see.

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Sunglasses should completely cover the eyes, including the skin on the eyelids and under the eye, to provide adequate protection for the eyes. Wraparound frames will offer additional protection to those who spend a lot of time outdoors in bright sunlight. The AOA says sunglasses should also do the following. · Block out 99 to 100 percent of both UVA and UVB radiation. · Screen out between 75 and 90 percent of visible light. · Have lenses that are perfectly matched in color and free of distortion and imperfection. · Have lenses that are gray for proper color recognition.

Consumers should speak with an eye doctor if they have additional questions about eye protection.

Prescription lenses can be tinted and treated to offer UV protection.

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How physical therapy makes a difference in your total joint recovery

Sponsored by Johanna Strehle, PT • Dynamic Physical Therapy

T

he recovery time is quite extensive following a total joint surgery, whether it is a total knee, total hip or total shoulder.

It can take a minimum of three months to return to most activities following total knee or hip surgery and six months to a year to fully recover to maximum strength and be able to perform previous activities.

Recovery is a little slower following total shoulder surgery. Some patients will be in a sling for six to eight weeks, so full recovery will likely take a year. Your recovery time will depend on your condition before surgery, any other medical conditions or problems and your expectations.

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Physical therapy will be an integral part of your recovery process.

To optimize your recovery, a presurgery visit can be very beneficial.

Your therapist will show you how to function at home including going up and down stairs, how to modify your home for post-surgery, how to walk with the appropriate assistive device, and the exercises that you will be doing.

Those patients who perform the exercises before surgery generally do much better following surgery.

A skilled therapist can help accelerate your rehabilitation and healing process. Following surgery, therapy in an outpatient setting should resume and the goals will include restoring normal range of motion and strength with exercises based on your needs, gait training with an appropriate assistive device, working on balance, and functional activities that you would like to return to whether it be gardening, golfing, dancing or being able to walk while traveling.

Restrictions following surgery are individualized to each person and the joint replaced. Following total knee replacement, kneeling is possible for some and not for others. With total hip or knee replacements the ability to walk afterward is most often improved because pain is greatly reduced. Total joint replacement allow people to return to work and complete job duties that may have been limited previously, like reaching into a cupboard following a total shoulder replacement.

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How to improve flexibility

MetroCreative

T

aking steps to improve and maintain flexibility has numerous benefits that can pay dividends for athletes of all ages.

As beneficial as being physically flexible can be, many people, no matter how hard they try, struggle to improve or maintain their flexibility. Fortunately, there are some ways that devoted men and women can improve their flexibility and enjoy all of the benefits that increased flexibility provides.

· Drink more water Drinking water helps to prevent tightness and muscle cramps. In fact, tightness or muscle cramps in the large muscles of the leg may be indicative of the early stages of dehydration. Drinking plain water is the most effective way to stay and remain hydrated. Don’t count coffee, tea or sports drinks as water, as such beverages many contain

caffeine. Caffeine is a diuretic, and while diuretics cause the increased passing of urine, they also decrease the amount of water that is absorbed by the kidneys, potentially contributing to dehydration. Drink plenty of water before, during and after workouts.

· Get up and go Poor flexibility may be a byproduct of your lifestyle.

Men and women who live sedentary lifestyles are less likely to enjoy the full range of motion from their muscles than those people who are more active. Get off the couch when spending time at home, and if you work in an office, take routine breaks to stand up and walk around.

Poor flexibility can be painful and inconvenient, but there are many ways for men and women to improve their flexibility and, as a result, their quality of life.

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Lose fat without surgery: How effective is CoolSculpting?

CBSNews.com • Sponsored by Dr. Ozeran

H

undreds of thousands of people undergo liposuction each year, but a relatively new treatment called “CoolSculpting� claims to remove fat without surgery.

If you’ve ever seen before and after pictures following a fat removal procedure, then these photos are not that surprising. However, when you hear the fat was removed after just four treatments without using a knife or a needle, these results are unprecedented.

Dr. Neil Sadick, professor at Weil Cornell Medical College, said the procedure has “the most proven technology.� It was created by two Harvard doctors, and as of last month, it was cleared by the FDA for treating a patient’s thighs, love handles and belly.

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Results and patient experience may vary. While CoolSculpting is safe, some rare side effects may occur. As with any medical procedure, only your CoolSculpting provider can help you decide if CoolSculpting is right for you. In the U.S., the CoolSculpting procedure is FDA-cleared for the treatment of visible fat bulges in the submental area, thigh, abdomen and flank. Outside the U.S., the CoolSculpting procedure for non-invasive fat reduction is available worldwide. ZELTIQ, CoolSculpting, the CoolSculpting logo, the Snowflake design, and Fear No Mirror are registered trademarks of ZELTIQ Aesthetics, Inc. Š 2016. All rights reserved. IC1843-A

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Plastic & Reconstructive Surgery Bringing beauty to life.

“I feel a major vacuum,� patient Melissa Allerton said while receiving the treatment on her abdomen. The 33year-old yoga teacher and private chef said it felt like a thin sheet of ice.

The process of CoolSculpting feels like ice because this device is freezing the fat cells directly below it. Once they’re frozen, the fat cells drain naturally from the body.

It can take six to 12 weeks to see the results, but a patient can lose half an inch from his or her waistline after just one one-hour treatment. An area can be treated multiple times, but Sadick said the first treatment is usually the most effective. “These techniques are not substitutes for liposuction.

They’re not for people that have large amounts of fat that needs to be removed,� Sadick said.

The idea stemmed from doctors’ observation that children who eat popsicles grow up to be adults with dimples because the cold killed the fat cells in their cheeks.

Temporary side effects include occasional bruising and a little bit of redness, Sadick said.

The latest report by the International Society of Aesthetic Plastic Surgeons shows the U.S. is the leading country for surgical cosmetic procedures with more than 1 million performed every year. That includes more than 110,000 tummy tucks and 220,000 liposuctions.

Worldwide, 425,000 CoolSculpting treatments were performed last year alone.

One abdominal treatment is about $1,300 and each love handle costs about $800.

When asked about her hopes after the procedure, Allerton said she wanted her abdomen to “be a little four pack this year and not just a two pack.�

Allerton said she was drawn to the procedure because it is so minimal she can teach a yoga class after the treatment.

While the fat cells that are treated drain from the body, there are still other surrounding fat cells that can expand, so a patient has to maintain a healthy diet and exercise.

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Relief from digestive dairy disorders

MetroCreative

D

airy is sometimes misunderstood. While dairy has nutritional value, it may cause various health problems for those who have a dairy intolerance or allergy. As a result, individuals often have to discover acceptable alternatives to meet their nutritional needs.

· Dairy allergy vs. lactose intolerance Dairy allergies and lactose intolerance are often thought to be the same thing. While each condition can produce a number of similar symptoms, their origins are quite different.

According to the Center for Food Allergies, an allergy is an immune system response that results in inflammation and tissue damage. An allergy to dairy may cause an array of symptoms, from abdominal discomfort to ear infections to joint pain.

Lactose intolerance is a deficiency in the enzyme lactase, states the IBS Treatment Center. Lactase is required to digest lactose, the sugar present in milk and dairy products. If a person has a lactose intolerance, symptoms may include bloating, pain and cramps, gas, and diarrhea, depending on how much lactase the body makes. Sometimes those who never had a problem with dairy products can develop lactose intolerance or a dairy sensitivity later in life.

Because eliminating lactose from one’s diet will not treat a dairy allergy, thousands of people have to seek alternatives to the dairy products they enjoy. Dairy can be found in whey protein powder, milk, cheese, butter, casein protein, and even in soups, candy and breads. It’s important for all people to read product labels before buying foods, but especially important for those with dairy allergies to do so.

· Dairy alternatives Acceptable dairy alternatives are introduced every day. Historically, many of these products are soy-based, but nowadays there are rice-, almond-, oat-, hazelnut, and even coconut-based alternatives on the market.

These products are available as milks, butters, yogurts and cheeses. Some dairy alternatives have fewer calories and less saturated fats than dairy products, but

they may not have as much protein as dairy. Therefore, beefing up protein consumption through other foods may be necessary (try quinoa cereal and cashew milk for breakfast). Also, look for dairy alternatives that have added calcium, especially if you get the bulk of your calcium from milk products.

A newer dairy alternative is showing promise. While not high in calcium, hemp milk made from water and cannabis seeds is rich in heart-healthy omega-3 fatty acids. Hemp milk is a good vegan source of protein.

Hemp also doesn’t contain many complex sugars that can lead to stomach upset. Rest assured that hemp milk does not contain the psychoactive component of marijuana.

Dairy allergies and lactose intolerance drive the evolving market for quality dairy alternatives.

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Treatments for Alzheimer’s disease continue to evolve

MetroCreative

A

lzheimer’s disease is one of the most prevalent types of dementia in the world, affecting an estimated 35.6 million people all over the globe, and that number is expected to double in 20 years.

The Alzheimer’s Foundation of America estimates that as many as 5.1 million Americans may be living with Alzheimer’s disease. Australian company Actinogen Medical says Alzheimer’s is Australia’s second biggest killer. According to a 2012 study commissioned by the Alzheimer’s Society of Canada, 747,000 Canadians were living with cognitive impairment, which included, but was not limited to, dementia.

People with Alzheimer’s disease and other types of

dementia may experience a decline in mental function severe enough to reduce their ability to perform everyday activities. Some of the cognitive functions that may be impaired include memory, communication and language, ability to pay attention, reasoning and judgement, emotional control, and social behavior.

There is no cure for Alzheimer’s disease, nor is there an effective long-term way to prevent potential mental decline. However, that has not stopped scores of researchers and medical teams that continue to study the efficacy of different drugs and therapies. The following are some of the more promising options in the works.

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Leukine A safety trial on the drug Leukine already is underway at the Colorado University Anschutz Medical Campus.

“We found so far that Leukine is safe in people with Alzheimer’s disease,” said Dr. Huntington Potter, the director of Alzheimer’s research at the university. “That means it doesn’t have the side effects that so many other Alzheimer’s drugs have had, which are swelling in the brain and bleeding into the brain.”

Leukine has been successful in removing the plaque or amyloid along the outside of nerve cells in the brain of mice. Researchers do not know the exact mechanism for removal, but the drug is working and working quickly.

Leukine also may be helping the brain repair itself. The Alzheimer’s Association has donated $1 million toward financing the costs of the next phase of this trial.

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Neurologists at Rush University Medical Center are testing a type of insulin that is inhaled through a nasal spray to see if it improves cognition and memory function in people with mild cognitive impairment.

“There is growing evidence that insulin carries out multiple functions in the brain and that poor regulation of insulin may contribute to the development of Alzheimer’s disease,” said Dr. Neelum Aggarwal, a neurologist at Rush and the lead investigator of the study.

The 18-month clinical trial will study the nasal spray versus a placebo in 275 adults between the ages of 55 and 85.

Australian researchers at Actinogen Medical have begun trials of a new drug called Xanamem. More than 170 patients with mild dementia in Australia, the United States and the United Kingdom will take part in the placebo-controlled 12-week trial. The medicine blocks the stress hormone cortisol in order to improve mental function for those with dementias. In 2015, an Edinburgh University study of mice showed reducing cortisol in the brain improved their memory and decreased the number of Alzheimer’s-associated amyloid plaques in the brain.

Researchers continue to work as they seek a successful, long-term option for treating or preventing Alzheimer’s disease and other dementias.

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The Golden Years: How to plan after retirement

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inally, those long awaited for ‘Golden Years’ have arrived!

What will you do? So many choices to consider. One thing to consider is the option of a Retirement/Assisted Living Community.

Retirement/Assisted Living Communities give you the ability to enjoy the newfound freedom of retirement without the worries of home maintenance, housekeeping, or even that dreaded question ‘What to make for dinner tonight?’ These Communities offer onsite maintenance, housekeeping services, 3 meals a day, an activities schedule, along with a menu of other service options.

There are many levels of service available for individuals who are entirely independent to those who could use some assistance with daily living. If you are considering a Retirement/Assisted Living Community, whether for yourself or a loved one, it can be a huge step.

While this is certainly not all-inclusive, as each individual situation is unique, below are some thoughts to consider that might help make that process a little smoother.

What geographical area would you like: Do you want to stay in your current community? Move closer to family? Whatever your criteria may be on location, once you have made your decision, then schedule a tour of the communities in that area.

Things to consider while at the community: • What are the apartment sizes?

• Is there a waiting list? What does the activity schedule look like?

• What services are included in rent and what services are offered al a carte?

• Are the staff members friendly and approachable?

• Talk to current residents, are they satisfied?

• Have a meal while you are there, is the food prepared well?

Compare each community you have visited: While cost 2 8 | H E A LT H B E AT

is always a consideration, also think about the atmosphere.

Which one seems more inviting to you? This will be your new home; you need to feel comfortable, welcomed and respected.

Once you have narrowed down your selection, schedule a second tour: Go into more detail on the move-in process and any additional fees associated. Pick the available apartment you would like. Schedule an assessment with the community nurse, to ensure your level of care is appropriate for both you and the community.

Other tidbits to consider: Do you have long-term care insurance? Does it pay for Assisted Living? Are you a Veteran? Do you qualify for any Assisted Living benefits?

Do you have a local Physician and Dentist?

Always remember, Retirement/Assisted Living Communities should enhance your life, not hinder it!

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Heart health tips for women

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eart disease may be something most commonly associated with men, but it can be deadly for women as well.

Recognizing the threat that heart disease poses is a great first step for women who want to avoid becoming one of the hundreds of thousands of women who lose their lives to heart disease each year. The U.S. Food and Drug Administration offers the following advice to women looking to prioritize their heart health.

1. Consume a heart-friendly diet.

Thanks to food labels, it’s easier than ever for women to consume heart-healthy diets. When examining labels, look for foods that are low in sodium and sugar. When planning meals, avoid foods that are high in trans fats. In 2015, the FDA ruled that trans fats were not recognized as safe for use in human foods and gave manufacturers

three years to remove them from their products.

2. Take existing conditions seriously.

Certain conditions can increase a woman’s risk for heart disease. While women may not be able to turn back the clocks and prevent these conditions from developing, they can take them for the serious threat they are and do their best to manage them. High blood pressure, diabetes and high cholesterol can increase a woman’s risk for heart disease.

3. Discuss aspirin intake.

The FDA notes that many physicians prescribe aspirin to lower patients’ risk of heart disease, clot-related strokes and other problems related to cardiovascular disease. However, there are risks associated with longterm aspirin use, and such risks should be discussed with a physician.

Retirement Living

Make Your Move to

Carefree Living

Resolve to worry less and enjoy yourself more this year with maintenance-free living at Regency Pullman.

OFFERING: Retirement/Independent: Maintenance-free residences in a positive atmosphere filled

with activity, healthy meals, social events, educational opportunities, and wellness options.

Assisted Living: Designed for people who are still reasonably self-sufficient, but need a

Take a Tour, and See the Difference for Yourself!

Call (509) 332-2629 to schedule a tour today!

higher level of care than independent living provides. We meet with each resident and family to conduct an assessment prior to move-in.

Respite Care: While many families and caregivers enjoy caring for loved ones at home,

sometimes the physical, emotional, and financial toll can be overwhelming. Our Respite Care Program offers a short-term temporary residence solution to give dedicated caregivers a chance to rejuvenate knowing that their loved one is in a comfortable, caring environment.

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1285 SW Center St., Pullman, WA (509) 332-2629 regency-pacific.com H E A LT H B E AT | 2 9

Women can experience hair loss, too

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air loss affects women as well as men. But many women suffer in silence.

Baldness is a condition most commonly associated with men, but many women also experience hair loss, and the effects of that hair loss can affect body image.

Female pattern hair loss, or FPHL, is the most common form of progressive hair loss in women. The condition also may be called androgenetic alopecia. The American Hair Loss Association indicates that up to 40 percent of American hair loss sufferers are women.

Male hair loss is more common and unlikely to garner much attention. But FPHL can be difficult for women. Women who lose their hair may suffer from low self-esteem and be less inclined to engage socially.

According to the American Academy of Dermatology, it’s normal for men and women to lose between 50 and 100 hairs a day, even for those people who are not going bald.

But losing large amounts of hair each day is cause for concern. FPHL is characterized by miniaturization of the hair follicles, which become shorter and produce thinner and more brittle hairs. Eventually, hair follicles may stop developing altogether. The AAD notes that FPHL has a distinct appearance in which the hair thins mainly on the top and crown of the scalp. A gradual widening of the center part of hair may be noticeable as well.

Hair loss may be the result of genetics and other environmental factors that throw off the growing 3 0 | H E A LT H B E AT

cycle, advises WebMD. Medication, illness, infection, hormones, or chemicals have the potential to prevent hair from being formed properly. Hair loss is sometimes temporary, and hair will ultimately grow normally after a precipitating event, such as pregnancy, ends.

Dihydrotestosterone, or DHT, a derivative of the male hormone testosterone, can play a role in female hair loss, says the American Hair Loss Association. The hormonal process of testosterone converting into DHT can harm hair follicles. The process occurs in women as well as men because females have small amounts of testosterone in their normal biology. Male androgen hormones may become more pronounced in women’s bodies as they age and their own female hormones of estrogen and progesterone start to diminish.

Women losing their hair should see a dermatologist to determine the cause of their hair loss.

Avoiding tight hair styles, hair trauma and stressors may help as well. However, when hair loss is not preventable, a medication called minoxidil may help. This topical treatment helps slow down or stop hair loss in roughly one in four women, according to Harvard Health Publications.

It also may produce some new hair growth. The process can take a year, so styling one’s hair a different way or clip-in extensions may help hide hair loss in the interim.

Hair loss affects women as well as men, and women should not hesitate to discuss their hair loss with their physicians.

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H E A LT H B E AT | 3 1 506547F_17

Our team is dedicated to providing compassionate care!

The St. Joseph Gastroenterology & Endoscopy Center offers a wide range of services, including: Preventative Screening • Diagnostic and Therapeutic Colonoscopy • Diagnostic and Therapeutic Upper Gastrointestinal Endoscopy IBS • Cirrhosis • Hepatitis C • Crohns Disease GERD • Ulcerative Colitis

208-743-3988 1630 23rd Avenue, Ste. 701, Lewiston, ID 83501

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Together in Health.